bluuebunny/crossref_metadata_2025 huggingface dataset:
Percepción del comportamiento sexual y actitud hacia la sexualidad en la vejez de adultos mexicanos
Authors: Camarillo-Almanza Daniela Guadalupe , Ulloa-Gordillo Andrea , Medina-Fernández Isaí Arturo , Torres-Obregón Reyna , Molina-Sánchez Janeth Wendolyne , Pérez-Briones Nancy Griselda
Published: January 2024

Objetivo: determinar la relación de la percepción del comportamiento sexual de adultos mexicanos sobre las actitudes hacia la sexualidad de la vejez durante el periodo agosto-diciembre del 2022. Metodología: estudio correlacional-descriptivo, la muestra estuvo conformada por 586 adultos de entre 18 y 59 años. Se utilizó la escala corta de sexualidad y la escala de actitudes hacia la sexualidad en la vejez para la medición de las variables. Se aplicó estadística descriptiva y prueba de correlación de Spearman. Resultados: la muestra en su mayoría fueron mujeres, solteros y católicos, con una media de edad de 25.61 años. Al comparar las variables por sexo, la percepción del comportamiento sexual y las actitudes hacia la sexualidad en la vejez fue diferente significativo (p<.001), siendo mayor las actitudes favorables hacia la sexualidad en la vejez en mujeres y mejor aprecio hacia su conducta sexual en hombres. Así mismo, se encontró relación entre la percepción del comportamiento sexual y las actitudes hacia la sexualidad en la vejez; es decir, a mejor percepción del comportamiento sexual, mayor actitud favorable hacia la sexualidad en la vejez. Conclusiones: Los resultados encontrados señalan la importancia de plantear futuras intervenciones multidisciplinarias donde mejoren la percepción del comportamiento sexual y las actitudes hacia la sexualidad en la vejez.
Tree of Life in Community Nursing Practices: Curriculum Analysis of Five Universities
Authors: Orozco-Castillo Liliana , Betancurth-Loaiza Diana Paola , Pico-Merchán María Eugenia
Published: January 2024

Objective: To interpret community academic practices based on the analysis of the curricula of nursing programs from five universities located in the Eje Cafetero (Coffeee Region), Colombia 2021-2022. Method: Qualitative hermeneutic study with a documentary review of curricular elements in nursing programs related to community practices. The document analysis was conducted using a spiral process of preconceived interpretation. The curricular components were examined to gain insight and depict them within the metaphorical framework of the tree of life. Results: From the analysis, an emerging pattern is identified, represented through the metaphor of the tree of life: “the being” (the roots), where the student’s lived experience is essential for comprehensive learning for self and others’ care; “the knowledge” (the trunk), where research and knowledge connect with “the reflective practice” (the branches), which emerge in the context of care in various settings through collaborative and sociopolitical work. Conclusions: Community academic practices are developed by considering three key components: “the being” with ethical commitment and critical thinking, “the knowledge” through sociopolitical knowledge and human social development, and “reflective practice,” a result of the skills acquired by students.
Occurrence of Lymphedema in Wild-Caught Anurans
Authors: MCCALLUM MALCOLM
Published: January 2024

Lymphedema is a condition in which the lymph hearts fail to pump fluid from the lymph sacs of anurans and other amphibians. This causes the sacs to fill with fluid and provide the frog with balloon-like swellings or over-all appearance. The condition has previously been connected with various diseases including tadpole edema virus and chytrids. I observed lymphedema in six anuran species (Acris blanchadi*, Anaxyrus fowleri*, Hyla squirrela*, Pseudacris streckeri illinoensis*, Rana sylvatica, Rana sphenocephala* [species with * are species records for lymphedema]).
Thomas Nagel’s Theory of Justice
Authors: Balashov Dmitriy
Published: January 2024

Theories of justice have become the central theme of liberal philosophy over the past century. Among these, one devoted to the problem of global justice, which has come to be particularly relevant at the turn of the century, deserves particular attention. Among liberal theories of global justice numerous competing conceptions have emerged; they could be presented as three broad lines of argumentation: ‘moral cosmopolitanism’, ‘political cosmopolitanism’ and ‘statism’. Thomas Nagel’s Hobbesian conception of global justice has become one of the most influential ‘statist’ theories. Having used the key points of Hobbes’ theory, Nagel significantly modified his original ideas. This allowed him, first, to invoke the principles of egalitarian justice at the level of the state and, second, to argue that international relations are not the territory of a moral vacuum. These modifications led to a two-level theory of ethics in which justice can exist only in separate sovereign states while the requirements of minimal humanitarian morality apply at the supranational level. As a result, Nagel’s theory of justice at the level of the state proved to be highly logical and persuasive, as well as able to withstand criticism from its opponents; whereas the requirements of minimal humanitarian morality seemed inconsistent and unrelated to justice in separate sovereign states. This has led to an ambivalent attitude towards Nagel’s theory. This article focuses on Nagel’s theory of global justice and the debate surrounding his statist arguments. This article also offers further criticism of the problems and prospects of Nagel’s theory of global justice.
Current Educational Practice in Physiotherapy Simulation-Based Education: A Scoping Review Protocol v1
Authors: Qaiser Choudhary Yasir
Published: January 2024

Background: Simulation-Based Education (SBE) is an educational technique that can provide a structured and individualised approach to skill development in physiotherapy students. A recent scoping review by Stockert et al. (2022) highlighted the widespread use of simulation in various content areas and settings for preregistration physiotherapy education. However, there was limited information available on the elements of simulation delivery and the curriculum frameworks that were chosen to design SBE to address the needs of the learners. Objectives: This scoping review aims to map research undertaken in the area of SBE in physiotherapy education according to the following objectives: (1) to delineate adherence to all elements of best practice for curriculum development guided by the Thomas and Kern framework, (2) identify the skills and competencies taught in simulation, (3) describe the details to operationalise SBE including pre-briefing and debriefing activities, amount of task practice, attributes of educators, and the types of simulator used (such as peer role-playing, simulated patients, or manikins) and its alignment with simulation activities. Methods: Arksey & O’Malley’s scoping review methodology, refined by Levac et al. (2010) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), will guide the conduct of this scoping review. Studies will be identified from the review by Stockert et al. (2022), which will be updated by a search of four databases (Ovid MEDLINE, CINAHL, Web of Science, and ERIC) between March 2022 to August 2023. Title and abstract of the search results will be screened, and full-text articles of those meeting the eligibility criteria will be retrieved. A charting form will be developed a priori, in line with the review's objectives. Conclusion: The insights gained from this review will inform educators, curriculum developers, and healthcare professionals in designing and implementing SBE programs for physiotherapy students to enhance the learning experience and foster the acquisition of competencies.
Chronic thromboembolic pulmonary hypertension in a patient with myxoma of the heart and thrombophilia of mixed genesis
Authors: Okorokov V. G. , Evsina O. V. , Fomina V. A. , Tkachenko K. A. , Dubova N. V. , Khashumov R. M.
Published: January 2024

Objective. To describe the clinical case of a young patient with chronic thromboembolic pulmonary hypertension (CTEPH) with heart myxoma and thrombophilia of mixed origin, who underwent surgical treatment.

Materials and methods. Patient Z., 24 years old, was admitted to the cardiology department with cough with sputum production that occurs during physical activity, including streaks of blood, shortness of breath with slight physical exertion, legs and feets edema, weakness and dizziness. The examination was carried out: electrocardiography; multislice computed tomography pulmonary angiography; echocardiography (EchoCG); transesophageal EchoCG; magnetic resonance imaging of the heart with contrast; screening for coagulopathy.

Results. Based on clinical data, medical history, laboratory, instrumental diagnostic, we have put the diagnosis: Myxoma of the right atrium. Patent foramen ovale. Thrombophilia of mixed origin: hereditary – heterozygous mutation of the prothrombin gene (factor 2), acquired – hyperhomocysteinemia. Postthrombotic deep vein disease of the left lower limb. Recurrent pulmonary embolism (last relapse dated October 19, 2022). CTEPH functional class III (World Health Organization), moderate risk. Congestive heart failure with reduced right ventricular ejection fraction, functional class III (by the New York Heart Association). Relative tricuspid valve regurgitation grade 3. The patient underwent surgery: thromboendarterectomy from the right pulmonary artery under conditions of circulatory arrest and deep hypothermia, removal of a right atrium myxoma under conditions of artificial circulation and blood cold cardioplegia: tricuspid valve plasty according to De Vega. After surgery patient’s condition was significantly improved.

Conclusion. The features of diagnosis and treatment of a patient suffering from CTEPH and cardiac myxoma are outlined. Surgery: Pulmonary thrombectomy and cardiac myxoma removal may improve the patient’s condition with CTEPH and left atrial myxoma.
TAFRO syndrome associated with C3 nephropathy (an analysis of clinical experience)
Authors: Pozharov I. V. , Grigorevskaya A. O. , Setdikova G. R. , Stolyarevich E. S.
Published: January 2024

Aim. To present a clinical case of TAFRO syndrome – a recently described subtype of idiopathic multicentric Castleman disease of unknown etiology, characterized by thrombocytopenia, anasarca, fever, reticulin fibrosis of the bone marrow and / or renal dysfunction, organomegaly associated with an increase in serum IL-6 secretion.

Materials and methods. Herein, we report a young patient diagnosed with TAFRO combined with C3 nephropathy. The patient was treated with glucocorticoids (methylprednisolone), colchicine, sarilumab, rivaroxaban, and symptomatic treatment.

Results. Key aspects of diagnosis, treatment and course of the syndrome were discussed. The possibility of the combined course of two rare pathologies – a subtype of idiopathic multicentric Castleman disease and C3 nephropathy is still unclear.

Conclusion. The diagnosis of TAFRO syndrome can be considered after the exclusion of a number of infectious, paraneoplastic, systemic connective tissue diseases, POEMS syndrome, liver cirrhosis against the background of autoimmune hepatitis, autoimmune thrombocytopenic purpura, as well as hemolytic-uremic syndrome. Kidney damage in this category of patients, in most of the described clinical cases, is morphologically represented by thrombotic microangiopathy or mesangioproliferative glomerulonephritis. C3 nephropathy in that clinical case seems to be concomitant. Glucocorticoids in high and ultrahigh doses, cyclosporine, IL-6 type inhibitors, as well as anti-CD20 antibodies are used as therapy.
Methods for preserving fertility in childhood cancer patients
Authors: Adamyan L. V. , Sibirskaya E. V. , Pivazyan L. G. , Obosyan L. B. , Ananyeva V. S. , Laevskaya A. A.
Published: January 2024

Each year, more than 400,000 children and adolescents under the age of 18 are diagnosed with cancer. The most common nosologies in childhood are leukemia, lymphoma and brain tumors. The use of chemoradiotherapy as an antitumor treatment in these cases is associated with a high risk of gonadotoxicity. The preservation of fertility in children and adolescents during malignant tumor therapy is one of the key aspects of treatment. To date, there are many unresolved issues in this problem, affecting the preservation of both physical and psychological health of patients in adulthood. The main methods of maintaining the reproductive function in girls are cryopreservation of ovarian tissue or oocytes, ovarian autotransplantation, the use of assisted reproductive technologies, including the techniques of in vitro fertilization and in vitro oocyte maturation, oophoropexy and neoadjuvant cytoprotective pharmacotherapy. The choice of fertility preservation method depends on many factors: the overall condition of the child, the type of malignant disease, the age and sexual status of the patient, the capabilities of the medical center, as well as legal and financial aspects. Due to the lack of information on pediatric oncofertility, large-scale multicenter clinical trials involving children and adolescents are needed.
Fine-needle aspiration biopsy possibilities in studying the molecular genetic landscape of breast tissue
Authors: Rodionov V.  V. , Burmenskaya O.  V. , Kometova V.  V. , Smetnik A.  A. , Rodionova M.  V. , Trofimov D.  Yu. , Ashrafyan L.  A. , Sukhikh G.  T.
Published: January 2024

Background. Core biopsy of the breast is currently considered to be the standard method of obtaining material for morphological and molecular genetic methods. Unfortunately, this method is associated with a number of problems, primarily the risk of complications (bleeding, pneumothorax) and discomfort during manipulation.Aim. To analyze transcriptional signatures of breast tissue samples obtained by fine-needle aspiration biopsy. Materials and methods. Using reverse transcriptase polymerase chain reaction, we studied the mRNA expression level of 60 target genes in 60 samples obtained by fine-needle aspiration biopsy and in 60 corresponding formalin-fixed paraffin-embedded (FFPE) surgical specimens of breast. Samples were obtained from the tumor, adjacent tissue, the so-called tumor bed and formally normal tissue at a distance from the primary lesion.Results. A comparative analysis of transcriptional signatures in samples obtained by fine-needle aspiration biopsy and FFPE specimens (120 samples in total) reveled the strongest correlations between transcriptional signatures in biopsy samples and FFPE specimens of tumors. Very strong correlation in tumor samples was established for one gene (CTSL2); strong for 18 genes (MKI67, MYBL2, NAT1, PTEN, TPX2, PTTG1, UBE2T, CCNB1, ESR1, CCND1, MYC, SCGB2A2, MIA, TRAC, FGFR4, ANLN, GSTM1, PRLR); averages for 28 genes (PGR, AURCA, KRT5, FOXA1, SFRP1, EMSY, EXO1, PAK1, KIF14, ERBB2, MMP11, BCL2, BAG1, TMEM45B, BIRC5, CD274/PDL1, ZNF703, TYMS, CCNE1, TPT1, TMEM45A, BRCA1, BRCA2, ESR2, STS, TNFSF11/RANKL, TNFRSF11B/OPG, TNF); weak for 4 genes (GRB7, EGFR, PGRMC1, CYP19A). The presence of correlations between transcriptional signatures in biopsy samples and FFPE specimens can be established in case of sufficient material corresponding to sample intake control (SIC) ≥5 lg for B2M gene.Conclusion. The ability to conduct molecular genetic research on small samples of breast tissue makes it possible to obtain the material using the most minimally invasive method. And this, in turn, expands the possibilities of “genetic monitoring” of cancer, as well as the possibility of more accurate assessment the risks of malignant tumor development in the settings of benign conditions in women with fibrocystic disease and increased mammographic density.
Clinical and radiological efficacy of a new conservative treatment for fibrocystic disease
Authors: Shabaev R. M. , Kolyadina I. V. , Blagovestnov D. A. , Starokon P. M.
Published: January 2024

Background. Long-lasting dyshormonal breast diseases in women represent a risk factor for breast cancer, especially in patients with atypia. Clinical manifestations of fibrocystic breast disease (FBD) and mastopathy, including high-intensity pain cause psychoemotional discomfort and reduce the quality of life of women. The search for effective management strategies for mastopathy with an antiproliferative effect is highly relevant.Aim. To assess clinical and radiological efficacy of a new conservative treatment for FBD, “Evening primrose oil” administered orally for 6 months in women with symptomatic FBD.Materials and methods. This randomized, blind, placebo-controlled trial included 144 patients with clinical FBD manifestations (pain and tension in the breast). Patients were randomly assigned to one of the two treatment groups. Women in group I received “Evening primrose oil”, whereas women in group II received placebo (ascorbic acid) for 6 months. We measured the dynamics of radiological findings (at mammography and ultrasound examination) in the breast before and after treatment, as well as pain intensity using the visual-analog scale.Results. Patients in group I with all types of FBD (diffuse mastopathy, nodular, and mixed forms) demonstrated positive dynamics and BI-RADS category downgrading within 6 months. In the placebo group, the examination after 6 months demonstrated no significant changes in the breast and no BI-RADS category downgrading among women with diffuse mastopathy. Some patients with nodular and mixed FBD receiving placebo had negative dynamics after 6 months (as demonstrated by mammography and ultrasound examination; BI-RADS category upgraded from II to III, p<0.01). Patients receiving “Evening primrose oil” also showed positive dynamics in their clinical manifestations, including decreased breast pain (from 7.8 to 1.8 on the visual analog scale). By contrast, patients receiving placebo had no changes in their breast pain intensity after 6 months (from 7.3 to 7.1 on the visual analog scale), which resulted in poorer psychoemotional state in 55.6 % of women.Conclusion. Our new treatment strategy for FBD patients with clinical and radiological manifestations in the breast demonstrated high efficiency and can be implemented into routine clinical practice.
Autologous dura mater grafts in reconstructive surgeries for breast cancer: surgical and aesthetic outcomes
Authors: Dzhabrailova D. Sh. , Zikiryakhodzhaev A. D. , Usov F. N. , Bagdasarova D. V. , Duadze I. S. , Kaprin A. D.
Published: January 2024

Background. Simultaneous breast reconstruction after subcutaneous or skin-sparing mastectomy using silicone implants is associated with a high risk of postoperative complications. Therefore, the issue of additional shell cover for breast implants is highly relevant. Synthetic and biological implants are believed to be the most effective.Aim. To assess the efficacy and safety of autologous dura mater grafts in reconstructive surgeries for breast cancer patients.Materials and methods. This study included 164 patients who had undergone subcutaneous or skin-sparing mastectomy with simultaneous breast reconstruction using implants and additional shell cover with either autologous dura mater grafts (experimental group, n = 83) or synthetic mesh implants (control group, n = 81) between 2017 and 2022. The mean patients’ age was 41.4 ± 7.2 years (41.2 ± 7.1 years in the experimental group and 41.6 ± 7.2 years in the control group). The mean follow-up time was 38.0 ± 21.4 months (min: 12 months; max: 80 months).Results. The 3-year relapse-free survival rate was 100 %. The 3-year progression-free survival was 97.4 % (95 % confidence interval 92.6–100.0 %). We observed no significant differences in the time to disease progression between the experimental and control group (p = 0.573). The assessment of aesthetic outcomes using a special surgical questionnaire showed excellent cosmetic and psycho-emotional results. Patients in both groups demonstrated comparable cosmetic results (p >0.05); however, psychoemotional satisfaction with surgery results was higher in the experimental group (p<0.05). Postoperative complications (primarily capsule contracture) were registered in 18 patients from the experimental group (21.7 %) and 31 patients from the control group (38.3 %) (p0.05). We also calculated the incidence rate ratio (IRR) and found that the difference was due to different follow-up time. Clinically significant capsule contracture was observed in 9 patients from the experimental group (10.8 %). The incidence of capsule contracture was higher among patients who had radiation therapy than in those who had no radiation therapy (15.8 % and 0.0 %, respectively; p<0.05).Conclusion. Subcutaneous or skin-sparing mastectomy with simultaneous breast reconstruction using silicone implants and autologous dura mater grafts is a safe and effective surgical method for breast cancer patients. The analysis of the international Breast-Q questionnaire results and surgical questionnaire results demonstrated that all patients had a high quality of life after simultaneous breast reconstruction using an autologous dura mater graft.
Features of the systemic influence of cervical cancer on peripheral blood and hemostasis according to the tumor histological subtype
Authors: Sushinskaya T. V. , Stuklov N. I. , Schepkina E. V. , Kuznetsov A. I. , Еpifanova S. V. , Kaprin A. D.
Published: January 2024

Aim. To identify the features of the systemic effect on hematopoiesis and the blood coagulation system of different histological subtypes of cervical cancer (CC).Materials and methods. A single-center retrospective cohort study of 428 patients (61 patients with high grade squamous intraepithelial lesion (carcinoma in situ) and 367 patients with CC) examined from 1997 to 2022 in the Polyclinic of P. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia. The age of patients was from 18 to 90 years (median age – 42 [34; 51] years). Patients were divided into 4 groups: group 1 – patients with high grade squamous intraepithelial lesion and 3 groups depending on tumor’s histological subtype (squamous cell, glandular squamous cell, adenocarcinoma). Demographic and clinical data were analyzed including laboratory tests (general blood count, biochemical blood test and iron metabolism and coagulograms (total 32 variables)) compared to clinical and surgical stages of CC.Results. High grade squamous intraepithelial lesion does not have a systemic effect on the parameters of general, biochemical blood tests and hemostasis (p >0.05). On the other hand, statistically significant changes were found in the parameters of routine laboratory blood tests, which correlate with the results of microinvasive analysis of CC, thus revealing the systemic effect of a malignant tumor: at p ≤0.001 for thrombin time, total protein, alkaline phosphatase levels; at p ≤0.05 for alanine aminotransferase, aspartate aminotransferase, C-reactive protein, serum iron and urea levels. Among patients with CC, statistically significant (p<0.001) correlations were obtained between hematological, hemostasiological and biochemical blood parameters. Of statistical significance, the presence of the glandular component in the tumor increases the systemic effect of CC on blood parameters, hemostasis, markers of inflammation and iron metabolism: leukocytosis and maximum erythrocyte sedimentation rate values compared to CC, high fibrinogen and the level of soluble fibrin-monomer complexes which increased activation of coagulation hemostasis along the common coagulation pathway (thrombin time) (p<0.001). It leads to an increase in the risk of venous thromboembolic complications in this category of patients.Conclusion. The identified changes in blood parameters made it possible to reveal the unique biological characteristics of each histological subtype of CC, including biochemical ones, which will help in developing an improved diagnosis of CC depending on the histological subtype and stage of the disease, along with developing preventive measures and treatment methods adapted to each specific case.
Выявление многоаспектности влияния рекламы на общество при историческом анализе
Authors: Якутина Елена Николаевна
Published: January 2024

Исследование влияния рекламы на общество в процессе его развития, становления и функционирования является основной задачей данной статьи. При историческом анализе рекламы важно рассматривать как глобальный уровень взаимодействия общества и рекламы, так и отдельно взятые коммуникативные пространства, препарированные на уровне областей их существования: политика, экономика, культура. Рассмотрение влияния рекламы также должно быть многоаспектным, привлекающим параметры и характеристики, присущие обществам и нациям: национальное самосознание, религиозные убеждения, культурные ценностные приоритеты, поведенческие стереотипы.
Формирование имиджа компании как системы позитивных установок для потребителя средствами цифровых рекламных и PR-коммуникаций (на примере ОАО «РЖД»)
Authors: Чиченев Сергей Сергеевич
Published: January 2024

В статье на примере ОАО «Российские железные дороги» («РЖД») рассматривается значение имиджа компании как системы позитивных установок для потребителей. Автор делает вывод о том, что позитивный имидж может способствовать успеху коммерческой деятельности компании. Основу продвижения корпоративного имиджа составляют цифровые каналы коммуникаций, которые в последнее десятилетие становятся предпочтительными, о чем свидетельствует опыт построения коммуникаций одной из крупнейших российских компаний «РЖД».
Значение феномена преемственности поколений на примере исторического наследия С. И. Гессена
Authors: Муханов Сергей Александрович
Published: January 2024

В статье рассматриваются педагогическое наследие С. И. Гессена, на основе работ ряда авторов, принадлежащих к отечественной философско-педагогической традиции, дается первичная оценка феномену «преемственность поколений».
Формирование интерпретативной метакомпетенции менеджера в условиях цифровой трансформации
Authors: Курганская Марина Яковлевна , Овсянников Дмитрий Юрьевич
Published: January 2024

В статье предлагается способ решения наметившегося в сфере высшего профессионального образования противоречия между нарастающей скоростью изменений систем организационного управления под влиянием цифровой трансформации и отставанием формирования надпрофессиональных навыков (soft skills) менеджера.

С опорой на общую теорию интерпретации Эмилио Бетти, с учетом современных научных взглядов на нейробиологические основы герменевтического подхода (Н. Хомский, М. Газзанига, Г. Риззолатти) и компетентностный подход в высшем профессиональном образовании предложена модель комплексной, универсальной интерпретативной метакомпетенции.
Regional features of disability of breast cancer patients in the Volgograd region
Authors: Zhavoronkova Viktoriya V. , Grushina Tatiana I. , Suvorov Vladimir A. , Stekolnikova Elena V.
Published: January 2024

BACKGROUND: Breast cancer (BC) is the leading oncological pathology in the female population of Russia. Analysis of regional features of disability of breast cancer patients is necessary when assessing the effectiveness of specialized medical care.
AIM: Study of the structure and dynamics of disability of BC patients in the Volgograd region.
MATHERIALS AND METHODS: The object of the study was BC patients who were recognized as disabled for the first time and repeatedly in the Volgograd region. The study period is 5 years from 2018 to 2022 with an annual analysis of the number of people with disabilities depending on age. Research methods: study of statistical forms, statistical analysis.
RESULTS: For 5 years of follow-up in the Volgograd region, the contingent of disabled BC patients included 11942: in 2018 — 2225, in 2019 — 2135, in 2020 — 2268, in 2021 — 2487, in 2022 — 2827 women. Of these, 1553 (13%) were young patients, 2780 (23.3%) were middle-aged and 7609 (63.7%) were elderly. The increase in the total number of disabled people over 5 years was 602 (27.1%): young by 130 (49.1%), middle-aged by 151 (29.5%) and elderly by 321 (22.2%) (p=0.003). The established disability groups were distributed among the entire contingent of disabled people: group I — in 831 (7.0%), group II — in 4526 (37.9%) and group III — in 6585 (55.1%) patients. There were no statistically significant differences in the distribution of disability groups depending on the age of the patients. At the initial examination, group I was found in 11.88% of patients, and group II in 39.25% of patients. At the second examination, group III — in 57.33% (an increase of 8.53% against 48.8% during the initial examination). There was a steady trend of a significant increase in the number of patients of all age groups with recurrent disabilities. An analysis of the work activity of patients showed that with the first and re-established disability, 43% were engaged in physical work, 33% — mental work, and 24% did not have a profession.
CONCLUSION: To reduce the number of disabled BC patients is needed the use of screening programs, medical rehabilitation to minimize the complications of treatment of breast cancer. The results obtained in the course of the study should be used at the level of regional health care to improve medical and social rehabilitation.
Research on multiple damage localisation based on fusion of the Lamb wave ellipse algorithm and RAPID algorithm
Authors: Meng Lijun , Guo Zhengang , Ma Chenglong
Published: January 2024

Current damage localisation methods often require many sensors and complex signal processing methods. This paper proposes a fusion algorithm based on elliptical localisation and the reconstruction algorithm for probabilistic inspection of damage (RAPID) to locate and image multiple
damages. Experimental verification of the damage algorithm was conducted. An ultrasonic probe was used to excite Lamb signals on an aluminium alloy plate, the ultrasonic response signals at different positions within the plate under multiple damages were measured and the constructed algorithm
was employed to image the damage location. In the experiment, this method improved localisation efficiency by excluding invalid sensing paths in the sensor network, saving 31.32% of computational time. When some sensors in the sensor network were damaged, this algorithm ensured a positioning
accuracy with a positioning error of 5.83 mm. Finally, the algorithm was used to locate multiple damages in the sensor network and the results showed the good robustness of the algorithm.
Hubris syndrome and technologies of delegitimation of power
Authors: Moskalenko O.A. , Irkhin A.A.
Published: January 2024

The authors refer to the concept of hubris syndrome, introduced into political lexicon in the 2010s by D. Owen, and understood as a specific disease of “people of power.” The hypothesis of the study is that the attribution of hubris syndrome to a leader by the media and within expert discourse is not based on objective criteria, but is manipulative in nature and is determined by the degree of “perverseness of the political course” in terms of its compliance or non-compliance with universal democratic values. The article reveals the mechanisms of delegitimization of power through the assignment of a number of characteristics to it within the framework of hubris syndrome. As the analysis shows, hubris syndrome is an exclusively political construction, which is broadcast to the general public as a medical concept. Arguments about hubris syndrome are always built on the basis of the oppositional pair “democracy – authoritarianism / tyranny”, as it is understood that democratic regimes themselves, due to their immanent properties (multi-stage institutions of control, change of power, openness, etc.), usually prevent the development of hubris. Reversely, authoritarian and tyrannical regimes automatically turn out to be hubristic ones, which allows democratic regimes, by the right of moral superiority, to correct them in different ways that may even lead to intervention and interference. This scheme finds a historical analogy to the application of the concept of civilizational peoples and states in the civilization/barbarism dichotomy in the 18th-19th centuries, which played a similar function for the West, as described by S. Huntington. The discrepancy between the formal definition of hubris syndrome and the use of the concept in politics is obvious. A highly manipulative construct embodies the tactics of de-legitimization of a political leader if he/ she ceases to comply with the norms of a certain cultural and historical chronotope. The authors draw attention to the specific linguistic markers of hubris syndrome in political communication and the ways in which any politician whose speech contains these units can be declared suffering from hubris syndrome.
The reform of the Common European Asylum System in the context of the implementation the EU principle of solidarity
Authors: Voynikov V.V.
Published: January 2024

The polycrisis in the European Union has a great influence on the issue of solidarity. The events of recent years demonstrate a significant lack of solidarity within the EU. At the same time, solidarity is one of the principles of the Union’s immigration and asylum policy, as well as one of its key value. For a long time, it was assumed that all member states act in the spirit of mutual solidarity, which should flow from the very fact of a country’s membership in the EU. In other words, international solidarity within the Union is based on voluntariness, which does not require any special mechanism for its implementation. However, in recent years, this presumption has shown its inconsistency, and as a result, the idea has arisen to create a special solidarity mechanism. The migration crisis of 2015 forced the institutions of the Union to start reforming the Common European Asylum System, a key element of which is the creation of an effective solidarity mechanism within the Union. This article is devoted to the study of the transformation of the solidarity principle in the framework of the reform of the Common European Asylum System. The article highlights the main stages of the protracted reform of asylum legislation, reveals the key features of each stage from a solidarity perspective. The author comes to the conclusion that the proposed asylum system in the EU will not become fairer and will not ensure the implementation of the principle of solidarity. At the same time, the reform of the asylum policy could lead to an increase in the centralization of this policy and the expansion of the powers of the Union bodies, which will not make it possible to resolve the current problems and provide solidarity. Thus, solidarity will turn out to be only a tool in the hands of the institutions of the Union for carrying out planned reforms. According to the author, at the moment one can observe the transformation of solidarity within the EU into collectivism, when the interests of the Union are put above the interests of the member states, and the latter are forced to follow a common policy against their will.
Populism in power: political consequences
Authors: Glukhova A.V.
Published: January 2024

The populism phenomenon has become a mainstraim political research topic at the beginning of the 21st century. Scholars have focused on different aspects of this phenomenon. In the peer-reviewed monograph “Populism in power. Strategies and Consequences of a Populist Stay” (Wiesbaden, 2021) the author analyzes the results of a populist government in a geographical area. It is argued that populism in power has the following characteristics: charismatic leadership, public political opposition, networking and shutdown of patronage institutions that stand between populist status and the so-called “true people”, paving the way for the autocratization of assemblies. The author shows the peculiar position of populist governments: how they come to power and what they do as a political elite to create their own legitimacy. Most of them act as the leaders of a permanent election campaign. The first step towards their new legitimacy is always the delegitimization of any opposition and this naturally opens the way to anti-pluralism.
Análisis comparativo de la vivienda social en las ciudades de Passo Fundo (Brasil) y Tunja (Colombia) desde una perspectiva de diseño resiliente
Authors: Nieto-Barbosa Valentina , Tibério Cardoso Grace , Neckel Alcindo
Published: January 2024

Introducción: A través del crecimiento acelerado de las ciudades latinoamericanas en las últimas décadas, la construcción civil ha aumentado considerablemente, al igual que la demanda de vivienda social, especialmente en ciudades medianas, con el objetivo de mejorar la calidad de vida. Objetivo: Este estudio compara las características de los proyectos de vivienda social en Passo Fundo (Brasil) y Tunja (Colombia), destacando aspectos como su ubicación, áreas/costo y materialidad. Metodología: Las ciudades fueron seleccionadas como objetos de estudio debido a sus similitudes, específicamente la concentración del ingreso y la ausencia de proyectos habitacionales que atiendan a la población más sufriente, impidiendo la expansión de sus capacidades. Este tema forma parte del proyecto: Estrategias de Diseño Resiliente aplicando tecnologías limpias a la vida social en Brasil y Colombia (año 3 - fase 4), desarrollado entre Atitus Educação y la Universidad Católica de Colombia. Para ello, se propusieron tres pasos metodológicos: geolocalización, análisis de área/costo y análisis de materialidad, que permitieron, además de identificar relevancia y singularidades, discutir su potencial de resiliencia al cambio climático. Resultados: Se encontró que el panorama general de la vivienda social en las ciudades intermedias latinoamericanas es similar; Sin embargo, existen algunas diferencias en términos de costos versus áreas. Asimismo, se observó que no se están utilizando materiales de bajo impacto ambiental para la construcción de viviendas sociales en los sitios de estudio, a pesar del creciente intento de lograr proyectos más sostenibles en la región. Conclusiones: Esta situación se debe principalmente a los intereses económicos predominantes de las empresas constructoras y, a su vez, al escaso interés por la innovación por parte de estos países.
Problematik Infeksi Clostridium difficile
Authors: Tjampakasari Conny Riana , Hanayurianingtyas Deajeng Laras
Published: January 2024

Clostridium difficile merupakan bakteri Gram-positif, bersifat anaerob penghasil spora. Faktor virulensi dari bakteri ini adalah toksin yang dihasilkannya, yaitu enterotoksin A (TcdA ) dan sitotoksin B (TcdB). Transmisi terjadi secara fekal oral dengan menelan spora bakteri ini. Clostridium difficile penyebab paling umum dari diare terkait fulminan di rumah sakit dan fasilitas kesehatan lainnya dan menjadi perhatian yang signifikan karena meningkatnya angka morbiditas dan mortalitas serta peningkatan biaya perawatan kesehatan. Pasien lanjut usia atau pasien dengan gangguan sistem imun merupakan pasien dengan risiko tertinggi untuk kasus ini. Clostridiosis menunjukkan spektrum infeksi bervariasi, berkisar dari diare ringan yang sembuh sendiri, diare derajat ringan-sedang, hingga diare serius, pseudomembran colitis dan fulminant colitis yang mengancam jiwa sehingga dapat mengakibatkan kematian. Diagnosis ditegakkan dengan deteksi langsung toksin Clostridium difficile dalam feses. Walaupun terapi empirik telah diketahui sebagaimana vankomisin dan fidaksomisin telah digunakan sebagai antibiotik pilihan, namun identifikasi segera pasien dengan gejala infeksi Clostridium difficile sangat penting karena sebagian besar pasien merespon dengan cepat terhadap terapi antimikroba. Pencegahan paling baik dilakukan dengan penerapan tindakan pengendalian infeksi dan penggunaan agen antimikroba secara tepat. Pendidikan profesional kesehatan mengenai tindakan pencegahan seperti mencuci tangan, memakai sarung tangan, dekontamina
AĞRI İLİNDEKİ KADIN VE GENÇ GİRİŞİMCİLERİN KURDUKLARI İŞLETMELERLE İLGİLİ NİTEL BİR ARAŞTIRMA
Authors: Gümüş Ahmet
Published: January 2024

Bu çalışmada Ağrı ilinde bulunan kadın ve genç girişimcilerin kurdukları işletmelerle ilgili nitel araştırma yapılması amaçlanmıştır. Bu çerçevede çalışma kapsamındaki girişimcilerin sorunlarını, avantajlarını, dezavantajlarını, öne çıkan ve farklılık yaratan özelliklerini, tavsiyelerini araştırmak amacıyla açık uçlu ilgili sorular sorulmuş; katılımcıların verdikleri nitel yanıtlar betimsel analiz yöntemiyle analiz edilmiştir. Araştırmadaki katılımcıların verdiği yanıtlar incelendiğinde Ağrı ilindeki kadın ve genç girişimcilerin sayısının artması için devlet kurumları tarafından verilen teşvik ve destek miktarları ile çeşitlerinin arttırılmasının önemli olduğu, gelecekte en iyisi olmak ve en iyi hizmet vermek yönünde hedeflerinin ve planlarının olduğu, girişimci olmak isteyen adaylara girişimcilik faaliyetlerini yürütmelerinde risk almayı bir düşünce tarzı olarak benimsemeleri yönünde tavsiyede bulunduğu tespit edilmiştir. Bu çalışmanın bulguları, sonuçları bakımından hem literatüre hem de gelecekte Ağrı ilinde girişimcilik faaliyetlerinde bulunmak isteyen genç ve kadın girişimci adaylarına yol gösterebilmesi, Ağrı ilinin bölgesel gelişimiyle, toplumun bu girişimcilere ve girişimcilik faaliyetlerine olan bakış açısının değişimine katkı sunabilmesi açsından faydalı olabileceği söylenebilir.
KIRSAL MİMARİ MİRASIN KORUNMASI BAĞLAMINDA BİR SAHA ETÜDÜ: ÇELTEK KÖYÜ ÖRNEĞİ
Authors: Demirbağ Uğur
Published: January 2024

Çeltek Köyü, Tokat İli’ne 76 km, Zile İlçe Merkezine ise 9 km uzaklıkta yer almaktadır. Köy topografya olarak eğimin az olduğu bir ova görünüşüne sahiptir. Köy 1522 yılından beri aynı adı taşımaktadır. Çeltek Köyü, kültürel miras yönünden oldukça zengin bir kırsal yerleşim yeridir. Farklı tipte yer alan dini ve sivil yapılar oldukça zenginlik göstermektedir. Dini yapılar olarak cami, türbe ve mezarlık bulunmaktadır. Sivil yapı olarak ise çilehane, hamam, çeşme ve geleneksel konutlar yer almaktadır. Bununla birlikte yerleşimin farklı yerlerinde Roma dönemine ait taşınabilir sütun parçaları ve taşlar bulunmaktadır. Köyde türbe olarak Çeltek Baba Türbesi yer almaktadır. Türbeye benzer şekilde Şeyh Mahmut Emirci Doğan Türbesi’de denilmektedir. Köy meydanında yer alan cami daha geç dönemde yapılmıştır. Caminin duvarlarında kullanılan taşlar daha erken döneme tarihlendirilir. Sivil yapılardan çilehane köyün doğu yönünde yer almaktadır. Hamam mezarlığın karşısında konumlanmış olup soğukluk, ılıklık ve sıcaklık bölümlerinden oluşmaktadır. Çeşmeler genellikle tek cepheli olmak üzere köyün farklı noktalarında yer almaktadır. Çeltek Köyü’nde geleneksel konut sayısı oldukça fazladır. Bu çalışmada Çeltek Köyü geleneksel kırsal dokusu üzerinde yer alan dini ve sivil yapıların bir monografi çalışması yapılmıştır. Mevcut durumda olan yapıların projeleri hazırlanmış olup fotoğrafları tarafımca çekilmiştir. Bununla birlikte gerekli kurum ve kuruluşların arşivlerinden de yararlanılmıştır.
SURİYELİLERE YÖNELİK TEHDİT ALGISININ YABANCI DÜŞMANLIĞINA (ZENOFOBİ) ETKİSİ
Authors: Türk Ahmet , Ervüz Cezmi , Ervüz Feyza
Published: January 2024

Bu araştırma Türkiye’de yerel halkın Suriyeli göçmenlere yönelik ekonomik, güvenlik, çevresel ve kültürel tehdit algılarının yabancı düşmanlığına (zenofobi) etkisini incelemek amacıyla yapılmıştır. Araştırma kapsamında çalışmanın amacına uygun olarak tarama modeli kullanılmıştır. Araştırmaya 172’si (%36,9) erkek ve 294’ü (%63,1) kadın olmak üzere 466 kişi katılmıştır. 18-70 yaş aralığındaki katılımcıların yaş ortalaması x̄=27,23±9,15’tir. Araştırmada veriler Kişisel Bilgi Formu, Yabancı Düşmanlığı (Zenofobi) Ölçeği ve Suriyelilere Yönelik Tehdit Algısı Ölçeği kullanılarak toplanmıştır. Normal dağılım gösteren verilerin analizinde Pearson korelasyon ve çoklu doğrusal regresyon analizleri kullanılmıştır. Bulgular, katılımcıların yüksek düzeyde yabancı düşmanlığına (zenofobi) ve tehdit algısına sahip olduğunu göstermektedir. Korelasyon analizinde katılımcıların yabancı düşamanlığı (zenofobi) düzeyleri ile ekonomik, güvenlik, çevresel ve kültürel tehdit algıları arasında yüksek düzeyde anlamlı olduğu tespit edilmiştir. Çoklu doğrusal regresyon analizinde katılımcıların Suriyelilere yönelik ekonomik, güvenlik ve kültürel tehdit algılarının yabancı düşmanlığının (zenofobi) anlamlı birer yordayısı olduğu saptanmıştır. Araştırma sonuçları literatürdeki çalışmalar çerçevesinde tartışılmış ve yorumlanmıştır. Araştırmanın bulgularından yola çıkarak birtakım öneriler sunulmuştur.
PALU’DA YAŞAYAN BİR GELENEK: BÂTIL-NÂME DUASI İLE SİHİR BOZMA
Authors: Selçuk Bahir , Demirbağ Abdulsamet
Published: January 2024

Geçmişten bugüne uzanan, üzerine sıkça tartışmalar yapılan büyü ve büyü bozma inanışına hemen her toplumda rastlamak mümkündür. Türk toplumunda büyü bozmak için uygulanan yöntemlerden biri de dua etmektir. Bu duaların hem yazılı metinlerde hem de sözlü kültür geleneğinde hayli örneklerinin olduğu bilinmektedir. Özellikle geçmişten günümüze uzanan büyü bozma dualarından biri de bâtıl-nâme adı verilen Türkçe duadır. Farklı varyantları tespit edilen bu dua ve dua ile ilgili ritüelin hâlâ canlılığını koruduğu bölgelerden biri de Elazığ’ın Palu ilçesidir. Yörede batalama/batâl-nâme olarak bilinen bâtıl-nâme duasının bir nüshası Şeyh İbrahim Efendi-zâde Ali Efendi tarafından kaleme alınmıştır. Hemen her türlü büyü çeşidini etkisiz kılmak için okunan bu duanın nisan yağmuru suyuna okunup içilmesi geleneği kültür açısından önem arz etmektedir. Dolayısıyla bu çalışma söz konusu geleneğin gün yüzüne çıkarılması ve kaybolmaması adına yapılmıştır. Bu çalışmada bâtıl-nâme duasının çeviri yazılı metni verilecek, bu metnin genel özellikleri sıralanarak Palu yöresinde devam eden bu dua ile sihir bozma geleneği üzerinde durulacaktır.
İNTERNET BAĞIMLILIĞI, YAŞAM DOYUMU VE BİLİŞSEL DAVRANIŞÇI TERAPİ ARASINDAKİ İLİŞKİ ÜZERİNE BİR İNCELEME
Authors: Gökmen Ayşe , Batmaz Sedat
Published: January 2024

Teknolojinin gelişmesine paralel olarak hayatımıza giren internet bağımlılığı kavramı henüz DSM-5’te yer almasa da son zamanlarda yapılan çalışmalar incelendiğinde internet bağımlılığı ve internet bağımlılığı ile ilişkili olabilecek değişkenlere yönelik çalışmalara ağırlık verildiği görülmektedir. Bu çalışmanın amacı da internet bağımlılığı ve yaşam doyumu arasındaki ilişkiyi ele alan çalışmaları incelemek ve etkili bir terapi yöntemi olan bilişsel davranışçı terapinin söz konusu değişkenler üzerindeki etkisini inceleyen araştırmaları ortaya koymaktır. Bu amaçla literatür taraması yapılmış ve internet bağımlılığı ile yaşam doyumunun anlamlı ve negatif yönde ilişkili olduğunu ortaya koyan çalışmaların çoğunlukta olduğu tespit edilmiştir. Buna göre, internet bağımlılığı arttıkça yaşam doyumu düşmekte ya da yaşam doyumu arttıkça internet bağımlılığı azalmaktadır. Ayrıca bilişsel davranışçı terapinin internet bağımlılığını azaltma ve yaşam doyumunu artırma noktasında etkili bir tedavi yöntemi olduğu görülmektedir. Mevcut çalışmalar BDT’nin yaşam doyumunu artırmada etkili olduğunu gösterdiği için BDT’nin ruh sağlığı alanında internet bağımlılığını önleme ve tedavi etme de kullanılması önerilebilir. Ancak hem internet bağımlılığı ve yaşam doyumu ilişkisini ele alan çalışmalar hem de bilişsel davranışçı terapinin bu değişkenler üzerindeki etkisini ele alan çalışmalar henüz az sayıdadır. Söz konusu değişkenlerin ilişkisini daha farklı yöntemlerle ve örneklem gruplarıyla inceleyen daha fazla çalışmaya ihtiyaç vardır.