bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical case of a successful treatment of uncontrolled arterial hypertension in a 67-year-old patient with captopril
Authors:   Samara State Medical University, Samara, Russia, Pavlova Tatiana V. , Dupliakov Dmitrii V. ,   Samara State Medical University, Samara, Russia, Dupliakov Dmitrii V. ,   Polyakov Samara Regional Clinical Cardiology Dispensary, Samara, Russia, Vorontsova Sofiia A. ,   Samara State Medical University, Samara, Russia, Guseva Galina N. ,   Polyakov Samara Regional Clinical Cardiology Dispensary, Samara, Russia
Published: April 2021

Effective blood pressure (BP) control remains an actual problem – according to the results of the multicenter study ESSE-RF, only 11.3% of women and 7.6% of men achieve it. Inadequate treatment of arterial hypertension often leads to clinically significant increase of BP without signs of damage to target organs. Such patients should be treated in out-patient setting by oral antihypertensive medications according to modern algorithms. It is also necessary to prescribe medications for subsequent long-term control of BP, if the patient has not previously taken them, or to optimize this type of therapy, if it was initially inadequate. The article presents a clinical case, which demonstrates that timely personalized treatment of uncontrolled hypertension leads to stabilization of the patient’s condition. Teaching the patient to self-relieve episodes of increased BP is of paramount importance. Modern pharmacological drugs allow achievement of the main goal of treatment – improvement the life’s prognosis due to both keeping blood pressure values at the target level and positively influencing other risk factors for the development of cardiovascular diseases. Keywords: uncontrollable arterial hypertension, hypertensive crisis, captopril For citation: Pavlova TV, Dupliakov DV, Vorontsova SA, Guseva GN. Clinical case of a successful treatment of uncontrolled arterial hypertension in a 67-year-old patient with captopril. Consilium Medicum. 2021; 23 (1): 74–79. DOI: 10.26442/20751753.2021.1.200605
Hemostasis disorders, thrombosis, antiphospholipid antibodies in patients with covid-19
Authors:   Nasonova Research Institute of Rheumatology, Moscow, Russia, Reshetnyak Tatiana M. , Reshetnyak Tatiana M. ,   Russian Medical Academy of Continuous Professional Education, Moscow, Russia, Chel'dieva Fariza A. ,   Nasonova Research Institute of Rheumatology, Moscow, Russia, Chel'dieva Fariza A. ,   Russian Medical Academy of Continuous Professional Education, Moscow, Russia, Lila Aleksandr M. ,   Nasonova Research Institute of Rheumatology, Moscow, Russia, Lila Aleksandr M. ,   Russian Medical Academy of Continuous Professional Education, Moscow, Russia, Nasonov Evgenii L. ,   Nasonova Research Institute of Rheumatology, Moscow, Russia, Nasonov Evgenii L. ,   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
Published: April 2021

The article provides an overview of main blood clotting disorders in coronavirus infection 2019 (COVID-19), which is associated with several hematological changes. Patients with COVID-19 develop typically two hemostasis disorders – an increased D-dimer levels and moderate thrombocytopenia, which occur in more than 40% of cases. Other hemostasis abnormalities, which are frequently reported in COVID-19, included prolonged prothrombin time (PT), also expressed as international normalized ratio, prolonged thrombin time, and activated partial thromboplastin time (APTT), which were typical acute phase reactions. Prolonged APTT or PT, and thrombocytopenia are common, especially in patients with severe clinical course. It has been hypothesized that increased D-dimer concentration and prolongation of PT, APTT are associated with higher mortality in patients with COVID-19. Disseminated intravascular coagulation occurs most often in severe cases of COVID-19 (about 2% of all hospitalized patients) and indicates a poor prognosis, i.e. about 90% mortality. It remains unclear whether SARS-CoV-2 can induce antiphospholipid antibodies. An increased incidence of positive lupus anticoagulants was observed in patients with COVID-19, it can be assumed that all patients with COVID-19 in whom antiphospholipid antibodies are revealed should be monitored and receive thromboprophylaxis even with no history of thromboembolism. Keywords: coronavirus infection (COVID-19), hemostasis disorder, antiphospholipid antibodies, antiphospholipid syndrome, thrombosis, anticoagulants For citation: Reshetnyak TM, Chel'dieva FA, Lila AM, Nasonov EL. Hemostasis disorders, thrombosis, antiphospholipid antibodies in patients with COVID-19. Consilium Medicum. 2021; 23 (1): 35–42. DOI: 10.26442/20751753.2021.1.200607
Statins in certain patient populations: scientific evidence and algorithms for practicing physicians
Authors:   Russian Medical Academy of Continuous Professional Education, Moscow, Russia, Susekov Andrey V.
Published: April 2021

Treatment with 3-hydroxy-3-methylglutaryl coenzyme A-reductase inhibitors (statins) is the basis for primary and secondary prevention of atherosclerosis and is regulated by many international and Russian guidelines and consensus. Data from lipid-lowering studies with "hard" endpoints showed that combination therapy can also lead to a further reduction in cardiovascular (CV) risk with the achievement of very low levels of low-density lipoprotein cholesterol (0.5–1 mmol/L) without increasing the risk of side effects. Despite the scientific progress in this field, there are large barriers between the recommendations and the real clinical practice of using statins in our country. As before, even patients with a very high CV risk are prescribed low and medium doses of statins by doctors of various specialties; the possibilities of combination therapy are still poorly realized. This review will provide an analysis of the evidence base, as well as an attempt to harmonize recommendations, expert consensus on optimizing statin therapy in certain patient groups – in primary prevention (low/moderate CV risk), in patients with high/very high CV risk in patients with arterial hypertension and dyslipidemia, as well as in patients with confirmed familial hypercholesterolemia. This publication presents possible algorithms for the use of statins in these categories of patients, which, in the author's opinion, will be useful for practicing physicians in their day-to-day clinical practice. Keywords: low-density lipoprotein cholesterol, dyslipidemia, statins, algorithms, primary prevention, arterial hypertension, cardiovascular risk, familial hypercholesterolemia For citation: Susekov AV. Statins in certain patient populations: scientific evidence and algorithms for practicing physicians. Consilium Medicum. 2021; 23 (1): 52–60. DOI: 10.26442/20751753.2021.1.200626
Features of the management of patients with atrial fibrillation during the covid-19 pandemic: current questions and possible answers
Authors:   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia, Napalkov Dmitry A. , Sokolova Anastasiya A. ,   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia, Skripka Alena I. ,   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
Published: April 2021

This publication is devoted to the tactics of management of patients with atrial fibrillation during the pandemic of new coronavirus infection (COVID-19). Among the key issues of relevance during this period, we thought it possible to consider the epidemiology, prevalence, and pathophysiological mechanisms of atrial fibrillation in patients with COVID-19, as well as treatment strategies with regard to obvious hospitalization, rhythm control/restoration and prevention of thromboembolic events. A separate issue is the tactics regarding the prescription or continuation of therapy aimed at the prevention of thromboembolic events and possible drug interactions in patients treated for COVID-19 and receiving anticoagulant therapy with direct oral anticoagulants for atrial fibrillation. Keywords: atrial fibrillation, COVID-19, thromboembolic events, anticoagulant therapy For citation: Napalkov DA, Sokolova AA, Skripka AI. Features of the management of patients with atrial fibrillation during the COVID-19 pandemic: current questions and possible answers, Consilium Medicum. 2021; 23 (1): 32–34. DOI: 10.26442/20751753.2021.1.200669
Sodium-glucose co-transporter-2 inhibitors in patients with heart failure. What's new? What are the prospects?
Authors:   Pirogov Russian National Research Medical University, Moscow, Russia, Erlikh Alexey D. , Erlikh Alexey D. ,   Bauman City Clinical Hospital №29, Moscow, Russia, Riabova Dar'ia V. ,   Bauman City Clinical Hospital №29, Moscow, Russia
Published: April 2021

This review presents the main results of recently (in 2020) published clinical studies investigating additional properties of drugs of the family of sodium-glucose co-transporter type 2 (SGLT2) inhibitors in patients with heart failure (HF). Of these, the most important is the EMPEROR-Reduced study which demonstrates the superiority of empagliflozin over placebo in preventing cardiovascular death and hospitalization for HF in patients with chronic HE with reduced left ventricular ejection fraction (LVEF). An important finding of this study is that, as in a recent study with a similar design with dapagliflozin – DAPA-HF, the benefit of SGLT2 inhibitors was independent on the presence or absence of diabetes mellitus in patients. The use of empagliflozin in patients with acute HF was studied in the EMPA-RESPONSE-AHF pilot study, in which, although there was no difference between placebo and the drug in the effect on the primary endpoint events, there was a clear trend towards improvement in clinical outcomes under the treatment with empagliflozin after 1 and 2 months of follow up. Administration of another member of the SGLT2 inhibitors family – sotagliflozin – in the SOLOIST-WHF study in patients with diabetes and recent worsening HF (with any LVEF) was associated with a significant decrease in adverse events. In the VERIT CV study, another SGLT2 inhibitor, ertugliflozin, although it had no effect on long-term outcomes in patients with diabetes and cardiovascular disease, was better than placebo in preventing hospitalization for heart failure. Overall, the recently completed studies of SGLT2 inhibitors show that drugs of this family, which already play an important role in the treatment of patients with HF with reduced LVEF, may in the future become an important component of therapy in a wider range of patients with various types of HF. Keywords: heart failure, sodium-glucose co-transporter type 2 inhibitors, empagliflozin, dapagliflozin, sotagliflozin, cardiovascular death For citation: Erlikh AD, Riabova DV. Sodium-glucose co-transporter-2 inhibitors in patients with heart failure. What's new? What are the prospects? Consilium Medicum. 2021; 23 (1): 48–51. DOI: 10.26442/20751753.2021.1.200681
Diabetic nephropathy: what should cardiologist remember
Authors:   Endocrinology Research Centre, Moscow, Russia, Trubitsyna Natalia P. , Zaitseva Natalia V. ,   Endocrinology Research Centre, Moscow, Russia, Severinа Anastasia S. ,   Endocrinology Research Centre, Moscow, Russia
Published: April 2021

Prevalence of diabetes mellitus (DM) progressively increases around the world. Diabetic nephropathy (DN) is significant reason of end-stage renal disease and it is associated with high risk of cardiovascular disease and mortality. Necessity of expensive renal replacement therapy for patients with prominent vascular diabetic complications and end-stage renal disease has significant socio-economic impact. DM, as a one of leading causes of kidney diseases, competes for stricted resources of public health. Renal replacement therapy in patients with DM does not solve the whole problem, because survival of such patients is low, comparing with another kidney diseases, first of all because of cardiovascular diseases. Good control of glycaemia, blood pressure and cholesterol level and prescription of renin-angiotensin-aldosterone system inhibitors and statins decrease cardiovascular risk and slow down DN progression, as it was shown in many clinical trials. So patients with DM and DN should receive complex therapy for risk reduction of kidney disease and cardiovascular disorders progression. Keywords: diabetes mellitus type 2, diabetic nephropathy, nephroprotection, cardioprotection, SGLT-2 inhibitors, GLP-1 agonists, renin-angiotensin-aldosterone system For citation: Trubitsyna NP, Zaitseva NV, Severinа AS. Diabetic nephropathy: what should cardiologist remember. Consilium Medicum. 2021; 23 (1): 20–24. DOI: 10.26442/20751753.2021.1.200712
Biomarkers of acute kidney disease. potential application in practice
Authors:   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia, Schelkanovtseva Ekaterina S. , Schelkanovtseva Ekaterina S. ,   City Polyclinic №67, Moscow, Russia, Mironova Olga Iu. ,   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia, Fomin Viktor V. ,   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
Published: April 2021

Acute kidney injury (AKI) is a common clinical syndrome. Its variety of presentation explains the absence of “kidney troponin”. Many research projects of new biomarkers are ongoing now. The enormous number of biomarkers has been identified already. It makes difficult to choose the correct test and dictates the importance of the fastest and most accurate introduction of AKI biomarkers into clinical practice. The integration of appropriately selected biomarkers in routine clinical practice for high-risk patients of AKI is very important. Currently, serum creatinine (sCr) and urine output are used to define AKI in accordance with the definition of KDIGO (Kidney Disease: Improving Global Outcomes), which have a number of significant limitations for practitioners, including the inability to diagnose AKI before serum creatinine levels increase. Practitioners need systematic information about the latest AKI markers and possible situations, when and for which patient groups they can be used. This is the main goal of our review. Keywords: acute kidney injury, biomarkers, NGAL, TIMP-2, IGFBP7, cystatin C, markers, injury, kidney stress For citation: Schelkanovtseva ES, Mironova OIu, Fomin VV. Biomarkers of acute kidney disease. Potential application in practice. Consilium Medicum. 2021; 23 (1): 15–19. DOI: 10.26442/20751753.2021.1.200729
Reducing the risk of chronic heart failure development in patients with arterial hypertension from the position of evidence medicine (focus on candesartan)
Authors:   Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia, Evdokimova Anna G. , Stryuk Raisa I. ,   Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia, Evdokimov Vladimir V. ,   Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia, Golikova Anna A. ,   Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
Published: April 2021

Arterial hypertension is the main risk factor for the development of cardiovascular complications and makes a significant contribution to cardiovascular morbidity, including chronic heart failure, and mortality, amounting to more than 45%. The leading risk factors for the development of cardiovascular diseases also include a violation of lipid and carbohydrate metabolism. Current treatments for cardiovascular disease include the administration of angiotensin II receptor blockers. This article provides an overview of the literature data on the efficacy, safety profile of candesartan, high adherence to this drug in patients with arterial hypertension, chronic heart failure, impaired carbohydrate and lipid metabolism. The advantages of candesartan in comparison with other representatives of this group of drugs in the prevention of chronic heart failure are emphasized according to large-scale international randomized trials. Keywords: arterial hypertension, atherosclerosis, diabetes mellitus, insulin resistance, chronic heart failure, candesartan, Hyposart For citation: Evdokimova AG, Stryuk RI, Evdokimov VV, Golikova AA. Reducing the risk of chronic heart failure development in patients with arterial hypertension from the position of evidence medicine (focus on candesartan). Consilium Medicum. 2021; 23 (1): 84–92. DOI: 10.26442/20751753.2021.1.200730
Multisystem effect of cytoprotection
Authors:   Pirogov Russian National Research Medical University, Moscow, Russia, Larina Vera N.
Published: April 2021

The anti-ischemic and pleiotropic effects of a drug from the group of myocardial cytoprotectors – trimetazidine are discussed in the article. Currently, trimetazidine is recommended by experts of the scientific medical community as an effective antianginal drug for the treatment of patients of different ages diagnosed with stable angina. Trimetazidine, a reversible competitive inhibitor of 3-ketoacyl coenzyme A thiolase, has a good safety and tolerability profile, improves physical performance in patients with stable angina pectoris and ischemic cardiomyopathy, and is considered as an agent that affects the energy metabolism of cells under conditions of ischemia, optimizing the use of oxygen myocardium due to increased aerobic glycolysis and a decrease in the intensity of oxidation of free fatty acids. The results of the VASCO-angina study allow us to consider a daily dose of trimetazidine 70 mg as a standard therapeutic dose in the treatment of patients with coronary artery disease. The KARDIOKANON study confirmed the clinical equivalence of the original and reproducible drug trimetazidine – Deprenorm® SR (manufactured by Canonpharm Production, Russia) in the secondary prevention of coronary artery disease and its complications. Pleiotropic effects: anti-atherosclerotic, anti-inflammatory, nephroprotective, neuroprotective, allow expanding the use of trimetazidine in clinical practice. Keywords: coronary artery disease, angina pectoris, metabolism, ischemia, trimetazidine For citation: Larina VN. Multisystem effect of cytoprotection. Consilium Medicum. 2021; 23 (1): 93–98. DOI: 10.26442/20751753.2021.1.200732
Biotopical Distribution of Orb-Weaver Spiders (Aranei: Araneidae) in the Ridge-top Zone of the South Sikhote-Alin Mountains
Authors:   Pacific Geographical Institute FEB RAS, Simonov P. S.
Published: April 2021

Until recently, the study of spiders in the mountainous conditions of the Primorsky Region of Russian Far East was carried out only with the example of ground dwelling spiders. The purpose of this work is to reveal the species composition and features of the biotopic distribution of orb-weaver spiders (Aranei: Araneidae) in the ridge-top zone of the Southern Sikhote-Alin mountains (Primorsky Region). The field material was collected from may to october in 2016 and 2017 at key sites located on different mountain ranges and their spurs in the altitude range from 1000 to 1560 m above sea level. Within each key sites, transect-sites with a size of 3 x 25 m were laid. The spider's collections were by the hands collecting and sweeping method. A total of 305 specimens of spiders belonging to 10 species from 7 genera were caught. Comparison of species lists of spiders was carried out by cluster analysis methods (unweighted pair group method with arithmetic mean, UPGMA) using the Jacquard coefficient. For automatic calculations data processing program Past v. 2.17 is used. The maximum diversity of spiders is observed among the herbage-reed meadows, which do not form a continuous belt of vegetation at altitudes of 1000–1400 m above sea level. seas. Seven species belonging to 6 genera were caught here. The minimal diversity is noted among the continuous open stony debris, devoid of vegetation. Here is the only species caught – Aculepeira matsudae. The species Plebs sachalinensis and Araniella yaginumai are most numerous and widespread in the ridge-top zone of the Southern Sikhote-Alin. The high abundance of Araniella yaginumai is achieved due to favorable conditions for this species in the herbage-reed grass lands. In all the studied biotopes in the ridge-top zone of the mountains the density of the orbweaver spiders is low and does not exceed 2.04 specimens per 10 m2.
On the Effect of Surfactants on the Baikal Oligochaete Mesenchytraeus bungei Michaelsen
Authors:   Irkutsk State University, Zhdanova G. O. , Zyuzina K. D. ,   Irkutsk State University, Sergienko S. E. ,   Irkutsk State University,   Irkutsk National Research Technical University, Saksonov M. N. ,   Irkutsk State University, Balayan A. E. ,   Irkutsk State University, Tsyrenov V. Zh. ,   East-Siberian State University of Technology and Management, Stom D.I. ,   Irkutsk State University,   Irkutsk National Research Technical University,   Baikal Museum ISC SB RAS
Published: April 2021

Pollution of natural objects with surfactants is relevant, including for the lake Baikal. Here, until the near future, there was a constant increase in the tourist flow and, as a result, the ingress of these pollutants into the reservoir. First of all, the inhabitants of the littoral zone come into contact with the incoming pollutants. In this regard, the work evaluated the effect of surfactants on the survival rate of the Baikal endemic oligochaetes Mesenchytraeus bungei Michaelsen, 1901. These enchitreids are a common species. They are widespread throughout the lake from the water's edge to the deepest depths. Therefore, M. bungei is recommended as an indicator object for ecological monitoring of the lake Baikal. The tested compounds are representatives of different types of surfactants: anionic – sodium lauryl sulfate, cationic –cetyltrimethylammonium bromide and nonionic – tween-80. Baikal oligochaetes M. bungei Michaelsen, 1901 were collected in July – August 2020 in the splash zone of Lake Baikal in settlement Bolshiye Koty (South Baikal). Enchitreid about 1.8-2.0 cm long was used in the experiments. After adaptation to laboratory conditions (2 days with water aeration using a microcompressor), further incubation was carried out in glass or plastic cages with nonsterile Baikal water at a temperature of 8–10 °C and an illumination of 250-300 lux. River sand was placed at the bottom, the layer thickness of which was 0.8-1.5 cm. Baikal oligochaetes M. bungei Michaelsen, 1901 turned out to be sensitive to the anionic surfactant sodium lauryl sulfate and cationic cetyltrimethylammonium bromide at a content of 0.005-0.006 mM. So, with the addition of 0.006 mM sodium lauryl sulfate for 3 days of the experiment, the proportion of dead individuals of the test object was 40%, at 0.0125 mM – 60%, at 0.025 mM – 90%, and at 0.05 mM complete death of all enchitreid individuals was observed. Adding CTAB at a concentration of 0.005 mM increased the proportion of dead oligochaetes to 40%. TAB twice – up to 0.01 mM – led to the death of all worms. The nonionic surfactant tween-80 did not have a negative effect on the Baikal oligochaetes in the concentration range from 1 to 60 mM. The tested surfactants to reduce the degree of their effect on the survival of oligochaetes can be arranged in the following row: cetyltrimethylammonium bromide (LC100 = 0.01 mM)> sodium lauryl sulfate (LC100 = 0.05 mM)> tween-80 (harmless up to 60 mM inclusive).
Development of Lab Test Mode to Estimate Performance Drop of Brake Pads Base on Circuit Test Results
Authors:   Keimyung University, Korea
Published: April 2021

This paper presents the systematical approach to generate lab test mode using a brake dynamometer to estimate performance drop of brake pads under the circuit driving condition. AUDI R8 with cast iron disc brake system is used as the reference vehicle. Brake pad performance drop is characterized by driving vehicle on F1 circuit, performing a subjective and objective evaluation of the brake performance, analyzing the evolution of the significant parameters related with brake performance drop. Taking into account all the data and information gathered in vehicle test, a well correlated brake pad lab test mode is developed.
Existing Road Performance of the New Development of Sibu Central
Authors:   University College of Technology Sarawak, Bakie Nisa Aqila
Published: April 2021

The proposed development of Sibu Central hinges on the fact that it attracts high number of visitors from all over Sarawak. The development of Sibu Central would definitely improve the surrounding areas in future as Sibu Central will be one of the landmarks for Sibu. This development therefore will automatically generate more road traffic which will affect the performance of the existing road. The performance of the existing road was evaluated by two signalized intersections surrounding the proposed development of Sibu Central. It was carried out in order to determine the current traffic volume data, upon the completion of Sibu Central and 5 years after the development was completed. The road performance of Intersection 1 and Intersection 2 was analysed by using Sidra software. It was found that the existing road was still within the satisfactory performance, as the Level of Service (LOS) was in the range of LOS A until LOS D. This was due to the current traffic volume that was still under the capacity of the existing road which also influenced the satisfactory result for Volume by Capacity (V/C) ratio, average delay and queue length of all directions in Intersection 1 and Intersection 2. This result will not be adequate as the capacity of the road still remains unchanged due to the fact that the traffic volume keeps on increasing every year. The deterioration of the existing road in Intersection 1 and Intersection 2 was established in this study based on the performance of LOS, V/C ratio, average delay and queue length.
Room Automation System in Politeknik Sultan Abdul Halim Mu’adzam Shah (POLIMAS)
Authors:   Politeknik Sultan Abdul Halim Mu’adzam Shah, Kedah, Mohd Noor Nurolhuda
Published: April 2021

The objective of this paper is to design an efficient room automation system in POLIMAS to control and automatize lighting, fan and air-condition.. This system will overcome human mistakes where the students or staffs forget to switch off the appliances in classroom or laboratories, and effectively reduce the cost of operation and power consumption of the buildings. Room Automation involves the automation and controlling the electrical appliances. The system will monitors electrical parameters of room appliance such as temperature, humidity and ambient light. The factors like temperature and light can have significant effects on the productivity of office workers as well as students. Thus, classrooms, laboratories and staff offices can be equipped with super sensors featuring temperature and light monitors. Besides, it helps in reducing power consumption by monitoring the environment condition and controlling the appliances as well as conservation of energy in the campus. Furthermore, it provides simple and cost effective to the institution. The system uses Arduino ESP8266 NodeMCU platform as the IoT end-device connecting to various sensors and actuators to the platform via Wi-Fi channel. By using Wi-Fi connectivity, the hardware integrates with software application to control, monitoring and analysis. A sequence testing is conducted to determine the connectivity and integration of hardware and software. The performance of each sensor was performed to measure the accuracy. As a result, PIR sensors are able to detect general movement in effective range of about 10 meters. Moreover, the DHT temperature sensor in range of 5 meters away from air-condition is able to read the present room temperature and send command to the air-condition adjusting the air- condition’s set temperature similar to the air-condition’s remote. Thus, by implementing this system, not only the electrical appliances in a room more manageable and under control but also able to reduce the operational cost and improve environmental protection.
Network Cliques and Organizational level of Influence among Managers: A Social Network Analysis
Authors:   Universiti Kebangsaan Malaysia, Osman Lokhman Hakim
Published: April 2021

Responding to demands for transformed networking practices requires new forms of knowledge. Given their scale and complexity, networking problems can no longer be solved by way of extending intermediaries. Recent research on alternative approaches has focused on the understanding network structures formed by interactions between heterogeneous actors. Rather than linear extensions, network theory highlights cliques structure as a major determinant of performance derives largely from the frequent finding that managers that are embedded with influential connections are at increased likelihood of becoming influential themselves thus opening rooms for new knowledge and innovative technology and practices. It is suggested that the strong and consistent cliques are at least partially responsible to managing network complexity. This paper contributes to our understanding of such facilitation by investigating the networks in which managers exchange information. We report findings based on the study of managers in a maritime industry. Network surveys identified who the managers contacted for inputs and who they had talked to about the information by 6 months earlier. Snow-balling interviews collected farmer statements about their most valuable contacts and these statements have been analysed. The network analysis shows that managers with densely tied and occupationally homogeneous contacts grew their networks more than did managers with contacts that are loosely tied and diverse. The network analysis reveals an important principle: managers’s value knowledge delivered by persons of homogenous connections rather distance ones. It is argued that social network analysis is an appropriate method for studying influence development use in the context of networked organizations.
A Study of Postural Safety and Low-Cost Electromyography (EMG) Device Towards Grocery Workers in Kota Samarahan, Sarawak
Authors:   Universiti Malaysia Sarawak, Mohd Said Mohd Azrin
Published: April 2021

Body posture is one of the most important parts when lifting an object as it can causes injury if the wrong technique and body posture were used. A worker will injure their low back if a bad posture is not in consideration. A good body posture is recommended among workers to reduce the chance of injury while lifting and improve their postural safety. The main objectives of this study are to observe the body posture of the worker during lifting and study the comparison of using lower back support when lifting. It also investigates the muscle activity of the worker during heavy lifting using EMG and simulates the worker's movement using CATIA Software for Rapid Upper Limb Assessment (RULA) results. The selected grocery was chosen in Kota Samarahan, Sarawak with 7 male respondents are identified to undergo this study. The results show that the worker with lower back support tends to show raw EMG signal with lower muscle activity compared to without using lower back support. Thus, using belt support can reduce muscle activity by up to 67.4% compare to not wearing back support. Raw EMG signals also show 3010 amplitude (mV) muscle activity if postural safety of the workers improved by following the NIOSH lifting Recommendations.
Design and Develop Low-Cost Device on Monitoring Environmental Indoor Air Quality in Factory
Authors:   Universiti Malaysia Sarawak, Mohd Said Mohd Azrin
Published: April 2021

Environmental indoor air quality is one of the major concerns in occupational safety and health issues related to workers. Nowadays, the evolving of Internet of Things (IoT), the monitoring of the surrounding environmental desired parameters is more fascinating with the use of various sensors. Real time data now can be monitored with the Wi-Fi connection where the data being transfer across the network cloud with different platform service. This research focus is on the environmental monitoring for indoor air quality in terms of carbon monoxide (CO) in selected palm oil mill factory. This project aims to benefit the workers in a way where air quality is monitored. This low-cost device air quality monitoring (LCDAQM) used an ESPduino-32 to collect and process sensed data to the ThingSpeak platform service that can be monitored through web based or apps. The level of the carbon monoxide (CO) will light up the red LED when reach more than 50ppm which was set by OSHA. Result shows that level of CO in factory is unhealthy and need future engineering control action. The validation between LCDAQM and RS CO meter show the percentage error of 14.41%. Therefore, this study will help workers and factory to monitor and reduce the occupational safety and health (OSH) related problems to indoor air quality in factory.
Enhancing the Usability of Tactile Map for the Visually Impaired
Authors:   Universiti Sains Malaysia, Minhat Muzaireen
Published: April 2021

Assistive technology is initiated to aid those visually impaired to fulfil their tasks independently, rapidly, and easily. As such, tactile map is an assistive technology that has been widely used for navigation to enable those visually impaired to visualize the geographical information about a particular place. Nevertheless, its usability and availability in Malaysia are scant. This paper aims to investigate the usability issues of tactile map, identify the requirements and proposed a conceptual prototype named TacTalk. Qualitative research method in the form of face to face interviews were carried out with the visually impaired residing at Saint Nicholas’ Home for the Blind in Penang. Results from the findings identified four emerging usability issues: poor design of tactile map due to limited space, misinterpretation of information, complexity of symbols used and difficulty in memorizing directions. The proposed solution, ‘TacTalk’, refers to a ‘talking tactile map’ incorporated with audio support. TacTalk is comprised of two components, which are: a tactile map with built-in buttons, and a mobile application that plays the audio files. There is a connection between the buttons on the map and the TacTalk mobile application via Bluetooth. An audio instruction is played when the button is pressed by the user. The results of this work hope to overcome the fear of the visually impaired to travel alone. Hopefully, it can inspire and empower them to explore the use of assistive technology in future.
The dispensation of drugs in the primary health care of the Single Health System
Authors: Garbin Cléa Adas Saliba , Chiba Fernando Yamamoto , Gonçalves Cláudia da Silva , Oliveira Renan Akira Fujii de , Garbin Artênio José Ísper
Published: April 2021

Objetivo: analisar a dispensação de medicamentos na atenção primária do Sistema Único de Saúde em um município do Estado de São Paulo. Metodologia: realizou-se análise documental dos boletins de movimentação de medicamentos das farmácias das 19 Unidades Básicas de Saúde do município de Araçatuba-SP, sede do Departamento Regional de Saúde II-SP, durante 12 meses. Os medicamentos foram agregados segundo o sistema de classificação Anatomical Therapeutic Chemical e ação farmacológica. Analisou-se o total de medicamentos dispensados e o saldo final dos principais tipos de fármacos. Resultados: foram dispensados 60.479.959 medicamentos, sendo 53,10% antibióticos, 15,42% anti-hipertensivos, 5,09% antidepressivos, 4,81% hipoglicemiantes, 3,16% ansiolíticos, 2,82% complexos vitamínicos e minerais, 2,17% antipsicóticos, 1,99% analgésicos, dentre outros tipos (11,45%). Permaneceram disponíveis 8.778.863 medicamentos, sendo os anti-hipertensivos, antidepressivos e ansiolíticos os que representam a maior proporção entre estes. Os antibióticos apresentaram a menor proporção de unidades disponíveis, com aproximadamente 2%. Os hipoglicemiantes apresentaram maior diversidade de fármacos sem unidades disponíveis para dispensação. Conclusão: os principais tipos de medicamentos dispensados foram antibióticos, anti-hipertensivos, antidepressivos e hipoglicemiantes. A dispensação de medicamentos foi satisfatória, considerando que mesmo os medicamentos que não apresentaram saldo residual positivo foram substituídos por outros de propriedades farmacológicas similares.
Care for patients with delirium in the intensive care unit: the nurse's view
Authors: Rocha Camila Caroline Martiniano da , Portela Pollyana Pereira , Santana Thiago da Silva , Gois Joselice Almeida , Oliveira Silvânia Sales de
Published: April 2021

Objetivo: analisar o cuidado ao paciente com delirium na Unidade de Terapia Intensiva através do olhar do enfermeiro. Metodologia: estudo qualitativo, exploratório e descritivo, realizado em duas UTI adulto de um hospitalar público, Bahia, Brasil. Participaram do estudo 12 enfermeiros que atenderam aos critérios de inclusão. Os dados foram coletados através de entrevista semiestruturada e analisados por meio da análise de conteúdo. Resultados: os resultados foram organizados em categorias os quais revelam que os aspectos do cuidado ao paciente com delirium envolvem atuar, perante a prevenção do delirium, o uso de instrumentos para sua identificação, as intervenções para o cuidado direcionado ao paciente e as facilidades e dificuldades do enfermeiro no cuidado ao paciente com delirium em UTI. Conclusão: o cuidado ao paciente com delirium envolve medidas de prevenção, uso de instrumentos para a sua identificação e ações farmacológicas e não farmacológicas para o seu tratamento. Ademais, o cenário de atuação revela facilidades e dificuldades relacionadas à aproximação com a temática, estando o suporte fornecido pelo serviço de saúde para sua atuação, como desfavorável e o conhecimento, como facilitador/dificultador para o manejo do delirium.
Ресурсне забезпечення соціальної роботи: навч.-метод. посіб.
Authors: Костіна В. В.
Published: April 2021

Навчально-методичний посібник “Ресурсне забезпечення соціальної роботи» містить п’ять розділів: у першому – надано інформацію про особливості вивчення навчальної дисципліни; у другому – перелік літератури для роботи за тематичними розділами лекцій; у третьому – матеріали для підготовки до семінарських занять; у четвертому – методичні рекомендації до виконання ІНДЗ; у п’ятому – рекомендації з виконання самостійної роботи та критерії її оцінювання. Посібник може використовуватись для підготовки здобувачів вищої освіти спеціальності «Соціальна робота», слухачів післядипломної освіти, перепідготовки та підвищення кваліфікації соціальних працівників у системі педагогічної освіти.
The Description of Knowledge about Antenatal Care in Village X Bandung Regency in 2019
Authors: Ariani Antri , Pragholapati Andria
Published: April 2021

The lack of maternal Antenatal care visit is one of the determinants that cause maternal mortality rates in Indonesia. Antenatal care is care for pregnant women during pregnancy, starting from conception to the birth of the fetus. The purpose of this study was to study the Antenatal Care Knowledge Overview in Village X Bandung Regency in 2019. The design of this study was quantitative descriptive with 74 postpartum mothers respondents. Data were collected using a knowledge questionnaire. The results obtained from the knowledge of Antenatal Care in Village X Bandung Regency in 2019 were high knowledge of Antenatal Care (73%) and low knowledge of 27%. The conclusion of the study showed respondents who had high knowledge of ANC was more than 73% compared to those who had low knowledge of 27%. Health workers need to improve health education for mothers with high gestational age and home visits.
Causing Factors of Degenerative Disease towards Elderly Women
Authors: Gustina Irwanti , Dita Putri Sarah
Published: April 2021

The proportion of the elderly population in Indonesia has a positive or negative impact, it is said to be positive if the elderly population is in a healthy, active and productive condition. The elderly become a burden if they have health problems such as degenerative diseases. In this study, the authors looked for the Causes of Degenerative Disease in Elderly Women. This study used 50 elderly women for sample. This research design used cross sectional, data collection techniques through questionnaires. The results showed that there was a significant correlation between degenerative diseases in the elderly with diet, physical activity, rest patterns, and health care support for the elderly. Meanwhile, smoking habit with p-value = 0.283 meant that statistically there was no correlation between smoking habits and degenerative diseases, this was because the proportion of elderly women who smoke and had degenerative diseases was less. The conclusion of the research was the productivity of women in youth and lifestyle had an effect on women's health in old age.
Development Analysis of Post Graduate School Program of Occupational Health Nursing (OHN), Workforce and The Challenges in Poltekkes Kemenkes Jayapura (a Case Study)
Authors: Tukayo Isak Jurun Hans , Hardy Syaifoel , Saljan Moh. , Swastika I Ketut
Published: April 2021

Background: According to the Central Statistics Agency (BPS, 2020), Papua is one of the poorest provinces in Indonesia with a poverty rate of 26.8%. This condition is exacerbated by the lack of educational facilities including occupational health nursing (OHN) at the postgraduate level. Even though there are several large industries in Papua that are engaged in oil exploration to wood processing. As a result, there is an imbalance between the need for OHN nursing experts and the production of nurses due to the absence of OHN postgraduate educational facilities in Papua.Destination: This article is a case study which aims to analyze the development of OHN postgraduate education programs, human resources and challenges from an Occupational Safety and Health (OHS) perspective.Method: The study used is in the form of a literature review using SWOT Analysis which emphasizes on policy issues on nursing education and its specialties, especially OHN. Data is collected from various sources, including the Ministry of Health, the Ministry of Manpower, BPPSDM, PPNI, journals from within and outside the country. Document review was conducted from January 2016 to December 2020.Result: From the results of the SWOT analysis, the research shows that the Poltekkes of the Ministry of Health of Jayapura has a very supportive potential to develop postgraduate nursing education programs in the OHN department. In addition to adequate human resources, sufficient land for practice and the availability of industrial jobs for graduates.
Auto-compasiunea și auto-eficacitateaca – resurse personale în cazul terapeuților
Authors: TRIFU Raluca , MICLEA Bogdana , HERȚA Dana , PUȘCAȘU Smaranda , BODEA-HATEGAN Carolina , COMAN Horia
Published: April 2021

One of the special human qualities is the compassion shown towards our fellow, in special situations, people
who live certain states determined by the moments of life they go through.
Self-compassion refers to the ability to show compassion, understanding and protection to oneself. It is
operationalized by researcher Kristin Neff. Self-efficacy, proposed by Albert Bandura, refers to the perception
of self and is related to the belief in one's own abilities, in one's own ability to solve situations.
The interest of the study aims the relationship between self-compassion and self-efficacy in the case of a distinct
category, that of therapists, professionally faced with situations that require personal resources.
Methods: The level of self-compassion was assessed with the Self-Compassion Scale, 26 items, proposed by
Kristin Neff. The level of self-efficacy was assessed using the New General Self-Efficacy Scale, the 8-item scale
proposed by Gilad Chen & co (2001). Both questionnaires were distributed electronically. The data obtained
were statistically analyzed and interpreted.
Results: In the professional categories investigated, there are underline links and relations between the two
constructs, with professional implications. The results show (1) Therapists have high values in assessing selfefficacy; (2) Therapists have high values of self-compassion; (3) Therapists have a high level of self-compassion
and a low level of self-criticism as indicated by the self-compassion sub-scales; (4) There is a direct relationship
between self-efficacy and self-compassion; (5) Therapists with high level of self-compassion also have a high
level of self-efficacy (6) The level of self-efficacy is influenced by age and professional experience. (7) The level
of self-compassion is influenced by age and professional experience
Conclusion: The two concepts discussed are important in relation to certain professional categories and under
the auspices of situations considered stressful and with emotional burden.
Mapping Sustainable Finance: A Detailed Analysis of Banks in Indonesia
Authors: Meutia Inten , Kartasari Shelly Febriana , Yaacob Zulnaidi , Arunachalam Murugesh
Published: April 2021

This study aims to map the conformity of sustainability reports (SRs) for the BUKU 3 and BUKU 4 bank groups with regulations issued by the Indonesian Financial Services Authority (OJK). The research is exploratory, considering that FSA Regulation number 51 of 2017 was not applied until 2019. It represents a quantitative descriptive study employing a content analysis approach to explore and analyze data and factual input from SRs. The data used are drawn from the 2017 report concerning seven BUKU 3 banks and five BUKU 4 banks. This study found that the contents of the bank reports, with the components required by POJK number 51 of 2017, concerning the sustainable financial action plan and the SR, did not fully meet the requirements of the POJK. Using cross-tabulation analysis, we found that the average bank has a good, sustainable financial action plan and suitable sustainability reporting above 90%. It also has higher total assets, CAR/KPPM, ROA, and ROE ratios than banks with lower index suitability. This finding implies a potential relationship between SR compliance levels and bank financial characteristics. Overall, the conformity level of BUKU 4 banks is better than that of BUKU 3 banks.
Moral Norm and Theory of Planned Behavior: The Intention to Use Eco-Friendly Reusable Bag
Authors: Ekasari Ayu , Zaini Syeliya Md
Published: April 2021

This study analyzes the influence of three variables in the theory of planned behavior (TPB) along with the moral norm variable to predict pro-environmental behavior, specifically the use of eco-friendly reusable bags. The sample population in this study was 280 people who were aware of the existence of eco-friendly reusable bags and understood its use. Data were analyzed using structural equation modeling. The results of hypothesis testing showed a positive influence of moral norm, attitude, and perceived behavioral control on the intention to use eco-friendly reusable bags. However, the influence of subjective norms on the intention to use eco-friendly reusable bags was found to be negative. This is a pioneering research in the use of the expanded TPB model with the moral norm variable to predict the use of eco-friendly reusable bags, a behavior that is rarely studied. As is well-known, the TPB has been widely used in explaining pro-environmental behavior; however, studies that include the moral norm variable are scarce. The results of the study suggest that decision-makers and retailers need to design social advertisements that can encourage consumers to use eco-friendly reusable bags that would minimize the use of plastic bags.