bluuebunny/crossref_metadata_2025 huggingface dataset:
DOCTRINE OF RELATIONSHIP OF COMPETITIVENESS ELEMENTS FOR THE PURPOSE OF ENSURING INNOVATION OF BUSINESS STRUCTURES IN THE FURNITURE MARKET
Authors: Korzhova O. , Bezrukova Tatyana
Published: July 2024

The article examines the relationships between the elements of competitiveness in order to ensure the innovativeness of business structures. The doctrine, as a system of beliefs and basic principles, serves as the basis for developing a competitiveness strategy in order to enhance the competitive advantages of enterprises. Competitiveness is a multidimensional property, namely, product innovation, plays a big role in achieving a high status in a competitive market. It is necessary to study each element of competitiveness in order to ensure the innovativeness of business structures. Competition forces business structures to improve the quality of their products, use new product components, innovative technologies and innovations in design and sales systems. Business structures in the furniture market need to study the interrelationships of the elements of competitiveness and their impact on the final result. In order to substantiate the doctrine of the interrelations of elements to ensure the innovativeness of business structures, a quality management system for innovations of business structures in the furniture market was defined, built on the blocks of ensuring innovation and quality, quality management and quality improvement, including elements of competitiveness to ensure the innovativeness of business structures: development of a sustainable regulatory framework, creation of the most favorable investment climate and effective competition policy, promoting the innovative activities of business structures, simplifying barriers to doing business in the quality management system of innovations of business structures in the field furniture market. During the research, methods of structural, systemic and functional, quantitative and qualitative analysis, graphic and mathematical methods, and methods of structural and functional modeling were used.
FROM LANDFILL TO CARBON FARM: BUSINESS-MODEL
Authors: Krupina Nadezhda
Published: July 2024

In the context of the climate agenda, a systematic presentation of the scientific, methodological and educational tasks of the carbon landfill is given, the «carbon theme» is designated and the subprocesses (main, accompanying, providing and managerial) of the carbon sequestration process implemented on carbon farm plantations as a potential business-process are highlighted. Based on a comparison of well-known approaches to business modeling of entrepreneurial activity, a research hypothesis was formulated and the interpretation, composition of elements of the carbon farm business model, its value proposition were clarified, and the uniqueness of the final product (services for the absorption and sequestration of carbon by «air-plant-soil» ecosystems) was noted. The distinctive characteristics of the dynamic, complex, sensitive and multifactorial natural process of decarbonization as the basis of the operating cycle are substantiated. It is shown that biological features of the business process generate various risks, this does not guarantee sustainable profit generation. A three-link value chain and a business-model mind-map are proposed, which can serve as a working tool for planning, monitoring, diagnostics and critical analysis of the commercialization of an ecosystem service in the context of the emerging sequestration (decarbonization) industry. The scientific novelty of the work consists in adapting the management template «business-model» proven by the practice of industrial enterprises in relation to the new ecosystem service «decarbonization», which is a natural result of the transformation of carbon polygons into carbon farms as business entities.
Anonim Şirketlerde Pay Sahibinin Payını Devretme Hakkı
Authors: Bozkurt Tamer
Published: July 2024

Anonim şirketlerde pay devrinin serbestliği ilkesi, anonim şirkette payın karşılığının ekonomik olarak alınabilmesini sağlayan en önemli mekanizmadır. Bu özellik sermaye şirketi ile de yakın bir ilgi içindedir. Her pay sahibi sahip olduğu payları istediği zaman, istediği kişiye, istediği bedelle devretme ve bu yolla da şirketle ilişkisini sonlandırma hakkına sahiptir. Bu hak Anayasa ile güvence altına alınan mülkiyet hakkının da bir yansımasıdır. Böylece payın serbestçe devri, sadece şirkete yeni bir pay sahibinin girmesi açısından değil, şirkete bu sıfat ile giren bir pay sahibinin ilerleyen zamanlarda elindeki payları devredebilmesini güvence altına alması bakımından da önemlidir. Kimse pay sahibi olarak girdiği bir anonim şirketten sonradan güç koşullarda ayrılmak istemez. Herkes aynı kolaylıktan yararlanarak yatırımının karşılığını almak isteğinde olur. Çünkü diğer cepheden bakıldığında bir pay sahibinin anonim şirketle yollarını ayırmasının ilke olarak başka bir yolu da yoktur. Konu giderek mülkiyet hakkı dışında “kişilik haklarının korunması” boyutu ile de ilginç bir noktaya evrilmektedir.
Kemik Kıkırdak Doku Defektlerinde Yeni Tasarlanmış Yapı İskelelerinin Araştırılması
Authors: Uzun Bora
Published: July 2024

Kemik dokusu organik ve inorganik bileşenlerden oluşan bir yapıdır. Kemik dokusunun kırılmasıyla ilgili sorunlar mevcuttur. Kırığın kaynaması ve rehabilitasyon süreci çeşitli nedenlerden dolayı uzun zaman almaktadır. Yan etkiler arasında kemik kırıklarının iyileşmesinde gecikme, kemiğin kaynamaması ve enfeksiyonlar yer alır. Son yıllarda yapılan çalışmalar ortopedi cerrahlarını hücresel tedaviye ve biyomateryallere yönlendirmiştir. Çalışmamızda kollajen, lif kabağı, PRP ve kondrosit (kıkırdak hücresi) içeren iskeleleri in vivo iyileşme açısından araştırdık. Çalışma rastgele 4 gruba ayrılan 12 adet tavşan üzerinde gerçekleştirildi. Tavşanlar implantasyondan 8 hafta sonra yüksek doz anestezi uygulanarak sakrifiye edildi. Ameliyatından sonra 8. haftada sakrifiye edilen hayvanlardan alınan numuneler üzerinde histolojik analiz yapıldı. Sonuçlarımız lif kabağı+PRP+kondrosit hücre içeren iskelelerinin biyouyumlu olduğunu ve iyileştirme mühendisliğine mükemmel bir alternatif olduğunu gösterdi.
Impact of COVID-19 on the Cardiovascular System: A Literature Review
Authors: Соколовская В.В. , Литвинова А.А.
Published: July 2024

Новая коронавирусная инфекция COVID-19, унесшая жизни более 6,9 млн человек, по-прежнему остается глобальной проблемой здравоохранения. Несмотря на то, что вирус SARS-CoV-2 относится к респираторным патогенам, на сегодняшний день доказано, что при COVID-19 возможно развитие поражения фактически всех органов и систем. При этом все большее внимание уделяется отдаленным последствиям новой коронавирусной инфекции. Впервые о «long COVID» стало известно в апреле 2020 г., когда пациенты стали замечать различные остаточные симптомы, сохраняющиеся после стихания острого периода болезни. Особую тревожность вызывает длительное страдание сердечно-сосудистой системы, встречающееся среди разных возрастных когорт. В статье представлен обзор литературы на тему поражения сердечно-сосудистой системы в острую фазу и в отдаленный период COVID-19. Описаны возможные патогенетические механизмы развития длительного страдания сердечно-сосудистой системы, приведены отечественные и зарубежные данные, демонстрирующие повышенный риск развития сердечно-сосудистых заболеваний в течение 12 месяцев после первичного заражения: различных нарушений ритма и проводимости, воспалительных заболеваний сердца, ишемической болезни сердца, сердечной недостаточности, тромбоэмболических и других осложнений. Обоснована необходимость создания крупномасштабных генетических консорциумов, таких как COVID Human Genetic Effort, с целью дальнейшего изучения возможных сердечно-сосудистых последствий новой коронавирусной инфекции.

The new coronavirus infection COVID-19, which has claimed the lives of more than 6.9 million people, remains a global health challenge. Despite the fact that the SARS- CoV-2 virus belongs to respiratory pathogens, it has been proven to date that COVID-19 can affect practically all organs and systems. At the same time, more and more attention is being paid to long-term consequences of the new coronavirus infection. For the first time, "long COVID" became known in April 2020, when patients began noticing various "residual" symptoms that persisted after the acute period of the disease had subsided. Of particular concern is a long-term suffering of the cardiovascular system occurring among different age cohorts. The article presents a literature review on the topic of cardiovascular damage in the acute phase and the remote period of COVID-19. Possible pathogenetic mechanisms of long-term cardiovascular suffering are described, domestic and foreign data are presented demonstrating an increased risk of developing cardiovascular diseases within 12 months after primary infection: various rhythm and conduction disorders, inflammatory heart diseases, coronary heart disease, heart failure, thromboembolic and other complications. The need for creating large-scale genetic consortia, such as the COVID Human Genetic Effort, is substantiated in order to further study possible cardiovascular consequences of the new coronavirus infection.
Melorheostosis in Pediatrics: A Literature Review and a Clinical Case
Authors: Почкайло А.С. , Галашевская А.А. , Водянова О.В. , Чепурок Д.А.
Published: July 2024

Мелореостоз – редкая доброкачественная склерозирующая дисплазия костей, характеризующаяся гиперостозом (обычно ограниченным), клинически проявляющаяся болью, скованностью, деформациями конечностей и контрактурами суставов. В медицинской литературе к настоящему времени описано около 400 клинических случаев этого заболевания. Мелореостоз может манифестировать в любом возрасте. По данным литературы, около 50% всех случаев заболевания диагностируется к 20 годам. Коварство этого малоизученного заболевания заключается в его длительной бессимптомности. Любая кость скелета может поражаться у страдающего мелореостозом пациента, но наиболее часто патологический процесс локализуется в длинных костях нижних конечностей. Для диагностики мелореостоза в большинстве случаев достаточно проведения стандартной рентгенографии. Применяемое лечение является симптоматическим и направлено на купирование болевого синдрома, коррекцию костных деформаций и восстановление полного объема движений в пораженных сегментах тела. С этой целью применяются как консервативные, так и хирургические методы лечения. В статье представлен обзор литературы с описанием клинических проявлений, современных методов диагностики и лечения мелореостоза. Приведен клинический случай мелореостоза у 8-летнего ребенка со склеродермоподобным поражением кожи в дебюте заболевания и описанием динамики развития заболевания на протяжении последующих десяти лет наблюдения, свидетельствующей о постепенном и неуклонном прогрессировании патологического процесса с течением времени.

Melorheostosis is a rare benign sclerosing bone dysplasia characterized by hyperostosis (usually limited), clinically manifested by pain, stiffness, limb deformities, and joint contractures. About 400 clinical cases of this disease have been described in the medical literature to date. Melorheostosis can manifest at any age. According to the literature, about 50% of all cases of the disease are diagnosed by the age of 20. The insidiousness of melorheostosis lies in the long-term asymptomaticity. Any bone of the skeleton can be affected by this disease, but most often the pathological process is localized in the long bones of the lower extremities. To diagnose melorheostosis, a routine X-ray is sufficient in most cases. The treatment used is symptomatic and aimed at relieving pain, correcting bone deformities, and restoring full range of motion in the affected body segments. For this purpose, both conservative and surgical methods of treatment are used. The article presents a review of the literature describing clinical manifestations, modern methods of melorheostosis diagnosis and treatment. A clinical case of melorheostosis in an 8-year-old child with a scleroderma-like skin lesion at the onset of the disease and a description of the disease evolution over the next ten years of follow-up, indicating a gradual and steady progression of the pathologic process over time, is presented
Drug Interaction Study in Type 2 Diabetes Mellitus with Hypertension Patients at X Hospital, Jember Regency
Authors: Afifah Hanin , Dewi Ika Puspita , RACHMAWATI Ema , HOLIDAH DIANA , NORCAHYANTI IKA
Published: July 2024

Diabetes melitus dan hipertensi merupakan penyakit yang saling berkaitan dan mempengaruhi satu sama lainnya. Hipertensi berkontribusi terhadap perkembangan dan perkembangan komplikasi mikrovaskular dan makrovaskular pada diabetes. Pasien diabetes melitus tipe 2 dengan komplikasi hipertensi dapat memperoleh banyak obat (polifarmasi). Hal ini berisiko menimbulkan Drug Related Problem, salah satunya interaksi obat. Adanya interaksi obat dapat menyebabkan kegagalan terapi. Tujuan penelitian ini adalah untuk menganalisis risiko terjadinya interaksi obat pada pasien DM tipe 2 dengan komplikasi hipertensi. Metode penelitian menggunakan deskriptif non eksperimental secara retrospektif. Pengambilan data dilakukan dengan menggunakan rekam medis pasien rawat inap rumah sakit X di Jember. Sebanyak 32 pasien memenuhi kriteria inklusi selama durasi satu tahun data pengobatan. Hasil penelitian menunjukkan pasien paling banyak adalah pasien wanita dengan rentang usia 45 – 54 tahun dan 55 – 64 tahun dan penyakit penyerta paling banyak adalah peptic ulcer. Pengobatan diabetes paling banyak menggunakan terapi tunggal insulin short-acting, sedangkan terapi hipertensi menggunakan kombinasi candesartan dan amlodipin. Analisis potensi interaksi obat antara antidiabetes dan antihipertensi menunjukkan interaksi obat terjadi pada 17 pasien dengan kejadian tertinggi yaitu interaksi insulin short-acting dengan candesartan sebanyak sembilan kasus dengan tingkat interaksi mayoritas moderat.
Evaluation Of Metformin Use in Type 2 Diabetes Mellitus Patients X Clinic Sei Karang
Authors: Marbun Romauli Anna , Siti Wahyuni  , Arofatul Hidayah
Published: July 2024

Diabetes mellitus is a disease or chronic metabolic disorder characterized by high blood sugar levels accompanied by impaired metabolism of carbohydrates, lipids and proteins as a result of insulin function insufficiency, which can be caused by impaired insulin production by the Langerhans beta cells of the pancreatic gland or caused by a lack of insulin. responsiveness of body cells to insulin. Type 2 DM is often found in around 90% of diabetes sufferers and usually occurs from the age of over 40 years in obese people. Metformin is the most frequently prescribed therapy for patients with type 2 diabetes mellitus. In addition, Metformin has a very good safety profile and is also pharmacoeconomically beneficial. The research was carried out by tracing the patient's past data from medical records obtained from the medical records unit at the X Sei Karang Clinic in the patient's medical records for 2022. Based on gender, it shows that of the 40 patients using oral anti-diabetic drugs in type II DM patients based on gender in 2022, the majority of genders are women (28 people) and the rest are men (12 people). Based on age, it shows that there are more people aged 34-60 years with a percentage of 67.5% compared to those aged 61-77 years with a percentage of 32.5%. Therapeutic use of oral antidiabetic drugs in outpatient type II DM patients at the X Sei Karang Clinic for the period October-December 2022 is Metformin with a 30% result with or without combination therapy. The accuracy of using oral anti-diabetic drugs in outpatients with type II DM at the X Sei Karang Clinic in 2022, found that the accuracy of using anti-diabetic therapy drugs at the appropriate dose was 83.33%.
The Correlation Between Protein Intake And Muscle Mass in Breast Cancer Patients at Dr. H. Abdul Moeloek Regional Hospital
Authors: Mastuti Yuni , Akhriani Mayesti , Junita Dera Elva , Muharramah Alifiyanti
Published: July 2024

Breast cancer is the second-leading cause of death among women. Since protein serves as a building ingredient for cells, muscles, and tissues, eating enough of it is thought to be essential for gaining muscle mass. The cornerstone for cancer patients to maintain and/or gain muscle mass will be an adequate protein intake. In this study, breast cancer patients' muscle mass was measured and a 24-hour recall of their weekdays and weekends was conducted. The average amount of protein consumed by participants was 31.22 grams, and the average percentage of muscle mass was 24.02%. The purpose of this study is to ascertain how breast cancer patients' protein consumption and muscle mass relate to one another. This study uses quota sampling as the sample method and a cross-sectional design. There were fifty-six responders in the sample. This research uses the Spearman rank. The normality test results show that the significance value for muscle mass is p value = 0.016 (p < 0.05), it can be concluded that the data is distributed abnormally. Meanwhile, the normality test results for protein intake p-value = 0.200 (p > 0.05) can be concluded that the data is normally distributed, so it is continued with the Spearman rank correlation test. Based on the results of the Spearman rank correlation test, a correlation coefficient value of 0.488 was obtained with a significance p-value of 0.0001. So there is a positive significant correlation between protein intake and muscle mass in breast cancer sufferers at Dr. H. Abdul Moeloek Regional Hospital of Lampung Province p value = 0.0001 (p<0.05).
Factors Related To The Level Of Knowledge On Clean Living Behaviorand Healthy (Phbs) In Banda Aceh Primary Students
Authors: Aulia zulkifli Riski , Meutia Zahara  , Riza Septiani
Published: July 2024

Clean and healthy living behavior is the essence for the sustainability of the program launched by the government as an indicator of sustainable health improvement achievements. The realization of PHBS in school settings needs to be pursued, to increase self-awareness of the results of the target, namely students and school residents and supported by the existence of facilities and infrastructure. This study aims to determine the factors related to the level of knowledge of clean and healthy living behavior (PHBS) in students of SD N 58 Alue Naga Banda Aceh. The type of research used is quantitative with a cross-sectional research design, namely research that studies the correlation between exposure or independent risk factors (level of knowledge, sex, attitude, personal hygiene, and incidence of diarrhea) with dependent effects or effects (PHBS). The sampling technique used was total sampling and obtained 82 students of grades V, and VI.. Data analysis is univariate and bivariate. Based on the analysis using coputerization with the chi-squre test, it was found that there was a significant relationship between the level of knowledge (p-value 0.027), gender (p-value 0.017), attitude (p-value 0.040), personal hygiene (p-value 0.027) and history of diarrhea (p-value 0.018) on clean and healthy living behavior (PHBS) in students of SDN 58 Alue Naga Banda Aceh. The conclusion of the results of this study is that there is a significant relationship between the level of knowledge, gender, attitude, personal hygiene, and the incidence of diarrhea on PHBS students of SD N 58 Alue Naga Banda Aceh.
Analysis Of Consumer Level Of Affection For Indonesia Popular Coffee Products In The Era Of Generation Z
Authors: Matondang Mahendra Ilmi Syaputra , Anggi Aulia Nasution  , Jojor Indriani Samosir  , Muhammad Rafizzan Akbar  , Nauas Domu Marihot Romauli  , Panjaitan Raini
Published: July 2024

Produksi kopi Indonesia mencapai 794,8 ribu ton pada tahun 2022, meningkat sekitar 1,1% dari tahun sebelumnya, dan angka ini dapat terus meningkat setiap tahunnya.  Namun, Negara Indonesia sebagai salah satu produsen kopi terbesar di dunia masih jauh dari keuntungan produksi yang di dapatkan per tahun-nya, berbeda dengan negara Amerika Serikat menempati peringkat pertama. Padahal, dapat diketahui bahwa negara ini tidak memproduksi kopi sendiri, melainkan dengan cara mengolah kopi yang jauh lebih menguntungkan. Maka, Pemerintah Indonesia mendorong pertumbuhan industri kopi modern dengan memanfaatkan digitalisasi yang semakin mempermudah konsumen untuk mendapatkan kopi olahan modern. Kopi yang akan diuji pada penelitian ini adalah varian kopi gula aren yang dimana menyajikan tiga produk kopi merk terkenal di masyarakat. Kopi yang kami pilih juga merupakan brand kopi lokal yang sedang menarik perhatian banyak pencinta kopi Indonesia dan bahkan diketahui sudah go internasional. Metode pendekatan studi langsung ini dilakukan dengan menempatkan panelis semi-terlatih sebanyak 25 orang dengan menggunakan uji organoleptik. Hasil penelitian ini mencakup preferensi pelanggan terhadap produk kopi siap konsumsi yang populer di era Gen Z. Hasil Penelitian yang didapat adalah Tingkat kesukaan terhadap rasa pada produk kopi populer di era generasi Z yang mempunyai rerata nilai hedonik tertinggi 4,12 pada sampel 236 yang artinya dalam rentang skala penilaian 4 dapat ditandai dengan tingkat kesukaan yaitu suka. Kemudian dilakukan uji analisis One Way ANOVA untuk mengetahui pengaruh terhadap variable dependen yang terikat kemudian dilakukan Uji Duncan untuk dilakukan pembandingan yang tidak berencana. Hasil Uji Analisis didapatkan Nilai signifikansi tingkat kesukaan pada atribut rasa adalah 0,001 (<0,05), artinya ada perbedaan tingkat kesukaan terhadap rasa pada ketiga produk kopi populer di era Generasi Z.
Socialization of Introduction to Food Additives and Their Impact on Health for Students of Private High School Harapan 3
Authors: Ritonga Ahmad Hafizullah , Herlina Herlina , Harefa Karnirius , Harahap Hasni Yaturramadhan , Sitorus Rotua Sumihar
Published: July 2024

The increase in processed food consumption has led to an increase in the use of food additives. However, public understanding of food additives and their health impacts remains minimal, especially among high school students. Private High School Harapan 3 is one such private school located in Deli Serdang Regency, North Sumatra, bordering the city of Medan, which has garnered attention due to the high number of students consuming food or snacks containing additives without knowing the negative effects of excessive consumption. This forms the basis for the need to conduct awareness activities at the school. Therefore, this community service activity aims to provide a better understanding to students as participants about food additives and their negative health effects. The implementation method of this activity consists of several stages. Firstly, the preparation of interesting and easily understandable counseling materials, covering the introduction of additives, their types, and their health impacts. Secondly, direct counseling conducted by lecturers from various disciplines interactively by providing relevant case examples. Thirdly, group discussions to deepen understanding and resolve participants' doubts. Fourthly, a question and answer session. The results of this activity show an improvement in participants' understanding, evident from their enthusiasm in asking questions because they realize the importance of choosing healthy foods and avoiding those with excessive additives. Group discussions help them understand information more deeply, while the question and answer session provides an opportunity to clarify doubts. Through this activity, we have successfully increased participants' understanding of food additives and their health impacts. Thus, participants are expected to apply this knowledge in their daily lives as smart and responsible consumers when choosing food.
Socialization of The Use of Sisik Naga Leaves (Drymoglossum Piloselloides) Medicinal Plant as An Antibacterial for The Lubuk Pakam Pekan
Authors: Pranata Chandra , Wiratma Dicky Yuswardi , Santika Rimma
Published: July 2024

In Indonesia, one type of plant that is often found is Drymogglossum Piloselloides, or better known as dragon scale leaves. These leaves are included in the category of herbal plants or traditional medicines which are rich in anti-inflammatory, anti-oxidant and anti-cancer compounds. Not only this, secondary metabolite compounds contain various other forms, namely flavonoids, tannins and saponins, which are believed to be antibacterial, to inhibit the growth of bacteria that cause acne, including Staphylococcus epidermidis, which is a member of the genus Gram-positive staphylococcus. In this community service activity, the aim is to provide information about the role and benefits of dragon scale leaves which can be an antibacterial agent for the wider community. In the service program carried out through socialization media using lecture, question and answer and implantation methods with the participation of 15 people in Lubuk Pakam. In accordance with the PkM program that has been produced, a conclusion was obtained regarding wider community insight and knowledge about dragon scale leaves which can be used for antibacterial purposes, in this case proven by the increase in the posttest score which was compared with the pretest score. The average increase in knowledge of PkM participants was obtained with a value of 28.4. Not only that, the maximum posttest score was obtained with a score of 85, in contrast to the lowest posttest score, namely 55 if a comparison was made with the pretest that had been carried out previously.
Optimizing the Implementation of Foot Massage as an Effort to Increase Comfort and Reduce Pain After Labor
Authors: Anuhgera Diah Evawanna , Nikmah Jalila Ritonga  , Saragih Astri Ulina , Damayanti
Published: July 2024

Childbirth is a maternal experience that often results in trauma for the mother. Pain before and after delivery is one of the factors that makes the mother uncomfortable. The mother's discomfort will make the mother stressed and will not make the mother comfortable with her new assignment. Foot massage is one method that can be applied to postpartum mothers to reduce the pain and comfort experienced by most mothers in the early postnatal period. Comfort during postpartum will improve the mother's quality of life. The location of the service activity was at the Nining Independent Midwife Practice, Deli Serdang Regency with a total of 14 participants. The target of this activity is postpartum mothers and mothers' companions during treatment. The activity methods used are lectures, role plays and simulations. The activity was carried out twice, namely on 16 and 23 May 2024. The activity consisted of preparation, implementation and evaluation. The results of this service show that most of the participants were >35 years old, female and had a high school education. There is a change in knowledge regarding optimizing foot massage to reduce pain and comfort after childbirth. Before being given health education, the majority of participants had knowledge, namely less than 78.57% and those who had sufficient knowledge were 21.42%. After being given education, the majority of participants had good knowledge about foot massage (57.14%) and 4 participants (28.57%) had good knowledge about foot massage. The presentation of increased knowledge after being given health education was 78.57%. It is hoped that foot massage education can be optimally implemented for postpartum mothers during the postpartum period so that it can help mothers reduce the pain and discomfort that occurs during the postpartum care period.
Counseling on The Importance of Maintaining Women's Reproductive Health
Authors: Safitri Riri
Published: July 2024

Maintaining women's reproductive health behavior is something that is very important for every woman from childhood, adolescence, to adulthood. This is because the female reproductive organs are organs that function as a place for menstrual blood to exit, a place for fetal development and sexual intercourse. Many reproductive health problems can arise from not maintaining women's reproductive health, one of which is cervical cancer. Therefore, the author conducted counseling on the importance of maintaining women's reproductive health to PKK mothers in Pasar VI Kualanamu Village with the aim of increasing the knowledge of PKK mothers about the importance of maintaining women's reproductive health, so that later the information conveyed is expected to have a positive impact on the village about maintaining women's reproductive health, where it is known that PKK mothers are organizations that work directly with residents, especially women in the village. During the counseling, the method used was the lecture method. With 28 counseling participants. Counseling was carried out in several stages, including the activity process stage and the evaluation stage. This counseling activity was carried out on May 8, 2024 at the multipurpose building of Pasar 6 Kualanamu Village, Beringin District. From the results obtained, it is known that the percentage value of achievement in the final questionnaire of participants after counseling is mostly in the high to moderate range classification. From these data, it shows that the counseling carried out in Pasar 6 Kualanamu Village was able to increase the knowledge of counseling participants consisting of PKK mothers, with this it is hoped that the information conveyed will have a positive impact on the village about maintaining women's reproductive health, where it is known that PKK mothers are an organization that works directly with residents, especially women in the village.
Nivel de aceptación de distintos refuerzos alimentarios en pacientes oncológicos hospitalizados
Authors: Fornaresio Victoria , Gries Delfina María , Carelli David , Lema Rocío
Published: July 2024

Introducción: el 80,00 % de los pacientes oncológicos presenta desnutrición; sin embargo, solo el 30,00 % recibe interven- ciones nutricionales oportunas.
Objetivo: comparar el índice de acepta- bilidad general (IAG) de distintos refuerzos alimentarios consumidos por pacientes con diagnóstico de enfermedad oncológica durante al menos una semana de inter- nación en un hospital público de la Ciudad Autónoma de Buenos Aires entre febrero y junio de 2023.
Métodos: el diseño fue observacional, descriptivo y longitudinal. Se desarrolla- ron dos refuerzos alimentarios según las preferencias reportadas por los pacientes oncológicos. La aceptabilidad fue evaluada mediante una encuesta semiestructu- rada de elaboración propia comparando tres refuerzos alimentarios: licuado multi- fruta, postre de naranja y vainilla, y suple- mento nutricional oral comercial.
Resultados: la muestra quedó confor- mada por 55 pacientes, el 52,00 % de sexo masculino, con una edad media de 55,09 años (desviación estándar [DE]: ±12,96). El 98,00 % presentó riesgo de desnutrición moderada según la valoración global sub- jetiva-generada por el paciente (VGS-GP). El IAG fue mayor del 70,00 % para todos los refuerzos alimentarios. El licuado mul- tifruta fue el de mayor puntaje (97; rango intercuartílico [RIC]: + 21,85) y no se reportaron diferencias según la localización del tumor. Aunque la sintomatología referida no influyó en el IAG de los distintos RA, se pudo apreciar un menor índice de aceptabilidad específico del sabor y del aroma.

Conclusiones: todos los refuerzos ali- mentarios ofrecidos obtuvieron un IAG superior al 70,00 %, sin asociación con la locación tumoral ni la sintomatología. El presente estudio muestra la importancia de la intervención dietética personalizada temprana para incrementar la adherencia al tratamiento.
Determinación de aromáticos en mezclas de hidrocarburos: estudio de un método a base de trinitrotolueno y nitrobenceno
Authors:   , Grumel Marcos
Published: July 2024

Como un último requisito para optar al título de Doctor en Química, presentamos hoy a la consideración de los profesores, el presente trabajo de tesis. En él se muestra el estudio de un método rápido para la determinación de hidrocarburos aromáticos en mezclas de hidrocarburos. Como el título lo indica, el presente informe se basa en la absorción de los hidrocarburos aromáticos con un reactivo, constituido por una solución de trinitrotolueno en nitrobenceno, no en un método original, sino que es una adaptación de un artículo ideado por el Dr. E. Pesquinelli en el que emplea como reactivo el ácido pícrico. Como el autor del presente trabajo, presta servicios en Yacimientos Petrolíferos Fiscales - en cuyos laboratorios se ha efectuado el presente trabajo. En este contexto, he trabajado sobre muestras constituidas por las distintas fracciones de petróleo, pero eso no equivale a decir, que sea un método aplicable solamente a esta industria, sino que es un método de aplicación general que se puede usar sobre productos de cualquier industria, en los cuales sea necesaria la determinación cuantitativa de hidrocarburos aromáticos.
Interpretación de las potestades de la Convención de Personas con Discapacidad en la educación de personas sordas: un análisis de las leyes educativas en la Provincia de Buenos Aires bajo la ley 26.378
Authors:   , Ávalos Carlos Omar
Published: July 2024

Este proyecto de investigación examina la interpretación de los derechos de las personas sordas en el sistema educativo de la Provincia de Buenos Aires, destacando la perspectiva de la educación como un derecho fundamental en la investigación de políticas educativas. Se establece un procedimiento para interpretar estas interpretaciones y explorar la entidad de dichos derechos. La elección de la Provincia de Buenos Aires como escenario de investigación se basa en la relevancia de comprender cómo esta jurisdicción específica incorpora y aplica la Convención en su sistema educativo. La pregunta de investigación orienta un análisis exhaustivo de las leyes educativas locales, con un enfoque en su integración y aplicación en consonancia con la Ley 26.378. Para ello, se utilizan herramientas teóricas conceptuales, principalmente de la semiótica, la antropología cultural, la teoría de la argumentación y la ciencia del derecho, que constituyen la semántica particular con la que se busca contribuir al enriquecimiento teórico del campo educativo. Esta investigación, dentro del enfoque interpretativo y utilizando métodos cualitativos de investigación documental, observa instrumentos jurídicos para determinar cómo en ellos se significan algunas potestades identificadas. Se realiza una observación de segundo orden donde se aplica una fórmula interpretativa a un escenario semiótico específico. Como resultado, se obtienen las coordinadas interpretativas requeridas, proporcionando insumos para futuras investigaciones. Los resultados de esta investigación no solo contribuirán a la comprensión académica de cómo se interpretan las potestades de la Convención en el ámbito educativo provincial, sino que también informarán el diseño de políticas educativas más inclusivas y la promoción de un ambiente educativo equitativo para las personas sordas.
POST-TRAUMATIC HEMORRHAGE IN A PREGNANT WOMAN IN THE PRACTICE OF PRIMARY EMERGENCY MEDICAL TEAMS
Authors: Kowalska Ewa , Żuratyński Przemysław , Krzyżanowski Kamil , Buca Paulina , Jastrzębski Paweł , Nowak Marcin , Borowczyk Michał , Ślęzak Daniel
Published: July 2024

Pregnancy is a unique period in a woman's life. It involves physiological changes, as well as mental and emotional ones for the mother-to-be. Pregnant women are at a higher risk of death from trauma compared to the rest of the female population. Medical activities aimed at treating pregnant trauma patients are issues that pose serious challenges for members of emergency medical teams. They require interdisciplinary medical knowledge, that of anatomy, physiology, trauma, but also obstetric and possibly neonatal care. In the pre-hospital setting, diagnosis and assistance is severely limited, so it is crucial that the pregnant woman be brought as quickly as possible to a hospital with appropriate diagnostic and specialty facilities. The aim of this study was to discuss the problem of uncontrolled internal hemorrhage in a pregnant woman, its consequences and the pre-hospital management of primary emergency medical teams. The research method was a review of the literature and recommendations of specialists of international organizations established to develop guidelines for emergency medicine. Based on the analysis, the following conclusions were drawn: 1. A traumatized pregnant woman should be given priority and special treatment in prehospital care due to measures that affect at least two lives - that of the mother and that of the child/children. 2. Due to the changes taking place in the body of the mother-to-be, injuries in pregnant women occur more frequently than in women who are not pregnant. 3. In pregnant women, the forces acting during the trauma, lead to different injuries than in non-pregnant women. 4. The effects of injuries sustained during pregnancy depend on the mechanism of injury, the severity of the injury and the stage of pregnancy. 5. Hypovolemia associated with decompensation of traumatic shock in a pregnant woman indicates an inauspicious prognosis for the health and life of the mother and baby. 6. Medical emergency procedures in pregnant trauma patients are similar to those used for other patients, but require some modifications related to the anatomical and physiological changes that occur during pregnancy. 7. Examining a pregnant patient may be difficult due to the anatomical and physiological changes occurring during this period. Increased heart rate and decreased blood pressure should not be considered a consequence of pregnancy if other causes are not ruled out. 8. It seems reasonable to introduce TXA acid into the regimens of basic emergency teams for victims with symptoms of hemorrhagic shock.
O rascunho é um risco do tempo
Authors: Froan Renata , Filho João Vilnei de Oliveira
Published: July 2024

Rascunhar. Este artigo, de caráter ensaístico, desdobra-se desse gesto infraordinário (PEREC, 2010). A partir de uma pesquisa com ênfase em processo de criação com cadernos de artista, propões-se pensar o rascunho não enquanto uma preparação para uma obra. No entanto, como ato de criação. Como gesto de presença. Experimentação. Nesta escrita, arrisca-se o risco de entender o rascunho como uma poética. Percurso reticente, inacabado, que desobedece os ponteiros do relógio e engendra um outro ritmo. Um tempo-lento (TESSLER, 2011). Sendo assim, ao longo deste texto, circula-se a seguinte questão: que outra(s) temporalidade(s) é/são possível(eis) experienciar quando se assume o rascunho enquanto gesto criador?
Atravessamentos do tempo na prática de pesquisa
Authors: Martino Luis Mauro Sá , Marques Ângela Cristina Salgueiro
Published: July 2024

Quais temporalidades atravessam a prática de pesquisa acadêmica? Além da definição formal dos cronogramas, quais são os tempos de uma investigação? Este texto delineia aspectos da relação do tempo com as práticas de pesquisa, nas intersecções entre a objetividade dos prazos e a temporalidade desacelerada dos sujeitos pesquisadores. A partir de pesquisa bibliográfica, ancorada na reflexividade das atividades de orientação de pesquisa, sugere-se a existência de três temporalidades na investigação acadêmica: (1) o contexto de uso social do tempo dentro de uma lógica neoliberal objetivados nos (2) prazos definidos por universidades e agências nos quais se desenvolvem (3) os vários procedimentos envolvidos em uma pesquisa. Esses aspectos são discutidos a partir do lugar dos sujeitos na elaboração do conhecimento.
Comparison of Outcomes of Intravenous Dexamethasone Versus Placebo as Adjunct to Local Anaesthetic Brachial Plexus Block for Upper Limb Surgery
Authors: Mughal Naila , Shah Ammar , Latif Sana , Naseem Umer , Naz Farah , Awan M. Nazir
Published: July 2024

Introduction: Dexamethasone has been tested in combination with different local anesthetics with varying degree of results including increase in intensity and duration of block.
Objectives: To compare the outcomes of intravenous dexamethasone versus placebo as adjunct to local anesthetic brachial plexus block for upper limb surgery.
Study design: Randomized controlled trial
Setting: Department of Anesthesia, pain management and intensive care Holy Family Hospital, Rawalpindi.
Study duration: 7th November 2019 till 6th May 2020.
Materials & Methods: A total of 10 0 patients of either gender aged 18 to 60 years admitted for upper limb surgery were included. Patients with pregnancy, DM, block failure and contraindication to brachial plexus block were excluded. Patients in group A received a block injection with 30ml of 0.5% bupivacaine along with 2ml of intravenous dexamethasone. Group B patients received 30ml of 0.5% bupivacaine for block injection and 2ml of normal saline intravenously. Block success was confirmed using the sensory and motor examination of the upper limb. Block duration was recorded in hours, opioid consumption was recorded in intravenous morphine equivalents in first 24 hours, visual analogue scores for pain on scale of 0-10 at upper limb at rest was recorded at 8 and 24 hours.
Results: In our study, duration of local anesthetic brachial plexus block in dexamethasone and placebo group were 16.12 ± 1.33 hrs and 9.77 ± 1.26 hrs respectively with p-value = 0.0001. Opioid consumption in Morphine Equivalents  at 24 hrs in local anesthetic brachial plexus block and placebo group were 16.48 ± 2.60 vs 22.68 ± 3.78 with p-value < 0.0001 respectively.
Conclusion: This study concluded that intravenous dexamethasone has better outcomes as compared to intravenous saline as adjunct to local anesthetic brachial plexus block for upper limb surgery.
Comparison of Dexamethasone-Denenhydraminate and Dexamethasone-Ondansetron in Preventing Post-Operative Nausea and Vomiting after Laparoscopic Cholecystectomy
Authors: Ashraf Rabia , Shah Ammar , Naseem Umer , Awan Muhammad Nazir , Naz Farah
Published: July 2024

Introduction: Postoperative nausea and vomiting (PONV) is one of the most common problems after implementation of general anesthesia. Laparoscopic cholecystectomy for the treatment of cholelithiasis is popular amongst surgeons as well as patients due to its associated advantages, which includes a short hospital stay. However high incidences of PONV have been reported after laparoscopic cholecystectomy.
Objective: To compare the efficacy of combination dexamethasone-dimtenhydrinate with dexa-methasone-ondansetron in preventing postoperative nausea and vomiting after laparoscopic cholecystectomy.
Study design: Randomized controlled trial
Settings: Department of Anaesthesia, Holy Family Hospital, Rawalpindi Medical University and Allied Hospital.
Duration of study: Study was carried out over a period of six months from 01-01-2022 to 30-06-2022.
Methodology: A total of 160 patients were enrolled, 80 patients each to either group D for Dexamethasone-Dimenhydrinate group or group-O for Dexamethasone-Ondansetron.
Results: Mean age of the patients was 42.3±13.2 and 42.4±14.0 in group-D and Group-O, respectively. There were 40 (50%) males and females in group-D while 29 males (36.3%) and 51 females (63.7%) in group-O. Efficacy of combination dexamethasone+ dimtenhydrinate with dexamethasone+ondansetron in preventing PONV showed at 30 minutes (5.0% vs 12.5%; p=0.093), at 60 minutes (7.5% vs 20.0%; p=0.022), at 120 minutes (6.3% vs 17.5%; p=0.028) and at 24 hours (5.0% vs 18.8%; p=0.007).
Conclusion: In conclusion, our study demonstrated that dexamethasone–dimenhydrinate combination was more effective than dexamethasone–ondansetron combination  in prevention of nausea and vomiting after laparoscopic cholecystectomy.
Effects of impedance matching network on α-γ mode transition in atmospheric pressure RF discharges
Authors: Du M. Q. , Ding Z. F. , Qi L. W. , Wen X. D. , Sun B.
Published: July 2024

In atmospheric pressure RF discharges, positive and negative feedback regions are defined based on the influence of varying the capacitance of the series capacitor in an inverted L-type impedance matching network on the fed RF power at the input port of the impedance matching network. The impact of the impedance matching network on the α-γ mode transition was investigated by adjusting the tuning series capacitor in the impedance matching network. The critical RF power, as well as the current and voltage at the α-γ mode transition, is almost independent of the impedance matching network, while the counterpart immediately after the α-γ mode transition varies remarkably. The underlying mechanism is understood in terms of different feedbacks. Positive and negative feedbacks respectively promote and suppress the increment in RF power during the α-γ mode transition.
POSSIBILITIES AND ECONOMIC EFFECTS OF INNOVATION AND TECHNOLOGY DEVELOPMENT IN GEORGIA
Authors: Tchiotashvili David , Chitadze Khaliana
Published: July 2024

Georgia is a country rich in history and culture, which has been experiencing a period of rapid technological development and innovation in recent years. in a scientific article we will look at how scientific and technological progress affects the economy, finance and society of Georgia, what new opportunities it opens up, what problems the country faces and what are the prospects for further development.
The current economic situation in the world, which is significantly related to the tense political situation, large-scale wars and regional conflicts, is a great challenge for Georgia, because some of its territories are occupied. Therefore, Georgia invests heavily in the creation of such high-tech industries, such as information technology, biotechnology, robotics and alternative energy. The country's government actively supports startups and the development of new products, attracting international investment. This allows Georgia to take an increasingly strong position in the global high-tech market and become one of the regional hubs and leaders in the field of innovation.
EVOLUTION OF TECHNOLOGICАL SYSTEMS OF NEGOTIАTION MАNАGEMENT: THE INFLUENCE OF ONTOLOGICАL ENGINEERING ON THE DEVELOPMENT OF ECONOMIC DIRECTION NEGOTIАTIONS
Authors: Pyrohova Iryna , Zmiivskyi V.
Published: July 2024

This аrticle is devoted to а retrospective аnd prognostic аnаlysis of the evolution of technologicаl negotiаtion mаnаgement systems with а speciаl emphаsis on their economic аpplicаtion. The historicаl pаth of the development of the negotiаtion process wаs considered, аnd the mаin stаges аnd pаrаdigms of negotiаtion mаnаgement were identified.The topicаlity of the topic is explаined by the need to find new аpproаches to mаnаging negotiаtions in the conditions of а constаntly chаnging economic аnd politicаl environment in the context of the technologicаl revolution. The purpose of the study is to systemаtize knowledge аbout the impаct of ontologicаl engineering on technologicаl negotiаtion mаnаgement systems, to аnаlyze their impаct on the development pаrаdigms of the negotiаtion process in the economic sphere, аnd to form а technologicаl vision of the system.The аrticle provides аn in-depth аnаlysis of the impаct of ontologicаl engineering on modern аpproаches to negotiаtion mаnаgement, pаrticulаrly in the context of economic relаtions. The key аspects аnd аdvаntаges of using the ontologicаl аpproаch in the process of conducting negotiаtions in the economic sphere аre highlighted. The аuthors аnаlyze the impаct of these technologies on the development pаrаdigms of the negotiаtion process аnd consider their role in аchieving а higher level of efficiency, reducing conflicts, аnd increаsing the effectiveness of resolving economic disputes. The conceptuаl model аnd mаin pаrаdigms of creаting а system for аnаlyzing аnd conducting negotiаtions in the context of internаtionаl economic relаtions аre derived.