bluuebunny/crossref_metadata_2025 huggingface dataset:
Prediction of Stone Free Rate after Standard Percutaneous Nephrolithotomy using Stone Nephrolithometry Score in Nobel Medical College Teaching hospital – A Prospective Study
Authors: Shah Ram Sagar , Thapa Niraj , Shrestha Jit Prakash , Koirala Ashok , Mishra Kartikesh , Jayshwal Raju , Pokharel Sinet , Pandey Himal
Published: July 2023

Background: Amongst all the modalities of treatment for renal stones, percutaneous nephrolithotomy is preferred treatment for large volume renal stone disease. However, percutaneous nephrolithotomy is associated with the risk of postoperative complications and the problem of stone free status. So, a preoperative classification is necessary to grade the complexity of percutaneous nephrolithotomy and STONE (stone size, tract length, degree of obstruction, number of involved calices, and stone essence) nephrolithometry score is one of such kind.

Materials and Methods: This is analytical study conducted at the Department of Urology and Kidney Transplant, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal from January 2020 to July 2020. Total 115 patients were included in the study. These patients were subjected for percutaneous nephrolithotomy. Stone clearance was documented at the end of the surgery; on first postoperative day and at 4 weeks.

Results: In our study the stone – free rate was 89.6%. 32 patients experienced complications (27.8%). The STONE (stone size, tract length, degree of obstruction, number of involved calices, and stone essence) score correlated with the postoperative stone – free status (P=0.001). The patients rendered stone free had statistically significant lower scores than the patients with residual stones (6.83 ± 1.83 vs 9.83 ± 2.08, P = 0.001).

Conclusion: The STONE (stone size, tract length, degree of obstruction, number of involved calices, and stone essence) nephrolithometry score is a simple and easy tool to apply system for predicting complexity in stone clearance with percutaneous nephrolithotomy.
Sex Differentiation from Fingerprint Ridge Density
Authors: Kandel Jwala , Ghimire Samjhana , Bhandari Rashmita
Published: July 2023

Background: Determination of sex is an important parameter other than age, race and stature during forensic identification and crime scene investigation. Females tend to have finer and denser ridges on their fingertips than males. Present study aims at differentiating gender from fingerprint ridge density.
Material and Methods: This is a cross sectional study conducted from March 2022 to March 2023 in Nobel Medical College Teaching Hospital, Nepal. Seven hundred fingerprints samples (350 males and 350 females), from 70 Nepalese medical students were collected and analyzed for gender differences. Comparative analysis was done using Student’s t-test (p<0.05). Likelihood ratio and posterior probability using Baye’s theorem were calculated to interpret the possibility of gender differentiation from various fingerprint ridge densities.
Results: Students t-test revealed significant difference (p < 0.001) between the fingerprint ridge density of male and female (t= -16.733). The results showed ridge density <14/25mm2and >15/25mm2 are “more likely than not” from males and females respectively. Posterior probability using Baye’s theorem further revealed ridge density <13/25mm2 (C/C1=5.75,P=0.86) and >16/25mm2 (C1/C=4.29, P1=0.84) have higher probability of originating from males and females respectively. No any male and female had ridge density >16/25mm2 and <13/25mm2 respectively.
Conclusion: The study revealsstatistically significantlygreater fingerprint ridge densities in female than in male Nepalese medical students.
Evaluation of Prescription Pattern of Analgesics at Emergency Department of Tertiary Care Hospital: A Descriptive Cross-Sectional Study
Authors: Ghimire Rinku , KC Anjil , Shreewastav Rupesh Kumar
Published: July 2023

Background: Rational use of analgesic drugs is needed for immediate relief of pain. This study was conducted to find out the prescribing pattern of analgesics in the emergency department.

Materials and Methods: A descriptive cross-sectional study among patients attending the emergency department of a tertiary care hospital from March 2022 to February 2023 after approval from the Institutional Review Committee. Demographic profile, indications for analgesics use, route, and frequency of administration were recorded based on the pre-structured questionnaires. Convenient sampling was done. Data were analyzed by using SPSS, version 20.

Results: Prescription patterns of analgesics were analyzed in 325 patients. The mean age was 46.93 ± 17.79 years with a male predominance of 196 (60.6%). Orthopedic problems 99(30.5%) due to trauma were the most common indications followed by medical and surgical indications for analgesic use. Non-steroidal anti-inflammatory drugs were used in 46.6%, opioids in 26.8%, combinations in 23%, and antispasmodics in 3.6%. Commonly prescribed analgesic was ketorolac (27.4%), tramadol (19.7%), and diclofenac (11.4%).  The most common combination was ketorolac and tramadol (14.5%). Paracetamol alone was used in 16 (4.9%). A prescription with a generic name was 149 (45.8%). Parenteral use accounted for 86.8%.  Co-administration of gastroprotective drugs was used in 93.2%. A fixed-dose combination was used in 1.2%.

Conclusion: Non-steroidal anti-inflammatory drugs are the commonly used analgesics for various indications, including acute pain and fever. The choice of analgesics and their prescription pattern varied depending on indications, medical history, and the presence of co-morbidities. Ketorolac and tramadol were the most commonly prescribed analgesics.
Prevalence and Antibiogram of Bacterial Uropathogens from a Tertiary Care Hospital of Eastern Nepal
Authors: Shrestha Kewal , Singh Prabhat Kumar , Yadav Kumari Ragani , Singh Ganesh Kumar
Published: July 2023

Background: Urinary tract infection (UTI) is defined as growth of micro-organisms >105 CFU/ml in mid-stream urine samples. [1] Globally, urinary tract infection is considered a major public health concern with the second most common bacterial infection affecting individuals of different ages. It is estimated that worldwide 150 million cases of UTI occur per year and bacteria are responsible for about 95% of all the cases with each year. [3, 4] This study was designed to describe the pattern of microorganisms causing UTI and their antibiotic sensitivity.

Materials and Methods: This is a hospital based cross-sectional study conducted in the Department of Microbiology from January 2022 to June 2022 after taking ethical approval from Institutional Review Committee, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal. The patient profiles or records visiting a tertiary care hospital of both sex and every age group who were having symptoms and clinical diagnosis of urinary tract infection were included.

Results: A total of 2247 urine samples were collected, 501(22.29%) of the urine sample yielded significant growth of uropathogenes. The most common bacteria was found to be Escherichia coli (E. coli) that accounts for 73.05% followed by Enterococcus species 11.57%, Klebsiella pneumoniae 8.98% and amikacin and nitrofurantoin was found to be the most sensitive antibiotic to gram negative uropathogens.

Conclusion: The prevalence of uropathogenes was found to be higher in our study. Significant bacteriuria was seen in the female than male. The total number of patient with culture positivity was higher in younger age groups with high frequency of antibiotic resistance
Quality of Life among Patients with Cardiovascular Diseases at Birat Medical College Teaching Hospital
Authors: Bista Madhab , Parajuli Surya Bahadur , Mehta Ram Kumar , Shah Prashant , Jayshwal Raju , Pokharel Sinet , Pandey Himal
Published: July 2023

Background: Modern healthcare delivery needs to take care of the quality of life of patients. The burden of cardiovascular disease is increasing each year affecting the quality of life. So, we aimed to examine the quality of life of patients with cardiovascular diseases (CVD) at Birat Medical College Teaching Hospital.

Materials and Methods: A hospital based cross sectional study was conducted among cardiovascular disease patients at Birat Medical College Teaching Hospital from 2023 Jan 27 to 2023 March 27.  Ethical clearance was taken from the institutional review committee. The collected data was entered in Microsoft Excel 2019 and analyzed by IBM SPSS statistics 2025.

Results: Among 256 patients, the majority 67(26.2%) were in the age of 61-70 years and male 156(60.9%). Majority 91(35.5%) had coronary artery diseases. The quality of life domains ranging from least  to most  affected were  bodily pain (81.04±26.02), mental health (76.4±15.18), social functioning (68.1±24.2), role limitation due to emotional problems (67.9±43.56), physical functioning (59.02± 28.9), vitality (53.67±15.45), general perception of health (50.19±15.7) and role limitation due to physical health (46.39± 44).   

Conclusion: Patients with cardiovascular disease had their quality of life affected based on their physical health, general perception of health, energy and vitality, physical functioning, role limitation due to emotional problems, social functioning, mental health and bodily pain
Professional Values among Undergraduate Nursing Students in Nobel Medical College Teaching Hospital
Authors: Pokhrel Indira , Neupane Saraswata , Niroula Dilli Ram
Published: July 2023

Background: Professional values are the basis to professional nursing practices. Professional values can be challenged by the variety of situation due to increasing globalization, diversity and health variance and can generate ethical dilemmas in health care delivery. Nursing students must be familiar to the professional value of the profession in which they are enrolled to imply the effective care to the patients.

Material and Methods: A descriptive cross sectional study design was done to assess the Professional values among undergraduate Nursing students in Nobel Medical College Teaching Hospital. A total of 119 nursing students were included in the study using total enumerative sampling techniques. Nurses Professional Values Scale (NPVS-3) was used to assess professional values among the Nursing Students. The data were analysed using SPSS version 23. For descriptive statistics frequency, percentage, mean and standard deviation was calculated and for inferential statistics Pearson’s correlation test was used.

Results: The total mean score of professional values from the nursing student’s outlook was high (115.24 ± 13.50) and also it reveals that 51.3% of the nursing students were conscious of professional values about nursing profession. The mean score was high (42.34 ±5.11) on caring sub-dimension than Activism and Professionalism. There was statistically significant relationship between the total score of professional values with Age.

Conclusion: Findings of the study showed that the overall nursing professional value was high and the mean score was high on caring sub-dimension whereas professionalism and activism has been given less importance by the nursing students in comparison with caring domain.
A Comparative Study of the Safety and Efficacy of Amlodipine and Enalapril when Prescribed as Monotherapy in Patients with Isolated Systolic Hypertension
Authors: Yadav Rajesh , Shah Rekha
Published: July 2023

Background: Most elderly patients with high blood pressure have isolated systolic hypertension. Enalapril and amlodipine are respectively the most commonly prescribed ACE inhibitors and calcium channel blockers in Nepal. The goal of the current study was to compare the adverse drug reaction associated with amlodipine and enalapril in the study population as well as to compare the mean blood pressure and pulse rate reductions caused by amlodipine and enalapril in isolated systolic hypertensive patients.

Materials and Methods: A comparative cross-sectional study was performed on 72 patients of both genders within the age group of 30 to 90 years; with isolated systolic hypertension; attending the out-patients department of Medicine of Nobel Medical College and Teaching Hospital; from December 2022 to February 2023. Mean reductions in systolic and diastolic blood pressure in the two treatment groups over the eight-weeks study period was calculated and then compared. Frequencies of patients developing different side effects was also calculated and compared between the two groups.

Results: Systolic blood pressure was reduced by 16.1% in amlodipine group and by 18.8 % in enalapril group. Enalapril was slightly more efficacious in reducing the systolic blood pressure but such changes were found to be of no significant difference when compared between the two groups. (p > 0.05). The incidence of adverse effect was more in the amlodipine group in comparison to the enalapril group. Dry cough, dizziness, headache and fatigue with enalapril; and headache, peripheral edema, shortness of breath, fatigue, and flushing and dizziness with amlodipine were the common adverse effects.

Conclusion: Both amlodipine and enalapril were equally effective in lowering systolic blood pressure without significantly lowering diastolic blood pressure. They were also generally well tolerated, though amlodipine was slightly more likely to cause side effects.
Asymptomatic Diabetes Insipidus Detected after Partial Pneumonectomy of Upper Left Lobe of Lung Diagnosed with Adenocarcinoma: An Unusual Case Report
Authors: Budal Dan Singh , Bhatt Rajendra Dev , Ling Chen , Jing Chen , Ma Chunwei , Ye Xujun
Published: July 2023

We present a case of 80 years woman chronic smoker (10 cigarettes)/ per day for 50 years diagnosed with adenocarcinoma in the upper left lobe of her lungs in a geriatric clinic. She has no history of diabetes but taking medicine for hypertension and dyslipidemia. She was admitted and operated on for partial pneumonectomy and discharged after 11 days of care with all essential drugs, and instructions. After 4 weeks of treatment, she complained of unusual polyuria, diagnosed in the department of Geriatrics, Zhongnan Hospital of Wuhan University, China.
Pattern of poultry diseases brought at Veterinary Teaching Hospital (VTH), Rampur and National Avian Disease Investigation Laboratory (NADIL), Bharatpur, Chitwan, Nepal during 2017/18
Authors: Bhusal S.P. , Gautam G , Dhakal R , Paudel B , Chapagai D.R.
Published: July 2023

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Isolation and Identification of Gram Negative Bacteria from Chicken Meat collected from Retail Meat Shops of Kathmandu Valley
Authors: Koirala B , Bhattarai R , Maharjan R , Maharjan S , Shrestha S
Published: July 2023

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The situation of Animal Rabies in Nepal from 2013 to 2017
Authors: Shahi MK , Boonyo K , Wongphruksasoong V , Dhingra M.S. , Upadhyaya M , Kafle S.K. , Koirala P , Maharjan M
Published: July 2023

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Prevalence of Metabolic Disease in Cattle in Sylhet, Bangladesh
Authors: Singh S.K. , Hasan M.T. , Adhikari R.K. , Chaudhary A.N.
Published: July 2023

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Effect of Using Saturated and Unsaturated Fats in Broiler Diet in its Performance and Blood Parameters
Authors: Karki S , Sharma S
Published: July 2023

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Epidemiology and Pathogenesis of COVID-19, a Pandemic Novel Coronavirus Disease; Review from Global Perspectives
Authors: Adhikari N.P. , Adhikari S , Karki S , Paudel G , Sharma B.P.
Published: July 2023

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Factors affecting Somatic Cell Count in Milk
Authors: Poudel S.P. , Chhetri D.K.
Published: July 2023

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Oleander Poisoning in Cattle in Devghat, Nepal- a Case Report
Authors: Rajbanshi BR , Mishra C , Adhikari J , Timalsina S , Pokhrel P , Bashyal K
Published: July 2023

Oleander poisoning, though widely seen in the Mediterranean region, is rarely seen in Nepal. The poisonous effect of the fodder is due to the accidental ingestion of the different parts of ‘oleandrin’ which contains cardiac glycosides called cardenolides causing mortality in animals. In our study, 8 lactating cows were affected after oleander leaves were accidentally mixed and chopped with Napier. After the ingestion of the mixed fodder, out of 8 cows, 5 died instantly and the remaining 3 were showing severe clinical signs such as severe depression, anorexia, ruminal atony, diarrhea, serous nasal discharge, tachycardia, and irregular heartbeat. The diagnosis of the poisoning was made by finding the chopped leaves of oleander in the feed and ruminal content. The visual observation of the oleander leaves along with gross lesions specifically in the heart causing coagulative necrosis- as it acts as cardiac glycosides- we came to diagnose the oleandrin poisoning. As there was not the availability of digoxin-specific antibodies for the therapy, symptomatic and supportive treatment was done, and the good prognosis was seen on morbid animals within a week.
The Prose of Otherness and Humanity: Representing Partition Violence in Sahni’s “The Train Has Reached Amritsar” and Manto’s “Mozel”
Authors: Baral Pabitra Raj
Published: July 2023

Representation of partition violence of 1947 in the South Asian context has gained a renewed interest of scholars in line of trauma theory in the recent years. As such, partition fiction has contributed to resolving the trauma of the communal cataclysm by capturing the specificity of violence as the fragments of memory. However, writers use different strategies and prose styles to depict the violence. This paper aims to examine the depiction of cultural trauma and the prose of othering in “The Train Has Reached Amritsar” by Bhisam Sahni and, contrastingly, the prose of humanity in “Mozel” by Saadat Ḥasan Manto. It analyzes the stories in light of the cultural trauma theory of Jeffrey C. Alexander and Ron Eyerman, Avishai Margalit’s concept of memory and Gynendra Pandey’s new historiography of revisionist mode. To interpret the texts, the study uses the method of textual analysis. It also brings in the critics’ evaluation of the texts where necessary. The findings of the study emphasize that Sahani’s prose attempts to resolve the problem of trauma by appealing to identity politics grounded on ethical memory and Manto’s narrative, in contrast, employs a formal technique of metairony to evoke the readers’ moral sense and humanity at large.
Revisiting Partition in Tanvir Mokammel's Films in the Light of Geo-Cultural Identity Theory
Authors: Ullah Muhammad
Published: July 2023

The partition of 1947 is the most tragic and remarkable incident in the history of modern South Asia in creating new political identities. It separated peoples of common ethno-cultural and religious origins with artificial political borderlines imposed on their historical homelands that transformed the traditional socio-political arrangement of this region into a regional international nation-state system. Consequently, two independent states, India and Pakistan, came into being as a result of partition based on the two-nation theory. Millions of the inhabitants had to be displaced and migrated from their birth lands. In the changed circumstances, the natural identity of the individual by birth has been replaced by the political identity of the state. Due to these changes, many people remain stateless and become refugees. It appears as an unending source of crisis in this region such as identity and citizenship crises, communal politics, linguistic and cultural conflicts, communal riots, force-displacement, border killings, etc. These issues are well addressed in the three partition films - Chitra Nadir Pare (Quiet Flows the River Chitra), Swapnabhumi (The Promised Land) and Seemantorekha (The Borderline) produced by Tanvir Mokammel, an internationally acclaimed auteur filmmaker in Bangladesh. His deep insight into post-partition impact has been reflected in these films. How a filmmaker perceives partition is revisited and analyzed in this paper by an idea of contemporary political philosophy known as ‘geo-cultural identity theory’.
NEW INDIGENOUS ELITE AND THE FORMATION OF ETHNONATIONALISM: THE CASE OF THE ANDEAN COUNTRIES
Authors: Posern-Zieliński Aleksander
Published: July 2023

One of the core elements of the contemporary Latin American indigenous activism is postcolonial ethnonationalism, oriented towards ethnic, cultural, social, and civic emancipation. It has been developed to facilitate the struggle for the native rights, the defence of the ethnic territory, to maintain identity and protect own heritage. The inventors and disseminators of the concept are representatives of the emerging indigenous elite, usually controlling many ethnic organizations. That new social group, referred to sometimes as neo-Indians, is very heterogeneous and composed of the grass-roots leaders, experienced activists, educated professionals, rebellious youth, and intellectuals. There are among them ethnic leaders, politicians, journalists, artists, writers, scientists, teachers, students, lawyers, small entrepreneurs, and many other influential people. All of them have contributed to the formation of emancipative ideas, shaping the syncretic world outlook of the contemporary native peoples, which is an important factor underpinning their modern ethnic identity. The ideology of ethnonationalism, based on the concept of ‘indianismo’ (indigenous interests expressed and safeguarded by the native people themselves) is a creative combination of traits of different origins. Among them, four components are of special significance: (i) transmuted ethnic ideas but rooted in the native culture; (ii) original features invented in the course of the ethnic mobilization; (iii) concepts borrowed from the international and global discourse, and adapted to the local needs; and (iv) ideas taken directly from the contemporary political, social, and judicial thought. Different combinations of these traits are present both in indigenous ethnonationalism and in the ethnic activism associated therewith. They serve as a building material for the native political projects and their symbolism, help to reinterpret the vision of the native past, facilitate the development of intercultural education, inspire the aboriginal concepts of ecology, enable the revival of ancient religion, lead to the restitution of social justice, and strengthen the formation of modern ethnicity. Reflections on the development of that process, where all these different elements have been put together, and on the role of the native elite in the formation of ethnonationalism, are at the centre of this study. It is based on ethnographic fieldwork and anthropological research carried out in four Andean countries (Ecuador, Peru, Bolivia and Chile), where indigenous mobilization has been a significant factor in the social and political life since the second half of the twentieth century.
CLIMATE CHANGE MITIGATION AND ADAPTATION: WITH OR AGAINST INDIGENOUS PEOPLES?
Authors: Prażmowska-Marcinowska Karolina
Published: July 2023

Climate change and its negative consequences represent a common problem for all the people on Earth and are likely to become one of the most serious challenges that humankind faces. As such, mitigation measures and adaptation actions are of particular importance. Although often thought as the two sides of the same coin, the climate change mitigation and adaptation differ from each other, especially in the context of indigenous peoples. Therefore, the first part of the paper centres on the relation between climate change mitigation and adaptation and their consequences for indigenous communities. The newest international treaty on climate change, the Paris Agreement, establishes the global goal on adaptation, which should take into consideration vulnerable groups, communities and ecosystems, and more importantly, should be based on and guided by the best available science and knowledge of indigenous peoples, often referred to as ‘traditional knowledge’. As such, the second part of the paper focuses on the adaptation methods guided by the traditional knowledge. Although examples include indigenous peoples’ traditional knowledge from all over the globe, much attention is given to the Arctic Indigenous Peoples as, due to current speed of climate change, the Arctic is recognized as a global climate change hotspot. Although indigenous peoples have been living in their territories since the time immemorial, adapting their ways of life to the difficult weather and environmental conditions, with the current climate change happening so rapidly, their possibilities of adaptation are weakening and climate change renders them more vulnerable, altering their economic and cultural activities and threatening their very existence. However, the current rate of climate change is not the only factor impairing the indigenous peoples’ adaptive capacities. Therefore, the final part of the paper is aimed at presenting what the obstacles to the successful adaptation to climate change are and whether migration should be considered an adaptive action.
FREEDOM OF RELIGION IN THE EUROPEAN PUBLIC SPACE. REMARKS BASED ON THE LATEST CASE LAW OF SELECTED INTERNATIONAL AND NATIONAL COURTS CONCERNING RELIGIOUS SYMBOLS
Authors: Sewerynik Jakub
Published: July 2023

The author attempts to analyse selected rulings of the European courts concerning religious symbols in order to answer the question whether freedom of religion is still respected in Europe. The analysis is based on the reflection on the context of contemporary European cultural landscape: diversity of constitutional models of particular states, the concept of neutrality in the matter of religion, and the ability of contemporary political elites and judges to understand the sphere of the sacred (sacrum). The selection criteria for the rulings have been cases concerning objects related to practising religion: (i) the hijab – an Islamic headscarf, (ii) the burqa – a garment covering practically the entire body, and (iii) the crucifix hung on a classroom wall. The review brings up important questions about lack of tolerance, pluralism and acceptance of religious diversity in contemporary Europe, and ‘reasonable accommodation’ as a possible solution.
INDIGENOUS CLASS PROCEEDINGS IN CANADA. AN EXAMINATION OF THE CONVERGENCE OF INDIGENOUS RIGHTS AND CLASS ACTIONS IN THE CANADIAN COMMON LAW SYSTEM
Authors: Cooper Steven L.
Published: July 2023

The foundations of contemporary Indigenous relations in Canada have been laid by class action lawyers who foresaw the potential for correcting, acknowledging and addressing historical wrongs. Decades of persistence by Indigenous leaders and collateral work by lawyers compelled the Canadian government, the Canadian public and its major religious and charitable institutions to face their pasts. Class and mass action lawsuits are indispensable to lawyers seeking to advance claims that recognize the systemic oppression of Indigenous people beyond individual harms. Respected class action lawyer Steven L. Cooper, KC, outlines more than 250 years of this legal history that has defined the unique status of Indigenous Canadians, from recognizing royal proclamations as they relate to land claims to settlements that have seen hundreds of thousands of Indigenous people compensated for harms inflicted in residential schools and hospitals.
How victims matter: Rethinking the significance of the victim in criminal theory
Authors: Dahan Katz Leora
Published: July 2023

Classic theories of punishment have been deeply criticized for their failure to attribute significance to victims and the fact of their victimization within their proposed frameworks for the justification and distribution of punishment. Retributive theory, in particular, has been criticized for its failure to recognize the significance of victims. Some theorists have been led by this lacuna to adopt a victim-centred approach to punishment as a solution to the ‘absence-of-victim’ problem. Per victim-centred approaches, the very justification and imposition of punishment rely on victims and the restoration of egalitarian relations between the offender and victim that were disturbed by crime. This move toward constructing criminal law and punishment in terms of victim recognition and vindication has become increasingly popular and has been endorsed by a number of prominent theorists, yet it raises important worries. This article proposes an alternative solution, embracing the insight that victims ought to matter to the punishment of those who offend against them, yet without constructing the edifice of criminal law and punishment on the function of victim vindication. It offers an account of the way in which the introduction of a victim changes the balance of reasons in favour of punishment, becoming important to the determination of whether or not punishment ought to be imposed (in full). Yet it does so without taking the ‘victim’s turn’ – that is, without reconstructing the institution of criminal punishment entirely in victim-centric terms.
Anthropometric features of sexual dimorphism of acrobats
Authors: Bachynska N.V. , Sarychev V.I.
Published: July 2023

The article examines the anthropometric indicators, from the standpoint of sexual dimorphism, of acrobats and female acrobats of various roles and non-sports persons aged 9 to 23, representatives of the Dnipropetrovsk region. The purpose of the study: the study of the physical status of acrobats and people who do not play sports, which is considered from the point of view of sexual dimorphism. It was found that acrobat girls lag behind the control group in terms of length, body weight, arm length, leg length (cm), chest circumference (both on inhalation and exhalation). The acrobats above, aged 15-16 years (162.23±1.96 cm) in comparison with control groups (168.28±2.54 cm) are characterized by lower height and low body weight in acrobats 13-14 years (39.23±2.12 kg vs. control group 49.64±2.98 kg), narrow pelvis and average shoulder width. A comparative analysis of body weight composition between acrobats of different roles and genders showed that there are moderate to high correlations between body fat and muscle mass indicators and competition results (scores).
Modern approaches to determining the impact of physical activity on the psychological health of students in wartime
Authors: Bondar Anna , Pidluzhniak Оleksandr , Dus Sergey , Kulyk Denys
Published: July 2023

The article analyzes modern approaches to determining the impact of physical activity on the psychological health of students in wartime. Through the use of the meta-analysis method, we have determined that most authors used the following research methods to obtain results on this issue: the SAN method (well-being, activity, mood), body mass index, vital and strength indices, Robinson's index, and the Fremdheim method. Based on the results of their research, it can be argued that sports have a positive impact on the psychological state of students. Systematic curricular and extracurricular physical exercises are an important condition for the normal physical and spiritual development of a student's personality, a prerequisite for fostering priority orientations to health promotion and a motivational incentive for regular independent exercise and sports. Physical activity improves cognitive functions, in particular, increases cognitive performance, memory and cognitive flexibility. Sports can also improve students' psychological well-being by providing a positive mood, reducing symptoms of depression, improving self-esteem, and developing social skills. In addition, sports can help regulate emotions and provide students with psychological comfort and self-discipline, and thus can be used as an additional argument in support of the introduction of physical education and health activities into the curriculum of higher education institutions. Sport can be an effective means of improving students' physical and mental health, contributing to their learning and overall well-being. The main goal of our further research will be to determine the impact of physical activity on the psychological health of students in wartime in non-core higher education institutions in Vinnytsia.
Тheoretical and methodological basics of coaching activities with young athletes and multi-wrestlers
Authors: Burla A. , Serhiіenko V. , Siruk A. , Burla O.
Published: July 2023

In order to achieve high results in athletics all-around, the rational construction of the training process at all stages of training is of crucial importance. The structure of the training process of young multi-athletes, based on accounting for the cyclical fluctuation of the state of the female body and the improvement of technical skills and movement qualities related to the course of the menstrual cycle, should be considered as one of the effective ways to optimize the training process, as it ensures an increase in the growth of movement qualities, during dosed physical exertion at the stage of preliminary basic training. In order for young athletes to successfully move to the next stage of training, it is necessary to build a training process taking into account age periodization, individual characteristics of the physical state of the body, sensitive periods of development of motor and other functions. The interaction of different types of all-around sports has both a positive (enhancing) character and a negative (inhibiting) character during the improvement of technical and physical fitness. As a result of the negative influence of one motor quality on another, at a certain level of training, there are limitations for further improvement, which must be taken into account in coaching activities. During the selection of pedagogical test exercises, we note that they should perform both control functions and organically fit into the educational and training process, based on such considerations as accessibility and ease of execution. The purpose of conducting control and pedagogical tests is to determine the state of physical fitness of young all-rounders, as well as to identify changes that occurred in indicators of general and special physical fitness during the training process.
Organization and methods of conduct of physical education lessons in the complete classroom of the experimental school with an individual and differentiated approach to learning
Authors: Davybida N. , Bezpalova N. , Matsenko V.
Published: July 2023

An important task of the development of education in Ukraine in the 21st century. is the creation of an effective system of education and upbringing of young people. Today, education in Ukraine faces many problems, one of which is the preservation and reorganization of understaffed schools. Today, the concept of "small school" is an integrative one, which covers a variety of general educational institutions that differ in the types of activities, operating conditions, number of students studying in them, national and social composition, and territorial location. According to the definition of encyclopedic sources, a small school is a school without parallel classes, with a small contingent of students, where, as a rule, students of two, three or four classes are united in one class-set. One teacher works with a complete class.

Small-staffed schools significantly complicate the acquisition of a full-fledged education for children from the village, but the state cannot refuse their services in the coming years. Meanwhile, due to the objective processes characteristic of the village, the school in its activity goes far beyond the educational functions, playing the role of the center of the spiritual and cultural life of the village. Very often, the school in the village is the only center of communication and interaction of students, a center of qualified information support. In addition, the modern rural school with a small number of students has unique opportunities for the revival of national educational traditions, the organization of the educational process on the basis of folk pedagogy, which corresponds to one of the main conditions for the development of a national school. An important prerequisite for quality education in the countryside is the improvement of the educational process.
Correlational analysis of psychophysiological indicators of freestyle wrestlers as a factor of success in competitive activity
Authors: Yevtyfiiev Andrii , Bochkarev Sergiy , Yevtyfiieva Iryna , Donets Yuriy , Nedbailo Iryna , Natarova Victoria
Published: July 2023

The article presents the results of a study of the relationship between indicators of competitive activity and psychophysiological indicators of highly qualified freestyle wrestlers. Freestyle athletes aged 20-23 in the number of 38 people who are at the stage of improving their sportsmanship, who have a qualification level from the I adult category to a master of sports and are engaged in the sports section of the public organization "SCFW "Colizeum"" and the wrestling section of the National Technical University "Kharkiv Polytechnic Institute" participated in the study in Kharkiv. Psychophysiological testing was carried out using the computer program "Diagnost". The most significant psychophysiological indicators for the success of the sports result in freestyle wrestlers at the stage of sports improvement were revealed using correlation analysis. The correlation of indicators of competitive results in the current season, qualitative and quantitative indicators of technical and tactical actions with psychophysiological parameters of wrestlers at the stage of improvement of sportsmanship was analyzed. In the process of analyzing the correlation matrix, the number, directionality, and degree of closeness of relationships were taken into account. Correlation analysis was carried out without taking into account and taking into account weight categories. The importance of accounting for psychophysiological indicators in the training process of wrestlers is substantiated. Differences and peculiarities of the structural model of psychophysiological indicators of wrestlers belonging to different weight categories were revealed. Peculiarities of the correlation of sports performance indicators with psychophysiological parameters in samples of wrestlers of different weight categories were analyzed, which indicates the need to take into account the identified differences in the process of training wrestlers at the stage of improving sportsmanship.
Physical and sports rehabilitation of women with postural disorder using yoga according to the iyengar method
Authors: Zharska Nataliya , Briskin Yuriy , Budzyn Vira , Petryna Lesya
Published: July 2023

In connection with the active development of a new direction - physical culture and sports rehabilitation, an urgent issue is the use of physical culture and sports, in particular yoga classes according to the Iyengar method, with the aim of strengthening health, physical development and physical capabilities of the body.

The purpose of the study was to substantiate the content of a complex adapted program of yoga classes according to the Iyengar method and to determine its effectiveness for correcting the physical condition of women with postural disorders. The use of yoga classes according to the Iyengar method as a means of physical culture and sports rehabilitation contributed to a statistically significant improvement in the subjective self-esteem of individuals and a reduction in pain. Under the influence of yoga classes as one of the means of physical culture and sports rehabilitation, positive changes in the level of physical condition of women were observed. Thus, persons with a lower than average level decreased by 19.1%; women with an average level increased by 23.8% and visitors with a higher than average level increased by 4.8%. However, women with low and high levels of physical condition were not identified. Statistically significant changes (p<0.05) were established in the indicators of physical fitness of women of the main group, with the exception of agility. A significant improvement is observed in the indicators of flexibility, speed and power endurance.
Optimization of the management of the physical preparation of the discus throwers 12-19 years
Authors: Kovban O.L.
Published: July 2023

The article is dedicated to the management of the physical preparation of the metalworkers of the disc 12-19 years.

The light record at the methane disk of 74.08 m (men) was set by Jurgen Schult Nimechchina, 76.80 m (women) Gabriela Reinsh Nimechchina.

To improve the efficiency of the disk meta, it is necessary to increase the speed of the wrapping in obertal-progressive rus by the stake in the lance lanok-phase switch with accelerating accelerations in the two-bearing input, single-bearing phase left foot, gallop, single support phase of the right foot, with hits in the double support final susilla.

The transformation of the psychophysiological state of the discus thrower into the psychophysiological state of the discus thrower of a high class is based on the aid of the successively accentuated method of spreading the tension in the river cycle and the serial-variable blocking of the lighter discs, the larger disc and the tighter disc and in the focus on the biomechanical standard.

There are informative indications of power, speed-strength, physical training of athletes and even finishing sports qualifications of metal workers.
Competitive activity in Japanese traditional archery kyudo
Authors: Ostrovskiy Mykhailo , Vynogradskyi Bogdan
Published: July 2023

The article reveals the peculiarities of competitive activities in kyudo. The relevance of the research lies in the systematization of knowledge about the methods of conducting, types and organization of competitions in traditional Japanese archery – kyudo.

The purpose of the work is to determine the main features of competitive activity in Japanese traditional archery.

A scheme of classification of sports competitions in kyudo is proposed, which is built on the basis of established features: the level of kyudo mastery, scale, gender, shooting rituals, professional orientation, scoring form, age category of participants, tasks, nature of competition organization.

Three ways of determining the winners were also revealed – tekitchusei (a system of awarding points for hitting any part of the target), tokutensei (a point system for hitting a certain area of the target) and saitensei (a scoring system that also evaluates shooting technique).

2 types of competition programs in kyudo were identified – kinteki (competition at a short distance of 28 m) and enteki (competition at a long distance of 60 m). Based on the analysis of the general rules of kyudo competitions, a comparative scheme of these programs is proposed.

Some types of targets (mato) that can be used in Japanese archery are also analyzed and highlighted. It is worth noting that the targets are both black and white and colored, have different sizes, patterns, appointment etc. Among them are those used in the training of athletes, in competitive activities, in entertainment and demonstration events. The scientific work describes the constituent parts of mato.
JUSTIFICATION OF THE MAIN WAYS TO IMPROVE THE PHYSICAL TRAINING OF ATHLETES FOR CLASSIC POWERLIFTING
Authors: Roztorhui Mariia S. , Tovstonoh O. F. , Hladkyi V. , Zubrytskyi Ya. Ya. , Festryha S.
Published: July 2023

The analysis of available scientific knowledge shows that the practice of sports requires finding ways to improve the physical fitness of athletes in classical powerlifting at the stage of maximum realization of individual capabilities. Scientific research by a number of specialists clearly demonstrates that the reserves for improving the physical fitness of athletes in powerlifting are limited. One of the most popular ways, which consists in systematically increasing the volume and intensity of the load, currently allows improving the physical fit ness of only qualified powerlifters.The aim of research is to reveal the problematic field of physical training of athletes in powerlifting and ways of its improvement. In order to solve the set goal, we used the following research methods: analogy, analysis, synthesis, abstraction, induction, extrapolation, generalization of practical experience, pedagogical methods (observation). As a result of the study, it was established that the physical training of athletes in powerlifting is one of the most important factors influencing the effectiveness of the competitive activity of athletes, which justifies the need to find new effective ways to improve it. One of these ways, according to scientists, can be the use of training effects with a variable amount of resistance in classic powerlifting. In the scientific and methodological literature, the effectiveness of using tools with a variable amount of resistance is substantiated on the example of one competitive exercise. It remains relevant to determine the effectiveness and features of the use of means with a variable amount of resistance on the strength indicators of athletes in other competitive exercises of classical powerlifting. Physical training of athletes in powerlifting as a factor of the highest effective significance today requires improvement by substantiating the structure and content of the program of physical training of highly qualified athletes using training effects with a variable amount of resistance in classical powerlifting and identifying the degree of influence of the author's program on the physical preparedness of athletes in classical powerlifting on stage of maximum realization of individual capabilities.
Theoretical and methodological bases of teaching the course «Medical and preventive support in sports activities» in training masters at the faculties of physical education of pedagogical higher educational institutions
Authors: Shaparenko Inna , Myronenko Svitlana
Published: July 2023

The article deals with theoretical and methodological bases of teaching optional course «Medical and preventive support in sports activities» for masters of the Faculty of Physical Education and sports of Poltava V.G. Korolenko National Pedagogical University. The goal, objectives of the course, the list of professional competencies and skills which are obligatory after the completion of the course are defined. The components of educational-methodical complex of the subject was determined: training and content syllabus, supporting lecture notes with questions for self-instructional training, materials for practical classes and independent work, tests for current and module control of students knowledge, final tests.

The system of training highly qualified specialists provides classroom (lectures and practical classes) and independent work. In order to promote research activities a master student has 2/3 from all kind of training time. According to the educational subject syllabus the teacher suggested the following ways of evaluation of educational achievements of master students as current, modular, final control. Current knowledge assessment and control module are performed in the forms of different tests.

The final assessment consists of all points earned during the current testing and modul controls, as well as the performance of individual work. Overall evaluation of bachelor students success is rating and is set by 100-scale system and totraditional scale accepted in Ukraine. A range of points that students may get for the topics of content moduleswere given.
The Unknown Risk of Sub-Radiographic Subtrochanteric Femur Fracture After Cephalomedullary Nail Fixation: Brief Report
Authors: Farii Humaid Al , Farii Humaid Al
Published: July 2023

73 years old femur who had right thigh soft tissue sarcoma and had neoadjuvant chemoradiation and scheduled for soft tissue wide resection and prophylactic femur nail in the presence of risks for post operative fracture. During surgery and after tumor wide resection and cephalomedullary nail placement that both went uneventful, noted to have longitudinal subtrochanteric fracture of about 5 cm extended from lag screw down. While the usual placement for nail through radiographic guided, we inserted our nail during open procedure after sarcoma wide resection and would not recognize the presence of fracture if still through minimal invasive radiographic guided. With that, I am raising the fact how many times we instrumented the femur with unknown sequences of sub-radiographic fracture? And what are the implications?