bluuebunny/crossref_metadata_2025 huggingface dataset:
Risk factors for the development of complications in the surgical treatment of urolithiasis
Authors:   FSBEI HE Kirov State Medical University of the Ministry of Health of Russia, Zubkov Ivan Vladimirovich , Krupin Valentin Nikolaevich ,   Department of Urology named after E.V. Shakhov, FSBEI HE Privolzhsky Research Medical University of the Ministry of Health of Russia, Nizhny Novgorod, Rogachikov Vladimir Vladimirovich ,   PHI Clinical Hospital of Russian Railways-Medicine named after N.A. Semashko, Kudryashov Aleksandr Vladimirovich ,   Department of Urology named after E.V. Shakhov, FSBEI HE Privolzhsky Research Medical University of the Ministry of Health of Russia, Nizhny Novgorod, Ignatiev Denis Nikitich ,   Department of Urology named after E.V. Shakhov, FSBEI HE Privolzhsky Research Medical University of the Ministry of Health of Russia, Nizhny Novgorod, Malykhina Anastasiya Sergeevna ,   FSBEI HE Privolzhsky Research Medical University of the Ministry of Health of Russia, Nizhny Novgorod
Published: June 2022

The prevalence of urolithiasis in the adult population worldwide ranges from 2% to 20% depending on economic, geographical, ethnic, metabolic and genetic aspects. Modern technologies, improvement of medical equipment, and development of surgical methods expand the choice of methods for the treatment of upper urinary tract calculi. However, an increase in treatment options for this pathology may be accompanied by a rise in the number of complications. The article presents an overview of the existing surgical methods for the urolithiasis treatment and complications risk factors. The “gold standard” for removing kidney stones larger than 2 cm in diameter is percutaneous nephrolithotripsy (PCNL). Retrograde intrarenal surgery (RIRS) is recommended for stones less than 2 cm. The methods of choice for surgical treatment of urolithiasis are extracorporeal shock wave lithotripsy (ESWL) and laparoscopic pyelolithotomy. The choice of the method of surgical intervention depends on concomitant diseases, risk factors, as well as the size and location of the calculus.
Actualization of the modern approach to the treatment of gastric ulcer
Authors:   Republican Clinical Hospital, Vladikavkaz, Stepchenkov Roman Petrovich
Published: June 2022

Despite the generally accepted fact that Helicobacter pylori is the main cause of gastric and duodenal ulcers, its role is not always decisive. It was found that this pathogen does not have a sufficient level of invasiveness, and in about 70% of cases does not lead to morphological disorders of the gastric and intestinal mucosa. Speaking about the possible causes of the development of peptic ulcer, one cannot but take into account the influence of stressful situations, aggravated heredity, and nutritional errors. One of the urgent problems of modern medicine is to increase the effectiveness of peptic ulcer treatment and prevent recurrence of the disease, and the main direction of antiulcer therapy is the eradication of Helicobacter pylori with the parallel administration of antisecretory drugs. Meanwhile, it should be noted that the lack of certainty in matters of pathogenesis over a number of years led to the unreasonable prescription of a large number of various medications, ranging from antacids and antispasmodics to sedatives and tranquilizers. Such a wide variety of therapeutic drugs used indicates that for a long time it was not possible to confirm the real effectiveness and clinical efficacy of most antiulcer drugs, which once again confirmed the correctness of the phrase said by the famous therapist V.Kh. Vasilenko regarding the fact that "gastroduodenal ulcers heal due to treatment, despite treatment and even in spite of treatment".
Nobel laureate Ilya Mechnikov: what do we know about him?
Authors:   Regional Clinical Hospital, Khabarovsk, Gulyabin Konstantin Robertovich
Published: June 2022

In 1908, Ilya Ilyich Mechnikov, the founder of evolutionary embryology, the discoverer of phagocytosis and intracellular digestion, received the Nobel Prize in Medicine and Physiology. He described in detail the comparative etiopathology of the inflammatory process, as well as developed one of the initial concepts of aging. It was he who coined the term "gerontology", and he also made a serious contribution to the development of a diet based on the use of probiotics, which is aimed at gaining a long and healthy life. Supporters of life extension celebrate his birthday on May 15 as "Mechnikov's Day", and also use this day as a memorable date for organizing and holding various events promoting a healthy lifestyle
Acceptor-Donor-Acceptor
π
-Stacking Boosts Intramolecular Through-Space Charge Transfer towards Efficient Red TADF and High-Performance OLEDs
Authors: Jiang Chenglin , Miao Jingsheng , Zhang Danwen , Wen Zhenhua , Yang Chuluo , Li Kai
Published: June 2022

Organic push-pull systems featuring through-space charge transfer (TSCT) excited states have been disclosed to be capable of exhibiting thermally activated delayed fluorescence (TADF), but to realize high-efficiency long-wavelength emission still remains a challenge. Herein, we report a series of strongly emissive orange-red and red TSCT-TADF emitters having (quasi)planar and rigid donor and acceptor segments which are placed in close proximity and orientated in a cofacial manner. Emission maxima (

λ

em

) of 594−599 nm with photoluminescence quantum yields (PLQYs) of up to 91% and delayed fluorescence lifetimes of down to 4.9 
μ
s have been achieved for new acceptor-donor-acceptor (A-D-A) molecules in doped thin films. The presence of multiple acceptors and the strong intramolecular
π
-stacking interactions have been unveiled to be crucial for the efficient low-energy TSCT-TADF emissions. Organic light-emitting diodes (OLEDs) based on the new A-D-A emitters demonstrated electroluminescence with maximum external quantum efficiencies (EQEs) of up to 23.2% for the red TSCT-TADF emitters. An EQE of 18.9% at the brightness of 1000 cd m
-2
represents one of the highest values for red TADF OLEDs. This work demonstrates a modular approach for developing high-performance red TADF emitters through engineering through-space interactions, and it may also provide implications to the design of TADF emitter with other colours.
Fisheries Sector in Kerala: Emerging Issues and Policy Responses
Authors: Pradeep Kumar B , George Regi , Baby Reena S
Published: June 2022

The present paper discusses the status of the fisheries sector in Kerala with emphasis on emerging issues and policy responses. In Kerala, still, the traditional fishermen dominate the field although in recent times the State has been witnessing the emergence of a dual structure with the traditional sector on the one side and the modern fishing sector on the other. There has been a mismatch between fish production and consumption in the State. The fishermen’s per capita income growth has been volatile in the State while the per capita income of an average Keralite has almost remained stable. Marine fish production forms the major share of total fish production in the State. It is obvious that at the all India level, the overall fish production registered a remarkable increase from 107.62 lakh tones in 2015-16 to 137.5 lakh tonnes in 2019-20, a growth of over 30 per cent. But at the same time, Kerala’s fish production did not make a substantial improvement which is evident from the fact in 2019-20, its fish production actually declined to 6.8 lakh tones from 7.27 lakh tones in 2015-16. Climate changes, oceanic plastic waste, infrastructural bottlenecks, the vulnerability of fishermen have been identified as emerging issues.
Informal Economy: Why First- Generation Entrepreneurs Prefer it over Formal Economy?
Authors: Jarwal Devendra , Kahal Anju
Published: June 2022

Generally, there is a dominance of informal economy across all over the world economies and particularly in respect of first-generation entrepreneurs. We know that a formal economy is essential for comprehensive and inclusive economic development yet third world countries are mostly dominated by the prevalence of informal economy rendering slower economic growth. The present study determines the factors attracting or supporting first-generation entrepreneurs to operate under the informal economy and therefore, the objective of this study is to identify and examine such factors. The data was collected through the survey and to test the significance of variables of the hypothesis we have employed the chi-square test χ2. The study will help the policymakers to enhance the quantum of the formal economy and make suitable policies to discourage the informal economy. The findings of the study conclude that first-generation entrepreneurs do prefer the informal economy over the formal economy due to the various reasons predominantly cost efficiency in the informal sector, urbanisation based retail trade, easy entry and exit, low capital requirement, non-compliance of procedural laws, exclusive control in case of locally operated businesses, etc.
The Indian Stock Market during COVID-19: A Review
Authors: Magesh Kumar C , Sujatha K , Rajesh Kumar K
Published: June 2022

The COVID-19 outbreak shocked the entire global economy and intensified the financial crisis. India is the fastest emerging economy that is severely affected by this pandemic scenario. The performance of the stock market is a reflection of the economic condition and growth of a country. The impact of COVID-19 on distinctive sectors of the Indian stock market is presented in this study, which intends to review various studies and provide significant insights on distinctive sectors of the Indian stock market during COVID-19. This study will help investors and stock brokers with managing and improving their portfolios of stock market investments as well as overcome the hurdles posed by the pandemic.
Economics of Health Care in India
Authors: Ramamoorthy S
Published: June 2022

A person’s entire development cycle is dependent on his intellectual abilities, curiosity, and constructive thinking, yet all of these attributes are contingent on his physical well-being. Health is a function of society’s total integrated development, and health status is one of the quality of life indices. Health is a positive term that emphasises social and personal resources as well as physical capabilities. It is a resource for everyday life, not the goal of living. Human health is inextricably linked to the health of the life-sustaining ecosystems with which we interact and are connected. Furthermore, the health of future generations is contingent on the ecosystems’ integrity and sustainability, regardless of how healthy the current generation is. Because health is such an important aspect of development, everyone is concerned about it. The health, ability, and well-being of the people are the most valuable human resources required for every country’s development and economic growth.
Can Google Classroom be Used as an Alternative for Classroom Teaching?
Authors: Nidup Yeshi
Published: June 2022

This study explored if Google Classroom (GC) can be used as an alternative for classroom teaching. 316 students (M:120 & F:196), classes ranging from nine to twelve from Phuentsholing HSS in Bhutan responded to the survey. The survey contained quantitative part with close ended questions with the Likert scale and the qualitative questions which was open ended questions. The descriptive analysis was done for quantitative response and simple thematic analysis was done for the qualitative data. The findings indicated that the students had problem with access to Internet and affordability in terms of purchasing the gadgets and paying for the Internet bills. The students were found to be adaptive to this new tool with exploration as they kept using it. Moreover, students agreed that the GC was very much applicable for online teaching and learning as it enabled the continuation of education even when the school remained closed. The study showed that teachers were using different styles to engage the students online for meaningful learning. Some challenges were identified such as high cost of Internet, poor network, students not focusing on their learning, students simply copying assignments without learning anything, time management, teachers simply sending the videos and materials without clear explanation, and no face-to-face interaction for discussion.
The Relationship Between High School Teachers’ Quality of Work Life and Job Satisfaction Levels
Authors: Bakır Arabacı I , Deveci Seyda
Published: June 2022

In this study, it was aimed to determine the relationship between high school teachers’ perceptions of quality of work life and their level of job satisfaction. The study population of the research consisted of 1548 teachers working in high schools in Elazig Province Center in Turkey, and the sample consisted of 320 high school teachers selected by proportional cluster sampling method. Work life quality and job satisfaction scales were used as data collection tools in the research.According to the results of the research; The perceptions of teachers about the quality of work life in general are at the level of “I am undecided”, and the perceptions of the sub-dimensions of the Quality of Work Life; I agree on job career satisfaction”, on general well-being dimension “I am undecided”, on job control dimension “I am undecided”, on working conditions dimension “I disagree” on work life stress dimension, and on family-work life balance dimension on “agree” level; It has been determined that there is no statistically significant difference between teachers’ perceptions of work life quality and gender and educational status variables, and there is a statistically significant difference between teachers’ perceptions of age, marital status, professional seniority and opportunity, and work life quality. Teachers’ job satisfaction perceptions are at the level of “agree”, teachers’ job satisfaction perceptions do not differ according to gender and educational status variables; It has been determined that there is a statistically significant difference in terms of age, marital status, professional seniority and level of opportunity variables, and there is a positive, moderate and linear relationship between teachers’ perceptions of work life quality and their perceptions of job satisfaction.
The Femininity of Food in “A Kitchen in the Corner of the House”
Authors: Sridevi T.S.
Published: June 2022

Ambai’s “A Kitchen in the Corner of The House” signifies the place and position of a woman in a household which is confined in one corner of the house as ‘Kitchen’. There are some stereotypes who still believe that the terms kitchen, cooking, washing, nurturing, raising the kids and cleaning belong to the women. Hence, it is evident that house-keeping and child-rearing well describes a woman’s identity and fertility. A woman is believed to be physically delicate and exhibit kindness. But often her kindness is mistaken as weakness and subjugates her as a life-time slave in the name of marriage. Though a man has been assigned to play the role for upholding moral values and work as engineers, a woman is imprisoned in the corner of the house as portrayed in the short story “A Kitchen in the corner of the House”. This paper analyses the relativity of food and femininity; and how it remains closely connected even in the 21st century.
Marriage and Child Birth: Paradigms of ‘Social Imaginary’ in Githa Hariharan’s ‘The Thousand Faces of Night’
Authors: Siddiq Sinsy
Published: June 2022

Marriage in Indian concept is undoubtedly knotted with chastity and fulfillment of duties towards spouses. A persistent view of the society inclines these so- called virtues solely to women- the gender that plays the role of ‘relationship savior’ in most of the marriages. Githa Hariharan, an  editor and well known Indian writer in her first novel ‘The Thousand Faces of Night’,  chose to position women in an arena of idealizing themselves as perfect married off ladies in the society. The three central figures of the novel, Devi, her Amma, Sita and Grandmother are seen in different sequences speaking and performing acts of ‘dharma’ or duties to life. in relation to the enactment of their corresponding roles such as wife, daughter in law , mother and numerous other which does not fall under the roof of marital bonds. Devi’s grandmother takes her through flights of mythical stories and seals her within the walls of trust and fidelity in a married life. The female central character ponders over each story narrated to her by her grandmother and hears mind voices thus placing herself in a world of Social Imaginary. The imaginary (or social imaginary) is the set of values, institutions, laws, and symbols through which people imagine their social whole. It is common to the members of a particular social group and the corresponding society.
Quest for Identity and Search for Roots in Bharati Mukherjee’s Jasmine
Authors: Suganya R
Published: June 2022

Bharati Mukherjee, the author of six novels, two collections of short stories, and a smattering of nonfiction works,reflects personal experience in crossing cultural boundaries in her almost all writings.The state of exile, a sense of loss, the pain of separation, anddisorientation makeBharati Mukherjee’s novel, Jasmine "a quest for identity and search for the roots” in an alien land. This paper discusses how the protagonist of the novel, undergoes several transformations during her life journey in America, which results in a fluid state of identity.
Kualitas Pelayanan terhadap Kepuasan Pelanggan pada Store The Executive Ciputra Cibubur Jakarta
Authors: Ariandi Fajri , Rahman Arif , Santosa Jaka , Arista Roynaldi
Published: June 2022

The Executive is a local brand with middle-up consumer target who provides a variety of men's and women's clothing ranging from formal, casual and other accessories. The aim of this study was to analyze the effect of service quality on customer satisfaction at The Executive Store Ciputra Cibubur Jakarta. The method used is descriptive quantitative, with a population of 111 customers while the research sample amounted to 87 respondents and the sampling technique was probably random. The data analysis technique used is the correlation coefficient test, the coefficient of determination test, and the regression equation test with the SPSS 21. The results of this study indicate that based on the correlation coefficient calculation shows that the influence of service quality on customer satisfaction relationship is quite strong, which is 0.664 and according to the calculation of the coefficient of determination, it can be seen at 44.1%, which means that the service quality variable can be explained by the customer satisfaction variable, while the remaining 55.9% is influenced by other variables. The results of the calculation of the regression coefficient of 0.637 can be concluded that as the service quality variable increases, the customer satisfaction variable also increases, while the constant value is 25.627, so the regression equation is Y = 25.627 + 0.637 X where Y = Customer Satisfaction and X = Service Quality. The results of this study indicate that there is a fairly strong influence between service quality and customer satisfaction at The Executive Store Ciputra Cibubur Jakarta.
Cenários Geográficos do Norte e Nordeste em Debate
Authors: Beserra Neta Luiza Câmara , Sabóia de Aquino Cláudia Maria , Cavalcante de Holanda Virgínia Célia
Published: June 2022

Quando uma obra possibilita o encontro de pesquisadores experientes e cuja contribuição à ciência geográfica é inquestionável, não poderia ser menos do que uma referência para as produções que virão a seguir. Este é o caso de Cenários Geográficos do Norte e Nordeste em Debate, livro que nos apresenta concepções e metodologias aplicadas à interpretação regional do Norte e do Nordeste do Brasil. A SertãoCult tem a honra de apresentar mais uma obra fundamental para todos aqueles que se interessam pela Geografia construída de forma séria, consciente, engajada e coerente, algo fundamental para que possamos seguir enfrentando e, quem sabe um dia, venhamos a superar os desafios que se impõem à nossa sociedade.
Studi Komparatif terhadap Undang-Undang No. 52 Tahun 2009 dan Hukum Islam tentang Program Keluarga Berencana di Indonesia
Authors: Imam Syafi’i  , Muhammad Ihwan
Published: June 2022

Law of the Republic of Indonesia No. 52 of 2009 concerning Population Development and Family Development. The movement for controlling and limiting offspring (tahdid al-Nasl) set by the government had become problematic in Islam. The problem is how the practice of family planning in the Law of the Republic of Indonesia no. 52 of 2009 concerning Population Development and Family Development. Then what was the Islamic view on it concerning Population Development and Family Development? After conducting a data study, data exposure, and discussion through existing research methodologies. Population Development and Family Development was an effort to regulate, birth spacing or temporary pregnancy prevention efforts with the agreement of husband and wife due to certain situations and conditions for the benefit of the family, society, and the state. Based on the principles set out in Islam, the program was considered to follow the limits set out in Islam.
Overcoming Language Learning Plateau: EFL Teachers’ Perceptions and Practical Recommendations
Authors: Utegulova Dinara
Published: June 2022

This study explores EFL teachers’ perceptions of the language learning plateau and identifies the recommendations teachers have for overcoming it. Thematic analysis is used to analyse the data from ten English teachers who teach students from intermediate to advanced levels. The findings show that there is a lack of awareness of the term among EFL teachers, yet the idea of the plateau is familiar. Surprisingly, some teachers are found to be in the plateau themselves. This study also discusses the issues teachers are struggling with, and some useful strategies they use to help students move beyond the plateau.
Digital storytelling in EFL teaching in Kazakhstan
Authors: Bakyt Nazerke
Published: June 2022

The purpose of this paper is to study the use of digital storytelling in teaching English as a foreign language in Kazakhstani educational institutions. To examine English teachers’ experiences, practices, and attitudes towards using digital storytelling in the teaching process, we utilized semi-structured interviews. The study was conducted among in-service early career English teachers working in public and private secondary schools. The findings suggest that English teachers use digital storytelling in their teaching but not very frequently. Study participants also indicated that they would benefit from additional training and experience with using digital storytelling as a teaching technique in their work. According to the participants, the main barriers to using digital storytelling in the classroom are the lack of technology, teachers’ methodological preparation, and time limitations. Despite these barriers, the teachers who participated in the study appreciate the substantial benefits of using digital storytelling in teaching English such as enhanced opportunities for developing students’ speaking skills, creativity, and critical thinking.
Using ICT Applications in EFL Teaching: Challenges and Experiences of Novice vs. Experienced English Teachers
Authors: Yermekkyzy Akniyet
Published: June 2022

The aim of this research is to investigate the challenges and experiences of novice vs. experienced English teachers in using ICT applications. The data was gathered through semi-structured, in-depth interviews as part of a qualitative study. The qualitative data were analyzed using thematic analysis. The participants of the study are 20 novice and experienced English teachers of secondary schools. Thematic analysis of the data found that the biggest difference between novice and experienced English teachers is in the variety of ICT applications used, since experienced teachers use government-mandated applications, while novice teachers use different applications, and as well as government-mandated applications. Other than that novice and experienced teachers’ experiences and challenges turned out to be quite similar. EFL teachers use ICT applications for various purposes, but most commonly for lesson preparation. The challenges of both teachers were a lack of technology-supported pedagogical courses and a lack of time due to lack of internet connection and technical infrastructure. Implications for future research and recommendations for practice are provided.
THE RESULTS OF SURGICAL TREATMENT IN THE CONSEQUENCES OF INJURIES OF THE TENDONS OF THE HAND
Authors:   «S.D. Asfendiyarov Kazakh National Medical University», NC JSC Almaty, Kazakhstan, Kazantayev K.E. , Nabiev Y.N. , Muradov M.I. ,   «A.N. Syzganov National Scientific Center for Surgery» JSC, Almaty, Kazakhstan, Muhamedkerim K.B.
Published: June 2022

Objective. Assessment of long-term results of surgical treatment of closed ruptures of the extensor tendons of the hand according to the method used in the clinic of JSC National Scientific Center for Surgery named after A.N. Syzganov (Innovation patent number: 19373). Material and methods. From 2020 to 2022, 149 patients were operated on the basis of the “A.N. Syzganov National Scientific Center of Surgery” JSC. The age of patients ranged from 17 to 68 (mean age 36±12) years, men were 84 (57%), women – 65 (43%), 115 patients had fresh damage, 34 patients had long–standing damage to the extensor tendons of the hand in the I-zone. 87 people had an injury on the right hand, 62 on the left. Results. According to the criterion of distal phalanx extension deficiency (V. I. Rozov), only 13 (46.5%) patients had excellent results: complete flexion – 25 distal phalanx extension. In 15 (53.5%) cases, there were poor results: a deficit of distal phalanx extension from 7 to 32°. According to the results of the DASH questionnaire, the situation is somewhat better: 21.3% ±5. Conclusion. In this article, it is possible to use the improved Cuneo tendon suture. In 149 patients with tendon injuries with reflectors, we received the award of the proposed suture. The use of a modified tendon suture makes it possible to increase the surface slip in the observation zone, which opens the exit of the tendon through the bone-fibrous canal and the significant trauma of the surgical operation and the duration of the operation.
PHYSICIAN MODIFIED ENDOVASCULAR STENT-GRAFT IN PATIENT WITH DISSECTING THORACIC AORTIC ANEURYSM. CASE REPORT
Authors:   A.N. Syzganov National scientific center for surgery, JSC, Almaty, Kazakhstan, Sapunov A.V. , Sagatov I.Y. , Ormanov B.K.
Published: June 2022

Increasement in the diameter of the thoracic aorta ≥ 50% of the norm of 40 mm in men and 34 mm in women (99 percentile) is considered to be an aneurysmal expansion. The risk of rupture is proportional to the size of the aneurysm and is associated with the development of fatal complications. Diagnosis is usually verified by computed tomographic angiography (CTA), magnetic resonance angiography (MRA), or transesophageal echocardiogram. Treatment consists of endovascular stent graft placement or open surgery in combination with optimal medical therapy. The article presents the experience of treating a patient with a dissecting aneurysm of the thoracic aorta type IIIB according to DeBakey using a stent graft modified by a doctor “on table” by forming a fenestration modeled after the anatomy of the left subclavian artery orifice. The aim of the work was to evaluate the short-term and medium-term results and prognosis of treatment using the technique of endovascular prosthesis with a modified graft. Such modifications on the table or in situ make it possible to model the prosthesis according to the variant of the anatomy of a particular patient, which allows optimizing the apposition of the prosthesis, eliminating additional stages of complex surgical treatment, reducing the undesirable effects of standard approaches, including preliminary endovascular occlusion of the left subclavian artery and/or the formation of a carotid-subclavian shunt, reduce the time of stationary observation. The use of the described technique will reduce the radicalness of surgical treatment of patients with dissecting aneurysms and increase economic efficiency. This technique is a promising direction in the development of endovascular and surgery and requires further study to assess long-term results and prognosis in a large number of patients.
TETRALOGY OF FALLOT: MODERN DATA. REVIEW OF LITERATURE
Authors:   A.N. Syzganov National scientific center for surgery, JSC, Almaty, Kazakhstan, Sagatov I.Y. , Sapunov A.V.
Published: June 2022

Tetralogy of Fallot (TоF) is a congenital heart disease that includes ventricular septal defect (VSD), right ventricular outflow tract obstruction, aortic root dextraposition, and right ventricular hypertrophy. TоF occurs in 3 out of 10,000 live births and accounts for 7–10% of all congenital heart defects. The etiology of TоF is multifactorial and may include untreated maternal diabetes, phenylketonuria, and retinoic acid intake. Associated chromosomal abnormalities include trisomies 21, 18, and 13, but recent studies indicate a much higher association with microdeletion of chromosome 22. The familial risk of TоF is 3%. The article presents the results of scientific publications about ToF. In particular, modern and topical issues of genetic predisposition, morphology, diagnosis, indications for surgical treatment, including radical and staged, are considered.
HEMATOLOGICAL DISORDERS IN PATIENTS WITH AUTOIMMUNE THYROIDITIS
Authors:   Scientific Center of Surgery after acad. M.A.Topchubashov, Baku, Azerbaijan, Saidova F.Kh. , Muradov N.F. , Aslanova J.B. , Shahsuvarov O.M. , Akhmedova L.M. ,   Azerbaijan State Advanced Training Institute for Doctors after A.Aliyev, Baku, Azerbaijan
Published: June 2022

Objective. Identify the frequency of occurrence of various morphological types and different degrees of severity of anemia in patients with autoimmune thyroiditis. Material and methods.Were analyzed97 case histories of patients operated for autoimmune thyroiditis (AIT)in 2012. When assessing hematological parameters, two groups were identified: group 1 – patients with AIT with mild anemia (n = 72), age 45.7 ± 1.6, men - 5 (6.9%), women - 67 (93, 1%); group 2 - patients with AIT with moderate anemia (n = 25), age 40.0 ± 2.3, men - 1 (4%), women - 24 (96%). In the clinical analysis of blood, hemoglobin, hematocrit, the number of erythrocytes and erythrocyte indexes of MCV, MCH, MCHC were determined. Results. By morphological type in patients with AIT with mild anemia, the hypochromic type was observed in 56 (77.8%) patients, normochromic - in 16 (22.2%) patients. In moderate anemia, this tendency was more pronouned: hypochromic type of anemia was detected in 23 (92%) patients, normochromic type - in 1(4%) and hyperchromic in 1(4%). Thus, in patients with AIT, mild anemia was more often determined (in 72.4%), then moderate anemia (in 25.7%). With moderate severity of anemia, microcytic (84%) and hypochromic (92%) types of anemia were more often observed. With mild anemia, the same types of anemias were observed, but with a lower frequency (76.4% and 77.8%, respectively). Conclusion. The hemogram in patients with AIT was characterized by a more frequent development of mild anemia (72.4%). With mild anemia, hematological disorders were characterized by microcytic (76.4%) and hypochromic (77.8%) types of anemia. Similar, but more pronounced disorders were observed in moderate anemia: microcytic 84% and hypochromic 92%, which is characteristic for iron deficiency anemia
PROBLEMS OF ANTIBIOTIC RESISTANCE IN CHILDREN AFTER LIVER TRANSPLANTATION
Authors:   A.N. Syzganov National Scientific Center for Surgery, JSC, Almaty, Kazakhstan, Yerimova N.Z. , Shirtaev B.K. , Sundetov M.M. , Bogdanova D.O. , Mukashev S.E. , Anarbayeva А.М. ,   Scientific Сenter of Pediatrics and Children’s Surgery, JSC, Almaty, Kazakhstan
Published: June 2022

These days, the “craze” for antibiotics has become like an epidemic and today, antibiotic resistance is a global problem. Objective.To study antibiotic resistance in children before and after surgery. Material and methods: Since March 2016, 32 liver transplants have been performed in children (from 6 months to 8 years). Of these, 23 (78.1%) patients with biliary atresia, 2 (6.2%) with cirrhosis of the liver in the outcome of autoimmune hepatitis, 1 (3.1%) with primary hyperoxaluria, 1 (3.1%) with cholangiocarcinoma, 1 (3,1%), 1 (3,1%) with inoperable hepatoblastoma, 1 (3.1%) cirrhosis of the liver in the outcome of viral hepatitis C . The number of girls was 17 (53.1%) and boys 15 (46.9%). Results:There was a 100% antibiotic intake in the preoperative period.When cross-testing design, 5 (15.6%) children with Klebsiella sepsis and with a fatal outcome were resistant to all groups of antibacterial drugs. Ethical issues: The study was conducted in accordance with the current version of the Declaration of Helsinki, in accordance with the Standard of Good Clinical Practice (GCP) (Appendix 2 to the order of the Acting Minister of Health of the Republic of Kazakhstan dated February 4, 2021 No. RK DSM-15). Conclusion. Antibiotic resistance is a major threat to global health and sustainable development, the principles of which were defined in the 2030 Agenda and the Sustainable Development Goals. It is estimated that, in the absence of effective interventions, the development of antimicrobial resistance could lead to a global death’s will increase by about 10 million cases annually. Growing concerns about antibiotic resistance have led to the adoption of a number of national, regional and global action plans in recent years to raise awareness, promote research and optimize antimicrobial use and access. Global initiatives also highlight the importance of more effective and sustainable investment in technology development and intersectoral action.
NEW IN THE CLASSIFICATION OF PANCREATIC EPITHELIAL TUMORS (WHO, 2019, 5TH EDITION)
Authors:   A.N. Syzganov National Scientific Center for Surgery, JSC, Almaty, Kazakhstan, Grinberg V.B. , Enin E.A.
Published: June 2022

Most of the classification of pancreatic epithelial tumors in the 5th edition remains unchanged from the previous edition. In the new classification, precancerous lesions are classified according to two levels of dysplasia. Intraductal papillary tumors and intraductal papillary tumors associated with invasive carcinoma are separated from the other subtypes. Some changes have occurred in the TNM classification.
PROCESS MODELS FOR THE DEVELOPMENT OF THE TRIAD OF HEALTHCARE SUBSYSTEMS: «CLINICAL AND INPATIENT CARE», «OUTPATIENT AND POLYCLINIC CARE», «MEDICAL AND SOCIAL ASSISTANCE»
Authors:   Kyrgyz State UniversityMedical Institute of Retraining and Advanced Trainingnamed after Academician S.B.Daniyarov (KGMIPiPK), Bishkek, Kyrgyzstan, Niyazov B.S. , Niyazova S.M. , Chyngyshova Zh.A. , Tilekov E.A. ,   Kyrgyz State Medical Academy (KSMA) named after I.K.Akhunbayev, Bishkek, Kyrgyzstan
Published: June 2022

Objective.To assess the process model of development of the triad of health subsystems: clinical and inpatient care (K-SP), «outpatient care (A-PP), medical and social assistance (M-SP). Theresultsoftheassessmentoftheprocessmodelforthedevelopmentofsuchhealthsubsystemsas»clinicalandin patientcare»(«K-SP»),»outpatientandpolycliniccare» («A-PP»), «medical and social assistance» («M-SP» are presented. A-PP» takes asignificantpartoftheloadof»K-SP»onitself,inconnectionwithwhich,forthedevelopmentof stationary replacement technologies, it is necessary to seek a redistribution of fundingfrom»K-SP»to»A-PP».
Strategy Implementation Practices and Performance of Insurance Companies in Kenya
Authors: Kimeu Janet , Wanjira Jane
Published: June 2022

Organizational performance has transformed into a hypothesis which relies on various facets within the company such as its top management and how strategies are implemented. It is however worth noting that what sets organizations apart depends upon their share in the market, corporate image, level of customer satisfaction and profit margins. Firms within developed and developing nations have encountered challenges in implementing their strategies. This has particularly been experienced by insurance companies in Kenya, through a decline in their performance. The study therefore aimed at investigating effects of strategies implementations methods on effectiveness of insurance firms in Kenya. The precise goals for the research were to: to determine the impact of resource allocation, staff training, organisation communication and organisation culture on performance of insurance firms in Kenya. Open systems theory and Transformative theory were used in the study together with Holistic strategy implementation theory. The survey was conducted using a descriptive research methodology. Forty one (41) insurance organizations in Kenya formed the target population with 123 respondents out of which a sample of 94 respondents was chosen at employing Israel’s formula. Structured questionnaires were the major data collection method for obtaining primary data. The findings revealed that resource allocation, staff training, organisation communication and organisation culture all had substantial impact on performance of Kenyan insurance companies. The survey indicates that strategies implementations methods have substantial impact on performance. This survey suggests that the finance managers of the insurance firms in Kenya must set aside sufficient funds to finance implementation of strategies.  The human resource managers working in the insurance firms in Kenya should organize regular on-the-job and off-the-job training programs to enhance the skills of employees so that they can be able to implement formulated strategies. The communication managers and public relations officers working in the insurance firms in Kenya should work to improve on the existing communication channels to enhance the flow of information among employees as they implement strategies. Departmental heads working among insurance firms in Kenya should strengthening the corporate culture by communicating the organizations values to employees.
جماليات ألاشكال ألتراثية في تصاميم ألاقمشة ألنسائية
Authors: Elham Taher Hussein
Published: June 2022

تميزت تصاميم الاقمشة بالتطور المستمر فقد انجز بحث(جماليات الاشكال التراثية في تصاميم الاقمشة النسائية) كثيرا"من  المفاهيم والافكار الجديدة التي فسحت المجال للتعدد في الاتجاهات التصميمية للأقمشة، كونها من التقنيات التصميمية المهمة بما يتميز به من قدرة على الإيحاءات المتعددة وهو ناتجُ مستلهم من عملية بناء العلاقات الإنشائية. والتي تعد مقومات ودوافع يعتمد عليها في تصاميم الاقمشة وقد تحددت مشكلة البحث في (هل يمكن توظيف الاشكال التراثية في تصاميم الاقمشة النسائية؟ ) . ويهدف البحث الى الكشف عن جماليات الاشكال التراثية ودورها في تصميم الاقمشة النسائية وتقديم مقترح تصميمي لقماش نسائي وتكمن أهمية البحث في زيادة الوعي الفكري لدى مصممي الأقمشة والازياء لتنمية المعرفة على الأساليب والأتجاهات التي أساهمت في تحقيق جماليات الشكل ، اما حدود البحث فقد تضمنت الحدود الموضوعية:دراسة تصاميم الاقمشة التي تحمل أشكال تراثية والحدود المكانية:تصاميم الاقمشة النسائية متعددة المنشا المتوفرة في الاسواق المحلية لمدينة بغداد . والحدود الزمانية:المنتج من تصاميم الاقمشة ضمن المدة 2019 – 2020م وهي المدة التي تم بها انجاز البحث . اما المبحث الثاني فقد تضمن الاطار النظري ثلاثة موضوعات هم اولا: جماليات الاشكال التراثية في تصاميم الاقمشة النسائية .ثانيا: البعد الجمالي للشكل التصميمي .ثالثا:التنوع الجمالي في تصاميم الاقمشة النسائية ،اما المبحث الثالث فقد تناول اجراءات البحث الذي تضمن منهج البحث وكان منهج الوصف التحليلي وهو الانسب مع توجهات البحث الحالي ,ومن اهم النتائج التي خرج بها البحث ما يأتي : 1- حققت معظم التصاميم المبحوثة أعتماد الصفات المظهرية الشكلية لتحقيق جماليات الاشكال التراثية ولإحداث مؤثرات شكلية متنوعة انعكست على حركة وتوزيع المفردات واتجاهاتها. اهم ماتناوله الاطار النظري اولا جماليات الاشكال التراثية في تصاميم الاقمشة النسائية , 2-"التقنية وأساليبها في تصميم الاقمشة النسائية حققت البعد الجمالي والوظيفي للقماش من خلال فاعلية تنظيم وترتيب المفردات داخل المتكون التصميمي . ومما يؤكد أن البناء التنظيمي يعتمد على علاقات توزيع وترتيب العناصر والتشكيلات في بناء متداخل يعمل على تحديد المحاور البصرية التي يدرك بها المتلقي العمل التصميمي ، المتكون على أساس التنوع والتبادل بين عناصر ومكونات التصميم إضافة قيم جمالية للمتكون التصميمي محققا الجاذبية للقماش .ثم بعد ذلك ادراج اهم التوصيات وقائمة المصادر مع ملخص بالعربي والانكليزي .
اثر انموذجSwartz في تنمية التفكير الناقد لدى طلبة معهد الفنون الجميلة بمادة علم الجمال
Authors: Aseel Raad Jamal  , Dr.Fatima Muhammad Abdullah  , Dr.Ismail Kalil Ismail
Published: June 2022

هدفت الدراسة للتعرف على (اثر انموذج Swartz في تنمية التفكير الناقد لدى طلبة معهد الفنون الجميلة بمادة علم الجمال) . اعتمدت  الباحثة التصميم التجريبي   و تكونت عينة الدراسة من طلبة معهد الفنون الجميلة , الصف الرابع قسم المسرح البالغ عددهم (20) طالباً وطالبة تم اختيارها بصورة قصدية توزع الطلبة على مجموعتين إحداهما ضابطة والاخرى تجريبية .تم إعداد الخطط على وفق انموذج Swartz)) وتم التأكد من تكافؤ مجموعتي البحث وتم وضع الاختبار القبلي والبعدي للتفكير الناقد,  وبعد التأكد من صدقه وثباته تم تطبيقه على طلبة الدراسة بعد تنفيذ التجربة لتحقيق هدف البحث وللوصول الى نتائج البحث استخدمت الباحثة مجموعة من الوسائل الإحصائية برنامج Spss)  )  وكانت أهم نتائج البحث منها:-إنً تفوق طلبة المجموعة التجريبية اللذين يدرسون مادة علم الجمال وفق انموذج (Swartz) على طلبة المجموعة الضابطة اللذين يدرسون المادة نفسها بالطريقة التقليدية يعزى إلى خطوات انموذج (Swartz) التي تسهم في تنمية التفكير والمفاهيم لوقت أطول .وفي ضوء النتائج التي تم التوصل اليها يمكن التوصية بالاتي:- استخدام النماذج الحديثة في رفد العملية التعليمية ودعم عملية التدريس بإمكان هذه النماذج إيصال المواد الدراسية إلى أذهان الطلبة واستبقائها . وعليه تقترح الباحثة بإجراء دراسة انموذج Swartz في متغيرات اخرى منها:-

- اثر انموذج شوارتز (Swartz ) في تحصيل  طالبات معهد الفنون الجميلة بمادة تاريخ الفن.
البناء التركيبي لأداء الممثل و اشتغالاته في المسرح العراقي المعاصر
Authors: Ali Najm Abd
Published: June 2022

يعد البناء التركيبي في الأداء مفهوماً معرفياً وفق مجموعة من الرؤى هدفها الاساس عملية تشكيل وخلق لغرض التأثير بالأخرين يرتبط وجود الصورة النهائية بوجوده تكون هذه الرؤى هي الباعث والدافع لبناء صورة شكل العرض الذي يكون مصدره الاساس خيال المخرج المرتبط بقدرة وامكانية باقي المصممين والعناصر المسرحية  وعلى هذا الاساس صاغ الباحث عنوانه (البناء التركيبي لأداء الممثل واشتغالاته في المسرح العراقي المعاصر) حيث تكون بحثه من الفصل الاول الذي ضم الاطار المنهجي ومجموعة التعاريف التي سبقتها مشكلة البحث التي شرح من خلالها الباحث موضوعة النمطية في الاداء كما ضم هذا الاطار مجموعة التعاريف الخاصة بالمصطلحات التي وردت في عنوان البحث مع مجموعة التعاريف الاجرائية التي عرفها الباحث فيما ضم الفصل الثاني اطاران الاول اختص بموضوعة مفهوم البناء التركيبي للأداء وفي المبحث الثاني تناول الباحث اداء الممثل واشتغاله في المسرح وفي نهاية هذا الفصل توصل الباحث لمجموعة من المؤشرات التي حلل من خلالها عينة بحثه التي اختارها بشكل قصدي وصولا للنتائج التي ناقشها في الفصل الرابع مع مجموعة من التوصيات التي يراها الباحث مفيدة للعاملين في مجال التمثيل .
أثر استراتيجية (shor) في عادات العقل لدى طالبات الصف الرابع العلمي في مادة علم الاحياء
Authors: Samaa Ibrahim Abdullah  , Sawsan Hamood Mohammed
Published: June 2022

يهدف البحث الى التعرف على "أثر استراتيجية (Shor) في عادات العقل لدى طالبات الصف الرابع العلمي في مادة علم الاحياء" ولتحقيق هدف البحث وضعت الفرضية الصفرية الاّتية :

لا یوجد فرق ذو دلالة إحصائية عند مستوى 0.05 بین متوسط درجات طالبات المجموعة التجريبية اللاتي درسن على وفق استراتيجية (shor) و بین متوسط درجات طالبات المجموعة الضابطة اللاتي درسن على وفق (الطريقة الاعتيادية) في مقياس عادات العقل . 

  اعتمدت الباحثة التصميم التجريبي ذو الضبط الجزئي للمجموعتين التجريبية والضابطة في مقياس عادات العقل , تمثل مجتمع البحث الحالي من جميع طالبات الصف الرابع العلمي اللاتي  يدرسنَ  في كل المدارس الإعدادية والثانوية النهارية الحكومية للبنات التابعة إلى المديرية العامة لتربية الانبار مركز قضاء حديثة  للعام الدراسي  2021 – 2022 , ولقد بلغت عينة البحث 75 طالبة بواقع ثلاثة شعب دراسية (أ ، ب ، ج ) والبالغ عددها  25 طالبة اختيرت عينة البحث عشوائياً بـأجراء ( القرعة ) للشعب الثلاثة واختيرت الشعبة (ب) لتمثل المجموعة التجريبية التي درست على وفق استراتيجية (shor) والشعبة (ج) والتي تمثل المجموعة الضابطة التي درست على وفق الطريقة الاعتيادية بواقع  25 طالبة للمجموعة التجريبية والضابطة ,وكوفئت المجموعتين التجريبية و الضابطة في متغيرات (العمر محسوبا ً بالأشهر, المعلومات السابقة لمادة علم الاحياء , الذكاء (رافن ) , مقياس عادات العقل) وبعد تحديد المادة الدراسية حددت المادة الدراسية التي تمثلت بالفصول (الأول – الثاني- الثالث من صفحة 29- 36– الفصل الخامس – الفصل السادس ) من كتاب الإحياء المقرر للصف الرابع العلمي المؤلف من قبل وزارة التربية العراقية / الطبعة العاشرة / لسنة2019  م  صاغت الباحثة اغراض سلوكية بلغت ( 358  ) غرضاً سلوكياً ،اما اداة البحث استخدمت الباحثة مقياس عادات العقل الذي تكون بصيغته النهائية من (50) فقرة عرضت على مجموعة من المحكمين والخبراء المختصين لمعرفة مدى صلاحيتها وملاءمتها لطالبات الصف الرابع العلمي .وقد بدأت التجربة في يوم الخميس الموافق (4 \11\2021)على مجموعتي البحث ( التجريبية و الضابطة ) , و انتهت التجربة في يوم الاثنين الموافق ( 24 \ 1 \2022) , وبواقع ( 11) اسبوع  وبعدد حصص (3) لكل من المجموعتين التجريبية و الضابطة . استخدمت الباحثة  البرنامج الاحصائي (SPSS ) ومن ضمنها (الاختبار التائي لعينتين مستقلتين, مربع كاي (كا2) , معامل ارتباط بيرسون  , معادلة الفا – كرونباخ  ) . فضلاً عن برنامج معالج البيانات  Microsoft Office Excel 2016    وفي ضوء ذلك توصلت النتائج الى وجود فرق ذو دلالة إحصائية لصالح المجموعة التجريبية  في مقياس عادات العقل .
استعارة المفردة الموروثة وتمثلاتها في الجداريات الخزفية للخزافتين ( سهام السعودي وعبله العزاوي ) دراسة مقارنة
Authors: Naseraddin Abbas Muhammad  , Angham Sadoon Taha
Published: June 2022

يعنى هذا البحث بدراسة استعارة المفردة الموروثة وتمثلاتها في الجداريات الخزفية للخزافتين ( سهام السعودي وعبله العزاوي ) انموذجا . والذي يقع في اربع فصول تضمن الفصل الأول عرضا لمشكلة البحث والمحددة بالسؤال الاتي : كيف تمثلت استعارة المفردة الموروثة في نتاجات جداريات الخزف العراقي المعاصر بين الخزافتين ( سهام السعودي وعبله العزاوي ) ؟  وجاءت أهمية البحث من حيث أنه يمثل قراءة نظرية وتطبيقية لنتاجات جداريات الخزف العراقي المعاصر من خلال المستوى التحليلي لاستعارة المفردة الموروثة وأثرها في المنجز الفني ,وليسلط ضوء معرفيا وعلميا على استعارة المفردات الموروثة وتمثلاتها في جداريات الخزف العراقي المعاصر ( سهام السعودي وعبله العزاوي ) انموذجا , وتنبع الحاجة لهذا البحث كونه يمثل محاولة من الباحث ليسد الفراغ الحاصل في هذه المساحة المهمة , كون الموضوع لم تتم دراسته بشكل واضح ومستقل , ولكن هذه الدراسة ستدرس الظاهرة بشكلها الواسع للوصول الى النتائج المرجوة . أما هدف البحث, فهو  التعرف على استعارة المفردة الموروثة وتمثلاتها في الجداريات الخزفية للخزافتين ( سهام السعودي وعبله العزاوي ).