bluuebunny/crossref_metadata_2025 huggingface dataset:
Off-label drugs in otolaryngological practice against the background of legal conditions of Polish legislation
Authors: Kopczyk Renata , Jurkiewicz Dariusz , Rogowski Marek , Szydłowski Maciej , Wierzbicka Małgorzata
Published: February 2024

Introduction: ‘Off-label drug use’ refers to the administration of drugs for unapproved indications or age groups, a different dosage or other form of administration. Considering the legal issues, there clearly exists a need to implement rules that would regulate the use of pharmaceuticals outside the scope of a marketing authorisation. The brevity and diversity of Polish laws in the field of health care leads to many interpretative doubts associated with particular legal acts.

Aim: We aimed to present clinical examples from everyday practice of off-label drug use from the medical and legal perspectives, and to support it with relevant legal acts.

Material and method: Off-label drug use in various otolaryngology subspecialties – otology (mesna), laryngology (bevacizumab, cidofovir and botulinum toxin) and head and neck surgery (botulinum toxin) – are presented and discussed in detail.

Results: Fourteen Polish legal acts regarding off-label drug use and 4 from EU legislation are commented on. The algorithm of cascade of decision-making processes in off-label drug use is shown.

Conclusions: Off-label use of medicinal products is not prohibited in Poland or the EU; nevertheless, it is undeniable that the unclear legal situation regarding the use of medicinal products for nonregistered indications creates difficulties. To minimise a doctor’s liability risk, obtaining the informed consent from the patient for such treatment is advisable.
Degeneration of the intervertebral disc as an interdisciplinary clinical problem in the context of neurosurgery - a summary of the state of knowledge - part II
Authors: Druszcz Adam , Miś Maciej , Miś Marcin , Szczepańska Marta , Paprocka-Borowicz Małgorzata
Published: February 2024

Background: The management of degenerative musculoskeletal disorders, including degeneration of the intervertebral disc (IVD) and its neurological consequences, is complex. This approach requires coordinated collaboration among specialists, especially neurosurgeons, nurses and physiotherapists.Aim of the study: The aim of the study was to perform the review of scientific reports and summary of the current state of knowledge regarding the degeneration of the IVD in the context of various treatment aspects, both in terms of conservative therapy and surgical treatment.Materials and Methods: The literature review was based on searching key medical databases such as PubMed, MEDLINE, Scopus. A search strategy was defined, including keywords, synonyms, and controlled vocabulary terms (MeSH terms). The search covered the last 20 years and focused on aspects of conservative and surgical treatment. Studies meeting the inclusion criteria underwent a full-text analysis. Data and information gathered from the literature analysis were synthesized to provide a comprehensive overview of the state of knowledge on the investigated issue.Results: Classical conservative methods include neurorehabilitation, heat treatment, proper body positioning, and pain management. The common feature of all minimally invasive methods is percutaneous access, where instruments are introduced through small puncture incisions. The effectiveness of conservative treatment for patients with degenerative lumbar spine disease fluctuates around 40%. Meanwhile, the surgical treatment of lumbalgia remains a controversial topic, with many unknowns, lacking clear algorithms and standards. Further research and the development of clinical practice are crucial for improving diagnostic, therapeutic, and preventive methods related to this exceptionally complex clinical problem.Conclusions: The process of treating IVD degeneration is complex and should be considered individually in each case. Collaboration between a neurosurgeon and a physiotherapist forms a dynamic team that addresses both diagnostic and therapeutic aspects. This synergy allows for close monitoring of the patient, combining surgical and rehabilitation aspects, resulting in comprehensive care and maximizing treatment outcomes, thereby improving the quality of life (QOL).
Actividades para el fortalecimiento del trabajo cooperativo en la asignatura educación para la ciudadanía
Authors: Cevallos-Moreira Betsy Rosario , Linzán-Saltos María Fernanda , Vega-Intriago Jisson Oswaldo
Published: February 2024

El trabajo cooperativo es una metodología activa que promueve el proceso de enseñanza-aprendizaje de los estudiantes, refuerza la participación activa y por ende mejoran su rendimiento académico, además, permite al docente alcanzar los objetivos planteados de manera significativa, al mismo tiempo comparte al alumnado experiencias saludables a nivel social y cognitivo. En el desarrollo de las clases se ha presenciado un problema en los estudiantes cuando se trabaja en equipo, no comparten ideas, experiencias, no se logra visualizar unión y los resultados son deficientes. El objetivo general propuesto es elaborar actividades para el fortalecimiento del trabajo cooperativo en la asignatura de educación para la ciudadanía. La metodología empleada se circunscribe al empleo del enfoque cualitativo porque los resultados se expresaron en palabras ya que se requirió de la comprensión e interpretación de conceptos teóricos, opiniones y experiencias de estudiantes y docentes, de tipo descriptivo de esta manera se comprendió y describió el problema, cual es la causa que lo origina y no experimental porque permitió estudiar el problema en su contexto natural. La población de estudio estuvo constituida por 39 estudiantes del segundo de bachillerato de la Unidad Educativa Honorato Vásquez, y la muestra se seleccionó en función de la misma población, ya que el problema está latente en todos los segundos de bachillerato. Los métodos teóricos que se aplicaron son análisis-síntesis e inductivo- deductivo. Los métodos empíricos utilizados son la observación y la entrevista. Se ha elaborado una serie de actividades que permiten reforzar los trabajos cooperativos en clases.
Knowledge Management and Lifelong Learning - Some Aspects of Their Development in Bulgaria
Authors:   University of Economics – Varna, Varna, Bulgaria, Ivanova Radka
Published: February 2024

The modern economy is characterized by globalization of processes and a high degree of digitization nowadays. The dynamism, competitiveness, the increased migration of the population and, in particular, of labor resources, lead to the need of constant search for new ways of doing things. In this regard, today the key role of an extremely valuable resource is acquired by knowledge. Moreover, the intangible resources to which they refer are crucial for the success of organizations. Achieving sustainability in economic, social and cultural terms implies the generation, acquisition and effective use of knowledge. This is closely related to supplemental learning of already acquired knowledge and skills. The purpose of this article is to characterize knowledge and its management and to analyze the degree of implementation of the lifelong learning strategy in Bulgaria
Monetary Incentives of Tax Whistleblower Programs: On Their Design and Implementation
Authors:   University of Economics - Varna, Varna, Bulgaria, Gercheva Svetlana
Published: February 2024

The instant contribution discusses the monetary incentives established in tax whistleblower programs. The latter have been already designed and implemented in some developed OECD countries. Tax policy makers in Bulgaria are also considering mandatory awards for whistleblowers from proceeds collected from evaded taxes and/or social security contributions. However, the monetary incentives built-in to a possible tax whistleblower program have sparked controversy in Bulgaria, a country with past experience in whistleblowing due mainly to political and/or ideological reasons. Nevertheless, tax evasion is widespread in this country with a tax gap of BGN 2,0 -2,2 billion. Therefore, in order to improve tax compliance and collection, a tax whistleblowing program in Bulgaria should be considered and designed with regard to the public-private partnership framework. It has been also suggested in this paper that the awards paid by the tax authority to the whistleblowers in Bulgaria should be exempt from personal income taxation. The whistleblower program in this country may become a productive, although non-conventional tool for tax policy, given that its monetary incentives are aligned with the recommendations of the international good practice.
Methodology for Digitization of Companies in Hospitality and Tourism
Authors:   Varna University of Management, Varna, Bulgaria, Yordanova Silvena
Published: February 2024

IZVESTIA JOURNAL OF THE UNION OF SCIENTISTS - VARNA 52 ECONOMIC SCIENCES SERIES, vol.12 №2 2023 Methodology for Digitization of Companies in Hospitality and Tourism Assoc.Prof. Silvena Yordanova Varna University of Management, Varna, Bulgaria silvena_dencheva@abv.bg Abstract The key to reaching and successfully courting and attracting the consumer, the tourist, is digitization. It is the means not only to find the potential customer, a tourist, but also to grab his attention, win him over and keep him as our loyal guest, a tourist over time. For this purpose, organizations in the field of tourism and hospitality need to be flexible and innovative regarding the information content they provide. In this sense, it is unacceptable for the hotel to have, for example, a static website or not to have possible ways of presenting information through the use of digital technologies, for example a virtual walk, which gives an initial idea and influences the tourists’ perceptions by creating certain expectations.
Current Trends in Customs Intelligence and Investigation
Authors:   University of Economics - Varna, Varna, Bulgaria, Marinova Velichka
Published: February 2024

Customs intelligence and investigation is part of the technology of customs procedures and regimes. Its proper conduct is a prerequisite for effective action by the customs authorities in a particular customs proceeding. Risk management proves to be a key element for effective customs control, relying on the data provided by customs investigation and intelligence. This mediates the relationship between the two customs control tools, making the link between them crucial to the performance of the core functions of customs administrations.The aim of this research is to present the trends in customs intelligence. In the study have been used the descriptive - analytical approach, the methods of comparison, analysis and synthesis.
A CARTOGRAPHY OF THE RELATIONSHIP BETWEEN HEALTH AND UMBANDA PRACTICES
Authors: Gonçalves Beatriz Vitória Monteiro , Da Veiga Natacha Lúcia Souza , Dos Santos Siane Carvalho , Sampaio Valber Luiz Farias
Published: February 2024

This study objective to understand the relationship between health and Umbanda practices, given the suffering processes of people who seek religion as a way of understanding suffering and how rituals, dances, and their orixás are related to this process. The cartographic method was used to develop the research, which allowed us more freedom to deal with the topic, exploring our ability to interact with the environment. As results and dissemination, it is confirmed that the terreiro and having participated in tours provided us with a unique lesson with the work, for the preparation of this study it was necessary to conduct interviews with regulars of the João da Mata terreiro in order to consolidate the information that was being known in the land. Analysis of these interviews revealed in questions to be presented to the society that discriminates against Umbanda so much. Coming to the conclusion that Umbanda, like other religions, provides a safe place where people place their faith, and becomes a significant object where people have the need to participate and follow their ideologies as a way of promoting health and well-being. Psychology has a social duty to stipulate means of intervention for demands that have a religious character and guarantee the right of every individual to health, meaning professionals must always be up to date on possible demands.
Employee Attitude Towards Stress and Absenteeism
Authors: Yadav Jyoti S. , Desai Swati V. , Patil Swati M.
Published: February 2024

The primary aim of this research is to identify the key factors contributing to stress and absenteeism among employees in IT companies located in Pune and to examine how these factors impact overall employee performance. The prevalence of stress and absenteeism in the workplace is on the rise, and responsible corporate organizations must take action by providing assistance and support. Our team specializes in this specific area, offering practical strategies to address issues like stress, anxiety, depression, changes in work-life circumstances, work-life balance, and the impact of employee relocation within Pune. (NIOSH Work Organization and Stress Related Disorders: In the document: "According to the United States National Institute for Occupational Safety and Health (NIOSH), work organization and stress-related disorders are of significant concern (NIOSH Work , 2004). Reducing absenteeism can be a significant step in cutting down on business costs. Due to intense competition, companies can no longer afford to tolerate unnecessary absenteeism as they might have in the past. Consequently, many companies are focusing on eliminating or, at the very least, reducing excessive absenteeism. The pressure to meet targets and deadlines not only affects top-level management but also extends to employees across all levels. If stress management concerns are not promptly and adequately addressed, it can lead to decreased productivity among both workers and executives, adding to the burdens management faces.
Financial Derivatives and Its Effects on Financial Performance of Deposit Money Banks in Nigeria
Authors: EHIEDU Victor Chukwunweike , NWAOKOCHA Kate O.
Published: February 2024

This study examined the relationship between financial derivatives and financial performance of deposit money banks (DMBs) in Nigeria from the period of 2013 to 2022 (10years). Financial derivatives [proxied with Financial Liabilities Derivatives (FLD), Foreign Exchange Derivatives (FED), Trading Income on Derivatives (TID), Loan and Advance to Customers (LADC) and Bank Size (BS)] (independent variables) and financial performance [proxied with Return on Assets (ROA)]. The Ex-Post Facto research design was used. Ex-Post Facto research design aids in answering the who, what, when, where, and how questions linked with a certain study problem. The ex-post facto research design is used to acquire information on the current state of a phenomenon and to define ‘what exists' in terms of variables or conditions in a setting that is specifically relevant to the issue under investigation. Data on financial derivatives and financial performance were obtained from the annual reports and accounts of ten (10) DMBs listed in Nigeria Exchange Group that has international presence. The data set was described using descriptive statistics, followed by the correlation analysis was used to ascertain the co-movement of the independent variables in relation to the dependent variable and several diagnostics tests. Since the data are panel series that the unit root test was conducted to ascertain if the data are stationary in order to have accurate regression result followed by single equation co-integration test while the Multiple Regression analysis were employed with the aid of E-VIEW version 9.0 for the purpose of testing the research hypotheses raised in chapter one. It evident that measures of financial derivatives used has mixed effects on ROE of DMBs in Nigeria. However, majority of the independent variables such TID, LADC and BS has significant effects on ROE of DMBs while FLD and FED established an insignificant effects on ROE of DMBs in Nigeria. Hence, the study
Factors Affecting E-Procurement Adoption in Iringa Medical Store Department
Authors: Mketo Said , Ng’elenge Haji , Kipilimba Theobald
Published: February 2024

The purpose of the study is to assess factors affecting electronic procurement adoption in Medical Store Department in Iringa Municipality. Specific objective of the study was to examine the effect of employee competence, technological features, and management support on electronic procurement adoption. A study employed a quantitative research approach with an explanatory cross-sectional design to explain the causal effect relationships between variables. The target population was 121 and a sample size of 93 employees of the Medical Store Department was contacted. Data were collected using a questionnaire, where respondents were picked using the probability random sampling technique. Data were analyzed using descriptive statistics namely frequencies, percentages and mean, and multiple linear regression analysis to determine the influence of technological features, employee competence, and management support on the adoption of electronic procurement. Results show that regression analysis output confirmed that there is a significant positive relationship between technological features and e-procurement adoption as the p-value is 0.02, which is less than 0.05. Furthermore, the regression analysis output confirmed that there was a significant positive relationship between employee competence and e-procurement adoption as the p-value is 0.013, which is less than 0.05 and there is a significant positive relationship between management support and e-procurement adoption as the p-value is 0.029, which is less than 0.05. The study concludes that, technological features predominantly influence e-procurement adoption followed by employee competence while management support has the least influence. The study recommends that frequent training be offered to all employees who are users of electronic procurement in relevant IT skills,
New Service Concept and Investor Satisfaction of Aviation Firms in Rivers State
Authors: Happiness Jaja , Gladson Nwokah , Chukwu Juliet , Nnenwo Evelyn
Published: February 2024

The aim of this study was to ascertain the extent of the relationship between new service concept and investor satisfaction of aviation firms in Rivers State. This study adopted causal research, involving cross sectional survey design and used structured copies of questionnaire. The population of this study comprised of eight (8) airlines registered with the Rivers State ministry of commerce and industry. 20 Copies of questionnaire was distributed to management staff in each of the airlines. The total number of respondents for the study was one hundred and sixty (160). The hypotheses were tested using Spearman Ranking Order Correlation with the aid of SPSS Version 21. The study unveiled a very strong relationship between new service concept and investor satisfaction. This study therefore concluded that increased investor satisfaction can be achieved if aviation firms in Rivers State provide new and innovative service concept.
Basic Provision of the Extent to Which the Right to Go on Strike by Trade Unions in Nigeria is Absolute
Authors: Micheal Akpodiete Oro , Henry Ogbonda Enyinda
Published: February 2024

The right to strike is an integral part of the right of workers to associate with other persons to form or join trade unions for the advancement or protection of their interests. This paper examines the basic provision of the extent to which the right to go on strike by trade unions in Nigeria is absolute under various enactments. The paper further examines and reviews the right to strike in some selected jurisdictions. The relevant constitutional provisions entrenching the fundamental right of freedom of association as well as the provisions of other national and international legal instruments which guarantee the right to strike were discussed in full detail. Furthermore, this paper examines the rationale for the ban on strikes in essential services. It also examines the conditions which workers who are not engaged in the provision of essential services must fulfill before they can embark on lawful strikes. These conditions are examined in the light of international labour standards. The paper contained different types of strikes, the steps trade unions follow before going on strike, the right to strike by the trade union, and different schools of thought as regard to trade unions in Nigeria going on strike.
Violence in interpersonal relationships: Analysis of hate speech
Authors: Andrade Joyce Karolyne Ribeiro de , Maniakas Georgina Carolina de Oliveira Faneco
Published: February 2024

This study aimed to investigate the psychosocial elements involved in the propagation of hate speech through the Freudian perspective of culture. The selected corpus consisted of 9 offensive comments published on Facebook about 3 different news items involving human rights violations. Hate speeches are constructed from generalizations about specific social groups. Culture projects norms and values onto individuals from certain historical moments and ideological formations; so, when those people believe they are exposing a particular point of view, all of them are only reproducing it. The dissemination of hate speeches does not necessarily indicate that there is currently more intolerance or prejudice against minority social groups, as these have always been part of the social structure. Society is going through a historical moment in which certain contents, once repressed, can appear through the internet in the form of hate speech.
Gestações tardias e seus desfechos obstétricos em na Região Sul do Tocantins
Authors: Silva Karolayne Ferreira Leão da , Magalhães Claudia Christina Ribeiro Guimarães Neri de , Alcântara Denise Soares de , Rocha Janete Carvalho da , Costa Gisela Daleva , Coutinho Halex Cavalcante , Melo Filho Marllos Peres de , Melo Márllos Peres de
Published: February 2024

A gravidez tardia é o termo utilizado para caracterizar mulheres que engravidam após os 35 anos de idade, seja uma gravidez planejada ou não. Trata-se de uma realidade que cresce em todo o mundo, uma tendência das mulheres deste tempo, ocasionada por diversos fatores, entre eles, o anseio pela realização profissional. A presente pesquisa tem como objetivo, descrever os desfechos obstétricos das gestações tardias na Região do Sul do Tocantins, no período de 2019 a 2021. Trata-se de um estudo descritivo, exploratório, retrospectivo, documental de abordagem quantitativa, com dados obtidos por meio do Sistema de Informação sobre Nascidos Vivos (SINASC). A amostra do estudo foi composta por um total de 455 registros de mulheres gestantes a partir de 35 anos. Que as mulheres tem adiado cada vez mais a gestação, não necessariamente com as relações conjugais mais sim a gestão, visando o termino dos estudos e o ingresso no mercado de trabalho. Cada dia mais aumenta o número de cesariana devido aos ricos do parto natural para esta faixearia.
Uso de ultrassom na identificação de planos profundos e superficiais para lipoenxertia em mamoplastia de aumento: Revisão de literatura
Authors: Oliveira Rafael Kornalewski de , Goldmann Ignacio Salonia , Zatt João Vitor Dal Ponte , Doutrelepont Andres Armelin
Published: February 2024

OBJETIVO: Identificar planos profundos e superficiais da mama através do ultrassom para lipoenxertia em procedimentos de mamoplastia de aumento. MÉTODO: Revisão de literatura nas bases de dados eletrônicas PubMed. Utilizaram-se os descritores “breast fat grafting”, “augmentation mammoplasty”, “ultrasound breast fat grafting”, incluindo artigos na língua inglesa sem limitação de data de publicação. RESULTADOS: O ultrassom é pode ser ferramenta que auxilia os cirurgiões plásticos a conferirem resultados mais naturais quando se fala em cirurgias de mamoplastia. A gordura geralmente é colocada no músculo peitoral maior, que fornece volume e projeção, mas é a colocação de gordura nos tecidos mais superficiais que controla a modelagem da mama. Pequenos e grandes defeitos mamários podem ser preenchidos; proeminências ósseas e bordas visíveis do implante podem ser disfarçadas; dano de radiação pode ser melhorado; reconstruções podem ser refinadas; seios difíceis podem ser moldados com precisão; os implantes podem ser removidos e substituídos por gordura; e um aumento simples e natural pode ser realizado. É essencial que a gordura seja colocada em alíquotas muito pequenas para maximizar a área de superfície para revascularização e minimizar a chance de necrose gordurosa. CONCLUSÕES: O uso do Ultrassom tem sido ferramenta inovadora para lipoenxertia em técnicas de contorno corporal. Na mamoplastia de aumento, tem função útil na visualização com exatidão a área a ser enxertada. Áreas de lipoenxertia ainda não são bem definidas, uma vez que a injeção de gordura é muitas vezes feita em todos os níveis da mama. Através do uso do ultrassom associado a lipoenxertia de planos profundos musculares e de planos superficiais em associação de mamoplastia de aumento, pequenos e grandes defeitos mamários podem ser preenchidos; proeminências ósseas e bordas visíveis do implante podem ser disfarçadas.
Percepções sobre a americanização da Saúde no Brasil
Authors: Sant’Ana Ramiro
Published: February 2024

Resumo A assistência à saúde de qualidade segue entre os principais anseios do cidadão brasileiro. Três décadas após a promulgação da Constituição, os inúmeros obstáculos ainda existentes trazem a tais anseios tons de preocupação para as pessoas e de desafio para as instituições. O desafio institucional de organizar o Sistema de Saúde brasileiro e ofertar, no tempo certo e modo adequado, os serviços que a população necessita foi missão assumida, ao longo do século XX, pelo Poder Legislativo e, especialmente, pelo Poder Executivo. Diversas foram as iniciativas que moldaram as ações e serviços de saúde nacionais que culminaram, em 1988, na consagração no texto constitucional de direito à saúde, de caráter universal e igualitário.
Utilizing Topic Modelling and AHP (Analytical Hierarchy Process) for Setting Policy Priorities to Strengthen Official Development Assistance at Local Government Level
Authors: Chool Choi Young , Gamin Kim , Yunseo Jeon , Cavallini Yona
Published: February 2024

In Korea, aid projects to developing countries at central government level are increasing in number significantly every year, yet at local government level their scale is extremely small. Recognizing this problem, this study aims to set policy priorities to strengthen official development assistance (ODA) at local government level in Korea. Accordingly, we analysed the important issues relating to ODA projects at local government level by performing topic modelling analysis method. On the basis of these analysis results, policy priorities were derived using the AHP method. The analysis suggests that in Korea, in order to revitalize ODA projects at local government level, a dedicated department that can professionally handle these projects must be established within each local authority. Furthermore, it is important to recruit and deploy professional administrators who can utilize these dedicated departments to discover new ODA projects
The More Intensive the Diagnostic Workup, the More Likely It Is That the Cause of Coccygodynia Can Be Clarified
Authors: Finsterer Josef
Published: February 2024

No abstract available.
Impact of Job Satisfaction, Transformational Leadership, and Work-Life Balance on Employee Performance: A Study in Technology Companies in Indonesia
Authors: Marnoto Marnoto , Supardi Supardi , Soegiarto Ita
Published: February 2024

This research explores the dynamic interplay of job satisfaction, transformational leadership, work-life balance, and their collective impact on employee performance within the burgeoning technology sector of Indonesia. The study employs a quantitative research design, utilizing Partial Least Squares Structural Equation Modeling (PLS SEM) to analyze data gathered through a questionnaire survey of employees in various technology companies. The findings reveal a robust and positive association between job satisfaction and employee performance, emphasizing the need for organizations to prioritize initiatives that cultivate positive work environments. While the study did not establish a direct link between transformational leadership and employee performance within the specific model, it underscores the nuanced dynamics of leadership impact. Additionally, the research highlights the highly significant and positive relationship between work-life balance and employee performance, emphasizing the crucial role of promoting a healthy balance between work and personal life in enhancing overall employee effectiveness.
Pengaruh Senam Tera Terhadap Penurunan Tekanan Darah Pada Lansia Yang Menderita Hipertensi Di Puskesmas Gunung Medan
Authors: Putri Astuti ardi
Published: February 2024

Hipertensi adalah suatu keadaan dimana tekanan darah lebih dari 140/90 mmHg. Apabila pembuluh darah terus mengalami peningkatan akan memicu penyakit jantung, stroke, gagal ginjal, dan lain-lain. Senam tera adalah olahraga pernapasan yang di padu dengan olahraga gerak yang menggabungkan gerakan tubuh dengan teknik pernapasan. Metode penelitian ini adalah pre experimental designs dengan menggunakan rancangan one group pretest-posttest. Teknik pengambilan sampel yaitu convenience sampling Dengan jumlah sampel 30 responden. Analisa data dilakukan dengan ujiT-test. Hasil penelitian ini didapatkan bahwa 30 (100%) responden mengalami tekanan darah tidak normal. Didapatkan hasil bahwa sesudah dilakukan senam tera sebagian besar yaitu 17 (56,7%) mengalami tekanan darah normal. Berdasarkan uji T-test Didapatkan (P value = 0,00 dengan alfa <0,05). Dapat disimpulkan bahwa ada pengaruh bermakna antara senam Tera terhadap penurunan tekanan darah lansia dengan hipertensi. Diharapkan lansia mau melakukan senam tera untuk menurunkan tekanan darah.

Kata kunci : Senam Tera, Hipertensi
Pengaruh pijat Endorphin terhadap Tingkat Nyeri pada ibu Post Partum Pasca Persalinan Sectio Caesarea di RSUD Sungai Dareh Kabupaten Dharmasraya 2022
Authors: Astuti Sri Andar Puji , Nadya Embun , Putri Culeksi Yusie Noviana , Veriyani Frenstika , Handini Rindika Seftia
Published: February 2024

ABSTRAK

Menurut World Health Organization persalinan dengan metode SC di Negara berkembang dalam 30 tahun terakhir terus mengalami peningkatan sampai dengan 10-15%. Persalinan post  SC sering kali mengalami nyeri hebat meskipun tesedia obat obat analgetik yang efektif, sekitar 60% pasien post sc masih mengalami nyeri dalam 24 jam post partum. Penelitian eksperimental Rancangan penelitian yang digunakan dalam penelitian ini adalah one group pretest-postest design artinya kegiatan penelitian yang memberikan tes awal (pretest) sebelum diberikan perlakuan, setelah di berikan perlakuan barulah di berikan tes akhir (post-test).Uji yang digunakan uji Independent T test. Melalui analisa data dengan menggunakan uji Independent T test dengan ibu post SC berjumlah 10 orang. penelitian dari 10 sampel penelitian sebelum diberikan pijat endorphin terdapat 9 orang (90%) yang mengalami nyeri berat dan sesudah diberikan pijat endorphin intensitas nyeri berubah menjadi nyeri ringan dan sedang masing-masing 50%. Dari hasil pengujian tersebut didapatkan Analisa perbedaan intensitas nyeri pada ibu post partum dengan Riwayat persalinan Tindakan section caesarea menggunakan uji Independent T-test sebelum dilakukan pijat endorphin terdapat mean rata-rata nyeri 8,40 dan sesudah di pijat endorphin terdapat nilai mean rata-rata 3,60 kemudian nilai mean defferent 4,8 dan nilai (p) velue 0,000.yang artinya ada perbedaan signifikan dalam skala nyeri ibu post partum , caesarea responden sebelum dan sesudah diberikan pijat endorphin. Hasil penelitian ini menunjukan bahwa ada pengaruh pijat endorphin terhadap tingkat nyeri pada ibu pas
Desarrollo de escenarios como estrategia financiera para reducir el diferimiento de créditos en bancos múltiples de Bolivia por la pandemia COVID-19
Authors: Castro Tapia Paola Alejandra
Published: February 2024

El presente artículo tuvo como objetivo desarrollar una estrategia financiera de descuento por pago anticipado de cuotas diferidas de créditos, que contribuya a reducir el impacto generado por el diferimiento de créditos en los Bancos Múltiples de Bolivia. Esta metodología tiene un enfoque cuantitativo, de tipo Descriptivo, Analítico, Propositivo, la técnicas investigación es documental de 12 bancos S.A. y uno estatal, la fuente de información fue Gaceta Oficial del Estado Plurinacional de Bolivia y la base de datos de la Autoridad de Supervisión del Sistema Financiero ASFI. los resultados: de diez escenarios planteados nueve muestran una disminución del impacto negativo generado por el diferimiento de créditos en los Bancos Múltiples de Bolivia. Conclusiones: La propuesta de una estrategia financiera permitirá a los Bancos Múltiples mitigar las pérdidas asociadas al diferimiento de créditos. Esta estrategia plantea la otorgación de descuentos a clientes por pago anticipado de las cuotas diferidas, esto permite, en la medida de su aplicación, recuperar recursos en el mercado.
CONTEMPORARY CONCEPT OF ARTERIAL THROMBOSIS MECHANISMS. ARTERIAL THROMBOSIS IN CASE OF COVID INFECTION
Authors: Латыпов И.А. , Пюрвеев С.С. , Некрасов М.С. , Деданишвили Н.С. , Тагиров Н.С.
Published: February 2024

Сложные механизмы тромбообразования традиционно принято рассматривать в рамках так называемой патогенетической триады Вирхова: повреждение сосуда + гиперкоагуляция + замедление кровотока. Несмотря на многократные дополнения и усовершенствования данной концепции, ее суть оставалась прежней. Однако эта трехчленная схема, более или менее применимая для объяснения патогенеза тромбообразования в венах, в классическом ее виде для артериальных тромбозов имеет ограниченное значение. В последнее время начали обсуждать несколько иную концепцию артериальной триады, включающую другие компоненты: 1 — стеноз артерии и ускорение кровотока, 2 — активация тромбоцитов и их взаимодействие с фактором фон Виллебранда (VWF), 3 — повреждение сосудистой стенки. Эта компоновка артериальной триады успешнее объясняет механизмы тромбообразования при стенозах артерий, в первую очередь, при атеросклерозе. С недавних пор также повысилось внимание к связи между заболеваемостью новой коронавирусной инфекцией (COVID-19) и повышением риска тромбообразования. Введение понятия «артериальная триада» в дополнение к «триаде Вирхова» или «тетраде» позволит патофизиологам лучше разделить патогенетические особенности артериальных и венозных тромбозов, а для клиницистов — профилактику и терапию этих состояний в отдельности.

Complex mechanisms of thrombosis are traditionally regarded within the so called Virchov’s pathogenic thriade consisting of blood vessel injury + hypercoagulation + blood-flow slowing down. On spite of multiple additions and attempts at sophistications its essence remaiтs unchanged. However this threenominal scheme which is more or less applicable for explaining the pathogeny of venous thrombosis can be used in case of arterial ones only to a limited degree. Of late a different concept is under discussion namely that of arterial thriade consisting of different components: 1. Arterial stenosis and acceleration of bloodflow; 2. Platelets activation and their interaction with Von Willebrand factor (VWF); 3. Blood vessel wall injury. This composition of arterial thriade is more successfully explaining thrombosis mechanisms in case of arterial stenosis especially in case of atherosclerosis. Of late the attention is focused also at the association between new COVID-infection and increased risk of thrombosis. The new “arterial thriade” concept in addition to classical “Virchov’s thriade” or even that of “tetrade” will help pathophysiologists to better discriminate pathogenetical features of arterial thromboses vs the venous ones and for the clinical doctors to improve prophylaxis and treatment of these separate conditions.
Penerapan Gestionnaire Libre De Parc Informatique (GLPI) Pada PT. PGAS Telekomunikasi Nusantara (Pgncom)
Authors: Tasya Yulianda , Lubis Aidil Halim
Published: February 2024

Pada awalnya PT. PGas Telekomunikasi Nusantara masih menggunakan cara pencatatan persediaan secara manual. Oleh karena itu, PGNcom beralih ke aplikasi berbasis web. Aplikasi tersebut adalah GLPI yang merupakan database pusat yang mengumpulkan data Agen FusionInventory, dan menyediakan antarmuka web untuk menampilkan dan mencari database inventaris aset. GLPI diterapkan pada PT. PGas Telekomunikasi Nusantara (PGNcom) untuk memudahkan karyawan khususnya di bidang inventory dalam mencatat produk dan melihat perkembangan aset. Flowchart dideskripsikan untuk mengetahui alur dari suatu proses yang diterapkan pada implementasi GLPI.
Islam Dalam Kacamata Teknologi Dan Sains
Authors: Ardity Vanesya Aura , Surya Adi Cheetara Novatriyanti , Khoirunnisa Siska , Permata Clarisca Audyta , Nurani Nadia Sarah , Pratiwi Triana Surya , Halimah Nur , Meiliasari Rosana , Inayah Nurul , Chasanah Laily Fajria
Published: February 2024

Islam sebagai agama rahmatan lil ‘alamin sudah semestinya memiliki kandungan ajaran yang mencakup pengetahuan keagamaan dan juga sains alam. Islam yang turun 14 abad silam merupakan agama samawi yang dicap oleh para liberalis dan penganut paham kebebasan sebagai sesuatu yang merepotkan dan kuno. Namun, benarkah demikian? Faktanya banyak ilmuwan barat yang menjadikan Al-Qur’an sebagai pedoman penelitian mereka. Dalam tulisan ini kami akan membahas tentang posisi Islam sebagai agama dilihat dari perspektif ilmu pengetahuan dan teknologi yang notabenenya mengedepankan logika dalam mengupas segala sesuatunya. Dalam penyusunan jurnal ini kami menerapkan penelitian library research yang dilakukan dengan analisis mendalam pada jurnal maupun artikel yang relevan dengan topik yang kami angkat.
Prioritas Penanganan Perkerasan Ruas Jalan Provinsi Di Kabupaten Kota Di Sumatera Utara Dengan Metode Analytical Hierarchy Process
Authors: Efannur Efannur
Published: February 2024

Kondisi jalan yang baik dapat memberikan aksesibilitas serta mobilitas yang baik terhadap keberlangsungan kegiatan sosial ekonomi masyarakat. Namun masih banyak dijumpai kerusakan struktural maupun penurunan kinerja fungsional pengerasan jalan di berbagai ruas jalan. Salah satu penyebab masih banyak ruas jalan yang rusak adalah keterbatasan anggaran pemerintah dalam perbaikan dan melakukan tindakan preventif pada pengerasan jalan. Keterbatasan anggaran (budget constraint) pemerintah dalam mengelola kegiatan pengerasan jalan menyebabkan pemerintah harus menyusun peringkat prioritas ruas jalan yang akan ditangani. Penentuan prioritas dengan lebih dari satu kriteria dapat dilakukan dengan menerapkan analisis Multi Criteria Decision Making (MCDM). Kriteria yang digunakan dalam metode AHP dalam penelitian ini ada 4 kriteria utama, Kriteria utama tersebut yaitu Kondisi Fisik Jalan, Volume Lalu Lintas, faktor Ekonomi, dan faktor tata guna lahan. Penelitian ini mengambil lokasi di kabupaten Deli Serdang, Kota Medan, kabupaten Serdang Bedagai, Kota Tebing Tinggi dan kabupaten Karo, dimana yang menjadi objek studi adalah beberapa ruas jalan di Sumatera Utara yang merupakan kewenangan Provinsi Sumatera Utara (Status jalan Provinsi). Dari analisis metode AHP, menurut responden kriteria yang sangat berpengaruh dalam menentukan prioritas penanganan jalan adalah faktor ekonomi (0.548), diikuti faktor kondisi jalan (0.253), faktor lalu lintas (0.146), dan faktor tata guna lahan (0.053). Sesuai hasil  dari analisis AHP faktor ekonomi adalah prioritas paling utama (terbesar).
KAJIAN KEUNTUNGAN DAN KELAYAKAN USAHATANI JAGUNG MANIS (Zea mays saccharata sturt) DI KELURAHAN LOKTABAT UTARA KECAMATAN BANJARBARU UTARA KOTA BANJARBARU
Authors: Zulipah Mahdalena  , Yayuk Minta Wahyuningsih
Published: February 2024

This study aims to determine the costs, production,revenue, profits and feasibility   of sweet corn in Loktabat Utara village, Banjarbaru utara  district. The method used in the reasearch is survey  and observation method. . The sampling technique used purposive sampling method, so that 10 respondents were obtained.   The results of this study indicate that the total  production of sweet corns in the loktabat utara village was 18.450 kg/farm, with an average production of  1.845  kg/farm. The everage revinue  is IDR.1.236.856/ farm. And the  average profit earned during one production prosess is IDR.5.522.738,89/farm. The R/C ratio value obtained is 2,90, it’s can be said that sweet corn farming in Loktabat Utara is feas
Analisis Pendapatan Usahatani Semangka (Citrullus Lanatus) Di Desa Tungkaran Kecamatan Martapura Kabupaten Banjar
Authors: Suratman Yan Yozef Agus , Fitriadi Subhan , Khaironi Muhammad
Published: February 2024

This research aims are : (1). Knowing the technical desription of water melon carrier out by farmer; (2). knowing the cost, revenues and income of water melon farming in Tungkaran Village, Martapura District, Banjar Regency.  This research uses survey method with observation technique.  This sampling method use saturated simple, namely taking water melon farmers who cultivate seedless water melons is only one person and is taken as a sample farmer. The result of the research is that the area of land use by farmer is 0.75 he and the status of the land is leased.  Production is 10,500 kg/farmer or 14,00 tons/ha.  The amount of explicit costs is IDR 26,935,433,33/farmer, revenue is  IDR 57,750,000.00/farmer, income is IDR 30,814,566.67/farmer
Zur Förderung der Allgemeinheit nach § 52 Abs. 1 Satz 1, 2 AO durch gemeinnützige Bildungseinrichtungen
Authors: Böttcher Lisa , Kaelberlah Svenja
Published: February 2024

Anlässlich zweier neuerer BFH-Entscheidungen betreffend die Frage nach der Förderung der Allgemeinheit behandelt der folgende Beitrag die Voraussetzungen, die an dieses Merkmal gemeinnützigen Handelns zu stellen sind und zeigt auf, was Gemeinnützige im Lichte der Rechtsprechung in Zukunft zu beachten haben.
Booster für partizipative Wissenschaftskommunikation? Effekte der Corona- Pandemie auf die Kommunikation wissenschaftlichen Wissens im Informationsdienst Wissenschaft und in Regionalzeitungen
Authors: Rediger Philipp , Beer Andreas
Published: February 2024

Selten zuvor war das gesellschaftliche Interesse an wissenschaftlichem Wissen und daraus abzuleitenden Handlungsoptionen derart stark ausgeprägt wie in der Corona-Pandemie. Hat dieses Interesse zu einer partizipativen Öffnung der Wissenschaftskommunikation beigetragen, die darin Ausdruck findet, dass (wie häufig gefordert) die Teilnahme der Bevölkerung am Forschungsprozess und an Debatten über Forschung realisiert wird? Wir untersuchen auf Grundlage von drei Fallbeispielen, welche Einflüsse die Pandemie auf den Umfang multidirektional und partizipativ angelegter Wissenschaftskommunikation hatte. Dafür erfolgt eingangs eine Kategorisierung 127 bestehender Formate der Wissenschaftskommunikation nach ihrer Zielsetzung und Ausrichtung auf Partizipation und/oder Multidirektionalität. Diese Kategorisierung dient als Grundlage für die Analyse der Formate, über die im wissenschaftlichen Branchendienst Informationsdienst Wissenschaft (idw) und im Lokalteil von Regionalzeitungen vor sowie (zu unterschiedlichen Zeitpunkten) während der Pandemie berichtet wurde. Unsere Ergebnisse deuten darauf hin, dass partizipative oder multidirektionale Wissenschaftskommunikation in der Pandemie keinen Schub erhielt. In der akuten Krisenzeit 2020 setzte die Wissenschaftskommunikation in der Bearbeitung der Nachfrage nach wissenschaftlichem Wissen sowohl auf regionaler als auch auf überregionaler Ebene auf etablierte und unidirektional angelegte Formate.
Ernährung auf TikTok. Eine inhaltsanalytische Untersuchung zu Vielfalt, Ernährungskompetenz-Dimensionen und Werbung
Authors: Altendorfer Laura-Maria , Huber Brigitte
Published: February 2024

Soziale Medien stellen eine wichtige Informationsquelle zu Ernährungsthemen dar. Bisherige Studien zeigen, dass sich auf TikTok zahlreiche Videos dazu finden, jedoch mit variierender Qualität. Entsprechend ist die Entwicklung von Ernährungskompetenz von hoher Bedeutung. Hier setzt die vorliegende Studie an und untersucht mittels einer quantitativen Inhaltsanalyse (n = 150) TikTok-Videos mit Ernährungsinhalten. Konkret wird erhoben, welche Kommunikator:innen zu welchen Themen posten und inwiefern Werbung erkennbar ist. Besonders ausgeprägt sind die Ernährungskompetenz-Dimensionen „Fähigkeiten in der Lebensmittelzubereitung“, „Snacken“ und „soziales bzw. bewusstes Essen“. Thematisch stehen Rezept- und Kochvideos sowie Ernährungstipps im Vordergrund. Inhalte werden überwiegend von fachlichen Laien kommuniziert, Expert:innen geben jedoch signifikant mehr Ernährungstipps. Es zeigt sich eine ausgewogene Darstellung von frischen und verarbeiteten Lebensmitteln, wenngleich deren Qualität kaum thematisiert wird. Selten behandelt werden auch die Haushaltsplanung oder Vorratshaltung von Lebensmitteln. Es wird überwiegend gesundes Snack-Verhalten gezeigt; bei ungesunden Snacks findet sich jedoch signifikant häufiger Werbung. Abschließend diskutiert der Beitrag, welche Potenziale und Herausforderungen die Plattform TikTok Ernährungsexpert:innen bietet, um relevante Inhalte für die Entwicklung von Ernährungskompetenzen zu vermitteln, und weist auf die Gefahr von Fehlinformationen hin.
Meinungsmacht der Algorithmen
Authors: Flamme Florian
Published: February 2024

The dissertation addresses the conflict of competence between European and national regulation of intermediaries. First, the changes in communication caused by digitalization are examined. In a next step, the regulatory legal framework in the multi-level system of the European Union is analyzed. Both the DSA, the P2B Regulation and the MStV attempt to address the threats posed by algorithmic information brokering through transparency and non-discrimination provisions. Due to overlaps in the content of the regulations, a tension arises in terms of jurisdiction, which is ultimately resolved in favor of European law due to the primacy of application.
A Healthy Life with Self-Natural Posture Exercise
Authors: Seo Yongsuk , Taek Lee Dae
Published: February 2024

This chapter explores the effectiveness of the Self-Natural Posture Exercise (SNPE) program for individuals with chronic pain and musculoskeletal conditions. SNPE emphasizes self-regulation and natural postural correction as a unique approach to rehabilitation. Within this chapter, several studies show positive effects on physical self-concept, pain reduction, and overall health across diverse populations. It has been particularly beneficial for women with chronic low back pain, adolescents, and individuals with various musculoskeletal disorders. Research also explores its impact on energy expenditure, exercise intensity, and pain-related factors, shedding light on its mechanisms and outcomes. The SNPE program demonstrates effectiveness for chronic pain and musculoskeletal conditions across diverse populations. In a 12-week study, significant improvements in muscle power, flexibility, and pain reduction were revealed. Previous research showed a positive impact on the correction of forward head posture, relief from various pains, and improvement in pelvic alignment. SNPE also prevented scoliosis in adolescents and adapted to different energy expenditure levels. This chapter highlights the innovative and impactful nature of SNPE in addressing chronic pain and facilitating rehabilitation across diverse populations. SNPE goes beyond pain management, actively enhancing overall physical well-being and offering promising solutions for various musculoskeletal challenges across a broad demographic spectrum.