bluuebunny/crossref_metadata_2025 huggingface dataset:
MARITIME PIRACY AND TERRORISM EMERGENCE AS LEGAL CATEGORIES
Authors: Osadtsa Roman Orestovych
Published: January 2025

This paper explores the emergence of maritime piracy and terrorism as significant legal categories within international law and domestic legal frameworks. Historically viewed as acts of lawlessness on the high seas, maritime piracy has evolved into a complex issue that necessitates comprehensive legal responses. At the same time, maritime terrorism has surfaced as a contemporary threat to global maritime security, closely intertwined with broader discussions of terrorism in international relations. The analysis begins with a historical overview of piracy, tracing its evolution from ancient practices to modern challenges. Key legislative efforts, including the United Nations Convention on the Law of the Sea (UNCLOS) and regional treaties, are highlighted as critical measures aimed at combating piracy. The paper examines how traditional definitions of piracy have adapted to encompass contemporary acts, reflecting significant changes in maritime operations, technology, and geopolitical contexts. The rise of terrorism in maritime settings is analyzed, focusing on high-profile incidents such as the 2000 USS Cole bombing and various cruise ship hijackings. The legal systems’ challenges in addressing acts of maritime terrorism are emphasized, particularly given their dual nature as both criminal acts and threats to national and international security. The paper evaluates the legal frameworks that govern maritime piracy and terrorism, discussing international conventions, customary international law, and national legislation. A critical analysis of enforcement mechanisms reveals notable gaps and inconsistencies in legal approaches, particularly concerning jurisdiction, prosecution, and the treatment of suspected pirates and terrorists. The role of international cooperation is underscored, emphasizing the necessity of collaborative efforts between states and maritime organizations to effectively combat these phenomena. The impact of piracy and terrorism on maritime trade, security, and international relations is explored. By addressing the legal intricacies and socio-political dimensions of maritime piracy and terrorism, this study aims to contribute meaningfully to ongoing discourse on global maritime security and the role of law in mitigating these threats.
ГЕНЕЗИС ПРАВОВОГО РЕГУЛЮВАННЯ ВІДНОСИН ЩОДО ЗАСТОСУВАННЯ ПРОЦЕНТІВ ЗА КОРИСТУВАННЯ ГРОШОВИМИ КОШТАМИ
Authors: Отцевич Євген Юрійович
Published: January 2025

У статті розглядається генезис правового регулювання відносин щодо застосування процентів за користування грошовими коштами з найдавніших часів до сучасного етапу розвитку приватного права, проводиться аналіз стародавніх джерел права, як-от Закони Хаммурапі, Закони ХІІ таблиць, Дигести Юстиніана, Руська Правда, Цивільний кодекс Галичини та інших, детально розглядаються положення вказаних пам’яток права про проценти та здійснюється їх порівняння із сучасним правовим регулюванням процентних відносин. Автор приділяє особливу увагу дослідженню правового регулювання відносин щодо застосування процентів у Старовавилонському царстві та Стародавньому Римі як найбільш розвинутих стародавніх цивілізаціях, у яких значного поширення набули торговельно-грошові та позикові відносини, детально аналізує сентенції Дигестів Юстиніана, що стали концептуальною основою правових систем більшості європейських країн. У статті також наводяться перші відомі джерела правового регулювання процентів на українських землях, прослідковується еволюція норм про проценти в різних редакціях Руської Правди, актах законодавства гетьманської доби, Цивільному кодексі Галичини. У роботі аналізується сучасний етап правового регулювання відносин щодо застосування процентів за користування грошовими коштами, надається оцінка нормам про проценти чинного ЦК України та висловлюється думка щодо необхідності їх уточнення для запобігання різного тлумачення й суперечливого правозастосування. За результатами дослідження робиться висновок про загальні тенденції розвитку правового регулювання відносин щодо застосування процентів, відзначається, що у всі часи спрямованість такого правового регулювання полягала в запровадженні законодавчих обмежень договірного розміру процентів для захисту боржників від свавілля кредиторів. Доводиться, що дослідження еволюції правового регулювання відносин щодо застосування процентів за користування грошовими коштами сприятиме розумінню правової природи процентів, їх субстанційної сутності та визначенню процентів як цивілістичної конструкції на сучасному етапі розвитку приватного права.
ОСОБЛИВОСТІ ПРАВОВОГО РЕЖИМУ ФІДУЦІАРНИХ ОБОВ’ЯЗКІВ, ЩО ВИНИКАЮТЬ МІЖ ТОВАРИСТВОМ ТА ЙОГО ПОСАДОВИМИ ОСОБАМИ, НА ПРИКЛАДІ ВЕЛИКОЇ БРИТАНІЇ
Authors: Ткачук Ілля Олександрович
Published: January 2025

У статті розглянуто особливості правового режиму фідуціарних обов’язків, що виникають між товариством та його посадовими особами, на прикладі Великої Британії. Визначено, що фідуціарні обов’язки є ключовими для забезпечення належного управління та захисту інтересів товариства і його акціонерів. Встановлено, що фідуціарні обов’язки покладають на посадових осіб товариства зобов’язання діяти в найкращих інтересах товариства, уникати конфліктів інтересів і забезпечувати чесність та прозорість у своїх діях. У статті досліджено та проаналізовано, що у Великій Британії фідуціарні обов’язки посадових осіб визначаються насамперед низкою судових прецедентів. Встановлено, що основним законодавчим актом, що регулює ці питання, є Закон про компанії 2006 року, який визначає основні обов’язки директорів, зокрема обов’язок діяти в межах повноважень, вести діяльність з належною ретельністю, уникати конфліктів інтересів і не використовувати своє становище для особистої вигоди. На підставі аналізу практики судових рішень у Великій Британії виділено ключові аспекти виконання фідуціарних обов’язків, а також виявлено типові порушення й відповідальність за їх недотримання. Визначено, що судова практика свідчить про суворий підхід до оцінки дій посадових осіб та їх відповідальності за порушення фідуціарних обов’язків. Виявлено, що британська модель є однією з найпрогресивніших, оскільки вона забезпечує високий рівень захисту інтересів товариства і його акціонерів. У статті підкреслюється важливість розуміння та належного виконання фідуціарних обов’язків посадовими особами товариства для забезпечення стабільного й ефективного корпоративного управління. На підставі здійсненого дослідження автор у висновках зазначає, що приклад Великої Британії може бути корисним для вдосконалення правового регулювання фідуціарних обов’язків, зокрема в Україні. Важливим аспектом, що зазначений у висновках, є можливість адаптації кращих практик британської моделі для покращення захисту інтересів українських товариств та їх акціонерів, а також для підвищення рівня корпоративного управління в Україні.
ПРІОРИТЕТНІ НАПРЯМИ ВИКОРИСТАННЯ ІНФОРМАЦІЙНИХ ТЕХНОЛОГІЙ У СФЕРІ ФУНКЦІОНУВАННЯ ТРАНСПОРТНОЇ ІНФРАСТРУКТУРИ УКРАЇНИ
Authors: Турченко Ігор Вікторович
Published: January 2025

У публікації розглядається проблематика впровадження сучасних інформаційних технологій в управлінські та виробничі процеси, що забезпечують безперебійне функціонування вітчизняної транспортної інфраструктури. У контексті врахування необхідності не тільки оперативного повоєнного відновлення, але й вирішення проблем подальшої модернізації вітчизняної транспортної інфраструктури, наголошується на потребі в широкому впровадженні у вітчизняну практику перевезень інтелектуальних транспортних систем (ITS). Останні передбачають передові сенсорні, комп’ютерні та комунікаційні технології, що застосовуються для забезпечення ефективності, безпечності й екологічності експлуатації транспортної інфраструктури. Розв’язання проблеми провадження ITS покликане вирішити питання покращення управління транспортними потоками, зниження часу перебування пасажирів і вантажів у дорозі, зменшення споживання відповідним транспортом палива та паливно-мастильних матеріалів та інших експлуатаційних витрат тощо. Вирішення цих питань має вирішальне значення для сталого зростання та технічної модернізації вітчизняної транспортної інфраструктури та економіки України загалом. Аналізується досвід впровадження ITS у різних країнах світу, зокрема, таких як Англія, Італія, Франція, Чехія, Південна Корея та США. Відзначається, що ці країни протягом тривалого часу активно використовують інтелектуальні системи управління пасажирськими та вантажними транспортними потоками, автоматизовані системи моніторингу транспортного руху. Ці країни на високому технологічному рівні вирішили всі проблемні питання впровадження сучасних технологій для підвищення ефективності транспортних перевезень та визначили пріоритетні напрями щодо забезпечення належного рівня безпеки на транспорті. Особлива увага в цих країнах приділяється програмам, спрямованим на розробку та впровадження під’єднаних до електромережі нових видів високошвидкісних рельсових і монорельсових транспортних засобів, автоматизованих безпілотних транспортних систем і систем управління транспортними потоками, що використовують штучний інтелект.
Burlesque et équivoque, deux tendances infortunées du Grand Siècle
Authors: Shahriari Saman
Published: January 2025

Le burlesque, tendance aux origines italiennes, marque l’émergence du dernier mouvement qui rejette avec toute force la surveillance des institutions sur l’espace littéraire. Ce style, résultat de l’amalgame artificiel de nombreux procédés littéraires, couvre le texte d’un voile opaque compliquant l’herméneutique. Étant donné que ce courant puise ses forces de l’obscurité, il est sérieusement prohibé par les théoriciens aussi bien que par les théologiens de l’époque. Sur le plan littéraire, le grotesque est accusé de violer les principes du goût et de mettre en péril la clarté. Sur le plan éthique, son ambivalence est perçue comme un vecteur d’irreligion infiltrant des textes jusque-là jugés innocents. Enfin, politiquement, il devient inconcevable pour le Roi de tolérer des écrits qui colportent des conjurations contre son absolutisme. Ces jugements ont fait du burlesque le chant du cygne du courant oppositionnel au XVIIe siècle. Toutefois, il y a toujours la possibilité de mettre en scène le burlesque dans le genre dramatique car il compte une dynamique essentielle de l’euphorie. En outre, le burlesque s’avère moins rebelle dans le théâtre car il constitue un élément mineur de la mise en scène.
Reinforced falsetto to increase the glottic closure in patients diagnosed with unilateral vocal cord paralysis
Authors: Orellana Marambio Patricio , Rosales Lillo Felipe Gonzalo , Monichi Montenegro Giovanna
Published: January 2025

There is favourable evidence in speech therapy for the rehabilitation of vocal cord paralysis. Nonetheless, contemporaneous studies that apply reinforced falsetto were not found. The aim of this study is to determine the results of speech therapy using reinforced falsetto for complete glottic closure in patients diagnosed with unilateral vocal cord paralysis, who were treated at the Laboratory of Voice at the ‘Universidad del Desarrollo’ in Chile between 2015 and 2023. A descriptive, observational and retrospective study was performed on 10 adult participants. Before therapy, dysphonia was severe in 90% of the participants, whilst moderate in the remaining 10%. Incomplete glottic closure was observed in 100% of the participants. After the therapy, dysphonia was diagnosed as being mild in 60% of the cases, and normal in the remaining 40% of participants. All the participants recovered their glottic closure. Significant differences were observed pre-intervention and post-intervention in: fundamental frequency (p .028); sound intensity (p .006); harmonics (p .000); maximum phonation time (p .000); glottic closure (p .002); and dysphonia severity (p .004). In conclusion, the reinforced falsetto technique was favourable for the glottic closure in the sample of participants studied. Further, there was clinical improvement in all the analysed variables. Speech therapy using reinforced falsetto   could therefore be useful for the rehabilitation of unilateral vocal cord paralysis. It is suggested that extra research is performed, including a representative sample, in order to generalise the results and make them applicable to the general population.
Nesnelerin İnterneti ve Pediatrik Bakımdaki Önemi
Authors: Küçük Ulak Sevgim , Başbakkal Zümrüt
Published: January 2025

Günümüzde Nesnelerin interneti (IoT) teknolojisi, pediatrik bakımın dönüşümünde önemli bir rol oynamaktadır. IoT, çocuk hastaların sağlık izlemesi, teşhisi ve tedavisi için önemli fırsatlar sunmaktadır. Bu teknoloji, minyatür sensörler, taşınabilir cihazlar ve veri analitiği aracılığıyla çocukların sağlık durumunu gerçek zamanlı olarak izlemeyi ve değerlendirmeyi mümkün kılarak erken tanı ve müdahaleye yardımcı olmaktadır. Ayrıca, kronik hastalıkları olan çocuklar için uzaktan izleme ve yönetim imkanları sunmaktadır. Ancak, IoT'nin pediatrik bakımda kullanımı bazı zorlukları da beraberinde getirmektedir. Özellikle veri gizliliği ve güvenliği konularında endişeler bulunmaktadır. Bu çalışma, IoT'nin pediatrik bakıma getirdiği avantajlar ve zorlukları ele almaktadır ve gelecekteki potansiyel uygulama alanlarını vurgulamaktadır. IoT, çocuk sağlığı alanında önemli bir rol oynayabilir, ancak bu rolün etkili ve güvenli bir şekilde gerçekleştirilmesi için dikkatli bir tasarım gerekmektedir.
Postpartum Kanama Tedavisi Yönetiminde Ekonomik Etkiler
Authors: Biri Aydan , Şafak Yılmaz Esra , Öztürk Filiz , Günaydın Berrin , Dilbaz Berna , Sonmez Mehmet , Güney Tekin , Altunbaş Merve
Published: January 2025

Postpartum kanama, doğurganlık çağındaki kadınlar için önemli bir risk oluşturmakta, doğurganlık kaybı ve artan ölüm oranları gibi ciddi komplikasyonlara yol açmaktadır. Sadece annenin değil, aynı zamanda yenidoğanın genel sağlığını da olumsuz etkilemektedir. Türkiye'de postpartum kanama ile ilgili çalışmaların ve tedavilerin sınırlı olması, sadece sağlık yönetimi açısından değil, aynı zamanda potansiyel ekonomik etkileri anlamak ve bu konuda stratejiler geliştirmek açısından da bir eksiklik yaratmaktadır. Çalışma, Türkiye’de postpartum kanama sürecinin yönetiminin daha iyi anlaşılmasını ve kamu açısından doğrudan veya dolaylı ekonomik etkilerinin hesaplanmasını amaçlamıştır. Türkiye'de postpartum kanamanın tedavi yöntemlerine ilişkin hasta yol haritasının anlaşılması amacıyla literatür taraması yapılmış ve bulgular ile uzman görüş formu oluşturulmuştur. Uzman görüş formundan elde edilen klinik veriler Sosyal Güvenlik Kurumu ilaç, tıbbi malzeme ve sağlık hizmeti fiyatları ile doğrudan ödeyici maliyeti hasta başına ortalama olarak hesaplanmıştır. Ek olarak, mevcut tedavi yöntemlerinde gözlenme ihtimali olan muhtemel doğurganlık kaybı nedeniyle ortaya çıkan ekonomik kayıp, beşerî sermaye yaklaşımı kullanılarak hesaplanmıştır. Analizde, çeşitli tedavi grupları arasındaki maliyetlerdeki istatistiksel farklılıkları değerlendirmek için tek yönlü ANOVA kullanılmıştır. Elde edilen sonuçlar doğrultusunda rekombinant faktör 7a (rFVIIa) tedavisi ve cerrahi işlem tedavisi karşılaştırıldığında hasta başına toplam doğrudan ve dolaylı maliyet için artırımlı maliyet -354.925 TL ve kohort başına toplam doğrudan ve dolaylı maliyet için artırımlı maliyet -207.710.125 TL olarak hesaplanmıştır. Tek yönlü ANOVA ile elde edilen sonuçlar ile yapılan istatistiksel analiz ise, gruplar arasında tedavi sonuçlarında istatistiksel olarak anlamlı farklılıklar olduğu gösterilmiştir. Ekonomik analizden ve uzman görüşlerinden elde edilen veriler ışığında rFVIIa tedavisi, postpartum kanama tedavisinde alternatif tedavilere göre daha fazla maliyet sunmasına rağmen, cerrahi işleme kıyasla mortalite ve doğurganlık kaybını düşürmesi sebebiyle bu hastaların tedavi algoritmalarında farklı bir seçenek olarak Sosyal Güvenlik Kurumu tarafından rFVIIa’nın geri ödemeye alınmasında fayda sağlanacağı söylenebilir.
Causal Relationship Between Temporomandibular Disorders And Rheumatoid Arthritis: A Bidirectional Mendelian Randomization Analysis.
Authors: Zheng Bo , Yin Peng , Liao Xiangling ,   Department of Stomatology, Beijing Luhe Hospital, Capital Medical University, Beijing, China., Pei Yanhong ,   Department of Bone Tumor, Peking University People’s Hospital, Beijing, China.
Published: January 2025

Objective: In this study, we aimed to explore the reciprocal
cause-and-effect relationship between temporomandibular
disorders (TMDs) and rheumatoid arthritis (RA).
Materials and Methods: We perfomed a two-sample
bidirectional Mendelian randomization (MR) analysis from
genome-wide association studies. The primary analysis
approach used was inverse variance weighting (IVW), with
supplementary analyses using MR-Egger, weighted median
method, simple mode, and weighted mode to assess the
causal relationship between TMD and RA, with odds ratios
(ORs) and 95% confidence intervals (CIs). Heterogeneity
testing and assessment of multiple validity were performed
using Cochran’s Q, MR-Egger, and MR-pleiotropy residual
sum and outlier methods.
Results: The general results of the forward MR analysis
indicated that TMD had a significant causal effect on RA
(IVW: OR = 1.125, 95% CI = 1.013–1.249, P = .028). However,
the reverse MR analysis results suggested that RA had a
dramatic causal effect on TMD (IVW: OR = 1.074, 95% CI =
1.025–1.126, P = .003). Finally, the stability and reliability of
the causal association between the above combinations were
confirmed through sensitivity analyses and other tests.
Conclusion: Our results demonstrated a hereditary causative
relationship between TMD and RA. The findings emphasize
the need for clinicians to additionally consider patients with
RA when consulting for TMD and give more attention to
patients with TMD, especially those undergoing pain control.
AKTIVITAS ANTIBAKTERI DARI EKSTRAK METANOL MAGGOT (Hermetia illucens) TERHADAP Propionibacterium acnes
Authors: Achmad wahyudi  , Ibrahim Edy Sapada  , Yeni Agustin
Published: January 2025

Infeksi merupakan penyakit yang banyak diderita penduduk dinegara berkembang, seperti Indonesia. Jerawat merupakan infeksi yang disebabkan oleh adanya peradangan kronis pada kulit yang terjadi pada masa remaja hingga dewasa. Bakteri utama jerawat adalah Propionibacterium acnes. Maggot (Hermetia illucens) merupakan salah satu bahan alam yang telah terbukti memiliki aktivitas antibakteri. Penelitian ini bertujuan untuk menguji aktivitas antibakteri ekstrak metanol maggot (Hermetia illucens) terhadap bakteri Propionibacterium acnes. Penelitian ini bersifat eksperimental. Maggot (Hermetia illucens) diekstraksi secara maserasi menggunakan pelarut metanol. Uji antibakteri dilakukan dengan metode difusi sumuran. Penelitian ini menunjukkan bahwa eksrak metanol maggot (Hermetia illucens) memiliki daya hambat terhadap bakteri Propionibacterium acnes pada konsentrasi 30 mg/mL, 50 mg/mL, 70 mg/mL dengan rata-rata zona hambat 18,8 mm, 19,5 mm, dan 20,8 mm. Dari hasil penelitian didapatkan kesimpulan bahwa ekstrak metanol maggot (Hermetia illucens) memiliki aktivitas antibakteri terhadap bakteri Propionibacterium acnes dan klindamisin sebagai kontrol positif lebih efektif menghambat dibandingkan dengan ekstrak metanol maggot (Hermetia illucens).
TINJAUAN PENERAPAN REKAM MEDIS ELEKTRONIK (ELEKTRONIK MEDICAL RECORD) PELAYANAN RAWAT JALAN DI RUMAH SAKIT ISLAM SITI KHADIJAH PALEMBANG TAHUN 2024
Authors: Dewi Nashrulloh  , Yulia Anggraini
Published: January 2025

Rekam medis elektronik adalah penggunaan perangkat teknologi informasi untuk pengumpulan, penyimpanan, pengelolaan serta pengaksesan data yang tersimpan pada rekam medis pasien di rumah sakit dalam suatu sistem manajeman basis data yang menghimpun sumber data medis. Berdasarkan observasi awal Rumah Sakit Islam Siti Khadijah Palembang telah menerapkan rekam medis elektronik untuk pelayanan pasien rawat jalan. Penelitian bertujuan untuk mengetahui sejauhmana penggunaan teknologi digital dalam proses pencatatan dan pengelolaan rekam medis dapat secara efektif mendukung dan memperkuat pelaksanaan Rekam Medis Elektronik. Penelitian ini menggunakan pendekatan kualitatif dengan desain penelitian explorative study untuk mendapatkan informasi mendalam dari informan tentang pemahaman perekam medis terhadap penerapan rekam medis elekronik di Rumah Sakit. Pengambilan data dengan cara wawancara mendalam menggunakan pedoman pertanyaan yang diajukan kepada petugas rumah sakit yang menjadi informan yang berjumlah 4 orang yaitu dokter, petugas rekam medis, perawat dan petugas administrasi rawat jalan yang masing- masing telah menggunakan Rekam Medis Elektronik (RME). Analisis data diolah dengan teknik content analysis. Hasil pada penelitian ini menunjukkan bahwa Rumah Sakit Islam Siti Khadijah Palembang telah menerapkan Rekam Medis Elektronik sejak awal bulan November 2022 dalam penerapan aspek Isi dari Rekam Medis Elektronik sudah lengkap dan memenuhi kebutuhan rumah sakit, penerapan aspek keamanan dan perlindungan data Rekam Medis Elektronik tenaga medis tenaga kesehatan dan/atau tenaga lain yang mengakses Rekam Medis Elektronik diberikan hak akses berupa username dan password serta petugas telah merasakan manfaat dari penerapan RME yaitu dapat meningkatkan efektifitas dan mutu pelayanan kepada pasien. Untuk mengatasi masalah apabila terjadi ganguan sistem maka pasien didaftarkan secara manual dan bila gangguan telah teratasi maka disalin ke Rekam Medis Elektronik. Kesimpulan penelitian ini adalah petugas memeiliki pemahanan yang sangat baik terhadap penerapan RME di Rumah Sakit. Penerapan Rekam Medis Elektronik (RME) telah mengacu pada peraturan perundangan yang berlaku dan telah dirasakan manfaatnya oleh petugas di pelayanan rawat jalan Rumah Sakit Islam Siti Khadijah Palembang
PELATIHAN PEMBUATAN PEMBERIAN MAKANAN TAMBAHAN (PMT) MODIFIKASI BERBASIS PANGAN LOKAL TERHADAP PENGETAHUAN IBU BALITA
Authors: Suryati  , Sarni Anggoro  , Amyati  , Fani Fadilah
Published: January 2025

Stunting merupakan suatu kondisi dimana keterlambatan pertumbuhan yang terjadi pada anak yang ditandai dengan suatu keadaan dimana kondisi tubuhnya lebih pendek jika dibandingkan dengan anak seusianya. Pentingnya dilakukan pelatihan pembuatan PMT untuk ibu balita stunting yaitu memberikan berbagai inovasi pembuatan makanan tambahan bagi ibu sendiri dan selain itu juga dengan adanya pelatihan bisa meningkatkan kemampuan orangtua dalam mengenali atau mendeteksi sejak dini adanya perkembangan yang salah pada bayi. Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan pembuatan PMT berbasis pangan lokal terhadap pengetahuan ibu balita stunting. Metode penelitian ini menggunakan desain penelitian pre eksperimen dengan pendekatan one group pretest and posttest design. Intervensi yang diberikan yaitu pelatihan pembuatan makanan tambahan (Nugget daun kelor). Populasi penelitian ini yaitu ibu balita berjumlah 46 responden didapatkan sampel sebanyak 30 responden dengan teknik purposive sampling. Instrumen yang digunakan berupa kuesioner pengetahuan ibu balita tentang PMT berbasis pangan lokal sebanyak 35 pertanyaan. Skala data ordinal dan menggunakan Uji Wilcoxon. Berdasarkan penelitian, rata-rata nilai pengetahuan sebelum diberikan intervensi demonstrasi pelatihan PMT berbasis pangan lokal yaitu 61,80 dan setelah dilakukan intervensi nilai menjadi 83,32. Berdasarkan Uji Wilcoxon sebelum dan setelah diberikan intervensi nilai p-value sebesar 0,000 (nilai p <0,05) yang menunjukan bahwa terdapat perbedaan yang signifikan sebelum dan setelah diberikan intervensi pelatihan pembuatan PMT berbasis pangan lokal. Kesimpulan dalam penelitian ini adalah pelatihan pembuatan PMT berbasis modifikasi pangan lokal berpengaruh pada pengetahuan ibu balita.
Sosialisasi Manajemen Waktu dan Motivasi Belajar Dalam Meningkatkan Prestasi Belajar Remaja
Authors: Reza Bobby , Prasetyo Sisman , Nugroho Prasetyo Adi , Lukiyana Lukiyana , Putra Bagas Kautsar Azizal , Salini S.Sarwita , Rafi Muhammad , Kaylasalma Nazla
Published: January 2025

This program is conducted to provide education on time management and efforts to improve and maintain learning motivation for adolescents at the junior high school level. This program is expected to have a positive impact on participants in terms of time management and increasing motivation, so that learning achievement can be improved. Education through socialization was conducted at SMP Negeri 2 Muaragembong, Jayasakti Village, Bekasi. The methods used were socialization and Question & Answer. The information analyzed showed that a good understanding of time management and a high level of learning motivation contributed to improving adolescent achievement. The results of this activity provide recommendations for adolescents and education partners to improve their understanding and practice of time management and learning motivation in order to achieve improved learning achievement in Jayasakti Village.
Pengembangan UMKM Di Desa Pantai Bhakti Muara Gembong, Bekasi Melalui Kreativitas dan Inovasi
Authors: Nathadiharja Sri Sukartono , Diansyah Diansyah , Tambun Sihar
Published: January 2025

Community service activities through the Student Work Lecture (KKM) program. In improving the village economy through Community service activities through the Student Work Lecture (KKM) program. In improving the village economy in development through creativity and innovation, Pantai Bhakti Village, Muara Gembong, Bekasi, has potential natural resources that can support the development of Micro, Small and Medium Enterprises (UMKM). However, limitations in terms of creativity, innovation, and market access are still an obstacle for local communities in optimally developing their UMKM. This community service program aims to increase the capacity of UMKM in Pantai Bhakti Village through training that focuses on product creativity, innovation in seafood processing, and digital marketing strategies. Through a participatory approach, the community is given an understanding of unique and valuable product development, digital-based marketing techniques, and sustainable utilization of local resources. The results of the program showed an increase in the community's ability to create innovative products and expand their marketing reach. This article reviews the role of creativity and innovation as key to UMKM development in coastal areas and the importance of collaborative support to achieve local economic sustainability.
FIRST EXPERIENCE WITH VATS BRONCHOPLASTIC LOBECTOMY
Authors: Yeleussizov A. , Imanbekov B. , Kadyrbayeva R. , Alieva B. , Nurbaev M.
Published: January 2025

Relevance: Surgical treatment for lung cancer is the primary radical approach in antitumor therapy, utilized as a standalone method and
as part of a combined strategy. Radical surgical intervention typically involves anatomical lung resection accompanied by lymph node dissection. Modern oncological surgery increasingly emphasizes organ- and function-preserving procedures that maintain oncological efficacy.
Video-assisted thoracoscopic surgery (VATS) presents an alternative to traditional open methods, although it is technically more challenging
and generally more expensive. Nonetheless, its advantages – such as reduced postoperative pain, shorter duration of pleural drainage, better
preservation of lung function, decreased length of hospital stay, and quicker return to normal activities—continue to motivate the surgical
community to adopt minimally invasive techniques. This report highlights the first observation of a VATS lobectomy with bronchoplasty.
The study aimed to demonstrate the feasibility of minimally invasive bronchoplastic lobectomy as an alternative to pneumonectomy and
traditional thoracotomy lobectomy with bronchoplasty.
Methods: This paper details a case of video-assisted thoracoscopic surgery performed on a patient with non-small cell lung cancer (NSCLC), along with the technical specifics of the surgical procedure.
Results: The article presents short-term outcomes of the VATS bronchoplastic lobectomy, showcasing the effectiveness of this surgical
approach.
Conclusion: For the first time in Kazakhstan, we successfully performed a thoracoscopic bronchoplastic lobectomy. Based on our experience and insights from international colleagues, we believe this intervention is safe and effective for patients with centrally located lung tumors.
EFFICIENCY OF ENDOSCOPIC EXAMINATIONS UNDER SEDATION:
EXPERIENCE OF THE NATIONAL SCIENTIFIC CANCER CENTER
(ASTANA, KAZAKHSTAN)
Authors: Batyrbekov K. , Galiakbarova A.
Published: January 2025

Relevance: The purpose of sedation during endoscopic procedures is to reduce patient discomfort, including anxiety and pain while maintaining a minimum frequency of side effects associated with taking medications.
The study aimed to investigate the effectiveness of sedation in endoscopic examinations at the National Scientific Oncology Center (NSOC,
Astana, Kazakhstan) in 2023, determine the effect of sedatives on the quality of colonoscopy, and provide more theoretical evidence for the
clinical use of sedatives.
Methods: In 2023, sedation for endoscopic examinations at the outpatient stage was available in 11 clinics in Astana. A retrospective
analysis of endoscopic studies under sedation and without sedation conducted in the conditions of the endoscopic department of the National
Research Cancer Center (Astana, Kazakhstan) for 2023 was carried out.
Results: The total number of endoscopic examinations in Astana in 2023 is 56,143, of which 10,651 studies were conducted under sedation
with propofol. The average cost of sedation in Astana is 18,600 tenge, the minimum cost is 13 thousand tenge, and the maximum reaches 32 thousand tenge. The minimum number of sedations during endoscopic examinations in 2023 in Astana was 312; the maximum was 4,593. In 2023,
2 cases of colon perforation were recorded during colonoscopy under propofol sedation; both cases occurred in private centers, and patients
were urgently operated with colostomy removal.
In a single-center study of the results of performed colonoscopies without sedation and with sedation in the conditions of the NROC, the
number of detected malignancies during sedative colonoscopy was 3% higher, and the number of identified polyps was 0.3% more than with
non-sedative, which, as a result, improves the quality of screening colonoscopy as a whole.
Conclusion: The increased use of sedation at the outpatient level will have a positive impact on the quality of esophagogastroduodenoscopy and screening colonoscopy, which means that it will increase the incidence of early forms of stomach and intestinal cancer. Given the
data on sedation during endoscopic examinations in the city’s clinics, it is safe to say that there is a good growth potential for the widespread
introduction of sedation.
PERSPECTIVES OF USING THE EXTRACELLULAR NEUTROPHIL
TRAP LEVELS IN COLORECTAL CANCER:
A LITERATURE REVIEW
Authors: Nuraly S. , Shakeev K. , Turgunov E. , Ponomareva О. , Kabildina N. , Omarova I. , Ogizbayeva A.
Published: January 2025

Relevance: This literature review evaluates an alternative type of neutrophil immune response – the ability for NETosis or forming
neutrophil extracellular traps (NETs). NETs influence the processes of carcinogenesis and cancer metastasis and play a role in the formation of
tumor microenvironment and tumor-associated inflammation. The study of netosis has provided a deeper understanding of the mechanisms of
intercellular interactions of the tumor microenvironment. NETs can also potentially become prognostic markers and predictors of complications
of antitumor treatment of various cancers, including colorectal cancer (CRC).
The study aimed to summarize and systematize the current information on NETs and the impact of this phenomenon on the course of CRC
and metastasis, as well as identify potential clinical points for using this marker in oncological practice.
Methods: The articles were searched and selected in Pubmed, Web of Science, Scopus, and RSCI databases by keywords among articles
published in the past 10 years.
Results: NETs play an important role in the immune response to tumor niches and the metastasis of various solid tumors. There are data
on the possibility of using NETs as a prognostic marker in various oncologic diseases. Experimental and clinical studies showed a potential
relationship between NET levels and chemotherapy resistance and the impact of chemotherapy on the incidence of various complications.
Chemotherapy with 5-Fluorouracil, according to the results of experimental studies, significantly increases the formation of NETs. The
influence on the mechanism of NET release showed limited clinical efficacy of chemotherapy in CRC patients with PIK3CA mutation.
The phenomenon of NETs is still poorly understood, and more studies are needed to widely implement this indicator into routine practice;
however, research in this direction has the potential to have broad prospects for clinical application.
Conclusion: Advances in immunology and the discovery of the netosis process have led to a deeper understanding of the mechanisms
of interactions in the tumor microenvironment. Studying this process may make it possible to control or predict cancer progression and
complications of antitumor treatment.
CRYOTHERAPY FOR BASAL CELL SKIN CANCER
Authors: Tuleuova А.
Published: January 2025

Relevance: Basal cell skin cancer is the most common type of skin cancer, accounting for about 80% of all cases. Given its benign course,
early treatment of basal cell skin cancer (at stages 1 and 2) is an important point. These stages typically have a high cure rate, and one of the
key goals of treatment is to minimize exposure with good cosmetic results.
The study aimed to provide an overview and analysis of cryotherapy as a treatment option for basal cell skin cancer (BCSC), including
assessing its effectiveness and safety.
Methods: The study included patients with stages I and II of BCC, age 18 years and older, of both sexes, who underwent cryotherapy as the
main method of treatment.
Results: Between 2017 and 2023, the Kazakh National Research Institute of Oncology and Radiology (Almaty, Kazakhstan) performed
cryotherapy in 983 patients suffering from stage I and II basal cell carcinoma (BCC).
Conclusion: Cryotherapy is an effective method for treating BCC in the early stages of the disease, providing a good cosmetic result and
minimal complications.
Our 983 patients who received cryotherapy had a local response to treatment, manifested by partial or complete disappearance of the tumor.
Cryotherapy has been successfully used in patients aged 18 years and older, regardless of gender and the presence of concomitant diseases.
Absolute standardized morbidity and mortality rates were calculated using the world standard (World).
IMPACT OF CHARLSON COMORBIDITY INDEX ON POSTOPERATIVE COMPLICATIONS IN ELDERLY PATIENTS WITH HIGH-RISK PROSTATE CANCER
Authors: VEZIROVA Z . , GULIYEV F. , MUSAYEV T.
Published: January 2025

Relevance: The broad experience accumulated to date in performing radical prostatectomy (RPE) in high-risk patients has signifi-cantly reduced the frequency of perioperative complications. Studies that evaluate risk factors and scales to estimate the probability of complications for patients over 70 years are important.The study aimed to determine the safety criteria for performing RPE in patients over 70 years of age with high-risk prostate cancer. Methods: A total of 163 patients who underwent open RPE for high-risk prostate cancer from September 2018 and July 2021 were included in the study. The risk of postoperative complications was calculated using the Charlson Comorbidity Index (CCI). Complica-tions of the postoperative period (90 days from the date of surgical intervention) were evaluated according to the Clavien-Dindo classi-fication. The correlation between the indicators of CCI and postoperative complications was performed. Results: All patients were divided into 2 groups by CCI equal to 2.5. The statistical analysis directly correlated this value with Grade I-II complications (χ2=13.610; p<0.001). The most significant correlation revealed during the multifactorial logistic regression analysisof preoperative parameters was established between diabetes mellitus and the incidence of postoperative infectious complications (HR – 2.84; 95% CI: 2.59-3.12; p<0.001).Conclusion: The expediency of using CCI to identify a group of patients with a high probability of complications was emphasized. Comprehensive assessment of perioperative risk, chronological age as an isolated factor is not a contraindication for surgical treatment of prostate cancer in men over 70 years of age.
Perancangan dan Implementasi Sistem Informasi Penggunaan Kendaraan Dinas Pada Sub Bagian Angkutan Dengan Menggunakan Aplikasi Android
Authors: Wulandari Desy , Suwarni Suwarni
Published: January 2025

Perancangan dan implementasi sistem informasi untuk kendaraan dinas pada sub bagian angkutan dengan
menggunakan aplikasi Android adalah sebuah inisiatif penting dalam meningkatkan efisiensi dan
efektivitas manajemen. Sistem ini dirancang dengan menggunakan React Native sebagai platform
pengembangan lintas platform yang memungkinkan penggunaan kode yang sama untuk Android.
Pendekatan Rapid Application Development (RAD) digunakan untuk mempercepat proses pengembangan.
Model Unified Modeling Language (UML) digunakan untuk merancang arsitektur sistem yang jelas dan
terstruktur. Pengujian User Acceptance Testing (UAT) dilakukan untuk memastikan bahwa sistem
memenuhi kebutuhan dan harapan pengguna. Fungsionalitas aplikasi diuji menggunakan Functional
Suitability untuk memastikan kesesuaian fungsional dengan kebutuhan pengguna. Hasil pengujian dan
implementasi menunjukkan bahwa sistem ini memberikan solusi yang mampu memantau kendaraan dinas.
Alasan di balik perancangan sistem ini adalah untuk mengatasi kendala yang sering dihadapi dalam
pengelolaan kendaraan dinas, seperti dalam melacak penggunaan dan perawatan kendaraan secara berkala.
Tujuan dari sistem ini adalah untuk menyediakan alat mudah digunakan yang dapat membantu pengelola
dalam memantau dan mengoptimalkan penggunaan kendaraan dinas
Kata Kunci : React Native, RAD, UML, pengujian UAT, Functional Suitability
Optimalisasi Penerapan Rekam Medis Elektronik di Puskesmas Sungai Andai
Authors: Ningsih Eka Rahma
Published: January 2025

Seluruh fasilitas pelayanan kesehatan termasuk Puskesmas harus menyelenggarakan Rekam Medis Elektronik sesuai ketentuan paling lambat tanggal 31 Desember 2023. optimalisasi penerapan rekam medis elektronik masih ada  ada kondisi yang belum belum memenuhi aspek dalam impelementasi RME, Puskesmas Sungai Andai menyelenggarakan penerapan rekam medis elektronik sudah berjalan di tahun 2024, namun masih diselenggarakan secara hybrid sehingga perlu adanya pengoptimalan dalam penerapan rekam medis elektronik tersebut, Penelitian ini menggunakan penelitian kualitatif dengan deskriptif, pengumpulan data dilakukan melalui wawancara dan observasi. Subjek dalam penelitian ini berjumlah 4 orang dengan kategori Kepala Puskesmas, Kepala Tata Usaha, Kepala unit rekam medis, dan Petugas Pendaftaran. Hasil penelitian ini dari aspek sumber daya manusia segi kuantitas masih belum mencukupi, dari segi kualitas sudah diberikan pelatihan bagi tenaga yang belum berlatar belakang pendidikan DIII Rekam Medis. Aspek sarana dari perangkat keras belum mencukupi untuk semua sub unit pelayanan, dari perangkat lunak sudah menggunakan e-pukesmas. Standar operasional prosedur belum tersedia sehingga saat ini hanya menggunakan pedoman dari peneyelanggara pelatihan. Dalam hal ini pelaksanaan pelayanan rekam medis elektronik di Puskesmas Sungai Andai masih perlu pengoptimalan dalam menunjang penerapan Rekam Medis Elektronik.
 
Kata Kunci: Optimalisasi, Penerapan, Rekam Medis Elektronik,
EVALUASI PENGGUNAAN SISTEM E-PUSKESMAS
Authors: Fitriana Rini Jusy , Persadha Galih
Published: January 2025

Perkembangan teknologi informasi yang pesat ditandai oleh penggunaan komputer sebagai sarana pendukung aktivitas manusia. Penerapan aplikasi E-Puskesmas, berbasis web dan mobile, membantu dalam pelayanan dan manajemen puskesmas sesuai standar Kementerian Kesehatan. Kerangka kerja PIECES memiliki enam kategori, membantu dalam pemecahan masalah sistem dengan efektivitas. Hasil penelitian menunjukkan tingkat kepuasan pengguna sistem E-Puskesmas yang tinggi, dengan nilai rata-rata variabel Performance, Informasi, Ekonomi, dan Layanan di atas 80%. Meskipun ada beberapa kendala seperti jaringan dan sistem yang alami, Penerapan E-Puskesmas dengan pendekatan PIECES di Puskesmas telah berjalan dengan baik, meningkatkan kualitas pelayanan dan kepuasan pengguna
Working in psychiatric clinics during the Covid-19 pandemic: A qualitative study
Authors: Ata Elvan Emine , Sarıtaş Merve , Atakoğlu Azize Gözde
Published: January 2025

Introduction and Aim: This study aims to investigate the difficulties and impacts experienced by nurses and psychiatrists working in psychiatry clinics during the COVID-19 pandemic. Material and Methods: This study was designed as a qualitative study. Data were collected through face-to-face, semi-structured interviews with 16 psychiatrists and nurses working in psychiatry clinics in Turkey in 2021. The data were analysed using the MAXQDA 20th program. Results: The three themes that were established during the analysis were the changes made during the COVID-19 process, the difficulties experienced, and recommendations about the problems. Conclusion: The study clearly defined the precautions and changes made during the COVID-19 pandemic process and revealed the impact and difficulties faced by healthcare personnel. It was determined that the process can be managed better by strengthening the physical conditions of the clinics, increasing the number of protective equipment, organizing the working conditions, and providing therapeutic interventions for the staffs by the managers.
Explained theoretical models for strategic Management of Human Resources
Authors: Mokadem Wahiba
Published: January 2025

HRM has evolved into a strategic function whose purpose is to contribute to the creation of value within the company. The GSRH is the integrated set of practices, policies and strategies used by the company to manage its human capital.
In this article, we tried to understand the evolution of strategic human resources management through analyzing and evaluating four models of strategic human resources management: the HR accounting model, the HR strategic planning model, the HR Competitiveness Model and the HR Competency Model.
النماذج النظريـة المفسـرة للإدارة الاستراتيجية للموارد البشريـة
الملخص: تطورت إدارة الموارد البشرية لتصبح وظيفة ذات بعد استراتيجي تهدف إلى المساهمة في خلق القيمة في المنظمة، حيث تعني الإدارة الاستراتيجية للموارد البشرية إدماج مجموعة من الممارسات والسياسات والاستراتيجيات التي تتبناها المنظمة من أجل تسيير وإدارة مواردها البشرية.
من خلال هذا البحث سنحاول فهم تطور الإدارة الاستراتيجية للموارد البشرية وذلك من خلال تحليل وتقييم أربعة نماذج للإدارة الاستراتيجية للموارد البشرية، وهي: نموذج محاسبة الموارد البشرية، نموذج التخطيط الاستراتيجي، نموذج تنافسية الموارد البشرية، نموذج كفاءات الموارد البشرية.
The Relationship between the Use of Renewable Energies and the Dimensions of Sustainable Development in Algeria during the Period 1990-2014
Authors: Khelifa Hadj , Mezouaghi Djilali , Bachouche Hamid
Published: January 2025

This study aimed to determine the relationship between the transition to the use of renewable energy and sustainable development in Algeria during the period 1990-2014, across three dimensions: economic, social, and environmental. Simple regression models and SPSS.V Software 22.0 were used. The study found that there was a significant relationship between the transition to the use of renewable energy and the economic dimension of sustainable development, as represented by the gross domestic product (GDP). However, the study found that there was no significant relationship between the consumption of renewable energies and the social dimension of sustainable development, as represented by the Human Development Index (HDI). The results also showed that there was a significant relationship between the use of renewable energies and the environmental dimension of sustainable development, as represented by the emission of carbon dioxide (CO2).
الملخص: تسعى هذه الدراسة إلى تحديد مدى ارتباط التحول لاستخدام الطاقات المتجددة والتنمية المستدامة بأبعادها الثلاثة (الاقتصادي، الاجتماعي، البيئي) في الجزائر خلال الفترة الممتدة من 1990 إلى 2014، وبذلك باستخدام نماذج الانحدار البسيط وبرنامج SPSS.V.22.0، وقد خلصت هذه الدراسة الى تحديد مستوى العلاقة بين التحول إلى استخدام الطاقات المتجددة والبعد الاقتصادي للتنمية المستدامة ممثلة بالناتج المحلي الإجمالي (GDP)، كما أشارت الى انعدام العلاقة بين استهلاك الطاقات المتجددة والبعد الاجتماعي للتنمية المستدامة ممثلة بمؤشر التنمية البشرية (HDI)، كما أثبتت النتائج وجود علاقة دالة احصائيا بين استخدام الطاقات المتجددة والبعد البيئي للتنمية المستدامة ممثلة بنسبة غاز أوكسيد الكربون (CO2).
Application of Lean Management in the pharmaceutical industry: Case of the SAIDAL Group
Authors: Hamza Fairouz , Rebib Nadia
Published: January 2025

Today, the pharmaceutical industry is increasingly facing many challenges in a constantly changing environment. To cope with this, companies find their place in optimizing their operations and continuously improving their management systems to be able to stay on course for sustainable performance. In this competitive environment, the pharmaceutical sector is turning to the Lean Manufacturing approach to achieve total elimination of waste. "SAIDAL Group", a leading national and regional pharmaceutical company in Algeria, is part of this approach. A field study on a sample of 46 staff revealed some Lean Management practices within the group. The study concluded that SAIDAL should strengthen the use of a lean production system to reduce waste.
Application du Lean Management dans l’industrie pharmaceutique : cas du groupe SAIDAL.
RESUME: De nos, jours, l’industrie pharmaceutique est de plus en plus confrontée à de nombreuses difficultés dans un environnement en perpétuel changement. Pour y faire face, les entreprises trouvent leur place dans l’optimisation de leurs opérations et l’amélioration continue de leurs systèmes de management afin de maintenir le cadre de performance durable.Dans ce contexte concurrentiel, le secteur pharmaceutique se tourne vers la démarche du Lean Management pour parvenir à une élimination totale des gaspillages. "SAIDAL Groupe" entreprise pharmaceutique leader à l’échelle national et régional en Algérie, s’est inscrit dans cette démarche. Une étude de terrain sur un échantillon de 46 cadres a relevé quelques pratiques Lean Management au sein du groupe. L'étude a conclu que l’entreprise Saidal applique la démarche Lean Management au niveau des départements relatifs à la production et la distribution, mais elle devrait améliorer son utilisation pour moins de gaspillage.