bluuebunny/crossref_metadata_2025_split huggingface dataset:
Treatment of insomnia in elderly patients with headaches
Authors: Golovacheva V. A. , Golovacheva A. A. 
Published: November 2023

The article describes clinical cases of elderly patients with primary headaches and insomnia managed in neurological practice. The first clinical case provides details of the typical medical history of a female patient with acute insomnia and episodic tension-type headache, the second one describes the typical medical history of a patient with chronic insomnia and chronic migraine. Clinical examples demonstrate common errors in the management of patients with insomnia and primary headaches in real-life medical practice. The influence of psychosocial (stress, anxiety, negative misconceptions about the disease, dysfunctional behaviour, symptom catastrophizing) and iatrogenic (ordering excessive additional diagnostic tests, over-diagnosing of detected structural changes in the spine, neck vessels, brain, diagnostic errors, prescribing of ineffective treatment) factors on the development of insomnia and increase of headaches in frequency is shown. The features of the presented clinical cases are to demonstrate the relationship between insomnia and increased frequency of primary headaches. Patients were treated using the interdisciplinary program comprising non-drug treatments and drug therapy. It has been shown that the treatment of insomnia can not only improve the quality of sleep, but also reduce the frequency of headaches.SonNorm Duo containing melatonin, motherwort extract and peppermint leaf oil was used as a drug therapy for acute and chronic insomnia. Melatonin and substances of plant origin have a high level of effectiveness in the treatment of insomnia and are recommended as drugs to be used first to treat insomnia. The drug therapy of acute and chronic insomnia was combined with highly effective non-drug treatments: an educational program to improve sleep hygiene, cognitive behavioural therapy, and relaxation exercises. During treatment, patients reported an improvement in their sleep quality as early as in the first month. A stable normalization of sleep and a significant decrease in headache frequency in a patient with acute insomnia and episodic tension-type headache occurred after the fifth week of treatment and in a patient with chronic insomnia and chronic migraine after the second month of treatment. A 12-month follow-up of patients showed that the positive effect of the treatment was maintained.
Sacroiliac joint syndrome is the cause of musculoskeletal back pain
Authors: Belskaya G. N. , Sakharova E. V. , Makarov G. V. 
Published: November 2023

The article considers a clinical case of treatment of one of the variants of nonspecific back pain – sacroiliac joint syndrome. In this case, we tried to demonstrate the importance of timely and accurate determination of the cause of dorsalgia using currently available tools: medical scales, X-ray and MRI examination, diagnostic drug blockade of the pain zone. A scrupulous analysis of complaints, anamnesis and clinical manifestations of the patient, a differential diagnosis with a number of diseases with a similar clinical picture, as well as the choice of treatment tactics based on federal clinical recommendations for the treatment of patients with nonspecific back pain made it possible to quickly determine the diagnosis and cope with the pain syndrome. Therapy with the inclusion of medications, physiotherapy, manual therapy, post-isometric relaxation, physical therapy, posture correction allowed the patient to stop the pain syndrome and return to an active lifestyle. Dexketoprofen (Dexalgin®) was prescribed to relieve the pain syndrome. Optimization of the method of administration of the drug is a step-by-step scheme for prescribing dexketoprofen: parenteral administration of 2 injections (50 mg) intramuscularly daily for 2 days, then transfer to oral Dexalgin intake – 25 mg 2 times a day for 3 days under the guise of proton pump inhibitors – Esomeprazole 40 mg 1 time a day, the use of a patch with a local anesthetic, vitamins of group B – 12 days, therapeutic and diagnostic drug blockades – contributed to a significant reduction in the intensity of the pain syndrome and allowed to prevent its transformation into a chronic process. As a result of the use of complex, pathogenetically based therapy, a rapid positive therapeutic effect was achieved.
Rehabilitation after stroke
Authors: Pizov N. A. 
Published: November 2023

Stroke is one of the most common causes of neurological impairment in adults. Recovery from impairment after a stroke is usually incomplete, and approximately 50% of patients are left with disabilities, making them dependent on others. Functional deficits after stroke are also associated with huge financial burden on the patient, family, and society. Worldwide, stroke is the leading cause of disability in adults, often resulting in impairments such as muscle weakness, sensory deficits, spasticity, balance problems, decreased dexterity, communication difficulties and cognitive impairment. The increased number of stroke survivors creates a high demand for effective and accessible neurorehabilitation treatments. Rehabilitation after stroke aims to reduce disability by facilitating recovery of impairment, activity or participation. Different techniques and methods can be used in rehabilitation management. Stroke rehabilitation requires repetitive, intensive, goal-oriented therapy. Rehabilitation training can effectively improve limb functioning in stroke patients and reduce disability. The effectiveness of most interventions for the upper and lower limbs is driven by repetition and principles of task- and context-specific motor learning. Among the important directions of stroke rehabilitation will be to optimize the prediction of post-stroke outcomes, identify more sensitive and specific recovery biomarkers, personalize rehabilitation measures depending on the severity and nature of the vascular accident, as well as understand and address socio-economic barriers to the recovery process.
POLITICAL TRANSFORMATIONS IN UKRAINE (1991-2019): RUNNING IN A CIRCLE ON THE WAY TO DEMOCRACY
Authors: Pashkov Viktor , Khomeriki Olena 
Published: November 2023

The article at tempts to comprehend the transformations of the political regime in Ukraine in the period 1991-2019. The features of the political development of the country since the declaration of independence, the specifics and logic of the functioning of the political regime in Ukraine during the presidency of L. Kravchuk, L. Kuchma, V. Yushchenko, V. Yanukovych and P. Poroshenko are determined. The trajectory of political development since the declaration of independence is analyzed through the prism of transitological studies. Base don’t his, it was determined hat in this process Ukraine fell into an “institutional rut”, when the change of presidents and government teams did not lead to a consistent movement towards democracy, but rather had a pendulum effect, thereby ensuring the country’s stable stay in the “gray zone” between democracy and authoritarianism. The chain of political and regime transformations in Ukraine began with the regime of the first President L. Kravchuk, which can be characterized as unconsolidated competitive authoritarianism. It functioned in a situation of constant struggle between the centers of power for the future institutional structure of the state. Since the adoption of the Constitution in 1996, it began to evolve towards consolidation, but for a number of reasons, the political regime in Ukraine in 1996-2004 reached the level of semi-consolidated competitive authoritarianism. The period of V. Yushchenko’s presidency was marked by the transformation of the country’s political regime into an unstable electoral democracy, which, after President V. Yanukovych came to power, again regressed to the level of competitive authoritarianism: in 2010-2012 – semi-consolidated, in 2012-2013 ‑ consolidated. The Revolution of Dignity marked another breakthrough in democratization and the transition to a cartel electoral democracy. However, since mid-2016, the Poroshenko regime began to evolve into unconsolidated competitive authoritarianism.
METHODOLOGICAL FOUNDATIONS OF THE POLITICAL PROBLEMS OF THE TRADITIONALIST DOCTRINE OF R. GUÉNON
Authors: Malkina Hanna , Pastukhov Anton 
Published: November 2023

This scientific work explains the basic methodological determinants of political issues in the teachings of the famous French traditionalist Rene Guénon. The main scientific problem that was solved in the article is the theoretical preparation of the methodological structure of the ideas of R. Guénon and the identification of central ideas for the analysis of the political topic of the doctrine of traditionalism.
A Brief, Digital Music-Based Mindfulness Intervention for Black Americans With Elevated Race-Based Anxiety and Little-to-No Meditation Experience (“healing attempt"): Replication and Extension Study
Authors: Jones Grant , Castro-Ramirez Franchesca , Al-Suwaidi Maha , McGuire Taylor , Herrmann Felipe 
Published: November 2023

Background
Race-based anxiety is a critical health issue within the Black community. Mindfulness interventions hold promise for treating race-based anxiety in Black Americans; however, there are many barriers that prevent Black Americans from using these treatments, such as low cultural relevance, significant time burdens, and excessive costs.

Objective
This study is a replication and extension of findings that “healing attempt”—a brief (<60-minute), digital, music-based mindfulness intervention—is a feasible and acceptable intervention for race-based anxiety in Black Americans. In this study, we tested this research question among those with little-to-no meditation experience.

Methods
The participants were 4 Black American adults with elevated race-based trait anxiety and little-to-no meditation experience. We used a series of multiple-baseline single-case experiments and conducted study visits on Zoom (Zoom Video Communications) to assess whether the intervention can decrease state anxiety and increase mindfulness and self-compassion in Black Americans. We also assessed feasibility and acceptability using quantitative and qualitative scales.

Results
In line with our hypotheses, “healing attempt” increased mindfulness/self-compassion (Tau-U range: 0.57-0.86; P<.001) and decreased state anxiety (Tau-U range: –0.93 to –0.66; P<.001), with high feasibility and acceptability (the average likelihood of recommending “healing attempt” was 88 out of 100).

Conclusions
“healing attempt” may represent a feasible intervention for race-based anxiety in Black Americans with elevated race-based anxiety and little or no mindfulness experience. Future between-subjects randomized feasibility trials can assess whether the intervention can give rise to lasting improvements in race-based anxiety, mindfulness, and self-compassion.

Trial Registration
OSF Registries osf.io/k5m93; https://osf.io/k5m93
Praktik Komodifikasi dan Kepelikan Sistem dalam Shopee Affiliates Program
Authors: Fitriani Hikmatul Arifah 
Published: November 2023

Technological developments bring us to live an easy life. This not only disrupts human activities in the field of technology but also spreads to various other fields such as economics, politics, and social affairs. Many things that once seemed impossible, have become possible. One example is work activities which are now becoming more practical. We no longer need to go to work every day. Now work can be done from anywhere. In a work activity, we exchange the value which we have with the wages of the industry. As with work in general, the bigger value and the work effort we give will be proportional to the wages we get. So what if there is a job offer that pays well, but requires little effort? This is what is offered by Shopee Affiliates Program. We only need to recommend products by sharing affiliate links. When someone is shopping with the link then we will get a commission income. Sounds easy and quite tempting, right? This research will analyze commodification practices in Shopee Affiliates Program and how the efforts made by Shopee to control Affiliates Partner as a third party also contribute to profits for the marketplace.
Peculiarities of the Provision of Surgical Care for Abdominal Emergencies in Hospitals Remodeled to Provide Medical Care to Patients with COVID-19 From the Perspective of a Systematic Review and Analysis of the Quality of Publications
Authors: Karsanov A. M. , Aleksandrov V. V. , Maskin S. S. , Korovin A. Ya. , Popandopulo K. I. 
Published: November 2023

Relevance. Due to the pandemic of the new coronavirus infection, changes have occurred in the work of most surgical hospitals aimed at optimizing and improving the provision of medical care. Performing acute and emergency surgical interventions in patients with confirmed COVID-19 infection dictates the need to review surgical tactics.Aim of study. To assess the quality of publications in the scientific press from the standpoint of systematic analysis on the provision of emergency surgical care in remodeled hospitals and to identify the main changes in surgical tactics in patients with abdominal emergency and COVID-19.Material and Methods. The analysis of data from publications dated from December 2019 to July 10, 2021 from electronic databases PubMed, Cochrane Library, Scopus, eLibrary. An analysis of numerous studies, recommendations of national and international surgical, urological, oncological, gynecological, endoscopic and anesthesiological communities and associations, the World Health Organization, temporary guidelines of the Ministry of Health of the Russian Federation on the prevention, diagnosis and treatment of new coronavirus infection was performed. The quality of the selected publications was assessed in accordance with the recommendations.Results. When analyzing the selected publications, it was revealed that most of them are retrospective, uncontrolled one-time studies and descriptions of clinical cases (level 4 evidence, level C recommendation). We found 1 combined (prospective-retrospective) multicenter and 1 retrospective comparative study on the treatment tactics of acute cholecystitis, 1 retrospective multicenter cohort study on acute pancreatitis, 1 retrospective study on acute intestinal obstruction and 2 studies on acute appendicitis, 1 case-control study on gastrointestinal tract and intestinal bleeding (level 3 evidence, level B recommendation).Conclusion. Currently, there are no high-level evidence or recommendations to change surgical tactics in patients with COVID-19 and abdominal emergency.
The Role of Extracorporeal Membrane Oxygenation in the Complex Treatment of Acute Chemical Poisoning
Authors: Simonova A. Yu. , Potskhveriya M. M. , Zhuravel S. V. , Petrikov S. S. , Talyzin A. M. 
Published: November 2023

Aim of study. Analysis of literature data on the use of extracorporeal membrane oxygenation in acute chemical poisoning.Material and methods. The search for domestic publications was carried out in the Elibrary database, foreign publications — in the MEDLINE / PubMed, Google Scholar databases for the period of 2010–2023. The terms used as a search query were according to the official MeSH terms: “Extracorporeal Membrane Oxygenation” OR “Membrane Oxygenation, Extracorporeal” OR “ECMO Treatment” AND “poisoning”.Results. This review provides information on the outcomes of the use of veno-arterial and veno-venous extracorporeal membrane oxygenation (ECMO) for refractory cardiogenic shock, cardiac arrest and severe ARDS in acute chemical poisoning.Conclusion. Data analysis showed that in patients with acute chemical poisoning, the incidence of complications and mortality was lower when ECMO/ECMOCPR was included in the complex therapy compared with patients in whom other reasons (not related to acute poisoning) served as indications for the use of this technique. This is probably due to the fact that patients in the group with acute poisoning are younger, they have fewer concomitant diseases; and ECMO is required, as a rule, for a shorter period of time before the toxicant is eliminated from the body using the methods of their elimination and restoration of disturbed functions.
The Use of Infectious Diseases Hospital Resources During the COVID-19 Epidemic Depending on Patient Characteristics
Authors: Kiselevskaya-Babinina V. Ya. , Popugaev K. A. , Molodov V. A. , Kiselevskaya-Babinina I. V. 
Published: November 2023

Background. The research of infectious hospital bed use and infectious patients’ characteristics during the COVID-19 pandemic allows proposing effective management strategies for possible future epidemics.Aim of study. The analysis of infectious bed fund use at the N.V. Sklifosovsky Research Institute for Emergency Medicine (the Institute) and the characteristics of admitted patients with COVID-19 in order to determine the factors that are important for improving the medical care provision.Material and methods. The data of 3365 patients treated at the Institute from March 2020 to June 2021 was used. Among them 1778 males, median age 62, average length of stay 11.2, mortality rates 17.8%, non-invasive mechanical ventilation was used for 21.5% of patients, invasive one — for 16%. For comparing the patients according to various characteristics, Fisher’s exact test and Pearson’s correlation coefficient were used. Length of stay was compared to exponential distribution using Pearson’s chi-squared test. Comorbidity was measured using the Charlson Comorbidity Index. For all calculations R software environment was used. Survival curves were obtained via the Kaplan-Meier method. Statistical significance was less than 0.05.Results. Periods of increase and decrease in hospitalization number correspond to an increase and decrease in the detection of COVID-19 cases in Moscow without lag. Intensive care for COVID-19 patients was needed in 96% of cases, readmissions to intensive care – 37%. The effective ratio of intensive care to hospital beds was determined to be higher than 2/1. The improvement in resuscitation capacity helps to avoid overload with an increase in the number of patients treated. When a patient is admitted in satisfactory condition, mortality is practically zero, while with increasing severity, mortality reaches 30–100%. The mortality rates of patients treated with the help of respiratory support is 7–40 times higher than in patients with spontaneous breathing. Higher values of the Charlson Comorbidity Index correspond to increased risks of severe course and death for patients.Conclusion. When providing medical care during the increase in number of infectious disease daily cases, the amount of deployed intensive care units becomes of a paramount importance. To determine the size of the bed fund, it is possible to use readily available estimates of the proportion of the population at risk of an adverse outcome from an infectious disease, based on the value of the Comorbidity Index.
Vaccination against influenza and attitudes towards seasonal vaccination of medical students from the Medical University of Silesia
Authors: Wojczyk Marek , Rutecka Paulina , Wolak Dawid , Zięba Zuzanna , Zatłoka Dorota , Klimas Filip , Wójsik Urszula , Wójtowicz Katarzyna 
Published: November 2023

Abstract

Introduction
To reduce the incidence of influenza, healthcare workers and medical students are recommended to receive annual seasonal vaccination. This study aimed to investigate the behavior of students regarding their willingness to be vaccinated against influenza and the attitudes influencing their approval or disapproval of influenza vaccination.

Materials and Methods
This cross-sectional study was designed as an online survey among students of the Medical University of Silesia (MUS) of all years and specialties, as MUS is the largest medical college in Poland. A total of 302 students participated in the study and completed an online questionnaire. The collected data were analyzed using descriptive and analytical statistics. The significance of the differences was tested using the chi-square test.

Results
The percentage of students who received influenza vaccinations in the past was 42.1%, and in the current influenza season (Autumn 2022) was 33.4%. The level of vaccination differed significantly depending on the study program (p < 0.001). An important variable affecting the decision to vaccinate was participation in clinical classes. Among the students taking practical classes, 59.4% were vaccinated. Most respondents had a positive opinion about influenza vaccination (98%). Belief in the effectiveness of vaccination (35.6%) was the main reason for vaccination against influenza, as indicated by the respondents. The main reason for not being vaccinated was a lack of fear of influenza infection (22.9%).

Conclusions
The results obtained in this study indicate the need to introduce changes in the field of broader education regarding the effectiveness of vaccinations in reducing the number of influenza virus infections among medical students.
The Impact that Gait Disorders Have on the Quality of Life of Patients Admitted for Rehabilitation Treatement
Authors: Minea Mihaela , Hangan Laurențiu-Tony , Chirilă Sergiu , Iliescu Mădălina-Gabriela 
Published: November 2023

Abstract
Introduction. Human gait is the motor ability which leads body to move being accepted as a defining factor of wellbeing. We aimed to identify the gait disorders of patients with different pathologies, admitted in our unit and their effects on functionality and quality of life.
Material and Methods: We used a descriptive study, which included 79 patients hospitalized in our rehabilitation unit during four weeks. We collected demographical, social and medical data, information about characteristics and age of the walking disorders, and daily level of physical activity and quantified the Health Assessment Questionnaire (HAQ) Disability Index (DI). Each patient had been clinically evaluated, the gait was assessed and the functional independence measure (FIM), body mass index (BMI), risk of falling (RF) were calculated.
Results: Subjects of our group were aged 60,72 ± 10,3, 49 women and 30 men. They were admitted for rheumatological diseases (50), neurological pathologies (26) and 3 for healing after trauma. 24 patients of our group considered that a normal gait is the most important aspect of their wellbeing. After clinical evaluation, we identified 35 patients with gait disorders. Five of them didn’t consider that they had any walking changes, 19 were able to walk without any help, 3 were wearing plantar orthoses, 4 patients needed walking sticks, 2 subjects frame and another 2 used the wheelchair. We found a direct correlation between HAQ-DI and gait changes length.
Conclusions: Gait disorders influence the quality of life and if they aren’t corrected, the functional capacity decreases.
Ergonomics - Noise and Ilumination in the Pharmaceutical Industry
Authors: Nastasie Alina Constantina , Severin Beatrice 
Published: November 2023

Abstract
Applied ergonomics in the pharmaceutical industry, involves the design and adaptation of work spaces from the production area, equipment and tasks for operator safety, noise level and lighting, being the factors that create real discomfort. The noise is present in all machines in this industry, the noise level being the one that requires additional protection measures for some machines. In the following, the analysis of the data collected from the occupational medicine and the measurements carried out, it was found that the wearing hearing protection equipment and optimization of lighting are mandatory at the level of departments production, especially hearing protection is mandatory at the level of tablet presses, because the noise level is the highest with these machines.