Eurasian Journal of Scientific and Multidisciplinary Research
The Eurasian Journal of Scientific and Multidisciplinary Research (EJSMR) is an open access, peer reviewed academic journal dedicated to advancing high quality research across a wide range of disciplines. Published by Jalal-Abad International University in Kyrgyzstan, EJSMR serves as a dynamic platform for scholars, researchers, and practitioners to share innovative findings, foster cross-disciplinary collaboration, and address contemporary global and regional challenges. With a special focus on the Eurasian region and a welcoming stance toward contributions worldwide, the journal covers fields such as natural sciences, engineering, medicine, social sciences, humanities, environmental studies, business, and economics. Key Information Publisher: Jalal-Abad International University Language of edition: Russian, English Registration: Registered in the Department of Justice of the Jalal-Abad Region of the MINISTRY OF JUSTICE OF THE KYRGYZ REPUBLIC. Mass media registration certificate registration №10353, 29 - January 2025 Publication frequency: 3 times per year ISSN 1694-9005 (Print) ISSN 1694-9013 (Online) Founded: January 2025 www.ejsmr.org
FORMATION OF MECHANISMS FOR MEASURING THE "GREEN" ECONOMY AS A BASIS FOR SUSTAINABLE DEVELOPMENT OF THE KYRGYZ REPUBLIC
This article focuses on the development and implementation of green economy measurement mechanisms in the context of sustainable development in the Kyrgyz Republic. Given global environmental challenges and the need to harmonize economic growth with environmental protection, special attention is paid to the creation of effective assessment tools that will enable the assessment of the impact of economic activity on the country's environmental status, determine the degree of resource efficiency and sustainability of various economic sectors, and develop recommendations for public policy in the areas of ecology and sustainable development.
Copyright (c) 2025 Eurasian Journal of Scientific and Multidisciplinary Research https://creativecommons.org/licenses/by-nc-nd/4.0
THE IMAGE OF WOMEN IN THE WORKS OF PUSHKIN AND LERMONTOV
This article explores the images of women in the works of Alexander Pushkin and Mikhail Lermontov, focusing on the characteristic features and social contexts in which these characters exist. On the example of “Eugene Onegin” and “The Hero of Our Time” both common and distinctive features inherent in female images are analyzed, which allows a deeper understanding of the authors' artistic vision.
THEOLOGICAL CONCEPTS IN THE NOVEL BY CH. AITMATOV AND THE DAY LASTS LONGER THAN A CENTURY
The article examines the cognitive-linguistic contents of theological concepts in Chingiz Aitmatov's novel "And the Day Lasts Longer Than a Hundred Years". The aim of the study is to identify and analyze theological concepts, their frequency, cognitemes and proverbial units in the text of the work. The paper presents a statistical analysis of the use of religious and theological lexemes reflecting spiritual and cultural changes in Kyrgyz society at the turn of the 20th–21st centuries. Particular attention is paid to the vocabulary associated with the concepts of God, Heaven (Tengri) and their cognitive characteristics — creator, power, patron, omniscient, judge, etc. Idioms and speech formulas that function as proverbial units expressing faith, hope, gratitude and other emotional and evaluative shades are analyzed. The study emphasizes the role of religious concepts as an integral part of national culture and spiritual worldview, as well as their importance for understanding philosophical ideas and images in Aitmatov's works. The results obtained contribute to the development of theolinguistics and the study of religious discourse in cognitive linguistics.
BARPY ALYKULOV AS A CULTURAL PHENOMENON: THE ROLE OF HIS WORK IN PRESERVING AND DEVELOPING KYRGYZ NATIONAL IDENTITY
This article explores the cultural and historical significance of Barpy Alykulov (1884–1949), a prominent Kyrgyz akyn (folk poet and improviser), as a key figure in preserving and developing Kyrgyz national identity. Drawing upon his poetic works and mastery of aitysh — the traditional Kyrgyz form of poetic improvisation — the study analyzes how Barpy’s creative legacy reflected social injustice, love for homeland, and collective memory during a period of profound transformation in early 20th-century Central Asia. His poetry is presented not only as an artistic expression but also as a vehicle for social critique, national unity, and cultural continuity. The article further highlights the relevance of Barpy’s work in contemporary Kyrgyz society, particularly in educational and cultural practices, and emphasizes the importance of safeguarding such heritage for future generations.
BASED ON THE RESULTS OF AN ETHNOGRAPHIC EXPEDITION: FIELD OBSERVATIONS ON THE KHIVA HALFAS
This article is based on field observations conducted during an independently organized ethnographic expedition by the author in the Khiva region of the Republic of Uzbekistan in 2023–2024. The study draws upon field materials directly recorded from informants and provides insight into the traditional cultural practices of the Khiva halfas. The aim of the study is to scientifically analyze the cultural and social roles of female performers known as the Khiva halfas, along with their heritage and traditional practices. Relying on field data, the article delineates the Khiva halfas’ place in communal life through their song and dance performances, with particular emphasis on their ritual functions during family ceremonies (weddings, circumcision rites). The art of halfa is examined not only as an element of oral heritage but also as a phenomenon that affirms the active cultural role of women in society. As examples, the article references prominent halfas from the early 20th century to the 2000s—such as Onabibi Otakozieva (Ojiza), her disciples Oyibibi Matyokubova and her daughter Nodira Bogbekova—as well as musical ensembles like the harmonica players' group. This phenomenon demonstrates the distinct role of women as transmitters of cultural heritage in society and includes an analysis of the master-apprentice tradition, performance-based training, and mechanisms for preserving the folk repertoire. The study concludes with findings on the transformation of the halfa tradition, its continued vitality among contemporary generations, and the significance of this heritage. The article employs methods from folklore studies and ethnographic field observation, as well as content analysis to interpret the structure, thematic content, and poetic elements of the collected song texts.
SIGNIFICANCE OF USING LEASING IN THE CONTEXT OF AGRICULTURAL DEVELOPMENT
The article highlights several factors of economic importance. It analyzes whether the mechanism of leasing investment ensures the effective functioning of a competitive market for goods, works, and services. It demonstrates that leasing modernizes agricultural production and the investment process. It is determined that this form of investment activity allows enterprises to fully utilize modern equipment and new technologies. The article discusses the legal nature of leasing and the specifics of legal regulation of leasing relations according to the legislation of the Kyrgyz Republic. Based on the analysis of domestic legislation, conflicts and gaps in the legal regulation of leasing agreements were identified, and ways to resolve and address them were proposed.
FEATURES OF THE DEVELOPMENT OF INTERNATIONAL TOURISM IN THE JALAL-ABAD REGION (KYRGYZSTAN)
The article analyzes the features of international tourism development in the Jalal-Abad region of the Kyrgyz Republic. The paper examines key factors influencing the tourist attractiveness of the region, such as natural and geographical conditions, cultural heritage and infrastructure. Particular attention is paid to the problems and prospects of tourism development in the context of modern trends, such as ecotourism, agrotourism and cultural routes. The author analyzes the role of international investment, public policy and the private sector in stimulating the growth of the tourism industry. In addition, the socio-economic effects of tourism are examined, including job creation and development of local communities. In conclusion, recommendations are offered for improving infrastructure and increasing the competitiveness of the region in the international tourism market.
THE IMPORTANCE OF ENVIRONMENTAL EDUCATION FOR SUSTAINABLE DEVELOPMENT OF NATURE
In the context of the growing ecological crisis and global environmental changes, the issue of sustainable development is becoming increasingly relevant. This article examines the key role of environmental education as a tool for fostering environmentally responsible behavior and worldviews essential for ensuring sustainable interaction between society and nature. Particular attention is given to the concept of sustainable development, which involves meeting the needs of the present generation without compromising the opportunities of future generations. The author analyzes the main goals, objectives, and principles of environmental education, as well as its influence on the formation of value systems, environmental awareness, and an active civic stance among both the younger generation and adults. Examples of successful integration of environmental components into educational programs at various levels - from preschool to university - are considered. The necessity of an interdisciplinary approach, the involvement of all participants in the educational process, and the collaboration of educational institutions with public organizations, government agencies, and the media is emphasized. The article concludes that only through targeted environmental education can a sustainable lifestyle be cultivated and a culture of responsible consumption developed - both of which are essential for preserving the biosphere, conserving natural resources, and maintaining ecological balance on the planet.
SEDIMENT AND SLOP PROCESSES: GEOECOLOGICAL ANALYSIS OF THE CHYYIRCHYK SITE (SOUTHERN KYRGYZSTAN)
The aim of this study is to identify the relationship between precipitation, displacement velocity, and the volume of moving masses on mountain slopes in southern Kyrgyzstan. The research focuses on a slope near the "Chyyrchyk" deposit, characterized by high jointing, variable moisture conditions, and the presence of loose soils. A set of engineering and geological methods was used to assess geoenvironmental conditions, including geodetic surveying, drilling, vertical electrical sounding (VES), laboratory testing of physical and mechanical soil properties, and meteorological observations from the "Gulcha" weather station. The average annual precipitation is 520 mm, with peak rainfall events up to 76 mm/day occurring in the spring–summer period, contributing to pore pressure development and filtration processes. Critical conditions are observed during this period due to the combination of saturated clay layers and jointed carbonate bedrock. Interpretation of VES profiles and borehole data confirms the presence of low-stability zones at depths of 6–12 meters. The development of the upper quarry horizon is expected to reduce geodynamic stress and mitigate landslide risks. The results emphasize the importance of considering climatic and hydrogeological factors in slope stability assessment and the design of protective measures.
INTEGRATION OF SMALL HYDROPOWER SYSTEMS INTO THE IRRIGATION INFRASTRUCTURE OF THE KYRGYZ REPUBLIC AS A FACTOR OF SUSTAINABLE AGROECONOMIC DEVELOPMENT
This article explores an innovative approach to the development of the irrigation infrastructure in the Kyrgyz Republic through the integration of small hydropower plants (SHPs). In the context of limited access to irrigation water and inefficient resource management, a comprehensive solution is proposed that combines electricity generation with agricultural irrigation. The current state of the water management system is analyzed, unused land areas with high agricultural potential are identified, and the hydropower potential of small rivers is estimated. Pilot projects in the southern regions of the country are presented as case studies. The paper highlights the role of SHPs as a strategic tool for sustainable agro-economic development. Preliminary techno-economic assessments and scaling recommendations are included.
WEB SERVICE FOR AUTOMATED ISSUANCE OF DIGITAL DOCUMENTS IN AN EDUCATIONAL INSTITUTION (OSHGU): DEVELOPMENT AND IMPLEMENTATION EXPERIENCE
This article presents the experience of developing and implementing a web service for the automated issuance of digital documents at Osh State University. The system allows students to obtain certificates of enrollment and academic transcripts, while employees can receive employment certificates through their personal accounts. One of the key features of the solution is the generation of unique QR codes for each document, providing the possibility for instant verification of authenticity. The article also presents the results of the system’s operation over 31 months, including statistics on the types of documents requested, trends in requests, and the effectiveness of the QR code verification mechanism. Both technical and organizational aspects of the system's implementation are discussed, along with identified issues and potential areas for further development, including integration with government electronic services and the creation of mobile applications for user convenience.
Longevity of Double-Layered Polypropylene Mesh with Methylmethacrylate in Chest Wall Reconstruction: A Case Report
Chest wall tumors, particularly neurofibromas—benign yet locally aggressive peripheral nerve sheath tumors—challenge thoracic surgeons due to their proximity to vital structures, recurrence risk, and demands for radical resection and stable reconstruction. This report describes a 62-year-old woman with recurrent right chest wall neurofibroma involving ribs 3–9, treated 10 years ago via wide excision and "sandwich technique" reconstruction using double-layered polypropylene mesh (ETHICON™ PROLENE®) reinforced with polymethylmethacrylate (PMMA). In a resource-limited setting without titanium prostheses, the 20 × 15 cm defect was addressed by molding PMMA between mesh layers, securing it to adjacent ribs with wires, and covering with a latissimus dorsi flap for rigidity, biocompatibility, and infection resistance. Postoperative recovery was uneventful, with discharge on day 7. Over 10 years, annual CT surveillance showed sustained prosthetic integrity—minor superficial mesh breaches (<1 cm) but no fragmentation or migration—and initial suspected recurrence (2 × 1.5 cm mass at year 9) that regressed spontaneously (1.5 × 1 cm at year 10), with no invasion or complications. The patient reported mild pain (VAS 2/10) but preserved pulmonary function and ambulation. This case highlights the polypropylene–PMMA composite's decade-long durability and cost-effectiveness ($50–100 vs. $500+ for titanium) as an alternative for large defects in low-resource environments. It supports wider use of hybrid techniques with vigilant follow-up for oncologic and prosthetic monitoring, advancing equitable thoracic surgery.
Perception of the Learning Environment at Bangladesh's Government Medical College
Objective: The aim of the present study was to assess the Perception of the Learning Environment at Bangladesh's Government Medical College. Methodology: This cross-sectional descriptive type of observational study was carried out among 166 participants within the defined period from January 2023 to December 2023. The study was carried out among faculties of phase IV of three government Medical Colleges of Mymensingh division. The sampling method of this study was purposive type non-probability sampling. All the data were compiled and sorted properly and the quantitative data was analyzed statistically by using Statistical Package for Social Science named SPSS 25.0 Result: 20% respondents told that educational environment for teaching were completely supportive. 1.8% respondents mention that classroom facilities (39.2%), more manpower (8.8%) and technology support (21.6%) needed to be resolved for better teaching/learning environment. Approximately 34.3% of the participants have actively conducted research. A quarter of the respondents (25.9%) had publications to their credit. The majority of respondents perceived their research environment as either completely (19.4%) or almost (25.5%) supportive. For those who perceived a lack of support, various factors are identified, including less logistic support, insufficient manpower and resources, time constraints, lack of funds, and accommodation issues. Conclusion: From the findings of present study it is evident that medical institutes of Bangladesh should play a bit more active role for improving learning development.
FEATURES OF THE COURSE OF OSTEOPOROSIS IN WOMEN OF PRECLIMACTERIC AGE IN THE HIGHLANDS AND MIDDLE MOUNTAINS OF KYRGYZSTAN
Previously, we studied the effect of the use of whey on the course of childbirth in the highlands. In the course of the study, the facts of the early development of osteoporosis at an earlier age in women were revealed. These data have long occupied a place in practical medicine. The study of the causes was the main method of this study. The purpose of this study is to analyze the clinical and functional features of osteoporosis in women of preclimacteric age living in the highlands and middle mountains of Kyrgyzstan. Materials and research methods: clinical and instrumental diagnostic methods were used, including densitometry, biochemical markers of bone metabolism. Differences in the severity of bone loss have been established depending on the altitude area of residence. The results of the study are important for the development of regionally adapted programs for the prevention and early detection of osteoporosis.
MODERN PARADIGMS OF MEDICAL EDUCATION: BREAKTHROUGH METHODS OF TRAINING SPECIALISTS USING STANDARDIZED PATIENTS
This article presents a systematic analysis of current trends in medical education, with a particular focus on the integration of innovative training methodologies, especially the use of standardized patients. In the context of global transformations in healthcare and the exponential advancement of biotechnology, traditional didactic approaches are becoming increasingly inadequate. The authors explore the fundamental significance of simulation-based learning methods, including the use of standardized patients, in developing not only applied clinical skills but also students’ communicative competencies and critical clinical thinking. The assessment of clinical competencies through the Objective Structured Clinical Examination (OSCE) ensures a high level of validity and objectivity in evaluating students’ preparedness. The article provides an overview of the implementation of these methods within the educational process of the Faculty of Medicine at Jalal-Abad State University (JASU), along with an empirical analysis of their impact on the quality of education and the professional readiness of future physicians.
Objective Structured Clinical Examination (OSCE)
TOPICAL PREVENTIVE MEASURES FOR MICRONUTRIENT DEFICIENCY TO PREVENT COMPLICATIONS OF THE ORAL MUCOSA AND PERIODONTAL DISEASE WHEN WEARING REMOVABLE DENTURES
The long-term absence of teeth leads to various functional and morphological disorders. The nature of the load on the periodontal tissues changes, the bioelectric activity of the masticatory muscles decreases, and a new type of chewing occurs. This leads to atrophic changes in the temporomandibular joint and the bone tissues of the maxillofacial system. Atrophy of the vestibular surface predominates in the upper jaw, while a significant atrophy of the lingual surface is observed in the lower jaw. As a result, the alveolar arch in the upper jaw decreases in size, and in the lower jaw it increases.
EPIDEMIOLOGICAL ASSESSMENT OF MEASLES INCIDENCE AMONG VACCINATED AND UNVACCINATED CHILDREN IN THE CITY OF JALAL-ABAD
An epidemiological analysis of measles in Jalal-Abad (2023-2024) revealed a critical dependence of measles incidence on vaccination status: the proportion of unvaccinated children among those infected rose to 89.7%. The analysis of measles cases among the pediatric population of Jalal-Abad from 2023 to 2024 clearly demonstrated a direct link between the absence of vaccination and the risk of illness. In 2024, the proportion of unvaccinated children among measles cases significantly increased from 64% to an alarming 89.7% compared to 2023. Of particular concern is the rise in incidence among children whose vaccination was not carried out according to the age-appropriate schedule, increasing from 26% to 39.7%. In response to this trend and in accordance with the directive of the Ministry of Health of the Kyrgyz Republic, additional immunization campaigns were organized, reaching 8,165 children aged one to six years. Importantly, in 2024, the incidence among children who received prophylactic vaccinations decreased by 4.2%, highlighting the protective role of vaccination in the fight against measles.
The results of the experimental study indicate that the healing of soft tissue wounds and bone wounds of the mandible in rabbits consist of resorption of necrotic masses of soft tissues and sequesters, proliferation of macrophages and fibroblasts, the formation of granulation and connective tissue initially loose and then fibrous, as well as the regeneration of cartilage with subsequent replacement of its osteoid and bone tissue.
LAPAROSCOPIC DIAGNOSIS AND TREATMENT IN UROLOGY
It is becoming increasingly apparent the need for widespread introduction into clinical practice gentle and effective methods of surgical treatment, particularly in patients with urgent urological diseases. In our days main methods of treatment of patients with ureterolithiazis is extracorporeal and contact ureterolithotripsy. There are a number of retroperitoneoscopic method advantages particularly in the treatment of patients with purulent-inflammatory diseases of kidneys, especially with high operational and anesthetic risk, which allows to reduce the degree of aggression and duration of the operation. Minimally invasive surgery in comparence with traditional surgical approaches are reducing the duration of surgery, accompanying with minimal number of postoperative complications and shorter hospital stay, recovery time and postoperative rehabilitation of urological patients.
THE IMPORTANCE OF ORCHIDOMETRY IN ASSESSING MEN'S HEALTH
At the present time, the role of the male factor in infertile marriage is about 40%. To elucidate causes of infertility an important role plays determining the size of the external genitalia (genitometria), and compliance of these dimensions to age norms. Despite the considerable variability in the size of the external genitalia, genitometriya allows in combination with other methods to diagnose hypogonadism and delayed puberty. Material and methods: for this purpose we used the instrument designed by B.J. Krivorutskiy. Results: when the size of the penis or testicles is more than two standard deviation below the average wecan say about pathologic changes. Conclusions: for quick estimating of the testicles size can be also used theorchidometr (testometr) - a set of standards corresponding to a certain age and stage of sexual development.
Prevalence and Factors Associated with the Utilization of Contraceptives Among Women of Reproductive Age in Jalalabad, Kyrgyzstan
Globally, sexual and reproductive health remains a critical public health concern for women of reproductive age. The utilization of modern contraceptives is essential for managing fertility, reducing unintended pregnancies, abortions, and associated health complications. This study aimed to assess the prevalence and factors associated with contraceptive use among women aged 15–35 years in Jalalabad, Kyrgyzstan. A descriptive cross-sectional study was conducted using online Google Forms over three months (September to November 2024). A structured questionnaire was administered to 150 randomly selected women, and data were analyzed using SPSS version 22.0. Results revealed that 88.7% of respondents were married, 88.7% resided in rural areas, and 35.9% had more than two children, all of which were associated with higher contraceptive use. Conversely, women aged 15–25 years showed lower utilization. The majority of women demonstrated good knowledge of contraceptives, though some reported side effects such as vaginal discharge or irritation. These findings underscore the need to address socioeconomic, geographic, and cultural barriers to enhance contraceptive effectiveness and promote maternal and child health.
Electrical Cardioversion for Atrial Flutter in a Patient with Severe Left Ventricular Systolic Dysfunction: A Case Report
Background: Patients with chronic heart failure (CHF) and severe left ventricular systolic dysfunction (LVEF <35%) are at elevated risk for life-threatening arrhythmias. Atrial flutter (AFL) can precipitate acute hemodynamic instability in this population, often requiring urgent intervention. Case Description: A 61-year-old male with ischemic cardiomyopathy (LVEF 31-34%), an implantable cardioverter-defibrillator (ICD), and paroxysmal atrial fibrillation presented with CHF decompensation. He developed typical AFL with 2:1 atrioventricular (AV) conduction, prompting intensive care unit (ICU) transfer due to impending hemodynamic deterioration. Despite optimized guideline-directed medical therapy, synchronized electrical cardioversion with a 100 J biphasic shock successfully restored sinus rhythm without complications. Conclusion: This case illustrates the safety and efficacy of low-energy electrical cardioversion for acute rhythm control in AFL among patients with advanced heart failure and severe systolic dysfunction. It underscores the value of vigilant monitoring, the limitations of ICD therapy for supraventricular arrhythmias, and the need for multidisciplinary, individualized management to avert decompensation in high-risk patients.
Early Clinical Exposure for First-Year Medical Students at Jalalabad International University
Aim and Background: Early Clinical Exposure (ECE) serves to bridge the divide between preclinical education and clinical practice from the outset of the MBBS program. It enables students to integrate foundational sciences with patient-centered care, fostering a cohesive medical education experience. This study evaluated the influence of ECE on the learning outcomes, motivation, and clinical comprehension of first-year MBBS students at Jalalabad International University (JAIU). Objectives: To assess the effects of ECE on student motivation, interest in learning, and formation of professional identity. To examine how ECE contributes to the foundational development of medical knowledge among first-year students. Materials and Methods: A cross-sectional, perception-based study was conducted among first-year MBBS students following over six months of ECE implementation. A pre-validated questionnaire comprising 6 demographic items and 9 closed-ended questions addressing all preclinical subjects was distributed via Google Forms. Data collection spanned two weeks, with responses analyzed using SPSS version 27. Descriptive statistics (frequencies, percentages, means) were employed, and statistical significance was set at p < 0.05. Results: Of the respondents, 92% reported enhanced understanding of basic sciences through clinical contextualization, 89% indicated increased motivation, 85% noted improvements in communication skills, 80% affirmed heightened interest in medicine, 78% believed ECE reduced anxiety in later clinical settings, and 82% reported improved teamwork skills. Conclusion: ECE during the first year of MBBS at JAIU emerges as an effective educational strategy, bolstering comprehension, motivation, confidence, and professional orientation among students.
A HOSPITAL BASED STUDY: EPIDEMOLOGY AND PRESENTATION OF BENIGN PROSTATIC HYPERPLASIA
Introduction: Benign prostatic hyperplasia, is one of the most prevalent disorders that affects male population in every part of the world. The incidence of BPH has increased over the past ten years due to an increase in modifiable risk factors, such as obesity and metabolic disease whereas aging is found to be the most common non modifiable risk factor for BPH. Objective: The main objective of this study is to find the epidemiology and presentation of BPH cases with their treatment modilaty at hospital in Jalalabad. Method and methodology: Its a retrospective study of 75 patients who were diagnosed with BPH and came for different types of intervention and treatment in City Hospital in the year 2022 at Jalalabad, Kyrgystan. Results: The age distribution in this study shows the maximum respondents age group of 60-75 years with 66.6%. According to our study 61.33% of the respondents are having a BMI value more than 25. More than 70% respondents were following up case of BPH who were under medication. Most of respondents had multiple disease whereas most common associate disease are hypertension (22.6%) and diabetes mellitus (13.3%). On symptoms analysis, Frequency of micturation was most common presentation found (86.66 %). Among the respondent, 41.33% were suffering from moderate symptoms and 38.66% were suffering from severe symptoms. 56.66% of the respondents have prostate size between 40-90cc and most common complication associate was acute retention of urine (9.33%). Most of respondent (49.4%) were currently on medical management and 34.6% of respondents underwent surgical management. patient who patient who underwent surgery, 80.76 % underwent TURP followed by open prostatectomy. Conclusion: The study shows that the increasing age is the risk factor for the prevalence of BPH. In the future, this condition will undoubtedly become even more common and a significant burden for all health care systems due to a shifting demographic profile and an aging population in practically every society. Exercise and nutrition recommendations are crucial strategies in addition to medication and surgery, as they empower patients to take charge of their own health.
Bullosis Diabeticorum Complicated by Secondary Infection and Necrosis in a 29-Year-Old Male with Newly Diagnosed Diabetes Mellitus: A Case Report
Bullosis diabeticorum (BD) is a rare cutaneous manifestation of diabetes mellitus characterized by spontaneous bullous eruptions, predominantly on the extremities. This report describes a 29-year-old male car driver from Dubai who presented with pruritus on the right foot, progressing to vesicles, papules, pustules, bullae, and eventual necrosis despite multiple interventions. The condition was complicated by secondary infection and swelling, with laboratory findings revealing mild leukocytosis, eosinophilia, and elevated HbA1c, confirming newly diagnosed diabetes mellitus. Multidisciplinary management involving antimicrobial therapy, antifungal agents, wound care, and lifestyle modifications led to clinical improvement and glycemic stabilization. This case underscores the potential for BD to progress to necrosis in poorly controlled diabetes and highlights the importance of early diagnosis and comprehensive management.
INFLUENCE OF CYSTIC NEOPLASMS OF THE SCROTUM ORGANS ON MALE REPRODUCTIVENESS
The generally accepted idea of “Cystic neoplasms”, due to the introduction of computed tomography into medical practice, consists of simple cysts, benign cysts, cysts with multiple septa, doubtful cysts (unclear whether they are benign or malignant) and cystic cancer. Material and methods: the features of the above conditions have not yet been studied in relation to the scrotal organs. Results: in this direction, although there is certain scientific information regarding their clinic and diagnosis, a specific classification has not been compiled, and there is also no literature data on simultaneous methods in the complex of their treatment. Conclusions: generalization and development of unified tactics in this direction will improve the provision of urological care to this category of patients.
Comparative study between Jalalabad and Lahore about dengue fever and lifestyle of people as a preventive measure from mosquitoes
Dengue fever, a mosquito-borne viral illness, continues to pose a significant threat to public health, particularly in densely populated tropical and subtropical regions. This comparative study explores the influence of lifestyle-related factors on dengue prevalence by analyzing two contrasting urban environments: Jalalabad, Kyrgyzstan (a region with no reported dengue cases) and Lahore, Pakistan (where dengue is endemic). Using structured questionnaires, data were collected from 300 participants (150 from each city), focusing on awareness, preventive behaviors, sanitation practices, and environmental conditions. Despite limited awareness about dengue in Jalalabad, participants demonstrated healthier lifestyle habits and better environmental management. Conversely, although Lahore respondents showed higher awareness of the disease, their preventive practices and environmental hygiene were less consistent. The findings underscore a strong relationship between personal and communal lifestyle factors; such as water storage, dietary habits, sanitation, and mosquito protection measures and the likelihood of dengue transmission. The study concludes that enhanced public health education, behavioral interventions, and infrastructure improvements are essential for effective dengue control, particularly in high-risk areas. Promoting healthier lifestyles may serve as a key strategy in reducing the burden of vector-borne diseases globally.
Survival vs. Recurrence of Supratentorial Meningioma After Surgical Resection: Prognostic Impact of Simpson Grade in Adults Aged
Background: Supratentorial meningiomas, accounting for a significant proportion of intracranial tumors in adults, are primarily managed through surgical resection. The Simpson grading system, a historical standard, classifies the extent of resection and its impact on recurrence and survival. This PRISMA-2020 compliant systematic literature review (SLR) investigates the prognostic role of Simpson grade on recurrence, overall survival (OS), progression-free survival (PFS), and quality of life (QOL) in adults aged 18–60, while comparing it with other factors such as tumor size, WHO grade, Ki-67 index, peritumoral edema, tumor location, and adjuvant radiotherapy (RT). Methods: PubMed, Google Scholar, and Cochrane databases were searched for studies published between 2019 and 2024. Inclusion criteria encompassed cohort studies of adults aged 18–60 with supratentorial meningioma treated by surgical resection, reporting outcomes of recurrence, OS, PFS, or QOL. Exclusions included case reports, series with fewer than 10 patients, pediatric (<18), elderly-only (>60), or infratentorial/skull base-only cohorts. Data on study characteristics, prognostic factors, and outcomes were extracted. Narrative synthesis was performed due to heterogeneity; meta-analysis was not feasible. Results: From 120 identified records, 5 studies (n=1,250 patients) were included. Simpson grades I/II were associated with lower recurrence rates (hazard ratio [HR] 2.0–2.5) and improved PFS (median 86–92 vs. 60–70 months for grades III–V). WHO grades II/III and Ki-67 >5% were stronger predictors of recurrence in multivariate analyses. Limited QOL data indicated improved seizure control with complete resection. Adjuvant RT enhanced PFS in incomplete resections. OS differences were minimal in low-grade tumors. Conclusion: Simpson grade remains a significant prognostic factor for recurrence and PFS, but its impact is modulated by tumor biology. This SLR provides evidence-based insights, contrasting narrative reviews by focusing on recent, population-specific data. Future studies should integrate molecular markers and standardized QOL metrics for enhanced prognostication.
It is with great pride and enthusiasm that I present to you the Second Edition of the Eurasian Journal of Scientific and Multidisciplinary Research (EJSMR). When we launched our inaugural issue in March 2025, it was a landmark achievement, marking the beginning of a platform designed to unite diverse voices in science, medicine, technology, social sciences, and humanities. The first edition reflected our collective vision: to foster high-quality, peer-reviewed, open-access research that transcends disciplinary boundaries while highlighting the scholarly contributions of the Eurasian region within a global context. Reflecting on Our Beginning The first edition brought forward a range of research, from advances in medical and health sciences to innovative perspectives on social development and education. It demonstrated both the richness of ideas emerging from our region and the importance of cross-disciplinary collaboration in addressing complex global challenges. Highlights of This Edition In this Second Edition, we continue this mission with renewed vigor. The contributions span a wide spectrum of disciplines—medical sciences, environmental studies, education, engineering, and socio-economic research—demonstrating that impactful knowledge thrives at the intersection of fields. Each article has undergone rigorous peer review, ensuring that what we present here is not only academically robust but also relevant to policymakers, practitioners, and fellow researchers. Our Commitment Ahead As Deputy Editor-in-Chief, I am encouraged by the growing response from scholars who recognize EJSMR as a credible and inclusive platform. We are committed to maintaining high standards of editorial integrity, broad accessibility through open access, and timely dissemination of knowledge that has both regional significance and global resonance. We also look forward to expanding collaborations with institutions and scholars worldwide, with the aim of making EJSMR a hub where multidisciplinary research meets innovation and impact. Acknowledgements This edition would not have been possible without the dedication of our editorial board, the meticulous efforts of our reviewers, and the trust of our authors. To our readers, we extend our gratitude—your engagement and feedback are vital as we shape EJSMR into a journal of enduring value. Invitation We invite scholars, researchers, and practitioners to continue contributing to EJSMR. Together, let us strengthen this platform as a space where ideas converge, knowledge advances, and research contributes meaningfully to society and the world. On behalf of the editorial team, I welcome you to explore the insights presented in this issue and to join us in shaping the future of multidisciplinary scholarship. Dr. Dipak Chaulagain Deputy Editor-in-Chief Eurasian Journal of Scientific and Multidisciplinary Research (EJSMR)
The Impact of Sleep Deprivation on Academic Performance Among Medical Students at Central Asian International Medical University, Jalal-Abad, Kyrgyzstan
Sleep deprivation is a pervasive challenge among medical students, largely attributable to the demanding academic schedules and extensive study hours inherent in medical education. This study investigates the effects of sleep deprivation on the academic performance of medical students at Central Asian International Medical University (CAIMU) in Jalal-Abad, Kyrgyzstan. Data were collected from 50 students (25 males and 25 females) across various academic years using a structured questionnaire that evaluated sleep patterns and self-reported academic performance. Findings indicate a significant negative correlation between sleep duration and academic achievement, with students averaging fewer than six hours of sleep per night demonstrating poorer performance. Additionally, variations in sleep patterns were observed across gender and academic years. These results underscore the necessity for institutional interventions to mitigate sleep deprivation, given its profound implications for academic success, mental health, and physical well-being.