bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan massa otot pada sarkopenia dengan status fungsional lanjut usia di desa Pedawa, kabupaten Buleleng, Bali
Authors: Budiartha I Gusti Ayu Ira Mahariani , Aryana IGP Suka , Purnami Ni Ketut Rai , Putrawan Ida Bagus , AStika I Nyoman , Kuswardhani RA Tuty
Published: February 2023

Latar Belakang: Massa otot merupakan salah satu indikator sarkopenia pada lanjut usia (lansia), yang ditandai dengan penurunan massa otot disertai penurunan kekuatan otot atau penurunan performa fisik. Hilangnya massa otot yang signifikan pada lansia dipertimbangkan sebagai hal penting yang dapat menurunkan kapasitas dan aktivitas fungsional lansia sehingga kualitas hidup lansia akan menurun. Tujuan dari penelitian ini yaitu untuk mengetahui hubungan massa otot pada sarkopenia dengan status fungsional lansia di Desa Pedawa, Kabupaten Buleleng, Bali.

Metode: Penelitian ini merupakan studi potong lintang pada populasi lansia yang tinggal di Desa Pedawa dan dilakukan teknik stratified random sampling. Pengukuran massa otot dilakukan menggunakan bioelectrical impedance analysis (BIA) dan dikategorikan berdasarkan rekomendasi Asian Working Group for Sarcopenia (AWGS). Status fungsional lansia ditentukan menggunakan Barthel Activity Daily Living (ADL).

Hasil: Penelitian ini terdiri dari 115 partisipan yang terdiri dari 53 orang (46,1%) laki-laki dan 62 orang (53,9%) perempuan dengan rerata umur 69.09 ± 8.6. Hasil penelitian menunjukkan angka prevalensi sarkopenia 91,3%, prevalensi penurunan massa otot 87,8%, prevalensi penurunan kekuatan otot 83,5%, prevalensi penurunan kecepatan berjalan 85,2% pada populasi lansia di Desa Pedawa. Prevalensi lansia dengan status fungsional mandiri didapatkan 83,5%, ketergantungan ringan 16,5%, dan ketergantungan sedang berat tidak ada. Pada populasi sarkopenia didapatkan status fungsional mandiri sebanyak 87 orang (82,9%) dan ketergantungan ringan 18 orang (17,1%).

Kesimpulan: Pada penelitian ini didapatkan prevalensi sarkopenia dan status fungsional mandiri yang tinggi. Perbedaan massa otot antara status fungsional mandiri dan status fungsional ketergantungan ringan signifikan tapi tidak dengan angka yang terlalu besar.
Studi korelasi antara sarkopenia dengan nilai bone mineral density (BMD) pada populasi geriatri di Desa Adat Kapal
Authors: Wisnu Lanang , Aryana IGP Suka , Purnami Rai , Putrawan IB , Astika I Nyoman , Kuswardhani RA Tuty
Published: February 2023

Background: Sarcopenia is a common condition in geriatric population. Prior studies suggest its relationship with decreased bone mineral density (BMD) level.

Objective: To determine the correlation between sarcopenia and bone mineral density among geriatric population.

Methods: This cross-sectional study employed random sampling method to select for participants. Study were invited to attend for assessments including bioelectrical impedance analysis (BIA) and digital handgrip dynamometer from which muscle mass and power were determined respectively, whilst bone mineral density was assessed using quantitative ultrasound densitometry (QUS). Data analysis was performed using SPSS 16.

Results: Sixty-six samples aged 60 to 77 years contributed data to the analysis in which 22.73% was sarcopenic. Abnormal BMD level (53%), low muscle mass (38%), low muscle power (28%), and low physical performance (29%) were assessed accordingly. Data analysis revealed correlation between BMD with muscle mass (r=0.282; p=0.023), age (r=-0.131; p=0.298), physical performance (r=-0.578; p=0.000), and handgrip (r=0.434; p=0.000). Comparative test yielded mean BMD level of -2,37 and -1,59 in sarcopenic and non-sarcopenic study respectively (p=0.003). There was positive correlation between sarcopenia and BMD level (r=0.373; p= 0.002).

Conclusion: Sarcopenia prevalence is relatively high in geriatric population. Lower BMD level is observed in sarcopenic population. There is strong positive correlation between sarcopenia and BMD level, thus reflecting lower level of BMD in sarcopenic patient. Factors associated with BMD level according to the strength of correlation are physical performance, muscle power, muscle mass, and age.
Wunderlich syndrome pada penderita clear cell renal cell carcinoma
Authors: Mahadita Gede Wira , Kandarini Yenny
Published: February 2023

Wunderlich's syndromes is a collection of symptoms consisting of pain, palpable mass in the flank region, hematuria associated with spontaneous renal bleeding. Renal cell carcinoma (RCC) is defined as a group of malignancies originating from the epithelium of the renal tubules. Reportedly a man, aged 47 years, with complaints of pain in the waist and upper left abdomen, accompanied by reddish urine since 3 days before being admitted to the hospital, but also experienced one month ago. On physical examination, there was a solid mass in the abdomen accompanied by tenderness. Ultrasound examination of the upper-lower abdomen showed a solid lobulated mass of impression originating from the left kidney. MSCT examination found a mass of the left kidney measuring about 11.2 cm x 16.7 cm x 20.2 cm which caused enhancement of the left renal artery. The patient then underwent a radical nephrectomy, found a left kidney tumor measuring 20 cm which was attached to the diaphragm. The result of the PA histo examination, obtained tumor cells with an increased N / C ratio, polygonal to round oval shape, moderate pleimorphic core, hyperchromatic, prominent core children, wide clear vacuole cytoplasm and partly eosinophilic with the impression of Clear Cell Renal Cell Carcinoma Grade. III. Patient diagnosed as CCRCC with wunderlich syndrome manifestation. .Further management was planned for systemic chemotherapy or radiation treatment, but the patient refused. The patient was discharged on the 20th day of treatment in good condition.
Correlation between body mass index and frailty in elderly men at Pemecutan Village, West Denpasar District, Bali
Authors: Triguna I Putu Bayu , Kuswardhani RA Tuty , Purnami Ni Ketut Rai
Published: February 2023

Background: Frailty as a result of decreased in age-related physiological systems that causes change in health status vulnerabilities that can be triggered by minor stressor events. One of the factors related to frailty is body mass index (BMI).
Objective: We aimed to examine the correlation between BMI and frailty of elderly men in Pemecutan Village, West Denpasar District.
Methods: A cross-sectional analytic study was conducted in Busung Yeh Kangin and Busung Yeh Kauh Banjar, Pemecutan Village, West Denpasar District. Data were collected after informed consent had been obtained through interview methods, grip strength, walking speed and anthropometric measurements. Interviews, anthropometry and frailty was assessed by Frailty Phenotype Fried. The Spearman correlation test was used to determine the bivariate relationship.
Result: A total of 62 elderly men subjects with mean age of 69.26±7.11 years old. Frailty syndrome occurred in 50% subjects (n=32). There was no correlation between BMI and frailty in this study (r = 0.07; p = 0.5).
Conclusion: There was no correlation between BMI and frailty in this study. This shows frailty is not related with poor BMI.
Hubungan kerapuhan dan status activity of daily living pada penduduk usia lanjut di Desa Pedawa, Buleleng, Bali
Authors: Ni Made Anggreni Yudhawati  , I Gusti Putu Suka Aryana  , R.A. Tuty Kuswardhani  , I Nyoman Astika  , Ida Bagus Putu Putrawan  , Ni Ketut Rai Purnami
Published: February 2023

Background: Frailty is a process of decreasing physical, psychological, and/or social functions related to the aging process. The process before frail often shows no signs and symptoms. At this stage the individual will experience a decline in functional status which can lead to severe clinical consequences.
Objective: To determine the relationship of frailty and frailty parameters with functional status based on the assessment of Activity of Daily Living (ADL).
Methods: A cross-sectional analytic study was conducted in Pedawa Village, Buleleng, Bali. Subjects underwent interviews and physical examinations to determine frailty and questionnaires to assess activity of daily living. The Spearman correlation test was used to determine the correlation between frailty and ADL scores, Mann Whitney U test to determine the correlation between weight loss, fatigue, and decreased physical activity with ADL.
Result: A total of 80 samples were included in this study, consisting of elderly men (50%) and women (50%). A significant negative correlation obtained between frailty scores and ADL scores (r = -0.47, p < 0.001). There were also significant results between the frailty parameters, that is weight loss, fatigue, decreased walking speed, and decreased physical activity with ADL (p <0.05), while the relationship between hand grip strength and ADL was found to be not significant (p = 0.269).
Conclusion:This study showed a negative correlation between frailty and ADL scores, with the higher the frailty score associated with lower ADL scores. There is a significant relationship between weight loss, fatigue, decreased walking speed and decreased physical activity with ADL.
Hubungan antara kadar serum hepatitis B PreS1 antigen (PreS1-Ag) dengan HBV DNA pada pasien hepatitis B kronis
Authors: Hanjoyo Monika Evelyn , Susianti Hani , Iriane Vincentia Maria , Santosa I Putu Adi
Published: February 2023

Latar Belakang: Prevalensi hepatitis B kronis (HBK) di Indonesia masih cukup tinggi, sebagian diantaranya berpotensi mengalami komplikasi sirosis dan HCC dengan angka kematian yang tinggi. HBV DNA merupakan pemeriksaan baku emas untuk diagnosis dan inisiasi terapi, namun tidak semua laboratorium memiliki pemeriksaan PCR. Marker pemeriksaan serologi dapat menjadi pilihan alternatif dalam penegakan diagnosis pasien HBK di tempat-tempat dengan keterbatasan PCR. PreS1-Ag merupakan salah satu biomarker yang dipercaya menggambarkan infektivitas HBV dengan baik karena berfungsi mengawali masuknya HBV ke dalam hepatosit.
Tujuan: Tujuan penelitian ini untuk mengetahui korelasi antara kadar PreS1-Ag dan HBV DNA pada pasien HBK.
Metode: Desain penelitian adalah studi cross-sectional dengan metode consecutive sampling pada pasien HBK di RSUD Dr. Saiful Anwar Malang. Subjek penelitian dibedakan menjadi kelompok HBV DNA positif dan negatif. Pengukuran PreS1-Ag menggunakan metode ELISA dan HBV DNA menggunakan metode real-time PCR. Uji beda dengan Mann-Whitney test. Uji korelasi antara kadar PreS1-Ag dan HBV DNA menggunakan Spearman test, dimana p<0,05 dianggap signifikan.
Hasil: Tujuh puluh sampel terkumpul, 47 (67,1%) HBV positif dan 23 (32,9%) HBV negatif. Tidak didapatkan perbedaan signifikan usia dan jenis kelamin antara kedua kelompok. Median kadar PreS1-Ag (8,68ng/mL dibanding 3,67ng/mL)dan HBV DNA (19.600 IU/mL dibanding 0,22 IU/mL) didapatkan lebih tinggi pada kelompok HBV DNA positif. Hasil Spearman test menunjukkan korelasi positif antara kadar PreS1-Ag dan HBV DNA dengan kekuatan sedang (r = 0,629; p < 0,05).
Simpulan: Terdapat korelasi positif antara kadar PreS1-Ag dan HBV DNA pada pasien HBK, semakin tinggi kadar HBV DNA semakin tinggi pula kadar PreS1-Ag.
Profilaksis isoniazid merupakan faktor protektif kejadian tuberkulosis pasien HIV/AIDS di klinik VCT RSUP Sanglah Denpasar
Authors: Sikesa I Gusti Putu Hery , Somia I Ketut Agus
Published: February 2023

Background: Human Immunodeficiency Virus (HIV) infection can increase susceptibility to Mycobacterium tuberculosis (TB) infection. Since Anti Retroviral Therapy (ART) alone is not enough to reduce the risk of TB in HIV patient, a special interventions are needed, namely Isoniazid Preventive Therapy (IPT). In Indonesia, this strategy has not been fully implemented. Therefore, it is necessary to do a research on protective role of IPT against the incidence of TB in HIV/AIDS patients.
Objective: To determine the protective role of IPT in the incidence of TB in patients with HIV/AIDS at the Voluntary and Counseling Test (VCT) Clinic at Sanglah Hospital, Denpasar from 2014 to 2016.
Methods: An observational analytic study with retrospective cohort design was done. All patients who were on HAART therapy and received IPT within the study period were included. The research population were HIV patients who were enrolled in ART follow-up care.
Result: The study found a significant protection effects of IPT on TB incidence [RR: 2.05; 95% IK 1.78-2.37; p=0.02). There was no TB incidence at patients who have received IPT.
Conclusion: Isoniazid Preventive Therapy (IPT) has a significant protection effect on TB incidence.
Keywords: IPT, Risk of TB, HIV infection.
Gambaran profil systemic lupus erythematosus (SLE) dan lupus nefritis di Rumah Sakit Umum Pusat Sanglah
Authors: Tjan Benny , Kambayana Gede , Kurniari Pande Ketut
Published: February 2023

Latar Belakang: Systemic Lupus Erythematosus (SLE) adalah penyakit autoimun sistemik yang menyerang berbagai sistem tubuh. Manifestasi SLE sangat beragam dan bergantung pada organ yang terlibat. Nefritis lupus merupakan salah satu komplikasi SLE yang berujung pada end-stage-renal-disease.
Tujuan: Penelitian ini bertujuan untuk mengetahui profil klinis pasien SLE, kejadian nefritis lupus, dan respon ginjal di klinik reumatologi RSUP Sanglah pada Januari-Februari 2022.
Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan 152 peserta di klinik reumatologi RSUP Sanglah. Data penelitian dikumpulkan melalui anamnesa dan data laboratorium.
Hasil: Berdasarkan hasil penelitian, 93,5% pasien SLE adalah wanita. Terdapat 36,1% young-adult (17-30 tahun), 11,2% middle-aged-adult (31-44 tahun), dan 52,7% old-aged-adult (>45 tahun). Gejala yang paling sering dikeluhkan pasien adalah artritis (88%). Keluhan mukokutan dialami oleh 86% pasien. Demam merupakan keluhan terbanyak ketiga (71%). Keterlibatan ginjal atau nefritis lupus dialami 47% pasien. Sebanyak 34,9% pasien nefritis lupus wanita mencapai respon komplet ginjal dan 11,2% mencapai respon parsial ginjal. Pasien yang diterapi lebih dari 5 tahun dan mencapai respon komplet ginjal berjumlah sebanyak 20,4%. Terdapat 10,5%  pasien yang diterapi kurang dari 2 tahun dan mencapai respon parsial ginjal sebanyak 10,5%.
Simpulan: Nefritis lupus merupakan gejala ke-4 tersering. Maka dari itu, pasien yang dicurigai SLE harus mendapat terapi secepatnya untuk mencegah keterlibatan ginjal. Pasien yang sudah mengalami nefritis lupus harus mendapat terapi yang adekuat agar respon komplet ginjal dapat tercapai.
Psychological Distress for Divorced Women in Baghdad A Cross-Sectional Study
Authors: Sajit Kareem R. , Mohammed Qahtan Q.
Published: February 2023

Objectives: The present study aims to assess the level of psychological distress among divorced women in Baghdad and to find out the significant relationship between psychological and age educational level,
Methodology: A cross-sectional descriptive study that carried out for the period of 2nd May to 30th November, 2015. A sample of 50 the period in 2nd May to 30th November, 2015. A sample of 50 divorced women is selected purposively (non probability sample) who were attending the social welfare department at the local municipal council in Al-Sadir city in Baghdad, Al-Rasafa sector. A semi-structured questionnaire was used by the investigators for the present study. The data have been collected through the utilization of the self administrative questionnaire as a mean of data collection. Statistical analyses were conducted such as frequencies, percentage, mean, standard deviation and chi-square by using statistical package for social science (SPSS) version 15.0.
Results: The results reveal that ages of divorced women were ranged in 20-29 year old, with educational level of primary/secondary school. 
Conclusions: The study concluded that divorce is highly prevalent at age group 20-40 years old among women who they have moderate to severe psychological distress.
Recommendations: The study recommended on emphasis on the role of media to change the negative view towards divorced women, the study also recommended on emphasis of governmental role for supporting these women and providing recreational and rehabilitative programs for them.
Self-Care Management of Pregnancy Induced Hypertension for Pregnant Women Attending Primary Health Care Centers at Kirkuk City.
Authors: AL-Saffar Fatin A. Amir , Muntaha H. Hussian
Published: February 2023

Objective (s) : Assessing self-care management of pregnancy induced hypertension for pregnant women attending primary health care centers at Kirkuk city. And to finding out relationship between self-care management of pregnancy induced hypertension and some socio demographic such as( age , educational level , socio economic status , body mass index).Methodology : A descriptive study non-probability (purposive) conducted on 100 pregnant women were selected from five typical primary health care centers The study was conducted ( from 27 Jan to 31 October 2015). The questionnaire consisted of four main parts including :Socio demographic characteristic such as( age , educational level , socio economic status , body mass index) , medical history of pregnant women and the family, reproductive history, self-care management for pregnant women. The analysis of data was performed through the application of descriptive and inferential statistics.Results: The findings of the study indicated that (26%) were in the age group(30-34) years and (46%) were primary school graduates, and (83%) were from low level of socio economic status , was 56% of pregnant women suffer from obesity. The study finding showed that there is no significant association between self-care management for pregnant women with socio demographic characteristics and body mass index (BMI)Conclusions: The study concludes that the level of pregnant women about self-care management toward pregnancy induced hypertension was " Moderate "Recommendations: The study recommended to increased awareness of pregnant women about pregnancy complications especially pregnancy induced hypertension through educational programs. Further studies are recommended to research about increasing awareness to self-care management toward pregnancy induced hypertension and its effect on maternal and fetal health.
COVID – 19 Pandemisi Döneminde Kamu Diplomasisi ve Ulus Markalama: Çin ve Türkiye’nin Maske Diplomasisi
Authors: ÖZTÜRK Selahattin Ensar , ÇAĞLIYAN İÇENER Zeyneb
Published: February 2023

COVID – 19 pandemisi, siyaseti ve toplumu etkileyen her alanda küresel çapta bir dönüşüme sebep olmuştur. Pandeminin ilk aylarında, gelişmişlik düzeyine bakılmaksızın pek çok devlet, sağlık alanında artan ekipman ihtiyacını karşılamak maksadıyla söz konusu ekipmanları üreten ülkelerle diplomatik temas kurma çabasına girmiştir. Kamu diplomasisi ve ulus markalama arasındaki ilişkiye odaklanan bu çalışma, Çin ve Türkiye’nin COVID-19 pandemisi dönemindeki kamu diplomasisi politikalarını ve hususiyetle maske diplomasisi faaliyetlerini, bunların ulus marka algılarında ve imajlarında oluşturduğu etkilere de bakarak, karşılaştırmalı olarak incelemektedir. İki ülkenin maske diplomasisi faaliyetlerine yerel ve küresel düzeyde olumlu dönüşler olsa da, incelenen dönemde ilgili endekslerde ülke sıralamalarının benzer şekilde etkilenmediği görülmektedir. Virüsün çıkış yeri olması nedeniyle imajı zedelenmesine rağmen Çin’in Brand Finance Ulus Marka Endeksi’ndeki yerini muhafaza ettiği, hatta Anholt-Ipsos Ulus Marka Endeksi’ne göre sıralamasını yükselttiği, Türkiye’nin ise yoğun faaliyetlerine rağmen sıralamadaki yerinin gerilediği görülmektedir. Çalışma, kısa vadeli kamu diplomasisi faaliyetlerinin siyasi ve ekonomik meselelerden bağımsız olmadığını ve ulus markalama kavramının içini doldurmada yetersiz kaldığını iddia etmektedir.
Strategi dan Saluran Pemasaran Rengginang Lorjuk Produksi Desa Prenduan
Authors: Hopid Hopid
Published: February 2023

Rengginang lorjuk merupakan salah satu dari sekian banyak makanan ringan khas Sumenep yang sangat terkenal, pemasaran rengginang lorjuk sudah merambah ke luar daerah yang dipasarkan oleh lembaga pemasaraan yakni para pedagang besar maupun pengecer dalam rangka memenuhi permintaan konsumen. Tingginya permintaan rengginang lorjuk disebabkan cita rasa, aroma dan bahan yang digunakan sangat disukai oleh para konsumen dibandingkan dengan rengginang produksi luar daerah Sumenep. Tujuan penelitian ini adalah untuk menganalisis strategi dan saluran pemasaran rengginang lorjuk yang efektif. Metode penelitian ini menggunakan pendekatan deskriptif kualitatif untuk mengkaji strategi dan saluran pemasaran dengan objek penelitian produsen dan lembaga pemasaran rengginang lorjuk di Desa Prenduan. Pengumpulan data primer menggunakan metode observasi dan wawancara sedangkan data sekunder diperoleh dari studi literatur yang berkaitan dengan penelitian ini.  Hasil penelitian menunjukkan bahwa strategi pemasaran rengginang lorjuk yang diterapkan oleh para produsen adalah strategi produk, strategi kerjasama dan strategi harga. Saluran pemasaran rengginang lorjuk produksi Desa Prenduan  pertama yaitu dari produsen ke pedagang besar ke pengecer kemudian konsumen, kedua dari produsen ke pengecer ke pengecer kemudian konsumen, ketiga dari produsen kemudian konsumen, keempat dari produsen ke pengecer kemudian konsumen.
Mooting Unilateral Mootness
Authors: MacGuidwin Scott
Published: February 2023

Several situations cause a case to be moot. These include settlement agreements, party collusion, changes in litigant status, and extrinsic circumstances thwarting the court from granting any relief. The final reason is unilateral mootness—when a defendant ends a lawsuit against a plaintiff’s wishes by giving them everything for which they ask. In practice, this allows defendants to strategically stop lawsuits when it is clear they are not going to win. By doing so, they prevent the court from handing down adverse precedent and preserve the opportunity to engage in similar behavior with impunity. Courts have established a series of mootness exceptions to limit such gamesmanship. These exceptions are based on vague standards, which do little to guide judges making mootness decisions. The result is that some cases are heard on the merits, while other, nearly identical ones are dismissed. Unilateral mootness fails as a prudential doctrine. It struggles to limit disparate outcomes, prevent defendant gamesmanship, or save judicial resources, and alternative solutions do not fully address these three problems. This Note argues that the best recourse is to scrap unilateral mootness completely. Barring a settlement, collusion, or impossibility of relief, judges should never dismiss a case as moot.
CLIMA ORGANIZACIONAL EM UM HOSPITAL PÚBLICO NO INTERIOR DE MINAS GERAIS
Authors: Guimarães Júnior Ernani de Souza , Moreira Alessandro , Oliveira Antônio José Figueiredo , Oliveira Giovanna Tereza de Abreu
Published: February 2023

Este estudo analisa a percepção de trabalhadores de um hospital público no interior do estado de Minas Gerais sobre o ambiente de trabalho. É notório que a percepção da qualidade de vida no trabalho impacta diretamente os resultados organizacional, motivo pelo qual a ferramenta da pesquisa de clima organizacional tem sido cada vez mais utilizada. Trata-se de um estudo de caso, com delineamento descritivo que utilizou dados secundários decorrentes de uma pesquisa de clima realizada por empresa especializada contratada para essa finalidade. A análise envolveu a percepção de 302 trabalhadores (55,8% dos colaboradores) e foi processada por meio do software SPSS 21. O estudo evidenciou que o clima organizacional é satisfatório, sendo digno de destaque o relacionamento entre os trabalhadores, o orgulho de se dizer que trabalho na organização e a realização gerada pelo exercício profissional. Merecem atenção pontos como a política de remuneração, os treinamentos e processos de aprendizagem em geral e o reconhecimento dos trabalhadores.
ESTRATÉGIAS DE MARKETING APLICADAS NO COMÉRCIO VAREJISTA DE MODA NA REGIÃO NOROESTE E ALTO PARANAÍBA
Authors: DAMASCENA AMANDA ALVES , Moreira Alessandro
Published: February 2023

O artigo apresenta uma análise sobre o Marketing de Micro e Pequenas Empresas (MPEs) do setor de comercio varejista de moda que foram acompanhadas pelo Programa Brasil Mais durante o Ciclo I e II na regional Noroeste e Alto Paranaíba em Mina Gerais. Utilizou-se como sustentação, a análise documental do radar de inovação que apresenta as ações executadas pelas empresas em busca de ampliar resultados no que tange a vendas e captação de novos clientes ao longo do acompanhamento, que ocorreu de março de 2021 a fevereiro de 2022. Realizou-se, também, pesquisa bibliográfica sobre a Indústria, Comércio e Varejo em moda, verificando o que se entende como estratégias de marketing aplicadas no setor e em relação a inovação para este mercado específico. O objetivo foi de analisar as estratégias de marketing adotadas pelas empresas participantes do Programa Brasil Mais para atrair clientes, por meio da inovação, em busca do incremento nas vendas e nos relacionamentos. Observou-se que todas as empresas tiveram evolução na dimensão analisada, indicando que as ações executadas durante o programa trouxeram resultados melhores para as empresas envolvidas.
Fronteras culturales en la Ciudad de Toluca: asentamientos humanos y territorios urbanos
Authors: González Ortiz Felipe
Published: February 2023

Con una metodología cualitativa, se destaca la diversidad cultural como fuente de fronteras sociales con forma territorial en contextos metropolitanos. Abordo la diversidad en la ciudad de Toluca desde la perspectiva del habitar/residir, como categoría que une la espacialidad y la temporalidad para la formación del sentido de pertenencia. El objeto de este artículo es profundizar en la construcción de fronteras culturales como mecanismo social de definición de la identidad y la alteridad, es decir, del nosotros frente a los otros. Esta noción del nos-otros refiere a fronteras culturales qué, si bien resaltan la discontinuidad social, se expresan en situaciones de interacción cotidiana, como se ve en los resultados de este trabajo. Interesa el tema no sólo para ver cómo la infraestructura urbana refuerza los símbolos de la discontinuidad (límites difusos) y la interacción (flujos difusos), sino también para ver las formas de integración social que se configuran en situaciones metropolitanas de intensa diversidad cultural.
USER’S ADOPTION OF E-PAYMENT SYSTEM IN HARYANA
Authors: Dr. Arti Gaur  , Sanju Verma
Published: February 2023

In todays global financial transactions, electronic payment systems have emerged as the most preferred method of payment. This is because it is timely, convenient, and effective. The goal of the study is to determine the most popular e-payment mode and what drives people to use the system. 250 participants in the study filled out the questionnaire. The respondents were chosen using a combination of stratified random and judgmental sampling techniques. According to the studys findings, banking cards and mobile wallets are the two most popular modes of e-payment. There was a paucity of infrastructure, so few people voiced their displeasure. Certain areas of Haryana are reluctant to adopt a cashless system because of a lack of digital literacy, which prevents people from using coupons and earning cashback incentives, security concerns, poor internet connectivity, and other unfavourable attitudes. According to the studys findings, educational institutions and other organizations routinely offer digital literacy programs in order to inform individuals about cashless transactions, particularly those in the low-income sector who are totally dependent on cash.
KEYWORDS: cashless payment; online payment; digital payment; mobile payment; electronic payment
FORMATION OF ECONOMIC STRATEGIC PLANNING BODIES AT THE MACRO-REGIONAL LEVEL: POSSIBLE PRACTICAL SOLUTIONS
Authors:   Institute for Regional Economic Research, Rostanets Viktor G. , Ivanov Aleksey D. ,   Institute for Regional Economic Research, Kabalinsky Aleksey I. ,   Institute for Regional Economic Research; Financial University under the Government of Russia
Published: February 2023

The article considers the issue of creating efficient strategic planning bodies for socio-economic development in the macro-regions of Russia on the basis of interregional associations of economic interaction of the subjects of the Russian Federation. The possible structure of the proposed collective planning bodies, their place in the composition of associations, the order of work and coordination of the developed planning documents are substantiated.
RISK MANAGEMENT OF A COMMERCIAL BANK
Authors:   Financial University under the Government of the Russian Federation, Vladikavkaz Branch, Vladikavkaz, Russia, Kozaeva Olga T. , Kulumbekova Taira E. ,   North Ossetian State University after K. L. Khetagurov, Vladikavkaz, Russia, Kadzaeva Ekaterina I. ,   North Ossetian State University after K. L. Khetagurov, Vladikavkaz, Russia
Published: February 2023

The article considers the risks that arise in commercial banks, such as credit and financial ones. The purpose of this article is a detailed study of banking risks and the proposal of measures to minimize and eliminate them. Risk is an indispensable condition of financial activity. In the activities of commercial banks, the problems of credit risks, the state of overdue debts and the level of repayment of loans, the liquidity and solvency of borrowers, the balance of resources and liquidity are exacerbated. For the successful operation of credit institutions, it is important to eliminate risks in time. The relevance of the topic is that risk management should be aimed at minimizing them in order to obtain maximum income. It is also necessary to identify banking risks at the initial stage of their inception and have the knowledge to eliminate them. The article examined the main causes of banking risks in Russia in recent years, as well as highlighted measures to eliminate banking risks. The following methods were used in the research: methods of scientific abstraction; method of analysis and synthesis; graphic method.
FINANCIAL MARKET OF RUSSIA: PROBLEMS AND PROSPECTS OF DEVELOPMENT
Authors:   North Ossetian State University named after K. L. Khetagurov, Kulumbekova Taira E. , Ikaev Aslan E. ,   North Ossetian State University named after K. L. Khetagurov
Published: February 2023

The article examines the state, problems and prospects of development of the modern financial market in Russia. The types of financial organizations that carry out their activities in the national financial market of Russia are considered. The problems of institutional segmentation, unification of the rules for the implementation by financial organizations of the functions of trading platforms, financial intermediaries, management companies are identified.
ANALYSIS OF THE ROLE OF OIL AND GAS REVENUES IN THE STRUCTURE OF FEDERAL BUDGET REVENUES
Authors:   North Ossetian State University after K. L. Khetagurov, Vladikavkaz, Russia, Morgoeva Alina K. , Britaev Dzambolat K. ,   North Ossetian State University after K. L. Khetagurov, Vladikavkaz, Russia, Yablochnikov Sergey L. ,   Moscow Technical University of Communications and Informatics, Moscow, Russia
Published: February 2023

The question of the role of oil and gas revenues is especially relevant, since resource dependence, and with it the share of oil and gas revenues, is growing with each code. The valuation of oil, its volumes are still the key factors determining the total volume of receipts of such key payments as MET, AIT, excises, and along with it, the filling of the state budget is also determined. The authors carried out an analysis of statistical indicators, with macroeconomic indicators that determine them, which make it possible to identify gaps in state levers of influence on the resource-oriented economy of Russia, followed by their gradual elimination.
EVOLUTION OF THE CONCEPT OF HUMAN CAPITAL, ITS ROLE AND FUNCTIONS IN THE MODERN ECONOMY
Authors:   North Ossetian State University after K. L. Khetagurov, Vladikavkaz, Russia, Lolaeva Bela H. , Kumalagova Elena A. ,   North Ossetian State University after K. L. Khetagurov, Vladikavkaz, Russia, Geraskin Yuri M. ,   Moscow State University of Civil Engineering, Moscow, Russia
Published: February 2023

The key economic resource for the development of the modern socio-economic system is human capital, but it still remains one of their most mobile and uncertain economic categories. The value of human capital is determined by its ability to create new value and transfer the old one, embodied in the material elements of capital. The authors of the article consider it very important to define the functions of human capital in the socio-economic system of modern Russia.
EFEKTIVITAS PELAYANAN SISTEM CERDAS LAYANAN PERIZINAN TERPADU (SICANTIK CLOUD) DI KABUPATEN KAMPAR
Authors: Wahyuni Sri , Mayarni
Published: February 2023

Aplikasi sistem cerdas layanan perizinan terpadu untuk public pada dinas penanaman modal dan pelayanan terpadu satu pintu Kabupaten Kampar merupakan aplikasi yang bertujuan untuk memberikan pelayanan secara online mengenai perizinan. Akan tetapi pada proses untuk menciptakan layanan yang efektif pada dinas penanaman modal dan pelayanan terpadu satu pintu kabupaten kampar dengan menggunakan aplikasi sicantik masih terdapat beberapa factor yang menjadi penghambat dalam upaya mewujudkan pelayanan yang efektif, yaitu SDM yang kurang kurang memadai, Sarana dan prasarana yang dimiliki dinas penanaman modal dan pelayanan terpadu satu pintu kabupaten kampar belum terpenuhi dengan baik seperti sering terjadinya gangguan jaringan sehingga membuat pelayanan terhambat, faktor berikutnya  penghambat tidak efektifnya yaitu implementasi program SICANTIK masih pada tahap half implemented atau belum sempurna, Kemudian trust atau kepercayaan masyarakat menggunakan pelayanan online masih kurang. Penelitian ini memiliki tujuan yaitu untuk mengetahui efektivitas pelayanan dengan menggunakan aplikasi SICANTIK oleh DPMPTSP Kabupaten Kampar. Penelitian ini bersifat deskriptif dengan menggunakan metode kualitatif, informan yang dipilih menggunakan metode puposive sampling. Hasil penelitan yang penulis dapat yaitu pelaksanaan pelayanan dengan menggunakan aplikasi SICANTIK telah terlaksana dengan baik namun ketika dianalisis lebih mendalam hasil yang didapat dilapangan belum efektif hal ini dapat dilihat masih memiliki factor penghambat yang membuat tidak efektifnya pelayanan dengan menggunakan aplikasi SICANTIK yang dilaksanakan oleh DPMPTSP Kabupaten Kampar
PENGEMBANGAN KAPASITAS PEMADAM KEBAKARAN PADA DINAS PEMADAM KEBAKARAN DAN PENYELAMATAN KOTA PEKANBARU
Authors: Ma’romah Zidni , Adianto
Published: February 2023

Melihat pada kasus kebakaran yang terjadi di Kota Pekanbaru dari tahun ketahun mengalami peningkatan yang signifikan. Pada tahun 2020 angka kasus kebakaran bangunan mengalami peningkatan dari tahun sebelumnya. Kasus kebakaran bangunan yang sering terjadi yaitu kebakaran rumah atau tempat tinggal. Menanggapi hal tersebut, maka perlu adanya pemadam kebakaran yang berkompeten baik dari segi pengetahuan maupun keahlian untuk dapat menanggulangi kebakaran di Kota Pekanbaru. Pemadam kebakaran yang berkualitas dan berkompeten di dukung dengan adanya pengembangan kapasitas sumber daya manusia melalui program pendidikan dan pelatihan bagi pemadam kebakaran yang didukung oleh sertifikat kompetensi. Jenis pendidikan dan pelatihan yang berbeda sesuai dengan keahlian yang di miliki oleh pemadam kebakaran. Metode Penelitian yang digunakan yaitu kualitatatif dengan dengan pendekatan studi kasus yang bersifat analisis deskriptif. Hasil  penelitian ini adalah masih belum optimalnya dalam memberikan pendidikan dan pelatihan bagi pemadam kebakaran, masih ditemukan petugas pemadam kebakaran yang belum mengikuti diklat pemadam I dan belum memiliki sertifikat kompetensi diklat pemadam kebakaran, serta masih belum idealnya jumlah pemadam kebakaran untuk dapat menaggulangi kebakaran di Kota Pekanbaru
Only Fair? The Right To A Fair Trial Challenged In Case C-420/20 HN (Procès d’un Accusé Éloigné du Territoire)
Authors: Engel Annegret
Published: February 2023

The right to a fair trial forms an integral part of the rule of law in the EU and is enshrined in Article 47 of the EU Charter of Fundamental Rights. It provides that 'Everyone is entitled to a fair and public hearing within a reasonable time by an independent and impartial tribunal previously established by law.' Everyone shall have the possibility of being advised, defended and represented. Further details, particularly on the right to be present as an essential element of the right to a fair trial, can be found in EU secondary legislation, such as Directive 2016/343.This came under scrutiny in the course of the criminal proceedings against HN.
Effectiveness of nuclear deterrence against Russia
Authors: Kostrzewa-Zorbas Grzegorz
Published: February 2023

Objectives

The objective is to answer three research, policy, and strategy questions: 1. Is and will be the NATO and US strategy of nuclear deterrence effective against Russia? 2. Can the strategy of nuclear deterrence as the supreme guarantee of the security of NATO have a lasting public acceptance in the member states? 3. Is it necessary to complement the NATO and US strategy of nuclear deterrence with another, also strong but different, guarantee of security?

Methods

Qualitative methodology is used. Offical documents and scientific publications provide the basis for analysis.

Results

The answer to question 1 is mostly but not fully positive: Against Russia, the NATO and US strategy of nuclear deterrence probably has and will have high although not absolute effectiveness. Evaluated are five nesserary conditions of effectiveness. Negative is the answer to question 2 if concerning Poland and other countries of the eastern flank of NATO that have little knowledge of and historical experience in nuclear arms and strategy: The strategy of nuclear deterrence based on the threat of nuclear retaliation against nuclear-armed nations will probably not gain a lasting public acceptance. Affirmative is the answer to question 3: The NATO and US strategy of nuclear deterrence requires a complementary strong security guarantee.

Conclusions

Scientific and technological progress will likely allow NATO to create a complementary guarantee by realizing the concept – which was unattainable in the past, including during the Cold War – of an impenetrable shield against nuclear weapon delivery means in airspace and outer space.
HUBUNGAN MOBILISASI DINI POST SECTIO CAESAREA DENGAN PROSES PENYEMBUHAN LUKA OPERASI DI RSUD PANDAN
Authors: Rangkuti Nur Aliyah , Zein Yunella , Batubara Novita Sari , Harahap Mei Adelina , Sodikin M. Ali
Published: February 2023

Persalinan bisa terjadi secara fisiologis maupun patologis. Persalinan patologis kadang membutuhkan tindakan pembedahan (Sectio Caesarea). World Health Organization (WHO), rata-rata sectio caesarea 5-15% per 1000 kelahiran didunia. Proses penyembuhan luka post sectio caesarea yang normal adalah 6-7 hari postpartum. Tujuan penelitian ini adalah untuk mengetahui hubungan mobilisasi dini post sectio caesarea dengan proses penyembuhan luka operasi di RSUD Pandan Tapanuli Tengah Tahun 2022. Jenis penelitian adalah kuantitatif dengan rancangan cross sectional study. Populasi dalam penelitian ini adalah semua ibu post partum dengan tindakan SC di ruang nifas RSUD Pandan bulan Juli 2022 yaitu 47 orang, dan jumlah sampel dalam penelitian ini sebanyak 47 orang dengan menggunakan metode total sampling. Analisa yang digunakan adalah Chi-square, dengan hasil menunjukkan ada hubungan mobilisasi dini post section caesarea dengan penyembuhan luka operasi p (0,000). Disarankan pada post section caesarea dapat melakukan penyembuhan luka operasi yang tepat dengan cara mobilisasi dini. Tenaga kesehatan dapat menyatakan kepada ibu post section caesarea tentang bahaya jika penyembuhan luka operasi lama.
Changes of Costs, Expenditures, and Revenues Between Bidding and Staging the Olympic Games from Sydney 2000 to Tokyo 2020
Authors: Preuss Holger , Weitzmann Maike
Published: February 2023

Expected large cost overruns of Olympic Games have recently led to negative referendums. We will analyze the costs and revenues of the Olympic Games and how they change from the first budget estimation promise made to the taxpayer to the end of the Games. To accomplish this, we separate
revenues and expenditures of Organizing Committees of the Olympic Games (OCOG) from capital investments for Olympics-specific infrastructure (e. g., Olympic Stadiums, Villages) from Sydney 2000 to Tokyo 2020. Irrespective of inflation in all Games, costs for Olympics-specific infrastructure
overrun moderately. Expenditure overruns of the OCOG are usually compensated by increased revenues and have even ended in small profits. This article shows the most complete set of cost, revenues, and expenditure sources to calculate budget overruns while differentiating the OCOG from the
nonOCOG budgets. Further, we distinguish between false budget estimations and cost overruns, then we end with a theory-led discussion of reasons for overruns, and give management recommendations.
Towards a more ambitious uricemia target to improve joint and cardiovascular outcomes in gout
Authors: Calvo-Aranda Enrique , Perez-Ruiz Fernando
Published: February 2023

Gout is the most common inflammatory arthritis and a global health problem. In addition to joint involvement, urate crystals induce chronic inflammation, leading to increased cardiovascular risk in gout. Thus, cardiovascular disease is the leading cause of death in gout and numerous studies have revealed an increase in cardiovascular-related mortality in these patients. However, despite the efficacy of urate-lowering therapies, such as allopurinol and febuxostat, suboptimal management of gout and poor adherence continue to make it difficult to achieve better outcomes. Treat-to-target strategy may help change this, as in other diseases such as rheumatoid arthritis. Nevertheless, even with a well-defined clinical target (absence of flares and tophi disappearance), the numerical target [serum uric acid (SUA) < 5 mg/dL or < 6 mg/dL] still varies depending on current guidelines and consensus documents. Recently, several trials [Long-Term Cardiovascular Safety of Febuxostat Compared with Allopurinol in Patients with Gout (FAST), REasons for Geographic And Racial Differences in Stroke (REGARDS)] have shown better cardiovascular outcomes in those patients who achieve SUA levels < 5 mg/dL. Likewise, some observational studies, mostly based on imaging tests such as ultrasound and dual-energy computed tomography, have found better results in the magnitude and speed of reduction of urate joint deposition when SUA < 5 mg/dL is achieved. Based on an analysis of the available evidence, SUA < 5 mg/dL is postulated as a more ambitious target within the treat-to-target approach for the management of gout to achieve better joint and cardiovascular outcomes in patients with cardiovascular risk or severe disease.
El futuro de la reproducción humana
Authors: Álvarez Díaz Jorge Alberto
Published: February 2023

This paper proposes that ectogenesis is a form of transhuman reproduction. Some of the advantages that have been found if ectogenesis is developed are mentioned, such as the liberation of women by freeing them from pregnancy, but they are accompanied by some criticism. From a case it is stated that there are problems that could arise from the development of ectogenesis that have not even been considered in the literature. Finally, it is proposed that perpetuating sexual dimorphism leads to perpetuating gender differences, so that the theoretical solution would be to eliminate sex in order to eliminate gender.
Saberes ancestrales: Las parteras de la medicina tradicional, aprendizajes inmemorables que aún se conservan
Authors: Córdoba-Villota Elvira Eugenia , Velasquez-Mantilla Daniel Andrés
Published: February 2023

The present work focuses on analyzing the behavior of science on studies of traditional medical practices focused on midwifery that currently retain different ethnic groups. A review of scientific articles was carried out in the databases Scopus, WOS and ScienceDirect, Ebsco, ProQuest, Redalyc, Scielo, DialNet between 2017 and 2022. At present, midwifery is a practice of cultural resistance that is waiting to be rescued and taken into account within Western medical learning techniques.
Embarazo críptico o negación del embarazo: una realidad desconocida
Authors: Llorca-Porcar Alicia
Published: February 2023

Cryptic pregnancy or denial of pregnancy, according to research, presents alterations that generate risk of death and/or maternal and infant disease. Part of society seems to be unaware or denies the existence of this disease. The objectives of this investigation are the search, collection and dissemination of existing information to detect a possible reality that can be acted upon. The results show the existence of this reality, together with maternal helplessness, lack of support and punishment, rather than help. Little research and dissemination of the problem and the need to detect and help these women and their offspring is evident.
Dynamic Characteristics of External Respiration Function in Cross-Country Skiers in the Annual Cycle
Authors:   Institute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences, Varlamova Nina G. , Parshukova Ol’ga I. , Kudinova Alla K. , Boyko Evgeniy R.
Published: February 2023

The training process in winter sports is significantly modulated by weather factors, which has a direct or indirect impact on how fast one gets into the required shape and on competition success. In male crosscountry skiers, the volumetric characteristics of external respiration function (ERF) have been investigated extensively; at the same time, no research into this function’s dynamic characteristics is available. The aim of this paper was to study the dynamic characteristics of ERF in cross-country skiers in the annual cycle. Materials and methods. ERF was evaluated monthly using the microprocessor spirograph SPM-01-R-D. The measurements were taken in male cross-country skiers (age: 20.2 ± 0.6 years, height: 175.9 ± 0.6 cm, body weight: 69.4 ± 0.7 kg, maximal oxygen uptake: 4.393 ± 0.433 l/min), members of the national teams of the Komi Republic and Russia that have been living in the European North of Russia (62°N) almost from birth. Results. The study revealed that the dynamic indicators of ERF in cross-country skiers of the Komi Republic are characterized by higher numerical values compared to those in male non-athletes. Peak expiratory flow in cross-country skiers, while being higher than that in non-athletes, had a statistically significant annual dynamics, which repeated the pattern of the annual drift of this indicator in men not involved in sports. Minimal expiratory flow in cross-country skiers was primarily observed in August–November, while maximal, in December–January. The greatest deviation from the due values (by 37.4 %) was characteristic of the airflow velocity in the small bronchi. Thus, ERF indicators in male cross-country skiers have an annual drift and, in terms of numerical values, exceed most of the indicators in non-athletes.