bluuebunny/crossref_metadata_2025 huggingface dataset:
Faktor Dominan yang Mempengaruhi Pelaksanaan Manajemen Terpadu Balita Sakit (MTBS) Di Seluruh Puskesmas Kota Tasikmalaya Jawa Barat
Authors: Setiawan Asep , Budiman Budiman , Chatarina Chatarina
Published: February 2021

ABSTRAK

Menurut WHO dan UNICEF terdapat beberapa indikator pelaksanaan MTBS, antara lain indikator keterampilan petugas, dukungan manajemen, dan indikator tingkat kepuasan pengantar terhadap pelayanan yang diberikan. Dalam pelaksanaan MTBS di Puskesmas Kota Tasikmalaya ada yang belum mencapai target dalam penanganan balita sakit. Tujuan penelitian ini bertujuan Mengetahui faktor dominan yang mempengaruhi pelaksanaan MTBS di seluruh Puskesmas Kota Tasikmalaya.Penelitian ini merupakan jenis penelitian survey analitik dengan desain penelitian cross sectional. Sampel dalam penelitian ini adalah seluruh petugas pelaksanan MTBS yang berjumlah 106. Instrument yang digunakan dalam penelitian ini adalah kuesioner dan lembar observasi. Analisa data yang digunakan adalah Regresi Linier Sederhana untuk bivariat dan Analisis Faktor untuk multivariate.Hasil penelitian ada tiga faktor yaitu Faktor 1 (Kepemimpinan dan Kemampuan Petugas Kesehatan) terdiri dari pengetahuan, dukungan pimpinan, supervise, kelengkapan pengisian formulir. Faktor 2 (Internal petugas kesehatan dan Pendukung) terdiri dari sikap, motivasi, kelengkapan obat. Faktor 3 (Sarana dan Prasarana) terdiri dari keberadaan poli dan kelengkapan alat. Faktor dominan yang mempengaruhi pelaksanaan MTBS yaitu supervise, sikap petugas kesehatan, kelengkapan alat untuk pelaksanaan MTBS. Berdasarkan hasil penelitian direkomendasikan bahwa untuk bisa berjalannya MTBS di puskesmas perlu untuk lebih di tingkatkan supervisi fasilitatif oleh dinas kesehatan dan pimpinan puskesmas, melakukan refresing peningkatan kepatuhan atau sikap dari pelaksana MTBS dan membuat anggaran khusus untuk melengkapi peralatan MTBS.
METODE PENINGKATKAN SELF MANAGEMENT PASIEN DIABETES MELLITUS: SYSTEMATIC REVIEW
Authors: Budiawan Heri
Published: February 2021

Pendahuluan : Penerapan program self-management perlu penyesuaian dengan berbagai aspek termasuk aspek sistem, biaya, efektifitas, hambatan dan dukungan dari pihak-pihak terkait. Oleh karena itu, review mengenai efektifitas self management pada pasien diabetes mellitus sangat diperlukan sebagai landasan dalam pengembangan metode peningkatan program self management sesuai dengan kebutuhan masing-masing penderita penyakit diabetes mellitus. Objektif : Study yang dilakukan bertujuan untuk melakukan systematic review mengenai metode yang dapat meningkatkan self management pada pasien diabetes mellitus. Metode : Metode yang digunakan dalam penelusura sumber data pada systematic literature review ini yaitu dengan penulusuran database terdiri dari Google Scholar, Pubmed, Ebsco. Artikel diseleksi berdasarkan kriteria inklusi dan melakukan critical apraisel pada setiap artikel. Hasil : Berdasarkan hasil pencarian ditetapkan 10 artikel dengan design Kuantitatif Randomize Control Trial publikasi 10 tahun terakhir (2009-2019) mengenai artikel yang berhubungan dengan peningkatan  self management  pada pasien dengan diabetes mellitus. Kesimpulan : Metode peningkatan self management pasien diabetes mellitus diantaranya Kunjungan kelompok dan bimbingan kelompok berbasis komunitas, peer coaching dan peer leader, motivasi, dukungan berbasis teknologi.
Pressure dependence of Poisson’s ratio of glassy Baltic amber studied by Brillouin scattering spectroscopy
Authors: Tkachev Sergey N. , Ahart Muhtar , Novikov Vladimir N. , Kojima Seiji
Published: February 2021

Amber is a typical natural glass with very long aging time. Elastic properties of amber at high pressures have been studied using Brillouin scattering and a diamond anvil cell. Both longitudinal and transverse acoustic modes have been observed up to 12 GPa. The pressure dependences of longitudinal, shear, Young’s, and bulk moduli, compressibility, and Poisson’s ratio were determined. The longitudinal, shear, Young’s, bulk moduli show the remarkable increase, and compressibility shows a marked decrease with increasing pressure. However, it is found that the pressure dependence of Poisson’s ratio is very small. The mechanism of this small pressure dependence was discussed. The Cauchy type relation between longitudinal and shear moduli was examined. Its coefficients show the deviation from the Cauchy relation owing to the coexistence of different intermolecular interactions in amber.
Crisis survival strategies: how a hotel survives during the Covid-19 pandemic
Authors:   our and Travel Business Study Program, Riau University, Musadad Musadad
Published: February 2021

Purpose: This study identified and explored the strategies developed by a four-star hotel in Central Java Province - Indonesia for surviving the Covid-19 pandemic. Methodology: This qualitative study collected data from an in-depth interview with the hotel’s Head of FO Department, which were analyzed inductively. Results: The hotel focused its survival strategies on four areas or aspects, including organizational targets, human resources, products and services, and marketing communication. Limitation: This study is limited in two ways, i.e. data collection method and the number of informants. Contribution: This study contributes to enriching the strategies for mitigating the disastrous impacts of the Covid-19 pandemic on the hotel business. Keywords: Covid-19, Pandemic crisis, Survival strategies
Machinability, Hardness and Impact Behavior of Hybrid Fiber Reinforced Composites
Authors:   Department of Mechanical Engineering, Don Bosco Institute of Technology, Bangalore, India., K V Suresha , H K Shivanand ,   Department of Mechanical Engineering, UVCE, Bangalore Bangalore, India., K Srinivas ,   Department of Mechanical Engineering, Don Bosco Institute of Technology, Bangalore, India., M Vignesh ,   Department of Mechanical Engineering, Don Bosco Institute of Technology, Bangalore, India., Swaroop  ,   Department of Mechanical Engineering, Don Bosco Institute of Technology, Bangalore, India.
Published: February 2021

Hybrid fabrics are represented by their excellent mechanical and structural properties as compared to conventional metals, which results in their increased functions especially for structural, aerospace applications, automotive, defense as well as sporting industries. In this paper the hybrid fabric (Jute, glass, carbon, Kevlar) composites are prepared by hand layup method and then vacuum bagging is used to avoid voids. The hardness, impact and machinablity test are performed by Rockwell hardness testing machine, Impact testing machine and Drill tool dynamometer respectively. From the results it has been observed that different parameter affects the hardness, toughness and machining of composites
“Nothing Is Set in Stone”: Incorporating Futurology into College Courses
Authors: Davidson Skylar
Published: February 2021

“Futurology” is the process of forecasting or designing the future, whether that be the near future or far future. College courses rarely explicitly include futurology, even though the content of many courses has implications for the future. To build knowledge on how future-oriented content can be incorporated into educational curriculum, I studied a college course in which students used futurology activities as part of an active learning setup. My study suggests that future-oriented content is appealing to students and helps students develop a sense of control over the future. In order to better introduce students to futurology, instructors must attend carefully to students' unfamiliarity with structured future-oriented thinking, as well as to fatalistic attitudes about the future.
Supporting and Challenging Student Cognitions in the Classroom
Authors: Fisher Amy K , Simmons Chris , Allen Susan
Published: February 2021

This article reports results of a mixed methods exploration of the effects of reflective supervision on cognitive growth in undergraduate students. Students were enrolled in two sections of an introductory skills practice course containing an experiential exercise designed to enhance skill development. One group received supervision; the other did not. Pretest and posttest analyses of measures used to assess cognitive development showed no statistically significant gains for either group. However, the group receiving supervision made more gains, and analysis of qualitative data revealed evidence of cognitive growth for this group. The research supports further investigation of educational interventions that may promote cognitive development in undergraduate students in helping professions and allied health fields.
Using Text Mining and Data Mining Techniques for Applied Learning Assessment
Authors: Cook Jessica , Chen Cuixian , Griffin Angelia
Published: February 2021

In a society where first hand work experience is greatly valued many universities or institutions of higher education have designed their Quality enhancement plan (QEP) to address student applied learning. This paper is the results of a university’s QEP plan, called Experiencing Transformative Education Through Applied Learning or ETEAL.  This paper will highlight the research that was conducted using text mining and data mining techniques to analyze a dataset of 672 student evaluations collected from 40 different applied learning courses from fall 2013 to spring 2015, in order to evaluate the impact on instructional practice and student learning. Text mining techniques are applied through the NVivo text mining software to find the 100 most frequent terms to create a document-term matrix in Excel. Then, the document-term matrix is merged with the manual interpretation scores received to create the applied learning assessment data. Lastly, data mining techniques are applied to evaluate the performance, including Random Forest, K-nearest neighbors, Support Vector Machines (with linear and radial kernel), and 5-fold cross-validation. Our results show that the proposed text mining and data mining approach can provide prediction rates of around 67% to 85%, while the decision fusion approach can provide an improvement of 69% to 86%. Our study demonstrates that automatic quantitative analysis of student evaluations can be an effective approach to applied learning assessment.
Understanding the Effectiveness of a Peer Coach Model in Research-intensive Undergraduate Courses
Authors: Rovito Michael Joseph , Koontz Amanda , Garcia Martha , Tripp Mary , Schneider Kim , Walters Linda
Published: February 2021

The impact of peer coaches embedded in classrooms are outlined in the literature. There is, however, a lack of evidence on when their services should be introduced into the curriculum to have the most impact possible. The goals of this exploratory research project, therefore, were to aim to provide baseline evidence on the most effective and efficient application of ‘Research Coaches’. A total of 129 undergraduate students took part in a cross-sectional design by completing a series of original surveys on the research process and qualities about their research identity. Our research suggests that peer coaches can most benefit those with the least previous research experiences as related to perceived increases in understanding of fields, research skills, previous knowledge of the subject of study and confidence in research abilities. Such quantitative findings are reinforced through our qualitative findings, suggesting that overall, peer coaches and faculty can be perceived as complimentary support systems for effective research-focused course implementation. Future implications of the use of ‘Research Coaches’ in the classroom are discussed.
A COMPARATIVE STUDY OF DEEP NECK SPACE INFECTIONS (DNSI) IN
DIABETIC VERSUS NON-DIABETIC PATIENTS: OUR EXPERIENCE IN A
TERTIARY CARE CENTRE
Authors: Chatterjee Arijit , Chakraborty Rajarshi
Published: February 2021

Background:The term deep neck space infections (DNSIs) encompasses infections of several different areas of the neck formed by the potential
spaces formed by different fascial layers of the neck. The etiology of DNSI include pharyngo-tonsillar infections (most commonly in children),
odontogenic infections, sialolithiasis and sialadenitis, congenital anomalies like cysts and sinuses of the neck. Predisposing factors may include
Extremes of age, Immunodeciency, Diabetes mellitus and Intravenous drug abuse. The microbiology of deep neck infections usually reveals
mixed aerobic and anaerobic organisms, often with a predominance of oral ora. Both gram-positive and gram-negative organisms may be
cultured. DNSI usually mandate early intervention on an urgent basis because of the risk of potentially fatal complications such as airway
obstruction, mediastinitis and vascular complications. Airway assessment and intervention plays a pivotal role in the management of DNSI. Aims
and Objectives: The present study aims to compare the clinical presentation, complications, treatment outcomes and microbiology of DNSIs in
diabetic vs non-diabetic patient populations.The objective is to have a proper understanding of the disease so that a much organized treatment
protocol can be established. 70 patients were enrolled for this comparative st Materials and Method: udy in Indoor wards of a Tertiary care centre.
The study was conducted from January 2019 to December 2019 for 1year. Patients diagnosed with DNSI (by imaging studies) and admitted in ward
of ENT and Head Neck Surgery were selected. Parapharyngeal Space was mos Results: t common involved space in both Diabetics (52.38%) and
Non Diabetics (41.46%), followed by Submandibular Space. Most common organism in both groups was Klebsiella pnemoniae. Odontogenic
infection and Upper airway infections were 2 leading causes of DNSI in both Diabetics and Non Diabetics in this study. The Diabetic groups
affected had much older age with longer hospital stay and had more frequent complications than Non Diabetic group. Diabetics also needed more
frequent tracheostomy (28.57%) than Non Diabetics (2.44%). Diabetic patients as a subgroup Conclusion: of DNSIs pose many unique problems
including older age at presentation, involvement of multiple neck spaces, prolonged hospital stay and operative interventions. As these patients
have higher rate of complications and poorer prognosis, early institution of therapy, strict glycemic control and operative interventions are more
often required.
DELIVERING INTENSIVE CARE TO COVID-19 PATIENTS WHILE PROTECTING
THEMSELVES: CHALLENGES FACED BY FRONT LINE ANAESTHESIOLOGISTS
Authors: Chhikara Monica , Kumar Prashant , Bansal Priyanka , Mahajan Reena , Gehlaut Preeti , Deepika Deepika
Published: February 2021

Background and Objectives: Frontline anaesthesiologist working in Covid 19 Intensive care units are the key to the management and
containment of this infectious disease. Hence, their protection is of utmost importance in managing this epidemic. The equipment used for this
purpose, pose technical difculties. This study is a survey of these challenges faced by anaesthesiologists.
Material and Methods: This is a descriptive, cross sectional questionnaire based study which included 67 Anesthesiologist junior residents,
senior residents and consultants. A valid Google form Questionnaire regarding technical difculties due to use of personal protective equipment
was prepared and sent online to all participants. The responses were recorded and tabulated.
Results: Physical fatigue due to PPE was experienced by 36(53.7%) residents and difculties in airway management by 66(98.5%) residents.
Fogging of goggles was the major difculty (52.2%) during airway management. Intubation while using only PPE (71.6%) was a preferred method
of intubation rather than using acrylic box (4.5%) or transparent sheet (23.9%). Apart from managing airway, other procedures like central venous
cannulation was found to be always difcult (23.9%). Training program for managing pandemic was found to be helpful and 70.1% residents
expressed the need for its conduct before every posting.
Conclusion: Managing Covid 19 patients in a highly demanding area like intensive care units while using personal protective equipment has
unveiled special challenges and concerns for frontline anaesthesiologists. Addressing them appropriately is the need of hour for the wellbeing of
healthcare workers and effective patient management.
WASHING MACHINE CAN BE A HOME FOR BACTERIA
Authors: Pardeshi P.P. , Gothoskar V.S. , Pathare M. M. , Deshpande H. V. , Balshete A. S. , Patil A.D. , Wagh M.A.
Published: February 2021

Microbial(bacterial and fungal) ora can be source of numerous allergic and infective illness like skin infection, respiratory infection and others.
One family used one washing machine for number of family members including children's , elder person for laundry clothes, purpose but there may
be have carrier of any infection organism hence at risk acquiring this infection and it is important to major and identication of microbial bio-load.
Determination of microbial contamination from textile is an important aspect of laundering part from the removal of stain and dirt from the frame
work of institutional laundering is well regulated insure hygienic cleanliness. Focusing on the clinical area also considering the domestic
environment which will gain importance in the future, eg. By the increase of elderly and I'll Person being cared for at home.For this determination
swab were taken from washing machine indoor surface, out door surface, soft chamber surface then enriched on the culture media for the isolation
and selection of microorganism and microorganisms were screened with the help of sub culturing technique. After sub culturing we were
identied these microbes on the basis of biochemical tests, for this we used selective media agar plate. MacConkey's agar was used for isolation of
E-coli &Mannitol salt agar was used for isolation of S.aureus In this study we identied some infection organism from washing machine bacterial
isolates were identify using morphological characteristics and different biochemical tests.
IMPACT OF DIABETES ON OUTCOME OF HOSPITALISED PATIENTS WITH COVID
-19 PNEUMONIA: SINGLE CENTRE EXPERIENCE FROM NORTH INDIA.
Authors: Kasaliwal Rajeev , Jain Srishti , Gupta Naveen , Mathur Nimish , Jain Ashish , Rijhwani Puneet
Published: February 2021

Context: Following rapid spread of COVID-19, WHO on March 11, 2020, declared COVID-19 a global pandemic. Diabetes is known to confer
increased risk for various infections. Studies from outside India have shown more aggressive course of COVID 19 Pneumonia in diabetic patients.
Material and methods:Aretrospective observational study was carried out at Mahatma Gandhi Medical College and Hospital, Jaipur. Data from
electronic medical records of seven thirty-one patient admitted from 15 October 2020 to 30 November 2020 were reviewed and analysed Results:
Patients with diabetes had signicantly higher need of oxygen therapy and ICU admission. No difference was observed in mortality rates in the two
group of patients.Conclusion: Diabetes patients appear to be at higher risk of severe illness from COVID-19 than those without diabetes.
Low invasive surgical treatment of choledocholithiasis in an elderly patient. Description of own clinical case and operating technique
Authors:   Tyumen State Medical University, Tyumen, Autlev K. M. , Kruchinin E. V. ,   Tyumen State Medical University, Tyumen, Aliev V. F. ,   Tyumen State Medical University, Tyumen, Petukhova G. A. ,   Tyumen State Medical University, Tyumen, Aliev F. Sh. ,   Tyumen State Medical University, Tyumen, Savitskaya M. А. ,   Tyumen State Medical University, Tyumen
Published: February 2021

In modern surgery, choledocholithiasis has acquired the status of an independent problem, on the solution of which the further progress of surgery of the hepatobiliopancreatoduodenal zone depends. The article is based on a clinical case of surgical treatment with a diagnosis of a complicated form of cholelithiasis, choledocholithiasis. Purpose of the study. To demonstrate minimally invasive surgical treatment of choledocholithiasis in an elderly patient, based on the example of our own clinical case. Materials and methods. A retrospective analysis of a case of surgical treatment of a complicated form of cholelithiasis, choledocholithiasis, in an elderly patient was carried out. The patient is 84 years old. The patient underwent endoscopic retrograde cholangiopancreatography (ERCP), non-cannulation papillosphincterotomy (NPST) and stenting of the common bile duct for choledocholithiasis. The calculi were not removed due to their large size. Later she turned to JSC “NSC” Neftyanik” (Tyumen). Results. Taking into account the patient’s extrahepatic bile duct calculi, the phenomena of previous cholangitis, the patient underwent laparoscopic cholecystectomy, choledochotomy, extraction of calculi and stent, intraoperative choledochoscopy, and completed the operation with laparoscopic choledochoduodenoanastomosis under ETN on 11/19/2019. Conclusion. In this clinical case, we come to the conclusion that the only possible treatment option is the removal of calculi. If it is impossible to remove calculi by minimally invasive antegrade or retrograde methods, they can be considered as preparing the patient for further radical surgical treatment. Modern minimally invasive methods, in particular, laparoscopy, makes it possible to carry out an operation at almost any age aimed at completely eliminating the disease, thereby improving the quality of life.
Ophthalmological changes in patients with COVID-19 associated pneumonia
Authors:   Tyumen State Medical University, Tyumen, Kalyuzhnaya E. N. ,   Tyumen Industrial University, Tyumen, Ponomareva M. N. ,   Tyumen State Medical University, Tyumen, Petrov I. M. ,   Tyumen State Medical University, Tyumen, Naymushina A. G. ,   Tyumen Industrial University, Tyumen, Gapon L. I. ,   Tyumen Scientific Center for Cardiology – Branch of the Tomsk Scientific Research Center of the RAS, Tyumen, Petelina T. I. ,   Tyumen Scientific Center for Cardiology – Branch of the Tomsk Scientific Research Center of the RAS, Tyumen, Yaroslavskaya E. I. ,   Tyumen Scientific Center for Cardiology – Branch of the Tomsk Scientific Research Center of the RAS, Tyumen
Published: February 2021

Definition of COVID-19 (CoronaVirusDesease 2019) is a severe acute respiratory infection caused by the SARS-CoV-2 virus (severe acute respiratory syndrome coronavirus 2). On March 11, 2020, WHO announced the beginning of the COVID-19 pandemic. According to Rospotrebnadzor in Russia, the disease is asymptomatic in 23% of patients, 63% have manifestations of acute upper respiratory tract infection, and 14% pneumonia occurs. The average mortality rate in the world is about 3%. The first cases of the disease were reported in Wuhan (Hubei province, in the southeast of China) in December 2019.Despite the measures taken to prevent the spread of the new infection, in February the epidemic covered many countries, including Italy, South Korea, Iran, and in March it turned into a pandemic. Objective: to identify ophthalmological changes in patients who have had COVID-19 associated pneumonia. Materials and methods: 153 patients over 18 years of age with a confirmed diagnosis of COVID-19 associated pneumonia were examined 3 months after discharge from the hospital. Results and discussion: 7.84% – chronic blepharitis, 5.88% – chronic conjunctivitis, 60.0% – dry eye syndrome, 5.8% – degenerative conjunctival changes (5.88%) and 100% changes in conjunctival hemodynamics characteristic of hypercoagulation syndrome. Conclusions: in all cases of observation, a violation of hemodynamic changes in the conjunctiva was detected.
Obesity and body weight deficiency as predictors of gestational hypertension and cardiovascular disease
Authors:   Khanty-Mansiysk State Medical Academy, Khanty-Mansiysk, Popov A. D. , Zuevskaya T. V. ,   Khanty-Mansiysk State Medical Academy, Khanty-Mansiysk, Chernaya E. S. ,   Khanty-Mansiysk State Medical Academy, Khanty-Mansiysk, Sadrieva E. V. ,   Khanty-Mansiysk State Medical Academy, Khanty-Mansiysk, Pavlov P. I. ,   Regional Hospital of KhMAO-Ugra, Khanty-Mansiysk
Published: February 2021

Purpose of work. To reveal possible predictors of cardiovascular diseases on the basis of studying mechanisms of gestational adaptation, parameters of homeostasis in women with obesity and body weight deficiency. Material and methods. During pregnancy in 297 patients with changed body weight and 107 women of the comparison group carried out dynamic study of homeostasis parameters and adaptation mechanisms. The clinical state was assessed using morphological, electrophysiological, hormonal, biochemical and microbiological methods. Results. Analysis of anamnestic data revealed that parents of 87% of patients with obesity and weight deficit had arterial hypertension combined with atherosclerosis, obesity, diabetes mellitus, and depression. The upper distribution of subcutaneous tissue and gestational hypertension were found to be prevalent in women of the main clinical group: during the whole period, the average blood pressure was exceeded in obese women and in women with a deficit of body weight in the second trimester. General cholesterol level in the second trimester was increased due to atherogenic fractions in pregnant women of the first group up to 6.21 ± 0.13 mmol/l, in the second group – 5.95 ± 0.20 mmol/l, against the control group 4.96 ± 0.31 mmol/l. Transitor glucosuria (in case of excluded diabetes mellitus) occurred only in pregnant women with changed body weight in the 2nd trimester. Stress reactions prevailed in women with obesity and deficit of body weight on the eve of labor: 77% (1) and 88% (2), exceeding the parameters of the control group; there was also an increase in the level of norepinephrine and dioxyphenylalanine in daily excretion of urine by 4-6 times. Decrease in species landscape of intestinal and vaginal flora with increasing share of pathogenic microorganisms was registered in 91% of pregnant main groups and only in 33% of control group patients. Conclusion. In women with changed body weight, pregnancy is accompanied by excessive activation and disintegration of adaptation systems, the clinical equivalent of which is gestational hypertension, metabolic and microecology disorders. Gestational stress-test allows to estimate phylogenetic features of response systems of young women and probable ontogenetic risks of cardiovascular diseases.
Urinary nitrogen excretion at the early stage of severe acute pancreatitis
Authors:   Medical hospital «Neftyannik», Tyumen, Sivkov O. G. , Sivkov A. O. ,   Medical hospital «Neftyannik», Tyumen
Published: February 2021

Aim. To study urinary nitrogen excretion at the early stage of severe acute pancreatitis. Materials and methods. Prospective, single-center, cohort study. Inclusion criteria: diagnosis of acute pancreatitis and presence of at least one of the predictors of severe course. Among all patients (n = 72), a cohort of patients with severe acute pancreatitis (n = 32) was allocated. Three groups were formed in it: the first one – all patients, the second one – survivors (n = 24), the third one – deceased (n = 8). Urinary nitrogen excretion was determined using the Deacon formula. Measurements were performed on the first, third and fifth days of the disease. Statistical processing of the material was carried out by the SPSS software package. The null hypothesis was rejected at p < 0.05. Results. In the first week of the disease in all groups, the maximum urinary nitrogen excretion occurs on the 3rd day. When comparing the results of the second and third groups, it was found that the urinary nitrogen excretion on the first and fifth days did not have a statistically significant difference between the groups (respectively, p = 0.138, p = 0.572), and the results of the third day have (p = 0.014). A similar pattern remains when recalculating the nitrogen loss in the urine to the ideal weight; for the third day, the differences between the second and third groups were statistically significant (p = 0.007). ROC analysis of urinary nitrogen excretion of the third day calculated to the ideal body weight showed an area under the curve of 0.813 (p < 0.009). The value at the cut-off point is defined as 0.65 g/kg/day. The sensitivity of the model was 0.75%, specificity – 0.83%. Conclusion. If in a patient with acute pancreatitis, there is urinary nitrogen excretion on the third day from the onset of the disease, calculated to an ideal body weight of ≥ 0.65 g/kg/day, an unfavorable outcome of the disease is predicted.
Modern methods of antenatal treatment of obstructive kidney disease in the fetus
Authors:   Tyumen State Medical University, Tyumen, Vinokurova E. А. , Mateykovich E. A. ,   Tyumen State Medical University, Tyumen, Eremeeva T. А. ,   Tyumen State Medical University, Tyumen, Gurina A. V. ,   Tyumen State Medical University, Tyumen, Abramova I. V. ,   Tyumen State Medical University, Tyumen
Published: February 2021

The article considers published sources of domestic and foreign research concerning the etiology and pathogenesis of obstructive uropathology in the fetus, evaluation of the effectiveness of intrauterine surgical procedures for this pathology in the fetus in comparison with wait-and-see tactics of pregnancy management.
The role of selenium deficiency in the development of thyroid dysfunction during pregnancy (literature review)
Authors:   E. A. Vagner Perm State Medical University, Perm, Sadykova G. K. , Olina A. A. ,   The Research Institute of Obstetrics, Gynecology and Reproductology named after D. O. Ott, St. Petersburg
Published: February 2021

The article presents generalized data on the influence of nutritional quality on the risk of developing gestational disorders, as well as the development of dysfunctional thyroid diseases associated with pregnancy. The role of selenium deficiency in the genesis of such pregnancy complications as preeclampsia, premature birth, as well as autoimmune thyroiditis, hypothyroidism and insulin resistance is considered. The necessity of subsidizing selenium preparations during pregnancy as a measure of preventing the development of these conditions is discussed.
Renal function characteristic in patients with chronic kidney disease, chronic pyelonephritis and arterial hypertension
Authors:   Tyumen State Medical University, Tyumen, Paketov S. A. , Oskolkov S. A. ,   Tyumen State Medical University, Tyumen, Zhmurov V. A. ,   Tyumen State Medical University, Tyumen, Zhmurov D. V. ,   Tyumen State Medical University, Tyumen, Novikov R. D. ,   Kurgan emergency hospital, Kurgan
Published: February 2021

Aim. To analyze nephroscintigraphy kidney functional state in patients with chronic kidney disease (CKD) on the background of chronic pyelonephritis (CRF) in combination with arterial hypertension (AH). Materials and methods. 81 patients with chronic kidney disease on the background of arterial hypertension and chronic pyelonephritis in the phase of incomplete clinical and laboratory remission were included in the research. Age varied from 25 to 60 years old (average age was 46 ± 9.0 years). The study was performed on the basis of Tyumen railway hospital and Tyumen state medical University multidisciplinary clinic. Results. In patients with CKD, caused by chronic pyelonephritis, and AH in the initial stage of the disease, we found that secretory phase is preserved. At the same time, the urinary tract excretory phase is elongated in both kidneys. Conclusion. In this category of patients with the initial stages of CKD, there is an excretion disorder in both kidneys, which may probably be associated with sclerosis in the urinary tract paries, that takes place in the conditions of a chronic inflammatory process.
Activity of myeloperoxidase of neutrophils in the blood of pregnant women with diffuse toxic goiter
Authors:   Dagestan State Medical University, Makhachkala, Aliyeva A. Z. , Esedova A. E. ,   Dagestan State Medical University, Makhachkala, Dibirov T. M. ,   Dagestan State Medical University, Makhachkala, Bakayev M. M. ,   Dagestan State Medical University, Makhachkala, Shakhbanov R. K. ,   Dagestan State Medical University, Makhachkala, Aliyeva U. B. ,   Dagestan State Medical University, Makhachkala
Published: February 2021

Aim. To study the activity of myeloperoxidase in the peripheral blood of pregnant women in normal and thyroid diseases. Materials and methods. Cytochemical analysis was used to study the activity of myeloperoxidase in peripheral blood neutrophils of pregnant women with diffuse toxic goiter, as well as in women with the physiological course of pregnancy in a comparative aspect. Results. It was found that in women with a physiological course of pregnancy, the cytochemical parameters of myeloperoxidase in neutrophils were reduced only in the 1st trimester of pregnancy. In patients with diffuse toxic goiter, with severe thyrotoxicosis syndrome, the activity of the enzyme was significantly reduced during all periods of pregnancy. Apparently, these shifts of the enzyme, which is the main component of the protective system of blood phagocytes, are associated with their functional stress. Conclusion. Based on this opinion, it seems that blood neutrophils enter the system of thyroid hormone metabolism by their degradation. Apparently, this mechanism is activated with an increased content of hormones in the circulation, which occurs during pregnancy, and especially with concomitant diffuse toxic goiter with thyrotoxicosis syndrome and is aimed at preserving homeostasis necessary for normal fetal development.
A clinical characteristics of acute medium otitis and mastoiditis in children
Authors:   Tyumen State Medical University, Tyumen, Kuznetsova T. B. , Kuznetsova N. E. ,   Tyumen State Medical University, Tyumen, Ponomareva M. N. ,   Tyumen State Medical University, Tyumen, Veshkurtseva I. M. ,   Tyumen State Medical University, Tyumen
Published: February 2021

Objectves. To study the prevalence of acuta otitis media and mastoiditis in children according to data from the pediatric otolaryngology department of state budgetary health care institution “Regional Clinical Hospital No 2”. Tyumen city. Materials and methods. A retrospective analysis of the case histories of children who were hospitalized in the period from 2009 to 2017, the prevalence of various forms of otitis media and mastoiditis was studied. Results and discussion. The article analyzes the prevalence of clinical forms of otitis and mastoiditis in children. The number of children with otitis was 33% (4984 /15,087), of wich 68% with nonperforated form, 32% with perforated form, 6% complicated forms. Boys are more often sick, the younger and preschool age groups of children is the main risk group (85%) for the development of otitis media and mastoiditis. Conclusions. The high prevalence of otitis media and mastoiditis, their steady growth testifies to the urgency of the problem in pediatric practice.
Structure of comorbide disorders in ticose hyperkinesis in children
Authors:   Tyumen State Medical University, Tyumen, Levitina E. V. , Kolchanova M. U. ,   Regional Clinical Hospital No. 2, Tyumen, Rakhmanina O. A. ,   Tyumen State Medical University, Tyumen, Hramova E. B. ,   Tyumen State Medical University, Tyumen
Published: February 2021

Purpose. To study the structure of comorbid disorders in children with tycotic hyperkinesis of the city of Tyumen. Materials and methods. We examined 103 children aged 5 to 14 years. Patients were divided into 2 groups: group 1 – local tics (n = 43), group 2 – common tics (n = 60). All patients received anticitotic therapy. Using various scales and questionnaires, an assessment of tic hyperkinesis, the level of anxiety, a study of the rational, emotional and behavioral components of the relationship between parents and a child, an investigation of the emotional sphere, and neuropsychological testing were carried out. Results. Manifestations of ticks contribute to various stressful situations, school adaptation stress. The tics are intensified by emotional overstrain, mental overwork, eye strain. A risk factor for the formation of tic hyperkinesis is family education by the type of symbiosis and hypersocialization. Comorbid disorders in patients with ticose hyperkinesis in most cases are represented by ADHD, anxiety, the prevalence of a combination of stress with pathological compensation, and the presence of a headache. The neuropsychological plan revealed impaired attention, auditory-speech and visual memory, and writing. Conclusion. Identified comorbid disorders in children with tic hyperkinesis significantly reduce the quality of life of patients, disrupts their social adaptation and require timely correction.
Clinical observation of late diagnosis of ankylosing spondylitis
Authors:   Tyumen State Medical University, Tyumen, Lushpaeva Yu. A.
Published: February 2021

Clinical observation of late diagnosis of ankylosing spondylitis, about the disease started with recurrent uveitis and peripheral arthritis, without clinical and instrumental signs of axial skeletal damage. “Classic” manifestations of the disease: inflammatory back pain and signs of sacroiliitis by MR appeared 5 years later from the first eye symptoms.
Improvement of professional competencies of graduates sent to primary health care
Authors:   Tyumen State Medical University, Tyumen, Frolova O. I. , Zhmurov V. A. ,   Tyumen State Medical University, Tyumen, Kalinina V. L. ,   Tyumen State Medical University, Tyumen, Vikulova K. A. ,   Tyumen State Medical University, Tyumen, Selivanova N. V. ,   Tyumen Industrial University, Tyumen
Published: February 2021

To summarize the experience of the Tyumen state medical University in improving professional competencies of graduates of medical and pediatric faculties who were sent to work in primary health care after the initial accreditation procedure, a survey of graduates, curators of graduates from the University and mentors from medical organizations, as well as employers was conducted. The article reveals the declining professional competencies, as well as difficulties that arise when adapting young professionals to the workplace. It is shown that the help and support of curators and mentors allows graduates to successfully overcome the difficulties of adaptation in the workplace, quickly learn additional practical skills, and join the system of continuing medical education, which is the key to further successful work in primary health care. Aims: evaluate the effectiveness of the system of support for graduates of medical and pediatric faculties by curators and mentors, as well as the effectiveness of educational activities to improve the professional competencies of graduates. Materials and methods. Collection and analysis of information from health authorities on employment of graduates obtained during the survey of graduates, curators, mentors, employers, analysis of the results of the survey. Results. To obtain objective data on the adaptation and retention of young professionals, the survey was conducted during the 2017-2018 academic year in several stages and in different target audiences: 1. Survey of young specialists at the beginning of their work (district internists, district pediatricians). 2. Survey of young specialists to improve the work on compensation of lost competencies (participants of the Symposium “Legal basis of a doctor’s activity”). 3. Survey of heads of medical organizations in the Tyumen and Kurgan regions, Khanty-Mansi and Yamalo-Nenets Autonomous districts, and the city of Tyumen, where accredited graduates of the Tyumen state medical University were accepted (December 2017). 4. a Survey of young professionals six months after starting work. 5. a Survey of curators from the Tyumen state medical University and mentors from medical organizations. As a result of the study, 385 questionnaires were processed. To obtain data on the professional development of young specialists, Tyumen state medical University developed original questionnaires. Conclusions. According to the results of the survey, the falling competencies of graduates were identified, and a list of activities was determined that will improve the existing professional competencies of young graduates and improve their adaptation to professional activities.
Osteopathic status characteristics of patients with metabolic syndrome
Authors:   Tyumen State Medical University, Tyumen, Shumeiko E. A. , Senatorova O. V. ,   Tyumen State Medical University, Tyumen, Sakharov S. P. ,   Tyumen State Medical University, Tyumen, Khramova E. B. ,   Tyumen State Medical University, Tyumen
Published: February 2021

Purpose of research: to assess the osteopathic status based on the study of the structure of somatic dysfunctions in patients with metabolic syndrome. Materials and methods. Clinical, biochemical and osteopathic examination of patients with metabolic syndrome (n = 33) aged 40 to 80 years was carried out. To fulfill the purpose of the study, an assessment of the somatic status, osteopathic examination in full, anthropometry, calculation of BMI, tonometry, determination of heart rate, pulse, ECG in standard leads, determination of glucose level and lipid spectrum in blood serum were carried out. Results. The study of the osteopathic status in these patients made it possible to reveal the dysfunction of organs and systems in the form of somatic dysfunctions, and to identify the most typical somatic dysfunctions for patients with metabolic syndrome. In this connection, the possibility of therapeutic and osteopathic management of patients with metabolic syndrome is determined.
Targeted Cancer Therapy and Its Ophthalmic Side Effects: A Review
Authors: Bindiganavile Shruthi Harish , Bhat Nita , Lee Andrew G. , Gombos Dan S. , Al-Zubidi Nagham
Published: February 2021

Targeted cancer therapy agents are the latest development in cancer therapeutics. Although the spectrum of their use continues to expand, ocular side effects are frequently encountered with the use of cancer therapeutics. This review describes the ocular side effects of targeted cancer therapy agents.
O papel do enfermeiro no setor de pronto atendimento: um relato de experiência
Authors: Paiz Alessandra , Bueno Carime , Manorov Maraisa , Bellaver Rozana , Moser Gelson Aguiar da Silva , Aguiar Denise Consuelo Moser , Silva Tatiana Gafurri da , Souza Silvia Silva de , Hagg Fabiana Brum , Maier Suellen Rodrigues de Oliveira
Published: February 2021

Demonstrar as experiências acerca do papel do enfermeiro no setor de pronto socorro de um Hospital referência do Oeste de Santa Catarina, por acadêmicas do curso de enfermagem. Relato de experiência embasado na vivência de acadêmicas do curso de graduação em Enfermagem pela UFFS em unidade de pronto socorro. Tornou-se possível identificar que o profissional de enfermagem possui um papel de extrema importância neste setor de urgência e emergência, onde exige responsabilidade, conhecimento e organização, tanto na assistência quanto na gestão. Tendo em vista de que a demanda por este serviço cresce a cada dia e que inúmeras situações surgem neste contexto, ter uma equipe qualificada contribui para o bom andamento da unidade e bom prognóstico para aos pacientes. Ainda, para atingir bons resultados, tornam-se necessárias a realização de capacitações e educações permanentes para a equipe, a fim de aperfeiçoar e atualizar seus conhecimentos para melhor atender a população que necessita deste serviço. A extrema diversidade e complexidade da demanda desse setor exige que o enfermeiro assuma diversos papéis, de gestor, articulador, comunicador e líder, para que em conjunto de sua equipe desenvolva todas as dimensões do cuidado.
Características do componente forrageiro em sistemas silvipastoris
Authors: Dos Anjos Albert José , Chaves Carla Silva
Published: February 2021

Os sistemas silvipastoris (SSP), modalidade dos sistemas agroflorestais, referem-se às técnicas de produção nas quais se integram animais, plantas forrageiras e árvores em uma mesma área. A forrageira e seu manejo são aspectos importantes desse sistema. Assim, objetivou-se com esta revisão analisar os aspectos produtivos, morfológicos, nutritivos e botânicos de pasto em sistema silvipastoril. Em regra, a maior incidência de luz solar causa o aumento de taxa fotossintética da planta e, portanto, o acúmulo de massa seca de forragem. Gramíneas cultivadas sob sombra, apresentam maiores teores de proteína bruta (PB) e maiores concentrações de nitrogênio não-protéico, e de maneira geral os teores de fibra insolúvel em detergente neutro e em detergente ácido (FDN e FDA), aumentam em forrageiras sobre sombreamento. O sombreamento influencia positivamente as taxas de alongamento de folhas e colmos, bem como o comprimento final das lâminas foliares. Com a redução da quantidade de radiação incidente em sistema silvipastoril, ocorrem mudanças nas características espectrais da luz solar, com aumento da radiação difusa, que por ser multidirecional, torna-se também eficiente, devido à melhor penetração no dossel vegetal. As árvores do sistema silvipastoril podem exercer grande influência sobre a forrageira utilizada, em razão do sombreamento. Práticas de manejo devem ser adotadas com o intuito de manter uma suficiente produção de matéria seca, com elevado valor nutritivo, garantindo a alimentação dos animais em todos os períodos do ano, sem comprometer a persistência da forrageira ao longo dos anos.
Soil macrofauna in Brazil: a bibliometric review and state of the art
Authors: Araujo E. C. G. , Silva T. C. , Chagas K. P. T. , Cunha Neto E. M. , Bezerra J. C. F. , Borges C. H. A. , Martins V. C. , Sanquetta C. R. , Lima T. V.
Published: February 2021

Macrofauna individuals' knowledge and their environmental functions is essential to seek more conservationist forest management practices. Understanding how the publications are being distributed in Brazil, and what knowledge need to be discussed to direct future research. The purpose of this review was to compile and analyze all publications on soil macrofauna in Brazil until 2019, conducting a bibliometric and state of the art review. 60 documents were evaluated, it was analyzing institutions and authors, citations networks and terms used, forest sciences areas that encompass the most explored biomes, crop systems or natural environmental and the most studied soil macrofauna individuals. Since 2002, every year, publications on the topic indexed in the Scopus database. The Atlantic Forest was the most studied biome and although the North region has the largest number of states that have not yet developed works on the subject, the Amazon forest is in second place in terms of publications, together with Savannah/Cerrado. The largest gap in studies and areas of natural fields is found in the Brazilian North. The macrofauna individuals studied, the highlights are from the orders Coleoptera, Hymenoptera, Blattodea, Araneae and Hemiptera. Vegetation type was carried out predominantly in native forests, followed by pasture.
Development and assessment of a low-cost embedded system for evaluation of animal thermal comfort
Authors: Chaves M. V. S. , Vale W. G. , Cunha M. M. , Vale P. A. C. B. , Enes A. M. , Santos J. A. , Meneses M. D.
Published: February 2021

Technologically advanced animal production requires more controlled environments, aiming to maximize animal performance and, consequently, the profitability of the activity. To do that, it is necessary to instrument, evaluate and diagnose the various rearing environments. Hence, Precision Animal Production is inserted in this context and aims to effectively meet the general needs of the animal, so that it reach its full productive potential, correcting the divergences between the environment and its well-being to guarantee its comfort. Since Brazil is a country with tropical climate, which is a major obstacle, the proposal of this project is to develop a prototype for embedded system of thermal comfort analysis at low cost. Using sensors and the microcontroller Arduino to manage data, this work fulfilled its objective, with a prototype device (WGV-1c) capable of measuring dry bulb temperature, wet bulb temperature, black globe temperature, relative humidity, BGHI and THI with production cost below that proposed by the market.