bluuebunny/crossref_metadata_2025 huggingface dataset:
A Review on Shape Stabilized Phase Change Material for Thermal Energy Storage Applications
Authors:   Research Centre for Nanomaterials and Energy Technology (RCNMET), School of Engineering and Technology, Sunway University, No 5, Jalan University, Bandar Sunway, Petaling Jaya, 47500 Selangor Darul Ehsan, Malaysia, Islam Anas
Published: December 2024

Thermal energy storage (TES) using solar energy is one of the most prominent techniques to store the energy and reduce to gap between energy demand
and supply. There are many useful applications that can be fuelled by TES. Phase change materials (PCM) as TES materials are of great importance as far
as the energy storage applications are concerned. However, there are various bottleneck problems with pure PCM like liquid phase leakage, low thermal
conductivity, supercooling etc. To overcome this deficit, highly porous foam is used to improve the leakage problem of PCMs during phase transition.
Additionally, nanoparticles and nucleating agent are the most commonly employed in-practice approaches to get rid of the issue of low thermal conductivity
and supercooling, respectively. In addition, even after being subjected to multiple heat cycles, foam-stabilized PCM composites showed remarkable stability
without being degraded. This paper discusses the major foams that has been incorporated with different PCMs along with their critical outcomes. This
paper also discusses the significant uses of foam stable PCMs reported by several researchers. As a result of its high latent heat, good thermal conductivity,
balanced chemical compatibility, and high thermal stability, the foam-stable PCM composite is a viable choice for thermal-energy management systems.
Dissipation of Current Carriers in Lead Telluride Films
Authors:   Department Physical and Mathematical Sciences, Ivano-Frankivsk National Technical University of Oil and GasIvano-Frankivsk, Ukraine, Mazur Tetiana , Mazur Myroslav ,   Institute of Architecture, Construction and Power Engineering, Ivano-Frankivsk National Technical University of Oil and Gas Ivano-Frankivsk, Ukraine
Published: December 2024

The mechanisms of current carrier scattering in polycrystalline lead telluride (PbTe) films deposited on glass substrates in the temperature range 77-300 K
have been studied. The main attention is paid to scattering at the grain-to-grain limits, which is the dominant mechanism affecting the mobility of current
carriers. In this work, a mathematical expression is obtained for calculating the mobility of current carriers in thin films, considering scattering on the
surface and intergrain limits, which makes it possible to evaluate the influence of these mechanisms on the mobility of current carriers. The dependence of
current carrier mobility in PbTe films on thickness and temperature has been studied. It has been established that the dominant scattering mechanism is
scattering at grain boundaries. The activation energy of electrical conductivity was estimated, which is approximately 0.04-0.07 eV.
Giant Bilateral Adrenal Leiomyoma Case Report
Authors:   General and Gastrointestinal Surgery Department, Hospital General Regional No.1, Santiago de Queretaro, Queretaro, Mexico, González María A Calderón , Zenteno Ana K Mena ,   General and Gastrointestinal Surgery Department, Hospital General Regional No.1, Santiago de Queretaro, Queretaro, Mexico, De la Vega Isis Silva ,   General and Gastrointestinal Surgery Department, Hospital General Regional No.1, Santiago de Queretaro, Queretaro, Mexico, Brindis Soto Alejandra ,   General and Gastrointestinal Surgery Department, Hospital General Regional No.1, Santiago de Queretaro, Queretaro, Mexico
Published: December 2024

Introduction: Adrenal leiomyoma is extremely rare and is thought to arise from the smooth muscle wall of the central adrenal vein and its branches;
Clinically they may present as abdominal pain or flank pain. These tumors generally have a low biological potential. The surgical indication for adrenal
tumors is based mainly on functionality and the risk of malignancy.
Clinical Case: 39-year-old male, with no significant history. Who comes to the general surgery outpatient clinic due to the presence of progressive abdominal
distension and long-term abdominal pain. An abdominopelvic CT scan was performed, which revealed bilateral, well-circumscribed tumor with heterogeneous
characteristics located in the left and right adrenal area, negative functional tests. An exploratory laparotomy was performed, revealing two giant adrenal
tumors, definitive study reporting bilateral adrenal leiomyoma.
Conclusion: We present a rare case of bilateral primary adrenal leiomyoma of which no similar case was found in the reviewed literature. These tumors are
very difficult to diagnose preoperatively. as they are often not counted in adrenal samples and clinical suspicion is very low. As a result, they are diagnosed
postoperatively after pathological examination of the surgical specimen. At the moment, early and complete surgical resection is the main treatment.
Variabilidad genética de Phytophthora infestans sensu lato mediante uso de microsatélites en el sur colombiano
Authors: Hernández-Diaz Tharling Yadhannia , Martínez P Edison , Salazar G. Claudia Elizabeth , Lagos Mora Luz Estela
Published: December 2024

Introducción. Phytophthora infestans sensu lato es el fitopatógeno causante del tizón tardío en solanáceas, con impactos ambientales, económicos y de seguridad alimentaria. Presenta alta incidencia de la enfermedad y cambios genéticos acelerados. Objetivo. Evaluar la variabilidad genética de las poblaciones de P. infestans sensu lato aisladas de solanáceas en municipios del sur de Colombia. Materiales y métodos. Se obtuvieron 40 aislamientos de P. infestans sensu lato de cuatro hospederos de solanáceas provenientes de municipios de Nariño y Putumayo. Se extrajo el ADN y se amplificó con cinco marcadores microsatélites. Las bandas se visualizaron en geles de agarosa al 3% y se midieron con ImageJ. El análisis de datos se realizó con el paquete Poppr y el software STRUCTURE. Resultados. Se obtuvo alto polimorfismo con la amplificación de más de cuatro alelos por locus, presencia de triploidia y elevada diversidad genética con 40 genotipos multilocus únicos, en comparación con otras regiones del país. Las poblaciones se estructuraron de acuerdo a su hospedero con una diferenciación genética (Gst) entre 0.39 y 0.73, probablemente por la preferencia de hospedero y el uso de hospederos alternativos. El análisis de desequilibrio de ligamiento sugiere posible reproducción sexual en poblaciones P. infestans obtenidas de papa y P. betacei de tomate de árbol. Conclusión. El análisis con cinco marcadores microsatélites permitió identificar alto nivel de polimorfismo en las poblaciones de P. infestans sensu lato y alta variabilidad intrapoblacional para el sur de Colombia, así como estructura de las poblaciones de acuerdo a su hospedero.
Yahudilikte Örfün Önemi ve Yahudi Dini Hayatına Etkisi Üzerine Bir Değerlendirme
Authors: Başaran İsmail
Published: December 2024

Yahudilikte örf (minhag) önemli bir yer tutmaktadır. Bu örfî kurallar, temelde yazılı ve sözlü Yahudi külliyatına ait olmadığı halde birçoğu bağlayıcı olarak kabul edilmiş ve Yahudiler tarafından nesilden nesile uygulana gelmiştir. Geleneksel Yahudiler açısından, Halaka’ya uygun bir dînî yaşantı, Tora ve Talmud’ta bildirilen emir ve hükümlere uygun davranmak önemli bir yer tutmaktadır. Buna ilave olarak, Talmud’un mahallî örfü hukuken geçerli bir mesnet kabul etmesi, Talmudik dönemi takip eden zaman içerisinde onların bir takım ortak dînî pratik ve örfî kurallara sıkı sıkıya bağlı kalmalarına neden olmuştur.
Örfün bazen Halaka’nın belirlenmesinde de önemli bir unsur olduğu düşünülmektedir ve genellikle bu tür örfî kurallar belirli kitaplarda ve hukuk metinlerinde toplanmıştır. Orta çağda Yahudilik ile ilgili birçok farklı yeni âdet ve uygulama ortaya çıktığında bunların bir araya toplanıp derlenmesi ihtiyacı hissedilmiştir. Bu örfî kuralları bir araya getirilerek kitaplaştırmıştır. Onlara göre, “Tanrının seçilmiş milleti” olarak Yahudi halkının örf, âdet ve gelenekleri, Tanrı’nın iradesini yansıtmaktadır.
EFEKTIVITAS PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN MAHASISWA KEPERAWATAN WAMENA TENTANG HIV/AIDS: PENELITIAN DENGAN DESAIN PRETEST-POSTTEST PADA SATU KELOMPOK
Authors: Tandiola Rosdiana , Ruben Sethiana Dewi , Sawamanay Marleona , Suabey Suningsih , Rophi Kristiyani Herda , Muspitha Fitri Diah
Published: December 2024

Mayoritas penderita HIV/AIDS berada pada usia produktif. Salah satu upaya yang dapat dilakukan adalah memberikan promosi kesehatan mengenai HIV/AIDS kepada remaja dan dewasa muda untuk meningkatkan pengetahuan dan pemahaman tentang pencegahan penularan HIV. Penelitian ini bertujuan untuk mengevaluasi efektivitas pendidikan kesehatan dalam meningkatkan pengetahuan mahasiswa Diploma III Keperawatan di Wamena. Penelitian ini menggunakan desain pra-eksperimen dengan rancangan one-group pretest-posttest design. Sampel penelitian ini adalah mahasiswa semester IV Program Studi D-III Keperawatan Wamena sebanyak 62 orang Analisis data dilakukan menggunakan uji Wilcoxon. Hasil penelitian menunjukkan adanya peningkatan skor rata-rata pengetahuan mahasiswa sebesar 3,58 (p= <0,001), dengan nilai effect size sebesar 0,78. Pendidikan kesehatan efektif digunakan untuk meningkatkan pengetahuan mahasiswa keperawatan. Selain itu, secara khusus pada institusi pendidikan keperawatan, program pendidikan kesehatan tentang HIV/AIDS harus terus dikembangkan agar pengetahuan mahasiswa terus meningkat dan dapat diaplikasikan dalam praktik klinik maupun komunitas.
The majority of people living with HIV/AIDS are in their productive age. One of the efforts that can be made is providing health promotion about HIV/AIDS to adolescents and young adults to improve their knowledge and understanding of HIV transmission prevention. This study aimed to evaluate the effectiveness of health education in improving the knowledge of Diploma III Nursing students in Wamena. The study employed a pre-experimental design with a one-group pretest-posttest approach. The research sample consisted of 62 fourth-semester students in the Diploma III Nursing program in Wamena. Data analysis was performed using the Wilcoxon test. The results showed an increase in the average knowledge score of students by 3.58 (p< 0.001), with an effect size of 0.78. Health education was found to be effective in improving nursing students' knowledge. Furthermore, specifically in nursing education institutions, health education programs on HIV/AIDS should be continuously developed to enhance students' knowledge, which can be applied in clinical and community practice.
PENERAPAN SWEDISH MASSAGE DALAM ASUHAN KEPERAWATAN UNTUK PERUBAHAN INDIKATOR NYERI PADA PASIEN HIPERTENSI: STUDI KASUS
Authors: Rikani Rikani , Darmareja Rycco
Published: December 2024

Prognosis hipertensi menjadi penyebab kematian ketiga secara global. Swedish massage menjadi salah satu rekomendasi intervensi non farmakologi untuk penderita hipertensi. Intervensi ini memberikan stimulasi sirkulasi darah dan sistem syaraf yang berpengaruh pada respons berupa perasaan rileks serta dapat menurunkan tekanan darah. Studi dilakukan dengan tujuan untuk mengidentifikasi perubahan indikator nyeri pada pasien hipertensi setelah diberikan intervensi Swedish massage. Metode deskriptif analisis berupa single case study dilakukan kepada pasien hipertensi berusia 30-65 tahun. Data dikumpulkan melalui kegiatan wawancara, observasi, studi dokumen, pemeriksaan fisik dan instrumen evaluasi. Intervensi khusus yang dilakukan pada pasien adalah Swedish massage 1x sehari selama 10-20 menit dalam 4 hari berturut-turut berdasarkan standar operasional Evidence Based Nursing Practice. Hasil pengkajian awal menunjukkan pasien nyeri, seperti menahan beban berat di kepala yang menetap tidak menjalar, dengan skala 8, dengan durasi yang tidak menentu. Setelah dilakukan intervensi masalah nyeri akut teratasi di hari ke 4 dengan perubahan pada Mean Arterial Pressure (106 mmHG), frekuensi nadi (80x/ menit) serta keluhan nyeri pasien (skala 2). Direkomendasikan terapi Swedish massage menjadi salah satu intervensi komplementer yang dapat dilakukan untuk menurunkan nyeri pada pasien hipertensi.
Hypertension prognosis is the third leading cause of death globally. Swedish massage is one of the recommended non-pharmacological interventions for individuals with hypertension. This intervention stimulates blood circulation and the nervous system, resulting in a relaxing response that can lower blood pressure. This study aimed to identify changes in pain indicators in hypertensive patients after receiving Swedish massage intervention. A descriptive-analytical method using a single case study was conducted on hypertensive patients aged 30-65. Data were collected through interviews, observations, document reviews, physical examinations, and evaluation instruments. The specific intervention involved administering Swedish massage once daily for 10-20 minutes over four consecutive days, following the standards of Evidence-Based Nursing Practice. Initial assessment results indicated the patient experienced pain, described as a persistent, heavy sensation in the head without radiating, with a pain scale of 8 and an indeterminate duration. After the intervention, acute pain was resolved by the fourth day, with changes observed in Mean Arterial Pressure (106 mmHg), pulse frequency (80 beats/minute), and the patient's pain complaint (scale 2). Swedish massage therapy is recommended as a complementary intervention to reduce pain in hypertensive patients.
HUBUNGAN BEBAN KERJA PERAWAT DENGAN KEPATUHAN PELAKSANAAN EARLY WARNING SYSTEM DI BANGSAL RAWAT INAP DEWASA
Authors: Bukhori Tulus , Widuri Widuri , Jennifa  , Arini Tri
Published: December 2024

Kepatuhan pelaksanaan early warning system (EWS) oleh perawat dalam upaya menurunkan morbiditas dan mortalitas pasien di rumah sakit salah satunya dipengaruhi oleh faktor beban kerja. Meningkatnya beban kerja perawat di unit perawatan dapat diakibatkan karena kurangnya tenaga, banyaknya prosedur administratif yang harus diselesaikan, dan beban tugas atau job description yang masih kurang jelas. Tujuan penelitian ini untuk mengetahui hubungan beban kerja perawat dengan kepatuhan pelaksanaan EWS di ruang rawat inap dewasa. Penelitian menggunakan desain korelasi dengan pendekatan cross sectional. Sampel penelitian berjumlah 41 responsen. Instrumen penelitian menggunakan time and motion study dan cheklist EWS yang sudah ada petunjuk teknis di Rumah Sakit Islam Yogyakarta PDHI. Analisis data menggunakan uji Kendall’s Tau-b. Hasil penelitian menunjukkan beban kerja perawat mayoritas masuk kategori sedang (61%) dan kepatuhan pelaksanaan EWS mayoritas masuk kategori kurang patuh (58,5%). Ada hubungan yang signifikan antara beban kerja perawat dengan kepatuhan pelaksanaan EWS (p= 0,001). Sedangkan usia (p= 0,491), jenis kelamin (p= 0,612), masa kerja (p= 0,839), dan tingkat pendidikan (p= 0,855) tidak berhubungan dengan kepatuhan pelaksanaan EWS. Manajemen Rumah Sakit dapat merumuskan kebijakan baru terkait penambahan SDM perawat sesuai dengan kapasitas pelayanan dan menyelenggarakan kegiatan pelatihan EWS.
The compliance of implementing the early warning system (EWS) by nurses in an effort to reduce morbidity and mortality of patients in hospitals is influenced by factors such as workload. An increase in nurses' workload in the care unit may be caused by a lack of staff, numerous administrative procedures that need to be completed, and unclear job descriptions. The purpose of this study is to determine the relationship between nurses' workload and compliance with the implementation of EWS in adult inpatient wards. This study used a correlational design with a cross-sectional approach. The research sample consisted of 41 respondents. The research instruments used included time and motion study and EWS checklist, which had technical guidelines available at Rumah Sakit Islam Yogyakarta PDHI. Data analysis was performed using Kendall's Tau-b test. The results of the study showed that most nurses' workload was categorized as moderate (61%), and the majority of compliance with EWS implementation was categorized as non-compliant (58.5%). There was a significant relationship between nurses' workload and compliance with EWS implementation (p= 0.001). Minewhile Age (p= 0.491), gender (p= 0.612), years of service (p= 0.839), and education level (p= 0.855) were not found to be related to compliance with EWS implementation. Hospital management may formulate new policies related to increasing the nursing workforce in accordance with service capacity and conduct EWS training activities.
Uzaktan Çalışma Tutumunun Demografik Değişkenler Açısından İncelenmesi
Authors: Duran Abdulsamet , Döven Musa Said
Published: December 2024

Araştırmanın amacı, uzaktan çalışma tutumunun çeşitli demografik değişkenlere göre farklılaşıp farklılaşmadığının incelenmesidir. Araştırma modeli, nicel araştırma yöntemlerinden olan betimsel araştırma temelinde tasarlanmıştır. Çalışma grubunu uzaktan ya da hibrit çalışma şekli ile çalışmakta olan 147 (% 44.7) kadın ve 182 (% 55.3) erkek olmak üzere 329 katılımcı oluşturmaktadır. Katılımcıların yaş aralığı 20 ile 65 yaş olup, yaş ortalaması 33.47’dir. Verilerin analizinde betimsel istatistikler, bağımsız örneklemler t testi ve tek yönlü varyans analizi teknikleri kullanılmıştır. Elde edilen bulgular, çalışanların uzaktan çalışma tutumunun tüm alt boyutlarının cinsiyete göre farklılaşmadığını göstermektedir. Çalışanların medeni durumuna göre olumsuz tutuma direnç alt boyutu evli katılımcıların lehine anlamlı düzeyde farklılaşmaktadır. Ancak diğer alt boyutlar medeni duruma göre farklılaşmamaktadır. Aynı işin daha önce geleneksel çalışma biçimi ile yürütülmesi durumuna göre olumsuz tutuma direnç alt boyutu, aynı işte daha önce geleneksel çalışanların lehine farklılaşmaktadır. Fakat diğer alt boyutlarda anlamlı bir farklılaşma bulunmamaktadır. Yapılan tek yönlü varyans analizi sonuçlarına göre; çalışanların uzaktan çalışma tutumu; olumlu tutum, beceri geliştirme ve olumsuz tutuma direnç alt boyutları çalışma şekli tercihine göre farklılaşmaktadır. Fakat kurumsal destek alt boyutuna göre farklılaşma görülmemiştir. Çalışanların olumlu tutum alt boyutu puan ortalamaları, yaş değişkenine bağlı olarak farklılaşmaktadır. Ancak diğer alt boyutlarda yaşa bağlı farklılaşma bulunmamaktadır. Çalışanların beceri geliştirme ve olumsuz tutuma direnç alt boyut puan ortalamaları, uzaktan çalışma süresine göre farklılaşma gösterirken, olumlu tutum ve kurumsal destek boyutlarında farklılaşma göstermemektedir. Olumlu tutum, olumsuz tutuma direnç ve kurumsal destek, çalışanların, haftalık otalama uzaktan çalışma saatine göre farklılaşırken, beceri geliştirme alt boyutu farklılaşmamaktadır. Bulgular, makalenin son bölümünde literatür kapsamında tartışılmıştır.
A Vaulted Figurine from İnönü Cave: A New Link between the Balkans and Northwestern Türkiye
Authors: Ekmen F. Gülden
Published: December 2024

Bone figurines depicted with vaulted heads are the common types since the middle of the fifth millennium BC in the Eastern and partly Central Balkans, primarily in the Varna Cemetery. Excavations carried out in Anatolia and Turkish Thrace have not yet encountered these figurines that are typical of Balkan prehistory. At level V of İnönü Cave on the Black Sea coast in northwest Türkiye, archaeologists unearthed
a figurine during the 2022 excavation season. The protruding bone formed the head of the figurine. The aforesaid figurine, similar to the samples unearthed in the Balkans, represents the first example unearthed in Anatolia to date. In the present study, we will discuss the technological and typological characteristics, production method, function, and the representation and context of this bone figurine. This figurine establishes a new connection between Anatolian and Balkan cultures.
Archaic and Early Classical Trade Amphorae from Old Smyrna
Authors: Akar Tanrıver Duygu , Foça Serhat
Published: December 2024

This study analyzes the commercial amphorae found in Old Smyrna, one of the settlements located in the northeast of the Gulf of Izmir and localized in the Smyrna hinterland. These amphorae, dating from the late seventh century BC to the late fifth century BC, provide data on Smyrna’s commercial relations during the Archaic and Classical Periods and give information about the city’s economic structure. In this study, 50 finds from both previous and recent excavations were examined, grouped according to their production centers, and classified typologically. In the Archaic Period, imported amphorae produced in various centers such as Chios, Clazomenai, Lesbos, Miletos, Samos and Teos, as well as Athens, were in demand in the city. In addition to these groups, the study also includes types that were produced
in the Archaic Period, but whose place of production is still under debate. It makes a new contribution to the literature on the typology of these groups with finds from Old Smyrna. Considering the economic activities of the Aegean region, the finds from Old Smyrna offer a wide repertoire of commercial amphorae and provide remarkable data on the commercial relations of the cities.
The Heracles-Melqart Head from The Hatay Museum
Authors: Arınç Utku , Bağdatlı Çam Fatma
Published: December 2024

The subject of our study is the head of Heracles found during the 1932-1934 excavation season at the Çatal Höyük settlement in the Amik Plain within the borders of Hatay. It is exhibited in the Hatay Museum and carved from limestone. That Heracles is in an attacking position with his club raised behind his head has enabled the statue to be evaluated within the “Cypriot Heracles” or “Heracles-Melqart” typology in the literature. Although this type has been found to be widespread throughout the Mediterranean world considering examples from Cyprus particularly, then Egypt, Al Mina, and Attica, this singular example from Anatolia demonstrates the unique value of our study. As a result of stylistic evaluation, we conclude that the Heracles head was made in Cyprus in the last quarter of the sixth century BC in the Heracles-Melqart type. Its typology was shaped by the cultural influences in Idalion or possibly Gorgoi, but by a master who closely followed the sculpture styles of Rhodes and Athens. The typological difference between the head from Hatay and the Cypriot examples can be explained by locality. In terms of meaning, the Cypriot example indicates that the Heracles-Melqart typology may be a combination of a local cult and Heracles-Melqart iconography in Anatolia. Therefore, the Heracles head at Çatal Höyük was produced in a local workshop in the late sixth century BC. Although faithful to Cypriot typology, it appears more as an Anatolian artefact in terms of meaning.
An Underground Chamber Tomb with Serpent Relief in Ula, Muğla
Authors: Vapur Özlem , Baran Abdulkadir
Published: December 2024

This paper deals with an underground chamber tomb found at the Kızılkuyu area of Armutçuk Mahallesi in the Ula district of the province of Muğla and excavated in 2021. The rural area between today’s Çiçekli Mahallesi and the Ula district center was in antiquity part of the koinon of the Ola[i]es (Ολα[ι]ες), first attested in 453 / 452 BC. It gave its name to modern Ula. The grave is carved entirely into the bedrock and contains an entrance room, a two-room chamber with five sarcophagusshaped burials, and four niches for cremation urns or grave goods. The Kızılkuyu tomb is one of the important and unique examples in the region for several surprising and impressive reasons: the benches for ritual use in the entrance room, a relief with serpent and egg, the clockwise symposium-like arrangement of pillows on the burial beds, and the creation of the impression of a chamber tomb built of ashlar blocks in the first room. The grave seems to have belonged to a wealthy local family and was used for around 200 years between the late fourth / third century BC and the beginning of the first century BC. This dating is based on ceramic finds. During this time, the region was part of the mainland territory of Rhodes (Rhodian peraia).
Stamped Amphora Handles from Kedreai
Authors: Şenol Gonca , İleri Oğuzhan , Şenol Ahmet Kaan
Published: December 2024

The subject of this article is the stamped amphora handles found during the archaeological excavations carried out in 2022 in the ancient city of Kedreai, located in the Rhodian Peraea in Karia. The stamped handles examined here are especially important as they are the first samples published from Kedreai. During the excavations in the Northern Wall, Southern Wall, Western Wall, and Sanctuary of Apollo, 27 stamped handles were unearthed. Except for three stamps belonging to amphorae produced in the Rhodian Peraea, the remaining 24 stamped handles are from the island of Rhodes. Among all finds, 11 stamps name the Rhodian eponyms, while 13 handles belong to Rhodian fabricants. Three other dies are not restoreable. The analysis of these amphora stamps provides new insights into the Hellenistic period of the Karian region and the city.
International Experience of Telerehabilitation: Literature Review
Authors: Aksenova E. I. , Klimov Y. A.
Published: December 2024

Background. Telerehabilitation is a branch of telemedicine providing a new method of rehabilitation service delivery using information and communication technologies by connecting patients and doctors and minimizing distance, time, and cost barriers. At the same time, the patient’s needs and resources have an impact on telerehabilitation assessments and interventions through various software and mobile applications.

Purpose. To identify the main areas for development of telerehabilitation based on the review of Russian and international literature.

Materials and methods. The authors applied the general scientific methods of analysis, synthesis, classification, and clusterization, along with the content analysis of peer-reviewed scientific articles on the delivery of rehabilitation services and the use of telemedicine technologies.

Results. Telecommunication technologies are the means to deliver rehabilitation programs to patients, control program implementation, as well as monitor basic physiological parameters. If the technologies and methods of telerehabilitation are developed using a personalized approach and then properly applied, they enable to improve long-term health outcomes, which represents a global challenge in healthcare and sociology.
Ethical and Deontological Violations as a Side Effect in Value-Based Healthcare: Monitoring Instruments
Authors: Smirnova E. V.
Published: December 2024

It is important to adhere to ethical standards of medical care at any stage or level of societal development. Since healthcare systems have widely integrated digital technologies and the principle of value-based healthcare has been firmly embedded in the practice of healthcare organizations, the ethical challenges have become highly relevant.

Paradoxically, the defects related to violations of medical ethics and deontology by healthcare professionals are not listed in the current order of the Ministry of Health of the Russian Federation regulating the quality control of medical care for compulsory medical insurance. As a result, there are no mechanisms for applying financial sanctions to healthcare organizations. Also, some issues, such as violation recoding and a possible subjective patient’s assessment of doctors’ actions, are still to be addressed.

The author considered the doctor-patient relationship and the mechanism for recording violations of ethics and deontology defined by the order of Moscow Healthcare Department.
Challenge of Strengthening the Health of Older Employees in the Workplace to Improve Job Longevity
Authors: Ananchenkova P. I. , Vashalomidze E. V. , Egiazarov Y. G.
Published: December 2024

Introduction. Older workers are more likely to face health problems. This issue is becoming more important in the context of the trend towards prolonged working life. Given the significant amount of time spent in the workplace, the better health of older workers is crucial for their continued employment.

The purpose was to conduct a literature review of studies discussing the problem of health preservation of older workers in the workplace as a factor ensuring prolonged working life and job longevity.

Materials and methods. In our study, the methods of content analysis of scientific literature on the health of older workers, corporate programs promoting health-saving practices, and the creation of healthy workplaces were used. In addition, a secondary analysis of data obtained from a study conducted by the Age-Friendly non-profit organization in 2022 in the USA was presented.

Results. The physical health of older workers significantly differs from younger staff. This issue requires a search for special approaches to labor protection and health-saving conditions in the workplace. Recent studies on workforce aging have shown that older workers are characterized by objective age-related physical changes, which reduce their activity, productivity, and efficiency as a labor resource. Corporate programs on employee health and the promotion of healthy job longevity should be aimed at providing comprehensive health education, creating a working environment that promotes  health  improvement  by  both  physical and social means, elaborating corporate culture emphasizing the value of health and longevity, as well as enabling systemic conditions for regular medical examinations, stress testing, relaxation, and rehabilitation of employees after a hard workday.
Challenges of Relationship with Supervisor: Perspective of PhD Students
Authors: Ananchenkova P. I. , Kuznetsov M. Yu. , Malinovich E. V.
Published: December 2024

Background. The study investigates PhD student-supervisor relationship as a key element of postgraduate training of scientific workforce. Both sides of academic process should efficiently cooperate in order to successfully complete dissertation, develop research skills and professional competences in  PhD  students. Despite its great importance, in practice the relationship often faces various barriers significantly complicating scientific activity and affecting emotional component.

Objective. To analyze the key factors determining the efficiency of PhD student-supervisor relationship.

Materials and methods. The authors used the results of pilot studies conducted in 2024: “Challenges of relationship between PhD students (individual PhD students) and supervisors” (questionnaire survey, sample of 244 people) and “Neural network in science. For or against” (questionnaire survey, sample of 228 people).

Results. The main barriers in relationship were identified: irregular communication, lack of clear expectations, disagreements in research approaches, overburdened supervisors and lack of research training among PhD students. These factors not only slow down the performance of scientific tasks, but also reduce the likelihood of a successful dissertation defense. Recommendations were given to improve PhD studentsupervisor relationship. Most attention is paid to the need for regular and constructive communication, a clear coordination of expectations and tasks, an individual approach and improvement of digital literacy among the participants of academic process. The authors emphasize that an integrated approach of eliminating barriers and effectively using modern technologies improves the quality of scientific personnel training and strengthens scientific potential.
Prerequisites Involving Information and Educational Activities to Promote a Healthy Lifestyle for Muscovites: Sociological Analysis
Authors: Chizh N. V.
Published: December 2024

Introduction. In the context of urbanization, it seems appropriate to improve the infrastructure for information and educational initiatives aimed at promoting a healthy lifestyle among city residents. To implement city policies focused on health preservation, it is necessary to study the prerequisites that contribute to the formation of a healthy lifestyle.

The purpose of the study was to identify the prerequisites for improving the infrastructure of information and educational activities to promote a healthy lifestyle for Moscow residents.

Materials and methods. The research employed a comprehensive design that integrated quantitative and qualitative research methods. The analysis included: 1) media analysis of social media content from 2019 to 2024; 2) the results of the “Moscow is a healthy city” survey conducted by VCIOM in 2018; 3) a pilot questionnaire survey of Muscovites conducted by the author of the article (762 respondents); 4) interview materials collected by the author of the article (6 experts knowledgeable about health preservation in Moscow).

Results. The study showed an increase in the number and diversity of the relevant subjects. It was revealed that the topic of health preservation is covered not only in specialized media but also in mainstream news or those focusing on other topics that are not directly related to health. However, media content presents both a positive description of events related to the health of Moscow residents and a negative one, reflecting the causes of health deterioration. It was revealed that Muscovites receive the necessary information about health preservation only when they have already become patients of Moscow clinics or clients of social services.

Conclusion. Moving forward, Moscow authorities should pay closer attention to targeted preventive educational work with citizens before they face severe health problems and seek help from medical and social organizations.
Market Review for Implantable Medical Devices
Authors: Nakhod V. I. , Krivenko A. N. , Butkova Т. V.
Published: December 2024

Background. The article provides the data on the global market volume for implantable medical devices and analyzes the domestic market needs of various branches of medicine. Examples of international and Russian developments of implantable medical devices are given. Promising directions for growing the Russian market are specified.

Material and methods. The authors analyzed the information sources considering the state of the implantable medical device market over the last 10 years.

Conclusion. Implantable medical devices have been used in practical healthcare for several decades. To date, implantable devices, including new applications, have assisted with treating a wide range of diseases: sleep apnea, panic attacks, Parkinson's disease, epilepsy, urinary incontinence, gastrointestinal diseases, autoimmune diseases, mental disorders, etc.
Evaluation of Physical and Mental Health by University Students as an Indicator of the Quality of Health-Related Academic and Professional Life
Authors: Polyakova O. B. , Bonkalo T. I.
Published: December 2024

Background. Physical health and mental well-being of university students are among the quality indicators of academic and professional life.

Purpose. To evaluate the physical and mental health of university students as the quality indicators of academic and professional life.

Methods and materials. 582 interested adult students of Moscow universities voluntarily took part in the study. The authors evaluated their self-reports of physical and mental health as the quality indicators of academic and professional life using the J.E. Ware’s 36-Item Short Form Health Survey, Pearson correlation coefficient, and Chaddock scale.

Results. The evaluation of physical and mental health of students revealed the following: a high-moderate level of Role-Physical Functioning, Vitality, Physical Health total score, General Health, and Mental Health; a moderate level of Role-Mental Functioning, Health-Related Quality of Life, Mental Health total score, Social Functioning, and Physical Functioning; a low-moderate level of Bodily Pain under the symptoms of COVID-19 or a psychosomatic disorder. The study demonstrated a high correlation of Role-Physical Functioning with General Health, Vitality, Mental Health, and Mental Health total score; a high correlation of General Health with Vitality and Mental Health.
Behavioral Insights Informing the Pandemic Response in the City of Moscow
Authors: Bogdan I. V. , Chistyakova D. P. , Aksenova E. I. , Kamynina N. N. , Bonkalo T. I. , Pravednikov A. V.
Published: December 2024

Background. The public response to the coronavirus pandemic, including their uptake of protective measures, was critical for containing the virus, and this required effective interventions, policy decisions, and public communication that took into account the perspectives of the population. The main goal of the study was to explore public perceptions, behaviors, and well-being of the population of Moscow, Russian Federation, to inform the pandemic response.

Methods. A survey tool originally developed by the WHO Regional Office for Europe with support from the University of Erfurt, Germany, was adapted to the Moscow (Russian Federation) context. Computer-assisted telephone interviews (CATI) were conducted using a stratified, two-core sample of landline and mobile phones. Three waves of data collection took place from mid-May 2020 to mid-June 2020: 1) May 13–18, 2020, n = 1019 people; 2) May 26, 2020 – June 1, n = 1000 people; 3) June 16–24, 2020, n = 993 people.

Findings. The study identified the awareness of Moscow residents about the coronavirus, their perceptions, understanding of the pandemic situation and behavioral responses to measures taken by the authorities to reduce the spread of COVID-19.

Interpretation. Monitoring of public perceptions, behaviors, and well-being allowed a people-centered approach, which took into account population perspectives alongside epidemiological data and economic, cultural, ethical, and structural-political considerations, to become the basis for an effective coronavirus response.
Providing Medical Care to Patients with Abdominal Injuries at the Prehospital Stage in Moscow
Authors: Grekov D. N. , Ageeva A. A. , Vvedenskiy G. A. , Chernyakov E. V. , Bagateliya Z. A. , Maer R. Yu. , Kadyshev V. A.
Published: December 2024

Introduction. The prevalence of injuries seems to be a modern challenge. For many decades, injuries have been the main cause of unnatural death and disability among the working population. These trends are especially pronounced in big cities. Nowadays, injuries are characterized by multiple and combined natureы, as well as high severity.

Purpose. To analyze the features of abdominal injuries, to identify the correlation between the time of medical evacuation from the accident scene to a specialized hospital department and the outcomes in order to improve the treatment results.

Methods and materials. Upon the data obtained from Moscow Emergency Medical Care Station, a selective retrospective analysis of 5,692 cases of abdominal injuries in Moscow for the period from January 1, 2020, to January 1, 2023 was carried out. To process and display the results, a statistical analysis using graphical methods (bar charts, histograms, range charts), the Kruskal-Wallis rank test and chi-square test was performed.

Results. Among the total number of victims with severe injuries, abdominal trauma occurs in 20% of cases. The overall mortality rate of victims with abdominal injuries with isolated injury ranges 8–10%, reaching 60% in combined injury cases. The structure of the organization and the strategy for providing medical care to trauma victims in Moscow are aimed at implementing measures for timely hospitalization of patients and reducing mortality rates.
Paid Medical Services from the Standpoint of Econometric Analysis of Medical-Demographic and Socio-Economic Indicators of the Region
Authors: Kurmangulov A. A. , Brynza N. S. , Zolotarev P. N. , Keln A. A.
Published: December 2024

Introduction. Studying medical-demographic and socio-economic indicators of various regions is relevant for creating and implementing a well-balanced functional model of private healthcare organizations.

The purpose of the study was to conduct an econometric analysis of time series reflecting the dynamics of the main medical, demographic, and socio-economic indicators in the Tymen Region, with a focus on the potential growth of paid medical services sector.

Materials and methods. Data from the territorial body of the Federal State Statistics Service, annual industry collections, and territorial executive body of public health were analyzed. The analysis of time series was carried out according to econometric principles using the Dolado and FB_DES procedures of the Perron method.

Results and conclusion. Between 2017 and 2023, Tyumen Region experienced consistent social and economic growth, positively impacting main demographic processes. The population increase, along with a relatively stable solvency among the economically active population, contributed to a growth of consumption, including health care services. The share of paid medical services in the total volume of services ranged from 8.0% to 9.8%. Despite changes in the structure and level of participation in the territorial program of state guarantees of medical care, the number of private medical organizations shows a positive linear trend.
Urban Spaces that Promote Reduction of Body Mass Index of Residents
Authors: Gribkova I. V.
Published: December 2024

In modern society, the issue of excess weight is becoming increasingly important. The growing number of people suffering from obesity is a growing concern among specialists as well as among the general population. Therefore, closer attention is paid to various approaches and measures aimed at increasing the level of physical activity, thereby preventing overweight and obesity. It can be assumed that urban infrastructure and transportation play a significant role in this process, and since environmental factors are largely modifiable, they seem to be promising means for solving the problem.

This study aimed to analyze scientific data related to urban space planning on obesity incidence and to identify key recommendations for environmental planning that promotes obesity management.

An analysis of international practices showed that effective urban design —such as transitioning from sprawling cities to more compact communities—can enhance physical activity levels and reduce air and noise pollution, potentially leading to lover obesity rates among city residents. Such methods of urban infrastructure management as sustainable transportation (shifting from car to public and active transport), improvement of walking areas, creation of green spaces and water spaces, traffic safety and availability of healthy food could encourage healthier lifestyle and significantly reduce obesity prevalence. An important aspect of this planning is the involvement of specialists of various profiles, as well as participation of citizens in the project development phase.
Çocuk Yoksulluğu ile Mücadelede Erken Müdahale Merkezi Olarak Çocuk Kütüphanelerinin Önemi
Authors: Kakırman Yıldız Asiye
Published: December 2024

Çocuk yoksulluğu, çocuğun eğitim ve sağlık gibi öncelikli ihtiyaçlarının karşılanmaması, bir toplumda yaşayabilmesi için gerekli olan hak ve yaşam standartlarına sahip olamaması ve ailenin bütün bunları sağlamak için bir kaynağının olmaması anlamına gelmektedir. Erken yaşlarda müdahale edilmezse bu yoksulluk döngü haline gelip aileden çocuğa miras olarak kalmakta ve bu dezavantajlılık ömür boyu sürebilmektedir. Yoksullukla mücadele eden çocukların yaşadıkları problemlerden biri şüphesiz eğitim yoksulluğudur. Sosyoekonomik açıdan avantajlı olan çocuklarla yoksul çocukların doğdukları anda ortaya çıkan akademik, dil ve bilişsel uçurum, erken yaşta müdahale edilmediği takdirde zaman içinde büyümektedir. Bu durum yoksul çocukların, aynı yaş grubundaki avantajlı çocuklara göre dil becerilerinin ve kelime kapasitelerinin gelişmemesine, beyin gelişiminin yavaş olmasına ve LGS, YKS gibi ortak sınavlara girerken yaşadıkları rekabete yenik başlamalarına neden olabilmektedir. Hâlbuki yapılan araştırmalar, yoksul çocukların yakın çevreleri ile birlikte dâhil olacağı müdahale programları aracılığıyla, yenik başladıkları bu göstergelerin eşitlenmese bile en aza indirgenebileceğini göstermektedir. Bu çalışmada, dezavantajlı ailelerin ve ailesinden dolayı zorunlu dezavantajlı olan çocukların akademik, dil ve bilişsel düzeylerinin okul dışı öğrenme ortamı olan çocuk kütüphaneleri aracılığı ile yükseltilmesinin mümkün olup olmadığı ve çocuk kütüphanelerinin erken müdahale merkezi olarak nasıl kullanılabileceği örnek bir proje üzerinden anlatılmaktadır. Bu bağlamda, dezavantajlı çocukların çocuk kütüphanelerinde dâhil olabilecekleri program ve atölye çalışmaları sonucunda akademik ve bilişsel fırsat eşitliğinin nasıl yakalanabileceği; çocuk kütüphanelerinin bu çocuklar ve aileleri için nasıl birer öğrenme ve sosyalleşme mekânı olabileceği; çocuk kütüphanelerininin sunduğu bu hizmet ve faaliyetler sayesinde bir çocuğun hayatına nasıl etki edebileceği bu ve bu sayede çocuğun zorunlu dezavantajlılığından nasıl kurtulabileceği ele alınmaktadır.
Anahtar Kelimeler: Çocuk yoksulluğu, çocuk kütüphaneleri, müdahale merkezi, akademik fırsat eşitliği
Covid-19 Döneminin Görünmeyen Yüzü: Çocuk İşçiliği
Authors: Ozan Fadime Kübra , Pehlivan Sütlü Sevinç
Published: December 2024

“Çocuk işçiliği” çoğu kez çocukları çocukluklarını yaşamaktan alıkoyan, potansiyellerini ve saygınlıklarını eksilten, fiziksel ve zihinsel gelişimleri açısından zararlı işler olarak tanımlanmaktadır. İngiliz Cerrah Percivall Pott tarafından 1775 yılında yayınlanan makalede baca temizleyici olarak çalıştırılan çocuklardan ve bunların sağlık risklerinden bahsedilmesi çocuk işçiliğinin tarihinin eskiliğini göstermektedir. Sanayi Devrimi ile birlikte çocuk işçiliği daha görünür hale gelmiştir. Günümüzde de evrensel bir problem olmaya devam etmektedir. 2019 yılında meydana gelen ve hızla yayılan Covid-19 salgını ekonomi ve çalışma şartlarını olumsuz yönde etkilemiştir. Covid-19 salgınında uygulanan kısıtlamalar, ekonomide kriz yaratmış ve yoksulluk oranları artmıştır. Okulların kapatılmasıyla çocuklar iş hayatında daha fazla yer almaya başlamış ve ağır koşullarda çalıştırılma tehlikesi ile karşı karşıya kalmışlardır. Bu makalede Covid- 19 dönemi ve çocuk işçiliği üzerine etkisi değerlendirilmiştir.
Implementasi Sistem Deteksi Dini Stunting Terintegrasi Rekomendasi Pola Hidup Sehat di Puskesmas Purbaratu Kota Tasikmalaya
Authors: Lukmaba Hen Hen , Yuliyanti Siti , Wardani Yusrima Syamsina
Published: December 2024

Stunting menjadi perhatian serius pemerintah karena berdampak buruk pada kualitas sumber daya manusia, seperti penurunan fungsi kognitif dan tingkat kecerdasan yang rendah. Prevalensi stunting di Jawa Barat pada tahun 2022 mencapai 20,2% yang masih belum mencapai target Indonesia. Pada tahun 2021 menunjukkan prevalensi stunting di Kota Tasikmalaya, tempat Puskesmas Purbaratu berada, mencapai 28%. Jumlah stunting di wilayah kerja UPTD Puskesmas Purbaratu dari hasil BPB tahun 2023 yaitu sebesar 195 balita. Angka ini menunjukkan bahwa permasalahan harus segera ditangani. Puskesmas Purbaratu berupaya mengimplementasikan sistem deteksi dini stunting yang terintegrasi dengan rekomendasi pola hidup sehat untuk mengurangi angka stunting. Tujuan dilaksanakan pengabdian masyarakat ini untuk meningkatkan kesadaran dan pengetahuan ibu/keluarga mengenai upaya deteksi dini stunting yang terintegrasi dengan rekomendasi pola hidup sehat. Realisasi kegiatan dilakukan melalui lima tahapan, analisis situasi, pengembangan sistem dan sinkronisasi, pelatihan penerapan sistem, pendampingan dan evaluasi serta keberlanjutan program. Hasil dari implementasi sistem deteksi dini stunting yang terintegrasi dengan rekomendasi pola hidup sehat di Puskesmas Purbaratu menunjukkan dampak yang baik yaitu dengan pencatatan dilakukan oleh ibu/keluarga dan dibantu kader sehingga dapat memonitor asupan gizi balita dan terjadi perubahan setelah balita rawan stunting atau stunting mendapatkan PMT dan pemantauan asupan gizi selama 3 bulan. Hasil evaluasi, terlihat bahwa masih ada beberapa aspek yang perlu diperbaiki untuk mencapai hasil yang lebih optimal yaitu edukasi dan kolaborasi. Puskesmas Purbaratu berkomitmen untuk terus meningkatkan program ini dengan melibatkan lebih banyak stakeholder dan memperluas jangkauan edukasi tentang pola hidup sehat. Diharapkan upaya ini dapat berkontribusi pada penurunan prevalensi stunting yang khususnya di Tasikmalaya.