bluuebunny/crossref_metadata_2025 huggingface dataset:
Penentuan Bahaya Pada Pekerjaan Struktur Tertinggi (Lantai Atap 72) Dan Struktur Terendah (Basement 6) Dengan Cara Identifikasi Hazard Proyek Tower Thamrin Nine Jakarta
Authors: Rikarda Raden Denisio Edwin , Koesomawati Dewi Junita , Ratnaningsih Anik
Published: February 2025

The obligations in the management of K3 (Occupational Health and Safety) must be had in high rise building. The government regulation No. 50 of 2012 and the Minister of Manpower Regulation No.5/MEN/1996 have regulated the implementation of the K3 management system. The Thamrin Nine project is a building project has received a zero accident award in 2015 initiated by the contractor PT. Acset Indonusa Tbk. The biggest potential danger in building projects is at heights and excavations consist of 10 types of work mentioned in the 2005 OHSAS (Occupational Safety and Health Administration) data. The thamrin nine project has potential hazards in roof work items on floor 72 and basement work items 6. This research aims to determine the risk of danger and by presenting the most dominant hazard factors and providing strategies for implementing work items using the HIRA method. The results of the literature study showed that there were 4 work items consisting of 22 activities with 174 risk variables. The matrix show the greatest hazards were in the medium zone with a percentage value of 90%, dominated by roof work on the 72nd floor. the latest innovation strategies are needed, such as guardrails, railings and catch nets.
ABSTRAK
Manajemen K3 (Kesehatan dan Keselamatan Kerja) predikat baik harus diterapkan pada struktur bangunan gedung tinggi di Indonesia. Peraturan pemerintah No.50 tahun 2012 dan peraturan menteri tenaga kerja No.5/MEN/1996 telah mengatur Sistem manajemen K3. Proyek Thamrin Nine adalah proyek gedung dengan Kontraktor yaitu PT. Acset Indonusa Tbk telah mendapat penghargaan zero accident pada tahun 2015. Potensi bahaya terbesar dalam proyek gedung yaitu ada pada ketinggian dan galian terdiri dari 10 macam pekerjaan yang disebutkan Data OHSAS (Occupational Safety and Health Administration) 2005. Berdasarkan data OHSAS maka proyek Thamrin nine memiliki potensi bahaya pada item pengerjaan atap lantai 72 dan item pengerjaan basement 6. Penelitian ini bertujuan menyajikan faktor bahaya dominan serta strategi pelaksanaan item pekerjaan hasil metode HIRA pada penentuan bahaya pada item pekerjaan atap lantai 72 dan basement 6. Terdapat 174 variabel risiko dari 23 kegiatan yang berasal pada 4 item pekerjaan pada HIRA dengan kesesuaian pada item pekerjaan atap lantai 72 dan basement 6 data didapatkan berdasarkan kajian studi literatur. Hasil Matriks risiko bahaya didapatkan nilai persentase 90% dengan didominasi pekerjaan atap lantai 72 terdapat pada zona sedang. Strategi inovasi terbaru seperti adanya pengamanan railing, catch nets dan guardrail untuk dapat diterapkan pada bahaya zona sedang dan zona tinggi.
Analisis Tingkat Kepuasan Pelanggan Terhadap Pelayanan di Bandar Udara Notohadinegoro Jember
Authors: Satria Aldho Bagus , Hayati Nunung Nuring , Alfiah Rindang
Published: February 2025

Bandar udara Notohadinegoro merupakan bandara yang terletak di Kabupaten Jember.Bandar udara Notohadinegoro menentukan peningkatan potensi dalam pengembangan pengoperasianya di Kabupaten Jember. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pelanggan dengan melakukan strategi perbaikan dan penambahan sarana dan prasarana agar dapat memberi kenyamanan dan keamanan kepada setiap pelanggan diBandar Udara Notohadinegoro di Kabupaten Jember. Metode yang digunakan yaitu metode Importance Performance Analysis (IPA) dan SWOT. Metode IPA dapat menentukan tingkat kepuasan dan kinerja pelanggan. Sedangkan metode SWOT dapat menentukan strategi weaknesess (W), opportunities (O), strenghts (S), threats (T) dengan menggunakanperhitungan matriks EFAS dan IFAS. Hasil penelitian ini di dapatkan bahwa kuadran IPA memiliki indikator komponen pada kuadran A yaitu toilet, tempat beribadah, air bersih, tugu nama bandara untuk di kembangkan. Analisis SWOT dapat memperoleh strategi weaknesess (W) dan opportunities (O untuk meminimalkan kelemahan dan memanfaatkan peluang.Hasil dari titik koordinat (x,y) diperoleh titik (-0,16;0,92) terletak pada kuadran 3 turn around start yang memiliki peluang cukup besar sehingga sarana dan prasarana di bandar udara Notohadinegoro perlu adanya strategi yang harus diterapkan untuk perkembangan bandara.
PERSPEKTIF ISLAM DAN BUDAYA PADA TRADISI BARODAK ADAT PERKAWINAN MASYARAKAT SUMBAWA DI ERA GLOBALISASI
Authors: Desmawanti Rosa , Draditaswari Silka Yuanti , Widia Nita Kasih Baiq
Published: February 2025

This study examines the Barodak tradition in Sumbawa marriage ceremonies within the context of globalization, focusing on both Islamic and local cultural perspectives. Barodak, a tradition of applying natural-based body scrubs to the bride and groom, has become an inseparable part of the identity of the Sumbawa community. This tradition is not merely a cultural ritual but also reflects religious values that align with the philosophy of Islam, encapsulated in the saying, "Adat Berenti Ko Syara’, Syara’ Berenti Ko Kitabullah" (Tradition should be aligned with religious law, and religious law should follow the holy scriptures). However, modernization poses challenges to the preservation of Barodak. With the rise of globalization, certain elements of the tradition have shifted, including the ritual forms, symbolic meanings, and public perceptions regarding its relevance. This study adopts an ethnographic approach through participatory observation and in-depth interviews, enabling a deeper understanding of the cultural and religious values associated with Barodak. The findings reveal ongoing efforts to preserve the tradition's inherent values despite these changes. Sustaining Barodak requires a continuous approach involving community leaders and members, supported by government initiatives through cultural programs and digital promotion. It is hoped that Barodak will continue to endure as a symbol of the Samawa people’s identity, harmonizing culture and religion.
Increasing Indonesia-Timor Leste Borders Diplomacy through Community-Based Health Security
Authors: Madu Ludiro , Nugraha Aryanta , Kusumo Yudhy
Published: February 2025

This research focuses on the growing importance of health security in Indonesia-Timor Leste border diplomacy after the Covid-19 pandemic. This study uses qualitative methods to reveal a paradigm shift from traditional security to non-traditional security, especially health. The data comes from observations and documents collected in border areas related to health security in response to cross-border threats in both countries. The community-based health security perspective is used to analyze the expansion of health threats and the role of border diplomacy in addressing public health threats. This analysis reveals three important issues: (1) redefining the border security paradigm, (2) positioning border health security diplomacy as a collaborative mechanism, and (3) the participation of border communities in border security diplomacy. This research makes an important contribution to the development of a collaborative model of border health security diplomacy through community participation in improving health security in the border areas of the two countries. The findings offer an alternative health security policy in border diplomacy between Indonesia and Timor Leste and other border areas in Indonesia.
Keywords: Border health security, Health diplomacy, Community empowerment, Indonesia-Timor Leste, Covid-19
Penelitian ini berfokus pada semakin pentingnya keamanan kesehatan dalam diplomasi perbatasan Indonesia-Timor Leste pasca pandemi Covid-19. Penelitian ini menggunakan metode kualitatif untuk mengungkapkan pergeseran paradigma dari keamanan tradisional ke keamanan non-tradisional, khususnya kesehatan. Data tersebut berasal dari pengamatan dan dokumen yang dikumpulkan di daerah perbatasan terkait keamanan kesehatan dalam menanggapi ancaman lintas batas di kedua negara. Perspektif keamanan kesehatan berbasis masyarakat digunakan untuk menganalisis perluasan ancaman kesehatan dan peran diplomasi perbatasan dalam mengatasi ancaman kesehatan masyarakat. Analisis ini mengungkapkan tiga isu penting: (1) mendefinisikan kembali paradigma keamanan perbatasan, (2) memposisikan diplomasi keamanan kesehatan perbatasan sebagai mekanisme kolaboratif, dan (3) partisipasi masyarakat perbatasan dalam diplomasi keamanan perbatasan. Penelitian ini memberikan kontribusi penting bagi pengembangan model kolaboratif diplomasi keamanan kesehatan perbatasan melalui partisipasi masyarakat dalam meningkatkan keamanan kesehatan di wilayah perbatasan kedua negara. Temuan ini menawarkan alternatif kebijakan keamanan kesehatan dalam diplomasi perbatasan antara Indonesia dan Timor Leste dan daerah perbatasan lainnya di Indonesia.
Kata-kata Kunci: Keamanan kesehatan perbatasan, diplomasi kesehatan, pemberdayaan masyarakat, Indonesia-Timor Leste, Covid-19
La direction des études : un nouveau dispositif d’accompagnement peu connu des étudiants – Rapport de recherche de l'Open Lab In'Pact
Authors: Beaumatin Léa , Roiné Christophe
Published: February 2025

Depuis la loi ORE de 2018, l’université a introduit un nouveau rôle, celui de directeur d’études. Ce dernier est défini comme un référent pour l’étudiant, facilitant le lien avec les différentes composantes de l’université. En licence de sociologie à l’université de Bordeaux, à la rentrée 2023-2024, trois directeurs d’études ont été désignés parmi les enseignants, chacun ayant un rôle d’accompagnement sur des thématiques spécifiques.
Malgré un intérêt noté de la part des étudiants, ces directeurs d’études restent peu identifiés et peu sollicités par ces derniers. L’appellation même de directeur d’études rend ce rôle abstrait et impressionnant, souvent perçu davantage comme un rôle de gestion ou de direction que d’accompagnement. Pour les étudiants entrant à l’université, ces rôles apparaissent secondaires à leur compréhension de ce nouveau monde, et sont donc souvent oubliés au bénéfice d’autres informations qui viennent répondre à leurs problématiques immédiates. Néanmoins, ceux ayant des interactions avec les enseignants en charge de cette direction des études les identifient comme des interlocuteurs privilégiés, mais cette connaissance reste limitée aux étudiants ayant suivi leurs enseignements, laissant une partie de la promotion en dehors de cette dynamique.
In situ synthesis and AC conductivity studies of polypyrrole–cobalt nanocomposites
Authors: Moolemane Revanasiddappa , Rashmi Honnalagere Mahadevaswamy , Surekha Mavalangi , Krishna Suresh Babu Naidu
Published: February 2025

Through in situ pyrrole chemical polymerization with various concentrations of CoCl2, conducting polypyrrole-cobalt composites were synthesized using ammonium persulfate as the oxidizing agent. These composites were synthesized using different molarities (0.01, 0.02, 0.03, and 0.05 M) of CoCl2 in polypyrrole. The PPy-Co nanocomposites and their AC conductivity studies were evaluated in this study. The formation of nanocomposites and the structural properties of PPy/PVA/Co were confirmed using FTIR analysis and X-ray crystallography. Scanning electron microscopy (SEM) was used to analyze the morphology of the composites, and thermogravimetric analysis (TGA) was used to investigate their thermal behavior. The room-temperature AC conductivity and dielectric response of the composites were investigated, and frequency-dependent AC conductivity investigations were conducted in the frequency range of 100 Hz–1 MHz.
SMART Restaurant Recommender: A ContextAware Restaurant Recommendation Engine
Authors: Ubaid Ayesha , Lie Adrian , Lin Xiaojie
Published: February 2025

With the rise of ecommerce systems and web application usage, recommendation systems have become important to our daily tasks. They provide personalized suggestions to assist with any task under consideration. While various machine learning algorithms have been developed for recommendation tasks, existing systems still face limitations. This research focuses on advancing contextaware recommendation systems by leveraging the capabilities of Large Language Models (LLMs) in conjunction with realtime data. The research exploits the integration of existing realtime data APIs with LLMs to enhance the capabilities of the recommendation systems already integrated into smart societies. The experimental results demonstrate that the hybrid approach significantly improves the user experience and recommendation quality, ensuring more relevant and dynamic suggestions.
The Effect of Eight Weeks of Passive Heat Therapy on Mental Health, Sleep, and Chronic Pain in Persons with Spinal Cord Injury: A Pilot Study
Authors: Uhlig-Reche Hannah , Hoekstra Sven , Wu Yubo , Kellogg, Jr. Dean , Romo Terry , Leicht Christof A. , Trbovich Michelle
Published: February 2025

Background/Objectives: Rates of depression, anxiety, sleep disturbances, and chronic pain are higher in people with spinal cord injury (SCI) compared with able-bodied (AB) individuals. Passive heat therapy (PHT) that raises core body temperature may be an accessible alternative to exercise in SCI. The effects of PHT on mental health, sleep, and pain in persons with SCI are unknown. Methods: We performed a pre-post intervention pilot study in which ten veterans with chronic SCI underwent an 8-week supervised passive heat therapy intervention to raise oral temperature by 1℃. Outcome measures were the 5-item Mental Health Inventory, Epworth Sleepiness Scale, and International Spinal Cord Injury Pain Extended Data Sets version 1.0. Results: There were no adverse events related to the intervention and nine out of ten participants completed all their intervention sessions. There was a reduction in pain intensity (p=0.039) upon completing the intervention. However, there were no improvements in self-reported mental health nor sleep outcomes (p=0.339). Conclusions: This pilot study suggests that supervised repeated passive heat therapy may confer benefits for chronic pain in veterans with chronic SCI. Follow-up study with a larger sample size and a more extensive set of chronic pain outcomes is needed to confirm these findings.
Parallel Machine Scheduling Problem with Machine Rental Cost and Shared Service Cost
Authors: Zhi Rongteng , Xu Yinfeng , Zheng Feifeng , Xu Fei
Published: February 2025

An identical parallel machine offline scheduling problem with rental costs and shared service costs of shared machines is studied. In machine renting, manufacturers with a certain number of identical parallel machines will incur fixed rental costs, unit variable rental costs, and shared service costs when renting the shared machines. The objective is to minimize the sum of the makespan and total sharing costs. To address this problem, an integer linear programming model is established, and several properties of the optimal solution are provided. A heuristic algorithm based on the number of rented machines is designed. Finally, numerical simulation experiments are conducted to compare the proposed heuristic algorithm with a genetic algorithm and the longest processing time (LPT) rule. The results demonstrate the effectiveness of the proposed heuristic algorithm in terms of calculation accuracy and efficiency. Additionally, the experimental findings reveal that the renting and scheduling results of the machines are influenced by various factors, such as the manufacturer’s production conditions, the characteristics of the jobs to be processed, production objectives, rental costs, and shared service costs.
Machine Learning Analysis of Hydrological and Hydrochemical Data from the Abelar Pilot Basin in Abegondo (Coruña, Spain)
Authors: Samper-Pilar Javier , Samper-Calvete Javier , Mon Alba , Pisani Bruno , Paz-Gonzalez Antonio
Published: February 2025

The Abelar pilot basin in Coruña (Northwestern Spain) has been monitored for hydrological and hydrochemical data to assess the effects of eucalyptus plantation and manure applications on water resources, water quality and nitrate contamination. Here we report the machine learning analysis of hydrological and hydrochemical data from the Abelar basin. K-means Cluster Analysis (CA) is used to relate nitrate concentrations at the outlet of the basin with daily interflows and groundwater flows calculated with a hydrological balance. CA identifies three linearly separable clusters. Times Series Gaussian Process Regression (TS-GPR) is employed to predict surface water nitrate concentration by incorporating hydrological variables as additional input parameters using a time series shifting. TS-GPR allows modeling nitrate concentrations based on shifted interflows and groundwater flows and chemical concentrations with R2 = 0.82 and 0.80 for training and testing, respectively. Groundwater flow from five days prior to the current date, Qg5, is the most important input parameter of the TS-GPR model. Interaction effects between the variables are found. TS-GPR validation with recent data provides results consistent with those of testing (R2 = 0.85). Model inspection by permutation feature importance and partial dependence plots shows interactions between Qg5 and Cl, and between Ca and Mg.
Indices of carbohydrate metabolism in school-aged children with cystic fibrosis
Authors:   Research Clinical Institute of Childhood, Ministry of Health of the Moscow Region, Moscow, Russian Federation, A.I.Tlif A.I.Tlif , A.Yu.Voronkova A.Yu.Voronkova ,   Research Clinical Institute of Childhood, Ministry of Health of the Moscow Region, Moscow, Russian Federation, T.L.Kuraeva T.L.Kuraeva ,   Research Clinical Institute of Childhood, Ministry of Health of the Moscow Region, Moscow, Russian Federation, E.I.Kondratyeva E.I.Kondratyeva ,   Research Clinical Institute of Childhood, Ministry of Health of the Moscow Region, Moscow, Russian Federation
Published: February 2025

Early detection of carbohydrate metabolism disorders improves the quality of life of patients with cystic fibrosis (CF).
Objective. To analyze carbohydrate metabolism disorders in school-aged children with CF so as to assess their prevalence, including cystic fibrosis-related diabetes (CFRD), and to determine new approaches to the diagnosis and prognosis of carbohydrate metabolism disorders.
Patients and methods. The study included 92 patients with CF aged 7 to 18 years. All patients underwent the following examinations: evaluation of glycated hemoglobin (HbA1C) and C-peptide, oral glucose tolerance test with glucose measurements at 0, 60 and 120 min, determination of insulin resistance indices (Caro, Noma, Matsuda ISI), and nutritional status assessment. Patients were divided into four groups (n/%): group 1 – without carbohydrate metabolism disorders (55/59.8%), group 2 – with impaired glucose tolerance (20/21.7%), group 3 – with CFRD (9/9.8%), group 4 – with unrecognized glycemia (8/8.7%).
Results. Patients with CFRD have low nutritional status scores (p < 0.05). Children with impaired glucose tolerance and CFRD are more likely to have cirrhosis (p < 0.05). HbA1C was higher in groups 2 and 3 (p < 0.05). The glucose tolerance test showed a statistically significant difference in glucose levels between the groups: at 0 min in groups 1 and 2 (р1–2 < 0.0027) and in groups 1 and 3 (р1–3 < 0.01). At 60 min, significant differences in glucose levels were found between groups 1 and 2 and groups 1 and 3 (р1–2 < 0.001 and р1–3 < 0.001, respectively). There were persistent differences in elevated glucose levels in groups 2 and 3 at 120 min compared to normal glucose levels in group 1 (р1–2 < 0.001 and р1–3 < 0.001). Each group showed a difference (p < 0.001) when comparing glucose levels at 0, 60 and 120 min. Analysis of insulin resistance showed a difference in the Caro index between groups 1 and 3 (p < 0.05), and in Matsuda ISI between groups 1, 2 and 4 (p < 0.05).
Conclusion. The prevalence of impaired glucose tolerance in children with CF was 23.9%, with CFRD – 9.8%. The glucose tolerance test has diagnostic and prognostic value at time point of 60 min. The group of patients with unrecognized glycemia requires dynamic monitoring. The decrease in the Matsuda index indicates progression of carbohydrate metabolism disorders.
Key words: cystic fibrosis, cystic fibrosis-related diabetes, impaired glucose tolerance, nutritional status, oral glucose tolerance test, liver cirrhosis
DESIGN OF CRM INFORMATION SYSTEM IN THE FIELD OF DENTAL ADMINISTRATION
Authors: Kozulia Mariia , Soldatko Oleksandr
Published: February 2025

The article examines the features of optimization and automation of administrative services in dental clinics. Based on the analysis of modern approaches to the management of medical institutions, the main directions for improving the work of administrative personnel have been identified, including the implementation of CRM systems, the use of electronic document management and digital solutions for managing patient data. An important aspect is ensuring high quality administrative services according to key criteria, such as efficiency, accuracy and availability of information. Studies show that the efficiency of the clinic largely depends on the organization of processes related to patient registration, doctor's schedule management, medical data storage and communication with clients. However, numerous challenges arise in the process of work. At the organizational level, the main problems are errors of administrative personnel and insufficient integration of modern technologies. At the technical level, there are problems associated with data transmission delays, software incompatibility or risks of information loss due to technical failures. To solve these problems, integrated management systems have been implemented and existing processes have been improved. At the same time, it is important to maintain a balance between the complexity of the systems and their functionality. Overly complex solutions can create barriers for staff, and overly simple ones may not provide the necessary level of efficiency. The article proposes an approach to the design of administrative services that combines the use of modern technologies, such as CRM systems, patient registration automation and workflow analysis. This allows you to increase management efficiency and ensure high-quality patient care.
PRIVACY MODELS AND ANONYMIZATION TECHNIQUES FOR TABULAR HEALTHCARE DATA
Authors: Kalinin Denys , Severyn Valerii , Bezmenov Mykola
Published: February 2025

In today's world, issues of privacy and personal data protection are becoming extremely relevant, especially in the healthcare field, where the use of large volumes of data for research is becoming increasingly common. The use of personal data is regulated by relevant laws that require data anonymization to minimize the risks of identifying individuals. Anonymization is a process that allows the use of sensitive data without the risk of disclosing personal information while maintaining its utility. This article discusses the main privacy models and anonymization techniques used to protect tabular healthcare data. Privacy models include k-anonymity, l-diversity, and t-closeness. The k-anonymity model ensures that any combination of quasi-identifiers is shared by at least k records. The l-diversity model complements k-anonymity by requiring at least l unique combinations of sensitive attribute (SA) values in each equivalence class. The t-closeness model considers the distribution of these sensitive attribute values, ensuring that the distance between the SA distribution in the equivalence class and the overall distribution does not exceed a specified threshold. Anonymization techniques include generalization, suppression, relocation, permutation, perturbation, slicing, differential privacy, and synthetic data. Generalization reduces the precision of quasi-identifiers. Suppression removes certain values from the dataset to improve its statistical characteristics. Relocation changes a limited number of values in the data to enhance protection. Permutation mixes the values of quasi-identifiers between records while preserving the overall statistical features of the dataset. Perturbation adds noise to the data, increasing privacy. The idea of differential privacy also involves adding noise, but this is done at the query processing stage. Generating synthetic data allows the creation of new datasets that are similar in characteristics to the original data.
ORCHESTRATION OF CUSTOMER INTERACTION WORKFLOWS IN ENTERPRISE APPLICATIONS
Authors: Kolbasin Viacheslav
Published: February 2025

Process automation is an important factor in the development of modern corporate systems, in particular e-commerce systems. One of the tasks that must be solved during development of such systems is the orchestration of customer interaction processes, which are asynchronous in nature. Modern popular orchestration frameworks (Airflow for example), are not very well adapted to simultaneously waiting for a response from the client for a large number of workflows. This leads to unnecessary costs of computing resources and a decrease in the economic efficiency of the system. This paper considers the task of building a system for orchestrating customer interaction workflows based on an event-driven approach. Instead of a sequential-like centralized execution of the graph model of the workflow, it is proposed to present the workflow as a sequence of events and the system's reactions to them, which eliminates the need to explicitly wait for a response from the client. In such model workflow operations will be performed during event processing, and the transition to the next operation will occur by sending a new message with a description of the operation. Centralized and distributed approaches for performing transitions between workflow operations are considered, the advantages and disadvantages of each of them are shown. The implementation of waiting for client response is also considered, for which it is proposed to store the message tied to the client session identifier in a specialized storage before starting interaction with client. And after receiving data from the client, add them to the message and send it back to the message queue to continue the workflow. Taking into account the possibility of using handlers written in different programming languages, JSON format based description of workflow model is proposed to be used. One of the approaches to building model description format is described and its use for demonstrating example of a workflow. The results of the study can be useful when creating systems for orchestrating workflows of interaction with the client.
INTELLIGENT INFORMATION TECHNOLOGY FOR RAPID CLASSIFICATION UNDER CONDITIONS OF OVERLAPPING CLASSES
Authors: Bodiansky Yevhenii , Chala Olga
Published: February 2025

The subject of this research is the process of rapid data classification under conditions of overlapping classes. Rapid classification is performed in real-time or near-real-time mode. The aim of the work is to develop an intelligent information technology for rapid classification in online and nearline modes under conditions of overlapping classes. Achieving this goal allows for the consideration of non-stationarity in input data and class imbalance under conditions of streaming data. The tasks of compensating for noise in input data and changes in input data distribution due to non-stationarity, as well as the task of compensating for class imbalance, are interconnected when classifying under conditions of overlapping classes and require the development of a comprehensive solution. To achieve the goal, the following tasks are addressed: structuring approaches to classification of overlapping classes considering non-stationarity in input data and class imbalance; developing an intelligent technology for classification in online and nearline modes. An intelligent information technology for rapid classification under conditions of overlapping classes is proposed. The technology includes stages of preliminary classification considering noise in input data, classification considering class imbalance, and classification considering changes in input data patterns. The technology involves sequential use of a neo-fuzzy system, an adaptive neuro-fuzzy system, and a multilayer neural network with kernel bell-shaped activation functions. The neo-fuzzy system uses neo-fuzzy neurons, ensuring resistance to noise. The adaptive neuro-fuzzy system considers distances between input data and class centers in feature space, ensuring classification under class imbalance conditions. The multilayer neural network with kernel bell-shaped activation functions uses a recurrent learning algorithm, ensuring adaptation to new data with a new distribution. The technology enables rapid iterative refinement of classification decisions according to changes in input data characteristics.
Experience in the use of telemedicine technologies in medical organizations in the region using the example of the Krasnogorsk hospital.
Authors:   Krasnogorsk hospital, Morozova E. N. , Shinkareva N. V. ,   National Research Institute of Public Health named after N. A. Semashko,   Krasnogorsk hospital, Gorenkov R. V. ,   National Research Institute of Public Health named after N. A. Semashko, Zubko A. V. ,   Federal research institute for Health organization and informatics of Ministry of Health of the Russian Federation, Shelgunov V. A. ,   Scientific and Practical Center for Children’s Psychoneurology of the Moscow City Health Department
Published: February 2025

The active use of telemedicine technologies is relevant both in foreign and domestic medicine.
Objective: to assess the demand for the use of telemedicine services in outpatient practice using the example of polyclinics of the Krasnogorsk Hospital of the Moscow Region.
Materials. Analysis of data from the state information system “Unified Medical Information and Analytical System of the Moscow Region” of the State Budgetary Healthcare Institution of the Moscow Region “Krasnogorsk Hospital”, as well as medical organizations providing primary health care in the Moscow Region. Telemedicine consultations in the “doctor-patient” category were assessed.
Survey of 628 patients of medical organizations providing primary health care.
Methods: observation, sociological, analytical, statistical.
Results. The main areas for the use of telemedicine services have been identified: closing the 1st stage of clinical examination of the adult population, closing certificates of incapacity for work for patients with ARVI, COVID‑19, issuing prescriptions for subsidized drugs, consulting patients with medical specialists and paramedics.
Discussion. There is an increase in the absolute number of telemedicine services in 2024 with the closure of the 1st stage of medical examination, primarily due to an increase in the coverage of the population with medical examination in the Krasnogorsk hospital. The number of remote prescriptions in 2024 remains unchanged compared to the previous year both in the Krasnogorsk hospital and in the
Moscow region. The number of telemedicine consultations by paramedics, including at paramedic and obstetric stations, increased 8.8 times in 2024 compared to 2023.
There has been an increase in the use of telemedicine consultations among specialist doctors, however, there are specialties in which telemedicine technologies are practically not used.
Conclusions. Telemedicine services in Russia have significant potential to improve access to medical services and improve their quality.
However, for the successful integration of telemedicine into the healthcare system, it is necessary to overcome existing obstacles to their implementation: including technical, legal, ethical problems, information work with medical personnel and patients.
Abortions in the Russian Federation: historical experience, organization of assistance and ways to improve domestic legislation.
Authors:   Kazan State Medical University of the Ministry of Health of the Russian Federation, Guryleva M. E. , Kardanova L. D. ,   Kabardino-Balkarian State University named after Kh. M. Berbekov
Published: February 2025

The authors examine the legal issues of abortion in the Russian Federation in the context of the implemented state policy and the retrospective of the twenty-first century.
The aim of the study was to analyze statistical data on issues of artificial termination of pregnancy and domestic legislation in dynamics
and an attempt was made to find rational solutions for its improvement within the framework of consistently implemented state policy.
Materials and methods. The work used statistical indicators of official sources for 2005–2023, laws of the Russian Federation, decrees of the President of the Russian Federation, letters from the Ministry of Health of the Russian Federation and the Republic of Tatarstan, information from open sources concerning issues of demography and the decline in the birth rate due to abortions when a woman makes such a reproductive choice.
Results. The analyzed sources made it possible to make a proposal for amendments to the country’s advertising legislation.
Conclusion. Based on the results of the study, a conclusion was made about the effectiveness of existing measures and the need for their further improvement based on the priority of prevention as one of the principles of protecting the health of citizens of the Russian Federation.
Medical and characteristics of tuberculosis patients with HIV-infection.
Authors:   Kabardino-Balkarian State University named after H. M. Berbekov, Sabanchieva Zh.Kh. , Nagoeva M. Kh. ,   Kabardino-Balkarian State University named after H. M. Berbekov, Afashagova M. M. ,   Kabardino-Balkarian State University named after H. M. Berbekov, Nalchikova M. T. ,   Kabardino-Balkarian State University named after H. M. Berbekov, Tlupova M. V. ,   Kabardino-Balkarian State University named after H. M. Berbekov, Bzhekshieva I. Z. ,   Kabardino-Balkarian State University named after H. M. Berbekov, Gergov K. V. ,   Kabardino-Balkarian State University named after H. M. Berbekov
Published: February 2025

Relevance. According to WHO data, an increase in the morbidity and mortality of patients with tuberculosis and HIV-infection has been recorded in recent years. This combination is characterized by a number of negative consequences, such as a higher incidence of multidrug-resistant tuberculosis and a relatively low proportion of successful treatment. The main reasons for the ineffectiveness of treatment are related not only to progressive immunosuppression, but also possibly to medical and social factors, low motivation and commitment to therapy. The lack of holistic medical and social characteristics of tuberculosis patients with HIV infection led to this analysis.
The purpose of the study was to examine patients with combined tuberculosis and HIV infection according to medical and social characteristics, treatment effectiveness, and prognosis for the last 2022–2024 in the Kabardino-Balkarian Republic.
Materials and methods. The research was conducted by means of questionnaires, as well as statistical analysis of the case histories of 106 completed cases of hospitalization of patients with tuberculosis combined with HIV-infection who were undergoing inpatient treatment at the tuberculosis dispensary of the Ministry of Health of the Kabardino-Balkarian Republic from 2022–2024.
Results. The study revealed that the largest number of patients with combined tuberculosis and HIV-infection was observed in 2024, with men dominating – 67,4% and only 32,5% – women. By age, the vast majority of patients are young people: from 20–30 years – 32,9 people, from 31–40 years – 43,4% of patients and over 40 years – 23,7% of patients. The patients had secondary education (98%).
Only 42.8% of men and 17.6% of women were married. 79.2% of people are unemployed, and on average about 60% of patients had a criminal record in the past, and 23.5% of the women surveyed had a criminal record.
Conclusions. Thus, against the background of a steady decrease in the incidence of tuberculosis, there was a significant increase in the proportion of patients with tuberculosis combined with HIV infection in the Kabardino-Balkarian Republic, which in 2024 amounted to 22,6% among newly diagnosed tuberculosis patients and 17,3% among tuberculosis patients. The largest proportion of patients with
tuberculosis–HIV infection were unemployed men, the most able-bodied, most often single, socially maladjusted, living in unfavorable housing and living conditions.
Immigrant Inequities in Uninsurance and Postpartum Medicaid Extension: A Quasi-Experimental Study in New York City, 2016–2021
Authors: Janevic Teresa , Birnie Lauren , Belfon Kizzi , Glenn Lily , Maru Sheela , Reynolds Simone , Eniola Folake , Kim Heeun , Howell Frances M. , Fox Ashley , Weber Ellerie
Published: February 2025

Objectives. To determine if de facto postpartum Medicaid extension during the Families First Coronavirus Response Act (FFCRA) reduced immigrant versus US-born inequities in uninsurance.

Methods. We assessed self-reported uninsurance at 2 to 6 months postpartum among people with Medicaid-paid births using the New York City Pregnancy Risk Assessment Monitoring System (PRAMS), comparing immigrant and US-born people. We created a pre-FFCRA cohort of 2611 births from 2016 to 2019 and a post-FFCRA implementation cohort of 1197 births from 2020 to 2021. We calculated risk differences using log binomial regression.

Results. Self-reported postpartum uninsurance among immigrants decreased from 13.6% to 9.3% after FFCRA (adjusted risk difference = −4.9%; 95% confidence interval = −7.8%, −2.0%). Immigrant versus US-born inequities in postpartum uninsurance decreased except among Hispanic birthing people, among whom 1 in 6 reported they were uninsured during FFCRA, despite continued eligibility.

Conclusions. De facto postpartum Medicaid extension decreased immigrant inequities in insurance coverage, but Hispanic immigrants may have been unaware of continued coverage.

Public Health Implications. Postpartum Medicaid extension policies that are inclusive of all immigrants may decrease inequities, but community-integrated implementation is needed to raise awareness of coverage and advance postpartum maternal health equity. ( Am J Public Health. Published online ahead of print February 27, 2025:e1–e4. https://doi.org/10.2105/AJPH.2024.307968 )
Health Care, Mortality, and Declining Occupancy Rates in California Prisons, 2013–2023
Authors: Adler Jessica L. , Chen Weiwei
Published: February 2025

Objectives. To assess relationships between changes in population levels, health care access, health care grievances, and mortality in California prisons.

Methods. We examined 30 California prisons using June 2013 to May 2023 data from California Correctional Health Care Services and the California Department of Justice. Associations between prison occupancy rates and care access, health care grievances, and mortality were estimated in linear or generalized linear models controlling for staff vacancies and the characteristics of incarcerated people. Because of the prevalence of COVID-19-specific dynamics in prisons in 2020–2021, baseline models included data up to December 2019; data from January 2022 through May 2023 were added as a robustness check.

Results. Reductions in prison occupancy rates were associated with increased access to care. Associations were more pronounced when postpandemic data were added. However, decreasing occupancy rates were not associated with declines in health care grievances or mortality.

Conclusions. Lowering prison occupancy rates could help ensure better access to care, but it is not a panacea for alleviating varied health-related problems and dangers inside carceral facilities. ( Am J Public Health. Published online ahead of print February 27, 2025:e1–e9. https://doi.org/10.2105/AJPH.2025.308011 )
Open Talar Body Fracture With Dislocation of the Ankle and Subtalar Joint Accompanying Acute Rupture of the Peroneal Tendons in an Elite Female Gymnast
Authors: Miura Kimio , Sugimoto Kazuya , Isomoto Shinji , Kuramochi Rieko , Kawashima Yuki , Taniguchi Akira , Tanaka Yasuhito
Published: February 2025

Case:

A 20-year-old elite female gymnast injured her right ankle on landing during a vaulting attempt. Diagnosis revealed an open fracture of the talar body, prompting referral to our center after wound flushing and closure. Peroneal tendon and lateral ligament ruptures were observed during surgery, necessitating one-stage repair. The patient successfully resumed competitive gymnastics 9 months postoperatively.

Conclusion:

This case underscores the importance of preventing muscle atrophy and contracture of ankle and hindfoot motion in athletes during the extended postoperative period of talar unloading.
Geri Öğretme Yönteminin Hastaların Sağlık Çıktısına Etkisi: Randomize Kontrollü Çalışmalara Dayalı Bir Araştırma
Authors: Aydemir İzzet
Published: February 2025

Bu araştırmada, geri öğretme (teach-back) iletişiminin hasta çıktılarına etkisi randomize kontrollü çalışmalar ışığında değerlendirilmiştir. Araştırmada, 31 Aralık 2024 yılına kadar yayımlanmış ve geniş veri tabanları olan PubMed ve Google Scholar taranarak amaçlanan çalışmalara ulaşılmıştır. PRISMA protokolü takip edilerek çalışmalar elde edildi. Çalışmaların kalite değerlendirilmesi araştırmacı ve bağımsız değerlendirici tarafından yapıldı. Randomize araştırmalara yönelik Cochrane Collaboration risk yanlılığı aracı olan RoB 2.0 görseli kullanılarak çalışmaların risk yanlılığı analizi yapıldı. Değerlendirmeye toplam 27 çalışma alındı ve çalışmaların genel risk yanlılık düzeyi düşük bulundu. Çalışmalarda farklı sağlık durumuna sahip olan katılımcılara verilen geri öğretme eğitimi standart bakımla karşılaştırıldı. Çalışmalarda geri öğretme yönteminin, genel olarak, farklı popülasyon ve hastalık olgusuna sahip olan katılımcıların sonuç ölçümlerinde anlamlı bir şekilde etkili olduğu saptanmıştır. Geri öğretme eğitimi hastaların sağlık çıktısı ve öz yeterliliği üzerinde etkili bir iletişim stratejisi olduğu saptandı. Ancak daha uzun takip dönemi ve geniş örnekleme sahip olan çalışmalar üzerinde yöntemin etkililiği değerlendirilebilir.
Cumhuriyet’in 100. Yılında Türkiye’de Yasama Faaliyeti Seçkinleri: Isparta Milletvekilleri Örneği
Authors: Ertek Muhammed Yusuf
Published: February 2025

Çalışmada, C.W. Mills’in iktidar seçkinleri teorisi temelinde, literatürde Türkiye’deki diğer seçkin teorileri veya seçkinlere yönelik üretilmiş kavramlar ele alınarak Isparta milletvekilleri örneğinde bir sonuca ulaşılması amaçlanmıştır. Isparta Milletvekilleri hakkında, TBMM albümü ve web sayfasındaki bilgiler, dokuman analizi tekniğiyle incelenerek Microsoft Excel programıyla 122 satır ve 24 sütundan oluşan bir veri tabanı oluşturulmuştur. Veri tabanındaki nitel ve nicel veriler araştırma sorularına cevap vermek için analiz edilmiştir. Ayrıca sonraki araştırmalara ışık tutması amacıyla benzer çalışmaların bir listesi oluşturulmuştur. Bulgulara göre, Isparta’da milletvekili seçilme yaşı ortalaması 47 iken genelde 50’dir. Yasama dönemleri 1960 ve 1980 darbesi sonrasında yaş ortalaması göreli yükselmiştir. Meslekler ağılıkla bürokrat (f=16), avukat (f=11), tıp doktoru (f=8), öğretmen (f=16) ve inşaat mühendisidir (f=5). Lisans ve üzeri tahsil oranı %90,9’dur. Türkçe dışında bir dil bilme oranları %79’dur. En fazla DYP, DP ve AKP milletvekilleri seçilmiştir. Seçilen 67 vekilden 65 evlidir ve 55’i Isparta doğumludur. Milletvekilleri üzerinden yapılabilecek bu gibi analizlerde sonuçların yüzeysel kaldığı görülmüştür. Daha somut sonuçlar için görüşme ve/veya daha dokuman analizi yöntemleriyle derinlemesine nitel analizler yapılabilir. Türkiye’de milletvekillerine yönelik toplam 48 akademik çalışma tespit edilmiştir. Bu çalışmanın alametifarikasıysa Cumhuriyet’in 100. yılında tüm Isparta milletvekillerinin birlikte ve C.W. Mills’in iktidar seçkinleri teorisi temelinde değerlendirildiği bir çalışmanın daha önce yapılmamış olmasıdır.
Self-Concept And Behavioral Changes Of At-Thonburi In The Short Story “Hidzaa al-Thonburi” By Kamil Kailani
Authors: Hasanah Nur Imro'atul , M. Anwar Mas’adi
Published: February 2025

This study aims to examine the changes in At-Thonburi's character in the short story "Hidzaa al-Thonburi" by Kamil Kailani, focusing on self-concept by identifying the internal and external factors that influence it, as well as describing the relationship between character changes and his life background. The methodology employed in this study is a qualitative-descriptive approach, utilizing Carl Rogers' self-theory and a literary psychology framework for analysis. The study utilizes two types of data sources: primary and secondary, employing reading and note-taking techniques for data collection. The qualitative analysis consists of data collection, data reduction, data presentation, and conclusion drawing. The results of this study reveal five key findings, categorized into three components of self-concept: two self-images of At-Thonburi as a stingy individual and as one skilled in negotiation; two self-esteems derived from the judge and from his old shoes; and one ideal self concerning At-Thonburi's aspirations for character and moral development. Additionally, three factors from his life background that influenced the transformation of At-Thonburi's character were identified. These factors include a series of tribulations and disasters related to his shoes, which prompted him to engage in introspection and modify his attitude, along with the significant role of internal factors in the development of his personality.
Abstrak
Penelitian ini bertujuan untuk mengetahui perubahan karakter At-Thonburi pada cerita pendek “Hidzaa al-Thonburi” karya Kamil Kailani dalam aspek konsep diri dengan mengidentifikasi faktor-faktor internal dan eksternal yang mempe-ngaruhinya, serta mendeskripsikan hubungan antara perubahan karakter dan latar belakang kehidupannya. Metode yang digunakan dalam penelitian ini adalah metode kualitatif-deskriptif, dengan analisis menggunakan teori self dari Carl Rogers, dan pendekatan psikologi sastra. Penelitian ini memanfaatkan dua jenis sumber data yaitu; primer dan sekunder, menerapkan teknik baca dan catat sebagai metode pengumpulan data dan menerapkan analisis kualitatif yang terdiri dari reduksi data, penyajian data, dan pengambilan kesimpulan sebagai metode analisis data. Dari hasil penelitian ini, ditemukan lima data yang terbagi menjadi tiga komponen konsep diri yaitu, dua citra diri At-Thonburi sebagai individu yang kikir dan pandai bernegoisasi, dua penghargaan diri yang diterima At-Thonburi dari sang hakim dan dari sepatu lamanya, serta satu diri ideal At-Thonburi dalam pencapaian karakter dan moral. Selain itu juga ditemukan tiga data dalam latar belakang kehidupan yang mempengaruhi perubahan karakter At-Thonburi yaitu melalui serangkaian kesengsaraan dan bencana yang dialaminya akibat dari sepatunya, hal itu mendorongnya untuk introspeksi diri dan mengubah sikapnya, selain itu faktor internal juga berperan penting dalam perkembangan kepribadian-nya.