bluuebunny/crossref_metadata_2025 huggingface dataset:
A IMPORTÂNCIA DA CAPACIDADE DO PROCESSO PRODUTIVO
Authors: Crespo Adalberto Nobiato , Contieri Gabriel Rodolfo , Silva Rafael Castelani da
Published: February 2021

O objetivo deste trabalho é avaliar a capabilidade no processo produtivo para aprovação de uma melhoria de processo em uma empresa fornecedora de transmissões mecânica para veículos automotores. A melhoria consiste em verificar se um equipamento de torno de controle numérico é capaz de executar o processo de torneamento duro de engrenagens com corte interrompido para substituir o processo de retífica que é utilizada no processo e não atende às normas de segurança, devendo ser substituída por um equipamento novo ou ser reformada para adequação, conforme a norma de segurança NR12. Segundo o manual dos fabricantes de autopeças, sempre que houver qualquer alteração na forma de processamento dos produtos, é necessário a aprovação do PPAP (Processo de Aprovação da Peça de Produção). Desta forma, o estudo foi feito de maneira exploratória em 3 testes com tipos de insertos de usinagem diferentes com objetivo de verificar qual situação teria o melhor resultado para aprovação dos índices de capabilidade de processo (Cp e Cpk). O terceiro tipo de inserto foi o que obteve o melhor resultado em relação à durabilidade e variação de medidas, atendendo aos valores de Cp e Cpk necessários para aprovação do processo. A importância deste trabalho é mostrar que o processo de torneamento duro é capaz de atender os requisitos de qualidade com equipamento disponibilizado internamente, e evitar custos desnecessários na compra de um equipamento novo ou na reforma da retífica para adequação junto a norma NR12.
PENSANDO NO FUTURO: A EDUCAÇÃO ESCOLAR NO ENFRENTAMENTO À VIOLÊNCIA DOMÉSTICA CONTRA A MULHER
Authors: Da Silveira Carlos Roberto , Cruz Vânia Baptista
Published: February 2021

Este trabalho, trata-se de uma pesquisa de Iniciação Científica sobre o fenômeno da violência doméstica contra a mulher, através de uma pesquisa exploratória, bibliográfica documental com dados da Secretaria da Mulher, do “Projeto Maria da Penha vai às Escolas” de MG, do Gibi, “As Marias em: Maria da Penha vai às escolas!”, da Lei Maria da Penha, dentre outros. Acreditamos que, para a conscientização do tal fenômeno, seja imprescindível uma ação educacional mais profunda, em especial, no período “Escolar”, ou seja, nos Ensinos  Fundamental e Médio, com normas educativas e espaços mais amplos de discussão que visem à compreensão das crianças e adolescentes sobre a violência doméstica (aqui em especial sobre a violência contra a mulher), no sentido de unirmos forças não somente quanto aos adultos e infratores, mas quanto às crianças e adolescentes que serão estes homens do futuro.  Assim sendo, analisamos a “Sugestão de Atividades Pedagógicas: Projeto Maria da Penha vai às escolas” do Estado de Minas Gerais, bem como o Gibi, “As Marias em: Maria da Penha vai às escolas!” que integram as ações quanto às atividades pedagógicas nas escolas mineiras. Portanto, esperamos contribuir de alguma forma para se repensar este fenômeno de violência no Brasil, isso a partir das crianças e adolescentes, no sentido de auxiliar na busca da igualdade, do respeito entre gêneros numa cultura da paz, e quem sabe, a experiência em Minas Gerais possa também ser aplicada em nossa região, contribuindo para uma sociedade mais justa e humana.
Pengaruh Strategi Bisnis, Pendelegasian Wewenang, Kepemimpinan, Kebijakan Manajemen Keuangan Dan Manajemen Likuiditas Terhadap Manajemen Laba Pada Yayasan Nirlaba Yarsi Sumatera Barat
Authors: Ahmad Afridian Wirahadi , Astuti Risa
Published: February 2021

Penelitian ini bertujuan untuk menguji pengaruh strategi bisnis, pendelegasian wewenang, kepemimpinan, kebijakan manajemen keuangan dan manajemen likuiditas terhadap manajemen laba. Penelitian ini dilakukan di Yayasan Rumah Sakit Islam (YARSI) Sumatera Barat. Jenis penelitian ini merupakan penelitian kuantitatif kausalitas dengan menggunakan kuesioner. Populasi dari penelitian adalah Pimpinan Yayasan dan Pimpinan unit usaha ada di Yarsi Sumatera Barat. Semua anggota popluasi menjadi sampel dalam penelitian. Hasil penelitian menunjukkan bahwa (1) strategi bisnis tidak berpengaruh positif terhadap manajemen laba, (2) pendelegasian wewenang tidak berpengaruh positif terhadap manajemen laba, (3) kepemimpinan berpengaruh negative terhadap manajemen laba, (4) kebijakan manajemen keuangan tidak berpengaruh positif terhadap manajemen laba, (5) manajemen likuiditas tidak berpengaruh positif terhadap manajemen laba
Pancreatic Damage Control: The Pancreas is Simple Don’t Complicate It
Authors: Ordoñez Carlos Alberto , Parra Michael , Millan Mauricio , Caicedo Yaset , Padilla Natalia , Garcia Alberto , Gonzalez Hadad Adolfo , Pino Luis Fernando , Rodríguez-Holguín Fernando , Serna Jose Julian , Salcedo Alexander , Ferrada Ricardo , Miñan-Arana Fernando , Ivatury Rao , Guzmán Mónica
Published: February 2021

Pancreatic trauma is a rare but potentially lethal injury because often it is associated with other abdominal organ or vascular injuries. Usually, it has a late clinical presentation which in turn complicates the management and overall prognosis. Due to the overall low prevalence of pancreatic injuries, there has been a significant lack of consensus among trauma surgeons worldwide on how to appropriately and efficiently diagnose and manage them. The accurate diagnosis of these injuries is difficult due to its anatomical location and the fact that signs of pancreatic damage are usually of delayed presentation. The current surgical trend has been moving towards organ preservation in order to avoid complications secondary to exocrine and endocrine function loss and/or potential implicit post-operative complications including leaks and fistulas. The aim of this paper is to propose a management algorithm of patients with pancreatic injuries via an expert consensus. Most pancreatic injuries can be managed with a combination of hemostatic maneuvers, pancreatic packing, parenchymal wound suturing, and closed surgical drainage. Distal pancreatectomies with the inevitable loss of significant amounts of healthy pancreatic tissue must be avoided. General principles of damage control surgery must be applied when necessary followed by definitive surgical management when and only when appropriate physiological stabilization has been achieved. It is our experience that viable un-injured pancreatic tissue should be left alone when possible in all types of pancreatic injuries accompanied by adequate closed surgical drainage with the aim of preserving primary organ function and decreasing short and long-term morbidity.
Damage control surgery: a constant evolution
Authors: Ivatury Rao , Feliciano David V , Herrera Juan Pablo
Published: February 2021

The story of trauma resuscitation is similar to that of many other advances in medicine: described, forgotten, reinvented, ridiculed, and finally accepted. Even after acceptance, the concepts go through periods of neglect and indifference before they are tried and enhanced, till the next advance.
            Damage control, a strategy for management of critically injured or ill patients, is a prime example of this phenomenon. It reminds us of the famous words of Oliver Goldsmith in 1761: “for he who fights and runs away, will live to fight another day, but he who is in battle slain, will never rise and fight again”.  Damage control was based on the recognition of the lethal triad of hypothermia, acidosis, and a coagulopathy resulting from massive blood loss, large-volume resuscitation and ischemia-reperfusion. It was an approach that J. Hogarth Pringle from Glasgow, Scotland, suggested in 1908 with his principles of compression and hepatic packing for control of venous hemorrhage from the injured liver: temporary, expeditious and effective. Packing, however, was rarely utilized during World War II and the Vietnam War because of the presumed risk of rebleeding with removal of the packs. The ever-difficult challenge of “non-surgical bleeding” from a coagulopathy due to massive hepatic injuries did, eventually, lead to a resurrection of the concept of perihepatic packing in the 1980s in civilian centers and became one of the initial steps in damage control for patients with severe and/or multiple intra-abdominal injuries.
Prehospital Damage Control: The Management of Volume, Temperature…and Bleeding!
Authors: Melendez Juan Jose , Caicedo Yaset , Guzman Monica , Serna Jose Julian , Ordoñez Juliana , Angamarca Edison , Garcia Alberto , Pino Luis Fernando , Quintero Laureano , Parra Michael , Ordoñez Carlos Alberto
Published: February 2021

Damage control resuscitation should be initiated as soon as possible after a traumatic event to avoid metabolic decompensation and high mortality rates. This article aims to assess the position of the Trauma and Emergency Surgery Group (CTE) from Cali, Colombia regarding prehospital care, and to present our experience in the implementation of the “Stop the Bleed” initiative within Latin America.
Prehospital care is phase 0 of damage control resuscitation. Prehospital damage control must follow the guidelines proposed by the “Stop the Bleed” initiative. We identified that prehospital personnel has a better perception of hemostatic techniques such as tourniquet use than hospital providers. The use of tourniquets is recommended as a measure to control bleeding. Fluid management should be initiated using low volume crystalloids, ideally, 250cc boluses, maintaining the principle of permissive hypotension with a systolic blood pressure range between 80- and 90-mm Hg.  Hypothermia must be managed using warmed blankets or the administration of intravenous fluids warmed before infusion. However, these prehospital measures should not delay the transfer time of a patient from the scene to the hospital.
To conclude, prehospital damage control measures are the first steps in the control of bleeding and the initiation of hemostatic resuscitation in the traumatically injured patient. Early interventions without increasing the transfer time to a hospital are the keys to increase the survival rate of severe trauma patients.
Damage Control of Laryngotracheal Trauma: The Golden Day
Authors: Herrera Mario Alain , Tintinago Luis Fernando , Victoria William , Ordoñez Carlos Alberto , Parra Michael , Betancourt-Cajiao Mateo , Caicedo Yaset , Guzman Monica , Gallego Linda M. , Gonzalez Hadad Adolfo , Pino Luis Fernando , Serna Jose Julian , García Alberto , Serna Carlos , Hernandez Fabian
Published: February 2021

Laryngotracheal trauma is rare but potentially life-threatening as it implies a high risk of compromising airway patency. A consensus on damage control management for laryngotracheal trauma is presented in this article. Tracheal injuries require a primary repair. In the setting of massive destruction, the airway patency must be assured, local hemostasis and control measures should be performed, and definitive management must be deferred. On the other hand, management of laryngeal trauma should be conservative, primary repair should be chosen only if minimal disruption, otherwise, management should be delayed.  Definitive management must be carried out, if possible, in the first 24 hours by a multidisciplinary team conformed by trauma and emergency surgery, head and neck surgery, otorhinolaryngology, and chest surgery. Conservative management is proposed as the damage control strategy in laryngotracheal trauma.
PENGARUH STRES KERJA , MOTIVASI KERJA, PELATIHAN KERJA TERHADAP KINERJA GURU
Authors: Rosyadi Imam
Published: February 2021

AbstrackThe purpose of this research is to know influence of work stres , work motivation and training to good teacher performance simultaneously and partial also to know dominant variable than influence the teacher performance. SMK Gondang is the researcher location with 57 teachers as respondent. Data analysis techniques used to test the hypothesis is couple linear regression analysis that has a purpose to know the simultaneous and partial influences also to determine dominant variable that influences teacher performance. Based on the analysis result we know that work stres variable, work motivation and traning significant simultaneously to SMK Gondang teacher performance with contribution number is 91,6 percent. Stres variable, work motivation and training has positive influences and significant partially to employee performance at SMK Gondang with variable motivation work as the most influence variable to teacher performance.Keywords: Work stress; Work Motivation; Training; and Teacher PerformanceAbstrak�Penelitian ini adalah untuk mengetahui apakah pengaruh stres kerja, motivasi kerja dan pelatihan terhadap kinerja guru, baik secara simultan dan parsial sehingga dapat� mengetahui variabel dominan dari pengaruh kinerja guru. Penelitian ini dilaksanakan di SMK Gondang Pekalongan. SMK Gondang Pekalongan adalah lokasi peneliti dengan 57 guru sebagai responden. Teknik analisis data yang digunakan untuk menguji hipotesis adalah analisis regresi linier berganda yang bertujuan untuk mengetahui pengaruh simultan dan parsial juga untuk mengetahui variabel dominan yang mempengaruhi kinerja guru. Berdasarkan hasil analisis diketahui bahwa variabel stres kerja� , motivasi kerja dan traning signifikan secara simultan terhadap kinerja guru SMK Gondang dengan jumlah kontribusi 91,6 persen. Variabel stres kerja , motivasi kerja dan pelatihan memiliki pengaruh positif dan signifikan secara parsial terhadap kinerja karyawan di SMK Gondang dengan variabel motivasi kerja sebagai variabel yang paling berpengaruh terhadap kinerja guru.�Kata Kunci: Stres kerja; Motivasi Kerja; Pelatihan; dan Kinerja Guru
Resuscitation Fluid Requirements in Burn Injury Patients Using Intravenous Vitamin C: An Evidence Based Case Report
Authors: Hendra Hendra , Muhamad Davie , Andayani Diyah Eka
Published: February 2021

Background: Based on the Guideline of European Society for Clinical Nutrition and Metabolism (ESPEN) in 2013, vitamin C is an additional therapy for burn patients during the resuscitation process and reduce the amount of fluid resuscitation but still needs further evidence. This study aims to find the effect of intravenous vitamin C administration to reduce the fluid requirements during first 24 hours resuscitation in burn patients.Methods: Electronic Literature search were performed in PubMed, Cochrane, Scopus and ProQuest databases. Hand searching was also performed. MesH Term was used in PubMed database searching. All literature obtained was screened based on inclusion and exclusion criteria.Results: Three articles were selected based on the eligibility criteria. Two Randomized Controlled Trial / RCT studies concluded that intravenous vitamin C administration reduced resuscitation fluid requirements in burn patients. But in the case control study there was no significant difference in resuscitation fluid requirements between the two groups. Other study reported that there were significant differences in resuscitation fluid requirements between the two groups. Both RCT studies did not use the blinding method and explained the side effects of therapy. A case control study reported an increase in cases of acute kidney failure in the vitamin C group compared to control (23% vs 7%) although it was not statistically significant.Conclusions: Intravenous vitamin C can reduce the resuscitation fluid requirements in the first 24 hours in burn patients (grade C recommendation).
Partially Hydrolyzed Whey Protein: A Review of Current Evidence, Implementation, and Further Directions
Authors: Hegar Badriul , Munasir Zakiudin , Suryawan Ahmad , Sidhiarta I gusti Lanang , Wati Ketut Dewi Kumara , Prafiantini Erfi , Irene Irene , Vandenplas Yvan
Published: February 2021

Background: Human milk is known to be the best nutrition for infants as it provides many health benefits. For non-breastfed infants, cow's milk based infant formula is the most optimal option to provide the needed nutrition. However, approximately 2-5% of all formula-fed infants experience cow’s milk allergy during their first year of life. Partially hydrolyzed whey formula (pHF-W) have been widely recommended to prevent the development of allergic disease in infants. However, according to epidemiological data, approximately half of the infants developing allergy are not part of the at-risk group.Objectives and Methods: This article aims to review the effects of pHF-W in preventing allergy, especially atopic disease, in all non-breastfed infants, as well as the safety aspect of pHF-W if used as routine formula. The role of pHF-W in the management of functional gastro-intestinal (GI) disorders is also reviewed.Results: Several clinical studies showed that pHF-W decrease the number of infants with eczema. The strongest evidence is provided by the 15-year follow up of the German Infant Nutritional Intervention study which showed reduction in the cumulative incidence of eczema and allergic rhinitis in pHF-W (OR 0.75, 95% CI 0.59-0.96 for eczema; OR 0.67, 95% CI 0.47-0.95 for allergic rhinitis) and casein extensively hydrolysed formula  group (OR 0.60, 95% CI 0.46-0.77 for eczema; OR 0.59, 95% CI 0.41-0.84 for allergic rhinitis), compared to CMF as a control, after 15 years of follow-up. pHF-W was also found to be beneficial in the management of functional GI disorders such as regurgitation, constipation and colic.Conclusions: The use of pHF-W in allergic infants has been recommended in various guidelines across the countries, as a primary prevention of allergic disease. One pHF-W has been approved by the US FDA and the European Commission's European Food Safety Authority (EFSA) for its safety and suitability as a routine infant formula for all healthy infants. According to the data obtained in the management of functional GI disorders, pHF-W is better tolerated than formula with intact protein. Further studies assessing the effect of routine use of pHF-W in a larger population of non-breastfed infants should also be conducted, in order to observe any potential harm and to determine the benefit and cost-effectiveness ratio.
Nutritional status indicator and its correlation with mental health score among adolescents in Islamic boarding schools
Authors: Nauli Soraya Ningrum NP , Bardosono Saptawati , Wiradnyani Luh Ade
Published: February 2021

Background: It has been estimated that about 10–20% of adolescents worldwide had experiences of mental health problems. Malnutrition, including overweight and obese, is one of the risk factors for mental health in adolescents. There is a knowledge gap regarding the nutritional status and its correlation with mental health among adolescents who live in boarding schools. This study aimed to determine nutritional status and its correlation with mental health among adolescents in Islamic boarding schools.Methods:  A cross-sectional approach was used in this study in which two schools in South Tangerang City of Banten Province were purposively selected and 302 of students aged 15–18 years were completed this study. BMI-for-age Z-scores (BAZ) was used as the nutritional status indicator, and the Strengths and Difficulties Questionnaire (SDQ) was used to determine mental health of the subjects. Spearman correlation was used to determine the correlation between nutritional status indicator and mental health score.Results: Nearly 30% of the subjects were overweight and obese, and almost 20% had result of mental health score in categories “borderline” and “abnormal”. There was a significant correlation between nutritional status indicator and mental health score among adolescents in Islamic boarding schools (r=0.157, P=0.006).Conclusion: Adolescents who had higher BAZ, had higher total difficulties scores. The schools and policy makers should give attention to nutritional status of the students since it is correlated with mental health.
The correlation between body mass index and the risk of osteoporosis in Acehnese adult females in Zainoel Abidin General Hospital
Authors: Safhira Putri Ananda Nadia , Husnah Husnah , Rahman Safrizal
Published: February 2021

Background: Osteoporosis is a condition in which bone become weak and brittle characterized with lower bone density and quality causing increased risk of fracture. The elderly is the most common group to be affected and female is more prone compared to male. One of modifiable risk factors of osteoporosis is low body mass index or underweight. This study aimed to investigate the correlation between body mass index and the risk of osteoporosis on Acehnese adult females in RSUDZA.Methods: This was an analytic observational-cross sectional study which was completed at the Internal Medicine and Orthopedic Policlinic at Zainoel Abidin General Hospital Banda Aceh from August 27th to September 13th 2019. The sampling method used was nonprobability sampling with accidental sampling technique. The body mass index was obtained by measuring respondents’ height and weight while the risk of osteoporosis was assessed by measuring OSTA Score.Results: Results showed that most of respondents was aged between 40-45 years old (55.4%) and there are 62 respondents (74.7%) with abnormal body mass index consisted of 9 underweight respondents (10.8%), 11 overweight respondents (13.3%), and 42 obese respondents (50.6%). The risk of osteoporosis was dominantly mild (69.9%). There were 7 underweight respondents (77.8) had moderate risk of osteoporosis while 2 underweight respondents had severe risk (22.2%). Meanwhile, 41 obese respondents had mild risk of osteoporosis (97.6%). Correlation test using Spearman showed p value 0.000 (p < 0.05) and rs = -0,731 which means that there is a strong correlation between body mass index and the risk of osteoporosis.Conclusions: Lower body mass index is directly proportional with higher risk of osteoporosis.
The quantum complexity of approximating the frequency moments
Authors: Montanaro Ashley
Published: February 2021

The k’th frequency moment of a sequence of integers is defined as F_k = Sum_ j n^k _j , where n_j is the number of times that j occurs in the sequence. Here we study the quantum complexity of approximately computing the frequency moments in two settings. In the query complexity setting, we wish to minimise the number of queries to the input used to approximate F_k up to relative error epsilon. We give quantum algorithms which outperform the best possible classical algorithms up to quadratically. In the multiple-pass streaming setting, we see the elements of the input one at a time, and seek to minimise the amount of storage space, or passes over the data, used to approximate F_k. We describe quantum algorithms for F_0, F_2 and F_∞ in this model which substantially outperform the best possible classical algorithms in certain parameter regimes.
Pharmacotherapy for acute respiratory infections caused by influenza viruses: current possibilities
Authors: Zyryanov Sergey K. , Butranova Olga I. , Gaidai Dmitry S. , Kryshen Kirill L.
Published: February 2021

Routinely the influenza virus significantly contributes to the formation of the annual incidence of acute respiratory infections, with a peak in winter season. The high level of mutagenic potential of influenza viruses is a standard factor determining the complexity of the rational choice of pharmacotherapy. The upcoming epidemiological season 20202021 brings additional challenges for health care practitioners mediated by the widespread prevalence in the human population of a new infection caused by the SARS-CoV-2 virus affecting the respiratory system among many organs and systems. An adequate choice of pharmacotherapy tools should be based on high efficiency and safety of drugs, with a possible reduction in such negative factors as polypharmacy. This review includes comparative pharmacological characteristics of drugs with activity against RNA viruses, along with parameters of their clinical efficacy.
Analysis of the causes of repeat stenosis of the coronary arteries after elective stenting in patients with stable angina pectoris
Authors: Filatova Anastasia Y. , Osokina Anna K. , Potekhina Alexandra V. , Romasov Ivan V. , Kotkina Tatiana I. , Shchinova Alexandra M. , Noeva Elena A. , Arefieva Tatiana I. , Barabanova Elena A. , Merkulov Evgeny V. , Samko Anatoly N. , Provatorov Sergey I.
Published: February 2021

Aim. Coronary stenting is the evidence-based treatment approach of stable angina. The objective was to determine the incidence of restenosis or atherosclerosis progression which led to the need for coronary angiography according to a single center registry data.
Materials and methods. The procedure and clinical data of 3732 (2897 males) consecutive stable coronary artery disease patients undergoing coronary stenting, over five years between March 2010 and September 2014, were subject of this study. Over the next 4 years, 1487 (1173 males) patients were re-evaluated due to angina reoccurrence. 699 patients demonstrated the indications for coronary angiography.
Results. The restenosis of the previously stented segment was detected in 84 (12%) cases, the progression of coronary atherosclerosis in 306 (44%), the combination of restenosis and atherosclerosis progression in 63 (9%), and the absence of these complications in 245 (35%) cases. The progression of coronary atherosclerosis was the leading indication for the repeat angiography and revascularization (44 and 58%, respectively); p0.05. The basal level of hsCRP2 mg/l had a prognostic significance for the development of combined event (the restenosis and atherosclerosis progression): AUC 0.65 (0.500.75), OR 3.0 (1.17.9), p0.05.
Conclusion. The progression of coronary atherosclerosis was the leading indication for the repeat angiography and repeat revascularization during 2 years after coronary stenting. The hsCRP level 2 mg/l at baseline had a prognostic significance for the development of restenosis in previously stented segment and coronary atherosclerosis progression.
Inflammatory diseases of the pancreas: what new do we know about the mechanisms of their development in the 21st century?
Authors: Akhmedov Vadim A. , Gaus Olga V.
Published: February 2021

Inflammatory diseases of the pancreas can range from acute to acute recurrent and chronic pancreatitis. With the improvement of laboratory diagnostics in the 21st century, the mechanisms of the pro-inflammatory and anti-inflammatory role of tight junctions, in particular the transmembrane proteins occludin, claudine and JAMs, cytoplasmic Zo-proteins, and adherens junctions, in particular -catenin, -catenin, E-cadherin, selectins and ICAMs in the pathogenesis of acute and chronic pancreatitis have become more clear. The study of genetic factors in the development of acute and chronic pancreatitis showed the role of mutations in the genes SPINK1 N34S, PRSS1, CEL-HYB in the progression of the disease.
Calcification and atherosclerosis of the coronary arteries
Authors: Kashtanova Elena V. , Polonskaya Yana V. , Ragino Yulia I.
Published: February 2021

Calcification is a very common phenomenon in the coronary arteries, which is part of the atherosclerotic process, and the degree of calcification can predict clinical outcomes in patients at high risk of coronary events. Both the degree of calcification and the patterns of its distribution are of prognostic importance, but the relationship of coronary artery calcification with atherosclerotic plaque instability is extremely complex and not fully understood. This article is devoted to the study of calcification markers and their influence on the development of atherosclerotic foci.
The Role of Sacred Landscape in Sufism: a Mountain
Authors:   Kazan (Volga Region) Federal University, Ismoilov L. E. , Yuzmukhametov R. T. ,   Kazan (Volga Region) Federal University
Published: February 2021

The article is devoted to the issue of a sacred landscape (a mountains) in the Sufi writings of Transoxiana of the 16th century. The pertinence of this theme is due to the need to study the issue of semantic interpretation of the concept of a sacred landscape, namely mountains, in Sufi writings. In this regard, the purpose of this article is to reveal various meanings of the concept of “a sacred landscape” in the manaqibs of Transoxiana of the 16th century by such authors as Khoja Iskhoki Kalobodi, Mahmud ibn Wali, Muhammad Alim al-Siddiqi al-Alawi and others, which contain important information on this topic. Main methods used in the study are the historical-comparative method, and the method of literary analysis, which allow us to create a holistic idea of the symbolism of landscapes (mountains, deserts, rivers) in the Sufi writings of Transoxiana in the 16th century. The subject of this study is specific features of a mountain landscape and the reasons for its attractiveness for a travelling Sufi. An inner spiritual search led the lonely Sufi to high and endless mountain surroundings where he found an answer to the needs of his mental and spiritual anxiety.
The Formation of Artistic Competence in the Evangelical Church in Germany in the XX – Early XXI Century
Authors:   Vladimir State University, Barashkov V. V.
Published: February 2021

In various Protestant denominations (particularly in the Evangelical Church in Germany) the demand for the formation of artistic competence has been growing since the mid 20th century. The celebration of the 500th anniversary of the Reformation in Germany in 2017 contributed to a new round of discussion of this issue. Luther's attitude to artistic images has been reevaluated. Interconnectedness of the word and image in the process of religious communication has been emphasized. The autonomy of art and freedom of creative expression of an artist in the dialogue with religion (in the form of exhibitions, installations in churches, etc.) has been recognized.
The Right to Form Associations Enshrined in the Constitution of the Russian Federation as a Form of Political Participation (the Case of Trade Unions)
Authors:   Educational Institution Trade Unions of Higher Education “Academy of Labor and Social Relations”, Sigurova A. Yu.
Published: February 2021

The article discusses the implementation of the right to form trade unions as a form of political participation in contemporary Russian society. The right to form associations is enshrined in the Constitution of the Russian Federation and is a conventional form of political participation. The author indicated methodological aspects of this problem through the prism of the concept of “professional interest” viewed as a desire of individuals to secure oneself against possible difficulties in the process of professional self-realization in the system of labor law relations or professional activity. Joining a trade union has a rational basis, because such behavior is thought to ensure an “effective result” – restoration of the violated right, assistance in realization of the right, etc. Another important methodological point is related to the consideration of cultural factors that do not determine political participation, although they are stable over time and related to other factors. Political culture is a reflection of the current political system. This area of concern reveals grounds and contradictions that determine the existing behavioral attitudes towards consensual political participation through joining trade unions.
EDUCATION AND POLITICS IN IAKOVOS ARGEIOS’S ORATION ADDRESSED TO CONSTANTINE BASSARABA (1708)
Authors:   Faculty of Philosophy/School of Philosophy and Education, Aristotle University of Thessaloniki GREECE, TSIOTRAS Vasileios
Published: February 2021

Iakovos Argeios (ca 1660-1736), dean of the Patriarchal Academy of Constantinople, authored in 1708 a lengthy encomiastic oration in honor of John Constantine Bassaraba Brancoveanu, the prince of Wallachia. This oration remained almost totally unknown to researchers. The main purpose of the present article is to edit this interesting text, in order to give the opportunity to study not only its content but also its connection with the political situation and the educational program of the Patriarchal Academy. It is delivered by three manuscripts, but only one is accessible: cod. Beinecke ms 295 (XVIII ce.), which was cautiously and diligently copied by the Phanariot Scholar Nikolaos Karatzas (1705-1787). Iakovos Argeios taught rhetoric theory and practice, a course that was introductory to the upper course of philosophical studies. As it emerged through the text analysis, the speech is written in the context of the rhetorical lecture and therefore had to implement all the principles of the literary genre of encomium, as mentioned in the handbooks of ancient and contemporary rhetoricians (Hermogenes, Aphthonius and Korydalleus). Yet, there is a basic difference: the present oration is a royal oration, which means that Iakovos had to use additional sources (Menander the Rhetor and Synesius). Furthermore, the existence and the content of the speech allows us to draw conclusions about Bassarava’s involvement in the administration and financial support of the Patriarchal Academy and Iakovos’s political ideas on the ideal ruler, the skills and qualities he must possess in order to exercise effective administration. This oration is not a slavish praise, full of flattery; it is an excellent example of the rhetorical eloquence of the famous Aristotelian professor. Iakovos gives us an ideal picture of Wallachia, as seen through the eyes of Constantinopolitan Greeks: the country of Constantine Bassaraba was the refuge for all the Orthodox.
كرده‌یا گه‌فكرنێ د زمانێ هۆزانێدا دیوانا باغێ كوردا وه‌ك نموونه
Authors: Sabri Sherzad
Published: February 2021

گه‌فكرن كرده‌یه‌كا گرنگه‌ ژ كرده‌یێن ئاخڤتنێ و پاراپتر ئه‌ڤ كرده‌یه‌ ل ده‌مێ تۆره‌بوونێ بكاردهێت وه‌كو كارڤه‌دانه‌كا ژلایێ ئاخڤتنكه‌ریڤه‌. ئه‌ڤ ڤه‌كۆلینه‌ ب ناڤونیشان(كرده‌یا گه‌فكرنێ د زمانێ هۆزانێدا-دیوانا باغێ كوردا وه‌ك نموونه‌)، كو تێدا هه‌ول هاتییه‌ دان جۆرێن گه‌فكرنێ ل دویڤ دیتنێن( فرێزه‌ر و كاوى، هالیداى ) ل سه‌ر دیوانا باغێ كوردا یا (نالبه‌ند)ى بهێته‌ پراكتیكرن و ڕێژه‌یا بكارهینانا هه‌ر جۆره‌كێ بكارهاتى هاتییه‌ ده‌ستنیشانكرن. ئارمانجا سه‌ره‌كییا ئه‌ڤێ ڤه‌كۆلینێ هه‌ر ئه‌و بوویه‌، كو ڕێژه‌یا سه‌دییا هه‌ر جۆره‌كێ گه‌فكرنێ یێن ڤه‌كۆلین ل دویڤ چووی د ئه‌ڤێ دیوانێدا بهێته‌ ده‌ستنیشانكرن. ئه‌ڤ ژبلى پێشه‌كى و ئه‌نجامان ژ دوو پشكان پێكدهێت. پشكا ئێكێ جه‌ختێ ب گشتێ به‌حسێ كرده‌یا ئاخڤتنێ یا گه‌فكرنێ دكه‌ت، ل گه‌ل هنده‌ك كرده‌یێن دى یێن ئاخڤتنێ یێ په‌یوه‌ندى ب گه‌فكرنێڤه‌ هه‌ین. وه‌كو(هۆشداریكرن، په‌یماندان). پشكا دووێ یا تایبه‌ته‌ ب پراكتیكرنا جۆرێن گه‌فكرنێ ل سه‌ر زمانێ هۆزانێ یا دیوانا باغێ كوردا یا هۆزانڤان(ئه‌حمه‌دێ نالبه‌ند).
Influence of Transferred Prenatal Stress on the Future of Women's Reproductive Health
Authors:   Zaporizhzhia State Medical University. 26, Mayakovsky Avenue, Zaporizhzhia 69035, Ukraine, Semenenko I. V. , Barkovsky D. Ye.
Published: February 2021

Prenatal stress is quite a common occurrence in a modern society and in return affects the development of violations of women’s` reproductive health. It is an obvious need to give an appropriate attention to the woman in the process of a diagnosis of an obstetric and gynecological pathology and also a use of anti-stress therapy and the correction of systemic stress-induced disorders in treatment regimes. The purpose of research was to analyze the literary tributes, dedicated to the problem of prenatal stress and this infusion on the reproductive health of women. Material and methods. We analyzed publication of national and foreign authors on the research topic. Methods of research: statistical and method of expert evaluations. Results and discussion. Psychological unavailability to motherhood of infertile women creates a situation of a prolonged emotional stress, which leads to the prenatal stress and provokes an activation of the modified adaptive response, launches a pathological range of reproductive disorders. We studied the problem of prenatal stress and the general mechanisms of its effects on the body of women in the reproductive period. We described the long-term effects of prenatal stress on emotional suffering, mental and physical health of women. The experienced prenatal stress is a predictor of disorders of the reproductive system in the future, associated with emotional states, the elimination of which restores reproductive function. Psychological unpreparedness for motherhood among women with infertility creates a situation of prolonged emotional stress, which leads to prenatal stress and provokes the activation of their inherent altered adaptive response. The mentioned factors are the triggers for pathological range of reproductive disorders. Prenatal stress is a common phenomenon in modern society, which effects on the development of disorders of women reproductive function. Conclusion. There is a necessity to pay appropriate attention to the patient within the diagnosis of obstetric and gynecological pathology, as well as the necessity for adequate therapy and correction of system stress-induced disorders in treatment regimens. There is a necessity for in-depth study of infertility associated with prenatal stress, development of a comprehensive differential approach to diagnosis and treatment, taking into account the patients' psycho-emotional state with further improvement of pre-pregnancy training and tactics for treatment of such women
Multimodal Low-opioid Anesthesia as an Effective Way to Prevent Postoperative Nausea and Vomiting. Pathophysiological Aspects of this Complication
Authors:   Shupyk National Medical Academy of Postgraduate Education. 9, Dorohozhytska St., Kyiv 04112, Ukraine, Ovsiienko Т. ,   Institute of Urology of the National Academy of Medical Sciences of Ukraine. 9-a, Yu Kotsyubynsky St., Kyiv 04053, Ukraine, Bondar M. ,   Shupyk National Medical Academy of Postgraduate Education. 9, Dorohozhytska St., Kyiv 04112, Ukraine, Loskutov O. ,   Shupyk National Medical Academy of Postgraduate Education. 9, Dorohozhytska St., Kyiv 04112, Ukraine
Published: February 2021

Postoperative nausea and vomiting are common adverse effects of anaesthesia and surgery. Up to 80% of patients may be affected. These outcomes are a major cause of patient dissatisfaction. In addition, postoperative nausea and vomiting can independently cause the occurrence of rather serious complications of the postoperative period, such as aspiration of gastric contents into the airways, hemodynamic disorders in patients with a compromised cardiovascular system, failure of surgical sutures, bleeding, dehydration and electrolyte imbalance which ultimately can lead to disability of patients, prolongation of their hospitalization and higher treatment costs. Material and methods. The paper presents the results of our own research on the use of multimodal low-opioid general anesthesia as one of the methods for the prevention of postoperative nausea and vomiting during anesthetic provision of laparoscopic kidney surgery. The study involved 38 patients who underwent laparoscopic kidney surgery. Results and discussion. To compare the incidence of postoperative nausea and vomiting, patients were randomly divided into two groups. Group 1 used multimodal general anesthesia with standard opioid doses, while group 2 used multimodal low-opioid general anesthesia. The total average dose of fentanyl that was used during the entire time of anesthesia in the control group was 373.3 ± 50.8 μg (4.34 μg / kg / h). The total average dose of fentanyl that was used during the entire time of anesthesia in the study group was 217.39 ± 49.1 μg (1.76 μg / kg / h). In group 1, vomiting occurred in 4 patients out of 15 in the postoperative period, in group 2 there were 4 patients with vomitting, but out of 23 operated patients. The standardized rate of postoperative nausea and vomiting in the control group was 26.6%, in the main group it was 17.3%. Conclusion. As a result of comparing the incidence of postoperative nausea and vomiting in patients of both study groups, we found that a decrease in the dose of perioperative use of opioids helps to reduce the incidence of this complication, which increased the safety of anesthetic management, greatly facilitated and accelerated the rehabilitation of patients after laparoscopic kidney surgery. The work also highlighted and systematized information on the morphology of structures involved in the formation of postoperative nausea and vomiting, on the physiology of this process
Analysis of the Efficiency of Laparoscopy in Acute Appendicitis in Pregnant Women
Authors:   State Institution Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine. 9, Vernadsky St., Dnipro 49044, Ukraine, Petrashenko I. I. , Loskutova T. O. , E. M. Zavizion
Published: February 2021

Diagnosis and treatment of acute surgical abdominal pathology in pregnant women is still complex and not fully resolved issue. The most frequent reason of urgent surgery in pregnant is acute appendicitis. This pathology remains an urgent problem nowadays. Still there is no consensus on the choice of appendectomy method depending on gestational term. The introduction of endoscopic surgery into widespread clinical practice significantly changed the views on the possibility of using it in pregnant women. But possibility of performing laparoscopy in pregnant women still causes some caution. Moreover, laparoscopic techniques at different stages of pregnancy are far from being improved. Material and methods. The study involved 73 pregnant women with acute appendicitis (group I) and 43 non-pregnant women (group II), who were hospitalized to the clinic. The informativeness of laparoscopic method was studied according to the following criteria: sensitivity (Se), specificity (Sp), accuracy (Ac) and efficiency (De). For each of these criteria was calculated a 95% confidence interval (CI). Results and discussion. Research did not reveal correlation of frequency direct and indirect laparoscopic signs from gestational terms. The frequency of these signs was almost the same in the groups of pregnant and non-pregnant women. The most difficult laparoscopic diagnosis was with catarrhal changes in the wall of appendix, since morphological changes in this form of inflammation extended only to the mucous and submucosal membranes, and macroscopic changes were minimal. Such symptom as the imposition of fibrin in catarrhal appendicitis was absent in all cases. The rest of the signs were observed in all women studied, while macroscopic changes in destructive forms of appendicitis, indicating inflammation, were frequent compared with catarrhal ones. Attention drawn to high parameters of informativeness diagnostic laparoscopy in pregnant women in the first trimester. This is due to the coincidence of clinical and histological diagnoses in this trimester. Considering the number of truly negative results of the study in the II and III trimesters of pregnancy, the indicators of informativeness of laparoscopy did not differ much from the gestational age. Conclusion. Thus, laparoscopy as a diagnostic method for acute appendicitis turned out to be quite informative in both pregnant and non-pregnant women: it allowed confirming or excluding diagnosis of acute appendicitis, it also accurately determined the localization of appendix, choosing correct treatment tactics and safely perform an adequate low-traumatic surgery
Using Sodium Hypochlorite as the Main Disinfectant in the Swimming Pool of National Technical University Sports Complex
Authors:   OO Bohomolets National Medical University. 13, T. Shevchenko Boulevard, Kyiv 01601, Ukraine, Solomakha K. V. , Harkavyi S. I.
Published: February 2021

This article is about the importance of sanitary and hygienic examination of water complexes, in particular, swimming pools and water parks. There is an increasing demand for visiting such water complexes in Ukraine, both for sports activities and for leisure activities. The focus of this article is on the sanitary and hygienic examination and survey of pool water, which is treated with sodium hypochlorite (obtained by chemical way). Material and methods. The studies were carried out for 10 weeks, including a series of water samples, which were taken during the quarantine period, when swimmers were prohibited from visiting the pool. This situation made possible to make a comparative hygienic assessment of the effect of workload on the water condition in the pool and the effectiveness of disinfection. There was also a short review and characteristics of hypochlorite A, which was obtained in chemical way, its advantages and disadvantages as a disinfectant. The article analyzes the data obtained during the sanitary and hygienic survey of the pool of the swimming pool of the national technical university, their statistical processing, and comparison with the current regulatory documents of Ukraine and some other states. The data obtained in the course of a series of studies indicated a significant human influence on the state of water in the pool, which once again indicates the importance of health education of the population and visitors in swimming pools and water parks, in particular, the need to take a shower before swimming, after using the toilet, etc.; the need for training the right culture of visiting different water objects. Particular attention should be paid to swimming pools frequented by children, as they often do not have sufficient hygiene skills, or due to age cannot constantly monitor urination, so, as a rule, it`s an acute issue of large amounts of chloramines in swimming pools for children. Conclusion. In particular, a statistically significant difference was obtained in terms of ammonia and ammonium ions (in total), which indicated a significant influence of visitors on this parameter. And, as you know, organic impurities (sweat, urine, cosmetics remains etc.) that get into the water together with the swimmers, react with chlorine and form chloramines, which can negatively affect the health of both the visitors and the staff. This must be taken into account while changing the workload on the pool and choosing the dose of disinfectant