Urgent Circumstances Research Articles

Fixed fantasies of loss and reunion in a mother-baby treatment of intergenerational trauma

ABSTRACT Mother-baby pairs referred to the Anni Bergman Parent-Infant Outreach Program, in New York, are offered clinical services in urgent circumstances. Mothers are typically contending with crises stemming from poverty, loss, mental illness, and the various forms of social neglect, abuse, and racism built into New York City’s legal, educational, and foster-care systems. While dyadic interventions aim to develop parents’ attunement and reflective functioning towards their babies, the nature of the trauma these mothers have endured often shuts down the critical functions necessary for growth and change. In fact, aspects of their psychic life, in a unique survival mode, actively foreclose on new ways of relating; rather they remain tethered to early trauma with varied levels of representation. For example, the mother whom I write about in this paper, Janine, was transfixed by her own birth history in a way that preserved the force of her earliest pain and occluded the reality of her baby. A central therapeutic question is how to find a way into a mother’s closed system and build upon her healthy, loving wishes to care for her child. The therapist's capacity to enter these psychic voids and revive herself through reverie creates a path for intervention.

Intestinal intussusception, colorectal cancer and intestinal endometriosis as a combined cause of intestinal obstruction: a case study

The paper describes a unique clinical case involving a patient with two tumours of mesenchymal and epithelial origin, along with ectopic endometriosis located within the cecum. This combination of pathologies resulted in colonic intussusception and subsequent colon-small intestine obstruction due to a cecal lipoma, compounded by colorectal cancer in the same area with local endometriosis foci. The surgical intervention involved laparoscopic resection of the terminal ileum, cecum, ascending, transverse, and descending colon, along with D2 lymphadenectomy and laparoscopically assisted ileosigmoid anastomosis. The patient was discharged in satisfactory condition on the 7th day post-surgery. This clinical observation garnered significant attention due to its atypical presentation of a rare complication, initially leading to a misdiagnosis and necessitating extensive intestinal resection for cancer under urgent circumstances with adequate lymph node dissection. Furthermore, the favourable treatment outcome despite the long-term presence of intussusception for at least one month underscores the noteworthy aspect of this case.

Activation of SIRT1/Nrf2/HO-1 and Beclin-1/AMPK/mTOR autophagy pathways by eprosartan ameliorates testicular dysfunction induced by testicular torsion in rats

Testicular torsion carries the ominous prospect of inducing acute scrotal distress and the perilous consequence of testicular atrophy, necessitating immediate surgical intervention to reinstate vital testicular perfusion, notwithstanding the paradoxical detrimental impact of reperfusion. Although no drugs have secured approval for this urgent circumstance, antioxidants emerge as promising candidates. This study aspires to illustrate the influence of eprosartan, an AT1R antagonist, on testicular torsion in rats. Wistar albino rats were meticulously separated into five groups, (n = 6): sham group, eprosartan group, testicular torsion-detorsion (T/D) group, and two groups of T/D treated with two oral doses of eprosartan (30 or 60 mg/kg). Serum testosterone, sperm analysis and histopathological examination were done to evaluate spermatogenesis. Oxidative stress markers were assessed. Bax, BCL-2, SIRT1, Nrf2, HO-1 besides cleaved caspase-3 testicular contents were estimated using ELISA or qRT-PCR. As autophagy markers, SQSTM-1/p62, Beclin-1, mTOR and AMPK were investigated. Our findings highlight that eprosartan effectively improved serum testosterone levels, testicular weight, and sperm count/motility/viability, while mitigating histological irregularities and sperm abnormalities induced by T/D. This recovery in testicular function was underpinned by the activation of the cytoprotective SIRT1/Nrf2/HO-1 axis, which curtailed testicular oxidative stress, indicated by lowering the MDA content and increasing GSH content. In terms of apoptosis, eprosartan effectively countered apoptotic processes by decreasing cleaved caspase-3 content, suppressing Bax and stimulating Bcl-2 gene expression. Simultaneously, it reactivated impaired autophagy by increasing Beclin-1 expression, decreasing the expression of SQSTM-1/p62 and modulate the phosphorylation of AMPK and mTOR proteins. Eprosartan hold promise for managing testicular dysfunction arising from testicular torsion exerting antioxidant, pro-autophagic and anti-apoptotic effect via the activation of SIRT1/Nrf2/HO-1 as well as Beclin-1/AMPK/mTOR pathways.

TABUNGAN CINTA YANG PECAH: DAMPAK DAN RISIKO PERCERAIAN AKIBAT PINJAMAN ONLINE TANPA SEPENGETAHUAN PASANGAN

A This study aims to analyze the issue of the impact and risk of divorce due to online loans without the knowledge of the couple. Studies on divorce may often be discussed but for the reason that specific online loans do not yet exist. Online loans are facilities used to borrow money that are sheltered by online-based financial service providers. Online loans are one of the factors behind divorce in Boregah Village RT02/RW09, Cilampunghilir Village, Padakembang District, Tasikmalaya Regency. The method used in the research is qualitative with a descriptive approach with data collection techniques based on observations and interviews. Participants came from former married couples who divorced due to borrowing online loans without the couple's knowledge, which includes resource person 1 under the pseudonym Mentrari and resource person 2 under the pseudonym Rain.The act of borrowing online loans without the knowledge of the spouse is a wrong act because it is considered a betrayal. Loss of trust in the spouse leads to disharmony in the household. Limited communication is also a factor that causes a partner to feel lonely and have to make quick decisions when in urgent circumstances. Keep in mind that the act of borrowing online loans is not a solution to family financial problems, but instead raises new problems. Openness and honesty between spouses are needed to create harmony so that there is no divorce.

The Regional Heterogeneity of the Impact of Agricultural Market Integration on Regional Economic Development: An Analysis of Pre-COVID-19 Data in China

The abrupt onset of the COVID-19 pandemic in late 2019 significantly disrupted China’s domestic agricultural production and supply chain stability. Local governments, responding to urgent circumstances, implemented various trade restrictions that profoundly affected regional economic development. This study, covering data from 2010 to 2019 across 31 provinces, investigates agricultural market integration and regional economic development. Employing a dynamic spatial panel Durbin model, it systematically analyzes the complex relationship between these variables. International trade variables related to agricultural products are then introduced to examine their “substitution effect” in promoting regional economic development through agricultural market integration. The research findings are summarized as follows: (1) disregarding international agricultural trade, a one-unit increase in the agricultural market integration index corresponds to a 0.156% rise in regional economic development. (2) In an open economy, the substitution coefficients for agricultural imports, exports, and total trade concerning market integration are −0.00097, −0.0012, and −0.0038, respectively. (3) The strength of the substitution effect from the international agricultural market to the domestic market varies regionally, with coefficients of −0.00099 and −0.00217 for the eastern and western regions, respectively.

Legal Consequences of Disobedience of Provisional Decision of the Administrative Court

The existence of a legal vacuum in the State Administrative Court (PTUN) procedural law relating to the execution of the PTUN Provisional Decision raises the issue of Judicial Disobedience by state administrative institutions that do not want to carry out the PTUN Provisional Decision. Departing from this, there are two main problem formulations, namely: (1) What are the characteristics of PTUN provisional decisions? and (2) What is the formulation of legal protection against non-compliance with PTUN provisional decisions? Furthermore, this legal research uses a statutory approach, a conceptual approach, and a case approach. Based on an examination of existing legal issues, it can be concluded that provisional decisions are known in PTUN procedural law practice, where provisional decisions are submitted for matters deemed essential (urgent circumstances) by the Plaintiff to the Panel of Judges to be decided in an Interim Decision. Suppose the Party ordered by the PTUN does not implement the PTUN provisional decision. In that case, 2 (two) legal preventive mechanisms and 3 (three) legal repressive remedies can be taken in stages: 1) Sending a letter to the relevant agency, 2) Reporting to the Ombudsman, and 3) Using Criminal Law Mechanisms.

Obstetric Anesthesia Practice a Significantly Evolved: A Field for Cesarean Delivery Parturient for the Provision of Safe Anesthesia in Urgent Circumstances

Obstetric Anesthesia Practice a Significantly Evolved: A Field for Cesarean Delivery Parturient for the Provision of Safe Anesthesia in Urgent Circumstances

Framework for Automatic Blood Group Identification and Notification Alert System

Image Processing has assisted researchers in a variety of ways, especially in the areas of security and medicine fields. Identifying blood types in emergencies or far-off places and regions where experts have not been available is a present-day challenge. Therefore, we have developed an automatic system that will detect the blood group and notify an alert system using GSM and various image processing methods. Prior to any treatment or operation, it is necessary to determine the blood type for a transfusion of blood, even in an emergency. Currently, technicians manually conduct these tests, which can cause human mistakes. Different systems have been created to automate these tests; none have been successful in completing the analysis in time for emergencies. This project intends to create an automated system to do these tests quickly, adjusting to urgent circumstances. Initially, the slide test is performed to collect the blood images. Furthermore, various image processing methods have been performed for processing images using the PI camera. Subsequently, an alert with the patient's blood group is then generated and sent to the concerned patient or the hospital to immediately consult the patient. Unit testing and load testing were performed on 950 images at a time which yielded 97% accuracy.

How to Reduce the Cardiac Risk, One of the Most Common Perioperative Complications Following Invasive Surgery in Gynecology

The role of preoperative cardiac evaluation is to determine the medical condition of the patient's cardiovascular status .A history and cardiovascular examination are crucial to identify severe cardiac conditions such as unstable coronary syndromes, serious arrhythmias, decompensated HF, and valvular disease. These conditions would place the patient in a high surgical risk category. In some situations, an additional diagnostic cardiac evaluation is necessary on the basis of the results of the initial preoperative test. In an acute surgical emergency, preoperative evaluation might have to be limited to simple tests, such as a rapid assessment of cardiovascular vital signs, ECG, blood pressure, hematocrit, electrolytes, renal function, blood analysis. Only the most essential tests and interventions are appropriate until the acute surgical emergency is resolved. Under other, less urgent circumstances, the preoperative cardiac evaluation may lead to a variety of responses, including delay or cancellation of surgery until the cardiac problem has been clarified and treated appropriately. This ideally would include direct communication with the surgeon, anaesthesiologist, and other physicians, as well as discussion directly with the patient and, if appropriate, the family. Conclusion: Preoperative cardiac evaluation is very important for all the patients undergoing gynaecologic surgery because cardiac related perioperative complications are well-known in general practice.

Implementasi Manajemen Keuangan di SMA Labschool UNESA

Financial management is a science and art that discusses, examines, and analyzes how financial managers use all company resources to find, manage, and allocate funds. Financial management or commonly called learning can be explained as all company activities related to efforts to obtain company funds at low cost and use and allocate these funds efficiently. The purpose of the article is to describe how to implement financial management at Labschool Unesa High School. In this article the method used is qualitative by conducting interviews, observations and documentation studies. Labschool Unesa High Schoolhas good financial management by providing quality education to students for the success of the school in achieving its goals. In addition, this article also discusses financial management, how to overcome finances in urgent circumstances, budget plans, and so on related to this school.

Swine industry stakeholders' perception on the use of water-based foam as an emergency mass depopulation method.

The U.S. pork supply chain is vulnerable to various internal and external threats and in need of prompt, comprehensive response plans. Under urgent circumstances, for example in the case of foreign disease incursions, swine farms will have to perform on-farm animal depopulation to prevent disease spread. Several animal depopulation methods including water-based foam (WBF) have been proposed and are under evaluation for feasibility in the field. However, the psychological/emotional impacts of applying depopulation methods for personnel managing and carrying on the tasks are not currently well understood. Thus, this study aimed to investigate WBF as an alternative for depopulation compared to existing methods approved by the American Veterinary Medical Association. Swine industry stakeholders were invited to voluntarily observe a WBF depopulation trial and to provide their self-reported perspectives before and after the observation. A survey was designed to explore key areas on expected and perceived method effectiveness, efficiency, and animal welfare considerations, as well as to evaluate short-term post-observation psychological impacts. Among 42 recruited stakeholders, 31.0% (13/42) were educators/researchers followed by animal health officials (26.2%, 11/42) and veterinarians (23.8%, 10/42), with an average of 11.7 ± 12.6 (n = 39) years of work experience. After the trial, respondents' positive perception of WBF depopulation increased specifically regarding the animal loading process being less stressful than restrained in-barn depopulation options (P = 0.003) and by the observation of fewer swine escape attempts and vocalizations than expected (P < 0.001). Respondents' positive perception of WBF also increased regarding to the time required to fill the trailer with foam, to stop hearing animal vocalization, and stop hearing animal movement, as the observed trial times were faster than their pre-observation estimates (P < 0.001). Additionally, 79.5% (31/39) of respondents agreed that the rapid destruction of animal populations had priority over animal welfare under urgent scenarios. Minor post-traumatic stress disorder-like (PTSD-like) symptoms from the observed trials were reported (26.7%, 4/15 respondents) one month after the observation. This study showed that the WBF depopulation process was perceived positively by swine stakeholders and may have limited short-term psychological impacts on personnel involved in animal depopulation.

Abstract 8 Cord Blood – Defining Urgency &amp; Delivering Speed

Abstract Introduction The ability for cord blood units (CBUs) to meet the needs of transplant patients in urgent circumstances is a key attribute of this unique cell source. CBUs are cryopreserved, fully characterized, readily available for shipment, and avoid obstacles inherent with fresh cell sources. When patient transplant timelines are pressing and cell source availability and delivery speed takes priority, cord blood is both dependable and reliable. Objectives U.S. cord blood bank (CBB) shipments over five fiscal years (FY2018 – FY2022) were analyzed. The goal of this analysis was to establish a benchmark for CBU delivery speed, volumes, and patterns to inform transplant centers and patients awaiting transplant. Methods Data were categorized by number of days between a CBU order and actual shipment date. Order and shipment categories were: Ultra-urgent (same day), urgent (1-3 days), standard (4-14 days) and routine (15+ days). Results 2,931 shipments of domestic (U.S.) CBUs took place from FY2018 – FY2022. Most shipment requests were shipped within the standard timeframe (n = 1,544 or 53%). Routine shipments (n = 643) came in at 22%, urgent shipments (n = 667) accounted for 23%, and ultra-urgent orders (n = 77) made up 3% of shipment timeframes. In the standard category (4-14 days), 65% of CBUs shipped within the first 4 to 7 days. In the urgent category (1-3 days), 46% (n = 306) of shipments were next day, 2-day shipments represented 31% (n = 209), and 3-day shipments consistently comprised 23% (n = 152) of this category year over year. In 2020, after the initial onset of the COVID-19 pandemic, 29% of all shipments fell within the ultra-urgent or urgent category. Discussion 25% of all U.S CBU shipments were distributed in 3 days or less. 59% were shipped in 7 days or less. 80% of all CBUs analyzed shipped within 14 days, with only 20% of shipped CBUs extending beyond the 14-day mark, most at the TC’s request. These data reinforce the rapid availability of cord blood for patients in need.

The Effects of Social, Economic, and Psychological Pressures on Negative Practices During Emergency Crises in Jordanian Society: The Coronavirus Pandemic as a Case Study

Objectives: This study aims to investigate the influence of social, economic, and psychological factors on the prevalence of negative behaviors during emergency crises in Jordanian society.&#x0D; Methods: The researchers utilized a questionnaire as the primary research instrument. The questionnaire was distributed to a sample of 1111 respondents to assess the impact of social, economic, and psychological factors on their everyday behaviors. The sample size was affected by the curfew, resulting in some limitations.&#x0D; Results: The findings indicate that social, economic, and psychological influences had a significant impact on individuals' behaviors, with high levels reported for each domain (social: 3.768%, economic: 3.706%). However, the occurrence of negative practices was rated at a moderate level (2.775%). The study reveals that the aforementioned variables contribute to individuals' engagement in negative behaviors. Additionally, this study proposes a creative-critical model to assist criminology scholars in managing negative reactions, particularly during urgent circumstances. By examining this study, experts in the field can predict and address people's negative reactions before they manifest, enabling them to make informed decisions in such critical conditions.&#x0D; Conclusions: This study provides practical insights into the effects of specific variables on individuals' negative responses to the Coronavirus pandemic, a timely topic. The findings can support experts in crisis management, particularly during epidemics, by proactively addressing and preventing negative behaviors before they occur.

Advantages and barriers of modular construction method in constructing buildings

This study aims to investigate the advantages of and barriers to the modular construction method that could facilitate leveraging of this method in practice by effectively overcoming barriers in the process. Three typical modular construction cases, Leishenshan Hospital in Wuhan (China), the media residence hotel for the 2018 Winter Olympic Games in Pyeong-Chang (South Korea) and Global Academy in Hayes (UK), were selected and analysed. The findings show that the modular construction method can shorten the construction time, facilitate collaborations between stakeholders, enable effective management, save labour and costs, reduce waste and minimise impacts on the local community. The eco-friendly design allows modular buildings to be recycled or relocated for some other purposes. The engagement of current engineering technologies upgrades the construction quality and enhances project management. It is expected that modular design and construction would be an appropriate option for constructing multifunctional buildings, particularly for short-term events or under some urgent circumstances. On the other hand, it is suggested that more effective logistic approaches should be used to transport modules to the site, and new technologies focusing on flexibly resizing or reshaping modules could be developed. Modular technology is expected to be employed in constructing more permanent buildings by improving quality and sustainability.

URGENCY OF EMERGENCY CONSTITUTIONAL LEGAL PERSPECTIVE IN LEGAL SYSTEM PRACTICE IN INDONESIA

Danger or nood can occur anytime and anywhere, in this case, it can only occur in a certain area or it can even occur as a whole in the territory of a country.The purpose of this research is to give an idea that emergency constitutional law provides reasons or the basis for granting the state a right to take action in overcoming or dealing with dangerous situations.This qualitative research used a descriptive approach to collect data systematically, factually, and quickly according to the description when the research was conducted. The results of this study indicate that it is necessary to stipulate an emergency law that regulates matters of governance that due to urgent circumstances need to be regulated immediately.

The effect of market risk on returns: Case of banking in Indonesia

The banking industries are a sector that play important role to support national development and national economy. During Covid-19 pandemic, most of market in the world include Indonesia has urgent circumstances. The objective of this study is to examine whether the Covid-19 pandemic has bad impact on returns of banking industries. The results of regression over January 3, 2020, to December 30, 2021 show that there is positive relationship for risk-return of BBNI and BBRI. Those results imply that Covid-19 pandemic does not have significant effect on returns for those banks. It also means that most investors feel safe for those banks financial performance.

Penerapan Akad Al-Qardh Pada Koperasi Pojok Syariah Cileunyi Bandung Kesesuaiannya Dengan Fatwa Dewan Syariah Nasional Majelis Ulama Indonesia

Al-Qardh is a type of loan given to parties who need assistance in urgent circumstances for a certain period of time without having to pay interest or profit. The loan of al-Qardh's contract is adjusted to the perspective of DSN-MUI Fatwa No: 19/DSN-MUI/IV/2001 concerning Al-Qardh. Therefore, this study aims to determine the application of the Al-Qardh contract, conformity to the perspective of DSN-MUI Fatwa No: 19/DSN-MUI/IV/2001, and to know the efforts made by the Koperasi Pojok Syariah to be in accordance with the fatwa perspective. The research method used is descriptive analysis with a qualitative approach through observation and also interviews with informants to be able to describe the mechanism for implementing the Al-Qardh contract. The results showed that the Koperasi Pojok Syariah generally implemented the Al-Qardh agreement in accordance with DSN-MUI Fatwa No: 19/DSN-MUI/IV/ 2001. However, there needs to be a stage that must be recommended in the contractual mechanism in the Al-Qardh contract loan.

Arrangements for Notary Leave in Urgent Circumstances According to the Notary Office Act

Purpose:What is the mechanism for arranging the Notary's leave by the Notary's family in an urgent situation? 2. What are the legal consequences of a Notary's leave in an urgent situation on the performance of the position of a Notary based on the Notary Office Law?Methodology:The method chosen for this research is Notary Concept, Substitute Notary Concept, Supervisory Board Concept, Urgent Concept, and Legal Consequences Concept.Findings:The results of the study show that Article 28 of the Law on the Position of a Notary Public shows a blurring of the norms of urgent criteria and only provides a limited and brief explanation, that is, a husband/wife or a straight line from a Notary can submit a request for leave to the Supervisory Board as stated in Article 27 paragraph ( 2), and an urgent situation there are many thoughts of multiple interpretations giving rise to a lack of legal certainty, there is a need for more detailed guidelines or rules regarding Notary leave in urgent circumstances so that it can be carried out following the policy of the Notary Supervisory Board.Implication:The government needs to pay attention to the causes and effects that occur in the regulations that apply at this time so that requests for leave can be implemented in urgent situations so that legal institutions can carry out their duties according to existing law.

Hydro-Climatic Trends, Variability, and Regime Shifts

Unraveling trends and variability in hydro-climatic parameters (for example, precipitation and temperature) is a fundamental research problem that is of great importance to environmental resource management, especially under the urgent circumstances of climate change [...]

Penafsiran Kontekstual Ulama Kontemporer Atas Ayat-Ayat Poligami

Polygamy is a practice that is still often debated for a long time among scholars, mujtahids and the public. There are so many different interpretations of the polygamous verse but some people interpret the polygamy verse partially which eventually leads to a partial interpretation, in this study examining the verse with the contextual method of interpreting the verse as a whole from socio-historical and all other aspects. The author uses a literature review research methodology, a type of qualitative research that includes explanations of theories, results, and other research materials. Primary data sources are journals and books that discuss the interpretation of polygamy verses. From this research, the results found are the meaning of the polygamous verse as a whole from socio-historical and all other aspects, so that it can provide a deep understanding and can view the polygamous verse with the lens of justice, the recommended marriage model in Islam is monogamy, because monogamy is in accordance with Mawaddah, Rahmah, Sakinah and polygamy are allowed in very urgent circumstances.