bluuebunny/crossref_metadata_2025 huggingface dataset:
The impact of digital transformation on the development of post-war regions of Ukraine
Authors: Tyshchenko Volodymyr , Bielousov Yaroslav , Yemets Vadym , Borodenko Tetiana , Beder Dmytro
Published: November 2024

The relevance of the topic of studying the impact of digital transformation on the development of post-war regions of Ukraine is due to the need to improve the economic and social structures of these regions in the current changing environment. In this context, the study aims to identify the potential of digital technologies to support processes in business, education, healthcare and infrastructure, which will help increase competitiveness and ensure the development of these territories. To achieve the main goal, general scientific methods such as analysis, synthesis, induction and deduction were used to study the state of the digital economy and digital transformation of Ukraine's regions, as well as to assess the current state of the country's economy and trade. The results of the study confirm that digital transformation has a significant impact on the development of Ukraine's post-war regions, providing them with new opportunities for economic recovery and social growth. Thus, from 2019 to 2022, the export of IT services increased by 400 million US dollars, which indicates the importance of this sector. Despite a 10% decline in IT services exports in 2023 due to the war, the industry remains critically important to the country's economy. Trade deficits caused by restrictions on agricultural exports and blockades of sea routes can be partly solved by digital technologies that help develop new markets. The use of digital tools in education increases the level of professional skills of the population, and the IT sector continues to attract investments, creating new jobs. Digital technologies also increase the efficiency of infrastructure reconstruction, which contributes to the rapid recovery of regions. Thus, digital transformation is a key catalyst for the development of Ukraine's post-war regions, facilitating their integration into the European socio-economic space and improving the overall living standards of the population. The introduction of digital innovations helps to reduce the gap between the regions and national and global development standards, creating the preconditions for sustainable economic growth and social stability.
محددات جودة الخدمات المحاسبية وأثرها على رضا العملاء في الأردن من وجهة نظر تسويقية
Authors: عواد محمد سليمان
Published: November 2024

استهدفت هذه الدراسة التعرف على مدى إمكانية تطبيق نموذج جودة الخدمة (SERVQUAL) في مجال خدمات التدقيق المحاسبي، و الكشف عن الأبعاد التي يستخدمها العملاء لتقييم جودة هذه الخدمات، و تحديد أثر هذه الأبعاد على مستوى رضا العملاء في الأردن. وقد أشارت النتائج إلى إمكانية تطبيق هذا النموذج لقياس جودة الخدمات المحاسبية المدركة، كما أشارت النتائج إلى أن هناك أربعة أبعاد فقط من أبعاد نموذج جودة الخدمة المدركة (SERVQUAL) تؤثر في مستوى رضا العملاء في مجال خدمات التدقيق المحاسبي، و هذه الأبعاد هي: العناية (الاهتمام الشخصي)، والمصداقية (الاعتمادية)، والضمان (الثقة والأمان)، والاستجابة (سرعة الاستجابة) مرتبة حسب أهميتها. أما بالنسبة للبعد الخامس (العناصر الملموسة) فقد أشارت النتائج إلى عدم وجود أثر ذي دلالة إحصائية لهذا البعد على مستوى رضا العملاء. وقد قدمت الدراسة عددا من التوصيات تتعلق بتحسين مستوى الجودة المدركة للخدمات التي تقدمها هذه المكاتب لعملائها.
PENGARUH PERCEIVED ORGANIZATIONAL SUPPORT, JOB DEMANDS, DAN BURNOUT TERHADAP KEPUASAN KERJA KARYAWAN
Authors: Ardari Ara Zirinita  , M. Farid Wajdi
Published: November 2024

This study aims to analyze the effect of perceived organizational support, job demand, and burnout on employee job satisfaction at the Regional Office of the Directorate General of Taxes in Central Java II. This study uses a quantitative approach with data collection techniques through online questionnaires using Google Form. The research sample is determined by the purposive sampling method, and the data are analyzed using the SmartPLS 3.3 software. The results showed that perceived organizational support had a positive and significant influence on employee job satisfaction with a T-Statistic value of 6,754 (p <0.05). Job demand also has a positive and significant influence on employee job satisfaction with a T-Statistic value of 3,687 (p <0.05). In addition, burnout has a positive and significant influence on employee job satisfaction with a T-Statistic value of 3,713 (p <0.05). This study provides new insights on the importance of managing organizational support, workload, and burnout conditions to increase employee job satisfaction.
Выселение немецкого населения из Калининградской области осенью 1947 г.
Authors: А.С. Ченцов
Published: November 2024

В статье рассмотрен процесс переселения немецкого населения из Калининградской области в советскую зону оккупации Германии осенью 1947 г., явившийся одним из заключительных элементов интеграции бывшей германской провинции Восточная Пруссия в состав СССР. На основе ранее не введенных в научный оборот документов, находящихся на хранении в Управлении МВД России по Калининградской области, проанализирована подготовка выселения, его организация, а также его результаты.

The article examines the process of resettlement of the German population from the Kaliningrad region to the Soviet occupation zone of Germany in the autumn of 1947, which was one of the final elements of the integration of the former German province of East Prussia into the USSR. Based on documents not previously introduced into scientific circulation and stored in the Department of the Ministry of Internal Affairs of Russia for the Kaliningrad Region, the preparation for the eviction, its organization, and its results are analyzed.
Военно-профессиональное воспитание в системе воинского воспитания в русской армии первой половины XIX в.
Authors: Б.М. Яндиев
Published: November 2024

Статья посвящена рассмотрению военно-профессионального воспитания нижних чинов и офицеров как составной части воинского воспитания в русской армии первой половины XIX в. Подчеркивается, что оно представляло собой достаточно сложный и противоречивый процесс, который находился в зависимости от принципов боевой подготовки русской армии и ее тактики на поле боя, обеспечивался существовавшим на тот момент войсковым режимом и взглядами императоров Александра I и Николая I. В статье сформулирован вывод, что русская армия исследуемого периода представляла собой грозную силу несмотря на то, что вектор военно-профессионального воспитания, с точки зрения современных представлений, был выбран неверный. В армии первой половины XIX в., вобравшей в себя вековой опыт боевых побед и повседневной военной службы мирного времени, служили профессионалы военного дела.

The article is devoted to the consideration of military-professional education of lower ranks and officers as an integral part of military education in the Russian army of the first half of the 19th century. It is emphasized that it was a rather complex and contradictory process, which depended on the principles of combat training of the Russian army and its tactics on the battlefield, was provided by the military regime that existed at that time and the views of the emperors Alexander I and Nicholas I. In conclusion, the article formulates a conclusion that the Russian army of the period under study was a formidable force despite the fact that the vector of military-professional education, from the point of view of modern ideas, was chosen incorrectly. In the army of the first half of the 19th century, which absorbed centuries of experience in combat victories and everyday military service in peacetime, served professionals in military affairs.
Русские мореходы на Восточном Таймыре в XVII в.: рецензия на книгу Е.А.Окладниковой «Социально-культурная и торговая коммуникация в эпоху освоения Русского Заполярья и 'Таймырская находка'»
Authors: П.А. Филин
Published: November 2024

Новая книга доктора исторических наук Е.А.Окладниковой посвящена исследованию одной из самых загадочных и интригующих археологических находок XX века в Арктике – стоянкам русских мореходов XVII века на Восточном Таймыре. Несмотря на важность «Таймырской находки», остаются нерешенными вопросы о маршруте, целях экспедиции, ее судьбе и составе. Книга предлагает новые данные, полученные из неопубликованных источников, а именно – археологического отчета А.П.Окладникова и документов Архива РАН, анализируются интерпретации археологических находок, некогда единого комплекса, разбитого на ряд коллекций в различных музеях страны. Автор предлагает концепцию, согласно которой следы на острове Фаддея Северный и в заливе Симса могут принадлежать двум или нескольким экспедициям, что требует дополнительного анализа и обсуждения. Книга Е.А.Окладниковой важна для понимания истории русского мореплавания в Арктике и стимулирует дальнейшие исследования «Таймырской находки».

The new book by E.A.Okladnikova is devoted to the study of one of the most mysterious and intriguing archaeological finds of the 20th century in the Arctic – the sites of Russian seafarers of the 17th century in Eastern Taimyr. Despite the importance of the "Taimyr Find", questions about the route, goals of the expedition, its fate and composition remain unresolved. The book offers new data obtained from unpublished sources, namely the archaeological report of A.P.Okladnikov and documents of the Archives of the Russian Academy of Sciences, analyzes the interpretations of the archaeological finds, once a single complex, divided into a number of collections in various museums of the country. The author proposes a concept that the traces on the island of Faddey Severny and in the Sims Bay may belong to two or more expeditions, which requires additional analysis and discussion. The book by E.A.Okladnikova is important for understanding the history of Russian navigation in the Arctic and stimulates further research of the "Taimyr Find".
Особенности междисциплинарных исследований
Authors: Л.П. Клеева
Published: November 2024

В статье исследуются тенденции перехода развития современной науки к преимущественной междисциплинарности, имеющиеся на этом пути препятствия и возможности их преодоления.

The article explores the trends of the development of modern science to the pre-eminent interdisciplinary, the obstacles in this way and the possibilities to overcome them.
Рамочные программы ЕС и сотрудничество с Россией
Authors: О.А. Андрюшкевич
Published: November 2024

Анализируются последние Рамочные программы ЕС (РП), определяющие основные приоритеты экономического и научно-технического развития, а также участие в них России, в том числе и в условиях санкций. Показано, что РП как одна из форм наднационального сетевого взаимодействия развивалась постепенно, исходя из глобальной задачи создания единого европейского пространства. До принятия санкций Россия принимала активное участие в РП различного тематического направления. Сегодня наблюдается сокращение как общего числа совместных проектов, так и тематики исследований.

The latest EU Framework Programmes (FP) are analyzed, which determine the main priorities of economic, scientific and technological development, as well as the participation of Russiain them, including under the conditions of sanctions. It is shown that FP as a form of supranational network interaction developed gradually, proceeding from the global task of creating a single European space. Prior to the adoption of sanctions, Russiatook an active part in the FP of various thematic areas. Today, there is a decrease in both the total number of joint projects and research topics.
Последствия современного реформирования отечественной науки
Authors: Л.П. Клеева
Published: November 2024

В статье анализируются основные направления проводимого последние десятилетия реформирования российской науки и прогнозируются результаты такого реформирования.

The article analyzes the main directions of the reform of Russian science in recent decades and predicts the results of such reformation.
Влияние сахарного диабета на развивающийся плод и последующие проблемы новорожденного ребенка
Authors: С.А. Васильев , Е.А. Гошкевич , Н.А. Дармоян , Ю.А. Устинович , Е.А. Улезко , И.В. Ломская
Published: November 2024

Сахарный диабет – хроническое метаболическое заболевание, принимающее характер эпидемии. Гипергликемия нарушает нормальный клеточный метаболизм и вызывает полиорганную дисфункцию. Это заболевание поражает микрососудистое русло людей всех возрастов, начиная с периода внутриутробного развития и заканчивая преклонным возрастом. Сахарный диабет связан с неблагоприятными исходами беременности, включая преждевременные роды, преэклампсию и мертворождение. Пренатальное воздействие материнской гипергликемии приводит к гиперинсулинемии у плода, что в свою очередь увеличивает риск макросомии, неонатальной гипогликемии, гипербилирубинемии, синдрома дыхательных расстройств и врожденных аномалий развития. В этой статье представлен обзор современных данных о негативном влиянии сахарного диабета на развивающийся плод и последующих особенностях постнатальной адаптации новорожденного ребенка.

Diabetes mellitus is a chronic metabolic disease that is becoming epidemic. Hyperglycemia disrupts normal cellular metabolism and causes multiple organ dysfunction. This disease affects the microvascular bed of people of all ages, from the period of intrauterine development to old age. Diabetes mellitus is associated with adverse pregnancy outcomes, including preterm birth, preeclampsia, and stillbirth. Prenatal exposure to maternal hyperglycemia results in fetal hyperinsulinemia, which in turn increases the risk of macrosomia, neonatal hypoglycemia, hyperbilirubinemia, respiratory distress syndrome, and congenital anomalies. This article provides an overview of current data on the negative impact of diabetes mellitus on the developing fetus and subsequent features of postnatal adaptation of the newborn child.
Diversidade de gênero no currículo da licenciatura em Pedagogia da UNIMONTES/UAB
Authors: Sartori Thiago Luiz , Batista Michelle Espíndola
Published: November 2024

Este trabalho de investigação tem como objetivo analisar questões de diversidade de gênero e Direitos Humanos na estrutura curricular da Licenciatura em Pedagogia ofertada pela Unimontes/UAB, comparando o desenho curricular de 2013 e 2023. A fundamentação teórica está alojada no campo interdisciplinar dos estudos sobre EaD, a partir da interface entre as investigações sobre gênero e as referentes às políticas curriculares. Com isso, foi possível identificar diálogos teóricos pertinentes ao tratamento dos dados. A metodologia foi do tipo documental, já que é possível entender o Projeto Pedagógico do Curso (PPC) da licenciatura focalizada como documento, e a abordagem foi qualitativa, com viés interpretativista. A pesquisa revela pouca evolução no que se refere à discussão sobre diversidade e Direitos Humanos na formação do pedagogo, uma vez que não existem muitas evidências de modernização curricular junto aos dados analisados.
Liver Transplant Beyond the Milan Criteria: Distant Metastases of Hepatocellular Carcinoma (Part II)
Authors: Kostrygin N. E. , Valyakis D. A. , Chumachenko D. S. , Polovinkin V. V.
Published: November 2024

Liver transplant is one of the most effective ways to treat hepatocellular carcinoma (HCC). Thanks to the implementation of the Milan criteria, developed almost 30 years ago, 5-year survival rates for patients who underwent a transplant for HCC increased and reached the rates for patients with nontumor indications. Despite the emergence of alternative stratification systems, extrahepatic metastases remain a key contraindication to a liver transplant. Nevertheless, there have been reported cases of liver transplants in spite of the contraindication not only in times of diagnostic limitations but also in the 21st century.

We have previously reported our own case of a patient who underwent a liver transplant in spite of pulmonary lesions, which postoperatively were found to be HCC metastases. In this part of the review, we discuss similar cases from the literature.

If metastatic lesions are successfully treated, a related donor is available, and other modalities are seen as less preferable in terms of the disease prognosis, a liver transplant may be considered an appropriate way to prolong the patient’s life, although such approach should not be recommended for widespread use.
Possibilities of Peroral Transpapillary Cholangioscopy in Treatment of Complex Choledocholithiasis
Authors: Dynko V. Yu. , Gabriel S. A. , Mamishev A. K. , Krushelnitsky V. S. , Kulagin V. V. , Gritsay A. D.
Published: November 2024

Background: Сomplex choledocholithiasis remains an urgent socio-medical problem in modern medicine. This pathology is more common in patients with cholelithiasis and causes such complications as obstructive jaundice, acute and chronic pancreatitis, cholangitis, etc. Effective treatment depends on proper preoperative examination, which is quite challenging. In such cases, minimally invasive diagnostic methods play a fundamental role. Endoscopic cholangioscopy is an effective and highly informative method for diagnosis and treatment of biliary diseases including сomplex choledocholithiasis; in many cases it is the only examination technique that allows for a reliable diagnosis. The effectiveness of this technique and possibilities of its implementation by leading specialists in the Russian Federation and around the world remain important issues.

Objective: To summarize available literature data on possibilities of using cholangioscopy in diagnosis and treatment of сomplex choledocholithiasis.

Materials and methods: We conducted a literature review using PubMed and eLIBRARY. Our goal was to cover the most up-to-date medical articles published on the subject in the past 10 years. Studies included in our review are based on experimental and clinical data. Thus, we obtained the most reliable results that can be used in further research and practice.

Results: We found that cholangioscopy has significant clinical value, which confirms its role as an important diagnostic and therapeutic approach in addition to endoscopic retrograde cholangiopancreatography in treatment of complex choledocholithiasis. This technique should be further thoroughly studied.
Modern Endoscopic Approaches to Video-Assisted Sentinel Lymph Node Biopsy and Axillary Lymph Node Dissection: A Review
Authors: Akhmedov R. M. , Konstantinova V. V. , Vats A. B. , Zhurov A. S. , Semiletova Yu. V. , Olchonova A. A. , Belousov A. M. , Bit-Sava E. M. , Dashyan G. A.
Published: November 2024

This article aims to analyze modern endoscopic techniques of sentinel lymph node biopsy and axillary lymph node dissection in breast cancer surgery.

Owing to more accurate diagnosis and minimized patient morbidity and risks, endoscopic techniques have significantly expanded capabilities of breast cancer surgery.

We review the main endoscopic techniques of sentinel lymph node biopsy and axillary lymph node dissection, analyze their efficacy and safety, and compare their benefits with those of conventional open techniques.

The article discusses results of recent studies regarding diagnostic accuracy and complication rates. Furthermore, we discuss the impact of endoscopic axillary lymph node dissection on the prognosis and quality of life in patients with breast cancer.
Artificial Intelligence in Fetal Echocardiography
Authors: Bokerija E. L. , Yannaeva N. E. , Sencha A. N. , Metelkin P. V. , Yurchenko O. V.
Published: November 2024

Background: Congenital heart diseases (CHD) are one of the most common birth defects, occurring in 5-9 per 1000 newborns. CHD are the second leading cause of infant mortality and account for 47% of all causes of death from birth defects.

The main method for assessing the anatomy and function of the heart is 2-dimensional ultrasonography. Artificial intelligence (AI) technologies are great at recognizing images, thus facilitating quick scanning and analysis of visual information in order to speed up and simplify the diagnostic ultrasonography.

All AI software for obstetrics use static images. In our study conducted at the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov (Moscow, Russian Federation) in 2022-2023, we used video files including 1-5 standard heart views for each fetus.

Objective: To create a data set for development of an AI tool that improves the quality of fetal CHD diagnosis and to develop an algorithm for examining the fetal heart using AI. Resulting medical reports could be either “normal” (correct structure of the heart; no sign of CHD) or “abnormal” (incorrect structure of the heart; CHD cannot be excluded; extended fetal echocardiography is recommended as soon as possible).

Materials and methods: The examination was conducted at 18-21 weeks’ gestation. Each examination contained video files of 5 standard views of the heart per patient. Each view is at least 25 frames. Verification was performed by confirming/changing the diagnosis by a physician and confirming the diagnosis after birth.

Conclusions: As a result, the task of determining zones of the fetal chest and heart was solved with an approximate accuracy of 98%; the task of classifying the heart view on the frame was solved with an approximate accuracy of 82%, and the task of determining the disease on the heart views was solved with an approximate accuracy of 77%.
Peculiarities of Improving Surgical Treatment of Wounds With Full-Thickness Skin Autografts
Authors: Bogdanov S. B. , Aladina V. A. , Mukhanov M. L. , Zaitseva S. L. , Dutov V. S. , Zakeryaeva D. S.
Published: November 2024

Background: Despite advances made in combustiology, the method and timing of wound closure remain a matter of debate. There are 2 decisive factors in engraftment of a full-thickness skin graft: infection degree and level of wound bed vascularization. Reasons for unsuccessful engraftment are insufficient hemostasis, late surgery, and exposed subcutaneous fat. Full-thickness skin grafting for wounds of various origins optimizes improvement of long-term cosmetic and functional results of surgery.

Objective: To improve treatment results in patients with wounds of various etiologies by improving methods of full-thickness skin autografting.

Materials and methods: This study was conducted in the Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1 (Krasnodar, Russian Federation) and analyzed data from 64 patients (age, 18-65 years) who underwent full-thickness skin autografting. The patients were grouped based on the surgery type.

In group 1 (23 patients with acute burn injury), granulation tissue was excised, and the wound defect was closed using a full-thickness skin autograft. In group 2 (21 patients with scar deformities of the skin), scar tissue was excised, and full-thickness skin autografting was performed. Group 3 (20 patients with traumatic skin detachment without bone injury) underwent skin grafting by the Krasovitov method.

Results: Time to engraftment in group 1 was median 10.0 (7.5; 15.0) days; in group 2, 15.0 (13.0; 18.0) days, and in group 3, 28 (14.8; 44.3) days. We found statistically significant differences when comparing the groups using the Kruskal-Wallis test (P < .0001).

Conclusions: New developed methods for full-thickness skin autografting in patients with granulation tissue and scar deformities can significantly increase the treatment effectiveness.
РОЛЬ ОРГАНІВ МІСЦЕВОГО САМОВРЯДУВАННЯ У ПРОЦЕСІ ВІДБУДОВИ УКРАЇНИ В УМОВАХ ВОЄННОГО СТАНУ: ПРОБЛЕМНІ АСПЕКТИ ТА ПЕРСПЕКТИВИ ПУБЛІЧНОГО УПРАВЛІННЯ
Authors: Слободянюк Юлія
Published: November 2024

У статті досліджуються повноваження, проблеми та можливості органів місцевого самоврядування в Україні в умовах повномасштабного вторгнення Російської Федерації, зокрема, у контексті відбудови територіальних громад в умовах воєнного стану. Підкреслюється важливість децентралізаційних реформ, які надали органам місцевого самоврядування більше повноважень у питаннях управління ресурсами, розвитку інфраструктури та залученні інвестицій. Незважаючи на позитивні зміни, органи місцевого самоврядування стикаються з численними викликами, такими, як брак фінансування, кадрова недостатність та проблеми у залученні міжнародної допомоги. У статті аналізується необхідність розробки нових підходів до публічного управління, спрямованих на ефективне використання ресурсів та швидке відновлення інфраструктури. Також аналізуються дослідження українських та закордонних вчених, що стосуються відновлення України, підкреслюючи важливість міжнародної підтримки. Зроблено висновок про ключову роль органів місцевого самоврядування у забезпеченні стабільності і розвитку територій в умовах викликів, спричинених війною.
ПУБЛІЧНА ПОЛІТИКА ТА УПРАВЛІННЯ: КОНЦЕПТУАЛЬНІ ЗАСАДИ ПРИЙНЯТТЯ УПРАВЛІНСЬКИХ РІШЕНЬ
Authors: Яценко Володимир , Остапенко Олександр , Костенюк Наталя
Published: November 2024

Проаналізовано поняття публічна політика та управління, прийняття управлінських рішень. Визначено, що процес прийняття управлінських рішень складається із наступних складових: аналіз проблемної ситуації, яка потребує вирішення; постановка цілі, які необхідно досягнути; альтернативні варіанти вирішення ситуації; обґрунтований вибір однієї із альтернатив. З’ясовано, що публічна політика та управління, а також процес прийняття управлінських рішень, є ключовими аспектами державного управління. Ці поняття мають важливе значення для ефективного функціонування держави та забезпечення інтересів громадян. Визначено, що публічна політика визначає стратегічні цілі держави, які спрямовані на вирішення суспільних проблем, у той час як публічне управління забезпечує реалізацію цієї політики через адміністративні механізми. Прийняття управлінських рішень є центральним елементом обох процесів, оскільки саме завдяки ефективним рішенням можна досягти бажаних результатів та успішно реалізувати стратегії. Тому, публічна політика та управління, як і процес прийняття рішень, утворюють тісно взаємопов’язану систему, яка дозволяє державі забезпечувати ефективне функціонування суспільства та вирішувати його нагальні проблеми. З’ясовано, що особливістю системи публічного управління є масштабність, значимість і різноплановість рішень, які охоплюють усі сфери суспільного життя. Це робить публічне управління важливою складовою функціонування сучасних держав і соціальних систем. Система публічного управління має справу з широким спектром питань, які охоплюють усі сфери життя суспільства. Масштабність і різноплановість таких рішень вимагають від керівників високого рівня компетентності, стратегічного бачення та здатності адаптуватися до постійних змін для досягнення позитивних результатів для суспільства.Проаналізовано взаємозв'язок публічної політики та прийняття управлінських рішень, Практичні результати управлінських рішень можуть впливати на формування нових політичних ініціатив або змін у існуючих політиках. Успішні програми можуть стати моделями для масштабування на державному рівні. Ефективний зв'язок між публічною політикою та управлінськими рішеннями може суттєво підвищити якість управлінських практик, сприяючи більш гармонійній реалізації суспільних інтересів та забезпеченню стабільності.
Analysis Of Mental Health Services For Child Victims Of Sexual Violence At The Integrated Service Center Of The Department Of Women's Empowerment And Child Protection Of Labuhan Batu Selatan Regency
Authors: Ritonga Elin Putri Adelina , Nur Saputri Ika
Published: November 2024

Background: Sexual violence is any act carried out with the aim of obtaining sexual acts or other acts directed at a person's sexuality using coercion regardless of their relationship status with the victim..Objectives: analyzing Mental Health Services for Child Victims of Sexual Violence at the Integrated Service Center of the Women's Empowerment and Child Protection Service of South Labuhan Batu Regency.Research method: This research is a qualitative descriptive research. This research was conducted qualitatively.Results: The results of this study are From the results of the study conducted by the researcher that the form of mental health services applied at the integrated service center for women's empowerment and child protection in South Labuhan Batu Regency is the approach and assistance model, From the results of the study conducted by the researcher that the mental health service model applied at the integrated service center for women's empowerment and child protection in South Labuhan Batu Regency is individual counseling and the results of the study conducted by the researcher with respondents that the factors that influence the mental health of children who are victims of sexual violence at the Integrated Service Center for Women's Empowerment and Child Protection in South Labuhan Batu Regency are the emergence of feelings of shame and not wanting to socialize with their surroundings
Analysis of the Behavior of Household Contacts TB Patients in Providing Tuberculosis Prevention Therapy (TPT) at The Work Area Sri Padang Public Health Center Tebing City in 2024
Authors: Feridani Simarmata Aida , Wasliati Balqis , Aprinawaty Sirait Reni
Published: November 2024

Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. Around 3.5-10% of people who come into contact with TB patients will be infected but will not get TB, of which 5-10% are likely to get TB in their lifetime. Research is needed on the provision of Tuberculosis Prevention Therapy (TPT) to household contacts of TB patients considering that all TB patients found have received treatment. This study is a qualitative study using a descriptive research design where researchers investigate carefully to obtain more in-depth information about the description of the behavior of household contacts of TB patients in providing tuberculosis prevention therapy (TPT) in the work area of ??the Sri Padang Health Center, Tebing Tinggi City. The research variables are knowledge, attitudes, beliefs, and family support. The results of the study are good knowledge will help them undergo preventive therapy with more discipline; An attitude of alertness and caution towards the risk of TB transmission in household contacts shows a good understanding of the dangers of TB disease; Strong belief in various aspects related to TPT, including its effectiveness, support from health workers, and safety of therapy, is very important to ensure that household contacts of TB patients can undergo TPT successfully and effectively; and family play an important role in the decision to undergo or not undergo TPT. The suggestion is that the level of knowledge of household contacts about TPT still needs to be improved, trust, provision of clear information about the side effects of the drug.
Analysis of the Implementation of Health Promotion Strategies in the Utilization of Posbindu PTM by At-Risk Groups in the UPTD Working Area of Silau Laut Health Center, Asahan Regency in 2024
Authors: Renta Marlina , Desideria Yosepha Ginting  , Agustinus Sitepu
Published: November 2024

The low awareness among the community to participate in Posbindu is influenced by the lack of promotion for the Posbindu program itself. This study aims to analyze the effectiveness of health promotion strategies in increasing community participation in Posbindu PTM in the Silau Laut UPTD Health Center's working area in 2024. Using a qualitative approach with interview and observation methods, this research found that the low awareness among the community to participate in Posbindu was caused by a lack of socialization and long distances. In response, the Health Center has implemented various promotional efforts. The research results show that collaboration between the Health Center, cadres, and community leaders is crucial in increasing participation. However, more measured and sustainable strategies are needed to overcome geographical challenges. This study highlights the important role of local government in supporting the Posbindu program and provides recommendations for developing more effective health promotion programs.
A Study of the Effects of Toxic Leadership and Person-Organization Fit on Organizational Commitment and Employee Performance
Authors: Praningrum Praningrum , Suryosukmono Gerry , Afrizal Afrizal , Dew Ratih Komala , Pefriyadi Pefriyadi
Published: November 2024

Objective - It is projected that organisational commitment as a mediating variable will diminish the effect of toxic leadership on employee performance and increase the effect of P-O Fit. A study comparing the effects of Toxic Leadership on decreasing performance and P-O Fit on enhancing performance, both mediated by organisational commitment.
Methodology/Technique - The time dimension makes this study cross-sectional. Only Bengkulu Provincial Health Office personnel received the questionnaire, which used the census approach to sample all 311 respondents. This study uses SEM to test concept validity (convergent and discriminant) and reliability. Using SmartPLS 3.0, respondent profile statistical descriptions, hypothesis testing with path analysis, and indirect impact testing are explained.
Findings – Research shows that toxic leaders hurt employee performance, not organisational commitment. Even while P-O fit has little influence on organisational commitment or performance mediated by it, it can boost employee performance. Organisational commitment affects employee performance. The employee's organisational commitment is supposed to be ongoing and based on his desire for a decent wage and a job. This makes someone ignore the leader's poisonous leadership style and compatibility with the organisation if it pays well and has good facilities.
Novelty - The research model we examine provides a more complete picture of how organizational commitment can reduce or increase employee performance influenced by toxic leadership and person-organization fit. Based on the research that has been conducted, we believe that leaders with a toxic leadership style can neglect their followers' acceptance and reduce constant performance. On the other hand, person-organization fit helps increase employee commitment and performance.

Type of Paper: Empirical
JEL Classification: J24, J28
Keywords: Employee Performance; Organizational Commitment; P-O Fit; Toxic Leadership
Reference to this paper should be made as follows: Praningrum; Suryosukmono, G; Afrizal; Dewi, R.K; Pefriyadi. (2024). A Study of the Effects of Toxic Leadership and Person-Organization Fit on Organizational Commitment and Employee Performance, J. Mgt. Mkt. Review, 9(3), 140 – 147. https://doi.org/10.35609/jmmr.2024.9.3(5)
Análise das crenças de autoeficácia de tutores da educação a distância
Authors: Mareco Raquel Tiemi Masuda , Murgo Camélia Santina
Published: November 2024

Esta pesquisa teve por objetivo avaliar a autoeficácia e as fontes de formação das crenças de autoeficácia de professores que atuam como mediadores on-line de um curso superior de tecnologia em Gestão Empresarial, oferecido na modalidade a distância, por uma faculdade tecnológica estadual. Foi realizado um estudo correlacional sobre a autoeficácia docente na educação a distância. Trata-se de um estudo de abordagem quantitativa na modalidade de pesquisa exploratória. Foram utilizados três instrumentos de coleta de dados: questionário sociodemográfico, escala de autoeficácia do professor e escala sobre fontes de autoeficácia. A coleta de dados ocorreu de forma on-line. Os dados obtidos foram submetidos às análises estatísticas descritivas (frequências, percentuais, escores médios e desvio padrão); análises associativas/correlacionais de Pearson, a fim de identificar possíveis correlações entre autoeficácia docente e fontes de formação de crenças de autoeficácia. Os resultados apresentados levaram à conclusão de que os docentes participantes da pesquisa possuem crenças de autoeficácia elevadas, independentemente da área de formação, titulação ou experiência. Porém, também foi apontado que essas crenças têm pouca influência das fontes das crenças de autoeficácia ­– experiência direta; experiência vicária; persuasão social; estados fisiológicos e afetivos –, visto que, na estatística correlacional, apresentaram correlação moderada ou baixa, o que indica pouca influência na construção dessas crenças para esses participantes. Dentre essas fontes, a experiência vicária exerceu maior influência na construção das crenças de autoeficácia dos participantes e os estados fisiológicos e afetivos exerceram a menor influência nessa construção.
No caminho da máquina, a universidade
Authors: Starling Heloisa Maria Murgel , Braga Daniel Santos , Muniz Marjory dos Santos
Published: November 2024

O golpe de 1° de abril de 1964 instaurou no Brasil um regime de exceção que perdurou por 21 anos e afetou de forma indelével todas as dimensões da vida social no país. Uma dessas dimensões foi a educação superior em seus mais diversos aspectos: sua organização e estrutura, autonomia e relações de ensino e aprendizagem. Compreender as repercussões da ditadura militar na universidade brasileira pode contribuir para lançar luz sobre o papel dessas instituições na sociedade, bem como na necessidade de sua defesa. Este texto apresenta entrevista realizada com a historiadora, cientista política e professora titular do Departamento de História da Universidade Federal de Minas Gerais, Doutora Heloísa M. Starling. Em sua explanação, a entrevistada aborda desde análises sobre o contexto do golpe e do regime instalado, em grande medida já referenciadas em sua vasta obra, quanto sobre suas vivências como estudante de graduação, pós-graduação e no exercício da docência naquele contexto. O texto, mais do que uma incursão ao passado, enseja um exercício de reflexão sobre o presente e sobre o lugar da universidade nele, na construção de uma sociedade mais justa, e de um conhecimento científico mais democrático.
COMPARISON BETWEEN TWO LASER CAPSULOTOMY TECHNIQUES : CRUCIATE V/S CIRCULAR
Authors: Gupta Divyanshu , Khajuria Vipul , Kapoor Kanavdeep , Hashia Dhar Renu , sharma Diksha
Published: November 2024

This study investigates the efficacy and safety of two Nd:YAG laser capsulotomy techniques—cruciate and circular—in
treating posterior capsule opacification (PCO).Conducted as a prospective,randomized controlled trial at a tertiary eye
care center in Jammu & Kashmir from June to August 2024,the study enrolled 50 patients diagnosed with PCO. Patients
were divided into two groups:Group A underwent cruciate capsulotomy,while Group B received circular capsulotomy.
The results indicated that while the cruciate technique was associated with fewer complications, including intraocular
pressure (IOP) spikes,the circular technique yielded superior visual outcomes.Complications such as intraocular lens
(IOL) pitting, uveitis, and cystoid macular edema (CME) were more prevalent in the circular group. Statistical analysis
revealed no significant association between the pattern of PCO laser and the occurrence of floaters. The findings
suggest that both techniques have distinct advantages and disadvantages, emphasizing the need for individualized
treatment plans based on clinical judgment to optimize patient outcomes.
Detection of genetic determinants of potentially oncogenic representatives of the intestinal microbiota as biomarkers of colorectal cancer
Authors: Shumilova Viktoriya N. , Goncharov Artemij E. , Azarov Daniil V. , Sitkin Stanislav I. , Latariya Elgudzha L. , Aslanov Batyrbek I. , Bobrakov Mikhail A. , Topuzov Rustem E.
Published: November 2024

Relevance. Colorectal cancer (CRC) is the second leading cause of cancer mortality worldwide. Non-invasive diagnostic methods based on the determination of hidden blood in the stool (fecal immunochemical test, guaiac test), which have been proven to be effective in clinical studies, are used for CRC screening. However, a significant disadvantage of the available non-invasive diagnostic methods is the low sensitivity in detecting the oncological process at the early stages. A number of recent studies discuss the relationship between the disease and various potentially oncogenic microorganisms in the human intestinal tract, which can be used to expand the arsenal of non-invasive methods for diagnosing CRC based on molecular genetic examination of a stool sample to identify oncogenic microorganisms.
The aim of this study was to evaluate the possibility of using genetic determinants of potentially oncogenic microorganisms as markers for colorectal cancer, based on a comparison of their prevalence in groups of patients with colorectal cancer, facultative precancerous diseases and patients without intestinal pathology.
Materials and methods. 215 participants were included in the "case–control" study: 70 patients with newly diagnosed colorectal cancer, 70 patients with inflammatory bowel disease, 75 participants without diagnosed intestinal pathology. Polymerase chain reaction (PCR) was used to identify and detect genes of potentially oncogenic microorganisms.
Results and discussion. An association was found between CRC and the presence of the Bacteroides fragilis fragilisin gene (OR 7.00; 95% CI: 2.55–22.50; p 0.001), species-specific genes of the periodontal pathogenic microorganisms Fusobacterium nucleatum (OR 5.61; 95% CI: 2.87–11.30; p 0.001) and Porphyromonas gingivalis (OR 16.3; 95% CI: 4.33–106.00; p 0.001), the clbB gene of pks pathogenicity island of the Enterobacteria (OR 3.44; 95% CI: 1.39–8.51; p = 0.010).
Conclusion. The presence of genetic markers of potentially oncogenic bacterial species and genotypes in the gut microbiome is associated with colorectal cancer. The results obtained support the possibility of using molecular genetic detection of the studied potentially oncogenic microorganisms as a method for non-invasive diagnosis of CRC.
Study of bacterial susceptibility to antibiotic and phage combinations: a literature review
Authors: Punchenko Olga E. , Gostev Vladimir V. , Punchenko Elizaveta V. , Savchenko Marina V.
Published: November 2024

The aim of the review is to describe existing laboratory methods for determining the sensitivity of bacteria to a combination of antibiotics and bacteriophages. However, more and more often there are scientific papers in which their combined action is described as synergism. The mechanisms of this phenomenon have not been fully studied, but it has been proven that not only virulent but also moderate phages can enter into synergy with antibiotics, allowing the minimum inhibitory concentration of the antibiotic to be reduced several times. Since synergy cannot yet be empirically predicted, microbiological laboratories use various in vitro methods, most of which are labor-intensive. The development of a new technique that can be introduced into the daily practice of microbiological laboratories is relevant.
Even stilstaan. Beroepsethiek in de jeugdzorg
Authors: van den Hoven Mariëtte , Kole Jos
Published: November 2024

Kies ik voor de ouder of voor het kind? Of is dat een oneigenlijk dilemma? Moet ik aansturen op uithuisplaatsing of toch nog niet? Hoe informeer ik een collega goed over een gezin zonder hun vertrouwen te verliezen? Wat is hier in het belang van het kind? Wie in de jeugdzorg werkt, ontkomt niet aan dit soort vragen. Ze hebben allemaal met beroepsethiek te maken: Wat moet ik doen om goed te doen? Welke houding neem ik daarbij aan? Hoe denkt mijn beroepsgroep erover? Het beantwoorden van complexe ethische vragen vergt tijd en reflectie, maar werkdruk en handelingsverlegenheid zitten geregeld in de weg. Dit boek nodigt uit om toch even stil te staan, om wél tijd te nemen voor ethische reflectie en zo het bewustzijn te versterken van de waarden en normen die gidsend zijn in de jeugdzorg. Uiteenlopende thema’s komen aan bod: van ketensamenwerking tot kindermishandeling, van beroepscodes tot ‘belang van het kind’ en van beroepsgeheim tot handelingsverlegenheid. De thema's worden besproken in de vorm van interviews, casusanalyses en concrete handreikingen zodat collega’s met elkaar over ethische kwesties in gesprek kunnen raken. Dit boek is samengesteld door Mariëtte van den Hoven, universitair docent bij het Ethiek Instituut (Universiteit Utrecht), en Jos Kole, docent beroepsethiek bij het Radboudumc (Nijmegen), in samenwerking met de beroepsverenigingen NIP, NVO en NVMW.
FEATURES OF PREGNANCY AND CHILDBIRTH IN MOTHERS AND GIRLS SUFFERING FROM ABNORMAL UTERINE BLEEDING DURING PUBERTY
Authors: Vygivska Liudmyla А. , Radzishevska Yevgenia B. , Pliekhova Olesia O.
Published: November 2024

Aim: To determine the peculiarities of the course of pregnancy and childbirth in mothers whose children suffer from abnormal uterine bleeding during puberty.
Materials and Methods: The study involved examination of 95 girls aged 10 to 18, who were divided into clinical groups: clinical group I (main (MG)) – 65 girls with abnormal uterine bleeding during puberty, clinical group II (control (CG)) – 30 somatically healthy girls, who came to clinic for a medical checkup.
Results: Assessment of histories on the condition of mothers during pregnancy and childbirth in the MG showed existing gestational disorders. Thus, in MG, mothers were 17 times more likely to suffer from extragenital disorders, 15–20 times more likely to suffer from colds, 10 times more likely to suffer from toxicosis in the first half of pregnancy and preeclampsia, and 8 times more often to have placental dysfunction. Childbirths of mothers of MG girls were characterized by a pathological course: premature discharge of amniotic fluid, weakness of labor, preeclampsia during childbirth, fetal distress. In MG, operative deliveries were resorted to 13 times more often. In addition, birth trauma occurred in 15.38% of newborns, asphyxia at birth in 41.53%, and hypoxic-ischemic brain damage in 23.07%.
Conclusions: During the analysis of history data, peculiarities of the course of pregnancy and childbirth in mothers whose children suffer from abnormal uterine bleeding during puberty were revealed. The mothers of these girls have a complicated course of pregnancy and childbirth. Pathological effects on the fetus in the ante- and intranatal periods create the basis for the development of pathological puberty, which can manifest itself in the form of abnormal uterine bleeding.
Epidemiology of surgical site infection after abdominal surgery in Ukraine: results a multicenter study (2021-2023)
Authors: Salmanov Aidyn G. , Kostromin Grygorii O. , Strakhovetska Yuliia V. , Leshchova Olha D. , Honza Roman V. , Balaban Oleg V. , Tsymbaliuk Ruslan S. , Nazarenko Inna A. , Ivantsok Volodymyr M.
Published: November 2024

Aim: To estimate the incidence, and to describe of antimicrobial resistance in responsible pathogens, and risk factors for surgical site infection (SSI) after
abdominal surgery in Ukraine.
Materials and Methods: This were a multicenter, prospective cohort study performed in ten tertiary care hospitals from different regions of Ukraine.
Definitions of SSIs after abdominal surgery were adapted from the European Centre for Disease Prevention and Control Surveillance of SSI. The incidence of SSI
and predisposing risk factors were noted.
Results: Among 6,740 patients, 1,110 (16.5%) SSIs after abdominal surgery were observed. Of these cases, 45.8% superficial SSIs, 37.3% deep SSIs, and 16.9%
was as organ/space SSIs. Of all SSI cases, 29.9% were detected after hospital discharge. The independent predictors of SSI were open surgical approach, emergency
operation, and longed operation duration. The main pathogens of SSI were Escherichia coli (52%), followed by Staphylococcus aureus (9.1%), Enterococcus spp.
(7.3%), Pseudomonas aeruginosa (7.1%), Acinetobacter baumannii (6.3%), Stenotrophomonas maltophilia (5.7%), Serratia marcescens (5.3%), and Klebsiella
pneumoniae (5.1%). Meticillin resistance S. aureus (MRSA) and vancomycin resistance Enterococcus spp. (VRE) was found in 21.3% and 14.8% isolates, respectively.
Conclusions: This study found a high prevalence of SSI after abdominal surgery caused by multidrug-resistant organisms, varying widely depending on the
bacterial species, and antimicrobial group in Ukraine. To minimise the risk of complications after abdominal surgery, it is essential to take several preventive
measures before, during, and after the surgery.