bluuebunny/crossref_metadata_2025 huggingface dataset:
Dynamic Retention Strategies for Mitigating Health Workers Brain Drain
Authors: D. Abasilim Ugochukwu , Obozekhai Esther E.
Published: July 2024

The departure of skilled health workers from Sub-Saharan Africa, Asia, and the Pacific poses a significant challenge for the global health workforce, exacerbating healthcare accessibility issues, labour shortages, and vulnerabilities within healthcare systems worldwide. This study aims to identify brain drain drivers and propose dynamic retention strategies tailored to the unique circumstances of each region, relying solely on secondary data. Drawing upon the Push-Pull and Social Exchange Theory frameworks, the study reviews existing literature, and it was revealed that there is an interplay of push factors, such as low pay, limited professional development opportunities, and challenging working conditions, alongside pull factors, including better income prospects and career advancement opportunities. This study advocates for dynamic retention strategies like enhancing employee engagement, implementing flexible work arrangements, promoting work-life balance, offering competitive compensation, facilitating professional development, and fostering supportive work environments tailored to each region's circumstances were imperative to mitigate the health workers brain drain syndrome. It also suggests the importance of strategic, context-specific interventions in mitigating brain drain and ensuring sustainable healthcare delivery worldwide and ongoing research and evaluation to assess their effectiveness. This can be achieved through collaborative efforts of stakeholders towards safeguarding the global health workforce and promoting equitable access to healthcare services for all.
 
Received: 10 February 2024 / Accepted: 25 June 2024 / Published: 02 July 2024
A 360 View to Academic Program Reviews
Authors: AL-Ali Maytha
Published: July 2024

This paper presents key findings from a study conducted with several universities in the GCC region regarding their approach and use of e-Assessment within their learning environments. The study identifies key factors that could impact the use and quality of e-Assessment, and describe how those factors could influence forming a consistent and effective approach to employ a long-term e-Assessment approach.   Data was collected from several higher education institutions in the GCC region, using an online survey, in-depth interviews with academic administrators, and direct observation. The study identifies six critical factors that may have a direct or indirect impact on forming a consistent and effective approach to employ a long-term e-Assessment approach. Moreover, the study reveals a strong correlation between e-Assessment quality, and the centralization of e-Assessment strategy, e-Assessment administration, and e-Assessment Technology. 
 
Received: 3 March 2024 / Accepted: 29 June 2024 / Published: 02 July 2024
Implementing the Certainty Factor Method in a Dental Disease Expert System
Authors: Gunawan Andre , Islami Fajrul
Published: July 2024

Health, including dental and oral health, is a fundamental human necessity often overlooked by many. Dental and oral diseases can affect anyone unexpectedly, underscoring the critical need for timely professional advice from dentists based on symptoms presented by patients. Various factors contribute to the reluctance in seeking dental consultations, including inadequate awareness of oral health importance, financial constraints, and discomfort from lengthy wait times. This research proposes an Expert System utilizing the Certainty Factor method to diagnose dental diseases efficiently. The Certainty Factor method quantifies the certainty or uncertainty of facts within expert systems. Through computational analysis of multiple symptoms, the system accurately diagnosed a patient with Tooth Faktur disease with a high certainty level of 98.8%. Such an expert system promises to significantly aid dental professionals in diagnosing diseases promptly, facilitating appropriate treatment interventions.
Navigating the Legacy of Westphalia: The European Union’s Role in Managing Russian-Ukrainian Relations
Authors: Berchev Daniel
Published: July 2024

This article explores how the principles established in the Treaty of Westphalia continue to shape contemporary geopolitics, particularly in the context of the EU’s efforts to maintain stability in its eastern neighbours. Focusing on the volatile relationship between Russia and Ukraine in the 1998-2021 period, this article aims at analysing the complex dynamics between the Westphalian concept of international order, the EU and the Russian-Ukrainian conflict, shedding light on the complexities of contemporary European geopolitics. Ensuing from the research goal is the threefold research focus: 1/ Assessment of the influence of the Westphalian principles on modern European geopolitics; 2/ Assessment of EU efforts and policies to mediate conflicts and promote dialogue between Russia and Ukraine; 3/ Identification of challenges and opportunities faced by the EU in its aspirations to promote peace, stability and democracy in the region.
The study puts forth the hypothesis that while the Westphalian concept of state sovereignty continues to influence international relations, the supranational model of the EU offers a unique approach to managing conflicts and promoting cooperation between European nations. By early 2022, the EU, through its diplomatic initiatives, legal mechanisms and integration efforts, is said to play a central role in mediating Russian-Ukrainian tensions and promoting the principles of peace and democracy in Eastern Europe. Methodologically, the study builds upon a comparative approach to analyse the historical context, political frameworks and diplomatic commitments related to the role of the EU in Russian-Ukrainian relations.
Analysis of Lateral Force and Base Shear Due to Earthquake Loads Based on Yield Point Spectra
Authors: Abani Goldelfridus Alfredo ,   Universitas Katolik Widya Mandira Kupang, Bela Krisantos Ria , Pedo Krisantus Satrio Wibowo ,   Universitas Katolik Widya Mandira Kupang,   Universitas Katolik Widya Mandira Kupang
Published: July 2024

Gempa bumi merupakan tantangan yang signifikan dalam rekayasa struktur, karena gempa bumi menyebabkan bangunan terkena gaya lateral yang kuat yang dapat menyebabkan kerusakan parah atau bahkan keruntuhan. Salah satu aspek penting dari analisis ini adalah menentukan gaya lateral dan geser dasar yang bekerja pada struktur. Tujuan dari penelitian ini adalah untuk memperoleh nilai gaya lateral dan geser dasar pada struktur dengan metode spektra titik luluh (yield point spectra). Spektra titik luluh merupakan grafik yang menghubungkan antara koefisien kuat geser luluh (Cy) dan perpindahan saat luluh (Δy) dengan daktilitis tertentu, Aschheim dan Black (2000). Dari hasil perhitungan menunjukan bahwa geser tingkat dasar yang ditentukan dengan menggunakan spektrum titik luluh lebih kecil Viβ= 1599.93 kN dibandingkan dengan geser tingkat dasar yang diperoleh dengan menggunakan SNI 1726-2019 lebih besar Vi= 1656.57 kN. Nilai geser tingkat pada tingkat atas dengan persamaan yang disarankan oleh Chao dkk. (2007) dan Bulding Seismic Safety Council (2009) lebih tinggi sebesar Fi,β = 640.56 kN , dibandingkan dengan nilai geser tingkat yang ditentukan menggunakan SNI 1726-2019, lebih kecil Fi= 444.75 kN sesuai dengan nilai geser tingkat berdasarkan rasio geser. Dapat disimpulkan bahwa semakin kecil geser dasar dan geser tingkat atas pada bangunan struktur, semakin kecil resiko kerusakan maupun keruntuhan pada struktur akibat gempa.
Public Communication for Effective Service Delivery to Refugees in Uganda. The Case of Kiryandongo Refugee Settlement
Authors: Ojok James Onono , Owor Arthur
Published: July 2024

This study argues that Public Communication in Refugee Settlements, when managed professionally and structurally with a deliberate open feedback mechanism for the end-users of services provided by the government and its development partners, could be a great tool for the evaluation and enhancement of public services provided in Refugee Settlements. The study analyses the education and health sectors as parameters for the government’s service delivery in the case of the Kiryandongo Refugee Settlement. Taking a qualitative research methodology approach with the case of Kiryandongo Refugee Settlement, the study found that the Uganda Refugees Act (2006), which authorises service provision by the government to the refugees, has no specific public communication strategy or policy clearly spelled as a communication framework to support service provision feedback. Therefore, the study recommends a direct public engagement communication strategy involving refugees and relevant stakeholders in the public service provision with the ultimate goal of improving service delivery at Kiryandongo Refugee Settlement
E-Commerce Platform Development as A Means of Increasing Potential MSME Business
Authors: Richadinata Kadek Riyan Putra , Ayuni Ni Made Sri , Purnamawati Ni Luh Gede Putu , Widnyani Ni Made
Published: July 2024

In today's digital era, the presence of technology and innovation is becoming increasingly important for MSMEs to maintain and increase their competitiveness. In the digital era like today, e-commerce is an alternative to overcome these obstacles. However, there are still many MSMEs that have not utilized e-commerce to market their products due to limited access, limited knowledge, and high costs to create their own e-commerce platform. The aim of this research is to find out e-commerce platform development as a means of increasing potential msme business. The research method used in this study is a qualitative research method with a case study approach. This research will be carried out in the following stages: literature study, data collection, data analysis, platform development, and evaluation. This platform was built using responsive website technology so that it can be opened through various platforms connected to the internet. The e-commerce platform contains features such as product catalogs, product orders, payment mechanisms, and shipping processes. Overall the information system is very good, as many as 31 people answered with very good responses.
A Combination of Acupuncture and Anisodine for the Treatment of Idiopathic Blepharospasm
Authors: Ke Xinyi , Lan Yi
Published: July 2024

We investigated the clinical effect of local acupuncture combined with compound anisodine injection in treating idiopathic blepharospasm. This study included 80 patients with idiopathic blepharospasm who received treatment in our hospital. The patients were divided into a single group and a combined group. The patients in the single group received simple compound anisodine injection alone, while those in the combined group received local acupuncture combined with compound anisodine injection. Patients in the combination group exhibited a higher clinical response rate than those in the single group. After therapy, patients in the combination group exhibited lower Blepharospasm Disability Index scores and Jankovic Rating Scale scores than those in the single group. No difference was observed in the incidence of adverse reactions between the two groups. After six months of follow-up, patients in the combination group exhibited a reduced recurrence rate than those in the single group. Local acupuncture combined with compound anisodine injection for patients with idiopathic blepharospasm can improve clinical efficacy, accelerate patient recovery, maintain a low recurrence rate, and ensure high patient safety.
UTILIZATION OF CAR PARKING ULTRASONIC SENSORS AS HYBRID TECHNOLOGY FOR MONITORING PEAT WATER LEVEL BASED ON INTERNET OF THINGS (IoT) AND DATA LOGGER WITH FIREBASE WEB
Authors: Radifan Rahman  , Vontas Alfenny Nahan  , Lola Cassiophea  , Wiyogo
Published: July 2024

Peatland water level monitoring systems have been developed to facilitate water level readings. Currently, car parking sensors are rarely used for this purpose. The tool used in this research is a hybrid technology of iot-based car parking sensors and data loggers. Water level (TMA) data is analyzed using a data logger and Firebase web. The data logger records data which is then integrated on the Firebase web to facilitate remote monitoring. Data (TMA) is sent every hour, so in one day the tool will send data 24 times. The status that can be seen from the Firebase web dashboard includes water level (TMA), water condition indicators (safe, caution, danger), last data update status, tool placement map, and a collection of data history. This research uses a pre-experiment method this tool requires a current of 200 mAh, a 10 watt peak solar panel, and a 12.5 ampere hour battery to turn on constantly. The utilization of ultrasonic sensor with esp 32 microcontroller is effective in recording Real-Time water level data. Iot plays an important role because it allows monitoring (TMA) from anywhere with internet availability. The maximum water level reading data occurred on November 31, 2023 at 40 cm from the peat soil surface and is comparable to the rainfall data on November 29, 2023 at 2.2 mm / day (Light Rain). The minimum water level reading occurred on December 16, 2023 at -5 cm (flooding) from the peat soil surface and was proportional to the rainfall data on December 16, 2023 of 53 mm/day (Heavy Rain). So it can be concluded that the minimum and maximum water level distance data fall into the safe category for peatland water levels that are between 0-40 cm (PP No. 57 of 2016).
Implementasi Marketing Mix Di Showroom Desata Used Car Dalam Menyusun Strategi Pemasaran
Authors: Hanafi Muhammad Ferdyansyah , Dzulquarnain Abi Hanif
Published: July 2024

This research aims to understand the marketing strategy implemented by Desata Used Car Showroom in Gresik, East Java, which uses qualitative methods. The focus of the research is on the meaning and in-depth interpretation of human behavior and social phenomena. The research location is at Showroom Desata Used Car with two main informants: RDC (owner) and AF (inspector and marketing). Primary data was collected through observation and discussion forums, while secondary data was obtained from previous studies. Data analysis was conducted using the Miles and Huberman model which includes data reduction, data presentation, and conclusion drawing. The results showed that Desata Used Car has implemented a Marketing Mix strategy consisting of product, price, location, and promotion. The product strategy focuses on diversity to meet changing market interests, while the price strategy is adjusted to the condition of the car units being sold. Although the location of the showroom is not considered important by the owner, marketplace platforms such as OLX play an important role in reaching consumers. Promotion strategies are carried out through social media and marketplaces to increase sales. The conclusion of the study indicates that product and promotion strategies have a significant influence on increasing sales. The recommendation for Desata Used Car is to try a more detailed Marketing Mix strategy, such as 7P or 11P, to optimize their marketing efforts.
Modern Entrepreneurship Approaches: A Review
Authors: Assylbekkyzy Fariza , Turmanov Olzhas
Published: July 2024

In the modern world of entrepreneurship, success depends on an understanding of the internal and external environment. This article examines the key elements and strategies of entrepreneurship with a focus on the methodology of creating startups. In addition, the article examines the importance of innovation in the formation of business models and the impact of breakthrough technologies such as artificial intelligence, ML and automation on startups. The importance of using advanced technologies and implementing flexible methodologies and approaches to customer development is emphasized to navigate the dynamic and evolving entrepreneurial landscape.
PKM INTERNASIONAL INDONESIA-MALAYSIA: Mencapai Keuntungan Dalam Membangun Bisnis Analisis Data
Authors: Putri Dyah Puspitasari Sunaryo , Chasanah Uswatun , Tryana Tryana , Alfatiyah Rini , Dahniar Tedi
Published: July 2024

As technological developments become more advanced, more and more universities are emerging with computer technology-based study programs. One of them is the Computer Science (Software Engineering) Study Program at Universiti Malaysia Terengganu (UMT). In this study program, students gain several skills and one of them is the ability to carry out data analysis, where these skills have great opportunities in work and business. In running a business, participants need to gain knowledge of management and financial management both in theory and practice, so that the data analysis business they run can achieve profits. Pamulang University and UMT have collaborated in the field of Tridharma of Higher Education with number: 041033/MOU/2021/4158. Based on this, Pamulang University and UMT carry out Community Service (PkM) activities. In this activity, participants gain insight into the key to success in running a data analysis business as well as skills in making simple financial report books consisting of: cash book, income statement and balance sheet.
STRATEGI PENGEMBANGAN BALI ZOO PARK SEBAGAI DAYA TARIK WISATA DI KABUPATEN GIANYAR BALI
Authors: Sarwa Edy Raden Agus , Widyastuti Ni Kadek
Published: July 2024

Development in the tourism sector remains the leading sector in economic development in Bali. The development of tourism has a considerable influence on economic growth in Indonesia in general and Bali in particular. For this reason, the Balinese government through the Tourism Office and other relevant agencies continues to strive to improve and organize existing tourist attractions and develop these tourist attractions so that more and more tourist come. One of them is Bali Zoo Park which is located in Gianyar Regency, Bali. With the development of tourist attractions, especially those that offer animal attractions that can attract tourist, Bali Zoo Park continues to improve because it sees many competitors who also offer the same attractions. Bali Zoo Park is a wildlife sanctuary visited by many tourists, both domestic and foreign tourist. Many animals are protected in Bali Zoo Park and even animals that are almost extinct such as the Bali Startling, Peacock, Cassowary, and Cockatoo besides that there are many other animal collections such as deer, kangaroos, reptiles, primates, tigers and many other species. With so many competitors who also offer the same attractions, Bali Zoo Park has developed a development strategy so that it can continue to exist so that more tourists visit. The types of data use in this research are quantitative and qualitative data, and the data collection techniques used are through observation, interviews, questionnaires and documentation. The strategy for developing Bali Zoo Park as a tourist attraction is carried out using a SWOT analysis by considering internal and external factors, namely Strength, Weaknesses, Opportunities, and Threats.
Keywords: Development strategy, Tourism attractiveness Business
STRATEGI PENGEMBANGAN MATA AIR SUCI SEBAGAI DAYA TARIK WISATA (STUDI KASUS DI PURA BEJI SEMPUANA DESA ADAT PADANG LUWIH, DESA DALUNG BADUNG)
Authors: Widiantara I Gusti Agung Bagus , Wirya I Made Suwitra , Ariesta I Putu Agus Suarsana
Published: July 2024

Air bagi masyarakat Bali adalah sesuatu yang sangat penting, tidak hanya sekedar jenis mineral di dunia untuk memenuhi kebutuhan hidup manusia sehari hari (profan), melainkan sesuatu yang â€˜hidupâ€™, yang memberikan dampak bagi kehidupan manusia dari berbagai aspek kehidupan. Terlebih lagi masyarakat Bali yang menganut prinsip Tri Hita Karana yang telah mendarah daging dari dahulu kala. Air kini tid ak hanya dianggap sebagai pemenuh kebutuhan pokok manusia, tapi juga berfungsi sebagai penjernih, bahkan penyucian batin orang Bali, atau sering disebut dengan Tirtha. Proses untuk penyucian batin orang Bali dengan media air suci ini menempatkan sumber mata air suci (beji) ini tidak hanya menjadi kawasan suci untuk umat Hindu, tapi menjelma menjadi daya tarik wisata populer yang dikunjungi wisatawan nusantara tapi juga wisatawan mancanegara. Salah satu mata air suci/beji yang perlu menjadi perhatian untuk diteliti adalah Beji Sempuana. Beji ini air sucinya dimanfaatkan masyarakat Desa setempat, tapi juga warga Desa Kerobokan Utara,sebelum memulai suatu upacara Agama Hindu seperti Piodalan di areal Pura Dalem Nataran Tegal Jaya, Dalung ataupun Ngerit (pembakaran mayat secara masal). Selain itu, di lokasi ini juga terdapat relief pahatan batu besar di dinding sungai yang sudah ada sejak zaman dahulu, sehingga Pemerintah Kabupaten Badung menempatkannya menjadi kawasan cagar budaya. Secara geografis, beji ini terdapat di sempadan Sungai/Tukad Sempuana yang perlu diamankan dari pencemaran lingkungan, akibat alih fungsi lahan di Desa Dalung dan sekitarnya. Metode yang digunakan dalam penelitian, yaitu observasi ke obyek penelitian, wawancara dan dokumentasi. Wawancara dilakukan kepada tokoh masyarakat dan warga setempat. Teknik analisis data yang digunakan dalam penelitian ini adalah Metode Deskriptif Kualitatif, yaitu memberikan ulasan interpretasi atau makna terhadap data dan informasi yang diperoleh. Sehingga menghasilkan beberapa strategi umum (Grand Strategy) pengembangan di lokasi dengan menggunakan SWOT Analisis. Maka itu, dipandang penting identifikasi potensi dan ditemukan strategi pengembangannya untuk dijadikan daya tarik wisata terkemuka dan aman pada masa pandemic corona 19 ini, tidak hanya untuk masyarakat Desa Dalung, tapi juga untuk masyarakat luas.
Kata kunci: Strategi pengembangan, mata air suci, daya tarik wisata, pandemi Corona
WISATA KULINER SEBAGAI PENOPANG PARIWISATA BUDAYA BERKELANJUTAN DI KOTA DENPASAR
Authors: Sulistyo Eko , Sukmana IWK.Teja , Mertayasa Gede Agus
Published: July 2024

Artikel ini membahas obyek wisata kuliner yang berkembang di Kota Budaya Denpasar. Data penelitian diperoleh melalui observasi, kajian kepustakaan dan wawancara mendalam dengan pelaku usaha kuliner, konsumen produk kuliner serta pemerhati pariwisata budaya Bali. Hasil penelitian menunjukkan bahwa obyek wisata kuliner yang memikat wisatawan adalah makanan dan minuman tradisional khas Bali, antara lain berupa aneka jaje Bali, lawar, babi guling, ayam betutu dan sate lilit yang selain telah dijadikan menu hotel berbitang juga dipasarkan melalui warung makan dan restoran secara offline dan online (Goject/Go food). Keberadaan produk kuliner burupa makanan-minuman tradisional yang bisa diakses secara online telah memantapkan citra Denpasar sebagai kota budaya sekaligus sebagai smart city yang terdukung layanan digital. Selain itu, perkembangan obyek wisata kuliner di Kota Denpasar dapat meningkatkan kesejahteraan sosial ekonomi masyarakat Kota Denpasar serta menopang keberlanjutan pariwisata budaya Bali
Kata Kunci: wisata kuliner, pariwsata budaya, Kota Denpasar.
PENGEMBANGAN DESA WISATA SAMBANGAN DI KECAMATAN SUKASADA KABUPATEN BULELENG
Authors: Wiryantini Putu Ria , Subadra I Nengah , Sudiarta Made
Published: July 2024

Penelitian ini bertujuan untuk mendeskripsikan atribut destinasi daya tarik wisata, pengembangan Desa Wisata Sambangan, dan keterlibatan masyarakat dalam pengembangan Desa Wisata Sambangan. Penelitian ini menggunakan pendekatan kualitatif dan teknik pemilihan informan menggunakan teknik purposive sampling untuk memastikan bahwa informan terpilih memahami tentang topik penelitian. Teknik pengumpulan data dengan metode observasi lapangan, wawancara tatap muka dan dokumentasi. Analisis data menggunakan teknik themactic analysis dengan mengkelompokan data berdasarkan tema sesuai dengan rumusan masalah. Hasil penelitian ini menunjukan bahwa di Desa Wisata Sambangan terdapat daya tarik wisata seperti air terjun, hutan desa, palowan hidroponik, dan kolam renang yang mana dalam pengembangannya melibatkan masyarakat lokal Desa Sambangan agar mereka mendapatkan keuntungan ekonomi dari pengembangan desa wisata tersebut.
Kata kunci: pengembangan, daya tarik wisata, Desa Wisata Sambangan, keterlibatan masyarakat, Desa Sambangan.
THE EFFECTIVENESS OF USING WHATSAPP GROUP AS MEDIA STUDENT LEARNING DURING THE COVID-19 PANDEMIC AT SMP Negeri 4 WOJA
Authors: Efendi Efendi , Umar Umar , Maulidyawati Desy
Published: July 2024

Penelitian ini bertujuan untuk mengetahui Efektifitas Penggunaan WhatsApp Group sebagai Media Pembelajaran Peserta Didik pada masa Pandemi Covid 19 di SMP Negeri 4 Woja. Penelitian ini merupakan penelitian kuantitatif tipe eksperimen yang dimana menerapkan perlakukan terhadap salah satu kelas eksperimen. Populasi dalam penelitian ini adalah seluruh peserta didik SMP Negeri 4 Woja yang terdiri dari 6 kelas dengan jumlah 142 peserta didik. Sampel digunakan sebanyak 56 peserta didik pada kelas IXA dan IXB Teknik pengumpulan data yang digunakan adalah teknik pengumpulan data dengan menggunakan tes, wawancara, observasi dan dokumentasi. Data diperoleh melalui tes, wawancara, observasi dan dokumentasi, selanjutnya data penelitian ini di analisis dengan analisis statistik deskriptif dan analisis statistik inferensial.Hasil analisis statistik deskriptif menunjukkan bahwa skor rata-rata hasil belajar posttest PKn peserta didik yang tidak menggunakan media pembelajaran WhatsApp Group adalah sebesar 78,21, standar deviasi 4,924, skor tertinggi (maksimal) 88, dan skor terendah (minimal) 70. Sedangkan skor rata-rata hasil belajar PKn peserta didik yang menggunakan media pembelajaran WhatsApp Group adalah 85,18, standar deviasi 3,334, skor tertinggi (maksimal) 90, dan skor terendah (minimal) 80. Berdasarkan hasil uji t pada posttess bahwa nilai sigdengan uji t adalah 0,000
Kata Kunci : Efektifitas, WhatsApp Group, Media Pembelajaran
Possibility analysis of antiepileptic drugs import substitution in the Russian Federation
Authors: Bochanova E. N. , Gusev S. D. , Zhuravlev D. A. , Ignatyuk A. V. , Luneva L. A. , Chavyr V. S. , Shnayder N. A.
Published: July 2024

Relevance. Epilepsy is a common chronic disease of the nervous system that can be treated rationally, ensuring the possibility of remission in most patients. The availability of antiepileptic drugs (AEDs) for patients with epilepsy is an important characteristic for achieving a long and quality life. Domestic AED production in the Russian Federation guarantees accessible medicinal assistance.Objective. Assessment of the AED import substitution level in the Russian Federation.Methods. The assessment is based on an analysis of the State Register of Medicines (SRM), the list of vital and essential drugs (VED) for 2023, and the clinical recommendations of the Ministry of Health of the Russian Federation “Epilepsy and status epilepticus in adults and children”.Results. Currently, the SRM registers 27 international non-proprietary names of AEDs, 101 trade names, mainly in the form of oral dosage forms, and 1,355 nomenclature items. All AEDs are prescription drugs. Generally, 70.6% of AED manufacturers are domestic. In 2020, the share of manufacturers from the Russian Federation increased by 20%. However, only 14.2% of the substances are directly produced in the Russian Federation. A high 100% level of import substitution is available only for firstgeneration antiepileptic drugs, and for third-generation drugs it remains at 43%. Import substitution of antiepileptic drug substances stays significantly low — 75% — 47.5% — 14% for antiepileptic drugs of I — II — III generations, respectively.Conclusion. The level of import substitution of modern AEDs for generations II–III should be increased to improve the efficiency and safety of epilepsy therapy.
Focus on lomefloxacin: effectiveness and safety
Authors: Khokhlov A. L. , Rybachkova Ju. V.
Published: July 2024

The results of clinical studies on the use of lomefloxacin for various diseases are presented.The purpose of this study was to analyze the effectiveness and safety of lomefloxacin based on the results of clinical studies published in the scientific literature. Extensive clinical experience with the use of fluoroquinolones in millions of patients indicates their high effectiveness in treating infections of various origins and localities. Lomefloxacin, a difluorinate representative of the fluoroquinolone group, is a bactericidal agent with a wide spectrum of antimicrobial activity against gram-negative and gram-positive microorganisms. The most important property of lomefloxacin is its high bioavailability — more than 98 % when administered orally.The effectiveness of oral lomefloxacin against respiratory tract, urinary tract, obstetric, and gynecological infections, joint infections, skin infections, and mouth, ears, nose, throat, and eyes infections has been studied. Moreover, lomefloxacin has been used as an otic solution to treat otitis media and in the form of an ophthalmic solution to treat eye infections.In studies conducted in Western countries, 72 to 94 % of patients with respiratory tract infections treated with lomefloxacin (400 mg once daily) experienced improvement in clinical symptoms: the causative bacteria were eliminated in 80 to 90 % of cases. Lomefloxacin was well tolerated, and most adverse effects were mild to moderate and reversible. The most common adverse events were gastrointestinal symptoms (nausea, diarrhea, pain/discomfort). In addition, headache, dizziness, transient insomnia, skin hypersensitivity reactions, including photosensitivity, were reported in fewer patients.Based on extensive clinical experience with the use of lomefloxacin, it can be argued that the drug has established itself as a drug with proven effectiveness and a known safety profile.
Monitoring and safety assessment of drug-drug interactions in elderly patients
Authors: Sharaeva A. T. , Zurdinova A. A. , Satybaldieva A. T.
Published: July 2024

Most elderly patients have polymorbidity, have more frequent illnesses, and greater medical care needs. Each of the existing diseases requires constant drug therapy, thus increasing the risk of developing adverse drug reactions from the medications taken. It is also necessary to consider that elderly patients are more susceptible to the occurrence of serious adverse drug reactions and drug-drug interactions.
Pharmacotherapy with alpha-1 adrenergic blockers and lipid spectrum correction in patients with urinary disorders
Authors: Danilov V. V. , Eliseeva E. V. , Danilov V. V. , Volnykh I. Yu. , Tyrtyshnikova A. V. , Piskun M. M. , Danilov V. V.
Published: July 2024

The study was based on treatment outcomes in a group of 130 patients aged 18–81 years. Subgroups were formed according to gender and age criteria, which included 56 men and 74 women, and were also divided into subgroups under 65 years of age and after 65. Treatment lasting continuously from 11 to 18 months was carried out in the form of combination therapy with the prescription of α1‑blockers (terazosin, doxazosin) in combination with vitamin-like drugs (levocarnitine, alpha-lipoic acid) in dosages according to the official instructions for the drug. The work involved systems for tabular assessment of the clinical symptoms of urinary disorders, as well as instrumental, laboratory, and statistical methods (Mann — Whitney test, Spearman's rank correlation coefficient).Results. Against the background of the prescribed treatment, HDL levels significantly changed from 1.3 to 1.38 mmol/L, as well as VLDL from 0.88 to 0.72 mmol/L in the general observation group. In some indicators, particularly total cholesterol, low-density lipoprotein, and triglycerides, no dynamics were noted. In the men subgroup, the indicators of both HDL and VLDL changed significantly and reliably from 1.2 to 1.29 mmol/L and, accordingly, from 0.79 to 0.65 mmol/L. In the 65-yearold subgroup, VLDL levels significantly decreased from 0.88 to 0.76 mmol/L and triglyceride levels from 1.9 to 1.65 mmol/L, respectively. In the subgroup of patients aged >65 years, there was a significant increase in HDL from 1.29 to 1.46 mmol/L.Conclusion. Long-term combination therapy over 11 months, including alpha1 inhibitors in combination with vitamin-like drugs, significantly changed the lipid spectrum. The best outcomes of pharmacotherapy were observed in the male subgroup and in patients aged >65 years.
Teletrabalho como modalidade contratual
Authors: Medina Hector David
Published: July 2024

Resumo
Contexto: Esta pesquisa é realizada a partir da análise da regulamentação realizada na Argentina pela Lei 27.555, que introduz o contrato de teletrabalho como uma nova modalidade contratual, e que levanta a questão se o desenho regulatório selecionado pelo legislador seguiu diretrizes da racionalidade jurídica formal, já existente na legislação trabalhista.
Objetivo: A tarefa de pesquisa visa estabelecer quais os critérios atuais contidos na legislação trabalhista, relativos às modalidades contratuais, e se a regulamentação da Lei do Teletrabalho se insere sem tensão no ordenamento jurídico tribalita.
Método: A pesquisa propia dios e Ixos de desenvolvimento. Um primeiro eixo analisará o conceito de modalidade contratual a partir da teoria geral do Direito Trabalhista Argentino, anterior à reforma da lei 27.555. No segundo eixo, será avaliado se é possível prever que a Lei do Teletrabalho tenha seguido os critérios regulatórios existentes na legislação trabalhista. O problema de pesquisa foi abordado com o uso das ferramentas fornecidas pela teoria da análise e da argumentação legislativa.
Resultado: A principal constatação da pesquisa é que embora o teletrabalho tenha sido nomeado e regulamentado como modalidade contratual, o fez com certas peculiaridades; e uma série de prescrições específicas foram acrescentadas à técnica de regulação legislativa estatutária.
The Impact of Identity on the Success of Peacekeeping Missions: The Pakistani Perspective
Authors: Jawaiza Sulehri  , Humaira Shafi
Published: July 2024

Modern peacekeepers face many challenges in the areas in which they are deployed, including often dealing with a non-cooperative host population. However, if the peacekeepers shared an identity characteristic (this paper focuses on race, religion, language, gender, and geo-economics) with the host population, would this improve how peacekeepers and the host population interact, increasing the chances of the mission’s success? This study aims to answer this question and propose whether the UN should deploy peacekeeping troops based on this common identity criteria. Since the research was qualitative, data was primarily collected through interviews and focus group discussions with veteran and undertraining peacekeepers. After an extensive thematic analysis of the interviews, the thesis yielded the following results: a) A positive link exists between a shared identity (amongst peacekeepers and civilians) and success in peacekeeping missions b) Impartiality and timely provision of humanitarian assistance builds the good reputation of a UN contingent and can enhance ‘local acceptance’ for a peacekeeping mission c) While peacekeepers should not be deployed based on identity, language training before deployment can vastly improve how peacekeepers interact with the local populace. Hence, while the UN does not need to amend its deployment policies, language is a crucial identity characteristic that the UN can utilize to improve success in peacekeeping missions
FACTORS ASSOCIATED WITH SCABIES IN SANTRI AT THE MA'HAD DAARUT TAHFIZH AL-IKHLAS ACEH BESAR ISLAMIC BOARDING SCHOOL
Authors: Zaafira Zaafira , Laweung Ibrahim , Santi Tahara Dilla
Published: July 2024

Background: Scabies is a parasitic infection of the skin caused by Sarcoptes scabei var hominis with complaints of itching, especially at night, which is characterized by skin abnormalities in the form of papules, vesicles, urticaria, and cristae and is often experienced by students in Islamic boarding schools. Method: The design of this research is descriptive-analytic with a cross-sectional approach. The population in this study were all female students at the Ma'had Daarut Tahfizh Al-Ikhlas Aceh Besar Islamic boarding school in 2020, totaling 136 female students. The sample in this research was all female students, totaling 136 female students. Data collection was carried out from 5-14 April 2021 using questionnaires through interviews. Data analysis used the Chi-Square test with the SPSS 21 program.  Result: The results showed that there was a relationship between knowledge (p=0.005), personal hygiene (p=0.002), behavior (p=0.005 ), health officer visit (p=0.024), health services (p=0.038 ), and the role of ustadzah in health information (p=0.015) with scabies and    there was no relationship between routine examinations and scabies (p=0.084). Recommendation: It is hoped that local health workers  will be more active in educating female students about scabies and how to prevent it.
IDENTIFIKASI DAMPAK BENCANA TSUNAMI TERHADAP PERMUKIMAN MASYARAKAT DI KOTA BANDA ACEH
Authors: Widya Soviana  , Eva Herlina  , Saryulis
Published: July 2024

Permukiman di Kota Banda Aceh terus berkembang pasca bencana tsunami pada 26 Desember 2004. Hal ini dapat dilihat dari pertumbuhan permukiman yang terjadi setiap tahunnya. Kecenderungan masyarakat untuk tinggal di kota menjadikan wilayah Kota Banda Aceh mengalami peningkatan jumlah penduduk yang disertai dengan berkembangnya permukiman baru. Tujuan penelitian dilakukan untuk mengetahui pengaruh bencana tsunami terhadap pertumbuhan permukiman, arah pertumbuhan permukiman serta sarana dan prasarana di Kota Banda Aceh. Teknik pengumpulan data dilakukan dengan kuesioner yang diberikan kepada 100 orang responden. Metode statistika yang digunakan adalah uji validitas dan uji reliabilitas. Teknik sampling yang digunakan adalah teknik quota sampling dengan pengolahan data menggunakan software SPSS versi 24 dengan analisis deskriptif. Hasil uji validitas kondisi pertumbuhan permukiman diperoleh nilai r hitung (0,572) > r tabel (0,195), arah pertumbuhan permukiman diperoleh nilai r hitung (0,407) > r tabel (0,195), sedangkan pada kondisi sarana dan prasarana diperoleh nilai r hitung (0,404) > r tabel (0,195). Hasil uji reliabilitas nilai Cronbach’s Alpha kondisi pertumbuhan permukiman sebesar (0,670), arah pertumbuhan permukiman sebesar (0,655), dan kondisi sarana dan prasarana sebesar (0,614) yang berarti nilai reliabilitasnya mencukupi dengan nilai kritis Cronbach’s Alpha 0,6. Hasil analisis deskriptif rekapitulasi nilai mean untuk kondisi pertumbuhan permukiman sebesar 3,94 yang menunjukkan baiknya pertumbuhan permukiman di Kota Banda Aceh. Pada arah pertumbuhan permukiman diperoleh nilai mean sebesar 3,97 di mana ini juga menunjukkan arah pertumbuhan permukiman yang semakin baik terjadi di wilayah Kota Banda Aceh. Nilai mean tertinggi diperoleh untuk kondisi sarana dan prasarana di wilayah Kota Banda Aceh yakni sebesar 4,24. Maka dapat disimpulkan bahwa dampak bencana tsunami telah menyebabkan pertumbuhan permukiman, arah permukiman serta sarana dan prasarana kota di Banda Aceh relatif semakin baik.
Синдром обратной артериальной перфузии (СОАП), или акардиальная тройня: клинический случай
Authors: Кулбаева С.Н. , Абжаппарова К.О. , Жусипов Н.А. , Штобза О.С. , Ахметова Н.Н. , Турганбаева Ж.А.
Published: July 2024

Актуальность: Синдром обратной артериальной перфузии близнецов (СОАП) является редким, но тяжелым осложнением монозиготных монохорионических беременностей близнецами. Исход неизменно фатален для аномальных близнецов и для 50-75% нормальных двойняшек. Пренатальный диагноз СОАП всегда должен предполагаться при многоплодной беременности, в течение которой растет пара близнецов, когда сердечная деятельность не может быть подтверждена эхографически.
Цель исследования – представление клинического случая как пример определение возможного пути снижения перинатальной смертности на клиническом примере бихориальной три амниотической тройни с наличием, аккардиальной тройни.
Материалы и методы: В исследовании описывается редко встречаемый клинический случай синдром обратной артериальной перфузии близнецов у женщины, находившейся на лечении в РГП на ПХВ «Областной перинатальный центр №1» (Туркестанская область, Казахстан) в 2024 году.
Результаты: В данной статье представлен редкий клинический случай СОАП у пациентки с предварительным диагнозом: беременность 29 недель 2 дня І период родов. Тройня дихориальная, триамниотическая. Внутриутробная гибель второго плода (объёмное образование – тератома). Варикозное расширение вен нижних конечностей. Анемия средней степени тяжести. Данный случай является первым в Областном перинатальном центре №1 Туркестанской области. Беременная женщина в течение беременности неоднократно проходила УЗИ скрининг, в ходе которого была установлена замершая беременность третьего плода с врожденным пороком развития плода анэнцефалией в сроке 12 недель. После проведения консилиума врачей учитывая сложившуюся акушерскую ситуацию: 1 период родов, тройню – в интересах плодов проведено экстренное оперативное родоразрешение: Кесарево сечение в нижнем маточном сегменте. Пациентка была выписана домой на 10 сутки с рекомендациями по лечению.
Заключение: Представленный клинический случай показывает, что акушер-гинеколог и рентгенолог должны быть осведомлены об этой аномалии, особенно при двойной/многоплодной беременности, чтобы можно было своевременно принять надлежащие меры для выживания близнеца с помпой. Патологоанатом также должен знать об этой сущности, чтобы представить родителям надлежащий отчет о вскрытии, чтобы они могли планировать свою будущую беременность. Это также подчеркивает важность вскрытия плода.
Design of a Strategy for the Use of Social Media as an Educational Tool in Secondary School
Authors: Cruz Micán Edgar Olmedo , Martínez Sánchez Paula Andrea , Viloria De los Reyes Ana Isabel , Corredor Morales Mayerlly Julieth , Díaz Bermudez Francy Edith
Published: July 2024

This article is based on a research project on social media as an educational tool. At present, social media has been integrated into students' daily lives, becoming a distraction in the classroom. The main objective is to design a strategy for the use of social media as an educational tool in secondary school. Qualitative research was carried out phenomenologically; the instruments used were observations and interviews applied to 21 teachers and 153 teachers from three different schools. Two categories were used: social media and educational tools. The data were analyzed by triangulation of each category and subcategory. The results revealed challenges the educational field faces with the use of social media; some teachers consider these as distractors in the classroom, and there is no relation to educational tools; however, for most students, social media are useful in their educational environment, and they have been used as pedagogical support. Social media greatly impacts academic achievement and could motivate teamwork, search educational materials, experience learning, and promote motivation.
Hábitos de Vida Saludable y Autoeficacia en Universitarios de un Campus de una Universidad Pública
Authors: Góngora Hoil Carolina Guadalupe , De Lille Quintal María José
Published: July 2024

Los estilos de vida/hábitos de vida saludables tienen gran importancia en la promoción de la salud y en la prevención de la enfermedad mental en general. En la última década se ha observado un aumento de consumo de alimentos altos en grasas y carbohidratos, como dulces, refrescos, productos industriales y snacks; además de un incremento de conductas sedentarias que influyen en la salud (Torres et al, 2019). Por tal motivo, el objetivo general de la investigación es establecer si existe una relación entre la presencia de hábitos de vida saludable y los niveles de autoeficacia en estudiantes universitarios de un campus de una universidad pública. Se aplicaron los instrumentos “Test FANTÁSTICO” diseñado en el Departamento de Medicina Familiar de la Universidad McMaster de Canadá y la “Escala de Autoeficacia General de Baessler & Schwarzer” (1996). Entre los hallazgos más destacados, se encontró que los estudiantes mantienen un nivel de autoeficacia medio sin importar si tienen o no hábitos de vida saludables. La diferencia se presenta en cuanto al nivel alto de autoeficacia, los que sí presentan hábitos de vida saludable destacan contra los que no presentan hábitos saludables.
CONCEPTUAL FOUNDATIONS DIAGNOSTIC ACTIVITIES OF SCIENTIFIC AND PEDAGOGICAL STAFF IN HIGHER MILITARY EDUCATIONAL INSTITUTIONS
Authors: Oliynyk L. V. ,   National University of Defense of Ukraine
Published: July 2024

У статті детально проаналізовано алгоритм проведення діагностичних заходів в освітньому процесі вищих військових навчальних закладів, наведено й надано характеристику основних його етапів. Серед основних етапів проведення діагностичних заходів визначено такі: постановлення мети й завдань діагностики; з’ясування критеріїв (показників) й індикаторів діагностування об’єкта (явища); добір методик для вирішення завдань педагогічної діагностики; збір інформації за допомогою діагностичних методик; кількісне та якісне оброблення отриманих результатів; розроблення й формулювання педагогічного діагнозу; розроблення й формулювання педагогічного прогнозу; розроблення плану корегувальних заходів. Надано пропозиції щодо ефективного впровадження основних етапів проведення діагностичних заходів. З’ясовано, що для забезпечення здійснення діагностичних процедур потрібно дотримуватися послідовної реалізації всього циклу діагностики, який залежно від ситуації, об’єкта й предмета діагностики має різний зміст, однак спільний алгоритм. Зазначено, що передумовою отримання достовірної інформації щодо конкретного педагогічного явища або об’єкта в діагностичній діяльності науково-педагогічного працівника є дотримання логіки проведення діагностичних заходів. Разом із тим не виключається можливість творчого пошуку й інноваційного підходу з боку самого науково-педагогічного працівника чи керівника вищого військового навчального закладу відповідно до процесуального аспекту діагностичних заходів. Розкрито, що передумовою організації ефективного освітнього процесу у вищому військовому навчальному закладі є глибоке розуміння науково-педагогічним працівником не лише системи педагогічного діагностування в самому вищому військовому навчальному закладі, але й методології всього циклу діагностичної діяльності.