bluuebunny/crossref_metadata_2025 huggingface dataset:
Reception of the image of A. S. Griboyedov in Iran
Authors: Нахидех Калаши
Published: December 2023

История литературных связей Ирана и России насчитывает несколько веков. За это время культуры обеих стран взаимно обогащались в том числе и в сфере перевода. Расширение культурных связей между Ираном и Россией относится к концу XVIII – началу XIX вв., при Каджарском периоде. В данной статье рассматривается восприятие образа Александра Сергеевича Грибоедова и судьба его литературного наследия в Иране. Изучаются факты и объемы перевода на персидский язык наиболее известного его драматического произведения – «Горе от ума» и литературы о нем. Анализируется отношение к творчеству А. С. Грибоедова в современном Иране.

The history of literary relations between Iran and Russia has several centuries. During this time, the cultures of both countries were mutually enriched, including in the field of translation. The expansion of cultural ties between Iran and Russia dates back to the late 18th and early 19th centuries, during the Qajar period. This article discusses the perception of the image of Alexander Sergeevich Griboyedov and the fate of his literary heritage in Iran. Facts and volumes of translation into Persian are studied of his most famous dramatic work – «Woe from Wit» and literature about him. It analyzes the attitude to the work of A. S. Griboyedov in modern Iran.
Modern trends in organized cybercrime
Authors: GUZALUK M.
Published: December 2023

The article investigates the current trends of cybercrime, in particular, its organized forms. Measures to enhance the fight against cybercrime are proposed.
Legal education and the provision of legal services in the context of artificial intelligence
Authors: RADUTNIY O.
Published: December 2023

The article examines the impact of artificial intelligence, the determining properties of which are awareness of its own construction and functioning, the ability to self-study, self-improvement, self-development, autonomy from a person when making decisions, etc., to legal education and the legal market of law services. The attention was paid to the urgency of creating new standards in the field of education and management of legal business due to increased access to large volumes of information, fast data consumption, but small development of knowledge in certain industries. The need is emphasized the need to strive for each specialist to be able to understand the content of the actual achievements of science in any field, regardless of their profession or occupation. To do this, it is necessary to give preference to horizontal interaction, to create conditions for obtaining new cultural and professional competencies, move from memorization to creative decisions and communication, work on identifying an individual trajectory and personalizing learning, promote innovation in education and in legal services.
Estrategias para el Desarrollo de Competencias Socioemocionales en la Sociedad 5.0
Authors: Román Julián Rebeca , Román Fuentes Juan Carlos , Franco Gurría Rafael Timoteo
Published: December 2023

El equilibrio en el desarrollo de competencias técnicas y socioemocionales en los estudiantes plantea desafíos que las universidades deben atender, no solo para responder a demandas de empleadores sino para asegurar la formación integral que supone la sociedad 5.0; problemática ante la cual se busca describir la percepción que los universitarios tienen respecto al dominio de estas últimas, como diagnóstico para diseñar estrategias que las impulsen; para ello, desde un enfoque cuantitativo, con alcance descriptivo y empleando la encuesta como técnica de recolección de datos, se aplicó un cuestionario en la Facultad de Contaduría y Administración de la Universidad Autónoma de Chiapas, a una muestra de 443 estudiantes de las licenciaturas en Administración, Contaduría, Gestión Turística, Sistemas Computacionales e Ingeniería en Desarrollo y Tecnologías de Software; obteniendo como resultado una apreciación de alto dominio de las competencias analizadas, con mayor énfasis en la resolución de problemas y la identificación de áreas de mejora en lo relativo a creatividad e innovación, adaptabilidad y flexibilidad y autoevaluación. Para desarrollarlas, la literatura reporta estrategias como: proyectos, análisis de casos, experiencias de trabajo, hackaton, meetup, mentoring, simulaciones, aprendizaje emprendedor, aprendizaje experiencial, proyectos comunitarios y juegos en línea, que pueden enriquecer los procesos educativos.
Gambaran Karakteristik Penderita Hipertensi Di Rumah Sakit Umum Daerah Konawe Kepulauan
Authors: Ningsih Nurna , Hassanudin Dhidharmadi , Nuraisya Nuraisya , Mirna Mirna , Tosepu Ramadhan , Effendy Devi Savitri , Susanty Sri
Published: December 2023

Hipertensi merupakan suatu tantangan kesehatan masyarakat secara global, dimana dapat mengurangi kualitas hidup secara signifikan dan juga merupakan salah satu faktor risiko yang sangat berkaitan erat dengan penyakit kardiovaskuler dan mortalitas atau kematian pada usia muda akibat penyakit hipertensi. Tujuan penelitian ini untuk mengetahui gambaran karakteristik penderita hipertensi di Rumah Sakit Umum Daerah Konawe Kepulauan. Metode penelitian adalah penelitian penelitian deskriptif kuantitatif dimana menggambarkan secara umum karakteristik penderita Hipertensi di Rumah Sakit Umum Daerah Konawe Kepulauan dengan sampel 40 orang. Hasil penelitiannini memperlihatkan jenis kelamin kejadian hipertensi banyak terjadi pada jenis kelamin wanita yakni sebanyak 26 (65%), dan umur 51-60 tahun 18 orang (45%), berdasarkan karakteristik derajat hipertensi stage 1 adalah 2 orang (52,5%), sebagian besar menunjukan gejala-gejala sakit kepala 25% dan nyeri ulu hati 17,5%. Pengobatannya menggunakan Amlodipine sebanyak 80 % dan candersatan sebanyak (20%). Kesimpulan Penelitian ini memiliki kesimpulan bahwa karakteristik pasien hipertensi di RSUD Konawe kepulauan sebagian besar berusia 50-60 tahun , berjenis kelamin wanita, dan memiliki hipertensi stage 1 dengan gejala saat datang memilki gejala-gejala yang sama seperti nyeri ulu hati, sakit kepala, pusing, leher tegang, nyeri pinggang dan lain-lain.

Kata Kunci: Hipertensi, Karakteristik, Konawe Kepulauan
Hubungan Perilaku Dan Kepemilikan Jamban Dengan Kejadian Diare Pada Masyarakat Suku Bajo Di Desa Mekar Kecamatan Soropia Kabupaten Konawe Tahun 2022
Authors: Rompon Erni , Yasnani Yasnani , Akifah Akifah
Published: December 2023

Penyebab diare karena bakteri dan kuman serta faktor lingkungan yang menyebabkan penyakit diare dan perilaku hidup bersih dan sehat. Menurut laporan Puskesmas Soropia pada tahun 2019, ada 126 orang yang mengalami diare atau 1,32%. Pada tahun 2020 terjadi peningkatan, ada 156 penderita atau 1,63%. Penelitian ini bertujuan untuk mengetahui Hubungan perilaku dan kepemilikan jamban dengan kejadian diare pada Masyarakat Suku Bajo di Desa Mekar kecamatan Soropia Kabupaten Konawe Tahun 2022.Jenis penelitian analitik kuantitatif dengan pendekatan crosssectional study dengan jumlah sampel 56 responden yang menderita penyakit diare dalam 6 bulan terakhir. Dalam pengambilan sampel dalam penelitian ini menggunakan tekniktotal sampling. Instrumen dalam penelitian ini menggunakan kuesioner yang disebar secara langsung. Hasil penelitian ini menunjukkan bahwa tidak hubungan antara Perilaku kebiasaan mencuci tangan memakai sabun dengan kejadian diare dengan nilai p = 0.109 (p> 0.05), Perilaku menunjukkan ada hubungan perilaku mengonsumsi air minum masak dengan kejadian diare dengan nilai bahwa p = 0.003 (p< 0.05), Kepemilikan jamban menunjukan ada hubungan kepemilikan Jamban dengan Kejadian diare dengan nilai p = 0.002 (p< 0.05), dan Penggunaan Jamban menunjukkan tidak ada hubungan antara penggunaan jamban dengan Kejadian diare dengan nilai p = 0.109 (p> 0.05). Kesimpulan dalam penelitian ini adalah ada hubungan antara perilaku mengonsumsi air minum masak dan kepemilikan Jamban dengan kejadian diare, namun tidak ada hubungan antara perilaku kebiasaan mencuci tangan memakai sabun dan penggunaan jamban dengan kejadian diare.
Governance of the National Development Planning and Budgeting Synchronization Network
Authors: Sakty Irma
Published: December 2023

Development is a human activity that has complex problem dimensions, continues to change dynamically and contains wide differences in substance. Every country in carrying out the development process requires a set of values or goals to be achieved as a reflection or representative of the common interests/decisions of its people. The aim of the research is to find out how appropriate national development planning and budgeting synchronization network governance is in Indonesia. This research will use a post-positivism research approach and use qualitative methods. Research location at the center (Bappenas, Ministry of Finance, Ministry of Home Affairs), representatives of Regional Government actors and other agencies/institutions in the regions involved such as representatives of BPK/BPKP DPR/DPRD, Community Organizations/Academics). The resources possessed in the national development planning and budgeting synchronization network can be concluded that the main resources that play an important role in the network are: (1) the availability of professional planning human resources; (2) budget availability to manage planning programs/activities.
Impact Assessment of Culinary Tourism Potential on the Revitalization of Post-Pandemic Marine Tourism at Mampie Polewali Mandar Beach, West Sulawesi: A Qualitative Analysis
Authors: Winowatan Wim J Winowatan , Suarta I Putu , Rita Rita
Published: December 2023

The objectives of this study were (1) to find out what culinary potential can support post-pandemic covid 19 marine tourism on the Mampie Polewali Mandar beach, West Sulawesi. (2) to find out the culinary potential to support post-covid 19 pandemic marine tourism on the Mampie Polewali Mandar beach West Sulawesi. The research method used is research with qualitative data types with data collection techniques using interviews, documentation and observation then analyzed using qualitative descriptive analysis techniques. The research results show that there are actually a lot of culinary potentials, including by utilizing traditional specialties as one of the products that can be marketed or sold in the marine tourism area of Mampie Beach, apart from that by working with the local community to provide products, currently there is no culinary being utilized. so that the Mampie Beach marine tourism is not maximal yet so that it is not optimal in providing facilities and infrastructure for a marine tourism, especially considering that now we are in post-pandemic Covid 19 where tourists will feel bored doing activities that have been carried out from home and will traveling for vacation purposes. The lack of culinary potential as a support for marine tourism makes this known culinary potential that it turns out that the lack of initiative from the community, stakeholders to the local government means that marine tourism will also run as usual without any other additional income. This is due to the lack of information obtained by managers regarding what are the things that can support marine tourism, especially in increasing income, such as culinary tourism which will actually be a supporting factor for marine tourism in Mampie Beach, especially during the post-covid pandemic 19 at the moment.
The relationship between insomnia and acute postoperative pain: a case-control study on laparoscopic cholecystectomy patients
Authors: BALTALI Sevim , ERDEN Veysel , SEVEN Seda , BALTALI Mehmet , BÜLGEN Sibel , GÜRBULAK Bunyamin
Published: December 2023

Aims: Psychological factors play a significant role in predicting postoperative pain. However, the impact of insomnia on acute postoperative pain is little known. The aim of this study was to investigate the relationship between insomnia and acute postoperative pain.

Methods: We performed a case-control study in patients undergoing elective laparoscopic cholecystectomy. Patients with an Insomnia Severity Index (ISI) score >14 were allocated to an insomnia group (n=35) and those with an ISI score
The diagnostic accuracy of coronary angiography to detect left anterior descending artery myocardial bridging in coronary artery bypass grafting: a retrospective single-center study
Authors: ALAGHA Sameh
Published: December 2023

Aims: The left anterior descending artery is the most involved vessel in the myocardial bridging of the coronary arteries. Revascularization of the left anterior descending artery (LAD) is considered an essential component of coronary artery bypass grafting (CABG) procedures. This study aims to evaluate the correlation between angiographic views of the coronary artery and intraoperative findings of the left anterior descending artery myocardial bridge (LADMB).

Methods: The records of patients who underwent the CABG procedure between January 2015 and October 2022 were reviewed retrospectively. A total of 349 patients who had LADMB on coronary angiography (CAG) images and/or intraoperatively were evaluated. Patients were divided into two groups. The CAG group (n=50) consisted of patients with angiographic LADMB, and the CABG group (n=40) consisted of patients with LADMB that was detected intraoperatively. The correlation between myocardial bridge signs of the LAD in CAG and intraoperative observations was investigated.

Results: In the coronary angiography group, 50 patients had signs of depression on coronary angiography, of whom 35 had LADMB intraoperatively. In the CABG group, 40 patients were found to have a myocardial bridge intraoperatively, and 5 had normal CAG images. The prevalence of LADMB was 11.5%. The sensitivity of CAG was 87.5%, the specificity was 95.15%, the positive predictive value was 70%, and the negative predictive value was 98.32%.

Conclusion: The myocardial bridge signs of the LAD on CAG correlate with intraoperative observations with high sensitivity and specificity.
Nitric oxide therapy in COVID-19 patients with acute respiratory distress in intensive care unit
Authors: SEĞMEN Fatih , KAYAR ÇALILI Duygu , ALP Güray , BÖLÜKBAŞI Demet , DENİZ MISIR Hülya , UYSAL Elmas , DEMİR Nalan , ERDEM Deniz
Published: December 2023

Aims: The administration of inhaled nitric oxide (iNO) is a promising and new approach to treat viral load while increasing oxygenation directly. This research aimed to elucidate the clinical and laboratory response to the treatment of the patients diagnosed with Coronavirus disease-19 (COVID-19) in the intensive care unit (ICU) and followed up due to respiratory failure and given iNO.

Methods: A total of 46 individuals who were diagnosed with COVID-19 and developed severe respiratory failure were followed up with or without intubation, had previously received standard care were evaluated within the study’s scope. iNO initiation time in the ICU, whether the patients were intubated, clinical and laboratory parameters before and after iNO treatment were obtained from hospital records.

Results: A statistically significant difference has been achieved in arterial partial pressure of oxygen (PaO2), peripheral oxygen saturation (SpO2), and the ratio of arterial partial pressure of oxygen to fraction of inspired oxygen (PaO2/FiO2) ratios before and after iNO (p
The relationship between oral and dental health and appendicitis
Authors: SAĞLIK Semih , AY Enver , BAKIR Veysel , NAS Necip
Published: December 2023

Aims: In this study, we aimed to evaluate the relationship between the scores of the “Simplified Oral Hygiene Index” (OHI-S) indicating poor oral hygiene and the “Decayed, Missing and Filled Teeth” (DMFT) index indicating oral health impairment, and acute appendicitis (AA).

Methods: Eighty four patients who were operated on with the diagnosis of acute appendicitis between April 2022 and May 2023 were included. The control group included 32 individuals without a history of appendectomy. In our study, oral health was evaluated using the DMFT and OHI-S indices. The DMFT index is one of the indices quantifying dental health status based on the number of cavities. OHI-S is an index used to evaluate oral hygiene.

Results: The OHI-S index scores of the patients with AA were significantly higher than those of the control group (3.53±1.43, 2.56±1.24, p
The effect of thirdhand smoke belief on intention to quit smoking
Authors: ÖZSARI Süleyman , KOCADAĞ Derya
Published: December 2023

Aims: The study aimed to investigate the effect of thirdhand smoke perception (THS) on the intention to quit smoking.

Methods: We measured the perceptions of 285 smokers who admitted and did not admit to the smoking cessation outpatient clinic by the Third Hand Smoke Scale (THS) and their addiction by the Fagerström Nicotine Addiction Scale (FNAS). The factors affecting the intention to quit smoking were examined by logistic regression analysis.

Results: While 88.8% of the participants heard about passive smoking, only 14.4% stated that they had heard of thirdhand smoke. Those admitted to the smoking cessation outpatient clinic, those who had at least one smoking quitting attempt, those who wanted to quit smoking, those with high addictions, and those who were banned on smoking at home had a high THS perception, but no difference was observed in the parents.

Conclusion: Although SHS is high in smokers, we believe there is a need for the perception of THS to be supported to want and try to quit smoking. Even though the perception of THS, which has been studied for more than 10 years, is not at the desired level, it will be a strong psycho-technique with the concrete data it reveals in quitting smoking with the social training and orientations to be given.
Evaluation of the efficacy of intralesional triamcinolone injection therapy in patients with granulomatous mastitis: a comparative study with oral methylprednisolone
Authors: MERT Tuba
Published: December 2023

Aims: This study aims to compare the efficacy of oral steroid therapy with the combination of topical and intralesional steroid (TILS) therapy in patients with granulomatous mastitis (GM).

Methods: This is a single-center retrospective longitudinal study. Women with a diagnosis of GM who applied to Medipol Universty Pendik Hospital General Surgery Clinic between January 2020 and April 2022 were included in the study. Participants received TILS or peroral steroid (POS) treatment in sequential order, and each patient received only one of the treatment options. Participants were evaluated by physical examination, USG, and radiography before and after treatment to assess lesion size, side, number of foci, skin characteristics, and the presence of pain. The clinical and radiological findings were compared betwen the groups at the end of the 6-month follow-up and the participants were followed up for the next 12 months to demonstrate the efficacy.

Results: A total of 52 women participated in the study, with 26 in the POS group and 26 in the TILS group. The mean age was 33.33+6.94 years and similar between the two groups (p=0.831). Three patients (11.53%) in the TILS group and 7 patients (26.92%) in the POS group were nonresponders to treatment (p=0.159). Given the nonresponders, GM lesions persisted in one patient (3.84%) in the TILS group and 3 patients (11.53%) in the POS group at the end of the study (p=0.610). At the end of the 12-month follow-up, five patients (19.2%) in the TILS group and 20 patients (76.9%) in the POS group who achieved a complete remission at the posttreatment 6 months experienced disease recurrence (p
The new score predicts 1-year poor outcome in patients with successful percutaneous coronary intervention: Naples prognostic score
Authors: AKGÜMÜŞ Alkame , BALUN Ahmet
Published: December 2023

Aims: This study investigated the relationship between Naples prognostic score (NPS) and 1-year poor clinical outcomes in patients presenting with non-ST-segment elevation myocardial infarction (NSTEMI).

Methods: The study included 121 patients who had NSTEMI and received successful PCI treatment. The researchers calculated NPS using the neutrophil/lymphocyte ratio, lymphocyte/monocyte ratio, serum albumin level, and total cholesterol. The patients were divided into two groups based on their NPS scores: those with scores of 0.1 and 2 and those with scores of 3 and 4. The study compared the occurrence of major cardiovascular events (MACE) such as 1-year all-cause mortality, 1-year nonfatal recurrent MI, and stroke between the two groups.

Results: Patients with high NPS scores were observed to have significantly higher all-cause mortality than those with low NPS scores (23.9% vs. 9.3%, p=0.029). When the MACEs of the patients were compared, significantly higher MACE was observed in the high NPS group (39.1% vs. 18.7%, p=0.013).

In multivariate logistic regression analysis, creatinine (OR:4,914, CI 95%: 1.310-18,433, p=0.018) and NPS 3-4 (OR:2.565, CI 95%: 1.093-6.017, p=0.030) were independent predictors of MACE.

Conclusion: Composite MACEs of non-fatal recurrent MI, cerebrovascular accident, and all-cause death were higher at one year in patients with high NPS who underwent successful percutaneous intervention. High NPS is an indicator of MACE.
The role of hormonal status, morphological subtypes and proliferative marker Ki-67 labeling index on long-term outcomes in patients with acromegaly: a single tertiary center’s experience
Authors: KESKİN Çağlar , ŞAHİN Mustafa , KİREMİTÇİ Saba , ERDEN Esra , GÖKÇAY CANPOLAT Asena , CANLAR Şule , CİNEL Murat , BAŞ AKSU Özge , DEMİR Özgür , EMRAL Rıfat , GÜLLÜ Sevim , ÇORAPÇIOĞLU Demet
Published: December 2023

Aims: Acromegaly is a rare disorder resulting from benign growth hormone secreting pituitary adenomas. Many factors affect long-term outcomes in acromegaly. In this study we aimed to investigate effects of hormonal status, morphological subtypes, immunohistochemical expression of pituitary hormones and Ki-67 labeling index on long-term outcomes in patients with acromegaly.

Methods:. We collected the medical and pathological records of sixty-four patients who underwent surgery for growth hormone (GH) secreting somatotroph tumors between 2005-2017.

Results: The remission rate after surgery was 48% (31/64) in all patients (33% for macroadenomas, 94% for microadenomas; p
Evaluation of immunochromatography method in the diagnosis of cystic echinococcosis
Authors: KOCA Özlem , ÇETİNKAYA Özgül , ERMAN DALOĞLU Aylin , ÇEKİN Yeşim , ÖZEN Hatice
Published: December 2023

Aims: Echinococcus granulosus is the causative agent of hydatid cyst, or cystic echinococcosis (CE), with its current name. Echinococcus granulosus is a zoonotic cestode; commonly found in humans and farm animals. In cystic echinococcosis infection, transmission occurs by oral ingestion of parasite eggs excreted in infected dog feces. The larval form is responsible for the formation of slowly growing cysts in the organs and tissues of mammals such as humans, sheep, goats and cattle. In this study, it was aimed to compare indirect hemagglutination (IHA) and immunochromatographic (ICT) methods from the sera of patients with suspected CE and to evaluate serological tests based on imaging and clinical diagnosis.

Methods: Between 31 October 2022 and 31 January 2023, blood samples of 95 patients with suspected CE from different units of our hospital and for whom IHA was routinely requested were included in the study prospectively. VIRAPID® Hydatidosis (Vircell, Granada, Spain) test using the immunochromatographic method and ELI.H.A. Echinococcus (ELITech Microbio, France) test was studied in accordance with the manufacturer’s instructions.

Results: Based on clinical and imaging methods of 95 patients included in our study, 64 (63.1%) were diagnosed with hydatid cyst. Based on imaging and clinical diagnosis; sensitivity, specificity, positive predictive value and negative predictive values were calculated as 81.3%, 96.8%, 98.1%, 71.4% for the IHA test, and were calculated as 75.0%, 93.5%, 96.6%, 64.4% for the ICT test, respectively. Good agreement was found between the two tests (percent agreement=68.0%; kappa value=0.682; p
Comparison of anti-HCV seroprevalence of patients who underwent cataract surgery and other ophthalmic procedures
Authors: ÖZGÜR Gökhan , MUTLU YILMAZ Esmeray
Published: December 2023

Aims: The aim of this study is to evaluate the Anti-HCV seroprevalence in patients who underwent cataract surgery and to compare the prevalence with other ophthalmic surgery procedures.

Methods: Patients who underwent ophthalmic surgeries between January 2017 and January 2023 and were preoperatively screened for anti-HCV by ELISA test were included in this study. Patients who underwent cataract surgery formed the study group and other patients were compared as the control group. All data were obtained from the database of the institute and were retrospectively evaluated.

Results: A total of 15799 cases were included in the study, and 69.9% had cataracts whereas 30.1% had non-cataract surgery. The mean age of the patients was 63.24±16.04 years. The rate of Anti-HCV seropositive patients was 0.48% (n=53) in the cataract surgery group, and 0.42% (n=20) in those who had non-cataract surgery. However, the difference was not statistically significant (p=0.696). The overall rate of Anti-HCV seropositive cases was %0.46.

Conclusion: Even though there was no significant difference between the two groups, the Anti-HCV was positive for almost 1 in 200 ophthalmic procedures. We strongly recommend preoperative screening due to the severity of HCV infection and the risk of surgical transmission.
Evaluation of gynecology and gynecologic oncology cases who received massive blood transfusion: a tertiary center experience
Authors: ÖZGÜRLÜK İzzet , KESKİN Hüseyin Levent
Published: December 2023

Aims: To examine the frequency, indications and results of massive blood transfusion in gynecology and gynecological oncology cases.

Methods: The data of 56 cases who were underwent massive blood transfusion and operated on for benign/ malignant pathology indications in the gynecology and gynecological oncology clinics between October 1, 2022 and August 1, 2023, within a period of 10 months, were retrospectively analyzed. Demographic data of the cases (age, gravida, parity, body mass index), indications for hospitalization, vital signs during hospitalization, hemoglobin (Hb), hematocrit (Htc), platelet and INR values, massive transfusion indications, transfused blood products (erythrocyte suspansion, fresh frozen plasma (FFP), pooled platelet suspension, cryoprecipitate, fibrinogen) and the length of stay in the intensive care unit and hospitalization were retrospectively screened and analyzed statistically. The statistical significance level was accepted as p0.05). However, when the decision for transfusion was made, the INR value was statistically significantly higher in gynecological oncology cases (p=0.001). While the amounts of erythrocyte suspension given were similar between the two patient groups (5.1±1.4 vs. 6.3±3.5 U, p= 0.082), FFP amounts were higher in the gynecologic oncology group (3.3±2.0 vs. 6.2±3.7 U, p=0.001). When the blood groups of the cases were examined, it was seen that the most common blood groups were O (+) (n= 18, 32.1%) and A (+) (n=16, 28.6%). The duration of stay in the intensive care unit and hospitalization of gynecological oncology cases was significantly longer in gynecological cases. While 1 of 56 patients who underwent massive blood transfusion died (gynecological oncology case), 55 patients were discharged.

Conclusion: Timely transfusion decision is safe and life-saving in massive hemorrhages.
Autonomic symptoms in early-stage Parkinson’s patients and their relationship with cognition and disease parameters
Authors: KOBAK TUR Esma , GÖZKE Eren
Published: December 2023

Aims: Autonomic dysfunction is a prevalent feature throughout various stages of the disease and can significantly exacerbate the overall impact of the condition. Moreover, it is linked to accelerated disease advances and diminished vitality rates in individuals with Parkinson’s disease (PD). The main goal of this study is to evaluate the prevalence of autonomic symptoms and cognitive findings and investigate their associations with disease-related factors in early-stage PD patients.

Methods: A total of 49 individuals diagnosed with PD were enrolled in this study. Disease severity was assessed using the Unified Parkinson’s Disease Rating Scale (UPDRS), and the disease stage was determined through the modified Hoehn & Yahr Rating Scale (mHYRS). By the mH&Y scale, only individuals in the early stages (≤2.5) of the disease were included in this investigation. The evaluation of autonomic symptoms in PD was conducted using the Scales for Outcomes in Parkinson’s Disease for Autonomic Symptoms (SCOPA-AUT) scale. The cognitive functions of the patients were assessed utilizing the Turkish version of the Montreal Cognitive Assessment Scale (MOCA-TR).

Results: The study included 44% (n=22) females and 56% (n=27) males as participants. The average age was 61.5±10.1 years. The mean SCOPA-AUT score was 18.9±9.36, with the most prevalent autonomic symptoms related to the gastrointestinal system. A positive correlation was shown with autonomic symptoms and disease stages (p=0.024, r=0.322). However, no significant relationship was found between autonomic symptoms, other disease parameters, and cognition. We observed a notable inverse correlation between the disease stage and cognitive status (p=0.003, r=-0.417).

Conclusion: Our study concluded that autonomic dysfunctions manifest from the early stages of Parkinson’s disease and can intensify as the disease progresses. Identifying and addressing these dysfunctions at an early stage would play a pivotal role in lessening the overall impact of the disease.
Effects of chronic obstructive pulmonary disease stage on muscle oxygenation during exercise
Authors: YILMAZ GÖKMEN Gülhan , DEMİR Canan
Published: December 2023

Aims: The aim of this study was to investigate peripheral muscle oxygenation in patients with chronic obstructive pulmonary disease (COPD) at rest, during submaximal exercise, and during recovery, and to determine the effects of disease stage on peripheral muscle oxygenation.

Methods: Of the 35 stable COPD patients (62.49±8.45 years), 18 patients in GOLD 1 and 2 were assigned to Group 1 and 17 patients in GOLD 3 and 4 were assigned to Group 2. Dyspnea perception of the patients was evaluated with the Modified Medical Research Council (mMRC) Dyspnea Scale, severity of the disease affecting daily life was evaluated with the COPD Assessment Test (CAT-COPD Assessment Test), respiratory function was evaluated with the Pulmonary Function Test, and quadriceps muscle strength was evaluated with a manual muscle testing device. Muscle oxygenation of the patients was measured with Near-infrared spectroscopy (NIRS) for 5 minutes at rest, 6 minutes during the 6-Minute Walk Test (6-MWT), and 5 minutes during recovery after the end of the test. The results of the two groups were compared.

Results: Intragroup comparisons of muscle oxygenation at rest, during 6-MWT and during recovery; in Group 1, there was a statistically significant decrease between resting SmO2 mean and test SmO2 mean (p=0.001), a increase between test SmO2 mean and recovery SmO2 mean (p
JUSTICIA ORGANIZACIONAL Y COMPROMISO EN LOS COLABORADORES DE LA DE UNIDAD EJECUTORA 404 - RED DE SALUD DATEM DEL MARAí‘ÓN
Authors: Troya Palomino David
Published: December 2023

Este estudio determinó la relación entre la justicia organizacional y el compromiso de los colaboradores de una entidad gubernamental dedicada a la gestión de los servicios de salud en el Perú, este estudio se desarrolló bajo un tipo de investigación básica, enfoque cuantitativo, nivel descriptivo correlacional y de diseño no experimental. Se contó con la participación de 155 colaboradores tomados de un muestreo no probabilí­stico, a quienes se les aplicó una encuesta como método para recolectar los datos. Los resultados encontrados luego de aplicado el análisis estadí­stico Rho Spearman indican una relación positiva media entre las variables, esto indica que los esfuerzos que se realicen en la institución con el fin de propiciar una buena percepción de justicia organizacional esto se verá reflejado en el compromiso organizacional de los colaboradores.
Interrelación de los agregados macroeconómicos y los estados financieros
Authors: VILCHEZ OLIVARES PERCY
Published: December 2023

La investigación examina la relación entre los agregados macroeconómicos de la Contabilidad Nacional y los estados financieros de la Contabilidad Financiera. La investigación es de tipo aplicada con un enfoque cualitativo, con procedimientos de análisis bibliográfico y documental. Para demostrar la interrelación y equivalencia de los estados económicos contables, se identificó que existe un punto de partida común entre la Contabilidad Nacional y la Contabilidad Financiera, ya que los agregados macroeconómicos y las cuentas contables recurren a la base del devengado, utilizan la partida doble y coinciden en la periodicidad de sus reportes.  El resultado de la investigación demuestra que, los estados económicos y contables están interrelacionados porque ambos surgen de un mismo y único hecho (la actividad económica), el cual solo difiere en la forma en que cada uno lo observa desde su propia perspectiva analí­tica, consecuentemente se consolida la proximidad entre la Contabilidad Nacional y la Contabilidad Financiera,
CAUSALIDAD ENTRE LOS PRECIOS DEL PETROLEO WEST TEXAS INTERMEDIATE (WTI) Y LAS ACTIVIDADES ECONOMICAS DESARROLLADAS EN BOLIVIA, PERIODO 2011 - 2020.
Authors: Rojas Padilla Carlos Alberto , Fiorilo Serrudo Lucy Daniela , Rengel Salinas Natalia , Soliz Sossa Anahi
Published: December 2023

Establecer la relación causal entre la variable precios internacionales del petróleo, considerando los precios del crudo producido en Texas y el sur de Oklahoma (WTI) y la variable actividad económica en Bolivia, fundamentada en la información trimestral presentada en las estadí­sticas económicas en el apartado de cuentas nacionales del Instituto Nacional de Estadí­stica,  representa el alcance de la investigación, a partir de una conjetura previa "Existe causalidad entre los precios del petróleo West Texas Intermediate (WTI) y las actividades económicas desarrolladas en Bolivia, periodo 2011 - 2020" el diseño metodológico eminentemente cuantitativo, con la información histórica resumida en 38 datos trimestrales presentados en series de tiempo, permitió el tratamiento estadí­stico de los datos.
 
El abordaje estadí­stico de los datos, se desarrolló en base al programa Excel de Windows 2013, y el programa EVIEWS, en primera instancia la determinación de la correlación simple y el grado de determinación entre las variables en general, en base a los resultados, permite afirmar que la relación de la variable WTI, con el PIB y los principales sectores de la economí­a boliviana, es inexistente, no existe ajuste entre las variables, las fluctuaciones en los precios del petróleo, no explican los cambios en las variables económicas bolivianas; sin embargo se pudo determinar que en el caso del sector servicios financieros y gasto de la administración pública presentan una relación mí­nima con la variable WTI, además se estableció que esta relación mí­nima es indirecta, mientras que el nivel de ajuste oscila entre el 22% al 29%.
 
El test de causalidad de Granger, utilizando el análisis VAR, considerando 4 rezagos, permitió reforzar las conclusiones anteriores en el sentido de que no existe causalidad de Granger entre las variables analizadas, la variable X, no causa a la variable Y en el sentido de Granger, de existir algún grado de relación entre las variables, fue posible establecer que esta relación seria espuria, ya que, no existe cointegracií²n es decir que no existe sincroní­a entre los ascensos y descensos de las variables.
RELACIÓN ENTRE LA GESTIÓN DEL PATRIMONIO Y EL VALOR PATRIMONIAL EDIFICADO, PARA PROMOVER EL DESARROLLO ECONÓMICO Y SOCIAL
Authors: Cervantes Oscar Fredy , Vila Zorogastua Giselo Fortunato , Sachún Azabache Carlos Martin
Published: December 2023

En los últimos años se ha intensificado en todos los paí­ses del mundo la cultura del desarrollo de la gestión del patrimonio cultural, por cuanto hay un deseo prioritario por la recuperación, la conservación y la puesta en valor del patrimonio material e inmaterial para mantener viva la memoria colectiva y el sentido de pertenencia. En tal sentido el objetivo del artí­culo es precisar la importancia de la relación significativa integral e integradora, que existe entre la gestión del patrimonio y el valor patrimonial edificado que da como resultado; una identidad cultural por parte de la comunidad. y a partir de ella se pueda generar un "desarrollo económico y social"; en beneficio de la ciudad. Esta relación significativa es producto del análisis de la revisión bibliográfica existente.
ANíLISIS DE LAS HERRAMIENTAS MAS UTILIZADAS EN EL MARKETING DIGITAL EN LAS EMPRESAS
Authors: Apaza Chirinos Enrique Genaro , Machaca Huancollo Demetrio Flavio , Humpiri Nuñez Jimy
Published: December 2023

El objetivo de esta investigación fue analizar las herramientas más utilizadas en el marketing digital en las empresas, a través de una investigación de diseño bibliográfico y de tipo documental. El marketing al igual que las empresas han tenido que evolucionar con el paso del tiempo debido a las necesidades del entorno, pues el cliente cada vez se vuelve más exigente, lo que hace que las organizaciones se vuelvan más competitivas y a la vanguardia en el mercado, de allí­ que surge el marketing digital y una serie de herramientas que en conjunto con estrategias permiten alcanzar las metas organizacionales. Gracias a la importante evolución de la tecnologí­a y el internet, los avances en la comunicación son innumerables, y las necesidades y exigencias de los clientes y consumidores aumentan, en vista de ello el marketing debió evolucionar para optimizar sus procesos y lograr calar más allá de las fronteras, al igual que las empresas pues son las primeras en entender que para mantenerse en el tiempo y poder alcanzar sus metas deben adaptarse a las nuevas estrategias comerciales a través de nuevas herramientas y planes propios del marketing digital.
LIDERAZGO DIRECTIVO EN CLIMA INSTITUCIONAL: UNA REVISIÓN SISTEMíTICA
Authors: Peche Sanes José Luis , Cortez Rodrí­guez Nancy Nélida , Merino Salazar Teresita del Rosario
Published: December 2023

Este artí­culo de revisión de información teórica tiene por finalidad realizar la exploración, investigación de artí­culos referentes a las variables de Liderazgo directivo y clima institucional, para describir la relación entre estas variables. El Liderazgo directivo permite orientar a los maestros, favoreciendo el buen clima institucional para la mejora de los aprendizajes y obtener las metas institucionales, poniendo especial interés en la promoción de un buen clima al interior de la organización. En la recolección de información se emplearon palabras clave como Liderazgo directivo, clima institucional y como se relacionan. Se recopilaron artí­culos de diversas revistas indexadas y tesis, así­ como también bases teóricas de autores como apoyo de la revisión bibliográfica reconociendo la relación del Liderazgo directivo, clima institucional. Finalmente, es posible concluir que existe una relación importante con respecto a Liderazgo directivo y clima institucional, basados en las conclusiones de los artí­culos revisados, la mayorí­a coincide en una relación significativa de las variables propuestas en sus distintas dimensiones.
Tidal Disruption Events from the Combined Effects of Two-body Relaxation and the Eccentric Kozai–Lidov Mechanism
Authors: Melchor Denyz , Mockler Brenna , Naoz Smadar , Rose Sanaea C. , Ramirez-Ruiz Enrico
Published: December 2023

Tidal disruption events (TDEs) take place when a star ventures too close to a supermassive black hole (SMBH) and becomes ruptured. One of the leading proposed physical mechanisms often invoked in the literature involves weak two-body interactions experienced by the population of stars within the host SMBH’s sphere of influence, commonly referred to as two-body relaxation. This process can alter the angular momentum of stars at large distances and place them into nearly radial orbits, thus driving them to disruption. On the other hand, gravitational perturbations from an SMBH companion via the eccentric Kozai–Lidov (EKL) mechanism have also been proposed as a promising stellar disruption channel. Here we demonstrate that the combination of EKL and two-body relaxation in SMBH binaries is imperative for building a comprehensive picture of the rates of TDEs. Here we explore how the density profile of the surrounding stellar distribution and the binary orbital parameters of an SMBH companion influence the rate of TDEs. We show that this combined channel naturally produces disruptions at a rate that is consistent with observations and also naturally forms repeated TDEs, where a bound star is partially disrupted over multiple orbits. Recent observations show stars being disrupted in short-period orbits, which is challenging to explain when these mechanisms are considered independently. However, the diffusive effect of two-body relaxation, combined with the secular nature of the eccentricity excitations from EKL, is found to drive stars on short eccentric orbits at a much higher rate. Finally, we predict that rTDEs are more likely to take place in the presence of a steep stellar density distribution.
White Dwarf Photospheric Abundances in Cataclysmic Variables. IV. Deriving the [N/C] Ratio*
Authors: Godon Patrick , Sion Edward M.
Published: December 2023

We present results from our ongoing far-ultraviolet archival analysis of cataclysmic variable white dwarf (WD) abundances for six more systems: four SU UMa dwarf novae (BW Scl, SW UMa, BC UMa, and VW Hyi) together with the dwarf nova RX And, and the novalike DW UMa. To derive a reliable nitrogen abundance, for the four SU UMa systems (with a WD temperature T
wd ∼ 14,000 to ∼22,000 K), we use the dominant N i (1492 Å) absorption line; for DW UMa (with T
wd possibly as high as 60,000 K), we use the N v (∼1240 Å) doublet; and for RX And (with T
wd = 33,800 K), we use the N iii (1183.0 and 1184.6 Å) absorption lines. We find a [N/C] ratio of the order of 1–100 (in solar units). Oxygen, silicon, phosphorus are mostly underabundant while aluminum is mostly overabundant. We also derive magnesium, sulfur, calcium, and iron for a few systems. VW Hyi has a solar composition secondary implying the suprasolar [N/C] ratio very likely originates in the WD itself, e.g., accretion-driven dredge-up, mixing, and convection bringing material from deeper regions to the WD surface. If the donor star in the other five systems is nonevolved, the WD is the origin for the [N/C] ratio in these systems, either directly as in VW Hyi or due to contamination of the donor and accretion disk by the repetitive explosive CNO burning during the common envelope stage of the nova explosions.
A Primordial Origin for the Gas-rich Debris Disks around Intermediate-mass Stars
Authors: Nakatani Riouhei , Turner Neal J. , Hasegawa Yasuhiro , Cataldi Gianni , Aikawa Yuri , Marino Sebastián , Kobayashi Hiroshi
Published: December 2023

While most debris disks consist of dust with little or no gas, a fraction have significant amounts of gas detected via emission lines of CO, ionized carbon, and/or atomic oxygen. Almost all such gaseous debris disks known are around A-type stars with ages up to 50 Myr. We show, using semianalytic disk evolution modeling, that this can be understood if the gaseous debris disks are remnant protoplanetary disks that have become depleted of small grains compared to the interstellar medium. Photoelectric heating by the A stars’ far-UV (FUV) radiation is then inefficient, while the stars’ extreme-UV (EUV) and X-ray emissions are weak owing to a lack of surface convective zones capable of driving magnetic activity. In this picture, it is relatively difficult for stars outside the range of spectral types from A through early B to have such long-lived gas disks. Less-massive stars have stronger magnetic activity in the chromosphere, transition region, and corona with resulting EUV and X-ray emission, while more-massive stars have photospheres hot enough to produce strong EUV radiation. In both cases, primordial disk gas is likely to photoevaporate well before 50 Myr. These results come from 0D disk evolution models where we incorporate internal accretion stresses, MHD winds, and photoevaporation by EUV and X-ray photons with luminosities that are functions of the stellar mass and age. A key issue this work leaves open is how some disks become depleted in small dust so that FUV photoevaporation slows. Candidates include the grains’ growth, settling, radial drift, radiation force, and incorporation into planetary systems.
Magnetic properties of Sr1.5La0.5FeMoO6-δ depending on the phase composition of the reaction mixture
Authors: Yarmolich Marta V. , Kalanda Nikolay A. , Petrov Alexander V. , Kiselev Dmitry A. , Bosak Nikolay A.
Published: December 2023

This paper presents investigations of phase transformations during the crystallization of Sr1.5La0.5FeMoO6-δ by the solid-phase technique from a stoichiometric mixture of oxides MoO3, La2O3 and Fe2O3 and SrCO3 and precursors Sr0.5La0.5FeO3 and SrMoO4. Using XRD and thermogravimetric analyses, the influence of synthesis modes on the chemical processes occurring during the formation of double perovskite was studied. It has been established that the synthesis of lanthanum-strontium ferromolybdate in a mixture of oxides proceeds through a number of series-parallel stages. At the initial stage of interaction, the resulting lanthanum-strontium ferromolybdate is enriched with iron and its composition changes during the reaction towards an increase in the molybdenum content. As the temperature increases, the content of double perovskite increases, and the concentration of the secondary phase SrMoO4 does not disappear to zero until the synthesis temperature, which indicates that solid-phase reactions with the formation of a solid solution Sr1.5La0.5FeMoO6-δ from oxides are difficult to occur. It was determined that to minimize the influence of intermediate reaction products it is necessary to use precursors Sr0.5La0.5FeO3 and SrMoO4. Based on the results of studying the temperature dependences of the degree of phase transformations during the crystallization of double perovskite, combined heating modes were optimized. The use of optimized synthesis modes made it possible to obtain single-phase Sr1.5La0.5FeMoO6-δ powder with the superstructural ordering (82%), the Curie temperature of 450 K and a magnetization value of 40.9 A · m2 · kg-1 at T = 77 K in a magnetic field with induction B ≥ 0.86 T.
The Nurse Practitioner Role in Psychiatric Nursing
Authors: Puskar Kathryn
Published: December 2023

The purpose of this article is threefold: to describe a psychiatric nurse practitioner program that focuses specifically on primary care; 2) to discuss the rationale for a psychiatric nurse practitioner role; and 3) to discuss the advantages of this new role. The nurse practitioner in psychiatry expands advanced practice nursing with an optional but important new role.