bluuebunny/crossref_metadata_2025 huggingface dataset:
The Relationship of Resilience with Psychological Well-Being in Adolescents with Single Parents
Authors: Novita Erlina Maya
Published: June 2024

Psychological well-being and resilience are important for teenagers who have single parents. Both of these things have some of the same goals, where both have the aim of achieving the best condition for the individual. The aim of this research is to empirically test the relationship between resilience and psychological well-being in adolescents who have single parents. This research was conducted on 80 respondents with certain criteria, namely teenagers who had a single parent for at least ? 6 months and lived in Jabodetabek. Data collection was carried out by distributing questionnaires containing the respondent's identity and the research scale. The scale used is the psychological well-being and resilience scale. The sampling technique used in this research is non-probability sampling with purposive sampling technique. The data analysis technique used to test the hypothesis in this research is the Kolmogrov-Smirnov normality test. Based on data analysis, the F value was 403.660 and the significance value was 0.001 (p <0.05). This shows that there is a very significant relationship between resilience and psychological well-being in teenagers who have single parents. The direction of the positive relationship shows that the higher the resilience, the higher the psychological well-being and vice versa, the lower the resilience, the lower the psychological well-being.
Likelihood of Diabetes Mellitus Associated with Frozen Shoulder
Authors: Zubair Muhammad , Saleem Salman Ahmad , Iqbal Sajida , Iqbal Sajida , Durrani Naveed Ahmad , Hasan Nafees ul , Ali Hasan
Published: June 2024

Background: Frozen Shoulder (FS), is an extremely debilitating shoulder condition that causes serious functional impairment in activities of routine work. FS causes disability in 2-3 percent of the population. In Pakistan, fewer studies have been conducted in the past describing the association between diabetes with FS. Through this study, we would like to study links, create awareness among physicians, patients and treat the underlying disease to reduce morbidity. Our study objective is to find the prevalence of diabetes in patients with FS from Islamabad and Rawalpindi.
Subjects and Methods: Patients >18 years with shoulder pain or stiffness attending Shifa Medical and Pain Clinic were identified. Institutional review board and Ethical Committee approval and informed consent were obtained from the participants. A preformed questionnaire was used for the survey. The statistical analysis was carried out using the SPSS 23 version to evaluate the relationship between FS and age, sex, presence of diabetes, and control by HbA1c levels.
Results: Data of 700 patients, 206(29.4%) males 494(70.6%) females with MA±SD of 54±9. 287(41%) patients were found Diabetic with FS. 228(79.4%) diabetic patients were poorly controlled having HbA1c levels of more than 7%. The patient had high HbA1c levels showing a strong correlation of uncontrolled Diabetes with FS. 39(9.4%) patients with FS were incidentally diagnosed with diabetes.
Conclusion: Patients with frozen shoulder should be subjected to routine diabetes investigation and control should be monitored by blood glucose and HbA1c levels. Patients with diabetes should also be made aware of the role of glycemic control in the management of FS to prevent morbidity.
Frequency and Antibiotic Sensitivity Pattern of Culture Positive Salmonella Typhi in Children Visiting to RHQ Hospital Gilgit
Authors: Ali Muneera , Khan Ziaullah , Bari Abdul
Published: June 2024

Background: Typhoid fever, caused by Salmonella enterica serovar typhi, is a common infection that affects multiple body systems. Salmonella is a constantly evolving and adaptable bacterium, so overuse of a particular treatment may eventually lead to the development of resistance. To determine the frequency and antibiotic sensitivity pattern of culture positive salmonella typhi in children visiting to RHQ hospital Gilgit.
Patient and Methods: An observational cross-sectional study was conducted at RHQ Hospital Gilgit from June to August 2022. Through non-probability, consecutive sampling, a total of 150 patients of either gender with ages ranging from 1 month to 12 years and enteric fever symptoms as well as positive blood culture results for Salmonella species were enrolled in this study. In the microbiology lab, the blood culture bottles were incubated for seven days at 37 °C while daily growth indicators were monitored. On the pre-designed proforma, the basic demographic history and Salmonella species' susceptibility patterns were noted. Data was entered and analyzed by SPSS 25.0.
Results: The average age of these patients was 6.63+3.35 years. Among the patients, the majority were male, accounting for 97 individuals (64.6%), while 53 individuals (35.4%) were female. Fever was most common symptoms among patients with highest frequency of 59, followed by body aches (35). Almost 98% of cases were resistant to ciprofloxacin, commonly used as a first-line drug against Salmonella Typhi in Pakistan. Resistance was also very high against ampicillin (92%). The Azithromycin and Imipenem were the only drugs with a sensitivity of more than 90%.
Conclusion: The existence of typhoid fever cases and the increasing resistance of Salmonella strains to ceftriaxone and Ampicillin are causes for serious concern. Meropenem and azithromycin, whether used individually or in combination, proved to be the most effective antibiotics for treatment.
Surgical Outcomes of 23 Gauge Pars Plana Vitrectomy for Non Clearing Diabetic Vitreous Hemorrhage
Authors: Wattoo Rifah Razzaq , Iqbal Usama , Hameed Zeeshan
Published: June 2024

Background: Vitreous hemorrhage (VH) is one of the main causes of visual loss in patients with Diabetic Retinopathy. Initial management of VH is observation for 4-6 weeks. Non-clearing vitreous hemorrhage (NCVH) remains the most common indication for vitrectomy in such patients. The objective of the study was to investigate the surgical outcomes of 23-gauge vitrectomy with prior intravitreal bevacizumab for non-clearing diabetic vitreous hemorrhage.
Patients and Methods: This was a prospective interventional case series conducted at Ophthalmology Department, Allied Hospital, Faisalabad from 1st January 2022 to 31st December 2022 (1 year). After obtaining IRB approval and informed consent, 50 patients with non-clearing vitreous hemorrhage (VH) were included in this study. Patients with any type of retinal detachment and previous retinal surgery were excluded. After initial detailed pre-op assessment, all patients underwent 3-port pars plana vitrectomy with 23G instrumentation using Binocular Indirect Operating Mi­croscope (BIOM) system. Patients were followed up at one week, one month and three months to note visual acuity and any early or late post-operative complication. Data was analyzed by SPSS v. 25.0.
Results: Out of 50 patients, 35 (70%) were female and 15 (30%) were male. Age ranged from 32 to 78 years with mean age of 55.5 years. Only 4 (8%) patients were type I diabetics. Mod pre-operative best corrected visual acuity was 3/60 and it improved to mode BCVA of 6/36 on Snellen chart. Complete resolution of VH occurred in 42 (84%) patients while 6 (12%) patients had recurrent VH. Most common postoperative complication noted was raised intraocular pressure in 19 (38%) patients.
Conclusion: Our study suggested that 23-G vitrectomy is a safe option for patients with non-resolving diabetic vitreous hemorrhage. Mean BCVA improves after vitrectomy (depending on retinal status) and postoperative surgical complications also remain minimal.
ФАЛЬШИВОМОНЕТНИЦТВО В НЕЗАЛЕЖНІЙ УКРАЇНІ: ІСТОРИЧНИЙ АСПЕКТ
Authors: Бойко-Гагарін А. С. , Дубягина Л. О.
Published: June 2024

У цьому повідомленні розглядаються основні тенденції у фальшуванні грошей в Україні в новому тисячолітті. Українська гривня і далі технічно вдосконалюється. Підвищується ступінь її захисту. Але і після 2000 р. спостерігаються спроби підроблення банкнот гривні як в Україні, так і за її межами. Зразками для підроблення стають і нові деноміновані рублі Росії, проте уведені в обіг рублі Білорусі в Україні практично не трапляються. Разом із підробленням паперових грошових знаків із розвитком цифрових технологій і майданчиків спілкування в Інтернеті змінюються і канали збуту підробок. Особливостей зазнав грошовий обіг на тимчасово окупованих територіях Півдня України, які після повномасштабного вторгнення російських військ 24 лютого 2022 р. не оминув і факт поширення фальшивих російських рублів на Херсонщині, Запоріжжі та Донеччині. Методологічною основою цього дослідження є комплекс загальнонаукових методів: емпіричний (порівняння, вимірювання); емпірично-теоретичний (аналіз і синтез, історичний і логічний, абстрагування, індукція і дедукція); теоретичні (викладення матеріалів від абстрактного до конкретного, інтерпретація, опис тощо). Зважаючи на специфіку дослідження, вагоме місце посідає застосування нумізматичних методів. Наукова новизна полягає у висвітленні новітніх способів поширення фальшивих грошей через соціальні мережі, зокрема й «Телеграм», нанесення настінних написів за допомогою аерозольної фарби тощо. Крім того, розкрито основні тенденції та цікаві факти з історії фальшування грошей в Україні від 2000 р. до сьогодення, що в контексті двох попередніх повідомлень окреслює основні тенденції та процеси, пов’язані з фальшуванням грошей в Україні від здобуття незалежності й дотепер, у фокусі їх історичної складової та колекціонування. Констатовано, що спроба введення окупантами в обіг рубля на територіях тимчасово окупованого Півдня України та Херсонщини була невдалою. Головна причина цього – низький рівень готовності населення окупованих населених пунктів співпрацювати з окупаційною владою та сприяти використанню грошової одиниці ворога. Гучні заяви про перехід Херсонщини та Запоріжжя у рублеву зону можна розцінити не більш як чергові спроби вислужитись новопризначених керівників серед колаборантів перед їхніми очільниками в Кремлі. Невдалі процеси введення рубля у грошовий обіг тимчасово окупованих територій супроводжувався також частими повідомленнями про виявлення фальшивих грошей московського окупанта. Практична значущість полягає у можливості використання викладених матеріалів у дослідженнях історії грошового обігу та кримінальної протиправності, вивчення особливостей кримінальної протиправності в умовах окупації та війни. Описані сучасні методи спроб поширення злочинцями фальсифікатів грошейстануть у пригоді в розробленні методів протидії їм.
FAKTOR-FAKTOR YANG MEMPENGARUHI MINAT UNTUK MENGGUNAKAN SISTEM KEUANGAN DESA (SISKEUDES)
Authors: Putri Faradilla Almeyda , Fontanella Amy , Handayani Desi
Published: June 2024

This research aims to examine the factors that influence interest in using the Village Fund Financial System (SISKEUDES). The research method used is a survey with a quantitative approach. Respondents in this research were village officials implementing SISKEUDES. Data collection was carried out using the questionnaire method. Sampling was carried out using the saturation sampling method resulting in 52 respondents. This research uses Structural Equation Modal using Partial Least Square (PLS) as the analysis method. The research results show that partially the quality of human resources and social factors have a positive effect on interest in using SISKEUDES
ANALISIS PEMAHAMAN MAHASISWA TERHADAP KONSEP DASAR ASET, KEWAJIBAN, EKUITAS, DAN JURNAL DALAM MENINGKATKAN EFEKTIVITAS PRAKTIK KERJA LAPANGAN
Authors: Ummarha Nadhifah Yonas , Rissi Dita Maretha , Sriyunianti Fera , Ermatati Hatta
Published: June 2024

This research aims to understand students' comprehension of the fundamental concepts of assets, liabilities, equity, and journals in enhancing the effectiveness of Work Practice (Internship). The study employs a qualitative research approach, with the research informants being 30 students from the Accounting Department of Politeknik Negeri Padang, selected based on their GPA grouping. The research was conducted on final-year students of the Accounting Department of Politeknik Negeri Padang  for the academic year 2022/2023, namely the Diploma of Accounting and Applied Bachelor of Accounting. The research findings indicate that (1) a number of students with an accounting background have an initial advantage in comprehending basic accounting concepts. (2) several conditions related to students' understanding of the concepts of assets, liabilities, equity, and journals were identified. (3) enhancing students' comprehension and improving the effectiveness of fieldwork practices, collaborative efforts between educational institutions and relevant industry stakeholders are necessary.
Analisis Kinerja Keuangan Pemerintah Nagari Situmbuk Tahun 2018-2022
Authors: Daffa Muhammad , Mustika Rasyidah , Andriani Wiwik
Published: June 2024

This research aims to determine the financial performance of Tanah Datar Nagari Situmbuk Regency 2018-2022. The research paradigm used is descriptive qualitative. Research methods namely case studies. Data collection techniques using in-depth interviews, observation and study document. Research results The research results show that the value of the financial dependency ratio Nagari Situmbuk in 2018-2022 tends to experience an increase every year. With value The highest regional financial dependency ratio occurred in 2021, namely 99.73% and the lowest ratio value in 2020 was 99.42%. Results of efficiency ratios from 2018-2020 categorized as quite efficient, and in 2021 Nagari Situmbuk will be categorized as efficient, so This states that there will be changes from 2020 to 2021, regarding the realization of spending. The decline in the operational expenditure matching ratio amidst an increase in total operational expenditure as well as total regional expenditure in Nagari Situmbuk indicating that total expenditure other than operational expenditure in Nagari Situmbuk experienced increases and decreases. Although a percentage fee in Nagari Situmbuk is quite high. With the highest ratio of capital expenditure to total expenditure in the year 2018, namely 45.96% and the lowest ratio value in 2021 was 14.20%.
Kecenderungan Medium Promosi Bagi Pelajar Kolej Komuniti Kota Marudu Sabah
Authors: Munir Matlin  , Ahmad Sobri  , Mazlin Gumbayan
Published: June 2024

Introducing the educational services offered by Kota Marudu Community College Sabah (KKKMS) to the general public requires an effective promotional approach. However, as a government higher education institution, the implementation of promotions must optimize financial resources sensibly and ensure that information reaches the intended target audience. Therefore, the purpose of this study is to identify the most effective promotional mediums for KKKMS in disseminating information and reasons for students to enroll in KKKMS. This study also aims to identify the preferred promotional mediums for KKKMS and the students' interest in obtaining information about the educational services offered by the college. This research was conducted quantitatively with 74 KKKMS students using a questionnaire. The collected data were analyzed using Microsoft Excel software. The results of this study indicate differences between the types of effective promotional mediums for KKKMS in spreading information to prospective students, compared to the students' preference for promotional mediums they are interested in to obtain information about the college. Therefore, the College's Communication and Corporate Relations Unit (UKK) is expected to enhance the management quality of the unit in terms of promotional implementation methods through more effective mediums, to publicize the offered services to the target audience, and align UKK's finances by selecting more effective advertising platforms so that the implemented promotional approach can enhance the increasing student enrollment rate in the present time
Fast Processing without Processors: the Conductance Matrices
Authors: Porto Domenico
Published: June 2024

The proposed work, starting from some basic principles of In Memory Computing, aims to describe how some relatively complex calculus, such as equation solving, can have a fast answer with a simple HW. be performed in a fast and accurate way through a very simple hardware structure, avoiding complex nonlinear operators, without involving processors and providing a huge reduction of computation time and consumption. This fact opens the way to an alternative way to solve distributed tasks e.g. in microrobotics or other real time applications.
Winterreise laulajanaisen matkana – taiteilijuus koronapandemian aikaan
Authors: Chorell Hanna
Published: June 2024

Kuinka olosuhteet vaikuttavat laulajan taiteellisiin valintoihin? Tämä artikkeli yhdistää taiteellisen tutkimuksen Karen Baradin uusmaterialistiseen ajatteluun ja avaa minkälaiseksi Franz Schubertin Winterreise muotoutui sopraanon laulamana koronapandemian keskellä. Artikkeli on kirjoitettu toistaiseksi vähemmän tutkitusta laulajan näkökulmasta lisäten laulajan ääntä Winterreise-tutkimuskirjallisuuteen.
Artikkeli tuo uuden näkökulman Winterreisen sukupuolittuneeseen esittämisen ja siitä kirjoittamisen käytäntöön. Baradin toimijuusrealismin avulla ymmärrän musiikkiteoksen, sukupuolen, laulamisen ja musiikkikulttuurin materiaalis-diskursiivisiksi ilmiöiksi, jotka eivät ole pysyviä tai abstrakteja, vaan ajassa ja paikassa toistuvasti yhteismuotoutuvia, ja näin avoimia eri merkityksille.
Bridging human and instrumental vocality
Authors: Livorsi Paola
Published: June 2024

My artistic research explores the relations between human and instrumental voice seen from embodied and performative perspectives, starting with my experience of violinist and composer.
Voice is a unique mark of human identity: human and instrumental voice are both unique expression of personal and musical identity.
I investigated the question of voicelikeness through five multidisciplinary art projects. The research proposes the re-evaluation of vocal layers in varying contexts.
EVALUASI PROGRAM PEMBELAJARAN BAHASA INGGRIS DENGAN MODEL CIPP DI INSTITUT AGAMA KRISTEN NEGERI KUPANG
Authors: Dethan Yandry Diana , Adu Mariyanti , Nggeong Fransiska Y , Taneo Jegi
Published: June 2024

The English language skills of Christian Education Study Program students are still low. Therefore, this research aims to determine the effectiveness of English learning program. This research uses a qualititative approach with an evaluation model that focuses on context, input, ptocess, and product. The data in this research comes from interview of two English lecturers and six students who have taken English course in the semester one of 2022/2023 and documentation (curriculum, lesson plans, and journal class). The data collection techniques used were: interview and documentation. The result of the research showed that the implemementation of English learning in Christian Education Study Program had not been effective although the average of each class is above of 70. It could be seen: 1) evaluation context describes that the learning program has not been able to answer the program objectives; 2) evaluation input reveals that the study materials contains in the curriculum are still too general, teaching materials are not yet available to students, and the infrastructure cannot fully support the English language learning process; and 3) evaluation process asserts that the leaning tools are prepared after learning, learning process is carried using the old method, and the form of assignments is not yet project/ problem solving based.
PENINGKATAN KEMAMPUAN KOMUNIKASI MATEMATIS SISWA MELALUI MODEL PEMBELAJARAN GENERATIF
Authors: Putra M Rizky Tama , Sistyawati Risda Intan , Rohman Rohman
Published: June 2024

The very low learning outcomes of students, especially in mathematical communication skills regarding teaching and learning activities, is one source of problems in learning that must be overcome by every teaching staff. This research aims to see an increase in the mathematics communication learning outcomes of students who are taught using a generative model. Classroom Action Research (PTK) or Classroom Action Research (CAR) is this type of research. The subjects in this research were 30 class VIII students at a junior high school in the city of Palembang. The research flow uses the Kemmis and Mc flow. Taggart, the stages in this research are planning, action, observation and reflection which were carried out in two cycles. Data collection took the form of tests to measure mathematical communication skills and questionnaire sheets used to determine learning implementation. From the results of data analysis, the average student learning outcome in cycle I was 72.85 with a student completion percentage of 60%, the average student learning outcome in cycle II rose to 77.65 with a student completion percentage of 83.33%. Meanwhile, the results of the observation sheet show that the implementation of learning activities is going well. The conclusion is that mathematics learning taught by generative models can improve students' mathematical communication skills.
ANALISIS KEMAMPUAN LITERASI DIGITAL MAHASISWA DALAM PEMBELAJARAN DARING KOLABORATIF PADA MATA KULIAH KONSEP DASAR IPS
Authors: Ismuwardani Zakiyah , Dole Frumenius B , Sholeha Herisa Hardiyanti
Published: June 2024

The aim of this research is to analyze and describe students' digital literacy abilities in collaborative online learning. This research uses qualitative methods with data collection in the form of observations, interviews and documentation studies. The sample in this research was first semester students who took part in a collaborative online learning program with basic social studies concepts courses, consisting of PGSD students at the Institut Pendidikan dan Bahasa Invada Cirebon, as well as PGSD students at the Universitas Flores. The data analysis technique in this research uses qualitative descriptive analysis; the Miles & Huberman model includes data collection, reduction, presentation and drawing conclusions. The research results show that first semester students already have good digital literacy skills. It can be seen from the results of data analysis carried out by researchers in the form of interviews and documentation studies during the implementation of collaborative online learning.
Rapid construction of tricyclic tetrahydrocyclopenta[4,5]pyrrolo[2,3-b]pyridine via isocyanide-based multicomponent reaction
Authors: Chen Xiu-Yu , Han Ying , Sun Jing , Yan Chao-Guo
Published: June 2024

An efficient protocol for the synthesis of polyfunctionalized tetrahydrocyclopenta[4,5]pyrrolo[2,3-b]pyridine-3,4b,5,6,7(1H)-pentacarboxylates was developed by a three-component reaction. In the absence of any catalyst, the three-component reaction of alkyl isocyanides, dialkyl but-2-ynedioates and 5,6-unsubstituted 1,4-dihydropyridines in refluxing acetonitrile afforded polyfunctionalized tetrahydrocyclopenta[4,5]pyrrolo[2,3-b]pyridine-3,4b,5,6,7(1H)-pentacarboxylates in high yields and with high diastereoselectivity. The reaction was finished by in situ generation of activated 5-(alkylimino)cyclopenta-1,3-dienes from addition of alkyl isocyanide to two molecules of but-2-ynedioates and sequential formal [3 + 2] cycloaddition reaction with 5,6-unsubstituted 1,4-dihydropyridine.
METHODOLOGICAL RECOMMENDATIONS FOR THE PRACTICAL LESSON THE WORD ABOUT IGOR'S REGIMENT AND THE SONG OF ROLAND: TWO WORLDS, TWO CULTURES IN A FOREIGN AUDIENCE
Authors: Травников С.Н. , Июльская Е.Г. , Петривняя Е.К. , Соломонова А.А.
Published: June 2024

В научно-методической статье представлено сравнительно-историческое исследование русского и западноевропейского эпоса «Слово о полку Игореве» и «Песнь о Роланде», помогающее определить сходство и различие произведений, разработаны методы и приемы выявления национальной специфики русской и французской героической эпопеи, обобщается педагогический опыт, описана система работы в иностранной аудитории по определенной технологии с продуманной системой заданий.

Russian and Western European epics The Words of Igor's Regiment and The Song of Roland are presented in the scientific and methodological article, which helps to determine the similarities and differences of the works, methods and techniques for identifying the national specifics of the Russian and French heroic epics are developed, pedagogical experience is summarized, the system of work in a foreign audience using a certain technology is described with a well-thought-out task system.
Rap poetry as an educational material in classes with middle and high school students on additional general educational programs
Authors: Кравченкова Е.А.
Published: June 2024

Речитативы русской рэп-поэзии можно использовать для занятий в школах с русским языком обучения. Современная песенная лирика помогает учителю поддержать интерес к классическим произведениям русской и мировой литературы и мотивировать учащихся к чтению. Некоторые учебные материалы по работе с рэп-поэзией представлены в статье.

Russian rap poetry recitatives can be used for classes in Russian language schools. Modern song lyrics help the teacher to maintain interest in classical works of Russian and world literature and motivate students to read. Some educational materials on working with rap poetry are presented in the article.
Methodical Potential of Using ChatGPT in Advanced Russian Language Training
Authors: Козловцева Н.А.
Published: June 2024

Развитие современного мира находится в тесной взаимосвязи с развитием информационно-коммуникационных технологий (ИКТ). В последние годы особенно активно развиваются технологии искусственного интеллекта (ИИ), которые проникают во все сферы жизнедеятельности человека, поэтому невозможно представить современный образовательный процесс без использования подобных технологий. Из-за прецедента, когда с помощью ChatGPT была подготовлена и защищена выпускная квалификационная работа, многие представители образовательного сообщества рассматривают ИИ в первую очередь как угрозу эффективности образовательного процесса. Однако ChatGPT имеет и значительный методический потенциал, особенно в обучении иностранным языкам, в частности РКИ. Целью данной статьи является изучение методического потенциала ChatGPT на примере обучения стилистике русского языка на продвинутом этапе.

The development of the modern world is closely linked to the development of information and communication technologies (ICTs). In recent years, artificial intelligence (AI) technology, which penetrate into all spheres of life of modern man, so it is impossible to imagine a modern educational process without the use of such technologies. Due to the precedent of last year when ChatGPT prepared and protected the graduation qualification work, many members of the educational community consider AI primarily as a threat to the effectiveness of the educational process. However, ChatGPT has significant methodological potential, especially in the teaching of foreign languages, in particular RFL. The purpose of this article is to study the methodological potential of ChatGPT on the example of training in Russian language style at an advanced stage.
USE OF MINIMALLY INVASIVE TECHNOLOGIES IN TREATMENT OF ACUTE OBSTRUCTIVE COLON OBSTRUCTION
Authors: Boyko V. V. , Groma V. G. , Moiseyenko A. S. , Groma E. V. , Lytvynenko O. Yu. , Moiseenko Yu. A.
Published: June 2024

Resume. The aim of the study. To evaluate the effectiveness of the treatment of patients with acute obstructive obstruction of the large intestine with the predominant use of minimally invasive intervention of colorectal stenting.
Materials and methods. An analysis of the treatment of 218 patients with obturation of the large intestine was carried out. The average age of the patients was (68.5±7.9) years. The age of all patients ranged from 43 to 79 years.
Results and discussion. The result of the installation of colorectal stents was the restoration of intestinal patency in 51 (98.1%) patients. Radical surgical interventions were performed on the patients after copying the phenomena of acute obstructive obstruction of the large intestine and compensation of cardiac pathology.
Conclusions. The use of colorectal stenting in the treatment of acute obstructive obstruction of the large intestine allows to achieve a reduction in postoperative mortality and the number of complications, as well as to significantly reduce the postoperative bed-day.
POSSIBILITIES OF MINIMALLY INVASIVE TECHNOLOGIES IN THE SURGICAL TREATMENT OF MYRIZZI SYNDROME TYPE I
Authors: Bychkov S. O. , Dushyk L. M. , Cherkova N. V. , Saveliev V. V.
Published: June 2024

Resume. Aim: Optimization of minimally invasive technologies in the surgical treatment of Mirizzi Syndrome Type I.
Materials and Methods: The study is based on the treatment experience of 103 patients with Mirizzi Syndrome Type I. Patients underwent comprehensive examination, including clinical and laboratory methods, ultrasound examination, fibrogastroduodenoscopy, and, when indicated, endoscopic retrograde cholangiography and intraoperative cholangiography.
Results and Discussion: Ultrasound examination allowed suspicion of Mirizzi Syndrome Type I in 72 (69.9%) patients. Laparoscopic cholecystectomy was successful in 69 (93.2%) patients with Mirizzi Syndrome Type I A. In cases of Mirizzi Syndrome Type I B (stage “common wall”), subtotal laparoscopic cholecystectomy was performed in 26 (89.6%) patients when technical difficulties in isolating the posterior wall of the gallbladder arose. Using the Ultracision ultrasonic scalpel by Ethicon, laparoscopic cholecystectomy was performed in 47 patients with Mirizzi Syndrome Type I.
Conclusions: 1. Ultrasonographic diagnosis is an informative method that allows establishing the presence of Mirizzi Syndrome with a high probability at the preoperative stage. 2. Obtaining information about the high probability of Mirizzi Syndrome before surgery allows for proper planning of the possible scope and tactics of operative intervention. 3. Subtotal laparoscopic cholecystectomy expands the possibilities of minimally invasive technologies in the surgical treatment of Mirizzi Syndrome Type I. 4. The use of the ultrasonic scalpel in laparoscopic cholecystectomy in patients with Mirizzi Syndrome Type I enables effective and safe dissection with minimal damage to surrounding tissues, reducing the risk of intra- and postoperative complications.
OPTIMAL METHOD OF PREOPERATIVE DIAGNOSTICS OF PATIENTS WITH CHRONIC PANCREATITIS
Authors: Kanikovskyi O. Ye. , Pavlyk I. V. , Punko Yu. A. , Tsyben M. V.
Published: June 2024

Abstract. The aim. To determine the best method of preoperative diagnosis of chronic pancreatitis with subsequent correction of the choice of the optimal method of surgical intervention for patients with chronic pancreatitis.
Materials and methods. The work presents a thematic review and detailed meta-analysis of literature data from scientific databases “Pub Med”, “Google Scholar”, “Web of Science”, “the Lancet”, “Stanford medicine”, “ResearchGate” and other publications, as well as analysis of our own observations.
The results and discussion: Today, modern ideas about the pathogenesis of chronic pancreatitis allow us to understand most of the pathological processes occurring in the pancreas as clearly as possible and lead to the development of chronic pancreatitis. To confirm the diagnosis, we should use a lot of invasive and non-invasive diagnostic methods, which include determining the level of trypsinogen in the blood, chymotrypsin and elastase in the feces, intravenous infusion of cholecystokinin and secretin, magnetic resonance imaging, magnetic resonance cholangiopancreatography, CT scan and modern method like elastography. With analysis of world literary data, as well as analysis of our own experience in the using of preoperative non-invasive methods of diagnosis of chronic pancreatitis, it was found that the most effective and most sensitive methods are elastography and CT scan of the pancreas.
Conclusions: The obtained results of CT scan and elastography make it possible to predict and choose the optimal method of surgical intervention in patients with chronic pancreatitis in a short time.
EFFICIENCY OF MRI DIAGNOSTICS IN THE TREATMENT OF ANORECTAL FISTULA
Authors: Kanikovsky O. E. , Yakovenko O. S.
Published: June 2024

Abstract. Treatment of anorectal fistulas has many problems that can be minimized with the correct algorithm of action. The size and location of the abscess will affect the length and type of anorectal fistula in the future. With the number of anorectal fistulas, the location of the fistula course in relation to the sphincter apparatus is of particular importance. When the internal opening is lower than 1/3 of the sphincter, the risk of incontinence becomes more than 50 % and this condition may be irreversible. That is why the main task of modern methods of treating anorectal fistulas is to preserve the development of cells of the sphincter apparatus of the anal canal. For the diagnosis of anorectal fistulas, there are such methods as: endoanal 3d ultrasound, MRI, SCT, but the gold standard is MRI. MRI scans provide the most data on pelvic tissue, which allows us to evaluate many parameters when diagnosing anorectal fistulae. The purpose of the study: To evaluate the effectiveness of the use of MRI in the diagnosis of anorectal fistulae. Materials and methods: An analysis of the results of treatment of 34 patients who were treated in the surgical clinic of the Medical Faculty No. 2 of the M.I. Pirogov State Medical University in 2020-2023 was carried out. Results: In the treatment of anorectal fistulas, a clear understanding of the relationship between the fistula, the internal opening and the anal sphincter is a factor. One of the most common causes of relapses is a situation with a missed additional fistula course, which later became the reason for maintaining the preservation and development of a new fistula course. On MRI scans, the duration of the fistula course, the presence of additional expansion of the fistula course, blind pockets with the accumulation of hypo- and hyperechoic inclusions and other things were evaluated. There are several classifications to describe a fistula, the Parkes classification, the St James’s University Hospital (SJUH) classification, which is based specifically on the most common cases of magnetic resonance imaging. Conclusions: 1. MRI studies in the detection of anorectal fistulas appear to be the gold standard. The data obtained during the MRI study do not allow choosing the most optimal treatment tactics to obtain the best result of the treatment of anorectal fistulas.
ACTIVE CONSERVATIVE AND SURGICAL TREATMENT OF SEVERE LOCAL COLD INJURY
Authors: Mamontov I. M. , Oliinyk G. A. , Tam T. I. , Gryazin O. E. , Tymchenko O. K. , Kremen V. O.
Published: June 2024

Abstract. The article presents the results of treatment of patients with local cold injury (frostbite) in the burn department of the MNE “City Clinical Hospital of Rapid and Emergency Aid named after Prof. O.I. Meshchaninov” of the Kharkiv City Council according to the developed algorithms for providing specialized medical care in the early stages of cryoinjection (pre-reactive and early reactive periods). It has been proven that the implementation of the developed methods of diagnosis of the depth and area of damage, complex conservative therapy and early surgical interventions (necrotomy, necrofasciotomy, necromyofasciotomy) contributed to the reversibility of the course of the local process of cold injury in 75% of patients, the reduction of complications, and the shortening of the patients’ stay in the hospital.
SURGICAL TREATMENT OF ACUTE VARICO-THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN WITH A THROMBUS HEAD FLOATING I NTO THE LUMEN OF THE DEEP VEIN WITH ITS SUBOCCLUSION, ACCORDING TO THE RESULTS OF ULTRASOUND DIAGNOSTICS OF THE VEINS OF THE LOWER EXTREMITIES
Authors: Novikova H. A. , Babinkina I. B. , Babinkina G. P.
Published: June 2024

Summary. Purpose of research. To show a rare variant of the clinical course of acute varicothrombophlebitis (AVT) in the basin of the great saphenous vein (GSV). To analyse the anamnestic data, symptoms, clinical manifestations, preoperative diagnosis, features of surgical intervention, and postoperative management in a patient with acute varicothrombophlebitis (AVT), who had a complication in the form of a floating thrombus head passing from the trunk of the VCF into the lumen of the common femoral vein (CfV) with spread along the external iliac vein (EIFV) with subocclusion of its lumen.
Materials and methods. The article analyses a case of complicated course of acute varicothrombophlebitis in the basin of the VCF, which had a complication in the form of a floating thrombus head moving from the trunk of the VCF into the lumen of the common femoral vein (CFV) with spread along the external iliac vein (EIFV) with subocclusion of its lumen. This conclusion was detected only after performing urgent ultrasound Dopplerography (USDG) of the superficial and deep veins of the lower extremity.
Research results and discussion. The patient had a history of complaints, namely, redness, compaction, pain and swelling along the left side of the IVC trunk, which appeared several days before admission to the hospital with negative dynamics during this time in the form of spreading changes along the limb to its upper parts. She sought a consultation with a vascular surgeon. A thorough medical history and an urgent ultrasound examination of the lower extremity veins allowed us to diagnose the patient with complicated acute varicothrombophlebitis. She was admitted urgently with acute varicothrombophlebitis, as well as signs of edema and lymphostasis of the soft tissues of the lower leg and thigh, which increased over time. The course of surgical treatment was predicted, and thrombectomy from the external iliac and common femoral vein and left crossectomy were performed. The patient’s condition improved and she was discharged from the hospital.
Conclusions. Patients with varicose veins of the lower extremities should be monitored and treated by specialist vascular surgeons. Careful history taking in this group of patients and emergency ultrasound Doppler of the lower extremities allowed us to establish the correct diagnosis in the preoperative period. Specialists’ understanding of the possibilities of ultrasound Doppler ultrasound of the veins of the lower extremities, as well as compliance with the full examination protocol for ultrasound Doppler veins, allows us to provide detailed information to determine the most effective treatment tactics and prevent complications of the disease.
KHARKIV TUBERCULOSIS SURGERY SCHOOL — 100 YEARS
Authors: Duzhyi I. D. , Pak V. Ya.
Published: June 2024

Abstract. Despite all the achievements of science and practice, pulmonary tuberculosis continues its dark work in Ukraine and on all continents. Antibacterial therapy is often delayed and, in other cases, does not keep up with the programmed treatment algorithm.
Relevance of the problem lies in the fact that antibacterial therapy is increasingly proving to be ineffective due to the prevalence of pulmonary tuberculosis and the resistance of tuberculosis mycobacteria to existing antibacterial chemotherapeutic agents. Tuberculosis surgery remains effective, relying on resection methods. However, the latter may not always be possible and often complicate matters. In both cases, an alternative may be collapse surgery.
Materials and Methods. The proposals of Kharkiv tuberculosis surgeons over the past 100–120 years, who developed and improved an alternative to resection surgery – extrapleural thoracoplasty operation, were briefly considered.
Conclusion. The tuberculosis surgical interventions proposed by M. Subbotin, F. Rose, A. Kiselov, A. Florikyan were at the level of world science and deserve the attention of compatriots. They should find successors in practical application and in subsequent scientific and theoretical developments. Healthcare organizers in Kharkiv region and Ukraine should contribute to this.
LIGNOCELLULOSIC LINERS BASED ON WOOD WOOL
Authors: IHNÁT VLADIMÍR , LÜBKE HENRICH , RUSS ALBERT , BALBERČÁK JOZEF , KUŇA VLADIMÍR , PAŽITNÝ ANDREJ , BOHÁČEK ŠTEFAN
Published: June 2024

Basic physical and mechanical properties of lignocellulosic liners up to 1.5 mm thick with a compact and non-crumbling surface based on wood wool and thermoplastic water based glues were determined. PVAc and starch glue with a high proportion of water content were used. The dry mat was pressed gradually under high pressure up to 28 MPa and a temperature of around 190°C with the release of steam. Tests according to the CEPI (Confederation of European Paper Industries) standards were adopted. Procedures for tensile strength according to ISO 1924-2 (2008), Burst strength according to ISO 2758 (2014), puncture according to ASTM D781-68 (1973), water absorption according to ISO 5637 (1989) and porosity according to TAPPI Test method T460 were applied.
Gestión por resultados en el desempeño de especialistas del área de Gestión Pedagógica- UGEL, Utcubamba, Amazonas
Authors: Barboza Castillo Efraín , Quispe Arévalo Amelia , Cacho Revilla Adolfo , Mera Alarcón Henry Armando
Published: June 2024

Esta investigación tiene como objetivo general proponer un modelo de gestión por resultados para mejorar el desempeño de los especialistas del Área de Gestión Pedagógica de la UGEL- Utcubamba, Región Amazonas, 2020. La metodología utilizada es de tipo histórico descriptivo, con diseño descriptivo propositivo, se trabajó con una muestra de 16 especialistas del área de Gestión Pedagógica. Los resultados alcanzados concluyen que el nivel de desempeño es deficiente 37.5 % en la dimensión convivencia escolar, seguido del seguimiento a los aprendizajes 25% regular y planificación curricular 25% bueno. Concluyendo que los factores que más contribuyen al modelo de gestión por resultados en los especialistas del Área de Gestión Pedagógica de la UGEL- Utcubamba, Región Amazonas, 2020, son la planificación curricular al alcanzar un 75% nivel regular y el 25% nivel bueno, y el seguimiento a los aprendizajes que alcanzó el 6.3% nivel deficiente, el 75% nivel regular y el 18.5% nivel bueno.
Integración de Sistemas de Inteligencia Artificial en la Formación de Enfermería: Beneficios, Desafíos y Perspectivas Futuras
Authors: Vicuña Palacios Andrea , Cantos Heredia Verónica Dalila
Published: June 2024

El mundo está en constante innovación, ha cruzado las fronteras de la ciencia ficción para convertirse en una realidad de nuestro día a día, la inteligencia artificial el nuevo sistema de educación de la actualidad es una herramienta útil dentro de la docencia. En salud es importante este avance tecnológico para la formación de nuevos profesionales de enfermería quienes afrontan la innovación constante de esta nueva era tecnológica que busca mejorar el proceso de aprendizaje enseñanza mediante este nuevo método que permite la inclusión de simulación de casos clínicos reales para realizar una intervención integral sin necesidad de poner en riesgo la seguridad del paciente, ni comprometer la parte ética de la profesión. Se realizo una investigación es de tipo reflexiva, se registra investigaciones referentes a las temáticas planteadas con el objetivo de describir su utilidad, beneficios, desafíos y perspectivas futuras. Dentro del proceso se identificaron beneficios como la integración de la educación, bajo costo de mantenimiento, sistematización de procesos, protocolos, gestión administrativa, gestión de talento humano. Pero también, tiene implicaciones éticas como la privacidad del paciente ya que los datos se encuentran sistematizados y de fácil acceso. La incorporación en la formación de enfermería representa para impulsar la atención, el cuidado del paciente y la educación en el ámbito de la salud; el potencial de optimizar la prestación de cuidados, mejorar la precisión del diagnóstico y fortalecer la investigación, conduciendo a una atención al paciente de calidad. En salud donde la precisión y la rapidez son vitales para del desarrollo de los procedimientos, la inteligencia artificial se ha convertido en un gran aliado para mejorar el aprendizaje y disminuir miedo, ansiedad y estrés en los futuros profesionales.
Analisis Pengendalian Kualitas Produk Sanitasi Kloset Duduk Tipe CW 53 J Menggunakan Metode Statistical Process Control (SPC) PT Surya Pertiwi Nusantara
Authors: Adam Ryan Febrian Muhamad , Siti Muhimatul Khoiroh
Published: June 2024

One of the products produced by PT Surya Pertiwi Nusantara, namely the seat-type toilet or called CW 53 J, is one of the products that is relatively often produced among various other products that are made only when there is an order (make by order). From the production of CW 53 J often found defects or defects in quality control, the damage varies from small holes in various parts of the body, body cracks, body lack or inappropriate shape, peeled body, body dust etc. Many factors affect the success of production, but there are factors that can be controlled and cannot be controlled. The method in this study is to use seven tools. Seven tools are 7 tools used to control the quality of a product, including: chek sheet, cause and effect diagram, pareto diagram, control map diagram, spread chart, flow chart and histogram .
A INTRODUÇÃO E DIFUSÃO DE INOVAÇÕES E A FORMAÇÃO DA RENDA TECNOLÓGICA. UMA ABORDAGEM MARXISTA-NEO RICARDIANA
Authors: Gontijo Cláudio
Published: June 2024

Este texto procura preencher uma lacuna existente na literatura especializada, discutindo a questão da introdução e difusão das inovações, assim como a formação da renda tecnológica a partir de uma abordagem que combina elementos da teoria marxista com a teoria neo-ricardiana. A partir da teoria de preços de equilíbrio de longo prazo, procura demonstrar como o progresso técnico é um resultado necessário do conflito distributivo entre capital e trabalho e da concorrência entre as empresas, mostrando como se forma a renda tecnológica e se determina o valor de uma inovação. A relação entre difusão de uma inovação em um setor produtor de bens básicos e bens não básicos e o sistema econômico como um todo é discutida com base no Teorema de Okishio.
LINFOMA NÃO-HODGKIN CUTÂNEO DE CÉLULAS-T EM CRIANÇA:UM RELATO DE CASO
Authors: De Almeida Isabelle Vieira
Published: June 2024

Paciente do sexo feminino, 7 anos de idade, deu entrada na emergência pediátrica. Aoexame físico foi observado manchas hipocrômicas irregulares em tórax, abdome eregião dorsal, com maior tropismo por áreas com pouca ou nenhuma exposição solar.Ao realizar biopsia, histopatológico constatou a presença de células de Sézary-Lutzner, concluindo então se tratar de Micose Fungoide - Linfoma não-Hodgkincutâneo de células T. Tal condição é rara em crianças e há uma preponderância de 2:1no sexo masculino. A enfermidade tem características clínicas e patológicasinespecíficas que sobrepõem a processos reativos, o que muitas vezes dificulta odiagnóstico precoce.
ANALISE DA GESTÃO DA TECNOLOGIA DA INFORMAC¸ AO NA PREFEITURA MUNICIPAL DE LUZIANIA (PML)
Authors: Meireles Guerra Matheus , Rosa Martins Ernane
Published: June 2024

O presente artigo visa apresentar a gestão da Tecnologia da Informação – TI na Prefeitura Municipal de Luziânia, Goiás, Brasil. O objetivo do estudo foi compreender a aplicação da tecnologia da informação nos setores da Prefeitura, sua organização e importância para o funcionamento organizacional. Para isso, foram utilizadas referencias bibliográficas na área de TI e gerenciamento de empresas e uma entrevista com o responsável pela área de TI da Prefeitura Municipal de Luziânia.