bluuebunny/crossref_metadata_2025 huggingface dataset:
The specifics of the mental states of convicted women held in places of detention with young children
Authors: Sorokoumova Svetlana , Ganishina Irina , Rozhkova Vera
Published: October 2024

Introduction. The aim of the empirical study was to research the mental states of convicted women with young children. The study sample consisted of 153 convicted women with young children serving their sentences in a correctional institution. The study was conducted on the basis of the State Department of the Federal Penitentiary Service of Russia for the Kemerovo Region, the Federal Penitentiary Service of Russia for the Moscow Region, the Federal Penitentiary Service of Russia for the Vladimir Region, the Federal Penitentiary Service of Russia for the Republic of Mordovia. The scientific problem is to study the mental states of convicted women with young children. Research methods and techniques. The following set of methods was used to study mental states: ‘16-factor personality questionnaire - 16 PF’, form C (R. Kettell), “Depression scale” (A. Beck), clinical questionnaire for identification and assessment of neurotic states (K. K. Yakhin, D. M. Mendelevich), methodology for determining the dominant mental state “Dominant state” (L. V. Kulikov), questionnaire for studying the level of aggression (A. Bass and A. Darkey). The results of the conducted research were the identification of mental states of convicted women in prison with young children. It was established that negative mental states (tension, emotional instability, frustration, anxiety, irritation, depression, anxiety) prevail among these women.They are expressed fatigue, hysteria, vegetative disorders, which are manifested in unpleasant or painful somatic sensations. A high level of aggression and hostility has been diagnosed. The revealed negative mental states need timely psychological correction.
Structure of psychological consequences of counter-terrorist activity: differentiated approach to rehabilitation
Authors: Strelnikova Yulia
Published: October 2024

Introduction. The article deals with the structure of psychological consequences affecting the officers of internal affairs bodies who took part in the counter-terrorist operation (as part of combined units) in the territory of the Chechen Republic. The relevance of the research is determined by the necessity of substantiation of indications for a differentiated approach to medical and psychological rehabilitation of the law enforcement officers having performed service and combat tasks in special conditions. Methods. The research involved 110 officers of internal affairs bodies, average age 29,38±6,5 years; average period of being in the zone of armed conflict 146,9±79,8 days; number of missions 1,41±0,65. Research methods: anonymous questionnaire, standardised multifactor method of personality research, 16-factor personality questionnaire of R. Kettell, accentuation type identification test of H. Smishek, projective technique ‘Hand-test’, drawing association test of S. Rosenzweig, traumatic stress intensity questionnaire of I. O. Kotenev. Statistical processing of the results was carried out by methods of descriptive and factor analysis (method of principal components and varimax-rotation of the factor structure). Results. The author found six factors that explain 81.89 % of the total dispersion of traits in the structure of psychological consequences of counter-terrorist activity. Two of them - ‘posttraumatic’ (21.4 %) and ‘stuck-posttraumatic’ (7.57 %) factors - include symptoms of posttraumatic stress disorder, as well as predictors contributing to its prolonged flow. Signs of ‘subthreshold’ (prenosological) posttraumatic stress disorder, in the form of characteristic personality traits were identified: pessimism, psychasthenia, neurotic control, rigidity, impulsiveness, aggressiveness, cyclothymia, emotional ambivalence, ‘getting stuck’ on affect, frustration fixation on self-protection, anxiety, suspiciousness, sensitivity, guilt, social introversion, passivity, egocentricity. They are part of five out of six factors (‘posttraumatic’, ‘unproductive frustration response’, ‘demonstrative-neurotic’, ‘rigid-affective’, ‘stuck-posttraumatic’) and need both timely and diverse measures of medical and psychological rehabilitation. Psychological peculiarities included in the ‘hyperthymic-conform’ factor (12.06% of the variance) can be compensated by psychological correction. The author analysed foreign and national methods of psychological rehabilitation of posttraumatic stress disorder, identified psychotherapeutic ‘targets’ of influence and proposed measures of psychological rehabilitation of internal affairs officers with regard to the factor structure of the consequences.
Post-penitentiary ideal of a personality with “clear conscience”, subjectivity and “technology of working over oneself”
Authors: Sharanov Yuri , Zueva Evgeniya
Published: October 2024

Introduction. The procedural approach in the study of a post-penitentiary subject is examined. In the procedural approach the most important is considered to be the analysis of formation, dynamics and novelty of personal entities. The aim of the research is to set the problem of designing a new identity of a post-penitentiary subject, starting from the change of his criminal attitude, constructive experience of guilt and stable reorientation of behaviour to the realisation of values of law-abiding activity. Methods. The dialectical method and the principle of development constituted the research methods. The main methodological approach of the study was the system approach. The study used general scientific research methods aimed at the collection, analysis, systematisation and generalisation of data, in particular, the analysis of normative legal acts and literature references directly related to the study of the problem of designing a new identity of a post-penitentiary subject. Results. The concept of “post-penitentiary ideal of a personality” is defined through the realisation and assumption of guilt for the deed, all responsibility for their future existence and activity. The article considers the problem of self-projecting of an identity of a post-penitentiary personality as an object of legal psychology research, which implies the adaptation of a personality to the “post-violent stage” of its free existence in society. In this case, a new identity, as a result of the post-penitentiary subject’s work over himself, goes beyond the individual self, as it covers broader contexts of a person’s life. Such personal transformations are possible through the introduction of effective psychological practices (correctional programs), self-design and self-development of a post-penitentiary subject. The analysis of foreign experience allowed identifying a number of “effective practices” used by penitentiary psychologists for adults and juveniles.
Formation of police-legal theory: analysis and assessment of V. V. Ivanovsky as a specialist in the field of police law
Authors: Lomova Tatiana
Published: October 2024

Introduction. The article is devoted to the work of Viktor Viktorovich Ivanovsky (1854-1926), a prominent jurisprudent of the Russian Empire, specialist in police law, sociologist, whose scientific activity was closely connected with the Kazan Imperial University. The contribution of V. V. Ivanovsky to the development of police and administrative law, political sociology, the theory of local self-government, and the methodology of legal research significantly influenced the development of police law theory in Russia. However, his ideological heritage has not yet received a comprehensive analysis. Methods. Methodological principles of research – the principles of unity of theory and practice, objectivity, complexity, comprehensiveness of the study of social processes and phenomena, the unity of historical and logical – are based on dialectics, acting as a general methodology of scientific cognition. The main methodological approaches of the study were systemic and value approaches. General scientific (historical, functional) and special (formal-legal, historical-legal, comparative-legal) methods of legal research were used. The method of problem-theoretical reconstruction and interpretation of legal ideas was very important. Results. V. V. Ivanovsky has showed himself as a jurist, scientist and historiographer. He characterised the formation of police-legal theory and identified the features of ideas about the means of public administration, models of relations between state bodies and the population of Western European and domestic thinkers.He revealed the interdependence of the sciences of police and administrative law; identified the features of the origin of the dogmatics of administrative law; substantiated the need to change the principle of regulation of public relations and the transition from the rule of law to the principle of administrative law.
Legal infantilism as a phenomenon of modern legal reality
Authors: Nizhnik Nadezhda
Published: October 2024

Introduction. Legal infantilism being one of the varieties of legal conscience deformation is characterised by insufficient legal knowledge and the lack of well-defined legal attitudes. It has been widely spread throughout the world in the XXI century and can be defined as a social pandemic. Despite the fact that legal infantilism, along with legal nihilism and legal idealism is more frequently described in Russian scientific and educational publications and has become a matter of concern in court proceedings, so far this socio-legal phenomenon has not received proper attention in legal science. Methods. The methodology of the research of legal infantilism as a phenomenon of modern legal reality is based on dialectics. The main methods of the research were the principle of comprehensive study of legal processes and phenomena, the principles of unity of theory and practice, consciousness and activity, the principle of determinism. The research was carried out on the basis of system and value approaches. Methods of integrity and retrospective analysis made it possible to determine the development of the research topic, to identify the ideas of various scientific areas concerning the determinants of the formation of legal infantilism, its characteristics and manifestations in modern Russia during the historiographical analysis. The sociological method was an important one, it enabled to characterise the subjects - bearers of legal infantilism. General scientific (analysis, synthesis, generalisation, abstraction, historical) and special (historical-legal, interpretation of normative legal acts) methods were used. Results. Legal infantilism is examined as the manifestation of legal conscience deformation being a type of social infantilism. The paper defines the prerequisites for the development of legal infantilism, its distinctive features. It gives examples of manifestation in everyday, professional and scientific activities; and reveals the peculiarities of legal infantilism of the youth as a special social group. The study reveals the need for a comprehensive scientific analysis of legal infantilism as a phenomenon of modern legal reality, as the result of a gap or insufficient systematic assimilation of legal norms and legal values by an individual and a social group. It is proved that legal infantilism is a threat to the progressive development of the state and society, in this regard, in the context of determining the ways to improve the state-legal system of modern Russia, legal infantilism should be considered as a public danger.
The guilt of a legal entity in administrative law: problem statement
Authors: Pilyavets Svetlana
Published: October 2024

Introduction. The author considers the main contradictions of legal regulation of the institute of guilt of a legal entity in administrative law. The relevance of the problem is due to the lack of legislative certainty in the construction of the guilt of a legal entity, which leads to ambiguous law enforcement practice, violation of the principles of justice and presumption of innocence in bringing the specified subject to administrative responsibility. The purpose of the article is to analyse the ‘models’ of guilt of a legal entity in administrative, tax, civil legislation, as well as to identify the problem of harmonisation of current legislation, law enforcement practice, including in order to change the vector of fiscal orientation of state policy when bringing to administrative responsibility of a legal entity. Methods. General scientific (analysis, synthesis, systematisation) and private-scientific (formal-legal, comparative-legal) methods of scientific cognition allowed to rethink theoretical, practical aspects and approaches to the definition of guilt of a legal entity in administrative law. Results. The main problems of legal regulation of the institute of guilt in administrative law are formulated in this research. It seems that in order to bring law enforcement practice in line with the fundamental principles of administrative responsibility – legality, fairness, presumption of innocence – the guilt of a legal entity, as a legal category needs to be harmonised. The legislative construction of the model of guilt of a legal entity should ensure that the balance of private and public interests of the state is observed for the purpose of economic and political stability.
Profil Penyakit Jantung Bawaan di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado Periode September 2022 – Agustus 2023
Authors: Baksh Aida K. , Waworuntu David S. , Umboh Adrian
Published: October 2024

Abstract: Congenital heart disease (CHD) is a congenital heart defect that occurs during the heart development period of 3-8 weeks gestational age. This disease is divided into two categories, non-cyanotic CHD and cyanotic CHD. This study aimed to determine the profile of CHD in the Pediatric Department of Prof. Dr. R. D. Kandou Hospital Manado from September 2022 to August 2023. This was a retrospective and descriptive study using patients’ medical records during the period September 2022 - August 2023. The results obtained 94 patients with a mean age of 3.6 years, most of them were >5 years old (35.1%), consisting of males (53.2%) and females (46.8%). Asianotic CHD (78.7%) was the most common CHD found, and the majority of patients had good nutritional status (59.6%). In conclusion, congenital heart disease in children is most common in males, with asianotic type, and good nutritional status.
Keywords: congenital heart disease; pediatric patients
  
Abstrak: Penyakit jantung bawaan (PJB) merupakan kelainan sejak lahir pada jantung yang terjadi saat masa perkembangan jantung usia gestasi 3-8 minggu. Penyakit ini terbagi atas dua kategori yaitu PJB non sianotik dan PJB sianotik. Penelitian ini bertujuan untuk mengetahui profil PJB di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado periode September 2022 – Agustus 2023. Penelitian ini menggunakan metode deskriptif retrospektif dengan menggunakan rekam medik pasien selama periode September 2022 – Agustus 2023. Hasil penelitian mendapatkan 94 pasien PJB dengan rerata usia 3,6 tahun, terbanyak pada sebaran usia >5 tahun (35,1%), jenis kelamin laki-laki (53,2%) dan perempuan (46,8%), Penyakit jantung bawaan asianotik (78,7%) merupakan kategori PJB terbanyak, dan mayoritas pasien memiliki status gizi baik (59,6%). Simpulan penelitian ini ialah penyakit jantung bawaan pada anak terbanyak berjenis kelamin laki-laki, jenis asianotik, dan memiliki status gizi baik.
Kata kunci: penyakit jantung bawaan; pasien anak
RESULTS OF GASTROINTESTINAL BLEEDING TREATMENT IN THE REPUBLIC OF KAZAKHSTAN OVER 10 YEARS
Authors:   Syzganov National Scientific Center of Surgery, Almaty, Kazakhstan, Ibekenov O.T. , Ayupov A. , Zhuraeva A. , Baimakhanov B.B. , Kaniyev S.A. , Doskhanov M.O. , Rustemova K.R. , Ibekenova A.
Published: October 2024

Gastrointestinal bleeding (GIB) remains a significant cause of hospitalization and mortality worldwide, including in Kazakhstan. This retrospective study analyzes the incidence, treatment outcomes, and mortality of GIB in the Republic of Kazakhstan over a 10-year period (2014–2023) using data from 101,703 patients across 254 medical institutions. The study differentiates between non-variceal and variceal GIB, highlighting a 24.5% increase in non-variceal cases and a 45.1% increase in variceal cases due to higher rates of acute ulcerative lesions and liver cirrhosis, respectively. Men were disproportionately affected, accounting for 69.3% of cases, with the highest incidence in the 18-59 age group. Despite a 27.8% increase in GIB cases, overall mortality decreased from 7.8% in 2014 to 5.0% in 2023, largely due to advances in endoscopic hemostasis and critical care management. The mortality rate for non-variceal GIB decreased to 3.0%, while variceal GIB decreased from 23.8% to 13.6%. The results underscore the need for improved prevention, especially in high-risk populations using NSAIDs and anticoagulants, and in those with chronic conditions such as liver disease.
DIAGNOSTIC ACCURACY OF MULTISPIRAL COMPUTED TOMOGRAPHY IN DETECTING AND STAGING OF ESOPHAGEAL AND GASTRIC CANCER
Authors:   Syzganov National Scientific Center of Surgery, Almaty, Kazakhstan, Baimakhanov B.B. , Baiguissova D.Z. , Shokebayev А.А. , Kanatov K.M. , Kalshabay Ye. , Mukhamedzhanova A. , Orynbassar N.T. , Nazar T.A. , Abilseit A. , Kalibekova A. , Markelova A.
Published: October 2024

Background. The sensitivity and specificity of multislice computed tomography is of great importance in the detection of gastric and esophageal cancer, and also expands the possibilities of preoperative staging using computed tomography. Materials and methods. A retrospective study at the A.N. Syzganov National Scientific Center of Surgery from 2022 to 2024, included 121 patients: 48 females (39.6%), 73 males (60.3%), with an average age of 60 years. Sensitivity, specificity were calculated to assess diagnostic accuracy. Esophageal and gastric cancer staging via computed tomography was done using the TNM classification and compared with esophagogastroduodenoscopy, pathohistological examination results. Results. The sensitivity of computed tomography was 96.49%, the specificity was 85.71%. Esophagogastroduodenoscopy showed a sensitivity of 79.75%, specificity of 95.24%. Conclusion. Computed tomography is highly informative, sensitive in detecting esophageal and gastric cancer, with superior diagnostic accuracy compared to esophagogastroduodenoscopy. Given the detection of esophageal and gastric cancer at T2 and T3 stages, along with the presence of distant metastases in some patients, implementing protocols for early diagnosis is advisable.
ULTRASOUND DIAGNOSIS OF THE RENAL ARTERY STENOSIS IN A TRANSPLANTED KIDNEY IN THE EARLY POSTOPERATIVE PERIOD
Authors:   National Research Oncology Center, Astana, Kazakhstan, Orazbayeva D.R. , Auganbayeva S.E. , Tusupbekova G.E. , Tlegenova A.T. , Isa G.I. , Sagyndykov I.K. , Akhmetov Y.A.
Published: October 2024

In this clinical case, stenosis of a renal artery of transplant was detected in time by angiography using dynamic Doppler ultrasound control. The chosen treatment method allowed the restoration of arterial patency and thus renal graft function in the shortest possible time and with minimal trauma. However, due to the high risk of restenosis in the plastic area, continuous dynamic ultrasound monitoring and monitoring of the patient's creatinine level are required. The purpose of this presentation is to present a case of early detection of a postoperative complication by Doppler ultrasound, which made it possible to prevent vascular dysfunction, often leading to loss of the renal graft. Materials and Methods. In this article, we report a case of timely detection of renal artery stenosis by ultrasound in a patient, followed by confirmation by angiography and restoration of renal artery and graft function by endovascular balloon angioplasty. All major hemodynamic changes in Doppler ultrasound parameters characteristic of renal artery stenosis are described in this article. Results. Dynamic Doppler ultrasound monitoring and angiography allowed early detection of the described complication of renal transplantation. The optimal choice of treatment tactics allowed the restoration of arterial patency and renal graft function in the shortest possible time, thus preventing graft rejection. Conclusion. Our clinical case demonstrates the importance of the monitor in the assessment of renal perfusion. The outcome of kidney transplantation largely depends on the successful resolution of these issues, which determines the relevance.
THE EFFECTIVENESS OF THE FUNCTIONING OF RECONSTRUCTED HEPATIC VEINS USING VARIOUS TYPES OF MATERIALS IN TRANSPLANTATION OF THE RIGHT LOBE OF THE LIVER FROM A LIVING DONOR
Authors:   Syzganov National Scientific Center of Surgery, Almaty, Kazakhstan, Zhambyl O.R. ,   Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan, Doskhanov M.O. , Baimakhanov B.B. , Kaniyev Sh.A. , Nagasbekov M.S. , Tileuov S.T. , Suierkulov M.U.
Published: October 2024

Background. In adult living donor liver transplantation with the right lobe, the venous outflow of the anterior sector is typically restored during the procedure to form a neo-middle hepatic vein. Restoring the middle hepatic vein for the drainage of the anterior sector is critically important for achieving optimal graft function. Various conduits are used for this reconstruction, such as synthetic and biological grafts (e.g., the recipient's portal vein, vessels from a deceased donor, and modified great saphenous vein). However, the selection of the best option remains a topic of discussion. This study evaluates the effectiveness of using biological and synthetic grafts for MHV reconstruction. Materials and methods. A retrospective analysis of outcomes was conducted in patients who underwent transplantation of a modified right liver lobe due to end-stage liver disease from 2011 to 2024. Results. A transplantation of modified right liver lobes was performed on 80 patients. In 69 cases, the reconstruction of the hepatic veins was carried out using a biological graft, while in 11 cases, a synthetic graft was used. Statistically significant differences were noted in mortality and the postoperative period. No significant differences were found in the frequency of intraoperative complications. Conclusion. Our study demonstrates that the use of a biological graft for the reconstruction of the hepatic veins of segments 5 and 8 is more effective than the application of a vascular prosthesis.
SINGLE-CENTER EXPERIENCE OF HEART TRANSPLANTATION AT THE HEART CENTER OF ASTANA
Authors:   «University Medical Center», Corporate Fund, Astana, Kazakhstan, Pya Y. ,   Heart Center «University Medical Center» Corporate Fund, Astana, Kazakhstan, Abdiorazova A. , Altynova Sh.K. , Myrzakhmetova G.S. , Novikova S.P. , Goncharov A. , Yakhimovich Y.S. , Daniyarova G.D.
Published: October 2024

Background. Chronic heart failure is a major global health issue. As a complication of most cardiovascular diseases, it affects 4% of the population. Heart transplantation is the gold standard in the treatment of patients with end-stage heart failure. Objective of the study was to evaluate early and long-term outcomes of heart transplants performed at the Heart Center University Medical Center (Heart Center) over a 10-year period. Materials and methods. Cross-sectional study was conducted from 2012 to 2022, 86 orthotopic heart transplants were performed at the Heart Center. The analysis of the obtained results was conducted retrospectively. Results. From August 2012 to December 2022, 114 patients were on the waiting list for heart transplantation. Of these, 86 (75.4%) patients underwent transplantation; 10 (8.7%) patients were excluded. Among the 86 patients, 49 (56.9%) had previously undergone cardiac surgery. Of these, 42 (48.8%) had a left ventricular assist device implanted earlier, 3 (3.4%) had a fully artificial heart, and 2 (2.5%) were on temporary mechanical support (central veno-arterial Extracorporeal membrane oxygenation). Hospital mortality was 8 (9.3%) recipients. In 2.7% of cases, the cause of death was an acute cerebrovascular accident on the second day post-surgery. Postoperative renal dysfunction was noted in 28 (32.5%) patients. An analysis of all performed heart transplantation cases showed a 30-day survival rate of 94%, a 1-year survival rate of 84.3%, and a 5-year survival rate of 64.7%. Conclusion. In the hospital period and the first 6 months after heart transplantation, infectious-septic complications were predominant, whereas in later periods, rejection reactions were more common.
MYOCARDIAL DYSFUNCTION IN POLYTRAUMA
Authors:   “University Medical Center” Corporate Fund, Astana, Kazakhstan, Bekbossynova M.S. ,   National Scientific Center for Traumatology and Orthopedics named after Academician N.D. Batpenova, Astana, Kazakhstan,   Multidisciplinary City Hospital No. 2, Astana, Kazakhstan,   Multidisciplinary City Hospital No. 1, Astana, Kazakhstan,   Nazarbayev University, Astana, Kazakhstan, Batpen A.N. , Mukarov M.A. , Kanabekova P.S. , Shaktybek Z.M. , Sugralimova M.M. , Mamasaliyev B.M. , Lukbanov M.K. , Kozhakhmetova A.I.
Published: October 2024

Trauma remains one of the leading causes of mortality worldwide, particularly among the young population. A significant number of people die within the first 48 hours due to acute cardiovascular pathology. Cardiac injury is a significant predictor of adverse outcomes following multiple trauma, associated with poor prognosis and prolonged hospitalization. Systemic elevation of cardiac troponin levels is linked to survival, the severity of trauma, and catecholamine consumption in patients after multiple trauma. Clinical signs of the so-called "commotio cordis" include arrhythmias, such as ventricular fibrillation and sudden cardiac arrest, as well as wall motion abnormalities. In trauma patients with inadequate hypotension and a lack of adequate response to fluid therapy, the possibility of cardiac injury should be considered. Therefore, a combination of electrocardiography, echocardiography, and the systemic determination of cardiomyocyte injury markers, such as troponin, appears to be an appropriate diagnostic method for identifying cardiac dysfunction after trauma. However, the mechanisms of post-traumatic cardiac dysfunction continue to be actively studied. The aim of this review is to discuss cardiac injury following trauma, focusing on the mechanisms of post-traumatic cardiac dysfunction related to inflammation and complement activation. The review illustrates the causal relationship between cardiac dysfunction and blunt chest trauma, multiple trauma, and hemorrhagic shock.
STROKE: A COMPREHENSIVE OVERVIEW OF TRENDS, PREVENTION, AND TREATMENT (LITERATURE REVIEW)
Authors:   Syzganov National Scientific Center of Surgery, Almaty, Kazakhstan, Shamshiev A.S. ,   Al-Farabi Kazakh NationalUniversity, Almaty, Kazakhstan,   Almaty Multi-profile Clinical Hospital, Almaty, Kazakhstan,   Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan, Saduakas A.Y. , Zhakubaev M.A. , Matkerimov A.Z. , Demeuov T.N. , Makkamov R. , Yerkinbayev N. , Kozhamkul A. , Appazov D.M. , Begim N. , Davletov D.K.
Published: October 2024

A stroke is an emergency medical condition, commonly referred to as a cerebrovascular accident, occurs when the blood supply to the brain is interrupted, depriving brain tissue of oxygen and essential nutrients. This interruption can lead to rapid neurological impairment and, if not treated promptly, permanent brain damage or even death. Stroke is primarily categorized into two types: ischemic, resulting from arterial blockage, and hemorrhagic, caused by a ruptured blood vessel. Conditions such as acute cerebral circulatory disorder, atherosclerosis, and carotid artery stenosis are strongly associated with an increased stroke risk. Understanding these underlying factors is crucial for effective prevention, early detection, and management of stroke. Globally, stroke ranks as the second lead in cause of disability and mortality, disproportion at early affecting low-and-middle - income countries. Efforts in stroke prevention emphasizes the significance of early detection, management, promoting healthy lifestyles, and implementing legislative measures. The healthcare costs associated with stroke are substantial and projected to grow significantly. Socioeconomic factors and adverse working conditions also influence stroke incidence. Advancements in surgical revascularization techniques, such as carotid endarterectomy and stenting, have demonstrated efficacy in reducing stroke risk. Continuous research and development of optimal treatment strategies and monitoring protocols are essential for improving stroke outcomes and mitigating its global burden.
THE INFLUENCE OF PULMONARY VEIN ANATOMY ON OUTCOMES AFTER ABLATION OF PAROXYSMAL ATRIAL FIBRILLATION
Authors:   Interventional Cardiology and Arrhythmology Department, Syzganov National Scientific Center of Surgery, Almaty, Kazakhstan, Baimbetov A.K. ,   Fundamental Medicine Department, Al-Farabi Kazakh National University, Almaty, Kazakhstan,   Epidemiology, Biostatistics and Evidence Based Medicine Department, Al-Farabi Kazakh National University, Almaty, Kazakhstan, Jukenova A.M. , Ualiyeva A.Ye. , Bizhanov K.A. , Sapunov A.V. , Bigeldiyev N.Zh. , Yakupova I.A. , Okhabekov N.A. , Meirambay Zh.Yu.
Published: October 2024

Background. Pulmonary vein isolation is the cornerstone of catheter-based treatment for atrial fibrillation. Cryoballoon ablation offers an effective and reproducible method for pulmonary vein isolation, yet recurrence of arrhythmias remains a challenge. Despite advances in catheter technologies, the role of altered pulmonary vein anatomy as a factor for atrial fibrillation recurrence is poorly studied. Materials and Methods. This prospective study included 465 patients with paroxysmal atrial fibrillation who underwent cryoballoon ablation. Pulmonary vein and left atrial anatomy were evaluated using multislice computed tomography. Patients were followed for 24–48 months to assess atrial fibrillation recurrence and anatomical risk factors. Cox proportional hazard modeling and Kaplan-Meier analysis were used to evaluate predictors of arrhythmia recurrence. Results. Complete Pulmonary vein isolation was achieved in all patients. During follow-up, 38% of patients experienced atrial fibrillation recurrence. Patients with altered pulmonary vein anatomy, particularly a left common pulmonary vein and additional pulmonary veins, showed a higher rate of recurrence. Cox regression analysis identified left atrial volume index >50 mL/m² and pathological pulmonary vein anatomy as independent risk factors for atrial fibrillation recurrence. Conclusion. Altered pulmonary vein anatomy is a significant risk factor for atrial fibrillation recurrence following cryoballoon ablation. Comprehensive imaging of the left atrial and pulmonary vein using multislice computed tomography can improve patient selection, reducing the recurrence risk and improving long-term outcomes.
MODEL INTERVENSI SUPPORTIVE EDUCATIVE SYSTEM BERBASIS INTEGRASI SELF CARE TERHADAP PENGETAHUAN DAN PRAKTIK PEMBERIAN MAKAN PADA IBU BALITA GIZI KURANG
Authors: Ayupir Ariyanto , Nelista Yosefina , Fembi Pembronia Nona Fembi
Published: October 2024

The nutritional status of children under five is a reflection of the nutritional status of the community, nutritional problems arise if the intake of nutrients consumed with nutritional needs is not appropriate. Malnutrition status in toddlers has a negative impact on growth disorders and causes low cognitive abilities and Intelligence Quotient values. Supportive educative system is a method of education or providing education using various methods such as teaching, guiding, and providing environment. The purpose of this study was to analyze the knowledge and practice of feeding underweight mothers before and after being given a supportive educative system intervention based on self care integration. The type of research used is a quasi-experimental research design with one group pretest posttest design. The population in this study were all underweight children under five years of age in the working area of ​​the Magepanda Health Center as many as 36 people, the sampling technique in this study was using a non-probability sampling technique by means of saturated sampling. The instrument for measuring feeding practices was measured using a modified questionnaire from the Child Feeding Questionnaire. Data collection includes pretest, intervention and posttest. Wilcoxon test results show that before and after being given the intervention Supportive Educative System Based on Integration of Self Care and Family Centered Nursing gives a price (p-value 0.000 less than = 0.05), then Ho is rejected. Ha is accepted. This shows that there is a significant effect caused by the intervention of the Supportive Educative System Based on Integration of Self Care and Family Centered Nursing.
EFIKASI DIRI MENINGKATKAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISIS
Authors: Safruddin Safruddin , Ulfah Mutthalib Nurul
Published: October 2024

Hemodialysis therapy is routinely conducted on end-stage chronic kidney disease patients approximately 2-3 times a week for the patient's survival. However, numerous physical, psychological, and socio-economic problems arise in patients due to routine hemodialysis, thereby impacting the patient's quality of life. This study aims to determine the relationship between self-efficacy and the quality of life of end-stage renal disease (ESRD) patients undergoing hemodialysis (HD). The research employs an analytical observational design with a cross-sectional study approach. The study population includes all end-stage renal disease patients, and the sampling technique is accidental sampling, with a sample size of 80 patients. Data analysis involves univariate and bivariate analyses to examine the relationships among variables using statistical tests, specifically the Spearman correlation test. There is a positive correlation between self-efficacy and quality of life in the physical domain with a p-value 0.001, in the psychological domain with a p-value 0.001, in the social domain with a p-value 0.001, and in the environmental domain with a p-value 0.001.Self-efficacy has a significantly positive correlation with the improvement of the quality of life in the physical, psychological, social, and environmental domains among hemodialysis patients, with a p-value < 0.005
EFEKTIVITAS PRENATAL YOGA DALAM MENGURANGI ANGKA KEJADIAN PRE EKLAMPSIA DI PMB TATI KUSMIRAN,S.Tr.KEB.,BD BEKASI TAHUN 2023
Authors: Ekayanti Ekayanti , Swandayani Rasta
Published: October 2024

The three main causes of maternal death include bleeding (30%), hypertension in pregnancy or preeclampsia (25%), and infection (12%). Preeclampsia or eclampsia is the second most common cause of maternal death after bleeding. Exercise during pregnancy can increase stamina, make you sleep better, improve your mood, and reduce anxiety. Of this writing is to determine the effectiveness of prenatal yoga in reducing the incidence of pre-eclampsia in PMB Tati Kusmiran, S.Tr.Keb., BD Bekasi in 2023. This research design uses a true-experimental research design which is a Posttest-only control design, namely an experimental design using a sample to measure the frequency of the effectiveness of prenatal yoga in reducing the incidence of pre-eclampsia in PMB Tati Kusmiran, S.Tr.Keb., BD Bekasi, Identifying the effectiveness of prenatal yoga on the incidence of pre-eclampsia in pregnant women by carrying out interventions. There were differences between groups experiencing pre-eclampsia in the BP category <140/90 with a frequency of 69.2% and those who did not comply with the SOP had a frequency of 30.8%. 35.3% of those who experienced pre-eclampsia in the BP>160/110 category did prenatal yoga according to the SOP and 64.7% of those who did not according to the SOP. There is a difference in the mean scores for the two groups with a score difference of 0.47. Based on the results of the paired test, the value p = obtained p = 0.000 < 0.01, so H0 is rejected, meaning that statistically it shows that there is a difference in pre-eclampsia in pregnant women who do yoga according to the SOP and those who do yoga not according to the SOP. Based on the results of the paired test, the p= value was obtained, the p=0.000 <0.01 was obtained, so H0 was rejected, meaning that statistically it shows that there is a difference in pre-eclampsia in pregnant women who do yoga according to the SOP and those who do yoga not according to the SOP. The results of the normality test using the Shapiro Wilk test obtained a sig value. 0.000, which means that if the α value <0.05, it means Ho is rejected and it can be concluded that there is the effectiveness of prenatal yoga in reducing the incidence of pre-eclampsia in PMB Tati Kusmiran, S.Tr.Keb., BD Bekasi
Nocumento
Authors: Tomasin Lorenzo
Published: October 2024

Alcuni lettori si interrogano sulla liceità di forme alternative della parola nocumento che talvolta s’incontrano in documenti legali, come nucomento e noncumento.
Comparative analysis of English and American humor in literary discourse
Authors: Tyshakova Liudmyla , Khairulina Nailia
Published: October 2024

The article studies humor as a type of comic in the literary discourse. The composition of the traditional comic variety paradigm is determined, including humor, irony, satire, and sarcasm. The leading techniques and linguistic/speech means of representing and enhancing the comic effect in the literary discourse are described. The essentials of their complex description are considered. The concept of humor is analyzed as a linguistic and sociocultural phenomenon in the literary discourse. Attention is focused on investigating the peculiarities of British and American humor. The authors trace the differences between English and American humor in domestic and foreign linguistic and literary sources. The peculiarities of the linguistic criterion itself are revealed, which is essential in linguists' identification and study of humor as a kind of comic. The leading classifications of verbal means, forms, and techniques of humorous wit in the literary discourse are highlighted. Humor among the English tends to manifest itself mainly in times of personal hardship and to be largely self-directed. The most crucial feature of American humor is slang, which is peculiar only to Americans.
The impact of emotional intelligence on academic achievement
Authors: Pashchenko Oleksandr , Medvedovska Tаtyana , Terkhanova Olena , Baidak Alla , Danyliuk Yulia
Published: October 2024

This article explores the impact of emotional intelligence (EI) on academic achievement, highlighting the essential role that EI plays in educational settings. It begins with a comprehensive definition of emotional intelligence and its key components, followed by a review of the relationship between EI and academic performance. The article synthesizes empirical evidence demonstrating how emotional intelligence influences learning outcomes, motivation, and resilience among students. Additionally, it discusses effective strategies for enhancing EI in educational environments, including training programs and the role of educators. Challenges in measuring and implementing EI are also addressed, culminating in a conclusion that emphasizes the importance of integrating emotional intelligence into educational frameworks to foster academic success. The findings underscore the significance of emotional skills in navigating the complexities of academic life and promote the inclusion of EI training in curricula.
Synthesis in Alexander Matveyev’s Creative Work
Authors: Kalugina Olga V.
Published: October 2024

Alexander Matveyev (1878-1960) was an outstanding Russian Soviet sculptor and talented teacher who formed the neoclassical school of Russian sculpture. The amazing integrity and consistency of the master’s creative searches led him to the creation of the clearest and most precise plastic system, distinguished by the striking stylistic unity of the artistic language, internal content, and emotional structure of his images. At the same time, the sculptor’s plastic system was initially devoid of any compromise - it very quickly acquired the features of a qualitatively new phenomenon. While preserving the achievements of impressionism in developing the problem of interaction between sculpture and the light and air environment, Matveyev constantly paid great attention to direct work with material. Alexander Matveyev’s creative work is typologically exceptionally diverse. In monumental and decorative plastic art, the master made a name for himself when designing the Golden Fleece Salon exhibition back in 1902. He also gained experience in the genre of portrait bust, two-figure composition, and relief of various types. Internally, his creative method was determined by the figurative and poetic structure that is so characteristic of Matveyev's works and, in general, of the masters of his circle. It was these characteristics of the sculptor's talent that allowed him to say a fundamentally new word in the sphere of synthesis of sculpture and the enclosing landscape - both urban and natural, both in the sphere of symbolic composition and in the genre of tombstones. The tombstone of his friend and mentor, Viktor Borisov-Musatov, the outstanding painter of the early 20th century, was a true masterpiece of this genre and truly innovative in its figurative structure. His ensemble of New Kuchuk-Koy became an especially outstanding achievement in park sculpture new spatial design. In these compositions, the sculptor practically developed a fundamentally new language of park sculpture and achieved an amazing unity of his creations with the surrounding natural and architectural landscape. The monumental group October and the project of the monument to the soldiers of the Far Eastern Army in Dauriya demonstrate the process of evolution of the master’s own style along the line of developing an increasingly laconic design and moving away from attaching details to a general form and symbolic expressiveness of sculptures. At the same time, Alexander Matveyev’s legacy consists of a huge number of sketches of unrealised monuments to V. Lenin, M. Gorky, M. Lermontov, A. Chekhov, and others.
The Montage Concept in the Play Roar, China! (The Meyerhold State Theatre, 1926) and in Traditional Chinese Theatre
Authors: An Xiao
Published: October 2024

Created based on real events, the Meyerhold State Theatre play Roar, China! was of a political nature, corresponding to Meyerhold's interest in one of the areas of theatrical politics of the 1920s, associated with the genre of political review. The political nature of the play is reflected in the stage presentation of two opposing forces and two socio-political systems behind them. The expression of the contradiction between the people and the opposing sides became an important political task of the play. To achieve it, the director of Roar, China! used the montage principle in the theatre. Such a principle of montage also exists in traditional Chinese theatre; however, on stage, it appears in the form of conventionality.
Futuristic Design of Ethnic Clothing Using 3D Technologies
Authors: Preobrazhenskaya Maria
Published: October 2024

The author considers the use of innovative 3D printing technologies as a tool used by modern clothing designers striving for uniqueness and a futuristic look of their products. Particular attention is paid to the prospects for introducing 3D printing into the fashion industry and the opportunities it provides for individualisation, experimentation with shapes and textures, as well as the creation of new aesthetically attractive designs. The article may be of interest to students of the creative speciality of Fashion Design, design specialists exploring modern technologies in the fashion industry, as well as for those interested in innovation and creative approach to modern and promising clothing design. 3D printing allows one to create unique and personalised products such as jewellery, patterns, accessories that meet individual needs and preferences. Designers can adapt existing patterns or create their own, which will lead to a more exclusive approach to designing clothes, accessories, and jewellery. The author's desire to draw attention to the influence of 3D printing on the cultural code sewn into ethnic decor in order to give new breath to traditional symbolism is the goal of this study. Ethnic motifs and patterns made on a 3D printer can serve as separate details of decor, as well as be elements of a clothing item itself in its various manifestations. Ethnic patterns are an important aspect of world fashion, reflecting the cultural heritage and traditions of different peoples. The identification of the degree of significance of modern technologies in the life of an artist of decorative and applied arts was the result of this study. According to the author, the introduction of 3D printing into the creative process of a designer expands their capabilities, stimulates the development of innovations, and transforms the fashion industry. The results of the study showed that 3D printing opens up unique opportunities for the creative process of a designer. However, the study also revealed a number of technical problems associated with 3D printing of clothes that need to be solved for the widespread implementation of this technology in the fashion industry. Further research and cooperation with such specialists as engineers and computer experts are necessary to fully realise the potential of 3D printing.
Best Combination of Liquid Organic Fertilizer with NPK Fertilizer for Cocoa Seedling Growth (Theobroma cacao L.)
Authors: Hartawan Rudi , Hayata Hayata , Manullang Saut Frandoni
Published: October 2024

One strategy for achieving sustainable agriculture is the reduction of inorganic fertilizers. Inorganic fertilizers are reduced by substituting them with organic fertilizers. This study aimed to identify the optimal combination of LOF with NPK fertilizers to promote the growth of cocoa seedlings in polybags. The study used completely randomize design. The treatment design, namely the combination of LOF with NPK fertilizers, consisted of five distinct combinations: control, 100% LOF, 100% NPK, 75% LOF +25% NPK, 50% LOF + 50% NPK, and 25% LOF +
75% NPK. The parameters observed were plant height, stem diameter, number of leaves, total leaf area, plant dry weight, shoot dry weight, root dry weight, soil physical properties, soil water content, soil analysis, and seedling quality index. The results showed that treatment 25% LOF + 75% NPK increased the percentage of plant height by 73.47%, stem diameter by 42.13%, number of leaves by 67.36%, total leaf area by 75.30%, plant dry weight by 45.70%, shoot dry weight by 24.81%, root dry weight by 95.54%, and seedling quality index by 90.65%. LOF can reduce the use of NPK fertilizer by 25% in cocoa seedling