bluuebunny/crossref_metadata_2025 huggingface dataset:
Training on creating augmented reality-based flash card for SMAIT Al-Fityan teachers
Authors: Rahayu Hanum Mukti , Kurniasih Dedeh , Sunandar Ari , Nengsih Nengsih
Published: December 2024

Learning media plays a crucial role in supporting the educational process, especially in the 21st century, which demands technological innovation. Based on observations and interviews with teachers at SMAIT Al-Fityan, it was identified that while they have utilized digital media such as videos and PowerPoint presentations, they lack experience in creating or using augmented reality (AR)-based learning media. To address this gap, a training program was conducted to enhance teachers’ skills in integrating advanced technology into their teaching practices by creating AR-based flash cards. The training program included several stages: pre-test, training on AR-based flash card creation, hands-on practice with mentoring, and evaluation through post-test and response questionnaires. The results demonstrated a significant improvement in teachers’ abilities, with the average pre-test score of 20 increasing to 80 in the post-test. Furthermore, response questionnaires showed that 72.7% of participants rated the training material as easy to implement (good category). These findings indicate that the training successfully enhanced teachers’ competencies in creating technology-based learning media, which is expected to support innovative and interactive teaching aligned with 21st-century demands.
Low-impact aerobic exercise as a non-pharmacological intervention for reducing uric acid levels
Authors: Yuniartika Wachidah , Sudaryanto Agus , Nofandrilla Nieldya , Ananta Dyaz Surya , Alea Zuan Nun , Hanifah Aisyiyah Dani
Published: December 2024

Decreased physical activity in the elderly can lead to an increase in uric acid levels. There is no cure for rheumatoid arthritis, therefore, the treatment provided can only minimize the impact of the disease and optimize health. Low impact aerobic exercise is a type of physical activity suitable for the elderly. This exercise has a low intensity and does not put pressure on the joints, making it safe for the elderly. The purpose of this community service is to reduce uric acid levels with low impact aerobic exercise as a non-pharmacological therapy in the community. This activity was carried out in the form of uric acid checks, health education about uric acid, and low impact aerobic exercise practice. Furthermore, the elderly were asked to undergo therapy at home for 4 weeks with 2 exercise sessions per week with a duration of 45 minutes each session, using a booklet guide. This activity showed success as evidenced by a decrease in uric acid levels. In addition, the results of interviews with the elderly also revealed that they rarely experienced joint pain and looked more cheerful.
‘Aisyiyah information system management training in Makassar City
Authors: Arni Arni , Arfah Sitti Rahmawati , Mustari Nuryanti , Sabriani Sabriani , Mudiyawati Andita
Published: December 2024

This training aims to increase the capacity of 'Aisyiyah cadres in utilizing information technology to support the activities of the 'Aisyiyah organization. The method used in PKM is carried out in three stages, preparation by socializing activities to the community, implementation is carried out by means of training, and evaluation is carried out by distributing pre-test and post-test questionnaires to measure the level of knowledge and skills of partners . The results of this service show that there has been an increase in partners' knowledge and skills regarding 'Aisyiyah Makassar City information system management training with a percentage of 95%. This shows that there are differences in the level of knowledge after being given training in managing the 'Aisyiyah information system which is increasing.
Developing multiliteracy in children at TBM Smart Friends through flip read-aloud and bookish play applications
Authors: Rahmawati Oktha Ika , Prastiwi Chyntia Heru Woro , Zuhriah Fifi , Wardhani Norita Prasetya , Anggraeni Ludfi , Saputri Febrika Dilla
Published: December 2024

The diverse literacy activities are one of the attractions for visitors to a community reading park. The lack of variety of activities at the Smart Friends Community Reading Park (CRP) is one of the reasons why this CRP is no longer visited by children in the surrounding area. Therefore, this community service activity aims to build multiliteracy of children around the CRP by holding flip read-aloud and bookish play activities. The method used in this activity is the direct learning method. This program has succeeded in reviving the reading park which can actually provide many benefits for children in building multiliteracy. In it, children learn to listen, retell, make decisions, train creativity and imagination.
Digital-based adolescent health information literacy at SMP Negeri 19 Tanjung Jabung Timur
Authors: Nurlinwati Nurlinwati , Kamariyah Kamariyah , Yuliana Yuliana , Mawarti Indah
Published: December 2024

Improving adolescent digital literacy is very important considering the rampant misuse of the internet. This community service activity aimed to improve the knowledge of grade IX students of SMPN 19 Tanjung Jabung Timur about digital-based adolescent health information. Community service activities were carried out through lectures, practices, demonstrations, and pre-test and post-test evaluations. The results of this activity showed a significant increase in students' understanding of the definition of literacy (100%), forms of literacy (80%), benefits of literacy (86%), sources of digital literacy (93%), types of digital media (96%), and adolescent health problems (70%). Thus, it is hoped that students can be wiser in utilizing digital technology and avoid its negative impacts.
Improving public service through AI-powered design in Tambangan Village, Semarang City
Authors: Nada Noora Qotrun , Wibowo Setyoningsih , Harjanto Aris Tri Joko , Dewanto Febrian Murti
Published: December 2024

Village officials play a crucial role in providing public services to the community. In the digital era, the use of information technology, particularly artificial intelligence (AI), is becoming increasingly important to improve the efficiency and quality of these services. This community service program aims to enhance the capacity of village officials in Tambangan Village, Semarang City, to utilize AI technology, especially in the field of graphic design. This community service activity was conducted in the form of a workshop, providing training and mentorship to village officials. The evaluation results showed a high level of participant satisfaction. As many as 70% of participants expressed high satisfaction with the overall program, while 67% were highly satisfied with their understanding of the material presented. These results indicate that this training program successfully enhanced the competence of village officials in utilizing AI technology to support their daily tasks.
Efforts to increase nursing students knowledge on the management of progressive mobilization in the intensive care unit
Authors: Agustin Wahyu Rima , Tobi Hermiana Ernastin , Prabowo Ari
Published: December 2024

Progressive mobilization is a stepwise intervention provided to critically ill patients in the intensive care unit (ICU) to support the recovery of hemodynamic status through physical activities such as head-of-bed (HOB) elevation and range-of-motion (ROM) exercises. This intervention is an essential part of nursing care plans in the ICU. This community service program aims to enhance the knowledge and skills of nursing students in implementing progressive mobilization for ICU patients. The program utilized interactive lectures and question-and-answer sessions delivered through educational media such as slide presentations and the Zoom Meeting platform. Evaluation results demonstrated a significant improvement in participants' understanding. Before the training, the pre-test revealed that 60% (97 participants) had limited knowledge of progressive mobilization techniques. After the training, the post-test showed that 90% (146 participants) had a proper understanding of these techniques.
Enhancing heavy equipment engineering students' skills through hydraulic and pneumatic systems training at SMKN 1 Sungai Limau
Authors: Wagino Wagino , Hidayat Nuzul , Saputra Hendra Dani , Baharudin Agus , Koto Rahmat Desman , Firmansyah M. Sadly , Akmal Akmal , Herwin Herwin
Published: December 2024

In the era of globalization, proficient technical skills are essential, especially in the field of heavy equipment engineering which requires an understanding of hydraulic and pneumatic systems. SMKN 1 Sungai Limau faces the challenge of limited facilities in preparing students for the demands of this industry. This training program utilizes a Problem-Based Learning method for theory and Project-Based Learning for practical application. Before the training commenced, students underwent a pretest with an average score of 45, indicating a low initial understanding. Following the theoretical and hands-on practical sessions, the posttest results showed a significant improvement with an average score of 70, reflecting an increase in student comprehension and skills. This average increase of 25 points serves as concrete evidence that this training is effective in enhancing students' skills in hydraulic and pneumatic systems. However, improvements in facilities and collaboration with industry are needed to ensure the relevance and sustainability of this training.
Legal education on the protection of women and children from violence in Mantowu Village, Buton
Authors: Samsul Samsul , Gurusi La , Satria Eko , Muthmainna Waode Novita Ayu , Asiri La , Rahmatul Muh. , Sapril Sapril
Published: December 2024

Cases of violence against women and children in Buton Regency often go unreported, resulting in an increasing number of cases each year. Several contributing factors include the lack of community participation in providing information and support to victims, as well as a tendency to blame the victims. This condition discourages victims from fighting for their rights. To address this issue, legal education on the protection of women and children at the village level is essential. The objective of this activity is to enhance community understanding and participation in making Buton Regency free from violence against women and children. The method used in this Community Service activity is legal counseling. Prior to the counseling, the initial step involved identifying and inventorying the problems faced by the community. After conducting legal education through counseling sessions, the community demonstrated an increased understanding of the importance of protecting women and children, as well as their role in preventing violence and providing support to victims. This education is expected to contribute to creating a safer and more supportive environment for women and children in Buton Regency.
Implementation of aquaponics as an alternative income for CATFISH farmers group in Gajah Village, Jombang
Authors: Yuliana Anggi Indah , Nasirudin Mohamad , Hidayat Rohmat
Published: December 2024

The catfish hatchery business practices carried out by the CATFISH fish farmers group in Gajah Village, Ngoro District, Jombang Regency produce waste that has the potential to pollute the aquatic environment around the cultivation location. On the other hand, catfish waste can be used as an alternative source of nutrients for plants. Therefore, this community service activity aims to improve the knowledge and skills of partners regarding the aquaponic system as an alternative business diversification that increases cultivator income and reduces catfish waste pollution to the environment. The methods and stages in community empowerment activities include: (1) identifying partner needs, (2) introducing technology to partners through socialization and training, and (3) operational technology assistance. The socialization and training activities had an impact on increasing the knowledge and skills of partners regarding aquaponics as an alternative income for catfish hatchery businesses.
Empowering learning communities to enhance assessment utilization on merdeka curriculum's PMM platform
Authors: Labudasari Erna , Rochmah Eliya , Asyiah Nur , Rohana Sri
Published: December 2024

The main problem at SDN Pangrango Cirebon City is the low level of utilization of the 'assessment' feature on the PMM platform. The objectives of this community service activity are: (1) to improve teachers' knowledge and understanding of the importance of learning communities as a means of solving problems in the classroom, (2) to form and develop a learning community, (3) to improve teachers' knowledge of the PMM concept in the Merdeka Curriculum at school, and (4) to improve teachers' skills in using PMM features that can be integrated into classroom learning. The methods applied in this service include: (1) observation and data analysis regarding the learning community and the use of PMM assessments at SDN Pangrango Cirebon City, (2) socialization and mentoring, (3) mentoring in the formation of learning communities and the implementation of assessment features in PMM, and (4) evaluation. The results of this community service activity show that: (1) teachers' knowledge and understanding of learning communities and skills in using assessment features in PMM increased by 92%, (2) the formation of a learning community named "Cakra Sejati", (3) teachers' knowledge of the PMM concept at school increased by 100%, and (4) teachers' skills in integrating PMM features into classroom learning increased by 100%.
Empowering communities through IoT-enabled fish cultivation in Kembangarum Subdistrict, Semarang City
Authors: Ujianti Rizky Muliani Dwi , Nada Noora Qotrun , Budirahardjo Slamet , Nugroho Mohamad Fajarianditya , Wibowo Setyoningsih , Rahmaningtyas Mutiara Fitri , Hidayah Nurul , Wicaksono Yanuar Noor , Kamadi Aldo
Published: December 2024

This community service activity aims to improve the welfare of the people of Kembangarum Subdistrict, Semarang, through the development of catfish cultivation based on Internet of Things (IoT) technology. The implementation of the activity includes needs analysis, pond construction, IoT installation, training, and assistance in fish cultivation and post-harvest processing. The results of the activity show an increase in community understanding of IoT technology and its application in catfish cultivation. Additionally, a grant was provided in the form of a catfish pond equipped with an IoT system for real-time water quality monitoring. This activity also successfully improved community skills in processing harvested fish into various products, thus potentially increasing community income. Overall, this community service activity has contributed to the development of the local economy and opened up opportunities for the formation of a thematic catfish village in Kembangarum Subdistrict.
Empowerment of Cepaka Bali Business Group through cultivation and processing of medicinal plants in Kapal Village, Bali
Authors: Mediastari Anak Agung Putu Agung , Sudaryati Ni Luh Gede , Suardana Anak Agung Komang , Trisnayanthi Anak Agung Mas Agung Sri , Darmasaba I Gede Mas Agung
Published: December 2024

The Community Partnership Program  implemented in Cepaka Bali Business Group, Kapal Village, aims to empower local communities through the development of the medicinal plant sector. Through a participatory and collaborative approach, the program integrates intensive training, the application of appropriate technology, and the development of marketing strategies to increase the capacity and competitiveness of local herbal businesses. Results show significant improvements in partners' knowledge and skills related to medicinal plant cultivation and processing, with an average increase of 30-40% on various indicators. The implementation of modern technology in the production process improved efficiency and product quality, while product innovation and digital marketing strategies successfully expanded market reach. Overall, the program increased production capacity by 30% and partners' business income by 35% in six months. This success demonstrates great potential for the development of the medicinal plant sector as a driver of local economic growth and preservation of traditional knowledge in Bali.
Digital marketing optimization for MSMEs in Tonjong Village, Serang Regency
Authors: Fathony Ivan Issa , Romli Ombi
Published: December 2024

Digital transformation in Indonesia has encouraged Micro, Small and Medium Enterprises (MSMEs) to adapt to changing times. This community service aims to improve the knowledge and skills of MSMEs in Tonjong Village, Kramatwatu District, Serang Regency regarding digital marketing to promote products. The implementation method consists of the stages of preparation, training, mentoring, and evaluation. The training results show an increase in participants' ability to use social media and marketplace platforms to reach a wider market. The implementation of a digital marketing strategy has proven effective in increasing the visibility and sales of MSMEs. In addition, this activity also contributes to the economic independence of the community, especially for housewives who own businesses.
Optimizing the traditional cake business of Adee Kak Na: Enhancing product shelf life and digital-based business management
Authors: Fajriah Agustina Nurul , Murni Mayang , Khalil Muhammad
Published: December 2024

This community service program aims to address the key challenges faced by the Adee Kak Na MSME, including the short shelf life of Adee cake, as well as suboptimal financial management and marketing strategies. The activities focus on improving product shelf life, production efficiency, better financial management, and expanding market reach. The methods applied include innovative food processing techniques to transform Adee cake ingredients into ready-to-use flour to extend product shelf life, basic financial management training to separate business and household finances, and digital marketing training that encompasses branding, packaging, and promotion through social media. The results show that the implementation of food processing techniques successfully doubled the product's shelf life and accelerated the production process. Financial management training helped the partner structure their cash flow records and improve financial oversight. Additionally, digital marketing training enhanced product appeal, expanded market reach, and introduced Adee cake to consumers via social media platforms. Overall, this program significantly increased the competitiveness of Adee Kak Na MSME while supporting the preservation of traditional Acehnese culinary heritage in the digital era.
OUTBREAK OF VIRAL HEPATITIS A IN VINNITSYA REGION IN WARTIME PERIOD AMONG PEDIATRIC POPULATION: CLINICAL AND LABORATORY FEATURES
Authors: Nezgoda Iryna I. , Onofriichuk Olena S. , Demchyshyn Yaroslav M. , Honcharuk Anna M.
Published: December 2024

Introduction. HAV is a ubiquitous viral disease with a faecal-oral transmission mechanism, characterized by liver lesions. According to global data reposts, the frequency of HAV outbreaks all over the world had increased. From the beginning of the outbreak of HAV (Vinnytsia, Ukraine) in 2023 incidence rate of HAV was detected as 27,25 per 100,000 (in 2022—0,35 per 100,000). Having analyzed these data, outbreak of HAV also were registered among the pediatric population (88 out of 454 cases during outbreak; 19,3%). Incidence and evidence rates of HAV had increased, especially in regions with increased rates of military activities, also, these facts had shown the increasing role of HAV on the burden of the public health system.
Aim. To estimate the peculiarities of clinical, laboratory features, genotype distribution of HAV among pediatric patients of Vinnitsya region during outbreak in 2023–2024 years.
Materials and methods. Among 88 pediatric patients with HAV during the outbreak, 31 children were examined in the course of the study and formed the study group (boys—51,6%; average age—12,84±0,16 years). Clinical examination of all patients, laboratory and instrumental assays, ELISA, PCR-testing were performed in accordance with the standard of management. All cases of HAV (n=31; 100%) were confirmed by ELISA and additionally PCR-testing was performed for 16,1% (n=5) of examined. Statistical data analysis was performed using «SPSS v.22.0». The data were considered significant at p<0.05.
Results. During the outbreak, out of all 454 cases of HAV, 46 serum samples were tested by PCR with genome sequencing and in 78,2% (n=36) was detected IB genotype of HAV, while in 21,8% (n=10) – IA genotype. Among pediatric patients (n=5), IB genotype was detected in serum of 80% (n=4) of tested, while IA—in 20% (n=1). Clinical course of HAV had a severe course in 100% (n=31) of study group according to laboratory indexes. Frequency of clinical symptoms was detected in the study group. The level of total bilirubin, ALT, AST among study group in the serum was estimated with clinical significance. Severe laboratory course of HAV among the study group could be explained by spreading of IB genotype of HAV during outbreak.
Conclusions. The outbreak of HAV with a severe clinical course in the Vinnitsya region in 2023–2024 in the population was associated with IB genotype of HAV. Among the examined paediatric patients IB genotype of HAV was detected in 80%. The clinical course of HAV in 100% (n=31) of the main group was severe according to laboratory parameters.
INFLUENCE OF EARLY MOBILIZATION ON EXTERNAL RESPIRATORY FUNCTION IN CARDIAC SURGERY PATIENTS
Authors: Vitomskyi Volodymyr V. , Balazh Mariia S. , Vitomska Maryna V. , Fedorenko Sergii M.
Published: December 2024

Aim. To investigate and compare the effectiveness of early mobilization approaches on external respiratory function in cardiac surgery patients.
Materials and methods. The study involved 90 patients, who were split up into two groups according to the specifics of early mobilization. The first group of patients (n=49) received earlier mobilization, which was determined by the day of the surgery (Monday or Tuesday) and, therefore, was independent of the researchers. On the first postoperative day, all the patients of this group performed standing and, if possible, walking in place with the help of a physical therapist. The second group of patients (n=41) received less early mobilization, since all the patients were operated on Friday. On the first postoperative day, all the patients of the second group performed sitting on a bed (with the assistance of medical personnel). Other elements of early mobilization (walking in the ward and corridor) were also performed earlier in the first group. Other characteristics of physical therapy (therapeutic and breathing exercises) did not differ between the groups. Patient histories (demographic data, anthropometric indicators, protocols of research and operations) were analyzed. Spirography was performed before the surgery and on the seventh postoperative day.
Results. The groups had no statistical differences in terms of patient age, anthropometric parameters, body mass index, left ventricular ejection fraction, durations of the surgery, artificial blood circulation, artificial lung ventilation, anesthesia and aortic clamping. The analysis of the preoperative spirography results did not reveal any significant differences between the examined groups of patients. Most of the key spirography indicators decreased during re-examination. The second group demonstrated a significant increase in respiratory volume, and the first group showed a significant increase in respiratory rate. Minute ventilation increased statistically in both groups. At the same time, the postoperative results of external respiratory function assessment were the same in both groups. This confirms the lack of influence of standing on the first postoperative day and other elements of early mobilization, which were performed statistically earlier in the first group, on the dynamics of external respiratory function recovery.
Conclusions. Approaches to early mobilization of cardiac surgery patients are equally effective in terms of external respiratory function indicators.
MANIFESTATION OF CLINICAL SYMPTOMS OF BLASTOCYSTOSIS AND EFFECTIVENESS OF ITS THERAPY
Authors: Bodnia Igor P. , Bodnia Kateryna I. , Yurko Kateryna V.
Published: December 2024

Introduction. The individualization of therapy for patients with blastocystosis primarily depends on the clinician's ability to predict the effectiveness of the chosen treatment tactics before the start of its implementation. The predictive properties of the clinical symptoms of patients are not excluded.
Materials and methods. To determine whether there is a relationship between the clinical manifestations of blastocystosis and the effectiveness of its therapy, the data on clinical symptoms in 300 patients with blastocystosis in alternative groups were compared: group A – with a good therapeutic effect (n=162), and group B – with a satisfactory effect (n=138). Group A included patients who had a clinical symptom regression rate of ≥33% after 1 month of treatment, and group B - ≤ 32%.
Results and discussion. The analysis revealed that in the group with effective therapy, compared with the alternative group, the following were significantly more often diagnosed: age of patients ≤ 20 years (2.3 times; p < 0.001); severe (≥ 11 points) total manifestation of the disease (1.9 times; p < 0.001); significant (≥ 3.1 years) duration of the disease (2.8 times; p < 0.001); reduction in the incidence of the disease (2.8 times; p < 0.001), as well as the presence of subfebrile temperature (1.8 times; p < 0.001); decreased performance throughout the day (2 times; p < 0.001); headache during exercise or at rest (1.4 times; p < 0.001); dizziness during exercise (2.7 times; p < 0.001); heaviness in the right hypochondrium (7.1 times; p < 0.001); severe muscle pain (1.9 times; p < 0.001); joint pain in both single joints (1.7 times; p < 0.001) and in a group of joints (2.7 times; p < 0.001); pain in the heart area (1.9 times; p < 0.05); tachycardia at rest (3,4 times; p < 0.001); hyperplasia of single lymph nodes (1.4 times; p < 0.001); moderate hepatomegaly (2 times; p < 0.001) and splenomegaly (1.7 times; p < 0.01); vegetative-visceral dysfunctions (1,5 times; p < 0.001). There were no significant differences between the groups in the manifestation of the following symptoms: memory impairment (p > 0.05), as well as the presence of dyspeptic syndrome and skin manifestations (p > 0.05). The greatest differences in the frequency of clinical symptoms in groups with different efficacy of therapy were found in the presence of: tachycardia at rest (3.4 times; p < 0.001); duration of the disease (2.8 times; p < 0.001); dizziness during exercise (2.7 times; p < 0.001) and pain in the joint group (2.7 times; p < 0.001).
Conclusions. In patients with blastocystosis, a significant relationship between the nature of clinical symptoms and the effectiveness of therapy was found, which makes it possible to use them for prognostic purposes.
MOTOR ACTIVITY AS A MEANS OF OVERCOMING STRESS IN LAW ENFORCEMENT OFFICERS DURING THEIR PROFESSIONAL ACTIVITIES UNDER MARTIAL LAW
Authors: Okhrimenko Ivan М. , Martenko Oleksandr L. , Smirnova Olga M. , Marchenko Olga G. , Pavlyk Olena M. , Zhuk Serhii М.
Published: December 2024

Aim. To study the impact of motor activity on overcoming stress in law enforcement officers during their professional activities under martial law.
Materials and methods. The research involved 176 male law enforcement officers, who were divided into 4 groups, depending on the type of physical exercises they did to overcome stress during martial law: Group 1 (n = 27) – aerobic exercises; Group 2 (n = 25) – strength exercises; Group 3 (n = 32) – sports games; Group 4 (n = 92) – did not exercise at all. Methods: analysis, synthesis, and generalization of literature sources, Internet data, questionnaires, psychodiagnostic testing, and statistical methods. The survey was conducted according to the author’s questionnaire, testing was carried out using three methods (PSM-25 Psychological Stress Scale; Assessment of Professional Stress; Assessment of Neuropsychological Stress).
Results. It was found that all law enforcement officers, without exception, experience stress during their professional activities under martial law. However, the frequency of manifestation of both psychological and somatic signs of stress in law enforcement officers who exercised was lower than in law enforcement officers who did not engage in any motor activity, which indicates the effectiveness of any exercise in reducing the negative impact of stress on the body of law enforcement officers. The level of psychological and professional stress, as well as neuropsychological stress in law enforcement officers of Group 4, was significantly (p < 0.05-0.001) worse than in Groups 1, 2, and 3. At the same time, no significant difference was found between the indicators of Groups 1, 2, and 3 (p > 0.05).
Conclusions. Motor activity is one of the most effective means of combating stress in law enforcement officers during their professional activities under martial law. At the same time, any type of physical exercise is effective in combating stress. Therefore, the ability of law enforcement officers to successfully counteract stress through the rational use of motor activity will help restore their emotional state, maintain physical and mental health, and improve their professional performance under the regime of martial law.
DYNAMICS OF CLINICAL, BIOCHEMICAL AND THERAPEUTIC INDICATORS IN THE COURSE OF DIABETIC NEPHROPATHY IN A CHILD: CASE REPORT
Authors: Burlaka Ievgeniia A. , Mityuryayeva Inga O. , Ipatii Nataliia S. , Smochko Maksym Yu. , Kovalchuk Ihor V.
Published: December 2024

Introduction. Diabetic nephropathy (DN) is a chronic microvascular complication of type 1 diabetes mellitus (T1DM). DN incidence has been gradually increased worldwide. Prevalence of the DN varies between age groups, patients’ cohorts, countries, and continents. Factors such as smoking, hypertension, hyperglycemia, hyperfiltration and late nephroprotective treatment are the major risk factors in the DN progression. Numerous diverse causes are associated with kidney function impairment in children with DN. The latter are uncompensated kidney failure and hypertensive nephrosclerosis, leading to the complications, i.e. hypertension, proteinuria, and progressive reduction in the kidney function. DN remains incompletely understood in pediatric practice, particularly requiring an understanding of the individual course, mechanisms of pathogenesis and progression of its early stages in children.
Case presentation. We describe a 17-year-old female patient diagnosed type 1 diabetes followed by Diabetic nephropathy development. We conducted an analysis of the dynamics of clinical, biochemical and therapeutic indicators in the course of type 1 diabetes mellitus with the development of diabetic nephropathy in a child during 4 years.
Conclusions. Diabetic nephropathy is a life-threatening progressive complication of type 1 diabetes. Course of the DN is accompanied by a range of biochemical and clinical deviations and disorders. In this study we show that diabetic nephropathy is accompanied by a wide range of biochemical and clinical disorders, i.e. hyperglycemia-related disorders, hypercholesterolemia, pro-inflammatory status, functional changes in ECG, compensatory hypertrophy of the kidneys, glomerular hyperfiltration and disorders of Vitamin D system. Monitoring of patients with diabetic nephropathy requires constant and timely assessment of both standard indicators of the course of type 1 diabetes (blood glucose, Hb1Ac, albuminuria, GFR, serum cholesterol, albumin/globulin ratio) and additional ones – vitamin D. Nephroprotective therapy should be started as soon as possible in diabetic nephropathy to guarantee that kidney damage markers return to normal. A crucial component of the treatment of diabetic nephropathy is correcting vitamin D insufficiency.
STUDY OF THE RISKS OF COVID-19 INFECTION, HOSPITALIZATION AND DEATH AMONG HEALTHCARE WORKERS COMPARED TO THE ADULT POPULATION OF UKRAINE
Authors: Mokhort Hennadii A. , Petrusevych Tetyana V. , Zublenko Olena V. , Vasylkivskyi Pavlo M.
Published: December 2024

Aim. To determine the significance of the professional group of health care workers as a group at increased epidemiological risk of disease, severe course and death from COVID-19; to determine and compare the incidence, mortality, case fatality rate, odds ratio and severity of the new coronavirus disease caused by the SARS-CoV-2 virus
Materials and methods. We used operational references on the main indicators of COVID-19 incidence in Ukraine from the website of the Center for Public Health of the Ministry of Health of Ukraine. An analytical population-based case-control study was conducted to determine the probability of death of healthcare workers and the rest of the adult population in the presence of SARS-CoV-2 virus infection in Ukraine during 03.03.2020–30.06.2023.
Results. Healthcare workers have a lower or no different risk of requiring mechanical ventilation than the rest of the adult population. In addition, healthcare workers have half the mortality rate. Incident rates and the risk of hospitalization are higher for healthcare workers compared to the rest of the adult population. The higher incident rate of healthcare workers may be due to the fact that the proportion of older age groups in the age structure of healthcare workers is higher than in the age structure of the rest of the adult population. On the other hand, a factor that could potentially reduce the incident and mortality rates of healthcare workers is the lack of data in our analysis on the different degrees of risk of infection among certain groups of healthcare workers themselves.
Conclusions. Healthcare workers are a potential risk group for COVID-19. The odds ratio of risks such as infection, hospitalization, and death from COVID-19 probably indicates that the healthcare profession may, on the one hand, create additional risks of illness and death from COVID-19, but on the other hand, it may be a protective factor, as healthcare workers may have a higher level of immunity due to constant contact with patients or due to vaccinations that they can and should receive more often than the rest of the adult population.
LOGISTIC SUPPORT FOR VOLUNTARY SOCIAL HEALTH INSURANCE SUBJECTS IN MEDICAL LEGAL RELATIONS
Authors: Strelchenko Oksana G. , Korzh-Ikaieva Taisiіa G. , Dimich Antonina V. , Vysotenko Yuliia V. , Koshova Svitlana P. , Derkach Roman V. , Vatankhah Tetiana V.
Published: December 2024

Aim. To investigate the logistical support of voluntary social insurance among the subjects of medical legal relations who, in the course of performing professional duties as healthcare providers, do not always prioritize their own lives and health by neglecting to insure their own life and health. Additionally, consumers of such services may not be fully aware of the risks and the severity of the disease course, as well as the need for treatment.
Materials and methods. In conducting an in-depth investigation into the implementation of voluntary social insurance among the subjects of medical legal relations, we conducted a survey of 500 individuals who are healthcare providers. The survey focused on the feasibility and necessity of introducing social insurance for the subjects of medical legal relations in healthcare institutions in the Kyiv region. As a result, a significant number of healthcare workers do not support the implementation of any type of insurance, primarily because it does not cover treatment costs (76%). About 14% express support for social insurance, but they are not fully informed about it. Additionally, 5% do not fully support any type of insurance, and 5% chose not to respond.
Results. As of January 1, 2024, the number of insured individuals in the Social Insurance Fund of Ukraine was 3,236,285 (in 2023, this number was 4,436,584, indicating a decrease). Among them were 1,558,764 legal entities, 1,677,521 individuals, and 152 voluntarily insured individuals. An analysis of healthcare expenditures compared to European Union countries for the years 2019-2023 reveals that in the United States, 16.7% of the GDP is allocated to healthcare (with a GDP volume of $21.3 trillion USD), in Germany – 11.1% (GDP – $3.8 trillion USD), in Poland – 4.86% (GDP – $592 billion USD), in the Czech Republic – 7.4% (GDP – $414 billion USD), in the United Kingdom – 9.8% (GDP – $2,830 billion USD), and in Hungary – 7.4% (GDP – $161 billion USD).
Conclusions. The main steps have been formulated to increase the legal awareness of the respective category and, accordingly, to enhance the role of both state social insurance and additional medical insurance in the process of providing and receiving medical services, including: 1) clear definition of medical services not covered by the program of medical guarantees, as well as other cases in which medical services can be provided to patients at the expense of individuals and legal entities; 2) development of pharmaceutical insurance. Pharmaceutical insurance provides reimbursement for expenses related to the purchase of medicines and/or medical products; 3) improvement of cooperation between participants in the systems of state financial guarantees for medical services and private insurers; 4) simplification of mechanisms for the introduction of additional medical insurance; 5) raising the level of public awareness.
PREDICTION OF PATHOLOGICAL REGENERATION OF INTEGUMENTARY TISSUES AFTER SURGICAL INTERVENTIONS (LITERATURE REVIEW)
Authors: Lohvynenko Mariia V. , Ponomarenko Olena V.
Published: December 2024

Introduction. In the clinical practice of a surgeon, an important place is occupied by the process of restoration of integumentary tissues after surgery. Knowledge of the epidemiology of the processes of restoration of covering tissues, risk factors for complications and modern tissue markers for the prediction of pathological regeneration are key to the practice of a modern surgeon.
Aim. Summarize scientific data on the general principles of the course of the regeneration of integumentary tissues in the area of postoperative wounds, causes and variants of the course of pathological regeneration of integumentary tissues after surgical interventions, risk factors complicating recovery processes, prognostic markers of complications of regenerative processes.
Materials and methods. Bibliosemantic, comparative and system analysis method. The literature review was developed on the basis of the analysis of modern literature, the results of randomized studies and meta-analyses devoted to the study of the problem of epidemiology of wound surface regeneration processes and tissue biomarkers for the prediction of pathological repair of covering tissues.
Results. Large-scale scientific studies of the mechanism of wound regeneration have shown that traditional recommendations for determining the reparative potential of a wound based on measuring the erythrocyte sedimentation rate (ESR) and C-reactive protein in the blood do not provide sufficient reliability of the forecast. Instead of existing scientific evidence, the focus has shifted to cytokines, chemokines, and proteases, which have the greatest potential as biomarkers.
Conclusions. The problem of predicting regeneration of covering tissues after surgical interventions remains relevant to this day, as traditional markers of regenerative potential have an insufficient level of reliability. Histological examination of tissue samples with the determination of biomarkers of regeneration has the greatest potential. The following tissue biomarkers are the most studied – β-catenin, c-myc, cathelicidin, keratin 15, ADAM12 (disintegrin and metalloproteinase 12), EGFR (epidermal growth factor receptor), tPA (tissue polypeptide antigen), uPA (urokinase-type plasminogen activator), PAI-1 (plasminogen activator inhibitor-1), TGFβ (transforming growth factor β) I, II, III.
The role of emotional intelligence in the professional activity of medical professionals
Authors: Kulibaba Yevgeny , Kobylianskyi Oleksandr
Published: December 2024

The article discusses the role of emotional intelligence in the professional activities of medical professionals, in particular, its impact on the effectiveness of interaction with patients, teamwork and the ability to manage stress. In modern conditions, when the profession of a healthcare professional is accompanied by a high emotional load, the development of emotional intelligence becomes an important tool for maintaining psycho-emotional balance and ensuring high quality of medical services.
The importance of emotional intelligence is manifested in the ability of professionals to recognise, understand and manage their own emotions, as well as to respond empathetically to the emotions of patients and colleagues. This helps to strengthen the therapeutic alliance, improve communication, resolve conflicts, and create a harmonious environment for treatment. Particular attention is paid to reducing the risk of professional burnout, which is an urgent problem for healthcare professionals due to high levels of stress.
Attention is focused on the need to integrate elements of emotional intelligence development into the curricula of medical schools and postgraduate courses. This will increase the professional competence of physicians, improve their quality of life and increase their efficiency. The importance of further research in this area is substantiated, which will facilitate the implementation of strategies for the development of emotional intelligence in the healthcare system. Prospects for further research will be aimed at developing effective emotional intelligence development programmes for healthcare professionals, as well as at studying the long-term effects of such programmes on individual and organisational performance.
ЛОКАЛЬНІ ПРОЯВИ НАЗЕМНОЇ І ПІДЗЕМНОЇ ДИФЕРЕНЦІАЦІЇ ЛАНДШАФТІВ У ВІННИЦЬКІЙ ОБЛАСТІ
Authors: Лебедовський Артем Володимирович
Published: December 2024

Мета – дослідити особливості формування локальних проявів наземно-підземної диференціації ландшафтів у староосвоєних регіонах, зокрема у Вінницькій області. Запропоновано виділяти три категорії наземно-підземної диференціації ландшафтних комплексів: локальну, регіональну і глобальну. На прикладі території Вінницької області розглянуто локальні й, частково, регіональні прояви наземно-підземної диференціації її ландшафту.  Враховуючи те, що більша частина Вінницької області лежить у межах Українського кристалічного щита, формування підземних ландшафтних комплексів тут обмежена  і зосереджена лише в районах розповсюдження карбонатних порід. Виявлено, що підземні розробки вапняків стимулювали активний розвиток промислового карсту. Показано, що у селитебних ландшафтах наземно-підземна диференціація ускладнюється, переважно, у результаті прояву псевдокарстових процесів у лесах та лесуватих суглинках. Території з локальними проявами наземно-підземної диференціації ландшафтних комплексів необхідно відносити до особливої категорії земель.
ЕКОЛАНДШАФТНА ОЦІНКА СТРУКТУРИ ЗЕМЛЕКОРИСТУВАННЯ ГАЙВОРОНСЬКОЇ МІСЬКОЇ ТЕРИТОРІАЛЬНОЇ ГРОМАДИ
Authors: Рожі Томас Адальбертович
Published: December 2024

У статті проведено аналіз та здійснено еколандшафтну оцінку структури землекористування Гайворонської громади. Встановлено, що у структурі землекористування ландшафту досліджуваної території переважають орні землі (86%), ліси займають – 7%, забудовані землі – 3%. Частка природних (натуральних та натурально-антропогенних) угідь у громаді становить 23%, заповідність 0,5%. За результатами проведених розрахунків визначено коефіцієнт антропогенної перетвореності ланшшафту Гайворонської міської об’єднаної територіальної громади, який становить – 2,81, бал антропогенного навантаження – 3,7, коефіцієнт екологічної стабільності – 0,08 та коефіцієнт антропогенного навантаження – 3,7. Згідно отриманих результатів встановлено, що ландшафт Гайворонської міської об’єднаної територіальної громади є екологічно не стабільним із середньо перетвореними ландшафтними комплексами та середнім ступенем антропогенного навантаження.
Developing an online application for automating "house of quality" construction for QFD analysis
Authors:   Industrial University of Tyumen, Ostapenko Maria S. , Kholboeva Umida S. ,   Industrial University of Tyumen, Tveryakov Andrey M. ,   Industrial University of Tyumen
Published: December 2024

QFD analysis is among the few quality tools that can encompass a wide range of processes in product manufacturing. This analysis enables effective planning for the implementation of various technical support tools, which complement each other in prioritizing each problem – product imperfections and low competitiveness. A significant drawback of QFD analysis is the considerable time and effort required to construct the final table/matrix, known as the "house of quality". The study investigated existing solutions aimed at reducing analysis time and identified the main parameters for their implementation. Based on the collected data, the key strengths and weaknesses of existing solutions were identified, and a web application was developed. This article aimed to develop an online application that simplifies and accelerates QFD analysis. The developed application facilitates the automation of the QFD analysis process, significantly enhancing the efficiency of quality management professionals and reducing the time required for this procedure.
Feasibility study for the reconstruction of a water treatment plant
Authors:   Industrial University of Tyumen, Matys Elena G. , Shkileva Anna A. ,   Industrial University of Tyumen, Sidorenko Olga V. ,   Industrial University of Tyumen
Published: December 2024

This article presents a reconstruction plan for an underground water deferrization station in southern of Tyumen Oblast, including a feasibility study. The reconstruction is necessary due to unsatisfactory water quality delivered to consumers, primarily high manganese content. Analysis of the initial and treated water quality from the existing plant revealed key factors affecting the treatment processes. The proposed technological modifications consider the groundwater’s unique composition, in particular, the high dissolved carbon dioxide leading to low pH, along with the operational experience of region deferrization stations and results from laboratory and pilot-scale testing at similar facilities. The proposed solution uses a reagent method for manganese removal, employing potassium permanganate as an oxidant. To reduce carbon dioxide concentration and increase pH, the study recommends replacing the aeration system from vacuum-ejector to barbotage in the loading layer. The reconstruction does not require an increased facility size. Technological calculations take into account maximum use of the existing station. The feasibility study determined capital and operating costs, and calculated the increase in water supply costs. The assessment of reconstruction efficiency demonstrated its economic viability.