bluuebunny/crossref_metadata_2025 huggingface dataset:
L’échographe au secours du médecin d’unité: gadget ou réel outil diagnostique?
Authors: AIGLE L. , GAUBERT J. , LIMAS F. , JOURNAUX L.
Published: April 2023

Déjà bien admise dans le cadre de la médecine d’urgence, l’échographie peut trouver d’autres indications pour le
médecin militaire. Par l’étude de plusieurs cas cliniques nous proposons de faire évoluer la formation initiale du futur
médecin d’unité en axant celle-ci sur la pratique de l’échographie dans le domaine de l’urgence bien sûr, mais aussi de
la médecine du sport et de quelques pathologies médicales ciblées rapidement accessibles par cette technique. L’arrivée
prochaine du Poste Médical 2012 (PM 12) s’oriente vers une plus large diffusion des échographes pour le médecin
d’unité et elle exigera donc une formation continue adaptée sans laquelle cet outil perdrait toute sa valeur.
Pandémie grippale 2009 dans les armées : l’expérience de l’infectiologue
Authors: RAPP C. , CATREVAUX O. , FICKO C. , SABOURAUD S. , MARTIN G. , CALVO L. , VIANT E.
Published: April 2023

Au cours de l’année 2009, l’émergence, puis la diffusion rapide aux cinq continents d’une nouvelle souche épidémique
de grippe A (H1N1) pdm09 a été à l’origine de la première pandémie grippale du XXIe siècle. En france métropolitaine,
la prise en compte de cette pandémie a entraîné une réponse rapide des autorités sanitaires se traduisant par des
recommandations concernant les circuits de prise en charge, le traitement antiviral et les mesures de prévention de la
transmission. Cet article retrace l’expérience d’un infectiologue militaire exerçant dans un centre référent de maladies
infectieuses, aborde les particularités cliniques et thérapeutiques de la grippe A (H1N1) pdm09 et analyse les forces et
faiblesses de la gestion médicale de cette crise sanitaire.
Pandémie grippale 2009 dans les armées : l’expérience du biologiste.
Authors: DELAUNE D. , BIGAILLON C. , KOECK J.-L. , MERENS A.
Published: April 2023

Au printemps 2009, l’émergence d’un nouveau variant de virus influenzae de type A présentant une morbi-mortalité
apparemment élevée au Mexique a suscité la crainte d’une nouvelle pandémie grippale comparable à celle de 1918. Le
passage rapide en phase 5 puis 6 d’alerte OMS et la découverte des premiers cas en France a conduit au déploiement de
mesures sanitaires au niveau national. L’une de ses composantes était la mise en place d’un diagnostic biologique rapide
et sûr. Les laboratoires de biologie des Hôpitaux d’instruction des armées ont rapidement été intégrés au réseau de
diagnostic civil en raison de leurs infrastructures de niveau de sécurité P3 et de leurs capacités de diagnostic moléculaire.
Cette activité diagnostique a aussi été réalisée au profit des unités et des troupes projetées. La mise en place de nouvelles
techniques avec un niveau de biosécurité élevé, la formation du personnel à leur réalisation et leur validation, la gestion
de l’afflux massif d’échantillons en sus de l’activité habituelle des laboratoires ont été autant de défis à relever. Si les
chiffres de mortalité ont été moins élevés que ceux auxquels on pouvait s’attendre au cours d’une pandémie, la gestion
de cet épisode a constitué un test de réactivité des laboratoires face à une situation inattendue et a permis d’évaluer les
difficultés à surmonter en pareille situation.
Aspects médico-légaux et administratifs du suicide dans les Forces et à l’hôpital.
Authors: POUTOUT A.-H.
Published: April 2023

Le suicide est une cause de mort qui entraîne des conséquences juridiques particulières. Quelle attitude est attendue des
professionnels de santé lors de la découverte du corps et quelles précautions le médecin doit-il prendre pour renseigner
le certificat de décès ? Quel est le rôle de l'employeur dans les heures qui suivent le suicide ? Comment les médecins
doivent-ils réagir dans leurs relations avec la famille, avec le commandement et avec les autorités judiciaires ? Quelles
sont les déclarations d'accident de travail qui doivent être effectuées et quelles sont les conditions pour reconnaître le lien
au service? Quelles sont les infractions qui peuvent être reprochées à l'employeur, aux collègues de travail et aux
professionnels de santé? Quel type d'indices peut engager leur responsabilité pour le suicide ?
Les fractures de la palette humérale de l’adulte : à propos d’une série consécutive de 45 cas
Authors: BOUABID S. , BOUKHRIS J. , BENCHEBBA D. , ZADDOUG O. , CHAFRY B. , CHAGAR B.
Published: April 2023

Les auteurs rapportent 45 fractures de la palette humérale opérées au service de traumatologie-orthopédie de l’Hôpital
militaire d’instruction Mohamed V de Rabat sur une durée de six ans. L’âge moyen était de 29 ans (17-69 ans) avec une
nette prédominance masculine (77,8 %), les étiologies étaient dominées par les chutes (64,4 %). Selon la classification
de Müller et Allgöwer le type C était le plus fréquent (46,7 %). L’abord postérieur avec ostéotomie de l’olécrane était
pratiqué dans 68,9 % des cas. L’ostéosynthèse par plaque Lecestre associée au vissage ou embrochage était utilisée dans
64,4 % des cas. L’évolution était émaillée de complications observées chez sept patients (15,5 %) dont un cas de sepsis
superficiel, trois atteintes nerveuses et quatre cas de raideur du coude. Les résultats étaient évalués selon la Mayo Elbow
Performance Score, ils étaient excellents et bons dans 57,8 % des cas, moyens dans 33,3 % des cas et mauvais dans 8,9 %
des cas. Les fractures de la palette humérale sont des fractures à pronostic fonctionnel satisfaisant sous réserve d’une
restitution anatomique ad-integrum et d’une ostéosynthèse solide permettant une rééducation précoce du coude.
Le diabète dans les armées
Authors: BORDIER L. , BAUDUCEAU B. , DEFUENTES G. , MARGERY J. , DUMAS G. , PETIT-AUBERT G. , DUPUY O. , GARCIA C. , DOLZ M. , MAYAUDON H. , EULRY F.
Published: April 2023

Le diabète n’épargne pas la communauté militaire. Devant cette pathologie, le médecin militaire a un rôle difficile dans la prévention, la prise en charge mais aussi dans l’expertise. En effet, la découverte d’un diabète implique des restrictions d’aptitude du patient militaire qui sont justifiées par la gravité de cette maladie et de ses complications aiguës et chroniques et ont pour but de préserver la santé du patient et la capacité opérationnelle de nos troupes.
Conduite à tenir devant un nodule thyroïdien
Authors: GARCIA C. , BORDIER L. , MAYAUDON H.
Published: April 2023

La grande fréquence des nodules thyroïdiens, estimée entre 2 et 8 % de la population générale, amène le médecin d’unité à découvrir régulièrement ces nodules à la palpation en visite périodique, ou lors d’une imagerie cervicale prescrite pour une tout autre raison. La démarche diagnostique, centrée sur la préoccupation de ne pas méconnaître un cancer de la thyroïde, est basée sur l’interrogatoire, l’examen clinique, l’échographie cervicale, et le plus souvent, la prescription d’une cytoponction à l’aiguille fine écho-guidée, dont l’interprétation, basée sur la conférence de Bethesda de 2007 doit être précise et pertinente.
Le but de ce travail est de rapporter des données récentes dans ce domaine, de préciser la conduite à tenir devant un nodule thyroïdien au vu du texte de recommandation publié par la société française d’endocrinologie en 2011, et enfin de présenter notre point de vue dans le domaine de l’aptitude, y compris pour les nodules cancéreux.
Diagnostic et prise en charge des incidentalomes surrénaliens
Authors: DOLZ M.
Published: April 2023

L’amélioration des techniques d’imagerie et leur plus grande disponibilité a conduit à la découverte de plus en plus fréquente de masses surrénaliennes cliniquement silencieuses: les incidentalomes surrénaliens. Leur prise en charge constitue un vrai défi pour la médecine moderne, car un des principaux enjeux soulevés par la mise en évidence d’un incidentalome surrénalien est de ne pas méconnaître une pathologie grave (une tumeur hypersécrétante et/ou une tumeur maligne) tout en évitant de multiplier les examens inutiles, angoissants et coûteux. L’objectif principal de cet article et de préciser la conduite à tenir diagnostique para-clinique (radiologique et hormonale) devant un incidentalome surrénalien, démarche qui a fait l’objet des recommandations de la Société française d’endocrinologie en 2007 et sur laquelle nous nous baserons.
Abcès intracrâniens d’origine otologique chez l’adulte immunocompétent
Authors: JOUBERT C. , MORVAN J.-B. , ESNAULT P. , FAIVRE A. , VERDALLE P. , DAGAIN A.
Published: April 2023

Les abcès intracrâniens constituent la complication la plus redoutable des foyers infectieux ORL et dentaires. Si leur incidence actuelle est faible, 1,3/100 000/an, toutes causes confondues, leur pronostic demeure sombre. Les auteurs rapportent huit ans d’expérience oto-neurochirugicale diagnostique et thérapeutique des patients porteurs d’abcès cérébraux d’origine pétro mastoïdienne. La présentation clinique initiale générale et neurologique, la topographie et les signes radiologiques de la collection, la bactériologie, les données per-opératoires ainsi que l’évolution clinique post-opératoire ont été évalués. De janvier 2005 à octobre 2013, 59 patients ont été traités pour un abcès cérébral dans notre service. Dans cette série, un foyer oto-gène a été découvert pour cinq hommes et deux femmes [Sex-ratio 2,5 :1]. L’âge médian au moment du diagnostic était de 56 ans [21-76]. Tous les patients ont bénéficié d’une prise en charge neurochirurgicale et oto-chirurgicale en urgence.
La durée moyenne d’hospitalisation était de 33,7 jours [19-50 ; Écart-type = 13,4]. La durée moyenne de suivi était de 40,6 mois [2-98]. Aucun patient n’est décédé au cours du suivi. L’orientation clinique est difficile en contexte d’urgence, ce qui justifie le recours au scanner cérébral sans et avec injection au moindre doute devant l’association de signes neurologiques focaux et infectieux. La prise en charge oto-neurochirurgicale, urgente, est indispensable. Cette association de compétences améliore le pronostic.
Prise en charge actuelle du kératocône dans les armées
Authors: BONNEL S. , SENDON D. , ABRIEU M. , RAMBAUD C. , BERGUIGA M. , FROUSSART-MAILLE F. , CREPY P. , RIGAL-SASTOURNÉ J.-C.
Published: April 2023

Le kératocône est une pathologie cornéenne idiopathique caractérisée par un amincissement et une déformation conique progressive de la cornée à l’origine d’un astigmatisme irrégulier et d’une baisse progressive de l’acuité visuelle chez le sujet jeune. La réalisation d’une topographie cornéenne au moindre doute lors des visites ophtalmologiques d’incorporation et révisionnelle, permet la découverte de cette pathologie chez un nombre non négligeable de jeunes militaires. La prise en charge de cette pathologie a beaucoup évolué avec l’essor de la chirurgie cornéenne. Le développement du cross-linking du collagène (processus photo-oxydatif qui a pour objectif une rigidification de la cornée) et des anneaux intracornéen, (permettant un aplatissement du cône et une amélioration de l’acuité visuelle) a permis de retarder le recours à une greffe de cornée, synonyme d’inaptitude définitive. Toutes ces techniques évoluent très rapidement et sont un apport indéniable dans la prise en charge de nos patients militaires. Nous rapportons l’expérience du centre de chirurgie réfractive de l’Hôpital d’instruction des armées Percy qui dispose de l’ensemble de ces techniques et s’applique à rester performant dans cette pathologie afin de permettre le maintien le plus longtemps possible de l’aptitude et de l’emploi des militaires touchés.
Histoire, missions et évolution de l’Établissement central des matériels du Service de santé des armées
Authors: COLIN-BASIN A.
Published: April 2023

Subordonné à la Direction des approvisionnements en produits de santé des armées, l’Établissement central des matériels du Service de santé des armées est spécialisé dans la conception, l’aide à l’achat, le stockage, la projection et le maintien en condition opérationnelle des matériels « santé ». Il est organisé en six services techniques qui œuvrent dans cinq grands domaines d’activité : l’ingénierie, la maintenance, la logistique, la production (dotations, imprimés, dispositifs de vision) et la formation. Né des besoins générés par la Première Guerre mondiale, cet établissement a célébré son centenaire en inaugurant, le 15 octobre 2015, un nouveau bâtiment d’ingénierie biomédicale qui conforte son positionnement au cœur du soutien opérationnel des forces françaises.
Conciliation médicamenteuse à l’HIA Legouest
Authors: LEFEUVRE L. , ROUAULT M. , HUYNH V. , CARASSOU P. , REY P. , HOFMANN C.
Published: April 2023

La conciliation médicamenteuse a pour but d’assurer la continuité du traitement et prévenir l’iatrogénie médicamenteuse aux points de transition du processus de soins. À l’admission dans un établissement de santé, elle repose sur la prise en compte du traitement de ville et son intégration dans la prescription hospitalière. En sortie d’hospitalisation, elle permet de faire le bilan des modifications de traitements et de les communiquer au patient et aux professionnels de ville. Après un an de mise en œuvre au sein de l’Hôpital d’instruction des armées Legouest à Metz, un questionnaire d’évaluation du processus de conciliation a été adressé à 30 prescripteurs impliqués dans la démarche. Le taux de réponse est de 70 %, soit 88,2 % des prescripteurs seniors et 46,2 % des juniors. Les répondants ont estimé à 90,5 % que le processus de conciliation leur permet d’optimiser la prise en charge des patients et 95 % jugent qu’elle apporte une réelle plus-value pharmaceutique.
Ainsi la conciliation, par l’interception d’erreurs médicamenteuses, est une démarche performante de sécurisation de la prise en charge thérapeutique et représente une mission essentielle de pharmacie clinique avec l’opportunité pour le pharmacien d’être intégré aux équipes soignantes.
Mise en place d’une centralisation du ravitaillement sanitaire au sein du Centre médical des armées de Montlhéry
Authors: POEYTO F. , COMBLET J. , FRÉMAUX C. , HERVOUET E. , BURNAT P.
Published: April 2023

IMPLEMENTATION OF THE CENTRALIZED SUPPLY OF HEALTHCARE PRODUCTS TO THE FRENCH ARMY MEDICAL CENTER OF MONTLHÉRY

Dans le cadre du modèle SSA 2020, de la mise en place de la Direction de la médecine des forces et des centres médicaux des armées nouvelle génération, une centralisation du ravitaillement sanitaire en produits de santé au niveau des centres médicaux mérite d’être évaluée au regard des procédures déjà en place. Cette centralisation conduit à une organisation nouvelle qui a
pour but d’accroître l’efficience tout en limitant les risques associés à l’utilisation des médicaments, notamment les stupéfiants, et des autres produits de santé. La présence d’un préparateur en pharmacie dans chaque centre médical des armées nouvelle génération permet une professionnalisation de la gestion des produits de santé et favorise cette centralisation, chaque antenne médicale ne pouvant bénéficier de cette création de poste et de ce niveau de qualité. Les principaux avantages attendus sont: une qualité de gestion des produits de santé avec des retentissements financiers et organisationnels positifs, une sécurisation du circuit des médicaments et une meilleure communication avec les différentes instances du service de santé des armées en charge des produits de santé. Cette centralisation est déjà en place dans un certain nombre de centres médicaux des armées.
Cet article décrit la mise en place et l’organisation de cette centralisation sur le centre médical de Montlhéry, propose des processus adaptables et en évalue les limites dans le cadre des centres médicaux de nouvelle génération.
Multiples actions de l’Unité de distribution des produits de santé lors de l’épidémie de la maladie à virus Ebola en Guinée-Conakry
Authors: CHIANEA D. , CONTE F.
Published: April 2023

L’Unité de distribution des produits de santé déployée en Guinée-Conakry dans le cadre de l’opération « Tamarin » a assuré le soutien d’un dispositif sanitaire consacré à la prise en charge de personnels soignants atteints ou soupçonnés d’être atteints par la maladie à virus Ebola. Au cours du mandat 2B (du 9 mai au 12 juillet 2015), l’activité de cette unité ne s’est pas limitée à l’approvisionnement et au ravitaillement des unités soutenues mais s’est étendue à d’autres domaines comme la maintenance des équipements, la participation à des actions d’hygiène et de sécurité, la préparation du désengagement des moyens santé, la formalisation et la mise en œuvre de protocoles de décontamination, la constitution de dotations d’équipements de protection individuelle au profit des militaires français pré-positionnés en Afrique, et enfin la conduite d’un projet de cessions au profit de partenaires de santé locaux.
On basic invariants of some finite subgroups in SL3(C)
Authors:   V.I. Vernadsky Crimean Federal University, Rudnitskii Oleg I.
Published: April 2023

The work is devoted to the study of algebras of invariants of finite unitary groups G' = G∩SL3(C), where G is a finite unitary irreducible primitive group generated by reflections in the unitary space U3. It is known that the system of invariants of the group G' that form an algebra is obtained from the system of invariants of the group G that form the algebra by adding all semi-invariants of the group G of a special form. In the paper, generators of the algebras of invariants of all the indicated groups G' are constructed.
Higienização/esterilização de actígrafos - ActTrust v3
Authors: Vartanian Daniel
Published: April 2023

Este protocolo faz parte do processo de coleta de dados actigráficos do Grupo Interdisciplinar de Pesquisa em Ritmos Biológicos (GIPERBIO). Ele foi desenhado para os actígrafos provenientes da companhia Condor Instruments. Algumas das configurações mencionadas podem ser específicas desses aparelhos. Se este protocolo te ajudar, por favor notifique os autores ao clicar no botão WORKS FOR ME no topo deste documento. Isso faz muita diferença. Se você não é membro ou parceiro do GIPERBIO, você pode utilizar este protocolo como referência para o processamento de seus equipamentos. Neste caso, por favor, não envie os formulários mencionados neste ou em outros protocolos relacionados ao processo. Se você utilizar os protocolos do GIPERBIO em sua pesquisa, por favor considere citá-los na seção de métodos de seu estudo. Nós nos esforçamos bastante para elaborar e manter protocolos de acesso aberto à comunidade científica. Você pode encontrar a citação deste protocolo na aba METADATA. Consulte a aba GUIDELINES para visualizar o fluxograma do processo e os demais protocolos relacionados. Para dúvidas ou sugestões, crie um comentário no protocolo ou entre em contato com um dos autores. --- This protocol is part of the process for collecting actigraphy data made by the Interdisciplinary Research Group on Biological Rhythms (GIPERBIO). It was designed for Condor Instruments actigraphs. Some of the settings mentioned may be specific to these devices. If this protocol helps you, please notify the authors by clicking the WORKS FOR ME button at the top of this document.That makes a lot of difference. If you are not a member or partner of GIPERBIO, you can use this protocol as a reference for processing your equipment. In this case, please do not send the forms mentioned in this or other protocols related to the process. If you use the GIPERBIO protocols in your research, please consider citing them in the methods section of your study. We put a lot of effort into designing and maintaining open access protocols for the scientific community. You can find the citation of this protocol in the METADATA tab. Check the GUIDELINES tab to view the process flowchart and other related protocols. For questions or suggestions, create a comment on the protocol or contact one of the authors.
SPECIFICITIES OF LEARNING THE ITALIAN LANGUAGE AND CULTURE IN THE ENVIRONMENT OF NATIVE SPEAKERS
Authors:   Taras Shevchenko National University of Kyiv, Ukraine, Kuzmina Kateryna
Published: April 2023

The article touches upon the issue of integration of foreigners into another language and cultural environment on the example of Ukrainians who come to Italy for work. The theoretical basis of the article is works by Ukrainian and foreign scholars on linguistic and culture studies, psycholinguistics, psychology, methods of acquiring a foreign language, translation studies. Besides, the focus has been upon close interrelation between the knowledge of a foreign language and the ability to understand and adapt to a new culture and mentality. On the basis of the modern relevant theories the process of learning a foreign language is compared with acquisition of a native language by a child. The practical basis of the article is the author’s observations of the process of interlanguage and intercultural communication between Italians and Ukrainians in different everyday situations and the quality of acquisition of the Italian language and culture by the latter. In this research the everyday communicative situations include family and interpersonal relations, the spheres of cooking and housekeeping, the attitude to religion and work. With the help of illustrative examples from real communication the article highlights a certain similarity between Italian and Ukrainian characters and world perception, and the absence of considerable differences between the Italian and Ukrainian language systems, which facilitates a fast integration of Ukrainians into the Italian language and cultural space. Also, for illustration, we have highlighted phonetic, lexical, and grammar parallels between the Italian and Ukrainian languages. Ukrainians who have lived in Italy for quite a long time are fluent enough in the Italian language. However, if they do not approach studying of the language professionally their speech lacks grammatical correctness and vocabulary diversity. Hence, we have made conclusion that just staying in a foreign environment is not sufficient for a high-standard command of a language. For this purpose, one needs to make corresponding strong-willed efforts and to apply the language on all the levels of communication. At the end of the article we have singled out a range of issues for further research and development of the aforementioned topic.
YORGOS LANTHIMOS’ THE KILLING OF A SACRED DEER: CONTEMPORARY RECEPTION OF EURIPIDES’ IPHIGENIA IN AULIS
Authors:   Taras Shevchenko National University of Kyiv, Ukraine, Pereplotchykova Svitlana
Published: April 2023

Ancient Greek subjects preserve their relevance in our times through their timeless, profound and comprehensive consideration of the human soul and interpersonal relations, which remain unchanged throughout the centuries in accordance with human nature. Euripides’ tragedy Iphigenia in Aulis has not been exploited often by later writers and film makers who have focused mainly on the murder of the King of Mycenae, Agamemnon, and the destiny of the dynasty of the Atreidae in accordance with Aeschylus’ trilogy. Nevertheless, one of the main reasons for the murder of Agamemnon by his wife Clytemnestra is his sacrifice of their daughter Iphigenia, the story of which is told by Euripides in his tragedies Iphigenia in Aulis and Iphigenia in Tauris. In Yorgos Lanthimos’ film The Killing of a Sacred Deer (2017) the main character Steven, just like Agamemnon, is informed of the will of the gods who demand sacrifice to be given. The carefully considered reasons which led Agamemnon and Steven to face an inevitable choice highlight their common character features, with hubris the decisive one among them. Comparison of the texts under analysis shows that acceptance of the inevitability of the situation by the families of the main characters develops through the classical stages from denial to understanding that nothing else depends on them. And while in Euripides’ tragedy the plot device of a “deus ex machina” is exploited, as the gods are satisfied with the acceptance of the inevitability of sacrifice, in the film one of the members of the family actually dies in order for order to be restored, because a murder presupposes atonement through the blood of another. This reception of Euripides’ tragedy is of particular interest because Yorgos Lanthimos is Greek by origin who at a certain moment of his career decided to move away from his native Greek space and start creating films for a more general Western audience. This paper analyses how, in this post-modernist multimodal film text expressive means from Ancient Greek theatre are combined with elements of modern cinema.
NEO-GRICEAN APPROACHES IN PRAGMATICS TO THE STUDY OF VERBAL HUMOR: THEORETICAL AND EMPIRICAL SYNTHESIS
Authors:   Taras Shevchenko National University of Kyiv, Ukraine, Polishchuk Anna
Published: April 2023

Among modern cognitive approaches to uncovering the mechanism of humor generation, the most famous are the Semantic Script Theory of Humor and its improved version – the General Theory of Verbal Humor, which are united under the umbrella of frame/script incongruity inherent in humor. This study is devoted to one of the most discussed pragmatic approaches, which is a part of the General Theory of Verbal Humor, the so-called neo-Gricean theory of Raskin and Attardo. It consists in the fact that jokes, as well as other comic forms, constitute a non-bona-fide mode of communication, which is opposed to the Gricean model and accordingly, it is guided by the humour cooperative principle. On the basis of the analysis of these authors conception (Attardo & Raskin 1994; Attardo 1993, 2003, 2017, etc.) on non-observance of cooperative maxims in a humorous message a zone of productive criticism was highlighted, namely: insufficient distinction between the concepts of 'violation' vs 'flout' of maxims (Dynel 2008, 2013); lack of proper interest in the social context and emotional background of communication, presupposed by Relevance Theory and Politeness Theory, and, accordingly, the communicative norms are limited only by the cooperative principle of Grice; the lack of criteria for intentional violation of communicative maxims, necessary for the identification of humorous implicatures. The comic effect is more likely to be recognised, if, in the course of interpretation, the addressee discovers a repeated maxim flouting, as well as possible ignoring of other norms. Therefore, it is proposed to include to the generally accepted list of Grice's maxims Leach's principle of politeness, which is mostly focused not on the substantive aspect of communication, but on the social one: the speaker's attitude towards third parties in a status-role hierarchy. The obtained results of the theoretical exploration are integrated into an improved model of humor interpretation and illustrated by a intent-analysis of a verbal joke.
Photogallery. Follicular occlusion syndrome
Authors: Teplyuk Natalia P. , Pirogova Anna S. , Svistunova Daria A.
Published: April 2023

Hidradenitis suppurativa, dissecting cellulitis of the scalp, acne conglobata and pilonidal sinus ― are four diseases united by similar clinical findings and common mechanisms of pathogenesis. These conditions often coexist. The primer pathogenetic event is stratum corneum thickening and keratin plugging of the hair follicle ductal isthmus. The discovery of this mechanism led to association of all the diseases with the term "follicular occlusion syndrome". If three nosologies are detected follicular occlusion triad is diagnosed, if four are present ― follicular occlusion tetrad.
We present a photogallery on this problem.
Leser–Trelat sign in cosmetologist’s practice
Authors: Romashkina Anastasia S. , Snarskaya Elena S. , Shpak Anna M.
Published: April 2023

LeserTrelat syndrome (eruptive seborrheic keratosis) is an unusial paraneoplastic dermatosis characterized by sudden appearance of seborrheic keratomas on the skin and a progressive increase of their number. This condition was first described in 1901 by the German surgeon E. Leser and the French surgeon U. Trelat. It occurs with the same frequency in both men and women aged 40+. The etiology and pathogenesis have not been studied in detail, however, there is evidence that the development of the syndrome may be associated with stimulation of the epidermal growth factor, which leads to stimulation of keratinocytes. The manifestation of the syndrome is usually start at the same time with cancer development, mostly it can be combained with adenocarcinoma of the gastrointestinal tract (47.7%), with intestinal carcinoma (32%), with lymphoproliferative diseases (21%), less often with malignant neoplasms of the lungs, breast, prostate.
The clinical picture of the LeserTrelat sign is characterized by the sudden appearance оf seborrheic keratomas, which have typical clinical and histological signs. The most typical localization of seborrheic keratosis are back and chest (76%), limbs (18%), face (21%), abdomen (15%), neck (13%), armpits (6%), inguinal folds (3%). Keratosis can appear rapidly, over several months or even weeks. The rapid appearance of multiple seborheic keratomas may precede or develop with the oncological process in the internal organs.
Treatment is carried out at the same time with the establishment and treatment of the underlying disease and consists in removing the largest keratomas by destructive methods (surgical excision, radiowave method, cryodestruction, electrocoagulation).
The prognosis is favorable if paraneoplastic process was early detected.
The article describes clinical cases of multiple seborrheic keratosis and the tactics of examining this group of patients.
Disease burden and physical activity in patients with chronic spontaneous urticaria
Authors: Popova Christina Y. , Zaborova Viktoriya A. , Kurshev Vladislav V. , Kovalkova Elena V. , Serdoteckova Sofya A. , Fomina Daria S. , Borzova Elena Y.
Published: April 2023

BACKGROUND: Сhronic spontaneous urticaria is a disease characterized by itchy wheals and/or angioedema on the skin over a period of 6 weeks or longer. Сhronic spontaneous urticaria is characterized by a significant disease burden for patients, their families, healthcare system and a society. Some aspects of сhronic spontaneous urticaria burden. Including the disease impact on physical activity and sport engagement, have not been well characterized.
AIM: to evaluate the сhronic spontaneous urticaria impact on patients quality of life and physical activity of patients, and to assess the correlation between the level of physical activity and a UCT control/severity.
MATERIALS AND METHODS: The study included 31 сhronic spontaneous urticaria patients, who underwent history taking and a survey using international questionnaires: UAS7 (Urticaria Activity Score for 7 days), UCT (Urticaria Control Test), DLQI (Dermatology Life Quality Index) и GPAQ (Global Physical Activity Questionnaire) developed by the World Health Organization (WHO).
RESULTS: According to the GPAQ results, the physical activity level below that recommended by WHO was noted in five (16.1%) patients (MET-minutes/week 600). The moderate level of physical activity was reported in 17 (54.8%) patients, and the high level ― 9 (29%). Median sedentary time in сhronic spontaneous urticaria patients was 420 [300480] min/day, that exceeds the WHO recommendations. The DLQI assessment suggests that 16 (51.6%) сhronic spontaneous urticaria patients had difficulties in their sport activities. Four (12.9%) patients had very strong impact of сhronic spontaneous urticaria on their sport activities. Noteworthy, five patients had to stop their regular physical activity because of сhronic spontaneous urticaria severity. Based on the UCT data, uncontrolled сhronic spontaneous urticaria was reported in 23 of 31 (74.2%) patients, who also had a significantly lower quality of life compared to those with a well-controlled disease.
CONCLUSIONS: Сhronic spontaneous urticaria may negatively affect patients quality of life, including their physical activity. A sedentary lifestyle (below the WHO recommendations) was noted in 16.1% patients. In further studies, the optimized recommendations for physical activity in сhronic spontaneous urticaria patients should consider their disease control/severity, their fitness level and patients preferences.
Kassym-Jomart Tokayev’s St. Petersburg speech: conditions, content and consequences from the point of view of relations in the Triangle Russia–Kazakhstan–China
Authors: Klonowski Michał , Słowikowski Michał
Published: April 2023

The aim of the article is to answer the question of how relations between Kazakhstan and the two key superpowers – Russia and China – involved in the policy of the Central Asian region have changed in the light of Russian aggression against Ukraine. The starting point for the discussion on the complex relations in the Russia-Kazakhstan-China triangle is the speech of Kassym-Jomart Tokayev at the International Economic Forum in St. Petersburg in June 2022. It triggered an avalanche of comments indicating that Kazakhstan, in the conditions of the Russian-Ukrainian war, fears of sanctions from the West and concern for stable socio-economic development driven by revenues from the sale of natural resources, is not ready to support Russia in its confrontation with the West. On the other hand, it intends to follow the Chinese path, seeing Beijing as an influential patron who will stop Moscow from aggressive actions against Kazakhstan. The theoretical basis of the article is the concept of omni-enmeshment. In the literature on the subject, it is assumed that its implementation provided Kazakhstan with stability, security and continuity of the existence of the political regime associated with the person of Nursultan Nazarbayev. The authors assume that this concept could have been realized as long as the powers involved in the region maintained a balance in mutual relations. The war with Ukraine and the confrontation with the West caused Russia to deliberately destroy the Kazakh model of international order in the region. It may take aggressive actions against Kazakhstan because it has not sufficiently taken care of the infrastructural security of its energy links with the West. For many years, Kazakhstan has avoided clientelist obligations towards one of the superpowers, but facing Russia's actions, it is clearly inclined to seek protection from China, which is ready to accept the burden of responsibility for the security of the region, in the interest of the security and success of the Belt and Road Initiative.
Settlements with history. Social perceptions of the communist past from the perspective of Poland and Russia
Authors: Kirwiel Eleonora
Published: April 2023

The article, based on public opinion polls presenting the assessment of the communist era, will present the similarities and differences in the perception of this period by the societies of the Republic of Poland and the Russian Federation, and analyze the reasons for such attitudes.The position of Polish and Russian respondents in relation to the communist times in their historical past has converging points: polarization of attitudes in assessment, dependence of the division in opinions in terms of age, education, social position, place of residence and political orientation.However, the criticism of Poles towards the times of the People's Republic of Poland is visible in the context of such factors as the attitude to communist ideology, the process of legitimizing power and its actual source, and in relation to democracy.Russians recall the times of the USSR with much greater nostalgia and blame the then rulers for the collapse of the great empire, called by many "the real homeland".
Functions of the President of the Republic of Poland in relation to political practice
Authors: Jagielski Tomasz
Published: April 2023

The main purpose of the article is to present the functions of the Polish President in terms of political practice. The aim of the work, formulated in this way, goes beyond formal legal concepts and, at the same, time points to the practical dimensions of the functions performed by the head of state in the Polish political system. The basic research hypothesis is the assumption that the Polish President, by virtue of his prerogatives, has the opportunity to act as an active player on the Polish political scene. Discussions on the functions of the Head of State in relation to political practice began with the analysis of the position of the Polish President. This section describes the process of constitutional development of the Office. The President’s duties were then discussed, with particular reference to their practical dimension. The various strands of the study led to the conclusion that the position of the Polish President makes him an important political centre for the implementation of the current policies of the state.
3D-printed gradient scaffolds for osteochondral defects: Current status and perspectives
Authors: Du Jianhang , Zhu Ziqing , Liu Jia , Bao Xiaogang , Wang Qian , Shi Changgui , Zhao Chaoqian , Xu Guohua , Li Dejian
Published: April 2023

Articular osteochondral defects are quite common in clinical practice, and tissue engineering techniques can offer a promising therapeutic option to address this issue.The articular osteochondral unit comprises hyaline cartilage, calcified cartilage zone (CCZ), and subchondral bone.As the interface layer of articular cartilage and bone, the CCZ plays an essentialpart in stress transmission and microenvironmental regulation.Osteochondral scaffolds with the interface structure for defect repair are the future direction of tissue engineering. Three-dimensional (3D) printing has the advantages of speed, precision, and personalized customization, which can satisfy the requirements of irregular geometry, differentiated composition, and multilayered structure of articular osteochondral scaffolds with boundary layer structure. This paper summarizes the anatomy, physiology, pathology, and restoration mechanisms of the articular osteochondral unit, and reviews the necessity for a boundary layer structure in osteochondral tissue engineering scaffolds and the strategy for constructing the scaffolds using 3D printing. In the future, we should not only strengthen the basic research on osteochondral structural units, but also actively explore the application of 3D printing technology in osteochondral tissue engineering. This will enable better functional and structural bionics of the scaffold, which ultimately improve the repair of osteochondral defects caused by various diseases.
Feasibility of 3D-printed middle ear prostheses in partial ossicular chain reconstruction
Authors: Heikkinen Anssi-Kalle , Lähde Sini , Rissanen Valtteri , Salmi Mika , A. Aarnisalo Antti , Mäkitie Antti , Sivonen Ville , T. Sinkkonen Saku
Published: April 2023

Despite advances in prosthesis materials, operating microscopes and surgical techniques during the last 50 years, long-lasting hearing improvement remains a challenge in ossicular chain reconstruction. Failures in the reconstruction are mainly due to inadequate length or shape of the prosthesis, or defects in the surgical procedure. 3D-printed middle ear prosthesis might offer a solution to individualize treatment and obtain better results. The aim of the study was to study the possibilities and limitations of 3D-printed middle ear prostheses. Design of the 3D-printed prosthesis was inspired by a commercial titanium partial ossicular replacement prosthesis. 3D models of different lengths (1.5–3.0 mm) were created with Solidworks 2019–2021 software. The prostheses were 3D-printed with vat photopolymerization using liquid photopolymer Clear V4. Accuracy and reproducibility of 3D printing were evaluated with micro-CT imaging. The acoustical performance of the prostheses was determined in cadaver temporal bones with laser Doppler vibrometry. In this paper, we present an outline of individualized middle ear prosthesis manufacturing. 3D printing accuracy was excellent when comparing dimensions of the 3D-printed prostheses and their 3D models. Reproducibility of 3D printing was good if the diameter of the prosthesis shaft was 0.6 mm. 3D-printed partial ossicular replacement prostheses were easy to manipulate during surgery even though they were a bit stiffer and less flexible than conventional titanium prostheses. Their acoustical performance was similar to that of a commercial titanium partial ossicular replacement prosthesis. It is possible to 3D print functional individualized middle ear prostheses made of liquid photopolymer with good accuracy and reproducibility. These prostheses are currently suitable for otosurgical training. Further research is needed to explore their usability in a clinical setting. In the future, 3D printing of individualized middle ear prostheses may provide better audiological outcomes for patients.
DEVELOPMENT OF INFORMATIONAL TEXT DESIGN CAPACITY AND READING COMPREHENSION QUESTIONS FOR TEACHER OF GRADE 5
Authors: Nguyen Thu Phuong
Published: April 2023

In the context of Vietnam's education reforming rapidly today, the demand for improving the quality of teachers is also increasing. One of the weak teaching competencies of Vietnamese teachers is the ability to design lessons, especially completely new lessons that are not in textbooks. The 2018 Philology Curriculum of Vietnam sets higher requirements for primary pupils' reading comprehension of informational texts. Therefore, it is necessary to develop the capacity to design informational texts and comprehension questions for primary school teachers. This study uses research methods such as analysis and compilation of materials, inspection, surveys in practice, and pedagogical experiments. The main content of the article presents research results on the characteristics and format of informational texts, types of reading comprehension questions, methods and principles for designing informational texts, and reading comprehension questions.
BEHAVING WITH NATURE – ECO-ETHICAL NUCLEUS IN THE SHORT STORY COLLECTION THE SOUND OF GUIMBARDE BEHIND THE STONE FENCE BY DO BICH THUY
Authors: Nguyen Thu Hang
Published: April 2023

As the environment continues to deteriorate, people gradually realize the significance of re-realizing their place in nature. In the collection of stories, The sound of guimbarde behind the stone fence, Do Bich Thuy expressed her concern about climate change and the fate of people in those changes. The core of ecoethical thought in this collection of stories is a change in perception of nature, awareness of the human's position in the heart of nature as nature is also a part of human life, the memories of the homeland and the root from which to call people back to stay in harmony with nature. At the same time, Do Bich Thuy directly addressed some pressing issues such as the misuse and appropriation of nature, and urged people to penetrate, comprehend, and treat nature fairly in order to coexist with it.
ADVANTAGES OF FLIPPED CLASSROOM MODEL – FROM THE PERSPECTIVE OF ACTIVE LEARNING THEORY
Authors: Tieu Thi My Hong
Published: April 2023

While the knowledge of humankind is increasing considerably, people’s time for learning is limited. Therefore, active learning is an issue to consider in the context of 21st century, especially in Asian countries. The flipped classroom is the model which has been used recently, especially after the pandemic COVID-19. The model adapted from the active learning theory has been discovered with quite a lot of advantages. With the methods of consulting materials of prestigious works in international journals and personal experience, this study is going to clarify several issues of active learning theory, flipped classroom model associated with this theory. As a result, a few advantages of the flipped classrooms can be seen: learners self control their learning activities, increasing their own opportunities of learning; learners are the center, interactive activities are focused on; learners are responsible and independent, developing high level thinking.
RESULTS OF DEVELOPING LISTENING AND SPEAKING SKILLS FOR CHILDREN WITH HEARING IMPAIRMENT AGED 3-6 YEARS IN INCLUSIVE KINDERGARTEN CLASSES
Authors: Nguyen Minh Phuong
Published: April 2023

This article analyzed results of experimenting of 3 groups of measures with 8 specific measures for the development of listening and speaking skills for children with hearing impairment aged 3-6 years in kindergarten-based daily routines include: (1) Group of conditional measures; (2) Group of measures for the development of listening and speaking skills in kindergarten-based daily routines; (3) Group of measures for the development of listening and speaking skills through individualized support. The experiment was conducted on 3 children with hearing impairment who use sensory devices, aged 3-6 years, and attend inclusive kindergartens. The experimental results analyzed both qualitatively and quantitatively showed that the listening and speaking skills in all 3 cases have significantly improved, although there are differences in level. The development of the 3 case studies on listening and speaking skills proves the feasibility and effectiveness of the measures on the experimental subjects and also shows that the development of listening and speaking skills for children with hearing impairment is influenced by many factors, of which there are three most significant factors including: (1) sensory devices that they wear; (2) hearing age (the period the children wear a sensory device counted from the time they start wearing it); (3) early intervention.
AFFECTS OF DOMESTIC VIOLENCE ON CHILDREN’S DEVELOPMENT
Authors: Nguyen Thi Tham , Nguyen Hien Minh , Nguyen Thu Ha
Published: April 2023

Domestic violence has affected many children, including those who are direct victims and who live in abusive households. Through the survey of 150 secondary school children aged 10-15 in An Vu, Quynh Phu, Thai Binh, there are 56\150 children, accounting for 37.3%, have been affected, especially problems about physical health, psycho-emotional health, learning and social behavior. Results have also shown that domestic violence has the greatest impact on learning with X= 3.89 (girls) and X= 4.43 (boys). The results of this research have contributed to supporting social workers, teachers, families and schools in coming up with solutions which reduce the impact of domestic violence on children, providing them a better future.
BUILDING CRITERIAS FOR ASSESSING OF BLENDED LEARNING AT UNIVERSITIES IN VIETNAM
Authors: Vu Thi Mai Huong , Nguyen Tuyet Mai
Published: April 2023

Blended Learning is the integration of traditional face-to-face learning and distance learning (E-learning). Throughout Blended Learning, instructors will give some clear parts of instructions on a part of their lesson, students will do online work without the lecturers for the rest. Students are likely to become active and understand new concepts more easily than passively acquire knowledge in traditional classrooms. Higher education institutions have a large number of suitable characteristics to deploy Blended Learning, such as the understanding of learners in information and technology, high-quality professors, and easy access to technology. The characteristics of economic science subjects are sociality, advisable communication, reading documents, videos, multiple choices, and analysis question(s). Moreover, the features of majors in higher education are more highly appreciated with Blended learning. Blended Learning makes these majors more effective in learning and teaching. These days, although E-learning develops drastically, with some problems with the insight of Vietnam’s educational condition, reverse classes have proved the corresponding in building a great environment that helps this method to be dominant. This study comes up with building integration of evaluation teaching scale at higher education institutions in Vietnam, according to the example of Blended Learning, in response to the process of teaching. This scale with criterias about Blended learning set the targets to evaluate the effectiveness and the ability of far-reaching of this teaching method at higher education institutions in Vietnam. This scale is tested and checked for reliability to be applied in the next research.