bluuebunny/crossref_metadata_2025 huggingface dataset:
Me and My Baby Are One; The Mother's Experience of Continuous Kangaroo
Care: A Qualitative Study
Authors: Mohammadi Marzieh , Sattarzadeh Niloufar , Valizadeh Leila , Heidarzadeh Mohammad , Hosseini Mohammadbagher , Hakimi Sevil
Published: September 2021

Introduction:

Infant hospitalization in the Neonatal Intensive Care Unit (NICU) causes
the separation of mother from her infant. Kangaroo Care (KC) is a bio-care method for preterm
newborns. This study was conducted with the aim of investigating the experiences of mothers that
could be helpful for the further development and expansion of continuous kangaroo mother care
(C-KMC).

Material and Method:

This is a qualitative study with a content analysis approach. In order to
collect data, in-depth individual interviews were conducted with thirteen mothers who were able to
care for their infants in the form of C-KMC. The sampling was of purposeful type; the interviews
were recorded, and their contents were written accurately and word by word.

Findings:

Analysis of mothers' experiences led to the emergence of three main themes of mother’s
positive attitude, facilitator factors and barriers to perform C-KMC.

Conclusion:

The results of this study showed that performing KMC caused a sense of calm, empowerment,
and satisfaction of the mother and had many medical benefits for the infant. On the
other hand, physicians and nurses can act as facilitators or barriers based on the support they make
from mothers. Also, the support of the spouse and family play an important role in continuing to
perform the continuous KMC by the mother.
Oral Surgical and Haematological Management in a Female Patient with Turner Syndrome and Moderate Haemophilia A: Clinical Observation and Case Report
Authors: Lewandowski Bogumił , Myszka Aleksander , Brodowski Robert , Czenczek-Lewandowska Ewelina , Odnoczko Edyta , Windyga Jerzy
Published: September 2021

Introduction:

Turner syndrome patients are at higher risk of having X-linked recessive disorders that could have serious clinical implications. Somatic abnormalities that may coexist with coagulation disorders determine the medical procedure approaches.

Case Report:

We report a 29-year-old female showing dysmorphia, distinctive physical features, and coagulation disorder, referred for maxillofacial surgery. Based on clinical symptoms, the patient was diagnosed with Turner Syndrome, and haemophilia A. Karyotyping confirmed classical monosomy X in all analysed blood cells. Molecular studies revealed hemizygous point mutation c.5096A>G (p.Tyr1699Cys) in Factor VIII gene, in exon 14. This missense mutation disturbs the interaction of Factor VIII with the von Willebrand factor, causing moderate haemophilia in the proband. The article presents the clinical history and preparation of our patient for oral surgical and dental surgery treatment.

Conclusion:

Turner syndrome patients require special attention due to the higher probability of congenital haemorrhagic diathesis. Maxillofacial surgery interventions in Turner syndrome and congenital haemorrhagic diathesis patients require individual patient preparation preventing post-extraction bleeding and ensuring proper local haemostasis.
Sella Turcica Bridging and its Association with Dental Anomalies
Authors: Siddalingappa Divya , Urala Arun S. , Pentapati Kalyana C. , Vineetha Ravindranath , Prasad G. Lakshmi
Published: September 2021

Aim:

This study aimed to study the overall incidence of DA and its association with Sella Turcica bridging (STB).

Background:

Dental anomalies (DA) are associated with morphological changes in the Sella Turcica (ST).

Materials and Methods:

We retrieved the pretreatment patient records from March 2018 - March 2020 from the archives of the Orthodontics Department (n=806). We excluded the records with missing radiographs, concomitant cleft lip/ palate, history of surgical repair of cleft lip/ palate or any other craniofacial anomaly, history of trauma, and prior orthodontic treatment. A total of 676 patient records were included for initial screening, out of which 103 patients had DA (study group). A similar number of records (n=103) without any DA were randomly selected to constitute a control group. Determination of the extent of STB was done by calibrated and trained examiner. Age and sex were also recorded.

Results:

The incidence of DA was 15.24%. The most common anomalies recorded were impacted canines (6.8%) and hyperdontia (3.7%), followed by agenesis (2.1%) and others. Type III bridging in patients with DA was 22.3%, while being 9.7% in the control group. Type II bridging was observed in 36.8% of patients with DA as compared to 29.1% in the control group. The presence of partial and complete STB in patients with dental anomalies was significantly higher than in the control group (P=0.006). The study group showed significant association with STB (OR: 2.33; P=0.003; 95%CI: 1.33-4.11) after adjusting for sex.

Conclusion:

The results of our study revealed a significant association between STB and DA.
Differences of Effectiveness of Jigsaw Learning Methods in Heterogen and Homogen Group
Authors: Dewanti Septinda Rima
Published: September 2021

Jigsaw is one kind of cooperative learning method. This method has been known as an effective method in schools either for junior or college students. This study aims to describe the differences of the effectivity of the Jigsaw method that a group formed based on gender, ability, ethnic and group formed as a homogenous group. The research method was experiment comparative. The subject of this study is a college student who enrolled in Educational Psychology courses. The result of this study is the effectivity of both groups formed in the jigsaw method has no significant difference. So, to conclude this research, teachers in schools should more concern in group dynamic than the component of groups.
The senior year students’ persistence profile of UMTAS (University of Muhammadiyah Tasikmalaya)
Authors: Luanda Aditia , Isti’adah Feida Noor Laila , Nugraha Agung
Published: September 2021

This study aims to determine the profile of senior year students at the end of class 2015 that have been studied for 4 years or undergraduate students (S1). This descriptive study was conducted to 10 study programs (S1) at the University of Muhammadiyah Tasikmalaya with a sample number of 142 students. Measuring instrument employed in the form of a questionnaire multiple choice that refers to the grand theory of Pury (Lopez, 2009), which was designed by the researcher in 2019. The results revealed that the persistence of 2015 students was in high category with a percentage of 77.33%. The number of final-level students in the high category of 85% or 121 students, in addition there were 14% or 20 students who belonged to the medium category and 1% or 1 student was in the low category. This indicates that in general, the senior students at the Universitas Muhammadiyah Tasikmalaya have demonstrated maximum persistence in each dimension, including having high desire and awareness to pursue their goals, doing hard effort sustainably, instilling persistent character in resolving the problems, as well as the students can survive and move forward despite the challenges and difficulties in achieving their objectives.   Keywords: persistence, student of university
Achieving ideal career: improving student’s career self efficacy through career counseling sessions based on H.B Gelatt's decision theory
Authors: Chudari Ima Ni’mah , Mashudi Esya Anesty , Fatihaturosyidah Fatihaturosyidah
Published: September 2021

After successfully compiling a good career plan related to their professional work in the future, students are expected to realize these career plans successfully. For this reason, students need to be equipped with other abilities in the form of self-efficacy or the ability to believe that the efforts made will produce results and goals that are expected to be achieved. Therefore, through appropriate career counseling intervention, the self-efficacy of students in achieving an ideal career is expected to increase. This study aims to examine effectiveness of career counseling based on H.B Gelatt's decision theory to improve student self-efficacy in achieving an ideal career. This study uses quasi-experimental methods. The research subjects were third years students in UPI Serang. The research instrument used was a student self-efficacy scale and a daily reflective journal. Data analysis techniques used statistical testing in the form of percentages, central symptom measures, and two-tier test (t-test). The results showed that students' self-efficacy related to achieving an ideal career in general was in the medium category with a percentage of 50.72%. The counseling intervention program is based on the career decision making steps of Gelatt. Paired t-test results of pre-test and post-test of the experimental group showed that t arithmetic = 10.221> (greater) than t table = 2.401, testing was carried out at a = 0.05 and df = 39, meaning H1 was accepted and H0 was rejected. Thus, there is a significant difference between self-efficacy related to achieving the ideal career of students who are members of the experimental group before and after receiving treatment. Decision-making skills in particular are very influential on improving the level dimension in student self-efficacy related to achieving an ideal career.   Keywords: career counseling, career counseling in college, career self-efficacy, Gelatt decision-making theory
FROM COLONIAL CAPITALISM TO CRONY CAPITALISM. HISTORICAL AND INSTITUTIONAL DETERMINANTS OF THE SOCIO-ECONOMIC MODEL FROM THE MALAYSIAN PERSPECTIVE
Authors: GLINIAK Pawel
Published: September 2021

During the period of colonialism the implementation of colonial capitalism resulted in the integration of Southeast Asia into the global economy, which directly influenced the local socio-economic system. The changes occurring in the region since the 19th century, which is the period discussed in this article, can be analyzed from many points of view. The following paper focuses on the territory of present-day Malaysia, an exceptionally heterogeneous country, and it analyses the results of this transformation and the influence it had on the current socio-economic system. Colonialism has undeniably contributed to the economic growth of the Malay Peninsula while excluding parts of the population and destroying local institutions and existing models of the socio-economic system. Despite this apparent quantitative growth, oligarchic institutions were created, impeding the area's actual qualitative socio-economic development. The decolonization process did not change it sufficiently. The first aim of the article is to indicate the direct historical relationship between colonial capitalism, violently implemented by colonial empires in the conquered territories, and the crony capitalism formed after the decolonization period. Secondly, the author tries to identify oligarchic institutions and the outcomes of their influence. These institutions were created in the historical process within colonial capitalism and are still present today. They fundamentally influence the politics and society of contemporary Malaysia, thus inhibiting qualitative socio-economic transformation. Thirdly, the author, using a variety of indicators and indexes measuring, for example, corruption, the democratization process, or social development, seeks to demonstrate the power of crony capitalism and its institutions and their impact on impeding socio-economic development.
INDEPENDENT UKRAINE IN POLISH HISTORICAL SOURCES
Authors: KAMIONKA Mateusz
Published: September 2021

This year (2021), we are celebrating the 30th anniversary of Ukraine regaining its inde-pendence. Poland was the first country to recognise the independence of this Central-Eastern European country in the international arena. In this article, I would like to present and dis-cuss selected journal articles and monographs written by Polish authors as a comment to this critical event. The analysis will be based on selected histographic sources, especially those analysed in terms of ideology, but it will also be reasonable to highlight the most im-portant problems that, according to the authors, the young state may await. Often the fears for the future accompanying the authors of the 90s, unfortunately, proved to be true when we analyse the situation at the beginning of the 21st century. One thing does not change. How-ever, over the first years of bilateral relations, it is difficult to find significant press articles negatively related to this matter, and if there are negative ones, they are mostly marginal.
Взаимосвязь тепловой проводимости импульсно нагретого раствора с его объемом смешения
Authors: Волосников Д.В. , Поволоцкий И.И. , Скрипов П.В.
Published: September 2021

In experiments on pulse heating of the probe in solutions of various natures, the fact of the relationship between the heat conduction of a solution and its mixing volume was established. The results obtained agree with the data indicating the appearance of additional (with respect to additive values) thermal resistance in the liquid when the second component is added to it. The experiments were performed at significant expansion of the range of variation of the values of the mixing volume and temperature, including not fully stable states that were briefly superheated with respect to the temperature of the liquid-vapor and/or liquid-liquid equilibrium of the solution.
Virtual Reality Technology Use in Cigarette Craving and Smoking Interventions (I “Virtually” Quit): Systematic Review (Preprint)
Authors: Keijsers Merel , Vega-Corredor Maria Cecilia , Tomintz Melanie , Hoermann Simon
Published: September 2021

BACKGROUND

Over the last 2 decades, virtual reality technologies (VRTs) have been proposed as a way to enhance and improve smoking cessation therapy.

OBJECTIVE

This systematic review aims to evaluate and summarize the current knowledge on the application of VRT in various smoking cessation therapies, as well as to explore potential directions for future research and intervention development.

METHODS

A literature review of smoking interventions using VRT was conducted.

RESULTS

Not all intervention studies included an alternative therapy or a placebo condition against which the effectiveness of the intervention could be benchmarked, or a follow-up measure to ensure that the effects were lasting. Virtual reality (VR) cue exposure therapy was the most extensively studied intervention, but its effect on long-term smoking behavior was inconsistent. Behavioral therapies such as a VR approach-avoidance task or gamified interventions were less common but reported positive results. Notably, only 1 study combined Electronic Nicotine Delivery Devices with VRT.

CONCLUSIONS

The inclusion of a behavioral component, as is done in the VR approach-avoidance task and gamified interventions, may be an interesting avenue for future research on smoking interventions. As Electronic Nicotine Delivery Devices are still the subject of much controversy, their potential to support smoking cessation remains unclear. For future research, behavioral or multicomponent interventions are promising avenues of exploration. Future studies should improve their validity by comparing their intervention group with at least 1 alternative or placebo control group, as well as incorporating follow-up measures.

CLINICALTRIAL
Peer Review of “Use of Smartphone Apps for Improving Physical Function Capacity in Cardiac Patient Rehabilitation: Systematic Review” (Preprint)
Authors: Beatty Alexis
Published: September 2021

UNSTRUCTURED

This is a peer review report.
Feasibility of a Health Utility Assessment Platform in a Hemodialysis Outpatient Setting (Preprint)
Authors: Adejare Jr Adeboye A , Duncan Heather J , Motz Geoffrey R. , Shah Silvi , Thakar Charuhas V. , Eckman Mark H.
Published: September 2021

BACKGROUND

Background: Patients with End-Stage Kidney Disease (ESKD) wait roughly 4 years for a kidney transplant. A potential way to reduce wait times is through the use of Hepatitis-C Viremic (HCV) kidneys.

OBJECTIVE

Objective: As preparation for developing a shared decision-making tool to assist ESKD patients with the decision whether to accept an HCV-viremic kidney transplant, we first wanted to assess the feasibility of using the Gambler II, a health utility assessment tool, in an ambulatory dialysis clinic setting. Secondary goals were to collect ESKD patients’ utilities and to explore whether use of race-matched vs race-mismatched exemplars impacted knowledge gained during the assessment process.

METHODS

Methods: We used the Gambler II to elicit utilities for ESKD-related health states: hemodialysis, kidney transplant with HCV-unexposed kidney, and transplantation with HCV-viremic kidney. We created race exemplar video clips describing these health states and randomly assigned patients into the race-matched or race-mismatched video arms. We obtained utilities for these 3 health states from each patient, and we evaluated knowledge about ESKD and HCV-associated health conditions with pre- and post-intervention knowledge assessments.

RESULTS

Results: 63 hemodialysis patients from 4 outpatient Dialysis Center Inc. sites completed the study. Mean adjusted standard gamble utilities for hemodialysis, transplant with HCV-unexposed kidney, and transplantation with HCV-viremic kidney were 82.5, 89, and 75.5 respectively. General group knowledge assessment scores improved by 10 points (p < 0.05) following utility assessment process.

CONCLUSIONS

Conclusion: Using The Gambler II to collect ESKD patients’ utilities in an ambulatory dialysis clinic setting proved feasible. In addition, educational information about health states provided as part of the utility assessment process tool improved patients’ knowledge and understanding about ESKD-related health states and implications of organ transplantation with HCV-viremic kidneys. Wide variation in patient health state utilities reinforces the importance of incorporating patients’ preferences into decisions regarding use of HCV-viremic kidneys for transplantation
Clinical aspects of cervical spine traumatic injury biomechanics
Authors: Nekhlopochyn O.S. , Verbov V.V.
Published: September 2021

Cervical spine trauma is one of the most serious injuries of the human musculoskeletal system, as structural disorders of the cervical spine lead to neurological disorders due to damage to the spinal cord and/or its roots or create conditions when instability poses a significant potential threat to anatomical integrity and functional capacity of the spinal canal structures. A lot of classifications of traumatic injuries of the cervical spine have been developed, they are based on the biomechanics of injury, but none of them is generally accepted and universal. Failures to develop a system that could clearly determine the causal relationship between the effects of the traumatic agent and the traumatic bone changes are due to a number of causes. Extensive clinical material accumulated over the years of study of traumatic changes in the cervical spine allowed identifying the main criteria that determine the nature and degree of traumatic injuries. These include the parameters of traumatic action and individual characteristics of the victims, in particular physiological indicators and the presence of comorbidities. In this review, we present a brief description of the main clinical factors influencing the biomechanics of traumatic cervical spine injury (nature, direction and intensity of traumatic action, age of a patient, muscle condition and initial curvature of the cervical spine, as well as some comorbidities: degenerative changes of the spine, osteoporosis, connective tissue diseases, congenital malformations). These criteria are of practical importance that allows using the collected information not only in theoretical but also in applied aspects.
Mathematical modeling of the osteosynthesis of the lower leg bones using a titanium mesh for their congenital pseudoarthrosis in the lower third
Authors: Khmyzov S.O. , Katsalap E.S. , Karpinsky M.Yu. , Yaresko O.V.
Published: September 2021

Background. Congenital pseudarthrosis of the lower leg bones belongs to the group of orphan diseases and manifests itself in non-union (pseudarthrosis) of the lower leg bones, which leads to the formation of deformity and shortening of the limb, and, as a result, is accompanied by a persistent violation of the limb’s supportability. To date, the question of choosing a surgical technique and optimal fixation in the surgical treatment of congenital pseudarthrosis of the lower leg bones remains unresolved. The purpose was to investigate the stress-strain state of the shin model with pseudarthrosis of its bones in the lower third during their osteosynthesis using a titanium mesh. Materials and methods. Osteosynthesis was simulated with an intramedullary nail, wires, and a block of bone grafts on both shin bones with the imposition of a titanium mesh over the grafts under the influence of two types of compression and torsion loads. Results. Studies have shown that additional fixation of the bone graft block with a titanium mesh allows reducing the stress level at almost all control points of the model of osteosynthesis of the lower leg bones in their congenital pseudarthrosis, both under compression and torsion. As the most positive changes, we can note a decrease in the stress values on the tibia around the nonunion line. This can be explained by the fact that the bone graft block reinforced with a titanium mesh takes on a great load. The same fact contributes to the increase in the level of stress at the lower border of the graft block and tibia. The negative factors include an increase in the level of stress along the line of non-union of the fibula. This is also explained by an increase in the modulus of elasticity of the bone graft block, which further loads the fibula. Conclusions. The use of a titanium mesh for additional fixation of the shin bones in the treatment of their congenital pseudarthrosis has a positive effect on the stress-strain state of the model, which is confirmed by a decrease in the stress level at almost all control points of the model, both under compression and torsion loads. The most positive changes are observed along the line of non-union of the tibia.
Risks for obesity development, features of food behavior and bio-impedansemetric parameters in adolescents
Authors: Kocherha Z.R. , Nedostup I.S. , Pavlykivska B.M. , Tereshkun N.M. , Kazimyrchuk I.V.
Published: September 2021

Background. The problem of obesity in adolescents has gained its medical and social relevance since the incidence of the disease is steadily increasing. The purpose of the study is to improve the effectiveness of early diagnosis and prevention of obesity in adolescents. Materials and methods. To study the risk factors for obesity, a comparative assessment of lifestyle among adolescents aged 15–17 years with obesity, overweight and physiological body weight was conducted. In adolescents of the same age with comorbid obesity (basic group), overweight and physiological body weight (two comparison groups), the types of food behavior were determined using the Dutch eating behavior questionnaire (DEBQ). Bioelectrical indicators of bio-impedancemetric analysis were studied on a Tanita apparatus (Japan). The probability of differences in mean values was determined using Student’s t-test. Results. It was found that the frequency of imbalance of the food pyramid, movement disorders, sleep and rest, nervous tension, burdened heredity increased significantly among obese adolescents. Obesity was found to dominate by external type of eating behavior (57.2 %); at the excess weight — restrictive type (60 %); at physiological body weight — emotional type (40 %). Bio-impedancemetry showed that the reliable bioelectrical parameters of obesity were total fat (35.5 ± 4.5 % and 29 ± 2 % vs. 17.5 ± 2.5 %); visceral fat (17 ± 2 % and 12 ± 3 % vs. 8.5 ± 1.5 %); and metabolic age (33 ± 8 and 21.5 ± 1.5 years versus 16 ± 1 years). Conclusions. Risk factors for obesity include the imbalance of the food pyramid, movement disorders, sleep and rest, nervous tension, bad habits, burdened heredity. The predominance of external type of eating behavior in obesity, restrictive — in overweight and emotional type in adolescents with physiological body weight should be taken into account when prescribing personalized lifestyle adjustments. The most informative bioelectrical parameters of bio-impedancemetry were total fat, visceral fat, and metabolic age. Bio-impedancemetry as a non-invasive predictive method of diagnosing obesity can be recommended for widespread implementation in pediatric practice.
Postoperative agitation syndrome in young children with perinatal damage to the central nervous system
Authors: Snisar V.I. , Pavlysh O.S.
Published: September 2021

One of the complications of the postoperative period in children is postanesthetic agitation, a significant emotional and uncontrollable worry, clouding of consciousness, feeling of anxiety and fear, inappropriate behavior, irritability, inconsolable crying, aggressive and negative attitude towards parents and medical staff. Postoperative agitation is very important for clinicians and hospitals, it has a risk of harming a patient, staying longer in the ward after anesthesia, and increasing the period of postoperative recovery. The frequency of postoperative agitation depends on age group. Most often agitation occurs in young children. There is evidence that agitation can also be due to the immature nervous system and a consequence of pathological conditions of the central nervous system (asthenoneurotic syndrome, encephalopathy, hyperactivity syndrome, perinatal posthypoxic and organic brain lesions, history of prematurity, epilepsy, psychophysical and speech delay, etc.). That is why the goal of our research was to study the patterns of clinical manifestations of postoperative agitation syndrome in children with prenatal damage to the central nervous system. The work was performed based on the analysis of the postoperative period in 109 young children: 59 patients with acquired hydrocephalus, who underwent ventriculoperitoneal shunting, and 50 children without neurological disorders in whom reconstructive surgeries were carried out. Depending on the type anesthetic management, each group was divided into two subgroups: children, who received inhalation anesthesia with sevoflurane, and those, who received total intravenous anesthesia using propofol. In the postoperative period, the behavior of children was assessed on a Pediatric Anesthesia Emergence Delirium scale 30 minutes after anesthesia was completed. Criterion for the development of agitation was the presence of excitement in a child with a score of ≥ 10 points. Study showed that young children with perinatal damage to the central nervous system and children whose anesthetic provision is carried out using sevoflurane are the most vulnerable to the development of agitation syndrome. Agitation in such children is more pronounced and longer. These cases require prediction, detection and active surveillance.
The effects of secondhand smoke on respiratory pathology, sensitization and development of allergic diseases in young children (literature review)
Authors: Kotova N.V. , Starets O.O. , Kovalenko D.A.
Published: September 2021

The prevalence of active smoking in Ukraine significantly exceeds the worldwide average, which is certainly a risk factor for children to be exposed to secondhand smoke. The article provides literature data and presents a modern view on the problem of secondhand tobacco smoke impact on the child population. In pediatric practice, the pathological impact of secondhand smoke on the child’s health is significant at the stage of its fetal development. Historical data convincingly prove the connection between the antenatal effect of secondhand smoke and the increased risk of perinatal losses and risks of pregnancy — miscarriage, stillbirth, and premature birth. As early as the 1960s and 1970s, scientific evidence was obtained for an association between the effects of tobacco smoke and the risk of sudden infant death syndrome. Children are most vulnerable to the negative effects of tobacco smoke at an early age because they have closer and longer contact with their parents, especially their mothers. Many studies have found an association between the effects of secondhand smoke and airway pathology (bronchitis, pneumonia), as well as an increase in the severity of respiratory syncytial viral infection (bronchiolitis). Numerous literature data indicate an association between the effect of passive smoking and the frequency and severity of oral cavity (dental caries) and middle ear (recurrent and chronic otitis, middle ear effusion) pathology. Many studies have shown the effects of secondhand smoke on the development and severity of bronchial asthma in children, but scientific data on the causal relationship of tobacco smoke with other allergic diseases (atopic dermatitis, allergic rhinitis, and food allergies), which are common in young children and preceded bronchial asthma in the "atopic march, are more limited and contradictory. The literature was searched using the PubMed database.
Features of adipokine status in hypertensive patients with chronic kidney disease
Authors: Filenko Ya.M. , Korzh O.M.
Published: September 2021

The study aimed at optimization of diagnosis and evaluation of chronic kidney disease (CKD) in hypertensive patients by studying the role of adipokines (leptin, omentin, visfatin, resistin) in patients with hypertension combined with chronic kidney di­sease. Materials and methods. The study enrolled 100 patients with hypertension of II and III degrees of Stage 2, of which 51 patients were diagnosed with chronic kidney disease. The control group consisted of 20 apparently healthy people. Results. Our study showed that leptin, omentin, resistin, and visfatin levels were significantly higher in patients with essential hypertension (EH) combined with CKD, in contrast to patients with EH without CKD and in the control group. The results of the Kraskel-Wallis dispersion analysis demonstrated that in patients with EH combined with CKD, adipokines significantly correlated with systolic blood pressure (BP), diastolic blood pressure, hypertension degree, body mass index, low-density lipoproteins, thyroglobulin, glomerular filtration rate, creatinine, end-diastolic size, relative wall thickness index, left ventricular myocardial mass, left ventricular myocardial mass index, presence of diastolic dysfunction, type of diastolic function. Conclusions. Hypertensive patients with CKD presented with a significant increase in adipokine levels (leptin, omentin, resistin, visfatin) in the blood compared to patients with EH without CKD (p < 0.05) and apparently healthy individuals (p< 0.05). The data obtained indicate that adipokines (leptin, omentin, resistin, visfatin) have a significant pathogenetic role in patients with hypertension combined with chronic kidney disease.
How to potentialize the effect of renin-angiotensin-aldosterone system inhibitors?
Authors: Ivanov D.D.
Published: September 2021

The scientific review presents a practical analysis of the properties of Lespedeza capitata in terms of its attractiveness for nephrological practice. Lespedeza shows many effects on ectoderm derivatives, including skin and the kidneys. Thus, the results of studies showed significant stimulation of the growth of fibroblasts and keratinocytes, as well as increased collagen synthesis with a lipolytic effect on adipocytes. The researchers concluded the possibility of using herbal medicinal preparations of Lespedeza capitata to stimulate skin cells and tissue regeneration, for anti-aging therapy and induction of lipolysis due to flavonoid extract. Lespedeza capitata extract enhances diuresis, eliminates edema, reduces azotaemia and albuminuria, increases sodium excretion, and to lesser extent potassium, promotes renal filtration and excretion of nitrogenous products in the urine. The advantages of phytotherapy in normalizing the capillary permeability of the glomeruli are a mild diuretic effect, which prevents a significant loss of electrolytes in contrast to synthetic diuretics. These effects are now considered as potentiating the action of inhibitors of the renin-angiotensin system, which is the basis of renoprotection in modern nephrology. Lespedeza flavonoids improve protein-energy metabolism, which has been demonstrated in many models of acute renal failure. Correction of protein metabolism has a favourable nephroprotective effect and slows the progression of chronic kidney disease (CKD) while maintaining normal excretory function. Lespedeza extract can be considered as a substance that enhances the action of renin-angiotensin-aldosterone system inhibitors (RAASi), acting synergistically in inhibiting the activity of the renin-angiotensin system. This property of the drug becomes very relevant in patients with CKD stage 5 when the abolition of RAASi today corresponds to the current trend. Maintaining a small dose of RAASi in stage 10 CKD, or the use of RAASi with extrarenal elimination in combination with Lespedeza extract demonstrates encouraging results in clinical practice.
Konsep Worldview: Usaha Melengkapi Konsep Struktur dalam Teori Strukturasi Giddens
Authors: Kamuri Johanis Putratama
Published: September 2021

The aim of this paper is to complete the concept of structure, in structuration theory, with the concept of worldview. Giddens' structuration theory emphasizes structure as a result as well as a medium for the regularization of social practice. It emphasizes structure in cognition but ignores the structure of society. As a result, the theory does not explain how social practices that produce virtual structures can exist and be practiced continuously in society, before virtual structures are formed in agents’ cognition? Therefore, the concept of structure needs to be complemented with the concept of worldview, which emphasizes the existence of a social structure that reveals itself through cultural components. Systematic reviews, on MacIntyre's thoughts and various thoughts related to the worldview, show that cultural components produce the regularization of social practice. The result is the formation of the worlview as the medium for social practice. It means that the worldview concept emphasizes the correspondence of the society's objective structure and the cognitive structures. This concept can show the existence of the structure of society and the influence of cultural components in it on the regularization of social practice and the formation of the worldview. Worldview concept answers the research problem.
JALA– The Elixir for Life
Authors: Imtiyaj Dr. Mohd
Published: September 2021

Abstract: The ancient science of life has considered jala to be the life (ayushya) for all. It is believed that jala has the ability to cure various diseases and this jala therapy is established as an important non-invasive Medicine in the medical field. The importance of jala for life expectancy (ayushya) has been explored in the literature of Ayurveda. Ayurveda has mentioned the role of each type of jala for humans and also describe the right method of intake of jala. The origin of Rasa is due to Jala. Jala is not essential for metabolic actions but also necessary to perform daily routine work. Various researchers have investigated the role of water in different diseases like; acute toxicity, ascites, gastric burn, and constipation. This article summarizes the ayurvedic perspective of jala as per the ancient science of life. Keywords: Jala, Guna, Karma, Kaal, Vidhi, Ayushya.
The youth of contemporary Belarus: Basic values, life plans and behavioral strategies
Authors: Danilov A. N. , Rotman D. G.
Published: September 2021

The article considers the transformation of basic values, life plans and behavioral strategies of the youth in contemporary Belarus. The changes in basic values are directly connected with the youths adaptation to the conditions of global instability. The new generation is sensitive to social injustice, violations of rights and freedoms, unwillingness to take into account their opinions on current issues of social development and the future. The self-perception of people regarding the possibility to realize basic values in the current social-economic conditions is an important factor of social stability. In both 1990 and 2018, family holds the first place among the basic values in Belarus; work takes the second place as a factor of decent life and familys success; the importance of friends and leisure remains the same over the decades, while the importance of politics and religion grows. International comparisons show that Belarus has the same hierarchy of values as European countries. The surveys prove a decrease in popularity of the traditional media among the youth and an increase in individualism, importance of personal self-realization in family and at work, and in reliance on ones own forces. In the public space, the needs and expectations of people have changed - there is an increase in political radicalization and critical perception of the most important events, which affects the behavioral patterns of social-demographic groups. Education together with the family and new information technologies have a significant impact on values - there is an intragenerational gap, alienation from society and increasing informatization. The article is based on the results of the sociological surveys conducted in the framework of the European Values Study (EVS) (the results of 1990 and 2018 are compared).
Genesis of sociology of media space
Authors: Sharkov F. I. , Silkin V. V.
Published: September 2021

Sociology of media space is a new and still developing branch of sociology, just like sociology of space - a basic branch of sociological knowledge. Sociology of space focuses on natural space as a framework for the development of social connections and relations; while sociology of media space considers this space as a part of social space, not as its measurement but as a metaphor. Some natural space turns into a social space only if people use it and live in it. Social boundaries and meanings are added to natural space, which transforms it into a social phenomenon. Although sociology of media space is still developing, there is no doubt that the mass media have made a significant contribution to the development of social relations and sociology by filling social space with messages of all kinds. Media space is a platform that serves as a basis for social communications, a key to the social development, and a means of positive impact on the life of individuals, groups and organizations. Everything social is located in a space-time continuum, and the sociological approach to the theory of network media space is based on the assumption that there is a strong connection between network media communications and social changes. Sociology of media space does not emerge from sociology of space: the developing media space, which is studied with sociological methods, manifests itself in its social coordinates - this is how sociological knowledge expands to consider not only various spatial aspects of social life, but also the features of different contents and information chains created by the convergence of various media and ways of disseminating information.
The history of creating Pamir Highway and its meaning for arranging artificial irrigation of Central Asia (late XIX – early XX centuries)
Authors: Ilyushina T.V. , Stepanchenko A.L.
Published: September 2021

Appearing the Pamir Highway made the lands of Central Asia accessible for scientific expeditions. Arid and empty territories could not have been used in agriculture and industry without irrigation, and development of the region depended on this. At the end of the XIX century. Many scientists studied the geographic features and problems of artificial irrigation in the arid territories of Central Asia. In scientific works, they considered the opportunities of improving the land, arranging new systems of artificial irrigation, building dams and hydroelectric power stations. By the middle of the XIX century, the reclamation of agricultural lands was for the first time included in the list of the most important directions of state activities, the first state reclamation law in Russia was adopted. The railway and the communication routes connected with it enabled the development of agriculture and industry in the Turkestan Territory. The region acquired a connection with shopping centers and provinces of Russia, the expansion of markets for products, the growth of cities, the settlement and development of the regions of Central Asia began, and roads were laid there in the late XIX – early XX centuries.
Blockchain Technology, Inter-Organizational Relationships, and Management Accounting: A Synthesis and a Research Agenda
Authors: Kostić Nikola , Sedej Tomaz
Published: September 2021

SYNOPSIS

Blockchain technology is increasingly emerging as an important organizational phenomenon, especially for collaboration across firm boundaries. Over the past three decades, accounting scholars have shown significant interest in management accounting and control mechanisms that are used by actors to sustain inter-organizational relationships. We outline fundamental technical features and limitations of permissioned blockchain technology and analytically propose blockchain as an empirical concept with implications for management accounting practices that underpin inter-organizational collaboration, trust, control, and information exchange. Particular focus of the analysis is on the interplay between the technical capabilities of blockchain technology and inter-organizational management control procedures. Based on this analysis, we develop a series of propositions that theorize how these procedures affect the way in which blockchain is enacted in IORs, and how they are affected by blockchain in turn. The paper concludes with a research agenda for accounting scholars and offers directions for further research.
Stakeholder Engagement and Effective Standard Setting
Authors: Convery Amanda M. , Kaufman Matt , Warfield Terry D.
Published: September 2021

SYNOPSIS

Successful standard-setting outcomes require some level of acceptance by diverse stakeholder groups. This study examines the evolution of FASB due process institutions since Enron, which have the potential to engender stakeholder acceptance. The prior literature on accounting standard-setting outcomes often focuses on the effects of individuals, organizations, or established due process institutions. Our study highlights the critical role played by recent due process institutions such as enhanced advisory groups, transition resource groups, field tests, and post-implementation reviews in contemporary standard-setting activity. Advisory groups, in particular, shift the balance of power within standard-setting to give a stronger voice to specific stakeholders (e.g., investors, not-for-profits, and private companies) and sometimes provide a recruiting network for future FASB members. We highlight the growing importance of these due process institutions for effective standard-setting outcomes, as well as implications for future academic research.

Data Availability: Data are available from the public sources cited in the text.

JEL Classifications: M41; M48.
Otonom-Paylaşımlı Araç Yönetim Sistemi
Authors: ŞENER Erdi , SEBATLI SAĞLAM Aslı , ÇAVDUR Fatih
Published: September 2021

Bu çalışmada, otonom-paylaşımlı araç yönetim sistemleri kapsamında, talep tabanlı araç atama problemi çözümü için bir karar destek sistemi prototipi geliştirilmiştir. Öncelikle, geliştirilen karar destek sistemi prototipi için talep yapısına uygun bir veritabanı tasarlanmıştır. Ardından, bütünleşik bir sistem yapısı içerisinde, müşteri taleplerinin kaydedilebilmesi ve sistem yöneticisi tarafından görüntülenebilmesi için kullanıcı dostu web tabanlı bir arayüz tasarlanmıştır. Geliştirilen sistemin çalışması bir örnek uygulama üzerinde gösterilmesi amacıyla kent trafik yoğunluğu yüksek olan şehirlerden Bursa şehir merkezi ele alınmıştır. Oluşturulan uygulama kapsamında, müşteri taleplerini karşılamak üzere şehrin doğu-batı ekseni doğrultusundaki üç merkez ilçesinde (Yıldırım, Osmangazi ve Nilüfer) olmak üzere üç farklı konumda park istasyonu belirlenmiştir. Araç atama probleminin çözümü için çok-ürünlü ağ akış problemi bazlı bir model kullanılmıştır. Günümüzde paylaşımlı araç hizmetleri için hızla artmakta olan girişimlerin, araç konumlandırmalarını ve diğer operasyonlarını bu çalışmada kurgulanana benzer karar destek sistemleri kullanarak optimize etmelerinin verimlilik açısından faydalı olacağı düşünülmektedir.
Geleneksel Total Kalça Protezine Alternatif Epifiz Protezinin Mekanik Değerlendirmesi
Authors: MUTLU İbrahim , DİZDAR Ayberk
Published: September 2021

Bu çalışmada kısa saplı ve uzun saplı kalça protezleri mekanik açıdan karşılaştırılmıştır. Protez ve kemikler bilgisayar ortamında modellenmiş ve protezlerin mekanik performansını incelemek amacıyla birleştirilmiştir. Sonuçların değerlendirilmesi için protez komponentleri ve çimentoda oluşan eş değer gerilme (von Mises) değerleri dikkate alınmıştır. Sonuç olarak, total kalça ameliyatlarında kısa saplı protez kullanımın implant hasar açısından daha avantajlı olduğu ve tasarımsal iyileştirmeler yaparak uzun saplı kalça protezinin yerini alma potansiyeline sahip olabileceği öngörülmüştür.
Influence of process-related heat accumulation of laser beam welded 1.7035 round bars on weld pool shape and weld defects
Authors: Grajczak J. , Nowroth C. , Coors T. , Twiefel J. , Wallaschek J. , Saure F. , Pape F. , Poll G. , Nothdurft S. , Hermsdorf J. , Wesling V. , Kaierle S.
Published: September 2021

The risk of weld defects increases when laser beam welding of round bars is performed in a rotational process. The reason is heat accumulation, which changes process conditions. The analysis of weld pool shape and weld defects in the course of a weld seam is essential for being able to evaluate the overall weld quality and to set up control measures. This study focuses on laser beam welding of round bars with partial welds and various welding speeds. The experiments are carried out with 1.7035 round bars of 30 mm diameter. For partial welds, a laser beam power of 6 kW and welding speed of 1 m/min are used for welding paths of 1/4, 1/2, and 3/4 of the circumference. Welding with various speeds is conducted with 0.5, 1.0, and 1.5 m/min and a constant energy per unit length of 240 kJ/m. The specimens are evaluated by metallographic microsections and scanning acoustic microscopy. The investigations reveal three major weld defects resulting from a gradient in linear welding speed between the specimen surface and the center and from heat accumulation due to specimen geometry. Porosity and hot cracks form under the surface and the weld root bulges, which also result in hot cracks. The weld depth increases to its final weld depth after approximately 1/8 of the circumference.
The portrait of neem leaves-based high performance wound healing activity on zebrafish
Authors: Athiroh Nour , Hayati Ari , Pudjiwati Istirochah , Taufiq Ahmad , Mubarakati Nurul Jadid
Published: September 2021

This study was designed to evaluate the role of sliced and dropping models of neem leaves (Azadirachta indica) and environmental factors on zebrafish wound shrinkage. This study employed two treatment models: neem leaf slices and drops model. The treatment in the neem leaf slice model was the control group (fish was injured without neem leaf slices treatment, and G1-G3 of each fish was injured at 0.3 cm + 0.5, 1, and 2 g. Treatment in the neem leaf drop model was control group (fish was injured without neem leaves drops, and G1-G3 of each fish was injured at 0.3 cm + 1, 2, 4 drops. Findings suggest that there is a significant difference between the control group by treating G1, G2, and G3 on the shrinkage of zebrafish wound area both in the neem leaf slice and drop models, but G1 was not significantly different from G2 and G3, as well as G2 and G3 both in the neem leaf slice and drop model. Neem leaves contain nutrients that play a vital role in the formation of collagen and the formation of new capillaries to help speed up the wound healing process. The healing process involves the dynamic interaction of physiological factors.