bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH MEDIA PEMBELAJARAN MUKA JAM TERHADAP HASIL BELAJAR MATEMATIKA SISWA KELAS II SEKOLAH DASAR
Authors: Ramadhana Putri , Jayanti Jayanti , Suryani Ida
Published: October 2023

Abstract: Using media in the classroom has a substantial impact on the grade's learning objectives II students at SD Negeri 17 Tanjung Batu, according to the researcher's research. advancement of jamming This study used an experimental approach, using the Design Presest-Posttest Control Group test type and True Experimental Design. There are ten multiple-choice questions on the exam. Two classes made up the sample for this study, namely the experimental class This included 29 students, as well as the control group which amounted to 28 students. The hypothesis test results obtained the price tcount 1.673 while ttable 2,673 so that H O If is refused and Ha is accepted, it may be claimed that the Clock Face learning tool significantly affects math learning outcomes time material in grade II SD Negeri 27 Cape Stone. Keyword: Media, Clock Face, Mathematics. Abstrak: Untuk mengetahui apakah ada pengaruh yang signifikan terhadap hasil belajar siswa di kelas II di SD Negeri 17 Tanjung Batu yang diajar dengan media pembelajaran Muka Jam Studi ini menggunakan metode eksperimen True Experimental Desaign. Metode ini menggunakan bentuk tes Presest-Posttest Control Group Desaign, yang terdiri dari sepuluh soal pilihan ganda. Sampel penelitian terdiri dari dua kelas: 28 siswa di kelas eksperimen dan 29 siswa di kelas kontrol. Hasil uji hipotesis menunjukkan bahwa pembelajaran muka jam berdampak signifikan pada hasil belajar siswa kelas II SD Negeri 27 Tanjung Batu tentang materi Waktu. Oleh karena itu, nilai thitung 2,673 dan nilai ttabel 1,673, sehingga HO ditolak dan Ha diterima.Kata Kunci: Media, Muka Jam, Matematika.
IMPLEMENTASI GAME WORDWALL DALAM PEMBELAJARAN PKN TERHADAP KEDISIPLINAN BELAJAR SISWA KELAS 4 SEKOLAH DASAR
Authors: Khasanah Uswatun , Artharina Filia Prima , Sulianto Joko
Published: October 2023

Abstract: This study aims to describe the application of the Wordwall game in Civics learning to shape student learning discipline. This study uses a type of qualitative research by collecting data through observation, interviews, and questionnaires. Qualitative data analysis was carried out including data collection, data reduction, data presentation and conclusions. Efforts are made by utilizing technology as a learning medium. Researchers use learning media Wordwall. Based on the results of research on the implementation of the wordwoll game in Pkn learning in class 4 D SDN Wonotingal Semarang, learning discipline is good. Through the wordwall game, student discipline in attendance, listening to material, and collecting assignments given can be seen and reviewed through a variety of complete features that teachers can use in meaningful learning. The implementation of digital technology wordwall game applications in Civics learning makes learning fun and meaningful through this alternative for teachers to familiarize students with good behavior in complying with regulations, doing things in a timely and orderly manner and forming the disciplinary character of student learning. Keyword: Wordwall, Pkn, Study DisciplineAbstrak: Tujuan penelitian ini untuk mendeskripsikan penerapan game Wordwall dalam pembelajaran Pkn untuk membentuk kedisiplinan belajar siswa. Penelitian ini menggunakan jenis penelitian kualitatif dengan pengambilan data melalui observasi, wawancara, dan angket. Analisis data kualitatif yang dilakukan meliputi pengumpulan data, reduksi data, penyajian data dan kesimpulan. Upaya yang dilakukan dengan memanfaatkan teknologi sebagai media pembelajaran. Peneliti menggunakan media pembelajaran Wordwall. Berdasarkan hasil penelitian implementasi game wordwoll dalam pembelajaran Pkn pada siswa kelas 4 D SDN Wonotingal Semarang kedisiplinan belajar sudah baik. Melalui game wordwall kedisiplinan siswa dalam kehadiran, menyimak materi, serta mengumpulan tugas yang diberikan dapat dilihat dan ditinjau melalui berbagai fitur lengkap yang dapat dimanfaatkan guru dalam pembelajaran yang bermakna. Implementasi teknologi digital aplikasi permainan wordwall pada mata pelajaran Pkn menjadikan pembelajaran yang menyenangkan dan bermakna melalui ini alternatif guru untuk membiasakan siswa berkelakukan baik dalam mematuhi peraturan, melakukan sesuatu dengan tepat waktu dan tertib serta membentuk karakter kedisiplinan belajar siswa.Kata Kunci: Wordwall, Pkn, Kedisiplinan Belajar
PENGARUH PENDEKATAN OPEN ENDED BERBASIS MEDIA PAKAPIN (PAPAN KANTONG PINTAR) TERHADAP HASIL BELAJAR MATEMATIKA SISWA KELAS I SD
Authors: Nafalia Reni , Jayanti Jayanti , Suryani Ida
Published: October 2023

Abstrak: This study aims to determine whether or not there is a significant influence on thelearning outcomes of grade I students of SD Negeri 34 Palembang after the implementation of anopen-ended approach based on pakapin media. This study used the Presest-Posttest Control Group Design method of true experimental design. The examining strategy in thestudy was purposive testing taken from pupulation comprising of 55 understudies. This study's population consisted of 83 grade I students. Tests were used for data collection techniques. The t-test, homogeneity test, and normality test were utilized in data analysis techniques. The average possible value of the experimental class, as determined by the discussion's outcomes, was 83.93 and the average value ofthe control class posstest was 75.19. The results showed that the results of the hypothesis test wereobtained tcount 2.391 while ttable 1.671 so that HO was rejected and Ha was accepted, it can beconcluded that there is a significant increase in the open-ended approach based on pakapin mediato mathematics learning outcomes after the implementation of the open-ended approach based onpakapin mediagrade ISD Negeri34Palembang.Keywords: Open-Ended Approach, Pakapin Media, Mathematics learning outcomes.Abstrak: Abstrak: Penelitian ini bertujuan untuk mengetahui ada atau tidaknya pengaruh yang signifikan terhadap hasil belajar siswa kelas I SD Negeri 34 Palembang setelah diterapkannya pendekatan open ended berbasis media pakapin. Penelitian ini menggunakan metode True Experimental Desaign dengan bentuk Presest-Posttest Control Group Desaign. Teknik pengambilan sampel dalam penelitian adalah sampling purposive diambil dari pupulasi yang terdiri dari 55 siswa. Populasi dalam penelitian ini adalah peserta didik kelas I yang berjumlah 83. Teknik pengumpulandata menggunakan tes. Teknik analisis data yang digunakan uji normalitas, uji homogenitas dan uji-t. Berdasarkan hasil pembahasan diperoleh nilai rata-rata posstet kelas eksperimen 83,93 dan nilai rata-rata posstest kelas kontrol 75,19. Hasil penelitian menunjukkan hasil uji hipotesis diperoleh thitung 2,391 sedangkan ttabel1,671 sehingga HO ditolak dan Ha diterima, maka Setelah diterapkannya pendekatan open-ended berbasis media kelas I dapat ditarik kesimpulan bahwa terdapat peningkatan yang signifikan antara pendekatan open-ended berbasis media terhadap hasil belajar matematika. SD Negeri 34 Palembang.Kata kunci: Pendekatan Open-Ended, Media Pakapin, Hasil belajar Matematik
LEARNING TO LISTEN TO PRIMARY SCHOOL CHILDREN
Authors: Halimatussakdiah Halimatussakdiah
Published: October 2023

Abstract: Listening Learning in Elementary Children in Siosar Relocation National. Strategic Research Objectives. This institution is to improve the learning outcomes of listening to children by applying learning media to the story calendar. The research method in this study is qualitative exploratory. Data sources are children of victims of the Sinabung disaster who were relocated at Siosar class II and III SD. Data writing techniques are in the form of tests and field notes. Research instruments are performance tests and observation sheets. Research contributions are: so that teachers can practice the ability to listen to children, teachers are motivated to make innovative learning media, for schools can provide input in efforts to improve the learning outcomes of Indonesian class II and III elementary school, and provide consideration in the procurement of learning media in school .Keywords: Listening Learning, Elementary School Children.Abstrak: Pembelajaran Menyimak pada Anak SD di Relokasi Siosar. Tujuan Penelitian Strategis Nasional. Lembaga ini bertujuan untuk meningkatkan hasil belajar menyimak anak dengan menerapkan media pembelajaran kalender cerita. Metode penelitian dalam penelitian ini adalah kualitatif eksploratif. Sumber data adalah anak-anak korban bencana Sinabung yang direlokasi di SD Siosar kelas II dan III. Teknik penulisan data berupa tes dan catatan lapangan. Instrumen penelitian berupa tes unjuk kerja dan lembar observasi. Kontribusi penelitiannya adalah: agar guru dapat melatih kemampuan mendengarkan anak, guru termotivasi untuk membuat media pembelajaran yang inovatif, agar sekolah dapat memberikan masukan dalam upaya meningkatkan hasil belajar bahasa Indonesia kelas II dan III SD, dan memberikan pertimbangan dalam pengadaan media pembelajaran di sekolah.Kata Kunci: Pembelajaran Mendengarkan, Anak Sekolah Dasa
Approach to Remote Working: Perceptions, Visibility at Workplace, and the Impact on the Career Progression
Authors:   Faculty of Business & Management, Universiti Teknologi MARA 40450 Shah Alam, Selangor, Malaysia, Muhamad Fauzi Ummu Ubaidah , Mohd Idaya Husna ,   Faculty of Business & Management, Universiti Teknologi MARA 40450 Shah Alam, Selangor, Malaysia
Published: October 2023

In this present day, remote work arrangements are seen as having a new future ahead as another emergent trend in strategic human resource planning. Despite the increasing popularity of remote working among employees and employers even before COVID-19 hits the globe, there are also increasing concerns that are being expressed by both employers and employees about their presence at the workplace and how this will affect their future career progression. Prior to the COVID-19 pandemic, the issue of workplace visibility had already been a topic of discussion. However, the current situation has brought about significant changes and is anticipated to result in varying perspectives on the importance of visibility in the workplace, particularly in light of the potential for remote work arrangements in the foreseeable future. This, in turn, may have implications for the career advancement of employees. This pre-planned study adopts the exploratory qualitative research design, where the respondents are from financial sectors in Klang Valley, Malaysia, who previously or are still working remotely, either in hybrid or full-time modes. The data collected from the interview’s session will be processed and analysed using reflexive thematic analysis.
Readiness Toward the Implementation of Open Science Initiatives In the Republic of Moldova
Authors: Țurcan Nelly , Cuciureanu Gheorghe , Cujba Rodica , Cojocanu Irina , Cojocaru Igor
Published: October 2023

Open Science paradigm involves transformations throughout the entire cycle of scientific research. Decision-makers play the key role of paradigm change facilitators. Consequently, the promotion of Open Science requires a political commitment.

Even though Open Science movement emerged at the international level back in 2002, its principles are being implemented quite slowly in the Republic of Moldova.

Thus, the current study aims to analyze the importance and benefits of Open Science policy implementation, the strategic priorities of the Republic of Moldova on Open Science, barriers in transition to Open Science in the Republic of Moldova, and identification of the key actors in development, adoption, and implementation of Open Science policies in the Republic of Moldova.

The study employed a mixed method: survey among members of the scientific community (quantitative data collection) and semi-structured interviews of the key informants in Open Science policies and practices (qualitative data collection).
When social policy walks into the justice system...
Authors: Dombrovszky Borbála , Hoffman István
Published: October 2023

This paper aims to elaborate on the dilemmas Hungarian courts face when they appear in the forefront of policy implementation. Firstly, what kind of (legal) sources and documents should the court involve in in its legal interpretation? Secondly, what are the trade-offs between offering effective remedy sanctions and respecting the differences between branches of law and the division of power? For purpose of this analysis, we turn to the example of school segregation lawsuits between 2007 and 2022. In terms of equal and equitable education, the regulatory frameworks in the CEE Countries are harmonized to the EU standards and are strongly based on the anti-discrimination approach. In theory, policy programs and documents could be used as a source of facts, as well as a source of information regarding legislative goals and policy context. In theory, courts should aim to opt for sanctions with the most potential to achieve effective remedy. If this leads to specific policy-type sanctions, within the bounds of the parties’ actions courts should be able to decide so. However, courts tend to refrain from such sources and decisions. In the context of democratic backsliding the possibilities of such activism are somewhat unclear. Issues around the independence of the judiciary, the attitude of the executive branch towards certain social policy issues, and the practice of overwriting by amendment on part of the National Assembly supermajority may discourage courts and judges from policy-sensitive or innovative adjudication of cases with social policy relevance.
Link Adaptation Strategy for Underwater Acoustic Sensor Networks: A Machine Learning Approach
Authors: Ali Muhmmad , Ali Almaameri Ihab M. , Malik Abdul , Khan Fahim , Rabbani Muhammad Khalid , Alamgir
Published: October 2023

Due to growing concerns regarding their use in fields including oceanography, commercial marine operations, and military surveillance, demand in the exploration of underwater sensor networks for marine studies has developed. Network channels for underwater sensor network (USN) rapidly change (spatially and temporally) depending on the surroundings. To increase system efficiency by adjusting transmission parameters to channel fluctuations, it is alluring to utilize adaptive modulation and coding (AMC) for USNs. In order to determine the best link adaptation method based on the channel quality, this article focuses on evaluating a measured sea trial dataset utilizing a rule-based approach (i.e., three-dimensional evaluation, modulation-wise analysis, and a fixed-SNR strategy). To determine the optimum AMC combinations in terms of channel adaptively, we draw a situation of the measured USN data rate versus Bit Error Rate (BER) and Signal to Noise Ratio (SNR). The work further extends to apply machine learning (ML) methods to identify the MCS levels by looking into the channel characteristics due to the non-reversibility limitation of the rule-based strategy. One of the ML methods we used for the investigation, gradient boosted regression tree (GBRT), exhibits impressive accuracy of 99.988% in classifying MCS levels. The MCS levels are related to channel statistics and signal characteristics, particularly those that are susceptible to SNR and BER limitations, using an ensemble of trees that learns from the buoy and base station’s uplink data.
Correlations between daytime sleepiness, arterial hypertension and the degree of apnea in patients with obstructive sleep apnea syndrome
Authors: Jimborean Gabriela , Sarkozy Hedy Balogh , Szatmari Mioara , Mircea Neagos Cristian , Vlad Anca , Neagos Adriana
Published: October 2023

BACKGROUND. Sleep-breathing disorders are increasingly common in the general population, affecting the quality of life from many points of view. Patients with sleep-disordered breathing have a series of comorbidities, including arterial hypertension, which affects the quality of life also through the collateral manifestations of daytime sleepiness.

MATERIAL AND METHODS. A descriptive study was conducted on a group of 134 patients who underwent investigations to determine the degree of obstructive sleep apnea syndrome (OSAS) by respiratory polygraphic and polysomnographic investigations. This group was also investigated from the point of view of blood pressure values as well as the degree of daytime sleepiness, an important element for the quality of life.

RESULTS. The average age of the evaluated patients was 42.18±12.70 years, and the body mass index was 31.20±5.74 kg/m2. The assessment of systemic blood pressure indicated an increased value above its standard normal value in most subjects: 58 patients (43.9%) were included in stage I hypertension, 9.8% in stage II, 1.5% of the subjects were diagnosed with stage III hypertension. To describe the relationship between OSAS and quality of life assessed by the degree of daytime sleepiness, we performed the regression and correlation analysis. The dependence between the values of the apnea-hypopnea index (AHI) and the ESS (the degree of daytime sleepiness) was positive; an increase in the AHI implies an increase in the ESS, thus a decrease in the quality of life.

CONCLUSION. We can conclude that the severity of OSAS is directly involved in establishing the degree of arterial hypertension. Moreover, early detection is essential in order to decrease the degree of daytime sleepiness and implicitly increase the quality of life.
Urban, Environmental and Habitability Parameters for Social Housing
Authors: Kern Andrea Parisi , Netto Vinícius de Moraes , Cantarino Julia , De Mendonça Mirella Furtado , Schneck Eduardo , Pires Josiane , González Marco Aurélio Stumpf
Published: October 2023

Purpose: The purpose of this study is to propose a set of parameters for urban, environmental, and habitability impacts for the feasibility analysis of social housing projects.
 
Theoretical framework: Given the historical housing deficit, the large scale of social housing segment has been challenging managers in terms of environmental (volume of inputs, energy, waste), economic (high investment), and social (urban relations) impacts. Thus, efficiency in the performance of Social Housing Projects is a relevant aspect, regarding the importance that housing represents in users’ lives.
 
Method/design/approach: The research strategy used was case studies, using 12 social housing projects built in Rio de Janeiro and Porto Alegre. The parameters analyzed refer to urban, environmental and habitability impact, based on data collected in loco, seeking to identify the main variables that influence each one, categorized as greater, medium or smaller influence.
 
Results and conclusion: The variables with the most significant impact were: (i) mobility, access to opportunities, degree of localism, and social networks (urban parameters); (ii) index of compactness of the buildings and place of manufacture of the materials (environmental parameters); (iii) bioclimatic zone, facade color, window size, architectural type, and (iv) construction system (living parameters).
Research implications: The proposed parameters may be helpful to public authorities (funders/inspectors), designers/builders (executors), and academics (theoretical/technical support) as a guide to more efficient social housing solutions involving the construction of programs, guidelines for public notices, parameters assessment, among others.
 
Originality/value: The study contributes to the existing literature by encompassing a systemic approach to EHIS, being propositional through parameters that integrate issues related to construction and urban performance.
Illness anxiety and its association with self-diagnosis on internet search
Authors: Almatham Fahad , Almotiri Mohammad , Al-luhaymid Abdulaziz , Alharbi Abdulmajeed , Alsuhaibani Abdulsalam , Alawad Turki , Alsulmi Abdulrahman
Published: October 2023

Objective: The study aimed to estimate the prevalence of illness anxiety disorder (IAD) and its relationship with self-diagnosis through internet searches in the general population of Saudi Arabia (SA).
Methods: This cross-sectional study was conducted among the general population in SA. A self-administered questionnaire was distributed using an online platform. The questionnaire was composed of psychosocial and demographic information, including age, sex, educational level, medical illness, and history of psychiatric illness. The short version of the health anxiety inventory (SHAI) and the short-form version of the cyberchondria severity scale (CSS-12) were used.
Results: Out of 479 completed surveys, 53.9% were females, and 44.1% were aged between 21 and 25 years. The prevalence of IAD based on the SHAI questionnaire was 14.4%. The level of CSS was classified as low, average, and high among 21.1%, 53.7%, and 25.3%, respectively. A positive IAD level was associated with a higher score in the CSS-12. In a multivariate regression model, it was found that having mental illness and an increased level of self-diagnosis on internet search were the independent significant predictors associated with positive IAD level.
Conclusion: This study found an association between IAD and internet search. Females with associated mental illness were at increased risk of suffering from IAD as compared to the general population. These findings proposed further research and clinical practice on IAD and its relation to cyberchondria in SA.
Develop a Nonlinear Regression Model Using Box-Cox Transformation with Application
Authors: Taher Awdi Rozheen , Mohammed Ali Haithem Taha
Published: October 2023

This article introduces an algorithm designed for utilizing power transformations in the estimation of nonlinear regression models. The algorithm outlines a series of steps for selecting the most suitable power parameter estimate through a combination of the conventional Maximum Likelihood Estimation technique and specific criteria for enhancing statistical modeling effectiveness. Supplementary decision guidelines involve the utilization of the determination coefficient and the p-value from the errors normality test. The algorithm's application was demonstrated using actual data. The article's conclusion highlighted the ability to identify a range of feasible solutions for selecting the optimal power parameter. However, it was acknowledging the challenge of identifying a single optimal value that satisfies the requirements of all estimation and decision methodologies.
Box-Cox Transformation for Exponential Smoothing With Application
Authors: Ahmed Ali Alla , Taha Mohammed Ali Haithem
Published: October 2023

This article introduces a novel algorithm for incorporating power transformation into the estimation process of a Holt-Winters Seasonal model. The algorithm outlines a series of steps aimed at selecting the most appropriate power parameter estimate. This selection is achieved using the conventional Maximum Likelihood Estimation method in combination with various criteria for enhancing statistical modeling efficiency. Supplementary decision rules include assessing Mean Square Error, Mean Absolute Error, and conducting a p-value test for the normality of errors. The algorithm's effectiveness is demonstrated through its application to real-world data. Ultimately, the article affirms the feasibility of obtaining viable solutions for selecting the optimal power parameter.
COMPARATIVE ANALYSIS OF OIL PALM FARMING PATTERNS BETWEEN PLASMA AND INDEPENDENT FARMERS IN NORTH MUSIRAWAS REGENCY
Authors: Annisa Febrina Nur , Syabawaihi Syabawaihi
Published: October 2023

This study aims to analyze the influence of partnership types on agricultural outcomes and farmers' income in oil palm plantation enterprises. Data were obtained from 10 farmers divided between plasma and independent partnership types. The observed variables included partnership types, land area, quantity of fertilizer use, herbicide use, and income. Analysis was conducted using descriptive statistical methods, Pearson correlation, paired t-test, and analysis of variance (ANOVA). The results of the study indicate that partnership types significantly affect agricultural outcomes and farmers' income. Plasma farmers tend to have better agricultural outcomes and higher income compared to independent farmers. Additionally, land area and fertilizer use also exhibit significant differences between partnership types. However, herbicide use does not show a significant difference between the two partnership types. In conclusion, partnership types have an impact on agricultural outcomes and farmers' income in oil palm plantation enterprises. These findings hold important implications for policy and strategy development that focuses on enhancing farmers' welfare within the plasma partnership.
The use of adjectives as a means of changing the time continuum within a literary text
Authors: Gurkova Anastasiia Vladimirovna
Published: October 2023

The subject of the study is the exaggeration and understatement of time in modern English literary text through the use of adjectives. The object of the study are adjectives, which are presented as a means of depicting an exaggerated and understated time continuum. The author examines in detail the semantics of such lexemes as brief, quick, fleeting, ancient and slow. Particular attention is paid to their changes within the framework of combinations with other lexical units, during which time periods are stretched or narrowed. In this work, the author implemented the following methods: the method of component analysis, the method of contextual analysis, the method of linguostylistic analysis. The main conclusion of the study is the identification of the lexemes brief, quick, fleeting, ancient and slow as indicators of exaggeration and understatement of time within the English literary text of the fantastic genre. The use of the analyzed lexemes in different forms of degree of comparison of adjectives, as well as as part of comparative phrases, is noted. The above lexemes can express the speed of actions performed, and the time spent by the heroes is either deliberately drawn out or passes instantly. Also, hyperbolic time can be a way of reflecting the authenticity of the existence of peoples and the world as a whole. It is worth noting that some author's neologisms were identified.
TIPIC-al neck pain?
Authors: Adke Shrishail Basavaraj , Driver Zubin Vicky
Published: October 2023

Transient perivascular inflammation of the carotid artery (TIPIC) is a benign unilateral self-limiting vascular condition that presents with neck pain, swelling, and increased pulsations just below and over the carotid bifurcation without structural vascular abnormality. TIPICs are frequently overlooked because they present with mild symptoms that resolve in a short period, both clinically and on imaging. Here, we present a case of a 32-year-old man who had neck pain for which ultrasound and magnetic resonance imaging was performed and later diagnosed with TIPIC syndrome on resolution of the symptoms.
Comparative analysis of methods for creating virtual three-dimensional models of the lungs from computed tomography images in the practice of a tuberculosis organization using Materialise software
Authors: Naumov Aleksey G. , Shprykov Alexander S. , Sutyagina Dina A. , Grinin Evgenii S.
Published: October 2023

Background. One of the important conditions for the final victory over tuberculosis is not only the prevention of its development and early detection, but also the provision of high-quality personalized medical care to the patient. Additive technologies and virtualization technologies are ways to fully reveal this principle in phthisiatric practice.
Aim. Demonstrate the possibilities and evaluate the labor costs (time spent on virtualization and the size of the final digital files of models) while working with the Mimics inPrint 2.0.0.159 and Mimics Medical 21.0.0.406 software systems in the aspect of virtual reconstruction of the lungs of a patient with a destructive form of tuberculosis.
Materials and methods. A comparative analysis of methods for creating virtual three-dimensional models of the lungs from CT images was carried out at the Nizhny Novgorod Regional Clinical Tuberculosis Dispensary. The study involved one patient with a destructive form of tuberculosis of the upper lobe of the left lung. Virtual three-dimensional models were made according to a specially developed algorithm. The time spent for the formation of virtual lung models was analyzed using the built-in function in the "Log" software. The analysis of the size of the obtained virtual lung models in the STL format was carried out using the operating system function from the Windows family "Properties", section "General", subsection "Size".
Results. The most practical software package for virtual lung reconstructions turned out to be Mimics inPrint 2.0.0.159 with the result of the time spent on creating a model of 2 minutes (Mimics Medical 21.0.0.406 7 minutes 17 seconds) and a model size of 125 megabytes (Mimics Medical 21.0.0.406 26.1 megabyte). The technical nuances and algorithms of lung reconstruction covered in the article using the Mimics inPrint 2.0.0.159 and Mimics Medical 21.0.0.406 software packages will allow the interested person not to make a mistake in realizing their scientific and practical interests in the process of providing personalized care to the patient. The article focuses on the main advantages of the Mimics inPrint 2.0.0.159 software package in comparison with Mimics Medical 21.0.0.406. A brief description of similar programs is given.
Conclusion. The studied software systems successfully coped with the goal assigned to them, which concerned the demonstration of their capabilities and the assessment of labor costs for virtualization. Mimics inPrint 2.0.0.159 turned out to be the most understandable and promising software and application complex for use in everyday clinical practice.
Functional and organic dysphonia in voice professionals (lecture)
Authors: Stepanova Julia E.
Published: October 2023

An urgent task of otorhinolaryngology (phoniatry) is the diagnosis and treatment of disorders of voice function in voice professionals or persons of voice-speech professions. An undiagnosed laryngeal disease worsens the quality of life of patients, creates difficulties in communication and can even lead to professional unfitness, because the patient does not withstand the necessary vocal load. The leading role in the modern diagnosis of laryngeal diseases belongs to endoscopic research methods video endoscopy and video endostroboscopy. All disorders of voice function are classified as functional and organic. Recent studies have shown that from 30.5 to 40% of voice professionals who have applied for phoniatric care suffer from functional disorders. Functional changes are understood to mean changes in which laryngoscopic examination does not always reveal any visible pathology. But with the help of special research methods, such as stroboscopy (videostroboscopy), spectral analysis of the voice, pathognomonic changes can be determined, and the patient presents characteristic complaints. More often than others, hypotonic and hypo-hypertonic dysphonia are diagnosed. Organic laryngeal diseases are characteristic of 69.5% of patients with dysphonia. They are represented by various nosological forms. Certain difficulties arise in the diagnosis of professional laryngitis and vascular pathology of the larynx. The lecture presents pathognomonic clinical changes of the larynx in voice professionals, knowledge of which is necessary for practical doctors to make a diagnosis.
Exacerbation of chronic obstructive pulmonary disease: discussion of controversies. A review
Authors: Zaytsev Andrey A.
Published: October 2023

The paper discusses the controversial issues of infectious exacerbation of chronic obstructive pulmonary disease. Researchers and practitioners share a common understanding of rational patient management, which involves the evolution of exacerbation terminology, the impact of viral infection and air pollutants, the significance of biomarkers, and the appropriate antibiotic therapy regimens. Clinical reflections on the current causes of chronic obstructive pulmonary disease exacerbations and modern therapeutic options are presented.
Monoclonal antibody therapy for COVID-19 during pregnancy
Authors: Abdulganieva Diana I. , Dyakova Ekaterina V. , Ivanova Era V. , Shamsutdinova Nailya G. , Yangurazova Asiya R. , Nigmatullina Nigina A. , Fatkullin Ildar F.
Published: October 2023

Aim. Pregnancy worsens COVID-19 and has been listed by the US Food and Drug Administration as a high risk factor for complicating COVID-19. The severe course of a new coronavirus infection in some pregnant patients has created the prerequisites for the search for treatment methods that can reduce the likelihood of adverse outcomes. One of these therapy options is treatment with virus-neutralizing antibodies monoclonal antibodies. Experience with the use of monoclonal antibodies for the treatment of pregnant women is very limited, but in 2021 pregnancy was recognized as a high risk factor for the course of a new coronavirus infection, making it possible to use this group of drugs.
Materials and methods. We described the experience of COVID-19 monoclonal antibody therapy during pregnancy in the Republic of Tatarstan. A retrospective analysis of 18 case histories of pregnant patients with mild and moderate course of confirmed coronavirus infection, treated with monoclonal antibodies (casirivimab/imdevimab) from March 2022 to June 2022, was carried out on the basis of the Perinatal Center of the Republican Clinical Hospital, Kazan, Republic of Tatarstan.
Results. All patients tolerated the administration of casirivimab/imdevimab satisfactorily; no adverse drug reactions were identified. Subjective improvement was observed on the 3rd day of MCA treatment. Delivery through the natural birth canal was carried out on time in 11 women; by caesarean section on time in 5 patients. A follow-up study of children born to 18 patients who had COVID-19 was collected. The age of the children at the time of information collection ranged from 10 months 1 year 1 month. Currently, all children are healthy and developing according to their age.
Conclusion. In all pregnant patients with a new coronavirus infection with mild to moderate course, the administration of casirivimab/imdevimab was an effective method of treating the new coronavirus infection. The follow-up of children born from 18 patients was followed: the childrens condition was satisfactory, their development corresponded to their age.
Rational mucolytic therapy with ambroxol: controversial and indisputable. A review
Authors: Babak Sergey L. , Gorbunova Marina V. , Malyavin Andrey G.
Published: October 2023

Many years of experience in the use of ambroxol is based on its ability to regulate the basic mechanisms of physiological production and transport of bronchial mucus. The main indication for ambroxol is the mucolytic therapy of acute and chronic bronchopulmonary diseases associated with hypersecretion and impaired mucus transport. Ambroxol has a number of the following properties: high secretolytic activity (promotes mucus clearance, facilitates expectoration of sputum, reduces productive cough); anti-inflammatory and antioxidant activity; local analgesic (anesthetic) effect through the blockade of sodium channels of cell membranes. The effect of anesthesia of the mucous membranes is attributed to the new pharmacological action of ambroxol, useful in the treatment of acute respiratory tract infections. The efficacy and safety of ambroxol in clinical practice has been confirmed by half a century of experience in its administration. The purpose of this publication was an up-to-date assessment of the controversial and indisputable chemical, pharmacological, clinical data on the properties of ambroxol in the concept of modern recovery mucolytic therapy that can improve the therapy and prognosis of patients with tracheobronchial secretion hypersecretion, impaired mucociliary clearance and unproductive cough.
Therapy of tonsillopharyngitis: advantages of an integrated approach. A review
Authors: Ryazantsev Sergey V. , Maltseva Galina S. , Vysockaya Svetlana S.
Published: October 2023

The problem of pain in the pharynx continues to be the focus of attention of scientists and practitioners for many decades. Despite the emergence of modern methods of diagnosis and treatment, the problem of pharyngoalgia is far from being solved. It has now been established that more than 500 possible etiological factors can be the cause of pharyngoalgia, but the leading place is occupied by inflammatory diseases of the pharynx and palatine tonsils. Taking into account the wide distribution of this nosology among the population and the high risk of complications, especially in childhood, the issues related to the search for effective therapeutic regimens and ways to prevent the development of complications are still relevant. Definitely, the treatment should be safe, comprehensive, justified and individually selected in each case. Adequate therapy started in time allows avoiding the development of adverse effects, reducing the treatment time and improving the patient's quality of life. And for a doctor, it is extremely important to know the differences in the clinical picture of pharyngoalgia caused by different types of microorganisms: bacteria, viruses or fungal flora, since these differences will be decisive in the further tactics of treating the patient. This article is devoted to highlighting the issues of the complex use of the lysine salt of ketoprofen in local and systemic form. The parameters of the analgesic and anti-inflammatory action of the lysine salt of ketoprofen are characterized, and a new scheme for the treatment of inflammatory diseases of the pharynx within a single molecule is proposed. The article also pays attention to the prevention of complications and relapses, and discusses the advantages of the drug pidotimod in immunomodulatory therapy.
Community-acquired pneumonia: antibiotic therapy approach after the COVID-19 pandemic. A review
Authors: Zaytsev Andrey A. , Guchev Igor A.
Published: October 2023

Pneumonia is clearly differentiated from other focal inflammatory lung diseases of non-infectious origin. A patient with community-acquired pneumonia (CAP) should receive antibacterial drugs no later than 4 hours after the diagnosis. Initial antibacterial therapy in CAP should be based on factors affecting the potential causative agents and the risk of drug-resistant microorganisms. Rational use of amoxicillin in terms of dose and frequency in CAP patients without severe comorbidities and risk factors for PES pathogens, the use of -lactam in combination with a macrolide or moxifloxacin monotherapy in high-risk groups of patients is the most effective strategy of empirical antibacterial therapy.
Radical surgery on the middle ear in the treatment of cholesteatoma: history or reality? A review
Authors: Isachenko Vadim S. , Dvorianchikov Vladimir V. , Ognetov Sergey Y. , Sotnikova Kseniya I. , Tsydypova Dolgorma A.
Published: October 2023

Radical surgery on the middle ear is primarily associated with such pathology as cholesteatoma and ear neoplasms. And if in the case of tumors radicalism in ear surgery is justified, then in the surgery of the cholesteatomic process there is a need to discuss this issue. The existence of acquired cholesteatoma was recognized more than three centuries ago. Without timely detection and intervention, cholesteatomas can increase to gigantic sizes and lead to numerous intracranial and extracranial complications. Due to its aggressive growth, invasive nature and potentially fatal consequences of intracranial complications, acquired cholesteatoma remains the cause of morbidity and death in those who do not have access to advanced medical care. Currently, there are no effective non-surgical methods of treatment. The article provides a brief overview of the main issues related to acquired middle ear cholesteatoma, and discusses the practical
Microsurgery of chronic laryngeal diseases using fiber optic lasers. A review
Authors: Krivopalov Aleksandr A. , Shamkina Polina A. , Glushchenko Alexandra I.
Published: October 2023

Background. The treatment of chronic diseases of the larynx is an urgent issue. Chronic larynx masses account for up to 5570% of the upper respiratory tract proliferative diseases. The incidence of vocal apparatus disorders is stable due to increased load on the vocal apparatus, neuro-emotional stress, non-compliance with voice hygiene (smoking, alcohol consumption), nasal and pharyngeal inflammatory diseases, sensibilization, and gastrointestinal disorders. Dysphonia, voice timbre changes, and vocal fatigue are presented in 712% of otorhinolaryngologist patients. Delayed treatment of chronic larynx diseases can lead to upper respiratory obstruction, reduced exercise and self-care tolerance, and disablement in people with voice and speech professions.
Aim. To address current treatment methods for chronic diseases of the larynx. Modern surgical and non-surgical treatments of chronic larynx diseases aim to restore voice quality and respiratory function. Over the past 50 years, laser-assisted phonosurgery has gained popularity due to the many benefits of biological tissue exposure to electromagnetic energy and low rates of intra- and postoperative complications.
Materials and methods. The literature review was performed using electronic medical libraries and professional printed papers. According to local and foreign data, laryngeal laser surgery is highly precise, minimally invasive, associated with no blood loss, and highly effective. Historically, CO2 laser has been used for the longest time in laryngeal surgery. Modern medical technology has recently introduced surgical systems with novel technicalities for clinical use. In such devices, the laser energy is transmitted through a flexible optical fiber instead of a mirror system, as in the CO2 laser, which has made new surgical high-energy systems more affordable for equipping medical institutions. Currently, the following fiber-optic laser systems are most often used to treat chronic diseases of the larynx: potassium-titanyl-phosphate, diode laser, and "blue" laser with a wavelength of 445 nm.
Results. The literature review and analysis of surgical treatment outcomes using fiber-optic laser devices in patients with chronic larynx diseases showed high safety and effectiveness of modern treatments, providing fast recovery of voice and respiratory function.
Conclusion. The development of laser devices, including domestic ones, with new wavelengths, makes it possible to work in contact mode in an inert gas environment, which opens up new opportunities for phonosurgery.
Global Initiative for Childhood Cancer: progress and challenges in Panama
Authors: Quintero Karina , Berrio Iveth , Arenas Elsa , Fuentes-Alabí Soad , Vásquez Liliana , Luna-Fineman Sandra , Victoria Jorge , Houghton Modesta
Published: October 2023

Despite being classified as a high-income country, Panama still faces challenges in providing care for children and adolescents with cancer. Annually, 170 new cases of childhood cancer are diagnosed in Panama, and the survival rate is around 60%. To improve this, the establishment of a Pediatric Cancer Commission comprised of healthcare professionals and nonprofit organizations has been a critical step toward the objectives outlined in the CureAll framework of the World Health Organization Global Initiative for Childhood Cancer (GICC).

To improve childhood cancer care in Panama, a workshop for cancer in children and adolescents was conducted with the support of St. Jude Children’s Research Hospital, Children’s Hospital Colorado, the Ministry of Health of Panama, and the Pan American Health Organization. The commissions established were on: Nursing, Palliative Care, Psychosocial, Hospital Registry, Early Diagnosis, and Health Services. Each commission has a specific project to be implemented in the period 2021–2029 to continue the progress toward improving childhood cancer care.

Since the start of implementation of the GICC in Panama, important achievements have included the launch in 2021 of the Guide for the Diagnosis of Cancer in Children and Adolescents, and training programs for primary care health personnel. Through these programs, more than 1 000 health professionals have been trained on diagnosis of cancer in childhood and adolescence. Challenges remain, such as access to quality care, and it is essential to continue efforts to improve childhood cancer care.
Historical overview and contribution of Dangke as traditional food to income
and public health
Authors: Rahman S. , Lasumange  , Yunus A.
Published: October 2023

Dangke is a traditional food that comes from Enrekang Regency, South Sulawesi
Province, Indonesia. Dangke is a food ingredient that is sourced from fresh milk, either
buffalo milk or cow's milk which has a very high nutritional content and can also be used
as an alternative cheese. This review provided information about the history and cultural
identity of Dangke as a traditional food and its contribution to income and public health.
The method used in writing this review was to describe the data and information collected
from various sources, both in the form of references and related stakeholders. The history
of Dangke began in the 1900s, and the manufacturing process has been passed down from
generation to generation until now. Dangke is a food that is inspired by cultural values,
traditions, and beliefs that come from local culture. Dangke's business also makes a
significant contribution to the local community's income. In addition, the increasing
consumption of Dangke in the community will contribute to improving health from
nutritional intake sourced from traditional Dangke cheese.
Campañas de comunicación institucional de tipo audiovisual y su utilización para contrarrestar los bulos durante la pandemia de COVID-19: el caso español
Authors: Corbacho Valencia Juan Manuel , Pérez-Seoane Jesús
Published: October 2023

El presente trabajo trata sobre la importancia de la publicidad institucional frente a los bulos, desinformaciones y fake news aparecidos desde el estallido de la COVID-19 hasta alcanzar la denominada inmunidad de rebaño. Por medio del análisis de las campañas de comunicación y de publicidad institucional publicados por los gobiernos autonómicos y central de España desde un prisma metodológico múltiple se han establecido criterios de estudio cuantitativo (duración de los videos, periodicidad, visualizaciones) y cualitativo (contenidos, géneros narrativo, intencionalidad y presencia humana) para determinar el papel de los 639 videos que componen la muestra. Los principales resultados muestran que las campañas de comunicación y publicidad institucional comparten un marcado carácter informativo, mientras que las segundas se orientan especialmente hacia las redes sociales. A pesar de este esfuerzo informativo y proactivo que da fé del deber de informar a la ciudadanía, los datos no parecen indicar que se trate de fuentes primarias de información, mientras que en cuanto a narrativas se optó mayoritariamente por el recurso a expertos, médicos y sanitarios, así como a pacientes.