bluuebunny/crossref_metadata_2025 huggingface dataset:
1 Análisis multicriterio discreto: Un método facilitador para la toma de decisiones en el ordenamiento territorial.
Authors: Degioanni Américo José , Dante de Prada Jorge , Cisneros José Manuel , Cantero Gutiérrez Alberto
Published: June 2021

El ordenamiento territorial es un proceso social que construye una configuración deseada del territorio. Dicho proceso inicia cuando se acuerda una imagen futura del modelo territorial hacia donde se canalizan los esfuerzos para su concreción. Esta etapa es un problema complejo, pues confluyen diferentes opiniones, intereses y conflictos difíciles de conciliar y, por lo general obstaculizan la ejecución del proceso. El análisis multicriterio es una herramienta que facilita esta primera etapa del OT mediante la selección de la alternativa más favorable desde el punto de vista social, ambiental y económico. Se presenta una aplicación del método para la resolución de un problema de ordenamiento territorial de expansión urbana para la ciudad de Marcos Juárez (República Argentina).Palabras clave: Conflictos sociales - expansión urbana dispersa - decisor político - Estado.Land Plannig is a social process that builds a desired territory configuration. This process begins when a future image of the territorial model is agreed upon, where the efforts for its concretion are channeled. This stage is a complex problem because different opinions, interests and conflicts are difficult to reconcile, and usually hamper the execution of the process. Multicriteria Analysis is a tool that facilitates this first stage of the LP by select ing the most favorable alternative from the social, environmental and economic point of view. An application of the method for the resolution of a territorial urban sprawl problem for the city of Marcos Juárez (Argentina) is presented.Keywords: Social conflicts – sprawl urban expansion political decision maker - State
2 Generación del mapa de cobertura y uso del suelo de la provincia del Azuay
Authors: Tenesaca Pacheco Carlos , Quinde Pomavilla Toa , Delgado Orellana Gabriela , Toledo López Edgar , Delgado Inga Omar
Published: June 2021

La Universidad del Azuay, a través del Instituto de Estudios de Régimen Seccional del Ecuador (IERSE), suscribió un convenio de cooperación interinstitucional con el Gobierno Provincial del Azuay para la generación del “Mapa de Cobertura Vegetal y Uso de Suelo de la provincia del Azuay, a escala 1:5.000”, con base en las ortofotogra fías del año 2010, generadas por el proyecto SIGTIERRAS del Ministerio de Agricultura, Ganadería, Acuacultura y Pesca (MAGAP). La generación de la cartografía temática se realizó en tres etapas: a) recopilación de información de ortofotografías suministradas por la SENPLADES; b) definición de la leyenda de trabajo realizada en base a la información del mapa de cobertura y uso del suelo, generado por el MAGAP-MAE 2015; y c) digitalización de elementos geográficos y tratamiento digital de imágenes, la cual se realizó mediante el uso de sistemas de información geográfica (SIG) obteniendo como resultado 33 capas de información de elementos geográficos naturales y antrópicos.Palabras clave:Cobertura vegetal, uso del suelo, ortofotografía, provincia del Azuay.

AbstractThe University of Azuay, through the Institute of Studies of Sectional Regime of Ecuador (IERSE), signed an agreement of interinstitutional cooperation with the Provincial Government of Azuay for the generation of the “Map of Vegetation Cover and Land Use of the province of Azuay, scale 1: 5,000” Based on the 2010 orthophotographs generated by the SIGTIERRAS project of the Ministry of Agriculture, Livestock, Aquaculture and Fisheries (MAGAP). The generation of thematic cartography was carried out in three stages: A) compilation of orthophoto information provided by SENPLADES; B) definition of the work legend based on the information of the map of coverage and land use generated by MAGAP-MAE 2015; and c) digitalization of geographic elements and digital image processing which was done through the use of geographic information systems (GIS) Resulting in 33 layers of information from natural and man-made geographic elements.Keywords:Vegetal cover, land use, orthophotography, province of Azuay.
3 Elaboración del mapa de ruido de las calles de la ciudad de Cuenca, a de partir de características viales y densidad de tráfico.
Authors: Tacuri Ortega Christian , Calderón Peralvo Felipe , Martínez Gavilanes Julia , Sellers Walden Chester , Delgado Inga Omar
Published: June 2021

Debido al progresivo crecimiento del parque automotor en la ciudad de Cuenca-Ecuador, se evidencian congestiones por la sobresaturación del tráfico en las vías de la ciudad, las cuales colapsan en horas pico, ocasionando, como consecuencia, elevados niveles de ruido. Por esta razón, el presente artículo tiene como objeto modelar el ruido generado por el tráfico vehicular en las principales calles de la ciudad. Para ello se utilizará el modelo de predicción de ruido NMPB-Routes-96 en el software especializado en ruido “Datakustik CadnaA”; para el efecto se ha realizado un levantamiento de los datos requeridos por el software, además de validar, depurar y sistematizar la información de la geodatabase proporcionada por la Dirección Municipal de Tránsito y Transporte (DMT) del GAD municipal de Cuenca, en la cual hay información sobre las características viales y del parque auto motor de la ciudad.

Palabras clave: Ruido, mapa, CadnaA, nivel de presión sonora.

AbstractDue to the progressive growth of the car park in the city of Cuenca-Ecuador, there is evidence of congestion due to the over-saturation of traffic on the city’s roads, which collapse in peak hours, resulting in high noise levels, resulting in high noise levels. For this reason, this article aims to model the noise generated by vehicular traffic in the main streets of the city, using the noise prediction model NMPB-Routes-96 in the specialized noise software “Datakustik CadnaA”, for this purpose a survey of the data required by the software has been carried out, besides validating, debugging and systematizing of the geodatabase information provided by the Municipal Transit and Transport Department (DMT) of the municipal GAD of Cuenca , in which there is information about the road characteristics and of the automotive park of the city.

keywords: Noise, map, CadnaA, sound pressure level.
7 Sistema de monitoreo de la calidad del aire y ruido ambiental para la determinación de índices referenciales de contaminación basado en sensores remotos.
Authors: Salgado Castillo Francisco , Carranco Zumba Santiago , Sellers Walden Chester , Martínez Gavilanes Julia
Published: June 2021

Este trabajo comprende la implementación de equipos de bajo costo, siguiendo los conceptos de las redes inalámbricas, de sensores para consulta, monitoreo y visualización continua de variables atmosféricas, ruido, gases contaminantes y cálculo referencial del índice de calidad del aire (ICA); información que luego es presentada en una plataforma web para consulta y visualización gráfica del comportamiento de las variables en el tiempo. Los datos fueron comparados y ajustados con base en los equipos de la estación de monitoreo automático de la EMOV-EP y del Sistema de Observación Meteorológica Automatizado (AWOS) del Aeropuerto Mariscal Lamar de Cuenca.

Palabras clave: Índice de calidad del aire, estación de monitoreo automático, contaminación del aire, ruido ambiental.

AbstractThis work includes the implementa tion of low cost equipment following the concepts of wireless sensor networks for the consultation, monitoring and continuous visualization of atmospheric variables, noise, pollutant gases and reference calculation of the Air Quality Index (AQI); This Information that is later presented on a web platform for inquiries and graphicalvisualization of the variables behavior over time. Data were compared and adjusted based on equipment from the EMOV-EP’s automatic monitoring station and the Automated Meteorological Observation System (AWOS) from Mariscal Lamar Airport of Cuenca.

Keywords: Air quality index, automatic monitoring station, air pollution, environmental noise.
8 Implementación de un prototipo en el servicio WPS (Web Processing Service).
Authors: Parra Robles Natalia , Pacheco Nivelo Jheimy , Pacheco Prado Diego
Published: June 2021

el estándar Web Processing Service provee de reglas para servicios de procesamiento de datos geoespaciales, desarrollado en esta investigación como un prototipo para visualización y consultas sobre una capa de la infraestructura de datos espaciales de la Universidad del Azuay. Se implementó la aplicación CropCoverage y Affine, mediante el protocolo HTTP, con el métodoPOST. Estas operaciones mostraron facilidad para recortar cobertura libremente basándose en geometrías; y sencillez para modificaciones lineales y traslaciones en el espacio, respectivamente. La simplicidad y efectividad de la aplicación de las operaciones se vieron disminuidas por lo redundante de ingresar los datos cada vez que se requería ejecutarlos.

Palabras clave: Web Processing Service, CropCoverage, Affine

AbstractThe Web Processing Service standard, provides rules for geospatial data processing services, developed in this research as a prototype for visualization and queries on a layer of the Spatial Data Infrastructure of the University of Azuay. CropCoverage and Affine, through the HTTP protocol, were implemented with the POST method; These operations showed ease of trimming coverage freely based on geometries; And simplicity for linear modifications and translations in space, respectively. The simplicity and effectiveness of the application of the operations were reduced by the redundancy of entering the data each time it is required to execute them.

Keywords: Web Processing Service, CropCoverage, Affine.
PENSAMIENTO LÓGICO Y PENSAMIENTO MÍTICO
Authors: Malo-González Hernán
Published: June 2021

Aunque tal vez al borde de una "lis de verbo", estoy de acuerdo con Roig en no estar de acuerdo con el Maestro Gaos, el cual prefiere el vocablo pensamiento al de filosofía, entendiendo aquel como eso que es y no es filosofía. Sobre el asunto, y dentro de un contexto más amplio, volveremos en el cuerpo de la disertación.
ENSEÑANZA Y PERSPECTIVAS DEL DISEÑO EN EL ECUADOR
Authors: Oña Lenin
Published: June 2021

Consideramos de singular importancia señalar la necesidad de planificar la enseñanza del diseño atendiendo a las posibilidades reales y potenciales de demanda ocupacional. Ello implica una política nacional que prevea el aprovechamiento de los recursos materiales, técnicos, económicos y profesionales, encaminado a solucionar los requerimientos en el campo que nos ocupa. Sin embargo, han de ser los propios diseñadores quienes han de difundir la necesidad del diseño por medios más eficientes que los que hasta ahora se han utilizado. Deben impulsar la toma de conciencia generalizada sobre la importancia que tiene su actividad como medio insustituible para satisfacer las aspiraciones de mejoramiento del estándar de vida de los más amplios sectores de la población.
DISEÑO Y ARTESANÍAS
Authors: Moreno-Aguilar Joaquín
Published: June 2021

La producción artesanal se presenta diferente: responde a necesidades concretas: la necesidad del vestido, que recibe múltiples respuestas si nos fijamos tan sólo en los trajes típicos ecuatorianos; la necesidad del adorno (porque al hablar de necesidades no me estoy refiriendo tan, sólo a las primarias de alimento, cobijo, vestido...) que recibe respuesta desde tiempos prehistóricos en hermosas formas.
DISEÑO Y DEPENDENCIA
Authors: Giordano Dora
Published: June 2021

Mucho se ha hablado y escrito sobre el tema de la dependencia en nuestros países, desde el panfleto político, hasta los análisis más profundos y esclarecedores sobre la realidad latinoamericana.En todos los casos el diagnóstico señala causas y efectos de la hegemonía ejercida por los países centrales y nuestra condición de dependencia, como países periféricos.La concientización obviamente necesaria, sobre esta problemática, nos lleva a reflexionar sobre una conclusión común: la liberación no vendrá por benevolencia o paternalismo de otros, sino por nuestras convicciones, comprometidas y asumidas en la participación.Nuestra situación de dependencia inhibe la potencialidad de una fuerza heredada para hacer caminos propios. Pasado y presente de nuestra América testimonian una vocación común de no dependencia, desde los planteos revolucionarios hasta marchas y contramarchas por caminos menos cruentos.El objetivo de nuestro análisis es buscar respuestas a losinterrogantes que surgen de la denuncia o la polémica, sobre la problemática de dependencia, para que ésta no quede separada, de nuestro campo de acción: el diseño.
EL DISEÑADOR Y LA INDUSTRIA GRÁFICA
Authors: Valdivieso Francisco
Published: June 2021

El Diseño Gráfico, como profesión, es nuevo en el Ecuador.  Creo que no existe todavía el primer egresado en ningún instituto nacional. Salvo pequeñas excepciones, nuestros impresos han sido diseñados por personas con inquietudes afines al dibujo o por personas de cierta sensibilidad artística y buen gusto, que han podido plasmar, a través del impreso, sus ideas gráficas.
SIMPOSIO PERMANENTE SOBRE LA UNIVERSIDAD
Authors: Borreo Alfonso
Published: June 2021

Ni diremos en esta Conferencia nada que no hayamos afirmado. Nada distinto a la materia reciente de este Seminario General del Simposio Permanente sobre la Universidad. Nada diferente Je cuanto hemos traído en manos del estudio, de lo que estamos haciendo o estamos dispuestos a llevar a cabo, nuevo y mejor. Sólo que nuestro presente hacer universitario y el ¡lo haremos! entusiasta, se sume ahora en el hondón fecundo de nuestras reflexiones y conocimientos, de que carecíamos, sobre el ser, el quehacer y el cómo hacer diligente de la universidad.

Aquí se destila la quintaesencia de nuestro Seminario.Conduciremos estas reflexiones operativas, no sólo proyectivas como quien lanzó una piedra sobre el agua tranquila, y estudia con cuidado los efectos en la celeridad vibrante, movediza y simultánea de los círculos que se alejan del centro común, mientras se desplazan por la superficie y fondo de los niveles superiores de la educación. En concreto, de la Universidad.
UNIVERSIDAD: RAZÓN Y AUTONOMÍA
Authors: Rojas-Reyes Carlos
Published: June 2021

¿Desde dónde hablamos sobre la Universidad?, ¿cuál es nuestro lugar de enunciación? Finalmente, ¿es posible hablar sobre la Universidad?, ¿cómo?, ¿ha sido secuestrada la  Universidad por el poder económico y político?.
Concepção da Gestão Social e da Cidadania Deliberativa na Avaliação do Controle Social do Conselho Municipal de Educação de Grajaú – MA
Authors: Lima Jorcelyo Alencar , Brito Marisa de Sousa
Published: June 2021

Os Conselhos Municipais de Educação representam um instrumento importante na gestão social. Nesse contexto, o presente trabalho tem como objetivo avaliar a concepção da gestão social e da cidadania deliberativa na avaliação do controle social do Conselho Municipal de Educação do município de Grajaú-MA. Inicialmente foi realizada a pesquisa bibliográfica com base em autores que estudam a temática em questão. Houve a observação não participante das atividades do CME. Em seguida, foram aplicados questionários, cujos resultados foram demonstrados em gráficos do tipo radar, bem como a apresentação das entrevistas junto aos conselheiros titulares e suplentes dos diferentes segmentos que compõem o referido Conselho. Frente ao exposto, os resultados obtidos refletem uma participação ainda deficiente, o que compromete parcialmente a efetivação da cidadania deliberativa.
Free Vibration Analysis of Composite Plates and Cylindrical Shells Using Spline-Constrained Finite Strip Method
Authors: Rostamian Amir
Published: June 2021

In this paper, free vibration of composite plates and cylindrical shells are investigated. The method of analysis is the spline-constrained finite strip method which is based on the full energy methods. This method is based on the energies including potential, kinetic and external work integrations. Using Layerwise spline functions for longitudinal shape functions in the finite strip method makes it possible to provide a detailed examination, with less degrees of freedom for convergence and easier application of boundary conditions, and allows the strips to be connected more easily and conveniently.
‘Hippocrates’ – support system for medical decision-making for primary care for early detection of socially significant diseases
Authors: Vertkin A. L. , Sediakina Yu. V. , Pogonin A. V. , Romanenko I. I.
Published: June 2021

Within the framework of the Federal Project ‘Creation of a unified digital contour in health care based on the unified state information system of health care’ of the National Project ‘Healthcare’, employees of the Moscow State Medical and Dental University n.a. A. I. Evdokimov (Department of Therapy, Clinical Pharmacology and Emergency Medicine) with the assistance of RPO ‘Outpatient Doctor’ in 2020, a system for supporting medical decisions was created. The program ‘Hippocrates’ works in the testing mode, but now it is fulfilling the tasks assigned to it to increase the early detection of chronic diseases, and it also plays an important role in teaching doctors to take action based on clinical guidelines.
Clinical symptoms and syndromes accompanying jaundice: diagnosis bona – curatio bona
Authors: Vertkin A. L. , Sediakina Iu. V. , Silina E. G. , Shamuilova M. M. , Vovk E. I. , Sayutina E. V. , Kurdjieva S. S.
Published: June 2021

Jaundice is a syndrome that occurs in the practice of doctors of all specialties, accompanies many diseases and pathological conditions. The onset of jaundice, regardless of the cause, is a formidable sign that requires immediate medical attention. Often, hyperbilirubinemia indicates the presence of a serious illness that threatens a person’s health or life. Therefore, the determination of the presence of jaundice, the assessment of its accompanying symptoms contributes to the correct diagnosis of the underlying disease, accompanied by this syndrome, the appointment of adequate therapy, which can improve the patient’s quality of life, and sometimes save life.
Use of magnetotherapy in complex treatment and rehabilitation of patients with osteoarthritis (based on consensus of specialists for therapists and general practitioners of polyclinics)
Authors: Alekseeva L. I. , Lila A. M. , Vertkin A. L.
Published: June 2021

Difficulties in treating patients with rheumatological diseases are due to the complexity and versatility of pathogenesis, frequent comorbidity and advanced age of the majority of such patients. The use of non-pharmacological methods of treatment, including physical methods, enhances the analgesic and anti-inflammatory effect, improves tissue trophism and promotes the activation of reparative processes, slows down the progression of the disease and generally improves the quality of life of patients. In the complex treatment and rehabilitation of rheumatological patients, the use of magnetotherapy seems to be a method that is well substantiated by the data of numerous fundamental and modern clinical studies.
Changes in management of patients with diseases of musculoskeletal system and joints
Authors: Vertkin A. L. , Barinov A. N. , Knorring G. Yu.
Published: June 2021

Pain syndrome accompanies the vast majority of diseases; therefore, the issues of adequate pain relief remain topical not only for urgent conditions, but also for everyday medical practice. Modern and changed in recent years approaches to the appointment of anesthetic therapy should take into account not only the pathogenetic mechanisms of the development of pain syndrome in a particular patient, but also the need to use drug combinations. This allows for the potentiation of the analgesic effect, reduction of effective dosages of individual drugs and minimization of side effects. In case of severe pain syndrome in the presence of signs of impaired nociception, neuropathic and muscle-fascial pain syndromes, the use of non-steroidal anti-inflammatory drugs in conjunction with group B vitamins is justified. The article considers the pathogenetic details of such a combination therapy, reveals the mechanisms of the cooperative action of the proposed combination of drugs.
Oncological alertness in patients at outpatient therapeutic stage
Authors: Sycheva A. S. , Vertkin A. L. , Kebina A. L.
Published: June 2021

Objective. Increasing the detection rate of oncological diseases in the early stages using questionnaires.

Materials and methods. The study involved 25,467 patients who came to an appointment with a general practitioner / general practitioner for any request. During the study, primary care physicians, regardless of the purpose of the visit, purposefully asked questions regarding the risks of malignant neoplasms.

Results. The detection rate of oncological diseases was 60.4% in the first half of 2018 against 56.3% in the same period of 2017. In accordance with specific localizations, the following results were obtained: detection of stomach cancer increased by 3%, colon cancer by 2%, malignant neoplasms of the trachea, bronchi and lungs increased by 6%, and the mammary gland, cervix and prostate increased by 1%, 8%, and 2%, respectively.

Conclusions. The presence of a clear stereotype of oncological alertness in the primary care physician may contribute to a decrease in the number of advanced stages of tumors due to the initiation of specialized treatment at earlier stages. In such a situation, the main task of the therapist and general practitioner is to identify suspicious symptoms of malignant neoplasms using an algorithmized approach and refer the patient to a specialized institution.
Approaches to treatment of COVID19 from perspective of correction of endotheliopathy and prevention of thrombotic complications
Authors: Vertkin A. L. , Zayratyants O. V.
Published: June 2021

The pandemic of the new coronavirus infection COVID‑19, according to recent studies, has a significant effect on vascular platelet hemostasis in its pathogenesis. The article examines the tactics of managing patients with COVID‑19 from the standpoint of assessing hemostasis disorders, the risks of thrombus formation and the correction of detected disorders.
Consensus ‘Interferon therapy for patients with influenza, SARS and COVID19’
Authors: Yushchuk N. D. , Maev I. V. , Vertkin A. L.
Published: June 2021

According to the who, the share of acute respiratory viral infections (амма? and influenza) accounts for about 90–95% of all infectious diseases; in russia, influenza and arvi take up to 40% of the total duration of official disability, which determines the significance of this pathology. At the same time, the primary contact of the overwhelming majority of patients with suspected arvi and influenza occurs with a therapist or general practitioner of polyclinics. The proposed consensus of experts is intended to systematize the known approaches to the diagnosis, treatment and secondary prevention of influenza, acute respiratory viral infections and community-acquired pneumonia for their use at outpatient clinics. The schemes of using interferon therapy for arvi and influenza are considered in detail.
GENDER & symptoms
Authors: Vertkin A. L.
Published: June 2021

The changed realities of modern health care, including the reform, the abolition of internship, the development of the outpatient and polyclinic direction of the development of domestic medicine dictate the need to develop and introduce new forms of doctor education and professional training throughout the entire period of activity. The authors have consistently created a scientific and Educational Project ‘Outpatient reception’ of the Regional Public Organization for Promoting the Development of Prehospital Medicine ‘Outpatient doctor’ and a Scientific and Practical Centre for Training and Continuous Professional Development of Primary Care Specialists on the basis of the City Clinical Hospital n.a. S. I. Spasokukotsky with the participation of Moscow State University of Medicine and Dentistry n.a. A. I. Evdokimov. The article gives an idea of these projects, describes individual areas of activity.

Results. For several years of active work, the proposed approaches have proven their viability and relevance for the medical audience, the number of listeners and active participants in educational events is growing, new textbooks and training materials are being published aimed at improving the provision of medical care in the Russian Federation.
Does Mass Shooting Influence Attitudinal Change? New Evidence from Orlando 2016
Authors: Zhang Muzhou , Kelly Joseph
Published: June 2021

Does mass shooting event influence gun control attitudes? Previous research conducted by Rogowski and Tucker (2019) suggests that attitudes towards gun control remained unchanged following the 2012 Sandy Hook Elementary School shooting. Given this finding’s counterintuitive nature and significance, we further investigate gun control attitudinal change using an exogenous event. Here, we employ a similar method while using the 2016 Orlando shooting as a new case to explore the extent to which the previously reported null effect holds. By leveraging the pre- and post-shooting responses for wave 55 of The American Panel Survey, we show that American’s gun control attitudes are unmalleable and deeply entrenched following mass shooting events. Our null finding has meaningful implications for the deadlocked gun control issue in the US.
Principle of Force Majeure - An Assessment of Commercial Contracts in India in Context of COVID-19
Authors: Kumar Raj , Deshwal Seema
Published: June 2021

For a while now, the world has been facing the catastrophic Covid-19 pandemic which not only impacted human lives but also adversely affected trade and commerce across the globe. The restrictive movements and government mandated lockdowns abruptly halted business operations of many sectors and put strain on economies of various nations in the world. Resultantly, the business entities struggled to fulfil their contractual obligations and look for a way out. As the commercial turmoil continues, global focus shifted on concept of force majeure to ascertain liabilities of the affected parties as regards their contractual obligations. Although it was previously considered a superfluous inclusion in the commercial contracts, the force majeure has gained popularity in a short span. This research paper gives broad insight into the concept of force majeure, analyse its legal framework in India and outline significance of doctrine of frustration.
Penatalaksanaan Fisioterapi Pada Kasus Low Back Pain (LBP) Akibat Hernia Nucleus Pulposus (HNP) Di Klinik Fisioterapi Karya Suci Pematangsiantar Tahun 2017
Authors: Sinuhaji Simson
Published: June 2021

Hernia Nucleus Pulposus (HNP) is the release of the contents of the nucleus from the intervetebral disc so that the nucleus protrudes into the annular ring and provides nerve compression manifestations of muscle strength. Physiotherapy modalities that can be used to treat physiotherapy problems in the case of Hernia Nucleus Pulposus include Short Wave Diathermy (SWD) and McKenzie's exercise therapy to reduce pain, increase the scope of joint motion to increase muscle strength. To determine the implementation of physiotherapy in reducing pain, increasing the scope of joint motion, and increasing muscle strength in the case of Hernia Nucleus Pulposus (HNP) and McKenzie exercise therapy. After doing therapy for six times the result is a decrease in pain at rest T1: 6.3 to T6: 0, tenderness T1: 6.3 to T6: 1.3 motion pain T1: 6.3 to T6: 1.3. There is an increase in the range of joint motion from lumbar flexion T1: 3 cm to T6: 0 cm lumbar extension from T1: 3 cm to T6: 0 cm. Short Wave Diathermy (SWD) and McKenazie Exercise therapy exercises can reduce pain, increase the speed of motion and can increase muscle strength in the condition of Hernia Nucleus Pulposus (HNP).

Keywords: low back pain (LBP); hernia nucleus pulposus (HNP); short wave diathermy (SWD); McKenzie exercise training therapy

ABSTRAK

Hernia Nucleus Pulposus (HNP) merupakan terjadinya pengeluaran isi nucleus dari dalam discus intervetebralis sehingga nucleus menonjol ke dalam cincin annulus dan memberikan manifestasi kompresi saraf kekuatan otot. Tujuan penelitian adalah melaksanakan modalitas fisioterapi yang dapat digunakan untuk menanngani problematika fisioterapi pada kasus Hernia Nucleus Pulposus diantaranya adalah Short Wave Diathermy (SWD) dan terapi latihan McKenzie untuk mengurangi nyeri, menambah lingkup gerak sendi meningkatkan kekuatan otot. Untuk mengetahui pelaksanaaan fisioterapi dalam mengurangi nyeri,meningkatkan lingkup gerak sendi, dan meningkatkan kekuatan otot pada kasus Hernia Nucleus Pulposus (HNP) dan terapi latihan McKenzie. Setelah dilakukan terapi selama enam kali didapat hasil adanya penurunan nyeri pada diam T1 : 6,3 menjadi T6 : 0, nyeri tekan T1 : 6,3 menjadi T6 : 1,3 nyeri gerak T1 :6,3 menjadi T6 : 1,3. Terdapat piningkatan lingkup gerak sendi dari gerak fleksi lumbal T1 : 3 cm menjadi T6: 0 cm ekstensi lumbal dari T1: 3 cm menjadi T6 : 0 cm. Short Wave Diathermy (SWD) dan terapi latihan McKenazie Exercise dapat mengurangi nyeri, menambah linggkup gerak dan dapat meningkatkan kekuatan otot pada kondisi Hernia Nucleus Pulposus (HNP).

Kata kunci: low back pain (LBP); hernia nucleus pulposus (HNP); short wave diathermy (SWD); terapi latihan McKenzie Exercise
Pengaruh Pelatihan Terhadap Pengetahuan tentang Gizi Buruk dan Inter-Professional Collaboration Petugas Puskesmas
Authors: Kusparlina Eny Pemilu
Published: June 2021

The problem of nutritional status is very complex, requiring treatment involving a health nutritionist. The nutritional status of children is one of the important things to prepare a quality generation. Health education in the form of training is expected to be able to change the collaborative competences of health workers across professions. This study aims to analyze the effect of training on knowledge of health workers about malnutrition and cross-professional collaboration. The researcher used a mix-methods approach with triangulation techniques using a questionnaire for the qualitative stage by conducting content analysis, while in the quantitative stage the researcher used a pre-experimental design with a "one group pre and post test" design, then the data were analyzed using the Wilcoxon test and paired samples-t test. The results of the content analysis informed that the training had gone well and was able to increase the participants' knowledge. The statistical test results showed that the mean knowledge of nutrition before training was 4.50, while after training was 4.467. The results of the Wilcoxon test showed that the p value = 0.586 (> 0.05), so it can be interpreted that there is no difference in knowledge about nutrition between before and after training. Meanwhile, the average knowledge about collaboration before training was 8.75 and after training was 10.67. The results of the paired samples t-test showed a value of p = 0.008 (0,05), sehingga dapat diinterpretasikan bahwa tidak ada perbedaan pengetahuan tentang gizi antara sebelum dengan setelah pelatihan. Sedangkan rerata pengetahuan tentang kolaborasi sebelum pelatihan adalah 8,75 dan setelah pelatihan adalah 10,67. Hasil Wilcoxon test menunjukkan nilai p = 0,008 (
BERBAGAI FAKTOR PENGHAMBAT IMPLEMENTASI SISTEM INFORMASI KESEHATAN DI INDONESIA
Authors: Nugroho Heru Santoso Wahito , Sillehu Sahrir
Published: June 2021

Pendahuluan: Masih banyak permasalahan dalam penerapan sistem informasi kesehatan di Indonesia yaitu “redundant” data, duplikasi kegiatan, kualitas data, data tidak sesuai dengan kebutuhan, ketidaktepatan waktu laporan, umpan balik yang tidak optimal, pemanfaatan informasi yang rendah, dan sumberdaya yang tidak efisien. Studi ini bertujuan mengidentifikasi faktor-faktor penghambat implementasi sistem informasi kesehatan di Indonesia berdasarkan hasil-hasil penelitian terdahulu. Metode: Studi menerapkan metaanalisis terhadap hasil-hasil penelitian terdahulu tentang faktor penghambat dalam implementasi sistem informasi kesehatan, lalu diklasifikasikan berdasarkan adanya kesamaan ciri. Hasil: Ditemukan adanya faktor penghambat dari lima macam komponen yaitu: 1) health informastion system resorces (sumberdaya manusia, keuangan, logistik, serta teknologi informasi dan komunikasi), 2) indicators, 3) data management, 4) information products (produk-produk informasi), dan dissemination and use. Di sisi lain tidak ditemukan faktor penghambat dari komponen data resources. Kesimpulan: faktor penghambat implementasi sistem informasi kesehatan di Indonesia mencakup komponen sumberdaya, indikator, manajemen data, produk informasi, dan diseminasi dan penggunaan. Saran: Diharapkan upaya peningkatan sistem informasi kesehatan diprioritaskan pada faktor sumberdaya sistem karena komponen ini berdampak bagi komponen-komponen berikutnya, khususnya manajemen data, produk informasi, serta diseminasi dan penggunaan.

Kata kunci: Sistem informasi kesehatan, penghambat implementasi
Uji Aktivitas Antibakteri Ekstrak Etanol Daun Yen Thuo (Leea indica Merr.) Terhadap Bakteri Staphylococcus epidermidis Serta Pembuatan Sediaan Krimnya
Authors: Sanjaya Muharti
Published: June 2021

Daun yen thuo (Leea indica Merr.) merupakan tanaman yang digunakan sebagai obat tradisional yang dapat membantu mengobati berbagai macam penyakit kanker dan juga sebagai antiseptik. Di Kabupaten Karo daun yen thuo digunakan sebagai ramuan tradisional yang dicampurkan dengan samsu putih sebagai obat anti tetanus dan infeksi luka. Di Malaysia, daun yen thuo juga digunakan sebagai obat infeksi luka dan buahnya digunakan untuk proses memercepat pematangan buah (memeram). Tujuan penelitian ini adalah untuk mengetahui golongan kandungan senyawa kimia, uji aktivitas antibakteri ekstrak etanol daun yen thuo terhadap bakteri Staphylococcus epidermidis serta formulasi sediaan krimnya.Serbuk simplisia diskrining fitokimia kemudian diekstraksi secara maserasi menggunakan pelarut etanol 70% sehingga diperoleh ekstrak kental, selanjutnya dilakukan uji aktivitas antibakteri ekstrak etanol terhadap bakteri Staphylococcus epidermidis yang dilakukan dengan metode difusi agar menggunakan pencadang kertas. Setelah didapat diameter hambatan yang efektif, ekstrak etanol daun yen thuo kemudian diformulasikan dengan sediaan dasar krim.Hasil skrining fitokimia simplisia daun yen thuo menunjukkan adanya golongan senyawa alkaloida, flavonoida, tanin, saponin, steroid/triterpenoid dan glikosida. Hasil uji aktivitas antibakteri menunjukkan bahwa ekstrak etanol daun yen thuo memiliki aktivitas yang efektif sebagai antibakteri pada konsentrasi 100 mg/ml terhadap bakteri Staphylococcus epidermidis dengan diameter daerah hambat rata-rata 15,33 mm.

Kata kunci: daun yen thuo; Staphylococcus epidermidis; krim antibakteri
Inclusion to the diet of fattening pigs of Large White breed mineral additive
Authors: Pozdnyakova N. A. , Kostomakhin N. M.
Published: June 2021

The use of natural sorbents such as aluminosilicates in particular bentonite clays as feed additives is promising now. The diverse mineral composition of bentonites combined with sorbing, buff ering, ion exchange and other features of clay minerals suggest that the physical and chemical properties of clay provide a productive eff ect by activating the regulatory mechanisms of metabolism. The purpose of the work was to identify the infl uence of natural sorbents on the dynamics of live weight and average daily growth of piglets during the fattening period, to determine their meat productivity and meat quality. The biggest infl uence on the absolute gain in live weight over the entire period of fattening was the introduction of 3,5 % bentonite into the diet of piglets (2nd experimental group). This indicator for this group was 71,15 kg, which was 7,65 kg or 12,05 % more than the analogs of the control group. In animals of the 1st and 3rd experimental groups the absolute gain was higher than the control group by 2,98 and 4,93 kg or by 4,69 and 7,76 %, respectively. The average daily gain in live weight during the rearing period was signifi cantly higher in animals of the 2nd experimental group by 64 g or by 12,10 % (P < 0,05). The biggest pre-slaughter weight, the weight of the cooled carcass and the length of the carcass were in animals of the 2nd experimental group. Their indicators exceeded the control group by 5,74, 9,13 and 2,13 %, respectively. The total indicator of the slaughter traits in pigs is the slaughter yield, which was 2,30 % higher in the piglets of the 2nd experimental group than in the analogs of the control group (P < 0,05). It has been found that the introduction of bentonite from the Zyryansky deposit as a mineral additive to the diets of fattening pigs has a positive eff ect on the meat and fattening traits of pigs, the optimal dose should be considered 3,5 % of the weight of compound feed.
Improving the fattening and meat traits of broiler chickens
Authors: Vyayzenen G. N. , Razaev S. V. , Vyayzenen A. G. , Prodanov N. S. , Barashkov A. E. , Ambartsumova K. A. , Pavlova E. M.
Published: June 2021

In order to save the cost of expensive compound feed, a number of biologically active substances (vitamins and amino acids) and improve the digestibility of nutrients for the first time in poultry meat using laser technology there is a real possibility of “transferring” the studied amino acids (methionine, glycine) and all water-soluble vitamins using a laser beam through the skin in the breast area of broiler chickens. The research has been carried out in Belgrankorm-Veliky Novgorod LLC in the Krestetsky district in the Novgorod region with a large-cage housing method of broiler chickens of the cross Hubbard. The duration of broilers rearing was 39 days, 4 recipes of compound feed based on wheat grain, corn, soybeen meal with the inclusion of fish flour, sunflower oil, corn gluten, sunflower meal, meat and bone meal and mineral additives (monocalcium phosphate, lime flour) have been used. For better assimilation of nutrients and biologically active substances by the body amino acids (methionine, glycine) and water-soluble vitamins Undevit, both individually and in combination with them in a ratio of 1:1 (by weight), in the form of powders passed through an infra-red laser beam in a spatial modulator, which were attached to two emitters (simultaneously) of the “Uzor-2K-Super” laser in the chest area have been used. Broilers of the experimental groups ate feed more often and faster than the herdmates of the control group. Air ozonation in the poultry house and broilers has been carried out in a mobile way using the Rios ozonator of the Decont series (mode 3, with a capacity of 20 g/m3 ). Innovative methods of influencing on the body caused the increase in the intensity of metabolic processes, growth and development, fattening and meat traits, and feed conversion in broilers.
The use of feed additive Supervita-M in the diets of laying hens
Authors: Ivanova A. S. , Chifileva A. D.
Published: June 2021

For the normal life of laying hens and their egg production not only good conditions and a properly balanced diet are necessary, but also the presence of vitamins and minerals in the feed in the right amount. The purpose of this work was to study the eff ectiveness of using the feed additive Supervita-M in the diets of laying hens. The research has been carried out under the conditions of LLC “Nizhnevartovskaya poultry Farm” on laying hens of the industrial herd of the cross High-Line Brown. Egg production of laying hens during the experiment period was higher in the experimental group by 3 %. The intensity of egg production in the experimental group that received the feed additive Supervita-M was also higher than in the control group. According to the yield of egg mass per average laying hen, the best results have been obtained in the experimental group, they exceeded the similar indicators of the control group by 0,6 kg. When tested the weight of the egg obtained from the experimental hens was in the range of 60–61 g. At the end of the experiment there was a noticeable increase in this indicator in laying hens that received the vitamin and mineral additive in addition to the main diet. The experimental group exceeded the control group by 8,3 % by egg weight. Positive results have been obtained for the livability of laying hens. This indicator in the experimental group was higher by 6,6 % compared to the control group. Analysis of the blood parameters of laying hens has shown that the use of the additive aff ected the increase in red blood cells. So, at the beginning of the experiment this indicator was 2,2–2,5×10[sup]12[/sup]/l, and at the end – 3,8–3,9 ×10[sup]12[/sup]/l.
Soybean productivity depending on the cultivation technology on ordinary chernozem in the Central Ciscaucasia zone
Authors: Dridiger V. K. , Gadzhiumarov R. G.
Published: June 2021

The existing technology of soybean cultivation with mandatory tillage is quite expensive, when up to 30 % or more of the total costs are spent on preparing the soil for sowing, and most of them are spent on fuel and lubricants, which are becoming more expensive every year. The purpose of the research is to determine the effect of the technology recommended by scientific institutions and the technology of soybean cultivation without tillage with the introduction of various doses of mineral fertilizers on its yield and agrophysical properties of ordinary chernozem in the zone of unstable moisture in the Central Ciscaucasia. The influence of soybean cultivation technology without tillage, depending on the doses of mineral fertilizers, on its growth, development, yield and agrophysical, chemical and biological properties of ordinary chernozem has been studied, and an economic assessment of the studied agricultural practices has been given. Cultivation technologies and applied fertilizers did not significantly affect the quality of soybean seeds. The oil content in soybean seeds for both technologies and all doses of fertilizer application on average over the years of research was in the range of 19,8–20,3 %, protein for the same variants of the experiment contained 41,3–41,7 %, and all differences in these indicators were not statistically significant. When cultivating soybeans using No-till technology the cost of purchasing and applying a continuous herbicide increases by 1280 rubles/ha or by 49,4 % in relation to the recommended technology. However, the recommended technology significantly increases production costs for the purchase of fuel and lubricants – by 3,276 rubles/ha or 232,0 %, the wage fund by 824 rubles/ha or 93,4 %, depreciation and repair of equipment by 891 rubles/ha or 47,0 %. Thus, the biggest economic efficiency has been obtained when using the technology of soybean cultivation without tillage and without applying mineral fertilizers.
Efficiency of protein concentrate application in the rations of highly productive cows
Authors: Buryakov N. P. , Buryakova M. A. , Zaikina A. S. , Kasatkina I. A. , Aleshin D. E.
Published: June 2021

The association between science and production is gradually developing due to the arrival of new information and discoveries about the composition of feed and the transformation of nutrients in the body of cows. One of the most important links in the formation of animal productivity during lactation is the use of new feed products and feed additives in feeding. The results of scientific and economic experiment on the use of protein concentrate “Agro-Matic” in feeding of highly productive lactating cows of Ayrshire breed are contained the article. The inclusion of protein concentrate “AgroMatic” in the daily rations of lactating cows in the amount of 1,0 and 1,5 kg/head/day increases the level of indigestible protein by 6,1 and 8,9 %, respectively. The use of protein concentrate in the amount of 1,5 kg in cows feeding helps to increase the digestibility of nutrients in rations the quality of milk and the productivity of cows. When feeding protein concentrate in the amount of 1,5 kg the milk productivity of cows during the period of increasing the milk yield was 4297,5 kg of milk, the yield of essential and dispensable amino acids with milk was significantly higher. The yield of milk protein in cows that received protein concentrate in the ration in the amount of 1,0 kg was 137,7 kg, and when using 1,5 kg – 141,4 kg, which was signifi cantly higher than in the control group by 10,2 and 13,6 kg, respectively. The use of protein concentrate “Agro-Matic” in the ration had a benefi cial eff ect on the digestibility of protein. The digestibility of raw protein of the feed mixture with the inclusion of 1,5 kg of protein concentrate was 71,1 % compared to 68,0 % in the basic ration, which are used at the Maysky complex in the “Plemzavod Maysky”
Productivity of replacement chicks and laying hens when using probiotics in the diet
Authors: Ovchinnikov A. A. , Ovchinnikova L. Yu. , Matrosova Yu. V. , Konovalov D. A. , Karmatskikh Yu. A.
Published: June 2021

Currently, much attention is paid to various groups of bacterial cultures that are used in poultry farming in the form of mono-additives or in combination with biologically active substances. The purpose of the research was to compare the productivity of rearing of replacement chicks and laying hens of the parental herd and the use of probiotic feed additives Levisel SB Plus and Cellobacterin-T in their diet. The researches have been performed under conditions LLC “Ravis – poultry farm Sosnovskaya” in the Troitsky district in the Chelyabinsk region on the cross of poultry “ISA-Hubbard-F15”. The research has made it possible to expand the theoretical understanding of the periodic use of probiotic feed additives in the diet of egg productivity poultry. The addition of probiotics with their periodic inclusion in the diet has a positive infl uence on the egg production of poultry throughout the productive cycle with a noticeable superiority of Cellobacterin-T over Levisel SB Plus. The inclusion of the probiotic Cellobacterin-T in the diet of replacement chicks and laying hens at a dosage of 0,50 kg/t of complete feed allows us to enhance the homogeneity of the group in the period of rearing of replacement chicks, and its inclusion in the diet of laying hens has increased egg production by 9,2 %, the hatching rate by 2,2 %, the livability of poultry by 1,9 %, profi tability of production 7,6 %. Therefore, it is economically advantageous to use probiotic feed additives in the diet of laying hens of the parental herd not during the entire productive cycle, but during the most stressful periods associated with preparing the poultry for egg laying, at peak and when it decreases.