bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bertahan Dalam Krisis Iklim : Relasi Gender Perempuan Petani Stroberi Menghadapi Dampak Perubahan Iklim
Authors: Wijayanti Ika , Nursalim Isnan  
Published: June 2023

Perubahan iklim memberikan ragam dampak dalam berbagai aspek, baik fisik manusia, lingkungan, ekonomi dan sosial budaya. Perubahan iklim meningkatkan fenomena ketidakpastian dalam pemenuhan dalam pangan, relasi gender, krisis air bersih hingga masalah klasik manusia, ekonomi. Salah satu daerah paling terdampak perubahan iklim dari 10 daerah di Indonesia adalah Pulau Lombok, yaitu di Sembalun, Lombok Timur. Sembalun sebagai daerah yang berada di bawah kaki Gunung Rinjani bergantung pada sektor pertanian dan pariwisata. Pertanian sayuran, buah-buahan, dan pariwisata di Sembalun khususnya Desa Sembalun Bumbung sangat bergantung pada perubahan iklim. Perubahan iklim yang semakin sulit diprediksi dari tahun ke tahun berdampak pada sektor pertanian terutama stroberi yang tengah menjadi primadona pertanian dan pariwisata. Hal ini mempengaruhi produktivitas dan kerentanan ekonomi rumah tangga yang juga berimbas pada relasi gender yang terjalin antara petani perempuan dan laki-laki. Penelitian ini bertujuan untuk mengidentifikasikan dampak perubahan iklim pada pertanian stroberi dan tantangan permasalahan relasi gender yang dihadapi perempuan. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Pengambilan informan dengan teknik purposive. Analisis data menggunakan teknik analisis gender model Havard untuk melihat dampak perubahan iklim dalam relasi gender yang terbentuk dalam aktivitas publik (pertanian stroberi) dan ranah domestik (rumah tangga).

Kata Kunci : Perubahan Iklim, Relasi Gender, Perempuan Petani
Эффективность программно-целевого и проектного подходов в решении жилищной проблемы в России
Authors: Кожевников С.А. , Патракова С.С. 
Published: June 2023

В статье анализируется эффективность государственного управления в сфере решения жилищной проблемы в России. Показано, что активно применяемые программно-целевой и проектный подходы характеризуются целым рядом воспроизводящихся рисков и проблем, таких как как снижение доступности жилья вследствие роста цен на него и стагнации реальных доходов населения, неразвитость рынка индивидуального жилищного строительства и низкая доступность ипотечного кредитования для данного сегмента рынка и иные. Установлено, что в настоящее время фактически отсутствуют альтернативные ипотеке инструменты решения жилищных проблем, в том числе адаптированные для людей с низкими доходами, проживающих в небольших населенных пунктах, молодых семей. Авторы предлагают ряд мер для решения обозначенных проблем.
Effect of Sedation Strategy on the Hospital Length of Stay and ICU Length of Stay after On-Pump Cardiac Surgeries
Authors: Plechysta Yelyzaveta E. , Dubrov Serghii O. 
Published: June 2023

Over the past decades, many approaches have been changed in intensive care and in anesthesiology. Most of these changes were included in the guidelines now well known as fast-track protocols (protocols for enhanced recovery after surgery). Cardiac anesthesiology was not an exception. Preoperative, intraoperative and postoperative management of the patient are the main components of these protocols, which are aimed at reducing the length of stay (LOS) of patients in the hospital and intensive care units (ICU).
The aim. To detect the relationship between the sedation strategy and the duration of the hospital LOS and the ICU LOS.
Materials and methods. This was a randomized, controlled, parallel study. We analyzed 194 patients over 18 years of age who underwent cardiac surgical treatment using artificial blood circulation. Statistical data processing was carried out on the basis of GraphPad Prism 9.0 software.
Results. According to our research, the average hospital LOS was 7.779 ± 2.844 days in the propofol group (n = 95), 7.188 ± 1.601 days in the dexmedetomidine group (n = 16). In the group where patients were sedated with a combination of drugs (n = 83), the average length of hospitalization was 5.904 ± 1.535 days. The average ICU LOS was 2.463 ± 1.090 days in the propofol group and 2.375 ± 1.360 days in the dexmedetomidine group. In the group where patients were sedated with a combination of drugs (n = 83), the average ICU LOS was 2.361 ± 0.8776 days. The hospital LOS of patients who were sedated with a combination of drugs was lower (p < 0.0001). When comparing the ICU LOS, no difference was found in all three sedation groups (p = 0.3903).
According to the analysis conducted in the propofol group, the ICU LOS was shorter in patients who did not receive vasoactive therapy (p = 0.0299). In the dexmedetomidine sedation group, no difference was found between the ICU LOS in patients with or without vasoactive support (p = 0.5289). In the group of patients who underwent sedation with a combination of drugs, the ICU LOS was shorter in the group of patients who underwent correction with vasoactive drugs (p < 0.0001).
Conclusion. Sedation with a drug combination (dexmedetomidine and propofol) may reduce hospital LOS (p < 0.0001). There was no influence of any sedation strategy on the ICU LOS (p = 0.3903). Early initiation of vasoactive support with sedative drug combination (dexmedetomidine and propofol) shortens the ICU LOS (p < 0.0001).
Predictors of Pacing-Induced Cardiomyopathy in Patients with Permanent Right Ventricular Pacing and Preserved Left Ventricular Systolic Function
Authors: Perepeka Eugene O. , Trembovetska Olena M. , Kravchuk Borys B. , Nastenko Ievgen A. , Sychyk Maryna M. 
Published: June 2023

Right ventricular pacing may impair left ventricular systolic function in patients with reduced left ventricular ejection fraction (LVEF).
The aim. To determine the frequency of pacing-induced cardiomyopathy (PICM) in patients with permanent right ventricular pacing (at least 90%) and preserved LVEF (≥50%). To determine the risk factors for the occurrence of PICM.
Materials and methods. The study included 34 patients with indications for permanent ventricular pacing in whom pacemaker was implanted from 2012 to 2022 (mean follow-up period 44.97 ± 28.45 months). PICM was defined as a decrease in LVEF <45% during follow-up regardless of clinical manifestations. Risk factors for PICM were determined through univariate and multivariate regression analysis.
Results. The incidence of PICM in this study was 26% during the mean observation period of 44.9 ± 28.4 months. The mean time to the onset of PICM was 29 months in 5 out of 9 patients (55%), the time from implantation to diagnosis of PICM was less than a year. The mean LVEF and end-diastolic volume index at the time of follow-up differed significantly in the groups with and without PICM: 38.6 ± 5.9% vs. 53.5 ± 5.7% (p<0.001) and 97.9 ± 20.75 ml/m2 vs. 60.9 ± 19.32 ml/m2 (p<0.001), respectively. In the PICM group intraventricular asynchrony was 261.1 ± 61 ms vs. 146.1 ± 62.8 ms (p<0.001), interventricular asynchrony 91 ± 36.4 ms vs. 54.2 ± 22.2 ms (p = 0.014), the number of segments with reduced deformation 8.1 ± 2.6 vs. 3.91 ± 2.3 (p<0.001), global longitudinal strain –9.7 ± 2.6 % vs. –14.9 ± 3.4 % (p<0.001). At the time of the follow-up examination, the signal of sensitivity on ventricular lead in the PICM group was significantly reduced compared to patients without PICM (6.26 ± 4.02 mV vs. 11.56 ± 3.86 mV, p = 0.045). Paced QRS width in the PICM group was significantly larger (163 ± 22.7 ms vs. 150.8 ± 14.5 ms) and there were more patients with rate-adapted cardiac pacing in the PICM group: 4 (40%) vs. 2 (8%) (p = 0.0428). In multivariate regression analysis, a wider paced QRS (hazard ratio 1.09 for every 1 ms increment in QRS width, 95% confidence interval 1.01-1.17, p = 0.025) was an independent predictor of PICM. In two patients from PICM group, upgrade of pacemaker system to biventricular pacing was performed with an improvement in the left ventricular contractility: in one patient from 37% to 44%, in another from 34% to 51% in one and two month, respectively.
Conclusions. Cardiomyopathy due to right ventricular pacing tends to occur instantaneously in the first years after pacemaker implantation, rather than slowly progressing over time. A wider paced QRS complex is an independent predictor of PICM. Biventricular pacing effectively eliminates the consequences of non-physiological right ventricular pacing, improves left ventricular systolic function.
A Case of an Unusual Clinical Course of Mitral Stenosis
Authors: Vitovskyi Rostyslav M. , Isaienko Volodymyr V. , Vitovskyi Andrii R. , Satmari Olena V. , Yakovenko Inna G. , Volkova Natalia I. 
Published: June 2023

Background. The stage 4 mitral stenosis is accompanied by atrial fibrillation which significantly worsens the prognosis due to the possibility of thromboembolic complications. However, sinus rhythm does not exclude the possibility of thrombosis which sometimes requires differential diagnosis with heart tumors.
The aim. To present a case of unusual thrombus formation in a patient with significant mitral stenosis on the background of sinus rhythm and describe the specifics of determining indications for surgical intervention.
Case report. Female patient K., 42 years old, who was admitted on January 12, 2023 to the National Amosov Institute of Cardiovascular Surgery, had been suffering from rheumatism for the past 20 years. In this case, the clinical course of mitral stenosis could be classified as stage 4, since there were signs of severe heart failure (shortness of breath on light exertion, peripheral edema, right-sided pleuritis, pulmonary thrombosis). However, the patient had sinus rhythm, which is more characteristic of the stage 3 mitral stenosis. The patient underwent mitral valve prosthetic surgery and removal of an unusual thrombus from the pulmonary valve cavity on January 23, 2023.
Conclusions. The course of mitral stenosis, despite its thorough study, may have unusual clinical and instrumental manifestations, which requires differential diagnosis with heart tumors and other diseases. In some cases, the mechanism of thrombus formation can be extremely unusual, which can be a subject for discussion by cardiologists.
Uso de medicamentos potencialmente inapropriados para idosos em um município do sul de Minas Gerais: estudo de prevalência
Authors: VIEIRA Liliana Batista , SILVA Simone Maria , REIS Tiago Marques , SANTANA Lívia Nascimento , DUTRA Camila Campos , REIS Adriano Max 
Published: June 2023

Objetivos: analisar a frequência de utilização de medicamentos potencialmente inapropriados por idosos da atenção primária de um município do sul de Minas Gerais e determinar os fatores associados. Métodos: estudo observacional, delineamento transversal, realizado nas unidades de atenção primária à saúde de um município do sul de Minas Gerais. Os medicamentos potencialmente inapropriados por idosos foram classificados segundo os critérios American Geriatric Society /Beers 2019. Realizou-se análise descritiva compreendendo determinação de frequência absoluta e relativa e medidas de dispersão. A associação entre o uso de medicamentos potencialmente inapropriados por idosos e as variáveis independentes foi verificada por meio do Teste Qui-Quadrado de Pearson. As variáveis que se associaram ao uso medicamentos potencialmente inapropriados por idosos com valor de p<0,20 foram incluídas no modelo inicial de regressão logística múltipla. A seleção das variáveis a serem incluídas no modelo final foi definido pelo método Backward. No modelo final permaneceram as variáveis com valor de p<0,05. A magnitude da associação foi estimada pelo Odds Ratio. A adequação dos modelos finais foi avaliada pelo teste de Hosmer-Lemeshow. Resultados: Um total de 436 pacientes idosos, com 60 anos ou mais, foram incluídos no estudo. A frequência de uso de medicamentos potencialmente inapropriados por idosos foi 47,7%. As classes de medicamentos potencialmente inapropriados por idosos mais utilizadas foram os inibidores da bomba de prótons; os benzodiazepínicos de longa ação, entre eles o clonazepam e o diazepam; e os antidepressivos amitriptilina, clomipramina, imipramine e nortriptilina. A regressão logística evidenciou associação positiva do uso de medicamentos potencialmente inapropriados por idosos por com polifarmácia, ausência de companheiro, presença em duas ou mais consultas nos últimos seis meses. Em relação à presença de medicamentos potencialmente inapropriados para idosos na Relação Municipal de Medicamentos da cidade desse estudo, foram identificados 48 medicamentos, o que corresponde a 43,6% do total de medicamentos selecionados no município. Conclusões: A frequência de utilização de medicamentos potencialmente inapropriados por idosos na atenção primária do município investigado foi elevada. O estudo pode auxiliar os profissionais de saúde de atenção primária nas tomadas de decisões, ajudando a garantir o uso seguro de medicamentos pelos idosos.
Ajuste de dose de antimicrobianos por função renal em Unidade de Terapia Intensiva adulto
Authors: ROJAS Camila Schafer , FLACH Karoline , CAMARGO Aline Lins 
Published: June 2023

Objetivo: identificar a realização de ajuste de dose de antimicrobianos de acordo com a função renal em prescrições de pacientes internados em uma UTI adulto de um hospital geral do sul do Brasil. Métodos: estudo observacional, transversal retrospectivo, realizado em uma UTI adulto de um hospital geral do sul do Brasil no período de janeiro a dezembro de 2021. Foram incluídos todos os pacientes adultos com ≥48 horas de internação na UTI, clearance de creatinina (ClCr) ≤60 mL/min/1,73m2 e uso de um ou mais dos seguintes antimicrobianos: amicacina, ampicilina, ampicilina/sulbactam, cefepima, ceftazidima/avibactam, fluconazol, levofloxacino, meropenem, piperacilina/tazobactam e/ou voriconazol. A função renal foi estimada a partir da creatinina sérica usando a equação de Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) e a adequação da dose foi determinada pela comparação da prática com diretrizes específicas. Foram avaliadas variáveis sociodemográficas (sexo, idade, etnia), além da influência de possíveis determinantes, como: tempo de uso do antimicrobiano, tempo de internação, mortalidade, dentre outras. Resultados: foram incluídos 151 pacientes, totalizando 906 possibilidades de ajuste de dose de antimicrobianos por função renal. Entre as 906 possibilidades, 546 (60,3%) foram ajustadas adequadamente, 69 (7,6%) foram ajustadas inadequadamente e 291 (32,1%) não foram ajustadas. O voriconazol foi associado à maior proporção de doses não ajustadas 6/6 (100%), enquanto que a piperacilina/tazobactam foi associada a maior proporção de ajustes não preconizados na literatura 41/268 (15,3%). O fluconazol teve suas doses ajustadas adequadamente conforme a função renal em todas situações 21/21 (100%). O tempo de uso de antimicrobiano entre pacientes com ajuste de dose e aqueles tratados com a dose usual foi de 10 e 11 dias, respectivamente (p <0,001), e o tempo de internação na UTI nos respectivos grupos foi de 14 e 18 dias (p <0,001). Conclusões: Nossos achados revelaram um percentual elevado de ajuste de dose de antimicrobianos conforme função renal para pacientes em UTI em comparação com outros estudos que avaliaram pacientes não críticos. Os dados sugerem que o envolvimento de médicos e farmacêuticos para garantir a dosagem adequada de antimicrobianos nefrotóxicos de acordo com função renal tem contribuído significativamente para desfechos mais favoráveis para o paciente.
A Study of Ventriculoperitoneal Shunt in Management of Pediatric Hydrocephalus
Authors: Dahal Alok , Sah Rajesh Prasad , Gupta Rakesh Kumar , Malla Justin Jung , Singh Arun Kumar , Sah Bijay 
Published: June 2023

Background: Hydrocephalus is one of the most common clinical conditions affecting the central nervous system and Ventriculoperitoneal (VP) shunt is the most common procedure used. We report an outcome analysis of various risk factors and etiological factors for shunt failure in pediatric patients from a single institution.
Methods: A single institutional cross-sectional observational study was conducted in 45 operated cases of hydrocephalus below 16 years of age from 2020 to 2022. Etiology, various risk factors, surgery time, cerebrospinal fluid (CSF) analysis and shunt complications were the parameters analysed. The association of parameters was analysed using the Chi-square test and binary logistic regression.
Results: Forty-five patients who fulfilled the inclusion criteria were enrolled in the study. About 57.8% of patients were male, and the mean age of patients at the time of VP shunt was six months. The majority of the patients belonged to 0-1 years of age with 68.9%. The commonest etiology of hydrocephalus was congenital aqueduct stenosis (42.22%). Overall shunt complication was found in 20% of patients. Chi-Square analysis revealed emergency surgery (p = 0.01) compared to elective surgery, long duration of surgery (≥ 1 hour; p = 0.01) compared to short duration of surgery (< 1 hour), and increased protein content in CSF analysis (p = 0.001) were the significantly associated with shunt failure. But only increased CSF analysis (p = 0.04) was found to be significant predictor of shunt complication when adjusted with other significant variables in binary logistic regression.
Conclusion: Emergency surgery, long duration of surgery, and increase protein content in CSF analysis were found to be associated with shunt complications and protein CSF was found to be significant predictor of shunt failure after adjusting with other variables.
ANALYSIS OF THE RESULTS THE INTRODUCTORY COMPANY IN 2022 AT THE DNIPRO STATE TECHNICAL UNIVERSITY
Authors: Levchuk Kateryna , Romaniuk Roman 
Published: June 2023

Dniprovsky State Technical University is located in the city of Kamianske, Dnipropetrovsk region. It consists of 4 faculties and 18 departments. The total number of students in all forms of education is about 2000 people. Teachers of the university prepare bachelors and masters in full-time and part-time forms of education. Also, admission of applicants is carried out in graduate school and doctoral studies in certain specialties.
The introductory company of 2022 in Ukraine was held under martial law, which led to significant changes in the conditions of admission to higher education institutions compared to previous years. Among the main changes are the following: admission using the results of external independent assessment or national multidisciplinary test, creative competition, master's test of educational competence, entrance exams (at the expense of the state budget), as well as motivation letters (at the expense of individuals and / or legal entities), the list of persons of preferential category has been expanded and the possibility of admission is provided based on the results of individual oral interviews in full-time or remote forms.
The results of the admission campaign to the Dniprovsky State Technical University for obtaining bachelors and master's degrees are analyzed, shortcomings in the organization and conduct of admission in 2022 are identified.
In order to improve the work of the admissions committee and increase the volume of enrollment in the Dniprovsky State Technical University during the following admission campaigns, the following measures can be proposed: support for low-demand specialties from applicants (lower cost of education, encouragement of students), development of a plan for career guidance work for 2023 with the participation of representatives the rector's office, deans, departments, admissions committee and the establishment of control over its implementation, conducting career guidance work in educational institutions and advertising activities in the media, the Internet, conducting preparatory courses in the subjects of the national multidisciplinary test, programs of the master's test of educational competence and in-depth study of a foreign language, as well as open days.
HIERARCHY ANALYSIS METHOD IN THE DECISION-MAKING SYSTEM OF AN ENTERPRISE
Authors: Usykova Olena 
Published: June 2023

The article examines the managerial perceptions of and the attitudes toward financial risks in small and medium-sized enterprises. The process of assessing the financial risk in small and medium-sized enterprises can be completed by various means and through implementation of different methods. However, a common issue for all approaches remains the lack of quantitative information that can ensure a reliable risk assessment. The purpose of the article is to provide practical recommendations with regard to the use of hierarchy analysis method in the decision-making system of an enterprise. The paper proposes to employ a risk assessment methodology based on an analytic hierarchy process which allows obtaining a set of optimal options. The effectiveness of the model has made it popular in many instances that may require defining multiple criteria for the decision-making process, which includes risk assessment and management on the basis of quantitative and qualitative criteria. Nonetheless, the primary drawback of the mentioned method lies in the complexity of calculations for making decisions with multiple alternatives. Data was collected through the use of a questionnaire adapted from previous studies. The questionnaire was divided into two parts. The first part collected socio-demographic information from the respondents, whereas the second part covered the owner’s/manager's risk perception in respect of a list of six financial risks based on two risk characteristics: consequences and probability. The paper incorporates the developed hierarchical structure of the task of making a choice with regard to the impact of the types of financial risks of the enterprise: low or no profit, low or no cash flow, revenue deficit, financing issues, problems with customer payments, increase in bank fees. The values of the consistency ration for both criteria were under (<0.10). Accordingly, the current of analytical hierarchical process analysis has reached an acceptable level of expert judgment. As a conclusion, the calculated weights of the risk components demonstrated that the magnitude (51.5 %) was considered by the executives/managers of enterprises as the most important risk assessment criterion, while the probability (45.5 %) was the second in importance. In the course of the analysis the financial risks were ranked. It was determined that the top three position in the ranking were taken by the following types of financial risks: increase in bank fees – 18,7 %; increase in problems with customer payments – 18 %; low or no cash flow – 16.8 %.
The problem of the body rotating on a frictionless table, attached to a hanging body, solved partially by conservation theorems
Authors: Palacios Gómez Jesús , De Ita De la Torre Antonio Silvio 
Published: June 2023

Conservation theorems of Mechanics, have been applied to the problem consisting of a body rotating on a frictionless table, attached to a hanging body, as an illustrative example for students of Physics with no knowledge of sophisticated mathematical methods, how to obtain a description of the physical behavior of a system, when obtaining the equation of motion requires those complicated methods. Applying the conservation of angular momentum it is shown that the angular frequency increases inversely to the square of the radius of motion; then the radius is found at which the centripetal force and the tension of the string compensate each other; then, applying the conservation of energy, turning points are found. At the end, following scenery is obtained: the radial component of motion of the rotating body takes place between two turning points, namely a maximum at given by the initial conditions, and a minimum at . With the help of these equations, obtained without the need of solving differential equations, it is possible to obtain a semi quantitative physical behavior of this particular system.