bluuebunny/crossref_metadata_2025 huggingface dataset:
Ethnocultural landscapes zoning of traditional reindeer husbandry in the context of municipalities of the Russian Federation
Authors:   St. Petersburg State University, Klokov Konstantin B. , Antonov Evgeny V. ,   St. Petersburg State University,   Institute of geography Russian Academy of Sciences
Published: March 2023

Traditional reindeer husbandry is a specific form of nature management for many northern peoples, on which their way of life and distinctive culture are based. It is a fundamental part of their cultural heritage. Although there are many ethnological studies on reindeer husbandry, it has not yet been adequately understood in terms of cultural landscape theory and ethnocultural zoning. This article presents a system of ethno-cultural-landscape zoning of one of the most peculiar types of traditional natural resource use of the indigenous peoples of Russia – reindeer herding. The zoning units include landscapes with a certain character of connections of reindeer herding with the geographical environment. The zoning was done by combining natural-landscape and social-geographical approaches for the entire territory of the country where nomadic traditional reindeer husbandry still exists. Using the previously identified environmental, social and institutional factors, the authors proposed a multistage zoning scheme. At the upper level, the reindeer husbandry ecological-economic types were taken as the basis, and the zones of large-herd (in tundra), small-herd (in taiga) and mountain reindeer husbandry were delimited accordingly. At the second level, the delineation is based on the ethno-cultural factor, identifying four ethno-cultural types of reindeer husbandry: Nenets & Komi Izhem, Tungus, Chukchies & Koryak and Sayan, which are closely related to the location of reindeer herding peoples. Finally, the third level uses the technique of the so-called "floating indicator". The research resulted in the zoning map of ethno-cultural landscapes of traditional reindeer husbandry with 33 units related to different taxonomic levels. The resulting zoning scheme makes it possible to systematize ideas about ethno-cultural landscapes, takes into account their features when implementing state measures of support and development of the traditional reindeer husbandry, and take a diversified approach not only to regional, but also to local features of reindeer herding functioning in each particular zoning unit.
Public health risks caused by contamination of local food products
Authors:   Ufa Research Institute of Occupational Health and Human Ecology, 94 Stepana Kuvykina Str., Ufa, 450106, Russian Federation, Fazlieva A.S. , Daukaev R.A. ,   Ufa Research Institute of Occupational Health and Human Ecology, 94 Stepana Kuvykina Str., Ufa, 450106, Russian Federation, Karimov D.O. ,   Ufa Research Institute of Occupational Health and Human Ecology, 94 Stepana Kuvykina Str., Ufa, 450106, Russian Federation, Afonkina S.R. ,   Ufa Research Institute of Occupational Health and Human Ecology, 94 Stepana Kuvykina Str., Ufa, 450106, Russian Federation, Allayarova G.R. ,   Ufa Research Institute of Occupational Health and Human Ecology, 94 Stepana Kuvykina Str., Ufa, 450106, Russian Federation, Aukhadieva E.A. ,   Ufa Research Institute of Occupational Health and Human Ecology, 94 Stepana Kuvykina Str., Ufa, 450106, Russian Federation
Published: March 2023

Food safety is a major concern around the world due to toxic metal contamination in food and associated health risks. Vegetables, cereals and baked goods make up a large part of a healthy human diet as vital sources of nutrients, minerals and fiber. Long-term intake of metals with food facilitates their accumulation in the human body. The study aimed to assess health risks for adults and children caused by alimentary intake of chemical elements with local food products. The study was conducted in the Republic of Bashkortostan, which is a territory with a developed agricultural and industrial complex. A total of 524 plant samples were selected and analyzed to identify levels of lead, cadmium, copper, zinc, iron, nickel and aluminum in them by using atomic absorption analysis. Samples included bakery and cereal products sold in the republic and vegetable products from private farms. The article describes the results of hygienic assessment with its focus on contents of essential and toxic elements in locally produced foods. Intake of contaminants with local food products was established based on the data on average food consumption per capita. We determined contributions made by two groups of traditional mass-consumption products to the total exposure that influences health of people living in different districts across the republic. The study established the total hazard quotient of non-carcinogenic effects to be higher than its threshold vale and to equal 3.43 for children and 1.54 for adults. The greatest contributions to the total hazard quotients were made by copper (45 %) and cadmium (30 %). Our as-sessment of carcinogenic risks caused by intake of contaminants with foods revealed that the total health risk as per the median value corresponded to its permissible level.
NFAT gene polymorphism as a risk factor of knee osteoarthrosis
Authors:   Belgorod National Research University, 85 Pobedy Str., Belgorod, 308015, Russian Federation, Novakov V.B. ,   City Hospital No. 2, 46 Gubkina Str., Belgorod, 308036, Russian Federation, Novakova O.N. ,   Belgorod National Research University, 85 Pobedy Str., Belgorod, 308015, Russian Federation, Churnosov M.I. ,   Belgorod National Research University, 85 Pobedy Str., Belgorod, 308015, Russian Federation
Published: March 2023

Knee osteoarthrosis (OA) is a multifactorial disease with genetic factors playing an important part in its development. Our research goal was to examine associations between polymorphic variants rs1060105 and rs56116847 of SBNO1 gene, rs6499244 of NFAT5 gene and rs34195470 of WWP2 gene and developing stage 4 knee osteoarthrosis in people living in the Central Chernozem Region in Russia. Genotyping of polymorphic loci of candidate genes was accomplished in 95 patients with stage 4 knew osteoarthrosis and 500 people without the disease who were included into the reference group. We estimated associations between polymorphic loci of candidate genes and knee OA by using logistic linear regression within the allele, additive, recessive and dominant genetic models with gPLINK software. As a result, we replicated an association between a GWAS-significant rs6499244 polymorphism of NFAT5 gene and knee OA in people living in the Central Chernozem Region in Russia. An allele variant A of rs6499244 of NFAT5 gene was established to be “a risk factor” regarding stage 4 knee OA within the additive (OR = 1.61, рperm = 0.02) and recessive (OR = 2.07, рperm = 0.02) genetic models. The rs6499244 locus of NFAT5 gene is located in an area of DNAse I hypersensitivity; it increases DNA affinity to four transcription factors (CDP_6, RFX5_known1, RORalpha1_2, TCF4_known1); it is localized in functionally active promoters and enhancers; it is associated with expression of nine genes (CLEC18A, COG4, EXOSC6, NFAT5, NOB1, NPIPB14P, NQO1, PDXDC2P, SMG1P7) and alternative mRNA splicing of three genes (NOB1, NPIPB14P, NQO1) in various organs and tissues in the body including those that are pathogenetically significant for OA (fat tissue, tibial nerves and arteries, and skeletal muscles).
Assessment of Bango River Water Quality on Different Land Uses
Authors: Fadhilah Arriel , Haribowo Riyanto
Published: March 2023

River pollution in Indonesia is one of the biggest problems and tends to increase perpendicular to the rapidly developing population and human activities. As stated in Sustainable Development Goals (SDGs) number 6, clean water and sanitation are also becoming an international priority of sustainability. Therefore, understanding the interaction pattern between pollution and various human activities around the site can be a consideration for water environmental pollution mitigation policies. This study assesses the water quality of the Bango River segment, as a typical "urban river". The results indicated that the Bango River water quality was classified as "Slightly Polluted" (i.e., with a Pollution Index = 1.3802; Storet = -4). Urban and agricultural activities are significantly related to pH and ORP parameters in the Bango River (Pearson correlation p-value>0.05). These findings can become a reference for future appropriate mitigation policies to maintain water quality and minimize the negative impacts of human activities on river ecosystems.
GIANT ARACHNOID CYST WITH SPONTANEOUS SHRINKING: A CASE REPORT
Authors: Asan Ziya
Published: March 2023

Arachnoid cysts occur in approximately 1% of all intracranial space-occupying lesions and do not require a very high rate of surgical intervention. Arachnoid cysts are cystic formations containing cerebrospinal fluid. It is argued that the enlargement of the arachnoid cysts increases in volume with the unilateral valve mechanism. They are generally considered static formations because they do not tend to grow. A 16-year-old male patient was evaluated for headache attacks resistant to medical treatment. A giant arachnoid cyst located in the left temporal region was detected in the cranial MRI examination of the patient who had no history of head trauma or cranial operation in his medical history. In the MRI examination two years later, it was seen that the arachnoid cyst had almost completely disappeared. However, it was also found that it caused cambering in the temporal bone in the adjacent region. This finding supports that not all arachnoid cysts are static formations; they may have their internal dynamics and even cause shape changes in the surrounding tissues and even the cranium.
KERNOHAN’S NOTCH PHENOMENON IN AN ACUTE COMPONENTED CHRONIC SUBDURAL HEMATOMA PATIENT: A CASE REPORT
Authors: Asan Ziya
Published: March 2023

Kernohan's notch phenomenon is a rare examination finding in cases diagnosed as an intracranial space-occupying lesion. The localization of the space-occupying lesion in this clinical status, which is considered as a sign of herniation, is on the opposite side of the predicted side. The most typical finding is motor deficit and mydriasis on the same side as the space-occupying lesion. A 61-year-old female patient was evaluated in the emergency department due to sudden loss of consciousness. Her neurological examination revealed anisocoria and right hemiparesis findings, including mydriasis in the right pupil. Cranial computed tomography examination revealed a large, acute component combined with chronic subdural hematoma in the right frontoparietal region and midline shift. Clinical and radiological findings were evaluated as Kernohan’s Notch Sign phenomenon. The patient, who was operated on urgently, was discharged on the 7th postoperative day without any neurological deficits.
THE EFFECTS OF SHORT/LONG-TERM ADMINISTRATION OF DUAL ANTIPLATELET THERAPY ON RESTENOSIS IN PATIENTS WITH CAROTID ARTERY STENTING
Authors: Karluka İsmail , Onan Hasan Bilen , Akgül Erol , Aksungur Erol Hüseyin
Published: March 2023

Background: There is no consensus on the duration of dual antiaggregant therapy after carotid stenting. This study aimed to evaluate the early contribution of dual antiaggregant therapy for three or six months to stent restenosis.
Objective: This study aimed to identify the correlation between stent restenosis and the duration of dual antiplatelet therapy (DAPT) in carotid artery stenting (CAS) subjects by retrospectively scanning a CAS procedure dataset.
Methods: Patients who underwent a CAS procedure received dual DAPT (acetylsalicylic acid (ASA) + clopidogrel) were recruited for this study. The first group was the patients who received dual antiaggregants for three months, and the second group was the patients who received dual antiaggregants for six months. Patients' demographic characteristics, comorbidities, and radiological results were reviewed. Follow-up activities for the following six months were assessed for stent status, complications, and new ischemic lesions.
Results: A total of 65 patients received ASA (acetylsalicylic acid) + clopidogrel for six months, while the remaining 118 patients were treated for three months. The restenosis rates were not significantly different between the two groups. The complication and adverse event frequencies were also similar.
Conclusion: This study revealed that the efficacy of 3-month and 6-month DAPT is similar regarding the restenosis frequency, and there are no significant differences in complication frequency.
The Potential of Sharia Tourism Muara Jambi Temple on Regional Economic Growth
Authors: Fradesa Fiza
Published: March 2023

Abstract

 

This scientific article aims to discuss The Potential of Sharia Tourism Muara Jambi Temple on Regional Economic Growth. The data collection techniques in this study used qualitative methods through observation, interviews, documentation, and triangulation techniques, as well as data analysis techniques, namely data reduction, data presentation, and conclusion drawing and verification. The results of his research are that Muara Jambi Temple has the potential to become sharia tourism, seen from its development which can have a significant impact on the economy, about 45% of the people around the temple area who depend their lives on this tourist spot. However, when viewed as a whole, this tourist spot has no potential as a sharia tourist place because in its management there are still several policies that do not lead to sharia rules, so improvements and improvements still need to be reviewed so that later this place can be used as sharia tourism, it is predicted around 10-15 years later this temple can be realized as a sharia tourism. The government and related stakeholders are expected to further strengthen the synergy to build Jambi tourism for the better in order to increase regional economic growth.

 

Keywords: Potential, Sharia Tourism, Economic Growth.
Gender Equality as a Tool for Sustainable Development
Authors: Yadav Sucheta
Published: March 2023

Gender inequality is prevailing in all the cultures of the world that is a big challenge for sustainable development of any country. Sustainable Development depends on an equal distribution of resources that cannot be attained without gender equality. Gender equality is the process distributing resources, programs and decision making fairly to both males and females without any discrimination on basis of sex. Women empowerment is a key factor for achieving sustainability any as it enables them to fully use their potential, creativity and talent which are instrumental for the economic development for country. The 2030 Agenda for Sustainable Development and its 17 Sustainable Development Goals (SDGs) accepted by world leaders in 2015, symbolize a roadmap for progress that is sustainable and achieving gender equality and women’s empowerment is integral to each of the 17 goals. The present paper reveals the aspect that sustainable development of any country is impossible without women empowerment. Main objectives of the research paper is to promote societal awareness to gender issues and women's human rights. The paper analysis applications of SDG-5 (Women Empowerment) as a Tool for Sustainable Development.
Production and egg quality in chicken layers fed with Tithonia diversifolia
Authors: Díaz-Echeverría Víctor Francisco , Velmar-Chan Veimer , Santos Ricalde Ronald Herve , Segura-Correa José Candelario , Pat-Ake Ismael , Chavarria-Diaz Addy Consuelo , Oros-Ortega Iván , Casanova-Lugo Fernando , Cen Hoy Amelia , Kim Barrera Candita
Published: March 2023

We evaluated the effect of different dietary Tithonia diversifolia (TD: 0, 10, 20, and 30 %) on productive traits, egg quality, and economic efficiency in laying hens. Feed intake was higher in hens fed the 20 and 30 % TD diets (120.6 and 119.0 g/day) compared with those fed the 0 or 10 % TD diets (P < 0.0010). Feed egg weight conversion increased with dietary TD inclusion (P < 0.0010). The laying rate was higher (P < 0.0020) in hens on 0 and 10 % TD diets (94.5 and 94.6 %, respectively) than those on 20 and 30 % TD diets (89.7 and 84.9 %). Eggs and yolks were heavier in hens fed 0, 10, and 20 % TD compared with those fed the 30 % TD diet (P <0.0020 and P < 0.0040, respectively), which also had poorer albumen width (P < 0.0010). The yolk had a more intense yellow as the level of dietary TD increased (P < 0.0001). Dietary TD did not affect economic efficiency. In summary, the inclusion of up to 10 % TD in laying hen diets seems feasible as it did not affect productive traits, economic efficiency, and egg quality traits.
Implementación de tromboelastografía para evitar la transfusión de plasma fresco congelado en neonatos
Authors: Soto-Manzano Anggy Valentina
Published: March 2023

Introducción: actualmente, la indicación principal para la transfusión de FFP es corregir la deficiencia de los factores de coagulación en pacientes con hemorragia activa o sugestión de esta, sin embargo, la práctica clínica ha demostrado que un porcentaje grande de las transfusiones de FFP en neonatología no siguen las recomendaciones de las guías actuales y, en su mayoría, son innecesarias.

Objetivo: ampliar el conocimiento que se tiene sobre la transfusión de FFP en neonatología y la implementación de la tromboelastografía para evitar realizar estas intervenciones.

Metodología: se realizó una revisión de la literatura en la base de datos PubMed y Elsevier, usando palabras clave como tromboelastografía, transfusión de plasma en neonatos, hemostasia neonatal.

Conclusión: se evidenció que los tiempos de coagulación de los neonatos y prematuros sanos son más prolongados en comparación a los adultos, por ello facilita su errada cuando se habla de transfusión de FFP, de ahí que la TEG sea una buena herramienta para evaluar el estado coagulante de los neonatos de manera integral, sin abrir paso a errores de interpretación y facilitando la decisión de tratamientos en los pacientes en UCIN, antes de requerir transfusiones de FFP.
GHOST IMAGES
Authors: Belinsky A. V. , Vasilkov V. V.
Published: March 2023

A new type of optical imaging is described, which has undoubted advantages in certain applications in comparison with traditional optical methods. The use of nonlinear optical quantum processes makes it possible to obtain entangled photon pairs rigidly correlated in space and time in the course of spontaneous parametric three-photon scattering and counter-propagating four-photon mixing. This correlation can be used to construct ghost images. A fiber-optic version of the formation of phantom images is also described, which is suitable for the study of hard-to-reach cavities and organs of the human body, which allow the introduction of a thin fiber-optic bundle.
UNICODE AS AN ANALOGUE OF THE GENCODE
Authors: Bakhtiyarov K. I.
Published: March 2023

The structure of artificial intelligence as a multilevel symmetry is built by association with natural intelligence, being its digitized analogue. The principle of reduction of multivalent truth values is formulated. A metaphysical clock with two hands describing two levels of genesis, which consists of orthogonal phases of the rhythm of becoming, is constructed. There is an easy way to directly comprehend the truth. These are two level coordinates based on a Cartesian square.
METAPHYSICS OF RELATIONAL PICTURE OF MICROWORLD
Authors: Vladimirov Yu. S.
Published: March 2023

The paper indicates principles and fundamentals of binary pre-geometry in the framework of the relational paradigm based on the formalism of binary systems of complex relations of rank (4,4). Description of elementary particles (hadrons) in terms of the values of roots of the characteristic equation of complex 3×3-matrices has been proposed. The baryons are shown to be described by the subtype I solutions of algebraic classification, and the mesons by D and O ones (with identical roots), which justifies the conventional types of hadrons, the values of their electric charges. Algebraic formulae for their mass have been presented. The meson solutions form the basis of three nuclear structures of Mendeleev’s table.
The rise of Qatar in the international arena: causes, factors, consequences
Authors: Abou Khashabh Ayham Saleh , Akhmedova Nigina Sukhbatovna
Published: March 2023

The relevance of the research topic is due to the strengthening of the role of Qatar in international affairs. The purpose of this study is to identify the causes, factors, and consequences of the rise of Qatar in the international arena. The Gulf Monarchy has faced a number of historical developments and trends that have contributed to its transformation into a strong player in the Arab region. After Hamad bin Khalifa Al Thani came to power in 1995, a small country in terms of geographical and demographic indicators was perceived as a minor player. However, Qatar, which has noticeably stepped up its policy in the region, has become one of the influential states in the Middle East. The methodological basis of the study is based on the principle of historicism, according to which the problem under study is considered with an emphasis on identifying qualitative changes and the historical dynamics of the analyzed processes. The historical-descriptive method was used to identify the key events that influenced the transformation of Qatar’s foreign policy. The authors also emphasize the role of the ruling elite in reforming Qatari society and developing an offensive foreign policy strategy. The conclusion is made about the external and internal factors of the rise of the state, including an active foreign policy along with a stable domestic policy.
Mutual Perception of Arabs and Iranians: History and Present
Authors: Lashina Anna A. , Chikrizova Olga S.
Published: March 2023

The relevance of the topic of the study is caused by the traditional perception of animosity between the citizens of the Islamic Republic of Iran and the Arab states due to historical and religious factors, as well as the statements of the political elites. The purpose of this study is to reveal the real mutual perception of Iranians and Arabs. In the context of the epidemiological situation in the world and the limitations of fi research, the sociological surveys and forums posted on the Internet on this topic are of top interest. The authors rely on a comparative approach in their study. On the basis of this research, aspects of contradictions and solidarity of the parties on a number of issues have been established. In addition, it has been confi that there is little or no antipathy towards one another among ordinary citizens of the Arab and Persian worlds, although the Arab side has a slightly more negative attitude.
High Hopes, Lost Illusions: General Islamic Congress in Jerusalem (1931)
Authors: Kirillina S. A. , Safronova A. L. , Orlov V. V.
Published: March 2023

The significance of the research topic is due to the relevance of the problem of the caliphate in the social and political life of the modern Arab-Muslim world. The purpose of this research project is to analyze the causes and consequences of the emergence of caliphate movements, which were the reaction of the Muslim world to the destruction of the Ottoman Empire and the liquidation of the institution of the caliphate in 1924 by the republican leadership of Turkey. At the same time, the authors focus on the General Islamic Congress in Jerusalem (1931) as a concrete example of the socio-political discussions of Muslims about the unity of the Ummah and the future fate of the caliphate. Based on the materials of historical sources, the authors identified contradictions in the diversity of ideological and value views of the caliphatists in the main areas of Islamic world - in the Middle East, North Africa and South Asia, analyzed methodological, spiritual and political obstacles that stood in the way of the ideologists of caliphatism by the example of contradictions in the activities of the Mufti of Jerusalem Amin al-Husseini (c. 1895-1974), who advocated the independent statehood of Arab Palestine, and the leader of Indian Muslims Shaukat Ali (1873-1938), who advocated the internationalization of the cause of the revival of the caliphate. The authors prove that “Islamic internationalism” in the 1930s began to acquire more and more national, ethno-culturally conditioned forms, which was due to the distrust of caliphatism on the part of the British colonial officials and the political elites of Turkey and Egypt in the geopolitical conditions that changed after the First World War. In addition, the importance of studying higher Muslim education for the characterization of the political, value, religious and philosophical positions of the caliphists and their opponents is revealed.
Productivity and profitability of Indian mustard under nutrient management and different sowing method in lateritic soil of West Bengal
Authors:   Department of Agronomy, Palli Siksha Bhavana (Institute of Agriculture), Sriniketan-731 236, India, Biswas C. , Pramanik K. ,   Department of Agronomy, Palli Siksha Bhavana (Institute of Agriculture), Sriniketan-731 236, India, Kumar De S. ,   Department of Agronomy, Palli Siksha Bhavana (Institute of Agriculture), Sriniketan-731 236, India
Published: March 2023

Aim: This study was carried out to find the optimum fertilizer requirement and best planting method for higher productivity and profitability of Indian mustard. Methodology: A field trial was performed during the rabi season of 2019-20 on a sandy-loam soil at Agricultural Farm, Palli Siksha Bhavana (Institute of Agriculture), Visva-Bharati, Sriniketan, Birbhum, West Bengal. The treatments comprised of three methods of sowing, i.e., transplantation, broadcasting, and line sowing in the main plot and four nutrient managements, i.e., 60:30:30, 70:35:35, 80:40:40, and 90:45:45 (N: P2O5:K2O kg ha-1) in a subplot and replicated thrice in a split-plot design. Growth economics parameters were evaluated. Results: Transplanting method with the nutrient management 90 kg N, 45 kg P2O5, and 45 kg K2O ha-1 was significantly superior in terms of growth attributes, yield parameters, productivity, and profitability over other methods of sowing and nutrient management in lateritic soil of West Bengal. The transplanted mustard crop produced higher yield because it got the longest reproductive period and required nutrient level, i.e., 90 kg N, 45 kg P2O5, and 45 kg K2O ha-1. Interpretation: Finding appropriate method of sowing under different nutrient levels can be done using growth, yield attributes, and yield. Yield and profitability were found maximum under 90 kg N, 45 kg P2O5, and 45 kg K2O ha-1 over other nutrient levels and transplanting method of sowing of Indian mustard was better than broadcasting, and line sowing method in the present experiment under the lateritic soil of West Bengal. Key words: Indian mustard, Laterite soil, Nutrient management
Understanding and Overcoming Barriers to Rural Obstetric Training for Family Physicians
Authors: Fredrickson Erin , Evans David V. , Woolcock Sara , Andrilla C. Holly A. , Garberson Lisa A. , Patterson Davis G.
Published: March 2023

Background and Objectives: Family physicians are the most common health professional providing rural obstetric (OB) care, but the number of family physicians practicing OB is declining. To address rural/urban disparities in parental and child health, family medicine must provide robust OB training to prepare family physicians to care for parent-newborn dyads in rural communities. This mixed-methods study aimed to inform policy and practice solutions.
Methods: We surveyed 115 rural family medicine residency programs (program directors, coordinators, or faculty) and conducted semistructured interviews with personnel from 10 rural family medicine residencies. We calculated descriptive statistics and frequencies for survey responses. Two authors conducted a directed content analysis of qualitative survey and interview responses.
Results: The survey yielded 59 responses (51.3%); responders and nonresponders were not significantly different by geography or program type. Most programs (85.5%) trained residents to provide comprehensive prenatal and postpartum care. Continuity clinic sites were predominantly rural across all years and OB training was largely rural in postgraduate year 2 (PGY2) and PGY3. Almost half of programs listed “competition with other OB providers” (49.1%) and “shortage of family medicine faculty providing OB care” (47.3%) as major challenges. Individual programs tended to report either few challenges or multiple challenges. In qualitative responses, common themes included the importance of faculty interest and skill, community and hospital support, volume, and relationships.
Conclusions: To improve rural OB training, our findings support prioritizing relationships between family medicine and other OB clinicians, sustaining family medicine OB faculty, and developing creative solutions to interrupt cascading and interrelated challenges.
Telemedicine Competencies in Family Medicine Clerkships: A CERA Study
Authors: Bajra Rika , Lin Steven , Theobald Mary , Antoun Jumana
Published: March 2023

Background: While the Association of American Medical Colleges (AAMC) designated cross-disciplinary telemedicine competencies, curricular implementation is at disparate stages across medical schools and with significant curricular gaps. We investigated factors associated with the presence of telemedicine curriculum in family medicine clerkships.
Methods: Data were evaluated as part of the 2022 CERA survey of family medicine clerkship directors (CD). Participants answered questions about telemedicine curriculum in their clerkship, including whether it was required or optional, whether telemedicine competencies were assessed, the availability of faculty expertise, volume of visits, student autonomy in visits, CD’s attitude about the importance of telemedicine education, and awareness of the Society of Teachers of Family Medicine’s (STFM) Telemedicine Curriculum.
Results: Ninety-four of 159 CDs (59.1%) responded to the survey. Over one-third of FM clerkships (38, 41.3%) did not teach telemedicine and most CDs (59, 62.8%) did not assess competencies. The presence of telemedicine curriculum was positively associated with CDs’ awareness of STFM’s Telemedicine Curriculum (P=.032), attitude of CDs toward importance of telemedicine teaching (P=.007), higher level of learner autonomy in telemedicine visits (P=.035), and private medical schools (P=.020).
Conclusions: Almost two-thirds of clerkships (62.8%) did not assess telemedicine competencies, and fewer than one-third of CDs (28.6%) considered telemedicine education as important as other clerkship topics. CDs’ attitudes were a significant determinant of whether teaching of telemedicine skills occurred. Awareness of telemedicine education resources and higher learner autonomy in telemedicine encounters may promote integration into clerkship curriculum.
An Evaluation of STFM’s National Addiction Curriculum
Authors: Sokol Randi , Ahern John , Pleman Brandon , Rizzo Paul , Walker A. Taylor , Wang Katherine , Martin Matthew P.
Published: March 2023

Background and Objectives: Family physicians are well positioned to treat patients with substance use disorders (SUDs), expand access to care, destigmatize addiction, and provide a biopsychosocial treatment approach. There is a great need to train residents and faculty to competency in SUD treatment. Through the Society of Teachers of Family Medicine (STFM) Addiction Collaborative, we created and evaluated the first national family medicine (FM) addiction curriculum using evidence-based content and teaching principles.
Methods: After launching the curriculum with 25 FM residency programs, we collected formative feedback through monthly faculty development sessions and summative feedback through 8 focus groups with 33 faculty members and 21 residents. We used qualitative thematic analysis to assess the value of the curriculum.
Results: The curriculum enriched resident and faculty knowledge across all SUD topics. It changed their attitudes in viewing addiction as a chronic disease within the scope of FM practice, increased confidence, and decreased stigma. It nurtured behavior change, enhancing communication and assessment skills and encouraging collaboration across disciplines. Participants valued the flipped-classroom approach, videos, cases, role plays, ready-made teacher’s guides, and one-page summaries. Having protected time to complete the modules and temporally coupling the modules with the live, faculty-led sessions enhanced learning.
Conclusion: The curriculum provides a comprehensive, ready-made, evidenced-based platform for training residents and faculty in SUDs. It can be implemented by faculty with all levels of prior expertise, cotaught by physicians and behavioral health providers, tailored to each program’s didactic schedule, and modified based on the local culture and resource availability.
Estágio e formação docente em educação física escolar no ensino remoto emergencial
Authors: Santos Elane da Silva , Ferreira Júnior Paulo Maia , Medeiros Filho Antonio Evanildo Cardoso de , Pontes Junior José Airton de Freitas
Published: March 2023

O estudo teve como objetivo analisar o Estágio Curricular Supervisionado (ECS) realizado de forma remota na formação de professores de Educação Física da Universidade Estadual do Ceará, identificando suas potencialidades, desafios e os aspectos didático-pedagógicos apresentados pelos estudantes. O estudo caracteriza-se como qualitativo, descritivo e documental, utilizando-se da análise de conteúdo em 27 relatórios finais. As evidências apontam que os estagiários compreendem que o período de ECS é fundamental para sua formação docente e que influencia no seu futuro profissional, inclusive no acesso ao mercado de trabalho. Entre as potencialidades encontradas, encontram-se o contato com diversas ferramentas digitais e sua utilização para consecução dos objetivos educacionais. Por outro lado, entre os desafios, destacam-se o pouco tempo de permanência em campo do discente devido ao desencontro do calendário acadêmico e civil, bem como a dificuldade de alguns alunos em manusear as ferramentas digitais. Percebe-se que o Ensino remoto emergencial foi um fator provocador para os estagiários, proporcionando desafios e aprendizagens.
Consumer Reviews, Ratings, and Gamification on Muslim Millennials’ Online Purchasing Decisions
Authors: Prastiwi Septi Kurnia , Rohimat Asep Maulana , Aisyiah Helti Nur
Published: March 2023

Since previous research on the relationship among Online Consumer Review (OCR), ratings, gamification, and online purchasing decisions had mixed results, this study involves trust as a mediating variable, which has never been explored in previous research, to explore online consumer reviews, ratings, and gamification in increasing trust of Muslim Millennials for online purchasing decisions. Investigating Muslim millennials in Central Java and Yogyakarta, 114 questionnaire results were analyzed using Structural Equation Model. The results showed that OCR and ratings affect Muslim Millennials' online purchasing decisions at Shopee, while gamification cannot affect them. Trust in this research model could not affect purchasing decisions. Thus, the trust could not be a mediating variable. The results of this study will be useful for Micro, Small and Medium Enterprises (MSMEs) and the online shop’s development team to maintain the image of an online store.
La escuela bajo el argumento: Retóricas y discursos de la calidad educativa. Colombia, 1980-2018
Authors: Manso Gómez Maira Alejandra
Published: March 2023

La noción de calidad educativa se ha instituido como el eje central del debate en torno a la reforma educativa adelantada en Colombia durante las últimas décadas. En todos los sectores sociales involucrados se hace alusión de forma constante a la necesidad de adquirir una educación de calidad o mejorar la calidad educativa. Pero ¿Qué implica esta noción? ¿Es en verdad un elemento esencial, una meta común e indiscutible? O por el contrario ¿Es una justificación desde la cual validar cualquier intención reformista? El presente libro condensa los resultados de un trabajo investigativo cuyo propósito es evidenciar las retóricas educativas que se han tejido en Colombia a partir del discurso de la calidad, usando una metodología basada en el análisis documental y el Análisis Crítico del Discurso aplicado a una selección de producciones emitidas durante los años 1980 a 2018 por el Ministerio de Educación Nacional, MEN, la Federación Colombiana de Trabajadores de la Educación, FECODE, y la Fundación Empresarios por la Educación, ExE. La educación se plantea frecuentemente como el medio a través del cual es posible lograr la superación de los obstáculos que se presentan tanto a nivel social e individual, alcanzando un estado de bienestar ideal, convirtiendo a la calidad en un elemento discursivo protagónico que ha llegado, incluso, a desplazar lo pedagógico. Así, de la mano de teóricos como Michael Foucault (1992), Teun Van Dijk (2016) y Thomas S. Popkewitz (1998), este libro señala las retóricas de aquellos que promueven el discurso de la calidad.
Novel amino acid ionic liquids prepared via one-step lactam hydrolysis for the highly-efficient capture of CO2
Authors: Wen Shuyue , Wang Tao , Zhang Xiaomin , Xu Weigao , Hu Xingbang , Wu Youting
Published: March 2023

This paper proposes for the first time the preparation of a series of
amino acid ionic liquids (AAILs) via one-step hydrolysis of cheap
lactams for the capture of CO2. The structures of the prepared AAILs are
confirmed using NMR, FTIR, and ESIMS, and their physical properties are
also determined. It is found that these AAILs are reversible CO2
absorbents with very high absorption capacities (0.15 to 0.18 g·g1 at
313.2 K and 1.0 bar), better than almost all task-specific ionic liquids
reported in literatures. The absorption mechanism is also elucidated to
be a combination of 1:1 and 2:1 stoichiometric reaction of AAILs with
CO2 from NMR, FTIR, reaction equilibrium thermodynamical modelling
(RETM) and quantum calculations. The AAILs have the advantages of simple
synthesis, high yield, and using available cheap raw materials. It is
believed that this kind of AAILs have great potentials to be used as
efficient CO2 absorbents.
Research on the low carbonization of clean energy use in rural residential buildings in China under the background of “carbon peaking and carbon neutrality”
Authors: wang yao , Hong qiankun
Published: March 2023

As an important part of the construction industry, rural residential
buildings are characterized by low energy utilization, unreasonable
structures and low consumption levels, and it is particularly important
to study their low-carbon transformation and evaluation system. In view
of the many low-carbon transformation needs of rural residential
buildings, the existing research results were analyzed in depth, and the
coefficient of variation method was used to identify the important
factors affecting the low-carbon transformation of rural residential
buildings, and the evaluation system of rural residential buildings’
low-carbon transformation was determined by Analytic Hierarchy Process
(APH), and the system was used in a rural residential building
low-carbon evaluation study. The results show that the influence of
“energy use”, “envelope structure” and “economic factors” on the
decarbonization of buildings is obvious, with the weights of 36.4%,
24.5% and 19.5% respectively. Among the secondary indicators, “clean
energy utilization”, “electricity consumption”, “external wall
insulation system” and “window performance” are the most important
factors in reducing carbon emissions in rural areas. The most critical
influencing factors for the low carbonization level of clean energy in
rural residential buildings are “window performance”. Finally, based
on the constructed low carbonization evaluation system, we propose a
targeted solution strategy to provide a theoretical basis for the
establishment of an effective low carbonization evaluation system for
clean energy in rural residential buildings.
THE USE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY TO PREDICT SURGICAL COMPLEXITY SCORING SYSTEM FOR DEGENERATIVE MITRAL VALVE REPAIR
Authors: Bhatt Himani V. , Lisann-Goldman Lauren , Baron Elvera L. , Salter Benjamin S. , Lin Hung-Mo , Itagaki Shinobu , Anyanwu Anelechi C. , Adams David , Fischer Gregory W. , El-Eshmawi Ahmed
Published: March 2023

Background: For severe mitral valve (MV) degenerative disease,
repair is recommended. Prediction of repair complexity and referral to
centers of excellence can increase rates of successful repair. This
study sought to demonstrate that TEE is a feasible imaging modality to
predict the surgical MV complexity score previously developed by Anyanwu
et al. Methods: Two hundred TEE examinations of patients who
underwent MV repair (2009 – 2011) were retrospectively reviewed and
scored by two cardiac anesthesiologists. TEE scores were compared to
surgical complexity scores of same subset of patients. Kappa values were
reported for the agreement of TEE and surgical scores. McNemar’s tests
were used to test the homogeneity of the marginal probabilities of
different scoring categories. Results: TEE scores were slightly
lower (2[1,3]) than surgical scores (3[1,4]). Agreement was 66%
between the scoring methods, with a moderate kappa (0.46). Using
surgical scores as the gold standard, 70%, 71% and 46% of simple,
intermediate and complex surgical scores, respectively, were correctly
scored by TEE. P1, P2, P3, and A2 prolapse were easiest to identify with
TEE and had the highest agreement with surgical scoring (P1 agreement
79% with kappa 0.55, P2 96% (kappa 0.8), P3 77% (kappa 0.51), A2 88%
(kappa 0.6)). The lowest agreement between the two scores occurred with
A1 prolapse (kappa 0.05) and posteromedial commissure prolapse (kappa
0.14) (Figure 3). In the presence of significant disagreement, TEE
scores were more likely to be of higher complexity than surgical.
McNemar’s test was significant for prolapse of P1 (p=0.005), A1
(p=0.025), A2 (p=0.041), and the posteromedial commissure
(p<.0001).
2-D speckle tracking echocardiographic evaluation of mild post-COVID patients
Authors: Çelik Hülya , Cengiz Betul , Şahin Şükrü , Aytekin Vedat , Aytekin Saide
Published: March 2023

Objectives: COVID-19 has been the primary health problem and
because of the virus affinity to endothelial cells, it has become an
important reason of vascular problems and cardiac injury. After mild
COVID-19 infection, patients frequently attend to the cardiology clinics
with cardiac symptoms and their primary cardiac tests are mostly normal.
The aim of the study is analysing if the difference of cardiac
deterioration could be shown with 2D-speckle tracking echocardiography
between symptomatic and asymptomatic patients when transthoracic
echocardiography parameters are normal. Methods: In this
retrospective single centre study, total of 2741 transthoracic
echocardiography records were assessed and post-COVID patients (n:108)
were detected and divided into ‘symptomatic’ and asymptomatic’ patient
groups and left ventricular global longitudinal strain values were
compared. Results: The number of patients with normal global
longitudinal strain values were equal in the groups and the number of
patients with impaired GLS values in the symptomatic group were more
than the asymptomatic group (15 patients in the symptomatic group and 4
patients in the asymptomatic group) and the difference was statistically
different (p=0,008). The average GLS values were -18,88±2,50 in the
asymptomatic group and -17,40±3,68 in symptomatic group but the
difference was not statistically significant (p=0,098)
Conclusion: More symptomatic patients than the asymptomatic
ones have impaired left ventricular GLS values according to the results
of this study. Even if it is not statistically significant, the mean
left ventricular GLS values are also reduced in symptomatic patients
after mild COVID-19 infection.
Insights of tricuspid regurgitation mechanisms in patients with right ventricular apical pacing by three-dimensional echocardiography.
Authors: Chango Diego , Munín Martín , Sánchez Gustavo , Raggio Ignacio , Pelayo María Eugenia , Garro Hugo , Arévalo Mario , Carbajales Justo , Makhoul Silvia , Ronderos Ricardo
Published: March 2023

Objective: Device lead-induced tricuspid regurgitation (LITR)
mechanisms are well-defined by 3D transthoracic echocardiography
(3D-TTE). There is a lack of data on the Latin-American population. The
objective of this study was to describe the prevalence of several
mechanisms and insights in patients with permanent right ventricular
(RV) implanted devices by 3D-TTE examination. Methods: We
performed a cross-sectional analysis of 101 patients with permanent
cardiac devices such as pacemakers or defibrillators. 3D-TTE was
obtained on all patients in RV-focused apical views to perform a
complete tricuspid valve (TV) evaluation: leaflets, subvalvular
apparatus, precise lead location, and functional assessment to evaluate
possible mechanisms of tricuspid regurgitation (TR). Results:
In a total of 101 patients, the leads did not interfere with TV function
in 53 p. (59%), while LITR was observed in 38 (41%) patients.
Adherent, impinging, entangled, and mixed lead-induced mechanisms were
observed. Time in years since device implantation was significantly
higher in patients with LITR. Conclusions: LITR was present in
a high proportion of our population. LITR is the result of damage to the
TV as well as its subvalvular apparatus due to the fibrotic and
inflammatory response over time when leads are situated in unfavorable
locations.
Assessment Of Fetal Cardiac Functions In Pregnant Women Wı̇th Asthma
Authors: KOC Bergen LALELI , Oluklu Deniz , Hendem Derya Uyan , Beser Dilek Menekse , Besimoglu Berchan , Tanacan Atakan , Öcal Doğa , Sahin Dilek
Published: March 2023

Aim:This study aims to investigate the effects of maternal asthma on
fetal cardiac functions. Methods:The study was planned with 30 pregnant
women who presented to a tertiary health center and were diagnosed with
asthma and 60 healthy controls with similar gestational ages. The fetal
echocardiographic assessment was assessed between 33 and 35 weeks of
gestation with pulsed-wave Doppler (PW), M-mode, and tissue Doppler
imaging (TDI). Fetal cardiac functions were compared between maternal
asthma and control group. Cardiac functions were assessed according to
the duration of maternal asthma diagnosis, as well. Results:Early
diastolic function parameters, tricuspid E wave (p=0.001), and tricuspid
E/A ratio (P=0.005) were significantly lower in the group with maternal
asthma. TAPSE and MAPSE values were statistically lower in the study
group than in the control group; p=0.010 and p=0.012, respectively.
Parameters assessed with TDI (E’, A’, S’, E/E’, and MPI’ of tricuspid
valves) and global cardiac function parameters assessed with pulsed-wave
Doppler like myocardial performance index (MPI) and left cardiac output
(LCO) were similar between groups (p> 0.05). Although, MPI
did not change between groups, and the isovolumetric relaxation time
(IVRT) value was prolonged in maternal asthma cases (p=0.025).
Conclusion:We found that maternal asthma disease causes alteration in
fetal diastolic and early systolic cardiac functions, but the global
fetal cardiac function does not change. Diastolic heart function values
also varied with the duration of maternal asthma. Prospective studies
are needed to compare fetal cardiac functions with additional patient
groups according to disease severity and type of medical treatment.