bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical characteristics and factors associated with death from acute decompensated heart failure
Authors: Ilov N. N. , Boytsov S. A. , Palnikova О. V. , Terentyeva M. G. , Nechepurenko A. A.
Published: June 2023

Aim. To assess the diagnostic significance of clinical indicators and left ventricle ejection fraction (LV EF) for predicting the probability of death from acute decompensated heart failure (ADHF) in patients with chronic heart failure with a reduced LV EF (HFrEF) within one year after implantation of cardioverter defibrillator (ICD).

Methods. The study included 384 patients with heart failure NYHA 3-4 functional class with LV EF ≤ 35%, undergoing ICD implantation for the purpose of primary prevention of sudden cardiac death. After ICD implantation the patients included in the study were prospectively observed during one year (visits to the clinic after 3, 6, 12 months). The primary end point - a case of ADHF was registered.

Results. In a one-year observation, the primary endpoint was recorded in 38 patients (10 per cent). Single factor logistic regression analysis showed 5 factors with the greatest predictive potential (p<0.1), related to the occurrence of the investigated endpoint. These included: history of arterial hypertension (AH) and obesity, LV EF based on the biplane Simpson’s method, LV EF ≤ 28% and systolic blood pressure. Based on the results of the multi-factor regression analysis, a predictive model was developed, which included three factors with the highest levels of statistical significance: the presence of AH, obesity and LV EF ≤ 28%. The diagnostic efficiency of the model was 69.5% (sensitivity 78.9%; specificity 68.5%).

Conclusion. The results of the research indicate that the main predictor of one-year mortality due to ADHF in the studied cohort of HFrEF patients with NYHA class 3-4 is LV EF ≤ 28%. The presence in the history of AH and obesity was associated with the best prognosis for life.
Baroreflex activity change after pulmonary vein isolation in patients with atrial fibrillation
Authors: Gorev M. V. , Nardaia Sh. G. , Petelko S. V. , Makarycheva O. V. , Gaidukova N. A. , Sergeeva O. A. , Rzaev F. G.
Published: June 2023

Aim. To study the intraprocedural changes in baroreflex activity after catheter pulmonary vein isolation in paroxysmal atrial fibrillation patients.

Methods. From October 2021 to June 2022, sinus rhythm was registered at the start of procedure in 21 patients with paroxysmal atrial fibrillation admitted for catheter pulmonary vein isolation. Patients before and after procedure were tested with phenylephrine. Pre- and postoperative baroreflex activity and sinus rhythm rate were analyzed.

Results. After catheter pulmonary vein isolation, the baroreflex activity decreased from 5.8 [3.5; 11.3] ms/mmHg to 0.3 [-0.1; 1.8] ms/mmHg, р<0.001, based on systolic arterial pressure, and from 9.5 [5.1; 15.5] ms/mmHg to 0.6 [0; 7.6] ms/mmHg, p=0.033, based on diastolic arterial pressure.

Conclusion. Intraprocedural phenylephrine test allows to study the baroreflex activity changes and to assess the modification of cardiac autonomic innervation.
Device-related thrombus after left atrial appendage occlusion in patients with atrial fibrillation: a prospective follow-up
Authors: Pevzner D. V. , Omarov Y. A. , Merkulova I. A. , Yavelov I. S. , Komarov A. L. , Ganyukov V. I.
Published: June 2023

Aim. To study the incidence, predictors, and clinical outcome of device-related thrombus (DRT) after left atrial appendage occlusion (LAAO) in patients with atrial fibrillation (AF).

Methods. A prospective observational study included 120 patients with non-valvular AF who underwent LAAO with Watchman (n=92) and Amplatzer Amulet (n=28). The presence of device-related thrombus (DRT) was assessed at visits 45 days, 6 months, 1 year, 2 years, 3 years after implantation by transesophageal echocardiography.

Results. A total of 11 (9.2%) patients had DRT during the follow-up period. The greatest number of thrombosis was observed after 45 days (n=4) and after 6 months (n=4). There was no significant difference in the incidence of DRT between device types. Independent predictors of thrombosis were: history of myocardial infarction (hazard ratio (HR) 12.88 [95% confidence interval (CI) 3.21-51.62]; p<0.001), chronic heart failure (HR 8.83 [95% CI 1.91-40.77]; p=0.005), residual leak size >5 mm in the early postoperative period (HR 6.13 [95% CI 2.53-14.86]; p<0.001) and the degree of spontaneous echo contrast during the initial examination (HR 9.09 [95% CI 1.36-60.58], p=0.023). There were no cases of thromboembolic complications associated with DRT. One patient developed a non-fatal stroke at 35 weeks of follow-up, while DRT was detected at the visit at the end of the 3rd year of follow-up.

Conclusion. DRT after LAAO was observed in the early and long-term follow-up periods. This event was associated with the baseline patients’ characteristics and post-procedural aspects with no dependence on type of antithrombotic therapy.
Extended catheter ablation with minimal fluoroscopy in a patient with atrial fibrillation and atrial flutter and heart failure
Authors: Ardus D. F. , Uskach T. M. , Sapelnikov O. V. , Akchurin R. S.
Published: June 2023

Current clinical case demonstrates the catheter treatment of longstanding persistent atrial fibrillation and atrial flutter without the use of fluoroscopy in patient with chronic heart failure. The effect on the parameters of heart remodeling, as well as the dynamics of NT-proBNP after 6 months of follow-up is demonstrated.
Focal activity in atrial fibrillation: state of the art
Authors: Aleksandrova I. S. , Chapurnykh A. V.
Published: June 2023

Focal activity is one of the dominant triggers of atrial fibrillation. Its activity is revealed in paroxysmal as well as in persistent patterns of arrhythmia. Starting as a trigger of atrial fibrillation in pulmonary veins, over time with increasing of burden of atrial fibrillation, focal activity is more and more revealed out of pulmonary veins: anterior and posterior left atrial walls, interatrial septum, coronary sinus, ligament of Marshal and right atrium. Diagnostics of focal activity is a challenging clinical task despite implementation of mathematical algorithms of electrogram analysis because of its spatial instability and activation direction of the mapping electrode. All these items are discussed in the article.
Scale of local magnitudes ML for earthquakes in the Terek-Caspian trough
Authors: Dyagilev R.A. , Gabsatarova I.P. , Selivanova E.A.
Published: June 2023

A scale (calibration function) to determine the local magnitude ML of earthquakes with epicenters in the central part of the Terek-Caspian trough has been developed. The scale is based on a formula that takes into account attenuation and geometric divergence with distance for the maximum amplitudes of the simulated recordings of the short-period Wood-Anderson instrument. To calculate it, a sample of 64 earthquakes that occurred in 2020–2022, during the period of activation in the Black Mountains in the Chechen Republic, was compiled. Earthquakes were recorded by 58 stations in the distance range of 25–526 km, located around the epicenters in various geological and tectonic area. The Magscale program developed at the GS RAS based on methodological recommendations set out in the New Manual for Observatory Practice (NMSOP) was used for the calculation. The values of the coefficients of the equation, which characterize the attenuation in the crust and upper mantle, are obtained. The station corrections are calculated. Their use made it possible to reduce the scale deviations from ±0.26 to ±0.15. The areal distribution of residuals probably reflects the geological features of the area.
Comparison of earthquake classification systems in local magnitudes ML in some regions of Northern Eurasia
Authors: Petrova N.V. , Kurova A.D.
Published: June 2023

The ML local magnitudes of the earthquakes of Armenia, Azerbaijan, the Arctic and the Baltic Shield (KOGSR and FCIAR station networks), the Urals and Altai and Sayan were analyzed. The regional dependences of ML on the mbISC “external” magnitude are established. It is shown that the magnitudes ML of weak and moderate seismic events registered by the seismic stations of these regions, with the exception of Altai and Sayan, are close at the same mbISC both among themselves and to ML according to the NAO, HEL, DDA, TEH networks of neighboring countries. For all regions, except for Altai and Sayan, a general dependence is established in the form: MLav=1.06⋅mbISC–0.34. A significant overestimation of the ML of Altai and Sayan earthquakes recorded by the regional network is found relative to other data. For the main group of data, the excess of local magnitudes ML=f(KR) over magnitude M in the known T.G. Rautian ratio, KR=lgE=1.8⋅M+4, by DM=0.2÷0.4 in the magnitude range of ML=1.0÷6.0 is shown. For Altai and Sayan earthquakes, the overestimation of local magnitudes is more significant and should be taken into account when calculating seismic energy using the regional ratio KR=f(ML). In general, magnitudes in the ratio KR=1.8⋅M+4 for weak and moderate earthquakes are closer to local magnitudes ML, and for strong events with KR>13 (Ms>5.0) – to surface wave magnitudes Ms.
Análise socioeconômica e espacial da bacia hidrográfica do Rio Meia Ponte (GO)
Authors: Santos Patrícia Tinoco , Martins Alécio Perini
Published: June 2023

As análises sistêmicas são de suma importância para a associação dos aspectos socioeconômicos e espaciais na Geografia. O presente estudo teve como objetivo fazer, por meio de geotecnologias, a análise desses aspectos para os 39 municípios abrangidos pela Bacia Hidrográfica do Rio Meia Ponte (BHRMP), no Estado de Goiás, dada a constatação de interferências no equilíbrio dinâmico desse ambiente. Observou-se que as questões socioeconômicas estão ligadas à cobertura e ao uso da terra, o que permite uma associação entre tais elementos. Foi possível constatar que nos municípios de abrangência da BHRMP, entre os anos de 1991 a 2019, a maior parte da área (mais de 70%) foi utilizada para fins agropecuários, evidenciando seu forte potencial econômico nesse segmento. Na BHRMP, neste mesmo período, houve a supressão das formações florestais, que passaram, majoritariamente, a ser áreas de agropecuária. As áreas não vegetadas também tiveram aumento. A sustentabilidade do uso dos recursos da bacia requer ações para a prevenção e a recuperação dos danos ambientais, sendo essa considerada uma unidade fundamental de implantação de áreas destinadas ao uso sustentável ou à conservação do bioma Cerrado.
Lefebvre leitor de Nietzsche
Authors: Fernandes Bruno Siqueira
Published: June 2023

O presente artigo explora a influência da filosofia de Friedrich Nietzsche sobre algumas das obras de Henri Lefebvre. Embora a influência de outros autores, como Hegel e Marx, seja reconhecida pela maior parte da literatura especializada, um balanço crítico da herança nietzschiana sobre as teorias do filósofo francês ainda demanda maior elaboração. Alguns trabalhos recentes revelaram parte dessa influência, focalizando, em particular, as similaridades nos tratamentos dados pelos dois filósofos às temáticas relativas ao Estado, ao Logos, à filosofia, à arte e à linguagem. Neste trabalho, pretendemos explorar, através de um método comparativo, algumas das relações ainda pouco documentadas pela literatura, expondo a centralidade de alguns conceitos nietzschianos para a elaboração da teoria da produção do espaço e da crítica da vida cotidiana, como os de tragédia, metáfora e metonímia. Ao final, espera-se demonstrar que parte da centralidade atribuída a festa e ao corpo nas obras de Henri Lefebvre é tributária de uma perspectiva propriamente nietzschiana.
Novel low-pass two-dimensional Mittag-Leffler filter and its application in image processing
Authors: Petras Ivo
Published: June 2023

This paper presents an innovative Mittag-Leffler two-dimensional filter and its application in the image processing. The proposed filter leverages the utilization of a Mittag-Leffler function within the probability density function. It introduces three adjustable parameters that enable the manipulation of the curve shape and the filter's forgetting factor. Moreover, a two-dimensional Mittag-Leffler distribution was defined and used for the first time in an image filter. By conducting a comparative analysis against conventional filtering techniques, the paper showcases the distinct advantages of the proposed filter through illustrative examples. Additionally, the paper provides detailed implementation explanations and presents the Matlab function corresponding to the proposed two-dimensional filter.
Novel low-pass two-dimensional Mittag-Leffler filter and its application in image processing
Authors: Petras Ivo
Published: June 2023

This express brief presents an innovative Mittag-Leffler two-dimensional filter and its application in the image processing. The proposed filter leverages the utilization of a Mittag-Leffler function within the probability density function. It introduces three adjustable parameters that enable the manipulation of the curve shape and the filter's forgetting factor. Moreover, a two-dimensional Mittag-Leffler distribution was defined and used for the first time in an image filter. By conducting a comparative analysis against conventional filtering techniques, the paper showcases the distinct advantages of the proposed filter through illustrative examples. Additionally, the paper provides detailed implementation explanations and presents the Matlab function corresponding to the proposed two-dimensional filter.
POTENSI INTERAKSI OBAT PASIEN HIPERTENSI DAN DIABETESMELITUS TIPE2 DI INSTALASI RAWAT JALAN RSUD TOTO KABILA
Authors: Meilan Pakaya , Nur Rasdianah , Meli Cahayani Dalu , Madania Madania
Published: June 2023

as
ANALISIS HUBUNGAN ANTARA TINGKAT PENGETAHUAN DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK
Authors: Pande Made Desy Ratnasari , Agustina Nila Yuliawati , Mahadri Dhrik
Published: June 2023

Gagal ginjal kronik (GGK) merupakan suatu penyakit yang memerlukan pengobatan kompleks jangka panjang untuk dapat mempertahankan kondisi dan kualitas hidupnya. Untuk itu diperlukan pengetahuan yang memadai terkait penyakit dan tatalaksana pengobatan. Tujuan penelitian adalah menganalisis hubungan pengetahuan dengan kualitas hidup pasien GGK. Rancangan penelitian berupa cross sectional study. Penelitian dilaksanakan di salah satu RS Swasta Denpasar, Bali yang mengikutsertakan 105 responden pada bulan Mei 2021 menggunakan teknik purposive sampling. Kriteria inklusi meliputi pasien GGK yang rutin menjalani hemodialisis (HD) minimal dua kali seminggu, berusia ≥18 tahun serta bersedia mengisi kuesioner, sedangkan kriteria eksklusi meliputi pasien dalam kondisi lemah, hamil atau menyusui. Data penelitian diperoleh dari pengisian kuesioner pengetahuan (Chronic Kidney Disease Knowledge Questionnaire) dan kualitas hidup (Kidney Disease Quality of Life 36 serta rekam medik pasien. Analisis data terkait hubungan pengetahuan dengan kualitas hidup menggunakan uji Spearman Rho. Diperoleh hasil penelitian yaitu sebagian besar pasien berjenis kelamin laki-laki (66,7%), berusia <60 tahun (77,1%), mengalami GGK <3 tahun (70,5%), tingkat pendidikan SMA (36,2%), tidak bekerja (>50,5%), mengalami komplikasi (76,2%) dan memperoleh 5 obat (66,67%). Rata-rata tingkat pengetahuan pasien dalam kategori sedang (18,233,54). Rata-rata nilai kualitas hidup >60 pada dimensi gejala yang dialami, efek terkait GGK dan kesehatan mental, sedangkan <60 pada dimensi beban penyakit dan kesehatan fisik. Meskipun demikian, terdapat hubungan signifikan dan positif antara tingkat pengetahuan dengan kualitas hidup pada dimensi gejala yang dialami (p=0,003;r=0,285) dan kesehatan fisik (p=0,007;r=0,261). Pasien dengan pengetahuan yang lebih baik menunjukkan nilai kualitas hidup yang semakin baik pula.
IDENTIFIKASI DAN ANALISIS SIDIK JARI DAUN KATUK DARI LIMA DAERAH DI JAWA BARAT MENGGUNAKAN SPEKTROSKOPI FTIR DAN KEMOMETRIK
Authors: Winasih Rachmawati , Deden Indra Dinata , Nurmala Sari
Published: June 2023

Katuk merupakan salah satu tanaman yang daunnya digunakan sebagai obat herbal di Indonesia. Proses budidaya tanaman obat di berbagai daerah dapat mempengaruhi kualitas kandungan di dalamnya. Pengendalian mutu tanaman obat dapat dilakukan dengan cara menentukan sidik jari tumbuhan menggunakan pendekatan kemometrik. Tujuan dari penelitian ini adalah untuk mengetahui karakteristik daun katuk dari lima daerah di wilayah Jawa Barat menggunakan metode spektroskopi Fourier Transform Infrared (FTIR) yang dikombinasikan dengan Principal Component Analysis (PCA). Tahapan penelitian meliputi pengumpulan sampel dari lima daerah yaitu Bandung, Sumedang, Bogor, Sukabumi dan Tasikmalaya, kemudian sampel diekstraksi menggunakan etanol 96%. Ekstrak tersebut dianalisis menggunakan FTIR pada rentang bilangan gelombang 4000-650 cm-1. Spektrum FTIR sampel diberi perlakuan pendahuluan seperti smoothing, derivate dan baseline terlebih dahulu sebelum dianalisis dengan PCA. Hasil penelitian menunjukkan spektrum FTIR yang relatif sama dari lima jenis sampel. Sampel dari kelompok 1 (Sumedang, Bogor) dan kelompok 2 (Sukabumi dan Bandung) menunjukkan hubungan yang erat pada skor plot PCA, sedangkan Tasikmalaya dikelompokkan ke dalam kelompok lain. Analisis diskriminan dapat mengklasifikasikan daun katuk menurut jenis varietasnya. Metode yang dikembangkan ini cocok untuk identifikasi dan autentikasi daun katuk.
Efeitos do treinamento resistido na redução do percentual de gordura corporal em adultos: uma revisão de literatura
Authors: Grahl Gracieli , Noamann Jahn Thobias , Nunes Renan Hartmann , Flores Lucinar Jupir Forner
Published: June 2023

O presente estudo caracterizou-se como uma pesquisa bibliográfica e teve por objetivo verificar na literatura atual os efeitos do treinamento resistido (TR) /musculação na redução do percentual de gordura corporal em adultos com sobrepeso ou obesidade. Para tanto, foram apresentados também os aspectos teóricos, práticos e características do TR, bem como verificar se o TR produz efeitos sobre fatores como percentual de gordura corporal, massa corporal e massa magra. Verificou-se que o TR vem ganhando credibilidade por parte da população, sendo indicado para os mais variados públicos com os mais variados objetivos. Desta forma, têm-se estudado sua indicação no tratamento da obesidade e do sobrepeso, pois ao elevar o aumento do metabolismo de repouso e do aumento da massa corporal magra, têm se a probabilidade de diminuição do percentual de gordura corporal. Portando, infere-se que o TR se apresenta como uma boa alternativa para programas de exercícios físicos com objetivo de controle do sobrepeso e a obesidade, apresentando-se tanto na prevenção destas situações quanto no seu tratamento, pois alterou o percentual de gordura corporal de forma benéfica, na literatura analisada.AbstractThe present study was characterized as a literature and aimed at assessing the current literature about the effects of resistance training (RT) / weight in reducing body fat percentage in adults with overweight or obesity. Thus, we also presented the theoretical aspects, and practical features of the RT and verify that the effect of RT factors such as body fat percentage, body mass and lean mass. It was found that the RT, being nominated for various stakeholders with different objectives. Thus, they have been studying its indication in the treatment of obesity and overweight, because to raise the increase in resting metabolism and increase lean body mass, is likely to have decreased body fat percentage. Porting, it is inferred that the RT is presented as a good alternative to physical exercise programs in order to control overweight and obesity, presenting both preventing these situations and in their treatment changed because the percentage of body fat beneficial, the literature analyzed.
A importância da autoria nas produções científicas
Authors: Nunes Ana Flávia Silva , Pessoa Daniella da Silva , Dias Ícaro Kelvin Botelho , Silva Julie Hernandes Cussi Assunção e , Reis Marina Gonçalves dos , Fazolino Nicolle Esselin Lazarini , Bruno Renata Rodrigues , Oliveira Renner Alves de , Marçal Wendell Giroldo , Aquino Rafael Lemes de
Published: June 2023

Introdução: As produções e publicações científicas desempenham um papel fundamental para avanço do conhecimento e desenvolvimento científico, elas resultam de pesquisas e estudos realizados por cientistas, acadêmicos e especialistas em diversas áreas do conhecimento, atribuindo-os à autoria de acordo com suas contribuições. Objetivo: Realizar uma revisão de literatura com o intuito de investigar os elementos de autoria e colaboração em produções científicas e seus instrumentos de identificação. Material e Método: Foi realizada uma busca na literatura atual, pertinente ao assunto pesquisado tendo como arcabouço metodológico as recomendações para a conduta, relatórios, rdição e publicação de trabalho acadêmico em revistas médicas do Comitê Internacional de editores de revistas médicas (ICMJE). Revisão de Literatura: Atualmente algumas revistas e periódicos utilizam campos específicos em suas publicações para descrever a contribuição de cada autor. Destaca-se que a identidade da produção científica está estreitamente ligada ao pesquisador e à instituição à qual ele pertence. A afiliação institucional é um requisito importante considerado pelos órgãos responsáveis pela avaliação da produtividade científica de instituições de ensino e pesquisa. A Plataforma Lattes tem atraído cada vez mais indivíduos que registram informações sobre suas atividades profissionais, acadêmicas e de pesquisa, apresentando-se como uma fonte extremamente rica e confiável de informações que podem revelar a forma como a pesquisa científica brasileira está sendo conduzida nas diversas áreas do conhecimento. Considerações Finais: Os elementos de autoria e suas atribuições são essenciais no processo de elaboração de um artigo científico. São esses instrumentos que irão garantir qualidade, integridade e a transparência do trabalho, bem como a identificação, o reconhecimento e a validação dos autores e de suas contribuições científicas.
Comparison Between Platelet Count and Hematocrit Levels in Primary and Secondary Dengue Hemorrhagic Fever Infection
Authors: Oscar Jennifer , Ciptono Freddy
Published: June 2023

Background: Dengue hemorrhagic fever is an infectious ailment that exhibits a significantly elevated incidence rate in Indonesia. Dengue hemorrhagic fever can be classified into primary and secondary infection, where the secondary infection tends to cause more severe clinical manifestations. Hematocrit and platelet count are essential parameters observed in dengue hemorrhagic fever. This study aimed to analysed the existence of statistically significant differences in the level of hematocrit and platelet count between primary and secondary dengue hemorrhagic fever infections.
Methods: This study applied analytical observational cohort design with 60 samples in the form of medical record and laboratory data of hematocrit level and platelet count from patients diagnosed with dengue hemorrhagic fever.
Results: The results reveal significant differences in hematocrit and platelet values between primary and secondary DHF infection. Hematocrit value arises 2.73% higher (p = 0.043) and the platelet count drops 50,500/μl lower (p = 0.00) in secondary dengue hemorrhagic fever infection.
Conclusions: Significant differences of hematocrit and platelet values were found between primary and secondary dengue hemorrhagic infection. Clinicians should increase wary of secondary dengue hemorrhagic fever infected patients due to more severe clinical manifestations.
Relationship Between The Health Centre Service Quality And Facilities With Inpatients Loyalty
Authors: Mulyani Sri , Akbar Muhammad Ikhsan
Published: June 2023

Background : The quality of services and facilities at the health centre which are still very limited have resulted in complaints that are often heard from health service users in the form of low loyalty to the health services provided which can lead to a decrease in the number of visits over time. The purpose of this study was to determine the relationship between quality of service and facilities at the health centre with inpatient loyalty
Methods: The type of research used is quantitative research with a Cross Sectional Study design. The population in this study were all patients who had been hospitalized at the health centre, with a total sample of 95 patients selected using a simple random sampling technique.
Results: The results of the bivariate analysis showed that the patient's perceived low loyalty was 17( 29.82 % )in patients with poor reliability assessment, 27 ( 47.37 %) in patients with poor responsiveness, 9 ( 33.33 %) in patients with poor attention and23 ( 40.35 %) in patients who felt that the health centre facilities were lacking. The results of statistical tests using the Chi-Square test obtained a significance value that was lower than the alpha value so that it could be concluded that the variables of reliability, responsiveness, attention, health center facilities had an effect on inpatient loyalty with the value of each p- value: 0.000; 0.020; 0.031; 0.049.
Conclusion: This study proves that the reliability, responsiveness, attention and facilities of the health centre are related to inpatient loyalty. There needs to be a policy by the service provider, in this case, the manager of the Health centre staff in improving the quality of health centre services.
Influence of Management-Based Leadership on Improving to Human Resource Performance in Konawe District Health Center
Authors: Azlimin Azlimin , Rasak Adriatman , Aprianto Apriyanto
Published: June 2023

Background: Some health program in the Konawe District Health  centres has not  reached the national target including the percentage coverage of K4 maternal health (67.04%) compared to the target (90%), and  exclusive breastfeeding for infants aged 0-6 months has reached 65.69% compared  the target of 85%. The purpose of this study was to determine the influence of management-based leadership in the Konawe District Health Centere.
Methods: The research method usedexploratory research that emphasizes aspects of influence between research variables with hypothetical tests and the description contains descriptions this focuses solely on the influence of variables.
Results: This studyshow that Leadership has a positive and significant effect on the Management Function. The direction of influence of this relationship is positive which means that the better the leadership, the implementation of management functions will also be better,Leadership has a positive and significant effect on HR Performance. The direction of influence of this relationship is positive which means that the better the leadership, the better the HR performance produced and the Management Function has a positive and significant effect on HR Performance.The direction of influence of this relationship is positive which means that the better the management function, thebetter the HR performance produced will also be better.
Conclusion: leadership has a positive and significant effect on the management function, leadership has a positive and significant effect on HR performance and Management function has a positive and significant effect on HR Performance.
Efeito da discretização espacial da sub-bacia nos resultados do modelo hidrológico chuva-vazão
Authors: da Silveira Neto José Paulo , Holanda de Castro Marco Aurélio , Barbosa Monteiro Cristiane , Ernando da Silva Carlos , de Araújo Bezerra Alessandro
Published: June 2023

Há uma escassez notável de estudos que avaliem a influência da discretização espacial da bacia hidrográfica sobre a performance do modelo hidrológico do NRCS. Nesse contexto, este trabalho objetiva determinar a influência da discretização em microbacias sobre o cálculo das vazões máximas, pelo modelo chuva-vazão do NRCS, e sobre o volume máximo de um reservatório de detenção, por meio de um estudo aplicado a uma sub-bacia localizada em Teresina-PI. Cinco cenários de discretização foram analisados, dividindo a sub-bacia em 2, 4, 8, 15 e 32 microbacias. A propagação dos hidrogramas foi realizada por meio do modelo da onda dinâmica no SWMM. Os hidrogramas resultantes, as vazões máximas e os volumes máximos do reservatório de detenção para cada nível de discretização foram comparados. As simulações com o maior grau de discretização resultaram nos menores picos de vazão e nos menores volumes máximos. Essa relação, no entanto, não foi contínua e foi influenciada por outros parâmetros.
Palavras-chave: NRCS. SWMM. Discretização Espacial. Hidrogramas. Reservatório de Detenção.
Estratégias e oportunidades de ação para adoção de manejo sustentável de águas pluviais urbanas no Brasil
Authors: Floriano Vasconcelos Anaí , Nóbrega dos Santos Maria Fernanda , Paceli Barbassa Ademir
Published: June 2023

O manejo sustentável de águas pluviais urbanas (SUSM) possui vantagens sobre a drenagem convencional, mas a sua adoção no Brasil é incipiente. O conhecimento das barreiras à adoção de SUSM e das soluções disponíveis para a sua transposição é essencial para o seu avanço. Neste sentido, este artigo apresenta uma análise da aplicabilidade de soluções adotadas em outros locais para transposição das principais barreiras ao SUSM do Brasil. Foram identificadas 7 barreiras e analisadas 8 estratégias de solução e 80 medidas de implantação para a sua transposição. A aplicabilidade das estratégias/medidas foi avaliada por meio de entrevistas com profissionais de seis prefeituras. Como resultado, recomendam-se 11 estratégias/medidas mais fáceis de serem adotadas e com maiores benefícios para transposição das barreiras. Essas estratégias/medidas foram avaliadas como oportunidades de ação e devem ser consideradas ao se planejar uma mudança de paradigma no manejo de águas pluviais urbanas no Brasil.
Palavras-chave: Manejo sustentável de águas pluviais urbanas. Drenagem urbana sustentável. Brasil. Desafios. Estratégias.
Potencial de geração de biocombustíveis e biorremediação de microalgas cultivadas em efluente doméstico tratado
Authors: Júnior Silva Soares Emanuel , Myrna de Meneses e Costa Amanda , Ferreira Silva Natálya , Brito dos Santos Whelton , Santos de Almeida Lopes Thiago , Cibely Oliveira  de Sousa Lyanne , Brasileiro Ferreira Weruska
Published: June 2023

A presente pesquisa objetivou verificar o potencial de produção de biocombustível e capacidade de biorremediação das microalgas Chlorella vulgaris, Scenedesmus acuminatus e Dunaliella tertiolecta BUTCHER cultivadas em efluente doméstico tratado por Reator Anaeróbio de Fluxo Ascendente (UASB). Foram realizados cultivos com variação de exposição luminosa e pH; posteriormente, fez-se suplementação com efluente de reator UASB. Constatou-se melhor desenvolvimento celular em meios alcalinos e com elevada exposição à luz, porém não houve diferença significativa em termos de produtividade de biomassa. Nos cultivos suplementados, a C. vulgaris obteve remoção de 62,95% de DQO, teor de lipídios de 18,14% e maior produtividade média. A S. acuminatus promoveu remoção de 32,80% de DQO e teor lipídico de 10,42%. Por seu turno, a D. tertiolecta BUTCHER evidenciou inadaptabilidade ao meio. Em relação ao potencial de biorremediação, não foi verificada diferença significativa entre as espécies.
Palavras-chave: Chlorella vulgaris. Scenedesmus acuminatus. Dunaliella tertiolecta BUTCHER. Lipídios. Efluente de reator UASB. Remoção de carga orgânica.
Overview sobre a estrutura legal e administrativa do reúso no Brasil
Authors: Karine Gabriel Cunha Giulliana , Félix Pereira Sansara , Sousa Araujo Amanda , Lucas dos Santos Silvânia , Delgado Tinoco Juliana
Published: June 2023

A crescente demanda de consumo de água gera estresse sobre os recursos hídricos disponíveis, sendo necessária a busca por soluções que auxiliem no equilíbrio entre a oferta e demanda de água. Assim, uma das principais possibilidades para mitigar a escassez hídrica e promover a gestão sustentável dos recursos hídricos é a recuperação e reutilização de águas residuárias. No Brasil, apesar de haver várias aplicações de reúso, ainda há condições consideradas limitantes para o avanço dessas práticas. Nesse contexto, esta revisão identifica o arcabouço legal, a aceitação social e os incentivos econômicos como os principais obstáculos relacionados ao reúso de efluentes tratados no Brasil e apresenta as possíveis soluções para contornar esses fatores. Por fim, são apresentadas perspectivas e recomendações que visam à expansão dos sistemas de reúso no país.
Palavras-chave: Esgoto. Legislação. Custos. Aceitação pública.
Allergic rhinitis masks: Nasal polyposis in two preschool children
Authors: Macharadze Dali Sh. , Popadiuk Valentin I.
Published: June 2023

Nasal symptoms such as nasal congestion, rhinorrhea, and cough are especially common in children. Despite symptomatic treatment (various nasal sprays, physiotherapy, antibiotics and topical glucocorticosteroids), nasal congestion can persist for a long time. In such cases, several diseases are most likely: adenoids, allergic rhinitis, various anomalies in the structure of intranasal structures and sinuses (for example, curvature of the nasal septum), rhinosinusitis (acute, subacute). If a child has two main symptoms ― congestion and discharge from the nose ― and such additional symptoms as a headache with predominant localization in the paranasal sinuses and a deterioration in smell (possibly also the taste of food) for more than 3 months, it is necessary to exclude the diagnosis of chronic rhinosinusitis, which can be combined with a nasal polyp.
The purpose of this article is to analyze clinical cases of chronic rhinosinusitis with nasal polyp in two preschool children, including one of them with intolerance to non-steroidal anti-inflammatory drugs, and to raise physicians' awareness of this nosology.
In children with symptoms such as prolonged nasal congestion, rhinorrhea, possibly impaired sense of smell, headache, intolerance to non-steroidal anti-inflammatory drugs, in the absence of sensitization and immunodeficiency, a computed tomography scan of the paranasal sinuses is recommended to exclude nasal polyp.
MODIFIED ASSESSMENT OF NEUROLOGICAL AND NEUROPSYCHOLOGICAL DEFICIT IN PATIENTS WITH CHRONIC CEREBRAL ISCHEMIA AND COMORBIDITY
Authors: Chernii Tatiana V. , Cherniy Volodymyr I. , Fokina Daria О.
Published: June 2023

The aim: To develop and test the scale of the modified assessment of neurological and neuropsychological deficits (MANND), which would include data on neurological status, higher cortical function disorders, and emotional disorders.
Materials and methods: A clinical-neurological and neuropsychological examination was carried out based on the data of a fragment of a scientific study - a comprehensive study: “Improving patient-oriented approaches to the treatment of patients with cardiovascular and cerebrovascular diseases and comorbid conditions.”
Results: The Modified Assessment of Neurological and Neuropsychological Deficits is a neurological symptom assessment scale designed specifically for patients with chronic cerebral ischemia. It takes into account quantitative changes in the neurological status, namely, damage to the pyramidal, sensory, extrapyramidal, coordinating systems, damage to the cranial nerves, and the most common neurological syndromes, such as cephalic, asthenic, and higher cortical function disorders. This scale is a sensitive comprehensive method for assessing the severity of neurological and neuropsychological deficits, in contrast to existing scales for the isolated assessment of focal neurological symptoms (motor deficits, cognitive disorders or disorders of the emotional sphere).
Conclusions: The modified assessment of neurological and neuropsychological deficits can be recommended both for use in clinical practice and for conducting scientific research, as a unique quantitative scale developed taking into account all the features of a wide spectrum of neurological pathology in patients with chronic brain ischemia.
THE MANAGEMENT OF THE VICTIMS WITH GUNSHOT WOUNDS OF THE EXTREMITIES WITH EXTENSIVE DEFECTS OF THE SOFT TISSUES AT THE LEVEL OF QUALIFIED MEDICAL CARE. CASE-SERIES
Authors: Ponomarenko Olena V. , Pysanko Victor V. , Mialkovskyi Dmytro S. , Tkachuk Dmytro V.
Published: June 2023

The aim: To highlight the original experience of diagnosis and treatment of patients with gunshot wounds of the extremities with extensive defects of the soft tissues.
Materials and methods: The total number of treated patients with massive gunshot wounds from February 2022 to March 2023 was 60 males. Basic labo¬ratory tests, X-rays of the affected limbs were performed to all patients. USS of the vessels with color Doppler was performed to those casualties who had no peripheral pulses on the wounded extremity. All injured persons underwent wound debridement and fasciotomy on the day of admission, 8 more casualties underwent surgical interventions on the major vessels and nerves.
Results: Good treatment outcomes for patients with extensive soft tissue injury were achieved by early surgical intervention to remove non-viable tissue. Limb preservation was achieved in 98.3% of cases.
Conclusions: The study’s conclusion emphasizes the importance of a multidisciplinary approach to treating patients with gunshot wounds to the limbs with extensive soft tissue injury. Early surgical interventions with the removal of non-viable tissues are necessary for good outcomes. Revascularization of the affected limb is essential in case of major vessel injury if there is no thread to the life.
ASSESSMENT OF THE EFFICIENCY OF ANALGETIC ACTION OF LAPAROSCOPICALLY ASSISTED TAP BLOCK AS A COMPONENT OF PERIOPERATIVE MULTIMODAL ANALGESIA PLAN IN OBESE PATIENTS UNDERGOING METABOLIC SURGERY
Authors: Todurov Ivan M. , Perekhrestenko Oleksandr V. , Kosiukhno Sergii V. , Yevsieieva Viktoriia V. , Lisun Yurii B.
Published: June 2023

The aim: To assess the effectiveness and feasibility of laparoscopically assisted TAP block utilization in the system of multimodal analgesia by comparing the severity of pain and associated postoperative recovery indicators in obese patients after laparoscopic sleeve gastrectomy
Materials and methods: The retrospective study included 39 patients, who underwent metabolic surgery from 2013-2022. All patients were divided into 2 groups depending on the chosen perioperative analgesia protocol. Group 1 included 19 patients who prior to skin incision a local infiltration of the trocar puncture areas of the abdominal wall. Group 2 included 20 patients, whom in addition to the above-described anaesthesia procedure after completion of the main stage of surgery, a laparoscopically assisted bilateral subcostal TAP block was additionally performed
Results: The need to use opioid analgesics in the rescue analgesia mode arose in 17.6% (3/17) of patients of the first group, and 5% (1/20) of patients in the second group Average duration of postoperative hospitalization in group 1 was 7.2±1.1 days, and in group 2 it was 6.2±1.4 days (P <0.05).
Conclusions: Subcostal TAP block in obese patients is a safe and effective method of regional anaesthesia. Further study of this option of regional anaesthesia is required in order to be able to form clearer recommendations for its routine use in clinical practice.
PSYCHOLOGICAL FACTORS OF STUDENTS’ VITALITY DURING THE WAR IN UKRAINE
Authors: Vasheka Tetiana V. , Lych Oksana M. , Palamar Borys I. , Palamar Svitlana P. , Zhelanova Victoria V. , Safir Tetiana Yu. , Kurdil Natalia V.
Published: June 2023

The aim: A theoretical analysis of the problem of the hardiness of a person who suddenly found himself in extreme conditions and an empirical study of his individual and psychological factors that contribute to the strengthening of this personal characteristic and mobilize the internal reserve of student youth.
Materials and methods: The following psychodiagnostic methods were used in the empirical study: “Methodology for the diagnosis of hardiness” by S. Muddy, “Test for the diagnosis of properties of the nervous system” by Y. Strelyau, “Methodology for the diagnosis of character accentuations” by K. Leonhard, “Mini-Mult Test”, “Psychological Stress Scale”, “Coping Behavior Questionnaire” by R. Lazarus, S. Folkman, “Test of Meaningful Life Orientations” by D. Leontiev, Life orientation test C. Scheyer, M. Carver. The study was conducted from September 2022 to January 2023.
Results: It was established a direct connection of hardiness with a strong and mobile nervous system, hyperthymic and demonstrative accentuations of character. Inversely related to hardiness are pedantic, unbalanced, dysthymic, and exalted accentuations of character, all personality disorders. People with a high level of hardiness are characterized by expressed optimism, the meaningfulness of life, and the use of adaptive coping strategies.
Conclusions: The study showed the high importance of hardiness for the full functioning of student youth during martial law and its conditioning by the properties of the nervous system and individual psychological characteristics. This emphasizes the need for making efforts to increase their level of vitality.
SOME ASPECTS OF THE IMPLEMENTATION OF CORPORATE SOCIAL RESPONSIBILITY (CSR) OF LARGE INDUSTRIAL ENTERPRISES IN SINGLE-INDUSTRY TOWNS OF THE MURMANSK REGION
Authors:   Luzin Institute for Economic Studies – Subdivision of the Federal Research Centre “Kola Science Centre of the Russian Academy of Sciences”, Apatity, Russia, Svinin S. V.
Published: June 2023

The article analyzes the aspects of CSR implementation of large industrial enterprises in single- industry towns of the Murmansk region. The development of single-industry cities significantly depends on the specifics of the implementation of social corporate responsibility programs of large city-forming enterprises. For this reason, the municipal authorities of single-industry towns are trying to use both the tools at their disposal for the socio-economic development of cities, and actively involve the city-forming business in this process. One of the directions of socio-economic development of single-industry towns is to increase the contribution of city-forming companies to the development of territories, for example, through the implementation of social programs and projects that contribute to economic and infrastructural development, promotion of employment of the local population in those single-industry towns in which they carry out their activities. In this regard, within the framework of this study on the example of two single-industry towns of the Murmansk region analyzed some aspects of the CSR implementation of two large companies PhosAgro and MMC Norilsk Nickel. It is determined that there are aspects that affect the implementation of CSR of large industrial enterprises in single-industry towns, which are partly determined by the likelihood of negative situations in the country and abroad, affecting the deterioration of financial and economic indicators of companies, reduction in production due to shutdown, etc. These aspects have a significant impact on the level of socio-economic development of single-industry cities. Thus, the efforts of large industrial companies should be directed to the implementation of activities carried out within the framework of their CSR in single-industry towns, taking into account the validity of decisions taken in terms of their investment policy.
Development of Telugu Language Software’s
Authors: D Madhusudana Prakasa Rao
Published: June 2023

In the olden days initiation of literacy was done by making the child write ‘om namaha’ with his right finger in the sand. Later slates and slate pencils took their place. Today there is no need for either slates or books and we have digital methods for the same thing. If one just switches on the computer it shows how to write om namaha and we also hear a melodious voice saying om namaha. This is the way to teach lessons with the help of multimedia in today’s technological world. In the previous days for a marriage invitation card various blocks were manually arranged, proofreading was done and then the invitation card was printed. But today there are beautiful fonts like potana and srilipi and they have changed the field of printing as never before. Today there are various fonts that support various software, the anusaraka translation machine which helps in translation, E- Dictionary and spell checkers to know the spelling mistakes, Telugu searching to browse various things on the Internet, Telugu bloggers for various reviews, and Encyclopedia have also become available. The work done by C- DOC, Modular InfoTech, IIIT, and Hyderabad Central University is highly commendable in the development of this software.
İthalatta Korumacılığın Ekonomik Büyüme Üzerindeki Etkileri: Panel ARDL Yaklaşımı
Authors: SARIHAN Ahmed Yusuf , BAYIR Musa
Published: June 2023

Uluslararası ticaret küresel düzeyde pek çok devletin taraf ve üye olduğu anlaşma ve örgütler aracılığıyla daha serbest hale getirilmeye çalışılmaktadır. Mal ve hizmet piyasalarının adeta devlet sınırları yokmuş gibi bütünleştirilme çabaları birbirinden farklı ekonomik entegrasyonlar içerisinde görülebilmektedir. Öte yandan dış ticaret politikalarının serbestleştirilmesi de çoğunlukla ülkelerin çıkarlarına hizmet etmemekte ve korumacılık önlemlerine sıklıkla başvurulduğu gözlemlenmektedir. Her ne kadar uluslararası ticari örgütler bu müdahalelere onay vermese de devletlerin korumacı politikalar kullanarak temelde kendi refahlarını artırmayı amaçladığını söylemek doğru olacaktır. Bu araştırmanın amacı, her ne sebeple olursa olsun ithalat politikalarında başvurulan korumacı uygulamaların ekonomik büyüme üzerinde etkisi olup olmadığının ortaya konulmasıdır. Araştırma amacına hizmet etmesi için ticari mal ithalatında kullanılan vergi oranları ile Gayri Safi Yurt İçi Hâsıla (GSYİH) temel değişkenleri belirlenerek 56 ülkeyi kapsayan bir model oluşturulmuş ve Panel ARDL yöntemi ile analiz gerçekleştirilmiştir. Analiz sonuçlarına bakıldığında korumacılık önlemi olarak ele alınan gümrük vergi oranlarındaki artışın uzun dönemde ekonomik büyümeyi negatif etkilediği görülmektedir. Ürün grupları üzerinde uygulanan vergi oranlarının ekonomik büyüme üzerindeki detaylı etkilerine çalışmada yer verilmiştir.
Hem Felaket Hem İmkân: Beckçi Bir Risk Olarak Ekolojik Kriz ve İklim Mülteciliği
Authors: ERAYMAN İbrahim Oğulcan , ÇAĞLAR Ahmed Burak
Published: June 2023

Bu çalışma, Beckçi ‟Risk Toplumu” konseptinin, genelde ekolojik kriz özelde ise iklim mülteciliği meselelerine karşı önemli imkânlar barındıran bir teorik arka plan sağladığını gösterme amacıyla yazılmıştır. Çalışma kapsamında bu temel amaç doğrultusunda iki ana meseleye odaklanılmıştır. Bunlardan ilki olarak, Beckçi kuramsal çerçevede merkezi bir yeri olduğunu düşündüğümüz ekolojik risklerin risk toplumu kategorileri etrafında genel bir değerlendirilmesi yapılmaya çalışılmıştır. İkinci olarak ise, Beckçi çerçeveden genelde iklim krizinin, özeldeyse iklim mülteciliğinin, küresel risklere karşı ne gibi yeni imkânlar ve alanlar açabileceği sorgulanmaya çalışılmıştır. Çalışma bu ana tartışmalar etrafında, iklim krizine ve iklim mülteciliğine yönelik gelecek yıllarda iki birbirinden taban tabana zıt yaklaşımın eşanlı olarak bir arada bulunabileceği sonucuna ulaşmıştır: İlk olarak, hâlihazırda zaten dolaşımda olan yabancı düşmanı ve göç karşıtı söylem ve eylemlerin, iklim krizine bağlı yer değiştirmeler ile daha da tırmanması; ikinci olarak ise, tüm bu olumsuz tabloya rağmen iklim krizine bağlı risklerin, kozmopolit bir dayanışma ve sorumluluk atmosferini de tetikleme ihtimalinin bulunması.