bluuebunny/crossref_metadata_2025 huggingface dataset:
Fluid Accumulation Dilemma in the Critically Ill Children, A Retrospective Study
Authors: UYAR Emel , GÜNGÖR Ahmet Alptuğ , PERK Oktay , ÖZCAN Serhan , KOÇKUZU Esra , EMEKSİZ Serhat
Published: October 2022

Aim: Fluid accumulation occurs in pediatric patients in pediatric intensive care units (PICU). Medications administered in pediatric intensive care units can contribute to significant cumulative load in patients. In present study, we aimed to study fluid accumulation on patients without AKI and to determine contribution of medications over fluid intake.

Material and Method: In this study, 527 daily follow-up forms of 101 patients was investigated retrospectively.

Results: Total fluid load was found to be higher in patients with comorbidities, who underwent invasive mechanical ventilation, and who needed inotropes. While fluid load was higher in patients with sepsis than in other diagnostic groups, it was significantly lower in patients with multisystem inflammatory syndrome in children (MIS-C). While the median (IQR) of the cumulative fluid load was 11.6% (7.1-16.4) in the first 5 days, the median (IQR) reached 25.7% (14.65-34.1) on the 10th day. The cumulative fluid load increased as the patient's follow-up days increased. The median average daily fluid intake (IQR) from drugs alone was 14.48% (8.07-24.13). The contribution of drugs to the total fluid load increased as the age of patients decreased (r: -0.164, p< 0.001).

Conclusion: A cumulative fluid load occurs in PICU patients without AKI. Particularly in young children, the contribution of fluids given with drugs to the fluid load should be kept in mind. Clinicians should perform patient-specific fluid management by supporting fluid status assessments with objective criteria in order to get out of the fluid accumulation- fluid over load dilemma.
The Effect of Smoking on Family Functions
Authors: NURLU USLU Dilek , ARSLAN İsmail , USLU Sadettin , GÜLMEZ Gülay , DEMİR Şevin , TEKİN Oğuz
Published: October 2022

Aim: Family is the most natural environment where people can meet their needs of love, compassion, affection and care for mental and physical health. In this study, we aim to investigate the relation between smoking and family functions.

Material and Method: Ninety seven patients between 18-60 years age who were admitted to the Ankara Training and Research Hospital, live with at least one family member and agreed to participate in the study were included in this study. Cross-sectional, observational and analytic methods were applied. The recorded data of the participants were as follows: age, sex, occupation, marital status, education level, the family members whom living with, the status of smoking at home, chronic diseases and current medication. McMaster Model of Family Functioning (MMFF) and Fagerström Test for Nicotine Dependence (FTND) were used.

Results: Statistically significant differences between MMFF scores of smoking patients in the subscales of “Roles” and “Affective Involvement” were found (p=0.004, p= 0.002, respectively). We have seen in the subscale of “Problem Solving” that single members were negatively affected (p=0.033). The negative effects of smoking were found to be decreasing by age in the “Communication” subscale (p=0.002). The “Roles” subscale was observed to be negatively disturbed in the group of smokers with chronic diseases(p=0,050). We also found that being single and having a chronic disease negatively affected “Affective Responsiveness” subscale (p=0.050, p=0.020, respectively).

Conclusion: Smoking affects the family functions negatively. Thus, the fight against smoking might be thought to make a favorable effect on the family functions.
The Relationship Between Subclinical Hypothyroidism and Gestational Diabetes Mellitus
Authors: CEVHER AKDULUM Munire Funda , DEMİRDAĞ Erhan , ARIK ALPÇETİN Seçil İrem , ERDEM Mehmet , ERDEM Ahmet
Published: October 2022

Aim: The most common metabolic disorder during pregnancy is gestational diabetes mellitus (GDM). GDM can occur in anywhere between 1.7 and 11.6 percent of people. In hypothyroidism, the rates of glucose oxidation and glycogen synthesis are reduced, and the peripheral tissues' consumption of glucose is also delayed. Patients with subclinical and overt hypothyroidism develop insulin resistance because insulin is unable to adequately maintain the muscles' use of glucose. According to the literature, hypothyroidism is linked to 6–15 percent of GDM pregnancies. Additionally, the chance of having GDM is 4.3 times higher in pregnant women who have hypothyroidism. This study aimed to reveal the relationship between first-trimester thyroid function tests and GDM.
Material and Method: This retrospective cohort study was conducted between May 2021 and May 2022. 100 pregnant patients diagnosed with GDM and 500 healthy controls were included in the study. Using a 75 g glucose challenge test, GDM was identified. The trimester-specific recognized normal limits were used to evaluate the TSH and fT4 readings.
Results: There was a statistically significant difference in terms of SCH between patients with and without GDM (p=0.04). TSH's performance in predicting GDM was evaluated using AUC and ROC (AUC=0.586 and p=0.006). To forecast GDM, the TSH level cut-off value was discovered to be 1.58. The AUC was found to be 0.586 (0.521-0.652). Furthermore, the selectivity is 58% and the sensitivity is 41%
Conclusion: There are many studies in the literature investigating thyroid functions and the development of gestational diabetes mellitus. Our study also found a correlation between the diagnosis of subclinical hypothyroidism in the first trimester and GDM. The study adds to the literature the importance of being cautious and vigilant in terms of the development of gestational diabetes mellitus based on the results of the thyroid function test in the first trimester.
Analysis of the Premarital Health Examinations Results of Family Physicians in Isparta: A Retrospective Study
Authors: ÜNVER Şerife , İŞCAN Gökçe , YILDIRIM BAŞ Funda
Published: October 2022

Aim: Family physicians, who are the primary providers of health care also perform a premarital examination, which is included in preventive services and required to ensure the continuation of healthy generations. This study was conducted to raise awareness and assess the current situation by analyzing the results of premarital examinations in the province of Isparta.

Material and Method: This is a retrospective, epidemiological, analytical study. The data of 16.181 people who applied to family health centers in Isparta provinces and districts for any reason between the years 2017-2020, were analyzed retrospectively.

Results: As a result of retrospective examination and analysis of premarital examination data of 16.181 people between 2017 and 2020, the average age was 29.70±8.70, VDRL-RDR was found in 0.2% of the individuals, TPHA in 0.1%, HBsAg in 0.9%, Anti-HBcIgM in 0.03%, Anti-HCV in 0.4%, and Anti-HIV positivity was not detected. Anemia was found in 3.5% of the individuals, and thalassemia carrier was found in 2.2%.

Conclusion: Examinations in the family in the province of Isparta will also be completed in close proximity to family physicians, and premarital examination will be performed. In the training, detailed information was given about emphasizing the repetition of premarital examination by physicians.
Study on the Prevalence Rate of Varicose Veins among School Teachers
Authors:   Professor, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, TamilNadu, India., K. Kotteeswaran  , kumar S Pradeep ,   Undergraduate Student, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, TamilNadu, India., Poojasree B  ,   Undergraduate Student, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, TamilNadu, India.
Published: October 2022

Background: The teachers are the biggest asset of the society as they are the source of knowledge and teaches about morals to the children.They face many problems which mainly affect their quality of life. One of the problem is varicose veins which shows various symptoms like itching and ulceration. Aim: The aim of the study is to find the prevalence rate of varicose veins among school teachers. Objective: To determine the prevalence rate of varicose veins among school teachers using VEINES-symptoms questionnaire.To determine which gender has higher prevalence rate of Varicose veins. Materials: VEINES (venous insufficiency epidemiological and economic study). Results: The statistical analysis shows that the 40% of the school teachers were affected by varicose veins by using VEINES-symptoms questionnaire. Conclusion:Based on the present study findings,it was concluded that the school teachers are more prone to Varicose veins.The present study states that female school teachers has higher prevalence rate of Varicose veins than male teachers.Among the school teachers prolonged standing considered as the significant risk factors KEY WORDS: Varicose veins, School teachers, VEINES-symptoms questionnaire, Prevalence rate, Itching, Ulceration.
Assessment of Elderly Slips and Falls Utilising Induced Slip Training or An Obstacle Course
Authors:   Assistant Professor, Department of Physiotherapy, Sanskriti University, Mathura-281401, India., Singh Vidhi , Singh Amandeep ,   Assistant Professor, Department of Physiotherapy, IIMT Meerut, Pandey Santosh ,   Senior Physiotherapist, Prayagraj, India.
Published: October 2022

Background: Falls are a frequent reason for injury-related hospitalisation or mortality in older people. This research discusses a unique conceptual framework on dynamic stability and weight support in reducing the chance of falls and slips, based on induced slip training or an obstacle course principle. Objective: To find either an obstacle course or induced slip training for slips and falls in elderly people. Design: Berg Balance Scale and a modified timed up and go test study. Study setting: Community centres and communities in Agra and Mathura. Participants: A total of 30 subjects were selected based on the inclusion and exclusion criteria. Outcome measure: Obstacle course training and timed up & go test were used as for assessing older people with balance and mobility issues. Results: In elderly people, the low friction surface trained group maintained their balance while walking at their usual speed in timed up and go. Conclusion: Based on findings of the study, the low friction surface group showed a faster time to walk over the same surface without losing balance. They were able to adjust their posture in response to the stresses by applying tactics learnt via repetition, resulting in more stable and safe movement. KEY WORD: Geriatric slips and falls, Induced slip, Obstacle course, Up and go test.
Prediction of time scale divergence based on an adjusted linear model
Authors:   Novosibirsk State Technical University, Russian Federation, Chernikova Oksana S. , Marareskul Tatyana A. ,   Joint-Stock Company “Academician M.F. Reshetnev Information Satellite System”, Zheleznogorsk, Russian Federation
Published: October 2022

The paper presents the results of a study of the accuracy of a two-stage algorithm for constructing a linear model for predicting the divergence of the time scales of GLONASS spacecraft relative to the system time scale for intervals of up to two hours. At the first stage of the two-stage algorithm, a linear model is constructed based on the least squares method based on the results of the measurement data of the discrepancy of the time scales at the selected dimensional interval. At the second stage, the offset of the smoothed estimate of the discrepancy of the time scales at the end of the dimensional interval (the current session estimate) is determined relative to the linear trend found throughout the dimensional interval, and the constant term of the constructed linear model is refined based on the latest measurements. A comparative analysis of the accuracy of the forecast of the divergence of time scales based on a linear model and a linear model with an adjusted constant coefficient at different forecast intervals is also provided. The analysis of the obtained results of the error estimation of the corrected linear prediction model of the divergence of the GLONASS time scales, constructed using the described two-stage algorithm, allows for all GLONASS spacecraft at the considered prediction intervals to provide a smaller prediction error compared to the linear model without correction. It is also possible to distinguish a group of spacecraft for which the forecast error is noticeably higher than for the rest (the worst forecasts in terms of accuracy were obtained for spacecraft R02, R13, R22).The proposed approach can be used both to predict the divergence of spacecraft time scales and to recover the missing data on a dimensional interval, which is relevant for expanding the class of mathematical models used to describe the divergence of time scales.
Numerical simulation of the water hammer phenomenon taking into account the hydraulic friction of the pipeline by the control point method
Authors:   Melentiev Energy Systems Institute of the Siberian Branch of the Russian Academy of Sciences, Irkutsk, Kler Aleksandr M. , Apanovich Danil V. ,   Melentiev Energy Systems Institute of the Siberian Branch of the Russian Academy of Sciences, Irkutsk
Published: October 2022

The calculations of dynamic processes in the pipeline are necessary for modeling the processes of fluid movement in the pipeline, for example, for predicting loads on the pipeline when compression and rarefaction waves move in it. These tasks are reduced to solving systems of partial differential equations. The calculation of the phenomenon excluding hydraulic friction can be carried out by the method of characteristics, however, the calculation, taking into account the friction forces, is complicated for known methods, such as the finite difference method and the final element method. The article provides a brief description and an example of using the control point method for the task of modeling the water hammer phenomenon, taking into account the hydraulic friction forces of the pipeline. The main idea of the proposed method is to reduce the solution of these systems of equations to solving linear programming problems. The purpose of this work is to solve the problem of water hammerwith friction by the control point method. This method, developed jointly with A.S. Maksimov by the authors of this article at the Melentiev Energy Systems Institute, has shown good results in solving systems of partial differential equations of a periodic heat exchanger with ceramic ball filling. Moreover, heat transfer inside these elements was taken into account. With large values of thermal conductivity coefficients, this system is also rigid, which complicates its solution by the control volume method, but the control point method has shown good results. This gives reason to consider it promising in calculations of hydraulic friction. The results of modeling a hydraulic shock to a pipe filled with an incompressible liquid at different friction coefficients have been obtained. The results make it possible to make a numerical assessment of the effect of the o hydraulic friction coefficient on the attenuation of oscillatory processes during a hydraulic shock.
Multi-objective optimization through artificial intelligence for designing of an Agave angustifolia leaf shredder
Authors: Pérez del Rio Raudel , Hidalgo Reyes Martín , Caballero Caballero Magdaleno , Hernández Gómez Luís Héctor
Published: October 2022

A neural network and a genetic algorithm were used in a hybrid method to get the optimal design parameters of an Agave angustifolia Haw. green leaf shredder. First, a prototype of an experimental machine was built using the design parameters recommended by the literature and calculated using linear equations. Then, the shredder prototype was subjected to experiments. The defibration data with different blade adjustments were obtained with experimental values. The data was configured and trained with an artificial neural network to establish a correlation between the defibration quality and the design parameters. The multi-objective optimization method based on genetic algorithms determined the optimal design parameters of the shredder’s functional mechanical elements. The best point was obtained from the least number of broken fibers (2.83%) and the most waste (73.15%). The method used proved suitable to optimize the design parameters; this was based on actual data obtained by experiments performed with the prototype and then modeled through artificial intelligence methods such as neural networks to determine an optimal solution using evolutionary genetic algorithm methods.
Дифференцируемые динамические системы. Введение в структурную устойчивость и гиперболичность
Authors: Вен Лан
Published: October 2022

Книга представляет собой подробное введение в классическую теорию равномерно гиперболических динамических систем. Детальное рассмотрение некоторых канонических примеров и основных технических результатов завершается доказательством теоремы об омега-устойчивости и обсуждением структурной устойчивости. Материал является прекрасной базой для чтения курса "Динамические системы". Учебник рассчитан на новичков в этой области, ног будет очень полезен и специалистам, так как основан на богатом опыте автора в преподавании данной красивой теории.
NEUROPLASTICITY AFTER COCHLEAR IMPLANTATION AS ASSESSED BY THE PLASMA LEVEL OF MMP-9 AND ITS GENETIC POLYMORPHISMS: A PROSPECTIVE STUDY OF CONGENITALLY DEAF CHILDREN
Authors: Matusiak Monika , Oziębło Dominika , Ołdak Monika , Rejmak Emilia , Kaczmarek Leszek , Skarżyński Henryk
Published: October 2022

Background

If it was possible to assay biomarkers of neuroplasticity it might facilitate clinical management of deaf implanted children by identifying those among them who are at risk of speech and language rehabilitation failure. MMP9 is a proteinase involved in neuroplasticity underlying different clinical conditions in human.

Material and methods

This was a longitudinal, prospective cohort study of 61 congenitally deaf children who underwent cochlear implantation. We investigated the genetic variants of matrix metalloproteinase 9 (MMP9) and plasma levels of MMP-9 that have been implicated in
neuroplasticity after cochlear implantation. Auditory development was assessed by using the LittlEARS Questionnaire (LEAQ) at three follow-up points and the plasma level of MMP-9 was measured at implantation.

Results

There was a significant negative correlation between MMP-9 plasma level at implantation and LEAQ score at 18 months follow-up (p < 0.05). Two clusters of good and poor CI performers could be isolated based on this correlation. The prevalence of genetic variants of MMP9 – rs3918242, rs20544, and rs2234681 – in the good performers cluster was different to their prevalence in the poor performers cluster.

Conclusions

The study showed that children born deaf who have an MMP-9 plasma level of less than 150 ng/ml at cochlear implantation have a reasonable chance of attaining a high LEAQ score after 18 months of speech and language rehabilitation. It appears that MMP-9 plasma level at cochlear implantation is a promising prognostic marker for CI outcome.
Light-Seq v1
Authors: Y. Kishi Jocelyn
Published: October 2022

We present Light-Seq, an approach for multiplexed spatial indexing of intact biological samples using light-directed DNA barcoding infixed cells and tissues followed by ex situ sequencing. Light-Seq combines spatially targeted, rapid photocrosslinking of DNA barcodes onto complementary DNAs in situ with a one-step DNA stitching reaction to create pooled, spatially indexed sequencing libraries. This light-directed barcoding enables in situ selection of multiple cell populations in intact fixed tissue samples for full-transcriptome sequencing based on location, morphology or protein stains, without cellular dissociation. Applying Light-Seq to mouse retinal sections, we recovered thousands of differentially enriched transcripts from three cellular layers and discovered biomarkers fora very rare neuronal subtype, dopaminergic amacrine cells, from only 4–8 individual cells per section. Light-Seq provides an accessible workflow to combine in situ imaging and protein staining with next generation sequencing of the same cells, leaving the sample intact for further analysis post-sequencing.
İç Hastalıkları Ana Bilim Dalları Tarafından Hematoloji Konusunda Yapılan Uzmanlık Tezlerinin Yayınlanma Durumu
Authors: ÇİFTÇİOĞLU Muhammed
Published: October 2022

Amaç: Bu çalışma ülkemizdeki tıp fakültelerinin iç hastalıkları anabilim dalları tarafından yayınlanan hematoloji konusundaki tıpta uzmanlık tezlerinin
bilimsel dergilerde yayınlanma durumunun değerlendirilmesi amacıyla planlanmıştır.
Gereç ve Yöntemler: Çalışmaya Yüksek Öğretim Kurulu Başkanlığı Ulusal Tez Merkezi internet veri tabanında (https://tez.yok.gov.tr/UlusalTezMerkezi/)
yer alan, ülkemizdeki tüm tıp fakültelerinin iç hastalıkları anabilim dalları tarafından hematoloji konusunda sisteme girilmiş 2015-2017 yılları arasında yayınlanmış
186 adet iç hastalıkları tıpta uzmanlık tezi dâhil edildi. Bu tezler yapıldıkları yıl, sayfa sayısı, yazar cinsiyeti, tez danışmanın cinsiyeti ve akademik
unvanı yayınlanma durumu, yayına ait özellikler açısından incelendi.
Bulgular: Çalışmamızda yer alan 2015-2017 yılları arasında hematoloji konusunda yapılmış 186 adet iç hastalıkları tıpta uzmanlık tezinin 57’si (%30.6)
yayınlanmıştı. Bu yayınların 18’i (%31.6) SCI/SCI-E, 21’i (%36.8) uluslararası diğer indekslerde, 14’ü (%24.6) Ulakbim TR, 4’ü (%7.0) ulusal hakemli
dergilerde yayınlanmıştı. Tezlerin 141’i (%75.8) retrospektif, 45’i (%24.2) ise prospektif çalışma idi. Retrospektif çalışmaların 37’si (%26.2), prospektif
çalışmaların 20’si (%44.4) yayınlanmıştı. Prospektif çalışmaların yayınlanma oranı retrospektif çalışmalara göre daha yüksek bulundu (p=0.021).
Sonuçlar: Sonuç olarak çalışmamızda iç hastalıkları tıpta uzmanlık eğitimi sonunda hematoloji konusunda yazılan tıpta uzmanlık tezlerinin makale olarak
yayınlanma oranının diğer klinik branşlardan yüksek olduğu ortaya konulmuştur.
Enlarging the Human Climate Niche: Integrating Urban Heat Island in Urban Planning Interventions
Authors: Mounayar Rayan , Florentin Daniel
Published: October 2022

This article explores the potential of linking the scholarship on the human climate niche and heat island research. One such combination leads to a better understanding of the liveability of urban areas and thereby offers a contribution to emerging healthy urban planning. Whereas former research has primarily focused on the parameters influencing urban heat island and mitigation solutions, it remains short on quantifying these solutions and conceptualising the cumulative impacts of urban heat island on health and vulnerable populations. Based on the coupling of ENVI-met computational simulation and the local climate zone method, this article quantifies mitigation solutions and associates the frequency and intensity of heat stress and health-related symptoms in various urban settings. Drawing on a real-case urban intervention in Paris, it offers a more effective health-related and comfort-focused approach to urban planning and interventions to expand the human climate niche. This should contribute to transforming the planning and conception of public spaces into “liveable refuges” for all population types, including the most vulnerable. The results stemming from the simulations of mitigation measures help design a hierarchy of interventions to tackle urban heat islands according to the intensity of their ability to reduce heat stress risk. This hierarchy is then adjusted to other parameters contributing to a healthy, liveable urban environment and urban planning, making interventions on urban heat islands a matter of (multidimensional) care for urban dwellers.
Woman life and health: arguing the problems of the reality with professionals of the care
Authors: Guedes Rebeca Nunes , Silva Ana Tereza Medeiros Cavalcanti da , Coelho Edméia de Almeida Cardoso
Published: October 2022

The relation between professionals and female users of health care is influenced by the way the involved individuals are inserted and interact in the social space they occupy, which makes the practice to be directed by gender relation as well. Assuming the consideration of the life of professional women and users may contribute to qualify women’s health care, a study was made aiming at offering a reflection and debate on the relation between women’s life and their need for health care and identifying convergent and divergent aspects between the demand for care which results from the experience of professionals and that of the women they care for. It is a qualitative study with gender as a theoretical reference. It was made between a multiprofessional female staff of a public health care setting. The production of empirical material was directed by a problematical methodology and reflection wokshop technique, the latter making experience exchange and collective knowledge building possible. The data were analyzed through the speech analysis technique that recognizes the most abstract, hematic level in the text, which makes it coherent by revealing the enunciator’s view of the world. The empirical material analysis showed that female health professionals present at times similar demands to those of the women they care for originated from their multiple functions and existing tension in private and public settings, which points out their need to be heard and have the conflicts related to gender decreased. Key words: woman’s health; women working; gender Identity; Gender and Health.
The relationship with learning of nurses and nursing students
Authors: Da Rosa Isaquiel Macedo , Cestari Maria Elsabeth
Published: October 2022

Nursing has historically prioritized the use of practical activities as the way to teach and learn. As we try to understand the formation, and its impact in the professional performance, it is important to question what and how we have been teaching. The idea of relationship with knowledge, taken in its broad sense of relationship with learning, presented by Bernard Charlot allows for a different approach to the teaching-learning process and its product. Therefore, this study had as its goal the analysis of the relationship with learning established by students and nurses that attended the same undergraduate course in nursing. The results pointed to a dependence of students in the first semesters with the figure of the professor while the students from the last semesters showed more independence. On the other hand, graduated nurses signaled the practice as a fundamental factor in the learning process.
Health education, nurses and creativity: the necessary interconnection to the educative process
Authors: Macêdo de Sousa Francisca Georgina , Gomes Terra Marlene , Schmidt Reibnitz Kenya , Schubert Backes Vania Marli
Published: October 2022

The object of this paper is to reflect upon the dimension of health education as a process of construction in comparison with the current pattern of health attention. It also intends to obtain a critical view upon nursing care and in the education of nurses, trying to look for strategies for an innovational and creative practice of health education. In this article, it is aimed to discuss realities and evidences as well as reassure necessities, transform situations and widen the awareness about the professional practice of nurses. Understanding health in its wide dimension demands from the professionals an articulation that is able to apprehend the way of thinking and the way of doing the routine of patients and professionals in the entireness of the human being. It aims, over all, the participation of professionals and the nursing team in the educative process in which they are introduced, acting as co-responsible in the caring of people’s health.
The development of the adolescent mother and her baby ’s attachment
Authors: Pedro Eva Neri Rubim , Botene Daisy Zanchi de Abreu , Motta Maria da Graça Corso da , Ribeiro Nair Regina Ritter , Lima Ana Amélia Antunes
Published: October 2022

The study concerns about the development of the attachment between the adolescent mother and her baby. Its objectives are to know the adolescent’s experience as a mother; to recognize the manifestations of attachment between mother/baby and to know the factors that facilitate and/or interfere the development of the attachment. It is a longitudinal study with a qualitative approach, realized with six adolescent mothers, between thirteen and nineteen years old, and their babies, linked to the Family Health Program (FHP) from Vila Pinto, a popular class comunity in Porto Alegre/RS. The collection of the information was realized through semi-structered interviews and participatory observations. For the analysis of the information, an analysis of the content was used, from where the following cathegories emerged: satisfaction with the maternity; bonding-attachment; familiar support and interrupted project of life. The results indicate that the familiar and the partener’s support are the bonding facilitating factors, since youngesters have this support, show an affectionate relationship with their babies, but we can not to say that others adolescents whose don’t have this support, don’t development of the attachment with your sons.
The conceptions of public healthcare nurses about care
Authors: Marcon Sonia Silva , Tomeleri Keli Regiane , Andrade Betina Barbedo , Mai Lilian Denise , Santos Marta Elaine Serafim
Published: October 2022

The art of caring is arousing the conscience of being a nurse to a redirection of his/her role as a caring being who becomes involved with other beings. This study aims to identify the understanding that nurses have about caretaking and its practical applicability according to the theorists Leonardo Boff and Vera Regina Waldow. A descriptive and qualitative study, carried out with nurses from Basic Healthcare Units, where 94.1% are women, 58.8% are between 41-50 years old, the majority (76.5%) of them are specialists and 52.9% graduated in the 1980s. This situation produced three categories: the Assistance category – "do something for somebody", the Feeling category – "care with humanistic values", and the Education category – "promotion of the quality of life". It was observed that that nurses spoke mainly in terms of “doing to” or “doing for” someone, rather than "doing with" someone. A great difficulty and certain confusion were observed, when speaking about care.
Reducing Black Women's Death during Perinatal Period: Evidenced-Based Practice to Addressing Maternal Mortality in Brazil
Authors: Cruz Isabel CF da
Published: October 2022

The perinatal period has become a focal point for risk assessment and health promotion in women's healthcare. This paper discusses the role health professionals and managers can undertake to improve Black women's health in the perinatal period through the detection and management of institutional racism and sexism.
Proposals for the Introduction of Certificates of Authorship instead of Patents for Methods of Diagnosis and Treatment
Authors: Latyntsev A. V.
Published: October 2022

Recent years have shown reasonable support (including by the author of the article) for proposals to exclude methods for diagnosing and treating people and animals from the list of results of intellectual activity in respect of which patent protection can be applied in the scientific legal literature. These proposals are based on the provisions of the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS Agreement), foreign experience of countries with developed legal systems and arguments about the practical inexpediency of patenting these results of intellectual activity, as well as on the moral and ethical side of the issue. In the case of legislative support for these initiatives, in order to preserve the encouragement of innovation and reflect the contribution of developers to medical science in the field of creating new and developing existing methods of diagnosis and treatment, the paper proposes to refer to the experience of the USSR in issuing copyright certificates for this type of invention and to revive such legal mechanisms in the Russian legal system.
Competence of the Governing Bodies of an Autonomous Non-Profit Organization during the Period of Voluntary Liquidation
Authors: Alekseev S. S.
Published: October 2022

The paper analyzes the competence of the governing bodies of an autonomous non-profit organization in the stage of voluntary liquidation of the organization. Given the current legislation and judicial practice, the powers of the liquidation commission and other («pre-liquidation») management bodies of the organization are delineated. In practice, members of the collegiate supreme governing body of an autonomous non-profit organization had to face doubts about the legitimacy of making decisions on issues of the competence of this governing body provided for by the charter, with the exception of those issues, the adoption of decisions on which by the collegiate supreme governing body of an autonomous non-profit organization during the period of voluntary liquidation is expressly provided by law (for example, approval of the liquidation balance sheet). At the same time, as the basis for such doubts, the transfer of authority to manage the affairs of a legal entity to the liquidation commission from the moment of its appointment is indicated (clause 4, article 62 of the Civil Code of the Russian Federation). The author concludes that the founders and the collegiate supreme governing body of an autonomous non-profit organization, in addition to the powers provided by law to liquidate the organization, retain a significant part of their competence, enshrined in law and the charter, taking into account the scope of the organization’s legal capacity during its liquidation. The conclusions are of practical importance not only for lawyers of non-profit organizations, but also for a wide range of lawyers of business entities in terms of approach to assessing the competence of the governing bodies of a legal entity during its liquidation.
The Content of the Concept of «Legal Owner» in Deciding the Fate of Material Evidence in the Form of Property Obtained as a Result of a Crime, and Income from this Property
Authors: Muryleva-Kazak V. V.
Published: October 2022

The paper reveals the meaning of the term «legal owner» in relation to material evidence in the form of property obtained as a result of a crime, and income from this property. It is noted that the absence of the content of this concept in the criminal procedure law causes difficulties in its interpretation by law enforcement agencies. The essence, legal nature, the mechanism for the implementation of restitution in the Russian criminal procedural law are disclosed. Problematic situations and possible solutions to the application of criminal procedural restitution are considered, when both the victim of the crime and the conscientious purchaser of property obtained by criminal means simultaneously claim to be the «legal owner» of material evidence. The possibility of applying in the criminal procedure the norms of civil law on the prohibition of reclaiming certain objects of civil rights from bona fide purchasers is analyzed. The conclusion is substantiated that under the legal owner specified in paragraph 4 of part 3 of Art. 81 of the Code of Criminal Procedure of the Russian Federation should be understood as the owner of property lost as a result of a crime, as well as another person who legally owned it at the time of the crime.
The History of Pupillography and Possibility of Its Using in Modern Ophthalmology
Authors: Sakhovskaya N. A. , Frolov M. A. , Kazakova K. A. , Kolodkina M. G.
Published: October 2022

Nowadays medicine has great opportunities for a detailed study of organs and systems, quick and accurate diagnosis of norm or pathology. Many diagnostic procedures are universal and are used by doctors of different specialties. Pupillography is a method of studying pupillary reactions, which is based on registering changes in its magnitude by photographing or filming. This study has found wide application in many areas of medicine, such as ophthalmology, neurology, narcology, general medical practice, for the diagnosis of different pathological conditions.

Currently, in all areas of medicine, preference is given to objective diagnostic methods. In our country, much attention is paid to the development and introduction into medical practice of new technologies and minimally invasive research methods which purpose is timely accurate diagnosis and effective treatment of various diseases. The visual analyzer transmits visual information to the center of the parasympathetic division of the autonomic nervous system, which is responsible for the work of the sphincter of the pupil and to the center of the sympathetic division, which is responsible for the work of the dilatator. In the pathology of the visual organ, there is a violation of the correctness of information transmission, which can be used for basic research not only in ophthalmology but also in other specialties. Science and technology provides opportunities for ultra-thin, specific diagnostics and monitoring of various physiological and pathological states of organs and systems, the results of which are taken into account in many analyzing programs of the latest devices. Therefore, the importance of studying pupillary reactions is of great interest for many areas of medicine, and more specific studies can improve the accuracy of the diagnosis. This article describes the history of the development of pupillometric and pupillographic methods of research from the middle of the XVIII century and till modern devices. The importance of the study of pupillary reflexes for assessing the state of the visual analyzer and the possibility of using chromatic pupillometry is discussed, the main indicators of the pupillomotor system and their norms are given. Pupillometry provides the ability to accurately quantify changes in pupil size for clinical and research purposes.
Correction of Ametropia in Patients with Posterior Elevation of the Cornea
Authors: Eskina E. N. , Parshina V. A. , Movsesyan M. Kh. , Malakhova A. V.
Published: October 2022

Purpose: to evaluate the effectiveness of ametropia correction in patients with posterior corneal elevation but without signs of subclinical keratoconus, based on postoperative results of transepithelial photorefractive keratectomy (Trans PRK).

Patients and methods. A retrospective comparative study was conducted to analyze the results of surface ablation, which was performed using transepithelial photorefractive keratectomy in 18 patients with posterior corneal elevation (36 eyes). The control group included 18 patients with eyes without these changes (36 eyes). Both groups were comparable in age, gender and refraction. Demographic data, pre- and postoperative refraction, NCOSIS and ICOSIS, maximum ablation, I/S ratio index, central corneal thickness, anterior and posterior keratometry, Biaocci-Versachi index for anterior and posterior surfaces, RMS (mk/mm2) in standard deviation, the highest elevation point of the posterior surface of the cornea — KVB (microns), index of asymmetry of tangential curvature of anterior and posterior were determined and analyzed in all patients the surfaces are SIF (D) and SIB(D), which determines the vertical asymmetry in the upper and lower hemispheres of the cornea.

Results. Observations of the dynamics of these parameters were carried out for 12 months after surgery for patients of both groups, and showed that the conclusion of Trans PRK in patients with posterior corneal elevation leads to similar refractive results compared with normal eyes. The safety and effectiveness indicators for both groups were also comparable. Significant differences in the speed of vision restoration between the groups were revealed, which is manifested by significant differences in visual acuity indicators within 1 month after surgery, but by 1 year the differences are leveled. It was determined that the effectiveness of astigmatism correction in the group with posterior elevation was significantly lower. The refractive results in the elevation group were good. During the observation, there was no pronounced dynamics of the indicators of elevation of the posterior surface of the cornea.

Conclusion: the method of transepithelial photorefractive keratectomy can be recommended for the treatment of ametropia in patients with posterior corneal elevation, but without signs of subclinical keratoconus, however, the development of additional nomograms is required in order to increase the predictability of laser vision correction in patients of this category.
Dendritic Branching of Retinal Ganglion Cells as a Biomarker of Glaucomatous Optic Neuropathy and Alzheimer’s Disease and a Target of Neuroprotective Therapy
Authors: Zueva M. V. , Zhuravleva A. N. , Bogolepova A. N.
Published: October 2022

Irreversible damage to the structure of axons and death of the retinal ganglion cell (RGC) soma in primary open-angle glaucoma (POAG) and Alzheimer’s disease (AD) develop against the background of the already existing clinical manifestation, which is preceded by a slow period of progressive loss of synapses and dendrites of the RGCs. Recent studies have shown that the integrity of the RGC’s dendritic branching can serve as both a target of neuroprotective therapy and a sensitive marker of retinal degeneration in AD and glaucoma. To develop methods of complex neuroprotective therapy, it is necessary to substantiate the targets and tactics of affecting the dendritic tree of the RGCs, the remodeling of which, according to modern concepts, can be closely and antagonistically related to the regeneration of the axon after its damage in trauma and neurodegenerative diseases. RGCs are highly capable of functional modification. Currently, it has been proven that the use of neuroprotective drugs and neurotrophins is promising for maintaining the adaptive plasticity of RGCs and restoring their synaptic contacts at the level of the retina and brain. Understanding the features of the adaptive plasticity of RGCs in AD and glaucoma will make it possible to use technologies to activate the internal potential of neuronal remodeling, including the modification of dendritic branching of RGCs and regeneration of their axons, in the preclinical stages of these diseases. Increasing knowledge about the sequence and mechanisms of early events in the retina’s inner plexiform layer will contribute to the development of targeted neuroprotective therapy and new technologies to detect early POAG, AD, and, possibly, other systemic and local neurodegenerative conditions.
The Results of Studying Spatial Perception in Children with Ophthalmopathology Using the Technique of Copying Taylor’s and Rey–Osterrieth’s Figures
Authors: Rychkova S. I. , Likhvantseva V. G. , Sandimirov R. I.
Published: October 2022

The work is devoted to one of the actual problems of ophthalmology — the study of spatial perception in children with ophthalmopathology.

Purpose of the work is to study the characteristics of spatial perception in children with ophthalmopathology using the technique of copying Taylor’s and Rey–Osterrieth’s figures.

Patients and methods. 284 children aged 6 to 8 years were observed: 1) 135 children with operated convergent non-paralytic strabismus; 2) 53 children with organic pathology of the retina and optic nerve; 3) 96 children of the control group (without ophthalmopathology). The characteristics of spatial perception were evaluated according to the results of copying complex geometric figures — Taylor’s (with a right hand) and Rey–Osterrieth’s (with a left hand).

Results. It is found that the distinguishing particularities of the group of children with non-paralytic strabismus are the smaller number of children copying the figures starting from the whole contour (using a deductive strategy) and the reduced quality of drawing compared to those in the group of children without ophthalmopathology. It is also shown that in children with organic ophthalmopathology these features relate to copying Rey–Osterrieth’s figure to a greater degree than copying Taylor’s figure, which may reflect a shift in interhemispheric relations in them towards more pronounced left-hemisphere activity.

Conclusion. Thus, the method used in the work is informative, allows to identify the features of spatial perception in children with different ophthalmopathology and conduct a comparative analysis of its characteristics.
Polymerase Chain Reaction in the Management of Patients with Anterior Ophthalmoherpes: a Comparative Study of the Effectiveness of Clinical Use
Authors: Chernakova G. M.
Published: October 2022

Patiens and methods. We observed 111 patients with various forms of prolonged herpetic keratitis and inflammatory ENT pathology. All patients underwent a study of biological secretions (tear, saliva, blood and urine) for the presence of DNA of herpetic viruses by PCR, systemic antiviral therapy was prescribed. All patients underwent a standard otolaryngological examination, СТ scan of the paranasal sinuses (if necessary), microbiological study of nasopharynx swabs. Local therapy of herpetic keratitis included anti-inflammatory and antibacterial components.

Results and discussion. Isolated sinus infalanmmation occurred in 59 % of cases (65 patients), in 38 % of cases (42 patients) there were variants of combinations of sinus inflammation (sinusitis, sphenoethmoiditis, pansinusitis). In 24 % of those included in the study (n = 27), during examination, in addition to the presence or absence of sinusitis, chronic tonsillitis was determined. In 30 % of cases (more often than in other secrets), herpetic viruses were detected in saliva, coccal flora dominated in swabs from the nasopharynx. A marked reduction in ophthalmological symptoms correlated with start of ENT therapy.

Conclusions. This clinical and laboratory study showed a close pathogenetic relationship of anterior ophthalmic herpes and concomitant inflammatory pathology of the paranasal sinuses and oropharynx. Active etiotropic therapy of sinusitis and tonsillitis promotes short-term reduction of ophthalmic symptoms.