bluuebunny/crossref_metadata_2025 huggingface dataset:
Nontraditional Lipid Parameters as a Predictor of Cardiovascular Disease Risk in Nepalese Women
Authors: Adhikaree Jasper , Shrestha Ruyusha , Bomjan Prabina , Pokharel Shreya , Shrestha Ashmita , Siwakoti Anusha , Acharya Rashila , Marzo Roy Rillera , Acharya Swosti , Pokhrel Ritesh , Rajbhandari Prachand Man Singh
Published: July 2024

ABSTRACT

Background:

The use of nontraditional lipid parameters for assessing clinical conditions is emerging; however, no study has identified thresholds for those parameters for the identification of cardiovascular disease (CVD) risk. The present study aimed to establish the thresholds of nontraditional lipid parameters and test its ability to identify CVD risk factors.

Methodology:

A cross-sectional study in women (n = 369, age: 46 ± 13 years, body mass index (BMI): 26.31 ± 2.54 kg/m2) was conducted. Blood samples were collected and high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol, total cholesterol (TC), and triglycerides (TGs) were estimated. Subsequently, nontraditional lipid parameters were calculated, namely non-HDL-C, Castelli’s Risk Index II (CRI-II), CRI-I, lipoprotein combined index (LCI), atherogenic index (AI), and AI of plasma (AIP).

Results:

Based on TC (≥200 mg/dL), the derived thresholds for non-HDL-C, CRI-II, CRI-I, LCI, AI, and AIP were 139 mg/dL, 2.29, 3.689, 58,066, 2.687, and 0.487, respectively. Similarly, based on the threshold of TG (≥150 mg/dL), the derived thresholds for non-HDL-C, CRI-II, CRI-I, LCI, AI, and AIP were 127 mg/dL, 2.3, 3.959, 58,251, 2.959, and 0.467, respectively. Out of considered five risk factors, non-HDL-C, CRI-II, CRI-I, LCI, and AI thresholds were capable in identifying four risk factors (physical activity, blood pressure, BMI, and age) and AIP was able to associate with two risk factors at most (blood pressure and BMI).

Conclusion:

The derived thresholds of nontraditional lipid parameters were capable of differentiating between CVD risk and nonrisk groups suggesting the possible use of these thresholds for studying CVD risk.
Postmenopausal Idiopathic Spontaneous Rupture of Pyometra with Tubo-ovarian Abscess: An Atypical Presentation
Authors: Krishna Nikita , Aggarwal Kiran , Lal Prabha , Singh Anuradha
Published: July 2024

ABSTRACT

Spontaneous perforations in pyometra occur rarely. Incidence is only 0.01%–0.5% in gynecological patients. Tubo-ovarian abscess (TOA) is seen less in postmenopausal women amounting the 6%–18% of the total cases of TOA reported. A 52-year-old P3L3 postmenopausal woman with abdominal pain was admitted to hospital. Emergency laparotomy was performed in view of pyoperitoneum. Intraoperatively, 1000 cc of foul-smelling pus was suctioned out from the peritoneal cavity a 2 cm × 2 cm sized perforation was seen at the right fundal region of the uterus and a right sided TOA was seen extending to the uterine cavity, left sided ovary was normal. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The patient got discharged on the 36th postoperative hospitalization day. Histopathological study revealed uterine purulent inflammation with no evidence of malignancy. The diagnosis of spontaneous perforation of pyometra is rarely made preoperatively and the possibility of a perforated pyometra should, therefore, be considered when elderly women suffer from acute abdominal pain. Hysterectomy and bilateral salpingo-oophorectomy may be the best choice procedure in these patients. There is probably a new trend in the epidemiology of TOA, occurring in older women who do not present the traditional risk factors for pelvic inflammatory disease and TOA.
Evaluation and comparison of serum and salivary interleukin 9 levels among individuals with gingivitis and periodontitis and healthy controls: A cross-sectional study
Authors: Abhigna P. , Prasanna Jammula Surya , Koduganti Rekha Rani
Published: July 2024

Context:

Although interleukin (IL)-9 has been understudied, some pleiotropic effects have been documented on lymphocytes and mast cells. It is a T-cell-derived cytokine.

Aims:

The aim of this study was to appraise the association of IL-9 in the serum and saliva of individuals with gingivitis, periodontitis, and healthy controls.

Settings and Design:

It is an observational cross-sectional type.

Materials and Methods:

This study was conducted on 90 subjects, including both males and females, divided into three groups: gingivitis (30), Parkinson’s disease (PD) (30), and healthy (30). Clinical parameters assessed were gingival bleeding index, Russell’s periodontal index (PI), probing pocket depth, and clinical attachment level. Serum and salivary IL-9 levels were weighed by enzyme-linked immunosorbent assay.

Statistical Analysis Used:

The Statistical Package for the Social Sciences version 22, (IBM, Chicago, IL, USA) was used for evaluation. The normality of the data was checked using the Shapiro–Wilks test. Analysis of variance test was used to compare the means of two or more independent (unrelated) groups, followed by Tukey’s post
hoc analysis for pair-wise comparison. The analogy between IL-9 and clinical parameters was evaluated using Pearson’s correlation coefficient. The probability value was set at 0.05.

Results:

Statistically significant elevation of saliva and serum IL-9 levels occurred in subjects with gingivitis, followed by PD and health.

Conclusions:

This study concluded that IL-9 may be indicated as a biomarker in the early stages of periodontal diseases.
Hall technique in children: A cross-sectional survey among Indian pedodontists
Authors: Pradeep Jishnu , Peedikayil Faizal C. , Kottayi Soni , Aravind Athira , Sreedharan Aswathi
Published: July 2024

Background:

Stainless steel crowns are considered to be a practicable alternative in the restoration of carious primary tooth. This study was done to assess Indian pediatric dentists’ knowledge, attitude, and practice of this technique and related factors with the use of the Hall technique (HT).

Methods:

A well-structured preused online questionnaire was sent to pedodontists practicing in India through various social media groups and emails. Descriptive statistics were used to characterize survey responses. A Chi-square test was employed to check the distribution of responders using the HT. Statistically P < 0.05 or less was considered statistically significant.

Results:

A total of 210 pedodontists participated in this survey. 66.20% of the participants have <10 years’ experience; majority of the participants are in private clinical practice in urban areas. 97.14% of Indian pedodontists are aware of HT, and 22.54% regularly practice HT. 37% of the participants has apprehension of change in vertical dimension due to ooclusal changes and 35% of the participants fear of pulpal damage due to Hall technique. A significant number of pedodontists who have passed master of dental surgery (MDS) in pediatric and preventive dentistry <10 years ago (P = 0.034*), those from academic institutions (P = 0.048*), and those from urban areas (P = 0.045*) practice HT.

Conclusion:

A substantial proportion of the respondents were familiar with the HT, but considerably less number of participants use it regularly in clinical practice. There is a scope for increased practice of this technique so that the children in need of treatment of multisurface carious lesions can benefit.
‘Clinico-dermoscopic study and comparative evaluation with Wood’s Lamp as a diagnostic tool in patients with melasma’
Authors: Khadka Anupa , Bhattarai Sabina , GC Sagar
Published: July 2024

Background: Melasma is a common acquired facial hypermelanosis. While mostly diagnosable clinically, Wood’s lamp and dermoscopy can aid in differentiating melasma types based on pigment distribution. Aims: To study the clinico-dermoscopic distribution of melasma and compare it with Wood’s lamp finding. Methods: A total of 140 patients with melasma attending the Dermatology OPD of a tertiary care hospital over a duration of 12 months were included in this cross-sectional analytical study. Patients were subjected to clinical examination, Wood’s lamp examination, and dermatoscopic examination. Noted findings were recorded and analyzed for descriptive values and associations. Results: Among 140 patients, 123 were females and 17 were males, with a mean age of 33.49 ± 7.65 years. Clinically, 78 (55.7%) had centrofacial distribution, 55 (39.3%) had malar distribution, and 7 (5%) had a mandibular distribution of lesions. Wood’s lamp examination showed epidermal type in 64 (47.71%), mixed type in 60 (42.9%), and dermal type in 16 (11.4%). Dermoscopic examinations revealed an epidermal pattern in 79 (56.42%), a dermal pattern in 6 (4.2%), and a mixed type in 55 (39.28%). The most common dermoscopic finding was an exaggerated pseudoreticular network, followed by reticuloglobular pattern, arciform structures, and patternless hyperpigmentations, respectively. The association between color on clinical examination and melasma type by dermoscopy was significant (Cramer’s V = 0.535, P-value = 0.000). The degree of agreement between Wood’s lamp examination and dermoscopic examination was significant with a moderate agreement, (κ = 0.548 P < 0.0005). Conclusion: Although dermoscopy can be used more effectively, both Wood’s lamp and dermoscopy can aid in the diagnosis and determination of pigment distribution in melasma, promising effective intervention, and prognosis assertion.
Endoscopic Management of Ruptured Hepatic Hydatid Cysts: Clinical Reflection through 03 Illustrative Case Series
Authors: Cherradi Younes
Published: July 2024

Hydatosis is an infection which affects mostly the liver. Although rare, Rupture of hydatid cysts in biliary ducts is one of the most serious complications of hepatic hydatidosis. Many authors recommended ERCP as the safest therapeutic approach for management of ruptured hydatid cysts, but there is still a real need for recommendations regarding per-procedure aspects and follow-up issues. We present the experience of a secondary hospital in the management of inaugural biliary complications of hepatic hydatid disease with clinical reflection for improvement of the quality of care.

Keywords: Endoscopy, ERCP, Hepatic Hydatid Cyst, Rupture
Testing color reference charts for the herbarium digitization purposes
Authors: Novikov Andriy , Sup-Novikova Mariia , Nachychko Viktor , Kuzyarin Oleksandr
Published: July 2024

The current paper represents the continuation of the testing of the budget photosystems for herbarium digitization and aims to demonstrate the color reproduction accuracy besides other colorimetric characteristics of five color reference targets. It was shown that cheap color reference targets of Charttu can be applied for digitization purposes, at least in the brand-new condition. However, the color degradation of Charttu targets during use should still be evaluated. At the same time, the color accuracy of the X-Rite Color Checker Classic Mini was found to be highly degraded after several years of careful and non-intensive use. The Golden Thread Object Level target was found to be the best solution for herbarium digitization and the most resistant to color degradation, even in intensive and long use.
STRATEGI PENGGEMBALAAN REMAJA MELALUI MEDIA SOSIAL
Authors: Laheba Timothy , Hermanto Yanto
Published: July 2024

Peran teknologi informasi dalam pelayanan gereja menjadi semakin penting pada masa sekarang ini. Salah satu perkembangan teknologi yang saat ini banyak digunakan dalam pelayanan gereja adalah media sosial. Media sosial ini banyak digunakan karena dapat menjangkau banyak orang dengan sangat cepat dan mudah. Penelitian ini dilakukan untuk memahami strategi yang dapat digunakan oleh gereja untuk melakukan penggembalaan yang efektif kepada generasi remaja. Generasi remaja merupakan generasi yang sangat dekat dengan media sosial. Generasi remaja berada pada tahap pencarian jati diri dan sangat mudah terpapar dengan konten-konten negatif yang ada di media sosial. Hal ini menjadi alasan bagi gereja untuk hadir dan melakukan penggembalaan melalui media sosial kepada mereka. Penelitian ini menggunakan pendekatan studi kepustakaan untuk menemukan empat faktor yang berpengaruh terhadap kualitas penggembalaan yang dilakukan gereja melalui media sosial. Faktor-faktor ini adalah pilihan media sosial yang digunakan, konten yang dibagikan, sumber daya manusia yang terlibat dan inovasi yang berkelanjutan. Dengan memberikan perhatian kepada empat faktor ini, diharapkan gereja akan mampu mengatasi tantangan dan memberikan penggembalaan yang lebih efektif kepada generasi remaja.
MANAJEMEN PROYEK SISTEM INFORMASI PENGELOLAAN PERSEDIAAN OBAT PADA APOTEK BERBASIS WEB
Authors: Abrianisyah Deli Kartika , Yahfizham Yahfizham
Published: July 2024

Kemajuan teknologi yang ada saat ini memberikan kemudahan dalam mengakses informasi dan penglolahan data. Manajemen proyek merupakan pengelolaan terstruktur yang menggunakan metode, alat bantu, pengetahuan, dan keahlian untuk menjalankan aktivitas dalam proyek demi mencapai tujuan proyek. Khususnya dalam industri farmasi, sistem informasi memiliki peran vital dalam mengelola persediaan obat secara efisien dan efektif. Penelitian ini dilakukan guna membahas bagaimana implementasi manajemen proyek dapat meningkatkan efektivitas sistem informasi pengelolaan persediaan obat berbasis web, dimana untuk mendata serta memproses data persediaan obat yang dilakukan secara manual akan memakan waktu serta tenaga yang banyak, belum lagi kesalahan dalam penulisan yang rentan terjadi. Metode penelitian menggunakan pendekatan metode kualitatif. Metode pengembangan sistem yang digunakan pada penelitian ini merupakan metode SDLC, yaitu dengan model waterfall serta perancangan yang menggunakan pemodelan Unified Modelling Language (UML). Hasil dari penelitian ini merupakan Manajemen Proyek Sistem Informasi Pengelolaan Persediaan Obat Berbasis Web yang dikembangkan telah dapat menyelesaikan permasalahan tidak adanya manajemen proyek pada apotek dan juga membantu dalam pengelolaan proyek dari segi manajemen sumber daya, waktu dan biaya.
Perancangan Sistem Informasi SPPD Pada DPRD Sumatera Utara Dengan Pendekatan Manajemen Proyek Sistem Informasi
Authors: Sanjaya Bima , Yahfizham Yahfizham
Published: July 2024

Penelitian ini fokus pada masalah dalam proses manual pengajuan dan pengelolaan Surat Perintah Perjalanan Dinas (SPPD) di Kantor Sekretariat DPRD Provinsi Sumatera Utara. Melalui pendekatan kualitatif, temuan menunjukkan bahwa penggunaan Excel rentan terhadap kesalahan, duplikasi data, dan penggunaan kertas berlebihan. Solusi yang diusulkan adalah pengembangan aplikasi web untuk mempermudah pengajuan SPPD, mengintegrasikan sistem basis data, dan meningkatkan efisiensi administrasi. Aplikasi ini diharapkan memfasilitasi manajemen SPPD yang lebih lancar dan memberikan akses yang lebih mudah kepada pegawai dan manajemen terkait. Dengan demikian, implementasi teknologi informasi diharapkan dapat meningkatkan produktivitas, mengurangi kesalahan, dan mempercepat proses administrasi di Kantor Sekretariat DPRD Provinsi Sumatera Utara.
Nghiên cứu ứng dụng bảng tham chiếu chuẩn phát triển của Intergrowth-21ˢᵗ và Hadlock 1991 trong chẩn đoán sơ sinh nhẹ cân
Authors: Lê Mai Linh , Cao Ngọc Thành , Nguyễn Trần Thảo Nguyên
Published: July 2024

Đặt vấn đề: Chẩn đoán trước sinh thai nhẹ cân góp phần làm giảm nguy cơ tử vong chu sinh và phát hiện thai chậm tăng  trưởng trong tử cung. Hiện nay, siêu âm đo các chỉ số sinh trắc và ước lượng trọng lượng thai là công cụ chủ yếu để chẩn  đoán thai nhẹ cân. Vấn đề then chốt trong chẩn đoán trước sinh thai nhẹ cân là tìm ra bảng tham chiếu chuẩn phát triển  của thai nhi phù hợp với quần thể.  
Mục tiêu: Đánh giá kết quả chẩn đoán thai nhẹ cân và một số kết cục thai kỳ bất lợi theo bảng tham chiếu chuẩn phát  triển của Intergrowth-21st và Hadlock 1991. 
Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 174 thai phụ có EFW < BPV 10 so với tuổi thai theo bảng  tham chiếu Intergrowth-21st hoặc Hadlock tại Bệnh viện Trường Đại học Y - Dược Huế từ tháng 06/2022 đến tháng  06/2023. 
Kết quả nghiên cứu: Trong chẩn đoán thai nhẹ cân, bảng tham chiếu Hadlock có độ nhạy cao hơn không có ý nghĩa thống  kê so với Intergrowth-21st (84,1% so với 74,6%, p = 0,06); độ đặc hiệu của bảng tham chiếu Intergrowth-21st cao hơn không  có ý nghĩa so với Hadlock (25% so với 10,4%, p = 0,06). Trong tiên lượng kết cục thai kỳ bất lợi,độ nhạy của bảng tham  chiếu Hadlock cao hơn Intergrowth-21st không có ý nghĩa thống kê (Kết cục bất lợi chung: 90,3% so với 74,2%; Hỗ trợ hô  hấp: 87,5% so với 75%; Theo dõi tại Nhi sơ sinh: 87,5% so với 75%; Thời gian nằm viện kéo dài: 90% so với 70%) nhưng độ  đặc hiệu thì thấp hơn có ý nghĩa thông kê (Kết cục bất lợi chung: 15,4% so với 25,2%; Hỗ trợ hô hấp: 14,6% so với 25,3%;  Theo dõi tại Nhi sơ sinh: 14,7% so với 25,3%; Thời gian nằm viện kéo dài: 14,6% so với 25%). 
Kết luận: Bảng tham chiếu Intergrowth-21st có giá trị tương đương so với Hadlock trong chẩn đoán thai nhẹ cân nhưng  có độ đặc hiệu cao hơn trong tiên lượng các kết cục thai kì bất lợi.
Nghiên cứu ứng dụng siêu âm đáy chậu trong đánh giá độ lọt ngôi chỏm đủ tháng chuyển dạ giai đoạn II
Authors: Trần Thị Thùy Trang , Lê Lam Hương
Published: July 2024

Mục tiêu: Nghiên cứu các đặc điểm chuyển dạ và đánh giá sự liên quan giữa siêu âm đáy chậu và kết thúc chuyển dạ. Đối tượng và phương pháp nghiên cứu: Nghiên cứu thuần tập trên 272 bệnh nhân bắt đầu giai đoạn II chuyển dạ tại Trung  tâm Sản Phụ khoa, Bệnh viện Trung ương Huế từ tháng 5/2022 đến tháng 05/2023. 
Kết quả: Trong nghiên cứu, bắt đầu giai đoạn 2 chuyển dạ qua thăm khám lâm sàng đánh giá độ lọt ghi nhận: đầu thai nhi  chưa lọt chiếm 11,4% đầu thai nhi lọt mức 0 chiếm 50,4%, 38,2% đầu thai nhi lọt ở mức +1 và +2. Thời gian rặn sổ trung bình  43,97 ± 15,00 phút. Góc tiến triển (AoP) có mối liên quan với độ lọt trên khi thăm khám lâm sàng khi mới bắt đầu chuyển  dạ giai đoạn II. Góc tiến triển với kết cục sinh đường âm đạo có mối liên quan (p < 0,05). Góc tiến triển ≥ 120° có khả năng  sinh đường âm đạo cao hơn so với nhóm có góc tiến triển < 120° gấp 32 lần (OR = 32,26; KTC 95% 3,04 - 342,16; p = 0,004).  Góc tiến triển ≥ 120° trên siêu âm qua đáy chậu để tiên đoán sinh đường âm đạo: Độ nhạy là 97,1%, độ đặc hiệu là 88,7%,  giá trị tiên đoán dương là 98,3%, giá trị tiên đoán âm là 78,8%. Diện tích dưới đường cong (AUC) của siêu âm đáy chậu trong  giai đoạn II chuyển dạ đánh giá sinh đường âm đạo là 0,973 với KTC 95% 0,949 - 0,997. Giá trị góc tiến triển tối ưu là 117°  với độ nhạy, độ đặc hiệu đối với sinh đường âm đạo lần lượt là 99,2% và 86,7%. 
Kết luận: Siêu âm đáy chậu trong chuyển dạ giai đoạn II có tính khách quan và tính ứng dụng, hỗ trợ cho bác sĩ Sản Phụ  khoa trong thực hành lâm sàng.
Đặc điểm cận lâm sàng của thai phụ nhiễm COVID-19 tại bệnh viện Phụ sản Hà Nội
Authors: Nguyễn Thị Thu Hà , Đỗ Tuấn Đạt , Phan Thị Huyền Thương
Published: July 2024

Mục tiêu: Mô tả đặc điểm cận lâm sàng của thai phụ nhiễm COVID -19 điều trị tại Bệnh viện Phụ sản Hà Nội và một số yếu  tố liên quan. 
Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang lấy mẫu hồi cứu dựa vào thông tin bệnh án điện tử  của 1261 thai phụ nhiễm COVID-19 có tuổi thai từ 22 tuần trở lên nhập viện điều trị tại Bệnh viện Phụ sản Hà Nội từ tháng  12/2021 đến tháng 04/2022. 
Kết quả: Phần lớn thai phụ không thiếu máu (81%) và có bạch cầu lympho giảm (58,5%), chỉ có 24,8% thai phụ có tăng bạch  cầu và giảm tiểu cầu chỉ chiếm tỷ lệ 20,5%. Phần lớn thai phụ nhiễm COVID-19 mức độ trung bình và nặng, có tăng CRP  (97,8% và 100%) và 100% thai phụ nhiễm COVID-19 có tăng D-Dimer. Hầu hết thai phụ nhiễm COVID-19 trung bình và nặng  có biểu hiện tổn thương phổi trên phim chụp X-quang (70,6% và 100%) trong khi 100% thai phụ mức độ nhẹ không có hoặc  biểu hiện tổn thương phổi rất ít trên phim chụp. 
Kết luận: Có mối liên quan giữa thiếu máu, tăng bạch cầu, giảm tiểu cầu, biến đổi CRP và tổn thương phổi trên phim  X-quang với mức độ nặng của bệnh. D-Dimer tăng được quan sát ở tất cả các thai phụ nhiễm COVID-19 nhưng không  chứng minh được mối liên quan với mức độ nặng của bệnh.
Tỷ lệ và kết cục thai kỳ ở những trường hợp thiểu ối có tuổi thai từ 38 tuần trở lên tại Bệnh viện Phụ sản - Nhi Đà Nẵng
Authors: Phạm Chí Kông
Published: July 2024

Mục tiêu: xác định tỷ lệ thiểu ối và đánh giá kết cục thai kỳ ở những trường hợp thiểu ối có tuổi thai ≥ 38 tuần tại Bệnh  viện Phụ sản - Nhi Đà Nẵng.  
Phương pháp: Phương pháp nghiên cứu mô tả cắt ngang gồm 111 thai phụ thiểu ối và 222 thai phụ có chỉ số nước ối  bình thường đến điều trị Bệnh viện Phụ sản Nhi Đà Nẵng từ tháng 5/2022 đến tháng 5/2023.  Kết quả: Tỷ lệ thiểu ối là 2,2%. Có sự liên quan giữa bệnh lý mẹ (OR = 1,91, KTC 95% 1,07 - 3,37, p < 0,05) và thai chậm  tăng trưởng trong tử cung (OR = 4,9; KTC 95% 2,2 - 8,1; p < 0,05) với thiểu ối. Thiểu ối làm tăng nguy cơ mổ lấy thai 2,3  lần (OR = 2,3, KTC 95% 1,6 - 4,5, p < 0,05), nguy cơ trẻ sinh ra có chỉ số Apgar<7 ở nhóm thiểu ối tăng gấp 4,8 lần (OR =  4,8; KTC 95% 1,4 - 15,9, p < 0,05).  
Kết luận: Tỷ lệ thiểu ối trong nghiên cứu này tương tự như một số nghiên cứu khác. Có sự liên quan giữa tình trạng bệnh  lý của mẹ và thai chậm tăng trưởng trong tử cung với tình trạng thiểu ối. Thiểu ối làm tăng nguy cơ mổ lấy thai.
CHOICE OF THE OPTIMUM TECHNOLOGY FOR THE CONSTRUCTION OF SEWAGE PUMPING STATION MAKISH USING THE AHP-VIKOR METHOD WITH A FUZZY APPROACH
Authors:   Jaroslav Černi Water Institute,BSelgrade,  Serbia, Milojković Ivan , Praščević Nataša ,   University of Belgrade, Faculty of Civil Engineering, Serbia
Published: July 2024

Project solutions for sewage treatment, purification and pumping of atmospheric wastewater in Sewage Pumping Station (PS) Makiš were analyzed. The analysis was carried out in relation to the construction considering the use of the multi-criteria optimization method with the consideration of different ways of channeling, treatment, and evacuation of wastewater. Many criteria were analyzed according to which different variant solutions for the construction of the Makiš sewage treatment plant were evaluated. Different ways of designing and building buildings were considered. AHP, VIKOR and Fuzzy approach methods were used
Проблемні питання організації та приймання медичних звітів за формою 2/мед в Збройних Силах України
Authors: Rychka O. V.
Published: July 2024

Мета: узагальнити існуючі проблемні питання організації та приймання медичних звітів за формою 2/МЕД, а також запропонувати можливі шляхи їх вирішення.
Матеріали і методи. Матеріали досліджень: медичні звіти за формою 2/МЕД за останні роки, що надавалися медичною службою командувань видів та окремих родів військ (сил) Збройних Сил України, оперативно-медичними управліннями військово-медичних клінічних центрів регіонів; програмне забезпечення системи ведення медичних звітів “Контингент” (форма 2/МЕД); шаблон медичного звіту за формою 2/МЕД, визначений Табелем термінових донесень Командування Медичних сил Збройних Сил України. Методи досліджень: системного аналізу, розрахунковий, порівняння.
Результати. На основі багаторічного досвіду приймання медичних звітів за формою 2/МЕД виявлені найбільш важливі проблемні питання медичного звітування, а також запропоновані шляхи їх вирішення у частині, що стосується уточнення основних статистичних понять у системі медичного обліку та звітності, удосконалення порядку подачі, структури шаблону медичного звіту за формою 2/МЕД, а також покращення вбудованих перевірок системи ведення медичних звітів “Контингент” (форма 2/МЕД).
Висновки. Розроблені пропозиції щодо удосконалення медичного звітування за формою 2/МЕД мають покращити якість, організацію та порядок подачі медичних звітів в Збройних Силах України.
Проактивна інтегрована консультативна психіатрична допомога: актуальність для військової медицини в сучасних умовах
Authors: Moroz G. Z. , Tkalenko О. М. , Tkachuk I. M.
Published: July 2024

Мета. Узагальнити результати наукових досліджень та обґрунтувати підходи щодо запровадження проактивної інтегрованої консультативної психіатричної допомоги в практику військової медицини.
Матеріали та методи. Проведено узагальнення наукових публікацій та керівництв щодо запровадження моделі проактивної інтегрованої консультативної психіатричної допомоги. З використанням анкетного опитування визначено ставлення військових лікарів (опитано 23 лікаря, які працюють в Національному військово-медичному клінічному центрі «Головний військовий клінічний госпіталь») щодо перспектив використання цієї моделі. Методи дослідженні: системного підходу та аналізу, бібліографічний, анкетного опитування, медико-статистичний.
Результати. Проактивна інтегрована консультативна психіатрична допомога, яка передбачає систематичний скринінг на актуальні проблеми з психічним здоров’ям усіх пацієнтів соматичного профілю, раннє клінічне втручання та інтеграцію з первинною медичною допомогою, все більше впроваджується, зокрема і при організації медичної допомоги військовим ветеранам в США. Визначено, що за результатами впровадження методичних рекомендацій «Коморбідні тривожні, депресивні синдроми, посттравматичний стресовий розлад в роботі військового лікаря загальної практики на сучасному етапі» 73,9 %  опитаних військових лікарів  планують використовувати в повсякденній роботі методику проактивної психіатричної допомоги.
Висновки. Обґрунтовано необхідність запровадження проактивної інтегрованої консультативної психіатричної допомоги в практику військової медицини, шляхом скринінгового анкетного опитування (з використанням Госпітальної шкали тривоги та депресії (HADS), опитувальника для скринінгу посттравматичного стресового розладу) усіх військовослужбовців, які перебувають на лікуванні чи реабілітації, не залежно від наявності скарг, з подальшим призначенням лікування та/чи консультації психіатра, в разі необхідності.
Клінічний випадок тромбоемболії легеневої артерії у хворого з негоспітальною пневмонією
Authors: Boichak M. P. , Lyovkin I. M. , Olkhovska E. P. , Nitsak N. V. , Kotyk Yu. Ya.
Published: July 2024

Мета: Продемонструвати рідкісний випадок тромбоемболії легеневої артерії, що ускладнив перебіг позалікарняної пневмонії.
Матеріали та методи. Проведено обстеження військовослужбовця (клінічне, лабораторне, рентгенологічне, методами функціональної діагностики), який надійшов до пульмонологічного відділення з приводу  пневмонії нижньої частки лівої легені, середнього ступеня тяжкості, у якого в процесі лікування виникло ускладнення – тромбоемболія легеневої артерії.
Результати. Показано, що вчасно проведена діагностика та комплексне лікування основного захворювання та його ускладнення (рідкісний випадок тромбоемболії легеневої артерії, що ускладнив перебіг позалікарняної пневмонії) дозволили отримати позитивний результат – хворий одужав.
Висновки. Тромбоемболія легеневої артерії у хворих на позагоспітальну пневмонію є її рідкісним ускладненням, кожен випадок потребує ретельного вивчення і накопичення досвіду. Клінічна картина тромбоемболії легеневої артерії з розвитком інфаркт-пневмонії може маскуватись під інші захворювання легень та інші ускладнення пневмонії, тому потрібна настороженість щодо можливості ускладнення  пневмонії тромбоемболією легеневої артерії і вчасно застосувати ефективний метод діагностики – МСКТ-ангіопульмонографію. Своєчасно і адекватно призначена антикоагуляційна терапія вкупі з етіологічною терапією позагоспітальної пневмонії дозволяє істотно знизити ризик наслідків тромбоемболії та ризик ускладнень пневмонії і домогтися одужання.
La biblioteca en la sociedad del conocimiento
Authors: Tobar Quintero Luis Antonio
Published: July 2024

PROBLEMA: la influencia de las tecnologías de la comunicación en el almacenamiento de la información, los procesos de enseñanza aprendizaje y su incidencia en la investigación. OBJETIVO: analizar la evolución de la biblioteca como almacenamiento de información, hasta llegar a la sociedad del conocimiento y la alfabetización informacional, como un nuevo paradigma tecnológico y su relación con los procesos de investigación mediante la utilización de las tecnologías de la información y la comunicación. MÉTODO: la investigación fue de tipo cualitativa, aplicando la técnica de investigación documental, ya que se consultaron las siguientes fuentes: libros, artículos, capítulos de libros y bases de datos. RESULTADOS: el desarrollo tecnológico facilito los procesos de almacenamiento de información y la creación de programas para automatizar la búsqueda de las fuentes bibliográficas. CONCLUSIÓN: la tecnología brinda grandes aportes a la generación de información por medio de diversas herramientas, como el correo electrónico, plataformas virtuales, catálogos en línea, bases de datos y repositorios institucionales.
The Potential of Social Media in Increasing Young Generation's Legal Education
Authors: Suntara Reza Adriantika , Satrio Ndaru , Anwar Muhammad Syaiful
Published: July 2024

This research examines the role of social media in increasing legal awareness among the younger generation in Indonesia. As of January 2023, Indonesia had approximately 167 million social media users out of a total population of 276.4 million, highlighting a significant opportunity to enhance legal education. Despite this potential, the use of social media for raising legal awareness is minimal, reflected in high crime rates and low legal compliance. This study explores the urgency of legal education for the younger generation and the role social media can play in this effort. Using a literature review method, the research references relevant and reliable sources such as laws, books, journal articles, and official data. The meta-synthesis technique is applied to synthesize data from previous studies and draw conclusions. The findings indicate that legal education is crucial for improving legal awareness and compliance among the younger generation. Social media can significantly contribute by making legal information more engaging and accessible. The study recommends that the government utilize social media's potential in legal education by collaborating with private digital sectors and influencers to disseminate positive legal messages and raise awareness effectively.
Escalation of Tauhid Education in Families to Address Teenage Promiscuity
Authors: Waqiah Sitti Qamariatul , Arifin Syamsul
Published: July 2024

Promiscuity is abnormal or deviant behavior that threatens the future of the nation's children. Many factors influence promiscuous behavior, including weak religious values, a disharmonious family environment, very low self-control, minimal awareness of the dangers of promiscuity, and unhealthy lifestyles. The family, as the first school for teenage children, plays a very vital role in preventing promiscuity by instilling the values of tauhid in the family environment. Tauhid education is often considered as spiritual intelligence and a fundamental character trait for every Muslim. With the protection provided by strong tauhid education, it becomes a shield or weapon against the dangers of promiscuity. This research is a qualitative design, involving the review of books, scientific works, popular works, and other literature related to the theme studied. The research addresses the concept of tauhid education and how it is instilled in families to deal with promiscuity. The findings indicate that the concept of tauhid education comprises three interrelated criteria (mutualistic symbiosis) that cannot be separated: Tauhid Rububiyah, Tauhid Uluhiyah, and Tauhid al-Hakimiyyah. The methods used to instill tauhid education in the family include five approaches: tauhid, example, habituation, advice, and supervision.
STATISTICAL STUDY OF SOCIO-ECONOMIC DEVELOPMENT OF THE REGION
Authors: Savderova Alina F. , Lyubovtseva Elena G.
Published: July 2024

The relevance of the study of the socio-economic development of the region is due to the need for an adequate understanding and analysis of current trends and problems in this area in order to make management decisions. In the context of a dynamically changing macroeconomic situation, significant interregional differences and uneven distribution of resources, conducting statistical analysis makes it possible to identify key factors affecting the development of the region, assess the effectiveness of existing measures and develop strategic recommendations to improve socio-economic indicators. The purpose of the study is to indentify key factors influencing the socio-economic development of the region. Materials and methods. The following statistical methods were used in the work: analysis of statistical data, comparative analysis, calculation of absolute and relative indicators, graphical method, variation analysis, structure analysis, study of time series and forecasting. The sources of information were the official data of the Federal State Statistics Service and the Ministry of Finance of the Chuvash Republic. Study results. The article analyzes the socio-economic indicators of the Chuvash Republic for 2012–2022. It is noted that the economy of the Chuvash Republic is significantly susceptible to the crisis comparing to other regions of the Volga Federal District, and there is also a decrease in real disposable cash income of the population and real accrued wages. An analysis of the variation in the industrial production index shows that the regions of the Volga Federal District are homogeneous in terms of the industrial production index, but the spread of this indicator in 2014–2015 and 2020–2022 increased, which indicates differences between regions in the possibilities of economic recovery from the consequences of the crisis. An analysis of the dynamics and structure of investments in fixed capital of the Chuvash Republic shows that the structure of funds raised is dominated by federal budget funds and funds received from equity participation in construction. The Chuvash Republic is a part of the group of regions with a low value of the ratio of investment in fixed capital and GRP. This is due to the absence of major manufacturing enterprises in the region, and, as a result, the region has low investment attractiveness. Conclusions. The formation of industrial clusters can contribute to the development of economic sectors which are the drivers of the region and increasing their competitiveness. Measures of state support to create an industrial cluster are proposed. They will contribute to economic growth and help attract investments in fixed capital of the Chuvash Republic.
TO THE QUESTION OF FORMS, METHODS, AND DIRECTIONS OF THE THEORY OF LEGAL CONVERGENCE
Authors: Kozhina Tatyana N. , Petukhov Alexander V.
Published: July 2024

The relevance of the topic is due to the need to develop a verified formal-logical methodological apparatus of the theory of legal convergence, taking into account the introduction of new methods and approaches to the subject of research. The purpose of the study is to analyze the conceptual apparatus of the theory of legal convergence and identify the features of the author’s approaches to the study of the topic and promising directions for its study in domestic jurisprudence. Materials and methods. The implementation of the research goal was achieved using general scientific methods (analysis, synthesis), as well as the method of comparative theoretical analysis. An analysis of theoretical provisions and directions of legal convergence in the works of Russian and foreign researchers was carried out. Findings. The convergence of law is a well-established topic in the academic discipline known as comparative law. To analyze analogies and differences between systems of law, comparative lawyers have developed a number of tools, among which convergence is very important. It is noted that through the prism of legal convergence, the mechanism of convergence of national legal systems with each other and with international law is revealed today. Attention is drawn to the content of the directions of development of legal convergence at various levels, as well as to the problem of determining the forms and methods of researching legal processes and phenomena. Conclusions. Based on the study of the author's approaches to the theory of legal convergence, a promising direction for choosing an object and subject of research is determined – the study of institutional traditions of legal interaction in order to identify the most effective mechanisms of convergence and experience of the non-institutional phenomenon of legal interaction of the BRICS regional organization.
PREPARATORY STAGE FOR THE INVESTIGATION OF CRIMES IN THE FIELD OF CIRCULATION OF MEDICINES AND MEDICAL DEVICES
Authors: Semelev Vasily N.
Published: July 2024

One of the types of attacks on human life and health are crimes in the field of supply and trade of medicines and medical equipment, as well as in the field of ensuring the proper operation of medical equipment. Their social danger is undeniable, and therefore a system of effective protection against these crimes is important for society, the state and each individual. One aspect of this protection is the effective investigation of these crimes. The purpose of the study is to formulate the basics of a forensic methodology, the use of which is able to optimize the investigation of each specific crime of the type in question. Materials and methods. The research used such general scientific methods as formal-logical (induction, deduction, analysis, synthesis), as well as special ones: the method of forensic modeling of investigative situations and system-activity. The material the article is based on is the analysis of expert assessments, as well as the generalization of the practice of investigative authorities. The results of the study. The article analyzes the specifics of investigating crimes in the supply and trade of medicines and medical equipment, as well as in the field of ensuring the proper operation of medical equipment. Attention is drawn to the fact that the foundations for the success of the investigation are laid at the pre-investigation stage – at the preparatory stage for the investigation. This stage is characterized by the identification and accumulation of information about the crime committed. The prospect of the entire investigation of these crimes largely depends on the quality of the search work done at the preparatory stage. In order to obtain sufficient information about the committed crime, it is important to interact between the investigator and employees of the bodies authorized to carry out operational investigative activities. It is also important to cooperate with the Federal Service for Supervision of Healthcare and its territorial authorities, thanks to which it is possible to attract special knowledge to establish the circumstances of the commission of crimes of this type. Conclusions. Although the preparatory stage is not part of the investigation, success in establishing the circumstances of crimes in the supply and trade of medicines and medical equipment, as well as in ensuring the proper operation of medical equipment and the involvement of specific persons in its commission largely depends on it. For this reason, the specifics of the situation that arises in its course should be given attention in the appropriate forensic methodology. Recommendations on actions to obtain the necessary information and identify traces should be an integral part of it.
Standardized and Modernized 12 Volts Mobile Electric Battery Charging Machine-An Implementation
Authors: David Ekpo Dominic ,   Akwa Ibom State University, Ikot Akpaden, Nigeria, Okpo Ekom Enefiok , Nkan Imo Edwin ,   Akwa Ibom State University, Ikot Akpaden, Nigeria,   Akwa Ibom State University, Ikot Akpaden, Nigeria
Published: July 2024

In this research work, a standard and modernized 12 Volts battery charging machine was constructed and implemented. The materials used were locally sourced. The main objective centred at making the charger to protect the battery from being overcharged and damaged. Related works on the subject were carefully reviewed to arrive at the main objective. The best circuit option for the functionality and reliability of the charge controller was developed. The method adopted, include perforating the Veroboard for soldering and mounting of electronic components on the board. Integration of the required integrated circuit (IC), incorporation of transformer and casing. The circuit was initially tested by checking the output voltage, before testing with battery. The pulse width modulator circuit successfully produced approximately 100 Hz output frequency. The functionality of the charger controller was tested, and was found to be operating optimally, while serving and preventing the battery from breakdown and damage.
Correlation between Teacher Readiness, Infrastructure and Learning Media towards the Implementation of Independent Curriculum in Elementary Schools in Prambanan Sub-District
Authors: Wardaya Luthfian Dhia ,   Universitas Negeri Yogyakarta, Yogyakarta, DIY, 55281, Indonesia, Pambudi Aris Fajar ,   Universitas Negeri Yogyakarta, Yogyakarta, DIY, 55281, Indonesia
Published: July 2024

The spectrum of autism developmental disorders is vast and diverse, ranging from mild to severe impairments. If parents lack knowledge about autism, maternal acceptance levels tend to be low. Autism literacy through the internet serves as a medium to provide beneficial, extensive, cost-effective, and easily accessible information and knowledge. This study aims to assess the effectiveness of online autism literacy in increasing maternal acceptance of autistic children. The research utilized a single-subject design, involving only one subject, following the ABA Single-case Experiment Design. The single-case experimental method was employed in this study, where autism literacy intervention was delivered through the website www.careautism.wordpress.com. A Maternal Acceptance Scale was used to evaluate the subject's psychological state before and after the intervention. The research's significance lies in providing empirical evidence on the effectiveness of online autism literacy in enhancing maternal acceptance of autistic children. Visual inspection and descriptive analysis methods were employed for data analysis. The study's results indicate that autism literacy intervention through the Internet can improve maternal acceptance of autistic children, with an increased mean score between the baseline and intervention phases.
The Challenges of Teaching Academic Writing That English Teachers Face in Azerbaijan
Authors: Guliyeva Afet ,   English Language Instructor At Baku Higher Oil School.
Published: July 2024

English educators in Azerbaijan have several obstacles when it comes to instructing learners in the realm of academic writing. These issues arise from the diverse levels of language competence among students, the emphasis on rote memorization rather than analytical thinking, and the restricted availability of contemporary educational materials. To overcome these disparities, it is essential to adopt a multifaceted strategy that encompasses the improvement of linguistic proficiency, the alignment of pedagogical techniques with cultural conventions, and the mitigation of limitations in resources, all of which contribute to a more efficient provision of academic writing training.
The Mediating Role of Profitability in Strengthening Firm Value: Empirical Study on Non-Clylical Consumer Sector Companies Listed on the Indonesian Stock Exchange for the Period 2018-2022
Authors: Viki Muhamad ,   Department of Management, Faculty of Economics and Business, Sultan Ageng Tirtayasa University, Akhmadi Akhmadi , Gea Albrianco Charisma , Multazam Raihan ,   Department of Management, Faculty of Economics and Business, Sultan Ageng Tirtayasa University,   Department of Management, Faculty of Economics and Business, Sultan Ageng Tirtayasa University,   Department of Management, Faculty of Economics and Business, Sultan Ageng Tirtayasa University
Published: July 2024

This This study aims to analyze the effect of leverage on firm value by considering the mediating role of profitability in consumer non-cyclicals sector companies listed on the Indonesia Stock Exchange during the 2018-2022 period. The population of this study were all consumer non-cyclicals sector companies listed on the Indonesia Stock Exchange during that period. The number of samples was 10 companies determined through purposive sampling method. The analysis method used is descriptive statistics, Analysis method kausal steps, and hypothesis testing. The results showed that leverage has a positive and significant effect on firm value, leverage has a positive and significant effect on profitability, profitability has a positive and significant effect on firm value, and profitability can mediate the effect of leverage on firm value.
Critical Thinking in Education: Skills and Strategies
Authors: Brahim Dr. Belhad ,   Associate Professor, Department of English Studies Hassan II University, Faculty of Letters and Human Sciences, Mohammedia, Morocco
Published: July 2024

At present, both online and offline lives benefit from the democratization of information. While this, of course, creates several advantages, the question is whether the fast and unlimited access to information leads citizens to be well informed and better equipped to make good use of the information they receive in a time that is characterized by the proliferation of fake news, unethical policy makers, and biased media. The situation requires one to know how to think reasonably, interpret information, make sensible decisions, and solve problems. All along schooling, critical thinking is vital in personal and professional daily life to face present and future challenges. Critical thinking, researchers and specialists agree is neither innate, nor effortless but acquired in a systematic and mobilized way. It is one of “the UN’s 17 Sustainable Development Goals». Before students can become critical thinkers, teachers themselves need to benefit from teacher training opportunities to develop and use critical thinking abilities to ignite and foster students ‘critical thinking as well. In this paper, I will show some effective teaching-learning strategies to develop critical thinking skills and discuss their importance in order to face the multiple changes and challenges of the present and future era.