bluuebunny/crossref_metadata_2025 huggingface dataset:
Conservative management of single fetal death in a twin pregnancy
Authors: Awoyesuku Peter A. , Ohako Chinweowa , Ngeri Bapakaye
Published: November 2020

Intrauterine death of a single fetus in a twin pregnancy during the second or third trimester is an uncommon complication and poses management challenge to the obstetrician. It also causes psychological stress and concern for the patient and her partner. We report a case of single fetal demise in a twin pregnancy, managed conservatively with a favourable outcome. A 31 years old lady, Para 1+1, referred from a cottage hospital, at a gestational age of 27 weeks, on account of demise of the leading twin, made on ultrasonography, following complaint of reduction in fetal movement of one-week duration. The patient was counselled and admitted to hospital for close monitoring. However, at 33 weeks gestation, six weeks following admission, she went into spontaneous labour and was subsequently delivered vaginally of a dead female leading twin (papyraceus) and a live female second twin. They weighed 300g and 2100g respectively, with a diamniotic-dichorionic placentation. Mother and baby were discharged home in stable state. The primary concern for single fetal demise in a twin pregnancy is its effect on the surviving fetus and mother. Regular antenatal care and routine ultrasonography in pregnancy are needed to make a diagnosis. Close monitoring of the wellbeing of the surviving twin and coagulation profile of the mother are crucial to manage possible complications.
An unusual case of cervical leiomyosarcoma in an adoloscent girl
Authors: Pahwa Sangeeta , Kaur Arshdeep , Kaur Preet K. , Kaur Tavleen
Published: November 2020

Primary leiomyosarcoma of the uterine cervix is an exceedingly rare tumor. It is malignant mesenchymal tumour of smooth muscle origin. We report a case of 15-year-old adolescent girl who presented with complain of excessive bleeding per vaginum off and on since 3-4 months and was diagnosed as leiomyosarcoma of cervix. Patient was advised further management but father refused as according to them when bleeding has stopped completely then what is the need of further treatment. In this article we want to highlight the points: what is prognosis and survival of such patient whose mass was removed completely and patient is not willing for further treatment inspite of knowing the aggressive nature of tumor and if hysterectomy is the answer what about the reproductive outcome in such young girls and what is the prospect of uterine transplant surgery.
An interesting case of a twin pregnancy complicated with happy hypoxia, peripartum cardiomyopathy and haemolysis, elevated liver enzymes, low platelet count syndrome during the COVID-19 pandemic situation
Authors: Banerjee Ramna , Rahman Farheen
Published: November 2020

Ever since the beginning of the COVID-19 pandemic in December 2019, the focus has been on studying the varying clinical symptoms and signs of the disease. A condition which has been alarmingly occurring in quite a number of patients is a state of hypoxemia, of which the patient is blissfully unaware and does not have any symptoms of breathlessness or respiratory discomfort in spite of having low oxygen saturation levels. Hence the term coined for it- “happy hypoxemia”. We are reporting a case of a pregnant woman with twin pregnancy and pregnancy induced hypertension who rapidly progressed to hemolysis, elevated liver enzymes, low platelets syndrome without having proteinuria along with features of peripartum cardiomyopathy and also had low oxygen saturation levels (less than 72%) though she did not have any complaints of dyspnea, orthopnea, hemoptysis, chest pain, cough or peripheral oedema. She was tested for COVID-19 with real-time polymerase chain reaction on 2 occasions a week apart and was found to be negative. Her recovery was also unexpectedly rapid and progressive.
A case of hybrid medical management of advanced cornual ectopic pregnancy
Authors: Bajpai Shilpa , Lele Prasad
Published: November 2020

Cornual ectopic pregnancy is perilous and treacherous entity which accounts for 2-4% of all ectopic pregnancies and has a maternal mortality of 2-2.5%. There is always a dilemma in diagnosis due to the area being in close proximity to the endometrial cavity. The precise localisation is difficult till the gestation is advanced, which poses problems in its subsequent management. Surgical approach in this highly vascular area leads to excessive bleeding is a daunting nightmare for a surgeon and also imposes a great threat to the future fertility of the patient. Here we present a case of 26 year old spontaneously conceived primigravida who presented for booking visit at 10 week period of gestation. On transvaginal sonography, there was a suspicion of right cornual ectopic pregnancy which was later confirmed on magnetic resonance imaging (MRI). Despite due to advanced viable gestation, with an evident cardiac activity and very high serum β-human chorionic gonadotropin (βhCG) (more than 1 lakh mIU/ml), we tried a pioneering technique of conservative hybrid approach with intracavitary instillation and systemic antimetabolite drug methotrexate, in view to safeguard her future fertility by diminishing the likelihood of hysterectomy. While on the treatment, patient developed hyper reaction to methotrexate, which was managed with a multidisciplinary approach. She responded very well to the therapy with complete resolution of the cornual ectopic pregnancy.
Nephrotic syndrome in pregnancy: a case report
Authors: Mohapatra Ipsita , Samantaray Subha R.
Published: November 2020

Nephrotic syndrome is a spectrum of renal disorders in which proteinuria is a hallmark. When pregnancy is affected by nephrotic syndrome, the maternal and fetal outcome, as well as the required treatment, depends on the underlying cause and severity of the disease. Pregnant patients with nephrotic syndrome are more prone to develop pre-eclampsia, preterm birth, low birth weight babies and intrauterine fetal growth restriction. Here we are presenting a case report on pregnancy with nephrotic syndrome which was managed by multidisciplinary approach with successful outcome.
Preterm vaginal en caul delivery in a case of severe oligohydramnios with pyelonephritis
Authors: Ghosh Kashmira , Choudhury Arun Paul
Published: November 2020

En caul deliveries are very rare and are associated with prematurity. Approximately 40 percent of spontaneous premature births are thought to be caused by infection.  Preterm along with oligohydramnios can lead to en caul delivery. We report a case of 27-year-old gravida 4 multiparous women with a history of 2 normal vaginal deliveries NSVD and 1 spontaneous abortion, who presented at 32 weeks of gestation in active labour and delivered preterm viable female with an intact placenta contained within the amniotic sac as a unit “en caul.” Since the patient gave a history of lower back pain with burning micturition for 1 month which remained consistent after delivery, ultrasonography whole abdomen was done and bilateral pyelonephritis was diagnosed. However, the baby’s sepsis screen was negative and discharged healthy.  We report this case because of its rarity of occurrence and to show that intact amniotic membrane during birth can protect the baby from birth trauma and infections.
La educación escolar y los educadores profesionales como problema en Charles Dickens
Authors: Belmonte Miguel Ángel
Published: November 2020

En este artículo se estudia la evolución de la concepción dickensiana de la educación escolar y del maestro a través de la producción literaria del afamado autor inglés. Para ello se recurre a la conexión de tres elementos básicos: las experiencias escolares biográficas; las escuelas y educadores descritos en sus quince grandes novelas y las referencias al mundo escolar en cartas, discursos y publicaciones menores. El resultado del estudio es que la confianza inicial de Dickens en la capacidad educativa y reformadora de las escuelas y los maestros profesionales fue decayendo a lo largo del tiempo hasta llegar en sus últimas novelas a convertir al maestro profesional en villano.
Research and Practice of Teaching Reform of Organic Synthesis in Universities
Authors: Sun Jinyu , Zhai Baoping , Zhao Sanhu , Zhao Minggen
Published: November 2020

The teaching content of organic synthesis is rigorous and has high standards for students' knowledge application ability, thinking ability and learning ability. Therefore, how to promote the high-efficiency development of organic synthesis classroom teaching activities in colleges and universities has become a problem that needs to be studied by teachers. The author starts from the factors that hinder the development of organic synthesis classrooms in colleges and universities, and through an in-depth analysis of the actual teaching situation, finds a specific way to promote the smooth progress of the reform. Long-term development of career.
The Current Situation and Development of English Education in Chinese Colleges and Universities
Authors: Tan Ting
Published: November 2020

The in-depth implementation of the reform of higher education has made educators pay more attention to the innovation of teaching concepts, hoping to achieve the purpose of promoting the high quality of students' learning effectiveness in the process of establishing new classroom teaching activities. But the reality is that many teachers still have to solve many difficulties in classroom teaching activities in order to ensure the orderly development of teaching activities. This article starts with the factors that hinder the orderly development of English teaching activities in colleges and universities, and finds specific solutions, hoping to provide references for other educators.
Research on Optimization Strategy of Cultural and Creative Products in Internet Information Education
Authors: Hu Jing , Jiang Yinhao
Published: November 2020

The rise of Internet information is bringing a whole new revolution to education. Based on the introduction of Internet education and cultural and creative products, this article analyzes the shortcomings of cultural and creative products in the current Internet information education, and provides corresponding optimization strategies.
The Contemporary Migrant Family in the Eyes of a Pole in Ireland
Authors: Szast Mateusz
Published: November 2020

Współczesna rodzina imigrantów w Irlandii okiem Polaka

Na kanwie współczesnych przeobrażeń społeczno-gospodarczych, zwłaszcza po przystąpieniu Polski do struktur Unii Europejskiej 1 maja 2004 r., nastąpił gwałtowny odpływ Polaków do krajów unijnych, ze szczególnym uwzględnieniem Wielkiej Brytanii i Irlandii. Szacuje się, iż obecnie w Irlandii przebywa około 120 tysięcy obywateli polskich, którzy tworzą tam rodziny, żyją samotnie lub funkcjonują w rodzinach czasowo rozłączonych. Celem artykułu jest ukazanie na podstawie badań pilotażowych: wywiadów swobodnych, istoty współczesnej rodziny migracyjnej, ze szczególnym uwzględnieniem więzi pomiędzy członkami rodzin, ról społecznych członków rodzin, realizacji funkcji rodzinnych w ramach szeroko ujętej migracji i dostosowania do nowych warunków życia migrantów. Respondenci zostali zapytani o kwestię tradycyjnych oraz nowoczesnych form życia małżeńsko-rodzinnego. Zapytano także o wpływ migracji na rozpad rodzin lub zanik ich tradycyjnych form, zastępując je alternatywnymi.
Znaczenie Europy Środkowo-Wschodniej w zimnowojennych koncepcjach polskiego wychodźstwa na tle potencjału wielkich mocarstw
Authors: Pawlikowicz Leszek , Zapart Robert
Published: November 2020

Kluczowe dla podjętych rozważań naukowych pozostawało pytanie o niezależność Europy Środkowo-Wschodniej z perspektywy posiadanego przez nią potencjału gospodarczo-militarnego w kontekście oczekiwań środowisk emigracyjnych związanych ze zmianami politycznymi w regionie w następstwie ewentualnego wybuchu III wojny światowej w połowie XX wieku. W świetle przywołanych przez autorów artykułu danych z różnych obszarów badawczych, małe i średnie narody tej części Starego Kontynentu nie miały ówcześnie poważnych przesłanek do obrony swojej niezależności na podstawie narodowych sił zbrojnych, gdyż ich potencjał wojenny nie pozwalał na wymaganą postępem technologicznym (broń nuklearna) ich rozbudowę i utrzymywanie na nowoczesnym poziomie, w odróżnieniu od dwóch wielkich mocarstw, Stanów Zjednoczonych i Związku Radzieckiego i związanych z nimi państw. Gwarancji podmiotowości musiałyby zatem poszukiwać w przyszłości w rozwiązaniach politycznych, w tym przede wszystkim partnerstwie z silniejszym podmiotem podzielającym ich wizję wolności, integracji oraz systemu zbiorowego bezpieczeństwa.
The effect of Self-Directed Learning on the relationship between Self-Leadership and Online Learning among university students in Turkey
Authors: Durnali Mehmet
Published: November 2020

More and more people across the world seek a university education. Therefore, universities offer full or partial distance undergraduate and postgraduate degrees to meet that demand. Distance education has become more widespread with advances in the Internet and computer technologies and online learning and teaching software (e.g., Learning Management Systems). The spread of the Coronavirus disease (COVID-19), which broke out in early 2020, has also played a significant role in the increased popularity of distance education. Therefore, investigating and reporting upon university students’ self-leadership (SL) behaviors, self-directed learning (SDL) skills, and online learning (OL) attitudes in such learning environments is both timely and critical. This empirical study used a relational survey model to investigate SL, SDL, and OL among university students. The sample consisted of 835 students in Turkey. Data were collected using the “Self-Directed Learning Scale (SDLS),” “Revised Self-Leadership Questionnaire (RSLQ),” and “Online Learning Attitude Scale (OLAS).” Data were analyzed using descriptive statistics, Pearson coefficient, Confirmatory Factor Analysis (CFA), and Structural Equation Modeling (SEM). SL was moderately and positively correlated with SDL and OL. SDL was moderately and positively correlated with OL. SDL played a fully mediating role in the relationship between SL and OL. SL predicted OL in both the indirect and total effect model. This study addressed university students’ perceptions and tested a model to provide empirical evidence for the relationships and predictions of SL, SDL, and OL. Therefore, it is believed that the results will help advance the constructs of SDL, SL, and OL paradigms.
Received: 07 March 2020Accepted: 17 November 2020
Meta-profile and competencies for harmonisation of higher education in sector-specific technology areas: A case study of Renewable Energy in Southern Africa
Authors: Zörner Wilfried , Mahomed Nawaz , Zulu Ackim , Bader Tobias , Tenthani Chifundo , Cuamba Boaventura , Chingosho Hilton
Published: November 2020

The aim of this study was to develop the profile and competencies of a harmonised curriculum for a multi-country regional sector-specific higher education programme. The study, which was based on a case study of Renewable Energy involving six countries in Southern Africa, was based on established methodologies proposed by previous studies on harmonisation and profiling of higher education programmes. The study uses a general curriculum development approach leading to the definition of generic and specific competencies and feeding into a learning taxonomy to create alignment with specific learning outcomes at the intended qualification level. However, the approach extends the harmonisation concept to include industrialisation potential, which is crucial in the developing-country context. This allows for the exploitation of shared resources in sector-specific technology areas and supports the development of regional standards on technology and practice, as part of developing a sustainable regional economic sector. Twentytwo competencies, encompassing both generic and specific competencies, were defined. These competencies were grouped into six key competence areas, and later transformed into four clusters of competencies: core competencies, hard skills, soft skills and attitudes. These four clusters were then placed on a planetary system to represent the meta-profile for the qualification, which forms the framework for the future design of learning materials for the qualification.
Received: 24 June 2019Accepted: 5 October 2020
The Practice of Review of Cases on Challenging Statutory Acts of the Russian Federal Service for Intellectual Property by the Intellectual Property Rights Court: Keeping Going over the Same Ground
Authors:   Lecturer of the Department of Criminal Procedure of the Saint-Petersburg University of the Ministry of the Interior of the Russian Federation, Andreeva Ekaterina Yu. , Lifson Moisey I. ,   Patent Attorney of the Russian Federation and the Eurasian Patent Office
Published: November 2020

The article is devoted to the institution of challenging the normative legal acts of Rospatent in the Court on Intellectual Rights on the example of several cases examined by the Court. The authors highlight a number of problems in this area. Since the consideration of a public objection to a patent for a controversial utility model or invention and the decision on the results of the consideration of such an objection is within the competence of Rospatent, and the PIS performs only a supervisory function, it is difficult to solve this problem within a reasonable time. The authors propose: all disputes related to intellectual property after issuing a security document should be resolved not in an administrative - judicial manner, but only in a judicial one, by analogy with the violation of the patent of the Russian Federation for intellectual property objects.
Some Aspects of the Establishment and the Development of the Procedural Economy Idea in Russian Law Sources on Different Historical Stages
Authors:   Assistant Judge of the Supreme Court of the Mari El Republic Postgraduate Student of the Department of Civil Law and Procedure of the Mari State University, Artizanov Aleksey I.
Published: November 2020

The article presents a useful retrospective look at how the idea of procedural economy was formed in civil procedural legislation through the prism of sources of law since Ancient Russia. Some problems of implementing the idea of procedural economy at various historical stages are considered.
Interrelation between Marginality and Crime on the Modern Society Development Stage
Authors:   Chief Research Scientist of the National Research Institute of the Ministry of Interior of the Russian Federation, Doctor of Law, Professor, Pleshakov Vladimir A.
Published: November 2020

Purpose. The current condition of criminality and its change over time shows that along with a fairly long overall decline in the indices of all criminality and its most dangerous types, the share of crimes associated with such marginal demonstrations like crimes committed in a state of alcohol and drug abuse is increasing substantially. The share of recidivism reached 50%, over 60% of criminals do not have a permanent source of income, so there was a need to understand these negative trends of the criminality. Methodology: dialectics, abstraction, analysis, synthesis, deduction, formal-legal method. Conclusions. First, the crime reduction recorded over the past 11 years does not reflect a real criminal picture and can be misleading both researchers and practitioners. Secondly, further strengthening of marginal demonstrations in criminality is a significant threat to the population from the point of view of everyday threats of criminal encroachments. Third, the failure to take measures that reduce the intensity of such demonstrations will lead to a significant increase in not only criminal, but also the most serious administrative offenses. Fourthly, the current criminal law impact on persons who have a marginalized lifestyle and committed a crime does not give the necessary effect of correction, but often exacerbates the problem. Scientific and practical significance. The conducted research allows to supplement and improve control methods of demonstrations of marginality in crime. Using the experience of our country and other countries to develop a more constructive impact on those who do not want to comply with the norms of public order, constantly threatening the security of the surrounding population. Consequences of this study can be used to create legal acts that regulate the issues of the institution of criminological protection of private life and ensure national security, as well as to be applied in the educational process when training specialists in the field of crime prevention.
Arctic Environment Protection Issues in Carrying out of Activities in Near-Shore Areas and on the Continental Shelf
Authors:   Postgraduate Student of the Department of Environmental and Land Law of the Law Faculty of the Lomonosov Moscow State University (MSU), Doronina Anna K.
Published: November 2020

Purpose. This article attempts to analyze the environmental acts of the Arctic coastal states in the field of protection of the Arctic marine environment, analyzes the legal mechanisms applied in various coastal Arctic states for the possibility of implementation some of them in the Russian legal system. Methods: dialectics, analysis, synthesis, generalization, comparison, analogy, formallegal method, comparative legal method. Results. To ensure the protection of the environment of the Russian Arctic, to prevent environmental damade to its fragile ecosystems and to compensate for the accumulated damage, attention should be paid to the experience of other Arctic states and international organizations in relation to this issue. Firstly, to the compensation funds; secondly, on the issues of transboundary pollution; thirdly, to prevention of unauthorized navigation in the Arctic waters; fourthly, on the possibility of creating panarctic protected marine areas. Scientific and practical significance. The conducted research develops and clarifies the theoretical provisions that exist in the science of environmental law concerning the legal mechanisms for the protection of the Arctic environment. The findings of this study will allow the legislative bodies to pay attention to other legal mechanisms for environmental protection, which can serve as a basis for improving Russian legislation.
Sodium Borohydride and Essential Oils as Reducing Agents for the Chemically and Green Synthesis of Silver Nanoparticles: A Comparative Analysis
Authors: ERKOC Pelin
Published: November 2020

Silver nanoparticles (Ag-NPs) have gained immense attention among the variety of metallic nanoparticles during the past decades. In addition to the distinctive optical and electrical properties, Ag-NPs have been particularly employed for their biocidal features in industrial products, especially in biomedicine. Despite the wide range of studies and applications of Ag-NPs, yet serious limitations remained unsolved such as environmental toxicity caused by the reaction byproducts. In the present study, Ag-NPs synthesized by chemical synthesis as well by green synthesis method as a safer alternative considered as environmentally friendly, cost effective and easy-to-handle. Sodium borohydride (NaBH4) and the natural essential oils originating from rosemary (Rosmarinus officinalis) and grape seed (Vitis Vinifera) used as synthetic and bio-reducing agents, respectively. An ultraviolet-visible (UV-Vis) and X-ray Diffraction (XRD) spectroscopy analysis were performed, providing an insight into the composition of the Ag-NPs. Ultimately, the antimicrobial activity of the nanoparticles was tested on a gram-negative bacterium, Escherichia coli (E. coli). The results revealed that Ag-NPs can be synthesized by a sustainable alternative method with the usage of essential oils originating from rosemary and grape seed, and the resultant Ag-NPs exhibit enhanced the antimicrobial activity compared to the ones synthesized by the chemical reduction method.
Magnetic resonance imaging of the placenta: a systematic approach to the description of normal placenta
Authors: Fokin A. V. , Semenova E. S. , Vyshedkevich E. D. , Shelepova E. S. , Romanov G. G. , Trufanov G. E. , Mashchenko I. A.
Published: November 2020

Background. Currently, one of the topical issues of prenatal magnetic resonance imaging is accurate and timely diagnosis of pathological conditions of extrafetal structures of the fetus. In particular, the most acute problem is the need to improve the diagnostic accuracy of recognition and differentiation of placental adhesive-invasive pathology (PAIP). In the literature, there is no unified approach to the methodology and description of MRI examination of the placenta. Objective. To improve the diagnostic methods of the method of magnetic resonance imaging for the study of the placenta. Design and methods. A total of 293 MRI studies of the small pelvis of pregnant women aged 22 to 45 years (average — 35 years), in gestational age from 14 to 38 weeks (average 36 weeks) were performed and analyzed. Results. A clinical three-stage method of MRI of the placenta and an algorithm for systematized description of MRI of the placenta of pregnant women have been developed and implemented. Conclusion. The developed systematic approach to the study of the placenta will help improve the capabilities of the MRI method for examining the placenta in connection with the demand for accurate and correct interpretation of this organ in vivo.
Tree stand of the old cemetery in Lodz and place of the old cemetery amongst Lodz’s cemeteries along the Lodka river
Authors: Otocki Tomasz
Published: November 2020

The article concerns tree stand of the Old Cemetery at Ogrodowa street in Lodz. Circumferences of trees at breast height in the main avenue have been measured. Also circumferences of other old trees in the cemetery and two other cemeteries have been measured. Value of tree stand in the Old Cemetery has been assessed. Assessment of the area and tree stands of former cemeteries in the Lodka valley has been done. Positon and time of foundation of cemeteries in relation to the Lodka River is presented in the paper. The article covers size and distance of cemeteries from the oldest part of agricultural Lodz.
Children’s perceptions of local religious sites in rural central Europe: case studies in the Czech-Polish and Polish-Slovak borderland
Authors: Reeves Daniel , Havlíček Tomáš
Published: November 2020

This study focuses on the local identities of children living in rural towns of Czechia, Poland and Slovakia. Cognitive maps, drawn by elementary school students in geographically proximate municipalities near international borders, provide a means of investigating the significance of local religious sites in the minds of young people. This research successfully examines everyday interactions between the subjects and their local landscape. It seeks to highlight religious elements of local identities.

The methods employed in this research present a more humanistic and qualitative approach, shedding light on the daily experiences of children in rural settings. Recognizing the inclusion and even the placement and artistic details of a religious site in a child-drawn map is a powerful way to move research “beyond the ‘officially sacred’”. The methods also allow for a blending of both passive – including a religious site in a cognitive map – and active – ranking a religious site among the top three important places – declarations of a religious element within local, territorial identity.

This study demonstrates how children use elements of the local religious landscape in constructing and re-constructing their community identity. The two Slovak municipalities showed the greatest affinity for religious elements among the expressions of local identity (children’s cognitive maps). Poland’s municipalities ranked in the middle and the two Czech municipalities scored lowest in terms of religious sites being considered important to the research participants.
Time, space and the social life new interpretation of cemeteries in the city
Authors: Tobiasz-Lis Paulina
Published: November 2020

The article reveals the issue of time recorded in the urban space, which determines the specific rhythm, continuity and passing of consecutive generations and their social relations. Presented research results focus on cemeteries and appear to be helpful in better understanding of their identity in the city structure, as well as the factors shaping their perceptions by individual people. Qualitative research methods have been applied, in particular: visual materials (photos) analysis and the semantic field analysis.

It seems that the use of images and narratives opens up new possibilities for human geography, new sources of spatial exploration. The problem undertaken in the article is important both from the cognitive and practical perspective related to the appropriate shaping of the city space – modern, yet at the same time not rooted out of the tradition and identity of a particular place, where people would feel good, being able to find both a reference to the past and to the future.
Melanotic Oncocytic Metaplasia of the Nasopharynx in the Patient with Suspicious Hemoptysis: Case Report
Authors: Cheong Taek Yoon , Kim Han Seong , Choi Ick Soo
Published: November 2020

Melanotic oncocytic metaplasia (MOM) in the nasopharyngeal space is a very rare entity. Only 35 cases have been reported in the English literature, and most patients were East Asian males between 60 and 70 years of age. MOM presents as a brown or black lesion with slight elevation of the mucosa. These lesions are benign and defined as cellular enlargement with eosinophilic granular melanin-pigmented cytoplasm caused by mitochondrial accumulation. However, such presentation can lead physicians to misjudge MOM as a malignant lesion. Recently, we experienced a case of MOM of the nasopharynx. A 58-year-old woman was admitted to the internal medicine department with small-volume hemoptysis and referred to the ENT department for evaluation. She was a regular smoker without any medical history. Sinus endoscopy showed black pigmented lesions on both the torus tubaris and left posterior tonsillar pillar, with low bleeding risk. Excisional biopsy of the lesion was performed, and oncocytic metaplasia was confirmed pathologically. Hemoptysis showed spontaneous remission and no recurrence or other symptoms over 12 months of follow up. Melanotic oncocytic metaplasia in the nasopharynx should be clinically recognized to avoid misdiagnosis as a malignancy like melanoma.
Penerapan Teori Big Push dalam Pengembangan Ekonomi Lokal untuk Mengatasi Kemiskinan Jember
Authors: Farhan Wafi , Hartono Ilham Wahyu , Meganingrum Yuliatri
Published: November 2020

Kemisikinan suatu daerah merupakan masalah besar yang selalu menjadi momok tiap tahunya. Kemiskinan daerah terjadi kaerana ketidakmampuan untuk memenuhi kebutuhan yang mendasar seperti pendidikan, pakan dan kesehatan. Kemiskinan dapat disebabkan karena sulitnya akses terhadap pendidikan dan pekerjaan. Menurut Friedman pengertian kemiskinan adalah ketidaksamaan kesempatan untuk memformulasikan kekuasaan sosial berupa asset, sumber keuangan, organisasi sosial politik, jaringan sosial, barang atau jasa, pengetahuan dan keterampilan, serta informasi. Teoru Big Push merupakan suatu teori untuk mendorong percepatan perekonomian disuatu daerah. Hal tersebut lebih efisien apabila dapat dikolaborisakn dengan pengembangan ekonomi lokal. Dimana pengembangan ekonomi lokal di gunakan untuk memaksimalkan pemanfaatan sumber daya lokal yang melibatkan masyarakat lokal, dunia usaha, pemerintah dan organisasi masyarakat untuk mengembangkan ekonomi suatu wilayah. Diharapkan kedua teori tersebut dapat menjadi solusi untuk mengatasi kemiskinan di suatu daerah.
Ocena ranljivosti gozdnih tal na zbijanje zaradi mehanizacije - preizkus in nadgradnja terenske metode blatne kepe
Authors: Poje Anton , Zore Primož , Suhadolc Marjetka
Published: November 2020

In recent decades, the use of heavy machinery in forest management has increased, causing compaction and alternations in soil morphology. As soil vulnerability to compaction is highly dependent on the type of soil and the current soil water content, rapid assessment of the suitability of the conditions for the use of machinery is of great importance for practice. The article discusses methods for rapidly determining the mechanical properties of soil. We tested the soil clump method, which was supplemented by the assessment of the appearance of the hand and handprint during preparation of the soil clumps, soil water content measurements and determination of the lower and upper limits of soil plasticity. The following soil types, which are common in Slovenian forest stands, were selected: brown soil on limestone and dolomite (Eutric Cambisol), dystric brown soil (Dystric Cambisol) and hypogley (Eutric Gleysol). The results of the study showed that, when dropped, the surface area of the clump increases with the water content of the soil, while at the same time the appearance of the clump, the soil residue on the hands and the appearance of the handprint change. Evaluation of the appearance of the hands and handprint represent supplements to the existing clump method, but can also be an alternative to it, as they can be both used independently. By determining the lower and upper limits of plasticity or soil strength, we indirectly assessed the risk of soil damage in forest production. Through the use of soil condition indicators, such as the appearance of the soil clump, the soil residue on the hands and the appearance of the handprint, we can quickly and easily assess the current working conditions in practise and thus prevent excessive soil deformation in forest operations.
INTERREGIONAL RESEARCH PROJECT «PSYCHOLOGICAL COMFORT OF EDUCATION IN MODERN RURAL SCHOOL» AS BASIS FOR MAKING A MODERN CONCEPT OF RURAL SCHOOLS DEVELOPMENT IN RUSSIA
Authors:   FSBEI HE «Vyatka State University», Korshunova Olga V. , Bykova Svetlana S. ,   FSBEI HE «Vyatka State University», Selivanova Olga G. ,   FSBEI HE «Vyatka State University», Sheromova Tatiyana S. ,   FSBEI HE «Vyatka State University», Shkalikov Evgeny V. ,   FSBEI HE «Vyatka State University»
Published: November 2020

The purpose of this article is to present the author's interpretation of the phenomenon of the education psychological comfort in rural school and some results on the analysis of its actual state, recorded in the framework of the empirical part of the study. The research methodology is integrative-differentiated, value, comparative, statistical and inductive approaches. The main methods are analysis of a few theoretical domestic and foreign sources on the problem of psychological comfort of education in a general educational organization; a survey method conducted in the format of a Google questionnaire for four groups of participants in the educational process – teachers teaching in basic and high schools, their parents and school administrators (the questionnaire used the diagnostic technique of I. A.»); content analysis of answers to open-ended questionnaires; method of primary qualitative analysis of empirical arrays obtained in the study; secondary analysis using methods of mathematical statistics. The content of the article presents the following research results: the author's interpretation of the phenomenon «psychological comfort of education in modern rural school»; the results obtained in 10 regions of the Russian Federation in the form of a) defining the mission of modern rural school based on an analysis of the answers of representatives of the administration of rural schools; b) the calculated complex characteristics of education in rural school «integral coefficient of psychological comfort in education». All results are of a comparative nature: data on rural schools correlate with similar parameters of urban schools in the regions. These results determine the scientific novelty of the research being carried out. The materials of the article will be useful to the pedagogical community; scientists interested in both the problems of rural schools and comparative pedagogy; managers and graduate students; possibly to social institutions collecting statistics on the education system. We should add that this article starts series of articles in which the results of the study on individual problems and regions will be presented in more detail.
SOCIAL PARTNERSHIP AS A MECHANISM FOR INCLUDING CHILDREN AND YOUTH IN VOLUNTARY ACTIVITIES
Authors:   Kostroma Region «Creative House», Gudas Inessa U.
Published: November 2020

In modern Russia, one of the trends in the development of society is the voluntary movement. The state is making significant efforts to support and develop this area. In 2017, on December 5, the Country officially celebrated the day of the volunteer (volunteer) for the first time, in the Russian Federation 2018 was declared the Year of the volunteer by the decree of the President of Russia V. V. Putin. Today, the main areas of volunteerism are helping children, the elderly, and the disabled. Volunteers are also engaged in garbage collection and gardening in their localities, raising funds for charity, providing free medical or legal assistance, and helping animals. Great attention is paid to the development of the non-profit sector as the basis of the volunteer movement and the mechanism of Patriotic education of citizens. Without a doubt, the education system cannot be left out. The task is to create a socially significant order for mass training of volunteer leaders who will be able to attract creative and thinking people to volunteering. This article presents a specific practical experience of organizing partnerships of educational institutions in the Kostroma municipal district of the Kostroma region. The article considers the forms of interaction between the pre-school «Generation», general education institutions, associations of additional education of the house of children's creativity, and the district administration, which gradually switched to programs based on volunteerism. The role and qualitative development of the children's voluntary organization «Generation» in the course of combining methodological, pedagogical, and material resources of all participants in social projects is shown. The author notes that the 17-year experience of such interaction allows us to draw a conclusion about the formation of high-quality results of social partnership in the development of volunteerism among children and young people: they are confident, ready to help, and understand the value of selfless work. The author comes to the conclusion that social partnership of educational organizations is an effective mechanism for including children and youth in voluntary activities.
FORMATION OF PROFESSIONAL COMPETENCE OF ADDITIONAL EDUCATION TEACHERS IN THE PROCESS OF DISTANCE LEARNING FOR RURAL CHILDREN
Authors:   Republican educational and methodological center for aesthetic education «Balazhan», Musina Dariya S. , Liu-Min-Ching Zhyldyza S. ,   Kyrgyz State University named after I. Arabaev
Published: November 2020

The article discusses the ways of forming the professional competence of teachers of extra-curricular additional education in Kyrgyzstan during the distance learning of children during the coronavirus pandemic in the country. The solution of the issue through the experience of the teacher's own activities, the definition of the educational environment of a rural out-of-school organization, in which the teacher is a participant, is a unique condition for his professional development. The difficulties faced by the teacher in the implementation and application of remote educational technologies are revealed. At the same time, the competence of a teacher, which he must possess in several areas (which is associated with the complex nature of this form of education), has been clarified: in his subject area; in modern active teaching methods (learning in collaboration, project, research methods, etc.); in Internet technologies used in distance learning; in the psychology of communication on the Internet; in the organization, management and monitoring of distance courses. Based on the experience of the republican educational and methodological center of aesthetic education «Balazhan» here are presented forms and methods, methodology for the formation of competencies of teachers. The center presents the results of the research on the teaching staff of organizations of additional education for children in the republic, the availability and level of computer knowledge, skills and abilities, the possession of communicative skills in solving professional problems, a creative approach in the computer activities of a teacher as a necessary condition for organizing the educational process in a distance mode, professional development, career growth and self-improvement. Proposals have been made on the need for a scientific search for effective additional professional educational programs, technologies, resources and means to ensure the development of teachers' professional competencies in this area, to strengthen methodological assistance to teachers through various forms of retraining and professional development.
RESULTS OF ASSESSING THE FORMATION OF METASUBJECT COMPETENCES OF TEACHERS IN URBAN AND RURAL SCHOOLS
Authors:   SAI APE YaR «Institute for Education Development», Zolotariova Angelina V. , Budanova Dariya S. ,   SAI APO YaR «Institute for Education Development»
Published: November 2020

The article presents the results of assessing the formation of metasubject competencies of teachers; the features of the activity of a teacher in rural school are described; substantiation of the complex of modern professional competencies of a teacher is given; an emphasis is placed on a cluster of metasubject competencies, a complex of assessment tools for their assessment is presented – competency passports, a system of test tasks, a computer program for testing; shows the results of a study of metasubject competencies of 770 teachers from 68 schools in the Yaroslavl region within the framework of the project «Improving the quality of education in schools with low learning outcomes (SHNOR) and in schools operating in unfavorable social conditions (SHSU)»; the general test results are described, a comparative analysis of the test results of metasubject competences of teachers in urban and rural schools is provided; recommendations were given to management teams of schools to eliminate professional deficiencies of teachers in the field of meta-subject competencies.
Comparison of Post-Operative Clinical Outcome of Patients with
PosteriorInstrumentation After Spinal Cord Injury in Thoracic,
Thoracolumbar, and Lumbar Region at Haji Adam Malik General
Hospital, Medan from 2016 to 2018
Authors: M. Siregar Budi Achmad , Kadar Pranajaya Dharma , Putera Ketaren Aga Shahri
Published: November 2020

Introduction : Spinal cord injury is a damaging situation related to severe disability and death after
trauma.And the term spinal cord injury refers to damage of the spinal cord resulting from trauma. Spinal
injuries treatment is still in debate for some cases, whether using conservative or surgical methods.
Material and Methods : The study was a retrospective, unpaired observational analytic study with a crosssectional
approach. It was conducted at Haji Adam Malik General Hospital, Medan from January 2016 to
December 2018. Clinical outcome of patientswere calculated using SF 36, ODI, and VAS.Data would be tested
using the Saphiro-Wilk test. We were using the significance level of 1% (0.01) and the relative significance
level of 10% (0.1).
Results : Clinical outcomes of patients with spinal cord injuries before posterior instrumentation rated using
ODI and VAS were 75.93±6.75 and 4.75±0.98 respectively. Meanwhile, the scores were 10.75±3.29 (ODI)
and 1.77±0.72 (VAS) post-operatively. Using SF-36, the scores were
72.9±16.5 (PF); 58±23.1 (PH); 63.1±21.8 (EP); 62.5±12 (ENE); 84.1±14.8 (EMO); 79.6±23.5 (SF); 62±125.3
(PAIN); 49.5±3.4 (GH); and 72±7.8 (HC) pre-operatively. After posterior instrumentation, the scores were
94.5±6.7 (PF); 100±0 (PH); 79.9±32.9 (EP); 88.6±13.7 (ENE); 92.3±1.7 (EMO); 100±0 (SF); 99.9±10.4
(PAIN); 89.3±14.9 (GH); and 92.4±9.7 (HC). Discussion : In this study, patients with thoracal, thoracolumbar
and lumbar injuries who underwent surgery experienced significant improvements in quality of life. This is
indicated by the significant difference in ODI, VAS, and SF-36 scores before and after surgery. The results of
this study were consistent with other studies conducted by Hao et al, which showed that there was an
improvement in the quality of life of patients after surgery. Conclusion : There are significant improvements
in patient’s quality of life after posterior instrumentation of the spinal cord injury in thoracal, thoracolumbar,
and lumbar regions based on the clinical outcomes.
Development and validation of HPTLC method for the
analysis of Olmutinib in Bulk drug
Authors: Khandare Balu S.
Published: November 2020

This paper describes a simple, precise, rapid and accurate high- performance thin
layer chromatographic (HPTLC) method for determination of Olmutinib in bulk drug. Chroma
to graphic separation was per formed on aluminium plates precoated with silicagel60F254 as the
stationary phase using solvent system consisted of chloro form: methanol: (9:1v/v). After the
application of bands using CAMAG Automatic TLC Sampler 4, the plate was developed in the
solvent system up to 70 mm in CAMAGT win Trough Chamber. This solvent system was
found to give compact spot for Olmutinib with Rfvalue of 0.32±0.02. The spots were scanned
at 267.68nm. The calibration curves were linear with co-relation coefficient of 0.995 for
Olmutinib. Linear regression analysis showed good linearity in the concentration range of 100-
1100 ng per spot. The method was validated in terms of Precision, specificity, and Linearity.
The average recovery of the standards in the samples was found to be 99.65% at the same time
we have checked the C.V. values of Reproducibility, intra-day and inter-day tabulated further.
The proposed method can be successfully applied to determine the drug content of bulk drug.
Effectiveness of Honey and Moist Exposed Burn Ointment
(MEBO) in Epithelial-Burns of Grade II
Authors: Susilawaty  , Ehrich Lister I Nyoman , Fachrial Edy , Girsang Ermi
Published: November 2020

Second degree burns treatment plays an important role in healing burns. Many
people use Moist Exposed Burn Ointment (MEBO), an oil-based ointment that has been
proposed for the treatment of ideal burns, and honey has also been used for the treatment of
burns in several clinical trials and provides good results. This study aims to determine the ratio
of honey and MEBO effectiveness in epithelialization of second degree burns.Methodsby using
the true experiment research method or pure experiment with RAL (Complete Random Design).
Results The results showed that giving honey to healing burns gave the best results where there
were significant differences (p <0.05) in the formation of collagen fibers and the amount of
blood vessel formation compared to MEBO, but in the results of measurements of the extent of
burns and epithelial formation did not showed a significant difference (p> 0.05) between honey
and MEBO.Conclusion/ConclusionsThe conclusion is that giving honey gives better and more
effective results in the formation of collagen fibers and blood vessel formation compared to
MEBO. Therefore honey can be an option for the community in dealing with second degree
burns, and further research needs to be done on signal transduction (molecular biology) related
to wound healing in three phases, namely the inflammatory phase (eg interleukin 2, 6 and
others). others), proliferation phase (eg EGF, PDGF, TGF-ẞ) and remodeling phase (eg BMP2).