bluuebunny/crossref_metadata_2025 huggingface dataset:
Association of serum Sodium with mortality in patients of Congestive heart failure
Authors: Nadeem Aiman , Iqbal Rashid , Ather Adnan Ahmad , Sulehria Sohail Bashir , Aftab Muhammad
Published: May 2024

Objectives:  To determine the association of serum Sodium with mortality in patients of Congestive heart failure.
Study Design: Prospective observational study
Settings and Duration of study:
Department of Medicine, Sir Ganga Ram Hospital, Lahore.
 ( 22-12-2021 to 22-6-2022 ).
Methods:  Sample size of 100 patients; 50 in each group in calculated with 90% power of study, 5% significance level and taking percentage of mortality i.e. 24.75% patients with low serum sodium level and in 4.21% patients with normal serum sodium level. Sample Selection: Inclusion Criteria: Patients aged between 30-70 years, both genders, Patients with congestive heart failure ,Group I: with serum sodium level <135 mEq/L, Group II: with serum sodium level ≥135 mEq/L. Exclusion Criteria: Liver disorders (AST>25IU, ALT>30IU, hepatitis B or C), renal disorders (eGFR ˂ 30 mL/min/1.73 m2 or creatinine >2.0mg/dl or on hemodialysis), any malignancy, anemia (Hb<9 g/dl), due to inherited hemoglobinopathy such as; sickle cell disease, and thalassemia, Patients with recurrent congestive heart failure or already taking treatment for deranged sodium level , valvular heart disease.
Results: Patients in exposed group had 52% mortality rate as compared to unexposed group in which mortality rate was only 18% respective. Value of relative risk showed that patients in exposed group had 2.88 times higher chances of mortality as compared to those patients in unexposed group. Similarly, elderly patients (Relative Risk=3.23), Male patients (Relative Risk= 3.37), Overweight patients (Relative Risk=3.54), non-diabetic patients (Relative Risk=3.50), hypertensive patients (Relative Risk=2.95), ischemic heart disease patients (Relative Risk=4.12), Smoker (Relative risk=4.41) and duration of congestive HF as 0.5-3.5 (Relative Risk= 3.03) had higher risk for mortality.
Conclusion: Results obtained from this study showed that low serum sodium level had significant impact on patients of congestive HF in terms of mortality. Keeping its prognostic importance, congestive HF patients should be strictly monitored for electrolyte imbalance.
Key Words: Serum sodium, Prognostic, Indicator, Mortality,Congestive Heart Failure.
Frequency of Post-Cholecystectomy Syndrome Among Patients Undergoing Cholecystectomy: A Teaching Hospital Experience
Authors: Azhar Muhammad , Ali Muhammad , Sadia  , Latif Munawar , Tahseen Tahira , Aslam Hina , Azhar Ukashah
Published: May 2024

Background and Objectives: Post-cholecystectomy syndrome is defined as upper abdominal pain or dyspepsia that persists after the cholecystectomy. Some studies show its incidence is about 40%. This study aims to find out the frequency of early post-cholecystectomy syndrome at our hospital and its possible cause.Methods: It was an observational study conducted at POF Hospital Wah Cantt from January 2018 to January 2022. 505 patients who underwent cholecystectomy were included in this study to find the incidence and cause of post-cholecystectomy syndrome. All the data were noted in a predesigned proforma and entered in SPSS version 24.0.Results: Out of 505, 59 patients were diagnosed as cases of post cholecystectomy syndrome with an incidence of 11.68%. 40(67.7%) were female, 19(32.2%) were male. The mean age of the patient was 38.43±8years. In 36(61%) patients, no cause of pain was found. In 12(20%) patients the cause was acid- peptic diseases. Three(5%) patients have CBD stones, 2(3.3%) patients have the remnant of the gallbladder, 2(3.3%) patients had a fluid collection, 2(3.3%) patient had pancreatitis, 1(1.6%) patient had scar pain (hypertrophic scar) and 1(1.6%) patient had periampullary growth.Conclusion: The incidence of post-cholecystectomy syndrome is significant. Any patient presenting with pain postoperatively should be examined and thoroughly investigated for possible treatable causes.Keywords: Post-cholecystectomy syndrome, Acid peptic diseases, jaundice, laparoscopic cholecystectomy.
Daño hepático inducido por uso de anticonceptivos orales en una paciente con ictericia prolongada y transaminasas elevadas: reporte de caso
Authors: Corredor-Rengifo David , Sanchez-Romero Marcela , Ocampo-Posada Martín , Gómez-Ramírez Diego Mauricio
Published: May 2024

La hepatotoxicidad inducida por medicamentos es un diagnóstico de descarte. Típicamente, se presenta en pacientes que desarrollan cambios clínicos y bioquímicos compatibles con hepatitis, pero relacionados con el inicio reciente de agentes farmacológicos, y que se resuelven tras el retiro de la noxa. Su desarrollo se ha descrito con el uso de algunos antibióticos, antituberculosos, estatinas, herbolarios y antiinflamatorios no esteroideos; sin embargo, hay pocos reportes de casos con el uso de anticonceptivos orales, en los cuales el surgimiento de mecanismos idiosincráticos puede llevar a la presentación de características clínicas como ictericia y anormalidades en los exámenes de laboratorio, como la elevación de las transaminasas. Esto requiere de estudios extensos para descartar otras patologías que pueden presentarse de esta forma, lo que representa un reto clínico. En este artículo se muestra el reporte de un caso de una paciente con antecedente de uso crónico de anticonceptivos implantables y que, tras el ajuste de la terapia con el inicio de anticonceptivos orales, desarrolla un episodio de elevación marcada de transaminasas e ictericia.
Lesión hepática inducida por Phyllanthus niruri (chancapiedra), un remedio natural para urolitiasis
Authors: Gómez-Jordan Santiago , Mendoza-Quevedo Mauro Duván , Vergara-Barrios Paris , Marín-Zuluaga Juan Ignacio
Published: May 2024

Tanto la lesión hepática inducida por drogas (DILI), así como la lesión hepática inducida por hierbas (HILI), son una preocupación creciente en la atención sanitaria contemporánea que plantea importantes desafíos clínicos debido a sus variadas etiologías, presentaciones clínicas y posibles resultados potencialmente mortales. Presentamos el caso de un paciente masculino de 38 años con antecedentes de cálculos renales que consultó por dolor lumbar y hematuria. Al ingreso presentó ictericia, hepatomegalia, dolor a la palpación en fosa ilíaca derecha y no tenía signos de hepatopatía crónica, con pruebas de función hepática anormales, que mostraron un patrón hepatocelular asociado con hiperbilirrubinemia. Se descartó obstrucción biliar, trombosis portal, hepatitis autoinmune y viral, con panel autoinmune negativo. El paciente refirió haber consumido un remedio herbario para los cálculos renales llamado “vino rompe cálculos (chancapiedra)”, que se supone contiene Phyllanthus niruri, cinco días antes del inicio de los síntomas. Una biopsia hepática reveló hepatitis aguda con infiltrado inflamatorio mixto. Debido al empeoramiento de las pruebas de función hepática y la sospecha de DILI idiosincrásico, se inició un ensayo terapéutico con corticosteroides, que resultó en una mejoría clínica y del perfil hepático. La gravedad de este caso nos recuerda la necesidad de incrementar el seguimiento por parte de las autoridades reguladoras de medicamentos, implementar campañas educativas para los pacientes e informar a la comunidad sobre productos con alertas activas.
Hak dan Privasi Pasien Rumah Sakit di Era Digitalisasi
Authors: Naurah Gladdays , Simarmata Marice , Sidi Jambak Redyanto
Published: May 2024

Kesehatan merupakan hak asasi yang fundamental bagi setiap individu, diatur dalam berbagai regulasi baik di tingkat nasional maupun internasional. Dalam era globalisasi dan digitalisasi, pelayanan kesehatan mengalami transformasi signifikan, termasuk melalui platform e-health atau telemedicine. Namun, seiring dengan kemajuan teknologi, timbul pula permasalahan terkait keamanan data dan kerahasiaan medis pasien. Penelitian ini bertujuan untuk memahami bagaimana regulasi mengatur hak privasi medis pasien dalam layanan e-health (telemedicine) di Indonesia, serta untuk mengeksplorasi tanggung jawab pelayanan kesehatan elektronik dalam menghadapi potensi kebocoran rahasia kedokteran. Metode penelitian ini menggunakan pendekatan deskriptif analitis dengan mengumpulkan data melalui studi kepustakaan dan analisis peraturan perundang-undangan yang relevan. Hasil penelitian menunjukkan bahwa regulasi terkait hak privasi medis pasien dalam layanan telemedicine telah diatur dalam perundang-undangan, namun masih terdapat kebutuhan akan pemahaman yang lebih mendalam serta penegakan hukum yang konsisten. Selain itu, tanggung jawab pelayanan kesehatan elektronik dalam menghadapi kebocoran rahasia kedokteran juga perlu diperkuat dan diawasi secara ketat. Kesimpulannya, perlindungan hukum terhadap pasien dalam konteks layanan kesehatan digital merupakan hal yang penting untuk dipertimbangkan dan diperkuat, guna menjaga kepercayaan masyarakat serta memastikan pelayanan kesehatan yang aman dan berkualitas
Integración de las TICs para fomentar la colaboración y el aprendizaje colaborativo en la clase de lenguaje
Authors: Quinaluisa Narváez Katherine Belén , Gómez Sánchez Lucía Vanessa , Castillo Gutiérrez Mónica Cecibel , Figueroa Quila Yolanda Dolores
Published: May 2024

El presente artículo tiene como objetivo establecer una discusión en torno a la integración de las tic como una estrategia de aprendizaje colaborativo en la clase de lenguaje para estudiantes de básica secundaria; para ello se realiza una búsqueda documental de estudios de investigación que expongan estrategias y actividades orientadas desde las plataformas digitales y los espacios virtuales para la enseñanza de la comunicación y contenidos significativos que le sirven al estudiante para el desarrollo de habilidades de expresión, interacción y trabajo en equipo. Teniendo en cuenta lo mencionado, se implementa una metodología de orden cualitativo que busque la comprensión de fenómenos educativos respecto de la aplicación de las tecnologías de la información y la comunicación en estudiantes para que así se proyecten a las formas de comprensión de la realidad y más aún, se construyan competencias de aprendizaje colaborativo y equipo de trabajo. Para la realización de la metodología cualitativa se aplica una búsqueda documental de 15 artículos hallados en bases de datos académicas y revistas indexadas de manera que se discuta sobre la necesidad de integrar las tic, y sobre todo, las estrategias que proponen mejoras en su aplicabilidad e integración para los conocimientos en lenguaje. Como resultado, el artículo determina que el aprendizaje colaborativo brinda posibilidades de comunicación e interactividad en los estudiantes, de manera que desde las TIC se proponen espacios de enseñanza virtuales e interactivos que fortalecen dichas competencias y mejoran resultados académicos.
Encuesta sobre la Corona
Authors: Aragón Reyes Manuel , Expósito Gómez Enriqueta , De la Iglesia Chamarro Asunción , Oliver Araujo Joan , Pascual Medrano Amalia , Porras Ramírez José María , Rollnert Liern Göran , Sánchez Navarro Ángel J.
Published: May 2024

Encuesta sobre la Corona
Experiencias pedagógicas realizadas con hongos de la Patagonia
Authors: Garcia Belardi Maria Fernanda , Pose Monica Marcela
Published: May 2024

En el presente artículo se expone una experiencia pedagógica en el marco del proyecto de extensión del ISFD Nº3 “Producción de material bibliográfico: Guía didáctica de hongos de la Patagonia Norte” realizado por un equipo de Educación Secundaria en Biología. El mismo consistió en dos etapas: la primera vinculada a la elaboración del material bibliográfico y la segunda se enfocó en la socialización del mismo mediante la articulación entre Educación Superior y Escuelas Primarias rurales. A partir de ello se registró la revalorización de la biodiversidad fúngica, la resignificación de la producción de conocimiento como parte de un proceso de profesionalización docente y la interacción con los saberes ancestrales mapuche.
From Gaza to Manhattan and Back
Authors: Loevy Karin
Published: May 2024

The real protectors of the universities.
Pelatihan Pembuatan Pupuk Organik Dari Limbah Kelapa Muda Di Desa Laut Dendang Kecamatan Percut Sei Tuan Kabupaten Deli Serdang
Authors: Delita Fitra , Sari Sri Adelila , Rohani Rohani , Yuniastuti Eni , Wirda Mona Adria
Published: May 2024

Tingginya harga pupuk buatan berdampak pada keberlangsungan kegiatan pertanian. Hal ini menyebabkan masyarakat kesulitan dalam memenuhi kebutuhan pupuk untuk tanaman. PKM ini ditujukan untuk membantu mitra dalam mengatasi permasalahan terkait pupuk dengan memanfaatkan limbah kelapa muda di sekitar Jalan Perhubungan, Desa Laut dendang. Tim PKM melakukan kegiatan pelatihan pembuatan pupuk organik cair berbahan dasar limbah kelapa muda. Pelatihan dilakukan kepada mitra yang merupakan Kelompok Usaha Tanaman Buah dan Hias serta ibu-ibu Majelis Ta’lim Annisa di Desa Laut Dendang. Kegiatan ini dilakukan dengan beberapa tahap yaitu penyampaian materi terkait pupuk organik cair berbahan dasar limbah kelapa muda, praktek pembuatan pupuk organik cair, uji laboratorium, pengemasan produk, dan pemanfaatan produk. Mesin pencacah sebagai alat pembuatan pupuk organik cair diserahkan kepada mitra agar dapat melanjutkan pembuatan pupuk secara mandiri. Hasil yang didapat dari kegiatan PKM ini adalah pupuk organik cair dari limbah kelapa muda. Produk PKM ini dimanfaatkan oleh mitra untuk tanaman pertanian serta dapat dipasarkan secara luas sehingga meningkatkan perekonomian masyarakat.
Peningkatan Kompetensi Profesional Guru Anggota MGMP Bisnis Daring Pemasaran Kabupaten Malang Melalui Workshop Advance Materials Dalam Pelaksanaan Kurikulum Merdeka
Authors: Hidayat Rachmad , Rahayu Wening Patmi , Hari Mohammad , Martha Jefry Aulia
Published: May 2024

Semakin berkembang peradapan dunia menuntut guru untuk ikut menyesuaikan keilmuan yang dimilikinya. Guru dituntut untuk meningkatkan kemampuannya terutama dalam kemapuan profesional dalam penguasaan materi. Sehingga seorang guru harus memiliki advance materials atau pengembangan materi lanjutan bidang keilmuannya. Metode yang digunakan dalam pelaksanaan pengabdian ini antara lain: 1) ceramah; 2) tanya jawab; 3) praktek, dan 4) pendampingan. Peserta dalam kegiatan ini adalah anggota MGMP Bisnis Daring Pemasaran Kabupaten Malang. Hasil pelaksanaan kegiatan dapat diketahui seluruh peserta sudah memiliki pemahaman terkait perkembangan materi pembelajaran di program studi Bisnis Daring Pemasaran. Seluruh peserta juga sudah memiliki pengetahuan dan pemahaman tentang pengoperasian dan penerapan platform pengiklanan digital. Serta seluruh peserta sudah memiliki pengetahuan dan pemahaman tentang advanced materials pengiklanan digital.
Strategi Pemasaran Produk Abon Ikan Tuna Rubons Sinjai
Authors: Kasim Andi Irwan , Gaffar Abd. , S Herniah , Hutagaol Benget
Published: May 2024

Rubons Sinjai merupakan salah satu usaha mikro, kecil dan menengah yang memproduksi abon ikan yang banyak diminati konsumen karena rasanya yang unik, namun produksi abon ikan masih sedikit sehingga belum dapat memenuhi kebutuhan seluruh konsumen, dan pengaruh dari kegiatan promosi kurang baik, harga yang ditawarkan kepada konsumen relatif mahal, dan pelayanan yang diberikan kurang memuaskan, sehingga melihat masalah tersebut, pengabdian masyarakat ini bertujuan untuk mengetahui strategi apa yang akan dikembangkan dalam rangka pengembangan usaha abon ikan melalui pendekatan marketing mix. Hasil dari pengabdian masyarakat menunjukkan strategi pengembangan usaha abon ikan melalui pendekatan marketing mix adalah memberikan pengetahuan kepada UMKM Rubons Sinjai tentang analisa peluang usaha yang disebut SWOT (Strenght, weakness, opportunity, threat), yaitu membuat dan mempertahankan kualitas produk dengan harga yang mampu bersaing, membuat desain kemasan produk yang menarik dengan harga yang terjangkau, membuat  produk yang bisa lebih dan tahan lama (paling lama 3 bulan), memperluas daerah pemasaran yang strategis dengan menciptakan pengembangan produk yang menguntungkan.
Pengelolaan Media Sosial Sebagai Strategi Pemasaran Digital Dalam Upaya Pengembangan Desa Wisata Sombu Wakatobi
Authors: Nurhadi Nurhadi , Tazaka Muhammad Agisni Khoiruman , Wahyuningsih Mita , Wibowo Pandu Ilmani Satria , Imbenai Gibson Samuel , Risan Alfanora Naufal Khairi , Maharani Sesanti , Ghossani Irsalina Qurrota , Sujono Husna Warsila , Wisnu Wisnu , Rizal Andi Muhammad Ahsan , Jesus Isac da Costa de
Published: May 2024

Penggunaan media sosial telah menjadi landasan utama dalam strategi pemasaran digital yang efektif, terutama dalam konteks pengembangan desa wisata. Desa Wisata Sombu, Wakatobi, merupakan contoh nyata bagaimana pengelolaan media sosial dapat menjadi kunci dalam mempromosikan destinasi pariwisata lokal. Penelitian ini bertujuan untuk menganalisis peran media sosial dalam pengembangan Desa Wisata Sombu sebagai destinasi wisata yang menarik. Metode penelitian yang digunakan adalah wawancara, observasi, dan studi dokumentasi. Hasil penelitian menunjukkan bahwa pengelolaan media sosial secara efektif telah meningkatkan visibilitas Desa Wisata Sombu secara signiﬁkan. Melalui platform Instagram informasi tentang potensi wisata, kegiatan komunitas, dan produk lokal dapat diakses secara luas oleh masyarakat lokal maupun wisatawan potensial. Dengan memanfaatkan ﬁtur-ﬁtur seperti video, gambar, dan cerita, pengelola media sosial dapat menciptakan narasi yang menarik dan mengundang minat pengguna untuk mengunjungi Desa Wisata Sombu. Kesimpulannya, pengelolaan media sosial merupakan strategi pemasaran digital yang efektif dalam mempromosikan destinasi pariwisata lokal seperti Desa Wisata Sombu, Wakatobi, yang berpotensi memicu pertumbuhan ekonomi dan pengembangan masyarakat setempat.
TV FORMAT PROTECTION THROUGH COPYRIGHT - OPPORTUNITIES AND DILEMMA
Authors: Njegovan Milica , Šiđanin Iva
Published: May 2024

TV formats represent popular media content, which attracts a large number of viewers around the world. However, their legal is not regulated enough. The basic dilemma in legal theory and judicial practice is the possibility of copyright protection of TV formats. The aim of this paper is to try to determine the possibility of legal protection of the TV format as an author's work by analyzing domestic and foreign judicial practice, as well as the existing literature. Although some courts have held that a TV format can be protected as a whole, including its technical elements, this is more the exception than the rule. Most of the time, the disputed question comes down to the elements that have been copied, and concerns the basic idea or concept of the TV format. Nevertheless, there is a tendency on the international level towards more and more frequent recognition of copyright protection of TV formats, but under certain conditions. Thus, rarefaction, originality and typed structure of the format that can be repeated, as well as the way of defining the author's work in legislation are some of the elements that influence whether the TV format will be recognized and protected as an author's work.
ANALYSIS OF THE RELATIONSHIP INDEX OF DIGITAL SKILLS AND ECONOMIC DEVELOPMENT
Authors: Stefanović Dragana , Svetlana Ignjatijević , Božović Ivan
Published: May 2024

The transition from the industrial age to the age of knowledge or information age implies the adoption of new knowledge and skills that become the main resource of business. The consequence of constant technological innovations is the need for new knowledge and skills, such as digital literacy and digital skills, which have become one of the most important resources for the development of industry, and therefore the economy. The subject of research in this paper is the analysis of the DSI index ( Digital Skill Index ) for the years 2021 and 2023 and the DQL index ( Digital Quality of Life Index ) for a period of five years, with the aim of comparing the data and pointing out the importance of having digital skills and the use of social networks have on the development of the economy. Quantitative research method was used in the research and was implemented dynamic analysis of DSI and DQL indices for Serbia and comparative analysis with other countries in a given time period. The results of the DSI index research for 2021 and 2023 for 36 European countries show that the leading positions were taken by the countries of Northern Europe, the Netherlands, Ireland, Spain and Luxembourg, while Serbia took the 30th position. Certain countries that occupied the central positions in the table in 2019, in 2023 have regressed, that is, progressed, but not to a significant level. On the other hand, the analysis of the DQL index for 50 countries of the world in the period from 2019 to 2023 shows that European countries occupied more than 50 percent among the best-ranked countries in the entire time period, while Serbia was not analyzed in 2019, but in in the next four analyzed years, it reached the top 50 ranked countries in the world. Also, the paper shows the importance of the development of digital skills and the use of social networks in the growth and development of the economy.
Análisis al uso de herramientas de inteligencia artificial para la personalización del aprendizaje en la Educación Superior
Authors: García Caicedo Sonia Shirley , Reyes Vélez Nahomy Paulette , Solórzano Zambrano Ángel Antonio , Quiñonez Godoy Néstor Alberto , Vega Macias Josué Renato
Published: May 2024

El uso de herramientas de Inteligencia Artificial (IA) en la educación superior se ha convertido en un área de creciente interés, dado su potencial para personalizar el proceso de enseñanza-aprendizaje. Esta revisión sistemática tuvo como objetivo analizar las aplicaciones y herramientas de IA que se están utilizando en los procesos educativos de la educación superior, con el fin de identificar los principales usos, beneficios y limitaciones, y proponer recomendaciones para aprovechar de manera efectiva las capacidades de la IA. Para realizar este estudio, se llevó a cabo una búsqueda exhaustiva en bases de datos científicas, aplicando criterios de inclusión y exclusión que permitieron seleccionar los artículos más relevantes publicados entre 2018 y 2023. El análisis de la información recopilada combinó técnicas cualitativas y cuantitativas, revelando que las aplicaciones de IA más comunes se enfocan en la personalización del aprendizaje, a través de sistemas tutores inteligentes, plataformas adaptativas, asistentes virtuales y herramientas de evaluación automatizada. Estas soluciones han demostrado beneficios como el aumento de la motivación y el compromiso de los estudiantes, el progreso en la eficiencia de los procesos educativos y un mejor apoyo a la labor docente. Sin embargo, también se identificaron desafíos relacionados con la protección de datos, la equidad en el acceso y la necesidad de capacitación del personal. En este sentido, se proponen lineamientos y estrategias clave para la implementación exitosa de soluciones de IA en la educación superior, abarcando aspectos como la alineación estratégica, la gobernanza y políticas, el desarrollo de capacidades, la integración curricular y la evaluación constante del impacto. Estas recomendaciones buscan orientar a las instituciones en la adopción responsable y efectiva de la Inteligencia Artificial, maximizando sus beneficios y mitigando los riesgos asociados.
Pogostnost in vzroki okužb in bolezenskih sprememb nožnice pri ženskah v Sloveniji: pomen celovitih laboratorijskih preiskav
Authors: Vovko Petra , Fabjan Vodušek Vesna , Sodec Barbara , Retelj Matjaž , Bučar Martina , Kostanjšek Jasna , Klarič Kamin Marijana , Testen Veronika , Tul Mandić Nataša
Published: May 2024

Izhodišča: Pri ženskah se pogosto pojavijo spremenjen izcedek iz nožnice in drugi simptomi v nožnici, ki so posledica motenj v nožnični mikrobioti (disbioze), vaginitisa ali spolno prenosljivih okužb. Želeli smo ugotoviti pogostnost vzrokov za te težave. Preverili smo tudi ujemanje klinične diagnoze z rezultati laboratorijskih preiskav.
Metode: Izvedli smo raziskavo primerov s kontrolno skupino. V skupino bolnic smo vključili ženske, ki so obiskale izbrano ginekologinjo na primarni ravni zdravstva zaradi težav v predelu spolovila, in ustrezno kontrolno skupino preiskovank. Opravili smo klinični pregled in mikrobiološke preiskave za bakterijsko vaginozo (BV), aerobni vaginitis (AV), kandidni vulvovaginitis (CV) in spolno prenosljive okužbe (SPO).
Rezultati: V študiji je sodelovalo 74 bolnic in 64 preiskovank kontrolne skupine. Najpogostejši simptomi bolnic so bili nenormalen izcedek, srbenje, neprijeten vonj in pekoč občutek. Najpogostejši vzrok je bil CV (39,2 %), sledila je BV (31,1 %). Petina bolnic je imela eno SPO. AV je bil redek. Pri približno 17 % bolnic smo odkrili več sočasnih vzrokov vaginalnih težav (kombinacije BV, CV ali SPO). Klinična diagnoza in laboratorijski izvid sta se ujemala pri 26 % bolnic.
Zaključek: Rezultati izpostavljajo pomen celovitega (t.i. sindromskega tipa) laboratorijskega diagnosticiranja pri ženskah z ginekološkimi težavami. Ozko usmerjena laboratorijska diagnostika ne daje koristnih rezultatov zaradi pogostih kombinacij BV, AV, CV in SPO, poleg tega pa so klinični znaki pri različnih vzrokih vaginalnih težav podobni. To otežuje izbiro ustreznega zdravljenja ter vodi do ponovitev bolezni. Glede na rezultate bi bilo potrebno uporabiti več modernejših laboratorijskih preiskav.
Vloga kožnega in črevesnega mikrobioma pri atopijskem dermatitisu
Authors: Točkova Olga
Published: May 2024

Atopijski dermatitis je kronična vnetna bolezen otrok in odraslih, ki nastaja zaradi več različnih vzrokov. Izrazi se z različnimi fenotipi, ki so odvisni od številnih genetskih in epigenetskih dejavnikov, vpletenih v njen nastanek. Pojav bolezni med drugim povezujejo tudi s spremembami in neravnovesjem v kožnem in črevesnem mikrobiomu. Optimalno zdravljenje atopijskega dermatitisa je zelo zahtevno in se mora prilagoditi vsakemu bolniku. Glede na novejša dognanja o vlogi mikrobioma pri nastanku in ob ponovitvah bolezni, so med drugimi zdravili pomembni tudi izdelki, ki vplivajo na uravnavanje spremenjenega kožnega in črevesnega mikrobioma.
Violencia, socialización y género en los clubes deportivos: un estudio comparativo
Authors: Ramírez-Muñoz Amaia , Zamarripa Jorge
Published: May 2024

The aim of this study was to identify the different types of violent behavior occurring in the structure of clubs and to analyze whether there are differences according to gender and the different types of social agents involved in their organization (athletes, coaches and family). The design was non-experimental, quantitative, cross-sectional and comparative. The sample consisted of 692 participants, distributed in three groups: athletes (483), coaches (50) and family (159). An instrument adapted for the sports population was used. The results show the existence of statistically significant differences in the perception of violence experienced in the two evaluated conditions: gender and type of social agent. In conclusion, the need for clubs to guarantee an environment of well-being and safety for the practice of sport and to have diagnostic instruments to identify violence in their organization is emphasized.

Este estudio tuvo como objetivo identificar los diferentes tipos de comportamientos violentos que se dan en la estructura de los clubes y analizar si existen diferencias en función del género y de los diferentes tipos de agentes sociales implicados en su organización (deportistas, entrenadores y familia). El diseño fue de tipo no experimental, cuantitativo, transversal y comparativo. La muestra estuvo formada por 692 participantes: distribuidos en tres grupos: deportistas (483), entrenadores (50) y familia (159). Se utilizó como instrumento un violentómetro adaptado a la población deportiva. Los resultados muestran la existencia de diferencias estadísticamente significativas en la percepción de violencia experimentada en las dos condiciones evaluadas: género y tipo de agente social evaluado. Como conclusión se subraya la necesidad de que los clubes garanticen un entorno de bienestar y seguridad para la práctica del deporte y cuenten con instrumentos de diagnóstico para identificar la violencia en su organización.

O objetivo deste estudo foi identificar os diferentes tipos de comportamentos violentos que ocorrem na estrutura dos clubes e analisar se existem diferenças em função do género e dos diferentes tipos de agentes sociais envolvidos na sua organização (atletas, treinadores e família). O desenho foi não-experimental, quantitativo, transversal e comparativo. A amostra foi constituída por 692 participantes: distribuídos em três grupos: atletas (483), treinadores (50) e familiares (159). Foi utilizado um instrumento adaptado à população desportiva. Os resultados mostram a existência de diferenças estatisticamente significativas na perceção da violência vivenciada nas duas condições avaliadas: género e tipo de agente social avaliado. Em conclusão, salienta-se a necessidade dos clubes garantirem um ambiente de bem-estar e segurança para a prática desportiva e disporem de instrumentos de diagnóstico para identificar a violência na sua organização.
A satisfação e qualidade do evento Triatlo de São Martinho do Porto 2023
Authors: Jacinto Miguel , Sousa Marlene , Margarido Cristóvão , Varela Jorge , Dias Sérgio , Santos Ricardo , Monteiro Diogo , Matos Rui , Antunes Raul , Marques José
Published: May 2024

The aim of this study was to analyze the satisfaction and quality of the São Martinho do Porto 2023 Triathlon event, considering the participants' perceptions. A total of 208 participants answered an online questionnaire, aged between 14 and 65 (mean, M = 41.29; standard deviation, SD = 11.28), 71% of whom were male. In the Perceived Quality dimension, the score given by the participants was 4.09 (SD = 0.59), in the General Quality of Service dimension it was 4.13 (SD = 0.74), in General Satisfaction 4.37 (SD = 0.66), in the Value of Service dimension it was 4.10 (SD = 0.78) and in the Future Intentions dimension 4.46 (SD = 0.63), which corresponds to a high score in all dimensions. These data indicate that the event participants were satisfied with the event and considered it to be of high quality.

El objetivo de este estudio fue analizar la satisfacción y la calidad de la prueba de triatlón São Martinho do Porto 2023, teniendo en cuenta las percepciones de los participantes. Respondieron a un cuestionario 208 participantes, con edades entre los 14-65 años (media, M = 41.29; desviación típica, DT = 11.28), de los cuales el 71% eran hombres. En la dimensión Calidad Percibida, la puntuación otorgada por los participantes fue de 4,09 (DT = 0.59), en la dimensión Calidad General del Servicio fue de 4.13 (DT = 0.74), en Satisfacción General de 4.37 (DT = 0.66), en la dimensión Valor del Servicio fue de 4.10 (DT = 0.78) y en la dimensión Intenciones Futuras fue de 4.46 (DT = 0.63), lo que corresponde a una puntuación alta en todas las dimensiones. Estos datos indican que los participantes se mostraron satisfechos con el mismo y lo consideraron de alta calidad.

O objetivo deste estudo foi analisar a satisfação e qualidade do evento Triatlo de São Martinho do Porto 2023, considerando as perceções dos participantes. Responderam a um questionário online 208 participantes, com idades compreendidas entre os 14 e os 65 (média, M = 41.29; desvio padrão, DP = 11.28), dos quais 71% eram do sexo masculino. Na dimensão Qualidade Percebida, a pontuação atribuída pelos participantes foi de 4.09 (DP = 0.59), na dimensão de Qualidade Geral do Serviço foi de 4.13 (DP = 0.74), na Satisfação Geral 4.37 (DP = 0.66), na dimensão do Valor do Serviço foi de 4.10 (DP = 0.78) e na dimensão das Intenções Futuras 4.46 foi de (DP = 0.63), o que corresponde a uma avaliação positiva de alta pontuação em todas as dimensões. Estes dados deixam-nos indicações de que os participantes do evento ficaram satisfeitos com o evento e consideraram-no de elevada qualidade.
Effect of barley replacement with sunflower expeller during the flushing period and pregnancy in Maritsa pach head sheep
Authors:   Agricultural University – Plovdiv, Penkov Dimo , Dimitrov Slavtcho ,   Agricultural University – Plovdiv
Published: May 2024

An experiment was made to compare some basic productive indexes in sheep of the Pach-head Maritsa breed when replacing barley grain with sunflower expeller in their rations during “flushing – pregnancy”- period. The obtained results indicate a trend of positive influence of feed replacement as follows: body scoring index of sheep at the end of pregnancy - 3.58 (expeller) against 3.25 (barley); percentage of ewes with twins – 28.57 vs. 20%, respectively; average live weight of lambs at birth – 4,110 vs. 3,974 kg; average live weight of lambs at 30 days – 15,060 vs. 14,720 kg. With identical prices for both forages, the authors recommend replacing barley with sunflower expeller.
Breeding assessment of some forage quality traits in perennial grasses – perennial ryegrass (Lolium perenne L.)
Authors:   Agricultural Academy, Maize Research Institute – Kneja, Vulchinkov Zhelyazko , Katova Aneliya ,   Agricultural Academy, Institute of Forage Crops – Pleven
Published: May 2024

The chemical composition of 21 accessions of Lolium perenne L. from the collection nursery of Institute of Forage Crops - Pleven, for three cuts each year, for the period 2017-2018, was evaluated as follows: crude protein (CP), % – according to Kjeldahl‘s method; crude fiber (CF), % – by Weende analysis; water-soluble carbohydrates (WSC) – according to Ermakov et al. Statistical processing of the data was performed, which included regression, correlation, two-factor ANOVA a nd cluster a nalyses. There is a t rend i n both years for the first cut to be lowest in crude protein (CP); relatively high in crude fiber (CF) and highest in water soluble carbohydrates (WSC) content. In the second and third cuts, crude protein increases; crude fiber content varies within different limits, but generally decreases; and the amount of water-soluble carbohydrates also decreases. The genotype–environment (accessions x cuts) interaction had insignificant variance in all three studied traits. In terms of CP, the maximum value was reported for the Iljo variety (18.8%) and the minimum for China (14.6%). No significant differences were observed between the check Tetrany (16.1%) and the other accessions. Only two cases of significant differences were observed for CF and WSC between accessions. The cluster analysis arranges the accessions into three groups, with the second cluster of 8 accessions being the most interesting for the selection. The analysis well differentiates the accessions regarding the optimal combination of the three traits in one genotype, as well as their ploidy level. A significant negative correlation was observed between crude protein and crude fiber content (r=-0.744).
Comparative evaluation of indigenous and introduced Burley tobacco varieties
Authors:   Agricultural Academy, Tobacco and Tobacco Products Institute (TTPI), Markovo, Dyulgerski Yovko
Published: May 2024

During the period 2016-2020, is made in the experimental field of TTРI a comparative complex evaluation of six samples of tobacco from the Burley varietal group, of which three introduced varieties and the same number of indigenous varieties,. The subject of the study are biometric, biological, economic and chemical indicators of the studied variants. As a result of the study, it is found that the researched genotypes presented with favorable Burley tobacco biometric indicators. All studied varieties have a shorter vegetative period than the standard Pliska 2002 variety. The highest yield is presented by Burley 1000 variety, followed by a small but proven difference by Burley 1317 variety. The highest percentage of the first grade is distinguished by the Tennessee 90 variety, which also gives the lowest percentage of the third grade. Tennessee 90 variety also has the most favorable chemical composition in terms of all the investigated chemical indicators.The complex assessment of the biological, economic and chemical indicators shows that it is not possible to distinguish a variety that is superior to the other tested variants. In terms of percentage of grades and chemical composition, the introduced variants are superior to the local varieties, but they are seriously inferior to them in terms of yield. The Tennessee 90 and Tennessee 86 varieties have similar biometric, economic and chemical characteristics with a slight predominance of Tennessee 90. Tennessee 90 variety namely has the highest selection value of the introduced varieties. The studied introduced varieties are valuable genetic material that can be successfully used in the selection of Burley tobacco.
JUAL BELI DIAMOND GAME ONLINE PADA E-COMMERCE DITINJAU DARI HUKUM EKONOMI SYARIAH
Authors: Maulidiyawati Vivi Nur , Prawoto Imam , Maulana Rizal
Published: May 2024

Tujuan dari penelitian ini adalah untuk mengetahui dan memahami mengenai jual beli diamond game online pada e-commerce dalam perspektif hukum ekonomi syariah. Metode penelitian yang digunakan adalah penelitian kualitatif dengan jenis penelitian studi literature dengan metode pengumpulan data berupa metode dokumentasi. Sumber data primer dalam penelitian ini diperoleh dari literatur-literatur seperti buku dan jurnal yang ada kaitannya langsung dengan judul penelitian. Sedangkan data sekunder ini dapat diperoleh melalui kepustakaan lainnya seperti buku, hasil penelitian, jurnal dan artikel yang terkait dan relevan dengan kebutuhan serta memiliki fungsi sebagai pelengkap. Hasil penelitian menyimpulkan bahwa dalam perspektif hukum ekonomi syariah transaksi jual beli pada dasarnya merupakan akad yang diperbolehkan, termasuk jual beli secara e-commerce. Dalam perspektif hukum ekonomi syariah pada pelaksanaan jual beli diamond game online dianalogikan dalam akad bai as-salam dan akad istishna yaitu transaksi yang sama-sama menggunakan model pemesanan barang terlebih dahulu. Untuk sah dan kebolehannya belum memenuhi rukun dan syarat jual beli, karena sulit untuk memastikan kejelasan pihak yang melaksanakan pembelian diamond game online sudah cukup usia, sudah mendapatkan izin dari walinya atau sudah cakap hukum. Kecuali, transaksi pembelian diamond game online tersebut dilaksanakan secara offline, tidak menutup kemungkinan transaksi tersebut sah, karena penjual dan pembeli saling mengetahui secara jelas.
Kata Kunci: Jual Beli, Diamond, E-commerce, Perspektif Hukum Ekonomi Syariah
PEMAHAMAN MASYARAKAT TERHADAP PRODUK BANK SYARIAH DI DESA PATROL BARU KECAMATAN PATROL KABUPATEN INDRAMAYU
Authors: Hidayat Ahid , Abbas Ahmad Sudirman , Wafa Moh. Ali
Published: May 2024

Perbankan syariah menjadi satu diantara bentuk gerakan Islam modern dengan tujuan untuk membantu aspek ekonomi kaum muslim yang berlandaskan Al-Quran dan As-Sunnah. Akan tetapi pada kenyataannya, banyak muslim yang belum menggunakan bank syariah dalam menjalani aktivitas perekonomian. Penelitian ini bertujuan untuk mengetahui tingkat dan faktor yang mempengaruhi pemahaman masyarakat Desa Patrol (Kec. Patrol, Indramayu) terhadap produk perbankan syariah. Penelitian ini merupakan penelitian kombinasi antara kuantitatif dan kualitatif, sumber data yang digunakan adalah sumber data primer dan sumber data sekunder. Berdasarkan penelitian ini diperoleh hasil bahwa yang menyebabkan kurangnya pengetahuan/informasi produk perbankan syariah adalah masih kurangnya sosialisasi kehadiran perbankan syariah di tengah masyarakat dan kurangnya kesadaran masyarakat untuk mengenal lebih jauh perbankan syariah. Hal ini terjadi karena eksistensi perbankan konvensional leibh kuat dalam masyarakat serta beberapa hambatan perkembangan perbankan syariah seperti (1) jumlah kelembagaan, kantor dan jaringan perbankan syariah yang masih sedikit; (2) tingkat pengetahuan masyarakat tentang sistem dan manfaat perbankan syariah rendah; (3) sistem pelayanan yang belum optimal dan (4) kesadaran masyarakat untuk menabung di perbankan syariah rendah.
STRATEGI PENYELESAIAN PEMBIAYAAN BERMASALAH AKAD MURABAHAH STUDI KASUS BMT CAHAYA KEBAJIKAN PONDOK GEDE BEKASI JAWA BARAT
Authors: Munawaroh Fitri , Sunarya Fitri Rachmiati
Published: May 2024

Pembiayaan bermasalah menjadi salah satu resiko yang harus dihadapi oleh Lembaga Keuangan Syariah termasuk BMT. Jika tidak segera diselesaikan maka pembiayaan bermasalah akan mengakibatkan kerugian kepada pihak BMT. Penelitian ini bertujuan untuk mengkaji prosedur pembiayaan murabahah di BMT Cahaya Kebajikan, faktor-faktor penyebab terjadinya pembiayaan murabahah bermasalah dan strategi penyelesaian pembiayaan murabahah bermasalah di BMT Cahaya Kebajikan.  Metode penelitian ini menggunakan metode pendekatan kualitatif dimana pengumpulan sumber data dengan wawancara, observasi lapangan dan dokumentasi yang berkaitan dengan penyelesaian pembiayaan bermasalah, sedangkan untuk sumber data sekunder bersumber dari buku, jurnal, dan bahan pustaka lainnya. Hasil penelitian menunjukan bahwa prosedur pembiayaan murabahah di BMT Cahaya Kebajikan dapat dikatakan mudah dengan proses yang cepat. Faktor-faktor penyebab terjadinya pembiayaan bermasalah murabahah bermasalah berasal dari nasabah dengan unsur kesengajaan nasabah yaitu menghindari pihak BMT ketika sudah waktu membayar angsuran dan dari pihak BMT kurang adanya ketelitian dalam menganalisa nasabah yang mengajukan pembiayaan. Strategi penyelesaian pembiayaan murabahah bermasalah di BMT Cahaya Kebajikan Pondok Gede adalah dengan melakukan penagihan secara intensif, pemberian surat peringatan, Restrukturisasi dengan cara Rescheduling dan Reconditioning.
GEOTURISMO E GEOCONSERVAÇÃO
Authors: Fontes Ana Flávia Gomes Fernandes , Ayach Lucy Ribeiro , Souza Ivânia Mineiro de
Published: May 2024

A vegetação e hidrografia são essenciais para manter o equilíbrio do ambiente, entretanto, a paisagem vem sendo antropizada, com desafios para a conservação. O presente trabalho tem como objetivo analisar a mudança do uso e cobertura da terra e a atividade de geoturismo no município de Bonito/MS, buscando correlacionar as informações obtidas e apresentar recomendações de geoconservação para área em estudo. Por meio de uma análise sistêmica, a metodologia emprega a elaboração de mapas de uso e cobertura da terra, potencialidade de ocorrência de cavernas e cavernas de atração turística, elaborados no software Qgis. De forma complementar, buscou-se o levantamento de dados das atividades de turismo e geoturismo no município em sites oficiais, com posterior análise e discussão. Os resultados apontam o avanço expressivo de lavouras, com a substituição da vegetação nativa e pastagem para áreas agrícolas e potencialidade da atividade turística, enfatizando a necessidade de proteção geológica, monitoramento ambiental e revisão no sistema legislativo.
Corporate Governance and Ownership Structure Effect on Corporate Social Performance: Evidence from Non-Financial Industries of Pakistan
Authors: Mukhtar Zeeshan , Rasheed Abdul
Published: May 2024

This paper will examine the diversified associations between corporate governance and ownership structure impact on corporate social performance in dissimilar industries across Pakistan non-financial.  The OLS models regression are estimation to using data from 2011 to 2020, that the non-financial industries of Pakistan. Corporate governance including board independence (BINDP), board size (BSIZE), and audit size and committee (A&COM), and structure ownership including, ownership managerial (MOWN), ownership family (FOWN), and ownership concentration (COWN), inspires of organizations corporate social performance with environmental and social risk market capitalization. Generally, the outcomes significant of ownership structure and corporate governance is recognized in industries of non-financial different at a joint level while examines the organizations with a risk whole risk market capitalization disclosure.  That suggest to identifying the ownership structure and corporate governance can risk mitigate the market capitalization disclosure non-financial industries in term of correlation the corporate social performance improving and the developed the benefits with the calculation of identical female director in women on board and family ownership organizations (independent or executive) to the panel. This study also demand consideration to the corporate governance and improve structure ownership to enhance the corporate social responsibility in industries non-financial with market risk capitalization analysis, whereas risk control performance of industries analysis after complement by critical mass and independent directors properties.
Economic Growth and Financial Intermediation Nexus in Pakistan: An ARDL Analysis
Authors: Akhtar Zahid Mehmood , Gul Faid , Mubarak Fauzia
Published: May 2024

This paper explores the relationship between economic growth and financial intermediation in Pakistan. By utilizing data from 1996 to 2022, presence of cointegration in the long run is investigated by employing the auto regressive distributed lag (ARDL) bounds testing approach, whereas error correction model (ECM) is used to depict short run linkages. The augmented dickey fuller (ADF) test verifies the stationarity properties of the series. The results show that financial intermediation promotes economic growth both in short run as well as in long run and confirm the view of Schumpeter regarding finance growth nexus. The findings also reveal that investment and human development also significantly contribute to productivity and economic expansion whereas public expenditure exhibits a positive but insignificant effect due to crowding out effects. The study found that despite improvements in Pakistan's financial structure, sustainable economic growth requires an enabling investment climate and robust governance which can be achieved by implementing suitable reforms for development of a well-organized financial sector.
Improving Service Recovery Performance through Readiness for Technology Adoption and Structural Empowerment: Evidence from Software Houses of Pakistan
Authors: Akbar Rida , Tufail Muhammad Shahid
Published: May 2024

In the rapidly evolving global and Pakistani IT sectors, the challenge of integrating technology adoption with effective service recovery mechanisms has become increasingly prominent. This study addresses the gap in understanding how readiness for technology adoption (RTA), structural empowerment (SE), and top management commitment (TMC) collectively influence Service Recovery Performance (SRP) in Pakistani software houses. Utilizing a quantitative approach, the research quantitatively analyses the relationships between RTA, SE, SRP, and the moderating effect of TMC through a survey of employees within the sector. Findings reveal a positive relationship between RTA and SE, and between SE and SRP, affirming the pivotal role of structural empowerment in mediating the impact of technology readiness on service recovery. Moreover, TMC was found to significantly moderate the SE-SRP relationship, enhancing the effectiveness of empowerment practices in service recovery contexts. These results underscore the importance of cohesive strategies that incorporate technology readiness, employee empowerment, and management support to enhance service recovery outcomes. The study contributes to the literature by providing empirical evidence on the interconnected roles of RTA, SE, and TMC in improving SRP, particularly within the context of emerging markets. For policymakers and business leaders, this research highlights the necessity of fostering an organizational culture that supports technological advancements, empowers employees, and is backed by committed leadership to navigate service recovery challenges effectively, thereby sustaining customer satisfaction and competitive advantage.