bluuebunny/crossref_metadata_2025 huggingface dataset:
Penyelesaian Wanprestasi Pada Jasa Penitipan Hewan di Banda Aceh
Authors: Nafila Farzana , Wardah Wardah
Published: August 2020

Penelitian ini dilakukan untuk melihat penyelesaian wanprestasi pada jasa penitipan hewan di Banda Aceh, dan menggunakan pendekatan yuridis empiris. Hasil penelitian menunjukkan bahwa pelaku usaha dan pengguna jasa penitipan hewan tidak memenuhi atau lalai melaksanakan prestasi sebagaimana yang telah ditentukan dalam perjanjian yang dibuat, yaitu hewan yang dititipkan saat diambil dalam keadaan sakit, hilang atau mati, dan bentuk wanprestasi yang dilakukan pengguna jasa yaitu tidak mengambil kembali hewan yang sudah dititipkan. Faktor penyebab terjadinya wanprestasi ialah kesalahan dan kelalaian dari pelaku usaha dan faktor kesengajaan dari pengguna jasa yang mengakibatkan kerugian materill dan immaterial. Penyelesaian wanprestasi yang ditempuh oleh para pihak yaitu negosiasi dengan penggantian kerugian berdasarkan kesepakatan bersama. Disarankan kepada pelaku usaha agar bertanggung jawab dalam melaksanakan kewajibannya serta meningkatkan syarat-syarat penitipan hewan. Bagi pengguna jasa disarankan agar memilih jasa penitipan hewan yang memiliki fasilitas yang memadai, dan bertanggung jawab terhadap hewan yang dititipkannya. The Settlement of Default in the Pet Care Services in Banda Aceh The study aims to investigate the settlement of defaults on pet care services in Banda Aceh by using an empirical juridical approach. The results showed that business owners and users did not fulfill or neglected to carry out the agreement, namely animals that were entrusted when taken in a state of illness, lost or died, and forms of default performed by service users is they are not taking back animals that have been entrusted. Factors causing defaults are errors and negligence of business operators and intentional factors of service users resulting in material and immaterial losses. Solution of defaults taken by the parties is negotiation with compensation based on mutual agreement. It is recommended to business owners to be responsible for carrying out their obligations and to improve conditions for animal care. It is recommended for users to choose a day care service that has adequate facilities and users should responsible for their entrusted pets.
Advance Care Planning and Advance Directives Completion of Elderly Patients at a Rural Health Clinic on a Regional Medical Campus
Authors: Irvin Sarah , McGowan Melissa , Zavala Adrienne
Published: August 2020

Advance care planning is the shared decision-making process between physicians, patients, and families regarding the patient’s preferences for end of life care. These conversations increase compliance with patient wishes, decrease hospitalizations, increase deaths in patient’s preferred location, and decrease depression in surviving family members3. Even though there is proven benefit from advance care planning, these discussions are often overlooked. The purpose of this study is to evaluate rates of advance care planning and advance directive completion rate of 245 geriatric patients at our rural health clinic training site. We searched the electronic medical record to determine the number of patients who were asked about advance directives, stated they had a living will or medical power of attorney (MPOA), and had a living will or MPOA scanned into their chart. Out of the study population, 45% of patients stated they had some form of advanced directives. Of these patients, 22% and 25% had a living will and MPOA scanned into their chart, respectively. This study demonstrates the need for detailed discussion about advanced care planning with patients and additional follow-up to ensure documentation is readily available.
A Regional Campus Approach to Culinary Medicine for Interprofessional Students
Authors: Holland Angel , Hudson Jonell , Haggard-Duff Lauren , Long Christopher , Worley Linda , McElfish Pearl
Published: August 2020

Purpose

The purpose of this report is to describe and discuss an innovative culinary medicine interprofessional student educational project through collaboration with community partners.  

 

Method

After adapting the culinary medicine program to meet interprofessional education requirements, students from interprofessional graduate healthcare programs on a regional medical campus participated in a culinary medicine active learning experience utilizing the Goldring© curriculum.  For this project, students completed assigned readings prior to the hands-on culinary experience which utilized a patient case scenario and an educational debrief.  Anonymous post-survey quantitative and qualitative data was collected to determine the students’ opinions of the learning experience and the application of the information learned for patient care.

 

Results

Thirty-three students from medicine, pharmacy, physical therapy, nursing, radiologic imaging science, and genetic counseling participated.  The project consisted of three separate events, entailing the same learning experience.  The students reported the learning experience to be highly valuable.  Qualitative data analysis revealed three general themes:  1) the novelty of the information learned, 2) the relevance of the information for patients from the perspective of all disciplines represented in the learning experience, and 3) the value of teamwork. 

 

Conclusions

Collaboration with a local community culinary arts school provided a unique and innovative learning opportunity for regional campus healthcare students.  The focus of the culinary medicine learning experience to include interprofessional students created a rich learning environment allowing students to learn from, with, and about other healthcare disciplines in addition to practical application of culinary medicine.  The culinary medicine program’s combination of didactic and culinary skills training was well received by students. Students had a positive response to the curriculum and experience stating that they learned information that they were excited to implement with their patients.  To our knowledge UAMS Northwest Regional Campus is the first to implement culinary medicine curriculum with IPE requirements, and it is the first regional medical campus to implement the Goldring© curriculum.
PENGARUH PENGGUNAAN JENIS GULA PADA MINUMAN COKELAT TERHADAP TINGKAT KESUKAAN PANELIS
Authors: Wijanarti Sri , Sabarisman Iman , Revulaningtyas Ika Restu , Ruspita Sari Anjar
Published: August 2020

Minuman coklat adalah salah satu produk diversifikasi cokelat yang sangat disukai oleh masyarakat. Hasil servei pada 30 orang panelis menunjukkan bahwa karakteristik sensoris yang paling menentukan bagi produk minuman cokelat adalah rasa. Tingkat rasa manis dan rasa pahit yang tepat menjadi penentu tingkat kesukaan panelis. Penggunaan jenis gula yang berbeda dapat menghasilkan karakteristik sensoris minuman cokelat yang berbeda pula sehingga mempengaruhi tingkat kesukaan konsumen. Tujuan penelitian ini adalah untuk mengetahui pengaruh penggunaan jenis gula pada tingkat kesukaan panelis.   

Pada penelitian ini dilakukan pembuatan minuman cokelat menggunakan 2 (dua) jenis gula yang berbeda, yaitu gula pasir dan gula semut. Sebanyak 15 orang panelis diminta untuk memilih salah satu diantara dua formula berdasarkan tingkat kesukaannya terhadap rasa manis, rasa pahit, rasa cokelat, rasa gurih, dan rasa keseluruhan.

Hasil menunjukkan bahwa penggunaan gula pasir menghasilkan minuman cokelat dengan karakter manis lebih tinggi sehingga sensasi rasa pahit menurun. Hasil secara keseluruhan menunjukkan bahwa 60% panelis menyukai minuman cokelat yang dibuat menggunakan gula pasir. Penggunaan gula pasir pada pembuatan minuman coklat lebih ekonomis dan lebih disukai panelis.
PENGEMBANGAN HOME INDUSTRY TEMPE “KERATON” DESA MONTORNA
Authors: Aziz Faisol , Jansen Insusmoko Adi , Aliridla Mohammad
Published: August 2020

Usaha tempe merupakan salah satu home industry yang mampu menyerap tenaga kerja dengan jumlah yang cukup besar. Penyerapan tenaga kerja umumnya terkait langsung pada bagian produksi, selanjutnya bagian penjualan. Penyerapan tenaga kerja yang cukup banyak menjadi potensi yang sangat besar untuk dikembangkan. Home Industry tempe di Desa Montorna Kecamatan Pasongsongan selain berpotensi unuk dikembangkan, namun saat ini masih memiliki kelemahan dalam manajemen serta jumlah modal yang dimiliki, sehingga perlu adanya upaya perbaikan melalui strategi pengembangan agar dapat bersaing khususnya untuk mendapatkan pangsa pasar. Pemilihan lokasi penelitian dilakukan secara sengaja dengan berbagai pertimbangan tertentu bahwa perusahaan tersebut akan mampu bersaing dalam pangsa pasar dari segi produksinya. Sampel penelitian ditentukan secara sensus karena hanya ada satu populasi. Strategi pengembangan ditentukan dengan menggunakan analisis SWOT. Berdasarkan hasil penelitian yang dilakukan di Perusahaan Home Indusry tempe “keraton” di desa montorna kecamatan pasongsongan dapat di tarik kesimpulan bahwa strategi pengembangan usaha Home Indusry tempe, adalah strategi agresif yaitu meningkatkan manajemen serta jumlah dan kualitas produksi untuk mendapatkan kepercayaan dari konsumen.
A Three-valued Approach to Strategic Abilities under Imperfect Information
Authors: Belardinelli Francesco , Malvone Vadim
Published: August 2020

A major challenge for logics for strategies is represented by their verification in contexts of imperfect information. In this contribution we advance the state of the art by approximating the verification of Alternating-time Temporal Logic (ATL) under imperfect information by using perfect information and a three-valued semantics. In particular, we develop novel automata-theoretic techniques for the linear-time logic LTL, then apply these to finding “failure” states, where the ATL specification to be model checked is undefined. Such failure states can then be fed into a refinement procedure, thus providing a sound, albeit incomplete, verification procedure.
Comparison of Effect Efficiency and Voltage Regulation Between Three-Phase Transformer Winding Connections
Authors: Baqaruzi Syamsyarief , Kasim Surya Tarmizi
Published: August 2020

A transformer is an important device in electrical processes, as we know static electricity that involves magnetically coupled coils to increase or decrease the voltage. In three-phase transformer, there are various winding connections such as delta-delta (?, ?), wye-wye (Y, Y), wye-delta (Y, ?), delta-wye (?, Y), zig-zag (Z, Z), etc. And of the many often used connection are Yy0, Yd11, Dd0, and Dy5. From these various connections, each connection has different efficiency, losses, and voltage regulation. If they are connected with resistive, inductive, or capacitive loads. This paper method has discussed a transformer connection used are Yy0, Dd0, Yd11, and Dy5 in Laboratory Konversi Energi USU to see how the influence of load changes, on voltage regulation Where a state of balance load using are resistive, inductive, capacitive, and RLC combination. The result analysis of the experiment show, the best efficiency is at Dd0 connection, when loaded condition using capacitive is average 97.87%, and the best voltage regulation is obtained at Dy5, when loaded condition using resistive is average 28.35%
TCP SYN Flood (DoS) Attack Prevention Using SPI Method on CSF: A PoC
Authors: Pratama I Putu Agus Eka
Published: August 2020

TCP SYN Flood as one kind of Denial of Service (DoS) attack, still popular to flood the server connection, by sending SYN packets to the target. Because of the risk caused by this attack, there is a need for a network security mechanism. In this paper, one of the security mechanisms proposed is using Stateful Packet Inspection (SPI) method on Configserver Security and Firewall (CSF). By using SPI method, CSF has capabilities to responsible for separating packets of data, that may be entered with data packets that should not be entered into the server. For example: port to be opened, port closed, and IP Address that may access the server for anywhere. This paper combines both of CSF and SPI method to prevent TCP SYN Flood (DoS) with Proof of Concept (PoC) at the Linux operating system. The security process is done in 3 ways: configuring a maximum connection from an IP Address to a server, securing an incoming SYN packet per second, and counting how many times an IP Address violates the minimum SYN packet rule per second before being blocked by a firewall.
Quantum Statistics in Cylindrical Time-evolution of Electrons and Physical Reality
Authors: Thuan Vo Van , Duc Dao Dinh
Published: August 2020

Due to helical cylindrical time-evolution of electrons the mankind observation at a quantum mechanical scale depends on synchronization between observers and their surrounding cosmological medium by collective dynamics. From one side, the synchronization leads to linearization of an embedded 4D space-time reminiscent of the flat Minkowski space-time. From another side, variation of the synchronization due to independent proper plane wave oscillations of each electron being constrained in a short time quantized period, implies that there only statistical averaged physical quantities are observable, which is in consistency with statistical indeterministic concept of traditional quantum mechanics.
The Ettingshausen effect in doped semiconductor superlattice under the influence of confined optical phonon
Authors: Thi Lam Quynh Nguyen , Ba Cao Thi Vi , Quang Bau Nguyen
Published: August 2020

The electron – optical phonon scattering is considered in detail to studying the Ettingshausen effect in doped semiconductor superlattice under the influence of phonon confinement and laser radiation. The analytical expressions for tensors and the Ettingshausen coefficient are obtained by using the kinetic equation method. The Ettingshausen coefficient depends on temperature of the sample, amplitude and frequency of laser radiation, magnetic field and the quantum number m specific for the confinement of phonon. The dependences are clearly displayed in the numerical results for GaAs:Be/GaAs:Si doped semiconductor superlattice. The magnetic field makes the Ettingshausen coefficient change in quantitative under the influence of temperature or laser amplitude and change the resonance condition. The numerical results show that both resonance condition and resonance peaks position are affected by the increase of quantum number m. We also get the result corresponding to the unconfined optical phonon case when m is set to zero. Due to the change of the wave function and energy spectrum of electrons, most of results for the Ettingshausen effect in doped semiconductor superlattice obtained are different from the case of bulk semiconductor. Moreover, in comparison with the case of unconfined optical phonon, under the influence of phonon confinement effect, the Ettingshausen coefficient changes in magnitude, the number and position of resonance peaks.
A Comparison Theorem for Stability of Linear Stochastic Implicit Difference Equations of Index-1
Authors: Hong Son Nguyen
Published: August 2020

In this paper we study linear stochastic implicit difference equations (LSIDEs for short) of index-1. We give a definition of solution and introduce an index-1 concept for these equations. The mean square stability of LSIDEs is studied by using the method of solution evaluation. An example is given to illustrate the obtained results.
Présentation Édition Spéciale. La migration au miroir des arts et des questions d’éthique
Authors: Giraud Cécile , Milazzo Josepha , Rouland Betty , Tartakowsky Ewa
Published: August 2020

En juin 2016 s’est tenu le troisième Séminaire annuel du Réseau Migrations, accueilli à Poitiers et cofinancé par le laboratoire MIGRINTER. Fondé deux ans auparavant par de jeunes chercheur.e.s spécialisé.e.s en études des migrations, le Réseau permet un partage des connaissances, organise des séminaires et des ateliers de recherche, ainsi qu’il favorise une mise en contact plus large, à portées nationale et internationale. Ses rencontres régulières, organisées successivement dans plusieurs lieux de la France métropolitaine, constituent des moments privilégiés d’échanges pluridisciplinaires, qui permettent d’établir de nouveaux partenariats avec les laboratoires de recherche auxquels sont rattachés les participants. Aussi, ce Réseau contribue à l’intégration des nouveaux jeunes chercheurs.
Amexica Skin: un dispositif numérique immersif, au cœur de la frontière mexicano-américaine
Authors: Marchand Sylvie
Published: August 2020

Au travers de l’espace ouvert de l’œuvre artistique "AmeXica sKin" que je présente dans cet article, je questionne mon engagement d'artiste dans l'Histoire : quelle forme donner à mon témoignage, à mon point de vue d’artiste sur le monde et sur la traversée de la frontière mexicano-américaine que j’ai expérimentée en accompagnant des migrants, – ceci au-delà des clichés véhiculés par les mass médias, la politique, les habitudes culturelles et esthétiques ? J’ai choisi d’évoquer le passage de la frontière comme un chemin d’épreuves, image symbolique du labyrinthe, matérialisation de la menace de rencontre avec la mort, mais aussi de la quête du sens de la vie. La métaphore de la frontière comme peau, et le concept de l'anneau de Möbius, structurent la forme du dispositif. Cette œuvre, échange de flux et expérience sensorielle, est au cœur des questions anthropologiques et esthétiques que pose la mutation des formes de mobilités et de migrations humaines contemporaines.
Les implications d’une proximité biographique: enquêter les femmes de l’exil chilien
Authors: Garcia Yvette Marcela
Published: August 2020

Cet article est issu des analyses d’un travail doctoral et des réflexions d’une recherche en cours sur les parcours de femmes chiliennes qui ont vécu l’exil, principalement en France. L’Unité Populaire (1970-1973) et la persécution sous la dictature (1973-1989) sont à l’origine de cet exil. Il est question de revenir sur ses caractéristiques et les expériences en terre d’asile, en particulier celles vécues par les femmes. En effet, les situations des Chiliennes en tant que migrantes et exilées passent le plus souvent en arrière-plan. De plus, l’insertion dans un nouveau pays est vécue de manière distincte selon les différentes appartenances sociales des migrant·e·s.Je me propose d’analyser la question d’une proximité biographique se traduisant par une «position proche» sur le terrain. Chercheure et enfant de réfugié·e·s chilien·ne·s, un rapport générationnel et de transmission est susceptible d’émerger. Ma position d’insider comporte de nombreuses implications dans l’enquête. Toujours est-il qu’elle suppose des avantages ainsi que des limites.Il s’agit d’analyser le cadre et les relations d’enquête, quelques aspects et choix méthodologiques ainsi que les différents éléments concernant la constitution d’une analyse et d’une enquête située. Je présenterai des exemples et des situations concrètes illustrant les dilemmes auxquels nous nous confrontons tout au long d’un travail de terrain « proche » impliquant un investissement et un travail réflexif significatifs. En outre, ces recherches mènent à de nouvelles interrogations quant à la manière d’aborder le sujet des migrations en général et de l’exil chilien en particulier. L’imbrication des rapports sociaux de sexe, de classe sociale, de racisation et de génération est examinée dans le rapport au terrain, dans la réflexion méthodologique et dans l’étude des parcours des exilées chiliennes.
PASSIM: éthique et techniques d’une posture de coopération entre sociologues et non chercheurs
Authors: Volponi Anne-Françoise
Published: August 2020

Introduction: Il s’agit de relater, en en tirant les fils réflexifs, une démarche de quinze années de recherches sociologiques menées au sein du laboratoire associatif PASSIM, (Pour l’Action en Sciences Sociales et l’Intégration en Méditerranée), laboratoire hybride dont tous les axes de recherche abordent la problématique de "l’hospitalité" et font donc la part belle à la question migratoire, avec le souci d’associer les citoyens à ses travaux par tous les moyens scientifiques possibles. Il s’agit au final d’objectiver le souci éthique du sociologue, inextricablement lié à l’esprit et la lettre de sa pratique.Méthode: sociologie pragmatique et compréhensive; participative; réflexive.Résultats: initiation de dynamiques coopérative de recherche en sociologie.Discussion: savoir si l’éthique est centrale et inévitable.
L’ «empathie méthodologique», une position éthique du chercheur face à des migrants en situation précaire
Authors: Puaud David
Published: August 2020

Introduction: Cet article vise à décrire une position éthique du chercheur sur le terrain, particulièrement adaptée aux études migratoires: l’ «empathie méthodologique».Méthodologies: J’ai pu expérimenter celle-ci durant une recherche-action menée auprès de mineurs non accompagnés accueillis en hôtel d’urgence entre 2015 et 2016.Résultats: Cette position permet de questionner les limites de l’engagement d’un chercheur confronté à la souffrance de migrants en situation précaire. Elle favorise, dans la durée, des échanges permettant de recueillir des données sensibles (rapport au parcours migratoire, à l’aide sociale). Sur le terrain, l’empathie méthodologique favorise le développement d’une position éthique d’hospitalité qui nécessite cependant un «engagement raisonné» dans la relation avec les enquêtés: entre un «partage du sensible» qui fait exister un commun, mais qui révèle également les places, et les écarts entre le chercheur et le sujet migrant.Conclusion: C’est à cette condition que ces matériaux peuvent être supports à la production de données scientifiques. L’empathie devient alors une méthode d’enquête alliant savoirs pratiques et connaissances théoriques.
Classroom Guidance Strategy with Flipped Method in Guidance and Counseling Services at Indonesia Schools in the Digital Era
Authors: Mulawarman Mulawarman , Susilawati Susilawati , Syifa Layyinatus , Rifani Endang
Published: August 2020

The demand for a better education system will result in not only a better academic achievement but also students with better character. Particularly in this digital era, it is very important to integrate technology in the process of guidance and counseling services at schools. This article aims to provide a critical review of implementation and application of classical guidance with format flipped classroom in coping with the advance of technology as an effort that can be made by school counselors in order to make innovation in guidance and counseling service at schools. This research method is a literature study. This study collected and analyzed relevant journals related to the use of flipped classroom. Class guidance with flipped classroom format has the potential to help school counselors to manage classical guidance and stimulate students to be active, communicative, and contributive to the process of guidance so that the topic presented can be addressed directly. In addition, by doing this, it is expected that students can develop themselves well in their social, academic, and career life. School counselors can use flipped classroom guidance to make innovation in performing classroom guidance services. The steps to perform flipped classroom guidance, in brief, are determine the topic to be discussed based on the need of the student, creating service program plan, then setting up the activities that the students will do in pre-class activity and inside the class, the implementation of the activities and evaluation, and follow up.
Students Perception about Counselors Communication Skills: The Differences Based on Gender and Grades in Junior High Schools
Authors: Awalya Awalya , Suharso Suharso , Rifani Endang , Syifa Layyinatus , Saputra Fikie , Susilawati Susilawati , Anggraini Weni
Published: August 2020

Individual counseling services which are not in line with the procedures and goals may lead to students’ negative perceptions. To know this, there are several indicators to be examined whether the services have been in line with the procedures or not, such as listening skills, techniques used, goal setting, and others. Regarding these preliminary findings, this study aimed at describing students’ perceptions of individual counseling services provided by counselors in Semarang, Indonesia and its differences in terms of counselor communication skills based on genders and grades. Survey method with cross-sectional technique (n=709) was employed to investigate this issue. To determine students’ perception of the implementation of individual counseling by the counselor, the authors used MANOVA and multidimensional descriptive analysis. The findings showed that according to gender, male students had lower perceptions of the individual counseling given by counselors than female students. Further, differences in perceptions based on grades are also discussed in this article.
Nível de atividade física e uso de drogas lícitas em universitários
Authors: Talarico Neto Thomaz , Hahns  Júnior Higino Carlos , Fernandes Lucas Argenton , Teixeira-Arroyo Claudia , Silva Tiago Pedicini Ferreira da
Published: August 2020

A entrada no Ensino Superior (ES) pode acarretar algumas mudanças na vida dos jovens, a integração com um novo grupo social somado a novas responsabilidades podem gerar uma diminuição em seus níveis de Atividade Física (AF). Ainda, fatores estressores podem motivá-los ao uso de drogas lícitas, causando prejuízos nesta população. Sendo assim, o objetivo do estudo foi avaliar o nível de AF, e o grau de dependência alcoólica e do tabaco em estudantes de uma rede de ensino superior. Para tal, participaram do estudo 204 universitários (49,5% homens e 50,5% mulheres) com média de idade de 22 ± 5 anos. O nível de AF foi avaliado através do International Physical Activity Questionnaire (IPAQ) versão longa. Para Alcoolismo e tabagismo, foram utilizadas as ferramentas CAGE e FAGERSTROM, respectivamente. A aplicação dos instrumentos foi feita via online, na plataforma Google docs. Como resultados, a maioria (71%) dos estudantes trabalham de forma remunerada. Grande parte alcançou um nível “Alto” de atividade física (64,21%). Relacionado ao consumo de álcool, 91,7% apresentaram classificação “Não Abusiva”, porém, 24,5% afirmaram ter aumentado o consumo após ingresso no ES. Sobre uso de Nicotina, 96,5% dos participantes declararam não fumar, dentre os fumantes, 42,85% apresentaram “Alto Nível” de dependência, e ainda 32% aumentaram o uso após o ingresso no ES. Pode-se concluir que os avaliados são em prevalência ativos, e a maioria não apresenta uso abusivo de álcool e tabaco. Ainda, o bom número de não fumantes pode ser fruto de políticas públicas antitabaco.
A associação da mudança no estilo de vida com a terapia farmacológica no tratamento da Síndrome dos Ovários Policísticos (SOP)
Authors: Teixeira Silva Isabelle Salomão , Costa Ana Luiza Melo Lima , Araújo Henrique Fagundes dos Anjos , Soares Laura Lustosa , Ribeiro Mylena Jorge Alarcon , Araújo Rafael Fagundes dos Anjos , Santos Tainá Natany Brandão dos , Leão Thaís Lany de Oliveira , Lopes Adriel Gustavo
Published: August 2020

Objetivo: Abordar as estratégias terapêuticas no manejo da Síndrome dos Ovários Policísticos (SOP), sendoo foco dessa obra a análise do impacto das alternativas terapêuticas farmacológicas e de mudanças de estilode vida no tratamento dessa síndrome, elucidando quais são as terapêuticas mais adotadas, seus efeitos eeficácias. Métodos: Trata-se de uma revisão integrativa de artigos do ano 2015 a 2020, cuja finalidade édiscorrer sobre o arsenal terapêutico frente à SOP. Resultados: A primeira opção a ser indicada a todas aspacientes é a mudança de hábitos de vida, entretanto, embora seja primordial, existem empecilhos para aeficácia dessa modalidade devido à variedade psicossocial das portadoras dessa síndrome e da dificuldadede adesão. Frente a isso, conta-se também com a terapia medicamentosa que deve ser avaliada em conjuntocom a realidade clínica e social da paciente. Conclusão: A mudança de estilo de vida é estabelecida comoprimeira linha de intervenção para tratamento e manejo da SOP, devendo ser prescrita e incentivada a todasas pacientes. Contudo, existem limitações no que diz respeito às intervenções não-farmacológicas. Dito isso,as alternativas medicamentosas devem ser associadas de forma responsável.
A importância do cuidado farmacêutico na prevenção e tratamento de doenças cardiovasculares
Authors: Ribeiro Leonardo Coutinho
Published: August 2020

Objetivo: Apresentar as demandas relativas à atividade clínica do farmacêutico na prevenção e tratamento de doenças cardiovasculares, por meio de uma revisão narrativa que destaca os benefícios da participação deste profissional nas equipes de cuidados de saúde. Revisão Bibliográfica: As doenças cardiovasculares (DCVs) são responsáveis, anualmente, por milhões de óbitos em todo o mundo. A elevação da expectativa de vida e da incidência dos fatores de risco cardiovascular, como diabetes e a hipertensão arterial não controlada, representam os principais motivos do crescente aumento das DCVs nos últimos anos. O farmacêutico, por ser capacitado para identificar e solucionar problemas relacionados ao uso de medicamentos, pode oferecer significativa contribuição à equipe multiprofissional de saúde no que tange aos cuidados e segurança do paciente. Considerações finais: Embora a atuação clínica do farmacêutico na prevenção e tratamento de DCVs ainda seja discreta nos serviços brasileiros de saúde, é possível constatar que a participação do referido profissional nas equipes multiprofissionais de cuidados de saúde pode melhorar a qualidade da assistência aos pacientes, contribuindo para a redução da incidência de erros relacionados à terapia medicamentosa e na melhoria dos resultados terapêuticos relativos à segurança e eficácia dos medicamentos.
Caracterização epidemiológica da tuberculose em Teresina, Piauí – Brasil
Authors: Leal Bianca de Sousa , Silva Renato Santana Vieira da , Macêdo Kécya Patricia Costa , Carvalho Felipe da Silva , Vaz Jéssica Larissa Sousa , Costa Soliane Cristina Rodrigues , Lima Verde Roseane Mara Cardoso , Nascimento Matheus Hipólito do , Soares Leonardo Ferreira , Neto Bernardo Melo , Oliveira Evaldo Hipólito de
Published: August 2020

Objetivo: Descrever as características epidemiológicas e espaciais dos casos notificados de tuberculose em moradores do município de Teresina, Piauí, Brasil, entre os anos de 2010 a 2018.  Métodos: Realizou-se um estudo epidemiológico de caráter retrospectivo, descritivo e quantitativo acerca dos casos confirmados e notificados de tuberculose no município de Teresina - PI, entre os anos de 2010 e 2018. Os dados foram coletados no mês de março de 2019, através do Sistema de Informação de Agravos de Notificação (SINAN). Analisaram-se as variáveis a seguir: ano e município de notificação, zona de residência, sexo, faixa etária, raça, escolaridade, tipo de entrada, forma clínica, doenças associadas (AIDS, alcoolismo, diabetes, doença mental, tabagismo e drogas ilícitas), 1º e 2º baciloscopia e cultura de escarro, e situação de encerramento. Resultados: Teresina foi a oitava capital nordestina com maior número de registros nesse período (4.521 casos), apesar da redução significativa a partir de 2013. Conclusão: A análise dos dados, permitiu constatar a relevância da implementação de políticas públicas voltadas para o diagnóstico precoce, prevenção primária e cuidados secundários.
Sistem Boarding School Dalam Membentuk Kemandirian Siswa Madrasah Aliyah Negeri 1 Kota Pekalongan
Authors: Khoiruzzadi Muhammad , Luqmanul Hakim Muhammad
Published: August 2020

Penelitian ini bertujuan untuk mengetahui kegiatan yang ada dalam sistem boarding school, dan bentuk kemandirian siswa di boarding school di MAN 1 Kota Pekalongan. Penelitian ini termasuk dalam penelitian lapangan dengan pendekatan kualitatif deskriptif. Data didapat dari hasil wawancara dengan kepala asrama, pengasuh asrama putra dan 3 siswa boarding school, dan hasil observasi terkait pembelajaran guru dan kemandirian siswa. Analisis data yang digunakakan menurut Miles dan Huberman, yaitu: reduksi data, penyajian data, dan penarikan kesimpulan. Hasil dari penelitian ini bahwa boarding school bertujuan membentuk siswa yang mandiri, baik secara emosional, ekonomi, intelektual, dan sosial. Bentuk kemandirian siswa di boarding school seperti mencuci pakaian, mencuci peralatan masak, membersihkan tempat tidur sekaligus kamarnya. Kemandirian siswa dibentuk karena pembiasaan dari seluruh kegiatan yang ada di boarding school dan pengulangan-pengulangan sebagai penguat dari sikap mandiri yang sudah dimiliki siswa. Sehingga diharapkan, ada penelitian khusus kesadaran diri siswa selama di boarding school MAN 1 Kota Pekalongan.
How (Carbon) Negative Is Direct Air Capture? Life Cycle Assessment of an Industrial Temperature-Vacuum Swing Adsorption Process
Authors: Deutz Sarah , Bardow André
Published: August 2020

Current climate targets require negative emissions. Direct air capture (DAC) is a promising negative emission technology, but energy and materials demands lead to trade-offs with indirect emissions and other environmental impacts. Here, we show by Life Cycle Assessment (LCA) that the first commercial DAC plants in Hinwil and Hellisheiði can achieve negative emissions already today with carbon capture efficiencies of 85.4 % and 93.1 %. Climate benefits of DAC, however, depend strongly on the energy source. When using low-carbon energy, as in Hellisheiði, adsorbent choice and plant construction become important with up to 45 and 15 gCO2e per kg CO2 captured, respectively. Large-scale deployment of DAC for

1 % of the global annual CO2 emissions would not be limited by material and energy availability. Other environmental impacts would increase by less than 0.057 %. Energy source and efficiency are essential for DAC to enable both negative emissions and low-carbon fuels.
The role of capecitabine and eribulin in the treatment of metastatic HER2-negative metastatic breast cancer
Authors: Kolyadina I V , Poddubnaya I V
Published: August 2020

The review analyzed the role of capecitabine and eribulin in the treatment of HER2-negative metastatic breast cancer in patients pretreated with anthracyclines and taxanes. The mechanism of the antitumor action of capecitabine and eribulin, the efficacy in various biological subtypes of breast cancer and safety of treatment is described. The results of a comparative analysis of the efficacy and safety of eribulin monotherapy compared with capecitabine therapy as a second-line treatment for advanced HER2-negative breast cancer are presented.
Vliyanie na prognoz estrogenovykh retseptorov a v opukholevykh kletkakh u patsientov, radikal'no operirovannykh po povodu nemelkokletochnogo raka legkogo
Authors: Novikov D V , Polotskiy B E , Bogush T A , Davidov M M , Ahmedov B B , Rotobelskaya L E
Published: August 2020

Aim. Evaluation of prognostic role of estrogen receptors a (ERa) expression level at patients with non-small cell lung cancer (NSLC) after surgical treatment. Methods and materials. 115 clinical cases of patients who underwent treatment in N.N.Blokhin Russian Cancer Research Center fr om 2009 to 2016 were studied. There were 95 males and 20 females. All patients had NSLC confirmed by histological analysis and followed-up for long term results. Results. There was no statistical evidence that the level of estrogen a expression in tumor cells has an impact on relapse free survival among men with both adenocarcinoma and squamous cell carcinoma of the lung. Similar results were obtained for women group. Also, no correlations between overall survival and the level of estrogen a expression were noticed among men and women. Thus ERa can’t be used as a predictor marker for patients with NSLC. Conclusion. The level of ERa expression in tumor cells among male patients does not influence on disease prognosis regardless stage of the disease and tumor morphology and can’t be used as a prognostic factor. The impact of the ERa expression level in tumor cells among female patients on disease prognosis is questionable.
Clinical prognostic factors of bilateral synchronous renal cancer
Authors: Komarov M I , Matveev V B , Volkova M I , Komarov I G , Ridin V A
Published: August 2020

The aim of the study is to assess the positive and negative prognostic factors of survival in patients with bilateral synchronous renal cancer (BRC). Materials and methods. The study was conducted on the basis of N.N.Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation. Cohort of patients with the synchronous BRC consisted of 160 patients between 1996 and 2014. All patients after finishing treatment were observed on an ambulatory basis during the period from 11 months to 12 years (median follow-up 81.05±46.7 months). We studied factors affecting 5-year survival rate, both positive and negative. Statistical analysis of the obtained results carried out using generally accepted statistical methods such as SPSS 23.0 - block of programs for Windows. Results. In case of synchronous BRC in 2/3 (65%) of patients the first kidney was operated on using organ-preserving surgery, in 1/4 of patients (n=21, 26.2%) both kidneys were operated on using organ-preserving surgery. In case of synchronous renal cancer the best results of survival, but without statistical significance (p=0.112) had patients with bilateral renal cancer who operated on using organ-preserving surgery. The 10-year overall survival in this group of patients was 90.5% in comparison with 62.5% - when nephrectomy was performed on the first stage and 76.4% in patients who had nephrectomy performed because of the renal cancer in the second kidney. Conclusions. The main factors affecting the 5-year survival rate of patients with synchronous BRC were: smoking, primary tumor size, age and type of surgery.
Differential diagnosis of lung cancer and tuberculosis: review
Authors: Belova O S , Komarov I G
Published: August 2020

The neglect of lung cancer and the unsatisfactory results of its treatment depend to a large extent on untimely diagnosis in the early stages of the disease. The reason for this is the absence of pathognomonic clinical signs and a specific radiographic picture of early lung cancer, which has to be differentiated from other respiratory diseases, including those occurring with infiltrative changes. According to statistical data, hyperdiagnosis of infiltrative pulmonary tuberculosis in patients with oncological diseases of the respiratory system was from 14 to 39%, which leads to long-term monitoring of patients with lung cancer in phthisiological institutions with anti-tuberculosis therapy, which causes delays in the treatment of patients with lung cancer. The pronounced visual similarity of various pathological processes of the lungs, the mixed incidence and immunodeficiency combined with subjective factors, such as gaps in the training of doctors, omissions in the survey method and the lack of continuity, can collectively be the cause of differential diagnostic errors. This article describes the similarities and differences between these diseases, the main causes of erroneous diagnosis, as well as the prospects for the development of modern diagnostic methods.
Quality control of immunohistochemical analyzes in Russia: yesterday, today, tomorrow
Authors: Kolyadina I V , Frank G A , Poddubnaya I V , Andreeva Yu Yu , Zavalishina L E
Published: August 2020

The opening of the Russian program of quality control of immunohistochemical analyzes will increase the quality of diagnosis and treatment of malignant tumors, as well as optimize financial costs of oncology.
Non-small cell lung cancer with the tracheal bifurcation involvement. Carinal pneumonectomy or chemo-radiation therapy?
Authors: Dadyev I A , Davydov M M , Shogenov M S , Abdullaev A G , Ibraev M A , Filatov A A
Published: August 2020

The aim of the study: the aim of this study was to compare the immediate and long-term results of treatment of patients with non-small cell lung cancer with involvement of tracheal bifurcation, which were underwent pneumonectomy with resection of the tracheal bifurcation or radical chemo-radiation therapy (CRT). Materials and methods. We conducted a retrospective non-randomized clinical study with following groups of patients: 1) 65 patients who underwent pneumonectomy with resection of the tracheal bifurcation; 2) 30 patients to whom CRT was performed. Evaluation of the effectiveness of immediate and long-term results was carried out by statistical processing using the Statistic 6.0 program. A case-control analysis was performed to compare two groups. The time of the operation, intra- and postoperative complications was estimated depending on the type of resection of the tracheal bifurcation. Results. The complication rate was 46.1% in the surgical group. In the CRT group complications developed in 13 (43.3%) patients. The overall 1-, 3-, 5-year survival rate in the group of patients with surgical treatment was 56.92, 31.7 and 26.1%, respectively. The median overall survival was 14.5 months. Indicators of 1-, 3-, and 5-year survival in the group of patients who underwent radical CRT were 31.6, 24.4, 16.2%.
The effectiveness of targeted therapy in the treatment of common forms of ovarian cancer
Authors: Saevets V V , Vazhenin A V , Chernova L F , Shimotkina I G , Kurchenkova O V , Mukhin A A , Taratonov A V
Published: August 2020

Purpose of the study. To evaluate the effectiveness of the targeted drug bevacizumab (Avegra®) in the complex treatment of patients with common forms of ovarian cancer after suboptimal cytoreductive surgical interventions. Materials and methods. For the period from January 2017 to November 2018. A clinical study included and treated 71 patients with a diagnosis of ovarian cancer, stage IIIC-IV disease. The prevalence of the tumor process was estimated according to the classification of FIGO and TNM (2009). Patients were randomized into two groups. The first group included 31 patients, the treatment was carried out according to the scheme: paclitaxel 175 mg/m2, carboplatin AUC 6, bevacizumab 15 mg/kg with an interval of 21 days. The second group (control group) included 40 patients who received standard drug therapy. Interval suboptimal cytoreductive surgery was performed in all patients - hysterectomy with appendages, epiploic resection, peritonectomy. Evaluation of the effectiveness of immediate and remote The results were carried out by the method of statistical processing using the program Statistic 6.0. Results. According to the criteria of RESIST 1.1 in the first group, a complete response was registered in 25.8%, a partial response in 51.6%, stabilization of the disease in 12.9%, progression of 9.6% of cases. In the second group, the complete response was in 20% of cases, a partial response was 45%, stabilization was 22.5%, progression was 12.5%. The median overall survival in the first group was 16.5 months аgainst 10.1 months in the second group.
Transthoracic biopsy under the control of computer tomography as a method for safe and effective morphological verification of the tumors of the chest cavity
Authors: Perepelevskiy Alexandr N , Kiselev Igor L , Nikulin Andrey I , Perepelevskaya Yuliya E , Frolova Ekaterina Yu
Published: August 2020

Verification of volumetric peripheral neoplasms of the lung is quite a challenge for the modern minimally invasive methods of diagnosis. Aim. Application of transthoracic trepan biopsy of the thoracic cavity organs under the control of computed tomography to obtain morphological material with high accuracy and to make a correct diagnosis. Materials and methods. From January 2017 to December 2017 103 patients underwent a transthoracic biopsy of lung tumors and mediastinum under the control of computer tomography. Results. The effectiveness of the study was 96.2%. Complications in the form of post manipulation pneumothorax developed in 8.5% of cases. This technique is safe and effective and should be used in the daily diagnosis of tumors of the cavity chest.
Staging and identification of risk groups in pediatric germ cell ovarian tumors
Authors: Nechushkina Innesa Viktorovna , Nechushkina Valentina M , Boychenko Elena I , Susuleva Natal'ia A , Kazantsev Anatolii P , Kerimov Polad A , Nechushkin Mikhail I , Rubansky Mikhail A
Published: August 2020

Data on the staging and identification of the risk groups in pediatric germ cell ovarian tumors are presented in the review of the literature. Both staging and risk group identification are significantly different from accepted for adult patients.
Complex radiologic imaging of early breast cancer (literature review)
Authors: Aliyeva Giunel S , Korzhenkova Galina P , Kolyadina Irina V
Published: August 2020

Clinicoroentgenological diagnosis of early breast cancer - BC (non-invasive or invasive small-sized cancers) is difficult due to the absence of any characteristic clinical symptoms and pathognomonic roentgenological signs of the malignant process. Screening of BC has shown to be one of the most successful projects for early diagnosis of malignancies, but the probability to receive false negative results using screening mammography reaches 12%, and, on the one hand, this is due to interval cancers, and on the other hand - to defects in the primary screening. Among the factors associated with the likelihood of ineffective screening of BC, the most authors highlight such as high breast density, preceding the breast biopsy for a benign process, young age, as well as the use of hormone replacement therapy. The main methods of instrumental BC diagnostics are mammography, ultrasound (US), magnetic resonance imaging (MRI) and positron emission tomography (PET). Mammography is the "gold standard" for both screening and best diagnostics, but is characterized by a high proportion of both false positive and false negative results, and this can be partially solved by the use of digital mammography with tomosynthesis (performing a series of mammography images obtained at different angles and producing the focused 3-D images). Contrast enhanced mammography allows to identify angiogenesis in the area of the predicted malignancy, but is characterized by a high radiation exposure. Breast ultrasound is characterized by low specificity of the method and the high dependence of the result of data interpretation depending on physician qualifications. MRI of the breast for screening is characterized by high sensitivity, but also high cost and high proportion of false positive results. The role of PET/computer tomography in the diagnosis of early BC remains unclear, and the informative value of research in patients with nonpalpable tumors is extremely low. The roentgenological picture of early BC is widely variable; characteristic features include the presence of clustered calcifications, lumps with jagged edges, rough multinodular lumps. However, in a significant proportion of women the only manifestation of early BC is the presence of microcalcinates. Careful analysis of the localization and the shape of microcalcinates and basic characteristics allows correctly interpret the roentgenological diagnosis and helps to choose the optimal diagnostic and treatment algorithm.