bluuebunny/crossref_metadata_2025 huggingface dataset:
Perceção dos utentes sobre o papel dos médicos internos de medicina geral e familiar
Authors:   USF Santiago de Leiria., Antunes Joana Palhota , Gonçalves Ana Margarida ,   USF Santiago de Leiria., Custódio Catarina S. ,   USF Santiago de Leiria, Henriques Daniela Monteiro ,   USF Santiago de Leiria, Velho Denise ,   USF Santiago de Leiria., Cardoso João Magalhães ,   USF Santiago de Leiria., Carreira Leonor Marques Caetano ,   USF Santiago de Leiri, Sá Margarida ,   USF Santiago de Leiri, Santana Marta Marques ,   USF Santiago de Leiri
Published: September 2023

Introdução: A formação especializada em medicina geral e familiar (MGF) é essencial para a aquisição de conhecimentos e competências. Tendo os utentes um papel fundamental na formação dos médicos internos é importante compreender a perceção dos utentes sobre os médicos internos de MGF. Objetivos: Avaliação da perceção dos utentes da USF Santiago de Leiria sobre o papel dos médicos internos de MGF e a confiança nos cuidados médicos por estes prestados. Método: Estudo transversal com uma amostra de conveniência de 450 utentes da USF Santiago através de um questionário constituído por um inquérito sociodemográfico e questões desenhadas para avaliar a perceção dos utentes sobre o papel dos médicos internos de MGF. Resultados: Foram obtidos 405 questionários válidos: 87,7% dos utentes referiam já terem tido uma consulta com um médico interno e 57,0% referiam que já lhes tinha sido explicado previamente o que era o internato médico. Dos doentes que já tinham sido consultados por um médico interno, a maioria acreditava que o internato era importante para a formação dos médicos de família (95,0%). Quando questionados sobre se aceitavam que a consulta fosse realizada por um médico interno, 94,2% responderam afirmativamente; quando inquiridos sobre se sentiam que tinham liberdade para recusar serem vistos por um médico interno apenas 70,1% responderam positivamente. Do total da amostra 93,3% referiam sentir-se confortáveis para comunicar os seus problemas aos médicos internos e 96,0% sentiam confiança nos cuidados que destes recebiam. Conclusões: Apesar de haver ainda algum desconhecimento sobre o que é um médico interno, a maioria dos utentes acredita que o internato em MGF é importante para a formação dos futuros médicos de família e aceitam que as suas consultas sejam realizadas por médicos internos.
Síndroma de Pseudo-Meigs: relato de caso
Authors:   USF Foral, ACeS Alentejo Central, Santeiro Catarina
Published: September 2023

Introdução: Embora seja uma condição rara, a síndroma de Pseudo-Meigs deve ser considerada como diagnóstico diferencial em pacientes que apresentam a seguinte tríade: massa anexial, ascite e aumento dos níveis séricos de CA-125. Descrição do caso: Mulher de 67 anos que recorre a consulta de doença aguda por quadro de fadiga, edema, desconforto abdominal e aumento de peso. Como antecedentes relevantes salienta-se tiroidectomia total. No exame físico apenas se destaca a presença de distensão abdominal. O estudo analítico e imagiológico era indicativo de neoplasia maligna do ovário com ascite. Foi submetida a histerectomia total e anexectomia bilateral. Após estudo histopatológico concluiu tratar-se de um tumor Struma ovarii, sendo o quadro compatível com o diagnóstico de síndroma de Pseudo‑Meigs. Comentário: A síndroma de Pseudo-Meigs é caracterizada por ascite e/ou efusão pleural, tumor ovárico (que não fibroma) e elevação dos níveis de CA-125. O Struma ovarii é uma variante de teratoma constituído maioritariamente por tecido tiroideu. É uma condição rara, que deve ser considerada, uma vez que a presença deste diagnóstico pode evitar o recurso a uma cirurgia extensa.
Os cuidados de saúde primários em Portugal: uma história de mais de 50 anos – a perspetiva de um futuro médico de família
Authors:   USF Sanus Carandá, ACeS Cávado I, Silva Manuel Alberto
Published: September 2023

Os cuidados de saúde primários em Portugal contam com uma história de mais de cinquenta anos, que teve início nos anos 70, ficou marcada pela criação da carreira e do internato complementar em clínica geral e pela grande reforma de 2005, que conduziu à criação das unidades de saúde familiares. Atualmente, os cuidados de saúde primários têm apresentado bons resultados, destacando-se no panorama internacional, apesar das inúmeras dificuldades que encontram no dia-a-dia. É necessário continuar o bom trabalho das gerações passadas, nunca esquecendo a pedra basilar da sua prática: a relação médico-doente.
A propósito das faltas dos utentes
Authors:   USF São Pedro da Cova, ACeS Grande Porto II, Vieira Joana Filipa Ferreira
Published: September 2023

A propósito das faltas dos utentes
O legado de Alexandre Sousa Pinto: da célula à pessoa – a ciência e a clínica
Authors:   Faculdade de Medicina da Universidade do Porto, Santos Paulo , Hespanhol Alberto ,   Faculdade de Medicina da Universidade do Porto
Published: September 2023

O legado de Alexandre Sousa Pinto: da célula à pessoa – a ciência e a clínica
Medicina geral e familiar: ontem, hoje e amanhã
Authors:   Faculdade de Medicina, Universidade do Porto, Santos Paulo
Published: September 2023

Quando queremos perspetivar o futuro podemos tentar adivinhar o amanhã, o que é complicado, ou podemos perceber o passado, entender o contexto, as circunstâncias e o impacto das decisões que nos trouxeram ao agora e extrapolar os resultados. Raramente acertaremos no que vai de facto acontecer, mas ficaremos com uma ideia muito concreta das opções que temos, das forças com que contamos e das fragilidades que se colocam. É relativamente fácil contar a história dos últimos 40 anos do Serviço Nacional de Saúde (SNS) em três eixos: cuidados de saúde primários, cuidados hospitalares e cuidados continuados.
Study on improved protocol for the synthesis of propacetamol hydrocloride
Authors:   School of Medicine, Vietnam National University Ho Chi Minh City, Vietnam, Nguyễn Vinh Ngọc , Nguyen Hien Minh ,   School of Medicine, Vietnam National University Ho Chi Minh City, Vietnam, Lê Văn Huân ,   School of Medicine, Vietnam National University Ho Chi Minh City, Vietnam, Trần Phương Khánh ,   School of Medicine, Vietnam National University Ho Chi Minh City, Vietnam, Nguyễn Thị Lan ,   School of Medicine, Vietnam National University Ho Chi Minh City, Vietnam, Ngô Đức Phúc ,   School of Medicine, Vietnam National University Ho Chi Minh City, Vietnam, Nguyễn Du Thiện ,   School of Medicine, Vietnam National University Ho Chi Minh City, Vietnam, Nguyen Bao Anh Thi ,   School of Medicine, Vietnam National University Ho Chi Minh City, Vietnam, Trần Ngân Thị Thanh ,   Institute of Drug Quality Control Ho Chi Minh city - IDQC HCMC, Vietnam, Nguyễn Thắng Trường Phan ,   Institute of Drug Quality Control Ho Chi Minh city - IDQC HCMC, Vietnam, Trần Hùng Việt ,   Institute of Drug Quality Control Ho Chi Minh city - IDQC HCMC, Vietnam, Lê Minh Trí ,   School of Medicine, Vietnam National University Ho Chi Minh City, Vietnam
Published: September 2023

(4-Acetamidophenyl) 2-(diethylamino) acetate hydrochloride (propacetamol) is a prodrug of pacetaminophenol (paracetamol). Propacetamol is usually administered intravenously and has a rapid analgesic effect. Moreover, propacetamol is water soluble and is used in postoperative care when the patients cannot take oral or rectal p-acetaminophenol. Studies on propacetamol synthesis on laboratory scale as well as industrial scale with safe, simple and economic procedures are crucial. Over the last few years, a number of studies have been demonstrating the advantages of replacing the traditional heating methods with microwave irradiation. The improved procedure for synthesizing (4-acetamidophenyl) 2-(diethylamino) acetate hydrochloride with N-(4- hydroxyphenyl) acetamide as the starting material is described in this study. Reaction conditions including molar ratio, solvent, catalyst and reaction time were evaluated in order to enhance the synthesis performance. The structure of products obtained after each reaction were determined by using HPLC, MS and NMR methods. The results show a simple process and short reaction time for synthesis of propacetamol from p-acetaminophenol as the starting material. Additionally, the quality and purity of final products meet pharmaceutical standards and high total reaction yield is achieved through the application of microwaves with the suitable catalysts and organic solvents.
Pregnancy outcome in patients with prolonged deceleration in intrapartum fetal heart rate monitoring: A case series report
Authors:   Department of ObGyn and Reproductive Health, School of Medicine - Vietnam National University Ho Chi Minh City, Vietnam, Nguyễn Nhung Thị Cẩm , Nguyễn Hoa Hồng ,   University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam, Lê Thanh Quang ,   Tu Du hospital, Vietnam; School of Medicine - Vietnam National University Ho Chi Minh City, Vietnam
Published: September 2023

Background: Diagnostic criteria for intrapartum fetal distress are still inconsistent. Currently, widely used tool in clinical practice is intrapartum fetal heart rate (FHR) monitoring in labor because of its convenience, non-invasiveness. Intrapartum. In contrast, the presence of prolonged deceleration in intrapartum FHR monitoring has a high predictive value of fetal distress compared with the absence of a deceleration. To evaluate the significance of prolonged deceleration intrapartum, it is necessary to combine the clinical context with features of fetal heart rate monitoring, that forms reasons and outcomes of prolonged deceleration – a “dangerous” type of deceleration in labor. Objectives: To describe the clinical characteristics and pregnancy outcomes of patients with prolonged deceleration in intrapartum FHR monitoring. Methods: A retrospective review of the medical records of four patients have at least an appeared prolonged deceleration in intrapartum FHR monitoring at Tu Du Hospital. Results: The present study consisted of four patients with prolonged deceleration in intrapartum FHR monitoring, in which 1 case was recorded placental abruption and 1 case had umbilical cord prolapse. All cases with prolonged deceleration were actively managed by emergency cesarean section or operative vaginal delivery, and there were no cases of postpartum asphyxia, 4 cases had APGAR 5 min ≥ 7. Conclusion: Prolonged deceleration in intrapartum FHR monitoring is a manifestation of acute hypoxia due to many dangerous causes such as placental abruption, umbilical cord prolapse, hypertonic uterine contraction. When there is a prolonged deceleration in fetal heart rate, it is necessary to combine it with the clinical characteristics and risk factors in pregnancy to diagnose the cause of the deceleration and promptly give appropriate treatment.
Câncer e Estatística: Mortalidade Por Câncer nas Capitais Brasileiras no Decurso de 1942 a 1952; Mortalidade Por Câncer no Distrito Federal Por Grupos de Idade, Sexo e Côr no Quinquênio 1948-1952
Authors: Merched Naim , Marsillac Jorge de
Published: September 2023

Trabalho apresentado ao 6° Congresso Internacional realizado em São Paulo em julho de 1954, sobre estatísticas de mortalidade por câncer nas capitais brasileiras e no Distrito Federal.
GLOBAL ENERGY TRANSFORMATIONS: AN ECONOMIC TOOLKIT
Authors:   Kyiv National Economic University named after Vadym Hetman, Dombrovska Tetiana
Published: September 2023

Despite the existence of a fairly diversified arsenal of economic stimulation of global energy transformations, the choice by states of their specific elements directly depends on the ratio of socio-economic and environmental effects from the introduction of motivational incentives, on the one hand, and the total costs of their implementation and administration, on the other. In addition, the strategic goals of sustainable development of each state and the availability of various financial sources for the implementation of specific mechanisms and tools for its stimulation are also taken into account. The wide implementation of the mentioned toolkit in recent decades ensured the high dynamics of the development of the green segment of the national energy markets of the leading countries. At the same time, the wide use of effective motivational incentives for energy transformations by national governments ensured a significant reduction in the level of world prices for green energy technologies, their active inclusion in international scientific and technological transfer, and the increasing involvement of states and entire regions in the innovative achievements of humanity in the field of "greening" of economic activity. Already in the coming years, energy eco-technologies will lead to a significant reduction in the cost of electricity generation, which opens up wide prospects for the world community regarding the transition of the energy complex to a model of sustainable development. Despite all the achieved advantages of economic stimulation of global energy transformations, in the coming decades, the world community must implement decisive measures to introduce a system of anti-carbon taxation at the global level. Achieving the strategic goal of increasing the effectiveness of environmental tax instruments also lies in the area of introducing a system of stimulating tax benefits and preferences for environmentally responsible product manufacturers with the aim of forming large-scale capital accumulation funds. Thus, all the mentioned directions are able to bring the motivational system of energy transformations to a qualitatively higher level of development and the world community to achieve significant socio-economic effects from the greening of energy.
TRANSFORMATION OF THE CONDITIONS OF FUNCTIONING AND PRINCIPLES OF IMPLEMENTING SAFE ACTIVITIES OF COMMERCIAL ENTERPRISES
Authors:   PE ", Ravlinko Zoryana ,   Troyanda-Zachid"
Published: September 2023

Military actions on the territory of Ukraine since 2014 negatively affect the development of the national economy, one of the consequences of which is a slightly lower share of the digital economy. Despite this, the e-commerce sector is developing, requiring a priority review of the principles of implementing security activities in the conditions of each enterprise. The research is aimed at clarifying the differences between traditional and electronic trade, in particular in terms of the need to make changes in security activities as the basis for a controlled and safe transformation of each trade enterprise. In order to consider the key aspects of the transformation of the operating conditions and the principles of the implementation of security activities of trade enterprises, the following methods were used: induction and deduction, comparison and systematization – in the study of the essential characteristics of traditional and electronic trade; synthesis and analysis – to identify differences in the parameters of the trade and technological process of the functioning of enterprises of traditional and electronic trade; morphological analysis – to characterize the content of new technologies that expand the possibilities of using electronic commerce; graphic – for visual representation of theoretical and methodical material; abstract-logical – for theoretical generalizations and research conclusions. Within the framework of the conducted research, a holistic view of the necessary changes in security activities was formed on the basis of a study of the main parameters of the trade-technological process of the functioning of enterprises of traditional and electronic trade. It has been proven that security entities should change their actions not only as a result of digitization, digitization and digital transformation of a trade enterprise, but based on trends in the use of the latest technologies, in particular augmented and virtual reality, ROPO, mobile format, syndication, multi-channel, artificial intelligence etc. The generalized and expressed own considerations are aimed at proving the fact of the current and future high dynamics in the development of electronic commerce, which requires not only appropriate, but also early changes in security activities to enable the transition of a trading enterprise to the next stage of digital transformation. Such changes should take place in advance, based on the specifics of the transformation of each trade enterprise, as well as the need to reduce the gap with foreign competitors.
CORPORATE TRADE SYSTEMS: CONCEPT CONSTRUCTION AND CLASSIFICATION
Authors:   Khmelnytskyi Cooperative Trade and Economic Institute, Trofymenko Kateryna
Published: September 2023

The article formulates and substantiates the definition of the concept of "corporate trade system" on the basis of the methodology of construction of the categorical apparatus of economic science. An analysis of definitions was carried out and the existing theoretical approaches to the interpretation of the essence, content and final result of the activity of the corporate trade network as a basis for the formation of the corporate trade system were summarized. The essence (a set of business units of one or different types of economic activity), the content (the process of centralized strategic management of the development of business units with a high degree of autonomy in the organization of their commercial activities), the final result of the corporate trade system (obtaining the maximum possible profit by the account of the joint actions of its participants, in particular, by diversifying production) and the practical use of its definition (the basis for developing its concept) are identifies. Approaches to the classification of corporate trade networks by domestic scientists have been clarified. Taking into account the peculiarities of the functioning of corporate trade systems and systematizing the classification features of corporate trade networks, the classification of corporate trade systems according to the following features is proposed: organizational and legal form (joint-stock company; limited liability company; private firm; consumer cooperative enterprise; holding company), management method (centralized; decentralized), scope of activity (local, regional, national, international; global), activity format (offline; combined), product specialization (food products; non-food products; mixed assortment of goods and services), type of diversification (related and unrelated diversification), level of diversification (low, medium, high). Classification features form the "profile" of a corporate trade system, provide information about its activities and determine specific characteristics. The proposed classification of corporate trade systems according to the above features is of great scientific and practical importance, as it allows for a deeper understanding of their essence.
ORGANIZATION OF ACTIVITIES OF THE STATE FINANCIAL MONITORING SERVICE OF UKRAINE IN THE SYSTEM OF ECONOMIC CONTROL
Authors:   National Aviation University, Kozlova Viktoriia , Bezuhla Anastasiia ,   National Aviation University, Shuliak Kateryna ,   National Aviation University
Published: September 2023

The article provides a retrospective historical analysis of the formation of State Financial Monitoring. It is shown that its evolution was accompanied by an expansion of performed functions and an increase in institutional independence. Supranational and national documents in the field of prevention and countermeasures against legalization (laundering) of proceeds obtained through crime, financing of terrorism and proliferation of weapons of mass destruction are summarized. The duties, rights, functions and powers of State Financial Monitoring, its internal and international legal status as an "administrative-type" financial intelligence unit are defined. The organizational structure of State Financial Monitoring, including Management, Departments, Management and leading departments, is characterized, and their functions are summarized. The status of the permanent or temporary consultative, advisory and other auxiliary bodies created under it, the powers of general meetings of civil servants, the disciplinary commission, and the tender committee are determined. The budget status of State Financial Monitoring as a manager of budget funds of the third level in the system of the network of the main manager of funds of the Ministry of Finance of Ukraine has been determined. It is shown that in 2022, in terms of budget programs and individual expenditure items, the main specific weight of budget allocations falls on KPKV 3509010 "Leadership and management in the field of financial monitoring", and in the structure of budget allocations for economic expenses, the largest specific weight falls on labor wages. An assessment of the activities of the State Financial Monitoring Service for the implementation of a risk-oriented prevention and countermeasures system in accordance with the FATF Recommendations was provided. The purpose, procedure and stages of the National Risk Assessment are described. The main risks and threats of the national system of financial monitoring are identified, as well as the measures of the government aimed at reducing them are summarized. The areas of improvement of the activities of the State Financial Monitoring Service have been determined: increased attention to cross-border risks, risks of the activities of non-profit organizations and various types of legal entities; increasing the volume of information sources and improving the quality of the statistical base; concentration of attention on the risks caused by fictitious entrepreneurship, the shadow economy and the use of cash in business turnover.
ORGANIZATION AND METHODOLOGY OF ACCOUNTING, ANALYSIS AND AUDIT OF THE DISPLAY OF TANGIBLE ASSETS IN THE BALANCE SHEETS OF BANKS AND ENTERPRISES
Authors:   National Aviation University, Zham Olena , Kaliuzhenko Diana ,   National Aviation University, Kharchenko Lubov ,   National Aviation University
Published: September 2023

The main scientific result of the article consists in distinguishing the concepts of tangible, intangible, monetary assets of enterprises and banking institutions. Assets that are not intangible, monetary, or securities are tangible. A critical assessment of the content of the balance sheet items of enterprises and banks is given in terms of their materiality, and a description of synthetic accounts intended for accounting of tangible assets of banking institutions is given. The common set of tangible assets of enterprises and banking institutions is determined. It is shown that in the balance sheet, the value of tangible assets is included in the residual value as the difference between the balance of active and contracted accounts. For fixed assets, investment real estate, other non-current tangible assets, counter-accounts are represented by depreciation, in banking institutions they are also used to record reserves for the risks of non-confirmation of cash and bank metals. It was determined that cash funds in the balance sheets of enterprises are shown under the item "Cash and their equivalents", while in the balance sheets of banking institutions under the item "Cash funds and their equivalents". It is proposed to rename the relevant article of the balance sheet of banking institutions, taking into account the etymology of the Ukrainian words, to "Funds and their equivalents". It has been established that the differences in the display of tangible assets in the balance sheets are reduced to the following: the principle of increasing liquidity applies to enterprises of the real sector of the economy, while the principle of decreasing liquidity applies to banking institutions. A specific feature of banking institutions is the presence of tangible assets, which are collateral for customer loans and debts, represented by movable property and immovable property (including residential and non-residential). The requirements for the display of tangible assets in the notes to the financial statements of banking institutions have been systematized in terms of: accounting policy principles, funds and their equivalents, customer loans and debts, investment real estate, fixed assets, other assets, non-current assets held for sale, and disposal group assets.
ENSURING AN EFFECTIVE SYSTEM OF MANAGEMENT OF MARKETING ACTIVITIES OF AGRICULTURAL ENTERPRISES
Authors:   Dnipro State Agrarian and Economic University, Bahorka Mariia , Basarab Violetta ,   Dnipro State Agrarian and Economic University
Published: September 2023

The article examines modern problems and components of the management system of marketing activity, and makes proposals for making management decisions regarding the effective marketing activity of agrarian enterprises. Successful sales activity is directly correlated with marketing activity, which is carried out by studying market requests and requirements, for the rational orientation of production for the production of competitive products in predetermined volumes, which can guarantee the company's receipt of greater profits. The business marketing system should be considered from two sides: complex and component. In an integrated approach, commercial and entrepreneurial activity is a system of economic relations arising as a result of the production and sale of goods, taking into account market requirements and consumer needs. With the component approach, the marketing system is a set of means and measures that the company uses to increase the efficiency of its activities. The main ways of improving the management of marketing activities of agricultural enterprises are highlighted: the creation of a full-fledged marketing service, the formation and implementation of an effective marketing strategy. Proposals for management solutions to increase effective marketing activity were considered in accordance with the environment of conducting agribusiness in conditions of uncertainty; development and implementation of innovative technologies for long-term financial success; adaptation to changes in order to maintain a position in the market. The component models of marketing activity management, which combine market opportunities with organizational internal resources, are presented. Using marketing means actively adapting to the external environment, which is rapidly changing and requires flexibility in organization and management to meet market needs and influence consumers. The success of the company's business and commercial activities depends primarily on the constant analysis of the external environment, its opportunities, as well as the identification of the advantages and disadvantages of the company's products, and therefore on the analysis of the market situation.
STUDY OF CONSUMER BEHAVIOR ON THE FOOD MARKET
Authors:   Mukachevo State University, Chernychko Tatiana , Hladynets Natalia ,   Mukachevo State University, Hladynets Vladyslava ,   Lviv Polytechnic National University
Published: September 2023

A marketing study of consumer behavior and factors contributing to their choice of products at all stages of the purchase process was carried out in this article. The article aims to study consumer behavior in the food market in modern conditions. The key tool for collecting primary information and determining demand indicators in the food market was a consumer survey. The study of consumer behavior in the food market was conducted using the questionnaire method. The number of respondents was 80 people. The survey allowed us to collect data on various aspects of consumer behavior, such as product preferences, frequency of purchases, factors influencing the purchase decision, satisfaction with the purchase, and other factors that help to understand consumer decisions and determine optimal marketing and sales strategies. The purpose of the survey was to analyze consumer behavior and consumption characteristics in terms of socio-demographic characteristics, brand preferences, frequency of consumption, and purchase of Nestlé Ukraine products, and to identify the factors to which consumers are most susceptible. The survey results showed that the majority of respondents prefer domestic brands. Large retail chains are the main place for many consumers to buy food. It has been found that the largest number of respondents prefer quality food products and their availability in places convenient for them. A significant number of respondents are fans of a particular brand and take into account the brand's reputation when purchasing goods. Price is one of the most important factors that influence the purchase of a product. Promotions and the convenience of packaging are also important for consumers when buying food. The study allowed us to identify existing trends and preferences of consumers in the food market in terms of individual segments and develop recommendations for optimizing the marketing and sales strategy of Nestlé Ukraine LLC. The findings of the consumer research allowed us to develop marketing measures aimed at maximizing consumer satisfaction and improving the company's competitive position in the food market.
TRANSFORMATION OF THE AUTOMOBILE SECTOR COMPANIES` INTERNATIONAL MARKETING STRATEGY TAKING INTO ACCOUNT FACTORS OF SUSTAINABLE DEVELOPMENT
Authors:   National Aviation University, Polous Olha , Horiunova Kateryna ,   Vytautas Magnus University, Beznitska Daria ,   National Aviation University
Published: September 2023

The paper examines the theoretical and practical foundations of the transformation of the company`s international marketing strategy in the automotive sector, taking into account the factors of sustainable development. The importance of taking into account the factors of sustainable development when developing strategies and business models of companies in order to maintain their competitiveness in changing and developing markets is emphasized. It has been established that the automobile market plays a significant role in the world economy and significantly affects its development. The production and sale of passenger cars and light commercial vehicles contribute to the overall economic output of many countries and have a ripple effect on related industries such as manufacturing, technology, and transportation. Fluctuations in the volume of car sales on the global market were analyzed and the key factors that influenced their decline were determined. The global automotive industry has been severely affected by the COVID-19 pandemic, disrupting global supply chains and causing temporary factory shutdowns. Worldwide car sales experienced a modest growth from around 66.7 million units in 2021 to approximately 67.2 million automobiles in 2022. This growth suggests a potential recovery from the downward trend witnessed in the previous years. It is emphasized that the management of automotive enterprises should anticipate the changing dynamics of the market and invest in innovation in order to remain a competitive business. Automotive companies that have set themselves the goal of using sustainability as one of the vectors of their international marketing strategy should actively communicate their sustainable initiatives and achievements in order to attract the attention of consumers and create an image of a responsible and socially oriented company. A model of the transformation of a company`s international marketing strategy in the automotive sector, taking into account the factors of sustainable development is proposed.
ASSESSMENT OF THE IMPACT OF FOREIGN INVESTMENT FOR THE DEVELOPMENT OF UKRAINE'S AGRICULTURE
Authors:   National Aviation University, Kochetkov Volodymyr , Dragovoz Mykyta ,   National Aviation University, Kochetkova Oleksandra ,   Raiffeisen Bank JSC
Published: September 2023

Investment refers to the long-term investment of capital in various sectors of the economy, including infrastructure, social programs and environmental protection, both at home and abroad. In many market economies, a significant part of investments is financial. Investments play a significant role at both the macro and micro levels. Investments are a key factor in determining the future not only of the country as a whole, but also of individual business entities, and they are the driving force for economic development. The formation of an investment portfolio is an important component of investment activity, which includes making investments and implementing practical measures in order to ensure the receipt of profit or the achievement of another useful effect. In general, the investment portfolio of any organization or country consists not only of a portfolio of investments in securities, but also of a portfolio of real investments and a portfolio of investments in working capital. A special role in the Ukrainian economy is played by foreign investments in the agro-industrial complex (APC), especially after the opening of the land market. This gives an impetus to reconsider the possibility of realizing and improving the natural and economic potential of the rural sector of Ukraine. Meanwhile, the realization of the potential of the agricultural industry provides an opportunity to increase Ukraine's rating in political and economic relations with other countries. Attracting investments in agriculture will help restore this area and form a middle class in society. The involvement of various forms of investment has a significant impact on the activities of agribusiness enterprises and their resource potential. The effectiveness of the use of received investments depends on the correct operation of the management apparatus. A positive final result in agriculture in modern economic conditions largely depends on the provision of modern machines and mechanisms that would reduce the time for tilling the land, sowing, harvesting, and caring for animals, so it is necessary to invest, first of all, in technical equipment that will significantly bring the capabilities of domestic agricultural producers closer to foreign ones. The development of the agricultural sector of the country can ensure the development of the economy as a whole.
THE MARITIME CLUSTER COMPONENTS DEVELOPMENT MANAGEMENT ON THE WAY TO ADJUSTING THE COUNTRY’S TRANSPORT SYSTEM INTEGRATION PROCESSES
Authors:   National University ", Kuzmenko Kateryna ,   Odessa Maritime Academy"
Published: September 2023

The article considers the concept of a cluster, the special attention is paid to maritime clusters. The purpose of the article is to analyze the Ukrainian maritime clusters enterprises indicators, determine the condition of the integration potential implementation in the system of strategic development of the state, and develop recommendations for finding ways to preserve pre-war volumes of transportation. World experience shows that in the conditions of globalization, such a high-tech industry as the transport industry develops most successfully on the basis of regional innovation and industrial clusters. Over the past decade, in many countries, the traditional sectoral form of business organization has been replaced by clusters – informal associations of large leading companies with an unlimited number of small and medium-sized enterprises, technology centers, design and construction firms, related market institutions that interact with each other within a single value chain located at a relatively short distance from each other in the same region. Clustering makes it possible to form a comprehensive approach to the state development policy of the country and its regions, taking into account the potential of economic entities. At the current stage, the world economy is characterized by the deepening of integration processes, which necessitates the reorientation of the national economy to modern processes in the world economy. The implementation of integration functions is an important factor in the modern economic development of the state and currently acts as a separate promising aspect of forming the basis for a qualitative breakthrough in the country's economic development. In the Ukrainian transport system, in its performance of the transit role and integration functions, all components of its maritime clusters are of great importance: ports, shipbuilding factories, stevedore companies, companies providing forwarding and agency services, universities, certification agencies. All these components require an effective management strategy as a complete production and economic system, which should be based on an integrated approach.
Principales patologías del recién nacido producto de madres mayores de 35 años de la Unidad Médico Familiar 171
Authors:   Unidad Médico Familiar 178 del Instituto Mexicano del Seguro Social, Zapopan, Jalisco, González-Heredia Omar ,   Centro Universitario de Tonalá, Departamento de Ciencias Biomédicas, Universidad de Guadalajara, González-Heredia Tonatiuh ,   Unidad Médico Familiar 178 del Instituto Mexicano del Seguro Social, Zapopan, Jalisco,   Centro Universitario de Tonalá, Departamento de Ciencias Biomédicas, Universidad de Guadalajara
Published: September 2023

Introducción: Las madres añosas son aquellas que presentan su gestación a los 35 años o más. Existe un aumento a nivel mundial, esto debido a la transición epidemiológica, ya que la vida moderna y adelantos tecnológicos han creado mejores expectativas de educación y trabajo, es por ello que se han incrementado las expectativas de maternidad en la mujer actual. La gran mayoría de la literatura concuerda que los recién nacidos de madres añosas pueden presentar malformaciones congénitas, apgar menor a 7 al minuto y a los 5 minutos, ingreso a unidades de cuidados intensivos neonatales, distrés respiratorio fetal, bajo peso y mortalidad neonatal. Objetivo: Identificar las principales patologías del recién nacido de madres mayores de 35 años adscritas a la umf 171. Material y métodos: Se realizó un estudio transversal descriptivo a los recién nacidos de madres mayores de 35 años que cumplieron con los criterios de inclusión. Muestreo no probabilístico, que incluye a recién nacidos con alguna patología. Los datos fueron expresados en medidas de tendencia central. Resultados: Se realizó la revisión de 179 expedientes clínicos de la umf 171 de recién nacidos productos de madres mayores de 35 años. El total de recién nacidos captados con alguna patología fue de 27, cuyas principales patologías fueron prematuridad (3,9 %), hipoxia (1.68 %) y sufrimiento fetal (2.2 %). Se encontró mayor prevalencia de recién nacidos prematuros en el grupo de edad de 35 a 40 años. Conclusiones: Con base en los resultados obtenidos concluimos que el grupo de edad de 35 a 40 años se encuentra con mayor riesgo de presentar productos prematuros.
Obesidad: fisiopatología, diagnóstico y tratamiento
Authors:   Departamento de Ciencias Biomédicas, Centro Universitario de Tonalá, Universidad de Guadalajara, Jalisco, México, González-Heredia Tonatiuh ,   Unidad Médico Familiar 178 del Instituto Mexicano del Seguro Social, Zapopan, Jalisco., Méndez-Del Villar Miriam ,   Departamento de Ciencias Biomédicas, Centro Universitario de Tonalá, Universidad de Guadalajara, Jalisco, México,   Unidad Médico Familiar 178 del Instituto Mexicano del Seguro Social, Zapopan, Jalisco., Hernández-Corona Diana ,   Departamento de Ciencias Biomédicas, Centro Universitario de Tonalá, Universidad de Guadalajara, Jalisco, México,   Unidad Médico Familiar 178 del Instituto Mexicano del Seguro Social, Zapopan, Jalisco., Mercado-Sesma Arieh ,   Departamento de Ciencias Biomédicas, Centro Universitario de Tonalá, Universidad de Guadalajara, Jalisco, México,   Unidad Médico Familiar 178 del Instituto Mexicano del Seguro Social, Zapopan, Jalisco., González-Heredia Omar ,   Departamento de Ciencias Biomédicas, Centro Universitario de Tonalá, Universidad de Guadalajara, Jalisco, México,   Unidad Médico Familiar 178 del Instituto Mexicano del Seguro Social, Zapopan, Jalisco., Avelar-García Carmen ,   Departamento de Ciencias Biomédicas, Centro Universitario de Tonalá, Universidad de Guadalajara, Jalisco, México,   Unidad Médico Familiar 178 del Instituto Mexicano del Seguro Social, Zapopan, Jalisco., Zuñiga Laura ,   Departamento de Ciencias Biomédicas, Centro Universitario de Tonalá, Universidad de Guadalajara, Jalisco, México,   Unidad Médico Familiar 178 del Instituto Mexicano del Seguro Social, Zapopan, Jalisco.
Published: September 2023

El presente trabajo es un resumen de obesidad enfocado a la fisiopatología, diagnóstico y tratamiento, y tiene como objetivo ofrecer las actualidades en investigación. En la génesis de la obesidad se involucran factores relacionados al estilo de vida, como una dieta inadecuada, falta de actividad física, cambios neuroendocrinos y la genética, principalmente. Esto provoca acumulación de grasa visceral y por ende obesidad, factor desencadenante de enfermedades crónico-degenerativas, tales como: diabetes mellitus, dislipidemia, hipertensión y síndrome metabólico. La obesidad está relacionada con el desequilibro entre consumo y gasto energético, por lo que, a largo plazo, una dieta alta en hidratos de carbono y grasas acelera su desarrollo. El sobrepeso y la obesidad se han convertido en un problema de salud pública a nivel mundial, y en México las cifras son alarmantes, ya que más del 70% de la población adulta lo presenta. Es debido a esto que se realizan nuevas investigaciones con el objetivo de entender adecuadamente el proceso fisiopatológico de la obesidad, así como todas las cascadas de señalización implicadas en la génesis de complicaciones, con la finalidad de actuar oportunamente a través del manejo multidisciplinario e impedir que continúe siendo una epidemia.
Estilo de vida y consumo de alimentos de alumnos de preparatoria de la Universidad de Guadalajara
Authors:   Departamento de Reproducción Humana, Crecimiento y Desarrollo Infantil. Centro Universitario de Ciencias de la Salud. Universidad de Guadalajara., Hernández-Franco Miriam ,   Maestría en Ciencias de la Salud de la Adolescencia y la Juventud. Centro Universitario de Ciencias de la Salud. Universidad de Guadalajara.
Published: September 2023

Introducción: El estilo de vida de los adolescentes juega papeles importantes en la protección o apari-ción de enfermedades crónico-degenerativas a corto, mediano o largo plazo. La iniciación de hábitos que pueden interferir en su salud en este periodo de edad se incrementa. El objetivo de esta investigación fue identificar el estilo de vida y consumo de alimentos de los adolescentes del bachillerato en Prótesis Dental de la Universidad de Guadalajara. Metodología: Estu-dio transversal descriptivo. Se incluyeron 348 alum-nos de los seis semestres de los turnos matutino y vespertino. Se utilizó el cuestionario autoaplicable fantástico para identificar el estilo de vida, y para determinar el nivel socioeconómico, el amai 8x7. Resultados: En global, al conjuntar los puntajes de las dimensiones que constituyeron la evaluación del estilo de vida, se observó que 5% de los estudiantes tuvieron un estilo de vida fantástico, 42% casi fan-tástico y 27% adecuado, pero 24% necesitaría mejo-rar sus prácticas saludables y 2 % cambios drásticos. Conclusión: El estilo de vida engloba un conjunto de indicadores para establecerlo. Se determinó que los adolescentes necesitan mejorar varios aspectos para tener un estilo de vida fantástico
Prevalencia de pacientes co-infectados por TB/VIH del Centro de SaludNo. 4, SSJ; durante 2008-2016
Authors:   Departamento de Ciencias de la Salud, Centro Universitario Tonalá, Universidad de Guadalajara., Hernández- Urzúa Miguel , Esquivel -Iñiguez Álvaro ,   Departamento de Ciencias de la Salud, Centro Universitario Tonalá, Universidad de Guadalajara., Soto -Morales Ana ,   Departamento de Ciencias de la Salud, Centro Universitario Tonalá, Universidad de Guadalajara.
Published: September 2023

Objetivo: Describir la asociación de tuberculosis y VIH/SIDA en pacientes pertenecientes al Programa de Prevención y Control de Tuberculosis, del Centro de Salud No. 4, de la Secretaría de Salud Jalisco, ubicado en Guadalajara, Jalisco. Material y métodos: Se realizó un estudio descriptivo y retrospectivo. Fueron incluidos todos los pacientes con diagnóstico confirmado de ambas infecciones, sin exclusión por sexo o edad, entre Enero de 2008 y Noviembre de 2016. Los datos se procesaron con el programa Excel. Se evaluaron frecuencias, medias, porcentajes y prevalencias. Resultados: El promedio anual de coinfectados fue de 32,2%. El 89,8% de los sujetos eran hombres. Se observó que el diagnóstico más frecuente fue la Prevalencia de pacientes co-infectados por TB/VIH del Centro de Salud No. 4, SSJ; durante 2008-2016tuberculosis pulmonar, con un 53%. El 62,8% de los pacientes coinfectados fueron curados de la TB. Un 9,8% de los individuos fueron trasladados a otras instituciones médicas, un 7,8% abandonó el programa, y un 19,6% falleció a causa de la coinfección. Conclusiones: Los resultados de este estudio resal-tan la importancia de realizar una búsqueda activa de ambas enfermedades para obtener un diagnóstico temprano de las infecciones por VIH, los contagios por tuberculosis y la identificación de aquellos pacientes coinfectados, con la finalidad de reducir su probabilidad de muerte.
Patogénesis del LupusEritematoso Sistémico1
Authors:   Revista Acta de Ciencia en Salud, Álvarez Mariana Luna
Published: September 2023

El lupus eritematoso sistémico, es una enfermedad autoinmune que se caracteriza por la producción de anticuerpos antinucleares por las células plasmáticas. Aunque la patogénesis de la enfermedad es muy compleja, muchas investigaciones han arrojado información acerca de los factores genéticos que vuelven a una persona susceptible a padecer la patología. Mecanismos que involucran hiperreactividad tanto de los linfocitos B como de los linfocitos T, así como polimorfismos en varios receptores involucrados en la activación del sistema inmune, niveles anormales de citocinas, defectos en la eliminación de detritos celulares y anormalidades en la selección negativa de los linfocitos, se relacionan para crear un ambiente inmunológico adecuado en el que se pueda desarrollar la enfermedad.
La radiación electromagnética de alta frecuencia en la medicina
Authors:   Revista Acta de Ciencia en Salud,, Arechiga-Solís José
Published: September 2023

En la actualidad, ya se cuentan con un gran número de investigaciones, experimentos, reglamentaciones, filosofías y normas, que nos ayudan a emplear la radiación ionizante de una manera más segura y responsable, por lo que se han minimizado los riesgos de daño biológico producido por la Radiación Electromagnética de Alta Frecuencia. En los hospitales de todo el mundo se utiliza la radiación ionizante para la elaboración de estudios de radio diagnóstico y el personal encargado de ello, debe tener cierta capa-citación y adiestramiento puesto que es el principal responsable de un buen manejo de material radioactivo. En este artículo, nos encargaremos de hacer un recuento o resumen de los aspectos más importantes y fundamentales de la protección radiológica, con esto nos referimos a la protección no únicamente del personal ocupacionalmente expuesto, sino también de los pacientes y es que, la protección al paciente va de la mano a la protección del mismo personal.
Generalidades de la estadística
Authors:   Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud,Departamento de Salud PúblicaGuadalajara, Jalisco, México, Rizo-Curiel Genoveva ,   Universidad de Guadalajara, Centro Universitario de Tonalá,Profesor, de estadística, Guadalajara, Jalisco, México
Published: September 2023

Los métodos estadísticos son técnicas para hacer comprensible la información cuantitativa y para darle un sentido. Con su ayuda, los datos cuantitativos reunidos en un proyecto de investigación dejarán de ser una “masa” de números expuesta de manera incoherente.