bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative study of ProSeal laryngeal mask airway and endotracheal tube in patients undergoing laparoscopic surgeries under general anaesthesia
Authors: Shibin Afra , Priyamkari Amrutha , A. A. Habib Rahaman
Published: December 2022

Background: Supra glottic airway devices (SGAD) is integral to airway management during general anesthesia. PLMA, a second-generation SGAD with a gastric channel and an efficient seal, is an alternative for the COETT, which is the gold standard for securing the airway.SGAD has the advantage of lesser hemodynamic changes during insertion and removal. This study aimed to compare the hemodynamic and ventilatory changes between PLMA and the endotracheal tube (ETT).Methods: Prospective randomized study, conducted at Yenepoya medical college hospital on 90 patients undergoing elective laparoscopic surgeries under general Anaesthesia. The patients were divided into groups; group p=45 patients (PMLA) and E=45 patients (COETT). Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), peripheral oxygen saturation (SpO2) and end-tidal carbon dioxide (EtCO2) were documented at baseline, at 1, 3, 5 and 8 minutes after placement of airway device. Results: Differences in vital parameters at baseline were statistically insignificant. HR, SBP, DBP and MAP were significantly higher in group E compared to group P at 1st, 3rd, 5th and 8 min after the insertion of the airway device. There was no statistically significant difference in SpO2 and EtCO2. Post-extubation laryngopharyngeal morbidity was noted in 5 patients with ETT compared to 1 patient with PMLA.Conclusions: PLMA provides better hemodynamic stability at insertion when compared to ETT. Both PLMA and ETT provide good oxygenation and ventilation during elective laparoscopic surgeries. Insertion at first attempt was more successful with PLMA when compared to ETT.
Hepatic adenoma-an unusual case report
Authors: Joshi Hetal A. , Shukla Ashwini A. , Jivani Toral B. , Trivedi Bhargav D.
Published: December 2022

A 70-year-old female visited to tertiary care hospital with complains of abdominal pain on and off for 2 years. Pain gradually increased and was associated with vomiting. Patient is a known case of hypertension and diabetes mellitus. The patient`s complete blood count was normal with increased coagulation profile. Provisional clinical diagnosis was fibronodular variant of hepatocellular carcinoma. Computed tomography scan suggestive of fibronodular hyperplasia. Specimen received in pathology department, which on gross examination showed well circumscribed, well encapsulated tumour with variegated appearance. Histopathological diagnosis of Hepatic adenoma was made.
Impact of physiotherapy on mental health during COVID-19
Authors: Nagpal Meetu
Published: December 2022

COVID-19 pandemic has immensely affected the entire world including both developing countries like India and other developed nations. The pandemic is not only affecting physical state of individuals but also the psychological condition is largely affected. Depression, stress and fear are some of the common presentations during the course of disease and also in post COVID state. For effective management of mental health of patients and frontline workers it is essential that certain set of exercises should be done, in order to avoid stress related health impairments.
Phallic ring entrapment and strangulation at a tertiary hospital in North-Central Nigeria: a case report
Authors: Oyibo Ugbede Emmanuel , Iyabor Nelson Osakpamwan , Akhaine Julius O. , Onwukwe John C.
Published: December 2022

Strangulation of the phallus by metallic ring is an uncommon emergency in our environment however its presentation requires urgent intervention and treatment. There is a need to remove any entrapped ring by the most efficient method with minimal complications. We present a case of phallic strangulation caused by metal ring insertion in a known drug addict. The metallic ring was successfully removed using a metal clamp. Phallic strangulation by metallic ring can be properly managed using available mechanical tool in a timely manner in an emergency setting.
Case report of a massive giant ameloblastoma and its management
Authors: Manayath Nithya , Vanguri Gayathri Priyabindu Vardhani , Gujjalanavar Rajendra Suresh , Manjunath Adarsh , Bhat Balachandra , G. Pooja Rao
Published: December 2022

Ameloblastoma is a benign odontogenic tumor. It is slow growing, locally aggressive, rare tumor, accounting for 1% of all the jaw tumors. Here, we report a case of a Giant ameloblastoma in a 38-year-old gentleman who presented with a massive tumor of the mandible, possibly the largest reported in literature. The tumor had caused significant facial disfigurement and functional impairment leading to nutritional deficiency, anemia and dehydration induced elevated renal parameters. It was neglected by the patient for over ten years, due to the fear of surgery and financial constraints. Pre-operative evaluation included 3-Dimensional computerized tomographic imaging of the head and neck and optimization of deranged hematological & renal parameters and high blood pressure. Surgical treatment entailed complete tumor resection with adequate margins and microvascular reconstruction with fibular free flap in a single stage. This case of a giant multicystic ameloblastoma of the mandible, possibly the largest of its kind, was managed by complete surgical resection and a simultaneous single stage reconstruction with complete financial aid provided by our institution for the entire treatment. Finally, providing the patient, an acceptable functional, aesthetic, and oncological outcome.
A case of large left thigh liposarcoma recurrence in a 62 years old male: a case report
Authors: Kamble Mayuri A. , Dadhich Digvijay , Soni Taher M. , Balwantkar Sachin
Published: December 2022

We report a case of recurrence of a thigh liposarcoma in 62 years. old male, and its management. Several clinical studies of liposarcoma in extremities have been undertaken exploring the potential management and treatment of the same. Presentation of case A 62 years. old male presented with a large mass on his left thigh which was around 30×25 cm at the time of presentation, and has gradually increased since last 20 years. The patient had a similar but smaller swelling in his left thigh for which wide local excision was done earlier in the year 2000. The patient now presented with the current swelling increasing gradually since its first appearance after 5 months after the first surgery. The patient underwent CT of his left lower limb; embolization of feeder artery and debulking surgery of the mass after 10 days of the feeder embolization. Histopathology was suggestive of liposarcoma. The patient made a good recovery post procedure and was able to stand with support 8 days post-surgery.
A rare cause of scrotal abscess: xanthogranulomatous epididymitis
Authors: Panchal Brinda B. , Thakore Digpal H. , Tiwari Pawan , Godara Navyam , Kataria Doyel
Published: December 2022

Xanthogranulomatous epididymitis is a rare benign process with destruction of tissue and replacement by cellular infiltration of foamy macrophages, dense lymphocytes and plasma cells. Literature has very few case reports. We reported here a case of a 72 years old male who presented as scrotal abscess with bilateral hydrocele on ultrasound. On exploration he had normal right testis with abscess localized to epididymis underwent right epididymectomy with orchidopexy. Histopathology reported necrosis and abundant foamy macrophages and plasma cells findings suggestive of xanthogranulomatous epididymitis.
A case of traumatic duodenal perforation due to blunt abdominal trauma
Authors: Gadade Gopal Diliprao , Borkar Mrinalini , Sagrule Dhiraj , Deo Arpit , Shingade Amarsingh
Published: December 2022

Duodenal injury following blunt abdominal trauma is a rare clinical entity and is often unnoticed leading to delay in management thereby increasing morbidity and mortality. We reported a case of duodenal perforation following blunt abdominal trauma with near complete transaction of duodenum at junction of D2 and D3 with grade 1 splenic laceration and highlight the challenges and decision-making dilemmas associated with its management.
Role of ‘Role play’ in teaching ‘Progression of Learning’ in all the three domains [cognitive, psychomotor and affective] for medical teachers
Authors: Agrawal Poonam
Published: December 2022

Role play is an important and interesting educational tool and it provides ample opportunity for learner to learn at both cognitive and affective domain simultaneously.

Role play is favoured by both learners and instructors at the same time, as this activity breaks the monotony, brings variation and make the learner active and involved. Each domain of learning has multiple levels of learning that progresses from more basic surface level learning to more complex deeper level learning. Author wish to share her personal experience of implementing role-play as a novel approach to teach three learning domains and the progression of learning. Participants were faculty who were attending revised basic course workshop. All the participants were divided into three groups representing one domain of learning. Group one represented cognitive [knowledge] domain. Group two represented psychomotor [skill] domain. Group three represented affective or attitudinal domain. They were assigned task related to their domain and wee asked to express progression of learning of their domain. All the participants found activity very useful and enjoyed learning the progression of learning in an enjoyable manner.
Empregabilidade de pessoas com deficiência: um estudo a partir da percepção dos profissionais de recursos humanos
Authors: Magalhães Bianca Silva , Silva Laíse Do Nascimento , Barroso Elane Dos Santos Silva , De Oliveira Júnior Marcos Antonio Cavalcante , Teixeira Linnik Israel Lima
Published: December 2022

A inclusão de pessoas com deficiência (PcD) no mercado de trabalho foi decorrente de grandes lutas, até serem criadas medidas e leis que as assegurassem, em destaque a lei de cotas, que incentivam a empregabilidade e a inserção dos mesmos no meio acadêmico, social e organizacional. Nesse sentido, problematiza-se: como tem sido feito o processo de contratação de pessoas com deficiência? Para responder essa pergunta foi realizada entrevistas junto aos profissionais de recursos humanos em 3 empresas do setor varejo e alimentícios no município de Piripiri, no Piauí, com a finalidade de obter as percepções dos gestores em relação a empregabilidade de pessoas com deficiências, a relação com as leis e os principais motivos das contratações, bem como os desafios da empregabilidade de pessoas com deficiências. Os resultados apontaram despreparo por parte dos profissionais de recursos humanos, na realização de treinamento especifico para inserção dos PcD em setores laborais e a ausência de conhecimento a respeito das leis que os amparam. As funções são geralmente operacionais e entre as dificuldades encontradas diagnosticou-se um empecilho na contratação de um PcD pelo fato destes não desejarem perder o benefício assistencial e não possuir plano de carreira.
Síndrome de Burnout em professores da educação básica de Teresina durante a pandemia da Covid-19
Authors: Silva Eline Dos Santos , Rocha Lima Francisco Valdivino , Barroso Elane dos Santos Silva Barroso Silva , Silva Laíse Do Nascimento , Silva Ewerton Dos Santos
Published: December 2022

O estudo investigou a presença da Síndrome de Burnout em professores da educação básica da cidade de Teresina, durante a pandemia da Covid-19. E procurou descrever os fatores que levaram os docentes a desenvolver a Síndrome de Burnout no contexto da pandemia, verificar se houve um aumento do adoecimento físico e mental dos docentes com o distanciamento social e comparar a prevalência dessa síndrome entre os docentes oriundos das instituições públicas e privadas. A pesquisa lançou mão de uma metodologia descritiva no qual participaram 61 professores. Foi aplicada a Escala de Caracterização de Burnout e um questionário para obtenção dos dados demográficos, além de uma pergunta aberta. Através das análises constatou-se que os professores de Teresina se sentem mais esgotados, potencializados com a pandemia, sendo comprovado devido à alta taxa do nível de realização pessoal e decepção no trabalho. Considerando o caráter multifatorial da Síndrome de Burnout é essencial entender os aspectos laborais e psicossociais que podem estar correlacionados ao adoecimento, com a incorporação dos docentes em ações direcionadas para o bem-estar e qualidade de vida no trabalho.

 
Gerenciar para quê? Uma análise do gerenciamento de projetos em lojas de roupas com base no Guia PMBOK®
Authors: Teles Marcília Albuquerque , Aguiar Hellen D'Ávila Da Silva , Lima Douglas Sousa , Alves de Carvalho Ricardo Porfirio , Viana Marcelo Melo
Published: December 2022

O gerenciamento de projetos, por si só, não é uma tarefa fácil, uma vez que demanda de muitos detalhes e pontos a serem gerenciados. Por isso, existem diversos guias que auxiliam os gestores nesse momento e um deles é o PMBOK, um guia de boas práticas desenvolvido pelo Project Management Institute (PMI). Dessa forma, este trabalho apresenta um estudo e análise do gerenciamento de projetos em lojas de roupas na cidade de Tianguá/CE. Com o objetivo de identificar as práticas de gerenciamento de projetos das empresas do segmento de vendas de roupas, utilizando como base o PMBOK e suas dez áreas de conhecimento. Trata-se de uma pesquisa descritiva com abordagem mista quali-quantitativa, realizada com gestores e proprietários de lojas de roupas da cidade, utilizando a escala Likert como instrumento principal da pesquisa de campo. Através do estudo, evidenciou-se que a maioria dos lojistas realizam algum tipo de gerenciamento de projetos em suas respectivas lojas.
EXAME DE SUFICIÊNCIA NA PERCEPÇÃO DOS DISCENTES DO CURSO DE CIÊNCIAS CONTÁBEIS DE IES DE MOSSORÓ/RN
Authors: Silva Michele Cristina da , Nascimento Ítalo Carlos Soares do , Silva Sérgio Luiz Pedrosa , Melo Geison Calyo Varela de , Silva Annandy Raquel Pereira da
Published: December 2022

Esta pesquisa teve como objetivo identificar a percepção dos alunos de Ciências Contábeis de IES de Mossoró/RN sobre o Exame de Suficiência. A pesquisa classifica-se como descritiva e quantitativa, e por meio do procedimento técnico survey, foram aplicados questionários para 75 respondentes, onde os resultados foram analisados através da estatística descritiva e da Análise Fatorial Exploratória (AFE). De modo geral, observou-se através da estatística descritiva uma predominância maior dos profissionais do gênero feminino, tendo em vista, dos 75 respondentes, 52% são do gênero feminino, contra 48% do público masculino. Com uma faixa etária representado por um público entre 22 a 26 anos, representado por 32% dos discentes. Com relação à atuação profissional, a maioria trabalha em empresa privada (50,7%), em seguida, os que não trabalham (25,3%), posteriormente, os estagiários (9,3%), teve seis discentes (8%) que responderam “outro”, e por último, os que são servidores públicos (6,7%). Através da AFE, foram identificados dois fatores que identificam a percepção dos alunos de Ciências Contábeis da amostra investigada sobre o exame de suficiência: F1- Relevância do Exame de Suficiência para a profissão contábil e F2 - Preparação para o Exame de Suficiência. Destarte, a pesquisa contribui por avançar na linha de pesquisa sobre do tema, assim como contribui com novos conhecimentos para a profissão contábil, acerca dos atributos elencados pelos alunos, para que com essas informações seja possível instigar reflexões para o aperfeiçoamento do exame, por parte de alunos, docentes, órgãos reguladores, dentre outros interessados.
Habermas on Rituals and the Role of Art
Authors: Giovagnoli Raffaela
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
To Art, or Not To Art, That Is the Question
Authors: Grima Tyrone
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
Landscape as Art and as Persons
Authors: Hirsch Eric
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
Art Mecca in South West
Authors: Iwaniuk-Borisenko Iwona
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
Can ASMR Be Considered Art?
Authors: Łapińska Joanna
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
The Artworld vs Art
Authors: Łukaszewicz Aleksandra
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
The Theatre between the Scandal and Censorship
Authors: Ognenovski Sasho
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
What Is Art? From the Perspective of an Art Creator
Authors: Salonna Ilaria
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
Where Does Beauty Come From, or Where Does It Go?
Authors: Shalutashvili George
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
What Is Art?
Authors: Sidiropoulou Avra
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
The Politics of Art Today Being Singular-Plural
Authors: Şiray Mehmet
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
Some Remarks on Conceptual Dance from Richard Shusterman’s Pragmatist Perspecitive
Authors: Bieszczad Lilianna
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
“What Is Art? Horizons of the Creator and the Recipient”
Authors: Epingeac Alina
Published: December 2022

The presented statement is part of the volume it covers a variety of responses from people who interact with art in different ways. The aim is to suggest to the participant of the contemporary world a new, personal perspective to rethink what is this area of our world that we label with art; thoughts with and without theoretical suggestions - reflections by the creators and reflections by the audience, teaching humility and uniqueness, perhaps - forming a fresh perspective on art.
Some features of a radio signal interaction with a turbulent atmosphere
Authors: Klyuev Dmitriy S. , Volobuev Andrey N. , Krasnov Sergei V. , Adyshirin-Zade Kaira A. , Antipova Tatyana A. , Aleksandrova Natalia N.
Published: December 2022

On the basis of the solution of Maxwells equations system for electromagnetic radiation in a turbulent atmosphere the differential effective section of scattering of this radiation on turbulence is found. Dependence of scattering section on wave length and an angle of scattering is investigated. It is shown that interaction of electromagnetic radiation and turbulence of an atmosphere is interaction of the determined electromagnetic wave process with stochastic turbulent wave process. It is marked, that the wave vector of scattering electromagnetic radiation is proportional to a wave vector of turbulence.
Approaches to mathematical modeling of coatings that protect against electromagnetic radiation in the soft X-ray range
Authors: Belov Yury G. , Biryukov Vladimir V. , Malakhov Vasily A. , Malakhova Irina V. , Nechaeva Maria S. , Raevskaya Yuliya V. , Raevsky Aleksey S. , Sedakov Andrey Yu. , Titarenko Aleksey A.
Published: December 2022

The objects of study are composite structures that protect agaist electromagnetic radiation in the soft X-ray range. The purpose of this work is to propose approaches to the mathematical modeling of coatings based on these structures, to calculate the reflection and transmission characteristics of a homogeneous plane wave incident at different angles on such coatings. Research methods - electrodynamic modeling, graph theory, three-dimensional electromagnetic modeling in CAD. Mathematical models of multilayer structures obtained on the basis of the electrodynamic approach and using graph theory, the results of calculations of the reflection and transmission characteristics of a homogeneous plane wave incident at different angles on such structures are presented. The prospects for the use of film coatings with air holes are considered. The results obtained in the course of the work may be used to create coatings that protect electronic equipment from the effects of X-rays.
Ocular Surface Status in Individuals Having Long-Term Occupational Sunlight Exposure
Authors: Asharlous Amir , Doostdar Asgar , Akbari Hamed , Rakhshan Amir , Ghasemi Mohammad , Khabazkhoob Mehdi
Published: January 2023

To investigate the ocular surface status in individuals having long-term occupational sunlight exposure. This study was carried out with a historical cohort design. Long-term occupational sunlight exposure was considered the main exposure. The exposure group included individuals who had direct sunlight exposure in their workplace (124 people with a mean age range of 31.6±6.32), and the non-exposure group was comprised of 182 people (mean age range of 31.6±6.32) who worked indoors and had no long-term exposure to sunlight during work hours. The mean of TBUT in the Sun-exposure group (10.91±6.64 sec.) was significantly lower than the non-exposure one (13.91±9.67 sec.) (P=0.001). 42.9 percent of the members of the non-exposure and 58.9 of the sun-exposure group demonstrated TBUT values lower than 10 seconds. While the mean of OSDI in the exposure group was higher than in the non-exposure group, this difference was not statistically significant. Based on the OSDI results, 51.6 percent of the non-exposure group and 58.9 percent of the exposure group suffered from dry eye. The prevalence of diseases such as Pterygium, blepharitis, and pinguecula in the sun-exposure group was significantly higher than in the non-exposure group (P<0.0001). Based on the results of this study, people who have long-term occupational sunlight exposure tend to have more unstable tear films compared with people who do not have such exposure. In addition, the prevalence of diseases such as Pterygium, blepharitis, and pinguecula is higher among these people.
Characteristics and Outcomes of Patients Admitted to a Pediatric Intensive Care Unit in Southwest of Iran
Authors: Alisamir Mohsen , Mirkarimi Mohammadreza , Mirzaee Sadegh , Heidari Solmaz , Barouti Shahriar , Mohammadi Shooka
Published: January 2023

Data on pediatric critical care in Iran are insufficient. This study was performed to determine the outcomes and characteristics of critically ill children admitted to a pediatric intensive care unit (PICU) in Ahvaz, Iran. A retrospective study was conducted among all patients in the PICU of Abuzar Hospital for one year. Their medical documents were reviewed. A total of 400 patients were identified. The average age of patients was 29.94±39.55 months, and 53.8% of them were males. Nearly half of the cases were under age one. The most prevalent causes of PICU admission were respiratory (36.5%), neurological (18.5%), and infection-related diseases (15%). Besides, 55.7% of patients (n=223) had no history of underlying health problems. Admissions were more frequent in winter (n=125; 31.3%) and spring (n=101; 25.3%). The mortality rate and the mean hospital length of stay (LOS) were 15.5% and 10.79±6.39 days, respectively. In addition, 231 patients had an abnormal respiratory rate and a quarter of them (n=97) required ventilation support. Moreover, 377 and 82 patients were malnourished and severely underweight, respectively. A significant association was found between the mortality of patients and malnutrition, as well as having consanguineous parents (P<0.001). The death rate was significantly higher in patients with infectious disease than non-infectious, as well as in long-stay PICU patients than in short-stay patients (P<0.05). Additional studies are required to find factors contributing to the disease burden among PICU patients in Iran to develop appropriate therapeutic strategies and improve the outcomes of pediatric patients.
How do Older Adults Spend their Leisure Time? A Population-Based Study in Yazd, Iran
Authors: Rahaei Zohreh , Rezaeipandari Hassan , Jambarsang Sara , Norouzian Mahin
Published: January 2023

Introduction: An important issue associated with old age is how to spend the leisure, which can help preserve independence, bring happiness and vitality and reduce mental disorders and indifference. Therefore, the present study aimed to investigate how older adults spend their leisure time.
 
Methods: The cross-sectional study was conducted with 270 elderly participants (> 60 years) in Yazd city, Iran from July to September 2019. The two stage sampling method was applied. A researcher-made leisure activity questionnaire was used for data gathering. The validity and reliability of the questionnaire was confirmed. The data were analyzed in SPSS using descriptive statistics and the non-parametric Mann-Whitney U-test, Kruskal-Wallis test and Spearman correlation coefficient.
 
Results: The mean leisure time of participants was 5.09 ± 3.54 hours. Most of the participants (74.4 %) spent their leisure time at home. Physical activity (25.2 %) and travel (33.8 %) were at a low level while religious activity (61.6 %) was the most frequent. Of the participants, 50.7 % were moderately satisfied with their leisure.
 
Conclusion: Considering the low level of physical activity and travel in older adults' leisure time, both the government and families are suggested to make the required plans to increase older adults' physical activity and time for travel.
Dose Assessment in Radiotherapy of Head and Neck Cancer after Metal Artifact Reduction in Neusoft-Philips Corporation CT Scanner: A Clinical Study
Authors: Abedini Azam , Ebrahimnejad Gorji Kourosh , Ghaemian Naser , Soleimani Varaki Sakineh , Davoudi Mohammad , Tolulope Agbele Alaba , Shabestani Monfared Ali
Published: January 2023

Purpose: Metal artifacts cause to increase in the uncorrected dose evaluation during radiotherapy planning. This study aimed to evaluate the probable difference of the dose parameters calculated by the Treatment Planning System (TPS) in radiotherapy of head and neck cancer before and after metal artifact correction in Neusoft-Philips Corporation Computed Tomography (CT) images.
Materials and Methods: In the present study, the radiotherapy planning of the head and neck cancer from thirty patients was first performed on the CT default images with dental implants. The same processes were applied after performing a body standard metal kernel on the CT images to reduce the metal artifacts. The Gross Tumor Volume (GTV) and Organ At Risks (OARs) were contoured on the CT slices. The dosimetric parameters (mean, minimum, and maximum) for the GTV and OARs (eyes and spinal cord) were obtained for both sets of CT images (defaults and filtered). Wilcoxon signed-rank test was used to calculate the probability dose variations between the two sets.
Results: There are significant differences in several dose parameters between the default and filtered CT images (P-value < 0.05). These dosimetric parameters are related to the GTV (mean dose), spinal cord (minimum and mean doses), right eye (maximum dose), as well as left eye (mean dose). The average range of dose differences between the default and filtered images was obtained; 1.12%-3.11% for the GTV as well as 0.22%-12.05% for the OARs.
Conclusion: Based on the results, the body standard metal kernel can cause a significant difference in several dosimetric parameters of GTV and OARs during the radiotherapy of head and neck cancer. Therefore, it is recommended to make a metal artifact correction on CT images for accurate dose calculation before designing a treatment plan.
Importance of STAT3 Polymorphisms on the Risk and Clinical Characteristics of Rheumatoid Arthritis
Authors: Salehi Amirhossein , Hazrati Ebrahim , Ranjbar Hamta , Behroozi Javad , Pakzad Bahram , Mousavi Maryam , Mousavi Mojtaba , Hossein Balam Marzieh , Salesi Mansour
Published: January 2023

Signal transducer and activator of transcription 3 (STAT3) has been introduced as one of the critical genetic factors in the pathogenesis of rheumatoid arthritis (RA). Single nucleotide polymorphisms (SNPs) in microRNA binding sites, known as miRSNPs, are a class of common variants in the 3′ untranslated regions of genes targeted by miRNAs. miRSNPs unbalance gene expression by disrupting the binding regions of microRNAs. In this study, we intended to evaluate the association of two miRSNPs with the risk of RA development and its clinical features.
We studied 120 Iranian patients with RA and 125 non-RA subjects as controls. The genotypes and alleles of rs1053005 and rs1053023 in each individual were assessed by the high-resolution melting method.
The distribution of STAT3 variants did not differ markedly in RA patients compared to healthy controls. Stratification analysis revealed that rs1053005 was linked with a higher concentration of C-reactive protein and an increased erythrocyte sedimentation rate, two indicators of inflammation and disease activity in RA patients. The rs1053023 variant was correlated with higher levels of creatinine as an indicator of renal involvement.
Our data demonstrate an association between STAT3 variants and clinical characteristics of RA, such as disease activity and probably kidney impairment.  However, we did not observe a significant relationship between the two targeted variants and a predisposition to RA.
The Effects of Policy Change Regarding Health Expenditures on Households Behavior
Authors: Izadi Hamid Reza
Published: January 2023

Background: In order to assess households' socioeconomic level in society, policymakers and government planners pay close attention to families' access to health services. They calculate the percentage of a household's bundle of consumer goods and services. In this regard, the current study examines and analyzes the household's behavior as a result of the government's policies in changing and determining the share of the household's health expenses from its total consumption expenses. This is to ensure that society is kept at a minimum level of health.
Methods: In order to accurately execute health policies and change household behavior, this research studies the share and access of Iranian households to health products and services. The author used a Dynamic Stochastic General Equilibrium model through quarterly data from 1997 to 2020.
Results: Findings show that as this share increased, other items' consumption and utility decreased, which ultimately led to a fall in society's total utility according to the definition that utility is a term used as a measure of pleasure or happiness resulting from consuming goods and services.
Conclusion: The government and policymakers need to bear some of health expenditures and provide financial support to households until it reaches the desired level. This is to prevent a significant decrease in the level of total utility in society. This decrease is brought on by people's dissatisfaction with spending a larger portion of their expenses on health goods and services.
THE MIRACLE OF PARENTAL LOVE: A.P. CHEKHOV`S SHORT STORY "THE BISHOP" AND I.S. TURGENEV'S NOVEL "FATHERS AND CHILDREN"
Authors: Dubinina Tatiana G.
Published: December 2022

The article considers the question of the influence of I.S. Turgenev's novel "Fathers and Children" on A.P. Chekhov's story "The Bishop". The relevance of the work lies in the perspective of the study, which assumes not just a comparison of the images of mothers in the works, but also allows us to talk about child-parent relations as an important problematic core of texts. Despite the fact that Chekhov's interest in this novel is known to everyone, the "Bishop" did not become an object of interest to the scientist in the proposed way. Common features in the "mother-son" collision are revealed. Mothers are similar in relation to their sons – they love children very much and are shy to show this love at the same time. Their affection is manifested in facial expressions, gestures, and eye expressions. The problem of tragic loneliness of heroes is touched upon. If in Turgenev's novel Bazarov opposes himself to the world, then in Chekhov's story the world seems to repel the hero, who has no one to talk to sincerely. Even the strong and sincere love of the mother does not save the hero from loneliness. The finales of the texts turn out to be fundamentally important. They find themselves converging on one thing – private death does not disrupt the general course of life. Both Turgenev and Chekhov avoid didactics. However, in the finale of the novel "Fathers and Children", the parents' funeral prayer for their son sounds. The idea of the saving power of parental love is affirmed. It will be the key to the hope of eternal life for their son. The finale of Chekhov's story is tragic. Despite his sincere faith in God, the hero is experiencing an existential catastrophe, and maternal love is not able to prevent it. There is no triumph of life over death.
BATTLE SCENES MODEL IN THE NOVEL AND QUIET FLOWS THE DON BY M.A. SHOLOKHOV (BASED ON THE MATERIAL OF THE CHAPTERS DEDICATED TO THE VESHENSKAYA UPRISING)
Authors: Makarova Elena S.
Published: December 2022

Philologists and literary criticists have been researching the foundation of battle scenes in the novel And Quiet Flows the Don by M.A. Sholokhov both from the standpoint of the traditions of literary warfare in Russian literature and from the standpoint of the writer's innovative approach. The article examines some stylistic features of the battle scenes construction in chapters dedicated to the Veshenskaya uprising – the ideological core of M.A. Sholokhov's novel And Quiet Flows the Don, in which the author's individual style was mostly manifested.
EDUCATIONAL POTENTIAL OF TELEGRAM FOR TEACHING FOREIGN LANGUAGES
Authors: Mikheyeva Yulia A.
Published: December 2022

The article deals with studying the educational capability of Telegram as an educational tool in learning a foreign language. Telegram is viewed as an efficient English teaching resource in the media space. The methods of delivering the content in teachers’ blogs as well as relevant peculiarities of a teaching blog as a productive teaching resource have been revealed and analysed. Visual aids play a significant role while presenting the content for learners in the blogs. The humour component is to be characterized as the most highly-demanded type of presenting the language content to be taught.
WORD AND TEXT AS LINGUISTIC AND CULTURAL UNITS IN RUSSIAN LANGUAGE LESSONS
Authors: Levushkina Olga  N. , Kalacheva Irina E.
Published: December 2022

The authors consider the methodological possibilities of working with the word and text as units of language and culture in Russian language lessons and substantiate the idea of the need to create a methodological tool that allows comprehending the word and text as linguistic and cultural units in the relationship. The authors propose to define and build the logic of immersion of the student in culture through the systematic implementation of two mutually dependent directions in working with the word and text as linguistic and cultural units in the study of the school course of the Russian language ("from word to text" and "from text to word"). The interrelated understanding of the word and text as integral units of language and culture should be organized in the process of studying the entire school course of the Russian language, especially when studying vocabulary, morphology, syntax.
PHENOMENON OF NEWS IN THE INTERPRETATION OF T. PEUCER, 1690
Authors: Vinichenko Vitaly M.
Published: December 2022

Written in 1690 in Latin, T. Peucer's dissertation 'De Relationibus Novellis' was little known to the wide academic community beyond its title until 2000, when it was translated into English and published by the group of scholars from the Potchefstroom University, South Africa. A careful reading of Peucer's dissertation demonstrates several interesting features, the most notable of which are the insignificant interest of its author to newspapers and the lack of a clear distinction between history and news.
MEDIA DIVERSITY IN ALGORITHMIC ENVIRONMENTS: SPECIFICS OF EXPRESSION AND FACTORS OF VARIABILITY
Authors: Agnistikova Olga I.
Published: December 2022

The problem of maintaining media diversity, as an important condition for the quality of the news sphere and for civic awareness, becomes relevant in the context of the algorithmicization of news and the dominance of "digital intermediaries". The latter are gaining discursive power, partially taking over the gatekeeping function from traditional journalism. Using the example of news aggregators as influential "secondary gatekeepers", the dynamics of quantitative and qualitative manifestations of media diversity they create are defined. Three common conceptualizations of media diversity serve as the theoretical basis. The author proceeds from the standard of open diversity. The evaluation of news diversity is made according to the parameters of variability, proportionality and balance. The dynamics of the following parameters were revealed: types of media (ownership, ideological position, national affiliation); the presence of a critical message; the nature of the sources used. The following trends were detected: a bias toward the dominance of state-owned media, an increase in the weight of state-owned news agencies, a decrease in the share of opposition publications, rejection of the practice of aggregating of foreign news media. The share of critical materials and "non-elite" sources of information has decreased. The results show the risks of news depletion in algorithmically curated environments, mainly under the influence of state media policy.
SEMANTIC FIELD "THE CONSUMPTION OF ALCOHOLIC BEVERAGES" IN THE IDIOLECT OF OLEG MITYAEV
Authors: Kozakova Alexandra A.
Published: December 2022

The multiplicity of contexts associated with the alcohol consumption, the branching of the names of alcoholic beverages indicate the importance of this topic in the work of O.G. Mityaev. The poet introduces additional components into his system based on the usual meanings of the lexemes included in this semantic field. In general, the development of the structure of the semantic field in the poet's work speaks about the symbolization of the lexemes, aimed at the poetization of life values, which the lyrical hero considers especially important.
RENEWAL OF THE CONTRACT FOR LEASE OF A LAND PLOT UNDER THE CONDITIONS OF MARTIAL LAW IN UKRAINE
Authors: Maritz D. O. , Kisil A. V.
Published: December 2022

In the conditions of martial law, introduced by the decree of the President of Ukraine No. 64/2022 of February 24, 2022, all social relations have undergone significant changes. Civil law is no exception, which in turn is one of the main ones in the process of functioning and development of the state. The factors that influenced the deformation of social relations include both subjective and objective factors. This was expressed in the physical impossibility of the functioning of certain state mechanisms and institutions, the duties of which are to provide citizens with a certain number of rights and opportunities. Therefore, the purpose of the article is to study the peculiarities of the process of renewal of the land lease agreement under special conditions, namely during martial law. The work used the method of analysis and synthesis, comparison, deduction, generalization. As a result, it was possible to reveal the content of the land lease agreement, as well as its original provisions. In addition, the legal framework that regulates the field of land lease, as well as the obligations of the parties to such a contract, has been researched. An important part of the work was the study of legislative innovations that changed the procedure for renewing the land lease agreement. Based on this, the meaning of the concept of “expression of will” was studied and possible ways of renewing the contract without proper expression of will of the parties were considered. In addition, the external conditions that influence this process and can negatively affect the legal position of the lessor or lessee are investigated. It is important that, in addition to the identified shortcomings in the new norma­tive legal acts, recommendations for their elimination and resolution were formed in the work. To a greater extent, changes should be made to some laws regulating land relations, in particu­lar land lease agreements. The practical value of the work is revealed in the fact that it can be used both by ordinary citizens to protect their rights and fulfill their duties, and by legislators in order to eliminate regulatory conflicts characteristic of the current legislation.
THE POLICY OF THE EUROPEAN UNION ON THE FIGHT AGAINST TERRORISM: THE ANALYSIS OF THE EUROPEAN UNION LEGISLATION AND SOME NATIONAL ANTITERRORISM PROGRAMMES
Authors: Chernadchuk T. O. , Berezovska V. O.
Published: December 2022

Terrorist attacks strike not only the victims, their friends and families, but also the fun­damental principles of the European Union. The choice of the topic of the article is caused by the fact that today the European Union recognizes money laundering, terrorist financing and international terrorism as some of the main threats to its financial system and citizens’ security. The purpose of the article is to analyze the main directions of activities and decisions of the European Union in this area.
The methodological basis of the work consists of both general scientific and special meth­ods of scientific knowledge. The EU legislation in the sphere of counter-terrorism was investi­gated using the analytical method, the method of abstraction gave an opportunity to assess the general current state of legal regulation of the fight against terrorism. The use of the compara­tive legal approach made it possible to analyze the national antiterrorist programmes of chosen European countries. The logical legal method was applied when formulating conclusions and proposals.
The article deals with the issues related to the legal aspects of the fight against internation­al terrorism. The paper investigates the steps taken by the European Union, i.e., the adoption of resolutions and strategies, the signing of treaties, the creation of institutions that function with the purpose to combat and prevent terrorist attacks, which are the constituents of the general concept of the antiterrorist system. The authors indicate the most important treaty provisions and institutions as well as their development and influence on the system of the fight against terrorism by the European Union. The purpose of the article is to analyze the main directions of activities and decisions of the European Union in this area. It has been investigated that the external activities of the EU include the support of countries in improving their judicial systems and the potential of law enforcement authorities as well as the integration of European antiter­rorist legislation into their security strategies. In the studied countries, the systematic approach to the fight against terrorism is clearly visible.