bluuebunny/crossref_metadata_2025 huggingface dataset:
Caring for caregivers: encouraging intervention activities as a learning strategy in medical internship
Authors: Gomes Ana Vitória Teixeira de Medeiros , Florentino Erika Denise de Vasconcelos , Oliveira Myrlla Soares de , Silva Thaiany Rego , Souza Jucimara Alves de
Published: February 2022

Abstract: Introduction: This work describes the experience of structuring a therapeutic group with informal caregivers who showed signs of overload and who worked providing care to bedridden people followed through home visits by the health team of the Family Health Strategy (FHS). Experience Report: The group was structured and developed by two students of the Internship period of the medical course during the rotation in Family and Community Medicine (FCM) together with the second-year resident physician of the Specialization Program in FCM, the preceptor of the Program, and the team nurse at the Josefa de Souza Silva school unit, Pedra Linda neighborhood, in Petrolina, state of Pernambuco, based on the identification of a problem in the community and as part of the intervention project. Discussion: Seven weekly meetings were held with twelve caregivers, from May to July 2019. Each meeting was divided into welcoming activities, presentation of the day’s proposal with the experience of a self-care practice and ended with the suggestion of a home activity, to be developed until the next meeting. For the development of activities, the community approach and resources such as Popular Education and Integrative and Complementary Practices in Health were used. Conclusion: The reduction of stress and overload on caregivers was observed, from the practice of self-care and the strengthening of support networks in the community. At the same time, the potential of the intervention project was perceived as a learning strategy in the process of medical training in the FHS: the students were able to experience the establishment of the doctor-patient relationship, the use of light technologies for care, the coordination of a therapeutic group, understanding the meaning of equity, integrality and longitudinality in the practice of FCM, recognizing themselves as caregivers and the importance of taking care of themselves to take care of others.
A sala de aula invertida na aprendizagem do exame clínico
Authors: Patriota Rodrigo de Lemos Soares , Frias Luísa Gonçalves de , Silton Guilherme Afonso Ferreira Coelho , Silva Marília Araújo da , Duque Taciana Barbosa , Lorena Suélem Barros de
Published: February 2022

Abstract: Introduction: Flipped Classroom (FC) is an Active Learning Methodology characterized by the sending of teaching materials to students in advance, so that the classroom moment is entirely dedicated to non-expository activities. The FC was implemented in 2019 for the teaching of Clinical Examination (CE) aimed at undergraduate medical students at a Higher Education Institution in the Northeast region of Brazil. Objective: To analyze the implementation of FC for CE learning compared to the mini-exposure methodology followed by practice. Method: Analysis of educational intervention with historical control over the implementation of the FC methodology carried out in three phases. In the first, the two tutors involved in the implementation or who acted as teachers were evaluated through a semi-structured interview about the FC implementation process and its initial operation. The second consisted in the assessment of 44 medical students, through a Likert questionnaire, on learning with the new methodology. The third consisted in evaluating the grades obtained by 66 students who experienced learning with FC in relation to 142 students who experienced the previous methodology. Result: The evaluated tutors knew little about the methodology before it was implemented and believe that its implementation promoted gains, such as students’ greater dedication to individual study. The initial difficulty arose from the creation of an extensive database of questions for the pre-test, which was carried out at the beginning of the in-person moments. The evaluated students reported being well adapted and agree with the benefits of FC, including: feeling stimulated to study, developing the practice more easily and the presence of pre-tests that help to improve individual study. The results of the comparison of grades showed a significant increase in performance when comparing students who experienced the FC (9,11 - SD 0,45) with those who experienced the previous methodology (8,49 - SD 0,91). Conclusion: The methodology was satisfactorily implemented, promoted gains in learning and optimized the in-person time to be entirely dedicated to practical learning.
Time using a computer as a discriminator of obesity, sedentarism and cardiovascular risk factors in university students
Authors: Guerra Heloísa Silva , Brugnoli Adriana Vieira Macedo , Melo Raiana Rodrigues Costa , Moriguchi Emílio Hideyuki , Pattussi Marcos Pascoal , Costa Juvenal Soares Dias da
Published: February 2022

Resumo: Introdução: Os universitários apresentam maior risco de adotar o comportamento sedentário em virtude da própria rotina, a qual requer muito tempo dedicado às aulas e a utilização frequente do computador para os estudos. Essa situação tem se tornado preocupante porque o comportamento sedentário tem sido associado a desfechos adversos em saúde, como mortalidade e doenças crônicas não transmissíveis. Objetivo: Este estudo teve como objetivo analisar o tempo despendido com o uso do computador como discriminador da obesidade, do sedentarismo e de fatores de risco cardiovascular em universitários. Método: Trata-se de estudo transversal realizado com 2.275 acadêmicos de cursos da área da saúde de uma fundação pública do estado de Goiás. Os dados foram obtidos por meio da aplicação de um questionário composto por variáveis sociodemográficas, relativas ao curso e a aspectos comportamentais e de saúde. A variável de desfecho foi o tempo utilizando o computador (TC). Identificaram-se o poder discriminatório e os pontos de corte do TC para os desfechos de interesse por meio das curvas Receiver Operating Characteristic (ROC) com IC95%. Resultado: O tempo médio usando o computador para estudos, trabalho ou lazer foi de 3,90 horas/dia para mulheres e 3,82 horas/dia para homens. A área sob a curva ROC entre o TC e o sedentarismo foi de 0,54 (IC95% 0,51-0,58) para mulheres e 0,56 (IC95% 0,50-0,63) para homens. Já para a hipertensão arterial sistêmica (HAS), foi de 0,57 (IC95% 0,50-0,64) para mulheres. Os melhores pontos de corte relacionados a essas condições foram 3,5 e 4,5 horas, respectivamente. Conclusão: O TC apresentou boa capacidade preditiva para discriminar o sedentarismo e a HAS entre universitários. Sugere-se que a diminuição do TC e sua substituição por atividades ativas possam contribuir para a melhoria do perfil de saúde e a qualidade de vida dos acadêmicos.
The Impact of Vaccination on Incidence and Outcomes of SARS-CoV-2 Infection in Patients with Kidney Failure in Scotland
Authors: Bell Samira , Campbell Jacqueline , Lambourg Emilie , Watters Chrissie , O’Neil Martin , Almond Alison , Buck Katharine , Carr Edward J. , Clark Laura , Cousland Zoe , Findlay Mark , Joss Nicola , Metcalfe Wendy , Petrie Michaela , Spalding Elaine , Traynor Jamie P. , Sanu Vinod , Thomson Peter , Methven Shona , Mark Patrick B.
Published: February 2022

Significance Statement

Patients with kidney failure requiring KRT are at high risk of poor outcomes following SARS-CoV-2 infection, with variable antibody responses to vaccination reported. Ninety-three percent of patients on KRT in Scotland received a SARS-CoV-2 vaccine. The effectiveness of two vaccine doses was only 33% (95% CI, 0 to 52) against SARS-CoV-2 infection and 38% (95% CI, 0 to 57) against hospitalization in patients requiring KRT. Within 28 days of a positive SARS-CoV-2 PCR test, 9.2% of fully vaccinated patients died (7% patients on dialysis and 10% transplant recipients). These data suggest that a primary vaccine course of two doses does not provide adequate protection in patients receiving KRT and highlight the urgent need for adjunctive strategies to reduce risk of both SARS-CoV-2 infection and its complications.

Background

Patients with kidney failure requiring KRT are at high risk of complications and death following SARS-CoV-2 infection, with variable antibody responses to vaccination reported. We investigated the effects of COVID-19 vaccination on the incidence of infection, hospitalization, and death from COVID-19 infection.

Methods

The study design was an observational data linkage cohort study. Multiple health care datasets were linked to ascertain all SARS-CoV-2 testing, vaccination, hospitalization, and mortality data for all patients treated with KRT in Scotland from the start of the pandemic over a period of 20 months. Descriptive statistics, survival analyses, and vaccine effectiveness were calculated.

Results

As of September 19, 2021, 93% (n=5281) of the established KRT population in Scotland had received two doses of an approved SARS-CoV-2 vaccine. Over the study period, there were 814 cases of SARS-CoV-2 infection (15.1% of the KRT population). Vaccine effectiveness rates against infection and hospitalization were 33% (95% CI, 0 to 52) and 38% (95% CI, 0 to 57), respectively. Within 28 days of a SARS-CoV-2–positive PCR test, 9.2% of fully vaccinated individuals died (7% patients on dialysis and 10% kidney transplant recipients). This compares to <0.1% of the vaccinated general Scottish population admitted to the hospital or dying due to COVID-19 during that period.

Conclusions

These data demonstrate that a primary vaccine course of two doses has limited effect on COVID-19 infection and its complications in patients with KRT. Adjunctive strategies to reduce risk of both COVID-19 infection and its complications in this population are urgently required.
Flowering and Non-Flowering Spur Leaf Characteristics of 'Amasya' Apple and Its Comparison with Other Cultivars
Authors: ATAY Ayşe Nilgün , ATAY Ersin
Published: February 2022

Understanding the attributes of spur leaves in apple trees is essential to gain more insight into the complex process of fruit development and quality. However, limited literature is available about the spur leaf characteristics of the 'Amasya' apple cultivar. In this work, the Soil Plant Analysis Development (SPAD) and leaf area were investigated in flowering and non-flowering spur leaves of 'Amasya' and six common apple cultivars. Significant differences among cultivars were observed for the SPAD and spur leaf area. The median SPAD readings in 'Amasya' were 32.63 and 26.23 for the flowering and non-flowering spurs, respectively, which were the relatively low values among studied cultivars. The maximum SPAD value was measured in flowering spurs of 'Cripps Pink' (45.03). SPAD values were found to be lower in non-flowering spurs compared with flowering ones for all the studied cultivars, which confirms that decline in chlorophyll content coincided with a gradual decline in productivity. A notably significantly lower spur leaf area was found in 'Amasya', whereas the highest spur leaf area was in 'Cripps Pink'. However, no statistical difference was observed between flowering and non-flowering spur leaf areas within the same cultivars. The present results provided a general framework of SPAD and spur leaf areas in 'Amasya' and other apple cultivars when spurs had flowers or not. Knowledge of these characteristics provides a basis for building a model related to yield elaboration of apple trees.
La Inteligencia Artificial en la educación: Big data, cajas negras y solucionismo tecnológico
Authors: Giró-Gracia Xavier , Sancho-Gil Juana María
Published: February 2022

The use of digital technology is constantly permeating and transforming all social systems, and education is not an exception. In the last decade, the development of Artificial Intelligence has given a new push to the hope of providing educational systems with ‘effective’ and more personalized solutions for teaching and learning. Educators, educational researchers, and policymakers, in general, lack the knowledge and expertise to understand the underlying logic of these new systems, and there is insufficient research based evidence to fully understand the consequences for learners’ development of both the extensive use of screens and the increasing reliance on algorithms in educational settings. This article, geared towards educators, academics in the field of Education, and policymakers, first introduces the concepts of ‘Big Data’, Artificial Intelligence, Machine Learning algorithms and how they are presented and deployed as ‘black boxes’, and the possible impact on education these new software solutions can have. Then, it focuses on the underlying educational discourses that historically have seen information and communication technologies as a panacea for solving educational problems, pointing out the need to analyse not only their advantages, but also their possible negative effects. It finishes with a short exploration of possible future scenarios and conclusions.
Stimulating Effect of Salicylic Acid in the In Vitro and In Vivo Culture of Vanilla (Vanilla planifolia Jacks.)
Authors: Ortega-Macareno Luis C. , Iglesias-Andreu Lourdes G.
Published: February 2022

Vanilla planifolia Jacks., is the only commercially cultivated orchid for its compound vanillin. This crop has had serious production limitations due to its susceptibility to Fusarium oxysporum f. sp. vanilla (Fov). Salicylic acid (SA) regulates growth and development processes and induces resistance in plants. Our study evaluated its effect on the growth and development of V. planifolia seedlings grown in vitro and in vivo. A completely randomized design was used with seedlings obtained from nodal segments (2-3 cm long) grown in MS medium with different concentrations of SA (0, 0.25, 5, and 7.5 μmol). An experimental design with four SA concentration treatments (0, 0.25, 0.5, and 1 mmol) and 12 replications was used to evaluate the effects of SA on greenhousegrown plantlets. During four weeks, the number of shoots, length, thickness, number of leaves, number and length roots, chlorophyll and carotene content for both conditions were observed. We found the 7.5 μmol and 1 mmol SA stimulated the growth and development of vanilla plantlets grown both in vivo and in vitro. SA does not affect the content of photosynthetic pigments under any growth conditions.
[RETRACTED] Pure CBD Gummies 1000mg Reviews : Does It Work ! Customer Feedbacks! v1
Authors: not provided purecbdofficial
Published: February 2022

[RETRACTED]

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NATURAL DYES FROM CONIFEROUS PLANT DEBARKING WASTE
Authors:   Siberian Federal University, Krotova Irina , Boev Vladimir
Published: February 2022

The need to reduce greenhouse gas emissions into the atmosphere, decarbonization of industrial production makes it urgent to improve many technological schemes, including schemes for complex processing of plant resources. The authors of the article consider the possibility of recycling multi-tonnage waste bark of Siberian coniferous plants to obtain a marketable product – a natural dye for the textile industry. The study showed that the complex of coloring substances of the bark of Siberian fir, spruce and larch is mainly represented by flavonoid compounds, primarily quercetin, dihydroquercetin, kaempferol and naringin. With the presence of this class of organic compounds, the authors of the article associate the antibacterial activity of aqueous extracts from the waste of the debarking of the studied plants, as well as textile materials dyed by them. It was found that the optimal mode of extraction of a complex of coloring substances from the studied biomass is extraction with water at a temperature of 95-100 C for 120-180 minutes at a hydromodule of 1:50. The coloring of textile fibers of various natures with aqueous extracts of the bark of fir, spruce or Siberian larch gives them a rich beige-orange range of colors. High strength of coloring is recorded in the case of polyamide and mixed polyester fibers, colored with a natural dye from the bark of coniferous plants. The color strength of cotton fibers was assessed as satisfactory, and polyester fibers as insufficient. This circumstance allowed us to draw a conclusion about the expediency of coloring polyamide, cotton and mixed fibers with a natural dye from the waste of debarking coniferous plants, and the futility of such coloring of polyester textile materials.
BASIC PROVISIONS OF THE CONCEPT OF THE INTEREST OF SERVICE PRODUCERS AND THEIR CONSUMERS
Authors:   Siberian Federal University, Sarchenko Vladimir , Khirevich Sergey , Kategorskaya Tatyana , Sarchenko Mikhail
Published: February 2022

The article proposes a concept of observance of the interests of the main subjects of interaction in the person of service providers and their consumers. The essence of the concept is that the effectiveness of management in the provision of services, taking into account the factors of harmonization of interests, is ensured by achieving and maintaining a compromise or consensus between service providers and their consumers. The necessity of theoretical, methodological and methodological development of a mechanism for coordinating the key subjects of environmental transformation in urbanized territories has been substantiated. Based on the method of tiered structuring, a multilevel space for rendering services to the population within the boundaries of the living environment has been determined. Particular attention is paid to the III level - the microdistrict (quarter) as a micro-space of the city, where, first of all, a list of the most demanded and frequently used services by the population is formed. The analysis of the relationship between the actual distribution of services and research on consumer preferences of residents of the White Rosy microdistrict is presented. The assessment of the budgetary and social efficiency of the distribution of services in the microdistrict was carried out. The use of an alternative method of accounting for the social and budgetary efficiency of urban planning projects provides an opportunity to predict the emergence of commercial and social facilities, where integrated development of territories is still planned. The set of subjects representing the social infrastructure of the microdistrict is classified according to the objectives of the activity. It has been determined that the quality of these services is an essential factor in the satisfaction of consumers of services. A tool for assessing the quality of services is proposed. The influence of the inconsistency of economic interests on capitalization is revealed. The article presents the mechanism for coordinating the interests of the main economic agents of transforming the environment in urbanized territories, which will ensure the sustainable development of these territories.
IMPROVEMENT OF METHODS FOR EVALUATING LABOR RESULTS OF EMPLOYEES OF WHOLESALE ENTERPRISE
Authors:   Siberian Federal University, Podachina Lubov , Belonogova Ekaterina
Published: February 2022

The article, based on the study and generalization of economic literature, provides the relationship between the definitions of labor productivity, labor efficiency, and the result of labor, offers the author's understanding of the typification of personnel functions performed depending on the stages of the trade and technological process of a wholesale enterprise and their sequence. The authors propose indicators and a methodology for assessing the effectiveness of the result of labor, depending on the value-oriented, integrated, market and expert approaches, which make it possible to identify an inefficient result at a certain stage of labor cooperation. The article presents the approbation of the author's methods for assessing the effectiveness of labor results at a particular wholesale enterprise.
PROMISING DIRECTIONS IN THE DEVELOPMENT OF NEW TYPES OF FOOD PRODUCTS USING FRUITS OF SORBUS SIBIRICA HEDL.
Authors:   Siberian Federal University, Pervishina Galina , Kondratyuk Tatiana , Khudykh Timofey , Karymshakova Asiya , Valueva Ksenia , Korotchenko Irina
Published: February 2022

The food industry of the Krasnoyarsk region is highly associated with local agricultural raw materials processing, both of plant and animal origin; however, wild resources are practically not used. Moreover, food enterprises are concentrated mainly in the southern regions, while the northern regions of the region, characterized by a fairly low level of anthropogenic impact, are a promising territory for organizing the processing of plant resources, the collection of which is implemented in this area. Thus, studies aimed at substantiating the possibility of using raw plant materials from the regions of the Arctic zone of the Krasnoyarsk region in the production of food products are relevant. The article discusses the possibility of using fruits of Sorbus Sibirica Held. for the purpose of enriching food products with vitamins, minerals and dietary fibers. Current directions for the subsequent development of food products with the inclusion of wild fruits in their composition are demonstrated. A possible scheme for processing wild-growing raw materials in the area where its harvesting is implemented is given.
Estimation of Survival According to Body Mass Index (BMI), Hypertension, Diabetes and Heart Disease with Optimizable Decision Trees
Authors: NOĞAY Nalan , SELÇUK Hıdır
Published: February 2022

Non-communicable chronic diseases such as cardiovascular diseases and diabetes and the risk factors of these diseases are becoming an increasing health and development problem in the world. Non-communicable chronic diseases are among the most important causes of death according to the World Health Organization (WHO). The prediction of death or survival is very important in terms of contributing to scientific studies for the earlier diagnosis of non-communicable chronic diseases. Today's developing world, where technology and artificial intelligence can be used in every field, enables the prediction of survival in chronic diseases to be realized with many machine learning methods. In order to know which artificial intelligence or machine learning method is the most effective, it will be very useful to make applications with the methods used and even with the subclasses of the same method and to compare the classification results obtained from the applications with each other. In this study, survival in chronic diseases was estimated by using decision tree methods in four different structures designed by training with body mass index taken from individuals with chronic diseases and other hospital records. The highest accuracy rate was obtained with the optimizable decision trees (ODT) method, which is the simplest model among these models, which allows the most optimal selection of hyperparameters.
SUPPORT OF NANOTECHNOLOGY CYBERNETIK SYSTEMS IN THE GENERAL SYSTEM OF NATIONAL STATE SECURITY
Authors:   State University of INTELLECTUAL Technologies and Communications, Komarova Larysa , Doroshenko Tatyana ,   State University of INTELLECTUAL Technologies and Communications
Published: February 2022

The article deals with analyses of prospects for relationship between nanotechnology and applied linguistics in the field of information functioning in automated nanosystems of various types, including the use of lexical units of the semantic field – nanotechnology; to review the state of lexicographic and terminological sources of professional language in the field of nanotechnology and nanotechnology industry in the general system of information security of the state. Modern information security is formed at the micro- and nano-levels, which contributes to finding new solutions with numerous possibilities of civil and military application. The authors prove that the development of modern nanotechnological devices allows to obtain a potential that might be compared with the factor of ruinability of the mass destruction weapon. One of the most frightening prospects is the emergence of nanorobots with elements of collective intelligence, which could use the natural environment for the creation of similar machines. From this perspective, the modern nanotechnologies are a new class of armaments. Therefore, there is a general need to investigate the whole paradigm of nanotechnology in order to identify positive and negative effects of their use, in particular, in the field of the analysis of nanotechnology and nanomaterials’ therminosystems, examination of the mechanisms of their formation, identification of the main features of the terms. The linguistic support (determining the language of representation and information management) is a link between the “natural” and the information environment.
ETHNOCULTURAL SEMANTICS OF UKRAINIAN ARTIFACT THRESHOLD IN A COMPARATIVE ASPECT
Authors:   Kyiv National Linguistic University, Pashkova Nadiia
Published: February 2022

The main objective of the study is to analyze the ethnocultural semantics of the artifact porih (threshold), implicitly embedded in its name and related long-out-of-date transparent rituals, taboos and archaic believs. The research methodology is based on the application of an interdisciplinary approach to the study of the cornerstones of semiotics, linguistics and culturology. In addition to general scientific methods of analysis and synthesis, the study uses the cultural-genetic method, as well as such culturological and linguistic methods as descriptive, historical–comparative and conceptual-ideographic analysis. The scientific novelty of the study is that it combines linguistic and cultural analysis of the semantics of the ethnic artifact threshold in the models of the world of different peoples in an effort to answer the question of what is rooted in rituals and taboos associated with its sacralization. As a result of the study, conclusions were drawn that the roots of the sacralization of the threshold lies in the archaic deification of the threshold by different unrelated ethnic groups as the boundary between human and divine, one’s own and other’s, mastered and dangerous. The significance of the study is determined by the findings that the commonality of rituals associated with the threshold in different ethnic collectives gives it the status of cultural universal.
Theoretical and Legal Foundations of the Fight against Mass Consciousness Manipulation in the Internet on the Example of the Russian Federation
Authors: Nechkin A. V. , Istomin M. A.
Published: February 2022

The paper examines in detail measures relatively recently legalized in the Russian Federation and aimed at combating manipulation of the mass consciousness via the Internet. Particular attention has been paid to the creation of the Russian segment of the Internet, prohibition of the use of obscene language on the Internet, prohibition of dissemination of information containing the cult of violence or cruelty, prohibition of calls to attend unauthorized public events, requirement of licensing of educational activities, creation of a wide educational system in the country and, of course, introduction of categories of public associations and individuals performing the functions of foreign agents. Based on the results of the study, the authors come to the conclusion that the entire set of counter-manipulative measures currently being implemented in the Russian Federation in their strategic perspective can lead to significant benefits. However, these measures imply a significant increase in government intervention in the information sphere of society, which creates a real opportunity for the formation of the institution of censorship that, in turn, always creates a breeding ground for various kinds of power abuse in relation to the society and individuals. To minimize the likelihood of such a negative scenario, the authors propose to focus not on the widespread use of institutions of the State, but on attracting and developing civil society institutions, which, in turn, will ensure a balance of interests between the citizens and the State, and will facilitate the formation of a developed civil society in the Russian Federation.
Separate Waste Collection as part of Reforming the Municipal Solid Waste Management Industry
Authors: Motorin D. E.
Published: February 2022

As the experience of developed countries has shown, the creation of an effective zero-waste economic model based on the principles of a circular economy is impossible without the competent management of production and consumption waste. The most important aspect in this case is the separate collection of waste by fractions, which reduces the cost of sorting and, as a result, increases the attractiveness of recyclables. The purpose of the study is to identify the main obstacles that the Russian Federation faces in carrying out the waste reform and creating a system for the separate collection of municipal solid waste. An analysis of the accumulated scientific and practical experience on this issue allows us to assert that the viability of separate waste collection as an economic model for handling them can hardly be contested. The feasibility and potential cost-effectiveness of separate collection is confirmed by studies conducted both in the context of the country as a whole and at the level of individual regions. Based on this, the author assumes that the problem of introducing separate waste collection is of an organizational and legal nature, in connection with which he analyzed the main theoretical and legal approaches to solving the issue. Having studied the empirical material accumulated by science, the author concludes that three main factors prevent separate waste collection, namely a low level of waste management culture among the population, an insufficient number of incentive mechanisms for the industry, and the existence of legal gaps and administrative barriers that prevent creation of infrastructure for separate collection and disposal of waste. The author considers the main aspects of these factors and suggests options for solving the identified problems.
Double-barreled enterostomy with compression anastomosis in newborns and infants
Authors: Ivanov Stanislav D. , Slizovskiу Grigoriу V. , Shikunova Yana V. , Pogorelko Vladimir G. , Balaganskiy Dmitriy A. , Yushmanova Anna B. , Gunther Viktor E. , Khodorenko Valentina N. , Anikeev Sergej G.
Published: February 2022

BACKGROUND: Staged treatment of small bowel diseases involves the formation of an enterostomy. BishopKoop T-anastomosis and Mikulicz double-barreled enterostomy with compression clamp are widely applied. The disadvantages of Mikuliczs can be eliminated using a clip of titanium nickelide with shape memory instead of a clamp.
AIM: This study aimed to evaluate the efficacy and safety of a titanium nickelide device in double-barreled enterostomy and compare the results of treatment with a T-anastomosis.
MATERIALS AND METHODS: The study included newborns and infants. The clip was applied on 958 days postoperatively. Differences were accepted as significant at p 0.05.
RESULTS: Since 2000, enterostomy was performed in 79 children: 12 (15.2%) had T-anastomoses, 44 (55.7%) had double-barreled stomas, and 18 (40.9%) had a titanium nickelide clip. In the study groups, stomas were applied for ileus, atresia, and aganglionosis. In the group of double-barreled enterostomies with a clip, the stoma was closed later (p = 0.027) and the operation time was short (p = 0.013). In the T-anastomosis group, parenteral nutrition was required for a longer period (p = 0.018). Self-removal of the clip and appearance of the stool occurred on days 5 and 13. Compression anastomosis was obtained in 83.3% and stoma closure outside in 73.3%. With a double-barreled enterostomy, hepatic failure (p = 0.018) and anastomosis dysfunction (p = 0.046) were less common. T-anastomosis revealed an increase in the incidence of CDC II (p = 0.013) and III (p = 0.015) complications.
DISCUSSION: The results reflect the safety of the presented method in comparison with the T-anastomosis, since the operation time and duration of the parenteral nutrition are reduced, invasive treatment is less often required for complications, and anastomosis dysfunction rarely occurs.
CONCLUSIONS: Double-barreled enterostomy with a compression clip is an effective and safe alternative to T-anastomosis in children aged 1 year. The formed compression anastomosis allows closure of the stoma by suturing its outer part. The conditions for the formation of the anastomosis are the patency of the distal sections and bowel diameter 1 cm.
In memory of Bela M. Lolaeva
Authors: Dzheliev Igor Sh.
Published: February 2022

The paper provides information about the sudden death of pediatric surgeon Bela M. Lolaeva.
Postoperative complications of laparoscopic cholecystectomy in children: two cases report
Authors: Karpova Irina Yu. , Strizhenok Dmitry S. , Egorskaya Larisa E. , Parshikov Vyacheslav V. , Egorskaya Anastasia T.
Published: February 2022

Only a few studies have investigated the complications of laparoscopic cholecystectomy in children. Therefore, relevant case reports will be of interest to pediatric surgeons.
The patient was a 10-month-old boy diagnosed with calculous cholecystitis who underwent laparoscopic cholecystectomy. He had peripheral edema and adhesions in the neck of the gallbladder. After 10 h, a clinical picture of intra-abdominal bleeding developed. During relaparoscopy in the area of the gallbladder bed, arterial bleeding from the liver vessel was noted, which was eliminated by coagulation. The postoperative period was uneventful, and the child was discharged on day 8. In the second case, a 10-year-old girl was admitted for chronic calculous cholecystitis, and laparoscopic cholecystectomy was performed, in which a pronounced adhesion process was noted in the gallbladder neck region. On day 8, the child was discharged home; however, after 26 days, the patient was admitted again, with a clinical picture of diffuse biliary peritonitis. During laparoscopy, bile outflow from the gallbladder bed was noted, which only partially eliminated by monopolar electrocoagulation. Drainages were installed, through which bile began to be abundantly secreted in the postoperative period. Laparoscopy with a transition to open surgery was performed, during which a perforation in the wall of the common bile duct was found, and stenting and suturing of the defect were performed. In the postoperative period, active infusional infusion and antibacterial therapy were given. The patient was discharged on day 29.
Postoperative complications of the ClavienDindo type IIIb are associated both with the presence of congenital anatomical features and inflammatory-adhesive changes in the Calo triangle zone and with the possibility of latent lesions during monopolar coagulation in both cases. The evaluation of the tactics of eliminating biliary peritonitis in the second patient emphasized the necessity to switch to open laparotomy during the second operation.
These cases indicate the need to comply with the principles of safe laparoscopic cholecystectomy, including the availability of modern endoscopic equipment and the experience of surgeons in endosurgery. This requires the concentration of patients with cholelithiasis in specialized clinics.
Comparative characteristics of antimicrobial activity of water dispersions of silver and gold nanoparticles stabilized with native and synthetic polymers
Authors: Shulgina Tatiana A. , Zubova Kseniya V. , Glinskaya Elena V. , Nechaeva Olga V. , Bespalova Natalya V.
Published: February 2022

BACKGROUND: The construction and application of antimicrobial drugs on the basis of nanoparticles of metals, silver and gold in particular, are staying casual up to now.
AIM: was to study the spectrum of antimicrobial activity of nanoparticles of silver and gold developed by means of chemical recovery and stabilized with native and synthetic compounds.
MATERIALS AND METHODS: The paper presents the results of a study of the antimicrobial activity of aqueous dispersions of silver and gold nanoparticles against standard and clinical strains of Staphylococcus aureus, which were sensitive to methicillin. Natural (carboxymethylcellulose, sodium oleate) and synthetic (polyvinyl alcohol, sodium dodecyl sulfate, polyazolidylammonium modified with iodine hydrate ions) polymeric compounds were used as stabilizers.
RESULTS: The high antistaphylococcal activity of the studied drugs was established, which depended on the stabilizer used. The highest efficiency of biocidal action was revealed for aqueous dispersions of metal nanoparticles stabilized with polyvinyl alcohol and polyazolidylammonium modified with iodine hydrate ions, which did not depend on the strain differences of microorganisms.
CONCLUSIONS: The results obtained open up prospects for the use of aqueous dispersions of silver and gold nanoparticles as active components in the development of new antiseptic preparations and photosensitizers for antimicrobial photodynamic therapy.
Complex orthopedic-surgical treatment of scoliotic disease
Authors: Jalilov Ya. R.
Published: February 2022

Treatment results of 271 patients with scoliosis are analysed. All patients have been treated according to the system which was worked out by the author and introduced into practice in Azerbaijan. Within this system the conservative and treatment are considered as the components of a single complex of curative measures. Long course of outpatient treatment included the use of corrective deep plaster beds, dynamic corsets of Lion and Charleston type, kineso- therapy, electrostimulation of muscles, drug therapy for metabolism disturbances. Spine deformity stabilization has been noted in 72.3%) of patients including 21.4%) of those in whom the curvature correction was within 1218. In 75 patients (27.7%) the progression of the deformity continued. 46 out of them have been operated on. Plate correctors of the authors design (23 patients), combination of Harrington instrumentation and plate correctors (5 patients), modified Harrington technique (18 patients) were used. The use of plate endocorrectors in patients with the deformities up to 65 enabled to achieve 35 correction. The combination of two endocorrectors was effective in patients with rigid scoliosis and allowed to decrease the loss of the correction. Systemic pre- and postoperative treatment contributed to the preservation of the achieved correction.
The first experience of using the biocomposite material "Osteomatrix" in the clinic of bone pathology
Authors: Lekshivili M. V. , Balberkin A. V. , Vasiliev M. G. , Kolondaev A. F. , Baranetsky A. L. , Buklemishev Yu. V.
Published: February 2022

At CITO Clinic of bone pathology new biocomposite material Osteomatrix was used in 15 patients (mainly with tumors and tumor-like diseases) for the plasty of post-resection bone defects. Osteomatrix is composed of bone collagen, hydroxyapatite and sulfated glycosaminoglycanes. Osteomatrix is produced at CITO together with Conectbiopharm Ltd. in the form of granules and blocks. Observation in dynamics with roentgenologic control showed good tolerance of Osteomatrix by patients and distinct accelerated bone regeneration in the zone of bone plasty.
THE EFFECTS OF THE PANDEMIC CRISIS ON TOURISM. A QUALITATIVE SURVEY ON THE OPINIONS OF TOUR OPERATORS IN SICILY
Authors:   University of Palermo, Italy, Li Muli Cecilia Martina , De Cantis Stefano , Parroco Anna Maria
Published: February 2022

The COVID-19 pandemic crisis has had direct effects on social relationships. Tourism activities are by definition linked to the interaction among human beings, beginning with a physical movement of a person from a habitually-frequented environment to one or more destinations. Any denial of mobility, therefore, negates the tourist experience. After briefly discussing the effects of the COVID-19 crisis on the tourism system and hospitality, this work presents a qualitative survey by means of a thematic analysis approach. The study investigates tourism professionals operating in Sicily, across different tourism sectors and in various segments of the market (cultural, luxury, nautical, rural, and slow tourism). The operators were asked questions about their experiences of the pandemic, with its negative impact, and their expectations and prospects. The abilities to adapt to the new normal and build resilience are often related to offering sustainable products and services, which are characterized by a more robust relationship with the territory and local economy.
EWOM IN TOURISM: SELECTION OF PRIVATE ACCOMMODATION FOR HOLIDAYS
Authors:   Public Enterprise Croatian Telecom JSC (HT ERONET),  Bosnia and Herzegovina, Zubac Musa Mea , Mabić Mirela
Published: February 2022

Electronic word of mouth is a more recent form of word of mouth used by internet users who share and benefit from worldwide information. Online reviews are a very important source of information for tourists. They represent a more modern and a more reliable source of information in decision making process when compared with the content published by the foreign travel agencies. Previous research has shown that the online reviews on websites specialized for hotel ratings made a significant impact on the total number of hotel reservations. The majority of tourists find online reviews very useful and more than half of them will not make a hotel reservation if a hotel has no reviews. Since the private accommodation is quantitatively the most significant accommodation type in Croatia, the goal of this paper is to analyze the impact of electronic word of mouth on the tourist selection of private accommodation for holidays.
MIXED RESEARCH METHOD OF ORGANIC FOOD PREFERENCES AMONG GENERATION Y CONSUMERS
Authors:   Department of Statistics and Operation Analysis, Faculty of Business and Economics, Mendel University in Brno, Brno, Czech Republic, Blašková Veronika , Stojanová Hana
Published: February 2022

The article analyses by mixed research methods the attitude regarding the purchase of bio and organic food for the population of the Generation Y in Czech and Slovak Republic. The collection of primary data was obtained in the form of a questionnaire survey carried out in the year 2014 and then repeatedly in the year 2019. Both phases of questionnaires were distributed electronically among respondents, university students, ranged from 16 to 35 years in Czech and Slovak Republic. The research questions related to the reasons why respondents purchase or do not purchase organic food and what criteria are motivational for choosing organic food products. In data processing was used statistical software Statistics. Methods applied to the data were statistical hypothesis testing and regression modelling. The key factors have been identified with the software influenced the respondent's decision to buy bio-and organics products in 2019. The research findings prove that visual appearance and brand doesnt play the decision key role for generation Y customers, as they put the main emphasis on the quality and availability of the bio-product.
TRANSFORMING LIBRARIES AS A PROFIT-MAKING ORGANIZATION TO IMPROVE SERVICE PERFORMANCE
Authors:   Department of Applied Economics, Faculty of Economics, University of Valencia, Spain, Hernandez-Carrion Jose Rodolfo , Chutia Rajesh
Published: February 2022

Libraries are non-profit service-oriented organizations engaged in satisfying the patrons' needs by providing them with whatever they seek from the library, i.e., Books, Journals, Magazines, CDs/DVDs, and Online Resources. However, the libraries must face hardships regarding funds which create difficulties in maintaining the libraries and providing better library services. Its high time libraries should become self-dependent rather than depending upon the funds provided by the parental organization. The funds that the parental organization allocates are minimal and do not cover every area pertaining to the library. Purpose: The purpose of the paper is to conceptualize the transformation of libraries into profit-making organizations to provide improved library services. Results: To make libraries a profit-making organization, librarians should go unconventional by making some amends in the library policy like charging money in exchange for some services which were earlier not provided by the libraries, i.e. (1) Rental of equipment: Renting the items like Computers, CD/DVDs, Cassette, among others, can provide some rents. (2) Advertisement: Libraries can charge advertisement costs by promoting books written by authors. (3) Selling the weeding out items. (4) Translation. (5) Reproduction Cost. (6) Service charge on-demand services. (7) Inter-Library Services. (8). Membership Schemes. (9) Book Reservation. (10) Training. The charges incurred from the above services are implemented to make the library a better place by providing better resources and better services. Conclusion: Libraries are meant to be non-profit organizations and must provide services free of cost to the patrons, but the library's primary goal is also to keep the users' satisfaction into consideration. To keep the users satisfied, libraries must keep implementing new policies and procedures to keep them going head on head with time.
Parametric optimization of blowdown operated double-effect vapour absorption refrigeration system
Authors: GAMBHIR Deshdeep , SHERWANI Ahmad Faizan , ARORA Akhilesh , - Ashwni
Published: February 2022

The present work investigates the thermodynamic optimality of a double-effect vapor absorption refrigeration system (VARS) driven by blowdown heat of a 210 MW thermal power plant at Badarpur using response surface methodology (RSM). RSM helps to develop a relation amongst the decision variables and the second law efficiency vi a se cond-order nonlinear polynomial regression equation. In addition, the analysis of variance technique (ANOVA) is applied to identify the decision variables having a significant effect on th e system’s thermal performance. Moreover, coefficient of structural bond (CSB) analysis of the evaporator is carried out. The decision variables are the temperatures of the high-pressure generator, low-pressure generator, condenser, absorber, and evaporator. Results conclude that the second law efficiency is affected significantly by absorber temperature (F value = 2049.4), followed by condenser temperature (F value = 1596.4), and is least affected by high-pressure generator temperature (F value = 495). CSB value of the Evaporator is 0.5851.