bluuebunny/crossref_metadata_2025 huggingface dataset:
Economic Diplomacy. Pandemic effect
Authors: Musatova T. L.
Published: August 2021

The article analyzes the impact of the COVID-19 coronavirus pandemic crisis on the foreign policy and diplomacy of states, including economic diplomacy. ED is interpreted as a multi-sided multi-faceted activity, an integral part of foreign policy aimed at protecting the national interests and economic security of the country. Given the interdepartmental nature of the ED, the presence of numerous actors and agents, not only state, but also public and business structures, political and foreign economic coordination on the part of the Foreign Ministries is of great importance, and this role of foreign policy departments is increasing during the pandemic crisis. The activity of the ED of Russia in 2020 was generally successful, among the main results: active participation of diplomats in the anti-epidemic work of the Government of the Russian Federation, including export fl ights, provision of emergency assistance by compatriots abroad, assistance to foreign countries; — measures to promote the Russian vaccine in the world, establish its production abroad, and thus win new world markets for medicines; — settlement of the pricing crisis on the world oil market with the leading role of Russia and Saudi Arabia; — adjustment of double taxation agreements with a number of foreign countries, taking into account the domestic economic needs of the country; — the growing experience of BRICS, this interstate association, which did not know the crisis, including its fi ght against epidemiological diseases, during the period of Russia's presidency in the BRICS; — further steps to deepen integration within the EAEU; — Russia's success in the eastern direction of foreign policy, in the development of trade exchanges and epidemiological cooperation with the ASEAN and APEC states. The new world crisis has become a catalyst for the convergence of ED methods with scientifi c and public diplomacy, with other diplomatic cultures that can be combined under the general name of civil diplomacy. Such a separation is required to protect the legacy of professional diplomacy, the popularity and use of which methods is growing signifi cantly. ED, as an integral part of offi cial diplomacy, is presented as a mediator between classical and civil diplomacy. It provides civil society with an example of the more rigorous, pragmatic, results-oriented work that the current pandemic crisis requires.
Development of youth diplomacy on the example of modeling international organizations
Authors: Popova N.N. , Potapkina A.I.
Published: August 2021

The article highlights the importance of the youth movement and international organizations as one of the practical areas of implementation of youth diplomacy. The authors describe the development of the International Youth Model of the UN in the Diplomatic Academy of the Russian Foreign Ministry. Special attention is paid to the transformation of the traditional modeling algorithm in the context of the development of digital technologies. The development of a new stage of the youth model movement in the fi eld of international relations — digital modeling of the United Nations-was announced.
Pengukuran Kualitas Aplikasi Rekap Indikator Mutu Harian RS Bhayangkara Jambi Menggunakan Metode McCall
Authors: Andrianti Ari
Published: August 2021

Rumah Sakit Bhayangkara Jambi dalam melaksanakan program peningkatan mutu dan keselamatan pasien memerlukan sebuah aplikasi yang melakukan proses rekapitulasi terhadap indikator mutu harian yang dilakukan oleh semua unit yang ada di rumah sakit. Aplikasi yang telah dibuat dan berjalan saat ini memiliki fungsi yang sangat penting dalam proses pencatatan mutu harian rumah sakit untuk mencegah terjadi kegagalan dalam penggunaannya perlu dilakukan pengukuran terhadap beberapa faktor kualitas dari aplikasi tersebut. Penelitian ini bertujuan untuk mengukur kualitas aplikasi rekap indikator mutu harian RS Bhayangkara Jambi berdasarkan persepsi pengguna dengan menggunakan metode McCall. Pengumpulan data dilakukan dengan pembagian kuesioner. Analisis data menggunakan analisis data kuantitatif. Pengukuran kualitas terhadap aplikasi rekap indikator mutu harian RS Bhayangkara Jambi dengan menggunakan faktor kualitas McCall yaitu kebenaran, kehandalan, efisiensi dan kegunaan untuk mengetahui sejauh mana kualitas dan tingkat pemanfaatan pengguna aplikasi rekap indikator mutu saat ini, diperoleh hasil kelayakan oleh pengguna menyatakan sangat layak untuk digunakan.
Perancangan E - Commerce Kelapa Sawit Pada Desa Sungai Toman
Authors: Alda Muhamad
Published: August 2021

Selama ini proses penjualan kelapa sawit pada kelompok Tani di Desa Sungai Toman Kabupaten Tanjab Timur masih dilakukan secara konvesional. Kelompok Tani harus datang langsung ke pabrik-pabrik ataupun pihak yang membutuhkan kelapa sawit untuk menawarkan kelapa sawit yang mereka miliki. Dengan melakukan cara tersebut masih terdapat masalah dan kendala yang terjadi terutama dari waktu,tenaga dan biaya yang dikeluarkan dalam melakukan proses penjualan tersebut. Tujuan dari penelitian ini adalah mengidentifikasi dan memberikan solusi dari masalah yang ada pada sistem yang berjalan serta merancang sistem e-commerce pada penjualan kelapa sawit di Desa Sungai Toman Kabupaten Tanjab Timur berbasis website dengan menggunakan bahasa pemrograman PHP dan database MySQL. Penulis melakukan proses pengembangan sistem dengan menggunakan metode waterfall sedangkan tools yang digunakan dalam membuat desain sistem adalah adalah UML (Unified Modeling Language) yang terdiri dari Use Case Diagram, Activity Diagram, Sequence Diagram, serta Class Diagram.
Sistem Informasi Pemesanan dan Pembayaran Kamar pada Apple Hotel Perdagangan Kabupaten Simalungun
Authors: Wardana Yulica , Suhendro Dedi
Published: August 2021

Apple Hotel sebagai salah satu hotel modern di kota Perdagangan Kabupaten Simalungun merupakan hotel sedang berkembang dan terus berupaya untuk meningkatkan layanan serta standar kualitas hotel dari berbagai sisi, antara lain pemanfaatan teknologi informasi. Pemesanan kamar (check in) di Apple Hotel masih kurang efektif, karena pencatatan masih secara konvensional dengan mencatat kedalam buku besar, sehingga butuh waktu lama untuk mencari kamar yang kosong, perhitungan biaya check out dan pembuatan laporan yang sering terlambat. Tujuan dilakukan penelitian ini untuk merancang sistem informasi yang bersifat dinamis secara terkomputerisasi menghasilkan pemesanan dan pembayaran kamar hotel yang efektif dan akurat yang nantinya akan digunakan di Apple Hotel Perdagangan Kabupaten Simalungun. Penulis membangun sistem informasi menggunakan Visual Studio 2010 dan MySQL. Pengembangan sistem menggunakan metode prototype dengan melakukan perencanaan, analisa dan perancangan serta tahap pembuatan sistem (coding). Hasil dan kesimpulan dari sistem informasi pemesanan dan pembayaran pada Apple Hotel Perdagangan Kabupaten Simalungun, penginputan, pencarian, pemesanan dan pembayaran akan lebih mudah serta mengetahui laporan pemesanan dan pembayaran.Kata kunci : Apple Hotel, MySQL, Sistem Informasi, Visual Basic
Perancangan Aplikasi Pembayaran Sumbangan Pembinaan Pendidikan Pada Pondok Pesantren Terpadu Al- Istiqomah
Authors: Syabaniah Rifa nurafifah , Riyanto Andi , Adawiyah Hilma Robiatul , Nuryanti Nuryanti
Published: August 2021

Sistem informasi pembayaran Sumbangan Pembinaan Pendidikan (SPP) merupakan pembayaran atau iuran setiap bulannya dari siswa di sekolah. Pembayaran SPP diambil berdasarkan kesepakatan hasil rapat antara pihak sekolah dan orang tua wali siswa. PPT Al Istiqomah merupakan lembaga yang bergerak dalam bidang pendidikan dengan memadukan pesantren modern dan sekolah. Saat ini pengelolaan data dan pembayaran SPP PPT Al Istiqomah belum tersistem dengan baik, sehingga menimbulkan masalah dalam proses transaksi pembayaran SPP dan pencatatan laporan penerimaan pembayaran SPP yang membutuhkan waktu cukup lama. Hasil dari penelitian ini adalah aplikasi pembayaran SPP yang dapat digunakan lembaga/yayasan untuk permasalahan yang dihadapi sehingga memudahkan dalam proses administrasi pembayaran SPP serta meminimalkan terjadinya kesalahan dalam transaksi dan pencatatan laporan penerimaan pembayaran SPP
Perancangan Sistem Informasi Manajemen Surat (SIMURAT) Pada AKAKOM Stephen Jambi
Authors: Husaein Ahmad
Published: August 2021

Setiap organisasi memiliki keinginan untuk bertumbuh. Organisasi yang ingin bertumbuh harus memiliki sistem kerja dengan beragam aktifitas yang saling bekerja sama antara bagian yang satu dengan bagian lainnya untuk mencapai suatu tujuan yang ditetapkan. Banyak organisasi yang kurang memperhatikan keberadaan arsip surat masuk dan surat keluar yang jika tidak dikelola dengan baik dapat mengganggu kegiatan organisasi tersebut. Pengelolaan surat masuk dan surat keluar pada AKAKOM Stephen Jambi dilakukan secara konvensional sehingga menyebabkan arsip tercecer, rusak bahkan hilang. Pemanfaatan teknologi informasi dapat mengatasi masalah manajemen surat, sehingga pengarsipan surat masuk dan keluar serta disposisi surat dapat berjalan dengan cepat, tepat dan akurat. Pengembangan sistem informasi manajemen surat (SIMURAT)  ini menggunakan metode waterfall dimana proses dilakukan secara berurutan atau secara linier sesuai tahapan dalam metode tersebut. Penelitian ini menghasilkan perangkat lunak berbasis web yang dapat mengatasi permasalahan dalam manajemen surat masuk dan surat keluar.
Evaluasi Proses Bisnis Akademik STIKOM Dinamika Bangsa Melalui Pendekatan Business Process Improvement
Authors: Sunoto Akwan
Published: August 2021

STIKOM Dinamika Bangsa adalah satu perguruan tinggi bidang ilmu komputer namun belum semua aktivitas dalam proses bisnis akademiknya didukung dengan penggunaan teknologi informasi sehingga proses bisnisnya tidak berjalan optimal. Ada  beberapa kendala muncul dalam proses bisnis akademiknya seperti panjangnya proses yang dilalui, aktivitas yang berbelit serta lamanya aktivitas diproses sehingga aktivitas tidak berjalan efektif. Oleh karena itu  proses bisnis akademik ini perlu dianalisis dan dievaluasi. Dalam penelitian ini evaluasi dilakukan melalui pendekatan Business Process Improvement (BPI)  sedangkan pemodelan proses bisnisnya menggunakan Business Process Modelling Notation (BPMN). Kegiatan penelitian ini menghasilkan pemodelan serta rekomendasi-rekomendasi perbaikan terhadap aktivitas-aktivitas yang terdapat didalam masing-masing proses bisnis sehingga efektivitas dan efisiensi dari proses bisnis dapat ditingkatkan.
Perancangan Aplikasi Sosiometri Pada Rumah Sakit Bhayangkara Mayang Mangurai Jambi
Authors: Andrianti Ari
Published: August 2021

Kondisi sosial di lingkungan kerja di RS Bhayangkara Jambi dengan jumlah pegawai yang cukup banyak khususnya hubungan antar sesama pegawai tidaklah selalu harmonis. Hal semacam ini bisa memberikan dampak negatif terhadap penilaian kinerja Menyadari pentingnya peranan interaksi sosial yang harmonis, maka perlu dirancang sebuah aplikasi dengan metode dan instrument yang dinamakan sosiometri. Perancangan aplikasi ini menggunakan model waterfall dimana dalam model ini dimulai dari tahap analisis kebutuhan, desain sistem, implementasi dan pengujian unit serta pengujian sistem. Penelitian ini menghasilkan sebuah aplikasi sosiometri sehingga dengan adanya aplikasi ini maka permasalahan hubungan kerja dan penilaian kinerja pegawai dapat di atasi.
Penerapan Algoritma Fp-Growth Dalam Menentukan Perilaku Konsumen Ghania Mart Muara Bulian
Authors: Anas Azwar
Published: August 2021

Ghania Mart merupakan salah satu minimarket yang beroperasi di Muara Bulian, tepatnya di Jl. Prof. Dr. Sri Sudewi atau depan Rumah Sakit Umum Daerah Haji Abdoel Madjid Batoe Muara Bulian. Minimarket ini tergolong masih baru karena beroperasi sejak tahun 2020. Meskipun baru, minimarket ini cukup ramai dikunjungi oleh konsumen yang berbelanja, hal ini dikarenakan pemilihan lokasi yang tepat dari manajemen Ghania Mart. Produk yang tersedia di Ghania Mart lebih didominasi oleh kebutuhan bahan pokok seperti beras, minyak sayur, gula, garam dan lainnya. Selain itu juga tersedia produk lain seperti makanan instan dan minuman instan dengan berbagai merk dan variasi rasa. Ghania Mart beroperasi mulai dari pukul 08.00 sampai pukul 21.00 WIB. Metode yang penulis gunakan dalam penelitian ini adalah library research atau penelitian labor. Dalam penelitian ini, penulis menggunakan teknik pengayaan data mining. Adapun algoritma yang penulis gunakan dalam penambagnan data ini adalah Algoritma FP-Growth. Sedangkan software  yang digunakan adalah Weka Data Mining. Hasil penelitian ini membuktian algoritma FP-Growth memiliki kecepatan dalam pemrosesan data yang terbantu dari pembentukan FP-Tree. Pengujian menggunakan software data mining Weka didapatkan 4 rule terbaik. Kombinasi Masker dan Kopi memiliki support 10% dan confidence mencapai 93%.
Analisis dan Perancangan Sistem Informasi Kasir Pada Restoran The Tempoa Jelutung Jambi
Authors: Meisak Despita
Published: August 2021

Restoran Tempoa Jelutung Jambi telah berdiri sejak tahun 2010. Saat ini, restoran masih menggunakan nota manual sehingga sering terjadi kesalahan kalkulasi, tulisan tangan tidak rapi, dan kesulitan untuk menata tagihan manual tersebut, khususnya pada saat pengunjung ramai sehingga membuat pelanggan harus menunggu lama untuk transaksi pembayarannya, Untuk meningkatkan performa, diperlukan sebuah sistem berbasis komputer untuk meningkatkan kinerja karyawan dan pelayanan jasa terutama kasir yang melayani transaksi pembayaran pelanggan. Penelitian ini diawali dengan identifikasi permasalahan, mempelajari literatur penelitian sejenis yang sesuai dengan permasalahan yang terkait di restoran ini, serta mengumpulkan data guna menganalisa kebutuhan sistem. Sistem dimodelkan dengan use case diagram,  activity diagram dan class diagram dan prototype perangkat lunak dengan alat bantu visual basic 6.0, sehingga menghasilkan sistem informasi kasir untuk membantu kasir agar dapat memproses transaksi pelanggan dengan efektif dan efisien, meminimalisir kesalahan input data pesanan pelanggan serta mempermudah dalam penyiapan laporan penjualan
Aplikasi Jambiku Bersih Dengan Permodelan Mengunakan UML
Authors: Husni Akhmad Faisal , Oktarino Ade
Published: August 2021

Penanganan Sampah merupakan permasalahan yang dihadapi pemerintah Kota Jambi khususnya Dinas Lingkungan Hidup (DLH) Kota Jambi. Permasalahan yang terjadi dilapangan antara lain jadwal pengangkutan sampah, pengawasaan petugas di lapangan serta transparansi dalam penyampaian informasi. Penelitian ini dilakukan untuk membuat permodelan aplikasi bagi masyarakat agar memperoleh informasi mengenai lokasi Tempat Pembuangan Sampah, kegiatan dinas terkait dan membuat pengaduan pengelolaan sampah sebagai sarana pengawasan pimpinan DLH kota Jambi terhadap kinerja petugas di lapangan.  Pengembangan sistem menggunakan metode waterfall dan pemodelan kebutuhan sistem digambarkan dengan diagram Unified Modeling Language (UML). Aplikasi Jambiku Bersih membantu masyarakat kota Jambi dalam mendapatkan informasi terkait pembuangan sampah, pengawasan terhadap kinerja petugas di lapangan serta memberikan informasi untuk meningkatkan pelayanan DLH Kota Jambi.
Perbandingan Analisis Kepuasan Pengguna Jaringan Internet Telkomsel Menggunakan R Programming dan Menggunakan Cara Manual
Authors: Kelik
Published: August 2021

Pada jaman modern, sebagian besar masyarakat tidak terlepas dari internet. Banyak provider dari kartu telekomunikasi yang menyediakan fasilitas internet. Salah satu provider tersebut adalah Telkomsel. Telkomsel merupakan provider yang cukup besar di Indonesia dan banyak penggunanya bukan hanya di perkotaan tetapi juga di pelosok tanah air karena jangkauan jaringan Telkomsel yang bisa menjangkau hampir seluruh wilayah terpencil di Indonesia. Namun, pada waktu-waktu tertentu pasti ditemui gangguan jaringan internet yang mampu mempengaruhi kepuasan pengguna jaringan internet Telkomsel. Oleh karena itu, perlu dilakukan analisis terkait kepuasan pengguna. Penulis memanfaatkan komentar masyarakat pada twitter untuk melakukan analisis tersebut. Analisis jaringan internet Telkomsel dilakukan dengan dua cara yaitu analisis otomatis dengan R Programming dan secara manual dengan polling responden. Hasil dari kedua analisis tersebut sama-sama menunjukkan kategori tidak puas walaupun dengan persentase yang berbeda tetapi keduanya sama-sama menunjukkan hasil tidak puas untuk hasil yang terbanyak. Untuk hasil analisis dengan R Programming tidak puas sebesar 14,5% sedangkan analisis secara manual sebesar 61%. Hasil analisis yang digunakan dalam perbandingan hanya kategori puas dan tdak puas dan penulis mengabaikan hasil dari kategori netral, karena netral tidak mengandung emosi apapun. Dari kedua analisis yang dilakukan penulis, analisis otomatis dengan R Programming lebih efektif dan efisien karena mulai dari awal proses crawling twitter sampai dengan hasil analisis dan visualisasinya bisa dilakukan dengan lebih cepat.

Kata kunci: Crawling, Jaringan Internet, Provider, R Programming.
Education From a Gardener’s Perspective
Authors: Boddie Stephanie
Published: August 2021

Nature has much to teach if we will be attentive and learn from her. In Fall 2018, a school of social work professor designed a new course to teach across three schools—social work, education, and the seminary. To integrate faith and learning, this professor designed this course based on the four permaculture (permanent agriculture) design principles: care of people; care for the earth; fair share; and transitional ethic. In this class, graduate students took on community challenges—food insecurity and K-12 student disengagement from learning—to help them live out their vocation while also supporting the development of a local school garden. Ultimately, with this affective, embodied, creative, and reflective pedagogy, learning was experienced more holistically and in a more relevant manner to everyday life.
Racial/Ethnic Socialization and Faith
Authors: Boddie Stephanie , Kyere Eric
Published: August 2021

Although racial-ethnic socialization (RES) within the African American communities includes faith/spirituality, Christian social workers have not explored this relationship in ways that explicitly integrate the two. As a result, we have limited understanding of how Christian social workers can foster a holistic sense of self that integrates Christian and racial/ethnic identities to foster empowerment and liberation possibilities among black/African American youth. Drawing on literature related to RES and faith/spirituality, we argue that Christians social workers can integrate the process of faith development, with an explicit focus on Black liberation theology, with RES to promote psychological and spiritual liberation to foster self-worth and dignity of black youth to promote their positive development. This paper provides a review of the literature on racial/ethnic socialization. A discussion of how the Black church and liberation theology along with black history positively shapes racial identity and preparation to resist racism. We conclude with some practice and research recommendations
Özel Eğitim Öğrencilerinin Okuduğunu Anlama Becerilerini Geliştirmede Teknoloji Destekli Öğretimin Etkisi
Authors: KAVAN Nihat
Published: August 2021

Yapılan bu çalışma özel eğitim öğrencilerinin okuduğunu anlama becerilerini geliştirmede teknoloji destekli öğretimin etkisini tespit etmek amacıyla gerçekleştirilmiştir. Bu amaçla deney ve kontrol gruplarından oluşan 20 hafif zihinsel gereksinimi olan 6. sınıf öğrencisinin okuduğunu anlama düzeyi nicel araştırma yöntemlerinden olan ön test-son test kontrol gruplu seçkisiz deneysel desen modeline göre tasarlanan verilerle incelenmiştir. 2018 Türkçe Dersi Öğretim Programı’nda yer alan bilgilendirici, hikâye edici ve şiir metin türlerinin alt türleri olan dokuz metin türüne uygun olarak seçilen metinler haftalık periyotlarla öğrencilere sunulmuştur. Metinler birbirine denk olan bu gruplardan deney grubu öğrencilerine etkileşimli tahta aracılığıyla kontrol grubu öğrencilerine ise akıllı tahta kullanılmadan geleneksel öğretim yöntemleri ile sunulmuştur. Metinler işlendikten sonra öğrencilere her birisi beş sorudan oluşup 100 puan üzerinden değerlendirilen Okuduğunu Anlama Başarı Testi uygulanmıştır. Yapılan en son Okuduğunu Anlama Başarı Testinin ardından iki hafta sonra Kalıcılık Testi yardımıyla öğrencilerin okudukları metinleri anlamlandırma düzeyleri analiz edilmiştir. Araştırma bulguları sonucunda, deney ve kontrol grubu öğrencilerinin ön test puanları arasında anlamlı bir fark bulunamamıştır. Fakat Kalıcılık Testi puanları karşılaştırıldığında deney grubu ve kontrol grubu öğrencilerinin puanları arasında istatistiki açıdan pozitif yönde anlamlı bir fark bulunmuştur. Araştırma sonucunda deney grubunda bulunan öğrencilerin kalıcılık testi puanlarının kontrol grubunda bulunan öğrencilerin puanlarından daha yüksek olduğu tespit edilmiştir.
Examining the Effect of Inquiry-Based Problem-Solving Activities on the Problem-Solving Skills of 60-72 Months Old Children
Authors: DAL BERBEROĞLU Yeliz , ALABAY Erhan
Published: August 2021

The present study aims to examine the effect of inquiry-based problem-solving activities on 60-72 months old children’s problem-solving skills. In the study, the pretest-posttest control group experimental design which is among the quantitative research designs was used. The study group consists of a total of 26 pre-school children as 13 in the experimental and 13 in the control group. The inquiry-based problem-solving activities prepared by the researchers were applied to the experimental group as a total of 30 sessions for 10 weeks and three times a week. Demographic information form and Problem-Solving Skills Scale were used as data collection tools. As a result of the study, it was determined that the problem-solving skill scores of the children in the experimental group were statistically higher than the students in the control group. In other words, inquiry-based problem-solving activities positively affected the problem-solving skills of children.
Hayat Bilgisi ve İlk Okuma Yazma Derslerini Konu Alan Doktora Tezlerine Yönelik Bir İnceleme
Authors: GÜVEN Bülent , KIRAT Emel
Published: August 2021

Okul öncesi eğitimin ardından ilkokula geçişle birlikte tüm öğrencilerin öğretim sürecinde ilk kez karşılaştıkları hayat bilgisi ve ilk okuma yazma becerisinin ağırlıklı olduğu Türkçe derslerinin bireylere kazandırılması hedeflenen temel yaşam becerileri ve okula uyum süreçleri üzerinde doğrudan etkili olduğu açıkça söylenebilir. Her iki ders sahip oldukları misyonlar yönüyle programlarda yer aldıkları tarihten bugüne çok sayıda akademik çalışmaya konu olmuş, araştırmacıların üzerinde sıkça çalıştığı bir alan haline gelmiştir. Öyle ki ortaya konan birçok araştırma incelendiğinde program geliştirme uzmanlarına, uygulayıcı olan öğretmenlere önemli yardımlar sağlayabilmeyi amaçladıkları anlaşılmaktadır. Bu durumdan hareketle lisansüstü eğitim basamaklarından doktora düzeyinde anılan her iki derse yönelik gerçekleştirilen tez çalışmalarını temel araştırma boyutları yönüyle inceleyebilmek bu araştırmanın genel amacıdır. Nitel araştırma yöntemine uygun olarak doküman inceleme tekniği ile gerçekleştirilen araştırmada hayat bilgisi ve ilk okuma yazma dersleri konularında tamamlanmış YÖK Ulusal Tez Merkezi ve Proquest veri tabanında erişime açık bulunan doktora tezleri kapsama alınmıştır. Araştırmanın amaçlarına uygun şekilde belirlenen boyutlara bağlı olarak elde edilen araştırma verileri frekans ve yüzde değerleriyle sayısal hale getirilerek tablolar şeklinde sunulmuştur. Bulguların analizine dayalı olarak araştırma kapsamında incelenen doktora tezlerinin ağırlıklı şekilde beceri kazandırma, beceri düzeyinin belirlenmesi, kullanılan yöntem – tekniğin etkililiğinin sınanması gibi amaçlarla gerçekleştirildiği, araştırmacıların tercih ettikleri araştırma yöntemi yönüyle yüksek oranda karma yöntem ve bu yönteme bağlı desenlere yöneldikleri belirlenmiştir. Gerçekleştirilen deneysel desen ve eylem araştırmalarında ağırlıklı olarak akademik başarı düzeyinin artışı yönünde sonuçlara ulaşıldığı da ayrıca gözlenmiştir.
Técnicas construtivas tradicionais na usina Monte Alegre em Piracicaba-SP / Traditional construction techniques at the usina Monte Alegre in Piracicaba-SP
Authors: Araujo Chirley da Silva , Cachioni Marcelo
Published: August 2021

A cidade de Piracicaba, localizada no interior do estado de São Paulo em território brasileiro, fez parte do berço de grande importância para o desenvolvimento agrícola de toda a região. Por meio dessa cultura, assim como sua localização estratégica, ficou conhecida em todo o país, o que atraiu a atenção de produtores açucareiros e a criação de engenhos em seu território, assim como usinas de açúcar. A Usina Monte Alegre, fundada no início do século XX, foi um espelho para outras cidades de como as tecnologias voltadas à agricultura são importantes. A implantação dessas tecnologias foi tão bem sucedida que os proprietários criaram vilas operárias e infraestrutura para abrigar os milhares de funcionários nos arredores dessas indústrias. Atualmente, a usina está inoperante, tendo apenas parte de sua área ocupada por uma fábrica de papel e celulose, porém uma grande identidade visual e arquitetônica foi deixada em Monte Alegre, assim como grande potencial para novos usos e tecnologias. Com estudos necessários sobre patrimônios industriais, sustentabilidade e novos mercados internacionais, é possível fazer com que a UMA tenha mais uma vez seu momento de ascensão e crie diversos empregos e oportunidades para a região.
NEUROIMAGING FOR THE DIAGNOSIS OF DEMENTIA
Authors: Ахмадеева Л. Р. , Байков Д. Э. , Валитова Р. Р. , Екушева Е. В. , Войтенков В. Б. , Филимонов М. И. , Давидян О. В.
Published: August 2021

В результате совершенствования методов лабораторной диагностики и нейровизуализации стало возможным определение ряда биомаркеров, которые позволили улучшить прижизненную диагностику наиболее распространенных вариантов деменции (болезни Альцгеймера, деменции с тельцами Леви, сосудистой деменции). Структурные изменения, которые выявляются при МРТ головного мозга, являются значимыми для прогноза изменений в когнитивной сфере. Дополнительным доступным маркером, который повышает диагностическую значимость лейкоареоза и свидетельствует в пользу гипертонической микроангиопатии или церебральной амилоидной ангиопатии, является церебральное микрокровоизлияние, особенно в случаях тяжелого когнитивного дефицита и смешанной патологии. Приводится собственное наблюдение и данные цифровой гиппокампометрии как пример эффективного использования нейровизуализационных методов в дифференциальной диагностике деменции.

Development of laboratory diagnosis and neuroimaging revealed some biomarkers for in vivo diagnosis of the most common forms of dementia (Alzheimer’s disease, Lewy body dementia and vascular dementia) for their differential diagnosis. Structural changes found using magnetic resonance imaging (MRI) are signiﬁcant for the prognosis of the cognitive decline. Cerebral microbleeds are an available adjuvant diagnostic marker, which increases the diagnostic value of leukoaraiosis that suggests the development of cerebral amyloid angiopathy or hypertensive microangiopathy, especially in cases of mixed causes of dementia and severe cognitive deﬁcits. We describe our own clinical case and the results of digital voxel hippocampometry as an example of effective usage of neuroimaging for the differential diagnosis of dementia.
FALLS IN PATIENTS WITH CHRONIC SYSTOLIC HEART FAILURE 65 AND MORE YEARS OLD
Authors: Зарудский А. А. , Прощаев К. И. , Перуцкая Е. А. , Перуцкий Д. Н. , Кравченко Е. С. , Силютина М. В.
Published: August 2021

В настоящее время значительно увеличилось число больных пожилого и старческого возраста с систолической ХСН. В этой категории пациентов существенное значение для прогноза и качества жизни могут играть гериатрические синдромы. Синдром падений является одним из ведущих гериатрических синдромов, способных влиять на качество жизни и прогноз у больных с данной патологией. Целью нашей работы явилось изучение распространенности синдрома падений у пациентов 65 лет и старше с систолической ХСН и выявление у них предикторов развития падений. Основную группу ( n =240) составили пациенты 65 лет и старше с ХСН с ФВ<50 %; контрольную ( n =200) - больные с сердечно-сосудистыми заболеваниями того же возраста без признаков ХСН и при отсутствии снижения ФВ и значимой клапанной патологии. В основной группе выявлено достоверно большее число пациентов, страдающих падениями и эквивалентами падений. Доказана высокая предсказательная роль теста стояния на одной ноге в данной группе пациентов; выявлено достоверное снижение времени стояния на одной ноге при сравнении с больными контрольной группы. Снижение ФВ<50 % повышает риск падений в 1,56 раза ( p =0,022), но при этом не определяется достоверной корреляции значения ФВ и риска падений. Риски падений достоверно коррелируют со степенью гипертрофии ЛЖ, выраженностью нарушений диастолической функции у пациентов 65 лет и старше с систолической ХСН.

Today we can see a rapidly growing number of patients with systolic heart failure (HF) 65 and over years old. Geriatric conditions may play an important role in such patients. Falls are one of geriatric syndromes, which can inﬂuence in prognosis and quality of life in patients with chronic systolic heart failure. Aim of our research was to appreciate prevalence of falls in patients with systolic HF 65 and over years old, identify fall predictors in this group of patients. Patients with chronic HF 65 and over years old with depressed ejection fraction (EF less than 50 %) were included in the main group ( n =240). Control group ( n =200) was composed by patient with cardiac diseases but with no evidences of congestive HF, without EF decline and with no signiﬁcant valve dysfunctions. Patients were asked about falls and fall equivalents. Risk of falls was also validated by 1 leg balance test. Falls and fall equivalents were more frequent in the main group of patients ( p =0,022). High predictive value of 1-leg balance test for such patients was validated. Time of 1-leg balance test was signiﬁcantly lower in the main group of patients. Signiﬁcant relations were observed between falls, fall equivalents and echocardiographic parameters. Depression of EF increase risk of fall in 1,56 times ( p =0,022) but with no correlation between EF and falling risk. Falls are signiﬁcantly related with left ventricular hypertrophy and diastolic dysfunction in patients with chronic systolic heart failure 65 years old and older.
COMPARATIVE EVALUATION OF SCALES FOR THE ASSESSMENT OF SENILE ASTHENIA SYNDROME IN PATIENTS WITH ACUTE CORONARY SYNDROME
Authors: Борисова Л. В. , Пушкин А. С. , Ким С. В. , Яковлев В. В. , Аничков Н. М. , Рукавишникова С. А.
Published: August 2021

Синдром старческой астении у пациентов с острым коронарным синдромом признается как один из факторов риска развития неблагоприятных исходов после перенесенных кардиохирургических вмешательств, и поиск оптимального метода оценки данного синдрома мог бы быть скринингом по выявлению пациентов с повышенным риском. В данном исследовании сравнивается два метода оценки синдрома старческой астении у пациентов с острым коронарным синдромом, его распространенность у данной категории больных, связь с клиническими характеристиками и смертностью через 1 год после госпитализации. По результатам исследования, синдром старческой астении наблюдали чаще в группе пациентов старше 75 лет. Больные со старческой астенией, определенной по шкале Green, имели выше риск по шкале GRACE, и наличие данного синдрома было независимым предиктором смертности через 1 год после госпитализации.

The syndrome of senile asthenia (frailty) in patients with acute coronary syndrome is recognized as one of the risk factors for the development of adverse outcomes after undergoing cardiosurgical interventions, and the search for an optimal method for assessing this syndrome could be a screening to identify patients at increased risk. This study compares two methods for assessing senile asthenia syndrome in patients with acute coronary syndrome, its prevalence in this category of patients, its relationship with clinical characteristics and 1-year mortality after hospitalization. According to the results of the study, senile asthenia syndrome was observed more often in the group of patients older than 75 years. Patients with senile asthenia assessment using the Green scale had a higher risk on the GRACE scale and the presence of this syndrome was an independent 1-year mortality predictor after hospitalization.
RISK FACTORS FOR ADVERSE CLINICAL EVENTS AFTER CAROTID ARTERIES STENTING IN ELDERLY AND SENILE PATIENTS
Authors: Белобородов В. А. , Степанов И. А. , Томашов И. И. , Саакян З. С. , Трепезников В. Г. , Верхотуров С. О.
Published: August 2021

Безопасность применения методики каротидной ангиопластики со стентированием (КАС) у пациентов пожилого и старческого возраста по-прежнему остается спорным вопросом. Причины развития нежелательных явлений у данной группы пациентов после выполнения операции КАС неизвестны. Цель исследования - изучить факторы риска развития нежелательных клинических явлений после выполнения операции КАС у пациентов старшей возрастной группы. В исследование были включены 147 пациентов (94 мужчины и 53 женщины, средний возраст - 72,1±3,5 года) пожилого и старческого возраста, госпитализированных с целью выполнения КАС по поводу стеноза сонных артерий. Согласно построенной модели бинарной логистической регрессии, статистически значимо ассоциированы с развитием осложнений после выполнения операции КАС следующие параметры: наличие ОНМК в анамнезе ( p =0,013), симптоматический стеноз сонных артерий ( р =0,011) и степень инвалидизации по mRS (Modiﬁed Rankin Scale, модифицированная шкала Рэнкин) ≥3 ( р =0,002). Для выявления обозначенных факторов риска и минимизации частоты встречаемости осложнений у пациентов пожилого и старческого возраста, которые подверглись операции КАС, необходима детальная предоперационная оценка их соматического статуса с акцентом на состояние сердечно-сосудистой системы.

The safety of the use of carotid arteries stenting (CAS) in elderly and senile patients remains a controversial issue. The reasons for the development of adverse events in this group of patients after CAS surgical procedure are unknown. The purpose of this study was to evaluate the risk factors for the development of adverse clinical events after CAS surgical procedure in elderly patients group. The study included 147 patients (94 men, 53 women, average age - 72,1±3,5 years) of elderly and senile patients hospitalized to perform CAS for stenosis of the carotid arteries. According to the constructed model of binary logistic regression, the following parameters are statistically signiﬁcantly associated with the development of complications after CAS: the presence of stroke in the anamnesis ( p =0,013), symptomatic stenosis of the carotid arteries ( p =0,011) and the degree of disability according to mRS (Modiﬁed Rankin Scale) ≥3 ( p =0,002). In order to identify the identiﬁed risk factors and minimize the incidence of complications in elderly patients who underwent CAS surgery, a detailed preoperative assessment of their somatic status is necessary with an emphasis on the state of the cardiovascular system.
ALGORITHM FOR STRATIFICATION OF WOMEN FOR DIFFERENTIATED THERAPY OF MENOPAUSAL SYNDROME IN COMBINATION WITH PERIMENOPAUSAL MELATONIN DEFICIENCY SYNDROME
Authors: Мамонтова А. Г. , Усольцева Е. Н. , Соловьев А. Г.
Published: August 2021

Климактерический синдром (КС) является ведущим проявлением патологического климактерия. Наряду с дефицитом половых стероидов, при КС наблюдают изменение синтеза гормона эпифиза мелатонина (МТ), что приводит к формированию синдрома перименопаузального дефицита мелатонина (СПДМ) - симптомокомплекса, клинически характеризующегося доминированием жалоб на нарушение сна, болевые ощущения в теле, а также наличием депрессии, тревоги/страхов и соматических симптомов. КС и СПДМ являются коморбидными состояниями, нарушающими климактерическое здоровье женщин. Представлен алгоритм стратификации женщин в пери-и постменопаузе с КС и СПДМ для подбора дифференцированной терапии, включающий определение показаний к монотерапии препаратами МТ, синтетического гинестеина, а также к сочетанному лечению с менопазульной гормональной терапией. Обосновано применение предложенного подхода для повышения эффективности терапии КС в сочетании с СПДМ, улучшения показателей качества жизни и стимулирования здорового и активного долголетия женщин старшей возрастной группы.

Climacteric syndrome (CS) is considered to be a frequent manifestation of pathological menopause. Menopause associated not only with deﬁciency of sex steroids, decrease of melatonin secretion is observed. Perimenopausal melatonin deﬁciency syndrome (SPDM) is the complex of symptoms, which is often formed amid decrease of melatonin synthesis and clinically characterized by the prevalence of complaints of sleep disorders (problems), bodily pain, depression, anxiety/fears and somatic symptoms. CS and SPD are co-morbidities, that impair the «women menopausal health». The article presents the stratiﬁcation algorithm of peri- and post-menopausal women with the co-morbid pathology of CS and SPDM for selection of differentiated therapy. The algorithm involves detection of indications for monotherapy with melatonin or synthetic genistein, and for combined treatment with menopausal hormone therapy. The usage of this concept is reasonable for improvement of treatment efﬁciency of co-morbid pathology of CS and SPDM, for quality of life improvement and for induction of active ageing of women of senior group.
TUMOR NECROSIS FACTOR ALFA IN VERY ELDERLY PATIENTS WITH CORONARY ARTERY DISEASE
Authors: Тополянская С.В. , Елисеева Т.А. , Вакуленко О.Н. , Дворецкий Л.И.
Published: August 2021

Представлены результаты исследования концентрации TNF-α, а также взаимосвязи этого цитокина с рядом патологических состояний у больных старческого возраста c ИБС по сравнению с контрольной группой больных без ИБС. Средняя концентрация TNF-α достигала 9,2±4,7 пг/мл (3,9-31,9 пг/мл) при нормальных значениях TNF-α <8,1 пг/мл. Повышение уровня TNF-α обнаружено у 54,6 % больных. У больных ИБС средняя концентрация TNF-α достигала 10±4,9 пг/мл, тогда как в группе пациентов без ИБС - 6,1±1,8 пг/мл (р=0,000001). Содержание TNF-α было выше у пациентов с ХСН (р=0,002) и гиперурикемией (р=0,000006). Была выявлена достоверная позитивная корреляция уровня TNF-α и мочевой кислоты (р<0,000001), мочевины (р=0,00004), креатинина (р=0,002) и β-Cross Laps (продуктов деградации коллагена), р=0,0001, в сыворотке крови. Обнаружена отрицательная корреляция TNF-α и холестерина ЛПВП (р=0,00005), а также лептина (р=0,01). Отмечено снижение концентрации TNF-α с возрастом (р=0,006).

The results of a study of the concentration of TNF-α as well as the relationship of this cytokine with a number of pathological conditions in very elderly patients with coronary artery disease compared with the control group of patients without CAD are presented in the article. The average group concentration of TNF-α reached 9,2±4,7 pg/ml (from 3,9 to 31,9 pg/ml) with normal TNF-α values of less than 8,1 pg/ml. An increase in the level of TNF-α was detected in 54,6 % of patients. In patients with coronary artery disease the average concentration of TNF-α reached 10±4,9 pg/ml, while in the group of patients without CAD - 6,1±1,8 pg/ ml (р=0,000001). TNF-α content was higher in patients with chronic heart failure (р=0,002) and with hyperuricemia (р=0,000006). The correlation analysis revealed a significant positive correlation between the level of TNF-α and uric acid (р<0,000001), between the concentration of TNF-α and the content of β-Cross Laps (degradation products of type I collagen) (р=0,0001), as well as serum creatinine (р=0,002) and urea (p=0,00004) levels. In addition, a negative correlation was found between the values of TNF-α and high-density lipoprotein cholesterol concentration (р=0,00005), as well as leptin level (h=0,01). A decrease in the concentration of TNF-а was observed with increasing age of the patients (р=0,006).
SIGNIFICANCE OF PLATELETS IN INFLAMMATORY AND THROMBOTIC REACTIONS IN THE ELDERLY
Authors: Осадчук А. М. , Давыдкин И. Л. , Золотовская И. А.
Published: August 2021

Развитие тромботических реакций, приводящих к нежелательным клиническим последствиям у лиц пожилого возраста, известно при многих заболеваниях, включая патологию сердечно-сосудистой системы. Сегодня идет накопление данных о степени выраженности изменений системы гемостаза у пациентов с новой коронавирусной инфекцией (COVID-19) и изучение тромбоцитарного и плазменного звена. Для понимания некоторых механизмов, связанных с патологией тромбоцитов, нами представлен обзор, в котором обобщены сведения о патофизиологических реакциях тромбоцитов в условиях их старения и возможных механизмах их патологической агрегации. Возможно, представленные фундаментальные и клинические данные будут интересны широкой аудитории специалистов для обсуждения ранней антитромбоцитарной терапии и ее обоснования не только у пациентов с сердечно-сосудистыми заболеваниями, но и с COVID-19.

The development of thrombotic reactions that lead to undesirable clinical consequences in the elderly is known in many diseases, including pathology of the cardiovascular system. Today, data on the severity of changes in the hemostatic system in patients with a new coronavirus infection (COVID-19) and the study of platelet and plasma levels are being accumulated. In order to understand some of the mechanisms associated with platelet pathology, we present a review that summarizes information about the pathophysiological reactions of platelets in the conditions of their aging and possible mechanisms of their pathological aggregation. Perhaps the presented fundamental and clinical data will be of interest to a wide audience of specialists to discuss early antiplatelet therapy and its justification not only in patients with cardiovascular diseases, but also with COVID-19.
SILENT ATRIAL FIBRILLATION AS A RISK FACTOR FOR FALLS IN THE ELDERLY
Authors: Турушева А.В. , Фролова Е.В. , Петросян Ю.М. , Думбадзе Р.Д.
Published: August 2021

Падения повышают риск травм, инвалидизации и смертности пожилых людей. Фибрилляция предсердий (ФП) является одним из факторов риска падений в пожилом возрасте, тем не менее, связь между «скрытой» ФП и падениями не исследована. В исследование были включены пациенты 60 лет и старше (n=131), находившиеся на лечении в Городском гериатрическом медикосоциальном центре. Диагностированная ранее ФП была выявлена у 13,7 % (n=18) участников исследования, «скрытая» ФП - у 11,5 % (n=15). Обе формы ФП были ассоциированы с четырехкратным увеличением частоты падений в пожилом возрасте: (95 % ДИ) 4,26 (1,18-15,40) для ранее выявленной ФП и 4,56 (1,25-16,66) для «скрытой» ФП. Скрининг ФП позволил выявить на 16,9 % (95 % ДИ 6,7-26,8 %; p<0,001) больше пациентов, находящихся в группе риска падений. Таким образом, «скрытая» ФП, как и ранее диагностированная, являются независимыми факторами риска падений. Проведение скрининга ФП позволяет выявлять большее число пожилых пациентов, находящихся в группе риска падений.

Falls increase the risk of injury, disability, and death in the elderly. Atrial fibrillation (AF) is one of the risk factors for falls in old age, however, the relationship between «silent» AF and falls has not been investigated. The study included patients (n=131) from 60 years and older who admitted in the City geriatric medical and social center. Previously diagnosed AF was detected in 13,7 % (n=18) of the study participants, and «silent» AF was detected in 11,5 % (n=15). Both forms of AF were associated with a 4-fold increase in the incidence of falls in old age: (95 % CI) 4,26 (1,18-15,40) for previously detected AF and 4,56 (1,25-16,66) for «silent» AF. AF screening revealed 16,9 % (95 % CI 6,7-26,8 %; p<0,001) more patients at risk of falls. Thus, «silent» AF, as well as previously diagnosed, are independent risk factors for falls. Conducting AF screening allows to identify more elderly patients who are at risk of falls.
ACTUAL PROBLEMS OF PALLIATIVE CARE IN GERIATRIC PRACTICE IN ALMATY
Authors: Абдирова Т.М. , Ешманова А.К. , Искакова С. А. , Чайковская В.В.
Published: August 2021

Проведено поперечное одновыборочное кросссекционное рандомизированное исследование, в котором были опрошены при помощи анкет 1 898 человек старше 60 лет, проживающих в Алматы, для исследования их потребностей в паллиативной и медико-социальной помощи. Изучение потребностей с определением функционального состояния старшего возраста (согласно ВОЗ) с помощью SPSS IBM Statistics version 23.0 и 27.0 выявило, что гериатрические пациенты с неонкологической патологией имеют разные медико-социальные потребности, которые требуют межведомственного взаимодействия. Решение проблемы может быть достигнуто путем создания регистра пожилых пациентов на уровне первичной медикосоциальной помощи и оказания паллиативной помощи на дому с помощью мобильных бригад и мультидисциплинарных команд, которые включают медицинских работников, психологов, социальных работников.

The study design was a transversal single-sample cross-section randomized study. In total, 1 898 people over 60 years of age living in Almaty were interviewed on the questionnaire to study their needs for palliative and medical and social care. Study of the need with the definition of functional states of older age (according to WHO) in medical and social care and palliative care in Almaty using SPSS IBM Statistics version 23.0 found that geriatric patients with non-oncological pathology have different characteristics of medical and social needs, which require interagency cooperation. The solution of the problem can be achieved by creating a register of elderly patients at the level of primary care to provide palliative care at home with the help of mobile and multidisciplinary teams, which include health workers, psychologists, social workers.
COMORBIDITY/POLYMORBIDITY PROBLEMS OF TERMINOLOGY AND APPLICATION OF INDEX INDICATORS (REVIEW)
Authors: Лаптева Е.С. , Арьев А. Л. , Цуцунава М.Р. , Арьева Г.Т. , Дьячкова-Герцева Д.С.
Published: August 2021

В обзоре представлен анализ литературы по спорным вопросам использования терминов полиморбидность, мультиморбидность, коморбидность. Отмечается нарастающая публикационная активность по теме коморбидности/мультиморбидности. Основная дискуссия ведется в нескольких направлениях: какой термин надо использовать коморбидность, мультиморбидность или полиморбидность; использовать или не использовать индексовые показатели коморбидности; если использовать, то конкретно для каких целей; какая эффективность этих показателей. Делается вывод, что многие вопросы до настоящего времени не решены и необходимы дальнейшие исследования по данной проблеме. Настало время определиться с терминологией и конкретизировать, ГДЕ и КОГДА нужны индексовые показатели коморбидности/ полиморбидности.

The review presents a literature analysis on controversial issues of the use of the terms polymorbidity, multimorbidity, comorbidity. Increasing publication activity on the topic of comorbidity/multimorbidity is noted. The main discussion is conducted in several areas: what term should be used comorbidity, multimorbidity or polymorbidity; use or not use index indicators of comorbidity; if used, specifically for what purpose; what is the effectiveness of these indicators. It is concluded, that many issues have not yet been resolved and further research is needed on this issue. It is time to define terminology and specify WHERE and WHEN comorbidity/polymorbidity indexes are needed.