bluuebunny/crossref_metadata_2025 huggingface dataset:
Tratamento Não Cirúrgico no Trauma Hepático
Authors: Oliveira A. F. M. L. , Couto L. S. , Silva M. A. F. L. , Leme M. B. P. , Silva E. M. , Gonçalves R. O.
Published: February 2025

O fígado devido à anatomia e tamanho é frequentemente acometido no trauma abdominal. Sua incidência tem aumentado nas últimas décadas como resultado de um crescimento no número da violência urbana e acidentes de trânsitos. O presente estudo tem por objetivo relatar o caso de um trauma hepático que foi tratado conservadoramente pelo serviço de Cirurgia Geral do Hospital São João Batista (HSJB). Relato de caso: Paciente RRB, masculino, 17 anos, natural de Volta Redonda. Vítima de colisão moto x objeto fixo no dia 05/03/2016. Conduzido imobilizado pela ambulância do SAMU ao serviço de emergência do HSJB, onde foi assistido pela Cirurgia Geral. Na entrada estava verbalizando, lúcido e orientado, Escala de Coma de Glasgow 15/15. Queixava-se de dor torácica inspiratória. Ao Exame: Corado, hidratado, acianótico e eupneico. Parâmetros hemodinâmicos - PA: 110X80 mmHg; Fc: 110bpm; sat: 96% e Fr: 19ipm. Ap Respiratório: MV abolido em HTD; Dor a palpação em arcos costais direito. ABD: indolor a palpação e sem sinal de irritação peritoneal. Exames de admissão: Fratura de 3 arcos costais com pneumotórax e fratura de processo transverso de 3ª,4ª e 5ª vertebras lombares em radiografia e Ht 44,7% e Hb 15,7 g/dl. Realizada drenagem torácica em selo d´água. Após 24 horas evoluiu com dor abdominal e ao exame físico apresentava dor a palpação em hipocôndrio direito. Foi solicitado TC de abdome que não mostrou alteração, porém houve queda no hematócrito 40,6%. No dia 08/03/2016 foi solicitada nova TC de abdome, uma vez que o paciente apresentou taquicardia, piora da dor abdominal e queda brusca do Ht 24,3% e da Hb 8,6g/dl. TC mostrou laceração hepática de lobo IV de 2ºgrau. Foram transfundidas duas bolsas de concentrados de hemácias, rotina laboratorial, monitorização contínua e cuidados intensivos. Optou pelo tratamento conservador da lesão hepática, considerando a clínica do paciente, exame físico e laboratorial. Paciente apresentou desde então estabilidade hemodinâmica, com aumento de Ht 32,7% e Hb 11g/dl e sem quedas nos dias seguintes até o 10º dia de internação. O tratamento não operatório é basicamente influenciado pela condição hemodinâmica do paciente sem sinais de choque circulatório, o grau de lesão hepática, a presença de lesões abdominais associadas e alterações neurológicas. A abordagem não cirúrgica resulta em menor incidência de complicações, menor necessidade de transfusão sanguínea e menor mortalidade, mesmo para pacientes com lesões hepáticas de maior grau, sendo assim, conclui-se que o tratamento não operatório para pacientes com trauma hepático fechado, que apresentam estabilidade hemodinâmica, tornou-se o tratamento de escolha.
Utilização da OSCE como método de ensino
Authors: Pereira C. C. , Guedes T. R. , Huguenin T. F. , Pereira V. G. , Vasconcelos M. H. A. , Silva M. C. P. , Silvestre V. A. , Reis G. A. L.
Published: February 2025

A avaliação de competências clínicas no ensino superior médico tem se apresentado como uma necessidade para assegurar um processo formativo de qualidade. Com isso, faz-se necessário discutir a forma de avaliação das competências necessárias para uma atuação profissional assertiva, integrada, humanizada e solidária, destacando, neste estudo, a competência e habilidade clínica. De certo, esta é melhor alcançada quando os graduandos demonstram, na prática, a assimilação dos conhecimentos adquiridos em sala, além do domínio das habilidades clínicas que lhes permitam solucionar um problema de saúde. O desenvolvimento de um sistema de avaliação que integre diferentes meios para avaliar os conteúdos de aprendizagem propostos é fundamental, pois, com uma abordagem multidisciplinar que contemple os assuntos ministrados, juntamente ao contexto humanístico, é conseguido que a avaliação de competências seja um processo formativo e integrado. O exame clínico objetivo estruturado (Objective Structures Clinical Examination, OSCE), se apresenta como adequado para avaliar competências clínicas, por demonstrar validade suficiente na interpretação de resultados e na aplicação em diferentes contextos. Trata-se de uma estratégia de avaliação em que os avaliados se alternam por estações onde se encontram pacientes reais ou simulados, com o propósito de desenvolver determinados procedimentos, para os quais deve haver o desencadear de uma sequência de conhecimentos, habilidades e atitudes para uma atuação assertiva. Antes de adentrar na estação, o avaliando dispõe de tempo adequado para ler o caso clínico e as instruções para realizar os procedimentos ou cuidados propostos. Em cada estação, o avaliando permanece um tempo predeterminado, realizando a tarefa solicitada, sob a observação de um avaliador, que no presente estudo, é outro acadêmico de medicina de períodos mais avançados. Por meio de um checklist previamente elaborado, e em consonância com os objetivos de aprendizagem propostos, a avaliação de competências clínicas desenvolvidas é efetivada. No contexto do ensino modular, é importante avaliar os conteúdos dentro da complexidade em que se inserem, com todas as suas perspectivas e subdivisões. Ademais, a avaliação feita por outros acadêmicos, mostrou-se eficaz e por vezes mais exigente quando comparada a avaliação de professores sobre o mesmo exame realizado. Dessa forma, temos que a experimentação do aluno como avaliador, permite que haja aproximação conceitual quanto ao conteúdo e práticas avaliados, além de permitir interação, acolhimento e identificação entre alunos mais adiantados e mais novos, o que acaba por aperfeiçoar o processo de aprendizagem.
Does intraoperative neuromonitoring during thyroidectomy reduce the risk of hypoparathyroidism?
Authors: Keklikkiran Zehra Zeynep , Tatlisu Ezgi , Akinci Muzaffer , Citlak Gamze
Published: February 2025

Objectives: To evaluate the effect of intraoperative neuromonitoring on postoperative hypoparathyroidism after bilateral total thyroidectomy.
Method: The prospective study was conducted at the General Surgery Clinic of the University of Health Sciences Haseki Training and Research Hospital, Turkiye, from February 2016 to December 2020, and comprised patients who had undergone bilateral total thyroidectomy. They were evaluated for recurrent laryngeal nerve damage, hypocalcaemia and hypoparathyroidism. Further, it was explored whether the use of intraoperative neuromonitoring had an effect on postoperative complications between experienced surgeons with >5 years of experience and less-experienced surgeons with <5 years of experience. Data was analysed using SPSS 15.
Results: Of the 64 patients 59(92.2%) were females and 5(7.8%) were males. The overall mean age was 47.7±10.8 years. Experienced surgeons operated 38(59.4%) patients, while the less experienced operated 26(40.6%). The most common complications were transient hypocalcaemia 38(59.3%) and transient unilateral vocal cord paralysis 9(14%). There was no significant difference between experienced surgeons and less experienced surgeons in terms of postoperative complications (p>0.05).
Conclusion: The use of intraoperative neuromonitoring during bilateral total thyroidectomy reduced the risk of hypoparathyroidism regardless of the surgeon's experience.
Key Words: Thyroidectomy, Vocal cord paralysis, Hypocalcaemia, Recurrent laryngeal nerve, Postoperative complications, Hypoparathyroidism.
Management of pemphigus during covid-19 pandemic era, an experience of single centre
Authors: Sahibzada Mahmood Noor Sahibzada Mahmood Noor , Sagheer Farah , Sardar Adan
Published: February 2025

The management of pemphigus vulgaris disease was challenging during the coronavirus diseases-2019 pandemic. The current study was planned to determine whether or not rituximab increases the risk and severity of coronavirus diseases-2019 infection in pemphigus vulgaris patients. The retrospective study was conducted at the Lady Reading Hospital, Peshawar, Pakistan, and comprised data from the dermatology unit of 34 diagnosed cases of pemphigus vulgaris who received rituximab treatment from March 2020 to March 2022. The mean age of the patients was 36.58+12.44 years. Majority of patients 28(82.3%) received rituximab as a second-line therapy, while 6(17.64%) were given it as a first-line therapy. Only 1(2.9%) patient developed mild covid pneumonia, and did not need in-patient care or faced oxygen dependence. There was a significant weak association between coronavirus diseases-2019 positivity with age (p=0.000). Rituximab therapy could be given to pemphigus patients during the pandemic, but only when necessary.
Key Words: COVID-19, Pemphigus, Severe acute respiratory syndrome coronavirus therapy, Rituximab.
Analysis self-regulation model based on belief in self-care in type 2 diabetes mellitus patients
Authors: Uly Nilawati , Safruddin  , Fadli  , Eka Yulianita Marisna , Batupadang Michael
Published: February 2025

Objective: To evaluate the efficacy of the self-regulation model based on belief to enhance the ability of individuals with type 2 diabetes mellitus to take care of themselves.
Method: The survey-based study was conducted in South Sulawesi, Indonesia, from May to August 2023, and comprised type 2 diabetes mellitus patients of either gender whose blood glucose level was >200mg/dl. The survey comprised multiple questionnaires exploring the impact of exogenous variables on endogenous variables. Data was analysed using Structural Equation Modelling-Partial Least Squares method.
Results: Of the 180 patients, 97(53.9%) were women and 83(41.6%) were men. The overall mean age was 55.8±6.55 years. Of the total, 110(61.1%) patients experienced complications in the form of hypertension or stroke, and 70(38.9%) were without complications. Characteristic factors influenced problem interpretation (p=0.016) and health (p=0.024). Social support factors influenced problem interpretation (p=0.018) and health (p=0.046). Health service factors influenced problem interpretation (p=0.024) and health (p=0.006). Interpretation of problems in illness had an influence on health (p=0.035) and beliefs (p=0.014). Coping had a significant influence on self-care (p=0.001).
Conclusion: In order for patients to set goals and take the necessary steps to raise their awareness of performing self-care, health workers must be encouraged to increase patient confidence on solving health problems. This will have an impact on controlling blood glucose levels and preventing disease complications.
Key Words: Belief, Self-regulation, Self-care, Type 2 diabetes mellitus.
Visual impairment and blindness in Alkharj, Saudi Arabia
Authors: Bahakim Nasraddin , Geddawy Ayman , Aldarrab Abdulrahman , Mansour Mohammad Alajmi  , Alsaidan Mohammed , Aljuhani Maher , Hussain Abdulqayyum , Alqahtani Abdulhakim , Alshaikhi Abdulmajeed , Al-Ghamdi Sameer
Published: February 2025

Objective: To determine the incidence and causes of visual impairment and blindness among patients attending eye clinics in a tertiary care setting.
Method: The retrospective study was conducted in Alkharj city, Saudi Arabia, from May to November 2022, and comprised records of patients who visited eye clinics of two main hospitals in the city with complaints of low vision or blindness between January 2021 and December 2021. Medical history, family history and ophthalmological examination results of each patient were reviewed, and the causes and frequency of occurrence of visual impairment and blindness were determined. Data was analysed using SPSS 21.
Results: Of the 433 patients, 269(62.1%) were female and 164(37.9%) were male. The overall mean age was 38.52 ±21.90 years (range; 5-90 years) with a median age of 37 years (IQR: 19-58).  Refractive error 271(62.6%), cataract 69(15.9%) and diabetic retinopathy 37(8.5%) were the major causes of visual impairment, followed by amblyopia 15(3.5), corneal opacity 12(2.8), and glaucoma 8(1.8). Refractive errors, amblyopia, and corneal opacity were more common among those aged 5-20 years, while visual impairment caused by cataract, diabetic retinopathy and glaucoma was more common in older age groups.
Conclusion: Refractive error was found to be the major cause among the participants with mild to severe visual impairment.
Key Words: Visual impairment, Refractive error, Cataract, Diabetic retinopathy.
Predictors of in-hospital mortality in patients requiring transfer to the medical intensive care unit
Authors: Jibril Huzefa , Muhammad Azhar  , Arshad Ainan , Awan Safia , Syed Ahsan Ali  , Muhammed Tariq
Published: February 2025

Objective: To identify the factors associated with higher odds of in-hospital mortality among inpatients requiring transfer to the medical intensive care unit.
Method: The retrospective audit was conducted from April 1 to September 30, 2023, at The Aga Khan University Hospital, Karachi, Pakistan and comprised data from January 1, 2018, to December 31, 2022, of patients initially admitted to the general ward or high dependency unit in the Department of Medicine who required transfer to the medical intensive care unit during hospitalisation. Data was analysed using SPSS 23.
Results: Of the 601 patients with mean age 53.6±17.4 years, 373(62.1%) were males. Overall, 321(53.6%) of the patients expired while in the hospital. Patients whose transfer to the intensive care unit was initiated within 48 hours of admission had lower in-hospital mortality compared to those whose transfer was initiated beyond 48 hours of admission (p=0.004). Patients with a history of autoimmune disease or malignancy as co-morbid conditions, or a primary discharge diagnosis of sepsis had higher odds of in-hospital mortality (p<0.05).
Conclusions: In-hospital mortality in patients requiring transfer to the intensive care unit was found to be very high. Early transfer to intensive care unit could lead to improved survival rate.
Key Words: Critical care, Hospital medicine, Clinical deterioration, Sepsis, Autoimmune diseases.
Proton pump inhibitors and the risk of rhabdomyolysis: A call for judicious use in Pakistan
Authors: Saqib Sattar  , Tanveer Rahman , Sattar Khansa
Published: February 2025

To the editor,
Proton pump inhibitors (PPIs) are used in various gastric pathologies, including GERD, esophagitis, and ulcers. Some significant PPIs are esomeprazole, lansoprazole, omeprazole and rabeprazole. These drugs act by irreversibly inhibiting H+/K+ adenosine triphosphatase pumps in parietal cells of the stomach, thereby effectively suppressing gastric acid secretion1. Long term use of ppi can result in various adverse effects like enteric infections, kidney injury, bone fractures, Clostridium difficile-associated diarrhoea, and impedes the absorption of micronutrients2.
Some studies show that rhabdomyolysis is linked to PPIs use. Recently an analysis has been done by KATSUHIRO OHYAMA et al on the basis of JADER data comprising of patients from 2004 to 2022 on the proton pump inhibitors and the onset of rhabdomyolysis (RM). The median day at which RM started for orally administered esomeprazole was 6.5(2-25) day and for omeprazole it was 127(17.5-196) day which is the largest value. Additionally for intravenous administration of omeprazole, the median day for RM onset was 2(1-6)d. Omeprazole, being extensively used as an intravenous and oral drug, most frequently cause rhabdomyolysis. For all orally administered drug, the recovery rate was 80%, while mortality was reported in all drugs, except vanoprazon.3
Overutilization of PPIs in Pakistan has been observed since late 1980s. Every indoor patient is being prescribed with proton pump inhibitors as a prophylaxis for stress related mucosal disease4. We can reduce the adverse effects of PPI by conducting the regular training and workshops for doctors, nurses and pharmacist about the proper indications of PPI use as per the guidelines of AGA, terminating over the counter sale, alternative therapies such as H2 blockers may be considered, encourage lifestyle modifications, using step-down therapy and regular review of PPI prescription. Physicians should also be aware of the Rhabdomyolysis risk and look for such adverse effects in patients with long term PPI use.  By implementing these measures in Pakistan, healthcare providers can help mitigate the risks associated with PPI overutilization and improve patient care outcomes.
Bacteriophage therapy: A potentially effective tool in combatting tooth decay
Authors: Mehwash Kashif  , Aman Ashar
Published: February 2025

Caries of dental hard tissues is a multifaceted biofilm illness that spreads easily and occurs because of longstanding lowpH in the oral cavity. This causes the teeth to loose netamount of minerals and is the most prevalent healthcondition worldwide and a significant healthcare issue.1 Regular carbohydrate intake causes the biofilm microbiotain the mouth to change from its normal condition ofpreserving equilibrium to one that is acidogenic, aciduric,and cariogenic, which ultimately results in dental cavities.2 The biofilm, which is constantly active with low pHchanges, boasts the caries process.3 Unbalanced ecologyin the stable oral microbiome also leads to thedevelopment of caries. Significant variations in proteinexpression throughout time and under genetic controlseem to have an impact on the formation of biofilms.4
Continued ...
The 6M Classification of Nutrients
Authors: Sanjay Kalra  , Madhur Verma  , Nitin Kapoor
Published: February 2025

Nutrition is a complex and sometimes confusing subject.The existing classification of nutrients into two groups,macro and micronutrients, does not do justice to the widespectrum of nutritional foods available. In this opinionpiece, we suggest a six-layered 6M hierarchal classificationof nutrients that offers a comprehensive and completeunderstanding of nutrition. Mega, macro, meso, micro,micro-bio, and minimization of anti-nutrients make up the6M list of nutrients.
Keywords: Diabetes, medical nutrition therapy, nutrition,obesity
Prone Lumbar Traction: An Underexplored Alternative for Lumbar Radiculopathy and Discogenic Low Back pain
Authors: Muhammad Osama  , Sabah Afridi  , Farooq Azam Rathore
Published: February 2025

Lumbar disc disorders and herniation are leading causes ofdiscogenic low back pain (DLBP) and lumbar radiculopathy,often resulting in spinal surgery. Lumbar traction is aneffective conservative treatment for DLBP, shown todecrease pain, improve functional disability, and positivelyaffect disc height and herniation index. While typicallyapplied in the supine position, lumbar traction can also beadministered prone. However, many practitioners areunaware of this alternative approach. Studies havedemonstrated that prone lumbar traction can effectivelyalleviate pain and disability in persons with DLBP, lumbardisc herniation, and radiculopathy. Some research suggestsit may be more effective than supine traction for certainsubgroups. Despite these promising findings, additionalresearch is needed to further explore the clinical andbiomechanical effects of prone traction. Additionally, it isimportant to identify which patient subgroups are morelikely to benefit from prone versus supine traction. Thisreview explores the potential of prone lumbar traction asan underutilized yet promising alternative in themanagement of DLBP and lumbar radiculopathy.
Keywords: Disc herniation, intervertebral discdisplacement, low back pain, radiculopathy, sciatica,traction, physical therapy.
Understanding Image Inpainting
Authors: Suma N  , Dr. Kusuma Kumari B.M
Published: February 2025

Image inpainting is a computer vision technique that aims to fill in missing or damaged areas of an image with plausible content. The goal is to create a visually coherent and realistic image that seamlessly integrates the inpainted regions with the surrounding context. Image inpainting techniques typically utilize nearby information or context to infer the missing or damaged pixels. They can be broadly classified into two categories: exemplar-based inpainting methods and partial differential equation-based inpainting methods. Exemplar-based inpainting methods rely on the idea of finding similar patches or regions in the image to fill in the missing areas. These algorithms search for patches or regions that have similar textures, colors, and structures to the missing region. Once a match is found, the missing pixels are filled in based on the information from the matched patch or region. Partial differential equation-based inpainting methods, on the other hand, formulate the inpainting problem as a minimization of energy functional. This energy functional accounts for both the fidelity to the known information and the smoothness of the inpainted regions. Partial differential equation-based inpainting methods solve the inpainting problem by finding a solution that minimizes the energy functional, resulting in smooth and visually pleasing inpainted images.
DESIGN AND CONSTRUCTION OF RESISTANCE SPOT WELDING PROROTYPE FOR AUTOMOTIVE SHEET STEEL
Authors: Fitrah Muhammad Aqdar , Ekawati Mahlina , Hermansyah Hermansyah , Ratlalan Roberth M.
Published: February 2025

Resistance spot welding (RSW) menjadi salah satu pilar utama dalam manufaktur otomotif, khususnya dalam perakitan badan kendaraan. Studi ini menyelidiki kinerja dan efisiensi dari sistem prototipe resistance spot welding yang baru dirancang untuk perakitan badan kendaraan. Metodologi penelitian melibatkan pengujian dan evaluasi yang ketat untuk mengukur efektivitas sistem dalam hal kualitas las, dan kekuatan. Berbagai parameter seperti arus pengelasan, waktu, dan gaya elektroda secara sistematis diperiksa untuk mengoptimalkan proses pengelasan. Selain itu, analisis komparatif dilakukan antara sistem RSW prototipe dan metode pengelasan konvensional untuk menilai superioritasnya dalam hal kinerja dan efektivitas biaya. Temuan ini memberikan wawasan berharga tentang kelayakan dan potensi keuntungan mengadopsi teknologi RSW prototipe dalam manufaktur otomotif, membuka jalan bagi peningkatan produktivitas dan kualitas dalam proses perakitan badan kendaraan.
Информационная сеть предприятия с элементами искусственного интеллекта
Authors: Новиков О.П. , Новиков М.О.
Published: February 2025

В статье проведено обоснование построения информационной сети с элементами искусственного интеллекта, постановки задачи на исследование и приведен порядок исследования. Рассмотрен прядок формирования математических моделей.

The substantiation of the construction of an information network with elements of artificial intelligence is carried out, the research task is post-set, and the research procedure is given. The process of forming mathematical models is considered.
Современное состояние диверсификации партнерских программ с применением инновационных технологий маркетинга в онлайн-среде
Authors: Ганич К.В.
Published: February 2025

В условиях цифровой трансформации маркетинговая деятельность предприятий все чаще ориентируется на партнерские программы как инструмент повышения продаж и привлечения клиентов. Диверсификация таких программ с применением инновационных технологий обеспечивает их эффективность и конкурентоспособность. В статье рассматриваются ключевые тенденции партнерского маркетинга: глобализация и кросс-платформенность, применение искусственного интеллекта, микроинфлюенсер-маркетинг, блокчейн и автоматизация. Анализируются современные подходы к интеграции партнерских программ в онлайн-среду и перспективы их развития. Исследование направлено на выявление актуальных трендов и рекомендаций по использованию инновационных решений в партнерском маркетинге.

In the context of digital transformation, the marketing activities of enterprises are increasingly focused on affiliate programs as a tool to increase sales and attract customers. The diversification of such programs with the use of innovative technologies ensures their effectiveness and competitiveness. The article examines the key trends in affiliate marketing: globalization and cross-platform, the use of artificial intelligence, microinfluencer marketing, blockchain and automation. The article analyzes modern approaches to the integration of partner programs into the online environment and the prospects for their development. The research is aimed at identifying current trends and recommendations for the use of innovative solutions in affiliate marketing.
О мониторинге в условиях реформирования уголовно-исполнительной системы
Authors: Соколов А.П. , Носов А.А.
Published: February 2025

В статье рассматривается специфика мониторинга в пенитенциарной системе, направленная на оценку эффективности и соответствия правовым нормам в контексте проводимых реформ. Рассматриваются ключевые аспекты мониторинга, в том числе правовой контроль, организационная эффективность, социальная реабилитация и защита прав человека в процессе исполнения наказаний. Особое внимание уделяется анализу структуры и содержания мониторинга, его роли в обеспечении гуманности и справедливости при исполнении наказаний. Анализируются современные подходы к интеграции мониторинга с международными стандартами в области прав человека, а также роль внешних наблюдателей в повышении прозрачности системы. На основе полученных результатов предлагаются рекомендации по совершенствованию механизмов мониторинга, в том числе по улучшению нормативно-правовой базы, кадровой политики и адаптации программ реабилитации для заключенных. Подчеркивается важность системного подхода к мониторингу, обеспечивающего баланс между эффективностью пенитенциарной системы и защитой прав заключенных.

This article examines the specifics of monitoring in the penitentiary system, aimed at assessing the effectiveness and compliance with legal norms in the context of ongoing reforms. Key aspects of monitoring are considered, including legal control, organizational effectiveness, social rehabilitation and protection of human rights in the process of execution of punishments. Special attention is paid to analyzing the structure and content of monitoring, its role in ensuring humanity and justice in the execution of punishments. The article analyzes modern approaches to the integration of monitoring with international human rights standards, as well as the role of external observers in increasing the transparency of the system. Based on the findings, recommendations are offered to improve monitoring mechanisms, including improvement of the legal framework, personnel policy and adaptation of rehabilitation programs for prisoners. The importance of a systematic approach to monitoring is emphasized, ensuring a balance between the effectiveness of the penitentiary system and the protection of prisoners’ rights.
К вопросу об экологических расходах во взаимосвязи с макроэкономической динамикой: российская и мировая практика
Authors: Мамонтов Д.М.
Published: February 2025

Вопросы экологии и загрязнения окружающей среды набирают актуальность темпами, значительно превышающими динамику экономического роста, и затрагивают все без исключения страны. Научно-технический прогресс, принося безусловную пользу, в то же время уничтожает природу. В статье затронуты финансовые аспекты экологии, в частности, экологические расходы и динамика ряда макроэкономических показателей Российской Федерации, стран Европейского союза и Китайской Народной Республики, анализ и сопоставление которых выявляют значительный потенциал наращивания объемов финансирования программ устойчивого развития как в отечественной, так и в других национальных экономиках стран.

The issues of ecology and environmental pollution are gaining relevance at a pace significantly exceeding the dynamics of economic growth, and affect all countries of the world without exception. Scientific and technological progress, which, being embodied in increasingly modern technologies, gives rise to the development of civilization in a global sense, unfortunately, destroys nature in an equally global way, disrupting the delicate balance that has been preserved only in certain territories of the Planet. The article touches upon the financial aspects of the environment, in particular, environmental costs and the dynamics of a number of macroeconomic indicators of the Russian Federation, the European Union and the People’s Republic of China, the analysis and comparison of which reveal a significant potential for increasing the financing of sustainable development programs in both domestic and other national economies of the world.
Анализ факторов, оказывающих влияние на социально-экономическую эффективность услуг общественного питания в рекреационной сфере
Authors: Попова Т.Н.
Published: February 2025

В статье рассматриваются основные направления, определяющие успех и устойчивость предприятий общественного питания, функционирующих в условиях рекреации. Анализируется влияние различных факторов – качество предлагаемых услуг, ценовая политика, маркетинговые стратегии, сезонность спроса, а также социальные и культурные аспекты, на экономическую результативность заведений. В рамках исследования также уделяется внимание роли инновационных технологий и управления ресурсами в повышении конкурентоспособности и привлекательности общественного питания для потребителей. Статья основывается на данных эмпирических исследований и апробированных методах анализа, что позволяет выделить рекомендации по оптимизации деятельности предприятий в условиях быстро меняющейся рыночной среды.

The article examines the main trends that determine the success and sustainability of public catering enterprises operating in recreational conditions. The author analyzes the influence of various factors, such as the quality of services offered, pricing policy, marketing strategies, seasonality of demand, as well as social and cultural aspects, on the economic performance of institutions. The research also focuses on the role of innovative technologies and resource management in increasing the competitiveness and attractiveness of public catering for consumers. The article is based on empirical research data and proven analysis methods, which allows us to identify recommendations for optimizing the activities of enterprises in a rapidly changing market environment.
Моделирование структуры сети с элементами искусственного интеллекта и рекомендации по организации обмена информацией
Authors: Новиков О.П. , Новиков М.О.
Published: February 2025

В статье проведено моделирование сети с элементами искусственного интеллекта, представлены результаты моделирования, построения обобщенной методики построения информационной сети с элементами искусственного интеллекта, даны предложения по построению информационной сети нового поколения, а также практические рекомендации по формированию математических моделей.

The network is modeled using artificial intelligence elements, the simulation results are presented, the results of constructing a generalized methodology for building an information network with artificial intelligence elements are presented, and proposals for building a new generation information network are presented. Practical recommendations on the formation of mathematical models are presented.
Разработка эффективных комбинированных орудий для обработки почвы в условиях Краснодарского края
Authors: Ринас Н.А. , Косников М.С.
Published: February 2025

Статья посвящена анализу эффективных комбинированных орудий для обработки почвы в условиях Краснодарского края. Основная цель исследования – анализ и оптимизация технологий обработки почвы по повышению продуктивности и сохранения плодородия. Работа рассматривает использование современных комбинированных агрегатов, способных выполнять несколько операций за один проход, включая глубокое рыхление, крошение почвы и создание мульчирующего слоя. Методология исследования основывается на анализе существующих технологий и сравнительном тестировании конструктивных решений. Приведены результаты испытаний, подтверждающие, что применение комбинированных агрегатов снижает энергозатраты, уменьшает уплотнение почвы и способствует улучшению ее структуры. Основные выводы включают рекомендации по адаптации комбинированных орудий к разнообразным почвенно-климатическим условиям Краснодарского края, которые позволяют снизить эксплуатационные затраты и повысить урожайность сельскохозяйственных культур.

The article is devoted to the analysis of effective combined tools for tillage in the Krasnodar Territory. The main purpose of the study is the analysis and optimization of tillage technologies to increase productivity and preserve fertility. The work considers the use of modern combined units capable of performing several operations in one pass, including deep loosening, soil crumbling and the creation of a mulching layer. The research methodology is based on the analysis of existing technologies and comparative testing of constructive solutions. The test results are presented, confirming that the use of combined units reduces energy consumption, reduces soil compaction and improves its structure. The main conclusions include recommendations on the adaptation of combined implements to the diverse soil and climatic conditions of the Krasnodar Territory, which can reduce operating costs and increase crop yields.
PENINGKATAN KAPASITAS APARATUR DESA DALAM MANAJEMEN PEMERINTAHAN YANG TRANSPARAN DAN AKUNTABEL DI KABUPATEN SIMALUNGUN
Authors: Saragih Jopinus , Sidabutar Melisa Nur Asima
Published: February 2025

Peningkatan kapasitas aparatur desa dalam manajemen pemerintahan yang transparan dan akuntabel merupakan kebutuhan mendesak dalam rangka mewujudkan tata kelola pemerintahan desa yang lebih baik. Kabupaten Simalungun sebagai salah satu wilayah dengan banyak desa menghadapi berbagai tantangan dalam hal kompetensi aparatur, pemahaman regulasi, serta pemanfaatan teknologi informasi. Program pengabdian masyarakat ini bertujuan untuk meningkatkan kapasitas aparatur desa melalui pelatihan, pendampingan, dan implementasi teknologi informasi dalam tata kelola pemerintahan desa. Metode pelaksanaan program ini meliputi pelatihan intensif, simulasi studi kasus, serta penerapan teknologi informasi sebagai alat bantu dalam pengelolaan administrasi desa. Hasil kegiatan menunjukkan adanya peningkatan pemahaman aparatur desa terhadap prinsip good governance, keterampilan administrasi, serta transparansi dalam pengelolaan anggaran. Selain itu, penerapan teknologi dalam administrasi desa terbukti meningkatkan efisiensi dan partisipasi masyarakat dalam pengambilan keputusan. Namun, masih terdapat tantangan dalam implementasi program ini, seperti keterbatasan sumber daya manusia yang melek teknologi dan resistensi terhadap perubahan. Oleh karena itu, diperlukan strategi komunikasi yang lebih efektif serta dukungan dari berbagai pihak untuk memastikan keberlanjutan program ini. Diharapkan, program ini dapat menciptakan perubahan sistemik dalam tata kelola pemerintahan desa yang lebih transparan, akuntabel, serta mampu meningkatkan kesejahteraan masyarakat desa secara berkelanjutan.
PELATIHAN MANAJEMEN ADMINISTRASI PERGURUAN TINGGI SWASTA UNTUK MENINGKATKAN EFISIENSI PENGELOLAAN DATA PENDIDIKAN DI UNIVERSITAS EFARINA
Authors: Sidabutar Melisa Nur Asima , Saragih Jopinus , Butar-butar Diana Florenta , Barus Ben Setiawan , Hadi Panjaitan Hadi
Published: February 2025

Administrasi pendidikan yang efisien merupakan faktor kunci dalam meningkatkan kualitas layanan akademik di perguruan tinggi. Universitas Efarina sebagai perguruan tinggi swasta menghadapi tantangan dalam pengelolaan data pendidikan akibat keterbatasan keterampilan tenaga administrasi dalam penggunaan sistem informasi akademik. Penelitian ini bertujuan untuk meningkatkan efisiensi pengelolaan administrasi pendidikan melalui pelatihan tenaga administrasi berbasis teknologi informasi. Metode pelaksanaan terdiri dari analisis kebutuhan, workshop dan pelatihan, serta pendampingan dan evaluasi. Hasil pelatihan menunjukkan peningkatan signifikan dalam pemahaman tenaga administrasi terhadap konsep manajemen administrasi pendidikan dan penggunaan sistem informasi akademik. Evaluasi pascapelatihan mengindikasikan bahwa 85% peserta mengalami peningkatan keterampilan dalam pengelolaan data pendidikan, yang berdampak positif terhadap efisiensi layanan akademik, transparansi data, serta optimalisasi proses administrasi di Universitas Efarina.Pelatihan ini berkontribusi dalam mengurangi kesalahan pencatatan, meningkatkan kecepatan pelayanan, serta memperbaiki koordinasi antarunit di perguruan tinggi. Dengan penerapan sistem administrasi berbasis teknologi yang lebih modern, diharapkan perguruan tinggi dapat terus beradaptasi dengan perkembangan digital serta meningkatkan daya saing institusi di tingkat nasional.
Determinants of Audit Effectiveness in Malaysia Cooperatives
Authors: Abdul Rashid Khairul Anuar , Salwani Mohamed Intan
Published: February 2025

Malaysia’s cooperative sector, the third contributor to the country’s GDP, is vital for socio-economic development. The National Cooperative Policy (NCP) highlights the government’s commitment to enhancing the cooperative business model, especially for the benefit of marginalized communities. However, limited research on Malaysian cooperatives, particularly concerning their internal audit effectiveness, necessitates investigation. Given the pressing governance issues on trust violations and money laundering, this study is timely. It aims to supplement the Malaysian Cooperative Societies Commission’s (MCSC) guidelines by identifying factors influencing internal audit effectiveness, such as management support, internal auditor traits, auditee characteristics, and cooperative age. Data from 336 usable responses collected via questionnaires distributed to cooperatives in the Klang Valley reveal that internal audit attributes and auditee characteristics positively impact internal audit effectiveness. However, the study finds an insignificant relationship between two predictors, management support and cooperative age, on internal audit effectiveness. These findings can guide the MCSC in enhancing the role and function of internal audits within cooperatives.
The Relationship between Gadget Addiction and Early Child Growth in Malaysia
Authors: Bakar Rubiah Abu , Wan Fandi Wan Maisarah , Abd Aziz Najdah
Published: February 2025

Modern technology helps advance humans forward and makes it more effective and efficient in completing routine tasks. Technology also helped in establishing the revolution in knowledge and skills among people. Children are no exception, also involved in the development of this technology, especially with the use of gadgets. The rise in gadget usage among young children around the world has raised concerns about the influence of addiction on child development. Thus, this study aims to identify the relationship gadget addiction on young children in Malaysia with language development and health development. This study is targeted at parents (mothers or fathers) who have a child aged 0 to 75 months. Thus, 144 respondents were chosen used nonprobability sampling which is convenience sampling and questionnaires were distributed through social media such as WhatsApp, Facebook, Instagram, Twitter and Telegram. Data was analyzed using Statistical Package for Social Sciences 28.0 version Software focusing on Pearson Correlation to identify the association between gadget addiction with social and language development and health development. The results show that gadget addiction has moderate positive relationships with language development and health development. It shows that gadgets are not main tools interfere with language development and health development among early child in Malaysia. This finding will help parents to teach their child how to use the gadgets responsibly. Additionally, it also helps educators, especially teachers in child education, to study this topic to maintain good and active student achievement inside the classroom. It is important for device makers to develop appropriate apps for young children because device makers play a major role in the development of this ecosystem.
Integrating Financial Techniques for Sustainable Futures: A Digital Transformation Perspective
Authors: Alqirem Raed , Abdalmajeed Alsmadi Ayman
Published: February 2025

This study aims to explore the critical role of digital transformation in fostering sustainable futures within business and educational contexts. It emphasizes the integration of advanced digital technologies to enhance operational efficiency, optimize resource allocation, and promote a culture of continuous innovation. The study used a questionnaire to collect data from 228 Jordanians, using the Structural Equation Model – Partial Least Squares (SEM-PLS) to evaluate the research model and test hypotheses. The outcomes of the Smart PLS path analysis revealed that organizational support and infrastructure are identified as key moderating factors that influence the success of digital transformation initiatives. Leadership commitment, employee training, and technological resources are crucial for fostering an environment conducive to digital innovation. A robust digital infrastructure ensures seamless technology integration into workflows, maximizing its impact on sustainability. Furthermore, the study underscores the importance of a supportive regulatory environment to facilitate digital transformation. Digital transformation offers significant potential for driving sustainable futures in business and education. By embracing technological innovation and ensuring robust organizational support and infrastructure, organizations can navigate the complexities of the modern landscape and contribute to a more sustainable world. The findings provide valuable insights for practitioners, policymakers, and researchers, highlighting the multifaceted benefits of digital transformation and the critical factors influencing its success.
 
Received: 25 October 2024 | Revised: 28 November 2024 | Accepted: 22 January 2025
 
Conflicts of Interest 
The authors declare that they have no conflicts of interest to this work.
 
Data Availability Statement
The data that support this work are available upon reasonable request to the corresponding author.
 
Author Contribution Statement
Raed Alqirem: Conceptualization, Methodology, Investigation, Formal analysis, Investigation, Resources, Data curation, Writing - Original draft, Writing – review and editing, Visualization, Project administration. Ayman Abdalmajeed Alsmadi: Conceptualization, Methodology, Software, Validation, Investigation, Writing – Original draft, Writing – review and editing, Visualization, Supervision, Project administration.
Perfil clínico-epidemiológico dos casos de hanseníase dos estados da região Nordeste do Brasil no período de 2018-2022
Authors: Santos Marília Dias Bezerra , Carinhanha Érika Larissa Afonso , Silva Filipe Stenio de Carvalho Pereira da , Carinhanha Giovanna Afonso , Ribeiro Bárbara Lopes , Brasil Michelle Queiroz Aguiar
Published: February 2025

Introdução: um dos desafios para o controle da hanseníase no Brasil é a falta de reconhecimento do panorama local da doença na análise do perfil sociodemográfico e clínico. Objetivo: analisar o perfil clínico-epidemiológico dos casos de hanseníase dos estados da região Nordeste do Brasil no período de 2018-2022. Métodos: este estudo ecológico foi realizado utilizando dados do Sistema de Informação de Agravos de Notificação e População Residente disponibilizados pelo Departamento de Informação e Informática do Sistema Único de Saúde. Foram selecionados casos notificados de hanseníase no Brasil, região Nordeste e seus estados, durante o período de 2018 a 2022. Resultados: a região Nordeste obteve maior número de casos da doença. Mais de 50% dos casos ocorreram em homens, pessoas pardas e na faixa etária entre 20-59 anos. Foi observada queda considerável da prevalência em 2020 com aumento nos anos subsequentes. Os estados da região obtiveram características semelhantes. Maranhão apresentou o maior número de casos absolutos e prevalência. Conclusão: os resultados revelaram compatibilidade do perfil clínico-epidemiológico do Nordeste com outras regiões endêmicas, destacando a necessidade de fortalecer a vigilância epidemiológica e promover ações educativas direcionadas às populações vulnerabilizadas, visando ampliar o acesso ao diagnóstico precoce e ao tratamento adequado.
The Impact of Cancer Disease on the Families of the Patient, A Case Study of the Pediatric Wing, Cancer Disease Hospital in Lusaka, Zambia
Authors: Pupwe George , Mugoba Jeff , Simwanza Niza Rean
Published: February 2025

Purpose: Globally, cancer casts a heavy shadow. An estimated 12.7 million new cases are diagnosed annually, with about 7.6 million deaths attributed to the disease. Notably, low- and middle-income countries (LMICs) bear a disproportionate burden – over half of all new cases and a staggering two-thirds of cancer deaths occur in these regions. While advancements have been made, with 5-year survival rates exceeding 80%, the fight against childhood cancer continues. Many children still tragically succumb to the disease even after this initial milestone. In fact, cancer is the leading cause of death from illness in children. This research aimed to investigate the impact of cancer disease on the families of the patient, a descriptive analysis of the pediatric wing, cancer disease hospital Lusaka, Zambia.
Methodology: The study identified five major themes reflecting the impact of cancer on patients' families. Emotional burden accounted for 31%, financial strain 30%, healthcare system challenges 25%, coping mechanisms 9%, and social isolation 6%. The majority of participants were female (88%), consistent with traditional caregiving roles. Most participants came from low-to-middle-income households, underscoring financial strain as a significant caregiving challenge. Participants' ages ranged from 21 to 61 years, with the largest group (34%) being in the 36-50 age range.
Findings: These findings underscore the urgent need for comprehensive, caregiver-centric interventions that addressing both immediate caregiving needs and a broader systemic gap in healthcare and community support for the caregivers of the children suffering from cancer at Cancer Disease Hospital in Lusaka, Zambia.
Unique Contribution to Theory, Policy and Practice: By taking actionable steps, policymakers and public health practitioners can significantly improve the well-being of caregivers and the outcomes for the children they care for.
SISTEM CERDAS IRIGASI SPRINKLER PADA TANAMAN BAWANG BERBASIS IOT MENGGUNAKAN LOGIKA FUZZY
Authors: Nuruddin Nuruddin , Walid Miftahul , Makruf Masdukil
Published: February 2025

Abstract—Tanaman bawang merupakan salah satu komoditas pertanian yang memiliki peran penting dalam pemenuhan kebutuhan pangan dan nilai ekonomi. Produktivitas tanaman bawang sangat dipengaruhi oleh sejumlah faktor, termasuk ketersediaan air yang optimal. Oleh karena itu, penerapan sistem irigasi yang cerdas dan efisien menjadi kunci keberhasilan dalam meningkatkan hasil panen dan mengurangi penggunaan sumber daya air. sistem ini melibatkan peningkatan efisiensi penggunaan air, pengurangan biaya operasional, dan peningkatan hasil panen tanaman bawang. Selain itu, pendekatan berbasis menggunakan Logika Fuzzy memungkinkan sistem untuk beradaptasi dengan perubahan kondisi tanaman dan lingkungan, sehingga meningkatkan responsivitas dan ketahanan sistem terhadap fluktuasi cuaca dan kondisi tanah Dalam pengujian alat, akan memunculkan informasi tentang kelembaban tanah yang akan tampak di dashboard aplikasi Blynk, jika tanaman tersebut memiliki kelembaban tertentu pada tanah dan menghasilkan keputusan terhadap air yang akan diberikan, maka akan mendapatkan email dari codular. Hasil sensor kelembaban akan memengaruhi output, jika hasil sensor menunjukkan tanah kering maka luaran yang dihasilkan adalah “nyala” yang menandakan bahwa air akan mengalir untuk menyirami tanah. Sedangkan jika hasil sensor menunjukkan tanah lembab ataupun basah maka output yang dihasilkan adalah “mati” yang menandakan bahwa air akan berhenti menyirami tanah atau tidak mengalir.
 
Kata kunci: Irigasi Sprinkler; Logika fuzzy; IoT; ESP32;Aplikasi Kodular.