bluuebunny/crossref_metadata_2025 huggingface dataset:
Organizational Context and Healthcare Reforms: What Effect on the Professional Distress of Canadian Social Workers and Social Service Provision?
Authors: Lévesque Maude , Negura Lilian
Published: October 2021

This study examined the lived experience of Canadian clinical social workers in light of the organizational context in which they work. The literature indicates an alarming rise of occupational psychological distress in social workers, which aligns with the rise of the neoliberal ideology within the Canadian healthcare sector. While we know that organizational constraints and structural reforms affect social worker’s workplace well-being, it remains unclear how these changes are represented by front-line practitioners and how they affect the provision of social services in healthcare settings. To deepen our understanding of this issue, we conducted a thematic analysis of thirty semi-directed interviews with social workers currently practicing in three Canadian cities (Ottawa, Moncton and Winnipeg). Discussions of daily work life, responsibilities, autonomy and subjective understandings of the social worker’s role revealed which organizational constraints were the most significant in everyday practice and how they relate to their professional identity and mandate. Provincial healthcare reforms were generally found to have negative effects on clinical social workers, whose struggles for recognition were impaired by the fundamentally neoliberal ideologies behind the large-scale restructuring of service provision, themselves at odds with the humanistic principles of social work. Our findings further suggest that structural changes under the New Public Management frame could be detrimental to both the quality of services provided by clinical social workers and their well-being. Overall, this investigation highlights the importance of organizational improvements in the workplace through systemic changes that would concurrently target managerial expectations, resources allocation, autonomy, work-life balance and respect for professional values.
Reproducibility of the Geomagnetically Induced Currents at Middle Latitudes During Space Weather Disturbances
Authors: Kikuchi Takashi , Ebihara Yusuke , Hashimoto Kumiko. K. , Kitamura Kentaro , Watari Shin-Ichi
Published: October 2021

Watari et al. (Space Weather, 2009, 7) found that the geomagnetically induced current (GIC) in Hokkaido, Japan (35.7° geomagnetic latitude (GML)), is well correlated with the y-component magnetic field (By) (correlation coefficients >0.8) and poorly correlated with Bx,z and dBx,y,z/dt. The linear correlation with By would help predict the GIC, if we have capabilities of reproducing the magnetosphere–ionosphere currents during space weather disturbances. To validate the linear correlation with By for any periods (T) of disturbances, we made correlation analyses for the geomagnetic sudden commencements and pulsations (T = 1–10 min), quasi-periodic DP2 fluctuations (30 min), substorm positive bays (60 min), geomagnetic storms (1–20 h), and quiet-time diurnal variations (8 h). The linear correlation is found to be valid for short periods (cc > 0.8 for T < 1 h) but not for long periods (cc < 0.3 for T > 6 h). To reproduce the GIC with any periods, we constructed one-layer model with uniform conductor and calculated the electric field (IEF) induced by By using the convolution of dBy/dt and the step response of the conductor. The IEF is found to be correlated with the GIC for long periods (cc > 0.9), while the GIC-By correlation remains better for short periods. To improve the model, we constructed a two-layer model with highly conductive upper and less conductive lower layers. The IEF is shown to reproduce the GIC with cc > 0.9 for periods ranging from 1 min to 24 h. The model is applied to the GIC measured at lower latitudes in Japan (25.3° GML) with strong By dependence. The mechanism of the strong By dependence of the GIC remains an issue, but a possible mechanism for the daytime GIC is due to the zeroth-order transverse magnetic (TM0) mode in the Earth-ionosphere waveguide, by which the ionospheric currents are transmitted from the polar to equatorial ionosphere.
Reactive Task Performance Under Varying Loads in Division I Collegiate Soccer Athletes
Authors: Rentz Lauren E. , Brandmeir Cheryl L. , Rawls Bobby G. , Galster Scott M.
Published: October 2021

This study was conducted to identify whether team-wide or positional differences exist in simple or choice reactivity of collegiate soccer athletes when completed under various loads. Much research exists surrounding the assessment of reaction time in the general population, but given variations in training, little insight exists surrounding how unique and elite populations may differ based upon performance demands and task translatability to training. Reactive performance was assessed using the Dynavision D2 in 24 female soccer players (19.73 ± 1.05 years old) from a team within a power five conference of the National Collegiate Athletic Association. Evaluated loads included two conditions of simple reactivity (no additional load and with a concurrent lower body motor task) and three conditions of choice reactivity (no additional load, with a concurrent lower body motor task, and prolonged durations). Paired t-tests and ANOVAs were used to identify differences in task performance based upon load and positional group. No significant load-based or positional differences existed in measured simple reaction times. Performances in choice reaction tasks across the team were found to be slower when completed across extended durations (p < 0.0001) and faster when completed concurrent with an added balance task (p = 0.0108), as compared to performance under normal conditions. By assessment of positional differences, goalkeepers tended to be slower than other positions in reactivity during choice tasks, despite no differences existing in simple task performance. Given the unique population utilized herein, measured reactivity in different tasks suggests a strong relation to the training demands of soccer, as well as those of goalkeepers as compared to field positions. Findings suggest that sport and positional demands may be substantial contributors to population- and individual-based reactivity performance.
Protein, Creatine, and Dieting Supplements Among Adolescents: Use and Associations With Eating Disorder Risk Factors, Exercise-, and Sports Participation, and Immigrant Status
Authors: Svantorp-Tveiten Kethe Marie Engen , Friborg Oddgeir , Torstveit Monica Klungland , Mathisen Therese Fostervold , Sundgot-Borgen Christine , Rosenvinge Jan Harald , Bratland-Sanda Solfrid , Pettersen Gunn , Sundgot-Borgen Jorunn
Published: October 2021

Objective: This study aimed to estimate the number of weekly users of protein, creatine, and dieting supplements and to explore whether weekly use was related to eating disorder (ED) risk factors, exercise, sports participation, and immigrant status.

Methods: In total, 629 and 1,060 high school boys and girls, respectively, self-reported weekly frequency of protein, creatine, and dieting supplement use, and weight and shape concerns, appearance internalization and pressure, self-esteem, mental distress, physical activity level, exercise context, and the type and weekly frequency of sport played. Multiple hierarchical regression analyses were performed to investigate explanatory factors for supplement use.

Results: More boys than girls used protein and creatine supplements. Immigrant boys had more frequent use of all supplements than non-immigrant boys, and immigrant girls used creatine supplements more frequently than non-immigrant girls. In total, 23–40 and 5–6% of the variation in the weekly frequency of supplement use in boys and girls, respectively, was explained by immigrant status, ED risk factors, and exercise and sports participation. More frequent use of protein, creatine and dieting supplements in boys was significantly explained by more weight and shape concerns, fitness center exercise, and weight-sensitive sports participation. Depending on the type of supplement, more frequent use of supplements in girls was significantly explained by lower self-esteem, more engagement in weight-sensitive sports, and less engagement in general sport and exercise activities.

Conclusion: Weekly supplement use was common and more frequent among boys than girls. The weekly use of protein, creatine, and dieting supplements was related to ED risk factors, exercise and sports participation, and immigrant status in boys but not in girls.
Genome-Enabled Molecular Subtyping and Serotyping for Shiga Toxin-Producing Escherichia coli
Authors: Im Sung B. , Gupta Sonali , Jain Mani , Chande Aroon T. , Carleton Heather A. , Jordan I. King , Rishishwar Lavanya
Published: October 2021

Foodborne pathogens are a major public health burden in the United States, leading to 9.4 million illnesses annually. Since 1996, a national laboratory-based surveillance program, PulseNet, has used molecular subtyping and serotyping methods with the aim to reduce the burden of foodborne illness through early detection of emerging outbreaks. PulseNet affiliated laboratories have used pulsed-field gel electrophoresis (PFGE) and immunoassays to subtype and serotype bacterial isolates. Widespread use of serotyping and PFGE for foodborne illness surveillance over the years has resulted in the accumulation of a wealth of routine surveillance and outbreak epidemiological data. This valuable source of data has been used to understand seasonal frequency, geographic distribution, demographic information, exposure information, disease severity, and source of foodborne isolates. In 2019, PulseNet adopted whole genome sequencing (WGS) at a national scale to replace PFGE with higher-resolution methods such as the core genome multilocus sequence typing. Consequently, PulseNet's recent shift to genome-based subtyping methods has rendered the vast collection of historic surveillance data associated with serogroups and PFGE patterns potentially unusable. The goal of this study was to develop a bioinformatics method to associate the WGS data that are currently used by PulseNet for bacterial pathogen subtyping to previously characterized serogroup and PFGE patterns. Previous efforts to associate WGS to PFGE patterns relied on predicting DNA molecular weight based on restriction site analysis. However, these approaches failed owing to the non-uniform usage of genomic restriction sites by PFGE restriction enzymes. We developed a machine learning approach to classify isolates to their most probable serogroup and PFGE pattern, based on comparisons of genomic k-mer signatures. We applied our WGS classification method to 5,970 Shiga toxin-producing Escherichia coli (STEC) isolates collected as part of PulseNet's routine foodborne surveillance activities between 2003 and 2018. Our machine learning classifier is able to associate STEC WGS to higher-level serogroups with very high accuracy and lower-level PFGE patterns with somewhat lower accuracy. Taken together, these classifications support the ability of public health investigators to associate currently generated WGS data with historical epidemiological knowledge linked to serogroups and PFGE patterns in support of outbreak surveillance for food safety and public health.
Biological Characterization and Evolutionary Dynamics of Pigeon Paramyxovirus Type 1 in China
Authors: Zhan Tiansong , He Dongchang , Lu Xiaolong , Liao Tianxing , Wang Wenli , Chen Qing , Liu Xiaowen , Gu Min , Wang Xiaoquan , Hu Shunlin , Liu Xiufan
Published: October 2021

Pigeon paramyxovirus type 1 (PPMV-1) is considered as an antigenic variant of Newcastle disease virus (NDV) which has an obvious host preference for pigeons and has caused significant economic losses to the global poultry industry. The evolutionary dynamics of PPMV-1 in China, however, are poorly understood. In this study, we characterized seven PPMV-1 isolates from diseased pigeons collected in Jiangsu, Anhui, and Henan provinces during 2020. Phylogenetic analysis revealed that seven isolates belonged to sub-genotype VI.2.1.1.2.2. Biological characterization indicated that seven isolates were mesogenic based on the mean death time (69.6–91.2 h) and intracerebral pathogenicity index (1.19–1.40) and had similar growth kinetics in chicken embryos and CEFs. Furthermore, the four representative viruses (AH/01/20/Pi, JS/06/20/Pi, HN/01/20/Pi, and HN/02/20/Pi) could result in marked cytopathic effects (CPE) in CEFs and induced syncytium formation in Vero cells. Our Bayesian phylogenetic analysis showed that PPMV-1 might first emerge in East China in 1974 and East China had the highest genotypic diversity of PPMV-1. Besides, phylogeographic analysis indicated that East China and South China were probably the major epicenters of dissemination of PPMV-1 in China. Selection pressure analysis and amino acid substitutions analysis revealed that the viral replication complex (NP, P, and L proteins) was likely related with the host preference of PPMV-1. Collectively, this study uncovered the epidemiology and evolutionary dynamics of PPMV-1 circulating in China, emphasizing the importance of strengthening the monitoring of PPMV-1 in East China and South China and providing significant clues for further studies on the molecular mechanism underlying host preference of PPMV-1.
Los valores de la psicoterapia moderna: desarrollo y crisis
Authors: Semerari Antonio
Published: October 2021

La psicoterapia moderna se fundamenta sobre tres principios normativos básicos: combatir el dolor, favorecer la libre expresión de sí mismo y la búsqueda de la verdad. El primero de estos principios deriva de la tradición hipocrática, los otros dos fueron asumidos por la medicina del siglo diecinueve en el momento del nacimiento de la psicoterapia moderna. El desarrollo actual ha puesto de relieve las contradicciones entre estos principios. La crisis del principio de expresión de sí mismo, y la necesidad de redefinir el principio de búsqueda de la verdad. Se expondrá una breve historia de este desarrollo y de su crisis, y se apunta un hipótesis de vía de solución.
Psicoterapia y desarrollo del razonamiento moral
Authors: Martorell Ypiens José Luis
Published: October 2021

En el presente artículo se parte de la observación de la emergencia de dilemas morales como parte central de la terapia de algunas personas, para seguir indagando, por medio del estudio de casos, en la relación entre desarrollo del razonamiento moral y avance de la terapia.
Cuando la terapia hace daño: el choque entre las dobles relaciones.
Authors: Bograd Michele
Published: October 2021

El problema de las dobles relaciones provoca la formación de dos corrientes opuestas de pensamiento: por una parte, los que consideran peligroso este tipo de relación y la desaconsejan abiertamente; por otra, los que en cambio consideran que es posible establecer dobles relaciones, y las valoran como extremamente positivas y favorecedoras de un crecimiento personal. Ambos puntos de vista expresados por las dos formaciones opuestas dejan pendientes bastantes dudas y perplejidades: el hecho de que para algunos terapeutas sea más fácil pasar de una relación profesional a una relación personal, mientras que otros tienden a ser más cautos, parece depender sobre todo de las características de su personalidad.
Género e interacción en la coterapia y el equipo reflexivo.
Authors: Garrido Fernández Miguel
Published: October 2021

En este artículo se proponen dos modalidades de trabajo en terapia familiar y de pareja que pueden facilitar el análisis de las narrativas relacionadas con el género en psicoterapia: la coterapia y el equipo reflexivo. La creación de alternativas y la diferenciación de diversas voces parece que favorece la relación terapéutica en los delicados temas de género sin imponer modalidades unidireccionales en un campo donde la diversidad y el enriquecimiento sociocultural son prioritarios.
Perjuicios causados por la psicoterapia: el punto de vista del paciente.
Authors: La Rosa Cecilia
Published: October 2021

Se transcribe integralmente el escrito de una paciente referido a su punto de vista sobre la precedente terapia considerada “iatrogénica”. A partir del texto propuesto por la paciente la autora desarrolla algunas reflexiones sobre el daño causado por la psicoterapia.
Entrevista con Humberto Maturana.
Authors: Hernández Estévez Mª José , Ortega Martínez Mª Virtudes
Published: October 2021

En esta entrevista, el profesor Maturana habla sobre las consecuencias de su teoría para nuestra convivencia y para la psicoterapia. Plantea que la psicoterapia opera a través de la restitución de la biología del amor. Se concibe el amor como las acciones a través de las cuales el otro surge como un legítimo otro en la convivencia.
La historia de calimero: un enfoque trigeneracional en terapia de pareja
Authors: Onnis L. , Dentale R.C. , Laurent M. , Benedetti P. , Squatieri A.
Published: October 2021

Los autores presentan un caso de terapia de pareja conducido a partir de un enfoque trigeneracional basado sobre los “mitos de pareja”. En primer lugar, se delinean las características del modelo, y se define el concepto de “mito” como un conjunto de creencias y de valores compartidos que deriva del encuentro de los mitos personales que cada uno de los miembros de la pareja hereda de su propia familia de origen. A continuación, se describe el caso clínico en el cual se subrayan tres aspectos: la posibilidad de comprender el significado del síntoma (un síntoma fóbico-obsesivo de la mujer) a la luz del “mito de pareja”; la exploración del mito mediante el uso del lenguaje analógico (las “esculturas” de la pareja); y la relectura metafórica de la historia y del problema de la pareja que permite a la pareja una nueva narración y la construcción de un nuevo mito (nueva “mitopoiesis”).
El Mental Research Institut (MRI): entrevista con Paul Watzlawick
Authors: Casado Lluís
Published: October 2021

En el bagaje intelectual de muchos psicoterapeutas contemporáneos ocupa un lugar importante la llamada “escuela de Palo Alto”. Escuela que no deja de ser un tanto atípica ya que surge del esfuerzo común del trabajo sobre la comunicación de un antropólogo (Bateson), la psicoterapia (Jackson) y la inspiración a distancia del genio clínico de Milton Erickson.
Variedades del doble vínculo
Authors: Erickson Milton H. , Rossi Ernest L.
Published: October 2021

Milton H. Erickson justifica el empleo de la hipnosis y la paradoja en psicoterapia en base a sus experiencias personales y autobiográficas. En la segunda parte del artículo Rossi intenta establecer de una forma más sistemática las bases e implicaciones del enfoques ericksoniano para la psicoterapia.
Hipnosis: estado empirico y teorico
Authors: Revenstorf Dirk
Published: October 2021

En este artículo se repasan las bases históricas, teóricas y empíricas de la hipnosis clínica, sus principios y metas de aplicación tanto en el ámbito de los trastornos orgánicos, psicosomáticos y psicológicos como en los problemas de conducta y adicciones.
Utilización de la paradoja en hipnosis y terapia familiar
Authors: Loriedo Camillo , Vella Gaspare
Published: October 2021

El autor realiza un estudio sobre las intervenciones paradójicas dentro del marco de la terapia familiar y el modelo ericksoniano de psicoterapia. Se presenta una nueva perspectiva sobre el concepto de las resistencias en psicoterapia.
Detoxification of Molasses and Production of Mycelial Mass and Valuable Metabolites by Morchella Species
Authors: Dedousi Marianna , Fourtaka Katerina , Melanouri Eirini-Maria , Argyropoulos Dimitrios , Psallida Charoula , Diamantis Ilias , Papanikolaou Seraphim , Diamantopoulou Panagiota
Published: October 2021

Edible wild ascomycetes Morchella rotunda, M. vulgaris and M. conica were cultivated in liquid static and agitated flasks of sucrose and molasses substrates with a C/N ratio of 20 and 25. The impact of four substrates on the production and quality characteristics of morels was examined. Evaluation included determination of the dry mycelial mass, intra-cellular (IPS) and extra-cellular (EPS) polysaccharides, total phenolic (TPC) and antioxidant (TAC) components, proteins, as well as the degree of phenolic content reduction and decolorization of molasses. The influence of agitation conditions was also evaluated. Results showed that substrate consumption, biomass formation and secondary metabolites production were substrate, species, and C/N ratio dependent. Among species, M. conica achieved the maximum biomass (18.16 g/L) and IPS (4.8 g/L) production and significant phenolic reduction (56.6%) and decolorization (26.7%). The maximum EPS (3.94 g/L) was noted by M. rotunda, whereas TPC (32.2 mg/g), TAC (6.0 mg/g) and cellular protein (7.6% w/w) were produced in sufficient amounts. These results strongly support the use of Morchella mushrooms as a biological detoxification agent of molasses in liquid fermentations and indicate their nutritional and medicinal value.
Synthesis of Nano-ZnO/Diatomite Composite and Research on Photoelectric Application
Authors: Yang Beibei , Liu Xuefei , Ma Zixu , Wang Qian , Yang Junjiao
Published: October 2021

The key to the commercialization of sustainable energy conversion technologies is the development of high-performance catalysts. The discovery of a stable, efficient, and low-cost multi-function catalysts is the key. We used a simple green precipitation method to load nanozinc oxide particles onto a diatomite substrate. The ZnO is nano-sized. This precipitation method produces ZnO nanoparticles in situ on diatomite. The catalysts degraded 90% of Methylene blue solution and also degraded gaseous benzene and gaseous acetone. Not only can the catalysts be used for the organic degradation of wastewater, but it also has the potential to degrade volatile organic compounds. Photocatalytic efficiency is closely related to the generation and separation of photogenerated electrons and holes. The effective suppression of the recombination rate of photoliving carriers and thus improvement of the photocatalytic activity, has become a key research area. At present, photocatalysis is an effective technology to inhibit photogenerated carrier recombination, which is often studied in sewage treatment. Photoelectrochemical decomposition of water reduces the recombination of photogenerated electrons and holes by applying an external bias, thus improving the quantum efficiency for the complete mineralization of organic pollutants. The composite catalysts were used for oxygen and hydrogen extraction reactions, and a comparison of the catalysts with various loading ratios showed that the photoelectrochemical decomposition of water activity of the composite catalysts are due to pure ZnO, and the efficiency is highest when the loading ratio is 10%. This work provides new methods for the design and further optimization of the preparation of photoelectrochemical decomposition of water catalysts.
Research of a Novel Ag Temperature Sensor Based on Fabric Substrate Fabricated by Magnetron Sputtering
Authors: Yan Zong-Yao , Liu Jian-Yong , Niu Jia-Rong
Published: October 2021

TPU-coated polyester fabric was used as the substrate of a flexible temperature sensor and Ag nanoparticles were deposited on its surface as the temperature sensing layer by the magnetron sputtering method. The effects of sputtering powers and heat treatment on properties of the sensing layers, such as the temperature coefficient of resistance (TCR), linearity, hysteresis, drift, reliability, and bending resistance, were mainly studied. The results showed that the TCR (0.00234 °C−1) was the highest when sputtering power was 90 W and sputtering pressure was 0.8 Pa. The crystallinity of Ag particles would improve, as the TCR was improved to 0.00262 °C−1 under heat treatment condition at 160°. The Ag layer obtained excellent linearity, lower hysteresis and drift value, as well as good reliability and bending resistance when the sputtering power was 90 W. The flexible temperature sensor based on the coated polyester fabric improved the softness and comfortableness of sensor, which can be further applied in intelligent wearable products.
Solar Energy and Solar Cells
Authors: Ma Dongling
Published: October 2021

Thanks to the helpful discussions and strong support provided by the Publisher and Editorial Staff of Nanomaterials, I was appointed as a section Editor-in-Chief of the newly launched section “Solar Energy and Solar Cells” earlier this year (2021) [...]
Adaptive Attention Memory Graph Convolutional Networks for Skeleton-Based Action Recognition
Authors: Liu Di , Xu Hui , Wang Jianzhong , Lu Yinghua , Kong Jun , Qi Miao
Published: October 2021

Graph Convolutional Networks (GCNs) have attracted a lot of attention and shown remarkable performance for action recognition in recent years. For improving the recognition accuracy, how to build graph structure adaptively, select key frames and extract discriminative features are the key problems of this kind of method. In this work, we propose a novel Adaptive Attention Memory Graph Convolutional Networks (AAM-GCN) for human action recognition using skeleton data. We adopt GCN to adaptively model the spatial configuration of skeletons and employ Gated Recurrent Unit (GRU) to construct an attention-enhanced memory for capturing the temporal feature. With the memory module, our model can not only remember what happened in the past but also employ the information in the future using multi-bidirectional GRU layers. Furthermore, in order to extract discriminative temporal features, the attention mechanism is also employed to select key frames from the skeleton sequence. Extensive experiments on Kinetics, NTU RGB+D and HDM05 datasets show that the proposed network achieves better performance than some state-of-the-art methods.
Modern approaches to the development of rehabilitation programs for increasing muscle strength and volume of motion in the limbs in patients after ischemic stroke
Authors: Mikhailova Anna Andreevna , Kotenko Konstantin Valentinovich , Korchazhkina Natalya Borisovna , Koneva Elizaveta Sergeevna
Published: October 2021

The paper presents an analysis of the data obtained on the effectiveness of the inclusion of a pulsed low-frequency electrostatic field in the standard complex of medical rehabilitation in the long-term period in 60 patients who had an ischemic stroke with movement disorders in the form of hemiparesis with an increase in muscle tone by the type of spasticity, which were divided into 2 comparable clinically — functional characteristics of the group: the main group — 30 patients who underwent a course of massage with a pulsed low-frequency electrostatic field from the «Khivamat» apparatus in addition to the standard rehabilitation complex, consisting of exercise therapy, medical massage, kinesitherapy and medication support, and the control group — 30 patients, who received only the standard complex of medical rehabilitation and drug therapy. For a comparative assessment of muscle strength and range of motion in the extremities in patients after ischemic stroke in the initial state and after the course of treatment, we used the modified Ashfort spasticity scale (MAS), Bartel’s index, and goniometry indices. Research results. Before treatment, all patients with post-stroke spasticity included in the study had impaired motor functions of the upper limb in the form of moderate hemiparesis with high muscle tone and changes in the amplitude of movement. In the initial state, all patients included in the study showed motor changes in functions in the form of moderate hemiparesis with muscle hypertonicity, a decrease in the amplitude of movement of the upper limb and a decrease in the activity of daily life. After the course of treatment, the patients of the main group showed a pronounced positive dynamics of indicators, which was confi rmed by a significant decrease by 23.8 % (p < 0,05) in spasticity in the affected limb according to the MAS scale, which decreased after 6 months by 42,8 % (p < 0.01), and after 12 months by 38.0 % (p < 0,01). In patients of the control group, significantly less pronounced and unstable results were obtained and the studied indicator decreased after the course of treatment by 14,3 % (p > 0,05), after 6 months by 19,0 % (p < 0,05), and after 12 months approached the original value. The decrease in spasticity was confirmed by goniometric data, which indicated an increase in active functional use of the hand in the main group. Conclusion: The inclusion in a comprehensive rehabilitation program of patients after acute circulatory disorders with motor disorders in the form of hemiparesis with increased muscle tone by the type of spasticity of pulsed low-frequency electrostatic massage contributes to a significant decrease in the severity of spasticity, an increase in the range of motion in the affected limbs and an expansion of daily functional independence.
Kumis treatment in medical rehabilitation of patients with pneumonia associated with the novel coronavirus infection COVID-19
Authors: Gilmutdinova Lira Talgatovna , Faizova Elvira Railevna , Gilmutdinov Aydar Rashitovich , Garaev Ruslan Ralifovich , Yanbukhtin Naufal Rabisovich , Gilmutdinov Bulat Rashitovich , Karpova Ekaterina Sergeevna
Published: October 2021

The results of evaluating the effectiveness of the use of kumis treatment in 64 patients who have had pneumonia associated with the novel coronavirus infection COVID-19 are presented. It was found that the use of kumis treatment in addition to the basic complex in 32 patients of the main group has led to an increase in exercise tolerance by 13.6 % (p < 0,05), a decrease in the severity of shortness of breath by 36.3 % (p < 0.05), and contributed to the improvement of the parameters of the function of external respiration with an increase in the vital capacity of the lungs by 14,4 % (p < 0,05), the volume of forced expiration — by 24,5 % (p < 0,05). Against the background of kumis treatment, the patients of the main group showed a significant decrease in the severity of depression and anxiety — by 62.5 % (p < 0.05) and by 62.3 % (p < 0,05), respectively, an improvement in the parameters of «well-being» by 62,2 % (p < 0.05), «activity» — by 37,6 % (p < 0,05), «mood» — by 35,5 % (p < 0,05), compared to the initial values. The dynamics of parameters in the patients of the control group against the background of the basic complex turned out to be less significant in comparison with the main group.
Influence of the combined application of physiotherapeutic factors on microhemodynamic parameters and the level of oxygenation of tissues of the peri-implant zone in inflammatory complications in patients with orthopedic constructions on dental implants
Authors: Livshits V. I. , Nagornev S. N. , Gvetadze R. Sh. , Frolkov V. K.
Published: October 2021

The article analyzes the role of microcirculatory disorders in the pathogenesis of inflammatory complications (peri-implantitis) in patients with orthopedic constructions on dental implants and substantiates the possibility of a complex course application of low-intensity infrared laser therapy and low-frequency electrostatic therapy. It was shown that the initial state of patients with peri-implantitis is characterized by significantly low values of the level of general perfusion and its intensity, as well as the predominance of shunt mechanisms that reduce the values of the nutritive link of blood flow. The cause of the revealed disorders is the low level of functioning of the vasodilation mechanisms, caused by inflammatory and destructive processes in the peri-implant tissues. The use of a complex of physiotherapeutic exposure was characterized by a more pronounced corrective effect on the parameters of microcirculation and oxidative metabolism in comparison with standard dental treatment. The observed dynamics of microcirculatory systems of tissues of the peri-implant zone under the conditions of the complex influence of physiotherapeutic factors is aimed at the formation of adaptive reactions of local hemodynamics to the local needs of soft and bone tissues experiencing an inflammatory process around the implant, as well as strengthening the mechanisms of long-term adaptation of trophic relations in tissue peri-implant microregions. Taking into account the pathogenetic significance of microhemodynamic disorders in the formation of clinical manifestations of peri-implantitis, the revealed activating effect of the technology of the combined use of a laser and low-frequency electrostatic therapy serves as an objective proof of its therapeutic efficacy.
Comprehensive non-drug programs in the treatment of acute inflammatory diseases of the maxillofacial region
Authors: Rzhevsky Valentin Sergeevich
Published: October 2021

The article presents the results of treatment of patients with acute inflammatory diseases of the maxillofacial region using non-drug methods of treatment. Study material: 60 patients with acute purulent-inflammatory diseases of the maxillofacial region (phlegmons and abscesses), who were divided into 2 groups: the main group — 30 patients who underwent a course of complex application of broadband electromagnetic therapy and low — frequency alternating electrostatic field and the control group — 30 patients who were treated with drug therapy (antibiotics, metronidazole group drugs, antihistamines, multivitamins, detoxification therapy, local treatment of the wound process), which served as the background in the main group. Objective: to develop and scientifically substantiate the complex application of broadband electromagnetic therapy and low-frequency alternating electrostatic field in patients with inflammatory diseases of the maxillofacial region. Results. In a comparative aspect, the dynamics of the indicators of the leukocyte intoxication index (LII) and the main indicators of the morphological picture of the blood before and after treatment in patients with HIA CHLO under the influence of the developed complex was studied. Conclusion. The developed complex, which includes a low-frequency alternating electrostatic field and broadband electromagnetic therapy, contributes to the formation of pronounced anti-inflammatory and detoxifying effects in patients with inflammatory diseases of the maxillofacial region due to a significant reduction in endogenous intoxication, which allows us to recommend it for inclusion in complex therapeutic and rehabilitation programs after surgical interventions to accelerate the time of purulent wound cleansing and reduce the length of hospital stay.
Landscape and climate potential of the Yeysk resort of the Krasnodar Region
Authors: Povolotskaya Nina Pavlovna , Sadovskiy Mikhail Vladimirovich , Akhkubekova Nelly Katmurzaevna , Shvedunova Larisa Nikolaevna , Utkin Vladimir Aleksandrovich , Amiyants Vladimir Yurievich
Published: October 2021

The article examines the landscape and climatic potential of the Yeysk resort in the Krasnodar Region, which is not used sufficiently in resort practice, from new methodological positions and modern problems of resort medicine. The results of the study showed the possibility of introducing the global recommendations of the World Health Organization on physical activity, landscape therapy, climatotherapy (recommended by the Pyatigorsk Research Institute of Balneology) into the resort practice of Yeysk to improve the health of people with various socially significant diseases, including post-COVID syndrome, based on more rational use of newly identified natural medicinal resources.
Accounting for digital innovations in healthcare
Authors: Chkhutiashvili L.V.
Published: October 2021

The article analyzes digital innovations and their reflection in accounting for healthcare institutions. The healthcare system should be modern, digitalized, and focused on a specific person. The use of digital technologies remains at a low level, and there are significant regional differences in the level of implementation of digital health technologies, which is a big problem. Special attention should be paid to the development of state policies that would ensure the development of advanced technologies in healthcare, in order to bring Russia among the leading countries in the digital economy in order to improve the quality of life and expand the opportunities for self-realization of each person, increase the well-being of the entire population, and therefore the quality of healthcare.
Audit of purchasing function in the aspect of Economic Security
Authors: Kazakov A.S. , Prodanova N.A.
Published: October 2021

The article is devoted to such a new type of state purchase control as state purchase audit. The legislation assigns the state purchase audit function to the natiоnal accоunt chambers, without explaining its meaning, goals and objectives. A large number of legislative gaps in the regulation of procurement audit and the lack of fundamental scientific papers on its economic meaning and methodology substantiated the relevance of the research. In the process of research, we used the latest methods of analysis, synthesis, generalization, systematization. The scientific novelty of the work lies in highlighting the existing problems of regulation and practice of state purchase audit and proposing measures for its improvement in the aspect of economic security. In particular, this is the elimination of legislative gaps, the improvement of the system for assessing the effectiveness of contracts, the transfer of analytical procedures to the online mode in the UIS system and the introduction of digital technologies that ensured the assessment of the reliability of individual purchase entities before they are admitted to state purchase activities.
Commercialization of the activities of medical institutions — a steady trend
Authors: Lebedev V.A. , Lebedeva E.I.
Published: October 2021

The features of the economic activity of budgetary institutions, including the restrictions and prohibitions established by the current legislation in relation to budgetary institutions, the interests of the state and medical institutions from the position of further improving the efficiency of their activities in the provision of paid medical services are considered. The analysis of the novelties of the legislation regulating paid services provided, including by budgetary medical institutions, is carried out; legislative initiatives to expand the independence of budgetary institutions, including in terms of the disposal of income received by them from income-generating activities; recent changes in the legal organization of medical activities, including clarification of the contractual mechanism for the provision of paid specialized services by medical institutions.
Hyperemesis gravidarum in the primary care setting: cross-sectional study of GPs
Authors: Nana Melanie , Morgan Holly , Ahmed Haroon , Williamson Catherine
Published: October 2021

Background

Hyperemesis gravidarum (HG), if untreated, can lead to malnutrition, dehydration, and Wernicke’s encephalopathy. Foetal complications include low birth weight and neurodevelopmental delay. Recent evidence supports increased rates of termination of pregnancy and suicidal ideation. Drivers included difficulty in accessing medications, which thus contributed to poor perception of care.

Aim

To identify factors that may influence prescribers’ confidence and knowledge regarding pharmacological therapy for HG.

Design & setting

Cross-sectional study of qualified GPs and GP trainees in Wales.

Method

Distribution of a 22-item online survey. Statistical analysis was carried out using SPSS.

Results

In total, 241 responses were received, with 216 included in the analysis (59% qualified GPs, 41% GP trainees). In total, 93% of responders correctly identified cyclizine as being safe in pregnancy, but no other drug recommended in the Royal College of Obstetrics and Gynaecology guidance was considered safe by more than 58%. Those reporting higher confidence levels in managing HG were more likely to correctly report guideline-recommended drugs as safe in pregnancy (P= 0.04). Additional qualifications related to obstetrics and gynaecology (O&G) and/or prior clinical experience increased confidence levels (P= 0.0001 andP= 0.0002, respectively). Only 19% of participants routinely screened for signs of mental health complications, and prior experience or education did not increase likelihood of this happening. The majority of participants (87%) would like additional education and/or access to evidence-based resources.

Conclusion

This study demonstrates a demand for improved dissemination of evidence-based education on HG to support those working in primary care. The extent to which HG is covered in pre-existing educational programmes should also be revisited.
Les rongeurs de l'Aven I des Abîmes de la Fage à Noailles (Corrèze)
Authors: Chaline Jean
Published: October 2021

Les diverses couches du remplissage de la Fage ont livré une très riche faune de Rongeurs à Pliomys lenki, Allocricetus bursae, Dicrostonyx torquatus, et Lemmus lemmus etc..., caractéristique de la fin du Pléistocène moyen en Europe occidentale.
Les trois espèces de rhinocéros (Mammalia, Perissodactyla) du gisement pléistocène moyen des Abîmes de la Fage à Noailles (Corrèze)
Authors: Guérin Claude
Published: October 2021

Three species of rhinoceroses have been found in the site of la Fage : Coelodonta antiquitatis, somewhat different from the typical form, associated with Dicerorhinus hemi -toechus and Dicerorhinus mercki . The distinction between the three species is established in particular from the carpal and tarsal bones, the metapodial and the long bones. Their coexistence implies an ancient Rissian (Saale) age and a varied biotope including parkland and open forest as well as the steppe.
Le stade arctique de Cottier : une nouvelle climatozone würmienne
Authors: Chaline Jean
Published: October 2021

La faune de rongeurs arctiques (Dicrostonyx ) de Cottier, contemporaine d'une industrie apparentée au Badegoulien datée de 20 350 ± 380 et 18 550 ± 550 B.P. permet de distinguer une nouvelle climatozone intercalée entre celles de Rochebertier et de Lascaux. Cet épisode climatique correspond au Würm IIIb de F. Bordes et au Würm IV de Bourdier F.
Conclusions générales sur l'environnement de la grotte de Cottier (Retournac, Haute-Loire) et sur la position chronologique de son remplissage
Authors: Debard Evelyne , Virmont Jacques , Chaline Jean , Delpech Françoise , Evin Jacques , Mourer-Chauviré Cécile
Published: October 2021

La comparaison des résultats obtenus par l'étude de l'outillage et de la faune et par les analyses sédimentologiques permet de reconstituer le paysage dans la région de Cottier lorsque l'homme utilisait la grotte et de suivre l'évolution du climat (de type montagnard) pendant une période s'étalant sans doute de la fin du Würm III au début du Würm IV.
Mise en évidence du pliocène moyen continental dans le nord du fossé de Teruel (Espagne) : le gisement de Villalba-Alta
Authors: Adrover Rafael , Mein Pierre , Moissenet Étienne
Published: October 2021

La découverte du gisement de Villalba-Alta met en évidence le pliocène moyen dans le nord du fossé de Teruel. Cette nouvelle donnée rapprochée des gisements

déjà connus d'Escorihuela et d'Orrios 1 montre la persistance d'une sédimentation endoréique continue pendant tout le Pliocène dans la vallée du moyen Alfambra.
Les oiseaux des gisements quaternaires de Majorque
Authors: Mourer-Chauviré Cécile , Moyà-Solà Salvador , Adrover Rafael
Published: October 2021

De nouveaux restes d'oiseaux, appartenant à dix-neuf espèces différentes, ont été trouvés dans les gisements quaternaires de Majorque, et parmi celles-ci quinze n'avaient jamais été signalées à l'état fossile dans cette île. Une espèce éteinte, Corvus pliocaenus, décrite dans le Villafranchien d'Italie et connue dans un petit nombre de gisements du Pléistocène inférieur et moyen de France, a été trouvée dans le site de Pedrera de S'Onix.
Etudes quaternaires en Grande Limagne d'Auvergne. I : La «rase» de Maison-Rouge, commune de Saint-Beauzire (Puy-de-Dôme). Avec une note de palynologie de M. F. Diot
Authors: Daugas Jean-Pierre , Debénath André , Pelletier Henri , Raynal Jean-Paul , Tixier Luc , Diot Marie-Françoise
Published: October 2021

L'analyse des phénomènes sédimentaires et volcaniques ayant affecté le marais de Grande Limagne d'Auvergne dans le secteur de Riom permet de proposer une première esquisse chronostratigraphique et paléoclimatique du Tardi-glaciaire et de l'Holocène. Les modifications successives du milieu physique ont conditionné la répartition des habitats humains et sont responsables du développement de faciès protohistoriques particuliers.
Etude de trois tablettes mésopotamiennes du Muséum de Lyon
Authors: Gassan Marcel
Published: October 2021

Three clay tablets from the collections of the Museum of Lyon are analysed and translated. Dated back about 2 000 years before Christ, these texts refer to the third Ur dynasty and1 are lists of offerings. They come from the South Mesopotamia.
Le gisement pléistocène supérieur de Jaurens à Nespouls, Corrèze, France : Historique et généralités
Authors: Guérin Claude , Philippe Michel , Vilain Robert
Published: October 2021

Présentation historique de la découverte du gisement et exposé de la méthode et du déroulement des fouilles. Jaurens est situé dans son cadre géographique et géologique. La grotte est brièvement décrite et les grandes lignes de la stratigraphie de son remplissage sont indiquées. Compte tenu des observations de terrain quelques éléments pouvant servir à expliquer la genèse du gisement sont proposés.
Le gisement pléistocène supérieur de Jaurens à Nespouls, Corrèze, France : Les carnivores (Mammalia, Carnivora). I : Canidae et Hyaenidae
Authors: Ballesio Roland
Published: October 2021

The Jaurens wurmian site has yielded numerous remains of Carnivora with, by decreasing frequency, Canidae, Hyaenidae, Felidae, Ursidae and Mustelidae. Canidae and Hyaenidae included Vulpes vulpes, Alopex lagopus, Canis lupus and Crocuta crocuta spelaea are studied in this first part.
Le gisement pléistocène supérieur de Jaurens à Nespouls, Corrèze, France : Les oiseaux (Aves)
Authors: Mourer-Chauviré Cécile
Published: October 2021

The birds of Jaurens cave are mainly reprensented by alpine choughs (Pyrrhocorax graculus ) which seem to have nested near by an opening of the cave and are especially numerous in sectors 1 , 2 and 3. They indicate a cold climate and a landscape of open countries with rooky outcrops.
Le gisement pléistocène supérieur de la grotte de Jaurens, à Nespouls, Corrèze, France. Le Mammouth
Authors: Beden Michel
Published: October 2021

In the würmian locality of Jaurens were collected a few remains of Mammoth (Mammuthus primigenius). They belong to two individuals. One of them is known by its molars and some bones lying scattered in a series of sectors into the cave.
Sur la présence de Saiga tatarica (Mammalia, Artiodactyla) dans le dépôt pléistocène supérieur de la grotte de La Salpêtrière à Remoulins (Gard, France)
Authors: Crégut-Bonnoure Evelyne , Gagnière Sylvain
Published: October 2021

Un fragment crânien, récupéré il y a quelques années à la grotte de La Salpêtrière dans les déblais des fouilles de l'Abbé Bayol, peut être attribué à Saïga tatarica Linné, 1758. C'est la deuxième fois que ce petit Bovidae est signalé sûrement dans le Sud-Est de la France.
Contribution à l'étude chronologique stratigraphique des formations volcano-sédimentaires de la chaîne des Puys
Authors: Raynal Jean-Paul , Paquereau M.-M. , Daugas Jean-Pierre
Published: October 2021

Un certain nombre de résultats nouveaux sont présentés, intéressant le Tardi-glaciaire et le Post-glaciaire. L'accent est mis sur la nécessité d'aborder l'étude des formations volcano-sédimentaires de manière pluri-disciplinaire pour bâtir, après correction mutuelle des résultats, un cadre chronostratigraphique logique.