bluuebunny/crossref_metadata_2025 huggingface dataset:
WAYS OF OPTIMIZING TIME INDICATORS WHEN PLANNING THE TRANSPORTATION OF MILITARY UNITS BY RAIL TRANSPORT
Authors: MAKSYMENKOV Y. , HUDIMOV V. , PAPAKHOV O. , LOGVINOVA N.
Published: January 2023

The purpose of the work is to conduct an analysis of the organization of the continuity of military transportation in the conditions of the conduct of hostilities by the Armed Forces of Ukraine. Currently, the issue of readiness to move military units (units) in a short period of time, without violating their integrity, with the provision of the possibility of a sudden transition to the performance of assigned tasks, which is an integral component of military operations (combat operations), is important. Methods. The issue of optimizing time indicators when planning the transportation of military units by rail transport due to the clarification of time spent on loading and unloading operations. The results. The success of military transportation depends primarily on the quality of their planning, the organization of close cooperation between the military administration bodies and the administration bodies on the types of transport. Interaction with the management bodies on the types of transport is carried out on the issues of ensuring and regulating military transports, coordination of technical capabilities and control of preparations for carrying out transports. The Department of Military Communications on Railways, together with the management of railways, carries out timely provision of rolling stock transportation, continuous management of military transportation, measures are taken to accelerate the advancement of echelons in the area of responsibility, and control the saving of budget funds during the execution of military transportation. Practical significance. Today, the issue of creating groups of troops (forces) of the Armed Forces of Ukraine, rapid regrouping of troops and expansion of existing groups, ensuring high mobility and maneuverability of troops, and carrying out military transports within the established deadlines is an urgent issue.
On the Kumaraswamy Pseudo-Lindley distribution : statistical properties, extremal characterization and record values
Authors: Diallo Moumouni , Ngom Modou , Fall Adja Mbarka , Lo Gane Samb
Published: January 2023

The Pseudo-Lindley distribution is generalized in this paper by using the Kumaraswamy-G distribution developed by Cordeiro et al. (2010a). By fusing the Pseudo-Lindley distribution in the Kumaraswamy generator of distribution, we present a new unique four parameters of continuous model of distribution titled the Kumaraswamy Pseudo-Lindley distribution (Kum-PL). The moments and related measures, moment generating function , order statistic, uniform quantile and extremal quantile function are all carefully examined as basic statistical aspects of the new distribution. Moreover, the extremal characterizations and record values of the new model are investigated. The proposed distribution parameters were evaluated using the maximum likelihood procedures. The stability of the parameter estimations is explored using a Monte Carlo simulation study
On Nonparametric Conditional Quantile Estimation for Non-stationary Random
Authors: Kouassi Ben Célestin , Hili Ouagnina , Katchekpele Edoh
Published: January 2023

Since the studies of Engel (1982) and Bollerslev (1986), the ARCH and GARCH processes have been used extensively to model volatile series. However, Pagan and Schwert (1990) have shown the limits of these choices. This deficiency is overcome by the NonParametric AutoRegressive Conditionally Heteroscedastic (NPARCH) processes. In this work, we use the Nadaraya-Watson method to estimate the autoregression and volatility functions of a NPARCH process. We show the strong consistency and the asymptotic normality of these estimators. Through brief simulations, we illustrate these two properties.
On Nonparametric Estimation of a Nonparametric Autoregressive Conditionally Heteroscedastic Process
Authors: Kouassi Ben Célestin , Hili Ouagnina , Katchekpele Edoh
Published: January 2023

Since the studies of Engel (1982) and Bollerslev (1986), the ARCH and GARCH processes have been used extensively to model volatile series. However, Pagan and Schwert (1990) have shown the limits of these choices. This deficiency is overcome by the NonParametric AutoRegressive Conditionally Heteroscedastic (NPARCH) processes. In this work, we use the Nadaraya-Watson method to estimate the autoregression and volatility functions of a NPARCH process. We show the strong consistency and the asymptotic normality of these estimators. Through brief simulations, we illustrate these two properties.
Metrically-conditioned syncope in Strict CV metrics
Authors: Faust Noam
Published: January 2023

The Strict CV metrics approach (Scheer & Szigetvári 2005, Ulfsbjorninn 2014) claims that once empty V-slots are factored in, moras are unnecessary. Instead, a grid-based analytic tool of Incorporation has been proposed and used in past analyses (Faust & Ulfsbjorninn 2019, Ulfsbjorninn 2014, 2021). In this paper, the theory is applied for the first time to the phenomenon of metrically-conditioned syncope, based on data from Mojeño Trinitario (Rose 2019). The analysis is compared to the moraic account proposed by Rose. The framework is then showed to be insightfully applicable to another language with similar patterns, namely Tonkawa (Gouskova 2003, 2007). 
REGULARITY AND IDEALS IN NEAR-SEMIRINGS
Authors: Leerawat Utsanee , Setthanarak Benya
Published: January 2023

In this paper, we investigate conditions that force regular near-semirings (additive or multiplicative regular near-semirings) to be idempotent (additive idempotent). In addition, we study some kinds of ideals as p-ideals and subtractive ideals in near-semirings and investigate their properties in near-semirings. Finally, we define two congruence relations on a near-semiring, and an additive inverse regular near-semiring, respectively. Then we give constructions of quotient near-semirings induced by congruence relations.
Tutor Support of the Educational Process of Junior Schoolchildren with ASD: «Class Tutor» Intervention
Authors: Rudneva E.V. , Davydova E.Y. , Tyushkevich S.A. , Shvedovskiy E.F. , Khaustov A.V.
Published: January 2023

The heterogeneity and complexity of autism spectrum disorders (ASD) determines the need to develop special education and support environment for children with ASD, considering children special educational needs. Tutor support is a necessary, guaranteed and learning model-independent condition for the effective adaptation of a child with autism in the school environment. The «Class tutor» technology is an original education intervention developed within the framework of the concept of inclusive education. The technology focuses on the group tutor support in a grade for children with ASD. Goals of the intervention are: the adaptation of students to the educational process the individual inclusion of the student in the team; participation of a tutor in group lesson activities and tutor assistance to the group in the mastering of the education program (special type of the educational program for children with ASD); developing of the individual learning conditions, developing of the functional skills and reducing of the episodes of unwanted behavior. The specific tasks of the stages (preliminary, adaptive-diagnostic, main, final) of the technology implementation are presented. During the work with the unwanted behavior tutor uses following applied behavioral analysis techniques implemented in the «Class tutor» intervention: the use of motivational stimuli; the dosed use of prompts of various levels; extinction; positive weakening; the establishment of instructional control; an increase in the period of problem-free behavior; support and consolidation of alternative and replacing forms of behavior, maintaining an adequate pace of work; training functional communication. The game interaction during the break has been chosen as the model for the description of the intervention scheme. The principles of the intervention effectiveness study design include multiple case and multiple-baseline methodology.
“Aut Fitness” — a Technology for Organizing Classes on Adaptive Physical Education for Children with ASD
Authors: Soloveva M.V. , Davydov D.V.
Published: January 2023

The motor sphere in children with ASD is frequently affected in association with low social and communicative skills. This makes development of individually tailored physical education programs especially important. We present the results of contemporary foreign studies of the motor abilities of children with ASD that point to the efficiency of adaptive physical activities for motor development as well as acquiring everyday social and communicative skills. We present the first part of adaptive physical education technology “Aut Fitness”. The technology is based on the principles of organization of motions by N.A. Bernstein, the concepts of sensory integration and sensori-motor correction. The technology provides a comprehensive curriculum for physical ability and motor skills development of a child with ASD, from the diagnostic assessment to conceptualization of a training route to be implemented in close collaboration with the parents. The theoretical and methodological support is provided together with the aims of the technology for formation of motor skill and correction of behavior typical for ASD. The specifics of motor activity disorders in children with ASD and additional factors that make it difficult to study in physical education classes are described. Targets in the areas of general development, adaptation, health, well-being and age-specific advancement are identified and described. These are the development of strength, dexterity, endurance, coordination abilities; training in breathing exercises and elements of sports games; prevention and correction of posture disorders. The stages of the implementation of programs developed using the “Aut Fitness” technology are described These are a system of classes aimed at the harmonious motor and communicative development of children with ASD, taking into account their level of physical fitness.
Building Academic Reading Skills in Children with ASD Using the Author’s Method “Speaking Skills”
Authors: Nikonova N.A. , Pavlova Y.B. , Danilina K.K. , Salimova K.R. , Davydova E.Y.
Published: January 2023

Speech deficits in autism spectrum disorders (ASD) can be observed at child’s early development in the form of a deficit in understanding addressed speech, abnormal prelinguistic development, and deficits in the communicative sphere. These factors further prevent children with ASD from successful building reading skills. With all the variety of reading difficulties in children with ASD, reading comprehension problems are the most common. At the same time, it has been repeatedly shown that the deficit in reading comprehension is based on the deficit of oral speech, and the volume of the vocabulary and the level of mastering the syntactic norms of the language play a big role. The colleagues of the Federal Resource Center for the Organization of Comprehensive Support to Children with ASD (FRC MSUPE) developed the author’s method called «Speaking Skills». It is aimed at developing reading skills in children with ASD. The method is intended for teaching preschoolers and younger schoolchildren in groups. The article describes the method implementation step by step, give the scheme of a typical lesson, as well as the criteria for assessing skills necessary for mastering the reading. We provide examples of original didactic materials that allow the child to “read” the sentence, knowing the minimum number of letters. It increases the child’s interest and motivation for classes. The technique of relying on one letter, which is a lexically significant unit, creates an attitude to reading as a process of extracting meaning, which increases learning effectiveness. It also describes how to adapt the program to the special educational needs of children with ASD: organization of educational environment; adaptation and the way of introducing the materials; coping with leading developmental challenges. The design of the planned pilot study of the effectiveness of the presented methodology is described. Thus, using the method “Speaking Skills” allow not only to more successfully master reading skills, but also to fill in the deficiencies in the communicative and social sphere.
Inclusive Museum Programs Research Organization Principles Based on Evidence-Based Approach
Authors: Davydova E.Y. , Khilkevich E.V. , Sorokin A.B. , Khalikova D.R.
Published: January 2023

Russian museums have rich practical experience in excursion and educational activities with different audiences, including visitors with autism spectrum disorders (ASD). On the part of museum staff involved in inclusive activities, there is an increasing demand for consulting and methodological assistance from specialists in the field of helping people with ASD. On the one hand, employees strive to make their programs more professional and identify clear criteria for evaluating the results of their activities, on the other hand, they need knowledge about the principles of interaction with a new audience for museums, the rules for collecting feedback to improve their own activities. The Russian Committee of the International Council of Museums (ICOM Russia), together with the Federal Resource Center for Organization of Comprehensive Support for Children with Autism Spectrum Disorders of the Moscow State University of Psychology & Education, conducted a study of the process of interaction between the creators of inclusive museum programs and the target audience, representing a multigroup cross-section of program implementation indicators in various museums. For each participant of the pilot group (more than 30 museums), an individual design of interaction with the target audience was created within the framework of the existing inclusive program and relevant tools for collecting feedback were developed. The first results of the study indicate the interaction between museum staff implementing inclusive programs for visitors with autism and specialists with experience in comprehensive support for people in this category, including in the context of sociocultural integration (such as the creation of the “Let’s go to the museum!” program), efficiency.
Development of the Learning Behavior During the Lesson “Circle” in Children with Severe Multiple Developmental Disorders
Authors: Vetrova M.A. , Vetrov A.O. , Migachev A.S.
Published: January 2023

We present the development of the learning behavior patterns in children with autism spectrum disorders (ASD) with severe multiple developmental disorders (SMDD) on the model of a number of individual behavioral patterns of which the group activity “Circle” consists. The “Circle” is one of the most important organizational activities in the classroom. The study involves a class consisting of five children with severe and multiple developmental disabilities (SMDD) enrolled in the special school education program for children with ASD (so-called adopted general education program type 8.4). Present article covers the issues of the structure of the stereotype of the learning behavior, the aims of the planning psycho-educational work. As a result of the training, all children showed positive dynamics. Also, concomitant positive changes were noted associated with adaptation to schooling. After additional evidence-based studies, it is possible to transfer the practice to work with children with other developmental disorders.
The Assessment Development of Life Competencies in Children with Autism Spectrum Disorders in the Inclusion Environment
Authors: Chizhova Yu.V.
Published: January 2023

The formation of life competencies in children with ASD is the basis of social adaptation and the most important factor for the successful education inclusion. In this study, we made the assessment of life competencies in younger schoolchildren with ASD and determined the educational conditions for the development of these competencies based on the applied behavior analysis methodology. The study involved 12 students with ASD born in 2007—2009. The life competencies were diagnosed using the ABBLS-R (basic speech and learning skills). A range of necessary and most important skills in learning in an inclusive environment were outlined. The results obtained made it possible to identify a number of shortcomings in students with ASD and to determine the need to develop special pedagogical conditions. The most important conditions are the psychological and educational support of such students, the choice of methods and techniques that can increase the effectiveness of the development of life competencies. Work on the formation of the residential complex was carried out in the period from 2018 to 2021. As a result of testing of the educational conditions based on the application of methods of applied behavior analysis (visual support; social stories; spontaneous learning; step-by-step learning; shaping; discrete trial training, DTT), an increase in the level of formation of life competencies was recorded. The results obtained allow us to speak about the effectiveness of the created education environment using methods of applied behavior analysis for the formation of life competencies in students with ASD in inclusion conditions.
Comparative evaluation of the effectiveness and safety of different dosages of Glancin (tamsulosin) in the treatment of patients with lower urinary tract symptoms due to benign prostatic hyperplasia
Authors: Al- Shukri Adel S. , Kostyukov Stanislav V. , Maksimova Albina V.
Published: January 2023

BACKGROUND: Alpha-blockers are the first-line treatment for the elimination of symptoms of impaired urination due to benign prostatic hyperplasia. At the same time, the focus is not only on efficiency, but also on the safety of their appointment.
AIM: Comparison of the efficacy and tolerability of the alpha1-blocker tamsulosin at a dosage of 0.2 mg twice a day and 0.4 mg once a day in patients with benign prostatic hyperplasia presenting with mild to moderate LUTS.
MATERIALS AND METHODS: The study is based on the results of examination and treatment of 90 patients with symptoms of impaired urination in benign prostatic hyperplasia, aged 50 to 80 years. In the 1st group (n = 45) patients received tamsulosin 0.2 mg twice a day, in the 2nd group (n = 45) 0.4 mg once a day. The duration of treatment was 4 weeks.
RESULTS: In patients of both groups, according to the IPSS questionnaire, a statistically significant decrease in the severity of obstructive and irritative symptoms, an improvement in the quality of life, an increase in the maximum urine flow rate, and a decrease in the volume of residual urine were revealed. When comparing the dynamics of clinical indicators in patients of the 1st and 2nd groups, no significant differences were found between the groups. At the same time, treatment tolerance was somewhat better in patients of the 1st group, which manifested itself in a smaller number of adverse events from the cardiovascular system and ejaculatory function disorders.
CONCLUSIONS: The results of the study demonstrate the same efficacy of tamsulosin 0.2 mg twice a day and 0.4 mg once a day. At the same time, taking tamsulosin at a dose of 0.2 mg twice a day was characterized by better tolerability of therapy.
Modern concepts about chronic prostate inflammation
Authors: Vinnik Yuri Yu. , Kuzmenko Andrey  V. , Amelchenko Andrei A.
Published: January 2023

The review presents modern aspects of the epidemiology, pathogenesis, diagnosis, drug treatment of chronic prostatitis. We performed a comprehensive search using multiple databases. There is still no single pharmacological approach in the management of patients with chronic prostate. Future clinical trials should include a full report of their methods including adequate masking, consistent assessment of all patient-important outcomes including potential treatment-related adverse events and appropriate sample sizes.
Congenital diverticulum of the anterior urethra of non-obstructive genesisS
Authors: Shchedrov Dmitry N. , Shormanov Igor S. , Morozov Evgeny V. , Garova Daria Yu. , Solovyev Andrey S.
Published: January 2023

Congenital diverticulum of the distal urethra is extremely rare in urological practice, there are isolated descriptions of it in the literature, as a result every clinical observation is of interest. The aim of this study is demonstration of a rare clinical observation congenital diverticula of the distal urethra without infravesical obstruction (meatostenosis) in a teenager.
The article describes a clinical case of treatment of congenital diverticula of the anterior urethra without signs of infravesical obstruction in a 13-year-old teenager.
A case of surgical treatment of congenital urethral diverticulum without infravesical obstruction in a 13-year-old teenager is presented. Diverticulectomy with suture of the urethra was performed with good anatomical and functional results.
A distal urethral diverticulum of a congenital nature is extremely rarely noted as an isolated condition without an anterior urethral valve or another variant of infravesical obstruction. The method of choice is to perform diverticulectomy with suturing of the urethra.
Local recurrences after radical cystectomy in bladder cancer patients
Authors: Komyakov Boris K. , Saad Anton E. , Fadeev Vladimir A. , Al-Attar Talat H. , Sergeev Aleksey  V.
Published: January 2023

BACKGROUND: Radical cystectomy is the standard treatment for patients with muscle-invasive bladder cancer and superficial neoplasms in cases of resistance to intravesical immunochemotherapy.
AIM: To establish the frequency of local pelvic recurrence in patients with bladder cancer after radical cystectomy.
MATERIALS AND METHODS: From 1997 to 2022 radical cystectomy was performed in 407 patients with bladder cancer: 344 (84.5%) men and 63 (15.5%) women. Orthotopic urinary diversion methods were performed in 302 (74.2%) patients, including gastrocystoplasty 24 (5.9%), ileocystoplasty 253 (63.8%) and sigmocystoplasty 25 (6.1%) patients. Continent skin diversion of urine was performed in 13 (3.2%) patients, ureter transplantation into the sigmoid colon in 42 (10.3%) patients, and ureterocutaneostomy in 50 (12.3%) patients.
RESULTS: Local recurrence in the pelvis after radical cystectomy was observed in 33 (8.1%) patients: 27 (81.8%) men and 6 (18.2%) women. The average age of men with relapses was 58.7 11.7 years (from 43 to 73 years), women 50.0 7.8 years (from 24 to 65 years). Simultaneous metastatic lesions of internal organs were detected in 6 (18.2%) patients. Local pelvic recurrence after radical cystectomy occurred more often in lymphopositive patients with extravesical spread of the primary low-grade tumor. The median time from radical cystectomy to detection of pelvic recurrence was 7.0 months, from the moment of detection of pelvic recurrence to the death of the patient 4.5 months.
CONCLUSIONS: The frequency of local pelvic recurrence of bladder cancer after radical cystectomy is 8.1%. The survival rate of patients with local pelvic recurrence is extremely low.
Colovesical fistula in a patient with diverticular disease and foreign body of the colonj
Authors: Simanov Ruslan N. , Fetyukov Alexey I. , Malyshev Viktor A. , Kagachev Pavel N. , Barysheva Olga Yu.
Published: January 2023

A clinical observation of a 50-year-old patient with colonic diverticular disease with perforation of one diverticulum by a fish bone and the formation of a colovesical fistula is presented in the article. The history of the disease, clinical picture, the course of the disease, results of pre-hospital and hospital examination, methods of treatment of the patient were analyzed. The presented material is illustrated by MSCT images, photographs made during the surgical treatment, results of histological examination. Surgical treatment included lower midline laparotomy, resection of the sigmoid colon and bladder with complete removal of the fistula with a diverticulum and bone inside it as a single block, formation of a colostomy, suturing the bladder defect tightly with urethral drainage with a Foley catheter. There were no complications during the operation and in the early postoperative period, the patient was discharged at the usual time. At a later date, a reconstructive operation was performed with the restoration of the passage of intestinal contents, without complications. A review of the literature on the diagnosis and treatment of patients with colovesical fistulas is presented.
Nocturnal enuresis — a new look at the old problem
Authors: Smirnova Natalia N. , Belyakova Alla V. , Kuprienko Natalia B. , Nikolskaya Tatyana  I.
Published: January 2023

Nocturnal enuresis is the most common functional disorder of the urinary system in children, significantly reducing the quality of life of both patients and their parents. There are several hypotheses for the development of this disease, none of which can be taken as dominant. In this regard, Nocturnal enuresis is considered as a polyetiological condition. This review details the main factors that are associated with the development of nocturnal enuresis in children. These include hereditary predisposition, bladder dysfunction, sleep and awakening disorders, delayed maturation of central nervous system structures, disruption of the circadian rhythm of antidiuretic hormone and aquaporin-2 production. Despite many publications on nocturnal enuresis in children, many aspects of the pathogenesis of the disease remain unclear and require further study.
Features of the microenvironment of oncourological tumors
Authors: Molchanov Oleg E. , Maistrenko Dmitriy  N. , Granov Dmitriy  A. , Lisitsin Igor Yu. , Romanov Alexandr A.
Published: January 2023

The interaction of tumor cells, especially if they are stem or resting, with myeloid and lymphoid components, as well as extracellular matrix producers, leads to the formation of a pathological microenvironment that causes resistance to many systemic treatment options. The aim of the work is to present modern literature and own data concerning the features of the composition and structure of the microenvironment in tumors of the kidney, prostate and bladder. The article presents data on the composition and interaction of various subpopulations of cells in the tumor microenvironment, as well as on the role of stem tumor cells in its formation. Defects of signaling pathways of stem tumor cells are described, as well as the mechanism of interaction between the tumor and the immune system in the process of carcinogenesis. Approaches to the assessment of the type of microenvironment for the purpose of individualization of treatment are analyzed in detail. The authors present their own data on the nature of the distribution of subpopulations of lymphocytes and suppressor cells of myeloid origin in patients with metastatic forms of tumors of the genitourinary tract. The variants of using data on the structure of the microenvironment in order to optimize treatment tactics in cancer patients are indicated.
Our experience of surgical treatment of recurrent urinary incontinence in women after the installation of a synthetic implant
Authors: Suleymanov Suleyman I. , Pavlov Dmitriy A. , Arakelov Sergey  E. , Baranov Alexey V. , Babkin Alexander S.
Published: January 2023

BACKGROUND: The article presents data on the frequency of recurrence of urinary incontinence in women after the installation of a synthetic implant, as well as methods for the surgical elimination of this pathology. The described urogynecological problem is relevant and widespread.
MATERIALS AND METHODS: The results of surgical treatment of 16 women with pelvic organ prolapse and recurrent urinary incontinence after sling operations are presented. All patients underwent laparoscopic colpovesicosuspension.
RESULTS: In the postoperative period positive dynamics was noted during the examination using the POP-Q system and the results of the questionnaire using the ICIQ-SF questionnaire, which was observed throughout the follow-up period of 12 months. Complications in the immediate and long-term postoperative period were not identified. For the entire period of observation of the patients, recurrence of prolapse was not observed in any case.
CONCLUSION: The proposed method of surgical treatment of recurrence of urinary incontinence in women with mesh implants is effective and safe.
Multi-stage surgery for anterior urethral strictures: assessment of immediate and long-term surgical outcomes
Authors: Kogan Mikhail I. , Glukhov Vladimir P. , Ilyash Anna V. , Mitusov Valeriy V. , Vasilyev Oleg N.
Published: January 2023

BACKGROUND: The progress made in reconstructive urethral surgery over the past 20 years has shown the effectiveness of one-stage repair of anterior urethral strictures. Nevertheless, multi-stage urethroplasty retains its primary role in the treatment of patients with the most complex urethral narrowing and obliterations.
AIM: To evaluate the immediate and long-term surgical results of multi-stage urethroplasty for penile and bulbar urethral strictures.
MATERIALS AND METHODS: The study included 110 men aged 1884 years who underwent multi-stage urethroplasty for the anterior urethral structures in 20102019. The techniques of buccal and skin augmentation or urethral replacement plastics were applied. Before surgery, all patients underwent a standard urological examination. Early surgical complications were evaluated from medical records. Late surgical complications were determined according to examinations that included symptomatic assessment with specialized questionnaires, laboratory tests of serum and urine, physical examination, uroflowmetry, and retrograde urethrography and ureteroscopy (if urinary disorders were detected). The median follow-up was 5 years and 2 months.
RESULTS: Early surgical complications were detected in 27 (24.5%) patients. Surgical interventions to resolve them were required in 7 (31.8%) cases: urethrocutaneous fistulas (5), acute urinary retention (1), scrotal hematoma (1). Late surgical complications were detected in 33 (30.0%) patients, including 29 (26.7%) cases of recurrent urethral strictures. All late complications cases were classified as Clavien-Dindo IIIb, and a total of 49 additional operations were performed to eliminate them. The primary success rate for multi-stage urethroplasty was 67.3 % with a median follow-up of 62 months. Only 73 (66.4%) completed all stages of the planned surgery. Urethral integrity throughout its entire length was restored in 67 (60.9%) cases, spontaneous urination in 106 (96.4%) cases.
CONCLUSIONS: Multi-stage surgery for anterior urethral strictures is associated with relatively high risks of surgical complications at each stage of treatment. The probability of surgical revision of complications can reach 31.8%. Patients should be informed about the risks of developing surgical complications and the potential for more than two surgeries to achieve treatment goals when planning multi-stage urethroplasty.
Evaluasi Unit Pengolahan Garam Washing Plant dalam Meningkatkan Mutu dan Daya Saing Garam Rakyat
Authors: Syah Achmad Fachruddin , Dwiyitno Dwiyitno , Jafar Shodiq Syayid , Rini Rimbi Lilik Trisetyo , Simatupang Shanas Thalia Oktava
Published: January 2023

Dalam rangka mengurangi ketergantungan pada garam impor, maka diperlukan peningkatan kualitas garam dalam negeri.  Salah satu upaya peningkatan kualitas garam yang dilakukan Kementerian Kelautan dan Perikanan (KKP) adalah menggunakan teknologi washing plant. Penelitian ini bertujuan untuk mengevaluasi unit pengolahan garam washing plant yang digunakan untuk meningkatkan kualitas garam rakyat di Jawa timur yaitu di Kabupaten Sampang dan Pasuruan. Penelitian dilakukan dengan pendekatan riset evaluasi. Sampel garam sebelum dan setelah melewati washing plant dianalisis mutunya yang meliputi kadar NaCl, kadar air, komponen tak larut, kandungan mineral pengotor (Ca dan Mg), dan logam berat (Fe). Hasil penelitian menunjukkan kualitas garam rakyat sebelum mengalami proses pencucian belum memenuhi syarat sebagai garam konsumsi (SNI 4435-2017), namun setelah melewati washing plant kandungan NaCl mengalami peningkatan dari 93% menjadi 95% – 96%. Di sisi yang lain, mineral pengotor (Ca dan Mg), dan logam berat (Fe) mengalami penurunan yaitu untuk Ca dari 877 - 1799 ppm menjadi 399 - 1101 ppm; Mg dari 2462 - 8064 ppm menjadi 793 - 992 ppm; dan Fe dari 23 - 43 menjadi 8 - 11 ppm. Secara umum hasil uji paired t test menunjukkan adanya perbedaan mutu garam yang cukup signifikan antara sebelum dan sesudah proses pencucian. Hasil ini menunjukkan bahwa washing plant yang digunakan dapat meningkatkan kualitas garam  rakyat.
Karakteristik Kolagen dari Kulit dan Sisik Ikan Coklatan, Swanggi, dan Kurisi sebagai Bahan Gelatin
Authors: Widiyanto Widiyanto , Uju Uju , Nurilmala Mala
Published: January 2023

Hasil samping industri filet ikan coklatan, swanggi dan kurisi berupa kulit, yang hanya dimanfaatkan sebagai bahan pakan ternak meskipun dapat dimanfaatkan sebagai sumber kolagen dan gelatin. Kandungan hidroksiprolina pembentuk kolagen beserta sifat protein kolagen belum tersedia informasinya, sehingga dilakukan penelitian. Penelitian bertujuan menentukan jenis kulit terpilih sebagai bahan gelatin dengan memperhatikan karakteristik kulit, sisik, dan kulit bersisik ikan coklatan, swanggi, kurisi, dan kandungan hidoksiprolina sebagai penciri kolagen. Rancangan percobaan yang digunakan pada tahap deproteinasi adalah menggunakan Rancangan Acak Kelompok (RAK) tiga faktor di mana faktor pertama yaitu jenis ikan terdiri atas tiga taraf (ikan coklatan, swanggi, dan kurisi), faktor kedua yaitu waktu perendaman NaOH 12 taraf (2; 4; 6; 8; 10; 12; 14; 16; 18; 20; 22; 24) jam, faktor ketiga jenis kulit tiga taraf (kulit, sisik, kulit bersisik). Data dianalisis secara statistik dengan ANOVA dan uji lanjut Duncan. Hasil penelitian menunjukkan bahwa waktu optimasi deproteinasi perendaman NaOH dimulai dari 14-20 jam tergantung jenis ikan dan bahan baku, efektif mengeliminasi protein non kolagen. Luas jaringan kolagen pengamatan histologi adalah ±95,136,16 µm² tertinggi pada jenis kulit bersisik ikan swanggi berasosiasi dengan kandungan protein tertinggi pada kulit bersisik swanggi sebesar 21,20 % (basis basah) 56,17 % (basis kering). Jenis kulit memiliki berat molekul dalam kisaran 10 sampai 105 kDa mempunyai kandungan protein yang merupakan protein sarkoplasma, miofibril, dan jaringan ikat yang mengandung kolagen, sehingga dapat digunakan sebagai penghasil gelatin. Kulit bersisik ikan swanggi memiliki kandungan hidroksiprolina tertinggi daripada jenis kulit lainnya yaitu 0,0888 g/µL sehingga dapat ditentukan sebagai jenis kulit terpilih.
Cost-Effectiveness of a Homeless Care Transition Program: Durham Homeless Care Transitions
Authors: Biederman, DrPH, MN, RN, CPH, FAAN Donna J. , Harker, MBA, MPH Matthew , Schmid, PhD Lorrie , Sloane, MPH Richard , Langan Erica , Taylor, Jr., PhD Donald H.
Published: January 2023

There is evidence of benefit to patients from transitional care and medical respite programs that does not substantially increase the overall societal cost of care; however, health systems commonly require evidence of cost savings and benefit as a return on investment.
Effect of ZnO Nanoparticles as Antimicrobial on Multidrug Resistance Klebsiella Pneumonia: A Review
Authors: Kudaer Nuha , Risan Mohsen Hashim , Yousif Emad , Kadhom Mohammed , Raheem Rasha , Hairunisa Nany , Amalia Husnun
Published: January 2023

Klebsiella pneumoniae (K. pneumoniae)is a common microorganism for different infections, including respiratory, urinary tract, and biliary diseases, where immunocompromised individuals are directly affected by this bacterium. However, with the emergence of hypervirulent strains, individuals,whether healthy or immunocompetent, are equally susceptible to K. pneumoniae infections. This problem is diagnosed by the wide spreading of multidrug-resistant bacteria in the environment with multiple resistance mechanisms, which are the main challenges for an effective treatment. This put physicians in an inflexible confusion because of the limitation of medical treatment options. Among many remedy substances, zinc oxide (ZnO) nanoparticles (NPs) showed remarkable antibacterial properties versus many Gram-positive and Gram-negative bacteria. This work focuses on presenting the influence of these NPs on the expression of genes in charged in generating the K. pneumoniae capsule. Furthermore, perspectives for applying ZnO NPs in clinical practices are also discussed. As the in vivo studies show a powerful impact of ZnO on bacteria, it is anticipated that this method of treatment will be utilized by hospitals.
Fibers as nutraceuticals: A review
Authors: Sharma Ashok Kumar , Sharma Nitin , Tanya  , Verma Jaiprakash , Ankur
Published: January 2023

The finest foods for bodybuilding, or "Superfoods," in our everyday diet are fruits. And now is the moment to join the movement for a successful year to come. They aid in muscular growth and are tasty and healthful. Yes, it is. Fruits are sometimes disregarded in bodybuilding communities because of their sugar content, but with good planning, gains may be increased.

Fruits are a good source of potassium, carbohydrates, vitamin C, and antioxidants, all of which aid in muscle growth. The very best Fruits won't empty your bank account. These affordable natural supplements provide a balanced intake of vitamins, minerals, and nutrients without the unintended negative effects of synthetic supplements.

Fiber might be beneficial if you're trying to gain strength and muscle. It doesn't directly fuel your gains or induce muscular growth, but it does other things that can improve your workout performance.
A study on assessment of knowledge and attitude about generic medicines among interns in a tertiary care hospital
Authors: Jyothi Bhagya , Shetty Robin , Rai Mohandas
Published: January 2023

According to a WHO report, approximately 55 million people in India are still living in poverty as a result of household out-of-pocket expenses for health care, particularly medications. Thus, it is imperative to keep healthcare costs as low as possible without limiting access to high-quality care. Increasing the use of generic medications can raise affordability of healthcare without sacrificing the standard of care. Doctors' prescriptions play an extremely significant role. In order to identify potential obstacles to the use of generic drugs, it may be helpful to understand the doctor's perspective about generic drugs.

A cross-sectional study was carried out using a validated questionnaire that included questions to evaluate the participant’s knowledge and attitude on generic medicines. Data was collected using google forms and Chi square test was used to list association of knowledge and attitude.

It was observed that attitude among interns were extremely significant whereas the knowledge was insignificant.

According to the study, knowledge about generic drugs were not significant however they had significant attitude towards it so educating interns and medical students about generic drugs will promote more awareness about prescribing generic medicine.
Refusing to Grow Old: The Antichronocratic Labour of Cypriot Activist Youth and What It Can Teach Us About Decolonizing Childhood and Related Knowledge Production
Authors: Christou Georgina
Published: January 2023

Through registering the chronopolitics of Cypriot teenage antiauthoritarian activists, this article explores the antichronocratic labour of children as a way to engage with processes of degrowth and to create dissident everyday temporalities through which to build alternative communities and relations in the present. It is argued that paying attention to such labour unsettles the hegemonic temporality of linear development and the individualized child of capitalist modernity while also troubling the consequent individual character of agency that has been hegemonic in childhood studies thus far. Such attention must infuse research on childhood(s) in its attempt to decolonize childhood and related knowledge production.
Zooming with Babies: Troubling a Shared Present
Authors: Boycott-Garnett Ruth
Published: January 2023

This paper outlines how the specific constraints of virtual communication technology have stirred new thinking around what kind of research and what knowledge is produced with babies. During Zoom sessions, the 2–4-month-old babies were frequently present but out of shot, or glimpsed as a small limb or movement or sound on the other side of the screen. The babies’ bodies, movements, and sounds exceeded the boundaries of the screen. Through a posthuman lens, presence, time, and agency unravel the Zoom screen as an active participant that interferes with what can happen in a shared present in a liminal space.
Bilgorod Metropolitans and «Cherkasy Customs»: Book and School
Authors: Masliychuk Volodymyr
Published: January 2023

The church history of the Russian-Ukrainian border is a significant area for research, in particular in the issue of the meeting of the Moscow Orthodox Church, which was intensively reformed, and the church structure of numerous immigrants to Slobodа Ukraine from the Kyiv Metropolis («Cherkasy» (Ukrainians)). The main ecclesiastical administrative formation in Sloboda Ukraine was the Bilgorod diocese, ruled by metropolitans in 1667–1721. In this case, the important features of the border are the presence of non-Moscow printing books and the emergence of schools.Already the first Bilgorod Metropolitan Theodosius brought 150 liturgical books to the center of the diocese from Moscow. But according to later data, Moscow books did not dominate in this space: a significant part of the books was from Kyiv, Lviv, and even Ostroh printing houses. The register of books of the Kuryazh monastery, published before the beginning of the 18th century, and other available registers testify to the coexistence of books of various printings in monastery book collections and churches.The «school tradition» of the establishment of schools at churches, similar to the Kyiv Metropolitanate, was also characteristic. The Bilgorod metropolitans did not bring their teachers from Moscow and apparently did not control the «cherkasy schools». These examples once again emphasize the heterogeneity of the borderline and the multiplicity of identities.
Kachur, Iryna. Diialnist rodyny Shlikhtyniv (1755–1785) u konteksti pryvatnoho knyhovydannia Lvova XVIII stolittia. Monohrafiia-kataloh (Lviv: LNNB Ukrainy im. V. Stefanyka, 2021), 450 s.: il. .
Authors: Bochkovska Valentyna
Published: January 2023

Review: Kachur, Iryna. Diialnist rodyny Shlikhtyniv (1755–1785) u konteksti pryvatnoho knyhovydannia Lvova XVIII stolittia. Monohrafiia-kataloh (Lviv: LNNB Ukrainy im. V. Stefanyka, 2021), 450 s.: il. .
Consulta de enfermagem à saúde da criança através de um projeto de extensão: perfil dos atendimentos
Authors: Pan Raquel , Resende Isabella Luiz , Lima Maria Júlia Lodi de , Antunes Marija , Ribeiro Marcos Guilherme Lemos , Arantes Josiane de Pádua
Published: January 2023

Objetivo: descrever os atendimentos de enfermagem num projeto de extensão direcionados a saúde da criança. Método: estudo descritivo de abordagem quantitativa realizado no ano de 2019, em um Centro de Atenção Integrada em Saúde através de consulta de enfermagem e sala de espera educativa, por docente e acadêmicas de enfermagem, com auxílio de dois instrumentos (primeira consulta e retorno). Resultados: realizou-se 64 consultas de enfermagem, sendo 47 delas primeiras consultas. Houve prevalência do sexo masculino (57,44%) e da faixa etária entre 2 e 3 anos (29,79%), predominância de acompanhante a mãe (81,25%). Foram discutidos 12 temas na sala de espera educativa, com destaque para o cuidado corporal, atividades, práticas preventivas e, alimentação. Conclusão: a consulta de enfermagem e da prática de educação em saúde em sala de espera mostrou sensibilização de enfermeiros e importância demonstrada pela comunidade atendida, bem como, a relevância de projetos de extensão universitária.
Percepções de cuidadoras acerca da continuidade do cuidado às crianças com necessidades especiais de saúde
Authors: Medeiros José Pinheiro Batista , Neves Eliane Tatsch , Pitombeira Mardênia Gomes Vasconcelos , Figueiredo Sarah Vieira , Campos Daniella Barbosa , Gomes Ilvana Lima Verde
Published: January 2023

Objetivo: conhecer as percepções de cuidadoras acerca da continuidade do cuidado às crianças com necessidades especiais de saúde. Método: pesquisa qualitativa realizada em um município do sertão do estado do Ceará, Brasil, com cuidadoras de crianças com necessidades especiais de saúde, de junho a agosto de 2020 por meio de entrevistas semiestruturadas, e os dados foram submetidos à análise de conteúdo temática. Resultados: participaram 11 cuidadoras com média de idade de 33,3 anos, renda média de R$ 1.360,00, maioria casadas, e não chegaram a concluir o ensino médio. Na ocupação, 10 cuidadoras informaram que tinham como principal tarefa a de cuidar da criança e a realização das obrigações domésticas. Duas categorias foram construídas: “A gente sempre está na batalha… desde a época que ele nasceu que a rotina dele é essa: vivências e percepções das cuidadoras acerca do percurso de cuidado”; e “Eu corro atrás para onde for, eu faço tudo e vou. Sentimentos de esperança e fé que fortalecem as cuidadoras”. As cuidadoras enfrentam desafios com os constantes deslocamentos e tempo de espera nos serviços de saúde, agravados pela pandemia de COVID-19. A esperança aliada à fé se configurou como fontes de suporte. Conclusão: os desafios e obstáculos enfrentados para a continuidade do cuidado pelas cuidadoras interfere na evolução do quadro clínico da criança, torna o cuidado prestado mais laborioso, manifestando ainda mais a vulnerabilidade social desse público.
Wykluczenie finansowe. Od finansów tradycyjnych do cyfrowych
Authors: Warchlewska Anna
Published: January 2023

W monografii zidentyfikowano i scharakteryzowano zjawisko wykluczenia finansowego wielu grup społecznych, przedstawiono ideę nowoczesnych technologii finansowych wspomagających proces zarządzania finansami osobistymi i minimalizację wykluczenia finansowego, a także najważniejsze nurty w literaturze na temat wykluczenia finansowego (ekskluzji finansowej) i włączenia finansowego (inkluzji finansowej). Autorka zaprezentowała też wyniki własnych badań ankietowych poświęconych identyfikacji tego zjawiska oraz badania dotyczącego zarządzania finansami osobistymi przez młode pokolenie. Zagadnienia zawarte w monografii mogą się okazać szczególnie przydatne dla praktyków z obszaru finansów osobistych i nowoczesnych technologii, pracowników banków i wszystkich instytucji świadczących usługi finansowe, a także dla studentów oraz wykładowców finansów, ekonomii, zarządzania oraz pokrewnych dyscyplin.