bluuebunny/crossref_metadata_2025 huggingface dataset:
Soft tissue photographic norms for central India subjects- A pilot study
Authors: Mishra Kratika , Khan Nazneen , Kanungo Himanshu , Gupta Mukesh
Published: March 2023

To determine the soft tissue angular photogrammetric standards in Central Indian topics.

40 central Indian participants, 20 males and 20 females, ranging in age from 18 to 25, were examined in this study using lateral profile photographs Standardized profile pictures were obtained between the focal lengths of 55 and 200 mm with a camera Canon 1500D macro lens.

The data were analysed using SPSS 20.0, a statistical software for social sciences. Using the Kolmogorov-Smirnov test to determine the probability distribution of the data, it was determined that the data were not normally distributed (p value.05).

The present study used photogrammetric analysis to develop soft tissue face measures that will help orthodontists undertake more quantitative analysis and reach informed conclusions. By using this photogrammetric approach, the collected mean values may be compared to records of persons who had the same characteristics. There were statistically significant variations in Central India for a few key parameters.
Impact of the COVID 19 pandemic on the mental health and quality of life among older adults in India
Authors: Manjaly Steve , Francis Anu , Koonen Siju Jose , Thekkinath Deepthi , Dhruvan Sangeetha
Published: March 2023

The Coronavirus disease 2019 (COVID-19) pandemic rapidly spread across continents causing widespread mortality. Older adults, especially those with underlying diseases, are more susceptible for COVID-19 infection. Due to this concern, reverse quarantine was adopted as a protective strategy. This can lead to several psychological and physical detrimental effects. Aims:1). To assess the mental health status (depression and anxiety) among elderly people in the community during the COVID-19 pandemic.2) To assess the impact of COVID-19 pandemic restrictions and mental health issues on quality of life.

This is a descriptive cross-sectional study among older adults (>60 yrs) residing in urban community in Central Kerala, India.

Of the 200 patients, more than half had moderate to high levels of anxiety and a poor social support. Depression was seen in only 1/4th of patients and that was significant in older women. Mean knowledge about COVID was below 80%. Social support was inversely associated with anxiety and depression. Anxiety and depression significantly affected QOL scores.

This study emphasizes on the need for better mental health programmes tailored for our geriatric population. Joint multidisciplinary action plans with focus on enhancing social support can improve the quality of life of this vulnerable group.
Knowledge regarding reverse osmosis (R.O) waste water utilization among general public in urban areas
Authors: Vyas Prabhanshu , Solomon Smriti G.
Published: March 2023

Reverse osmosis (RO) is a water purification process that uses a partial permeable membrane to remove ions, unwanted molecules and larger particles from drinking water. In reverse osmosis, an applied pressure is used to overcome osmotic pressure, a colligative property that is driven by chemical potential differences of the solvent, a thermodynamic parameter. In the process of reverse osmosis the amount of water that is drained is a concern area for the people using the R.O. filtration device in their household because it wasted about 70% of the water to purify just one liter of water. This R.O. waste water can be utilized for various purposes such as washing vehicle like car bike etc, cleaning toilet this study is aimed to assess the knowledge reverse osmosis waste water utilization among general public at Indore.

1.To assess the pretest knowledge regarding reverse osmosis (R.O) waste water utilization among general public. 2. To assess the posttest knowledge regarding reverse osmosis waste water utilization among general public. 3. To evaluate the effectiveness of structured teaching program on reverse osmosis (R.O) waste water utilization among general public.

H1- there will be significant difference between pretest and posttest knowledge who received structured teaching program regarding the utilization of waste R.O water.

Quantitative, pre-experimental, one group pretest posttest design was adopted for the study. Total of 60 general public selected by using simple randomized sampling technique was used.

Structured knowledge questionnaire.

Data was analyzes using descriptive and inferential statistics.

In the pre-test majority of the sample (44 out of 60, 73.3%) had inadequate knowledge and in the post-test, majority (54 out of 60, 90%) had adequate knowledge regarding reverse osmosis. A paired‘t’ test was done and it showed a‘t’ value of 22.34 at 0.05 level of significance, this indicates the effectiveness of structured teaching programme in enhancing the knowledge of the general public. There was no association found between the mean pre-test knowledge of the general public. There was no association found between the mean pre-test knowledge scorer with the selected socio-demographic variable such as age (χ2 = 8.643), gender (χ2 = 4.455), education qualification (χ2 = 4.706), Occupation (χ2 = 2.531), number of family member (χ2 = 5.653) and previous knowledge about reverse osmosis filter water (χ2 =0.393).

There is a significant difference between the mean pre-test and post-test knowledge score among general public regarding reverse osmosis waste water utilization.
Digital Technologies in Russian Legislation, Doctrine and Practice
Authors: Ivanova Svetlana
Published: March 2023

Digital transformation may influence the relationship between citizens and the state. Digital technologies change people’s life content while current legislation often fails to adequately respond to the challenges of new technologies and relevant social relations in a timely manner
This article discusses possible directions of legislative innovation and digital adoption practices required to stay up-to-date with the ongoing digitalization of social processes. The author analyses fundamental approaches, existing legal regulation and current digitalization practices. The process of mass digitalization can be launched only supported by the current law. The article explores theoretical provisions, conceptual methods and developments of digital technologies in business across various sectors at the present stage of economic development. The author underlines that technology  may allow new ways to organize production processes, financial services and logistics, which  in turn will benefit the business community and general population. The article examines the terms of digital, information and analog technologies. The author notes that the term “digital technologies” is not explicitly defined in the legislation of the Russian Federation. The article draws special attention to the emergence of new tools of the digital economy, key technologies such as assistive technologies, autopilot systems, drones, and digital platforms. The author also mentions the disadvantages of using some of the digital technologies and suggests the ways of further improvement of the considered digital technologies.
The Association Between Part-time Employment and Social Assistance Recipiency in Norway
Authors: Smedsvik Bård
Published: March 2023

This article argues that part-time employment has several features of precarity tied to both institutional and individual factors. The consequences can be increased inequality, insecurity, and instability. It studies the relationship between part-time employment for individuals with weak labor market attachment, with periods of social assistance reception in Norway. The article used Norwegian register data to analyze this relationship. Findings show that individuals with a low employment percentage have significantly longer social assistance recipiency compared to those who work full-time, prior to social assistance reception. The empirical evidence supports an individual risk from part-time employment in this group, as well as the claim that non-standard employment is associated with increased vulnerability for individuals with weak labor market attachment. The findings relate to theoretical framework regarding the precarity and mechanisms of the labor market on several aspects, especially how institutional and individual elements link part-time employment to economic and social insecurity.
LANGUAGE AND CULTURAL IDENTITY IN MODERN CONDITIONS OF DEVELOPMENT IN RUSSIA AND WESTERN EUROPEAN COUNTRIES
Authors: Borycheva Elena V.
Published: March 2023

Aim.To assess the relationship between the ideas of globalization and nationalism, to identify their correlation with the concept of cultural identity which determines the role and functions of language in the current conditions of the world community development.

Methodology. Retrospective analysis and descriptive method were chosen as the main research methods. They revealed the specifics, as well as similarities and differences in relation towards language and culture in Russia and Western Europe.

Results.Based on the results of the study, the author comes to the conclusion that in modern conditions it is language that plays the key role in defining the concept of cultural identity and serves as a link for nations in the framework of solving global conflicts.

Research implications.The study systematizes data on the concepts of language and cultural identity. The author’s edition of the concepts of identity and culture is proposed.
A mediation-moderation model of transformational leadership and intrinsic work motivation for nurturing employee performance
Authors: Udin Udin
Published: March 2023

The main purpose of this study is to examine how transformational leadership encourages intrinsic work motivation, which leads to improved employee performance, as well as to analyze the mediating and moderating role of intrinsic work motivation in the relationship between transformational leadership and employee performance. Research data was collected from employees of a community health center in Riau, Indonesia. A two-step approach to partial least squares structural equation modeling (PLS-SEM) employing SmartPLS 3.0 software was adopted to scrutinize the mediator and moderator variable. The research findings of this study show that transformational leadership significantly affects intrinsic work motivation and employee performance. Furthermore, the findings prove the significant mediating and moderating effect of intrinsic work motivation in the relationship between transformational leadership and employee performance. This study concludes that transformational leadership can enhance employee performance via the interactive influence of intrinsic work motivation by encouraging employees to better understand and enjoy their work, think outside the box, and generate bright ideas that lead to innovative performance within the organization. The findings suggest that the community health center should be developing and applying transformational leadership to stimulate intrinsic work motivation. This would lead to superior employee performance.
Influence of socioeconomic status and university’s internal environment factors on university-choice decisions of postgraduate students in Vietnam
Authors: Duong Minh-Quang , Nguyen Van-Tuong , Bach Thi-Ngoc-Dung , Ly Binh-Nhung , Le Thi-Yen-Di
Published: March 2023

Postgraduate students' university selection decisions are influenced not only by the students themselves or their families, but also by internal university factors. This study evaluated the reasons for pursuing postgraduate education and investigated how family’s socioeconomic status and the university’s internal environment factors influenced postgraduate students’ university choice decisions. The study surveyed 401 first-year postgraduate students across five member universities of Vietnam National University Ho Chi Minh City using a questionnaire and five semi-structured interviews. The empirical data revealed many reasons behind respondents’ decisions, with the mean value ranging from 3.49 to 4.14, including reasons such as the desire to continue to learn and progress professionally, to obtain an additional graduate degree, passion for the graduated field, to pursue their own profession, the opportunity to meet and socialize with new friends, to get a job or find a better one, and to change the course of life. In addition, factors such as socioeconomic status (such as family income) and the university's internal environment (such as curricula, facilities, admissions, marketing and communication, service attitude, and learning environment) have also have different positive and negative effects on their judgments about which universities to select. The study also discussed suggestions for higher education managers and other stakeholders.
Left parties in the modern political process in Europe
Authors:   Research Institute of the Humanities by the Government of the Republic of Mordovia, Trushin Mikhail S.
Published: March 2023

The article examines the role of European left parties in the politics of their countries and the European Union. The author of the article examines the main types of European left parties, their program goals and the electorate. Modern left-wing European parties in terms of ideological orientation are mostly representatives of social democrats, the Greens, democratic socialists and communists, which roughly corresponds to the left-wing party coalitions existing in the European Parliament, with the exception of communists of the Marxist-Leninist type popular mainly outside the EU. Based on the analysis of successes and defeats in elections in different countries, the author examines the reasons for the popularity or unpopularity of left-wing parties and their specific types among certain categories of the electorate, taking into account their age or membership in a particular social group, as well as their regional affiliation. It is noted that the Social Democrats are most popular in Western Europe, the Greens in Northern and Central Europe, and the Democratic Socialists in Southern Europe. In turn, in Eastern Europe, left-wing parties continue to be associated with communist ones. These regional political preferences of the leftist electorate largely reflect the differences in the perception of leftist ideas among residents of different regions of Europe. In this regard, the author also emphasizes different role of the left parties in the political process of different regions, whether it is the promotion of globalist ideas by the Greens in Western and Central Europe, or the reaction to economic crises in Southern Europe by democratic socialists. The author also notes the borrowing of elements of the programs of the left parties from each other in order to preserve the electorate. The impetus for this process, as a rule, is various political and economic crises, when the inability of the left parties in the ruling position to cope with the situation forces them to move to qualitatively new ideological positions, which the author of the article shows by the example of the radicalization of the Social Democrats in Western Europe or the socialist democratization of communists in Eastern Europe after the defeat in the Cold War.
University ranking as an element of attractiveness for potential enrollees
Authors:   Peoples’ Friendship University of Russia (RUDN University), Ebzeeva Yulia N.
Published: March 2023

The article presents the results of the students’ preferences study when choosing a place to receive higher education. The study was conducted at the Faculty of Philology at Peoples’ Friendship University of Russia, its methodology is based on the principles of a survey implemented online on the RAEX Rating Review portal on June 14–23, 2022; the results are compared. The answers record factors that mark the quality of education and social aspects, noted by enrollees when choosing a university, indicate the actual place of global and national rankings among the channels of information about the activities of universities, as well as other sources of information about universities. The conclusions drawn from the results of the survey consider the importance of the quality of educational services and describe aspects that influenced the choice of students such as well-established relations between the university and employers, a high level of internationalization, the possibility of conducting scientific research and internships. The article discusses global and national rankings of institutions of higher education and their role in informing, attitude to the ranking as an assessment tool by enrollees and their parents as the most significant group of stakeholders. It is concluded that a ranking has a teaching function, it is a tool for searching information about the quality of educational services for stakeholders and a tool for creating image for a university; we pay attention to the fact that at present the ranking is not a sufficiently demanded tool. A new important task for universities and ranking agencies is training in how to work with rankings, developing communication channels between stakeholders and universities and monitoring the results of this activity.
Social control as a management function
Authors:   Saratov Military Order of Zhukov Red Banner Institute of the National Guard Troops, Bychenko Yury G.
Published: March 2023

The article, on the basis the analysis of data from a semi-formalized interview of experts on management and social control (2022, N = 12), reveals the main and additional parameters of the assessment of social control. It is proved that the main parameters of the control assessment should include traditional subsystems for checking the complex of knowledge, shared norms, procedures and the effectiveness of labor actions. Additional parameters define a list of possible motivating factors, as well as the assessment of the entire system of actors or social groups professional culture. It is proved that social control is not only a mechanism of managerial self–regulation of the population and its individual social groups, but also a way of involving the population in solving organizational and state tasks, integrating society, providing purposeful activation of the actions aimed at strengthening the rule of law, order, stability and stability of the functioning of society. In modern conditions, social control should be carried out not only through the structures of state power, but also as a result of the active purposeful action of representatives of civil society, monitoring and verification by public organizations of the actions of both individuals and individual groups of the population. The directions of modernization of social control are proposed in the context of decentralization of the social management system, the transfer the part of the functions of state control to direct subjects of civil society, the formation of the complex of evaluation of the activities of public entities not only by representatives of state authorities, the media, but also by other institutions of civil society and individual politically active citizens.
Gender aspects of the gaming practices in the youth segment of the Russian computer games audience
Authors:   Saratov State University, Elutina Marina E. , Nerush Anton A. ,   Saratov State University
Published: March 2023

In the last decade, all over the world and in Russia, in particular, there has been an active development of the computer games industry and an increase in the gaming audience, while an outstripping growth of the youth audience is recorded every year. The presentation of the realities of the gaming audience of computer games is fruitful, taking into account the gender characteristics accumulated in computer games. Against this background, in the scientific discourse, with a few exceptions, the problem of gender characteristics of gaming practices among the youth segment of the Russian audience of computer games is only sporadically objectified. To study the gender characteristics of gaming inclusion and youth participation in gaming practices, an author’s sociological study was conducted using a questionnaire method, for which an author’s survey toolkit was developed. The target sample was 1700 people, the main selection criteria were: age (18–30 years), participation in the practice of computer games, country of residence (the Russian Federation). The survey was conducted anonymously in a digital format. The results of the survey in the youth segment of the Russian audience of computer games are presented. Based on the data of the study, The gender aspects of the gaming practices in the youth segment of the Russian computer games audience were analyzed considering the survey data. The study showed that today there is a tendency towards the feminization of the youth segment of the Russian computer games community, which destroys the stereotypes about the “masculinity” of this type of leisure activity. The data obtained made it possible to identify gender differences and similarities in the participation of gamers in gaming practices.
Modern content culture of conflict-free communication of servicemen
Authors:   Saratov Military Order of Zhukov Red Banner Institute of the National Guard Troops, Peredumov Mikhail A.
Published: March 2023

The study clarifies the current content and structure of the military personnel communication culture. To achieve this goal, the relevance of the analysis of military personnel communication culture and its functional role were concretized at the first stage of the study. At the second stage, the study of the military personnel communication culture is theoretically justified, its essential manifestation is revealed. At the third stage, the presented theoretical developments are correlated with the practical understanding of the problem by the servicemen themselves and the structural components of the culture of communication of servicemen are revealed. It is proposed to consider the culture of communication as a form of social culture – a narrower cultural complex of values, principles and norms accepted and shared by members of military collectives and defining the style of interaction and communication of military actors. In modern conditions, the military personnel communication culture is conditionally classified into the culture of conflict-free and conflict-free communication. The characteristic of these forms is presented. At the same time, the culture of conflict communication is studied in the context of the implementation of motivation for the conflict solution of service and work tasks. It is proved that the culture of conflict-free communication is based on the values, principles, traditions and norms that presuppose and orient the serviceman to resolve and prevent conflict situations. The military personnel conflict-free communication culture is characterized not only by knowledge and understanding of the need for conflict-free professional interaction, the desire for a compromise solution of service issues, but also by the practical skills of actors to assess, prevent, and in some cases resolve conflicts in the course of their own official activities. The presence of a culture of conflict-free communication, on the one hand, determines the competence of conflict-free communications, on the other hand, it is the practice of tolerant respect for colleagues. This culture allows a serviceman not to create conditions for transferring conflict situations to service and labor interaction, to understand the meaning, motivation of the behavior of colleagues and opponents, constantly reduce, and in some cases completely eliminate excessive social tension, overcome emotional outbursts in the process of solving professional tasks.
The participation of young executives in the procedure for competitive filling of the positions of municipalities heads in the Altai Territory 2017–2020
Authors:   Altai State University, Sharapov Alexey V.
Published: March 2023

The Russian political sphere has witnessed a clear trend towards the rejuvenation of federal and regional heads. Science and practice have proven that young people have innovating thinking, are energetic and more motivated for results. Now at the federal level the corporate style in the implementation of the state personnel policy prevails. The aim of the research is to study the processes of updating executives at the local government level in the Altai Territory. Collection of empirical data by analyzing the results of elections of municipalities heads at the city and district levels using the State Automated System “Elections” (SAS-”Elections”) of the official website of the Election Commission of the Altai Territory and analyzing the lists of candidates for the position of the municipal level on a competitive basis. As of January 1, 2022, the Altai Territory has 708 municipalities. Of these, 58 are municipal districts, 10 urban districts, 7 urban settlements, 632 rural settlements. It ranks 4th in terms of the number of territorial entities in the Russian Federation. In order to objectively reveal trends in the process of rejuvenation of heads of district and city municipalities, the attention was focused on the data of the recent years when municipalities heads were appointed through a competitive procedure and the last five years when direct elections for these positions took place. The category of a young leader includes a citizen of the Russian Federation not older than 35 years. The analysis revealed a slight rejuvenation of executive personnel at the local level over the past four years. The Altai Territory was not fully affected by the presented federal trend. The main reason for this trend is the high requirements for young applicants.
The Value of Cardiac Biomarkers in Predicting in-Hospital Death in COVID-19 Patients
Authors: Talebi Mehrdar Mahboobeh
Published: March 2023

Given the strong evidence of direct invasion of coronavirus to myocardial tissue, as well as increasing the patient's susceptibility to inflammatory and thrombotic phenomena, it has been hypothesized that elevated levels of cardiac enzymes can predict disease severity and its poor prognosis. We aimed to determine the value of cardiac prognostic biomarkers along with other laboratory parameters in predicting in-hospital mortality of COVID-19 patients. This prospective study was performed on 30 consecutive patients with the definitive diagnosis of severe COVID-19. On admission, along with recording demographic characteristics, intravenous blood samples were extracted from the patients after at least 8 hours of fasting to evaluate other laboratory parameters. Comparing laboratory parameters across the survived and non-survived groups showed significantly higher mean CK-MB level in non-survived group than alive group (70.90±29.79 versus 43.56±22.02, P=0.020). Also, positive troponin I was reported in 38.1% of non-survived group, while in none of the patients in survived group (P=0.031). Using the logistic regression model, raised CK-MB could effectively predict in-hospital death among COVID-19 patients (OR=1.047, P=0.043). Area under the ROC curve analysis showed high value of raised CK-MB for predicting in-hospital death among COVID-19 patients. Raised CK-MB level on admission can predict in-hospital death in patients with severe COVID-19.
Renal Oncocytoma: A Large Tumor, Report of a Case and Review of Literature
Authors: Ramezani Mazaher , Karami Kimia , Mohammadi Kaivan , Baharzadeh Farideh
Published: March 2023

Oncocytoma is a common benign kidney tumor. The size is often less than 5 cm. Oncocytomas may be misdiagnosed in clinic, radiology and histopathology for renal cell carcinoma. Different panels of immunohistochemistry (IHC) are suggested in the renal tumors with eosinophilic granular cytoplasm including oncocytoma, chromophobe and clear renal cell carcinoma. Here we report a large oncocytoma in a 64-year-old lady, that the mimickers ruled out by IHC.
Drug-induced oral lichenoid reactions in patients consuming antihypertensive drugs
Authors: Sarafan Negar , Alipour Afra , Shariati Akram
Published: March 2023

Objectives: High blood pressure (HBP) is a persistent and widespread condition, and increasing numbers of patients are taking medication to reduce HBP symptoms and control blood pressure. Patients taking specific antihypertensive medications have been reported to experience oral lichenoid reactions. Various antihypertensive drugs have entered the market, and it is essential to study how they may affect the occurrence of oral lichenoid reactions. This study aimed at assessing the frequency of drug-induced oral lichenoid responses in patients receiving antihypertensive medications.
Methods: Four hundred fifty patients who took hypertension medications referring to Seyed al-Shohdai Hospital in Urmia in 2021 were the subject of this cross-sectional study. After the patient's first visit to the hospital, a thorough medical history was obtained from them. The type, dose, and duration of antihypertensive medications taken at the study's time were questioned and documented together with demographic data. The diagnosis of the oral lichenoid reactions was then made by examining the patients. Chi-square and Spearman's correlation tests were used in SPSS version 26 to evaluate the data.
Results: Oral lichenoid reaction was observed in about 3.3% of patients. The average age of patients who showed oral lichenoid reaction was 53.7 ± 7.1, they had taken medicine for an average of 1 to 30 months, and 66.7% were female.
Conclusions: Patients taking antihypertensive drugs, e.g., hydrochlorothiazide, methyldopa, metoprolol, and propranolol, should be examined and followed up regarding oral lichenoid reactions.
Novel management of extensive subcutaneous emphysema in cardiac surgery: cases presentation
Authors: Khalili Ahmadali , Safaei Naser , Faravn Amir , Parizad Razieh
Published: March 2023

Subcutaneous emphysema occurs when air is trapped between subcutaneous tissues and manifests as sudden swelling, dysphonia, and sore throat. In many severe cases, subcutaneous emphysema causes dysphagia, pain, and breathing difficulty. The current study reports two cases of successful management of extensive subcutaneous emphysema after cardiac surgery.
The first patient was a 60-year-old man with a history of coronary artery disease who underwent coronary artery bypass graft (CABG) surgery with cardiopulmonary bypass. He was transferred to the intensive care unit (ICU) in good condition. Twelve hours after the surgery, he was extubated in a stable condition. On the second day after the surgery, his face, neck, and chest began to swell due to extensive subcutaneous emphysema, and he experienced decreased SPO2 and severe respiratory distress.
The second patient was a 65-year-old woman with a history of myocardial infarction (MI) who had CABG off-pump surgery. After surgery, the patient was transferred to the ICU in a favorable and stable condition and was extubated 6 hours after the surgery. Her face, neck, and chest started swelling three days after the surgery, and she had severe respiratory distress and decreased blood saturation due to extensive subcutaneous emphysema.
In both cases, despite conventional treatment, the patient's symptoms escalated despite re-intubation and mechanical ventilation.In the operating room, the chest tubes were removed, two new chest tubes were inserted, and the area damaged by the old tubes was repaired. Shortly after the insertion of the chest tubes, the patient's emphysema symptoms decreased significantly.
The prognostic value of kidney failure based on glomerular filtration rate in predicting long in-hospital outcomes in patients with unstable angina
Authors: Raberi Venus Shahabi , Parizad Razieh , Faramarz Zadeh Reza
Published: March 2023

Objectives: Numerous recent studies have emphasized the role of kidney failure in developing ischemic heart disease (IHD) and the resulting adverse consequences. The purpose of the present study was to quantitatively assess the effect of kidney failure based on glomerular filtration rate (GFR) in predicting clinical outcomes in patients with unstable angina (U/A).
Methods: This retrospective cohort study included 129 patients with unstable angina with preserved left ventricular function. Serum creatinine levels were specified at the beginning of their admission. The GFR at admission time was determined based on the MDRD index. Based on the GFR value, patients were classified into two groups, i.e., normal GFR (>60) and decreased GFR (<60).
Results: The frequency of one-month mortality in <60 GFR and >60 GFR was 3.2% and 0.0%, respectively. Furthermore, the prevalence of 6-month mortality in <60 GFR and >60 GFR was 8.1% and 0.0%, respectively. The frequency of readmission in <60 GFR and >60 GFR was 29% and 11%, respectively. Likewise, the frequency of revascularization through coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI) in <60 GFR and >60 GFR was 25.8% and 8.9%, respectively. According to the multivariate logistic regression model, <60 GFR increased the risk of 6-month mortality up to 0.2 times (probability ratio of 2.081, P-value of 0.023). Regarding readmission, <60 GFR increased the need for readmission up to 2.4 times (probability ratio of 2.433, P-value of 0.049). On the other hand, the risk of CABG or PCI recurrence following initial intervention was 2.8 times higher in patients with <60 GFR than in the >60 GFR group (probability ratio 2.882, p-value .03.
Conclusions: The study revealed that <60 GFR compared to higher values ​​of GFR is associated with an increased risk of 6-month mortality, increased readmission, and increased revascularization in patients with unstable angina.
Health-Related Quality of Life in Patients with Chronic Hepati-tis B: A Meta-Analysis of Observational Studies
Authors: Saussakova Saniya , Dauletova Gaukhar , Nakipov Zhandulla , Sarsenbayeva Gulzat , Duisekova Samal , Sadibekova Zhanat , Raissova Karlygash , Turgambayeva Assiya
Published: March 2023

Background: Chronic hepatitis B virus (CHB) infection is one of the most common liver infections worldwide. Approximately 240 million patients are diagnosed with CHB. The objective of this meta-analysis was to identify the effect of CHB on the affected patients’ health-related quality of life and compare with the control group.
Methods: A comprehensive search was conducted through PubMed, Medline, ProQuest, Cochrane Central Register of Controlled Trials, Clinicaltrials.gov, and Web of Science databases up to Jul 2022.
Results: Five primary observational studies using SF-36 and WHOQOL surveys with 1135 participants (646 with CHB and 489 healthy individuals) included in the meta-analysis. We evaluated the scores of physical and mental component summaries. HRQoL was comparable in both groups. The disease's impact appears to slightly affect the mental component summary than the physical component summary.
Conclusion: The HRQoL in CHB patients is mainly reflected in the impairment of the mental aspect. It is vital to focus on optimally managing care, family and social support, stress management.
Whole-Body Vibration Exercise Improves the Functionality in Postmenopausal Women: A Systematic Review
Authors: Guedes De Aguiar Eliane De Oliveira , Marconi Eloa Moreira , Monteiro-Oliveira Bruno Bessa , Gomes-Santos Aline Cristina , Coelho Oliveira Ana Carolina , Paineiras-Domingos Laisa Liane , Sá-Caputo Danubia Cunha , Bernardo Filho Mario
Published: March 2023

Background: Menopause is a natural phase in a woman's aging process. Menopause leads to the decrease of the estrogen levels, and in consequence the functionality worsening. Physical exercise can improve the functionality of postmenopausal woman. This review aimed to assess the effect of whole-body vibration exercise (WBVE) on the functionality of postmenopausal women.
Methods: PRISMA guideline were used. Only English language were considered. Searches were conducted using relevant keywords for papers prior to Sep 16th, 2021, in Embase, Pubmed, The Cochrane Library, PEDro, SPORTDiscus, Scopus, Web of Science and CINAHL databases.
Results: Eight articles were selected to be in this systematic review. The mean score of methodological quality was moderate, the risk of bias was low for two studies, high for four studies, and unclear for two studies. The level of evidence of the studies was II. Improvements on muscle strength, jump, balance and maximum trunk flexion strength in the post menopause woman were reported.
Conclusion: This systematic review demonstrated the functionality increase in postmenopausal women through WBVE. WBVE has been recommended as a non-pharmacological option relevant to postmenopausal management, helping to control the decline in bone density and symptoms related to osteoporosis and sarcopenia. However, further studies are needed to reinforce these findings.
White Noise and Its Potential Applications in Occupational Health: A Review
Authors: Ghasemi Shoaib , Fasih-Ramandi Fatemeh , Monazzam Mohammad Reza , Khodakarim Soheila
Published: March 2023

Background: White noise (WN), because of its unique behavior and characteristics, has different applications in different sciences. Nevertheless, the results of studies and reviews of the literature on occupational safety and health found that this type of noise is often used as a noise source to assess the effects of hearing and its physical characteristics. Its possible applications in this area have not received as much attention. The present review study aimed to answer the question, "Can WN be used as a means of promoting occupational safety and health at the workplace?".
Methods: In this review, we reviewed the articles published in reputable databases from 1990 to 2020. Our study included 33 articles from 120 that were searched in full text and followed the inclusion and exclusion criteria.
Results: Various applications were examined, including noise masking, white noise therapy, cognitive functions, and sleep. WN can enhance the work environment and meet occupational safety and health objectives based on the study's results. The results of this study will provide a basis for continuing research into the use of WN in the workplace as an engineering and management control method.
Conclusion: WN is being used in various fields that may hold promise for its application in occupational health sciences and maintaining the well-being of workplace workers.
Educational Intervention of Improve Student's Oral Health: A Systematic Review and Meta-Analysis School-Based
Authors: Dadipoor Sara , Akbarizadeh Fatemeh , Ghaffari Mohtasham , Alipour Abbas , Safari-Moradabadi Ali
Published: March 2023

Background: The present research aimed to assess the effects of oral health intervention programs at school level on students’ oral hygiene in developing countries. To this aim, a systematic review and meta-analysis approach was employed.
Methods: The present research was done by surfing electronic databases with MEDLINE Ovid (Embase Ovid, Scopus), Web of Science from 2000 to Mar 2020. The data were collected using a standard type of data collection including specific studies to observational ones, and the data entered RevMan 2014. The eligibility criteria were individually randomized controlled trials (RCTs) or cluster-RCTs including quasi- experimental papers with oral health interventions. The RevMan 2014 package was used for a meta-analysis done through random-effects models.
Results: Meta-analyses revealed statistically significant divergences in terms of knowledge (SMD 3.31, 95% CI 2.52 to 4.11; I2 = 98; P<0.001), attitude (SMD 1.99, 95% CI 0. 43 to 3.54; I2 = 99; P<0.001), behavior (SMD 4.74, 95% CI 3.70 to 5.77; I2 = 99; P<0.001), plaque index (SMD -1.01, 95% CI -1.50 to -0. 51; I2 = 97; P<0.001) and Gingival index (SMD 0. 33, 95% CI -0. 36 to 1. 02; I2 = 98; P=0.34) in the case of students who received educational interventions versus those with ordinary care.
Conclusion: The present findings attested to the effectiveness of the educational interventions in improving oral health knowledge, attitudes, behaviors, and so on which can presumably contribute to a better oral hygiene, lower incidence of oral diseases, and lower costs of the treatments imposed by oral diseases.
Early Menopause and Risk of Fractures–A Preventable Gap
Authors: Minaković Ivana , Zvekić-Svorcan Jelena , Janković Tanja , Vuksanović Miljanka , Mikić Darko , Bošković Ksenija
Published: March 2023

Background: Osteoporosis is a chronic disease that results in microarchitectural changes to the bone, thereby reducing its density and increasing the risk of fractures. This retrospective cross-sectional study aimed to examine the link between the risk of major osteoporotic fractures and hip fractures with the age of menopause onset, as well as the impact of menopause duration on fracture incidence.
Methods: This retrospective cross-sectional study was conducted at the Special Hospital for Rheumatic Diseases, Novi Sad, Serbia. The data required for meeting the study objectives were obtained from patients’ medical records spanning the 2015-2018 period. The sample for the study comprised of 985 postmenopausal women aged ≥ 50 yr who underwent bone mineral densitometry examination and received a FRAX score for major osteoporotic fractures and hip fractures with and without bone mineral density. The obtained FRAX scores were compared across the subjects with respect to the age of menopause onset and menopause duration.
Results: The group that entered into menopause before the age of 45 had a high risk of hip fracture (OR: 1,652; 95% CI: 1,138 - 2,399; P<.01) and a higher mean FRAX score for hip fracture compared to women in whom menopause started after the age of 45 (Me=1.60 vs. 1.30, P<.004). FRAX scores were also correlated with menopause duration, and the difference between the groups with the longest (over 20 yr) and the shortest (1–10 yr) duration was statistically significant at P<.001.
Conclusion: As menopause duration could contribute to the prediction of fracture risk, its inclusion in the FRAX algorithm should be considered, while also taking into account the age of menopause onset.
Gamma-Aminobutyric Acid Type A Receptor Subunit Delta (GABRD) Inhibits Breast Cancer Progression by Regulating the Cell Cycle
Authors: Wu Liang , Zhang Yue , Zheng Chunlei , Zhao Fuqiang , Lin Yan
Published: March 2023

Background: The role of γ-aminobutyric acid receptor (GABR) in breast cancer (BC) is unknown.
Methods: The expression of different GABR subunits between BC and adjacent normal tissues was compared using transcriptome data set. The clinical and prognostic importance of the various GABR subunit genes in BC was determined using clinical and survival data (Data downloaded from TCGA, May 2022). Only GABRD was discovered to be substantially expressed and strongly related to the prognosis of BC cases.
Results: Compared with normal tissues, GABRD expression was increased in all subgroups of breast cancer tissues. Knockdown of GABRD inhibited the growth of BC cells. Mechanistically, the function of GABRD may be attributed to its effect on major pathways such as oxidative phosphorylation, Parkinson disease, and cell cycle. GABRD deletion significantly blocked the G2/M phase in BC cells.
Conclusion: Overall, GABRD might be a novel prognostic predictor of BC, providing clues for further studies on GABRD.
Are Health Fatalism and Styles of Coping with Stress Affected by Poverty? A Field Study
Authors: Durmaz Hatice , Çapik Cantürk
Published: March 2023

Background: Fatalism is an important parameter that affects individuals' understanding of health. In addition, stress and economic status, such as fatalism, are important factors that affect an individual's understanding of health. In this context, there may be an important link between stress, economic situation and fatalism. This study was conducted to determine whether health fatalism levels and styles of coping with stress are affected by poverty.
Methods: This cross-sectional field study involved participants consisted of 382 individuals living in the two-Family Health Center regions in Turkey in 2018. The data collection phase continued for approximately three months. Collecting the data were used, namely demographic introduction form, Health Fatalism Scale, Styles of Coping with Stress Scale, and Individual Poverty Index. The data were analysed using SPSS 22 package program.
Results: The difference between the average health fatalism score in poor and non-poor individuals was statistically significant (P<0.05). There was a weak, positive, and significant relationship between health fatalism score and optimistic, helpless, and submissive approach scores in both poor and non-poor individuals (P<0.05).
Conclusion: While individuals' health fatalism level was affected by poverty, their style of coping with stress was not affected. Still, there was a significant relationship between health fatalism level and their style of coping with stress.
Measles Seroprevalence and Related Factors in Women Aged 15-49 Years Old, in Mersin, Turkey
Authors: Bugdaycı Yalcın Bengü Nehir , Sasmaz Caferi Tayyar
Published: March 2023

Background: If the mother is immune to measles, the infant is protected against measles infection after birth with maternal immunity. Therefore, the mother's immunity to measles is the most important factor in protecting the baby from measles in the first year. This study aimed to investigate measles seroprevalence and related factors in women between Oct 2019 and Jun 2021.
Methods: The cross-sectional study was conducted on women aged 15-49 yr in Mersin city. Overall, 400 people were included in the study. NovaLisa Measles IgG ELISA (NovaTec Immunodiagnostica GmbH®) kit was used to measure measles IgG antibodies in serological analyses. The research was conducted between Oct 2019 and Jun 2021. In the analysis of the data; descriptive statistics, chi-square analysis, and binary logistic regression analysis were used. The statistical significance level was accepted as P≤0.05.
Results: Measles seropositivity was detected in 103 (25.7%) of the women. This rate was found 5.5% in the 15-19 yr age group, 20.0% in the 20-24 yr age group, 14.5% in the 25-29 yr age group, 23.0% in the 30-34 yr age group, 42.3% in the 35-39 yr age group, 42.3% in the 40-44 yr age group and 37.5% in the 45-49 yr age group. In the logistic regression analysis, the rate of seropositivity was compared to those in the 15-19 yr age group; it was found to be 4.33 times (P=0.03) at the age of 20-24 yr, 12.71 times (P<0.001) at the age of 40-44 yr, and 10.40 times (P<0.001) at the age of 45-49.
Conclusion: Three out of every four babies born in our region are not adequately protected against measles.
Biosorption of Cd+2 and Pb+2 by Exopolysaccharide Extracted from Lactobacillus fermentum 6b; Adsorption Isotherm and Kinetic Studies
Authors: Kermanshahi Rouha Kasra , Ahed Khaniki Gholamreza J , Goudarzi Leila
Published: March 2023

Background: In recent years, the biosorption of heavy metals by Lactobacillus strains has received attention from researchers. We aimed to remove of heavy metals lead and cadmium from L. fermentum 6b exopolysaccharide in 2021.
Methods: Extracellular exopolysaccharide was first extracted from selected probiotic strain, and then the effect of variables such as pH, the extracted exopolysaccharide adsorbent dose, contact time, heavy metal concentration, and temperature on the adsorption rate was investigated. The adsorption isotherms of Langmuir and Freundlich were also examined. Pseudo-first and pseudo-second-order kinetics equations were also investigated for the desired surface adsorption.
Results: The adsorption process at pH=6.5, contact time=80 min, pollutant concentration=100 mg.L-1, adsorbent dose (extracted exopolysaccharide) =1500 mg.L-1, temperature=35°C for cadmium; pH= 6, contact time=60 min, contaminant concentration of 100 mg.L-1, adsorbent dose (extracted exopolysaccharide) =1500 mg.L-1 temperature=of 35 °C for lead had optimum condition. The adsorption process corresponded to Freundlich isotherm with R2=0.958 and R2=0.988, and pseudo-second-order kinetic with R2=0.99 and R2=0.85 for cadmium and lead, respectively.
Conclusion: The exopolysaccharide extracted from L. fermentum 6b isolate can have an acceptable removal potential for lead and cadmium heavy metals.