Objective: To evaluate the imaging features of spondyloarthritis on magnetic resonance imaging (MRI) of the sacroiliac (SI) joints in terms of topography (in thirds) and affected margin, since this aspect is rarely addressed in the literature. Methods: Cross-sectional study with MRI (1.5 T) evaluation of the SI in 16 patients with diagnosis of axial spondyloarthritis regarding the presence of acute (subchondral bone edema, enthesitis, synovitis and capsulitis) and chronic changes (erosions, subchondral bone sclerosis, bone bridging and fatty replacement), performed by two radiologists, blinded to clinical data. MRI findings were correlated with clinical data including age, disease duration, medications, HLA-B27, BASDAI, ASDAS-VHS and ASDAS-PCR, BASMI, BASFI, and mSASSS. Results: Bone edema pattern and erosions showed predominance in the upper third of SI (p = 0.050, p = 0.0014, respectively). There was a correlation between the time of disease and structural changes by affected third (p = 0.028-0.037), as well as the presence of bone bridges with BASMI (p = 0.028) and mSASSS (p = 0.014). Patients with osteitis of the lower third had higher ASDAS values (ESRV: p = 0.011 and CRP: p = 0.017). Conclusion: Chronic inflammatory changes and the pattern of bone edema predominated in the upper third of the SI, but there was also concomitant involvement of the middle or lower thirds of the joint. The localization of involvement in the upper third of the SI was insufficient to differentiate between degeneration and inflammation.

The article examines the current state of fertility processes in Kazakhstan, the diversity of reproductive scenarios, and the reasons for their formation. The authors proceed by analysing the sovereign demographic system formed in Kazakhstan in the first quarter of the 21st century based on the Kazakh ethnic group. Cluster analysis was performed for demographic zones, considering indicators such as the proportion of Kazakhs in the urban population and the total fertility rate in cities. We believe that case technology allows us to demonstrate the differences in the reproductive attitudes and behaviour of urban Kazakhs, ultimately determining the trends in reproductive processes in the country. The focus is given to the socio-cultural and socio-economic differences across the regions of Kazakhstan and their impact on fertility processes in the context of the accelerated urbanisation of Kazakhs. The main variants of adaptation of the reproductive behaviour of Kazakhs to new urban living conditions are described, and an assumption is made about further prospects for maintaining or changing birth rates in Kazakhstan.

The article investigates trade flows between the Shanghai Cooperation Organization (SCO) member-states and Belarus before the upcoming Belarus’ joining the organization. The export flows of the countries are modeled using a power function based on the time data. The results of the qualitative and quantitative analysis of foreign trade between the organization and the Republic of Belarus are presented, as well as the quantitative forecast of the prospects open to Belarus in connection with its joining the organization based on three original scenarios using econometric models. The results of the study show that Belarus has certain promising sectors of foreign economic activity, which can contribute to an increase in income from trade. It was found that the integration of the country will have a positive effect on increasing the volume of trade turnover with the participating countries, while in order to maintain sustainable economic growth of the country, domestic development of production should remain a priority, as evidenced by the obtained parameter estimates for the factors. An assessment of potential economic effects can be used to make a decision on whether a country should join an international organization. In particular, based on the assessments in our study in trade with Russia the expected increase in Belarus exports upon joining the Shanghai Cooperation Organization will constitute an increase of nearly 5%, exports to Kazakhstan are expected to increase by almost 75%, and to India and China by almost 90%. In the context of reshaping of international associations and organizations, the problems and issues raised in the study become even more relevant.

Maintaining balance is essential for daily activities; deficits in hearing-impaired adolescents can severely impact their academics and daily life. Suspension training is employed to enhance the coordination of multiple muscle groups within the body and ultimately to improve balance. A total of 105 students with non-genetic hearing impairments, comprising 65 boys and 40 girls, participated in the study. Balance training using the TRS suspension belt included exercises such as prone elbow brace, supine back brace, kneeling elbow brace, lateral elbow brace, prone hip flexion, and supine hip lift. Strength training using equipment involved exercises like single-leg suspension squat, flying bird brace, supine suspension arm flexion, seated static brace, and standing butterfly pinch chest. The main outcome measures included static balance tests (lambda footwork, Wolfson postural stress test), dynamic balance tests (functional forward reach test, balance beam walk test), and vestibule function tests (rotation-walk test). The results of the lambda footwork and Wolfson postural stress tests revealed highly significant differences between 8 weeks and 16 weeks of intervention (p < 0.01). The Functional Forward Stretch test demonstrated a significant difference between 8 weeks of intervention and 2 weeks of intervention at 16 weeks (p < 0.05). The balance beam walking test indicated a significant improvement at 8 weeks (p < 0.05) and a highly significant improvement at 16 weeks (p < 0.01). In the spin-walk test, no statistically significant differences were observed between the pre-experimental test, the 8-week intervention, and the 16-week intervention (p > 0.05). Leveraging the expropriation system to mediate skeletal muscle movement and muscle contraction coordination can improve balance. Suspension training significantly improved balance during activities requiring static non-interference maintenance. However, suspension training did not demonstrate a significant effect on improving vestibule function. Overall, suspension training was effective in enhancing balance in all patients with non-hereditary deafness.

Chinese multinational enterprises (MNEs) have increasingly engaged in outward foreign direct investment in recent years, and particularly into the infrastructure sector of developing economies. This has been prompted by the infrastructure-led economic integration plan of China’s Belt and Road Initiative. However, such collaboration faces many challenges. Infrastructure projects are often undertaken in industries, countries, and regions posing particular and difficult challenges, and with divergent, often conflicting interests, with the ensuing conclusion that the MNE is simply exploiting the project and not delivering value to the host country. Overall, not only does the infrastructure project have to be well-functioning with expected returns (or savings) realized, but these projects face close scrutiny from local communities, labor, opposition parties, neighboring countries, and various international bodies and nonprofits, requiring delicate handling of the principals involved. The unfolding of these issues and their management by the multinational are examined through an in-depth longitudinal case study. The data are drawn from major participants and stakeholders around a leading Chinese MNE and the mega project of the construction of a major hydropower plant in Pakistan.