bluuebunny/crossref_metadata_2025 huggingface dataset:
"Berpikir Kritis Guna Mencapai Asuhan Keperawatan Bermutu Tinggi"
Authors: Sari Suci Denita
Published: October 2019

ABSTRAKBerpikir kritis dalam keperawatan merupakan sebuah komponen esensial dalam tanggung gugat profesional dan asuhan keperawatan yang bermutu tinggi. Para pemikir kritis dalam keperawatan memperlihatkan kebiasaan berfikir seperti ini : percaya diri, perspektif kontekstual, kreativitas, fleksibilitas, rasa ingin tahu, integritas intelektual, intuisi, berpikiran terbuka, tekun, dan refleksi. Berpikir kritis berujuan untuk mengasah berpikirnya seorang perawat dalam menentukan dan memutuskan masalah. Dengan metode kualitatif, akan mendorongnya kesadaran perawat dalam menerapkan berpikir kritis, agar dicapainya asuhan keperawatan yang sesuai dengan standar praktik keperawatan. Para pemikir kritis dalam keperawatan melatih keterampilan kognitif dalam menganalisis, menerapkan standar, membedakan, mencari informasi, memberi alasan logis, memperkirakan, dan mengubah pengetahuan. Untuk melaksanakan proses keperawatan tersebut perawat dituntut melakukan aktifitas kognitif dalam berpikir tingkat tinggi dalam proses keperawatan mulai dari tahap pengkajian, diagnosis keperawatan, perencanaan keperawatan, pelaksanaan dan evaluasi yang merupakan standar praktik keperawatan profesional sehingga pelayanan yang diberikan oleh perawat lebih bermutu sesuai dengan tujuan dan kepuasan bagi pasien.
Menerapkan Proses Keperawatan dalam Meningkatkan Kinerja Perawat
Authors: Ginting Charine Aldina
Published: October 2019

Latar belakang: Proses keperawatan merupakan metode ilmiah yang dipakai dalam memberikan asuhan keperawatan yang profesional. Perawat dalam menghadapi klien dengan segala macam kasus, dan melayani klien pada semua tingkat usia juga harus menggunakan proses keperawatan.Tujuan: Kajian ini bertujuan untuk memahami penerapan proses keperawatan dalam meningkatkan kinerja perawat karena Proses keperawatan mencakup lima tahap yang konsisten sesuai dengan perkembangan profesi perawatan Metode: Kajian ini menggunakan literature review berdasarkan buku teks, buku referensi, jurnal e-book (10 tahun terakhir) dengan menganalisis, eksplorasi, dan kajian bebas.Hasil: Penerapan proses keperawatan dalam memberikan asuhan keperawatan kepada klien adalah untuk menyelesaikan masalah. Proses keperawatan juga dapat dipergunakan untuk menyusun suatu intervensi yang bertujuan mengubah suatu situasi yang lebih kondusif dalam membantu mempercepat menyelesaikan masalah klien yang sangat kompleks.Pembahasan: Peningkatan proses keperawatan akan diikuti dengan meningkatnya kinerja perawat. Dalam hal ini perawat bukan hanya menerapkan asuhan keperawatan saja tapi perawat juga dapat mengembangkan kemampuan yang dimiliki supaya pasien puas atas pelayanan yang diberikan melalui proses keperawatan. Penutup: Penerapan proses keperawatan yang optimal di rumah sakit akan mendukung peningkatan kinerja perawat sebagai layanan kesehatan. Kualitas pelayanan kesehatan harus dimulai dari kebutuhan pasien dan berakhir dengan kepuasan pasien serta persepsi positif terhadap kualitas pelayanan.
PENGAPLIKASIAN ASUHAN KEPERAWATAN KELUARGA PADA PENDERITA DIABETES MELLITUS
Authors: Husnah Rizky Asmaul
Published: October 2019

Diabetes mellitus is a chronic disease that lasts long term, where blood glucose levels pass within normal limits. Family is also one of the support systems that can be utilized in providing nursing services and management of patients with diabetes mellitus. Support and good family behavior can affect the compliance of patients with diabetes mellitus in treatment.
"Langkah - langkah proses keperawatan"
Authors: Oktavianti Lusiana
Published: October 2019

Latar Belakang: Proses Keperawatan adalah suatu metode yang sistematis dan terorganisasi dalam pemberian asuhan keperawatan, yang difokuskan pada reaksi dan respons unik individu pada suatu kelompok atau perorangan terhadap gangguan kesehatan yang dialami, baik actual maupun potensial. Tujuan: mengidentifikasi kebutuhan perawatan kesehatan klien,menentukan prioritas. Metode: Metode ini menggunakan metode kualitatif. Berlandaskan teori dari buku atau jurnal atau e-book ataupun sumber informasi lainnya yang memuat informasi dengan pembahasan langkah-langkah proses keperawafan. Hasil: perawat memahami setiap dari langkah-langkah proses keperawatan dalam menentukan tindakan asuhan keperawatan dan mengambil keputusan dengan aman dan tepat. Pembahasan: Langkah-langkah pada proses keperawatan adalah mengumpulkan informasi, menentukan diagnosa keperawatan aktual atau potensial, mengidentifikasi hasil yang dapat diukur dan menggambarkan respon pasien, mengembangkan intervensi individu yang bertujuan mencapai hasil, mengevaluasi kemajuan pencapaian tujuan, menilai rencana keperawatan didasarkan pada penggunaan proses keperawatan. Penutup: Proses keperawatan terdiri dari lima tahap, yaitu : pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi.
Can mindfulness be too much of a good thing?
Authors: Britton Willoughby
Published: October 2019

Previous research has found that very few, if any, psychological or physiological processes are universally beneficial. Instead, positive phenomena tend to follow a non-monotonic or inverted U-shaped trajectory where their typically positive effects eventually turn negative. This review investigates mindfulness-related processes for signs of non-monotonicity. A number of mindfulness-related processes—including, mindful attention (observing awareness, interoception), mindfulness qualities, mindful emotion regulation (prefrontal control, decentering, exposure, acceptance), and meditation practice—show signs of non-monotonicity, boundary conditions, or negative effects under certain conditions. A research agenda that investigates the possibility of mindfulness as non-monotonic may be able to provide an explanatory framework for the mix of positive, null and negative effects that could maximize the efficacy of mindfulness-based interventions.
Predictors of Creativity in Young People: Using Frequentist and Bayesian Approaches in Estimating the Importance of Individual and Contextual Factors
Authors: Asquith Sarah , Wang Xu , Quintana Daniel S , Abraham Anna
Published: October 2019

The development of creativity in young children has been studied extensively, but relatively few studies have examined the period of adolescence and emerging adulthood in relation to creative potential. The present study employs a combination of frequentist and Bayesian analyses to evaluate the impact of individual factors (e.g., IQ) and contextual factors (e.g., pursuit of creative hobbies) on creative ideation in three cohorts of young people aged 14-20 years. Measures of divergent thinking, specifically the Alternate Uses Task (AUT) and the Overcoming Knowledge Constraints Task, were used to this end. Openness to aesthetic and imaginative experience was the strongest predictor of creative potential for the three AUT measures. Moreover, Bayesian hypothesis testing revealed that the best predictive model for AUT ideational fluency and AUT overall originality was one that included only Openness, whereas the best predictive model for AUT peak originality, or the propensity to generate highly original responses, included Openness, as well as IQ and Engagement in Creative Hobbies. No group differences in creative potential were found between the three age cohorts (aged 14-15, 16-17, and 18-20). The study not only confirms the importance of openness to aesthetic and imaginative experience as a predictor of creative potential in adolescents and young adults, but also indicates the necessity to consider the combined and differentiated impact of individual and contextual factors in different facets of creative ideation.
Indigenous Language Teaching: Principles and Experiences of Activity Based Language Learning in Scottish Gaelic Karate Classes
Authors: Mearns Alexander B.
Published: October 2019

This paper describes first-hand trials and experience in the development of an activity-based language learning programme to investigate and to improve Gaelic language acquisition and cultural awareness for children in Gaelic Medium Education in two areas of the Highlands and Islands of Scotland. This on-going activity programme began in 2008 to help support language usage and accuracy which is often not achieved in school. Four basic design principles have emerged which have been helpful in progressing the children’s language acquisition. These are that to focus on specific language goals is helpful, repetition is necessary, that vocal guides to an activity increase participant’s learning and enjoyment and finally that it is helpful to embed the language in culture. Although the examples described in this paper are specific to Gaelic, it is hoped that these four principles will be helpful in the design and implementation of any other programme of language learning through activities.
Implementing Context-Based Learning in Science Instruction: A Study on Science Literacy Improvement within Topics of Earthquake and Flood
Authors: Ulfah Anna Farhiya
Published: October 2019

The goal of this research is gaining description on science literacy improvement of junior high school students regarding the topics of earthquake and flood as an effect of Contextual Based Learning (CBL) implementation during science instruction. Quasi-experiment serves as the method of this study with non-equivalent control group pre-test post-test design. Jigsaw cooperative learning method functions as the control treatment. Research subjects involve 52 students of grade VII in a state junior high school in Bandung Regency, West Java. Those research subjects are divided into two classes namely experiment class and control class. The instrument used to collect relevant data is science literacy test covering aspects of science content, science competence, and attitude towards science. Two independent sample t-test is applied to analyze the comparison of science literacy improvement reached between experiment and control class. The result of statistical calculation for two independent sample t-test N-gain using version 23 SPSS software shows a significant value of 0.00 < α. 0.05 for all aspects. The findings indicate that CBL implementation during science instruction within topics of earthquake and flood is proven to be valid to improve students’ science literacy compared to jigsaw cooperative model.
The Effect of Trade Openness on Income Inequality with the Role of Institutional Quality
Authors: Goh Lim Thye , Law Siong Hook
Published: October 2019

This study investigates the effect of trade openness on income inequality using the panel system generalised method of moments (GMM). The sample countries consist of 65 developed and developing countries and the time period covers from 1984 to 2012. This study also provides new evidence that sheds light on the role of institutional quality in influencing the effectof trade openness on income inequality. The empirical results reveal that trade openness tends to increase income inequality. In addition, the marginal effect also revealed that institutional quality has a corrective effect on the trade openness – income inequality nexus.
Zaštita od buke - zvučne barijere
Authors: Grubeša Sanja , Petošić Antonio , Suhanek Mia , Đurek Ivan
Published: October 2019

SUMMARY: This paper deals with the issue of noise as an environmental pollutant, and furthermore it suggests possible solutions for this issue. Sound is a form of energy transmitted by sound waves. In general, sounds may be perceived as desirable or undesirable. Sounds which are considered undesirable and unwanted can be observed as noise, however the perception of sound in general is significantly subjective and individual. In particular, one person can perceive a certain sound as pleasant, whereas another could characterize it as annoying, unpleasant, and generally undesirable. This paper explains the term “noise” in detail, noise indicators as numerical values, and the ways noise can have a negative impact on people. Even today, noise pollution is often neglected compared to other environmental pollutions (i.e. water pollution, soil pollution, air pollution etc.). However, exposure to noise has an accumulative character. The consequences are noticeable after a prolonged exposure and can manifest themselves as bad mood, fatigue, insomnia, headache and loss of concentration, thereby having a direct influence on the quality of life. The focus of this paper is traffic noise and acoustical solutions which can reduce it. The dominant part of sound energy produced by traffic is in the middle-frequency range, which coincides with the range of maximum sensitivity of human hearing. When planning a new traffic route the negative influence of noise on people and the environment can be reduced by choosing the route which is remote from populated areas. In cases when the roads are fitted into the existing terrain and near populated areas, they can be equipped with protective noise barriers. The paper gives a detailed explanation on what noise barriers are, and an overview of different types of noise barriers that are currently in use. In addition, the advantages and disadvantages of different types of noise barriers are discussed.
PERSON ORGANIZATION FIT: SPIRITUAL WAY TO BOOST PERFORMANCE
Authors: BAYKAL Elif
Published: October 2019

Person-organization fit (P-O fit) is a psychological state wherein employees feel themselves in congruance with their organizations..  Value-congruence is an important antecedent of P-O fit. That is why, in this study, it is assumed that or individuals experiencing connection with their spiritual realities and having overlapping values with the organizations they belog to will feel higher quality fit with their organizations. Hence, they can gain the opportunity to experience their personal values and spirituality at workplace. In the study workplace spirituality, one of the focal points of the study, can be conceived as an intrinsic motivator  making employees feel more motivated, hopeful, energized, harmonious with their own selves and connected with their work With this study, the possible effects of workplace spirituality on P-O fit were intended to be explained. Moreover, it has been aimed to examine whether P-O fit has positive effects on in-role and extra-role performances. The sample of the study was composed of Turkish academicians from different universities. Field research of the study conducted through online and face-to-face surveys and 199 usable surveys were obtained. The related data has been examined in SPSS 20. Results of the study has revealed that workplace spirituality has a positive effect on person-organization fit and this fit perception has positive effects on both in-role and extra-role performances.
Study of the Physical and Chemical Behavior of Activated Carbon in the Permeable Concrete for Light Traffic Paving
Authors: Da Silva Ednei Bruce , Sanches Antônio Estanislau , Barbosa de Alencar David , Izel Mike Jordan Braz , Oliveira Bezerra Camily Murrieta Vasconcelos , Tavares Amorim Francisco Carlos , Pedraça Aline dos Santos
Published: October 2019

The water treatment processes in which microorganisms act are margin filtration, slow filtration and biological activated carbon (CAB) [2]. For this research, a study of permeable concrete with the addition of 2% activated carbon for light traffic paving was performed. The objective of this research is to identify the feasibility of using this concrete so that filtered water can reach at least the basic sanitation networks, with a better quality to be treated. For this, characterizations of the quality of the concrete component materials were made with a novelty, using the fine aggregate (sand). After the characterizations, the permeable concrete traces with mechanical strength of 30MPa were made. Dosing analyzes followed with molding, curing and rupture of concrete specimens. The results of the arithmetic mean of the axial compression of conventional concrete at 28 days were 34.2 MPa and the concrete with the addition of activated carbon was 32.2 MPa, reaching the expectations of strength. Complementary experiments were performed for the quality of the water filtered by the CP's, the pH, the alkalinity and the chlorine content were analyzed. The pH of the conventional concrete found was 7.6 and the concrete with the addition of activated carbon was between 7.2 and 6.8, which may be the best result found
Socioeconomic and demographic scenario of Brazil, India and Australia
Authors: Aragão Áurea Machado de , Oliveira Júnior Antônio Martins de
Published: October 2019

This work presents a study on the social, economic and demographic aspects of Brazil, India and Australia. For this study, a socioeconomic and demographic survey was carried out, analysing Brazil, India and Australia, aimed at comparing the current scenario of these three countries. For the qualitative and quantitative analysis, data mining on the World Bank, IndexMundi, CountryEconomy, Trading Economics and the Organisation for Economic Co-operation and Development (OECD) databases was performed, having subsequently drawn graphs that summarise the textual information found. With the results, among other conclusions, it was observed that Indian women are not highly present in the job market, with Brazil and Australia having an analogous rate of working women. Furthermore, a similarity was found between the rates of articles published in scientific journals in both Brazil and Australia. Regarding per capita spending on health, it could be noted that the rate in Australia is 10 times higher than in Brazil, while this rate is 20 times lower in India when compared to Brazil. It was also concluded that, although India has 60% more requests for resident and non-resident patent applications, the revenue from intellectual property in this country is 36% lower than the one in Australia and 19% lower than in Brazil.
Development and evaluation of a new pediatric mixed-reality model for neurosurgical training
Authors: Coelho Giselle , Figueiredo Eberval Gadelha , Rabelo Nícollas Nunes , Teixeira Manoel Jacobsen , Zanon Nelci
Published: October 2019

OBJECTIVE

Craniosynostosis is a premature cranial suture junction and requires a craniectomy to decrease cranial compression and remodel the affected areas of the skull. However, mastering these neurosurgical procedures requires many years of supervised training. The use of surgical simulation can reduce the risk of intraoperative error. The authors propose a new instrument for neurosurgical education, which mixes reality with virtual and realistic simulation for repair of craniosynostosis (scaphocephaly type).

METHODS

This study tested reality simulators with a synthetic thermo-retractile/thermosensitive rubber joined with different polymers. To validate the model, 18 experienced surgeons participated in this study using 3D videos developed using 3DS Max software. Renier’s “H” technique for craniosynostosis correction was applied during the simulation. All participants completed questionnaires to evaluate the simulator.

RESULTS

An expert surgical team approved the craniosynostosis reality and virtual simulators. More than 94% of participants found the simulator relevant, considering aspects such as weight, surgical positioning, dissection by planes, and cranial reconstruction. The consistency and material resistance were also approved on average by more than 60% of the surgeons.

CONCLUSIONS

The virtual simulator demands a high degree of effectiveness with 3D perception in anatomy and operative strategies in neurosurgical training. Physical and virtual simulation with mixed reality required psychomotor and cognitive abilities otherwise acquired only during practical surgical training with supervision.
Cervicocerebral quantitative arterial tortuosity: a biomarker of arteriopathy in children with intracranial aneurysms
Authors: Chen Alan M. , Karani Kunal B. , Taylor J. Michael , Zhang Bin , Furthmiller Andrew , De Vela Gabriel , Leach James L. , Vadivelu Sudhakar , Abruzzo Todd A.
Published: October 2019

OBJECTIVE

Although intracranial arterial aneurysms (IAAs) of childhood are usually idiopathic, it is possible that underlying arteriopathy escapes detection when using conventional diagnostic tools. Quantitative arterial tortuosity (QAT) has been studied as a biomarker of arteriopathy. The authors analyzed cervicocerebral QAT in children with idiopathic IAAs to assess the possibility of arteriopathy.

METHODS

Cases were identified by text-string searches of imaging reports spanning the period January 1993 through June 2017. QAT of cervicocerebral arterial segments was measured from cross-sectional studies using image-processing software. Other imaging and clinical data were confirmed by retrospective electronic record review. Children with idiopathic IAAs and positive case controls, with congenital arteriopathy differentiated according to aneurysm status (with and without an aneurysm), were compared to each other and to healthy controls without vascular risk factors.

RESULTS

Cervicocerebral QAT was measured in 314 children: 24 with idiopathic IAAs, 163 with congenital arteriopathy (including 14 arteriopathic IAAs), and 127 healthy controls. QAT of all vertebrobasilar segments was larger in children with IAAs (idiopathic and arteriopathic forms) (p < 0.05). In children with congenital arteriopathy without an aneurysm, QAT was decreased for the distal cervical vertebral arteries and increased for the supraspinal vertebral artery relative to healthy children. QAT of specific cervicocerebral segments correlated with IAA size and rupture status.

CONCLUSIONS

Cervicocerebral QAT is a biomarker of arteriopathy in children with IAA, even in the absence of other disease markers. Additional findings suggest a correlation of cervicocerebral QAT with IAA size and rupture status and with the presence of IAA in children with congenital arteriopathy.
Pediatric neurosurgeons’ views regarding prenatal surgery for myelomeningocele and the management of hydrocephalus: a national survey
Authors: Riley John S. , Antiel Ryan M. , Flake Alan W. , Johnson Mark P. , Rintoul Natalie E. , Lantos John D. , Traynor Michael D. , Adzick N. Scott , Feudtner Chris , Heuer Gregory G.
Published: October 2019

OBJECTIVE

The Management of Myelomeningocele Study (MOMS) compared prenatal with postnatal surgery for myelomeningocele (MMC). The present study sought to determine how MOMS influenced the clinical recommendations of pediatric neurosurgeons, how surgeons’ risk tolerance affected their views, how their views compare to those of their colleagues in other specialties, and how their management of hydrocephalus compares to the guidelines used in the MOMS trial.

METHODS

A cross-sectional survey was sent to all 154 pediatric neurosurgeons in the American Society of Pediatric Neurosurgeons. The effect of surgeons’ risk tolerance on opinions and counseling of prenatal closure was determined by using ordered logistic regression.

RESULTS

Compared to postnatal closure, 71% of responding pediatric neurosurgeons viewed prenatal closure as either “very favorable” or “somewhat favorable,” and 51% reported being more likely to recommend prenatal surgery in light of MOMS. Compared to pediatric surgeons, neonatologists, and maternal-fetal medicine specialists, pediatric neurosurgeons viewed prenatal MMC repair less favorably (p < 0.001). Responders who believed the surgical risks were high were less likely to view prenatal surgery favorably and were also less likely to recommend prenatal surgery (p < 0.001). The management of hydrocephalus was variable, with 60% of responders using endoscopic third ventriculostomy in addition to ventriculoperitoneal shunts.

CONCLUSIONS

The majority of pediatric neurosurgeons have a favorable view of prenatal surgery for MMC following MOMS, although less so than in other specialties. The reported acceptability of surgical risks was strongly predictive of prenatal counseling. Variation in the management of hydrocephalus may impact outcomes following prenatal closure.
Neurobehavioral outcomes in patients with myelomeningocele
Authors: Foss Sophie , Flanders Tracy M. , Heuer Gregory G. , Schreiber Jane E.
Published: October 2019

This paper describes some of the more common patterns in neurobehavioral deficits and their underlying neuroanatomical basis in myelomeningocele (MMC). Patients with MMC can face a lifetime of specific organ system dysfunction, chief among them spinal cord malformations, orthopedic issues, hydrocephalus, and urological disabilities. In addition, patients can experience specific patterns of neurobehavioral difficulties due to the changes in neuroanatomy associated with the open spinal defect. Although there is variability in these patterns, some trends have been described among MMC patients. It is thought that early recognition of these potential neurobehavioral deficits by treating neurosurgeons and other members of the treatment team could lead to earlier intervention and positively impact the overall outcome for patients. Neurodevelopmental and neurobehavioral follow-up assessments are recommended to help guide planning for relevant treatments or accommodations.
A comparison of the accuracy of fetal MRI and prenatal ultrasonography at predicting lesion level and perinatal motor outcome in patients with myelomeningocele
Authors: Sherrod Brandon A. , Ho Winson S. , Hedlund Alec , Kennedy Anne , Ostrander Betsy , Bollo Robert J.
Published: October 2019

OBJECTIVE

Prenatal imaging has several critical roles in the diagnosis and management of myelomeningocele, including specific family counseling and the selection of fetal surgery or postnatal repair. In this study, the authors compared the accuracy of fetal MRI and prenatal ultrasonography (US) in predicting the spinal lesion level and assessed the correlation between imaging findings and motor function as independently evaluated by a physical therapist (PT) after birth.

METHODS

A retrospective review of demographic and clinical data was performed to identify children who had been treated with postnatal myelomeningocele closure at a single institution between March 2013 and December 2018. Patients were eligible for inclusion if they had all of the following: prenatal US identifying the neural tube defect level, fetal MRI identifying the neural tube defect level, and postoperative PT evaluation identifying the motor deficit level. Statistical analysis was performed using Cohen’s kappa coefficient to compare the US- and MRI-demonstrated lesion level and correlate these findings with the motor level assigned postnatally by a PT via manual muscle testing.

RESULTS

Thirty-four patients met the inclusion criteria. The mean gestational age at US was 23.0 ± 4.7 weeks, whereas the mean gestational age at MRI was 24.0 ± 4.1 weeks. The mean time from surgery to the PT evaluation was 2.9 ± 1.9 days. Prenatal US and MRI were in agreement within one spinal level in 74% of cases (25/34, k = 0.43). When comparing the US-demonstrated spinal level with the PT-assigned motor level, the two were in agreement within one level in 65% of cases (22/34, k = 0.40). When comparing MRI-demonstrated spinal level with the PT motor level, the two were in agreement within one level in 59% of cases (20/34, k = 0.37). MRI and US were within two spinal levels of the PT evaluation in 79.4% and 85.3% of cases, respectively. MRI and US agreed within two levels in 97.1% of cases. Prenatal US and MRI were equivalent when comparing the difference between the imaged level and the postnatal motor deficit level (mean level difference: 1.12 ± 1.16 vs 1.17 ± 1.11, p = 0.86).

CONCLUSIONS

Prenatal US and MRI equivalently predicted the postnatal motor deficit level in children with myelomeningocele. These data may be valuable in prenatal prognostication.
Multiple-site neural tube defects: embryogenesis with complete review of existing literature
Authors: Deora Harsh , Srinivas Dwarakanath , Shukla Dhaval , Devi B. Indira , Mishra Ajit , Beniwal Manish , Kannepalli Narasinga Rao , Somanna Sampath
Published: October 2019

OBJECTIVE

Multiple-site neural tube defects (MNTDs) are very uncommon, with the predominant number of cases being reported in developing countries. The classic theory of neural tube closure fails to explain the occurrence of these defects. Multisite closure theory, first proposed in 1995, explains most of the occurrences with a few modifications specific to a few defects. In this paper, the authors endeavor to explain all the defects, along with their genetic and embryological bases, and to review the available literature and discuss their own experience in the management of these complex cases.

METHODS

The authors retrospectively reviewed the data of all the patients treated surgically for MNTDs over that past 14 years. All possible demographic data, clinical details, and radiological imaging data were reviewed. In addition, surgical parameters, complications, and status at follow-up of more than 12 months were evaluated. All previously reported cases of MNTD were analyzed, and comparisons with the present series were made.

RESULTS

A total of 3 major series (including the present one) on MNTDs have been from India. A total of 57 such cases (including those of the present series) have been reported in the available literature. While previous series reported a higher incidence of spinal defects, the present series had a higher rate of cephalic defects (55%). Among the reported cases, insertion of a ventriculoperitoneal shunt was necessary in 12 (26%), and only 4 patients were operated on in 2 stages. Neurological status at presentation dictated outcome.

CONCLUSIONS

MNTDs are extremely rare, and their embryogenesis is different from that of single neural tube defects. Simultaneous repair of 2 or even 3 defects is possible in a single-stage surgery. The requirement of a shunt is uncommon, and complications following surgery are rare. Folic acid supplementation may reduce the incidence of defects.
Radiochannels of Meteor-Burst Communication Network of the Northern Sea Route
Authors: Voronin S. , Doroshenko V. , Ksenofontov Y.
Published: October 2019

The aim of this article is to justify the usefulness of meteor communication network usage as a telecommunication basis on the access connectivity network for Vessel traffic management on their way to the Arctic Russian infrastructure in the coastal zone of the northern sea route. It represent us the main options, from the point of view of system analysis, which characterise the telecommunication technologies of meteor connection, structural-functional scheme, generalized mathematical model of the network consisting of the radiotransmitter and receiver including antenna systems. It is represented the usage of adaptive antenna grids as UHF antenna systems.
Analysis of QOS Delivered to Users of WCDMA Band in Different Locations: Case Study of University of Ilorin, Nigeria
Authors: Tiamiyu O.A.
Published: October 2019

Since 2001, which marked the advent of modern telephony in Nigeria, there is a significant increase in the capacity of the Mobile Network Operators (MNOs). Total connected active lines were quite over a hundred million according to the reports by Nigeria Communications Commission (NCC), the regulatory body in Nigeria. However, mobile telephone users in the country are experiencing poor quality of service at different locations in the country. Thus, NCC has set benchmark values for various keys performance Indicator. In this study, findings on the quality of service delivered to users of WCDMA Band by the MNOs in different locations within University of Ilorin will be made.
Mathematical Modeling and Numerical Methods of the Analysis of Neural Structures
Authors: Makarov L. , Pozdnyakov A. , Protasenya S. , Ivanov D. , Lvov V. , Lvov S.
Published: October 2019

In this article we can observe a mathematical model of the topological description of neural structure of human brain, which describes the results of numerical analysis process of a magnetic resonance tomography. The created model provides a possibility to organize a cloud computing environment, which achieves the synthesis of quantitative indicators of distinctions in analyzed fragments of neural tissue, it is created by means of the telecommunication service which is promoting the involvement of a large number of experts in to a research process, to create a set of a priori judgments of evolution of the registered processes.
KARAKTERISTIK FISIK, KIMIA DAN ORGANOLEPTIK SELAI PADA BERBAGAI RASIO BUAH NAGA MERAH (Hylocereus polyrhizus Britt and Rose) - GULA PASIR
Authors: Huriah Huriah , Alam Nur , Noer Abd Hamid
Published: October 2019

The high water content in dragon fruit causes the fruit to be easily damaged, therefore it needs to be processed to reduce the amount of loss, including making it into jam. In addition, processing dragon fruit into various processed products also aims to overcome the problem of excess production when the harvest season arrives. The aim of this research was to obtain the ratio of dragon-sugar fruit which gave the best influence on the physical, chemical and organoleptic characteristics of jam. The study used a completely randomized design (CRD) for the analysis of physical parameters of jam (softness) and chemical jam (water content, total dissolved solids, anthocyanin and vitamin C levels). Randomized Group Design (RBD) for analysis of organoleptic test parameters (color, texture, taste and preference). As a treatment, it is the ratio of dragon-sugar, which consists of five levels of treatment, namely P1 = dragon fruit 450 g: granulated sugar 550 g, P2 = dragon fruit 500 g: granulated sugar 500 g, P3 = dragon fruit 550 g: sugar 450 g, P4 = dragon fruit 600 g: granulated sugar 400 g, P5 = dragon fruit 650 g: granulated sugar 350 g. Each treatment was repeated 3 times so that there were 15 experimental units. The data obtained were analyzed using F test 0.01 and 0.05. If the treatment has a significant or very real effect, then proceed with the BNJ test at tararf 0.01 and 0.05. The results showed that treatment P4 (600: 400 b / b dragon-sugar ratio) gave the best influence on the physical, chemical and organoleptic characteristics of dragon fruit jam. This treatment can reduce the use of sugar by 15 percent from the standard use of sugar in making jam.
Trapped modes in thin and infinite ladder like domains. Part 2: Asymptotic analysis and numerical application
Authors: Delourme Bérangère , Fliss Sonia , Joly Patrick , Vasilevskaya Elizaveta
Published: October 2019

We are interested in a 2D propagation medium obtained from a localized perturbation of a reference homogeneous periodic medium. This reference medium is a “thick graph”, namely a thin structure (the thinness being characterized by a small parameter [Formula: see text]) whose limit (when ε tends to 0) is a periodic graph. The perturbation consists in changing only the geometry of the reference medium by modifying the thickness of one of the lines of the reference medium. In the first part of this work, we proved that such a geometrical perturbation is able to produce localized eigenmodes (the propagation model under consideration is the scalar Helmholtz equation with Neumann boundary conditions). This amounts to solving an eigenvalue problem for the Laplace operator in an unbounded domain. We used a standard approach of analysis that consists in (1) find a formal limit of the eigenvalue problem when the small parameter tends to 0, here the formal limit is an eigenvalue problem for a second order differential operator along a graph; (2) proceed to an explicit calculation of the spectrum of the limit operator; (3) deduce the existence of eigenvalues as soon as the thickness of the ladder is small enough. The objective of the present work is to complement the previous one by constructing and justifying a high order asymptotic expansion of these eigenvalues (with respect to the small parameter  ε) using the method of matched asymptotic expansions. In particular, the obtained expansion can be used to compute a numerical approximation of the eigenvalues and of their associated eigenvectors. An algorithm to compute each term of the asymptotic expansion is proposed. Numerical experiments validate the theoretical results.
ANALISIS PIUTANG TAK TERTAGIH DAN DAMPAKNYA TERHADAP LAPORAN KEUANGAN PADA PT BANK RAKYAT INDONESIA (PERSERO) TBK CABANG MANADO
Authors: Tampi Grace Gloria , Elim Inggriani , Kalalo Meily Y.B
Published: October 2019

This study aims to determine the impact of the uncollectible receivables on financial statements at PT Bank Rakyat Indonesia (Persero) Tbk Manado Branch. Bad debts are generally loans whose principal installments have passed 91 days from the due date. This study uses a qualitative method. This research was conducted by interviewing the Operations Manager, Marketing Manager, and Credit Section Staff of PT. Bank Rakyat Indonesia (Persero) Tbk Manado Branch. The research obtained results that  show the impact of uncollectible receivables affects the financial statements. So that the bank calculates the age receivable reserve to determine the amounts of credit provided and determine the amounst of allowance for uncollectible accounts.
Selection and Application of the Data Transfer Operating Protocol Software Architecture for the Software-Defined Radio
Authors: Vorobyov Oleg V. , Rybakov Alexey I.
Published: October 2019

Introduction. The demodulator structure is described and decoding algorithm for signal-code constructions development is presented. The structure and functional description of the developed software (SW), which is designed for the installation of the software-defined radio in the radio stations layout, are presented. The frame structures of the broadcast and half-duplex protocols, modulation/demodulation and subsequent digital signal processing in existing and prospect radio communication systems are considered.

Objective. Investigation of modulation/demodulation methods and subsequent digital signal processing along with requirements imposed by them on the network stations equipment and system operation algorithms.

Materials and methods. The software for the software-defined radio system layout is developed to demonstrate the reliability and operability of the proposed algorithm and transmission protocol. It can be used to receive and transmit information by using ionospheric reflections. Present design takes into account existing standards and amateur systems such as WinLink and information systems (digital and analog) for the "physical" and "channel" levels.

Results. The structure and functional description of the developed software for the software-defined radio system layout are given. The possible realization of the software-defined radio channel for data receiving and transfer by using ionospheric reflections is presented. The results of technical solutions experimental testing are shown. The software can use hardware and software to control the transceiver module, which includes the SunSDR2 transceiver and antenna amplifier.

Conclusion. The structure and functional description of the developed software are presented as a result of the software architecture selection and its application investigation. It is concluded that the reliability and operability justification of the proposed algorithm and transmission protocol is relevant in a field of the digital receivers development for communication systems of various purposes. The presented experimental studies data on verification of the proposed algorithm show the feasibility of present solutions on the qualitative utilization of the channel resource by using the described code structure. The present results allow to determine the most appropriate and efficient way of the software development allowing to create a technique that can meet the maximum number of possible assignments of radio access channels.
Correlation between the Orientation of Cross-Field Axes of Small-Scale Anisotropic Irregularities in Midlatitude Ionosphere and Drift Direction in the F Region
Authors: Panchenko Valery A. , Telegin Viktor A. , Romanova Natalia Yu.
Published: October 2019

Introduction. It was previously reported that small-scale irregularities (SSI) in the polar ionosphere are elongated along the magnetic field and anisotropic in its cross-field direction. At the same time, the largest of the SSI cross-field axes tends to orient along the SSI drift direction. This is also indirectly confirmed for the midlatitude ionosphere, however, direct correlations of the SSI anisotropy and ionospheric drift directions in the middle latitudes are absent.

Objective. The main objective of this work is a direct comparison of the experimental data of SSI shape with motion parameters of irregularities, which are measured at the same place (Moscow) at the same time. Previously, experimentally obtained values of the SSI cross-field anisotropy orientation in the midlatitude ionosphere were compared only with the neutral winds model.

Materials and methods. A tomographic approach is used to determine the SSI anisotropy parameters by processing radio scintillation signals while overfly of several navigation satellites emitting on frequencies of 150 MHz and 400 MHz. Estimations of ratio between the ellipsoids axes and cross-field anisotropy orientations in the framework of SSI model in a form of magnetic field oriented ellipsoids with three different dimensions along and across the Earth's magnetic field are obtained. Irregularities parameters are obtained by selecting the model parameters when the calculated logarithm dispersion of the satellite signals relative amplitude while they orbiting is the closest to the experimentally obtained curve. Estimations of the velocity and drift direction of medium-scale irregularities (MSI) by using DPS-4 ionosonde data acquired while decameter-wave radar studies of ionosphere from the Earth's surface are obtained. The socalled "sky maps" presenting the energy distribution of scattered radio waves on incident angles are used. Simultaneous measurements of Doppler frequency shifts and incident angles of scattered waves allow obtaining estimations of three components of the medium-scale irregularities drift velocity.

Results. A good correlation between the drift direction of medium-scale irregularities and cross-field anisotropy orientation of small-scale irregularities is found.

Conclusion. The correlation between the cross-field anisotropy orientation of the elongated irregularities and their drift direction can be useful under conditions of the lack of information on ionospheric irregularities.
Pengembangan dan Diversifikasi Olahan Pisang Raja Bandung Sebagai Kuliner Unggulan
Authors: Setiyoko Agus , Astuti Tutut Dewi
Published: October 2019

Keterbatasan pengetahuan tentang diversifikasi pengolahan buah pisang raja bandung, teknologi pengemasan, manajemen usaha manajemen pemasaran menjadi kendala anggota KWT Anggur di Desa Argodadi, Kecamatan Sedayu, Kabupaten Bantul. Pengabdian ini bertujuan untuk meningkatkan  pengetahuan dan keterampilan mengenai diversifikasi olahan pisang raja bandung, teknologi pengemasan, manajemen usaha serta manajemen pemasaran. Metode pengabdian masyarakat yang digunakan berupa Penyuluhan dilakukan dengan memberikan teori mengenai diversifikasi olahan pisang raja bandung, jenis kemasan dan metode pengemasan, manajemen usaha serta teori pemasaran. Dilanjutkan praktek produksi tepung pisang raja bandung, kue dodol, kue cookies  dan kue bolu panggang maupun kukus. Penggunaan mesin sealler untuk pengemasan, pelatihan pembukuan serta praktek pemasaran. Hasil kegiatan pengabdian masyarakat ini yaitu pengetahuan dan keterampilan anggota mengenai diversifikasi olahan pisang raja bandung meningkat, serta mampu memproduksi sebuah produk dengan kemasan yang baik, keuangan tertata rapi dan mampu memasarkan produknya. Hasil evaluasi menunjukkan  bahwa sebanyak 95% anggota KWT Anggur memiliki motivasi dalam mengikuti kegiatan ini agar memperoleh ketrampilan dan pengetahuan baru. Setelah mengikuti kegiatan ini sebesar 75% orang  anggota mitra memiliki keinginan untuk meningkatkan usaha kelompok dalam usaha pengolahan makanan.
Pemberdayaan Kader Kesehatan Dalam Skrining dan Deteksi Dini Kanker Payudara Melalui Breast Self-Examination
Authors: Yuhanah Yuhanah , Nuridah Nuridah , Yodang Yodang
Published: October 2019

Kanker termasuk salah satu penyakit yang berkontribusi terhadap kematian di seluruh dunia. Kanker payudara adalah jenis kanker yang sering diterjadi pada wanita, terutama pada wanita yang usianya menjelang 50 tahun. Di Indonesia, angka kejadian kanker semakin meningkat dari tahun ke tahun, dimana salah satu pemicu adalah adanya perubahan gaya hidup. Upaya yang dapat dilakukan untuk menurunkan insiden kanker payudara stadium lanjut yaitu dengan melakukan pemeriksaan payudara secara rutin. Dengan pemeriksaan tersebut yang dilakukan teratur maka penemuan atau skrining dan pendeteksian secara dini dapat mengurangi angka kejadian kanker payudara stadium lanjut. Kegiatan ini dilakukan berupa penyuluhan dengan metode ceramah tanya jawab serta demonstrasi mengenai Breast Self Examination (BSE). Tujuan kegiatan ini diharapkan dapat meningkat pengetahuan dan skill para kader kesehatan sehingga mereka dapat menjadi tenaga yang mahir dalam melakukan pemeriksaan BSE tersebut. Lebih lanjut, kader juga diharapkan dapat mengajarkan kepada para wanita usia subur lainnnya di wilayah tempat tingggalnya. Setelah kegiatan ini laksanakan, pengetahuan dan keterampilan kader kesehatan terkait pencegahan dan deteksi dini kanker payudara dan pemeriksaan payudara sendiri mengalami peningkatan. Kesimpulan pelatihan dapat meningkatkan pengetahuan dan keterampilan kader kesehatan terkait pencegahan dan deteksi dini kanker payudara dan pemeriksaan payudara sendiri secara mandiri.
Generalization of the experience of using research on psychology of behavior for designing UX design software products
Authors: Kompaniets Alla , Chemerys Hanna
Published: October 2019

The article deals with the analysis of the influence of the psychology of human behaviour on user experience. The evolution of the conceptual apparatus in the field of designing the user interface, taking into account user experience. Based on recent research and publications, psychological concepts that are fundamental in designing software products based on user experience are summarized. The process of the cognitive load formation and its influence on user experience is described. Also, the article discusses the topic of the effect of cognitive load on user experience, and provides examples of how the research results of behavioural psychology improve the practice of developing user experience. The field of UX (user experience) is being studied in an area where design and experimental research are in conflict. Designing UX has gone a long way from commercial websites, where convenience and efficiency have almost never been taken into account for optimized interfaces designed to interact with users. Previously, the goal was to have as much content as possible on the interface, now the field of user experience has been extensively explored and optimized to offer the user the right content, functionality at the right time, and it also takes into account psychological and emotional needs of users. In the article psychological concepts which are fundamental to the design of UX, the formation of cognitive load and the effects on user experience are discussed. Since cognitive load plays an important role in the development of UX models, it is important to understand and take into account the laws that form it. In order to design an effective interface, one must study the psychology of a user who uses psychological concepts and theories. The analysis of user interaction with technology is aimed at developing and testing theories that explain or predict human behaviour. Based on the existing sources, the article describes how user experience is formed, as well as investigates the theory of levels of the emotion system.