bluuebunny/crossref_metadata_2025 huggingface dataset:
INTEGRASI INTERKONEKSI POFESIONALISME PENDIDIK DAN IMPLEMENTASI PENDIDIKAN KARAKTER
Authors: Ismunandar Arif
Published: November 2023

Hilangnya sebuah karakter pada anak mengindikasikan telahhilangnya nilai-nilai luhur yang melekat pada identitas budaya kita,seperti kejujuran, kesantunan, kebersamaan, teposliro, rasa malu,tanggung jawab, kepedulian sosial, dan sebagainya. Pembinaankarakter anak dapat direalisasikan melalui nilai-nilai yangditanamkan oleh para pendidik. Guru/pendidik sebagai tenagaprofesional memiliki tugas dan tanggung jawab dalam pembentukandan penanaman nilai-nilai karakter terhadap anak didik. Pembinaanpendidikan karakter akan mencapai hasil yang maksimal apabilaseluruh unsur internal lembaga sadar bahwa pendidikan tidak hanyabertitik berat pada kecerdasan intelektual saja, melainkan jugamengarah kepada pembentukan karakter peserta didik.Tulisan ini memaparkan tentang Integrasi Interkoneksi antaraprofesionalisme pendidik dalam mengimplementasikan nilai-nilaipendidikan karakter pada lembaga pendidikan. Pemaparan tulisanini didasarkan pada analisis dari data pustaka dengan modeldeskriptif. Dari hasil pembahasan dapat diperoleh kesimpulanbahwa integrasi dan interkoneksi antara profesionalisme pendidikdan pendidikan karakter dapat terwujud apabila satu sama lain agarmenajadi satu kesatuan yang utuh sehingga tidak terjadikesenjangan antara kemampuan profesionalisme pendidik terhadappraktik pendidikan karakter di sekolah. Sekolah sebagai lembagapendidikan formal yang menyelenggarakan kegiatan proses belajarmengajar, menjadi bagian utama dalam mewujudkan tercapainyatujuan pendidikan. Pendidikan karakter bertujuan sebagaipenyeimbang kecakapan kognitif, sehingga anak bukan hanyacerdas secara intelektual, tetapi juga cerdas secara emosional,sehingga dapat menampilkan karakter mulia dalam kehidupansosial.Key words: Integrasi Interkoneksi, Profesionalisme, PendidikanKarakter
STRATEGI USTADZAH ASRAMA DALAM MEMBINA AKHLAK SANTRI BARU DI ASRAMA R.A KARTINI PONDOK PESANTREN DINIYYAH PUTRI LAMPUNG
Authors: Setiawati Ayu , Nugroho Anggi Septia
Published: November 2023

Pembinaan akhlak pada santri baru sangat bergantung kepada ustadzah asrama. Ustadzah asrama harus menjadi contoh yang baik untuk santri baru, agar santri baru dapat meneladani ustadzah asrama. Di asrama R.A Kartini masih banyak santri yang kurang baik akhlaknya. Untuk membina akhlak santri baru diperlukan strategi yang tepat, supaya pembinaan akhlak pada santri baru berjalan dengan baik.Tujuan dari penelitian ini dalam segi teoritis adalah bahan acuan bagi peneliti sejenis pada masa yang akan datang, terutama penelitian yang berhubungan dengan strategi ustadzah asrama dalam membina akhlak santri baru  untuk mengetahui strategi ustadzah asrama dalam membina akhlak santri baru. Dan dari segi praktisnya penelitian ini bertujuan untuk memenuhi syarat mendapatkan gelar sarjana serta untuk memberikan informasi tentang strategi ustadzah asrama dalam membina akhlak santri baru di asrama R.A Kartini Pondok Pesantren Diniyyah Putri Lampung.            Penelitian ini menggunakan jenis penelitian kualitatif. Sumber data pada penelitian kualitatif menggunakan sumber data primer yang bersumber dari hasil wawancara dengan ustadzah asrama, kepala asrama serta santri baru dan sumber data sekunder yang berasal dari hasil dokumentasi dari beberapa sumber yang sesuai dengan penelitian.            Strategi pembinaan akhlak santri baru di asrama R.A Kartini Pondok Pesantren Diniyyah Putri Lampung menggunakan strategi keteladan, pembiasaan, nasehat, motivasi dan mendoakan yang berhasil merubah akhlak santri baru yang kurang baik, sehingga telah membentuk akhlak santri baru menjadi lebih baik. Kata Kunci : Strategi,  Membina, Akhlak, Santri
PENGEMBANGAN PROGRAM TAHFIDZUL QUR’AN OLEH KEPALA SEKOLAH SD MUHAMMADIYAH 1 BANDAR LAMPUNG
Authors: Afni Welin Yolanda , Nugroho Anggi Septia , Sholihin Muhammad
Published: November 2023

Abstrak            Program tahfidzul Qur‟an yang diterapkan di sekolah  bukan sesuatu yang mudah, selain siswa dan siswi dihadapkan dengan mata pelajaran umum juga dihadapkan dengan kegiatan khusus, yaitu; menghafal al-Qur‟an, sehingga diperlukan strategi dalam menerapkan program tersebut agar dapat berjalan sesuai dengan yang diharapkan. Hal itu dilakukan di SD Muhammadiyah 1 Bandar Lampung.            Penelitian ini bertujuan untuk mendeskripsikan strategi kepala sekolah  dalam mengembangkan program tahfidzul Qur’an di SD Muhammadiyah 1 Bandar Lampung yaitu : (1) Perencanaan Kepala Sekolah Dalam Mengembangkan Program Tahfidzul Qur’an,(2) pelaksanaan Strategi Kepala Sekolah dalam Program Tahfidzul Qur’an.(3) Evaluasi Kepala Sekolah dalam Program Tahfidzul Qur’an.            Penelitian ini menggunakan pendekatan kualitatif. Pengumpulan data yang diterapkan dalam penelitian ini, yaitu dengan menggunakan teknik: observasi wawancara dan dokumentasi. Sedangkan analisis data menggunakan teknik: resuksi data, penyajian data, penarikan/varifikasi kesimpulan.            Hasil penelitian ini menunjukan bahwa: 1) perencanaan kepala sekolah dalam mengembangkan program tahfidzul Qur’an yaitu; melakukan kerja sama dengan berbagai pihak sekolah, menentukan pembina tahfidzul Qur’an.             2) Proses pelaksanaan program tahfidzul Qur’an dilaksanakan dengan menggunakan metode one day one colour  dan proses penyetoran dilakukan dengan menyetorkan hafalan 1 blok warna pada mushaf.. 3) Dalam pencapaian target hafalan SD 1 Muhammadiyah Bandar Lampung sudah baik karena sebagian besar peserta didik telah memenuhi target hafalan yang telah ditetapkan oleh sekolah dan lulus dalam ujian akhir tahfidzul Qur’an.Kata Kunci: Strategi, Kepala Sekolah, Tahfidzul Qur’an
MOTIVASI EKSTRINSIK PESERTA DIDIK DALAM MELAKSANAKAN IBADAH SHALAT DI SMK AL-FAJAR KASUI
Authors: Lastari Disi , Basyar Muslim
Published: November 2023

AbstrakBerdasarkan latar belakang masalah dalam penelitian ini bahwa dalam pelaksanaan sholat dzuhur berjama’ah di SMK Al-Fajar Kasui masih ada pesertadidik yang memiliki kesadraan diri yang rendah, ketika sudah memaasuki waktusholat mash ada siswa yang menunggu di arahkkan oleh gurunya, bahkan masihada peserta didik yang bersembunyi dalam kelas dan pojok sekolah. Penelitian ini bertujuan agar mengetahui peran guru Pendidikan AgamaIslam dalam Memotivasi Peserta Didik kelas XI untuk Melaksanakan SholatDzuhur berjama’ah di SMK Al-Fajar Kasui. Adapun jenis penelitiaan ini yaitumenggunakan jenis penelitian kualitatif deskriptif, yang mana penelitian ini yaitumenekankan suatu fenomena dengan cara mendeskripsikannya. Teknikpengumpulan datanya yaitu dengan cara observasi, wawancara dan dokumentasi. Dari analisis tersebut dapat disimpulkan bahwa peran guru PendidikanAgama Islam di SMK Al-fajar Kasui dalam memeotivasi Peserta Didik untukMelaksankan Sholat Dzuhur Berjama’ah sudah cukup baik, dengan melakukanberbagai cara agar meningkatkan kesadran diri peserta didik dalam pelaksanaansholat dzuhur berjama’ah. Walaupun masih ada beberapa peserta didik yang harus diajak, diarahkan, dan dicari terlebih dahulu. Kata kunci : Peran Guru PAI, Memotivasi Peserta Didik, Sholat Berjama’ah
REAKTUALISASI PENDIDIKAN ISLAM DALAM MASYARAKAT MULTIKULTUR
Authors: Basyar Muslim , Nugroho Anggi Septia
Published: November 2023

Tulisan ini secara rinci akan membahas ihwal dinamika pembaruan pendidikan Islam di tengah masyarakat Indonesia yang majemuk. Karena untuk membangun sistem komunikasi sosial yang efektif di tengah warga yang heterogen, mestilah merumuskan pola terbarukan; di mana pendidikan Islam diajak hadir dan dijadikan model utama dalam implementasinya. Tulisan ini merupakan hasil penelitian kepustakaan (library research) dengan melakukan analisis data dan dokumen terhadap beragam literatur akademik serta menggunakan pola manajemen pendidikan sebagai model pendekatannya. Dari hasil penelitian didapatkan bahwa komunikasi di tengah masyarakat multikultur yang ditujukan untuk mewujudkan bangunan toleransi, harus dilakukan dengan kembali menghadirkan pendidikan Islam yang sesuai dengan kondisi zaman; dan secara praktis menyokong produktifitas antar-kelompok masyarakat.
Profile of Forensic Patients with Schizophrenia: Experience of the University Psychiatric Hospital Arrazi Salé
Authors: Bahetta S. , Moussaoui N. El , Laboudi F. , Ouanass A.
Published: November 2023

Schizophrenia is a chronic mental pathology with polymorphous symptoms, disabling on the emotional, relational, behavioral and social levels. In some cases, it can increase the risk of committing a forensic act. International studies have shown that patients with severe mental disorders in general, and patients with schizophrenia in particular, are more likely to commit violent acts than the general population and that the increased risk of violence is related to both clinical/biological and environmental/sociological factors. The present study, carried out in the Ar-razi hospital in Salé, has the following aim to study the socio-demographic, clinical and criminological forensic patients, to highlight the legal peculiarities of forensic patients, look for predictors of dangerousness and develop preventive means crossing the violent acts.
Status of SWL Indicated Patients with Urolithiasis during the Era of SARS-Cov-2 Pandemia
Authors: Köseoğlu Hikmet , Eroğlu Tolga , Miriyev Tural
Published: November 2023

Purpose: It was aimed to investigate the effects of the SARS-CoV-2 pandemic period on SWL indicated patients with urolithiasis. Method: Medical records of SWL indicated patients with urolithiasis were obtained before and after the SARS-CoV-2 outbreak, covering the period between January 2019 and December 2021. The study was divided into two time periods as the pre-lockdown and the post-lockdown periods due to quarantine curfew. The data regarding the patient and stone characteristics were obtained from the records and compared between the time periods. Results: A sum of 286 patients who underwent SWL treatment due to urolithiasis between January 2019 and December 2021 were included into the study. 45% of these patients were treated with SWL in pre-lockdown period and 55% were treated with SWL in post-lockdown period. The mean size of SWL indicated stones were 10.84 ± 4.82mm. While the pre-lockdown mean size was 9.76 ± 4.31mm, the post-lockdown mean size was 11.71 ± 5.04mm (p=0.001) and there was a tendency to increase in stone size after the lockdown. A tendency to increase in stone firmness and radiodensity was observed after the lockdown. While there were recurrent stones in 43% of pre-lockdown patients, new stone formation occurred in 19% of post-lockdown patients that this finding might be interpreted as an increase in stone count. Conclusion: According to these results, the stone characteristics of SWL indicated patients are directly affected as a result of lockdown due to the SARS-CoV-2 pandemic.
The Prevalence and Risk Factor of Noise-Induced Hearing Loss Among Industry Workers
Authors: Saha Bashudeb Kumar , Reza I. M. Hashim , Hossen Md. Iqbal
Published: November 2023

Background: Noise-induced hearing loss (NIHL) has been gradually noticed for its insidious nature as an occupational hazard concomitant with various adverse personal health and industrial hygiene issues, including tinnitus, temporary threshold shift, hypertension, annoyance, elevated occupational accidents by aprosexia, stress, and poorer production performance. Objective: To assess prevalence and risk factor of noise-induced hearing loss among industry workers. Method: This cross sectional study was carried out at tertiary hospital from January 2021 to 2022, Dhaka. Where 97 workers exposed to noise and administrative controls were enrolled in study as a sample population. A structured questionnaire was developed by the expert-review method and applied to all the subjects with face-to-face interviews. Results: Out of 97 sample, 26 workers were having noise induced hearing loss (NIHL). Workers younger than 35 had a 20.59 percent NIHL incidence, while those older than 35 had a 41.38 percent NIHL incidence. The generator area of the plant had the loudest machinery (96-100 dB). As much as 46.67 percent of the generating crew had trouble hearing. Conclusion: We found out that the prevalence of noise induced hearing loss among industry workers. We also found out that workers are overexposed to noise and there is little protection accorded to the workers. It also shows that high noise intensity levels and exposure for long durations leads to hearing loss. Based on the study finding, implementation of hearing conservation programme through development and enforcement of regulations to identify and monitor occupational risk groups, restriction of importation of equipment, which emits dangerous levels of noise, are recommended.
Anthropometric Study of the Cephalic Index of Anambra State Students in Madonna University Nigeria
Authors: Ugbe Ada Mercy , Paul John Nwolim , Madume Anelechi Kenneth , Ohanenye Chioma Akunnaya , Nwokanma Chizam Treasure , Chimezunem Mandah , Waribo Ihua Confidence , Appolos Bokoko Holgate
Published: November 2023

Background: Cephalometry is a subfield of anthropometry that involves the estimation of the cephalic index. The cephalic index is a significant metric used to ascertain the race and sex of an unidentified individual. Materials and Methods: This study was descriptive and cross-sectional and was conducted on Anambra State students at Madonna University. Elele campus, Rivers State, aged 16–24 years. The cephalic index was determined by applying the following formula: the maximum breadth of the head divided by the maximum length of the head, multiplied by 100. Hundred subjects, comprising 150 males and 150 females from Anambra State at Madonna University, were measured. Anthropometrical parameters measured were maximum head breadth and maximum head length. Results and Discussion: The analysis shows that there is no significant difference in the age groups with the cephalic indices of males and females. The prevalence of hyperbrachycephaly is significantly higher in males and females, while dolicocephaly is observed infrequently. Conclusion: This study shows that the males and females showed no differences on the basis of the cephalic index. It also reveals that the students in this study share similarities with Urhobo males and females based on their head types. The findings of this study will hold significant implications for the fields of forensics, medicine, and biometrics.
A New Type of Shifted Method for the Stein-Like Matrix Equation X+M (X) = C
Authors: Liu Shuai
Published: November 2023

In this paper, we presented the shifted global full orthogonalization method (SGl-FOM(m)) and shifted global generalized minimum residual method (SGl-GMRES(m)) to solve the Stein-like matrix equation with , or , respectively, where X is an unknown matrix to be solved. By utilizing the collinearity of the residuals of the seed system and the shifted system , the solution of the Stein-like matrix equation can be derived. Some results are also given. Numerical experiments show its efficiency.
Comparison of Osteometric Dimensions of Lower end of Femoral Bone by Side of Femur among Bangladeshi Population
Authors: Alim Afshan Jesmin , Shirin Lubna , Kabir Mohammed Shahjahan
Published: November 2023

Background: Osteometric dimensions of the femoral bone have significant clinical and anthropological implications. However, there is a lack of comprehensive data on these dimensions specific to the Bangladeshi population. This study aims to fill this research gap by analyzing the osteometric dimensions of the lower end of the femoral bone among a sample set in Bangladesh. Methods: This cross-sectional observational study was conducted in three medical colleges in Dhaka, Bangladesh. A total of 50 dried femurs were collected based on specific inclusion and exclusion criteria. Osteometric measurements, including bicondylar width, medial and lateral condylar depths, intercondylar notch width, and intercondylar notch depth, were obtained using digital sliding calipers. Result: The study revealed notable differences in osteometric measurements between right and left femurs. For instance, 39.29% of right femurs had below-average Femoral Bicondylar Width (<65 mm) compared to 13.64% of left femurs. The mean Femur Medial Condylar Width was 31.05 mm with a standard deviation of 1.74 mm. Conclusion: The study provides valuable, region-specific osteometric data that has both clinical and anthropological implications. The findings are particularly important for the preparation of prosthetics and other supporting structures, which can be highly beneficial for both patients and medical practitioners.
Pengaruh Pre-Arrival Experience dalam Menentukan Pengambilan Keputusan untuk Melakukan Medical Tourism: A Scoping Review
Authors: Santosa Hermes , Adisasmito Wiku Bakti Bawono
Published: November 2023

Medical tourism adalah sektor yang terus berkembang berkat meningkatnya permintaan akan layanan kesehatan berkualitas dengan biaya terjangkau. Kemajuan teknologi dan informasi memungkinkan individu untuk mencari perawatan medis di seluruh dunia. Penelitian ini bertujuan untuk mengidentifikasi pengaruh faktor pre-arrival experience dalam pengambilan keputusan untuk melakukan perjalanan medical tourism. Tinjauan literatur ini melibatkan 13 artikel yang dipublikasikan antara 2013 dan 2023. Hasil penelitian menunjukkan bahwa pre-arrival experience diperoleh melalui informasi dari internet, pengalaman masa lalu, komunikasi mulut ke mulut, dan citra lokasi yang sudah ada sebelumnya. Faktor ini memengaruhi pengambilan keputusan wisatawan dalam melakukan perjalanan medical tourism, dengan pemberian pelayanan yang memberikan current experience yang pada gilirannya memengaruhi post experience wisatawan. Selain pre-arrival experience, faktor lain seperti kualitas pelayanan, kredibilitas penyedia layanan, fasilitas, biaya, serta kemudahan transfer dan akomodasi juga memengaruhi pengambilan keputusan dalam melakukan perjalanan medical tourism.
Strategi Gereja Mengefektifkan Pelayanan Anak di Wilayah Perkebunan
Authors: Buulolo Nasrani , Waruwu Suriani , Zalukhu Oniati
Published: November 2023

Artikel ini membahas tentang strategi gereja mengefektifkan pelayanan anak di BNKP Jemaat Aek Sigala-Gala yang berada di wilayah perkebunan. Pendidikan anak dalam gereja merupakan tanggung jawab para pelayan gereja dan secara khusus tanggung jawab ini dilaksanakan oleh guru SM. Akan tetapi pelayanan ini tidak dapat berjalan dengan baik sehingga anak tidak terlayani, tidak mendapatkan pendidikan, dan pembinaan rohani dari guru SM. Tulisan ini bertujuan untuk menemukan strategi yang tepat digunakan oleh gereja untuk mengefektifkan pelayanan kepada anak  khususnya di wilayah perkebunan. Strategi yang dimaksud berupa, cara yang dilakukan gereja dalam mengefektifkan pelayanan anak, yakni penetapan guru, melatih, mendidik guru SM, dan membangun kemitraan manajemen perusahan perkebunan. Teknik yang digunakan adalah teknik wawancara dan observasi. Hasil penelitian: menunjukkan bahwa melakukan pengajaran kepada anak SM maka dibutuhkan guru yang sungguh-sungguh melayani anak. ; permasalahan kepada pelayanan anak sudah sangat kompleks mulai dari, pelayanan ibadah serta kurangnya strategi gereja dalam mengefektifkan pelayanan anak.
Gereja Tanpa Pemuda, Dapatkah bertumbuh?
Authors: Harefa Noverlianus , Waruwu Sinar Abdi , Gea Linda Darmawati
Published: November 2023

Research on "The Role of the Church in Fostering Youth" is a study that aims to find out the guidance carried out for youth to answer their needs related to the role of the church in fostering youth that is useful for congregational growth. This study uses an approach approach by conducting direct observations in the field and through interviews. The results of the study indicate that until now the church has not become the same as expected, namely being a friend to youth, youth in faith and knowledge, and the utilization of the potential possessed by youth has not had much impact on the church because of the lack of guidance to youth and the closeness between youth and society. parent. Therefore, through this research, the church is expected to pay attention to youth development and to be open to the next generation to prepare the next generation of the church who has firm faith in Christ Jesus, so that through this coaching it can have an impact on the growth of the congregation.
Seni Mewartakan Allah Dalam Pandangan Kitab Mazmur Pada Zaman Modern
Authors: Romario Eka , Wardoyo Gregorius Tri
Published: November 2023

Ada banyak metode untuk mewartakan Allah, salah satunya melalui budaya. Iman berkaitan dengan budaya, iman juga dapat tumbuh dalam kebudayaan. Cara menyebarkan iman melalui kebudayaan adalah menggunakan seni sebagai sarana inspirasi bagi orang lain agar tergerak untuk mengenal Allah. Salah satu contoh seni pewartaan yang ada dan diterima dalam kitab suci adalah seni puisi dalam kitab Mazmur. Seni dan kebudayaan dapat berkembang seturut perubahan zaman. Tantangan pewartaan zaman ini adalah kreatifitas. Hasil penelitian ini adalah, seni menjadi pendekatan efektif dalam pewartaan iman dan sarana untuk sampai pada pengenalan akan Allah. Tulisan ini menggunakan metode penelitian kualitatif dengan refleksi kritis dan pendekatan fenomenologi untuk mencari hal konkrit yang dialami manusia saat ini. Tujuan tulisan ini untuk memberikan gambaran agar seni pewartaan dapat dikemas lebih menarik dengan melihat cara pemazmur mewartakan Allah dan membawa manusia kepada Allah. Hasil yang diharapkan adalah setiap orang mampu merefleksikan dan melihat kasih Allah dalam kehidupan sehari-hari.
Peran Ayah Dalam Keluarga dan Implikasinya Bagi Pertumbuhan Spiritualitas Keluarga
Authors: Bate'e Tenti Riska , Gulo Alokasih
Published: November 2023

The role of the father in the family is very important, especially in building the spirituality of children. There needs to be an example for children of what and how they practice love as people who believe in God. Many parents understand that the father’s role is only as a breadwinner for the family, while the mother plays an important role in the development of the child. This understanding is increasingly ingrained and becomes a pattern of habits that is still enforced today. Therefore, it is necessary to provide an understanding that parents play an important role in the development of their children, both physically and spiritually. Especially in the growth of their spirituality which must be developed from within the family. For that a father must be able to educate and be a role model in teaching his children in the process of their development. Thus a father must first be able to practice love in his life. Besides that, there needs to be support from the church and community institutions in providing understanding for fathers.
CONTRIBUTION OF SAVITRIBAI AND JYOTIRAO PHULE IN EDUCATION AND EMPOWERMENT OF WEAKER SECTIONS IN INDIA
Authors: Amit Das  , Dr. Tarini Halder
Published: November 2023

Savitribai Phule and Mahatma Jyotirao Phule were important social reformers and leading characters in India. Savitribai was the first lady teacher of Indias first girls school. She was not only a teacher but also a great social reformer. She was a significant advocate for womens empowerment and education in the nineteenth century. They were far ahead of nationalist discourse in weaker sections of 19th-century Colonial India. In this context, the researcher intends to focus on assessing the contributions of Savitribai and Jotirao Phule to education and empowering the weaker sections of India. The study is a documentary study. It is also considered a qualitative study. The study investigates Jotirao and Savitribai Phules contributions to the education, empowerment, and self-reliance of subjugated Indias weaker sections. This paper is special emphasizes Women and backward-class people.
KEYWORDS: Social reformer, Empowerment, Nationalist, Womens education, Weaker section.
CLINICAL, INSTRUMENTAL AND BIOCHEMICAL ASSOCIATIONS OF THE DEGREE OF PHYSICAL RECOVERY IN PATIENTS SUFFERED FROM ACUTE CORONARY SYNDROME AT THE COMPLETION OF IN-HOSPITAL REHABILITATION PERIOD
Authors: Babii Liana M. , Shumakov Valentyn O. , Pohurelska Olena P. , Tereshchenko Nataliia M. , Kovalchuk Yuliia Y. , Voloshyna Oksana V. , Umen Ilona O.
Published: November 2023

The aim: To determine the clinical, instrumental and biochemical factors associated with the degree of physical recovery in patients suffered from acute coronary syndrome (ACS) at the completion of in-hospital rehabilitation period.
Materials and methods: We enrolled 88 patients (all were males); 77 patients had ACS/STEMI and 11 with ACS/unstable angina. The mean age was (median, interquartile range) was 58 (49-64) years. We analyzed clinical, laboratory (including the circulating proprotein convertase subtilisin/kexin type 9 (PSK9) level in blood serum), transthoracic echocardiography and (urgent or delayed) coronary angiography data. Symptom-limited exercise tolerance (ET) test was performed predominantly at the second week of in-hospital stay. According to ET-test results, patients were subdivided into the groups with low (G1; 43 [48,9 %]) and high ET (G2; n=45 [51,1 %]).
Results: G1 (vs. G2) was characterized by older age, lower estimated glomerular filtration rate (eGFR) and higher left atrial (LA) dimension. The cases of any left anterior descending artery (LAD) lesion were more frequent in G1 (25 % vs. 2 % in G2, respectively; p=0,004). We revealed a decrease in PSK9 level after ET-test (pre-ET vs. post-ET: 824,0 (371,0-1073,0) vs. 676,0 (441,9-995,9) ng/ml, respectively; p=0,004 [N=35]).
Conclusions: At the completion of in-hospital rehabilitation period, the insufficient physical recovery in patients suffered from ACS associated with older age, lower eGFR, higher LA dimension, and more frequent any LDA lesion cases. Physical exercises favored the decrease in PCSK9 levels in blood serum.
PREDICTION OF THE RISKS OF THE DEVELOPMENT OF COMORBIDITY OF CORONARY HEART DISEASE AND OBESITY IN THE BACKGROUND OF MILITARY ACTIONS
Authors: Gridneva Olga V. , Kravchun Pavlo G. , Ryndina Natalia G. , Kadykova Olga I.
Published: November 2023

The aim: Study of prognostic possibilities of batokine complexes (fibroblast growth factor (FGF-21) and vascular endothelial growth factor A (VEGF-A)) in determining the risks of developing coronary heart disease (CHD) and obesity (especially in case of their comorbidity).
Materials and methods: 105 patients aged 25–85 were examined: 70 (main group) –with CHD on the background of obesity and 35 – with isolated CHD (comparison group).
Results: Probable associations with increased risks of comorbidity of CHD and obesity were: increased systolic blood pressure (SBP) (OR = 0.844 [95.0% CI 0.735–0.970], p = 0.017), FGF-21 (OR = 1.701 [95.0 % CI 1.219–2.375], p = 0.002), VEGF-A (OR = 1.725 [95.0% CI 1.213–2.372], p = 0.005), low-density lipoprotein (LDL) (OR = 4.419 [95.0% CI 1.351–14.469], p = 0.014). Probable associations were also established for lesions of the left anterior descending artery (LADA) (OR = 1.117 [95.0% CI 0.987–1.263], p = 0.078), intermediate branch of the left coronary artery (IBLCA) (OR = 1.336 [95.0% CI 1.099–1.624], p = 0.004).
Conclusions: The values of the characteristics of batokine metabolism (FGF-21 and VEGF-A levels) can be used as a significant predictor of the development of obesity in CHD. Increased levels of FGF-21 and VEGF-A in blood serum characterize a significant relationship with the development of such comorbidity, which indicates a significant influence of batokine complexes on the pathogenesis of comorbidity of CHD and obesity.
FEATURES OF FUNCTIONING DISORDERS IN PATIENTS WITH STABLE ISCHEMIC HEART DISEASE
Authors: Horachuk Viktoriia V. , Mostepan Tetiana V.
Published: November 2023

The aim: To reveal the peculiarities of functioning disorders in everyday life and the need for rehabilitation in the patients with stable ischemic heart disease (IHD).
Materials and methods: Used 346 medical cards of inpatients with stable (IHD), Department of Cardiology and Cardiorehabilitation, Kyiv City Clinical Hospital No. 4. Research methods: collection, grouping, analysis and generalization of data from doctors’ records, medical-statistical, graphical.
Results: It was established that the structure of hospitalized morbidity cases of IHD consisted of 34.7% of angina pectoris and 65.3% of cardiosclerosis. IHD was accompanied by other diseases in 92.8% of cases. It has been proven that among all cases, those with a moderate severity of functional impairment pre¬vail (25.0-49.0%). 28.9% of the patients have contraindications to physical cardiorehabilitation. The remaining the patients need a complex of rehabilitation measures, including physical rehabilitation, and patients with contraindications may use other components of cardiorehabilitation programs.
Conclusions: It has been proven that patients with coronary heart disease, with or without comorbidities, experience impaired functions, reduced activity and participation in everyday life, as well as pain syndromes and painful sensations. This indicates the need for cardiac rehabilitation in the acute and post-acute periods.
CONCEPTUAL, FUNCTIONAL-ORGANISATIONAL MODEL OF THE REGIONAL CENTRE FOR CARDIOLOGY AND CARDIAC SURGERY BASED ON PUBLIC-PRIVATE PARTNERSHIP
Authors: Ivaniuk Anatolii V.
Published: November 2023

The aim: To substantiate the model of the Regional Center for Cardiology and Cardiac Surgery (RCCCS) based on the principles of public-private partnership (PPP).
Materials and methods: A systematic approach and analysis, medical-statistical and sociological method, expert assessment and method of conceptual modelling.
Results: A comprehensive medical and social study of the morbidity rate of the population of the Kyiv region (Ukraine) with circulatory system diseases (CSD), as well as an analysis of the activities of the cardiological service of the Kyiv region in 2010-2019, have been made. Deficiencies in the organisation of medical care were identified, and strategic directions for its improvement were substantiated. The results of a sociological survey of CSD patients, cardiologists and experts – health care organisers have been analysed. According to the results of the expert assessment, health care institutions (HCI) providing cardiac care to the population in the Kyiv region are not ready to work under the conditions of the market economy; there is no appropriate regulatory framework, economic and legal independence of HCI, there is no market strategy for the development of HCI.
Conclusions: The model of RCCCS, based on the principles of PPP being a medical institution of a new organisational and legal form, is capable of providing high-quality and affordable highly specialised medical care of the third level to the population with diseases of the circulatory system at the regional level.
ANALYSIS OF THE RESULTS OF GP-FM QUESTIONNAIRE REGARDING TRAINING IN THE SPECIALIZATION «OTOLARYNGOLOGY» BOTH AT THE UNDERGRADUATE AND POSTGRADUATE LEVELS
Authors: Kononov Oleksandr Ye. , Matviyets Lyudmyla G. , Trishchynska Maryna A.
Published: November 2023

The aim: To research the degree of satisfaction with the training of general practitioners-family medicine (GP-FM) in the specialization “Otorhinolaryngology” in the leading higher educational institutions (HEIs) of Ukraine at undergraduate and postgraduate levels.
Materials and methods: A questionnaire was conducted of 51 GP-FM doctors.
Results: The duration of otorhinolaryngology training at a medical HEI was indicated by: 49% of respondents about weeks of training, 19.6% - about months. 31.37% received separate training on ENT examination. 56.9% of people were trained in ENT departments. 76.5% of people were not satisfied with the quality of theoretical knowledge, 52.9% of respondents of practical skills at the undergraduate level. 72.6% of doctors not satisfied with the quality of theoretical knowledge, 56.8% of respondents of practical skills at the post-graduate level. 41.2% of respondents received post-graduate training in otorhinolaryngology at the GP-FM specialization cycle, 72.55% of them in a lecture format. 86.3% of people want to deepen their knowledge of otolaryngology and need to understand the etiopathogenetic mechanisms of ENT pathology.
Conclusions. The dissonance with the dissatisfaction of the doctors of the GPFM with the quality of the received theoretical knowledge in ENT pathology and the availability of their practical skills was revealed. It is important for GPFM doctors to undergo separate training in ENT examination and pathology with mandatory study and conscious use of etiopathogenetic mechanisms of ENT pathology, especially in inflammatory diseases.
CLINICAL AND PATHOHISTOLOGICAL MANIFESTATIONS OF ACUTE KIDNEY INJURY AMONG PATIENTS WITH ACUTE DRUG POISONING (OVERDOSE)
Authors: Kurdil Nataliia V. , Lisovska Viktoriia S. , Palamar Borys I. , Andryushchenko Vladyslava V.
Published: November 2023

The aim: To investigate clinical and pathohistological manifestations of acute kidney injury among patients with drug poisoning (overdose).
Materials and methods: A cohort retrospective analysis of medical data of 86 patients treated in 2017-2021 with a diagnosis of “acute drug poisoning” com¬plicated by the development of acute kidney injury syndrome was conducted. A forensic medical examination of deceased patients (7 persons) was carried out. Histological samples were examined using an microscope OPTON Axioskop (Germany) in transmitted light, at magnifications of 100 and 400 times. Statistical analysis of the obtained data was carried out using the IBM SPSS Statistics 29.0.0.0 program, Pearson’s correlation analysis was used, p≤0.05.
Results: Acute renal failure in drug poisoning occurs under the influence of prerenal (hypoxia, r=0,66, р=0,0021; hypovolemia, r=0,61, р=0,0333) and renal factors (toxic effect of chemical components of the drug and rhabdomyolysis, r=0,743, р=0,0034). In the tissue samples, erythrocyte stasis in the capillaries, general fullness of blood vessels, signs of the sludge effect and small diapedesis hemorrhages were found; vasculitis and perivascular sclerosis are noted; foci of mononuclear infiltration of the stroma, focal edema, necrosis and interstitial fibrosis; desquamation, degenerative-dystrophic changes of the nephrothelium, tubular atrophy were found; hyaline casts in separate tubules; focal glomerular changes with segmental increase of the mesangial matrix and proliferation of endothelial cells, atrophy and hyalinosis of individual glomeruli were noted.
Conclusions: The multifactorial effect of opioids is confirmed by microcirculation disorders, vascular, interstitial, tubular and glomerular changes in the kidneys.
PERSONIFICATION OF VISUAL DIAGNOSTIC METHODS IN WOMEN WITH SUBMUCOSAL UTERINE FIBROIDS: A RETROSPECTIVE CLINICAL ANALYSIS
Authors: Lytvak Olena O. , Khabrat Anton B.
Published: November 2023

The aim: To determine the parameters of perioperative application of radiographic methods for visual diagnosis in women with submucous uterine fibroids.
Materials and methods: We conducted a retrospective analysis of the data from 200 medical records of women with submucous uterine fibroids (SUF).
Results: Preoperatively, nodes were diagnosed by ultrasound as follows: solitary nodes - SM0 type - 65 (46%) near the fundus; SMІ - 41 (29%) on the anterior or posterior wall; SMІІ - 35 (25%) on the lateral walls of the uterus and in the cornual areas of the fallopian tubes; multiple in combinations: О3-4 / SMІ - 16 (27.0%) and О3-6 / SMІІ - 14 (24.0%); with localization: О3-4 / SM0 - mainly in the fundus - 49%, О3-4 / SMІ and О3-4 / SMІІ on the posterior and lateral - 25.0%, 28.0%; О5-6 / SM0 - posterior and fundus - 38.0%, 49.0%; О5-6 / SMІ and О5-6 / SMІІ - posterior and lateral - 45.0% and 37.5%. The maximum average diameter was 20-30 mm, with a quantity of ≤ 3 per individual. When comparing ultrasound and MRI data, discrepancies in the number and localization of nodes were observed in cases of isolated SMІ / SMІІ (on the lateral walls and in the cornual areas of the uterus) at 29.0%; as well as in cases involving combinations of nodes of types О 3-4 / SMІ at 39.0% and О 3-4 / SMІІ at 23.0% (p<0.05). During hysteroscopy, in the group without intraoperative sonography, there were 30% more conversions from
hysteroscopic to laparoscopic myomectomy, and 25% more combinations of hysteroscopic myomectomy with laparoscopic monitoring.
Conclusions: Hysteroscopic myomectomy with intraoperative sonography is an effective method of treatment for isolated and multiple fibroids of types SMІ/ SMІІ and О3-4/SMІ as well as О3-4/SMІІ.
EBV-ENCEPHALITIS IN CHILDREN: DIAGNOSTIC CRITERIA
Authors: Rzhevska Olga O. , Khodak Larisa A. , Butenko Antonina I. , Kvaratskheliya Tamara M. , Shtrakh Kateryna V. , Shevchuk Anatolii M. , Yashchenko Yurii B.
Published: November 2023

The aim: To investigate the clinical characteristics of EBV infection in the pediatric nervous system using laboratory methods and brain MRI data.
Materials and methods: We observed 41 children with EBV encephalitis ranging from 8 months to 17 years old. The diagnosis of EBV-encephalitis was established on the basis of clinical and medical history, laboratory and instrumental (brain MRI) data. The main thing in the diagnosis was clinical symptoms, combining general infection, cerebral syndromes and focal neurological symptoms. The etiology of Epstein-Barr virus was determined using ELISA and PCR.
Results: EBV-encephalitis can be as a manifestation of reactivation of persistent EBV infection (85%), much less often - acute primary EBV infection (15%). By nature, the duration of EBV encephalitis has distinguished two forms of its course: acute (63%) and chronioc (37%). The criteria of differential diagnosis of acute and chronic forms of EBV-encephalitis are proposed, which include the most common anamnesis data, clinical manifestations and changes in brain MRI.
Conclusions: The proposed criteria specifically for acute and chronic forms of EBV-encephalitis can contribute to the timely and more accurate diagnosis of this disease in children.
TREATMENT EXPERIENCE OF CHRONIC LUNG ABSCESSES USING MINI-INVASIVE ELECTROSURGICAL TECHNIQUES
Authors: Serenko Аnton A. , Hroma Vasyl H. , Minukhin Dmytro V. , Yevtushenko Denis O. , Tkachenko Volodymyr V. , Kritsak Vasyl V. , Korzh Pavlo I.
Published: November 2023

The aim: To increase the efficiency of surgical treatment of patients with chronic lung abscesses by developing mini-invasive methods of surgical treatment using electrosurgical technologies.
Materials and methods: Conducted study of the results of surgical treatment of 78 patients with chronic lung abscesses operated from 2011 to 2021. Patients were divided into two groups: the main group (37 patients who were treated using developed technologies) and a comparison group (41 patients, treated using traditional tactics).
Results: Transthoracic and endobronchial sanitation of the purulent cavity in the lung at the first stage of treatment contributed to the rapid elimination of inflammation and significantly accelerated the regeneration of lung tissue. Clinical effectiveness in the main group was expressed in reducing the phenomena of intoxication, decrease in Leukocyte intoxication index (LII) (early as on day 5 after surgery), on the 10th day, a significant reduction in patients bacterial excretion was noted (in the main group by 18.9%, in the comparison group – by 14.6%), the average time of reducing the abscess cavity by 1/4 of the volume 6 days less, the healing time of the cavity of the AL which is on average 13 and 16 days, respectively, less.
Conclusions: The developed methods of surgical interventions made it possible to significantly positively influence the level of endogenous intoxication indicators, avoid resection surgical interventions, reduce the number of postoperative complications, avoid damage to neighboring organs, reduce the time of patients with achieving a stable positive effect.
THE IMPACT OF HORMONE-VITAMIN COMPLEX ON FUNCTIONAL ACTIVITY OF THE MUSCLE TISSUE OF DESCENDANTS OF IRRADIATED ANIMALS
Authors: Stepanov Gennadiy F. , Vastyanov Rooslan S. , Tertyshnyi Serhii V. , Petruk Lyubov H.
Published: November 2023

The aim: To determine the hormone-vitamin complex impact on the terminal links of glycolysis, the tricarboxylic acids cycle, and the initial stage of glucone¬ogenesis in the muscle tissue in descendants of irradiated animals.
Materials and methods: Pyruvate kinase, lactate dehydrogenase, malate dehydrogenase, NADP-dependent malate dehydrogenasee and phosphoenolpyruvate carboxykinase activities, the content of lactate, pyruvate, malate and oxaloacetate were determined in the blood, myocardium and thigh muscles of 66 rats after exposure to ionizing gamma-radiation. Rats were injected by a hormone-vitamin complex which efficacy was determined using the abovementioned indexes.
Results: Hormone-vitamin complex administration to descendants of irradiated animals exposed to 1.0 Gy results to pyruvate kinase activity increase in the myocardium and skeletal muscles of descendants from animals irradiated by 0.5 Gy and exposed to 1.0 Gy irradiation.
Blood serum pyruvate kinase activity in descendants from animals irradiated by 1.0 Gy and exposed to 1.0 Gy radiation after the pharmacological correction was higher compared with the same index before pharmacological correction.
The lactate dehydrogenase activity in the myocardium, skeletal muscles and blood in descendants born from animals irradiated by maximal dose exposed to 1.0 Gy radiation was less in these tissues after pharmacological correction.
Conclusions: The hormone-vitamin complex use in the descendants of irradiated animals led to muscle tissue energy resources improvement. Our data are the experimental background for theoriginal hormone-vitamin complex efficacy further evaluation in the aspect of vital organs and body systems functional activity restoration under the influence of ionizing radiation.
FEATURES OF THE PROCESS OF TRAINING IN EDUCATIONAL MEDICAL INSTITUTIONS OF UKRAINE AT THE PRESENT STAGE. PART 2. REACTION OF HIGHER EDUCATIONAL INSTITUTIONS TO DISTANCE LEARNING
Authors: Vygivska Lyudmila A. , Galchenko Tatyana V. , Guz Iryna A. , Merenkova Iryna M. , Kachailo Iryna A.
Published: November 2023

Higher education is one of the areas most affected by the Covid-19 pandemic and martial law. Against the backdrop of severe restrictions, universities faced the issue of the existing opportunities for the implementation of educational programs, the need to change the format of the educational process with the transition mainly to electronic educational technologies.
Under these conditions, it was necessary to consolidate all the forces and resources of the university community. The governments of many countries have recognized the need to provide infrastructural and technological support to educational institutions.
Thanks to the institutional support of the state and relevant ministries, universities managed to reduce financial losses and implement initiatives for continuous education. These measures have contributed to the sustainability of universities.
In response to the COVID-19 pandemic, educational institutions all over the world have adopted different approaches and made significant changes to the education system itself in accordance with their resources and capabilities.
LA MEDIACIÓN: COMO MECANISMO EFICAZ PARA LA SOLUCIÓN DE CONFLICTOS, EN LAS SALIDAS ALTERNAS EN EL PROCESO PENAL ACUSATORIO
Authors: Rendón Rendón Rosela de Jesús , Yescas Figueroa Gonzalo
Published: November 2023

El presente artículo de carácter exploratorio se acerca a la práctica del tercero neutral e imparcial quien conduce los servicios de mediación, negociación y conciliación intra la procuración de justicia en Sonora, para identificar las fortalezas y debilidades en la aplicación de estrategias y técnicas durante el encuentro discursivo de las partes conflictuadas por el hecho penal, que tiene como objetivo que ambas narren o describan las historias personales, expongan sus deseos, emociones, posiciones e intereses de tal manera que por sí mismas sean capaces de concretar el mejor acuerdo para dar por concluido el proceso penal a través de un Acuerdo Reparatorio o de una Suspensión Condicional del Proceso. Habilitados para alcanzar el mejor Acuerdo Reparatorio en las salidas alternas de un proceso penal
JUICIOS ORALES EN MÉXICO Y EL CÓDIGO NACIONAL DE PROCEDIMIENTOS CIVILES Y FAMILIARES
Authors: Aude Díaz Roberto , García Villegas Jaime Ernesto
Published: November 2023

La presente investigación tiene por objetivo realizar un análisis sobre la esencia de los juicios orales, así como un estudio comparativo de su regulación en el Código Nacional de Procedimientos Civiles y Familiares y las disposiciones estatales en relación a los juicios civiles, así como identificar la existencia de códigos que contemplan los juicios orales. Para ello se verificaron la totalidad de las legislaciones procesales de las entidades federativas, el texto del Código nacional, así como doctrina en materia de juicios orales, y cuyo resultado nos permite visualizar similitudes y diferencias que se darán en los Estados con la entrada en vigor del código nacional.
Business Communication of a Persuasive Nature - Style Adaptation and Effectiveness during Intercultural Interactions
Authors: Pruvli Elena
Published: November 2023

Researchers have demonstrated that there are preferred cultural persuasive styles but little empirical research has examined the strategies for adapting persuasive styles in intercultural business interactions. This qualitative study investigates preferred persuasive styles, perceptions of alternative persuasive styles and adaptation strategies among Estonian local municipal managers. This article creates a new path for an explanatory study using a stratified sample by integrating differences in persuasive styles and effective communication theories. The findings introduce how alternative persuasive styles are perceived and how managers adapt to them. The paper offers solutions for adaptation strategies leading to more effective intercultural communication.
A Cross-Cultural Study of Iranians’ and Malays’ Expressions of Gratitude
Authors: Farnia Maryam , Sattar Hiba Qusay Abdul
Published: November 2023

The present study is an attempt to examine how Iranian international students in Malaysia and Malay university students express gratitude. To this end, the data were collected from Iranian and Malay university students in Malaysia through an open-ended questionnaire in the form of a Discourse Completion Task (DCT) and a follow-up semi-structured interview. Data were then analyzed based on a modified version of Cheng’s (2005) classification of expressions of gratitude. The findings showed that the two groups used thanking as the most frequent strategy. However, there were differences in the use of strategies such as positive feelings, apology, and alertersbetween Malay and Iranian respondents. Finally, the present study emphasizes the importance of understanding of the communicative needs of the learner and teaching the cultural aspects of language.
The Image of Russian Business through Linguistic Stereotypical Means
Authors: Permyakova Tatiana M.
Published: November 2023

This article deals with the peculiarities of written representation of Russian business in English-language print media. Full-text articles from “The Economist”, published between 2008 and 2014, were selected to analyze the semantics of words and word combinations that imply a Russian business reality. All units were classified according to topic-relation and language sources of stereotypes. The findings showed that the topic-related stereotypes focus on representation of people in three areas – government, business, and realia. As for the linguistic perspective, figurative means are the basic sources for stereotypes, with the emphasis on similes and metaphors of people. Reference sources for figurative means and morphologic means are business-related. Though negative linguistic stereotypes prevail, there are rare positive stereotypes, expressed through syntax. Thus, linguistic stereotypical means help to create the image of Russian business in simplified categories and underlined contrasts: stereotypical lexical units of well-being are combined with characteristics of a poorly-kept country. The intercultural implication of the study is the necessity of enhanced awareness of stereotyping potential of media language.