bluuebunny/crossref_metadata_2025_split huggingface dataset:
Трансдисциплінарність у змісті природничо-математичної освіти
Authors: Гребінь Світлана , Васильченко Лілія 
Published: January 2022

У статті аналізуються світові трансформаційні зміни в різноманітних сферах життєдіяльності суспільства, що сприяють процесу реформування освіти в Україні. Нова українська школа пропонує нові підходи і технології, що відповідають запитам суспільства та забезпечують формування конкурентоспроможності сучасної молоді на міжнародному ринку праці. У публікації окреслюється один із таких підходів – трансдисциплінарний, що поєднує в єдине ціле дисципліни та наукове знання. Переосмислюються деякі аспекти впровадження означеного підходу в природничо-математичній галузі в закладах середньої освіти, розглядається вектор розвитку організації освітнього процесу від дисциплінарності до трансдисциплінарності. Підкреслюється, що вітчизняні науковці та соціальні інституції розуміють неможливість неврахування такого важливого аспекту як «трансдисциплінарність», у зв’язку з чим вимушені залишити поле своєї діяльності та функціонування і поринути в інноваційний простір. Ключову роль за цієї умови надано природничо-математичному напряму. Зазначається, що в освітні програми природничих наук сучасної України передбачено запровадження трансдисциплінарного підходу (реалізація STEM-освіти) від початкової школи до вищої та професійної.
Трансдисциплінарний підхід до навчання дає змогу поєднати науку, технології, інженерію та математику, є одним із основних щодо впровадження STEM-освіти та підвищення якості викладання природничо-математичних дисциплін в Україні. Автори підкреслюють, що запити суспільства та потреби сучасної економіки роблять природничо-математичну освіту ключовим напрямом, одним із основних чинників інноваційного розвитку освіти та складовою української державної політики щодо зміцнення людського капіталу та підвищення конкурентоздатності української молоді.
Deep Cervical Muscle Exercise Versus Soft Tissue Mobilization In Non-Specific Neck Pain
Authors: Antari Ni Komang Ayu Juni , Nugraha Made Hendra Satria , Winaya I Made Niko , Adhityadharma Putu Rama 
Published: January 2022

Background: Neck pain is a common health problem in the working population. When studied by the International Classification of Functioning, Disability and Health (ICF), the problems that arise in non-specific neck pain include: neck pain, limited joint motion, and decreased functional ability in carrying out daily activities. The aim of this study was to compare the effectiveness of combination ultrasound therapy (UST) and deep cervical muscle exercise (DCME) versus combination ultrasound therapy (UST) and soft tissue mobilization (STM) on non-specific neck pain.
Methods: This research was experimental with a randomized pre-test and post-test control group design, in which the study participants were divided into two groups randomly. The study participants were 20 people who were divided into the control group (n = 10) who were given the combined intervention of UST and DCME while the treatment group (n = 10) were given the combined intervention of UST and STM. Therapeutic evaluation measurement tools include: pain scale in the form of numeric rating scale and neck disability in the form of neck disability index. The research was carried out in the independent physiotherapy practice in Denpasar and Badung. The intervention was given 3 times in 3 weeks.
Results: The results showed a decrease in neck pain and disability in each intervention group (p <0.05). However, there were no significant differences when compared between groups.
Conclusion: Based on these results, it can be concluded that the combination of UST and DCME has the same results as the combination of UST and STM in reducing neck pain and disability in non-specific neck pain.
THE ROLE HEALTH OFFICERS AS A DETERMINING FACTOR FOR THE SUCCESSFUL MEASLES RUBELLA IMMUNIZATION IN THE WORK AREA OF THE RAWANG HEALTH CENTER, PADANG CITY
Authors: Rahmadani Putri , Besral Besral , Masrizal Masrizal 
Published: January 2022

Background: The measles rubella (MR) immunization coverage rate in Padang City is only 30.82%, still far below Indonesia's national target of 95%. The coverage of measles rubella immunization at the Rawang Health Center is around 62.1%. This study aims to determine the role of health workers in the success of measles rubella immunization in the Rawang Public Health Center, Padang City. Methods: This study used a cross sectional design. The study was conducted in October 2018-July 2019. The research population is mothers who have children aged 12-59 months (toddlers) as many as 1807 respondents. The sampling method is proportional random sampling with a sample of 87 respondent. Data was collected by interview using a questionnaire. Results: The results showed that 37.9% of children under five had not been immunized against measles rubella and 44.8% of health workers had an unfavorable role. The results of the chi-square test showed a significant relationship between the role of officers in the success of measles rubella immunization (p-value=0.020). Recommendation: It is hoped that health workers can increase health promotion activities regarding the risks due to children not being immunized against measles rubella and intensify door-to-door programs in the implementation of measles rubella immunization
The dual life of embedded CPs: Evidence from Russian čto-clauses
Authors: Bondarenko Tatiana 
Published: January 2022

With the data from clauses with the complementizer čto in Russian, I argue that embedded finite clauses with the same morphosyntactic appearance can receive two different denotations depending on the argument that they modify. I show that čto-clauses can combine with both nouns like mysl’ ‘thought’ and nouns like situacija ‘situation’, and that they do not have the same interpretation in these two cases. I propose that when čto-clauses combine with predicates of contentful individuals (like mysl’ ‘thought’), they describe the propositional content that these individuals have (Moltmann 1989, Kratzer 2006, Moulton 2015, a.o.). However when they combine with predicates of situations (like situacija ‘situation’), they provide the proposition that these situations exemplify. I furthermore show that the two meanings of čto-clauses can be detected when they occur with verbs as well, and sketch out a more decompositional view of how the two interpretations arise based on comparison with -(n)un-clauses that modify nouns in Korean.
Blasphème et hérésie
Authors: Guerra Giovanni 
Published: January 2022

Le blasphème et l’hérésie ont en commun de constituer une transgression, le premier du nom de Dieu, la seconde des vérités institutionnalisées. L’hérésie soulève deux problèmes. D’une part, en tant qu’attaque aux dogmes, elle met en cause la communauté ecclésiale dont les fondements sont menacés. Le problème de la fondation et de la cohésion de la société, loin d’appartenir uniquement à l’univers religieux, concerne tous les systèmes sociaux : états, organisations, groupes. D’autre part, l’hérésie met en avant le besoin incompressible de l’hérétique de s’exposer en proclamant sa vérité. Héros et porte-parole d’une culture et d’une mentalité, l’hérétique est une figure emblématique de l’altérité qui fait appel au désir de construire subjectivement la réalité, en brisant les limites instituées.
Un crime imaginaire
Authors: Fessaguet Dominique 
Published: January 2022

Le blasphème, mot à « tout faire » au fil des siècles vient servir tous les pouvoirs, ceux d’un seul, ou de masses fanatisées et meurtrières. Il vient poser la question de la place de l’autre, et de la possibilité d’une place pour lui dans une société.
L’Algérie « post-décennie noire » : de l’imposition de l’impunité à la revendication d’une justice transitionnelle
Authors: Jouaret Morgane 
Published: January 2022

Cette contribution propose de regarder rétrospectivement le processus de « réconciliation nationale » après la décennie noire en Algérie (1992-1999) afin d’analyser la co-construction des récits mémoriaux par des acteurs institutionnels et associatifs. Pour le pouvoir politique, l’urgence de ramener la paix s’est imposée face aux aspirations d’une partie de la société civile, principalement les victimes et leurs proches, organisés en associations et engagés dans une logique de vérité et de justice. Cet article propose d’analyser six « temps » de la politique de réconciliation nationale afin de mettre en avant la co-construction du processus de justice, à la fois par l’État et par les associations locales de victimes. D’un côté, la justice pénale nationale a entrepris de résorber la violence en démobilisant les combattants engagés dans les groupes islamistes armés (1995-1999) et de prononcer verticalement la « réconciliation nationale » (2006). De l’autre, les associations locales de victimes ont internationalisé leurs revendications et mobilisé des outils de la justice transitionnelle et restauratrice afin de faire émerger un « contre-récit » de la guerre. Cette réflexion s’appuie sur plusieurs terrains de recherche ethnographique menés à Alger et Oran entre 2015 et 2019 ainsi que sur l’analyse de textes juridiques (les lois de 1995, 1999, 2006) et de rapports publiés sur internet par des associations et ONG (CFDA, SOS Disparus, Algeria Watch). L’analyse rétrospective de l’hybridation du processus de « réconciliation nationale » donne à voir la confrontation des références au passé. Les modalités juridiques et judiciaires qui ont permis l’arrêt des violences ont durablement compromis la construction d’un récit national auquel adhéreraient les différentes catégories d’acteurs aux prises avec les antagonismes du passé.
Gender Differences Among Patients Hospitalized with Acute Heart Failure in a Tertiary Care Teaching Hospital
Authors: Dsa Preema , Umesh Soumya , Kamath Deepak 
Published: January 2022

Background:
Heart failure (HF) prevalence in India is about 1% which is about 8–10 million, and significant gender differences exist.

Aims:
This study was done to investigate the differences in modes of presentation, cardiac etiology, comorbidities, and inhospital outcomes between both genders and to identify predictors of prolonged hospital stay.

Settings and Design:
We conducted a cross-sectional descriptive study from November 2016 in the coronary care unit.

Materials and Methods:
Consenting adult patients admitted with the primary diagnosis of acute HF were included. Patients with reversible noncardiac circulatory failure and malignancies were excluded. Their clinical details and inhospital outcomes were recorded.

Results:
Out of 150 patients, 86 (57.33%) were males and 64 (42.6%) females. More women were admitted with Stage 4 New York Heart Association (59 [92.2%],P= 0.002), cardiogenic shock (10 [15.6%],P= 0.04), or with hypertensive emergency (23 [35.9%],P= 0.027). The mean duration of stay in males was 6.17 ± 2.21 days and 7.23 ± 2.69 days in females (P = 0.009). Multivariate analysis showed that the adjusted risk of prolonged hospital stay (≥7 days) was 4.6 (95% confidence interval: 1.96, 10.82), with the risk being almost five times greater among patients with the presence of cardiorenal syndrome (CRS), compared to those who did not have it (P < 0.001).

Statistical Analysis:
Chi-square, Student's t-test, and logistic regression were used in the study.

Conclusion:
Our study highlighted that women were more vulnerable, and came in with advanced HF or hypertensive emergency and stayed in the hospital for a longer duration. CRS was the crucial predictor of prolonged hospital stay.
Diagnostic yield of one-pore versus two-pore ultrasound-guided tru-cut needle pleural biopsy
Authors: Abdelaal Gehan A. , Abdel Tawab Asmaa M. 
Published: January 2022

Background
Ultrasound (US)-guided tru-cut pleural biopsy is a rapid technique that is cheap, has low complication, provides real-time visualization of the biopsy needle, and is without radiation.

Aim
To increase diagnostic yield of US-guided tru-cut pleural biopsy by taking biopsy from two different sites and to study factors increasing this yield for an effective, safe, and noninvasive substitute of thoracoscopy.

Patients and methods
Randomly chosen 80 patients with undiagnosed pleural effusion were scanned by US and classified into two groups: one-pore group where tru-cut US-guided pleural biopsy was done using one opening in the most safe, accessible, thick nodular pleura and the other group is the two-pore group, taking the biopsy from two different site, making two pores instead of one.

Results
The two groups were comparable to each other in diagnostic yield, with no significant difference, and the factors affecting this yield were the more thickness of pleura, presence of nodularity or masses, and the caliber of the cutting needle.

Conclusion
There is no need for more than one pore for taking US-guided tru-cut pleural biopsy, and diagnostic yield depends on more needle caliber and the thickness of the pleura.
Comparison of two questionnaires measuring the health-related quality of life in patients with idiopathic interstitial pulmonary fibrosis
Authors: Abdelaziz Amal A. , Azab Nourane Y. , Elwahsh Rabab A. , Elsheikh Amr A. 
Published: January 2022

Objectives
To compare two questionnaires that measure health-related quality of life (HRQL) in idiopathic pulmonary fibrosis (IPF) patients.

Background
IPF is a disease with a progressive course as it is associated with high rates of mortality and a median survival rate of 3–4 years, so it severely affects the patient’s quality of life. General and disease-specific questionnaires are available to assess HRQL.

Patients and methods
HRQL was measured in 30 previously diagnosed IPF patients using a general questionnaire [short form 36 and specific questionnaires − St George’s Respiratory Questionnaire (SGRQ)]. Pulmonary function tests and 6-min walking distance test (6MWDT) were used to assess the patients’ functional status. Dyspnea at rest was evaluated by baseline dyspnea index and after exercise by the modified Borg scale.

Results
Pulmonary function tests showed a restrictive pattern, a decline in the exercise capacity of the patient (6MWDT), and higher scores of dyspnea at rest and following exercise. Both questionnaires showed a good correlation with some of patients’ functional parameters but all of the SGRQ domains showed a strong correlation with all functional status parameters. Also, a good correlation with HRQL was presented by 6MWDT and baseline dyspnea index.

Conclusion
Specific SGRQ is a more suitable instrument for HRQL assessment in IPF patients than the general questionnaire (short form 36).
Hypovitaminosis D in pediatric tuberculosis
Authors: Kashyap Bineeta , Gupta Neha , Dewan Pooja , Hyanki Puneeta , Singh Narendra Pal 
Published: January 2022

Background
Vitamin D boosts innate immune response to mycobacteria. Hypovitaminosis D may lead to impaired clearance of tubercle bacilli and an increased risk of tuberculosis (TB). This study aimed to correlate hypovitaminosis D with clinical and microbiological profile in pediatric TB.

Materials and methods
A case–control study was conducted on 60 clinically diagnosed (clinical findings and radiography and/or contact history and/or Mantoux test) or microbiologically confirmed (smear and/or culture and/or cartridge-based nucleic acid amplification test positive) pediatric TB cases up to 12 years. Serum vitamin D levels were estimated using enzyme-linked immunosorbent assay in the cases and 60 healthy children. Hypovitaminosis D was categorized as insufficient at 20–29 ng/ml, deficient at less than 20 ng/ml, and sufficient at least 30 ng/ml levels.

Results
Hypovitaminosis D was significantly associated with pediatric TB (P=0.027). Of the cases, 33% were deficient for vitamin D, while 21.67% had insufficient levels. The levels of vitamin D inversely correlated with age (P=0.047) among the cases. There was no significant difference in the levels of vitamin D on the basis of sex, site of TB, presence of dissemination, or microbiological diagnosis.

Conclusion
Pediatric TB is associated with lower median serum levels of vitamin D. Diet modification to maintain optimum vitamin D levels may reduce the risk of the disease. Screening of healthy children for vitamin D levels with a strong history of close contact with an active TB case may predict the risk of developing TB disease.
Airway pressure release ventilation versus pressure-controlled ventilation in acute hypoxemic respiratory failure
Authors: Ibrahim Rafaat Talaat , Mohamed Yaser Ahmed , Abd El-kader Mohamed Saad , Azouz Ahmed Metwally 
Published: January 2022

Background
Airway pressure release ventilation (APRV) is defined as ventilation modality with triggered time, limited pressure, and cycled time. In this mode, the pressure altered from a high level applied for a prolonged time to maintain adequate lung volumes and alveolar recruitment, to a low level for a short period of time that allows efficient ventilation and CO2 removal.

Patients and methods
Patients with acute hypoxemic respiratory failure were mechanically ventilated, and then, shifted to either synchronized intermittent mandatory ventilation, pressure control (group I) or to APRV (group II). The following parameters were monitored and compared: arterial blood gas measurements, hemodynamic, respiratory mechanics, peak pressure, plateau pressure, mean airway pressure, compliance, minute ventilation, indices of hemodynamic, and tissue perfusion.

Results
This study involved 60 mechanically ventilated patients. Our study demonstrated no significant difference between both groups regarding demographic data. We found that APRV group have better hemodynamic, better oxygenation, lower need for sedation and vasopressors, higher cardiac index, and higher estimated glomerular filtration rate. ICU scores were comparable in both groups, whereas lung injury score significantly decreased with APRV mode in APRV group. Decreased duration of mechanical ventilation, ICU stay, hospital stay, less complication risk, and less mortality rate were seen with APRV mode.

Conclusion
The early application of APRV in patients with acute severe hypoxemic respiratory failure was associated with better hemodynamic, better oxygenation, better respiratory mechanics, less sedation use, better perfusion, lower risk of complication, and a shorter duration of ICU stay. Future research should compare APRV strategies to assign the best management approach.
Disseminated malignant phyllodes: Presentation after a decade
Authors: Sherin S. Binitta , Joseph Leena Dennis , Pavithra V. , Manickavasagam M. 
Published: January 2022

ABSTRACT
Phyllodes tumors are rare biphasic fibroepithelial lesions of the breast and account for 0.3%–0.5% of primary breast tumors. Malignant phyllodes tumor has a 10%–26% risk of distant metastasis. The most common site of metastasis is lungs followed by bone and soft tissue. This is a rare case of a 42-year-old female with a previous history of malignant phyllodes tumor breast. She presented after 10 years with metastases to multiple sites including lung, abdominal wall, retroperitoneum, bone, and brain. These tumors have a poor overall survival. Accurate diagnosis and aggressive management of malignant phyllodes tumors can help in effective treatment at diagnosis and for close follow-up of the patients.
Incidence and Risk Factors for Intraocular Pressure Rise after the Scleral Buckle Surgery for Retinal Detachment
Authors: Mansoori Tarannum , Mohan Gandrapu Poojitha , Agraharam Satish Gooty , Balakrishna Nagalla , Pesala Veerandranath 
Published: January 2022

Purpose:
To determine the incidence and risk factors for intraocular pressure (IOP) rise after the scleral buckle (SB) procedure for retinal detachment (RD).

Methods:
A retrospective chart review of the medical records of patients, who underwent RD repair by SB performed by a single surgeon and had a minimum follow-up of 6 months was carried out. The outcome measures were the incidence of IOP rise in the operated eyes and the associated risk factors.

Results:
Fifty-two eyes of 52 patients with a median postsurgical follow-up of 18 months (interquartile range: 6, 36, range: 6–60 months) were included. Seven eyes had encircling buckle, 23 eyes had encircling buckle and 1 quadrant segmental buckle, and 22 eyes had encircling buckle and 2 quadrant segmental buckle. IOP rise was seen in 15/52 eyes (28.85%), within 1 month of the SB surgery. Nine out of 15 eyes (60%) of patients <40 years of age had a rise in IOP as compared to 6/37 eyes (16.2%) of patients >40 years of age (P = 0.002). Patients <40 years had a significant increased risk of developing IOP rise, compared to those above 40 years of age (adjusted odds ratio: 7.246 with 95% confidence interval of 1.641–31.986, P = 0.009). None of the fellow eyes had a rise in IOP during the follow-up period. None of the operated eyes with raised IOP progressed to glaucoma.

Conclusions:
Elevated IOP is a common complication after the SB procedure, and age <40 years is associated with a greater risk of development of increase in the IOP. Hence, IOP monitoring after the SB surgery is of paramount importance to detect early rise during follow-up.
Five-Year Experience in Treatment of Retinoblastoma with Intra-Arterial Chemotherapy
Authors: Ghassemi Fariba , Dehghani Shima , Mahmoudzadeh Raziyeh , Khodabandeh Alireza , Ghanaati Hossein , Termehchi Gholamreza 
Published: January 2022

Purpose:
To report our 5-year experience in treating retinoblastoma (RB) with intra-arterial chemotherapy (IAC) as a primary or secondary therapy, without adjuvant intravitreal chemotherapy.

Methods:
A retrospective study was conducted on 70 eyes with intraocular RB that were treated with primary or secondary IAC from December 2010-2015. Demographic characteristics, clinical features, tumor control, and treatment complications were compared and reported.

Results:
Thirty-seven eyes had received IAC as a secondary therapy after failed/incomplete response to systemic chemotherapy, and 33 eyes had received IAC as a primary treatment. The mean age of patients was 25 ± 8.9 months, and the patients were followed for a mean of 24.5 ± 16.26 months. Overall, enucleation rates were significantly higher in advanced tumors (Group D and E) in both groups (both P < 0.05). The main reason for enucleation in this study group was being unresponsive to treatment (27.4%), with 76% of latter patients having vitreous seeds at the time of enucleation. Enucleation rates did not differ significantly between patients receiving primary (18/33, 54%) or secondary IAC (18/37, 48%) (P = 0.06). In addition, recurrence and complication rates did not differ significantly between eyes receiving IAC as their primary or secondary treatment (P > 0.05).

Conclusion:
In primary and secondary treatment of RB with IAC, the main findings that are globe salvage, recurrence, and complication rates were comparable when no adjuvant intravitreal chemotherapy was used.