bluuebunny/crossref_metadata_2025 huggingface dataset:
How Feeling Supports Students’ Interpretive Discussions About Literature
Authors: Levine Sarah , Trepper Karoline , Chung Rosalie Hiuyan , Coelho Raquel
Published: November 2021

Research indicates that feeling is fundamental to the multilayered experience of literary interpretation. However, despite great strides in U.S. high school classrooms, discussions about literature are still often characterized by known-answer discourses that exclude feeling. This article builds on small-scale studies of affective evaluation, an interpretive approach in which readers attend to and reflect on their feeling-based responses to texts. Those studies, focused on individual students, showed that when responding to texts with feeling, students were more likely to build multilayered interpretations as opposed to summary or one-dimensional thematic interpretations. The current study explores affective evaluation in the more complex arena of class discussion, where known-answer discourses are particularly entrenched. We compared the same teachers and students using affective evaluation in one discussion, but not the other. Discussions using affective evaluation were correlated with increased multidimensional interpretation, adding to evidence that feeling enriches students’ literary sense-making and disrupts known-answer discourses.
“The Model Man:” Shifting Perceptions of Asian American Masculinity and the Renegotiation of a Racial Hierarchy of Desire
Authors: Chong Kelly H , Kim Nadia Y
Published: November 2021

Although Asian-descent men in the United States have been subjected to negative race-gender stereotyping and sexual racism, evidence suggests that mainstream perceptions and Asian American men’s self-definitions are in flux. Drawing on in-depth interviews of U.S.-born and -raised, middle-class, heterosexual Asian American men, supplemented by popular media textual analysis, we examine how these men are drawing upon a new form of alternative Asian American masculinity— one that we call “The Model Man”—in order to renegotiate their position within the present hierarchy of romantic preference. “The Model Man,” a hybrid masculinity construction that combines the elements of White hegemonic masculinity and model minority-based “Asian” masculinity, is co-opted and deployed by men as sexual/romantic capital—especially in relation to White women—because it enables the men to present themselves as desirable romantic partners. Although this masculinity strategy contains possibilities for further straitjacketing Asian American men via the model minority stereotype—and for re-inscribing heteronormativity and patriarchy/heterosexism—it may possess an unexpectedly subversive potential in allowing the men to contest their masculinity status and even remap hegemonic American manhood.
Vitreoschisis and retinal detachment: New insight in proliferative vitreoretinopathy
Authors: Rizzo Stanislao , de Angelis Lorenzo , Barca Francesco , Bacherini Daniela , Vannozzi Lorenzo , Giansanti Fabrizio , Faraldi Francesco , Caporossi Tomaso
Published: November 2021

Purpose

To assess the occurrence of peripheral vitreoschisis-induced vitreous cortex remnants (p-VCRs) in primary rhegmatogenous retinal detachment (RD) and investigate whether the presence of p-VCRs results in a greater risk of RD recurrence, secondary to Proliferative Vitreoretinopathy (PVR) development after pars plana vitrectomy (PPV).

Methods

Patients who underwent PPV for primary rhegmatogenous RD between January 2016 and December 2018 were included. The presence of residual p-VCRs was confirmed intraoperatively using triamcinolone acetonide (TA). Patients with p-VCRs were divided into two groups: Group A comprised of patients who underwent PPV without p-VCR removal, while Group B included patients who underwent PPV with p-VCR removal.

Results

Four hundred-thirteen eyes with evidence of p-VCR were analyzed. Two-hundred-twenty-three eyes underwent PPV without VCR removal (Group A), while 190 eyes underwent PPV with p-VCR removal (Group B). Primary anatomical success was 91.5% in the Group A and 95.4% in the group B. Retinal re-detachment due to PVR occurred in 17 (7.6%) eyes in Group A and in four (2.1%) eyes in Group B within the first 3 months (p  =  0.01). Among group A, in 11 eyes, there was a diffuse posterior PVR grade C, while six eyes were focal PVR grade C. In Group B, we observed four retinal re-detachment due to focal PVR grade C.

Conclusion

The presence of p-VCRs seems to be associated with a higher incidence of PVR development and might also result in more complex RD recurrence, this suggests the need for more aggressive VCRs removal during the first surgery.
Sexuality, gender and culturally diverse interpretations of cyberbullying
Authors: Sheanoda Veronica , Bussey Kay , Jones Tiffany
Published: November 2021

The cyberbullying field has quickly expanded in the past 20 years and especially includes strong emphases on diverse and marginal youth groups. However, the field’s literature defines cyberbullying in widely diverging ways while lacking consideration of how diverse youth groups themselves define and apply the term cyberbullying. This article aimed to consider how culturally, sexuality and gender-diverse youth understandings, experiences and interpretations of cyberbullying can be used to redress gaps in current academic notions of cyberbullying. Semi-structured interviews were conducted with 19 young people exploring their understandings, interpretations and experiences of cyberbullying. Participants were aged 18–25 years and self-identified as from a culturally and linguistically diverse (CALD) background and/or part of the LGBTQIA+ community. Interview question themes explored participants’ social media engagement, online communities and cyberbullying experiences. NVivo was used to perform thematic analyses. Findings largely suggested that the confusion regarding the term and definition of cyberbullying among researchers is also reflected in the population of diverse young people’s understandings and interpretations of cyberbullying. Whether these conflicted definitions were due to the confusion among youth populations or because academics and policymakers have failed to communicate a clear cyberbullying definition to the public was unclear. Considerations and future directions around the language and behaviours that should be included in a definition of cyberbullying are suggested to more clearly communicate the concept to future respondents and to the wider community.
Association Between Musculoskeletal Pain and Psychological Stress Responses in High School Baseball Players: A Cross-sectional Study
Authors: Kato Kinshi , Otoshi Kenichi , Tominaga Ryoji , Kaga Takahiro , Igari Takahiro , Sato Ryohei , Kurita Noriaki , Konno Shin-ichi
Published: November 2021

Background:

Musculoskeletal pain could represent a psychological stressor in adolescent athletes. However, few epidemiological studies have investigated this association.

Purpose:

To assess the relationship between musculoskeletal pain (shoulder, elbow, wrist, and low back) and psychological stress responses in high school baseball players.

Study Design:

Cross-sectional study.

Methods:

Participants comprised male Japanese high school baseball players who had completed a questionnaire as part of their annual medical evaluation in 2016. Experiences of shoulder, elbow, wrist, and low back pain during the previous season were investigated. Pain severity was graded as 1 (mild, playing without interference), 2 (moderate, playing with interference), or 3 (severe, could not play because of pain). The Stress Response Scale–18 was used to measure stress response: low, medium, rather high, and high. Prevalence rates of shoulder, elbow, wrist, and low back pain and their association with psychological stress responses were investigated using univariate and multivariable analyses.

Results:

A total of 944 players (223 pitchers and 721 fielders) were included in this study. Their mean age was 16.1 ± 0.6 years, and 66% were high school juniors, while 33.6% were seniors. In pitchers, the prevalence rates during the previous year of severe (grade 3) interference with playing because of elbow, shoulder, wrist, and low back pain were 21.5% (n = 48), 19.3% (n = 43), 3.6% (n = 8), and 18.4% (n = 41), respectively, whereas in fielders, the respective prevalence rates were 17.1% (n = 123), 17.9% (n = 129), 6.7% (n = 48), and 19.3% (n = 139). After adjusting for confounding factors (playing on a top-performing team, high school grade level, and all other sites of musculoskeletal pain), the authors found significant associations in pitchers between severe experiences of elbow pain and low back pain and medium to high psychological stress responses (odds ratio, 2.64 [95% CI, 1.32-5.39], P = .006 and odds ratio, 2.32 [95% CI, 1.12-4.89], P = .024, respectively). No significant associations were seen between musculoskeletal pain and psychological stress responses in fielders.

Conclusion:

In the current study, elbow and low back pain were associated with stronger psychological stress responses compared with other musculoskeletal pain in high school baseball pitchers.
Real-world effectiveness of second-line Afatinib versus chemotherapy for the treatment of advanced lung squamous cell carcinoma in immunotherapy-naïve patients
Authors: Chen You-Yi , Chang Shih-Chieh , Chang Cheng-Yu , Chang Chun-Fu , Lai Yi-Chun , Wei Yu-Feng , Chen Chung-Yu
Published: November 2021

Background

Limited treatment options exist for relapsed advanced lung squamous cell carcinoma (SCC), leading to poor outcomes compared with adenocarcinoma. This study aimed to investigate the efficacy of second-line afatinib versus chemotherapy in patients with advanced lung SCC who progressed after first-line chemotherapy.

Methods

In this retrospective, multisite cohort study, we recruited patients with initial locally advanced or metastatic lung SCC from four institutes in Taiwan between June 2014 and October 2020. The primary endpoint of this study was progression-free survival (PFS), and the secondary endpoints were the objective response rate (ORR), disease control rate (DCR), and overall survival (OS).

Results

The present study enrolled 108 patients: 19 received second-line afatinib, and 89 received second-line chemotherapy. The median ages were 71 and 67 years, respectively. PFS was significantly longer among patients who received afatinib than among those who received chemotherapy (median 4.7 months [95% confidence interval (CI), 0.1–7.5] vs. 2.6 months [95% CI, 0.9–6.7]; hazard ratio (HR) 0.53 [95% CI 0.32–0.88], p = 0.013). Compared with the chemotherapy group, OS was longer in the afatinib group but did not reach significance (median 16.0 months [95% CI, 6.1–22.0] vs. 12.3 months [6.2–33.9]; HR 0.65 [95% CI 0.38–1.11], p = 0.112).

Conclusions

Afatinib offered a longer PFS and comparable OS to chemotherapy in advanced lung SCC patients in a real-world setting, it may be considered as a 2nd line alternative treatment choice for immunotherapy unfit advanced lung SCC patients.
Clinical and radiological outcomes in patients who underwent posterior lumbar interbody fusion: comparisons between unilateral and bilateral cage insertion
Authors: Cho Jae Hwan , Hwang Chang Ju , Lee Dong-Ho , Lee Choon Sung
Published: November 2021

Background

Although the original technique involves inserting two cages bilaterally, there could be situations that only allow for insertion of one cage unilaterally. However, only a few studies have compared the outcomes between unilateral and bilateral cage insertion. The purpose of this study was to compare the clinical and radiological outcomes in patients who underwent posterior lumbar interbody fusion (PLIF) between unilaterally and bilaterally inserted cages.

Methods

Among 206 eligible patients who underwent 1- or 2-level PLIF, 78 patients were 1:3 cohort-matched by age, sex, and operation level (group U, 19 patients with unilateral cages; and group B, 57 patients with bilateral cages). Fusion status was evaluated by computed tomography (CT) scans at postoperative 1 year. Clinical outcomes were measured by visual analog scale (VAS), Oswestry Disability Index (ODI), and EQ-5D. Radiological and clinical parameters were compared between the two groups. Risk factors for pseudarthrosis were also analyzed by multivariate analysis.

Results

The demographic data were not significantly different between the two groups. However, previous laminectomy, asymmetric disc collapse, and fusion at L5-S1 level were more frequently found in group U (P = 0.003, P = 0.014, and P = 0.014, respectively). Furthermore, pseudarthrosis was more frequently observed in group U (36.8%) than in group B (7.0%) (P = 0.004). Back pain VAS was higher in group U at postoperative 1 year (P = 0.033). Lower general activity function of EQ-5D was observed in group U at postoperative 1 year (P = 0.035). Older age (P = 0.028), unilateral cage (P = 0.007), and higher bone mineral density (P = 0.033) were positively correlated with pseudarthrosis.

Conclusions

Unilaterally inserted cage might be a possible risk factor for pseudarthrosis when performing PLIF, which could be related with the difficult working conditions such as scars due to previous laminectomy or asymmetric disc collapse. Furthermore, suboptimal clinical outcomes are expected following PLIF with unilateral cage insertion at postoperative 1 year regardless of similar clinical outcomes at postoperative 2 year. Therefore, caution is advised when inserting cages unilaterally, especially under above-mentioned conditions in terms of its possible relationship with symptomatic pseudarthrosis.
Knockdown of long noncoding RNA GAS5 reduces vascular smooth muscle cell apoptosis by inactivating EZH2-mediated RIG-I signaling pathway in abdominal aortic aneurysm
Authors: Le Tianming , He Xin , Huang Jianhua , Liu Shuai , Bai Yang , Wu Kemin
Published: November 2021

Background

Abdominal aortic aneurysm (AAA), an irreversible cardiovascular disease prevalent in the artery, causes the increase of the aneurysm diameter over time, and is a fatal phenomenon inducing sidewall rupture. Long noncoding RNAs (lncRNAs) serve as promising biomarkers for AAA. In the present study, we sought to define the role of lncRNA growth-arrest-specific transcript 5 (GAS5) in growth of smooth muscle cells (SMC) and progression of AAA.

Methods

Initially, we established angiotensin II (Ang II)-induced AAA mouse models and Ang II-treated vascular SMC model. RT-qPCR and Western blot analysis were adopted to determine expression of GAS5 and zeste homolog 2 (EZH2). After ectopic expression and depletion experiments in Ang II-treated mice and vascular SMCs, cell apoptosis was detected in SMCs using flow cytometry and in mice using TUNEL staining. The binding of GAS5 and EZH2 was evaluated using RNA binding protein immunoprecipitation (RIP) and Co-IP assays.

Results

Increased GAS5 and RIG-I but decreased EZH2 were found in aortic tissues of AAA mice. EZH2 overexpression inhibited AAA formation and suppressed SMC apoptosis. Functionally, EZH2 blocked the RIG-I signaling pathway and consequently inhibited SMC apoptosis. GAS5 regulated EZH2 transcription in a negative manner in SMCs. Knockdown of GAS5 attenuated SMC apoptosis, which was reversed by EZH2 inhibition or RIG-I overexpression.

Conclusions

The current study demonstrated that GAS5 induced SMC apoptosis and subsequent AAA onset by activating EZH2-mediated RIG-I signaling pathway, highlighting GAS5 as a novel biomarker for AAA.
Guillain–Barré syndrome with bilateral facial diplegia secondary to severe acute respiratory syndrome coronavirus-2 infection: a case report
Authors: Ramirez Natalia , Ujueta David , Diaz Luis Felipe , Folleco Lucila Emilse , Rodríguez Andrea , Gaona Ivan , Nava-Mesa Mauricio O.
Published: November 2021

Background

The new coronavirus, known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) owing to its similarity to the previous severe acute respiratory syndrome (SARS), is characterized by causing, in most patients, nonspecific symptoms similar to those of the common flu. It has been reported that many coronavirus disease 2019 (COVID-19) patients presented neurological symptoms that involve the central and peripheral nervous systems. In addition, there have been several reports of patients who presented Guillain–Barré syndrome related to  COVID-19 , with sensory and motor compromise in the extremities.

Case presentation

In this report, we describe a rare case of Guillain–Barré syndrome in a 50-year-old Hispanic male with bilateral facial palsy as the only neurological manifestation, following SARS-CoV-2 infection. A complete neurophysiological study showed severe axonal neuropathy of the right and left facial nerves.

Conclusion

Regardless of severity, clinicians must to be aware of any neurological manifestation generated by COVID-19 and start performing more neurophysiological tests to determine if the infection induces an axonal, myelin, or mixed involvement of the peripheral nervous system.
Individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial
Authors: Cramon Mai Østerø , Raben Ines , Beck Anne Marie , Andersen Jens Rikardt
Published: November 2021

Background

Approximately 20% of older people are readmitted to the hospital within 30 days of discharge. Even a short hospital stay decreases the ability to cope with the activities of daily living. The aims of this study were to (1) assess the feasibility of recruitment, (2) assess the acceptability of the intervention, and (3) investigate if an individual nutritional intervention could reduce the readmission rate of geriatric patients within 30 days of being discharged to their own homes.

Methods

The unblinded, randomized, controlled pilot trial includes geriatric patients discharged to their own homes. Forty patients were recruited from a medical ward and randomized to standard treatment (n= 19) or individualized nutritional intervention (n= 21). The intervention was dietary counseling and a nutrition plan before discharge, combined with two home visits performed by an educated nutritionist over a period of 4 weeks. Outcomes were readmission (primary), mortality, protein and energy intake, body weight, activity of daily living, handgrip strength, number of chair stands, and quality of life. Intention-to-treat analysis, per-protocol analysis, and post hoc analysis of readmissions were carried out.

Results

Recruitment was feasible, and there was high compliance to the intervention. There was no difference in readmission between the intervention group and control group 30 days after discharge (29% vs 11%). The individual nutritional intervention had a positive impact on achieving 75% of energy requirements at 30 days for the intervention group compared to the control group (93% vs 47%,p= 0.01). No other differences were found between the groups.

Conclusion

The individual nutritional intervention did not prevent readmission among geriatric patients in this trial. Recruitment procedures functioned well, and the intervention was well accepted by the patients.

Trial registration

ClinicalTrial.gov,NCT03519139. Retrospectively registered on 8 May 2018
Rectal specimen self-collection for chlamydia and gonorrhea screening: a cross-sectional feasibility study at a community health center
Authors: Haddad Marwan S. , Bifulco Lauren , McIntosh Jeannie , Garcia Meghan Mc Clain
Published: November 2021

Background

Men who have sex with men (MSM) are at increased risk for extra-genital sexually transmitted infections (STIs). Without extra-genital screening, many chlamydia and gonorrhea infections would be missed among MSM. Yet, many barriers exist to extra-genital testing, and, in particular, to rectal collection. Self-collection increases screening and detection of asymptomatic chlamydia and gonorrhea among at-risk MSM and transgender women. This feasibility study assessed use of rectal self-collection and its acceptance among patients and primary care providers (PCPs) at a large, general practice community health center. The primary objective of this project was to assess the feasibility of including rectal self-collection as part of an implementation study looking to embed an STI care program in a safety-net primary care setting that would shift routine screening tasks to non-provider clinical team members such as medical assistants and nurses.

Methods

Three PCPs identified and offered rectal self-collection to their MSM and transgender female patients who were due for routine or risk-based STI screening. For those patients who elected to participate in the study, the PCP’s medical assistant (MA) reviewed the self-collection instructions with them as part of their routine preventive care duties, and patients collected their own sample. Patients and PCPs completed brief cross-sectional surveys assessing the self-collection process.

Results

Of 1191 patients with sexual orientation and gender identity (SOGI) data on file who were seen for a medical visit by one of the three PCPs, 87 (7.3%) identified as MSM or transgender female. Seventy-five were due for rectal screening, of whom 33 (44%) were offered and completed rectal self-collection. Survey results indicated that self-collection was acceptable to and preferred over clinician-collection by both PCPs and patients.

Conclusions

This study demonstrated that rectal self-collection is feasible as part of STI screening in a high-volume primary care setting, and can be administered as part of the clinical tasks that MAs routinely conduct. The overall acceptance by both PCPs and patients will allow the inclusion of rectal self-collection in an implementation study looking to increase STI screening at a large community health center by facilitating MA-led collection during medical provider visits and by establishing standalone nurse-led STI visits.
A study protocol for a randomised controlled feasibility trial of an intervention to increase activity and reduce sedentary behaviour in people with severe mental illness: Walking fOR Health (WORtH) Study
Authors: McDonough Suzanne M. , Howes Sarah C. , Dillon Maurice , McAuley Judith , Brady John , Clarke Mary , Clarke Mike , Lait Emily , McArdle Duana , O’Neill Tony , Wilson Iseult , Niven Ailsa , Williams Julie , Tully Mark A. , Murphy Marie H. , McDonough Catherine M.
Published: November 2021

Background

People with severe mental illness (SMI) are less physically active and more sedentary than healthy controls, contributing to poorer physical health outcomes in this population. There is a need to understand the feasibility and acceptability, and explore the effective components, of health behaviour change interventions targeting physical activity and sedentary behaviour in this population in rural and semi-rural settings.

Methods

This 13-week randomised controlled feasibility trial compares the Walking fOR Health (WORtH) multi-component behaviour change intervention, which includes education, goal-setting and self-monitoring, with a one-off education session. It aims to recruit 60 inactive adults with SMI via three community mental health teams in Ireland and Northern Ireland. Primary outcomes are related to feasibility and acceptability, including recruitment, retention and adherence rates, adverse events and qualitative feedback from participants and clinicians. Secondary outcome measures include self-reported and accelerometer-measured physical activity and sedentary behaviour, anthropometry measures, physical function and mental wellbeing. A mixed-methods process evaluation will be undertaken. This study protocol outlines changes to the study in response to the COVID-19 pandemic.

Discussion

This study will address the challenges and implications of remote delivery of the WORtH intervention due to the COVID-19 pandemic and inform the design of a future definitive randomised controlled trial if it is shown to be feasible.

Trial registration

The trial was registered on clinicaltrials.gov (NCT04134871) on 22 October 2019.
Effect of vapour pressure deficit on gas exchange of field-grown cotton
Authors: BROUGHTON Katrina J. , PAYTON Paxton , TAN Daniel K. Y. , TISSUE David T. , BANGE Michael P.
Published: November 2021

Background

Plants respond to changes in vapour pressure deficit (VPD) between the leaf and the atmosphere through changes in stomatal response, which can consequently affect transpiration, photosynthesis, and leaf-level water use efficiencies. With projected warmer air temperatures, changes in rainfall distribution and altered VPD in future climates, it is important to understand the potential effect of VPD on leaf-level physiology of field-grown crops. The aim of this study was to assess the impact of altered VPD on leaf-level physiology of field-grown cotton to improve the current understanding of the plant-by-environment interaction, thereby contributing to validation and improvement of physiological and yield response models. Different VPD environments in the field were generated by planting cotton on three dates within the sowing window (early-season (S1) = 5th October 2011; mid-season (S2) = 9th November 2011; and late-season (S3) = 30th November 2011). VPD was also modified by altering crop irrigations.

Results

VPDLaccounted for the largest proportion of the explained variation in both stomatal conductance (32%∼39%) and photosynthetic (16%∼29%) responses of cotton. Generally, smaller percentages of variation were attributed to other main factors such as the individual plant (Plant), and accumulated temperature stress hours (ASH; a measure of plant water status over time) and interactive factors, including leaf vapour pressure deficit (VPDL) × Plant and Plant × ASH; however, a proportion of variation was unexplained. In addition, theAsat/E(instantaneous transpiration efficiency, ITE) model developed based on cotton grown in the glasshouse was applied to cotton grown in the field. We found that the modelledAsat/Eand field-measuredAsat/Ewere very similar, suggesting that the mechanistic basis for ITE was similar in both environments.

Conclusions

This study highlights the importance of accounting for VPD in climate change research, given that stomata are highly responsive to changes in VPD. This experiment provides a basis for physiology and production models, particularly in terms of cotton response to projected climatic environments.
The ripple effect: a cross-sectional study on the repercussions of child maltreatment among Egyptian college students
Authors: Fishere Mariam
Published: November 2021

Background

Child maltreatment is a global risk factor for mental health. The burden of child maltreatment is heaviest in low- and lower-middle-income countries, where most of the world’s children live. This study sheds light on the occurrence of child maltreatment within Egypt’s upper social class stratum, countering a long-held belief that violence against children only occurs within low-income households. In addition, the study examines the association between exposure to child maltreatment and psychopathology, life satisfaction and resilience among emerging adults in Egypt, and whether emotion dysregulation mediates these relationships. Participants were 171 college students who were selected based on a series of questionnaires about exposure to child abuse and neglect, psychopathology, satisfaction with life, and resilience, as well as difficulties in emotion regulation.

Results

A rate of 48% of exposure to at least one type of child maltreatment before the age of 18 was found. Experiencing antipathy and/or sexual abuse was most strongly associated with PTSD and depression, while exposure only to antipathy contributed to lower life satisfaction and resilience. Emotion dysregulation mediated the associations between antipathy and PTSD, depression, life satisfaction, and resilience, as well as the associations between sexual abuse and PTSD and depression.

Conclusions

The present study hints at a comparably high rate of exposure to child maltreatment among the higher social class stratum, producing data that highlights the association between child maltreatment and mental health in emerging adults in Egypt. These findings emphasize that child maltreatment transcends social class, and that attempting to address the issue requires changing social and cultural belief systems that bolster violent behavior.
ПРОБЛЕМЫ ИЗМЕНЕНИЯ НАЛОГООБЛОЖЕНИЯ МАЛОГО БИЗНЕСА (НА ПРИМЕРЕ СМОЛЕНСКОЙ ОБЛАСТИ)
Authors: Shevtsova Tatyana P.
Published: November 2021

Исследованы налоги, ориентированные на налогообложение представителей малого и среднего бизнеса и направленные на снижение налоговой нагрузки малого предпринимательства, а также облегчение и упрощение для них налогового и бухгалтерского учета. В статье анализируются правовые основы, которым должны соответствовать малые и средние предприятия, а также индивидуальные предприниматели, применяющие специальные режимы.

Цель – выявление недостатков специальных налоговых режимов и формулировка предложений по сведению их к минимуму.

Метод или методология проведения работы: в статье были использованы методы сравнения и анализа, а также эмпирическое исследование открытых данных ФНС РФ.

Результаты: Рассматривается динамика поступлений в бюджет Смоленской области от уплаты налогов по специальным режимам налогообложения, выявляются тенденции, на основании которых с учетом налоговой политики РФ сформулированы перспективы развития специальных налоговых режимов. В статье приводятся аргументы, подтверждающие необходимость пересмотра требований законодательства о правилах перехода на другой спецрежим.

Область применения результатов: результаты исследования будут полезны научным работникам и специалистам, занимающимся вопросами планирования налогов, налогового регулирования на региональном уровне.
Modern Legal Education: Traditions and Innovations of O.E.Kutafin University (MSLA)
Authors: Blazheev Viktor , Mazhorina Mariya , Agafonov Vyacheslav , Alimova Yana , Belyh Vladimir , Artemov Vyacheslav , Budaev Andrey , Gracheva Elena , Egorova Mariya , Ershova Inna , Zav'yalov Yuriy , Inogamova-Hegay Lyudmila , Kartashov Aleksandr , Koscheeva Elena , Malyukova Ol'ga , Miloserdov Nikita , Mirzoyan Mariya , Molchanov Dmitriy , Moshkova Dar'ya , Neretina Nadezhda , Osavelyuk Elena , Pirchalava Hatia , Rubcova Aleksandrina , Suspicina Tat'yana , Trofimova Elena , Chhutiashvili Lela , Shilyuk Tat'yana
Published: November 2021

The collective monograph is an anniversary edition dedicated to the 90th anniversary of the Kutafin Moscow State Law University (MSLA), and reflects the vision of the modern model of legal education, analysis and forecasting of trends in the development of higher education based on the traditions of fundamental legal education and innovative practices accumulated by the University.
For scientific and pedagogical workers, administrative and managerial personnel of educational organizations that train lawyers, as well as for a wide range of readers interested in innovations in the field of education.
Etnograficzne mapy bliskich terytoriów. Przestrzeń wsi oczami społeczności lokalnej
Authors: Bińka Anna , Kojder Kaja , Patzer Helena , Wojtaszczyk Małgorzata
Published: November 2021

Artykuł prezentuje mapy etnograficzne, które zostały stworzone w ramach dwóch projektów Stowarzyszenia „Pracownia Etnograficzna”, realizowanych w społecznościach lokalnych na Podlasiu i na Krajnie. W artykule pokazujemy, jak przebiegał proces powstawania map w badanych miejscowościach. Pomimo różnic łączy je fakt, że powstały dzięki współpracy etnografek z mieszkańcami miejscowości, a przedstawione na nich treści wyłoniły się dzięki wspólnemu przyglądaniu się lokalnemu dziedzictwu. Celem artykułu jest refleksja nad mapami etnograficznymi jako narzędziem pracy ze społecznościami lokalnymi i jako sposobem na oddanie głosu mieszkankom i mieszkańcom. Zastanawiamy się, jakie zalety ma wykorzystanie tego narzędzia oraz z jakimi wiąże się wyzwaniami. Skłania nas to też do refleksji nad charakterem wiedzy zdobytej i przedstawionej w ten sposób, a także nad wpływem naszych działań na badane społeczności.
Looking for the traces of Polish heritage on the map of Ukraine. Linguistic educational game
Authors: Januszkiewicz Barbara
Published: November 2021

The article describes the idea for an educational game Polskie dziedzictwo na mapie Podola (Polish Heritage on the Map of Podolia) aimed at learning Polish as foreign language using a historical map. The article presents a map (as a game board) that was drawn up by a 17th-century cartographer Guillaume Le Vasseur de Beauplan. The map of Podolia provides a starting point for preparing scenarios of educational classes that would present historic figures, places, events and architectural monuments connected with Poland. The game is supposed to enhance the interest in learning Polish and teach respect for the common historical and cultural heritage, as well as encourage young people to study the past and discover their ‘personal homeland’. The author of the article suggests to use the board game as part of teaching the Polish language, which would certainly make linguistic education more attractive.
Vom officium zum beneficium: Lokale Verwaltungsstrukturen im Johanniter-Priorat Alamania während des 13. und frühen 14. Jahrhunderts
Authors: Borchardt Karl
Published: November 2021

From officium to beneficium: Local government structures in the Hospitaller Priory of Alamania during the 13th and early 14th century
 
The paper is about the appointment of commanders for Hospitaller houses in southern Germany during the second half of the thirteenth and the first half of the fourteenth century (until c. 1330). No written documents about such appointments are extant from the time and region. The names of the commanders are only known from local charters. Some commanders were changed almost annually. Others stayed on more or less for life. The Hospitaller rule, statutes and consuetudines concerning such appointments are not clear. In the fourteenth century commanders were entrusted their houses either for ten years or for life. Earlier on shorter periods are probable, five years or even only one year, until the next regional chapter. Further research should be devoted to the question whether military-religious orders started with an office whose officers was ad nutum amovibilis, and then changed to procedures known from ecclesiastical benefices held by non-religious, secular clergy for life and from fiefs held by secular knights that were also held for life.
The african theology as practical theology
Authors: Habimana Pascal
Published: November 2021

The purpose of this article is to show that African theology is both a practical theology as well as a speculative theology. It is a theology which was born from the perspective of finding a proper method of evangelization on the African continent. To do this, this theology went through different stages which led it to its scientific maturity. Thanks to the efforts made, this theology has provided a way to a deeper evangelization in the african cultural context. Inculturation, as one of the ways of doing theology in Africa, has become a key word in African theology. Inculturation has the advantage of frank and uncompromising dialogue between the Gospel and cultures. This dialogue subsequently allows an appropriation of the Gospel message in various african cultural backgrounds.
David Rokeah. De Leópolis a Palestina. La creación de un canon en su traducción al catalán
Authors: Farré Xavier
Published: November 2021

The publisher Edicions del Mall made the first attempt to translate the most important poets of the 20th century into Catalan language, and suffered a clear setback, as this happened after 35 years of dictatorship in which Catalan literature was not allowed to be published officially. The publisher tried to recover normality within the literary tradition. In this context, they published the translation of an author of Lemberg, who had emigrated to Palestine and who writes in Hebrew, David Rokeah. The editor was Eduard Feliu, a prestigious translator of Hebrew and also of English and who had already translated to poets such as W.H. Auden in that same collection.The relevance already acquired by the publisher and by the translator at the time of publishing Rokeah facilitates the reception of this unknown author by the general public. The way in which the publisher is presented, as well as the para-texts, the translator’s work and the use of specific language for translation indicate that we are dealing with a case of literary translation in which the invisibility not only of the translator is fictitious, since the translated text must respond to a more literary-social action and must have a specific role within the new literary system.
Oral health and diabetes: A guide for primary care nurses
Authors: Thomas Jack , Morris David
Published: November 2021

David Morris and Jack Thomas detail how diabetic patients can ensure that their mouth remains healthy
Fostering Students’ Retention in Photosynthesis Using Concept Mapping and Cooperative Mastery Learning Instructional Strategies
Authors: Bizimana Emmanuel , Mutangana Dieudonné , Mwesigye Adrian
Published: November 2021

The performance in biology at the secondary level has not been as good as expected. This has been a matter of concern. Thus, there has been a continuous focus on exploring newer innovative learner-centered and friendly instructional strategies to enhance understanding and retention in biology. This study, therefore, determined the effects of Concept Mapping (CM) and Cooperative Mastery Learning (CML) on fostering retention in photosynthesis among secondary schools in Nyamagabe district, Rwanda. A pre-test and post-test non-equivalent control group quasi-experimental design was used. Data were obtained from 151 students taught with CM, 144 students taught with CML, and 154 students taught with Conventional Teaching Methods (CTM). The Photosynthesis Retention Test (KR-21= 0.82) was used for data collection. The data were mainly analyze d using mean and Analysis of Covariance (ANCOVA). The results showed that the CM and CML treatment groups outperformed the CTM group in retention in photosynthesis. There was a statistically significant difference in favor of the CM between the two experimental groups. The male and female students taught using CM retained equally in photosynthesis while gender difference was revealed in the mean retention scores of the students exposed to the CML, with females retained significantly higher than males. The study concluded that the CM and CML strategies were more effective than CTM. It was suggested, among other things, that teachers should be encouraged to apply CM and CML strategies when teaching biology.
Spinal Myoclonus – A rare complication of spinal anaesthesia
Authors: Prabhu M S
Published: November 2021

Spinal segmental myoclonus is a rare type of myoclonic disorder that may occur during spinal anaesthesia. A few cases of spinal myoclonus have been reported after administration of intrathecal bupivacaine. The exact cause and pathophysiology of spinal myoclonus is unknown. We report a case of a 28-year-old female who underwent caesarean section under spinal anaesthesia with 0.5% hyperbaric bupivacaine. Myoclonic movements appeared in the early postoperative period in the left lower limb. The myoclonus was acute and transient. The patient recovered completely without any neurological complications. After ruling out all the possible causes, spinal myoclonus diagnosis was made, and the patient was discharged on the 3rd postoperative day.
Keywords: Spinal anaesthesia, Spinal myoclonus, Myoclonus
Successful Conduction of Mid-Humeral Fracture Surgery Under Ultrasound- Guided Supraclavicular Block an a Case of Cervical Scoliosis with Fixed Contracture Deformity Neck and Multiple Comorbidities
Authors: Darswal Poonam , Jha Kashika
Published: November 2021

Introduction: Regional anaesthesia has been proven lifesaver in many tough anaesthetic situations that demand good operative conditions yet are prone to put the patient under increased risk of post-operative complications including prolonged ICU stays even increasing overall mortality when general anaesthesia is chosen as primary anaesthesia modality. Use of ultrasound has revolutionised our approach to regional anaesthesia and many cases which would otherwise be deemed unfit for usual anatomy based approaches can now be conducted with enhanced precision and safety.
Case presentation: We present on such case in a 69-year-old male patient with multiple high-risk factors that precluded safe conduction of general anaesthesia, with the presence of cervical scoliosis with fixed contracture neck making anatomy impossible for a blind approach to brachial plexus. Even with help of ultrasound interscalene level was not accessible due to contracture. The successful supraclavicular block was made possible as we could make a clear distinction between vessels, pleura and rib at that level although the cords appeared haphazardly placed and stretched not conforming to usual anatomy at the level.
Conclusion: This case highlights the importance of regional anaesthesia under ultrasound guidance in such complex high-risk cases. As the experience with ultrasound-guided regional anaesthesia continues to grow internationally, we are on our steep learning curve appreciating the benefits and respecting the limitations of this developing technology.
Combating Airway Issues with Elective Use of an I Gel in a Child with Goldenhar Syndrome
Authors: Sethi Shilpi , Sethi Manish
Published: November 2021

Introduction: Goldenhar syndrome is an oculoauriculovertebral spectrum attributed to the developmental anomalies of the first and second brachial arches. Its typical presentation in children with hemifacial microsomia poses a dual challenge for the anaesthesiologist on account of difficult airway often compounded with systemic abnormalities.
Case report: We describe a case report wherein a 5 year female presented to the oculoplastic clinic of our hospital for surgical removal of limbal dermoid under general anaesthesia. Airway examination revealed classical facial asymmetry with underdevelopment of jaw bone coupled with protruding incisors. A predicted difficult airway, more so in a child led us to choose an anaesthesia technique with preservation of spontaneous breathing and planned use of supraglottic device in the form of an I Gel for airway management.
Conclusion: The aim of this case report is to highlight the anaesthetic implications of this not so uncommon entity presenting to ophthalmology and ENT clinics. A thorough preoperative assessment, adequate preparedness and alternative plans are keys for successful airway management in such syndromic children.
Keywords: Goldenhar syndrome, hemifacial microsomia, I Gel
Patterns of non-communicable comorbidities at start of tuberculosis treatment in three regions of the Philippines: The St-ATT cohort
Authors: Cox Sharon E. , Edwards Tansy , Faguer Benjamin N. , Ferrer Julius P. , Suzuki Shuichi J. , Koh Mitsuki , Ferdous Farzana , Saludar Naomi R. , Garfin Anna-Marie C. G. , Castro Mary C. , Solon Juan A.
Published: November 2021

Diabetes and undernutrition are common risk factors for tuberculosis (TB), associated with poor treatment outcomes and exacerbated by TB. Limited data exist describing patterns and risk factors of multiple comorbidities in persons with TB. Nine-hundred participants (69.6% male) were enrolled in the Starting Anti-TB Treatment (St-ATT) cohort, including 133 (14.8%) initiating treatment for multi-drug resistant TB (MDR-TB). Comorbidities were defined as: diabetes, HbA1c ≥6.5% and/or on medication; hypertension, systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg and/or on medication; anaemia (moderate/severe), haemoglobin <11g/dL; and, undernutrition (moderate/severe) body-mass-index <17 kg/m2. The most common comorbidities were undernutrition 23.4% (210/899), diabetes 22.5% (199/881), hypertension 19.0% (164/864) and anaemia 13.5% (121/899). Fifty-eight percent had ≥1 comorbid condition (496/847), with 17.1% having ≥2; most frequently diabetes and hypertension (N = 57, 6.7%). Just over half of diabetes (54.8%) and hypertension (54.9%) was previously undiagnosed. Poor glycemic control in those on medication (HbA1c≥8.0%) was common (N = 50/73, 68.5%). MDR-TB treatment was associated with increased odds of diabetes (Adjusted odds ratio (AOR) = 2.48, 95% CI: 1.55–3.95); but decreased odds of hypertension (AOR = 0.55, 95% CI: 0.39–0.78). HIV infection was only associated with anaemia (AOR = 4.51, 95% CI: 1.01–20.1). Previous TB treatment was associated with moderate/severe undernutrition (AOR = 1.98, 95% CI: 1.40–2.80), as was duration of TB-symptoms before starting treatment and household food insecurity. No associations for sex, alcohol or tobacco use were observed. MDR-TB treatment was marginally associated with having ≥2 comorbidities (OR = 1.52, 95% CI: 0.97–2.39). TB treatment programmes should plan for large proportions of persons requiring diagnosis and management of comorbidities with the potential to adversely affect TB treatment outcomes and quality of life. Dietary advice and nutritional management are components of comprehensive care for the above conditions as well as TB and should be included in planning of patient-centred services.
The aggregate effect of implementation strength of family planning programs on modern contraceptive use at the health systems level in rural Malawi
Authors: Pattnaik Anooj , Mohan Diwakar , Tsui Amy , Chipokosa Sam , Katengeza Hans , Ndawala Jameson , Marx Melissa A.
Published: November 2021

To explore the association between the strength of implementation of family planning (FP) programs on the use of modern contraceptives. Specifically, how strongly these programs are being implemented across a health facility’s catchment area in Malawi and the odds of a woman in that catchment area is using modern contraceptives. This information can be used to assess whether the combined impact of multiple large-scale FP programs is leading to change in the health outcomes they aim to improve. We used data from the 2017 Implementation Strength Assessment (ISA) that quantified how much of family planning programs at the health facility and community health worker levels were being implemented across every district of Malawi. We used a summary measure developed in a previous study that employs quantitative methods to combine data across FP domains and health system levels. We tested the association of this summary measure for implementation strength with household data from the 2015 Malawi Demographic Health Survey (DHS). We found that areas with stronger implementation of FP programs had higher odds of women using modern contraceptives compared with areas with weaker implementation. The association of ISA with use of modern contraception was different by education, marital status, and geography. After controlling for these factors, we found that the adjusted odds of using a modern contraceptive was three times higher in catchment areas with high implementation strength compared to those with lower strength. Metrics that summarize how strongly FP programs are being implemented were used to show a statistically significantly positive relationship between increasing implementation strength and higher rates of modern contraceptive use. Decisionmakers at the various levels of health authority can use this type of summary measure to better understand the combined impact of their diverse FP programming and inform future programmatic and policy decisions. The findings also reinforce the idea that having a well-supported and supplied cadre of community health workers supplementing FP provision at the health facility can be an important health systems mechanism, especially in rural settings and to target youth populations.