bluuebunny/crossref_metadata_2025 huggingface dataset:
TOURIST RESOURCES AS THE FOUNDATION FOR DEVELOPING TOURIST CLUSTERS IN THE RUSSIAN ARCTIC
Authors: Eremeeva A. , Goncharova K.
Published: August 2023

The Arctic is a unique region with significant tourist resources, which include natural wealth, indigenous culture, and industrial heritage. Based on the data of tourist resources, it is possible to develop various types of tourism in the presence of the necessary infrastructure. The object of the study is the tourist resources of the Arctic zone of the Russian Federation as a key element of the tourism cluster — the basis for its formation. The methodological basis of the study consists of: the study of terminology on the research topic, the formulation of the problem of insufficient availability of tourist resources of the Arctic zone of the Russian Federation for potential tourists, the analysis of regional factors affecting the solution of the problem, an interdisciplinary analysis of the identified problem: the tourist cluster is considered from the point of view of social and communicative links between the objects forming the cluster, as well as from the point of view of organization of the architectural environment. As a result of the study, the authors conclude how to identify the most favorable territories for the creation of tourist clusters in the Arctic zone of the Russian Federation. First, it should be the concentration of tourist resources. With equally attractive tourist resources, the territory that already has a more developed transport, socio-cultural and engineering infrastructure is the most advantageous for development. The article is published based on the results of the research work carried out within the framework of the grant competition for the performance of research works by scientific and pedagogical workers of SPbGASU (St. Petersburg State University of Architecture and Civil Engineering) in 2023.
AN EDUCATIONAL EXPERIMENT IN ARCTIC DESIGN: DEVELOPING AN INNOVATIVE IMAGE FOR SNOWMOBILE TRANSPORTATION
Authors: Kravchuk S. , Korgin N. , Klyusov N. , Garin N.
Published: August 2023

The article describes a design and educational experiment that involves cooperation between developers and users of electric transportation for extreme natural and climatic conditions, scientists, students, and teachers of industrial design. The process of harmonizing the interests of different groups of participants in the dynamics of project cooperation is discussed in detail, using the development of an innovative electric-powered ski-track snowmobile as an example. The article also describes the research and educational results of the project, with a main focus on education in industrial design and the creation of products for extreme environments, such as the Arctic. Ultimately, the article aims to showcase the benefits of collaboration and education in the development of innovative products for challenging conditions. The authors propose that this case study can serve as a model for practice- and context-oriented design education. By collaborating with user-innovators, students can work with real-world challenges and constraints that they would not encounter in a studio-based learning format. The article suggests that the approach can provide valuable educational experiences for students and help prepare them for careers in industrial design and related fields
MEMORY IN MODERN REFUGEE POETRY: ENGLISH AND UKRAINIAN CONTEXTS
Authors: BELIMOVA Tetiana
Published: August 2023

The concept of “refugee poetry” or “poetry of migrants” is quite new for both English and Ukrainian literature. However, in the modern world, the phenomenon of migration, or even forced migration, is well known and researched. It is primarily about the social, political and economic dimensions of the movement of people from one continent / region / country to another. Most often, the countries that actively accepted migrants in the 19th, 20thand 21stcentury were the USA, Canada, Australia, partly Great Britain, in fact the entire English-speaking world (we are talking about different periods and factors that do not actually constitute a separate topic of research in the present study). At the same time, there was a big layer of art, in particular poetry, which reflected the difficult topic of people displacement and further integration into new societies. For some time refugee poetry (here in after the author of the article will mainly use this term), as well as the archive of memories recorded in it, were on the margins and were not the object of a deep scientific analysis in foreign literary studies. As for Ukrainian refugee poetry, it appeared in its new dimension
after an almost century-long break (we are talking about poetic texts at the end of the 19thcentury and the first half of the 20th century, which coincide with the first and second waves of migration of Ukrainians) and has also been very little researched, except for several scientific articles. The object of literary analysis of the article is the English refugee poems in comparison with the Ukrainian poetic texts that appeared after 24 February 2022 upon the full-scale invasion of the Russian occupying forces in the territory of the sovereign state Ukraine when millions of Ukrainians were forced to leave their homes and become seekers of temporary shelters. Therefore, the main goal of the article is to outline the main themes and arrays of refugee English and Ukrainian poetry in a comparative aspect, as well as to visualize the archive that correlates with the national memory of a particular people and/or the state it represents. Such a comparative analysis of two poetic dimensions has not yet been the object of literary studies in Ukraine.
SUN RAY. I. THE LIGHT. THE PATH
Authors: SKYDAN Maryna , Varenikova Olena
Published: August 2023

The new realities of the world of Ukrainians were colored in shades of black -
the war of russia against Ukraine, the treachery of the neighboring country caused a
tsunami of pain, losses, confusion and despair....
The collection of sketches by the Ukrainian writer Maryna Skydan are
reflections and impressions from being inside the world of war, transmitted through
the perception and experiences of various beings - a ray of sunshine, the wind, a city,
animals and people.
The Predictive Role of Age and the Systemic Inflammation Indexes on ICU Admission and Mortality in Patients with COVID-19
Authors: Foroughi Peiman , Varshochi Mojtaba , Hassanpour Mehdi , Amini Behnam , Nikniaz Zeinab , Amini Hassan
Published: August 2023

Objectives: This study was conducted to collect evidence that specified the role of demographic findings (emphasizing age) and systemic inflammatory indicators in the coronavirus disease 2019 (COVID-19) and the outcome of disease which could help clinicians to predict mortality and intensive care unit (ICU) admission of COVID-19 patients. Design: A retrospective cohort study. Setting (s): Tabriz, the capital city of the East Azerbaijan Province in northwestern Iran. Participants: This retrospective cohort study involved analyzing the medical records of 311 COVID-19 patients from 22 July, 2020 to 22 August, 2020. Outcome measures: The demographic, clinical, and laboratory data and outcomes such as death, ICU admission, and discharge were extracted from medical records and electronic case records. Results: The analysis of collected data revealed that the average age of non-survivor patients was 68.53±14.68 which was significantly higher than that of survivor patients (59.30±16.44). Furthermore, the comparison of data showed that ischemic heart disease (IHD), respiratory diseases, hemoglobin, derived neutrophil-to-lymphocyte ratio (dNLR), NLR, platelet-to-lymphocyte ratio (PLR), and lactate dehydrogenase (LDH) were higher in non-survivors and ICU admitted patients than in survivors and non-ICU admitted patients. Moreover, multivariate logistic regression analysis indicated that only hypertension (Odds ratio [OR]: 3.18, P=0.02) is an independent risk factor of death in COVID-19 patients, and PLR (OR: 1.02, P=0.05), hypertension (OR: 4.00, P=0.002), and IHD (OR: 5.15, P=0.008) were independent risk factor of ICU admission in COVID-19 patients. Conclusions: Elderly patients were at higher risk of death and ICU admission compared to others. Further, demographic characteristics and systemic inflammatory indicators were valuable factors for predicting mortality and ICU admission of COVID-19 patients. Collective data regarding the role of demographic characteristics and systemic inflammation indicators for predicting disease outcomes provide strong evidence for the clinical use of these indicators prospectively.
The Burden of Ischemic Heart Disease Among Adults 70 Years and Older in Iran, 1990-2019
Authors: Mousavi Seyed Ehsan , Fazlollahi Asra , Nejadghaderi Seyed Aria , Aslani Armin , Sullman Mark J. M. , Kolahi Ali-Asghar
Published: August 2023

Objectives: To report the ischemic heart disease (IHD) burden and its risk factors among adults aged 70 and older in Iran in terms of sex, at both the national and provincial levels, from 1990 to 2019. Design: Systematic analysis. Outcome Measures: The modelled point prevalence of IHD, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs) were reported using data obtained from the Global Burden of Disease (GBD) 2019 study, as counts and standardized rates, along with their related 95% uncertainty intervals (UIs). Results: In 2019, IHD had a point prevalence of 52886.4 per 100000 population for adults aged 70 and above in Iran, which was 7.5% higher than that in 1990, and a death rate of 1932.9, which was 22.0% lower than that in 1990. In 2019, the number of DALYs attributed to IHD was 820.4 thousand with a rate of 23630.9, which was 33.7% lower than that in 1990. Furthermore, Golestan and Tehran with rates of 32484.6 and 12752.5 had the largest and smallest DALY rates in those aged 70 and above in Iran, respectively. The highest point prevalence, death, and DALY rates for both sexes, were found in the 95+age group. In 2019, the Iran DALY rate was lower than the Middle East and North Africa region rate in all age groups in males and females, except for the 90-94 and 95+age groups in females. Nationally, systolic blood pressure (SBP) (47.8%), low-density lipoprotein (LDL) cholesterol (36.2%), and fasting plasma glucose (FPG) (35.3%) had the three highest attributable DALYs. Conclusions: Currently, the burden of IHD in Iran is considered a pressing public health issue, indicating the urgent need for effective public health interventions. Further investigations are, therefore, needed to discover causes for the high prevalence of IHD in the country and to develop better strategies for effective prevention and controlling it.
Pain Management in Trauma Patients Referred to the Emergency Department of Imam Reza General Hospital, Tabriz, Iran
Authors: Ghaffarzad Amir , Rahmani Farzad , Parsian Zahra , Arefikia Minoo , Abdollahi Fariba , Bagi Hamid Reza Morteza
Published: August 2023

Background: Trauma patients with acute pain are often triaged when experiencing less pain than urgency level; therefore, they have to wait longer to receive analgesics. Methods: The data was collected using Numerical Rating Scale (NRS) and a checklist. After data collection, descriptive statistical methods (tables, graphs, and mean±standard deviation) and analytical statistics (ANOVA, Kruskal-Wallis, and chi-square tests) were used to analyze the data in SPSS version 20.0. Results: The pain intensity score (mean±standard deviation) of patients at admission and discharge from the medical center was 7.81±0.89 and 3.69±0.49, respectively. The mean time of the patient’s first visit was 3.47±15.20 minutes. According to Kruskal-Wallis nonparametric test, there was a statistically significant difference in the duration of patients’ examination by a physician (P<0.001). The waiting time for the first treatment to relieve the pain was 13.5±3.6 minutes. In patients referred to the emergency department, the satisfaction rate was 97.4%. Conclusion: Narcotics were the most commonly used analgesic drug with immediate effect on pain reduction. The patients’ satisfaction with pain relief was ideal.
Investigation of the Frequency of Insulin Use Compared to Other Anti-diabetic Drugs in Diabetic Patients Presenting Acute Stroke
Authors: Poureskandari Masoumeh , Shams Vahdati Samad , Sadeghi-Hokmabadi Elyar , Gholzari Samad , Aghajamal Nahal , Ala Alireza
Published: August 2023

Background: This study aimed to measure the frequency of insulin use, compared to other antidiabetic drugs, in diabetic patients presenting with acute stroke in order to investigate its effect on the incidence of stroke. Methods: All diabetic patients with acute stroke who were referred to the emergency department within one year were included in this retrospective descriptive-analytic study. The collected data were statistically analyzed using SPSS 20. Data were reported as descriptive statistics (frequency and percentage) and means (±SD). Non-independent t test and chi-square test were used to compare quantitative and qualitative variables, respectively (P=0.05). Results: Out of 896 patients admitted to the stroke care unit, 191 cases were diagnosed with diabetes mellitus (DM). Computerized tomography (CT) scan findings performed in the emergency department represented about 30% of hemorrhagic results. There was a significant relationship between the type of diabetes treatment and the age of the patients, the CT scan findings, and the duration of DM in the patients. Conclusion: Therefore, patients with long-term involvement with diabetes and patients with high creatinine, due to insulin use, are discharged from hospitals with better conditions.
The Interplay between Language, Literature and Culture: Challenges for the Nigerian Indigenous Education in the 21st Century
Authors: Opeoluwa Olagbaju Oladotun
Published: August 2023

Language, verbal or non-verbal, is central to the survival of mankind because it is an important tool for communication, negotiation and the transfer or preservation of the literary as well as cultural heritage of a people from one generation to the other. The relationship between language, literature and culture is so strong to the extent that a change in one ultimately affects the other two. Every language is a directly mirrors the culture it serves - a language either enriches or impoverishes the culture it serves. Therefore, the influence of language on the culture and literature of a people has dire consequences for the sustenance or development of their indigenous education. Nigeria, like the rest of the world, has joined the terrace of globalization which has led to the import of foreign language(s), literatures and cultures into the indigenous way of life and system of education. Currently, increasing quest for the language, literature and culture of the developed countries of the world which are projected by globalization has denied the Nigerian child access to his/her indigenous system of education. A system of education which is rich in fables, taboos, folklores, and cultural rites/rituals is gradually being crushed under the weight and demand of globalization. This trend is common in Africa and it portends danger for the continued survival of the continent’s indigenous language, literature and culture. This paper therefore posits that there is a need for Africans/Nigerians to preserve and promote what is left of their indigenous language, literature and culture through the use of an indigenous system of education. The paper concludes by recommending practical ways of making use of the indigenous system of education within formal school system. This is the only way that the people’s indigenous way of life will survive the onslaught of globalization beyond the 21st century.
Osteoinductive effect β-TCP and vitamin D3 on RUNX2 mRNA expression
Authors: Razouki Noor Abdulkareem , Ghani Ban A.
Published: August 2023

Although the autograft is regarded as the gold standard bone graft, β-TCP artificial alloplastic is widely used in bone defect healing and has been accepted in human and animal studies to be resorbed and interchanged by vital bone. The active form of vitamin D3 is calcitriol, on mesenchymal stem cells (MSCs) it has a direct influence on encouraging their osteogenic differentiation which is identified as osteoinductive. The need for osteoinductive ability is a demanding issue regarding medical and dental care. RUNX2 regards an essential transcriptional factor for osteoblast differentiation. Adult male New Zealand rabbits (Twenty-four) with an average weight of (1.5-2 kg) were elected in this study. Four holes were made intra-bone in both tibias of each animal. The experimental groups divide as follows: Group C: Bone defect will be left to heal naturally as control; Group TCP: Bone defect will be occupied with β-TCP. Group vitamin D3: Bone defect will be filled with vitamin D3; Group TCPD: Bone defect will be filled with a combination of β-TCP and vitamin D3. Animals sacrificed at (1 and 3 weeks). Purification of total RNA from formalin fixed paraffin embedded (FFPE), The cDNA of RUNX2 and VDR amplify in RT-PCR and detected with sybr green. One-way Analysis of Variance (ANOVA) and least significant difference (LSD) was used as a tool for statistical analysis. Results at 7 days highest mean value of mRNA RUNX2 gene expression Fold Change estimated in TCP followed by TCPD experimental group while at 21 days, the highest mean value in TCPD. All measured parameters showed highly significant differences in the course of healing periods from 7 days to 21 days. In mRNA VDR gene expression parameters showed a highly significant difference in 7days and 21 days durations among experimental groups and the highest mean value of mRNA VDR gene expression Fold Change is recorded in TCPD followed by vitamin D3 groups in both durations. These findings suggest positive inductive effects of local application of vitamin D3 combined with β-TCP as well as vitamin D3 on osteoblast cells and induced bone defect healing.
DESAFIOS E CONTRIBUIÇÕES PARA UMA TEOLOGIA PRÁTICA NO PÓS-COVID-19
Authors: APARECIDO PICCOLO ERASMO
Published: August 2023

Covid-19 is still a problem to be faced, disbelief, misinformation, ignorance, denialism or simple protection of freedom principles made many people choose not to vaccinate themseves. This article aimed to analyze the challenges and contributions of post-covid-19 practical theology. For this constructo, the methodology assumed a qualitative approach and a bibliographical research profile inspired by the Sacred Scriptures, articles, theses, dissertations and books. The study denounces the capitalist system, the seriousness of public health, the opportunity for pastoral review and proclamation of the Gospel. Practical Theology goes through “go into the whole world and proclaim the Gospel to every creature” (MARK 16:15-18), the Chruches that had the reccords maintained their social work, took the word and food to the needy. Pastoral and Practical Theology found problems in tithing and eucharistic fasting that could be alleviated with better control and pastoral organization.
Estrategias activas y participativas como herramientas potenciadoras del proceso de enseñanza-aprendizaje del inglés
Authors: Chica-Esquivia Norcis Amalia
Published: August 2023

La enseñanza de otro idioma, como el inglés, demanda tanto de un gran compromiso por parte de los docentes y los estudiantes como actores involucrados, como del despliegue de instrumentos de acción específica que propendan hacia la activa participación de ambos, para que se generen procesos de enseñanza y aprendizajes de calidad. Desde este contexto, se desarrolla el presente artículo enmarcado en describir las estrategias activas y participativas como herramientas potenciadoras del proceso de enseñanza-aprendizaje del idioma inglés. El mismo deviene de una investigación descriptiva de tipo documental bibliográfica. En conclusión, se establece que aprender de manera activa y participativa otro idioma como el inglés, implica el uso de múltiples estrategias cooperativas y colaborativas, que posibilítenla creación de situaciones de interacción entre el estudiante y los otros que confluyen en el mundo educativo, a modo de que se constituya en sujeto activo y desarrolle aprendizajes autónomos y significativos.
La evaluación formativa en el contexto educativo colombiano
Authors: Muñoz-Jaramillo Luis Ferney
Published: August 2023

La evaluación formativa es un instrumento que posibilita la oportuna intervención educativa ya que permite readaptar la labor realizada de aprendizaje y evaluar constantemente los avances en relación con los objetivos formativos. Considerando lo planteado, se desarrolló este articulo el cual tuvo como objetivo caracterizar la evaluación formativa en el contexto educativo colombiano. Metodológicamente, el artículo se desarrolló desde un enfoque documental con diseño bibliográfico. Finalmente, se puede enunciar que el Sistema Educativo colombiano caracteriza a la evaluación formativa como un proceso centrado en como el estudiante aprende y que ha de ser eminentemente motivadora, orientadora, comprensiva, sin embargo, es una práctica aplicada en el quehacer educativo que requiere de una sistematización más afanosa y correspondida con la realidad.
Principios y estrategias para el desarrollo del pensamiento computacional
Authors: Cervera-Manjarrez Norwin , Oquendo-González Eulalio José , Velásquez-Pérez Yazmín , Rose-Parra Charli
Published: August 2023

Actualmente, se precisa de formas y modos que puedan desarrollar e incentivar el ingenio y la chispa en las personas con el fin de responder a las problemáticas existentes desde otras formas de pensar e innovadoras ópticas adaptadas a las nuevas tecnologías. A razón de ello se desarrolla este artículo cuyo propósito fue describir los principios y estrategias que permiten desarrollar el pensamiento computacional. El articulo devine metodológicamente de un estudio de tipo documental-bibliográfico a nivel descriptivo. Finalmente se puede enunciar que el pensamiento computacional, permite que el hombre se adentre al mundo de las habilidades de abstracción y pragmatismo aunado con la tecnología, para la resolución de problemas de creciente complejidad de manera inteligente, creativa y con imaginación. Asimismo, aunque existen un sinfín de herramientas aplicables que permiten el desarrollo del pensamiento computacional, lightbot, tinkercad y la hora del código, se constituyen en tres estrategias potentes para su desarrollo.
La modernidad reflexiva como corriente metodológica en la construcción de ciudad sostenible
Authors: David-Rodríguez Miryan
Published: August 2023

El objetivo del artículo fue analizar la modernidad reflexiva como corriente metodológica y su impacto en la construcción de la ciudad sostenible. El estudio fue de nivel descriptivo porque se fundamentó en la revisión de literatura especializada en las líneas de investigación en modernidad reflexiva, desarrollo sustentable y ciudades sostenibles. Los resultados alcanzados con la revisión de los lineamientos de la modernidad reflexiva y de los fundamentos de las ciudades sostenibles, se demostró la necesidad de replantear los modelos de producción y consumo característicos de las sociedades industrializadas para incorporar la dimensión sostenible del desarrollo. En conclusión, la modernidad reflexiva es un enfoque que puede emplearse para la promoción y consolidación de ciudades sostenibles, la cuales se constituyen a partir de la naturaleza, recursos, características y problemas de cada territorio urbano en particular. Tales ciudades, conforman un hábitat seguro y adecuado para el desarrollo físico y social de los individuos.
La interculturalidad desde la experiencia y vivencia
Authors: Montes Edilberto Hart , Ramos-Gelvez Carlos Mario , Arzuza Gómez Alfonso Roberto
Published: August 2023

El presente estudio titulado la interculturalidad desde la experiencia y vivencia, tiene su enfoque en la cultura de los pueblos indígenas y afros. Para ello, se planteó como objetivo preservar la cultura y la tradición de los antecedentes culturales Zenú, Wayuu y Palenquero para el alcance de la interculturalidad desde la vivencia compartida. Como método se acudió a la etnografía y como técnicas investigativas se emplearon la observación participante, encuestas, entrevistas y la interacción. Desde esta perspectiva, las comunidades fueron partícipes de actividades dinámicas y lúdicas aplicadas en el CDI Seledonio Padilla, poblado del Guayabo. Como conclusión, se pudo  constatar que la educación puede aprovechar la riqueza de la diversidad cultural para mejorar los procesos de enseñanza-aprendizaje, transformándola en fuente de entendimiento, pluralismo y de cohesión social para la divulgación y preservación tanto de la cultura ancestral como de la riqueza humana de la nación colombiana.
La importancia de las reservas naturales urbanas como espacios de identidad ecológica de los territorios
Authors: David-Rodríguez Miryan
Published: August 2023

El objetivo del estudio fue analizar la importancia de las reservas naturales urbanas como espacios de identidad ecológica de los territorios. La investigación fue descriptiva pues se basó en la revisión de literatura especializada en las líneas de investigación en silvicultura urbana, reservas naturales urbanas y periurbanas y alfabetización ambiental. Los resultados reflejaron que la silvicultura urbana contribuye al desarrollo sostenible y se encuentran en el aprovechamiento de los servicios ambientales de árboles y arbustos, con el propósito de que la población disfrute de espacios naturales que contribuyan con su bienestar estético, psicológico, sociológico y económico. En conclusión, se destaca la necesidad de promover la alfabetización ambiental como un instrumento que integra el “saber ser”, “saber conocer” y “saber hacer” del proceso educativo del individuo, contribuyendo con la cultura ciudadana con capacidad para comprender los aportes de las reservas naturales urbanas y periurbanas para el fortalecimiento de la identidad ecológica.
Schöpferische Erfahrungen von Grundschulkindern und Studierenden beim Schreiben. Eine phänomenologische Studie
Authors: Herrmann Franziska
Published: August 2023

Schöpferische Erfahrungen sind besondere Erfahrungen des Lernens, die neue Weisen ‚zu sein‘ hervorbringen. Inwiefern zeigen sich diese beim Kreativen Schreiben von Grundschulkindern? Erzählen Kindertexte von Schöpferischen Erfahrungen? Und was kann entstehen, wenn Studierende in Reflexionsgesprächen von ihren Erfahrungen beim Schreiben einer Forschungsarbeit erzählen? Diesen Fragen geht die phänomenologische Studie am Beispiel einer Didaktischen Forschungswerkstatt nach, in der Studierende Kinder beim Schreiben beobachtet haben. Der gewählte Forschungsstil lässt Lernerfahrungen im Schreiben vorstellbar werden wie auch Momente der Sinnbildung, in denen sich bei Kindern und Studierenden Anfänge neuer Erfahrungsweisen zeigen. (DIPF/Orig.)
Entorno Virtual Moodle: Intervención metacognitiva y promoción del aprendizaje autorregulado del inglés como lengua extranjera a nivel superior
Authors:   , León Vélez María Verónica
Published: August 2023

El desarrollo de competencias personales y profesionales, estilos y estrategias de aprendizaje y el nivel de autonomía por parte del aprendiente, en la instrucción a nivel superior, son considerados los principales indicadores de calidad educativa durante todo el proceso de formación del educando. En este marco, el presente estudio de naturaleza mixta cuantitativa (descriptiva) y cualitativa (interpretativa) tiene como propósito identificar, desde una perspectiva crítica y constructivista, el impacto de la praxis metacognitiva en el aprendizaje del inglés como lengua extranjera. Los sujetos de investigación, 27 aprendientes de la Universidad de Cuenca en Ecuador, que participaron en la intervención a manera de pilotaje exploratorio, evidenciaron un impacto positivo en sus destrezas, con particular atención en lectura comprensiva y escritura narrativa y de opinión. El enfoque de esta intervención se centró en el desarrollo de destrezas receptivas (lectura y escritura) a través de la implementación de actividades metacognitivas en torno a procesos de autorregulación, tales como planificación, monitoreo y evaluación. El resultado de estos procesos se obtuvo mediante la administración de pruebas de suficiencia en inglés, pre y post-test, y otros instrumentos y técnicas de investigación cualitativa (diarios de campo) y cuantitativa (encuestas), aplicados antes, durante y después de la intervención. Adicionalmente, este tratamiento metacognitivo tuvo como plus el diseño y adaptación de cuatro unidades académicas con contenido metacognitivo referente a las áreas abordadas, en las que se incluyeron ejercicios, sugerencias, cuestionarios, listas de verificación y autopreguntas en torno al Modelo de Autorregulación Estratégica de Idiomas (S2R) de Rebecca Oxford en sus tres fases: previsión estratégica, desempeño y reflexión estratégicos y evaluación. Un elemento relevante fue la implementación de la plataforma virtual Moodle, ya que permitió de manera significativa, llevar a cabo el proceso en línea a través de un aprendizaje asíncrono. En general, como consecuencia de este tratamiento, los educandos descubrieron sus propios estilos y formas de aprendizaje mediante la selección de las estrategias metacognitivas más apropiadas y el uso de insumos de autorregulación que sirvieron de apoyo para la resolución de problemas y la elaboración de productos, tanto en lectura como en escritura. Por lo expuesto, se sugiere correlacionar estos componentes en la enseñanza del inglés como lengua extranjera a nivel superior, lo que podría mejorar las destrezas del aprendiente de este idioma y propiciar espacios de reflexión por medio de intervenciones más prolongadas en entornos virtuales.
Assessment of the Body Response to Snowmelt Water Consumption in Military
Personnel Serving in the Arctic Based on Blood Parameters
Authors: Rakhmanov Rofail S. , Narutdinov Denis A. , Bogomolova Elena S. , Razgulin Sergei A. , Alikberov Murat Kh. , Nepryakhin Dmitry V.
Published: August 2023

Introduction: Stability of physicochemical parameters of body fluids reflects the degree of influence of environmental factors on the body.
Objective: To assess the body response to snowmelt water consumption for drinking purposes in military personnel serving in the Arctic based on blood parameters.
Material and methods: The study was conducted in summer 2022. We took snowmelt water samples for chemical analysis and venous samples from 51 servicemen for a complete blood count and electrolyte measurements.
Results: Snowmelt testing showed that the levels of iron were 1.2–1.6, copper – 22.2, zinc – 52.1, sodium – 11.6 to 21.9, magnesium – 5.7 to 29.1, and calcium – 9.0 to 34.1 times lower than reference concentrations. Potassium levels were negligible. The length of service of the study subjects in the Arctic above the 76th parallel North was 5.7 ± 0.3
years. Blood test results showed low or lower normal values of erythrocyte count in 39.2 %, hematocrit – in 19.6 %, and mean hemoglobin – in 13.7 % of the military personnel. A high mean corpuscular volume was detected in 17.6 % of them.
The proportion of stab neutrophils in the sample was 0.55 ± 0.04 % with the normal range of 1 to 6 %. The electrolyte imbalance was evidenced by high serum potassium levels in 21.6 %, a lack of ionized calcium and magnesium in 29.4 % and 17.6 %, respectively, and sodium, phosphorus, and chlorine levels at the lower limit of the normal range in 29.4 to
47.1 % of the examined.
Conclusions: Snowmelt water contains low concentrations of inorganic chemicals. Its long-term daily consumption for drinking purposes leads to electrolyte imbalance in the body, such as hypotonic water overload, and is likely to affect nonspecific resistance.
KONTRIBUSI KECERDASAN EMOSIONAL TERHADAP PERILAKU PERUNDUNGAN SIBER PADA REMAJA AKHIR DI MEDIA SOSIAL
Authors: Martha Marcia , Khoirunnisa Aprilia
Published: August 2023

Cyberbullying adalah perilaku tidak terpuji yang secara teratur dilakukan oleh siswa karena ketidakseimbangan kekuatan. Hal dari dalam diri yang mendorong perilaku bullying adalah kecerdasan emosional yang rendah. Tujuan penelitian ini adalah untuk mengevaluasi secara empiris hubungan kecerdasan emosional dan kecenderungan remaja muda untuk melakukan perundungan siber di media sosial. Penelitian ini dilakukan dengan metode kuantitatif dan menggunakan program SPSS versi 22.0 untuk Windows. Sampel penelitian terdiri dari 105 orang laki-laki dan perempuan berusia antara 15 dan 19 tahun yang secara aktif menggunakan media sosial selama minimal 5 jam setiap hari. Cyber Victim and Bullying Scale (CVBS) dan Wong Law Emotional Intelligence Scale (WLEIS) digunakan untuk mengukur perilaku perundungan siber. Berdasarkan hasil uji hipotesis menggunakan regresi linear sederhana diperoleh F sebesar 54,316 serta signifikansi sebesar 0.001 (p < 0,01) dan kontribusi kecerdasan emosional terhadap perundungan siber sebesar 34,5%, terdapat 65% yang merupakan faktor lain di luar penelitian ini.
APAKAH KECERDASAN EMOSI MEMENGARUHI STRES KERJA PADA KARYAWAN PERUSAHAAN STARTUP ?
Authors: Chasanah Renanda L. , Andriani Inge , Fatimah Firda F.
Published: August 2023

Lingkungan pekerjaan karyawan perusahaan startup yang sangat dinamis bergantung pada keadaan yang dibutuhkan, terkadang seorang karyawan dapat memegang dua atau lebih deskripsi pekerjaan yang berbeda, tekanan pekerjaan saat adanya deadline dan dibutuhkan menyelesaikan pekerjaan dengan cepat, serta dituntut untuk terus berinovasi menyebabkan timbulnya stres kerja. Untuk dapat mengatasi stress kerja yang dialami dibutuhkan adanya kemampuan mengenali dan mengelola emosi sehingga dapat menemukan pemecahan masalah dan mengubah tekanan yang dialami dengan memiliki kecerdasan emosi.a Tujuan penelitian ini untuk menguji secara empiris hubungan antara kecerdasan emosi dan stres kerja pada karyawan perusahaan startup. Penelitian ini menggunakan metode kuantitatif. Teknik pengambilan sampel pada penelitian ini menggunakan teknik incidental sampling. Jumlah sampel yang digunakan dalam penelitian ini adalah sebanyak 223 karyawan startup. Teknik analisis data menggunakan korelasi product moment Pearson. Berdasarkan hasil penelitian diperoleh koefisien korelasi (r) sebesar -0,345 dengan signifikansi sebesar 0,000 (p < 0,01). Hasil penelitian menunjukkan bahwa karyawan startup yang memiliki kemampuan mengenali emosi, mengelola emosi, berpikir, merencanakan, dan pemecahan masalah yang ada pada diri individu dengan memiliki kemampuan kecerdasan emosi yang tinggi, maka permasalahan yang ada akan mampu untuk dikendalikan oleh individu tersebut sehingga stres kerja akan menurun.
The impact of increased body mass index on the outcomes after valve replacement
Authors: Salem Ehab , Elgazzar Mohammed , Helal Noha , Wahdan Ashraf
Published: August 2023

Background: The association between obesity and the outcomes of surgery is controversial. This study aimed to assess the effect of body mass index (BMI) on early and late morbidity and mortality after valve replacement surgery.

Methods: The study was conducted on 100 valve replacement patients from 2020 to 2022. The patients were divided according to BMI into two groups: patients with morbid obesity (BMI ≥ 35) (Group A: n = 50) and patients who had BMI< 35 (Group B.; n = 50).

Results: Hospital (9.43 ± 5.93 vs. 7.25 ± 4.05 days, P= 0.034), ICU length of stay (7.32 ± 5.67 vs. 4.52 ± 3.24 days, P= 0.003), and duration of mechanical ventilation (3.58 ± 2.54 vs. 2.342 ± 2.05 days, P= 0.008) were significantly higher in Group A. There was no significant difference in postoperative mortality between both groups (P= 0.678). There was no significant difference in morbidity and mortality after a 3-month follow-up. Hemoglobin was significantly lower in Group A (P =0.034), with no difference in postoperative laboratory investigations.

Conclusions: Morbid obesity was not associated with increased mortality after valve replacement surgery; however, it could increase the duration of ventilation, ICU, and hospital stay.
The effect of gender on short and long-term outcomes of coronary artery bypass grafting
Authors: Omran Tarek
Published: August 2023

Background: There is no consensus on the effect of gender on the outcomes after coronary artery bypass grafting (CABG). Thus, this study aimed to describe gender differences in CABG and evaluate the impact of gender on the short and long-term outcomes after CABG.

Methods: This study was conducted on 195 CABG patients. The patients were grouped according to gender into two groups: males (n= 142) and females (n= 53). Study endpoints were hospital outcomes (drainage, myocardial infarction (MI), neurological and renal complications, sternal wound infection, and mortality) and the long-term composite endpoint of recurrent angina, myocardial infarction, repeat revascularization, and mortality.

Results: Male patients were significantly younger than females (P= 0.025) and had a significantly lower Euro SCORE (P<0.001). The number of distal anastomoses was significantly more in males, and total arterial revascularization was more commonly used in males (P= 0.002 for both). Postoperative drainage was substantially higher in males than in females (P<0.001). There were no differences in other postoperative complications between groups. The median follow-up duration for males was 58 (47- 67) months vs. 61 (48- 65) months for females. Recurrent angina occurred in ten males (7.04%) vs. five females (9.43%) (log-rank P= 0.547). MI during follow-up occurred in 3 males (2.11%) and none in females. Coronary reintervention occurred in three males (2.11%) vs. three females (5.66%) (log-rank P= 0.614). Five males had follow-up mortality (3.52%) vs. two females (3.77%) (Log-rank P= 0.957). The composite endpoint of death, MI, recurrent angina, and coronary reintervention occurred in 16 males (11.27%) vs. eight females (15.09%) (Log-rank P= 0.464).

Conclusions: This study revealed that there could be no difference in the outcomes of coronary artery bypass grafting between males and females.
Partial versus Full Sternotomy for Aortic Valve Replacement
Authors: Moheb Ibrahim Islam , Labib Dokhan Ahmed , Fawzy Eltaweel Mohammed , Hassan Ahmed Hesham , Elsawy Abd Elaziz Montaser
Published: August 2023

Background: Minimal invasive approaches are used more frequently for aortic valve replacement (AVR). This study aimed to compare the outcomes of both minimally invasive upper mini-sternotomy and full sternotomy for AVR.

Methods: 100 patients with isolated aortic valve disease were enrolled in this prospective observational study. We grouped the patients according to the technique, group A (n=40) underwent upper J-shaped mini-sternotomy, and group B (n=60) underwent full sternotomy. Study endpoints were operative times and pain score.

Results: The mean age of the patients was 46.4±10.1 years. There was no difference in preoperative data between both groups. There was a significant difference in aortic cross-clamp time (87.2± 8.6 vs. 59.2± 6.6  min in group A and B, respectively, p= 0.001), and total bypass time (115.1± 9.2 vs. 75.3± 4.3 min in group A and B, respectively, p= 0.001) between both groups. The total operative time was 341±11.7 and 196.1±18.4 min in groups A and B, respectively (p= 0.001). The ICU stay was 29.4±8.2 hours in group A and 41.2±13.3 hours in group B (p= 0.001). Patients who had mini-sternotomy had lower pain (p= 0.001) and better patient satisfaction score (p< 0.001).

Conclusion: J-shaped upper mini-sternotomy is a safe and effective strategy for aortic valve replacement. The procedure may be associated with decreased pain and comparable morbidity to the conventional approach.
Bentall Procedure for an Adolescent with Sickle Cell Disease, Hodgkin’s Lymphoma, and old Cerebrovascular Accident
Authors: Elmahrouky Ahmed , Barnawi Hani , Alshehri Hassan , Almutairi Majed , Mokhtar Ghadeer , Jamjoom Ahmed , Al Uthman Uthman
Published: August 2023

Cardiopulmonary bypass (CPB) in patients with sickle cell anemia can trigger lethal vaso-occlusive crises, especially in cases of hypoxia, hypothermia, acidosis, or low-ﬂow states. We described a patient with sickle cell anemia who had bicuspid aortic valve stenosis and aneurysmal dilatation of the ascending aorta complicated with infective endocarditis. The patient had a history of stroke. During routine workup, Hodgkin’s Lymphoma was diagnosed. The patient underwent exchange transfusion preoperatively and immediately before the initiation of CPB. We performed a Bentall procedure, and the patient was discharged in a stable condition.  Sickle Cell Disease can be very challenging during CPB, and special precautions are required to prevent vaso-occlusive crises.
The value of pericardial window in preventing pericardial effusion after cardiac surgery
Authors: Ebaid Hany Hassan , Emara Ahmed Sobhy , Emara Mona Sobhy , Elnaggar Amr Elsayed
Published: August 2023

Background: Pericardial window (PW) is a technique that allows the passage of fluid from the pericardial to the pleural cavity to reduce the postoperative pericardial effusion. The purpose of this study was to evaluate the effectiveness of the pericardial window in decreasing pericardial effusions after cardiac surgery.

Methods: The study included 400 adult patients who underwent cardiac surgery from 2017 to 2020. Patients were randomly assigned into two groups; the pericardial window (PW) group included 200 patients who underwent posterior pericardiotomy, and the control group included 200 patients who did not undergo this procedure.

Results: Preoperative data were comparable between both groups. More patients in the PW group had chest tube drainage more than 500 cc/ 24 hours (40 (20%) vs. 5 (2.5%), respectively; p=0.005). The drainage of 500 cc/24 hours or more in the mediastinal tube was lower in the PW group (10 (5%) vs. 40 (20%) patients in the PW and control groups, respectively; p<0.001). Early pericardial collection occurred in 6 patients in the PW group (3%) vs. 46 (23%) in the control group (p<0.001), and no patient had late effusion in the PW group vs. 26 (13%) in the control group (p< 0.001). Six patients in the PW group (3%) had postoperative atrial fibrillation and 12 patients (6%) in the control group (p= 0.23). Pulmonary complications were nonsignificantly higher in the PW group (Lung collapse: 40 (20%) vs. 26 (13%); p=0.08 and pleural effusion: 34 (17%) vs. 26 (13%); p= 0.3, in the PW vs. control groups, respectively).

Conclusion: Posterior pericardiotomy is a simple technique that could reduce postoperative pericardial effusion, atrial fibrillation, and the pericardial tamponade. The technique did not increase the postoperative complications compared to the standard method.
The effect of cold crystalloid versus warm blood cardioplegia on the myocardium during coronary artery bypass grafting
Authors: Fayad Elsayed A , Aly Eddin Wesam F , Amr Mohamed A
Published: August 2023

Background: The optimal cardioplegic solution is still debated. The objective of this study was to compare the effect of cold crystalloid versus warm blood cardioplegia on the myocardial injury during coronary artery bypass grafting.

Methods: The study included 34 consecutive patients who underwent elective primary on-pump isolated coronary artery bypass grafting from 2016 to 2019. We randomly assigned the patients into two groups. Group (ICCC) (n= 17) received intermittent antegrade cold crystalloid cardioplegia and Group (IWBC) (n= 17) received intermittent antegrade warm blood cardioplegia.

Results: There was no difference in the preoperative and operative variables between groups. The time taken by the heart to regain normal sinus rhythm was significantly longer in the cold crystalloid group (7.06 ± 1.8 vs. 2.17 ± 0.8 minutes, p<0.001) with a higher rate of reperfusion ventricular arrhythmia (35% versus 6%; p=0.03) compared to the warm blood cardioplegia group. Both coronary sinus acid production and lactate level were significantly higher in the warm blood group than in the cold crystalloid group (p< 0.001 and 0.043, respectively). The ischemic ECG changes and the severity of new segmental wall motion abnormalities were non-significantly different between both groups (p= 0.68 and 0.67, respectively). Postoperative CK-MB and cTnI levels in all-time points were not significantly different between groups (p= 0.46 and 0.37, respectively). ICU (2.29 ± 0.77 vs. 2.41 ± 0.87 days, p= 0.68) and hospital stay (9.28 ± 0.76 vs. 9.42 ± 0.88 days, p= 0.62) were non-significantly different between both groups.

Conclusion: Intermittent antegrade cold crystalloid cardioplegia was associated with attenuated myocardial metabolism. However, it was associated with a longer time to regain normal sinus rhythm and more reperfusion ventricular arrhythmias. We did not find differences in the clinical and echocardiographic outcomes and cardiac enzymes between cold crystalloid and warm blood cardioplegia.
Predictors of Failure after DeVega Repair for Functional Tricuspid Regurgitation
Authors: Abdelmohty Hysam , Abdelaziz Wael , Elanwar Mohamed-Adel , Abdelazeem Ehab , Ali Mohamed , Abdelgawad Basem
Published: August 2023

Background: Untreated tricuspid regurgitation during mitral valve surgery may progress to severe symptomatic tricuspid regurgitation. Concomitant repair may increase the operative risk; however, re-operative tricuspid valve surgery is a high-risk procedure. This study's objective was to identify the predictors of DeVega repair failure in patients with functional tricuspid regurgitation and concomitant mitral valve surgery.

Methods: This research is a retrospective comparative study that included 140 patients who underwent tricuspid valve repair concomitant with mitral valve replacement. We divided the patients into two groups; the first group (n=106) included patients with no DeVega failure at six-months follow-up (The sustained repair group). The second group included 34 patients who developed moderate or higher TR after the DeVega and was named the failed repair group.

Results: The demographic data and comorbidities were not statistically different between both groups. The preoperative atrial fibrillation (73 (69%) vs. 30 (88%)’ p= 0.027) pulmonary artery pressure (64.8±3.6 vs. 81±6.5 mmHg; p= 0.02), right ventricular dimension (4.85±0.24 vs. 5.23±0.37 cm; p= 0.03), and time between the indication of surgery and operation (8.3 ± 3.1 vs. 14.7 ± 5.4 months; p = 0.003) were higher in patients with failed DeVega repair. There was no statistically significant difference regarding the mean bypass time, cross-clamp time, ICU and hospital stay, and postoperative complications between both groups. Predictors of failure after six months were preoperative heart failure (OR: 15.4 (95% CI: 3- 92.3); p= 0.003), long time between diagnosis and surgery (OR: 12.3 (95% CI: 2.1- 84.7); p= 0.007), and postoperative severe pulmonary hypertension (OR: 24.7 (95% CI: 3.1- 199.6); p= 0.003).

Conclusions: DeVega repair is associated with a high failure rate after six months. The study of predictors of failure could change our management plans to reach the best results for repair.