bluuebunny/crossref_metadata_2025 huggingface dataset:
ECONOMIC AND MATHEMATICAL MODELING OF THE LEVEL OF MOTIVATION IN AGRICULTURAL ENTERPRISES
Authors: Nuzhna Svitlana , Minkovska Alona
Published: November 2021

Introduction. To date, the high turnover of staff, their aging and declining productivity in enterprises of the agricultural sector of the economy are studied. There is a need to assess the effectiveness and feasibility of the existing system of intangible incentives in terms of its importance to stabilize personnel policy, as well as identify areas for improvement of this system, offer tools for diagnosing staff motivation, build an econometric model, substantiate recommendations for improving intangible resources.
Purpose. The aim of the article is to analyze publications that consider methods of motivating personnel of enterprises, the use of mathematical apparatus to calculate the integrated assessment of motivation of personnel of enterprises, construction and analysis of econometric model of intangible methods of motivating labor resources of agricultural enterprises of Dnepropetrovsk region.
Method (methodology). The article uses the results of a survey of employees of agro-industrial enterprises; methods of correlation-regression analysis are used for the calculation of results as one of the main methods of scientific research; methods of mathematical modeling.
Results. An econometric multifactor regression model of the indicator of integrated assessment of labor resources motivation of agro-industrial enterprises is constructed as a result of the research. There is a direct relationship between the state of the indicator and the assessments of employees on the components of intangible methods of motivation. The results of the calculations allowed us to conclude: an increase in the assessment of employees on the possibility of professional training by 1 point indicates an increase in the integrated assessment of the indicator by 0.998; the rise of the assessment of the possibility of career growth by 1 point enlarges the integrated assessment on 0.846; an increase in the score on the provision of soft loans by 1 point provides the going up in the integrated score by 0.587; increasing the assessment by the method of leisure incentives leads to the grow of the integrated assessment by 0.518; the rising assessment of employees for the provision of discounted meals by 1 point increases the integrated estimation by 0.605; increasing the scores on transport support and the possibility of recovery at the expense of the company by 1 point also brings up the integrated score by 0.471 and 0.603, respectively. The calculated correlation coefficients between each of the factors and the integrated indicator demonstrate a significant correlation and the influence of each factor on the integrated indicator. In this regard, it is necessary to continue to apply the methods of mathematical modeling, which allow to estimate not only the level of motivation, but also to develop and implement an effective mechanism for further development of labor resources in agricultural enterprises.
TRANSFORMATION INFLUENCE OF INSTITUTIONAL BARRIERS ON THE GROWTH OF THE NATIONAL ECONOMY OF UKRAINE
Authors: Sytnyk Yosyf
Published: November 2021

Introduction. Economic growth and economic development of any socio-economic space is the key to a decent standard of living in the state. These categories should be considered as irreversible and targeted qualitative changes in a complex system that develops itself through the prism of the formation of institutional preconditions and risks. Theoretical and methodological problems related to the new model of economic growth and development in Ukraine need scientific attention.
Goal. Identification of tendencies and factors of unstable economic growth and establishment of causal relations of satisfactory development of the national economy of Ukraine and delineation of theoretical and applied bases concerning change of economic model and its management.
Method. Theoretical and methodological tools based on the traditional approach and methods of logical generalization, analysis, comparison and synthesis to assess the volume, rate and structure of economic growth based on a number of macroeconomic indicators.
Results. The article examines the dynamics of national economic growth in Ukraine for the period 2000-2019 on the basis of empirical indicators. The key factors that, together with the structural, demographic, currency and banking crises and galloping inflation, caused sharp economic fluctuations in economic growth rates, have been identified and classified. The tendencies of the production structure of the gross domestic product (GDP) of Ukraine by the main types of economic activity and its influence on economic growth are considered. The comparison of GDP per capita in Ukraine with other European countries was made, and significant differences in the level of this indicator were revealed. The factors of inflation and devaluation processes, as well as the policy of public debt on the dynamics of economic growth are analyzed. A classification has been developed and groups of institutional barriers (concentration-ownership, managerial-institutional-leadership, regressive-anti-innovation, military-political and foreign economic) have been identified, which prevent economic growth in the national economy of Ukraine. The main tasks that need to be solved in parallel in the national economy of Ukraine in the medium term to ensure domestic growth and development are outlined.
BANKING IN THE CONTEXT OF FINANCIAL GLOBALIZATION
Authors: Tkalenko Svitlana , Tipanov Vladyslav
Published: November 2021

Introduction. Financial globalization has facilitated the process of banking concentration and has transformed transnational banks into universal, powerful banking complexes. Within them, the boundaries between commercial banks, investment banks, insurance and other financial institutions are gradually becoming blurred. Developed countries have traditionally been at the forefront of domestic financial, banking systems that move money from one sphere to another. The developed culture of capital accumulation has allowed powerful banks from developed countries to form a significant passive base for long-term and capital-intensive processes, ensuring the activities of leading TNCs.
The purpose of the study is to identify changes in modern banking in the context of financial globalization.
Method. In the process of writing the article used general scientific and special methods: generalization, analysis and synthesis, system approach.
Results. The article provides a comprehensive description of trends in international banking activity. The activity of the world’s largest banks has been analyzed. Attention is paid to the main factors that influence the volume and direction of bank flows. It has been shown that in the current stage of economic development, banks are moving to new business strategies to maintain competitive positions. The article reveals the main forces that determine the transition to new banking business strategies. The impact of digital opportunities and networks on banking activity has been identified.
INNOVATIVE ASPECTS OF SUSTAINABLE DEVELOPMENT OF THE ECONOMY OF UKRAINE
Authors: Ulyanova Ludmila , Chaika Yuliia
Published: November 2021

Introduction. To date, innovations have not had a significant impact on the Ukrainian economy, and at the same time the general macroeconomic situation does not contribute to the intensification of innovation in the business environment. Under the current conditions, Ukraine is forced to use and borrow production and management technologies from leading countries, to catch up with them in technological, innovative and technical development. In this regard, the country needs to focus on the continuous implementation of innovation as a priority of the country's sustainable development strategy.
Purpose of the work is to consider the relationship and interdependence of innovation and sustainable development, to determine the impact of innovation on the economic, social and environmental components of development. Considerable attention is paid to identifying the features of innovation in Ukraine based on the analysis of the Global Innovation Index, the share of enterprises implementing innovations and the volume of sold innovative industrial products.
Method (methodology). A systematic approach, methods of analysis and synthesis are used to identify the impact of innovation on the components of sustainable development. Historical and statistical methods are used in the analysis of the peculiarities of innovation in Ukraine.
Results. Innovation processes and innovation activities affect the economic, social and environmental components of sustainable development. Impact on the economic component will reduce production costs, increase productivity, profitability and increase profits, improve product quality, create new sectors of the economy, increase GDP and increase the country's competitiveness, replenish the budget, increase the share of innovative products in general and in exports in particular . The impact on the social component will be manifested in better meeting the needs of society, improving the duration, quality and standard of living, improving the quality of education. Changes in the environmental component will take place under the influence of innovations in the form of conservation of natural resources and reduction of emissions into the environment. The analysis of the peculiarities of innovation activity in Ukraine showed that innovations in Ukraine are underdeveloped and need to be intensified to build sustainable development. The obtained results can be used in the development of a strategy for sustainable development of Ukraine and the implementation of its policy in economic life.
INTERNATIONAL EXPERIENCE OF SOCIAL PROTECTION OF FAMILIES RAISING CHILDREN WITH DISABILITIES
Authors: Shapovalova Tetiana , Shuminska Daryna
Published: November 2021

Introduction. At present, the priority of social policy in Ukraine is to ensure a fair standard of living for all categories of the population who find themselves in difficult life circumstances, including families raising children with disabilities. Over the past 5 years, the number of Ukrainian families raising children with disabilities has increased by 20% according to the State Statistics Service of Ukraine. This is due to various environmental, social, economic, and other factors that harm the general health of the population.
In the research circle, scholars consider the family as a center for the upbringing and development of a child with a disability, because for this child, the family is primarily the main environment for rehabilitation. However, the family cannot be considered solely from the point of view of rehabilitation, because the family is a social group that carries out its activities based on a common economic, domestic, moral, and psychological way of life. Families with children with disabilities face many difficulties and problems, from medical to social, but the most pressing and common problems of such families are financial. Given the economic situation in Ukraine and the economic opportunities of Ukrainian families, it is safe to say that the social security system in Ukraine is not able to fully help families raising children with disabilities financially, as benefits are insignificant and the variability of such benefits is negligible. This actualizes the study of social protection of families with children with disabilities, in particular the study of international innovative methods of social welfare provision to this category of the population.
The aim of the article is a theoretical analysis of global innovation mechanisms and approaches to social welfare provision to families raising children with disabilities for their further implementation in Ukraine.
Methodology. The theoretical foundation of this article is based on world socio-economic theories, scientific approaches to solving problems of social welfare, and the social work theories. General scientific research methods were used, in particular, structural-functional to reveal the types of social assistance and existing technologies and methods of calculating social benefits for families raising children with disabilities in Ukraine; comparison – to study the world's innovative social welfare technologies.
Results. It has been confirmed that the social welfare provision to families raising children with disabilities is one of the priority tasks of social policy both in Ukraine and in the world. An analysis of international innovative mechanisms and approaches of social welfare provision to families, who raise children with disabilities has been carried out. Improvement of the Ukrainian social welfare system has been suggested by introducing world tendencies of social protection of families raising children with disabilities.
POTENTIAL OF DIGITALIZATION OF THE DOMESTIC BUSINESS ENVIRONMENT
Authors: Shostak Liudmyla , Bilo Ivan , Mykytyuk Yevheniia
Published: November 2021

Introduction. The world economic community is using all the achievements of digitalization at a fairly rapid pace. The economic situation in the country, the level of social protection of the population, prospects of development of business structures, establishment of foreign economic relations depend on its level of development. The instability of world markets, the consequences of the pandemic, unfavorable political situations indicate the need to increase the potential of the global digital economy, which will soon overtake the market and become the basis of national economies of countries seeking effective development.
Goal. The purpose of the study is to summarize the theoretical provisions and analytical information to assess the level of potential of the business environment.
Method (methodology). Methods of logical generalization, analysis, comparison and synthesis were used to assess the potential of digitalization of the domestic business environment.
Results. The results of the study indicate the need for accelerated development of the domestic digital economy, and the level of digitalization potential of the business environment has an average level, which is characterized by significant reserves for growth. The purpose of the study is to summarize the theoretical provisions and analytical information to assess the level of potential for digitalization of the business environment.
DAIRY LIVESTOCK OF AGRICULTURAL ENTERPRISES: CURRENT STATE AND PROSPECTS OF DEVELOPMENT
Authors: Shupyk Serhii
Published: November 2021

Introduction. Despite the important role of dairy farming in agricultural enterprises in ensuring food security of the state, it is now in critical condition.
During the period of reforming the agro-industrial complex of Ukraine there was a significant structural restructuring in social production, intra-sectoral and intersectoral relations changed, new market economic approaches to the development of agricultural sectors were formed.
The state in which the industry found itself led to low livestock productivity and high production costs compared to countries - leading producers of livestock products, the liquidation of specialized enterprises. The process of unbundling the property complexes of the reformed agricultural enterprises led to the physical destruction of production facilities for keeping farm animals.
Goal. On the basis of generalization of data of the State Statistics Service of Ukraine to assess the current state of functioning of dairy farming of agricultural enterprises and on this basis to develop practical recommendations for measures of state and regional support of the industry.
Method (methodology). The research methodology is formed on the basis of evaluation of statistical data of the State Statistics Service of Ukraine for the development of the dairy industry of the corporate sector of the agricultural economy. In the process of scientific research, comparative, structural research methods were used.
Results. It is established that the main primary reason for the decrease in the number of agricultural enterprises producing milk is the decrease in the investment attractiveness of dairy farming due to the influence of such factors as long payback period, low efficiency of state support; significant variability of the milk and dairy products market. The introduced changes in the provision of state support to agricultural producers in 2019-2019 convince that the system of direct state subsidies will be beneficial primarily to integrated economic entities in the field of agribusiness, engaged in poultry and pig farming. The main benefits from state subsidies will be, first of all, large and economically stable enterprises. Measures of state and regional support of milk production in agricultural enterprises, which are aimed at increasing the number of cows, their productivity and quality, are substantiated.
OPTIMIZATION OF FINANCIAL SUSTAINABILITY OF INSURANCE COMPANIES AS A GUARANTEE OF THE SCENARIOS OF THEIR DEVELOPMENT
Authors: Korol Svitlana
Published: November 2021

Introduction. In the conditions of permanent changes, the importance of insurance is increasing in today's conditions, as the reform of the economic system of Ukraine has necessitated the creation of a market infrastructure that serves the mechanism of management. An important place in it is occupied by insurance companies, which not only offer various types of insurance, but also carry out investment and financial activities, while mobilizing significant insurance capital. In the current environment, insurance is an important strategic segment of the economy. The study of the process of optimizing the financial stability of insurance companies will provide an opportunity to build a matrix of predictive positioning of the balance and equilibrium of insurance companies, thereby identifying scenarios for their development. Given this positioning in this context, the systematization of their own knowledge in the field of insurance becomes especially important.
Purpose. Carry out the process of optimizing the financial stability of insurance companies, which will allow to determine the scenarios of their development.
Method (methodology). The research used such methods as logical, which allowed to analyze scientific works in the field of insurance; analytical, which was used to analyze and evaluate the main components of the matrix of positioning the balance and equilibrium of insurers; statistical, which allowed to systematize the main components of the matrix of the financial strategy of the insurance organization in time; graphical, which allowed to interpret the results in a visual form.
Results. The methodological basis for optimizing the financial stability of insurance companies is described. It is concluded that the effectiveness of the matrix of financial strategy of insurance companies in Ukraine, which allows you to clearly see their current financial situation and possible development scenarios. Diagnosis of insurance and financial activities of insurance companies was performed for 2016-2020. The obtained results of the assessment of the position of insurers in terms of insurance and financial activities are interpreted. Measures have been proposed to ensure the best scenario for the development of the Knyazha insurance company, including a review of its own form of organizational and legal activity; diversification of the insurance portfolio; expansion of own activity; revision and change of the company's management policy; intensification of marketing activities of the company. It is established that the practical aspects of the study of optimization of financial stability of insurance companies need further study in the direction of the selected scenarios of their development.
Leadership Style and Principal Supervision in Improving Teacher Performance at State High Schools in Kutai Kartanegara Regency, East Kalimantan Province, Indonesia
Authors: Warman Warman , Poernomo Soerjo Adi , Januar Syafrudin , Amon Lorensius
Published: November 2021

This study examines the leadership style and supervision of principals in improving teacher performance in several public high schools in Kutai Kartanegara Regency, East Kalimantan Province. This study uses a qualitative approach with a cross-sectional descriptive method. Observation and interview techniques were used to obtain data. The collected data were analyzed in the form of data reduction, data presentation, and conclusion drawing, as well as checking the validity of the data using observation and triangulation. The results of this study indicate that the principals' leadership style in improving teacher performance is a leadership style democratic and authoritarian. Authoritarian style is done through observation timeliness of attendance of teachers in schools and teaching time in the classroom. The democratic style is carried out by providing opportunities for teachers to attend training according to the needs of the school and the needs of teachers. The Teaching supervision program principal's oriented towards the guidance of teachers' tasks, such as preparing teaching programs and preparing learning tools. Obstacles in the supervision of principals are the low competence of most supervisors, activities outside the supervision schedule, and difficulty changing old habits.
Information on Domestic staff utilisation and household crimes
Authors: Attah Frank M. , Agba A. M. Ogaboh , Ibiam Azu A. , Kaburise Phyllis K. , Kulo Collins
Published: November 2021

Hiring of domestic staff and its effect on households’ crime has been an issues of great concern in Nigeria. This study is sets to investigate the correlates between domestic staff utilisation and crimes such as kidnapping, stealing and rape. Blocked opportunity theory and structural functionalism theory were adopted. Cross-sectional survey design was used while data was generated view questionnaire. A total sample of 330 respondents were selected from households in Southern Senatorial District of Cross River State, Nigeria. Information retrieved were coded and subjected to statistical analysis. Outcome revealed a significant relationship between the hiring of domestic staff and household crimes (such as kidnapping, stealing and rape). It was recommended among others that house helps should be passably screened through proper employment procedures before they are employed as domestic staff.
Influence of Corporate Governance on Performance in Public Hospitals in Embu County, Kenya
Authors: Kinyua Christopher Mutuiri , Ngari Lazarus K
Published: November 2021

Corporate governance is important to the performance of Public Hospitals (PHs) all over the world. This study investigated the Influence of Corporate Governance on Performance in PHs in Embu County, Kenya. The objective of the study was to assess how board characteristics influence performance in PHs in Embu County. The study’s main problem was to assess the performance in PHs using level of customer satisfaction, level of employees’ satisfaction and efficiency. Given that there is minimal research in corporate governance on management of PHs especially in Embu County, the study addressed challenges faced by management, thus helping formulate policies and strategic guidance for County Governments (CGs). The Stewardship Leadership Theory and Organizational Leadership Style were used to develop the theoretical framework on corporate governance. The information was gathered from 140 respondents using questionnaires. Quantitative data was analyzed using Descriptive Statistics whereas Qualitative data was analyzed using Content Analysis Method. The findings were then recapitulated to ascertain whether PHs have put in place policies and guidelines that conduct best practices of corporate governance. Some of the outcome were; PHs complied with the application of corporate governance but failed to implement it fully; the PHs adhered to most of the regulations and government policies but failed to fully adhere to corporate governance guidelines on board characteristics. Finally, the summary and recommendations were then prepared for policy formulation and future use in research on corporate governance on performance in PHs in Embu County, Kenya and globally.
Effect of Dividend Decisions on Market Performance of Share Prices for Commercial Banks Listed at Nairobi Securities Exchange
Authors: Nekesa Marcy , Ouma Mary Kiveu , Njuguna Peter
Published: November 2021

Dividend decisions are the approaches undertaken by the management of an organization to facilitate proper allocation of the cash flows from the business activities. They provide reasonable guidelines for the organization's actions based on the satisfaction of the investors' interests and organizational objectives. They strive to achieve the goals while they seek substantial profitability of the organization. The majority of the studies involving dividend decisions focused on determining the necessity for dividend policies in an organization. Others focused on assessing the Influence of the dividend policies on the stock return of the firm. Therefore, this study investigated the effects of dividend decisions on market performance of share prices for commercial banks listed at Nairobi Stock Exchange. The specific objective is; To determine the impact of dividend payouts on the stock performance of the commercial banks listed at Nairobi Stock Exchange The independent variables in the study is dividend payouts. The dependent variable was the performance of share prices for commercial banks listed at Nairobi Stock Exchange. The theoretical review included the bird in hand theory, information signaling theory, and tax differential theory. The research used a descriptive research design approach for 12 commercial banks' target population in Kenya. The study used secondary sources to collect data, which are the bank's annual data published on the Nairobi Stock Exchange website. The research used the SPSS software for analyzing the collected data. The results show that the constant dividend pay-out ratio and residual dividend policy are the major determinants of market performance of share prices. Discretional dividend policy does not significantly influence market performance of share prices of commercial banks. The study recommends the commercial banks to constantly make proper dividend decisions to ensure good market performance of the share prices.
Assessment of the Influence of Selected Procurement Practices on the Performance of Devolved Government Units in Kenya: A Case of Machakos County Government
Authors: Mutuku Diana Mutete , Agusioma Nickson Lumwagi , Wambua Julius
Published: November 2021

In the devolved units in Kenya, despite the formulation of strategic plans, majority of the counties remain underdeveloped with the employees remaining reluctant thus citizens’ demand for better services remain un met. The devolved systems of governments in Kenya have also  been experiencing major challenges in the execution of procurement practices. Counties continue to be criticized for corruption cases, stalled projects, under-development and massive wastage of public resources. All these aspects have been strongly linked to weak procurement management practices which raises concern. The purpose of the study was to determine the influence of contract management practices and procurement policies practices, on performance of Machakos County government. The methodology was descriptive research design that guided the study. The study was carried out in County government offices. The target population and unit of observations was 77 employees in procurement department in Machakos County comprising of senior managers and procurement employees, head of other departments as well budget committee members who were selected using a purposeful sampling approach. Data for the study was collected using questionnaires which were self-administered. The collected data was analyzed using descriptive and inferential analysis using SPSS version 24. Tables and figures were used in presenting the data. The study found out that Contract Monitoring and, Procurement policies had a positive influence on the performance of Machakos County. The study also concluded that for Machakos County to perform, the procurement department must be able to properly implement, monitor and evaluate these practices. The study recommends that the management of the county to improve on the level of compliance with procurement regulations compliance.
Neumonía y neumotórax espontáneo por tuberculosis, reporte de casos
Authors: Alvarez Barreneche Maria Fernanda , Ramirez Juan David , Mejía Sergio Andrés
Published: November 2021

La neumonía por tuberculosis es un diagnóstico difícil de hacer, dado que no es considerado un germen común y su presentación clínica suele ser mas subaguda o crónica, no obstante en el trabajo realizado por Vélez et al, en la ciudad de Medellín, se encontró que hasta un 2.9% de las neumonías estudiadas fueron por tuberculosis lo cual no es un porcentaje despreciable. A continuación presentamos dos casos de neumonía por tuberculosis, de difícil diagnóstico, llamativos dada la evolución y presentación inusual y con los cuales queremos nuevamente llamar la atención como diagnóstico diferencial en pacientes que no responden al tratamiento de neumonía.
Evaluación de estudiantes de posgrado en Ciencias de la salud
Authors: Olarte arias Yury Arenis , Pinilla Roa Análida Elizabeth
Published: November 2021

Este artículo visibiliza a manera de metasíntesis estudios y alcances pedagógicos alrededor de la evaluación del estudiante de posgrado. Inicia contextualizando los cambios paradigmáticos que ha tenido la evaluación en los diferentes niveles de la educación, centrándose en la educación superior, más exactamente en los procesos de enseñanza/evaluación/aprendizaje en ciencias de la salud. Se amplía la visión epistemológica, axiológica y metodológica de la evaluación, de tal manera que se entienda como un proceso complejo, contextualizado, integral y multirrelacional de competencias profesionales con un fin diagnóstico, formativo, de retroalimentación y autorregulación para el mejoramiento.

A nivel de posgrado, la literatura evidencia que los procesos de enseñanza-aprendizaje e investigación se deben orientar al desarrollo de competencias profesionales, a su vez, el proceso de evaluación se articula en éstos según los nuevos enfoques pedagógicos, así, la evaluación es soporte para el aprendizaje y la formación integral de un estudiante de posgrado. En los programas de posgrado en ciencias de la salud, las competencias profesionales incluyen las genéricas o transversales y las específicas, las cuales tienen dimensiones que se desarrollan de forma progresiva. Según la pirámide de Miller, un estudiante para desarrollar una competencia avanza a través de sus diferentes dimensiones: saber-conocer, saber hacer o saber cómo, saber emprender y saber ser. Entonces, es indispensable contemplar la pirámide de cada competencia profesional, actualizar el concepto de evaluación como proceso eje para el aprendizaje y la enseñanza, todos estos enmarcados en un modelo pedagógico que oriente el enfoque del currículo el cual defina lo qué es evaluación, qué se debe evaluar, cómo evaluar y para qué evaluar.

Profundizando más en la complejidad de la evaluación, es necesario entender cómo un instrumento debe estar adecuado a una dimensión o a las diversas dimensiones a evaluar de una competencia profesional; en programas de posgrado de Ciencias de la Salud, se pueden utilizar nuevas técnicas e instrumentos de evaluación, tales como: la carpeta de aprendizaje (CA) o portafolio, la evaluación clínica objetiva estructurada (ECOE), las rúbricas, el ejercicio de examen clínico reducido (Mini CEX), entre otras. Por lo anterior, es necesario repensar el paradigma educativo y utilizar los instrumentos pertinentes para las competencias profesionales que se desean evaluar, los cuales deben estar contextualizados y asociados a una situación profesional para tener éxito no solo en el proceso de evaluación sino en la formación de los futuros egresados. Por tanto, se aportan elementos para que los docentes reflexionen sobre su actuación como evaluadores y, para que la evaluación enriquezca a docentes y discentes en lugar de ocasionarles conflicto en diversos niveles y escenarios.
Trabajos de Investigación X Congreso Latinoamericano de Medicina Interna XXVI Congreso ACMI-ACP
Authors: Médica Colombiana Acta
Published: November 2021

Editorial resumen
Cardiología (XXVI Congreso)
Authors: Acta Médica Colombiana
Published: November 2021

Cardiología (XXVI Congreso)
Dermatología (XXVI Congreso)
Authors: Acta Médica Colombiana
Published: November 2021

Dermatología (XXVI Congreso)
Genética (XXVI Congreso)
Authors: Acta Médica Colombiana
Published: November 2021

Genética (XXVI Congreso)
Hematología (XXVI Congreso)
Authors: Acta Médica Colombiana
Published: November 2021

Hematología (XXVI Congreso)
Hepatología (XXVI Congreso)
Authors: Acta Médica Colombiana
Published: November 2021

Hepatología (XXVI Congreso)
Infectología (XXVI Congreso)
Authors: Acta Médica Colombiana
Published: November 2021

Infectología (XXVI Congreso)
Osteología (XXVI Congreso)
Authors: Acta Médica Colombiana
Published: November 2021

Osteología (XXVI Congreso)
Salud pública (XXVI Congreso)
Authors: Acta Médica Colombiana
Published: November 2021

Salud pública (XXVI Congreso)
Impacto de los inhibidores de la bomba de protones en los niveles de vitamina B12 en pacientes con erc estadio 5 en hemodiálisis
Authors: Restrepo Duque Carlos Hernan , Botello Jaimes Jhon Jairo , Lopez Castro Lina Maria , Aguirre Arango Jose Vicente , Restrepo Cesar Augusto
Published: November 2021

Objetivo: Establecer si en pacientes con enfermedad renal crónica (ERC) estadio 5 en terapia de hemodiálisis y uso crónico de inhibidores de bomba de protones (IBPs) se presenta deficiencia de VITAMINA B 12.

Métodos: Pacientes con ERC estadio 5 mayores de 18 años, en terapia de hemodiálisis crónica, quienes se encontraban recibiendo terapia con IBPs. En ellos se evaluaron variables demográficas, antropométricas y clinicas, tambien etiología de la enfermedad renal crónica, tiempo en diálisis, tipo de IBP que el paciente estaba recibiendo, dosis y tiempo que llevaban usando el medicamento. Las variables de laboratorio relacionadas fueron concentraciones séricas de vitamina B12, ácido fólico, KTV, hemoglobina y volumen corpuscular medio

Tipo de estudio: Analítico de corte transversal. Para el análisis estadístico se utilizaron medidas de tendencia central y de dispersión (media, desviación estándar) en las variables cuantitativas y frecuencias relativas en las cualitativas. Para determinar la correlación entre los niveles de vitamina B12 y las variables se utilizo el método de regresión lineal simple para cada una de las variables continuas y el de regresión logística para las categóricas

Resultados: 37 pacientes cumplieron con los criterios de inclusion, 45,9% mujeres, edad promedio 63,6 años, etiología de la ERC 48,6 % idiopática. Tiempo en diálisis 56,7% de las personas menos de 4 años, el resto entre 4 y 19 años. Consumo de IBPs 15 pacientes (40,5%) menos ó igual a 3 años y 22 pacientes (59,5%) mas de 3 años. 100 % de los pacientes exhibían cifras normales ó por encima de lo normal de niveles séricos de acido fólico. Se encontró correlación positiva (aunque no estadísticamente significativa) entre los niveles séricos de vitamina B12 y la dosis de IBPs, tiempo de consumo de IBPs y tiempo en diálisis.

Conclusiones: Contrariamente a lo planteado en la hipótesis de trabajo los valores séricos de vitamina B12, tienden a aumentar a medida que aumenta el tiempo en diálisis y el consumo de IBPs, tanto en tiempo, como en dosis
El estudiante y la retroalimentación
Authors: Zuluaga Quintero Mónica
Published: November 2021

La retroalimentación o feed back por sus siglas en ingles, hace parte del proceso de formación médica tanto para el ejercicio profesional como para la enseñanza en la aulas, permitiendo que los futuros profesionales tengan autonomía y confianza para abordar los problemas en una gama amplia de situaciones sociales, culturales, religiosas, técnicas y científicas, fomentando su capacidad resolutiva y facilidad en la toma de decisiones.
Validación y comparación de los puntajes CRUSADE y ACTION para predecir el riesgo de sangrado en pacientes con síndrome coronario agudo sin elevación del segmento ST
Authors: Aldana Victor , Vásquez Daniel , Senior Juan Manuel , Rodríguez Dimuro Arturo , Fernández Cadavid Andrés , Borja Romero Henry , Hernández Gilma Norela , Valencia Vera Catalina , Holguín Cardona Andrea
Published: November 2021

Objetivo: validar y comparar las escalas de riesgo de sangrado CRUSADE y ACTION en pacientes con síndrome coronario agudo sin elevación del segmento ST (SCASEST) llevados a estratificación coronaria invasiva temprana en un centro de alta complejidad.

Métodos: estudio de tipo observacional, analítico y prospectivo, de validación de escalas en una cohorte de pacientes con SCASEST llevados a estratificación coronaria invasiva temprana en un centro cardiovascular. Las escalas de riesgo CRUSADE y ACTION fueron calculadas con las características basales. La ocurrencia de sangrado mayor fue definido por hemorragia intracerebral, retroperitoneal, caída del hematocrito ≥ 12% o necesidad de transfusión cuando el hematocrito fuera > 3 g/dL o ≥ 28% o < 28% con documentación de sangrado clínico o sangrado no relacionado con cirugía de revascularización.

Resultados: en este análisis la tasa de sangrado mayor observada fue de 4.8%. La presencia de sangrado mayor se asoció con una probabilidad mayor de mortalidad durante el seguimiento a seis meses (OR 5.316; IC 95% 1.77 -15.92; p= 0.002). La calibración de las escalas de riesgo fue adecuada de acuerdo al estadístico Hosmer-Lemeshow (p>0.05). Ambas escalas demostraron buena discriminación sin diferencias estadísticamente significativas en el escenario intrahospitalario (AUC ROC CRUSADE ACTION 0.77 vs 0.80 p=0.19), al mes (AUC ROC CRUSADE ACTION 0.70 vs 0.75 p=0.08) y 6 meses (AUC ROC CRUSADE ACTION 0.71 vs 0.76 p=0.09), respectivamente.

Conclusiones: las escalas de riesgo CRUSADE y ACTION son herramientas útiles para la predicción del riesgo de sangrado en pacientes con SCASEST llevados a estratificación coronaria invasiva temprana. Estos hallazgos sugieren el uso de la escala ACTION sobre la escala de riesgo CRUSADE.
Pancreatitis Crónica Calcificante, en un paciente con enolismo y tabaquismo pesado
Authors: Castañeda camacho Hector Andres
Published: November 2021

Hombre de 62 años con enolismo crónico y tabaquismo pesado activo, síntomas de 3 meses de evolución consistente principalmente en deposiciones diarreicas amarillentas, flotantes, fétidas, 12 diarias, que no mejoran con el ayuno, lo despiertan en la noche, con meteorismo y dolor abdominal, perdida de 12 kg de peso y edemas periféricos. La tomografía de abdomen confirmo la sospecha de pancreatitis crónica e insuficiencia exocrina como causal de la diarrea crónica y esteatorrea (1). La pérdida de peso y malnutrición son hallazgos frecuentes, para el manejo se requiere de enzimas pancreáticas a más de 40.000 U con cada comida(2). El alcoholismo y el tabaquismo activo aceleran y contribuyen al progreso de calcificación (3)(4) y en esta fase hasta el 90 % de los pacientes presentaran diabetes mellitus(5).
Nuevo Dispositivo de Micronebulización con Control Continuo de la Fracción Inspirada de Oxígeno ("CONTROLizer")
Authors: Orozco-Levi Mauricio , Ramírez-Sarmiento Alba , Espitia Angela , Saavedra Maria Fernanda , Mogollón Melissa , Cáceres Diana Isabel , Serrano Norma , Rodriguez Leonardo , Sarmiento Eugenio , Pizarro Camilo , Gea Joaquim
Published: November 2021

Una de las técnicas más comunes de tratamiento respiratorio es la nebulización de medicamentos para administrarlos por vía inhalada utilizando oxígeno como propelente, el cual a su vez es considerado un fármaco que puede generar efectos adversos relacionados con la dosificación. El objetivo de esta investigación fue diseñar, desarrollar y analizar un sistema dual de micronebulización con control preciso de la FIO2.

Métodos: Se diseñó, construyó y evaluó un modelo virtual y un prototipo funcional siguiendo la metodología de bioingeniería de un nuevo dispositivo de micronebulización con control de FIO2. Se evaluó el funcionamiento del dispositivo y su impacto en voluntarios sanos y pacientes hospitalizados mediante escalas psicométricas específicas.

Resultados: Se conceptualizó, diseñó y construyó un dispositivo que integra un micronebulizador (cazoleta), que permite nebulizar suero fisiológico o soluciones de diversos fármacos basado en la presurización de un gas propelente (aire u oxígeno) junto a un mecanismo de ajuste de la fracción inspirada de O2 (mínimo, 21%; máximo de 99%). Los límites (máximo y mínimo) de flujo recomendado para generar el aerosol son 6-8 l/min. En ningún caso de uso se presentaron complicaciones.

Conclusiones: CONTROLizer es un dispositivo integrado dual y no-invasivo para la micronebulización de soluciones respiratorias y control continuo de la fracción inspirada de oxígeno. Por sus cualidades y funcionamiento, el dispositivo fue percibido como adecuado y seguro para aplicarse en individuos sanos y pacientes ingresados tanto en salas de cuidados intensivos como de hospitalización convencional.
A Time Series Analysis of the Trend of Crime Against Property in Oke-Ogun Region of Oyo State, Nigeria
Authors: IGE James Olateju , OKUNOLA Babajide Kehinde
Published: November 2021

Temporal variation in spatial crime occurrence has been a topical issue in environmental criminology and criminal justice research, especially in the area of generating early warning systems for preparedness against crime. However, the concentration of research effort on urban crime pattern with unjustified neglect of regional crime impedes the search for analytical explanations and effective strategies to eradicate crime. Hence, this study examined fluctuant pattern of property crime in Oke-Ogun region of Oyo State, Nigeria. It also assessed direction and incidence speed of the crime in the area. This is with a view to understanding the influence of changes in time (year factor) and other factors (a faulty system of education, erosion of traditional values, porous border, and unemployment among others). over property crime occurrence in the region. Crime reports were collated from the Nigerian Police records on nine typologies of property crime from 2005 to 2012. The geo-analytical techniques employed to examine temporal variations in crime were exponential trend smoothing technique with a smoothing constant of 0.3 and the least-squares trend analytical technique. Regression and correlation coefficients represented by “b” and “r” respectively were used to determine the changing rate of the crimes over the period of year under investigation. Analysis showed that out of the nine crime types that were analysed, three crimes were found to exhibit a rising trend with the effluxion of year while six exhibited a declining trend. Aggregately, crime against property had downward sloping trend lines. The negative values associated with (b = – 93.04, r = – 0.62) property crime confirmed the negative lapse rates and inverse relationships. The coefficient of determination (r2) in this case is 0.3969. However, the study concluded that 39.69% of variations in the level of property crime were influenced by changes in year and 60.31% was explained by other factors which included a faulty system of education, erosion of traditional values, porous border, and unemployment among others.
Development of Fuzzy Based Autoregressive Moving Average Exogenous Input Model for Water Flow in Nigerian Kanji Hydro-Power Dam
Authors: Araromi D. O
Published: November 2021

Design of robust control system for any system requires model-driven approach. Therefore, it becomes imperative to develop a dynamic model suitable for controller design on safety operation of hydropower dam for power production in Kanji dam in Nigeria. Model for reservoir flow was developed in MATLAB environment using Fuzzy Based Autoregressive Moving Average Exogenous Input (FARMAX) model structure in this study. The data used for model development covered a period of ten years (2003-2013). It consists of water inflow (WI), water outflow (WO) and spillage (S). WI and S are input variables while WO was the output variable. The model obtained using the unsmoothed data with an outlier gave -14.115%, -0.302 and 610.317 for fit, R2 and RMSE, respectively. Unsmoothed data with no outlier gave -13.802%, -0.295 and 608.643 corresponding to fit, R2 and RMSE, respectively. The model obtained using the smoothed data in the presence of an outlier gave 80.533%, 0.962 and 104.113 for fit, R2 and RMSE, respectively. Smoothed data in the absence of outlier gave 81.533%, 0.962 and 99.637 for to fit, R2 and RMSE, respectively. FARMAX has the best fit value of 87.8774% when number of rules was equal to 3 with optima model order of 3 1 4 3. The model can serve as a decision support system in evaluating the optimal reservoir operation policies in real time.
Urban Growth and Sustainable Development of the Built Environment in Abuja Metropolis
Authors: UNAH, M. O.
Published: November 2021

Rapid urban growth in the federal capital of Nigeria in the last two decades has more effect on the development changes that characterized the cosmopolitan city. This has put enormous pressure on the built environment, where urban construction and transformation are taking place. The paper assessed urban growth and sustainable development of the built environment in Abuja. Its causes and consequences were investigated with respect to five {5} districts that make up the metropolis. The approach to this research is urban environmental sustainability in defining developmental change patterns for quality of the built environment research is presented, and a number of key performance indicators variables were examined. Seventy five (75) questionnaires were distributed to purposive respondents and Sixty- nine (69), accounting for 92% of the number of distributed questionnaires were retrieved and employed for data analysis. The research collected data using a uni-variated analysis on 31 rated likert of a five-point scale. Using descriptive and inferential statistics techniques, the sum weighted score (SWS), mean weighted score (MWS) and Relative Importance Index (RII) rating was obtained. Four major findings were discovered. Firstly, the predominantly building development skyline were for commercial services (MWS= 3.88). Secondly the factor of change in urban growth revolves around public building use and redevelopment of residential properties involving Increase property/Rental Value (MWS= 3.68). Thirdly the major determinants of urban growth were identified as social, economic and spatial political factors as demolition of satellite settlement (MWS=3.35) and lastly non adherence to managerial practices of building regulations enforcement and it implementation in construction. The noticeable consequences had been planning regulation/ provision (MWS=3.14) among others. The study recommended that property developer and stakeholder should adhere to designated master plan implementation and control measures while policy makers should focus more on meeting contemporary urban challenges such as rapid urbanization, balance between economic development and urban sustainability as well as environmental change.