bluuebunny/crossref_metadata_2025 huggingface dataset:
POLITIK PARTISIPATIF MASYARAKAT PADA PILKADA TAHUN 2020 DI KECAMATAN MORAMO UTARA KABUPATEN KONAWE SELATAN
Authors: Darman La Ode , Nurgalia Nurgalia , Naim Naim , Ihsan Ihsan
Published: March 2023

The purpose of this study was to find out how the participation of the people of North Moramo took part in the success of the regional head election democratic party, the indicators of this study were community participation and political behavior. This study uses Max Waber's theory of social action in which there is rational action. The research location is in the village of Lalowaru, North Moramo sub-district. Furthermore, there were 37 informants in this research, while the sample was taken using a purposive sampling technique and the data collection technique was using an interview technique. The conclusion of this study is the level of community participation in the 2020 Pilkada in Lalowaru Village, North Moramo District, South Konawe Regency, namely voting as, this form of political participation is very high because almost 78% gave their right to vote. The inhibiting factors for participation are the busyness of daily activities, and the prohibition from the family and the driving factors are: first curiosity and the desire to become the main political actor at the sub-district level.
A sikeres haderőfejlesztés záloga (2.)
Authors: Benkő Tibor
Published: March 2023

A katonai képesség megteremtésének és fenntartásának egyik legfontosabb területe a helyesen alkalmazott, mindenre kiterjedő, emberierőforrás-gazdálkodás. Legyen szó katonai pályára készülő fiatalról; hivatásos vagy szerződéses, illetve önkéntes tartalékos katonáról, mindenkinek tudnia és látnia kell, hogy szolgálati ideje alatt milyen kihívásoknak kell megfelelnie; milyen elvárásokat támasztanak vele szemben; milyen szabályok mentén kell haladnia, és mit kell tennie annak érdekében, hogy szolgálati tevékenysége alatt elismert, sikeres és eredményes legyen. A szervezeti érdek, a kitűzött cél: legyen kiválóan felkészített, kiképzett, lojális, a hivatása és munkája iránt elkötelezett szakember, akire bárhol, bármikor és bármilyen körülmények között számítani lehet. Elvitathatatlan, hogy a felsorolt szempontok alapján a haderő hosszú távra tervezhető stabil, szilárd alapját többségében a hivatásos katonai szolgálatot vállalók alkotják, akik egy életpályát átívelő (s nemcsak az aktív katonai szolgálat idejére, de egy egész életre szóló) hivatást vállalnak. Mindezek figyelembevételével részükre egy olyan életpályamodellt kell biztosítanunk, amelynek pontosan értelmezhető, nyomon követhető és kiszámítható, sajátos jellemzőket tartalmazó szakaszai vannak. Meggyőződésem, hogy hosszú távon csakis az ilyen emberi tényezők figyelembevételével felépített pályakép biztosíthatja a Honvédelmi és Haderőfejlesztési Program sikerét, s annak eredményeként az erős nemzeti haderőt – de mindenekelőtt Magyarország békéjét és biztonságát.
Timur Lenk ankarai győzelme
Authors: Majorosi Ádám
Published: March 2023

A tanulmány témája Timur Lenk oszmánok ellen 1402-ben vezetett hadjáratának az elemzése. Az ankarai csata rekonstruálásához rendkívül fontos az oszmán hadtörténelem vizsgálata és az oszmán haderő fejlődésének jellemzése, hiszen ezáltal lehet következtetéseket levonni a mohácsi síkon harcoló oszmán erők szervezetére, felállására és harcmódjára vonatkozóan.
THE RELATIONSHIP BETWEEN SALT CONSUMPTION PATTERNS AND THE INCIDENCE OF HYPERTENSION IN THE ELDERLY AT THE KOTA TENGAH HEALTH CENTER
Authors: Yunus Mifta Hulzana , Kadir Sunarto , Lalu Nur Ayini S.
Published: March 2023

Hipertensi menjadi masalah global karena prevalensinya yang terus meningkat dan kian hari semakin mengkhawatirkan. Pada tahun 2025 sekitar 29% orang dewasa diseluruh dunia akan menderita hipertensi. Kebaruan penelitian ini karena menganalisis hubungan konsumsi garam dengan kejadaian hipertensi pada lansia. Tujuan penelitian ini untuk menganalisis hubungan pola konsumsi garam dengan kejadian hipertensi pada lansia di Wilayah Kerja Puskesmas Kota Tengah. Penelitian ini merupakan penelitian survei analitik dengan desain cross sectional study. Populasi dalam penelitian ini adalah semua lansia baik laki-laki maupun perempuan yang menderita hipertensi di Puskesmas Kota Tengah dengan penentuan sampel menggunakan accidental sampling dengan 224 responden. Analisis data menggunakan uji chi square. Hasil penelitian didapatkan 127 orang (56,7%) yang mengkonsumsi garam tidak normal dan 97 orang (43,3%) yang mengkonsumsi garam normal, sedangkan 123 orang (54,9%) yang mengalami hipertensi dan 101 orang (49,1%) yang tidak mengalami hipertensi. Hubungan pola konsumsi garam dengan kejadian hipertensi pada lansia diperoleh denganÂ  nilai p value 0,012 Â  Î± 0,05. Simpulan terdapat hubungan antara pola konsumsi garam dengan kejadian hipertensi pada lansia di Puskesmas Kota Tengah. Kata Kunci : Hipertensi; Konsumsi Garam;Â  Lansia.AbstractHypertension is a global problem because of its increasing prevalence and increasingly alarming day by day. By 2025 about 29% of adults worldwide will suffer from hypertension. The novelty of this study is because it analyzes the relationship of salt consumption with hypertension in the elderly. The purpose of this study was to analyze the relationship between salt consumption patterns and the incidence of hypertension in the elderly in the Kota Tengah Puskesmas Working Area. This research is an analytical survey study with a cross sectional study design. The population in this study was all elderly people, both men and women who suffered from hypertension at the Kota Tengah Health Center with sample determination using accidental sampling with 224 respondents. Data analysis using chi square test. The results of the study obtained 127 people (56.7%) who consumed abnormal salt and 97 people (43.3%) who consumed normal salt, while 123 people (54.9%) who had hypertension and 101 people (49.1%) who did not experience hypertension. The relationship between salt consumption patterns and the incidence of hypertension in the elderly was obtained with a p value of 0.012 Î± 0.05. In conclusion, there is a relationship between salt consumption patterns and the incidence of hypertension in the elderly in the Kota Tengah Health Center. Keywords : Hypertension; Salt consumption;Â  Elderly.
FACTORS OF EDUCATION AND MATERNAL KNOWLEDGE IN HANDLING TYPHOID FEVER IN INFANTS AGED 0 - 24 MONTHS
Authors: Qomah Isti , Tazkiah Misna , Hardiyanti Siti , Nurmuliana Nurmuliana
Published: March 2023

Demam tifoid merupakan penyakit yang terjadi akibat infeksi bakteri Salmonella Typhi. Demam ini secara umum menyerang penderita dalam kelompok usia 5-30 tahun. Kebaruan penelitian ini karena menganalisis faktor pendidikan dan pengetahuan Ibu dalam penanganan demam typoid pada bayi usia 0-24 bulan. Tujuan penelitian ini untuk menganalisis faktor pendidikan dan pengetahuan Ibu dalam penanganan demam tifoid pada bayi usia 0â€“24 bulan di Desa Mali-Mali. Metode penelitian menggunakan rancangan survey deskriptif. Sampel dalam penelitian ini adalah 20 ibu yang memiliki bayi 0â€“24 bulan di Desa Mali-Mali. Hasil penelitian menunjukkan bahwa pendidikan Ibu dalam penanganan demam tifoid pada bayi usia 0â€“24 bulan sebagian besar pendidikan Sekolah Dasar (40%). Pengetahuan Ibu dalam penanganan demam tifoid pada bayi di Desa Mali-Mali sebagian besar pengetahuan cukup sebanyak 9 orang (45%). Kesimpulan bahwa pendidikan dan pengetahuan Ibu akan berpengaruh dalam penanganan demam typhoid pada bayi usia 0-24 bulan.Kata Kunci : Pendidikan; Pengetahuan; Demam tifoid.AbstractTyphoid fever is a disease that occurs due to infection with Salmonella Typhi bacteria. This fever generally affects sufferers in the age group of 5-30 years. The novelty of this study is that it analyzes mothers' educational factors and knowledge in handling typhoid fever in infants aged 0-24 months. This study aimed to investigate mothers' educational factors and knowledge in running typhoid fever in infants aged 0-24 months in Mali-Mali Village. The research method uses a descriptive survey design. The samples in this study were 20 mothers who had babies 0â€“24 months in Mali-Mali Village. The results showed maternal education in handling typhoid fever in infants aged 0â€“24 months was primary, primary school education (40%). Mothers' knowledge in handling typhoid fever in Mali-Mali Village infants is mostly enough for as many as 9 people (45%). The conclusion is that mothers' education and knowledge will affect the management of typhoid fever in babies aged 0-24 months.
KNOWLEDGE ANALYSIS WITH THE USE OF ANTIBIOTICS IN THE PEOPLE OF BREBES REGENCY
Authors: Septiani Nur , Susanto Agus , Nurcahyo Heru
Published: March 2023

Antibiotik merupakan obat yang banyak digunakan untuk mengobati infeksi, tetapi sering tidak tepat dalam pemakaiannya.Â Ketidaktepatan dalam menggunakan antibiotik berdampak pada resistensi. Ketidaktepatan dalam mengonsumsi dipengaruhi oleh banyak faktor, salah satunya adalah pengetahuan. Faktor pengetahuan tentang antibiotik yang baik berdampak pada ketepatan dalam menggunakan antibiotik. Kebaruan penelitian ini karena peneliti menganalisis pengetahuan dengan penggunaan antiobiotik pada masyarakat usia dewasa. Penelitian ini bertujuan untukÂ menganilsisis korelasi antara pengetahuan dengan penggunaan antibiotik.Â Penelitian ini menggunakan pendekatan cross-sectional.Â Populasi adalah Masyarakat Kabupaten Brebes yang berusia dewasa (18 tahun ke atas) dan dalam enam bulan terakhir pernah menggunakan antibiotik.Â  Besar sampel penelitian adalahÂ  380 orang yang dipilih dengan menggunakan teknik simple random sampling. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan analisis univariat dan bivariat. Uji korelasi dilakukan dengan menggunakan uji Chi-Square dengan batas signifikansi 0,05. Hasil penelitian didapatkanÂ pemahaman tentang antibiotik mayoritas respondenÂ  pada kategori cukup baik (61,1%)Â dan penggunaan antibiotik paling banyak pada kategori cukup baik (51,0%). Hasil uji korelasi antar variabel pengetahuan dengan penggunaan antibiotik adalah 0,000 (pv0,005). Kesimpulan terdapatÂ hubungan yang signifikan antara pengetahuan dengan penggunaan antibiotik. Kata kunci: Antibiotik; Pengetahuan;Â Penggunaan.AbstractAntibiotics are drugs that are widely used to treat infections, but are often incorrect in their use. Inaccuracy in using antibiotics has an impact on resistance. Inaccuracy in consuming is influenced by many factors, one of which is knowledge. The factor of knowledge about good antibiotics has an impact on the accuracy in using antibiotics. The novelty of this study is because researchers analyze knowledge with the use of antiobiotics in adult society. This study aims to analyze the correlation between knowledge and the use of antibiotics The size of the study sample was 380 people who were selected using a simple random sampling technique. Data collection using questionnaires. Data analysis using univariate and bivariate analysis. The correlation test was performed using the Chi-Square test with a significance limit of 0.05. The results of the study obtained an understanding of the antibiotics of the majority of respondents in the fairly good category (61.1%) and the use of antibiotics the most in the fairly good category (51.0%). The result of the correlation test between knowledge variables and the use of antibiotics was 0.000 (pv0.005). Conclusion there is a significant relationship between knowledge and the use of antibiotics.Keywords: Antibiotic; Knowledge; Usage.
الاتزان الانفعالي وعلاقته بالتسرع في الاستنتاج
Authors: الحصناوي سعد , الصراف لبنى
Published: March 2023

يستهدف البحث الحالي هو التعرف على الاتزان الانفعالي وعلى التسرع في الاستنتاج ومدى ارتباطهما مع بعض لدى عينة من المعلمين في المدارس الابتدائية الموزعه على الاقضية والمراكز والنواحي في محافظة النجف وقد بلغ حجم العينة (475) معلم ومعلمة . وقد قامت الباحثة بتبني اداة قياس الاتزان الانفعالي وبناء اداة قياس التسرع في الاستنتاج . وتوصلت النتائج الى ان عينة المعلمين لديهم اتزان انفعالي وليس لديهم تسرع في الاستنتاج ولا يوجد فرق بين الاناث والذكور في الاتزان الانفعالي وان هناك فرق بينهما في التسرع في الاستنتاج ولصالح الذكور اما بالنسبة للعلاقة بين الاتزان الانفعالي والتسرع في الاستنتاج فهي علاقة ارتباطية سالبة. وخرجت الباحثة بمجموعة من التوصيات والمقترحات من البحث الحالي
Roles of Local Leaders in Community Development in Dutse Local Government Area of Jigawa State, Nigeria
Authors: P Popoola, O. , J. C-Oluwatosin, T. , D. Alagbe, O. , O Odesola, , B Olatunji, I. , U James-Ojibo, I.
Published: March 2023

The study examined the role of local leaders in community development decision making in Dutse Local Government area of Jigawa State, Nigeria. A multistage (4) stage sampling procedure was employed in selecting 120 respondents for the study. Mean age and household size are 53 years and 10 persons. Majority (97.5%) were males, married (95.8%) with secondary education (57.6%). Only about 1/3 (33.3%) had tertiary education while 8.3% had primary education. Significant proportion (91.7%) claimed to have travelled within and outside the study area. The type of leadership existing and acting were; traditional and household leaderships (x ̅=1.011), religious and cooperative leaderships (x ̅=1.383). Areas of roles and influences of the leaders mostly were in; support for art and culture, mobilization, control of market activities, advice on religious matters and chieftaincy matters (x ̅=1.047). Participation in community activities were in the areas of; conflict resolution, chieftaincy affairs, religious matters, support for community development projects, mouth piece of the people, mobilization, political/LGA advice, cultural matter and council matters (x ̅=1.071). Major constraints to participation were; cultural belief and heterophili (x ̅=1.250), mindset of the people and poor socialization (x ̅=1.199) and exclusion from government development projects (x ̅=1.009) respectively. The Pearson Correlation analysis showed positive relationship between participation and degree of Cosmo-politeness, age, educational level respectively. It was recommended that local leaders should be engaged more in community development activities because they serve a catalytic function to the people. Community intervention or development programmes must be geared towards the socio-cultural structure of the people. Respondents should also be encouraged to visit other place in order to foster understanding of cultural differences and diversity, socialization and modernization emanating from ....
Similarities in the Protection of Wild Animals in Indonesia and Korea
Authors: Gici Rindang , Setiyono Setiyono , Nahdiya Nahdiya
Published: March 2023

This article aims to examine and analyze the regulation of wildlife protection in Indonesia and South Korea. In this writing, using the Normative Juridical method. Meanwhile, the approach used is the per-statute approach and the comparative approach. The results show that several arrangements regarding the protection of wild animals in Indonesia and South Korea have similarities which have been regulated in-laws and the Criminal Code (KUHP). However, in South Korea, the protection of wild animals (animals) is only regulated by a law known as the Animal Protection Act, but not regulated in the Criminal Code or what is known as the Criminal Code.
Analysis of Healthcare Resource Utilization and Costs after the Initiation of Biologic Treatment in Patients with Ulcerative Colitis and Crohn’s Disease
Authors: Perera Sue , Yang Shibing , Stott-Miller Marni , Brady Joanne
Published: March 2023

Background: This retrospective cohort study aimed to describe and quantify healthcare resource utilization and costs for patients with ulcerative colitis (UC) and Crohn’s disease (CD) following initiation of biologic therapy. Methods: Resource utilization and costs were analyzed at baseline and 1- and 2-years after initiating a biologic. Data were extracted from a US administrative health insurance claims database for adults ≥18 years. Eligible patients were continuously enrolled in a health plan with medical and pharmacy benefits for ≥12 months prior to, and 12 months (primary analysis) or 24 months (secondary analysis) after index date (biologic initiation). Results: In total, 4864 and 2692 patients with UC, and 8910 and 5227 patients with CD were identified in the 1- and 2-year follow-up cohorts, respectively. Of 1-year follow-up cohort patients, 45% received the same biologic initiated at index for ≥1 year. Infliximab and adalimumab were the most commonly initiated biologics in patients with UC or CD. The highest proportion of patients who continued with the same biologic after 1-and 2-years had initiated therapy with infliximab for both indications (although at the 1-year follow-up for CD, the highest proportion continued to use natalizumab, but this was a small sample [n=15]). Generally, the proportion of patients having inpatient admissions and emergency department (ED) visits decreased after receiving the same biologic for 1 year compared with baseline, although the proportion having outpatient visits did not change. Mean per patient all-cause costs for inpatient hospitalizations, ED visits and outpatient visits decreased for patients with UC or CD who received the same biologic for 1 year, while mean pharmacy costs per patient increased. Conclusions: This descriptive analysis shows that although biologics effectively reduced inpatient and ED resource utilization and corresponding costs in patients with UC and CD, total management costs increased, driven by increased pharmacy costs.
Applying Machine Learning Techniques to Identify Undiagnosed Patients with Exocrine Pancreatic Insufficiency
Authors: Pyenson Bruce , Alston Maggie , Gomberg Jeffrey , Han Feng , Khandelwal Nikhil , Dei Motoharu , Son Monica , Vora Jaime
Published: March 2023

Background: Exocrine pancreatic insufficiency (EPI) is a serious condition characterized by a lack of functional exocrine pancreatic enzymes and the resultant inability to properly digest nutrients. EPI can be caused by a variety of disorders, including chronic pancreatitis, pancreatic cancer, and celiac disease. EPI remains underdiagnosed because of the nonspecific nature of clinical symptoms, lack of an ideal diagnostic test, and the inability to easily identify affected patients using administrative claims data. Objectives: To develop a machine learning model that identifies patients in a commercial medical claims database who likely have EPI but are undiagnosed. Methods: A machine learning algorithm was developed in Scikit-learn, a Python module. The study population, selected from the 2014 Truven MarketScan® Commercial Claims Database, consisted of patients with EPI-prone conditions. Patients were labeled with 290 condition category flags and split into actual positive EPI cases, actual negative EPI cases, and unlabeled cases. The study population was then randomly divided into a training subset and a testing subset. The training subset was used to determine the performance metrics of 27 models and to select the highest performing model, and the testing subset was used to evaluate performance of the best machine learning model. Results: The study population consisted of 2088 actual positive EPI cases, 1077 actual negative EPI cases, and 437 530 unlabeled cases. In the best performing model, the precision, recall, and accuracy were 0.91, 0.80, and 0.86, respectively. The best-performing model estimated that the number of patients likely to have EPI was about 12 times the number of patients directly identified as EPI-positive through a claims analysis in the study population. The most important features in assigning EPI probability were the presence or absence of diagnosis codes related to pancreatic and digestive conditions. Conclusions: Machine learning techniques demonstrated high predictive power in identifying patients with EPI and could facilitate an enhanced understanding of its etiology and help to identify patients for possible diagnosis and treatment.
The problem of focal-segmental glomerulosclerosis in primary glomerulonephritis
Authors: Morozov S. L. , Dlin V. V.
Published: March 2023

The concept of focal segmental glomerulosclerosis in clinical practice is used to describe both a separate disease and morphological characteristics of secondary kidney damage. Most often, focal segmental glomerulosclerosis occurs as a result of the course of primary glomerulonephritis and is the cause of the development of nephrotic syndrome. A feature of the course of nephrotic syndrome in focal segmental glomerulosclerosis is a longer response to steroid therapy, or the formation of dependence/resistance to glucocorticosteroids. Despite the development of scientific progress, the problem of focal segmental glomerulosclerosis in primary glomerulonephritis is still relevant. Understanding the mechanisms of podocyte damage and disease progression is important not only for basic research, but also for everyday clinical practice.
Diagnostics, monitoring and treatment of arterial hypertension in children
Authors: Karimdzhanov I. A. , Iskanova G. Kh. , Isrаilova N. A.
Published: March 2023

The review presents material on the current relevance of AH in children. The prevalence of AH in overweight and obese children aged 6-18 years is 27–47 %, while secondary arterial hypertension remains dominant, especially in children younger than 5 years. AH is a major risk factor for atherosclerosis and cardiovascular disease in adults. The onset of these diseases may occur in childhood or adolescence. The use of modern methods to monitor and control BP is crucial for improving the management of AH and preventing damage to target organs. Twenty-four-hour BP measurements are an important tool in determining the prognosis and treatment of children with AH. AH in children can be classified as primary or essential if there is no identifiable cause, or as secondary AH when it arises from a specific cause. The incidence of primary arterial hypertension increases with age, whereas secondary arterial hypertension predominates in early childhood. The secondary causes of AH also depend on the age of the patient. Thus 34-79 % of patients with secondary forms of arterial hypertension have renal parenchymal disease and impaired renal structure. Signs of AH include headache, visual disturbances, dizziness and nosebleeds. Dyspnoea on exercise, facial paralysis and seizures indicate target organ damage. In children with obesity, diabetes, renal insufficiency, aortic coarctation/repaired coarctation and those receiving medication causing AH, BP should be measured at every visit to the physician. Therapeutic lifestyle changes are an early therapy in the treatment of AH in children. IAPs, BCAAs, BRAs and thiazide diuretics are the most effective drugs for AH in children.
Densitometric justification of the diagnosis of osteoporosis in patients with chronic kidney disease stage 5D
Authors: Mazurenko S. O. , Nakatis Ya. A. , Mazurenko O. G. , Vasilyev A. N. , Enkin A. A. , Staroselsky K. G. , Samokhvalova N. A. , Semenova T. S. , Grusmanov A. K.
Published: March 2023

BACKGROUND. Chronic kidney disease leads to increased bone fragility and fractures. Assessing the risk of fractures is a direct way to prevent them.

   THE AIM: to assess the possibility of using DXA to predict fracture risk in patients with stage 5D CKD.   PATIENTS AND METHODS. The prospective cohort study included 359 patients (166 men, 193 women). BMD was evaluated by DRA. Some markers of mineral and bone metabolism were also analyzed. All fractures in patients were recorded from the moment of inclusion in the study.

   RESULTS. All patients with fractures had lower BMD and received longer-term renal replacement therapy (RRT). The absolute risk of fractures increased as BMD decreased. Patients with fractures had higher levels of parathyroid hormone and alkaline phosphatase. Stepwise multivariate regression analysis showed that the combination of BMD scores of the forearm, hip, lumbar vertebrae and the duration of RRT best predicts the risk of fractures. The presence of previous fractures also increases risk for the future. Risk of fractures in man and women did not differ.

   CONCLUSION. The risk of fractures in patients with CKD 5 st. on maintenance hemodialysis increases with a decrease in BMD, an increase in the duration of RRT and the presence of previous fractures, but does not significantly depends on the gender of the patients. It is also can be concluded that it is possible to use criteria reflecting the state of BMD, taking into account their sensitivity and specificity, in assessing the risk of fractures in patients with CKD 5D st.
Physical performance of patients with chronic kidney disease stage 5D and coronary heart disease
Authors: Korosteleva N. Yu. , Rumyantsev A. Sh. , Khasun M. Kh. , Lukichev B. G. , Lebedeva E. B. , Grigoryan E. V. , Kulaeva N. N.
Published: March 2023

BACKGROUND. Assessment of physical performance in patients is usually based on the results of the 6-minute walk test, which is primarily associated with heart or respiratory failure.

   THE AIM: to analyze the results of the 6-minute walk test with clinical and laboratory parameters of patients with CKD 5D, including criteria for protein-energy malnutrition.

   PATIENTS AND METHODS. 67 people with CKD 5D were examined, including 42 men and 25 women, mean age 49.0 ± 14.9 and 57.2 ± 15.5 years, respectively, p = 0.036. The duration of RRT in men was 96.1 ± 80.3 months, in women 100.7 ± 66.1 months, p = 0.810. The diagnosis of coronary heart disease was established in 22 people, 7 of them had AMI. The muscle strength of the skeletal muscles was assessed using a hand dynamometer, the performance of the skeletal muscles – during a test with a 6-minute walk. All patients filled out food diaries, where they indicated the qualitative and quantitative composition of the food which they consumed for 3 days.

   RESULTS. Walking load was most easily tolerated by patients without clinical manifestations of CAD. Between patients with and without AMI in history, the number of points on the Borg scale was comparable and reached the maximum values. The highest concentration of C-reactive protein and the lowest concentration of serum albumin were observed in patients who had had AMI. Relationships were found between serum albumin with C-reactive protein and the results of the 6-minute walk test, as well as between the mass index of the left ventricular myocardium with the results of the 6-minute walk test.

   CONCLUSION. Left ventricular hypertrophy masks the clinical signs of reduced physical performance, but increases the risk of cardiovascular complications. The results of the 6-minute walk test in patients with CAD should be evaluated in more detail. A number of studies are needed to clarify how dietary recommendations should be modified depending on the level of systemic inflammation in CKD.
Paradigms of megapolis nephrology in a changing world: status, problems and prospects of development of the nephrological service of St. Petersburg
Authors: Belskikh A. N. , Marukhov A. V. , Konakova I. N. , Zakharov M. V. , Chubchenko N. V.
Published: March 2023

The course of the COVID-19 pandemic has led to a critical increase in the burden on virtually all major branches of the health care system in our country and abroad.

   The aim of this article is to analyse the activities of the different parts of the city nephrol­ogy service in Saint-Petersburg and to consider promising ways to improve it.

   The nephrology service for the adult population in St. Petersburg includes: outpatient service; inpatient service - 183 beds in 24-hour inpatient departments of the city; dialysis service - 10 dialysis units in municipal medical organizations, 5 in federal institutions, and 8 centers/departments operating in the framework of private-public partnership. The number of patients on dialysis programme decreased by 10.5 % to 1,839 in 2021. These changes are likely due to an increase in mortality among these patients in 2020 and 2021 which is a consequence not only of COVID-19 but also of the adverse impact of the pandemic on the health system. The proportion of patients treated as outpatients in private dialysis centres increased during the three-year period. The incidence of arteriovenous fistula formation in primary vascular access decreased from 33.2 % to 14.2 % in 2020 compared with 2019. At the same time, the use of temporary central venous catheters as primary vascular access for renal replacement therapy has increased significantly from 43.0 % to 61.9 %. The development of the nephrology service is largely determined by its funding. To compensate the costs of medical in­ stitutions in the city for conducting renal replacement therapy it is necessary to increase the tariffs of compulsory health insurance (CHI) by at least 50 %. In the medical organizations of Saint-Petersburg municipal and federal subordination the share of "artificial kidney" devices that have used up their resource is 32.2 %, and in a number of medical institutions it exceeds 50 %.
Cartilha educativa: cuidados pelas puérperas com o coto umbilical
Authors: Silva Thais Pereira da , Modes Priscilla Shirley Siniak dos Anjos , Santos Carla Alexandra de Souza , Gaí­va Maria Aparecida Munhoz
Published: March 2023

Objetivou-se descrever o processo de elaboração de uma cartilha educativa sobre os cuidados com o coto umbilical a partir das práticas culturais e cientí­ficas aplicadas por puérperas e seus familiares na realidade do municí­pio de Sinop, MT. É um estudo exploratório descritivo, com abordagem qualitativa, desenvolvido a partir das seguintes etapas: levantamento bibliográfico e entrevista com puérperas; elaboração da cartilha; aprovação do material por especialistas, mães e gestantes. A cartilha teve contribuições de especialistas da área de enfermagem pediátrica e neonatal e de puérperas. O conteúdo da cartilha aborda: Conhecendo o coto umbilical; Fase de cicatrização do coto umbilical; Principais infecções do coto umbilical; Cuidados com o coto umbilical; Informações importantes para a cicatrização adequada do coto umbilical e; Referências. Conclui-se que a elaboração da cartilha educativa tem auxiliado as famí­lias sobre os cuidados adequados com o coto umbilical.
Formação de graduandos da área da saúde em infecção comunitária
Authors: Fernandes Neta Josefa Nilza , Eliete Batista Moura Maria , Rodrigues Moura da Costa Valle Andréia , Ibiapina Tapety Fabrí­cio , Campelo Lago Eliana
Published: March 2023

Objetivou-se descrever a formação de graduandos da área da saúde em infecção comunitária. Pesquisa qualitativa, realizada com 157 graduandos da área da saúde, em 2014. Utilizaram-se entrevistas estruturadas, processadas no software IRAMUTEQ e analisadas pela Classificação Hierárquica Descendente, resultando seis classes: Classe 1 – O conceito de infecção comunitária; Classe 2 – Conhecimento dos graduandos sobre infecção comunitária, adquirido na formação; Classe 3 – Os conteúdos relacionados í  infecção comunitária existentes no currí­culo dos cursos; Classe 4 – Prevenção e controle da infecção comunitária; Classe 5 – Técnicas de controle da infecção comunitária; Classe 6 – Medidas de biossegurança adotadas pelos graduandos da saúde. Os graduandos ainda não possuem um conceito de infecção comunitária construí­do, necessitando de mudanças no projeto pedagógico, com o objetivo de formar profissionais com competências e habilidades necessárias para a prevenção e controle da infecção comunitária.
Subjetividade e cuidado na hospitalização pediátrica
Authors: Santos Rosilene Aparecida dos , Minayo Maria Cecí­lia de Souza
Published: March 2023

Objetivo: Compreender como a subjetividade da criança é interpretada e atendida pelos profissionais de saúde na internação hospitalar. Método: Foi realizado um levantamento na Biblioteca Virtual de Saúde, com as palavras chave: subjetividade e hospitalização; subjetividade e hospitalização infantil; subjetividade e cuidado em saúde. Após aplicados os critérios de inclusão e exclusão, ficaram 12 artigos para análise, resultando nas categorias: A subjetividade como centro do cuidado na hospitalização infantil; Hegemonia biomédica e limitações no processo de cuidado na hospitalização infantil; Gestão e trabalho: intersubjetividade e cuidado hospitalar; Vulnerabilidades das crianças com necessidades especiais e subjetividade. Resultados: Para interpretar o processo de saúde, doença e morte, é preciso dialogar com as ciências sociais. O modelo biomédico hegemônico não é suficiente para uma assistência de qualidade porque a demanda do cuidado parte do sujeito, não é prescritiva. Conclusão: O cuidado hospitalar é uma artesania, que envolve aspectos tecnológicos, cientí­ficos e intersubjetivos. A valorização da subjetividade do profissional de saúde é importante para realização de um trabalho autêntico e eficiente. O trabalho com crianças com condições crônicas e complexas de saúde é um desafio, exige destreza e sensibilidade dos profissionais para o reconhecimento e interpretação da subjetividade.
Percepções dos médicos e reflexões multidisciplinares na atenção primária í saúde
Authors: Vieira Regis Rodrigues , Corvino Marcos Paulo Fonseca , Chavaglia Suzel Regina Ribeiro , Franco Reginara Ferreira
Published: March 2023

Objetivou-se avaliar as percepções e inquietações dos médicos no trabalho em equipe multidisciplinar e, compreender a influência destas reflexões na formação permanente. Estudo descritivo com abordagem qualitativa, tipo estudo de caso, desenvolvido através de entrevistas semiestruturadas realizadas com os médicos das Unidades de Saúde da Famí­lia de um municí­pio do Rio de Janeiro. Os dados foram analisados segundo referencial teórico de Bardin- Análise de Conteúdo. Foram entrevistados cinco médicos e dos discursos emergiram três categorias: desafio da integração dos diferentes saberes, sobrecarga de trabalho e médico: profissional reflexivo. Compreender as relações entre médicos e a equipe multidisciplinar em saúde, as inquietações dos profissionais em discussões e reflexões evidenciam pontos a serem discutidos e alinhados junto a equipe e o quão enriquecedor í  formação continuada e se tornar um caminho de fortalecimento da polí­tica de Educação Permanente na Atenção Primária í  Saúde.
Qualidade de vida dos graduandos de enfermagem: Uma revisão integrativa
Authors: Seltenreich Leticia da Silva , Galante Marcele Silva , Barea Cristina Aparecida Aidar , Silva Luciane Pereira da , Morais Júnior Sérgio Luis Alves de
Published: March 2023

Objetivou-se identificar como a qualidade de vida interfere durante a formação universitária em enfermagem. Trata-se de um revisão integrativa da literatura realizada na Biblioteca Virtual em Saúde (BVS), especificamente nas bases de dados eletrônicas LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde), BDENF (Base de Dados de Enfermagem) e MEDLINE (Literatura Internacional em Ciências da Saúde), após passarem pelos critérios de inclusão e exclusão, onde definiu-se a utilização de publicações cientificas no perí­odo de 2004 a 2017, que abordem o tema, no idioma português, com textos completos. Foram selecionados quatorze artigos para este estudo. Observou-se que a qualidade de vida foi avaliada positivamente pelos estudantes de enfermagem. Os instrumentos utilizados nos estudos: WHOQOL-BREF, questionário IQV "Quality of Life Index", teste de normalidade Kolmogorov-Smirnov e o t de Student e questionários próprios. Houve apontamentos positivos e negativos em relação í  satisfação com a qualidade de vida pelos graduandos em enfermagem. As questões insatisfatórias contemplaram: recursos financeiros, gastos com trabalhos, qualidade do sono, falta de tempo para lazer e carga horária do curso.
Desafios enfrentados pelos enfermeiros para garantir sua autonomia no cenário de alta complexidade
Authors: Oliveira Nayara Coutinho de , Peçanha Taynara Brum Almeida , Fonseca Caroliny dos Santos Guimarães da
Published: March 2023

Objetivo: apontar quais os desafios enfrentados pelos enfermeiros que atuam em setores crí­ticos para garantir a sua visibilidade frente í  equipe multidisciplinar e reforçar a sua autonomia, além de analisar estratégias que reforcem a sua independência profissional e valorização. Metodologia: revisão integrativa da literatura, de natureza qualitativa e caráter descritivo. Foi realizada busca da literatura nas bases de dados da MEDLINE, da BDENF, e do LILACS no perí­odo de agosto de 2018 a julho de 2019 e a técnica utilizada para tratamento dos dados foi a análise de conteúdo proposta por Bardin. Resultados: foram selecionadas nove publicações para fundamentar o estudo proposto. Discussão: o conteúdo da análise foi sintetizado em dois grupos: os desafios enfrentados pelos enfermeiros e as estratégias que podem ser adotadas. Conclusão: Embora haja obstáculos nos setores crí­ticos que limitem as ações, a autonomia dos enfermeiros está em construção contí­nua e há estratégias que viabilizam este processo.
Sí­ndrome alcoólica fetal e consequências para o feto: A perspectiva materna sobre a ingestão de álcool na gravidez
Authors: Teixeira Patrí­cia da Costa , Chaves Tatiana dos Santos Ribeiro , Santos Lorena Delvaux Aud dos , Lima Elaine Silva de , Silva Thalita de Mello , Koeppe Giselle Barcellos , Cerqueira Luciana da Costa Nogueira
Published: March 2023

Este estudo teve o objetivo de identificar o conhecimento de gestantes e promover promoção e prevenção de saúde através de folder informativo. Os dados foram coletados em uma unidade de saúde no Municí­pio de São Pedro da Aldeia- RJ. Fizeram parte do estudo 15 gestantes maiores de 18 anos, com pré-natal de risco habitual com dois questionários semiestruturados. A análise dos dados revelou que nenhuma das gestantes eram analfabetas sendo um ponto positivo para o entendimento nas orientações dadas. Evidenciou que mais da metade dessas gestantes eram solteiras, e que a grande maioria declara não ter religião. É importante destacar que 13 % das gestantes afirmaram ter ingerido álcool durante a gestação e 80% das entrevistadas, sabiam o efeito prejudicial do álcool ao feto, entretanto não sabiam especificar quais eram os males demonstrando falta de informações. Com este estudo foi possí­vel concluir a necessidade prioritária de acesso as informações para essa gestante através dos profissionais de saúde.
Análise da assistência de enfermagem as síndromes hipertensivas durante o ciclo grávido-puerperal
Authors: Medeiros Rosicleide Rúbia Pereira , Rodrigues Luana Gomes Leitão , Silva Lúcia Gomes de Souza , Albuquerque Luciene de Souza Santos , Evangelista Wanessa de Araújo
Published: March 2023

Objetivo: analisar a assistência de enfermagem as síndromes hipertensivas no ciclo grávido-puerperal de acordo com a literatura atual. Método: Trata-se de uma pesquisa descritiva, de análise temporal, retrospectiva e exploratória, que utilizou artigos publicados nos últimos cinco anos (2015 a 2019), que se encontravam na biblioteca Eletrônica Científica Online (SciELO). A coleta de dados ocorreu no mês de janeiro de 2020. Resultados: Os artigos abordaram pontos importantes sobre a assistência de enfermagem nas síndromes hipertensivas do ciclo gravídico-puerperal. Porém, poucas publicações citaram sobre o puerpério, a maioria se referia ao período gestacional. Foram elencadas diversas ações durante a assistência de enfermagem, que perpassam desde o apoio e acolhimento da mulher, até aplicação da Sistematização da Assistência de Enfermagem (SAE). Conclusão: Os cuidados de enfermagem são primordiais para a uma assistência qualificada a gestante e puérpera, ainda mais se ela estiver portando uma das síndromes hipertensivas do ciclo gravídico-puerperal.
Aleitamento materno na primeira hora de vida no Brasil: uma revisão sistemática
Authors: Soares Perla Figueredo Carreiro , Moura Jokasta Lima , Andrade Séfora Luana Evangelista de , Braga Luanna Silva , Medeiros Sabrina Rebeca Marinho , Oliveira Maysa Mayra Leite do Nascimento
Published: March 2023

OBJETIVO: identificar prevalência do aleitamento materno na primeira hora de vida no Brasil. MÉTODO: foram realizadas buscas de agosto a setembro de 2019 nas bases de dados Scielo e Medline, utilizando os descritores 'breastfeeding; 'postpartum: 'prevalence: 'newborn' e cross-sectional studies' em busca de estudos realizados no Brasil de 201 O a 2019. Foram utilizadas as recomendações do método Prisma e os dados foram coletados por meio de formulário estruturado e avaliados independentes por dois autores. RESULTADOS: Foram incluídos 23 estudos nesta pesquisa, dos quais 15 tiveram prevalência maior que 50% de aleitamento na primeira hora de vida. A maior parte dos estudos foi realizada nas regiões Sudeste e Nordeste do pais. CONCLUSÃO: Propõe-se estudos que envolvam tanto a prevalência do aleitamento na primeira hora de vida quanto as variáveis que influenciam esta prática, especialmente nas regiões Norte, Centro-oeste e Sul do Brasil.
Representação social dos métodos não-farmacológicos para alívio da dor durante o trabalho de parto
Authors: Vicente Lngrid Gomes , Campos Greice Kelly Palmeira , Rodrigues Adriene de Freitas Moreno , Rodrigues Luciano Antonio
Published: March 2023

Objetivo: Identificar a representação social dos métodos não-farmacológicos para alívio da dor durante o trabalho de parto. Método: Estudo descritivo, de abordagem quantiqualitativa, realizado em uma maternidade de Colatina/ES. Realizou-se a gravação das entrevistas através da aplicação de um formulário semiestruturado e transcrição na íntegra para análises semânticas das informações e extraídas as evocações. Resultado: Para as participantes, as representações sociais acerca do termo "método não farmacológico (MNF)" se estruturaram em um tronco principal representado pelos termos "Conforto'; "Relaxante'; "Bom'; "Alívio" e "Carinho'; demonstrando o reconhecimento dos benefícios da utilização dos métodos durante o trabalho de parto, desencadeando sentimentos positivos durante a parturição. Conclusão: Resta admitir que os MNFs possuem grande potencialidade no atendimento as parturientes, pois os benefícios alcançados são evidenciados no estudo e compreender sua importância nas salas de parto é imprescindível para a qualidade da assistência à saúde da mulher.
Práticas de cuidado em saúde mental com população privada de liberdade: revisão de escopo
Authors: SILVA LAYLLA VERIDIANA CASTÓRIA , MUNIZ MARCELA PIMENTA GUIMARÃES , CAÇADOR BEATRIZ SANTANA , CARAM CAROLINA DA SILVA , BRITO MARIA JOSÉ MENEZES
Published: March 2023

Objetivo: Identificar as práticas de cuidado de saúde mental com população privada de liberdade presentes em publicações científicas atuais sobre o tema em questão. Método: revisão de escopo de publicações entre 2016 e 2021, nas bases LatinoAmericana e do Caribe em Ciências da Saúde e Scientific Electronic Library Online, utilizando-se como descritores: Prisioneiros; Prisões; Saúde Mental e como unitermos: Cuidado em Saúde; Cuidado. Resultados: Identificaram-se doze artigos que se relacionam com o paradigma psicossocial e dos direitos humanos das pessoas privadas de liberdade. As práticas identificadas se referem à necessidade de pesquisas que desenvolvam estratégias para diminuir a reinserção no sistema penal e possibilitar a reintegração dos detentos na sociedade. Conclusão: A construção de práticas de cuidado em saúde mental para pessoas privadas de liberdade respaldas na premissa dos direitos humanos exige a compreensão das necessidades desta população, considerando os eventuais transtornos associados à privação de liberdade.
Fatores associados à busca por serviços especializados no atendimento da covid-19 segundo idade
Authors: RAMOS ANGÉLICA ARPS DE , BORDIN DANIELLE , SILVA CARLA LUIZA DA , BRASIL DANIELE , CABRAL LUCIANE PATRÍCIA ANDREANI , GRDEN CLÓRIS REGINA BLANSKI
Published: March 2023

Objetivo: avaliar os fatores associados à busca pelo serviço especializado de triagem para a Covid-19 em âmbito hospitalar, segundo estrato etário. Método: Estudo quantitativo, transversal, com amostra de 358 pacientes que buscaram o serviço de referência Covid-19, de abril a maio de 2020. Os dados foram analisados pelo teste qui-quadrado. Resultados: Do total de avaliados 84, 1 % (n=301) eram adultos e 15,9% (n=58) idosos. Os idosos apresentavam mais doenças crônicas não transmissíveis; chegaram consideravelmente mais por transporte de emergência, de forma referenciada; buscaram previamente outro serviço de saúde; apresentaram mais sintomas respiratórios, dentre eles a dispneia; necessitaram significativamente mais por atendimento médico (p<0,05). Apenas os adultos referiram contato com casos suspeitos ou confirmados, apresentaram expressivamente mais sintomas como dor de garganta, congestão nasal, dificuldade de deglutição e coriza (p<0,05). Conclusão: Os idosos procuraram a assistência na existência de sintomas mais agravados, configurando uma busca mais assertiva e consciente em comparado aos adultos.
ADMINISTRATIVE AND LEGAL CLASSIFICATION OF INSULTING
Authors: Sarsenbaev Ajiniyaz
Published: March 2023

This article discusses the offense of defamation, its composition and the basis of liability. In this article, it is noted the types of administrative offense, the offense of insult, types of offense of insult today, the composition and the basis of responsibility, and the suggestions for the prevention of these offenses.
KEY WORDS: Administrative offense, signs, insult, behavior, composition of the offense.
CƏNUBİ XƏZƏR ÇÖKƏKLİYİNDƏ GEODİNAMİK-GƏRGİNLİK OCAQLARININ YARANMA SƏBƏBLƏRİ (ŞAMAXI-İSMAYILLI ZONASININ TİMSALINDA)
Authors: Aygün Sultanova Hümbət Vəliyev , Elnur İsazadə Səriyyə Mirzəyeva
Published: March 2023

Azərbaycanın Şamaxı-İsmayıllı geodinamik-gərginlik zonası illər boyu aparılmış tədqiqatlar nəticəsində Qafqazın seysmik aktivliyinin ən yüksək olduğu və intensiv zəlzələ ocaqlarının müşahidə olunduğu zonalardan biri hesab olunur. Zaman keçdikcə bu zonada seysmik aktivliyin yüksəldiyi qeydə alınmışdır. Tədqiqat zonasında qeydə alınan dərin tektonik proseslər bu zonada geodinamik gərginliyin öyrənilməsində mühüm rol oynayır. Şamaxı-İsmayıllı zonasında uzun illər aparılan tədqiqatların nəticələri seysmomaqnit effektinin təzahürünün və onun zəlzələ mənbəyinin mexanizmindən asılılığının bir sıra xarakterik xüsusiyyətlərini müəyyən etməyə imkan vermişdir. İsmayıllı və Şamaxı zonalarında baş vermiş zəlzələ ocaqlarının yeri və dərinliklərinin müqayisəli təhlili göstərir ki, baş vermiş zəlzələlər Çökmə örtük qatının aşağı hissəsində Qranit qatın yuxarılarında baş vermişdir. Həmin zəlzələlər Çökmə qatın konfiqurasiyasının kəskin dəyişmə yerində, gərginlik-deformasiya şərait olan gərilmə yerində, intruziv kütlənin kontaktı olan hissədə olmuşdur.
Məqalədə zəlzələ ocaqlarının yaxınlığında geomaqnit sahə gərginliyinin anomal dəyişmələri haqqında məlumatlar öyrənilir. Aparılmış tədqiqatlar nəticəsində geodinamik-gərginlik ocaqlarında enerjinin toplanmasına və zəlzələlərin baş verməsinə zəmin yaradan amillər öyrənilir. Həmçinin Böyük Qafqazın cənub yamacında Şamaxı-İsmayıllı, Şəki-Zaqatala zonasında geoloji kəsilişlərində üfiqi hərəkət zamanı bloklar və lay kompleksləri fərqli yerlərini dəyişdiyi və tektonik qırılmaların sıxlığı müşahidə olunduğu göstərilmişdir. Azərbaycan ərazisində zəlzələlərin episentrlər xəritəsində və hiposentrlərin dərinlik üzrə paylanması kəsilişlərində 0-100 km intervalda seysmik aktivliyin dərinlik qatları üzrə fərqli dəyişdiyi müşahidə olunur. Böyük Qafqazın cənub yamacında tektonik qırılmaların sıxlığı çox olan sahələrdə əsas güclü zəlzələlər 7-15 km intervalında baş verir. Kəsilişin üst hissələrində Çökmə qatının 3-5 km intervalında baş verən zəlzələlərin sayı çox olsada maqnitudası M≥4 həddini aşmır. Dərin qatlarda isə zəlzələ ocaqlarının yaranmasına səbəb olan amillərdən biri kimi yer səthinə yaxın köklü intruziv kütlələr olduğu qeyd edilir. Çökmə qat kompleksi horizontal hərəkət edərək intruziv kütlələrlə qarşıla¬şır və blokların, lay komplekslərinin fərqli sürətlərı çökmə qatda deformasiya ocaqları yaranmasına zə¬min yaradır, geodinamik-gərginlik enerjisi tədricən artmaqda davam edir və kritik həddə çatanda tektonik qırılma olur, zəlzələ baş verir.
Şamaxı-İsmayıllı, Şəki-Zaqatala zonasında geodinamik-gərginlik ocaqları intruziv kütlələrin təmas hissəsinə yaxın yerləşir və güclü zəlzələlər belə ocaqlarda baş verir.
Açar sözlər: intruziv kütlə, zəlzələ ocağı, seysmik aktivlik, tektonik qırılma, horizontal yerdəyişmə.