bluuebunny/crossref_metadata_2025 huggingface dataset:
INVESTIGATING PREVALENCE OF ARTERIAL HYPERTENSION AS HIGH-RISK FACTOR IN PATIENTS WITH CORONARY HEART DISEASE ELIGIBLE FOR OFF-PUMP CORONARY BYPASS
Authors: Sas S. , Rudenko S.
Published: December 2023

The aim of the study was to analyze the prevalence of arterial hypertension in patients with coronary heart disease eligible for coronary bypass surgery on a working heart.

Participants and methods. This study included 991 patients (786 men, 205 women) whose average age was 64.3 ± 1.4, the variation range of age was from 39 to 84 years. All study participants underwent coronary bypass surgery on a working heart. The design of the article is based on the analysis of the frequency of arterial hypertension in different clinical groups: with one-, two- and multi-vessel lesions of the coronary arteries.

Results. The prevalence of arterial hypertension as a leading cardiovascular risk factor for ischemic heart disease after surgical treatment by performing coronary bypass surgery on a working heart was studied. We analyzed the prevalence of arterial hypertension in all clinical groups of the study as one of the leading factors that aggravate the course of coronary heart disease. Under a prolonged history of the disease, arterial hypertension has the potential to impact the structure of coronary arteries, leading to the formation of "tortuous vessels" i. e. structural changes in the coronary arteries that rise a number of question for the cardiovascular surgeons, determining the choice of tactics of surgical treatment of coronary heart disease.

It was established that the frequency of arterial hypertension as a concomitant pathology in ischemic heart disease, is significantly higher in clinical groups with two- and multi-vessel lesions of the coronary arteries, mainly among male patients. It was also found that myocardial infarction occurred significantly more often in patients with coronary heart disease in the clinical group with multi-vessel lesions compared to its frequency in the clinical groups with one- and two-vessel lesions of the coronary arteries.

Conclusion. Arterial hypertension patients with coronary heart disease presented for coronary bypass surgery on a working heart is a quite prevalent comorbidity, the frequency of which is higher among male patients and in clinical groups with multi-vessel lesions of the coronary arteries (lesions ≥ 3).
INFLUENCE OF ANXIETY AND DEPRESSION ON THE PHYSICAL COMPONENT OF THE QUALITY OF LIFE OF RURAL AND URBAN POPULATION WITH COMORBID HYPERTENSION
Authors: Cherkun M. P.
Published: December 2023

The aim of this study is to determine the presence of anxiety-depressive disorders in patients with hypertension and to determine their impact on the physical component of health, depending on the place of their residence of patients. Participants and methods. The study included 152 patients with hypertension and its comorbid conditions who received treated at the Poltava Regional Clinical Medical Cardiovascular Centre from 2018 to 2022. The patients were divided into three groups based on the progression of hypertension and were subsequently evaluated for anxiety and depression. Additionally, their physical component of quality of life was assessed using a questionnaire, with separate analyses conducted for residents in rural and urban settings.

 The study has found that the level of the physical component of quality of life significantly (p<0.05) decreases with increasing comorbidity. It has been also revealed that the level of anxiety and depression affects the indicators of the physical component of quality of life (r>0.90). A clinically significant difference (10 points or more) has been be noted in patients with comorbidities between hypertension, coronary heart disease, and type 2 diabetes mellitus living in urban and rural areas. Thus, the physical functioning (PF) score was higher in urban residents and amounted to 56.5±1.1 (95% CI 54.1-58.9) versus 44.8±1.8 (95% CI 41.0-48.6) (p<0.05) in rural residents; and the general health (GH) score was similarly higher in urban residents 48 (43.5-52.5) vs. 38 (35-48) in rural residents (Mann-Whitney U test - 61, p<0.001). Thus, manifestations of anxiety and depression were more often observed in patients from rural areas with comorbid hypertension.
PERSONALIZED APPROACH TO THE CHOICE OF BILIARY DRAINAGE TACTICS IN PATIENTS WITH TUMOR-INDUCED MECHANICAL JAUNDICE
Authors: Shevchuk M.P. , Dudchenko M.O. , Kravtsiv M.I. , Ivashchenko D.M. , Zezekalo E.O. , Ivanova G.O , Prykhidko R.A.
Published: December 2023

Mechanical jaundice resulting from the tumor-induced obstruction of bile ducts is usually the first and quite severe complication of malignant neoplasms of the organs of the hepatopancreatoduodenal zone. Radical treatment for this condition, as reported by various sources, remains below 20-25%. Therefore, the imperative is to select the most effective minimally invasive biliary drainage method to alleviate biliary tract pressure and address the issue of mechanical jaundice. This approach serves both as a preparatory step for potential radical surgical intervention and as a definitive method for palliative treatment in this patient category.

The aim of this work is to develop an optimal algorithm for diagnosis and treatment of patients with tumor-induced mechanical jaundice, which will increase the effectiveness of primary surgical intervention and reduce the number of complications and mortality for this category of patients.

The investigation focused on examining the results of diagnostic and surgical interventions in 108 patients with tumor-induced mechanical jaundice. These patients underwent biliary drainage operations in surgical hospitals between 2017 and 2023. Analysis of the surgical outcomes revealed that endoscopic drainage and percutaneous transhepatic drainage exhibited similar effectiveness in I and II levels of biliary obstruction. However, endoscopic drainage demonstrated lower complication rates and improved quality of life for patients, establishing it as the preferred method. For level III blockages, percutaneous transhepatic drainage is recommended.

The implementation of a diagnostic and treatment algorithm, which considers the level of biliary block, the severity of mechanical jaundice, and the tumor process stage, enables the selection of the most effective minimally invasive biliary drainage method. This approach contributes to a reduction in postoperative mortality.
МETHODS OF POST-POLYMERIZATION PROCESSING OF BASES IN REMOVABLE DENTURES IN ORDER TO REDUCE THE QUANTITY OF RESIDUAL MONOMER
Authors: Zagradska O.L. , Antoshchuk M.M.
Published: December 2023

The purpose of this study was to assess the effect of post-polymerization treatment on the quantity of methyl methacrylate released into water from polymethyl methacrylate base samples of materials subjected to different procedures.

Materials and methods. For each technique, 10 samples in the form of a square with a side of 50 mm and a thickness of 5.0 mm were made for the base materials VBPLP, ABPHT, BPHT in accordance with the manufacturers' instructions. Five different procedures for reducing the amount of residual monomer of polished base plastics samples were studied, namely: controlled vacuuming in water at 60-80°C for 10 minutes (A), immersion in an ethanol solution at a temperature of 55°C for 10 minutes (B), ultrasonic treatment at 40 kHz for 5 minutes in distilled water (C), immersion in distilled water for 24 hours (D), boiling in water for 3 hours (E), control samples without post-polymerization treatment (F).

Following the implementation of procedures for minimizing residual monomer levels in the studied samples, they were placed in individual containers containing 10 ml of distilled water for 12 hours at a temperature of 37°C. The quantification of water-eluted MMA was conducted through liquid chromatography.

Results. Of the 180 measurements performed, 42 showed values below the limit of detection (MW: 2.0 ppm), 58 below the lower limit of quantification (LMQ: 6.0 ppm), and 80 had average values between 6.4 and 13.2 ppm MMA. The NLQ is the lowest concentration of the analyte that differs from the blank, usually with a confidence level of 99%, while the MV is the lowest concentration of the analyte that can be reliably determined with repeatability and precision. The lower limit of quantification is 6.00 ppm, the detection limit is 2.00 ppm.

Conclusions. The risk of residual monomer as a primary stimulus for a sensitizing reaction can be minimized by using these regimens. The results of measuring the amount of elution of the MMA monomer in water for two of the three materials tested were below the detection limit in both of these modes.
ASSESSMENT OF COLLAGEN CATABOLISM INTENSITY IN THE DEVELOPMENT OF POSTOPERATIVE DEFECTS IN MANDIBULAR BONE TISSUE
Authors: Hattou V.V. , Boyko I.V. , Gavriliev V.M. , Bukhanchenko O.P. , Lokes K.P.
Published: December 2023

Tooth extraction is the most common surgery in the world. A significant number of factors influence the processes of remodeling and mineralization of newly formed bone tissue. Various methods contributing to the minimization of postoperative consequences have been proposed. Placenta cryoextract has pronounced antioxidant properties and anti-inflammatory effect. Quercetin is a drug with antioxidant and membrane-stabilizing properties that is able to improve the processes of reparative osteoregeneration.

The aim of this study is to improve the prevention of inflammatory complications and stimulation of mandibular osteogenesis after tooth extraction by local administration of cryopreserved placenta as monotherapy and in combination with quercetin.

Materials and methods. We examined 90 patients who underwent tooth extraction and categorized them into three groups of 30 individuals each: group 1 received local application of cryopreserved placenta in the alveolus of the extracted tooth; group 2 underwent a combination of cryopreserved placenta and intravenous administration of quercetin; group 3 served as the control. To assess the intensity of collagen catabolism, we studied the hydroxyproline content in urine.

Results. On the 10th day after tooth extraction, the content of hydroxyproline in urine was significantly increased in all three groups by 40.6%, 35.5%, and 57.8%, respectively. Compared to the control, the excretion of hydroxyproline was lower by 10.2% in the group 1 and by 11.7% in the group 2. After 20 days, a decrease in the content of hydroxyproline by 7.1% in the group 1 and by 11.2% in the group 2 was observed. On the 30th day, a decrease in hydroxyproline excretion was noted in all groups by 12.5%, 9.7% and 16.5%, and on the 90th - by 13.9%, 13.3% and 16.8%, respectively.

The highest excretion of hydroxyproline was observed on the 10th day of observation in all studied groups, signifying a notable level of collagen breakdown. Notably, the group receiving the standard treatment protocol supplemented with the combined use of cryopreserved placenta and quercetin exhibited the smallest fluctuations. This suggests a positive impact on the processes involved in the replacement of small mandibular bone defects.
THE STATE OF THE HEMOCOAGULATION LINK IN THE HEMOSTASIS SYSTEM OF MICE AFTER PARTIAL LIVER RESECTION UNDER ADMINISTRATION OF PLATELET AUTOMESOCONCENTRATE
Authors: Salyutin R.V. , Yuzvyk K.O.
Published: December 2023

The purpose of the study is to evaluate the indicators of the hemocoagulation link in the hemostasis system of mice after partial resection of the liver under the platelet automesoconcentrate administration.

Materials and methods. 2/3 of the liver was resected in wild-type mice. The animals were divided into three groups: I - control; II – mice that underwent partial hepatectomy; ІІІ – mice that were injected with automesoconcentrate of platelets in a dose of 1 ml/kg during surgery into the liver remnant.

Results and discussion. The study has shown that during the first day following the liver resection, hemocoagulation processes decrease that was indicated by a reduction in the content of platelets and fibrinogen in the blood and a simultaneous increase in the parameters of thrombin time, prothrombin time, and International Normalized Ratio. In the period from the 4th to the 7th day of the study, an increase in the levels of platelets and fibrinogen and a decrease in the indicators of thrombin time, prothrombin time, and Activated Partial Thromboplastin Timer were revealed, however, the studied indicators did not acquire the values ​​of the control group of animals. Administration of automesoconcentrate is a dose of 1 ml/kg directly into the liver remnant during the hepatectomy procedure helps to normalize the hemocoagulation system on the seventh day after the procedure.

Administration of automesoconcentrate also prevents the development of hypocoagulation, vascular wall defects (vasculitis, reduction in the thickness of the walls of microvessels), deficiency of blood coagulation factors. The high concentration of platelets in the automesoconcentrate enables to effectively avoid the loss of platelets and fibrinogen, coagulation factor V, coagulation factor VIII and other coagulation components. Along with this, the automesoconcentrate helps to restore the functional capacity of the liver after resection of a significant part of it, since hepatectomy damages the liver function of patients.

Conclusions. Administering platelet automesoconcentrate effectively prevents the loss of platelets, fibrinogen, coagulation factor V, coagulation factor VIII, and other crucial coagulation components.
EFFECTIVENESS OF MELATONIN AND RESVERATROL COMBINED ADMINISTRATION IN ROUND-THE-CLOCK ILLUMINATION WITH HIGH-CALORIE CARBOHYDRATE-LIPID DIET
Authors: Frankel Y.D. , Cherno V.S. , Kostenko V.O.
Published: December 2023

The purpose of this experiment was to investigate the combined effect of exogenous melatonin and resveratrol on the serum melatonin content in rats exposed to 30 day round-the-clock lighting (RCL) and kept on a high-calorie carbohydrate-lipid diet (HCCLD, 20% fructose solution, and standard chow). The combination of exogenous melatonin and resveratrol was administered for 60 days to 35 white male rats. Exogenous melatonin and resveratrol were administered daily during the last 30 days of the experiment intragastrically in a dose of 5 mg/kg (both). The findings obtained have revealed the combined effect of RCL and HCCLD reduced the serum melatonin content to 7.1±0.7 pg/ml that is 77.7% (p<0.001) lower than the control values (31.8±2.5 pg/ml). Applying exogenous melatonin restored the concentration of this hormone in the blood serum to normal values, 28.4±1.6 pg/ml. Resveratrol administration increased the melatonin content to 13.6±1.0 pg/ml, i.e. by 91.5% (p<0.001). The combined administration of exogenous melatonin and resveratrol increased the concentration of melatonin in the blood serum to 32.3±2.0 pg/ml. It can be concluded that the combined effect of exogenous melatonin and resveratrol under RCL and HCCLD is more effective in correcting hypomelatoninemia compared to the effect of the compounds used separately.
GERONTOLOGICAL ASPECTS AND PALLIATIVE CARE IN FAMILY MEDICINE
Authors: Zhdan V.M. , Babanina M.Yu. , Kitura Ye.M. , Ishcheykina Yu.O. , Tkachenko M.V.
Published: December 2023

This article presents a literature analysis on the gerontological aspects of comorbidity and the provision of palliative care in the practice of a family doctor. According to the UN, in 2020, the age of almost every tenth inhabitant of the Earth exceeded 65 years. In 2050, their share will increase from 9.3% to 15.9%. The share of people aged 60 and over will make up to one third of the global population. Analysis of referrals to outpatient polyclinic institutions shows that, in general, for all classes of diseases and individual diseases, the highest percentage of referrals to a doctor is observed in groups of 70 years and older. In old age, both physiological and pathological aging are accompanied by structural and functional changes of all organs and systems, hemodynamic disturbances, deterioration of blood supply to tissues, increased risk of hypoxia with early activation of anaerobic mechanisms. Among those who seek medical help from a family doctor in Ukraine, the share of elderly patients with combined pathology is more than 80%. Elderly people with comorbid conditions experience pain more frequently than those in other age groups. One of the primary medical, social and humanitarian problems of many countries throughout the world is the creation and development of an accessible and effective system of providing palliative care to the population. These problems arose due to an increase in the number of incurable patients with a limited life expectancy. Based on the analysis of the experience of different countries, it is convincingly clear that palliative and hospice care best provides the needs and proper quality of life of palliative patients and their relatives, contributes to the preservation of human dignity at the end of biological life. The goal of palliative care is to alleviate the suffering of patients and their families by comprehensively assessing and treating the physical, psychosocial, and spiritual symptoms experienced by patients. Palliative care focuses on predicting, preventing, diagnosing, and treating the symptoms experienced by patients with serious or life-threatening illness, and on helping patients and their families make important medical decisions. A family doctor is recognized as a specialist in the medical field who can most fully influence the health of the population. Family doctors provide palliative care, they consult, educate relatives and friends of the patient about the patient's needs, provide psychological and moral support to both the patient and his family.
HISTORY OF PRETERM INFANTS WITH HYPOXIC BRAIN DAMAGE
Authors: Soloviova H.O. , Tsvirenko S.M. , Kalyuzhka O.O. , Zhuk L.A. , Sitalo V.S.
Published: December 2023

Relevance. According to the experts of World Health Organization, diseases linked to perinatal hypoxic brain damage account for 70-80% of cases of childhood disability.

This study aims to explore the historical records of heart rate and respiratory characteristics in preterm infants with hypoxic brain damage.

Subjects and Methods. A prospective cohort study was conducted involving 160 preterm infants categorized into three groups: group I comprised conditionally healthy children, group II included children with hypoxic-ischemic central nervous system lesions, and group III involved children with hypoxic-hemorrhagic central nervous system lesions.

Results. The analysis of heart rate parameters according to the data of daily monitoring of electrocardiogram has revealed a positive dynamic of reduction of heterotopic activity and a significant (p<0.05) improvement in the functional state of the conduction system of the heart in all preterm infants aged 20-30 months after a course of timely rehabilitation therapy of hypoxic brain damage. The presence of periodic breathing with respiratory pauses in preterm patients in the neonatal period was established, and a significantly longer duration of apnea was found in children with hypoxic-hemorrhagic central nervous system damage. There has been found an inverse correlation of moderate strength between gestational age and the amount of apnea during the day. Throughout the observation period, there was a gradual establishment of the sleep profile and its structural characteristics, indicating a physiological consolidation process marked by a regular alternation of stable rhythm phases. However, in newborns with hypoxic brain damage, autonomic dysregulation of heart rhythm persisted in the form of hypersympathicotonia. This suggests a high level of electrical instability of the myocardium, underscoring the necessity for ongoing clinical monitoring.
History and Development of Clergy Training in Poland
Authors: Pawlina Krzysztof
Published: December 2023

Among the many issues related to priesthood, questions often arise about how the Church prepares pupils/students for priestly service, what this formation involves and who is responsible for it. The article attempts to answer these questions from a historical perspective. It begins by presenting the idea of seminary life and the beginnings of the institution of theological seminaries. Then it discusses the decision of the Council of Trent, which obliged the Church to establish theological seminaries in all dioceses. The next stage in the education of the clergy was introduced by the document of the Second Vatican Council, Optatam Totius, which defines the nature and mission of a priest. It obliged local churches to develop their own Ratio Fundamentalis Institutionis. The Polish Ratio Fundamentalis drew its inspiration from this document. The analysis of the new Ratio for Polish seminaries developed in 2021 concludes the latest stage in the history of clergy formation.
Web of Science Core Koleksiyonunda Yer Alan Derin Öğrenme Algoritmasının Tıbbi Görüntülemede Kullanımına İlişkin Türkiye'de Yapılan Çalışmaların Bibliyometrik Analizi
Authors: AÇIKGÖZ Güneş
Published: December 2023

Amaç

Teknolojideki son gelişmeler ve veri setlerindeki artış tıbbi görüntülerde yapay zekanın en temel yaklaşımlarından biri olan derin öğrenme algoritmasının popülaritesini arttırmaktadır. Bu nedenle, yapılan çalışmada derin öğrenme algoritmasının kullanımına ilişkin yayınları araştırmak ve derin öğrenmenin kullanımına dikkat çekmek için bibliyometrik analiz yapılması amaçlanmıştır.

Yöntem

"Deep Learning" OR "DL" AND "Medical Imaging" AND “Radiology” anahtar kelimeleri kullanılarak 2019 ile 2022 yıllarında yayınlanan veriler Web of Science Core Collection (WOSCC) veritabanından elde edildi. WOS veritabanında araştırma alanı (Research areas) “Radiology Nuclear medicine medical imaging” ve ülke (Region/Country) alanı “Turkey” ve doküman tipi (Document type) “article” olanlar çalışmaya dahil edildi.

Bulgular

Yapılan çalışmada araştırılan konu ile ilgili toplam 259 yazardan en az 1 yayını ve 1 atıfı olacak şekilde seçim yapıldığında 211 yazar elde edildi. Yazarlar tarafından en az 1 kez kullanılan 195 anahtar kelime elde edildi. Elde edilen anahtar kelimeler arasında en sık kullanılan anahtar kelimelerden “deep learning” ve “artificial intelligence” olduğu görüldü. Ayrıca yapay zekayla ilgili olan “Transfer learning” ve “Machine learning” anahtar kelimelerinin de diğer anahtar kelimelere göre daha sık kullanıldığı görüldü. Dergiler arasında en çok atıfın 133 atıf ile 2021’de “Medical Image Analysis” dergisinde yayınlanan makaleye yapıldığı görüldü. Ayrıca “Medical image analysis” dergisinin 268 atıf ve 8 doküman ile ilk sırada yer aldığı görüldü. Bu derginin ortalama yayın yılının 2021’de fazla olduğu görüldü.

Sonuç

Derin öğrenme algoritmalarının görüntü segmentasyonu, görsel hesaplama, algılama ve sınıflandırma gibi farklı görevlerinin yanı sıra radyasyon dozunun azaltılmasına yardımcı olma gibi avantajları bulunmaktadır. Dolayısıyla derin öğrenme algoritmasının kullanımının tıbbi görüntüleme alanında gittikçe artması kaçınılmazdır. Yapılan çalışma özellikle derin öğrenmenin tıbbi görüntülemede kullanılması ile ilgili verilerin bibliyometrik analizinin yapılmasının farkındalık oluşturacağını ve yararlı olacağını umuyoruz.
Libraries of Higher Education Institutions in the Prevalence of Open Science Practices
Authors: Kasian Vladyslav , Kushnarov Valerii
Published: December 2023

The aim of the article is to determine the state and directions for improving the implementation effectiveness of the open science concept in libraries of higher education institutions of Ukraine.

Research methods. To achieve the set goal and solve the tasks, content analysis, systematic approach, methods of analysis and synthesis, generalization and systematization are used.

Scientific novelty. On the basis of the formed sample of 12 libraries of Ukrainian higher education institutions (HEIs), the thematic range of electronic resources and services of institutional repositories is identified, as well as the methodical and regulatory support for their functioning is characterized. The article highlights peculiarities of implementing the basic principles of open science by libraries of Ukrainian HEIs, additionally, reveals the reserves for developing an open information space for scientists and education seekers.

Main conclusions. Based on the analysis of Ukrainian and foreign researchers’ scientific works, the contribution of scholars to the formation of conceptual foundations of open science as a communication phenomenon, which is of key importance for the development of the digital society and knowledge society in total, is established. A number of priority tasks that need to be solved are formulated: improving the means of technological support for institutional repositories; providing libraries of HEIs with open access to subscribed resources and abstract bibliographic databases, as well as collections of digitized publications included in the State Register of National Cultural Heritage of Ukraine; providing educational materials in open access (disciplines programs, lectures notes, meetings protocols, didactic materials, etc.); elaborating and implementing a number of information, library and educational methodologies of scientific interaction with different categories of users. The significance of the resource potential of modern practices in HEIs libraries in prevalencing the achievements of open science is substantiated and summarized; the current state of implementing the open science concept in Ukrainian HEIs is determined. Prospects for further research include testing different aspects of the open access implementation; development of open science tools and services by HEIs libraries.
Improving the Professional Competencies of Students of the Specialty 029 IBAS (ILAS) in the Process of Practice Performing
Authors: Bachynska Nadiia
Published: December 2023

The aim of the article is to determine step-by-step improving the professional competences of the first education level students in specialty 029 “Information, Library and Archival Studies” in conditions of the practice process, and in accordance with the standard, educational and professional programs elaborated by the Department of Information Technologies at Kyiv National University of Culture and Arts (KNUKiM/KNUCA).

Research methods are based on both general scientific methods and special ones. The use of analysis and synthesis makes it possible to analyze the theoretical research foundation. Systemic and structural-functional methods make it possible to comprehensively study the peculiarities of the practice organization at different educational levels. Argumentation of conclusions and scientific ideas is carried out using the method of generalization and content analysis.

The scientific novelty consists in substantiating the step-by-step competences formation in practice conditions by students of the first education level, in accordance with the Standard of Higher Education of Ukraine: the first level (a Bachelor’s degree), a field of study 02 Culture and Art, specialty 029 “Information, Library and Archival Studies”, as well as educational and professional programs developed at the Department of Information Technologies, namely, “Manager of Library and Information Systems and Technologies”, “Documentation Science Specialist, Manager of State and Local Authorities”.

Main conclusions. The first Bachelor’s degree of higher education requires students to master an educational and professional program. A mandatory component of this program is introductory, educational, productional and pre-diploma practice. The process of practice performing is aimed at improving, deepening and developing professional competencies that are formed during the assimilation of theoretical material and practical classes.

The organization of practice in appropriate bases, particularly, in libraries, archives, information and analytical institutions, and other documentary and communication establishments has a number of advantages, contributes to the development of integral, general and professional competences.

The effectiveness of the students’ acquisition of professional competencies depends on a variety of factors, which include these ones: the quality of practice, the training program and the tutors’ support, the students’ activity, the relevance of practice to educational goals, feedback and self-evaluation, which, in turn, help future specialists to prepare for a successful career, expand their opportunities, and increase confidence in their own abilities.
Development of an Assortment of Semi-Hard Cheese with the Addition of Za`'Atar as a Functional Ingredient
Authors: Moga V.M. , Tita M.A. , Tita O.
Published: December 2023

Migrating through a healthy diet is a must. Including in the daily diet as high a percentage of functional foods as possible must be a priority for the population. Za`atar is a mix of herbs rich in bioactive compounds that possess beneficial properties for the human body.(Khalil, și alții, 2022)The present study aims to diversify the assortment range of cheeses by obtaining a semi-hard cheese matured in za`atar. In this study, the sensory and physico-chemical effects of za`atar on semi-hard cheese during the ripening period, when za`atar is used as a coating for cheese pieces, were addressed. The ripening period of the semi-hard cheese was 40 days, and the analyses were performed on the first day, in the middle of the period, and on the last day, by comparison with a classic semi-hard cheese (without addition) produced under similar conditions. Very good results in terms of sensory analysis using a non-numerical method were obtained by cheese with za`atar coating, especially from the second part of the ripening process. Adding a coating of za`atar to the surface of the cheese does not change much the physicochemical parameters of the cheese.
Interconnection Between Ecosystem Services and Local Communities: Knowledge Gap Identification in the Area of Kakamega Forest
Authors: Osewe I. , Osewe E.O. , Popa B.
Published: December 2023

The potential for accelerate loss of ecosystem services exists when the livelihood of the rural poor is heavily reliant on local ecosystems. For an improvement in livelihood of the rural poor there is need for assessment of key elements of the livelihood framework. This is especially important to Kakamega forest, the last remaining tropical rainforest in Kenya. This paper is a comprehensive literature review aimed at identifyed the research gaps in the area of the relationships between local communities and Kakamega forest ecosystem services. We derived the 42 case studies using ROSES framework and used descriptive statistics to analysis the data set. 93% of the case studies analyse provisional ecosystem, 83% cultural, 55% regulating and 31% supporting ecosystem. We identified r research gaps in our interest area. Most used research methodology is the participatory rural methods which involved interviews, key informant interviews, and focus group discussion. The identified research gaps will enable us to develop tools that can be used to assess the livelihood improvement of local forest communities in Kakamega. The comprehensive review is also useful for planning the research in other parts of Kenya and beyond, in order to improve livelihoods of local forest communities.
Motor Development and Skills Training Students' Sports within the Framework of the School – Family Partnership
Authors: Lesco Victoria
Published: December 2023

The partnership between school and family in the physical education of students is essential for the promotion of a healthy life and for the harmonious development of children. The school has the role of offering a well-structured curriculum in the field of physical education, lessons, and activities adapted to the age and level of development of the students. Physical education teachers can organize various activities, such as sports lessons, games, competitions, and special events, to support the motor development and training of students' sports skills. On the other hand, the family has an essential role in supporting and encouraging students to practice physical activity. Parents can be role models for children by adopting an active and healthy lifestyle.
Motor Skill Development using Football – Specific Methods
Authors: Drula Ionel Caius
Published: December 2023

The game of football is currently evolving rapidly, as shown in recent years, during which time the impact of the game's strategies and tactics as well as the competitive spirit of sports can be observed on both a national and worldwide scale. This article's goal is to help secondary school students develop their motor skills through methods unique to the game of football, taking into account the crucial role that sports games, particularly football, play in helping students reach their training process goals. The measuring and testing were done to emphasize the progression of the planned investigation.
Investigating the Bio-Motor and Mental Level of Juniors at the Stage of Specialized Training in Sprinting-Hurdling-Jumping Events
Authors: Predescu A.I. , Mihailescu L.N.
Published: December 2023

Sports selection must be seen as a continuous process, correlated and directed towards a certain specialization of the child [1]. In our methodological research, we investigated the bio-motor and mental levels of Romanian juniors aged 15 to evaluate the level of compliance of their anthropometric, psychomotor, and psychological parameters with the performance requirements of the sprinting-hurdling-jumping events. We found an early specialization, the inconsistency of some anthropometric parameters (e.g. height) with the structural models of the events, as well as the need to improve self-confidence and manage psychological and physical anxiety.
PENERAPAN ALGORITMA C4.5 UNTUK MEMPREDIKSI TREN WISATA DI KABUPATEN MAJALENGKA
Authors: Suhendri  , Karmila Mita
Published: December 2023

Kabupaten Majalengka adalah salah satu daerah wisata di Indonesia yang memiliki potensi pariwisata yang cukup besar dengan berbagai atraksi wisata, seperti obyek wisata alam, warisan budaya dan daya tarik lainnya. Namun, untuk mengoptimalkan pengembangan sektor pariwisata di Kabupatem Majalengka secara efektif, diperlukan pemahaman yang mendalam tentang tren wisata yang ada dan bagaimana mereka berkembang dari waktu ke waktu. Oleh karena itu, memprediksi tren wisatawan dapat membantu pemerintah daerah dan stakeholder pariwisata untuk mengambil keputusan yang lebih baik. Penelitian ini bertujuan untuk memprediksi tren wisata di Kabuparen Majalengka agar dapat mengevaluasi keefektifan strategi untuk meningkatkannya dengan memanfaatkan Algoritma C4.5. Tahapan awal untuk mengetahui sebab dan akibat tren wisata ini dengan menggunakan metodologi fishbone. Dari hasil pengujian RapidMiner menggunakan Algoritma C4.5 dengan operator Random tree, Apply Data dan Perfomance bahwa tren wisata sangat populer, populer dan kurang populer memperoleh akurasi sebesar 86,67%.
ANALISIS KUALITAS PELAYANAN TERHADAP KEPUASAN MASYARAKAT PADA DINAS KEPENDUDUKAN DAN PENCATATAN SIPIL KOTA JAMBI DENGAN METODE SKM
Authors: Anugrah Daffa Alfian , Triadi Albet , Azryan Khairul , Riansyah Rivaldi , Hidayat Ridho
Published: December 2023

Praktek Kerja Lapangan merupakan penugasan kepada mahasiswa untuk mempelajari dan mengikuti kegiatan suatu pekerjaan sesuai dengan bidang atau mata kuliah di lapangan dan menulis laporan kegiatan secara tertulis. Dalam era otonomi daerah, pelayanan publik yang sebelumnya mempunyai kesan buruk dapat berganti menjadi pelayanan yang berkualitas. Pelayanan melibatkan masyarakat dan pemerintah diharapkan keduanya mempunyai kepuasan dalam memberikan pelayanan maupun penerima pelayanan. Pemerintah yang merupakan pihak yang menyediakan layanan publik yang masyarakat butuhkan seharusnya menjalankan tanggung jawabnya dan senantiasa berupaya untuk memberikan pelayanan yang paling baik untuk meningkatkan pelayanan public Keberhasilan pelayanan yang diberikan oleh penyedia layanan publik, harus difokuskan pada pemenuhan kebutuhan masyarakat secara maksimal baik dari segi kualitas maupun 2 kuantitasnya. Penilaian kepuasan masyarakat dapat dinilai melalui Survei Kepuasan Masyarakat (SKM). Salah satu instansi yang melaksanakan Survei Kepuasan Masyarakat adalah Dinas Kependudukan dan Pencatatan Sipil Kota Jambi (selanjutnya disebut Dukcapil). Tujuan penelitian ini yakni Untuk memperoleh suatu informasi terkait metode penilaian kepuasan masyarakat pada Dukcapil Kota Jambi serta Untuk mengidentifikasi kendala dalam penilaian kepuasan masyarakat pada Dukcapil Kota Jambi.
HEALTH PROMOTION EFFECTIVE VIA BOOKLET TO INCREASED TEEN KNOWLEDGE OF THE DANGERS OF SEXUALLY TRANSMITTED INFECTIONS IN SMAN 3 PALANGKA RAYA CITY BARRIERS IN 2022
Authors: Tambunan Lensi Natalia , Ningsih Fitriani
Published: December 2023

Masa remaja merupakan peralihan masa anak-anak menuju masa dewasa dimana ditandai dengan adanya perubahan secara biologis, perubahan psikologis, dan perubahan social. Infeksi menular seksual adalah infeksi yang disebabkan oleh kuman seperti jamur, virus, dan parasit yang masuk dan berkembang biak di dalam tubuh yang ditularkan melalui hubungan seksual. Informasi kesehatan reproduksi memiliki pengaruh terhadap kehidupan seksual remaja. IMS dapat menimbulkan banyak dampak negatif baik dari segi fisik, psikososial, maupun finansial. Kurangnya informasi mengenai kesehatan reproduksi, baik dari pihak orang tua dan sekolah menjadi penentu tinggi rendahnya tingkat pengetahuan remaja mengenai IMS. Tujuan penelitian untuk mengetahui Efektifitas Promosi Kesehatan melalui Booklet terhadap peningkatan Pengetahuan Remaja Tentang Bahaya Infeksi Menular Seksual. Penelitian ini menggunakan Pre-experimental design, Jenis desain yaitu One group pretest-posttest, Sampel pada penelitian ini berjumlah 53 responden yaitu siswa-siswi kelas X SMAN 3 Kota Palangka Raya. Pengambilan sampel secara Purposive Sampling menggunakan kriteria inklusi. Analisis data menggunakan uji Paired Samples T-test. Hasil uji Paired Samples T-test (P value= 0,000<0,05), yang berarti adanya efektifitas promosi kesehatan melalui Booklet terhadap peningkatan pengetahuan remaja. Kesimpulan pada penelitian ini yaitu penggunaan Booklet sebagai media promosi kesehatan dapat memperoleh informasi dalam waktu singkat sehingga dapat menambah pengetahuan remaja
Warunki sanitarno-epidemiologiczne w Wietnamie Południowym i ich konsekwencje dla bezpieczeństwa medycznego armii Stanów Zjednoczonych Ameryki
Authors: Sacewicz Karol
Published: December 2023

The presence of American armed forces in South Vietnam presented their command with not only military and political challenges, but also those of a medical nature. The American army had the most developed and efficient system of medical battlefield protection. This system guaranteed the quick evacuation of the wounded from the battlefield and efficient hospitalization, but it also provided sanitary and epidemiological protection for the troops in theater. This article attempts to highlight this aspect of the activities of the American medical services during the Second Indochina War.
Impact of the COVID-19 pandemic on mode of delivery
Authors: GÜNDOĞDU Elif , ÜNLÜGEDİK SAYIN Elif , KAHRAMAN KAYA Medine
Published: December 2023

Aims: The first case of COVID-19 was reported on March 11th, 2020, in Turkey, and the measures taken by the state to prevent the spread of the virus were put on hold by March 2022. The purpose of this study is to present information with special focus on mode of delivery among pregnant women during COVID-19 pandemic. We aimed to assess the effect of pandemic on the rates of normal vaginal delivery and C-section.

Methods: This is a restrospective cohort study including all pregnant women at more than 20 weeks of gestation admitted to labour and delivery unit in an academic tertiary care hospital. Records of patients two years before the pandemic and two years of the pandemic were extracted. The number of pregnants admitted to the labour and delivery, the mode of delivery, selected method of anesthesia, total expenses of the patients, the length of hospital stay, indications for cesarian section were compared between the two periods.

Results: A total of 9048 patients were identified, of which 4745 were before the pandemic and 4303 during the pandemic. The most striking finding was the decrease in C-section rates during pandemic which was mostly due to decrease in number of primary C-sections. The length of hospital stay was shorter during pandemic as well. The mean age, route of anesthetics, surgery length did not differ between the two groups.

Conclusion: The available evidence on COVID-19’s potential impact on C-section rates is conflicting. Some suggest that there might be evidence indicating a possible link between COVID-19 and increased rates of C-section. However, this study showed that when all the deliveries are included pandemic caused a significant decrease in the rates of primary C-section which might be due to decreased interventions of the healthcare professionals.
Relation between impaired coronary microvascular circulation and plasma atherogenic index in patients with ankylosing spondylitis
Authors: ÖZKAN Eyüp , YILMAZ Yücel , ÇELİK Fatma Betül , KELEŞOĞLU Şaban , DOĞAN Yasemin , DEMİRCİ Erkan , KASAPOĞLU Esen , BİLGİLİ Ümmühan Zeynep , CALISKAN Mustafa
Published: December 2023

Aim: The coronary flow reserve (CFR) is a sign of endothelial dysfunction and early-stage coronary artery disease (CAD). Plasma atherogenic index (PAI) is related to subclinical CAD and may be used as a predictor of cardiovascular mortality. Our aim is to determine CFR and PAI in patients with AS and to investigate whether PAI can be used in the detection of early stage CAD.

Methods: The study population comprised 48 patients, who were diagnosed with AS based on modified New York criteria and 35 healthy volunteers. PAI values were calculated with the formula log 10 triglyceride (TG) / high-density lipoprotein (HDL).

Results: No difference was detected between the two groups for the demographic variables, including age, sex and BMI. The comparison of the groups for PAI and CFR demonstrated that PAI levels were observed to be significantly higher and CFR levels were observed to be significantly lower in the AS patients (p=0.01, p
The investigation of serum nectin-4 levels in patients with early onset preeclampsia
Authors: ACAR Züat , OBUT Mehmet , GEDİK ÖZKÖSE Zeynep , SUCU Sadun , SEZER Salim , BUCAK Mevlüt , DAĞ İsmail , ERCİYESTEPE Sezgi Güllü , ÖZDEMİR İsmail
Published: December 2023

Aims: We aimed to investigate the level and predictive value of soluble nectin-4 in early onset preeclampsia (EOPE).

Methods: Forty-three patients with EOPE and 41 healthy normotensive pregnant women participated in this prospective case-control study. The groups were matched for gestational age and gravidity. Serum nectin-4 levels were compared between groups. The ROC curve was drawn to show the predictive value of nectin-4 for EOPE. Patients were followed up until the end of labor, and perinatal outcomes were recorded.

Results: The demographic characteristics of the two groups were similar. Serum nectin-4 level was significantly increased in EOPE cases compared to controls (226.46±119.6 ng/ml vs. 156.54±44.8 ng/ml, p=0.001). The ROC showed that at > 160.938, the sensitivity and specificity were 67.44% and 82.93%, respectively [AUC:0.822, (CI:0.724 - 0.897), and (p< 0.001)]. Significant inverse correlations were found between nectin-4 levels and poor obstetric outcomes.

Conclusion: Maternal serum nectin-4 levels were significantly higher in patients with EOPE compared with controls. Increased nectin-4 levels may contribute to the development of EOPE through possible oxidative, immunological, and inflammatory mechanisms adversely affecting trophoblastic cells.
Determination of malnutrition status in hospitalized Turkish Republic citizen and refugee children with different diagnoses
Authors: DULKADİR Ramazan
Published: December 2023

Aims: Malnutrition is defined as changes in the normal body structure due to inadequate nutrition. This study aimed to determine the malnutrition status of Turkish children and refugee children.

Methods: A total of 5528 patients between the ages of 1 month and 18 years who were admitted and followed up in our pediatric health and diseases department between January 2017 and January 2020 were evaluated. The Gomez classification was used to assess malnutrition status. Demographic data, admission diagnoses, and the degree of malnutrition were retrospectively recorded by examining medical records. Both groups were compared in terms of these parameters.

Results: In our study, 5528 patients between the ages between 1 month and 18 years were evaluated. The median age was 4.1 years (min:1 month, max:17 years), with 2274 (41.1%) being female and 3254 (58.9%) being male. Among the cases, 4994 (90.5%) were Turkish, 160 (2.8%) were Afghan, 198 (3.5%) were Iraqi, and 176 (3.2%) were Syrian. According to the Gomez classification, 4379 patients (79.2%) were normal and 1148 patients (20.8%) were malnourished. Among the malnourished patients, 995 (86.7%) were mildly malnourished, 117 (10.2%) were moderately malnourished, and 36 (3.1%) were severely malnourished. 44% (n=16) of severely malnourished patients were under the age of two. The malnutrition rates were 19.7%, 22.5 %, 30.8 %, and 36.4% in Turkish, Afghan, Iraqi, and Syrian patients, respectively. There was a significant difference between Syrian and Turkish patients with mild and moderate malnutrition (P
Anoplasty and information pollution in health on YouTube
Authors: POYRAZOĞLU Ömer Bilgehan
Published: December 2023

Aims: One of the most fundamental human rights is the right to information. The aim of our study is to investigate the accuracy, reliability and comprehensibility of the videos made on YouTube about anal stenosis. However, users often do not question this information's accuracy, adequacy, and efficiency. Anal stenosis is a disease that we frequently encounter for iatrogenic reasons, especially after post hemorrhoidectomy. When many publications are reviewed, anal stenosis can be seen in 1.2%-10% of patients undergoing hemorrhoidectomy.

Methods: Our study primarily and mainly YouTube videos about anoplasty published in English were preferred. However, when sufficient videos could not be reached scientifically, other videos were translated into English and included in the study. As of March 1, 2021, "anoplasty" was typed into the youtube search engine, and Thirty-eight videos of the most relevant videos on this subject were examined.JAMA,DISCERN,GQS was used for assessment in this study.

Result: The averages of the JAMA, DISCERN, and GQS fitness parameters used in the study were found to be 2.55 (1-4), 36.58 (18-59), and 2.84 (1-5), respectively. Of the 38 videos evaluated, 7 got 5 points according to GQS, and 8 got 4 points according to JAMA. According to DISCERN, none of them got full points. It could get a maximum of 59 points. It was also a single video. A statistically significant relationship was found among these parameters (GQS, JAMA, DISCERN) (p .05 )

Conclusion: We believe that this study will contribute to those who will share about health on YouTube within the framework of more accurate and scientific rules; therefore, it will raise awareness. Primarily this is necessary and essential for videos made in the name of health.