bluuebunny/crossref_metadata_2025 huggingface dataset:
Pelatihan Strategi Bersaing Sumber Daya Manusia Di Era 5.0 Pada Masyarakat Desa
Authors: Prasetyo Bayu Dwi , Pranata Erisza Pandu , Meydina Isa , Jannah Sya'diatul , Fauzi Zainun Nur , Sunarsi Denok
Published: October 2021

Pelatihan strategi bersaing Sumber Daya Manusia di era 5.0 pada masyarakat desa diharapkan masyarakat desa Cidokom dapat memiliki kompetensi lainnya yaitu mampu berpikir kritis, bernalar, kretatif, berkomunikasi, kolaborasi serta memiliki kemampuan problem solving atas perkembangan industri di Era 5.0. Tujuan dari pelatihan strategi bersaing Sumber Daya Manusia di era 5.0 diharapkan dapat menghasilkan Sumber Daya Manusia unggul dengan beradaptasi di era society 5.0.Kata Kunci: Pelatihan, SDM, Society 5.0Competitive strategy training for Human Resources in the 5.0 era in rural communities is expected to have other competencies in Cikodom village, namely being able to think critically, reason, be creative, communicate, collaborate and have problem solving skills for industrial development in Era 5.0. The purpose of training on competitive strategies for Human Resources in the 5.0 era is expected to produce superior Human Resources by adapting in the era of society 5.0.Keywords: Training, Human Resources, Society 5.0
Diagnosis, Treatment, and Prognosis of Syphilis in HIV Patient
Authors: Devi Mutia , Izazi Hari Purwoko  , Suroso Adi Nugroho  , Inda Astri Aryani  , Susanti Budiamal  , Putri Laksmi Karim
Published: October 2021

Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum (T. Palladium). Human Immunodeficiency Virus (HIV) is a virus that attacks the body's immune system, decreased the number of CD4 cells that makes the immune system decrease, and facilitates syphilis infection. Syphilis increased the risk of spreading HIV infection with skin barrier destruction. The diagnosis of syphilis is made based on a complete history, including sexual history, clinical manifestations, and examination. The treatment of syphilis with HIV and without HIV similar, penicillin is still the gold standard for syphilis treatment with HIV. Prevention of syphilis with HIV are educated, screening for syphilis and other sexually transmitted infections, as well as early detection and therapy of partners. The prognosis for syphilis in HIV is worse than for syphilis without HIV.
A STUDY ON CORRELATION OF SERUM PROSTATE SPECIFIC ANTIGEN WITH CLINICAL AND PATHOLOGICAL VARIABLES IN PATIENTS OF PROSTATOMEGALY
Authors: Patidar Sanjay , Kamal Kritika , Kathota Jaydip Sinh , Tiwari Sudhanshu , Nakrani Prashant
Published: October 2021

Background: In clinical practice, biopsies are generally performed only when the results ofprostate specific antigen (PSA) test or digital rectal examination (DRE) are abnormal. This leads to misdiagnosis of most small prostatic cancers present in many older men. Patients with lower urinary tract infection (LUTS) who have serum PSA levels higher than 4ng/ml are primarily advised to undergo prostate biopsy to rule out cancer. However, PSA is organ specific not disease specific, so the presence of other prostate diseases such as benign prostatic hyperplasia (BPH) and prostatitis may influence its effectiveness for cancer detection. Hence, the PSA based prostate cancer detection is fraught with high false positive rate.

Aim:To evaluate the utility of PSA assay as a method of investigation in diagnosis of prostatic lesion.

Objectives: The use of Serum PSA levels for the early detection of prostate cancer and evaluate its role with other modalities for diagnosis of prostate cancer and to diagnose different diseases of prostate, i.e. prostatitis, BPH in prostatomegaly, and its correlation with Serum PSA levels.

Materials and Methods: This prospective descriptive study was conducted in Index Medical College, Hospital & Research Centre, Indore, M.P,India in the period of August 2019 to July 2021. The patients were selected from the outdoor Department of General Surgery.

Results: A total of 80 male patients presenting with LUTS were included. Their mean age was 68.66 years. The majority i.e. 41 of the study group were in the age group of 61-70 years. 42 of patients had Serum PSA < 4ng/ml. Biopsy proven adenocarcinoma cases 34% of the cases are in the age group of 61-70 years. Out of the biopsy proven adenocarcinoma cases, DRE was suspicious of malignancy in 89%.

Conclusion: Serum PSA levels have a significant correlation with the age group, with the increase in age there is rise in Serum PSA levels. Transabdominal ultrasound, DRE and Serum PSA has high sensitivity in diagnosis of prostatomegaly but it was found that none of the screening tool has got much efficacy in differentiating carcinoma prostate from benign hypertrophy, but the combination of DRE and Serum total PSA or DRE, Serum total PSA and ultrasound abdomen showed higher efficacy in diagnosis of carcinoma prostate. Increase in Serum PSA is directly related to carcinoma, but there is no absolute cut-off for Serum PSAfor diagnosis of carcinoma.

Key-Words: Prostate specific antigen, Prostatomegaly, Benign Prostatic Hypertrophy, Digital Rectal Examination, International Prostate Severity Score, Carcinoma Prostate.
STYLE AND LANGUAGE IN WRITING LAWS. THE SITUATION OF THE ROMANIAN CIVIL CODE
Authors: Duminică Ramona
Published: October 2021

The debates on the drafting of laws in general and codes in particular are not recent but are an eternal topic of political and legal science, which is returning with increasing force. The same topic, but each time approached for different reasons and in different contexts, which gives it a permanent topicality. The current scientific approach addresses the traditional issue of rules regarding the style and language of drafting a normative act. The analysis does not claim an exhaustive study in the field, but represents a call for reflection, the purpose being mainly to analyze, 10 years after the entry into force of the new Romanian Civil Code, to what extent it manages to meet accessibility requirements and intelligibility. In order to be able to truly know an institution or a legal phenomenon, in order to be able to identify its vices and qualities, it is necessary to first clarify the concept itself and establish its foundations. Therefore, the first part of the study is devoted to the theoretical aspects related to legislation, codification and presentation of the rules on the style and language of normative acts. The second part of the study focuses on highlighting, by way of example, some legal norms in the current Civil Code whose intelligibility is questioned.
Acciones de enfermería en atención primaria ante los riesgos de hipertensión durante el embarazo
Authors: Adrião Iracely Santos , Barbosa Marluce Sampaio Nobre
Published: October 2021

La preeclampsia se presenta como uno de los síndromes hipertensivos que pueden afectar a las mujeres durante el embarazo, durante el parto y/o en el postparto hasta los 10 días, por lo que sigue siendo una patología que, al no diagnosticarse y tratarse adecuadamente, puede causar un gran daño e incluso provocar la muerte de la mujer embarazada y/o parturienta. El objetivo principal de este estudio es conocer la prevención de la preeclampsia en atención primaria por parte de la enfermería. Por lo tanto, la siguiente pregunta es: ¿cuáles son las acciones de enfermería en Atención Primaria frente a los riesgos de hipertensión durante el embarazo? El presente trabajo se basa en una investigación bibliográfica, con un enfoque cualitativo realizado a través del método de revisión integradora. Para recoger los datos, se realizó una investigación en las bases de datos: Google Scholar, Pubmed, Scielo y Medline. Los descriptores utilizados fueron: Riesgos. Gestación. Hipertensión. Enfermería. Los criterios de inclusión utilizados para la selección de muestras fueron: artículos disponibles publicados electrónicamente de 2015 a 2020; idioma portugués. Los criterios de exclusión fueron artículos inferiores a 2015 y palabras clave que no están relacionadas con el tema. Para el análisis completo de los artículos seleccionados, se utilizó una plataforma en línea (búsqueda en bases de datos), con el propósito de extraer (título y propósito de los artículos), organizar (en forma de tabla), resumir la información y facilitar la formación de la base de datos. Los resultados indicaron 35 artículos publicados, pero solo 15 artículos, en los últimos cinco años, tienen como tema principal la prevención y los riesgos de preeclampsia en atención primaria. Se concluye que las principales conductas utilizadas no solo por las enfermeras, sino por todo el equipo que trabaja en atención primaria, deben basarse en el proceso de acogida centrado en acciones que puedan ser determinantes en la prevención de la preeclampsia.
DIGITAL TECHNOLOGY AND EDUCATION
Authors: Lima Santos Willian , Lucas Vieira André Ricardo , De Vasconcelos Carlos Alberto
Published: October 2021

This study aimed to map the productions on technologies and education in scientific journals, from 2006 to 2019.The methodological path that composed the results found, from the most cited texts in Google Scholar of journals Tempos e Espaços em Educação, Espaço Pedagógico e Tear: Revista de Educação, Ciência e Tecnologia,was guided by the systematic review, which is a type of research that follows specific standards and aims to give logic to a wide documentary corpus. In this sense, applied the exclusion / inclusion criteria it was found that the studies with greater notoriety are concentrated in the areas of teacher training and practice from the use of technologies, in addition to inclusion and digital culture. It was possible to notice a significant increase in production in the investigated journals, contributing to the improvement of professionals who intend to connect with digital culture, as well as the relevance of technologies and their varied possibilities of use in the educational field in a digital culture.
ОСОБЛИВОСТІ ОПОДАТКУВАННЯ СТРАХОВОГО БІЗНЕСУ НА СУЧАСНОМУ ЕТАПІ
Authors: Попович Дарія , Герило Адріана , Костів Максим
Published: October 2021

Досліджено сучасний стан страхового ринку в Україні в розрізі оподаткування діяльності страховиків. Надано характеристику та звернено увагу на проблемні питання діючої системи оподаткування страхового бізнесу, які спонукають його до приховування реальних прибутків з метою уникнення оподаткування. Здійснено огляд зарубіжного досвіду у сфері оподаткування страхових компаній, який показав, що в розвинених європейських державах прослідковується тенденція до лібералізації податкового законодавства, включаючи зниження ставок податку. Звернено увагу, що в Україні вже досить давно як в експертному середовищі, так і науковцями розглядаються підходи до вдосконалення оподаткування страхового бізнесу, серед яких чільне місце займає можливість введення нижчих податкових ставок для різних видів страхової діяльності, тобто запровадження диференційованого оподаткування.
МЕДИЧНА ТЕРМІНОЛОГІЯ ЯК ОБ’ЄКТ ЛІНГВІСТИЧНОГО ДОСЛІДЖЕННЯ
Authors: Левченко Віта , Перхач Роксолана-Юстина
Published: October 2021

Невід’ємною частиною нашого життя являється медицина. Лікарські засоби є іноді життєво важливою складовою нашого існування. На початку 1900 -х років тривалість життя становила лише п’ятдесят один рік; до 1960 року він різко збільшився до 75 років. Наразі середня тривалість життя становить 84 роки. Багато вчених вважають, що з огляду на передові технології, ліки та медичну допомогу, до 2050 р. тривалість життя може становити понад 100 років. Кількість людей похилого віку, які все ще живі і та здорові, зросла вражаючою кількістю, і вчені вважають, що вона продовжуватиме зростати. Медицина, лікарі та технології – дуже важлива причина того, чому люди живуть таким довгим, здоровим життям. Саме зважаючи на цей факт, аналіз лікарських засобів, їх групування та деталізація є необхідною. У даному дослідженні ми розглянули та висвітлили поняття «медичний термін» та провели повний аналіз поняття «медична термінологія». Дана стаття присвячена дослідженню, розгляду та аналізу медичної термінології, її закономірностей, історію розвитку а також ознаки медичного терміну. Для повноцінності та актуальності даного дослідження було проаналізовано інструкції медичних препаратів, їх назви, а також їх походження. Найголовнішим методом нашого дослідження став метод порівняння, оскільки порівнювалася досить велика кількість інструкцій медичних препаратів та згідно з результатами даного порівняння робилися висновки щодо медичної термінології як об’єкта лінгвістичного дослідження. Наступним важливим методом став саме метод групування, оскільки усі препарати та їх назви групувалися на різні категорії для детального та ретельнішого їх аналізу. Так, наприклад, ми групували терміни, які формувалися за допомогою префіксального та суфіксального способу формування. Медична лексика є укладеною на основі латині, і містить величезну кількість латинських запозичень. Словотворення та особливо медична термінологія латинського походження мають вирішальне значення для студентів-медиків. Коли ви працюєте у сфері охорони здоров’я, важливо знати мову медицини. Це важливо, щоб стати невід'ємною частиною команди, і необхідно виконувати свою посадову відповідальність. Вміння розмовляти та розуміти цю мову дозволяє швидко та ефективно виконувати свою роботу. Встановлено різні способи утворення медичних термінів, а також їх закономірності. Наприклад, префіксальний спосіб, суфіксальний, суфіксально-префіксальний, тощо.
АТЕЇЗМ В УКРАЇНСЬКІЙ РСР У ДРУГІЙ ПОЛОВИНІ 1960-Х – ПЕРШІЙ ПОЛОВИНІ 80-Х РОКАХ ХХ СТ.: ТЕОРІЯ, ПРОПАГАНДА, ПРОТИДІЯ (НА ПРИКЛАДІ ІВАНО-ФРАНКІВСЬКОЇ ОБЛАСТІ)
Authors: Пуйда Роман
Published: October 2021

Формування атеїстичного світогляду серед населення Української РСР – одне з основних завдань місцевих державно-партійних органів влади у другій половині 1970-х рр. Проаналізовано особливості атеїстичної пропаганди у республіці на прикладі Івано-Франківської області у період розвинутого соціалізму. Розглянуто методи боротьби партчиновників із релігійністю населення, виокремлено специфіку діяльності обласних, районних Комісій сприяння дотриманню законодавства про релігійні культи, показано ефективність роботи атеїстичний бригад. Відзначено, що з метою посилення атеїстичної роботи, протидії «залишкам уніатства» партчиновники використовували лекції, розмови, тематичні вечори, демонстрації документальних фільмів, а також місцеву комуністичну пресу та радіо. Зауважено, що широко проводилася так звана «індивідуальна робота» з активними віруючими, під час якої розтлумачувалися базові принципи атеїзму, наголошувалося на неприпустимості порушення законодавства про релігійні культи.
ГРАФІЧНІ ОРГАНІЗАТОРИ ЧИТАННЯ В КОНТЕКСТІ ВИМОГ НОВОЇ УКРАЇНСЬКОЇ ШКОЛИ
Authors: Сухопара Ірина , Сантарська Ірина
Published: October 2021

В сучасному освітньому процесі початкової школи стають важливими інструменти створення, передачі, відтворення, обробки інформації за допомогою графічних і візуальних образів. Графічні організатори читання розглядаються як способи представлення інформації для її узагальнення, систематизації, класифікації, аналізу художнього твору в графічному вигляді на папері або моніторі. В контексті вимог Нової української школи застосування графічних організаторів на уроках літературного читання в 3-4 класах сприяє: формуванню читацької компетентності; вмінь читати і розуміти прочитане, висловлювати думку, логічно обґрунтовувати позицію, застосовувати емоційний інтелект, співпрацювати в команді; врахуванню освітніх потреб школярів; створенню можливостей для організації роботи в центрах діяльності, зокрема осередку читання.
НЕСТАНДАРТНІ ФОРМИ РОЗВИТКУ КОМУНІКАТИВНОЇ КОМПЕТЕНТНОСТІ УЧНІВ ПОЧАТКОВИХ КЛАСІВ НУШ
Authors: Чос Світлана
Published: October 2021

У статті досліджено теоретичні та практичні аспекти формування комунікативної компетентності молодших школярів НУШ. Вказано на фактори, що зумовлюють комунікативну активність. Розглянуто формування даної компетентності через цікаві для молодших школярів інтерактивні форми навчально-пізнавальної діяльності. Досліджено ефективність використання новітніх форм діяльності у поєднанні їх з іншими в процесі формування комунікативної компетентності. Доведено, що такі форми роботи під час навчання впливають на покращення мотивації молодших здобувачів освіти, покращують комунікативні навички та психологічну атмосферу у класі. Зазначено, що спілкування учнів під час навчально-виховного процесу є важливою умовою формування таких психічних якостей, як мислення, мовлення, уява, увага.
An Uncommon Ammunition Case: Interpreting “Transitional” Textiles and Social Worlds in Nineteenth-Century Tlingit Alaska
Authors: Allen Laura
Published: October 2021

Overlooked objects in museum collections can reveal complex social relationships behind well-known textile forms. A tattered woven case for ammunition cartridges, collected in southern Alaska in the late nineteenth century, presents such an opportunity. Part of the vast Tlingit collection at the American Museum of Natural History, the ammunition bag has been little documented and displayed compared to other highly esteemed indigenous naaxein or Chilkat weavings of the region. The piece is unusual in that the maker combined two weaving styles—not only figural motifs characteristic of Chilkat weaving, but also geometric patterns reminiscent of its stylistic and technical precursor called Raven’s Tail, of which few historic pieces remain. In this paper, I analyze the bag’s design, manufacture, and use, and contextualize its attributes using comparative objects, ethnohistorical sources, and contemporary dialogues with weavers and others from the Northwest Coast. I suggest that this case’s specific patterns, construction, and symbolism attest to major transitions (as well as continuities) occurring within Tlingit communities during the nineteenth century, a period of intense colonial pressure. These transitions include gender shifts in textile design, an increase in militaristic symbolism in ceremonial potlatch regalia, and adaptations in the look and socioeconomic roles of dress, textiles, and basketry. I interpret this special case as a connective object, linking shifting modes of expression and social relations during a time of transformation for indigenous groups of the Northwest Coast.
The Lost Narrative of Natalia Shabelsky’s Collection of Russian Textiles
Authors: Lovings-Gomez Lauren
Published: October 2021

A culturally significant, vibrant group of textiles gathered in the nineteenth century by Natalia Leonidovna Shabelsky, praised by critics and celebrated worldwide, was nearly lost to history. Born in Taganrog, Russia, in 1841, Shabelsky moved after her marriage to a rural estate in the Lebedinsky region where she developed an interest in the indigenous textile practice of ethnic Russia. She collected and preserved examples of embroidery and lace, as towel ends and costume accessories, all filled with traditional motifs such as the Tree of Life, the Sirin, and the Mother Goddess in her various guises. At the end of the nineteenth century, Shabelsky exhibited her collection at numerous world’s fairs. After the 1900 Exposition Universelle in Paris, Shabelsky, her two daughters, and the collection remained in France. Shabelsky died in 1904; her daughters ensured that the collection was properly documented and published. Neither of Shabelsky’s daughters had children; they entrusted Count and Countess Basil Musin Pushkin to exhibit and sell the collection to museums in the United States. In the early 1930s, the Brooklyn Museum, the Cleveland Museum of Art, and the Museum of Fine Arts, Boston, all purchased Shabelsky textiles.

Within Cleveland’s collection, only Pushkin’s name was associated with the original accession records, omitting key provenance information. This unfortunate error led to the deaccession of a portion of this influential collection. My paper will address Shabelsky’s biography, the history of her collection, and its current status in museums and private collections. In keeping with the theme of this conference—Hidden Stories, Human Lives—I hope not only to unravel the narrative of this collection and its hidden story, but to emphasize the necessity of revealing and preserving the histories of women in the arts, in this case Natalia Leonidovna Shabelsky, champion and savior of Russian textiles.
Ways of Life and Works of Weaving and Dyeing in Okinawa: Toward a Possible Solution of Carry on Concern
Authors: Matsumoto Yuka
Published: October 2021

Okinawa, Japan’s southernmost insular prefecture, has a rich variety of weaving and dyeing traditions, but it is in the midst of issues including an aging local population and depopulating rural communities. Thus, one of the most vexing concerns is how to carry on the weaving and dyeing traditions. This study aims to find ways to ameliorate the condition in Okinawa by analyzing how the lives of Okinawa people relate to the traditional weaving and dyeing in the modern era and by understanding the current significance of them to people’s lives.

This study uses nineteen cases from all over Okinawa, and the analysis is made in terms of connections between the traditions and local ways of life, the people’s exploration of their local cultural history and assets, and the search for economic feasibility.

The connection between weaving and dyeing traditions and people’s lives is clear in the cases of Motobu, Miyako, Kohama, Kume and Yonaguni, in which local weavers and dyers are managing the balance of work and life well, and the work of weaving and dyeing is mingled into family life and community activities. The cases of Ohgimi, Okinawa City, Tarama, Uruma, Yomitan, Naha, Urasoe, and Tomigusuku show respectively that their people attempt to understand the local history and cultural features, so they express their sense of locality through weaving and dyeing in their own ways. The cases from Haebaru, Ishigaki, Taketomi, and Iriomote illustrate that seeking economic feasibility goes hand in hand with seeking the meaning of the weaving and dyeing activity and, thus, the activity becomes a source of people’s fun and IKIGAI (worthiness of living).
Unseen, unheard, unnamed: The matchless and unsung heroes of the textile art and craft of Rajasthan
Authors: Singh Simrita , Gupta Anu H.
Published: October 2021

Rajasthan is known for its exquisite handicrafts, especially the textiles. In spite of having the most vibrant and glorious traditions, this sector has been grossly unorganized due to the poor socio-economic status of the artisans. The educational background of the artisans also is not satisfactory; hence, they lack public relations skills. They are totally dependent on big traders and middlemen for marketing purposes. Moreover, in this era of labels and designers, the artisans, however skilled or endowed they may be, have to work under some renowned brand or name to have a regular livelihood. However, not all artisans are lucky to be in the right place at the right time. These artisans work according to the design directions given to them including the decision of fabric, the formation/placement of motifs, color palette, the overall design or look of the fabric or the garment in accordance with the latest trends, styling, and forecast. They lack experience with the latest technology, and its advancement, too, due to the lack of economic and financial stability. As a result, in spite of their hard work, they find themselves in a difficult position in the present competitive environment. These artisans, therefore, remain largely unheard and unseen. They work in the background, and most of the time the limelight is on the professional “designers.” The present paper discusses some popular and exquisite traditional handicraft and textile art of Rajasthan such as gotta patti, lehriya, block printing, blue pottery, etc.
India in Situ: Textile History and Practice, a Team Approach
Authors: Barrett Annin , Bier Carol , Jolly Anna , Mackie Louise , Pickett Barbara Setsu
Published: October 2021

Five textile specialists from various backgrounds came together to explore shared interests in Indian fabrics, histories, and architectural patterns. Guided by Rahul Jain’s extraordinary scholarship and generosity, we visited weaving workshops producing exquisite fabric and metallic yarn in our quest to understand the naqsha system for drawloom patterning. In Cholapur and Varanasi, we studied drawlooms set up to weave velvet, lampas, and samite, and a distinguished naqshaband demonstrated the making of a naqsha that provides the design for drawloom lifts. We examined rare historic textiles in New Delhi’s National Museum, Ahmedabad’s Calico Museum of Textiles, Varanasi’s Bharat Kala Bhavan Museum, and private collections. In Jaipur, we visited the Indian Institute of Crafts and Design, Nila House, Anokhi Farm, City Palace Museum, and Prince Albert Hall Museum, and in Ahmedabad, the National Institute of Design and the Kasturbhai Lalbhai Indigo Museum. At Patola House in Patan, we observed the preparation and weaving of double ikat. Our diverse perspectives resulted in a most enjoyable interdisciplinary traveling seminar. Come with us as we share our adventure in collaborative textile research.

Themes of inquiry:• Understanding the naqsha harness for the Indian drawloom • Examining relations between textiles and architecture • Using symmetry analysis to recognize pattern repeats • Considering fashion in India, an evolving tradition • Learning about the revival of natural indigo in India • Observing craft traditions preserved through development and sustainability

Our team: • Annin Barrett—textile artist and designer; instructor, fashion history and sustainable design • Carol Bier—curator, The Textile Museum (1984-2001); research associate (2001-2020); research scholar, Center for Islamic Studies, Graduate Theological Union • Anna Jolly—curator of textiles 1500-1800, Abegg-Stiftung, Riggisberg, Switzerland • Louise Mackie—curator emerita, Textiles & Islamic Art, the Cleveland Museum of Art, Royal Ontario Museum, and The Textile Museum • Barbara Setsu Pickett—associate professor emerita, Department of Art, University of Oregon
The Role of International Cooperation in the Process of Reforming the Higher Education System of Ukraine
Authors:   Academician Yuriy Bugay International Scientific and Technical University, Karpenko O. O. , Gorban A. V. ,   State University of Infrastructure and Technologies, Kovbatyuk M. V. ,   State University of Infrastructure and Technologies, Shevchuk V. O. ,   State University of Infrastructure and Technologies, Kovbatiuk G. O. ,   State University of Infrastructure and Technologies
Published: October 2021

The main purpose of this research work is to substantiate the need for international cooperation of Ukrainian higher education institutions as an important factor in reforming and modernizing the national education system, its successful integration into the global educational space and increasing competitiveness in the market of educational services. The basic method in the study is system approach. Methods of scientific abstraction, analysis and synthesis are used to form a theoretical synthesis and conclusions, graphic-analytical method is used for a clear illustration of the economic phenomena and processes under study. Internationalization of higher education is one of the main directions of the new conception of higher education reform in Ukraine. New demands and needs in the market of educational services, growing competition between higher education institutions, implementation of innovations in the educational process require changes in approaches to reform in the field of higher education in order to improve quality. International cooperation in the State University of Infrastructure and Technologies is considered as a process of formation and development of equal and mutually beneficial partnerships between educational institutions of different countries. International cooperation will give the State University of Infrastructure and Technologies the opportunity to participate in international projects in an equal and full manner, increase the number of foreign students, invite foreign lecturers to become a fully recognized university in the world, which provides high quality education.
The Evolution of Theoretical Thought on the Interpretation of Marketing Strategies of Enterprises
Authors:   Institute of International Relations of Taras Shevchenko National University of Kyiv, Ponomarenko T. V.
Published: October 2021

The article defines the concept of «strategy» as: plan, competitive actions, behavior model, market position, conception and perspective. The strategy is a comprehensive, unified and integrated plan, a set of actions and measures to solve a specific problem situation, achieving targeted goals that are developed in advance for a certain period of time. Current trends in the implementation of strategies include ensuring the quality of products, focusing on individual groups of consumers and improving products and services. The strategies of leadership, cost minimization and differentiation are typically focused on gaining a competitive advantage within a wide range of industry sector segments, while the focusing strategy involves gaining cost advantages or differentiation in narrow segments of the industry sector. Modern trends in the implementation of strategies of leadership, cost minimization and differentiation focus are identified on the example of enterprises of the EU countries. Three of the most popular company strategies are: 1) high quality focus – 52.3% of the EU companies use this strategy; 2) focus on satisfying established groups of consumers – 50.3%, which reflects the world-view or ways of thinking of entrepreneurs in these markets and confirms the theoretical idea that the strategy is a conception that has a manifestation in the world-view of stakeholders and business owners; 3) focus on improving the existing products and services, which are used by an average of 41.5% of companies. In addition, 37.7% of the EU firms use the focus on appealing to new consumer groups, and 36.7% of organizations use a specific solution for a client. It is proved that most companies in the EU use two or more strategies that are built on innovation activities (products, services, business processes) at the same time.
Digital Economy: The Essence, Features, and Global Tendencies of Development
Authors:   National University of Water and Environmental Engineering, Khanin I. H. , Bilozubenko V. S. ,   University of Customs and Finance, Sopin Y. O. ,   National University of Water and Environmental Engineering
Published: October 2021

The new type of economic management, which begins to be built nowadays and is based on the widespread use of information and communication technologies (ICT), has been named the «digital economy». The use of ICT and digital systems carries great advantages, comprehensively changes the national economies. The transition to digital economy is objective and irrevocable, so one needs to clearly understand this new essence, its features and development tendencies. The publication is aimed at outlining a modern understanding of the essence, determining the features, characteristics and peculiarities of digital economy, as well as defining tendencies in its development in the context of globalization of the world economy. The article explains the importance of ICT in economics, the creation of digital systems, the Internet of people and things, cyberphysical systems, various equipment and devices. The main results of widespread use of ICT, especially the development of the Internet, are formulated. Explanations of digitalization and digital transformation are provided. In general, the consequences of the use of ICT at the intra-organization, meso-economic and macro-economic levels are specified. The essence features of digital economy and the general bases of its emergence with an emphasis on the role of the Internet are distinguished. In this context, a number of characteristics of digital economy are defined. Four major approaches to determining the essence of digital economy (political-economic, technological, resource-factor, entrepreneurial) are substantiated. To disclose the structure of digital economy, its main types are distinguished, including the auxiliary ones (designing the websites, Internet marketing, analytics, etc.). The importance of payment transactions is emphasized. The use of ICT to ensure the activities of industrial enterprises and the creation of «smart» things, cities, infrastructure, etc. are taken into account. It is proposed to consider digital economy as a modernization and a new paradigm for the development of socio-economic systems. In this context, structural, organizational, managerial, institutional-legal, social, spatial features of such an economy are distinguished. The need to study the global aspects of the development of digital economy is emphasized, within terms of which the relevant tendencies are determined, taking into account the development of e-business, industries and market segments, the transformation of digital economy into a source of economic growth and development.
Students’ Views from Webinars: A Qualitative Study
Authors: Pedroso John Erwin Prado
Published: October 2021

This research study aimed to describe the lessons which students learned from joining webinars. This utilized qualitative- narrative analysis methodology and involved six informants through purposive sampling based on inclusion criteria. In-depth interviews and focus group discussions using semi-structured interviews and written reflection based on Gibb's reflective model were employed to gather data. The data were transcribed, analyzed, compared, and rigidly categorized into different themes to provide a backbone of the narratives. Lessons that students learned from joining webinars were 1. Simple, yet deep descriptions, 2. Humble, yet genuine feelings, 3. Objective, yet, heartfelt evaluation, 4. Patchy, yet holistic analysis, 5. Innovative, yet personal conclusions, and, 6. Firm, yet purposeful actions. The findings of this study have significant implications on social studies teachers, curriculum planners, and school policymakers in considering the importance of webinars in teaching and learning in the new normal.
Perception of Climatic Change and Farmers’ Decision to Adapt in the Sudano-sahelian Zone in Cameroon
Authors: Koguia William Nemkenang , Nonga Fidoline Ngo , Madi Ali , Leblois Antoine , Laure Mabah Tene Gwladys
Published: October 2021

The objective of this study is to analyze the influence of farmers' perceptions on the decision to adapt to climate change in the Sudano-Sahelian zone of Cameroon. Based on a random draw from 721 farm households. This research shows that 98.6% of respondents in the study area reported having observed significant changes in climatic conditions. In addition, 89% of farmers have adopted at least one strategy to deal with these changes. Heckman's model shows that pessimistic perception about future climate precedes farmers' decision to adapt to climate change. The results also show that gender, membership of a farmer organization, religious beliefs, age, and sources of information are the main determinants of producers' perception and decision to adapt to climate change.
Medicina de evidencia : ¿alternativa o complemento al método clínico?
Authors: Álvaro Olivera Díaz
Published: October 2021

El método clínico ha sido un poderoso instrumento al servicio del arte médico, utilizado como herramienta de valoración inescrutable que se desarrolla y evoluciona en virtud de los conocimientos aportados por las ciencias tributarias de la medicina. Sus orígenes se remontan a la antigüedad. El siglo XIX resulta fortalecido por los aportes experimentales de Claude Bernard; articulado al otrora mensaje de técnica médica basado en las etapas del examen clínico: anamnesis, inspección, auscultación, palpación del enfermo, e hipótesis clínica fundada en un razonamiento que la confirma o la descarta. Para ello se acude modernamente a lo que la investigación estima como la mejor ayuda diagnóstica o terapéutica disponible. En esencia, la tradición médica indica que el método racionalmente aplicado ha funcionado en la búsqueda y comprensión de la realidad clínica. Los acumulados históricos y la honra de quienes gravaron sus nombres con el sello de sus descubrimientos clínicos, así como sus seguidores que impulsan y exaltan las bondades del método; en modo alguno han de reñir en tiempo presente con el influjo de una época de transformaciones caracterizada por el dominio y poder de las innovaciones en materia científica y tecnológica en el campo de la biomedicina, por cuanto lo complementa y cualifica.
Cambios en los patrones dietéticos y tendencias de incidencia de cáncer colorrectal en seis países americanos durante 1975-2002.
Authors: Béjar Prado Luis María , Infantes Martínez Beatriz
Published: October 2021

Objetivos: este estudio analiza la incidencia de cáncer colorrectal en seis países americanos en las últimas décadas y su relación con cambios en los hábitos dietéticos. Métodos: las tasas de incidencia ajustadas, según sexos, se obtuvieron por país de Internacional Agency for Research on Cáncer, 1975-2002. Los consumos anuales per capita de distintas variables dietéticas se obtuvieron de Food and Agriculture Organization of United Nations, 1965-2007. Se calcularon los coeficientes de correlación de Pearson para las tasas de incidencia según sexo y las distintas variables de la dieta con retardo de diez años. Resultados: se observan dos situaciones distintas en relación al cáncer colorrectal. Por un lado, países con tasas de incidencia relativamente pequeñas pero con tendencias lineales de las mismas crecientes en ambos sexos: Brasil, Colombia, Costa Rica y Ecuador. Por otro lado, países con tasas de incidencia relativamente elevadas pero con tendencias lineales de las mismas decrecientes, en Canadá (sólo en mujeres) y, en ambos sexos, en USA. Conclusión: para que la situación de Canadá y USA no se repita en el resto de países, revirtiendo las tendencias de incidencia del cáncer colorrectal, en ambos sexos, sin esperar a alcanzar valores tan elevados, es necesaria la aplicación de medidas de Promoción de la Salud que promuevan hábitos dietéticos saludables en Brasil, Colombia, Costa Rica y Ecuador de forma urgente, considerando el desfase temporal necesario de diez-quince años para que los cambios en la exposición a factores de riesgo y protección modifiquen la incidencia del tumor. Rev.cienc.biomed.2011; 2 (1): 27-36
Sindrome poliglandular autoinmune tipo II en el Hospital Universitario del Caribe, Cartagena, Colombia.
Authors: Fortich Revollo Álvaro José , Mora García Gustavo , Fortich Salvador Adriana , Fortich Salvador Adriana , Malambo García Dacia , Ramos Clason Enrique Carlos , Franco García Samir
Published: October 2021

El Síndrome Poliglandular Autoinmune es una poliendocrinopatía caracterizada por falla de algunas glándulas endocrinas, así como también en órganos no endocrinos, originada por acciones del sistema inmune sobre tejidos endocrinos. Se han descrito dos grandes grupos y al menos dos o tres variantes de ellos. El Síndrome Poliglandular Autoinmune tipo II es la más común de las inmunoendocrinopatias. Se caracteriza por la presencia de la enfermedad de Addison en combinación con enfermedad tiroidea autoinmune y/o diabetes mellitus tipo I. Se realizo una revisión del tema con bases inmunogenéticas y etiopatológicas. Se presenta una serie de casos. La incidencia acumulada es de 1.2/100.000 habitante. El hallazgo más frecuente fue enfermedad de Addison más Tiroiditis autoinmune, (80 %) y la segunda asociación más frecuente fue tiroiditis con anemia perniciosa (60 %). Es importante resaltar la alta frecuencia de déficit de vitamina B12 en pacientes con severo compromiso neuronal. Pueden transcurrir hasta veinte años desde el diagnóstico de una endocrinopatía y la aparición de otra acompañante. Es deber realizar análisis diagnósticos para evaluar funciones hormonales correlacionadas con una endocrinopatia hasta la senescencia.
síndrome de enclaustramiento: a propósito de un caso
Authors: Luján Ramos Vanesa P. , Monterrosa Salazar Erika , Polo Verbel Luis
Published: October 2021

El síndrome de enclaustramiento es una patología infrecuente en nuestro medio. Es un proceso destructivo, generalmente es una obstrucción de la arteria basilar con infarto de tronco encefálico, que interrumpe los tractos descendentes corticobulbares y corticoespinales, quedando intactas las fibras que controlan el parpadeo, los movimientos oculares verticales y la sustancia reticular ascendente. Estos pacientes se comunican únicamente mediante parpadeos o movimientos oculares verticales.Caso clínico de una mujer de 63 años, con antecedentes de hipertensión y accidente cerebro vascular, quien súbitamente presentó disartria, hemiparesia que progresa a cuadriplejia, disnea, apertura ocular espontánea, conservando los movimientos oculares conjugados verticales y la vigilia. Se realizó traqueostomía, gastrostomía, manejo de las cifras tensionales con antihipertensivos orales, anticoagulación parenteral, tratamiento antibiótico de amplio espectro por neumonía nosocomial, fisioterapia y los cuidadosgenerales de enfermería. Este caso comenta las características especiales del síndrome, enfatizando su baja prevalencia y la conducta paliativa ofrecida por el área de salud. Rev.cienc.biomed. 2011; 2 (1): 116-120
mujeres en edad fertil, embarazo y vih: potenciales escenarios clinicos*
Authors: Arteta Acosta Cindy , Monterrosa Castro Álvaro
Published: October 2021

La epidemia del virus de inmunodeficiencia humana continúa impactando negativamente la salud de mujeres y niños a nivel mundial. Actualmente el curso de la entidad puede modificarse a través de programas que ofrecen profilaxis y tratamiento antirretroviral. La consejería preconcepcional y la planificación familiar son herramientas que todavía tienen baja presencia dentro de la población en general y en especial dentro de las parejas que son VIH positivas. Dentro de los objetivos del manejo de la mujer embarazada con VIH se encuentra la prevención de la transmisión perinatal. Las guías nacionales e internacionales denominan escenarios clínicos a las posibles situaciones en las que se puede encontrar una mujer en edad fértil con VIH, ya sea que esté planificando o esté embarazada, y la mejor forma de manejarla. Estas guías deben estar disponibles permanentemente en consultorios, salas de urgencias, salas de parto y salas de cirugía, para que sean aplicadas correcta y oportunamente. Los profesionales de la salud deben conocer los fármacos, sus presentaciones comerciales y las dosificaciones. El manejo delas mujeres con VIH positivo debe ser multidisciplinario. Rev.cienc.biomed. 2011; 1(2): 135-143
gestión de la calidad del cuidado de enfermería con principios éticos*
Authors: Cabarcas Ortega Nirva del Socorro
Published: October 2021

La calidad es un principio rector del cuidado de enfermería, la ley 266 define la calidad como una ayuda eficiente, en términos de oportunidad y uso adecuado de los recursos. La atención de enfermería se basa en el cuidado integral del individuo teniendo comobase la dignidad, necesidades derechos y no simplemente la enfermedad. Los cambios y tendencias del cuidado han impuesto nuevos roles en la práctica profesional de la enfermera, presentándose con frecuencia dilemas y conflictos éticos que le exigentener conocimientos de principios y valores para un mejor análisis de las situaciones y orientación adecuada del ejercicio, debiendo la enfermera hacer uso de sus conocimientos en ética y bioética para la satisfacción de las necesidades del paciente en búsqueda desu bienestar. La gestión de la calidad del cuidado de enfermería implica la planificación, organización, dirección y control de los recursos financieros, humanos y materiales con la intención de cumplir eficazmente con la política de calidad de la institución, teniendo presente los principios éticos establecidos en la ley 266 de 1996. En conclusión la calidad es el resultado de todo el proceso de atención en salud, para llegar a la consecución de esta es necesario implementar un sistema de gestión de la calidad que propenda por lograr el equilibrio entre las necesidades del usuario, infraestructura disponible para la atención, objetivos de la institución, satisfacción de quien provee el cuidado y del usuario. Rev.cienc.biomed. 2011; 2(1): 144–148
Desensibilización y reprocesamiento por medio de movimiento ocular (EMDR) : una terapéutica para el estrés postraumático.
Authors: Navas Torrejano Diana Stefanía
Published: October 2021

El trastorno de estrés postraumático está clasificado como uno de los trastornos de ansiedad dado como una respuesta patológica a un evento estresante que supone un riesgo físico o psicológico. Corresponde a un problema de salud pública que causa gran incapacidad y dificultades en el desarrollo biopsicosocial de la persona afectada. Actualmente se llevan a cabo diferentes métodos terapéuticos para el tratamiento de dicha patología, dentro de las más estudiadas y con amplios resultados positivos se encuentra la terapia de reprocesamiento llamada Desensibilización y Reprocesamiento por medio de Movimiento Ocular (EMDR por sus siglas en inglés) basado en estimulación bilateral ocular, principalmente, que otorga al paciente la oportunidad de asimilar el evento traumático transformando su contenido emocional y brindando adaptación e integración de la información y equilibrio físico y psicológico con respuestas adaptativas que permite el desarrollo e interacción normal con el entorno. Con la Técnica EMDR para enfrentar el trastorno de estrés postraumatico, se alcanza que, si bien el recuerdo está, ya no hiere.
Hallazgos macroscópicos y microscópicos en el sistema respiratorio en autopsias de pacientes con covid-19.
Authors: Mendoza Carmona Laura Marcela , Marrugo Ortiz Ariel Camilo , Payares Florez Sebastian David
Published: October 2021

Introducción: desde finales del 2019, el mundo se ha visto hostigado por la aparición de un nuevo coronavirus (SARS-CoV-2) en Wuhan, China, que se extendió globalmente y es el agente etiológico de la enfermedad conocida como COVID-19. Esta enfermedad tiene tres etapas consecutivas de gravedad y está asociada con el desarrollo del síndrome de dificultad respiratoria aguda (SDRA). Objetivo: describir las principales lesiones pulmonares, macroscópicas y microscópicas, asociadas con la infección por SARS-CoV-2, con base en hallazgos de autopsias realizadas a pacientes fallecidos por Covid-19. Métodos: se realizó una búsqueda en las bases de datos PubMed, Google Scholar, Scielo, Clinical Key y MedRxiv que incluyó artículos publicados entre el 1 de enero del 2020 y el 31 de diciembre de 2020. Resultados: el principal hallazgo macroscópico descrito fue la presencia de pulmones pesados además de superficies con áreas azul-rojizas. Se encontró en algunos casos traqueo-bronquitis y tráqueas levemente eritematosas. En hallazgos microscópicos el patrón de lesión pulmonar más común fue el daño alveolar difuso (DAD) presentado en el 88% de los casos. Se encontraron cambios en los capilares constituyendo 3 características histológicas: Lesión endotelial, alteración de las membranas de células endoteliales y angiogénesis intususceptiva. Conclusión: la gravedad de los hallazgos está determinada por la edad del paciente y el padecimiento de diversas comorbilidades/afecciones sobre todo relacionadas con el sistema respiratorio y cardiovascular, estos factores influyen en el desarrollo de hallazgos heterogéneos tanto macroscópicos como microscópicos.