bluuebunny/crossref_metadata_2025_split huggingface dataset:
Indikator Kesehatan Ikan Kerapu Cantik (Epinephelus sp.) Yang Terdapat Pada Budidaya Keramba Pantai Timur Pangandaran
Authors: Alipin Kartiawati , Sari Tresna Aulia 
Published: January 2021

Perubahan fisiologis yang disebabkan oleh stres lingkungan dan berhubungan dengan status kesehatan dapat dideteksi melalui kadar hematologis. Tujuan Penelitian yaitu untuk mengetahui status kesehatan ikan kerapu cantik (Epinephelus sp.) yang terdapat di keramba Pantai Timur Pangandaran. Metode yang digunakan adalah metode observasi yang meliputi peninjauan lokasi, pengambilan sampel ikan, dan wawancara dengan pemilik keramba serta pengamatan langsung di laboratorium yang meliputi identifikasi jenis ikan, pengamatan visual ikan, pengambilan sampel darah, perhitungan jumlah eritrosit, leukosit, serta pengukuran kadar hemoglobin. Data yang diperoleh dianalisis secara deskriptif kualitatif yang disajikan dalam bentuk tabel dan gambar. Hasil observasi menunjukan ikan kerapu cantik (Epinephelus sp.) merupakan ikan yang paling banyak dibudidaya dan salah satu ikan yang banyak diminati masyarakat. Ikan kerapu cantik ini memiliki jumlah eritrosit 2.31 x 106 ± 1.79 sel/mm3, jumlah leukosit 226.325 x 103 ± 0.23 sel/mm3, dan kadar hemoglobin 9.8 ± 2.8 gram%. Berdasarkan data tersebut, maka dapat disimpulkan bahwa terdapat ikan kerapu cantik yang tidak sehat karena jumlah leukosit yang melebihi kisaran normal dan kadar hemoglobin yang rendah.
Kata Kunci: Hematologis, Ikan Kerapu, Pantai Timur Pangandaran
ORGANIZATION OF SPECIALIZED MEDICAL CARE IN TVER REGION: GEOGRAPHIC ANALYSIS
Authors: Дятлова Александра Сергеевна , Богданова Лидия Петровна 
Published: January 2021

В статье рассматриваются пространственные аспекты организации специализированной медицинской помощи населению Тверской области. Дана сравнительная оценка системы здравоохранения Тверской области, показана динамика обеспеченности населения медицинскими услугами. Рассмотрена обеспеченность населения муниципальных образований специализированными услугами в районах проживания. Дано сравнение числа и интенсивности обращений населения МО за специализированной медпомощью в областную больницу.
The article discusses the spatial aspects of the organization of specialized medical care for the population of the Tver region. A comparative assessment of the health care system of the Tver region is given, the dynamics of the provision of the population with medical services is shown. The provision of the population of municipalities with specialized services in the areas of residence is considered. Comparison of the number and intensity of calls of the population of municipalities for specialized medical care to the regional hospital is given.
TVER PRINCESSES AND THEIR ROLE IN FAMILY, SOCIAL AND ECONOMIC LIFE
Authors: Конявская Елена Леонидовна 
Published: January 2021

На основании материалов древнерусских летописей и актов раскрывается роль тверских княгинь во внутрисемейных взаимоотношениях тверского княжеского дома, показывается их участие в административно-хозяйственной и политической жизни княжества. Показано, что княгини занимались не только рождением и воспитание детей, но и владели территориями, по завещению супруга были гарантами исполнения его воли.
The paper presents material from the chronicle and act, that reveal the role of Tver princesses in the intra-family relationships of the Tver princely house, as well as their participation in the administrative, economic and political life of the Principality. It is shown that the princesses were engaged not only in the birth and upbringing of children, but also owned territories, were guarantors of the execution of the will of the spouse (according to his will).
ON THE ROLE OF WOMAN PERSONALITY IN THE ECONOM-IC HISTORY OF RUSSIA IN EARLY MODERN TIME (MARFA BORETSKAYA)
Authors: Пушкарёва Наталья Львовна 
Published: January 2021

В статье проанализирована роль известной политической фигуры - вдовы посадника Исака Борецкого, знаменитой Марфы Борецкой - в экономической истории Новгорода в последний период его самостоятельности. Благодаря скрупулезным подсчётам владений и получаемого с них дохода доказано, что Марфа Борецкая была крупнейшей собственницей земельных богатств своего времени, не сравнимой ни с одной женщиной не только в Новгороде, но и в Москве. Статья оспаривает ранее сложившееся мнение в историографии о том, что экономическое значение приобретений Марфы Борецкой в годы её вдовства не играло заметной роли и не оказывало влияния на политическую составляющую отношений Новгорода и Москвы. Напротив, считает автор, хозяйствование Марфы Борецкой доказывает её исключительную деловую сметку и удачливость, быстрое богатение её самой и её детей, что объективно способствовало росту могущества всей Новгородчины. Именно экономический вес этой собственницы объясняет исключительную роль, которую она пыталась на себя взять, спасая устойчивую новгородскую политическую систему.
The article analyzes the role of a famous political figure - the widow of the mayor Isak Boretsky, the famous Martha Boretskaya - in the economic history of Novgorod in the last period of its independence. Thanks to scrupulous calculations of the properties and the income received from them, it has been proved that Martha Boretskaya was the largest owner of land wealth of her time, incomparable with any woman not only in Novgorod, but also in Moscow. The article disputes the earlier opinion in historiography that the economic significance of the acquisitions of Marfa Boretskaya during the years of her widowhood did not play a noticeable role and did not affect the political component of relations between Novgorod and Moscow. On the contrary, the author believes, the management of Martha Boretskaya proves her exceptional economic savvy and luck, the rapid wealth of herself and her children, which objectively contributed to the growth of the power of the entire Novgorod region. It is the economic weight of this owner that explains the exceptional role that she tried to take upon herself, saving the stable Novgorod political system.
ABOUT THE FEATURES OF THE TVER AND THE UPPER VOLGA LOCAL STUDIES
Authors: Малыгин Пётр Дмитриевич 
Published: January 2021

Автор выступает с критикой деятельности краеведов, занимающихся изучением средневековой истории Твери и Верхневолжья. Отмечается, что в советский период Твери (Калинине) краеведение не было заложено учёными из Москвы и Ленинграда, в силу чего до 1970-х гг. серьёзных исследований средневековой Твери не предпринималось, и у краеведов Твери сформировалась убеждённость в отсутствии учёных авторитетов по тверской тематике. Автор показывает также склонность краеведов Твери к мифотворчеству.
The author criticizes the activities of local historians who study the medieval history of Tver and the Upper Volga region. It is noted that in the Soviet period Tver (Kalinin) local history was not established by scientists from Moscow and Leningrad, due to which, until the 1970s. no serious studies of medieval Tver were undertaken, and local historians of Tver were convinced that there were no scholarly authorities on Tver topics. The author also shows the tendency of local historians of Tver to mythmaking.
SCIENTIFIC WORK OF STUDENTS DIRECTIONS «HISTORY» AT THE HISTORICAL FACULTY OF TVGU IN 2020
Authors: Степанова Юлия Владимировна 
Published: January 2021

Сообщается о направлениях и итогах научных исследований студентов исторического факультета Тверского государственного университета .
It is reported about the scope and the results of the research students of the historical faculty of the Tver State University.
XIII INTERNATIONAL SECTION «LOCAL AND MICROHISTORICAL RESEARCH» IN THE FRAMEWORK OF THE YOUTH CONFERENCE OF PETROZAVODSK STATE UNIVERSITY
Authors: Чернякова Ирина Александровна 
Published: January 2021

Подводятся итоги 72-й Всероссийской научной конференции обучающихся и молодых учёных. Обобщается опыт Исследовательской лаборатории локальной и микроистории Карелии по организации, проведения и итоги деятельности научных конференций с 2006 г.
Summed up the 72th Scientific Conference of students and young scientists. The experience of the Research Laboratory of Local and Microhistory of Karelia on the organization, holding and results of scientific conferences since 2006 is summarized.
Effectiveness of Validated Teaching-Learning Package in Projectile Motion for Grade 9 Science
Authors: Pineda Chester Ian Sotto 
Published: January 2021

This study tested the validity and effectiveness of the developed Teaching- Learning Package in Projectile Motion for Grade 9 Science. A Teacher's Guide, a Learner's Module, and a Computer- Aided Instructional (CAI) tool comprised the package. The CAI tool composed of interactive simulations was developed using Adobe Flash Professional CC 2015 software and Small Basic and utilized the Microsoft PowerPoint 2016 as the overall platform. Research and Development design was employed in the study. The assessment of the package was done in five categories: (1) objectives, (2) contents of the Teacher's Guide and Learner's Module; (3) content quality, (4) instructional quality, and (5) technical quality of CAI tool by the five Physics and two ICT teachers. General average ratings of 3.58 and 4.41 were obtained from the assessment of the modules and CAI tool, respectively. Thus, teaching materials possess very good qualities. It is observed that the improvement of students who learned with the use of Teaching- Learning Package is greater than the traditional approach using a textbook. It is recommended that the developed Teaching- Learning Package should be used in teaching Projectile Motion for Grade 9 Science in the K- 12 curriculum
Управління ризиками при реалізації енергетичної програми підприємства
Authors: Кійко С.Г. 
Published: January 2021

Сьогодні для авіабудування ПрАТ “Дніпроспецсталь” виплавляє більше ста марок сталей і сплавів з особливими експлуатаційними властивостями. Подальший розвиток підприємства та забезпечення конкурентоспроможності цієї та іншої продукції пов’язано з управлінням портфелем енергозберігаючих проектів, спрямованих на виконання таких завдань, як оптимізація енергетичного балансу, мінімізація споживання енергоресурсів, оптимізація енергоефективності та ін. На прикладі ПрАТ “Дніпроспецсталь” розглянуто основні етапи процесу управління ризиками для підприємств оборонно-промислового комплексу України. Акцент зроблено на розробці методів і моделей формування портфеля проектів енергозбереження з урахуванням стратегічних цілей обмеженості ресурсів і ризиків, яка дозволяла б здійснювати багатокритерійний вибір проектів, враховуючи при цьому: різноманітність вирішуваних завдань на металургійних підприємствах; планування реалізації проектів в різному часовому аспекті, що існують між проектами взаємозв'язку і координаційні узгодження, ризики, а також механізми фінансування. Розглянуто організаційні аспекти управління ризиками при реалізації проектів енергозбереження на металургійному підприємстві. В результаті реалізації процесів системи управління ризиками визначено перелік критичних ризиків і їх власників, проведена оцінка причин ризиків, розроблені заходи щодо їх управління. Розглянуто методи аналізу ризиків та невизначеності при управлінні портфелем проектів з використанням методів матриць взаємовпливу, векторного аналізу і багатокритеріальної експертної оцінки сукупного ризику. Практичне застосування такого підходу істотно підвищує можливість вибору найкращого проекту для реалізації з урахуванням сукупного ризику проекту в портфелі. Крім того, це дає можливість визначити і оцінити взаємовплив проектів через зміну сукупних ризиків проектів при їх одночасній реалізації. За допомогою запропонованого підходу і моделей оцінювання ризиків був сформований портфель проектів енергозбереження ПрАТ “Дніпроспецсталь”, куди увійшли перспективні до реалізації проекти у відповідності до енергетичної стратегії.
Percaya Diri Dan Berpikir Strategis Untuk Menghadapi Ketatnya Persaingan Bisnis
Authors: Apriyanti Masayu Endang 
Published: January 2021

Tujuan penelitian untuk mengetahui pentingnya kepercayaan diri dan kemampuan berpikir strategis dalam menghadapi ketatnya persaingan bisnis, karena umumnya sampai sekarang masih banyak wirausaha yang kurang percaya diri dan kurang mampu berfikir strategis untuk mempertahankan eksistensi usahanya. Padahal dengan percaya diri yang tinggi dan kemampuan berpikir strategis yang tepat membuat langkahnya tidak goyah dalam berusaha, tidak pesimis dan akan terus gigih berjuang serta berhati-hati demi memenangkan persaingan, sehingga ia akan terhindar dari kebangkrutan usaha. Apalagi, saat ini masih ada kejadian pandemic covid 19, yang berdampak pada banyak hal, salah satunya terhadap sektor ekonomi, yang mempengaruhi permintaan dari konsumen dan lesunya aktivitas perekonomian. Seharusnya, pengusaha lebih percaya diri dan berpikir strategis secara maksimal, misalnya melakukan hal-hal baru, seperti cara promosi yang berbeda atau pelayanan untuk pelanggan yang lebih baik lagi demi mempertahankan kelangsungan usahanya agar tetap produktif meskipun dimasa sulit. Jadi, sepatutnya dua hal penting ini harus dimiliki oleh setiap pengusaha agar dapat memenangkan persaingan dalam kondisi apapun, mampu mempertahankan bahkan membuat usahanya lebih maju lagi. Metode penelitian dilakukan secara studi perpustakaan dan literatur. Hasil penelitian membuktikan bahwa dengan Percaya diri dan berpikir strategis, para pengusaha mampu memenangkan persaingan, terbukti dengan eksistensi mereka menjalankan usaha dan terus menghasilkan barang/jasa yang bermanfaat, dan memberi kesejahteraan untuk semua pihak yang terlibat didalamnya.
Síndrome de Nicolau, una patología infrecuente tras la adminitración de penicilina benzatinica
Authors: Tovar Noroña Carla Estefanía , Romero Villegas Cristian Miguel , Jaramillo Gómez Diego Xavier 
Published: January 2021

Introducción: El síndrome de Nicolau también conocido como Embolia cutis medicamentosa o Dermatitis livedoide, es una patología infrecuente que se presenta como complicación de una inyección intramuscular, intraarterial o subcutánea, con grados variables de lesión tisular, incluyendo necrosis de la piel y tejidos blandos. La fisiopatogénia se desconoce, pero se cree que está relacionada a una lesión vascular inicial, con inflamación local, vasoconstricción arterial refleja, trombosis arterial local y oclusión vascular por microémbolos. El tratamiento consiste en la trombólisis y desinflamación. Con menor frecuencia las complicaciones podrían ser necrosis extensas, amputaciones e incluso la muerte.
Objetivo: Describir un caso clínico enfocado en el síndrome de Nicolau, una patología infrecuente tras la administración de penicilina benzatínica.
Material y métodos: Estudio descriptivo, retrospectivo, presentación de un caso clínico.
Resultados: Se describe el caso clínico de un paciente masculino de 32 años de edad, sin antecedentes patológicos, acude por dolor intenso en glúteo derecho con limitación total al movimiento, de 24 horas de evolución, teniendo como causa aparente la autoadministación de penicilina benzatínica. Exploración física, en región glútea derecha se observa una placa violácea dolorosa a la palpación, miembro inferior derecho con ausencia de tono y arrefléctico. Pulso femoral y poplíteo disminuido, pedio ausente, con acrocianosis derecha. Laboratorio, leucocitos 24.470, dímero D 4292, LDH 837, CPK 1282, prueba rápida de COVID-19 negativa. Eco doppler de miembro inferior derecho con disminución del flujo sanguíneo. Tratamiento fibrinolítico y de soporte inmediato con evolución favorable. Luego de la valoración del paciente, se determinó un diagnóstico definitivo y su tratamiento médico inmediato, logrando evitar posteriores complicaciones. Como impresión diagnostica inicial se sospechó lesión inespecífica del nervio ciático. Al ser una patología poco frecuente, el diagnóstico final se llevó a cabo tras un análisis detallado del caso y exámenes complementarios.
Conclusiones: El Síndrome de Nicolau es una patología poco frecuente, se necesitan exámenes de laboratorio e imagen para su diagnóstico definitivo. Puede presentarse tras la administración inadecuada de un medicamento de uso cotidiano, como la penicilina benzatínica
DYNAMICS OF PHYSICAL FUNCTIONING PARAMETERS IN THE ELDERLY ADULTS WITH FRAILTY AND INSULIN RESISTANCE UNDER THE INFLUENCE OF THE PHYSICAL THERAPY PROGRAM
Authors: Koval N.P. 
Published: January 2021

Aim: to determine the effectiveness of physical therapy program according to the parameters of physical functioning in older adults with frailty syndrome and insulin resistance.
Material and methods. Ninety six older adults were examined. The control group consisted of individuals without signs of insulin resistance and frailty syndrome. The main group 1 (MG 1) consisted of persons with insulin resistance and frailty syndrome who did not want to cooperate with a physical therapist and / or actively improve their health on their own (low level of therapeutic alliance). They were provided with recommendations according to the WHO CINDI program (modification of nutrition, expansion of household and training physical activity). The main group 2 (МG2) included patients who agreed to take active steps to improve their own health under the supervision of a physical therapist (high level of therapeutic alliance). A program of physical therapy with the using of kinesіоtherapy, massage, nutritional correction, education of the patients and their families, elements of cognitive training and occupational therapy for 1 year was developed for them. The dynamics of the condition was evaluated by the results of wrist dynamometry, Timed Up and Go test, a 6-minute test, Functional Mobility Assessmetn in Eldery Patients, Bartel index.
Results. Older adults with frailty and insulin resistance demonstrated a statistically significant deterioration in physical function compared to peers (coordination, balance, strength, flexibility, endurance, agility skills according to the results of tests), which increases the risk of adverse health effects, loss of autonomy and death. The use of physical therapy in МG1 led to a statistically significant improvement in the parameters of physical functioning, reducing the intensity of signs of frailty and the fall-risk, reducing the degree of dependence in domestic functioning, indicating the biopsychosocial effect of the program. The low level of therapeutic alliance of МG2 individuals led to unsatisfactory implementation or non-implementation of the provided recommendations and was associated with a lack of improvement in their physical status and a high fall-risk.
Conclusion. It is advisable to include physical therapy means in the rehabilitation programs for elderly patients with comorbid pathology – frailty and metabolic syndrome.
THE INFLUENCE OF THE PHYSICAL THERAPY PROGRAM ON THE UPPER LIMB FUNCTIONING INDICATORS IN ELDERLY ADULTS WITH SARCOPENIA AND EXTRAPYRAMIDAL DISORDERS IN THE POST-IMMOBILIZATION PERIOD AFTER THE DISTAL RADIUS METAPHYSEAL FRACTURE
Authors: Ostapyak Z.M. 
Published: January 2021

Aim: to evaluate the impact of a comprehensive program of physical therapy on the functioning of the upper extremity in the elderly adults with sarcopenia and extrapyramidal disorders (due to Parkinson's disease) in the postimmobilization period after fracture of the distal metaphysis of the radial bone.
Material and methods. Twenty seven elderly people with sarcopenia and extrapyramidal disorders in the early post-immobilization period after fracture of the distal metaphysis of the radial bone were examined. They were divided into two groups: 1 (practiced according to the principles of outpatient rehabilitation with a predominance of preformed physical factors) and 2 (engaged in the developed physical therapy program, which was created in terms of patient-centered model of rehabilitation taking into account the specifics of each polymorbid condition with functional training, massage, kinesio taping, nutrition correction). The effectiveness of the program was evaluated by comparing the condition of healthy and injured hands according to the results of goniometry, wrist dynamometry, standard tests and questionnaires Nine-hole peg test, Action Research Arm Test, French Arm Test, ABILIHAND, DASH.
Results. Subjects found significant dysfunction of the upper extremity in all domains of the International Classification of Functioning, as determined by goniometry of the radial-carpal joint, wrist dynamometry, functional tests Nine-hole peg test, Action Research Arm Test, French Research Arm Test, questionnaires and DASH. The developed pathogenetically substantiated complex program of physical therapy showed a statistically significantly better effect on the indicators of functional capabilities of the forearm and wrist compared to the general outpatient rehabilitation program for all studied indicators (p <0.05).
Conclusion. Elderly patients with complex pathology need to compile pathogenetically substantiated physical therapy programs taking into account and correcting the specifics of each disease, which increases the overall effectiveness of rehabilitation.
DISTANT METASTASIS TO THE THYROID GLAND: CLINICAL REVIEW
Authors: Tkachenko R. , Kuryk O. , Golovko A. , Rudnytska O. 
Published: January 2021

Background. Metastasis to the thyroid from non-thyroid sites is an uncommon clinical presentation in oncology practice. Renal cell carcinoma is most common primary cancer, followed by breast cancer metastases, small cell lung carcinoma, colorectal cancer, malignant melanoma, malignancies of the gastrointestinal cancer. However, given that thyroid nodules are most common in women, and women with a history of urogenital malignancy are at higher risk of developing thyroid cancer, the possibility of metastatic thyroid cancer must be considered while evaluating a thyroid lump.
Aim: to investigate patient management while finding distant metastases to the thyroid and identification of the most common complications.
Material and methods. Identified reports of patients with thyroid metastasis were analyzed in the current literature review. Both clinical and autopsy series were included.
Results. Metastases to the thyroid gland may be discovered at the time of diagnosis of the primary cancer, after preoperative investigation or due to histological examination of an operative specimen. In autopsy series, the most common primary site of metastatic thyroid tumors is lung cancer. In a clinical setting, renal cell carcinoma is the most common. Otherwise, when patients present with isolated metastases during follow-up of indolent disease, surgery might provide central neck control and even long-term cure. Prognosis may also vary according to the morphological features of primary cancer, time interval between initial diagnosis and metastasis and presence of extrathyroid invasion.
Conclusions. Although the thyroid gland is highly vascularized, metastasis of malignant tumors to the thyroid is relatively rare and detection of metastasis shows a low frequency. A past history of malignant neoplasm should raise the index of suspicious of metastatic disease in patients with thyroid nodules with or without cervical lymphadenopathy. In such patients communication among clinicians treating the thyroid and the primary tumor is essential, as there are differences in treatment protocols and prognosis when compared to primary thyroid cancers. The setting is complex, and decisions must be made considering the localization of primary site, features of the primary tumor and comorbidities. Careful balancing of these factors influences effective patient management and long-term survival.