bluuebunny/crossref_metadata_2025 huggingface dataset:
How Significantly and Sustainably are Developing Countries Surpassing Advanced Economies in Terms of Productivity Dynamics?
Authors: Meliantsev Vitalii A.
Published: July 2024

In the last 2–3 decades due to a series of pragmatic reforms and export-oriented industrialization, carried out by a number of Asian developing countries (DCs), these countries have managed to significantly displace advanced economies (AEs) in the markets of finished industrial goods, and, on the whole, noticeably surpass the latter in terms of growth rates not only of labor productivity, but also total factor productivity. However, the AEs still outstrip many times not only less successful, but also successful DCs in terms of productivity level, which, according to the model calculated by the author, is determined by the much higher quality of their institutions and management, educational levels of the population and technologies used than in developing countries. In order to maintain their leadership in productivity dynamics, DCs, which are experiencing powerful deterring pressure from Western countries, must, while continuing the struggle to establish a more equitable multipolar world order, intensify the implementation of inclusive reforms that contribute to improving the quality of their institutions, accelerated growth of human capital, and the formation of an effective, technologically more complex and organizationally more advanced economy, based both on the internal market and active inclusion in world economic relations.
Gender and Demographic Aspects of the Arab Spring Protests: Youth Bulges, Women’s Participation and the Role of Internet
Authors: Shishkina Alisa R.
Published: July 2024

This article is aimed at studying the inclusion of women in the processes of political participation using the example of the Arab Spring protests. New information technologies and, in particular, social media allowed women to participate in the Arab Spring demonstrations as organizers, activists and journalists. Due to the fact that men in the region in question tend to dominate the traditional media space, cyber activism has allowed women to express themselves both within a specific country and on an international scale. The author comes to the conclusion that the inclusion of women in protest mobilization is reasonable to consider in the context of general demographic trends in the countries under consideration. In this case, we are talking primarily about the phenomenon of youth bulges in some Arab countries, a noticeable proportion of unmarried men, which may be one of the causes of increased destabilization in Arab countries, as well as the intensive spread of Internet communication tools which became the hallmark of the Arab Spring cohort.
Emergency: Behind the Scenes of an Unreleased Film
Authors: Ikonnikova Tatiana D.
Published: July 2024

In the contemporary Indian society, not only professional historians and politicians but also artists significantly influence the representations of certain historical processes. Through their efforts, past events gain alternative meanings and interpretations. Emergency (1975–1977) – a painful and controversial period in the history of independent India – has been sharing the same fate. The article examines interpretations of the ambiguous events of the 1970s and the response of India’s leading political parties to them focusing on a new film, Emergency (directed by Kangana Ranaut), whose release date has been repeatedly postponed in India since autumn 2023. For the ruling Bharatiya Janata Party (BJP) the legacy of the Emergency remains a powerful tool of social and cultural influence on the Indian society. Rethinking the Emergency in fiction and cinematography has long been under the onslaught of the populist rhetoric of the currently dominant BJP and the opposition parties. Today, the Emergency narrative offers an option for not only describing the past through the new lens, but also for interacting with India’s present and reflecting on the country’s future.
On the structure of Laplacian characteristic polynomial of circulant graphs
Authors: Kwon Y. S. , Mednykh A. D. , Mednykh I. A.
Published: July 2024

The present work deals with the characteristic polynomial of Laplacian matrix for circulant graphs. We show that it can be decomposed into a finite product of algebraic function evaluated at the roots of a linear combination of Chebyshev polynomials. As an important consequence of this result we get the periodicity of characteristic polynomials evaluated at the prescribed integer values. Moreover, we can show that the characteristic polynomials of circulant graphs are always perfect squares up to explicitly given linear factors.
Ramond, Neveu–Schwarz algebras and narrow Lie superalgebras
Authors: Millionshchikov D. V. , Pokrovsky Th. I.
Published: July 2024

Two one-parameter families of positively graded Lie superalgebras generated by two elements and two relations that are narrow in the sense of Zelmanov and Shalev are considered. The first family contains the positive part R+ of the Ramon algebra, the second one contains the positive part NS+ of the Neveu-Schwarz algebra. The results of the article are super analogues of Benoist’s theorem on defining the positive part of the Witt algebra by generators and relations.
On derivation of Vlasov–Maxwell–Einstein equations from the principle of least action, Hamilton–Jacobi method and Milne–McCree Model
Authors: Vedenyapin V. V.
Published: July 2024

In classical texts equations for gravitation and electromagnetic fields are proposed without derivation of the right-hand sides [1–4]. Here we suggest the derivation of the right-hand sides and analyze momentum-energy tensor in the framework of Vlasov–Maxwell–Einstein equations and Milne–McCree model. We propose new models of accelerated expansion of the Universe without Einstein lambda.
Nonlinear variational inequalities with bilateral constraints coinciding on a set of positive measure
Authors: Kovalevsky A. A.
Published: July 2024

We consider variational inequalities with invertible operators in divergence form and constraint set a.e. in where is a nonempty bounded open set in , , and are measurable functions. Under the assumptions that the operators G-converge to an invertible operator , , and there exist functions such that a.e. in and we establish the weak convergence in of the solutions of the specified variational inequalities to the solution of a similar variational inequality with the operator and the constraint set The fundamental difference between the considered case and the previously studied case, where is that, in general, the functionals do not converge to even weakly in and the energy integrals do not converge to .
Two-dimensional self-trapping structures in three-dimensional space
Authors: Manturova V. O. , Kanel-Belov A. Ya. , Kim S. , Nilov F. K.
Published: July 2024

It is known that if a finite set of convex figures is present on the plane, whose interiors do not intersect, then among these figures there is at least one outermost figure – one that can be continuously moved “to infinity” (outside a large circle containing the other figures), while leaving all other figures stationary and not intersecting their interiors during the movement. It has been discovered that in three-dimensional space, there exists a phenomenon of self-trapping structures. A self-trapping structure is a finite (or infinite) set of convex bodies with non-intersecting interiors, such that if all but one body is fixed, that body cannot be “carried to infinity”. Since ancient times, existing structures have been based on the consideration of layers made of cubes, tetrahedra, and octahedra, as well as their variations. In this work, we consider a fundamentally new phenomenon of two-dimensional self-trapping structures: a set of two-dimensional polygons in three-dimensional space, where each polygonal tile cannot be carried to infinity. Thin tiles are used to assemble self-trapping decahedra, from which second-order structures are then formed. In particular, a construction of a column composed of decahedra is presented, which is stable when fixing two outermost decahedra, rather than the entire boundary of the layer, as in previously investigated structures.
A note on Borsuk’s problem in Minkowski spaces
Authors: Raigorodskii A. M. , Sagdeev A.
Published: July 2024

In 1993, Kahn and Kalai famously constructed a sequence of finite sets in d-dimensional Euclidean spaces that cannot be partitioned into less than parts of smaller diameter. Their method works not only for the Euclidean, but for all lp-spaces as well. In this short note, we observe that the larger the value of p, the stronger this construction becomes.
TOMMANO – virtualised network functions management in cloud environment based on the TOSCA standard
Authors: Stolyarova R. K. , Shvetcova V. V. , Borisenko O. D.
Published: July 2024

Since 2012 NFV (Network Functions Virtualisation) technology has evolved significantly and became widespread. Before the advent of this technology, proprietary network devices had to be used to process traffic. NFV technology allows you to simplify the configuration of network functions and reduce the cost of traffic processing by using software modules running on completely standard datacenter servers (in virtual machines). However, deploying and maintaining virtualised network functions (such as firewall, NAT, spam filter, access speed restriction) in the form of software components, changing the configurations of these components, and manually configuring traffic routing are still complicated operations. The problems described exist due to the huge number of network infrastructure components and differences in the functionality of chosen software, network operating systems and cloud platforms. In particular, the problem is relevant for the biomedical data analysis platform of the world-class Scientific Center of Sechenov University.
In this article, we propose a solution to this problem by creating a framework TOMMANO that allows you to automate the deployment of virtualised network functions on virtual machines in cloud environments. It converts OASIS TOSCA [5][6] declarative templates in notation corresponding to the ETSI MANO [2] for NFV standard into normative TOSCA templates and sets of Ansible scripts. Using these outputs an application containing virtualised network functions can be deployed by the TOSCA orchestrator in any cloud environment it supports. The developed TOMMANO framework received a certificate of state registration of the computer program No. 2023682112 dated 10.23.2023.
In addition, this article provides an example of using this framework for the automatic deployment of network functions. In this solution Cumulus VX is used as the provider operating system of network functions. Clouni is used as an orchestrator. Openstack is used as a cloud provider.
Correction to the article A. A. Onoprienko “On the analogues of Erbran and Harrop theorems for the joint logic of problems and QHC statements”
Authors: Onoprienko A. A.
Published: July 2024

A change has been added to the article by A.A. Onoprienko, “On analogs of Erbran and Harrop's theorems for the joint logic of QHC problems and statements,” published in 2023, vol. 514, pp. 123-128 (https://doi.org/ 10.31857/S2686954323602324, EDN: WMAEPN).
РОЗБІР ПРИНЦИПІВ РОБОТИ РЕАКТИВНОГО ПРОГРАМУВАННЯ НА ОСНОВІ МОВИ JAVA ТА SPRING BOOT ФРЕЙМВОРКУ У ПОРІВНЯННІ ІЗ ОСНОВНИМИ ПІДХОДАМИ ДО РОЗРОБКИ ДОДАТКІВ
Authors: МИКИТИН Андрій
Published: July 2024

У статті описані та проаналізовані  загальноприйняті способи розробки BE сервісів та  їхнє порівняння до реактивного програмування на основі мови програмування Java та Spring Framework. Наведені приклади імплементації усіх трьох підходів. Також описані принципи роботи основних конструкцій реактивного програмування на мові Java.
СТРАХОВІ ІНСТРУМЕНТИ В СИСТЕМІ УПРАВЛІННЯ ПОДАТКОВИМИ РИЗИКАМИ ВІТЧИЗНЯНИХ СУБ’ЄКТІВ ГОСПОДАРЮВАННЯ
Authors: МАТВІЙЧУК Леся , АНТОШЕВСЬКА Діана
Published: July 2024

У статті досліджено наукові підходи до визначення сутності поняття «податкові ризики», розглянуто суб’єктивні та об’єктивні прояви податкових ризиків, узагальнено вітчизняний досвід податкового ризик-менеджменту та визначено його актуальні тенденції в умовах нестабільності економічного середовища. Проаналізовано контрольну діяльність Державної податкової служби України в умовах дії воєнного стану. Визначено, що відбір платників податків для проведення документальних перевірок щодо дотримання ними вимог податкового законодавства здійснюється за наявними податковими ризиками недоплати сум податків, зборів, які визначаються системою ризикоорієнтовного відбору. Досліджено сутності та роль страхування як інструменту мінімізації податкових ризиків. Визначено, що страхові продукти, які покривають податкові ризики дають змогу страхувальнику-платнику податків мінімізувати фінансові втрати, які пов’язані з додатковими податковими зобов’язаннями, включаючи донарахування податків та зборів, штрафи, пені, у разі їх виникнення, внаслідок помилок або неточностей у податкових деклараціях та проведення податкових перевірок або судових рішень. Запропоновано напрями активізації діяльності страхових компаній у роботі із податковими ризиками, що дозволять залучити широкого кола страхувальників та ефективно просувати продукти зі страхування податкових ризиків на вітчизняному страховому ринку
КОНЦЕПТУАЛЬНІ ОРІЄНТИРИ ДЕРЖАВНОЇ ПОЛІТИКИ МОДЕРНІЗАЦІЇ СИСТЕМИ ВНУТРІШНЬОЇ ТОРГІВЛІ
Authors: КАЧАН Олег
Published: July 2024

У статті модернізацію системи внутрішньої торгівлі визначено як процес системно-структурних змін, орієнтованих на впровадження новітніх підходів до функціонування і розвитку внутрішньої торгівлі та нарощування ресурсних можливостей для її оновлення та осучаснення на засадах активного впровадження передових технологій та інновацій. До чинників (передумов) модернізації системи внутрішньої торгівлі віднесено інституційно-правовий, організаційно-управлінський, економіко-ресурсний, ринковий, соціально-економічний. Пріоритетними орієнтирами державної політики модернізації системи внутрішньої торгівлі запропоновано розглядати (1) активізацію техніко-технологічного розвитку внутрішньої торгівлі, (2) підвищення інноваційної активності та ефективності впровадження інновацій суб’єктів галузі, (3) нагромадження людського капіталу та розвиток інтелектуальної творчої і креативної діяльності в галузі, (4) покращення інфраструктурної підтримки осучаснення та оновлення внутрішньої торгівлі, (5) розбудову системи ресурсного забезпечення впровадження нововведень та структурних зрушень в галузі.
UPAYA MENINGKATKAN PARTISIPASI MASYARAKAT DALAM TANGGAP BENCANA DI DUSUN NDUNGGA DESA NDUNGGA KECAMATAN ENDE TIMUR KABUPATEN ENDE TAHUN 2017
Authors: Wawomeo Aris
Published: July 2024

Disaster is an event or series of events that threaten and disrupt people's lives and livelihoods caused by both natural and / or non-natural factors and human factors resulting in the occurrence of human casualties, environmental damage, property loss and psychological impact. Disaster is only possible there is a very high vulnerability factor available in the community. One of the factors of vulnerability in the community is low knowledge related to disaster. The purpose of community service activities is to increase community participation in disaster response. The targets of the activity are community members in Ndungga Hamlet, Ndungga Village, East Ende District. The activities using lecture and question and answer methods related to disaster materials with the media used are posters and leaflets. In addition, it uses a demonstration method of simple actions that communities can take in disaster situations. The results obtained, among others, the level of public participation is quite high. It is assessed based on several aspects: the community prepares all local tools and materials for the training, present on time, the attendees are 26 people or 88% of the targeted audience will be present are 30 people, eleven participants asked during the lecture and question and answer process, many who held up to answer the questions posed by the team and all questions answered correctly, re-demonstrate all the skills exhibited by the team, the expectation of the community for similar activities to be carried out again. Based on these results, it was concluded that community service activity to improve community ability in emergency response was successfully implemented. It is therefore recommended that similar activities should continue to be implemented in order for the community to be self-sufficient to cope with the disaster situation in the absence of any external relief efforts
STATUS IMUNITAS, ASI EKSKLUSIF, GIZI DAN LINGKUNGAN DENGAN KEJADIAN ISPA PADA BALITA DI PUSKESMAS REWARANGGA KECAMATAN ENDE TIMUR KABUPATEN ENDE PROPINSI NUSA TENGGARA TIMUR
Authors: Bai Marieta K S , Tokan Pius Kopong
Published: July 2024

Generally, ISPA usually attacked the children under five because of low of the body power and the immunity, wasn’t given exclusive Mother’s Milk, uncompleted immunization, the weather and the environment didn’t support too.  The aim of research to analyze the relation of immunity, exclusive Mother’s Milk, nutrient and environment with the occurrence of ISPA to the children under five in Rewarangga Community Health Centre, East Ende Sub district, Ende Regency, East Nusa Tenggara Province. The sort of research was an analytical research by the Cross Sectional design. The populations for an examination 201, the number of the samples consisted of 60 people by the sampling purposive technic. The result of research showed that there was a meaningful relation among immunity, exclusive Mother’s Milk, nutrient and environment with the occurrence of ISPA to the children under five by the value of p < 0.005, namely immunity value p=0.013, exclussive mother’s milk p=0.011, nutrient p=0.008 and enviroment p=0.021. Based on the values above so could be concluded that the environmental factor which the biggest Influenced ISPA to the children under five and suggested in order that the children under five was able to examined in Rewarangga Community Health Centre accordance with the timetable that has been determined and tried to avoid the children under five from the pollution of the environment
PENGETAHUAN IBU TENTANG PERAWATAN LUKA PERINEUM PADA IBU POST PARTUM DI RUANGAN NIFAS 3 RSUD ENDE
Authors: Woga Raimunda , Sekunda Maria Salestina
Published: July 2024

The puerperal period is a dangerous time for the mother, because if not get the proper treatment, then it will threaten the safety of the mother own soul. One of the treatments to be performed is perineal wound care. Therefore, maternal knowledge of perineal wound care is necessary to prevent the occurrence of infections that can threaten the safety of the post-partum mother's life. The purpose of this research is to know the description of the knowledge of postpartum mothers about perineum wound care in Nifas 3 Public Hospital of Ende Area. Type of descriptive research with survey research design. The population of all postpartum mothers treated in NIFAS room 3 in February 2016, amounted to 120 people. The sampling technique is purposive sampling, so the number of samples is 36 people. The results showed that 22 people (61.1%) of post-partum mothers were sufficiently knowledgeable about the meaning and purpose of perineal wound care, and 18 people (50.0%) of post-partum mothers were less knowledgeable about the scope of treatment and time of perineal wound care and 15 people (41,7%) postpartum mothers are knowledgeable about the efforts undertaken in the treatment of perineal wound. The conclusion is that 15 people (41.7%) of postpartum mothers are knowledgeable less about perineal wound care. It is recommended that health workers always provide post-partum health education on care during the puerperium. Nurses/midwives are expected to further improve their skills and always provide friendly service. Friendly service will indirectly help to speed up the recovery process for postpartum mothers.
PERAN KADER DALAM PENGENDALIAN HIPERTENSI DI KABUPATEN ENDE
Authors: Sekunda Maria S. , Tokan Pius Kopong , Owa Krispina
Published: July 2024

Hipertensi adalah suatu keadaan di mana adanya peningkatan tekanan darah di atas normal. Penyakit hipertensi merupakan peningkatan tekanan darah yang memberi gejala yang berlanjut untuk suatu target organ, seperti stroke, penyakit jantung koroner dan bahkan kematian. Penderita hipertensi harus segera ditangani dengan segera sehingga tidak menyebabkan kematian. Penyakit ini telah menjadi masalah utama dalam kesehatan masyarakat yang ada di Indonesia maupun di beberapa negara yang ada di dunia.
Rancangan/desain yang digunakan dalam studi kasus ini yaitu deskriptif kuantitatif dengan pendekatan waktu cross sectional. Data dikumpulkan pada bulan September 2020 dengan menggunakan kuesioner. Analisa data yang dilakukan pada penelitian ini yaitu analisa deskriptif yang digunakan untuk mengetahui frekuensi dari masing–masing responden. Tempat/lokasi yang dilakukan studi kasus adalah di wilayah Kabupaten Ende.
Hasil penelitian  diketahui bahwa sebagian besar responden berperan kurang sebagai kader posyandu lansia sebanyak 75%, cukup sebanyak 25% dan baik sebanyak 0%.. Kader sebagai pengerak masyarakat di kabupaten Ende masih belum optimal dalam melaksanakan perannya sehingga perlu pendampingan dari tenaga Puskesmas berupa pemberian informasi dan pelatihan demi pengendalian hipertensi pada lansia.
Oleh karena itu diharapkan agar para kader tetap semangat dalam menjalankan tugasnya sebagai kader dengan terus meningkatkan pengetahuan dan ketrampilan khususnya tentang penanganan dan pengobatan  hipertensi sehingga dapat mencegah kejadian komplikasi hipertensi
HUBUNGAN KUALITAS HIDUP KELUARGA DENGAN STATUS GIZI PADA BALITA DI KECAMATAN PANTI KABUPATEN JEMBER
Authors: Husniyeh Maviratul , Susanto Tantut , Susumaningrum Latifa
Published: July 2024

Families have an important role in fulfilling enough nutrition in children. Hence, family quality life greatly affects in fulfilling nutritional status. The aimed of this study was to analyze the relationship of family quality of life and nutritional status among under five children. A cross-sectional study was conducted among 248 family using consecutive sampling. A self-administered questionnaire was used to measure sociodemographic of family and their children, while the Family Quality of Life Questionnaire was used to analyze the quality of family life and Anthropometric calculations based on BB/U, TB/U and BB/TB with the interpretation of z-score used to analyze nutritional status among under five children. The relationship between the quality of family life and the nutritional status among under five children was analyzed by Kruskal Wallis. This study showed children with nutrition based on BB/U 303 children, based on TB/U 226 children, and based on BB/TB 344 children. There were a significantly relationship between FQOL and nutritional status of children (p-value < 0,05). The study concludeed, FQOL relationship with the nutritional status of children. Therefore, the improve the quality of family life in order to improve the nutritional status of children who are more normal to prevent disruption in the growth and development of children.
the EMPLOYMENT OF CADRES AND EDUCATION FOR ADOLESCENT GIRLS IN PREVENTING STUNTING IN BOROKANDA VILLAGE, WORKING AREA OF KOTA RATU PUBLIC HEALTH CENTRE
Authors: Cahyani Sisilia L. , Rifatunnisa  , Sekunda Maria S. , Dhoke Maria F. L.
Published: July 2024

Stunting adalah kondisi gagal tumbuh pada anak balita akibat kekurangan gizi kronis terutama pada 1.000 Hari Pertama Kehidupan (HPK). Penurunan stunting penting dilakukan sedini mungkin untuk menghindari dampak jangka panjang yang merugikan seperti terhambatnya tumbuh kembang anak.Tujuan pengabdian masyarakat ini adalah pemberdayaan kader dalam memberikan edukasi kepada  remaja putri tentang pencegahan Stunting di Desa Borokanda Wilayah Kerja Puskesmas Kota Ratu yang meliputi peningkatan pengetahuan kader posyandu tentang Stunting, dengan memperhatikan kesehatan reproduksi, pola asuh, pola makan, perilaku hidup bersih dan sehat selama periode 1000 hari pertama kehidupan. Peningkatan pengetahuan remaja putri tentang Stunting dengan memperhatikan kesehatan reproduksi, pola asuh, pola makan, perilaku hidup bersih dan sehat selama periode 1000 hari pertama kehidupan yang diedukasi oleh para kader posyandu yang telah mendapatkan pelatihan tentang cara pemberian penyuluhan kepada para remaja putri. Kegiatan pengabdian kepada masyarakat ini dilakukan melalui beberapa metode antara lain: ceramah/penyuluhan, booklet, pelatihan dan pendampingan kader posyandu dalam mengedukasi remaja putri dan diperoleh hasil adanya peningkatan pengetahuan remaja putri hasil post test baik sebanyak 93%.
pendampingan orang tua PENDAMPINGAN ORANG TUA DALAM PENANGANAN ANAK STUNTING DI DESA GHEOGHOMA KECAMATAN ENDE UTARA KABUPATEN ENDE TAHUN 2023
Authors: Bai Marieta , Cahyani Sisilia L. , Sekunda Maria S.
Published: July 2024

Stunting adalah masalah kurang gizi kronis yang disebabkan oleh kurangnya asupan gizi dalam waktu yang cukup lama, sehingga mengakibatkan gangguan pertumbuhan pada anak yakni tinggi badan anak lebih rendah atau pendek (kerdil) dari standar usianya. Selain faktor gizi, stunting disebabkan karena kurangnya pengetahuan masyarakat terutama ibu-ibu yang memiiki anak bayi dan balita tentang stunting. Metode pelaksanaan dalam program pengabdian kepada masyarakat melalui edukasi kesehatan melalui penyuluhan tentang gizi seimbang anak Balita, kunjungan rumah anak stunting, pengkajian anak stunting, posyandu bayi balita, menimbang berat badan, mengukur tinggi badan, mengukur lingkar kepala, mengukur lingkar lengan atas dan pemberian susu pada anak stunting.di Desa Gheoghoma Kecamatan Ende Utara Kabupaten Ende. Populasi dalam kegiatan  ini adalah ibu-ibu di desa Gheoghoma yang memiliki balita dengan stunting. Tujuan dari adanya penyuluhan ini untuk memberikan informasi mengenai “Pentingnya pola asuh pada anak untuk perbaikan gizi dalam penanganan stunting.
A NURSING CARE FOR FAMILIES WITH RHEUMATOID ARTHRITIS (AR) IN ENDE REGENCY
Authors: Bai Marieta , Sekunda Maria Salestina , Cahyani Sisilia Leny
Published: July 2024

Arthritis Rheumatoid merupakan penyakit auto imun yang paling sering terjadi di masyarakat. Hal itu dapat menyebabkan kerusakan sendi jangka panjang, rasa sakit (nyeri) yang berkepanjangan, kehilangan fungsi dan kecacatan (Singh, dkk, 2012). Studi Kasus ini bertujuan agar penulis mampu melaksanakan Asuhan Keperawatan pada keluarga Tn. K. S dengan salah satu anggota keluarga menderita Arthritis Rheumatoid dengan menggunakan pendekatan proses keperawatan.
Studi Kasus ini menggunakan metode studi kasus melalui langkah-langkah asuhan keperawatan yang dimulai dari pengkajian, diagnosa keperawatan, intervensi, implentasi, evaluasi hingga kegiatan dokumentasi keperawatan.
Hasil pengkajian pada keluarga atas nama Ny K. S mengeluh  nyeri pada lutut kiri, badan lemah, bengkak di lutut kiri. Masalah keperawatan yang diangkat pada kasus tersebut adalah gangguan rasa nyaman nyeri dan hambatan mobilisasi fisik. Evaluasi ditemukan bahwa masalah gangguan rasa nyaman nyeri sebagian teratasi karena klien telah menunjukkan tanda-tanda nyeri terkontrol seperti wajah rileks, skala nyeri 1 (0-10) tanda vital dalam batas normal: dan untuk hambatan mobilisasi fisik sebagian teratasi karena klien mengatakan sudah bisa berjalan sendiri walaupun masih terasa sedikit nyeri.
             Masalah yang ditimbulkan akibat Arthritis Rheumatoid sangat kompleks dan dapat mengakibatkan berbagai masalah pada sistem kehidupan manusia, sehingga klien dianjurkan untuk melakukan pengobatan sedini mungkin, mengikuti aturan minum obat dan menerapkan perilaku hidup sehat.
Elizabeth Fox: Intellectual Biography and History of a Field of Study
Authors: Heram Yamila , Gándara Santiago
Published: July 2024

The aim of this article is to highlight and recognize the contributions of one of the pioneers in Latin American communication studies, Elizabeth Fox, who since the late 1960s in Colombia has investigated media ownership and inequalities in the flow of information in the region. At the same time, the description of her intellectual journey reveals a transnational figure who established relations not only between different countries in the region but also with universities and agencies in the United States and Europe. In order to examine her trajectory, a meta-analysis of her academic publications serves to identify changes, ruptures, and continuities in her research topics and theoretical positions; an interview with the author was also conducted to complement the reconstruction of her trajectory. The main results and conclusions of the article are synthesized in a recovery of the critical traditions of the political economy of communication in her works published in the 1970s. | El artículo tiene por objetivo visibilizar y reconocer los aportes de una de las pioneras en los estudios latinoamericanos en comunicación, Elizabeth Fox, quien desde fines de la década de 1960 en Colombia se ha ocupado de investigar la propiedad de los medios de comunicación y las desigualdades del flujo informativo en la región. Al mismo tiempo, la descripción de su itinerario intelectual nos coloca frente a una figura transnacional que anudó no solo las relaciones entre distintos países de la región sino también con Estados Unidos y Europa, sus universidades y agencias. Para abordar su trayectoria se realiza un meta-análisis de sus producciones académicas, identificamos cambios, rupturas y continuidades en sus temas de investigación y posiciones teóricas; asimismo se realizó una entrevista con la autora que complementa la reconstrucción de su trayectoria. Los principales resultados y conclusiones del artículo se sintetizan en recuperar las tradiciones críticas de la economía política de la comunicación en sus trabajos publicados en los años 70.
Management of Periarthritis Shoulder by Intra-Articular Steroid Injection and Shoulder Joint Manipulation
Authors: Gonuguntla Chandramouli , Kasukurthi Raja Shekhar , Thota Sai Smaran , Menda Rajesh
Published: July 2024

Introduction: "Periarthritis" and "adhesive capsulitis" have been used synonymously with frozen shoulder. The condition known as "frozen shoulder," which has an unknown cause, is characterized by a delayed, spontaneous restoration of all shoulder joint movements to some extent or entirely over several months to a year. Various treatment methods have been employed to manage periarthritis shoulder, with varying outcomes. 
The Aim: To evaluate the functional outcomes and pain relief of periarthritis shoulder treated with intra-articular steroid injection and manipulation under anesthesia. 
Material and Methods: A prospective study was conducted on adults with periarthritis shoulder admitted, evaluated, and followed up on 30 periarthritis shoulder cases using intra-articular steroid injection and manipulation over three months. 
Results: In our study, most of the patients were females and elderly, with diabetics being more prone to periarthritis of the shoulder. The range of movements improved, and pain was relieved in all 30 patients. Excellent results were found in 26 cases (86.6%) by DASH Score criteria.  
Conclusion: Intra-articular steroid injection and manipulation of the shoulder in periarthritis shoulder with follow-up for 12 weeks resulted in the study finding a significant improvement in the range of shoulder movement, pain, and function in patients with shoulder periarthritis.
Keywords: Periarthritis shoulder; intra-articular steroid injection; Range of movement.
Correlation Between Systemic Lupus Erythematosus and Renal Damage
Authors: Zylbeari-Masha Elita , Zylbeari Gazmend , Bexheti Zamira , Zylbeari Art , Angelovska Bistra , Zylbeari Lutfi
Published: July 2024

Introduction: Two of the most frequent Lupus nephritis (LN) diseases are multiple glomerulonephritis and renal fibrosis. Recent studies have verified that 10-30% of patients with SLE after several years (3-6 years) develop LN and end-stage chronic renal disease (ESRD) when there is a need for chronic intermittent hemodialysis (HD) treatment. [1, 2, 3]
The paper aimed to assess renal damage due to LN using the results obtained from the examined parameters in patients with chronic kidney disease (CKD) in the third stage (a and b).
Materials and Methods: This prospective cohort research (cross-section ") study included 100 patients with CKD (55 were men with an average age of 57.00±8.50 years old with chronic renal disease, 20 with diabetes mellitus (DM) and nephropathy diabetics, 15 were arterial hypertension (AHT), 11 were with chronic glomerulonephritis (CGN), 3 with Adult polycystic kidney disease (APCKD)  and six patients were with undefined renal disease, while 45 were female with an average age of 55.80 ±10.50 years old), with primary kidney disease: 16-with diabetes mellitus and diabetic nephropathy,11 with HTA…
Statistical analysis of the examined material: The obtained results from the studied patients with CKD and the control group were statistically processed with arithmetic mean value, standard deviation X ± SD, with student, "t" test, Mann-Whitney and Wilcoxon test. The results were processed with the appropriate state-of-the-art statistical program, SPSS V26.
Results: the results obtained at the beginning of the study (for all patients with LN and CKD: women and men) and after 12 months of treatment are presented in tables and graphs 4 and 8.
Conclusion: From the results obtained, we can conclude that LES affects the appearance of renal damage; therefore, early detection and treatment of the initial stages of LN seem to influence the reduction of its activity.
The Influence of the Cooperation of Hyperhomocysteinemia and Arterial Hypertension. A Risk Factor on the Acceleration of the Progress of Chronic Renal Diseases
Authors: Zylbeari Art , Masha Elita , Bexheti Zamira , Zylbeari Gazmend , Zdravkovska Milka , Zylbeari Lutfi
Published: July 2024

Introduction: Chronic kidney disease (CKD) is a heterogeneous group of disorders that manifest differently with a multifactorial etiology. In addition to known factors such as diabetes, high blood pressure, genetic predisposition, age, gender, race, physical inactivity, obesity, and MIA, in recent years, high concentrations of homocysteine have also been considered as an independent risk factor in the acceleration of the progression of CKD, which, together with arterial hypertension, apparently affect the acceleration of the progress of chronic renal diseases.
Materials and Methods: In a cohort-prospective study, 100 patients were treated (40 women with an average age of 55.40±8.20 years and 60 men with an average age of 56.00±9.50 years) with CKD in the third stage (stage   III   and b   b) with a GFR of 30- 59 ml/min/ 1.73m2 determined according to the formula modification of diet in renal disease (MDRD- GFR in ml/min for 1.73 m2=175 x Serum creatinine (Cr)  -1.154 x age-0.203x1.212 (if the patient is black) x 0.742 (if female) treated in the internal medicine clinic at the Clinical Hospital in Tetovo, in the period January-2023-December-2023 randomized according to gender, age, nationality, primary kidney disease…
Results: The results obtained at the beginning of the study for all the examined parameters and those obtained after 12 months, both from the patients with Chronic disease and the control group of healthy individuals, are presented in the text below.
A significant difference was observed between the patients and the control group with p<0.0001.
Conclusion: CKD is a frequent occurrence worldwide (1 in 10 inhabitants or 10 of the world's population suffers from CKD; therefore, it is necessary to implement preventive and therapeutic measures aimed at early detection, prevention, and treatment of that disease as a conclusion of our paper, we can confirm that there is a strong connection between HHcy and high blood pressure and that together they contribute to the acceleration and progression of CKD; therefore their treatment with folate, vitamin B12, vitamin B6 should be started at an early stage of the disease to prevent the rapid progression of CKD.
Limitations of Ultrasound Examination in Trauma
Authors: Asllanaj Hajrina
Published: July 2024

Introduction: Ultrasound examination plays a significant role in the evaluation of patients with trauma and polytrauma because it is an examination that provides information for many regions and systems, such as in the case of abdominal trauma, cardio-thoracic trauma, and vascular and musculoskeletal injuries. Ultrasound examination is used to rapidly and accurately detect hemorrhages in the pericardial, pleural, and peritoneal cavities, turning it into a necessary examination in Advanced Trauma Life Support (ATLS). Ultrasound is also used in traumas such as pneumothorax, damage to parenchymal organs and abdominal cavity, as well as rib and sternum fractures.
Material and Methods: This study considered and revised a systematic review of radiology and ultrasound specialty journals and clinical textbooks, the bibliographies of all identified articles, and meta-analyses about the role of ultrasound in trauma, especially FAST. Both prospective and retrospective studies for different types of trauma, such as abdominal trauma and thoracic trauma, trauma with unique injuries and polytrauma, and blunt and penetrating trauma, were included.
Conclusions: Although a necessary non-invasive radiological examination, ultrasound has long-term limitations during the evaluation of trauma. Ultrasound limitations are divided into technical limitations, image quality, the inability of sonographic windows to acquire images, echogenic similarity, and lack of differentiation between structures and organs.
Study Size Impact on Accuracy of the Worldwide Incidence of Pilonidal Sinus
Authors: Doll Dietrich , Maak Matthias , Mörsdorf Philipp , Braun-Münker Myriam , Oetzmann von Sochaczewski Christina
Published: July 2024

Introduction: Significant variations in incidence rates have been observed in the analysis of anecdotal Pilonidal Sinus Disease (PSD) incidents worldwide.
Objective: This study examines the accuracy of PSD incidence estimates and the variations associated with study size from 1833 to the present.
Material and Methods: A comprehensive search was conducted in global literature databases, including PubMed, Embase, Science Direct, and others, to gather any PSD incidence data reported between 1833 and 2023.
Results: The study sizes ranged from 26 to 82,217,837 individuals, with incidence rates varying from 8 to 30,000 cases per 100,000 persons. Notably, in study populations below 200,000 individuals, the incidence rate ranged from 8 to 30,000 cases per 100,000 persons. However, this range narrowed when studying populations exceeding 200,000 persons, with incidence rates ranging from 7 to 300 cases per 100,000 persons.
Limitations: No limitations were identified in this study.
Conclusion: The findings suggest reliable PSD incidences can be calculated with study populations exceeding 200,000 individuals. In such cases, the variability of incidence rates decreases as study size increases, although other known and unknown factors continue to influence the outcomes.
Antiphospholipid Syndrome in a Male Patient Presenting with Abdominal Pain
Authors: Collaku Ardit , Dhamo Blerina , Dushi Erjon , Celep Ruchan Bahadir
Published: July 2024

Introduction: Antiphospholipid syndrome (APS) is a systemic autoimmune disorder characterized by antiphospholipid antibodies (aPL), leading to a hypercoagulable state and an increased risk of thrombotic events. While abdominal complications have been reported as the initial presentation of APS in some cases, these instances are predominantly observed in female patients. Here, we present a case of a 49-year-old male patient who presented with complaints and a CT scan mimicking intestinal ileus. However, no mechanical or other evident cause of ileus could be found on the explorative laparotomy. After an uneventful postoperative hospitalization and being discharged in good condition, the patient was readmitted within two weeks, and this time, an extensive small bowel resection due to ischemia was done. After going home in a good and stable condition, he presents again, but this time with cerebral ischemia.
Further investigations led to the APS diagnosis. With this case, we want to emphasize the importance of being aware of and considering the diagnosis of APS, especially in cases with repeated, unexplained abdominal pain and non-typical complaints, even in male patients. An early diagnosis could prevent a more complex disease complication.
Conclusion: This case underscores the importance of considering APS in the differential diagnosis of unexplained abdominal pain, particularly in male patients with a history of thrombotic events or elevated aPL levels. Heightened awareness of APS in the emergency setting can facilitate timely diagnosis and appropriate management, ultimately optimizing patient care and outcomes.
Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia. A Case Report.
Authors: Alia Lutfi , Bushati Teona , Berdica Leart
Published: July 2024

Introduction; Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH) is a sporadic but underdiagnosed pulmonary disorder at the benign end of the neuroendocrine cell proliferation spectrum of preinvasive lesions of the lungs. This disease is characterized by hyperplasia of bronchiolar and bronchial pulmonary neuroendocrine cells. DIPNECH can be primary or reactive.
In the WHO - IASLP classification of lung tumors (1999, 2004, 2005, 2015), DIPNECH is considered a preneoplastic lesion in the spectrum of pulmonary tumors. According to the WHO classification, the definition of DIPNECH is purely histological.  
The DIPNECH was initially described in 1992 by Aguayo et al., who reported six non-smoking patients with cough, exertional dyspnea, wheezing, less frequent hemoptysis, and a mixed obstructive/restrictive defect on pulmonary function tests. This disease has a predilection for non-smoking middle-aged women (female to male ratio is approximately 10:1) 
In this article, we present a 62-year-old, non-smoker woman presented with respiratory symptoms ascribable to DIPNECH. After surgery, the morphological study of lung specimens confirmed the DIPNECH, multiple tumors, one peripheral carcinoid, and obliterative bronchiolitis in the right middle pulmonary lobe. 
Conclusions: DIPNECH remains a rare pulmonary condition and is considered a preneoplastic lesion in the spectrum of pulmonary tumors. According to the WHO classification, the definition of DIPNECH is purely histological. While most patients experience a relatively uneventful clinical course, this condition may be associated with tumors, carcinoid tumors, and airway obstruction (Aguayo-Miller disease).
Surgical Treatment of Ruptured Splenic Artery Aneurysm. A Clinical Case and Review Literature.
Authors: Andrea Gjergj , Gjergo Petrika , Kaçani Ardit , Çekini Megi , Dogjani Agron
Published: July 2024

Introduction: Ruptured splenic artery aneurysms (SAAs) are rare but life-threatening vascular emergencies. Prompt diagnosis and intervention are crucial for patient survival.
We present a case of a 54-year-old male who presented with We describe the case of a 54-year-old male who presented with an acute onset of diffuse abdominal pain radiating to the left shoulder, tachycardia, and hemodynamic stability without signs of hypovolemic shock.
The diagnostic process includes imaging examinations such as abdominal echo, AngioCT abdomen, and laboratory examinations. After 12 hours of observation, the head of the general surgery service and vascular surgeons consulted, and the decision was made to perform an exploratory laparotomy.
The patient underwent laparotomy, which revealed hemoperitoneum and rupture of the splenic artery aneurysm, requiring Splenectomy.  
The patient had an uneventful postoperative course and was discharged home on postoperative day 7.
Ruptured splenic artery aneurysms represent a challenging clinical scenario requiring prompt recognition and intervention. Surgical management remains the cornerstone of treatment, aiming to prevent life-threatening bleeding and preserve splenic function when feasible. Multidisciplinary collaboration and adherence to evidence-based practices are essential for optimizing patient outcomes in this rare but critical condition. Ongoing research and advancements in surgical techniques continue to refine the approach to splenic artery aneurysms, enhancing the quality of care provided to affected patients.
Conclusion: This case report highlights the importance of a high index of suspicion for ruptured SAA in patients with suggestive clinical presentations. Prompt surgical intervention with appropriate technique selection is essential for optimal patient outcomes.
Perceptions of Health Personnel Regarding the Utilization of Health Information Systems.
Authors: Fresku Edra , Kraja Julian , Marku Maranaj
Published: July 2024

Introduction: The deployment of health information systems has been a global response to healthcare's transformation and digitalization. The need and potential of these systems within healthcare have been tremendously driven by the global instability that has affected several interrelated sectors, highlighting the urgency and importance of this research.[1]
Health information systems (HIS) are critical systems deployed to help organizations and all stakeholders within the healthcare arena eradicate disjointed information and modernize health processes by integrating different health functions and departments across the healthcare arena for better healthcare delivery.[2]
This study aims to underscore the invaluable insights of the Shkodra Regional Hospital's healthcare staff regarding Hospital Information Systems. We aim to identify potential problems that may arise before their implementation, such as resistance to change, lack of training, and system compatibility issues, emphasizing the crucial role of healthcare staff in this process.
Material and Methods: 168 participants were involved in this study, representing 42.96% of the total nurses. Data were collected through a 47-item self-administered questionnaire, which included sections on demographics, current system usage, perceived benefits and challenges, and readiness for system adoption. The questionnaire was designed based on the 'Acceptance Model of a Hospital Information System' developed by Handayani et al. [3]
Results: Encouragingly, 88-92% of the study participants expressed their strong readiness and enthusiasm to embrace HIS as part of their work. This overwhelmingly positive attitude bodes exceptionally well for the system's potential success.
Conclusions: The study's findings underscore the significant potential for successfully implementing HIS at Shkodra Regional Hospital. Despite the challenges nurses may anticipate when using HIS, the study revealed a remarkable willingness to adapt. Approximately 90% of the participants expressed their readiness to accept HIS, demonstrating their commendable adaptability and the potential for a smooth transition to the new system.