bluuebunny/crossref_metadata_2025 huggingface dataset:
PERCEPTION OF TEACHERS ABOUT INCLUSIVE STRATEGIES AND CO-CURRICULAR ACTIVITIES AT ELEMENTARY LEVEL IN LAHORE
Authors: Munawar Saleem Sadia , Thakur Ibtasam
Published: November 2024

The main purpose of this study was to determine the teachers’ perception about inclusive strategies and co-curricular activities. A Cross sectional survey research design was used. Sample of study was 150 teachers, out of which 80 were male students and 70 were female teachers from four schools of Lahore Model Town Tehsil. Two private schools’ school and two government schools were included in the study to represent the population. Close ended questionnaire was used for data collection. Convenience sampling technique was used for selection of the students. The Questionnaire consisted of 23 statements and a check list of co-curricular activities composed 13 activities. The data of questionnaire was analyzed using descriptive and inferential statistics. Results are presented in tabular form. It is concluded that female teachers’ attitude towards inclusive strategies and co-curricular activities was more positive than male teachers at elemental level. Teachers and coaches should mobilize students and their parents to participate in co-curricular activities. Findings of the research study showed that school teachers in general classroom use inclusive education strategies and co-curricular activities for teaching but they did not know the specific terms used for inclusive education strategies.
ANALYSIS OF PV POWER PLANT CONNECTION USING MODERN SOFTWARE TOOLS
Authors:   Go2Power, Beograd, Srbija, Šiljegović Todor , Drajić Mila ,   Go2Power, Beograd, Srbija, Granić Deniz ,   JP Elektroprivreda BiH, Travnik, BiH
Published: November 2024

With the expansion of renewable energy sources, distribution system operators are faced with a large number of new requirements for solar power plants connection to the grid. In order to assess the possibility of connecting a solar power plant of interest, it is necessary to conduct analyses in appropriate software tools. Such analyzes are usually performed for the defined set of data for consumption and production in the system at a specific point in time. As these data are stochastic values, usually considered in critical operating regimes (maximum and minimum values), network conditions obtained this way donot give a comprehensive picture of the impact of the power plant integration on system variables, such as voltages and element loadings. This paper will present the PV power plant grid connection alaysis in the selected distribution area. The analysis will be carried out with a yearly horizont, with hourly resolution of power plant production in the given network, as well as the hourly resolution of demand at the level of 10/0.4kV substations. The aim of the paperwork is to check the possibility of power plant connection to the distribution system according to the Rules on the Operation of the Distribution System of Serbia. DIgSILENT PowerFactory software tool was used for this analysis, specifically its module for quasi-dynamic calculation, which enables to conduct this kind of analysis.
BATTERY STORAGE IN THE POWER SYSTEM AND THEIR IMPACT ON GRID FLEXIBILITY
Authors:   Enel ps d.o.o, Srbija, Ćajić Vladimir , Paunović Filip ,   Enel ps d.o.o, Srbija
Published: November 2024

In the course of the energy transition and the demand for the application of sustainable, renewable, clean and CO2 neutral energy sources, in front of power system have appeared challenges that need to be adequately answered. One of the key challenges is the power balancing problem. The existing balancing systems are not sufficient, which is why the construction of new balancing capacities was started. Increment of new capacities bring us development of new technologies that can be applied for power balancing as well as for the improvement of existing ones. One of the current technologies is "Battery Energy Storage System - BESS". The increased demand for electricity, especially in the field of thermotechnics and electric vehicles, in combination with the appearance of larger scale renewable energy sources that are mostly intermittent in nature, requires the power system to be adaptable, i.e. flexible. The paper discusses the use of Battery Energy Storage System, their advantages and disadvantages compared to other systems of energy storage. Basic comparisons and differences are discussed in relation to the characteristics of individual technologies as well as in terms of capacity, lifetime, speed of response, investment costs and maintenance costs. The segment of maintenance of frequency and voltage stability of the power system, as essential parameters of network reliability, was also covered.
LOAD FLOW ANALYSIS IN PURPOSE OF POWER FACTOR CORRECTION AND SHORT CIRCUIT CALCULATION IN THE NETWORK OF AN INDUSTRIAL COMPLEX SUPPLIED BY POWER TRANSMISSION GRID
Authors:   Energoprojekt Entel a.d. Beograd, Srbija, Popović Zdravković Brankica , Vrcelj Nada ,   Energoprojekt Entel a.d. Beograd, Srbija
Published: November 2024

The process of connecting a new facility to the transmission network is followed by the obligation of complying to certain requirements, specified within the "Grid Code" prescribed by each transmission system operator, and that during all expected operating regimes of the new facility. These requirements, among others, refer to limitations in terms of voltage and power factor values at the point of connection of the new facility to the transmission network. In addition, during the design process, load flow analysis and short circuit calculation are common and necessary to confirm the configuration of the newly designed network and check the parameters of the electrical components of the new facility, primarily their capacity. This paper presents the methodology for determining the size of capacitor banks in purpose of power factor correction at the point of connection, foreseen by the construction project of the new facility of an industrial complex in Abu Dhabi. Load flow analysis and short circuit calculation involves simulation of all characteristic operating regimes in the network that can be expected during the operation of the new facility, in conjunction with the permissible operating regimes in terms of voltage and power factor values at the point of its connection. The paper presents results of load flow analysis and short circuit calculation for different scenarios, where the responses and states of relevant parameters in the considered network are observed. Based on the obtained results, recommendations for selection of size and step of capacitor banks were formulated, as well as recommendations for the switchgear, taking into account the expected values of short-circuit currents.
ICT CONCEPTS AND WAYS OF ACCESSING CONCENTRATORS FOR REMOTE METER READING
Authors:   JP “Komunalno Brčko”, BiH, Anđelić Siniša , Mahmutović Kemal ,   JP “Komunalno Brčko”, BiH
Published: November 2024

The goal of this topic is to present the communication concept from the application (server) to the concentrator for remote meter reading, and ways of improving the communication resulting in a significant increase in the percentage of electricity energy meters that are read. The topic would also include IT security elements adjusted to the audience. The first part of the topic is related to the communication from the application to the concentrator itself, that is to 2G, 3G or LTE modems according to the item of the manufacturer of the equipment (concentrator). The second part of the topic is related to real conditions in which the concentrator will be used, issues that are encountered in practice most often and a way how to solve them. This part implies the use of LAN port concentrator in the communication system concept which has turned out to produce better results for reading data if it is combined with equipment whose primary functionality is LTE and WiFi. The topic would contain 10 slides which would vividly show all currently possible communication concepts of accessing the concentrator and its data reading. There would also be an analysis of concepts which: -are dependent upon a chosen telecom operator (IPsec established between EDB and a telecom) -independent of any telecom operator (by establishing its own IPsec) -connection between the application (server) and the concentrator via WiFi while using its own IPsec Tunnel -connection between the application (server) and the concentrator via any Internet connection (for example ADSL) while using its own IPsec Tunnel All the communication concepts mentioned above have a series of benefits but the most important ones that could be singled out are - faster, better and more reliable ways of concentrator reading, being independent of any telecom operators, reading at places with poor LTE network reception, marginalization of the manufacturer’s LTE modems (until they are completely out of the meter reading system). The topic is intended for all those who would like to get to know the above-mentioned communication concept in a more detailed way before purchasing the concentrator but also for those who have already purchased it to help them deal with problems that exist.
Incidencia del control de inventario en la rentabilidad, caso Clínica Araujo en Santo Domingo 2022-2023
Authors: Silva Joselyn Alejandra Monserrate , Armijos Nathaly Melissa Torres , Pazmiño Hernán Oswaldo Maldonado
Published: November 2024

Una gestión eficiente del inventario es crucial para el éxito en el sector salud, asegurando la disponibilidad de medicamentos e insumos médicos. Esta investigación examina el control de inventarios y su impacto en la rentabilidad del Hospital General Clínica Araujo en Santo Domingo durante 2022 y 2023. Utilizando un enfoque cuantitativo y un diseño no experimental transversal descriptivo, se recopilaron datos mediante cuestionarios y entrevistas a actores internos y externos del hospital. Los resultados identificaron áreas críticas, demostrando que una buena gestión del inventario previene tanto la escasez como el exceso de stock, minimiza costos por caducidad y deterioro, optimiza niveles de abastecimiento y reduce compras urgentes a precios elevados. Este estudio evalúa cómo la gestión de inventarios influye en la eficiencia económica del hospital, proporcionando recomendaciones para mejorar su desempeño financiero y operativo.
Early weaning protocols for the brackishwater nursery culture of the tropical anguillid eel Anguilla marmorata (Quoy & Gaimard, 1984)
Authors: Huervana Fredson H. , Nodque Kelee Ira B. , Nantong Cedric Jay A. , Vargas Richael P. , Guyapale Rizza Mae T. , Traifalgar Rex Ferdinand M.
Published: November 2024

Feeding trials with Anguilla marmorata during the nursery culture were conducted to establish optimized protocols for transitioning from live to formulated diets. This study evaluated different weaning schemes over three phases of the nursery culture: from live feed (Artemia) to raw fish meat-based mash (FMT), from FMT to dry fish meal-based mash (FML), and from FML to dry formulated crumble diet. Specific growth rate (SGR), percent weight gain (%WG) and survival of A. marmorata elvers were assessed across treatments. The optimized weaning scheme for transitioning A. marmorata glass eel feeding from Artemia to FMT requires a 6.25% reduction of live feed daily for 16 days, resulting in the highest growth performance (SGR=4.49, %WG=109.25%) and survival (98.37%). Dietary transition from FMT to FML feeding, a 5% daily reduction of FMT with FML, over 20 days was found optimal. This treatment yielded superior growth performance with an SGR of 1.59, %WG of 68.80%, and survival of 62.00% (p<0.05). The final phase, transitioning from FML to a formulated crumble diet, was optimized with a 25% daily reduction of FML over 4 days. Elvers on this feeding regime exhibited the highest growth (SGR=2.49, %WG=41.81%) and survival (100.00%). These weaning protocols effectively facilitated the dietary transition of A. marmorata during the nursery stage from live feed to dry-formulated diets within a 40-day period, enhancing the growth and survival of A. marmorata cultured in the brackish water nursery system.

Published on November 08, 2024 CDT
Desain Primer In Silico Untuk Amplifikasi Genus Andaliman Dengan Aplikasi Bioinformatika
Authors: Batubara Jesica , Gultom Reinelda , Hutagaol Aprinia , Parapat Gita , Marpaung Rivaldi , Hafzari Rini , Ningsih Ayu , Pasaribu Rio
Published: November 2024

Desain primer merupakan tahapan awal dalam proses amplifikasi dan analisis segmen DNA. Desain primer pada proses PCR merupakan hal yang sangat penting karena primer tersebut yang akan menempel pada DNA template lalu mengamplifikasi sekuen target. Penelitian ini bertujuan merancang primer spesifik untuk amplifikasi gen target pada Andaliman, guna mendukung studi molekuler lebih lanjut. Desain primer dilakukan secara in silico menggunakan software MEGA X, Primer3Plus, dan Clone Manager Demo 9. Sekuen gen Andaliman diperoleh dari database NCBI. Hasil analisis menunjukkan bahwa pasangan primer yang dirancang memenuhi kriteria panjang, temperatur leleh, dan kandungan GC yang ideal untuk reaksi PCR. Selain itu, primer juga tidak membentuk dimer atau hairpin yang dapat mengganggu efisiensi amplifikasi. Primer yang telah diperoleh dapat digunakan sebagai dasar untuk pengembangan marka molekuler pada Andaliman, yang berguna untuk identifikasi varietas, analisis filogenetik, dan program pemuliaan.
Understanding the Evolution of Business in the 21st Century: A Direct Observation Study on the Primacy of Customer Experience
Authors:   University of the Witwatersrand, Johannesburg, Seke Mboungou Mouyabi
Published: November 2024

In the fast-paced and dynamic landscape of the 21st century, businesses face unprecedented challenges and opportunities driven by rapid technological advancements and shifting consumer behaviour. This study explores the evolution of business practices in this context, with a specific focus on the primacy of the customer experience as a strategic imperative. Motivated by the imperative for businesses to adapt and stay relevant in an ever-changing environment, this study conducts a direct observation analysis to elucidate the intricate dynamics that shape contemporary business strategies. Drawing on a selection of compelling case studies, this study substantiates its findings by showcasing real-world examples of organisations that have successfully leveraged customer experience as a cornerstone of their competitive advantage. Through this exploration, the author asserts the pivotal role of customer centricity in driving sustainable growth and fostering enduring relationships with consumers in modern marketplaces.
Management of Strangulated Inguinal Hernias in People Aged 60 Years and Over at the Prefectural Hospital of Kissidougou, Republic of Guinea-Conakry
Authors:   Department of General Surgery, Ignace Deen University Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Guinea, Mohamed Kaba , Keoulen Camara ,   Department of Visceral Surgery, CMC Ratoma, Guinea, Habib Diallo Mamadou ,   Department of General Surgery, Ignace Deen University Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Guinea
Published: November 2024

Introduction: Strangulated inguinal hernias in the elderly remain a real public health problem due to their risk of intestinal necrosis leading to a high rate of morbidity and mortality. The objective of our study was to evaluate the management of strangulated inguinal hernias in people aged 60 and over at the prefectural hospital of Kissidougou. Methods: This was a retrospective descriptive study over a 3-year period from January 1, 2018 to December 31, 2020. The material consisted of all the files of patients operated on for a strangulated inguinal hernia in the elderly during the study period. Results: During this study period, we recorded 76 files of patients operated on for HIE in the elderly, i.e. a frequency of 3.34% compared to the types of hernias. The average age of our patients was 70.46 years with extremes of 60 years and 83 years. 88% of patients were male with a sex ratio of 7.4. Farmers were the most affected, i.e. 32.89%. HBP and diabetes were the main associated pathologies with 51.32% and 34.21% respectively. General anesthesia was used in all our patients. The BASSINI technique was performed in 100% of cases. The evolution was favorable in 80.26%. The case fatality rate was 3.95%. The average length of hospitalization of our patients was 8.38 days. Conclusion: Improving the prognosis of these patients would require early diagnosis and especially early management of all cases of simple inguinal hernias.
Prognostic Factors of Acute Intestinal Obstruction in the General Surgery Department of the Ignace Deen National Hospital
Authors:   General Surgery Department, Ignace Deen University Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Guinea, Mohamed Kaba , Keoulen Camara ,   Visceral Surgery Department, CMC Ratoma, Guinea, Habib Diallo Mamadou ,   General Surgery Department, Ignace Deen University Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Guinea
Published: November 2024

Introduction: The aim of this work was to highlight the prognostic factors of acute intestinal obstruction in the general surgery department of the Ignace Deen National Hospital, Conakry University Hospital. Methods: This was a prospective descriptive study of six months from January to June 2021 on patients admitted and operated on in the general surgery department of the Ignace Deen National Hospital for acute intestinal obstruction. Results: Acute intestinal obstructions represented 10.1% (n = 102) of abdominal surgical emergencies (n = 1005). The mean age was 47.64 ± 19.16 years with extremes of 1 and 86 years. The sex ratio was 1.37 in favor of men. The location of the obstacle was high (58.8%), low (33.3%) and mixed in 7.8%. The strangulation mechanism was the most frequent 92.3%. Necrosis 27.5%. An intestinal resection was performed in 37.3%. Septic complications were 14.1% including parietal suppuration 7.6%. The average hospital stay was 13.25 days. Overall mortality was 15.6% (n = 16). This was statistically correlated with strangulation (p = 0.015), intestinal necrosis (p = 0.004), delay in consultation (p = 0.000), age (p = 0.008) and delay in treatment (p = 0.021). Conclusion: Acute intestinal occlusions are a common medical and surgical emergency. Morbidity and mortality remain high and often linked to age, delay in consultation, mechanism, and the occurrence of necrosis, which are prognostic factors that are mostly modifiable. Management requires multidisciplinary collaboration or resuscitation plays a prominent role.
Multidisciplinary models of primary health care for patients with chronic non-communicable diseases
Authors: Starshinin Andrey V. , Kamynina Natalya N. , Burkovskaya Yulia V. , Timofeeva Alyona S.
Published: November 2024

Introduction. Chronic non-communicable diseases (CNCD) requires a variety of strategies from different perspectives and at different levels, including individual and country-specific. Comprehensive patient-oriented and proactive approaches play an important role in the provision of multidisciplinary teams of medical care to patients with established CNCD.
The purpose of this study is to present the Moscow experience in managing multidisciplinary teams for the treatment of CND patients, using the example of arterial hypertension in the framework of a pilot project in the outpatient clinics of the Troitsk and Novomoskovsky administrative districts (TiNAO; were attached to the territory of Moscow in 2012).
Materials and methods. The study was conducted in two stages: at the first, a literature review was carried out, at the second, the stages of launching a pilot project on the management of multidisciplinary teams for the treatment patients with CNCD, using the example of arterial hypertension in the outpatient clinic of TinAO, were developed and discussed.
Results. The research analyzes approaches to the use of multidisciplinary teams in the world. Based on the analyzed current regulatory documents, adjustments were made to the foreign model for its possible adaptation to Moscow polyclinics, focusing on proactive dispensary dynamic monitoring.
Research limitations. The results of the conducted research are based on operational data from Moscow and can be applied only to the formation of management decisions in Moscow.
Conclusion. According to the results of the pilot project testing, an increase in the level of coverage of the attached population with medical care, accessibility of narrow specialists and provision of equal opportunities for obtaining medical care for Muscovites was noted.
Use of digital technologies in the activity of medical institutions
Authors: Aksenova Elena I. , Medvedeva Elena I. , Kroshilin Sergey V.
Published: November 2024

Introduction. Significant transformations are taking place in modern medicine: digitalization and re–equipment, changing standards of care — all this requires the availability of new IT competencies for medical professionals. The involvement of “non-doctors” (IT specialists) compensates for the needs of medical institutions, but qualitative changes in the training process of modern medical workers are necessary to solve the problem.
The purpose is to study the needs for new competencies for medical professionals (IT doctors) and the need to attract “non—doctors” in modern conditions of digitalization of medicine.
Materials and methods. The study is based on the analysis of secondary information obtained from the Federal Statistical Observation Form No. 30 and digital resources, as well as on the results of a mass questionnaire survey conducted in medical institutions of the Moscow Department of Health (n = 1499).
Results. “Non-doctors” with IT competencies are increasingly in demand. The survey showed that certain functions of medical specialists can already be “transferred” to non-medical personnel, whose growth rate has exceeded 60% over the past 10 years. However, the training system provides the necessary IT competencies to a greater extent in technical specialties and to a lesser extent in medical ones.
Research limitations. The analysis uses statistical data and the results of a mass questionnaire survey in medical institutions of the Moscow Healthcare Department, which is a representative sample for approximating the results for the entire general population.
Conclusion. In the near future, it is necessary to train doctors according to new standards. The modernization of the training system taking into account new IT competencies in medicine and the development of the LongLife Learning (LLL) training system are becoming a reality. The increasing involvement of “non-doctors” to solve high-tech problems, the development of hardware and software complexes is undeniable. However, it is necessary to adapt them to the specifics of the industry development.
Labour mobility of medical specialists: attitudes and factors
Authors: Kolennikova Olga A. , Toksanbaeva Mairash S.
Published: November 2024

Introduction. The healthcare sector characterized by low levels of labour mobility of medical specialists.
In this regard, the purpose of the study is to identify the causes of the current scale of intra-firm and inter-firm mobility in the healthcare sector, which are associated with readiness for professional and qualification growth, as well as with external and internal employment conditions.
Materials and methods. The study was based on regulatory documents of the Ministry of Health of the Russian Federation and the Government of Moscow. Data from Rosstat and statistics of the Moscow Healthcare Department, as well as materials from expert and questionnaire surveys of Moscow medical specialists, have compiled a statistical database.
Results. The relatively small scale of inter-firm mobility of medical specialists in Moscow is largely due to the similarity of employment conditions in the public sector, which includes most healthcare institutions. This hinders the transfer of personnel to other institutions, although their specifics, such as a significant workload on staff and low wages, are unlikely to suit specialists. At the same time, a significant part of doctors and nursing staff have active attitudes towards professional and qualification growth. Such attitudes can be realized by the institute of certification for the qualification category. However, its imperfection does not allow coping with these functions.
Research limitations. Due to the scarcity of official statistics, the study was mostly based on expert and questionnaire surveys of medical specialists, which, by definition, provide mainly subjective information and limited factual data.
Conclusion. For the institute for certification of medical specialists for the qualification category to fulfill the functions assigned to it, its work should be supplemented with professional training programs by category, the additional payment for them should be increased, and categorical and job status should be linked. To curb the undesirable consequences of the outflow of personnel from the healthcare sector, it is also necessary to take measures to reduce the workload on staff and increase wages.
Analysis of appeals of the population of the Nizhny Novgorod region to the territorial health management authority during the COVID-19 pandemic
Authors: Melik-Guseinov David V. , Romanova Tatyana E. , Abaeva Olga P.
Published: November 2024

Introduction. Appeals of the population are important indicators of the realization of patient rights. Therefore, the Ministry of Health of the Nizhny Novgorod region pays great attention to the analysis of their causes.
The purpose of this study was to study the impact of the COVID-19 pandemic on the number and reasons for written appeals from
the population to the territorial health authority of the Nizhny Novgorod region regarding the medical care provided.
The materials were 37,898 citizens’ appeals over 2019–2021.
Results. The number of written appeals in 2109 was 4916, in 2020 — 14832, in 2021 — 18150. The share of complaints in the structure of appeals decreased from 10,5 ± 0,4% for 2019 to 6,0 ± 0,2% in 2020 and 4,6 ± 0,2% for 2021. Reasons for writing complaints included the quality of medical care (32,9 ± 2,1% during 2019, 34,2 ± 1,6% during 2020, 22,6 ± 1,4% during 2021); refusal to provide medical care
(20,5 ± 1,8% in 2019, up to 15,7% ± 1,2% over 2020 and 11,5 ± 1,1% over 2021); violations of ethics and deontology (18,8 ± 1,7% for 2019, 15,8 ± 1,6% for 2020 and 15,3 ± 1,2% for 2021); problems with access to medical care (12,0 ± 1,4% during 2019, 15,2 ± 1,2% during 2020, 19,2 ± 1,4% duirng 2021 year).
Research limitations. Repeated requests were excluded.
Conclusion. The example of the Nizhny Novgorod region demonstrates the openness of the Ministry of Health, the formation of feedback channels with patients to help to effectively mobilize resources to promptly address issues of providing medical care to the population in an emergency situation.
The system of support for medical decision-making in the formation of a rehabilitation diagnosis in the categories of the International Classification of Functioning, Disability and Health
Authors: Pogonchenkova Irene V. , Kostenko Elena V. , Petrova Ludmila V. , Burkovskaya Yuliya V.
Published: November 2024

Introduction. Comprehensive rehabilitation of patients is a key task of the national healthcare system. To create an effective rehabilitation program, it is necessary to establish an accurate rehabilitation diagnosis. Designing an individual medical rehabilitation plan based on a biopsychosocial approach, the practical tool of which was the “International Classification of Functioning, Disability and Health” (ICF), has changed the global concept of rehabilitation. A priority in the field of digital healthcare is the introduction of medical decision support systems, one of the tasks of which is to help in diagnosis and minimize medical errors aimed at improving the quality of medical care.
The purpose of the work: to create a software system for making medical decisions in the formation of a rehabilitation diagnosis in the ICF categories.
Materials and methods. content analysis was used to study and analyze medical decision-making systems (foreign and domestic) and the ICF; scientific and methodological work was carried out on the development of software for medical decision-making systems.
Results. based on the work carried out, software has been developed to automate, systematize, and optimize the process of establishing
a rehabilitation diagnosis in patients with ischemic stroke, standardize approaches to individualizing diagnosis formulation taking into account the severity of functional disorders.
Research limitations. During the development and description of the software, the capabilities of medical information systems applied in the healthcare of Moscow were used.
Conclusion. The biopsychosocial approach is one of the main principles of modern rehabilitation. Digital healthcare facilitates the integration of decision support systems that improve the quality of medical care. The implementation of the developed program into digital platforms of the healthcare system will reduce time costs and unify the procedure for making a rehabilitation diagnosis and all related processes, consistently preserving the necessary information about the patient.
Basic instruments for measuring the quality of life in patients after stroke (literature review)
Authors: Andreev Dmitry A.
Published: November 2024

Improvements in drug therapy have led to an increase in the number of patients surviving after the acute period of the stroke. A significant proportion of stroke patients experience consequences such as impaired motor function, psychological and social disorders. This affects the quality of life (QoL) of patients. General and specialized tests are used to assess the QoL in patients after a stroke.
The purpose of the study. Systematization of information about the main questionnaires used in assessing QoL in patients after the acute period of stroke.
The search for relevant sources devoted to the topic of work was carried out in the bibliographic database Pubmed / Medline and the Google information system. The following keywords were used in the search queries: “quality of life”, “stroke”, “indicators” etc. Test names were also used as keywords.
The characteristics of a number of general and specialized questionnaires that allow analyzing QoL in patients after a stroke are considered. Key practical information about the main questionnaires used abroad is summarized. Information on their applicability in domestic studies of QoL in patients who have suffered from a stroke is presented. The instruments that are most widely used in foreign practice are noted.
The tests reviewed (general and specific) have usually acceptable psychometric properties (validity and reliability), although none are ideal or suitable for all situations. Continuing the development of comprehensive methods for assessing QoL in patients with stroke consequences at are best suited for everyday clinical practice remains one of the important tasks of medicine.
Further development and widespread introduction of promising methods of QOL analysis into regular medical practice will increase the information content of assessments of the outcomes of therapy and rehabilitation.
Management of genomic surveillance for respiratory viral infections circulating in the territory of the city of Moscow
Authors: Latypova Munira F. , Komarov Andrey G. , Migyaev Ochir K. , Shpakova Olga G. , Venevtsev Evgeny O.
Published: November 2024

Introduction. Outbreaks of respiratory viral infections have an economic impact on the healthcare system and pose a threat to public well-being. Monitoring for the incidence of acute respiratory viral infections in a metropolitan area, especially during the COVID-19 pandemic, was in dire need of an adequate tool to identify mutations and variants that evade vaccine immunity and initiate an increase in incidence. Genomic surveillance was required for a timely response.
Purpose of the study. Management of the Moscow Genomic Center for genomic surveillance for acute respiratory viral infections and COVID-19, with an assessment of the results during seasonal outbreaks in the capital.
Materials and methods. With the support of the Moscow City Health Department, management and logistics measures were developed and implemented, the NGS testing program in patient samples on a planned basis and during the period of increased incidence of acute respiratory viral infections and COVID-19, technical procedures for high-throughput sequencing were developed, the security of data exchange and biosafety of medical personnel were ensured.
Results. The Moscow Genome Center was established within the structure of the Moscow City Health Department. For the period from October 2023 to April 2024, targeted NGS data (a panel of thirty two pathogens, 6528 samples were tested): SARS-COV-2 dominated the entire period, the incidence of influenza A (H3N2) increased sharply from the beginning of December and decreased sharply by the end of January. Sars-CoV-2 genetic lineage rotation: XBB lineage dominated (most represented: XBB.1.16, XBB.1.16.11) from October to the end of January, then JN lineage prevailed (most represented: JN.1, also found: JN.1.13, JN.1.18, JN.1.19, JN.1.4). Influenza A strain rotation: H3N2 (A/Massachusetts/01/2020) and H3N2 (A/Massachusetts/38/2019) dominated from December to February.
Research limitations. A targeted panel of 32 respiratory viruses most common in the Moscow population was used for NGS. Incomplete coverage of the entire viriome is a conditional limitation.
Conclusion. Representative, high-quality and continuous genetic surveillance has been managed in the capital. The Moscow Genome Center has successfully implemented the NGS Testing Program and support for the Russian Genomic Resource of Microorganisms VGARus.
Incidence of infectious diseases in infants under one year in the Astrakhan region in 2017-2021
Authors: Larina Nonna S. , Zakaev Kamil Yu. , Kurbangalieva Adela R. , Kasatkin Denis N. , Arakelyan Rudolf S. , Khabirova Elizaveta R.
Published: November 2024

The purpose of the study. To analyze the epidemiological situation of “childhood infections” among children under 1 year old for 2017–2021 in the Astrakhan region.
Materials and methods. There were analyzed, epidemiological maps of infants with “children’s” infections as well as maps of inpatient sick infants who were treated in an infectious hospital.
The results of the study. The main complaints of the majority of patients were fever — 87.8% and exanthema syndrome — 84.6%. In rare cases, patients showed catarrhal phenomena of the upper respiratory tract — 13.2%. Dyspeptic phenomena were observed in 15.9% of children. In rare cases, patients had angina — 0.5% and lymphadenopathy — 8.9%. Conjunctivitis and scleritis were observed in 9.6% of infants, including twelve cases with whooping cough, four with chickenpox and 58 with measles. The phenomena of meningitis were observed in one child — 0.1% with chickenpox. Lesions of the lower respiratory tract in the form of bronchitis — in 18.5% of infants, including two infants with chickenpox, 117 infants with whooping cough and 24 infants with measles.
Research limitations. Epidemiological maps of infants with “childhood” infections identified in them were studied, during which data on the structure of the incidence of measles, scarlet fever, whooping cough and chickenpox were analyzed.
Conclusions. The leading place in the incidence in infants falls on chickenpox, group outbreaks of which were repeatedly recorded over 2017 and 2018. There is a decrease in the incidence of infections such as scarlet fever and whooping cough among infants under the age of 1 year. During 2020–2021, against the background of general well-being, there is an increase in the number of cases of measles among children of different age groups, including among infants under the age of 1 year. The main complaints were fever and exanthema syndrome.
Comparative analysis of the targets for reducing adult population mortality by 2024
Authors: Savina Anna A. , Feiginova Svetlana I. , Grigorov Andrey A.
Published: November 2024

Introduction. Currently, in the Russian Federation there are realized national projects “Healthcare” and “Demography” aimed at reducing the mortality. For implementation at the regional level in Moscow, there have been developed regional programs with appropriate regional indicators.
The purpose of the study is to assess the degree of achievement of the targets of national, federal and regional adult mortality rates.
Materials and methods. The study is based on a comparative analysis of targets and actual statistical data.
Results. In Moscow and in Russia, there is a decrease in mortality from all causes, diseases of the circulatory system, myocardial and cerebral infarction, neoplasms. Despite the increase in the level in 2020–2021 due to the pandemic, in 2022, mortality rates returned to the pre-pandemic period and have a tendency to further decrease. Current trends point to the high achievability of targets in Moscow, while in the country, most indicators have a chance of not being achieved. In Moscow there is noted a higher cancer mortality rate i to which a significant contribution may be made by cancer patients from other Russian regions who receive medical care in federal cancer centers located in Moscow and who died on its territory.
Research limitations. Standardized mortality rates of the population were calculated in the FAISS internal use program.
Conclusion. The implementation of national, federal and regional projects has had a positive impact on the effectiveness of demographic policy to reduce mortality.
Characteristics of medical student education during the COVID-19 pandemic
Authors: Sukhikh Sergey O. , Kazakov Nikita S. , Stroganov Roman V. , Kupriyanov Yuri A. , Vasiliev Alexander O. , Bormotin Aleksey V. , Bernikov Alexander N. , Malkhasyan Vigen A. , Gvasalia Badri R. , Govorov Alexander V. , Kolontarev Konstantin B. , Gvozdev Michael Yu. , Zaytsev Andreir V. , Khodyreva Lyubov A. , Dyakov Vladimir V. , Kasyan George R. , Pushkar Dmitry Yu.
Published: November 2024

Introduction. After the last pandemic, the university community faced a number of issues related to the management and conduct of training, so improving the quality of education and training of medical students is relevant. The transition to distance learning on various platforms with all kinds of media support, on the one hand, made it possible not to interrupt the educational process during a difficult period of social restrictions, and on the other hand, created a load and stressed both students and teachers of educational institutions.
Purpose. To assess the impact of changes on the educational process of medical students during the COVID-19 pandemic, including the implementation of distance learning technologies and the use of online platforms, and to identify the need for social support measures to reduce academic burnout and improve students’ psychological resilience.
Materials and methods. A comparative observational study was conducted at the Urology Clinic of the Russian University of Medicine, which used an anonymous Internet survey. Two hundred forty eight 4th year medical students were interviewed from 2020 to 2021 and 501 respondents from 2021 to 2022.
Results. Two groups of students were compared, distributed according to a time criterion. The most frequent area of application of social networks in the educational process was consultation with teachers and search for information for educational activities. In relation to distance learning, positive responses were received from 170 respondents (68.55%) in group 1 and 342 (68.26%) in group 2, and negative responses from 68 (27.42%) and 127 (25.35%) respondents, respectively.
Research limitations. A narrow focus on the sample of medical students, which does not reflect the diversity of opinions and experiences in the wider population, as well as conducting research during the COVID-19 pandemic.
Conclusions. Given the changes in educational activities against the background of the coronavirus pandemic, as well as the lack of regulated norms, rules, and support for students and teachers during this period, comprehensive coverage and development of distance learning methods are necessary.
Some policies and laws on freelance workers at land border areas in Vietnam and recommendations for improvement in the coming time
Authors: Pham Thi Huong Lan Lan
Published: November 2024

Vietnamese freelance workers who work in land border areas of neighboring countries are quite large in number, thus the policies and laws on labor at the land border as well as issues of ensuring the rights of workers and labor management require more attention. In this article, the author will discuss some of the current status of policies and laws in Vietnam on freelance workers at the land border and solutions to improve policies, laws and management capacity in the coming time for Vietnamese people working in neighboring countries.
K-mean cluster analysis of the use of prepositional phrases for location, writing, reading, and understanding words presented in a three-dimensional, puzzled, and distorted form
Authors: Salkić Naim , Povlakić Hadžiefendić Meliha
Published: November 2024

The primary objective of this study is to examine the statistically homogeneous clustering in the hierarchical arrangement of the use of adverbial clauses for location, recognition, and comprehension of words presented in three-dimensional, rebus, and distorted forms. The study was conducted on a sample of 140 participants. The first subset of participants constituted the experimental group, consisting of 70 deaf students, while the second subset formed the control group, comprising 70 hearing students of the same chronological age. A battery of tests was utilized as a measurement instrument, including the “Test of Writing and Comprehending Adverbial Clauses for Location,” “Test of Reading, Writing, and Comprehending Words Presented in Three-Dimensional Form,” “Test of Reading, Writing, and Comprehending Words Presented in Rebus Form,” and “Test of Reading, Writing, and Comprehending Words Presented in Distorted Form.” In the descriptive analysis, frequencies of the total words achieved by both deaf and hearing participants were computed for the different types of measurement instruments employed. To identify the most robust homogeneity of participants concerning the applied variables, non-hierarchical and hierarchical Cluster Analyses were employed. The research results indicate a significant lag in the use of adverbial clauses for location, writing, reading, and understanding words presented in three-dimensional, rebus, and distorted forms among deaf children in comparison to their hearing peers. The Cluster Analysis revealed the most significant linkage between the variable “Number of used adverbial clauses for location” and the variable “Number of recognized words presented in three-dimensional form.” This link was clustered with the variable “Number of written words presented in rebus form” and the variable “Number of written words presented in three-dimensional form.” An analysis of variance for isolated clusters identified a statistically significant difference in the entire measurement space of adverbial clauses for location, three-dimensional, rebus, and distorted forms of words, with a level of statistical significance at p=0.00.
Factors Influencing Intention in Implementing an External Whistleblowing System
Authors: Maulana Rifqi , Yvonne Augustine Sudibijo
Published: November 2024

This studies goals to research and decide the simultaneous and partial affect of Instrumental, Affective, Self-Efficacy, Perceived Controllability, and Independence Commitment on External Whistleblowing Intention with Perceived Organizational Support as a moderating variable. This studies makes use of  quantitative research  with purposive sampling methods. This research combines internal factors in the form of personality and external factors in the form of the organizational environment as a basis for implementing external whistleblowing, to find out which factors are able to encourage whistleblowers to implement external whistleblowing. This is a primary data originating from questionnaire respondents. The questionnaire was made in electronic form, using Google Form media. Respondent data came from Senior Auditors and Supervisory Auditors of Public Accounting Firms (KAP) in Indonesia, totaling 100 respondents. SmartPLS version 3 was used for analysis. Results indicate that Instrumental variable has a positive effect on External Whistleblowing Intention. Affective has no effect on External Whistleblowing Intention. Self-Efficacy has no effect on External Whistleblowing Intention. Perceived Controllability has no effect on External Whistleblowing Intention. Independence Commitment has no effect on External Whistleblowing Intention. Perceived Controllability does not moderated by Perceived Organizational Support on External Whistleblowing Intention. Affective does not moderated by Perceived Organizational Support on External Whistleblowing Intention. Independence Commitment does not moderated by Perceived Organizational Support on External Whistleblowing Intention. Self-Efficacy does not moderated by Perceived Organizational Support on External Whistleblowing Intention. Instrumental does not moderated by Perceived Organizational Support on External Whistleblowing Intention. This research has limitations. The data was obtained from an instrument based on answers based on the respondents' perceptions and experiences. Research data can be biased, because if the respondent's answers are different from their perceptions and experiences of the actual situation, it can reduce the accuracy of the information from this research.
Özel Dosya: Kampüste Nasılız? Günümüz Üniversitelerine Çok Katmanlı Bakışlar
Authors: Çavdar Alev , Turan Ömer
Published: November 2024

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Akademik Kapitalizm Kuramı: Üniversitelerde Bilgi Üretim Sürecinin Dönüşümü
Authors: Bal Sevil
Published: November 2024

Güncel yükseköğretim araştırmalarında; üniversite ideasına ilişkin kabul gören “geleneksel” ilkelerin dönüşümü tartışması yer almaktadır. Bilimsel bilgiyi oluşturma, üretme, yaygınlaştırma ve yeniden üretme süreci bu tartışmanın odak noktasını oluşturmaktadır. Bilginin kimin için, ne tür bir amaçla, hangi aktör ve kaynaklarla, nasıl bir formda üretildiği soruları, literatürde bu alanda daha sınırlı şekilde yer bulan teorik ve metodolojik bir hattın sorunsallaştırılması ihtiyacına işaret etmektedir. Bu çalışmanın amacı, üniversitelerdeki akademik bilgi üretim sürecinin dönüşümünü, piyasa ve piyasa benzeri bir bilgi-öğrenme, üretim, tüketim rejimi olarak tanımlanan “akademik kapitalizm” kuramı üzerinden tartışmaya açmaktır. Bu kapsamda, akademik kapitalizm literatürünü temellendiren kuramsal yaklaşımlar, temel kavramlar ve güncel yönelimler üzerinden üniversitelerdeki dönüşüm süreci ve aktörleri, teorik bir tartışmayla irdelenmektedir. Çalışmanın sonucunda, üniversiteler ile akademik bilgi üretim süreci üzerine tarihsel-bütüncül bir bakış açısıyla düşünmenin ve mevcut dönüşüm hattını izlemenin; kapitalizm, neoliberalizm aşaması ve modernite ilişkilenen iktisadi, politik ve sosyo-kültürel alandaki mevcut yapısal koşullar ve sonuçlarıyla birlikte mümkün olduğu vurgulanmaktadır.