bluuebunny/crossref_metadata_2025 huggingface dataset:
Personas for Better Targeted eHealth Technologies: User-Centered Design Approach
Authors: ten Klooster Iris , Wentzel Jobke , Sieverink Floor , Linssen Gerard , Wesselink Robin , van Gemert-Pijnen Lisette
Published: November 2021

Background

The full potential of eHealth technologies to support self-management and disease management for patients with chronic diseases is not being reached. A possible explanation for these lacking results is that during the development process, insufficient attention is paid to the needs, wishes, and context of the prospective end users. To overcome such issues, the user-centered design practice of creating personas is widely accepted to ensure the fit between a technology and the target group or end users throughout all phases of development.

Objective

In this study, we integrate several approaches to persona development into the Persona Approach Twente to attain a more holistic and structured approach that aligns with the iterative process of eHealth development.

Methods

In 3 steps, a secondary analysis was carried out on different parts of the data set using the Partitioning Around Medoids clustering method. First, we used health-related electronic patient record data only. Second, we added person-related data that were gathered through interviews and questionnaires. Third, we added log data.

Results

In the first step, 2 clusters were found, with average silhouette widths of 0.12 and 0.27. In the second step, again 2 clusters were found, with average silhouette widths of 0.08 and 0.12. In the third step, 3 clusters were identified, with average silhouette widths of 0.09, 0.12, and 0.04.

Conclusions

The Persona Approach Twente is applicable for mixed types of data and allows alignment of this user-centered design method to the iterative approach of eHealth development. A variety of characteristics can be used that stretches beyond (standardized) medical and demographic measurements. Challenges lie in data quality and fitness for (quantitative) clustering.
Implementing Automated Text Messaging for Patient Self-management in the Veterans Health Administration: Qualitative Study Applying the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability Framework
Authors: Yakovchenko Vera , McInnes D Keith , Petrakis Beth Ann , Gillespie Chris , Lipschitz Jessica M , McCullough Megan B , Richardson Lorilei , Vetter Brian , Hogan Timothy P
Published: November 2021

Background

The Veterans Health Administration (VHA) is deploying an automated texting system (aTS) to support patient self-management.

Objective

We conducted a qualitative evaluation to examine factors influencing national rollout of the aTS, guided by the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework, which is intended to support the evaluation of novel technologies.

Methods

Semistructured interviews were conducted with 33 staff and 38 patients who were early adopters of the aTS. Data were analyzed following deductive and inductive approaches using a priori codes and emergent coding based on the NASSS.

Results

We identified themes across NASSS domains: (1) Condition: The aTS was considered relevant for a range of patient needs; however, perceptions of patient suitability were guided by texting experience and clinical complexity rather than potential benefits. (2) Technology: Onboarding of the aTS presented difficulty and the staff had different opinions on incorporating patient-generated data into care planning. (3) Value: Supply-side value relied on the flexibility of the aTS and its impact on staff workload whereas demand-side value was driven by patient perceptions of the psychological and behavioral impacts of the aTS. (4) Adopters: Limited clarity on staff roles and responsibilities presented challenges in incorporating the aTS into clinical processes. (5) Organization: Staff were willing to try the aTS; however, perceptions of leadership support and clinic readiness hindered usage. (6) Wider system: Staff focused on enhancing aTS interoperability with the electronic medical record. (7) Embedding and adaptation over time: The interplay of aTS versatility, patient and staff demands, and broader societal changes in preferences for communicating health information facilitated aTS implementation.

Conclusions

VHA’s new aTS has the potential to further engage patients and expand the reach of VHA care; however, patients and staff require additional support to adopt, implement, and sustain the aTS. The NASSS highlighted how the aTS can be better embedded into current practices, which patients might benefit most from its functionality, and which aspects of aTS messages are most relevant to self-management.

Trial Registration

ClinicalTrials.gov NCT03898349; https://clinicaltrials.gov/ct2/show/NCT03898349
Modeling Access Across the Digital Divide for Intersectional Groups Seeking Web-Based Health Information: National Survey
Authors: Medero Kristina , Merrill Jr Kelly , Ross Morgan Quinn
Published: November 2021

Background

The digital divide refers to technological disparities based on demographic characteristics (eg, race and ethnicity). Lack of physical access to the internet inhibits online health information seeking (OHIS) and exacerbates health disparities. Research on the digital divide examines where and how people access the internet, whereas research on OHIS investigates how intersectional identities influence OHIS. We combine these perspectives to explicate how unique context–device access pairings operate differently across intersectional identities—particularly racial and ethnic groups—in the domain of OHIS.

Objective

This study aims to examine how different types of internet access relate to OHIS for different racial and ethnic groups. We investigate relationships among predisposing characteristics (ie, age, sex, education, and income), internet access (home computer, public computer, work computer, and mobile), health needs, and OHIS.

Methods

Analysis was conducted using data from the 2019 Health Information National Trends Survey. Our theoretical model of OHIS explicates the roles of internet access and health needs for racial and ethnic minority groups’ OHIS. Participant responses were analyzed using structural equation modeling. Three separate group structural equation modeling models were specified based on Black, Latine, and White self-categorizations.

Results

Overall, predisposing characteristics (ie, age, sex, education, and income) were associated with internet access, health needs, and OHIS; internet access was associated with OHIS; and health needs were associated with OHIS. Home computer and mobile access were most consistently associated with OHIS. Several notable linkages between predisposing characteristics and internet access differed for Black and Latine individuals. Older racial and ethnic minorities tended to access the internet on home and public computers less frequently; home computer access was a stronger predictor of OHIS for White individuals, and mobile access was a stronger predictor of OHIS for non-White individuals.

Conclusions

Our findings necessitate a deeper unpacking of how physical internet access, the foundational and multifaceted level of the digital divide, affects specific racial and ethnic groups and their OHIS. We not only find support for prior work on the digital divide but also surface new insights, including distinct impacts of context–device access pairings for OHIS and several relationships that differ between racial and ethnic groups. As such, we propose interventions with an intersectional approach to access to ameliorate the impact of the digital divide.
Payment Systems for Telemedicine: Comparative Study (Preprint)
Authors: Raes Sarah , Trybou Jeroen , Annemans Lieven
Published: November 2021

BACKGROUND

Many researchers have addressed the lack of reimbursement for telemedicine as one of the most important barriers to telemedicine adoption. However, little is known on how telemedicine should be implemented in reimbursement policy, how it must be financed, and what the right incentives are for an effective and efficient telemedicine use.

OBJECTIVE

To help future researchers to provide reimbursement policy recommendations, and to facilitate reimbursement decision-making, this paper analyzed and compared the telemedicine payment models of ten countries.

METHODS

A convenience sample was created of Western countries inside and outside Europe that already reimburse to some extent telemedicine. Ten countries met this criterion: Australia, Belgium, Denmark, France, Germany, Luxembourg, the Netherlands, Canada (Ontario province), Switzerland, and the United Kingdom. The study was based on the countries’ official physician fee schedules, listing all reimbursed medical services performed by physicians, including telemedicine. Based on the fee schedules, a comparative analysis of the payment models of telemedicine was conducted.

RESULTS

Televisits are reimbursed in all countries, which is not the case for telemonitoring and tele-expertise services. Telemonitoring is often restricted for patients with implanted cardiac devices. Telemedicine services are mainly paid fee-for-service, except for the telemonitoring of patients with implanted cardiac devices, which is paid through an episodic payment system in Australia. Payment parity exists across televisits and visits in person in France, Luxembourg, the Netherlands, and Switzerland, meaning that an equal fee is given for both services.

CONCLUSIONS

Our findings show that fees for telemedicine are lacking, especially for telemonitoring and tele-expertise. As telemedicine might enlarge disparities in healthcare access, policymakers should consider payment parity across televisits and face-to-face visits, and across telephone and video visits. Furthermore, an episodic physician payment system complemented with bonuses for quality outcomes, should be considered by policymakers for telemonitoring as it might capture the specificities of telemonitoring better than a fee-for-service system. Future research is needed on payment models, including research linking cost-effectiveness analyses with analyses on payment models, to allow profound reimbursement recommendations and a faster decision-making process for the reimbursement of telemedicine.
СРАВНЕНИЕ ФУНКЦИОНАЛЬНЫХ ГЕНЕРАТОРОВ И ГЕНЕРАТОРОВ СИГНАЛОВ ПРОИЗВОЛЬНОЙ ФОРМЫ
Authors: Мендеров А.
Published: November 2021

Проведено сравнение функциональных генераторов и генераторов сигналов произвольной формы. Приведена информация о преимуществах, недостатках и возможных применениях генераторов каждого из этих типов.
НОВОЕ ПОКОЛЕНИЕ РЕШЕНИЙ ДЛЯ КОРПУСИРОВАНИЯ ИНТЕГРАЛЬНЫХ СХЕМ
Authors: Фелтон К. , Вертянов Д. , Евстафьев С. , Сидоренко В.
Published: November 2021

Обсуждается новое решение для корпусирования ИС – концепция цифрового двойника. Это электронная виртуальная модель разрабатываемого изделия, позволяющая осуществлять совместное комплексное проектирование на каждом этапе его разработки.
ВТОРАЯ ЖИЗНЬ ТЕХНОЛОГИИ ПАЙКИ ВОЛНОЙ. Часть 1
Authors: Вахрушев О.
Published: November 2021

Приводятся общие сведения об оборудовании и техпроцессах селективной пайки и групповой пайки волной, анализируются причины роста популярности селективной пайки, приводится сравнение технологий селективной пайки и групповой пайки волной с точки зрения производительности и стоимости владения, предлагаются методы устранения недостатков групповой пайки волной.
A Review on Li-Fi: The Next Generation Wi-Fi
Authors: Sanjay V Manikanta
Published: November 2021

Abstract: The Li-Fi stands for Light Fidelity. The technology is very new and was proposed by the German physicist Harald Haas in 2011 TED (Technology, Entertainment, Design) Global Talk on Visible Light Communication (VLC). Light Fidelity (LiFi) is a Visible Light Communication (VLC) based technology that making a light as a media of communication replacing the cable wire communication. LiFi is evolved to overcome the rate speed in Wi-Fi, while using LiFi the rate speed can reach until 14 Gbps. This paper includes an introduction of the LiFi technology including the architecture, working, performance, and the challenges Li-Fi, its applications, features and comparison with existing technologies like Wi-Fi etc. Wi-Fi is of major use for general wireless coverage within building, whereas Li-Fi is ideal for high density wireless data coverage in confined area and especially useful for applications in areas where radio interference issues are of concern, so the two technologies can be considered complimentary. Keywords: LED, Li-Fi Technology, Wi-Fi Technology, Data Transmission, Visible Light, Li-Fi Applications
MEMORI TRAUMA DALAM FILM G30S/PKI: SEBUAH INTERPRETASI TEOLOGIS
Authors: C. Simon John
Published: November 2021

This article is motivated by the polemic surrounding watching the G30S/PKI film. The purpose of writing is to find new insights from film as one of the artifacts of popular culture: where film is a mirror of oneself, even a mirror of a nation. Through an effort to analyze the film Peng betrayan G30S/PKI, we capture a moral message about the gripping culture of a society that has suffered from chronic and traumatic historical wounds for so long. Through this film, we find a picture of power that appears as an “interpretation regime”, which monopolizes and controls the interpretation of the world of signs and symbols, namely the G30S/PKI film, so that the truth is bent for the sake of political propaganda. With a qualitative method, this paper intends to construct emancipatory meanings through reading films that speak of small narratives that function as trauma healers, and whose presence becomes an opponent for the domination of the big narratives of a nation's history. The results of this study confirm that the trauma passed down from generation to generation is faced not by running from it, but rather by facing it, re-watching it, making it a mirror of our own modesty in the past. It can be concluded that the narrative of a film is a means to restore spiritual shame, so that we can appreciate the shame of failing before God, to be restored and empowered again as a new human being.
Studies on insect diversity in jasmine (Jasminum sambac L.) ecosystem
Authors:   Department of Plant Protection, Anbil Dharmalingam Agricultural College and Research Institute, Tiruchirappalli - 620 027, Pirithiraj U. , Soundararajan R.P. ,   Horticultural College and Research Institute for Women, Tiruchirappalli - 620 027, Justin C.G.L. ,   Department of Plant Protection, Anbil Dharmalingam Agricultural College and Research Institute, Tiruchirappalli - 620 027, Lakshmanan V. ,   Department of Vegetable Science, Horticultural College and Research Institute for Women, Tiruchirappalli - 620 027
Published: November 2021

Aim: Study was carried out to record the abundance and diversity of insects in jasmine (Jasminum sambac L.) ecosystem. Methodology: To determine insect pests, natural enemies and non-insect diversity, fortnight observations were taken from second fortnight of September'19 to March'20 on insect population at three adjacent locations. Abundance and diversity indices were computed using mean data. The management practices, presence of weeds and adjacent cropping systems were also recorded at three locations to determine the reasons for variation in the diversity of organisms. Results: A total of 3335 individuals arthropods belonging to 55 species, which included 32 species of herbivores and 23 species of natural enemies were recorded throughout the study period. Location 3 had perennial crops in the vicinity, un-weeded ecosystem with no chemical inputs. Among various diversity indices calculated, Margalef Richness Index of herbivores was higher at location 3 (1.67) than location 1 (1.17) and 2 (0.76). Interpretation: The abundance and diversity of insects in different jasmine ecosystem depends on the chemical inputs and adjacent cropping system.
Biotization of tissue culture banana plantlets with Methylobacterium salsuginis to enhance the survival and growth under greenhouse and open environment condition
Authors:   Department of Agricultural Microbiology, Tamil Nadu Agricultural University, Coimbatore-641 003, India, Pushpakanth P. , Krishnamoorthy R. ,   Department of Crop Management, Vanavarayar Institute of Agriculture, Pollachi- 642 103, India, Anandham R. ,   Department of Agricultural Microbiology, Tamil Nadu Agricultural University, Coimbatore-641 003, India, Senthilkumar M. ,   Department of Agricultural Microbiology, Tamil Nadu Agricultural University, Coimbatore-641 003, India
Published: November 2021

Aim: This study aimed to investigate the impact of M. salsuginis TNMB03 biotization on tissue culture banana cv. Grande Naine plantlets growth and survival under greenhouse and open environmental condition (exposed to direct sunlight). Methodology: Banana plantlets were transferred from culture flasks to protray and maintained under the greenhouse and open environmental condition for 30 days with or without M. salsuginis TNMB03 treatment. After 30 days, plant growth parameters like pseudostem height, girth, number of leaves, leaf area, fresh and dry biomass, root parameters, plantlet survival, chlorophyll a and b, total chlorophyll, carotenoids and soluble protein and Methylobacterium population in upper and lower surface of leaf, as well as endophytic population were assessed. Results: This study showed that the plantlets biotized with M. salsuginis TNMB03 had better acclimatization response under both the experimental condition than that of uninoculated plantlets. Positive influence on the survival and growth of M. salsuginis TNMB03 biotized plantlets was observed when transferred directly to greenhouse and open environmental condition. Inoculation of M. salsuginis TNMB03 increased the plant height, girth and number of leaves, root length, lateral root and biomass in comparison to the uninoculated plantlets in greenhouse and open environment. Uninoculated plantlets kept under open environment had lower chlorophyll content and sun scorching damages compared to M. salsuginis TNMB03 inoculated plants, which had dark green leaves and increased chlorophyll content. Interpretation: This study shows a new potential technique of using M. salsuginis TNMB03 in tissue culture plantlets, which can help in enhancing the growth of plantlets transferred from culture vessel to greenhouse or open environmental condition without undergoing the routine acclimatization procedure.
Antifungal activity of medicinal plants, Adathoda vasica and Andrographis paniculata against Colletotrichum capsici, the chilli fruit rot pathogen
Authors:   Department of Plant Pathology, Tamil Nadu Agricultural University, Coimbatore – 641 003, India, Priya K. , Thiribhuvanamala G. ,   Department of Plant Pathology, Tamil Nadu Agricultural University, Coimbatore – 641 003, India, Sangeetha C. ,   Department of Plant Pathology, Tamil Nadu Agricultural University, Coimbatore – 641 003, India, Kamalakannan A. ,   Department of Plant Pathology, Tamil Nadu Agricultural University, Coimbatore – 641 003, India, Haripriya S. ,   Department of Nano Science and Technology, Tamil Nadu Agricultural University, Coimbatore – 641 003, India, Parthasarathy S. ,   Department of Plant Pathology, Tamil Nadu Agricultural University, Coimbatore – 641 003, India
Published: November 2021

Aim: The objective was formulated to screen the extracts of medicinal plants for tapping the antimicrobial activity against Collectotrichum capsici. Further, the work was planned to characterize and identify the nature of antimicrobial compounds and their functional groups. Methodology: Extracts of eleven medicinal plants were tested against the mycelial growth and spore germination of C. capsici under in-vitro conditions. Based on these results, the potential plant extracts of A. vasica and A. paniculata found effective against C. capsici were assayed for the presence of antimicrobial metabolites through TLC, GC-MS and FTIR analysis. Results: Among the medicinal plants screened, the crude extracts from Adathoda vasica and Andrographis paniculata inhibited mycelial growth and spore germination of C. capsici by 53.33% and 38.14%, respectively, under in-vitro conditions. GC-MS analysis of ethyl acetate extracts of A. vasica indicated antimicrobial compound, 1H-Pyrrolo[2,1-b]quinazolin-9-one,3-hydroxy-2,3-dihydro- and A. paniculata showed the presence of two compounds, docosahexaenoic acid and oleic acid. Similarly, FTIR analysis revealed esters, alcohols, and halide groups, which are known antimicrobials. Interpretation: The medicinal plants, A. paniculata and A. vasica possessed antimicrobial metabolites, which was responsible for inhibiting the mycelial growth and spore germination of C. capsici.
Low impact of forest conversion on biodiversity: evidence from small mammals in contrasting forests of Mt. Liangshan, China
Authors: Xingcheng He , Wen Zhixin , Dejun Zhang , Xudong Yin , xue Chen , Ran Jianghong
Published: November 2021

Secondary and plantation forests are the main alternative forests
remaining after the deforestation of primary forests. Understanding the
conservation value of secondary and plantation forests is important for
resource utilization. To explore the impact of forest conversion on
biodiversity, we compared multiple diversity metrics (taxonomic,
phylogenetic and functional diversity) and community structures of small
mammals in the primary, secondary and plantation forests on Mt.
Liangshan, Sichuan Province, China. Seven field surveys were conducted
to survey local small mammal assemblages between 2016 and 2020. We found
that the taxonomic, phylogenetic and functional diversity metrics of
small mammals in the three forest types were similar at the landscape
scale, while all diversity metrics were lowest in the plantation forest
and highest in the primary forests at the site scale. The community
structure analysis showed that random processes were dominant across the
three forest types, and there was no difference in small mammal
community structures among the three forest types. Our results indicated
that secondary and plantation forests in the nature reserves, adjacent
to the primary forest and exposed to little human disturbance, also can
provide important habitats for small mammals.
Prenatal exposure to acid suppressant medications and risk of allergen sensitization
Authors: Robinson Lacey B. , Arroyo Anna , Geller Ruth J. , Sullivan Ashley F. , Jr Carlos Camargo
Published: November 2021

In conclusion, in a cohort of children with a history of severe
bronchiolitis those exposed to ASM prenatally are not at increased risk
of developing food or environmental allergen sensitization by early
childhood. The mechanism by which ASM exposure increases risk of
childhood asthma remains unclear, but alterations in the gut microbiome
merit consideration.
30-Year Cardiovascular Disease in Type 1 Diabetes: Risk and Risk Factors Differ by Long-term Patterns of Glycemic Control
Authors: Miller Rachel G. , Orchard Trevor J. , Costacou Tina
Published: November 2021

OBJECTIVE

We hypothesized that there is heterogeneity in long-term patterns of glycemic control with respect to cardiovascular disease (CVD) development in type 1 diabetes and that risk factors for CVD differ by glycemic control pattern. Thus, we estimated associations between data-derived latent HbA1c trajectories and 30-year CVD risk in the Pittsburgh Epidemiology of Diabetes Complications (EDC) study of childhood-onset (<17 years old) type 1 diabetes.

RESEARCH DESIGN AND METHODS

Participants (n = 536 with two or more HbA1c measurements [median 6] and CVD-free at baseline; mean age 27 and diabetes duration 18 years) were followed from 1986 to 1988 to 2016 to 2018 to ascertain CVD incidence (CVD death, myocardial infarction, stroke, coronary revascularization or blockage ≥50%, ischemic electrocardiogram, or angina). Latent HbA1c trajectories and their association with time-to-CVD incidence were simultaneously assessed using joint latent class mixed models.

RESULTS

Two HbA1c trajectories with respect to differential CVD risk were identified: low (HbA1c ∼8% [64 mmol/mol] and improving over follow-up, 76% of cohort) and high (HbA1c ∼10% [86 mmol/mol] and stable, 24%). Overall, 30-year CVD incidence was 47.4% (n = 253); major adverse cardiovascular event incidence was 31.0% (n = 176). High HbA1c was associated with threefold increased CVD risk versus low HbA1c. Both groups had similar age and diabetes duration. Non-HDL cholesterol and estimated glomerular filtration rate were associated with CVD risk only in low HbA1c; albumin excretion rate was associated with CVD risk only in high HbA1c.

CONCLUSIONS

These risk factor differences suggest that pathways to CVD may differ by glycemic control, potentially resulting in important implications for prognosis in type 1 diabetes.
Hastanelere Aşı Dağıtımı İçin Uygun Rotaların Belirlenmesi: Ankara İli Örneği
Authors: DESTİCİOĞLU Beste , KURTAY Kemal Gürol , ALTUNDAŞ Aygün , DAĞISTANLI Hakan Ayhan
Published: November 2021

Çin’in Wuhan kentinde başlayıp tüm dünyaya yayılan COVID-19 salgını ile birlikte geleneksel uygulamalarda değişiklikler yaşanmaya başlamış ve bu gelişmelerle paralel olarak yeni problemler ortaya çıkmaya başlamıştır. COVID-19 salgınıyla ortaya çıkan bu problemler, araştırmacıların ilgisini çeken konular arasında yer almaktadır. Hem ülkemizin hem de dünyanın bu salgınla başa çıkabilmesi için tüm nüfusun aşılanarak toplum bağışıklığının sağlanması önem kazanmaktadır. Aşılanacak kişi sayısındaki artışla beraber, hastanelerin aşı kapasitelerinin belirlenmesi, aşı uygulaması yapılacak hastanelerin seçilmesi, hastanelere aşı dağıtım rotalarının belirlenmesi gibi yeni problemler karşımıza çıkmaktadır. Araç rotalama problemi ilk olarak 1950’li yıllarda literatürde yerini almaya başlamış ve günümüzde farklı varsayımlar altında yeni problem için uyarlanabilen, gelişmeye açık bir problem alanı olarak görülmektedir. Bu çalışmada, aşıların bir dağıtım merkezinden uygulama yapılacağı hastanelere en kısa sürede, minimum maliyet altında taşınmasının sağlanması amacıyla bir matematiksel model önerisinde bulunulmuştur. Bu problem için, literatürde yer alan araç rotalama problemi modelleri kullanılarak yeni bir matematiksel model önerisi yapılmıştır. Geliştirilen modelin etkinliğini analiz etmek için Ankara ili için bir uygulama yapılmış ve oluşturulan problem GAMS 24.1.3 programında kodlanarak çözülmüştür. Problemin çözümünde elde edilen sonuçlar değerlendirilerek, hastaneleri ziyaret edecek araçların minimum maliyetli rotaları belirlenmiştir.
Lesões do Joelho associadas à Rotura do Ligamento Cruzado Anterior em População Pediátrica
Authors:   Clínica Espregueira – FIFA Medical Centre of Excellence, Porto, Pais Nuno , Andrade Renato ,   Clínica Espregueira – FIFA Medical Centre of Excellence, Porto, Machado Filipe ,   Hospital Ortopédico Sant’Iago do Outão – Centro Hospitalar de Setúbal, Setúbal, Valente Cristina ,   Clínica Espregueira – FIFA Medical Centre of Excellence, Porto, Espregueira-Mendes João ,   Clínica Espregueira – FIFA Medical Centre of Excellence, Porto
Published: November 2021

Our goal was to assess the type and frequency of injuries associated with torn anterior cruciate ligament (ACL) in the pediatric population, as well as to compare patterns of associated injuries between children/adolescents and adults. We included all children and adolescents undergoing ACL reconstruction at our institution between 2013-2019. We analyzed the type and frequency of knee injuries associated (meniscus, cartilage and collateral ligaments) with ACL tears. We included 84 adolescents, with a mean age of 15.9 years. In total, 69% had associated injuries, with meniscal injuries being the most frequent (66.7%). The lateral meniscus was more frequently involved than the medial (48.8% vs 35.7%). Chondral lesions were only detected in 6% of children/adolescents. In adults, unlike what was seen in adolescents, the association of ACL tear with medial meniscus injury is more frequent than in the lateral meniscus. It is concluded that the main knee injury associated with ACL tear in children and adolescents is indisputably the meniscal injury and that only a small part (31%) has isolated ACL injury.
SPMD: Participação da SPMD no congresso da FIMS 2021
Authors:   Sociedade Portuguesa de Medicina Desportiva, Almeida João Paulo
Published: November 2021

O congresso da FIMS 2021, em Atenas, foi realizado num período conturbado da humanidade, em plena pandemia de COVID-19 Aquando da elaboração do programa para o congresso da FIMS propus, como membro destas organizações, que Portugal participasse também ativamente com um tema relevante, pois existem no nosso país médicos com excelente preparação científica e competência. A SPMD disponibilizou-se para abordar o assunto muito atual intitulado The female athlete across the life span: from recreational to elite level. Foram palestrantes o Dr. Marcos Miranda, a Prof. Doutora Maria João Cascais, a Dra. Beatriz Marinho e o Dr. Artur Pereira e Castro.
Alanya’da Yerel Halkın Turizmin Sosyo-Kültürel Etkilerini Algılamalarına Yönelik Karşılaştırmalı Bir Araştırma
Authors: Yavuz Horişan , Unur Kamil
Published: November 2021

Araştırmanın amacı, Türkiye’nin önemli turizm merkezlerinden biri olan Alanya’da turizm hareketlerinin başlamasından önceki ve sonraki dönemlerin karşılaştırılması, turizmle ilişkili olan ve gelir elde edenlerle, turizmle doğrudan ilişkisi olmayanların bakış açılarından ortaya konmaya çalışılmıştır. Çalışmada, amaçlı (kasıtlı) ve kartopu (zincir) örnekleme yöntemleriyle belirlenen ve Alanya merkezinde yaşayan 40 katılımcıyla, 4-11 Ekim 2019 tarihleri arasında yüz yüze görüşmeler gerçekleştirilmiştir. Görüşmelerde yarı yapılandırılmış görüşme formu kullanılmıştır. Verilere içerik analizi ve betimsel analiz uygulanmıştır. Sonuçlar, turizmin gelişmesiyle birlikte halkın aile içi ilişkilerinin bozulduğunu, ebeveynlerin çocuklar üzerindeki otoritesinin zayıfladığını, yabancılarla evliliklerin arttığını, yerel giyim tarzında, günlük konuşma dilinde değişim yaşandığını, yemek yeme alışkanlıklarının ve kadınların toplum içindeki rollerinin değiştiğini göstermektedir. Ayrıca, turizmle ilişkili olan katılımcıların; turizmle ilişkili olmayan katılımcılara göre turizm konusunda daha olumlu bir tutum göstererek turizmin Alanya’da daha fazla gelişmesini istedikleri tespit edilmiştir.
Biodiversity of Tropical Fruits and their Conservation in India
Authors: Sankaran M , Dinesh M R
Published: November 2021

India is one of the 12 mega biodiversity centres with 2 biodiversity hotspots which are the reservoirs of plant genetic resources. India stands at 7thplace in the global agricultural biodiversity status. Among fruit and nut crops, there are about 117 cultivated species with 175 wild relatives of which only 25 species have been domesticated. Genetic resources conservation of fruit trees is intricate and complex as they are belonging to various genera and species which require specific climate. Hence, in situ and ex situ conservation can go simultaneously. The western ghat and North eastern India are centers of diversity for several important native fruits including Mango, Jackfruit and Citrus. Apart from the major fruit crops, India is home to several underutilized fruit crops. However, due to increased pressure on land use several of the wild types, which are a great source of genes governing useful traits, are disappearing. Thus, there is an urgent need to conserve them in both in situ and ex situ conditions. The genetic diversity and modes of conservation of tropical fruits are discussed in this paper.
Isolation and characterization of microsatellite markers from Garcinia indica and cross species amplification
Authors: Ravishankar K V , Vasudeva R , Hemanth B , Nischita P , Sthapit B R , Parthasarathy V A , Rao V R
Published: November 2021

Garcinia indica popularly known as ‘Kokum’ or Murugalu”, is a medium-sized evergreen tree found in the western-ghats of India. This tree species is highly exploited to produce anti-obesity drugs and culinary purposes. Its population is threatened by overexploitation and loss of habitat. The development of microsatellite markers would help in understanding the genetic structure and further to develop appropriate conservation strategies. In this study, using next generation sequencing platform Illumina Hiseq 2000, we have sequenced the partial genome of G. indica and identified 3725 microsatellites. Forty-eight microsatellite markers were analyzed using 30 accessions. Polymorphism information content (PIC) values ranged from 0.718 to 0.968 with a mean value of 0.922. Allele per locus ranged from 3 to 33 per locus. The probability of identity values ranged from 0.00329 to 0.30489. Cross-species amplification SSR primers in the related species showed a moderate transferability from 12.5 % (for G. morella) to 18.7%(for G. gummigutta)
Cultural ecosystem services: The essence and author-developed classification
Authors: YURAK Vera V. , BORISOVA Yuliya P.
Published: November 2021

Subject. This article considers the content of the Cultural Ecosystem Services notion.
Objectives. The article aims to develop an original classification of cultural ecosystem services.
Methods. For the study, we used the methods of analysis, synthesis, analogy, comparison, and the dialectical, historical, and abstract-logical approaches.
Results. Based on the analysis of key fundamental projects related to the development of cultural ecosystem services, and the experience of building their classifications in order to avoid duplication of functions, the article proposes an author-developed classification of cultural ecosystem services, which excludes functional duplication and takes into account the experience gained in this area.
The Innovation of Bachelor Geographical Pedagogical Curriculum: an Approach from Geography General Education, 2018ter 2018 in Vietnam
Authors: Thang Ha Van , Binh Pham Thi
Published: November 2021

The purpose of this study is to point out the significant improvements of the Geography Education Curriculum 2018 compared to the 2006 ones in Vietnam. The research result is the analysis of Geography Education Curriculum improvements with scientific bases to explain them. To achieve this goal, theoretical research, practical experience summarization, consulting with experts to design geographic education programs are the main used methods. Research results contribute to the training and retraining of Geography teachers to meet the requirements of Vietnamese Geography Education innovation. Besides, it directs the improvement of training geography teacher-student curriculum.
Self Evaluation of Cardiology Residents on the Clinical Competencies Defined in the Core Curriculum
Authors: YILDIRIR Aylin , TURAN Sevgi
Published: November 2021

Aim: The clinical and procedural competencies that a cardiology resident should gain during the residency programme are defined as Cardiology Core Curriculum (CCC). Clinical competencies defined in the CCC are leveled as diagnosis (D), diagnosis and therapy (DT), diagnosis and therapy in a team (DTT); whereas emergency (E) and prevention (Pre) levels are added on these. Residents are expected to gain all these clinical competencies in the first half of their residency program. The aims of this study were to assess the self-evaluation of cardiology residents from different hospitals in Turkey on the level of achievement of the clinical competencies described in CCC and further investigate the factors that could affect the results. Methods: A survey was conducted to obtain self-evaluation of cardiology residents on levels of clinical competency defined in CCC. Residents on the second and third years of training were grouped as first half and fourth and fifth year as the second half. The self-evaluation levels of residents were compared according to their educational levels (first vs second half) and the type of educational centers (university vs training and research hospital). Results: Eighty-four residents from 36 different centers in Turkey were included in the survey; 59% of the residents were in the first half and 41% in the second half of their education. Fifty-five residents were getting cardiology training in university hospitals (53 government and 2 foundation university) and 29 in training and research hospitals. Among the clinical competencies grouped as DT-E-Pre the residents reported highest competence in management of hypertension (88%) followed by acute heart failure (80%). As expected, residents in the second half of their training were more competent in all of clinical competencies listed in the CCC. This difference was significant at the DT level for sudden cardiac death, vascular disease, adult congenital heart disease, valvular diseases, cor pulmonale, chronic ischemic heart disease and pericardial disease and at Pre level for sudden cardiac death (p<0.05). No difference was observed between the education centers at DT and E levels, however residents in the university hospitals had stated higher competence at Pre level in all of the clinical competencies listed in the CCC compared to residents training in training and research hospitals and the difference was significant in more than half of competencies (p<0.05). Conclusions: The self-evaluation level of cardiology residents on the competencies defined in the CCC are lower than expected. There is a striking difference at Pre level between university and training and research hospitals. The results of this survey are expected to contribute to CCC update and residence programme development studies.
METEORIC IRON IN PRODUCTION AND RELIGIOUS PRACTICE OF THE YAMNAYA CULTURE IN THE URALS REGION
Authors: Моргунова Н. Л. , Кулькова М. А. , Кульков А. М.
Published: November 2021

Среди курганов ямной культуры Среднего Поволжья и Южного Приуралья особое место занимают монументальные сооружения с находками изделий из железа. Выделяются предметы как производственного, так и ритуального назначения. По данным радиоуглеродного анализа курганы датируются в пределах первой половины III тыс. до н. э. В 2019 г. авторами на современном оборудовании проведены новые исследования химического состава поверхности металлических предметов, изотопный анализ свинца, а также реставрация железных предметов. Дополнительные исследования позволили подтвердить метеоритное происхождение железа, уточнить форму и функциональное назначение изделий. Анализ погребального обряда и инвентаря из меди и метеоритного железа позволяет сделать вывод, что курганы были предназначены для «супер-лидеров». При жизни они могли выполнять управленческие, военные и сакрально-ритуальные функции. Наличие предметов из железа свидетельствует об обожествлении власти вождей и о распространенном представлении связи лидерства и небесных сил.

Large burial constructions that have yielded items made from iron occupy a special place among the Yamnaya kurgans in the Middle Volga region and the Southern Urals. It is possible to single out both production items and artifacts used for religious purposes. The radiocarbon data put the kurgans around the first half of III mill. BC. In 2019 the authors conducted new research of the chemical composition of the metal item surface, using modern equipment, performed the stable isotope analysis of the lead and carried out the restoration works of the iron objects. The additional studies provided an opportunity to confirm the meteoric origin of the iron, clarify the shape and the functional purpose of the artifacts. It can be inferred from the analysis of the funerary rite and the offerings made from copper and meteoric iron that the kurgans were intended to bury super leaders. During their lifetime such chieftains could perform management, military and sacral ritual functions. Presence of iron items suggests that the power of the chieftains was deified and the idea of the links between the leadership and heavenly forces was quite common.
BRASS BRIDLE SETS OF THE LATE SARMATIAN PERIOD FROM THE NORTH PONTIC REGION
Authors: Антипенко А. В. , Смекалова Т. Н. , Новичихин А. М. , Мульд С. А.
Published: November 2021

Статья посвящена уникальному факту использования редкого сплава -латуни для изготовления деталей конского снаряжения позднесарматского времени. Комплексный анализ археологического материала включал исследование морфологии вещей и вариаций химического состава металла изделий. Полученные данные были сопоставлены с результатами анализа сплавов боспорских монет конца II в. н. э. Это позволило предположить три возможных варианта поступления уздечных наборов из редкого иноземного материала латуни к варварам Северного Причерноморья: 1) путем изготовления наборов в местной варварской среде мастерами-литейщиками с использованием переплавленных боспорских латунных монет; 2) производство снаряжения в мастерских Боспора для даров представителям варварской знати; 3) амуницией с латунными принадлежностями снабжались варварские всадники, находившиеся на службе у боспорских царей.

The paper explores a unique fact of using a rare alloy, i.e. brass, to make horse trappings details in the Late Sarmatian period. The comprehensive analysis of the archaeological material included a study of the artifact morphology and variability of the chemical composition of the metal the artifacts were made from. The data obtained were compared with the data on the analyzed alloys used to make Bosporan coins at the end of the 2nd century. This comparison suggested three possible variants explaining how the barbarians living in the North Pontic region got hold of the bridle sets made from rare material, i.e. brass, produced in other lands: 1) the sets were produced in the local barbarian environment by craftsmen-casters with the use of remelted Bosporan coins; 2) the horse trappings were produced in Bosporan workshops to be given to barbarian elite as gifts; 3) ammunition with brass items was given to barbarian horse riders who served to the Bosporan kings.
LYSOGORSKIY CEMETERY OF THE END OF I mill. AD: FIRST RESULTS OF INTERDISCIPLINARY STUDIES
Authors: Арсенова Н. Е. , Клещенко Е. А. , Киселева Д. В.
Published: November 2021

Статья посвящена комплексному исследованию Лысогорского могильника конца I тыс. н. э. В 2018-2019 гг. были изучены два кургана. Формы погребальных конструкций, а также фрагменты погребального инвентаря относятся к материалам боршевской культуры. Подобные формы были и ранее встречены на Лысогорском могильнике. Уникальными являются находки костяных изделий (накладки с зооморфным изображением, подвески) из кургана 85. Находка в кургане сосуда пастырского типа, выявление объектов поселения, предшествующего сооружению кургана, позволяют более аргументированно говорить о начале существования памятников боршевской культуры на р. Воронеж в рамках VIII в. Детальный анализ кремированных останков из погребений позволил реконструировать особенности погребальной практики населения, оставившего могильник. Также был проведен анализ изотопов стронция Sr/Sr из образцов костной ткани и фоновых образцов. Результаты данного анализа являются уникальными для региона и могут быть использованы в качестве сравнительного материала для оценки степени мобильности населения.

The paper presents a comprehensive study of the Lysogorskiy cemetery dating to the end of I millenium. In 2018-2019 two kurgans were excavated. The forms of funerary constructions as well as fragments of the grave goods are attributed to the Borshevo culture. Similar forms had been discovered at the Lysogorskiy cemetery before. Finds of bone artifacts (plaques featuring zoomorphic images, and pendants) from kurgan 85 are unique. The discovery of a vessel of the Pastyrskoe hillfort type and identification of settlement structures preceding the construction of the kurgan provide a strong case in favor of 8th century as the early period of the Borshevo sites on the Voronezh River. A detailed analysis of the cremated human remains from the graves made it possible to reconstruct specific features of the funerary rite practiced by the population that left behind this cemetery. The study also included analysis of 87Sr/86 Sr from the bone tissue samples and baseline samples. This analysis is unique for the region, its results can be used as comparative data in assessing population mobility.
ON IMPACT OF THE BONE TYPE ON THE RESULTS OF PALEODIET RECONSTRUCTIONS ON THE BASIS OF THE STABLE ISOTOPE ANALYSIS
Authors: Самородова М. А.
Published: November 2021

Анализ стабильных изотопов азота и углерода активно применяется в палеодиетических реконструкциях археологического материала. Однако на результаты изотопного исследования могут повлиять существующие отличия в соотношениях изотопов разных типов костей одного индивида, которые могут возникать из-за разницы в скорости ремоделирования (разрушение старой кости и образование новой) различных костей скелета. Данные отличия часто не учитываются при выборе образцов для проведения изотопного исследования. Таким образом, перед настоящей статьей ставятся следующие задачи. Во-первых, показать существование разницы в изотопных соотношениях костей скелета на основе материалов, представленных древнерусским сельским населением из могильника Шекшово 9 в Суздальском Ополье (X-XII вв.). И, во-вторых, предоставить основные рекомендации при отборе проб для изучения изотопного состава археологических материалов. В ходе исследования удалось установить, что при выборе образцов для проведения изотопного анализа следует отдавать предпочтения костям со схожей скоростью ремоделирования.

The analysis of stable nitrogen and carbon isotopes is actively used in paleodiet reconstructions of archaeological materials. However, the results of the stable isotope study can be affected by differences in the isotope ratios of collagen in different types of bones of the same individual. This can arise due the different speed of remodeling (the process by which osteoclasts breakdown the tissue in bones and new bones form) of various bones in the skeleton. These differences are often disregarded when selecting samples for isotope studies. Therefore, this paper is intended to address the following tasks: (i) to show that there exists difference in the isotope ratios of the skeleton bones by analyzing human remnants of the Medieval Russia rural population from the Shekshovo-9 cemetery in Suzdal Opolye (10th-12th centuries); (ii) to provide basic recommendations for selecting samples for the studies of the stable isotope composition of archaeological materials. Our research evidences that. when selecting samples for the isotope analysis. preference should be given to the bones with similar remodeling speed.
SIGNS, STAMPS AND THE JOCHIDS' TAMGA ON THE CERAMICS FROM THE SELITRENNOYE FORTIFIED SETTLEMENT (BASED ON THE 2019-2020 EXCAVATIONS)
Authors: Пигарев Е. М.
Published: November 2021

В статье представлены материалы исследований Селитренного городища - остатков столицы Улуса Джучи, города Сарай ал-Джедид (Харабалинский район Астраханской области), проведенных в 2019-2020 гг. Рассматриваются обнаруженные в ходе работ фрагменты золотоордынской керамики с нанесенными на них различными способами разнообразными знаками и символами, в том числе встреченное впервые на нижневолжских памятниках изображение тамги Джучидов-Батуидов. Приводятся варианты предназначения знаков. Вводятся в научный оборот знаки и символы, ранее не встречавшиеся на Селитренном городище и других поселениях эпохи Золотой Орды.

The paper presents materials from the excavations of the Selitrennoye fortified settlement, i. e. ruins of the city of Sarai al-Jedid which was the capital of the Jochi ulus (Kharabali district, Astrakhan region). The excavations were carried out in 2019-2020. The paper examines discovered fragments of Golden Horde ceramics with various signs and symbols made on the ceramics with the use of different methods. The image of the Jochids-Batuids tamga has been found at the Lower Volga sites for the first time. Several explanations of such signs' intended use are provided. Signs and symbols never found at the Selitrennoye fortified settlement and other hillforts dating to the Golden Horde period before have been introduced into scientific discourse.