bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychological Adjustment in the Context of Perinatal Cancer
Authors: Ferrere R. , Wendland J. 
Published: April 2021

Aims: To assess the influence of pregnancy and recent motherhood on the psychological adjustment to cancer in women diagnosed with a perinatal cancer. Procedure: ECHOCALG is an exploratory and comparative study combining quantitative and qualitative methods. Twenty-four women who had received a perinatal cancer diagnosis (75% had breast cancer, 25% had brain or colon cancer, Hodgkin or melanoma) completed the MAC44 scale and responded to a semi-structured clinical interview to identify the psychological adjustment to cancer. Eighteen of them responded to a semi-structured interview to identify the conditions of psychological adaptation to the disease, as well as the defense mechanisms used. The data were compared with that of a control group of nineteen women diagnosed with non-perinatal and non-metastatic breast cancer, aged less than 45.Results: Women diagnosed with perinatal cancer showed more difficulty adjusting to the disease than control women. Denial and avoidance are strongly correlated with a negative adjustment to cancer. The interviews showed at the start of treatment the presence of defense mechanisms such as denial and trivialization as well as a suspension of the process of psychological adaptation to the disease and the treatments. The distress of a mother is linked to the feeling of being unable to take care of the baby and to cope concomitantly with motherhood and illness, as well as difficulties related to sexuality and emotional and social support.Conclusion: Pregnancy and recent motherhood have an impact on the adjustment to cancer. Women with perinatal cancer show a negative adjustment and an important psychological distress linked to difficulties of mothering and physical and emotional consequences of treatment.
Diagnostic performance of intravascular perfusion based contrast-enhanced ultrasound LI-RADS in the evaluation of hepatocellular carcinoma
Authors: Zuo Dongsheng , Yang Kefeng , Wu Size 
Published: April 2021

BACKGROUND: The contrast-enhanced ultrasound (CEUS) liver imaging reporting and data system (LI-RADS) is a relative new algorithm for hepatocellular carcinoma (HCC) assessment. OBJECTIVE: To validate the diagnostic efficiency of the intravascular perfusion based CEUS LI-RADS for HCC. METHODS: Archives of 873 patients with focal liver lesions (FLLs) undergoing CEUS were reviewed, and target images were read by two sonologists independently according to the CEUS LI-RADS. The diagnostic performance was calculated and compared. RESULTS: Assessment with reference to CEUS LI-RADS, 87 of 218 FLLs (39.9%) were categorized as LR-5, 131 of 218 FLLs (60.1%) were categorized as non-LR-5, 19 of 99 HCCs were categorized as non-LR-5, and 7 of 119 non-HCCs were categorized as LR-5. The sensitivity, specificity, AUROC, positive and negative predictive values of CEUS LI-RADS for diagnosing HCC were 80.81%(95%CI: 71.7%–88.0%), 94.1%(95%CI: 88.3%–97.6%), 0.87 (95%CI: 0.82–0.92), 91.9%(95%CI: 84.1%–96.7%), and 85.5%(95%CI: 78.3%–91.0%), respectively. CONCLUSIONS: The diagnostic efficiency of the intravascular perfusion based CEUS LI-RADS for the evaluation of HCCs is very good.
COMFORT ENVIRONMENT FOR HUMAN AND UPDATED NORMATIVE REGULATION
Authors: Omelianenko Maksym , Omelianenko Maryna 
Published: April 2021

The article explains the necessity to implement new methodological approaches to the establishment of regulatory support of the construction industry based on the parametric normalization method and defines the first priority steps towards regulatory framework reformation.
A comfort environment is the main goal of architectural activities. However, in the majority of cases, this goal is implemented by overcoming various artificially created obstacles. One of the obstacles includes the current regulatory support that does not allow project designers to develop new interesting architectural and engineering solutions due to its content and excessive specification, as well as slows down the adoption of advanced technologies appearing in global designing and construction practice and entering the Ukrainian market.
There is the way out. It is referred to the implementation of the parametric method for defining regulatory requirements, which will help project designers solve construction object creation issues unlike the current prescriptive (or administrative) method. The introduction of the parametric method means not only changes in approaches to the definition of regulatory requirements, but also fundamental changes in the whole structure of regulatory support.
CONTEMPORARY TRENDS IN ORGANIZATION OF PLAYING SPACE FOR CHILDREN PLAYGROUNDS IN URBAN TERRITORIES
Authors: Liubchenko Мaria , Radchenko Алла 
Published: April 2021

This article addresses the issue of planning of urban territories by the children's playgrounds according to the modern standards, the requirements of safety, aesthetics and ecological aspects and playgrounds, which is adapted to the needs of children with disabilities.
The authors are performed a study of the providing of the Kharkiv city districts by modern sites. It is established now there are insufficient amount of children's play complexes with all current necessary requirements. Moreover, the question remains of organization of the complex playgrounds including for needs of children with disabilities. The analysis of recent studies of Ukrainian and foreign authors on the issue was conducted. The aim of this work is the problem of insufficient providing of playgrounds on urban territories locational nearby of existing buildings and sites of new construction. Recommendations for implementation of architectural decisions of small and large playgrounds of subdistricts are developed. Planning should be done taking into account the requirements of increasing the level of ecological environment and meeting the needs of population different categories.
The planning criteria in designing of playgrounds on the urban territories, regardless of their size, are defined. These criteria are included of protection against noise and dust of the playing area, making of appropriate covering and application of modern safe equipment for playgrounds. The paper proposes the organization of play space by way of functional zoning. The schematic structure of the child's complexes of residential districts with the main functional zones and the corresponding equipment for each zone is developed. The diagram illustrates the components of the design process for playground complexes, the principles that should be guided in the organization of children's play space and the tasks, which must be solved. It is concluded that serious work is being done in this field, but there is not enough of quality playgrounds for urban areas.
Therefore, the landscaping and beautification of territories around of new buildings, as well as the renovation of sections of territories of existing buildings, should include the design of a children's play area, taking into account the stated principles and needs of all categories of population.
ANALYSIS OF EXAMPLES OF THE APPLICATION OF THE BIOCLIMATIC APPROACH TO COLOR SOLUTIONS IN HIGH-RISE BUILDINGS
Authors: Krivenko Olga , Pylypchuk Oksana 
Published: April 2021

The challenge in the design of bioclimatic high-rise buildings is to return to a design that is compatible with the environment, climate. The purpose of the article is to analyze the means of color formation in living and inanimate nature, which can be used in color solutions for the facades of bioclimatic high-rise buildings to ensure their durability, regulate energy efficient and environmental parameters (thermoregulation, illumination, humidity).
The need to analyze and research the bioclimatic trend in the design of modern high-rise buildings is based on the emergence of a significant number of implemented innovative design solutions. Such projects differ from each other in architectural styles, directions and means of implementing the bioclimatic approach, placement and interaction with the environment.
The application of various natural mechanisms of color formation in nature is analyzed from the point of view of ensuring functional use in facade solutions of modern high-rise buildings. The main advantages of the pigment and structural mechanism of color formation to ensure thermal insulation of the building, durability of facade finishing while maintaining the quality of color solutions are determined.
The results of the study made it possible to establish that today the use of the bioclimatic approach to the use of color in the facades of high-rise buildings determines new trends in the creation of eco-facades, based on the use of natural analogues and associated with the introduction of the latest design and technological solutions.
SOME CHARACTERISTICS OF BUILDING MATERIALS OF ANCIENT KYYIVAN MONUMENTS OF THE X-TH - THE XIІ-TH CENTURIES
Authors: Logvyn Natalia 
Published: April 2021

The development of brickwork technique in ancient Kyyiv dates back to the X- th century. Old Rus` monuments’ masonry was made of large thin bricks called “plynfa” and lime-and-ceramic mortar. The size of the X-th – the XII-th brick sides varies from 27 to 36 cm, its thickness – from 2.5 to 4.5 cm.
Different kinds of clay and loess extracted from the territory of Kyyiv and its vicinities were used as a raw material for brick and ceramic addition to mortar. That is why bricks in Kyyivan monuments differ in colour from light yellow to orange and dark red. Some gruss or cut straw were used as addition to fat clay.
Limestone was brought to Kyyiv from Chernihiv area and lime mortar was produced in lime kilns situated near building sites. Ceramic addition to mortar called “tsemianka” was of refined clay, and crushed brick waste was used as well.
Bricks were burnt under the temperature of 1000 – 1200 degrees C. That’s why bricks were very firm regardless of chink-like pores appeared as a result of hand-moulding of brick.
The author took some investigation for the purpose to determine physical and mechanical properties of ancient bricks of Kyyivan monuments. Bricks were picked out of excavations or waste after building repairs. Small cubes were cut out of bricks with the height equal to brick thickness. Those samples were examined concerning their strength by compressing them perpendicularly to the sides the bricks were bedded in mortar.
The strength of samples varied from 100 to 200-300 kg per sq.cm, water absorption was 10 % to 20 %. Some bricks taken from the Cathedral of the Assumption of Kyyiv-Pechersk monastery were the most firm. The strength of those samples was about 400-500 kg per sq. cm, their water absorption was the smallest, about 5.6 %.
Because of high porosity and water absorption of building materials the surface of ancient masonry was exposed to destruction under the influence of temperature overfalls and precipitation, as it can be seen on the open parts of walls of the Old Rus` monuments. To prevent destruction of masonry, the walls of ancient monuments were covered with fine lime-and-ceramic mortar. Fragments of original plaster can be found on the walls of the XI-th century monuments St.Sophia Cathedral and St.Michael Church of Vydubychy monastery in Kyyiv.
High level of well-developed building technique and high quality of building materials caused durability of ancient masonry and constructions in Kyyivan monuments, which preserved until nowadays.
THE ROLE OF ART AND THE MEANING OF THE SYMBOL IN THE FORMATION OF SACRED SPACE
Authors: Gnatiuk Liliia 
Published: April 2021

The article analyzes the history of changes in the role of art and the meaning of the symbol in the formation of the sacred space of architecture, which is presented through the consideration of the symbolic understanding of material forms and objects in the traditional and modernist representation.
The historical development of the concept of symbol and its representation in art and architecture is presented. The development of the aesthetic category of "beauty" in historical development is represented.
Three theories of understanding the concepts of the symbol are considered: "traditional", "hegelian" and "cashier", which in the twentieth century had almost the same influence. The source of origin and interpretation of the content of the symbol in the sacred space is presented.
The role of a person (artist and recipient) is analyzed, which is to read the revealed symbols and write them in language, myths or art in a way accessible to human resources. The phenomenon of perception in certain visible figures of objects is an expression of a more general situation, an expression of a certain type of views or collective beliefs. Symbols pointing out not to the sacred reality, but to certain intellectual tendencies, social situations or expressions of culture are singled out.
Contradictions in the perception of sacred space and reading the symbolism of its content are considered. Religion, art, science, language are presented as forms of human thinking about reality with forms of epistemologically understandable symbol. The need to take into account the relationship between certain forms and messages that are transmitted through them in the formation of sacred space.
There is also an attempt to adapt the principles of modernism to the needs of the formation of sacred space based on the concept of "seven plans" by Rudolf Schwartz, in which after the suspension of historical knowledge seeks the essence of the phenomenon, understood as its constant feature.
Terapia mínimamente invasiva para el manejo de un hematoma subcapsular hepático en un recién nacido
Authors: Santos C. María , Zamboni T. Gian Paolo , Hasson Daniel , Poblete S. Marina , Vargas H. Patricio 
Published: April 2021

Objetivo: Describir una alternativa innovadora a la laparotomía exploradora en un recién nacido con un hematoma hepático subcapsular secundario a la inserción de un catéter venoso umbilical.Caso Clínico: Paciente de pretérmino con antecedentes de enfermedad de membrana hialina, hipertensión pulmonar y ductus arterioso persistente amplio, que requirió ventilación mecánica y uso de drogas vasoactivas. Se instalaron catéteres umbilicales, fueron controlados con radiografía de abdomen anteroposterior, en la que impresionaron estar adecuadamente posicionados. Evolucionó con mayor requerimiento de drogas vasoactivas, palidez de pared abdominal y distensión abdominal. Bajo ecografía se diagnosticó un hematoma hepático subcapsular contenido, sin signos de sangrado activo, por lo que se decidió conducta expectante. Aumentó requerimiento de drogas vasoactivas y presentó caída de hematocrito. La ecografía de control encontró un hematoma subcapsular de mayor tamaño, abundante liquido perihepático y se confirmó la posición intraparenquimatosa de la punta del catéter umbilical. Se realizó embolización endovascular a través del catéter umbilical con Gelita®, logrando oclusión del trayecto capsular. La ecografía de control mostró disminución del hematoma.Conclusiones: El uso de embolización por angiografía no es comúnmente utilizado en urgencias pediátricas. Es un procedimiento con menos comorbilidades y complicaciones que la laparotomía exploradora, por lo que debería ser una terapia de primera línea en pacientes como el presentado. Las limitaciones para su realización rutinaria son la disponibilidad de pabellón de angiografía y la presencia de un equipo entrenado de radiología intervencionista.
Results of osteopathic correction of myopia and accommodation spasm in children: systematic review using meta-analysis
Authors: Vedyashkina A. S. , Milutka Yu. A. , Lomakina Ya. N. , Potekhina Yu. P. 
Published: April 2021

Introduction. The incidence of myopia tends to grow steadily, and therefore, it can be characterized as a disease of the 21st century. Even with complex ophthalmological treatment, refractive indices do not improve, and only in 18 % of cases these indices are stabilized. The effect of osteopathic correction (OC) on visual acuity is insufﬁciently studied. A comprehensive review of the evidence on this issue may help estimate the use of OC in existing health care programs for myopia and accommodative spasm in children.The goal of research — to study, according to the literature, the effect of osteopathic correction of somatic dysfunctions in children of different ages on the state of refraction in myopia, spasm of accommodation. Materials and methods. The selection of scientiﬁc papers according to the following criteria. Inclusion criteria: children aged 5 to 18 years with a history of diagnosis: myopia of varying degrees, spasm of accommodation; the dividing patients into 2 groups: in the experimental group — osteopathic and ophthalmological treatment, in the control group — standard ophthalmological treatment; the results of an ophthalmological examination are described; the duration of observations is from 3 to 6 months. Exclusion criteria: description of a single clinical case; the diseases are not associated with disorders of the visual apparatus; the study sample is less than 30 patients. The Jamovi statistical analysis software was used to perform the meta-analysis. The Newcastle-Ottawa scale was used to assess the risk of bias in cohort studies.Results. There were selected 3 scientiﬁc works studying the inﬂuence of osteopathic correction on the state of refraction in myopia, spasm of accommodation in children. On the Newcastle-Ottawa scale, all three studies had a total score of 8, indicating a low risk of bias. The odds ratio was 20.884, which is a high indicator revealing the effectiveness of the OC together with ophthalmological treatment of myopia, accommodation spasm in children of different ages. Thus, we can say that when similar studies will be repeated, the achievement of a positive effect when using OC as part of a complex treatment in 95 % of cases will be higher than the use of only ophthalmological treatment of children with myopia, accommodation spasm.Conclusion. Based on the studied literature and the conducted meta-analysis, we can make a preliminary conclusion that the inclusion of osteopathic correction in the complex treatment can give an additional advantage over standard treatment in children with refractive disorders.
Effects of the release technique by pressing on the latent myofascial trigger point of the upper trapezius muscle: random controlled clinical trial
Authors: Ferreira Faria Miguel Angelo , Bautista Aguirre Francisco 
Published: April 2021

Introduction. Latent myofascial trigger points (LMTPs) are responsible for intense and spontaneous pain. Non-traumatic mechanical neck pain is characterized by the presence of pressure hyperalgesia in the cervical spine, which equally affects the cervical muscles, such as upper trapezius, since these muscles receive their innervation from the CII–IV levels.The goal of research — to ﬁnd out how the release technique by pressing on the LMTP of the upper trapezius immediately affects the pressure pain threshold (PPT) of this muscle, of the elevator muscle of scapula, the greater occipital nerve (GON), the supra-orbital nerve (V1) and articular processes of CIII–IV bilaterally, as well as on the range of active neck movements (RANM).Materials and methods. Sixty subjects diagnosed with LMTP in the antero-superior ﬁbers of the upper trapezius muscle were included in the study. PPT values were measured bilaterally in the upper trapezius, elevator muscle of scapula, GON, V1, and CIII–IV articular processes using a digital algometer. RANM in ﬂexion, extension, homolateral lateral ﬂexion, contralateral lateral ﬂexion, homolateral rotation, and contralateral rotation were measured with a bubble inclinometer. The intervention group received the MTP release technique, and the control group received a placebo technique with ultrasound without intensity.Results. The results obtained show that the release technique by pressing on the LMTP of the upper trapezius is effective in increasing the PPT in this muscle immediately after its application (p<0,01). It was also veriﬁed that the increase in the PPT in the upper trapezius, after the release of the LMTP, was accompanied by a simultaneous increase in the PPT in the contralateral upper trapezius, as well as in the elevator muscle of scapula bilaterally, GON bilaterally, CIII–IV articular processes bilaterally and V1 homolaterally. In both groups there was a signiﬁcant increase in RANM (p<0,01). However, in the intervention group this increase was signiﬁcantly higher, which may be quite relevant from a clinical point of view.Conclusions. The release technique by pressing on the LMTP of the upper trapezius muscle is a useful technique in osteopathy, since it contributes to the increase in PPT and RANM immediately after its application.
Substantiation of the possibility of osteopathic correction inclusion in the measures complex for the preoperative preparation of patients planned for extended abdominal surgery
Authors: Volkov P. A. , Litvinov N. I. , Bolotov D. A. 
Published: April 2021

Introduction. The problem of predicting and preventing of the complications development in the intra- and postoperative period is acutely relevant. There is strong evidence for a correlation between the patient’s preoperative status and the incidence of perioperative complications. At the same time, the search for additional methods for assessing and correcting the preoperative status remains an important task of modern medical science. In the context of this task, more and more attention is being paid to the approaches to diagnosis and treatment developed by osteopathy. Information about such studies for patients planned for abdominal surgery is practically absent in open sources today.The goal of research — is to substantiate the possibility of osteopathic correction inclusion in the measures complex for the preoperative preparation of patients planned for extended abdominal surgery.Materials and methods. The study involved 30 patients planned for extended abdominal surgery. The main and control groups were formed by the method of simple randomization, 15 people were included in each group. The participants of the control group received a standard set of measures for preoperative preparation, and the participants of the main group additionally underwent a course of osteopathic correction. The functioning indicators of the respiratory system [including the rapid shallow breathing index (RSBI) and the maximum value of the negative inspiratory force (NIF)] and the autonomic nervous system (Kerdo index), the pain syndrome severity (assessed by a visual analogue scale), and the actual time of transfer opportunity of patients from intensive care to a proﬁle department (assessed by a modiﬁed Aldrete–Kroulik scale).Results. It was found that after the premedication with the previous osteopathic correction course, the number of patients in a state of eutonia has signiﬁcantly increased, and the number of patients with increased sympathetic tone has decreased. The patients who received osteopathic correction had a statistically signiﬁcantly lower RSBI index and higher NIF values than those who did not receive the correction (p<0,05). The actual time of the patients transfer to a proﬁle department was also statistically signiﬁcantly shorter in patients who received osteopathic correction (p<0,05).Conclusion. The obtained results make it possible to recommend the inclusion of osteopathic correction in the complex of measures for the preoperative preparation of patients planned for extended abdominal operations.