bluuebunny/crossref_metadata_2025 huggingface dataset:
Dissecção coronária espontânea e Infarto Agudo do Miocárdio no puerpério: um verdadeiro desafio para o cardiologista de intervenção
Authors: Antunes Vicente Miguel Bernardino , Luis Mariano de Lima Domingos  , Roger Ravelo Dopico  , Gelson Rodrigues Pereira  , Tomás Mendés Carlos Peralta
Published: August 2021

A Dissecção coronária espontânea é uma rara causa de síndrome coronária aguda não relacionada com a aterosclerose, diagnosticada em 20-30% das mulheres em idade reprodutiva antes dos 50 anos. Desde sua primeira descrição há mais de meia década por Harold Pretty, vem sendo palco de inúmeros desafios quanto ao diagnóstico precoce e a melhor abordagem terapêutica. A coronariografia constitui o padrão-ouro no diagnóstico dessa entidade e o tratamento conservador mostra-se seguro, e a intervenção coronária percutânea está associada a altas taxas de insucesso. Apresentamos o caso de uma puérpera angolana de 41 anos diagnosticada com dissecção coronária espontânea tratada de forma conservadora.
¿ Y la investigación universitaria qué?
Authors: Miranda Moreno Viviana
Published: August 2021

La investigación es el proceso por el cual los individuos pueden percibir, examinar, aprender e indagar sobre diferentes temas; por ello es tan valiosa. La investigación se desarrolla en diferentes formas, algunas más académicas, otras nacen desde las necesidades de conocimiento o cuestionamiento del ser; pero esto ¿ cómo lo podemos encaminar en la vida universitaria? Es algo complejo. En la actualidad, los estudiantes ven las materias de investigación como un relleno, al no aplicable a sus vidas profesionales. Esta situación se debe a varios factores.
Inmótica aplicada a conjuntos residenciales usando tecnología ZIGBEE
Authors: Ochoa Bolívar Pedro , Guayara Murillo Esteven
Published: August 2021

Communithink es el diseño de una red de sensores inalámbrica, orientada hacia conjuntos residenciales de estratos medio-bajo de la ciudad de Bogotá. Esta red cuenta con funciones como monitorización central, gestión de alertas, generación de mensajes o notificaciones, control de iluminación y control de acceso vehicular-peatonal con el fin de mejorar la calidad de vida de los residentes consultados.
Antenna for the acquisition of meteorological satellite signals (ASSM)
Authors: Pineda Vargas Edwin
Published: August 2021

Actualmente el mundo se encuentra en una crisis debido al cambio climático. La reciente ola de desastres naturales, producto del aumento de la temperatura global, ha desencadenado que los desastres naturales aumenten su poder de destrucción. Si es posible detectar estos fenómenos antes de tiempo, y se pueden predecir, se puede preparar mejor nuestros lugares de vivienda y así resguardarse de las calamidades climáticas. Por ello, el ser humano ha implementado una serie de medidas que involucran la comunicación mediante satélites geoestacionarios; capturan datos de la atmósfera como fotografías y medidas de variables meteorológicas para establecer los posibles efectos de las variaciones climáticas en las diferentes zonas del planeta. Según el diseño y la fabricación de una antena que capte la señal del satélite de dominio público, enviada por los satélites NOAA 15, 18 y 19, se espera capturar datos sobre las condiciones climáticas de Bogotá; esta señal contiene imágenes climatológicas del área sobrevolada por el satélite, en este caso la ciudad de Bogotá.
VII Encuentro de Semilleros de Investigación y Emprendimiento
Authors: Laverde Sánchez Gustavo
Published: August 2021

Las propuestas presentadas a través de medios digitales a lo largo de dos jornadas y que incluyeron a semilleristas de las instituciones que hacen parte de la Mesa IEST y su Dimensión Académica y a investigadores invitados, son una muestra del ingenio del colombiano y de esperanza, porque a pesar de las más adversas situaciones, hay gente trabajando en resolver problemas de la ciencia y de la tecnología y hay gente empeñada en abrir el camino a ideas de negocio que se traducirán en empresas generadoras de capital y de empleo. Esta edición especial, de la revista Germina, es un ejemplo.
Asia y el nuevo de orden mundial
Authors: Valencia Torres María , Gallego Giraldo Valentina
Published: August 2021

La Segunda Guerra Mundial trajo consigo una nueva superpotencia internacional: los Estados Unidos de América. La cual ha sido desde entonces líder económica y militarmente. A la par, China ha cambiado radicalmente en las últimas cuatro décadas convirtiéndose en la mayor nación comercial del mundo. Curiosamente los papeles han cambiado puesto que Estados Unidos, aunque estable en los últimos años, ha sufrido duros golpes que lo han debilitado; inclusive, los líderes de Beijing han llegado a considerar al gigante de América una potencia en declive, lo cual abre paso para que alguien más ocupe su lugar. China no es la única nación en búsqueda del primer escalón, Rusia se ha catapultado como el tercero en la lista, una nación decidida a restablecer el estatus de gran potencia; pero lejos de ser enemigos, entre ambos países existe una alianza implícita, unida por el sentimiento de vengar las humillaciones que ambos dicen pasaron durante el periodo de entreguerras. Sin embargo, más allá del rencor, y aunque este resurgir se lo debe al sistema económico que rige el mundo actualmente, China busca trasformar el mismo, con el único fin de convertir a Asia en una supremacía pintada de la bandera de ese país.
Estrategias para la expansión y desarrollo económico para el restaurante Cuetsafood de comida saludable y sostenible en Bogotá
Authors: Wilches Gómez Sarah , Valenzuela Solano Diana , Pereira Silva Jackson
Published: August 2021

El objetivo de la investigación es posicionar al restaurante Cuetsafood a través de una planeación estratégica de marketing; la idea es compartir una gran producción encargada de generar un cambio alimentario y ecológico. Así, se presenta la oportunidad de sostener una alimentación saludable y costearlo; CUETSA ofrece la ocasión para que los consumidores puedan acceder una comida orgánica y balanceada a cambio de un precio justo. Allí se puede disfrutar con seguridad que el esfuerzo económico es razonable respecto a la calidad del producto entregado. El artículo presenta una metodología de recolección de información de carácter cualitativo; por medio de la literatura revisada se pretende describir una situación en la que se explique el comportamiento de los individuos respecto al consumo de alimentos saludables y sostenibles. También es de tipología aplicada tecnológica pues identifica el conocimiento del sector productivo de bienes y servicios (restaurante y alimentos) para mejorarlo y hacerlo más eficiente.
Oportunidades comerciales para las pequeñas y medianas empresas de Bogotá en el marco del nuevo acuerdo entre Colombia y Reino Unido
Authors: Garzón Ana , Galindo Cantor Sebastián
Published: August 2021

El presente estudio, mediante un análisis exploratorio, identifica nuevas oportunidades de mercado para las pequeñas y medianas empresas de la ciudad de Bogotá, tomando la oportunidad del Tratado de Libre Comercio con el Reino Unido, que buscar dar continuidad a las operaciones de negocios, tras la salida de este país de la Unión Europea (Brexit). También, pretende impulsar el cumplimiento de las metas de reactivación económica del país y el apoyo proyectado desde el Plan Distrital de Desarrollo; enmarcado en la búsqueda de la aplicación de los Objetivos de Desarrollo Sostenible (ODS). Todo esto, bajo la utilización de una metodología de tipo mixta mediante la revisión de literatura y el análisis de información estadística.
Financial literacy in Turkish preschool education
Authors: Başaran Semra Tican , Gürdal Gözde , Altıntaş Sedat
Published: August 2021

Financial literacy is one of the basic skills of the 21st-century. It is an important skill to survive in the complex economies of the modern era. It is better to develop financial literacy skills at early ages. This study aims to examine the current state of FL education in preschool education in Turkey. For this aim, in this qualitative study, the Turkish preschool education curriculum was examined and the interviews were conducted with 20 preschool teachers constituting the study group. The data collected from document analysis were subjected to descriptive analysis and the data collected by interviews were subjected to content analysis. Results of the study show that Turkish preschool education is not supportive of financial literacy both in terms of curriculum and the teachers. For a strong foundation of FL in Turkey, the Turkish preschool education curriculum should be revised and the preschool teachers must be supported in terms of the development of FL skills at early childhood.
Mediating role of work-life balance and job satisfaction in the relationship between person-job fit and life satisfaction among teachers
Authors: ORDU Aydan
Published: August 2021

This study aims to determine the intermediary role of work-life balance (WLB) and job satisfaction (JS) in the relationship between person-job (PJ) fit and life satisfaction (LS) based on perceptions of teachers. A total of 401 teachers working in schools in Denizli province were included in the study. The Person-Job Fit Scale, Work-Life Balance Scale, Job Satisfaction Scale, and Life Satisfaction Scale were employed to collect data. Based on the results of correlation analysis, positive significant relationships were found between all variables. Structural equation model analyses showed that JS and WLB can play a full intermediary role in the relationship between PJ fit and LS.
Changes of total polyphenolics and vitamin C in acerola during storage and spray drying process
Authors: Le Thien T.
Published: August 2021

Acerola fruit is known to have a high vitamin C concentration. Polyphenolics are also natural oxidants occurring in plants. Understanding changes of these components during storage conditions and processing steps become important. Results of this research showed that there was significant difference in vitamin C and total polyphenolic concentration and three popular varieties of acerola fruits from Tien Giang province. Concentrations of both vitamin C and polyphenolics reduced rapidly during storage at room temperature. After three days, vitamin C reduced about 40% whereas total polyphenolics reduced about 70%. The losses at refrigerated temperature after 3 days were less than 15% and less than 30%, for vitamin C and total polyphenolics, respectively. Frozen storage of the fruit maintained quite well vitamin C and polyphenolics. Acerola pomace juice was concentrated before spray drying and, at the same vacuum pressure, temperatures influenced significantly the retention of vitamin C and total polyphenolics. Optimization of spray drying conditioners including inlet hot air temperatures and added ratio of maltodextrin (drying carrier) was also carried out to obtain high recovery of dry matter, total polyphenolics and vitamin C.
Effects of lysine, methionine, threonine and tryptophan on growth performance and serum antibody titers to Gumboro disease of color-feathered chickens
Authors: Duong Mai C.
Published: August 2021

The experiment was conducted to determine the effects of four amino acids (lysine, methionine, threonine and tryptophan) supplementation on growth performances and serum antibody titers to Gumboro disease (IBD, infectious bursal disease) in broiler chickens. Chicks were randomly assigned to 5 dietary groups (5 chicks/group as 12 replicates of 5 chicks) in a complete randomized experimental design. Group I served as control group, was fed a diet without any supplementation. Groups II and III were supplemented 10% of four amino acids (lysine, methionine, threonine and tryptophan) of the recommended requirements for 45 and 42 days, respectively. Meanwhile, Groups IV and V were supplemented 20% of four amino acids (lysine, methionine, threonine and tryptophan) of the recommended requirements for 45 and 42 days, respectively. The supplementation was started at 3 days of age in chicks. The chickens were vaccinated against Gumboro disease at day 12 and day 19. The antibody titer of the chickens in each group was assayed using IBD anti-body ELISA. Besides, the live body weight, average feed intake and feed conversion (FCR) were determined at 0, 21, 42 and 84 days of age. The results showed no significant difference between groups in performance parameters such as body weight and FCR. However, the present work showed highest dose of lysine, methionine, threonine and tryptophan supplementation for 42 days may be improved feed intake and immune response of chicken against Gumboro disease vaccination
The use of water spinach (Ipomoea aquatica) in domestic wastewater treatment
Authors: Nguyen Thinh V. D.
Published: August 2021

The main objective of this study was to examine the efficacy and capacity of using hydroponic systems in municipal pollutant removal at household scale. Three pilot scaled hydroponic systems [dimension for each system: 4.5 m (L) x ɸ 114 mm] were installed to investigate the optimal age of vegetable, planting density and retention time for household wastewater treatment, respectively. Water spinach (Ipomoea aquatica) planted in 27 plastic cups throughout 4.5-m-length and 114-mm-diameter uPVC pipes filled with wastewater was employed as the treating agent of pollutants. The averaged influent contained proximately 32.5 mg/L suspended solids (SS), 76.0 mg/L biological oxygen demand (BOD5), 220.5 mg/L chemical oxygen demand (COD), 26 mg/L NH_4^+, 5.0 mg/L NO_3^- , and 8.5 mg/L PO_4^(3-) at pH 7.3. Results showed that a designed system consisting of 10 plants of 15-day-old water spinach pre-planted in baked clay in each cup could treat 30 L of domestic wastewater meeting the current municipal wastewater discharge standards in Vietnam (column A standards of QCVN 14:2008/BTNMT) after 4 days of wastewater retention time. If operated under conditions of the above parameters, the pilot-plant hydroponic system can achieve the removal of 65% SS, 82% BOD5, 74% COD, 90% NH_4^+, 30% NO_3^- and 86% PO_4^(3-). The result of this study has provided an applicable domestic wastewater treatment system ecofriendly and suitable for small and medium household areas.
Effect of key enzyme inhibition of glycolysis on synovial fibroblasts in Rheumatoid Arthritis
Authors: Fuxue Meng  , Xiaomai Tao
Published: August 2021

Objective: To observe effects of glycolysis on human rheumatoid arthritis Fibroblast-like synoviocytes (HFLS-RA) by inhibiting glycolysis. Methods: Hexokinase inhibitor (3-bromopyruvate, 3-BrPa), 6-phosphofructokinase 1 inhibitor citric acid and pyruvate kinase inhibitor shikonin were applied to HFLS-RA respectively. Cell count 8 Kit detects cell proliferation activity, the activity of hexokinase, 6-phosphofructokinase 1, and pyruvate kinase, as well as the cellular glucose, lactate and ATP content were detected by kits, and the ELISA kit detects the expression of cellular inflammatory factors TNF-α and TGF-β. Results: 10 μg/mL 3-BrPa, 160 μg/mL citric acid and 5 μg/mL shikonin significantly inhibited cell proliferation activity (P<0.001); and significantly inhibited HFLS-RA hexokinase and fructose 6-phosphate Kinase 1 and pyruvate kinase activity; Glucose, lactate and ATP content decreased; TNF-α expression decreased, while TGF-β expression increased. Conclusion: This study explored the changes in glucose metabolism and the expression of inflammatory factors in HFLS-RA by inhibiting the key enzymes of glycolysis, further confirming the important role of glycolysis in HFLS-RA, and laying a theoretical basis for a deep understanding of the pathogenesis of RA.
LECTURE: NEED OR RUDIMENT?
Authors: Мусабекова С.А.
Published: August 2021

Современная ситуация в высшем медицинском образовании требует не только широкого внедрения новых информационно-коммуникативных технологий, но и серьезной ревизии традиционных форм и методов обучения. Автор указывает на назревшую необходимость переосмысления роли, места и удельного веса в учебном процессе вуза лекции, которая на протяжении долгого времени являлась основным способом передачи знаний. В статье представлены результаты анкетирования, включающего вопросы о востребованности лекций и формате их проведения при обучении медицине, до и после окончания семестра. Установлено, что в процессе обучения в медицинском ВУЗе прогрессивно снижается заинтересованность обучающихся к лекции как источнику новых знаний и умений, но, вместе с тем, сохраняется стабильно высокая заинтересованность в лекциях как в эффективном методе обучения. Основной вывод состоит в том, что, выбирая оптимальные методы и технологии при обучении будущих врачей, следует разумно сочетать традиционные и новые подходы. Опасность замены живого общения цифровыми дистанционными коммуникациями ведет к утрате человеческих отношений, и как следствие к потере индивидуальности будущих специалистов.

The current situation in higher medical education requires not only the widespread introduction of new information and communication technologies, but also a serious revision of traditional forms and methods of teaching. The author points to the urgent need to rethink the role, place and specific weight of lectures in the educational process of the university, which for a long time has been the main way of transferring knowledge. The article presents the results of a survey, which includes questions about the relevance of lectures and the format of their conduct in teaching medicine, before and after the end of the semester. It was found that in the process of teaching at a medical university, students' interest in lectures as a source of new knowledge and skills progressively decreases, but at the same time, a consistently high interest in lectures as an effective teaching method remains. The main conclusion is that when choosing the best methods and technologies for training future doctors, one should reasonably combine traditional and new approaches. The danger of replacing live communication with digital remote communications leads to the loss of human relations, and, as a consequence, to the loss of the individuality of future specialists.
THE ECONOMICS OF HEALTH CARE DURING A PANDEMIC
Authors: Каракетова Л.Т.
Published: August 2021

В данной статье представлен обзор данных об экономике здравоохранения в сложной сложившейся ситуации, и рассматривается влияние пандемии на экономику здравоохранения, в частности, проведён анализ негативного последствия пандемии и изменений, которые привели не только к спаду экономики, но и возникновению новых проблем касаемо финансирования и контроля экономики здравоохранения. В статье приведены законодательные акты и нормативные документов Российской Федерации.

This article provides an overview of data on the economy of healthcare in the current difficult situation. It examines the impact of the pandemic on the health economy, analyzing, in particular, the negative impact of the pandemic and changes that have led not only to the economic downturn, but also to the emergence of new problems regarding the financing and control of the health economy. Furthermore, the article presents the legislative acts and regulatory documents of the Russian Federation.
FEATURES OF THE COURSE OF OSTEARTHROSIS IN PATIENTS WITH METABOLIC SYNDROME
Authors: Калидинова А.Е. , Бекбатыр А.А. , Жаксылыккызы А.Ф. , Сафарова Н.М. , Хасанова С.Ф. , Ногаева М.Г.
Published: August 2021

В настоящее время появляется новая тенденция рассматривать фенотипы остеоартроза на основе их факторов риска и, следовательно, предлагать потенциал для терапии. Растет распространенность остеоартроза с другими сопутствующими заболеваниями, такими как системная артериальная гипертензия, сердечно-сосудистые заболевания, диабет и дислипидемия. Большинство остеоартрозов, связаны с метаболическим синдромом, несмотря на избыточный вес пациентов. Возникновение остеоартроза в суставах не несет нагрузки и предполагает, что статус хронического воспаления, существующий у пациентов с метаболическим синдромом, может изменять метаболизм хряща, независимо от избыточного веса. Хорошо известно, что метаболическим синдромом связан с остеоартрозом коленного сустава в отношении механической нагрузки, а также с избыточной выработкой провоспалительных цитокинов, которые могут играть важную патофизиологическую роль при остеоартрозе. Метаболический синдром (МетС) влечет за собой ряд состояний, включая ожирение, атерогенную дислипидемию, нарушение глюкозы натощак и гипертензию. Тем не менее, у пациентов с метаболическим синдромом отмечается значительно повышенный риск сердечно-сосудистых заболеваний и смертности. Эта статья указывает на то, что факторы, ответственные за метаболический синдром, явно играют роль в дегенерации хряща и его дальнейшей деградации.

Currently, there is a new trend to consider the phenotypes of osteoarthritis on the basis of their risk factors, therefore, to suggest opportunities for therapy. The prevalence of osteoarthritis is increasing with other diseases such as systemic hypertension, cardiovascular disease, diabetes and dyslipidemia. Most osteoarthritis is associated with metabolic syndrome despite being overweight. The occurrence of osteoarthritis in the joints is not burdensome and suggests that the status of chronic inflammation existing in patients with cartilage metabolism, regardless of overweight. It is known that metabolic syndrome is associated with osteoarthritis of the knee joint in relation to mechanical stress, as well as with excessive production of proinflammatory cytokines, which may play a pathophysiological role in osteoarthritis. Metabolic syndrome (MetS) is associated with a number of conditions, including obesity, atherogenic dyslipidemia, impaired fasting glucose, and hypertension. However, patients with metabolic syndrome have an increased risk of cardiovascular disease and mortality. This article indicates that the factors responsible for metabolic syndrome clearly play a role in the degeneration of cartilage and its further degradation.
GENES AND THE ROLE OF GENETIC FACTORS INVOLVED IN THE DEVELOPMENT OF ASTHMA (LITERATURE REVIEW)
Authors: Испаева Ж.Б. , Бекмагамбетова Р.Б.
Published: August 2021

В статье представлен обзор современных литературных источников, обобщающий результаты исследований генов, которые участвуют в развитии бронхиальной астмы (БА), полиморфизма генов при астме и о выявленных вариантах генов, которые являются генами - модификаторами ускоряющими и усугубляющими патологический процесс. Составление генной сети для каждого многофакторного заболевания и разработка на этой основе комплекса профилактических мероприятий для конкретного пациента составляет основу нового, быстро развивающегося направления - предиктивной медицины. Актуальность темы обусловнено тем, что БА попрежнему входит в ранг важной медицинской и социальной проблемы, наблюдается высокая распространенность и неуклонный рост заболеваемости БА во всем мире. Тема также является актуальной, так как хроническое рецидивирующее течение БА накладывает значительные ограничения на повседневную жизнь пациентов, увеличивает доли больных с тяжелой формой заболевания. Все это свидетельствуют об актуальности изучения сложных механизмов развития этого заболевания с целью разработки эффективных методов диагностики и профилактики с учетом индивидуальных особенностей каждого больного. За последние годы протестировано более чем 500 генов, которые показывают связь с данным заболеванием, и для более чем 100 из них показана ассоциация с БА, на основании чего можно сказать, что данные гены являются генами предрасположенности к ней.

The article presents a review of modern literary sources, summarizing the results of studies of genes that are involved in the development of asthma, gene polymorphism in asthma and the identified variants of genes that are modifier genes that accelerate and aggravate the pathological process. The compilation of a gene network for each multifactorial disease and the development on this basis of a set of preventive measures for a specific patient forms the basis of a new, rapidly developing direction - predictive medicine. The relevance of the topic is due to the fact that BA is still included in the rank of an important medical and social problem, there is a high prevalence and a steady increase in the incidence of asthma all over the world. The topic is also relevant, since the chronic relapsing course of asthma imposes significant restrictions on the daily life of patients, increases the proportion of patients with a severe form of the disease. All this testifies to the relevance of studying the complex mechanisms of the development of this disease in order to develop effective methods of diagnosis and prevention, taking into account the individual characteristics of each patient. In recent years, more than 500 genes that show a connection with this disease have been tested, and for more than 100 of them association with asthma is shown, on the basis of which it can be said that these genes are genes for predisposition to it.
PATHOGENETIC FEATURES OF INTESTINAL DYSFUNCTION AMID EXPERIMENTAL OBESITY
Authors: Жукембаева А.М. , Салехова Д. , Хамза А.Д. , Орынбасарова А.Ж. , Намаз Д. У. , Галымбек Ж.М.
Published: August 2021

В эксперименте на 20 кроликах-самках было изучено влияние развития экспериментального ожирения на функциональное состояние пищеварительного тракта и гиперколонизацию его просвета кишечной микрофлорой. Критериями для анализа являлись результаты микробиологических исследований посевов каловых масс на среды эндо- и/или эндо-висмут, которые являются специфичными для культивирования кишечной микрофлоры и показатели фоноэнтерографического исследования. Исследования проводились до начала эксперимента и через 14 и 30 суток после начала моделирования экспериментального ожирения. Полученные результаты свидетельствовали о негативном влиянии алиментарного ожирения на функциональное состояние пищеварительного тракта.

In the experiment on 20 female rabbits, the effects of development of experimental obesity on the functional status of the digestive tract and hypercolonization of its lumen by the intestinal microflora was studied. The criteria for the analysis were the results of microbiological studies of stool culture on endo- and / or endo-bismuth media, which are specific for the cultivation of intestinal microflora and indicators of phonoenterographic studies. The studies had been conducted before the start of the experiment and 14 and 30 days after the start of the experimental obesity modelling. Results showed negative effect of аlimentary obesity on the functional state of the digestive tract.
GLYCOSYLATED HEMOGLOBIN IN THE DIAGNOSIS AND CONTROL OF TYPE II DIABETES MELLITUS
Authors: Дуйсекова М.А. , Алимова Д. , Айткулова А.С. , Райымжанкызы А. , Ногайбай Д.Б. , Аймаханова Г.Т.
Published: August 2021

Сахарный диабет характеризуется нарушением секреции инсулина и той или иной степенью инсулинорезистентности, обусловливающими гипергликемию. Диабет в 2 раза повышает риски появления широкого спектра сердечно-сосудистых заболеваний, в 6 раз повышает риски ИБС. ХБП развивается примерно у 35% пациентов с сахарным диабетом II типа и ассоциирован с повышенной смертностью. В Казахстане исследования на эту тему проведены не были. Уровень гликозилированного гемоглобина отражает состояние компенсации углеводного обмена, показывает эффективность сахароснижающей терапии и определяет стратегию лечения пациента.

Diabetes mellitus is characterized by impaired insulin secretion and varying degrees of insulin resistance, causing hyperglycemia. Diabetes increases the risk of a wide range of cardiovascular diseases by 2 times, and increases the risk of CHD by 6 times. CKD develops in approximately 35% of patients with type II diabetes and is associated with increased mortality. No studies on this topic have been conducted in Kazakhstan. The level of glycosylated hemoglobin reflects the state of carbohydrate metabolism compensation, shows the effectiveness of hypoglycemic therapy and determines the patient's treatment strategy.
EFFECTS OF PERSONAL AND PSYCHOLOGICAL FEATURES OF PATIENTS WITH PARANOID SCHIZOPHRENIA ON QUALITY OF LIFE
Authors: Саятова Г.У. , Распопова Н.И.
Published: August 2021

В статье представлены результаты клинического анализа 115 пациентов, находившихся на стационарном лечении в РГКП на ПХВ «Республиканский научно-практический центр психического здоровья» и ГКП на ПХВ «Центр психического здоровья» УЗ г. Алматы с диагнозом: «Параноидная шизофрения F20.0». В процессе исследования были выявлены личностно-психологические факторы, оказывающие влияние на качество жизни больных параноидной шизофренией, определены «мишени» психотерапевтического воздействия для повышения реабилитационного потенциала этих больных. Исследована структура внутренней картины болезни у пациентов с параноидной шизофренией. Обоснованы рекомендации по формированию у пациентов с параноидной шизофренией «гармоничного» типа внутренней картины болезни для повышения качества реабилитационных мероприятий.

The article presents the results of a clinical analysis of 115 patients who were inpatient treatment at the Republican Scientific and Practical Center for Mental Health and the Mental Health Center of the Almaty Healthcare Institution with a diagnosis of Paranoid schizophrenia F20.0. In the course of the study, personal and psychological factors were identified that affect the quality of life of patients with paranoid schizophrenia, and the "targets" of psychotherapeutic influence were identified to increase the rehabilitation potential of these patients. The structure of the internal picture of the disease in patients with paranoid schizophrenia was investigated. Recommendations for the formation of a "harmonious" type of internal picture of the disease in patients with paranoid schizophrenia in order to improve the quality of rehabilitation measures have been substantiated.
PSYCHOEMOTIONAL STATE OF KAZNMU STUDENTS DURING COVID-19 PANDEMIC
Authors: Попова Д.А. , Давлетгильдеев Э.Р. , Ерланова Е.Е. , Абикулова А. К.
Published: August 2021

В данной статье оценивается психоэмоциональное состояние студентов бакалавриата КазНМУ в условиях пандемии COVID-19, основанное на анкетировании. В исследовании приняли участие 490 человек: 370 человек (75,5%) со школы общей медицины, со школы общественного здравоохранения - 77 (15,7%), со школы педиатрии - 43 человека (8,8%). Была выявлена зависимость уровней депрессии и тревоги от таких показателей, как беспокойство за свое здоровье и здоровье своих близких, беспокойство за свою успеваемость и чувство возросшей учебной нагрузки, трудности с концентрацией при учебе, ощущение социальной изоляции и наличие финансовых трудностей. В то же время демографические показатели не влияли на выраженность депрессии и тревоги у студентов. При анализе методов борьбы с психоэмоциональным стрессом никто из ответивших не сказал об обращении за профессиональной психологической помощью в условиях пандемии, в связи с чем основной рекомендацией данной работы было посещение психолога.

This article assesses the psycho-emotional state of undergraduate students of KazNMU in the context of the COVID-19 pandemic, based on a questionnaire. The study involved 490 people: 370 people (75.5%) from the school of general medicine, from the school of public health - 77 (15.7%), from the school of pediatrics - 43 (8.8%). Depression and anxiety levels were found to be dependent on such indicators as concern for their health and the health of their loved ones, anxiety for their academic performance and a feeling of increased workload, difficulty concentrating while studying, feeling socially isolated and having financial difficulties. At the same time, demographic indicators did not affect the severity of depression and anxiety in students. When analyzing methods of dealing with psycho-emotional stress, none of the respondents said about seeking professional psychological help in a pandemic, and therefore the main recommendation of this work was to visit a psychologist.
RISK OF ARTERIAL HYPERTENSION DEVELOPMENT IN STUDENTS WITH CHRONIC PYELONEPHRITIS
Authors: Тузел Ж.Е. , Адалкызы Ш. , Азаматов А.Т. , Ашимова Б.Б. , Бердибек А.Д. , Дарынов И.А.
Published: August 2021

Исследование и сравнительный анализ результатов суточного мониторирования артериального давления (АД) и пульса (Ps) было проведено у 63 студенток первого курса медицинского колледжа в зависимости от наличия у них подтвержденного диагноза хронический пиелонефрит в стадии ремиссии. Обследование участниц исследования проводилось в соответствии с Протоколами диагностики и лечения хронического пиелонефрита» РК. При этом показатель АД и Ps, определенный в автоматическом режиме тонометром фирмы «OMRON», у всех участниц исследований соответствовал 5-90 перцентилям с учетом их возраста и гендерной принадлежности. Критериями для анализа, при проведении нашего исследования являлись: САД - систолическое артериальное давление; ДАД - диастолическое артериальное давление; ЧСС (соответствующая Ps); СрАД - средние показатели артериального давления в измеряемом интервале (за 24 часа, за дневной и ночной интервал отдельно), показатели «нагрузки давлением» (индекс времени гипертензии - ИВ, индекс площади гипертензии - ИП) за сутки, день и ночь; вариабельность АД; суточный индекс - СИ (степень ночного снижения АД).

The study and comparative analysis of the results of 24-hour monitoring of blood pressure (BP) and pulse (Ps) were carried out in 63 first-year medical college students, depending on whether they had a confirmed diagnosis of chronic pyelonephritis in remission. The examination of the study participants was carried out according to the Protocols for the diagnosis and treatment of chronic pyelonephritis of RK. At the same time, the blood pressure and Ps index, determined in automatic mode by the “OMRON” tonometer, corresponded to 5-90 percentiles in all the research participants, taking into account their age and gender. The criteria for the analysis in our study were: SBP - systolic blood pressure; DBP - diastolic blood pressure; Heart rate (corresponding to Ps); ABP - average blood pressure in the measured interval (for 24 hours, day and night intervals separately), indicators of "pressure load" (hypertension time index- TI , hypertension area index - AI) per day, day and night; variability of blood pressure; daily index - DI (the degree of night blood pressure decrease).
DEVELOPMENT OF PHONIATRIC CARE ABROAD (LITERATURE REVIEW)
Authors: Абишева Е.Б. , Даниярова А.Б. , Имашева Б.С. , Аженов Т.М. , Раушанова А.М.
Published: August 2021

Становление фониатрии как специальности в разных странах мира происходило по собственному пути, но ее развитие неразрывно было связано с сурдологией и общей оториноларингологией. Появление новых технологий и внедрение их в практику позволяло совершенствовать диагностику заболеваний гортани, улучшать лечение и реабилитацию пациентов с патологией голосового аппарата.

Thus, the formation of phoniatry as a specialty in different countries of the world took its own path, but its development was inextricably linked with audiology and General otorhinolaryngology. The emergence of new technologies and their implementation in practice made it possible to improve the diagnosis of diseases of the larynx, improve the treatment and rehabilitation of patients with pathology of the vocal apparatus.
CARDIOVASCULAR DISEASES: PREVALENCE, RISK FACTORS (LITERATURE REVIEW)
Authors: Мустафина М.О. , Телжанов А. , Лигай З.Н.
Published: August 2021

Мы провели поиск в PubMed статей, опубликованных с 1980 по 2020, используя термины «острый инфаркт миокарда», «молодой», «разрыв бляшки», эрозия бляшки, спонтанное расслоение коронарной артерии (SCAD), коронарный вазоспазм», «вариантная стенокардия или стенокардия Принцметала», «лекарственный инфаркт миокарда», «миокардит», «коронарная эмболия», «микрососудистая дисфункция», «MINOCA», а также обзор всех опубликованных исследований. Используя данные этого поиска, мы стремимся проинформировать читателей о распространенности, факторах риска, проявлениях и лечении острого инфаркта миокарда у молодых пациентов, а также подробно рассказать о специальных подгруппах с диагностическими и терапевтическими проблемами.

We searched PubMed for articles published from 1980 to 2020 using the terms acute myocardial infarction, young, plaque rupture, plaque erosion, spontaneous coronary artery dissection (SCAD), coronary vasospasm, variant angina or angina pectoris. Prinzmetal, drug myocardial infarction, myocarditis, coronary embolism, microvascular dysfunction, MINOCA, and a review of all published studies. Using the data from this search, we aim to inform readers about the prevalence, risk factors, manifestations and treatment of acute myocardial infarction in young patients, as well as detail the special subgroups with diagnostic and therapeutic problems.
Developing the Head, Heart and Hand Holistically Towards Achieving the Maqāṣid of the Sharī’ah: An Undergraduate Perspective
Authors: Tarip Iznan
Published: August 2021

The head-heart-hand tripartite is often used to depict holistic education, not focusing only on academic merits of the ‘head’ and technical skills of the ‘hand’, but also character building, spiritual enlightenment, and emotional resilience of the ‘heart’. Unfortunately, the development of the spiritual heart is often neglected, especially in higher education where most of the learning assessments pertain to the critical heads and skilful hands. This paper argues for that the balanced development of the head, heart, and hand. In particular, the purification of the spiritual heart is emphasised to heighten moral and God-consciousness for better decision-making. Additionally, such holistic development is needed to ensure the achievement of the Maqāṣid of the Sharī’ah collectively, i.e., the preservation and promotion of Faith, Life, Intellect, Progeny, and Wealth. By setting the head-heart-hand tripartite with the Maqāṣid, a frame of reference is constructed as an evaluative tool to examine individual holistic development. This framework is then used to examine the reported developmental experiences of undergraduate students in the Universiti Brunei Darussalam, giving particular attention to the issues and challenges faced in light of the five Maqāṣid. The preliminary findings signalled challenges faced in preserving and promoting Life, Intellect, and Progeny.
Survey on Quality of School Sites and Locations of Lagos State Public Schools
Authors: Alabi Olaide
Published: August 2021

In this study, a survey on quality of school sites and locations of Lagos State public schools was carried out with specific focus on the level of availability of the facilities with reference to UNESCO prescriptions for school facilities supplemented with Commonwealth Department of Education. Two research questions were raised for the study. Forty-six (46) Schools were randomly sampled from 2 purposively selected educational districts of Lagos State. The study adopted a descriptive survey design because it was concerned with what was on ground and how they conformed to the standards expected of the facilities. The instrument used to collect data and establish the standard and quality of available of school sites/ locations in the sampled schools was Checklist of the Existing School Location and Site (CESLS), whose reliability was found to be 0.83. The data collected were analysed using simple percentages. The findings showed that 97.8% of Public Junior Secondary Schools in Lagos State were located at accessible areas. Between 73.9% and 89.1% of the school plants were averagely good in quality. However, about 37% - 41% of the schools sampled had poor topography, epileptic power supply and irregular water supply. Few of the schools were located far from noisy areas and external distraction.  This falls short of UNESCO’s standard of 183 metres distance away from sources of noise. Between 32% and 52% of the schools were located close to sources of noise such as hotels, market areas and highways.
Adopting the Use of Low-Cost Assessment Strategies in Resource-Constrained Higher Education Institutions
Authors: Buluma Alfred , Najjuma Rovincer , Ezati Betty
Published: August 2021

Assessment is an integral aspect of teaching and learning in an academic institution. It provides the primary information based on to make several decisions by the different stakeholders. The vital nature of this information makes assessment an expensive venture. Educational institutions incur a lot of costs in administration of these assessments and yet they are financially struggling to meet their budgets.  However, low-cost strategies are available to bring about authentic assessment of learners. Consequently, this article presents findings about adoption of low-cost assessment strategies in financially constrained higher education institutions. Specifically, the study was conducted in teacher education pedagogy at one of the public universities in Uganda to establish the adopted low-cost assessment strategies. A qualitative research approach based on a descriptive study design was used to investigate this study. Data was collected using observation, interview and documentary review methods. Study findings established use of presentations, hands-on exercises, peer assessment, tests, drama and take-home assignments as the low-cost assessment strategies adopted by individual lecturers in higher education institutions in Uganda. It was concluded that the adopted low-cost assessment strategies in resource-constrained institutions have the potential to nurture 21st century citizens. And therefore, a recommendation for university-wide adoption of low-cost assessment strategies was suggested to management of higher education institutions in resource-constrained countries.
Influence of Environment and Gender on Career Choice among Secondary School Students in Kaura Local Government Area, Kaduna State, Nigeria
Authors: Abayomi Alaka , Ishaku Salamatu , Idowu Sadiq
Published: August 2021

The study examined the influence of environment and gender on career choice among secondary school students in Kaura Local Government of Kaduna State. A descriptive research design was used and 18 secondary schools were clustered into three chiefdoms to draw a sample of 6 secondary schools using purposive sampling technique. Also, a sample of 422 students from a population of 3558 students from the three Chiefdoms was drawn using cluster sampling technique. The study developed and used a questionnaire tagged ‘Environment, Gender and Career Choice Questionnaire (EGCCQ)’ with correlation coefficient of 0.78. The students’ career choice was based on the adoption of Career Interest Survey (CIS) and Vocational Interest Inventory (VII) developed by Bakare (1977). Descriptive statistics of simple percentage was used for the research question generated, while inferential statistics of multiple regression analysis was employed to analyse the null hypotheses developed for the study and tested at 0.05 level of significance. The findings revealed that students had preferences for career choice based on gender and environment. There was a significant composite influence of environment and gender on career choice among secondary school students in Kaura Local Government of Kaduna State, with the influence of environment being relatively than that of gender. It is therefore recommended among others that students should be well counselled in the choice of career process by professional counsellors and they should take into consideration the immediate environment of the students, their gender, interest, ability, skills and personality.
The Isambert disease: a very rare revelation of miliary tuberculosis
Authors: Rachadi Z , Idalene M , Arsalane L , Raji A , Tassi N
Published: August 2021

The objective of this study was to report a case of miliary tuberculosis revealed by a pharyngeal localization, and study this disease through a literature review.We report the clinical case of a 23 year old patient presented for chronic tonsillitis treated as bacterial but without improvement. Dysphonia and dysphagia were added later with the same signs of tuberculous impregnation. The chest x-ray done before the onset of coughing had objectified miliary. The diagnosis of tuberculosis was selected before the detection of acid-fast bacilli in cytobacteriological examination of the pharyngeal swab and sputum. Specific antituberculous treatment led to a favourable outcomeIn a context of endemic tuberculosis, the diagnosis of miliary tuberculosis of the pharynxshould be considered in all pharyngeal syndrome did not improve with medical treatment.Keywords: Isambert disease; oropharynx ; tuberculosis
Obrazovanje i samopotvrđivanje odraslih u slobodnom vremenu
Authors: Nikolić Tamara
Published: August 2021

The paper presents the results of research related to the examination of the relationship between education that adults undertake in their free time, on the one hand, and the scope, degree and manner in which they self-affirm in their leisure time on the other. By self-affirmation we mean the realization or actualization of oneself as a single being through the degree of satisfaction of various needs relevant from the point of view of personality integration. The notion of self-affirmation understood in this way, viewed in the context of leisure time, represents a constituent of the quality of leisure time in adulthood. Specifically, this paper presents the results related to the examination of the general level of the self-affirmation in leisure time, as well as the contribution of educational activities to self-affirmation in leisure time. The most significant of them advocate the existence of a universal need for self-affirmation in leisure time. More specifically, they concern self-affirmation in the context, of emotional well-being, commitment to the activities, in which adults choose to engage themselves in their leisure time and creativity. According to the dimensions of self-affirmation, the largest number of surveyed participants of educational activites is self-affirmed in the in the cognitive, yet the smallest number, in the emotional sence.
Obuke nastavnika kao doprinos jačanju kapaciteta za razvoj osnovnog obrazovanja odraslih u Bosni i Hercegovini
Authors: Orlović Lovren Violeta , Miljković Jovan , Tubić Svjetlana
Published: August 2021

The paper is dedicated to the analysis of the effects from teacher trainings which were developed and applied in Bosnia in Herzegovina (B&H), as a project activity within the larger project titled ''Support for adult education: subsequent acquisition of elementary adult education'', which was implemented during 2012-2013 by the GIZ and the Institute for International Cooperation of German Adult Education Association (DVV International), Office in Bosnia and Herzegovina. The reasons for initiating this training and the analysis of its effects are considered in a specific socio-historical and educational-political context, in order to analyze not only the inherited problems of illiteracy, but also the conditions in which the capacity for their resolution and building of a system of adult education are developing today. The methodological approach and findings of the research are presented, which is based on estimates of the teachers on the effects of the training in which they participated. Bearing in mind the insight into the context and findings of the research, possible directions for improvement in this field are suggested.