bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnosis and treatment of Acute temporomandibular disorders
Authors: Shim Young Joo
Published: August 2024

Patients often seek consultation with dentists for their temporomandibular disorders (TMD), especially for pain. Acute pains refer to pains that are of short duration. Common acute TMD are arthralgia and local myalgia. Diagnosis should be made based on careful history taking and clinical examination. Most acute TMD are well controlled by education, cognitive awareness training, and conservative treatment. The aggressive and irreversible treatments should not be applied. Acute TMD should be controlled in the early phase so as not to be proceed to chronic pain.
Dose estimation of cone-beam computed tomography in children using personal computer-based Monte Carlo software
Authors: Kim Eun-Kyung
Published: August 2024

Objective: The purpose of the study was to calculate the effective and absorbed organ doses of cone-beam computed tomography (CBCT) in pediatric patient using personal computer-based Monte Carlo (PCXMC) software and to compare them with those measured using thermoluminescent dosimeters (TLDs) and anthropomorphic phantom. Materials and Methods: Alphard VEGA CBCT scanner was used for this study. A large field of view (FOV) (20.0 cm × 17.9 cm) was selected because it is a commonly used FOV for orthodontic analyses in pediatric patients. Ionization chamber of dose-area product (DAP) meter was located at the tube side of CBCT scanner. With the clinical exposure settings for a 10-year-old patient, DAP value was measured at the scout and main projection of CBCT. Effective and absorbed organ doses of CBCT at scout and main projection were calculated using PCXMC and PCXMCRotation software respectively. Effective dose and absorbed organ doses were compared with those obtained by TLDs and a 10-year-old child anthropomorphic phantom at the same exposure settings. Results: The effective dose of CBCT calculated by PCXMC software was 292.6 μSv, and that measured using TLD and anthropomorphic phantom was 292.5 μSv. The absorbed doses at the organs largely contributing to effective dose showed the small differences between two methods within the range from -18% to 20%. Conclusion: PCXMC software might be used as an alternative to the TLD measurement method for the effective and absorbed organ dose estimation in CBCT of large FOV in pediatric patients.
Present Status of Healthcare Strategy and its Application to Oral Health in D.P.R Korea
Authors: Jung Seoyeon , Joo Woochan , Jo Jaehyun , An Kyeongsoo , Lee Haewon , Choi Seong-Ho , Jung Hoi-In
Published: August 2024

In preparing for the era of Korean reunification, it is essential to consider the integration of medical systems and human resources. While Korean dental practitioners are expanding their activities in various fields both domestically and internationally, there are many restrictions on the activities for improving the health of North Korean people due to political and historical reasons even nowadays. In addition, there is little is known about the current state of dental health in North Korea. We analyzed the reports published by the World Health Organization (WHO) and the Ministry of Public Health of North Korea prepared individually or in cooperation, and investigated the current status of the health care strategy applied to the dental field by conducting a full investigation of the 2018 『Rodong』newspaper. Based on the above, we tried to grasp the major health care strategies in North Korea and their application. Understanding the direction and status of North Korea's health care system would be an important cornerstone for international cooperation and practical activities to improve oral health care of North Koreans in the future. And there is a need that studies should be steadily conducted in various methods to overcome the heterogeneity of the two Koreas in the long-term perspective.
Analysis of Oral Health Status of the Disabled Using National Health Insurance ServiceNational Health Screening Cohort (NHIS-HEALS)
Authors: Cho Hyun-Jae
Published: August 2024

Although there were two oral health status surveys of the disabled in Korea, not enough subjects were surveyed for each type of disability in their 40s or older. The purpose of this study is to identify oral health status by disability type in 40s or older using NHIS-HEALS (National Health Insurance Service-National Health Screening Cohort) data. The definition of periodontitis was defined as a patient in cases where periodontal surgery was required in the Health Examination (HEALS) DB, or where subjects who received subgingival curettage, tooth extraction due to periodontitis, or severe periodontal treatment, such as periodontal flap operation with subgingival curettage, bone graft for alveolar bone defects, or guided tissue regeneration, were classified into the severe CP group. The number of toothbrushes per day was investigated by HEALS. The qualification DB excluded deaths from 2002 to 2005, and investigated age, gender, income quintile, disability severity classification and disability type classification. Dental area disability rating was defined based on disability severity and disability type clas-sification. As a result of this study, the following conclusions were obtained. The prevalence rate of chronic periodontitis was 42.5% for non-disabled persons, 48.8% for mild disabled cases in dental areas, and 47.6% for severely disabled. Men with disabilities, like non-disabled people, had a higher prevalence rate than women. Non-disabled people had a higher percentage of those who had less than a toothbrush twice a day than those with disabilities. For a more accurate investigation in the future, a sampling study is required considering the disability type, age, gender, and region of the disabled.
Consideration of the image acquisition result according to the camera white balance setting and the color temperature of the external light source
Authors: Sung Kun-Hwa , Jih Myeong-Kwan , Jo Hyoung-Hoon , Min Jeong-Bum , Hwang Ho-Keel , Park Tae-Young
Published: August 2024

Digital photography is a very useful recording and communication method for both dentists and dental technicians. Intraoral photography can be influenced by a variety of factors. Among them, the digital camera’s white balance setting and interference of external lighting can greatly affect the intraoral photography. The purpose of this study was to analyze the effect of color temperature of ambient light and white balance of digital camera on intraoral digital photography. The maxillary central incisor made of composite resin was used as an intraoral photographic model. In the first experiment, color measurement was performed by changing the ambient light color temperature to 3500°K, 4000°K, 4500°K, 5000°K, 5500°K, and 6000°K. The white balance of the camera was set to 3570°K, 4550°K, and 5500°K, respectively. CIE L*a*b* values of buccal surface region were recorded. ΔE values were obtained by comparing the CIE L*a*b* values obtained in each group. In the second experiment, CIE L*a*b* values were obtained by changing the white balance to 4000°K, 4550°K, 5000°K, and 5500°K in the intraoral photography model. At this time, the color temperature of the ambient light was fixed at 5500°K. ΔE values between each group were obtained in the same way.As a result of the experiment, digital photographs did not show visually perceptible ΔE values for the changing in ambient light color temperature. This was the same for all white balance groups. When the camera’s white balance setting was changed, the ΔE value was more than 3.7, which is a visually perceptible change. In conclusion, digital photographs were more affected by digital camera’s white balance setting than the color temperature of ambient light.
COVID-19 Vaccination Prior to SARS-CoV-2 Infection Reduced Risk of Subsequent Diabetes Mellitus: A Real-World Investigation Using U.S. Electronic Health Records
Authors: Yi Jin Hsieh Tina , Chang Renin , Yong Su-Boon , Liao Pei-Lun , Hung Yao-Min , Wei James Cheng-Chung
Published: August 2024

Background Previous studies have indicated a bidirectional correlation between diabetes and SARS-CoV-2 infection. However, no investigation has comprehensively explored the potential of COVID-19 vaccination in reducing the risk of new-onset diabetes mellitus (DM) in infected individuals. Methods In the first cohort, we compared the risk of new-onset DM between 1,562,606 SARS-CoV-2 infected individuals and non-infected individuals using the TrinetX database to validate findings in prior literature. For the second cohort, we identified 83,829 vaccinated and 83,829 unvaccinated COVID-19 survivors from the same period. DM, anti-hyperglycemic drug use, and composite of both were defined as outcomes. We conducted Cox proportional hazard regression analysis for the estimation of hazard ratios (HRs) and 95% confidence intervals (CI). Kaplan-Meier analysis was conducted to calculate the incidence of new-onset DM. Subgroup analyses based on age (18-44, 45-64, 65), sex (female, male), race (White, Black or African American, Asian), and BMI categories (<19.9, 20–29, 30–39, ≥40) , sensitivities analyses and a dose response analysis were conducted to validate the findings. Findings The initial cohort of patients infected with SARS-CoV-2 had a 65% increased risk (HR, 1.65; 95%CI, 1.62-1.68) of developing new-onset DM relative to non-infected individuals. In the second cohort, we observed that vaccinated patients were associated with a 21% lower risk of developing new-onset DM in comparison to unvaccinated COVID-19 survivors (HR, 0.79; 95% CI, 0.73-0.86). Subgroup analyses by gender, age, race, and BMI yielded similar results. These findings were consistent in sensitivity analyses and cross-validation with an independent dataset from TriNetX.
Belirsiz Kriter Ağırlıkları Altında OECD Ülkelerinin Dijital Gelişimlerinin Değerlendirilmesi
Authors: Göktaş Furkan
Published: August 2024

Dijitalleşme çağımızın kelimesidir. Bu çalışmanın amacı belirsiz kriter ağırlıkları altında dokuz OECD ülkesinin dijital gelişimlerinin değerlendirilmesidir. Bu kapsamda basit toplamlı ağırlıklandırma yöntemi (SAW) belirsiz kriter ağırlıkları için genelleştirilerek yeni bir çok kriterli karar verme (ÇKKV) yöntemi önerilmiştir. Önerilen yöntem belirsiz kriter ağırlıklarıyla basit toplamlı ağırlıklandırma yöntemi (U-SAW) olarak adlandırılmıştır. Çalışmada OECD’nin belirlediği kriterler baz alınmıştır ve en güncel OECD verileri kullanılmıştır. Yapılan analizin sonucunda ağırlığı en yüksek olan kriter, güven olarak bulunmuştur. Dijital gelişimi en yüksek olan ülke Finlandiya’dır. Sürdürülebilirlik, dijital gelişim gibi objektif bakış açısına ihtiyaç duyulan analizlerde U-SAW’ın iyi bir tercih olabileceği sonucuna varılmıştır.
18F-FDG-PET/CT in breast cancer imaging: Restaging and Implications for treatment decisions in a clinical practice setting
Authors: Skarping Ida
Published: August 2024

Background and purpose: Although the diagnostic accuracy of 18F-fluorodeoxyglucose – positron emission tomography/computed tomography (18F-FDG-PET/CT) for breast cancer (BC) has been well studied, few studies have evaluated the impact of 18F-FDG-PET/CT on BC patient care. This study aimed to investigate restaging and 18F-FDG-PET/CT-induced changes in clinical decision-making in patients with BC.
Material and methods: We retrospectively evaluated 18F-FDG-PET/CT-scans performed for BC-related indications in a prospectively collected consecutive cohort of adult patients at Skane University Hospital, Sweden. Patients with all BC stages were included and divided into three groups based on the indication for 18F-FDG-PET/CT: Group A (primary staging), Group B (response evaluation), and Group C (recurrence). The impact of 18F-FDG-PET/CT-scans on clinical management was categorized as no change, minor change (e.g. modification of treatment plans), or major change (e.g. shift from curative to palliative treatment intention).
Results: A total of 376 scans (151 patients) were included: Group A 9.3% (35 of 376 scans), Group B 77.4% (291 of 376 scans), and Group C 13.3% (50 of 376 scans). Significant stage migration, predominantly upstaging, occurred in Group A (45.7%) and Group C (28.0%). Changes in clinical management were observed in 120 scans (31.9%), of which 66 were major and 54 were minor. The largest proportion of 18F-FDG-PET/CT-induced management changes were observed in Group A (57.1%), most commonly a shift from curative to palliative treatment intention due to upstaging.
Interpretation: Our study indicates the clinical utility of 18F-FDG-PET/CT in BC restaging and changes in clinical management; the latter observed in approximately one-third of all cases.
Análisis de la utilización de contenedores metálicos para la construcción de viviendas de interés social en la ciudad de Portoviejo
Authors:   Universidad Técnica de Manabí, Burgos López Fernando Daniel
Published: August 2024

El presente artículo aborda una de las realidades de mayor trascendencia social por su gran impacto en la calidad de vida de las clases sociales más vulnerables económicamente, como es la vivienda de interés social; misma que actualmente no llena las expectativas de la población en relación al déficit habitacional existente, y que conforme el pasar del tiempo, se mantiene pese a las iniciativas tanto de la banca pública como privada en favor de otorgar créditos a bajos intereses. Una de las causales fundamentales para que esta problemática persista son los elevados costos de una vivienda nueva construida de manera tradicional, considerando que la cámara de la construcción de Ecuador ha fijado el costo de $400 por m2, siendo así, una vivienda de 56 m2 arriba a un costo de $22.400, que es inalcanzable para trabajadores que solo reciben un salario básico. Es por ello que el objetivo del presente estudio es el de analizar la utilización de contenedores metálicos en la construcción de viviendas de interés social en la ciudad de Portoviejo, Ecuador. Se usó un enfoque cuantitativo, en donde se definió el diseño de las viviendas, luego se hizo el cálculo presupuestario y se midió la aceptación de este tipo de construcciones tanto en posibles usuarios como constructores. Los resultados indican que la vivienda de interés social diseñada en base a contenedores marítimos reutilizados es segura, confortable, más económica que la vivienda tradicional, tiene un presupuesto cercano a un tercio del tradicional uso de concreto, mampostería y hierro dispuesto en pórticos. Estas viviendas tienen muy buena predisposición por parte de los posibles beneficiarios y de los constructores, como una alternativa eficiente para otorgar un hogar a todas aquellas personas con una marcada vulnerabilidad económica, siendo viviendas de interés social que realmente responden a las demandas de las familias más necesitadas.
Cor Pulmonale por Apnea del Sueño y Obesidad: Mecanismos y Diagnóstico. Revisión de la Literatura
Authors:   Estudiante de Medicina de la Universidad Técnica de Machala, Ecuador, Vinces Mosquera Joselyn Yiomar
Published: August 2024

El Cor Pulmonale, una complicación severa de la hipertensión pulmonar está estrechamente asociado con la apnea del sueño y la obesidad. Este artículo revisa la literatura actual para explorar los mecanismos fisiopatológicos, métodos diagnósticos y estrategias terapéuticas para esta condición. Los mecanismos fisiopatológicos incluyen la hipoxemia intermitente, la inflamación sistémica y la disfunción endotelial, que aumentan la resistencia vascular pulmonar y sobrecargan el ventrículo derecho. Los métodos diagnósticos clave incluyen la ecocardiografía, las pruebas de función pulmonar, la polisomnografía y la resonancia magnética cardíaca, que proporcionan una evaluación integral de la función cardíaca y respiratoria. Además, los biomarcadores como el BNP y el NT-proBNP son esenciales para la identificación temprana de la disfunción ventricular derecha. En cuanto a las estrategias terapéuticas, el uso de dispositivo de presión positiva continua en las vías respiratorias (CPAP) es eficaz para mejorar la oxigenación y reducir los episodios apneicos. La pérdida de peso, mediante modificaciones en la dieta y el ejercicio o intervenciones quirúrgicas, es crucial para disminuir la severidad de la apnea del sueño y la hipertensión pulmonar. Las terapias farmacológicas, incluyendo diuréticos y vasodilatadores pulmonares, junto con el control de los factores de riesgo cardiovascular, juegan un papel fundamental en el manejo del Cor Pulmonale.
Estrategias de enseñanza activa para competencias de aprendizaje significativo en Ingeniería de Seguridad y Gestión Minera, UANCV Filial Arequipa, 2021
Authors:   Universitario en la Universidad Continental Ecuador, Yana Laura Rodolfo
Published: August 2024

La investigación se centra en mejorar la enseñanza y el aprendizaje en la Escuela Profesional de Ingeniería de Seguridad y Gestión Minera de la Universidad Andina Néstor Cáceres Velásquez Filial Arequipa, mediante la implementación de estrategias de enseñanza activa que promuevan competencias de aprendizaje significativo. Para ello, se fomentará el trabajo en equipo entre estudiantes y docentes, se propondrán proyectos de innovación y se llevará a cabo una lluvia de ideas. La metodología empleará un enfoque cuantitativo con diseño experimental y correlacional, utilizando técnicas e instrumentos validados, como el coeficiente alfa de Cronbach. Se aplicará un cuestionario estructurado para evaluar los indicadores de las variables, y la muestra se seleccionará mediante un muestreo probabilístico sistemático. Los datos serán analizados mediante estadística descriptiva e inferencial, empleando la prueba no paramétrica R de Person. La educación virtual, acelerada por la pandemia de COVID-19, ha revelado tanto oportunidades como desafíos para la calidad educativa. Aunque ha facilitado el acceso a la educación al permitir el aprendizaje a distancia, también ha exacerbado desigualdades debido a la brecha digital y a la falta de formación tecnológica para los docentes. Sin embargo, ha impulsado la innovación pedagógica, permitiendo una enseñanza más personalizada y flexible. Para que la educación virtual mejore la calidad educativa, es crucial abordar las desigualdades en el acceso a tecnología y fortalecer la capacitación docente, aprovechando el potencial transformador de esta modalidad para adaptar el currículo a las necesidades del siglo XXI.
Tele Rehabilitation Procedures Using Mobile for Physiotherapy Services
Authors: TS Muthukumar
Published: August 2024

Telerehabilitation is a part of the telehealth revolution, a concept which was first described in 1997 by the World Health Organization as “the use of electronic information and telecommunication technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration. Rehabilitation is a major element of health sciences, and is the process of restoring an incapacitated individual to a normal life through training and therapy. Worldwide, 2.4 billion people may currently require rehabilitation. In 60 to 70% countries, existing rehabilitation services have been disrupted due to the corona virus disease 2019 (COVID-19) pandemic. Even after lockdowns and with vaccinations, some form of physical distancing is likely to be part of the new normal. Contemporaneously, there is an exponential growth of telehealth. This global overview will demonstrate that telerehabilitation is likely to be a distinct standalone sub specialty of tele health.
Legal Protection of Architectural Works as Copyright: An Epistemological and Islamic Law Perspective
Authors: Ruhtiani Maya , Prihatinah Tri Lisiani , Sulistyandari Sulistyandari , Park Hyun Kyung , Whindari Yayuk
Published: August 2024

The research examined the problem of the legal protection of architectural works as copyright. It described the concept of the legal protection of architectural works based on the point of view of the philosophy of science and Islamic law. This research aimed to solve problems related to the infringement of architectural works as copyright through concepts in the philosophy of science and Islamic law. The research method used a philosophical approach and theoretical approach. The results showed that the legal protection of architectural works as copyrighted works from the epistemological point of view was based on the boundaries of science as obtained through experience. Then, it tested empirically to produce science with an objective, rational nature and methods carried out using science from acceptable and reliable researchers so that the results of architectural works by applying elements of culture, science and technology have the quality of works that are not in doubt of their authenticity. In Islamic law, the legal protection of architectural works leads to moral rights owned by the creator because of the principle of maslahah or public interest, which has the same concept as the Utilitarian theory proposed by Jeremy Bentham. Legal protection of architectural works as copyright refers to an epistemological point of view. Islamic law is based on moral rights as one of the inherent rights owned by the creator as the originality of the work that must be protected. In contrast, economic rights are considered an added value of the moral rights owned by the creator.
Gender-Responsive Construction in Nikah-Kawin Traditions in West Java: A Qiwamah Perspective
Authors: Sofiana Neng Eri , Huda Miftahul , Ismah Nor , Purnomo Agus , Aminuddin Luthfi Hadi
Published: August 2024

Nikah-Kawin, a deeply rooted traditional marriage in West Java, has been passed down through generations in indigenous communities. This marriage differs from conventional marriage practices in several ways. In particular, women are given greater rights of choice, with some even taking on the responsibility of reciting the marriage vows. The article aimed to explore the gender-responsive construction in the nikah-kawin tradition of West Java communities through the concept of qiwamah. Using empirical legal research methods, this study utilizes primary data obtained from interviews, observations, and documentation. The findings reveal a gender-responsive construction shaped by the principles of qiwamah embedded in the nikah-kawin tradition of West Java communities. Interestingly, this constructed gender dynamic contributes to the formation of an egalitarian household environment. The presence of traditional guidelines upheld by these communities underscores their commitment to respecting and valuing women within the societal framework. This exploration highlighted how the uniqueness of nikah-kawin not only endures but also fosters a balanced and egalitarian approach to household life.
Bhag-Rembhag Sabhala’an as a Method of Resolving Religious Conflicts in the Madura Legal Tradition
Authors: Safi' Safi' , Aidonojie Paul Atagamen , Jufri Muwaffiq , Garunja Evis
Published: August 2024

Religion-based conflicts often occur in various regions, including Madura. However, there is an interesting conflict resolution, namely through the bhag-rembhag sabhala'an tradition. This research aims to determine the mechanism for resolving religious-based conflicts based on local wisdom through bhag-rembhag sabhala'an which is practiced in Madura. This research uses empirical legal research methods with socio-legal and anthropo-legal approaches, which result in the discussion that: First, the resolution of religious conflicts in the context of national law only focuses on efforts to give verdicts of heresy and guilt to parties who, by the religious majority community, are considered contrary to the understanding of the majority of religious believers, not on efforts to open dialogue and find ways of peace between conflicting communities. Second, the resolution of religious conflicts with the bhag-rembhag sabhala'an emphasises efforts to open dialogue between conflicting adherents by utilising local village figures to find a peaceful way and find a variety of similarities amid striking differences caused by the outbreak of religious conflict. Bhag-rembhag Sabhala'an has long been practised in Madura in the event of differences in understanding and religious conflicts, where humanist and peaceful approaches are preferred over violent ways of resolving conflicts. The real contribution of this research is that the mechanism for resolving religious conflicts based on local wisdom can be the primary choice for parties in resolving religious conflicts. This method prioritises peaceful solutions and respect for religious differences.
USE OF PREVENTION PROGRAMS AND ANALYSIS OF THEIR EFFICIENCY AMONG PATIENTS WITH ARTERIAL HYPERTENSION
Authors: Palibroda N. , Chornenka Zh. , Pontyk M. , Molchaniuk D. , Filatova I. , Nikolaichuk I.
Published: August 2024

It is well known that the effectiveness of preventive and curative measures is influenced by the awareness of patients about the disease, its causes, problems and possibilities of their elimination, blood pressure measurement and control, basic principles of non-drug and drug treatment, issues of care or self-care, preventive measures. Poor perception of good health and irregular visits to the doctor are among the most important factors of ignorance, untreated and uncontrolled hypertension. Studying the awareness of patients regarding preventive technologies of hypertension is appropriate, because such data is the basis for their development, improvement and implementation.The aim of the study is to evaluate the effectiveness of the training of patients with hypertension.Material and methods. 120 patients with hypertension were included in the study, who were divided into 2 groups: Group I (main) – 68 people who participated in the educational program on prevention of hypertension; II group (control group) – 52 people who did not participate in the training program.Results. It was established that the patients who participated in the training program significantly (p<0.05) improved their knowledge about hypertension (by 47.07%) and FR (by 50.88%), possible complications (by 58.82%), blood pressure indicators are normal (by 32.35%) compared to the control group.All patients of the main group mastered the skills of self-measuring blood pressure and heart rate counting (100%, (p<0.05), and also improved blood pressure control skills (by 41.18%) and keeping a self-monitoring diary, which made it possible to improve the quality of blood pressure control and contributed to an increase in adherence to drug therapy and an improvement in the relationship between the doctor, nurse and patient. While in the control group, blood pressure measurement and control skills did not change significantly (increased by only 3.84%, 5.77% and 7.68%, respectively), the majority of patients who underwent training showed a positive trend in reducing systolic and diastolic blood pressure levels.Conclusion. Patients' participation in the Hypertension Prevention Education Program not only provided them with the necessary knowledge, but also provided them with social support from both medical professionals and other patients.
THE INFLUENCE OF NEUROPROTECTORS ON THE PATHOGENETIC MECHANISMS OF THE DEVELOPMENT OF COGNITIVE DISORDERS IN PATIENTS AFTER HIP JOINT REPLACEMENT UNDER SPINAL ANESTHESIA IN THE POSTOPERATIVE PERIOD
Authors: Svirhun M.V. , Semenenko A.I.
Published: August 2024

The importance of medical and social significance of the problem of POСD is closely associated with the imperfection of means of prevention of its development, which to some extent is caused by the lack of clarity of risk factors and pathochemical mechanisms of the development of this complication. In general, a literature review of studies devoted to determining predictors of the occurrence of POCD demonstrated that there are many more questions than answers. It should be noted that our literature search did not reveal a single study on the effect of various drugs on postoperative cognitive function.Aim. To investigate the influence of neuroprotectors on the dynamics of indicators of vasculogenesis, synaptogenesis and synaptoplasticity, neurocytolysis and stress in the blood serum of patients undergoing hip arthroplasty under spinal anesthesia. Materials and methods. This study analyzed the dynamics of the following indicators: vascular endothelial growth factor (VEGF), neuron-specific enolase (NSE), brain-derived neurotrophic factor (BDNF) and the level of cortisol in the blood serum of patients against the background of the introduction of neuroprotectors such as: neurotropin, neurocytin and gliaton after hip arthroplasty joint under spinal anesthesia.The results. The use of neuroprotectors in patients undergoing hip arthroplasty under spinal anesthesia has been demonstrated. The analysis of the mechanisms of action of neuroprotectors on the activation of the stress-realizing hypothalamic-pituitary-adrenal system, the expression of neurocytolysis, vasculogenesis, synaptogenesis and synaptoplasty is presented.Conclusions. The neuroprotectors used in the examined patients stimulated the processes of angiogenesis, synaptogenesis and synaptoplasticity, prevented neurodestructive changes, and with varying effectiveness restrained the hyperactivation of the stress-releasing hypothalamic-pituitary-adrenal system in patients after hip arthroplasty (HIP), and their effectiveness depended on the selected drug.
ETIOPATHOGENETIC REASONING OF URETHRAL MICROBIOTA REHABILITATION IN PATIENTS WITH ACUTE INFECTIOUS URETHRITIS
Authors: Sydorchuk L.I. , Stepan V.T. , Bocharov A.V. , Sydorchuk O.I. , Kifyak P.V. , Sydorchuk I.I. , Petelytskyi O.O. , Sydorchuk R.I.
Published: August 2024

The microbiota of the male genitourinary tract is a complex dynamic system that has not been sufficiently studied. Unlike the microbiome of the female urethral mucosa, which is constantly changing, the taxonomic composition and population level of the male urethral microbiome is more stable and independent of age.
The aim of the study. To improve the results of treatment of patients with inflammatory processes of the urethra by determining the taxonomic composition, population level and microscopic indicators of the "macroorganism-microbiome" ecosystem of the microbiota of the urethra in men with acute urethritis.Material and methods. The taxonomic composition and population level of the first portion of urine of 69 sexually mature men (average age 34.8±7.14 years) with acute infectious (nonspecific) urethritis were investigated. Isolation of conditionally pathogenic bacteria was carried out by the bacteriological method using optimal nutrient media, their pH, temperature and cultivation time for each taxon. The identification of isolated pure cultures was carried out according to morphological, tinctorial, cultural, biochemical properties, as well as signs of pathogenicity and antigenic structure. To determine the mechanisms of colonization of the mucous membrane of the urethra by conditionally pathogenic microorganisms, the microecological method was used.Research results. According to the taxonomic composition and the level of microecological indicators of the "macroorganism-microbiome" ecosystem of the urethra microbiota (Margalef's species richness index, Whittaker's species diversity index, and Simpson's and Berger-Parker's species dominance indices), vulgar (common), hemolytic, and enteropathogenic Escherichia coli, coagulase-positive staphylococcus. The leading role in the formation of urethritis is played by ordinary enterobacteria - E. coli, a slightly smaller etiological role in the formation of urethritis in men belongs to S. aureus (less by 17.83%), E. coli Hly+ (less by 28.35%), enteropathogenic Escherichia coli (by 83.12%). Other microorganisms have a minimal etiological role.
Conclusions. Acute urethritis in men is a polyetiological disease. Enterobacteria E. coli, E. coli Hly+, enteropathogenic Escherichia coli, K. pneumoniae, S. aureus, S. epidermidis, S. viridans are involved in the formation of the inflammatory process of the urethra. The leading causative agents of acute urethritis in men are E. coli, S. aureus, E. coli Hly+, enteropathogenic escherichia, which belong to uropathogenic escherichia.
Housing status and accidental substance-related acute toxicity deaths in Canada, 2016–2017
Authors: VanSteelandt Amanda , Abele Brandi , Ahmad Raahyma , Enns Aganeta , Jackson Beth , Kakkar Tanya , Kouyoumdjian Fiona
Published: August 2024

Introduction

There is a complex relationship between housing status and substance use, where substance use reduces housing opportunities and being unhoused increases reasons to use substances, and the associated risks and stigma.

Methods

In this descriptive analysis of people without housing who died of accidental substance-related acute toxicity in Canada, we used death investigation data from a national chart review study of substance-related acute toxicity deaths in 2016 and 2017 to compare sociodemographic factors, health histories, circumstances of death and substances contributing to death of people who were unhoused and people not identified as unhoused, using Pearson chi-square test. The demographic distribution of people who died of acute toxicity was compared with the 2016 Nationally Coordinated Point-In-Time Count of Homelessness in Canadian Communities and the 2016 Census.

Results

People without housing were substantially overrepresented among those who died of acute toxicity in 2016 and 2017 (8.9% versus $lt;1% of the overall population). The acute toxicity event leading to death of people without housing occurred more often in an outdoor setting (24%); an opioid and/or stimulant was identified as contributing to their death more frequently (68%–82%; both contributed in 59% of their deaths); and they were more frequently discharged from an institution in the month before their death (7%).

Conclusion

We identified several potential opportunities to reduce acute toxicity deaths among people who are unhoused, including during contacts with health care and other institutions, through harm reduction supports for opioid and stimulant use, and by creating safer environments for people without housing.
A comparison of the characteristics of accidental substance-related acute toxicity deaths in Canada across life stages, 2016–2017
Authors: Chang Grace Yi-Shin , Ha Jingru Helen , Burt Jacqueline , Kouyoumdjian Fiona , McKenzie Katherine , Randell Shane , VanSteelandt Amanda
Published: August 2024

The acute toxicity (sometimes called “overdose” or “poisoning”) crisis has affected Canadians from all walks of life and of all ages—children, youth, adults including older adults have died.
Comparaison des caractéristiques des décès accidentels attribuables à une intoxication aiguë due à une substance au Canada aux différents stades de la vie, 2016-2017
Authors: Chang Grace Yi-Shin , Ha Jingru Helen , Burt Jacqueline , Kouyoumdjian Fiona , McKenzie Katherine , Randell Shane , VanSteelandt Amanda
Published: August 2024

La crise des intoxications aiguës (parfois appelées « surdoses » ou « empoisonnements ») touche la population canadienne à toutes les étapes de vie, que ce soit les jeunes, les adultes ou les aînés.
О сплюснутых и вытянутых черных дырах
Authors: Туракулов Зафар
Published: August 2024

Исследованы формы горизонтов событий в геометриях, заданных решениями Керра-НУТ и новыми решениями, представленными в нашей работе \cite{oblpro}. Показано, что эти поверхности не обладают симметрией относительно своего экватора. Горизонты в пространстве-времени Керра-НУТ сплюснуты или вытянуты в направлении полюсов, а в пространстве-времени, заданном нашими решениями, могут быть только вытянутыми. Ни в том, ни в другом не существуют ни экваториальная плоскость ни симметрия относительно нее.
On one Mistake of A.J.P. Taylor or Toward a Characterization of Economic Policies of British “National” Governments in the 1930s
Authors: Fomenko Svetlana V.
Published: August 2024

Looking through A.J.P. Taylor's famous 1961 work, The Origins of the Second World War, I first noticed a passage in it referring to the economic policies of the British “national” governments of 1931-39 - formally coalition, but with a decisive role of conservative politicians. During the Great Depression of the 1930s, Taylor believed, British statesmen feared violating liberal economic principles even more than they feared Hitler. Committed to the idea of stable prices and a stable pound sterling, they viewed the increase in public spending as a great evil, not realizing that this spending entailed “prosperity”.
Member of the Union of Prosperity S.D. Nechaev in the Society of Lovers of Russian Literature at Moscow University
Authors: Shkerin Vladimir A.
Published: August 2024

The terms “literary Decembrism” and “Decembrist literature”, which have become established in literary studies, denote the civil trend in Russian romanticism of the 1810s-1820s. In addition to the Decembrist writers themselves, an important role in this direction is assigned to A.S. Pushkin, who has never been a member of secret societies. As an alternative, we consider the case of the writer S.D. Nechaev. He was a member of the Decembrist secret society Union of Prosperity, but remained in the history of Russian literature as the author of sentimental album poems and moralizing aphorisms. His only poem filled with truly civic pathos was “The Drinking Song of the Greeks” (1823). However, for Nechaev, membership in a secret society was not an empty formality. At the end of October he also became a member of the Society of Lovers of Russian Literature at Moscow University. And already in November, Nechaev spoke to “lovers of Russian literature” with a speech “On the choice of objects in the fine arts in general”. The speaker promoted ideas and aesthetic principles that he did not adhere to in his own work, but which were enshrined in the statutory document of the Union of Prosperity. So he denied his own value of art and saw its purpose in serving the “common good”, strengthening morality and virtue, and educating youth. This article substantiates the proposal to consider the speech of Nechaev not as his individual speech, but as a propaganda action of the Union of Prosperity.
Discourse of “Russia's Own East” in the Diocesan Press of Western Siberia and the Steppe during the Russian-Japanese War (1904-1905)
Authors: Churkin Mikhail K.
Published: August 2024

The article presents the experience and practice of constructing the image of Asian Russia as "its own east", the legitimacy of the imperial affiliation of which is ensured by the joint efforts of the authorities and the Russian Orthodox Church. Based on the methodological approaches of the new cultural and intellectual history, the main “platforms” for the representation of discourse in the diocesan periodicals of Western Siberia and the Steppe Territory are identified, the factors and conditions for the formation and transmission of proprietary ideas about the eastern frontier territories in the publications of the diocesan journal press are substantiated. The study found that the foundations of the representation of the imperial periphery as “one's own land” were formulated in the program and anniversary issues of the publication and, up to a certain point, were manifestations of peaceful scenarios for the increment of the eastern outskirts of the empire. With the aggravation of the foreign policy situation and the outbreak of hostilities in the Far East, the methods of transmitting the owner's reception of the Asian periphery were intensified and actively replicated in the publications of the diocesan press. In the period 1904-1905. there was an actualization of the ideas of the clergy about the eastern outskirts as a sphere of their permanent presence and influence, which contributed to the promotion of the idea of forming an all-Russian identity and the awareness of the population of the Steppe Territory and Western Siberia of their cultural unity with the Russian people.
Omsk as a Cultural Center Reflected in City Toponymy
Authors: Gefner Olga V.
Published: August 2024

The article characterizes urban toponymy associated with the cultural development of Omsk. It examines the names of city streets in honor of cultural figures - poets and writers, scientists, artists, composers, represented in the cultural landscape of the city. The main stages in the development of the “cultural” toponymy of the city are highlighted, as well as the factors that determined its evolution in different periods of the country's history. At the end of the 19th - beginning of the 20th centuries. the city had a small number of godonyms - street names associated with its cultural development. As a rule, these are streets that got their name from the location of city educational institutions and religious institutions. In the 1920s in the toponymy of the city there is a revolution as a consequence of the political revolution, the formation of a new Soviet statehood and ideology. In Omsk, streets appeared in memory of the classics of Russian literature, whose works were distinguished by a democratic orientation, narrated about the life of the people, as well as in honor of famous Soviet writers and public figures. In the 1930s commemorative practices in the field of toponymy were determined by the guidelines of the Stalinist “cultural revolution”. During this period, streets appeared on the city map that immortalized the names of writers, literary critics, democratic revolutionaries, socialists, popular Soviet writers, national cultural figures, outstanding Russian and Soviet scientists. In the 1950s - 1980s. The formation of the city's toponymy was greatly influenced by such processes in the country's socio-political life as the “thaw”, de-Stalinization and the debunking of the “cult of personality”. A new trend of this time was the expansion of the repertoire of urbanonymic foundations by naming streets in honor of local cultural figures. The social order of the era for science was also reflected in the toponymic space of the city: many streets appeared on the map of Omsk during this period in honor of the great Russian scientists, inventors, and founders of astronautics. In the post-Soviet period of history in the 1990s - 2000s. in the conditions of the collapse of the previous ideological system, the search for a new identity was expressed in turning to Russian and Soviet culture, updating its heritage in toponymy. The trend of naming city streets in memory of local cultural figures has also intensified as an expression of the desire of the city community and local authorities to gain local identity and create a positive, unique, recognizable, investment-attractive image of the city.
ПРОБЛЕМА МЕТАБОЛІЧНОГО СИНДРОМУ З ХРОНІЧНИМИ БОЛЯМИ ОПОРНО-РУХОВОГО АПАРАТУ: АНАЛІЗ ВПРОВАДЖЕННЯ РЕАБІЛІТАЦІЙНИХ ВТРУЧАНЬ
Authors: Калмикова Юлія Сергіївна
Published: August 2024

Метаболічний синдром (МС) як сукупність абдомінального ожиріння, гіперглікемії, гіпертригліцеридемії, низького рівня ліпопротеїдів високої щільності – холестерину та гіпертензії – є фактором ризику діабету ІІ типу та вважається одним із найбільш значущих факторів ризику ССЗ, поширеність яких зростає у всьому світі. Системний аналіз спроєктованих на проблему дослідження зразків фахової літератури вітчизняного й іноземного авторства уможливив констатацію про суттєву поширеність надлишкової маси тіла, ожиріння та метаболічного синдрому серед молоді: ознаки останніх виявляє кожна четверта особа в популяції. Метою є вивчення метаболічного синдрому з болями опорно-рухового апарату, а також визначення і дослідження сучасних підходів у корекції відновлення пацієнтів з метаболічним синдромом і хронічними болями. Сучасні підходи до відновлення пацієнтів з метаболічним синдромом і хронічними болями пов’язані з тим, що всі його компоненти піддаються модифікації за допомогою немедикаментозних і медикаментозних заходів корекції. Велика увага приділяється немедикаментозним заходам корекції: підтриманню достатнього рівня рухової активності, контролю енергетичної цінності їжі, зниженню вживання жирів та підтримці адекватної маси тіла. Натепер у роботах українських і зарубіжних науковців описано багато засобів та методів реабілітаційного відновлення пацієнтів різного віку з метаболічним синдромом і хронічними болями в ОРА. У порівнянні з медикаментозним або хірургічним лікуванням навіть помірне обмеження їжі в поєднанні з підвищенням витрат під час фізичних вправ призводять до більш вираженої втрати ваги і не пов’язані з ризиком побічних ефектів. Більше того, зміна режиму харчування і фізична активність – це зміна життя, тобто гарантія стабільності втрати надмірної ваги. Зрештою, звичка до здорового способу життя – це шлях до сприятливих змін обміну вуглеводів та жирів, що має найважливіше значення в менеджменті ожиріння та зниження ризику розвитку МС.
ПЕРІОДИЗАЦІЯ ТРЕНУВАЛЬНОГО ПРОЦЕСУ ПРИ ЗАНЯТТЯХ БОЙОВИМ МИСТЕЦТВОМ ДЗЮ-ДЗЮЦУ ПІДЛІТКІВ ВІКОМ 14–17 РОКІВ
Authors: Орлов Олександр Іванович
Published: August 2024

Актуальність проблеми. Відомо, що найважливішими передумовами успішності навчально-тренувального процесу навчання руховим здібностям різних контингентів, що займаються, є порядок взаємозв’язку різних сторін підготовки (теоретичної, фізичної, а також технічної), етапів підготовки та диференційованого підходу до кількісної та якісної сторони тренувальних навантажень. Мета – обґрунтування доцільності запровадження моделі періодизації тренувальних навантажень на різних етапах занять школярів віком 14–17 років бойовим мистецтвом Дзю-дзюцу. Методи дослідження: аналіз джерел наукової та науково-методичної літератури й даних мережі Internet; експертна оцінка рівня здоровʼя та фізичних здібностей підлітків віком 14–17 років на різних етапах занять бойовим мистецтвом Дзю-дзюцу; педагогічний порівняльний експеримент; кількісна та якісна обробка матеріалів дослідження за допомогою методів математичної статистики. Результати дослідження. Підтверджено, що найважливішими передумовами успішності навчально-тренувального процесу є виховання рухових здібностей у різного контингенту осіб, що займаються, й порядок взаємозв’язку різних сторін підготовки (теоретичної, фізичної, технічної), етапів підготовки та диференційованого підходу до кількісної та якісної сторони тренувальних навантажень. У статті наведено результати дослідження закономірностей побудови тренувального процесу в бойових мистецтвах, зокрема обґрунтування періодизації тренувальних навантажень. Особливу увагу в цьому процесі приділено вивченню складових компонентів тренувального впливу, де однією з найважливіших є величина тренувального навантаження, до змісту якої входять обсяг і інтенсивність виконання фізичних вправ на прикладі навчання підлітків бойовому мистецтву школи Дзю-дзюцу. Також встановлено найбільш інформативні показники, що характеризують готовність підлітків до навчання.
УДОСКОНАЛЕННЯ ВИКОНАВСЬКОЇ МАЙСТЕРНОСТІ В СПОРТІ З ВИКОРИСТАННЯМ ЗАСОБІВ ХОРЕОГРАФІЇ
Authors: Сосіна Валентина Юріївна , Мазур Ірина Володимирівна , Токар Тетяна Василівна , Погорелова Олена Олександрівна
Published: August 2024

Мета статті – розробити і перевірити комплекс заходів для розвитку виконавської майстерності спортсменок 10–12 років, які займаються спортивною гімнастикою, в процесі хореографічної підготовки. Методологія дослідження: теоретичний аналіз і узагальнення; педагогічні спостереження; опитування; метод експертних оцінок; педагогічний експеримент; методи математичної статистики. У статті на основі аналізу наукової, методичної та спеціальної літератури, опитування фахівців і педагогічних спостережень уперше розроблено й удосконалено засоби і методи хореографічної підготовки гімнасток 10–12 років, що сприяють розвитку виконавської майстерності. Розроблено програму, яка містить мету, завдання і засоби розвитку виразності та артистизму, які були підібрані відповідно до вікових особливостей і специфіки виду спортивної діяльності. Використання розробленої програми дало змогу підвищити рівень виконавської майстерності гімнасток 10–12 років у спортивній гімнастиці.