bluuebunny/crossref_metadata_2025_split huggingface dataset:
What Do We C in Children With Scurvy? A Case Series Focused on Musculoskeletal Symptoms
Authors: Gilley Stephanie P. , Ta Allison , Pryor William , Roper Brennan , Erickson Mark , Fenton Laura Z. , Tchou Michael J. , Cotter Jillian M. , Moore Jaime M. 
Published: January 2024

OBJECTIVES
Vitamin C deficiency in children commonly presents with musculoskeletal symptoms such as gait disturbance, refusal to bear weight, and bone or joint pain. We aimed to identify features that could facilitate early diagnosis of scurvy and estimate the cost of care for patients with musculoskeletal symptoms related to scurvy.

METHODS
We conducted a retrospective chart review of patients at a single site with diagnostic codes for vitamin C deficiency, ascorbic acid deficiency, or scurvy. Medical records were reviewed to identify characteristics including presenting symptoms, medical history, and diagnostic workup. The Pediatric Health Information System was used to estimate diagnostic and hospitalization costs for each patient.

RESULTS
We identified 47 patients with a diagnosis of scurvy, 49% of whom had a neurodevelopmental disorder. Sixteen of the 47 had musculoskeletal symptoms and were the focus of the cost analysis. Three of the 16 had moderate or severe malnutrition, and 3 had overweight or obesity. Six patients presented to an emergency department for care, 11 were managed inpatient, and 3 required critical care. Diagnostic workups included MRI, computed tomography, echocardiogram, endoscopy, lumbar puncture, and/or EEG. Across all patients evaluated, the cost of emergency department utilization, imaging studies, diagnostic procedures, and hospitalization totaled $470 144 (median $14 137 per patient).

CONCLUSIONS
Children across the BMI spectrum, particularly those with neurodevelopmental disorders, can develop vitamin C deficiency. Increased awareness of scurvy and its signs and symptoms, particularly musculoskeletal manifestations, may reduce severe disease, limit adverse effects related to unnecessary tests/treatments, and facilitate high-value care.
Improving Psychological Well-Being of Prospective Early Childhood Education Teachers: Module Development Using 4D Model
Authors: Rahmanita Ulya , Asiyah Asiyah , Marhayati Nelly , Alimni Alimni , Khatoon Sahib 
Published: January 2024

This study aims to develop psychological well-being (PWB) module for prospective Early Childhood Education (ECE) teachers using Thiagarajan 4D Model, namely define, design, development and dissemination. The module was validated by material, design, and language experts, then tested for practicality and effectiveness on 43 ECE students. This study adopted the pre-experimental design with type one group pretest-posttest and the instruments used were validation questionnaire and psychological well-being scale from Ryff. Module was declared valid with average expert and practicality test scores of 96.05%, and 90.12%, respectively. Furthermore, the effectiveness test was carried out using a paired sample t-test and obtained score of .001 (t <.05), showing that module was effective in improving psychological well-being of prospective ECE teachers. This module can be used by prospective ECE teachers to develop psychological well-being and prepared to become professional teachers.
ДИНАМИКА ЦЕННОСТНЫХ СМЫСЛОВ В СОЦИОКУЛЬТУРНОМ ПРОСТРАНСТВЕ СОВРЕМЕННОЙ РОССИИ: ТРАНСФОРМАЦИЯ ПОНЯТИЯ УСПЕХА
Authors: Петрулевич Ирина Анатольевна 
Published: January 2024

Статья посвящена рассмотрению трансформации понятия успеха в современных условиях развития России.
Цель статьи — показать стремительную смену идеологических и ценностно-смысловых доминант российского общества, детерминированную внутри- и внешнеполитическими, а также экономическими факторами.
Методологией исследования является множественность интерпретаций понятия успеха, среди которых магистральными можно считать две: трактовку успеха с позиций западноевропейской культуры как материальное благополучие и профессиональные компетенции, интерпретацию успеха в координатах русского культурного кода как соответствие содержательному наполнению категории соборности и общественному благу.
Результатами работы стало выявление основополагающих стратегий понимания успеха и успешности в современном российском обществе, которые часто вступают в конфликт, прежде всего под влиянием внешне- и внутриполитических факторов, а в ряде случаев первая вовсе вытесняется второй: успех социокультурной общности (государство, регион, город или сельское поселение) квалифицируется в личном и коллективном восприятии как индивидуальное достижение.
Перспективой исследования является то, что понятие успеха и категория успешности приобретают новые значения.
МНОГОВАРИАНТНОСТЬ МОДУСОВ ВРЕМЕНИ В ПРОЦЕССАХ ФОРМИРОВАНИЯ ТЕМПОРАЛЬНЫХ СТРАТЕГИЙ ЛИЧНОСТИ
Authors: Снежко Галина Евгеньевна 
Published: January 2024

На основе рассмотрения взаимодействия объективного социального и субъективного психологического времени в статье уточняется структура трёх модусов: прошлого, настоящего и будущего.
Цель статьи — проанализировать нелинейность социального времени и его принудительный характер по отношению ко времени личности.
Методологией исследования является темпоральная стратегия личности, выстраиваемая различным образом в зависимости от смыслов, придаваемых модусам времени, интерпретации их сложносоставности, а также их мыслимой глубины, плотности, связности и скорости движения относительно друг друга.
Результатами работы стало подтверждение того, что образы прошлого, настоящего и будущего, существующие в человеческом сознании, имеют слоистую, многоуровневую структуру.
Перспективой исследования является представление времени в роли медиатора, что позволяет человеку выстраивать наиболее оптимальным образом свою темпоральную стратегию
Digitalisasi permainan tradisional galah melalui media game
Authors: Faizal Irwan Muhamad , Nurhasanah Nisa , Rahmawati Elita 
Published: January 2024

Permainan atau game merupakan sebuah aktivitas rekreasi dengan tujuan bersenang-senang, mengisi waktu luang, atau berolahraga ringan. Beberapa permainan ini karena tercipta pada masa yang lama berlalu disebut dengan permainan tradisional, sedangkan di sisi lain beberapa permainan yang lebih akhir (dan biasanya menggunakan peralatan yang canggih) disebut permainan modern. Galah adalah contoh salah satu permainan yang sering dimainkan. Sebuah permainan anak yang popular pada tahun 90 an. Perkembangan teknologi saat ini sangat pesat berkembang, hal tersebut membuat orang-orang tidak terlepas dari yang namanya teknologi. Tujuan penelitian dalam upaya melestarikan permainan tradisional di Indonesia, perlu dilakukan digitalisasi dengan pemanfaatan teknologi digital agar banyak orang dapat melakukan permainan tradisional dengan memanfaatkan perangkat yang biasa digunakan. Artikel ini menjelaskan tentang digitalisasi permainan tradisional galah melalui media game. Dengan menggunakan metode Multimedia Development Life Cycle (MDLC) versi Luther-Sutopo, game galah berhasil dibuat dan digunakan dilingkungan Sekolah Tinggi Teknologi Garut. Pengembangan game ini dapat menjadi salah satu contoh implementasi digitalisasi permainan tradisional agar tidak punah, sekaligus melestarikan kearifan lokal yang terkandung dalam setiap permainan.
Identyfikacja i charakterystyka krajobrazów za pomocą metody ECOVAST
Authors: Majchrowska Anna 
Published: January 2024

Metoda ECOVAST służy do identyfikowania i charakteryzowania krajobrazów w skali lokalnej (skala 1:10000–1:50000). Metoda opiera się na definicji krajobrazu podanej w Europejskiej Konwencji Krajobrazowej. Charakterem krajobrazu nazywamy wyraźny, rozpoznawalny i spójny układ elementów w krajobrazie. Te cechy nadają każdemu obszarowi specyfikę, bez przesądzania, który krajobraz jest lepszy lub gorszy.
W procesie identyfikacji i charakterystyki krajobrazów metodą Ecovast używa się tabeli kontrolnej, uwzględniającej dziesięć warstw czy składowych krajobrazu: skały, klimat i wody, formy ukształtowania terenu, gleby, pokrycie terenu, przejawy działalności rolniczej i leśnictwa, osadnictwo, inne elementy związane z działalnością człowieka, cechy historyczne, emocje i skojarzenia.
W tabeli odnotowuje się obecność i wyrazistość poszczególnych warstw krajobrazu, które łącznie stanowią o jego charakterze. Obok tabeli znajduje się miejsce na krótki opis krajobrazu oraz na zdjęcia ilustrujące charakterystyczne cechy, a także na wyrażenie własnej opinii i ewentualne dodatkowe komentarze.
Proces identyfikacji krajobrazu metodą ECOVAST złożony jest z trzech etapów:
- pracy przygotowawczej – etap kameralny.
- obserwacji krajobrazu – etap terenowy.
- przygotowania opisu krajobrazu.
Jednym z efektów pracy jest powstanie zbiorczej mapy jednostek krajobrazowych.
Zadanie identyfikacji i charakterystyki krajobrazu metodą Ecovast jest przeznaczone do realizacji w szkołach ponadpodstawowych oraz na studiach wyższych na kierunku geografia lub gospodarka przestrzenna.
Surgical Safety Checklist as an optimal organizational model in ensuring the maximum degree of preparedness for intraoperative incidents (case report)
Authors: Benyan A. S. , Khranovskiy D. G. , Medvedchikov-Ardiya M. A. , Barbasheva S. S. 
Published: January 2024

Objective. The use of checklists for quality and safety control of medical care is an effective tool for reducing the frequency of errors, dangers and complications in any section of medical practice.The aim is to demonstrate the possibilities of minimizing and leveling the potential risks accompanying surgical intervention using the example of routine application of the surgical safety checklist.Object and methods. Patient A., 55 years old, was admitted to the emergency department of Samara City Clinical Hospital №1 named after N.I. Pirogov on 24.04.2023. with complaints of pain in the right upper abdomen, nausea, vomiting, general weakness. The diagnosis was Cholelithiasis, acute calculous cholecystitis with the formation of a perivesical abscess. It required laparoscopic cholecystectomy operation. While filling in the surgical safety checklist (SSC) and analyzing possible intraoperative incidents, the attending physician executed an informed voluntary consent for transfusion of donor blood components. The corresponding components were ordered. Having weighted up the potential intraoperative risks specified in the part "Before anesthesia" of SSC, the anesthesiologist installed a catheter into one of the central veins and performed the urine bladder catheterization. Surgical intervention was complicated by bleeding, which required conversion of surgical approach. Upper median laparotomy, cholecystectomy, surgical hemostasis were performed. Total blood loss was 1000 ml, plasma and red blood cell were donated to the patient. The operation was completed by drainage of the subhepatic space and suturing of surgical wounds.Results. The clinical case describes the importance of a team approach at the stage before the operation, as well as the role of all specialists provided life support and medical care for the patient. It results from attentive work with the checklist which shows a clear liability for each member of the operating team at different stages of preparation and treatment of a surgical patient.Conclusions. The development of a culture of surgical safety is an important way to minimize the risks associated with surgical intervention for each individual patient and for the institution by optimizing the work of operating units.
Influence of streptococcal infection on the appearance of caries in the background of chronic rheumatoid arthritis and the transmitted coronavirus infection COVID-19 (literature review)
Authors: Ionov S. N. , Nemstsveridze Ya. E. , Stepanova R. I. , Goncharov K. D. , Derbina L. R. 
Published: January 2024

Relevance. Caries of hard dental tissues is one of the most common diseases throughout the world. It affects not only the primary teeth of children, but also the permanent teeth of adults, which can lead to serious consequences for human health. In recent years, the dental community has paid special attention to the possible connection between streptococcal infection and the development of caries, and therefore this topic is extremely relevant and requires detailed consideration. Chronic rheumatoid arthritis (CRA) is one of the most common joint diseases, which is characterized by inflammation of the joint lining and destruction of cartilage. Patients with CPA are also at high risk of developing dental caries, which may be due to many factors, including changes in saliva composition and long-term use of medications.Purpose of the study: to study the effect of streptococcal infection on the occurrence of caries among patients suffering from chronic rheumatoid arthritis. To assess the incidence of caries complications caused by streptococcal infection among patients who have had COVID-19.Materials and methods of research. The authors analyzed domestic and foreign literature in order to conduct a literature review regarding the etiology of the occurrence and relationship of streptococcal infection and caries against the background of rheumatoid arthritis. The authors also analyze the incidence of caries complications caused by streptococcal infection as a consequence of COVID-19. Data from 160 patients, 100 men and 60 women, were studied.Conclusion. From the studies conducted, we can conclude that streptococcal infection is one of the factors influencing the development of caries. However, the exact mechanisms of interaction between bacteria and hard dental tissues have not yet been established. As a result of the analysis, it was revealed that the relationship between streptococcal infection and the occurrence of caries against the background of chronic rheumatoid arthritis is significant. The presence of streptococcal infections in patients with rheumatoid arthritis can lead to deterioration of oral health, which in turn contributes to the development of dental caries. Among patients who have had COVID-19, there is a fairly high percentage of caries, including those caused by streptococcal infection and a general deterioration in the health of the oral cavity and the body as a whole.
A modern approach to the study of the problem of pathogenesis and prevention venous thromboembolic complications in patients with trauma (literature review)
Authors: Lega D. N. , Stolyarov S. A. , Supilnikov A. A. 
Published: January 2024

Relevance. Patients with trauma are at increased risk of venous thromboembolic complications (VTE), which includes deep vein thrombosis of the lower extremities (DVT) and pulmonary embolism (PE). Within surgical and trauma clinics, thromboembolic complications are the most common preventable cause of in-hospital mortality. Numerous studies have shown that the incidence rate of deep vein thrombosis (DVT) in trauma patients without prevention varies from 5 to 80%.Aim. To analyze the pathogenesis of the development of venous thrombosis and explore existing approaches to prevent VTE in trauma patients.Materials and methods. In the course of the work, topical literary sources of domestic and foreign authors on a given topic were analyzed.Results. The mechanism of thrombus formation in trauma involves slowing blood flow, damage to the vessel wall and impaired blood clotting in the form of hypercoagulation. The state of hypercoagulation combined with prolonged immobility increases the risk of VTE. LMWH is the treatment of choice for the prevention of VTE in trauma. Today, there are ongoing studies related to the correction of preventive doses of LMWH and the search for a single standard, depending on numerous factors.Conclusion. Severity and multiplicity of lesions correlate with severity of systemic inflammation, hypercoagulation, and incidence of venous thrombosis. However, this correlation has not been sufficiently studied in the scientific literature. The search for specific methods for the prevention of deep vein thrombosis leading to PE is an urgent problem of surgery of injuries both peaceful and wartime.
Total hip replacement after prior of the core decompression of the femoral head: efficacy and complications
Authors: Panin M. A. , Zagorodnii N. V. , Boiko A. V. , Petrosyan A. S. 
Published: January 2024

Relevance. A history of core decompression using porous tantalum rods has a negative impact on the course of total hip arthroplasty surgery, the postoperative period and the frequency and nature of postoperative complications. Opinions are contradictory with regard to the effect of other techniques of necrosis decompression on total hip arthroplasty.Purpose of the study: evaluation of the effect of core decompression of the femoral head on the intraand postoperative parameters of total hip arthroplasty surgery.Object and methods. The study included 44 patients with osteonecrosis of the femoral head who underwent total hip arthroplasty. The first group consisted of 30 patients with osteonecrosis of the femoral head (ARCO grade II-IV) who had no previous hip surgery – primary total hip arthroplasty. The second group included 14 patients with osteonecrosis who had undergone the core decompression on the same joint (secondary total hip arthroplasty) 6–24 months earlier in stage II of the disease. The duration of surgery, blood loss volume, complications in the postoperative period, pain syndrome dynamics and hip joint function were assessed.Results. Comparative analysis showed the absence of significant technical intraoperative complications in total hip arthroplasty: duration of operations in group I – 85 ± 25 minutes, in group II – 80 ± 20 minutes, that is, almost identical; volume of intraoperative blood loss: 300 ± 100 ml in both groups. Survival rate of the hip replacement was 100 % in both groups. Superficial inflammation of the operating wound was diagnosed in 3.3 % of group I patients and in 7.1 % of group II patients (%). Dislocation of the hip replacement was observed in one patient in Group I (primary total hip arthroplasty). Twelve months after THA, osteolysis around the hip replacement element was detected by X-ray in 6.7 % of group I patients.Conclusion. Total hip arthroplasty in patients with a history of the core decompression of the femoral head is not accompanied by intraoperative technical difficulties and is a relatively safe surgical intervention. Prior core decompression is not an additional risk factor for intraand postoperative complications of total hip arthroplasty.
About the possibility of rehabilitation of athletes with fractures of the bones of the lower extremities (literature review)
Authors: Sorokovikova T. V. , Morozov A. M. , Aleksanyan K. A. , Salmanova K. G. , Fisyuk E. A. , Belyak M. A. 
Published: January 2024

Relevance. People involved in professional sports quite often encounter injuries. Thus, one of the main problems of modern traumatology and rehabilitation medicine is sports traumatism, which accounts for 2 to 7 % of all injuries.Objective: to analyze the available and modern methods of rehabilitation of athletes with fractures of the bones of the lower extremities.Materials and methods. In the course of the present study, we reviewed the literature data reflecting the current views on the problem of rehabilitation of athletes with fractures of lower limb bones.Results. Successful recovery of athletes and early return to the training process is largely determined by optimally selected rehabilitation measures. There is no unified algorithm in rehabilitation of athletes; the choice of tactics depends on a number of factors, such as localization and severity of the fracture, surgical and conservative treatment performed, individual characteristics of the athlete, and the desired result. The optimal algorithm is a combination of classical rehabilitation measures, which include therapeutic physical training, diet therapy, psychotherapy and physical therapy procedures such as massage, taping, low-frequency magnetic therapy, UHF in low-heat doses, electrophoresis of analgesics, calcium and phosphorus drugs and thermotherapy.Conclusion. All rehabilitation measures are aimed at gradual increase of physical load on the injured limb and strengthening the musculoskeletal system by improving tissue trophism, muscle tone, activation of metabolic processes as well as pain reduction and stimulation of regeneration of injured tissues. The adaptation basis of rehabilitation is the model of control of movements ("control-chaos continuum"), which provides the prevention of complications and re-injuries. Rational nutritional therapy contributes to increasing muscle mass and preventing the accumulation of fat mass. When choosing rehabilitation measures, the nature of the chosen treatment and objectives are taken into account, so that the choice of rehabilitation measures is made on an individual basis, in order to achieve the best possible results in a short period of time. Adequately chosen rehabilitation measures allow athletes to safely return to their original physical performance and reduce the risk of re-injury.
Influence of nutrition on the course of uterine fibroids
Authors: Akhmetgaliev A. R. , Khayrullina G. R. , Sakhabetdinov B. A. , Siraeva A. R. 
Published: January 2024

Currently, there is a negative trend in the increase in the incidence of uterine fibroids, often diagnosed at a later date, requiring more invasive laparotomic myomectomy, up to hysterectomy. It was also revealed that the patients had an aggravated premorbid background in the form of obesity and related diseases.The purpose of the study. To study domestic and foreign studies. To identify the features of the course of uterine fibroids in patients with hypersthenic and normosthenic body types.Materials and methods. Anonymous and voluntary questionnaire survey with an in-depth collection of food history, interviews of 260 patients and analysis of their case histories with uterine fibroids who underwent laparoscopic and laparotomic myomectomy were carried out, dividing them into 2 groups according to BMI.Results. In both groups, there was the following distribution according to the presence of pregnancies: 0 – 4 % and 5 %, 1 – 86 % and 84 %, 2 – 10 % and 11 % for groups I and II, respectively (p = 0.041 criterion). 25 % in group I and 31 % in group II had a history of surgery – caesarean section. The presence of inflammatory diseases of the pelvic organs in both groups was 89.3 % and 91.6 %, respectively. Also noted was a high consumption of beef and pork by 10 and 23 %, potatoes by 8 % and 13 %, white cabbage by 12 % and 11 %, bakery products by 21 % and 26 %. Low consumption of seafood and fish products by 35 % and 56 %, dairy products by 44 % and 47 %, absolutely low content of olive oil in the daily diet. The above data are presented for groups I and II, respectively. (criterion p = 0.029-0.054).Сonclusions. Obesity plays a role as a risk factor for the development of uterine fibroids, acting either through hormonal or inflammatory mechanisms. Obesity can contribute to the development of insulin resistance and hyperinsulinemia, which can directly or indirectly influence the development of fibroids by promoting the proliferation of myometrial smooth muscle cells and increasing circulating levels of ovarian hormones.