bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative Study of Laparoscopic Appendectomy versus Open Appendectomy at Birat Medical College Teaching Hospital
Authors: Yadav Sanjaya Kumar , Shrestha Sabin , Koirala Sanjib , Singh Ram Kumar
Published: March 2022

Introduction: Appendicitis is a commonly encountered surgical problem. Both laparoscopic appendectomy and open appendectomy are common ways of surgical intervention.  

Objective: The objective of this study was to find the outcome of laparoscopic appendectomy versus open appendectomy in terms of duration of surgery, length of hospital stay,  pain, and wound infection at Birat Medical College Teaching Hospital.

Methodology: A hospital-based comparative cross-sectional study was conducted from 1 February 2021 to 30 July 2021 among 60 appendicitis patients at the surgery department of Birat Medical College Teaching Hospital. Ethical clearance was taken from the institutional review committee (Ref: IRC-PA-098/2077-78 ) of  Birat Medical College Teaching Hospital and informed written consent was taken from each study participant. Collected data were entered in Microsoft Excel and analyzed by SPSS 23. Frequency, mean and standard deviation were used for univariate analysis. Independent sample t-test and chi-square test were used for bivariate analysis and statistical significance was set at 95% confidence interval and p-value less than 0.05.

Results: The mean age of the open appendectomy group was 30±16.85 years and the laparoscopic appendectomy group was 33.47 ±13.29  years. The majority were female 32 (53.3%). The mean duration of surgery  (p=0.003) and length of hospital stay (p=0.001) was found to be statistically significant between the two groups. Further,  no statistically significant difference was found for wound infection (p=0.053).

Conclusion: In our centre, despite having more duration of surgery for laparoscopic appendectomy, the length of hospital stay is less. Postoperative pain score at different times and would infection has no difference.  Surgeons need to be more informed in both ways of surgeries for its outcome because of no clear-cut better outcomes in either method.
Variation of Cervical Cytology by Pap Smear and its Correlation with Cervical Biopsy in Patients Attending Birat Medical College Teaching Hospital, Morang, Nepal
Authors: Sinha Amrita , Kafle Santosh Upadhyaya , Singh Mrinalini , Kafle Neeta
Published: March 2022

Introduction: Carcinoma cervix is the second most common cause of death in women worldwide and the most common cause in developing countries. Cervical papsmear is a simple, safe, noninvasive, outdoor and low cost effective screening method for detection of cervical lesion but has limitations and needs confirmation by histopathology. Cervical biopsy is a gold standard but invasive technique.
 Objectives: The main objective of this study is to find the changes of cervical cytology by pap smear and to correlate the changes observed in cervical cytology with cervical biopsy.
 Methodology: This is a hospital based prospective cross sectional study carried out from September 15, 2020  to May 31, 2021 in Birat Medical College where all pap smears received in the Department of Pathology were included in the study. The cases who had undergone both Pap smear and cervical biopsy were compared. The correlation was then done regarding cytological and histological diagnosis.
Results: In this study, total 550 pap smears were performed and out of them 30 patients were advised for cervical biopsy. Majority of patients were in the age group of 31-40 (38.5%) years.  The Pap smear findings revealed 93.4% as negative for intraepithelial lesion or malignancy (NILM) and 6.5% as epithelial cell abnormality (ECA). ECA comprised atypical squamous cells of undetermined significance (ASCUS) with 3.6%, low-grade squamous intraepithelial lesion with 1.6%, and high-grade squamous intraepithelial lesion with 0.9%. There were 2 cases (0.4%) of malignancy. Sensitivity, specificity and positive predictive value of Pap smear were 90.9%, 89.5%, and 83.3%, respectively.
Conclusion: Pap smear is a cost effective screening method for early detection of premalignant and malignant cervical lesions. However, biopsy is considered to be the gold standard for the confirmation of abnormalities detected in cervical smear provided that it is taken from the representative areas.
Aggressive Angiomyxoma of Vulva
Authors: Panthi Madhav , Kafle Neeta , Pradhan Tarun
Published: March 2022

Aggressive angiomyxoma is a rare, slowly growing, and benign tumor of mesenchymal origin that usually occurs in the pelvis and perineum of young females. Steeper and Rosai in 1983, first described angiomyxoma. The term “aggressive” underlines the tumour’s locally infiltrative nature and high risk for local recurrence. The rate of relapse varies from 35% to 72%, however, it rarely metastasizes so it has an overall good prognosis. Diagnosis is mainly made on histopathology after surgical resection. The optimal treatment for aggressive angiomyxoma is wide local excision with tumor free margin. We here report a case of aggressive angiomyxoma in 22 years female who presented with mass on left labia majora.
Pengembangan Media Pembelajaran Modeling melalui Video dalam Peningkatan Kemampuan Toilet Training pada Anak Tunagrahita
Authors: Sukmawati Ima , Noviati Elis
Published: March 2022

This study aims to improve the ability of toilet training in mentally retarded children through video modeling. The research method used a pre-experimental design with a one-group pre-test and post-test design. The results showed the effect of video media modeling on the toilet training ability of mentally retarded children, with an average increase of 1.59. The Wilcoxon test shows a p-value of 0.001. In conclusion, video media modeling has an effect on the toilet training ability of mentally retarded children.

 

Keywords: Children with Mental Retardation, Video Media Modeling, Toilet Training
Dampak Gawai terhadap Perkembangan Anak Usia Pra Sekolah pada Masa Pandemi Covid-19
Authors: Wijaya Andra Saferi , Nugroho Nehru
Published: March 2022

This study explores parents' perceptions of the impact of gadgets on children's development after preschool at PAUD IT Baitul Izzah Bengkulu City. The research method is qualitative with a phenomenological approach. The results of the study found six interrelated themes about the impact of gadgets on children's development. The first theme is meaning for parents about giving gadgets to children; the second theme shows the content opened by children on gadgets. The third theme is the duration of using gadgets for children aged 4-6. years, the fourth theme is control over the use of devices in children, and the fifth theme is the impact of machines on child development. In conclusion, the use of gadgets in children has a positive and negative effect on child development.

 

Keywords: Children, Covid-19, Device, Parents, Pandemic, Development
Aromaterapi Lavender terhadap Intensitas Nyeri Haid (Dysmenorrhea) pada Mahasiswi Tingkat II
Authors: Nuraeni Rina , Nurholipah Arin
Published: March 2022

This study aims to determine the effect of lavender aromatherapy on the intensity of menstrual pain (dysmenorrhea) in Level II female students at STIKes YPIB Majalengka. The research method is pre-experimental research with one group pretest-posttest design. The results showed that less than half (35.0%) of menstrual pain intensity before lavender aromatherapy was severe. Less than half (40.0%) of the power of menstrual pain after lavender aromatherapy was moderate. There is an effect of lavender aromatherapy on the intensity of menstrual pain (dysmenorrhea) in second-level female students at STIKes YPIB Majalengka (p = 0.001). In conclusion, lavender aromatherapy affects the intensity of menstrual pain (dysmenorrhea) in female students.

 

Keywords: Lavender Aromatherapy, Dysmenorrhea, Adolescent Girls
Analisis Jenjang Karir dan Minat Menjadi Perawat Intensif
Authors: Metalita Eva , Handiyani Hanny , Afriani Tuti , Rayatin Lilis
Published: March 2022

This study aims to analyze career paths and interest in being an intensive nurse and develop problem-solving solutions by conducting interactive discussion activities to disseminate intensive unit services to attract interest in becoming an intensive nurse. The method used is a case study and analysis of results and implementation gaps with a discussion based on the literature review. The results of the career path analysis research, respondents have a D3 nursing education level (90%), 5-8 years of service (87.5%), occupy the last PK level 1-5 years (93.4%) and attend BHD, PPI training, PCNT, BHL/PALS, and basic KMB training (53.3%). Interest in being an intensive nurse (63.3%). Interest in carrying out their respective roles as caregivers, educators, and researchers (60%). In conclusion, some nurses are interested in becoming intensive nurses with the appropriate level of education, tenure, and career level and have attended basic training to become intensive nurses. However, when internal recruitment is carried out to become intensive nurses, few nurses are willing to become intensive nurses, so that still needs proper implementation.

 

Keywords: Career Path, Interests, Intensive Nurse
Modul Enam Sasaran Keselamatan Pasien dalam Pembelajaran Klinik terhadap Perilaku Mahasiswa Keperawatan
Authors: Efitra Efitra , Reflita Reflita
Published: March 2022

This study aims to determine the effectiveness of module 6 patient safety goals in clinical learning on behavioral changes in nursing students at RSAM Bukittinggi. This research is a quasi-experimental research with a pretest-posttest control group design. The results showed that the control group obtained an average of 23 and 28.40 in the treatment group. Attitudes received an average of 51.27 in the control group and 59.6 in the treatment group. Furthermore, the action obtained an average of 28.93 in the control group and 39.6 in the treatment group. Behavioral analysis showed a p-value <0.05. In conclusion, module 6 patient safety goals effectively increase knowledge and actions or implement patient safety goals.

 

Keywords: Module 6 Patient Safety Goals, Clinical Learning
Lumbar Spinal Steroid Injections and Infection Risk after Spinal Surgery: A Systematic Review and Meta-Analysis
Authors: Patel Harshadkumar A. , Cheppalli Naga Suresh , Bhandarkar Amit Wasudeo , Patel Vidhi , Singla Anuj
Published: March 2022

Lumbar spinal steroid injections (LSSI) are universally used as preferred diagnostic or therapeutic treatment options before major spinal surgeries. Some recent studies have reported higher risks of surgical-site infection (SSI) for spinal surgeries performed after injections, while others have overlooked such associations. The purpose of this study is to systematically review the literature and perform a meta-analysis to evaluate the associations between preoperative LSSI and postoperative infection following subsequent lumbar decompression and fusion procedures. Three databases, namely PubMed, Scopus, and Cochrane Library, were searched for relevant studies that reported the association of spinal surgery SSI with spinal injections. After the comprehensive sequential screening of the titles, abstracts, and full articles, nine studies were included in a systematic review, and eight studies were included in the meta-analysis. Studies were critically appraised for bias using the validated MINOR (methodological index for non-randomized studies) score. The odds ratio (OR) and 95% confidence interval (CI) were calculated. Subgroup analysis was performed according to the time between LSSI and surgery and the type of lumbar spine surgery. Meta-analysis showed that preoperative LSSI within 30 days of lumbar spine surgery was associated with significantly higher postoperative infection compared with the control group (OR,1.79; 95% CI, 1.08–2.96). Based on subgroup analysis, lumbar spine fusion surgery within 30 days of preoperative LSSI was associated with significantly high-infection rates (OR, 2.67; 95% CI, 2.12–3.35), while no association was found between preoperative LSSI and postoperative infection for lumbar spine decompression surgeries. In summary, given the absence of high-level studies in the literature, careful clinical interpretation of the results should be performed. The overall risk of SSI was slightly higher if the spinal surgery was performed within 30 days after LSSIs. The risk was higher for lumbar fusion cases but not for decompression-only procedures.
Cervical intradural extramedullary cavernous malformation as a rare cause of subarachnoid hemorrhage without spinal dysfunction: illustrative case
Authors: Frank Franziska , Maybaum Jens , Frydrychowicz Clara , Stoll Kristin , Gaber Khaled , Meixensberger Jürgen
Published: March 2022

BACKGROUND

Intradural extramedullary cavernoma is a very rare lesion of the spinal cord, especially of the cervical spine. Its clinical presentation can vary with symptoms of sensory or motor deficits and even with symptoms of subarachnoid hemorrhage (SAH).

OBSERVATIONS

The authors present a case of a 45-year-old man with SAH with prolonged neck pain and increasing headache confirmed by lumbar puncture. Head computed tomography revealed only discrete blood deposits in the right frontal and biparietal lobes. The finding of pan-cerebral angiography was negative for the cause of bleeding. Spinal magnetic resonance imaging revealed an intradural extramedullary mass lesion at cervical level C5–6. The finding of subsequent cervical angiography was negative. The diagnosis of a cavernous malformation was confirmed histopathologically after surgery. The cavernoma was completely removed, and full recovery of the initial symptoms was achieved.

LESSONS

Spinal lesions should be considered in the diagnostic work-up for SAH with excluded origin of bleeding in cranial neuroimaging. An intradural extramedullary cavernous malformation is an extremely rare entity in the differential diagnosis of SAH, and surgical resection is the treatment of choice to prevent further bleeding and neurological deficits.
Use of transcarotid artery revascularization for mechanical thrombectomy and treatment of symptomatic high-grade carotid artery stenosis associated with free-floating thrombus: illustrative case
Authors: Christian Zachary K. , Hoang Alex N. , Dang Huy , Khan Abdul B. , Raper Daniel M.S. , Pallister Zachary S. , Tanweer Omar
Published: March 2022

BACKGROUND

Patients with symptomatic high-grade stenosis of the internal carotid artery (ICA) associated with a free-floating thrombus (FFT) present a significant clinical challenge. In general, for patients with moderate to severe symptomatic ICA stenosis, carotid revascularization is recommended within 2 weeks of symptom onset; however, some physicians suggest that revascularization should be delayed in cases with FFT because some data suggest that early surgery with carotid endarterectomy or carotid stent poses a higher risk for stroke. Likewise, delayed revascularization with anticoagulation may increase risk of recurrent stroke. Few reports on the management of FTT included the use of a transcarotid artery revascularization (TCAR) approach for carotid revascularization with mechanical aspiration thrombectomy.

OBSERVATIONS

This report described the use of TCAR for direct mechanical thrombectomy and carotid stent placement for a patient with 80% right ICA stenosis along with a large FFT extending into the bulb and the external carotid artery.

LESSONS

The TCAR approach for mechanical thrombectomy and carotid stenting is a safe alternative for early revascularization with low periprocedural stroke risks.
Analysis of Groundwater Quality Using Water Quality Index (WQI) and Geographic Information System (GIS) Techniques: A Case Study of Boarding Area Near Hasanuddin University, Makassar (Workshop and Sahabat)
Authors: Massinai Muhammad Fawzy Ismullah , Laode Andri Moh. Wahyu , Khazanah Iswatun , Andini Devi Cintya
Published: March 2022

The importance and high demand of groundwater, in this case, the well water in the boarding area near Hasanuddin University is not supported by the data to ensure that the water quality in the area is sufficient and suitable for use. Several parameters are needed to determine the quality of groundwater in the area, such as pH, Turbidity, Lead (Pb), Antimony (Sb), Molybdenum (Mo), and Uranium (U). The methods used in this study are Water Quality Index (WQI) and Geographic Information System (GIS), combined with literature review results and field data. This study shows that the WQI index value of the second sample point (Workshop) is 51.76666667, which is classified as a C rating (poor water quality), and the seventh sample point (Sahabat) is the worst with an index value of 76.35185185, which is classified as a D rating (very poor water quality). These results indicate that land use and population will affect the water quality in the study area.
Analisis Kestabilan Bendung Untuk Pemenuhan Kebutuhan Air (Studi Kasus Kota Bima)
Authors: Firaz Muhammad Fathin , Alpiana Alpiana , Rahmawati Diah , Isfanari Isfanari , Ariyanto Ariyanto
Published: March 2022

Saat ini sering sekali ditemukan bendung-bendung yang rusak atau tidak stabil sehingga akan mempengaruhi produksi para petani. Sebuah bangunan bendung harus memenuhi persyaratan stabilitas yang menjadi salah satu syarat penting guna menjamin umur bendung dan kemampuannya untuk menaikkan muka air yang mengalir menuju lahan pertanian. Rencana pembangunan Bendung Dodu di Sungai Dodu Kecamatan Rasanae Timur Kota Bima harus dilakukan perhitungan stabilitas. Hal ini bertujuan untuk menjamin bendung memiliki stabilitas yang aman. Dengan bendung yang aman, maka masyarakat di Kecamatan Rasanae Barat dapat tercukupi kebutuhan air dengan umur bendung yang lebih lama. Manfaat dari penelitian yang dilakukan adalah sebagai bahan referensi bagi pihak yang akan melakukan penelitian yang sama terkait stabilitas suatu bendung. Metode pengumpulan data dilakukan dengan data primer dan sekunder. Data tersebut kemudian dianalisis dengan perhitungan momen, daya dukung tanah, dan faktor keamanan. Berdasarkan dari hasil perhitungan kestabilan bendung Dodu diperoleh bahwa dimensi mercu bendung Dodu yang diusulkan memiliki tinggi 4,5 meter, lebar 6 m dan panjang 20 meter. Dengan geometri Bendung Dodu tersebut hasil perhitungan Faktor Keamanan terhadap geser yaitu 5,85 dan lebih besar dari 1,5 sehingga aman atau stabil dan untuk keamanan terhadap guling yaitu sebesar 2,58 yang lebih besar dari 1,5 sehingga aman (stabil).
SCIENTIFIC AND METHODICAL APPROACHES TO ADMINISTRATION OF INNOVATIVE AND TECHNOLOGICAL DEVELOPMENT OF PROCESSING ENTERPRISES IN THE CONTEXT OF EUROPEAN INTEGRATION
Authors: STADNYK VALENTYNA , KASHTALJAN OLEKSANDR ,   Khmelnytskyi National University
Published: March 2022

The article highlights problematic aspects of functioning of processing industry enterprises of Ukraine in the context of European integration. The need for their technological renewal taking into account the requirements of the “green transition” of the world economy is emphasized. It is argued that this renewal should be based on a combination of resource and value approaches in the theory of economic growth and provide a technological basis for innovative activity of enterprises. A new term “innovative sensitivity of the production and technological systems of the enterprise” is introduced. The author’s definition of this term, which is based on a proactive approach in management theory and forms the technological competitiveness of the enterprise in global markets, is formulated. It is emphasized that instrumentally such sensitivity is provided by technological capabilities of marketing-management, among which the leading place belongs to CRM technology. An algorithm for selecting new technology for the implementation of technological changes in industrial enterprises, adequate to the requirements of the “green transition”, is developed. Logical components and iterations of the algorithm are based on the methodology of resource and value approaches to justification of management decisions and meet the principles of technological competitiveness of the enterprise in global markets. The algorithm identifies areas of formation of a set of criteria of assessment of the level of suitability of new technology for creation of innovation-sensitive production-technological system of an industrial enterprise. The selection algorithm includes an assessment of the overall investment needs for the process of technological renewal of the enterprise (including staff training) and the possibility of their minimization by choosing the optimal organizational form of technology transfer. The main macro-prerequisites for innovative and technological renewal of domestic processing enterprises are also highlighted.
ANALYSING AND FORECASTING OF DOMESTIC AGRICULTURAL ENTERPRISE’S RESOURCES PROVISION AND UTILIZATION
Authors: KULINICH TETIANA , MARYNCHUK-MIKKELSEN VIKTORIIA , PANIUS ULIANA ,   Lviv Polytechnic National University
Published: March 2022

The article considers the essence and approbation of the complex methods of analyzing the provision and use of enterprise resources proposed by the authors. The process of such analysis involves consideration of different types of resources: capital, material, labor, financial, information. All these resources are evaluated in terms of security and their use in the enterprise belonging to a particular type of economic activity, taking into account its specifics. For each of the types of resources there is formed a group of indicators that allow to establish the level of provision and use of relevant resources in the enterprise. The selection of indicators is mostly universal, but still partially dependent on the scope of the enterprise. The proposed method is tested on the example of a domestic agricultural enterprise. Therefore, the selection of indicators is modified for this type of economic activity. In the process of analyzing the availability and use of resources in an agricultural enterprise, two key points are provided: the formation of a reference object or base of comparison and conducting a dynamic evaluation. As a basis of comparison (or so-called “reference” object) can be used or conditional object, characterized by industry-average data, estimated by the formed set of indicators (coefficients), or the data of the base competitor for the evaluated enterprise. Depending on the activity specifics and / or on the chosen priorities for resource evaluation, the set of groups of indicators and the list of indicators in groups can be modified. According to the proposed method the evaluation was carried out on the example of one of domestic agricultural enterprises – “Agro-Optima” LLC. Data from the main industry competitor were used as a basis for comparison. A comparison with the average industry object, the indicators of resource use of which are formed and calculated on the basis of Ukrainian State Statistics data is also shown. For a more thorough assessment of resources, the indicators are calculated in the dynamics – for 3 years. The results of the evaluation of given enterprise taking into account the dynamics and average industry values of the selected set of indicators are also used to predict possible achievements and problems that will accompany the future activities of this enterprise, given its resources and their utilization.
ТHE FEATURES OF VERBAL COMMUNICATIONS IN PUBLIC GOVERNANCE IN THE CONDITIONS OF ADMINISTRATIVE REFORM
Authors:   Sumy National Agrarian University, TELETOV Alexandr , TELETOVА Svetlana ,   Sumy State Pedagogical University named after A. S. Makarenko
Published: March 2022

The article considers verbal communications in public administration of united territorial communities in order to make their functioning more effective. It is shown that in the minds of the administrative reform and the increasing the local self-government advancement role of the verbal communication on the basis of the information exchanged, direct to the management of the publication functions. It is confirmed that marketing techniques and tools are increasingly used by managers of non-manufacturing firms and companies, because they give government and municipal officials certain benefits in creating conditions for sustainable development and improving the quality of life, which is especially important during administrative reform, organization of united territorial communities, amalgamation of districts. It is believed that in the context of decentralization of territorial management tools of verbal communication, information exchange, presentation and legitimation of public administration will provide targeted management influence on potential consumers and the general public. It is shown that in order to support their actions on the part of society, managers and marketers have their own advertisements for goods and services, texts of TV and radio messages, posters and billboards, communicative public relations models, Internet advertising and others to combine as much as possible with goods and services of opposite value categories (social orientation), which are demonstrated with the communication use of certain verbal means. Thus, it is proved that the use of marketing communication approaches and tools in the public administration system, fixing them in relevant regulations and use the specialists of state and local governments at all levels in their activities is not only appropriate but necessary.
CONCEPTUAL APPROACHES TO THE APPLICATION OF THE MARKETING MANAGEMENT CONCEPT AT THE ENTERPRISE
Authors:   Khmelnytskyi National University, BOIKO Ruslan
Published: March 2022

The article highlights the main problems of applying the concept of marketing management in the enterprise. It is indicated on the relevance of the topic under conditions of market relations for enterprises. The works of scientists involved in the study of these issues have been analyzed, and insufficiently investigated aspects are singled out. It is noted that in the complex dynamic conditions of modern enterprises, the importance of management aspects in marketing activities has increased sharply, which will allow companies to survive in the competition in the long run. The activity of the enterprise working in the market of production of industrial gases of Ukraine is analyzed prospects. Its assortment policy is analyzed. The main suppliers of the enterprise have been identified. The main competitors of the enterprise are determined. The further development of the enterprise are estimated. It is noted the need to improve the management of its marketing activities. To identify problems in the work of the company was conducted marketing research through a survey of consumers of its products. At the beginning of the study, we put forward several hypotheses about the situation at the enterprise. As a result of the study, some hypotheses were confirmed and some were refuted. A marketing study of the enterprise through an expert survey. The study of the level of marketing activities of the enterprise is presented clearly in the form of a diagram. For the futher marketing study of the enterprise there were used the SWOT-analysis and the the McKinsey matrix. According to its results, the main shortcomings in the organization of the enterprise are indicated, the directions of its potential development are determined. It is noted that it will be appropriate to strengthen the marketing orientation of the enterprise, which will improve the activities of the enterprise as a whole. The management of marketing activity of the enterprise on the basis of improvement of its assortment and price policy is offered.
FEATURES OF LOW URBANIZED TERRITORY MANAGEMENT IN UKRAINE
Authors:   Lviv Polytechnic National University, HLYNSKYY NAZAR
Published: March 2022

It is proven that democratization of public life and the transition to market-type economic relations in Ukraine were the driving forces for restructuring the domestic political system. Public administration bodies have been transformed, the relationship between the state, regional and local levels of government have changed, and the institution of local self-government is developing. One of the main megatrends that characterize these changes is the spread of the decentralization processes of public administration and the interaction of central and local government based on the principle of subsidiarity. The space of existence for a low-urbanized as an open system are such components as the number of inhabitants is not less than the minimum possible level; financial autonomy: this means that a sparsely urbanized area can independently generate financial resources to fulfill its powers to provide public services at a level not lower than the minimum standards set by the state and is able to direct some of these resources to the development budget; state support and protection: the state as an institution that ensures the overall development of the whole country must also guarantee the balanced outcome of sparsely urbanized territories and ensure respect for the constitutional rights of territorial communities by all subjects of power; system integrity (emergence): the low-urbanized territory as an administrative-territorial unit of the grassroots level should have the characteristics of a micro-region as a unity of natural, social and economic components. It is proved that the assumption of the lack of managerial influence on the processes taking place in the low-urbanized territory is purely theoretical and such a situation does not exist in practice. The only question is the nature and strength of such influence. If the nature of the impact is determined by the chosen direction of development of the low-urbanized territory and, consequently, directs all processes in the local community in accordance with the chosen strategy, its strength should be sufficient to determine the changes envisaged by the strategy.
SEARCH FOR NEW MARKETS OF UKRAINIAN HONEY UNDER THE CONDITIONS OF THE COVID-19 PANDEMIC
Authors: Starostina Alla , Bilovodska Olena , Panasiuk Yuliia ,   Taras Shevchenko National University of Kyiv
Published: March 2022

Ukraine produces more honey than the domestic market consume, which means that Ukraine has sufficient potential for honey exports. The main problems of the honey market of Ukraine are the shadowing of the market, low export price of honey and low consumer awareness of honey of Ukrainian origin. Due to the spread of the Covid-19 pandemic on the world market, the demand for honey rises. This is an opportunity for Ukraine to increase honey exports and enter new markets. It will help maintain a leading position in the world market in honey exports, increase the competitiveness of local honey producers and consumer awareness of Ukrainian honey and the build of the country’s brand as a reliable and responsible producer. The Middle East market was identified as a potential market for exit. This article examines the honey market of Ukraine, identifies the problems of the honey market and market’s prospects in the context of the spread of Сovid-19. The attractiveness of the international business environment of the Middle East is estimated in order to find potential markets for Ukrainian honey producers. An analysis of the Middle East countries for export of honey of Ukrainian producers based on a filter model. In the process of analyzing the Middle East market on the basis of a filter model, countries were selected by factors of macromarketing environment and introindustry environment. Moreover, each of the factors that helped determine potential market in the final of the research was assessed by author. The analysis of key filters revealed a high level of the Middle East integration into the system of world economic relations, the constant expansion of their cooperation with other countries, positive dynamics of economic growth indicators.
FEATURES OF MARKETING STRATEGY IN THE JEWELLERY INDUSTRY
Authors:   Khmelnytskyi National University, KOBETS Dmytro
Published: March 2022

The way to stay on the market and increase sales results is to use the potential of modern marketing strategies. The article discusses the essence of the concept of marketing strategy as an element of competition in the jewellery market. In recent years, the owners of jewellery enterprises have increased the number of their franchise shops and new brands have appeared. There has been a qualitative change in the retail jewellery market, which in turn has influenced the marketing strategies of both the jewellery giants and small producers. The challenges facing the jewellery industry as a result of the COVID-19 pandemic and the changes in marketing strategy that have occurred as a result were analyzed. Players in the jewellery industry can not just do business as usual and expect to grow their profits; they must be vigilant and respond to important trends and events, otherwise they risk remaining behind more flexible competitors. The marketing strategies are analyzed. The emphasis and complexity in promotion shift from traditional channels to new ones – mainly the Internet and its advertising opportunities. Particular attention is paid to the 4C strategy, which in the opinion of the author is most suitable for jewellery industry. In the jewellery industry, the customer’s opinion is the most important. Most jewellery products are bought by an individual client, and its solutions depend mainly on elements that make up the entire 4C marketing. The peculiarities of the behavior of the buyer in choosing jewellery products are investigated: what needs satisfy the buyer, when looking for jewellery; what is most often required by the client when choosing jewellery; convenience of purchase. The national and world-class brands, their special positioning on the jewellery market are considered. It is clear that in the past the main growth of brand jewellery was due to the expansion of well-known jewellery brands and the emergence of new participants. The upcoming growth of brand jewellery is likely to come from players, who do not belong to jewellery manufacturers but who work in related categories such as elite clothing or leather products.
FEATURES OF USING SMM FOR EFFECTIVE MANAGEMENT OF RESTAURANT BUSINESS ENTERPRISES
Authors:   Khmelnytskyi National University, TOMALIA Tatiana
Published: March 2022

The article highlights the problem of using social networks, which is due to the active development of marketing, both worldwide and in Ukraine. Competition in the global market is intensifying, and therefore companies need to spend more money to promote their product so that it is not lost among many others. At the same time, the pandemic caused by Covid-19 has reduced marketing budgets. However, there is a growing need to find cost-effective and efficient ways to communicate with consumers. Businesses are encouraged to pay special attention to Internet marketing tools that promote the restaurant product, the restaurant business itself, and its brand through using social media, the content of which is created or updated through the efforts of owners and visitors, namely social media marketing. Competition is also intensifying, so only those companies that know and understand their consumers and competitors well, pursue effective communication policies, will succeed in the market. The shift of interests from mass to targeted marketing, as well as the dynamic development of communication channels and promotion tools have set new challenges for marketers. The article examines the existing methods of SMM promotion for use in the restaurant business, among which were targeted advertising, SEO promotion, interaction with users, competitions, advertising in communities. The main tasks of SMM, its advantages/disadvantages were highlighted. The main attention was paid to the method of evaluating the effectiveness of promotion and communication effectiveness of SMM for restaurant businesses. Several measures for the effective implementation of SMM in restaurants are proposed.
IMPROVEMENT OF MARKETING AND LOGISTICS MANAGEMENT PROCESSES TAKING INTO ACCOUNT CURRENT TRENDS IN MARKET DEVELOPMENT
Authors:   National Aerospace University «Kharkiv Aviation Institute», FEDORENKO Mykola
Published: March 2022

The article investigates and considers options for the organization of marketing and logistics activities at the enterprise and developed a mechanism for managing marketing and logistics activities of the enterprise in order to implement them in the enterprise. With the help of theoretical analysis of marketing and logistics management processes and analysis of models, methods and mechanisms of marketing and logistics system of the enterprise considered the essence, purpose, content, objectives, basic principles and laws of reproduction of marketing and logistics activities in changing market conditions. the relationship of marketing and logistics at all levels of marketing and logistics strategy of the enterprise. Under the influence of marketing is the modification of the tasks of internal management and internal corporate planning of logistics activities of the enterprise. Reducing the costs of marketing and logistics strategy is one of the most affordable reserves to increase the competitiveness of the enterprise. The article examines a number of problems related to improving the management of marketing and logistics activities of the enterprise and developing an effective mechanism for its operation, adequate to the processes taking place in the market, taking into account strategic, tactical and technological aspects. Because, as utility analysis shows, a product or service provides satisfaction to the consumer only if it is available there and when the need arises, to achieve such satisfaction, integrated efforts are needed, both internal and external (with suppliers and end users). With this in mind, we need to work on understanding the importance of relations, intensifying communications between all participants in the marketing and logistics process and on the formation of information links.
PRACTICAL ASPECTS OF APPLICATION OF CRM-SYSTEMS IN ACTIVITIES OF TOURIST ENTERPRISES
Authors:   Rivne State University of Humanities, DEINEHA OLEKSANDR , DEINEHA INNA ,   Rivne State University of Humanities, KOKHANEVYCH TETYNA ,   Rivne State University of Humanities
Published: March 2022

The role and importance of information systems, in particular CRM, in the conditions of macroeconomic instability and digitalization of the economy are considered. The peculiarities of CRM-systems application in tourism activity are determined, which create preconditions for corporate software for marketing, sales, customer service, content management and operations, allow timely notification of customers, offer the most favorable conditions and control all business processes of tourism. It is proved that CRM is a special approach to the tourism business, in which the first priority of the company is the customer and meet his needs. The main tasks that allow tourism companies to solve using CRM, in particular the formation of customer base, automation of business processes, improving the efficiency of personnel management, sales management and the formation of analytics. The main marketing tasks that CRMs solve with the help of CRM are identified, their content is determined and it depends on the benefits that the tourism business and customers receive. It is determined that the main indicators of CRM-system efficiency include: stability of appeals and resale; sales performance; profitability of transactions; number of sales, revenue; percentage of customer retention; costs associated with sales and advertising campaigns; efficiency of interaction with clients; consumer commitment to the brand. The practice of application of CRM-systems by tourist enterprises is considered on a concrete example. The necessity of using CRM-systems by tourist enterprises is substantiated. It has been proven that CRM is a relevant platform for all business units, used to build effective interaction of enterprises with their customers and meet all their needs. These systems create real preconditions for the application of customer-oriented approach by tourism enterprises, contribute to the formation of their stable long-term position in the market.
THE CONCEPT OF FACTORS DETERMINING THE INVESTMENT ATTRACTIVENESS OF THE REGION
Authors:   Carpathian Vasily Stefanyk National University, Bushynskyi Yevhenii
Published: March 2022

It is argued that investors’ decisions are influenced by a number of subjective factors that are difficult to measure, and they express an individual system of preferences, partly determined by the investor’s knowledge, including the image of the region. It is proposed to determine the real investment attractiveness when analyzing the investment attractiveness of the region, which should be interpreted from the standpoint of “popularity” of investing in a particular area. Since the region’s ability to absorb financial and physical capital in the form of investment, determining by analyzing the value of investment in enterprises or foreign direct investment, identified the shortcoming of this approach as the ability to analyze the attractiveness of investment in ex post terms, as opposed to ex ante . It also found that real investment attractiveness can be accessed on the basis of past investment and thus select the region that attracted the most, and relatively can indicate symptomatic variables, the increase of which will indicate increasing attractiveness. It is proposed to divide location factors into “hard” and “soft” by the nature of the impact, which will allow the former to identify directly with the cost of doing business and income and the latter – the subjective feelings of investors and their internal value system. The former are identified directly by the cost of doing business and the achievable income. They are objective and relatively easy to measure, although they can be determined by the type of activity carried out. On the other hand, “soft” factors represent the subjective feelings of investors and their internal value system. Unlike objective factors, they are difficult to measure because they reflect sociological and psychological factors. In the process of finding investment, “hard” factors are considered more important because of their direct impact on the company’s performance, although the role of “soft” factors (such as the quality of social infrastructure) is significantly re-evaluated and their importance in decision-making.
MARKETING ASPECTS OF TOURISM ENTERPRISE DEVELOPMENT AT THE REGIONAL LEVEL UNDER THE INFLUENCE OF GLOBAL TRENDS
Authors: BOLILA Svitlana , KYRYCHENKO Natalia ,   Kherson State Agrarian and Economic University
Published: March 2022

The aim of the work was to investigate theoretical and applied problems of tourism business development taking into account regional specifics and trends of changes in the demand for tourist services under the influence of global influences and threats. The article notes the strategic role of the tourist industry for socio-economic development of the region. It shows the profitability of using the modern marketing approach for the tourism industry for activation of consumer’s consumption and formation of loyalty to tourist services with the aim of creating competitive advantages of tourist enterprises in the new realities. Revealed the main global trends in changes of popitu for tourist services and identified a number of priority tasks for representatives of the tourist business under their influence, The article describes the status of the tourist business under their influence, which is associated with the processes of automation, technology, informatization, digitalization in the key business processes of tourist activity. The state of tourist potential at the level of the region is characterized and peculiarities of carrying out tourist activity at the micro level – an enterprise represented at the regional tourist market and gives tourist services to its clients are analyzed. The new types of tourist services, which can be realized in the conditions of the region by the enterprise of tourism sphere are defined. The attitude of consumers to new types of tourist services thematic focus on the regional level and established measures for solving the revealed problems with the aim of developing new areas of tourist activity of the enterprise. Examined the tools of marketing communication, which is used by the company in the regional tourism market. Presented recommendations for improving marketing communications of enterprises in the tourism industry at the local level with the aim of enhancing the impact on the consumers of tourist services. The need for innovation in the field of tourism and implementation of new marketing technologies, namely digital and branding, was revealed, with the aim of keeping the attention of consumers and establishing long-lasting constructive contacts between the tourist enterprise and customers, which will contribute to the development of tourist activity in the region in view of the trends of global changes in the tourism industry.
THEORETICAL FUNDAMENTALS OF MEDICAL INSTITUTION COMPETITIVENESS POTENTIAL DEVELOPMENT MANAGEMENT
Authors: BAKSALOVA Olga , SHELEST Ievgeniia ,   Khmelnytskyi National University
Published: March 2022

Theoretical and methodological principles of medical institution competitiveness potential development management are explored in the article. The concept of medical institution competitiveness is considered as a complex, step-by-step, multifaceted, dynamic process involving the formation and implementation of management decisions and measures to sustainably increase competitiveness and dynamically increase competitive advantages and competencies of the medical institution on an innovative basis. It was found that the following components of the theoretical basis of medical institution competitiveness potential development management are the most widely used and studied among domestic scientists and practitioners: factors of competitiveness; the nature of the factors of influence; vectors, directions of competitiveness development and quality of medical services; principles, functions and patterns of development of competitiveness of medical institutions and services, etc. Therefore, it was determined that the delineation of these components is extremely important to consider in the process of developing a system of measures to increase the competitiveness of any medical institution, which will contribute to their efficiency and relevance. In the current Ukrainian and foreign publications, the problems of quantitative assessment of the level of medical institution competitiveness are covered quite widely. In these works, researchers argue the use of different approaches to calculate competitiveness indicators; advantages and disadvantages of certain methodological approaches; the need to take into account various factors in assessing the level of medical institution competitiveness etc. Various ways of applying the method of expert assessments in determining the level of competitiveness of organizations are proposed. The use of this method can often reduce the reliability and objectivity of research results. In general, the assessment of the level of competitiveness is currently carried out taking into account the influence of market factors, which usually give an incomplete description of the organization under study. Therefore, in order to obtain reliable results of competitiveness assessment, it is necessary to apply a system of complex factors that take into account the specifics of not only domestic medical organizations, but also medical services.