bluuebunny/crossref_metadata_2025 huggingface dataset:
Idrottsläraryrkets strävan efter mål och status
Authors:   , Sebelius Sofia
Published: April 2024

The Swedish school system has undergone a significant change and development during the last 180 years. The Physical Education Teacher Education (PETE) has made its own development journey, from training gymnastics directors with a particular focus on floor gymnastics and fencing, to becoming a university education with its foundation in sports science. Despite the significant changes in the school's governance and the development of PETE, the same development does not seem to have taken place for the professional practice of Physical Education (PE) teachers. The PE teachers seem to have difficulties formulating what the knowledge objective of the PE subject is. There also seem to be difficulties in formulating how learning in the PE subject should take place. A certain reproduction of traditional values takes place, and the PE teaching profession is described and experienced as marginalised. Based on this, the dissertation's aim is to create an understanding of the PE teachers’ pursuit of purpose and status and what that pursuit entails. To achieve this aim, two studies have been conducted. Based on the perspective that PE teachers function as street-level bureaucrats, the first study aims to understand what governs their professional practice and how they manage it. The aim of the second study is to understand which continuities exist in the language used about the PE teaching profession and what it means for the professional claims of the PE teaching profession. By analysing the language within and about the PE teacher profession, the dissertation creates an understanding of PE teachers' pursuit of purpose and status and what that pursuit entails. The thesis shows that PE teachers in their professional practice are Problem Solvers, Comfort Creators and Organisers. It further identifies continuities in the language about the PE teacher profession gathered within the themes of Strength, Liveliness and Status. Finally, the dissertation describes how the PE teacher profession uses social closure in its professional claim.
THE LEUKOCYTE PROFILE OF ETAWA BREED GOATS SUFFERING FROM SUBCLINICAL MASTITIS IN SUKAWATI DISTRICT, GIANYAR BALI
Authors: Wulandari Chitra Dwi , Kendran Anak Agung Sagung , Mufa Romy Muhammad Dary
Published: April 2024

Subclinical mastitis is a condition of mammary gland inflammation that often occurs in dairy goats without obvious symptoms. White blood cell examination is an important indicator in assessing the body's immune response and can help establish a diagnosis or animal health status.  This study aims to determine changes in total and differential leukocytes in goats suffering from subclinical mastitis. Blood samples were taken from the jugular vein, then white blood cells were counted using a Hematology Analyzer and identified using the blood smear method. The data obtained were then analyzed descriptively including the total number of leukocytes and the number of leukocyte types. The results showed varying changes in the number and type of white blood cells, especially an increase in neutrophils and monocytes in peranakan etawa goats suffering from subclinical mastitis. For the total leukocytes of the five samples were 6.9 - 13.3 x 103/µL and for leukocyte differential, the total lymphocytes were 2.96 - 5.54 x 103/µL, Monocytes 0.20 - 0.66 x 103 /µL, Neutrophils 3.17 - 7.71 x 103/µL, Eosinophils 0 - 0.66 x 103/µL, and Basophils 0.
SYSTEMATIC REVIEW: COMPARISON OF CUCUMBER JUICE WITH TOMATO JUICE IN THE EFFECTIVENESS OF BLOOD PRESSURE REDUCTION IN PATIENTS WITH HYPERTENSION
Authors: Adiguna Muhammad Raihan , Ahmad Purnama Hudaya  , Ria Inriyana
Published: April 2024

Hypertension is a disease characterized by elevated systolic and diastolic blood pressure, or the use of antihypertensive drugs. Hypertension has complications in the form of diseases that target organs including the brain, kidneys, peripheral blood vessels, and heart. This requires effective management by considering effective management in the long term. Pharmacological management of hypertension has side effects of drug-related problems (DRPs) that have an undesirable impact. This makes non-pharmacological interventions recommended for effectiveness. The utilization of fruits is part of non-pharmacological interventions, one of them is with cucumber and tomato which are processed into juice. This research aims to identify further studies through systematic review research on the comparison of the effectiveness of cucumber juice with tomato juice on blood pressure in patients with hypertension. The method used was a systematic review by identification and evaluation of literature with a quasi-experiment research design in according to predetermined eligibility criteria. Databases used included Cochrane Library, DOAJ, Google Scholar, PubMed, Science Direct, and Semantic Scholar. All relevant articles were quality assessed using JBI Critical appraisal. The results of the study resulted in 11 articles that were relevant to the criteria that had been set. The articles retrieved had a low risk of bias after quality assessment. 11 articles resulted in the finding that cucumber juice and tomato juice have ingredients that have an impact on blood pressure in hypertensive patients. Both therapies have effectiveness as hypertension management
Farmer Perspectives on Sustainable Urban Farming Tourism: A Case Study of Bali's Subak Lestari Program
Authors: Rusadi Ni Wayan Purnami , Pitana I Gde , Sunarta I Nyoman , Sukma Arida I Nyoman
Published: April 2024

Bali's economic landscape, intricately interwoven with tourism, integrates cultural-urban agriculture via the Subak system. Subak is an organization owned by the farmers in Bali that specifically regulates water management.  The government has selected several Subak in urban area to become dynamic agricultural centers named Subak Lestari. The research explores farmer perspectives on urban agriculture tourism and offering insights for future sustainable urban agriculture and cultural tourism. This qualitative study is involving 23 farmers of Subak Lestari management and reflecting scores in technical (4.01), socio-cultural (3.87), economic (4.29), and environmental (4.32) aspects. These assessments underscore confidence in Subak Lestari's potential to catalyze a development in tourism-centric urban agriculture. Farmers seriously support positions of Subak Lestari as a potent force in reshaping urban agriculture. The study advocates for stakeholders to foster a sustainable fusion of traditional agriculture and tourism to safeguard agricultural spaces and ensuring urban farmers existence.
Factors Influencing Domestic Tourist to Visit Bali as a Medical Tourism Destination: A Preliminary Investigation
Authors: Wachyuni Suci Sandi , Wiweka Kadek , Lochan Amarjiva , Kusumaningrum Dewi Ayu
Published: April 2024

The objective of this study was to examine the impact of destination image, destination image, perceived value of medical costs, and perceived value of medical facilities and services on the intention to visit Bali as a medical tourism destination. The research used quantitative methodology, employing a survey method. The population consisted of all of domestic tourists who visited Bali. The sample was 87 domestic tourists who came to Bali for medical tourism purposes. The research findings indicate that destination image, perceived value of medical costs, and perceived value of medical facilities and services have an impact on intention to visit Bali for medical tourism. However, the perception of Bali as a destination did not have any impact on tourists' intention to visit for medical tourism purposes. These findings provide both theoretical and practical implication. A collaborative effort involving several parties is necessary to enhance the branding and promotion of medical tourism.
Managing Restaurant’s Food Loss and Waste at The Aburi Sushi Bali: A Sustainable Culinary Tourism Enterprise Model in Bali
Authors: Subadra I Nengah
Published: April 2024

Food loss and waste (FLW) is a global issue that affects the environment, economy, and society. It also poses a challenge for the sustainability of Japanese culinary tourism which is a growing sector in Bali. This study aims to explore how a sushi restaurant in Bali especially at The Aburi Sushi Bali manages its FLW and contributes to sustainable culinary tourism. The study adopts a qualitative case study approach, using semi-structured interviews, observation, and document analysis as data collection methods. The findings reveal that The Aburi Sushi implements various strategies to prevent, reduce, and recover FLW, such as inventory management, portion control, menu design, staff training, customer education, and food donation. The study also identifies the benefits and challenges of FLW management for the restaurant and its stakeholders. The study concludes that FLW management enhances the environmental, economic, and social sustainability of culinary tourism enterprises in Bali. It also provides implications and recommendations for practitioners and policymakers to improve FLW management practices in the culinary tourism sector
Priority of Criteria for Agritourism Development in Bali
Authors: Wiranatha Agung Suryawan , Suryawardani I Gusti Ayu Oka , PETR Christine , Kencana I Putu Eka Nila
Published: April 2024

Agritourism in Bali has not been developed optimally yet. As a basis for development of agritourism, the criteria should be determined and priorities among criteria need to be set.  The objectives of this research were: (i) to identify criteria for agritourism development; and (ii) to analyze the priorities for selected criteria according to the agritourism stakeholders in Bali. This research implemented Analytic Hierarchy Process (AHP) method which involved 20 key informants representing agritourism stakeholders. The finding was the priority criteria for agritourism development in Bali, namely: (1) Attractions, followed by (2) Local Community Involvement, (3) Ancillary Services, (4) Marketing, (5) Amenities, and (6) Accessibility. This kind of research has not been undertaken previously in Bali. It contributes to academic and practical implications, particularly in agritourism development planning in Bali, in which development of agritourism should be focused on the diversification of agritourism attractions supported by professional management and community participation.
PENGARUH PENYIMPANAN TELUR TETAS TERHADAP PERFORMA PENETASAN BERBAGAI JENIS UNGGAS LOKAL : SUATU KAJIAN PUSTAKA
Authors: D. PRIYAMBODO , AFNAN R. , ULUPI N. , . HARIONO
Published: April 2024

Penyimpanan telur tetas merupakan salah satu tahapan yang dilakukan sebelum proses penetasan. Penyimpan- an telur tetas dilakukan dengan tujuan untuk menyesuaikan jumlah telur dengan kapasitas maksimum mesin tetas. Penelitian perlakuan penyimpanan telur tetas berbagai unggas lokal sudah banyak dilakukan, namun belum banyak yang membuat rangkuman dari beberapa hasil penelitian tersebut. Artikel review ini bertujuan untuk membahas efek dari perlakuan penyimpanan telur tetas sebelum ditetaskan terhadap performa penetasan pada berbagai jenis unggas lokal. Artikel ini dibuat dengan mensintesis dan menganalisis data sekunder dari berbagai sumber yang berasal dari jurnal terakreditasi nasional dan internasional bereputasi yang temanya mengenai perlakuan penyim- panan telur tetas terhadap performa penetasan. Hasil penelitian penyimpanan telur tetas berbagai jenis unggas lokal dengan persentase daya tetas lebih dari 70% dapat diperoleh melalui penyimpanan telur tetas selama 7 hari pada suhu ruang. Daya tetas dapat ditingkatkan apabila suhu ruang penyimpanan dapat diatur kurang dari 20oC.
THE EFFECT OF RICE STRAW AMMONIATED FEED AND CONCENTRATE SUPPLEMENTED WITH WARU LEAF MEAL (Hibiscus tiliaceus) ON THE PERFORMANCE AND FEEDING BEHAVIOR OF LOCAL SHEEP
Authors: M. FITA , BATA M. , RAHAYU S. , SUDRAJAT A.
Published: April 2024

The aim of this study to determine interaction between Direct-Fed Microbials (DFM) and Hibiscus leaf meal (HLM) supplementation on local sheep performance and consumption rate of concentrate. Thirty-six males local sheeps aged ± 2 years (28.01 ± 2.61 kg) were fed ammoniated rice-straw supplemented with DFM and concentrate supplemented with HML assigned randomly to nine treatment in an experiment of 3x3 factorial design. The first factor was the use of DFM (P0 = control, P1 = DFMAMS, P2 = DFMRJ) and the second factor was level of HLM (W0 = 0%, W1 = 0.24% and W2 = 0.48% DM concentrate). Concetrate consumption DMI of each sheep was 3% of body weight and ad-libitum JPA. Measured variables were final weight, average daily gain (ADG), feed consumption (FC), fed conversion rasio (FCR) and consumption rate (CR). There was significant interaction (P<0.05) between DFM and HML supplementation on the final weight, FC and CR (P<0.01), while ADG and FCR were not significant- ly interact. DFM supplementation significantly affected (P <0.05) on FCR. The most efficient feed conversion achie- ved in P2 (W0 =8.22 ± 1.19, W1=7.15 ± 0.85 and W2=6, 81 ± 1, 68). There was no interaction on ADG, however ADG tended to increase in W2. The Highest ADG was achieved in P2W2 (0.146 ± 0.03 Kg/day). There was positive correlation between consumption rate and ADG (P<0.01) also consumption rate and final weight (P<0.05). Coeficient correlation of consumption rate and both ADG and final weight were 0, 481 and 0.514, respectively. The use of DFM and HML, especially DFMRJ and level of HLM was 0.48% (P2W2) were able to improve local sheep performance.
PENINGKATAN KUALITAS PUPUK ORGANIK CAIR (POC) BERBAHAN DASAR URINE SAPI DENGAN PEMBERIAN MOLASE DAN EM4: SUATU KAJIAN PUSTAKA
Authors: K. F. RIYANTO , DUDI D. , HERNAMAN I.
Published: April 2024

Industri peternakan sapi di Indonesia merupakan industri ternak yang sedang berkembang dan usaha ini me- miliki peluang yang prospektif. Meningkatnya industri peternakan sapi di Indonesia, maka akan sejalan dengan limbah yang dihasilkan. Ternak ruminansia menjadi salah satu penghasil limbah yang berpotensi mengganggu lingkungan jika tidak dikelola dengan benar. Pemanfaatan feses maupun urine sapi dapat digunakan sebagai ba- han pupuk organik yang ramah lingkungan dan dapat mengatasi permasalahan limbah. Salah satu pemanfaatan limbah ternak adalah pembuatan pupuk organik cair berbahan dasar urine sapi. Urine sapi mengandung 95% air, 2.5% N dan 2.5% komponen yang lain (mineral, garam, hormon dan enzim). Komposisi urine sapi mengindikasikan bahwa kandungan hara yang diperlukan sudah baik. Namun, kandungan N – organik pada pupuk organik cair sangat rendah apabila tidak ada peningkatan kualitas pupuk organik cair. Peningkatan mampu dilakukan dengan penambahan tetes tebu (molasses) dan EM-4 (effective microorganism-4) yang memiliki kandungan bahan organik yang dapat meningkatkan kualitas pupuk yang dihasilkan. Pupuk organik cair dari bahan dasar urine sapi yang ditambah EM4 dan molase dapat meningkatkan kualitas pupuk cair ditinjau dari N total, C-organik, TDS dan pH.
Psychological support in the formation of adherence to the treatment of patients with tuberculosis
Authors: Maier P. A. , Isaeva E. R. , Brazhenko O. N. , Solodilina K. A. , Loshchakova A. I.
Published: April 2024

The objective of the study was to review the current measures of psychological support in the formation of adherence to the treatment in patients with tuberculosis. When writing the article, a descriptive method was used. The relevance of the study was due to the increasing number of patients with multiple and broad drug resistance, as well as the low level of adherence to the treatment of a large number of patients.

Methods and materials. The article discussed measures of psychological support and psychological follow-up for patients diagnosed with tuberculosis in the territory of the Russian Federation and in the CIS countries. The main attention was paid to the identification of common and specific elements in the structure of adherence to the treatment, such as the personal characteristics of the patient, features of the emotional-volitional sphere, and attentive-mnestic abilities. Examples of measures taken to increase the level of adherence to the treatment of in patients with tuberculosis were given. The possibility of using information about the internal picture of the patient’s illness to correct the level of adherence to the treatment was considered.

Conclusions. To date, methods of psychological support in the formation and psychological correction of the level of adherence to the treatment are not given sufficient attention, and the psychological characteristics of a patient are not taken into account when determining the level of adherence to the treatment. The internal picture of the patient’s disease is not considered as a substrate of adherence to the treatment, information about the relationship between the internal picture of the disease and adherence to the treatment is not enough to form a unified, generalized approach to the realization of diagnostic and corrective measures aimed at increasing the level of adherence to the treatment.
Experience in endoscopic treatment of cystic formations of the esophagus and mediastinum
Authors: Ruchkina Ya. V. , Smirnov A. A. , Saadulaeva M. M. , Blinov E. V. , Korolkov A. Yu. , Bagnenko S. F.
Published: April 2024

The objective was to evaluate the safety and effectiveness of endoscopic methods for removing cystic formations of the esophagus and mediastinum.

Methods and materials. The study included 17 patients with esophageal and mediastinal cysts. All patients underwent gastroscopy, endoscopic ultrasonography and computed tomography at the diagnostic stage to determine the localization, sizes and topography of the formation.

Results. In all cases, the formations were successfully removed. Submucosal tunnel endoscopic resection (STER) was successfully performed in 14 patients, the average operation time was 126 minutes. In 3 patients, the formations were removed by endoscopic submucosal dissection (ESD), the average operation time was 55 minutes. Two patients in the postoperative period had esophageal diverticulum in the area of previously removed formations.

Conclusion. Submucosal tunnel endoscopic resection is safe and effective in the treatment of cystic formations of the esophagus and mediastinum. Long-term results of STER require further study.
Os fundamentos da política de accountability no Programa AlfaMais para a alfabetização em Goiás
Authors: Vieira Flávia Martins , Teixeira Ricardo Antônio Gonçalves , Assis Lúcia Maria de
Published: April 2024

No âmbito das políticas educacionais de accountability, observa-se a relação entre qualidade e proficiência em testes high stakes. No que se refere à metodologia, o estudo caracteriza-se como exploratório, de abordagem qualitativa e de cunho bibliográfico e documental – realiza o levantamento e a análise de documentos oficiais e legais relacionados ao Programa AlfaMais Goiás. Nessa conjuntura, esta pesquisa propõe-se a analisar os fundamentos do referido programa em Goiás na busca pela compreensão dos ideários de avaliação e de qualidade educacional. Os resultados indicam que os processos avaliativos restringem a qualidade educacional a um único panorama, o desempenho estudantil, e induzem a criação de um quase-mercado educacional e de padrões de qualidade por meio de ações de marketing.
Palavras-chave: Avaliação. Accountability.Qualidade educacional. Alfabetização.
هوکارێن خوشگوزه‌رانی و ده‌سترێژییا مه‌زاختنێ د ده‌وله‌تا ئه‌ییووبی دا ل وه‌لاتێ شام و میسرێ (570 – 648 ك / 1174 – 1250 ز)
Authors: Krvan Salih Kavi , Mustafa Salim Lulav
Published: April 2024

ڤەکولین رووناهیێ دئێخیتە سەر هوکارێن دەسترێژى ومەزاختنێ د دەولەتا ئەییوبى دا، یا خویایە هەر دەولەتەکا سامان وئابوورێ وێ گەلەک بووى ودەولەمەندبووى هەر دکەڤندا هەتا نهو دياردا دەسترێژى ومەزاختنێ بشێوەیه‌کى روون ناڤدا دیار دبیت، تایبەت ژلایێ دەسەلاتدار ومەلیک ومیرو تەخا ده‌وله‌مه‌نداڤە، دەولەتا ئەییووبى ژى وەک هەر دەولەتەکادى ئەڤ ديارده لناڤدا هاتیە ديتنن، ودەسترێژى بشێوازێن جودا هاتیە کرن نەخاسمە ژلایێ كه‌سایه‌تی، ئابوورى، سیاسی، سەربازى یان کومەلایەتى، دڤێ ڤەکولینێدا هوکارێن ڤێ دياردێ بشێوەیه‌کێ بەرفرهـ هاتیە روونکرن، وگرنگترین ئەو هوکارێن هاتینە شروڤەکرن هوکارێن کەسایەتى کو رولەکێ مەزن هەبوویە ژبوو دەست رێژیکرنێ دسامانێ دەولەتێ دا، دیسان هوکارێ سیاسی هەبوویە تایبەت ئەو دەسترێژییا دڤى لایەنى هاتیەکرن کو ژلایێ دەسەلاتدارێن دەولەتێ بوینە ومەلیکێن وێ یان میرین وێ، دیسان هوکارێ ئابورى ودەسترێژیکرن تێدا کێمتر نەبوویە ژهوکارێن هاتینە دیارکرن.
Current issues of national healthcare assessment for biological threats preparedness (literature review)
Authors: Orlov S. A. , Aleksandrova O. Yu.
Published: April 2024

Introduction. Biological threats regularly challenge national healthcare, thus becoming a most critical problem that impedes successful performance. New biological agents with high infectivity and potency have promoted a review of approaches to medical care management, as well as changes in the fundaments of medical infrastructure in order to ensure healthcare readiness to provide a timely and adequate response to emerging challenges. Meanwhile, a clear definition, as well as understanding of specific prerequisites to such biological threats readiness in healthcare is still missing in either international or domestic publications in research journals.

The objective is to provide a systemic overview of the problems and approaches to national health assessment for biological threats preparedness.

Methods. The analytical review of international and Russian publications was performed using the PRISMA checklist, content analysis, and expert review of the most informative publications on the dedicated research. VOSviewer 1.6.20 – the software tool for bibliometric networks construction and visualization – allowed to highlight the most frequent key terms and concepts used by fellow investigators to characterize the impact of biological threats on public health and healthcare overall, as well as healthcare planning and other activities performed by medical organizations.

Results and discussion. The paper presents the results of the content analysis and expert review of 29 most meaningful international and Russian publications with a focus on key parameters determining the healthcare readiness to respond to biological threats. The 7 key areas that determine healthcare readiness for biological threats include planning, hospital activities design and organization, reserves potential, effective communication, medical personnel training, timely and accurate medical care, sanitary and epidemiological surveillance, and compliance with standard operating procedures.

Conclusions. Classification of challenges in healthcare readiness usually considers a limited number of specific activities within medical organizations and available resources. Currently, there are no integral common methods for comprehensive verification of activities to counter biological threats in healthcare, especially in medical organizations providing medical care in inpatient settings. Healthcare preparedness assessment to respond effectively to biological threats requires further study, considering the ongoing development of various functional frameworks.
Terrorism and its global biomedical consequences (2011 to 2020)
Authors: Evdokimov V. I. , Shulenin N. S.
Published: April 2024

Relevance. Global terrorist activity is still far from decreasing, demanding extra studies regarding the risk indicators and compelling the countries to unite their efforts to combat terrorism across the world.

The study objective is to analyze worldwide biomedical consequences of terrorism from 2011 to 2020 in order to optimize counterterrorism activities.

Methods. The study analyzed global indicators of terrorist activities collected in the Global Terrorism Database (GTD) [https://www.start.umd.edu/]. The analyses focused on structure, dynamics and risks regarding fatalities and casualties (injuries) of terrorist attacks (TAs), including by type of attack, weapon, and incident location. The risk analysis focused on the risk of being affected by terrorist attack (death or injury) per 1 million of global population (Ч10-6). Mean data, the upper and lower quartiles, and the median were calculated (Me [Q1; Q3]).

Results and analysis. From 2011 to 2020 the world’s annual average number of TAs was 110 thousand, or 10.7 [8.5; 14.1] thousand, with 25.8 thousand, or 23.1 [20.4; 35.3] thousand of people killed and 28.4 thousand, or 25.5 [18.8; 40.6] thousand of people affected. The polynomial trendlines for these indicators are inverted U-curves, showing less data in the latest observation period. TAs without biomedical consequences account for about 50%. However, the most severe medical and biological consequences were associated with the use of explosives and firearms, responsible for 84.4 % of all deaths and 91.4 % of all injuries. Massive sanitary losses associated with this type of TAs are a major challenge for medical care providers. 91.4 % of all TAs targeted military personnel, police officers, individual residents (or bystanders), government and business officials, responsible for 86.8% of all deaths and 84.2 % of all injuries. These population cohorts were in the risk groups for terrorism. The average individual risk of TA exposure among the world population stood at 1.49 • 10–6 incidents/(person • year), with the risk of death 3.49 • 10–6 deaths/(person • year) and trauma (injury) 3.87 • 10–6 injuries/(person • year). Meanwhile, according to the calculations by the International Labour Organization, the global average annual risk of death due to occupational injury for the same timespan (2011–2020) was by factors higher and amounted to (3.83 ± 0.13) • 10–4 deaths/(person • year).

Conclusion. Terrorism is pursuing social instability, intimidation, and engulfing panic among the population, rather than medical and biological consequences. Considering that terrorism is impossible to eradicate completely across the world, it can be minimized by optimizing counterterrorism activities, based on TA weapon information or incident location.
Surgical treatment of patients with multiple rib fractures and flail chest
Authors: Mayorov B. A. , Isaev M. V. , Belen’kii I. G. , Sergeev G. D. , Tulupov A. N.
Published: April 2024

Introduction. Chest injuries are top third by incidence among body injuries and second top among causes of death in trauma patients. Over the last two decades, a few publications by foreign and Russian investigators have studied the advantages of early surgical rib cage stabilization over conservative treatment. However, by now the efficacy of active surgical strategy has not been convincingly proven in multiple rib fractures, including the use of standard plate osteosynthesis for small segments, as well as absorbable pins.

The study objective is to present early results of surgical treatment of multiple rib fractures and rib valve using standard 1/3 tubular and reconstruction plates and absorbable pins in level 1 and 2 trauma centers without a referral thoracic surgery department.

Methods. The study included 26 patients who underwent surgical rib cage stabilization for multiple rib fractures and/or flail chest in 2018–2023. Those included 15 patients with polytrauma (ISS over 17 points), 5 patients with combined trauma (ISS under 17 points), and 6 patients with isolated chest trauma. One-stage fixation of 1 to 5 ribs was performed.

Results and analysis. The overall median of hospital stay was 16.5 (min. 6 to max 50) days, ICU stay was 3 (0 to 25) days, days of ventilation support was 0 (0 to 18) days, and need for oxygen support was 0 (0 to 16) days. The mean pleural cavity drain duration was (8.1 ± 3.8) days. Respiratory complications were observed in 11 % of cases. In 8 % of cases tracheostomy was required.

Discussion. Active surgical strategy with rib osteosynthesis allows to quickly and effectively stabilize the condition of patients with severe thoracic trauma. Standard osteosynthesis plates for small segments with angular stability screws allow to achieve fixation stability of damaged ribs, contributing to the restoration of normal chest excursion, better pain syndrome control and prevention of complications. More profound studies of conventional osteosynthesis and various subtypes are required in the future to compare between the results of different osteosynthesis methods, on the one hand, and the results of surgical and conservative treatment, on the other hand.

Conclusion. Absorbable pins and standard osteosynthesis plates (rather than special ones) in rib fractures enable quick stabilization of patients with severe chest injury.
Biopsychosocial markers of post-traumatic stress disorder in combatants
Authors: Sakovich P. V. , Ichitovkina E. G. , Soloviev A. G. , Zlokazova M. V. , Zhernov S. V. , Novikova I. A.
Published: April 2024

Relevance. Military personnel combat stress disorders, including post-traumatic stress disorder (PTSD), arising from the impact of the stress combat situation factors on the psyche, lead to social maladaptation and decreased combat capacity. Timely diagnosis and further prevention of various stress-associated mental disorders helps to avoid progression into a chronic disease and concomitant psychosomatic pathologies.

The objective is to identify PTSD biopsychosocial markers in combatants.

Methods. Clinical psychopathological examination, biochemical and chemical toxicity studies (CTI) were conducted to identify metabolites of psychoactive substances. 85 male officers of the Russian Guard were examined following up to 90 day’s deployment in the combat zone in 2022–2023; those were split into Group I (38 individuals who underwent outpatient treatment for PTSD (F43.1), average age (28.4 ± 2.2) years and service experience (2.9 ± 1.4) years) and Group II (47 individuals with no diagnosed mental disorders, average age (29.2 ± 2.1) years and service experience (3.1 ± 1.2) years).

Results and discussion. The two groups revealed significant differences for all test parameters, i.e. PTSD risk, anxiety and depression levels. The group that included combatants seeking psychiatric aid demonstrated remarkably higher levels, revealing positive reliable correlations between PTSD and biochemical parameters, ethyl glucuronide, testosterone and midnight cortisol.

Conclusion. Taking into account specific social and political settings, as well as the scale and intensity of military action, further improvement is demanded in the examination of combatants using multiaxial biopsychosocial framework of markers, including both clinical and psychological screening, as well as chemical, toxicological and biochemical studies, as prescribed by the regulation of the Ministry of Health of Russia and the Ministry of Internal Affairs of Russia, is necessary to change. Considering the elevated values obtained by the TSQ and HADS questionnaires, the additional markers of PTSD development in combat officers may include elevated testosterone, midnight cortisol, carbohydrate-deficient transferrin, as well as the ethyl glucuronide and benzodiazepines in biological samples.
Personal determinants of extreme phenomena mental positioning
Authors: Krasnianskaya T. M. , Tylets V. G. , Iokhvidov V. V.
Published: April 2024

Relevance.The relevance of the study is justified by the demand to identify personal determinants of individual perception of extreme manifestations in order to improve the efficiency of response.

The objectiveis to establish the determining parameters based on a set of psychological characteristics, reflecting the subject’s mental positioning in the security setting of what they consider major extreme phenomena.

Methods.The respondents included 112 students aged 19 to 21 years studying in Moscow and regional universities. Research methods included associative experiment, individual scaling, and HEXACO-PI-R-60 questionnaire testing. Empirical data was processed by calculation of mean values, percentage distribution, ranking, as well as methods of correlation, factor and regression analysis, and the Pearson’s chi-squared test.

Results and analysis.From the individual perspective, extreme scenarios are associated with specific phenomena that differ in stereotyping and objectivity (danger, threat, risk/riskiness, complexity, fear, strangeness, extreme, catastrophe, extreme, horror/ awful, threshold, implausibility, maximalism / maximality, ingenuity, extraordinary, murder, excessive demand, fire, flood, cold, accident, snowfall, heat). Considering the differences in the assessments on danger/safety scale, the structure of extreme phenomena includes such components as “catastrophe”, “emergency”, “threat”, and “risk”. The respondents’ mind positions the structural components of extreme scenarios by the degree of danger/safety, thus producing the following sequence: disaster – threat – emergency – risk, ranging them from “highly dangerous and unsafe” to “safe”. Individual characteristics of high reliability level contribute differently to individual assessment of the structural components constituting extreme phenomena in terms of the degree of danger/safety. Regression models were used to analyze the students’ danger/safety assessment of the structural components based on particular personality traits. The result showed that emotions, awareness, and preparedness to acquire experience contributed most significantly to the assessment of extreme phenomena in terms of danger/safety.

Conclusion.It is well known, that emotions play a key role in an individual’s ability to assess the level of danger/safety with regard to various extreme phenomena. This evidence makes it a critical imperative to develop individual emotional self-regulation abilities. In particular, nurturing the necessary ability in the promising representatives of extreme professions requires specific focus.
Cluster analysis and visualization of keywords in papers on rotator cuff injuries published by international investigators
Authors: Vetoshkin A. A. , Gusev S. S. , Vasil’chenko N. V.
Published: April 2024

Introduction. Epidemiological studies demonstrate that in everyday life rotator cuff injuries are found in a wide range of population cohorts, varying from 10 to 15 % in younger adults and up to 20–30 % in patients aged 60 years and over. The significance of social and economic effects are therefore noteworthy.

The objective of this study is to perform a cluster analysis and visualization of keywords in international publications on rotator cuff injuries using the VOSviewer software.

Methods. The study analyzes publications related to rotator cuff injures published from 2013 to 2022 and selected from the PubMed international reference and bibliographic database for ‘Rotator Cuff Injuries’ search query. A total of 5,444 results were retrieved and relevant bibliographic information was uploaded in “.txt” format into the analytical software VOSviewer 1.6.20.

Results and analysis. With the coefficient of determination (R2 = 0.96), the polynomial trend of article dynamics showed an increase in the number of publications. The average annual number of articles was (653 ± 48). With 10 repetitions, 504 keywords were analyzed and combined subsequently into 7 clusters. Cluster 1 was called ‘Trauma and injuries of the rotator cuff and tendons’. It contained 32.9 % of papers, with the total link strength of keywords 30.7 %. Cluster 2 titled ‘Results of arthroscopic reconstruction of rotator cuff injuries contained 27.7 % of papers with a total link strength of 27.5 %. Cluster 3 ‘Anatomy of the shoulder joint’ yielded 17.5 % and 17.4 % respectively; Cluster 4 ‘Biomechanics of the shoulder joint and rotator cuff’ – 7.3 % and 7.8 %; Cluster 5 ‘Postoperative analysis of surgical reconstruction of rotator cuff injuries’ – 7.1 % and 7.5 %; Cluster 6 ‘Surgical approaches (techniques) in the reconstruction of rotator cuff injuries’ – 4.6 % and 4.8 %; Cluster 7 ‘Structural reconstruction of shoulder function following reconstructive surgical of rotator cuff injuries’ – 3.9 % and 4.8 %. Leading authors and research schools were identified as well.

Conclusion. The results provided an insight into the areas of research over the past 10 years and hence have provided information support for scientists and practitioners dealing with traumatic rotator cuff injuries.
Influence of irrigation and nitrogen levels on yield attributes, yield and water use efficiency in dill (Anethum graveolens L.) cultivation
Authors: Bairwa R C , Bhunia S R
Published: April 2024

The field experiments were conducted during three consecutive Rabi seasons of 2016-19 at Agricultural Research Station, SKRAU, Bikaner to study the influence of irrigation and nitrogen levels to growth, yield attributes, yield and water use efficiency of dill (Anethum graveolens L.) under a drip irrigation system. The experiment consisted of sixteen treatment combinations of four irrigation levels (ETc- 0.4, ETc- 0.6, ETc- 0.8 & ETc- 1.0), & four nitrogen levels (control, 120% RDN in 4 splits, 100% RDN in 4 splits and 80% RDN in 4 splits). The treatments were laid out in a split plot design with three replications. Results revealed that irrigation at ETc 1.0 with application of nitrogen at 120% of RDN in four splits recorded significantly higher crop yield as compared to the remaining treatments. The water use efficiency decreased with increased irrigation and nitrogen levels.
Ojeada a la problemática de la enseñanza aprendizaje de idiomas extranjeros
Authors: Oviedo A. Tito Nelson
Published: April 2024

Resumen
Lingüística, Orientación Lingüística y metodología
Authors: A. Baena Luis
Published: April 2024

Resumen
Determinación de necesidades en la enseñanza - aprendizaje de idiomas extranjeros
Authors: De Conover Nora , López Gladys  Stella
Published: April 2024

Resumen
تأثير التمرينات البدنية المركبة المدعمة بالكرة باسلوب الساكيو في القدرة اللاهوائية للاعبات كرة القدم الصالات
Authors: قاسم رؤوف امين بشرى , جاسم محمد علاء , محمد طياوي عبد الله
Published: April 2024

تظهر أهمية القدرة اللاهوائية   التي هي المُعبر عن قدرة اللاعبات على إنتاج الطاقة بغياب الأوكسجين وهي معبر حقيقي عن الجانب البدني اللاهوائي الذي يُعد من الركائز الأساسية  في أثناء المباريات وهذا مفهوم القدرة اللاهوائية   للاعبات كرة القدم الصالات ، اما اهداف البحث فتركزت حول:

-   الكشف عن تأثير التمرينات بدنية مركبة مدعمة بالكرة بإسلوب الساكيو في (القدرة اللاهوائية  ) للاعبات كرة القدم للصالات.

-   الفروق بين الاختبارين البعديين للمجموعتين الضابطة والتجريبية في (القدرة اللاهوائية  ) للاعبات كرة القدم للصالات.

 ولتحقيق أهداف الدراسة افترض الباحثون :

-   هناك فروق ذوات دلالة احصائية بين نتائج الاختبارات القبلية والبعدية للمجموعتين الضابطة والتجريبية في(تحمل الأداء القصير) للاعبات كرة القدم للصالات.

-          هناك فروق ذوات دلالة إحصائية بين نتائج الاختبارات البعدية للمجموعتين الضابطة والتجريبية في (القدرة اللاهوائية  ) للاعبات كرة القدم للصالات.
OPTIMASI JUMLAH PRODUKSI DOMPET PADA HOME INDUSTRY FARTNER PRODUCTION DI KOTA TASIKMALAYA MENGGUNAKAN METODE LINEAR PROGRAMMING
Authors: Febriyanti Resti , Kurnia Yusup , Hilman Maman
Published: April 2024

Fartner Production merupakan salah satu industri rumahan yang memproduksi berbagai jenis dompet berbahan dasar kulit sintetis. Dalam perencanaan produksi, pemilik hanya menggunakan perkiraan pada penghitungan jumlah produksi dan keuntungan yang didapat. Maka dari itu, pada saat pengambilan suatu keputusan untuk mengoptimalkan keuntungan, akan dilakukan penelitian menggunakan metode Linear Programming untuk mengetahui bagaimana mengoptimasikan keuntungan dibantu dengan software POM QM.

Sumber data yang akan digunakan dalam penelitian ini meliputi persediaan bahan baku, biaya produksi, perolehan pendapatan serta laba bersih. Berdasarkan hasil analisis linear programming dengan bantuan software POM-QM, hasil produksi optimal adalah dengan menambahkan jumlah produksi dompet kecil sebanyak 13 lusin sehingga total dari jumlah produksi dompet kecil yaitu 63 lusin/minggu. Laba bersih yang akan didapat dari penambahan jumlah produksi yaitu sebesar Rp.17.250.000.
Results of Reconstruction of U400M Cyclotron Magnetic Structure
Authors: Ivanenko I. A. , Kalagin I. V. , Osipov N. F. , Semin V. A. , Zarubin V. B.
Published: April 2024

U400M isochronous cyclotron was create on the base of U300 classic cyclotron and is under operation at FLNR, JINR since 1996. U400M cyclotron is intended for accelerating the ion beams with A/Z= 2.286 – 9 to energy W = 80 – 6 MeV/nucl. Cyclotron have H-type main magnet with 4-meter pole diameter and 4 pairs of spiral type sectors. In 2022 year, the reconstruction of cyclotron magnetic structure was held on. The reconstruction included the replacement of magnet main coil, mapping and correction of cyclotron magnetic field. In the frame of the mapping, the magnetic field was corrected to improve its average radial distribution and to compensate the first harmonic. For cyclotron magnetic field mapping the automatic measurement system, based on 14 Hall probes, was used.
Technical Project of the Ion Beam Diagnostics System in Phase Space
Authors: Fofanov A. S. , Myasnikova I. V. , Klinov A. P. , Shatalov Yu. A. , Balakin V. A.
Published: April 2024

Increasing requirements for modern acceleration complexes require precise data on ion beams injected into the accelerator. This paper presents a system of ion beam diagnostics that implements the four-slit method and makes it possible to measure the beam current density distribution in the four-dimensional phase space (PS) with high precision. Technical solutions and design features aimed at obtaining the design parameters of the system are described: the range of investigated beam currents from 1 pA to 20 mA with energy up to 50 keV, spatial resolution from 6 mm to 50 μm.
Near-Field Photoluminescence of WS2 and MoS2 Monolayers, Grown by Chemical Vapor Deposition
Authors: Milekhin I. A. , Kurus N. N. , Basalaeva L. S. , Milekhin A. G. , Chiglincev E. O. , Chernov A. I. , Latyshev A. V.
Published: April 2024

Monolayer triangular WS2 and MoS2 islands grown by chemical vapor deposition was investigated by near-field photoluminescence (nano-PL) enhanced by the metallized atomic force microscope (AFM) tip. To achieve maximum near-field response from WS2 and MoS2 materials fabricated Au and Ag metallized AFM tips were used. Maximum nano-PL responds from the islands is observed under the resonant conditions when the energy of the localized surface plasmon of the metallized probe coincides with the energy of the exciton luminescence of the WS2 and MoS2 materials. Nano-PL mapping of the exciton response allows visualizing structural defects and determine the local thickness changes of monolayer islands with nanometer spatial resolution.
Trabalho em equipe com atenção centrada no paciente no contexto hospitalar
Authors: Cruz Camile Mascena , Santos Ana Clara Barreiros dos , Silva Elaine Andrade Leal , Reis Ubiane Oiticica Porto , Jesus Ana Paula Santos de , Nascimento Patrícia Veiga , Silva Talina Carla da
Published: April 2024

Objetivo: Compreender o trabalho em equipe com atenção centrada ao paciente a partir das interações entre gestores, profissionais e pacientes no contexto hospitalar. Métodos: Exploratório-descritivo, com abordagem qualitativa, realizado em um hospital público geral da Bahia. Fizeram parte da pesquisa os coordenadores, supervisores, profissionais da assistência que eram membros das equipes multiprofissionais. Os dados foram tratados por análise de conteúdo de Bardin. Resultados: Da análise emergiram três categorias. Elas evidenciam que o trabalho em equipe, perpassa por modelo de liderança mais participativos, pela integração de toda a equipe e estabelecimento de objetivos comuns para uma prática colaborativa propiciando um cuidado integral ou um cuidado centrado no paciente. Conclusão: O trabalho em equipe teve um impacto positivo sobre serviços de saúde, quando trazia características relacionadas ao reconhecimento das atribuições e trabalho dos profissionais das distintas profissões, compartilhamento de valores, comunicação efetiva e compartilhamento das decisões. Além disso, foi encontrado elementos importantes que favorecem o cuidado centrado no paciente.
Uma análise da atrofia muscular espinhal
Authors: Alves Jacqueline Sanae Okasaki Padella , Vieira Raquel Penso Furtado , Teixeira Paola Pereira , Andrade Lívia Maria Calazans de , Oliveira Gustavo da Silva , Siqueira Emílio Conceição de
Published: April 2024

Objetivo: Analisar as características da atrofia muscular espinhal (AME). Revisão bibliográfica: A AME é uma das doenças neurodegenerativas monogênicas mais frequentes, com incidência de cerca de 1:10.000 em recém-nascidos. A marca registrada da doença é a degeneração das células do corno anterior da medula espinhal, levando ao sintoma característico de fraqueza proximal progressiva, envolvendo vários graus de atrofia muscular. Além disso, as crianças com AME desenvolvem fraqueza do diafragma e dos músculos acessórios da respiração, levando à insuficiência respiratória e risco de aspiração. Os subtipos clínicos de AME são definidos pela função motora máxima. Considerações finais: A AME é uma doença genética neurodegenerativa cuja progressão depende do subtipo clínico que varia de 0 a 4. Seu diagnóstico se baseia em testes genéticos moleculares, como o teste genético de SMN1/SMN2. O tratamento da patologia é feito com medicamentos como o Nusinersen e Sovaprevir que são injetáveis e o Risdiplam que é uma medicação mais nova e oral. Além disso, o treinamento físico e fisioterapia constituem pilares essenciais na manutenção dos movimentos nesses pacientes.
Epidemiologia da Doença de Chagas aguda no Brasil entre 2013 e 2023
Authors: Almeida Marcos Lima , Almeida Mateus Lima , Rodrigues Débora Caroline do Nascimento , Andrade Sâmia Moreira de , Andrade Maria Victória Macedo de , Oliveira Juliana da Silva , Cabral Ayara Almeida Souza , Paiva Valdemilson Vieira , Martins Tayane Moura
Published: April 2024

Objetivo: Analisar o perfil epidemiológico de pacientes com a fase aguda da DC e avaliar a prevalência no Brasil de 2013 a 2023. Métodos: Trata-se de um estudo transversal descritivo destacando os casos confirmados de Doença de Chagas Aguda (DCA) no Brasil durante o período determinado, utilizando dados secundários do DATASUS, organizado em gráficos usando o Microsoft Excel. Resultados: O Brasil apresentou 2.603 casos no período, com a Região Norte sendo a mais impactada (95,24%), houve predominância de casos em homens (54,47%), e o ano de 2019 registrou o maior número de casos (385). Pardos representaram a maioria dos afetados por raça (81,44%), e a transmissão oral foi mais comum (84,68%), além disso a faixa etária mais afetada foi de 20 a 39 anos. Conclusão: A Região Norte apresentou a maior incidência de casos de DCA, afetando principalmente homens pardos na faixa etária de 20-39 anos. A transmissão oral foi destacada, apontando para a importância de medidas preventivas em áreas propensas. Este perfil epidemiológico contribui para estratégias de intervenção e vigilância em saúde.