bluuebunny/crossref_metadata_2025 huggingface dataset:
Akceptacja e-learningu na poziomie szkoły wyższej. Perspektywa studentów
Authors: Ejdys Joanna , Gulc Aleksandra
Published: December 2021

Szybki rozwój technologii informacyjnych i komunikacyjnych spowodował ogromne

zmiany w każdym aspekcie życia, a nagły wybuch i gwałtowne rozprzestrzenianie się

pandemii koronawirusa jeszcze bardziej wyeksponowały potrzebę ukierunkowania działalności

człowieka na nowoczesne technologie. Długotrwałe zamknięcie instytucji edukacyjnych

w wielu krajach świata stanowiło bodziec do wprowadzenia kształcenia na odległość

przy wykorzystaniu narzędzi e-learningowych. Główną determinantą sukcesu systemów

e-learningowych jest poziomu zaufania i satysfakcji ostatecznych użytkowników. Celem

artykułu jest porównanie poziomu akceptacji systemu e-learningu z perspektywy studentów

szkoły wyższej w roku 2020 i 2021. Dokonano również oceny warunków wsparcia procesu

e-learningu ze strony uczelni oraz poziomu przygotowania nauczycieli do zajęć zdalnych.

Studenci relatywnie wysoko ocenili łatwość korzystania z e-learningu, a nieco niżej

funkcjonalność narzędzi e-learningowych. Zdecydowanej poprawie, w stosunku do roku

2020, ulegała ocena systemu wsparcia e-learningu ze strony uczelni. Studenci, w

badaniu przeprowadzonym w 2021 roku, zdecydowanie wyżej ocenili przygotowanie nauczycieli

do prowadzenia zajęć oraz dostrzegli pozytywne cechy e-learningu w kontekście poprawy

komunikacji z prowadzącymi. Po roku nauczania na odległość studenci wyżej oceniają

e-learning jako atrakcyjną formę nauczania oraz właściwy kierunek doskonalenia jakości

usług edukacyjnych. Badania przeprowadzono z

wykorzystaniem ustrukturyzowanych kwestionariuszy ankiet internetowych za pomocą

techniki CAWI.
Telemedycyna w czasie pandemii COVID-19. Doświadczenia pacjentów z systemem w świetle w wyników badań w Polsce
Authors: Bitkowska Agnieszka , Pomaranik Wioletta , Hawrysz Liliana , Korneta Piotr
Published: December 2021

Pandemia COVID-19 w zdecydowany sposób

wpłynęła na rozwój telemedycyny na świecie, a także w Polsce oraz uczyniła z

niej podstawowe narzędzie świadczenia usług medycznych. Wynika to z faktu coraz

szerszego stosowania opieki zdalnej w warunkach obecnej pandemii, a nie z jej

upowszechniania z konieczności stosowania różnorodnych narzędzi i technik

komunikacji z pacjentami. Telemedycyna jest stosunkowo nowym podejściem w

Polsce, natomiast od lat jest stosowana praktycznie szczególnie w Stanach

Zjednoczonych, USA, Kanadzie czy Australii.

Celem naukowym artykułu  jest ocena czynników satysfakcji pacjentów z

telekonsultacji w kontekście doświadczenia z systemem w okresie pandemii

COVID-19. W publikacji zastosowano następujące metody i techniki badawcze:

analizę literatury przedmiotu oraz analizę wyników badań własnych realizowanych

w Polsce w 2021 roku. Przedstawione w artykule zagadnienia mają zarówno walor

poznawczy, jak i praktyczny.
Analiza rynku pracy dla controllerów personalnych w Polsce
Authors: Grzesiak Lena
Published: December 2021

W artykule skupiono

uwagę na sytuacji na rynku pracy dla controllerów personalnych w Polsce. Źródłem danych badawczych były znalezione ogłoszenia

o pracę dla controllerów personalnych oraz dla controllerów w wymiarze ogólnym.

Analizowano je pod kątem wymagań kompetencyjnych (wiedzy, umiejętności oraz

postaw) oraz realizowanych zadań. Źródłem danych badawczych były ogłoszenia o

pracę - forma zgłoszenia popytu na rynku pracy, ale i wyrażenia pewnych oczekiwań pracodawców wobec

kandydatów do pracy. Ostatecznie przeanalizowano 147 ogłoszeń dotyczących

controllingu w wymiarze ogólnym oraz 43 ogłoszenia dotyczące stanowisk w

obszarze controllingu personalnego.

Pracodawcy podkreślają

znaczenie wiedzy teoretycznej i praktycznej wymagając od kandydatów

jednocześnie i wykształcenia, i doświadczenia zawodowego. Zadania dla controllerów

personalnych są w większości ograniczone do wybranych obszarów funkcji

personalnej. Natomiast jeśli chodzi o zadania controllerów w wymiarze ogólnym

ograniczają się one wyłącznie do analizy i budżetowania kosztów wynagrodzeń.
LONG-TERM GENETIC AND EPIGENETIC DISORDERS IN PERSONS EXPOSED TO IONIZING RADIATION AND THEIR DESCENDANTS (review)
Authors:   Shupyk National Healthcare University of Ukraine, 9 Dorohozhytska Str., Kyiv, 04112, Ukraine, Kucher O. , Vydyborets S. ,   Shupyk National Healthcare University of Ukraine, 9 Dorohozhytska Str., Kyiv, 04112, Ukraine
Published: December 2021

The review is devoted to long-term genetic and epigenetic disorders in exposed individuals and their descendants, namely to cytogenetic effects in the Chornobyl NPP accident clean-up workers and their children, DNA methylation as an epigenetic modification of human genome. Data presented in review expand the understanding of risk of the prolonged exposure for the present and future generations, which is one of key problems posed by fundamental radiation genetics and human radiobiology. The Scientific Council meeting of NAMS approved the NRCRM Annual Report. Key words: Chornobyl NPP accident, cytogenetic effects, DNA methylation.
DENTAL CARIES INTENSITY IN CHILDREN WITH DISTURBANCES IN TOOTH FORMATION, SURVIVED AFTER THE CHORNOBYL NPP ACCIDENT
Authors:   Bogomolets National Medical University of the Ministry of Health of Ukraine, 13 Tarasa Shevchenko Blvd., Kyiv, 01601, Ukraine, Liubarets S.
Published: December 2021

Objective: assessment of dental caries intensity in children with disturbances in tooth formation living in radiologically contaminated territories as a result of the Chornobyl NPP accident. Materials and methods. Children aged 6-14 years old (n = 1470) suffering from disturbances in tooth formation (DTF) with the residents of radiologically contaminated territories (n = 528) among them were enrolled in the study. The DTF subtypes were assayed, namely the systemic enamel hypoplasia (SEH) and molar incisor hypomineralisation (MIH). Personal radiation history was recorded. Intensity of caries and caries of surfaces in the mixed (i.e. transitional) occlusion (df+DMF, dfs+DMFS coefficients) and permanent occlusion (DMF, DMFS coefficients) was identified. Results. Caries intensity in the exposed children suffering DTF with mixed and permanent dental occlusion was significantly higher vs. either in children exposed to ionizing radiation with no DTF or in the control group (р < 0.001, р < 0.001 and р < 0.05, р < 0.001 correspondingly). The highest caries intensity of the permanent teeth was revealed in the residents of contaminated territories suffering SEH (6.95 ± 2.3) vs. cases of MIH (5.68 ± 1.97) as a result of nonsymmetrical teeth involvement. Conclusions. The highest values of df+DMF, dfs+DMFS coefficients were diagnosed in children with a mixed dental occlusion aged 6-14 years old living on territories contaminated as a result of the ChNPP accident as compared to the not exposed subjects and control group (7.2 ± 2.07 and 8.98 ± 2.4, р < 0.001). A very high intensity of caries and surface caries of permanent teeth (DMF = 6.79 ± 2.34, DMFS = 8.69 ± 2.75, р < 0.001) was established in children exposed to ionizing radiation and suffering DTF. Such a high intensity may be due to the impact of a set of negative factors including the ionizing radiation in low doses and peculiarities of economic component of social status of study subjects, namely the unbalanced diet. In case of permanent occlusion the intensity of caries and caries of tooth of in children survived after the ChNPP accident and suffering SEH was significantly (р < 0.05) higher compared to the persons suffering MIH. Key words: children, caries, disturbances in tooth formation, systemic enamel hypoplasia, molar-incisor hypomineralization, ionizing radiation, ChNPP accident.
FUNCTIONS OF ALGORITHMIC THINKING IN THE PROCESS OF DEMONSTRATING CHESS SKILLS
Authors: Karapetyan Vladimir
Published: December 2021

Technological upgrades, progressive scientific and technical developments are a direct reflection of the challenges of the 21st century, the overcoming of which implies a review of the content of education and the results obtained from it, aimed at developing a creative, self-planning, results’ predicting personalities. The acquisition of the mentioned qualities is ensured by the introduction of a chess game in the educational process, the purpose of which is not only to learn chess, but also to develop cognitive, emotional qualities at young age (Karapetyan & Misakyan, 2020), action prediction, thinking quality, decision-making quality, performing analytical actions (Kasparov, 2007).
Izydor – człowiek z krwi i kości
Authors: Pilecki Konstanty
Published: December 2021

Pisać o swoich najbliższych nie jest łatwo. A szczególnie, gdy chodzi o własnego ojca. Przyzwoitość wydaje się nakazywać, by lepiej tego w ogóle nie robić. Po co przywoływać duchy tych, którzy odeszli, skoro nie zapisali się w pamięci następnych pokoleń, nie pozostawili żadnego trwałego śladu? Budowanie pomników własnym przodkom postrzegam jako chęć zwrócenia uwagi na samych siebie. Im więcej brązu włożymy w stawiany posąg, w tym lepszym świetle widzimy własne ego. Malowanie portretów lukrem pozostawiam też amatorom słodkości. Zastanawiam się jednak od pewnego czasu, a co, gdyby zbudować pomnik z założenia wcale niepiękny, ale prawdziwy, choćby i do bólu. Jednak odpowiedź wydaje się oczywista: nie zostanie to dobrze przyjęte. A nie jest miło słyszeć, że robi się coś niewłaściwego, czy wręcz bezecnego. Dlatego też myślałem, że jeżeli przywołam pamięć Ojca, to dopiero wtedy, gdy będę już spakowany i usłyszę, że mój pociągnadjeżdża. Wsiąść do pociągu, zamknąć za sobą drzwi i oddalić się po angielsku, nie słuchając biadolenia i pouczeń. Jednak przyszedł rok 2020 i całkowicie zmienił perspektywę. Okazało się, że pociągi odjeżdżające w nieznane gwałtownie przyspieszyły i może zwyczajnie zabraknąć czasu, by napisać coś przed zatrzaśnięciem drzwi. Stąd właśnie ten tekst.
Luckács e a literatura como mediação ontológica do ser social
Authors: Albano Portácio Denílson , Laureano Machado Aline , Carmen Silva Ana
Published: December 2021

A proposta do artigo consiste em apresentar o resultado de uma pesquisa bibliográfica realizada com o objetivo de investigar o uso da literatura como mediação para uma formação humana partindo da contribuição do método lukacsiano que, baseado no materialismo histórico dialético, compreende a arte como um processo histórico resultante do mundo dos homens. Trata-se de um estudo de cunho bibliográfico e documental ancorando-se inicialmente nas contribuições de Lukács, Marx, Saviani e Mészáros. Compreende-se que o ensino da arte, especificamente em se tratando da literatura, deve valorizar sua função social, superando os conceitos de educação artística e de educação a partir da arte, mas não se limitando à arte-educação esvaziada. A relevância do estudo se dá-se pelo fato de que além de abrir portas para um debate sobre o ensino da arte literária, possibilita também a base para estudos posteriores no propósito de investigar sobre essas aproximações iniciais. Palavras-chave: Literatura; Formação humana; Estética de Lukács.
Captive husbandry and breeding of the Nguru spiny pygmy chameleon Rhampholeon acuminatus
Authors: Redbond Jay
Published: December 2021

The Nguru spiny pygmy chameleon (Rhampholeon acuminatus) is endemic to the Nguru mountains in Tanzania. It is assessed as Critically Endangered and is collected from the wild for the pet trade. An ex-situ population of this species was recently established at The Wild Planet Trust, Paignton Zoo, in the hope of learning more about the husbandry and biology of this species. We report on the captive husbandry of adults and the successful breeding, hatching and rearing of juveniles. Females carried four eggs but laid them in pairs. When eggs were incubated at 19.2-22.8 °C, hatchlings emerged roughly 180 days after laying. The hatchlings had a total length of about 30 mm and weighed 0.2-0.3 g. To our knowledge, this is the first published account of captive breeding for this species. The husbandry methods described could be used to establish populations of this and other Rhampholeon species in captivity, which in turn would reduce the demand for wild caught (Rhampholeon), as well as inform future conservation breeding programmes for this species.
Distribution of the alpine newt Ichthyosaura alpestris in Great Britain updated using social media
Authors: Allain Steven J.R.
Published: December 2021

The alpine newt (Ichthyosaura alpestris) is an alien species in Great Britain. Using location information derived from photographs posted on social media we have updated its known distribution, validated previously unconfirmed populations, and present an updated distribution map. Comparison of the records collected from social media with those in the National Biodiversity Network Atlas indicates eleven new confirmed populations, although three of these had previously been shown as unconfirmed records in the NBN Atlas. The new records have been deposited with NBN.
Non-communicable disease (NCDs)
Authors: Uddin Khwaja Nazim
Published: December 2021

Abstract not available

BIRDEM Med J 2022; 12(1): 1-5
Regenerative medicine
Authors: Uddin Khwaja Nazim
Published: December 2021

Abstract not available

BIRDEM Med J 2022; 12(1): 6-9
Electrophysiological patterns in patient with Guillain-Barre syndrome
Authors: Hossain SM Monowar , Ali Zahed , Rahman Mohammad Motiur , Hossain Md Aolad , Saha Pallab Kanti , Rahman Sultana Nadira
Published: December 2021

Background: Guillain-Barre syndrome (GBS) is an acute, frequently severe and fulminant polyradiculoneuropathy that is autoimmune in nature. Incidence and predominant subtypes of GBS differ geographically. Electrophysiology has important role in subtyping GBS. This study aimed to evaluate the electrophysiological findings in patient of GBS.

Methods: This was a hospital based cross-sectional descriptive study and conducted at the Department of Neurology in Sir Salimullah Medical College & Mitford Hospital, Dhaka and National Institute of Neurosciences and Hospital, Dhaka during July 2017 to June 2018. Clinically diagnosed 53 patients with GBS were enrolled according to prefixed selection criteria. Detail history taking, clinical examination, nerve conduction study and cerebrospinal fluid (CSF) examination was performed in all cases. Clinical findings, nerve conduction study (NCS) parameters, CSF findings and demographic profiles were evaluated.

Results: Mean ± SD age of presentation was 41.64 (±14.56) years and median age was 42.0 years. There were total 33(62 %) males and 20 (38 %) females with male: female ratio of 1.7:1. Clinically two-thirds(62.3%) of patients had both upper and lower limb involvement (62.3%), facial weakness was in 32.1% and 13.2% had bulbar involvement. Acute inflammatory demyelinating polyneuropathy (AIDP), acute motor axonal neuropathy (AMAN) and acute motor sensory axonal neuropathy (AMSAN)were found to be 51%, 32% and 17% respectively. CSFprotein was elevated in most of the patients with a range of 16-725 mg/dl. Highest CSF protein was found in AIDP.

Conclusion: Electrophysiological studies play an important role in the early detection; characterization of GBS.In this study, the commonest type of GBS was AIDP. Higher levels of CSF protein, absent H-reflex and Fresponse, sural sparing and unexcitable nerves are more frequently present in AIDP.

BIRDEM Med J 2022; 12(1): 16-21
Opinion of the junior doctors on the existing morale, support and autonomy at their workplace and the factors positively influencing them
Authors: Rahman Khandakar Rezwanur , Tabassum Nabila , Mollah Md Abid Hossain
Published: December 2021

Background: Junior doctors form the majority of the workforce in patient care. Their job is perilous, highly critical, tedious and exhausting and it is imperative that they stay motivated while at work. Improving the morale of physicians has the potential to increase efficiency, ensure patient safety and improve patient outcomes. We aimed to identify the existing status and explore the factors affecting junior doctors’ morale, their sense of feeling supported and their levels of autonomy in 2 large teaching hospitals in Bangladesh.
Methods: This cross-sectional observational study was done across 2 large tertiary hospitals- Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders(BIRDEM) General Hospital and Dhaka Shishu Hospital, over 4 months period from September- December 2020. The study was carried out on 120 junior doctors by an online questionnaire, distributed through emails and Facebook messenger, asking junior doctors to rate their morale, sense of feeling supported and autonomy and rank the top factors that positively affected them.
Results: Data were finally collected from 117 junior doctors after 3 incomplete data were discarded. Most of the junior doctors felt ‘neither good nor bad’ in the domains of existing ‘morale’ (44.4%), ‘feeling supported’ (46.5%) and ‘autonomy’ (48.7%). Additionally, ‘good’ morale was seen in 39.3%, while around 34% rated their support system as ‘good’ and around 24% reported a ‘good’ autonomy. The most important factor positively affecting morale was recognition and reward for good performance (70.1%), factor influencing support was an easy access to senior clinicians (70.4%) and that defining autonomy was constant senior supervision of the everyday work (61.1%).
Conclusion: The study aims to identify the existing level of morale, support and autonomy of the junior doctors at their workplace and explore the factors positively affecting them. It is concluded from this study that the junior doctors rated their existing morale, support and autonomy as ‘average’. According to the opinions of the doctors, this study also concludes that, to improve their morale, there is a need to recognize and reward their good work and provide positive feedback. Doctors identified an easy access to senior clinicians with a problem was the primary factor influencing support. Finally, junior doctors wanted constant senior supervision of their everyday work in the wards to improve output.
BIRDEM Med J 2022; 12(1): 30-35
Anti-CCP antibody in rheumatoid arthritis patients and its relation with severity of the disease
Authors: Yasmin Roksana , Sarker HN
Published: December 2021

Background: Rheumatoid arthritis (RA) is a systemic inflammatory disease characterized by chronic and erosive polyarthritis causing irreversible joint disability. It is the most common persistent inflammatory arthritis, affecting from 0.5 to 1% of the general population worldwide. Antibodies to citrullinated proteins (anti-CCP antibody) have been described in patients with RA and these appear to be the most specific marker of the disease.
Methods: This cross-sectional study was carried out at department of medicine, Sher-E-Bangla Medical College Hospital, Barisal Form July’ 2016 to December’ 2016. All rheumatoid arthritis patients attending at OPD and those got admitted under Medicine Dept, who was satisfying the inclusion and exclusion criteria were included consecutively and purposively in this study.
Results: Total 70 cases were included; the mean age was found 46.57±13.10 years in anti-CCP antibody positive group and 44.19±11.21 years in anti-CCP antibody negative group. Female were predominant in both groups. Duration of disease was around 8 years in both groups. Mean ESR was 29.0±22.0 mm in anti-CCP antibody positive group and 12.25±10.6 mm in anti-CCP antibody negative group. Mean rheumatoid factor was 189.4±102.1 U/L in anti-CCP antibody positive group and 66.5±36.0 U/L in anti-CCP antibody negative group. Mean DAS 28 score was 4.6±1.4 and 3.6±1.3 in anti-CCP antibody positive and negative group respectively. The mean difference was statistically significant (p<0.05) between the groups. Patients in disease remission had lower anti-CCP antibody titer than those with low, moderate or high disease activity. Significantly positive correlation (r=0.596; p=0.001) between severity of rheumatoid arthritis and anti CCP antibody level was observed.
Conclusion: In RA patients’ disease was more severe in anti-CCP antibody positive group and significantly positive correlation between anti-CCP antibody level with disease severity of RA was observed.
BIRDEM Med J 2022; 12(1): 36-40
Comparison between online and traditional teaching-learning among non-clinical medical students
Authors: Abdul Aziz Masood Mohammed , Imtiaz Masud , Rasul Choudhury Habibur
Published: December 2021

Background: Medical institutes remained on complete shut down during the coronavirus disease of 2019 (COVID-19) pandemic while Information Technology (IT) bridged the teaching learning between the students and teachers. The study objectives were to determine the opportunities and obstacles of teaching learning process and overall effectiveness of online classes over traditional classes.
Methods: A cross-sectional study was conducted from July 2020 to December 2020 between students and teachers of Khulna city Medical College, Khulna, Bangladesh. An online questionnaire was developed using google form containing four sections about different aspects of IT and teaching learning process.
Results: Around 87% (160 vs 48) students and teachers responded to the questionnaire. The most preferred online teaching learning platform for students and teachers was zoom (84.4% vs 83.4%) and the favored devices were smart phone (96.2% vs 87.5%) followed by laptop computer (90.6% vs 83.3%). The majority felt connected to each other (82.5% vs 62.5%) and could work faster and effectively (75% vs 66.7%). Conversely, students (65.6%) felt online learning was more enjoyable than teachers (29.2%), where significant difference was found; (p= 0.006). Poor network (98.1% vs 79.1%) and affordability of mobile data (81.2% vs 66.7%) were the two main barriers among them. On-line teaching-learning neither increased student- teacher interaction (51.9% vs 66.7%), nor had better scope of asking question (52.5% vs 70.8%) and there was less scope of explaining details (52.5% vs 66.7%). Oral assessment was the most preferable (89.4% vs 83.3%), but the practical assessment (78.1% vs 83.3%) was the least preferable method for assessing students’ knowledge and skill online. Overall effectiveness of online classes over traditional classes was scored around 50% (±10%) by students and teachers (58.1% vs 62.5%).
Conclusion: Despite having barriers like poor network, data affordability and limited computer and net usability, online classes played a pivotal role to continue the academic activities in a medical college during Corona pandemic.
BIRDEM Med J 2022; 12(1): 45-50
Differentiating glomerular from non-glomerular hematuria: role of urinary albumin-total protein ratio
Authors: Md Ershad SK , Islam Rafi Nazrul , Haque Mohammad Farhadul , Hossain Shah Md Zakir , Ahsan Md Zayeed , Rahman Mohammad Syfur , Singha Anirban Kishor , Mullah Shahida , Mahmud Asif , Alam Md Rezaul
Published: December 2021

Background: Hematuria is one of the most common and early signs of diseases related to genitourinary system and can be classified as either glomerular or non-glomerular in origin. Percentage of dysmorphic RBC (%dRBC) in urine has been in practice as a diagnostic tool for differentiating glomerular from non-glomerular hematuria. Recent studies indicate that, urinary albumin-total protein ratio (uAPR) can also be used as a diagnostic tool in this regard. This study aimed to evaluate the sensitivity and specificity of uAPR as a diagnostic tool for detecting glomerular hematuria in comparison to %dRBC in urine.
Methods: This cross-sectional study enrolled 96 patients with hematuria. Fresh urine samples were collected from each subject to determine the %dRBC and to calculate uAPR. Receiver operating characteristic curve analysis was done on these results to evaluate the sensitivity and specificity of uAPR and %dRBC in differentiating glomerular from non-glomerular hematuria.
Results: uAPR and %dRBC were significantly (p<0.001) higher among patients with glomerular hematuria than non-glomerular hematuria. At the cutoff value of 0.57 mg/mg, uAPR showed sensitivity of 81.8% and specificity of 95.5%. At the cutoff value of 22.5%, %dRBC showed sensitivity of 54.5% and specificity of 86.4%.
Conclusion: uAPR has higher sensitivity and specificity than %dRBC in differentiating glomerular from nonglomerular hematuria and can be used as a diagnostic tool.
BIRDEM Med J 2022; 12(1): 51-56
Precocious puberty: diagnosis and management
Authors: Sultana Nusrat , Afsana Faria , Akhtar Nazma , Aktar Yasmin , Amin Mohammad Feroz , Chowdhury Sharmin , Md Emran Shah , Hasan ABM Kamrul , Hossain Tanjina , Khan Murshed Ahmed , Khan Shahjamal , Mahbub Mohammad Imtiaj , Salam Mir Ahmed , Mustari Marufa , Md Rafiquddin - , Rahman Md Atikur , Shefin Sultana Marufa , Sultana Dahlia , Talukder Samir Kumar , Tuqan Sadiqa
Published: December 2021

Precocious puberty is commonly defined as puberty that starts before age 8 years in girls and 9 years in boys. The causes of it may range from a variant of normal development to various pathologic conditions. The etiology of precocious puberty is classified by the underlying pathogenesis into gonadotropin dependent central precocious puberty and peripheral precocious puberty which is independent of gonadotropin but due to different other causes. Variants of precocious puberty include premature thelarche, premature puberche and isolated premature menarche which imply onset of isolated changes without any other signs of sexual development. Precocious puberty might have an impact on final stature owing to premature epiphyseal fusion and also it has got influence on psychosocial wellbeing. Evaluation includes a detailed history, physical examination, biochemical testing and imaging directed towards suspected etiology. Gonadotropin releasing hormone (GnRH) analogues are effective for treatment of central precocious puberty. Treatment of peripheral precocious puberty should be based on the specific cause. Pubertal variants are usually non-progressive and need no treatment but should be monitored carefully.
BIRDEM Med J 2022; 12(1): 62-69
A case of spontaneous hypoglycemia
Authors: Tabassum Maliha , Afsana Faria , Hossain Salman , Amin Mohammod Feroz , Binte Rouf Rushda Sharmin , Hossain Kazi Nazmul , Pathan Md Faruque
Published: December 2021

We describe a case of systemic lupus erythematosus with POEMS syndrome presenting as spontaneous hypoglycemia. A 58-year-old female suffered repeated episodes of hypoglycemia. During thesehypoglycemic episodes, her postprandial insulin level was inappropriately high. Further blood tests revealed the presence of antinuclear antibodies, anti-double-stranded DNA antibodies,low C4level.Altered albumin-globulin ratio,monoclonal gammopathy (IgG LAMBDA), polyneuropathy and organomegaly lead to suspicion of concurrent presence of POEMS syndrome.Bone marrow examination revealed plasma cell dyscrasia and plasmacytoma in trephine biopsy confirmed the diagnosis.Here, we emphasize on autoimmune cause of hypoglycemia.
BIRDEM Med J 2022; 12(1): 70-73
Medical Quiz Vol. 12(1)
Authors: Rahman Tanbin , Islam Md Rashedul
Published: December 2021

Abstract not available

BIRDEM Med J 2022; 12(1): 88
Reviewers of the current issue Vol. 12(1)
Authors: Uddin Khwaja Nazim
Published: December 2021

Abstract not available

BIRDEM Med J 2022; 12(1): 94
Sijaisvanhemmuus nyky-Venäjällä - työtä vai rakkautta?
Authors: Tšernova Žanna , Kulmala Meri
Published: December 2021

Artikkelissa tarkastellaan hoivan käsitteen kautta sijaisvanhemmuuden ammatillistumista Venäjällä meneillään olevan lastensuojelun sijaishuollon uudistamisen kontekstissa. Analysoimme, kuinka lapsikylässä asuvat sijaisvanhemmat näkevät ja määrittelevät oman roolinsa ja toimintansa tarkoituksen pohjaten viidessä eri venäläisessä lapsikylässä sijaisvanhempien parissa toteutettuihin fokusryhmäkeskusteluihin ja teemahaastatteluihin. Sijaisvanhemmuus ymmärretään dikotomisesti joko rakkautena tai työnä. Käsitys hoivasta rakkautena ymmärretään moraalisena velvollisuutena ja eettisenä arvona. Tällöin kiistetään mahdollisuus hoivan virallistamiseen ja sen alistamiseen säännöille ja byrokratian ja markkinavoimien sanelulle. Hoivan määritteleminen työnä puolestaan tekee sijaisvanhemmille mahdolliseksi rationalisoida omaa toimintaansa ja problematisoida sijaisvanhemmuuden statusta yhteiskunnassa. Tällöin sijaisvanhemmuuden ammatillistuminen nähdään ratkaisuna lukuisille ongelmille, joihin sijaisvanhemmat törmäävät, ja sijaisperheissä tapahtuvan hoivan aseman parantamisena.
 
Foster parenting in contemporary Russia - work or love?
The article explores the professionalisation of foster parenting in the context of the ongoing child welfare and so-called alternative care reforms in Russia through the concept of ‘care’. We analyse how foster parents who live in children’s villages see and define their role and the meaning of their activity based on focus group and thematic interviews with foster parents in five children’s villages in Russia. Foster parenting is understood through a dichotomy of ‘love’ and ‘work’. Seeing foster parenting as love is based on an understanding of it as a moral obligation and ethical value. In such a case, it becomes impossible to consider care as something official that exists under regulation and is led by bureaucratic and market principles. Understanding care as work, in turn, makes it possible for foster parents to rationalise their own activity and problematise their status in Russian society. In this case, the professionalisation of foster parenting is seen as a solution to multiple problems that foster parents face, and to the improvement of the status of this type of care more generally.
Efek Puasa 12 Jam dari Fajar Hingga Terbenam Matahari Terhadap Sistem Imunitas pada Manusia
Authors: Noor Fahirany
Published: December 2021

Puasa adalah menahan diri dari makanan dalam jangka waktu tertentu secara sukarela. Periode puasa rata-rata 12 jam. Pengaruh puasa pada regulasi sistem kekebalan tubuh masih sulit dipahami. Namun, perubahan sistem kekebalan tubuh, seperti modulasi respons tubuh terhadap berbagai infeksi, stress, dan peristiwa berbahaya lainnya, sangat menarik selama puasa. Puasa periodik memprogram ulang populasi sel-T, menekan autoimunitas dan meningkatkan kekebalan tubuh. Tujuan: Penelitian ini bertujuan untuk Article Review dengan melihat topik mengenai puasa khususnya terhadap imunitas dengan menggunakan penelitian dengan metode meta-analisis kuantitatif berdasarkan penelitian yang telah dilakukan sebelumnya. Metode: Penelitian ini menggunakan metode article review. Sumber data penelitian ini berasal dari literatur yang diperoleh melalui internet berupa hasil penelitian dari jurnal internasional tahun 2011-2020. Hasil: Hasil penelitian ini dari total 51 jurnal, yang telah penulis review, kesimpulannya adalah efek dari puasa bagi sistem imun sangatlah beragam, dapat dilihat dari segi immunomodulator/marker inflamasi, olahraga, metabolisme, penyakit metabolik seperti obesitas, diabetes mellitus dan penyakit Infeksi, seperti TB dan COVID-19. Maka dari itu, penulis berharap dengan adanya Article review ini dapat menambah informasi masyarakat mengenai efek dari puasa bagi sistem imun tubuh. Kesimpulan dari penelitian ini berdasarkan hasil penelitian ditemukan bahwa banyaknya efek puasa sangat bermanfaat untuk peningkatan sistem imun tubuh.
Efektifitas Kurma Ajwa dalam berbagai Penyakit
Authors: Zulfahmidah Zulfahmidah , Sri Wahyuni. M Risna , F.Bustan Afrina
Published: December 2021

The incidence of disease increases due to improper eating patterns, irregular eating patterns, consumption of processed foods except for the fruits of the food consumed. According to WHO statistics on diabetes mellitus, heart disease and ischemic stroke are the leading causes of death globally. Fruits are highly recommended by WHO to improve public health and public welfare. In building the health and well-being awareness of the past two decades significant progress has been made in the study of bioactive compounds in dates to find their immediate effects on human health. Dates Ajwa (Phoenix dactylifera L.) is a fruit that grows in many Arab countries, especially the city of Medina, Saudi Arabia. Based on several studies, dates have various phytochemical contents such as kumarat acid, ferric acid, flavonoids, phenolics, sterols, procyanidins, anthocyanins, carotenoids, vitamins and minerals that function as antioxidants, antihyperlipidimics, hepatoprotective, antimutagenic, antiinflammatory, nephroprotective and many other benefits in protecting the body from various diseases. Ajwa dates contain a high percentage of carbohydrate fiber (44-88%), dietary fiber (6.4-11.5%), fat (0.2-0.5%), protein (2.3-5.6 %), minerals and vitamins; also contains several fatty acids including palmic, oleic, linoleic and linolenic acids. Based on the description above, the researcher is interested in further studying the benefits contained in the Ajwa Dates.
ЕЛЕКТРОННА ПЛАТФОРМА EDX ЯК ЗАСІБ ПСИХОЛОГІЧНОГО ТА СОЦІОКУЛЬТУРНОГО СУПРОВОДУ НАВЧАННЯ ІНОЗЕМНИХ СТУДЕНТІВ У ЗАКЛАДАХ ВИЩОЇ ОСВІТИ США
Authors: Слуцький Ярослав Сергійович
Published: December 2021

У статті представлено потенціал електронних освітніх платформ для проведення акультураційної та академічної роботи з іноземними студентами. Виявлено, що заклади вищої освіти США в період адаптаційної підготовки студентів використовують принцип акультураційної тріади, що складається з підготовки до міжкультурної комунікації (лінгвістичний елемент), уміння застосовувати культурні знання в ході практичного контактування (культурний елемент), здатності до психологічної стійкості до культурного шоку (психологічний елемент). Зазначено, що освітні платформи діють на основі системи медіаосвіти, яка містить матеріали відео, аудіо та текстового характеру. Акцентовано, що ці види матеріалів найбільш ефективні при спільному використанні, що можливо під час застосування електронних глобальних освітніх платформ, як-от EDX. Названо основні ознаки, що демонструють достатній рівень формування навичок психологічної стійкості до негативних проявів культурного шоку в межах курсу «Вступ до соціальної психології» (Університет Квінсленда) (участь у якому може використовуватися в якості практичної підготовки під час супроводу іноземних студентів психологічного характеру), серед яких: уміння надати пояснення особистісним висновкам з тієї чи тієї ситуативної тематики, здатність проведення аналітичних дій для розуміння міжкультурних опонентів і себе як представника певного культурного середовища, усвідомлення впливу своєї поведінки на результативність міжкультурної взаємодії, здатність особистісної трансформації через отримані практичним шляхом дані, які вплинули на зміну упереджень та розуміння негативного їхнього впливу на ефективність міжкультурної взаємодії. Показано передбачувані результати роботи іноземних студентів у рамках курсу «Міжкультурна компетенція в освіті» (Ісландський університет), які містять (для студентів): усвідомлення особистістю своєї приналежності до певної культури, розуміння негативного впливу феномену етноцентризму на процес адаптації до нової культури і до взаємодії з представниками іншого соціуму; (для викладачів/консультантів) формування навичок подолання культурних бар’єрів, розробку стратегічного планування послідовності акультураційних дій. Підкреслено важливу роль курсу «Міжкультурна компетенція в освіті» у ході соціокультурної підготовки іноземних студентів.
ВИКОРИСТАННЯ ЗАГАЛЬНОДОСТУПНИХ МУЛЬТИМЕДІЙНИХ ОНЛАЙН-СЕРВІСІВ І МОБІЛЬНИХ ЗАСТОСУНКІВ У ПІДГОТОВЦІ МАЙБУТНІХ ПРАВООХОРОНЦІВ
Authors: Троцко Анна Володимирівна , Короткова Юлія Михайлівна , Ромашенко Вікторія Євгенівна
Published: December 2021

У статті узагальнено та систематизовано досвід використання безкоштовних мультимедійних онлайн-сервісів і мобільних застосунків у викладанні навчальної дисципліни «Безпека життєдіяльності та охорона праці» майбутнім правоохоронцям. Доведено, що на сьогодні розроблено та доступно для застосування достатньо мультимедійних онлайн-сервісів і мобільних застосунків, які можна творчо використовувати під час організації усіх видів навчальних занять, утім недостатнім є досвід їх застосування у процесі професійної підготовки майбутніх правоохоронців. З огляду на це в межах дослідження організовано й проведено педагогічний експеримент, мета якого полягала у виявленні результативності використання мультимедійних онлайн-сервісів і мобільних застосунків під час засвоєння майбутніми правоохоронцями навчальної дисципліни «Безпека життєдіяльності та охорона праці». Критеріями оцінки рівня засвоєння навчального матеріалу з дисципліни обрано такі: академічна успішність курсантів, їх навчально-пізнавальна активність, наявність позитивної мотивації до засвоєння дисципліни. За визначеними критеріями і показниками виділено й описано три рівні засвоєння навчального матеріалу з дисципліни: репродуктивний, реконструктивний, творчий. При проведенні основного етапу експерименту проаналізовано роботу з такими онлайн-сервісами та мобільними застосунками, як-от: Google Classroom, Moodle, Plickers, Padlet, Learningapps, Zооm, Skype, Google Meet. Визначено переваги й недоліки в їх застосуванні, здійснено порівняльний аналіз можливостей таких навчальних платформ, як Google Classroom та Moodle. Розроблено та впроваджено чат-бот з навчальної дисципліни «БЖД та охорона праці» для консультацій і надання необхідної інформації курсантам у будь-який зручний для них час. Результати експерименту довели, що активне використання елементів дистанційного навчання, безкоштовних онлайн-сервісів і мобільних застосунків дійсно сприяє покращенню рівня академічної успішності, навчально-пізнавальної активності та посиленню мотивації до засвоєння дисципліни здобувачами вищої освіти. Проведене дослідження не вичерпує всіх аспектів проблеми, яка вивчається. Подальшого аналізу потребує педагогічно цінний досвід використання безкоштовних мультимедійних онлайн-сервісів і мобільних застосунків в інших розвинених країнах світу з метою його творчого застосування в освітньо-виховному процесі вітчизняних закладів вищої освіти.
THE USE OF A DIGITAL MICROSCOPE FOR THE DEVELOPMENT OF YOUNG SCHOOLCHILDREN'S IDEAS ABOUT PLANTS, ANIMALS AND FUNGI
Authors: Gabdulinova Kamilya G. , Kovrova Maria A.
Published: December 2021

At present the use of technical teaching aids based on digital technologies in the educational process in primary schools is gaining special relevance, and the digital microscope is indicated in a number of syllabi for the course "Nature study" in primary schools in the section “Material and technical support”. The teacher is free to decide on what topics, in the study of what objects or natural phenomena, with the use of what methods to use this teaching tool. The aim of the study is to identify the influence of the use of the digital microscope on the development of children’s ideas about plants, animals and fungi in primary school. The pedagogical experiment was carried out for 2 years on the basis of two secondary schools in the city of Kirov, Russian Federation. 140 third grade students (72 students in the experimental group and 68 students in the control group) took part in the experiment. For the development of ideas about plants, animals and fungi in primary school children at Nature study lessons two methods were implemented: with the use of the digital microscope (in the experimental group) and without its use (in the control group).
The results of testing third-graders before and after the teaching experiment showed that the use of the digital microscope in the classroom contributed to students’ better assimilation of knowledge about the diversity of plants, their respiration, nutrition, reproduction and development, the diversity of animals, their reproduction and development, and the diversity of fungi than in the lessons which did not use the microscope. This is proved by statistically significant differences in the test results of the experimental and control groups after the experiment.
The findings of the study can provide a starting point for subject curriculum developers and teachers interested in using the digital microscope in primary school education.
DEVELOPMENT OF DIGITAL COMPETENCE OF PEDAGOGICAL STAFF IN DISTANCE LEARNING BASED ON CLOUD SERVICES
Authors: Oliynyk Victor V. , Gushchina Natalia I. , Kondratova Ludmila G. , Kasyan Sergey P.
Published: December 2021

The article analyzes the experience of implementing forms and methods of development of digital competence of educators in distance education using Google Workspace for Education cloud services, based on real experience of teacher training at the university. This article discusses the concepts of competence, digital competence and distance education. The experience of the Department of Open Educational Systems and Information and Communication Technologies of the Central Institute of Postgraduate Education (Kyiv, Ukraine) in the organization of distance learning in postgraduate education is revealed, the results of research on the impact of distance technologies on the quality of education are presented. Specificity of digital competence development among pedagogical staff in the process of organizing distance education on the basis of Google Workspace for Education cloud services is determined. The article also provides an overview of the opportunities provided by digital tools and cloud services in Google Workspace for Education for distance education and highlights the effective forms and methods of developing digital competence in distance learning on the example of advanced training of university teachers. The article presents a description of effective forms of teacher training in the educational environment of Google Class, analysis of learning outcomes and identifies the benefits of joint activities of participants in the learning process. The article features the results of research on the development of teachers’ digital competence measured on the basis of selected criteria for assessing the development of digital competence of research and teaching staff. The article highlights the promising trends in the development of digital competence of pedagogical staff in terms of distance education.
Hydrofluoric acid concentration and etching time on bond strength to lithium disilicate glass-ceramic
Authors: Pereira Roberta Pinto , Carvalho Renan Dias , Taguchi Carolina Mayumi Cavalcanti , Monteiro Jr Sylvio , Gondo Renata
Published: December 2021

The objective of this study to evaluate the effect of different HF concentrations and etching times on the microshear bond strength (μSBS) of LD to resin cement. Forty LD sections (8x8 mm) of 3-mm thickness were randomly distributed (n=10) in accordance with the HF concentration (5 or 10%) and surface etching time (20 or 60 sec). The specimens were silanized and received an air-thinned layer of a light-curable adhesive. Six translucent tubes (0.8-mm diameter and 1-mm height) were positioned over each LD section, filled with resin cement and light-cured. After 24 h of storage, the tubes were carefully removed and the specimens were submitted to the μSBS test. The results submitted to a two-way analysis of variance and Sidak post hoc test (α=.05). Representative HF-etched specimens and one non-etched LD specimen were observed under a field-emission scanning electron microscope. The interaction between the HF concentrations and etching times was not significant (p=0.075). No significant differences were observed regarding HF concentrations and etching times (p=0.06 and p=0.059, respectively). Surfaces of specimens etched with 10% HF for 60 sec were found with grooves and microcracks. The μSBS of LD to resin cement was not significantly influenced by different HF concentrations and etching times; however, the LD surface morphology was found considerably modified.
Análise econômica sobre a inovação do sistema de iluminação pública no município de Rosana
Authors: Oliveira João Guilherme Resende , Pinto Leandro Ferreira , Oliveira Kleber Rocha de , Silva José Francisco Resende da
Published: December 2021

Esta pesquisa sugere a elaboração de um projeto de iluminação pública (IP) eficiente, levando em conta a viabilidade técnico-financeira das luminárias que compõem o sistema de IP do município de Rosana. É apresentado o estudo para levantar os potenciais de economia no consumo de energia elétrica e no valor pago mensalmente com IP. O trabalho tem como finalidade a substituição das luminárias convencionais (a vapor de sódio) que tem vida mediana curta e maior consumo energético, por luminárias led (Light Emitting Diode) que tem um tempo de vida útil média maior e são mais eficientes. A análise econômica foi feita com base em indicadores padrões de viabilidade de investimentos, como valor presente líquido (VPL), payback descontado e taxa interna de retorno (TIR). por fim, apresenta análises de dados com o intuito de otimizar o sistema de ip e reduzir o consumo de energia elétrica no município de Rosana.
Культурный аспект деятельности обществ дружбы «Китай–Украина» и «Украина–Китай» (1992–2020 гг.)
Authors: ВАНЬЧЭНЬ ХАНЬ
Published: December 2021

В статье рассматривается культурный аспект китайско-
украинских отношений в 1992–2020 гг. посредством анализа деятельности од-
ного из их институтов – Обществ дружбы. Исследована роль Обществ дружбы
Китая и Украины в совершенствовании народной дипломатии и двухсторонне-
го сотрудничества. Основываясь на кратком обзоре истории этой структуры в
период до распада Советского Союза, автор прослеживает создание норматив-
но-правовой базы, выявляет механизмы, основные направления и формы ки-
тайско-украинских культурных связей в указанный период, особое внимание в
развитие отношений между двумя государствами.
Автор отмечает поддержку культурного взаимодействия китайского и
украинского народов со стороны лидеров двух государств и указывает, что
подписание правовых документов в области культурного сотрудничества, со-
здание двусторонней Подкомиссии по координации взаимодействия в культур-
ной сфере гарантируют развитие культурного обмена между Китаем и Украи-
ной. Это, в свою очередь, способствует сотрудничеству в экономической и по-
литической областях, придает китайско-украинским отношениям комплексный
характер. В условиях поступательного развития отношений между двумя стра-
нами деятельность Обществ дружбы также получила свое развитие. В качестве
неправительственных организаций и институтов народной дипломатии Обще-
ства дружбы (при поддержке министерств культуры, посольств, консульств и
других ведомств двух стран) вносят весомый вклад в развитие дружеских об-
менов, содействуют международному сотрудничеству на глобальном уровне и
укреплению взаимопонимания между китайским и украинским народами.
Парламентская дипломатия в системе парламентских измерений международных отношений
Authors: АЗИЗ Н. М.
Published: December 2021

В статье рассмотрены место и роль парламентской диплома-
тии в рамках реализации межгосударственных и международных отношений
как ключевого фактора осуществления внешней политики государства. Опре-
делено, что парламентская дипломатия, в отличие от других институтов право-
вого и политического характера, таких как международные и региональные ор-
ганизации, имея устойчивый характер, способствует реализации задач, постав-
ленных перед государством и его институтами.
Анализ последних десятилетий сквозь призму межгосударственных от-
ношений свидетельствует, что актуальными для парламентской дипломатии
стали вопросы социально-экономического и экологического характера, а также
вопросы, связанные с обеспечением международной и региональной безопас-
ности. Прочность и устойчивость парламентской дипломатии, прежде всего,
связаны с тем, что в ее рамках обычно реализуются межгосударственные связи.
Этому способствует то, что парламентская дипломатия, являясь многофункци-
ональным институтом, одновременно охватывает широкий круг вопросов меж-
государственного сотрудничества. Именно благодаря этому государства в сво-
их отношениях часто прибегают к парламентской дипломатии.
Автор приходит к выводу, что в более тесном развитии парламентской
дипломатии в большей мере заинтересованы страны Центральной Азии и Рос-
сийская Федерация. Основанием этому могут послужить угрозы, связанные с
кризисом в Афганистане в связи с приходом к власти запрещенного террори-
стического движения «Талибан».
Данное исследование, имея практическое и теоретическое значение, мо-
жет быть использовано при составлении различного рода учебных программ и
пособий по учебной дисциплине «Политология».