bluuebunny/crossref_metadata_2025 huggingface dataset:
The virtuality of students in the rural area
Authors: Cantos Ubety Del Carmen Cedeño , Laz Esthela San Andrés
Published: May 2022

The health emergency due to COVID-19 that affected the world, forced each of the governments to take measures that allowed protecting the health and integrity of its inhabitants , Ecuador, as a result of the declaration of a state of exception in the Educational Units of the country, adopted measures to meet the needs of the students, one of them the modality that from its application presented advantages and disadvantages for the educational community, this method was used. teaching-learning method, where teachers taught their virtual classes, improving their professional practice, with new strategies in the use of technological tools. The objective of the research is to identify how virtual education affected the learning of students in rural areas, through argumentative research, with bibliographic review strategies through documents, scientific journal articles. The study was carried out in the Educational Unit "Guaranda No. 43" of the Chirijos rural parish of the Portoviejo Canton, it was obtained as a result that the educational plan implemented by the Ministry of Education for the health emergency evidenced the educational reality in the country where the Virtual educational practice was negative due to the impact caused and the problems exposed.
Activity of radioactive isotopes in the offshore seawater at vicinity areas of Phu Quy, Phu Quoc and Bach Long Vy islands
Authors: Nguyen Thi Thanh Nga , Le Nhu Sieu , Nguyen Dinh Tung , Nguyen Van Phu , Tran Dinh Khoa , Vuong Thi Thu Hang , Nguyen Trong Ngo
Published: May 2022

In this work, activity of radioactive isotopes in some offshore seawater samples at vicinity areas of three islands has been investigated Phu Quy (Binh Thuan province), Phu Quoc (Kien Giang province), and Bach Long Vy (Hai Phong province). The ranges of radioactivity 226Ra, 238U, 137Cs, 90Sr, and 239,240Pu in seawater at three offshore islands are 2.09 ÷ 4.77 mBq/L, 2.33 ÷ 4.95 mBq/L, 0.98 ÷ 1.45 mBq/L, 1.22 ÷ 1.49 mBq/L, and 0.0045 ÷ 0.0066 mBq/L, respectively. These values show that the radioactivities of the above-mentioned radionuclides differ between monitoring periods and between three offshore islands of Vietnam, but which is equal to or lower than the corresponding value according to others seas in Vietnam and Asia – Pacific. The correlation between radioisotopes and properties of seawater (pH, conductance, and salinity) is also shown in this study to assess their impact on the fluctuations of the above radinuclides.
Plataformas educativas preferidas para E-learning en un centro educativo hondureño durante la pandemia de COVID-19
Authors: Lozano Ariel , Sequeiros Gracia
Published: May 2022

Introducción. El COVID-19 constituye una crisis para la salud pública mundial, siendo educación uno de los sectores sociales más afectados. Este estudio describió la aceptación de plataformas de educación virtual por el trinomio educativo (familia, estudiante, docente) de un centro educativo. Métodos. Se empleó un método mixto, con una muestra probabilística de 98 participantes en un centro educativo en el norte de Honduras. Se aplicó una encuesta cuantitativa virtual, con el fin de recopilar datos demográficos y conocimiento de alfabetización tecnológica por los alumnos y padres de familia. Se aplicó entrevistas cualitativas semiestructuradas a 21 docentes y a 98 padres de familia y estudiantes para conocer las percepciones de E-learning, así como a un panel de ocho expertos. Los expertos evaluaron cuatro plataformas de E-learning: Microsoft Teams for Education, Moodle, ClassroomApp y EduBox mediante una tabla de ponderación de 1 a 5. El estudio se llevó a cabo de abril a octubre de 2020. Resultados. El uso de las tecnologías digitales para clases fue de 69.0% por estudiantes de prebásica y primer ciclo de básica. La plataforma ClassroomApp fue la mejor calificada, con un puntaje de 3.74 de 5.00, mientras que EduBox tuvo el puntaje más bajo (3.35). Conclusión. ClassroomApp se adaptó mejor a las necesidades del centro educativo evaluado, con la calificación más alta, dada por el panel de expertos, en base a indicadores de calidad.
Líneas de investigación en las tesis de maestría de la Universidad Pedagógica Nacional Francisco Morazán de Honduras
Authors: Rosales Marco A. , Amador Wong Junior
Published: May 2022

Introducción. La Universidad Pedagógica Nacional “Francisco Morazán” (UPNFM) publicó el catálogo de registro de tesis de postgrado entre 2002 y 2016. Este estudio analizó la producción científica en forma de tesis académica de las maestrías de UPNFM, con base en la implementación de líneas institucionales de investigación. Métodos. Se elaboró una base de datos con las variables programa de maestría, línea de investigación, tema y asesores. Los datos fueron procesados y analizados mediante distribuciones de frecuencia y prueba chi-cuadrada. Resultados. Se analizó 365 registros de tesis. Cuatro maestrías representaron el 63.3% del total de tesis defendidas: gestión de la educación (20.3%), investigación educativa (16.2%), currículum (14.5%) y formación de formadores (12.3%). El 64% de las tesis se concentró en dos de las cinco líneas de investigación institucionales: formación y profesión docente y calidad y equidad de la educación. Con el estadístico chi-cuadrado, se rechazó la posibilidad que la proporción encontrada de las líneas de investigación tuviera una distribución aleatoria. De los 126 docentes que asesoraron las tesis, algunos cuentan con adscripción a otra universidad. Conclusión. Se identificó una marcada tendencia por la selección de las líneas referentes a formación docente y acceso a la educación. Es necesaria la difusión y uso de los hallazgos de las tesis de la UPNFM, por no estar disponibles en publicaciones indizadas en bases de datos internacionales o repositorios.
Deslizamientos e inundaciones en San Manuel, Cortés durante el paso de los huracanes ETA e IOTA
Authors: Herrera Maldonado Luis A.
Published: May 2022

Los huracanes Eta e Iota de noviembre 2020 causaron inundaciones y deslizamientos en el municipio de San Manuel, departamento de Cortés, Honduras. La imagen satelital de Google Earth muestra ocho roturas en el cauce del río Ulúa. Las roturas 4 a la 8 (recuadro 1) afectaron las zonas pobladas y las plantaciones de banano. El recuadro 2 muestra un deslizamiento en el Cerro El Zate relacionada a una grieta de aproximadamente 200 metros de longitud y 2 metros de profundidad. Esto indica alta vulnerabilidad y riesgo en la zona, especialmente ante nuevos desastres naturales.
Retos en los postgrados de medicina en Honduras
Authors: Solano Jhiamluka , Chinchilla Reyes Daniel
Published: May 2022

Los postgrados de medicina enfrentan retos en Honduras. Existen pocos reportes en la literatura sobre los aspectos no académicos que afectan la formación médica del país. Esto puede deberse al poco conocimiento que existe sobre la investigación en educación médica, los procesos de evaluación y su importancia en el desarrollo de la academia médica hondureña. Proponemos una lista de factores que son modificables y que pueden afectar la educación médica, así como recomendaciones que pueden favorecer el desarrollo de la educación médica de postgrados en Honduras.
Alternativas ante el impacto del conflicto entre Rusia y Ucrania en la seguridad alimentaria de Honduras
Authors: Lara-Arévalo Jonathan , Vega Andrea
Published: May 2022

El sistema alimentario hondureño ha sufrido fuertes impactos por la pandemia del COVID-19 y los huracanes Eta e Iota. Nuevamente, Honduras se enfrenta a problema que amenaza su seguridad alimentaria. La guerra entre Rusia y Ucrania pone en riesgo la cadena de suministros para un abastecimiento adecuado de alimentos. Más del 50% de los fertilizantes agrícolas importados en Honduras provienen de Rusia y el incremento en el precio de estos insumos elevará el costo de producción en Honduras. Proponemos un llamado a la acción con estrategias en el sector alimentario del país.
Solidaridad y subsidio a la energía eléctrica en Honduras: entre la legitimidad y el consentimiento de los ciudadanos
Authors: Zelaya Mario
Published: May 2022

El Gobierno de Honduras propuso un subsidio del 100% a todos los usuarios con consumos inferiores a 150 kWh/mes. El subsidio tendrá un impacto de aproximadamente de 300 millones de Lempiras por mes considerando cálculos elaborados por el autor, con datos provenientes de la institucionalidad del sector y que incluyen cantidad de usuarios estratificados por sector de consumo, consumo promedio y tarifa aplicada. Los niveles de pobreza hacen que el subsidio sea legítimo, pero debería ser aplicado con base en el consentimiento de consumidores informados sobre los efectos de dicho proceso.
Hernia de Morgagni Como Causa de Patología Respiratoria en Pediatría
Authors: Díaz Rodríguez David Roberto , Gutiérrez Morales Gabriel
Published: May 2022

La Hernia de Morgangi (HM), fue descrita por primera ocasión por el anatomista y patólogo italiano Giovanni Battista Morgagni en su tratado en 1769 “The Seats and Causes of Diseases Investigated by Anatomy”,1 en donde se define como un defecto congénito subcosto-esternal anteromedial caracterizado por una separación entre el tabique transversal del diafragma y los arcos costales con una abertura irregular entre las uniones esternal y costal que permite una hernia de los órganos abdominales hacia la cavidad torácica y dependiendo del tamaño del defecto puede ser mortal.
Lesiones Dentales Asociadas a Enfermedad por Reflujo Gastroesofágico en Pediatría
Authors: Gonzalez Norma , Aguilar Francisco , Suazo Christian , Rodriguez Susan
Published: May 2022

El reflujo gastroesofágico (RGE) es el paso fisiológico del contenido gástrico hacia el esófago, presente en condiciones normales a cualquier edad y es uno de los problemas gastrointestinales más comunes en niños. El estado nutricional es adecuado y muchas veces por arriba de los percentiles de peso y talla y es un niño “vomitador feliz”. En cambio, la enfermedad por reflujo gastroesofágico (ERGE) está asociada con síntomas molestos respiratorios, digestivos, trastornos durante el sueño, lesiones dentales las que en un gran número de casos pasan desapercibidas y son notadas hasta que han causado un daño significativo y pueden ir desde prurito, ardor de mucosa, aumento de la sensibilidad dental y lingual, sabor amargo, erosiones hasta caries dental, estas cumplen un importante papel en la edad pediátrica, sobre todo cuando el niño presenta trastornos en las funciones neurosensoriales, motoras, como daño neurológico secundario a encefalopatía hipóxico isquémica, defectos del tubo neural, atresia esofágica y enfermedades degenerativas. Dentro de las complicaciones de ERGE cabe resaltar neumonía por broncoaspiración, otitis, faringoamigdalitis, crup y compromiso en el estado nutricional. La ERGE tiene gran importancia médica y social debido al incremento en su incidencia y a los síntomas duraderos ya que reducen la calidad de vida. La habilidad de poder distinguir entre las manifestaciones clínicas de RGE y ERGE en los diferentes grupos etarios nos permite identificar que pacientes deben ser extensamente evaluados y manejados con tratamiento conservador o si estos requieren ser derivados al odontólogo pediatra. Debido a que existe desconocimiento acerca de las lesiones dentales que se producen en la ERGE decidimos hacer la presente revisión ya que es muy importante que el personal de salud: estudiantes, médicos y odontólogos sean capaces de identificar, diagnosticar e implementar recomendaciones apropiadas, dar tratamiento específico tanto desde el punto de vista médico como dental dadas las repercusiones que esta conlleva y así derivar oportunamente.
Necesidad de Evaluación Psiquiátrica en niños en el contexto de la Pandemia
Authors: Orellana Morales Vanessa , Banegas Linda , Portillo Melissa , Cantillano Mauricio
Published: May 2022

Nuestro interés para el reporte de este caso surge a raíz de la poca atención a la salud mental de los niños y adolescentes en nuestro medio durante la pandemia. A pesar, de estar expuestos a diferentes estresores, ni los padres, maestros, médicos o enfermeras identificamos estos problemas y tampoco los referimos a clínicas de salud mental de manera oportuna.
Potencial de las fuentes orales para la definición de políticas públicas en la prevención de desastres: Caso de la ciudad de Irapuato, México
Authors: Sandoval Pierres Armando
Published: May 2022

En este artículo se analizó el potencial de las fuentes orales para la definición de políticas públicas, abordándose específicamente el caso de la inundación de Irapuato, Gto. México. Siendo la historia oral una disciplina que permite generar y conservar información original e históricamente interesante a partir de recuerdos personales a través de entrevistas grabadas planificadas, se encuentran elementos orientadores para: 1) el diseño de políticas públicas y 2) para definir políticas públicas para la prevención de desastres. Entre las conclusiones a las que se arribó, está la necesidad de aprovechar las entrevistas de quienes han sido víctimas de daños causados por la naturaleza, ya que el testimonio de quienes han vivido esos dramas debe ser tomado en cuenta por las instancias gubernamentales, por lo que se recomienda la utilización sistemática de fuentes orales para diseñar políticas que permitan prevenir daños futuros.
Gestión de la innovación en TIC en empresas del Estado: Una perspectiva desde la legislación venezolana
Authors: Gutiérrez Nava Mariangelis del Carmen , Pérez Duno Ydelbys Rosa
Published: May 2022

El presente estudio tuvo por objetivo revisar las bases legales sobre las que se apoya la innovación en Tecnologías de Información y Comunicación en Empresas públicas venezolanas. Se establecen como unidades de observación: Constitución de la República Bolivariana de Venezuela (1999), Ley del Plan de la Patria 2019-2025, Plan Nacional de Ciencia, Tecnología e Innovación 2005-2030, Ley Orgánica del Consejo Federal de Gobierno, Ley Orgánica de Telecomunicaciones (2000), Ley de infogobierno (2013), y Ley Orgánica de Ciencia, Tecnología e Innovación (2010); considerando la totalidad de la unidad de análisis. Se trata de una investigación no experimental de tipo documental aplicándose como técnica de investigación, la revisión documental. Como criterios de categorización y análisis se tomaron: interés e impulso; organización, estructura y espacios; fomento a la formación; y financiamiento para innovación en TIC. Los resultados demuestran la existencia de un robusto marco legal, partiendo desde el interés del Estado por impulsar y financiar el desarrollo de innovación en TIC, la formación de innovadores y la creación de espacios destinados a este fin. Se concluye que, a pesar de no encontrarse tipificada de forma específica la innovación en TIC, la misma se asume como una derivación de la innovación de manera general.
ДО ВИВЧЕННЯ ВПЛИВУ ПРИРОДНО-КЛІМАТИЧНИХ УМОВ НА СТРОКИ НАСТАННЯ ОКРЕМИХ РАННІХ ФЕНОФАЗ СОРТІВ HYACINTHUS ORIENTALIS L. ІЗ РІЗНИМ ЗАБАРВЛЕННЯМ КВІТОК ПРИ ІНТРОДУКЦІЇ В ДЕНДРОПАРКУ "АСКАНІЯ-НОВА"
Authors: Белгородський О.Є.
Published: May 2022

У статті розглянуто результати регресійного аналізу зміни фенологічних термінів у сортів гіацинтів з різним забарвленням квітки за період з 2016 по 2020 роки. Показано, що кліматичні зміни спричиняють неоднакові фенологічні реакції у гіацинтів, диференційованих за цією ознакою.
ГЕЛЬМІНТОФАУНА КОНЯ ПРЖЕВАЛЬСЬКОГО В АРИДНИХ ЗОНАХ ПАЛЕАРКТИКИ (НА ПРИКЛАДІ ПОПУЛЯЦІЙ БІОСФЕРНОГО ЗАПОВІДНИКА "АСКАНІЯ-НОВА" ТА ЗАПОВІДНИКА "ОРЕНБУРЗЬКИЙ")
Authors: Звегінцова Н.С. , Жаркіх Т.Л. , Кузьміна Т.А.
Published: May 2022

Наведено результати порівняння гельмінтофауни коня Пржевальського двох популяцій: Біосферного заповідника "Асканія-Нова" (1972–2018 рр.) та заповідника "Оренбурзький" (2017–2019 рр.). В Асканії-Нова видове різноманіття гельмінтофауни коня Пржевальського за весь час досліджень склало 45 видів. Паразитоценоз тут формувався більше ста років і є результатом співіснування на спільних степових територіях шести видів Конячих та жуйних, завезених з різних континентів. В Оренбурзькому заповіднику протягом 5 років (2015–2019 рр.) мешкає один вид Конячих – кінь Пржевальського, якого інтродуковано з двох європейських напіврезерватів. Гельмінтофауна на даний час налічує 29 видів, два з яких є ендеміками азійського регіону. Процес формування гельмінтофауни створеної популяції коней Пржевальського триває.
ВНЕСОК В.Д. ТРЕУСА В РОЗВИТОК ОРНІТОЛОГІЧНИХ ТА ТЕРІОЛОГІЧНИХ ДОСЛІДЖЕНЬ (ДО 100-РІЧЧЯ ВІД ДНЯ НАРОДЖЕННЯ)
Authors: Ясинецька Н.І.
Published: May 2022

Стаття про видатного орнітолога і теріолога, дослідника тварин зоопарку "Асканія-Нова", випускника 1948 року Харківського державного університету за спеціальністю "біолог-зоолог", який почав наукову діяльність у Всесоюзному інституті акліматизації та гібридизації тварин "Асканія-Нова". Протягом 1952–1955 рр. працював у Приоксько-Терасному і Астрахансь- кому заповідниках, 1956–1975 рр. – в Українському науково-дослідному інституті тваринництва степових районів "Асканія-Нова", де на базі зоопарку зібрав та узагальнив унікальний матеріал з акліматизації диких птахів та копитних. Доктор біологічних наук з 1966 р. Опублікував 135 наукових та науково-популярних праць, у т.ч. 2 монографії. Зробив значний внесок в розвиток орнітології, теріології, розведення та одомашнення диких тварин.
ФУНКЦІОНАЛЬНЕ ЗОНУВАННЯ ТЕРИТОРІЙ НАЦІОНАЛЬНИХ ПАРКІВ – ОСНОВА ЇХ ПЛАНУВАЛЬНОЇ ОРГАНІЗАЦІЇ
Authors: Гетьман В.І.
Published: May 2022

Розглянуті питання функціонального зонування територій національних природних парків України і світу як ключової проблеми їх територіальної організації або планування. У порівняльному аналізі показані як позитивні явища, так і недоліки вітчизняного та світового природоохоронного планування, передусім рекреаційних територій. Функціональне зонування є основним розділом проєктів організації природно- заповідних територій та об'єктів України, охорони, відтворення і використання їх природних комплексів. Практичний досвід створення та діяльності національних природних парків України переконує: планування їх територій має принципово важливе значення і є основною передумовою забезпечення врівноваженого та безконфліктного функціонування таких поліфункціональних природно-заповідних установ. Результатом функціонального зонування території національних природних парків виступає схема, чи картосхема як наочне відображення просторових функцій, які ця територія має виконувати. На ній виділяють територіальні ділянки (функціональні зони), що різняться за функціями та цілями охорони, а відтак – охоронними режимами і формами практичної діяльності в їх межах. Функціональне зонування територій національних природних парків України здійснюється за вільним типом: загальний рисунок мозаїчний, ділянки кожної зони представлені декількома контурами – тобто воно має кластерний характер. Порушені питання щодо рекреаційних навантажень, як агрегатного показника антропогенного впливу протягом комфортного періоду, у межах вітчизняних і зарубіжних національних (природних) парків та їх нормативів. Для території національних природних парків України автором запропоновано орієнтовні нормативи допустимого рекреаційного навантаження.
ПЕРШІ РЕЗУЛЬТАТИ ВИКОРИСТАННЯ ВІДЕОПАСТКИ В ДОСЛІДЖЕННЯХ ТЕРІОФАУНИ БІОСФЕРНОГО ЗАПОВІДНИКА "АСКАНІЯ-НОВА"
Authors: Поліщук І.К.
Published: May 2022

Представлені підсумки фото- і відеоспостережень в селітебній зоні та природному ядрі заповідника. В житловому масиві одноповерхових споруд і приміщенні музею Природа Таврії окрім свійських котів Felis catus Linnaeus, 1758 реєстрували і типових синантропів з сутінковою і нічною активністю – кун кам'яних Martes foina Erxleben, 1777. На заповідній території особливу увагу приділили стеженню за дрібними ссавцями. Порівняння їх видового складу, встановленого добуванням пастками і зареєстрованого відеокамерою, показало різне співвідношення: у першому випадку домінували полівки гуртові Microtus socialis Pallas, 1773, у другому – миші курганцеві Mus spicilegus Petenyi, 1882 і звичайні Mus musculus Linnaeus, 1758 та мишаки степові Sylvaemus witherbyi Thomas, 1902. Вперше за час існування облікового стаціонару (1992–2020 рр.), де локально проводили відеоспостереження восени 2020 р., саме камерою виявлено мешкання хом'ячка сірого Cricetulus migratorius Pallas, 1773. Детально викладено процес розробки методики спостережень.
ВПЛИВ БУРЕВІЮ НА ДЕРЕВОСТАНИ ДЕНДРОПАРКУ "АСКАНІЯ-НОВА"
Authors: Гавриленко Н.О. , Михайлецька І.В.
Published: May 2022

Описано наслідки ускладнення погодних умов 16 травня 2021 року на території заповідника. Поваленими чи зламаними до припинення росту виявилися 100 дерев (з них половина крупних) у дендропарку та 5 (у т.ч. 3 вікових) у зоопарку. Майже всі знищені внаслідок негоди вікові дерева ясеня звичайного та гледичії колючої мали ознаки ураження різної інтенсивності стовбуровими шкідниками, стовбуровими та комлевими гнилями. Зламані при падінні інших дерев були, переважно, здоровими молодими рослинами каркаса західного, клена гостролистого, білої акації, в'яза гладкого, горіха грецького, ялівцю віргінського.
Corrigir sem inibir
Authors: Ferreira Maria João Rodrigues Gama , Espada Sílvia dos Santos
Published: May 2022

Este artigo pretende informar sobre técnicas de correção da expressão oral nas aulas de língua estrangeira. Num primeiro momento, faz-se referência às dificuldades existentes na implementação de atividades de expressão oral, refletindo-se também sobre a importância do erro como ponto de partida para a aprendizagem e o papel do docente nesse processo. São ainda apresentadas técnicas de correção da expressão oral, as suas vantagens/desvantagens, demonstrando-se que, tendo em conta os diferentes tipos de atividades, é possível corrigir sem inibir.
Uma abordagem do estado da arte: reforçar a educação emocional para a prevenção de conflitos escolares no ENSST
Authors: Pérez Diana Milena Callejas
Published: May 2022

A educação emocional é entendida como um aspecto fundamental no desenvolvimento integral de todo ser humano, como afirma Bisquerra (2001), é um "processo contínuo e permanente que tem por objetivo melhorar o desenvolvimento emocional como um complemento indispensável ao desenvolvimento cognitivo, constituindo ambos os elementos essenciais do desenvolvimento da personalidade integral" (p.242). Este trabalho, que faz parte de uma pesquisa mais ampla sobre o fortalecimento da educação emocional para a prevenção de conflitos escolares em alunos da Escola Normal Superior Santiago de Tunja, em Tunja, Boyacá, visa identificar e analisar as referências bibliográficas e os artigos científicos que contribuem para o corpus documental ou o estado da arte da pesquisa.  Para atingir o objetivo proposto, a metodologia utilizada foi a pesquisa qualitativa com foco na revisão documental e análise de artigos científicos de bases de dados como Scielo, Redalyc e Dialnet, através do instrumento de sistematização das informações do Resumo Analítico Especializado (RAE), elaborado no software Microsoft Excel.  A implementação desta estratégia resultou na compilação, revisão e análise de 50 fontes bibliográficas internacionais, nacionais e regionais de 2003-2020. Da análise, emerge um campo de trabalho que está ligado à pesquisa, ou seja, o fortalecimento da educação emocional para a prevenção e resolução de conflitos escolares.
Ex-Situ conservation and multiplication of Podocarpus Wallichianus Presl. - A threatened conifer of Western Ghats
Authors: Antony Raju , Mohanan N.
Published: May 2022

The multiplication of Podocarpus wallichianus Presl., an IUCN listed threatened species and lone conifer of the Western Ghats was carried out through stem cuttings. The study reveals that this species can be multiplied through tender cuttings without hormone treatment. The ex-situ conservation programme was also initiated to save this species from the verge of extinction.
THE ROLE OF PROFESSIONAL ASSOCIATIONS IN THE SYSTEM OF CONTINUING PROFESSIONAL DEVELOPMENT OF PEDIATRICIANS AND FAMILY DOCTORS
Authors: Aryayev M. L. , Kaplina L. Ye. , Senkivska L. I. , Pavlova V. V. , Usenko D. V. , Streltsov M. S. , Heorhiev P. V.
Published: May 2022

The article is devoted to the role of the Odesa Association of Pediatricians and Neonatologists in the system of continuous professional development of pediatricians and family doctors. The history of the creation of the Odesa Association of Pediatricians and Neonatologists since 1849 and its current achievements are highlighted. The analysis of the formation of the system of continuous professional education in European countries is carried out. The system of continuous professional development of doctors in Ukraine is presented. Examples of formal training in the form of thematic improvement cycles, informal training in the form of seminars, trainings, including using simulation equipment, participation in scientific and practical conferences are shown. Methods and models of continuous professional development in the world and in Ukraine are described. Emphasis is placed on changing the methodology of postgraduate education aimed at mastering skills, mastering competencies in real professional activity instead of obtaining only theoretical knowledge. The role and responsibilities of providers in the continuous professional development of doctors are demonstrated. The active participation of the Odesa Association of Pediatricians and Neonatologists in the postgraduate professional development of pediatricians and family doctors, both in the Odesa region and throughout the country is shown. An opinion was expressed about the involvement of professional associations as providers in the system of continuous professional development of doctors in Ukraine.
Key words: continuing professional development, medical professional associations, pediatricians, family doctors.
THE PLACE OF LIFTING LAPAROSCOPIC INTERVENTIONS IN THE SURGICAL TREATMENT OF DESTRUCTIVE FORMS OF ACUTE CHOLECYSTITIS COMPLICATED WITH PERITONITIS
Authors: Zaporozhchenko B. S. , Borodayev I. Ye. , Kravets K. V. , Kholodov I. G. , Zaporozhchenko M. B.
Published: May 2022

Introduction. The incidence of acute cholecystitis in Ukraine, as well as worldwide, has increased in recent years and averages 6.27 per 10 thousand population. The use of laparoscopy for diagnostic purposes in patients of older age groups restrains many surgeons around the world due to the large number of negative effects of intense carboxyperitoneum. In the presence of contraindications to laparolifting cholecystectomy, ie contraindications to laparoscopic cholecystectomy, in previous works of the department it was proposed to use a new development of the department for patients with acute cholecystitis in patients of older age groups — LLСE.
Objective: to improve the results of comprehensive treatment of patients suffering from destructive forms of acute cholecystitis complicated by peritonitis through the use of modern surgical minimally invasive methods.
Methods: general clinical, clinical and laboratory, biochemical, instrumental, pathomorphological, statistical.
Results: the use of lifting techniques of laparoscopic cholecystectomy allowed to eliminate the negative impact of intense carboxyperitoneum on patients, to avoid critical changes in hemodynamics during surgery, to exclude the development of postoperative shoulder-scapular pain, expanding the indications for endoscopic surgery.
Conclusions: in destructive cholecystitis complicated by local peritonitis, the application of the developed method of lifting laparoscopic cholecystectomy revealed a significant reduction in intra- and postoperative complications compared with the group of laparoscopic cholecystectomies 5.1% and 1.7%, respectively, in the cavity.
Key words: acute destructive cholecystitis, complicated with peritonitis, laparolifting cholecystectomy.
HYPERPROLACTINEMIC HIPOGONADISM: PREDICTION OF EFFECTIVENESS TREATMENT AND MANAGEMENT
Authors: Yermolenko T. О. , Rozhkovska N. М. , Andriyivskyy О. G.
Published: May 2022

Hyperprolactinemia syndrome (HPRL) is one of the most common neuroendocrine diseases, leading to the development of hypogonadism in young women. The aim of the study was to study the effectiveness of treatment of menstrual and reproductive disorders caused by hyperprolactinemia, depending on the nature of the relationship of gonadotropic hormones.
Materials and methods. 98 women of reproductive age were monitored, of which 78 — with functional HPRL and 20 healthy women. Clinical-anamnestic, enzyme-linked immunosorbent, instrumental (perimetry, computed tomography), functional, statistical research methods were used. The effectiveness of therapy for menstrual and reproductive disorders caused by HPRL, depending on the nature of the relationship of gonadotropic hormones (GH).
Results. In patients of reproductive age with HPRL there are four types of GH secretion: the first — LH and FSH levels are reduced; the second — the level of LH is increased and FSH is reduced; third — the level of LH is reduced and FSH is increased; the fourth type — LH and FSH levels are both elevated. As a result of the treatment, ovarian function was restored in the first type of GH secretion in 83.6% of patients, in the second type — in 66.7% of patients, in the third — in 37.5%. In the group of women with HPRL and high levels of GH normalization of the menstrual cycle and restoration of reproductive function did not occur.
Conclusions. Detection of four types of GH secretion in HPRL indicates the presence of different pathogenetic features of this pathology, which must be taken into account when prescribing personalized therapy to restore ovarian function and fertility, timely use of assisted reproductive technologies.
Key words: hyperprolactinemia, hypogonadism, pathogenetic features, prognosis, therapy.
MEASUREMENT OF FORCE DURING LAPAROSCOPIC CRURORAPHY TO DEFINE INDICATION TO MESH IMPLANTS
Authors: Grubnik V. V. , Grubnik V. V. , Parfentiev R. S.
Published: May 2022

The aim of the study was to study the indications for the use of mesh implants in patients with large hiatal hernias, depending on the tension of the crura.
Materials and methods. Using a Walcom Fm-204-50k digital force gauge, we measured the force of crural tension during laparoscopic cruroraphy in 115 patients who met the inclusion criteria for participation in the study. All patients underwent intraoperative measurement of the tension force of the crura during the crura repair. All patients, whose tensile strength during measurement was > 4 N (n=69), were randomly divided into two groups. The first group included 30 patients who underwent hiatal hernia repair using a collagen-coated Parietex mesh implant. The second group included 39 patients who underwent simple suturing of the crura (cruroraphy).
Results. The main and control groups did not differ significantly in terms of age, gender, quality indicator and the area of hiatal surface (p>0.05). According to the results of measuring the tension of the sutures during cruroraphy, the average tensile force of the suture closest to the esophagus was 5.2 (from 4.0 to 8.2 N). When performing anterior cruroraphy, the tensile force of the seams averaged 3.5 N (from 2.4 to 4.7 N). Over an average follow-up period of 48 months, anatomical relapses were revealed in 1 patient of group I and in 6 patients of group II (p=0.004). Patient satisfaction was significantly higher in the mesh implant group (p=0.004). The mesh group showed a greater improvement in GERD-HRQL (p<0.0001) compared to the non-mesh group.
Conclusion. Laparoscopic repair of large hiatal hernias using a collagen-coated Parietex mesh implant in patients with a cruraraphy suture pull force > 4 N is safe and can prevent anatomical recurrence.
Key words: hernia of the esophageal orifice of the diaphragm, laparoscopic cruroraphy, measuring the tension of the seams of the cruroraphy.
CLINICAL SIGNS AND TREATMENT MANAGEMENT IN MALIGNANT PROCESSES OF THE SKIN OF THE EXTERNAL NOSE
Authors: Yevcheva A. F. , Pukhlik S. M.
Published: May 2022

Diagnosis and treatment of malignant neoplasms of the head and neck is an urgent modern problem of oncology, as there is a steady increasing of this pathology. At the same time are untimely diagnosis and frequent recurrences take place.
The purpose is to test the method of excision of the tumor of the skin of the external nose and assess its feasibility in radical surgical removal by using anemic Klein solution.
Material and methods of research: 64 patients were examined with skin neoplasms that received surgical treatment options using Klein’s anematize solution at the ENT department from 2015 to 2020 years. Patients ranged in age from 28 to 65 years, 15 women and 49 men. Patients are divided into two groups depending on the morphology of the tumor. The first group — 50 (78.2%) patients with malignant skin lesions. From this sample, 17 (34%) with basal cell carcinoma of the nasal skin and 33 (66%) with squamous cell carcinoma (G1) of the nasal skin. The second group consists of 14 (21.8%) patients with melanoma of the skin of the nose and torso. Metastasis in the deep jugular chain were diagnosed in 6 (16.7%) patients from the group of patients with melanoma.
Results of the study and discussion: observations of patients for 5 years showed a satisfactory quality of life of all patients with malignant skin tumors. No recurrence of nasal cancer in the first group was registered during the follow-up of patients. Among a group of patients with melanoma, 1 (7.1%) patient was diagnosed with recurrence in the visual organ and brain.
Conclusions:
1. Clinically, skin cancer was non-aggressive, had a relatively slow growth and 100% of patients had no recurrence of cancer after surgery for 5 years (p<0.05).
2. Melanoma of the skin was aggressive in a year — 1 (7.1%) patient was diagnosed recurrence in the visual organ and brain.
3. The use of Klein’s solution 5 minutes before the surgery under the base of the tumor provided a pronounced hemostasis due to vasospasm and contributed to the prevention of intraoperative recurrence in 63 (98.4%) patients (p<0.05).
Key words: malignant tumors, skin of the external nose, surgical treatment, recurrences.
BIOCHEMICAL AND CYTOLOGICAL CHANGES IN ORAL FLUID IN PATIENTS WITH LICHEN PLANUS
Authors: Skyba V. Ya. , Shnaider S. A. , Skyba O. V. , Кhromagina L. M. , Sedletska A. O.
Published: May 2022

Red lichen planus of the oral mucosa is one of the most common keratoses, and it’s frequency according to various authors is up to 35% of all diseases of the oral mucosa and 1.5% among dermatological diseases.
Nowadays, there is no hypothesis about the etiology and pathogenesis of red lichen planus. Many authors distinguish several theories of the disease: neurogenic, intoxication, infectious, immunological, hereditary, membrane-destructive and with various comorbidities.
A clinical and biological study of patients with red lichen planus in the first days of exacerbation were done. The research presents the results of biochemical and morphological examinations of oral fluid in the first days of the disease. It is shown that in the first days of exacerbation the activity of hydrolytic enzymes, increased migration of leukocytes into the oral cavity, and increased desquamation of the epithelium of the oral mucosa take place. The obtained results of the research testify in favor of the membrane-destructive theory of red lichen planus occurrence.
Key words: red lichen planus, oral fluid, enzymes, leukocytes, epithelial cells.
Evaluation of the effectiveness of a health literacy education program during the pandemic
Authors: KURT SEZER Hilal , YORULMAZ Deniz Sumeyye , KUCUKOGLU Sibel
Published: May 2022

Objectives: This study investigated the effectiveness of a health literacy education program on first and emergency aid students during
the pandemic.
Materials and Methods: This study adopted a single group pre-test-post-test quasi-experimental design. The study population
consisted of 135 students of the First and Emergency Aid Program of a private university in Konya, Turkey. No sampling was
performed because we could reach the entire study population. Therefore, the sample consisted of 114 students. Participants attended
a health literacy education program (intervention). Data were collected through face-to-face interviews using a personal information
form and the Health Literacy Scale (HLS). Number, percentage, and Mann-Whitney U test were used to analyze the data. The study
adhered to all ethical principles.
Results: Participants had a significantly higher mean post-test HLS score (117 ± 5.03) than the pre-test score (105 ± 11.50) (p
<0.05). Participants with a high income had a significantly higher mean post-test HLS score than those with a low income (p <0.05).
Participants covered by insurance had a significantly higher mean post-test HLS score than those who were not (p <0.05). Participants
who did regular exercise had a significantly higher mean post-test HLS score than those who did not (p <0.05). Participants who knew
about health literacy before the intervention had a significantly higher mean post-test HLS score than those who did not (p <0.05).
Conclusion: The education program helped participants learn more about health literacy. Therefore, universities should integrate it
into their curricula.
Effect of deep and superficial endotracheal suctioning on hemodynamic parameters and pain in neurosurgical intensive care patients
Authors: KOSTEKLI Sibel , CELIK Sevim , KESKIN Emrah
Published: May 2022

Objective: This study aimed to determine the effects of deep and superficial endotracheal suctioning on hemodynamic parameters
and pain level in mechanically ventilated neurosurgical patients.
Patients and Methods: This prospective, randomized, controlled experimental study was conducted on 37 patients who underwent
deep endotracheal suctioning and 37 patients who underwent superficial endotracheal suctioning using open endotracheal suctioning
system. The arterial blood pressure, heart rate, body temperature, respiratory rate, oxygen saturation levels and pain status of the
patient were compared before and after endotracheal suctioning at 1 min, 5 min and 30 min.
Results: There was no statistically significant difference between the effects of deep and superficial endotracheal suctioning methods
(p> 0.05). However, there was less change in systolic and diastolic arterial blood pressure and heart rates in patients who underwent
superficial endotracheal suctioning before and 30 min after endotracheal suctioning (p> 0.05).
Conclusion: Superficial endotracheal suctioning caused fewer changes in hemodynamic parameters and pain levels of patients
compared to deep endotracheal suctioning. For this reason, nurses should first prefer the superficial endotracheal suctioning method
during the suctioning practices of neurosurgery patients.
Pengaruh Kompensasi terhadap Kinerja Karyawan pada Pekerja Penanganan Prasarana dan Sarana Umum (PPSU) Kebayoran Lama Jakarta Selatan
Authors: Suroto Suroto
Published: May 2022

Masalah pokok dalam penelitian ini adalah apakah kompensasi berpengaruh terhadap kinerja karyawan pada Penanganan Prasarana Dan Sarana Umum (PPSU) Kebayoran Lama Jakarta Selatan, tujuan penelitian ini adalah Untuk mengetahui pengaruh kompensasi terhadap kinerja karyawan pada Penanganan Prasarana Dan Sarana Umum (PPSU) Kebayoran Lama Jakarta Selatan. Untuk mengaplikasikan tujuan tersebut maka digunakan metode deskriptif, metode statistik deskriptif dengan bantuan sistem komputerisasi (Program Komputer SPSS versi 25) dengan menggunakan rumus yaitu analisis regresi berganda, uji t. Berdasarkan hasil analisis mengenai pengaruh antara kompensasi dengan kinerja karyawan khususnya pada Penanganan Prasarana Dan Sarana Umum (PPSU) Kebayoran Lama Jakarta Selatan, ternyata diketahui ada pengaruh yang positif dan signifikan antara kompensasi terhadap kinerja karyawan. Dengan demikian hipotesis terbukti.
Pengaruh Disiplin Kerja terhadap Kinerja Karyawan dengan Kepuasan Kerja dan Motivasi Kerja Sebagai Variabel Intervenng pada PT. Rakha Gustiawan
Authors: Susanti Fahmi , Aesah Siti
Published: May 2022

Tujuan dalam penelitian ini adalah untuk mengetahui dan menganalisis Pengaruh Disiplin Kerja terhadap Kinerja Karyawan dengan Kepuasan Kerja dan Motivasi Kerja sebagai variabel intervening. Populasi yang digunakan dalam penelitian ini adalah seluruh karyawan PT. Rakha. Sampel yang digunakan sebagai objek dalam penelitian ini 53 karyawan. Hasil penelitian menunjukkan bahwa variabel disiplin kerja berpengaruh positif dan signifikan terhadap kinerja karyawan. Variabel disiplin kerja berpengaruh positif dan tidak signifikan terhadap kepuasan kerja. Variabel kepuasan kerja berpengaruh positif dan signifikan terhadap motivasi kerja. Variabel motivasi kerja berpengaruh positif dan signifikan terhadap kinerja karyawan. Variabel kepuasan kerja berpengaruh positif dan tidak signifikan terhadap kinerja karyawan. Variabel kepuasan kerja tidak dapat memediasi antara variabel disiplin kerja terhadap kinerja karyawan. Variabel motivasi kerja dapat memediasi antara variabel kepuasan kerja terhadap kinerja karyawan
Climate change adaptation strategies through traditional farming practices. The case of Matengo pits in Mbinga District, Tanzania
Authors: Malekela Asnath Alberto , Lusiru Sifuni Nikombolwe
Published: May 2022

In most of the developing countries, agricultural activities have been practiced under traditional approaches. Majority of the farmers use indigenous knowledge in their farming activities for varying reasons. This study focused on Matengo pits as a traditional climate change adaptation strategy. The main objectives of this paper is to (1) identify the existing traditional agricultural practices, (2) ascertain the trend of climate change (1980- 2021) and (3) evaluate the usefulness of Matengo pits in adapting to climate change. To achieve the research objectives, mixed research approach under descriptive design was used. A total of 133 heads of households were involved in this study. Primary data were collected through questionnaires, structured interviews, focus group discussions and direct observation. Secondary data were collected from published and unpublished documents. The study further used climate data from Tanzania Meteorological Agency on temperature and rainfall variations for the past 41 years (1980-2021). The Statistical Package for Social Sciences (SPSS) version 20 was used to analyze the quantitative data. Simple linear trend analysis was used to establish and test for rainfall and temperature trends. Findings from this study revealed that Matengo pits were among the traditional farming techniques employed in Mbinga district. It was realised that, the area experiences variation in temperatures and rainfall. Results for both minimum and maximum temperature indicate significant increasing trends (P= 0.0032, R2=0.0016; P=0.0101, R2=0.0575). Inversely, archival data from TMA show the decreasing trends of rainfall (P= 0.-04206, R2=0.0007). The findings revealed that the use of Matengo pits contribute positively towards moisture retention, seed germination and amount of yields. The study recommends for adoption of Matengo pits technique in other areas for a sustainable crop production in this era of climate change and variability.
Heartbeat Rate Monitoring System by Pulse Technique
Authors: Singh Swapna , Pratap Bhanu , Gautam Surabhi , Gupta Naimishi , Gupta Saloni
Published: May 2022

Weather It’s a non-contact method to measure someone’s heart rate, as we will calculate it using simple webcam or even phone’s camera. It will ease to care about your health as we are heading towards an age where everyone is concerned about their health and elevated or abnormal heart rate that can be fatal or serious at least so having a machine that measure your heartbeat is rather expensive and our goal is to use our current resources to measure one’s heartrate without additional cost.
Znaczenie nagości i odzienia. Zarys problematyki
Authors: Cséby Géza
Published: May 2022

The subject of the following article is the importance of nudity and clothing in the context of Hungarian culture. The issue itself can be referred to in two aspects – the sacred and the profane. Both of these points of view are tied with each other. Nudity is an eternal symbol of man, as well as everything related to him: birth, childhood, sexuality, intimacy, courage, shame, truth and love. Nudity has been with present since man first appeared in the world. However, its meaning has changed a lot.
Šat, odev a jeho význam v starosemitskom prostredí
Authors: Slivka Daniel
Published: May 2022

Clothing and dress, the style of clothing has its special significance since the very beginning of humanity. In the Old-Semitic environment he reflected the external and also internal personality of man. In many cultures, it was even believed that wearing a special dress could change a person. This tendency can be seen in wearing animal skins of massive animals such as a bear and a lion, when such a skin on the body strengthened its inner “myself” because he thought the animal skin on the body was gaining the power of slaughtered animals. Likewise, the change of dress had an impact on the change of self-understanding. The clothing served as a proof of origin of its proprietor and its social status. Different types of dress have been created, divided for all stratums of the population. Thus, clothing became a symbol of civilized man.
Skąpość odzienia w polskiej heraldyce miejskiej
Authors: Marecki Józef
Published: May 2022

The coats of arms of cities are a unique sign which distinguishes them from others municipals. There are composed used strict heraldic rules. The municipal coat of arms is a signum publicum – a public sign so should be noble and dignified. Many coats of arms of Polish cities are comprised of human beings depicted without any clothes or scantily dressed. The author discussed the reason of used the image of the nude human body in a coat of arms. The variety of symbolism and inspiration of depiction comes from the willingness of presenting holy patrons of the city, founding myths or heraldic mottoes. The article presents a polish municipal coat of arms which at escutcheon are humans without any clothes or with lack clothing and analysed symbolism of depiction searching inspiration of them in the Bible, hagiography, traditions and myths and regional legends.
Duchovný odev v Ježišových podobenstvách a v listoch apoštola Pavla
Authors: Tirpák Peter , Saraka Damián
Published: May 2022

Christ often adverted to the need of human´s improvement during his public performance. He explained it in many ways so that his word was understood and accepted. One of the means of such proclamation was also the parables. He describes the pictures and details in them, what is used in Apostle Paul´s letters. Military clothing of Roman soldier became the creative image of spiritual clothing of every Christian for Paul. The fight, to which is called every baptized person, is not physical but spiritual. Therefore, God´s armament and equipment is the essential element in gaining the victorious mentality, through which every member of the Church should overcome the obstacles, temptations and traps of the world.
Tkaniny liturgiczne w greckokatolickiej kolekcji dzieł sztuki sakralnej w Nyíregyházie oraz w kolekcji Zakonu Świętego Bazylego Wielkiego w Mariapócs
Authors: Puskás Bernadett
Published: May 2022

One of the more interesting collections are those in Nyíregyháza and in Mariapócs. There is a set of vestments and liturgical paraments used in Eastern Catholic church in Hungary. These relics are not only of great historical importance, but also have a compelling iconographic message.