bluuebunny/crossref_metadata_2025 huggingface dataset:
Morphology of the immune cells in the wall of the human uterine tube and their possible impact on reproduction—uterine tube as a possible immune privileged organ
Authors: Visnyaiová Kristína , Varga Ivan , Feitscherová Claudia , Pavlíková Lada , Záhumenský Jozef , Mikušová Renáta
Published: March 2024

The uterine tube, as well as other parts of the upper female reproductive system, is immunologically unique in its requirements for tolerance to allogenic sperm and semi-allogenic embryos, yet responds to an array of sexually transmitted pathogens. To understand this dichotomy, there is a need to understand the functional morphology of immune cells in the wall of the uterine tube. Thus, we reviewed scientific literature regarding immune cells and the human uterine tube by using the scientific databases. The human uterine tube has a diverse population of immunocompetent cells representing both the innate and adaptive immune systems. We describe in detail the possible roles of cells of the mononuclear phagocyte system (macrophages and dendritic cells), T and B lymphocytes, natural killer cells, neutrophils and mast cells in association with the reproductive functions of uterine tubes. We are also discussing about the possible “immune privilege” of the uterine tube, as another mechanism to tolerate sperm and embryo without eliciting an inflammatory immune response. In uterine tube is not present an anatomical blood-tissue barrier between antigens and circulation. However, the immune cells of the uterine tube probably represent a type of “immunological barrier,” which probably includes the uterine tube among the immunologically privileged organs. Understanding how immune cells in the female reproductive tract play roles in reproduction is essential to understand not only the mechanisms of gamete transport and fertilization as well as embryo transport through the uterine tube, but also in improving results from assisted reproduction.
Studying the attitude of Moscow residents to mod - ern medical services (on the case of electronic medical records)
Authors:   FSAEI HE I. M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow, Vershinina V. A. , Kyshtymova S. V. ,   FSAEI HE I. M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow, Khorina M. D. ,   FSAEI HE I. M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow
Published: March 2024

The article presents the results of pilot research aimed at the study of attitudes to modern digital medical services, such as electronic medical records. The article addresses the issues of availability of the service for citizens, its usability, and features of personal experience of Moscow residents dealing with electronic medical records. The authors point out the relevance of digital services for improving doctor-patient-medical organization interaction. The study results can be useful for medical institutions, city administrations, and healthcare experts seeking to optimize the use of electronic medical records and improve the quality of medical care for Moscow residents.
Impact of academic load on psycho-emotional state of high school students during preparation for and passing of the final assessment
Authors:   FSAEI HE I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow, Galimyanova P. V. , Katsman P. A. ,   FSAEI HE I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow
Published: March 2024

The article presents the results of a medical and sociological study aimed at examining the impact of increased academic load on the well-being of high school students in Moscow during the preparation and examination period. According to the obtained data, this period is characterized by a significant increase in academic load, disruption of regular routines, and loss of social connections, which can lead to destabilization of students' psycho- emotional state. The majority of survey participants reported experiencing symptoms of stress, including nervousness, irritability, excessive fatigue, changes in eating habits, etc. which negatively affect their ability to absorb new material. In the opinion of high school students, the psychological support provided in schools often has a formal nature, limited to collective measures such as workshops and training sessions.
Experience of the pandemic in the context of changing doctor-patient relationship
Authors:   FSAEI HE I. M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow, Pluzhnikova A. S. , Filamofitskaya M. M. ,   FSAEI HE I. M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow, Basharova Ya. D. ,   FSAEI HE I. M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow
Published: March 2024

The article deals with the issue of transformation of doctor-patient relationship during the COVID-19 pandemic. The main aspects investigated by analyzing the results of the questionnaire survey were the attitude of Moscow residents to their health, their personal experience of overcoming the pandemic, and its impact on the perception of medical professionals. According to the results, the experience of overcoming the pandemic had a positive impact on changing the perception of the doctor's image and of the medical community in general. Survey participants noted the heroization of medical professionals' actions during the fight against the novel coronavirus infection, which resulted in a general rise in the level of trust in doctors and an increase in the status of the medical profession. Muscovites believe that part of the responsibility for their health lies with medical professionals. However, taking into account that behavioral strategies of a substantial number of the respondents are marked by low activity of observing the principles of healthy lifestyle, the presence of bad habits, low medical aid appealability at the occurrence of primary signs of disease, and non-compliance with doctor's prescriptions, it significantly complicates the possibility of providing medical care and preserving health.
Changes in hormonal status after restrictive bariatric interventions
Authors:   Federal State Budgetary Educational Institution of Higher Education «Bashkir State Medical University» of the Ministry of Health of the Russian Federation, Galimov O. V. , Khanov V. O. ,   Federal State Budgetary Educational Institution of Higher Education «Bashkir State Medical University» of the Ministry of Health of the Russian Federation, Nasyrova K. V. ,   Federal State Budgetary Educational Institution of Higher Education «Bashkir State Medical University» of the Ministry of Health of the Russian Federation, Galimov D. O. ,   Federal State Budgetary Educational Institution of Higher Education «Bashkir State Medical University» of the Ministry of Health of the Russian Federation, Ibragimov T. R. ,   Federal State Budgetary Educational Institution of Higher Education «Bashkir State Medical University» of the Ministry of Health of the Russian Federation, Safargalina A. G. ,   Federal State Budgetary Educational Institution of Higher Education «Bashkir State Medical University» of the Ministry of Health of the Russian Federation
Published: March 2024

The purpose of the work was to study the impact of bariatric surgeries on hormonal status in patients with morbid obesity. The ghrelin levels were evaluated in 26 morbidly obese patients who underwent restrictive bariatric surgeries (13 gastric plications and 13 gastric sleeve resections). The initial level of ghrelin in the blood of the patients with morbid obesity was lower compared to the levels observed with normal body weight. We did not observe the reduction of ghrelin level expected after the resection of the fundus ghrelin-producing part of the stomach. The clinical study indicates that changes in gastric volume after restrictive bariatric interventions (sleeve resection or gastric plication) are accompanied by a slight increase in blood ghrelin levels. This increase is greater the higher the percentage of body weight loss after surgery. More in-depth study of this topic will help identify new strategies for treating morbid obesity in the future.
Use of laser technologies in the treatment of hemorrhoids (Literature review)
Authors:   FSBI Ryzhikh National Medical Research Center of Coloproctology of the Ministry of Health of Russia, Yusova M. G. , Korolik V. Yu. ,   FSBI Ryzhikh National Medical Research Center of Coloproctology of the Ministry of Health of Russia, Kuzminov A. M. ,   FSBI Ryzhikh National Medical Research Center of Coloproctology of the Ministry of Health of Russia
Published: March 2024

Hemorrhoids are one of the most common diseases of the anorectal region, representing a serious medical and socio-economic problem that significantly affects the quality of life of patients. Surgical treatment of this pathology is necessary in cases where the patient complains of bleeding and prolapse of internal hemorrhoids, which cannot be treated with conservative methods. Traditional methods of surgical treatment of this pathology, despite their effectiveness, have a number of significant disadvantages, such as severe pain after surgery, prolonged healing of anal canal wounds, a long period of incapacity for work, as well as possible complications in the form of strictures of the anal canal, insufficiency of the rectal obturator, and anal fistulas. Recently, due to the active development of medical technology in the surgical treatment of hemorrhoids, many new minimally invasive treatment methods have appeared, including the use of lasers with different wavelengths, which have demonstrated high efficiency along with such advantages as reducing the intensity of postoperative pain syndrome, decreasing the frequency of intraoperative and early postoperative complications, as well as the possibility of outpatient implementation of these techniques. Depending on the stage of hemorrhoidal disease, as well as the type of laser radiation, various methods that affect one or both (vascular and mechanical) links in the pathogenesis of the disease are used. This article provides a review of modern literature data and analyzes the experience of using various lasers in the treatment of hemorrhoidal disease.
Questionnaire as a stratification method in organizing colorectal cancer screening
Authors:   FSBI Ryzhikh National Medical Research Center of Coloproctology of the Ministry of Health of the Russian Federation, Kulovskaya D. P. , Shelygin Yu. A. ,   FSBI Ryzhikh National Medical Research Center of Coloproctology of the Ministry of Health of the Russian Federation; FSBEI FPE Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, Frolov S. A. ,   FSBI Ryzhikh National Medical Research Center of Coloproctology of the Ministry of Health of the Russian Federation
Published: March 2024

The purpose of the study: to compare the efficacy of questionnaires and fecal immunochemical tests in stratification of risk groups during colorectal cancer screening. A non-randomized comparative study was conducted to evaluate the effectiveness of two stratification methods for colorectal cancer screening as part of pilot projects in the regions of the Central Federal District of the Russian Federation. In the first group, the stratification method was the original questionnaire, and in the second group — the fecal immunochemical test (FIT). All participants included in the first and second groups underwent colonoscopy at the second stage of screening. A total of 250 respondents participated in the study, 128 in the questionnaire group and 122 in the FIT group. In the questionnaire group, a high risk of colorectal cancer was found in 91 (71.1 %) individuals, while 37 (28.9 %) respondents had a low risk. Based on colonoscopy results, colorectal cancer and colorectal polyps were diagnosed in 65 (50.8 %) participants, and no significant pathology was found in 63 (49.2 %). In the FIT group, 102 (83.6 %) participants tested positive (FIT+) and 20 (16.4 %) tested negative (FIT-). According to the results of the performed colonoscopy, colorectal cancer and colon polyps were diagnosed in 75 (61.5 %) individuals, while no significant pathology was detected in 47 (38.5 %) participants. The sensitivity of the questionnaire was 86.2 % (95 % CI 75.3–93.5 %) and specificity was 44.4 % (95 % CI 31.9–57.5 %); the predictive value of a positive result was 61.5 % (95 % CI 50.7–71.6 %), and the predictive value of a negative result was 75.7 % (95 % CI 58.8–88.2 %). The FIT sensitivity was 86.7 % (95 % CI 76.8–93.4 %), the specificity was 21.3 % (95 % CI 10.7–35.7 %), the predictive value of a positive result was 63.7 % (95 % CI 53.6–73.0 %), and the predictive value of a negative result was 50.0 % (95 % CI 27.2–72.8 %). In conclusion, the questionnaire method in the colorectal cancer screening model is comparable in sensitivity and specificity to those of the FIT. It is essential to emphasize that questionnaires, along with ease of implementation, do not entail significant economic costs.
Organ-preserving technologies of surgical treatment of pulmonary tuberculosis using VAC therapy
Authors:   FSBI National Medical Research Center of Phthisiopulmonology and Infectious Diseases of the Ministry of Health of the Russian Federation, Moscow, Sinitsyn M. V. ,   Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Moscow, Tokaev T. K. ,   FSBI National Medical Research Center of Phthisiopulmonology and Infectious Diseases of the Ministry of Health of the Russian Federation, Moscow; SBHI Moscow Research and Clinical Center for TB Control of the Moscow Healthcare Department, Bikbaev A. S. ,   FSBI National Medical Research Center of Phthisiopulmonology and Infectious Diseases of the Ministry of Health of the Russian Federation, Moscow, Shtykhno A. O. ,   SBHI Moscow Research and Clinical Center for TB Control of the Moscow Healthcare Department, Plotkin D. V. ,   Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Moscow; SBHI Moscow Research and Clinical Center for TB Control of the Moscow Healthcare Department, Itskov A. V. ,   FSBI National Medical Research Center of Phthisiopulmonology and Infectious Diseases of the Ministry of Health of the Russian Federation, Moscow
Published: March 2024

This article demonstrates the possibilities of vacuum-assisted closure (VAC therapy) in surgical treatment of one of the most severe categories of patients — patients with chronic pulmonary tuberculosis with widespread drug resistance. The authors show the effectiveness of VAC therapy in various clinical situations: VAC therapy in combination with endoscopic valvular bronchoblocation, as an independent treatment method in a patient with bilateral fibrous-cavernous pulmonary tuberculosis, as well as a combination of VAC therapy with retrograde occlusion of bronchial fistula. The special feature of these cases is the performance of low-trauma organ-preserving operations in patients with no prospect of cure by conservative methods.
Team management: how to become an entrepreneur and work with a team?
Authors:   Kravt Group, Moscow, Kravtsun V.A.
Published: March 2024

The article talks about the rules and principles of working with a team. How to build a successful company where every employee feels comfortable as an entrepreneur. The author also describes the key entrepreneurial skills that are essential for any businessman.
Methodological approaches to reducing the likelihood of occupational injuries at the enterprise
Authors:   GC «Sercons», Moscow, Roginin D.S.
Published: March 2024

Human life and health are fundamental values, the preservation of which is the highest priority in the relationship between employers and their employees. The article discusses the basics of ensuring the safety of enterprise employees and preventing industrial injuries. In order to reduce the number of occupational injuries and illnesses at the enterprise, the employer should move from a policy of responding to incidents to creating conditions under which the level of illness and injury at work will decrease. How an employer can influence the reduction of the level of industrial injuries at the enterprise, what documents need to be drawn up, what to train their employees — in the material of the head of the labor safety service of Sercons Group of Companies Dmitry Roginin.
Inhibitors and Supporters of Policy Change in the Regulation of Unhealthy Food Marketing in Australia
Authors: Ngqangashe Yandisa , Phulkerd Sirinya , Schram Ashley , Collin Jeff , Schneider Carmen Huckel , Thow Anne Marie , Friel Sharon
Published: March 2024

Background: Evidence on the impact of policies that regulate unhealthy food marketing demonstrates a need for a shift from pure industry self-regulation toward statutory regulation. Institutional rules, decision-making procedures, actor practices and institutional norms influence the regulatory choices made by policymakers. This study examined institutional processes that sustain, support, or inhibit change in the food marketing regulation in Australia using the three pillars of institutions framework – regulatory, normative and cultural cognitive pillars. Methods: This was a qualitative study. Twenty-four in-depth semi-structured interviews were conducted with industry, government, civil society, and academic actors who are involved in nutrition policy in Australia. Results: The regulatory pillar was perceived to inhibit policy change through the co-regulation and self-regulation frameworks that assign rulemaking, monitoring and enforcement to industry bodies with minimal oversight by regulatory agencies and no involvement of health actors. The normative pillar was perceived to provide pathways for comprehensive statutory regulation through institutional goals and norms for collaboration that centre on a whole-of-government approach. The framing of food marketing policies to highlight the vulnerability of children is a cultural cognitive element that was perceived to be essential for getting support for policy change; however, there was a lack of shared understanding of food marketing as a policy issue. In addition, government ideologies that are perceived to be reluctant to regulate commercial actors and values that prioritize economic interest over public health make it difficult for health advocates to argue for statutory regulation of food marketing. Conclusion: Elements of all three pillars (regulatory, normative and cultural-cognitive) were identified as either inhibitors or pathways that support policy change. This study contributes to the understanding of factors that inhibit policy change and potential pathways for implementing comprehensive statutory regulation of unhealthy food marketing.
Health Insurance Schemes and Their Influences on Healthcare Variation in Asian Countries: A Realist Review and Theory’s Testing in Thailand
Authors: Witthayapipopsakul Woranan , Viriyathorn Shaheda , Rittimanomai Salisa , van der Meulen Jan , Tangcharoensathien Viroj , Gurol-Urganci Ipek , Mills Anne
Published: March 2024

Background: Various features in health insurance schemes may lead to variation in health care. Unwarranted variations raise concerns about suboptimal quality of care, differing treatments for similar needs, or unnecessary financial burdens on patients and health systems. This realist review aims to explore insurance features that may contribute to health care variation in Asian countries; and to understand influencing mechanisms and contexts. Methods: We undertook a realist review. First, we developed an initial theory. Second, we conducted a systematic review of peer-reviewed literature in Scopus, MEDLINE, EMBASE, and Web of Science to produce a middle range theory for Asian countries. The Mixed Methods Appraisal Tool (MMAT) was used to appraise the methodological quality of included studies. Finally, we tested the theory in Thailand by interviewing nine experts, and further refined the theory. Results: Our systematic search identified 14 empirical studies. We produced a middle range theory in a context-mechanism-outcome configuration (CMOc) which presented seven insurance features: benefit package, cost-sharing policies, beneficiaries, contracted providers, provider payment methods, budget size, and administration and management, that influenced variation through 20 interlinked demand- and supply-side mechanisms. The refined theory for Thailand added eight mechanisms and discarded six mechanisms irrelevant to the local context. Conclusion: Our middle range and refined theories provide information about health insurance features associated with health care variation. We encourage policymakers and researchers to test the CMOc in their specific contexts. Appropriately validated, it can help design interventions in health insurance schemes to prevent or mitigate the detrimental effects of unwarranted health care variation.
Subgroups of High-cost Patients and Their Preventable Inpatient Cost in Rural China
Authors: Lu Shan , Zhang Yan , Ye Ting , Kringos Dionne S.
Published: March 2024

Background: High-cost patients account for most healthcare costs and are highly heterogeneous. This study aims to classify high-cost patients into clinically homogeneous subgroups, describe healthcare utilization patterns of subgroups, and identify subgroups with relatively high preventable inpatient cost (PIC) in rural China. Methods: A population-based retrospective study was performed using claims data in Xi County, Henan Province. 32,108 high-cost patients, representing the top 10% of individuals with the highest total spending, were identified. A density-based clustering algorithm combined with expert opinions were used to group high-cost patients. Healthcare utilization (including admissions, length of stay and outpatient visits) and spending characteristics (including total spending, and the proportion of PIC, inpatient and out-of-pocket spending on total spending) were described among subgroups. PIC was calculated based on potentially preventable hospitalizations which were identified according to the Agency for Healthcare Research and Quality Prevention Quality Indicators algorithm. Results: High-cost patients were more likely to be older (M=51.87, SD=22.28), male (49.03%) and from poverty-stricken families (37.67%) than non-high-cost patients, with 2.49 (SD=2.47) admissions and 3.25 (SD=4.52) outpatient visits annually. Fourteen subgroups of high-cost patients were identified: chronic disease, non-trauma diseases which need surgery, female disease, cancer, eye disease, respiratory infection/inflammation, skin disease, fracture, liver disease, vertigo syndrome and cerebral infarction, mental disease, arthritis, renal failure, other neurological disorders. The annual admissions ranged from 1.83 (SD=1.23, fracture) to 12.21 (SD=9.26, renal failure), and the average length of stay ranged from 6.61 (SD=10.00, eye disease) to 32.11 (SD=28.78, mental disease) days among subgroups. The chronic disease subgroup showed the largest proportion of PIC on total spending (10.57%). Conclusion: High-cost patients were classified into 14 clinically distinct subgroups which had different healthcare utilization and spending characteristics. Different targeted strategies may be needed for subgroups to reduce preventable hospitalizations. Priority should be given to high-cost patients with chronic diseases.
Sperm DNA damage in men with severe asthenozoospermia
Authors: Nasr-Esfahani Ali , Pashaei Kosar , Naderi Nushin , Behdarvandiyan Paria , Tavalaee Marziyeh , Arbabian Maryam , Nasr-Esfahani Mohammad Hossein
Published: March 2024

Background. Sperm motility is a fundamental factor for sperm penetration into the oocyte and fertilization. According to the World Health Organization (WHO) 2021, less than 42% of motility is called asthenozoospermia, which is one of the most common causes of male infertility. This retrospective cohort study aims to investigate sperm DNA damage with TUNEL and SCSA methods and its relationship with sperm parameters, age, and body mass index (BMI) in severe asthenospermia (<2% sperm motility) and normozoospermia. Methods. The study parameters between 111 subjects with severe asthenozoospermia and 113 subjects with normozoospermia were investigated. The 2010 World Health Organization guidelines were used to evaluate sperm parameters, and TUNEL and SCSA methods were used to assess sperm DNA damage. The statistical analysis was done using the t-test of two independent samples. Pearson's correlation coefficient was used to investigate the relationship between sperm DNA damage and sperm parameters, age, and BMI P<0.05 was considered significant. Results. The mean seminal volume, sperm concentration and count, and the percentage of sperm total motility and progressive motility were significantly lower in severe asthenospermic subjects compared to normozoospermic subjects (P<0.001). In addition, the mean percentage of sperm DNA damage in severe asthenozoospermic individuals was significantly higher than in normozoospermic individuals (P<0.001). There was also a positive and significant relationship between sperm DNA damage and the age of severely asthenozoospermic men. Conclusion. Sperm motility, sperm DNA damage, and the father's age are essential in the successful conception, development, and health of the embryo. Therefore, the evaluation of sperm DNA damage is recommended in examining male fertility and selecting the appropriate treatment approach for men with severe asthenozoospermia. Practical Implications. Considering that the sperm genome constitutes 50% of the genetic material of the next generation, evaluating sperm DNA health to determine the appropriate treatment approach in infertile men can be influential in the success of assisted reproductive techniques and in maintaining the next generation’s health.
Comparison of effectiveness of face to face and telephone-based counseling with EXPLISSIT approach on marital interaction and quality of life of women attending health centers of Tabriz city during Covid 19 epidemy: A Quasi-experimental study
Authors: Gheibi Fatemeh , Hakimi Sevil , Sattarzadeh Jahdi Niloufar
Published: March 2024

Background. Quarantine and social distancing due to COVID 19 has led to anxiety, anger, stress, and anger in people and has had a negative impact on physical and mental health and the quality of marital relationships. Due to the lack of sufficient studies and also the fact that no study was found in the literature review that compared this approach over the phone and face-to-face, this study was conducted with the aim of comparing the effect of telephone and face-to-face counseling with the explicit approach on women's marital interactions. Methods. This quasi-experimental study was conducted in 2022 in the health centers of Tabriz city on women aged 18 to 40 with a sexual performance score of less than 28. The participants were assigned to two groups of face-to-face counseling and telephone counseling with a ratio of 1:1 using a computerized random number table with blocks of four and six. Counseling based on explicit approach was done in the face-to-face counseling group during three meetings of 60-90 minutes, and for the telephone counseling group, there were three individual telephone counseling sessions of 60-90 minutes. Pre-test questionnaires including sexual performance, quality of sexual life and marital satisfaction were completed before and eight weeks after the end of the intervention. Results. The mean (standard deviation) score of the quality of sexual life after the intervention was significantly increased in both face-to-face and telephone counseling groups compared to before the intervention. Also the mean (standard deviation) of the total score of sexual performance and marital satisfaction after the intervention in the face-to-face counseling group was significantly higher than that of the telephone counseling group. Conclusion. Using counseling based on ex-PLISSIT approach in both face-to-face and telephone counseling groups, are effective in sexual health. Therefore, during crises such as a pandemic, or other restrictions to hold face-to-face counseling sessions, telephone consultations are useful. Practical Implications. Counseling based on ex-PLISSIT approach is effective for sexual health.
The impact of urban family physician program on health service access and utilization in Iranian children and adolescents: Results of the national health services utilization survey in 2015
Authors: Shoja Masoumeh , Asaad sajadi Negar , Riazi Isfahani Sahand , Abdi Zhaleh , Ahmadnezhad Elham , Fotouhi Akbar
Published: March 2024

Background. The Urban Family Physician Program (UFPP) has been implemented in Fars and Mazandaran provinces of Iran since 2013 with the aim of improving access and utilization of health services, with a particular focus on children and adolescents. In order to evaluate the effectiveness of the program in achieving this goal, this study aimed to compare the access and utilization of health services among children living in areas covered by the UFPP with those living in other regions of Iran. Methods. A secondary analysis was performed using data from the 2015 National Health Utilization Survey. The data of people aged under 18 were extracted and indicators on the use of health services based on three main models of health service provisions were compared: (1) cities in Fars and Mazandaran provinces (UFPP implemented); (2) cities in other Iranian provinces (excluding Fars and Mazandaran); and (3) villages and cities with a population under 20,000. Results. The study included 20,689 children. The outpatient and inpatient visits in children living in Fars and Mazandaran provinces were higher than in children from other provinces and smaller towns (11.89 vs. 7.92 and 7.21 for outpatient and 4.74 vs. 3.51 and 4.27 for inpatient, respectively). Furthermore, UFPP was found to be associated with a higher utilization of health services in children residing in cities (odds ratio=1.50 (1.98-1.15)). Additionally, the cost of outpatient and inpatient health services in areas where the UFPP was implemented was lower compared to other parts of the country. Conclusion. The urban family physician program has been successful in increasing the access to health services and reducing health costs in children. Practical Implications. The findings suggest that the urban family physician program can be an effective strategy for improving healthcare access and reducing costs, especially in areas with high population density. Policymakers and healthcare providers can use the results of this study to inform the development and implementation of similar programs in other countries, with the aim of improving healthcare access and reducing healthcare costs in children and adolescents.
Exploring Women Entrepreneurs’ Knowledge and Participation in Entrepreneurial Schemes
Authors: Divya S , Lakshmi G
Published: March 2024

As a nation, Indian women are rising to the occasion and establishing themselves as potential business owners. It is critical for women to take the lead in non-traditional business fields if we want to dismantle the idea of gender-specific industry. The expansion of female-owned businesses is a key factor in the global economic recovery. The underrepresentation of women in business began to change as our understanding of the for-profit sector grew. Being careful, adaptive, and resistive to wastefulness is a key quality for women to have in business. Women are making waves in the business world, bringing fresh perspectives to SMBs. Entrepreneurial women are those who come up with a business idea, put it into words, plan and execute it, take calculated risks, reap the rewards of uncertainty, and aren’t afraid to fail. Due to difficulties in obtaining a suitable job and a need for social approval, many women choose to work remotely.
Enhancing Customer Engagement in the Digital Era: Innovative Approaches for CRM Implementation in the Indian Banking Sector
Authors: Geetha V
Published: March 2024

Economic progress relies on the banking sector, which provides vital services globally. This study uses financial inclusion to assess the banking sector’s rising participation in rural India. Even if financial services have moved to remote places, the necessity to build and sustain good customer relationships remains. CRM is essential to these collaborations. This research explores industry-proposed customer relationship management (CRM) frameworks, focusing customer involvement, data management, and CRM implementation. The study examines how CRM affects customer satisfaction, loyalty, and operational efficiency, citing Payne (2005), Thejaswarup (2017), Tangaza (2017), Eid (2007), and Sharma &Goyal (2016). The objectives are to analyse CRM components and propose a comprehensive banking industry framework. Literature reviews, articles, and expert comments are used for data collection. CRM’s customer data management, engagement strategies, sales and marketing automation, customer service, analytics, workflow automation, segmentation, mobile CRM, system integration, and feedback mechanisms are reviewed. Customer Relationship Management (CRM) is crucial to banking success, according to the survey. This article covers important CRM frameworks that combine multi-author viewpoints for clarity. The conclusion proposes a groundbreaking banking-specific CRM paradigm. Focusing on socio-economic challenges, technological flexibility, staff training, customer data collecting, analysis, timely integration, and evaluation, this framework aims to meet evolving consumer and banking sector expectations.
Entrepreneurial Orientation and Strategy Channel Distribution to Success Entrepreneurship with Superiority Compete as Mediation on Center Coffee Muria Kudus
Authors: Setiyanto Aji , Lusianti Dina , Faidah Faridhatun
Published: March 2024

This study analyzes the influence of entrepreneurial orientation and distribution channel strategy on entrepreneurial success with competitive advantage as mediation in the Muria coffee center Kudus, Central Java, Indonesia. This research is descriptive statistically by testing hypotheses. The sample was 110 business actors. Sampling technique using Purposive Sampling The data collection used in this study is a questionnaire method. Test Instruments use validity tests, reliability tests, and normality tests. Analysis of data used Structural Equation Modeling operated through the AMOS program. The results are entrepreneurial orientation does not have a significant direct effect on competitive advantage. Distribution channel strategy directly affects competitive advantage, and entrepreneurial orientation has no significant direct effect on entrepreneurial success. Distribution channel strategy has a direct effect on entrepreneurial success. Competitive advantage has a direct effect on entrepreneurial success. Competitive advantage can mediate the influence of entrepreneurial orientation on entrepreneurial success, and competitive advantage can mediate the influence of distribution channel strategy on entrepreneurial success as partial mediation.
Hard tissue density of permanent teeth as a radiometric biomarker of their quality
Authors: Yakymovych D.V. , Masna Z.Z.
Published: March 2024

Background. The use of radiographic methods for examining patients with the ability to determine the density of examined tissues opens up wide opportunities for individually predicting damage to hard tissues of teeth, as well as determining risk groups for the development of their pathology at early stages, which requires a detailed study of the mineral density indicators of hard tissues of teeth of different groups within the norm, taking into account their age, sex, ethnic, and other characteristics.

The aim of the study was to determine the density indicators of hard tissues of permanent teeth of different groups in the cervical area and compare them.

Material and Methods. The density of hard tissues was determined by analyzing radiographs of 320 intact permanent teeth of 10 patients. Radiographs were made using a Siemens Sirona (XIOS XG Supreme, Germany) dental radiography unit with Trophy Radiologie software (version 7.0, Slovakia). The images were processed using Gendex VixWin Pro software (version 3.5, USA). The density was measured in Conditional Unit of Grayness (CUG). The results were presented as Me (25%; 75%), where Me represents the median, 25% denotes the 25th percentile (first quartile), and 75% denotes the 75th percentile (third quartile).

Results. Incisors, canines, and premolars exhibited the highest density in the dentin area; the lowest density was observed in incisors and premolars for cementum and in canines for enamel. In molars, enamel had the highest density, while cementum had the lowest. Significant differences in enamel density were observed among incisors and premolars, incisors and molars, canines and premolars, canines and molars, and premolars and molars. Significant differences in dentin density were found among incisors and canines, incisors and premolars, incisors and molars, canines and premolars, and canines and molars. Significant differences in cementum density were observed among incisors and canines, incisors and premolars, incisors and molars, canines and premolars, and premolars and molars.

Conclusion. The density indicators of enamel, dentin, and cementum established for groups of permanent incisors, canines, premolars, and molars are different for different tooth groups with characteristic density patterns.

Keywords: enamel, dentin, cementum, incisors, canines, premolars, molars.
Status and Condition of Mangroves in Mangrove Ecosystem on Tongkeina Coast Bunaken National Park
Authors: Kolinug Oscean , Sinjal Chatrien A. L. , Kusen Janny D. , Manengkey Hermanto W.K. , Djamaaludin Rignolda , Rumampuk Natalie D.C.
Published: March 2024

Mangrove ecosystems are a typical type of vegetation found in tropical coastal areas. Mangrove vegetation generally thrives in gently sloping coastal areas near river mouths and beaches that are protected from wave forces. The mangrove forest ecosystem is a nursery ground for young fauna (juvenile stage) that will grow into adult individuals and is also a spawning ground for several animals and other aquatic biota such as birds, insects, snakes, shrimp, fish, and shellfish. This research was conducted at 3 different points. The results showed that there were 6 types of mangroves at the three stations including Soneratia alba, S. ovata, Rhizophora apiculata, R. stylosa, Avicennia marina, and A. alba. High diversity (H') is found at Station 2 and Station 3 at 0.4 and Station 1 at 0.2 with a Dominance value (D) Medium at Station 1 at 0.37 while Stations 2 and 3 at 0.27 and 0.28 are categorized as low, Uniformity (e) at all stations is high with values of 0.74, 0.89 and 0.70, absolute density is highest at Station-1 and Station-2 with a value of 0.10%, and at Station-3 the lowest Absolute Density is 0.06%, Community Similarity (IS) mangrove species at all three locations are the same because they still cover the same location in the intertidal area.
Keywords: Community structure, Mangrove, Tongkeina.
Abstrak
Ekosistem mangrove merupakan tipe vegetasi khas yang terdapat di daerah pantai tropis. Vegetasi mangrove umumnya tumbuh subur di daerah pantai yang landai di dekat muara sungai dan pantai yang terlindung dari kekuatan gelombang. Ekosistem hutan mangrove merupakan daerah asuhan (nursery ground) fauna-fauna muda (juvenile stage) yang akan bertumbuh kembang menjadi individu dewasa dan juga merupakan daerah pemijahan (spawning ground) beberapa satwa dan biota perairan lain seperti burung, serangga, ular, udang, ikan dan kerang-kerangan.Penelitian ini dilakukan di 3 titik yang berbeda. Hasil penelitian menunjukan terdapat 6 jenis mangrove pada ketiga stasiun di antaranya Soneratia alba, S. ovata, Rhizophora apiculata, R. stylosa, Avicennia marina  dan A. alba. Keanekaragaman tinggi (H’) terdapat pada Stasiun 2 dan Stasiun 3 0,4 serta Stasiun 1 0,2 dengan nilai Dominansi (D) dikategorikan sedang pada Stasiun 1 0,37 sedangkan Stasiun 2 dan 3 0,27 dan 0,28 dikategorikan rendah, Keseragaman (e) pada semua stasiun tinggi dengan nilai 0,74, 0,89 dan 0,70, kepadatan mutlak tertinggi pada Stasiun-1 dan Stasiun-2 dengan nilai 0,10%, dan pada Stasiun-3 Kepadatan Mutlak terendah yaitu 0,06%, Kesamaan Komunitas (IS) jenis bakau pada ketiga lokasi sama karena masih mencakup satu lokasi yang sama di daerah intertaidal.
Kata kunci : Struktur komunitas, Mangrove, Tongkeina.
Peran Modal Intelektual, Keunggulan Kompetitif, dan Kemampuan Inovasi terhadap Kinerja Usaha Kecil Menengah
Authors: Baiquny Aswan Satrio , Nasution Yasmine
Published: March 2024

Usaha Kecil dan Menengah mempunyai peranan penting dalam perekonomian Indonesia, dimana memberikan kontribusi lebih dari 60% terhadap PDB Indonesia. Penelitian ini bertujuan untuk mengetahui dan menganalisis pengaruh modal intelektual terhadap kemampuan inovasi dan modal intelektual. Serta kemampuan inovasi, keunggulan kompetitif, dan modal intelektual terhadap kinerja bisnis. Penelitian ini menggunakan metode penelitian kuantitatif. Dalam penelitian ini disebutkan bahwa populasi yang diambil adalah Usaha Kecil Menengah (UKM) di Jabodetabek yang mengutamakan inovasi dalam usahanya. Dari populasi tersebut, jumlah sampel yang diambil adalah 70. Analisis data menggunakan SEM-PLS. Temuan menunjukkan bahwa mengidentifikasi sumber daya manusia dan mengembangkan proses internal yang mengembangkan modal organisasi adalah kunci keberhasilan. Penelitian ini memberikan implikasi dan pemahaman tambahan mengenai korelasi Keunggulan Kompetitif dan Modal Kapabilitas Inovasi terhadap Modal Intelektual dan kinerja organisasi.
Kata kunci: bisnis digital, platform digital, kapabilitas jaringan, kesiapan organisasi, kinerja inovasi
Optimalisasi Peran Petugas Kloter Terhadap Pelayanan Haji Lansia Kementerian Agama Kabupaten Grobogan
Authors: Rokhmah Dhiarur
Published: March 2024

Penelitian ini bertujuan untuk mengetahui tugas, fungsi, dan optimalisasi petugas kloter pada Kementrian Agama Kabupaten Grobogan serta untuk mengetahui kendala yang dihadapi petugas kloter haji di Kementrian Agama Kabupaten Grobogan. Penelitian ini menggunakan metode kualitatif desktiptif melalui pengumpulan data, wawancara, observasi, dokumentasi yang dianalisis menggunakan analisis Miles dan Huberman. Hasil penelitian ini menunjukan bahwa peran petugas kloter haji LANSIA Kementrian Agama Kabupaten Grobogan adalah sebagai monitoring untuk memastikan semua jamaah terlayani, dan terawasi dengan baik selama menjalankan ibadah haji. petugas pendamping juga berfungsi untuk membantu jamaah lansia yang kondisi fisiknya terbatas dan sangat rentan sakit. Petugas kloter haji LANSIA Kementrian Agama Kabupaten Grobogan berhasil menjalankan tugasnya secara optimal yang dibuktikan dengan banyaknya jumlah jamaah haji lansia dan mengharuskan petugas bertanggung jawab lebih besar dan memberikan pelayanan secara intensif dengan memberikan pengawasan, perhatian, pembimbingan, layanan Kesehatan, alat bantu jalan, dan pembimbing ibadah mulai dari Indonesia hingga sampai Makkah dengan harapan menjadi haji yang mabrur. Kendala yang di alami oleh petugas kloter haji LANSIA Kementrian Agama Kabupaten Grobogan adalah karena faktor usia yang sudah tidak produktif dan mengalami kelemahan fisik dan banyak dari lansia yang tidak terbiasa dengan suasana baru, tempat baru, dan kondisi baru. Sehingga jamaah haji lansia banyak yang tersesat saat keluar dari hotel, keluar dari rombongan ketika menjalankan ibadah, dan lupa dengan hotel yang mereka tempati.
Factores asociados al deterioro funcional durante la hospitalización
Authors: Chavarro-Carvajal Diego Andrés , Vargas-Beltrán Maria Paula , Morros-González Elly , Orjuela-Rolón Carlos Andrés , Cano-Gutiérrez Carlos Alberto , Chacón-Valenzuela Estephania
Published: March 2024

Objetivo: describir los factores asociados al deterioro funcional durante la hospitalización en ancianos que recibieron atención en un hospital de alta complejidad, y el planteamiento de posibles intervenciones.

Metodología: se llevó a cabo un estudio observacional, descriptivo con componente analítico en pacientes mayores de 65 años ingresados a cargo de una unidad de geriatría. Se tomó como variable dependiente la presencia de deterioro funcional durante la hospitalización y como independientes variables demográficas, situación basal, estado nutricional, realización de terapia física durante su estancia y desenlaces hospitalarios. La información fue analizada en un modelo de regresión logística univariada y para controlar el efecto de las demás variables se aplicó un modelo de regresión logística multivariada.

Resultados: de los 833 sujetos incluidos en el estudio, la edad media fue de 85.28 años (DE 4.46), el 56.85% eran mujeres; el 66.51% presentaba malnutrición, el 49.33% tenían dependencia leve, el 32% demencia previa, la mediana de días de estancia fue de 5 (RIC 3-8) y 43.58% presentó deterioro funcional durante la hospitalización. En la regresión logística multivariada se encontró asociación entre deterioro funcional durante la hospitalización y mayor edad (OR=1.04 IC1.00-1.07), días de estancia hospitalaria (OR=1.12 IC 1.08-1.16), tener demencia previa al ingreso (OR=1.41 IC 1.03-1.92) e inversamente proporcional con realización de terapia física hospitalaria (OR=0.45 IC 0.32-0.62).

Discusión: la edad avanzada, estancias hospitalarias prolongadas y la presencia de demencia previa al ingreso son factores asociados a deterioro funcional durante la hospitalización, mientras que recibir terapia física se relaciona a una menor probabilidad de presentar este tipo de deterioro
Pseudo Foster-Kennedy: Reporte de un caso.
Authors: Aristizabal Colorado David , Marín Hoyos Carlos Andrés , Moreno Karen Juliana , Cardenas José Mauricio
Published: March 2024

El síndrome de Foster Kennedy es una entidad caracterizada por una pérdida monocular de la visión generada por un tumor que genera presión directa sobre el nervio óptico, posterior a esto producto de la hipertensión endocraneana el nervio óptico contralateral se ve afectado, presentando pérdida visual progresiva. En el caso que discutiremos a continuación presentamos un caso de pérdida visual con atrofia del nervio óptico secundaria a hipertensión endocraneana idiopática, el cual posteriormente comienza con deterioro progresivo monocular contra lateral simulando un foster kennedy.  El paciente finalmente requirió derivación ventrículo peritoneal por alto riesgo de pérdida visual total.