bluuebunny/crossref_metadata_2025 huggingface dataset:
Imagination und Genauigkeit. Verschränkungen in Künsten und Wissenschaften
Authors: Cronjäger Lisa , Dätwyler Larissa , Graf Stephan , Hempe Felix , Klarskov Aurea , Knierzinger Lucas , Lee Li-Chun , Sieber Judith , Valterio Laura
Published: December 2021

Genauigkeit gilt in vielen kulturellen Bereichen – von der wissenschaftlichen Forschung bis zur Pünktlichkeit eines Zuges – als erstrebenswertes Ideal. Nicht selten werden hierbei präzise technische Apparaturen ebenso wie organisatorische Kompetenzen und perfektionierte menschliche Fähigkeiten als Hinweise dafür genannt, es handle sich um genaue Verfahren. Doch was macht diese genauer als andere Prozedere, etwa die präzise sprachliche Übertragung einer Übersetzerin? Woran sind solche Vorstellungen, Ideale und Verfahren von Genauigkeit gekoppelt – und welche Rolle übernimmt hier eigentlich die Imagination? Entgegen der verbreiteten Annahme einer Gegensätzlichkeit von Imagination und Genauigkeit verhandelt der Sammelband gerade deren Verschränkungen in Wissenschaften und Künsten. Robert Musil hat dieses Verhältnis auf die Frage zugespitzt, was denn eine genaue Abhandlung über die Ameisensäure am Jüngsten Tag überhaupt nützen würde – dass gleichzeitig aber auch jeder Vorstellung des Jüngsten Tags zu misstrauen sei, die nicht einmal die Ameisensäure genau erforscht habe. Diese zwei Seiten des Bestrebens, die Welt zu verstehen, finden sich wieder in Musils Idee einer „phantastischen Genauigkeit“. Doch wie verbindet sich der Fokus auf Fakten und Gewissheiten, auf die Etablierung von Gesetzen und Regeln, die überprüfbar und genau sind, mit jenem imaginären und „phantastischen“ Teil, der allererst neue Möglichkeitsräume denken lässt? Solchen Transfer- und Konfliktmomenten von Genauigkeit und Imagination widmen sich die Beiträge des interdisziplinären Sammelbands. Von den Aufzeichnungsprozessen von Pulskurven über kartografische und statistische Übertragungsleistungen bis zu künstlerischen Praktiken aus Literatur, Malerei und Video Art wird eine Reihe unterschiedlicher Episoden vorgeschlagen, in welchen die Auslotung dieses Verhältnisses einen Anfang findet.
La enseñanza del riesgo de inundación en Bachillerato mediante Sistemas de Información Geográfica (SIG). El ejemplo del PATRICOVA en la Comunidad Valenciana (España)
Authors: Morote Seguido Álvaro Francisco , Olcina Cantos Jorge
Published: December 2021

Las inundaciones son el riesgo natural de mayor impacto económico y que causa más víctimas humanas en España, con particular incidencia en las regiones del litoral mediterráneo. El objetivo de este trabajo es llevar a cabo diferentes propuestas para trabajar el riesgo de inundación a partir del visor SIG que ofrece el Plan de Acción Territorial sobre prevención del Riesgo de Inundación en la Comunidad Valenciana (PATRICOVA). Estas propuestas están orientadas al curso de 2º de Bachillerato (asignatura optativa de Geografía) y lo que se pretende es fomentar entre el alumnado, capacidades para interpretar el territorio, especialmente su entorno más inmediato en el proceso de aprendizaje. Con ello, se pretende que el alumnado logre un mejor conocimiento de estos fenómenos extremos por parte de la sociedad, lo que permitirá conseguir territorios y una sociedad más resiliente ante los eventos extremos, como medida de adaptación ante el proceso actual de calentamiento climático.
Afectaciones por procesos gravitacionales en momento sísmicos y nivel de erosión del suelo, Colonia Acuilotla (CDMX, México)
Authors: Rivera González Oscar Daniel
Published: December 2021

La geomorfología en general de la República Mexicana es demasiado accidentada debido a los pliegues y conformación de dicho territorio geológicamente, es por ello que en diversas ocasiones suceden acontecimientos geomorfológicos de diversa índole, en la Ciudad de México (CDMX) se encuentra la colonia Acuilotla misma que pertenece a la Alcaldía Álvaro Obregón, en la cual se han presentado procesos gravitacionales conocidos comúnmente por la población como deslizamientos o deslaves de tierra, generando riesgo de colapso en los hogares de los habitantes y posibles decesos, para evitar o minimizar dicha problemática se deberá tomar en cuenta el grado de erosión con base en la precipitación en temporada de lluvias y la erosión antrópica que se da en la zona de estudio y colonias aledañas, aunado a los sismos los cuales son muy frecuentes y potencian el deslizamiento de tierras generando diversas problemáticas urbanas.
Characterization and development perspectives of “Baby Kiwi “(Actinidia arguta Planch.) Culture in Georgia
Authors: Maglakelidze Ellen , Bobokasvili Zviad
Published: December 2021

The article presenta general description and development opportunities of “Baby Kiwi “(Actinidia arguta Planch,), one of the species of exotic fruit (Actinidia Lindl.), which is still in the experimental phase in Georgia and is an important topic in terms of the fruit assortment. The research has been carried out in collection orchard located in one of the leading regions of fruit-growing of Georgia - Shida (Inner) Kartli (vil. Jighaura, Saguramo Mtskheta municipality) and belonging to LEPL Scientific-Research Center of Agriculture (SRCA) in 2019-2020. The research aims at study of “Baby Kiwi “(Actinidia arguta Planch,) varieties ( Waik and Kens Reddy ) with the purpose of further propagation in Shida kartli itself and also in various fruit growing regions of Georgia. The following agronomic and biological characteristics were studied according to the cultivars: calendar periods of phenological phases; pomological description of fruits, their chemical analysis and productivity.
Teaching Digitally-Ready Soft Skills for Employability
Authors: Shtaltovna Yuliya , Muzzu Christina
Published: December 2021

The coronavirus pandemic triggered an abrupt change to emergency e-teaching and has accelerated the adoption of digital teaching practices in higher education. This transition from in-person instruction to online-only teaching took place globally and disrupted the conventional lecture format. While the catalyst, namely COVID, was the same throughout the world, a growing body of research confirms that instructors across the educational spectrum are experimenting with, and implementing, a plethora of methodologies based on their digital abilities and experiences.
This paper will critically analyse several online-based methodologies and digital tools developed and introduced at the University of Europe for Applied Sciences within an undergraduate module called Employability.  The authors will use the six areas of the European Commission’s DigCompEdu framework as a reference to analyse and summarise digital tool implementations and enhance students' digital collaboration skills, online experience, and learning outcomes.
The methodological focus is on teaching soft digital skills for employability, namely, digital communication, problem-solving, collaboration skills, as well as, digital content creation and media literacy in tandem with the main content of the course. Possible issues when teaching the Employability module in post-COVID offline or hybrid classrooms will be discussed, particularly with regards to ensuring that teaching formats are fit-for-purpose in increasingly digital, and remote, work environments.
Association of Age with Hand Grip Strength, Pinch Strength and Reaction Time in Gynaecologists and Obstetricians
Authors: Desai Roopa , v Jagruti , Khandare Shilpa
Published: December 2021

According to scientific literature, evidence of relationship exists between dexterity and age. With increasing age, the performances get slower, less smooth, less coordinated and less controlled. Lesser the reaction time, better is the achievement seen sports, music, driving, academics and also in day-to-day activities. We can always predict reacting abilities of an individual based on his reaction time. In case of surgeons, this helps us to identify the surgeons with prolonged reaction time and identify the cause. Some studies suggest that there is direct relationship that exists between muscle strength and increased age.
Aim: This study aimed in assessing the association of age with hand grip strength, pinch strength and reaction time in Gynaecologists and Obstetricians.
Methods: This study involved 30 Gynaecologists and Obstetricians. Hand grip strength, Pinch Grip Strength and Reaction time were assessed on both dominant and non- dominant hand.
Results: The result showed positive correlation of age with hand grip strength and pinch strength and negative correlation of age with reaction in Gynaecologists and Obstetricians.
Conclusion: There is low association of age with hand grip strength and pinch strength, there is reduction in reaction time as age increases in Gynaecologists and Obstetricians.

Key words: Age, Hand grip strength, Pinch Grip Strength, Reaction time, Gynecologists.
Management of Acute Encephalitis Syndrome Endemic during COVID-19 Pandemic in India
Authors: Kumar Praveen , Taywade Manish
Published: December 2021

The second wave of COVID-19 has worst impacted the country like India. However, the third wave is much predicted and may be infection among the children at risk. The endemic of diseases that outbreak from time to time in particular regions of India have shown several challenges to the health system in the past. The most likely endemic is Acute Encephalitis Syndrome (AES) for few states of India that is reported during the pre-monsoon and post-monsoon season. However, AES had the highest chances of being found in pediatric age only with very few exceptions. The symptoms are confusing for diagnosing COVID-19 patients, and a great fear that the symptoms may overlap with AES. The sudden outbreak of AES during the current COVID-19 pandemic may intersect the demand for health resources, oxygen and isolated beds. The common insistence among the AES and COVID-19 patients will be oxygen demands, wards-bed (in NICU, PICU) and drugs. Hence, early preparedness is of utmost demand, simultaneously strengthening health infrastructures in this aspect is obvious.

Key words: Acute Encephalitis Syndrome, AES, COVID-19 pandemic in India.
TÜRKİYE’DE YENİ PARA POLİTİKASI UYGULAMALARI ve BU KAPSAMDA KULLANILAN FİNANSAL ARAÇLARIN ANALİZİ
Authors: ÖZTÜRK Nurettin , AYKAÇ ALP Elçin
Published: December 2021

Ülkelerin karşılaştıkları ekonomik ve finansal zorluklar, merkez bankalarının sadece politika faizi aracını kullanarak ortaya çıkan sorunların üstesinden gelinemeyeceğini göstermektedir. Bu sebeple parasal otoriteler geleneksel olmayan para politikaları ve makro ihtiyati politikalar gibi alternatif bazı uygulamalara yönelmektedir. Bu bağlamda çalışmanın amacı, son yıllardaki yeni para politikası yaklaşımlarının teorik ve uygulama bazında ele alınması ve sonuçlarının analiz edilmesidir. Çalışmada, yeni para politikası yaklaşımlarının finansal kesim ile etkileşimi üç ayrı ana başlık etrafında sınıflandırılarak Türkiye ekonomisinin 2006:01-2020:10 dönemi için incelenmekte ve uygulamaların etkinliği TSVAR metodu kullanılarak analiz edilmektedir. Çalışmanın bulgulara göre, özellikle döviz piyasalarına yönelik uygulamaların fiyat istikrarı hedefi için gerekli olduğu görülmektedir.
DİJİTAL DÖNÜŞÜM İLE YENİ FİNANS ÇAĞI VE GELECEK YAKLAŞIMLARI
Authors: KÖRPE Ercan
Published: December 2021

Dijitalleşmenin getirdiği baş döndürücü yenilikler ile birlikte toplumsal alanda dâhil birçok alanda devrimsel değişimler yaşanmaktadır. Nesnelerin interneti (IoT), yapay zekâ, büyük veri, bulut (cloud) bilişim, BigTech/FinTech şirketleri, sensörler, artırılmış-sanal (AR-VR) gerçeklik, akıllı otonom robotlar ve karar alma algoritmaları gibi sarsıcı gelişmeler küresel dünyanın tüm ezberlerini bozarken aynı zamanda endüstriyel ve sosyokültürel yapıları da dönüştürmektedir. Yaşanan sürecin en önemli akslarından birisini de bu dönüşümü karşılayabilecek kapasite ve nitelikte finansman olanakları, finansal sistem ile fonlama enstrümanları oluşturmaktadır. Dijital dönüşüme ait yenilikler bir taraftan bütçe ve finansman konusunu gündeme getirirken diğer taraftan da P2P Kredileri, blockchain, kitlesel fonlama, dijital borç verme platformları, alternatif ödeme kanalları vb. uygulamalar ile finansal kurumlar rakipsiz olmaktan çıkmakta ve finans dünyadaki rekabet yeni finans çağı ile bambaşka bir boyuta taşınmaktadır. Bu çalışmada, dijitalleşmenin odağına finans ve bankacılık sektörü alınarak, sektörel etkiler ve uygulamalar, fırsat ve tehditler, beklentiler ve stratejileri analiz edilerek gelecek öngörülerine yer verilmektedir.
KOBİ Yöneticilerinin Liderlik Özelliklerinin Çalışan Performansına ve İşten Ayrılma Niyetine Etkisi
Authors: ÖNER ŞEKER Eşe , BÜYÜKYILMAZ Ozan
Published: December 2021

Bu çalışmada KOBİ yöneticilerinin liderlik özelliklerinin çalışan performansına ve işten ayrılma niyetine etkisi incelenmektedir. Çalışmanın analizlerinde kullanılan veri anket yoluyla elde edilmiştir. Bu kapsamda, Karabük ilinin Safranbolu ilçesinde faaliyet gösteren KOBİ’lerde çalışmakta olan 260 işgörenden anket aracılığıyla veri toplanmıştır. Geçerlilik ve güvenilirlik analizlerinin ardından araştırmanın değişkenleri arasındaki ilişkileri belirlemek amacıyla korelasyon analizi yapılmış ve son olarak araştırma hipotezlerini test etmek amacıyla regresyon analizi uygulanmıştır. Analizler sonucunda, yöneticiler tarafından sergilenen risk alma ve takım çalışmasına odaklanma liderlik özelliklerinin çalışan performansını olumlu yönde etkilediği, ancak model olma, paylaşılan bir vizyon oluşturma ve tanıma ve takdir etme özelliklerinin anlamlı bir etkisinin bulunmadığı bulgusuna ulaşılmıştır. Araştırma bulgularına göre, çalışanların işten ayrılma niyeti üzerinde etkili olan liderlik özellikleri ise model olma ve paylaşılan vizyon oluşturma olarak tespit edilmiştir.
Gelişmekte Olan Ülkelerde Küreselleşmenin Ekonomik Kalkınma Üzerindeki Etkisi: Panel Veri Analizi
Authors: ALTINER Ali , KEŞAP Doğan
Published: December 2021

Dünya, her geçen gün daha küresel bir hal almaktadır. 1990’lı yıllarda popülerleşen küreselleşme bazı görüşlere göre ekonomik krizlerden çevresel bozulmalara kadar pek çok sorunun kaynağı iken, bazılarına göre ise tüm fırsatların temeli olarak kabul edilmektedir. Çalışmada bu alandaki tartışmalara katkı sağlamak için seçilmiş 34 gelişmekte olan ülkede ekonomik, sosyal ve politik boyutlarıyla küreselleşmenin ekonomik kalkınmaya etkisi araştırılmıştır. Bu amaçla, 1990-2018 dönemine ait yıllık veriler kullanılarak statik panel veri analizi gerçekleştirilmiştir. Ampirik analiz kapsamında F ve LR testi katsayı tahmininde klasik regresyon modelinin geçerli olmadığını göstermiş ve buna bağlı olarak yapılan hausman speksifikasyon testi sonucunda tesadüfi etkiler modelinin kullanılmasına karar verilmiştir. Tahmin sonucunda, genel olarak küreselleşmenin ekonomik kalkınmada pozitif bir etkiye sahip olduğu görülmüştür. Alt boyutlar açısından elde edilen bulgular ise ekonomik ve politik küreselleşmenin ekonomik kalkınma üzerinde herhangi bir anlamlı etkiye sahip olmadığını göstermiştir. Bununla birlikte sosyal açıdan küreselleşmenin ekonomik kalkınmayı olumlu yönde etkilediği tespit edilmiştir. Bu bulgular, ekonomik kalkınmaya ulaşmak amacıyla uygulanacak politikalarda küreselleşmenin yaratacağı etkilerin göz önünde bulundurulması gerektiğini ortaya koymaktadır.
Does Damage from Natural Disaster Affect Child Labor? Evidence from Indonesia
Authors: Sulistyo Tito , Syafitri Wildan
Published: December 2021

Disasters, both natural and non-natural, can cause a severe impact on every life aspects in a country, including the economic aspect. In Indonesia, as a reaction of deteriorating economic conditions caused by disasters, households are often forced to adjust the declining of their real income by taking out their children from school thereby they can send them to work as a household buffer to shocks. This paper aims to analyze the impact of the natural disaster damage on the number of child labor and the differences of these impacts between urban and rural areas. By using cross section data from the fifth wave Indonesia Family Life Survey collected in 2014, we find that there is a positive relation between the natural disaster damage and the number of child labor, and then a significant difference between impacts in urban and rural areas. Policy implications of the findings are provided.
Hierachical geomaterials and seismic metamaterials: tracks for implementation
Authors: Brûlé Stéphane
Published: December 2021

The transposition of the principles of periodic media to materials as specific as terrestrial materials requires rigorous definition of the validity conditions. In particular, the elasticity condition, the full complexity of the attenuation in viscoelastic material, the pattern of the sedimentary basin, the strong antagonism between amplification and attenuation, the soil-structure interaction, etc.

Indeed the possibilities of diffraction phenomena have been revealed by experiments on a real scale. The lenses tested are explored as phononic crystals and metamaterials. By the effects observed, we point out the diffraction including Bragg reflection and double image of the source as a result of the negative refraction of a flat lens. However, a metamaterial is defined as an artificial composite material made from the assembly of resonators of smaller dimensions, whose wavelength at resonance is much greater than their physical dimension. These possibilities of local resonances are verified for Helmholtz resonators or very soft soils with rigid inclusions.

On a macroscopic scale, a metamaterial is likely to exhibit properties that are not found in nature, such as negative refractive index. In addition to these early interpretations, there is an analysis of the modification of the polarization of surface waves. This new reading of the data opens the discussion on other descriptions of phenomena such as the existence of local resonances of rigid elements placed in a soil, and no longer of empty cylinders, as well as on static or dynamic homogenization approaches, dynamic anisotropy, transformational optics, surface resonators, etc. The modification of the signal by the fact of a structured soil and surface resonators are the link with Civil Engineering and the soil-structure interaction practiced in Earthquake Engineering. Research subjects converge in seismology and on the effects of secondary sources generated by surface buildings. The coupling of buildings such as surface resonators with structured soils constitutes an opportunity for development in the trapping of mechanical energy. In the era of energy transition, any free source of energy is of interest.

![Image from S. Brûlé (PhD thesis)](https://meta-mat.org/wp-content/uploads/2021/11/Transfer-functions.jpg)
İslamî İlimlerde Toplumsal Gerçeklik, Hakikat ve Söylem Problemleri
Authors: EVKURAN Mehmet
Published: December 2021

İslamî ilimler, İslam bilimleri kavramı modern üniversite çatısı altında faaliyet gösteren İlahiyat fakültelerinin akademik yapılanmasını tanımlamasının yanında, ilgili akademik birimlerin eğitim-öğretim programında da yer almaktadır. İslamî ilimleri oluşturan disiplinlerin (kelam, tefsir, hadis, fıkıh/İslam hukuku vs.) geleneksel literatürde tanımlandıkları kavramların aynılarıyla anılmaları zaman zaman tartışmalara konu olmuştur. Klasik adlandırmaların korunmasına karşı çıkanlar, yeni bir disiplin gözüyle bu bilgi türüne bakılmasını savunmaktadırlar. Diğer yandan bu ilimlerde izlenen geleneksel yöntemlerin ve hedeflerin aynıyla korunup korunmayacağı da üzerinde durulan önemli konulardan birisidir.Bu makalede İslamî ilimlerin köken, meşruiyet ve yöntemle ilgili kadîm sorunlara dikkat çekilecek ve modern zamanlarda bu ilimlerin karşı karşıya kaldıkları problemler ele alınacaktır. Dünyada yaşanan paradigma değişimlerinin Müslüman dünyada yol açtığı toplumsal ve zihinsel dönüşümler tartışılacak ve bu sürecin İslamî ilimler üzerindeki etkileri incelenecektir.
Dinsel Fundamentalizm ve İslamofobi Sarmalında “Fransa İslamı” Tartışmaları
Authors: ÖZTAŞ Fatih
Published: December 2021

Bu çalışma, “Avrupa İslamı”nın bir izdüşümü olarak değerlendirilebilecek “Fransa İslamı”nı sürdürülen çalışmalar ve tartışmalar üzerinden analiz etmeyi amaçlamaktadır. Dolayısıyla nitel betimsel söylem analizi yöntemiyle, son dönemlerde yaşanan dinsel fundamentalist kategoride değerlendirebileceğimiz saldırılar ve Batı’da dolayısıyla Fransa’da gittikçe yükselen İslamofobi sarmalındaki “Fransa İslamı”nın şekillenişi ortaya çıkarılmaya çalışılmıştır. Neticede buradaki Müslümanlar bir taraftan, “kaos” dünyasında (çapı dar fakat etkisi geniş) şekillenen dinsel saldırıların etkisinin hem sebebinden hem de sonucundan etkilenirken diğer taraftan sömürge geçmişiyle de şekillenen Fransa’nın “öteki”ne bakışından ve bu ülkenin mevcut sorunlar yumağından hissesine düşeni almaktadır. Haddizatında mevcut hükümetin iç ve dışta yaşadığı sorunların dinsel zeminde kaybolmasına yardım eden Fransa İslamı, Müslümanların “cumhuriyet sofrasında” (ötekinin bize dönüşmesi) yer almasının bir yolu olarak düşünülse de bu ülkedeki dinamiklere bakıldığında başarılması zor bir proje olarak durmaktadır. Fakat yükselen aşırı sağın baskısına, teröre, klasik ırkçılığı aşan “yeni ırkçılığa”, yabancı düşmanlığına vb. karşı bir arada yaşamayı baltalayan olay-süreç ve anlatıların baskısına rağmen her iki taraf için de “öteki Fransa’nın” başarılması elzem görülmektedir. Her ne kadar devletin samimiyeti kuşkulu ve Müslümanların “egzotik öteki” olarak kalması noktasında dinsel zeminde sürdürülen bir proje olsa da Fransa İslamı’nın kendini eşit vatandaşlık temelinde kabullendirmenin bir süreci olarak yani insani temelli buluşmaya kapı aralayacağı düşünülerek Müslümanlar tarafından bu sürece daha fazla katkı yapılmalıdır.
Feasibility of recycling concrete construction waste in environmental and economic sides
Authors: Hasan Elaf
Published: December 2021

n light of the conditions experienced by Syria and due to the destruction and demolition of its buildings built up rubble and occupied a large area of its territory.

Therefore, it was necessary to develop an appropriate strategy to study these debris and provide the ideal solutions to be able to benefit from them as much as possible and thus mitigate the harmful impact on the environment and the surrounding environment.

The work is divided into two parts:

First: The study focuses  on one of the mechanisms of benefiting from  the recycled aggregate by using them in producing concrete, after studying their characteristics(Sieve Analysis-density- Absorption) and then mixing them with natural aggregate as replacement of natural coarse aggregate at different rates(15-30-45-75-100)%.

Six concrete cubes were made for each mixture and 3 cubes were broken after 7 days and the other after 28 days .

it was concluded The relationship between the percentage of recycled aggregates and compressive strength, as well as the relationship between the percentage of stones and the rate of Absorption

The results showed that the acceptable percentage of replacement of natural aggregates with recycled aggregates may reach 100% with the recording of values of resistance of up to 21.9Mpa  .

Second :The environmental and economic feasibility of using recycled aggregates has been studied the results showed that use 75% of the recycled aggregates in structural concrete works will reduce energy consumption and carbon dioxide emissions by 28% and 33%, respectively, and the economic saving rate is 63.71%. .

 

Through this study two objectives can be achieved:

 First: removing large quantities of environmental pollution sources resulting from these wastes and thus achieving an environmental goal.

Second: Provide other sources of concrete aggregates and thus protect the natural quarries and achieve an economic goal.
USE OF EFFERENT THERAPY METHODS IN THE TREATMENT OF DESTRUCTIVE PANCREATITIS
Authors: Джумабеков А.Т. , Артыкбаев А.Ж. , Каштаев Р.Е. , Калиева С.С. , Жанбырбаев С.Ж. , Байжанов А.С. , Еркинулы А. , Жарменов С.М.
Published: December 2021

Своевременное включение методов эфферентной терапии (гемодиафильтрация, плазмаферез) в комплексную интенсивную терапию сепсиса и септического шока у больных с острым деструктивным панкреатитом, находящихся на стационарном лечении в ЦГКБ г. Алматы, позволило быстро стабилизировать гемодинамику, респираторные нарушения и отказаться от применения адреномиметиков, а также значительно уменьшить клинические проявления тяжелой интоксикации, гипоксии и эндотоксикоза.

Timely inclusion of efferent therapy methods (hemodiafiltration, plasmapheresis) in the complex intensive therapy of sepsis and septic shock in patients with acute destructive pancreatitis who are inpatient treatment at the Central city clinical hospital in Almaty, made it possible to quickly stabilize hemodynamics, respiratory disorders and abandon the use of adrenomimetics, as well as significantly reduce the clinical manifestations of severe intoxication, hypoxia and endotoxicosis.
ANALYSIS OF PERINATAL CARE INDICATORS OF THE ALMATY MEGAPOLIS
Authors: Бодыков Г.Ж. , Курманова А.М. , Болат К.С. , Аманжолова Б.К. , Умбетов Б.У. , Оспангалиева С.М. , Жаналиева Ж.Р. , Джамаева Г.А.
Published: December 2021

Анализ демографических показателей за последние десять лет в г. Алматы выявил, что на фоне относительно стабильных показателей рождаемости (17,7 до 18,2‰), общей смертности (8,03 до 6,49‰) наблюдалось значительное снижение младенческой (с 17,4 до 8,05‰) и повышение материнской смертности (с 2,4 до 15,4 на 100 тыс. живорожденных). Несмотря на снижение распространенности анемии с 31,8% до 18,8%, удельный вес её все еще высокий, являющейся фоном для развития преэклампсии и ухудшения течения экстрагенитальных заболеваний, среди которых наиболее часто встречаются болезни почек и мочевыделительной системы (10,1%), системы кровообращения (3,5%), органов дыхания (3,3%); развития осложнений в виде невынашивания беременности (16,9%), преждевременных родов (7,2%), акушерских кровотечений (1,2%), учащения операции кесарева сечения (до 30,0%), органоуносящих операций (0,4%). В этих условиях созрела необходимость создания системы мониторинга женщин группы высокого риска, включающей наблюдение за ними, коррекцию лечения, проведение профилактики патологических состояний с использованием современных цифровых технологий.

An analysis of demographic indicators over the past ten years in Almaty revealed that against the background of relatively stable birth rates (from 17.7 to 18.2‰), overall mortality (from 8.03 to 6.49‰), there was a significant decrease in infant mortality (from 17,4 to 8.05 ‰) and perinatal mortality (from 20.1‰ to 8.0‰), an increase in maternal mortality (from 2.4 to 15.4 per 100 thousand live births). Despite the decrease in the prevalence of anemia from 31.8% to 18.8%, its proportion is still high, which is a background for the development of preeclampsia and worsening of the course of extragenital diseases, among which diseases of the kidneys and urinary system (10.1%) , circulatory system (3.5%), respiratory system (3.3%) are most common; the development of complications in the form of miscarriage (16.9%), premature birth (7.2%), obstetric bleeding (1.2%), increased frequency of cesarean section (up to 30.0%), organ-carrying operations (0.4%). In these conditions, need to create a monitoring system for high-risk women, including monitoring them, correcting treatment, and preventing pathological conditions using modern digital technologies.
COMBINED UROLOGICAL PATHOLOGY, A CASE FROM PRACTICE
Authors: Бердикеев М. , Досхожаев Б.К.
Published: December 2021

В статье описан случай сочетанной урологической патологии, осложненной мочекаменной болезни и гиперплазии предстательной железы. Указаны особенности в лечении данного пациента.

The article describes a case of concomitant urological pathology complicated urolithiasis and benign prostatic hyperplasia. These features in the treatment of this patient.
IMPROVING THE EFFECTIVENESS OF CONSERVATIVE TREATMENT OF ERECTILE DYSFUNCTION IN PATIENTS WITH PEYRONIE'S DISEASE USING THE "BTL 6000" SHOCK WAVE THERAPY APPARATUS AND THE "TIVORTIN" DRUG
Authors: Алчинбаев М.К. , Суранчиев А.Ж. , Сенгирбаев Д.И. , Нисанбаев А.Д. , Испосунова Г.А.
Published: December 2021

Исследовалось эффективность комплексной терапии эректильной дисфункции у пациентов с болезнью Пейрони, с применением препарата "Тивортин", который является субстратом для NO-синтазы - фермента, который катализирует синтез оксида азота в эндотелиоцитах, тем самым вызывая стабилизацию скорости кровотока в артериях полового члена, а также способствует восстановлению морфологической структуры, измененной белочной оболочки; и аппарата ударно-волновой терапий "БТЛ 6000", предназначенный для дезинтеграции бляшек в стадии кальцификации, которая купирует болевые ощущения в 91% случаев и уменьшает деформацию полового члена в 31% случаев, путем ударно-волновой терапии, и улучшения микроциркуляции в кавернозных телах полового члена, тем самым повышает эффективность лечения эректильной дисфункции у больных с болезнью Пейрони.

The effectiveness of complex therapy of erectile dysfunction in patients with Peyronie's disease was studied with the use of the drug "Tivortin", which is a substrate for NO-synthase, an enzyme that catalyzes the synthesis of nitric oxide in endotheliocytes, thereby causing stabilization of the blood flow rate in the arteries of the penis, and also contributes to the restoration of the morphological structure, the altered protein envelope; and the shock wave therapy apparatus "BTL 6000", designed for the disintegration of plaques in the calcification stage, which relieves pain in 91% of cases and reduces the deformation of the penis in 31% of cases, by shock wave therapy, and improves microcirculation in the cavernous bodies of the penis, thereby increasing the effectiveness of treatment of erectile dysfunction in patients with Peyronie's disease.
A CASE OF PRIMARY HYPERPARATHYROIDISM
Authors: Рамазанов М.Е. , Базарбекова Р.Б. , Досанова А.К. , Шерияздан Ж.С. , Апбасова У.З. , Казарян С.У. , Шокебаев А.А. , Бектаева И.С.
Published: December 2021

Первичный гиперпаратиреоз - одно из распространенных, но трудно диагностируемых в реальной клинической практике эндокринных заболеваний у взрослых. Актуальность данной публикации определяется высокой частотой заболевания у лиц старше 40 лет. Риск его возникновения у людей 40-50 лет достигает 2%. Имеются все основания считать, что данный показатель с течением времени будет увеличиваться, поскольку согласно прогнозам отдела народонаселения Организации Объединённых Наций от 2001г. удельный вес пожилых людей к 2050г. в мире достигнет 21% в сравнении с 10% в 2000г. Особенно подвержены первичному гиперпаратиреозу женщины менопаузального возраста, у которых заболевание встречается с частотой 1:500. В большинстве случаев первичный гиперпаратиреоз возникает вследствие солитарной доброкачественной аденомы паращитовидных желез. В данной статье представлен случай аденомы паращитовидной железы с развитием гиперкальциемического криза у женщины в возрасте 49 лет, выбор дальнейшей тактики ведения - консервативное или оперативное лечение, а также рекомендации по наблюдению в динамике. Приведенный случай будет интересен специалистам как терапевтического, так и хирургического профиля.

Primary hyperparathyroidism is one of the common but difficult to diagnose endocrine diseases in adults in real clinical practice. The relevance of this publication is determined by the high incidence of the disease in persons over 40 years of age. The risk of its occurrence in people 40-50 years old reaches 2%. There is every reason to believe that this figure will increase over time, since according to the projections of the UN Population Division for 2001, the proportion of elderly people in the world will reach 21% by 2050, compared with 10% in 2000. Menopausal women are especially susceptible to primary hyperparathyroidism which the disease occurs with a frequency of 1: 500. In most cases, primary hyperparathyroidism occurs due to solitary benign adenoma of the parathyroid glands. This article presents a case of parathyroid adenoma with the development of a hypercalcemic crisis in a woman aged 49 years, the choice of further management tactics - conservative or surgical treatment, as well as recommendations for monitoring over time. The given case will be of interest to specialists of both therapeutic and surgical profile.
OASID, un instrumento para evaluar los trastornos del espectro autista en personas con discapacidad intelectual combinada con discapacidades visuales o sordoceguera
Authors: de Vaan G. , Vervloed M. P. J.
Published: December 2021

A menudo, se consulta a los profesionales que prestan servicios educativos destinados a personas con discapacidad visual o sordoceguera sobre el comportamiento de este grupo de personas con discapacidades múltiples. Un ámbito de interés específico es la posible presencia de trastornos del espectro autista en esta población. Las características del comportamiento típicas del autismo también se encuentran con frecuencia en personas con discapacidad intelectual combinada con discapacidad visual o sordoceguera. Por causa de la superposición topográfica de características del comportamiento, puede resultar difícil diagnosticar el autismo en este grupo complejo de personas que muestran una combinación de discapacidades sensoriales e intelectuales, no pareciendo apropiados para este tipo de población los instrumentos para diagnosticar el autismo cuyo uso está más generalizado. OASID se ha desarrollado para abordar estos problemas de validez.
"El cuento viajero": lecturas adaptadas para compartir e intercambiar entre el alumnado con discapacidad visual y su entorno
Authors: Alcántara Moreno M. I. , Bello Díaz F. , Blanca Castillo J. , Díaz Corpas M. B. , Fernández Fernández M. C. , Gámez Martos A. , López Albusac M. D. , Moreno Batres A.
Published: December 2021

El presente trabajo se basa en una actividad educativa que sigue desarrollándose desde el año 2016 y que fue puesta en marcha por el Club Braille. Está orientado a consolidar la lectura con los alumnos de las etapas de educación infantil y primer ciclo de primaria usuarios del braille, implicando a la familia en el desarrollo y el mantenimiento del gusto por la lectura. Para ello, se presenta un cuento viajero que es manipulado y sobre el que, tras su lectura, debe aportarse un trabajo (audio, dibujo, representación, manualidad, etc.). El objetivo principal de este proyecto va orientado a consolidar la lectura como un elemento de disfrute personal, potenciando la comprensión lectora y, a su vez, poder mejorar el nivel de vocabulario y ortografía. Aunque la Tifloteca dispone de diversos recursos para la lectura de textos literarios e informativos en formato impreso, audiovisual o multimedia, el proyecto, también incluye la realización de cuentos en braille accesibles, adaptados y creados por el equipo educativo que hace posible que nuestros alumnos dispongan de más recursos motivantes para conseguir el objetivo principal: aprender con materiales adaptados a sus necesidades que les ayuden a desarrollar sus competencias, así como acceder al aprendizaje gracias a la inclusión.
16p microtriplication case report associated with autistic spectrum disorder
Authors: Melo Neto Fernando de Paiva , Dias Artêmio José Araruna , Viana Marinna Karla da Cunha Lima , Valadares Neto Maurício Vasconcelos , Espínola Paulo Francisco Lucena de Araújo , Silva Bruna Nadiely Victor da , Fernandes Isabella Araújo Mota , Andrade. Rafael de Souza
Published: December 2021

Context: The literature on interstitial microtriplications at the 16p11.2 locus is scarce and unclear. We bring a rare case of microtriplications in the 16p11.2 locus associated with Syndromic Autistic Spectrum Disorder (ASD) and Intellectual Disability (ID) to stimulate discussion about this rare and complex condition. Case report: A.M.C., female, 10 years old, with history of agitation and aggression. Referred to neuropediatrician at 6 years old for behavioral change, socialization difficulties, agitation, heteroaggressiveness, developmental delay and school difficulty. She is not literate, has motor stereotypes when agitated, preferably plays with younger children, has tactile (water), taste (food) and sound sensory dysfunction, a low frustration threshold, difficulty in accepting routine changes and BMI of 14. Genetic evaluation showed interstitial triplication of 610Kb in the short arm of chromosome 16, raising diagnostic hypotheses of ASD and ID. Conclusions: Changes in microduplication in this locus are predisposing genetic factors for neurodevelopmental delays, ASD and ID. Changes in the number of 16p11.2 copies are believed to promote BMI index body change and brain changes in a dose-dependent manner on the phenotype. Brain changes include areas associated with reward, language and cognition. We bring this case to bring attention and discussion about to this rare condition.
Association between Burnout Syndrome and the SARSCov-2 pandemic in healthcare professionals - a literature review
Authors: Tosta Iara Ramos , Martini Giulia , Ribeiro Larissa Moreira , Silva Vinicius Batista Corrêa da , Pires Amanda Cintra , Rosa Elaine Rodrigues
Published: December 2021

Background: The SARS-Cov-2 pandemic has presented numerous challenges to health systems. Exposure to stress scenarios by frontline workers has generated the exhaustion of this group as a response. Consequently, there was an increase in the incidence of Burnout Syndrome (BS) amongst these professionals. Objectives: Analysis of the correlation between BS in the healthcare professionals and the SARS-Cov-2 pandemic. Design and setting: Narrative literature review conducted by Centro Universitário de Mineiros, Campus Trindade. Methods: Articles selected from the PubMed and Scielo database between 2020 and 2021, with the descriptors “Burnout” AND “SARS-CoV-2”. 9 articles were analyzed. Results: The quantitative study carried out by the Jornal Brasileiro de Psiquiatria with 94 nursing technicians working in the SARS-CoV-2 pandemic indicated that 25% had BS (p ≤ 0.25). Another study carried out by the same magazine identified health problems as impaired mental health workers. The study was carried out with 123 professionals, using scores from the Self-Reporting Questionnaire, in which approximately 45% had a score compatible with BS (p <0.05). Amongst the causalities, the professionals’ lack of emotional preparation, extended shifts, limited resources, lack of access to updated information, disturbed sleep patterns, anxiety and depression stood out. The increase in these stressors during the pandemic exposed professionals to a greater risk of developing Burnout Conclusions: This study suggests a strong association between the SARSCov-2 pandemic and the development of BS among health professionals, emphasizing the importance of measures to minimize the impact on these professionals’ mental health.
The diagnostic challenge of Hashimoto’s Encephalopathy
Authors: Delfim William de Souza , Curti Nayara Christina de Lima , Silva Marília Pires de Souza e , Araújo Lorena Dias , Pastorio Indianara Keila , Domingos Francine de Paula Roberto , Hirayama Sayuri Aparecida , Almeida Rafael de , Filgueiras Raquel de Mattos , João Rafael Batista
Published: December 2021

Introduction: The diagnosis of Hashimoto Encephalopathy (HE) is generally considered in patients with a wide range of neurological symptoms, accompanied by normal or nonspecific findings on magnetic resonance imaging and CSF, normal thyroid function or mild hypothyroidism, increased serum levels of thyroid peroxidase antibodies, and clinical response to steroids. Case report: We attended a 76-year-old patient, brought by lowering the level of consciousness 3 days ago, insidiously. Neurological exam: did not obey commands, and only said incomprehensible sounds. Myoclonus in upper limbs and random multidirectional movements of the eyes with horizontal nystagmus, rapid phase to the left. Cranial tomography had only signs of microangiopathy. Electroencephalogram: diffuse slow waves, with no signs of status epilepticus. Laboratory tests: there were increased protein in CSF (107mg/dl) and Anti-TPO serum (>1000 U/ml) levels, without other specific alterations. After these results, therapy with Methylprednisolone 1g/day for 5 days, and Levothyroxine, were chosen. There was a gradual improvement in the neurological condition from the 3rd day of treatment. Conclusion: immediate recognition of Hashimoto encephalopathy is important. Although the pathogenesis is unknown, the disorder is treatable. This entity should always be remembered for the proper direction of therapeutic approaches, thus enabling better outcomes to the patient.
Trigeminal Neuralgia associated with Wallenberg Syndrome, a case report
Authors: Maia Matheus Goncalves , Gagliardi Vivian Dias Baptista , Oliveira Francisco Tomaz Meneses , Sousa Eduardo dos Santos , Marques Marina Trombin , Bernardes Leonardo de Sousa , Bechara Edson Júnior Gonçalves
Published: December 2021

Context: Trigeminal neuralgia is typically associated with structural lesions that affect the brainstem, pre-ganglionic roots, gasserian ganglion and the trigeminal nerve. The association of trigeminal neuralgia with infarction of the dorsolateral medulla is rare, being more associated with pontine lesions, in the context of brainstem infarction. Methods: Report the case of a 55-year-old male patient, who presented with a left dorsolateral bulbar infarction, and developed a ipsilateral trigeminal neuralgia afterwards. Case report: A 55-year-old man attended to the emergency room referring sudden incoordination of the left limbs, associated with numbness of the contralateral limbs. The neurological examination showed nystagmus, numbness of the left face, ataxia of the left limbs and numbness of the right limbs. The Magnetic Resonance of the Brain revealed an area of recent infarction in the left posterolateral aspect of the medulla. He underwent thrombolysis, evolving with complete resolution of symptoms. In the week after the initial event, he returned to the outpatient clinic, reporting paroxysms of excruciating pain in the upper lip, nose and left zygomatic region, being diagnosed with neuralgia of the maxillary segment of the trigeminal nerve, improving with introduction of Gabapentin. Conclusion: Although most cases of trigeminal neuralgia are determined by vascular compression of the trigeminal nerve root entry zone, other causes must be considered. The association of this condition with dorsolateral medulla infarction is rare, with only 4 cases reported in the last 10 years.
Epidemiological profile of deaths from cerebrovascular diseases in residentes of the state of São Paulo in 2019
Authors: Portes Gustavo Cosendey , Mendonça Bárbara Gazolla de , Amorim Carolina Falconi , Cruz Flávio Wellington Martins , Leite Lara Lopardi de Souza , Oliveira Maurycia Lima de
Published: December 2021

Background: Cerebrovascular diseases (CBVD) constitutes the second leading cause of death worldwide. Among the risk factors that can contribute to the pathology, the modifiable factors are related to lifestyle habits and the unmodifiable to gender, age and race. The proper management of these factors reduces the susceptibility of the person dying. Thus, it’s valuable to have this knowledge, once the identification and control provides the primary prevention. Objectives: Expose the epidemiological profile of deaths by CBVD in the population in 2019. Design and setting: Quantitative study, descriptive and observational, with data obtained in the Mortality Information System. Methods: Analysis of deaths due to CBVD in the state of São Paulo (SP) according to age range, gender and race. Results: The number of deaths by DBVD in 2019 in the state of SP were 21.716; according to gender, 51,0% were male patients, and 49,0% female. Regarding the age range, they all showed deaths by CBVD, the age group most affected, with 36,1% of deaths, were over 80 years old. Furthermore, the mortality of people with 60 years or more, represented 81,9% of the cases. The caucasion race had the highest number of deaths by DBVD with 68,0%, followed by mixed race with 20,8% and black race with 8,0%. Conclusions: The knowledgment of the epidemiological profile of deaths caused by CBVD in the state of SP is important, especially for identifying risk factors, planning and executing preventive actions, aiming to reduce the frequency of complications and deaths.
Persistent hemicrania as onset manifestation of Ramsay Hunt Syndrome
Authors: Leal II Ney Adson , Mendes Nágila Pereira , Bolzani Caroline Moraes Tapajós , Silva Junior Hilton Mariano da
Published: December 2021

Context: Ramsay Hunt Syndrome (RHS), also named Optic Herpes Zoster is caused by the reactivation of Varicella-Zoster Virus that occurs in the geniculate ganglion. The classic syndrome is composed of vesicular lesions in the ear, ipsilateral otalgia and peripheral facial palsy. The onset of the syndrome with persistent hemicrania is absolutely atypical as a manifestation of RHS. Case report: A 69 year old woman with subacute onset of left exclusive hemicrania in moderate strong intensity without autonomic signs. Eight days after the onset of headache, she presented left peripheral facial paralysis and after 4 days, she noticed the appearance of vesicles in the left ear and pain in swallowing. She has developed nausea with several episodes of vomiting, important imbalance that made impossible gait. On physical examination she presented vesicles in the left ear and oropharynx, left peripheral facial paralysis House Brackmann grade IV, left hypoacusis, nystagmus and vestibular gait. The brain CT and cerebrospinal fluid analysis were normal. The patient has progressive improvement with Acyclovir. Conclusions: Otalgia or even intermediate neuralgia are more frequent painful manifestations of RHS. This case report highlights the need to consider the diagnosis of SRH in patients with persistent hemicrania, even if without initial classic signs of the syndrome.
The effect of telemedicine on patients’ compliance in family medicine follow-ups in Qatar
Authors: AlAhmad Yaman M. , Mahmoud Haggeer Duaa , Alsayed Abrar Yaser , Haik Mahmoud Y. , AbuAfifeh Leen Maen , Hussain Aljaber Mohammed , Mohamed Ahmed Aboubakr , Balideh Mohammad , Almutawa Nora , Mahmoud Mohamed Hashim
Published: December 2021

Introduction: Telemedicine is the delivery of health care services to patients distantly. During the Coronavirus Disease 2019 (COVID-19) pandemic, telemedicine has become an essential implement in delivering healthcare services worldwide. Accordingly, in March 2020, the Primary Health Care Centers (PHCCs) in Qatar has started telephone consultation follow-up appointments in Family Medicine (FM) clinics instead of conventional consultation. Given the limited data about telephone consultations in Qatar, our aim of this study is to investigate the possible impact of telemedicine on chronic disease patients’ follow-up compliance.

Methods: This study compares the compliance of adult patients with chronic diseases following-up within FM clinics in Qatar's PHCC through telephone consultations with a minimum of three telephone consultations ordered between April to November 2020, in comparison to the compliance of the same group of patients to their prior face-to-face follow-up consultations in FM clinics with a minimum of three face-to-face ordered follow up appointments between April to November 2019. A cross-sectional study will be carried out to investigate the effect of telephone consultation in PHCC on patients’ compliance with reference to conventional face-to-face consultation. Patients’ data will be received from Health Information Management in twenty-seven PHCCs in Qatar.

Conclusion: Due to the limited studies on the effectiveness of telemedicine on patient compliance in FM follow-ups within Qatar's PHCC, comparing patients’ follow-up compliance with telephone consultations to their prior face-to-face consultations would be helpful in assessing patients’ quality of care delivering within FM clinics. With telecommunication being easily accessible and time-efficient, it is believed, when used correctly, it might improve compliance and adherence to the management prescribed by the physician and follow-up appointments in Qatar's PHCC. In addition, this study will help in providing recommendations that could guide the organization on forming policies to be applied in PHCCs after the resolution of the COVID-19 pandemic.