State Institution Research Articles

Overlapping Surgery Verbiage in Informed Consent Documents.

To assess informed consent documents from United States (US) institutions for verbiage regarding overlapping surgery. Overlapping surgery remains a controversial practice. Recent guidance from the Senate Finance Committee and American College of Surgeons emphasizes transparency with patients regarding this practice through the informed consent process, but it remains unclear how many institutions adopted their recommendations. Informed consent documents were collected from a national sample of 104 institutions and assessed for verbiage regarding overlapping surgery and/or attending absence during a surgical case. The verbiage of these forms was further analyzed for inclusion of key terms (e.g., "overlapping surgery," "critical portions") as well as transparency regarding surgeon absence. Thirty (29%) forms included verbiage regarding overlapping surgery and/or surgeon absence during a case. Most of these 30 utilized the terms "overlapping surgery" or "critical portions" (18 [60%] and 25 [83%], respectively), although only 3 (10%) explicitly stated that portions of the procedure that may be performed in the absence of the attending surgeon. Six forms (20%) specifically stated who may perform the procedure without the attending present, and 3 forms (10%) had patients acknowledge this section of the consent form with an additional signature or initial. Only 2 of the forms (7%) fulfilled all of the criteria set forth by the SFC. Detailed information regarding overlapping surgery is infrequently included in hospitals' procedure informed consent documents. Forms that include this information rarely provide explicit statements of attending presence and trainee participation, raising concerns regarding surgeon-patient transparency.

Development of antibiotic metrics for hospitalists via multi-institutional modified Delphi survey.

Closing the gap between evidence-supported antibiotic use and real-world prescribing among clinicians is vital for curbing excessive antibiotic use, which fosters antimicrobial resistance and exposes patients to antimicrobial side effects. Providing prescribing information via scorecard improves clinician adherence to quality metrics. We aimed to delineate actionable, relevant antimicrobial prescribing metrics extractable from the electronic health record in an automated way. We used a modified Delphi consensus-building approach. Our study entailed two iterations of an electronic surveydisseminated to hospital medicine physicians at 10 academic medical centers nationwide. Main outcomes comprised consensus metrics describing the quality of antibiotic prescribing to hospital medicine physicians. Twenty-eight participants from 10 United States institutions completed the first survey version containing 38 measures. Sixteen respondents completed the second survey, which contained 37 metrics. Sixteen metrics, which were modified based on qualitative survey feedback, met criteria for inclusion in the final scorecard. Metrics considered most relevant by hospitalists focused on the appropriate de-escalation of antimicrobial therapy, selection of guideline-concordant antibiotics, and appropriate duration of treatment for common infectious syndromes. Next steps involve prioritization and implementation of these metrics based on quality gaps at our institution, focus groups exploring impressions of clinicians who receive a scorecard,and analysis of antibiotic prescribing patterns before and after metric implementation. Other institutions may be able to implement metrics from this scorecard based on their own quality gaps to provide hospitalists with automated feedback related to antibiotic prescribing.

Ultrasound-guided accesses for regenerative injection therapy of hip and knee

Interventional diagnostic and therapeutic technologies have gained considerable popularity in many surgical specialties – cardiology, vascular surgery, neurosurgery, oncology, and in orthopedics and traumatology. But unlike other specialties, ultrasound became the driving force behind the development and implementation of interventional technologies in the treatment of diseases of the musculoskeletal system. In recent years, ultrasound-guided injections have gained significant popularity, as they have given an advantage in accuracy compared to injections without such navigation. The purpose of our study was the development of ultrasound navigation accesses to the hip and knee joints for the interventional application of regenerative technologies in their pathology. The material for the study was the results of ultrasound examination of the hip and knee joints of 486 patients with diseases and injuries of the hip and knee, who were treated in the scientific and practical department of tissue and cell therapy of the State Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine in the period from 2016 to 2023. The results. The following accesses to the knee joint under ultrasound navigation have been developed: suprapatellar longitudinal access for injections into the quadriceps tendon and patellofemoral joint, suprapatellar longitudinal access with knee bending for injections into the upper turn of the knee joint, infrapatellar longitudinal access for injections into the patellar ligament and deep infrapatellar bursa, infrapatellar transverse access for injections into Hoffa’s fat pad, lateral longitudinal access with knee bending for injections into the lateral meniscus, medial longitudinal access with bending in the knee for injections in the medial meniscus, medial transverse access for injections in the medial part of the joint space, lateral transverse access with bending in the knee joint for injections in the lateral part of the joint space, lateral longitudinal access for performing injections in the collateral fibular ligament, medial longitudinal access for performing injections in the collateral tibial ligament, infrapatellar diagonal access for performing injections in the “crow’s foot” area of the knee joint, infrapatellar medial longitudinal access for performing other injection into the medial meniscus and joint capsule, lateral longitudinal access for injections into the tendons of the biceps femoris and hamstrings. The following accesses have been developed for the hip joint: anterior longitudinal access for performing injections in the subcapsular-cervical space, anterior diagonal access for performing injections in the acetabular labrum, capsule-ligament apparatus of the hip and tendon of the rectus femoris muscle, lateral longitudinal access for performing injections in the paratrochanteric region. Conclusions. 13 ultrasonic navigation accesses have been developed for the administration of biotechnological products into the knee joint and 3 – into the hip join, which allow not only to detect damaged intra-articular and para-articular structures of the knee and hip joints, but also to deliver an orthobiologics products directly to them for maximum regenerative effect.

Eksistensi Badan Pengawas Pemilihan Umum dalam Pencegahan Praktik Politik Uang pada Pilkada 2020 di Kabupaten Klaten

This study aims to determine the roles, find out obstacles, and explicate the efforts of the Election Supervisory Agency (Bawaslu) in preventing the practice of money politics during the 2020 Regional Elections in the Klaten Regency. This research is empirical legal research with direct field research. Its primary data source is data from interviews with the Bawaslu of Klaten Regency. The results of this study indicate that Bawaslu as a state institution has a duty to carry out supervision, including preventing violations in Regional Elections. The role of the Klaten Regency Bawaslu in preventing violations of money politics practices include providing socialization to all elements of society and forming an Anti-Money Politics Village and a Monitoring Village. In its supervision, the Klaten Regency Bawaslu experienced obstacles such as a lack of human resources, limited budget, and low community participation in supervision. The community itself is still afraid to report if they find violations. Therefore, to overcome these obstacles, Klaten Regency Bawaslu utilize social media to facilitate the socialization to the public, invite the public, candidates, and campaign teams to reject all kinds of money politics practices, and form Anti-Money Politics Villages and Monitoring Villages.

Fungsi Pengawasan Dewan Perwakilan Rakyat Daerah dalam Penyelenggaraan Pemerintahan Daerah di Indonesia

The Regional People's Representative Council which is the state institution that has undergone the most changes. This research aims to determine and analyze the Implementation of the Supervisory Function of the Regional People's Representative Council in the Implementation of Regional Government in Indonesia. This type of research is normative juridical. The results of the research are the supervisory function carried out by the Regional People's Representative Council towards the Regional Government in order to realize good governance so that it can achieve its goals. The Regional Representative Council must be able to correctly interpret the function and objectives of supervision, so that it can become an effective check & balance mechanism, optimize supervision so that it can have a positive influence as expected on the management of regional government, prepare the supervisory agenda for the Representative Council Regional People, Formulating standards, systems and standard procedures for supervision of the Regional People's Representative Council, as well as involving community participation in the supervision process. For this reason, it is recommended that there is a need for community participation in carrying out supervision so that the implementation of regional government policies can run well and it is necessary to develop supervision guidelines by the Regional People's Representative Council so that the supervision function can run more focused.

Applying a democratic evidence-based decision-making model: a case illustration of policy development at an Arab University

ABSTRACT This case study explores the potential for democratic governance in state-regulated Arab higher education systems focusing on institutional committee members’ adoption of deliberative, empowered and participatory evidence-based decision-making practices while engaged in university policy development. Amidst a landscape characterised by the forces of globalisation and internationalisation, coupled with an intensifying focus on quality assurance and accreditation that increasingly shape governance structures, this research examines decision-making at the practical micro-level within an Arab State institution. This university, mirroring others in the Gulf Cooperation Council region, functions within a largely centralised political system where government bodies exert substantial influence. By presenting an illustrative case of grassroots democratic evidence-based decision-making during committee members’ formulation of a new institution-wide policy, this study aims to partially bridge the conceptual and applied research void. It delves into the opportunities and challenges of practicing shared, evidence-based decision-making in multiplex universities operating within characteristically state-regulated, management-centric political contexts.

Взаимосвязь ценностно-смысловой сферы личности с качеством жизни современных студентов творческого вуза

The quality of human life is an estimated category of human life that generically characterizes the parameters of all components of his life: life potential, life activity and living conditions. The survey we conducted at the stage of the ascertaining experiment included a series of questionnaires, interviews and documentation studies. Analysis of students' opinions on improving the physical culture and wellness space showed that most students of all universities believe that it is necessary to form a powerful, active physical culture and wellness space at the university As a result of analyzing the data of a questionnaire survey of students of the Kazan State Institute of Culture, certain conclusions can be drawn that modern students are responsible for their health, but not many they are clearly aware of the binding of the state of physical health to the quality of their life.

«LIBRARY PROFESSION STUDIES» IN THE EDUCATIONAL PROCESS

The article characterizes the significant aspects of the academic disci-pline «Library Profession Studies» studied at East Siberian state institute of culture by the graduate students majoring in 51.04.06 «Library and Infor-mation Activities», profile «Theory and Methodology of Library and Pedagog-ical Activities». The emphasis is made on theoretical aspects, problems of pro-fessionalism of the library personnel, features of course application of the li-brary specialist’s professiogram and psychogram, library mythology, librarians’ professional self-awareness and the role of the specialist’s personality in the library profession.

Organizational Justice and Faculty Engagement in State Universities and Colleges as Related to Productivity

This survey-correlational research aimed to determine the productivity of faculty in state colleges and universities (SUC’s) as related to organizational justice and engagement. The independent variables were the organizational justice and faculty engagement, while productivity was the dependent variable. The antecedent variables were age, gender, length of service, and educational background. Two hundred forty (240) randomly selected faculty in a state institution of higher learning in Iloilo were the participants of the study, and two adopted, validated, and pilot tested data-gathering instruments were used – a Questionnaire to Measure Organizational Justice by Usmani and Jamal (2013) and an Employee Engagement Survey by Koskinen, (2015). To measure the faculty productivity, the Individual Performance Commitment and Review (IPCR) for SUC’s was utilized. Frequency count, percentage analysis, rank, mean, and standard deviation were employed as descriptive statistics while the one-way ANOVA and Pearson’s r were employed as inferential statistics. The .05 alpha level was used as the criterion for the acceptance or rejection of the null hypothesis. All statistical computations were processed through the Statistical Package of the Social Sciences (SPSS) software. Study results revealed that generally, the faculty assessed the SUC’s prevailing “high” organizational justice and work engagement, but “very high” work productivity. The faculty did not differ significantly in their assessment of the prevailing organizational justice and work engagement when they were classified according to age, sex, length of service, and educational background, yet significant differences were noted in their assessment of the work productivity when they were classified according to length of service and educational background. No significant differences were noted in the productivity of the faculty classified according to age and gender. A positive and significant relationship existed between faculty’s assessment of organizational justice in SUC’s and their work engagement, but significant relationship existed between their assessment of organizational justice in SUC’s and work productivity and between faculty engagement and work productivity. This was validated by three experts who assessed that the topics were relevant, applicable, and properly sequenced in terms of the applicability of organizational justice and faculty engagement, and this development plan could be used for the improvement of their work productivity. 

The role of endoscopic ultrasound in assessment of physiological cardia insufficiency during diagnosis of hiatal hernia

Background. The aim of the study: to determine the role of endoscopic ultrasound (EUS) in assessing the failure of the physiological cardia in the diagnosis of hiatal hernias (HH). Materials and methods. At the Department of Digestive Surgery of the State Institution “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine” in 2023, we have performed surgical treatment of 33 patients with HH: axial HH were diagnosed in 21 (63.6 %) cases (I type), paraesophageal HH — in 12 (36.4 %) patients (II type) (ICD-10 code is K44). Control group included 20 practically healthy people. Results. All patients underwent an X-ray and endoscopic examination of the esophagus, stomach, duodenum, and EUS. All 33 (100.0 %) patients underwent an X-ray to confirm the diagnosis and an endoscopic examination to detect changes in the esophageal mucosa. EUS was performed in 31 (93.9 %) patients. The thickness of the esophageal wall was assessed using EUS, which made it possible to determine the state of the structures of the phy­siological cardia in HH: the displacement of part of the stomach above the diaphragm, location of the gastroesophageal junction relative to the legs of the diaphragm and relative to each other; the distance between the legs of the diaphragm (area of the HH) and their length; the cross-sectional area of the HH (hernial sac). The data obtained during EUS influenced the choice of the method for surgical correction of the physiological cardia with HH. Conclusions. Thus, with HH, EUS makes it possible to evaluate pathological changes of the main structures in the failure of the physiological cardia, to improve diagnosis for the types of HH, the location of the gastroesophageal junction, with determination of dimensions of the esophageal hiatus, the distance between the legs of the physiological cardia, localization and cross-section of the hernial sac, which influenced the choice of the surgery for physiological cardia in HH.

IMPLEMENTATION OF PATIENT-CENTERED MEDICAL CARE MODEL: ANALYSIS OF THE ATTITUDES OF PATIENTS WITH CORONARY ARTERY DISEASE AND COMORBIDITIES

The aim: to evaluate the attitude of patients with coronary artery disease and comorbidities to the implementation of patient-centered care in clinical practice.
 Materials and methods. We carried out questionnaire survey of two groups of patients with coronary artery disease and comorbidities. The first one consisted of 30 patients with coronary artery disease aged 61-75 (mean age 67,2±5,1 years) who were followed by the cardiologist in the therapeutic department of the State Institution of Sciences “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department. The second one – 33 military personnel with coronary artery disease aged 50-58 years (mean age 53,2±2,4 years) who came for a scheduled appointment with a general practitioner at the Outpatient Care Clinic of the National military medical clinical center “GVKG”. Methods: system analysis, questionnaire survey, statistical.
 Results. According to patient`s opinion cardiologists give much more information about pharmacological treatment, including side effects of medications used (83,3±6,8% in the Ist group vs 33,3±8,2% in the 2nd group, p<0,05) and actions to increase patients` compliance (83,3±6,8% in the Ist group vs 42,4± 8,6% in the 2nd group, p<0,05). This is related to the peculiarities of management of patients with chronic diseases in the State Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, in particular, with the follow-up of high-risk cardiac patients, including scheduled appointments and monitoring of patient`s clinical conditions by a cardiologist. Emotional support was given to 93,3±4,6% of patients in the Ist group and to 18,2±6,7% of patients in the 2nd group (p<0,05). 36,7±8,8% of patients in the Ist group and 84,8±6,3% in the 2nd group ( p<0,05) indicated, that they need more information about their treatment plan and involvement in clinical decision-making. 93,3±4,6% of patients in the Ist group and 4,8±6,3 % in the 2nd group were ready to perform self-monitoring of their health conditions and participate in the decision-making process regarding their treatment.
 Conclusions. Our survey demonstrated, that the majority of interviewed patients with coronary artery disease and comorbidities are ready to use basic principles of patient-centered care. The necessity to improve patient`s information and education about clinical decision-making and physician`s practical skills in the field of implementation of patient-centered care was substantiated.

The dominant pests (Coleoptera) of cereal crops, and population forecast for this

Goal. Create a forecast of the development of harmful organisms in cereal crops, to determine the economic feasibility of applying plant protection measures.
 Methods. Analysis of the phytosanitary state of cereal crops in Ukraine, where the main attention is paid to the dominant pest species. Analysis of the areas of distribution of these pests, population dynamics, their phenology and the state of populations in the context of natural and climatic zones (Steppe, Forest-steppe and Polissya). To assess the phytosanitary state of crops, and its dynamic changes, the following are used: — the results of phytosanitary monitoring of crops (according to generally accepted methods), which were carried out directly by the staff of the forecast laboratory of the Institute of Plant Protection of NAAS; — current reports of researchers from other laboratories of the Institute of Plant Protection of NAAS from the places of business trips; — materials of decadal reports of regional plant protection stations, as well as signaling and forecasting points; — information on the phytosanitary situation from regional state research stations and institutes of NAAS.
 Results. A study of the phytosanitary state of cereal crops on the territory of Ukraine was carried out, the dominant species of pests were identified, materials were prepared regarding the peculiarities of the phytosanitary state in the conditions of the year, and a long-term (annual) forecast of the development of pests for the next year was drawn up, based on the appropriate analysis of the data obtained.
 Conclusions. In recent years, climate change in Ukraine has manifested itself through an increase in the average annual temperature, and an increase in the sum of effective temperatures. A decrease in the zone of sufficient soil moisture was noted, its line shifted to the north. Under the influence of abiotic factors, pests constantly change the boundaries of their habitat and zones of damage, therefore reliable protection of crops is impossible without constant monitoring, constant clarification of the species composition of phytophages, and phytosanitary forecast. Improved methodological approaches for assessing the phytosanitary state of acrocyanoses and the promptness of obtaining relevant data will allow agricultural producers to make timely decisions on the economic feasibility of using certain plant protection products.

Digitalizing Cyber Security for Data Management in Higher Education Implication for Educational Management in Nigeria

This study was to determine the digitalizing cyber security for data management in higher education: Implication for Educational Management in Nigeria. Two research questions and hypotheses were formulated to guide the study. The population of this study comprises 4000 students from four tertiary instructions in Cross River State. The sampling technique employed by the researcher in the selection of the sample was the simple random sampling technique. The sample size selected for this study was 400 students in selected schools which represents 10 percent of the accessible population comprising of 200 males and 200 females. The questionnaire was designed to measure the two sub-independent variables. The reliability of the instrument was 0.85 reliability coefficient. Mean and standard deviation were used to answer the request questions. While Simple linear regression analysis statistical tool was used to test the null hypotheses that were formulated to guild the study at 0.05 level of significance. The findings of the study show that the educators’ lack of knowledge and expertise regarding cyberspace in tertiary institution significantly influence cyber security knowledge in data management in tertiary institution and Cyber security knowledge in data management in tertiary institution significantly reduces cyber-bully, online fraud, racial abuse, pornography and gambling among educators and students in tertiary institution in Cross River State, Nigeria. Based on the conclusion, it was recommended that tertiary institution management should formulate educational policies and curriculum the will help in addressing problems of cybercrime in schools. And students and educators should learn Cyberspace knowledge since it is very important in our day to day activities.

A socio-psychological portrait of a pathological gambler as a prerequisite for preventing gambling addiction (gambling disorder)

Gambling always carries risks for the player's mental health, as it can provoke the development of gaming addiction. A direct connection between the socio-psychological portrait of the player, his gaming behavior, and the risks of game addiction can be traced. The purpose of the work is to form a socio-psychological portrait of a "pathological" gambler. The work was performed based on the State Institution "Institute of Forensic Psychiatry of the Ministry of Health of Ukraine".  Methods used: CAWI (Computer Assisted Web Interviewing) questionnaires in online gambling establishments; CAPI (Computer Assisted Per­sonal Interviews - server event tracking method) in land-based casinos (more than 9,000 people were inter­viewed); statis­tical (for selection and analysis of materials). A questionnaire specially developed by the authors with a point evaluation of the results (from 71 to 90 points) allows us to conclude that the interviewee is a pathological gamb­ler. For the first time in Ukraine, the survey was conducted exclusively among gamblers at gambling establishments. The obtained results made it possible to form a statistically reliable р<0.05 socio-psychological portrait of a pathological gambler, mostly men (87.7%) aged 25-35 years (52.4%) with secondary special (43.4%) or higher education (37.7%). In this group, 94% of people declared their inability to resist the desire to play, and 83.0% thought about stealing money to continue. Of pathological gamblers, 85.0% consider gaming as a means of earning money. All interviewed pathological gamers have experienced continuous gaming for more than 5 hours; 79.2% play almost every day. Such players in 95.0% noticed that they lost more money or spent more time than they planned, 96.0% felt culpable for the game, and 95.0% started the day with a game. Based on this portrait, the authors derived quantitative criteria that the organizer of gambling games can use to prevent gambling addiction among players within the framework of the application of the principles of responsible gaming.

Memorization and discussion methods effect on achievement and communication skills

This study aimed to determine learning outcomes and discuss the effect of the combination of memorization and small group discussion methods on students’ achievement and communication skills. A quantitative method was applied in this study with a quasi-experimental design. The subject of this study is 60 students in Islamic Education, Faculty of Education and Teacher Training (FTIK) at the Pontianak State Institute for Islamic Studies, divided into a control and an experimental group. Data were collected through pre-test and post-test from the control and experimental groups and then analyzed using the independent samples t-test using statistical software JASP version 0.16.4. The findings revealed that there are differences between outcome learning and communication skills between the control group which only uses the small group discussion method and the experimental group which employs a combination of memorization and small group discussion methods in the course of developing Islamic Education material. The findings of this study confirm that combining the two methods, memorization, and small group discussion, is highly effective in improving learning achievement and communication skills at the student level. Further research is suggested to explore and determine other factors affecting learning outcomes and methods.

Some Reflections on the Regulatory Constraints to Labour Malpractices in Cameroon

The rapid drop in the standard of Fair Labour Practices in the private sector of Cameroon is so disturbing. Generally, the recognition of the basic right of each citizen such as the right to work and the security of employment is of paramount importance to a worker because work brings wages by which workers and their families depend on, works gives dignity and meaning to the life of a worker and make the world economy run accordingly. That is why the Cameroonian labour legislator has made much effort in addressing the situation of workers who have been unlawfully dismissed from work by malicious employers or workers whose basic rights to work and security of employment may be threatened. The aim of this study therefore, is to ascertain the regulatory Constraints to labour malpractices in Cameroon. These Labour malpractices mostly committed by profit conscious employers of Labour in Cameroon are characterized amongst others by; the imposition of standard form contracts on their workers, discrimination in the private sector employment, subjecting workers under unsafe working environment and deplorable conditions of work, wrongful discharge of employment, the practice of divide and conquer style of management, gross violations of workers fundamental human rights, arbitrary variation of substantial terms of employment contracts, the questionable practices of labour inspectors, unreasonable restraint clauses in the private sector employment contracts, non-respect of government-mandated minimum guarantee wage, non-conformity of internal rules and regulations to national standard, wrongful suspension of contract of employment etc. These deviant dispositions of employers of Labour, although contrary to deontology, are so embedded in the Cameroonian Labour market causing private sector workers to remain at the same level from January to December every year of their life. In a bid to attain the overall purpose of this study, this research adopts the qualitative research methodology which involve an in-depth content analysis of both primary and secondary data. Findings, therefore, reveal that despite the regulatory, institutional and policy framework put in place to protect private sector employees against any form of labour malpractices, private sector employees are not adequately protected because of gaps in the labour legislation, conflicting interests, economic impact, low Scholarisation of workers, political impact, ineffective implementation of prevailing regulations, the introduction of powerless staff representatives, laxity on the part of some Labour Inspectors to ensure the respect of labour legislation etc constitutes the basis for the multiplication of gross violation of employment rights in the private sector within the country. This research conclude theoretically that the Cameroon Labour Legislation to an extent, guarantees the protection of private sector employees but practically it effective implementation and enforcement leaves much to be desired. This has necessitated the suggestion of some policy recommendations for the way forward. In this regard, in order to attain an effective regulatory, institutional and policy framework which guarantees the protection of workers against any form of labour malpractices in the private sector, we recommends a review of the 1992 Labour Code to better handle any form of labour malpractices affecting private sector employment in today’s era and the Labour Inspectorate being the central state institution charged with the enforcement of employment rights should not only be found seating at the regional and divisional headquarters, they should equally be established in each sub-division in other to take justice nearer to workers who are mostly employed by employers of unskilled labour in the country.

GOVERNANCE EVALUATION ELECTRONIC SECURITY SYSTEM (ESS) (Case Study: ABC Central Bank)

As we know, the role of the security system has a very important role for a state institution to provide security and comfort in carrying out its functions, such as the ABC central bank. A good security system is a security system that is supported by a reliable electronic security system and is composed of several components such as a CCTV monitoring system, Access Control System (ACS), Security Alarm System (SAS), and Fire Alarm System (FAS). This system is very necessary to provide support for the duties of these state institutions to protect devices, data and electronic infrastructure from potential threats and security risks. The main functions of electronic security systems include prevention, detection, response to incidents, and recovery after disturbances/disasters. For this reason, efforts are needed to provide an evaluation of the system maturity level and information security management as a form of risk management to maintain the continuity of system use. This research uses the INDEKS KAMI 4.1 to map ESS governance maturity and the OCTAVE Allegro method to analyze information security management. From the analysis carried out, it has been concluded that the ESS implementation has been operated well in accordance with the security system requirements and has reached a good level of governance maturity. Information security management analysis carried out using the OCTAVE Allegro method has succeeded in identifying information security management with the result that information security management has been implemented well. This is proven by the existence of indicators, namely CCTV recording data, log systems as information assets that have been managed and distributed according to authority

Surgical treatment of degenerative stenotic lesions of the lumbar spine. Own experience of using minimally invasive techniques

Lumbar spinal stenosis is a multifactorial progressive condition mainly affecting older individuals, characterized by narrowing of the natural anatomical pathways passage of nerve structures, resulting in typical clinical symptoms. The disease affects about 103 million people in worldwide with an incidence of absolute lumbar spinal stenosis 19.4% among individuals aged 60-69 years. In the United States, about 600,000 surgical interventions for lumbar spinal stenosis are performed annually. This disease is one of the most common causes of lumbar pain and lower limbs in the elderly individuals, accompanied by claudication and ultimately leading to disability. The main cause of clinical symptoms of the lumbar spinal stenosis is the discrepancy between the sizes of nerve structures and their osteofibrous sheaths, resulting from gradually developing degenerative-dystrophic changes. Objective: To compare the outcomes of surgical treatment of patients with degenerative stenotic lesions of the lumbar spine using open and minimally invasive methods. Materials and methods. The results of surgical treatment of 97 patients with lumbar spinal stenosis aged from 28 to 81 years on the basis of the Department of Minimally Invasive and Laser Spinal Neurosurgery of the State Institution " A.P. Romodanov Neurosurgery Institute, Ukraine", " Neurosurgical Department №20 of Vinnytsia Regional Clinical Psychoneurological Hospital named after Acad. O.I. Yushchenko" of Vinnytsia Regional Council and "Spinex" Medical Center following all clinical research protocols. Patients were divided into four groups depending on the surgical intervention method. Results. The development of concepts regarding the mechanisms of occurrence and treatment methods of lumbar spinal stenosis are highlighted, as well as personal experience of using minimally invasive treatment techniques for this pathology in combination with the use of the ERAS (Enhanced Recovery After Surgery) protocol of perioperative patient management. It was found that the duration of hospital stay for patients with lumbar spinal stenosis statistically significantly desreased when using minimally invasive decompression (p≤0.05) and the ERAS rehabilitation protocol (p≤0.05). When comparing the average length of stay in the hospital of patients of the four groups, a statistically significant (p≤0.05) shorter length of stay in the hospital was observed for patients who underwent minimally invasive decompression using the ERAS rehabilitation protocol. The greatest reduction in pain intensity (according to the Numeric Pain Scale (NPS)) at 6 months post- intervention and rehabilitation was also noted in patients of this group. Conclusions. The use of minimally invasive techniques, the correct choice of surgical procedure volume (interbody fusion is desirable in surgery for degenerative spinal diseases) combined with Enhanced Recovery after Surgery protocol (ERAS) significantly improves postoperative well-being of patients, accelerates patient mobilization, and reduces the length of stay in the hospital.

Reproductive qualities of sows of different intrabreed differentiation according to some selection indexes and the economic efficiency of their use

The paper presents the study results of the absolute indicators of the reproductive qualities of sows of different intrabreed differentiation according to the breeding index of reproductive qualities of the sow (BIRQS) and the index of M. D. Berezovskyi, as well as the calculation of the economic efficiency of their use in the conditions of a controlled population. The research was carried out in the breeding breeder for breeding pigs of the large white breed of the experimental farm and the laboratory of animal husbandry and fodder production of the Institute of Agriculture of the North-East of the NAAS, as well as the laboratory of animal husbandry of the State Institution of Grain Crops of the NAAS. Evaluation of sows for reproductive qualities was carried out considering the following signs: multifertility, high fertility, nest weight at the time of weaning at 28 days, preservation. Comprehensive evaluation of sows for reproductive qualities was carried out according to the selection index of reproductive qualities of the sow (BIRQS) (Tsereniuk et al., 2010) and the index of M. D. Berezovskyi (Vashchenko, 2019). Biometric processing of research results was carried out according to generally accepted methods (Kovalenko et al., 2010). Taking into account the intrabreed differentiation according to the selection index of the reproductive qualities of the sow (BIRQS) and the index of M. D. Berezovskyi, a significant difference was established between the sows of the I and III experimental groups in terms of multifertility (2.8-2.4 heads), as well as the weight of the nest at the time of weaning at the age of 28 (16.9-16.0 kg) and 60 days (45.2-43.0 kg). The maximum indicators of high fertility and survival of piglets until weaning at the age of 28 days were found in sows of the III group of intrabreed differentiation according to the breeding index of reproductive qualities of the sow (BIRQS) and the index of M. D. Berezovskyi. The number of reliable pairwise correlation coefficients between the absolute indicators of reproductive qualities of sows, the index of M. D. Berezovskyi and the selection index of reproductive qualities of the sow (BIRQS) is 92.85%. The criteria for selecting highly productive sows are the following indicators: according to the index of M. D. Berezovskyi – 40.63-44.37 points, the selection index of reproductive qualities of the sow (BIRQS) – 98.13-108.98 points. The maximum increase in additional production was obtained from sows of the 1st experimental group of intrabreed differentiation according to the index of M. D. Berezovskyi (+9.49%) and the selection index of reproductive qualities of the sow (BIRQS) (+9.00%), and its value was +1002.92 and +951.14 UAH/head/farrow, respectively

Magnetite-ferrocyanide-copper sorbents for recovery of cesium ions from low-activity liquid radioactive waters

The article is devoted to the development of nanoscale sorbents based on copper ferrocyanide and magnetites for the removal of cesium, strontium, and heavy metal ions in their simultaneous presence in a multicomponent two-phase low-level radioactive solution containing complexing agents and surfactants. It they noted that the highest values of cesium ion removal from low-level radioactive water - 99.96% and 99.62% - are obtained with sorbents based on 100% copper ferrocyanide and a mixture of copper ferrocyanide and industrial magnetite in a ratio of 2 to 1. The efficiency of the sorbents in terms of the distribution coefficient is 2394 and 1589.7 ml/g, which ensures the purification of radioactive water from trace concentrations of cesium ions to values of 2394 and 265.11. These sorbents provide water purification to values less than 2 Bq/cm3, which is typical for 1-4 classes of water quality in terms of radiation safety of groundwater and surface water as sources of centralised drinking water supply. It is noted that sorption of cesium ions on copper ferrocyanide and magnetite is carried out in the presence of water molecules and hydroxo groups. It is shown that artificial magnetite in its pure form exceeds the sorption capacity of industrial magnetite. This is due to the difference in the phase composition and particle size of the crystals. The results obtained will be use as components of the technological process in the Plasma-Sorb technology developed at the State Institution "The Institute of Environmental Geochemistry" of the National Academy of Sciences of Ukraine for the treatment of low- and intermediate-level radioactive water from Ukrainian nuclear power plants.