bluuebunny/crossref_metadata_2025 huggingface dataset:
The right to leisure and the city. The experience of a social tourism project in Brazil
Authors:   Federal Fluminense University (Brasil), Cheibub Bernardo Lazary , Guimarães Flávia Barros ,   Federal Fluminense University (Brasil), Costa Mariane Giselle da ,   Federal Fluminense University (Brasil)
Published: January 2022

An extension project has provided tourist experiences for students/staff of Fluminense Federal University who have some limitations. This article is the result of an investigation of how the tours influenced the daily life of the people who participated. It is an exploratory qualitative study based on semi-structured interviews with the tourists who visited some tourist spots. The relevance of the study is its demonstration that access to touristic leisure can bring physical, psychic and emotional benefits, such as different perception of places visited previously, change of habits, and possibility of experiencing contemplative moments to escape from everyday problems. The results show that access to the different tourist attractions and cultural facilities brought different contributions and perspectives. Subjects to the stress of the academic routine, the practice of touristic leisure helps them to ameliorate emotional/physical exhaustion and the sense of belonging, in relation to the university and the places visited.
"La cartografía social como herramienta de investigación participativa del territorio. Diagnosis de paisajes ancestrales en comunidades indígenas de la Amazonia ecuatoriana"
Authors:   Universidad Técnica Particular de Loja (Ecuador), Carrión Paulo , Pérez Albert María Yolanda ,   Universitat Rovira i Virgili (España)
Published: January 2022

The analysis of the landscape and its characterization is usually carried out from quantitative perspectives, that is, its value as established in relation to its physical characteristics and the potential use of its resources. However, misguided diagnoses and the application of ineffective management strategies question these methodologies and reveal the need to generate new epistemologies and qualitative research methods for the subject -place relationship. The objective is to analyze the potential of social cartography as a participatory action research tool (IAP) to represent and characterize ancestral landscapes of the Ecuadorian Amazon. To this effect, the community narratives with respect to place have been used to register elements in their symbolic and cultural values. It is concluded that social cartography is a fundamental strategy of sovereignty and a political instrument to offer a true perspective of the community sense of place from within and without.
Cooperativismo como una herramienta para el turismo de base comunitaria. La respuesta desde la literatura
Authors:   Universidad Autonoma del Estado (México), Mata Arratia Eduardo , Palmas Castrejón Yanelli Daniela ,   Universidad Autonoma del Estado (México), Jiménez Ruíz Andrea Edurne ,   Universidad Autonoma del Estado (México), Serrano Barquín Rocío del Carmen ,   Universidad Autonoma del Estado (México)
Published: January 2022

This article deals with local development as seen in the specialist bibliography and its links with tourism as an adherent benefit. Lack of a clear clear development process, it has been found brings unsustainable growth. In addition to this, the development of the rural sector has converged with the emancipation of communities seeking new ways to improve their quality of life, one of which is community tourism. Therefore, the objective was to chart the state of the art of community tourism, local development and cooperativism over time to see how these three concepts have evolved, using a holistic analysis of 137 scientific articles in Spanish. The main results of the study were that cooperative organisations in tourism can lead to achieving sustainable development. Therefore, community tourism should consider cooperativism as a key factor for local development, since it promotes community integration, governance and empowerment of the territory
Mechanism of Interinstitutional Cooperation in the Framework of the Ordinary Legislative Procedure According to the EU Law
Authors: Mazaeva N. N. , Astapenko I. V.
Published: January 2022

The article is devoted to the issue of the interaction of key institutions in the European Union in the process of adopting acts within the framework of the usual legislative procedure. The authors provide the analysis of the process of the ordinary legislative procedure on the basis of the norms of the primary and secondary law of the EU, as well as the decision making practice of the Parliament and the Council of the EU. It has been revealed that throughout the legislative procedure there is an active interaction of the Parliament, the Council and the EU Commission in order to develop and adopt the compromise text of an act. This interaction is most active in the form of informal trilateral consultations, the mechanism of which is not formally enshrined in the EU Constituent Treaties. A significant role in their implementation is assigned to the Commission, which in general, throughout the ordinary legislative procedure, acts as a kind of mediator in the interaction of the Parliament with the Council. In most cases the mechanism of tripartite consultations allows the adoption of a legislative act already in the first reading without the second and third readings. At the same time, the established practice of interinstitutional interaction within the framework of the usual legislative procedure increases the duration of consideration and adoption of draft acts.
The Washington Agreement: A Supplementary document to the EU effort in Kosovo?
Authors: Semenov Andrej
Published: January 2022

This paper analyses the Washington Agreement (WA) in the context of European Union (EU) efforts to facilitate the dialogue between Kosovo and Serbia. The starting point is based on the idea that EU-led negotiations seek consensus between leadership in Belgrade and Pristina, as opposed to unilateral or imposed solutions. The central question is as follows: is the WA a supplementary document to the Brussels process? While certain points of the agreement are a mere repetition of previous agreements signed by the two parties, the agreement commits Kosovo to the mini-Schengen and brings a novelty into the dynamics of the Belgrade-Pristina relationship, such as in the case of the joint management of Gazivode/Ujmani lake. With a new Kosovar government, the mini-Schengen point, together with the point of Kosovo and Serbia’s pledge to open/move embassies to Jerusalem, remains the most contested part of the Agreement. Finally, the two sides have reaffirmed their commitment to Western values and agree to become less dependent on Russia’s energy and China’s technology supplies.
AK-TEKKE IN KARAMAN: TO THE QUESTION OF THE ORIGIN OF THE COMPOSITION
Authors: Кононенко Е.И.
Published: January 2022

Ак-текке (1370) - мемориальный комплекс в Ларенде, столице княжества Караман, на протяжении XIV в. являвшегося главным политическим конкурентом Османов в Анатолии. Композиция центрально-купольной мечети Ак-текке схожа со многими раннеосманскими памятниками, резко выделяясь в общей массе предельно консервативных караманидских культовых построек, однако ее конструктивные достижения намного превосходят возможности мастеров, возводивших синхронные османские сооружения. Отдельные элементы композиции зала Ак-текке заставляют вспомнить позднесельджукские купольные медресе XIII в. и способы расширения пространства в мечетях северо-анатолийских бейликов XIV в. Эта малоизвестная постройка, генетически связанная с архитектурой Конийского султаната, отражает поиски оптимальной композиции мечети анатолийскими зодчими и не могла остаться в стороне от внимания османских архитекторов, особенно учитывая прямой османский архитектурный патронат в Ларенде. Вопрос о происхождении композиции Ак-текке включает выяснение ее места в истории архитектуры Карамана, выявление связи с предшествующей сельджукской и синхронной османской традициями.

Ak-tekke (1370) is a memorial complex in Larend, the capital of the principality of Karaman, which was the main political competitor of the Ottoman state in Anatolia throughout the 14th century. The composition of the central-domed mosque Ak-tekke is similar to many Early Ottoman monuments, standing out sharply in the total mass of extremely conservative Karamanid religious buildings, but its constructive achievements far exceed the capabilities of masters who built synchronous Ottoman buildings. Some elements of the composition of the hall of Ak-tekke are reminiscent of the late Seljuk domed madrasah of the 13th century and the ways of expanding space in the mosques of the North Anatolian beyliks of the 14th century. This little-known construction, genetically related to the architecture of the Rum Sultanate, reflects the search for the optimal composition of the mosque by Anatolian architects and could not stay away from the attention of Ottoman architects, especially considering the direct Ottoman architectural patronage in Larend. The question of the origin of the composition of Ak-tekke includes elucidating its place in the history of Karaman architecture, revealing the connection with the preceeding Seljuk and synchronous Ottoman traditions.
BRIDGES OF JAPAN: BETWEEN ARCHITECTURE AND POETRY
Authors: Коновалова Н.А.
Published: January 2022

Разные по видам и типам мосты играли в культуре Японии значительную роль, далеко выходящую за рамки их прямого функционального предназначения. Средневековые мосты отличались уникальной техникой строительства и неординарными конструктивными решениями. В Японии представлены почти все известные типы мостов: цепные и арочные, понтонные и лодочные, вантовые и разводные, деревянные, каменные и металлические. В статье рассмотрены и проанализированы разные по типу и функциям мосты в широких хронологических рамках - с древности до середины ХХ века. Основной акцент сделан на выявлении особенностей их смысловых характеристик. Проведенный в статье анализ мостов расширяет границы их содержания как художественного произведения и выявляет, наряду с конструктивными, эстетические, психологические и социальные аспекты, содержащиеся в значении и символике мостов Японии.
Beijing Traditional Courtyard: problem of renovation
Authors: Шевченко М.Ю.
Published: January 2022

До конца 40-х годов ХХ века Пекин почти в неизменном виде сохранял свою историческую структуру. Однако со второй половины ХХ века в городе начинается процесс глобальных структурных изменений, который оказался весьма разрушительным для исторического облика столицы. К началу XXI века от старых кварталов уцелела лишь незначительная часть. В последнее время появляется все больше проектов по сохранению и реновации традиционных жилых дворов Пекина - сыхэюаней. Реновация затрагивает как их пространственное решение, так и изменение их функций. Она может следовать логике исторического построения, а может строиться на резком контрасте современного и традиционного. Некоторые проекты предлагают переосмысливать не отдельные жилые дворы, а исторические кварталы в целом, меняя их общую структуру. Пока что процесс носит достаточно хаотичный характер. Тем не менее этот феномен активно проявляет себя уже на протяжении последних десяти лет, что позволяет проследить некоторые тенденции в его развитии.

Until the late 40-ies of the 20century Beijing almost unchanged preserved its historical structure. However, from the second half of the 20century in the city begins the process of global structural changes, which turned out to be very destructive for the historical appearance of the capital. By the beginning of the 21 century from the old quarters only a small part survived. Recently, there is growing project to preserve and renovate traditional residential courtyards of Beijing, called siheyuan. Renovation affects both their spatial structure and the change in their functions. It can follow the logic of historical construction, and can be built on a sharp contrast between modern and traditional. Some projects suggest not re-thinking individual residential yards, but historical quarters in general, changing their overall structure. While this process is quite chaotic, nevertheless, this phenomenon actively manifests itself over the past 10 years, which allows us to trace some trends in its development.
COMPOSITION OF THE PARTHENON IN RELATION TO THE TEMPLE OF ZEUS IN OLYMPIA: PROPORTIONAL OBSERVATIONS
Authors: Бондаренко И.А.
Published: January 2022

Рассмотрение храма Зевса в Олимпии в качестве образца для Парфенона позволяет установить общность и отличительные особенности построения этих двух ключевых храмов классической Греции. Автор обнаруживает в Парфеноне ряд простых модульных размерностей, соответствующих кратному числу древнегреческих мер длины, а также величинам важнейших частей храма Зевса в Олимпии. Это приводит его к выводу о том, что архитекторы исходили из задачи скомбинировать в новом сооружении предустановленные значения некоторых отрезков длины, ширины и высоты, добиваясь при этом своим искусством ощущения сбалансированности и выразительности целого. Этот вывод существенно расходится с преобладающими сегодня, но недостаточно обоснованными представлениями о том, что такие выдающиеся произведения античной архитектуры, как Парфенон, были проникнуты насквозь изощренными пропорциональными закономерностями, во главе с так называемым «золотым сечением».

Considering the temple of Zeus in Olympia as a model for the Parthenon allows us to establish the common and distinctive features of these two key temples of the Classical Greece. The author discovers in the Parthenon a number of simple modular proportions corresponded to the Ancient Greek measures of length, as well as to the dimensions of the most important components of the Temple of Zeus in Olympia. This leads to the conclusion that the architects proceeded from the task of combining in the new building the predetermined values of some segments of length, width and height, while at the same time achieving a sense of balance and expressiveness of the whole. This conclusion is significantly at variance with the prevailing but insufficiently substantiated idea that such outstanding works of ancient architecture as the Parthenon were imbued with sophisticated proportional laws, such as the so-called "golden section".
THE CHURCH OF MARYAM DEBRA-TSION IN THE HISTORY OF ETHIOPIAN ROCK-HEWN ARCHITECTURE
Authors: Клюев С.А.
Published: January 2022

Скальная церковь Марьям Дебре Цион в районе Геральта региона Тыграй - это просторный светлый храм с высокими сводами, сохранивший красочные росписи двух периодов (последней трети XIV и середины XV в.). Памятник примечателен по ряду признаков. Храм отделен от скального массива с юга, запада и востока широким туннелем обходной галереи. Северный фасад, декорированный имитацией аксумской кладки, является частью скального склона. Этот трехалтарный храм принадлежит к позднесредневековому «открытому типу», где зона макдаса (алтарная часть) не отделена от кеддеста (наоса) стеной. В этой церкви, помимо богатых росписей, выполнен выразительный резной декор - нетипично многочисленные арочные ниши, размещенные в три ряда одна над другой как в зоне макдаса, так и на северной и южной стенах. Подобный декор известен лишь в двух эфиопских храмах. В статье рассматриваются вопросы генезиса плана храма Марьям Дебре Цион, проблема происхождения нетипичного декора интерьера памятника. Другой целью работы является попытка проследить влияние форм этого, во многом «новаторского» для скального зодчества Тыграй храма на ряд других скальных церквей региона.

The rock-hewn church of Maryam Debra Tsion is located in the Garalta rocks in the Tigray region (Ethiopia). It is a well-lit church, with high arches, where there are preserved colorful paintings in two cycles (the last third of the XIVand middle of the XV centuries). The monument is remarkable for a number of features. The church is separated from the main-rock by a tunnel of ambulatory from the south, west and east sides. The northern facade, decorated with imitation Aksumite masonry, is part of the scarp of the rock. This three-altar church belongs to the late medieval "open type", where the maqdas (sanctuary) is not separated from the qeddest by a wall. In addition to the rich murals, this church has an expressive carved decoration - numerous arched niches atypically placed in three rows, both in the Maqdas and on the north and south walls. This type of decoration is known only in two Ethiopian churches. The article deals with the genesis of the plan of the church of Maryam Debra Tsion and the problem of the origin of the atypical decoration of the interior of this monument. Another goal of the work is to detect the influence of the forms of this, in many aspects “innovative” church, on a number of other rock-hewn churches of the Tigray region.
THE SUBSTITUTION OF SHRINES": SOME ASPECTS OF THE ARCHITECTURAL OTTOMANIZATION OF CONSTANTINOPLE IN THE 15-16 CENTURIES
Authors: Кононенко Е.И.
Published: January 2022

После завоевания Константинополя перед османами встала задача визуального маркирования своей победы в пространстве древнего города. Инструментом такой индикации явилось возведение султанских мемориальных комплексов (куллие) и триумфальных улу-джами (версией которых стала «большая османская мечеть») на месте наиболее значимых объектов в сакральной топографии Второго Рима, расположение которых в свою очередь было продиктовано рельефом местности. Последовательное появление новых доминант городской застройки зафиксировано на европейских гравюрах. Протянувшаяся по вершинам стамбульских холмов цепочка огромных куполов, фланкированных минаретами, не только создала новую панораму города, но повторила направление Месы - одной из главных магистралей византийской столицы. «Замещение святынь» при сохранении существовавшей сакральной топографии позволяет уточнить и расширить ряд замечаний О. Грабара, высказанных применительно к раннеисламскому материалу.
Overview of Inception and Viability of Genetic Amniocentesis
Authors:   MS Microbiology, University of Central Punjab, Pakistan, S Sohail , R Riaz ,   MBBS, Allama Iqbal Medical College, Pakistan, A Majid ,   MBBS, Allama Iqbal Medical College, Pakistan, M Ali ,   MS Biotechnology, University of Central Punjab,Pakistan, F Sohail ,   BS Microbiology, Government College University,Pakistan, S Saadat ,   MBBS, Allama Iqbal Medical College, Pakistan, H Rana ,   MBBS, Allama Iqbal Medical College, Pakistan, U Hassan ,   MBBS, King Edward Medical University, Pakistan
Published: January 2022

Clinical procedures that took both time and effort in terms of prior diagnosis are being aided by technology and significant advancements in recognizing and predicting outcomes long before they actually take place. The aim of prenatal diagnosis is to detect fetal structural and genetic abnormalities. That is why it is possible to talk in the unborn fetus about preventing and detecting inherited and congenital illnesses. The most comprehensive and intrinsic makeup shared by all and therefore a vital subject to comparative analysis even before birth is the unmistakable nucleotide sequence that directs all physical and chemical changes. Amniocentesis involves taking out a small sample of amniotic fluid from the sac surrounding the fetus and analysis of its composition, so in essence genetic amniocentesis refers to examination of genetic abnormalities that might be prevalent in the developing fetus This permits taking decisions concerning about the progress of pregnancy to be made before viability. Comparatively less commonly, amniocentesis is performed in the beginning of third trimester instead of earlier testing. Advanced genomic study technologies such as Chromosomal Microarray Analysis (CMA) provide much more accurate and detailed information about the fetus. The ideal site for amniocentesis for localization should be determined by an ultrasound scan but in the absence of this facility, a site may be selected after careful palpation of the gravid uterus. Trisomy, Micro deletions/ micro substitutions can be detected by genetic amniocentesis. Fluorescence in Situ Hybridization is a dependable and brief technique for identifying maximum chromosomal variations and has now been carried out as a routine symptomatic strategy for the discovery of fetal irregularities.
Prevalence and Seasonal Variation of Different Respiratory Pathogens in Post-Weaned Pigs with Signs of Clinical Respiratory Disease Using a Tracheobronchial Swab Sampling Technique: An Update from Belgium and the Netherlands
Authors:   BU Swine & Ruminants, Elanco Animal Health, Plantijn en Moretuslei 1A, Antwerpen 2018, Belgium, FACJ Vangroenweghe
Published: January 2022

Besides Mycoplasma hyopneumoniae (M. hyopneumoniae), many other viruses and bacteria can concurrently be present in pigs. These pathogens can provoke clinical signs, known as porcine respiratory disease complex (PRDC). A sampling technique on live animals, namely tracheobronchial swab (TBS) sampling, was applied to detect the major PRDC pathogens in pigs using PCR. The objective was to determine prevalence of different PRDC pathogens and their seasonal variations in Belgium and the Netherlands. A total of 600 pig farms and 9,000 post-weaned piglets were sampled using TBS over a 4-year period. TBS samples were analyzed using mPCR and results were categorized and analyzed according to the season of sampling. In Belgium, 53.8% of the sampled farms were PRRSV-positive, followed by M. hyopneumoniae (48.8%) and IAV-S (40.3%), whereas only 20.6% of the farms were detected PCV-2- positive. In the Netherlands, a similar percentage of farms were detected positive for PRRSV (51.4%) and IAV-S (49.1%), whereas a lower percentage of farms was M. hyopneumoniae-positive (32.4%) and only 8.0% was detected PCV-2-positive. Combined infections consisted of M. hyopneumoniae - PRRSV, PRRSV - IAV-S, and M. hyopneumoniae - PRRSV - IAV-S in both countries. In Belgium, the combination of M. hyopneumoniae - PRRSV - PCV-2 also had a relevant prevalence. For all analyzed PRDC pathogens, clear variations among different seasons could be detected. In conclusion, the present study showed that many respiratory pathogens are present during the post-weaning period, which may complicate the clinical picture of respiratory diseases, and their prevalence may vary among seasons.
Efficient CPU and GPU implementations of multicenter integrals over long-range operators using Cartesian Gaussian functions
Authors: Humeniuk Alexander , Glover William
Published: January 2022

We present a library for evaluating multicenter integrals over polarization operators of the form $x^{m_x} y^{m_y} z^{m_z} r^{-k} C(r)$ using Cartesian Gaussian basis functions. $m_x, m_y, m_z \geq 0$, $k > 2$ are integers, while the cutoff function, $C(r)=(1 - e^{-\alpha r^2})^q$, with $\alpha \in \mathbb{R}_{+}$ and certain integer values of $q$ ensures the existence of the integrals. The formulation developed by P. Schwerdtfeger and H. Silberbach [Phys. Rev. A 37, 2834 (1988)] is implemented in an efficient and stable way taking into account a recent fix in one of the equations. A cheap upper bound is presented that allows negligible integrals to be prescreened. The correctness of the analytical integrals was verified by numerical integration. The library provides separate codes for serial CPU and parallel GPU architectures and can be wrapped into a python module.
The importance of matrix metalloproteinases in the development of atrial fibrillation in obesity
Authors: Podzolkov Valerii I. , Tarzimanova Aida I. , Bragina Anna E. , Gataulin Radik G. , Oganesyan Karine A. , Pokrovskaya Anna E. , Osadchy Konstantin K.
Published: January 2022

Background. One of the trends in modern cardiology is the study of the matrix metalloproteinase (MMP) system. Currently, an increase in plasma concentrations of some MMPs and their tissue inhibitors is considered as one of the earliest biochemical markers of myocardial fibrosis in various diseases of the cardiovascular system. Discusses the importance of MMP in the development of atrial fibrillation (AF).
Aim. To study the effect of the MMP system on the development of AF in obese patients.
Materials and methods. The study included 105 patients with a body mass index of more than 30 kg/m2. Depending on the presence of AF, the patients were divided into 2 groups. The criterion for inclusion of patients in group 1 was the presence of documented AF paroxysm in 55 obese patients. The comparison group (group 2) consisted of 50 obese patients without heart rhythm disorders. When patients were included in the study, in order to assess the severity of visceral obesity, all patients underwent a general clinical examination, echocardiography. To determine the activity of the MMP system, venous blood was taken from patients.
Results. Significantly higher values of MMP-9 were detected in patients with obesity and paroxysmal AF 315.753.4 ng/ml than in patients with obesity without heart rhythm disorders 220.954.7 ng/ml (p=0.002); the values of tissue inhibitor of metalloproteinase 1 were 185.342.2 and 119.242.6 ng/ml, respectively (p=0.007). In patients with obesity and paroxysmal AF, a correlation of moderate strength between the level of MMP-9 and the volume of left atrium and a direct dependence of moderate strength between the ratio of waist volume to height and the plasma values of MMP-9 was revealed. The MMP-9 index (AUC 0.92) had a high diagnostic value for determining the probability of having a paroxysmal form of AF in obese patients. With an increase in the level of MMP-9 more than 295 ng/ml, it is possible to predict the presence of paroxysmal AF in obese patients with a sensitivity of 74.5% and a specificity of 94%.
Conclusion. In patients with obesity and paroxysmal AF, a significant increase in the parameters of the MMP system (MMP-9 and tissue inhibitor of metalloproteinase 1) was revealed when compared with obese patients without heart rhythm disorders (p0.05). With an increase in MMP-9 of more than 285 ng/ml in obese patients, the appearance of AF with a sensitivity of 74.5% and a specificity of 94% can be predicted.
Evaluation of therapeutic efficiency of various drugs of ursodeoxycholic acid in the treatment of biliary sludge
Authors: Isanbaeva Albina R. , Sakhautdinova Giulnar M.
Published: January 2022

Background. Biliary sludge (BS) refers to the pre-stone stage of gallstone disease. Timely treatment of this condition with ursodeoxycholic acid (UDCA) drugs helps prevent the progression of the disease. However, not all drugs used in practice are equally effective in relieving clinical manifestations, resolving sludge according to ultrasound results and tolerance.
Aim. To evaluate the therapeutic efficacy of the drug Ursofalk in comparison with other UDCA drugs used for the treatment of BS.
Materials and methods. We examined 105 people with different types of BS identified during ultrasound examination (US); they were divided into 2 groups depending on the UDCA drug taken. In patients, the dynamics of clinical manifestations was assessed using a questionnaire, as well as the dynamics of the ultrasound picture while taking UDCA.
Results. Statistical analysis showed that Ursofalk significantly better relieves biliary pain (p=0.025) and biliary dyspepsia (p=0.039), pain regression occurs faster (p=0.01) in 21 days. It also has a better tolerance in 94.34% of cases compared to other drugs 67.31% (p=0.017). Ursofalk has a greater effect on the regression of BS according to ultrasound results after 3 months (p=0.022) and 6 months (p=0.016).
Conclusion. The drug studied by us demonstrated high efficiency in relation to patients with BS, while there were minimal side effects, which led to a better tolerability of therapy.
The prevalence of osteoarthritis and its association with geriatric syndromes in people over 65: data from the Russian epidemiological study EVKALIPT
Authors: Naumov Anton V. , Vorobyeva Natalya M. , Khovasova Natalia O. , Moroz Viktoriia I. , Meshkov Alexey D. , Manevich Tatiana M. , Tkacheva Olga N. , Kotovskaya Yulia V. , Selezneva Elena V. , Ovcharova Lilia N.
Published: January 2022

Background. Osteoarthritis (OA) in elderly and senile patients is not only common, but also one of the main diseases affecting the duration of active life, its quality, the appearance of addictions and loss of autonomy. Data on the relationship between OA and geriatric syndromes (GS) in our country are extremely scarce.
Aim. To estimate the prevalence of OA and to analyze its associations with HS in persons aged 65 years.
Materials and methods. The study included 4308 people (30% of men) aged 65 to 107 years, living in 11 regions of Russia. The patients were divided into 2 groups: with OA (n=2464) and without OA (n=1821). All patients underwent a comprehensive geriatric assessment.
Results. The prevalence of OA was 57.6%. With age, the frequency of OA increased significantly. According to the results of a comprehensive geriatric assessment, patients with OA had lower walking speed, the sum of points on the Bartel, Lawton scales and a short battery of physical functioning tests and higher the sum of points on the geriatric scale of depression and the age is not a hindrance scale. Patients with OA rated the quality of life and health status lower and higher the intensity of pain syndrome. Patients with OA were more likely to use any assistive device, with the exception of a wheelchair. In patients with OA, the most common HS were chronic pain syndrome (92%), senile asthenia syndrome (64%), basic (66%) and instrumental (56%) dependence in everyday life, cognitive impairment (62%), probable depression (51%) and urinary incontinence (50%). Univariate regression analysis showed that OA is associated with a 1.23.0-fold increase in the risk of a number of GS and a 28% decrease in the risk of malnutrition.
Conclusion. OA is widespread in the elderly population. The presence of OA is associated with a number of GS associated with loss of autonomy.
Blood pressure variability, endothelial dysfunction, and C-reactive protein levels in arterial hypertension in combination with coronary artery disease
Authors: Musikhina Natalia A. , Petelina Tatiana I. , Gapon Liudmila I. , Kostousova Alina I.
Published: January 2022

Background. Recently, the role of increased variability in blood pressure (BP) as a new risk factor for cardiovascular events in patients with arterial hypertension (AH) in combination with coronary heart disease (CHD) has been discussed. At the same time, the mechanisms of the participation of blood pressure variability in the development of atherosclerotic damage to the vascular wall are not well understood.
Aim. To study the nature of the relationship between the indicators of daily BP variability, vasomotor function of the endothelium and highly sensetive C-reactive protein (hs-CRP) in patients with AH combined with CAD.
Materials and methods. 80 patients with AH and CAD (55.50.7 years) were examined. The study assessed the BP variability according to 24-hour monitoring of BP, vasomotor function of the brachial artery endothelium, and the level hs-CRP in blood serum.
Results. Increased indicators of diurnal BP variability were recorded in 48.8% of patients. There were revealed signs of endothelial dysfunction in patients in the form of a decrease in endothelium-dependent vasodilation (EDV) to 5.380.48% and an insufficient increase in endothelium-independent vasodilation (EIV) to 15.821.24%. Patients with increased variability of BP differed from patients with normal variability of BP by higher values of hs-CRP (2.980.71 and 1.560.33 mg/l; p0.05), a less pronounced response to administration nitroglycerin when evaluating EIV (13.231.79 and 17.700.77%; p0.05). Correlation relationships of variability of systolic BP (SBP) in the daytime with EVD were recorded (r=-0.44; p=0.012); variability of diastolic BP (DBP) in the daytime with EIV (r=-0.50; p=0.003); nighttime variability of DBP with EIV (r=-0.43; p=0.013). Relationships between the level of hs-CRP and the variability of SBP in the daytime (r=0.30; p=0.008) and with EVD (r=-0.47; p=0.007) were established. In patients with increased variability of SBP, the likelihood of registering an increased level of hs-CRP is 1.6 times higher OR 1.58 (95% CI 1.0142.451; p=0.043). In patients with depletion of the vasodilation reserve during the test with nitroglycerin (EIV), an increase in blood pressure variability is recorded 1.2 times more likely OR 1.22 (95% CI 1.0121.478; p=0.037).
Conclusion. The revealed association of the daily variability of BP with indicators of vasomotor function of the endothelium and a marker of the inflammatory reaction of the vascular wall may indicate the presence of a pathogenetic relationship between the parameters that determine the development of adverse events in patients with AH and CAD.
Introduction of GRACE program required for COVID-19 disaster - especially for exhausted healthcare workers
Authors: Takamiya Yusuke , Arima Makiko
Published: January 2022

The global pandemic of COVID-19 has exhausted many citizens around the world, especially health care workers. In times like these, mindfulness and compassion are necessary to heal many people. GRACE is a program that healthcare professionals can easily use in clinical practice. This program was developed by Roshi Joan Halifax, Ph.D., a Buddhist teacher, Zen priest, anthropologist, Cynda Rushton, the Bunting Chair of Ethics at Johns Hopkins University, and Professor Tony Back, a palliative care physician and medical oncologist at the University of Washington to prevent burnout among medical professionals.
G.R.A.C.E. was developed in response to the deficit of compassion in the world today. The G.R.A.C.E. process includes the following five steps. G: Gathering attention and Grounding, R: Recalling intention, A: Attuning to self and other, C: Considering what will serve, E: Engaging and ending. G.R.A.C.E. is a tool for anyone, especially those in leadership roles or helping professions, such as medical workers, teachers, human rights workers, and more.
In Japan, we invited three of the developers to hold training sessions since 2015. We held an annual conference every year, and monthly study sessions, in Tokyo and Osaka. Currently, we are planning to translate the online course developed in the US into Japanese and use it for training.
In this presentation, we will report on the spread of G.R.A.C.E. in Japan, along with an overview of G.R.A.C.E.
Clinical Value of Musculoskeletal Ultrasound in Rehabilitation After Flexor Tendon Rupture Repair of the Hand
Authors: Wang Rui
Published: January 2022

Objective: To explore the application effect and clinical value of musculoskeletal ultrasound in the rehabilitation of hand function after flexor tendon rupture repair. Method: In this study, 72 patients were selected from among patients who underwent flexor tendon rupture repair of the hand in Yancheng Third People’s Hospital from May 2018 to May 2020; the patients were randomly divided into the control group (routine hand rehabilitation training) and the experimental group (musculoskeletal ultrasound and targeted hand rehabilitation training based on examination results) by die roll, with 34 cases in each group; the hand rehabilitation of the two groups were compared. Results: The excellent and good rate of the total active motion (TAM) of the experimental group (94.44%) was significantly higher than that of the control group (69.44%) (P < 0.05); before treatment, there was no significant difference in the diameter and degree of stenosis of the artery in the finger between the two groups (P > 0.05); after treatment, the degree of stenosis and the diameter of the artery of the experimental group were significantly better than those of the control group (P < 0.05). Conclusion: For patients treated with flexor tendon rupture repair of the hand, the use of musculoskeletal ultrasound in the rehabilitation process can significantly improve the functional recovery of the hand; therefore, it is worthy of in-depth research, promotion, and application in clinical rehabilitation.
Value of Emergency Nursing Procedures in Improving the First Aid Efficiency and Outcomes of Comatose Patients with Cerebral Hemorrhage
Authors: Jiao Yanli
Published: January 2022

Objective: To determine the application value of emergency nursing in improving the efficiency and outcomes of first aid for comatose patients with cerebral hemorrhage. Methods: Forty comatose patients with cerebral hemorrhage treated in Suzhou Hospital of Traditional Chinese Medicine from August 2018 to June 2019 were selected as the research subjects in this study; the patients were divided into two groups, a control group and a study group, by lot; the patients in the control group received nursing by conventional means, while emergency nursing procedures were provided to the patients in the study group; the efficiency of first aid and the outcomes of the two groups were compared; the application value of emergency nursing procedures was analyzed. Results: The first aid efficiency of the study group was significantly higher than that of the control group; the condition evaluation, reception time, triage time, and rescue time of the study group were significantly lower than those of the control group; the treatment outcomes of the study group were significantly better than those of the control group (P < 0.05). Conclusion: Based on the results, compared with conventional nursing methods, the implementation of emergency nursing procedures for comatose patients with cerebral hemorrhage helps to improve the efficiency of first aid and the outcomes of the treatment; it has high clinical application value and is worthy of popularization as well as application in clinical practice.
Rising trends in Caesarean section in 6 Egyptian governorates
Authors: Wahdan Maha , Hakim Sally , El Gaafary Maha , Sos Dalia , Wassif Ghada , Hussein Wafaa , Mokhtar Amany , Hussein Amr , El Awady Mohamed , Rady Mervat , Anwar Wagida
Published: January 2022

Background: Caesarean section (CS) is a life-saving operation when vaginal delivery is risky to the mother or baby. However, if not medically indicated or performed under suboptimal conditions, it can be harmful and resource-intensive. Aims: To estimate the prevalence of CS in 6 Egyptian governorates and identify possible risk factors (including demographic, social and healthcare services factors) stratified according to geographical areas. Methods: We used secondary data collected from a large survey to investigate the sociodemographic and health indicators of 6 purposefully selected Egyptian governorates with suboptimal health indicators: 3 from Upper Egypt (Sohag, Assiut and Menia) and 3 from Lower Egypt (Sharkia, Beheira and Ismailia). The survey data were gathered using an interview questionnaire that targeted household members. Results: The CS rate was estimated at 55.1% for the 3 years preceding the study, and the highest rate was 67.8% in Behira and the lowest was 49.0% in Assiut. In most governorates, the CS rate was higher in rural than in urban areas, but the difference was not significant. High CS rates were significantly related to higher social class and lower number of children (≤ 3). Conclusion: In the governorates investigated, CS was performed more often, with higher rates than those reported in the 2015 Egypt Health Issue Survey. The adoption of protocols for elective CS should be enforced with a more multisectoral effort. Pregnant women should be well informed of the risks associated with CS and its medical indications.
Faculty development programmes in medical education in the Eastern Mediterranean Region: a systematic review
Authors: Kumar Archana , Atwa Hani , Shehata Mohamed , Al Ansari Ahmed , Deifalla Abdelhalim
Published: January 2022

Background: Faculty development is essential for enhancing medical education. The World Health Organization in 2013, promoted faculty development based on moderate quality of evidence and conditional recommendations. Aims: To conduct systematic review of faculty development programmes in medical education in the Eastern Mediterranean Region (EMR), during 2013 to 2020. Methods: A systematic research was conducted in PubMed, Google Scholar, EMBASE and ERIC using appropriate Boolean operators. Articles in English from the EMR, explicitly mentioning “faculty development” in medical education, in the title, abstract or anywhere in the text, during 2013–2020 were included. Results: Two thousand three hundred and forty-seven (2347) articles were retrieved, of which 54 were considered for further analysis based on Kirkpatrick’s Model for program evaluation. Articles were grouped into 4 themes: evaluation of new interventions (n = 21), evaluation of already implemented interventions (n = 13), needs assessment (n = 16), and recommendations and guidelines (n = 4). It was revealed that 23 studies addressed level 1 (reaction), while 4 studies addressed level 4 (results) of the Kirkpatrick’s Model of program evaluation. Conclusion: Faculty development should be need-based and provide hands-on training. Longitudinal programmes are recommended for maximum benefits.
Method of Cadastral Mapping in Local Town Cadastral Survey
Authors: Zheng Quan
Published: January 2022

This paper mainly focuses on the in-depth study of cadastral survey methods in urban cadastral survey, and puts forward some cadastral survey methods, such as above-mentioned technology, global positioning technology, geographic information system, aerial photography surveying and mapping technology, digital surveying and mapping technology, etc., to ensure the convenience and rationality of the application of cadastral surveying and mapping methods, to continuously improve the level of urban cadastral survey, and to ensure the smooth completion of urban cadastral survey.
The Role of Iberian Institutions in the Evolution of Macao
Authors: Sun Mingchen
Published: January 2022

Since around 1555, the Portuguese had as of now gotten comfortable Macao. Albeit encompassed by Chinese urban areas, Macao oversaw for quite some time to save and foster the Portuguese attributes that are clear in the city design. This western trademark is the thing that these days makes Macao not the same as its neighbors and is the foundation of the city’s special “Social Identity” (CI). The city CI is such a significant element that the People’s Republic of China proposed to UNESCO that they remember Macao for the World Heritage list. Taking into account that over 95% of the populace is of Chinese beginning, we currently bring up a significant issue: what was the course of Macao’s establishment and how could it be to keep up with the Portuguese qualities for such a long time in the midst of an ocean of Asian development and culture? The response is significant, in understanding the city’s set of experiences, yet additionally to make it conceivable to safeguard the Macao CI for people in the future. Following a near strategy for examination of the similitudes and contrasts with other abroad Portuguese urban areas in Asia, and in the wake of investigating the chronicled development of Macao, we recognized the critical components and hints that could give the response to this significant inquiry. The finishes of the examination highlight the recognizable proof of the Portuguese standards for settling, and the Iberian foundations’ liability in keeping up with the Portuguese qualities that mirror the city’s social association. The western social personality of the city was produced by its Iberian foundations through a viable equal improvement with the Chinese towns which involve a similar landmass.
The intermodal transport system as a factor of the national economy competitiveness in the world market
Authors: Verigina A. V.
Published: January 2022

The article considers the essence of intermodal transportation, determines its main advantages for both parties of the cargo transportation process, and presents the composition of existing intermodal complexes as the main part of the functioning of the country’s transport system. The emphasis is made on the specifics of the modern customer-centered economy, which directly affects the organization of international transportation. In the paper, the author uses both qualitative and quantitative methods of analyzing research data provided by other authors as well as retrospective statistical data. A comparative analysis of the work of successful companies in the field of intermodal transport is made. The ways to increase the competitiveness of the Russian economy in the world market through the development of modern logistics schemes for the movement of goods are considered. The article describes the activities of domestic companies, their features, shortcomings and methods of work in the context of the globalization of the economy with a graphical interpretation of the models used by them. The practical recommendations to improve the functioning of the objects of research are given.
Methodology for researching corporate disclosure of business social responsibility: Information base and stages of implementation
Authors: Efimova O. V. , Rozhnova O. V.
Published: January 2022

This article continues a series of publications on the issues of accounting, analysis and assessment of the corporate social responsibility in a rapidly changing environment when society and business face new challenges. The authors provide methodological solutions to the problem of studying the social responsibility of Russian public companies based on the analysis of data disclosed in their financial and non-financial statements. The research uses abduction methods; logical analysis; logical content analysis of financial and non-financial reporting standards in terms of requirements for disclosure of social aspects; expert analysis of social reporting of Russian companies; linguistic analysis in order to identify the practice of using certain terms and concepts in the financial and non-financial reporting. The analysis of corporate reporting standards made it possible to propose a new model for analyzing disclosures in the field of corporate social responsibility. The authors reveal the most important issues of the corporate social responsibility by assessing the trends in the social sphere, identifying opportunities and threats for its further development connected with the evolution of society, economy and ecology, ongoing digitalization processes. Procedures of researching business social responsibility are developed and fully described. The documentary base of the research includes International Financial Reporting Standards, Sustainable Development Reporting Standards, Basic Performance Indicators of the Russian Union of Industrialists and Entrepreneurs (RSPP) as well as financial and non-financial reports of Russian companies operating in production industries. The results of the research are the proposals to apply the multi-stage approach, which makes it possible to assess the social responsibility of certain economic entities through the prism of global tasks the country and the world community face with. The analysis of the complex problems of business and civilization allows us to identify five top problems in the light of which the social responsibility of large companies should be assessed, as well as to build a logical connection between these top problems and the key topics of disclosures in corporate reports.
Capability of Application the Legacy of the Russian Accounting and Analytical School Nowadays
Authors: Editorial Article
Published: January 2022

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