Special Unit Research Articles

THE SIGNIFICANCE OF DEMOCRATIC AND CIVIL CONTROL OF SECURITY SERVICES FOR THE AIM OF PREVENTING POLITICAL VIOLENCE - CASE STUDY OF THE REPUBLIC OF SERBIA AFTER 2000

Democratic and civilian control of the security services is the foundation of a society’s democracy. The standard of living measured through the prism of GDP, the level of the unemployment rate, social and health care, and free education are mostly only apparent factors that mask some much more complex phenomena such as the entrapment of democracy if there is no civil and democratic control of the security services, which as will be shown in their work, they very often directly decide on life and death. This especially applies to countries with totalitarian regimes in which any oppositional opinion is sanctioned or, as in the case of Serbia after 2000, in countries where democracy is still young. National security and the security of every individual citizen can be seriously threatened in cases where there is no civilian and democratic control of the security services. The absence of this type of control results in uncontrolled, unconstitutional, and illegal behavior of members of the security services, which is often characterized by the belief that its members, while committing the most serious crimes, are actually protecting their country and order from destruction. This work aims to prove the hypothesis of the need for democratic and civilian control of the security services as the basis of government through a case study of the rebellion of the Special Operations Unit of the State Security Department of the Ministry of Internal Affairs of Serbia, as well as through the case of the murder of Prime Minister Zoran Đinđić, for which members of the former security service were also legally convicted. rights in modern democratic societies.

Prediction of labour outcomes using prelabour computerised cardiotocogram and maternal and fetal Doppler indices: Aprospective cohort study.

To investigate the association and the potential value of prelabour fetal heart rate short-term variability (STV) determined by computerised cardiotocography (cCTG) and maternal and fetal Doppler in predicting labour outcomes. Prospective cohort study. The Prince of Wales Hospital, a tertiary maternity unit, in Hong Kong SAR. Women with a term singleton pregnancy in latent phase of labour or before labour induction were recruited during May 2019-November 2021. Prelabour ultrasonographic assessment of fetal growth, Doppler velocimetry and prelabour cCTG monitoring including Dawes-Redman CTG analysis were registered shortly before induction of labour or during the latent phase of spontaneous labour. Umbilical cord arterial pH, emergency delivery due to pathological CTG during labour and neonatal intensive care unit (NICU)/special care baby unit (SCBU) admission. Of the 470 pregnant women invited to participate in the study, 440 women provided informed consent and a total of 400 participants were included for further analysis. Thirty-four (8.5%) participants underwent emergency delivery for pathological CTG during labour. A total of 6 (1.50%) and 148 (37.00%) newborns required NICU and SCBU admission, respectively. Middle cerebral artery pulsatility index (MCA-PI) and MCA-PI z-score were significantly lower in pregnancies that required emergency delivery for pathological CTG during labour compared with those that did not (1.23 [1.07-1.40] versus 1.40 [1.22-1.64], p = 0.002; and 0.55 ± 1.07 vs. 0.12 ± 1.06), p = 0.049]. This study demonstrated a weakly positive correlation between umbilical cord arterial pH and prelabour log10 STV (r = 0.107, p = 0.035) and the regression analyses revealed that the contributing factors for umbilical cord arterial pH were smoking (p = 0.006) and prelabour log10 STV (p = 0.025). In pregnant women admitted in latent phase of labour or for induction of labour at term, prelabour cCTG STV had a weakly positive association with umbilical cord arterial pH but was not predictive of emergency delivery due to pathological CTG during labour.

The place and importance of the Security Service of Ukraine in the implementation of the administrative and legal mechanism for ensuring the rights and freedoms of citizens

In the article, I will consider the essence of the rights and freedoms of a person and a citizen. The definition of the concept of “administrative-legal provision of the rights and freedoms of citizens” is provided, taking into account that this legal phenomenon should be understood as the activity of public authorities regulated by legislation, the content of which is the creation of conditions for the realization, protection and protection of citizens’ rights through legal means. The content and features of the implementation of administrative and legal means of ensuring the rights and freedoms of a person and a citizen by public authorities are disclosed.Emphasis is placed on one of the key directions of implementation of the law enforcement function of the state through ensuring the safety of people, society and the state as a whole, with the aim of achieving a state of legal protection of vital public and private interests. The important place in the system of the relevant subjects of the SSU powers of authority is emphasized. The system of this state institution is built in the form of a central management unit, a regional unit, a specialized unit, a research and educational unit, a specialized unit, and their content of activity are also characterized.The specifics of the administrative and legal status of the bodies and units of the Security Service of Ukraine were determined, and the essence of their external and internal administrative activities while guaranteeing the effective functioning of the national mechanism for ensuring human rights was revealed. With this in mind, the main functions of the SSU in the relevant field are specified, including preventive, counterintelligence, law enforcement, information and analytical, scientific and technical, national security, criminal justice, international legal, interdepartmental and partnership function function.

Assistant nurses' experiences of thirst and ethical dilemmas in dying patients in specialized palliative care-A qualitative study.

To describe assistant nurses' experiences of thirst and ethical challenges in relation to thirst in terminally ill patients in specialized palliative care (PC) units. A qualitative, reflexive thematic design with an inductive analysis was used. Data were collected during November 2021-January 2023. Twelve qualitative interviews with assistant nurses working in five different specialized PC units in different hospitals in Sweden were conducted. The interviews were transcribed verbatim and analysed with a reflexive thematic analysis. The study was guided by the Standards for Reporting Qualitative Research (SRQR). Two main themes were found in this study. (1) 'A world of practice for thirst relief' where assistant nurses present a task-oriented world where the knowledge of thirst is an experience-based unspoken knowledge where mainly routines rule. (2) Ethical challenges presents different ethical problems that they meet in their practice, such as when patients express thirst towards the end of their life but are too severely ill to drink or when they watch lack of knowledge in the area among other health professionals. Thirst in dying patients is a neglected area that assistant nurses work with, without communicating it. Their knowledge of thirst and thirst relief are not expressed, seldom discussed, there are no policy documents nor is thirst documented in the patient's record. There is a need for nurses to take the lead in changing nursing practice regarding thirst. No patient or public contribution. In palliative care, previous studies have shown that dying patients might be thirsty. Assistant nurses recognize thirst in dying patients, but thirst is not discussed in the team. Nurses must consider the patient's fundamental care needs and address thirst, for example in the nursing process to ensure patients quality of life in the last days of life. The study was guided by the SRQR. WHAT DOES THIS ARTICLE CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Thirst is a distressing symptom for all humans. However, when a patient is dying, he or she loses several functions and can no longer drink independently. The knowledge from this article contributes to our understanding of current practice and shows an area that requires immediate attention for the improvement of fundamental palliative care delivery.

Prenatally Diagnosed Large Lung Lesions: Timing of Resection and Perinatal Outcomes

IntroductionFetuses with large lung lesions including congenital cystic adenomatoid malformations (CCAMs) are at risk for cardiopulmonary compromise. Prenatal maternal betamethasone and cyst drainage for micro- and macrocystic lesions respectively have improved outcomes yet some lesions remain large and require resection before birth (open fetal surgery, OFS), at delivery via an Ex Utero Intrapartum Treatment (EXIT), or immediately post cesarean section (section-to-resection, STR). We sought to compare prenatal characteristics and outcomes in fetuses undergoing OFS, EXIT, or STR to inform decision-making and prenatal counseling. MethodsA single institution retrospective review was conducted evaluating patients undergoing OFS, EXIT, or STR for prenatally diagnosed lung lesions from 2000 to 2021. Specimens were reviewed by an anatomic pathologist. Lesions were divided into “CCAMs” (the largest pathology group) and “all lung lesions” since pathologic diagnosis is not possible during prenatal evaluation when care decisions are made. Prenatal variables included initial, greatest, and final CCAM volume-ratio (CVR), betamethasone use/frequency, cyst drainage, and the presence of hydrops. Outcomes included survival, ECMO utilization, NICU length of stay (LOS), postnatal nitric oxide use, and ventilator days. ResultsSixty-nine percent (59 of 85 patients) of lung lesions undergoing resection were CCAMs. Among patients with pathologic diagnosis of CCAM, the initial, largest, and final CVRs were greatest in OFS followed by EXIT and STR patients. Similarly, the incidence of hydrops was significantly greater and the rate of hydrops resolution was lower in the OFS group. Although the rate of cyst drainage did not differ between groups, maternal betamethasone use varied significantly (OFS 60.0%, EXIT 100.0%, STR 74.3%; p = 0.0378). Notably, all OFS took place prior to 2014. There was no difference in survival, ventilator days, nitric oxide, NICU LOS, or ECMO between groups. In multiple variable logistic modeling, determinants of survival to NICU discharge among patients undergoing resection with a pathologic diagnosis of CCAM included initial CVR <3.5 and need for <3 maternal betamethasone doses. ConclusionFor CCAMs that remain large despite maternal betamethasone or cyst drainage, surgical resection via OFS, EXIT, or STR are viable options with favorable and comparable survival between groups. In the modern era there has been a shift from OFS and EXIT procedures to STR for fetuses with persistently large lung lesions. This shift has been fueled by the increased use of maternal betamethasone and introduction of a Special Delivery Unit during the study period and the appreciation of similar fetal and neonatal outcomes for STR vs. EXIT and OFS with reduced maternal morbidity associated with a STR. Accordingly, efforts to optimize multidisciplinary perinatal care for fetuses with large lung lesions are important to inform patient selection criteria and promote STR as the preferred surgical approach in the modern era. Level of EvidenceLevel IV.

Relationship between Total Communication and Social Relationship among Learners with ASDs

Autism is a lifelong developmental disability that results in triad of impairments in verbal and non-verbal communication, social interaction and repetitive behavior. These core deficits hinder the holistic development of learners with ASDs. Unless they are effectively addressed through strategies such as total communication, these core deficits may lead to learners not acquiring social interaction skills that are quite vital for their normal development. The purpose of the study was to establish relationship between total communication and development of social relationship skills among learners with Autistic Spectrum Disorders in Emuhaya sub-county Kenya. The population of the study comprised of six special schools with a teacher population of sixteen ten regular primary schools with special units with a teacher population of five each and three officials from the Ministry of Education. Due to small number of respondents, saturated sampling technique was used. Instruments for data collection were; semi structured questionnaires, check lists. Semi structured interview schedules, and observation schedules. Content validity was determined by presenting tools to experts in the school of education who judged their validity. Tools were refined based on their comments. Reliability of the study was established through test retest methods. Thematic analysis was used to analyze qualitative data. Quantitative data was analyzed by use of descriptive and inferential statistics. The finding of the study indicated that that there was relationship between Total Communication and social interaction and the use of Total Communication had influence on development of social relationships among children with ASDs. Based on this finding it is recommended that training of teachers in Total communication and preparation of IEP be intensified in schools to facilitate the development of social relationship among learners with ASDs.

Dissolved organic matter cycling revealed from the molecular level in three coastal bays of China

As the widespread distributed and critical zones connecting the land and ocean systems, coastal bays are special units with semi-enclosed landforms to accommodate and process dissolved organic matter (DOM) in the context of increasing anthropogenic effects globally. However, compared to other common systems that have been paid much attention to (e.g., large river estuaries, wetlands), the roles of the coastal bays in coastal carbon cycling are less explored. To fill this knowledge gap, here we combined optical techniques and ultra-high-resolution mass spectrometry to systematically investigate the DOM chemistry of the three typical coastal bays in different nutrient levels, Xiangshan Bay, Jiaozhou Bay, and Sishili Bay, in China. Results show that terrestrial signals and anthropogenic imprints were observed in these three bays to various extents. Besides, Xiangshan Bay with a higher nutrient level had the DOM characterized by lower humification and aromaticity degree than Jiaozhou Bay and Sishili Bay, which not likely mainly resulted from the differences in the primary production or photochemical processing. Further examination reveals that microbial processing likely contributes to the differences in DOM chemistry among the three bays, as indicated by different proportions of potentially transformed nitrogen-containing molecules and relative abundances of the island of stability molecules. Considering the nutrient levels in different bays, we speculate that the lower nutrient concentrations would promote the efficiency of the microbial carbon pump (MCP), which hypothesized that heterotrophic microorganisms might contribute to the formation of marine recalcitrant organic carbon. Additionally, the enrichment of oxygen-rich compounds in the unique carboxyl-rich alicyclic molecule pool of Jiaozhou Bay and Sishili Bay suggests that the efficient MCP might preferentially form them in these two bays. This study emphasizes the importance of coordinating the land and ocean systems and controlling the nutrient discharge to coastal bays, thus, to potentially promote long-term marine carbon sequestration.

Lack of awareness of neurogastroenterology and motility within medical education: Time to fill the gap.

Disorders of gut-brain interaction (DGBI), previously referred to as functional gastrointestinal disorders, affect 40.3% of adults in the general population and are diagnosed in 34.9% of new adult referrals to secondary care gastroenterology services. Despite their high prevalence, studies published in this issue of Neurogastroenterology and Motility by investigators based in Germany, the UK, and the USA demonstrate a mismatch between the clinical burden of DGBI and their representation in medical school and postgraduate curricula. This review outlines the salient findings of these studies and explores why and how negative perceptions toward DGBI exist, including factors related to misinformation and internalized stigma. The authors propose a selection of strategies to ameliorate physicians' attitudes toward and knowledge of neurogastroenterology and motility including linking trainees with dedicated clinician mentors with an interest in motility, exposing trainees to expert patients who can enhance empathy, extending Balint groups into gastroenterology training, and offering motility apprenticeships in specialist units. Urgent improvements to medical school and postgraduate curricula are required to ensure the longevity of this subspecialty field in gastroenterology, and to ensure the needs of a sizeable proportion of gastroenterology patients are appropriately met.

Investigating the Effective Factors in Nurses’ Intention to Leave the Critical Care Unit

Background: The intensive care unit is one of the most specialized hospital units that need nurses with a high level of skill and experience. The leave of experienced nurses from this unit reduces the quality of nursing care and imposes heavy costs on the health care system. This study aimed to investigate the reasons for nurses' intention to leave the ICU.&#x0D; Methods: This cross-sectional study was performed on 247 nurses in the ICU affiliated with Zahedan, Tehran, and Mashhad University of Medical Sciences, Iran, from 2018 to 2021. Nurses were included in the study by Census sampling method based on inclusion criteria. They completed a four-part questionnaire including demographic variables, Job Satisfaction Survey (JSS), intention to leave, and reasons for intention to leave the ICU. Data were analyzed with SPSS software using descriptive-analytic statistics, Chi-square, independent t-test, one-way ANOVA, and Pearson correlation. The significance level was considered less than 0.05.&#x0D; Results: Out of 247 nurses studied, 183 (74.1%) were female and 64 (25.9%) were male. The mean age of participants was 32.47± 6.68 years. The mean score of job satisfaction was 115.45±58.20 and the mean score of intention to leave was 15.98±3.76. The mean score of the three areas of reasons for intention to leave had a negative correlation with job satisfaction and a positive correlation with the intention to leave the ICU, which was statistically significant in all cases (p= 0/001). The mismatch between the workload and legal benefits, shortage of nurses, forced overtime, the disproportion of nurse-patient ratio, and lack of welfare facilities had the greatest effect on nurses' intention to leave the ICU.&#x0D; Conclusion: The results of the study showed that the most common reasons for the increase the intention to leave of nurses are related to the mismanagement of nursing managers and authorities of ICU. Therefore, reforming old management styles, observing justice among employees, involving nurses in decisions and the process of patient's treatment are among the things that can increase nurses' self-esteem, job satisfaction and reduce the leave of ICU without providing additional funding for the organization.

Development and testing of secondary ion accelerator for ITER neutral particle diagnostic system.

This paper presents the results of the development and testing of a secondary ion accelerator for the diagnostic complex of neutral particle analyzers at ITER. The accelerator is part of an analyzer designed to measure fluxes of neutral deuterium and tritium particles escaping from reactor plasma in a total range of 10-200keV. The aim of the accelerator is to improve the signal/background ratio of the analyzer. It is especially important for the region with a relatively low energy of 10-50keV. The accelerator has the function of converting atoms into secondary ions and accelerating them in an electrostatic field with a voltage of up to +100kV. The accelerator is based on two high-voltage accelerating tubes. A special unit is built into the central electrode of the accelerator, which provides the replacement of stripping foils used for the conversion of the flux of neutral particles into a flux of secondary ions. The high-voltage tube assembly is encompassed by a sealed steel housing, in which electrical insulation is provided by a gas gap (nitrogen at 6bar). The results of tests of the accelerator under ITER relevant conditions, namely, under high-intensity gamma irradiation and seismic loads, have shown its high reliability for use in the diagnostic complex of the fusion reactor.

Comparative Images in Vietnamese Perception Through Idioms With Comparisons

Idioms are considered special linguistic units that represent national cultures and views (Giang, 2023). Idioms with comparisons are a type of idioms commonly used in Vietnamese communications. Comparative images of these idioms derive from their component parts implicitly containing typical cultural characteristics and unique perception of Vietnamese people. This paper is concerned with comparative images in Vietnamese perception through idioms with comparisons from a cultural perspective. A hand search of Vietnamese idiom dictionaries helped to establish a corpus of 731 idioms with comparisons, from which comparative image groups were identified. It was found that comparative images of Vietnamese idioms with comparisons come from humans, animals, objects and materials, natural phenomena, food, and plants. The diversity of comparative images of idioms with comparisons is a mirror that reflects not only the geographical and natural characteristics of Vietnam but also Vietnamese people’s rich material and spiritual lives.

Urgensi Konsep Pembaruan Perlindungan Hukum Terhadap Whistleblower Tindak Pidana Korupsi di Indonesia

The existence of a whistleblower really benefits law enforcers in uncovering criminal acts of corruption. The role of a whistleblower in uncovering criminal acts of corruption carries a very big risk considering that many parties feel disadvantaged because of the testimony of a whistleblower. Protection for whistleblowers must be provided with clear and adequate statutory provisions considering that the role of a whistleblower is very important and carries rather high risks. The problem in this research is the urgency of legal protection for whistleblowers for criminal acts of corruption amidst the lack of existing laws and regulations in Indonesia and the concept of legal protection for whistleblowers in efforts to eradicate criminal acts of corruption in Indonesia in the future. The method used in this research uses a normative juridical research type which places law as building norms with a statutory approach, a conceptual approach and a comparative approach. This research discusses, firstly, the important role of a whistleblower that needs to be given comprehensive protection, not only limited to legal protection and special protection that applies during the criminal justice process, but also needs to be implemented after the criminal justice process has been completed. Second, to provide optimal protection for whistleblowers, a legal reform concept is needed, such as in the United States, it is necessary to create laws and regulations regarding institutions that specifically regulate and handle whistleblowers in a comprehensive manner adapted to the Indonesian criminal justice system and special unit to take care of whistleblowers is formed.

A Review of75th Ranger Regiment Battle-Injured Fatalities Incurred During Combat Operations From 2001 to 2021.

The 75th Ranger Regiment is an elite U.S. military special operations unit that conducted over 20 years of sustained combat operations. The Regiment has a history of providing novel and cutting-edge prehospital trauma care, advancing and translating medical initiatives, and documenting and reporting casualty care performance improvement efforts. A retrospective case fatality rate (CFR) review, mortality review, and descriptive analysis of fatalities were conducted for battle-injured personnel assigned or attached to the 75th Ranger Regiment from 2001 to 2021 during combat operations primarily in Afghanistan and Iraq. Fatalities were evaluated for population characteristics, cause of death, mechanism of death, injury severity, injury survivability, and death preventability. A total of 813 battle injury casualties, including 62 fatalities, were incurred over 20 years and 1 month of continuous combat operations. The Regiment maintained a zero rate of prehospital preventable combat death. Additionally, no fatalities had a mechanism of death because of isolated extremity hemorrhage, tension pneumothorax, or airway obstruction. When comparing the CFR of the Regiment to the U.S. military population as a whole, the Regiment had a significantly greater reduction in the cumulative CFR as measured by the difference in average annual percentage change. Documentation and analysis of casualties and care, mortality and casualty reviews, and other performance improvement efforts can guide combatant commanders, medical directors, and fighting forces to reduce preventable combat deaths and the CFR. Early hemorrhage control, blood product resuscitation, and other lifesaving interventions should be established and maintained as a standard prehospital practice to mitigate fatalities with potentially survivable injuries.

Paremiological analysis of the linguo-cultural concept "Truth"

The article shows that the paremiological picture of the world (from the ancient Greek παροιμία (paroimia) "a parable, a proverb" and λόγος (logos) "a word, a doctrine") is associated with the linguistic picture of the world through proverbs, sayings, slogans, puzzles, and symbols, reflecting traditional ideas based on people's life experience. Paremias are special units and signs of the language, necessary elements of human communication. These signs convey specific information and show vital and mental states or relationships between specific objects. The paremias of all the peoples of the world are situations of the same type, they have the same logical content and differ only in images (details, realities), by means of which the logical content is published and the features of language, thinking, and culture are highlighted. The author analyzed 143 Russian proverbs containing the word "pravda" ("truth"), some of which are presented in the article. The materials of the article can be useful in the framework of the Linguistics major.

Assessment of the Performance of selected Special Care Newborn Units (SCANUs) in Bangladesh: A cross Sectional Study

Background: Government of Bangladesh initiated the Special Care Newborn Units (SCANU) in 2011 at selected district hospitals followed by its scale up in other districts with support from UNICEF and other partners. The objective of the study was to assess the performance of those SCANUs in Bangladesh. Methods: A cross-sectional study approach was applied for assessment of the performance of SCANU facilities compared to facilities without SCANU. Fifteen facilities with SCANUs and five facilities without SCANUs were selected from eight divisions of the country for the study. The selected SCANU and Non-SCANU facilities were of secondary level hospital with similar patient flow and workload. Quantitative data were collected from direct observation of the 20 facilities and interviews with 678 caregivers using a field-tested questionnaire. Caregivers were mothers of the infants (&lt;59 days old) who were admitted and stayed for at least one day in those hospitals. Analysis was done using Stata version 15.1 and presented in tabular, graphical and numerical measures of central tendency and dispersion. Result: The results of the assessment found that 60% of SCANU facilities had KMC care services and 27% of SCANU facilities had rooming in services and special sick baby ward services but no such services was available in non-SCANU facilities. Equipment in the SCANUs such as resuscitation bag and mask, radiant warmers, phototherapy machines and to a large extent CPAP machines and Oxygen blenders were mostly available and functioning optimally. More than half of the SCANUs still need to have oxygen blenders, CPAP machines and transcutaneous bilirubinometers since they were not found/functional during the assessment. Majority of SCANU facilities 60%-80% reported no stock-outs of critical medications like dexamethasone, ceftriaxone and gentamicin which are critical for management of preterm and sick babies. A web-based online ‘Individual Case Tracking’ system has been developed for online reporting from all SCANUs by the Health Management Information System (HMIS) of the Directorate General of Health Services (DGHS). UNICEF was supporting its linkage to the district health information system (DHIS-2). There was a statistically significant difference between SCANUs and non-SCANUs with respect to the proportions of admissions. SCANUs are acting as referral destination for sick and small newborns as 41%-45% of the admitted newborns were either were born at home or in other facilities. Conclusion: The assessment findings will be helpful for country strategy for improving newborn care through expansion of SCANU expansion throughout the country

Legal Efforts of Class I Bandar Lampung Penitentiary in Implementing Early Detection as an Effort to Prevent the Spread of Radicalism Ideology in Correctional Facilities

The problem in this study is: what are the inhibiting factors of Lembaga Pemasyarakatan Kelas I Bandar Lampung’s efforts in carrying out early detection as an effort to prevent the spread of radicalism in prisons? And how are the efforts of Lembaga Pemasyarakatan Kelas I Bandar Lampung in carrying out early detection as an effort to prevent the spread of radicalism inside? The research method is a normative and empirical juridical approach using secondary and primary data. Secondary data are obtained through literature studies, and primary data are obtained through field studies through observation and interviews. Then data analysis is carried out through qualitative legal analysis. The results of the study reveal factors inhibiting the efforts of Lembaga Pemasyarakatan Kelas I Bandar Lampung in carrying out early detection as an effort to prevent the spread of radicalism in residential block areas, including UU no 5 of 2018 concerning the Eradication of Criminal Acts of Terrorism. In practice, it has not been seen to have a real effect on preventing the spread of radicalism. Then the factor of prison officers finding it difficult to detect these radical ideas completely, the factor of facilities and infrastructure for handling radicalism crimes, is the lack of maximum supporting facilities, especially the improvement of facilities and infrastructure for fostering terrorism. The efforts of Lembaga Pemasyarakatan kelas I Bandar Lampung in carrying out early detection as an effort to prevent the spread of radicalism include forming a special unit, namely the Civil Service for terrorist prisoners, and forming a special guidance, namely the Pancasila Clinic, as a space for all prisoners without exception to learn national insight from the understanding of Pancasila, Bhinneka Tunggal Ika, UUD 1945, and NKRI. The suggestion that can be put forward is that Bandar Lampung Class I Prison should always improve facilities and infrastructure related to the special development of terrorism prisoners, where so far all prisoners have been equated in terms of coaching.

Fundamentals of formation of military applied skills of military officers through sports orientation

The article deals with topical issues regarding the improvement of applied military skills of servicemen of the Armed Forces of Ukraine based on the use of sports orienteering tools. It is emphasized that regular practical orienteering exercises allow servicemen to confidently move through unfamiliar terrain and overcome various natural obstacles, receive and analyze relevant information, and quickly make decisions in extreme situations. Such military-applied skills are especially important for servicemen of special operations forces, reconnaissance, airborne assault and other special units, which mainly operate in small groups outside the permanent deployment points of military units. On the basis of the analysis of the problems of the organization of military applied training of personnel, the ways of increasing the effectiveness of the educational process of training the skills of orientation in the terrain in the power structures of the Armed Forces of Ukraine are presented.

SP8.4 National variation in the management of pancreatitis and the effect on patient outcome

Abstract Aim Pancreatitis is one of the most common general surgical presentations, but there is variation in how patients are managed. Our aim was to assess the degree of variation across the United Kingdom (UK) and how it affects patient outcomes. Method A multicentre, observational cohort study was carried out across the UK between March-April 2021. Admission variables including whether the unit was a district general or specialist unit were recorded. Imaging and operative details were collected with 30-day outcomes. Results Data from 113 hospitals were recorded, including 2580 patients. 24(21%) of these hospitals were specialist units. Imaging rates varied between sites, with ultrasound performed within 24 hours of admission on between 14 and 100% of patients and CT between 22 and 100% of patients. Between 0% and 100% of patients received a laparoscopic cholecystectomy within 30 days. Median length of stay was 5 days, but increased to 6 days in low volume centres (p=0.01). Variation in access to ultrasound and to surgery were related to hospital volume, but not whether they were a tertiary unit. Mortality and readmission rates were not correlated to hospital volume but unplanned readmission was higher in non-specialist centres (18.1%v14.4%, p=0.024). Conclusions There is significant inequity in accessing best practise pancreatitis care in the UK, based on admitting hospital. Case volume at a hospital was more significantly associated with access to imaging and surgery, than being a specialist centre, however specialist centres achieved lower rates of unplanned readmission.

PENERAPAN METODE BERNYANYI DALAM PEMBELAJARAN BAHASA DAN MATEMATIKA DI TKIT AR-RAHMAN

Learning is a series of events designed in such a way as to influence and support the learning process of students. Learning must certainly be designed to be an interesting learning and in great demand by students. To realize this, a learning method that is in accordance with the target of students is needed, especially for children. They need special educational units especially in their knowledge of language and mathematics to meet the needs of their growth and development. Children usually have more fun when singing because it can make them more excited and more motivated. Therefore, it is necessary to conduct research using classroom actions to prove that this singing method is very effective for learning in children. Research using class actions certainly has several stages including planning, implementation and assessment. After an assessment of the effectiveness of this singing method, it is proven that this method can make children become more motivated and have a strong memory. Not only that, children also become more active in the learning process.

MT-SOTA: A Merkle-Tree-Based Approach for Secure Software Updates over the Air in Automotive Systems

The automotive industry has seen a dynamic transformation from traditional hardware-defined to software-defined architecture enabling higher levels of autonomy and connectivity, better safety and security features, as well as new in-vehicle experiences and richer functions through software and ongoing updates of both functional and safety-critical features. Service-oriented architecture plays a pivotal role in realizing software-defined vehicles and fostering new business models for OEMs. Such architecture evolution demands new development paradigms to address the increasing complexity of software. This is crucial to guarantee seamless software development, integration, and deployment—all the way from cloud or backend repositories to the vehicle. Additionally, it calls for enhanced collaboration between car manufacturers and suppliers. Simultaneously, it introduces challenges associated with the necessity for ongoing updates and support ensuring vehicles remain safe and up to date. Current approaches to software updates have primarily been implemented for traditional vehicle architectures, which mostly comprise specialized electronic control units (ECUs) designed for specific functions. These ECUs are programmed with a single comprehensive executable that is then flashed onto the ECU all at once. Different approaches should be considered for new software-based vehicle architectures and specifically for ECUs with multiple independent software packages. These packages should be updated independently and selectively for each ECU. Thus, we propose a new scheme for software updates based on a Merkle tree approach to cope with the complexity of the new software architecture while addressing safety and security requirements of real-time and resource-constrained embedded systems in the vehicle. The Merkle-tree-based software updates over the air (MT-SOTA) proposal enables secure updates for individual software clusters. These clusters are developed and integrated by diverse entities with varying release timelines. Our study demonstrates that the MT-SOTA scheme can enhance the speed of software update execution without significantly increasing the process overhead. Additionally, it offers necessary defense against potential cyberthreats. The results of the performed technical analysis and experiments of the MT-SOTA implementation are presented in this paper.