bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of children`s psychomotor development in the remote period after aortic arch reconstruction with antegrade cerebral perfusion
Authors: Truba Y. P. , Tkachenko L. M. , Sekelyk R. I. , Dzyurii I. V. , Lazoryshynets V. V. 
Published: June 2021

Objective. To evaluate the psychomotor development of children after aortic arch reconstruction in the conditions of selective antegrade cerebral perfusion.
Materials and methods. The results of surgical treatment and psychomotor development of 48 children aged 1 to 3 years, who underwent reconstruction of the aortic arch in terms of artificial circulation and selective antegrade cerebral perfusion at the age of 1 year at the Amosov National Institute of Cardiovascular Surgery and the Scientific and Practical Medical Center of Pediatric Cardiology and Cardiac Surgery in the period from 2014 to 2019 were analyzed. To study the cognitive sphere and motor development of children we used the 2nd edition of the method "Bayley Scales of Infant Development - II". In analyzing the results in children with psychomotor developmental delay, the values of the mental index and the index of psychomotor development were taken into account.
Results. 2 (3.7%) patients died after surgery. Postoperative mortality was connected with neurological complications and technique of cerebral perfusion. In the remote period no patient died. According to neurosonography in the postoperative period, no pathological structural changes in the brain were detected. In 16 (33.3%) children at the age of 1 year there was a slight delay in mental and / or psychomotor development. Evaluation of the results of the survey in the dynamics showed that at the age of 3 years, 9 (18.7%) children had a slight development delay. The average values of the mental index in 1 year were 81.2 ± 8.6, and in 3 years - 96.4 ± 12.7 (p <0.05), and the index of psychomotor development - respectively 83.3 ± 11.4 and 94.5 ± 10.2 (p <0.05). The difference between the indicators of mental and psychomotor indices in children with congenital heart disease at 1 year and 3 years is statistically significant.
Conclusions. A delay in psychomotor development at the age of 1 year was revealed in 33.3% of children after the aortic arch reconstruction in the conditions of selective antegrade cerebral perfusion. This indicates the need for further research and monitoring. A statistically significant difference between the indicators of mental and psychomotor development of children aged 1 and 3 years after aortic arch reconstruction indicates a positive dynamics and recovery of psychomotor development with age in most of children.
Quality of life of treated patients with Mirizi syndrome
Authors: Pavuk F. M. 
Published: June 2021

Objective. To compare the quality of life of patients with spontaneous internal biliary fistula (SIBF) and without them, before and after surgery.
Materials and methods. 82 (38.7%) patients were diagnosed with Mirizzi syndrome (MS) type I, and 130 (61.3%) patients with type II (II-V) type MS. During the study, the classification of A. Csendes - M. Beltran was used. By sex, patients were distributed as follows: there were 68 men (32.0%), women - 144 (68.0%). The age of patients ranged from 37 to 80 years (average - 66.4 years). The GSRS (Gastrointestinal Symptom Rating Scale) questionnaire was used to assess quality of life. When comparing groups, the use of Student's T test comparative mean values and quadratic deviations. The reliability of the obtained p values were checked by the method of Bonferoni and False Discovery Rate (FDR).
Results. Multiple comparisons with Bonferon and FDR correction revealed statistically significant differences in the results between QOL of patients with MS I and II both before and after surgery. When compared on the scale of total measurement, it was found that the quality of life of patients without SIBF improved by 11% after cholecystectomy in MS I type. When comparing the results of QOL assessment before and after surgery in patients with type II MS, it was found that QOL after surgery in patients improved by 10% from baseline.
Conclusions. The quality of life of patients with MS I type is higher compared to patients with SIBF both before and after surgery (p=0.0001), which is due to impaired bile duct and gastrointestinal tract in SIBF. Elimination of SIBF improves the level of QOL of patients by 10%, which is characterized by a decrease in all items of the GSRS scale.
Factors influence mental health in adolescents
Authors: Mustamu Alva Cherry , Hasim Nur Hafni , Khasanah Furaida 
Published: June 2021

The mental condition of adolescents and children in Indonesia is currently alarming. Adolescents are vulnerable to various problems at the stage of development such as mental and emotional problems related to emotional disturbances, depression, resistance and behavioral disorders. the behavior or actions that arise by each individual depends on the emotional and thought conditions that arise before they decide to do something. The research is a descriptive analytic study with cross-sectional design aimed to determine the conditions that affect mental health in 80 teenage students of SMK Negeri 1 Sorong. The measuring instrument used was a questionnaire. simple logistic regression analysis test results show that parenting style, motivation and discipline simultaneously have an effect on adolescent mental health with a significance value (0,000 <0.005). Discipline, learning motivation has an influence on adolescent mental health with a significance value (0,000 <0.005) but parenting does not affect adolescent mental health with a significance value (0.382> 0.005). Adolescents need support including the environment to prevent mental disorders because it has a close relationship with academic success.
Vsevolod I. Astafyev – the Man ahead of Time
Authors: Grigoryev E. G. , Olenkina T. V. 
Published: June 2021

The authors describe the life and activity of a famous scientist and qualified Russian surgeon, a great man with distinguished leadership ability in medicine and higher medical education, Professor Vsevolod Ivanovich Astafyev.As a student, Vsevolod I. Astafyev was keen about emergency surgery, and worked a lot in experimental laboratory. He graduated from the Kursk medical institute with honors, completing by the time his PhD thesis. However, he gave up postgraduate study and began working as a surgeon in a district hospital. After returning to the Kursk medical institute, Vsevolod I. Astafyev worked as an assistant at the hospital surgery department and successfully defended his PhD thesis. At the age of 35, he defended his doctorate thesis and competed for a post of the head of hospital surgery department at the Irkutsk medical institute. He had continued to be actively engaged in science, pedagogy and practical surgery, and organized the Siberian branch of the All-Soviet Union Scientific Center of Surgery of the USSR Academy of Medical Sciences. The branch had a clinical base with 220 beds at the Irkutsk regional hospital. Vsevolod I. Astafyev created a school of polyvalent surgeons, lecturers, and scholars.In 1987, Vsevolod Astafyev accepted an offer to become the deputy head doctor of the Republican hospital of Yakutia. Shortly after coming to Yakutsk city, he was elected a deputy of the supreme council of the Yakut Republic. On his initiative, supported by the Republic’s governance, a modern equipped medical center was built and put into operation within a short time. The so-called “sanctuary of science” still successfully works as one of the leading clinics of Russia and abroad.
Experience of Using a Complex Antigenic Preparation of the Plague Microbe to Assess the Severity of a Specific Anti-Plague Response
Authors: Dubrovina V. I. , Korytov K. M. , Petyatestnikova A. B. , Kiseleva N. O. , Voitkova V. V. , Bryukhova D. D. , Nikolaev V. B. , Polovinkina V. S. , Salchak L. K. , Shchuchinov L. V. , Balakhonov S. V. 
Published: June 2021

Background. Improving the methodology of immunological monitoring in natural foci of plague in the Russian Federation and adjacent territories to increase the effectiveness of epidemiological surveillance of plague is an urgent line of research. The lack of correlation between the production of specific antibodies to the capsular antigen (F1) ofthe plague microbe with other indicators of the state of cellular defense reactivity indicates the need to search for new informative and accessible markers for assessing anti-plague immunity.Objective: to evaluate possibility of using the complex preparation (F1 and cell membranes) evaluate the possibilities of using an artificial antigenic complex based on F1 and cell membranes (CM) of the plague microbe in antigen-specific tests in vitro in people vaccinated against plague.resu. The study involved 153 volunteers living in the territory enzootic for plague (the village of Khandagayty ofthe Ovyur kozhuun of the Tyva Republic and the village of Kosh-Agach of the Kosh-Agach district of the Altai Republic). The study included the determination of spontaneous and mitogen-induced production of cytokines (IFN-γ, IL-4, TNF-α) by blood cells, titers of specific IgG antibodies to the capsular antigen F1 of the plague microbe and concentrations ofthe main classes of immunoglobulins (IgM, IgG, IgA and IgE) in blood serum, as well as immunophenotyping of blood lymphocytes (CD3, CD4, CD8, CD16, CD19).Results. Comparative assessment of the level of cytokines (TNF-α, IFN-γ and IL-4) in spontaneous/induced F1+CM Y. pestis tests revealed a statistically significant increase in the production of cytokines TNF-α and IFN-γ in the antigeninduced tests compared with spontaneous (p < 0.01).Conclusion. Thus, the effectiveness of the use of artificial antigenic complex based on F1 and cell membranes ofthe plague microbe has been shown to assess the production of cytokines in antigen-specific cell tests in vitro, which justifies the need for further research.
Potensi Kejadian Burnout pada Mahasiswa Kedokteran di Masa Pandemi Covid-19
Authors: FIRDAUS AHMAD , YULIYANASARI NURMA , DJALILLAH GINA NOOR 
Published: June 2021

<p><strong>Abstract </strong></p><p>Covid-19 pandemic has caused universal psychosocial repercussions and mass hysteria among the society and various sectors, including education sector. The online learning or distance learning applied during the pandemic has worsened the stress experienced by medical students. The stress level increased due to gaps in access to learning and excessive assignments given without considering students’ cognitive, affective, and psychomotor domains. Continuous academic stress in the long term would bring negative impacts, leading to lower learning motivation and burnout syndrome. The quality of social relationship has been known to significantly affect anxiety level. Therefore, cooperation from family, community, academic institutions, and government agencies in providing social attention and support is needed. In addition, intrinsic preventions through the improvement of lifestyle, health-related behaviour, religious approaches (The Psychology of Religion), motivation, and self-resilience are also important to avoid burnout syndrome among medical students.</p><p>This study was conducted to propose insights that are expected helpful in anticipating, preventing and minimizing the occurrence of burnout syndrome which would lead to maladaptive behaviours among medical students</p><p> </p><p><strong>Abstrak</strong></p><p>Pandemi Covid-19 telah menyebabkan dampak psikososial universal dan histeria massal di berbagai strata masyarakat. Tidak terkecuali dalam bidang pendidikan. Pasalnya, metode pembelajaran <em>daring</em>/jarak jauh di saat pandemi ini, mampu menambah tingkat stres mahasiswa kedokteran yang sudah ada sebelumnya. Hal ini dipicu karena kesenjangan akses pembelajaran dan banyaknya tugas yang diberikan tanpa memperhatikan ranah kognitif, afektif, dan psikomotorik mahasiswa. Stres akademik dalam jangka waktu lama dan terus-menerus menimbulkan dampak negatif yang dapat menyebabkan perubahan motivasi dan mengakibatkan terjadinya burnout syndrome. Kualitas hubungan sosial sangat mempengaruhi terhadap tingkat kecemasan. Oleh karena itu, kerjasama dari berbagai kalangan seperti keluarga, masyarakat, institusi akademisi, dan lembaga pemerintahan dalam memberikan perhatian dan dukungan sosial sangat penting dilakukan. Selain itu, upaya pencegahan instrinsik seperti <em>Lifestyle and health behaviour</em>, pendekatan agama<em> (The Psychology of Religion)</em>, motivasi, dan ketahanan ketahanan diri <em>(Self Resilience)</em> tidak kalah penting sebagai prevensi terhadap potensi burnout pada mahasiswa kedokteran.</p><p>Tujuan dari penulisan ini diharapkan mampu mengantisipasi, mencegah, ataupun meminimalkan terjadinya<em> burnout syndrome</em> pada mahasiswa kedokteran yang berdampak pada mereka untuk melakukan perilaku maladptif.</p>
HİNDİSTAN OTOMOBİL ENDÜSTRİSİNİN GELİŞİMİNDE DEVLETİN ROLÜ
Authors: YAVUZ TİFTİKÇİGİL Burcu , ÖZTÜRK Ali Cem 
Published: June 2021

Küreselleşmeyle birlikte üretim faaliyetleri kaynak ve karlılık açısından dünya genelinde yeniden dağılım göstermiş ve bazı bölgeler çeşitli endüstriler açısından cazibe merkezi haline gelmiştir. Hindistan'ın bu yeni düzende payına düşen sektörlerden biri de otomobil sektörü olmuştur. Nitekim Hindistan otomobil endüstrisi son on beş yılda büyük bir büyüme göstermiştir. Halihazırda ülke, otomobil üretiminde dünya dördüncüsü, ticari araç üretiminde ise dünya yedincisidir.
Otomotiv sektörü Hindistan'ın ekonomik büyümesinin önemli belirleyicilerinden biridir. Otomotiv endüstrisinin ekonomide geriye ve ileriye doğru ve imalat sanayi ile bağlantıları kuvvetlidir. Dolayısıyla bu sektör ekonomik büyüme açısından büyük bir çarpan etkisi yaratmaktadır. Hindistan, ülke dinamiklerini ve dünyadaki talep yapısını dikkate alarak küçük, yakıt tasarrufu sağlayan, düşük fiyatlı otomobiller üretmeyi planlamaktadır ve halihazırda küresel otomobil üretim ağında önemli bir kompakt otomobil üreticisi olarak ortaya çıkmaktadır.
Hindistan'ın önemli bir otomotiv üretim merkezi olmasının temel sebepleri arasında devletin otomobil endüstrisine yönelik uyguladığı politikalar, emek başta olmak üzere ucuz üretim faktörlerinin olması, bazı tarihsel ve coğrafi nedenler,nüfus artışı ve ekonomik büyümeye bağlı olarak otomobile olan artan iç talep yer almaktadır.
Bu çalışmanın amacı Hindistan otomotiv sektörünü incelemek ve otomotiv endüstrisinde yaşanan gelişmelerde devlet politikalarının önemini tespit etmektir.Çalışmada milli otomotiv endüstrisi içinde binek araçların konumu incelenecektir, ticari araçlar kapsam dışıdır.
BİR KENT TARİHİ İNCELEMESİ: ARŞİV BELGELERİNDE NEVŞEHİR (1960-1970)
Authors: ÖZ Enes 
Published: June 2021

Çalışmamızda 1960-1970 yılları arasında Cumhuriyet Arşivi’nde Nevşehir ile ilgili sosyal, ekonomik ve siyasi konular incelenmiştir. Konumuzu kapsayan yıllarda il genelinde yaşanan ve devlet makamlarına yansımış gelişmelerin ortaya çıkarılması temel savımız olmuştur.
Arşiv belgelerinde yer alan yazışmalar çalışmanın merkezine konulmuş, şehri ilgilendiren arşiv kayıtlarına ulaşılmış, ulaşılan yazışmaların tahlil ve tasnifi yapılmış, verilen kararlar çerçevesinde Nevşehir’in 1960’lı yılları ele alınmıştır.
1954 yılında Nevşehir’in il olması sonrası yoğunlaşan ve arşive geçen yazışmalar, 1960-1970 yılları arasında daha da artış göstermiştir. Arşivde, Nevşehir’de çeşitli makamlara yapılan tayin, atama ve terfiler, il siyasi sınırlarının tespitleri ile ilgili yazışma ve kararlar saptanmıştır. Buna ek olarak Nevşehir’in ekonomik kalkınmasını ilgilendiren belgeler de ortaya çıkarılmıştır. Yaşanan kuraklıktan dolayı çiftçi borçlarının ertelenmesi, Nevşehir’e kurulan tekstil fabrikasının açılma süreci ve bölge üzümünün ticari değerini arttırmak adına fikir aşamasında kalmış düşünceler arşiv kayıtlarında önemli bir yer tutmuştur. Cumhuriyet Arşivi içerisinde Nevşehir’deki bayındırlık faaliyetlerine, halkın isteklerine ve yaşanan afetlerden sonra yapılan yardımları ilgilendiren kararlara da ulaşılmıştır.
New approaches in providing care to surgical patients under conditions of COVID-19 pandemic on the basis of Military medical clinical center of Central region
Authors: Shaprynskyi V. O. , Verba A. V. , Shaprynskyi Y. V. , Martsynkovskyi I. P. , Shalyhin S. M. 
Published: June 2021

Annotation. Nowadays, in coronavirus disease pandemic, the conditions for emergency surgery have changed. The aim of the work was to improve the provision of emergency surgical care under conditions of COVID-19 pandemic by developing and implementing clinical pathway of patients, using the remodeled infectious disease unit with a specially equipped operating room. To improve emergency surgical care under conditions of coronavirus pandemic, clinical pathways have been developed and implemented for management of patients with acute surgical pathology: the pathway of the patient requiring emergency surgery with suspected COVID-19 during self-presentation, the patient delivered by ambulance, in mass admission of patients, in admission of servicemen. Part of the hospital stock was restructured into isolated off-line infectious disease unit for treatment of patients with COVID-19 in a separate two-story building. Specially equipped operating room of the off-line infectious disease unit has separate entrances for patients and medical staff, which ensures the distribution of patient flows in the operating room. Clinical pathways for providing emergency care to patients with acute surgical pathology, developed by the authors, made it possible to divide them into flows and minimize possible risks of coronavirus infection in medical staff and other groups of patients. Under pandemic conditions, restructuring of hospital stock along with creation of off-line units with the use of existing staff seems to be warranted. Appropriate training of medical personnel in the restructured units working with COVID-19 infection as well as the development of rotational system mechanism for medical personnel are urgently required. Clinical results of treatment of patients with acute surgical pathology in the off-line infectious disease unit for patients with COVID-19 will be the object of future studies.
Complex physiological and hygienic assessment of the main regime elements of educational and extracurricular activities of students of institutions of higher medical education in the conditions of distance learning
Authors: Vergeles T. M. , Serheta I. V. 
Published: June 2021

Annotation. Physiological and hygienic assessment of the main regime elements of educational and extracurricular activities of young girls and young boys in higher education is an essential component of research, which involves identifying risk factors for the likely development of negative changes in the functionality and adaptive resources of their organism. The research, based on the application of questionnaires and structured interviews, was conducted on the basis of National Pirogov Memorial Medical University, where under supervision during the observation period were 110 students who studied on 1 and 3 courses. The analysis of the obtained data and their prognostic evaluation involved the use of descriptive statistics procedures based on the use of a standardized package of statistical analysis applications “Statistica 6.1 for Windows” (licensed № ВXXR901E245722FA). In the course of the research a comprehensive physiological and hygienic assessment of the main regime elements of educational and extracurricular activities of students of higher medical education in the organization of distance learning and identified their leading differences from similar characteristics when using traditional forms of education. It was found that the share of indicators on the duration of continuous study activities of students, which are considered unfavorable and those that exceed its maximum allowable time range (more than 9 hours, from 8 to 9 hours and from 7 to 8 hours), under the use of distance format was lower than the proportion of similar indicators in the classroom. At the same time, the opposite picture is registered during the analysis of data on the features of educational and meaningful preparation for practical classes carried out at home. Among distance learning students, data that reflected the indicators of the duration of the dynamic component in the structure of the daily time budget had to be considered significantly lower. In the course of a subjectively significant generalized assessment of the daily activities of young girls and young boys, it was found that it should be considered more intense in terms of the use of distance learning technologies. The obtained results should be further used both for the development of methods for comprehensive assessment of the state of adaptive resources of students, taking into account the peculiarities of their daily activities, and during the scientific substantiation of effective use of health technologies in higher medical education.
Relationship between Religious Commitment and Career Decision Making Among International Islamic University Malaysia (IIUM) Students
Authors: Mohamed Rashad Aisha 
Published: June 2021

This study is an exploration of the relationship between religious commitment and career decision making among students at the International Islamic University Malaysia. The sample of this study consisted of two hundred and thirty students. The major hypotheses of the study were that (a) the degree of religious commitment among students in IIUM is high, (b) the students are highly confident in their career decisions; (c) there is a positive correlation between confidence in career decisions and religious commitment. The instruments used were Career Decision Scale (CDS) and Religious Commitment Inventory (RCI). The results found that students of IIUM have a high level of religious commitment and a moderate level of confidence in career decision-making. Multivariate Analysis of Variance showed a significant difference between local and

Abstrak

Kajian ini adalah satu ekplorasi tentang hubungan antara komitmen agama dan pertimbangan pemilihan kerjaya dalam kalangan 230 orang mahasiswa di Universiti Islam Antarabangsa Malaysia (UIAM). Hipotesis utama adalah (a) darjah komitmen agama mahasiswa UIAM adalah tinggi; (b) mahasiswa mempunyai keyakinan yang tinggi dalam pertimbangan kerjaya mereka; (c) terdapat korelasi positif antara keyakinan dalam pertimbangan kerjaya dan komitmen agama. Instrumen yang digunakan adalah Skala Pertimbangan Kerjaya (CDS) dan Inventori Komitmen Agama (RCI). Hasil kajian mendapati bahawa mahasiswa UIAM mempunyai komitmen agama bertahap tinggi dan keyakinan dalam membuat pertimbangan pemilihan kerjaya yang sederhana. Analisis Varian Multivariat menunjukkan perbezaan yang signifikan antara mahasiswa tempatan dan antarabangsa di mana mahasiswa antarabangsa lebih tinggi keyakinan dalam membuat pertimbangan kerjaya. Analisis korelasi statistiks tidak menunjukkan korelasi yang signifikan antara CDS dan RCI seperti yang dijangka oleh hipotesis. Bagaimanapun, hasil kajian menunjukkan hubungan yang signifikan dan positif antara subskala “kepastian kerjaya” dan komitmen agama. Dapatan ini mempunyai implikasi yang penting bagi kaunselor kerjaya, sebab ia menunjukkan kepentingan komitmen agama dalam kaunseling kerjaya.
International students with international students having more confidence in career decision-making. Using statistical analysis of correlation, results did not show any significant relationship between CDS and RCI as was predicted by the hypothesis. However, the results showed a significant, positive relationship between the ‘career certainty’ subscale and religious commitment. These findings have important implications for career counsellors, as they show the importance of religious commitment in career counseling.