bluuebunny/crossref_metadata_2025 huggingface dataset:
Geleneksel Türk Yoğurtlarından İzole Edilen Lactobacillus delbrueckii subsp. bulgaricus ve Streptococcus thermophilus Bakterilerinde İntra-/Ekstrasellüler Folat Üretimi
Authors: Zeydanlı Meryem Nur , Yuksekdag Zehranur , Çınar Acar Berat
Published: January 2024

Bu çalışmada, zengin folat içerikli yoğurt yapımında starter kültür olarak kullanılabilecek bakterilerin araştırılması hedeflenmiştir. Bu amaçla Türkiye’nin çeşitli ilçelerindeki geleneksel yöntemlerle yapılan yoğurtlardan 31 Lactobacillus spp. ve 32 Streptococcus spp. olmak üzere toplam 63 bakteri izole edilmiştir. Elde edilen bakterilerin API 50 CH kiti ile biyokimyasal tanımlaması gerçekleştirilmiştir. Tesadüfen seçilen 4 Laktobasil ve 4 Streptokok izolatının 16S rDNA gen bölgesi ile moleküler tanımlaması gerçekleştirilmiştir. Folat içermeyen kültür ortamı (FACM), skimmilk ve MRS/Elliker besi ortamlarında üç farklı tampon uygulamasında (potasyum fosfat, sodyum fosfat ve sodyum asetat) bakterilerin hücre içi ve hücre dışı folat üretim miktarları tespit edilmiştir. Kullanılan besiyerleri ve tampon çözeltiler arasında anlamlı bir farklılık olup olmadığı istatistiksel olarak incelenmiştir. Skimmilk besiyerinde potasyum fosfat tamponu uygulamasında, Lactobacillus delbrueckii subsp. bulgaricus ZN1181 suşu 105,6 µg/L değeri ile en yüksek intrasellüler folat üretimine sahip olduğu tespit edilirken, Streptococcus thermophilus Z651 suşu FACM besiyeri ve potasyum fosfat tamponunda en yüksek ekstrasellüler folat üretimi (79,9 µg/L) göstermiştir.
Internalizing Islamic moderation: a model approach for educational institutions
Authors: Kuswanto Edi , Mubin Muhammad Nurul , Suharsono  , Kurniawan Dwi Setia
Published: January 2024

This paper examines the methods of internalizing the value of moderation in Islamic education, specifically within the context of at-tawāsuṭ wal i’tidāl (moderation and justice) in schools, drawing on Thomas Lickona's character education theory. The research methodology employed in this study includes a literature review and a survey. Although the survey presents some numerical data, the overall study is qualitative. The findings show that the core value of moderation in the Nahdlatul Ulama is at-tawāsuṭ wal i’tidāl, which will spell out various values of moderation derivatives. The processes of internalizing such Islamic moderation in schools – in the perspective of Lickona- were done along three stages: 1) Knowing, conducted through TCL (Teacher-Centered Learning) strategy by applying CTL (Contextual Teaching and Learning) approach and group discussion method; 2) Feeling, achieved through strengthening intra classroom activities, editing, and habituating; and 3) Doing, which is more implemented in intra and extracurricular activities. This research offers insights into internalizing Islamic moderation in schools, drawing on the perspective of at-tawāsut wal i’tidal and Lickona's character education theory. It contributes to the formulation of a model approach that can be implemented by various educational institutions, particularly schools, to foster Islamic moderation among students.
Гендерные и возрастные различия интервальных электрокардиографических показателей у стоматологов поликлиник
Authors: Гайсин А.А. , Валеев Т.К , Нигматуллин И.М
Published: January 2024

В статье проанализированы отличия интервальных показателей электрокардиограмм у мужчин и женщин в различных возрастных категориях у работников стоматологических поликлиник г. Уфы Республики Башкортостан во время периодических медицинских осмотров. Обнаружено влияние пола и возраста на изучаемые параметры в обследуемой профессиональной группе.
Частота заболеваемости коронавирусной инфекцией беременных с низким гемоглобином
Authors: Жылкайдар Г.М , Амирбекова Ж.Т , Аяпберген С.С , Исмайлова К.К , Сапарбекова Ж.С.
Published: January 2024

Введение.Изменения в иммунной, сердечно-сосудистой и дыхательной системах, происходящие в организме во время беременности, предрасполагают к повышенному риску респираторно-вирусных инфекций, включая коронавирусную инфекцию. Коронавирусная инфекция существенно обостряет патологии беременности, стимулирует разрушение эритроцитов и формирование анемии. Цель исследования. Цель нашей работы- определить частоту заболеваемости коронавирусной инфекцией беременных с низким гемоглобином. Методы. Нами было изучено 230 медицинских карт беременных женщин, состоящих на учете по беременности в Центральной больнице города Сарань. Данные истории были выделены случайным образом. Критерием включения были женщины, переболевшие коронавирусной инфекцией, и результаты их общего анализа крови при первичном обследовании. Результаты. Среди изученных нами беременных женщин по срокам беременности в I триместре (0-13 недель) находятся 59 женщин, во II триместре(14-27 недель) -132 женщин, в III триместре (28-40недель) – 39 женщин.При первичном исследовании в общем анализе крови показатель гемоглобина у 168 женщин в пределах нормы (выше 110 г/л), у 62 женщин показатели ниже нормы. Во время заболевания коронавирусной инфекцией у беременных женщин в общем анализе крови показатель гемоглобина у 153 женщин в пределах нормы (выше 110 г/л), у 77 женщин показатели ниже нормы (ниже 110 г/л). Выводы.Частота заболеваемости коронавирусной инфекцией беременных с низким гемоглобином составила 33%, это означает, что имеется низкая связь заболеваемости коронавирусной инфекции беременных с низким гемоглобином, то есть маловероятно, что коронавирусная инфекция окажет влияние на изменение показателей крови.
Просмотр фильмов как способ изучения английского языка на различных уровнях
Authors: Терещенко А.А.
Published: January 2024

В статье рассматривается современный метод изучения иностранного языка с помощью просмотра кинолент. Автор исследует, насколько эффективен этот способ и как правильно применять его, а также рекомендует список из различных кино и сериалов, которые подойдут как для Beginner, так и для Intermediate. Статья представляет интерес для всех, кто ищет различные способы изучения языков.
Использование искусственного интеллекта – новое слово в рекламной деятельности
Authors: Полякова Е.Д. , Писаревская Н.С.
Published: January 2024

В статье рассматриваются возможности использования инструментов искусственного интеллекта в разных сферах рекламной деятельности. Изучены основные особенности, связанные с состоянием рынка рекламы, а также выделены ключевые преимущества и недостатки в применении новых технологий, в том числе и искусственного интеллекта. Важное место занимает анализ цифровизации средств массовой информации. Описаны основные элементы, которые отражают последствия этого процесса, а также рассмотрены глобальные тенденции, связанные с медиарынком.
The Essence and Purpose of the Administrative Liability (Theoretical and Methodological Approaches)
Authors:   Doctoral Student of the NRI of the Ministry of the Interior of Russia, PhD (Law), Zaytsev Igor A.
Published: January 2024

The article attempts to determine the essence and purpose of administrative responsibility on the basis of classical and modern doctrinal approaches of administrative scientists.
State Control (Supervision) in the Aviation Security Sphere
Authors:   Associate Professor of the Department of Administrative and Municipal Law of the Saratov State Law Academy, PhD (Law), Associate Professor, Zaykova Svetlana N.
Published: January 2024

In the academic literature on the administrative law there are still discussions of legal standards distinguishing control from supervision. The objective of this research is to compare those standards in the context of state control (supervision) in aviation security, to identify similarities and differences as well as implementation features. The author uses the method comparative legal analysis and substantiates the necessity of making changes to Article 11.1 of the Federal Law “On Transport Security”.
Administrative Proceedings in the Russian Federation: The Concept, Structure, Types, Procedure
Authors:   Head of the Department of Administrative Law and Procedure Named after N.G. Salischeva of the Russian State University of Justice, LL.D., Professor, Stakhov Aleksandr I.
Published: January 2024

The article presents comprehensive understanding of administrative proceedings from the standpoint of the integrative understanding of the administrative procedure that takes place in the Russian Federation. Among other things, the author justifies separate types of administrative proceedings, presence of typical and atypical stages in the structure of such proceedings that predetermine general and special forms of administrative proceedings including simplified and complicated forms of such proceedings. The paper demarcates administrative procedure and administrate law judgments in an extra-judicial administrative case, gives in-depth characteristics of the stage of administrative proceedings. Judging based on the suggested approach towards understanding the stage of administrative proceedings, administrative procedures are viewed as fragments of separate stages (segments) of resolution of an extra-judicial administrative case. Considering the actual state of the administrative procedure laws of the Russian Federation, the author presents a system of fully regulated types of administrative proceedings and a list of partly regulated types of administrative proceedings.
Modernization of the Public Law Regulation of the Institution of Citizenship of the Russian Federation in the Contemporary Geopolitical Conditions
Authors:   Head of the Department of Management and Administrative Activities of Internal Affairs Agencies of the Putilin Belgorod Law Institute of the Ministry of the Interior of Russia, PhD (Law), Associate Professor, Kataeva Olga V.
Published: January 2024

The current article is devoted to the investigation of the legal public regulation of the Russian Federation citizenship especially in the context of current geopolitical conditions. The author focuses on the relevance and importance of revising the last approaches to regulating issues of Russian citizenship from the standpoint of the Administrative Law, gives thorough analysis into the new elements of the Federal Law “On Citizenship of the Russian Federation” No. 138-FL of April 28, 2023. Special attention is also paid to the consideration of sensitive issues of the Russian citizenship termination. Keeping in mind the analysis of reference sources, the author concluded that Russian citizenship is the most important part of the status of a person demonstrating the civic position of a person and commitment to the democratic course of the country development, thus, requiring further improvement of the mechanism of public law regulation.
The Relevance of Amendments to the Administrative Offense Code of the Russian Federation Associated with Toughening the Liability for Propaganda of Non-Traditional Sexual Relations
Authors:   Lecturer of the Department of Professional Training of the Ufa Law Institute of the Ministry of Internal Affairs of the Russian Federation, Dzhafarova Afgana A.
Published: January 2024

The article is devoted the issue of the relevance of amendments to the Code of the Russian Federation on Administrative Offenses related to the toughening of responsibility for the promotion of non-traditional sexual relations. The author draws attention to the statistics on a specific administrative offense — Art. 6.21 of the Code of Administrative Offenses “Promotion of non-traditional sexual relations among minors” for the period 2016–2021, after which he concludes about the possible reasons for expanding the area of responsibility, introducing new articles into the Code of Administrative Offenses — 6.21.1 and 6.21.2, respectively.
The Correlation between Administrative Law Methods of Licensing and Control (Supervision) with Regards to Contemporary Legal Realities
Authors:   Professor of the Department of Management of Operations of Public Order Maintenance Subdivisions of the Center for Command and Staff Exercises of the Management Academy of the Ministry of the Interior of Russia, LL.D., Associate Professor, Kalyuzhny Yury N.
Published: January 2024

In the work, based on the study of the main features inherent in administrative and legal methods of licensing and control (supervision), their comparative characteristics are carried out in relation to modern legal realities, their interrelation and interdependence are considered.
On Some Issues of Public Administration in the General Education Sphere Arising in the Establishment and Maintenance of a Register of Mandatory Requirements
Authors:   Postgraduate Student of the Department of Administrative Law and Procedure of the Kutafin Moscow State Law University (MSAL), Polezhaev Dmitry A.
Published: January 2024

In article taking into account theoretical approach to understanding of a category of “public administration” and on the basis of the analysis of norms of the legislation of the Russian Federation current questions connected with public administration in area of general education at formation and conducting of the register of obligatory requirements are raised, and possible ways of their decision are offered.
Uwarunkowania rozwoju i zagospodarowania terenu Ptak Fashion City w Rzgowie
Authors: Rochmińska Agnieszka
Published: January 2024

W ramach przekształceń polskiego handlu dochodziło do jego koncentracji m.in. przejawiającej się powstawaniem wielkoobszarowych przestrzeni handlowych. Przykładem suburbanizacji komercyjnej - handlowej jest powstanie i rozwój podłódzkich targowisk w tym szczególnie Ptak Fashion City w Rzgowie. Ten już w tej chwili znacznie rozbudowany zespół obiektów o różnych funkcjach rozwijający się od początku 90.XX w. jest bardzo dobrym przykładem, aby prześledzić etapy rozwoju tego typu kompleksów handlowo-usługowych, zidentyfikować czynniki sukcesu oraz motywy przekształceń odpowiadające „duchowi” danych czasów. Zmiany dotyczyły morfologii i fizjonomii kompleksu, jak również dywersyfikacji funkcjonalnej (w ostatnim czasie obok funkcji handlowej, zaczęły się rozwijać inne funkcje usługowe w tym o charakterze rozrywkowym).
Przeanalizowanie faz rozwoju i czynników lokalizacji wielkopowierzchniowego kompleksu powinno uzmysłowić pewne prawidłowości doprowadzające do sukcesu tego typu przedsięwzięcia. Wykonanie zadań w formie kameralnej jak i terenowej pozwoli uchwycić zmiany morfologiczne, fizjonomiczne i funkcjonalne oraz jednocześnie uświadomić uczniom/studentom na czym tego typu przekształcenia polegają. Wykonanie zadań powinno pozwolić osobom je wykonującym m.in. rozróżniać podstawowe pojęcia morfologia, fizjonomia, użytkowanie terenu, pokrycie terenu.
Metodyka badań zaproponowana do wykonania ćwiczeń pozwala na wykorzystanie różnych technik badawczych i narzędzi badawczych, np. analiza zamieszczonego tekstu, refotografia, analiza historycznych map z geoportalu, technika fotografowania. Ćwiczenia z tego typu tematyki mogą być realizowane na wszystkich szczeblach edukacji, szczególnie przez uczniów szkół średnich i studentów.
Identyfikacja i charakterystyka krajobrazów za pomocą metody ECOVAST
Authors: Majchrowska Anna
Published: January 2024

Metoda ECOVAST służy do identyfikowania i charakteryzowania krajobrazów w skali lokalnej (skala 1:10000–1:50000). Metoda opiera się na definicji krajobrazu podanej w Europejskiej Konwencji Krajobrazowej. Charakterem krajobrazu nazywamy wyraźny, rozpoznawalny i spójny układ elementów w krajobrazie. Te cechy nadają każdemu obszarowi specyfikę, bez przesądzania, który krajobraz jest lepszy lub gorszy.
W procesie identyfikacji i charakterystyki krajobrazów metodą Ecovast używa się tabeli kontrolnej, uwzględniającej dziesięć warstw czy składowych krajobrazu: skały, klimat i wody, formy ukształtowania terenu, gleby, pokrycie terenu, przejawy działalności rolniczej i leśnictwa, osadnictwo, inne elementy związane z działalnością człowieka, cechy historyczne, emocje i skojarzenia.
W tabeli odnotowuje się obecność i wyrazistość poszczególnych warstw krajobrazu, które łącznie stanowią o jego charakterze. Obok tabeli znajduje się miejsce na krótki opis krajobrazu oraz na zdjęcia ilustrujące charakterystyczne cechy, a także na wyrażenie własnej opinii i ewentualne dodatkowe komentarze.
Proces identyfikacji krajobrazu metodą ECOVAST złożony jest z trzech etapów:
- pracy przygotowawczej – etap kameralny.
- obserwacji krajobrazu – etap terenowy.
- przygotowania opisu krajobrazu.   
Jednym z efektów pracy jest powstanie zbiorczej mapy jednostek krajobrazowych.
Zadanie identyfikacji i charakterystyki krajobrazu metodą Ecovast jest przeznaczone do realizacji w szkołach ponadpodstawowych oraz na studiach wyższych na kierunku geografia lub gospodarka przestrzenna.
An Indonesian student's perspective on the use of English by teachers as a monolingual language
Authors: Syahruzah Juang Kurniawan , Ismail Hijril , Basuki Basuki
Published: January 2024

This study intends to determine how college students understand an instructor who instructs in a monolingual form of English in an English as a Foreign Language study room. This study involved 20 interviewees and 32 questionnaire respondents in an English as a Foreign Language, classroom. Interviews and questionnaires are the strategies used to collect data, hence, ensuring triangulation of data. Based on the evaluation and interpretation of the records obtained from the questionnaire and interview, the results of this look display that scholars have positive perceptions of teachers who train English as a monolingual language in their English classrooms. This is verified by the imperative tendency of ten questionnaire statements, and declaration. Nevertheless, the most persuasive remark succeeds in moving the main tendency to the "impartial" stage, allowing us to classify it as supporting evidence that students have favorable opinions of English-speaking teachers.
Keywords: EFL; English as a foreign language; monolingual; students’ perception; teacher.
Adipose Derived-Stem Cells and their Cell-Free Supernatant Combined with a Nanofiber Scaffold for Skin Rejuvenation: The Avancell Stem Cell SecretomeTM - A Technical Note
Authors: Weninger Patrick
Published: January 2024

The skin is the largest body organ and acts as the first defense line against various external agents and stimuli such as toxins, ultraviolet radiation or environmental agents
Pemetaan Sarana dan Prasarana Objek Geowisata Batu Angus di Kecamatan Tarnate Barat Provinsi Maluku Utara
Authors: Robo Sarif , Tangge Nurul Ainun
Published: January 2024

Batu Angus Geotourism in West Ternate District, North Maluku, is one of the popular tourist destinations in Indonesia that offers unique and interesting natural scenery. The area is famous for its black volcanic rocks and rough texture, the result of an ancient volcanic eruption. This study aims to map the facilities and infrastructure at the Batu Angus Geotourism Object in the Kulaba Village, West Ternate District using a GIS application in order to map the location and area of facilities and infrastructure, analyze the condition of facilities and infrastructure, and provide recommendations for development facilities and infrastructure at the Batu Angus Geotourism Object. The method used is a spatial approach based on a geospatial information system by means of field surveys to collect spatial data on the location and area of facilities and infrastructure, interviews with tourist attraction managers and tourists to collect attribute data on the condition of facilities and infrastructure, and documentation to collect secondary data in the form of photos and maps. The results of the study showed that the condition of the facilities and infrastructure was adequate, including a parking area, stage, gazebo, and toilets. Facilities that need to be improved include clean water, electricity, a museum, and road access. Mapping was carried out using the ArcGIS application to produce a digital map of the distribution of facilities and infrastructure. This map helps tourists to find available facilities. Batu Angus Geotourism has great potential to be developed. It is necessary to improve facilities and infrastructure, tourism promotion, and public awareness to support the development of this tourism.
NURSE’S SAFETY ATTITUDES AS PERCEIVED BY GERIATRIC PATIENTS IN HOMECARE INSTITUTIONS
Authors:   RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines, Tirazona Manuela P. , Penetrante Anielyne G. ,   RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines, Tiamson Ronie M. ,   RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines, Arbo Kahlil Z. ,   RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines, Martinez Ma. Cecilia O. ,   RM, RN, MAN, EdD., Pamantasan ng Lungsod ng Maynila, Manila, Philippines, Sablas Karen G. ,   RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines
Published: January 2024

The corona virus pandemic this year has given everyone bizarre health situations and an incommensurate danger, especially to the geriatric patients’ health, living conditions, interrelationships and overall well-being (Adhikari et al., 2020). No one knows how long this will last or when it will stop; its spread has affected many lives especially geriatric patients living in homecare institutions. The purpose of this study is to determine the nurse’s safety attitudes in times of pandemic as perceived by the geriatric patients in home care institutions. Data were gathered using an adapted and modified questionnaire entitled, “Nursing Home Survey on Patient Safety” from the research study of Alvin C. Ogalesco and Janet B. Lim of the University of Texas, for whom the authors were asked permission for its use. The research results showed: that most of the geriatric patients were 60 to 69 years old, female, married, and stayed for 0 to 9 years in the homecare institution; a very much evident nurse’s safety attitudes was noted as perceived by the geriatric patients in terms of cognitive, affective and psychomotor aspects; and that there were significant differences between the nurse’s safety attitudes when the respondents were grouped according to their gender, civil status and length of stay in the institution. It was recommended that: geriatric patients should view old age as an opportunity for continuous development, satisfaction, and well-being; and that nurses must always carry with them their best safety attitudes while taking care of them, keeping in mind all these characteristics especially on critical times like the pandemic; they must also become more sensitive to the needs of the geriatric patients, focusing on counseling them to become aware of the necessary steps to avoid infection during the pandemic; accept their limitations and mental health management.
Surgical Safety Checklist as an optimal organizational model in ensuring the maximum degree of preparedness for intraoperative incidents (case report)
Authors: Benyan A. S. , Khranovskiy D. G. , Medvedchikov-Ardiya M. A. , Barbasheva S. S.
Published: January 2024

Objective. The use of checklists for quality and safety control of medical care is an effective tool for reducing the frequency of errors, dangers and complications in any section of medical practice.

The aim is to demonstrate the possibilities of minimizing and leveling the potential risks accompanying surgical intervention using the example of routine application of the surgical safety checklist.

Object and methods. Patient A., 55 years old, was admitted to the emergency department of Samara City Clinical Hospital №1 named after N.I. Pirogov on 24.04.2023. with complaints of pain in the right upper abdomen, nausea, vomiting, general weakness. The diagnosis was Cholelithiasis, acute calculous cholecystitis with the formation of a perivesical abscess. It required laparoscopic cholecystectomy operation. While filling in the surgical safety checklist (SSC) and analyzing possible intraoperative incidents, the attending physician executed an informed voluntary consent for transfusion of donor blood components. The corresponding components were ordered. Having weighted up the potential intraoperative risks specified in the part "Before anesthesia" of SSC, the anesthesiologist installed a catheter into one of the central veins and performed the urine bladder catheterization. Surgical intervention was complicated by bleeding, which required conversion of surgical approach. Upper median laparotomy, cholecystectomy, surgical hemostasis were performed. Total blood loss was 1000 ml, plasma and red blood cell were donated to the patient. The operation was completed by drainage of the subhepatic space and suturing of surgical wounds.

Results. The clinical case describes the importance of a team approach at the stage before the operation, as well as the role of all specialists provided life support and medical care for the patient. It results from attentive work with the checklist which shows a clear liability for each member of the operating team at different stages of preparation and treatment of a surgical patient.

Conclusions. The development of a culture of surgical safety is an important way to minimize the risks associated with surgical intervention for each individual patient and for the institution by optimizing the work of operating units.
Influence of streptococcal infection on the appearance of caries in the background of chronic rheumatoid arthritis and the transmitted coronavirus infection COVID-19 (literature review)
Authors: Ionov S. N. , Nemstsveridze Ya. E. , Stepanova R. I. , Goncharov K. D. , Derbina L. R.
Published: January 2024

Relevance. Caries of hard dental tissues is one of the most common diseases throughout the world. It affects not only the primary teeth of children, but also the permanent teeth of adults, which can lead to serious consequences for human health. In recent years, the dental community has paid special attention to the possible connection between streptococcal infection and the development of caries, and therefore this topic is extremely relevant and requires detailed consideration. Chronic rheumatoid arthritis (CRA) is one of the most common joint diseases, which is characterized by inflammation of the joint lining and destruction of cartilage. Patients with CPA are also at high risk of developing dental caries, which may be due to many factors, including changes in saliva composition and long-term use of medications.

Purpose of the study: to study the effect of streptococcal infection on the occurrence of caries among patients suffering from chronic rheumatoid arthritis. To assess the incidence of caries complications caused by streptococcal infection among patients who have had COVID-19.

Materials and methods of research. The authors analyzed domestic and foreign literature in order to conduct a literature review regarding the etiology of the occurrence and relationship of streptococcal infection and caries against the background of rheumatoid arthritis. The authors also analyze the incidence of caries complications caused by streptococcal infection as a consequence of COVID-19. Data from 160 patients, 100 men and 60 women, were studied.

Conclusion. From the studies conducted, we can conclude that streptococcal infection is one of the factors influencing the development of caries. However, the exact mechanisms of interaction between bacteria and hard dental tissues have not yet been established. As a result of the analysis, it was revealed that the relationship between streptococcal infection and the occurrence of caries against the background of chronic rheumatoid arthritis is significant. The presence of streptococcal infections in patients with rheumatoid arthritis can lead to deterioration of oral health, which in turn contributes to the development of dental caries. Among patients who have had COVID-19, there is a fairly high percentage of caries, including those caused by streptococcal infection and a general deterioration in the health of the oral cavity and the body as a whole.
A modern approach to the study of the problem of pathogenesis and prevention venous thromboembolic complications in patients with trauma (literature review)
Authors: Lega D. N. , Stolyarov S. A. , Supilnikov A. A.
Published: January 2024

Relevance. Patients with trauma are at increased risk of venous thromboembolic complications (VTE), which includes deep vein thrombosis of the lower extremities (DVT) and pulmonary embolism (PE). Within surgical and trauma clinics, thromboembolic complications are the most common preventable cause of in-hospital mortality. Numerous studies have shown that the incidence rate of deep vein thrombosis (DVT) in trauma patients without prevention varies from 5 to 80%.

Aim. To analyze the pathogenesis of the development of venous thrombosis and explore existing approaches to prevent VTE in trauma patients.

Materials and methods. In the course of the work, topical literary sources of domestic and foreign authors on a given topic were analyzed.

Results. The mechanism of thrombus formation in trauma involves slowing blood flow, damage to the vessel wall and impaired blood clotting in the form of hypercoagulation. The state of hypercoagulation combined with prolonged immobility increases the risk of VTE. LMWH is the treatment of choice for the prevention of VTE in trauma. Today, there are ongoing studies related to the correction of preventive doses of LMWH and the search for a single standard, depending on numerous factors.

Conclusion. Severity and multiplicity of lesions correlate with severity of systemic inflammation, hypercoagulation, and incidence of venous thrombosis. However, this correlation has not been sufficiently studied in the scientific literature. The search for specific methods for the prevention of deep vein thrombosis leading to PE is an urgent problem of surgery of injuries both peaceful and wartime.
Total hip replacement after prior of the core decompression of the femoral head: efficacy and complications
Authors: Panin M. A. , Zagorodnii N. V. , Boiko A. V. , Petrosyan A. S.
Published: January 2024

Relevance. A history of core decompression using porous tantalum rods has a negative impact on the course of total hip arthroplasty surgery, the postoperative period and the frequency and nature of postoperative complications. Opinions are contradictory with regard to the effect of other techniques of necrosis decompression on total hip arthroplasty.

Purpose of the study: evaluation of the effect of core decompression of the femoral head on the intraand postoperative parameters of total hip arthroplasty surgery.

Object and methods. The study included 44 patients with osteonecrosis of the femoral head who underwent total hip arthroplasty. The first group consisted of 30 patients with osteonecrosis of the femoral head (ARCO grade II-IV) who had no previous hip surgery – primary total hip arthroplasty. The second group included 14 patients with osteonecrosis who had undergone the core decompression on the same joint (secondary total hip arthroplasty) 6–24 months earlier in stage II of the disease. The duration of surgery, blood loss volume, complications in the postoperative period, pain syndrome dynamics and hip joint function were assessed.

Results. Comparative analysis showed the absence of significant technical intraoperative complications in total hip arthroplasty: duration of operations in group I – 85 ± 25 minutes, in group II – 80 ± 20 minutes, that is, almost identical; volume of intraoperative blood loss: 300 ± 100 ml in both groups. Survival rate of the hip replacement was 100 % in both groups. Superficial inflammation of the operating wound was diagnosed in 3.3 % of group I patients and in 7.1 % of group II patients (%). Dislocation of the hip replacement was observed in one patient in Group I (primary total hip arthroplasty). Twelve months after THA, osteolysis around the hip replacement element was detected by X-ray in 6.7 % of group I patients.

Conclusion. Total hip arthroplasty in patients with a history of the core decompression of the femoral head is not accompanied by intraoperative technical difficulties and is a relatively safe surgical intervention. Prior core decompression is not an additional risk factor for intraand postoperative complications of total hip arthroplasty.
About the possibility of rehabilitation of athletes with fractures of the bones of the lower extremities (literature review)
Authors: Sorokovikova T. V. , Morozov A. M. , Aleksanyan K. A. , Salmanova K. G. , Fisyuk E. A. , Belyak M. A.
Published: January 2024

Relevance. People involved in professional sports quite often encounter injuries. Thus, one of the main problems of modern traumatology and rehabilitation medicine is sports traumatism, which accounts for 2 to 7 % of all injuries.

Objective: to analyze the available and modern methods of rehabilitation of athletes with fractures of the bones of the lower extremities.

Materials and methods. In the course of the present study, we reviewed the literature data reflecting the current views on the problem of rehabilitation of athletes with fractures of lower limb bones.

Results. Successful recovery of athletes and early return to the training process is largely determined by optimally selected rehabilitation measures. There is no unified algorithm in rehabilitation of athletes; the choice of tactics depends on a number of factors, such as localization and severity of the fracture, surgical and conservative treatment performed, individual characteristics of the athlete, and the desired result. The optimal algorithm is a combination of classical rehabilitation measures, which include therapeutic physical training, diet therapy, psychotherapy and physical therapy procedures such as massage, taping, low-frequency magnetic therapy, UHF in low-heat doses, electrophoresis of analgesics, calcium and phosphorus drugs and thermotherapy.

Conclusion. All rehabilitation measures are aimed at gradual increase of physical load on the injured limb and strengthening the musculoskeletal system by improving tissue trophism, muscle tone, activation of metabolic processes as well as pain reduction and stimulation of regeneration of injured tissues. The adaptation basis of rehabilitation is the model of control of movements ("control-chaos continuum"), which provides the prevention of complications and re-injuries. Rational nutritional therapy contributes to increasing muscle mass and preventing the accumulation of fat mass. When choosing rehabilitation measures, the nature of the chosen treatment and objectives are taken into account, so that the choice of rehabilitation measures is made on an individual basis, in order to achieve the best possible results in a short period of time. Adequately chosen rehabilitation measures allow athletes to safely return to their original physical performance and reduce the risk of re-injury.
Influence of nutrition on the course of uterine fibroids
Authors: Akhmetgaliev A. R. , Khayrullina G. R. , Sakhabetdinov B. A. , Siraeva A. R.
Published: January 2024

Currently, there is a negative trend in the increase in the incidence of uterine fibroids, often diagnosed at a later date, requiring more invasive laparotomic myomectomy, up to hysterectomy. It was also revealed that the patients had an aggravated premorbid background in the form of obesity and related diseases.

The purpose of the study. To study domestic and foreign studies. To identify the features of the course of uterine fibroids in patients with hypersthenic and normosthenic body types.

Materials and methods. Anonymous and voluntary questionnaire survey with an in-depth collection of food history, interviews of 260 patients and analysis of their case histories with uterine fibroids who underwent laparoscopic and laparotomic myomectomy were carried out, dividing them into 2 groups according to BMI.

Results. In both groups, there was the following distribution according to the presence of pregnancies: 0 – 4 % and 5 %, 1 – 86 % and 84 %, 2 – 10 % and 11 % for groups I and II, respectively (p = 0.041 criterion). 25 % in group I and 31 % in group II had a history of surgery – caesarean section. The presence of inflammatory diseases of the pelvic organs in both groups was 89.3 % and 91.6 %, respectively. Also noted was a high consumption of beef and pork by 10 and 23 %, potatoes by 8 % and 13 %, white cabbage by 12 % and 11 %, bakery products by 21 % and 26 %. Low consumption of seafood and fish products by 35 % and 56 %, dairy products by 44 % and 47 %, absolutely low content of olive oil in the daily diet. The above data are presented for groups I and II, respectively. (criterion p = 0.029-0.054).

Сonclusions. Obesity plays a role as a risk factor for the development of uterine fibroids, acting either through hormonal or inflammatory mechanisms. Obesity can contribute to the development of insulin resistance and hyperinsulinemia, which can directly or indirectly influence the development of fibroids by promoting the proliferation of myometrial smooth muscle cells and increasing circulating levels of ovarian hormones.
Superoxide dismutase and catalase activity in the blood and liver of rats of different age groups with experimental type 2 diabetes mellitus and skeletal muscle injury
Authors: Pavlova O. N. , Tulaeva O. N. , Gulenko O. N. , Gromova D. S. , Maslyakov V. V.
Published: January 2024

According to 2022 statistics from the Federal State Budgetary Institution National Medical Research Center for Endocrinology, the incidence of type 2 diabetes mellitus in Russia is 92.4% (4.49 million) of patients, and every tenth inhabitant of the Earth already suffers from diabetes mellitus.

Purpose of the study: to analyze the dynamics of superoxide dismutase and catalase activity at the systemic and local levels in rats of different ages when modeling type 2 diabetes followed by mechanical injury to skeletal muscle.

Object and methods. The study was conducted on white outbred healthy male rats 24 months old (120 individuals) and 6 months old (120 individuals). All old and young animals were divided into four subgroups within their group, 30 animals in each. Animals of the first subgroup in groups of old and young rats are intact rats. Animals of the second subgroup of the group in each group had a mechanical dissection in the area of the middle third of the gastrocnemius muscle of the hind limb. Animals of the third and fourth subgroups of each group were subjected to modeling type 2 diabetes mellitus.After the specified time, the animals of the fourth subgroup of both groups were injured in the middle third of the gastrocnemius muscle of the hind limb.

Conclusions. Mechanical injury to the gastrocnemius muscle in combination with type 2 diabetes mellitus is characterized by an intensification of lipid peroxidation and leads to an increase in superoxide dismutase activity in the liver tissue and blood serum of rats, and in young animals the increase in superoxide dismutase activity is more intense than in old ones.
The Mediating Effects of Mentalization in the Effect of Chilhood Attachment Trauma on Self-Injury in Female Adolescent
Authors:   The Association of Korea Counseling Psychology Education Welfare, CHOI Sang-Soon , KWEON Hae-Soo
Published: January 2024

The purpose of this study was to examine the mediating effect of mentalization on the effectsof childhood attachment trauma on self-injurious behavior in adolescent girls. The participantsof the study were 192 female adolescents who visited the youth counseling welfare center andchild and adolescent psychiatry, and they responded to the childhood traumaquestionnaire-short form, mentalization scale, and the functional assessment of self-mutilation. The result of this study was that mentalization has been shown to partially mediate therelationship between attachment trauma and self-harm. These results showed that attachmenttraumatic experiences made difficult for children to develop mentalization, and deficiencies orweakening of mentalization skills could significant impact on self-injurious behavior. The resultsof this study suggest that mentalization-based counseling interventions can prevent self-injuriousbehaviors in adolescent girls by developing mentalization skills.
Development of the Emotional Competence Model for Counselor
Authors:   The Association of Korea Counseling Psychology Education Welfare, LIM Yoo-Ha , SHIN Joo-Yeon
Published: January 2024

The purpose of this study is to develop an emotional competence model that considerscounselors' job characteristics and job contents, and to analyze their educational needs. For thispurpose, a draft model was developed by literature studies and interviews with experts, andvalidity was verified through a Delphi survey. Finally, we analyzed educational needs for thefinalized competence model. As a result, a total of 4 competence groups, 10 competenceelements, and 48 competence indicators were derived. The competence groups and competencefactors consisted of emotional awareness(self-emotional awareness, self-efficacy, empathy),emotional management(emotional expression, optimism, stress management, cultural sensitivity),awareness of emotions at work(understanding of organizational culture), and management ofemotions at work(building cooperative relationship, conflict management). Based on the result,stress management, empathy, and cultural sensitivity were identified as priority competencies tobe developed. This study is significant in that it considers counselor emotional competence asan ability that can be developed through education and training rather than as an innate quality,personality, or character of the counselor, and systematically presents it through specificindicators in the counseling scene. In addition, it can be used to organize the contents andspecific teaching targets of programs to promote counselor emotional competence.
An Exploratory Study on the Difficulties and Educational Needs of University Counselors Performing Psychological Tests
Authors:   The Association of Korea Counseling Psychology Education Welfare, CHO Eun-Yi , PARK AeShil , MIN Yeseol
Published: January 2024

This study explored the difficulties and educational needs that university counselors encounterin the process of selecting, conducting, scoring, interpreting, and delivering psychologicalassessment. A total of 41 university counselors were surveyed and analyzed using CQR-M. As aresult, 18 categories and 43 subcategories were identified for difficulties in performingpsychological assessment, including determining appropriate tests for clients, confusion due tothe increase in online psychological tests, conducting projection/intelligence tests, integratinginterpretation of test results, and difficulty in interpretation counseling sessions. In addition, 13categories and 37 subcategories were derived for educational needs concerning psychologicalassessment, including selecting suitable psychological tests for each case, implementing andscoring projection/intelligence tests, integrating test results, and interpretation counselingsessions. Based on these results, the content and future direction of educational initiatives aimedat enhancing counselor psychological assessment ability were discussed.
La correspondance : une expérience de la rencontre de l’altérité avec des enseignants en formation
Authors: Benasé-Rebeyrol Sandrine , Colay Élisabeth
Published: January 2024

En tant que formatrices d’enseignants du secondaire, nous avons proposé aux groupes d’étudiants-stagiaires que nous accompagnions en 2022-2023 de participer à une correspondance dans le cadre des séances d’analyse de pratiques et de suivi de stage. Respectivement en poste à l’Inspé de Paris et de Créteil dans des champs disciplinaires différents (espagnol et sciences économiques et sociales), nous souhaitions faire l’expérience de cette institution de la Pédagogie Institutionnelle. L’expérience de l’altérité dans cette institution repose sur la figure du correspondant, « cet autre, lointain, imaginaire et réel à la fois » (Vasquez & Oury, 1997, p. 37) auquel chacun des membres de nos groupes a adressé questions et réponses dans la découverte du monde de l’autre.En tant que chercheuses en sciences de l’éducation et de la formation, nous avons analysé, à partir des matériaux recueillis lors de la dernière séance (leur parole et un bilan personnel rédigé par chacun) et de nos observations réalisées au fil des séances de correspondance, comment, au-delà d’un travail de clarification didactique, la correspondance a fait soutien pour l’élaboration de la position subjective des stagiaires et étudiants et pour la construction de leur identité professionnelle tout en instaurant l’entité groupale autour d’une expérience commune.
Puerariae Lobatae Radix Ameliorates Chronic Kidney Disease by Reshaping Gut Microbiota and Down-Regulating Wnt / β-Catenin Signaling
Authors: Wu Peng , Xue Jingwen , Zhu Zhangrui , Yu Yao , Sun Qi , Xie Ming , Wang Benlin , Huang Pengcheng , Feng Zhengyuan , Zhao Jie
Published: January 2024

Gut microbiota dysfunction is a key factor affecting chronic kidney disease (CKD) susceptibility. Puerariae Lobatae Radix (PLR), a traditional Chinese medicine and food homologous herb, is known to promote gut microbiota homeostasis, however, its role in renoprotection remains unknown. This study aimed to investigate the efficacy and potential mechanism of PLR to alleviate CKD. An 8-week 2% NaCl-feeding murine model was applied to induce CKD and evaluate the therapeutic effect of PLR supplementary. After gavage for 8 weeks, PLR significantly alleviated CKD-associated creatinine, urine protein increasement and nephritic histopathological injury. Moreover, PLR protected kidney from fibrosis by reducing inflammatory response and down-regulating the canonical Wnt / β-catenin pathway. Further, PLR rescued gut microbiota dysbiosis and protected high salt-induced gut barrier dysfunction. We found enrichment of Akkermansia and Bifidobacterium after PLR intervention, the relative abundance of which were in positive correlation with normal maintenance of renal histology and function. Next, fecal microbiota transplantation experiment verified that the positive effect of PLR on CKD was at least partially exerted through gut microbiota reestablishment and down-regulation of the Wnt / β-catenin pathway. Our study provides evidence for new function of PLR on kidney protection and put forward a potential therapeutic strategy target for CKD.
Dynamic Locking Plate versus Multiple Cancellous Screws for the Fixation of Intracapsular Femoral Neck Fractures: Long-Term Results and Prom Based Quality of Life Assessment
Authors: Krupik Yoav , Haziza Sagie , Thein Ran
Published: January 2024

The purpose of this study was to compare the long-term clinical outcomes and quality of life measures for two fixation methods in the setting of displaced femoral neck fractures. The two groups included fixation with multiple cancellous screws (group 1) and telescopic femoral neck screws and small locking plate device (Targon FN) (group 2). Patients underwent reduction and internal fixation with either multiple cancellous screws or Targon FN device from March 2000 to January 2012. Failure endpoints included nonunion, osteonecrosis of the femoral head, and revision surgery. Patient reported outcome measures included chronic pain, ability to ambulate, and the use of ambulation assistive devices. Statistical analysis demonstrated a statistically significant lower rate of non-union and overall complication in the Targon FN group (p value < 0.001 and p value = 0.005 respectively). Logistic regression analysis showed that operative fixation with the Targon FN device decreased the odds ratio for overall complication by a factor of 0.34 (P = 0.02). There were no statistically significant differences between groups 1 and 2 in patient reported outcomes (chronic pain (p-0.21), ability to ambulate (p- 0.07), and the use of ambulation assistive device (p-0.07)). When compared to traditional cancellous screw fixation of femoral neck fractures, the Targon FN device has significantly lower complications rates and equivalent patient reported outcomes.