bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS USAHATANI PADI SAWAH PADA BERBAGAI TIPE LAHAN LEBAK DI DESA BERKAT KECAMATAN SIRAH PULAU PADANG KABUPATEN OGAN KOMERING ILIR Analysis of Wetland Rice Farming in Different Types of Lebak Farms in the Berkat Village to the subdistrict of Sirah Pulau Padang Kabupaten Ogan Komering Ilir
Authors: Setiawan Muhammad Arif , Abubakar Rafeah , Kurniawan Rahmat
Published: July 2019

ABSTRACT The purpose of this research is to know the difference of production of paddy field farming in various types of lebak land in Berkat Village, Subdistrict, Sirah pulau Padang , Ogan Komering ilir Regency. And to know the difference in income of paddy field farming lebak on various types of land in the village Lebak Berkat District Sirah Island padang Ogan Komering ilir regency. This research was conducted in Berkat Village, Sirah Island, Padang Regency of Ogan Komering ilir. In August to October 2016. The research method used is Survey method, for sampling method is done by purposive (proposive). Data collection methods used in this study is the observation and direct interviews to the respondents who have been determined by using tools in the form of queriers that have been prepared previously. Data processing is done by tabulation and then analyzed descriptively with qualitative approach and descriptive analysis with mathematical approach. The result of research shows that there is real production difference that farmers receive layer I is 7808 kg / ha, layer II is 6,519,99 kg / ha and layer III is 5,800 kg / ha. And selanjutya there is a significant difference in income received patani Layer I is Rp 19.434.900, Farmers layer II is Rp 17.993.654, and farmers layer III that is Rp 15.745.209.3 ABSTRAKTujuan penelitian ini ialah untuk mengetahui perbedaan produksi usaha tani padi sawah lebak pada berbagai tipe lahan lebak di Desa Berkat Kecamatan Sirah Pulau padang Kabupaten Ogan Komering ilir. Serta untuk mengetahui Perbedaan Pendapatan usaha tani padi sawah lebak pada berbagai tipe lahan lebak di Desa Berkat Kecamatan Sirah Pulau padang Kabupaten Ogan Komering ilir. Penelitian ini dilaksanakan di Desa Berkat Kecamatan Sirah Pulau padang Kabupaten Ogan Komering ilir. Pada bulan Agustus sampai bulan Oktober 2016. Metode penelitian yang digunakan adalah metode Survei, untuk metode penarikan contoh dilakukan dengan sengaja (proposive). Metode pengumpulan data yang digunakan dalam penelitian ini adalah observasi dan wawancara langsung kepada responden yang telah ditentukan dengan menggunakan alat bantu berupa quisoner yang telah dipersiapkan sebelumnya. Pengolahan data dilakukan secara tabulasi lalu dianalisa secara deskriptif dengan pendekatan kualitatif dan analisis deskriptif dengan pendekatan matematis. Hasil penelitian menunjukan bahwa, terdapat perbedaan produksi yang nyata yang diterima petani  lapisan I yaitu sebesar 7.808 kg/ha, lapisan II sebesar 6.519,99 kg/ha dan lapisan III sebesar 5.800 kg/ha. Dan selanjutya terdapat perbedaan pendapatan yang nyata yang diterima patani Lapisan I yaitu sebesar  Rp 19.434.900 , Petani lapisan II yaitu sebesar  Rp 17.993.654 , dan petani lapisan III yaitu sebesar Rp 15.745.209,3 .
ANALISIS KELAYAKAN FINANSIAL USAHATANI TERPADU PADI – ITIK DI KABUPATEN MUSI RAWAS
Authors: Wahyuni Nenny , Suryati Nila
Published: July 2019

ABSTRACTIntegrated rice-duck farming is one of integral farming pattern used to increase farmer’s household income.  This integral farming pattern has been developed in many contries such as Japan and Philippines. Rice farming pattern integrated with duck poultry gives farmers chance to gain multiple crops, not only paddy but also duck meat and egg. The purpose of this research were to analyze the financial feasibility of integrated rice-duck farming pattern. Outcome of this research were development model of integrated farming between rice farming and duck poultry which feasible to run. Hopefully this research can motivate farmers to gain more product from one field in order to increase farmer’s household income. The methode used in this research is survey methode. Respondences are choosed by purposive sampling methode from farmers who integrate rice farming with duck poultry. By this methode 10 respondences are selected. The result of this research shows that integrated rice-duck farming pattern are profitable with benefit reach Rp36.713.000,- per years.  Integrated rice-duck farming pattern are feasible with NPV Rp99.964.397,- at discount rate 12%; Net B/C 3,26; IRR 80%; and PP 1,18.ABSTRAK Usahatani terpadu Padi-itik merupakan salah satu pola usahatani yang bisa dilakukan untuk meningkatan pendapatan rumahtangga petani. Pola usahatani terpadu ini telah dikembangkan di beberapa negara seperti Jepang dan Filipina. Usahatani terpadu antara ternak itik dan tanaman padi memungkinkan petani memperoleh hasil panen yang lebih beragam,  tidak hanya padi tetapi petani juga bisa memperoleh daging itik dan telur itik sekaligus. Tujuan penelitian ini adalah menganalisis kelayakan usahatani terpadu antara tanaman padi dan ternak itik secara finansial. Luaran penelitian ini adalah model pengembangan pertanian campuran antara padi dan itik yang layak diusahakan secara finansial.  Hasil penelitian ini diharapkan dapat menjadi motivasi bagi petani padi sawah untuk mendiversifikasi lahan sawahnya sehingga diperoleh produk pertanian yang beranekaragam dari suatu areal yang sama sebagai upaya peningkatan pendapatan rumahtangga petani. Metode penelitian yang digunakan adalah metode survei. Penentuan responden dilakukan secara sengaja (purposive sampling) dengan kriteria petani padi sawah yang memiliki ternak itik.  Melalui metode tersebut dipilih 10 orang responden petani padi sawah yang juga beternak itik di Kecamatan Tugumulyo Kabupaten Musi Rawas.  Hasil penelitian menunjukkan usahatani terpadu padi-itik menguntungkan dengan keuntungan mencapai Rp36.713.000,- per tahun.  Usahatani terpadu padi-itik layak diusahakan dengan nilai NPV Rp99.964.397,- pada discount rate 12%; Net B/C 3,26; IRR 80%; dan PP 1,18 tahun.
KEUNGGULAN KOMPARATIF DAN DAMPAK KEBIJAKAN PEMERINTAH TERHADAP USAHA PEMBESARAN IKAN NILA PETANI PEMODAL BESAR DI KABUPATEN MUSI RAWAS
Authors: Ningsih Verry Yarda
Published: July 2019

ABSTRACT Musi Rawas Regency is one of the Minneapolitan regions in South Sumatra Province. This research was conducted there purposed to identify comparative excellence and the effect of government policies toward output and input of tilapia enlargement for big financier farmer in Musi Rawas. The method used in the research is survey. The sampling method was carried out by using simple random sampling method with the number of respondents were 12 big financier farmers of the tilapia enlargement affair. The results of this study showed that the tilapia enlargement affair in Musi Rawas had a high comparative excellence indicated by a DRCR value <1 of 0.54. Whereas the government's policy towards input of tradable production facilities that in the form of subvention had a positive effect to big financier farmers of the tilapia enlargement affair in Musi Rawas Regency.ABSTRAK Kabupaten Musi Rawas merupakan salah satu kawasan minapolitan di Provinsi Sumatera Selatan. Penelitian ini dilakukan untuk mengidentifikasi keunggulan komparatif dan dampak kebijakan pemerintah terhadap output dan input pembesaran ikan nila bagi petani pemodal besar di Kabupaten Musi Rawas. Metode yang digunakan dalam penelitian adalah survey. Metode pengambilan sampel dilakukan dengan metode Simple Random Sampling dengan jumlah responden sebanyak 12 orang petani pemodal besar pada usaha pembesaran ikan nila. Hasil Penelitian ini menunjukan bahwa usaha pembesaran ikan nila di Kabupaten Musi Rawas pada pemodal besar memiliki keunggulan komparatif yang tinggi ditandai dengan nilai DRCR < 1 sebesar 0,54. Sedangkan kebijakan pemerintah terhadap input sarana produksi tradable berupa subsidi berpengaruh positif bagi petani pemodal besar pada usaha pembesaran ikan nila di Kabupaten Musi Rawas.
Hubungan lama kerja dengan perilaku bidan dalam melakukan pencegahan perdarahan postpartum di Kabupaten Bantul
Authors: Anisa Diah Nur , Nurdiati Detty S , Lismidiati Wiwin
Published: July 2019

Postpartum hemorrhage is one of the causes of the hight of the maternal mortality rate (MMR) in Indonesia. Maternal mortality in Bantul regency has been increased than the last. The incident of prevention of midwives in the prevention of postpartum hemorrhage during labor proses. To find out the relationship between the length of work and the behavior of midwives in the prevention of postpartum hemorrhage in Bantul regency. This study included a type of correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five health centers. Retrieval of data in this study used an observation sheet to see the actions of midwifes in conducting active management in the third stage as preventive measure for postpartum hemorrhage and the identity sheet of respondents to see the length of work that had been undertaken by midwives. The result of this research showed that the mayority of midwives who have length work ≥ 10 years, it was 47 people (69%), and midwives who have good behavior in prevention of postpartum hemorrhage was 40 people (58,8%). The result of correlation test between length work and midwives behavior in prevention of postpartum hemorrhage obtained p = value 0,851 (p > 0,05). There no relatinship of long work with the behavior of midwives in theprevention of postpartum hemorrhage in Bantul regency.
Aplikasi Pemosisi Lokal Berbasis Android Dengan Menggunakan GPS
Authors: Khaeruzzaman Yaman
Published: July 2019

Seiring dengan pesatnya kemajuan teknologi saat ini, kebutuhan manusia menjadi lebih beragam, termasuk kebutuhan akan informasi. Tidak hanya media informasinya yang semakin beragam, jenis informasi yang dibutuhkan juga semakin beragam, salah satunya adalah kebutuhan informasi akan posisi kita terhadap lingkungan sekitar. Untuk memenuhi kebutuhan itu sebuah sistem pemosisi diciptakan.

Sistem pemosisi yang banyak digunakan saat ini cenderung berfokus pada lingkup ruang yang besar (global) padahal, dalam lingkup ruang yang lebih kecil (lokal) sebuah sistem pemosisi juga diperlukan, seperti di ruang-ruang terbuka umum (taman atau kebun), ataupun dalam sebuah bangunan. Sistem pemosisi lokal yang ada saat ini sering kali membutuhkan infrastruktur yang mahal dalam pembangunannya.

Aplikasi Pemosisi Lokal Berbasis Android dengan Menggunakan GPS ini adalah sebuah aplikasi yang dibangun untuk memenuhi kebutuhan pengguna akan informasi lokasi dan posisi mereka terhadap lingkungan di sekitarnya dalam lingkup ruang yang lebih kecil (lokal) dengan memanfaatkan perangkat GPS (Global Positioning System) yang telah tertanam dalam perangkat smartphone Android agar infrastruktur yang dibutuhkan lebih efisien.

Dalam implementasinya, Aplikasi Pemosisi Lokal ini bertindak sebagai klien dengan dukungan sebuah Database Server yang berfungsi sebagai media penyimpanan data serta sumber referensi informasi yang dapat diakses melalui jaringan internet sehingga tercipta sebuah sistem yang terintegrasi secara global.

Kata kunci: aplikasi, informasi, pemosisi, GPS.
DERMATOPHYTOSIS PROFILE IN A MADHUBANI MEDICAL COLLEGE AND TERTIARY CARE HOSPITAL
Authors: Hassan Dr. Shahid
Published: July 2019

INTRODUCTION: The current perception among dermatologists based on their experience in the outpatient’s clinics is that there is a huge change in clinical profile, both qualitative and quantitative, in the patients presenting with dermatophytosis. The prevalence of superficial mycotic infection is about 20%–25% of the world population, and dermatophytes is the leading microorganism responsible. Now there is a changing trend in the dermatophytic infections, the cases are presenting as chronic, not responding to usual treatment and also there are recurrent cases. Dermatophytosis is a contagious disease that spreads by direct or indirect contact. Until a few years ago, it had been a disease treated with ease using antifungal agents. In the recent past, there has been a failure of treatment with conventional therapy and emergence of an epidemic of recurrent and chronic dermatophytosis in India. MATERIAL AND METHODS: Our study population included 112 patients who were clinically diagnosed as dematophytosis in the Outpatient department (OPD). Clinical history of all patients was taken. Demographic data such as age, sex, occupation, duration of disease, history of recurrence, habits and associated diseases was recorded. Culture were done in all suspected cases. Nail scrapings, clippings and sub-ungual debris were collected. RESULTS: In present study there were in all 112 patients among which maximum number of patients about 33% belonged to age group 11 to 20, majority of which were males 66.96% whereas 33.04% were females. 50% were culture positive among all patients and microscopy was positive in 58.93% of cases. Trichophytonrubrum species was isolated predominantly in 57.1% cases, Trichophytonmentagrophyte was found in 23.2% of patients followed by microscoporumgypsium isolated in 12.5% cases and E.floccosum was seen isolated in 7.1% among all clinical types. Percentage of tineacorporis, tineacapitis and tineacruris was 39.3%, 18.8% and 13.4% respectively. CONCLUSION: Dermatophytosis was found to be common in second decade of life and male were commonly affected. T. rubrum was most common isolate. The need of the hour is carry out multicentric large epidemiologic studies that can effectively establish the prevalence of fungal isolates and its antifungal resistance status.
Additional findings of Albunea carabus (Linnaeus, 1758) (Decapoda, Anomura, Hippoidea) in Italian waters
Authors: Zava Bruno , Insacco Gianni , Corsini-Foka Maria
Published: July 2019

The first findings of the anomuran Albunea carabus (Linnaeus, 1758) from the southeastern coa-sts of Sicily are documented, improving knowledge on the distribution of this poorly known species around the island and in the Mediterranean Sea. The distribution of records in the whole basin is updated.
The occurrence of the Lessepsian migrant Lutjanus argentimaculatus in the Mediterranean, (Actinopterygii: Perciformes: Lutjanidae) first record from the coast of Israel
Authors: Sonin Oren , Edelist Dor , Golani Daniel
Published: July 2019

Two specimens of the Lessepsian migrant, the Mangrove red snapper Lutjanus argentimaculatus are reported from the Mediterranean coast of Israel. L. argentimaculatus was first recorded in the Mediterranean in 1979 by a single specimen. Over three decades later and only in the last two years four specimens, including the two reported herein, were recorded. This pattern strongly suggests that L. argentimaculatus has established a sustainable population in the Mediterranean.
The non-indigenous and invasive species Paraleucilla magna Klautau, Monteiro & Borojevic, 2004 (Porifera: Calcarea) in the Algerian coast (Southwestern of Mediterranean Sea)
Authors: Bachetarzi Rym , Rebzani-Zahaf Chafika , Deudero Salud , Vázquez-Luis Maite , Uriz Maria J. , Dilmi Sonia
Published: July 2019

The non-indigenous and invasive calcareous sponge Paraleucilla magna Klautau, Monteiro & Borojevic, 2004 has been detected for the first time on the Algerian coast. The species has been recorded at high abundance in Algiers Port (Algiers) and in Pisan Island (Béjaïa) during spring 2018. It was present from 2 m to 20 m of depth at the community of seaweeds with filter feeders established on artificial hard substrates and on rocky boulders. Total of 172 individuals were recorded not exceeding 5 cm in height. Anthropogenic activities such as aquaculture farms or shipping traffic might be important vectors or act as stepping-stones in further expansion of Paraleucilla magna.Additional recording of the species adds to the knowledge of its biogeography distribution, biology and ecology in the Mediterranean and may improve selection of key geographical sites for future monitoring on the species proliferation and expansion.
The influence of feeding on muscle tissues composition in cage reared bluefin tuna (Thunnus thynnus)
Authors: Miletić Ivana , Jelić Mrčelić Gorana , Slišković Merica , Pavela-Vrančić Maja , Orhanović Stjepan , Mladineo Ivona
Published: July 2019

Capture-based tuna aquaculture rates as one of the most important aquaculture activities in Cro-atia, where juvenile tuna are reared in cages for over a year long period in order to increase substan-tially their weight. The aim of this study was to assess the effect of length and intensity of feeding on biochemical composition (total fat, moisture, dry matter, carbohydrates and protein content) of tuna (Thunnus thynnus) white muscle tissues in newly caught tuna prior to feeding (NCTPF) versus far-med tuna kept in rearing circular cages in the Vela Grska Bay, Adriatic Sea (LAT 43°17’40,6984”N, LONG 016°28’58,4315”E (WGS84)) between 2001 and 2004. Farmed tunas from all cages were fed with the feed consisting of domestic small pelagic fish, or with mixtures containing North Sea herring (Clupea harengus) and Sardina pilchardus, for five months (cage 3), eight months (cage 4) or 21 months (cages 1 and 2). A low content of moisture and high content of dry matter including fat was observed in farmed tuna muscles compared to wild-caught tuna. In farmed tuna muscles, measured moisture was 55.26% in cage 1, 39.95% in cage 2, 54.64% in cage 3 and 49.70% in cage 4. These results are significantly lower than moisture measured in NCTPF (80.36%). Content of dry matter found in farmed tuna muscles also differed greatly between wild tuna (19.64%) and far-med tuna, but also between the cages (44.74% in cage 1, 60.05% in cage 2, 45.36% in cage 3 and 50.30% in cage 4). In NCTPF, muscle tissues total fat encompassed less than 1% of the total body weight, while it reached over 20% of total body mass in farmed fed tuna (20.62% in cage 1, 42.50% in cage 2, 20.97% in cage 3 and 20.57% in cage 4). These results demonstrate that high fat content can be achieved already after five months of intensive feeding. Higher content of proteins was also found in aquacultured tuna (18.60% in cage 1, 16.00% in cage 2, 15.09% in cage 3 and 20.58% in cage 4) compared to wild-caught tuna (13.77%). There were no differences in carbohydrates con-tent between tuna farmed in different cages and NCTPF tuna, indicating glycogen as a less optimal indicator of muscle tissue quality in farmed tuna of the present study.
Penyelesaian Sengketa Hak Milik atas Tanah Warga Menurut Hukum Adat di Desa Air Tenang Kecamatan Air Hangat Kabupaten Kerinci
Authors: Pitriani Pitriani
Published: July 2019

Salah satu kebiasaan dalam kehidupan bermasyarakat di Desa Air Tenang adalah menyelesaikan berbagai persoalan dan sengketa yang terjadi antar warga melalui musyawarah mufakat yang melibatkan kaum adat dan pemerintah desa, demikian juga dalam penyelesaian sengketa hak milik atas tanah warga, sering dilakukan dengan menggunakan hukum adat. Permasalahan dalam penelitian ini adalah Bagaimana Mekanisme Penyelesaian Sengketa hak milik atas tanah warga, Apakah kendala-kendala yang dihadapi dalam penyelesaian Sengketa hak milik atas tanah warga, Bagaimana solusi-solusi dalam mengatasi kendala-kendala yang di hadapi dalam  penyelesaian Sengketa hak milik atas tanah warga menurut hukum adat Di Desa Air Tenang Kecamatan Air Hangat Kabupaten Kerinci ?. Metode peneltian yang dipergunakan adalah pendekatan Yuridis empiris, jenis penelitian adalah kualitatif, dan sifat penelitian adalah deskriftif, Sumber bahan yang dipergunakan adalah bahan data primer dan data sekunder. Hasil penelitian menunjukkan Mekanisme Penyelesaian sengketa hak milik atas tanah warga Di Desa air Tenang yaitu diselesaikan oleh kedua belah pihak yang bersengketa, jika tidak tercapai kesepakatan, meminta teganai rumah dan kaum adat serta pemerintah desa, untuk ikut menyelesaiakan, dalam hukum adat tanah yang disengketakan dilihat dari asal usul kepemilikan. Jika semua keterangan yang diperoleh terhadap orang yang mengetahui asal usul kepemilikan tanah, maka kaum adat, mengambil keputusan untuk hak kepemilikan tanah sesuai dengan keterangan-keterangan dan bukti-bukti yang dipercayai kebenarannnya. Kendala-kendala dalam penyelesaian sengketa hak milik atas tanah warga yaitu dari para pihak yang bersengketa seperti, salah satu pihak atau kedua belah pihak lebih menggunakan emosi daripada logikanya, Kurang nya bukti-bukti kepemilikan tanah yang disengketakan dan ketidak jelasan batas-batas tanah. Solusi-solusinya yaitu memberikan pemahaman akan pentingnya musyawarah dalam mengambil keputusan dengan cara kekeluargaan, kurangnya bukti-bukti kepemilikan terhadap tanah yang disengketakan, kaum adat akan meminta keterangan orang tua tua yang tau asal usul tanah tersebut, dan untuk ketidak jelasan batas-batas tanah, bagi Masyarakat yang memiliki hak milik atas tanah untuk melakukan pendaftaran tanahnya ke BPN.
Holstein Irkı Sığırlarda FABP4, NR1H3 ve SCD Genleri ile Bazı Süt Verim Özellikleri Arasındaki İlişkilerin Araştırılması
Authors: ARSLAN Korhan
Published: July 2019

Bu çalışmada Holstein ırkı sığırlarda
yağ asit bağlayıcı protein 4 (FABP4), nükleer reseptör alt ailesi 1, grup H,
üye 3 (NR1H3) ve stearoyl-CoA desaturaz (SCD) proteinlerini kodlayan genler ile
bazı süt verim özellikleri arasındaki ilişkilerin araştırılması amaçlanmıştır. Çalışmanın hayvan materyalini
166 baş sağmal Holstein inek oluşturmuştur. İncelenen hayvanlar polimeraz
zincir reaksiyonu-restriksiyon parçacık uzunluk polimorfizmi (PCR-RFLP) yöntemi
ile yukarıda belirtilen genler yönünden genotiplendirilmiştir. İncelenen örneklerde FABP4 geni için G allel frekansının (%82), NR1H3 geni için G allel frekansının (%96) ve SCD geni için ise C allel frekansının (%73) en yüksek olduğu
görülmüştür. Yapılan Hardy-Weinberg (HW) ki-kare analizleri sonucunda incelenen
Holstein ineklerin FABP4 ve SCD genleri yönünden HW dengesinde
oldukları, NR1H3 geni yönünden ise HW
dengesinde olmadıkları görülmüştür. Çalışma
sonunda, sütteki yağ oranı yönünden NR1H3
genotipleri arasındaki farklılık (P<0.05), yağsız kuru madde oranı yönünden SCD genotipleri arasındaki farklılık (P<0.05)
ve süt yoğunluğu yönünden FABP4
genotipleri arasındaki farklılık (P<0.01)
istatistiki olarak önemli bulunmuştur. Sonuç
olarak incelenen genlerin süt kompozisyonu için yapılacak seleksiyon
çalışmalarında kullanılabileceği düşünülmüştür.
Inovação em serviços farmacêuticos clínicos no componente especializado da assistência farmacêutica do Estado do Paraná
Authors: Rossignoli Paula , Pontarolli Deise Regina Sprada , Corrêa Luís Gustavo Pedroso , Germano Jaqueline De Lima , Pontarolo Roberto , Fernandez-Llimos Fernando
Published: July 2019

A implementação de serviços farmacêuticos clínicos, seja em âmbito público ou privado, não tem alcançado os níveis desejados. Uma das explicações para esse fato pode residir no desenho desses serviços que por vezes são serviços amplos, complexos e com objetivos demasiado ambiciosos. A partir de processos de reengineering, uma carteira de serviços farmacêuticos clínicos no âmbito do Componente Especializado da Assistência Farmacêutica (CEAF) da Secretaria de Estado da Saúde do Paraná (SES/PR), está sendo desenhada com intuito de melhorar os desfechos clínicos resultantes do uso de medicamentos desse componente. A proposta é implementar vários serviços com objetivos específicos utilizando a seleção de pacientes guiada por dados (data driven). Implementar esses serviços e torná-los sustentáveis é o desafio que se apresenta à Assistência Farmacêutica da SES/PR para os próximos anos com o objetivo de contribuir para melhoria da saúde dos pacientes e para a racionalização de recursos do sistema de saúde.
A gestão do trabalho e da educação nas secretarias municipais de saúde
Authors: Santos Suelen Camila , Esteves Roberto Zonato , Campos João José Batista de , Ribeiro Elaine Rossi , Almeida Márcio José de
Published: July 2019

A gestão do trabalho e da educação em saúde são componentes essenciais para proporcionar à população um sistema de saúde de qualidade. Na esfera federal e estadual este conhecimento é valorizado. Os objetivos são identificar, analisar e compreender as características dos campos da gestão do trabalho e da gestão da educação nas Secretarias Municipais de Saúde da 5ª Regional de Saúde do estado do Paraná no contexto das demais secretariais municipais de saúde do estado. Utilizou-se a abordagem mista, explanatória sequencial. Foi aplicado um questionário aos gestores de saúde dos 399 municípios paranaense e após, foram realizadas entrevistas com os gestores dos 20 municípios da Regional escolhida. Obteve-se respostas de 53,6% dos questionários e de 70% das entrevistas. O estudo permitiu identificar as fragilidades existentes e apontar caminhos para superá-las, além de contribuir para outras investigações na mesma linha, dada a escassez de publicações.
Tendência da mortalidade por Diabetes Mellitus no Paraná, Brasil, entre 1984 e 2014
Authors: Pinto Márcia Santos , Moreira Ricardo Castanho , Ohira Regina Hitomi Fukuda , Tashima Cristiano Massao , Pinafo Elisângela , Souza Roberto Molina de
Published: July 2019

O objetivo foi analisar a tendência da mortalidade por Diabetes mellitus (DM) no Paraná (Brasil) no período de 1984 a 2014, por meio de pesquisa analítica retrospectiva do Sistema de Informações sobre Mortalidade (SIM) quanto a notificações de DM como causa básica do óbito. Os dados foram digitados no software Microsoft Excel®. Foi utilizado o Jointpoint regression analysis para calcular a percentagem anual de mudança da taxa com intervalo de confiança de 95%. Entre o período de 1984 a 2014, ocorreram 60343 óbitos decorrentes do DM. No Paraná, observou-se que a taxa de mortalidade por DM no período analisado passou de 14,37/100000 habitantes para 29,27/100000 habitantes. A tendência da mortalidade de 1984 a 2000 foi crescente, mantendo-se estável a partir de 2000 a 2014. Um aspecto promissor foi a constatação da estabilização da taxa de mortalidade no período de 2000 a 2014, num contexto que verifica-se aumento progressivo do número de casos da doença.
Dependence of the joint configuration on the dynamic immobility fulcrum
Authors: Kozlov A. D. , Potekhina Yu. P.
Published: July 2019

Although joints with synovial cavities and articular surfaces are very variable, they all have one common peculiarity. In most cases, one of the articular surfaces is concave, whereas the other one is convex. During the formation of a joint, the epiphysis, which has less kinetic energy during the movements in the joint, forms a convex surface, whereas large kinetic energy forms the epiphysis with a concave surface. Basing on this concept, the analysis of the structure of the joints, allows to determine forces involved into their formation, and to identify the general patterns of the formation of the skeleton.
Osteopathic correction in complex treatment of carpal tunnel syndrome with complicated closed forearm fractures
Authors: Sebaykin Yu. V. , Mokhov D. E. , Tarusova K. S. , Nechoroshev S. N.
Published: July 2019

A clinical case, described in this study, demonstrates a successful combined treatment of posttraumatic neuropathy of the medial and radial nerves in a patient after the closed comminuted fracture of the distal metaepiphysis of the left radial bone with a fragment displacement. One of the most serious complications of such injuries is the development of carpal tunnel syndrome [1]. Osteopathic physicians were involved in the process of treatment and rehabilitation. According to the data of various authors [1, 2], it is necessary to use complex surgical aids such as decompression of the medial nerve by dissecting the carpal ligament with the scar, as well as nerve transposition if the conservative methods are not effective. Unfortunately, surgical treatment does not always lead to a positive result [4]. Invalidization of patients is significant — 5–7%. It is known that early complex pathogenetic treatment allows to fight against the developing carpal tunnel syndrome in patients with severe bone trauma much more successfully. In order to prevent scar changes of the carpal ligament and maintain adequate trophicity in the injured limb, it is necessary to implement measures aimed at stabilizing microcirculatory disorders in the distal parts of the injured forearm as soon as possible. In order to make the treatment of this pathology even more effective, an integrated approach to solving this complex and socially significant problem is needed, as well as the search for new advanced and relatively safe treatment tactics, these include osteopathic correction too.
Quantitative evaluation of slow fluctuations of the volume of liquids inside cranial cavity
Authors: Moskalenko Yu. E. , Kravchenko T. I. , Novozhilova Yu. V.
Published: July 2019

Introduction. Slow fl uctuations in the volume and pressure of liquids in the cranial cavity have been known for a long time and have been studied for more than 100 years. However, their quantitative indicators and their practical signifi cance remain unclear until now due to the diffi culties of research. Nevertheless, it was found that they were connected with the brain activity, which made it possible to use them as one of the physiological indicators in studying the problems of manned space fl ights. Goal of research — to study the possibility of using spectral analysis of slow fl uctuations of the volume of liquids inside the cranium in order to realize the quantitative assessment of their indicators with the use of modern microelectronics and computer technology.

Materials and methods. In order to solve this problem we created a complex, in which rheoencephalograph-RG-01 («Mizar») was used as a converter-modulator of physiological signals into electrical oscillations. The device was connected with the ADC (Firm «ADIstrument»), Its software allows to calculate the spectrogram with a sampling rate of 128 kHz. Studies were conducted on volunteers of younger, middle and older age groups. The respiratory rate and the electrocardiography were registered together with the rheoencephalography. Electrodes were fi xed on the volonteers′ fronto-mastoid area.

Results. Slow fl uctuations the cranium representan independent physiological phenomenon. The most considerable and valuable were fl uctuations in 0,1–0,3 Hz. It was found that current frequency of 100 or 200 kHz and frequency for quantization of 80–100 kHz was optimal for performing their spectrograms. The structure of such diagram consists of 4–7 peaks with amplitude of 0,4–0,7 units compared with REG pulse amplitude. They depend on age and are characterized by hemispheric asymmetry. Spectral diagrams of slow fl ucation inside cranium are representing inpendent physiological phenomenon. These fl uctuations are not connected by common origin, with heart activity and respiration. They are connected by nature with brain activity and PRM.

Conclusion. Can be an informative method for diagnostic and assessment of general status of osteopathic patients well as for the assessment of mechanisms of action of some osteopathic techniques.
Randomized controlled study of the effectiveness of osteopathic manipulative correction for muscular torticollis due to birth injury
Authors: Novikov Yu. O. , Mokhov D. E. , Amigues J.-P. , Musina G. M. , Shaiakhmetov A. R.
Published: July 2019

Introduction.Muscular torticollis (MT) is the most common lesion of the musculoskeletal system in children, ranking third in pediatric practice. There are references in the literature confi rming high effi cacy of manipulative therapy, but in Cochrane′s 2015 Annual Review, experts did not fi nd evidence of the effectiveness of the manipulations. We carried out research in order to determine the effectiveness of osteopathic manipulative correction (OMC) in children with muscular torticollis (MT) due to birth injury (code for ICD X: P 15.8).

Goal of research— to study the gradual effectiveness of OMC on the basis of clinical and instrumental studies and ultrasound examination of the relationship between the bone structures and the cervical muscles.

Materials and methods.57 children aged 0–7 years with muscular torticollis due to birth injury were examined. All patients were randomly divided into 2 groups. Patients of the main group (32 children) received osteopathic treatment. Each child received from 3 to 5 sessions, depending on the severity of the birth injury and the duration of postural disorders. The time gap between the sessions was 2–3 weeks. Patients of the control group (25 children) received physiotherapy, massage and orthosis every day for 2 weeks. Along with the neurological examination the study of the effectiveness of treatment included assessment of the pain syndrome with the use of the behavioral numerical scale FLACC, and the assessment of the muscle tone with the help of the kinesthetic examination. Angle of rotation in the cervical spine was measured with the use of the goniometer. Moreover, all children underwent sonography of the cervical spine in order to determine the position of the tooth axis, with the calculation of the coeffi cient of asymmetry. The state of the musculus rectus capitis major (MRCM) and musculus sterno cleido mastoideus (MSCM) was also assessed.

Results.It was observed that after OMC the clinically signifi cant improvement started earlier in patients of the main group. This improvement manifested by complete elimination or signifi cant reduction of biomechanical and tone disorders in the neck. Pain syndrome, measured with the help of the FLACC scale, signifi cantly decreased both after treatment and in catamnesis after 6 months (p0,05). When intercomparing left and right muscles in the groups, signifi cant differences were revealed (p0,05).

Conclusion.The use of OMC (3 to 5 treatment sessions with the intervals of 2–3 weeks) in patients with MT is more effective than the treatment with the use of physiotherapy, massage and orthotics, which was received by patients every day for 2 weeks. This allows to recommend OMC for wider clinical use in this category of patients.
Unequal Effects of Educational Attainment on Workplace Exposure to Second-Hand Smoke by Race and Ethnicity; Minorities’ Diminished Returns in the National Health Interview Survey (NHIS)
Authors: Assari Shervin , Bazargan Mohsen
Published: July 2019

Background: One of the mechanisms by which high educational attainment promotes populations’ health is through reducing exposure to environmental risk factors such as second-hand smoke. Minorities’ Diminished Returns theory, however, posits that the protective effect of educational attainment may be smaller for racial and ethnic minority individuals particularly Blacks and Hispanics compared to Whites. Aims: To explore racial and ethnic differences in the association between educational attainment and second-hand smoke exposure at work in a national sample of American adults. Methods: Data came from the National Health Interview Survey (NHIS 2015), a cross-sectional study that included 15,726 employed adults. The independent variable was educational attainment, the dependent variables were any and daily second-hand smoke exposure at workplace, age and gender were covariates, and race and ethnicity were the moderators. Results: Overall, higher educational attainment was associated with lower odds of any and daily second-hand smoke exposure at work. Race and ethnicity both interacted with educational attainment suggesting that the protective effects of educational attainment on reducing the odds of any and daily second-hand smoke exposure at work are systemically smaller for Blacks and Hispanics than Whites. Conclusions: In the United States, race and ethnicity bound the health gains that follow educational attainment. While educational attainment helps individuals avoid environmental risk factors such as second-hand smoke, this is more valid for Whites than Blacks and Hispanics. The result is additional risk of cancer and tobacco related disease in highly educated Blacks and Hispanics. The results are important given racial and ethnic minorities are the largest growing section of the US population. We should not assume that educational attainment is similarly protective across all racial and ethnic groups. In this context, educational attainment may increase, rather than reduce, health disparities.
Reciclado de plásticos de tapas de botella y defensas automotrices reforzadas con fibra de vidrio para fabricar alcantarillas domésticas
Authors: García-Velázquez Ángel , Amado-Moreno María Guadalupe , Toscano-Palomar Lydia , Seufert-García Ofelia Jasmín , Beltrán-Félix Paola Lizeth
Published: July 2019

El objetivo de esta investigación fue reciclar los plásticos de tapas de botella y defensas automotrices con un refuerzo de fibra de vidrio para fabricar alcantarillas domésticas. Se realizó un arreglo experimental considerando las tapas como resina principal, variando la concentración de fibra de vidrio y de plástico de defensa automotriz. Los resultados de las pruebas mecánicas, de absorción de agua, de consistencia y procesabilidad de la mezcla, determinaron que la formulación óptima para fabricar la alcantarilla fue 40% de plástico de defensas automotrices, 40% de fibra de vidrio y 1.5% de agente de acoplamiento. El proceso de elaboración, en comparación con los existentes en el mercado, es más económico y evita el consumo de combustibles fósiles. Es un producto que puede sustituir a las alcantarillas domésticas elaboradas con metales fundidos, es más ligero, fácil de moldear, resistente a la oxidación y duradero.
Comparación de laparoscopia y boroscopia en la inseminación intrauterina de ovejas
Authors: Martínez-Tinajero Jaime Jorge , Cruz-Zavala Daniel , Muñoz-Bedoya Alejandro , Juárez-Lagunes Francisco Indalecio , Rodríguez-Chessani Miguel Arcángel , Muñoz-Bedoya Alejandro
Published: July 2019

Se comparó la técnica de inseminación artificial intrauterina sustituyendo el laparoscopio por un boroscopio y su análisis económico. Se utilizaron 36 ovejas Blackbelly que fueron asignadas a dos grupos (A= boroscopio, B= laparoscopio). Los estros fueron sincronizados con esponjas impregnadas con MPA más una inyección de eCG después de remover las esponjas. Las variables de estudio fueron inicio del estro, porcentaje de estros, distribución de estros y porcentaje de gestación. El inicio de estro fue 32.50 ± 7.07 y 34.20 ± 8.64 h para grupo A y B, no existiendo diferencias (P > 0.05). La presentación de estros fue 100% para ambas técnicas no existiendo diferencias (P > 0.05). El porcentaje de gestación fue de 83.33% y 77.77% para A y B no existiendo diferencias (P > 0.05)
Del faro al foro: La imaginación novelesca frente a la imaginación teatral de Carmen Leñero
Authors: Gómez-Goyzueta Ximena
Published: July 2019

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Aspectos associados ao desfecho do tratamento da coinfecção tuberculose/ví­rus da imunodeficiência humana
Authors: Corrêa Ana Paula de Vechi , Feltrin Aline Fiori dos Santos , Rodrigues Isabela Cristina , Ponce Maria Amélia Zanon , Santos Maria de Loudes Sperli Geraldes , Vendramini Silvia Helena Figueiredo
Published: July 2019

Objetivo: Identificar os aspectos associados ao desfecho favorável e desfavorável do tratamento da tuberculose em doentes coinfectados pelo ví­rus da imunodeficiência humana em uma Regional de Saúde do Estado de São Paulo, notificados entre os anos de 1996 e 2014. Métodos: Estudo epidemiológico descritivo a partir de dados secundários dos casos de tuberculose, notificados no Sistema Estadual de Notificação e Acompanhamento dos Casos de Tuberculose. Os fatores associados ao desfecho do tratamento da tuberculose foram analisados por medidas descritivas, teste qui-quadrado e razão de prevalência. Resultados: Encontrou-se associação estatisticamente significante entre as variáveis: caso novo, classificação, aids, álcool/drogas, tabagismo e internação. Conclusão: Considerando o desfecho do tratamento da tuberculose, ressaltamos a importância da busca ativa de sintomáticos respiratórios para melhorar o diagnóstico precoce, reduzindo assim a incidência de tuberculose, bem como a morbidade e mortalidade. A vigilância do tratamento dos pacientes coinfectados deve ser redobrada, devido a maior chance de desfecho desfavorável.Palavras-chave: tuberculose, HIV, coinfecção, epidemiologia, resultado de tratamento.
Práxis do enfermeiro e equipe de enfermagem hiperbárica no cuidado de pessoas com lesão de pele
Authors: Scheck Vanessa , Padilha Débora Zmuda , Bonatto Celita Rosa , Paz Potiguara de Oliveira , Duarte Erica Rosalba Mallmann , Kaiser Dagmar Elaine
Published: July 2019

Objetivo: Contextualizar a práxis do enfermeiro e equipe de enfermagem hiperbárica no cuidado de pessoas com lesão de pele, a partir das maneiras de produção do cuidado dos próprios profissionais. Métodos: Pesquisa original de cunho qualitativo, sendo a coleta das informações realizada por meio de entrevista semiestruturada e observação participante com a equipe de enfermagem de um instituto de oxigenoterapia hiperbárica, em setembro de 2016. As informações foram submetidas í  análise de conteúdo temática. Resultados: Do corpus da análise resultaram três categorias temáticas: fui aprendendo aos poucos, o que a enfermagem faz aqui, de quem cuidamos; desvelando informações relevantes sobre como enfermeiro e equipe colocam em ação a Enfermagem Hiperbárica, em uma práxis que corrobora as competências da profissão. Conclusão: A práxis do enfermeiro/equipe de Enfermagem Hiperbárica deu-se em distintos processos de trabalho: preparar o ambiente terapêutico e a pessoa com lesão de pele para a aplicação da terapêutica, garantir a segurança e conforto durante os procedimentos realizados, monitorar a sessão hiperbárica, zelar pelo cumprimento da mesma, prevenir complicações e assegurar estabilidade geral ao término da sessão hiperbárica; sendo um campo de atuação e um recurso terapêutico para a Enfermagem Dermatológica com grande potencial de melhora para lesões de pele.Palavras-chave: oxigenação hiperbárica, Enfermagem, assistência í  saúde, ferimentos e lesões, pele.
Validação de instrumento para avaliação do ní­vel de satisfação do atendimento de enfermagem no pré-parto
Authors: De Lima Elionara Silva , Cabral Beatriz Tavina Viana , Gondim Hortência Maria Feitosa , De Oliveira Dannielly Azevedo
Published: July 2019

Objetivo: Validar um instrumento quantitativo de pesquisa que permita estudar, com confiabilidade estatí­stica, o ní­vel de satisfação das mulheres quanto ao atendimento de enfermagem no pré-parto. Métodos: Trata-se de um estudo transversal, quantitativo, desenvolvido com quatro enfermeiros especialistas, com o mí­nimo de experiência de 2 anos, realizando submissão para validação de conteúdo através da aplicação do í­ndice de Kappa, aceitando-se o valor >0,61 (ní­vel moderado), e Índice de Validade de Conteúdo (IVC) >0,75. Resultados: Todos os 33 itens do instrumento obtiveram í­ndice de avaliação de Kappa e IVC dentro dos parâmetros estabelecidos para a validade de conteúdo. Conclusão: O instrumento pode ser considerado válido em seu conteúdo, com todos os itens considerados adequados separadamente, bem como de maneira global.Palavras-chave: cuidados de enfermagem, estudos de validação, obstetrí­cia, trabalho de parto.Â
Cuidados de enfermagem na prevenção da ceratopatia por exposição na unidade de terapia intensiva
Authors: Da Costa Tássio Ricardo Martins , Santos Sávio Felipe Dias , Rocha Paula Regina de Melo , Pinto Andréia Rodrigues , Nogueira Maicon de Araújo , Pimentel Ingrid Magali de Souza
Published: July 2019

Introdução: A incidência de ceratopatia é de 3% a 60% em pacientes crí­ticos, com tempo médio de aparecimento da lesão de 8 a 9 dias. Portanto, é imprescindí­vel traçar estratégias preventivas a fim de garantir cuidados oculares em paciente crí­ticos. Objetivo: Analisar através da literatura, as principais ações preventivas de enfermagem utilizadas para diminuir o surgimento da ceratopatia, por exposição em pacientes internados em unidade de terapia intensiva. Métodos: Revisão integrativa baseada em artigos publicados nas bases de dados Scielo, Lilacs, BDEnf e Pubmed entre 2014 e 2018. Resultados: Quatro diferentes métodos foram identificados e comparados, visando evidenciar a melhor proposta para prevenir a ceratopatia por exposição. O filme de polietileno foi a opção, estatisticamente, mais viável, seguida da pomada liposica que apresentou bons resultados clí­nicos. A utilização de solução salina como método preventivo é desaconselhável, pois essa intervenção aumentou a gravidade e prevalência de ceratopatia. Conclusão: A carência de estudos torna imprescindí­vel o despertar cientí­fico acerca do assunto, principalmente no Brasil, a fim de diminuir as altas taxas de incidência de ceratopatia em terapia intensiva.Palavras-chave: cuidados crí­ticos, protocolos clí­nicos, cuidados de enfermagem, doenças da córnea, prevenção e controle.
Caracterí­sticas clí­nicas e epidemiológicas de idosos com hansení­ase atendidos em um Hospital de Ensino no Nordeste do Brasil
Authors: Marques Wesley da Silva , Corrêa Rita da Graça Carvalhal Frazão , Dos Santos Kezia Cristina Batista , Soares Aruse Maria Marques , Lima Mara Ellen Silva , De Aquino Dorlene Maria Cardoso
Published: July 2019

Objetivo: Descrever o perfil clí­nico e epidemiológico dos casos de hansení­ase em idosos atendidos em um Hospital de Ensino em São Luí­s/MA. Métodos: Estudo descritivo, retrospectivo e quantitativo realizado por meio da ficha de notificação e dados de prontuário. Foram analisados 100 prontuários de idosos do Programa de Controle da Hansení­ase (PCH) de um hospital de ensino. Os dados foram coletados por meio de formulário semiestruturado contendo variáveis socioeconômicas e clí­nicas. Resultados: No perí­odo de 2005-2010 foram notificados 632 casos de hansení­ase, dos quais 100 foram em idosos, correspondendo a 15,8% dos casos. A maioria dos idosos era do sexo feminino (53,0%), na faixa etária de 60-69 anos (61,0%), cor parda (26,0%) e procedente da capital (79,0%). Quanto aos aspectos clí­nicos, 40,0% eram da forma dimorfa e 61,0% classificados como multibacilar. Todos os idosos aderiram ao esquema terapêutico com poliquimioterapia e 71,0% apresentaram cura. O grau de incapacidade I foi predominante (40,0%) no iní­cio, entretanto observou-se que a maioria dos pacientes apresentou algum grau de incapacidade. Apresentaram reação 17,0%, sendo mais frequente a do tipo I. Conclusão: Os idosos foram diagnosticados de forma tardia, pela forma clí­nica e frequência de algum grau de incapacidade.Palavras-chave: epidemiologia, hansení­ase, idoso, perfil de saúde.
Uso de cobertura com tecnologia hydrofiber a base de carboximetilcelulose sódica e prata iônica no tratamento da sí­ndrome de Fournier infectada
Authors: Baptista Simone Conceição Oliveira
Published: July 2019

Introdução: A Sí­ndrome de Fournier (SF) é uma fascií­te necrosante polimicrobial que envolve o perí­neo e/ou genitália externa com sinergismo para parede abdominal, que tem origem no escroto podendo ficar confinada apenas nesta área e evoluir para o pênis, podendo acometer, raramente, as mulheres e as crianças. Objetivo: Relatar o caso de uma paciente portadora de SF que foi submetida ao desbridamento cirúrgico e teve como conduta terapêutica das lesões a utilização da carboximetilcelulose sódica e prata iônica (HCSPI). Metodologia: Trata-se de um estudo descritivo, do tipo relato de caso realizado na UTI Geral do Hospital Geral Roberto Santos em Salvador/BA no perí­odo de 25/04/17 a 10/05/2017. Para a coleta dos dados, utilizaram-se as anotações da equipe de enfermagem do prontuário da paciente, além dos critérios de avaliação diária da pele lesionada e o acompanhamento fotográfico. Resultados: O presente estudo demonstrou através do relato de caso, que o uso da cobertura primária com HCSPI influenciou diretamente na melhoria do volume da exsudação, na modificação do odor, no aspecto do centro da lesão e na regressão da extensa área lesionada. Conclusão: Relatou-se que a utilização da HCSPI na lesão infectada provocada pela SF, teve como resultado uma evolução satisfatória da lesão e no bem-estar fí­sico, psicológico, social e emocional do paciente.Palavras-chave: gangrena de Fournier, cuidados de enfermagem, ferimentos e lesões, desbridamento, procedimentos cirúrgicos reconstrutivos.