bluuebunny/crossref_metadata_2025 huggingface dataset:
Subglottic Stenosis as an Isolated Clinical Manifestation in Relapsing Polychondritis – A Case Report
Authors: Vasconcelos Ferreira de , Antonio Pinto José , Sobreira Nunes Heloisa dos Santos , Spinola Jahic Gabriella , Natalia Azevedo Andréia , Passarelli Scot Marina Cançado , Orlandini Caio Alonso , Cunha Onofre Cassia Paloma da
Published: November 2021

Relapsing Polychondritis is a rare, multisystem autoimmune disease still of unknown origin, characterized by recurrent inflammation of the hyaline cartilages. The involvement of Laryngotracheal cartilages in polychondritis is one of the most serious known complications, observed in 50% of patientswith worse prognosis. Among the causesof death, laryngotracheal stenosis associated with pneumonia or severe respiratory failure stands out, and may be found in 10% to 50% of patients with the disorder. We describe a case of relapsing polychondritis in a female patient, with dyspnea as an initial manifestation, in which Grade III Cotton-Myer Laryngotracheal Stenosis was later confirmed. During the 10 years of investigation, clinical treatment stabilized the disease, but the respiratory distress persisted, which prompted the patient to be submittedto surgical correction of laryngotracheal stenosis.
A higher cut-off for Thyroid-stimulating immunoglobulin (TSI) could better predict relapse in Graves’ disease?
Authors: Fontes Rosita , Massucati Negri Mauricio , Marui Suemi , Schrank Yolanda , Fragoso Perozo Andrea Faria Dutra
Published: November 2021

Background: TSH receptor (TSHr)-stimulating immunoglobulins (Igs) can be used as diagnostic markers of Graves’ disease (GD). Thyroid-stimulating immunoglobulin (TSI) assays exclusively detect these specific Igs. Materials and Methods: This was a prospective longitudinal study in which hyperthyroid patients with GD and toxic nodular goitres were evaluated at diagnosis. GD patients were also evaluated at antithyroid drug (ATD) withdrawal. An automated chemiluminescent assay measured TSI. According to the manufacturer TSI less than 0.55 IU/L was a non-reactive result. The authors evaluated the Se and Sp of the cutoff point provided by the TSI assay manufacturer, and tested other cutting points through a ROC curve, to assess relapse risk of Graves’ disease. Results: At diagnosis, were evaluated 92 (85.2%) GD patients aged 41.2 ± 2.0 years, and 16 patients (14.8%) with toxic multinodular goiter (TMNG) or toxic adenoma (TA), aged 60.8 ± 4.8 years. They were re-evaluated after 18 ± 4 months with methimazole (MMI) treatment. The follow-up after treatment suspension was of 20 ± 6 months. At diagnosis, the TSI (Se) and (Sp) were 98.9% and 100%, respectively. At ATD withdrawal, despite a high Se (95.5%), Sp was low (59.6%). By adjusting the cut-off to 1.11 (TSI <1.11 IU/L non-reactive), TSI presented the best Sp (89.4%) with a small decrease in Se (93.3%) in predicting GD relapse. Conclusions: TSI had high Se and Sp in GD differential diagnosis with nodular goiters. In the assessment for GD relapse, by raising the cutting point to 1.11 IU/L, a better Sp was obtained at the expense of a small drop in Se. A larger sample is needed to support a higher TSI cut-off point in the clinical routine to assess GD relapse after ATD.
Smoking, Health Market Equilibrium and Fiscal Policy
Authors: Hernández Fé Fernández , González Efraín Sánchez
Published: November 2021

Introduction: The application of and effective fiscal policy for the smoking control in the health context begins understanding the smoking impact over the health market equilibrium. Objective: To describe the basic relation between the health market equilibrium and the application of a fiscal policy for the appropriate smoking control. Materials and methods: Was made a descriptive research about the basic relation between the health market equilibrium and the application of a fiscal policy for the appropriate smoking control. As teoric methods were used the descriptive, the comparative and the historic – logic. As empiric method was used the bibliographic research. The graphs were designed by Microsoft Excel 2007. Results: Society would be better without smoking and fiscal authorities must acknowledge it and take decision agree to that fact. These authorities need induce to smokers to reduce the tobacco consumption. For that fiscal authorities need understand the main causes from the tobacco consumption beginning and keeping. Conclusion: Tobacco consumption intensity growing carries to increase the price equilibrium from this market and much patients leave from this market because of smoking impact. That’s why the fiscal authorities must use the fiscal policies carrying the population to a context with lowest smoking impact over the health services market.
How Fibrinolysis was Defeated by PCI
Authors: Gurewich Victor
Published: November 2021

Fibrinolysis refers to the natural enzymatic system responsible for dissolving a blood clot or thrombus. Since an intravascular thrombus is responsible for almost all heart attacks and most strokes, interest in fibrinolysis, the only medical treatment, dominated medical interest in the 60’s-90’s. Since that time, the incidence of heart attacks and strokes has not changed much, but interest in fibrinolysis has faded. Instead, interest has shifted to catheter removal of clots, called percutaneous coronary intervention (PCI) which is a time-consuming that delays reperfusion considerably, and is much more costly than fibrinolysis. It is also a cruder treatment that can only remove clots larger than the catheter, but it is very well reimbursed.
Sağlık Kurumları İşletmeciliği Programlarının Ders Çeşitliliğinin Analizi
Authors: ERSAN Hale , TÜRKMEN İbrahim , KAYA Ramazan Rüçhan
Published: November 2021

Sağlık kurumları işletmeciliği ön lisans programları, sağlık kurumlarının orta ve alt düzey idari pozisyonları için profesyonel insan kaynağı yetiştirmek üzere faaliyet göstermektedir. Bu araştırmayla Türkiye’de önlisans düzeyinde eğitim vermekte olan sağlık kurumları işletmeciliği programlarının güncel ders programlarında yer alan ders çeşitliliği incelenerek, bu programlardan yetişen mezunların aldıkları dersler açısından yetkinliklerinin ortaya çıkarılması hedeflenmektedir. Araştırma, sağlık kurumları işletmeciliği programlarında müfredat geliştirme çalışmaları için yol gösterici olması ve sağlıkta insan kaynakları planlaması üzerine öneriler sunması açısından önemli görülmektedir. Araştırmada ikincil verilerden yararlanılmış, bu kapsamda YÖK önlisans atlası ve üniversitelerin Bologna bilgi paketleri kullanılmıştır. Araştırma kapsamında Sağlık Kurumları İşletmeciliği programı bulunan ve örgün eğitim vermekte olan 34 devlet, 14 vakıf olmak üzere 48 üniversite tespit edilmiştir. Gerekli verilere ulaşılamayan 12 üniversite örneklemden çıkarılmış, 26 devlet ve 10 vakıf olmak üzere 36 üniversitenin sağlık kurumları işletmeciliği programlarının müfredatında yer alan derslerin çeşitliliği incelenmiştir. Araştırma sonucunda Türkiye’de Sağlık Kurumları İşletmeciliği programlarında ders sayılarının 24 ile 70 arasında çok geniş bir aralıkta değiştiği tespit edilmiştir. Devlet üniversitelerinde ortalama 36 ders bulunurken vakıf üniversitelerinde ortalama 40 ders bulunmaktadır. Devlet üniversitelerinde daha çok zorunlu dersler, vakıf üniversitelerinde ise daha çok seçmeli dersler bulunmaktadır. Sağlık kurumları işletmeciliği programları müfredatlarında yer alan 196 ders tespit edilmiştir. Söz konusu derslerin, içerikleri ve kapsamları incelendiğinde; “sağlık bilimleri, hukuk matematik, ekonomi ve finansman, sosyoloji, yönetim ve strateji, iletişim, teknoloji, araştırma yöntemleri, mesleki uygulama, sanat, mesleki İngilizce, beden eğitimi, psikoloji, işletme, pazarlama, kalite, dokümantasyon” olmak üzere 18 farklı alan içerisinde değerlendirilmişlerdir. Bu durum sağlık kurumları işletmeciliği mezunlarının başta yönetimsel dersler olmak üzere, sağlık bilimleri, ekonomi ve hukuk gibi önemli alanlarda dersler aldıklarını ve sağlık kurumlarının ilgili idari birimlerinde görev alabilecek yetkinlikte olduklarını göstermektedir.
Yaşam Döngüsü Maliyet Analizi Yoluyla Enerji Maliyeti Yükünün Belirlenmesi: Toplu Konutlar Üzerine Bir Araştırma
Authors: EMEKCİ Şeyda
Published: November 2021

Barınma, insanın en temel ihtiyaçlarından biridir. Barınma ihtiyacını karşılayan konut her kesim tarafından erişilebilir olmalıdır. Konuta erişim ile onun ödenebilirliği arasında sıkı bir ilişki bulunmaktadır. Genel olarak, konut ödenebilirliği, literatürde hanehalkı gelirleri ve konut harcamaları arasındaki ilişki olarak tanımlanır. Bununla birlikte, literatürde konut harcamalarının kapsamı konusunda fikir birliği yoktur. Konut ödenebilirliği ile ilgili çalışmalardan bir kısmı, konut giderlerini tamamen gözardı edip, konutun sadece ilk satınalma maliyetine odaklanırken, diğer çalışmalarda bu kavram, geleneksel olarak konut kredisinin geri ödeme kapasitesine dayandırılmaktadır. Sayıları az da olsa konut giderlerini dikkate alan çalışmalar da ise konut giderleri bağımsız maliyet bilgilerine dayandırılmayıp, her bir konutun hanehalkının farklı tüketim kalıplarına sahip olduğu ve hanehalkı büyüklüğü dikkate alınmamaktadır. Bu nedenle çocuklu ailelerin ve büyük hanelerin uygun maliyet ölçümleri gerçekçi yapılmamaktadır. Konutun giderleri net bir şekilde göz önünde bulundurulmadan, uygun fiyatlı konutlar sunmak neredeyse imkansızdır. Bunun için ise konutun enerji maliyet yükünün tespiti önem arz etmektedir. Bu makale, konutun yaşam boyu enerji tüketiminin konut giderlerine olan etkisini tartışmaktadır. Araştırmanın çalışma evrenini, 2010-2020 yıllları arasında Toplu Konut İdaresi tarafından inşa edilen konutlar oluşturmaktadır. Makale çalışma sonuçlarına göre konutun yaşam döngüsüdeki enerji maliyet yükü, satınalma maliyetine kıyasla çok büyük bir yer kaplamaktadır ve bu durumun gözardı edilmesi uzun vadede hanehalklarını ve onların konuta erişebilirliğini olumsuz olarak etkilemektedir.
Kamu Yönetimi Bağlamında Afete Dirençli Toplum ve Bütünleşik Afet Risk Yönetimi
Authors: ÖZLER Murat
Published: November 2021

Günümüz dünyasında küresel iklim değişikliklerinin de hızlandırıcı etkilemesiyle şehirler ve insan yerleşimleri ciddi afet riskleri altında kalmaktadır. Her geçen yıl, artan sayıda gerçekleşen afetler can ve mal kayıplarına yönelik ciddi zararlar meydana getirerek sürdürülebilir kalkınmanın önünde engel oluşturmaktadır. Küresel ölçekte afet olgusu ve mücadelesine ilişkin Birleşmiş Milletler nezdindeki belgeler (Hyogo Çerçeve Eylem Planı (HFA) 2005-2015; Sendai Afet Risk Azaltma Çerçevesi 2015-2030) küresel girişimlere ivme kazandırmıştır. Bu konu ulusal ve yerel düzeyde devletlerin ve yönetim örgütünün çabalarına ek olarak afet risk yönetişimini gerekli kılmaktadır. Afetlere ve onların olumsuz ve yıkıcı etkileriyle başa çıkmanın yolu afet risklerine karşı dirençli şehirler ve afet risklerine dirençli toplum olmadan söz konusu değildir. Büyüyen ve karmaşıklaşan kent yaşamı düşünüldüğünde afet ile yüz yüze gelmeden toplum destekli afet risk yönetim anlayışını uygulamaya koymak bir zorunluluktur. Risk yönetiminin başarılı ve etkili olma koşulu da toplum destekli oluşuna bağlıdır. Bu desteğin oluşturulmasında eğitim, tatbikatlar ve metotlar son derece önem taşımaktadır. Bu çerçevede üretilecek hizmet sahasına en yakın birimler olan yerel yönetimler, birey, aile, özel sektör, ulusal halka ile bağı oluşturmaktadır. Bu şekliyle yerelin kapasitesi artarken yönetişim anlayışı da hayat bulacaktır. Bu çalışmanın üzerine odaklandığı konu bütünleşik Afet Risk Yönetimi verileriyle, afet risklerinin azaltılmasına ilişin Afet Risk Yönetişimi bağlamında afete dirençli toplumun önemine vurgu yapmayı amaçlamaktadır. Bu bağlamda önce kavramsal çerçeveye ilişkin tanımlar yapılarak Birleşmiş Milletler öncülüğünde yapılmış Küresel Afet Belgeleri’ne değinilerek bütünleşik afet risk yönetim sürecinin aşamalarında afete dirençli toplum irdelenecektir.
Aziz Nesin’in Yazmış Olduğu ‘Helal Olsun’ İsimli Hikâyenin Benlik Kavramı Açısından Değerlendirilmesi
Authors: TATAR Mustafa
Published: November 2021

Benlik hem sosyolojinin hem de psikolojinin ilgi alanına giren bir kavramdır. George Herbert Mead ve Charles Horton Cooley, benlik kavramının sosyolojik olarak anlaşılmasına ciddi katkılar sunmuşlardır. Benliğin doğuştan geldiğini savunanlara karşı Mead ve Cooley sosyal etkileşimin önemini vurgulayarak karşı çıkmışlardır. Bu iki düşünüre göre, kişinin yakın çevresinde bulunan anne baba, kardeşler, arkadaşlar, akrabalar, öğretmenler gibi önemli kişiler, tavır ve davranışlarıyla benliğin oluşumunda büyük bir etkiye sahiptirler. Bu durum yukarda sayılan kişilerin çocukla kurdukları ilişki biçiminin önemini göstermekte ve sorumluluklarını arttırmaktadır. Sevgi ve saygının egemen olduğu, insanların birbirine değer verdiği, çocuğun sağlıklı bir kişilik geliştirebilmesi için herkesin elbirliğiyle gayret ettiği toplumsal bir ortamda büyümek çocuk için büyük bir şanstır. Bu makalede, ayna benlik, benlik, oyun, grupla oyun, genelleştirilmiş öteki, ben, beni/bana gibi kavramlar üzerinde durulmaktadır. Ayrıca, Aziz Nesin’in yazmış olduğu ‘‘Helal Olsun’’ isimli hikâye benlik kavramı etrafında değerlendirilmektedir. Bu hikâye küçük yaştan itibaren maruz kalınan olumsuz değerlendirmelerin kişiyi nasıl da olumsuz bir benlik tasarımına ittiğini ve bu durumun onu pek çok insanı öldürecek kadar canavarlaştırabildiğini göstermesi açısından büyük bir öneme sahiptir. Ama bu hikâye aynı zamanda insan sevgisini bütünüyle yitirmiş böylesine canavar bir insanın bile duyduğu güzel sözlerden sonra nasıl da bambaşka bir kişiliğe büründüğünün güzel bir örneğini sunmaktadır.
NEW SURFACE-ACTIVE PETROCOLLECTING AND PETRODISPERSING REAGENT BASED ON STEARIC ACID AND TRYETHYLENETETRAAMINE
Authors: Zarbaliyeva I. , Alimova A. , Nabiyeva H. , Ahmadbayova S. , Mammadov A.
Published: November 2021

New surfactant was synthesized from stearic and triethylenetetraamine at room temperature, without utilizing any catalyst or solvent. Structure and composition of the salt was confirmed by using IR-, NMR- and UV- spectroscopies . Surface tension, conductivity measurements were performed on aqueous solutions of new surfactant. Its surface activity and colloidal-chemical parameters such as critical micelle concentration (CMC), surface pressure at CMC (πCMC), surface tension at CMC (γCMC), surface excess (Γmax), concentration required for 20 mN/m reduction of surface tension (C20), Gibbs energies of adsorption and micellization (ΔGad and ΔGmic) were determined. Moreover, corrosion properties and petrocollecting and petrodispersing properties of this salt was determined and maximum values of petrocollecting coefficients was calculated.
DEVELOPMENT OF THE RECIPE COMPOSITION OF COARSE FOOD CONCENTRATE
Authors: Kuzembaeva G. , Kuzembaev K.
Published: November 2021

The article is devoted to the question of producing cereal food concentrates, which has become one of the important components of nutrition in the republic. By analyzing the methods of producing food concentrates the existing flaws of the production were identified. To improve the quality of the given product, there has been developed a new method of producing the national combined food product.
EFFICACY AND SAFETY OF LOW-DOSE HORMONAL THERAPY FOR EPILEPSY IN CHILDREN
Authors: Korotkikh M. , Korotkikh G.
Published: November 2021

Objective: to evaluate the efficacy and safety of low-dose hormonal therapy of epilepsy in children.

Material and methods: a study was conducted of 32 children aged 3 months to 11 years (21 boys, 11 girls) who received hormone therapy in the lowest clinically effective doses due to the resistance of epileptic seizures to the ongoing therapy with antiepileptic drugs, cognitive, behavioral disorders and regression development. Hormonal preparations were used: tetracosactide (synacthen depot) at a maximum single dose of 0.25-0.5 mg intramuscularly and dexamethasone at a dose of 0.15 mg/kg/day per os. All patients underwent: electroencephalography (EEG) and EEG-video monitoring with the inclusion of sleep, magnetic resonance imaging of the brain, according to indications - tandem mass spectrometry, DNA analysis by clinical sequencing (panel "Inherited epilepsy"), studies aimed at identifying possible side effects of corticosteroid therapy. The duration of follow-up after completion of hormone therapy was 1-4 years.

Research results: a positive result of the therapy was: 1) reduction of epileptiform activity on the EEG, 2) relief of epileptic seizures, 3) restoration (improvement) of impaired higher cortical functions. Long-term positive results were obtained in 62,5% (20/32). The best results were observed in patients with epileptic encephalopathy with continuous spike and wave during sleep, atypical childhood epilepsy with centrotemporal spikes, LandauKleffner syndrome in 100% (8/8). In patients with structural focal epilepsy and continuous spike and wave during sleep, a positive result was achieved in 60% (3/5); in patients with West syndrome, in 57,1% (8/14). A short-term positive result (or lack thereof) was noted mainly in patients with a structure of brain pathology and late initiation of hormone therapy. Side effects were absent or were transient.
ANALYSIS OF THE PROCESSES OF OCCURRENCE OF SUBHARMONIC COMPONENTS IN CONTACT POWER SUPPLY NETWORKS WITH NONLINEAR LOADS
Authors: Jurayeva K. , Iksar E. , Khalilova I.
Published: November 2021

The article considers the calculation of the modes of occurrence of subharmonic components in traction power supply networks of railway transport, containing traction converters, controlled and uncontrolled rectifiers. The processes of the appearance of harmonic components during the operation of electric locomotives with zone-phase and pulse control using a four-quadrant 4q-S converter in power circuits are considered. Harmonics related to the fundamental and subharmonic components are determined by the harmonic balance method.
ISOTHERM OF SOLUBILITY MANGANESE SULFATE - MONOETHANOLAMINE - WATER AT 25 ° C
Authors: Zakirov B. , Zhumanova M. , Isabaev D. , Zhumadullaeva S.
Published: November 2021

Solubility in the ternary system manganese sulfate - monoethanolamine - water at 25°C was studied by isothermal method. The equilibrium in the system was controlled by liquid phase analysis. True equilibrium in the system was established within 7 hours. The new compound was isolated in crystalline form and identified by the methods of chemical, graphic, X-ray and thermal analyses. It was found that the new compound is a crystalline substance with an individual set of interplanar distances and line intensities. The formation of the new compound NH2C2H4ON-MnSO4-3H2O which was identified by the methods of chemical, graphic and X-ray analyses has been established. Preliminary agrochemical tests of aqueous solution of the new compound showed its positive properties as a stimulant.
ECOLOGICAL AND SANITARY AND HYGENE SAFETY OF WATER SUPPLY SOURCES OF THE KYRGYZ REPUBLIC
Authors: Karimov T. , Karimova M. , Pak S. , Abylov E.
Published: November 2021

This article addresses the issue of environmental safety as well as the quality of drinking water and wastewater treatment. The problem of supplying clean water and sewage of settlements and cities of the Kyrgyz Republic is raised. Anthropogenic pollution of natural waters. Inadequate wastewater treatment and unsatisfactory condition of sewage treatment plants. This state of affairs in the water supply and sanitation system of the Kyrgyz Republic requires the development and implementation of new advanced technologies for the treatment of natural and waste waters.
NATURAL SUGAR SUBSTITUTES. THEIR ADVANTAGES AND APPLICATIONS
Authors: Tigranyan V. , Kocharyan A.
Published: November 2021

This article discusses some of the sweeteners of natural origin, how they affect the body, and their use. Comparison of sweeteners in comparison with sucrose, parameters and their characteristics is given. What are the prospects for the use of sugar substitutes in our world.
Simulation Study of a Composite Landig Gear of Ultralight and Very Light Aircraft
Authors: Zenowicz Paulina
Published: November 2021

There is a need to design new, lighter aircraft structures, which has a direct impact on the safety and costs of aircraft maintenance. One of basic parts of an aircraft is ites landing gear, whose main functions are to enable taxiing, safe landing, take-off, and to assist the remainder of ground operations. Landing gear failures are usually related to metallurgy, processing, environment, design, and causes of overload. These are conditions that can be prevented using modern methods to calculate the strength of such a landing gear in various conditions. The paper presents stages of a simulation study of the fixed three-wheeled spring landing gear for an ultralight aircraft. Analysis of forces acting on the landing gear during drop test and their implementation by numerical computer methods allowed for the creation of a model in the CAD (Computer-Aided Design) tool and its FEA (Finite Element Analysis). These results were compared between a modeled classic spring landing gear and the one made of composite materials. The further goal of the research will be to build a drop test stand for a small landing gear used in airplanes and drones. This method has a significant impact on simplifying the design of the landing gear, its modeling, and optimization.
Tribological wear of Fe-Al coatings applied by gas detonation spraying
Authors: Chrostek Tomasz
Published: November 2021

Comparative tests of gas detonation (GDS) coatings were carried out in order to investigate the influence of spraying parameters on abrasive wear under dry friction conditions. The tests were carried out using the pin-on-disc (PoD) method at room temperature. The microstructure of the coatings was analysed by X-ray diffraction (XRD) and scanning electron microscopy (SEM / EDS) methods. The results showed that with specific GDS process parameters, the main phases in both coatings were FeAl and Fe3Al involving thin oxide films Al2O3. The tribological tests proved that the coatings sprayed with the shorter barrel of the GDS gun showed higher wear resistance. The coefficient of friction was slightly lower in the case of coatings sprayed with the longer barrel of the GDS gun. During dry friction, oxide layers form on the surface, which act as a solid lubricant. The load applied to the samples during the tests causes shear stresses, thus increasing the wear of the coatings. During friction, the surface of the coatings is subjected to alternating tensile and compressive stresses, which lead to delamination and is the main wear mechanism of the coatings.
O MERCADO MUNICIPAL DE GOIÁS SEGUNDO OS PRINCÍPIOS ARTÍSTICOS DA CIDADE DE CAMILLO SITTE
Authors: OLIVEIRA Karine
Published: November 2021

A vivência do espaço urbano é sempre uma oportunidade de aprendizado. Através do legado material, isto é, seu patrimônio edificado, a cidade nos ensina como o passado foi vivido, nos traz oportunidades de corrigir erros e potencializar acertos. Foi buscando perceber a cidade e a relação das pessoas com os espaços públicos que Camillo Sitte identificou princípios artísticos, os quais, aplicados na forma urbana viriam conferir qualidade e vitalidade ao espaço. Sua lição ainda é atual no que se refere a aprender com a história das cidades para projetar espaços mais aprazíveis ao cotidiano. Mesmo se tratando de uma reflexão fundamentada essencialmente no campo estético das cidades, Sitte sinaliza muito timidamente através do conceito pinturesco que mesmo os aspectos de arte possuem profunda relação com as tradições e características do lugar. Utilizando os mesmos princípios e buscando aplicar a noção de pinturesco, será aqui analisada a forma do Mercado Municipal de Goiás enquanto conjunto edificado. A atual conformação é resultado de uma intervenção entre os anos 2014-2016, cujo projeto de restauro é particularmente de interesse da análise, ao trazer os elementos que motivaram a atual forma urbana (e seus princípios), considerando as transformações espaciais ao longo da história de intervenções no Mercado e a demanda contemporânea de uso e apropriação.
Role of Socio-Economic Resilience in Coping with Flood Vulnerabilities in District Charsadda
Authors: Kaleem Muhammad , Zeb Jehan , Abdullah
Published: November 2021

This quantitative study was conducted in the union council Agra of district Charsadda. Primary information was collected from the sample size of 150 male respondents. A conceptual framework consisting of the independent and dependent variables was cross-tabulated through the application of Chi-Square test statistics to ascertain the association between the two variables. The study revealed a significant association (P?0.05) of local community response with the statements such as poor families are more vulnerable to flooding; awareness about flood vulnerabilities; economic status reduces flood vulnerability; people buy cheap land for houses; people living on the river bank and side walls reduce flood vulnerabilities. The study recommends that government and local authorities should take responsibility for protecting the lives and properties of the people in flood-vulnerable areas through safety measures and make effective policies to measure the vulnerability and damage caused by floods among low-income families.
Audit System Informasi Absensi Pada PT Multi Engineering Perkasa Dengan Metode Framework Cobit
Authors: Tukino
Published: November 2021

Abstrak

Perusahaan ini telah memiliki system informasi absensi untuk mencatat kehadiran karyawannya menggunakan mesin sidik jari. Tujuan dari penelitian ini adalah untuk mengukur tingkat kematangan untuk mencari permasalahan yangmuncul dalam proses system informasi absensi untuk memberikan rekomendasi kepada perusahaan untuk memperbaiki manajemen TI yangada. Selama penelitian, penulis menggunakan kerangka kerja COBIT 4.1, dengan fokus pada domain ME, yangterdiri dari subdivisi ME1, ME2, ME3 ME4. Hasil Survei Frekuensi Maturitas System Informasi menggunakan proses-proses yangterdapat pada subsektor ME1 yangmemiliki nilai pembulatan sampai dengan 3, subsektor ME2 yangmemiliki nilai pembulatan sampai dengan 3, ME3. subdomain dengan nilai 3 dibulatkan subdomain ME4 dengan nilai 3 dibulatkan. Pada kematangan TI Level 3, perusahaan harus mengevaluasi setiap proses atau prosedur system; solusi perbaikan harus dilakukan secara konsisten sampai system dalam kondisi optimal. Hasil dari penelitian ini adalah tingkat kematangan TI saat ini (sebagaimana adanya), dengan rata-rata peringkat 3 (proses yangdisetujui), hanya 2 (proses yangdikelola) kematangan domain pemantauan. Deliver, Service Support domain, kemudian Friends hasil kematangan teknologi informasi untuk memberikan saran perbaikan perusahaan. Perusahaan menerima benchmark kematangan TI berdasarkan COBIT 4.1, serta rekomendasi yangdapat diikuti dalam perusahaan untuk perbaikan di masa mendatang.

Abstract

The company already has an attendance information system to record the attendance of its employees through the fingerprint machine. The purpose of this study is to measure the level of maturity  to look for problems that arise in the process of attendance information system  to make recommendations to companies to improve existing IT management. The authors used the COBIT 4.1 framework in their research, focusing on the ME domain, which consists of ME1, ME2, ME3  ME4 subsectors. The results of the study related to the level of maturity of the attendance information system using the processes contained in sub-sector ME1, which has a value of 3 rounded, sub-sector ME2, which has a value of 3 rounded. , ME3 subdomain, which has a value of 3 rounded  ME4 subdomain, which has a value of 3 rounded. solutions must be implemented consistently until the system is in optimal condition. The results of this study are the current level of IT maturity (as it stands), with an average of 3 (approved process) rating, ուղղակի 2 (managed process) maturity of the monitoring domain. For Deliver, Service  Support domain. , then, as a result of the maturity of information technologies, the company is given suggestions for improvement. The company receives an IT maturity benchmark based on COBIT 4.1, as well as recommendations that may be followed within the company for future improvements.
Sistem Komunikasi Audio dengan Teknologi Visible Light Communication (VLC) Menggunakan Laser Led
Authors: Charisma Atik , Nur Akbar Setiawan Rizky , Taryana Een , Yuliana Hajiar , Rike Indriani Alifa
Published: November 2021

Kegiatan masyarakat di era sekarang yang serba digital menggunakan teknologi tanpa kabel (wireless). Teknologi tanpa kabel menjadi andalan komunikasi, namun seiring perkembangann zaman, ada sebuah teknologi tanpa kabel dengan memanfaatkan cahaya tampak.  Teknologi ini dikenal dengan istilah visible light communication (VLC). Sistem VLC terdiri dari bagian transmitter dan receiver. Transmitter berupa komponen-komponen elektronika yang terintegrasi dengan cahaya tampak sebagai media transmisi. Pada penelitian ini membuat bagian transmitter dan receiver untuk komunikasi audio. Cahaya tampak sebagai media transmisi menggunakan laser led karena cahaya dari laser led ini lebih fokus dan pancaran cahayanya lebih jauh dibandingkan dengan yang lain. Sedangkan di sisi receiver menggunakan solar panel sebagai penerima sinyal informasi yang dikirimkan. Penelitian ini berhasil membuat sebuah sistem komunikasi audio berbasis visible light communication. Variasi jarak antara transmitter dan receiver mempengaruhi kualitas suara yang diterima. Pada jarak 500 cm kualitas suara yaitu 99,2 dB pada kondisi gelap dan 99,1 dB kondisi terang. Perubahan sudut pancar transmitter terhadap receiver juga mempengaruhi hasil kualitas suara. Kualitas suara terbaik pada sudut 900 di kondisi terang dengan jarak 50 cm sebesar 97,9 dB sedangkan di kondisi gelap dengan jarak 50 cm  pada sudut 1000 sebesar 98,1 dB.

 

Abstract

The people activities in today's digital era use wireless technology. Wireless technology has become the mainstay of communication, but along with the times, there is a wireless technology that uses visible light. This technology is known as visible light communication (VLC). The VLC system consist of transmitter and receiver. Transmitters are electronic components that are integrated with visible light as a transmission medium. In this study, the transmitter and receiver are made for audio communication. Visible light as a transmission medium uses an LED laser because the light from this LED laser is more focused and the light beam is farther away than the others. While on the receiver side using a solar panel as a receiver of the information signal that is sent. This research succeeded in making an audio communication system based on visible light communication. Variations in the distance between the transmitter and receiver affect the quality of the received sound. At a distance of 500 cm in dark conditions, the sound quality is 99.2 dB in light conditions and 99.1 dB. Changes in the beam angle of tranmitter to receiver also affect the sound quality. The best sound quality at an angle of 900 in bright conditions with a distance of 50 cm is 97.9 dB while in dark conditions with a distance of 50 cm at an angle of 1000 is 98.1 dB.
North Africa: Food problem in the light of the UN initiative on the formation of “national food systems”
Authors: Tkachenko Aleksandr A.
Published: November 2021

Over the past 3-4 decades, some progress has been made in the countries of North and North-East Africa, and - broader - in the Middle East, in development/transformation of agriculture and its branches related to food production. As a result, the key indicators of food production and consumption per capita have increased significantly. Moreover, the consumption growth performance was higher than the production growth performance, and that was driven by an increase in food imports.
At the same time, the food insecurity remains acute in several ways. This applies to the manifestations of mass hunger in the Sahel as well as to the increased pressure on the budget due to both the significant increase in world food prices and the import volume. These and other specifics of the current state of the food insecurity in the countries of North Africa and other regions of the world, require a new vision of providing the population with food and shaping an integral approach to resolve the problem.
Experts are linking this vision with the promotion of the so-called UN Initiative announced by the Secretary-General A.Guterres in the fall of 2020 and aimed at an integrated approach to resolution of the food insecurity: the development of "national food security and nutrition systems" in the countries of the world, which would include the development of mechanisms and tools necessary for a better and a comprehensive food supply to the world's population, and take into account both local and national conditions, as well as medical nutrition standards.
Segmented terrorism in the Sahara-Sahel zone. The first stage: 2007-2015. Part 1
Authors: Ponomarev Ilia V.
Published: November 2021

The article deals with complex dynamics of interaction and evolution of extremist groups in the context of clan-cast structures of Tuareg and sub-Saharan Arabs. The “war on terror” has long posed the problem of data misrepresentation in the studies of “Al-Qaeda in land of Islamic Maghreb”. Resilience and fragmentation of this and other terrorist organizations, the trajectory of their divisions and alliances can be only understood in the context of their connection with local elites, ethnic rivalries, reasons of youth recruitment, foreign and domestic resource generating practices. This context-sensitive approach is generally missing in the crime-terror nexus studies.
There is little or no ideology-free and reliable information in the field of counter-terrorism - every single fact demands verification. To this end, the research applies the methods of a triangulation of primary and secondary sources and a systematic chronological and contextual investigation of all the facts, events and personalities referred.
Contrary to the widespread wisdom, strategies of survival used by different actors in the Sahara-Sahel zone are incompatible with the crime-terror nexus models. The conceptual framing of terror-groups as hybrid, crime-terror enterprises, is misleading because it obscures the pivotal function of hard-core jihadists as a backbone of the whole structure. Parting with one extremist organization, they create another one or seek to establish new alliances to support their cause and terror activities. Not exclusively ideology or pragmatism constitutes the basis of these alliances, but as well local clan-cast structures.
The research is relevant for the current political situation in Mali, Niger, Burkina Faso, and adjusted regions of Algeria and Mauritania.
matriz gestáltica na análise dos requisitos de novidade e originalidade do desenho industrial
Authors: Peralta Patrícia Pereira , Nogueira Marcelo
Published: November 2021

O desenho industrial é uma modalidade de propriedade intelectual que confere direitos de exclusividade de mercado sobre designs. Sua análise e eventual concessão se dão por meio do Instituto Nacional da Propriedade Industrial, responsável por verificar o cumprimento dos requisitos estabelecidos pela Lei nº 9.279/96. Quando, todavia, há inconformismo em relação às decisões da autarquia federal, os casos são levados ao Poder Judiciário. O objetivo deste estudo é tecer uma análise crítica da decisão proferida pelo Tribunal Regional Federal da 2ª Região no julgamento da anulação do registro de desenho industrial BR 30 2013 006726-2 à luz da teoria Gestalt aplicada ao exame dos requisitos de novidade e originalidade. Como resultados, são apontadas evidências do desacerto da decisão judicial. Além disso, é proposta a adoção da metodologia gestáltica no exame de questões semelhantes.
CYBER GOVERNMENT PUBLIC RELATIONS MANAGEMENT IN STRENGTHENING THE IMAGE OF THE INFORMATION TECHNOLOGY BOARD AND NATIONAL COMMUNICATION (WANTIKNAS)
Authors: Septiyani Desy , Sari Yunita
Published: November 2021

This study aims: to determine the implementation of cyber Public Relations Wantiknas in strengthening the organization's image, and to determine the role and function of optimal cyber Public Relations management. The theory used is communication management theory Public Relations, Cyber Public Relations, two-way symmetrical communication, computer mediated communication theory, and image theory. The research method used is a case study. The results of the study show that WANTIKNAS has not implemented PR's management optimally which has an impact on the lack of management of cyber public relations, besides that limited human resources and not positioned in a strategic role in WANTIKNAS's internal become obstacles to the implementation of PR's activities in the delivery of information.
IMPLEMENTATION OF DIGITAL LITERACY MOVEMENT FOR MSMEs ACTORS IN JAKARTA THROUGH PARTICIPATORY ACTION RESEARCH
Authors: Toruan Rialdo Rezeky Manogari L. , Hamzah Radja Erland , Saifulloh Muhammad
Published: November 2021

Digital literacy is an interesting study at this time in the midst of the development of Information and Communication Technology (ICT), especially for SMEs. Through socialization and digital literacy training, MSME actors can apply in their business so that they are skilled and can market their products as well as increase income and improve the economy. The purpose of this study is to identify the actions of MSME actors in Kuningan Barat, South Jakarta. The research approach is qualitative and the method used is Stephen Kemmis's Action Research (PRA), and the concept used is the digital literacy stage of Steve Wheeler. The results show that digital literacy can be implemented through socialization and training that is realized in a digital product. Through action participation, MSME actors can be digitally literate and use digital media well. In this case, MSME actors create a website product www.plazakuninganbarat.com as a medium for digital marketing.
PROGNOSTIC FACTORS AND SURVIVAL IN TRIPLE NEGATIVE AND NON-TRIPLE NEGATIVE BREAST CANCER: EXPERIENCE OF A TERTIARY CARE CANCER CENTER IN ODISHA.
Authors: Parida Prasant Kumar , Samantara Subrat Kumar , Dash Sashibhusan
Published: November 2021

Background: Because of its high-risk biological features and lack of effective treatment options, triple-negative breast cancer (TNBC) has received greater clinical and experimental interest.

Aim and objectives: The aim of this study was to compare and analyze the clinicopathological features, recurrence, metastasis, and prognosis of patients with TNBC and non-triple negative breast cancer (non-TNBC).

Material and methods: This single hospital-based retrospective study was conducted on patients who were histopathologically diagnosed with breast cancer and subsequently treated from 2017 to 2018 at the Acharya Harihar Postgraduate Institute of Cancer. The clinical features and prognosis of TNBC and non-TNBC were compared.

Results: This study comprised a total of 111 patients, with 36 (32.43%) being TNBC and 75 (67.56%) being non-TNBC. TNBC has 22 patients under the age of 40 (61.1%). Grade III tumors were seen in 47% of TNBC patients and 21% of non-TNBC patients (p-value = 0.05). The disease free survival (DFS) was determined to be 58 % for TNBC and 82% for non-TNBC groups, respectively (p-value = 0.05). These two groups had an overall survival rate (OS) of 72% and 92%, respectively (p-value = 0.05).

Conclusion: When compared to non-TNBC, TNBC was related to high-grade malignancies, worse disease-free survival , and overall survival (OS) rates. Understanding the molecular features of TNBC, clarifying its mechanism at the molecular level, interpreting the gene expression profiles of TNBC, and studying and creating new therapeutic targets should be the focus of future research. To enhance the prognosis of TNBC patients, try to find a focused and effective therapy.

Keywords:

Breast cancer; survival; triple-negative breast cancer.
Вплив професійно-прикладної фізичної підготовки на самопочуття студентів старших курсів вищих навчальних закладів
Authors: Іващенко С. М. , Гузов В. В.
Published: November 2021

Приведены данные о результатах применения специальных занятий по профессионально-прикладной физической подготовке студентов горных специальностей в Донбасском горно-металлургическом институте с точки зрения их влияния на показатели самочувствия студентов и их обращаемости за медицинской помощью. Установлено, что использование специальной круговой полосы препятствий в ходе профессиональноприкладной физической подготовки студентов старших курсов улучшает показатели их самочувствия и снижает показатели частоты обращений за медицинской помощью.
Вплив метаболітотропного препарату Кардонат на біоелектричну активність серця та артеріальний тиск кваліфікованих бігунів на середні дистанції в динаміці передзмагального мезоциклу
Authors: Гуніна Л. М. , Безугла В. В. , Головащенко Р. В.
Published: November 2021

Представлены данные изменений под влиянием метаболитотропного препарата Кардонат функционального состояния сердечно-сосудистой системы по результатам измерений электрокардиографических параметров, артериального давления и частоты сердечных сокращений в состоянии мышечного покоя у квалифицированных бегунов на средние дистанции в течение предсоревновательного мезоцикла. Доказано, что препарат в предсоревновательном мезоцикле даже в двойной дозе не вызывает негативного действия на показатели биоэлектрической активности миокарда и адаптационные возможности сердечно-сосудистой системы. Показана разница в выраженности действия препарата на исследованные показатели спортсменов разной квалификации, специализирующихся в беге на средние дистанции.
Екстракорпоральна ударно-хвильова терапія як метод неінвазивного лікування ентезопатій
Authors: Чорний В. М. , Головаха М. Л. , Юрків В. Ю. , Маріхін В. Г.
Published: November 2021

Рассмотрены влияние экстракорпоральной ударно-волновой терапии на лечение энтезопатий, а также типы приборов, используемых во время проведения лечебных процедур. Дан анализ результатов проведенного лечения.
Післятравматичний коксартроз і особливості його перебігу
Authors: Гайко Г. В. , Калашніков О. В. , Бруско А. Т.
Published: November 2021

На основе данных литературы и собственного клинико-рентгенологического обследования определены особенности течения патологического процесса и разработана патогенетическая схема его развития. Определено, что течение заболевания отвечает тяжести полученной травмы. Внедрение разработанной патогенетической схемы развития остеоартроза тазобедренного сустава будет способствовать лучшему пониманию звеньев патогенеза этого сложного ортопедического заболевания, улучшит результаты его лечения и профилактики этой патологии.
Артроскопія кульшового суглоба у спортсменів
Authors: Лінько Я. В. , Рокита Т. Г. , Костюк А. С.
Published: November 2021

Представлен анализ лечения под артроскопическим контролем заболеваний тазобедренного сустава (импиджмент-синдрома, деформирующего коксартроза на ранних стадиях, повреждения суставной губы тазобедренного сустава, свободных костнохрящевых тел полости сустава) у 28 пациентов. Подчеркнуто важность данного метода в лечении заболеваний тазобедренного сустава. Оценены ранние и отдаленные результаты артроскопического лечения патологии тазобедренного сустава. Исследование показало клинически хорошие результаты лечения заболеваний тазобедренного сустава. Приведенные данные могут помочь в выборе подходящего лечения для пациентов с травмами и заболеваниями тазобедренного сустава.
Хірургічне лікування ранніх стадій остеоартрозу кульшового суглоба у спортсменів
Authors: Майко В. М. , Луцишин В. Г.
Published: November 2021

Рассмотрены методы хирургического лечения ранних стадий остеоартроза тазобедренного сустава у спортсменов. Определено, что операции на тазобедренном суставе с помощью артроскопических методов значительно улучшают его функцию и процесс выздоровления.
Зміни в клітинах і тканинах живих організмів під впливом ударно-хвильової терапії (огляд спеціальної літератури)
Authors: Островський О. А.
Published: November 2021

На основании анализа зарубежной литературы приведены современные представления о влиянии фокусированных и радиальных волн на клетки и отдельные ткани живых организмов. Раскрыты механизмы, вызывающие боль, улучшение кровообращения, а также лечебный эффект на отдельные ткани, в том числе сухожилия, подошвенную фасцию, костную ткань, замедленную консолидацию переломов, мышечный спазм и др.
Суперечливі і невирішені питання діагностики і лікування ушкодження сухожилків у спортсменів
Authors: Страфун С. С.
Published: November 2021

Рассмотрены современные взгляды на диагностику и лечение тендинитов различной локализации. Определено, что для лечения данного заболевания оптимальным является применение обогащенной тромбоцитами плазмы в совокупности с массажем и эксцентрическими упражнениями.
Метод оперативного лікування спонтанного розриву ахіллового сухожилля
Authors: Коструб О. О. , Заєць В. Б. , Засаднюк І. А. , Блонський Р. І.
Published: November 2021

Рассмотрены этиология повреждения сухожилия, а также методы его лечения. Дана характеристика оперативного лечения спонтанного разрыва ахиллового сухожилия.
Оптимізація фізичної працездатності та рухової підготовленості школярів у процесі секційних занять волейболом
Authors: Андрійчук Ю. М. , Чижик В. В.
Published: November 2021

Изучали влияние секционных занятий волейболом, направленных на оптимизацию двигательного развития и физической работоспособности, на организм ребят 14–16 лет. Предлагаемая программа секционных занятий волейболом является эффективным средством функционального, двигательного развития и увеличения физической работоспособности.
Урахування особливостей біологічного розвитку юних спортсменок при підготовці у спортивних іграх
Authors: Маслова О. В.
Published: November 2021

Рассмотрены актуальные вопросы изучения особенностей тренировочного и соревновательного процесса юных спортсменок, специализирующихся в спортивных играх, с целью обоснования необходимости учета биологических особенностей развития женского организма в системе подготовки спортсменок для повышения эффективности соревновательной деятельности и потенциального роста спортивной результативности при возможности предупреждения стрессовых ситуаций, профилактики переутомления и травматизма.
Визначення хронотипів системи травлення осіб, які займаються фітнесом, для забезпечення оптимального режиму їх харчування
Authors: Оксамитна Л. Ф.
Published: November 2021

По результатам анализа научной и научно-методической литературы разработана тестовая методика и тест-анкета определения хронотипа системы пищеварения для лиц, занимающихся фитнесом, и при проведении физической реабилитации как составляющей оздоровительных фитнес-программ. При натурном исследовании у лиц, занимающихся фитнесом, выявлены дневной и четкий вечерний хронотипы системы пищеварения. Установлено, что тестовая методика позволяет определять хронотипы системы пищеварения лиц, занимающихся фитнесом, и имеет высокую степень прямой корреляции системы пищеварения с биоритмологией дневной трудоспособности. В перспективе такая тестовая методика может быть использована для определения хронотипа системы пищеварения при организации питания лиц, занимающихся фитнесом, и при проведении физической реабилитации как составляющей оздоровительных фитнес-программ.
Оцінка харчового статусу дорослих осіб, які займаються фітнесом, у порівнянні з населенням України
Authors: Циганенко О. І. , Склярова Н. А.
Published: November 2021

Проведена эпидемиолого-гигиеническая оценка пищевого статуса взрослых лиц с высокой физической активностью (коэфициент физической активности — 1,7), систематически (не менее года) занимающихся фитнесом, по сравнению с остальным взрослым населением Украины. В качестве показателя состояния пищевого статуса был использован индекс массы тела (ИМТ). Установлено, что большая часть людей, систематически занимающихся фитнесом, имеют нормальный ИМТ (это 85 % населения, для которого рекомендуется использовать здоровое питание как для категории «здоровые лица»), в отличие от взрослого населения Украины, для которого характерна недостаточная физическая активность со среднеевропейским уровнем распространения ожирения и излишней массой тела. Однако среди людей, систематически занимающихся фитнесом, выявлены и лица со сниженным ИМТ, что требует использования для них оздоровительного питания для коррекции массы тела.