bluuebunny/crossref_metadata_2025 huggingface dataset:
Disparities in Pediatric Oncology: The 21st Century Opportunity to Improve Outcomes for Children and Adolescents With Cancer
Authors: Aristizabal Paula , Winestone Lena E. , Umaretiya Puja , Bona Kira
Published: June 2021

Adult cancer disparities have been documented for decades and continue to persist despite clinical advancements in cancer prevention, detection, and treatment. Pediatric cancer survival has improved significantly in the United States for the past 5 decades to over 80%; however, disparate outcomes among children and adolescents with cancer still affect many populations in the United States and globally, including racial and ethnic minorities, populations with low socioeconomic status, and residents of underserved areas. To achieve equitable outcomes for all children and adolescents with cancer, it is imperative that concerted multilevel approaches be carried out to understand and address health disparities and to ensure access to high-quality cancer care. Addressing social determinants of health, such as removing barriers to health care access and ensuring access to social supports, can reduce pediatric cancer disparities. Nevertheless, public health policy, health system interventions, and innovative delivery of evidence-based services are critically needed. Partnerships among patients, caregivers, and health care providers, and among health care, academic, and governmental institutions, have a pivotal role in reducing cancer disparities and improving outcomes in the 21st century.
Immune Checkpoint Inhibition in Advanced Bladder and Kidney Cancer: Responses and Further Management
Authors: Parikh Mamta , Powles Thomas
Published: June 2021

Immune checkpoint inhibitors have an established role in the treatment of newly diagnosed metastatic kidney cancer. Treatment regimens combining nivolumab plus ipilimumab, pembrolizumab plus axitinib, nivolumab plus cabozantinib, and pembrolizumab plus lenvatinib have demonstrated superior overall survival compared with sunitinib in randomized studies. Response rates vary from 42% to 71.1% with these combinations. Atezolizumab and pembrolizumab have been approved for the treatment of cisplatin-ineligible patients with metastatic bladder cancer. These and other checkpoint inhibitors have been studied in metastatic bladder cancer and are routinely used after progression on platinum-based chemotherapy. Durable responses are observed in bladder and kidney cancer. Although some patients may experience immune-related adverse events requiring treatment discontinuation, a portion of these patients will continue to experience a response off-therapy. At the time of progression, patients with metastatic kidney cancer may be treated with antiangiogenesis agents, and there are data suggesting that they may also be treated with a rechallenge of immunotherapy. In patients with metastatic bladder cancer who have progression after immune checkpoint inhibition, there are considerable data supporting the use of enfortumab vedotin. Ongoing studies are evaluating novel combinations of immune checkpoint inhibitors with other agents; thus, the treatment landscape of metastatic bladder and kidney cancer is expected to continue to evolve rapidly.
Σχεδίαση και βελτιστοποίηση πολυσυχνοτικών στοιχειοκεραιών
Authors: Μίαρης Γεώργιος
Published: June 2021

Η παρούσα διδακτορική διατριβή αφορά στην σχεδίαση και βελτιστοποίηση πολυσυχνοτικών στοιχειοκεραιών. Συγκεκριμένα πραγματοποιείται η ανάλυση και επέκταση της Ορθογωνικής Μεθόδου (ΟΜ) για την επίλυση σύνθετων προβλημάτων σχεδίασης Στοιχειοκεραιών. Η διατριβή διαρθρώνεται σε πέντε Κεφάλαια. Στο 1ο Κεφάλαιο γίνεται μια εισαγωγή στις στοιχειοκεραίες και δίνονται σχετικές χαρακτηριστικές παράμετροι και δείκτες. Στο 2ο Κεφάλαιο αναπτύσσονται τα ιδιαίτερα χαρακτηριστικά των γραμμικών, των επίπεδων και των στοιχειοκεραιών τριών διαστάσεων ενώ αναλύονται και οι ιδιότητες των στοιχείων τους. Ειδικά αρχίζοντας από τις ισοτροπικές πηγές, αναλύονται τα στοιχειώδη, τα συγκεκριμμένου μήκους καθώς και τα διασταυρούμενα δίπολα. Στην συνέχεια εξηγούνται οι ιδιότητες των Χοανών. Μάλιστα, περιγράφεται μια αριθμητική μεθοδολογία σχεδίασης χοάνης με βέλτιστα χαρακτηριστικά, η οποία αποτελεί και μία από τις συνεισφορές της παρούσας διατριβής. Το κεφάλαιο ολοκληρώνεται με την περιγραφή των μικροταινιακών κεραιών. Στο 3ο Κεφάλαιο περιγράφεται η διαδικασία σχεδίασης γραμμικών στοιχειοκεραιών με ή χωρίς προϋποθέσεις. Οι προϋποθέσεις αφορούν στους μηδενισμούς του διαγράμματος ακτινοβολίας σε συγκεκριμένες διευθύνσεις, στην ελαχιστοποίηση του διαγράμματος σε συγκεκριμμένους γωνιακούς τομείς, στον καθορισμό του επιπέδου συγκεκριμμένων πλευρικών λοβών και στον συνδυασμό όλων των παραπάνω. Επίσης σε αυτό το κεφάλαιο αναπτύσσεται η μεθοδολογία των διαταραχών που σε συνδυασμό με την ορθογωνική μέθοδο καθορίζει τις θέσεις των στοιχείων της κεραίας. Τέλος, γίνεται ανάλυση της Ορθοσύνθεσης η οποία είναι μια νέα παραλλαγή της ορθογωνικής μεθόδου. Στα πλαίσια της συνεισφοράς της διατριβής, σε όλες τις παραπάνω διαδικασίες δίνονται συγκεκριμμένα αναλυτικά παραδείγματα. Στο 4ο κεφάλαιο περιγράφεται η ορθογωνική μέθοδος των διαταραχών (ΟΜΔ) με πρϋποθέσεις. Η ΟΜΔ αφορά επίπεδες στοιχειοκεραίες με μεγάλο αριθμό στοιχείων. Η συνάρτηση κόστους και η επεξεργασία γίνεται σε μορφή μητρώων. Σημειώνεται ότι το διάγραμμα ακτινοβολίας δίνεται ως αναλυτική συνάρτηση ή σε μορφή μάσκας. Ένα σύνολο παραδειγμάτων δείχνει τις δυνατότητες και την ακρίβεια της μεθόδου. Μεταξύ των άλλων στα παραδείγματα παρατίθενται περιπτώσεις που αφορούν στις κεραίες δορυφόρων. Οι κεραίες αυτές απαιτείται να έχουν, εκτός των άλλων, πολυσυχνοτικό χαρακτήρα. Αυτό επιτεύχθηκε με την χρήση της ορθογωνικής μεθόδου. Οι προδιαγραφές των υπό μελέτη κεραιών καθορίστηκαν από τον Ευρωπαϊκό Οργανισμό Διαστήματος (ΕΟΔ) και τα αποτελέσματα ήταν ιδιαίτερα ικανοποιητικά. Η διατριβή ολοκληρώνεται με το 5ο Κεφάλαιο. Σε αυτό εξηγούνται οι αριθμητικές δυσκολίες της ορθογωνικής μεθόδου και περιγράφονται οι μαθηματικές μέθοδοι με τις οποίες αντιμετωπίζονται. Επίσης αναλύονται οι μέθοδοι βελτιστοποίησης που χρησιμοποιήθηκαν για τον έλεγχο της εγκυρότητας των αποτελεσμάτων. Η διατριβή ολοκληρώνεται με τα τελικά συμπεράσματα και τον κατάλογο των δημοσιεύσεων που προέκυψαν από την ερευνητική διαδικασία.
Διαχρονική παρακολούθηση των αλλαγών κάλυψης/χρήσης γης, βροχόπτωσης και του κινδύνου διάβρωσης στο Δήμο Νάουσας με τη χρήση πολυφασματικών δορυφορικών εικόνων και Γεωγραφικών Συστημάτων Πληροφοριών
Authors: Τασιώνας Γεώργιος
Published: June 2021

Σκοπός αυτής της διατριβής είναι η μελέτη και η εκτίμηση των διαχρονικών αλλαγών της βροχόπτωσης, της διάβρωσης και της κάλυψης γης του Δήμου Νάουσας, καθώς επίσης και ο υπολογισμός των καμένων εκτάσεων της πόλης διαχρονικά. Για την υλοποίηση αυτού του σκοπού έπρεπε πρώτα να παραχθούν διαχρονικοί χάρτες της βροχόπτωσης, της κάλυψης γης και της διάβρωσης, χρησιμοποιώντας τρεις δορυφορικές εικόνες του Δήμου Ηρωικής Πόλης Νάουσας, διαφορετικών χρονολογιών 2018, 2019 και 2020. Χρησιμοποιώντας μεταδεδομένα των εικόνων, πραγματοποιήθηκε η ατμοσφαιρική και τοπογραφική διόρθωση των εικόνων. Έπειτα έχοντας στοιχεία από δύο βροχομετρικούς σταθμούς του Δήμου (βροχομετρικός σταθμός Αγίου Παύλου και βροχομετρικός σταθμός Δημαρχείου Νάουσας), δημιουργήθηκαν χάρτες βροχόπτωσης για τα τρία έτη (2018, 2019, 2020) καθώς και για τις τέσσερεις περιόδους (εποχές) του έτους, χρησιμοποιώντας τη μέθοδο Inverse Distance Weighting (IDW), διότι υπήρχαν δεδομένα από δύο σταθμούς. Στη συνέχεια έγινε ταξινόμηση των διαχρονικών δορυφορικών εικόνων (διαχρονικοί χάρτες χρήσης και κάλυψης γης) με τη χρήση του αλγόριθμου της μέγιστης πιθανοφάνειας (maximum likelihood). Με την ολοκλήρωση του σταδίου της ταξινόμησης δημιουργήθηκαν οι διαχρονικοί χάρτες διάβρωσης χρησιμοποιώντας το μοντέλο διάβρωσης Universal Soil Loss Equation (USLE).Τα αποτελέσματα της διατριβής μπορούν να χρησιμοποιηθούν από τις αρμόδιες υπηρεσίες για το σχεδιασμό και υλοποίηση αντιδιαβρωτικών καθώς και αντιπλημμυρικών έργων προστασίας του Δήμου, έτσι ώστε να περιορίσουν τη μελλοντική αύξηση των προβλημάτων αυτών ή ακόμα και να προχωρήσουν στη μελλοντική μείωση αυτών, καταβάλλοντας και προγραμματίζοντας τις απαραίτητες ενέργειες.Τέλος η διδακτορική διατριβή θα αποτελέσει ένα σημαντικό αναπτυξιακό εργαλείο λήψης αποφάσεων αναφορικά με το μελλοντικό έλεγχο των καλλιεργειών, την κατασκευή έργων, την προτεινόμενη μελλοντική αλλαγή των χρήσεων γης, την ποιότητα των καλλιεργειών, τη μελλοντική εκτίμηση του κινδύνου διάβρωσης και στερεοαπορροής συνδυαστικά με την εν δυνάμει ποιοτική και ποσοτική υποβάθμιση των παραγωγικών εδαφών.
Η αφηγηματική νοημοσύνη: εννοιολογικός προσδιορισμός και αξιοποίηση στην εκπαιδευτική διαδικασία
Authors: Κιοσσές Σπύρος
Published: June 2021

Η παρούσα εργασία υποστηρίζει την ανάγκη αξιοποίησης της αφηγηματικής νοημοσύνης στο σύγχρονο εκπαιδευτικό περιβάλλον. Η αφηγηματική νοημοσύνη στηρίζει και ενισχύει τον αφηγηματικό γραμματισμό, που αναφέρεται στη δεξιότητα λειτουργικής και κριτικής πρόσληψης και σύνθεσης αφηγήσεων, στην ευρύτερη σημασία του όρου, σε ποικίλα επικοινωνιακά περικείμενα. Η δεξιότητα αυτή δεν καλλιεργείται αποκλειστικά μέσα από τη γλωσσική διδασκαλία του κειμενικού είδους της αφήγησης, αλλά συνδέεται με διάφορα γνωστικά αντικείμενα, έχοντας χαρακτήρα διεπιστημονικό και διαθεματικό, και αφορά μια εγγενή γνωστική διαδικασία κατανόησης και ερμηνείας του κόσμου. Στο πλαίσιο της εργασίας παρουσιάζεται η θεωρία της πολλαπλής νοημοσύνης, προσδιορίζεται εννοιολογικά η αφηγηματική νοημοσύνη, τονίζεται η σημασία καλλιέργειάς της στην εκπαιδευτική διαδικασία, παρουσιάζονται οι επιμέρους δεξιότητες οι οποίες τη συνιστούν, και διατυπώνονται οι στόχοι ενός διαθεματικού Προγράμματος Σπουδών για την Αφήγηση.
El ideario político de Roy Campbell y la representación de la Guerra Civil española en su obra poética*
Authors: Conejero Magro Luis Javier
Published: June 2021

In this article, Roy Campbell’s poems inspired by the Spanish Civil War are revisited and re-examined. Their war images and literary references to this conflict are analysed in the light of the poet’s own political ideology. The conclusion is that the contrast between the exaggerated idealisation to which the rebels and their deeds are subjected, and the degree of degradation that those in favour of the Republic reach in their poetic representation is such that it transforms most of its lines into a quasi-Manichean or moralityplaylike pamphlet.
La influencia del contexto intelectual, artístico y literario en el Schlager de la República de Weimar
Authors: Fernández Martínez Juan Fadrique
Published: June 2021

The German Schlager reached one of its peaks in the nineteen twenties. The democratic regime between the First World War and Hitler’s takeover of power, with its controversial intellectuals, its vigour and creativity within all artistic genres, the birth of new literary trends, appearance of new fashion as well as the implantation of mass culture, consequently led to the genre of Schlager songs and its popularity. This actual work has included trawling through the many lyrics of these songs to show the influence of its time in the intellectual, artistic and literary context. This golden age of the Schlager coincides with the inflation in 1923, the world economic crisis in 1929, and the release of the sound movies and finally it slowed down with the Nazi takeover of political power. Whereas the majority of the songs do not participate with much cultural value in the sense that did for instance the theatres in Berlin at the time, other songs show a taste for the playful type Dadaist and others again amuse with a more spicy text. All in all they include a great variety of song lyrics which favourably enriches the genre of the German popular song.
Francesco Petrarca Between the Gotica and Littera Antiqua: the Graphic Reform of Script and the Humanist Aesthetic.
Authors: Spani Giovanni
Published: June 2021

The present article discusses the fundamental role of Petrarch’s script evolution in the graphic reform carried out by Italian Humanists of the 15th century from the gothic script to humanist miniscule. His exposure to the various scripts in use – from the Tuscan chancery style to the gotica libraria style of universities and monasteries – afforded Petrarch the perspective to develop his own model of writing, one which more capably responded to his philological and practical conception of writing. The contemporary gloss script known as the scriptura notularis, whose essential elements were based on the Carolingian model, provided the foundation for a style which Petrarch developed, through imitatio, into a more elegantly refined form in an attempt at greater clarity and spaciousness. Inevitably, this gloss script reform moves toward a textual script reform, whose motivation lies in Petrarch’s intimate knowledge of scribal practices along with the importance he places on philological concerns for which most scribes of his day had little regard. It is also founded in the elementary need for a more clear and legible text than provided by the cramped, gothic script. Petrarch discerned a possible solution to the deficiencies of contemporary book scripts in the Carolingian model: the Caroline miniscule satisfied the poet’s criteria for an ideal script, and thus he modified the form to fit his goals of clarity, equilibrium, and simplicity. It is Petrarch’s intermediary, semi-gothic script that was used as the foundation of the Italian Humanist script reform.
Análisis de las causas de errores de sentido en traducciones literarias alemán-español
Authors: Castillo Bernal María Pilar
Published: June 2021

This paper discusSt>s the dnalysis of crrors of meaning in trnnsJntions made by stud !Tits of Líterary Trn.nsla.tion C>A GermanSpanish. This subject was formerly taught in the fourth year of the Degree in Translation and lnterpre ting at the Univers-ity of Cordoba. The contents analysed are fragments of literary works in German language translated into Spanish by tudents in the course of the ongoing assessment process. Thc tests comprise two different gerues: drama and novel. The purpose is first to identify the gaps in students' performance regarding language and translation competences, in order to take corrective measures in the classroom. The second purpose is to establish a grading system to be consistently applied in the evaluation of tests. Thirdly, this analysis aims at providing feedback for syllabus planning of this subject in the B.A. Translation and Interpreting of the University of Cordoba. As to the findings, the main language gaps identilied include mainly the lack of mastery of grammar structures and literary features of the corresponding works. Similarly, the need for a flexible grading system was detected in order to assess the impact of a given error on each translation. Fragments or terms that are considered particularly complex should be given extra points when properly translated.
Los géneros literarios y la traducción. Aproximación a nuevas formas de creación literaria y traducción en tiempos de crisis
Authors: Enríquez Aranda María Mercedes , Mendoza García Enma
Published: June 2021

Toe study of literary genres plays an essential role in both the translator training and profession, as long as in his daily task the translator deals with texts exhibiting special genre conventions that are derived from specific cultural circumstances. The literary translator has to adapt himself/herself to the changes undergone by genres and it is by means of his/her ability far recreation that s/he will participate in this changing process. The result will be a translation placed within an ideal communication framework based on socially agreed rules and conventions, the translator playing a major role in their evolution. In this paper we present an update on the literary genres involved in the task of the literary translator in Spain in the 21st century. We also reflect on the irnpact of the current international crisis (financia!, political, social and ethical values) on the publishing praclices intrinsically linked to the literary translator.
Hipertextualidad y "Ficción del Archivo" en El negrero de Lino Novás Calvo
Authors: Gómez-de-Tejada Jesús
Published: June 2021

El negrero. Vida navelada de Pedro Blanco Fenuíndez de Trava, la biografía del histórico tratante español, aparecida en 1933 en EspasaCalpe, úrúca "novela" de Lino Novás Calvo, condensa en su seno de forma temprana, inaugural, novedosa o germinal algunas de las más importantes tendencias de la historia literaria hispanoamericana del siglo XX: la narrativa anti.esclavista, la corriente negrista afrocubana, la fusión de la historia y la ficción, la diáspora africana, lo real maravilloso americano y el realismo mágico, la novela histórica moderna, la novela de la dictadura 0 la proliferación de recursos metaliterarios e intertextuales; todas ellas líneas de creación confirmadas por la producción posterior de los más conspicuos escritores de Hispanoamérica. El análisis propuesto, que parte de su consideración como biografía moderna o literaria nacida como escritura de encargo en la colección "Vidas extraordinarias".
Die Website des gesundheitstouristischen Betriebs" vorschläge zur didaktischen Vermittlung ihres Registers für den Berufssprachenunterricht Deutsch im Tourismusbereich
Authors: Hernández Medina Juan José
Published: June 2021

Toe central pretense of this paper is to demonstrate the implementation of the Theory of the Register in the didactic preparation of an authentic commercial text Die Website des gesundheitstouristischen Betriebs in German classes for the purposes of tourism. Toe use of this textual demonstration in such dasses responds to the linguistic needs of students of Tourism, Nursing and Physiotherapy who, among their possible occupational tasks, contemplate the possibility of working in the field of Health Tourism in Germany or in ressorts dedicated to this field with an ample German-speaking clientele. Toe text contains, indeed, nu.merous useful linguistic componen ts for resolving key communicative situations in the mentioned field like, among others, the implementation of sanitary services or wellness or the task of marketing these.
Zur Rolle des Aufbau Verlags bei der Veröffentlichung des Werks des portugiesischen Romanciers Eça de Queirós in deutscher Sprache
Authors: Kind Anette
Published: June 2021

This article discusses the impact of political ci.rcumstances on the translator' s work. Especially under dictatorial regí.mes, the translator has to work with limited access to indispensable research tools. This will be demonstrated through the example of the translations into German of the literary works of the Portuguese writer Ec;a de Queirós, published by the Aufbau Verlag in East Berlín. The aim is to show how the publisher managed to reconcile an ambitious literary programme for the publication of world literature with the política! and ideological requirements of the GDR cultural programme, and to describe the very difficult circumstances in which many translators had to work.
Diferencias terminológicas entre el alemán y el español en el ámbito laboral. El caso de prestaciones, permisos y subsidios familiares
Authors: Ledesma Claros Ana , Varela Salinas María-José
Published: June 2021

The reasons that have led us to choose thls topic are diverse. 0n the one hand, we start from the premise of a personal interest on knowing the German system of laws in the field of the benefits, leaves and subsidies in the work sphere. We do this in order to have a view on the German cultural reality that can help us to approach spedalized texts in a more effective way. On the other hand, once we have gathered thls knowledge, we can extract a great deal of terms that can be used as a consultation tool in legal and swom translation. Finally, through the terminology extraction that we have got by analysing the legal texts, we aim to provide the translator with a glossary that helps him to face the challenges that can come from the language combination DE-SP
Consideraciones metodológicas cualitativas para la didáctica de la traducción literaria
Authors: Santana López María Belén , García Álvarez Ana María
Published: June 2021

Aunque la didáctica de la traducción ha experimentado desde dos décadas un cambio considerable en su investigación, basada en una perspectiva inductivo-experimental y con numerosos trabajos al respecto, la didáctica de la traducción literaria adolece actualmente de andamiajes teóricos y metodológicos apropiados que describan su gran complejidad y puedan ayudar al estudiante a traducir literatura de manera profesional. Nuestro objetivo en la presente comunicación es proponer un andamiaje metodológico que enfatiza precisamente la importancia de establecer aquellos contenidos adecuados que puedan describir la complejidad cognitiva implicada en la práctica de la traducción literaria y que puedan ayudar a desarrollar estrategias de traducción apropiadas. El estudio de la introspección es, en este sentido, esencial. Se aportarán algunos ejemplos de cómo abordar cualitativamente las estrategias traductoras y su aplicación didáctica basados en la traducción Wadzek contra la turbina de vapor, de Alfred Doblin (1918).
El sistema penal como incentivo a la criminalidad en la contratación pública: Aproximación desde el análisis económico del derecho aplicado a mercados implícitos
Authors: Sarmiento Erazo Juan Pablo
Published: June 2021

La corrupción en la contratación pública parece endémica, crónica e imposible de controlar en buena parte de las experiencias comparadas y por supuesto, en el caso colombiano. Por medio del análisis económico del derecho aplicado a mercados implícitos y del estudio de caso del “cartel de la contratación”, se argumenta que el sistema penal y penitenciario contiene un conjunto de incentivos y desincentivos que podrían estar estimulando la corrupción en la contratación pública, junto a una batería de alternativas jurídicas y materiales que podrían explicar por qué el mercado de las compras públicas es un lugar común y propicio para la expansión y continuidad de la corrupción y apropiación ilegal de recursos públicos.
Hamilton-Jacobi Equations with Semilinear Costs and State Constraints, with Applications to Large Deviations in Games
Authors: Sandholm William H. , Tran Hung V. , Arigapudi Srinivas
Published: June 2021

We characterize solutions of a class of time-homogeneous optimal control problems with semilinear running costs and state constraints as maximal viscosity subsolutions to Hamilton-Jacobi equations and show that optimal solutions to these problems can be constructed explicitly. We present applications to large deviations problems arising in evolutionary game theory.
A Rare Case of Second-degree Atrioventricular Block and Takotsubo Syndrome
Authors: Costa Raquel , Fontes Joana , Mendes Tiago , Faria Silva Joana , Sousa Bárbara
Published: June 2021

Background: Takotsubo cardiomyopathy is characterized by transient left systolic dysfunction that can mimic acute myocardial infarction. Atrioventricular (AV) block associated with Takotsubo is rare, but a few cases have been reported in recent years. Methods: We present the case of a 77-year-old woman presenting with second-degree AV and Takotsubo syndrome. Results: The diagnosis of Takotsubo syndrome was based on echocardiogram changes and the absence of coronary artery obstruction on coronary angiography. Conclusions: We describe a patient with a diagnosis of Takotsubo syndrome and AV conduction defect. These conditions rarely occur simultaneous, but when they do, a dilemma arises regarding pacemaker implantation.
Fitness Technologies in the System of Development of Physical Qualities of Students of Higher Educational Institutions
Authors:   State Institution Luhansk Taras Shevchenko National University, Shynkarova Olena , Zhigailova Yuliia ,   State Institution Luhansk Taras Shevchenko National University
Published: June 2021

The article analyzes the modern scientific and methodological literature on research and experimentally tests the latest ways to use fitness technology in the system of development of physical qualities of students. Student youth increasingly prefer new types of physical activity, among which one of the first places are classes that use a variety of fitness technologies. Fitness technologies as a form of physical activity, specially organized within group or individual classes, can have both a health direction (reducing the risk of disease, achieving and maintaining proper physical condition) and pursue goals related to the development of abilities to solving motor and sports problems at a high enough level. Physical qualities that develop in the process of fitness technology have the properties of transference, ie their higher development is transferred to all human activities at work and in everyday life and will be manifested in improving the efficiency of mental and physical activity. The results of the experiment showed the effectiveness of the «Modern fitness technologies» program for the development of physical qualities of students of higher educational institutions.
Playing Billiards as a Factor in Strengthening the Psychophysical Health of Modern Youth
Authors:   SHEE ", Gutareva Nataliia ,   Donbas State Pedagogical University", Burov Yurii ,   SHEE "Donbas State Pedagogical University", Trudov Denys ,   SHEE "Donbas State Pedagogical University"
Published: June 2021

The article is devoted to the study and popularization of billiards among modern student youth as one of the types of game sports. The purpose of the research is to study the influence of playing billiards on the psychophysical state of student youth. The authors of the article set out the main trends associated with the increase in the level of physical development of modern students. Quite an important problem of the modern lifestyle is the gradual deterioration in the health of young people. In recent years, there has been a negative trend towards an increase in the number of young people with health problems and low levels of health. Despite the existing physical culture classes in higher and secondary educational institutions, the state of health of students is mainly deteriorating. This can be due to insufficient physical loads in classes, incorrect distribution of physical exercises, non-creative approach to the subject, or classes in general that can be carried out simply formally. An important task of modern education is to instill in young people a responsible attitude to their own health and the health of those around them as to the highest individual and social value. That is why, understanding the need to be attentive to the problems of one’s health, mastering the mechanisms of its maintenance, strengthening and restoration, cognition of the peculiarities of one’s individual mental and somatic organization is a prerequisite for longevity, self-realization as a person and as a member of society. The article presents the results of observations that allow judging the positive effect of billiards on general well-being and the level of physical and psycho-emotional health. The introduction of playing billiards in the educational process of higher educational institutions, in the author’s opinion, will contribute to solving some problems of the psychophysical health of a modern student.
Dependence of Student Health on Forms of Leisure
Authors:   National University ", Onishchuk Larysa ,   Yuri Kondratyuk Poltava Polytechnic", Permyakov Oleksandr ,   National University "Yuri Kondratyuk Poltava Polytechnic"
Published: June 2021

The article reveals the theoretical foundations of the organization of leisure for student youth; the forms and styles of carrying out of permitting activity are characterized; the negative impact of motor activity deficit on students' health is considered; the concept of students' leisure is given; its characteristic features are highlighted; the shortcomings of the organization of physical education classes in higher education institutions (HEIs) are analyzed; the main classes of student youth during leisure are shown; to maintain and promote health, the need to include various forms of physical activity in the daily routine is indicated. Based on the analysis of the scientific literature, the concept of «youth leisure» is interpreted as part of free time, which contrasts with professional activities, meets the psychophysical characteristics of young people and aims to meet the cultural needs and interests of a healthy person. In connection with the transformation of the information environment, the emergence of the Internet, changes in the leisure needs of young people, etc., there are some clear trends in the organization and conduct of student youth leisure: a gradual departure from traditional forms of conduct; domestication of leisure; prevalence of entertaining and passive orientation of activity over developing and active; fascination with innovative active sports games, video games. To maintain and strengthen the health of students in the day it is necessary to include various forms of physical activity: morning hygienic gymnastics, sports and recreation activities, outdoor activities, breathing exercises, exercises to develop leg muscles, torso, arms (various jumps), walking, flexion and extension of the arms in a supine position, dance exercises, other exercises to taste). Mandatory use of natural (sun, air, water) and hygienic (hygiene training, recreation, personal hygiene) factors. No less important are proper and rational nutrition, sleep, regular change of mental and physical activity.
Characteristics of a Competitive Microcycle in Pair-Group Acrobatics at Different Stages of Long-Term Preparation
Authors:   Oles Honchar Dnipro National University, Lopuha Hanna , Mykhailenko Yuliia ,   Prydniprovska State Academy of Physical Culture and Sport, Reshetylova Valeriia ,   Prydniprovska State Academy of Physical Culture and Sport
Published: June 2021

The purpose: to study the indicators of loads of competitive microcycles at all stages of long-term preparation in pair-group acrobatics, determination of the average data of the main parameters of the load of a 4-week competitive microcycle (MCC) of highly qualified acrobats. Material: the structure of the competitive microcycle by the types of pair-group acrobatics at all stages of long-term preparation, the average data of the main parameters of the load of the 4-week competitive MCC of highly qualified women's and men's pairs. Results: The results of average indicators of competitive loads in various types of pair-group acrobatics are presented. The loads were studied on the day of testing (arrival), the competitive day (an arbitrary program and / or the final program). Correlation analysis of the connection between the results of the competitions (in points) with the indicator of the total number of elements, the number of tracks, the total time of the training process, the number of training days, the intensity index. Reliable correlation relationships were revealed which showed a high (r = 0,698-0,846) and average (r = 0,422-0,688) degree of interrelation between the main load indicators and the sporting and technical result. The average data of the main load parameters of a 4-week competitive MCC pre-competition stage of preparation on the example of women's and men's pairs of highly qualified sports improvement groups of the second and third years of training and groups of higher sports skills were developed and presented. Conclusions: within the framework of this study, reliable correlation relationships of the main load indicators with sports and technical results were revealed; confirmed and refined data of a number of authors about the fact that the subsystem of competitive loads can be included as a separate element of the overall sports and technical structure of acrobats' readiness, can allow to supplement and effectively plan, manage the training and competitive process, make the necessary adjustments to the pre-competition training of acrobats.
Physical Training Classes with Means of "Fitness Boot Camp" for Senior Schoolchildren
Authors:   Donetsk Law Institute of the Ministry of Internal Affairs of Ukraine, Zubchenko Liudmyla , Golik Volodymyr ,   Donetsk Law Institute of the Ministry of Internal Affairs of Ukraine
Published: June 2021

The article focuses on the issues of physical training (PT) for senior schoolchildren in future, the cadets of Donetsk Law Institute of the Ministry of Internal Affairs of Ukraine. The purpose of the article is to substantiate the feasibility of using the system of exercises «Fitness Boot Camp» to motivate senior schoolchildren to PT classes. It is noted that today, there is an extremely low general physical training of senior schoolchildren, future cadets. That is why, in order to involve senior schoolchildren into PT classes in modern life, it is necessary to choose such types of health and physical activity, to be effective not only for health, but also attractive from the emotional side. The program “Fitness Boot Camp” is built on the principles of American recruits training and includes a mix of sit-ups, push-ups, Burpee and other «sweets» of Army life. The main purpose of «Fitness Boot Camp» is to force a person to exceed their physical capabilities, to "jump above the head". The mentor in «Fitness Boot Camp» gives not commands, but orders, and often even in a raised voice. In a pilot program for schoolchildren «Fitness Boot Camp» in Donetsk Law Institute of the Ministry of Internal Affairs of Ukraine include: combat training; basics of topography; basics of tactics; handling of weapons; special physical training. During such training sessions, much attention is paid to physical exercises of strength and aerobic orientation, especially working and strengthening the muscles of the arms, legs and back. The program «Fitness Boot Camp» for future police officers can be considered as a rational way to improve the physical qualities of senior schoolchildren, the opportunity to join the training program of cadets and demonstrate the benefits of this profession.
Development of Teacher`s Professional Competencies of During International Educational Visits
Authors:   SSI ", Burdun Olena ,   Institute of Education Content Modernization"
Published: June 2021

The article analyzes the skills and competencies necessary to achieve success in modern society, which should form school education. It is noted to help students become competent, competitive and socially integrated adults, educators must be capable of lifelong learning. The types of professional growth of teachers from different countries were analyzed. Particular attention is paid to international and domestic practices of organizing the exchange of experience between teachers of different educational institutions, including between teachers of Ukraine and other countries. The article presents the results of a study of Ukrainian teachers as to whether the visits of Ukrainian teachers to other educational institutions take place.
Active form of Educational Process with the Use of Information and Communication Technologies
Authors:   Poltava State Agrarian University, Dehtiarova Larysa , Bulankina Anna ,   Luhansk Center for Vocational Education of the State Employment Service
Published: June 2021

The article reveals the question of the peculiarities of the use of active forms of educational process with the use of information and communication technologies. It was found that the introduction of information and communication technologies in the educational process encourages the organization of cognitive activity by modeling, simulation of typical professional situations with the help of multimedia technologies, application of knowledge in research, effective training of knowledge, skills, automated control of learning outcomes, implementation of feedback, development of creative thinking, the possibility of combining in the curriculum of visual and audio forms of presentation of material.
Ukrainian model of implementation of inclusive education
Authors:   Zaporizhzhia National University, Yesina Veronika , Shirobokova Olha ,   Zaporizhzhia National University, Malovichko Olena ,   Zaporizhzhia National University
Published: June 2021

The level of development of society, achievements in the establishment of the principles of humanism and democracy can be determined in relation to children with special needs. The article touches upon the problem of introducing an inclusive approach to learning in the educational environment. The inclusive model is an alternative to the boarding school system (special education) and provides for equal access to education for students with special educational needs, creates conditions in which they study in the general educational environment at the place of residence. In recent years, Ukraine has been actively developing inclusive education and creating common approaches to the education of children with special educational needs, according to which every child is covered by learning, adapted and successfully socialized in society.
Formation of Students' Motivation for Physical Culture and Sports
Authors:   Oles Honchar Dnipro National University, Tatarchenko Larysa , Prisyazhna Mariia ,   Oles Honchar Dnipro National University, Lashko Yevheniia ,   Oles Honchar Dnipro National University
Published: June 2021

The article is devoted to the study of approaches and ways of forming students' motives for physical culture and sports. The purpose of the article is to study the interest of students in physical culture and sports by studying new methods of physical activity. The tasks of new research are to create conditions for the formation of a conscious need for physical exercises, increase the level of non-special physical education, and improve the socio-cultural status of student youth. The process of forming an interest in physical culture and sports is complex in structure, it cannot be carried out quickly: from the first simplest knowledge and skills in the field of hygiene to deep psychophysiological knowledge of the theory and methodology of education and intensive sports. The system of physical development in a higher educational institution of vocational education forms the student's physical culture, in the appearance of his integral as a normal quality, as a condition for scientific and professional activity, as a generalized indicator of the culture of a future specialist and as the goal of self-improvement and self-development. Constant support of the educational motivation of students will allow them to consciously assimilate the knowledge provided, to form skills and abilities; a useful attitude to teaching physical education and involvement in systematic exercise and sports. The effectiveness of physical education will increase significantly if an algorithm is developed to involve pupils, students, and the population in regular physical culture and sports in real socio-economic conditions. It is necessary to seriously pay attention to the problem of physical education of children and youth, because they are two age categories that represent the entire human race, which will transfer knowledge obtained all their lives to future generations.
Sitting the OSCE
Authors: Forsythe Gemma
Published: June 2021

Gemma Forsythe reveals her top tips for sitting the objective structured clinical examination
Effective against recent threats?
Authors: Waters Rebecca
Published: June 2021

Rebecca Waters asks, what influences your infection control decisions?
Understanding anaphylaxis
Authors: Doherty Kelly , O'Hare Pat
Published: June 2021

In this CPD paper, Kelly Doherty and Pat O'Hare discuss the new guidance for dental practices.
Bilateral Periprosthetic Knee Fracture with the Right Floating Total Knee and Left Periprosthetic Patella Fracture Management Strategy: A Case Report
Authors: Tomar Lavindra , Govil Gaurav , Dhawan Pawan
Published: June 2021

Introduction: Periprosthetic fractures (PPFs) in total knee replacement are an uncommon condition. The floating knee injury around total knee arthroplasty (TKA) is even rare and poses challenges in management. Incidence is increasing due to growing primary joint arthroplasties and revision procedures. We report a case of bilateral PPF with a floating total knee.
Case Report: A 74-year-old female involved in a violent car accident sustained bilateral knee injuries, facial, and hand injury. In the emergency room, the initial resuscitation and trauma protocol stabilization were done and she was provisionally immobilized for her limb injuries. She presented with the right-sided floating total knee involving periprosthetic periarticular comminuted distal femur fracture and midshaft comminuted fracture tibia fibula. The patient also had left knee lower pole periprosthetic patellar fracture. The patient had a history of bilateral TKA around 2 years back. She underwent surgical management of the right floating total knee by stabilization of distal femur fracture and tibial shaft fracture fixation with locking plates. She underwent primary autologous bone grafting for both fracture sites. The left knee patellar fracture was managed conservatively in a brace. At 8 months follow-up, the patient was pain free and had consolidation of fractures. The patient walked without any walking aids. At 18 months, she had regained her pre-injury functional status.
Conclusion: Each fracture in a floating total knee injury is unique and treatment should be decided based on individual analysis and the extent of soft-tissue injuries. An uncommon occurrence highlights the complex injury patterns involving PPF requiring individualized case specific management strategy.
Keywords: Floating total knee, Periprosthetic knee fracture, floating knee.
Bizarre Parosteal Osteochondromatous Proliferation (Nora Lesion) in Upper and Lower Limbs: A Report of Three Cases and Review of Literature
Authors: Reddy Maryada Venkateshwar , Kandukuri Anjaneyulu , Chandankere Vidyasagar , Joseph Vinay Mathew , Gurava Reddy Annappareddy Venkata
Published: June 2021

Introduction: Bizarre parosteal osteochondromatous proliferation (BPOP) is a rare bone pathology affecting small bones of hand and feet. This benign lesion needs to be distinguished from many malignant bone tumors as it poses a diagnostic dilemma due to its clinical, radiological, and histological picture. We report three cases of BPOP affecting the hand and foot.
Case 1: A 21-year-old gentleman presented with painful swelling in the long finger of the right hand. A plain radiograph showed a radio dense mass which was later excised and diagnosis confirmed in histopathology. There was no recurrence in 2 years of follow-up.
Case 2: A 5-year-old boy presented with painful swelling over the right ankle with no history of antecedent trauma. Following radiological evaluation, the patient was successfully treated with excision.
Case 3: A 35-year-old lady presented with a painful swelling on the dorsal aspect of her hand which was gradually increasing in size. After radiological evaluation, the patient was successfully treated with excision and lesion confirmed to be BPOP on histological examination. She was symptom free without recurrence in up to 2 years of follow-up.
Conclusion: Nora’s lesion is a rare pathology requiring high index of suspicion. Excision is the recommended mode of treatment. All our cases responded well with excision with immediate pain relief following surgery and no recurrence in up to 2 years of follow-up.
Keywords: Nora, bizarre parosteal osteochondromatous proliferation, neoplasm, tumor, benign.
Heterotopic Ossification after Knee Surgery, Arthroscopy is Not an Exception!!!!
Authors: Kumar S N Lokesh , Ravi Santosh , Subramaniam K N , Kumar S N Jagadesh , Sowmya Priya Amavarapu
Published: June 2021

Introduction: Reconstruction of the anterior cruciate ligament (ACL) is a common procedure. Injury is the predisposing risk factor for developing heterotopic ossification(HO). We like to report a case of HO of the knee following arthroscopic ACL reconstruction.
Case Report: A29-year-old patient was admitted with complaints of painful instability of the left knee after a fall from bike. MRI study con?rmed a complete ACL rupture along with tear of the body and posterior horns of the medial meniscus. ACL reconstruction was carried out using ipsilateral hamstring tendon graft by knee arthroscopy. Eight months after the procedure, the patient complained of pain in the lateral side of the knee joint evidencing a slight prominence of hard consistency. The radiological study confirmed it to be a case of HO. The patient was managed conservatively.
Conclusion: Bone is the only tissue that has an incredible property as such that it can differentiate and develop into its mature form outside its native locations. Numerous studies have suggested ways of preventing and treating this complication. One has to be aware that even these simple surgical procedures can lead on to HO.
Keywords: Heterotopic ossification in arthroscopy, unusual complication in arthroscopy, heterotopic ossification, knee arthroscopy complication.
First Metatarsal Phalangeal Joint Arthrodesis without the Use of Hardware after Failed Arthroplasty: A Case Report
Authors: Adamson Peter , Janney Cory , Chen Jie , Panchbhavi Vinod
Published: June 2021

Introduction: First metatarsal phalangeal joint (MTPJ) arthroplasty has a high failure rate due to aseptic loosening, which leads to bone loss. The salvage procedure is conversion to an arthrodesis, but bone loss can make obtaining screw fixation difficult. Herein, we report a unique case of revision first-metatarsal arthrodesis without the use of hardware after a failed arthroplasty.
Case Report: A 60-year-old women presented to us with first MTPJ pain in the setting of failed arthroplasty. We performed an arthrodesis; however, intraoperatively, hardware fixation could not be obtained due to bone loss. We utilized allograft bone struts to maintain first ray length and to hold the correct hallux position during arthrodesis maturation.
Conclusion: Bone loss is a frequently encountered problem in revision surgery to a first MTPJ arthrodesis. An arthrodesis can be obtained without the use of hardware in scenarios where bone loss precludes screw fixation.
Keywords: Hallux rigidus, revision, bone loss, arthrodesis
Allergic Dermatitis Following Bilateral Oxidized Zirconium Total Knee Replacements
Authors: Mencia Marlon M , Cawich Shamir O
Published: June 2021

Introduction: Total knee replacement (TKR) utilization is expected to increase by 673% in 2030, with patients between the ages of 45 to and 64 years representing the fastest-growingfastest growing age group requiring joint replacement. This group not only demands a higher- performinghigher performing, durable prosthesis but are is also the most likely to be dissatisfied if their expectations are not met. Hypo-allergenic implants have been developed by some implant manufacturers to fill this need, so the occurrence of allergic skin reactions after surgery is unanticipated and can have unwanted consequences if not recognized and managed appropriately.
Case Report: We present the case of a 55-year-old woman who underwent bilateral staged TKR using oxidized zirconium implants and subsequently developed eczematous skin reactions. In both instances, she presented with a peri-incisional erythematous blistering skin reaction that was successfully treated with topical corticosteroids. Investigations revealed no evidence of infection or allergic-typeallergic type reactions to the metals contained in the knee replacements.
Conclusion: Allergic skin reactions following TKR are very rare, and are not necessarily due to a metal hypersensitivity. Infection must be excluded in all cases and a trial of topical corticosteroids is useful before prior to more aggressive treatment, with the removal of the implant reserved as a last resort. To the best of our knowledge, this is the first case in the literature that reports the occurrence of allergic skin reactions following oxidized zirconium TKRs, and highlights the fact that allergic skin reactions can occur when using hypo-allergenic implants. Surgeons should be aware of this possibility and counsel their patients appropriately during the informed consent process.
Keywords: Metal allergy, hypo-allergenic implants, oxidized zirconium, hypersensitivity.