bluuebunny/crossref_metadata_2025 huggingface dataset:
Symptom Severity of Obsessive-Compulsive Disorder Post COVID-19 Pandemic in Psychiatry Department of Tertiary Care Hospital
Authors: Butt Ammara , Ul Aan Butt Quart , Siddique Abu Bakr
Published: January 2025

Background: There has been considerable speculation regarding the detrimental effects of the COVID-19 pandemic on mental health. The prevalence of mental disorders is thought to increase during pandemics, and the unique circumstances of the COVID-19 pandemic may have a direct impact on obsessive-compulsive disorder (OCD) manifestation clinically. The objective of the study was to find a mean change in symptom severity of obsessive-compulsive disorder post-COVID-19 pandemic.
Patients and methods: A Qausi-experimental study was conducted at the Department of Psychiatry, Jinnah Hospital, Lahore from 05-01-2022 to 05- 07-2022. After approval of the Ethical Review Board and obtaining informed consent, data was obtained from patients focused on available Yale-Brown Obsessive-Compulsive Scale (YBOCS) scores at the start of the COVID-19 pandemic in Pakistan. These patients were re-evaluated using the YBOCS scale to determine any changes in OCD severity, defined as a 50% increase from the baseline (YBOCS) score. All data were recorded on a proforma. All data were recorded on a proforma. Data analysis was performed using IBM SPSS 21. Before and mean change in (YBOCS) was determined by paired sample t-test with a significance level of p≤0.05.
Results: The mean age was 36.65±3.892 years. There were 56.7% (n=34) males whereas 43.3% (n=26) were females. Distribution of duration of disease, pre-COVID YBOC score, Post- COVID (YBOCS), and change in (YBOCS) was calculated as 3.52+1.0 years, 18.07+1.9, 28.30+2.149 and 10.33+3.001, respectively.
Conclusion: In the current study we found the mean change in symptom severity of obsessive-compulsive disorder post-COVID-19 pandemic using (YBOCS) score. The rise in symptoms and overall severity observed in individuals with OCD may largely stem from the stress induced by the ongoing pandemic.
Effect of Resected Gastric Volume on Postoperative Excess Body Weight Loss after Laparoscopic Sleeve Gastrectomy
Authors: Farooq Humza , Khurshid Saher , Awais Muhamamd , Farooq Kinza , Siddiq Ghulam , Uneeb Muhammad
Published: January 2025

Background: Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric procedure for achieving weight loss and improving obesity-related comorbidities. While the resected gastric volume (RGV) is thought to influence weight loss outcomes, its precise role remains uncertain. This study aimed to evaluate the relationship between RGV and % excess body weight loss (%EBWL) six months post-LSG.
Patients and Methods: This prospective cross-sectional study was conducted in the General Surgery Department at Shifa International Hospital, Islamabad, from June 2023 to June 2024. Adult patients undergoing primary LSG were included, excluding those with prior bariatric surgery or incomplete follow-up data. Data collected included demographics, comorbidities, pre- and postoperative BMI, RGV, and %EBWL. RGV was measured intraoperatively by creating a gastrotomy at the antral end of the resected stomach, filling it with water via a Toomey syringe until maximum capacity, and measuring the volume in a graded container. %EBWL was calculated as [(initial weight − postoperative weight) ÷ (initial weight − ideal weight)] × 100. Procedures were performed by experienced surgeons, and patients were followed up for six months.
Results: Among 41 patients (mean age 35.3 ± 12.9 year) 51% (21) were male and 49% (20) were female, mean preoperative BMI was 40.9 ± 7.3 kg/m², decreasing to 32.9 ± 5.7 kg/m² postoperatively. Comorbidities included diabetes (49%), hypertension (41%), and sleep apnea (73%). Mean RGV was 891.8 ± 187.6 mL, and mean %EBWL was 52.1 ± 31.1%. A weak, inverse correlation between RGV and %EBWL (r = -0.085, p = 0.793) was observed, indicating no significant association.
Conclusion: The findings suggest that RGV does not significantly predict short-term weight loss after LSG. Further research is needed to explore other determinants of weight loss, including patient characteristics and postoperative behaviors.
Sanitary Practices of Street Food Vendors: A Cross-sectional Comparative Study, Lahore, 2023
Authors: Shahadat Khan Rozina , Ali Asma , Zobia  , Abubakar Khan Muhammad , Munir Hanzala
Published: January 2025

Background: Street food is an important source of nourishment for many in urban areas. However, any compromise in hygienic practices can render it unsafe for human consumption. The objective of this study was to assess the sanitary practices of street food vendors and their relation to the sociodemographic profile, in Lahore
Subjects and methods: This was a cross-sectional comparative study conducted in Lahore, Punjab for 6 months after ethical clearance. Street vendors from areas around Ameer ud Din Medical College, which are densely populated with a multitude of offices and hostels, were included in the study after informed consent. Convenience sampling and a predesigned questionnaire were used by the researchers to collect data from 288 vendors. Demographic variables and vending practices were studied and compared using chi-square test. For data entry and analysis SPSS version 23 was used.
Results: The average age of the vendors was 34.6 years. 286 (99.3 %) were males,195 (67.7%) were married and 138 (47.9%) had vending experience of less than 5 years. 60 (21%) had education of graduate and above level. 209 (76%) had a monthly income below 50,000 rupees. 61 (21.2%) had a good vending practices score, i.e. a score of 75% and above based on water usage, usage of sanitary toilet facilities, hand washing and nearby environment of the vending site. There was no significant association between sanitary practices and sociodemographic variables.
Conclusion: Most vendors did not have a good vending practices score. Sanitary practices of the vendors had no relation with gender, marital status, education, work experience or monthly income of the vendors.
Bentuk Fisik Angklung Sebagai Perwujudan Kosmologi dan Makna Sosial
Authors: Anwary Sumadi Roly Salley , Triharini Meirina
Published: January 2025

Angklung adalah salah satu alat musik tradisional yang telah mengalami perkembangan signifikan dalam berbagai aspek. Penelitian ini mengkaji perkembangan angklung dari perubahan bentuk fisik, penerapan musik, hingga maknanya dalam konteks sosial budaya. Penelitian ini menggunakan metode literature review dengan mengumpulkan data literatur terkait perkembangan angklung. Secara sosial budaya, angklung tidak hanya dapat tetap relevan, tetapi juga semakin populer dan digemari, baik di Indonesia maupun di dunia internasional. Penelitian ini menyimpulkan bahwa angklung sebagai artefak kesenian tradisional terus berkembang dan beradaptasi dengan zaman, tanpa kehilangan nilai budayanya.
Analysis of the influence of management on the quality of tourism services and the competitiveness of a tourism company
Authors:   Deparmant Economics, University of Science and Technology, Uzbekistan, qizi Ergasheva Iroda Ibroxim
Published: January 2025

The tourism industry thrives on the quality of services provided and the competitive positioning of companies in a dynamic marketplace. Effective management serves as the linchpin in achieving these objectives, influencing strategic planning, operational efficiency, and customer satisfaction. This article explores the critical role of management in enhancing the quality of tourism services and strengthening the competitiveness of tourism companies. It examines key aspects such as employee training, customer feedback systems, technology integration, and sustainability practices. Additionally, the paper highlights the challenges faced by managers, including resource constraints and fluctuating market demands, and presents actionable strategies to overcome them. By linking theoretical frameworks with practical applications, this study underscores the transformative potential of management in shaping the future of the tourism industry.
Content marketing and brand awareness
Authors:   Al-Muthanna University/ Iraq, Gshayyish Ahmed Mankhi
Published: January 2025

Digital marketing is growing in significance from year to year in the age of digital progress as a component of marketing strategies used by businesses of all shapes and sizes. This necessitates content marketing since the effectiveness of an organization's online consumer communications is mainly dependent on the calibre of its content marketing. Enhancing the quality of content marketing is necessary in this situation, and digital marketers must analyse the effectiveness of focused content marketing to modify their material and select the most effective promotion strategy.

The purpose of this study was to examine the company's use of content marketing in social media communities, the audience's interactions with the brand, and the company's brand awareness. The study employed statistical methods to scrutinize approximately (208) customer opinions for the ALWatani Internet Company, utilizing the AMOS.V.24 program and the SPSS.V26 program to analyze the questionnaire. The results showed an impact of content marketing on brand awareness. These categories offer ample evidence of how content marketing can effectively introduce, raise awareness, and familiarize consumers with the brand through the achieved results.
The heads of boys from 3 up to 7 years old
Authors:   Associate Professor, Candidate of Medical Sciences, ZARMED University, Samarkand, Uzbekistan, Ibadovna Tukhtanazarova Shavkiya
Published: January 2025

An investigation of 500 boys shows the greatest enlargement of skull sizes in children aged from 4 to 5 years old. Growth deceleration of the skull's parameters such as the longitudinal diameter skull's transversal size, the length and width of the skull's base, and zygomatic and mandibular diameters were revealed at the age of 6 to 7 years old.
The relationship between time management skills and the academic performance of nursing students at university of kerbala, Iraq
Authors:   Community Health Nursing Department, College of Nursing, University of Kerbala, Iraq, Mansoor Haqi Ismael
Published: January 2025

Time management is a fundamental factor for academic success, particularly in disciplines that require a balance between theoretical and practical aspects, such as nursing. This study aimed to explore the relationship between time management skills and the academic performance of nursing students at the University of Kerbala.

A descriptive-analytical study was conducted on 260 nursing students from both morning and evening programs. A structured questionnaire was used, consisting of two sections: socio-demographic and academic data, and the Student Time Management Scale (STMS), which includes 28 items categorized into four domains.

The findings revealed that the majority of students (71.5%) demonstrated moderate time management skills, while 14.2% exhibited either poor or good skills.ةKey weaknesses were identified in areas such as daily prioritization and preparation for activities. Regarding academic performance, most students achieved relatively high grades, with 30% attaining a "Very Good" GPA and 22% achieving "Excellent," reflecting generally good academic performance.

Results revealed that 71.5% of students demonstrated moderate time management skills, with weaknesses observed in essential areas such as goal setting, prioritization, and routine control. Despite these deficiencies, no statistically significant correlation was found between time management skills and academic performance (ρ = 0.019, p = 0.756). Additionally, socio-demographic factors, such as age, gender, marital status, and income, did not show any meaningful associations with time management skills or academic performance.

The conclusion of the study highlights that factors such as motivation, stress management, and study environment may have a more significant influence on academic outcomes compared to time management skills alone. To address the identified gaps, the study recommends integrating structured time management training into nursing curricula. This approach can help students better manage their time and succeed academically by giving them the tools they need to deal with the demanding nature of their education.
Influence of Social Media Marketing on Purchasing Decision
Authors:   Al-Muthanna University/ Iraq, Gshayyish Ahmed Mankhi
Published: January 2025

The present study seeks to investigate the influence of social media on purchasing decision-making, as understanding the role of social media in the context of marketing is extremely important for researchers, companies, and customers alike. Social media platforms play an increasingly significant role in shaping customers' purchasing decisions, as they provide customers with access to information about products and services, the ability to share their experiences with others, and direct communication with brands. The data were analyzed using statistical software SPSS v.26 and AMOS v.26. The findings indicated a robust positive correlation between social media and purchasing decision-making. The practical results revealed a significant impact of social media on the marketing purchase decision.
Therapeutic evaluation of quervain tendonitis - systematic review with meta-analysis systematic review with meta-analysis of randomized clinical trials
Authors:   Acadêmica de Medicina pela Universidade Salvador, Salvador,BA, Brasil, Oliveira Bianca Gabriella de , Pereira Manoel Machado ,   Médico residente em Ortopedia e Traumatologia pelo Hospital Aroldo Tourinho, Montes Claros, MG, Brasil, Baptista Eric Zaneti Teixeira ,   Médico residente em Ortopedia e Traumatologia pelo Hospital Alvorada Moema, São Paulo, SP, Brasil, Carvalho Pedro Augusto Espírito Santo de ,   Médico residente em Ortopedia e Traumatologia pelo Centro Médico de Campinas, Campinas, SP, Brasil, Salazar Lisse Veronica Rocha ,   Médico residente em Ortopedia e Traumatologia Hospital Santo Amaro, Guarujá, SP, Brasil
Published: January 2025

Objective: The aim of this study is to summarize the treatment of De Quervain's tenosynovitis, from a conservative point of view, by means of corticosteroid injection versus corticosteroid injection with immobilization of the thumb, establishing criteria for prognostic evaluation and a systematic review with meta-analysis.

Methodology: Systematic review with meta-analysis registered under the prolific ID CRD42024557767. The research questions were defined using the PICOS model in accordance with the PRISMA guidelines.

Results: 207 patients were included, of whom 103 underwent corticosteroid injection and 104 corticosteroid injection with immobilization. The studies analyzed in this systematic review showed better results in the Disabilities of Arm, Shoulder and Hand (DASH) assessment in the corticosteroid injection with immobilization group.

Conclusion: Even though corticosteroid injections alone are considered a promising choice of conservative treatment, current evidence points to a multimodal approach, employing various non-surgical modalities associated with better results, studies show that the combination of thumb immobilization with corticosteroid injection is a first-line treatment for patients with De Quervain's tenosynovitis.
Cálculo Multivariante: Ejemplos Resueltos y Aplicaciones
Authors: Cantos Ramírez Lastenia Estefanía , Peñafiel Moreno Lorena Tamara , Peña Vega Dolores Eugenia , Duchi Ortega Bolívar Rosendo , Cáceres Ochoa Luis Enrique
Published: January 2025

En esta sección vamos a trabajar con integrales DEFINIDAS, para funciones de dos variables sobre regiones planas, llamadas integrales dobles. Realizaremos el cálculo de estas integrales sobre una región dada en el plano y el resultado será un NÚMERO.

Sabemos por lo visto en Análisis I, que evaluar una integral de una variable utilizando directamente su definición en base a sumas de Riemann es una tarea difícil, y en este sentido, el Teorema Fundamental del Cálculo (TFC) proporciona un método más simple para calcularla. La evaluación de integrales dobles a partir de su definición es incluso más difícil, pero veremos en esta sección una forma práctica que en general nos permitirá calcularlas.
Una Mirada a la Investigación Multidisciplinaria
Authors: Fonseca Martha Perez , Reyes Rios Roxana , Hernandez Reyes De La Luz , Armenta Solis Adakatia , Hernández Giovani Martínez
Published: January 2025

La Calidad de Vida (CV) del personal de enfermería es un tema de mucho interés, porque las interacciones con el paciente requieren de un compromiso físico y psicológico. Cualquier alteración en la calidad de vida, afecta componentes en el ámbito de su salud, como disminución de las funciones músculo esqueléticas, agotamiento o cansancio emocional, trastornos gastrointestinales, entre otros. Objetivo. Identificar la calidad de vida del personal de enfermería de una institución de salud al Sur de Veracruz. Metodología. Estudio de alcance descriptivo de corte transversal, con una muestra de 69 enfermeros (as), elegidos mediante muestreo de tipo no probabilístico por conveniencia, los instrumentos utilizados fueron, una cedula de datos sociodemográficos y el WHOQOL-BREF. Resultados. El 58% de los participantes fueron mujeres en un rango de edad de 29-33 años (29%). La calidad de vida general tuvo una percepción de nivel medio ya que el puntaje general se estableció en x̅ 62. 9. Por dimensión, la que presentó menor puntaje fue salud física con una media de 58.8. Conclusión. De acuerdo con el cuestionario WHOQOL-BREF, el personal de enfermería de la institución presentó algunas afectaciones físicas que podrían afectar su desempeño de cuidador y disminuir la calidad de la atención.
PENGUATAN BRANDING SDK COR JESU MALANG DENGAN OPTIMALISASI WEBSITE DAN PEMANFAATAN DIGITAL MARKETING
Authors: Christmantara Vinno
Published: January 2025

SDK Cor Jesu Malang faced challenges in managing its website, including an unattractive design, difficulties in updating content, and low SEO rankings, which resulted in poor branding. The community service team from Widya Karya Catholic University (UKWK) Malang provided a solution by developing a new website using the CMS WordPress and Divi Builder. Additionally, the team conducted basic digital marketing training, training on using the website built with Divi Builder, and content creation. The results were significantly impactful for SDK Cor Jesu, including improved SEO rankings that allowed the website to appear on Google’s first page, easier access to information for parents, and a more responsive, attractive, and user-friendly interface. The SDK Cor Jesu Malang website now serves not only as a communication tool but also as a promotional medium that enhances the school’s branding. With better branding, SDK Cor Jesu’s efforts to attract prospective students have been realized. This community service activity also fostered collaboration in empowering educational institutions, involving students and lecturers from UKWK’s Information Systems program, to tackle digital challenges effectively.
КОМПЛЕКСНАЯ ОЧИСТКА ШАХТНЫХ ВОД
Authors: Иманбаев Марат , Сидорова Наталья , Бирюков Андрей , Джуринская Индира
Published: January 2025

В настоящее время строительство сооружений для очистки шахтных вод является одним из важных мероприятий, направленных на сохранение поверхностных водотоков и водоемов. В статье рассмотрены методы очистки шахтных вод и эффективные варианты очистки. Химический состав шахтных вод разнообразен, что обусловлено влиянием естественных процессов, происходящих в массиве горных пород, водоносных горизонтах, в горных выработках, когда вода вступает в контакт с горными породами. Состав примесей шахтных вод максимально превышает нормативные предельно допустимые концентрации (ПДК), которые подвергаются очистке перед их сбросом в открытые водоемы. Выделены основные загрязняющие вещества шахтных вод, рассмотрены основные методы очистки шахтных вод, отмечены характерные признаки применения методов очистки шахтных вод. В результате выявлено, что правильное определение порядка технологическими и техническими требованиями к каждому процессу водоподготовки, входящие в общую технологическую схему, хорошо очищают воду до требуемого качества. В соответствии с требованиями к качеству очистки шахтных вод необходимо модернизировать очистные сооружения и внедрять новые и эффективные технологии, т.е. решать проблему очистки шахтных вод комплексно.
СУ АҒЫНДАРЫНАН ЖЕРДІ СУАРУ ЖӘНЕ ЖАЙЫЛЫМДАРДЫ СУЛАНДЫРУ ЖӘНЕ ГИДРОТАРАН СОРҒЫ ҚОНДЫРҒЫСЫНЫҢ ТЕХНОЛОГИЯЛЫҚ ЖӘНЕ ТЕХНИКАЛЫҚ ПАРАМЕТРЛЕРІН АНЫҚТАУ
Authors: Саркынов Ербол , Яковлев Александр , Бейсембин Кудайберген , Жакупова Жанар , Рыскулбекова Лаура , Жанымхан Құрманбек , Қалқабаева Әлия
Published: January 2025

Су ағындарынан суды көтеруге арналған жетілдірілген гидротаран сорғы қондырғысының үш типтік өлшемінің технологиялық және техникалық өлшемдерінің мәндері анықталған негіздеу әдістемесі мен формулалары келтірілген: жайылымдарды суландыруға арналған бір типтік өлшем және ҚР АӨК шаруа және фермер қожалықтарының жер учаскелерін суаруға арналған екі типтік өлшем, ҚР БҒМ "Ғылым қоры" АҚ желісі бойынша (10.11.2023 ж. № 102 шарт) қолданбалы зерттеулер бойынша және ЖРН-DP21682075 "Су энергиясынан жетегі бар су ағындарынан суды көтеруге арналған сорғы қондырғылары" жобасы бойынша ҒЗЖ орындау кезінде Қазақ ұлттық аграрлық зерттеу университетінде әзірленген.
Су энергиясынан жетегі бар су ағындарынан суды көтеруге арналған жетілдірілген гидротаран сорғы қондырғысының мынадай технологиялық және техникалық параметрлері негізделген: қабылдау сүзгісіндегі судың жылдамдығы, ішкі диаметрлері: қабылдау сүзгісі, қоректендіру құбыры, су көтергіш құбыр (жең), өту қималарының диаметрлері: соққы және айдау клапандары, қоректендіру құбырының ұзындығы.
Қолданылу саласы көктемгі-жазғы және күзгі пайдалану кезеңдерінде су ағындары бар аймақтарда ҚР АӨК объектілерін (шаруа және фермер қожалықтары және басқа да ауыл шаруашылығы құрылымдары) ауыл шаруашылығы суымен жабдықтау болып табылады. Гидротаран сорғы қондырғысының айрықша ерекшеліктері-су ағындарындағы (геометриялық және жылдамдық қысымдары) су ағынының кинетикалық энергиясын жетектеу үшін пайдалану және онда орнатылған гидрооқшаулағыш клапанды мерзімді жабудан және ашудан қоректендіру құбырында гидрооқшаулағыш қысым жасау есебінен энергия үнемдейтін және экологиялық таза су көтеру технологиясы бойынша суды көтеру, нәтижесінде сорғы қондырғысында беру және қысым жасалады.
МОДИФИКАЦИЯЛАНҒАН ТАБИҒИ СОРБЕНТТЕРМЕН АҒЫНДЫ СУЛАРДЫ ТАЗАЛАУ
Authors: Джетимов Мырзабай , Ыбраймжанова Лаура , Камбарова Эльмира , Игембаева Айнур , Абаева Курманкуль , Тажетдинов Наурузбай
Published: January 2025

Бұл мақалада Жетісу (Жоңғар) Алатауының аласа таулы алқаптарында түзілетін цеолит, бентонит сазы және диатомит негізіндегі табиғи минералды сорбенттерді ауыз су мен өндірістің ағынды ақаба суларын нитраттар, ауыр металл иондары және сульфаттардан, бикарбонаттардан, тазарту және кондициялау  үшін пайдаланудың тиімділігін зерттеу нәтижелері берілген.
Табиғи сорбенттердің физика-химиялық, минералдық құрамы және алынған құрамдастырылған сорбенттердің адсорбциялық тиімділігі зерттелді. Сорбенттің құрамына және күйдіру температурасы мен  құрамдастыру әдістерінің сорбциялық белсенділігін  арттыруға тигізетін әсері  зерделенді.
Жүргізілген зерттеудің ғылыми-тәжірибелік құндылығы-өндірістің ағынды ақаба  суларын тазарту үшін құрамдастырылған сорбентті алу, судың құрамындағы химиялық және микробиологиялық ластаушы заттарды бір мезгілде сорбциялау, суды дезинфекциялауға және жұмсартуға ықпал ету, тазартылған судың кальций, магний тұздарымен және микроэлементтермен қанығу дәрежесін арттыру үшін күрделі жабдықты қажет етпейтінділігі қарастырылған.
Зерттеудің техникалық нәтижесі химиялық және микробиологиялық ластаушы заттарды сорбциялау қабілеті бар құрамдастырылған табиғи адсорбенттердің кешенін құрудан, суды залалсыздандырудан және жұмсартудан, оны кальций, магний, натрий, калий иондарымен, сонымен қатар микроэлементтермен байытудан тұрады.
Суды ластаушы заттардан тазарту үрдісінде қолдану бойынша жүргізілген эксперименттік зерттеулер  барысында алынған нәтижелер минералдық құрамы, микроқұрылымы, сорбциялық қабілетімен және катализатрлық белсенділігінің болуымен ерекшеленетіні қарастырылған, табиғи минералды сорбенттердің тиімділігінде айтарлықтай айырмашылықтарды анықтадық.
CLIMPACT БАҒДАРЛАМАЛЫҚ ӨНІМІН ОҚУ ҮДЕРІСІНДЕ ЖӘНЕ ТӘЖІРИБЕДЕ ҚОЛДАНУ МҮМКІНДІКТЕРІ
Authors: Мунайтпасова Аида , Нысанбаева Айман , Рахматулла Нұрқанат
Published: January 2025

Жаһандық климаттың өзгеруі жағдайында қазіргі таңда табиғи апаттардың артуы белең алып отыр. Осы орайда, климаттың өзгеруі мәселесіне баса назар аударылуда. БҰҰ ұсынған тұрақты даму мақсаттарының   бірі – климаттың өзгеруімен күрес болып табылады. Бұл мақсатты жүзеге асыру барысында аймақтық, республикалық және әлемдік деңгейде көптеген іс-шаралар атқарылып, маңызды қорытындылар шығарылып жатыр. 2023 жылдың желтоқсанында Дубайда климат жөніндегі дүниежүзілік саммит өтіп, мемлекет басшысы Қ.К. Тоқаев сөз сөйлеп, еліміздегі климатқа қатысты мәселелерді қозғады. Климаттың өзгеруін бағалау үшін климаттық индекстерді есептеу маңызды болып табылады. Осы орайда ClimPACT бағдарламалық өнімін қолдану арқылы климаттық индекстерді есептеу мүмкіндігі бар.   ClimPACT қазіргі таңда климаттық индекстерді есептеуде қолданылатын, ашық қолдану мүмкіндігі бар онлайн бағдарламалық өнім болып табылады. Бұл шолу мақаласында ClimPACT бағдарламалық өнімін қолдану арқылы климаттық индекстерді есептеу бойынша нұсқама жасалды. Осы бағдарлама арқылы жас ғалымдар ғылыми мақалада климаттық жағын зерттеп қарастыруға көмектеседі.  Бұл нұсқама «Метеорология» білім беру бағдарламасының студенттері мен магистранттарына, климат және ауылшаруашлығы саласындағы мамандарға, қоршаған ортаны қорғау саласындағы барлық қызметкерлерге, жас ғалымдарға арналған.
ИЗУЧЕНИЕ ЭРОЗИОННЫХ ПРОЦЕССОВ НАТЕРРИТОРИИ ЗАПАДНО-КАЗАХСТАНСКОЙ ОБЛАСТИ С ИСПОЛЬЗОВАНИЕМ ДАННЫХ ДИСТАНЦИОННОГО ЗОНДИРОВАНИЯ ЗЕМЛИ
Authors: Тасанова Жадыра , Асетова Асем , Утегалиева Нургул , Молжигитова Динара , Орынбасарова Гулнар
Published: January 2025

Данная работа посвящена вопросам использования методов дистанционного зондирования земли из космоса для обнаружения эродированных земель. А также в статье  проведен анализ природных климатических, экологических условий и антропогенных факторов, приводящих к эрозионным процессам исследуемой территории. Также приведены статистические данные земель, подверженных эрозии и ее видам на территории области. Проблема исследования эрозионно опасности территории стоит достаточно остро для агропромышленного комплекса нашей страны, так как эрозионные процесы наносят огромный ущерб сельскому хозяйству. Для обеспечения работы по рациональной организации территории и грамотному землеустроительному сопровождению этих действий необходимо использование современных технологий и современного программного обеспечения в области геоинформационных систем. Благодаря геоинформационным системам появляется возможность оперативно и качественно создавать достаточно точный и информативный планово-картографический материал, необходимый для разработки и реализации проектов противоэрозионной организации территории.
ОПРЕДЕЛЕНИЯ СКОРОСТИ ВОЗДУХА И РАСХОДА СУШИЛЬНОГО АГЕНТА НА ВХОДЕ И НА ВЫХОДЕ ГЕЛИОСУШИЛЬНОГО МОДУЛЯ
Authors: Касымбаев Бекбосын , Кабдырахим Калым , Ниязбаев Адильхан
Published: January 2025

В статье представлены результаты исследований по процессу сушки яблок с использованием гелиосушильного модуля, который был установлен в полифункциональной теплице-сушилке на базе учебно-производственного хозяйства Казахского национального аграрного исследовательского университета.
Актуальность исследования. Организация процессов сушки при заготовке сушеных фруктов и овощей осуществляются путем использования традиционных видов энергии. Применение простых солнечных сушилок с аккумулированием солнечной энергии и круглосуточным процессом сушки является необходимым и выгодным, особенно для малых и средних фермерских и крестьянских хозяйств юго-востока Казахстана.
Цель научного исследования заключалась в проведении теоретических и экспериментальных исследований для обоснования оптимальных параметров и режимов работы предложенного гелиосушильного модуля.
ЖЫЛУ ЖҮЙЕСІНІҢ ЗАҢДЫЛЫҚТАРЫН КОМПРЕССОРДЫҢ ӨЗДІГІНЕН САЛҚЫНДАТЫЛАТЫН СОРҒЫСЫ
Authors: Ержигитов Еркин , Демесова Сәуле , Молдыбаева Нургул , Талдыбаева Айгул , Жусупалиева Манат
Published: January 2025

Жылу сортысы - жылу энергиясын төмен потенциалды көзден тұтынушыға тасымалдауды жүзеге асыратын техникалык құрал. Ол жылу энергетикасынын перспективалык батытына жатады.
 Авторлар оған гелиоколлектор қосылған кезде жылу сорғысынын тиімділігін арттыру, сондай-ак компрессорды буландырғышпен өзiн-өзi реттеу аркылы салкындату гипотезаларын алға тартты. Қазіргі уақытта жылу сорғылары (ЖС) тек ауаны салқындату үшін ғана емес, сонымен қатар жылу қажеттілігін қанағаттандыру үшін де белсенді түрде қолданылады. Бұл өзгеріс климаттың өзгеруіне байланысты парниктік газдар шығарындыларын азайту қажеттілігімен, сондай-ақ дәстүрлі жылумен жабдықтау жүйелерінің экологиялық таза баламаларын іздеумен байланысты. Сонымен қатар, ЖС технологияларының тиімділігі мен сенімділігін арттыру осы бағытта үлкен рөл атқарады.
Жылу сорғылары энергияны тиімді пайдаланып, қоршаған ортаға теріс әсерін азайтады. Оларды қолдану арқылы ғимараттардағы жылу қажеттіліктерін экологиялық таза жолмен қанағаттандыруға мүмкіндік бар. Мұндай технологияларды жетілдіру – жасыл энергетикаға көшу процесіндегі маңызды қадамдардың бірі.
Теориялык зерттеулер гелиоколлекторда жылу сорғымен жұмыс iстеу кезiнде пайда болатын тiкелей күн сәулесi мен қоршаған  ауадан жылу энергиясын бiрлесiп сору, сондай-ак буландыртышпен артык жылуды сору аркылы компрессордын бетiнен жылу берудi кушейту тұжырымдамаларын талдайды. Авторлар жана техникалык шешiмдер - компрессор шығаратын жылу жүйесiне оралу және компрессордын температуралык режимiн жаксарту, сонын iшiнде жетек козталткышынын электр орамаларын салкындату аркылы тiкелей кун сәулесі  мен жылу энергиясын коршаған ауамен және жылу сорғысымен бiрлесiп сору әсерінен  гелиоколлектордьң  жылу өнiмдiлiгiн арттыра алады деген корытындыға келдi.
СОВЕРШЕНСТВОВАНИЕ УПРАВЛЕНИЯ ИННОВАЦИЯМИ ПРЕДПРИЯТИЙ МОЛОЧНОЙ ПРОМЫШЛЕННОСТИ РФ В УСЛОВИЯХ ИМПОРТОЗАМЕЩЕНИЯ
Authors: Богомолова Ирина , Василенко Ирина , Мизанбекова Салима
Published: January 2025

Перед молочной промышленностью России сегодня стоит ряд вызовов. С одной стороны, страна столкнулась со значительным количеством международных санкций, ограничивающих импорт многих продуктов. С другой стороны, эти ограничения стали стимулом для роста и развития отечественного производства. В этом контексте импортозамещение превратилось в одну из ключевых стратегий, которая позволяет не только поддерживать стабильность отрасли, но и открывает новые возможности для ее развития. В связи с этим в статье рассмотрены предпосылки осуществления инновационной деятельности в молочной промышленности, представлена классификация отраслевых инноваций, определены инструменты управления инновациями и условия организации инновационной деятельности на предприятиях молочной промышленности, дана оценка современного состояния и динамики развития мирового рынка молока и молочной продукции, определены направления повышения устойчивости функционирования предприятий исследуемой промышленности. На основе анализа рынка доказана необходимость и возможность выпуска инновационной продукции (мицелярного казеина). Планируемая мощность выпуска составляет 2600 т/год, при капитальных затратах на строительство здания, покупку оборудования около 2 млрд р. Показатели выручки и чистой прибыли увеличатся соответственно на 6,97% и 19,71%, рентабельности продаж возрастут на 0,56%, срок окупаемости инвестиций без учета альтернативной стоимости капитала достигнет 7 лет. Расчеты социально-экономической и производственной эффективности внедрения сырьевых и продуктовых инноваций в аспекте совершенствования инновационного менеджмента в условиях импортозамещения подтвердили целесообразность и возможность внедрения производства инновационного продукта на отраслевом предприятии - объекте исследования.
W-GPSR Routing Based on Mobility Prediction for Vehicular Ad-Hoc Network (VANET)
Authors: I. AL-Essa Raneen , A. Al-Suhail Ghaida
Published: January 2025

In recent years, Vehicular Ad-Hoc Networks (VANETs) innovation has been regarded as a significant research area. This is owing to the increasing popularity of vehicle to vehicle (V2V) and vehicle to infrastructure (V2I) communications in the area of Intelligent Transportation System (ITS) to improve traffic management, safety, CO2 emission mitigation, and other applications. A variety of routing protocols for VANETs are being recently developed. More specifically, geographic-based routing algorithms such as Greedy Perimeter Stateless Routing (GPSR) have provoked the most interest in VANETs due to their compatibility with a regularly changing network structure and the highly unsteady nature of automobile nodes. This paper proposes an efficient weight based mobility method in VANET to improve the mechanism of the GPSR protocol through optimizing the greedy forwarding strategy; which is so called O-Greedy Mode. Therefore, the key goal is to achieve the optimal data forwarding paths. The next hop is determined by estimating the neighbors' mobility based on each neighbor's Greedy Link Weight Factor (GLWF). The Weighted GPSR (W-GPSR) based on Mobility Prediction is then evaluated using OMNeT++ simulator with Inet, Veins and SUMO traffic simulator. The results demonstrate the efficiency of W-GPSR in contrast with the traditional existing protocols for essential metrics of Packet Delivery Ratio (PDR), throughput, End-to-End Delay (E2ED), Normalized Routing Load (NRL) and Packet Loss Ratio (PLR).
Pengaruh Akuntabilitas, Independensi dan Kompetensi Auditor terhadap Kualitas Audit (Studi Kasus pada Kantor Akuntan Publik di Wilayah Kota Bekasi)
Authors: Fauzi Ahmad , . Maidani , Nursal M. Fadhli , Saputra Farhan
Published: January 2025

Penelitian ini bertujuan untuk mengetahui pengaruh yang dapat terjadi antara: (1) Akuntabilitas terhadap Kualitas Audit, (2) Independensi terhadap Kualitas Audit, (3) Kompetensi terhadap Kualitas Audit. Sampel yang digunakan dalam penelitian ini adalah auditor yang bekerja pada tujuh Kantor Akuntan Publik yang berada di Wilayah Kota Bekasi. Jumlah responden dalam penelitian ini adalah 54 responden. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah purposive sampling yang merupakan salah satu Teknik dalam kelompok non probability sampling. Metode pengumpulan data yang digunakan dalam penelitian ini menggunakan metode kuesioner. Rancangan yang digunakan dalam penelitian ini adalah pengujian Outer Model, pengujian Inner Model, pengujian hipotesis (hypothesis testing) dengan menggunakan Structural Equitation Model (SEM) – SmartPLS 3.0. Hasil penelitian ini menunjukkan bahwa (1) akuntabilitas tidak berpengaruh terhadap kualitas audit; (2) independensi berpengaruh positif terhadap kualitas audit; (3) kompetensi berpengaruh positif terhadap kualitas audit.
Peran Gaya Kepemimpinan Dan Budaya Organisasi Pada Kinerja Karyawan
Authors: Achmad Fauzi  , Hasanuddin  , Rizky Muhammad , Intan Cahyani Abadi  , Firyaal Salsabila  , Raudita Andra Nabila
Published: January 2025

Tujuan utama pembangunan negara Indonesia di bidang sumber daya manusia saat ini adalah mewujudkan sumber daya manusia yang berkualitas dan masyarakat Indonesia yang sejahtera. Mengingat pentingnya peningkatan kualitas sumber daya manusia  terus berkembang dengan menuntut setiap individu dan setiap kelompok untuk mampu meningkatkan kinerjanya. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara gaya kepemimpinan dan budaya organisasi dengan kinerja karyawan. Peran gaya kepemimpinan perusahaan dan budaya organisasi  pada kinerja karyawan. Kepemimpinan merupakan kemampuan berperan pihak lain melalui komunikasi langsung maupun tidak langsung. Hal ini dilakukan untuk memotivasi orang-orang tersebut agar memahami, sadar sepenuhnya,  dan siap mengikuti keinginannya. Diharapkan bahwa seorang pemimpin memiliki kemampuan ini dan memanfaatkannya dengan baik.
Analisis Laporan Keuangan Sebagai Dasar Penilaian Terhadap Optimalisasi Kinerja Perusahaan Pada PT. Gudang Garam Tbk
Authors: Shinta Rahayu Andini , Achmad Fauzi  , Ery Teguh Prasetyo  , Ananda Putri Haristiyanti  , Ananda Suryadinata  , Anisa Bunga Aprilia  , Anisa Dewi Lestari
Published: January 2025

Penelitian ini bertujuan untuk memberikan pemahaman mendalam atau penilaian tentang kinerja perusahaan dan memberikan panduan bagi tindakan yang dapat diambil untuk mencapai optimalisasi kinerja perusahaan pada perusahaan PT. Gudang Garam Tbk. Penilaian terhadap optimalisasi kinerja perusahaan pada PT. Gudang Garam Tbk untuk membantu manajemen memahami sejauh mana perusahaan mencapai tujuannya, mengidentifikasi efesiensi oprasional, serta merencanakan langkah-langkah perbaikan yang dapat meningkatkan kinerja perusahaan secara keseluruhan. Analisis laporan keuangan memberikan dasar yang kuat untuk mengukur kesehatan keuangan perusahaan, mengidentifikasi potensi perbaikan, dan mendukung pengambilan keputusan strategis. Hasil penelitian ini menggunakan metode kuantitatif dengan literature review jurnal, serta menggunakan data laporan keuangan. Semua referensi yang digunakan dalam penelitian ini bersumber dari Google Scholar, Google, Researchgate, dan media online lainnya.
Analisis Peluang Bisnis melalui pemahaman Perilaku Konsumen dengan Pendekatan Matematika Ekonomi
Authors: Arkan Zhalifunnas  , Achmad Fauzi  , Muhammad Zidhan Augestri  , Razidan Rahman  , Revi Arnan  , Fathir Muhammad Ilham  , Abdul Razak
Published: January 2025

Penelitian ini bertujuan untuk menggali peluang bisnis dengan memahami perilaku konsumen melalui pendekatan matematika ekonomi. Dengan mengintegrasikan konsep-konsep matematika ekonomi, kami melakukan analisis terhadap faktor faktor yang dapat mempengaruhi perilaku konsumen. Hasil penelitian menunjukkan bahwa pendekatan matematika ekonomi dapat memberikan wawasan yang signifikan dalam memahami pola konsumen, preferensi, dan faktor-faktor yang mempengaruhi keputusan pembelian. Analisis ini memberikan landasan yang kuat untuk mengidentifikasi peluang bisnis, dan mengoptimalkan strategi pemasaran. Kontribusi utama dari penelitian ini adalah penerapan pendekatan matematika ekonomi sebagai alat analisis yang efektif untuk memahami perilaku konsumen. Implikasi praktis dari temuan ini dapat membantu pengusaha dan pemangku kepentingan bisnis dalam mengambil keputusan yang lebih terinformasi, meningkatkan efisiensi operasional, dan mengoptimalkan strategi penjualan.
Pengaruh Kebijakan Lingkungan, Pengembangan Teknologi dan Kompetensi Inti terhadap Strategi Perusahaan
Authors: Firmansyah Prado Dian , Ali Hapzi
Published: January 2025

Pengaruh Kebijakan Lingkungan, Pengembangan Teknologi dan Kompetensi Inti terhadap Strategi Perusahaan. artikel ilmiah studi pustaka ini menjelaskan ruang lingkup dalam strategi manajemen. Studi ini memperluas dampak kompetensi inti, kebijakan lingkungan, dan pengembangan teknologi pada strategi perusahaan. Kompetensi inti Merujuk pada keahlian, pengetahuan, dan sumber daya unik yang memisahkan perusahaan dari pesaingnya. Kebijakan lingkungan semakin penting dalam menanggapi tekanan sosial dan lingkungan. Di sisi lain, pengembangan teknologi memungkinkan perusahaan meningkatkan efisiensi, menghasilkan produk baru, dan memberikan nilai bagi pelanggan Tujuan penelitian ini untuk memberikan pemahaman tentang cara bagaimana suatu perusahaan dapat mengembangkan strategi yang adaptif, responsif, dan berkelanjutan untuk mengatasi tantangan yang akan datang dari faktor-faktor pengaruh tertentu. Metode yang digunakan pada penelitian ini System Literatur Riview. Metode analisis secara kualitatif yang bersumber dari aplikasi online seperti Google Scholar, Mendeley dan aplikasi akademik online lainnya.
Pengaruh Kualitas Layanan, Loyalitas Pelanggan dan Strategi Pemasaran Terhadap Daya Saing Perusahaan
Authors: Barja Riky
Published: January 2025

Pengaruh kualitas layanan, loyalitas pelanggan, dan strategi pemasaran pada pendapatan perusahaan adalah subjek artikel ilmiah dalam jurnal ilmiah. Tujuan dari Menggunakan informasi dalam artikel ini, kita dapat merumuskan hipotesis tentang interaksi faktor-faktor yang dapat membimbing studi masa depan. Objek penelitian di perpustakaan online, Google Scholar, Mendeley dan media online akademis lainnya. Metode penelitian dengan perpustakaan penelitian berasal dari e-book dan open access e-journals. Hasil dari bagian ini: 1) Kompetitivitas perusahaan dipengaruhi oleh kualitas layanan. 2) Kompetitivitas perusahaan dipengaruhi oleh loyalitas pelanggan. 3). Rencana pemasaran perusahaan dapat mempengaruhi garis bawahnya.
Analisis Peran Media Sosial Terhadap Peningkatan Loyalitas Konsumen di Era Digital Modern
Authors: F Irena. , M.G Dewantoro. , G Gosal. , Megawati Megawati , D.G.E Tantama. , S Thutano. , R.Y Ningsih.
Published: January 2025

Pada era digital yang serba canggih, media sosial telah berkembang pesat dan menyediakan berbagai fitur yang memudahkan kehidupan sehari-hari manusia. Hubungan antara media sosial dan kehidupan manusia sudah menjadi bagian yang tidak dapat terpisahkan. Melalui jangkauan yang luas, media sosial telah digunakan untuk mengembangkan bisnis. Penggunaan media sosial dalam mempengaruhi hubungan antara pelanggan dan bisnis serta cara menjaga reputasi baik perusahaan merupakan kunci utama yang harus diperhatikan. Penelitian ini bertujuan untuk menganalisis peran media sosial dalam meningkatkan loyalitas konsumen di era modern saat ini. Selain itu, penelitian ini juga bertujuan untuk mengidentifikasi hal-hal yang mempengaruhi loyalitas konsumen melalui penggunaan media sosial. Metode yang digunakan adalah deskriptif kuantitatif dengan pengumpulan data melalui kuesioner online. Response dipilih menggunakan teknik probability sampling, yaitu simple random sampling. Hasil penelitian menunjukan bahwa media soal dan strategi pemasaran memiliki pengaruh positif dan signifikan terhadap loyalitas konsumen.
Tingkat Kepuasan Pengguna Aplikasi DANA Pada Mahasiswa/i Program Studi Manajemen Universitas Catur Insan Cendekia
Authors: Yulia Rahmawati Devy , Pranata Sudadi
Published: January 2025

Tingkat kepuasan pengguna aplikasi DANA di kalangan mahasiswa manajemen UCIC menjadi judul penelitian yang dilakukan peneliti. Aplikasi DANA menghadirkan inovasi di bidang keuangan digital untuk memudahkan pengguna dalam bertransaksi. Dengan adanya penelitian ini peneliti ingin mengetahui faktor apa saja yang menjadi keunggulan aplikasi DANA, upaya apa yang dilakukan DANA untuk menguasai pasar financial technology, dan tingkat kepuasan pengguna terhadap aplikasi DANA. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan teknik pengumpulan data melalui data primer (penyebaran kuesioner kepada mahasiswa UCIC dan wawancara kepada pedagang yang melibatkan DANA) dan data sekunder (studi literatur). Kuesioner disebarkan kepada 100 orang yaitu mahasiswa program studi manajemen UCIC. Hasil penelitian ini menunjukkan bahwa keunggulan aplikasi DANA dan yang dilakukan DANA dalam menguasai pasar financial technology adalah kecepatan proses transaksi baik transfer maupun melalui kode QR dan sistem keamanan. Dan hasil tingkat kepuasan pengguna aplikasi DANAmenunjukkan hasil uji t menyatakan thitung (1,172) > t tabel (0,195) sehingga HO ditolak. Dengan demikian, terdapat perbedaan yang signifikan rata-rata hasil tingkat harapan dan tingkat kinerja pada aplikasi DANA.
Pengaruh Kepemimpinan, Disiplin, Lingkungan Kerja, dan Pelatihan Terhadap Kinerja Karyawan Melalui Motivasi Sebagai Variabel Moderasi pada PT Suzuki Indomobil Motor
Authors: Triskamto Triskamto , Haymans Manurung Adler , Wahyu Hidayat Wastam
Published: January 2025

Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis Pengaruh Kepemimpinan, Disiplin, Lingkungan Kerja, dan Pelatihan terhadap Kinerja Karyawan melalui Motivasi sebagai variabel moderasi pada PT Suzuki Indomobil Motor. Metode yang digunakan dalam penelitian ini adalah pendekatan kuantitatif pengumpulan data melalui kuesioner yang dibagikan kepada karyawan dengan jumlah sampel 180 karyawan. Model analisis yang digunakan adalah analisis jalur (path analysis). Hasil penelitian menunjukkan bahwa : 1) Kepemimpinan berpengaruh positif dan signifikan terhadap kinerja karyawan. 2) Disiplin berpengaruh positif dan signifikan terhadap kinerja karyawan. 3) Lingkungan kerja tidak berpengaruh dan tidak signifikan terhadap kinerja karyawan 4) Pelatihan berpengaruh positif terhadap kinerja karyawan. 5) Motivasi tidak mampu memoderasi kepemimpinan, lingkungan kerja dan pelatihan terhadap kinerja karyawan namun mampu memoderasi disiplin terhadap kinerja karyawan. Penelitian ini memberikan kontribusi pentingnya meningkatkan lingkungan kerja dengan cara menyediakan fasilitas yang memadai menyediakan ruang istirahat yang nyaman, membuka jalur komunikasi yang terbuka antara manajemen dan karyawan, menegakkan disiplin dengan menerapkan reward and punishment dan meningkatkan motivasi dengan family gathering melibatkan keluarga karena terbukti dapat meningkatkan kinerja karyawan.
Menilai Keberhasilan Sistem Keuangan Desa Menggunakan Model Kesuksesan Sistem Informasi DeLone & McLean (Studi Empiris pada Pemerintah Desa di Kota Pariaman)
Authors: Ramadhan Tri Sugiarti
Published: January 2025

Penelitian ini bertujuan untuk mengkaji implementasi Sistem Keuangan Desa (SISKEUDES). Penelitian ini juga bertujuan untuk mengidentifikasi faktor-faktor yang dapat memengaruhi kepuasan pengguna dan pemanfaatan SISKEUDES di 55 desa di Kota Pariaman. Data yang digunakan dalam penelitian ini adalah data primer yang diperoleh dengan menyebarkan kuesioner kepada masing-masing pemerintah desa. Penelitian ini menggunakan purposive sampling dengan sampel sebanyak 55 bendahara desa/operator SISKEUDES. Analisis data dilakukan dengan menggunakan SmartPLS versi 3.0. Penelitian ini menemukan bahwa kualitas informasi berpengaruh positif terhadap kepuasan pengguna, sedangkan kualitas sistem dan kualitas layanan tidak memengaruhi kepuasan pengguna. Lebih lanjut, kepuasan pengguna tidak memengaruhi pemanfaatan SISKEUDES.
Foetal alcohol syndrome disorder in South Africa: Understanding the enablers of alcohol consumption during pregnancy
Authors: Alabi Oluwatobi Joseph , Jacob Mivuyo
Published: January 2025

Foetal alcohol spectrum disorder (FASD) remains one of the leading causes of non-genetic intellectual and developmental disabilities globally. Although there is no reliable estimate of the national burden of FASD in South Africa, a recent study reported a prevalence of 310 per 1,000 live births in a community within the Western Cape Province. This study reviews existing literature on the factors that enable and influence alcohol consumption among pregnant women in South Africa. A scoping review was conducted in August 2024. Using PubMed, ScienceDirect, JSTOR, and EBSCOHost, a Boolean search was conducted focussing solely on studies related to alcohol consumption among pregnant women or FASD, carried out in South Africa and published in English between 2020 and 2024. Seventeen studies were identified as relevant to the phenomenon. Some of the key enablers identified include unplanned pregnancies, intimate partner violence, mental health challenges, and socioeconomic hardship. Due to systemic knowledge gaps and limited resources, interventions are frequently delayed, exacerbating the health and socioeconomic outcomes associated with FASD. Effective mitigation strategies require culturally sensitive public health campaigns, enhanced early diagnosis in rural areas, and trauma-informed, non-judgmental healthcare practices.