bluuebunny/crossref_metadata_2025 huggingface dataset:
Testing eddy compensation and eddy saturation in the Southern Ocean
Authors: Jones Dan
Published: April 2021

The Southern Ocean (SO) is a unique and dynamic component of the climate system. Due in part to its cold temperatures and large surface area, the SO is an important region for the transfer of heat, momentum, and climatically relevant gases between the atmosphere and the interior ocean. The strong westerly winds above the SO help drive a powerful current (i.e. the Antarctic Circumpolar Current or ACC) that connects Earth's ocean basins in a global overturning circulation. In recent decades, these winds have strengthened and shifted poleward. Despite this change in surface forcing, no clear observational signal of the oceanic density structure's response has yet been detected. The eddy compensation hypothesis posits that changes in the direct wind-driven overturning circulation are balanced by changes in the eddy-induced meridional circulation, effectively rendering SO stratification insensitive to wind stress. The closely related (but not identical) eddy saturation hypothesis suggests that the ACC is also insensitive to increased wind stress, since additional energy ends up in the mesoscale eddy field instead of in the zonal mean circulation. In this work, we examine the viability of the eddy compensation and saturation hypotheses on interannual, decadal, and centennial timescales. Using a combination of theory and idealized numerical simulations, we show that it may take the Southern Ocean many decades to centuries to fully equilibrate with the world ocean following a change in wind stress. As such, it may be difficult to detect changes in isopycnal slope using the few decades of available observational data. We also explore the characteristics of eddy-driven interannual variability and examine how this variability may affect the decadal-scale adjustment of the global ocean. Our results suggest that departures from the eddy compensation regime may be important on decadal and centennial timescales, on which the interaction between regional Southern Ocean circulation and global ocean circulation is significant. As such, we suggest that Southern Ocean overturning circulation is likely to strengthen in response to recent and future climate change, with implications for the global carbon cycle and climate.
Mental Health and Social Distancing During COVID-19 in African Settings
Authors:   Department of Psychiatry, Kampala International University Western Campus, Bushenyi, Uganda, Mutume-N.Vivalya Bives ,   Masereka General Hospital, North-Kivu, Democratic Republic of the Congo (DRC), Ayodeji Okesina Akeem ,   Department of Human Anatomy, Kampala International University Western Campus, Bushenyi, Uganda, Mutuka Hilaire Muhindo ,   Department of Clinical Research, Internal Butembo Higher Institute of Medical Technology (ITSM) / Butembo, Democratic Republic of Congo (DRC), Muyisa Louis Kasereka ,   Department of Pediatrics, Musienene Referral General Hospital, North-Kivu, Democratic Republic of Congo (DRC), Vagheni Martial Mumbere ,   Department of Psychiatry, University of Kinshasa, Lemba, Kinshasa, Democratic Republic of Congo (DRC), Muhonhya Jean Kakule ,   Allied Health Department, Kampala International University, Western Campus, Po Box 71 Bushenyi, Uganda, Nakuwaki Madrine ,   Department of Psychiatry, Kampala International University Western Campus, Bushenyi, Uganda, Mbeva Jean Bosco Kahindo ,   Department of Public Health, Official University of Rwenzori, North-Kivu, Democratic Republic of the Congo (DRC)
Published: April 2021

Social distancing triggers mental health problems worldwide. Limited preparedness and response structures to public health emergencies are associated with an increased disruption of mental health care services either in health-facilities or in the community during COVID-19. The community-based approach should be combined with online psychological interventions, peer group therapy, and systematic medical screening of mental disorders in primary health care settings. The public health officers should promptly act to fit the gap of mental health burden care in Africa and to avoid the related health and socioeconomic problems.
Aneurysmal bone cyst of rib in middle age: An uncommon case with a recent review
Authors:   Professor and Head, Department of Surgery, ESIC Medical College & Hospital, NIT, Faridabad- 121012, Haryana, India, Goyal Sunder , Snigdha  ,   Consultant Pathologist,Civil Hospital, Panchkula- 134108, Haryana, India
Published: April 2021

Aneurysmal cyst of bone is a rare benign tumour that is slowing growing and expansile in nature. Generally, occurs in the long bones but can also involve the vertebrae. An aneurysmal bone cyst from the rib, especially in the middle age group, is extremely uncommon. Hereby, we report a 40-year-old woman with an aneurysmal bone cyst of the left 6th rib. She was treated with en bloc rib excision with the cyst. FNAC of lesion proved the diagnosis of the aneurysmal bone cyst. Curative treatment is en bloc resection of the affected rib, leaving no chance of recurrence.
ANALYSIS OF SEA TURTLE NESTING AREA IN PANDAN ISLAND WEST SUMATRA
Authors: Turnip Masnawita , Nasution Syafruddin , Galib Musrifin
Published: April 2021

The research was conducted on February – March 2020 and located in Pandan Island with using survey method. The research aimed to analyze characteristic habitat of the physical and biological turtle nesting beaches, the distribution of turtle’s nests, and the microbial conditions of the turtle’s nests. The result showed that the length of beach was 1,379.4 m with average width of beach was 16.13 m. The average beach slope was 5.52 %. Substrate type dominated by sand substrate. The most abundant vegetation was ketapang tree (Terminalia catappa) and the predators discovered were monitor lizard and dog. There where 4 turtle nests were found, which was 3 nests of hawksbill turtles and 1 nest of green turtle. The average distance of nests from high tide line was 5.7 m with average distance between nest was 177.87 m. Respectively, the average of temperature, humidity, and depth of the nests were 29.58℃, 12.78%, and 53.3 cm. The average size of curve carapace length was 84.25 cm and average curve carapace width was 76.25 cm. The average number of eggs was 144 of each nest with average diameter of eggs was 3.35 cm.
Histopatologi Ginjal Ikan Jambal Siam (Pangasiodon hypophthalmus) yang Diberi Pakan Mengandung Tepung Kunyit
Authors: Wahyuni Sri , Riauwaty Morina , Windarti Windarti
Published: April 2021

Turmeric is an herbal plant that has antibacterial and antioxidant abilities, and also to improve the fish's immune system. The aim of this research was to look at the histological structure of kidney and survival rate fish which was given feed with turmeric flour before and after infected with A. hydrophila. This research was conducted from February to May 2019 in the Laboratory of Parasites and Fish Diseases of the Faculty of Fisheries and Marine Sciences, University of Riau. The method in this research was the experimental method by one-factor Completely Randomized Design (CRD) with five levels. Kn (feeding without given turmeric flour and without infection with A. hydrophila), Kp (Feeding without given turmeric flour and infected with A. hydrophila), P1 (turmeric flour at a dose of 0.5 g / kg of feed), P2 (dose of 0.7 g / kg), P3 (dose of 0.9 g / kg). The results showed that the histological structure of catfish which was given the addition of turmeric flour in feed by normal conditions and after being challenged with A. hydrophila showed some damage to the gill and kidney structure. The best dose of adding turmeric flour to feed is 0.7 g / kg of feed (P2), seen from the structure of the kidney cell, and the best survival. Histological structure of kidney cell structure in P2 treatment has abnormality such as hemorrhage and survival rate 100%.
PERBANDINGAN HASIL TANGKAPAN JALA LEMPAR PADA UKURAN MATA JARING YANG BERBEDA DI DANAU KERINCI
Authors: Bandi Zikri Naqsa , Lisna Lisna , Mulawarman Mulawarman
Published: April 2021

Nets are a simple fishing tool which principally confines fish so they cannot escape. The mesh sizes that are often used by the people of Kerinci Lake are the mesh sizes of 2.5 inches and 4.5 inches. The research objective was to compare the catch of jala lempar with mesh sizes of 2.5 inches and 4.5 inches in Kerinci Lake. The method used is the experimental fishing method by catching 16 trips. The results showed that the catch of jala lempar with a mesh size of 2.5 inches got a catch with a weight of 53.930 kg and a total of 266 fish, while a 4.5 inch mesh size obtained a catch with a weight of 33.844 kg and a total of 51 fish. the type of fish that you get is tilapia and barau. The use of different mesh sizes on the Net fishing gear shows a significant difference (P <0.05) to the weight of the catch, at mesh size 2.5 inch, with an average catch weight of 3.371 kg while the mesh size is 4.5 inches. obtained an average catch weight of 2.111 kg. Based on this research, it can be concluded that using a 2.5 inch mesh size results in more catch than 4.5 inches in size
Identification of Pathogenic Bacteria from Striped Catfish (Pangasionodon hypophthalmus) kept in Aquaculture Ponds
Authors: Tamba Jaya Maruli , Syawal Henni , Lukistyowati Iesje
Published: April 2021

Koto Masjid Village is the largest production center in striped catfish fish farming activities in Riau Province. One of the inhibiting factors is the disease caused by bacteria, this study aims to determine the types of pathogenic bacteria that have the potential to infect striped catfish. This research was conducted in August - November 2019, samples of striped catfish used in the study amounted to 15 tails with an average length of 15-25 cm taken from 5 ponds in Kampung II, Koto Masjid Village, XIII Koto Kampar Subdistrict, and then identified bacteria by Conventional Laboratory in Fish Parasites and Diseases, Faculty of Fisheries and Marine, Riau University, Pekanbaru. This study uses a survey method that is by taking samples from the field in Pu and then the isolation of bacteria is carried out from the kidney organ in the TSB media then purified on the TSA media. The results of the study found 3 types of pathogenic bacteria namely Aeromonas sp., Edwardsiella sp., and Pseudomonas sp. Water quality during the study was pH 6.6-70, DO 4.05-4.35 mg/L, NH3 0.035-0.2 mg/L and Temperature 28-300C.
An Alternative Impression Technique for Fabrication of Feeding Appliance for an Infant with Cleft Palate: A Clinical Report
Authors: Dhital S , Mathema S R.B. , Maskey B
Published: April 2021

Cleft lip and palate is the most common congenital defect of the orofacial region, which results in difficulty in feeding, deglutition, and speech. Before the surgical intervention, a feeding appliance is used to restore the palatal cleft and aid in feeding an infant. The impression procedure during the fabrication of a feeding appliance is a crucial step and selection of impression tray and impression material is a challenging task. This article attempts to briefly describe an alternative technique for making impressions in infants with cleft palate.
A Simplified Approach for Ocular Rehabilitation - A Case Report
Authors: Manandhar P , Mathema S R.B.
Published: April 2021

Loss of an eye or any body part has an intimidating and crippling effect on the psychosocial well-being of the patient. Although the artificial prosthesis cannot restore the function, it can highly improve the patient’s esthetics and help them regain their psychological confidence. Literature has advocated various rehabilitation modalities including empirical use of stock shells, modifying stock eyes, custom-made ocular prostheses, ocular implants, etc. A custom-made ocular prosthesis, among all the techniques, shows improved adaptation to tissue bed, distributes uniform pressure, provides a more esthetic and precise result, and is relatively cost-effective. This case report explores a relatively comprehensive method of custom ocular prosthesis fabrication for an ocular defect with a satisfactory outcome.
Wołyńskie wspomnienia w opowiadaniu "W złym towarzystwie" Władimira Korolenki
Authors: Nowakowska-Ozdoba Joanna Izabela
Published: April 2021

Wołyńskie wspomnienia w opowiadaniu "W złym towarzystwie" Włodzimierza Korolenki
Artykuł poświęcony jest wspomnieniom bohatera-narratora w opowiadaniu Włodzomierza Korolenki W złym towarzystwie. Celem analizy jest określenie, w jaki sposób pamięć bohatera kształtuje obraz świata, jakie rodzaje pamięci pozwalają odtworzyć przeszłość, a także odpowiedź na pytanie czy pamięć autobiograficzna autora bierze udział w tworzeniu obrazu miejsca w tekście. Rzeczywistość przedstawiona w utworze jest obrazem zapisanych w pamięci narratora-bohatera zdarzeń, sytuacji, ludzi, miejsc, dawnych emocji i uczuć. W odtwarzaniu przeszłości biorą udział różne formy pamięci: „pamięć widząca miejsca”, pamięć wizualna, uczuciowa (mimowolna), intelektualna, a także  pamięć autobiograficzna autora. Tworzą one obraz będący sumą doznań sensorycznych i uczuciowych przywoływanych we wspomnieniach bohatera.
Память из гипса. О хрупкости традиции и моделировании прошлого-будущего в позднем творчестве Виктора Пелевина
Authors: Jaworski Mateusz
Published: April 2021

Память из гипса. О хрупкости традиции и моделировании прошлого-будущего в позднем творчестве Виктора Пелевина

Целью нынешней статьи является попытка интерпретации двух поздних романов Виктора Пелевина – Лампы Мафусаилаи iPhuck 10– к ключе хронотопа, памяти и забвения. Проведенный анализ выявил несомненную заинтересованность русского писателя в физических и философских теориях, пытающихся разгадать истинную природу Вселенной. Время и пространство в анализированных произведениях неразделимы, так как создают сложную сеть параллельных миров. К тому же эти новые реальности не функционируют линейным, привычным для человеческого познания образом. В Лампе Мафусаила путешествия во времени возможны, но введение модификаций/улучшений в структуре прошлого полностью уничтожает будущее (в сущности изменение прошлого становится путем в другое пространство-время). С другой стороны, вiPhuck 10 путешествие во времени приобретает оригинальную форму демиургического акта (в данном случае созданный таким образом мир полон тоски и ностальгии по исчезнувшим духовным ценностям). В таком ракурсе путешествия во времени трудны и лишены смысла, так как все возможные реальности существуют и материализируются, будучи параллельными действительностями.
Zaniki pamięci a los w dramacie Asi Wołoszyny "Пациенты"
Authors: Tyczko Krzysztof
Published: April 2021

Sztuka Asi Wołoszyny Pacjenci nawiązuje do chorób, opisanych przez angielskiego neurologa Olivera Sachsa, a także do elementów świata artystycznego hiszpańskiego reżysera Luisa Bunuela. Łącząc naukową i artystyczną refleksję, Wołoszyna tworzy własną narrację o Bogu, wolności, losie, osobowości i kreatywności.Celem niniejszego artykułu jest scharakteryzowanie traconej przez bohaterów pamięci w związku z obecnością w świecie sztuki pojęcia losu oraz w kontekście zadeklarowanego przez Wołyszynę stanu porzucenia przez Boga. Utrata pamięci oznacza dla bohaterów utratę osobowości, co z kolei pociąga za sobą utratę woli. Tylko dzięki wielkiemu twórczemu wysiłkowi Maszy, która przyczynia się do stworzenia ostatniego, choć strasznego, filmu Iona, staje się możliwe uwolnienie zapomnianych przez bohaterów traum i katharsis. Powyższa konstatacja została powiązana z rozważaniami Nikołaja Berdiajewa o losie, religii i wolności (według książki Egzystencjalna dialektyka Boga i człowieka).
Последняя монография ученого: рецензия. Jerzy Kaliszan, Русские омографы, Wydawnictwo Naukowe UAM, Poznań 2017.
Authors: КОСМЕДА ТАТЬЯНА
Published: April 2021

Обзор монографии Ежи Калишана Русские омографы, Wydawnictwo Naukowe UAM, Poznań 2017.
REWOLUCYJNA KONTRREWOLUCJA. DIALOGI KULTUR W MYŚLI ROSYJSKIEGO OŚWIECENIA
Authors: Bohun Michał
Published: April 2021

Uniweraslizmm (kosmopolityzm) i sekularyzm były szczególnymi wałasnościami kultury Oświecenia. W prezentowanym artykule zostały one powiazane z problemem napięcia pomiędzy rewolucją i kontrrewolucją w myśli rosyjskiego Oświecenia oraz w działaniach władców Rosji. Autor wyróżnia trzy tendencje w dialogach pomiędzy kulturą Zachodu (polską, niemiecką, francuską) i kulturą rosyjską. Ukazane one zostały jako instrumenty modernizacji i wzmocnienia państwa rosyjskiego, które przyniosły nieoczekiwane rezultaty rewolucyjne.
Wiosenny salon poetów: rewolucja w kategoriach magnum opus
Authors: Borisova-Yurkovskaya Elena
Published: April 2021

Przedmiotem badań są wiersze rosyjskich symbolistów, wydane w pierwszym obszernym porewolucyjnym zbiorze Wiosenny salon poetów (1918), a także te, które nie znalazły się w wymienionym tomie, ale zostały napisane wiosną 1917 roku, bezpośrednio po Rewolucji Lutowej. Uwaga autora artykułu skupiła się na jednej cesze charakterystycznej dla omawianych utworów: na alchemicznej symbolice i obrazowości, jaką przepełniona jest poezja tamtego okresu. Poeci, którzy w ciągu ostatnich lat głosili i przepowiadali mistyczną rewolucję, teraz biorą w niej udział poprzez twórcze misterium, są współpracownikami rewolucji, mistrzami tworzącymi magnum opus – zaklęcie rzeczywistości przy pomocy słowa.
CОЦИОКУЛЬТУРНЫЕ КООРДИНАТЫ ПОЛИТИЧЕСКИХ СТРАТЕГИЙ СОВРЕМЕННОГО ПРЕДПРИНИМАТЕЛЬСТВА: РОССИЙСКИЙ КЕЙС
Authors: Алейников А. В. , Мальцева Д. А. , Сафонова О. Д.
Published: April 2021

The article examines the value foundations of entrepreneurial activity in Russia, reveals the national specifics of interaction between the state and business. In this regard, the authors analyze the causal mechanisms and socio-cultural prerequisites for structural deformations of classical forms of entrepreneurship in Russian society, the stereotypes of articulation of political and ethical justifications by entrepreneurship of economic strategies in their relationship with the characteristics of national human capital. Based on the methodological premises of W. Baumol's concept, the authors describe the patterns of transformation of entrepreneurial values, paying special attention to the sociocultural and political factors in the development of productive, unproductive and destructive (destructive) entrepreneurship in modern Russia. Productive entrepreneurship develops due to the generation of innovative rent, unproductive entrepreneurship makes a profit due to the redistribution of the state treasury and assets, and destructive entrepreneurship develops due to the use by political actors of their capabilities to force entrepreneurs to pay political rent. Historical examples demonstrate the role of private Russian capital in creating a system of "political rent seeking" unproductive for society and creating political preferences for the realization of economic interests. The focus of the article is also concentrated on the study of the correlation of the value attitudes of Russian business with the resource-oriented economy and the peculiarities of the Russian political regime, the historical and cultural context of the political discourses of Russian business entities, which creates, establishes or imposes rules and norms not only economic, but also political, social, legal behavior. The manifested values, meanings and political and ethical substantiation by Russian business of everyday economic practices and their movement into the political sphere are revealed; historical forms of expression of political positions by entrepreneurship are decoded. On the other hand, the article analyzes the political mechanisms of the state's construction of the institutional design of entrepreneurship and its management.
МОДЕЛИ ОНЛАЙН-МОБИЛИЗАЦИИ ПОЛИТИЧЕСКОГО ПРОТЕСТА СОВРЕМЕННОЙ РОССИЙСКОЙ МОЛОДЕЖИ (РЕЗУЛЬТАТЫ ЭМПИРИЧЕСКОГО ИССЛЕДОВАНИЯ)
Authors: Лагутин О. В.
Published: April 2021

The paper considers the problem of empirical search for models of online mobilization of the youth protest movement in the modern Russian metropolis. In the political practice of many countries, young people have become one of the most important objects of influence of various political actors, both internal and external. Also, in Russian political protest, young people are traditionally the driving force. In the last decade, the online environment has become the most effective and operational communication field for the construction of the political process. The greatest political impact was achieved by the online organization of protest actions, the key element of the strategy of which was the mobilization of the masses. The objectives of the study are to use multidimensional methods of analysis to identify the features that influence the formation of online mobilization models, and to give a descriptive description of each of the models. To study the problem, an online survey of representatives of the younger generation in all megacities of the Russian Federation was conducted, during which latent factors of political action in the online environment, online mechanisms for attracting the attention of users of social networks to political problems that play the role of a protest trigger, and types of political participation were identified. With the help of classification methods, the obtained factors were obtained four models of online mobilization of the political prosthesis of the youth of modern Russia.
Hand self-shiatsu to promote sleep among Veterans and their family members: A non-randomized, multiple-methods study
Authors: Brown Cary A. , Rivard Annette , Bellmore Leisa , Kane Morgan , Roberts Mary Roduta , Wang Yuluan
Published: April 2021

LAY SUMMARY

This study tested a no-cost, drug-free technique to promote sleep for Veterans and their family members. The technique, hand self-shiatsu (HSS), had promising outcomes in other studies with chronic pain patients and young athletes after concussion. HSS is easy to learn, takes only 10–15 minutes to perform before bed, requires no equipment, and is best done once in bed for the night. The sleep and daytime fatigue of 30 people who were taught HSS and 20 who were not were compared across a two-month period. The two groups were similar in age and gender. The self-report measures showed that people who did HSS reported less daytime fatigue and less sleep disturbance than those who did not. Also, in interviews at the end of the study, participants were very favorable about how easy and potentially useful HSS was. They also commented on the benefit of feeling more in control of their sleep. Although the study has limitations, the findings are promising. A HSS educational video, handouts, and app are available for free at https://cbotlabs.wixsite.com/handselfshiatsu .
Craniotopographic characteristics of the distances between the foramina of the middle cranial fossa taking into account the human craniotype
Authors: Chekanova I. V. , Vovk O. Yu. , Ikramov V. B. , Dubina S. O.
Published: April 2021

Annotation. It is known that within the middle cranial fossa there are rotundum, ovale and spinosum foramina through which important vessels and nerves pass. That is why it is important for surgeons not to damage them during surgery. The aim of the work was to establish the craniotopographic characteristics of the distances between the foramens of the middle cranial fossa of a mature person depending on the extreme types of skull structure. The morphometric study was performed on 50 CT scans of the adult human head using the anatomical imaging system Anatomage table, with the installed program Launching Table 6.0 Application and 50 bone preparations of the skull of adults in standard craniological methods using a common set of measuring instruments. In our study, craniometry was performed between the rotundum, ovale and spinosum foramina of the middle cranial fossa. Statistical processing of the obtained digital material was performed by the variation-statistical method with the determination of the Mann-Whitney criterion (p<0.05). The performed morphometry showed there is a slight asymmetry of the distances between the foramens of the left and right parts of the middle cranial fossa. The study also showed that there is no significant difference in the average size between the foramens in the left and right halves of the middle cranial fossa depending on the extreme types of skull. The length between the foramina of the same name (rotundum, ovale and spinosum) is characterized by a gradual increase in parameters from dolichocranes to brachycranes, combined with an increase in latitudinal size in brachycranes, average values in mesocranes and a decrease in transverse parameters in dolichocranes. The obtained results complement the existing information on craniotopographic and craniometric features of the middle cranial fossa and can be the basis for further research.
Cross-risks of development of bronchopulmonary dysplasia and necrotizing enterocolitis of premature neonates
Authors: Bolonska A. V. , Sorokina O. Yu.
Published: April 2021

Annotation. Bronchopulmonary dysplasia and necrotizing enterocolitis have become modern problems of effective care of premature neonates. These two pathologies significantly delay the discharge of a premature baby from the hospital, lead to significant economic costs and worsen the quality of life of these patients. The aim of the study was to identify controlled predictors of bronchopulmonary dysplasia, however, in the analysis of the initial status of patients obtained useful results for the parallel treatment of necrotizing enterocolitis. The study recruited 133 neonates with a gestational age of 28–32 weeks with a diagnosis of respiratory distress syndrome on the basis of two NICU in Dnipro in the period from 2016 to 2020. According to the results of the study in the structure of treatment of premature neonates there were significant risks of bronchopulmonary dysplasia: the duration of respiratory support by mechanical ventilation, non-invasive ventilation, additional oxygenation, nebulizer therapy, and for necrotizing enterocolitis – lower fluid intake, hemoglobin level in 1, 3, 7 days of life, moderate and severe asphyxia. Some of the approaches in therapy are cross-cutting, such as the prevention of anemia in respiratory distress syndrome, fluid intake differences and intensive care methods reducing the duration of respiratory support for the prevention of late neonatal sepsis, we can create an algorithm that takes into account all the risks and enhance outcome for these patients. The perspectives for future work – research of neurological status of former premature neonates and finding out predictors of cerebral palsy.
The assessment of the efficiency of 5-methyltethydrofolate according to level by homocysteine, methionine and betaine in pregnant women with polymorphism rs 1801133 (677 C> T) of the MTHFR gene
Authors: Lastovetska O. B. , Bulavenko O. V.
Published: April 2021

Annotation. The prevention of early pregnancy loss, taking into account the polymorphism of the genes of enzymes that controlling folate metabolism, have become the goal of clinical studies in recent years, and the determination of risk factors for patients of late reproductive age and embryonic losses in history becomes critical for the development of effective measures to prevent miscarriage. The use of medical prevention of perinatal pathology using a biologically active form of folate in the form of 5-methyltetrahydrofolate in women with anamnestic loss of pregnancy looks promising. The aim of the study was to evaluate the effectiveness of drug prevention in patients with anamnestic embryonic losses, taking into account the role of the rs1801133 (677 C>T) polymorphism of the MTHFR gene based on the results of the dynamics of serum levels of homocysteine, betaine, and methionine. The patients were divided into the main group (polymorphism rs1801133 (677 C>T) of the MTHFR gene and anamnestic embryonic loss), which was divided into 2 subgroups: I subgroup included 20 women who received folic acid preparations (400 μg per day), II subgroup – 20 patients who received a complex preparation containing 5-methyltetrahydrofolate and control groups (practically healthy women) (n=20). Prescribing drugs began at the pre-gravid stage 8–10 weeks before pregnancy planning, and the administration ended up to 26 weeks of pregnancy. Determination of serum homocysteine levels and markers of folate metabolism - methionine and betaine – were performed at the end of the 1st – beginning of the 2nd trimester of pregnancy and in the third trimester. In the study of the effectiveness of preventive therapy on the dynamics of markers of folate metabolism functionality in pregnant women of late reproductive age with anamnestic embryonic losses and polymorphism rs1801133 (677 C>T) of the MTHFR gene when using a combined drug containing folic acid and 5-methyltetrahydrofolate, at the first end – at the beginning In the second trimester, there was a significant increase in betaine and methionine (p<0.05), while in the third trimester, a positive statistically significant difference (p<0.05) was diagnosed in an increase in methionine, betaine and a decrease in serum homocysteine levels.
Cystatin C level as a prognostic risk factor for postoperative complications in elderly patients
Authors: Rasenko A. V.
Published: April 2021

Annotation. An important criterion for assessing the course of urgent surgical pathology in elderly patients is the concomitant state of sarcopenia. Decreased blood levels of cystatin C, which correlates with decreased muscle mass and strength, is an important screening criterion for perioperative intensive care therapy in these patients. The aim of the study was to increase the effectiveness of intensive care in patients with low sarcopenic index by improving the methods of influencing perioperative risk factors. We examined 90 elderly patients (73.3±7.9 years) with surgical pathology of the abdominal cavity, who underwent emergency surgery under general anesthesia based on sodium thiopental with artificial lung ventilation. Patients were divided into 3 randomized groups by age, sex, anthropometric data, volume and duration of surgery, concomitant comorbid background and perioperative intensive care: group I (n=30) – patients undergoing standard intensive perioperative therapy, group II (n=30) – standard intensive care with the addition of levocarnitine; group III (n=30) – standard intensive care with the addition of levocarnitine and a solution of D-fructose-1,6-diphosphate sodium salt hydrate. Muscle mass was determined by bioimpedancemetry on the analyzer “MEDASS” ABC-02, muscle strength was assessed by wrist dynamometry, muscle-skeletal mass index was calculated. The serum cystatin C concentration was determined by latex-enhanced immunoturbidimetry (DIALAB GmbH, Austria). The significance of the obtained data was checked using the r-Pearson correlation coefficient. It is established that additional prescription of levocarnitine and D-fructose-1,6-diphosphate sodium hydrate salt significantly reduces the number of days of treatment in the intensive care unit, improves prognosis, and promotes early activation of patients. Metabolic changes caused by a decreased sarcopenic index require further research.
Ischemic heart disease among the population of working age in Kyiv region: statistical analysis of the modern epidemiological situation
Authors: Ivanyuk А. V. , Orlova N. M.
Published: April 2021

Annotation. Ischemic heart disease (IHD) is one of the main causes of high mortality, disability and a decrease in the quality of life of the working-age population (WAP) in Ukraine. Aim of the work: to determine the modern features of mortality, disability, prevalence and incidence of ischemic heart disease in the working-age population of the Kyiv region. The analysis of the epidemiology of IHD in the Kyiv region was carried out in dynamics for 2010–2019 and compared to Ukraine. The statistical data of the State Statistics Committee of Ukraine, the Center for Medical Statistics of the Ministry of Health of Ukraine, and the Kyiv Regional Center for Medical Statistics on mortality, disability, prevalence and incidence of IHD in the working-age population of the Kyiv region were analyzed with the medical-statistical method. It has been established that IHD is a significant cause of the loss of labor potential in the Kyiv region. IHD accounts for every fourth (25.0%) death in the working age, and the regional level of working-age population mortality from IHD is the highest in Ukraine. In the Kyiv region working-age population dies from ischemic heart disease 1.5–1.7 times, and from myocardial infarction – 1.7–1.9 times more often than the average in Ukraine. Regional levels of incidence IHD among working-age population exceed similar indicators in Ukraine by 1.2 times, the incidence of myocardial infarction – 1.5 times, the prevalence of ischemic heart disease – 1.7 times. Identified unfavorable dynamic trends in mortality and prevalence of IHD among the working-age population of the Kyiv region. The mortality rate from IHD among working-age population increased in the Kyiv region in 2019 compared to 2010, by 7.9%. The prevalence of IHD increased during 2010–2018 by 14.4%, and the primary incidence of myocardial infarction – by 14.9%. The unfavorable epidemiological situation with IHD among working-age population in the Kyiv region necessitates improving the system for the prevention and the organization of medical care for patients with IHD in this region.
Uso de sistema de controle fuzzy e internet das coisas para irrigação na agricultura de precisão
Authors:   , Souza Gilberto
Published: April 2021

World agriculture will face the challenge of guaranteeing the food security of 9 billion people in the 2050s. Given this, it is essential to develop new farming techniques aimed at increasing food production and also the sustainable maintenance of natural resources and the environment. To produce food in the right quantity, at the right time, and affordable prices, farmers must adopt precision farming models to increase the food production amount. Precision agriculture uses agricultural management techniques based on the measurement and control of crop parameters such as soil moisture, air temperature, and the irrigation control. In this context, agricultural irrigation accounts for the greater consumption of freshwater available for use on the planet. Adopting techniques that allow increasing agricultural production, reducing irrigated water amount and waste, becomes crucial and the most appropriate responses are the implementation of solutions using Artificial Intelligence. This work uses a Precision Irrigation model, with the rain forecast as a complement to the irrigation process, to keep the soil moisture at an appropriate level for the sweet pepper culture. A fuzzy inference system was used in the the irrigation prescription amount, with the climatic data acquisition made through IoT devices installed in the crop field, maximizing soil wetting through rainfall and reducing irrigated water amount. The average reduction of 16% in irrigation, obtained in simulations and real experiments, indicates a good response of the model to the proposed objective
Outbreak of Ralstonia Mannitolilytica Infection at a Tertiary Care Oncology Center in South India: A Case Series
Authors: Ramani Vinod K. , D.V Ganesha , Sarathy Vinu , Bhattacharjee Somorat , Ganeshan Shobha , Naik Radheshyam
Published: April 2021

Introduction: Ralstonia Mannitolilytica (RM) is a rare opportunistic pathogen capable of causing a serious infection in immunocompromised patients. It is ubiquitous in nature and a frequent contaminant of water supplies. RM infection in cancer patients may have serious implications as they are already susceptible due to underlying malignancy, treatment related immunosuppression, malnutrition and prolonged presence of indwelling central catheters. In this study, we report a case series of RM infection with focus on clinical characteristics, management and patterns of antibiotic sensitivity. Methods: This case series includes 17 cancer patients admitted at Healthcare Global oncology hospital, Bangalore, presenting with fever and/or chills between 22nd February 2020 to 5th May 2020, who had a positive blood culture and/or a chemoport/PICC/central venous catheter (CVC) tip culture positive for RM species.Results: Among all patients, RM was grown from the blood sample of 12 patients having an indwelling chemo-port, 4 patients with PICC line and 1 patient with a central venous line. All patients had a positive blood culture for RM, and two patients had a positive tip culture in their chemo-port and PICC line respectively. Antibiotic treatment includes cefoperazone-sulbactam for 10 patients, ceftazidime for 4 patients, meropenem for 2 patients and ceftriaxone for 1 patient. All 17 patients recovered from the infection without any complications. After 48 hours of incubation, no growth of Ralstonia was reported from any of the current environmental or pharmaceutical water samples. Conclusion: RM may be capable of causing serious infections in cancer patients as they are already immuno-compromised. Furthermore, RM may serve as an effective quality indicator of water and therapeutic supplies. Healthcare professionals should adhere to infection control policies, monitor outbreaks of unusual pathogens and study the emergence of pattern for antibiotic resistance.
أثر منظومة المعلومات المصورة مقابل المكتوبة على أربعة مستويات في التعلم: التذكر، والفهم، والاستنتاج، والتطبيق
Authors: نظير دروزه أفنان
Published: April 2021

سحبت عينة عشوائية بسيطة من طلبة السنة الأولى والثانية في جامعة النجاح الوطنية بلغت (105) طالباً وطالبة، ووزعت بطريقة عشوائية إلى خمس مجموعات: مجموعتان تلقت منظومة المعلومات بشكل مصور، واحدة تلقتها مع المحتوى التعليمي منظماً، والثانية تلقتها مع المحتوى غير المنظم؛ ومجموعتان تلقت منظومة المعلومات بشكل مكتوب، واحدة تلقتها مع المحتوى منظما، والثانية تلقتها مع المحتوى غير المنظم. أما المجموعة الخامسة فكانت ضابطة تلقت النص نفسه ولكن مع منظومة زائفة. ولدى استخدام تحليل التباين الأحادي والثنائي، فقد أظهر اختبار "ف" العام عند مستوى ثقة (p less than.05) فأحسن، النتائج التالية: 1) أن متوسط المجموعات التي تلقت منظومة المعلومات بقالب مكتوب كانت بشكل عام أعلى من متوسط نظائرها التي تلقتها بقالب مصور، 2) وأن متوسط المجموعات التجريبية التي تلقت منظومة المعلومات بنوعيها المكتوب والمصور كانت أعلى من متوسط المجموعة الضابطة التي تلقت منظومة زائفة، 3) ولم يكن هناك اختلاف له دلالة إحصائية بين متوسطات الطلبة الذين تلقوا المحتوى منظماً ونظائرهم الذين تلقوه بدون تنظيم، ولا بين السنة الأولى الجامعة والثانية، ولا بين ذوي القدرات العليا والدنيا باستثناء ما ظهر على اختبار الاستنتاج (p less than.04) والذي أفاد بأن متوسط الطلبة من ذوي القدرات العليا كان أعلى من نظائرهم من ذوي القدرات الدنيا، 4) وظهر هناك أربعة تفاعلات بدلالة إحصائية: الأول ظهر على اختبار الاستنتاج، والثاني ظهر على اختبار التطبيق وكلاهما يفيدان بأن منظومة المعلومات المكتوبة كانت أكثر فعالية مع المحتوى غير المنظم، في حين أن المنظومة المصورة كانت أكثر فعالية مع المحتوى المنظم. أما التفاعل الثالث فقد ظهر على اختبار التطبيق ومفاده أن منظومة المعلومات المكتوبة كانت أكثر فعالية مع الطلبة من ذوي القدرات الدنيا، في حين أن المنظومة المصورة كانت أكثر فعالية مع ذوي القدرات العليا. أما التفاعل الرابع فقد ظهر أيضاً على اختبار التطبيق ومفاده أن منظومة المعلومات المكتوبة كانت أكثر فعالية مع مستوى السنة الأولى، بينما منظومة المعلومات المصورة كانت أكثر فعالية مع مستوى السنة الثانية. هذا وجاءت النتائج ضمن مناقشات وتوصيات وتطبيقات تربوية.
القيادة الخادمة لدى قائدات المدارس الحكومية بمكة المكرمة - دراسة تطبيقية
Authors: نايف الراجحي الهام
Published: April 2021

هدفت الدراسة إلى تحديد درجة ممارسة قائدات مدارس المرحلة الثانوية للقيادة الخادمة من وجهة نظر المعلمات، واعتمدت الدراسة على المنهج الوصفي، وتم تطبيق الدراسة على مجتمع الدراسة المكون من جميع معلمات المرحلة الثانوية بمكة المكرمة، والبالغ عددهن (2953) معلمة، وتكونت عينة الدراسة من (481) معلمة تم اختيارهن بالطريقة العشوائية. تم استخــدام الاستبيان كأداة للدراسة باستــخدام مقياس (دينيس وبوكارنيا، 2005)Dennis & Bocarnea,2005)) للقيادة الخادمة. أظهرت نتائج الدراسة أن درجة ممارسة قائدات المرحلة الثانوية بمكة المكرمة لإبعاد القيادة الخادمة جاءت مرتفعة وكان ترتيبها على النحو التالي (المحبة والاهتمام بالآخرين، الثقة، خدمة الآخرين، التمكين، الإيثار، التواضع)، كما أشارت النتائج إلى عدم وجود فروق ذات دلالة إحصائية عند مستوى (0.05) بين متوسطات استجابات المعلمات في تحديد درجة ممارسة قائدات المرحلة الثانوية للقيادة الخادمة وفقًا لمتغير(المؤهل العلمي- سنوات الخبرة ) للمعلمات.
اتجاه الطفل نحو الأب وانعكاسه على التوافق الشخصي والإجتماعي لديه: دراسة ميدانية لخمس حالات من الأطفال المحرومين من الأب بالطلاق وبالإهمال
Authors: حبوش سعاد آيت , راضية متوري , سعيدة صالحي
Published: April 2021

تهدف الدراسة الحالية إلى معرفة اتجاه الطفل المطلق الوالدين نحو الأب وانعكاسه على توافقه الشخصي والاجتماعي، طبقت الدراسة على خمس حالات من الأطفال المحرومين من الأب بالطلاق وكذا الإهمال، ثلاث حالات طلاق وحالتين إهمال، وذلك بالاعتماد على المنهج العيادي وأدواته المتمثلة في الملاحظة المباشرة، المقابلة العيادية البحثية، واختبار التوافق الشخصي والاجتماعي، واختبار اتجاه الأبناء نحو الآباء. أسفرت النتائج على أن الأطفال المحرومين من الأب بالإهمال أو الطلاق لديهم اتجاه سلبي نحو آبائهم، كما يعانون من توافق شخصي واجتماعي منخفض.
دور فاعلية البرامج التدريبية للمعلمين الجدد وعلاقتها في تحسين أدائهم من وجهة نظر المشرفين والمديرين والمعلمين في مدارس محافظة إربد
Authors: محمد ماجد الجراح ولاء , مصطفى أبو عاشور خليفة
Published: April 2021

هدفت هذه الدراسة التعرّف على دور فاعلية البرامج التدريبية للمعلمين الجدد وعلاقتها في تحسين أدائهم من وجهة نظر المشرفين والمديرين والمعلمين في مدارس محافظة إربد. تكونت عينة الدراسة من (500) معلم ومشرف ومدير في مديرية محافظة إربد، تم اختيارها بالطريقة العشوائية البسيطة، استخدمت الدراسة المنهج الوصفي بأسلوب المسح، تكونت أداة الدراسة من جزئين، الجزء الأول: دور فاعلية الدورات التدريبية حيث أشتمل على (46) فقرة موزعة على أربعة مجالات، أما الجزء الثاني: أداء المعلمين الجدد وأشتمل على (36) فقرة موزعة على أربعة مجالات، وتم التحقق من صدقها وثباتها، وأظهرت النتائج أن درجة فاعلية الدورات التدريبية للمعلمين الجدد من وجهة نظر المشرفين والمديرين والمعلمين في مدارس محافظة إربد كانت بدرجة فاعلية مرتفعة، كما وأظهرت فروق تعزى للمتغير الجنس لصالح الإناث في دور فاعلية الدورات التدريبية للمعلمين الجدد وعدم وجود فروق تعزى للمتغير المؤهل العلمي والمسمى الوظيفي، كما أظهرت درجة مرتفعة في أداء المعلمين الجدد، وأظهرت أيضاً عدم وجود فروق في أداء المعلمين الجدد تبعاً لمتغير الجنس، والمسمى الوظيفي، وأظهرت فروق في أداء المعلمين الجدد تبعاً للمتغير المؤهل العلمي لصالح بكالوريوس، وجود علاقة ايجابية دالة إحصائياً بين دور فاعلية الدورات التدريبية للمعلمين الجدد في مدارس محافظة إربد ودرجة أدائهم من وجهة نظر المشرفين والمديرين والمعلمين وأوصت الدراسة بضرورة الالتزام من قبل وزارة التربية والتعليم بإعطاء الدورات التدريبية للمعلمين الجدد.
القيم التنظيمية في المدارس الثانوية الحكومية في مدينة بريدة من وجهة نظر المعلمات
Authors: خلف ابراهيم العضاض حصه
Published: April 2021

هدفت الدراسة إلى التعرف على مستوى القيم التنظيمية في المدارس الثانوية الحكومية في مدينة بريدة من وجهة نظر المعلمات، والكشف عنما إذا كانت هناك فروق ذات دلالة إحصائية في استجابات عينة الدراسة تعزى لمتغيرات ( التخصص، سنوات الخبرة، الدورات التدريبية)، والتوصل لأهم المقترحات الإجرائية المستفادة لتحسين مستوى القيم التنظيمية، واستخدمت الدراسة المنهج الوصفي (المسحي) وتم الاعتماد على مقياس francis&woodcock,1995 كأداة لجمع المعلومات، وتكون مجتمع الدراسة 1670 معلمة، وحيث تكونت عينة الدراسة الأساسية 312 معلمة من المرحلة الثانوية في مدينة بريدة، تم اختيارهن بطريقة عشوائية بسيطة. وكانت أهم نتائج الدراسة أن مستوى القيم التنظيمية في المدارس الثانوية بمدينة بريدة من وجهة نظر المعلومات متحقق بدرجة كبيرة، وجاء بالترتيب الأول المحور الرئيس ( إدارة العلاقات ) وبأبعاده الفرعية، والترتيب الثاني (إدارة الإدارة ) بأبعاده الفرعية، كما أنه لا توجد فروق دالة إحصائياً في مستوى القيم التنظيمية للمعلمات في المدارس الثانوية الحكومية في مدينة بريدة ترجع لاختلاف سنوات الخبرة، بينما توجد فروق دالة إحصائياً في مستوى القيم التنظيمية للمعلمات في المدارس الثانوية الحكومية في مدينة بريدة ترجع لاختلاف التخصص، والفروق لصالح التخصصات الأدبية، وقد توصلت الدراسة لمجموعة من التوصيات والمقترحات كان أبرزها: المحافظة على الدعم الكامل للمعلمات في المؤسسات التعليمية، وتهيئة الظروف التنظيمية المناسبة لهم، بناء دورات تدريبية مناسبة لتطوير مهارات للعاملين في المؤسسات التعليمية وخاصة تلك التي تعنى بالقيم التنظيمية،إعداد برامج تدريبية مواكبة للدور القيادي المأمول، لترسيخ القيم التنظيمية.
Therapeutic Apheresis and Immunosuppression in Renal Diseases
Authors: Bambauer Rolf
Published: April 2021

Therapeutic plasma exchange (TPE) with hollow fiber modules is used in different severe diseases since more than 40 years. The authors try to give an overview of therapeutic apheresis (TA) in renal diseases. The updated information on immunology and molecular biology of different renal diseases are discussed in relation to the rationale for apheresis therapy and its place in combination with other modern treatments. The different renal diseases can be treated by various apheresis methods such as TPE with substitution solution, or with online plasma or blood purification using adsorption columns, which contain biological or non-biological agents. The following diseases are discussed: rapidly progressive glomerulonephritis (RPGN) including anti-glomerular basement membrane antibody glomerulonephritis (anti-GBM RPGN), RPGN with or without glomerular deposition (ANCA-ab), pauci-immune RPGN, immune complex nephritis (ICN), and various glomerulonephritis with nephrotic syndrome (NS), acute kidney injury (AKI), myoglobulinemic renal failure, hemolytic-uremic syndrome (HUS), and kidney transplant rejection. For the renal diseases, which can be treated with TA, the guidelines of the Apheresis Applications Committee (AAC) of the American Society for Apheresis (ASFA) are shown.
Cystoscopy Coagulation of Vesicovaginal Fistula. A Case Report and Mini Review of the Literature
Authors: Sofoudis Chrisostomos , Filios Panagiotis
Published: April 2021

Myomas represent the most common benign type of female genital track. Therapeutic mapping is strongly associated with age of the patient, number and location of the myomas and patient’s reproductive capacity. Among the future operative and postoperative complications consist communication of vaginal wall with local organs, formation of a fistula. Adjunction and further anatomic penetration between vaginal wall and urine bladder epithelium, can depict a vesicovaginal fistula. After proper diagnosis, therapeutic mapping depends on the type of the fistula and surgical intervention in order to ensure patient’s quality of life. Aim of our study, consists proper diagnosis and conservative management of vesicovaginal fistula. Cystoscopy therapeutic strategy with proper follow up represents an alternative treatment of choice, avoiding compound surgical interventions.
Natural Mechanisms and Methods of Protection against Coronavirus COVID-19
Authors: Bryndin Evgeny
Published: April 2021

Our planet is a living creature that has its own protective viral mechanism. Viruses are activated when people too zealously intervene in the natural processes on the planet and worsen the environment. With a decrease in the spiritual level of society, a deterioration in ecology, climate change, a decrease in the frequency of the Schumann resonator supporting the energy healthy state of the body, pollution of water and soil, and other catastrophic disorders of natural processes on the planet, an epidemic and the process of mutation of viruses begins, as a result of which more and more of their species appear. For the people will rise against the people and the kingdom against the kingdom, and there will be earthquakes in places, and there will be smoothness and turmoil. This is the beginning of Mark's disease (13:8). The article discusses natural mechanisms and methods of protection against coronavirus.