bluuebunny/crossref_metadata_2025 huggingface dataset:
DecidHealth : Psychometric validation of the IUS-12 and IUS-12-H scales on French healthcare professionals
Authors: Brun Clémence , Akinyemi Alexis , Houtin Laurène , Zerhouni Oulmann , Richard MONVOISIN , Pinsault Nicolas
Published: April 2023

Literature shows that intolerance of uncertainty can negatively affect health professionals' medical decision-making process. However, there is no intolerance of uncertainty measurement tools in French, so this study aimed at validating the Intolerance of Uncertainty Scale-12 (IUS-12) in French, and a version of the IUS-12 adapted for healthcare professionals (IUS-12-H). We asked health professionals to complete our two scales of interest, as well as several scales covering related constructs. Five hundred and sixteen health professionals completed French versions of the IUS-12 and the IUS-12-H, and our additional scales. Exploratory factor analyses showed that the IUS-12 and IUS-12-H scales had a two-factor structure as in the seminal article of Carleton et al. (2007). The IUS-12 and the IUS-11-H French versions show psychometric properties comparable to the original version indicating that they can be used as the seminal scales for French health professionals.
Understanding the Process of Integration in Binaural Cochlear Implant Configurations
Authors: Muegge John Baltazar , McMurray Bob
Published: April 2023

An examination of how binaural fusion occurs is necessary for fully understanding why certain configurations of CI users display benefits in speech perception outcomes relative to others. This project examines two models of binaural fusion, discovering some general trends and interesting variation among listeners.
Pelatihan Penerapan Sistem Akuntansi Keuangan Daerah Pada Karang Taruna Kelurahan Proyonanggan Selatan Batang
Authors: Istiqomah Mafida Nur , Aprilliani Putri , Ane Yulaicha Serlinda , Nadiya Febriani Elsa , Hermawan Adinugraha Hendri
Published: April 2023

Karang Taruna as a social organization as well as a forum and means for the development of every member of the community that grows and develops on the basis of awareness and social responsibility from, by and for the community, especially the younger generation in the village/kelurahan area, especially engaged in social welfare effortsâ€ Karang Taruna Proyonanggan The South is still under the auspices of the village so that it gets funds every year. Therefore, competent Human Resources (HR) are needed to produce a quality financial report. However, in fact the Financial Reports carried out by the youth treasurer are still manual so this service activity is carried out to assist youth members in compiling financial reports in accordance with accounting rules. This activity is carried out through socialization, training, and assistance to members of the South Proyonanggan youth organization. Based on the PKM activities that have been carried out, there were participants who were able to understand 80% of the material and 4 other participants 70%. In addition, based on the practice of making financial statements, the youth members who attended were able to understand the concept of financial statements and how to make financial reports and produce a total of four financial reports that were successfully arranged as desired and were able to present using a laptop not manually as before.
Chemical Modification of Banana Peels and Banana Pseudostem for the Adsorptive Removal of Chromium (VI) from Aqueous Solution
Authors: Adhikari Sujata , Subedi Krishna , Dhungana Sabin , Arhyal Ram Lochan , Paudyal Hari , Ghimire Kedar Nath , Poudel Bhoj Raj , Pokhrel Megh Raj
Published: April 2023

The removal of Cr(VI) from the water was studied using raw and modified banana peels and pseudostem wastes as bio-adsorbent under the batch adsorption technique at room temperature. The chemical modification of raw adsorbents was performed by treating them with concentrated sulphuric acid. Characterizations were performed by FTIR, XRD, and SEM analyses. The raw form of adsorbents showed insignificant adsorption compared to the charred form. Therefore, the further process was carried out using modified adsorbents only. The maximum adsorption capacity for charred banana peel (CBP) and charred banana pseudostem (CBS)was found to be maximum at optimum equilibrium pH 2. The adsorption data fitted well with the Langmuir adsorption model and followed pseudo-second-order kinetics. Therefore, owing to high efficiency and low cost with maximum removal percentage, thus prepared adsorbents are expected to be used satisfactorily in the adsorption of Cr(VI) from aqueous solutions.
Algae of Betana pond and its relationship with water paramers
Authors: Rai Shiva Kumar , Adhikari Taranidhi
Published: April 2023

Algal flora of Betana wetland, their monthly variation, and their relationship with water parameters have been studied. Floating, epiphytic and benthic algae were collected monthly for up to seven months. Out of the total genera (61) observed, only 32 algae were identified up to the species level. The largest class was Bacillariophyceae with 32% algal genera. Similarly, maximum number of genera (93.44%) were found as epiphytic form. Cymbella was the dominant genus whereas Synedra, Cocconeis, Gomphonema, Pinnularia, Spirogyra, Oscillatoria, Cosmarium and Navicula were common genera in the pond. The largest number of genera (68.85%) were found in June and July. The average water temperature of the pond was maximum (32.66°C) in July and minimum (24.25°C) in December and average DO was maximum (8.52 mg/l) in August and minimum (7.2 mg/l) in June. The average pH of water ranges from 7.29 to 7.74. DO and the total number of genera were found to be significantly correlated and the value of correlation coefficient (r) was negative. Water temperature and total number of genera were found to be correlated. Similarly, the pH of watter and number of epiphytic genera were also found to be significantly correlated.
Digital Preservation in Libraries: Preparing for a Sustainable Future. By Jeremy Mynetti and Jessalyn Zoom. [Review]
Authors: Ulrich Jennifer
Published: April 2023

With the advent of digital technologies, long-term preservation of library holdings has challenged information professionals for the better part of three decades, if not longer. Much has been written on the topic of digital preservation, and this book reflects the perspectives of libraries, archives, and museums (LAMs). While not specifically a “how-to” manual on digital preservation, those seeking a useful overview will find a balanced selection of writings exploring the topic as practiced primarily in the United States, other English-speaking countries, and Europe since the 1990s. Organized into six sections containing a total of 18 chapters, the writings naturally build upon each other in discussing key developments in best practices, workflows, and institutional programs.
Collective economic development in Vietnam: Current situation and solutions
Authors:   Political Academy, Ministry of National Defense, Pham Van Son , Hoang Van Phai ,   Political Academy, Ministry of National Defense, Bui Tien Phuc ,   Political Academy, Ministry of National Defense
Published: April 2023

After more than 35 years of renovation, the collective economy has increasingly demonstrated its position and significant role in the national economy. However, under the strong impact of the Fourth Industrial Revolution along with the rapid development of the economy, Vietnam’s collective economic sector still has been inadequate in quantity, size, quality and structure. The potential and advantages of the country have not been fully exploited. This article uses a number of methods such as analysis, synthesis, comparative statistics, logic - history... to synthesize and argue based on the compiled secondary data to clarify the results, limitations, and inadequacies, thereby proposing some solutions to improve the efficiency of the collective economic development in accordance with current development trends and situation.
Novel Coolie (1936) by the Indian writer Mulk Raj Anand from the perspective of postcolonial criticism: Marxist nationalist projects in India in the early twentieth century
Authors:   Institute of Literature, Pham Phuong Chi , Le Thi Ngoc Ngan ,   Xuan Ang High School, Phu Tho Province
Published: April 2023

As a literary approach, postcolonial criticism can be used to read literary works born during the colonial period. This comes from the most basic content of postcolonial criticism, that is, the study of the colonial process (it can be traced back to the Renaissance), and the decolonization process (the process of colonialism). Indigenous cultures were re-established and prevailed again. This article approaches the novel Coolie (1936) by the Indian writer Mulk Raj Anand from the perspective of postcolonial criticism, namely from the emphasis on the anti-colonial content of this literary theory. The article emphasizes Marxist nationalist projects implicit in the novel as a feature of the nationalist movement in India in the early twentieth century. The article aims to confirm the possibility of reading literary works born in the colonial context from the perspective of postcolonial criticism.
A Framework for Characterizing the Practice of Evaluation, with Application to Empowerment Evaluation
Authors: Smith Nick L.
Published: April 2023

Abstract: As the evaluation profession experiences a widening diversity of theory, method, and practice, there is a growing need for some means of characterizing significant similarities and differences in evaluation approaches. To that end, a framework is presented which consists of six aspects: context, purpose and social role, phenomena of interest, procedural rules, methods of justification, and sanctions. The utility of the framework is illustrated through its application to a current debate concerning the theory and practice of Empowerment Evaluation.
Building Capacity for School Improvement through Evaluation: Experiences of the Manitoba School Improvement Program Inc.
Authors: Lee Linda E.
Published: April 2023

Abstract: The evolution of the Manitoba School Improvement Program’s (MSIP) approach to evaluation as a means of building schools’ capacity for continuous improvement will be described from the perspective of the MSIP evaluation consultant and in the context of the difficulties inherent in secondary school reform. Drawing on the experiences of the MSIP schools and the data that have been collected by and from the schools over the last seven years, this article will attempt to address two key questions: What have we learned about how to move schools into an empowerment model of evaluation? What are the benefits of empowerment evaluation to educational reform?
Evaluability Assessment of Staff Training in Special Care Units for Persons with Dementia: Strategic Issues
Authors: Johncox Van
Published: April 2023

Abstract: Ontario’s Strategy for Alzheimer’s Disease and Related Dementia (1999) and many others call for increased staff training for those who work with persons suffering from dementia. Evaluators prefer to have the evaluation practices prepared at the design and curriculum development phase of educational programs but to what extent can the evaluability of staff training be assessed? An evaluability assessment of staff training in special care units for persons with dementia was completed, applying a four-step model of training evaluation. The data showed that there were barriers to best practices. The discussion reflects on eliminating these barriers through strategic management.
They’re Happy, but Did They Make a Difference? Applying Kirkpatrick’s Framework to the Evaluation of a National Leadership Program
Authors: McLean Scott , Moss Gwenna
Published: April 2023

Abstract: This article examines the Kirkpatrick evaluation framework through a case study of a national leadership development program. The authors introduce the program and the Kirkpatrick framework, and then describe the research processes and instruments through which the framework was applied to evaluate the pilot cohort of the program. The article concludes with several frank and practical insights about using the Kirkpatrick framework to evaluate non-credit educational programs. In areas such as leadership development education, Kirkpatrick offers an appealing framework for organizing an evaluation process. The framework enabled a productive formative evaluation process, and the demonstration of participant satisfaction and learning with the program was sufficient to facilitate the approval of funding for a second cohort. However, despite the investment of considerable resources, the evaluation of this program was not able to conclusively demonstrate that behaviour changes and resulting impacts on organizations and communities took place as a result of the program.
Putting God in the Logic Model: Developing a National Framework for the Evaluation of Faith-Based Organizations
Authors: Janzen Rich , Wiebe David
Published: April 2023

Abstract: Relative to the contribution that faith-based organizations make to Canadian society, evaluations of them are rare. The challenge for evaluators is to develop evaluation processes that meet the scrutiny of social science yet respect the centrality of faith inherent within their interventions. The challenge is compounded when evaluating faith-based innovation. This article reviews the present status of evaluation in faith-based settings, highlighting its present limitations. It then features an innovative national faith-based evaluation framework that attempted to address these limitations. The article ends with critical reflections on the learnings of this case example in conducting evaluations of faith-based organizations and implications for other sectors.
Constructing and Verifying Program Theory Using Source Documentation
Authors: Renger Ralph
Published: April 2023

Abstract: Making the program theory explicit is an essential first step in Theory Driven Evaluation (TDE). Once explicit, the program logic can be established making necessary links between the program theory, activities, and outcomes. Despite its importance evaluators often encounter situations where the program theory is not explicitly stated. Under such circumstances evaluators require alternatives to generate a program theory with limited time and resources. Using source documentation (e.g., lesson plans, mission statements) to develop program theory is discussed in the evaluation literature as a viable alternative when time and resources do not permit a priori program theory development. Unfortunately, the evaluation literature is devoid of methodology illustrating how to translate source documentation into an explicitly stated program theory. The article describes the steps in using source documentation to develop and verify a program theory and illustrates the application of these steps. It concludes with a discussion about the feasibility and limitations of this methodology.
Pre-Measurement Triangulation: Considerations for Program Evaluation in Human Service Enterprises
Authors: Obeid Nicole , Lyons John S.
Published: April 2023

Abstract: The concept of incorporating multiple perspectives in measurement is a foundation of program evaluation in human service enterprises, but can place significant challenges on the feasibility and interpretation of projects. This article reviews triangulation methodologies and proposes a new approach to triangulation. It argues that, in order to address some of the burdens associated with triangulation in human services program evaluation, the simple notion of pre-measurement triangulation through the use of communimetric measurement theory may present an effective option. An example of such a tool is provided, along with a discussion regarding the utility and limitations of these strategies.
A History of Military Engagements: The Contrasting Warfare Tactics of Frankish and Turkic-Syrian Field Armies
Authors: Del Rosso Peter
Published: April 2023

The purpose of this study is to showcase the Battle of Dorylaeum, fought between the invading Frankish forces of the First Crusade and the defending Turkic-Syrian armies of the late eleventh-century in Anatolia, as a unique case study to explore the maladapted nature of the opposing factions’ modes of warfare. While the Frankish armies naturally favoured western tactics such as heavy cavalry charges and thus developed their entire marching and fighting system to protect the knightly core of their forces, their Turkic-Syrian opponents entered the battlefield in a rapid and erratic way which had led to their dominance in oriental warfare for decades prior. Upon a survey of the tactics used by both Frankish and Turkic-Syrian, based solely on the information evident through the relevant primary sources of the Battle of Dorylaeum, a twofold proof becomes apparent. Firstly, the maladapted nature of the two forces becomes incredibly apparent, stemming from the pitting of the heavily armed Frankish forces and the nomadic way of warfare utilized by their Turkic-Syrian opponents. Secondly, Dorylaeum comes to the forefront as the battle most representative of this maladapted nature; while the First Crusade is largely composed of sieges with remarkably few field battles, Dorylaeum is the first instance of both factions wielding their respective modes of warfare in a way which decided the fate of the following years of the First Crusade.
“Nationalism and Internationalism”: The Construction of Anarchism between the Local and the International in Brazil (1890–1930)
Authors: Dos Santos Kauan Willian
Published: April 2023

Anarchism has been routinely studied as a political element in the defence of the working class and subaltern groups. One of the goals of its ideology was the removal of the rulers and the holders of the means of production on a global scale, uniting the exploited groups in an internationalist movement. Nevertheless, anarchist activists, even theoretically anti-nationalists, did not fail to perceive and absorb nationalisms as environments of dispute and spaces for their political dissemination. This article aims to study anarchism in the midst of its debates to mediate the construction of a movement that corresponds to local, national, and international interests, as well as its influence on the labour and revolutionary movement in the period known as the “First Republic” in Brazil.
Mujercitos: The Profane of Mexican Citizenship
Authors: Martínez-Carmona Carlos Arturo
Published: April 2023

The American sociologist Jeffrey Alexander has pointed out that the degree of membership and solidarity in the civil sphere is expressed through the deep cultural codes installed in public opinion and regulatory institutions framing the sacred and the profane of citizenship. This article shows how the sensationist press perceived and judged queer individuals, giving an account of the reasons, relationships, and institutions that founded their exclusion/inclusion during the emergence of the homosexual movement. To this aim, the present study conducts a semiotic analysis of forty-two articles published between 1976 and 1985 by the magazine Alarma! The research demonstrates the existence of a “discursive triangle of homosexual exclusion” based on male heteronormativity, criminality, and morality. It also highlights the degrading, scandalous, and profane in the Mexican civil sphere. Despite media condemnation, the homosexual protest published in Alarma! allows us to perceive signs of inclusion and reconfiguration of the homosexual subject as citizen.
Formation of communicative and speech competence by a teacher-speech therapist of DOO in senior preschoolers with general speech underdevelopment using materials of a regional orientation
Authors: Strel'skaia Anna Sergeevna
Published: April 2023

The article considers the problem of using regional-oriented materials as an important resource for the formation of communicative and speech competence in senior preschoolers with general speech underdevelopment (ONR) in the aspect of their life competence. The results of an empirical study on the study of the specifics of the communicative and speech competence of older preschoolers with ONR are presented and promising directions for its formation in speech therapy classes are determined. The author's model of speech therapy work on the development of communicative and speech competence in preschoolers with ONR using materials of regional orientation is presented.
Identification of chlorogenic acid in cotyledonous leaves and husks of common sunflower (Helianthus annuus L.)
Authors: Likhanov Artur , Klyachenko Oksana , Yunyk Аnatolii , Kalenska Svitlana
Published: April 2023

The relevance of the study is conditioned by the need to optimise the production process of the sunflower farming ecosystem by increasing environmental sustainability. Among the by-products of processing, the use of which is still not effective, the release of the powerful antioxidant chlorogenic acid has not been sufficiently studied. In this regard, this paper is aimed at revealing the patterns of accumulation and identification of phenolic compounds in cotyledons and sunflower husks. The purpose of the study is to identify phenolic compounds in cotyledonous leaves and husks of various genotypes of common sunflower (Helianthus annuus L.) by thin-layer chromatography. In the course of research on this problem, the authors used field, biochemical, and statistical research methods. To identify chlorogenic acid, a solvent system was used: chloroform – glacial acetic acid – methanol – water (60:32:12:8). Chromatography analysis was performed in the SORBFLIL TLC software suite. The object of research is the Auris common sunflower hybrid. It is established that the qualitative composition of the phenolic complex and the number of individual compounds has a pronounced variety specificity. On the chromatogram, this substance has an Rf of ~ 0.60 (for sunflower husks) and an Rf of ~0.74 (for cotyledonous leaves). It was found that the most effective solvent for chlorogenic acid is aqueous ethanol. Extraction of chlorogenic acid with 40% ethanol provides up to 10 mg/g of chlorogenic acid. In addition to chlorogenic acid, a small amount of caffeic acid was found in the alcohol extract. The materials of the study are of practical value for improving the processes related to the development of the productivity of sunflower crops and the rational use of processing by-products
The level of intensity of soft winter wheat varieties infection by Fusarium link pathogens and their identification on grain
Authors: Murashko Lyudmila , Mukha Tetyana , Humenyuk Oleksandr , Kіrіlenko Vira , Novytska Nataliia
Published: April 2023

In today's environment, an important task of agricultural production is to increase yields and improve the quality of agricultural products. A reliable and environmentally beneficial factor for sustainable yield increase and improvement of grain quality is the development of new varieties with group resistance to diseases and a high level of adaptability. The effectiveness of selection for immunity directly depends on the diversity of donor resistance genes, and the search for new sources of resistance has been and remains an urgent issue. The aim of the study was to determine the level of infection of soft winter wheat varieties with Fusarium head blight pathogens and to identify them. Varieties of soft winter wheat from different breeding institutions of Ukraine were used in the research: Institute of Plant Industry named after V.Y. Yuriev NAAS (IPI), Institute of Plant Physiology and Genetics of the National Academy of Sciences of Ukraine (IPPG), Institute of Plant Protection NAAS (IPP), Institute of Irrigated Agriculture NAAS (IA), National Research Center "Institute of Agriculture NAAS" (NRC IA). Phytopathological analysis was used to determine the species composition of the Fusarium pathogen, and the proportion of species was determined by the ratio of infected wheat grain samples to their total number. A higher (15-18%) level of Fusarium infection intensity was observed in the varieties Perfect, Turunchuk, Ovid, Vodograi, and Mirolyubna. During the years of research, winter wheat grain was colonized by the following species of Fusarium ear blight: F. sporotrichiella, F. monilifopme, F. graminearum, F. culmorum, F. avenaceum, F. gibbosum F. sambucinum and F. oxysporium. The species F. monilifopme and F. oxysporium dominated, with a prevalence of 16.2 and 1.7% on wheat grain, respectively. The winter wheat varieties with the lowest (1.2-4.5%) damage by pathogens of the genus Fusarium are recommended for use in wheat breeding for immunity. The use of stable source material in practical breeding will help to curb the growth of pathogen infection without the use of chemical protection agents.
Necesidades psicológicas en cuidadores de pacientes en tratamiento por hemodiálisis
Authors:   Departamento de Psicología, Facultad de Ciencias Sociales, Universidad Central “Marta Abreu”. Las Villas, Cuba, Martínez-Rodríguez Lesnay , Hernández-Delgado Marcia ,   Departamento Pedagogía-Psicología, Facultad Educación, Universidad de “Cienfuegos Carlos Rafael Rodríguez”. Cienfuegos, Cuba, Rodríguez-González Diana Rosa
Published: April 2023

Las condiciones del enfermo renal en hemodiálisis demandan las acciones de un cuidador. La asunción del rol implica conflictos, carencia de intereses personales, frustraciones, estados emocionales negativos, sobrecarga e insatisfacción de necesidades. Se propuso como objetivo describir las necesidades psicológicas en cuidadores de pacientes con enfermedad renal en tratamiento por hemodiálisis. Se empleó el estudio de casos múltiples como diseño de investigación. La investigación se realizó durante el primer trimestre de 2020 en Cuba. Se utilizó un sistema de instrumentos cualita-tivos el cuestionario de datos sociodemográficos, RAMDI y entrevista en profundidad. Se realizó un muestreo intencional no probabilístico de casos tipo para la selección de 20 cuidadores. El uso del Atlas.ti para el procesa-miento y organización de los datos facilitó el análisis de contenido.Se identifican necesidades psicológicas en los cuidadores de pacientes hemodializados asociadas al ocio, esparcimiento y recreación, postergadas por la falta de apoyo social, familiar e institucional. Se evidencia una alta jerarquía de necesidades referidas a la salud, el deber familiar y el bienestar. Se constataron además necesidades relacionadas con el bienestar de su familiar, combinadas con otras necesidades de tipo individual para la satis-facción de sus propios intereses. Se concluye que las necesidades psicológicas de los cuidadores orientan su rol, asumido como un deber familiar que moviliza su comportamiento diario. Se destaca que para garantizar la calidad de vida del enfermo en hemodiálisis se relegan sus metas, aspiraciones y proyectos de vida.
Clientelismo político y medios de comunicación impresos en México: la reducción de presupuesto en publicidad gubernamental como catalizador en el cambio de línea editorial en los principales diarios del país
Authors:   Facultad de Ciencias Políticas y Sociales, Universidad Nacional Autónoma de México, Ciudad de México, México, Nieto Brizio Marcelino
Published: April 2023

A partir de la reducción del presupuesto gubernamental en materia de publicidad oficial, distintos diarios en México, que solían tener una postura editorial leal al gobierno en turno, decidieron tomar otra dirección, comenzando a ejercer un trabajo periodístico crítico y de denuncia tanto hacia la figura presidencial como a personajes del partido político establecido en el poder, Morena. Las históricas prácticas clientelares, acompañadas de la compren-sión sobre la forma en la que los medios de comunicación impresos se han relacionado con el aparato gubernamental en México, funcionan como eje para argumentar cómo la cancelación o mutación de las mismas ha hecho que diarios como El Universal, Excelsior o Reforma, ahora se asuman como contrapesos al poder político. En tanto, el ensayo funge como una aproxi-mación contextual y teórica sobre cómo se podría abordar el fenómeno de forma empírica.
Dossier 8M 2023
Authors:   Universidad Autónoma de Chiapas. Tuxtla Gutiérrez Chiapas, México, Alvarez Arana Silvia Elizabeth ,   Universidad Autónoma de Chiapas. Tuxtla Gutiérrez Chiapas, México, Aguilera García Seyma Cruz
Published: April 2023

La transversalización del género en todos los espacios universitarios tiene el propósito de contribuir a la disminución de las brechas de desigualdad de género en sus diferentes manifestaciones, como son: las asimetrías en la visibilización de los aportes de las mujeres, las prácticas discriminatorias naturalizadas, reproducción de roles y estereotipos basados en la división sexual del trabajo, expresiones todas de violencia en contra de las mujeres por razón de género. El ámbito público y social, han sido espacios asignados tradicionalmente a los hombres, ya que han sido espacios a los que se les ha conferido valor y poder, mientras que las tareas atribuidas a las mujeres han sido infravaloradas e invisibilizadas. El espacio universitario no es la excepción, requerimos hacer un alto en el camino para justamente visibilizar las aportaciones de las mujeres universitarias sean estudiantes, docentes o administrativas desde una mirada interseccional, para hacer valer nuestras voces, aportaciones, mostrar las diferentes formas de ver y hacer en el mundo como parte indispensable de la justicia epistémica que otorga a las mujeres existencia, poder y posibilidad de nombrar el mundo. Esta es la naturaleza del trabajo que ahora presentamos, el Dossier 8M-2023 busca incorporar narrativas de las mujeres universitarias y así contribuir a hacernos otras preguntas, desde otros lugares, que enriquezcan y transformen la realidad en la que vivimos por una realidad más justa, libre y basada en la autonomía y participación de las mujeres en todos los ámbitos de la vida política, económica y social.
To the 200th anniversary of teaching Pediatrics and to the 90th anniversary of Pediatric Faculty of Kazan State Medical University. Contribution of Kazan scientists to the development of Russian pediatrics
Authors:   Russian Medical Academy of Continuing Professional Education, MALCEV S. V. , PIKUZA O. I. ,   Kazan State Medical University, GENERALOVA E. V. ,   Kazan State Medical University, RIZVANOVA F. F. ,   Kazan (Volga region) Federal University, Institute of Fundamental Medicine and Biology
Published: April 2023

The study of the history of Russian pediatrics development contributes, on the one hand, to the preservation of continuity and traditions, and on the other hand, serves as a foundation for further study of topical problems of pediatrics. The purpose — to analyze the contribution of Kazan scientists to the development of Russian pediatrics. Material and methods. A review of periodic and monographic literature was carried out. Results. The article presents information about the contribution of Kazan scientists to the development of Russian pediatrics. The development of the Kazan school of pediatricians and pediatric infectologists is consistently traced — from the birth of the pediatric school in Kazan in the 19th century to the present time. The contribution of outstanding representatives of the Kazan school to the national pediatrics is described, and the continuity between pediatricians of different generations is also noted. Conclusion. The research of Kazan scientists has always corresponded to the most pressing problems of pediatrics and was designed to solve them.
Back pain in the elderly — the current state of the problem (literature review)
Authors:   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, IKHSANOVA E. R. , KHAIBULLINA D. KH. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, MAKSIMOV YU. N. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia
Published: April 2023

The article discusses various aspects of chronic pain syndrome in general and chronic back pain in elderly patients. The frequency of chronic pain occurrence in the elderly, according to different authors, is up to 83.8%, chronic back pain ranges from 27 to 86%. The negative impact of chronic back pain on the life quality of elderly patients was shown. Correlations were found between chronic back pain and such conditions as an increased risk of falls, fractures, and the development of dementia. Chronic pain syndrome in people over 60 y. o. contributes to a risk of mortality increase by 57%. The reasons for the chronic back pain development are not only degenerative-dystrophic changes in the spine, but also changes in proprioception and locomotor function. The analysis of the literature substantiates the need for further research on chronic back pain in the elderly.
To the 50th anniversary of the Department of Hospital Pediatrics of Samara State Medical University
Authors:   Samara State Medical University, MAKOVETSKAYA G. A. , MAZUR L. I. ,   Samara State Medical University
Published: April 2023

The article is dedicated to the 50th anniversary of the Hospital Pediatrics Department. The main events in the history of the Department since its foundation in 1973 and the achievements of its members are presented.
Clinical and laboratory characteristics of patients with coronavirus infection
Authors:   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, BILALOVA A. R. , MOISEEVA S. V. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, SHAKIROVA V. G. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, KHAERTYNOVA I. M. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, GATAULLIN M. R. ,   Republic Clinical Hospital for Infectious Diseases named after Professor A.F. Agafonov, SOZINOVA YU. M. ,   Republic Clinical Hospital for Infectious Diseases named after Professor A.F. Agafonov, FATKULLIN B. SH. ,   Republic Clinical Hospital for Infectious Diseases named after Professor A.F. Agafonov
Published: April 2023

The purpose — to establish the clinical and laboratory features of COVID-19 in patients who were hospitalized at the Republic Clinical Hospital for Infectious Diseases in Kazan and to identify predictors of severe disease and death. Material and methods. A comprehensive examination of 172 patients with coronavirus infection (COVID-19) was carried out. Patients were analyzed by gender, age, presence of vaccination against COVID-19, comorbidities, laboratory data — levels of lymphocytes, C reactive protein (CRP), ferritin, lactate dehydrogenase (LDH), D-dimer, fibrinogen, interleukin-6 (IL-6), and disease outcomes. Results. There were no gender differences in patients with respect to the severity of COVID-19, clinical manifestations, comorbidities, or disease outcome (p > 0.05). Severe and extremely severe forms of the disease among individuals vaccinated against COVID-19 were recorded significantly less frequently (p < 0.05). The predominant symptoms of coronavirus infection were weakness, fever, headache, cough, shortness of breath. Concomitant pathology was more often recorded with severe COVID-19 than with mild (p < 0.05). At admission, all patients had lymphopenia, elevated levels of CRP, ferritin, LDH, D-dimer, fibrinogen, and IL-6, the severity of which was significantly higher in severe COVID-19 and death (p < 0.01). Conclusion. Lymphopenia, hypofibrinogenemia, elevated levels of CRP, ferritin, LDH, IL-6, and D-dimer should be regarded as predictors of severe COVID-19 and death. Monitoring the dynamics of these blood biomarkers provides the individual approach to the management of patients with coronavirus infection.
Features of treatment of the combined functional disorders of gastrointestinal tract in patients who had a new coronavirus infection on an outpatient basis
Authors:   Orel State University named after I.S. Turgenev, TURCHINА M. S. , BUKREEVA M. V. ,   Orel State University named after I.S. Turgenev, ANNENKOVA ZH. E. ,   Orel State University named after I.S. Turgenev, MOROZOV YU. M. ,   Orel State University named after I.S. Turgenev, OBOLENSKAYA T. I. ,   Orel State University named after I.S. Turgenev
Published: April 2023

Patients with COVID-19 often suffer from a variety of gastrointestinal disorders. Often this is directly related to the effect of the virus on the epithelial cells of the gastrointestinal tract, as well as the prescription of drugs for the new coronavirus infection treatment. In some patients, gastrointestinal disturbances precede the onset of respiratory symptoms and remain for a long time after recovery, significantly reducing the quality of life. Approximately every second patient who had a COVID-19 infection suffers from stool disorders and dyspeptic symptoms. The most common variant of post-covid lesions of the gastrointestinal tract is functional dyspepsia and irritable bowel syndrome, which outpatient doctors have recently encountered more and more often. In most cases, the attending physician pays more attention to the pulmonary and cardiological manifestations of coronavirus infection, while the symptoms of gastrointestinal lesions are considered minor. The purpose of this article — is to consider possible methods for correcting the functional pathology of the gastrointestinal tract in patients after a COVID-19 infection.
Relationship between angiotensin II level and the structural parameters of heart and prognosis in the post-infarction period
Authors:   City Polyclinic no. 5, MELNIKOVA M. A. , RUZOV V. I. ,   Ulyanovsk State University, GIMAEV R. KH. ,   Ulyanovsk State University, VOROBEV A. M. ,   Central City Clinical Hospital, IBRAHIM A. M. ,   Ulyanovsk State University
Published: April 2023

The purpose — to determine the level of angiotensin II early after myocardial infarction and its relationship with cardiac structural parameters, as well as the role of this biomarker in the occurrence of recurrent cardiovascular events. Material and methods. The study included 96 patients with new onset myocardial infarction who underwent coronary revascularization procedures. Serum angiotensin II levels were measured on days 30–40. Patients were divided into groups according to the value of this biomarker. Echocardiography was performed on all patients included in the study on days 30–40 after myocardial infarction; the risk of repeat cardiovascular events was assessed in a 12-month follow-up. Results. Against the background of routine treatment (including angiotensin-converting enzyme inhibitors) early after infarction, according to the recommendations of the Ministry of Health of the Russian Federation, 10 patients had the elevated angiotensin II level. Significant differences in LV wall thickness and myocardial mass were observed in patients with elevated angiotensin II levels; elevated angiotensin II at 30 to 40 days was not associated with the risk of repeat cardiovascular events in a 12-month follow-up. Conclusions. Elevated angiotensin II levels are associated with increased left ventricular wall thickness but do not affect the risk of repeat cardiovascular events.
On the issue of providing medical assistance to patients with community-acquired pneumonia in rural hospitals of Stavropol Territory
Authors:   City Clinical Polyclinic No. 5, AFANASIEV N. E. , POZDNYAKOVA O. Yu. ,   Stavropol State Medical University of the Ministry of Health of the Russian Federation
Published: April 2023

A retrospective analysis of medical documentation of 1134 patients with community-acquired pneumonia in round-the-clock hospitals in the Shpakovsky district of Stavropol Territory was carried out. The sensitivity of the main bacterial pathogens of the disease, such as Streptococcus pneumonia, Enterobacteriacea spp., Staphylococcus aureus, Streptococcus spp., Haemophilus influenza, was determined in 65.0% of patients. The search for epidemiologically significant pathogens of the respiratory tract infectious pathology, such as Mycoplasma pneumoniae, Chlamydia pneumoniae, was not carried out during the analyzed period. The wrong choice of starting antibiotic therapy was made in 34% of cases. In half of the hospitalized patients the antibiotic therapy effectiveness was reviewed. Evaluation of the antibacterial therapy results showed a violation of the management tactics in patients with community-acquired pneumonia and its inconsistency with clinical recommendations. The identified problems of therapy in patients with community-acquired pneumonia led to long periods of hospitalization and increased health care costs.
Нepatoblastoma in young children
Authors:   Kazan State Medical University, CHEREZOVA I. N. , GABITOVA N. KH. ,   Kazan State Medical University, OSIPOVA I. V. ,   Children’s Republican Clinical Hospital
Published: April 2023

Hepatoblastoma is a common primary malignant tumor in children aged 0 to 4 years. In the structure of liver neoplasms, the pathology occupies 80% and has been steadily growing over the past 30 years with an annual increase of 4–5%. Risk factors for the development of hepatoblastoma include an increase in the survival rate of deeply premature babies, oxidative tissue damage associated with intensive therapy of low birth weight premature babies, and IVF. The disease has no specific complaints and characteristic clinical manifestations. The initial manifestations of hepatoblastoma are often hidden under a variety of mask diseases. It is accompanied by the absence of «oncological alertness» of local pediatricians, which determines the late diagnosis of the liver malignant neoplasm. The article presents an analysis of hepatoblastoma cases in young children over a ten-year period. The main initial clinical manifestations of the disease in early children are indicated. The effectiveness of modern methods of diagnosis and therapy of the liver malignant neoplasms in children is shown. A clinical example of successful treatment of this disease is given.
Surgical treatment of neovaginal prolapse in a patient with Mayer — Rokitansky — Kuster — Hauser syndrome (clinical case)
Authors:   Bashkir State Medical University of the Ministry of Health of Russia, MEKHTIEVA E. R. , YASHCHUK A. G. ,   Bashkir State Medical University of the Ministry of Health of Russia, MUSIN I. I. ,   Bashkir State Medical University of the Ministry of Health of Russia, POPOVA E. M. ,   Bashkir State Medical University of the Ministry of Health of Russia, IMELBAYEVA A. G. ,   Bashkir State Medical University of the Ministry of Health of Russia, TYURINA A. A. ,   Bashkir State Medical University of the Ministry of Health of Russia
Published: April 2023

The article describes a case of complications after surgical treatment of a patient with Mayer — Rokitansky — Kuster — Hauser syndrome, which is characterized by underdevelopment of the Muller ducts derivatives in girls and is manifested by malformations of the vagina and uterus. The features of the diagnosis and surgical treatment of complications using the latest endoscopic techniques are also described.
Effectiveness of Caregiver-Provided Individual Cognitive Interventions in Older Adults with Dementia
Authors: Silva Rosa , Bobrowicz-Campos Elzbieta , Santos-Costa Paulo , Cardoso Remy , Bernardo Joana , Santana Elaine , Almeida Inês , Loureiro Ricardo , Cardoso Daniela , Apóstolo João
Published: April 2023

Background:

In a society increasingly committed to promoting an active life in the community, new resources are needed to respond to the needs of citizens with Alzheimer’s disease and other forms of dementia. The potential of several individual cognitive interventions to be provided by caregivers has been explored in the literature.

Objective:

To synthesize the best available evidence on the effectiveness of caregiver-provided individual cognitive interventions in older adults with dementia.

Methods:

Systematic review of experimental studies on individual cognitive interventions for older adults with dementia. An initial search of MEDLINE and CINAHL was undertaken. Another search for published and unpublished studies was performed on major healthcare-related online databases in March 2018 and updated in August 2022. This review considered studies that included older adults with dementia, aged 60 years and over. All studies that met the inclusion criteria were assessed for methodological quality using a JBI standardized critical appraisal checklist. Data were extracted using a JBI data extraction form for experimental studies.

Results:

Eleven studies were included: eight randomized controlled trials and three quasi-experimental studies. Caregiver-provided individual cognitive interventions had several beneficial effects in cognitive domains, including memory, verbal fluency, attention, problem-solving, and autonomy in activities of daily living.

Conclusion:

These interventions were associated with moderate improvements in cognitive performance and benefits in activities of daily living. The findings highlight the potential of caregiver-provided individual cognitive interventions for older adults with dementia.
Particulate beta-tricalcium phosphate and hydroxyapatite doped with silver promote in vitro osteoblast differentiation in MC3T3-E1 cells
Authors: Horie Masanori , Chiba Ryo , Umemoto Shota , Tajika Masahiko
Published: April 2023

BACKGROUND:

Calcium phosphates including β-tricalcium phosphate (β-TCP) and hydroxyapatite (HAp) have been widely used for bone regeneration application because of their high osteoconductive activities. In addition, various kinds of inorganic ions enhance differentiation, proliferation, and mineralization of osteoblasts. However, information about the effects of silver-doped β-TCP [β-TCP (Ag)] and HAp [HAp (Ag)] particles on osteogenic differentiation is not available yet.

OBJECTIVE:

We focused on the impact of β-TCP (Ag) and HAp (Ag) particles on the osteogenic differentiation of MC3T3-E1 osteoblast precursor cells.

METHODS:

MC3T3-E1 osteoblast precursor cells were pre-treated by β-TCP (Ag) or HAp (Ag). And then the medium was changed to differentiation medium. Subsequently, osteoblast differentiation-related markers were determined.

RESULTS:

We found that treatment with β-TCP (Ag) or HAp (Ag) particles increased alkaline phosphatase activity in MC3T3-E1 cells. Expression of osteoblast differentiation-related genes also increased after treatment with β-TCP (Ag) or HAp (Ag) particles, a response thought to be regulated by zinc finger-containing transcription factor osterix. The ratio of the receptor activator of nuclear factor kappa-B ligand (RANKL) to osteoprotegerin (OPG) was decreased by β-TCP (Ag) and HAp (Ag) particles.

CONCLUSION:

Silver doping of β-TCP and HAp particles is effective for bone regeneration.
The End-of-Waste for the Transition to Circular Economy: A Legal Review of the European Union Waste Framework Directive
Authors: Johansson Oskar
Published: April 2023

The generation of waste is certain and unavoidable. Waste will always exist in some form. It is, however, possible to minimize waste generation and thereby improve virgin resource utilization. Within the European Union, the concept of End of Waste is a legal instrument adopted to facilitate the transition from waste to product, thus by extension facilitate the conditions for a circular economy. In this paper, the implications of the legal definition transforming waste to product, End of Waste, is discussed against the backdrop of waste as a potential resource. Through legal analysis, three primary issues regarding the current formulation of article 6(1) of the Waste Framework Directive (2008/98/EC) are highlighted: (1) the cumulative conditions stated in article 6(1) creating (unnecessary) bottlenecks; (2) the fact that the conditions for End of Waste originally were intended to be operationalized through legislative acts, such as the regulation for iron scrap or glass cullet; and (3) the fact that there is no clear indication of what level of proof the conditions stated in article 6(1) requires and the ambiguity of its application this implies in general. The fact that there must be a specified use as well as a market for a ‘waste’ to transform into something else implies that the underlying idea of the incorporation of End of Waste loses some of its meaning.