bluuebunny/crossref_metadata_2025 huggingface dataset:
SOSYAL MEDYADA ANTİ TÜKETİM PAYLAŞIMLARI: DE-INFLUENCING İÇERİKLERİNE YÖNELİK BİR ANALİZ
Authors: Geçit Erdem , Şendoğan Fatma , Öztürk Salgar Nesrin
Published: September 2024

Gelişen teknolojiyle birlikte ortaya çıkan sosyal medya platformlarında popülerleşen influencer pazarlaması, işletmeler tarafından pazarlama stratejilerine entegre edilmiş durumdadır. Tüketime özendirme noktasında güçlü bir faktör olan sosyal medya platformlarında son zamanlarda ise aşırı tüketimi eleştirmek, tasarrufa yönlendirmek, influencer etkisini azaltmak adına takipçilerine ne almamaları noktasında uyarılarda bulunulan bir akım başlamıştır. De-influencing (etkisizleştirme) adı verilen bu anti tüketim akımında, içerik üreticiler tarafından sosyal medya uygulamalarında ‘De-influencing’, ‘Alınır Alınmaz’, ‘Bu Ürünleri Almayın’, ‘Paranızı Boşa Harcamamanız Gereken Ürünler’, ‘Pişman Olduğum Ürünler’ başlıklarıyla içerik üreticiler yayınlanmaktadır. Amaç: Bir akım olarak TikTok üzerinde yayılan daha sonra diğer sosyal medya platformlarında popülerleşen De-influencing akımı adı altında üretilen TikTok içeriklerinde akımın kavramsal açıdan üretilen içerikler ile uyumlu ve farklı noktaların ortaya konularak igili alana katkı sağlamak amaçlanmaktadır. Örneklem ve Yöntem: Araştırma kapsamında Tiktok üzerinden ‘‘De-influencing’’ hashtag kullanımıyla paylaşılan içerikler arasında belirli ölçütler taşıması gerekliliği sebebiyle ölçüt örnekleme yöntemi kullanılarak örneklem grubu belirlenmiştir. 3 Türkiye 3 Yurtdışı içerik üreticilerinin oluşturduğu 6 hesap sahibinin 6 aylık paylaşımları tek tek incelenmiş ve ulaşılan 53 De-influencing paylaşımı nitel içerik analiz yöntemi kullanılarak incelenmiştir. Yürütülen nitel içerik analizi doğrultusunda tema, kategori ve kodlar oluşturularak Maxqda 2020 Nitel Analiz Programı üzerinden analiz edilmiştir. Bulgular: Araştırma kapsamında incelenen TikTok içeriklerinin kapsamında tüketiciyi satın almaktan caydırmak ve ürün ya da markanın olumsuz yönlerini aktarma amacı taşıyan ‘‘De-influencing’’akımının olumsuz ağızdan ağza pazarlama iletişimi faaliyetleri temelinde oluştuğunu söylemek mümkündür. Detaylı sonuçlara Bulgular ve sonuç kısmında yer verilmiştir. Özgünlük: Araştırma De-influencing kavramı üzerine şekillenmiş olup ilgili alanda kavrama yönelik herhangi bir bilimsel çalışma bulunmadığı gözlenmiştir.
PIERRE BOURDIEU: BİLİMSEL ALAN VE DÜŞÜNÜMSEL YÖNTEM
Authors: Akarca Alparslan
Published: September 2024

Bilimsel alan özerk olmalıdır. Çünkü tahakküm altındaki bilim, tahakkümü yeniden üreten bir bilimdir. Bilimsel tutum bilime katkı ile topluma katkı arasındaki olası farkı belirleyecektir. Düşünümsel metodoloji ise bilim insanlarına bilimin bilimini yapma fırsatını verecek olan bir yöntemdir. Bourdieu’nün yöntemi, nesnellik ilkesinden fazlasıdır. Bu, nesnelliğin nesneleştirilmesidir. Öyle görünüyor ki, Bourdieu, bilimi bilim insanlarına karşı korumaya çalışmaktadır. Ancak diğer yandan bu, öylesine paradoksal bir durumdur ki, bilim insanları bu paradoksu aşmak için bilime başvurmak zorundadır.
Amaç: Bu makalenin amacı Bourdieu’nün bilim dünyası üzerine çalışmalarını incelemektir. Makalede kullanılan metodoloji bir kavram analizi yöntemidir. Temel amacımız iktidar karşısında (iktidarın içsel ya da dışsal olması farketmez) bilimsel özerklik, sosyal süreçler karşısında bilimsel tutum ve düşünümsel metodoloji konusunu tartışmaktır.
Yöntem/Tasarım / Metodoloji / Yaklaşım: Bu çalışmada kavramsal içerik analizi yöntemi kullanılmıştır.
Bulgular: Bourdieu bilim alanındaki temel problemlerin çözümünde yeni bir yöntem, yani düşünümsel metodolojiyi ileri sürmektedir. Bu nedenle böylece Bourdieu, bilim dünyasını mercek altına alıyor. Özetle, düşünümsel yöntemi bilim dünyasıyla tanıştıran Bourdieu’nün hem bilime hem de bilim felsefesine önemli katkı sağladığı söylenebilir.
Özgünlük: Bourdieu’nün bilimsel alan ve akademi üzerine çözümlemeleri, esas olarak alan teorisine dayanmaktadır. Dolayısıyla, çalışmamızda alan, habitus, sermaye, tahakküm ilişkileri kavramları ve bir alternatif yöntem olarak düşünümsel metodoloji kavramına odaklanılmıştır.
Effect of Yonidhavan on Different Gynaecological Diseases - A Retrospective Study
Authors: Geeta Patki  , Rijuta Patil
Published: September 2024

Gynecological diseases are increasing day by day. Among all, female genital infections bear a major component. It carries the specific attention of underlying diseases such as vaginitis, cervical erosions PIDs, to malignancies. Ayurveda highlights these disorders under Yonivyapadas. Classics have highlighted 20 types of Yonivypadas where pathogenesis takes place in genital areas. Local treatments such as Yonidhavan, Picu, Varti are described for the same. Yonidhavan refers to drug delivery through genital areas. The medicated fluid of Yonidhavan helps to clean genital areas, reduce inflammation and help to regrowth healthy tissue.  Understanding these, a retrospective study on the effect of Yonidhavan with Panchawalkal Kwath for a sample of 100 patients was done for 1 year. Analysis of the symptoms as well as the result, with clinical evidence and statistical evaluation, proved that overall Yonidhavan gave excellent outcomes in 94.9% patients in relieving the symptoms. The therapy proved to be promising on criteria such as per vaginal discharge (Srava), tenderness (Sparasahatwa), and tissue swelling (Shoph). It proved most significant on per vaginal profuse discharge (96.5%) and tenderness (Sparasahatwa) (74.3%). The study revealed that no recurrence of the symptoms was noticed after one year in 73% of the patients. Twenty-two percent of patients showed recurrence of symptoms in one year. The use of Panchawalkal Yonidhavan not only gave symptomatic relief but helped to cure Yonivypadas. Yonidhavan proved helpful, economical, and accessible Ayurvedic treatment.
Shodhana Karma: A Holistic Approach to Sthana Roga
Authors: Afreen Kousar Ali  , Rajani Kagga  , Prema Bhat
Published: September 2024

The strength of a nation is deeply rooted in the health of its women, making it fundamental step towards national prosperity. Apart from undergoing natural processes of menstruation, pregnancy etc. Sthana Roga is a common condition seen in a woman comprising of lump or palpable mass in the breast. It is computed that about 30% of women are suffering from benign tumors of breast at any age and if not addressed on proper time it may have risk of malignancy. Methods: A case report of a female aged 46-years presented with the complaints of lump with tenderness in the breast it was diagnosed as Sthana Roga. Based on Nidana Panchaka, Chikista was planned and Shodhana Karma was done based on Ayurvedic principles to manage the Sthana Roga. Results: Shodhana Karma led to significant improvement in overall patient’s condition by notable decrease in discomfort, pain, tenderness, reduction in the size of the lump pertaining to the disease and was assessed through necessary investigations. Conclusion: As per this case study, the efficacy of age old Ayurvedic treatment modalities has demonstrated its effectiveness in managing symptoms of Sthana Roga which was confirmed by the investigations before and after the treatment.
Management of PCOS Through Ayurvedic Approaches: The Role of Panchakarma
Authors: Megha Agarwal  , Gyan Prakash Sharma  , Achalaram Kumawat  , Parag Devadiya
Published: September 2024

Among women of reproductive age, PCOS is a widespread metabolic and reproductive disorder that can disrupt menstrual cycles, fertility, hormonal equilibrium, and physical appearance. Manifestations may include acne, facial hair growth, fatigue, susceptibility to UTIs, and hair loss. In Ayurvedic texts, Acharya Charak classified it as Vinshati Yonivyapada, Acharya Sushruta referred to it as Nashtartava, and Acharya Kashyapa described it as Pushpaghni Jataharini, all with symptoms resembling those of PCOS. In contemporary medicine, hormonal therapy and other medications are often prescribed for PCOS, despite potential long-term adverse effects. Hence, Panchakarma could offer a preferable treatment approach, utilizing Shodhan Chikitsa (purification therapy) alongside lifestyle adjustments for managing PCOS more effectively. At Sanjeevani Chikitsalya in Jodhpur, a 21-year-old female diagnosed with PCOS, presenting symptoms of irregular menstrual cycles, rashes and itching in the hip region, generalized weakness, and UTI infections for the past two years, underwent successful treatment. The approach involved Shodhan Chikitsa, specifically Virechana Karma.
Ayurvedic Management of STXBP1 Encephalopathy with West Syndrome - A Case Report
Authors: Roshni Anirudhan  , Parvathy Jayan
Published: September 2024

Developmental delay, intellectual disability, and epilepsy are hallmark features of STXBP1 encephalopathy. This condition is often associated with West syndrome, characterized by intractable epilepsy, developmental regression, and hypsarrhythmia on EEG. Even though timely intervention is crucial, Conventional medical systems lag behind to tackle the developmental regression and to gain control over the intractable epilepsy even with multiple anti epileptic drugs (AEDs). This is a case of a 7-year-old girl with an STXBP1 mutation, clinically diagnosed with West syndrome. She presented to the Kaumarabhritya OPD with significant developmental issues, including inability to sit without support, difficulty rising from a lying position, tremors, poor coordination, truncal ataxia, impaired speech, cognitive deficits, socialization issues, and intractable epilepsy. Ayurvedic management strategy was designed incorporating treatment principles of Apasmara (seizures), Unmada (insanity), Vatavyadhi (Vata disorders), and Sirakampa (head tremors), as an adjunct to ongoing AED regimen. Remarkable improvements were observed in motor, social, and language domains in a period of 4 months. Treatment efficacy was assessed using the Hague seizure severity scale, (improved from 24 to 49) and Gross Motor Function Measure score (increased from 18% to 30%). Receptive language age advanced from 0-1 month to 7-8 months, and expressive language age improved from 0-1 month to 10-12 months. Vineland Social Maturity Scale score improved from 3.5 to 8, and Indian Scale for Assessment of Autism score decreased from 130 to 105. This case report highlights the efficacy of Ayurvedic interventions in curtailing intractable epilepsy, arresting the neuronal regression and triggering the brain growth velocity.
Effect of Tennetti-Tilla (Dried Figs and Sesame Seeds Laddu) Supplementation in Type 2 Diabetes
Authors: P. Suchitra  , Kavita Waghray  , Malathi Syamala
Published: September 2024

Diabetes mellitus is a metabolic disorder affecting every age group worldwide. Sedentary lifestyle, obesity and lack of physical activity are the main causes of type 2 diabetes. Hyperglycemia is not controlled; it may result in macrovascular and microvascular complications which are the major causes of morbidity and mortality in diabetic patients. Doing exercise regularly and consumption of low-calorie diet can help diabetic patients in keeping blood glucose levels under control. Present case study was a 67-year-old woman who was diagnosed with type 2 diabetes. Her anthropometric measurements were recorded as height was 152 cm, weight was 70.75 kg and BMI was 30.4 kg/m2. Her biochemical parameters are HDL is 38, triglycerides are 163, and cholesterol is 184, VLDL is 33, FBS is 115mg/dl, PLBS is 250mg/dl and HbA1c is 9.5mg/dl. She was supplemented with 10gm of Tennetti-tilla (dried fig and sesame seed laddu) daily for 90 days. After the period of intervention of 90 days, the changes observed as reduction in weight to 68kg, FBS 87mg/dl, PLBS 106, cholesterol is 188, triglycerides are 71, HDL is 45, and HbA1c is 6.3 and VLDL is 14.2mg/dl. The study reveals that supplementation of 10g of Tennetti-tilla (dried fig and sesame seed laddu) for 90 days can reduce hyperglycemia in type 2 diabetic patients.
A Case Report on the Ayurvedic Management of Diabetic Peripheral Neuropathy
Authors: Anjana D  , Srinath S  , Bindu P R
Published: September 2024

Diabetic neuropathy is one of the most common microvascular complications of diabetes mellitus. It has a significant impact in lowering quality of life (QOL) of diabetic patients. Currently, there is no effective management rather than tight blood sugar control. Hence an effective management for diabetic peripheral neuropathy (DPN) has to be deduced. A 41‑year‑old female patient, who was a known case of diabetes mellitus presenting with the symptoms of diabetic peripheral neuropathy was treated with a combination of Ayurvedic internal as well as external therapies, considering the treatment protocol of Prameha upadrava and Vatarakta chikitsa. The symptoms were assessed before and after treatment using the Toronto Clinical Scoring System. Significant improvement was seen in all the scores after the treatment. This case elicited that DPN can be successfully managed by Ayurvedic treatment.
Penerapan Metode Reliability Centered Maintenance (RCM) untuk Menentukan Strategi Perawatan Mesin Pencacah Sampah Organik
Authors: Wicaksono Nur Rohman Wicaksono , Rosady Siti Duratun Nasiqiati
Published: September 2024

Masalah sampah adalah topik yang tak pernah selesai untuk diperbincangkan. Di Kabupaten Mojokerto, timbunan sampah dalam setahun mencapai 172.728,57 ton. Sayangnya, 57% dari jumlah tersebut tidak terkelola. Jika pengolahan sampah organik tidak efektif, konsekuensinya dapat menimbulkan masalah lain. Oleh karena itu, dibutuhkan alat seperti mesin pencacah sampah organik membantu untuk mempercepat pengomposan. Karena jumlah produksi sampah organik di Kabupaten Mojokerto tergolong tinggi, maka mesin pencacah sampah akan memiliki beban pemakaian yang besar. Diperlukan langkah pencegahan agar mesin dapat beroperasi dengan baik dan memiliki umur pemakaian yang panjang. Metode Reliability Centered Maintenance (RCM) dapat dijadikan landasan untuk perawatan mesin untuk pengembangan perawatan pencegahan. Metode ini digunakan untuk menentukan tindakan perawatan yang tepat pada mesin dengan mempertimbangkan faktor-faktor seperti penentuan komponen kritis berdasarkan analisis Failure Mode and Effect Analysis (FMEA), keandalan mesin, tindakan perawatan, dan biaya pemeliharan. Hasil penelitian didapatkan 2 komponen kritis yang ada pada mesin pencacah sampah organik yaitu pisau putar dan saringan. Perhitungan nilai keandalan menunjukkan bahwa interval waktu perawatan untuk komponen pisau putar adalah setiap 852,6743 jam kerja, dan untuk komponen saringan adalah setiap 145,4628 jam kerja.
Does body expression improve children’s attention and impulse control development? An ecological intervention in physical education
Authors: Rodríguez-Negro Josune
Published: September 2024

Recent research has shown a decrease in attention and impulse control in childhood, so the development of children's cognitive functions, and specifically attention and impulse control, has aroused growing interest in the scientific literature. The aim of this study was to analyze the influence of body expression on the development of attention and impulse control and its relationship with gender in 6-to-8-year-old boys and girls. A total of 43 children were enrolled in this research. CARAS-R test was used to assess selective attention and impulse control before and after an 8-week body expression intervention program. After the body expression intervention program (Pre-Post) carried in physical education, all children improve the attention results (p < .01, ES = 1.1 to 1.5, moderate to large), but no improvement was found in the impulse control (p > .05, ES = 0.1 to 0.2, trivial). In conclusion, the results obtained in the study seem to indicate that body expression in physical education sessions is an appropriate element to develop attention. These results could have important implications for physical education teachers, since it allows them to know the tools that improve the development of attention, to implement them in their sessions.
Keywords: Cognitive function; physical activity; primary education; drama; impulsivity.
How are motor skills and writing readiness in children? A literature review
Authors: Priyadi Antonius Totok , Wati Isti Dwi Puspita , Amir Amriani , Siringo-ringo Tulus Gover , Yuliana Yohanes Gatot Sutapa , Khory Fifukha Dwi , Sasataman B Putra , Ghasya Dyoty Auliya Vilda , Dafun JR Procopio B. , Haetemi Mimi
Published: September 2024

Writing is one of the basic skills for moving up in the world of education and eventually carries over into adult life to interact in both communication and work. Basically, learning to write is a complex process that is integrated with the child's memory experience, combining meaningful visual and motor stimuli that are captured on paper. The study of writing is interesting from a motor perspective. This literature review research aims to examine writing from a motor perspective. Review articles were searched on Scopus and PubMed search engines with the keywords "writing AND motor AND skills". Initially 1,171 documents were found on Scopus and 1,059 on PubMed. After restriction based on year, theme, age specific, relevant abstract and full article reading, 10 articles met the criteria. The conclusion of this review explains that writing is a fine motor skill, especially visual motor. In fact, this skill does not automatically mature without the contribution of growth (physical), maturity (quality), intervention (learning and experience), and treatment (learning process).
Keywords: Motor Skills, Writing, Child Age
ҚАЗАҚ ТІЛІ САБАҒЫНДА МУЛЬТИМЕДИАЛЫҚ ҚҰРАЛДАРДЫҚОЛДАНУ АРҚЫЛЫ ОҚУШЫЛАРДЫҢ БЕЛСЕНДІЛІГІН АРТТЫРУ
Authors: Қадырбай Бексейіт , Ерхожина Шаттыгүл
Published: September 2024

The article will discuss the importance of using multi-media tools in teaching. It is proved that it is an important component of the activation of the lesson process, a means of enhancing the cognitive perception and activity of the student in activities. Its effective use depends on the topic being mastered, the content of the material and the skill of the teacher. Therefore, the meaningful Organization of multimedia presentations is an achievement for the teacher. It shows the importance of conceptual pedagogical conditions. Based on these foundations, models for the effective use of multimedia tools were discussed. Before that, multimedia technologies have proven their effectiveness in teaching. However, in this article, specific features of the use of multimedia tools in mastering the subject of the Kazakh language were analyzed. In the process, it is determined that the use of various clear tools for the reflection of educational information provides a new level of learning. It also explains the importance of the correct Organization of visual activities of the multimedia environment in teaching in accordance with the requirements of modern teaching in the teaching system. In order to reveal this topic and prove the conclusions, the article also presented samples of the exercise-task and summarized the key conclusions.
Automated Teller Machines: Enhancing Financial Services with Advanced ATM Solutions
Authors:   USA, Rachapudi Sandeep
Published: September 2024

Automated Teller Machines provide significant benefits to customers by providing a convenient and secured way of performing transactions without ever
visiting a bank. Beginning with the era of using magnetic strip cards to the adoption of EMV cards, ATMs have revolutionized the way people access
their money and financial accounts. This paper aims to emphasize the benefits of enhancing ATM services for financial institutions and talk about future
possibilities in ATM services.
Assessing the impact of rising ambient temperatures on urban mortality rates using satellite mapping
Authors: Buzinov Roman V. , Noskov Sergey N. , Eremin Gennady B. , Kovshov Aleksandr A. , Gorny Viktor I. , Kritsuk Sergey G. , Latypov Iskander Sh. , Tronin Andrey A.
Published: September 2024

Introduction. In the context of the change in global climate, the gain in the mortality rate due to an elevation of the temperature in the urban environment with the appearance of “heat waves” becomes an urgent problem.
Materials and methods. To analyze the spatial distribution of risks and damages from premature mortality, there were selected cities located in several climatic zones of Russia including Omsk, Astrakhan, Rostov-on-Don, Lipetsk, Arkhangelsk. For satellite mapping of risks and damages from premature deaths caused by an elevation of the temperature in urban spaces, materials from summer surveys by Landsat series satellites were used.
Results. The analysis of all satellite maps allows concluding the risks of an increase in urban temperature, potential deaths, and economic damage within the territories of the studied cities to be unevenly distributed. Advanced values of potential mortality are localized in places where high population density coincides with an enhanced risk of the temperature rise. The highest damage values were noted in Rostov-on-Don and Astrakhan, the lowest – in Arkhangelsk.
Limitations. Mortality analysis was carried out without taking into account the age and sex structure of the population.
Conclusion. The results of applying the methodology for satellite mapping of risks and economic losses from premature mortality due to rising urban temperatures showed accuracy acceptable for making management decisions to protect the health of the urban population. The results of satellite mapping of these events can be used in the development of preventive measures aimed at reducing premature mortality.
Assessment of aerosol radioactivity in the atmospheric air of populated areas
Authors: Kuzmichev Maksim K. , Klepikov Oleg V. , Kurolap Semyon A. , Kulnev Vadim V. , Kizeev Aleksei N. , Nikanov Aleksander N.
Published: September 2024

Introduction. Due to the tense situation in the world, which may lead to deliberate emergencies at radiation-hazardous facilities as a result of terrorist or sabotage actions, the availability of methods for operational control of radioactive aerosols in the atmospheric air, as well as knowledge of background levels
of α- and β-activity of aerosols in the locations of nuclear power facilities, mining and processing facilities
The aim of the study was to assess the radioactivity of aerosols in the atmospheric air according to the indices of α- and β-activity (using the example of the cities of Voronezh, Novovoronezh, Pavlovsk, Lipetsk, Stary Oskol).
Materials and methods. Atmospheric air sampling was carried out using a flow meter-sampler of PU-5 aerosol mixtures. The α- and β-activity of the surface of the AFA-RSP-20 filters was measured with the MKS-AT1117M dosimeter-radiometer with interchangeable detection units BDPA-01 and BDPB-01.
Results. The results of measurements of aerosols α- and β-activity in the atmospheric air in all control points in the territories of populated places established the α-activity of the aerosols to vary from 1.10 • 10–3 to 6.75 • 10–3 Bq/m3, total (total) β-activity – from 3. 49 • 10–3 to 2.12 • 10–2 Bq/m3. The maximum indices values took place at control points near the open-pit mining of the Shkurlatovsky granite deposit (near Pavlovsk, Voronezh region).
Limitations. The limitations of the study are related to possible errors of the proposed and tested methodology, single (one-time) measurements, variable meteorological conditions affecting a specific result.
Conclusion. The maximum values of aerosols α- and β-activity in the atmospheric air of populated areas are determined by the results of one-time measurements (6.75 • 10–3 Bq/m3 and 2.12 • 10–2 Bq/m3) do not cause concerns for the health of the living population.
Problems of the management of habitat monitoring in settlements (ports) of the Northern Sea Route
Authors: Myasnikov Igor O. , Kizeev Aleksei N. , Fedorov Vladimir N. , Tikhonova Nadezhda A. , Novikova Yuliya A.
Published: September 2024

Introduction. The Northern Sea Route (NSR) is the main Arctic shipping route in the Russian Federation. As part of the development of Arctic infrastructure, the state and private investors have launched large-scale work on the development of Arctic ports.
The purpose of the study was to evaluate the current monitoring system for the state of atmospheric air, soil, and drinking water in the territory of settlements (ports) in the Northern Sea Route.
Materials and methods. Official data from environmental pollution monitoring by (Russian Federal Service for Hydrometeorology and Environmental Monitoring (Roshydromet) and social and hygienic monitoring by Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing (Rospotrebnadzor) in twelve settlements and ports in the Northern Sea Route were used. An electronic database has been created. The analysis was carried out using MS Office Excel, visualization of the location of monitoring points – ESRI ArcGIS 9.3
Results. The conducted research has shown heterogeneity in the management of monitoring of environmental factors of the population living in settlements (ports) of the NSR. The largest monitoring coverage is typical for settlements in the North-West – primarily the cities of Murmansk and Arkhangelsk, where the largest number of posts are located and all environments are monitored – atmospheric air, soil of populated areas and drinking water. There is practically no monitoring of the habitat in the village of Sabetta, Dudinka. In the village. Dixon habitat monitoring is not carried out. Atmospheric air, the quality of which is especially important for territories with developed port infrastructure, is controlled only in 5 out of 12 settlements (ports) of the NSR.
Limitations. The research had no limitations.
Conclusion. The need to optimize the monitoring system was noted. As measures, it is recommended to manage monitoring of atmospheric air, drinking water, and soil in the village. Dixon; atmospheric air and soil in the village. Sabetta and Dudinka; atmospheric air in Beringovsky village, Igarka, Providence village; soil in Tiksi village. It is necessary to expand the list of controlled indices in atmospheric air, drinking water and soil, as well as increase the frequency of sampling.
Approaches to substantiating the placement of industrial facilities within the sanitary protection zones of surface watercourses
Authors: Nikulenkov Anton M. , Yeremin Gennadiy B. , Stepaikina Polina V. , Borisova Darya S. , Mozzhukhina Natalya A. , Isaev Daniil S.
Published: September 2024

Introduction. The article considers an approach to be used to delineate the source water protection area for the surface water bodies without putting manufacturing plants within the delineated areas out of action. The approach is based on the assessment of the disposals produced by plants on the water quality at the surface water intake point during the plant’s accident-free operation and both accidents within and beyond the design basis.
Materials and methods. The article used the water protection area laws and regulations, the data observed of the disposal dispersion in the large rivers, and the original articles presented in databases and information systems: RSCI, CyberLeninka, Scopus, Web of Science. The solute transport analytical solutions for the dilution of the linear source in the flow serve as the methodological framework.
Results. The article results have shown the local disposal into the river to form dispersion halo. Due to the specific dispersion processes, an area of a strip-like shape on the opposite shore can be formed where an anthropogenic influence is not present or negligible. This can be considered the background for the safe cooperative operation of the water intake and a manufacturing plant located within the water protection area.
Limitations. The present article outlines the analytical approach for estimating the dilution of wastewater in river waters. The methodologies proposed are subject to several constraints, including the assumption of a constant river channel width and profile, steady discharge of contaminated wastewater, absence of water inflow losses or replenishment, lack of interaction with suspended particulate matter, uniform mixing across all segments of the river, and neglect of wind-induced effects on pollutant dispersion near the water surface. Failure to meet any of these assumptions necessitates recourse to more sophisticated numerical modelling techniques for accurate calculation.
Conclusion. The use of the approach presented in the paper allows justifying the manufacturing plant’s operation within the source water protection area for the surface water bodies.
Assessment of the long-term trend in angiodystonic syndrome of the upper extremities in stage I vibration disease using the ultrasound method
Authors: Kuprina Nadezhda I. , Shilov Victor V. , Petrova Milena D. , Nikanov Aleksandr N. , Makeeva Lyudmila V.
Published: September 2024

Introduction. Diseases of the upper extremities caused by exposure to local vibration at the workplace are a ubiquitous problem. These diseases occur or are aggravated by exposure to vibration at the workplace when using vibration-hazardous equipment.
Purpose of the study – is to identify the features of upper limb angiodystonic syndrome in vibration disease at stage I, depending on work experience.
Materials and methods. Ultrasound scanning of the arteries of the upper extremities was performed in seventy patients. Spectral and velocity indices such as resistance index (RI), diastolic blood flow rate (V ED), systolic (pulse) blood flow rate (V PS) and pulsation index (PI) were measured in the distal part of the forearm.
Results. Upon contact with a vibration tool, for each year of work experience, the systolic (pulse) blood flow rate (V PS) in the radial and left ulnar arteries significantly were found to decrease by an average of 0.57–0.58 (p<0.05). In the ulnar artery, PI increases on average by 0.03–0.062, but the changes are not statistically significant (p>0.05). With an increase in the length of service by 1 year, the RI in the left radial and ulnar arteries significantly increases by 0.0003–0.0012 (p<0.05).
Limitations of the study. The main disadvantages of ultrasound are the long-term and operator-dependent method.
Conclusion. With an increase in work experience, the indices characterizing angiodistonic disorders: pulsation index (PI), resistance index (RI) – significantly increase with each year of experience when exposed to local vibration. This can be used for differential diagnosis of peripheral angiodistonic upper limb syndrome of occupational etiology, in particular, vibration disease associated with exposure to local vibration at stage 1. With an increase in work experience, the indices characterizing angiodistonic disorders: pulsation index (PI), resistance index (RI) – significantly elevate with each year of experience when exposed to local vibration. As part of the ultrasound screening study, scanning of the arteries of the upper extremities in patients at the clinic of occupational pathology can be performed at the preclinical stage to prevent prolonged chronic ischemia of the upper extremities. This diagnostic method can be especially valuable in differentiating peripheral angiodistonic upper limb syndrome of occupational etiology, in particular, vibration disease at the stage 1.
Health risks from exposure to industrial aerosols of soluble and insoluble nickel compounds
Authors: Syurin Sergei A. , Nikanov Alexander N.
Published: September 2024

Introduction. Despite the implementation of active preventive measures, employees of nickel enterprises, remain to belong to a group of increased risk of occupational pathology.
Aim. comparative analysis of the risks to occupational health in workers exposed to soluble and insoluble nickel compounds in various specialties of the nickel industry.
Materials and methods. A retrospective observational study of the health status and development of occupational pathology was carried out among seven hundred sixty three workers of pyrometallurgical and 1395 workers of electrolysis nickel processing plants during 2008–2023.
Results. Over the course of 15 years, 112 and 221 occupational diseases were first identified in 57 (7.5%) of 763 pyrometallurgical workers and 100 (7.2%) of 1,395 nickel electrolysis workers. The risk of developing occupational pathology among workers of the two industries did not differ: RR 1.04; CI 0.76-1.43; p=0.797. In 2009–2023 There were no significant trend in the number of workers with primary occupational diseases and their number. Of all the specialists, the greatest risk of occupational pathology was found among finished product cleaners and smelters. The maximum level of occupational morbidity was found among cleaners and smelters (323.62 and 229.69 cases / 10,000 workers), and the minimum – among repairmen, crane operators, roasters (pyrometallurgical production) and electricians of electrolysis production (35–45 cases / 10,000 workers).
Limitations. The number of observations in some groups of specialists is insufficient for statistical processing.
Conclusion. The risk of developing occupational pathology does not depend on the solubility or insolubility of nickel compounds in industrial aerosols, but is largely determined by the final class of working conditions and the specialty of the worker. When carrying out measures to reduce health risks, it is necessary to take into account not only the class of working conditions, but also their characteristics for specialists at various technological stages of nickel production.
Experimental study of toxic effects of cadmium against background of physical exercise
Authors: Minigalieva Ilzira A. , Shabardina Lada V. , Ryabova Yuliya V. , Panov Vladimir G. , Kungurtseva Alexandra K. , Sakhautdinova Renata R.
Published: September 2024

Introduction. Nowadays, working conditions in industry are often associated with chemical exposure along with manual labour. Given the evidence of the combined effect of heavy metals and muscular work, an increase in cadmium toxicity can be expected. However, an experimental study and actual assessment of exposure to both factors are necessary to avoid underestimation or overestimation of real risks.
The purpose of our study was to establish health effects of subchronic cadmium toxicity against background of physical exercise.
Materials and methods. In a subchronic animal experiment, four groups of outbred male rats, 14 animals each, were exposed to cadmium chloride at a single dose of 0.77 mg/kg body weight, forced physical exercise (treadmill running), both factors combined, or acted as a control group. Hematological, biochemical, and morphometric indices in rodents were assessed at the end of the experiment. The statistical significance of differences between the groups was established using Student’s t-test (p<0.05). For mathematical modelling, we used the Response Surface Methodology (RSM) with the construction of Loewe isoboles.
Results. We observed significant unfavorauble shifts in 27.5% of the assessed morphometric, hematological, biochemical, cytological, and histomorphometric indices in rats following the exposure to cadmium only and in combination with exercise. The mathematical analysis based on the response surface modelling showed the typology of the combined impact of chemical and physical factors to vary depending on the specific effect by which it is assessed, as well as on the dose and level of effect.
Limitations. Laboratory animals of only one biological species and sex were used for the experiment, exposed to a single concentration of cadmium and physical exercise of only one intensity level.
Conclusion. The principles of health effects of cadmium and physical stress as risk factors of the workplace environment specified in the in vivo experiment may serve as a basis for scientific justification of risk assessment criteria to avoid under- or overestimation of real risks in the occupational setting.
Primeros auxilios
Authors: Cortez Méndez Rodrigo José
Published: September 2024

Los primeros auxilios son un conjunto de acciones inmediatas que se realizan frente a un incidente, accidente o crisis aguda, ya sea por causas traumáticas o derivadas de una enfermedad.
Estas intervenciones adquieren una importancia significativa en el cuidado de niños, personas con discapacidad y otros grupos vulnerables, donde la pronta asistencia puede marcar una diferencia significativa en el desenlace de la situación.
El estudio de los primeros auxilios contribuye al desarrollo de competencias fundamentales para intervenir eficazmente en situaciones de emergencia. Estas acciones, realizadas por personal no especializado, pueden mantener con vida a una víctima hasta la llegada de equipos médicos profesionales o el traslado a un centro asistencial.
Al respecto, en aquellos casos donde no exista un peligro inminente de muerte, los primeros auxilios se orientan a prevenir complicaciones futuras y reducir el riesgo de secuelas a largo plazo. Esta publicación, persigue coadyuvar en que el estudiante y/o lector, tenga un documento que promueva habilidades y destrezas que le permitan ser capaz de aplicar los primeros auxilios básicos, de acuerdo con la metodología P.A.S. (Proteger, Avisar y Socorrer), adaptándose a las diversas situaciones de emergencia que puedan presentarse.
Además, se espera que pueda resumir los protocolos de actuación más comunes en los primeros auxilios, así como proponer técnicas prácticas basadas en evidencia científica actualizada, conforme a las recomendaciones de la Asociación Americana del Corazón y la Cruz Roja y Media Luna Roja Internacional.
El contenido de este libro se organiza en los siguientes capítulos, cada uno de los cuales aborda un aspecto clave en la atención de emergencias:

Capítulo 1: Generalidades de Primeros Auxilios: Introducción a los principios fundamentales de los primeros auxilios, su importancia y las responsabilidades del primer interviniente.
Capítulo 2: Afecciones Cardiorrespiratorias: Descripción de las principales emergencias cardiorrespiratorias y las intervenciones necesarias para estabilizar a las víctimas.
Capítulo 3: Traumatismos: Abordaje de lesiones físicas como fracturas, hemorragias y heridas, con técnicas de inmovilización y control de daños.
Capítulo 4: Situaciones Especiales: Tratamiento de emergencias específicas, como ahogamientos, quemaduras y envenenamientos, con particular énfasis en grupos de riesgo como niños y personas con condiciones preexistentes.

Este texto ha sido elaborado con el objetivo de proporcionar una formación significativa en primeros auxilios, orientada no sólo para el apoyo en la adquisición de conocimientos teóricos, sino también, en conjunto a la capacitación práctica, para enfrentar situaciones de emergencia con seguridad y eficiencia.
Dr. Rodrigo José Cortez Méndez Tecnológico Universitario de Formación UF
Background of Data Envelopment Analysis Implementation in Moscow Healthcare System: International and Russian Experience
Authors: Budarina Yuliya V.
Published: September 2024

Background. The efficiency of healthcare organization activity should be improved and measured using new techniques, as the healthcare system has widely applied advanced technologies and optimized the workflow of all medical facilities. The methodology of data envelopment analysis (DEA) is one of the fast-evolving approaches to assessing the performance of healthcare organizations. The article examines Russian and international experience in applying the DEA method, which can be used for assessing the performance of Moscow public healthcare organizations.
Purpose. To study the basics of DEA and the experience of its use for assessing the efficiency of healthcare organizations in Russia and abroad, and to consider its potential implementation in the Moscow healthcare system.
Materials and methods. The publications were selected using the PRISMA guidelines. A complex of modern general scientific methods of cognition was also used: system and structural approach, analytical method, comparison, and generalization.
Results. The practice of using the DEA method in Russian regions and abroad was analyzed. The main advantages and disadvantages of DEA, as well as the main parameters used in constructing the model of efficiency measurement for healthcare organizations, were categorized. The prerequisites for using the DEA method to assess the efficiency of Moscow healthcare organizations were identified.
Developing Standard Sets of Indicators for Patient-Centered Outcome Measures
Authors: Budarin Sergey S.
Published: September 2024

The article describes how working groups of medical specialists led by the International Consortium for Health Outcomes Measurement (ICHOM) develop standard sets of indicators for patient-centered outcome measures. The main stages of working groups’ activity, methods, and criteria for including indicators were defined. The study showed that outcomes are comparable across countries since standard sets of indicators can be used by healthcare organizations all over the world, regardless of the healthcare model. While it is confirmed that the data obtained using PROM questionnaires are valid and reliable, it is recommended, based on the literature review, to fine-tune the standard sets of indicators for some nosologies to the features of the local healthcare system.
Marketing Activities as a Factor of Health Facility Stability
Authors: Snegireva Yuliya Yu. , Sarkhadov Nazir  Sh. , Padiev Gurgen B.
Published: September 2024

Background. Marketing is one of the most difficult tasks in the healthcare business, because it requires a deep understanding of both the specifics of medical services and consumer expectations. Marketing strat-egies should be carefully planned and adapted to the unique characteristics of the industry, as consumers expect to receive a wide range of high-quality medical services. The specifics of the healthcare sector and the ethical, legal, and operational issues hinder the use of marketing tools. At the same time, successful medical marketing depends on the use of advanced tools and the constant monitoring of their effectiveness. Purpose. To consider the main factors of marketing strategy and plan development in healthcare and to offer practical recommendations for successfully promoting medical services.Materials and methods. The authors used general scientific research methods. The data from scientific peer-reviewed journals and analytical reports were synthesized and analyzed. The research materials on the management and development of marketing activities in healthcare organizations and the impact of market-ing activities on the effectiveness, stability, and sustainability of the subjects of the medical services market were analyzed.Results. The marketing of medical services includes a wide range of advanced tools and practices that con-stantly require attention and performance monitoring. Healthcare is an extremely complicated industry with features directly related to the development of effective marketing strategy and plan.
Health Insurance Literacy and Its Impact on Patient Satisfaction with the Quality of Medical Care
Authors: Abubakirov Andrey  S.
Published: September 2024

Introduction. Health insurance literacy is an important aspect of population health that contributes to the functioning of the healthcare system. The significance of health insurance literacy is underscored by data showing substantial financial resources dedicated to medical care through the compulsory health insurance system (CHI). However, surveys reveal that patients' health insurance literacy is generally lower than their overall medical literacy, leading to several issues.Purpose. The study aims to examine the main aspects of health insurance literacy and its importance for ensuring patient satisfaction with the quality of medical care.Materials and methods. The authors analyzed scientific literature on population literacy in insurance, health insurance, medical care, etc. 80 participants in Moscow and 80 participants in Surgut were asked to fill out a questionnaire on self-assessment of their level of health insurance literacy. A series of semi-struc-tured interviews were also conducted among doctors of the polyclinics visited by study participants.Results. Health insurance literacy is the knowledge and practical use of information about mitigating health risks and covering treatment costs through relevant financial institutions. Health insurance literacy is a structured system of competencies that requires a systematic approach. Improving the health insurance literacy of patients is an important task of any healthcare organization, as it can significantly increase the level of patient satisfaction with the quality of medical care and, consequently, the health of the general population.
The Effect of Sports Club Employees' Levels of Emotional Intelligence and Compassionate Love on Mobbing Perceptions
Authors: Kaya Emine , Onağ Zeynep
Published: September 2024

This research aims to reveal the effect of sports club employees' emotional intelligence and compassionate love levels on mobbing perceptions. The research study group consists of 184 personnel working in sports clubs in Izmir. The survey method was used as the data collection technique of the research. A personal information form to gather personal information of the participants, "Negative Behaviours Scale" developed by Einarsen & Raknes (1997) and adapted into Turkish by Cemaloğlu (2007) to measure mobbing perception of the participants, "Emotional Intelligence Scale" developed by Schutte et al. (1998) and adapted into Turkish by Şahin (2006), and the " Compassionate Love Scale" developed by Sprecher & Fehr (2005) and adapted into Turkish by Akın & Eker (2012) were used as data collection tools. The data gathered were analysed by using a statistical program. While the emotional intelligence levels of sports club employees were found to be a significant predictor of their perceptions of mobbing, their levels of compassionate love were found to have no significant effect.
The influence of guidelines on opioid prescribing practices after pediatric anterior cruciate ligament reconstruction
Authors: Hudson Tanner , Berkay Fehmi , Minhas Arjun , Huff Scott , Henningsen Joseph , Erb Eric , Froehle Andrew W. , Albert Michael C.
Published: September 2024

Objective: To report opioid prescription patterns after pediatric anterior cruciate ligament reconstruction (ACLR) and identify if the implementation of the opioid prescribing guidelines (OPGs) modified these patterns.
Design: A retrospective chart review.
Setting: Level 1 Pediatric Trauma Center.
Patients: Pediatric patients who underwent primary ACLR at a single pediatric
hospital system between the years 2016 and 2018 were included. Patients were excluded if they did not receive an opioid prescription from an orthopedic provider at the time of discharge or if they underwent an additional operative procedure within 90 days of the index surgery. Eighty-six patients met the criteria for a retrospective review.
Interventions: Opioid prescriptions were converted into morphine equivalent doses (MEDs) for standardization.
Main outcome measure: The average MED prescribed at the time of discharge and during follow-up visits for pediatric patients undergoing ACLR.
Results: Patient's age was the only independent variable that had a significant relationship with discharge MED (p = 0.002) and predicted that MED at discharge increases by 20.7 units [confidence interval = 12.3-29.1] for each increasing year in patient age. Discharge MED prescribed after implementation of the OPG was found to be significantly less than discharge MED prescribed prior to the OPG through Wilcoxon rank-sum test (p < 0.001).
Conclusions: Implementation of the OPG in Ohio led to a significant reduction in opioid doses prescribed to patients at all time points within 90 days of ACLR. However, these guidelines also led to a significant increase in the likelihood that post-OPG patients would receive an additional opioid prescription during follow-up within 90 days of surgery.
Wasser und Industrie – besteht Handlungsbedarf?
Authors: Andritschke Nico
Published: September 2024

In 67 % aller deutschen Flüsse und Seen und in 7 % aller Grundwasserkörper lassen sich gemäß Umweltbundesamt /1/ Auswirkungen auf den Gewässerzustand beobachten, die auf Industriebetriebe und den Bergbau zurückzuführen sind. Die Analytik macht die Versäumnisse der letzten Jahrzehnte sichtbar. Wie reagiert die Industrie?