bluuebunny/crossref_metadata_2025 huggingface dataset:
SELFCARE AND WELLBEING AS PROFESSIONAL COMPETENCE IN THE COVID19 PANDEMIC: RESIDENTS´ WELLBEING PROGRAM
Authors:   Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Mexico, Cordero-Díaz MA , Félix Arce C ,   Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Mexico, Dávila Rivas A ,   Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Mexico, Valencia O ,   Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Mexico, Padilla LA ,   Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Mexico
Published: September 2021

International studies have reported that quality in patient care and safety, as well as the personal well-being of resident doctors, may suffer a detriment if a highly demanding or hostile clinical training environment is present. The objective of the Professionalism and Wellbeing Program for Medical Residents implemented by a university in northern Mexico is to integrate strategies for the development of wellbeing as a professional competence, and to contribute to strengthening clinical training environments, with the intention of improving personal selfcare, wellbeing, and patient care. The program was implemented with the 290 medical residents of the 17 specialty programs from March 2019 and, additionally, an hybrid model was implemented due to the COVID-19 pandemic from April 2020 to date. In February 2019 and 2020, medical residents participated in the induction sessions of the Professionalism and Wellbeing Program and at least in 3 sessions through the semester, in 2019 face-to-face and in 2020 virtually. The chiefs and co-chiefs of residents were trained in a Workshop so they could help other residents in adverse situations. Among the virtual strategies, we implemented an online website, an electronic form for residents´ wellbeing and mentoring follow-up, individual virtual counseling and Balint groups in Zoom. From April 2020 to February 2021, 220 residents registered online their wellbeing follow-up. The topics of greatest interest for discussion selected by the participants (n= 51) in the Balint group sessions were: emotional well-being in health professionals (94.1%) and burnout syndrome (94.1%). These initiatives aim to strengthen the training processes of education, professionalism, and humanism, with the residents as an expression of the social responsibility of the profession to contribute to selfcare, wellbeing, and patient’s care. Keywords: higher education, educational innovation, hybrid postgraduate medical education, residents’ wellbeing, COVID-19
DIGITAL EDUCATIONAL MODEL: TRANSFORMATION TOWARDS A DISTANCE UNIVERSITY EXPERIENCE
Authors:   Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, México, Lopez M , Peddinani BK ,   Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, México, O’Connor-Córdova M ,   Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, México, Carrion B ,   Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, México
Published: September 2021

The declaration of the COVID-19 pandemic as a health emergency disrupted multiple sectors, and education was not an exception. Particularly in medical education, in addition to caring for patients that had been exposed to the virus, faculty members had the responsibility to guarantee academic quality and continuity. The transition to a remote emergency model gave rise to a new digital educational model that provided content delivery and the whole university experience. This study’s objective was to assess the quality of this digital educational model that resulted from the transformation. The study considered a quantitative approach, with a descriptive and cross-sectional design. The sampling strategy was a convenience sample of 213 first-year undergraduate students. As an instrument, a 28-item questionnaire with a Likert scale was used. The statistical analysis considered Cronbach’s alpha, item-total correlation, and factor analysis to analyze the instrument’s structure. Subsequently, descriptive statistics were used to identify trends in the responses of the participants. The internal consistency of the instrument is adequate with a Cronbach’s alpha of 0.9. The factor analysis resulted in four dimensions representing the educational model: 1) content and curriculum, 2)teaching and learning practices, 3)technology and infrastructure, and 4)collaboration and networks. As educational innovations were being developed, the need to assess its impact on the quality of learning was necessary; thus, quality improvement is promoted and accountable. Implementations such as connecting to a learning environment through a mobile device or learning at a relaxed pace have been deeply appreciated. Now that we have tasted those facilitators, it should not be taken away; institutions need to resist the temptation of returning everything as it was before. Keywords: higher education, educational innovation, professional education, distance education, pandemic adaptations
[RETRACTED] Keto Extreme Fat Burner Shark Tank: Shocking Scam, Read Real Reviews! v1
Authors: Extreme Fat Burner Keto
Published: September 2021

[RETRACTED]

Keto Extreme Fat Burner
Homology modeling using SWISS-Model for Biochemistry I v1
Authors: Friedman Michael , Berndsen Chris
Published: September 2021

Protocol for homology modeling proteins for use in Biochemistry I at James Madison University. Protocol guides students to use the SWISS-Model web server (citations below). Citations for servers: Waterhouse, A., Bertoni, M., Bienert, S., Studer, G., Tauriello, G., Gumienny, R., Heer, F. T., de Beer, T. A. P., Rempfer, C., Bordoli, L., Lepore, R., and Schwede, T. (2018) SWISS-MODEL: homology modelling of protein structures and complexes. Nucleic Acids Res. 46, W296–W303.
Comparison of various principles of coagulation tests in handling hemolysed blood samples
Authors:   Associate professor, Department of Pathology, JSS Medical College, JSS Academy of higher education and research, Mysuru, Karnataka, India, Krishnamurthy Dr. Vani , Ahmad Rubiya ,   Tutor, SKMCH, Muzaffarpur, Bihar, India
Published: September 2021

Background: Rejection of hemolysed samples for coagulation test is the standard practice.However, when clinicians deal with extremely sick patients where repeat sampling is difficult toobtain, rejection of the sample is a lost opportunity for the lab physician to assist inpatient care.Proceeding with the test and providing a clinically helpful interpretation of the results will ensure theactive participation of the laboratory physician. Different principles of coagulation testing handle thehemolysed samples differently. It is essential to know the best principle to proceed with thehemolysed sample if need be. This study set out to estimate the predictive values of post-hemolyticsample coagulation test results with various coagulation test principles. Methods: This is aprospective experimental study where the non-hemolysed samples were processed for coagulationtests. Part of the sample was deliberately hemolysed, and the coagulation tests were repeated.Results: Two hundred and forty-eight samples were studied. A median of 11% hemolysis wasachieved experimentally. The mean difference in prothrombin time between pre and post hemolyticsamples with normal PT was 0.9 and with abnormal PT, it was 1.1 seconds. The same for APTT was4.9 and 1.1 seconds, respectively. The majority of the samples showed prolonged coagulation posthemolysis. Positive (PPV) and negative (NPV) predictive values for prothrombin time are 97.3 and73.4%, respectively. Similarly, PPV and NPV for APTT are 97.4 and 47.1%, respectively.Conclusions: Samples with normal values after hemolysis are more likely to be normal.
The post-warranty random maintenance policies for the product with random working cycles
Authors: Shang Lijun , Wang Haibin , Wu Cang , Cai Zhiqiang
Published: September 2021

Advanced sensors and measuring technologies make it possible to monitor the product working cycle. This means the manufacturer’s warranty to ensure reliability performance can be designed by monitoring the product working cycle and the consumer’s post-warranty maintenance to sustain the post-warranty reliability can be modeled by tracking the product working cycle. However, the related works appear seldom in existing literature. In this article, we incorporate random working cycle into warranty and propose a novel warranty ensuring reliability performance of the product with random working cycles. By extending the proposed warranty to the post-warranty maintenance, besides we investigate the postwarranty random maintenance policies sustaining the post-warranty reliability, i.e., replacement last (first) with preventive maintenance (PM). The cost rate is constructed for each post-warranty random maintenance policy. Finally, sensitivity of proposed warranty and investigated polices is analyzed. We discover that replacement last (first) with PM is superior to replacement last (first).
Trump Yönetimi Döneminde ABD’nin İsrail ve İran Politikası: Köktenci Evanjeliklerin Etkisi
Authors: ÖZÇELİK Onur Mert , OKUR Mehmet Akif
Published: September 2021

Amerikan tarihi ve demografik yapısından kaynağını alan nedenlerden ötürü evanjelizm, Amerikan toplumunun önemli bir çoğunluğunun dünya görüşünü şekillendirmiş ve toplumun en alt kademesinden devletin en üst düzey yetkililerine kadar etkisini göstermiştir. Ancak evanjelik Hıristiyanlar dini açıdan ve politik olarak yekpare olmamışlardır. Amerika Birleşik Devletleri'nde hemen her Protestan mezhebinde evanjelikler bulunabilmekle beraber birçok farklı inanç, çeşitli alt kültürler ve birbirine zıt görüşler taşıyan evanjelizmler söz konusu olmuştur. 1970’li yılların başından itibaren ise yeni muhafazakâr sağ olarak da adlandırılan ve gerek kiliselerde gerekse tesis ettikleri çeşitli sivil toplum organizasyonları aracılığıyla kamuoyunda görünürlükleri artan ve ABD siyasetinde etkili bir güç haline gelen köktenci görüşlere sahip evanjelik gruplar öne çıkmaya başlamıştır. Bu çalışma, bu köktenci evanjelik grupların Donald Trump yönetimi döneminde ABD’nin Ortadoğu’ya yönelik izlediği politikalara etkisini incelemektedir. Bu kapsamda evanjeliklerin iç ve dış politikada bir baskı grubu olarak çıkar algılarını açıklama, özel olarak ilgilendiği dış politika alanlarını tanımlama ve Evanjelik hareketin Donald Trump ve yönetimindeki diğer isimlerle etkileşimleri ve bağlantılarını gözlemlemeye çalışmaktadır.
Sosyal Medyada Etik, Bilgi Manipülasyonu ve Siber Güvenlik
Authors: TEKKE Aynur , LALE Aybala
Published: September 2021

Bu çalışmanın amacı, kitle iletişim araçları ile sosyal medyada üretilen ve akışa dahil edilen bilgileri dijital etik ve siber güvenlik stratejileri bağlamında analiz etmektir. Dijital etik ilkeleri, bireylerin yaşam mahremiyetini göz önünde bulunduran normları kapsamaktadır. Siber uzay, bilgisayar ve bilgisayar ağlarına ilişkin bir kavram olmanın yanı sıra insan eliyle üretilen faaliyetler bütününü de içerdiği için, siber uzayda manipülasyon teknikleri önemli bir siber tehdit olarak kullanıcıların karşısına çıkmaktadır. Siber tehditlerle mücadele etmek için ise dijital etik kurallarının geliştirilmesi önem arz etmektedir. Dijital etik kurallarının ihlal edilmesi sonucunda yanlış ve yalan bilginin oluşmasıyla birlikte bireylerin yanlış bilgilendirilmesi söz konusu olmaktadır. Çalışmada, öncelikle bireyleri “aynı olma” paydasında buluşturma amacı güden sosyal medya, Adorno ve Horkheimer’ın kültür endüstrisi kavramı kapsamında değerlendirilmiştir. Bu doğrultuda, manipülatif nitelik taşıyan içerikler, dijital etik ilkeleri bağlamında analiz edilmiştir. Daha sonra, genelde siber uzayda karşılaşılan sosyal medya tehditleri ve özelde ise bilgi manipülasyonu devletlerin uyguladığı siber güvenlik stratejileri bağlamında karşılaştırılmıştır. Netice olarak, bilginin dijital etik ilkelerinden uzaklaştıkça manipülatif niteliğinin arttığı görülmüştür. Bu nedenle siber uzayın tüm aktörlerinin siber etik kurallarının geliştirilmesi ve uygulanabilmesi için etkin olmaları gerektiği tespit edilmiştir.
HOMOGENIZED MODELS FOR MULTIPHASE DIFFUSION IN POROUS MEDIA
Authors: Sandrakov G. V.
Published: September 2021

Non-stationary processes of mutual diffusion for multiphase flows of immiscible liquids in porous media with a periodic structure are considered. The mathematical model for such processes is initial-boundary diffusion problem for media formed by a large number of «blocks» having low permeability and separated by a connected system of «cracks» with high permeability. Taking into account such a structure of porous media during modeling leads to the dependence of the equations of the problem on two small parameters of the porous medium microscale and the block permeability. Homogenized initial-boundary value problems will be obtained. Solutions of the problems are approximated for the solutions of the initial-boundary value problem under consideration.
CONSTRUCTION OF NEURAL ARCHITECTURES WITH DESIRED BEHAVIOUR UNDER GEOMETRIC TRANSFORMATIONS OF THE INPUT
Authors: Dudar V. V. , Semenov V. V.
Published: September 2021

We present a general method for analysis of convolutional layers under geometric transformations of the input that are linear with respect to pixel values. We also describe the algorithm for finding all possible types of behaviours of the output of convolutional layers under geometric transformations of the input. We also present a general method for construction of convolutional architectures with desired behaviour under geometric transformations of the input.
Urban Vandalism in the Eyes of Youth: an Empirical Study of Its Causes Attribution
Authors: Zlokazov K.V. , Karayani Y.M. , Karayani A.G. , Shakhmatov A.V.
Published: September 2021

The research is devoted to the attribution of the reasons of vandal behavior by urban youth. Quantitative content analysis of respondents' statements (text-mining) on the presented photos of vandalized urban environment, the indicators of respondents' perception of "negative assessment of vandalism" and "explanation of vandal behavior reasons" formed on its basis, as well as the scale of "World image" assessment formed for research purposes are the information collection method. The research sample includes young people from the cities of Yekaterinburg and Moscow. Yekaterinburg, Moscow, St. Petersburg (N=193), aged from 18 to 35 years (M=21.2 years, SD=4.1 years), consisting of men. The collected lexical array of utterances amounted to 6550 words (23657 signs), after generalization made 35 word forms, representing attitudes towards vandalism and typical attributions of its causes. The results of the study show the contradictions between the negative attitudes of young people to vandal behavior and the explanation of the reasons of vandalism, allowing it for the purpose of: a) self-expression, b) under the influence of aggressive emotions, as well as the experience of grief, resentment; c) opposing themselves to others. It is noted that the image of the world influences young people's ideas about the meaning of vandal behavior.
Mechanisms of Stress-Coping Behavior in Police Operation Officers in an Emergency Situation
Authors: Dubinsky A.A. , Bulygina V.G. , Pronicheva M.M.
Published: September 2021

The research work looked into the specifics of coping with stress by police officers in situations involving increased preparedness for emergencies arising from the COVID-19 pandemic. 56 male policemen have been examined (with 26 of the subjects examined before an emergency, and remaining 30 - in situations of high emergency preparedness). The study revealed that police officers in situations of high emergency preparedness were distinguished by the pronouncedness of a factor associated with coming to terms with uncertainty arising from the COVID-19 pandemic. Stressful work conditions caused both additional resource mobilization due to high autonomy of activity control, developed goal-setting, ability to make decisions with regard to the situation and strong motivation to avoid failures together with high sensitivity to conflict- and frustrating situations, low tolerance for uncertainty in communication, decreased interest in work and need for social support. Standard work conditions were characterized by the tendency of avoiding failure in cooperation, motivation to be up to professional requirements, tolerance for uncertainty, developed self-control, well-shaped inner criteria for decision-making, flexibility in programming one's professional actions, developed social skills.
A Pilot Study of Experience of Gender-Based Violence by Girls with Mental Disorders
Authors: Retsya S.E. , Lukovtseva Z.V.
Published: September 2021

Being highly subjective and hard to diagnose, the phenomenon of experiencing of gender-based violence remains insufficiently understood. Finding the nature of such experience in victims with mental disorders appears to be of particular relevance and was chosen as the subject of this research work. It was hypothesized that experience of gender-based violence reflects the negative subjective significance of what happened and is more dramatic in girls with mental health problems than in girls who are mentally healthy. 15 girls with non-psychotic disorders (G.Ye. Sukhareva Center of Mental Health) and 8 mentally healthy girls aged 15-17 have been examined. The following methodologies were used: the Line of Life; Identifying Situations of Gender-Related Violence; Clinician-Administered PTSD Scale. It has been established that experiencing gender-based violence by girls with mental disorders is distinguished by increased subjective actuality, acuteness, attainability of spontaneous verbalization and other characteristics. The practical relevance of the data obtained is determined by their applicability in the psychological rehabilitation of mentally diseased girls who have faced gender-based violence.
Structure of Subjective Well-being of Primary-School-Age Orphan Children with Disabilities Living in Orphanage Institutions and of Children Deprived of Parental Care
Authors: Oslon V.N. , Semya G.V. , Prokopyeva L.M. , Kolesnikova U.V.
Published: September 2021

The article presents the results of the study of the level and features of the structure of subjective well-being of orphans with disabilities aged 7 to 12 compared with conditionally healthy children. Within the limits of research, under the subjective well-being of the child the satisfaction (level of satisfaction) "system of the relations" to itself, others, with environment is considered. The study is based on a theoretical construct, an operational model, and a toolkit for studying subjective well-being in orphans and children without parental care, the validity of which has been proven on the basis of empirical research on this category of children. The analysis of the results showed that the structure of subjective well-being depends on the presence or absence of disabilities in orphans of primary school age, but at the same time, the presence of disabilities by itself, without taking into account the relationship with other components, is not reflected in the level of their subjective well-being.
Geomatic Assessment Of Rainwater Harvesting Potential System At Cmr College Of Engineering & Technology
Authors: NVN Ravali Suresh Kandru, Musini Venkateswarlu,
Published: September 2021

CMRCET campus comprises about 10 of acres land, where water is the natural resource which is being always in high demands. If the demand is not met, then it will lead to water scarcity. Therefore, RWHS can be considered as a best solution for fighting against scarcity of water. Our present study deals with the identification of the study area boundary and marking it as a Polygon in GIS, Rooftops of various block entities, paths and pavements were digitized using the Polygon vector in GIS. GIS technique is employed for locating boundaries of the study area and for calculating the areas of various types of rooftops and paths. With the application of GIS, it is possible to assess the total potential of water that can be harvested. Potential of rainwater harvesting refers to the capacity of an individual catchment that harnesses the water falling on the catchment during a particular year considering all rainy days. This present study will enable us to identify the suitable type of water harvesting structure along with the number of structures required. Our aim is to maximize water storage and minimize the runoff through drains without making use of it. Thus, Rainwater Harvesting and Conservation aim at the optimum utilization of the rain water.
Changing of pulmonary artery diameter in accordance with severity of COVID-19 (assessment based on non-contrast computer tomography)
Authors: Aliev Alexander F. , Kudryavtsev Nikita D. , Petraikin Alexey V. , Artyukova Zlata R. , Shkoda Andrey S. , Morozov Sergey P.
Published: September 2021

BACKGROUND: Computed tomography is the method of choice for assessing the volume of lung damage in viral pneumonia, including those associated with COVID-19. In addition, computed tomography can determine the main vessels size of the thorax. This allowed us to analyze the relationship between the severity of COVID-19 and the changes in the diameters of the pulmonary artery (PA) and ascending aorta (Ao). Dilation of the PA is a sign of pulmonary hypertension. The study of these patterns may be of clinical significance in determining the treatment tactics and prognosis of the course of COVID-19 disease.
AIM: To evaluate the relationship between PA diameter and the severity of the COVID-19 course in patients of different ages.
MATERIALS AND METHODS: This study is a single-centered, cross-section, continuous, uncontrolled study performed on a group of patients (n=511, 267 men, median 59 years, IQR 49.065.0, ages 3184 years) who were treated in a temporary hospital to treat patient with COVID-19. During hospitalization all patients were examined by CT scan of the chest. All studies were carried out using a mobile CT scan system Airo TruCT (Stryker, USA). The degree of damage to the lung tissue was assessed using the CT volume scale 14. Measurement of the LA and Ao diameters was carried out using standard instruments of the radiologists CT workstation perpendicular to the long axis of the vessel.
RESULTS: The following statistically significant regularities were obtained: the detection of a dilated pulmonary artery (PA) and an increased PA/Ao ratio correlated to an increase in the degree of lung damage in COVID-19 (Kruskal-Wallis test, K-W p 0.001; median test, MT p 0.001), the diameter of the ascending aorta (Ao) significantly increases with the patients age (K-W p 0.001; MT p 0.001). An insignificant correlation between an increase in the diameter of the pulmonary artery (PA) and the patients age (K-W p=0.094; MT p=0.311) and an insignificant correlation between detection of a change in aortic (Ao) diameter and the degree of lung damage (K-W p=0.061; MT p=0.165) were shown. In groups with a severe course of the disease and a large volume of lung lesions (CT-3 and CT-4), a significantly greater number of patients with signs of pulmonary hypertension (detection of the dilated pulmonary artery: 29 mm and more) was shown for all age groups.
CONCLUSION: The study showed that PA dilatation and increased PA/Ao diameter ratio were significantly associated with increased pulmonary lesion volume in COVID-19 in all age groups.
Malignant course of tropical malaria
Authors: Bashirova D. K. , Khaertynova I. M. , Galeeva R. K. , Gataullin V. V.
Published: September 2021

The observation being of interest to infectionists and to therapeutists is given. The necessity of caution concerning malaria in persons with fever returning from regions unfavourable in malaria is stressed. Similar complications involve appropriate diagnosis and intensive combined therapy.
Efficiency of sublingual specific immunotherapy in children with bronchial asthma and preasthma
Authors: Potemkina A. M. , Klykova T. V.
Published: September 2021

The efficiency of sublingual specific immunotherapy with everyday allergens of 112 children with respiratory allergoses bronchial asthma and preasthma is studied. Its high efficiency is shown: persistant clinical remission of the disease is achieved in 88,4% of the children accompanied by the decrease of sensitization and hypersensitivity of the organ pertaining to shock to allergens and normalization of bronchial permeability.
Health of children being born premature
Authors: Maltsev S. V. , Volgina S. Ya. , Galieva S. Kh.
Published: September 2021

The peculiarities of the health state of 90 children being bom premature of III degree are studied. The control group involved 90 children being mature in birth, of the same age, selected on the para-copy principle (sex and age). From the data of improved examination the high sickness rate, frequent psychical and behaviour disorders, retardation of physical development are revealed among children aged up to 14 with prematurity of III degree in birth.
The first experience of in vitro fertilization and embryo transfer in the Republic of Mari El
Authors: Koroleva S. D.
Published: September 2021

The methods and results of the first treatment experience of 18 cases of female infertility by extracorporeal fertilization and transfer of embryos are described. The onset of four pregnancies is established, one of which is making progress and the other pregnancy ended with the child birth.
Complex treatment of a patient with multiple external intestinal fistulas after pancreatoduodenal resection
Authors: Lomonosov A. L. , Sokolov Yu. S. , Golubev A. A. , Eremeev A. G. , Bondarenko S. P. , Volkov S. V.
Published: September 2021

The urgency of the problem of treatment of unformed external intestinal fistulas (UIE) is beyond doubt, since the overall mortality ranges from 2.8% to 34%, and postoperative mortality reaches 72%. The necessity of a complex therapy, the choice of elements of which is determined in each specific case, has been substantiated. An important component of this complex is measures to create and maintain hyperalimentation by combining various options of enteral and parenteral nutrition, which is the most acceptable in difficult economic conditions. Closure of large defects of the anterior abdominal wall seems to be no less important problem of NSCLC treatment and requires searching for new approaches in its solution.
Peculiarities of clinical diagnosis of retroperitoneal hemorrhages in closed abdominal trauma
Authors: Dobrokvashin S. V. , Davletshin A. Kh.
Published: September 2021

Closed abdominal and retroperitoneal injuries occur in 1.5-4% of peacetime injuries. Many issues of their diagnostics require further development. In this article we describe only clinical diagnosis of this pathology, without focusing on the use of instrumental methods (invasive and noninvasive). In our opinion, the clinical picture is of decisive importance in the diagnosis of any urgent abdominal pathology. Our observations are based on the analysis of 100 case histories of patients treated in the emergency surgery department of Kazan Emergency Hospital, as well as on the literature data.
Clinical-pharmacological approach to etiotropic therapy of acute pneumonia
Authors: Wiesel A. A.
Published: September 2021

The purpose of the lecture is to encourage the general practitioner to act justifiably when choosing (means of treatment of pneumonia. It is necessary to abandon such a vicious scheme, when the patient is recommended to have injections of gentamicin or (!) lincomycin (antibiotics of different groups with significantly different antibacterial spectrum of action) only because they do not need to be done every 4 hours. Experience of advanced clinics of the world shows that gentamicin is used in the treatment of pneumonias not more often than 6% of cases, that tablet antibiotics are no less effective, that not all vitamin preparations can be prescribed during antibiotic therapy.
Osteosynthesis of tubular bones of upper extremities by external wiring apparatus of lightened construction
Authors: Krivoshapko S. V.
Published: September 2021

The treatment of patients with upper extremity bones fracture by external wiring apparatus mounted from Elizarov's apparatus parts without through layed wires is proposed. The choice of such rational arranging of the apparatus allows to avoid the complications connected with layed wires through neurovascular formations and major massive of soft tissue.
Republican Scientific and Practical Conference "Modern Methods of Diagnostics and Treatment of Patients in Clinic"
Authors: Kamalov I. I.
Published: September 2021

Prospects of development of the Department of Radiation Diagnostics and Radiation Therapy of Kazan Medical University, which celebrated its 60th anniversary, was devoted to the report of Prof. I.I. Kamalov (Kazan).
Comparative assessment of the quality of life in patients with chronic critical lower limb ischemia after surgical treatment (literature review)
Authors: Kosenkov Aleksandr N. , Vinokurov Ivan A. , Kiselea Anastasia K. , Udovichenko Svetlana V.
Published: September 2021

Today, there are several approaches to the treatment of critical lower limb ischemia (KINK). However, despite the high clinical effectiveness achieved, it is not always possible to achieve a high quality of life for the patient after surgery. This article presents modern aspects of surgical treatment of KINK and assesses the quality of life of patients depending on the type of intervention (literature review).
Early rehabilitation of patients after stroke-versions and contraversions (literature review)
Authors: Marciyash Alexey , Zueva Svetlana A , Moses Vadim G , Moses Kira B , Lishov Evgeny V , Yelgina Svetlana I , Rudaeva Elena V
Published: September 2021

The article contains an overview of the main directions of medical rehabilitation in stroke. Modern views on the process of intensive and moderate early rehabilitation are presented.
“Shaking in 5 Seconds!”—Performance and User Appreciation Assessment of the Earthquake Network Smartphone-Based Public Earthquake Early Warning System
Authors: Bossu Rémy , Finazzi Francesco , Steed Robert , Fallou Laure , Bondár István
Published: September 2021

Public earthquake early warning systems have the potential to reduce individual risk by warning people of approaching tremors, but their development has been hampered by costly infrastructure. Furthermore, both users’ understanding of such a service and their reactions to actual warnings have been the topic of only a few surveys. The smartphone app of the Earthquake Network initiative utilizes users’ smartphones as motion detectors and provides the first example of a purely smartphone-based earthquake early warning system, without the need for dedicated seismic station infrastructure and operating in multiple countries. We demonstrate that this system has issued early warnings in multiple countries, including for damaging shaking levels, and hence that this offers an alternative to conventional early warning systems in the foreseeable future. We also show that although warnings are understood and appreciated by users, notably to get psychologically prepared, only a fraction take protective actions such as “drop, cover, and hold.”
Influence of Using Different Light Curing Devices on the Microhardness of a Bulk-Fill Resin
Authors: Silva João Marcos Carvalho , Silva Alina Barreto de Negreiros Ribeiro , Brandim Ayrton de Sá , Viana Mila Oliveira Santos
Published: September 2021

AbstractBulk Fill resins are a class of resin composites widely used today and have low polymerization shrinkage. However, these materials need an appropriate light curing technique to have good physical and mechanical properties. The objective of this study was to evaluate the surface microhardness of Bulk Fill resins after their light-curing with two types of high- power light-curing devices, using three techniques. 30 specimens were made with a nanoparticulate composite resin Opus Bulk Fill (FGM) and were divided into three groups according to the device and intensity of light curing: Group 1 - light curing with the Emitter B device (Schuster); Group 2 - light curing with the Valo device (Ultradent) at Standard power; and Group 3 - light curing with the Valo device at high power. Higher values of top surface microhardness were observed in Group 3 (microhardness = 53.6 μm), followed by Group 2 (microhardness = 52.1 μm) and Group 1 (microhardness = 33.1 μm), with p values <0.05. Therefore, the Valo light curing unit, in the two powers used, provided greater surface microhardness for the studied specimens.Keywords: Polymerization. Composite Resins. Hardness Tests. Dentistry.ResumoResinas Bulk Fill são uma classe de compósitos resinosos bastante utilizados atualmente e apresentam baixa contração de polimerização. Entretanto, esses materiais necessitam de uma adequada técnica de fotopolimerização para que apresentem boas propriedades físicas e mecânicas. O objetivo deste estudo foi avaliar a microdureza superficial de resinas Bulk Fill fotopolimerizadas com dois tipos de aparelhos fotopolimerizadores de alta potência, em três técnicas de utilização. Foram confeccionados 30 corpos de prova com uma resina composta nanoparticulada Opus Bulk Fill (FGM) e divididos em três grupos de acordo com o aparelho e intensidade de fotopolimerização: Grupo 1 – fotopolimerização com o aparelho Emitter B. (Schuster), Grupo 2 – fotopolimerização com o aparelho Valo (Ultradent) na potência Standard, Grupo 3 – fotopolimerização com o aparelho Valo em alta potência, posteriormente foi realizado o teste de microdureza de Vickers na região superficial de topo dos corpos de prova. Observou-se maiores valores de microdureza superficial de topo no Grupo 3 (microdureza= 53,6 μm), seguido pelo Grupo 2 (microdureza= 52,1 μm) e Grupo 1 (microdureza= 33,1 μm), com valores de p<0,05. Assim sendo, o aparelho fotopolimerizador Valo, nas duas potências utilizadas, forneceu maior microdureza superficial para os corpos de prova estudados.Palavras-chave: Polimerização. Resinas Compostas. Testes de Dureza. Odontologia.
Developing anaerobic power and capacity for combat sports athletes
Authors: Lopes-Silva João Paulo , Franchini Emerson
Published: September 2021

This chapter describes the physiological responses associated with anaerobic power and capacity of combat sports athletes from different modalities (judo, Brazilian jiu-jitsu, wrestling, Olympic boxing, karate, and Muay Thai) during specific situations. Next, the most used evaluation methods for the control and monitoring of these variables are presented. Finally, based on longitudinal studies that evaluated the effects of anaerobic power and capacity training of combat sports athletes, the main training approaches are presented.
ANALYSIS OF ONLINE SHOPPING BEHAVIORS DURING COVID 19 PANDEMIC: ANKARA CASE
Authors: YILMAZEL Burcu , ŞENYEL KÜRKÇÜOĞLU Müzeyyen Anıl , HOCAOĞLU Tuğrul , ÇABUK Saye Nihan , GÜNSOY Bülent , ÇABUK Alper
Published: September 2021

The COVID-19 pandemic has caused noticeable changes when it comes to the consumption and purchasing behaviors of customers and the increase in online shopping besides various fields such as health, education, and transportation. Within this context, the goal of this study is to determine the relations between the online shopping, shopping locations, and the 3 particular time intervals during the COVID-19 pandemic, which were set to represent the pre-pandemic, pandemic, and new normal periods, in 2020. To fulfill this aim, the online shopping data of Marketyo were processed and a sample of 979 observations from 7 districts of Ankara province was analyzed via two factor ANOVA method to determine the effects of pandemic periods and chosen districts on online food/non-food expenditures. The results revealed a significant statistical difference in mean food and non-food expenditures among both periods and districts. The highest amount of food and non-food expenditures were recorded mostly in Etimesgut, Çankaya, and Keçiören districts during Period-2, while the lowest was in Altındağ, Mamak, and Sincan districts during Period-1. According to the Turkey HSD test results, Sincan differed from all the other districts, as the lowest online market spending rate was recorded in this district. The results are assumed to be in line with the socio-economic development levels of the districts, as well as other issues such as internet accessibility, availability of technological devices, and geographical factors. The findings of this study are supported to be guiding for further studies for the determination of the pandemic on online shopping behaviors and patterns, as well as their geospatial relations.
Biofilm formation by bacteria isolated from intensive care units of a tertiary care hospital, with special relevance to its risk factors
Authors: Gogoi Mayuri , Sharma Ajanta
Published: September 2021

Background: The purpose of this study was to detect biofilm formation by bacterial isolates from patients with device associated infection admitted in intensive care units (ICUs), to compare the three methods used for detection of bioiflm, to compare the antimicrobial susceptibility pattern of the biofilm producers with the non-producers and to study the risk factors associated with biofilm formation.Methods: A total of 115 bacterial isolates from patients with device associated infection admitted in different ICU for a period of one year was included in the study. These clinical isolates were detected for biofilm formation by tissue culture plate method, tube method and Congo red agar method. Kirby-Bauer disc diffusion method of antibiotic susceptibility was performed on all isolates.Results: Out of the 115 bacterial isolates, 71 were biofilm producers. Tissue culture plate method detected the maximum number of biofilm producers (61.7%). The maximum number of biofilm producers were isolated from tracheal aspirate and endotracheal tubes (52.1%) followed by blood (17%) and urine (12.6%) respectively. The predominant biofilm producing isolates were Klebsiella pneumoniae (39.4%), Staphylococcus aureus (19.7%) and Pseudomonas aeruginosa (16.9%). Multi drug resistance among the biofilm producers was significantly higher than the non-biofilm producers (p value=0.0125). The risk of biofilm formation was seen to increase with the increase in duration of hospital stay (p value=0.0092, statistically very significant).Conclusions: From this study it was found that a high degree of biofilm producers were isolated from patients on indwelling devices. Tissue culture plate was found to be the most accurate method. The degree of multidrug resistance among the bioiflm producers was significantly higher than the non-producers.
Clinico-radiological and functional outcome of surgical management of displaced two part, three part and four part proximal humeral fractures in adults treated by PHILOS plate in a tertiary care hospital in North India: a prospective study of 30 patients
Authors: Spolia Pankaj , Ghani Abdul , Arfee Sakib
Published: September 2021

Background: Treatment of proximal humeral fractures is challenging. In the past, the fractures were treated conservatively which compromised the functional results. PHILOS plate provides a good functional outcome with context to the early joint mobilization and rigid fixation of the fracture.Methods: This was the prospective study of 30 patients aged 20 to 60 years (mean age 48.4 years) with proximal humeral fractures including two part, three part and four part fractures based on Neer’s classification, treated by open reduction internal fixation with PHILOS plating. Functional outcome was assessed using Constant-Murley Score.Results: The final outcome was observed at 6 months follow up. The results were comparable with the existing literature. The Mean Constant Score at 6 month follow up was 79.4, range (38 to 92). Out of 30, (n = 12, 40%) had excellent outcome, (n = 9, 30%) had good functional outcome, 6 (20%) had moderate outcome, 3 (10 %) had poor outcome. Out of 30 patients, one patient with four part fracture had a lowest CS of 38. Complications were observed in 5, (16.7%) patients. Varus malunion in one patient, avascular necrosis in one patient, stiffness in one patient.Conclusions: PHILOS plate gives stable fixation, enables early range of motion and minimizes complications with good functional outcome if done with expert hands.
Correlation between atherogenic index of plasma and national institutes of health stroke scale score in acute ischemic stroke patients at Haji Adam Malik general hospital, Medan
Authors: Zulfikri Muhammad , Arina Cut A. , Batubara Chairil A.
Published: September 2021

Background: Stroke is the leading cause of morbidity and mortality in Indonesia. Dyslipidemia is one of the main risk factors of ischemic stroke. Atherogenic index of plasma (AIP) is the logarithm of the triglyceride’s plasma ratio concentration to high density lipoprotein cholesterol (HDL-C) plasma concentration. Previous studies showed that the high AIP at hospital admission was associated with deterioration of neurological deficits in patients with acute ischemic stroke.Methods: This is a cross sectional study with 82 sample of acute ischemic stroke subjects that consecutively collected from the medical records of Haji Adam Malik general hospital Medan from January to December 2019, AIP assessment performed at the 1st day of hospitalization and then at the 7th -onset the national institutes of health stroke scale (NIHSS) score assessment was count. Data analysis is conducted with Spearman test.Results: Demographic characteristics showed that most subjects were female (51.2%), at age range between 60 -68 years (30.5%), had high school education level (48.8%), self-employed (35.4%) and Bataknese (68.3%). The mean of AIP was 0.15±0.26 and the mean NIHSS score was 6.70±3.6. There was a positive significant and mild power of correlation between AIP and the NIHSS score (p=0.017; r=0.262).Conclusions: There is a significant relationship between AIP and the NIHSS score. The higher the AIP of acute ischemic stroke patients was associated with the increase in the NIHHS scores.
Nationwide surveillance for Telmisartan alone or with combination at real world therapy in Indian patients with hypertension (START)
Authors: Chopda Manoj B. , Gadkar Sunil G. , L. Yashwanth A. , L. Ravi Kumar , Dabhade Dhammadeep C. , Newale Sanket R.
Published: September 2021

Background: Angiotensin receptor blockers (ARBs) are amongst the most preferred class of antihypertensive as reported at various evidences or guidelines. However, choice amongst ARBs differs between practicing physicians in real-life scenario. This survey aimed to understand the usage preferences of telmisartan therapy alone and in combination for treating hypertension (HT) among practitioners at various clinical settings in real-life scenario in India.Methods: A cross‑sectional survey was conducted with a pre-validated survey questionnaire consisting of 15 questions pertaining to the telmisartan and its combination usage in HT management. Total 498 registered medical practitioners (mostly physicians and cardiologists) had participated in survey. They were approached for seeking their perception, opinions, and prescribing behaviour. Categorical data was summarized by number (n) and percentage (%) in each category. Data were summarised in frequency tables.Results: Key findings from the data analysed were as follows: Around 20-40% of patients been reported to have co-morbid hypertension and diabetes as reported by the majority of the physicians. Preferred class of drug in patients with hypertension with diabetes reported to be ARB. Around 90.36% of doctors reported that telmisartan was the most preferred ARB in patients with hypertension associated with high cardiovascular risk. Around 90.76% of doctors reported for their preference for telmisartan in patients with hypertension for 24-hr BP control. Around 82.93% of doctors preferred telmisartan in patients with hypertension and stroke/post-MI status.Conclusions: Indian healthcare practitioners prefer telmisartan as the most preferred ARB either alone or in a combination in patients with hypertension, including those with comorbidities.
Edwardsiella ictaluri, an unusual cause of bacteraemia in a Nigerian child with acute bloody diarrhoea
Authors: Adepoju Akinlolu A. , Adelaja Adesola O. , Amoo Abimbola , Orimadegun Adebola E. , Akinyinka Olusegun O.
Published: September 2021

Enteric septicaemia of catfish was first detected in 1976 as an economically significant disease associated with commercial catfish production. Initially, Edwardsiella ictaluri was a host specific pathogen of catfish species but has also been reported from other hosts other than the catfish such as the zebrafish. E. ictaluri has not been isolated in humans hence it is not a zoonotic infection. There has been no previous report of isolation of this organism in humans. This was a case report of a 5 year old boy who presented with fever, vomiting, passage of bloody stool of 6 days and abdominal pain of a day duration. In the case of this 5 year old boy who presented with features of dysentery, blood culture using BACTEC™ grew E. ictaluri. E. ictaluri may be a pathogen which can infect humans just like another closely related species, Edwardsiella tarda. Although, E. ictaluri has not been reported in humans, could this be the first case? Non availability of diagnostic technique appropriate for its diagnosis may explain the rare incidence of the organism in humans, hence many cases would have been treated without isolating the organism.
A case of acute myocardial infarction with anomalous origin of the right coronary artery from the contralateral aortic sinus
Authors: Reddy Krupal , Patil Sandip , Singh Harminder
Published: September 2021

Anomalous coronary anomalies are technically challenging. We describe the case of a 48-year-old male who suffered an acute inferior wall myocardial infarction due to thrombotic total occlusion in an anomalous right coronary artery arising from the contralateral aortic sinus.
Tuberculosis tenosynovitis of the wrist: a rare case report
Authors: Rao Venkata Mahipathy Surya Rao , Durairaj Alagar Raja , Sundaramurthy Narayanamurthy , Jayachandiran Anand Prasath , Rajendran Suresh
Published: September 2021

Tuberculosis (TB) is a common disease of the Asian continent and has a varied presentation. Involvement of the musculoskeletal system is uncommon and presents in 10% of extrapulmonary tuberculosis. The atypical sites of tuberculous infection are the spine (51%) pelvis (12%), hip and femur (10%), knee and tibia (10%), and ribs (7%), but involvement of the wrist is rare. Tuberculosis tenosynovitis is a rare site of extra-articular TB. Delayed diagnosis and hence treatment is because it mimics many other disease processes and as a result, complications are common. Median nerve compression leading to carpal tunnel syndrome may also occur in these patients. Here, we present a case of tuberculous tenosynovitis involving the wrist flexors and the radial and ulnar bursae treated with surgery.