bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of high-quality nursing on surgical site wound infections after colostomy in patients with colorectal cancer
Authors: Cheng Yu , Chen Yuan-Xing 
Published: November 2024

BACKGROUND
Colostomy is important in the treatment of colorectal cancer. However, surgical site wound infections after colostomy seriously affect patients’ physical recovery and quality of life.
AIM
To investigate the ability of high-quality nursing care to prevent surgical site wound infections and reduce post-colostomy complications in patients with colorectal cancer.
METHODS
Eighty patients with colorectal cancer who underwent colostomy at our hospital between January 2023 and January 2024 were selected as research subjects. The random number table method was used to divide the participants into control and research groups (n = 40 each). The control group received routine nursing care, while the research group received high-quality nursing care. The differences in indicators were compared between groups.
RESULTS
The baseline characteristics did not differ between the research (n = 40) and control (n = 40) groups (P > 0.05). The incidences of wound infection, inflammation, and delayed wound healing were significantly lower in the research (5.00%) vs control (25.00%) group (P = 0.028). The incidence of postoperative complications, including fistula stenosis, fistula hemorrhage, fistula prolapse, peristome dermatitis, urinary retention, pulmonary infection, and intestinal obstruction, was significantly lower in the research (5.00%) vs control (27.50%) group (P = 0.015). In addition, the time to first exhaust (51.40 ± 2.22 vs 63.80 ± 2.66, respectively; P < 0.001), time to first bowel movement (61.30 ± 2.21 vs 71.80 ± 2.74, respectively; P < 0.001), and average hospital stay (7.94 ± 0.77 vs 10.44 ± 0.63, respectively; P < 0.001) were significantly shorter in the research vs control group. The mean Newcastle satisfaction with nursing scale score was also significantly higher in the research (91.22 ± 0.96) vs control (71.13 ± 1.52) group (P < 0.001).
CONCLUSION
High-quality nursing interventions can effectively reduce the risk of wound infections and complications in patients undergoing colostomy, promote their postoperative recovery, and improve their satisfaction with the nursing care received.
Comparing the Accuracy of Standard Equations to Predict Glomerular Filtration Rate for Persons with Spinal Cord Injury: Which Is the “Best Fit?”
Authors: Brown Nicholas , Struck Kathryn , Romo Terry , Koek Wouter , Everett Garcia Ashley , Fredrickson Mark , Trbovich Michelle 
Published: November 2024

Background:
Patients with spinal cord injury (SCI) are at increased risk of renal insufficiency, so their renal function must regularly be monitored. Glomerular filtration rate (GFR) assessment is challenging as it requires measuring clearance of exogenous markers, which is impractical in most clinical settings. Thus, equations have been formulated to estimate GFR that utilize serum creatinine (Cr) or cystatin C (CysC).

Objectives:
Given loss of muscle mass after SCI, we hypothesized equations using CysC would be more accurate than those using Cr after SCI.

Methods:
Fifty-eight persons (51 male/7 female; age 22-87 years) with SCI level C2-L1/AIS A-D were enrolled. Serum CysC and Cr, 24-hour urine creatinine (24hrUCr) and 24-hour urine urea (24hrUurea) were collected. Average of the 24hrUCr clearance and 24hrUurea clearance was calculated (AvgClCrUr). Six GFR estimating equations were compared to AvgClCrUr. For each equation, mean bias (AvgClCrUr – eGFR) was calculated followed by the Pearson correlation calculation between AvgClCrUr and eGFR. In addition, the percentage of estimated values within 15%, 30%, and 50% of AvgClCrUr values are reported for each estimating equation.

Results:
2012 CKD-EPI CysC equation (bias 9.32 mg/dL, 95% CI, −1.23 to −17.41) was the most accurate predictor of GFR. This model accurately predicted GFR of 81%, 57%, and 33% within ±50%, ±30%, and ±15% of the AvgClCrUr, respectively. Conclusion: In persons with SCI, the CKD-EPI 2012 CysC equation, which uses cystatin C rather than creatinine, is the most accurate of the six equations tested in estimating GFR in persons with SCI.
АДСОРБЦИОННАЯ АКТИВНОСТЬ РАЗЛИЧНЫХ ЭНТЕРОСОРБЕНТОВ. ЧЕМ ДОЛЖЕН РУКОВОДСТВОВАТЬСЯ ВРАЧ ПРИ ВЫБОРЕ ПРЕПАРАТА ДЛЯ ЭНТЕРОСОРБЦИИ
Authors: Е.А. Орлова , О.А. Левашова , Т.А. Дружинина , А.С. Сысоева 
Published: November 2024

В статье рассматриваются механизмы лечебного действия энтеросорбентов. В клинической практике вещества данного класса различаются по лекарственной форме, химической структуре, селективности и механизмам действия. Показано, что основной характеристикой энтеросорбентов является высокая адсорбционная активность (АА). Представлены данные по изучению АА различных сорбентов: АЛЕСОРБ® «Энтеросорбент» и Полисорб МП® в форме порошков; АЛЕСОРБ® «Энтеросорбент гель» ЭРЦИГ без ароматизаторов, АЛЕСОРБ® ФОРТЕ Энтеросорбент гель и Энтеросгель® в форме пасты. Установлено, что высокой сорбционной активностью характеризуются АЛЕСОРБ® «Энтеросорбент» порошок и АЛЕСОРБ® «Энтеросорбент гель» ЭРЦИГ без ароматизаторов. Наибольшую АА имеет АЛЕСОРБ® ФОРТЕ Энтеросорбент гель, что обусловлено его улучшенной формулой. Полученные данные дают основание рассматривать эти препараты как эффективные и приоритетные средства для энтеросорбции.
In the presented work the mechanisms of therapeutic action of enterosorbents are considered. In clinical practice, substances of this class differ in dosage form, chemical structure, selectivity and mechanisms of action. It is shown that the main characteristic of enterosorbents is high adsorption activity (AA). The paper presents data on the study of АА of various sorbents: ALESORB® Enterosorbent and Polysorb MP® in the form of powders; ALESORB® Enterosorbent Gel ERCIG without flavorings, ALESORB® FORTE Enterosorbent Gel in the form of gels and Enterosgel® in the form of paste. The obtained data indicate that enterosorbents are characterized by high sorption activity: Enterosorbent ALESORB® powder and ALESORB® Enterosorbent Gel ERCIG unflavored. ALESORB® FORTE Enterosorbent Gel has the highest AA, which is due to its improved formula. The obtained data give grounds to consider them as effective and priority means for enterosorption.
РОЛЬ КОЛЬПОСКОПИИ В ДИАГНОСТИКЕ И МОНИТОРИНГЕ ПАЦИЕНТОК С ЦЕРВИКАЛЬНЫМИ ИНТРАЭПИТЕЛИАЛЬНЫМИ НЕОПЛАЗИЯМИ
Authors: Н.В. Зароченцева , Л.К. Джиджихия 
Published: November 2024

Один из значимых методов диагностики заболеваний шейки матки – кольпоскопия – в руках опытного специалиста может стать экспертным методом распознавания патологии шейки матки. Наличие аномальных кольпоскопических картин в сочетании с цитологическими признаками цервикальных интраэпителиальных неоплазий у ВПЧ-позитивных женщин служит показанием к своевременному проведению биопсии шейки матки. Это позволяет с высокой точностью выявить тяжелый предрак и рак шейки матки. Эффективной диагностической мерой является осуществление прицельной биопсии шейки матки под контролем кольпоскопии, что позволяет снизить число ложноотрицательных результатов. В этой связи следует уделить особое внимание подготовке специалистов по патологии шейки матки и кольпоскопии. Помимо опыта и профессионализма врачей-кольпоскопистов, в выявлении предраковых заболеваний и рака шейки матки большое значение имеют качество и функциональность кольпоскопа. Надежная стереоскопическая система и современная оптика с многократным увеличением кольпоскопа КНб-04LED-«Зенит» повышают результативность исследования при тяжелых заболеваниях шейки матки.
One of the significant methods of diagnosing cervical diseases – colposcopy in the hands of an experienced specialist can become an expert method of diagnosing cervical pathology. The presence of abnormal colposcopic patterns in combination with cytological signs of cervical intraepithelial neoplasia (CIN) in HPV-positive women is an indication for timely cervical biopsy. This makes it possible to detect severe precancerous and cervical cancer with high accuracy. An effective diagnostic measure is to perform a targeted biopsy of the cervix under the control of colposcopy, which will reduce the number of false negative results. Special attention should be paid to the training of specialists in cervical pathology and colposcopy. In addition to the experience and professionalism of colposcopists in the diagnosis of precancerous diseases of the cervix and cervical cancer, the quality and functionality of the colposcope is of great importance. A high-quality stereoscopic system and modern optics with multiple magnification of the colposcope «KNb-04LED-Zenit» increases the effectiveness of research in severe diseases of the cervix.
Aspek Hukum Kesepakatan Jual Beli Melalui Mesin Jual Beli Otomatis (Vending Machine) Dari Perspektif Hukum Perdata
Authors: Sinaga Niru Anita , Atmoko Dwi 
Published: November 2024

Pada dasarnya transaksi dengan menggunakan mesin jual beli otomatis (Vending Machine) tidak mengharuskan penjualnya menunggu seharian seperti penjual biasanya di pasar. Oleh karena itu, untuk menjual produk minuman tersebut, konsumen harus melakukannya sendiri dengan cara memasukan uang yang sesuai dengan harga yang telah ditentukan. pada umumnya harga pada minuman yang dijual pada Vending Machine sama dengan harga pasar pada umumnya, tetapi terdapat juga Vending Machine yang menyediakan berbagai macam pada mesin tersebut. Pemenuhan suatu prestasi dalam perjanjian jual beli melalui mesin jual otomatis (vending machine) layaknya penjual dan pembeli pada umumnya berdasarkan hak dan kewajiban masing-masing pihak yaitu saat penjual yang menjual produknya melalui mesin jual otomatis (vending machine) menyerahkan hak milik atas barang yang diperjualbelikan tersebut dengan cara mengeluarkan barang yang sudah dibeli dan pihak konsumen atau pembeli adalah membayar harga dari produk yang dibeli melalui mesin jual otomatis (vending machine) yang pembayaran terhadap produk yang dibeli itu dengan cara memasukkan uang ke dalam mesin tersebut sesuai dengan harga produk yang terdapat di dalam mesin jual otomatis (vending machine). Suatu keadaan wanprestasi bisa terjadi saat konsumen atau pembeli memasukkan uang dalam hal ini membayar barang yang yang akan dibelinya, tetapi barang tersebut tidak keluar dan tidak diserahkan kepada pembeli. Selain itu juga produk yang dikeluarkan melalui mesin jual otomatis (vending machine) tersebut dalam keadaan cacat produk. Hal ini tentu saja menimbulkan akibat atau dampak hukum karena tidak tercapainya kesepakatan antara kedua belah pihak, dimana salah satu pihak tidak mendapatkan hak sebagaimana yang diperjanjikan sebelumnya
The Role of Ahara in Health: Analyzing Nitya Sevaniya Dravya Amidst Modern Dietary Shifts
Authors: Priyanka  , Ashok Kumar Sharma  , Kishori lal Sharma  , Ankita  , Shivam Mahajan  
Published: November 2024

In the Upanishada, food is regarded as Brahma, the supreme entity. Acharya Charaka highlights that both the body and diseases are formed from food, with wholesome food leading to happiness and unwholesome food leading to misery. Similarly, Acharya Kashyapa refers to food as Mahabheshaja (the supreme medicine). World Health Day, celebrated on April 7th, underscores the importance of food safety with the slogan "From farm to plate, make food safe," reflecting the critical role of Ahara (food) in health. Objectives: To examine the role of Ahara in Ayurveda, particularly its influence on health and disease, and to explores the consequences of modern dietary changes on traditional Ayurvedic recommendations. Methods: First, a literary study was conducted using classical Ayurvedic texts such as the Charaka Samhita, Sushruta Samhita, and Kashyapa Samhita etc. Following this, additional literature was reviewed using various modern textbooks, research journals, and electronic databases. Results: In the contemporary era, many of the traditional Ahara Dravya (foods) recommended by Ayurveda have been replaced by their degraded versions, driven by taste and compatibility preferences. This article discusses the advantages and disadvantages of these dietary changes, highlighting the impact on health and alignment with Ayurvedic principles. Conclusion: Ahara, as a foundational element in Ayurveda, plays a crucial role in determining health outcomes. The shift from traditional Ayurvedic dietary recommendations to modern alternatives has both positive and negative implications, which require careful consideration to maintain health and well-being.
An Ayurvedic Perspective: Impact of Modern Diets Along with Lifestyle on Shukra Dhatu and Male Fertility
Authors: Shivam Mahajan  , Ashok Kumar Sharma  , Rekh Raj Meena  , Priyanka  , Komalben Chavda  
Published: November 2024

As per Ayurvedic principles, Shukra Dhatu is the vital reproductive tissue responsible for male fertility, often equated with semen. The nourishment and balance of Shukra Dhatu are essential for maintaining male reproductive health. Objective: To explore the impact of modern dietary habits and lifestyle practices on Shukra Dhatu and, consequently, on male infertility. Methods: The discussion integrates Ayurvedic concepts with modern dietary and lifestyle changes. The literature referencing from Charak Samhita, and through various modern text book, research journal and electronic database. Results: Modern processed diets deplete Shukra Dhatu, while nutrient-rich foods like dairy, nuts, and fruits enhance it. Improper food combinations disrupt digestion and accumulate toxins, harming Shukra Dhatu. Similarly, balanced exercise, sleep, and stress management support also Shukra Dhatu, whereas sedentary habits, irregular sleep, and toxins harm it. Conclusion: The shift towards modern dietary and lifestyle practices has contributed to increased oxidative stress, endocrine disruptions, and obesity, all of which are linked to male infertility. This article emphasizes the importance of balanced nutrition and a healthy lifestyle in promoting Shukra Dhatu health and preventing male infertility, thus helping to avoid such implications in future perspective.
A Case Study on Management of Shwitra Through Ayurveda
Authors: Krishna  , Harish Kumar Singhal  , Dinesh Kumar Rai  
Published: November 2024

Introduction: Melanocyte degeneration has a connection to vitiligo, an acquired macular depigmentation disorder. It is thought to be brought on by cells' autoimmune destruction of melanocytes. Frequently symmetrical, generalized vitiligo affects the hands, wrists, feet, knees, neck, as well as the skin around bodily orifices. According to Ayurveda all the skin diseases are categorized under the Kushtha Roga. In the classics Shwitra is mentioned under Kushtha Roga Chikitsa. Methodology: The 10-year-old male child, complaint of white discolored spots on his neck and left clavicle region; Shamana Chikitsa was used to cure the condition satisfactorily. Result: Patient showed encouraging result after Shamana Chikitsa, where subjective criteria evaluated using scoring method and objective criteria evaluated using VASI scoring method. Discussion: Patient was treated with Shamana Aushadhis, where white discolored patches turned to pinkish, and after that the patches turned into normal skin color. Subject was observed with 95% improvement in subjective criteria and VASI scoring improved from 0.25 to 0.10. Hence, the present case study highlights the importance of efficacy of Ayurvedic treatment in Shwitra, as mentioned in classics. Conclusion: Ayurvedic medicine's effectiveness in curing Shwitra was confirmed by the current case study.
Перспективы автоматизации систем управления в агропромышленном комплексе России
Authors: А.А. Широбокова , Д.А. Мохаммад , С.Г. Руднев 
Published: November 2024

Статья анализирует развитие сельского хозяйства под влиянием глобальной цифровизации отраслей человеческой деятельности с большим уклоном в сторону автоматизации систем управления. Проанализирован нынешний уровень развития автоматизации агропромышленного комплекса Российский Федерации с указанием статистики по каждому пункту. Приведен список актуальных проектов, программ или конкурсов, связанных с сельским хозяйством. Представлены перспективные тенденции развития автоматизации систем управления в сельском хозяйстве. Выделен ряд негативных аспектов внедрения автоматизированных систем управления в агропромышленный комплекс, дан ряд рекомендаций по совершенствованию внедрения анализируемых технологий.
The article analyzes the modern development of the rural economy under the influence of global digitalization of all industries, with large deviations towards automation of control systems. The current level of development of automation of the agro-industrial complex of the Russian Federation is analyzed with a description of statistics for each item. A list of current projects, programs or competitions related to the analyzed agricultural processes is provided, with statistical data. Promising trends in the development of automation control systems in agriculture are presented, based on these aspects. A number of negative aspects of ensuring the safety of transport control systems in the agro-industrial complex are identified and analyzed. A number of recommendations for improving the quality of the analyzed technologies in the agro-industrial complex are highlighted.
Роль этики основателя в формировании корпоративной культуры и эффективной команды
Authors: Е.В. Машкова 
Published: November 2024

Статья посвящена анализу роли основателя в создании корпоративной культуры и построении эффективной команды через призму его этических норм и ценностей. На основе реальных примеров показывается, как отсутствие этического подхода приводит к кризисам и подрыву репутации, выделяются случаи кумовства, коррупции и злоупотребления ресурсами. Обосновывается необходимость недопущения предпринимателями этических нарушений, что неизбежно сказывается на эффективности их команд и устойчивости бизнеса. Представленные методы и рекомендации ориентированы на опытных и начинающих предпринимателей, предоставляя им практические инструменты для формирования команд, члены которых разделяют цели и ценности основателя.
The article focuses on analyzing the founder’s role in establishing corporate culture and building an effective team through the lens of their ethical norms and values. Using real-life examples, the author demonstrates how the absence of an ethical approach can lead to crises and reputation damage, highlighting cases of nepotism, corruption, and resource misuse. The study aims to substantiate and convey to entrepreneurs the importance of avoiding ethical violations, which inevitably impact team effectiveness and business sustainability. The proposed methods are designed for both experienced and novice entrepreneurs, providing them with practical tools to build teams whose members share the founder’s goals and values.
Взаимодействие предпринимательского сектора с финансово-кредитными организациями в новых экономических условиях
Authors: С.В. Бойко 
Published: November 2024

В статье рассматриваются проблемы, с которыми сталкиваются финансовый и предпринимательский секторы, а также предлагаются рекомендации по улучшению их взаимодействия для содействия экономическому развитию. Продемонстрирована особенность влияния санкций и цифровизации на предпринимательскую деятельность, а именно какие угрозы и возможности они открывают. Изложена специфика моделирования взаимодействия предпринимательского сектора с финансово-кредитными организациями, что включает в себя диверсификацию финансовых инструментов, стимулирование инноваций, поддержку малых и средних предприятий, регулирование и нормативы, развитие технологий.
This article deals with problems faced by the financial and business sectors, as well as recommendations on improvement of their interaction to promote economic development are offered. It demonstrates the specifics of the impact of sanctions and digitalization on the entrepreneurial activity, namely, what threats and opportunities they open up. The specifics of modeling the interaction of the business sector with financial and credit organizations, which includes: diversification of financial instruments, stimulation of innovations, support for small and medium-sized enterprises, regulation and norms, technology development.
Structural Model and Characteristics of a Nanopiezoactuator for Nanoresearch
Authors: Afonin S. M. 
Published: November 2024

The structural model, static and dynamic characteristics of a nanopiezoactuator for nanoresearch are received from the piezoelasticity equation and the differential equation of a nanopiezoactuator. A nanopiezoactuator is a piezomechanical device for converting electrical energy into mechanical energy and for actuating mechanisms, systems in nanodisplacement diapason or controlling them by inverse piezoeffect. In the work uses method of applied mathematical physics. A nanopiezoactuator for alignment and positioning with a nanometric error, compensation of temperature and gravitational deformations, spatial movement in nanoresearch, nanotechnology, microelectronics, nanobiotechnology, scanning microscopy, astronomy, adaptive optics, large compound telescope, deformation mirror of telescope, mechatronics and robotics, medical equipment for microsurgical eyesoperations. The schemes, functions and characteristics a nanopiezoactuator are obtained from its structural model by method of applied mathematical physics. The structural model of the transverse piezoactuator is obtained for the voltage control. The characteristics of the transverse piezoactuator are received. Piezoceramic from PbZr1-xTixO3 (PZT) lead zirconate titanate is widely used in a nanopiezoactuators for its reliability, high accuracy, simple control. The characteristics of the PZT transverse actuator are determined.

Received: 16 August 2024 | Revised: 4 November 2024 | Accepted: 22 November 2024

Conflicts of Interest
The author declares that he has no conflicts of interest to this work.

Data Availability Statement
Data sharing is not applicable to this article as no new data were created or analyzed in this study.

Author Contribution Statement
S. M. Afonin: Conceptualization, Methodology, Software, Validation, Formal analysis, Investigation, Resources, Data curation, Writing - original draft, Writing - review & editing, Visualization, Supervision, Project administration.