bluuebunny/crossref_metadata_2025 huggingface dataset:
PENINGKATKAN PROSES DAN HASIL BELAJAR IPA MENGGUNAKAN MODEL NUMBER HEAD TOGETHER (THT) DI SEKOLAH DASAR
Authors: Wulandari Titis , Aprizan Aprizan , Wiyoko Tri
Published: November 2021

Natural Sciences is a collection of knowledge that is systematically arranged, which includes subjects that are closely related to the natural surroundings, directing the teacher to use the surrounding environment. The problem in this research is the low process and learning outcomes of IPA for fourth grade students at State Elementary School 18/II Tebing Tinggi. So this research aims to improve the process and learning outcomes of students. This study uses the classroom action method, which consists of two cycles. Each cycle consists of planning activities, implementing actions, observing and reflecting. Data collection techniques in this study were observation, tests and documentation. The research subjects were 1 educator and 35 students. The results of this study showed the learning process of educators, the first cycle with an average percentage of 88.8%, the second cycle with an average percentage of 100%. Observation of students during the learning process cycle I with an average percentage of 69.5%, cycle II increased with an average percentage of 87.3%, said to be successful. Based on the results of this study, it can be concluded that the Number Head Together model with the help of image media can improve the learning process and outcomes of students in class IV.
Ecología funcional de tres especies de helechos en la región alpina de Eslovenia
Authors: Delgado Uriondo Javier , Gabriel y Galán José María
Published: November 2021

Se estudia la variación de dos rasgos foliares funcionales, Área Foliar Específica (SLA) y Contenido de Materia Foliar Seca (LDMC) en los helechos Asplenium trichomanes subsp. quadrivalens, Asplenium scolopendrium y Polypodium vulgare en poblaciones de montaña y de colina situadas en la región alpina de Eslovenia. Las diferencias observadas entre especies fueron altamente significativas y sugieren que las particularidades ecológicas de cada una, especialmente en relación con el hábito y la amplitud de nicho, determinan la variación del SLA y el LDMC. Por otro lado, aunque se observaron diferencias ligeramente significativas entre poblaciones de montaña y de colina, la baja potencia del análisis hizo que los resultados no fueran concluyentes. En consecuencia, se propone incrementar el número de especies de cada hábito, así como el número de ambos tipos de poblaciones, con el fin de dilucidar la variación de estos rasgos foliares funcionales como adaptación a distintas condiciones ambientales.
NATIONAL FOUNDATIONS OF A CULTURE OF INTEGRITY
Authors: KABYLDIN Aibek
Published: November 2021

The purpose of the article is to examine the national foundations and principles of the culture of integrity. The features of the legal system of the institute of “biy”, legal norms of steppe laws, ideological views of the people, methods of teaching and upbringing of young people, principles of national ideology are analyzed. At the same time, the article provides examples of public censure of bribery, sayings and calls for the integrity of famous historical personalities, indicators of high legal awareness of the steppe people, humane approaches to resolving disputes and examples of punishment for types of corruption offenses such as bribery and embezzlement. The article is very useful in studying the institutional and historical prerequisites and foundations for the successful formation of a culture of integrity.
IMPROVEMENT OF THE ENVIRONMENT BASED ON THE ASSESSMENT OF KNOWLEDGE AND UNDERSTANDING OF THE ECOSYSTEM APPROACH BY CIVIL SERVANTS IN KAZAKHSTAN
Authors: UTEPOV Arman , JUMABAYEV Serik
Published: November 2021

The ecology of Kazakhstan requires improvement with the involvement of both the population and specialists from various organizations, including government officials. The purpose of this article was to assess knowledge, understanding of environmental problems in Kazakhstan by representatives of state authorities through a survey system.
For this purpose, we surveyed 256 employees of state institutions of Kazakhstan in 2019. The survey questions related to the current system of state management of natural resources and the current environmental situation in Kazakhstan.
The assessment of the readiness of public administration institutions in Kazakhstan showed the absence of interdepartmental communication and an integrated approach to improve the ecology of Kazakhstan. Environmental legislation is considered more of narrow departmental interests, without taking into account an integrated approach to biodiversity conservation.
PECULIARITIES OF STATE AND MILITARY MANAGEMENT TO COUNTER TERRORISM IN MODERN KAZAKHSTAN
Authors: ABZHANOV Baurzhan
Published: November 2021

The article examines the specifics of the activities of the state and military management bodies of the Republic of Kazakhstan to counter terrorism at the present stage. The necessity of using the Armed Forces in countering terrorism in the context of military security has been substantiated. The interaction of various state structures, power structures and civil society institutions is analyzed.
Effect of Resistance Exercise on Acquired Immunocytes in Cancer Survivors: A Pilot Study
Authors: Lee Jong-Kyun , Jee Yong-Seok
Published: November 2021

Purpose: The purpose of this study was to elucidate the effect of resistance exercise on skeletal muscle mass-related fitness and acquired immune cell function in ovarian cancer survivors.Methods: Twelve ovarian cancer survivors aged 33–61 years participated voluntarily in this study and were divided into control group (CG, n=6) and exercise group (EG, n=6). They underwent removal of ovarian cancer and received regular care for over one year. Resistance exercise was used as the intervention program conducted 4 days a week for 12 weeks. Skeletal muscle mass, muscle strength, and endurance were assessed at baseline and at week 12. Other dependent variables included adaptive immunocytes related to helper T (Th) cells and immunosuppressors (CD4+ and CD8+).Results: After the intervention, skeletal muscle mass showed positive changes in EG com-pared to CG, although not significantly different. Muscle strength and endurance significantly increased in EG, while there was no significant change in CG. Th1, Th2, and Th1/Th2 ratio were significantly different between both groups. CD4+CD25+T cells and CD4+PD-1+T cells of EG were lower than those of CG. CD8+PD-1+T cells and CD8+TIGIT+T of EG were lower than those of CG. These results can be interpreted as the improved sensitivity of CD4+ and CD8+, which helps the secretion of myokines and cytokines, when cytotoxic substances are injected into the human body.Conclusions: This study suggests that resistance training improves upon desirable changes in adaptive immune cell responses in ovarian cancer survivors by maintaining skeletal muscle mass while developing strength and endurance.
Liberation of Serotonin Is Not Unaffected by Acetylcholine in Rat Hippocampus
Authors: Kim Jae Heon , Ahn Young Soo , Song Yun Seob
Published: November 2021

Purpose: Raised cerebral titers of acetylcholine have notable links with storage symptomatology related to lower urinary tract symptoms. The hippocampus contributes to the normal control of continence in the majority of instances (circuit 3). Owing to synaptic connections with other nerve cells, acetylcholine affects the micturition pathway via the liberation of additional cerebral neurotransmitters. Despite the fact that cerebral serotonin is a key inhibitor of reflex bladder muscle contractions, the influence of acetylcholine on its liberation is poorly delineated. The current research was conducted in order to explore the role of acetylcholine in serotonin liberation from sections of rat hippocampus in order to improve the comprehension of the relationship between cholinergic and serotonergic neurons.Methods: Hippocampal sections from 6 mature male Sprague-Dawley rats were equilibrated over a 30-minute period in standard incubation medium so as to facilitate [3H]5-hydroxytryptamine (5-HT) uptake. The cerebral neurotransmitter, acetylcholine, was applied to the sections. Aliquots of drained medium solution were utilized in order to quantify the radioactivity associated with [3H]5-HT liberation; any alterations in this parameter were noted.Results: When judged against the controls, [3H]5-HT liberation from the hippocampal sections remained unaltered following the administration of acetylcholine, implying that this agent has no inhibitory action on this process.Conclusions: Serotonin liberation from murine hippocampal sections is unaffected by acetylcholine. It is postulated that the bladder micturition reflex responds to acetylcholine through its immediate cholinergic activity rather than by its influence on serotonin release. These pathways are a promising target for the design of de novo therapeutic agents.
LA OBEDIENCIA DEBIDA. ALGUNAS REFLEXIONES DESDE EL CAMPO ADMINISTRATIVO-EDUCATIVO SOBRE LA PANDEMIA.
Authors: Torres Vizcaya Manuel
Published: November 2021

Con motivo de lo acaecido por los efectos de la pandemia y el confinamiento, se propone una reflexión sobre algunas consecuencias en el ámbito educativo. Por una parte, ha quedado al descubierto en este tiempo una clara orfandad, conceptualmente hablando, respecto de unos referentes claros de la educación. Esta pandemia ha puesto de relieve que la educación se halla, en cierto modo, en una suerte de marasmo que se ha agudizado con este contexto al aflorar algunas actitudes y manifestaciones. Las proclamaciones y testimonios, especialmente de directivos de centros públicos, requieren una profunda reflexión y revisión de los deberes de los funcionarios, en particular el de obediencia. El liderazgo de los directivos debe basarse en amplios conocimientos pedagógicos, pero también administrativos para no llegar a situaciones límite como ocurre con ciertas declaraciones de desobediencia ante instrucciones de las administraciones. En verdad, todo ello conduce a la conclusión de que lo que realmente se necesita es aclarar, fijar y desarrollar un concepto nítido de educación, en el que los valores y modelos a transmitir sean patentes y diáfanos.
Metamorphism – the invisible life of the rocks
Authors: Kozhoukharova Evgenia
Published: November 2021

Three types of metamorphism are developed on the metamorphic complexes of the Rhodope Massif: a, widespread regional; b, high thermobaric in shear zones of friction and c, metasomatism, each with its own thermodynamic system. Friction generates energy that deforms, disintegrates and destroys minerals, subsequently recrystallized into new rocks.
A CRITICAL STUDY ABOUT THE EFFECTS OF BLOOM’S TAXONOMY IN THE CONTEXT OF ENGLISH LANGUAGE TEACHING AT UNIVERSITY LEVEL
Authors: Salma Niazi, Farida Azim Lodhi, Huma Mahmood
Published: November 2021

The purpose of this study was to critically analyze the effectiveness of Bloom’s taxonomy of educational objectives, in teaching English language at university level in Karachi, Pakistan. The conceptual framework of the study, included the results of two groups of English language learners that were independent and controlled group. For the current study quantitative research design was used. The population was English language teachers and students of English Department, those were sixty. Stratified sampling was used to extract the research sample. A well-designed test containing twenty-five marks was constructed, to get the achieved outcome of language teaching and learning. It was concluded that incorporating Bloom’s objectives of teaching would be able to improve English language learning among students at tertiary level. It was recommended that teachers training workshops should be arranged for English language teachers, so that they may enhance their knowledge about teaching critical thinking while incorporating Bloom’s objectives of teaching methodology, that may be benefitted both language learners and research in the field of English language learning in Pakistan.
Analisa sumur resapan untuk mereduksi limpasan permukaan pada Perumahan Hang Tuah Cipta Residence Pekanbaru
Authors: Rahmadi Gandung , Suprayogi Imam , Joleha Joleha
Published: November 2021

Changes in land use, namely from cultivated land to closed land or settlements, make the water demand in the area increase, if the water that comes out is not balanced with the water that enters the ground, it will cause a decrease in the ground water level. Another problem that arises due to changes in land use is runoff, where runoff occurs due to rainfall exceeding the suction power or infiltration of the soil, so that over time the runoff becomes a puddle and can even cause flooding. One way to overcome these problems is to apply infiltration wells. This case study takes place in the Hang Tuah Cipta Residence Housing Area, Pekanbaru. From the results of field research and Hydrological data analysis revealed that the main existing drainage channel discharge with a discharge capacity of 0.923 m³/s is unable to accommodate the discharge that occurs at 1.19 m³/s. Segment or secondary drainage channels Q12 and Q13 are also unable to accommodate the discharge that occurs at 0.085 m³/s with a capacity of 0.06 m³/s. Based on the analysis results it is planned that the infiltration well with a radius of 0.5 m and a depth of 9 m which has a capacity of 0.0022 m³/s. After the planned discharge infiltration well comes out to be 0.88 m³/s, it means that the discharge does not exceed drainage capacity of 0.923m³/s.
Effectiveness of Ladder Training Versus Plyometric Training Program on Agility in Kabaddi Players
Authors: Prakash K Venkata Surya , Sadvika Pachamatla Devi , Chakravarthi Ch Ashok
Published: November 2021

Background: Sport specific training in Kabaddi players should also focus on agility in consistent with demand of the sport. Since Ladder training and Plyometric training improves agility, it can be useful training strategy to improve the performance of Kabaddi players. Ladder training is more effective and also help the player to catch, strike, and to block or tackle the component, whereas Plyometric training enhances balance and control of body positions during game.
Methodology: A comparative study design had made use of Quasi experimental approach by convenience sampling to select 60 samples of semiprofessional Kabaddi players in the age of 18- 25 students of both genders studying in KIMS College of Physiotherapy, Amalapuram. On certain predetermined criteria with a formal written consent samples were taken. The data was gathered following Interventions using Ladder training and Plyometric training protocol which was administered on the Kabaddi players. The outcome measures were assessed before the intervention and at the end of Eighth week. The standardized tool named Agility T-test was taken to assess the Agility before and after the intervention.
Result of the Study: The result of the study indicated that Ladder training is a useful training strategy to improve agility more in Kabaddi players than Plyometric training programme. Whereas level of significance taken is P=<0.05. And obtained level of significance P<0.00.
Conclusion: This study concluded that Ladder training is a useful training strategy to improve agility than Plyometric training programme in Kabaddi players.

Key words: Agility, Ladder Training, Plyometrics, Kabaddi.
Role Analysis of Debt Equity Ratio on Dividend Payout Ratio, Stock Return and Earning Per Share with Firm Size and Return on Equity as Intervening Variable
(Case Study of Infrastructure Companies Listed in Indonesia Stock Exchange Year of 2015-2019)
Authors: Nurfaeda Ulfi , Rahmat Syah Tantri Yanuar
Published: November 2021

The Indonesian government has been catching up with infrastructure development in recent years. In carrying out infrastructure development, funding and determination of the optimum capital structure are needed because this will affect a company's financial structure. The company's source of funds comes from foreign capital and equity as measured by the debt-to-equity ratio. However, in realizing the optimal determination of capital structure will affect several other financial ratios, therefore the aim of this study is to identify and examine the relationship between DER and DPR, SR and SR which uses FS and ROE as intervening variables. The data used were fourteen companies engaged in building construction and toll road construction. The results of this study indicate that there is a significant positive relationship between DER on FS, ROE, EPS and DPR, FS on EPS and ROE on DPR and EPS. The DER variable on DPR and EPS which is moderated by ROE and FS also has a significant positive relationship. On the other hand, the relationship between FS and DPR and the DER variable against DPR moderated by FS, show a significant negative, while the relationship between DER and SR is negative and insignificant. In addition, the relationship between FS and ROE on SR and DER against SR which is moderated by FS and ROE shows a positive but insignificant.

Keywords: Debt Equity Ratio, Firm Size Earning Per Share, Return on Equity, Dividend Payout Ratio dan Stock Return.
Evaluation of Budgeting Policy of the Ministry of Industry in Order to Improve the Performance of the Small and Medium Industrial Sector
Authors: Sutiarso Bondan , Daryanto Arief , Syarief Rizal
Published: November 2021

Reform in the field of budgeting is characterized by a paradigm shift in the field of budgeting planning set out in law No. 17 of 2003 which is indicated by 3 (three) approaches, namely the implementation of integrated budgeting, the implementation of medium-term spending frameworks and the implementation of performance-based budgeting. But there are some problems encountered such as there are revisions to activities in the current budget year, performance-based budgets are so detailed in the planning stage but when accountability becomes administrative, the pattern of budget absorption that accumulates at the end of the year and the distribution of budgets that are not appropriate are part of the obstacles in improving the industrial sector. This research has the aim (1) of evaluating the suitability of budgeting of the Ministry of Industry with a budgeting approach; (2) Analyze spending activities at the Ministry of Industry that significantly affect the SMEs sector. The results showed that all the principles and components that make up the concept of integrated budgeting, performance-based budgeting and medium-term spending framework have basically been implemented by the Ministry of Industry in the preparation of work plans and budgets. The results of the double linear regression analysis showed that the realization of the Ministry of Industry's spending on HR development spending and technology spending significantly negatively affected the productivity shown performance in the SMEs sector. Managerial implications that can be given, namely the need for increased awareness and high commitment from all ranks in the Ministry of Industry in the implementation of performance-based budgeting systems through the provision of rewards and punishments at the internal level of the Ministry of SMEs.

Keywords: Budget, Ministry of Industry, Multiple Linear Regression, Small and Medium Industries.
Study of Potential Classification of Lost Students in College Based on Information Extraction on Text-Based Social Media; Case Study of Panca Budi Pembangunan University
Authors: Hariyanto Eko , Wahyuni Sri , Batubara Supina
Published: November 2021

The main problem studied in this study is the large number of lost students who harm universities because of the difficulty of monitoring or monitoring as a preventive measure. Therefore, this research becomes very important to be done so that college institutions can make efforts to detect early (classification) of students who potentially cannot complete their studies on time or students who will drop out (DO). Thus, PT institutions through related parties such as academic guidance lecturers, academic bureaus and others can do initial prevention by providing the best solution or solution to the problems faced by students. This research aims to determine the training data model consisting of academic and non-academic factors (including the results of extracting information from social media). Furthermore, this model is used as a basis for classifying students who have the potential to "graduate on time", "graduate not on time", and "DO". The method approach used is quantitative with text mining computational algorithms for the process of extracting knowledge / information from social media which is further used in data training, as well as data mining computational algorithms for the process of classification of potential completion of student studies. The mandatory external targeted in the first year is the publication of the international journal Scopus Q4 and in the second year is the publication of the international journal Scopus Q3. For additional external targets in the first and second years respectively are the publication of international journals indexed on reputable indexers, ISBN teaching books and copyrights. The level of technological readiness (TKT) in this study up to level 2 is the formulation of technological concepts and applications to classify the potential completion of student studies using data mining.

Keywords: [student lost, knowledge/information extraction, data classification, text mining, data mining].
Branchial Sinus with Cyst - Two Case Reports with Review of Literature
Authors: Thakur Ashoka Nand , . Priyambada
Published: November 2021

Branchial cleft anomalies are well described, with the second arch anomaly being the commonest. Remains of cervical sinus of His may persist as a branchial cyst. A branchial sinus is formed when 2nd branchial arch fails to meet the 5th pharyngeal arch.
Peak age for presentation of branchial cysts is in the third decade and that of the congenital sinuses and fistulae is at birth. The association of a branchial cyst with branchial sinus is very rare. We are presenting two cases had branchial cyst along with branchial sinus. It was managed successfully with complete excision. Histopathological examination confirmed the association.

Keywords: Branchial Sinus, Branchial cyst,
A case report of periapical cemento-osseous dysplasia
Authors:   Department of Oral and Maxillofacial Surgery, Biruni University, Istanbul, Turkey, Akyolal Murude
Published: November 2021

Periapical Cemento-Osseous Dysplasia (PCOD) is one of the classified lesions of cemento-osseous dysplasia that generally consisted in middle aged black women. This article reported a case of a 36-yearold woman who was incidentally recognized with PCOD on the basis of panoramic radiograph. According to the clinical and radiographical findings of the patient, diagnosis of PCOD was done. Treatment was not considered. Regular radiographical follow-up was recommended to the patient. Keywords: Cemento-osseous dysplasia; Panoramic; Non-odontogenic tumor.
Targeted next generation sequencing gene panels used to improve diagnosis of congenital cataract and current treatment strategies
Authors:   BMedSci ST4 Severn Deanery, United Kingdom, Hearne Elewys , Lightman Susan ,   Professor of Clinical Ophthalmology UCL/IOO, Professor of Ophthalmology University of the Highlands and Islands
Published: November 2021

There is huge potential in using targeted Next Generation Sequencing (NGS) gene panels to improve diagnosis of congenital cataract, however the many difficultiesin incorporating it into routine clinical care are explored. Treatment options for children with congenital cataract are described. Keywords: Congenital; Cataracts; Genetics; Treatment.
FDG embolism mimicking lung metastasis
Authors:   Department of Radiology, University of California, San Diego, California, USA., Jahromi Amin Haghighat , Hoh Carl K ,   Department of Radiology, University of California, San Diego, California, USA.
Published: November 2021

2-[18F]-FDG embolism artifact is a PET pitfall that may cause misinterpretation as lung metastasis. This rare phenomenon results from clumping of the radiotracer with platelet aggregates during intravenous administration. It should be considered, especially if there is no corroborating anatomic correlate for focal pulmonary FDG activity and if the radiotracer is administered through a central venous catheter. Herein, we present images of a 3-year-old girl with history of abdominal neuroblastoma and lung metastasis, showing FDG embolism artifact, subsequently resolved in the repeat imaging. Our case reinforces the importance of knowing this artifact as misinterpretation can have a significant effect on patient management.
Clinical report of a human bite by the pelagic sea snake Hydrophis Platurus (Serpentes: Elapidae), in the pacific ocean of Costa Rica
Authors:   Centro Nacional de Control de Intoxicaciones, Caja Costarricense del Seguro Social. San José, Costa Rica., Ramos-Rodríguez Viviana , Montero-Carvajal Earvin ,   Centro Nacional de Control de Intoxicaciones, Caja Costarricense del Seguro Social. San José, Costa Rica., Corrales Greivin ,   Serpentario, Instituto Clodomiro Picado, Universidad de Costa Rica, San José, Apto: 11501-2060, Costa Rica., Gómez Aarón ,   Serpentario, Instituto Clodomiro Picado, Universidad de Costa Rica, San José, Apto: 11501-2060, Costa Rica.
Published: November 2021

Introduction: The pelagic sea snake, “Serpiente Marina,” Hydrophis Platurus, shows a wide-range distribution in the Indo-Pacific Ocean, reaching the Pacific coast of the Americas. Although the snake bite accidents caused by sea snakes are rare, Costa Rica occasionally presents large quantities of sea snakes stranded in the shore, mainly during the dry season. Discussion: A 12-years-old boy was bitten in Playas del Coco, Sardinal, Guanacaste province, Costa Rica, and almost immediately started to develop pain and paresthesia. A coagulation time test was performed, although its importance is not relevant to the treatment of snakebite accidents caused by sea snakes, mainly due to its neurotoxic characteristics. Conclusion: Although there is no antivenom available to treat snakebite accidents from the pelagic seasnake, its treatment is frequently misinterpreted, incurring in clinical tests that are not necessary and putting aside the tests that have more relevance to the potential clinical symptoms of the snake bite.
A delayed acute complication: Gastric remnant hemorrhagic ulcer after mini-gastric bypass
Authors:   Department of General Surgery, Ordu Gölköy Public Hospital, Turkey., Maden Hasan , Şahin Mustafa ,   Department of General Surgery, Selçuk University Hospital, Turkey., Çalışır Akın ,   Department of General Surgery, Selçuk University Hospital, Turkey., Şahin Enes ,   Department of General Surgery, Kocaeli Public Hospital, Turkey.
Published: November 2021

Mini-gastric bypass is a common procedure for bariatric surgery. This procedure creates and excluded gastric remnant and this part can’t be accessed easily. Some complications of this gastric remnant has been reported but there is not a reported case of acute bleeding from there. Our report presents and 37 year old woman who had undergone bariatric surgery 6 years ago. Mini-gastric bypass was performed to this patient. The patient comes to the emergency service with signs of upper gastrointestinal bleeding. After hospitalization, examinations showed us that the patient was bleeding from the remnant stomach. The remnant stomach and the first part of the duodenum were resected with laparoscopic surgery. At 6 months followup, the patient has had no further episodes of gastrointestinal hemorrhage. Keywords: Gastric remnant; Hemorrhagic ulcer; Mini-gastric bypass; Red blood cell scintigraphy.
TESTING THE EFFECTIVENESS OF THE STREET NETWORK OF CITIES (ON THE EXAMPLE OF PETROZAVODSK)
Authors:   Emperor Alexander I St. Petersburg State Transport University, Dudkin Evgeny P. , Mohsin Abujwaid Husam Abbas ,   Emperor Alexander I St. Petersburg State Transport University, Losin Leonid A. ,   Institute for Regional Economic Studies Russian Academy of Sciences
Published: November 2021

The transport network of cities can be represented as a complex of streets and passages, as well as elements of public transport infrastructure unconnected with the street and road network. It is reasonable to represent the real network in the form of a simplified network based on graph theory to analyze the properties of the transport network. There are various methods of network connectivity assessment, including those based on various indices. According to all indicators in the street and road network of the city of Petrozavodsk it is necessary to increase the number of units. The implementation of recommendations for changes of the street and road network of the city of Petrozavodsk will reduce traffic congestion, the number of accidents and transport expenses. It is recommended to use the proposed method to assess and improve the street and road network of cities.
NEW TRENDS IN THE CRISIS SITUATION 2020–2021
Authors:   Russian Academy of Sciences, Aganbegyan Abel G.
Published: November 2021

The paper studies new features of Coronavirus pandemic – the third wave, increased mortality, uncertainty of future due to new strains. An unexpected trend is a rapid recovery of sharply reduced oil and gas prices and significant, therefore, increase of exports. Attention is also paid to new conditions (electrification, carbon footprint, possibility of hydrogen energy and etc.), that determine the prospects. The article focuses on demographic drama in connection with birth rate decrease, catastrophic increase of all cause mortality during pandemic, life expectancy decrease, human health deterioration, country’s population drop, that undermines the Russian people savings. Various consequences of the crisis in Russia are analyzed – a slight economy decrease and finances increase and, as a consequence of insufficient funding, record increase in total mortality in Russia and income and consumption decrease by 10–15% during the period of stagnation and crisis. The possibility of conditions and factors of sustainable socio-economic growth resumption are investigated. It is proposed to carry out a financial boost on investments in fixed and human capital, housing construction and foreign trade rise – as the main drivers of future development. The stake is placed on technological breakthrough and economic efficiency indicators increase. The necessity of structural reforms of property, financial system, regional management, transition to strategic planning following the example of China and social system is substantiated.
JUSTIFICATION OF THE FEASIBILITY OF INTRA-CITY RAILWAY COMMUNICATION ON THE EXAMPLE OF THE ST. PETERSBURG AGGLOMERATION
Authors:   Emperor Alexander I St. Petersburg State Transport University, Kalmykov Mikhail Yu.
Published: November 2021

This article discusses the following issues: justification of the feasibility of intra-city railway communication on the example of St. Petersburg, creation of a basic algorithm for commissioning this project for this purpose, the analysis of existing methods used for the introduction of new types of transport was carried out, the main advantages and disadvantages of railway communication are given, the basic algorithm for the introduction of intra-city railway communication is given, the possibility of implementing the project in St. Petersburg is considered. The commissioning of the intra-city railway network allows: to reconsider the issue of the development of the transport network of the agglomeration, promotes the development of an off-street mode of transport that can compete with the metro, redistribute passenger flows coming from the Leningrad region and the suburbs of St. Petersburg, improve the environmental situation in the region by reducing congestion at the entrance to the city by transferring to the intra-city railway communication, which will also reduce the travel time of all traffic participants.
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MENJALANI DIET PADA PASIEN DIABETES MELITUS DI WILAYAH KERJA PUSKESMAS BINJAI ESTATE
Authors: Leli Herawati
Published: November 2021

Diabetes Melitus (DM) merupakan gangguan metabolik  kronis yang ditandai oleh kekurangan dalam produksi dan pemanfaatan insulin hormon pankreas. Keluarga mempunyai pengaruh terhadap sikap dan penerimaan pendidikan kesehatan pasien Diabetes Melitus. Karena penyakit ini mempunyai tantangan yang besar untuk mencapai kesuksesan dalam penatalaksanaannya, karena harus dilakukan seumur hidup sehingga kejenuhan dan ketidak patuhan sering terjadi. Dukungan keluarga sangat diperlukan untuk meningkatkan kepatuhan diet pasien DM. Tujuan dari penelitian ini adalah untuk mengetahui Hubungan Dukungan Keluarga Dengan Kepatuhan Menjalani Diet  pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Binjai Estate Tahun 2020. Jenis penelitian ini adalah non-eksperiment yang bersifat kualitatif dengan desain korelasi yang dilakukan Melitus di Wilayah Kerja Puskesmas Binjai Estate pada bulan Januari - Juli 2020. Populasi dalam penelitian ini adalah seluruh penderita diabetes melitus  di wilayah kerja Puskesmas Binjai Estate yang berjumlah 125 orang. Sampel dalam penelitian ini adalah pasien diabetes melitus yang tinggal di wilayah kerja Puskesmas Binjai Estate dan yang bersedia jika diminta datanya oleh peneliti sebanyak 25 responden. Hasil penelitian terdapat dukungan keluarga baik sebanyak 13 responden (52%) dengan memiliki 12 responden (48%) memiliki kepatuhan menjalani diet diabetes melitus dengan patuh, 1 responden (4%) memiliki kepatuhan menjalani diet diabetes melitus dengan tidak patuh, responden yang memiliki dukungan keluarga cukup  sebanyak 9 responden (36%) dengan memiki kepatuhan menjalani diet dengan patuh 4 responden (16%), sedangkan yang memiliki kepatuhan menjalani diet dengan tidak patuh 5 responden (20%), dan yang memiliki dukungan keluarga kurang terdapat 3 responden (12%), yang memiliki kepatuhan menjalani diet dengan tidak patuh sebanyak 3 responden (12%). Berdasarkan hasil uji chi-squer ada hubungan antara dukungan keluarga dengan kepatuhan menjalani diet pada pasien diabetes melitus (p=0,003 < 0,05) dengan besar korelasi antar variabel adalah 0,003 bearti Ho ditolak Ha diterima. Saran : Di harapkan bagi keluarga untuk memberikan support yang berupa motivasi, dukungan,  dan bimbingan baik berupa moril dan material agar pasien lebih patu mnejalanni diet diabetes  melitus dalam menjaga kadar gula darah
PENGARUH PENDIDIKAN KESEHATAN MANFAAT HEMODIALISA TERHADAP MOTIVASI HARAPAN HIDUP PADA PASIEN GAGAL GINJAL KRONIK DI RUMAH SAKIT UMUM DAERAH H. SAHUDIN KOTA CANE TAHUN 2021
Authors: Kristina  , Kamaliah Ainun  , Srimis Leini Saragih
Published: November 2021

Hemodialysis is a process carried out to remove fluids and waste products from the body when the kidneys are no longer able to carry out the process. The purpose of the study was to analyze "the effect of health education on the benefits of hemodialysis on motivation for life expectancy in patients with chronic kidney failure at the H. Sahudin Regional General Hospital, Cane City in 2021. This research is an experimental study that uses parametric statistical analysis, namely the statistical section whose parameters from the population follow a certain distribution. The research design uses Pre-Experimental Design with a one-group pretest-posttest design approach, which is a technique to determine the effect before and before giving treatment. Based on the results of this study, family motivation in patients undergoing hemodialysis at the Cane City Hospital was mainly in the moderate category. Quality of life in patients undergoing hemodialysis well, there is a relationship between family motivation and quality of life of patients undergoing hemodialysis. Results based on conclusions and suggestions. Family motivation for patients undergoing hemodialysis at the Cane City Hospital is the most important in the moderate category. It is hoped that the motivation that has been given to hemodialysis patients and families who are still low in providing motivation to increase their motivation to family members undergoing hemodialysis is expected.
La Estación Agrícola Experimental Tulio Ospina de Medellín (Colombia). Maíz, genética y tecnología internacional, 1920-1960
Authors: Sibaja Madera Francisco
Published: November 2021

Este artículo analiza la experiencia de la Estación Tulio Ospina de Medellín en la innovación tecnológica para la agricultura antioqueña y colombiana. La formación de fuentes germinales y nuevas semillas de maíz, mediante fundamentos genéticos y agronómicos, ubicó a esta institución en la vanguardia de la modernización agrícola latinoamericana durante las décadas de 1920-1960. El artículo estudia las investigaciones y experimentaciones genéticas y agronómicas que condujeron a la producción de tecnologías agrícolas que circularon y adaptaron en Colombia y América Latina. También examina su función como espacio de selección y conservación de material genético mediante la experiencia del Banco Internacional de Maíz. Basado en fuentes agronómicas, este artículo argumenta la centralidad de la estación en procesos de cambio tecnológico agrario en el contexto de la Revolución Verde. El estudio de esta institución aporta con nuevos espacios, objetos y actores en la discusión historiográfica sobre la modernización agrícola colombiana.
Profilo psicopatologico e di rischio psicosociale in madri adolescenti e di giovane età nel postpartum
Authors: Albizzati Alessandro , Ierardi Elena , Moioli Margherita , Riva Crugnola Cristina
Published: November 2021

Background - Motherhood in adolescence is associated with numerous risk factors that could have a negative effect on the well-being of the mother, on her parenting skills and on the relationship with her child. Aims - To assess the psychopathological profile and psychosocial risk factors of 104 adolescent and young mothers (age range 13-21) who were recruited at the Child Neuropsychiatric Unit of ASST “Santi Paolo and Carlo” Hospital (Milan, Italy). Materials and method - 3 months after giving birth, mothers filled in a personal data sheet; maternal attachment models and reflective functioning were evaluated with Adult Attachment Interview and the presence of maternal adverse childhood experiences were analysed with CECA. Depressive risk with EPDS, anxiety risk with STAI-Y and parenting stress with PSI-SF were also assessed. Results - 75% of mothers have a low socio-economic level and 80% have low levels of education. In 79% of the cases, the mothers do not work and 50% of them interrupted their studies. Pregnancy is mostly not desired (76%) and the majority of them have a family history of parenthood in adolescence. On a psychopathological level, depressive and anxious risks are high. Most adolescent and young mothers have an insecure attachment model with low reflective functioning; moreover, 51% of the mothers have experienced at least one adverse childhood experience and adverse experiences are often cumulative. Conclusion - The study shows a high-risk psychopathological and psychosocial profile of motherhood in adolescence, which can have an effect on the mother's health, affecting her ability to interact and build an adequate relationship with her child. It is therefore important to implement early interventions to support the child-adolescent mother relationship from the earliest phases, promoting maternal mentalization and sensitivity.
Histerectomia puerperal em suspeição clínica obstétrica de acretismo placentário
Authors: Nunes Jefferson Torres , Conceição Edla Camila da , Soares Daniel Victor Silva , Silva Larissa Alves Dos Santos
Published: November 2021

ntrodução: A aderência anormal das vilosidades placentárias à parede uterina, definida como acretismo placentário, é uma complicação associada ao dano ou afinamento endometrial. Essa condição faz parte de uma das causas de morbimortalidade materna relacionadas à hemorragia pós-parto, que, a depender da sua profundidade, pode tornar essa hemorragia profusa e implicar a realização de histerectomias de emergência. Relato de caso: Multípara de 34 anos com histórico obstétrico de dois partos vaginais, um aborto e um parto cesariano, dá entrada em serviço de urgência obstétrico em hospital público do interior do Piauí após parto vaginal domiciliar, há aproximadamente 10 horas, de feto de 33 semanas e 4 dias, com retenção placentária. Apresentava-se clinicamente estável, porém astênica e com palidez acentuada. Foi realizada tentativa de extração manual da placenta, sem sucesso, após raquianestesia. Diante do caso, procedeu-se à realização da histerectomia subtotal com anexectomia bilateral, sem necessidade de transfusão sanguínea ou cuidados de terapia intensiva. Conclusão: Conforme o nível de aderência placentária, pode-se classificar a placenta em increta, percreta e acreta. A etiologia atualmente mais aceita refere-se à presença de um defeito da interface endometrial-miometrial, o que leva a uma decidualização imprópria na área de uma cicatriz uterina, que resulta em vilosidades de ancoragem profunda e infiltração trofoblástica. São altas a morbidade e a mortalidade associadas a essa condição, visto que ela pode resultar em desfechos como quadros hemorrágicos graves. Os fatores de risco para essa patologia incluem cesarianas anteriores ou curetagens uterinas; multiparidade; idade materna superior a 35 anos; tabagismo e leiomiomas submucosos. Por ser uma condição geralmente assintomática, o diagnóstico é baseado na realização de ultrassonografias nas pacientes com fatores de risco, preferivelmente entre a 20º e a 24º semanas de gestação, na busca de achados característicos para que haja planejamento adequado para a resolução da gestação.
Pancreatite biliar na gestação
Authors: Frajblat Vanessa , Ferreira Maria Eduarda Ragghiante , Ferreira João Carlos Ribeiro
Published: November 2021

Introdução: A pancreatite aguda (PA) durante a gestação é uma condição rara, com incidência de 1/1.000-10.000 gestações e altas taxas de mortalidade materno-fetal, mas, com o diagnóstico precoce e o cuidado intensivo, a taxa de mortalidade é de 0 a 3%. Relato do caso: G.D.S.P., 21 anos, G4P1A2, com idade gestacional (IG) de 38 semanas e 3 dias, foi à maternidade com queixa de lombalgia intensa que irradiava para a região epigástrica associada a dor em baixo ventre. Já havia procurado o serviço antes com as mesmas queixas, porém foi tratada como se fossem dores normais da gestação. Ao exame, apresentava-se taquicárdica, com abdome doloroso a palpação em região epigástrica. Durante a internação, observa-se amilase de 579, lipase de 1.750 e cardiotocografia categoria 1, portanto, foi iniciado o tratamento de pancreatite aguda. A ultrassonografia abdominal evidenciou uma oligodramnia acentuada com um índice do líquido amniótico < 3 cm3 e a ausência de litíase biliar. Realizou-se parto por via alta e a paciente foi mantida em dieta zero até a melhora laboratorial. Recebeu alta três dias após o parto, com melhora clínica significativa. Quatro dias depois da alta, voltou com a mesma queixa, no momento associada a episódios de vômitos. Os exames mostraram a recorrência da pancreatite e a presença de vesícula biliar distendida com paredes espessadas, apresentando diminutos cálculos livres. O pâncreas foi parcialmente visualizado, sem anormalidades. Realizou-se tratamento clínico de suporte e, após oito dias da melhora clínica, a paciente foi submetida a uma colecistectomia videolaparoscópica (CVL) com colangiografia. Conclusão: A paciente apresenta características que são frequentes em pacientes com PA na gestação, como a multiparidade, a ocorrência no 3º trimestre e a alta recorrência. Sabe-se que a alteração na motilidade da vesícula pode persistir por até um ano após o parto, tornando a frequência de gestações e a multiparidade os maiores fatores de risco para a formação de cálculos biliares em gestantes. A dor inicialmente foi confundida com uma queixa álgica fisiológica da gravidez, o que pode ser tolerado, uma vez que a paciente apresentava dores em locais típicos de uma gestante no 3º trimestre. Todavia, é importante a reflexão sobre outras etiologias com quadros repetitivos que levam a várias idas à maternidade, por mais comuns que os sintomas sejam. A paciente apresentou recorrência do quadro da pancreatite, e seguiu-se o tratamento que se tem como consenso para quadros de PA no 3º trimestre da gestação, ou seja, tratamento conservador ou realização da colangiopancreatografia retrógrada endoscópica (CPRE) com esfincterotomia endoscópica biliar e CVL no pós-parto. Essa segunda alternativa de tratamento não se encaixava no relato, pois inicialmente não foi visualizada nenhuma alteração biliar. Adotou-se conduta conservadora de acordo com as informações obtidas até aquele momento e, após a recorrência do quadro no pós-parto, foi realizada uma CVL com colangiografia.
Pentalogia de Cantrell: um relato de caso
Authors: Guimarães Julia Goes , Ribeuro Kelvin Cleyton , Jesús Guilherme Ribeiro Ramires de , Baião Ana Elisa Rodrigues , Peixoto Filho Fernando Maia
Published: November 2021

Introdução: A pentalogia de Cantrell (PC) é uma forma rara de defeito da parede abdominal que consiste na associação de cinco malformações maiores: anormalidade na linha média da parede abdominal superior, defeito esternal, defeito diafragmático, defeito pericárdico e anomalias congênitas do coração. Entre elas, os achados mais comuns são onfalocele e defeito do septo atrioventricular. Sua incidência varia de 1:65.000 a 1:200.000, porém sua etiologia é incerta. A teoria mais aceita é uma alteração no desenvolvimento fetal 18-21 dias após a concepção, quando há alteração na migração das estruturas mesodérmicas primordiais da linha média. Relato de caso: A.L.S.R., 18 anos, GIPI, sem comorbidades, foi admitida no setor de medicina fetal de um centro terciário, em 22 de fevereiro de 2021, com 24 semanas, em razão de defeito de fechamento tóraco-abdominal. A ultrassonografia (USG) identificou ectopia cordis, defeito amplo de parede torácica e abdominal, e cifoescoliose, sugerindo o diagnóstico de PC. A paciente comparece em 19 de março de 2021, com idade gestacional (IG) 27s+5d, sem cariótipo, referindo ausência de movimentação fetal e início de metrossístoles, com óbito fetal constatado por USG, e inicia-se a inducão do parto com misoprostol. Evolui, após 12 horas, com expulsão de natimorto único, cefálico, sexo feminino, p=522 g, com as anomalias supracitadas à USG aparentes e cordão umbilical curto. Puerpério fisiológico. Conclusão: Na literatura, exitem pouco menos de 100 casos relatados de PC, com apenas um recém-nascido (RN) sobrevivente. Acredita-se ser um defeito genético esporádico e uma síndrome com alta taxa de mortalidade, sendo seu prognóstico associado à gravidade das alterações cardíacas. O diagnóstico pré-natal geralmente é feito no início do segundo trimestre, e o uso da USG 3D, da dopplervelocimetria e da ressonância magnética pode auxiliar nos casos duvidosos. O tratamento da PC consiste em cirurgia paliativa ou tentativa de correção do defeito cardíaco e das demais manifestações associadas. Intervenções precoces nos RN sem malformações intra ou extracardíacas parece ter um resultado melhor, com sobrevida maior, do que em pacientes com ectopia cordias associada a outras anomalias. Entretanto, as tentativas de tratamento são frustradas, uma vez que esse conjunto de anomalias possui elevada taxa de letalidade.