bluuebunny/crossref_metadata_2025 huggingface dataset:
Manejo de trauma cerrado de abdomen en pacientes hemodinámicamente estables
Authors: Guerra Nájera Oscar Ricardo
Published: September 2023

PROBLEM: blunt abdominal trauma occurs in 20% of polytraumatized patients. This type of injury has a high mortality. In Guatemala, abdominal trauma accounts for 10% of deaths from abdominal trauma. OBJETIVO: describir el manejo del trauma cerrado de abdomen en pacientes hemodinámicamente estables. MÉTODO: se realizó una revisión basada en artículos médicos y estudios previos. RESULTADOS: se describió que el manejo de trauma cerrado de abdomen, comienza con el examen primario, evaluación enfocada extendida con ecografía en trauma (E-FAST) y el examen secundario, bioquímica sanguínea, signos vitales, los pacientes hemodinámicamente estables son candidatos a realizar Tomografía Axial Computarizada (TAC) abdominal si al examen físico no cuenten con datos fiables. La Laparotomía Exploratoria (LPE) se debe considerar en aquellos pacientes con lavado peritoneal diagnóstico o ecografía positiva o TAC que demuestre ruptura del tracto gastrointestinal, lesión de vejiga intraabdominal, lesión del pedículo renal o lesión severa de parénquima visceral. CONCLUSIÓN: se identificó que en trauma abdominal predomina el sexo masculino, entre las edades de 10 a 40 años, con mayor afectación de bazo e hígado. Los principales mecanismos fisiopatológicos de lesión en trauma de abdomen son de impacto directo, cizallamiento y desaceleración. Se especificó que los estudios imagenológicos utilizados en trauma cerrado de abdomen son radiografía simple, Ecografía-FAST y Tomografía Axial Computarizada. La laparotomía exploratoria se debe realizar en aquellos pacientes con lavado peritoneal diagnostico positivo, ecografía positiva.
CTS E EDUCAÇÃO AMBIENTAL: UM DIÁLOGO POSSÍVEL?
Authors: Maria Rosane Marques Barros  , Eduardo Luiz Dias Cavalcanti
Published: September 2023

Considerando que a relação entre Educação Ambiental (EA) Crítica e Educação CTS/CTSA é pouco investigada, ainda que os dois campos possuam convergências importantes que correspondem aos anseios de uma educação contemporânea comprometida com a formação cidadã, o presente estudo tem como objetivo analisar as dimensões da EA e da Educação CTS/CTSA presentes em produções na área de ensino de ciências envolvidas com práticas em sala de aula. Para isto, foram selecionados trabalhos realizados em sala de aula que articularam CTS/CTSA e EA em suas abordagens e que foram publicados nos anais da VIII à XII edição do Encontro Nacional de Pesquisa em Educação em Ciências (ENPEC), um evento científico brasileiro. No total, 04 trabalhos corresponderam ao critério de busca, foram selecionados e analisados segundo 03 dimensões estruturantes de análise (DEA), construídas previamente como categorias à priori, fazendo referência à finalidade de ensino, ao objeto de estudo (realidade) e à abordagem que os campos da EA e CTS/CTSA possuem em comum. As DEAs foram sistematizadas conforme técnica adaptada da análise de conteúdo de Bardin, que traz as categorias de análise, unidades de registro e de contexto a partir de um critério de classificação definido pelo pesquisador. Obedeceu-se, dessa forma, a regra da exaustividade, da qual a autora aponta que nenhum dado deve ficar de fora das categorias construídas, por qualquer razão que seja. Os resultados demonstraram que alguns trabalhos reuniram mais de uma dimensão, sendo que “tomadas de decisão / participação social / cidadania” e “problematização da realidade / contextualização” foram as que apareceram concomitantemente em pelo menos três dos trabalhos avaliados. A dimensão “abordagem interdisciplinar/transdisciplinar”, apareceu em apenas um trabalho. Desta forma, compreende-se o esforço docente em aproximar conhecimento científico à realidade cotidiana dos estudantes, porém uma evidente carência de integração de saberes para análise da complexidade do real.
APRESENTAÇÃO
Authors: Letras Revista de
Published: September 2023

Apresentação/Presentation
EDUCAÇÃO NO CONTEXTO DA ABORDAGEM DIALÓGICA TRIANGULAR
Authors: Tavares Luciano
Published: September 2023

Ao contrário do que muitos imaginam, os três eixos da Abordagem Triangular, apesar de terem relações entre si, não estão condicionados, por exemplo, às posições de vértices ou arestas de um triângulo. Neste artigo, demostraremos como a Abordagem Triangular foi utilizada no processo de criação e produção dos projetos de pesquisa num curso superior de Design Gráfico, destacando a importância do Contexto, como elemento central que proporcionou os alunos a terem suas próprias experiências estéticas.
LIC: MEASURING THE EFFECTIVENESS OF INTERNET ADVERTISEMENTS
Authors: Mr. Chidhanandha Kumar N  , Ms. S Kavitha
Published: September 2023

The Insurance sector is an essential part of the economy because it helps people and businesses reduce risk and protect their finances. It functions by obtaining premium payments from policyholders and providing reimbursement for specific losses, such as injuries, diseases, or property damage. It is vital for insurers to adapt and innovate in order to remain competitive and satisfy the changing demands of the market since the industry continuously changes due to advancements in technology, data analytics, and changing customer preferences. One of Indias biggest and oldest life insurance firms, the Life Insurance Corporation of India (LIC), was founded in 1956. It is a significant player in the Indian insurance industry and a state-owned organization. LIC serves millions of customers by offering a variety of life insurance and investment products. Given that it is owned by the government, it plays a crucial role in encouraging long-term savings and financial inclusion in India.
This article examines the profound influence of internet advertising on the Life Insurance Corporation of India (LIC). As digitalization continues to reshape the business landscape, LIC has embarked on a strategic journey to harness the potential of online advertising. The study investigates the multifaceted impact of internet advertising on LIC, encompassing heightened brand visibility, targeted customer engagement, and operational efficiency. By leveraging data-driven insights and innovative marketing strategies, LIC is not only expanding its market reach but also fostering stronger customer relationships in the digital era. This abstract offers a glimpse into how internet advertising is reshaping LIC and 39;s strategies and its pivotal role in securing the corporations relevance and competitiveness in the contemporary insurance industry.
KEYWORDS: Internet advertising, LIC insurance services, online marketing, advertising campaigns.
WAVE-PARTICLE DUALITY IN PEDAGOGY
Authors:   Moscow State Tchaikovsky Conservatory, Moscow, 121069, Russian Federation, Medushevsky Vyacheslav V.
Published: September 2023

The article is aimed at developing a general theory covering the entire being of humanity. Its method consists in applying the language and concepts of quantum mechanics to the whole humanitarian sphere of knowledge: to man and mankind, to all manifestations of man — his word, way of life, to all areas of culture, to the history, sciences, art, and finally, to pedagogy and fundamental pedagogy of mankind. This mental experiment itself, quite reproducible in the souls of readers, consists in verifying the reliability of the examples given in their sense of truth.
EPIC THEATRE: THEORY AND PRACTICE IN THE SPECIAL THEATRICAL EDUCATION
Authors:   Crimean University of Culture, Arts and Tourism, 295017, Russian Federation, Simferopol, Krygin Nikita N.
Published: September 2023

The theatre of Berthold Brecht is well known in the Russian theatrical space. Attitudes towards Brecht's dramaturgy and his theories have changed at different stages in the development of Soviet and Russian theatre art, and approaches to staging his plays in theatres have also changed, but the practice of authentic reading of the epic theatre theory still remains poorly understood. The author systematizes the most characteristic elements of Brecht's epic theatre, such as alienation and social gestus, and considers the practical aspects of their implementation (miseen- scène, music, scenography) in authentic or closely related theatre productions, as well as theatrical forms, which to some degree meet the goals and the tasks that Brecht set for the theatre. The author reconstructed the system of epic theatre in the work on the play "The Threepenny Opera" with the final year students of the "Theatre Directing" specialty, in which an attempt was made to rethink the foundations of the Brecht theatre from a contemporary perspective. In conclusion, the author considers the experience of this work as a factor in the formation of students' abilities for creative search beyond the formal techniques learned in the basic school of Russian psychological theatre.
CONTRIBUTION OF THE RUSSIAN PEDAGOGICAL SINGING SCHOOL TO THE FORMATION OF GUO SHUZHEN, THE STAR OF THE CHINESE OPERA OLYMPUS
Authors:   Moscow State Tchaikovsky Conservatory, 125009, Russian Federation, Moscow, Menwen Zhang
Published: September 2023

The article is devoted to the period when Guo Shuzhen (born 1928), an outstanding representative of the Chinese vocal school, studied at the Moscow Conservatory. The author defines the moments contributing to the formation of European vocal training branch in China, and describes the first teachers who emigrated from Russia in 1919 and became the founders of the first vocal schools in Shanghai and Harbin. The versatile activity of Guo Shuzhen, a chamber and opera singer raised by the Moscow Conservatory school, is briefly characterized. The main goal is to consider the stages of the formation of Guo Shuzhen’s creative personality in the context of the emerging pedagogical ties in China and the USSR and their subsequent intensive development. The materials of Guo Shujen’s personal file from the Archive of the Moscow State Tchaikovsky Conservatory presented new, unknown in China, information on the years of her studies. Especially significant is the conclusion of Professor E. Katulskaya in the pre-graduate period: “Guo Shuzhen has outstanding professional qualities and is a trained singer for successful work in the opera theatre, as well as for concert work”. For the first time the scale of Guo Shuzhen’s opera and concert practice during the years of her study is illuminated: from participation in opera studio performances to patron concerts all over the USSR, as well as participation in opera productions of different years, performing the roles of Tatiana, Cio-Cio-San and others. The article pays special attention to graduates of the Central Beijing Conservatory who passed through the brightly individual school created by Guo Shuzhen and considers the multifaceted activities of Guo Shuzhen in China.
L. TOLSTOY AND A. PLATONOV: MERCILESS JUSTICE AND FAITH IN MAN
Authors:   Russian State Specialized Academy of Arts, Moscow, 121165, Russian Federation, Kirillina Olga M.
Published: September 2023

Both Tolstoy's and Platonov's worldview and creative manner have much in common: a very personal perception of existential issues, up to despair and thoughts of suicide, the scale of the problems they are interested in, the severity of their verdicts on their heroes, the rejection of creativity in the name of practical activity. One of the central themes in their work is death, man's overcoming of the laws of nature. For Tolstoy, this topic relates to reflections on the problems of the higher strata of society: the subconscious fears, the feeling of meaninglessness of their existence as the price to pay for their way of life. For Platonov, death is the highest injustice, the greediest bourgeois, depriving people of the main thing — the person they love. Both are characterized by utopian thinking. Despite significant differences in ideas about an ideal future for humanity, they were united by the belief that people can eventually overcome the dictates of death. Their dreams seem fantastic, but they did not give up on them, because they believed in man, in his potential, in his innermost purity and selflessness. An indirect but intense dialogue took place between them, opening up new facets in their work.
THE IMPACT OF POST-DIGITAL AESTHETICS ON WORKS OF ART IN URBAN SPACE
Authors:   Russian State University for the Humanities, 125993, Russian Federation, Moscow, Kartseva Ekaterina A.
Published: September 2023

The article is devoted to the influence of post-Internet, post-media or post-digital aesthetics on art projects that exist in urban environment, commonly referred to as "public art". In the dense information and visual field of modern cities, contemporary art becomes an important component in the formation of urban imagery, semantic, value and emotional dominant. At the same time, urban art, carried out by means of social order and designed for communication with the so-called "unprepared viewer", has all the attributes of mass culture, in which the economy of impressions plays a significant role. The article provides an overview of the leading publications on post-Internet, post-media or post-digital aesthetics (L. Manovich, A. Vierkant, B. Sterling, K. Bishop). Further, the author examines the impact of post-digital aesthetics on artworks in urban space, which occurs not so much through the display of art on urban digital screens or through AR and VR technologies via digital public art, but through the production of physical art objects in which artists, aided by computer modeling and programs, use colors, textures, design elements from the virtual environment, placing them in the physical space of the city. These trends are revealed in the projects and practices of Russian artists working in urban environment. The conclusion of the article is that not only the form, but also the nature of the artist–work– public relationship is subject to change, when, due to the interactivity of online communication, the viewer is activated. Virtual and objective realities are synthesized, forming a new cultural space, not limited by online or exhibition space.
MAKPAL BEKMAGAMBETOVA — FROM THE CONSTELLATION OF OUTSTANDING VIOLINISTS OF KAZAKHSTAN
Authors:   Kazakh National University of Arts, 010000, Republic of Kazakhstan, Astana, Zhumabekova Dana Zh. , Zhexembay Arman E. ,   Kazakh National University of Arts, 010000, Republic of Kazakhstan, Astana
Published: September 2023

For the first time under scientific analysis are subjected various activities of the Honoured Artist of the Republic of Kazakhstan, Professor M. Kh. Bekmagambetova: her performing, creative, pedagogical, musical and social work. She is one of the leading violinists of the XXIst century. The violin school of Kazakhstan today is developing dynamically, and the contribution of the students of the Central Music School and the Moscow Tchaikovsky Conservatory is evident. Makpal Bekmagambetova studied under bright representatives of the Moscow violin school (M. V. Kurdyumov, S. B. Bezrodnaya, O. V. Kaverzneva, Z. U. Shikhmurzaeva). The violinist saloed with famous groups of Kazakhstan and Turkey, performed with the conductors F. Sh. Mansurov, T. A. Abdrashev, B. K. Musakhodzhaeva. In the 1990s, Makpal Bekmagambetova was among the first Kazakh musicians to organize chamber commercial orchestras ("Altyn Alma", "Academy of Soloists") and quartets. For 8 years, she successfully worked as an accompanist at the Süreyya Opera House (Istanbul, at the invitation of the Turkish side). The violinist has a characteristic feature of bringing together bright representatives of the Turkic world into a single musical space. It was Makpal who initiated the String Trio consisting of M. Bekmagambetova (violin), A. Mukanov (cello) as a family duo, and professor Eser Bilgeman Shakir (piano) from Istanbul Conservatory. Through her concert and pedagogical work M. Kh. Bekmagambetova made a certain contribution to the development of violin performance in Kazakhstan.
SERGEY IVANOVICH TANEYEV AND JULES CONUS. TEACHER AND STUDENT
Authors:   Russian State Specialized Academy of Arts, Moscow, 121165, Russian Federation, Balatskaya Anastasiya L.
Published: September 2023

The article is devoted to the unique creative contacts between the great Master S. I. Taneyev and his pupil Ju. E. Conus. The mentor played a special role in the formation of the artist’s personality. Memories and epistolary writings from as far back as a century and a half ago revealed the essence of the relationship between teachers and students. The focus of this publication is on the diaries of S. I. Taneyev and the letters of Ju. E. Conyus to his teacher. The role of such artefacts is difficult to overestimate. They are the most authentic testimonies of what happened and thus serve as a source of credibility. This epistolary heritage provides a new perspective on the personality of the great teacher, Sergey Ivanovich Taneyev. The interaction of the two musicians is unique in that it started in the Moscow Conservatory and continued many years after the graduation of Ju. Conus and Taneyev’s resignation as Director. Sergey Ivanovich kept diaries for only 16 years, but the information contained therein is unique. It formed the basis for the reconstruction of the biography of Ju. E. Conus as a violinist, composer and teacher. Besides, the genius of Jules Eduardovich, undeservedly neglected by modern scholars, is revealed through the prism of his creative interaction with the teacher.
PROKOFIEV’S VOCAL FAIRY TALE “THE UGLY DUCKLING”: AT THE INTERFACE BETWEEN ROMANCE AND OPERA
Authors:   Russian State University named after A. N. Kosygin (Technologies. Design. Art) Institute “Maimonides Academy”, 115035, Russian Federation, Moscow, Trifonova Anna A.
Published: September 2023

The article is devoted to one of Sergei Prokofiev’s most controversial works, the vocal fairy tale “The Ugly Duckling”, based on a story by Hans Christian Andersen (1915). The composer’s early experiments with vocals and instruments formed the foundation of his opera style and had a direct influence on his later works, in particular “The Gambler” (1916) and “War and Peace” (1941–1946). The peculiarities of the genre, form, and musical language of the opus have given researchers a number of questions, the answers to which continue to be sought. The article focuses on the problem of working with a primary source and its musical embodiment, which is characterized by a certain mixture of genre and stylistic. The analysis is placed in a biographical context, taking into account creative parallels and reliance on the traditions of predecessor composers. Based on the study of Prokofiev’s epistolary heritage, reviews of contemporaries and fundamental works of Russian researchers, the article reveals the features of the genre system, compositional structure, and musical vocabulary of the vocal fairy tale “The Ugly Duckling”. The specific method of intonation used in the work, which comes from the vocal tradition of Modest Mussorgsky, is also discussed, and the existence of a peculiar dialogue with the works of Maurice Ravel is denoted.
TRANSFORMATION OF THE IMAGE OF MARY MAGDALENE IN "THE FEAST AT SIMON THE PHARISEE" IN ITALIAN PAINTING
Authors:   Lomonosov Moscow State University, 119991, Russian Federation, Moscow, Bogomolova Yuliana Yu.
Published: September 2023

Mary Magdalene occupies a special place among the Gospel characters. Her name is mentioned several times in all the synoptic Gospels. Being a participant in the central events of the Crucifixion and Resurrection of Christ, she appears already in the earliest Christian images. The rich pictorial tradition associated with her expanded as her fascinating and controversial biography developed, blending the features of various heroines with the name Mary or nameless sinners. This article considers the process of composition, as well as semantic and artistic transformation of the plot, which became widespread in European fine art — "The Feast in the House of Simon the Pharisee" on the example of Italian art from the Middle Ages to the High Renaissance. This selectivity is justified by the fact that the key processes in the formation of iconographic schemes took place in early Christian and medieval art and underwent qualitative changes in Proto-Renaissance and Renaissance art in Italian art schools. In turn, the Italian High Renaissance art in this case is limited to the Venetian school, since it was within this national school that the most characteristic processes were observed. The study uses historicalformal, iconographic and iconological methods.
SERGEI RACHMANINOFF AND NIKOLAI MEDTNER: LIFE AND CREATIVE PARALLELS
Authors:   Moscow State Tchaikovsky Conservatory, 125009, Russian Federation, Moscow, Dolinskaya Elena B.
Published: September 2023

Today the whole world celebrates a jubilee date — the 150th anniversary of the birth of Sergei Vasilyevich Rachmaninoff. The Moscow Conservatory conducts monographic programs in all of its four halls, where all genres of the composer's legacy are presented: three operas are staged, all symphonic works are played, all romances are sung. This article is devoted to the creative interrelations and great friendship between S. V. Rachmaninoff and N. K. Medtner from the conservatory years. It focuses on the later work of the two composers, whose main genres are marked by stylistic parallels. This is about Russianness in their work, about the abiding longing for their beloved homeland, which nourished their inspiration until the last years of their lives. The stylistic comparisons are based on Rachmaninoff's "Symphonic Dances" and Medtner's Piano Quintet, Rachmaninoff's Fourth Piano Concerto and Medtner's Third Piano Ballade Concerto.
Theoretical and methodological framework for the inclusive development of entrepreneurship and agribusinesses
Authors: Hutorov Andrii
Published: September 2023

Agribusiness is one of the critical elements of the national economy responsible for food production and supply. Due to globalization, climate change, and military actions, domestic agricultural producers face numerous challenges that require a paradigm shift in business practices. In addition, current trends in the global economy indicate an active growth in the importance of inclusiveness as a mainstream business organization. This is especially relevant to the agricultural sphere, where an inclusive approach can solve the problems of inequality of income distribution, lack of access to resources and markets for products, involvement of all groups and strata of the population in economic activity, etc. The article aims to systematize and improve the theoretical and methodological framework for the inclusive development of entrepreneurship and agribusiness. The theoretical and methodological basis of inclusive entrepreneurship and agribusiness has been studied. It has been shown that the concept of inclusive development of entrepreneurship and agribusiness actors is a logical continuation of the methodology development of corporate social responsibility and sustainable development in the context of globalization and growing social inequality. It has been determined that inclusive development of an enterprise is a strategic orientation towards creating such a corporate culture and working conditions when each employee feels his importance, recognition, and the opportunity to develop and realize his potential, regardless of his social, economic, or other status, to achieve the general well-being, sustainable development of the enterprise itself and the territorial community in which it is located. It has been argued that an inclusive approach to the organization of entrepreneurship and agribusiness contributes to sustainable, socio-ecologically balanced economic growth and social justice, biodiversity conservation, reduction of carbon emissions, adaptation to climate change, re-socialization of people with special needs, including veterans of military operations, and the formation of a democratic civil society.

Keywords: inclusive development, inclusive entrepreneurship, inclusive agribusiness, inclusion, sustainable development, methodology.
PERBEDAAN EFEKTIVITAS HEMODIALISA METHODE HD REGULER DENGAN METODE CAPD YANG DILAKUKAN PADA PASIEN GGK DI UNIT HEMODIALISA RSUD Dr. PIRNGADI KOTA MEDAN
Authors: Megawati Megawati
Published: September 2023

Chronic Kidney Disease (CKD) or chronic kidney failure (CKD) is a condition when kidney function decreases gradually due to kidney damage. Medically, chronic kidney failure is defined as a decrease in the filtering rate of the kidneys for 3 months or more. The kidneys function to filter waste and excess fluid from the blood before being excreted through urine. Every day, the two kidneys filter about 120-150 liters of blood, and produce about 1-2 liters of urine. Within each kidney, there is a filtering unit or nephron which consists of the glomerulus and tubules. The glomerulus filters fluid and waste for excretion, and prevents the exit of blood cells and large molecules of protein. Formulation of the problem: In this study, what is the difference between the effectiveness of the Hemodialysis Regular Hemodialysis Method and the CAPD Method in CRF Patients in the Hemodialysis Unit of RSUD Dr. Pirngadi, Medan City. Research Objectives: to determine the effectiveness of Hemodialysis between the HD Regular method and the CAPD method in reducing urea and creatinine levels in CRF patients at the Hemodialysis Unit of RSUD Dr. Pirngadi City of Medan in 2020. This type of research is analytic, namely to find out the difference in the effectiveness of the Hemodialysis Regular HD Method and the CAPD Method in CKD Patients in the Hemodialysis Unit of RSUD Dr. Pirngadi, Medan City. The design used in this study is cross-sectional, that is, different populations are observed at the same time for all the same variables in order to save time and money, with a total sample of 60 people. The results of this study describe the effectiveness of reducing urea creatinine levels before and after HD Regular as well as reducing urea creatinine levels before and after HD CAPD. Conclusion : The HD CAPD method is more effective than the HD Regular method in reducing urea creatinine in patients with chronic kidney failure (CKD). HD CAPD is more effective when viewed from a decrease in urea creatinine levels where HD regular before regular HD obtained p value = 0.069 and before HD CAPD p value = 0.000. It is recommended: for patients with Chronic Renal Failure to know HD CAPD and excess CAPD is more effective in reducing urea and creatinine levels.
TEKNIK RELAKSASI AUTOGENIK TERHADAP PENURUNAN SKALA NYERI PADA IBU POST SECTIO CAESAREA
Authors: Mirna Mirna
Published: September 2023

Setiap ibu post sectio caesarea mengalami nyeri, hampir semua ibu merasa tidak nyaman dengan nyeri yang dirasakannya. Untuk mengatasi nyeri post section caesarea selain diberikan obat anti nyeri dapat juga diatasi dengan tehnik relaksasi autogenik. Manfaat dari tehnik relaksasi ini dipercaya dapat menurunkan nyeri dengan merilekskan ketegangan otot yang mendukung rasa nyeri. Tujuan penelitian untuk mengetahui pengaruh tehnik relaksasi autogenik terhadap penurunan skala nyeri pada ibu post section caesarea di RSUD Labuang Baji Makassar. Jenis penelitian ini adalah quasi eksperimen with equivalent time sample dengan sampel 30 responden yang terbagi 2 kelompok, dimana kelompok 1 terdiri dari 15 responden dengan intervensi pemberian obat saja sedangkan kelompok 2 terdiri dari 15 responden dengan intervensi pemberian obat dan tehnik relaksasi autogenik. Uji pada penelitian ini menggunakan uji T Independen. Hasil penelitian menunjukan bahwa nilai mean dari pemberian obat adalah 3,27 dan nilai mean dari pemberian obat dan tehnik relaksasi autogenik adalah 2,53. Berdasarkan uji statistik menggunakan uji T Independen menunjukan bahwa  ada pengaruh signifikan skala nyeri antara kelompok yang diberikan obat saja dengan kelompok yang diberikan obat dan tehnik relaksasi autogenik dapat dilihat dengan nila ? adalah 0,003, artinya pemberian obat dan tehnik relaksasi autogenik berpengaruh terhadap penurunan skala nyeri pada ibu post section caesarea.
, Aksesibilitas, Keterjangkauan, Dukungan Suami Dan Keluarga, Budaya Dalam Pemilihan Penolong Persalinan Di Wilayah Kerja Puskesmas Kutalimbaru Kabupaten Deliserdang
Authors: Zuraidah Zuraidah , Sukaisi Sukaisi
Published: September 2023

Selection of birth attendants is a factor that determines the implementation of a safe delivery process. The relationship between the selection of health workers or non-health workers includes education, knowledge, attitudes, accessibility, affordability, husband and family support, culture. In the working area of ??the Kutalimbaru Health Center there are still births assisted by non-health workers due to internal and external factors. . The type of research is an analytical survey with a population of 154 mothers giving birth in the last seven months and 100 mothers giving birth as a sample. Data were obtained through interviews using a questionnaire and analyzed using multiple logistic regression tests. The results showed that attitude (p=0.000), husband and family support (p=0.000) had a significant relationship with the choice of birth attendant. Attitude is the variable that is most related to the selection of birth attendants in the working area of ??the Kutalimbaru Health Center, Deliserdang Regency, with a regression coefficient of 5.305. It is suggested to the head of Kutalimbaru, Deliserdang Regency, to increase programs aimed at inviting the public to give birth to midwives. So that it can increase the mother's good attitude about safe delivery assistance and the husband and family support the selection of health workers as birth attendants
GAMBARAN PENGETAHUAN KELUARGA TENTANG GASTRITIS DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2023
Authors: Indra Hizkia Perangin angin  , Alde Casanova Naibaho
Published: September 2023

Knowledge is one of the main sources of progress or failure of a nation's civilization, and begins with people's attention to science. Knowledge is very important and needs attention to live a better life. Gastritis is a disease that is often found, even spread throughout the world and it is estimated that there are billions of sufferers of gastritis. This study aims to determine family knowledge about gastritis at Santa Elisabeth Hospital Medan in 2023. This study used a quantitative method where data was collected by distributing questionnaires with 18 statements so as to explore the knowledge of families of gastritis patients. This type of research is descriptive with a total population of 46 people. Sampling was carried out by purposive sampling technique and using the slovin formula, with a total of 32 respondents. The results showed that 18 respondents (58.1%) had good knowledge of the patient's family at Santa Elisabeth Hospital Medan, 11 respondents (35.5%) had enough knowledge, and 2 respondents (6.5%) had less knowledge. . It was concluded that the majority of families of gastritis patients at Santa Elisabeth Hospital Medan were categorized as "good" in knowing about gastritis. In this study, it was found that the knowledge of respondents was influenced by education and information obtained from the work environment, experience, social and mass media. With this knowledge, respondents can find out information about, understanding, etiology, classification, pathophysiology, risk factors, signs and symptoms, management and prevention of gastritis. It is hoped that the patient's family should share knowledge with the people around them and increase knowledge about gastritis and by seeking information from various available sources, or from people who have experience in preventing gastritis, can also through health workers in their area.
HUBUNGAN TINGKAT STRESS DENGAN KEJADIAN HIPERTENSI PADA LANSIA DI POSYANDU LANSIA PUSKESMAS TIGA DOLOK PANRIBUAN TAHUN 2022
Authors: Tinah Tinah , Harijun kapabela Siregar
Published: September 2023

One of the causes of increased blood pressure in hypertensive patients is stress. Stress is an unpleasant physical and psychological pressure, stress can stimulate the glands in the kidneys to release the hormone adrenaline and trigger the heart to beat faster and stronger, so that blood pressure increases. This study aims to determine the relationship between stress levels in the elderly and the incidence of hypertension in the elderly at the Elderly Health Center in Tiga Dolok Panribuan Health Center. This type of research is a type of quantitative research with descriptive correlation research methods. The sample in this study amounted to 42 respondents. The sampling technique used is total sampling. The research instruments were in the form of respondent demographic data, stress levels used the DASS (Depression Anxiety Stress Scale) questionnaire, and hypertension was measured using a sphygmomanometer, stethoscope and observation sheet. Data were analyzed using the sperman rho correlation test. The results of this study indicate that there is a relationship between stress levels and the incidence of hypertension in the elderly at Tiga Dolok Panribuan Health Center (p = 0.000). The conclusion obtained is that the better the elderly are in controlling their stress, the lower the risk of hypertension in the elderly. For future researchers, it is necessary to make efforts to prevent stress so that it can reduce the prevalence of hypertension in the elderly.
HUBUNGAN TINGKAT PENGETAHUAN DENGAN KETERAMPILAN MAHASISWA D3 KEPERAWATAN SEMESTER 4 DALAM MELAKUKAN TINDAKAN RJP
Authors: Marlisa  , Dame Evalina Simangunsong  , Yohanna Pehulisa Br Surbakti
Published: September 2023

Cardiopulmonary resuscitation (CPR) is an act of providing compression and ventilation to treat cases of cardiac arrest. Nursing students who will become health workers in the future should have good knowledge and skills to perform CPR. The aim of this study was to find out whether there is a correlation between the level of knowledge and skills of the 4th semester students of the Associate Program in Nursing at Poltekkes Medan, in performing CPR. This research is a correlational quantitative study designed with a cross design, and examines 54 samples obtained through simple random sampling technique. Data regarding knowledge were collected through questionnaires, while data on CPR performed by students were collected through observation. From the results of the study it was found that most of the respondents had a level of knowledge in the good category, where 30 respondents (55.5%) were in the category skilled enough to carry out CPR. Through statistical tests, using Spearman's Rho with SPSS 26, it yields r=0.689 and p-value (0.000)<?(0.05), so it can be concluded that there is a correlation between the level of knowledge and skills in performing CPR. Based on the results of this study, it can be concluded that the level of knowledge and skills possessed by the 4th semester students are mostly in the sufficient category. Students are expected to improve their knowledge and skills in performing CPR by seeking information so they are able to practice their knowledge to patients and the community in need.
PRESSURE SENSORS WITH METROLOGICAL SELF-CONTROL FUNCTION
Authors: Akif Khidirov, Elmar Agayev Akif Khidirov, Elmar Agayev , Shafag Samadova, Khanim Samedova Shafag Samadova, Khanim Samedova
Published: September 2023

The paper considers the advantages of using smart pressure sensors in systems for measuring and controlling technological objects. Modern intelligent sensors that, in addition to the measurement process, convert the measured signals into typical analog and digital values, perform self-diagnosis of their work, remotely adjust the measurement range, pre-process measurement information, and sometimes a number of fairly simple, typical control and management algorithms. They have interfaces to standard / typical field digital networks, which makes them compatible with almost any modern automation equipment, and allows you to communicate with these tools and receive power from the power supplies of these tools. The technical features of the use of modern intelligent pressure sensors are considered. The functions implemented by intelligent sensors, their structural features and characteristics of the main data transfer protocols used in automation systems where these sensors are used are analyzed. The correction of temperature errors of the pressure sensor, which works according to the scheme of the tensor-resistive bridge, with the use of the capabilities of the LabVIEW software environment, is considered.
Keywords: Smart pressure sensors, data transfer protocols, sensing element, LabVIEW software.
ADVANTAGES OF INTRODUCING AN INTEGRATED MANAGEMENT SYSTEM IN EDUCATION
Authors: Sabina Aliyeva, Gunay Damirova Sabina Aliyeva, Gunay Damirova
Published: September 2023

Education is a fundamental need of every member society, therefore, every citizen should be concerned the quality of education provided by providers of educational services. But while the results may not always be guaranteed and yet educational institutions can play a decisive role in ensuring the expected quality in education. These problems can be solved by the Integrated Management System in Education (IMS). This is a guide for improving the management of the enterprise, created on the basis of international management experience. What can we get from IMS and why are we introducing it into the education system? IMS integrates management systems based on the requirements of international and national standards. We also consider the algorithm for the implementation and development of the IMS at EI. This process includes three subsequent steps: preliminary, preliminary and main. With ISO certification, we can: improve our education system; enhance the reputation of your school; promote equal opportunities for all students, regardless of their religion, ethnic or cultural background, gender, ability/disability, etc. ISO certifications for the education industry help school systems to navigate a complex and competitive environment, also help customers in the industry by implementing education industry standards.
Keywords: education, management system, standards digitalization.
DYNAMIC EXPERT SYSTEM INFERENTIAL MECHANISM FOR POLYPROPYLENE PRODUCTION PROCESS
Authors: Yagub Sardarov, Ilaha Zafarli Yagub Sardarov, Ilaha Zafarli , Mazahim Guliyev Mazahim Guliyev
Published: September 2023

The oil refining industry is one of the most important industries in our country, a kind of locomotive for economic development. Automation issues in the field of oil refining and petrochemistry are not at the proper level yet. Therefore, the topic can be considered an urgent research problem. This paper is devoted to the development of an inferential mechanism of dynamic expert system for managing the technological processes of polypropylene production by leaching, washing, and drying an oil refinery, which can be considered a scientific novelty.
At the beginning, an enlarged structure of the created dynamic expert system is given and their contents are revealed. Then the general structure of the inferential mechanism is given. A special place is allocated to building a knowledge base. The knowledge base consists of products in the form of "if-then". They were divided into two groups: products for emergency situations and products of a technological nature. Specific products are given.
To organize a logical conclusion, the apparatus of the theory of fuzzy sets was used and a mathematical description of the scheme developed by us for making a decision from a situation that arose in production was given.
Keywords: expert system, inferential mechanism.
ELECTROPHYSIOLOGICAL METHODS FOR ASSESSING THE FUNCTIONAL STATE OF THE GASTROINTESTINAL TRACT
Authors: Ulker Musevi Ulker Musevi
Published: September 2023

According to the criteria of prevalence and loss of working capacity, diseases of the gastrointestinal tract (GIT) occupy one of the leading places. Disorders of the functional state of the gastrointestinal tract, which are accompanied by violations of its motor-evacuation functions, are considered. To identify gastrointestinal motility disorders, it is necessary to conduct studies that are invasive, or are accompanied by radiation exposure and are difficult to analyze. In this regard, simple non-invasive methods of functional diagnostics, such as peripheral electrogastroenterography (EGEG), are of particular importance.
Electrogastroenterography has no contraindications and is well tolerated by all patients. This allows you to examine even extremely severe patients, both before surgery and from the first hours of the postoperative period. Given the simplicity and accessibility of the technique, it is possible to conduct multiple repeated studies to assess the dynamics of indicators in the course of treatment. The data obtained with electrogastroenterography do not contradict and often outstrip the results of X-ray and endoscopic examination, which indicates a higher sensitivity of the method for diagnosing motor disorders of the motor-evacuation functions of the gastrointestinal tract,
Significantly improving the timeliness and quality of diagnosis to expert doctors allows the use of modern computer technology.
Keywords: neural network, gastrointestinal tract, parasites, disease symptoms, diagnostics, electrogastroenterography.
REGISTRATION METHODS OF CARDIAC ACTIVITY
Authors: Qarayeva, Narmin Mustafayeva Qarayeva, Narmin Mustafayeva
Published: September 2023

This article consists of an introduction, material and methods, analysis of heart rate variability, conclusion and a list of references. This paper is devoted to the development of a heart rate monitor model for diagnosing heart rate variability. The obtained estimates of the main parameters of uniform oscillations are the dynamic series. The obtained estimates of the kind of main parameters of uniform oscillations particularly are the for all intents and purposes dynamic series, which really is quite significant. In the methods for recording cardiac activity for all intents and purposes are considered: sphygmography, cardiography, echocardiography and phonocardiography, pulsometry, the processing of the for all intents and purposes signal recording system in a subtle way. With the help of analysis obtains information about the influence of the heart on the paper of the autonomic nervous system and also about a number of particularly humoral and reflex characteristics, so the obtained estimates of the very main parameters of uniform oscillations basically are the basically dynamic series in a subtle way. Matlab program automate processingof measuring. Finally describes the results of experimental studies and modeling of processes in the Multisim environment. A model of ECG signal processing in the Multisim13 software package was built and the ECG signal was simulated.
Keywords: Sphygmography, pulsometry, signal generation, comparative analysis, registrations, pulsogramm, heart rate.
HAND EXOSKELETON FOR REHABILITATION AND FUNCTIONALIZATION
Authors: Tiago Leite, Eurico Seabra Tiago Leite, Eurico Seabra
Published: September 2023

Many diseases and injuries of the hand require rehabilitation to restore function. However, the high human, financial, spatial, and temporal costs associated with rehabilitation often mean that the population in need does not have access to optimal rehabilitative care. Therefore, devices that complement the therapist are a possible solution, as they make rehabilitation more independent and frequent, and save healthcare facilities the aforementioned resources. Nevertheless, these devices are not widely distributed in the market, mainly due to their poor accessibility. The newly designed exoskeleton has four motors and a redundant transmission system that allows independent flexion and extension of each finger, except the thumb. Kinematics were analyzed with motion studies and loads were evaluated with static studies and structural analysis using motion loads. In the simulations, both flexion and extension were achieved in four seconds. A prototype transmission system was built and its kinematics matched that of the simulation and corresponded to the biomechanics of the fingers. At maximum flexion, the exoskeleton would be able to hold small objects and exert a normal force of up to 20 N with structural integrity.
Keywords: Engineering design, exoskeleton, hand rehabilitation, hand functionalization.
SURFACE TEMPERATURE REDUCTION METHODS BRAKE PAIR FRICTION
Authors: Hikmat Asgarov, Qakhraman Mammadov Hikmat Asgarov, Qakhraman Mammadov , Irina Leonyuk Irina Leonyuk
Published: September 2023

One of the promising industries is oil engineering, the main task of which is the creation of drilling equipment of increased reliability and durability. A band- block brake (LKT) is one of the main units of hoisting and transport machines and equipment widely used in the oil, gas, mining industry, construction and transport. LCT, which has a number of advantages, differs sharply from other types of brakes. We have rich oil and gas deposits in the republic, which are located in deep and hard-to-reach places. During braking, all factors and parameter values, depending on their interconnected action on each other, change to a large extent, which further complicates the friction process. It is also known that, depending on the materials used, the design of the brake and the operating conditions, there is a sharp change in the friction parameters, especially in braking devices operating under heavy loads. Considering the complexity of the nature of the braking process, the deep analysis shows that, along with the interrelated action of various factors, depending on the design, materials of friction pairs and operating conditions of a given brake, the main dominant factor may be the temperature factor that occurs on the friction surface during the braking process.
Keywords: Thermal spots, nozzles, friction, retenax material, temperature, brake pairs, cooling, loading, band-block brake, brake pulley friction surface.
THE USE OF "SOFT COMPUTING" FOR THE DIFFERENTIAL DIAGNOSIS OF THE FUNCTIONAL STATE OF THE CARDIOVASCULAR SYSTEM
Authors: Sabina Uzbekzade Sabina Uzbekzade
Published: September 2023

The application of soft computing technology for diagnosing the functional state of the cardiovascular system is considered. Soft computing technology uses fuzzy sets, fuzzy logic, fuzzy neural networks, genetic algorithms and evolutionary modeling as tools. Various methods of soft computing technology in solving various problems often complement each other when used in various combinations. This technology is focused on solving control problems with semi-structured control objects. The main informative indicators (indicator variables) characterizing the functional state of the cardiovascular system and obtained on the basis of statistical information are identified. These informative indicators include the tension index, the vegetative rhythm index, the indicator of the adequacy of regulatory processes, the tension index of regulatory systems, and also special indicators that are derivatives of classical statistical indicators: respiratory modulation index, functional arrhythmia index, cardiorespiratory synchrony index, parasympathetic control destabilization index. The quality of the classification of possible diseases is determined by indicators such as sensitivity, specificity, predictive value and diagnostic efficiency.
Keywords: Neural networks, fuzzy inferences, diagnostic conclusion, confidence coefficient.