bluuebunny/crossref_metadata_2025 huggingface dataset:
Video microteaching ako inovatívna forma vzdelávania v pregraduálnej príprave
Authors:   Katedra školskej pedagogiky a psychológie, Vysoká škola DTI v Dubnici nad Váhom, Geršicová Zuzana , Kostelný Michal ,   Katedra školskej pedagogiky a psychológie, Vysoká škola DTI v Dubnici nad Váhom, Mačová Beáta ,   Katedra školskej pedagogiky a psychológie, Vysoká škola DTI v Dubnici nad Váhom, Masáriková Martina ,   Katedra školskej pedagogiky a psychológie, Vysoká škola DTI v Dubnici nad Váhom
Published: January 2024

Digitization together with modern digital technologies affects every human sphere, including education, where teaching in a virtual environment is already a common phenomenon. Recently, video microteaching has been in the spotlight, the establishment of which in undergraduate training can contribute to the development of personal and professional competences in an suitable way, because the student does not perceive the teacher as a mentor, but also as a coach. The goal of introducing this innovative method into the educational process is the experiential acquisition of new knowledge with a focus on stimulating internal motivation and soft skills, also using digital skills in the teaching profession. In this article, we focus on professional online workshops through which we try to find a continuum of professional education opportunities for future teachers and adapt undergraduate training to this new phenomenon, which offers a potential space for more active use of innovations directly in real practice.
Barreras a la implementación de las TIC para apoyar a los estudiantes universitarios con discapacidad
Authors: Fernández-Cerero José , Román-Graván Pedro
Published: January 2024

Este artículo proporciona una revisión bibliométrica de las publicaciones científicas que tienen un impacto de las Tecnologías Educativas (TIC) y los estudiantes con discapacidad en la Educación Superior. Se han analizado publicaciones extraídas de diferentes bases de datos científicas internacionales: Web of Science (WoS), SCOPUS, ERIC y Google Scholar, y comprendidas entre enero de 2012 y diciembre de 2022. La muestra final consistió en un total de 19 manuscritos seleccionados. Se ha empleado un enfoque descriptivo y cuantitativo para exponer los datos bibliométricos más relevantes. Los resultados del estudio resaltan las limitadas investigaciones y estudios que existen sobre el tema seleccionado. De acuerdo con las investigaciones, la carencia de capacitación en habilidades digitales por parte del profesorado universitario se identifica como una de las principales limitaciones para la incorporación efectiva de las Tecnologías educativas con estudiantes con discapacidad.
Romani Peoples’ Resistance to Mainstream Schooling: A Focus on Romani Woman and Girls’ Education and the Educational Policies, Barriers, and Practices in Greece
Authors: Macris Vicki
Published: January 2024

The Romani (or Roma) people are, perhaps, the oldest and most discriminated against ethnic minority group in Eastern Europe. In particular, Romani women and girls have been described by the UN Women, United Nations Development Program (UNDP), and Office of High Commission of Human Rights (OHCHR) as “one of the most disempowered groups in Europe.” This paper provides an exploratory investigation of Romani women’s and girls’ lack of educational attainment as it looks at some of policy barriers, practices and the nature of Roma peoples’ reluctance to participate in mainstream public schooling in Greek society. There is an urgent need for effective and focused policies that take into account social inclusion, equality, and non-discrimination of Romani women and girls. However, Romani women are ultimately silenced by the continued lack of quantitative and qualitative data, research and statistics, making them Europe’s most invisible minority.
Threat Detection System
Authors: Bhandare Prof. Mrs.H.N
Published: January 2024

This research paper is about to control the engine valves of an one cylinder 4-stroke engine with a computer controlled electromagnetic actuator. There are many possibilities in electromagnetic devices. We chose a push solenoid to actuate the engine valve. For controlling the solenoid, we chose a user interface with control options. The user interface communicates serially with a microprocessor. The microprocessor monitors and reports the engine’s performance and control the opening/closing of the engine valves. The ultimate goal is improved efficiency, decrease pollutants, and produce maximum power throughout the RPM range with a camless engine. Key Words: Behavior Analysis, Signature- Based Detection, Intrusion Prevention, Log Analysis.
The Consequence of Fake Analyses on E-Commerce During and After Covid-19 Epidemic: SKL-Based Fake Analyses and Recognition
Authors:   R. B. GOTHI JAIN COLLEGE FOR WOMEN, C RAJALAKSHMI. , J USHA ,   R. B. GOTHI JAIN COLLEGE FOR WOMEN
Published: January 2024

The epidemic of Covid-19 and the prosecution of lockdown, public isolation, and other defensive procedures lead to a global intensification in online shopping. The growing consequence of online shopping and widespread use of e-commerce has improved race among companies for online marketing. Highpoints that online evaluations show a important role in enhancing a business or smearing it. Product review is a vital feature in customers’ decision-making, foremost to an powerful subject known as duplicitous or fake reviews recognition. Given these analyses’ influence over a business, the traitorous acts of giving false analyses for individual improvements have enlarged with time. In our research, we proposed a fake review recognition model by using Text Sorting and techniques related to Machine Learning. We used classifiers such as Support K-Nearest Neighbor, logistic regression (SKL), and Vector Machine using a bigram model that detects duplicitous reviews based on the number of pronouns, sentiments, and verbs. Our future methodology for detecting fake online reviews outperforms on the squeal dataset and the TripAdvisor dataset compared to other state-of-the-art techniques with 95% and 89.03% accuracy.
Alzheimer’s Detection using Machine Learning and Deep Learning: A Literature Survey
Authors:   Department of Computer Engineering VES Institute of Technology Mumbai, India, Solanke Prof. Mrs. Prerna
Published: January 2024

Abstract—This literature survey investigates recent advance- ments in Alzheimer’s disease (AD) detection through the lens of machine learning and deep learning methodologies. The survey explores a variety of research papers, each offering unique perspectives on early diagnosis and classification. Deep learn- ing architectures, particularly Convolutional Neural Networks (CNNs), emerge as highly successful in AD detection. Innovative approaches include the use of smartphone accelerometers for disease stage prediction, displacement field estimation as AD- related features, and the integration of machine learning with electronic health records for practical clinical applications. While these advancements showcase significant progress, challenges such as dataset dependency, model interpretability, and ethical considerations persist. Future research directions point towards multimodal data integration, enhancing model interpretability, and addressing ethical aspects for more robust and transparent AD detection models. Index Terms—Alzheimer’s, machine learning, deep learning, CNN, early detection, multimodal data, interpretability, ethical considerations
Pengaruh Kompetensi Dan Budaya Kerja Terhadap Kepuasan Kerja Dan Implikasinya Terhadap Kinerja Aparatur Sipil Negara Dinas Kesehatan Kabupaten Tolikara
Authors: Rahmi  , Syafei M. Nur Imran
Published: January 2024

Pegawai pada sebuah organisasi pemerintah, dituntut untuk dapat memberikan pelayanan terbaik atau pelayanan prima sesuai dengan fungsi organisasinya. Kualitas pelayanan pegawai yang ditunjuk melalui kinerjanya dapat diukur melalui penilaian yang didasarkan pada kemampuannya, untuk menjabarkan uraian tugas (job description) ke dalam perilaku pelayanan kepada masyarakat dengan baik dan memuaskan sesuai standar pelayanan. Penelitian ini bertujuan untuk menguji dan memberikan bukti empiris mengenai pengaruh kompetensi pegawai dan budaya kerja terhadap kinerja aparatur sipil negara dengan kepuasan kerja sebagai variabel mediasi. Penelitian ini menggunakan metode penelitian asosiatif dengan pendekatan kuantitatif bertujuan untuk mengetahui hubungan atau pengaruh dua variabel atau lebih. Sampel dalam penelitian ini adalah 161 orang aparatur sipil negara pada Dinas Kesehatan Kabupaten Tolikara. Metode analisis data menggunakan metode Path Analysis dengan software smartPLS. Hasil pengujian menunjukkan bahwa: 1) Kompetensi pegawai berpengaruh tidak signifikan terhadap Kinerja Aparatur Sipil Negara, 2) Kompetensi pegawai  berpengaruh tidak signifikan terhadap kepuasan kerja, 3) Budaya kerja berpengaruh signifikan terhadap kinerja aparatur sipil negara, 4) Budaya kerja berpengaruh signifikan terhadap kepuasan kerja, 5) Kepuasan kerja berpengaruh signifikan terhadap kinerja aparatur sipil negara, 6) Kepuasan kerja tidak memediasi pengaruh kompetensi pegawai dan budaya kerja terhadap kinerja aparatur sipil negara pada Dinas Kesehatan Kabupaten Tolikara.
อิทธิพลของภาวะผู้นำการเปลี่ยนแปลง ทุนทางจิตวิทยา และการเสริมสร้างพลังอำนาจทางจิตวิทยา ที่มีต่อพฤติกรรมการทำงานเชิงนวัตกรรมของพนักงาน
Authors: สว่างโลก รวินท์นิภา , ทวีไพบูลย์วงษ์ จุฑามาศ
Published: January 2024

การวิจัยนี้เป็นการวิจัยเชิงปริมาณโดยมีวัตถุประสงค์เพื่อศึกษาอิทธิพลของภาวะผู้นำการเปลี่ยนแปลง ทุนทางจิตวิทยา และการเสริมสร้างพลังอำนาจทางจิตวิทยา ที่มีต่อพฤติกรรมการทำงานเชิงนวัตกรรม ประชากรที่ใช้ในการศึกษาได้แก่พนักงานทุกระดับในบริษัทแห่งหนึ่งในอุตสาหกรรมปิโตรเคมี นิคมอุตสาหกรรมมาบตาพุด จังหวัดระยอง ทำการรวบรวมข้อมูลโดยใช้แบบสอบถามจากกลุ่มตัวอย่างจำนวน 342 คน โดยใช้การสุ่มตัวอย่างอย่างง่ายโดยการจับฉลาก สถิติที่ใช้ในการวิเคราะห์ข้อมูล ได้แก่ ค่าความถี่ ค่าร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน ค่าความเบ้ ค่าความโด่ง ค่าสัมประสิทธิ์สหสัมพันธ์ และการวิเคราะห์โมเดลสมการโครงสร้าง ผลการศึกษาพบว่าโมเดลมีความสอดคล้องกับข้อมูลเชิงประจักษ์ มีค่า CMIN/DF= 1.985, GFI= 0.935, AGFI= 0.907, CFI=0.980, RMSEA= 0.054, RMR= 0.012, NFI= 0.960 โดยภาวะผู้นำการเปลี่ยนแปลงและการเสริมสร้างพลังอำนาจทางจิตวิทยาส่งผลในทางบวกต่อพฤติกรรมการทำงานเชิงนวัตกรรม และทุนทางจิตวิทยาส่งผลในทางบวกต่อการเสริมสร้างพลังอำนาจทางจิตวิทยาเช่นกัน โดยตัวแปรในโมเดลสามารถอธิบายความแปรปรวนของพฤติกรรมการทำงานเชิงนวัตกรรมของพนักงานได้ร้อยละ 60.8
Hubungan Karakteristik Pasien Terhadap Kepatuhan Penggunaan Antidiabetes Oral di Posyandu Lansia Desa Paulan Colomadu Karanganyar
Authors: Cindy Granada , Hartono H
Published: January 2024

Diabates Melitus merupakan penyakit dengan gangguan metabolik yang populasinya terus bertambah setiap tahunnya. Kepatuhan merupakan perubahan perilaku sesuai perintah yang di berikan. Tingkat kepatuhan yang rendah dan mempengaruhi terhadap keberhasilan terapi yang dijalankan. Penelitian ini dilakukan untuk mengetahui ada tidaknya hubungan antara karakteristik pasien dengan kepatuhan dalam mengkonsumsi obat antidiabetes oral pada penderita diabetes melitus tipe-2. Penelitian dilakukan di Posyandu Lansia Desa Paulan Colomadu Karanganyar bulan Desember 2022. Jenis penilitian yang digunakan adalah analitik cross-sectional, yaitu secara langsung mengumpulkan variabel terkait bebas sekaligus. Instrumen pengumpul data menggunakan Kuesioner Medication Adherence Report Scale (MARS-5). Analisa data yang dilakukan menggunakan SPSS versi 26 dengan analisis uji chi-square signifikansi 95% (a = 0,05). Pasien di Posyandu Lansia Desa Paulan Colomadu berusia 45-59 tahun 49,1%, berusia >60 tahun 50,9%, perempuan 78,9%, laki-laki 21,1%, pendidikan ? SMA 73,7%, >SMA 26,3%, tidak bekerja 57,9%, bekerja 42,1%,  lama menderita <1 tahun 21,1%, ?1 tahun 78,9%, pasien tanpa penyakit lain 63,2%, dengan penyakit lain 36,8%. Pasien mengkonsumsi obat tunggal 61,4% dan obat kombinasi 38,6%. Pengobatan pasien tanpa motivasi keluarga 86%, dengan motivasi keluarga 14%.  Hasil dari penelitian membuktikan bahwa 52,63% pasien lansia patuh dalam penggunaan obat antidiabates oral dan 47,37% pasien tidak patuh dalam penggunaan obat. Uji chi-square dengan signifikansi 95% menujukkan tidak terdapat hubungan antara jenis kelamin, pekerjaan, penyakit lain yang diderita dan motivasi terhadap kepatuhan penggunaan antidiabetes oral namun terdapat hubungan antara usia, pendidikan, lama menderita diabetes melitus, dan jumlah obat yang dikonsumsi terhadap kepatuhan penggunaan antidiabetes oral.
Evaluasi Mutu Pelayanan Apotek Dalam Pelayanan Kefarmasian Apotek Riyad di Surakarta Periode Desember 2022
Authors: Safitri Yuli , Anggraini Truly Dian
Published: January 2024

Menurut Peraturan Menteri Kesehatan Republik Indonesia Nomor 73 Tahun 2016, mutu pelayanan kefarmasian di apotek dapat terjamin melalui penggunaan standar pelayanan kefarmasian. Layanan farmasi yang berkualitas memiliki pengaruh sejauh pelanggan puas dan tidak adanya keluhan terhadap pelayanan yang diberikan di apotek. Permasalahan yang muncul di Apotek Riyad selama bulan Januari hingga September 2022 diantaranya kurang ramahnya petugas apotek dalam melayani pengunjung, pelayanan obat dengan resep yang membutuhkan waktu lama serta stok obat terbatas. Menggunakan kuesioner Indeks Kepuasan Masyarakat (IKM), penelitian ini bertujuan untuk mengukur kepuasan pelayanan apotek dilihat dari aspek ketanggapan, keandalan, jaminan, empati, dan bukti nyata kualitas pelayanan farmasi di Apotek Riyad Surakarta. Kualitas pelayanan kefarmasian yang ditawarkan oleh Apotek Riyad Surakarta dievaluasi dan hasilnya dideskripsikan dengan menggunakan metode penelitian deskriptif. Purposive sampling digunakan untuk memilih 210 pengguna layanan farmasi untuk penelitian ini. Skor Indeks Kepuasan Masyarakat (IKM) di Apotek Riyad Surakarta adalah 78 dengan kualitas pelayanan B termasuk kinerja pelayanan baik, menurut kajian kualitas pelayanan kefarmasian.
Pengaruh Perbedaan Perasan Dan Ekstrak Kulit Pisang Mas (Musa Acuminata Colla) Terhadap Kadar Vitamin C Dengan Metode Spektrofotometri Uv- Vis
Authors: Andriana Azizah Huda , Susanti Maria Mita
Published: January 2024

Pisang merupakan salah satu jenis tanaman yang melimpah di Indonesia, namun pemanfaatan limbah kulitnya belum dilakukan secara optimal. Kulit pisang mas (Musa acuminata Colla) mengandung vitamin C. Pengolahan kulit pisang mas perlu diperhatikan karena vitamin C mudah  teroksidasi oleh panas, cahaya dan logam. Penelitian ini bertujuan untuk mengetahui pengaruh filtrat dan ekstrak kulit pisang mas terhadap kadar vitamin C.Jenis penelitian ini adalah eksperimental. Variabel bebas yaitu filtrat dan ekstrak kulit pisang mas dengan variabel terikat yaitu organoleptis kadar vitamin C pada filtrat dan ekstrak kulit pisang mas. Pengujian dilakukan secara kualititatif  dengan  reagen  Benedict,  FeSO4 &  NaOH  serta  secara kuantitatif  menggunakan  spektrofotometri  UV-Vis  dengan  panjang  gelombang 265  nm.  Hasil pengukuran kadar vitamin C dianalisis menggunakan SPSS dengan uji Independent T-Tes. Hasil uji kualitatif menunjukkan pada filtrat dan ekstrak kulit pisang mas positif mengandung vitamin C. Kadar vitamin C pada filtrat 0,1538918% b/b  (153,892 mg/ 100 g) sedangkan pada ekstrak sebesar 0,1065812 % b/b (106,581 mg/ 100 g). Berdasarkan hasil Analisa filtrat kulit pisang mas dan ekstrak kulit pisang mas berpengaruh terhadap kadar Vitamin C dengan nilai p < 0,05.
Evaluasi Perencanaan Obat Generik Dengan Metode ABC Di Apotek Anugrah Abadi Surakarta
Authors: Putri Puji Wahyu Arista , Wahyuningsih Sri Saptuti , Endrawati Susi , Rejeki Sri
Published: January 2024

Apotek Anugrah Abadi merupakan apotek yang mempunyai pasien yang banyak dan mempunyai obat yang cukup lengkap. Apotek masih sering mengalami kekosongan obat sehingga menggangu pelayanan kepada pasien. Hal ini perlu dilakukan evaluasi dalam hal perencanaan obat yaitu salah satunya melalui metode ABC. Penelitian dilakukan untuk mengetahui pengelompokan obat generik berdasarkan analisis ABC dan mengetahui total anggaran dana obat generik untuk pengadaan persediaan di Apotek Anugrah Abadi Surakarta selama periode Juli-Desember 2022. Penelitian ini masuk kategori penelitian non eksperimental. Analisis data kuantitatif dilakukan secara deskriptif. Pengambilan data secara retrospektif dengan mengambil data konsumsi obat generik yang terjual pada periode Juli-Desember 2022. Data diolah menggunakan Microsoft Excel 2007 dan dilakukan pengelompokan A, B, C serta dihitung total anggaran perencanaan. Hasil penelitian menunjukkan bahwa 112 macam item obat generik, kelompok A sebanyak 27 item dengan jumlah pemakaian 206.798 tab/flas/tube dan anggaran Rp. 141.959.700 (70%), kelompok B sebanyak 32 item dengan jumlah pemakaian 54.400 tab/flas/tube dan anggaran Rp. 40.654.300 (20%), kelompok C sebanyak 53 item dengan jumlah pemakaian 25.794 tab/flas/tube dan anggaran Rp. 18.195.400 (10%). Kesimpulan obat kelompok A menunjukkan jumlah pemakaian terbanyak. Penyerapan anggaran juga menunjukkan jumlah paling besar sehingga perlu melakukan pengedalian secara teratur.
Isolasi dan Identifikasi Jamur Penyebab Onikomikosis pada Petani di Kabupaten Sukoharjo Jawa Tengah
Authors: Prabandari Anggraeni Sih , Pramonodjati Fredericus , Sari Ajeng Novita , Cahyaningtias Agatha Dinda Ayu
Published: January 2024

Petani rentan terinfeksi dermatofita karena kesehariannya kontak dengan tanah yang merupakan habitat kapang. Onikomikosis (tinea unguium) merupakan penyakit kuku tangan dan kuku kaki akibat dermatofita. Meskipun tidak menyebabkan kematian, namun penyakit ini dapat menurunkan produktivitas penderitanya. Personal hygiene, penggunaan alat pelindung diri dan lama menjadi petani, erat hubungannya dengan kejadian Onikomikosis. Penelitian ini bertujuan untuk mengetahui spesies kapang penyebab onikomikosis. Jenis penelitian adalah deskriptif dengan pendekatan cross sectional. Responden penelitian berjumlah 24 orang petani padi di Desa Mayang Kecamatan Gatak Kabupaten Sukoharjo. Data dalam penelitian ini diperoleh dari wawancara, observasi dan pemeriksaan kuku. Onikomikosis dilihat berdasarkan perubahan struktur dan warna pada kuku tangan dan kuku kaki. Kuku yang terinfeksi diambil dan diperiksa secara mikroskopis. Spesimen selanjutnya dikultur pada media Saboraoud Dextrose Agar (SDA). Koloni yang tumbuh diidentifikasi secara makroskopis dengan melihat morfologi dan ciri koloni serta diperiksa secara mikroskopis dengan pewarnaan Lactophenol Cotton Blue (LCBP). Hasil penelitian ditemukan dua jenis jamur dermatofita dan non dermatofita. Infeksi onikomikosis didominasi oleh jamur dermatofita dengan prevalensi sebesar 63% (15/24), sedangkan tingkat infeksi jamur non dermatofita sebesar 37% (9/24). Spesies dermatofita yang menginfeksi yaitu Trichopyton rubrum (33%) dan Trichopyton mentagophytes (29%). Sedangkan jamur non dermatofita yang ditemukan yaitu Aspergilus fumigatus (17%) dan Aspergilus niger (21%).
Daya Analgetik Dekokta Daun Meniran (Phyllanthus niruri L) Pada Mencit Dengan Induksi Asam Asetat
Authors: Hastuti Siwi
Published: January 2024

Nyeri merupakan respon dari banyak penyakit dan terjadi bersama atau bersamaan dengan beberapa pemeriksaan klinik. Nyeri terjadi saat ada gangguan hemostasis tubuh, sehingga tubuh mengeluarkan mediator pemicu nyeri. Penelitian tentang tanaman meniran (Phyllanthus niruri L untuk aktivitas analgetik sudah pernah dilaporkan, namun pada sediaan dekokta belum pernah dilaporkan. Penelitian ini bertujuan untuk menganalisis daya analgetik dekokta herba meniran pada mencit dengan metode rangsang kimia asam asetat 1%. Metode penyarian sediaan uji menggunakan metode dekoktasi dengan kadar dekokta yang dibuat 15%, 30% dan 60%.  Mencit yang digunakan adalah mencit jantan galur Swiss. Uji aktivitas farmakologi dengan membuat lima kelompok uji yaitu uji kontrol negatif, kontrol positif, uji sediaan 15%, uji sediaan 30% dan uji sediaan 60%. Parasetamol sebagai kontrol positif dengan dosis 65 mg/kgBB. Pengamatan berupa jumlah geliat mencit yang kemudian digunakan untuk menghitung persentase daya analgetik. Teknik analisis data menggunakan metode ANOVA dengan taraf kepercayaan 95%. Dekokta herba meniran memiliki aktivitas daya analgetik pada mencit berturut-turut pada dosis 15%, 30% dan 60% adalah (27,96±0,67) %, (34,74±1,28) % dan (38,55±0,66) % sedangkan pada parasetamol 65 mg/kgBB adalah (42,79±0,94)%.  Analisis  secara statistik dengan ANOVA memperlihatkan bahwa persentase daya analgetik ada beda yang signifikan untuk antar perlakuan sediaan uji. Dekokta herba meniran mempunyai potensi yang dapat dikembangkan sebagai obat bahan alam untuk analgetik.
НЕКОТОРЫЕРЕЗУЛЬТАТЫ КЛИНИЧЕСКОГО ПРИМЕНЕНИЯVII Р ЕК ОМБИНАНТНОГО АКТИВИРОВАННОГО ФАКТОРА В КОМПЛЕКСЕ ИНТЕНСИВНОЙ ТЕРАПИИ МАССИВНОЙ АКУШЕРСКОЙ КРОВОПОТЕРИ
Authors: Заварзин П.Ж.
Published: January 2024

Цель исследования: изучение клинической эффективности применения rFVIIa с целью остановки неконтролируемого ПРК, а также частоты развития ВТЭО вследствие применения rFVIIa для остановки ПРК, сопровождавшихся массивной кровопотерей и геморрагическим шоком. Материл и методы: для решения поставленной задачи проведен ретроспективный анализ применения rFVIIa у 234 родильниц. rFVIIa оказывает быстрый гемостатический эффект при локальном неконтролируемом раннем послеродовом кровотечении.При неконтролируемом кровотечении целесообразно раннее применение rFVIIa в дозе 90-110мкг/кг, что приводит к уменьшению объема кровопотери, уменьшению потребности в трансфузии эритроцит-содержащих сред и свежезамороженной плазмы, а также к снижению частоты трансфузионных осложнений, предотвращает развитие развернутого синдрома полиорганной недостаточности и обеспечивает сокращение сроков пребывания в реанимационном стационаре.При РПК раннее применение rFVIIa позволяет сократить количество операций по остановке кровотечений, в том числе – гистерэктомий.В результате проведенного исследования развитие клинически значимых ВТЭО не выявлено, что говорит о высокой безопасности раннего применения rFVIIa при неконтролируемых акушерских кровотечениях
ОСОБЕННОСТИ ТЕЧЕНИЯ СЕПТИЧЕСКОГО ШОКА У БОЛЬНЫХ С ОСТРЫМ ЛЕЙКОЗОМ
Authors: Хугаева И.А. , Слепушкин В.Д.
Published: January 2024

Цель исследования. Выявить основной компонент нарушения гемодинамики при возникновении септического шока у больных с острым лейкозом. Материал и методы. Обследовано 26 больных с острым миелоидным лейкозом в возрасте 38-48 лет, из них лиц мужского пола – 16, женского пола – 10. Диагноз септического шока устанавливался на основании снижения артериального давлении (систолического, диастолического, среднего), повышения температуры, лабораторных показателей: уровня пресепсина, прокальцитонина, ЦРБ. У больных миелоидным лейкозом снижается чувствительность альфа1-адренорецепторов за счет их блокады продуктами деградации бластных форм нейтрофилов, что диктует необходимость с целью коррекции АД назначать инфузии НА. Увеличение АД сист выше 120 мм рт.ст. приводит к развитию тканевой гипоксии
ОСТРОЕ ПОЧЕЧНОЕ ПОВРЕЖДЕНИЕ И ЗАМЕСТИТЕЛЬНАЯ ПОЧЕЧНАЯ ТЕРАПИЯ ПРИ РАБДОМИОЛИЗЕ. ДИНАМИКА ПОКАЗАТЕЛЕЙ ТКАНЕВОГО ПОВРЕЖДЕНИЯ
Authors: Зыков В.А. , Каминский М.Ю. , Кострюков В.К. , Миронова И.А. , Димидова Т.В. , Чередников А.А.Г.А.Ю. , Горбанев Н.А.
Published: January 2024

Рабдомиолиз характеризуется повреждением миоцита поперечно-полосатой мускулатуры с лизисом наружной клеточной мембраны с выходом целлюлярного содержимого (миоглобин, пурины, калий, фосфор, энзимы) в кровь. Цель: оценка показателей тканевого повреждения при диализно-фильтрационной терапии пациентов рабдомиолизом, с острым почечным повреждением. Наблюдение подтверждает приоритетность продленных и продолжительных методов диализно-фильтрационной терапии при рабдомиолизе, позволяя добиться лучших клинических результатов и сопровождающихся снижения уровня КФК и ЛДГ
КРИТИЧЕСКИЕ ИНЦИДЕНТЫ В АМБУЛАТОРНОЙ СТОМАТОЛОГИЧЕСКОЙ АНЕСТЕЗИОЛОГИИ. КАК СНИЗИТЬ ИХ КОЛИЧЕСТВО
Authors: Короева М.О. , Тобоев Г.В. , Слепушкин В.Д.
Published: January 2024

Цель исследования: определить структуру критических инцидентов (КИ) во время проведения анестезиологических пособий в стоматологической амбулаторной хирургии и определить направления по их снижению. Материал и методы. Обследовано 68 пациентов, которым в амбулаторных условиях проводили импланталогические оперативные вмешательства. Проведенный медицинский аудит с использованием изучения частоты возникновения критических инцидентов при проведении хирургических вмешательств в челюстно-лицевой области с использованием общей анестезии в амбулаторных условиях говорит, что для обеспечения безопасности больного необходим расширенный мониторинг с оценкой глубины наркоза (БИС-мониторирование), капнографией, применением ларингеальной маски и использованием в качестве гипнотика дексмедетомидина
ОКСИГЕНАЦИЯ И АДЕКВАТНОЕ ПЕРИОПЕРАЦИОННОЕ ОБЕЗБОЛИВАНИЕ. КАКАЯ ВЗАИМОСВЯЗЬ?
Authors: Дзеранов В.З. , Слепушкин В.Д.
Published: January 2024

Цель исследований. Выявить возможную взаимосвязь между оксигенацией тканей и адекватным обезболиванием у хирургических пациентов в интра-и послеоперационном периодах. Материал и методы. Проведено обследование у 48 пациентов, которым выполнялись оперативные вмешательства на органах брюшной полости (резекции желудка, правых отделов кишечника, панкреатодуоденальная резекция). Показано, что при развитии тканевой гипоксии требуется повышение ноцицептивной защиты путем дополнительного назначения опиоидов, что говорит о снижении чувствительности мю-опиатных рецепторов. И, наоборот, при увеличении экстракции кислорода тканями за счет повышения чувствительности мю-опиатных рецепторов требуется меньшее количество опиоидов для достижения полноценного эффекта
ОСТРЫЙ ДЕМИЕЛИНИЗИРУЮЩИЙ СИНДРОМ. КЛИНИКО-ЛАБОРАТОРНЫЕ ОСОБЕННОСТИ
Authors: Городник Г.А. , Джоджуа Т.В. , Джоджуа А.Г.
Published: January 2024

Осмотический демиелинизирующий синдром – тяжелое осложнение, возникающее при быстрой коррекции гипонатриемии. Цель работы. Оптимизация диагностического и лечебного алгоритма клинических вариантов течения осмотического демиелинизирующего синдрома на основании сопоставления собственных наблюдений с данными литературы. Следует обратить внимание на рост заболеваемости данной нозологии – только на базе двух клинических учреждений за 2 последних года было выявлено три случая осмотической демиелинизации, что не может не навести на мысль о серьезной необходимости строгого соблюдения стандартов коррекции витаминов и дисэлектролитных нарушений
СПОСОБ УСТРАНЕНИЯ ДЫХАТЕЛЬНОЙ НЕДОСТАТОЧНОСТИ В СТРАТЕГИИ ПОСТКОВИДНОЙ РЕАБИЛИТАЦИИ
Authors: Микутин А.В. , Стаканов А.В. , Колодяжный Е.И. , Микутин О.В. , Панов Д.А.
Published: January 2024

Цель работы улучшить результаты лечения пациентов с кислородной зависимостью после перенесенной тяжёлой формы коронавирусной инфекции.Материалы и методы. Клинические наблюдения включают 12 пациентов с диагнозом: Коронавирусная инфекция COVID-19. Двусторонняя полисегментарная пневмония КТ-4. Крайне тяжёлая степень тяжести. ОРДС. ДН 3. Применение природного легочного сурфактанта предлагаемым способом купирования дыхательной недостаточности по сравнению с известными имеет ряд существенных преимуществ, а именно, позволяет: повысить выживаемость больных, значительно сократить время дыхательной реабилитации и соответственно нахождения в стационаре; снизить риск присоединения назокомиальной инфекции, избежать дополнительных материальных затрат на лечение инфекции дорогостоящими антимикробными препаратами
АНАЛИЗ ВОЗМОЖНОСТИ ПРИМЕНЕНИЯ РЯДА БИОХИМИЧЕСКИХ МАРКЕРОВ ДЛЯ ОЦЕНКИ ВОЛЕМИЧЕСКОГО СТАТУСА БОЛЬНЫХ ПРИ РАЗЛИЧНЫХ ПАТОЛОГИЯХ
Authors: Гарань Д.Н. , Лебедева Е.А.
Published: January 2024

Тщательная оценка волемического статуса даёт четкое представление о наличии водной перегрузки или недостаточности сосудистого объема, а, следовательно, является основным показанием для назначения инфузионной терапии пациентам в острых состояниях. Использование биохимических маркеров крови в совокупности с методами визуализации дает возможность для проведения своевременной диагностики. Цель исследования. Проанализировать особенности и диагностическое значение применения специфических биохимических маркеров (NT-proBNP, прокальцитонин, лактат) для оценки волемического статуса в интенсивной терапии гипо- и гиперволемических состояний. Биохимические маркеры - мозговой натрийуретический гормон и лактат - могут быть использованы для оценки нарушений волемического статуса при ряде патологий, однако их использование без визуализации и инвазивных методов оценки гемодинамики снижает их эффективность. Однако требуются дополнительные исследования, уточняющие широту применения указанных маркеров при различных патологиях
АНАЛИЗ РЕЗУЛЬТАТОВ ТРОМБОЛИТИЧЕСКОЙ ТЕРАПИИ ПРИ ОСТРОМ ИНФАРКТЕ МИОКАРДА В ЦИМЛЯНСКОМ РАЙОНЕ
Authors: Писаренко Г.И. , Кутаранова Т.Н. , Химин С.С.
Published: January 2024

Заболеваемость и смертность от сердечно-сосудистой патологии занимает одно из первых позиций среди патологий. Оказание специализированной помощи в районных больницах позволяет сократить время доступа медицинской помощи больным. Цель исследования: Проанализировать влияние ранней тромболитической терапии на восстановление пациентов после перенесенного острого инфаркта миокарда и инвалидизацию. Анализ данных больных острым инфарктом миокарда (ОИМ) с подъемом сегмента ST в срок до 6 часов, которым выполнялся тромболизис фортелизином показал эффективность проводимой тромболитической терапии, заключающейся снижением летальности, инвалидизации
ПРАКТИЧЕСКИЕ АСПЕКТЫ ТЯЖЕЛОЙ ПРЕЭКЛАМПСИИ В ПЕРИНАТАЛЬНОМ ЦЕНТРЕ 3 УРОВНЯ. РАЗБОР КЛИНИЧЕСКИХ СЛУЧАЕВ
Authors: Джоджуа Т.В. , Рынкова Я.В.
Published: January 2024

Открытие молекулярных механизмов в формировании полиорганных нарушений позволяет по-новому взглянуть на патогенез преэклампсии - грозного осложнения беременности и приблизиться к решению проблемы диагностики, профилактики и лечения. Цель нашей работы заключалась в снижении риска развития синдрома полиорганных нарушений у беременных с преэкламсией путем своевременной диагностики ее «атипичных» форм. Преэклампсия и HELLP-синдром являются специфическими, ассоциированными с беременностью, формами тромботической микроангиопатии. Всем пациенткам, госпитализированным с диагнозом преэклампсия и/или HELLP-синдром, необходимо до родоразрешения исследовать лабораторные маркеры тромботической микроангиопатии, а также определять уровень креатинина сыворотки. Акушерский аГУС – сложный диагноз, и для его постановки и выработки тактики лечения необходима содружественная работа акушеров-гинекологов, анестезиологов-реаниматологов, нефрологов, гематологов
РЕЖИМ АНТИБИОТИКОТЕРАПИИ В МЕДИКАМЕНТОЗНОМ И ХИРУРГИЧЕСКОМ ЛЕЧЕНИИ НЕКРОТИЧЕСКОГО ЭНТЕРОКОЛИТА. СТАТИСТИЧЕСКИЙ ОБЗОР
Authors: Чорноус Д.В. , Борисова Я.В.
Published: January 2024

Проведен анализ пяти исследований с участием 375 младенцев. Антибиотикотерапия НЭК эмпирически охватывает анаэробные и грамотрицательные бактерии. Определено четыре основных схемы антибиотикотерапии, три из которых с комбинацией ампициллин + гентамицин (или аналог) с добавлением 1) клиндамицина 2) метронидазола или 3) энтерального введения гентамицина. В одном исследовании применяли цефотаксим + ванкомицин. Наиболее распространенным описанным режимом является внутривенное введение ампициллина и гентамицина в сочетании с метронидазолом в течение 10-14 дней. В нескольких обзорах были предприняты попытки резюмировать наиболее распространенные используемые комбинации лечения, но без сравнения их эффективности. Редкость и гетерогенность заболевания затрудняют или даже делают невозможным проведение клинических рандомизированных исследований для получения достоверных результатов. Не было найдено достаточных доказательств для каких-либо рекомендаций по выбору антибиотиков, пути введения или продолжительности лечения у детей раннего возраста, получавших лечение по поводу НЭК со II и III стадиями
Hepatic Steatosis is the Most Common Finding in Abdominal Ultrasonography Performed in Patients with Psoriasis before Biological Agent Treatment
Authors:   Gazi University School of Medicine Department of Dermatology, Ankara, Turkey, Tamer Funda , Atliya Osmanege ,   Gazi University School of Medicine Department of Dermatology, Ankara, Turkey, Polat Muhterem ,   Gazi University School of Medicine Department of Dermatology, Ankara, Turkey, Adisen Esra ,   Gazi University School of Medicine Department of Dermatology, Ankara, Turkey
Published: January 2024

Psoriasis has been associated with metabolic syndrome and nonalcoholic fatty liver disease. We wanted to investigate
the abdominal ultrasonography results of psoriasis patients before biological agent treatment. Between April 2019 and February
2022, abdominal ultrasonography results of psoriasis patients which were performed before biological agent treatment were
reviewed retrospectively. This study included 90 patients, 45 females, and 45 males with a mean age of 48.91±13.43 years. The
most common ultrasonography finding was increased echogenicity of the liver parenchyma due to steatosis (58.9%) which was
followed by an increase in liver size (25.6%), kidney cysts (17.8%), gallstones (8.9%) and increase in spleen size (7.8%). Hepatic
steatosis was more frequent in older patients (p 0.001), patients with diabetes (p=0.007), and patients who were previously
treated with biological agents (p=0.007). 70.4% of the patients with moderate or severe hepatic steatosis were female. Herein,
hepatic steatosis was detected in 53 (58.9%) patients. Nonalcoholic fatty liver disease which presents as hepatic steatosis in early
stages has an asymptomatic course and poor prognosis in psoriasis patients. We suggest that abdominal ultrasonography should
be performed in psoriasis patients before biological agent treatment, especially in females, patients with advanced age, patients
who were previously treated with biological agents, and patients with diabetes.
Layanan Informasi dalam Bentuk Edukasi dan Motivasi tentang Pengelolaan Sampah Berbasis 3R Di Kelurahan Pancuran Bambu Kota Sibolga
Authors: Pardede Nurhasanah , Dela Vitria Larseman , Asmaryadi Asmaryadi
Published: January 2024

Sampah rumah tangga menjadi sumber sampah yang mendominasi timbulan sampah di Indonesia. Besarnya persentase sampah rumah tangga merupakan sebuah masalah nyata tapi juga menjadi tantangan untuk menyelesaikan masalah tersebut. Oleh karena itu, perlu kesadaran semua pihak untuk melakukan upaya konkrit meningkatkan kesadaran dan pemahaman para ibu rumah tangga untuk mengatasi masalah sampah mengingat para ibu yang bersinggungan langsung dengan masalah tersebut. Masalah sampah ini juga ditemukan di Kelurahan Pancuran Bambu Kota Sibolga. Berdasarkan kondisi tersebut, tim pengabdi merancang kegiatan dalam bentuk layanan informasi dalam bentuk edukasi dan pemberian motivasi tentang pengelolan sampah berbasis 3R. Layanan tersebut menggunakan metode ceramah, tanya jawab, dan diskusi aktif yang meliputi tiga tahap yaitu tahap persiapan, pelaksanaan, dan evaluasi. Dengan layanan tersebut, ibu rumah tangga mampu memelihara lingkungan dan melakukan pengelolaan sampah dengan berbasis 3R (reduce, reuse, recycle).
România și Polonia sub lupa intersecționalității – o analiză comparativă transnațională a strategiilor naționale de securitate –
Authors:   Academia Forțelor Terestre „Nicolae Bălcescu”, Sibiu, MORARU Teodora-Ioana
Published: January 2024

The present study explores the role of intersectionality in defining the national security strategies of Romania and Poland through a constructivist
lens. The study utilizes document analysis to identify the degree to which intersectionality is incorporated into the national security approach. Although
both countries recognize the importance of intersectionality in national security, their strategies differ in terms of implementation and effectiveness. The study highlights the need for a more inclusive and diverse approach to national security, one that recognizes the complex nature of security threats.
Through this scientific article, the importance of critical understanding of national security is emphasized, one that transcends traditional state-centric
approaches and recognizes the role of non-state actors and transnational challenges in shaping security dynamics. The study can provide a valuable
insight for policymakers and practitioners seeking to promote inclusive and effective security policies and practices in a changing global landscape.
Comunicarea strategică în sprijinul integrării migranților în comunitățile-gazdă
Authors:   Universitatea Națională de Apărare „Carol I”, COJOCARU Iulia-Alexandra
Published: January 2024

International actors, both states and supra-state organizations, face certain challenges in managing the migration phenomenon. Among these challenges,
in the present paper, we have chosen to focus on those that may emerge following the relocation itself, starting from the premise that the way in which
the integration of migrants takes place within the host community is a decisive factor for the type of effects that can be generated in the security environment. The purpose of the article is to identify the means by which the migration management system can be improved, in order to support states, governments and authorities in their efforts to maintain public order and the state of peace. The analysis of the concept of strategic communication (StratCom) reveals aspects, dimensions, parameters and frameworks that indicate its relevance and usefulness in the smooth development of the process of social integration of emigrants, and the present study is aimed at identifying these characteristics as well as at modelling a StratCom framework that is generally applicable to any scenario, in support of governments, host communities and migrants alike. Finally, we will adapt the general working framework to a specific one, focused on the integration of Ukrainian migrants within the Romanian community, in the context of the Russia-Ukraine conflict near Romania’s borders, given the actual situation that needs to be managed by the Romanian state so that possible tensions between the two social groups can be avoided.
Aspecte privind planificarea acțiunilor de inducere în eroare la nivel operativ
Authors:   Universitatea Națională de Apărare „Carol I”, TOROI George-Ion , STANCIU Cristian-Octavian ,   Universitatea Națională de Apărare „Carol I”
Published: January 2024

Deception has long been an essential component of military operations. It can be considered a tactic as old as warfare, having been used since immemorial times. From Sun Tzu’s “Art of War” to the present days, military strategists have recognized its power to turn the tide of conflict. Although, over the years, the methods, means and techniques specific to it have continuously evolved, along with technological developments, its basic principle remains the same: portraying a false reality to the adversary that leads to the materialization of operational opportunities, by causing the adversary to adopt courses of action disadvantageous to him. As the battlefield has become increasingly complex, the ability to deceive the adversary has also become an increasingly important asset to the success of military operations. Today, in an era of instant and abundant information, deception has paradoxically become more difficult to achieve and more critical to operational success. The deceptive action of the Ukrainians at Kherson last September against the Russians once again demonstrated its importance on the modern battlefield. However, many military planners tend to overlook this key aspect of military strategy despite its importance. This oversight can lead to grave consequences in the modern battlefield, where the enemy’s ability to gather intelligence can hinder operational success. For this reason, the present paper is an analysis of how deception actions can be integrated into the operational planning process at the operational level in order to maximize the chances of their success and, consequently, the military operation success. The need for such a scientific approach arises from the complexity of the deception process, which places a special emphasis not only on the thoroughness in planning these actions but also on the need to integrate and synchronize them with other military actions.
Nevoia de adaptare a tacticilor navale la evoluția tehnologică – drone și platforme port-drone –
Authors:   Universitatea Națională de Apărare „Carol I”, SCIPANOV Lucian Valeriu , TOTIR Valentin Costinel ,   Universitatea Națională de Apărare „Carol I”
Published: January 2024

The creative genius and strategic vision of great commanders, influenced by technological advancements, have led to a continuous adaptation of naval tactics employed in independent or joint military actions throughout history. A significant period of time has passed during which it seemed that nothing had changed in the realm of tactics. The evolution of modern military operations, in the context of hybrid warfare, multidomain operations, and both conventional and special military actions, signals the need to reconsider the ways in which naval forces are involved in combat operations. The historical and evolutionary analysis of naval tactics suggests the necessity of conceptual adaptation to the demands of the operational environment and optimization of operational planning in light of technological developments. In this context, our concern
is to identify theoretical approaches to the utilization of modern platforms that respond to the need for projecting new vectors. To achieve it, our focus is directed towards exploring the opportunities for developing drone tactics, particularly in the maritime environment, as well as promoting the concept of drone-carrying platforms.
Implicațiile relațiilor sino-americane asupra ordinii mondiale – problematica Strâmtorii Taiwan –
Authors:   Universitatea Națională de Apărare „Carol I”, CĂLUGĂRU Ionuț-Iulian
Published: January 2024

This article aims to highlight, in a realist perspective, the importance of Sino-US relations and the diplomatic steps taken by the main global actors in the context of the military actions in Ukraine. In order to provide an authentic portrayal of the characteristics of the international security environment and, in particular, of the Asia-Pacific region, with a focus on the Taiwan issue, I have taken an overview of the situation in the region, with reference to recent history and the current context, while showing the implications of Sino-American relations over security and the role of the AUKUS and QUAD alliances in the politico-military sphere.
The current crisis on the international arena, triggered by the individual or joint actions of certain state actors, has political, economic and military aspects with serious repercussions for the whole community and affects global security to a degree that brings the military component to the fore. This “atrophy” is being addressed by a number of events taking place at different points around the globe, namely the war in Ukraine, the Asia-Pacific region and the Taiwan Strait, where the interests of major state actors are involved and are finding it difficult to reach a consensus.
„Orbirea mării”
Authors:   Forumul Securității Maritime, Clubul Amiralilor, LEARSCHI Sorin
Published: January 2024

The analysis of a country’s development areas requires a clear understanding, by decision-makers, of political, economic, social or environmental phenomena. By analysing the level of awareness and evolution of the policy and strategy of the maritime domain, correlated with their related elements, we can state that Romania has a much greater potential than the level and complexity of development at this date, and the awareness of the importance of the maritime domain should contribute substantially to its evolution. We appreciate that maritime security is a particularly important element in a country’s maritime policy and strategy.
In the following contextual analysis, with a view to providing the most appropriate decision support, we seek to examine the rise of maritime security in both conceptual and practical terms. We argue that the developments in the maritime arena have been analysed by various international forums, in security studies, and that a new national agenda for maritime security studies is needed. However, much remains to be studied in the future and a direction for further research should be provided. Thus, the approach taken through this article will contribute to the awareness of the fact that, in Romania, the importance of the maritime sector has declined greatly in the past three decades. The objective of our approach is to make national decision-makers aware of the importance of the maritime domain and, above all, of its contribution
to the development of the country. At the same time, we can appreciate that our approach can contribute to increasing the level of maritime education and awareness, as belonging to a maritime nation.
Analiza critică a discursului în era comunicării multimodale
Authors:   Statul Major al Apărării/Gândirea militară românească, LUPU Diana-Cristiana
Published: January 2024

The present paper is intended to develop a theory on the aspects that should be considered while meaning is made and conveyed, in the context of multimodal communication, emphasizing the way in which the discourse constructs and deconstructs versions of the social world. The term theory refers to a set of insights, a collection of categories, intended to provide a conceptual understanding of the self and the world, as well as a rational support for such understanding. The paper is therefore an inductive approach, specific to qualitative research. Considering that inductive reasoning entails the derivation of a general principle, a new insight or a theory from a body of systematically collected knowledge, the grounded theory is employed as the research method.
DIGITAL MINDSET in Education. Security Education
Authors:   US Department of State, General Consulate in Frankfurt, Germany, LOSEKAMM Andreea
Published: January 2024

Safety and the protection of freedoms constitute key challenges the education system is currently facing in the context of digitalization, challenges that require the promotion of a more elaborate definition of digital democracy correlated with concerns related to human rights, development inequality depending on access to education, responsibility and, last but not least, building consensus in highly diverse environments. Therefore, security as a fundamental value of democratic societies requires a reassessment in relation to the principles promoted by political institutions – inclusion, responsibility and transparency –, debatable against the background of political polarization and the emergence of new digital technologies. The present article is not intended to formulate a general theory on how the digitalization of education and democracy relate or are mutually exclusive. It deals with more or less contingent situations and raises additional – including empirical – questions about the role that digitalization in the education system can have for the state of democracy, regardless of the level of understanding. The intent is directed to the concrete mode in which digitalization can be beneficial or inadequate for democracy, contributing to a better understanding of the challenges. The reader can translate it into own environment, linking personal reading to specific democratic processes, including the level and type of digital activity.