bluuebunny/crossref_metadata_2025 huggingface dataset:
Aprender geometría a partir del ordenamiento de ideas
Authors: Molina Jiménez Franklin Edmundo
Published: September 2019

Este trabajo tiene como objetivo analizar dos modelos didácticos que contribuyen al proceso de enseñanza aprendizaje de la geometría, además conocer el marco histórico de evolución de la geometría y sus aplicaciones en otras ramas del saber humano. Se fundamenta en una investigación bibliográfi ca descriptiva y explicativa, información que permitió conocer el proceso evolutivo de la geometría en paralelo al de la humanidad y su importancia para el desarrollo de las matemáticas, se presenta un ejemplo de aplicación propio del autor, en el que se presentan los niveles de aprendizaje de la geometría a través del modelo de Van Hiele, permitiendo establecer que el aprender geometría implica desarrollar nuevas estructuras mentales a partir de ordenar ideas ya existentes, que se convertirán en transcendentales, cuando el estudiante logra relacionarlas con otras ciencias desarrolladas por el hombre.
Uso del software “calmay” como herramienta de apoyo en el aprendizaje del sistema numérico maya
Authors: Rivera André
Published: September 2019

En el presente documento se presenta la experiencia de aula llevada a cabo en abril de 2018 en la Unidad Educativa “Cardenal Carlos María de la Torre”, con un grupo de 42 estudiantes del 10mo año EGB. En la institución se propuso enseñar a los estudiantes el Sistema Numérico Maya además de incluir al software “CalMay” (una calculadora maya) como una herramienta de apoyo en el proceso de enseñanza aprendizaje, ya que este puede ser instalado en ordenadores con sistema operativo Windows y Smartphones Android 4.4 o superior.
PRICE TRANSMISSION OF SKIM MILK POWDER IN INDONESIA: DO SKIM MILK POWDER IMPORT PRICES FOLLOW THE PRICES IN NEW ZEALAND?
Authors: Nurunisa Venty Fitriany , Sinaga Bonar Marulitua , Winandi Ratna , Brummer Bernhard
Published: September 2019

The objectives of this research are i) to examine New Zealand's dairy sector and ii) to analyze the market integration and price transmission of Skim Milk Powder (SMP) of New Zealand and Indonesian market. The methods used are Augmented Dickey Fuller test, Johansen Cointegration test, and Vector Error Correction Model. The result indicates: 1) as trade partner, New Zealand is powerful due to its status as the largest dairy producer worldwide; therefore, Indonesia has less bargaining power and 2) The SMP market of both countries are integrated. The coefficient of long run equation variable indicates that every 10 percent changes of one market, the imported SMP price will adjust 10.97 percent, while the exported SMP price will adjust 9.12 percent. The loading vector coefficient indicates that Indonesia is the only party adjusting to long run disequilibrium. Policies to minimize the risks includes: i) buffer budget, ii) alternative suppliers and iii) futures trade.
ANALISIS NILAI TAMBAH COKELAT BATANGAN (CHOCOLATE BAR) DI PIPILTIN COCOA, KEBAYORAN BARU, JAKARTA SELATAN
Authors: Asheri Vitalia Putri , Rifin Amzul
Published: September 2019

Indonesia is the third largest world cocoa producer. For years, cocoa bean from Indonesia has been exporter as raw beans. Domestic cocoa manufacturing industry is still dominated by international companies such as Nestle, Marz, JB Cocoa Malaysia, and others than domestic small and medium enterprise. This condition shows that value added of cocoa processing have not yet accepted by local entrepreneurs. Nowadays, most of the small and medium enterprise produce intermediate and compound chocolate products with low use of cocoa butter volume in proportion. Then, those intermediate products would be exported and will be reimported again by Indonesia as final product. Pipiltin Cocoa is the only small-scale natural chocolate producer in Indonesia using local cocoa bean from Bali and Aceh. This research focuses on value added analysis of bar chocolate in Pipiltin Cocoa produce which is important to conduct in order to know the added value made from a domestic small-scale cocoa farm producing original cocoa products.
PENDAPATAN USAHATANI KEDELAI DI DESA SUKASIRNA KECAMATAN SUKALUYU KABUPATEN CIANJUR
Authors: Winahyu Nastiti , Nurmalina Rita
Published: September 2019

Soybean is one of important food crops in Indonesia after rice and corn. The necessity of dried soybean in the country has not been able to sufficient the demand, so the old pods cultivation and productivity still need to be enhanced. The purpose of this research are to examine the variability, analyze farm income, as well as to analyze the ratio between revenue and cost (R/C) of the old and young pod soybean in Sukasirna Village, Sukaluyu District, Cianjur Regency. The analysis of this research are descriptive and quantitative analysis, namely income analysis and R/C ratio. Farm income over the total cost of old pod soybean is positive and beneficial for cultivated. While the loss occurs in young pod soybean shown with revenue over total costs is negative. Based on the analysis of R/C is known that the benefits derived from old pod soybean larger than the young pod. Results of t-test shows that t count against the total income does not differ significantly between old pod soybean and young pod soybean. This study shows that the farmer prefer to do old pod soybean farming than young pod soybean.
KELAYAKAN USAHA TERNAK DOMBA DENGAN INTRODUKSI PAKAN SILASE DAUN SINGKONG (Kasus di Desa Petir, Kecamatan Dramaga Kabupaten Bogor)
Authors: Khandari Sabila Mumtaz , Jahroh Siti
Published: September 2019

The majority of sheep farmers in Indonesia are small-scale ones who use grass which depends on weather as the feed. Petir Village is one of the villages in Bogor Sub-district where the sheep farmers raise their sheep traditionaly. Cassava leaf silage can be an alternative of good quality feed. Introduction of cassava leaf silage can affect the feasibility of livestock business. This study aimed to analyze the feasibility of sheep farming in terms of financial and nonfinancial aspects of introducing cassava leaf silage. Feasibility of non-financial aspects were analyzed using the legal, markets and marketing, management, technical, social, and environmental impact aspects. Whereas feasibility of financial aspects were analyzed using the feasibility criterias Net Present Value (NPV), Internal Rate of Return (IRR), Net Benefit-Cost Ratio (Net B/C), Gross Benefit-Cost Ratio (Gross B/C), and Payback Period. By introducing cassava leaf silage, the results of market and marketing, social, and environmental aspects showed that the business was feasible. Meanwhile, the result of financial analysis on the condition of introducing cassava leaf silage feed was not feasible for any business scale. Cassava leaf silage was not feasible when done individually so the formation of farmer groups can be a solution. In addition, farmers need information and training related to the implementation of cassava leaf silage to sheep.
ANALISIS TINGKAT KEPUASAN KONSUMEN RESTORAN WAROENG HOTPLATE ODON CIBANTENG, BOGOR, JAWA BARAT
Authors: Amanda Tasya , Nurmalina Rita
Published: September 2019

The competition among restaurants increases due to citizen’s new lifestyle for visiting restaurant. The purpose of this study is to analyze the consumer decision of making process, the customer satisfaction, and to formulate the recommendation for attributes improvement. Data are collected from 143 respondents using convenience sampling method and processed by Customer Satisfaction Index (CSI) and Importance Performance Analysis (IPA). The analytical results showed that the customer was generally 72,8 percent satisfied and the restaurant should give a high attention on the price, the availability of parking area, and supporting facilities to be improved because the importance scores of them were high but the pee scores were still low. To increase the customer satisfaction, restaurant should improve its performance by expanding the parking area, improving the supporting facilities, optimalizing food portion with the price and also improve the attributes that have lower weighted-score by setting an attractive promotion, re-arranging the aesthetic space, creating advertisement, and providing autodebit service.
ANALISIS DAYASAING JAGUNG DI WILAYAH SENTRA PRODUKSI DI INDONESIA DENGAN PENDEKATAN POLICY ANALYSIS MATRIX (PAM)
Authors: Darmayanti Ni Wayan Surya , Winandi Ratna , Tinaprilla Netti
Published: September 2019

The objectives of this research are to analyze competitiveness and the impact of government’s policy of maize farming in several central productions in Indonesia. This research was conducted to analyze maize competitiveness using PAM (Policy Analysis Matrix) method. Data sample was conducted at four maize production centers, including East Java, Central Java, West Java, and South Sulawesi. The results show the forth centre have competitiveness. This showed by PCR values in some production areas less than 1 and for competitive advantage, indicated by DRCR values in production areas also less than 1. Analysis of the Government policy aspect, the government has been able to provide positive incentives for maize farming in North Jawa, Centre of Jawa and West Java. The impact of government policy on inputs and outputs simultaneously can provide a positive incentive to farmers at maize production sites in Java. But the government’s policy hasn’t been able to provide for output in Sulawesi Selatan.  The conclusion is the fourth centres of maize production have competitive and comparative advantage. Sulawesi Selatan has high comparative advantages, so Sulawesi Selatan has high  potential to improve maize farming.
ANALISIS DAYA SAING UDANG INDONESIA DI PASAR EKSPOR
Authors: Wahyudi Ach. Firman , Haryadi Joni , Rosdiana Anisya
Published: September 2019

Entering the international trade era, Indonesia must has the right strategy to maintain its position as an exporter in the world. One strategy which can be implemented is to increase the competitiveness of export commodities that have comparative and competitive advantages in order to be able to compete with other countries' commodities. Therefore, an in-depth study is needed on increasing the competitiveness of shrimp commodities in order to increase fisheries commodity exports. The purpose of this study was to analyze the factors which affect the competitiveness of Indonesian shrimp commodity exports in four export destination countries and to formulate strategies to increase production potential and competitiveness of shrimp commodities in the markets of the four export destinations. This research was conducted in intensive and semi-intensive pond areas in Lampung and shrimp processing centers in East Java from January until November 2016. The types of data source were primary data from observation and secondary data in panel data form. Some of the analytical methods used in analyzing competitiveness are Revealed Comparative Advantage (RCA), the gravity model for analyzing factors that influence shrimp export offerings in export destination countries. Data processing is done using Microsoft Excel 2007 and E views 6. The analysis of the competitiveness of Indonesian shrimp commodity exports showed that during the period 2004 - 2014, Indonesian shrimp commodities had a comparative advantage or strong competitiveness in Japan, the USA and the United Kingdom. Estimated results from the data panel regression model, note that the factors that significantly influence the value of Indonesian shrimp exports are the nominal GDP of the destination country, the rupiah exchange rate, economic distance, and the value of Indonesian shrimp exports in the previous year. The strategy in increasing the production capacity and competitiveness of domestic shrimp business actors is to maintain the availability and quality of shrimp farming resources, especially quality shrimp seeds.
POLA DISTRIBUSI RANTAI PASOK JARINGAN MADU HUTAN SUMBAWA (JMHS) DI KABUPATEN SUMBAWA, NUSA TENGGARA BARAT
Authors: Qashiratuttarafi Qashiratuttarafi , Adhi Andriyono Kilat , Priatna Wahyu Budi
Published: September 2019

This study was aimed to analyze the supply chain distribution patterns of forest honey in the West Sumbawa through Sumbawa Forest Honey Network or Jaringan Madu Hutan Sumbawa (JMHS) using descriptive qualitative data. This study uses a supply chain distribution pattern approach based on the product, financial and information flow. In the product flow, honey is harvested by honey hunters in the forest and assembled to a group leader. Then, honey is handed over to JMHS and marketed at Rumah Madu” (Honey House). The forest honey harvest season in Sumbawa is between August-December. Honey hunters can harvest 15-20 liters of honey per hunter in one hunting day. In financial flow, we observed that the pricing of honey is decided by JMHS according to the market price and the harvest season. Honey price from the hunter is ranging from 60,000 - 75,000 IDR per 660 ml bottle. The purchasing price of honey by JMHS is 65,000-85.000 IDR per 660 ml bottle and after the packaging by JMHS, honey is marketed to the last consumers with a selling price of 110,000 IDR per 500 ml. The information flows in both directions. The group of honey hunters inform to JMHS about the locations of honey as well as the amount of harvested. In the JMHS side, they distribute information of the classification and quality of honey, provide the good harvest training and information on honey price to hunters.
KEBIJAKAN PERENCANAAN ANGKUTAN MASSAL DI KOTA BOGOR
Authors: Rudor Chrisgerson , Alexandi Muhammad Findi
Published: September 2019

Density and population of bogor that keeps increasing will add the duty of government to provide more public means of mass. Transportation is a vital public facility. Public transport available in Bogor is a city transportation (public transportation) and buses. The existence of a number of public transportation totaling 3,412 units and 30 units of bus has been able to serve the needs of the community in transportation, but in terms of efficiency and comfort are still far from expected. Based on the results of Stated Preference regression models, we concluded that the most efficient mass transportation is city buses, and the most variable priority attribute passengers on a city bus is the bus occupancy, the bus waiting time efficiency, got a seat, bus convenience and cost/ bus rates. So the recommendation that we can give, the problem due to public transport in bogor can be solved by the means of mass transportation such as city buses. Keywords: Density and population of Bogor, PublicTtransportation, Stated Preference Models
INCOME DISTRIBUTION INEQUALITY IN WEST SUMATERA AND THE RELATED FACTORS
Authors: Sari Putri Irina Mayang , Mulatsih Sri , Fahmi Idqan
Published: September 2019

Causal relationship between inequality and growth is far from being well understood. In West Sumatera the higher level of growth rate followed by an increasing in Gini ratio or increasing in income inequality. A sharp rise of income inequality has caused discussion about factors affecting inequality. Objectives of this research are to analyze income inequality condition in each Regency/Municipality in West Sumatera and to analyze the factors affecting income inequality. Through the calculation of the Gini ratio, it was found that the highest income distribution inequality in Regency/Municipality level in West Sumatra from 2006 to 2011 are owned by the Mentawai Islands District with an average Gini ratio is 0.311, while the lowest income distribution inequality of the average owned by the Pesisir Selatan District with an average Gini ratio is 0.217. This research is investigated by analyzing a balance panel data with 19 districts from 2006 to 2011. This study found that there are seven variables which can be associated with a movement in income inequality. Income per capita, routine spending for government officials and dummy earthquake have a positive relationship with income distribution inequality.  Meanwhile, industrial sector’s share toward Gross Regional Domestic Products (GRDP), government spending for development program, number of workers in industry and population growth have negative impact.Key words: income distribution, inequality, earthquake, west sumatera
ANALISIS PENGARUH NON-TARIFF MEASURES EKSPOR KOMODITI CRUDE PALM OIL (CPO) INDONESIA KE NEGARA TUJUAN EKSPOR UTAMA
Authors: Sari Ayu Renita , Hakim Dedi Budiman , Anggraeni Lukytawati
Published: September 2019

The study of this paper is aimed to evaluate the effects of non-tariff measures (NTM) upon Indonesian crude palm oil (CPO) export in the main destinations. Identified the competitiveness analysis using the Revealed Comparative Advantage index and the impact of the measures has estimated using a panel data gravity model constructed with disaggregated data about bilateral export trade flow of crude palm oil between Indonesia and its main trade partners for the period from 2003 to 2013. NTM represented binary variable that specified with a dummy variable. The gravity model has estimated with a fixed effects model and the results indicated that the existence of trade barriers to trade (TBT) appears to impede the Indonesian exports of CPO. But the existence of sanitary and phytosanitary measures (SPS) which related to food safety and the existence of trade remedy (antidumping, subsidy, safeguard) presented a positive impact upon the Indonesian exports of CPO. Keywords: Export, Non-Tariff Measures (NTM), Sanitary and Phytosanitary (SPS), Trade Barriers to Trade (TBT), Trade Remedy, Crude Palm Oil
Analisis Pemilihan Moda Angkutan Umum atau Pribadi Pekerja Mobilitas Non-Permanen di Sepuluh Wilayah Metropolitan Indonesia
Authors: Chotib Chotib
Published: September 2019

There are several types of non-permanent mobility which are generally related to location difference between places of residence and places of work. Non-permanent mobility consists of commuting, circular, and seasonal migration. Commuting is a type of non-permanent mobility where a person works in a different place from his residence, he/she leaves in the morning and returns in the afternoon or evening every day. Circular is a type of non-permanent mobility where a person lives in a workplace (which is different from his place of residence) for less than three months but more than one day. Whereas seasonal migrantion is a type of non-permanent mobility where the person lives in the workplace (destination area) between 3 and 6 months. This study aims to identify the probability of public transportation use by workers, both as movers and stayers, in ten metropolitan regions in Indonesia, namely Mebidang (Medan metropolitan area), Palapa (Padang metropolitan area), Patungraya Agung (Palembang metropolitan area), Jabodetabek (Greater Jakarta), Bandung Raya (Bandung metropolitan area), Kedungsepur (Semarang metropolitan area), Gerbangkertosusila (Surabaya metropolitan area), Sarbagita (Denpasar metropolitan area), Banjar Bakula (Banjarmasin metropolitan area), and Maminasata (Makassar metropolitan area). The results of the analysis with Binary Logistic Regression on the Sakernas 2017 data shows that the probability of using public transportation varies according to individual characteristics, patterns of mobility and varies over Metropolitan Areas.
Strategi Pengembangan UMKM Pangan Berdaya Saing di Kota Bandung
Authors: Ginting Agustina Pertisia , Hubeis Musa , Fahma Farah
Published: September 2019

SMEs (Micro-Small and Medium Enterprises) are one of business sector that has an important role for improving economy condition in Indonesia. One of the SMEs that has the potential to competition is food SMEs. To create food MSMEs that able to compete with the other food products, they must be able to maintain the quality of various aspects. The many problems faced by food SMEs require a strategy to develop and continue. This research aims to create competitiveness and strategy in food MSMEs. This research was conducted by identifying food MSMEs, analyse the influence of internal factors and external factors with the IE matrix, looking for the formulation of food SMEs strategies using SWOT and QSPM methods. The location of the research was conducted in the city of Bandung, West Java. The results of this research based on the IE matrix show that the Bandung City food UMKM requires a grow and build strategy. Based on the SWOT and QSPM methods, various alternative strategies were obtained. Strategy III is the most suitable strategy for Bandung's food UMKM with a value 6.433. Strategy III is "improving human resource capabilities, utilizing associations and government support to expand product markets". The level of diversity of food MSMEs in Bandung is high, that makes the characteristics of the commodities produced. The majority of business people rely heavily on the government in all aspects of business. Procurement of raw materials is carried out independently with a contract system and own business capital
Strategi Pengembangan Usaha dan Pemasaran Benih Ikan Patin Siam (Pangasianodon hypopthalmus) Dengan Sistem Jejaring pada Cabang Dinas Kelautan dan Perikanan Wilayah Utara Provinsi Jawa Barat
Authors: Pramono Titus , Suryahadi - , Trilaksani Wini
Published: September 2019

The production of Siam-catfish (Pangasianodon hypopthalmus) seeds in Subang, West Java can not meet the market demand yet. The production of Siam-catfish seeds need to be improved especially by the main supplier namely the North Branch of Marine and fisheries service of West Java province (CDKPWU) with a partnership pattern between core and plasma. The purposes of this study were to identify internal and external factors that influence the marketing of Siam-catfish seeds with a network system between CDKPWU and partners, to identify advantages and disadvantages in the network process that occurs between CDKPWU and the partners, and trying to develop the most effective business and marketing srategy of Siam-catfish seeds in order to reach maximum output and outcome. The methods used in this study were as follows: (1) Valuable, Rare, Imitate to Cost and Organized Analysis (VRIO), (2) Political-Legal, Economic, Social, Technology  Analysis (PEST), (3) Internal Factor Evaluation Matrix (IFE), (4) External Factor Evaluation Matrix (EFE), (5) Internal External (IE) Matrix, (6) Analysis of Strengths, Weaknesses, Opportunities, and Threats (SWOT) and (7) Quantitative Strategic Planning Matrix (QSPM) Analysis. The result of IFE and EFE matrix indicated that the company's position was stable in response to external situation. The total score of IFE matrix was 3.38, indicating that the strength of CDKPWU can overcome weaknesses very well. The total score of EFE matrix was 2.59, describing that CDKPWU was good enough in responding to opportunities and minimizing threats. The results of the SWOT analysis show nine alternative strategy formulations in which three alternative formulation priorities were (1) Expanding the production partnership network to increase production and increase community income, (2) Maintaining good seed quality and production process technology, (3) Utilizing partnerships to establish good relationship and communication with relevant agencies. Based on the QSPM matrix analysis, the priority strategies are obtained to be implemented, namely expanding the production partnership network to increase production and increase community income
MANAJEMEN BAITUL MAL PADA MASA KHALIFAH UMAR BIN KHATHAB R.A: SEBUAH TINJAUAN SEJARAH
Authors: Fitmawati Fitmawati
Published: September 2019

Umar bin Khathab was the chaliph of about 10 years. He was well know as his ekspansion policies. He introduced a goverment administrasion system by dividing its area and building Baitul mal to be an independent institution. Those exspansion policies had reached the goal successfully, so as the income of the a sure of the Baitul mal were overabundance. Then, the chaliph Umar managed it through accumulation and emission by forming Diwan. He had applied the concept of Islamic management long before the weit management exisheted. The concent of Umar’s give preference on manner which related to the value of faith and truth. He also applied the Syura concept on manner and management activity, especially those which related to the determination of decision. Dividing goverment area and Amir and Madinah as the center of polity and Baitu mal the independent institution out of the goverment intervension became chaliph Umar contribution Islamic polity.
A power circuit design for the poloidal field coils in a torus shaped plasma system
Authors: DURSUN Bekir , KURT Erol , TEKEREK Mehmet
Published: September 2019

An initial design for
a power circuit of a new plasma system is proposed and implemented in MatLab
code. The plasma device is a torus and requires an excitement of wires, which
are wrapped around the torus for a toroidal field and a poloidal field coil placed
at the outer part of the device. This poloidal coil structure ignites an
electrical field inside the chamber and that yields to a circular magnetic
field inside the plasma. The proposed electrical design for this poloidal field
equipment has some components including the alternating current unit and the
direct current one. The circuit first uses an ac-dc converter, in order to
transfer the ac grid to the dc one. Then it uses a switching scheme and a
discharge circuit. The operation voltages for the poloidal field are estimated
to be 1 kV, respectively. It has been proven that the designed system can
produce an almost dc current with 66 V fluctuation, which is under the limit of
6%, considering the high voltage of 1kV.
A Modern Strategy for the Management of Patients with Gout
Authors: Л. В. Хіміон  , О. Б. Ященко  , Т. О. Ситюк  , С. В. Данилюк  , Н. В. Кіча
Published: September 2019

The review of evidence-based recommendation for gout management is given at the article.
The Issue of Rational Use of Antibiotics in the Treatment of Urinary Tract Infection and the Strategy of Antibiotic Resistance Management
Authors: Т. В. Буднік
Published: September 2019

The article focuses on the abuse of antibacterial drugs in patients with urinary tract infections, both in the adult population and in children. In today’s era of large-scale antibiotic resistance, such tactics are not only ineffective for the patient, but also detrimental to the population as a whole. The optimal clinical decision is stratification of the patient with urinary tract infections for the appointment of an antibiotic or the use of another alternative with proven efficacy, such as officinal urological vaccine Urivac.
Appropriate Clinical Application of Thrombocytes Concentrate
Authors: С. В. Видиборець  , Ю. Ю. Дерпак  , Ю. Ю. Попович
Published: September 2019

The article contains current data on complications developing in the wake of employing thrombocytes concentrate in clinical settings. Complication patterns are submitted, causes there of are analyzed. Technical aspects are discussed of optimum measures to be implemented in transfusions of the thrombocytes concentrate.
The Prevention of Cardiovascular Diseases in Diabetes Mellitus: Role of Glycemic Control
Authors: О. М. Корж
Published: September 2019

The article discusses the relationship of glycemia control with the development of mid-vascular pathology. Proved a clear link glycemic control with a reduced risk of micro- and macrovascular complications of diabetes. At present, the ideology of early intervention is actively developing and is gaining more and more admirers. Effective competent self-monitoring of blood glucose is one of the fundamental factors in slowing down and preventing the development of cardiovascular complications of diabetes. The maintenance of a high quality of life of the patient is no less important than the achievement of target values of glycemia.
Technologies of Screening for Diseases of the Liver and Pancreas in the Combined Pathology of the Digestive System
Authors: Ю. І. Решетілов  , С. М. Дмитрієва  , О. Е. Алипова  , О. Ю. Васильченко  , Н. М. Проценко
Published: September 2019

Objective: to evaluate the results of the use of non-invasive screening and control of treatment in patients with inflammatory diseases of the hepatobiliary and pancreas organs by introducing the method of ion ion testing.Materials and methods. A comprehensive clinical and laboratory examination of 156 patients with a combined pathology of the digestive system was conducted: 64 (41.1%) men and 92 (58.9%) women randomized by age and sex. The control group for comparison of the results obtained included 30 healthy individuals.Results. The study of the composition of exhaled air in healthy individuals compared with the calibration indicators of atmospheric air showed that the most significant of the amenable to registration are air ions of hydrogen, endogenous alcohol, oxygen, methane, hydrogen sulfide, ammonia and carbon dioxide. An important aspect of the use of aeroionic diagnostic technologies is the possibility of differentiated individual selection and monitoring of treatment results for all parts of the care provided to gastroenterological patients.Conclusion. Aeroion testing is a modern non-invasive diagnostic method that can be recommended for the primary screening of diseases of the digestive system.
The Influence of Combined Therapy on Lipid, Glucose Profile in Patients with Diabetes Mellitus Type 2
Authors: О. П. Федорова  , О. В. Дудко  , О. А. Світлицька  , Т. І. Кікнадзе
Published: September 2019

According to the International Federation of Diabetes, 7% of the population of the world suffers from diabetes. Optimizing the treatment of diabetes with herbal medicines will reduce the patient’s drug burden.The objective: the aim of the study was to assess the efficacy of combined treatment with the complex vitamin-herbal pills insuvit, Metformin and Atorvastatin in patients with diabetes mellitus type II.Materials and methods. 69 patients (women – 44, men – 25) were treated with diabetes mellitus type2 inthe therapeutic department of the University Hospital of the ESMC «University Clinic». The average age was 63,4±7,82 years, the duration of diabetes – 7,0±4,11 years. Fasting blood glucose levels, glycosylated hemoglobin (HbA1c), lipid profile were determined onset. Patients were randomized on 2 groups: the main group – 33 patients, who received additionally insuvit (1 tablet twice a day) for 12 weeks to standard therapy (20 mg of Atorvastatin, 1000 mg of Metformin). Control – 36 patients with similar therapy, but without the appointment of insuvit.Results. The levels of HbA1c (by 10,7%), glucose (by 14,7%) and triglycerides (by 35,4%) (p<0,05) significantly decreased after 12 weeks therapy in the main group in comparison with control group. In 39,4% patients of the main group there was s decrease in the sensation of paresthesias, which led to an improvement in overall well-being.Conclusions. The additional use of the drug insuvit accelerates the compensation of glucose and HbA1c levels in patients with diabetes mellitus type 2, which allows them to reach their target levels more quickly.
Clinical Case of Dysmetabolic Cardiomyopathy in the Practice of a Family Doctor
Authors: Л. Ф. Матюха  , О. В. Процюк  , Л. В. Клименко  , О. Ю. Боюка
Published: September 2019

The article highlights the classification of dilated cardiomyopathy, the etiological factors responsible for the occurrence of this pathology, modern principles of diagnosis and treatment of dysmetabolic cardiomyopathy as one of the types of dilated cardiomyopathy. Clinical and main instrumental diagnostic methods are presented, a clinical case of dysmetabolic cardiomyopathy is considered.
Recurrent Cystitis in Children: Preventive Interventions
Authors: Т. О. Крючко  , Н. В. Кузьменко  , В. П. Харшман  , Н. Г. Козяр
Published: September 2019

The rapidly progressive growth of antibiotic resistance of the main uropathogens, and the side effects of long courses of antibiotic therapy are one of the main problems in the treatment of children with recurrent cystitis. This encourages the search for alternative and effective treatment and prevention regimens for this pathology.The objective: the study of the regional characteristics of the microbial landscape of urine in children with cystitis; a study of the effectiveness of 7 days of taking the medicine Furamag® in the treatment of cystitis; assessment of the duration of clinical and laboratory remission in children with cystitis.Materials and methods. The clinical and laboratory examination of 65 children aged 5 to 15 years was conducted. Patients of group I (33 children) received FuramagR as the basis of antimicrobial therapy, 32 children from the comparison group took cefuroxime axetil. The duration of therapy in both groups was 7 days. The second stage of the study was to evaluate the effectiveness of antirelapsing treatment of cystitis in girls aged 7 to 15 years: 1/3 of the therapeutic dose of Furamag® in combination with the vaccine Urivac for 3 months.Results. Furamag® demonstrated significantly higher bacteriological effectiveness in comparison with cefuroxime axetil for eradication of the most clinically significant causative agents of cystitis detected in thePoltava region. The results of observations in a group of children who received antirelapse treatment with a prophylactic dose of Furamag® in combination with the immunization vaccine Urivac showed high efficacy in clinical and laboratory remission and the safety of using the chosen regimen.Conclusion. Analysis of all isolated microorganisms demonstrated a significantly higher sensitivity to Furamag® compared with cefuroxime axetil, which was accompanied by a significantly higher eradication rate of the clinically significant cystitis pathogens identified in the study. The results of the high bacteriological effectiveness of Furamag®, the rapid elimination of the main clinical manifestations of the disease, as well as high efficacy in clinical and laboratory remission and the safety of using the Furamag® + Urivac regimen indicate the feasibility of using drugs in the treatment and prevention schemes for relapsing cystitis exacerbations in children.
Reproductive Health of Women of Doctors of Various Specialties
Authors: Ю. П. Вдовиченко  , О. С. Шелигін
Published: September 2019

The objective: depression frequencies disturbances of reproductive genesial function, obstetric and perinatal complications at women of doctors of various specialties on a basis studying clinical, functional, psychological, endocrinologic, immunologic and microbiological features, and also development and introductions algorithm of diagnostic and treatment-and-prophylactic actions.Materials and methods. Researches were carried out to two stages: at 1 stage 150 women of doctors of various specialties aged from 26 till 35 years with length of service from 1 to 10 years were surveyed; at the 2nd stage of researches 150 pregnant women of doctors who were divided into 3 groups of comparison were surveyed. In a complex of the conducted researches were included clinical, ehografical, psychological, laboratory, dopplerometrical, cardiotokografical and statistical.Results. Results of the conducted researches testify that women doctors of various specialties make group of high risk on development of various complications of pregnancy and labors, and also perinatal pathology. Use of medico-psychological preparation, since the pregravidarny period in combination with the family focused technologies allows to normalize the psychological status, to develop positive majorant on positive result of pregnancy and labors, to normalize a functional condition of a fetoplacental complex that leads to depression of frequency of obstetric and perinatal pathology at a delivery, and also allows to keep reproductive health of women of doctors of various specialties.Conclusion. The received results allow to recommend advanced algorithm of diagnostic and treatment-and-prophylactic actions in practical health care.
Features of Menstrual Function of Women After Organ-preserving Operations on Ovaries
Authors: А. В. Бойко
Published: September 2019

The objective: to study features of menstrual function of women after organ-preserving operations on ovaries.Materials and methods. We investigated morfofunctionale condition of ovaries at 100 patients with a simple serous cystadenoma (n=50) and a mature teratoma (n=50) – before organ preserving operations (cystectomia, resection). Taking into account the volume of the executed operative measure, surveyed were distributed on 3 groups. The complex of the conducted researches included clinical, endocrinologic, biochemical, morphological and static methods.Results. Generalization of the received results, allowed us to conclude that the frequency of disturbances of menstrual function at women after operations on ovaries is caused as disturbances before operation, and operative measure consequence. The high percent of changes of menstrual cycle before operation (46,0% with mature teratoma and 54,0% with simple serous cystadenoma), according to our data, direct in proportion correlates with level of change of an ovariale reserve. In the postoperative period the augmentation of number of patients with disturbance of menstrual function by 1,3–1,4 times more ovary postresections is noted. Among all types of disturbances of menstrual cycle the shorting of cycle and an oligomenorrhea prevailed.Conclusion. The obtained data need to be considered when developing algorithm of diagnostic, treatment-and-prophylactic and rehabilitational actions.
С-reactive Protein and Its Role in Pathogenesis of Heart Disorders (Literature Review and Own Data)
Authors: Л. М. Стрільчук
Published: September 2019

C-reactive protein is a criterion of inflammation and a significant marker of cardiovascular risk.The objective: to estimate condition of problem of CRP usage according to the literature and own data.Matherials and methods. We held a literature review in Pubmed database and domestic sources. We also analyzed data of 75 patients with hemorrhagic vasculitis, divided into groups according to gallbladder (GB) condition. Data was processed using Statistica 6.0 software.Results. CRP was crystallized in 1947 by Maclyn McCarty, who proposed to use it for control of rheumatism course. CRP is a nonspecific acute phase protein, which is synthesized in liver during inflammation. Main function of CRP is to eliminate pathogens and endotoxins. CRP level can vary between <1,0 mg/L and 1000 times bigger values. CRP is studied as a marker of infection, inflammation and tissue damage in ischemic heart disease, stroke, cognitive disorders, cardiovascular death. High level of CRP is associated with increase of caediovascular morbidity and mortality. In our patients with hemorrhagic vasculitis mean level CRP was 7,51±1,22 mg/L, which is almost twice bigger than the normal values. This can suggest a high cardiovascular risk. CRP level was maximal in cholelithiasis and cholecystectomy groups. Independently of GB condition CRP correlated with left atrium size and acute phase parameters of blood.Conclusions. According to the literature, CRP eliminates pathogens, endotoxins, necrotized cells. In patients with hemorrhagic vasculitis CRP directly correlated with inflammation parameters and left atrium size, indirectly – with anemic syndrome. CRP level was dependent of GB condition, being the highest in groups with cholelithiasis and prior cholecystectomy.
The Organization of Community-based Care for Patients with Damage to the Locomotor System
Authors: О. В. Пелипенко  , О. С. Ковальов  , О. І. Березан
Published: September 2019

Dynamic monitoring of gerontologic victims is a proven method of the treatment effectiveness improvement.The objective: analysis of the features of the rehabilitation period and improvement of the organization of measures for medical and social adaptation of patients with fractures of the proximal femur.Materials and methods. The long-term consequences of 711 patients with proximal hip fractures were traced.Results. Quality of treatment criteria is the patient survival during the first year post injury.Conclusions. Dynamic monitoring of victims increases the effectiveness of therapeutic interventions.
Estimation of Elastography Parameters of the Pancreas and the Liver with Comorbidity of Chronic Biliary Pancreatitis and Obesity
Authors: Л. С. Бабінець  , К. Ю. Кицай
Published: September 2019

The objective: is to evaluate the structural state of the liver and the pancreas, and their dependence on the etiology of the biliary factor and obesity, to analyze the relationship between them.Materials and methods. The results of the study of shear wave elasticity indices in 137 patients with chronic biliary pancreatitis (CBP) are presented in the article. Among them are 115 patients with CBP and adiposity (main group) and 22 patients with CBP (comparison group).Results. The increase of the stiffness of both the liver and the pancreas to steatosis was established using share wave elastography. It should be noted that the indicators of the liver and the pancreas were increased with increasing of obesity. The rating of the influence the etiological factor on the structure state of the liver and the pancreas was established in the direction of reducing the level of stiffness: laparotomy cholecystectomy > noncalculous cholecystitis = functional disorders of the hepatobiliary system > noninvasive cholecystectomy.Conclusion. The strong direct correlation link between the stiffness index of the liver and the pancreas (r=0,879; p<0,05) demonstrated the fact that the deterioration of the structural state the liver causes similar changes in the structural state of the pancreas, and was established their interrelatedness. It also proved the systematic of steatosis of the liver and the pancreas in patients with CBP in combination with obesity.
Stable Coronary Artery Disease
Authors: О. Б. Ященко  , Л. В. Хіміон  , С. В. Данилюк  , Т. О. Ситюк
Published: September 2019

The article is review of the evidence-based recommendations for the diagnostic and treatment of stable coronary artery disease in primary care.
Actual Aspects of European Clinical Protocols (Finland) in the Teaching of Family Medicine on the Pregraduate Level: General Provisions About Arterial Hypertension, Diagnostics, Non-medicinal Activities
Authors: Л. С. Бабінець
Published: September 2019

The article analyzes the actual aspects of expediency of the introduction of the provisions of the European clinical protocols of primary medical care (Finland) into the practice of teaching the discipline general practice-family medicine at the stage of pregraduate education on the general provisions on arterial hypertension, algorithms of clinical and laboratory-instrumental diagnostics, non-pharmacological measures in management of patients with arterial hypertension.
Effect of Extra-intracranial Bypass on Cerebral Hemodynamics in Treatment of Occlusion-stenotic Disorder of Brahio-cephal Arteries: Applying of Perfusion Computed Tomography
Authors: O. Ю. Гарматіна  , В. В. Мoрoз  , Р. Г. Красільнікoв  , Л. Д. Цибенкo  , O. В. Селюк
Published: September 2019

The objective: was to evaluate of the cerebral hemodynamic changes in patients with the simptomatical occlusal-stenotic pathology (OSР) of brachiocephalic arteries (BCA) before and after the creation of extraintracranial (EC-IC) microvascular bypass by perfusion multispiral computed tomography (PMSCT).Materials and methods. The analysis of the results of surgical revascularization in 12 patients before and after placement of EC-IC bypass based on the results of neuropsychological examinations and instrumental tests were recorded.Results. The statistical analysis reliably confirmed of the efficacy of EC-IC bypass by anamnesis and the cerebral perfusion results.Conclusion. EC-IC bypass improves the brain perfusion in OSP BSA. Dinamic observation is necessary to evaluate the long-term results of surgical revascularization.
Biochemical Markers in the Diagnosis of Posttraumatic Knee Osteoarthritis
Authors: Л. В. Хіміон  , Г. О. Гаврилюк
Published: September 2019

Osteoarthritis (OA) is the most common form of arthritis, which is associated with a high risk of disability in patients of any age. That is why the detection of OA in the early stages is of great importance for understanding the progression of the disease and the choice of treatment options.The objective: to investigate the possibility of using aggrecan for early diagnosis and monitoring the effectiveness of treatment of posttraumatic OA of the knee.Materials and methods. The study was conducted at the Department of Family Medicine of the Shupyk National Medical Academy of Postgraduate Education included 62 patients with an established diagnosis of post-traumatic OA (PTOA) of the knee, 60 patients in the early period after trauma of the knee (TK) and 12 people – the control group (practically healthy people of the corresponding age). All patients underwent a comprehensive examination prior to the start of treatment, after 2 and 4 weeks, and also after 6 and 12 months. Patients in the control group study was performed once. Patients included in the study were divided into groups: І group – patients who received complex treatment (NSAIDs, physical exercises, complex physiotherapy for patients with PTOA and NSAIDs, complex physiotherapy for patients with TK) in combination with 3 intra-articular injections of PAP; Group ІІ – patients who received only complex treatment. The processing of the obtained results was performed using the Microsoft Office 2010 (MS Excel and Windows). Statistical analysis was performed using the SPSS v.21.Results. During the study, the analysis of aggrecan levels in the course of treatment showed that all patients with TK had an increase aggrecan in serum 2 weeks after the treatment, with a gradual decrease in this indicator from 4 weeks after treatment. During the dynamic observation, the average level of serum aggrecan in patients with PTOA in the group with combined treatment tended to gradually decrease with the lowest rates 12 months after treatment, while in the group of complex treatment there were no significant fluctuations in the level of aggrecan over the entire study period.Conclusions. А high level of aggrecan is determined in patients in the early stages after TK. In the standard treatment of PTOA, no significant fluctuations in the level of aggrecan in the blood serum were found, which testifies in favor of continuous destruction of articular cartilage. There is a gradual decrease in the content of aggrecan in patients using PAP with TK and PTOA, which may indicate a decrease in degenerative processes in cartilage under the influence of platelet biologically active substances.