bluuebunny/crossref_metadata_2025 huggingface dataset:
INCIDENTAL DUROTOMY IN DEGENERATIVE SPINAL SURGERY
Authors: Alexanyan M. M. , Gemdzhian E. G. , Aganesov A. G.
Published: December 2024

Background. Incidental durotomy is a common complication in degenerative spine surgery and according to the literature occurs in 1 to 17%. Different clinical cases with severe complications are described and which are resulted in wrong tactics for dural lesion treatment.Objective. To evaluate frequency, treatment methods and possible complications of incidental durotomy in spinal degenerative disease surgery.Material and Methods. A retrospective analysis of the data of 859 patients who underwent surgery in spinal department since 2018 till 2021.Results. 22 cases of incidental durotomies were found. One during anterior cervical discectomy (ACD), one during lumbar laminectomy with posterior instrumentation, six during microdiscectomy and fourteen during lumbar minimally invasive unilateral decompression. Three patients repeated revision surgery due to complication: liquorrhea, wound infection. Maximum follow-up period was 24 months. Positive results were achieved in all cases. The frequency of incidental durotomies depends on whether the operation is revision: 18.8% (9 injuries out of 48 revision operations) vs. 1.6% (13 injuries out of 811 primary operations). p<0.001. The risk of durotomy during revision surgery is 10 times higher (RR = 10,0; 95%, CI: 4,5–22,4).Conclusion. A statistically significant relationship was revealed between the incidence of durotomy and the type of surgery. During minimally invasive unilateral decompression for bilateral stenosis the risk of incidental durotomy is significantly higher. Primary repair of the incidental durotomy is recommended to prevent complications. If wound liquorrhea is detected, lumbar drainage system is recommended. The liquorrhea lasting more than 48 hours is an indication for revision surgery. In our study the VAS back and limb score and ODI did not differ from similar data of patients without incidental durotomy. If primary repair of durotomy is performed and liquorrhea is eliminated, the results of treatment of this patients are good. No consequences are noted when primarily dural repair is performed.
CARDIAC TRAUMA: STATE-OF-ART REVIEW
Authors: Chanakhchian F. N. , Alekhnovich A. V. , Vakhromeeva M. N. , Denisenko-Kankiya E. I. , Akhiev M. I. , Rumyantseva A. M.
Published: December 2024

Trauma remains a leading global cause of mortality, particularly in the young population. Cardiac damage is a predictor for poor outcome after multiple traumas, with a poor prognosis and prolonged in-hospitalization. Cardiac injury encompasses a spectrum of pathologies ranging from clinically silent, transient arrhythmias to deadly cardiac wall rupture. Of diagnosed cardiac injuries cardiac contusion (blunt cardiac injury) and commotio cordis are most common. Timely diagnosis of this category of victims is a key aspect of successful treatment and emergency care both at the pre-hospital stage and in a specialized medical institution. This narrative review focuses on the main types, etiopathology, as well as classification of cardiac trauma. It explains the main histopathological difference between blunt cardiac injury and myocardial infarction.
СИСТЕМА СОЦИАЛЬНОГО СТРАХОВАНИЯ И СОЦИАЛЬНОЙ ЗАЩИТЫ МАЛООБЕСПЕЧЕННЫХ СЛОЕВ НАСЕЛЕНИЯ В СОВРЕМЕННОЙ РОССИИ
Authors: Шокарова А.Г. , Шоранова З.В.
Published: December 2024

Статья посвящена вопросам социального страхования и поддержки малообеспеченных слоев населения в современной России. Рассматриваются основные нормативно-правовые документы федерального и регионального значения, позволяющие оказывать помощь малоимущим.
К ВОПРОСУ О ПРОБЛЕМАТИКЕ ОРГАНИЗАЦИИ ПРОФИЛАКТИЧЕСКОЙ РАБОТЫ, НАПРАВЛЕННОЙ НА ПРЕДУПРЕЖДЕНИЕ ПРЕСТУПЛЕНИЙ ПРОТИВ ПОЛОВОЙ НЕПРИКОСНОВЕННОСТИ НЕСОВЕРШЕННОЛЕТНИХ
Authors: Гетман Е. В. , Чащина А.А.
Published: December 2024

В статье поднимаются вопросы, связанные с актуальными проблемами организации профилактической работы, направленной на предупреждение преступлений против половой неприкосновенности несовершеннолетних, анализируются основные аспекты организации профилактической работы в данной сфере.
СОВРЕМЕННОЕ ОБРАЗОВАНИЕ И ОБРАЗ ЖИЗНИ СТУДЕНЧЕСКОЙ МОЛОДЕЖИ
Authors: Магдиева Н.Т. , Газимагомедова С.К.
Published: December 2024

В статье рассмотрены актуальные вопросы формирования здорового образа жизни студентов, а также роль системы образования в формировании здоровья и повышении качества жизни дагестанской молодежи. На сегодняшний день проблема сохранения здоровья студенческой молодежи в новых социально-экономических условиях является одной из актуальных в здравоохранении, учитывая негативные тенденции показателей состояния здоровья молодого поколения. В этот период молодежь наиболее уязвима к происходящим вокруг нее катаклизмам социального, экономического, политического, экологического характера. Приведены результаты анкетирования студентов дагестанских вузов.
АНАЛИЗ СОВРЕМЕННЫХ ТЕХНОЛОГИЙ СОЦИАЛЬНОЙ РАБОТЫ С ПОЖИЛЫМИ ЛЮДЬМИ В РОССИИ И ЯПОНИИ
Authors: Маскалянова С.А. , Сергеева Д.С.
Published: December 2024

В статье рассматриваются технологии социальной работы с пожилыми людьми на примере России и Японии, а также анализируются особенности социальной помощи в этих странах.
ПРОФИЛАКТИКА ПРОБЛЕМЫ КИБЕРБУЛЛИНГА ЧЕРЕЗ НОВЫЕ ПАРАДИГМЫ В СОЦИАЛЬНОЙ РАБОТЕ: СТРАТЕГИИ И ВЫЗОВЫ ДЛЯ СОВРЕМЕННОЙ РОССИИ
Authors: Шарипова Э.Р. , Большакова Н.Л.
Published: December 2024

В данной научной статье исследована социальная проблема кибербуллинга в обществе. Отмечается, что технологии социальной работы должны опираться на инновационные методы при профилактике проблемы кибербуллинга. Таким образом, искусственный интеллект может помочь социальной работе в профилактике проблемы онлайн-насилия.
МЕЖЛИЧНОСТНОЕ ВОСПРИЯТИЕ В СОЦИАЛЬНОЙ ПСИХОЛОГИИ
Authors: Саидова Ф.Н.
Published: December 2024

В статье представлены процесс общения людей личное восприятие и связано с проблемой понимания результаты психологических отношении. Исследований узбекских учёных. Кроме того, ряд исследователей изучали совместную деятельность учителя в образовательном процессе, его влияние как воспитателя, взаимоотношения.
РАЗВИТИЕ ПРОФЕССИОНАЛЬНЫХ КОМПЕТЕНЦИЙ В СОЦИАЛЬНОЙ РАБОТЕ НА ОСНОВЕ ТЕХНОЛОГИЙ СУПЕРВИЗИИ
Authors: Ахмедова М.Г.
Published: December 2024

В статье анализируются возможности формирования творческого подхода к социальной работе, используя традиционные и современные образовательные технологии не только под руководством и контролем супервизоров, но и самостоятельно совершенствуя их опыт. Тем более, что современное стремление к цифровизации образовательного процесса показывает, что информационные навыки молодых специалистов более мобильны. Автор предлагает проводить такую работу под девизом «Сам себе супервизор!» по нескольким направлениям.
АНАЛИЗ БИЗНЕС-ПРОЦЕССОВ КОНТРОЛЬНЫХ ПРОЦЕДУР ПРИЕМКИ ОБЪЕКТОВ КАПИТАЛЬНОГО СТРОИТЕЛЬСТВА ДЛЯ ЦИФРОВИЗАЦИИ ПРОИЗВОДСТВА
Authors: Серова А. С. , Трибелев А. А.
Published: December 2024

В настоящее время в строительной отрасли активно внедряются цифровые решения, обеспечивающие поддержку технологических процессов строительно-монтажных работ (СМР). Особенно актуальным решением является цифровизация производства исполнительной документации. Современные стандарты и нормативные акты уже описывают рекомендации к информационным системам электронного документооборота на строительных объектах, а также характеристики, которыми должна обладать документация в цифровом виде. Однако описание этапов инспекций строительного контроля при формировании комплектов исполнительной документации они не регламентируют. В связи с технической потребностью информационная система исполнительной документации должна быть гибкой и универсальной для применения к любому типу объекта строительства. Разработка цифрового инструмента требует комплексной аналитики по унификации бизнес-процессов строительного контроля, что является целью данной работы. В исследовании авторами были рассмотрены нормативные источники, описывающие требования к ведению на проектах капитального строительства ключевых приемочных работ, а именно, инспекций входного, геодезического, операционного и приемочного контролей. Составлена таксономия видов СМР, для которых применимы унифицированные группы контрольных процедур. С помощью метода графического моделирования разработан набор унифицированных бизнес-процессов. Средствами системного анализа определены ответственные исполнители и сроки проведения инспекционных мероприятий. В завершение работы представлено описание текущих ограничений для цифровизации разработки и ведения исполнительной документации.
Morphological characteristics of regeneration of the lower jaw bone in an experiment using natural collagen with lincomycin
Authors: Chelpanova I.V.
Published: December 2024

This study aimed to investigate the dynamic changes in the histo­morphological architecture of bone-ceramic regeneration following the transplantation of natural collagen combined with lincomycin into an experimental defect of the rabbit mandible. 45 adult male rabbits aged 6-7 months and weighing 2.5-3 kg were used for the study. 20 animals were in control group and 20 animals in experimental. An additional 5 intact animals were used to study the normal structure of bone tissue in the studied area of the lower jaw. The control group consisted of animals with a bone defect that healed under a blood clot. The experimental group consisted of rabbits with the bone defect filled with natural collagen, with simultaneous intramuscular injections of lincomycin at a dose of 12 mg/kg body weight once a day for 6 days (Col-C-lincomycin). Post-traumatic bone tissue status within the defect area was monitored for 84 days. Ultrastructural changes were studied using scanning electron microscopy. To determine changes in the composition in the bone regeneration, three parameters were calculated – the relative volume of: 1) bone tissue, 2) osteoplastic material and 3) connective tissue in the bone regeneration. The data were analyzed using the Student's t-test, and a difference at p<0.05 was considered statistically significant. The research of the surface topography of the experimental bone defect in the rabbit mandible, following the implantation of Col-C material in combination with lincomycin, revealed numerous regenerative changes that occurred after injury and correlated with the dynamic changes in the relative volume of bone tissue, osteoplastic material, and connective tissue within the regeneration. Morphometric analysis of the relative volume of the constituent components of the regeneration in the experimental defect revealed a phased nature of the dynamics of the observed changes. The osteocyte lacuno-canalicular system that formed after material implantation acquired characteristics of typical structure. Foci of incomplete osteogenesis were not visualized. Unlike the control group, after the application of Col-C material in combination with lincomycin, the majority of osteons in the regeneration near the outer bone plate did not differ from the typical structure of the maternal bone in terms of both its structure and geometry.
Analysis of the terms of development of infectious complications in patients after osteosynthesis of long bones
Authors: Tanasienko P.V. , Kolov H.B. , Tsokalo V.M.
Published: December 2024

Determination of the influence of the timing of infectious complications in patients after osteosynthesis of long bones and its influence on the course of the infectious process. An analysis of the treatment of 207 patients with infectious complications after osteosynthesis of long bones, who were treated at the "Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine" from 2013 to 2017 was made. The first group included 148 patients who developed infectious complications after osteosynthesis of long bones with a plate. The second group included 59 patients who developed infectious complications after osteosynthesis of long bones with a blocking intramedullary rod. In 51.5% of patients of the first group after closed fractures, infectious complications were detected in the first 6 weeks after surgery. In 43.7% of patients of this group, manifestations of the inflammatory process occurred in the period from 6 weeks to 1 year. In 4.9% of patients of the first group, the infectious process (in the form of a fistula) did not occur acutely, but after one year after osteosynthesis. In 62.2% of patients after osteosynthesis as a result of an open fracture, the first manifestations of the infectious process appeared in the first 6 weeks after the operation. In 35.6% of patients of this cohort, the infectious process occurred within 6 weeks to 1 year after the surgical intervention. In 43.2% of patients of the second group, the first manifestations of infection began immediately after the operation in the form of non-healing of the postoperative wound, and in another 24.3% – in the first 6 weeks after the intervention. In 32.4% of patients in this cohort, an infectious process occurred more than a year after the intervention against the background of a consolidated fracture and a stable fixator. After BIOS with rod as a result of open fractures, in 72.7% of patients, the infectious process began immediately after the operation in the form of non-healing of the postoperative wound, and in another 27.3% – in the first 6 weeks after the intervention. The terms of the infection after osteosynthesis and its type reliably affect the development of complications in the injured person and have an indirect effect on their development. The structure of infectious complications is different depending on the time of occurrence and the type of osteosynthesis used to treat patients. In all observation groups, the infectious process localized in the tibia, which has both anatomical reasons and reasons related to the blood supply of this segment, was detected the most often.
The current state of functioning and resourcefulness of individuals during turbulent times
Authors: Panchenko O.A. , Kabantseva A.V. , Serdyuk I.A.
Published: December 2024

The purpose of the work was a study of the current functioning and resourcefulness of the adult population of Ukraine among different age groups amidst turbulent changes. Conducted by the State Institution "Scientific and Practical Medical Rehabilitation and Diagnostic Centre of the Ministry of Health of Ukraine," the study surveyed 1216 respondents residing in eastern, central, and western Ukraine. Methodological basis of the study as observation, interviews, questionnaires, and testing. The study examined various aspects including the impact of turbulent changes on respondents, their current psycho-emotional state, information needs, sources of information, daily functioning, subjective assessment of life quality, presence of anxiety, depression, aggression, and the role of joy as a source of resilience during wartime. The results of the study showed that people in late adulthood were more likely to be anxious about hostilities and the socio-economic situation in the country compared to young adults (p<0.001). Furthermore, the study found a positive correlation between age and the percentage of people reporting high anxiety about the country's socio-economic situation (p<0.001). These worrying situations resulted in changes in daily func­tioning, particularly chronic daytime fatigue (p=0.069), feelings of dissatisfaction with oneself (p=0.223), and less fre­quent manifestations of aggression towards oneself (p=0.603) and loved ones (p=0.148). Interestingly, early adulthood indi­viduals showed more aggression towards other people compared to late adulthood individuals (p=0.013). The study also showed that feelings of joy serve as a resource for coping with war trauma and are an important indicator of mental health.
Quality of life prognosis in patients with somatoform disorders with sleep disorders
Authors: Ogorenko V.V. , Makarova I.I. , Shornikov A.V.
Published: December 2024

In recent years, the impact of psychotraumatic factors has been increasing, leading to an increased prevalence of psychogenic disorders. Patients with somatoform disorders place a significant burden on the healthcare system. Depending on the diagnostic approach, the prevalence of somatoform disorders ranges from 0.8% to 34%, with nearly half of the patients experiencing sleep disorders. The study aimed to determine the quality of life in patients with somatoform disorders combined with sleep disorders and to identify factors influencing its formation. A total of 120 individuals with somatoform disorders combined with sleep disorders were examined. A comprehensive assessment of the patient’s condition was conducted, including clinical-anamnestic, clinical-psychopathological, and psychodiagnostic examinations, supplemented by the use of psychometric scales (Pittsburgh Sleep Quality Index, Beck Depression Inventory, Insomnia Severity Index, Toronto Alexithymia Scale-20, Integrative Quality of Life Questionnaire, and Spielberger Anxiety Scale). It was found that only 51 out of 120 patients who completed the study had a sufficient level of quality of life. Patients with sufficient quality of life demonstrated lower levels of depression, insomnia severity, and quality of life and its components, but higher levels of personal anxiety. Analyzing categorical indicators, significant differences were also identified in the presence of depression, anxiety, alexithymia, and severe insomnia. As a result of the study, it was established that predictors of quality of life are the severity of sleep disorders and the presence of alexithymia and severe insomnia before the start of treatment. The multiple logistic regression model demonstrated the highest discriminatory ability (AUC 0.872 (95% CI 0.799–0.926)), with predictors of insufficient quality of life including sleep latency, personal anxiety, and depression before the intervention, as well as the presence of severe insomnia after intervention. The combination of these predictors increases the chances of having a low quality of life level by 17.6 times. The study’s results served as the basis for developing individualized therapeutic and corrective strategies in sleep disorders treatment in patients with somatoform disorders and sleep disturbances.
Prospects for the use of deep brain stimulation in the treatment of Parkinson's disease in Ukraine
Authors: Kostiuk K.R. , Lisianyi A.O. , Medvediev Yu.M. , Popov A.O. , Cheburakhin V.V. , Buniakin V.M. , Tevzadze D.A.
Published: December 2024

Aim of the study – evaluation of the results of various methods of surgical treatment of Parkinson's disease depending on the clinical manifestations and stage of the disease. The study included 566 patients with Parkinson's disease (PD), comprising 201 (35.5%) women and 365 (64.5%) men, aged 30 to 79 years (mean age 52.9±8.8 years). Radiofrequency (RF) destruction of the subcortical nuclei was performed on 522 patients: 392 underwent unilateral thalamotomy, 50 underwent bilateral thalamotomy, 36 underwent unilateral pallidotomy, 2 underwent bilateral pallidotomy, 30 under­went thalamotomy combined with contralateral pallidotomy, and 12 underwent thalamotomy combined with contralateral subthalamic nucleus (STN) destruction. Additionally, neurostimulation surgery was performed on 37 patients, and combined surgical interventions (stereotactic RF destruction and deep brain stimulation (DBS) system implantation) were performed on 7 patients. Postoperative follow-up ranged from 1 to 16 years (mean follow-up 5.2±0.9 years). One year after RF unilateral thalamotomy, tremor abolishing or significant regression was observed in 374 out of 392 patients (95.4%). Rigidity regressed in 278 out of 314 patients (88.5%) who had it before operation. Postoperative complications from unilateral thalamotomy occurred in 18 patients (4.6%). Following staged bilateral thalamotomy, tremor regression was observed in 48 out of 50 patients (96.0%) and motor fluctuations (MF) regressed in 15 out of 28 patients (53.6%). The rate of surgical complications was higher after bilateral thalamotomy (8.0%) compared to unilateral thalamotomy. After unilateral and staged bilateral pallidotomy, tremor and rigidity regression were achieved in more than two-thirds of operated patients, and levodopa-induced dyskinesias (LID) stopped in over 80% of cases. The best outcomes for alleviating motor symptoms were observed in patients who underwent DBS treatment. Staged bilateral RF ablation can be considered an alternative surgical treatment for a highly selected group of patients.
Cybersecurity enhancement in the field of eHealth system development in Ukraine
Authors: Parfonova I. , Zinchenko O.
Published: December 2024

Today, more than ever, cybersecurity issues are crucial in all industries and sectors, yet healthcare remains the most vulnerable. This work aims to analyze the state of cybersecurity in the most successful European countries and to outline the main steps for strengthening cybersecurity in Ukraine's electronic healthcare system. A review of literature on electronic healthcare and cybersecurity in Europe and Ukraine was conducted using Web of Science, SCOPUS, Google Scholar, and legislative databases from each of the analyzed European countries, covering a total of 49 sources from 2020 to 2024. The search was conducted using scientific terms such as “eHealth system”, “cyberattack”, “cybersecurity”, “medical information systems”, “EU4 Health”, “electronic healthcare”, “digital healthcare services”, “Ministry of Health”, “confidential information”, “legislative framework”. A total of 83 sources were initially selected and reviewed. After systematizing the gathered information, 55 of the most relevant sources were retained. Exclusion criteria included publications that did not align with the purpose of this review. The methods used included bibliographic, analytical, and forecasting. The analytical method was applied to compare Ukraine’s approach to ensuring cybersecurity in electronic healthcare with those of countries such as Estonia, Germany, France, and the United Kingdom, allowing the identification of key differences and potential improvements for Ukraine's system. Additionally, the forecasting method was used to assess future initiatives and plans in eHealth cybersecurity that should be implemented to further develop Ukraine’s protective systems. First, a clear concept of “cybersecurity of electronic healthcare” was formulated, identi­fying its key components. Second, the establishment of a regulatory framework was proposed to detail the aspects of cybersecurity in electronic healthcare, including guidelines and methods for supporting and improving protection systems in medical institutions. It is recommended to incorporate these provisions into the laws “On Cybersecurity” and “Fun­damentals of Ukrainian Legislation on Healthcare” to enhance the effectiveness of cybersecurity measures in healthcare. Thirdly, we analyze the effectiveness of the most common cybersecurity tools and provide recommendations for their use in Ukraine: introducing regular backups for all medical systems, setting up firewalls, centralized IDS/IPS systems, man­datory data encryption, enhanced VPN authentication, automated threat monitoring systems, and engaging experts to ensure comprehensive cybersecurity of medical institutions. This will help to preserve significant amounts of confidential information and ensure the possibility of recovering lost data. The need to adapt the best European practices to the special conditions in Ukraine to work confidently in the face of potential and real threats was emphasized, which will allow timely response to new challenges and ensure cybersecurity.
Syphilitic aortitis: from the past to the present (view of a dermatovenerologist)
Authors: Zakharov S.V. , Svyatenko T.V. , Zakharov V.K. , Gorbuntsov V.V. , Pohrebniak L.A.
Published: December 2024

In order to improve the diagnosis and treatment of syphilitic aortitis, an analysis of known data on the clinical manifestations, course and diagnosis of this pathology was conducted, illustrating our own observations with the subsequent implementation of recommendations in clinical practice. The problem of syphilitic aortitis - the most frequent manifestation of late syphilis - was considered. Current data on clinical manifestations, possibilities and problems of diagnosing this pathology were presented. Modern methods of serological research used in the diagnosis of syphilitic aortitis were analyzed in detail; the course, complications and prognosis of this pathology were separately considered. All these aspects were illustrated by our own observations of clinical cases of syphilitic aortitis, which are of interest due to their rarity in clinical practice and demonstrate the importance of correct diagnosis and appropriate treatment. Serological tests for syphilis, ultrasound examination of the heart, extracardiac vessels and internal organs; X-ray examinations were used when examining patients. It was concluded that lesions of the cardiovascular system are currently among the most common forms of visceral syphilis. Syphilitic aortitis with symptoms of cardiovascular damage, which are caused by aortic valve insufficiency, narrowing of the ascending coronary arteries, aneurysmal dilatation of the ascending part and aortic arch, occurs in the late stages of syphilitic infection. Even in patients with syphilis who have been treated in the past with penicillin drugs, cardiovascular damage may occur, namely aortitis with aortic valve insufficiency. The most informative methods for detecting late cardiovascular damage are: enzyme-linked immunosorbent assay, passive hemagglutination reaction, immunoblotting and computed tomography of the heart and echocardiography. Special attention is paid to the fact that the uniqueness of the above observations lies in the fact that complicated forms of aortitis began to occur more often and also in treated syphilis patients who had previously been treated with water-soluble penicillin. Aortitis also occurs against the background of seroconversion (positivity) of non-treponemal tests, which were previously negative after treatment.
Local anesthetic systemic toxicity after brachial plexus block with ropivacaine: a case report
Authors: Tutunnyk A.G. , Mynka N.V. , Kobelyatskyy U.U.
Published: December 2024

The aim of this article is presentation of clinical case of local anesthetic systemic toxicity (LAST). Local anesthetic systemic toxicity is a rare but life-threatening complication. Ropivacaine is widely used for the regional blocks and rarely leads to the development of LAST. LAST may develop due to intravascular injection or high dose of ropivacaine. We present the case of 48-year-old-female (ASA I, 56 kg, and 165 cm), who underwent surgery on the right shoulder under brachial plexus block. Brachial plexus nerve block was performed by interscalene access with introduction of 40 ml of 0.75% ropivacaine (300 mg). Twenty minutes after the injection, complete sensory/motor block was achieved. Twenty-five minutes after the injection, the patient complained of numbness in the tongue, tinnitus and dizziness. During this time, her blood pressure was 132/83 mmHg, heart rate 82 beats/min. oxygen saturation 97%. No changes were observed on the ECG. Suspecting ropivacaine-induced toxicity, 50 mg of thiopental sodium followed by 2 mg of midazolam were administered for seizure prophylaxis, and supplemental oxygen was given via face mask. Patient’s state improved in 10 minutes. Ten minutes later 20% intralipid emulsion bolus during 2-3 min was administered followed by continuous infusion at a dose of0.25 ml/kg/min. Against clinical stablility and consciousness of the patient, decision was made to proceed with surgery, which was uneventful. Implementation of preventive measures can decrease the possibility for development of complication and emergency treatment can safe patient’s health and life. Preventive measures should include implementation of ultrasound nerve location guidance, individual calculation of local anesthetic dose, taking into account sex, weight, and physical status of a patient.
TECHNOLOGY TRANSFER IN HEALTHCARE: LEVERAGING PREDICTIVE MODELS TO OPTIMIZE MEDICAL OUTCOMES
Authors: Gomes Myller Augusto Santos , Silva Vander Luiz da , Rodrigues Jaqueline Fonseca
Published: December 2024

Objective: This study aims to apply a predictive model using a decision tree algorithm on real patient data to identify patterns related to hospital readmission rates, contributing to improved clinical decision-making and advancing technology transfer in healthcare.
 
Theoretical Framework: Grounded in predictive analytics and healthcare management, the study leverages the decision tree algorithm's ability to provide interpretable outputs, enabling healthcare professionals to make informed decisions based on data-driven insights.
 
Method: Real patient data was used to construct a decision tree model. The algorithm was trained to identify factors associated with clinical resubmission rates. Performance measures, such as accuracy, precision, and recall, were applied to validate the model's robustness and predictive capabilities.
 
Results and Discussion: The decision tree successfully identified critical predictors of hospital readmissions, including patient characteristics and clinical factors. The model demonstrated high predictive accuracy, providing actionable insights for stratifying at-risk patients. These findings underline the model’s practical utility in supporting evidence-based interventions.
 
Research Implications: For clinical practice, the model facilitates targeted care and resource allocation, reducing readmission rates. For healthcare management, it demonstrates the potential of technology transfer to integrate predictive models into routine workflows, enhancing efficiency and outcomes.
 
Originality/Value: This study contributes to the growing body of research on predictive analytics in healthcare by showcasing the application of a decision tree model in real-world scenarios. Its emphasis on technology transfer highlights its practical significance, bridging the gap between research and implementation in clinical settings.
The Impact of Irrational Economic Policies on Borsa Istanbul, Interest Rates, and Inflation in Turkey: A Time Series Analysis
Authors: Altın Hakan
Published: December 2024

This study aims to examine the relationship between Borsa Istanbul (BIST), interest rates, and inflation during the period of irrational economic policies from 2018 to 2023. The Johansen Cointegration model (1991, 1995) was employed to investigate the long-term relationship between the variables. Using monthly data, the dynamics between the BIST100 index, interest rates, and inflation were analyzed. The findings of the study indicate that as interest rates and inflation decrease, the BIST100 index tends to rise. This suggests that lower interest rates and inflation stimulate investment and consumption, thereby supporting economic growth. Additionally, a linear relationship between inflation and exchange rates was identified, predicting that the exchange rate would increase at least by the inflation rate.
The Influence of Transformational Leadership And Organizational JusticeToward Organizational Commitment(A Case Study of Employees at X Principal Clinic and Laboratory in Bandung)
Authors: Ariasa Diah , R Oktini Dede , Respati Titik , Adwiyah Rabiatul
Published: December 2024

This study aims to analysethe influence of transformational leadership and organizational justice toward organizational commitment among employees at X Principal Clinic and Laboratory in Bandung. The transformational leadership is expected to enhance organizational commitment by increasing employee motivation and trust, while organizational justice is measured through distributive, procedural, and interactional justice. The research method used is a survey with a quantitative approach, where data is collected through questionnairesand interviews. The study population comprises all employees of the X Principal Clinic and Laboratory, and the data analysis techniques include validity tests, reliability tests, and multiple linear regression. The results show that both transformational leadership style and organizational justice have a positive and significant influence on organizational commitment, combined they contribute 86.6% to organizational commitment, while the remaining 13.4% is influenced by other variables that were not studied. An effective transformational leadership can enhance employees' emotional attachment to the organization, while perceived fairness in the organization can increase employees' loyalty and desire to remain with the organization. This study contributes to the development of organizational behaviourtheory and provides practical implications for management in the healthcare sector to improve organizational commitment through effective leadership styles and fairness within the organization.
Developing A Sufficient and Effective Village Tourism Model in Zanzibar
Authors: Abdalla Hamed , Sarı Yaşar
Published: December 2024

The main purpose of this study is to develop or to create thesufficient and effective village tourism model in Zanzibar. Since the village tourismin Zanzibaris in lower stage of development due to lack of strategic planning, poor infrastructures, lack of support and poor population control.The data collection method chosen for the study is participant observation. This method allows the researcher to make direct observations while also gaining a deeper understanding of the community's daily life. The findings show that the created model will builtthe tactics for increasing the financial activities in the village area of Zanzibar, will create the community initiative on the local product development and destination controlling toward any degradation.Base on the results, the researcherssuggest that there should conduct some research for tourism activities evaluation, marketing support for local products such as potteries, weavingbags, fruits, and many other products.
Os desafios das transformações urbanas para a mobilidade em Campina Grande-PB: ausência de elementos para uma transição sociotécnica
Authors: Candido Lourenço
Published: December 2024

A confecção de políticas públicas exige o conhecimento pleno do problema que se quer resolver para, em seguida, propor ações que sejam bem-sucedidas ao atacar o centro das questões. No caso em questão, a mobilidade urbana inclusiva na cidade de Campina Grande, a preocupação central está em desenvolver uma política de transportes para dá maior rapidez aos Veículos Particulares Motorizados (VPM) e melhorar o sistema de pagamentos de tarifas como forma de atrair mais usuários para os Transportes Públicos (TP). Essa forma de pensar e resolver o problema não abarca questões fundamentais da inclusão pelo transporte, que é a diversificação dos meios de transportes na periferia urbana e social, bem como, o desenvolvimento de uma infraestrutura para o transporte e o deslocamento suave, que abarcam podem resolver a microacessibilidade. Para ter esse alcance mais amplo da acessibilidade urbana, as autoridades públicas necessitam iniciar uma transição sociotécnica para o desenvolvido da mobilidade à escala humana, que podem levar a uma maior justiça distributiva dos transportes.
DIGITAL AND RADIOLOGICAL ASSESSMENT OF VARIABILITY OF ANATOMIC AND TOPOGRAPHIC PARAMETERS OF THE INTRAORBITAL FORANA (ARTICLE REVIEW)
Authors: D.A. Koblov , Е.S. Ovcharenko , N.V. Lapina , O.N. Risovannaya , R.I. Stolyar , T.V. Severina
Published: December 2024

The variability of the craniometric parameters of the infraorbital foramen of the anterior surface of the body of the upper jaw is noted in a large number of scientific publications, which indicates the need for an individual approach when assessing the shape, the number of additional holes in the area of the infraorbital foramen, the location of this anatomical formation of the facial skeleton in relation to the lower edge of the orbit, and the bones of the cavity nose and alveolar process, and many scientific researchers note that the location of the infraorbital foramen on the right and left sides differs in level, there are often different shapes of the infraorbital foramen and additional canals are also found either on the right or on the left side and their shape also differs from each other from a friend. All this affects the effectiveness of local conduction anesthesia in the area of the infraorbital foramen, so digital and radiological assessment using cone beam computed tomography will help ensure the accuracy and safety of this type of conduction anesthesia.
DRUG AND CARDIAC RESYNCHRONIZATION THERAPY IN THE TREATMENT OF CHRONIC HEART FAILURE (LITERATURE REVIEW)
Authors: B. Akhyt , N.G. Lozhkina , S. Berkinbaev , M., Pashimov , K. Koshumbaeva , A. Musagalieva , G. Junusbekova , G. Alieva , S.N. Artemenko
Published: December 2024

The article deals with the role of pharmacological agents and implantable devices in the treatment of chronic heart failure (CHF) with different ejection fraction: preserved ejection fraction, mildly reduced ejection fraction and reduced ejection fraction (HFpEF, CHFmrEFV, CHFrFV). The authors emphasise that despite the widespread introduction of angiotensin receptor and neprilysin inhibitor (ARNI), beta-blockers, mineralocorticoid receptor antagonists (MCRAs) and sodium-glucose cotransporter inhibitors (SGLT2) into practice, there is still a high residual risk of unfavorable outcomes in patients with both HFpEF and CHFmrEFV, CHFrFV. Therefore, therapies using implantable cardioverter-defibrillators (ICDs) and cardiac resynchronisation therapy (CRT) are evolving. The review is based on data from PubMed and Google Scholar databases for the last 5 years.
ON THE ISSUE OF COMMON MENTAL HEALTH DISORDERS IN ADOLESCENTS WITH ONCOLOGICAL DISEASES DURING TREATMENT AND REMISSION
Authors: O.A. Suetina , A.G. Golovina , N.E. Kravchenko
Published: December 2024

This article presents the results of a long-term study on mental health disorders in яadolescent patients with oncological and hematological diseases during stages of active antitumor treatment and remission (recovery). It was found that non-psychotic mental disorders prevail both during treatment and throughout the remission period. Adaptation disorders are most common during hospitalization, while residual organic syndromes of varying severity are more typical during remission. The study revealed that mood disorders predominantly reactive in nature prevail during active antitumor treatment. Psychogenic depression in adolescents is mainly represented by asthenic forms, with less frequent anxious and anxious-hypochondriacal variants. Upon completion of specific antitumor treatment, a residual non-psychotic organic disorder was identified, characterized in most patients by mild organic insufficiency symptoms: headaches triggered by physical and mental strain; vestibulopathy, resulting in dizziness and poor tolerance for travel; dysfunction of the brain's autonomic centers, manifesting as impaired thermoregulation, poor tolerance to heat and stuffiness; weather sensitivity; emotional lability; and impulsive emotional expression.
Talassemiyalı xəstədə seroneqativ revmatoid artritin diaqnostikası
Authors: Hadıyeva Ş.
Published: December 2024

Talassemiya dünyada vəregionda tez-tezrast gələn, genetik defekt nəticəsində hemoqlobin sintezinin pozulması ilə xarakterizə olunan irsi xəstəlikdir. Birincili anemiya, vit D çatmamazlığı xəstəliyin gedişaında osteoporozun inkişafına və bununla əlagəli dayaq-hərəkət sisteminin müxtəlif patologiyalarına gətirir. Eyni zamanda revmatoid artrit dünyada və ölkəmizdə ən çox rast gəlinən eroziv-destruktiv zədələnmələrləmüşahidə olan revmatik xəstəlikdir. Bir çox hallarda talassemiya xəstəliyi ilə yanaşı gedən revmatik xəstəliklərin ilkin əlamətləri yuxarda sadalan simptomlarla garışdırılır və müalicə gecikdirildiyi üçün müxtəlif ağırlaşmalara səbəb olur.
Məqsəd : Talassemiyalı xəstələrdə revmatoid artritin klinik gedişatını öyrənilməsi və idarə olunması.
Rekküren serozit ve MAS birlikteliyi autoimmun hastalıkmı yoksa tesadüfmü?
Authors: Aliyeva A.
Published: December 2024

13 yaşlı kız hasta uzamış ateş, öksürük ,halsizlik, solunum sıkıntısı ,nefes alma zamanı göğüs ağrısı , kaslarda ağrı ve gücsüzlük şikayeti ile poliklinike başvurdu. Hastanın öyküsünden yakınmaların ikinci kez tekrar etdiyini ve 1 ay önce ÜSYE sonrası bu şikayetlerin olduğu antibiotik ve dexametasone tedavisinden sonra gerilediyi bildirildi. Bu dönem bakılan tetkiklerinde eritrosit sedimentasyon hızı (ESR) ve C – reaktif protein (CRP) yüksek saptanmış.
Polikliniğimizde bakılan fizik müayinede vücut sıcaklığı 38.5 0C, boy 145 cm, ağırlı 40 kg olup, kalp
tepe atımı 100 atım/dk, solunum sayı 25/dk idi. Ouskültasyon zamanı solunum seslerinin derinleşdiği , palpasion zamanı karında ağrının olması ve bu şikayetlerin önceki atakda olması tekrarlanan serrozit olasılığını düşündürdüyü için hastadan labaratuvar ve görüntüleme istenildi.
Şarko-Mari-Tuts xəstəliyi
Authors: İsmayilova Könül
Published: December 2024

İrsi hərəki və hissi neyropatiya (İHHN) kimi tanınan Şarko-Mari-Tuts xəstəliyi (ŞMT) irsi periferik neyropatiyaların əksəriyyətini əhatə edir. Sinir ötürücülüyünün müayinələri zamanı, adətən simmetrik, həm hərəki, həm də hissi sinirlərin ötürücü funksiyanın pozulması aşkar olunur. Sinir ötürücülüyü demielinləşdirici (dirsək sinirində sürət
Household censuses of Yekaterinburg in 1728 and 1788 as a source on the history of the population of the city
Authors:   B. N. Yeltsin Ural Federal University, Ekaterinburg, Russia, Borodina Elena V. , Tsemenkova Svetlana I. ,   B. N. Yeltsin Ural Federal University, Ekaterinburg, Russia
Published: December 2024

The article presents the results of the research aimed at studying the source potential of the sub-ward censuses of early Yekaterinburg, created in 1728 and 1788. These documents were found by the authors in fond 271 “Berg-Collegium” of the Russian State Archive of Ancient Acts (RGADA) and fond 8 “Yekaterinburg City Duma of Perm Province / Yekaterinburg, Perm Province (January 12, 1787 - May 1919)” of the State Archive of the Sverdlovsk Region (GASO). State Archive of the Sverdlovsk Region (GASO). Despite the long tradition of studying documentary materials containing information about the population of the Russian Empire, not all of them are currently involved in the scientific turnover. In historical and demographic studies, priority attention is paid to censuses and revision tales - documents that had fiscal significance. At the same time, the so-called police or administrative censuses, as a rule, are out of the scientists' field of vision. However, they may contain more accurate data on the inhabitants of a particular settlement, as they include information on the actual, rather than legal, population of the territory. The authors analyzed the purposes of creation and information capabilities of two administrative censuses of Yekaterinburg at different stages of the fortress factory's existence: in the first years of its creation and at the stage of official consolidation of its status as a city. The formulary analysis of the documents allowed us to establish their peculiarities, similarities and differences. The census of 1728 can be called the first document, which recorded data on the class and professional affiliation of the yard owners of the emerging city, the structure of the settlement, the ratio of the number of men and women living in it. The materials of the 1788 census are in the form of a draft. Nevertheless, they help to get an idea of the changes in the employment structure of the population of the city, which became a district center in 1781, the number of men and women. Both censuses allow us to learn not only about the population of Ekaterinburg, but also about the number of households, as well as the composition of the inhabitants living in each household. In addition, the documents provide information on the number of farmsteads in public and private ownership. The authors came to the conclusion that the household censuses of Yekaterinburg are important sources on the history of the city, which are characterized by the comprehensiveness and reliability of data transfer. The information obtained from the census documents makes it possible to reconstruct the socio-demographic history of the city: changes in the population size, sex and age composition, property status of residents, employment structure.
The Caucasus Museum in the Documents of the Russian State Historical Archive: Toward the Problem of Representativeness of the Source Base of Imperial Caucasian Studies
Authors:   North Caucasus Federal University, Stavropol, Russia, Kolosovskaya T. A.
Published: December 2024

The topic of the source base of the phenomenon of imperial Caucasian studies in general, and of individual scientific institutions representing it, in particular, has not been sufficiently developed so far. Of particular interest are the sources reflecting the activities of scientific institutions specially created by the authorities to study the Caucasus and located directly in the region. These include the Caucasus Museum, which, in terms of the volume of its exhibits and its influence on the production of knowledge about the new periphery of the country, stood out among other organizations of this kind. The article characterizes the documents on the Caucasus Museum of the Russian State Historical Archive (RGIA). Consideration of their composition and content on a concrete example shows the degree of representativeness of the source base of imperial Caucasian studies and its potential for objective coverage of the interaction between power and knowledge in the new periphery of the Russian Empire. The base fund of the Russian State Archive of Arts and Sciences, which contains sources on the Caucasus Museum, is the fund of the Department of Public Education. The documents of interest to us are dominated by clerical materials: reports and initiative documents of the museum director, journals of state administration bodies, and business correspondence. The relations of the Caucasian viceroyalty on various issues of museum activities are characterized by high heuristic potential. Taken as a basis and supplemented with the accompanying correspondence with the central government bodies, such sources can initiate a more detailed study of the institutionalization of science in the Caucasus. Materials on the personal composition of the museum staff are presented sparingly, only in form lists and petitions. Sources of personal origin (diaries, memoirs, private correspondence) are absent. The RGIA documents show that the Caucasus Museum and the Public Library, which was part of its structure, were important scientific and educational centers on the Caucasian outskirts of the Russian Empire. The facts contained in them illustrate the complex process of scientific knowledge of the region and the influence of power structures on its development. A thorough source study of the records will make it possible to find out who initiated scientific projects, how they were financed, and whether the authorities could influence the results of research practices. At the same time, it should be recognized that in order to find out the degree of reliability of the information contained therein and thus reconstruct an objective picture of the relationship between the authorities and the scientific institutions subordinated to them, it is impossible to do without the involvement of other types of sources, primarily of a private nature.