bluuebunny/crossref_metadata_2025_split huggingface dataset:
Chronic endometritis in patients of reproductive age: individualized treatment capabilities
Authors: Kobaidze E. G. 
Published: September 2020

Introduction. Inflammatory diseases of the pelvic organs represent one of the lead causes affecting health status in women of childbearing age. The pathogenetic mechanisms of chronic endometritis (CE) have been extensively studied, but many issues remain debatable. This disease manifests in various clinical pictures, including relapsing course, so a need to conduct combination individualized treatment rises no doubts.Aim: to assess effectiveness of combination individualized therapy of CE.Materials and Methods. A comprehensive analysis of clinical data was performed in 107 patients with morphologically verified CE, examining microflora composition in the uterus, cervical canal, urinary tract, and intestine by using a wide range of laboratory research methods; assessing cell subset composition of peripheral blood lymphocytes by using immunocytochemistry (CD3+, CD4+, CD8+, CD19+, CD95+, CD3+CD4+, CD3+CD8+, CD3+CD95+), measuring level of serum cytokines – interleukin-1β, tumor necrosis factor-α, interleukin 8, and interleukin 10. For this, all patients were subdivided into 2 groups: 53 patients (group I, main received treatment according to the original protocol (antibiotics and bacteriophages, immune preparations, herbal medicines), 54 patients (group II, control) received conventional therapy (antibiotics, immunomodulatory drugs, hormones).Results. It was found that urogenital tract microbiota was profoundly altered in patients with CE, also featured with dysregulated immune system. In addition, associated changes in the leukocyte-lymphocytic arm of the immune system and features of clinical and anamnestic data were obtained, which is important in combination treatment of patients with this pathology. Composition microflora in the vagina, cervical canal and uterine cavity was markedly improved that was confirmed by bacteriology data, vaginal pH value and menstrual function were by 2-fold more often in group 1 vs. group 2. A 12-month follow-up revealed in group 1 no complaints of pelvic pain requiring pain killers, with pronouncedly lowered amount of doctor visits due to inflammatory pathology of the urinary tract additionally confirming effectiveness of individualized treatment.Conclusion.The data of the study evidence about a need to individualize diagnostic and therapeutic approaches while managing patients with CE. The treatment strategy for patients of childbearing age with CE should be based on minimizing drug aggression, taking into account concomitant pathologies, features of microbiota composition in the genitourinary organs and changes in the immune system. An combination and individualized therapeutic approach provides an opportunity to substantially better results after treatment of CE.
Experience of application of T2-mapping MRI assessment of inflammatory myopathies
Authors: Bogomyakova O. B. , Tavluy M. A. , Savelov A. A. 
Published: September 2020

Specialized quantitative MRI techniques allow identifying structural changes in individual muscles in inflammatory myopathies.Aim. To evaluate the role of T2 mapping MRI and to evaluate specific changes in T2 relaxation time in patients with inflammatory myopathies at different stages of the disease process.Methods. T2 mapping technique for assessing structural changes in muscle tissues was optimized for the Philips “Ingenia” 3.0T MR scanner. T2 relaxation (T2rt) time of the thigh and lower leg muscles (muscule rectus femoris, m. vastus lateralis, m. adductor magnus, m. soleus, m. tibialis anterior, medial and lateral head of m. gastrocnemius) was assessed in the control group (n = 9) and the study group (n = 6). Patients recruited in the study group suffered from dermatomyositis and polymyositis of various severity.Results. The following values of T2rt were obtained in the control group: m.rectus femoris – 78.2±6.9 ms, m.vastus lateralis – 79.5±4.8 ms, m.adductor magnus – 77.1±4.4 ms, m. soleus – 92.9±4.3 ms, m. tibialis anterior – 89.4±1.3 ms, m.gastrocnemius medial head – 93.7±2.4 ms, m.gastrocnemius lateral head – 92.9±3.5 ms. Patients with polymyositis and dermatomyositis showed an increase in the signal intensity on STIR and PD-SPAIR in the structure of m.soleus, m. gastrocmenius, m.rectus femoris, as well as a significant increase in T2rt of 40–49% (p<0.01). T2rt values did not differ in patients with polymyositis who received drug therapy and had clinical remission. Patients with dermatomyositis who had laboratory remission along with the deterioration reported an increase in T2rt in the structure of long spine muscles, m. rectus femoris and m. vastus lateralis equal to 15–25% (p<0.05). However, none significant changes in the signal characteristics on STIR and PDSPAIR were reported.Conclusion. The sensitivity of the reported technique in the detection of sub-acute swelling of muscle tissue in the absence of significant changes in signal characteristics on routine MR sequences had been shown.
Echocardiography in acute cardiovascular care. Part 2. Cardiac and lung ultrasound examination
Authors: Dzhioeva O. N. , Orlov D. O. , Nikitin I. G. 
Published: September 2020

Lung ultrasound is an integral part of echocardiography in emergency conditions. The method allows determining the clinical status of the patient and remains an important differential diagnostic method for examining patients in intensive care units.The second part of the article is devoted to echocardiography as part of the differential diagnosis of dyspnea syndrome. Lung ultrasound for differentiation of interstitial pulmonary syndrome, the role of echocardiography in the diagnosis of pulmonary thromboembolism and verification of valvular pathology are described.
Myocardial injury in noncardiac surgery – diagnostic difficulties
Authors: Murashko S. S. , Pasechnik I. N. , Berns S. A. 
Published: September 2020

A new concept was adopted by the Fourth Universal Definition of MI Expert Consensus Document in 2018 – periprocedural myocardial injury after cardiac- and noncardiac interventions, which is distinct from myocardial infarction.It is difficult to diagnose a heart attack and myocardial damage after noncardiac surgery.Postoperative myocardial injury increases mortality and worsens the long-term prognosis and quality of treatment.The quality of surgical care is determined by surgical techniques and the course of the postoperative period. Although complications often negate the results of brilliantly performed surgery, many of them would happen irrespective of surgeon`s actions. The development of complications determining the outcome of treatment can be associated with cardiac pathology. Cardiac complications may develop due to existing comorbidities, hemodynamic instability during surgery, cardiotoxic effect of drugs, etc. In 40% of cases, the risk of cardiac death after noncardiac surgery is associated with the development of perioperative myocardial infarction or myocardial injury. Myocardial infarction is the most demonstrative complication, although it is difficult to diagnose in the perioperative period in case of asymptomatic course. The link between postoperative myocardial infarction and lethality is beyond doubt. Adopted in 2018, the Fourth Universal Definition of MI Expert Consensus Document introduced a new concept of periprocedural myocardial injury after cardiac- and noncardiac interventions, which are distinct from myocardial infarction. Myocardial injury requires laboratory tests to be diagnosed. However, myocardial injury itself affects postoperative mortality and significantly worsens the long-term prognosis and quality of treatment. This article reports the features of the etiopathogenetic mechanisms of cardiac complications during surgical care, as well as the multifactorial genesis of myocardial injury. The analysis of modern scientific literature on the diagnosis of myocardial damage is given. The need for early diagnosis of myocardial damage to create optimal management tactics for patients undergoing noncardiac interventions is demonstrated.
Assessment of morphological and functional parameters of myocardium in patients with coronary artery disease and overt primary hypothyroidism
Authors: Muneer A. R. , Vijaraghavan G. , Ankudinov A. S. , Kalyagin A. N. 
Published: September 2020

Aim. To evaluate the morphological and functional parameters of the myocardium in patients with coronary artery disease (CAD) and concurrent overt primary hypothyroidism, as well as to identify possible relationships between these parameters and levels of thyroid hormones.Methods. 344 patients with CAD who had verified classes 1-3 stable angina pectoris using the clinical guidelines were recruited in a study [6]. 100 patients with CAD and concurrent primary hypothyroidism were enrolled in the study group. 244 patients with CAD were enrolled in the comparison group. Severity of stenosis in one- and/ or two- and/or three-vessel disease were measured in all patients. A comparative assessment of biochemical parameters and echocardiography was performed. A single-stage cross-sectional comparative analysis of the studied parameters was performed. The presence of any relationships of thyroid hormones with morphological and functional parameters of the myocardium were determined. The correlation analysis reported the relationships between diastolic dysfunction, left ventricular ejection fraction and thyroid-stimulating hormone levels in patients with CAD and concurrent hypothyroidism.Results. Statistically significant differences in lipid profile, glucose levels, glycated hemoglobin, and glomerular filtration rate were found. Three-vessel disease prevailed in both groups, but the prevalence of three-vessel disease was higher in the study group (CAD and hypothyroidism) than in the comparison group (p<0.01). Echocardiography assessment reported the differences in the levels of E/a (p = 0.02), E/E` (p = 0.001), and LVEF (p = 0.001) between the study groups.Conclusion. Patients with coronary artery disease and concurrent overt primary hypothyroidism demonstrated worse dyslipidemia parameters, glycemic indicators and impaired glomerular filtration rate. Three-vessel disease prevailed among patients enrolled in the study. The relationship between TSH and myocardial morphological and functional parameters was determined. Obtained data can be used for assessing the prognosis in this group of patients.
Determination of the place of attachment afterwards by palpation of the abdomen.
Authors: Kuhn F. 
Published: September 2020

Ridgway Barker. Placental localization by abdominal palpation (N. Y.Med. Journ. Iune 18, 1892).
Determination of the place of attachment afterwards by palpation of the abdomen.The views of various authors on the possibility of determining the place of attachment of the placenta by means of palpation differ diametrically. While Spencer considers it completely possible and in 7 cases, manual intrauterine examination confirmed his diagnosis, based on palpation of the abdomen, other, not less experienced and conscientious gynecologists, cannot boast of that. So. Duncan completely denies this possibility, and on the other hand Galabin not only fully agrees with Spencer, but elevates even such a possibility to the rule. Barnes agrees with Spencer, apparently only for those cases, when it is attached to the upper girdle of the uterus and on the anterior wall ("when the placenta is located in the upper zones and in front of the uterus"), in such cases, he says , the uterine stump is thickened and protrudes above the level of its common smooth surface.
Prevalence of thyroid dysfunction in metabolic syndrome - A cross-sectional study
Authors: Sridevi D , Ginnaram Shravya R , Dambal Amrut Arvindrao , Reddy Sushritha Y , Pingle Abhinav R 
Published: September 2020

Literature review have hypothesized that the rising incidence of metabolic syndrome worldwide has been associated with an increased risk of thyroid disorders. The aim & objective of our study was to diagnose patients with metabolic syndrome based on IDF criteria, to estimate T3, T4, TSH levels among these patients and to observe the correlation between thyroid dysfunction and metabolic syndrome.Our study was a hospital based age and sex matched cross-sectional study with a total of 120 participants (60 cases and 60 controls) between 30 - 50 years old conducted at Malla Reddy Institute of Medical Sciences, Hyderabad, India. Ethics approval was obtained from the Institutional Ethics Committee.Our study found that both men and women with metabolic syndrome had a higher percentage of thyroid disorders compared to the controls without metabolic syndrome. Among the cases, women were found to present with more thyroid abnormalities than men.Routine screening with thyroid function tests should be implemented for all patients with metabolic syndrome, especially females. The coexistence of these two entities can increase the risk for cardiovascular disease. Early detection and intervention can help reduce the progression of CVD.
The Competence-Based and Ethical Platform for Communication in Modern Education
Authors: Vorontsova Irina 
Published: September 2020

The vibrant dynamics of the educational realm are interfused by polylingual and polycultural flows and it is important to define and model new competencies in the opening decades of the third millennium. This article offers a survey of key competencies united by the concept of ”new literacy”, or a form of post literacy that is designed to help students succeed in the information culture and education sphere of the twenty-first century. These include training in: educational and cognitive competence, laying the groundwork for further education with the help of foreign languages; existential competence, which content are Soft Skills vs. Hard Skills; competence of social interaction; intercultural competence; information ethics, modeling a certain image of behavior in online communication; and information literacy. Media education is viewed as a tool for the formation of general cultural competence. This article accentuates the key function of foreign language in modeling the key skills of the twenty-first century, where the language is positioned as a mandate into other cultures and other pictures of life. Teaching foreign languages draws on the competence-based approach, emphasizing digital citizenship,and increasing the share of autonomous learning activities in the paradigm of mobility, interactivity and edutainment.
Keywords: information culture and education, multimodal media and information literacy, teacher’s mission, transdisciplinarity
Determination and Classification of the Speech Act of Proposal in the Russian Language
Authors: Chengcheng Liu , Forteza Fernandez Rafael 
Published: September 2020

This article provides a study of the definition and classification of the speech act of proposal in the Russian language. Speech acts, understood as the minimum unit of speech activity, is an elementary link of communication and the most important part of linguistic pragmatics. Scholars have already studied many different speech acts, such as speech act (SA) requests, complaints, and refusals. However, little attention is paid to the study of the Russian speech act of proposal. This belongs to the directive speech acts in relation to their realization, the cultural background against which they are realized and their perception, for example, by Chinese speakers. The results of the paper suggest that proposals in Russian have to be studied in their cultural environment as a way to improve the teaching and learning and translation studies of this language in China and avoid misunderstandings in the ongoing relations between the two countries, thus leading to help to achieve the goals of successful communicative contacts.
Keywords: speech act, proposal, linguo-pragmatics, intercultural communication, language teaching, language translation and interpretation
Retro-Utopia Temptation of Archangel Mikhail Groys By Vadim Mesyats
Authors: . N.V.Barkovskaya 
Published: September 2020

This article discusses the retro-utopian novel Temptation of Archangel Mikhail Groys by Vadim Mesyats. The novel explores an alternative scenario of overcoming the bleak present and entering the future by going back to a past represented by the medieval Grand Duchy of Lithuania. The novel is set in Belarus in 2013. Belarus is shown as the last stronghold of socialism, as the country that has managed to preserve both its recent and more distant past, as the ’paradise regained’, whose boundaries remain transparent for Russia and for the European Union. Belarus is a multi-confessional and (historically) multi-ethnic country, allowing it to uphold the ‘common cause’ of uniting brother nations and initiating their spiritual transformation. Apart from the obvious allusion to N. Fyodorov’s philosophy, the novel also contains multiple reminiscences to the works of V. Soloviev, Gorky’s The Confession, contemporary neo-paganism and discussions of contemporary historians about the Grand Duchy of Lithuania as the second centre for consolidating Russian lands.
Keywords: neo-mythologism, neo-paganism, modern Russian prose, alternative history, Soviet nostalgia
VIDA OU MORTE PARA O TEATRO INFANTIL? CONTRAPONTOS
Authors: Machado Marina Marcondes 
Published: September 2020

Neste texto me pergunto como e por que produtores adultos de culturas da infância seguem fazendo um teatro infantil congelado no tempo, tal qual a situação da personagem Bela Adormecida. O que despertaria a comunidade adulta para outros modos de fazer teatro, incluindo o teatro feito por crianças, rico em expressividade e conversa? Haveria chance de existir, hoje, um “teatro para todas as idades”? A resposta é delicada e complexa, pelo momento mundial: estamos política e culturalmente definidos por dicotomias que revelam posições inconciliáveis, seja acerca da produção cultural para crianças, seja acerca do papel dos adultos diante delas.
LA PRODUCTION DU REGARD SUR L’ENFANCE DANS LA PERSPECTIVE DE LA FORMATION DES ENSEIGNANTS D’ARTS
Authors: Hartmann Luciana , Araujo Hanna Talita Gonçalves Pereira de 
Published: September 2020

Cet article analyse deux expériences de formation d’enseignants d’art, au coursdesquelles ont été réalisées des activités théoriques et pratiques, tournées vers la construction d’un regard qui considère l’enfant comme un être complet, avec sa culture propre et qui est un acteur de la société. La mise en perspective de ces expériences avec le débat contemporain sur les études de l’enfance dans le domaine de l’éducation, de la sociologie et de l’anthropologie, permet de démontrer de manière concrète l’importance de développer des méthodologies qui sensibilisent les futurs enseignants d’art sur le protagonisme qui peut et doit être occupé par les enfants dans les processus éducatifs.
Hubungan Pemanfaatan Kartu Pintar dengan Program Keaksaraan Fungsional di PKBM Al-Muttaqin Kecamatan Patrang Kabupaten Jember
Authors: Faulina Ririn , Indrianti Deditiani Tri , Hilmi Muhammad Irfan 
Published: September 2020

Media merupakan salah satu komponen penting yang mendukung keberhasilan program keaksaraan fungsional. Penggunaan media harus disesuaikan dengan kebutuhan dan minat warga belajar agar dapat membantu pencapaian tujuan pembelajaran. Tujuan penelitian ini untuk mengetahui hubungan pemanfaatan kartu pintar dengan program keaksaraan fungsional di PKBM Al-Muttaqin Kecamatan Patrang Kabupaten Jember. Metode penelitian menggunakan jenis penelitian korelasional dengan pendekatan kuantitatif. Teknik pengambilan data dilakukan dengan penyebaran angket kepada responden dan dokumentasi. Analisis data dilakukan mengggunakan teknik analisis korelasi product moment. Hasil analisis diketahui adanya hubungan antara pemanfaatan kartu pintar dengan program keaksaraan fungsional di PKBM Al- Muttaqin Kecamatan Patrang Kabupaten Jember. Hasil tersebut dibuktikan dengan hasil perhitungan uji korelasi product moment menggunakan aplikasi SPSS versi 22 yang menunjukkan nilai sebesar 0,697 dengan taraf signifikansi 95% yang berarti hubungan kuat. Kesimpulan penelitian ini adalah Ha diterima yang berarti ada hubungan antara pemanfaatan kartu pintar dengan program keaksaraan fungsional di PKBM Al-Muttaqin Kecamatan Patrang Kabupaten Jember.
Optimizing the Endorphin and Oxytocin Massage to Increase Breast Milk Production among Postpartum Mother in Indonesia
Authors: Pertami Sumirah Budi , Budiono Budiono , Rahmawati Ira 
Published: September 2020

Background: Exclusive breastfeeding is the gold standard of infant feeding in the first six months of their life. In Indonesia, breastfeeding practice has become a social norm among women. However, some women have experienced inadequate breast milk production especially in the first and second days after birth. This study aimed to investigate the effect of endorphin and oxytocin massage on breast milk production among primiparous postpartum women and their baby weight.
Methods: a quasi-experimental design was utilized with pre-test and post-test control group design. The population in this study were 175 postpartum mothers in Lawang Primary Health Care Indonesia. Forty postpartum mothers were selected and allocated to the intervention and control groups. Ten women were received endorphin massage, ten were given oxytocin massage, ten mothers were received the combination of endorphin and oxytocin massage and the remaining ten were allocated into the control group. The dependent variables were breast milk production and infant body weight, whereases the independent variables were endorphin massage, oxytocin massage and combination of endorphin and oxytocin massages. Data were analyzed by using t-test followed by One Way ANOVA Test with α = 0.05
Results: The results indicated differences between the four group regarding the breast milk production and an increase in baby weight with p = 0, 00<α = 0, 05 and p = 0.046 <α = 0.05 respectively.
Conclusion: According to the results, the combination of endorphin and oxytocin massage is the most effective technique to increase breast milk production among postpartum women and therefore, facilitating the baby weight gain in the first six months of their life.
Semantic adaptations of the Arabic loanwords in the Indonesian language
Authors: Julul Ali Ahmed , Rahmawati Nabilah Myrrha , Kwary Deny Arnos , Sartini Ni Wayan 
Published: September 2020

This paper investigates the adaptation of Arabic loanwords in the Indonesian language semantically. The data were taken from Kamus Basar Bahasa Indonesia (KBBI) fifth edition. 1,870 words are listed in the KBBI as Arabic loan words. The definitions of these words were compared with their original Arabic definitions found in Almaany Arabic dictionary (2019) to determine the semantic adaptations. The analysis shows that most of the Arabic loanwords in the Indonesian language have retained the same meanings as their originals in the Arabic language. However, there have been semantic adaptations in which eighteen words have been narrowed, nine words have been extended, and seven words have gone through the shifting process. The narrowing was due to absorbing of only one meaning of a word that had many meanings in Arabic , borrowing the old meanings of the words that have been extended recently due to the advent of technology, filling any existing gap or borrowing of new words along with cultural concepts. The extending was due to overgeneralizing some Arabic affixes and forms ,leaving one form of a word to represent the meanings of the others or assigning names to things by the way people perceive them by their five senses . The shifting occurred mainly because of borrowing of new words along with cultural concepts, assigning names to things by the way they are perceived by the five senses or overgeneralizing of forms that occurred in Arabic loanwords.It is hoped that the findings of this study will be useful to researchers interested in semantic adaptation of loanwords.