bluuebunny/crossref_metadata_2025 huggingface dataset:
GAMBARAN TINGKAT KECEMASAN PERAWAT DI IGD BLU RSUP Prof.dr.R.D.KANDOU MANADO
Authors: Abdulrahman Etin , Bawotong Jeavery , Wowiling Ferdinand
Published: June 2021

Abstract: Unxicty is cognitive phenomenom, where someone will feel something happened in our beyod expection and can not be predicted. The unxicty will be got if someone feel able to face it against because impugning it self. The goal of this research to get the level illustration of nurse unxicty at IGD BLU RSUP Prof. dr. R.D. Kandou Manado. The selection of sample uses random sampling by ethnic simple random sampling. The number of sample that deived 40 people. Variable that deived is level illustration of nurse unxicty at  IGD BLU RSUP Prof. dr. R.D. Kandou Manado by category of symptom scor < 14 there’s no unxicty, scor 14 – 28 light unxicty, scor 29 – 42 sample unxicty scor 57 – 70 the most heavy unxicty or panic. From the result of research shows that level nurse unxicty at IGD BLU RSUP Prof. dr. R.D. Kandou Manado by simple category (57,5%). Expected there’s no attension from the member of hospital because will bwe able to infivence the service in generally and more spesificly on nurse in doing duty as profescy. Keywords: Nurse unxicty.   Abstrak: Kecemasan merupakan sebuah fenomena kognitif, dimana seseorang merasa akan terjadi sesuatu di luar kehendak dan tidak bisa diprediksi. Kecemasan akan diperoleh jika seseorang merasa tidak sanggup menghadapinya karena meragukan kemampuan diri sendiri.Tujuan penelitian ini untuk memperoleh gambaran tingkat kecemasan perawat di IGD BLU RSUP Prof. dr. R.D Kandou Manado. Rancangan penelitian ini bersifat deskriptif. Pemilihan sampel menggunakan random sampling dengan teknik simple random sampling. Jumlah sampel yang diteliti sebanyak 40 orang. Variabel yang diteliti yaitu memerikan tingkat kecemasan perawat di IGD BLU RSUP Prof.dr. R.D Kandou Manado dengan kategori gejala skor  <14 tidak ada kecemasan, skor 14-28 kemasan ringan, skor 29-42 kecemasan sedang, skor 43-56 kecemasan berat, dan skor 57-70 kecemasan berat sekali aatau panic.Dari hasil penelitian menunjukkan bahwa tingkat kecemasan perawat di IGD BLU RSUP Prof. dr. R.D Kandou Manado dengan kategori sedang (57,5%). Diharapkan adanya perhatian dari pihak rumah sakit karena akan dapat mempengaruhi pelayanan secara umum dan lebih khusus pada perawat dalam melaksanakan tugas profesi. Kata kunci: Kecemasan Perawat.
HUBUNGAN PENGETAHUAN PERAWAT DENGAN KEMAMPUAN MELAKUKAN BANTUAN HIDUP DASAR PADA ORANG DEWASA DI INSTALASI GAWAT DARURAT BEDAH RSUP Prof. Dr. R.D. KANDOU MANADO
Authors: Sandag Hendra , Posangi Jimmy , Warouw Herman
Published: June 2021

Abstract: One indicator of bad good health services is reflected in the language of quality emergency services at installations. Destination of this research was done to know the nurses knowledge  and do get help basic life support  to humans. The design of this research is cross sectional  study. The sample are 40 respondents,the data intake tecnique was by questionnaires and observation directly conducted nurses on midget. The experiment result hipotesis using Fisher’s Exac Test with level of mistake 0,05% and level of confidence 95% so ρ value 0,01 < 0,05, Ha is accepted. Concluded that knowledge nurses nem article ability to get help equity living in emergency in, initial studies were categorized less. Recommendation : Develope knowledge of nursing about getting help during equity life education, required the exercise of the well’s method of analysis laboratory skills tu produce nurses able to perform in sequence and appropriate resucitation. Keywords: Nurse knowledge, Get help with basic life support.     Abstrak: Hendra Sandag, Hubungan pengetahuan Perawat Dengan Kemampuan melakukan Bantuan Hidup Dasar Pada Orang Dewasa Di Instalasi Gawat Darurat Bedah BLU RSUP Prof. dr. R. D. Kandou Manado, Karya Tulis Ilmiah Sarjana, Program Studi Ilmu Keperawatan, Fakultas Kedokteran Universitas Sam Ratulangi. Pembimbing (1) Prof  dr. Jimmmy Posangi,MSc.PhD.SpFK, (2) Herman Warouw, SKM, M.Kep. Salah satu indikator baik atau buruknya pelayanan kesehatan, tercermin dari kualitas pelayanan pada instalasi gawat darurat sebagai gerbang terdepan bagi pasien yang membutuhkan pertolongan kesehatan di institusi rumah sakit tersebut. Penelitian ini bertujuan untuk mengetahui apakah pengetahuan perawat berhubungan dengan bantuan hidup dasar pada orang dewasa. Penelitian ini bersifat cross sectional, Variable independen yaitu pengetahuan perawat dan variable dependen yaitu kemampuan melakukan bantuan hidup dasar. Data didapatkan melalui kuesioner dan observasi secara langsung yang dilakukan perawat pada manikin. Data dianalisa dengan menggunakan uji Fhisher’s Exac Test dengan table 2 x 2 dengan nilai kemaknaan α = 0.05. Hasil uji Fisher’s Exack Test didapatkan nilai P = 0,001 yang berarti lebih kecil dari a = 0,05 dengan demikian H0 ditolak dan Ha diterima, maka dapat dikatakan bahwa ada hubungan yang bermakna antara pengetahuan perawat dengan kemampuan melakukan bantuan hidup dasar pada orang dewasa. Kata kunci: Pengetahuan perawat, Bantuan Hidup Dasar.
Kanker Payudara Pasca Kemoterapi dengan Neutropenia: Laporan Kasus
Authors: Rahmawati Anita , Lasut Pearla
Published: June 2021

Abstract: Febrile neutropenia is found in 10-50% of post chemotherapy patients with solid tumor and in more than 80% of patients with hematological malignancy. We reported a case of febrile neutropenia, local chemoport infection, and right breast cancer on chemoterapy in a 47-year-old female. Diagnosis was based on symptoms, clinical features, and laboratory examina-tion with absolute neutrophil count (ANC) 460 cells/mm3. This patient was treated with IVFD NaCl 0.9% 20 drops/minute, ceftazidime 2 g every 8 hour intravenous, and filgastrim 300 mcg every 24 hours subcutan. The prognosis of this patient was as follows: ad vitam was dubia ad malam, ad functionam was dubia ad bonam, and ad sanationam was dubia.Keywords: febrile neutropenia, post chemotherapy Abstrak: Febrile neutropenia terjadi pada 10-50% pasien pasca kemoterapi dengan tumor padat dan lebih dari 80% pasien pasca kemoterapi dengan keganasan hematologik. Kami melaporkan sebuah kasus seorang perempuan berusia 47 tahun dengan febrile neutropenia, infeksi lokal chemoport, dan kanker payudara on kemoterapi. Diagnosis ditegakkan berdasarkan anamnesis, gejala dan tanda klinis, serta pemeriksaan laboratorium absolute neutrophil count (ANC) 460 sel/mm3. Pasien diberikan terapi infus NaCl 0,9% 20 tetes/menit, ceftazidime injeksi 2 gr setiap 8 jam, dan filgastrim injeksi 300 mcg setiap 24 jam subkutan. Prognosis pasien ini secara ad vitam ialah dubia ad malam, ad functionam ialah dubia ad bonam, dan ad sanationam ialah dubia.Kata kunci: febrile neutropenia, pasca kemoterapi
Gangguan Ginjal Akut et Kausa Sepsis: Laporan Kasus
Authors: Kairupan Jaquelene D. , Palar Stella
Published: June 2021

Abstract: Acute kidney injury (AKI) is a sudden episode of decreased renal function that occurs within a few hours until a few weeks, followed by renal failure in excretion of nitrogen-waste products with or without imbalance of fluid and electrolytes. Sepsis is the main cause of critical illnesses as well as the main cause of AKI, albeit, the pathophysiology of AKI due to sepsis is not jet fully understood. We reported a female patient aged 35 years with AKI due to sepsis caused by abscess of suprafundal uterine that occured due to nosocomial infection post laparoscopy of utero myoma. Diagnosis was based on anamnesis, physical examination, and laboratory examination as well as radiology examination. The patient had been given an adequate antibiotic treatment with infection source control, renal supportive therapy using intermittent hemodialysis, exploration surgery, and abscess drainage. The prognosis of this patient was good since the condition of sepsis was resolved and the renal supportive therapy of hemodialysis improved her renal function.Keywords: acute kidney injury, sepsis Abstrak: Gangguan ginjal akut (GgGA) adalah penurunan fungsi ginjal yang terjadi mendadak dalam beberapa jam sampai beberapa minggu, diikuti oleh kegagalan ginjal untuk mengekskresi sisa metabolisme nitrogen dengan atau tanpa disertai terjadinya gangguan keseimbangan cairan dan elektrolit. Sepsis merupakan penyebab utama dari penyakit kritis dan juga merupakan faktor penyebab paling umum untuk terjadinya GgGA namun patofisiologi terjadinya GgGA akibat sepsis belum dipahami dengan jelas. Kami melaporkan seorang pasien wanita usia 35 tahun dengan GgGA akibat sepsis yang disebabkan oleh abses suprafundus uteri dengan kausa infeksi nosokomial pasca laparoskopi mioma uteri. Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik, pemeriksaan laboratorium dan radiologi. Pasien telah diberikan pengobatan antibiotik adekuat dengan kontrol sumber infeksi, terapi suportif ginjal menggunakan intermittent hemodialysis, operasi eksplorasi, dan drainase abses. Prognosis pada pasien ini ialah baik bila kondisi sepsis teratasi dan terapi suportif ginjal hemodialisis memberi hasil perbaikan fungsi ginjal.Kata kunci: gangguan ginjal akut (GgGA), sepsis
Pengaruh Kafein terhadap Tekanan Intraokular
Authors: Juanito Julian , Supit Wenny P. , Rares Laya M.
Published: June 2021

Abstract: High intraocular pressure (IOP) is one of the risk factors of glaucoma or worsening of its prognosis. There are a lot of external factors that can affect IOP inter alia exercise, as well as some food and drinks. One of the drinks that could affect IOP is coffee that contains caffeine. This study was aimed to evaluate whether caffeine had an effect on IOP. This was a literature review study using 4 data bases, as follows: Clinical Key, Pub-med, Google Scholar, and Science Direct. The keywords were Caffeine OR Coffee OR Tea AND IOP OR Intraocular Pressure. Based on inclusion and exclusion criteria, 10 literatures were selected. The results showed that some literatures reported an increase in IOP after caffeine consumption, the others reported a decrease in IOP, meanwhile some others did not find any change of IOP. In conclusion, the effect of caffeine on IOP was acute. People who had high intensity of caffeine consumption had a more significant increase in IOP after consuming caffeine.Keywords: caffeine, intraocular pressure (IOP)  Abstrak: Peningkatan tekanan intraokular (TIO) merupakan salah satu faktor risiko untuk terjadinya glaukoma atau memperburuk prognosis glaukoma. Terdapat banyak faktor eksternal yang dapat memengaruhi TIO, antara lain olahraga, minuman, dan makanan. Salah satu minuman yang dapat memengaruhi TIO ialah kopi yang mengandung kafein. Penelitian ini bertujuan untuk mengetahui adanya pengaruh kafein pada tekanan intraokular. Jenis penelitian ialah literature review. Pencarian data menggunakan empat database yaitu Clinical key, PubMed, Google scholar, dan Science direct. Kata kunci yang digunakan yaitu Caffeine OR Coffee OR Tea AND IOP OR Intraocular Pressure. Seleksi data berdasarkan kriteria inklusi dan ekslusi mendapatkan 10 literatur. Hasil kajian mendapatkan bahwa beberapa penelitian melaporkan adanya peningkatan TIO setelah konsumsi kafein, penelitian lain melaporkan penurunan TIO, dan terdapat pula penelitian yang tidak menemukan perubahan apapun. Simpulan penelitian ini ialah pengaruh kafein pada TIO hanya berlangsung akut. Individu yang memiliki intensitas konsumsi kafein lebih tinggi menunjukkan peningkatan TIO yang lebih nyata setelah mengonsumsi kafein.Kata kunci: kafein, tekanan intraokular (TIO)
Gangguan Fungsi Hati pada Coronavirus Disease 2019
Authors: Salsabila Tasha , Waleleng Bradley J. , Pandelaki Karel
Published: June 2021

Abstract: The incidence and death rate of COVID-19 in North Sulawesi Province continues to increase and data regarding abnormal liver function in COVID-19 is not yet available. This study was aimed to obtain the liver function in COVID-19 patients. This was a literature review study using two databases, namely Pubmed and ClinicalKey. Keywords used were abnormal liver function AND COVID-19, elevated alanine aminotransferase AND COVID-19, elevated aspartate aminotransferase AND COVID-19, elevated gamma-glutamyl transferase AND COVID-19, elevated alkaline phosphatase AND COVID-19, elevated total bilirubin AND COVID-19. After being selected, 10 literatures were obtained based on inclusion and exclusion criteria. The results showed that increased liver function often occurred in cases of COVID-19, but the increase did not reach twice of the normal value. The most frequent increases were in GGT, followed by ALT and AST, total bilirubin, and the least was the increase in ALP. All literatures reported that increased liver function was more common in males, and in severe COVID-19 patients reported by eight literatures. Five literatures reported that elevated liver function increased mortality in COVID-19 cases. In conclusion, there are increases in ALT, AST, ALP, GGT, and total bilirubin levels in COVID-19 patients.Keywords: abnormal liver function, COVID-19 Abstrak: Angka kejadian dan angka kematian COVID-19 di Provinsi Sulawesi Utara terus bertambah sedangkan data mengenai gambaran gangguan fungsi hati pada COVID-19 belum tersedia. Penelitian ini bertujuan untuk mengetahui gambaran fungsi hati pada COVID-19. Jenis penelitian ialah literature review dengan pencarian data menggunakan dua database yaitu Pubmed dan ClinicalKey. Kata kunci yang digunakan yaitu abnormal liver function AND COVID-19, elevated alanine aminotransferase AND COVID-19, elevated aspartate aminotransferase AND COVID-19, elevated gamma-glutamyl transferase AND COVID-19, elevated alkaline phosphatase AND COVID-19, elevated total bilirubin AND COVID-19. Setelah diseleksi, didapatkan 10 literatur berdasarkan kriteria inklusi dan eksklusi. Penelitian ini mendapatkan bahwa peningkatan fungsi hati sering terjadi pada kasus COVID-19 namun peningkatannya tidak mencapai dua kali nilai normal. Peningkatan paling sering terjadi pada GGT, diikuti oleh ALT dan AST, bilirubin total, dan paling sedikit yaitu pada peningkatan ALP. Seluruh literatur melaporkan peningkatan fungsi hati lebih sering terjadi pada laki-laki dan pada kasus COVID-19 gejala berat dilaporkan oleh delapan literatur. Lima literatur melaporkan peningkatan fungsi hati meningkatkan mortalitas pada kasus COVID-19. Simpulan penelitian ini ialah, terdapat peningkatan kadar ALT, AST, ALP, GGT, dan bilirubin total pada penderita COVID-19.Kata kunci: gangguan fungsi Hati, COVID-19
Acute Kidney Injury in Critically Ill Patients
Authors: Setyawan Yuswanto
Published: June 2021

Abstrak: Gagal ginjal akut (GGA) sering ditemukan dalam praktek klinik namun diagnosisnya dapat tertunda oleh karena keterbatasan alat diagnostik. Dewasa ini, kriteria diagnostik RIFLE, AKIN, dan KDIGO untuk menilai adanya GGA dan keparahannya dianggap tidak cukup untuk menggambarkan kompleksitas sindrom GGA. Proteinuria dan mikroalbuminuria yang merupa-kan marker klasik progresi cedera ginjal kronik, telah dipergunakan dan divalidasi untuk progresi GGA ke CKD. Kidney injury molecule-1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), dan urinary cystatin C dapat berperan dalam memrediksi pemulihan ginjal. Indikasi biopsi ginjal pada pasien kritis ialah gangguan ginjal yang tidak jelas atau progresi CKD dengan hematuria glomerulus dan proteinuria lebih dari 1 gram per hari, manifestasi ginjal dari penyakit sistemik yang mengancam nyawa, kecurigaan penolakan akut atau kronik dari ginjal transplan. Mempertahankan hemodinamik yang adekuat seharusnya bermanfaat dalam pence-gahan onset atau perburukan GGA, namun kelebihan cairan harus dihindari. Sampau saat ini penentuan saat inisiasi acute renal replacement therapy (ARRT) masih kontroversial, demikian pula nilai ambang spesifik untuk memulainya belum sepenuhnya disepakati. Kata kunci: gagal ginjal akut; penyakit kritis' laju filtrasi glomerulus (LFG)  Abstract: Acute kidney injury (AKI) is a common problem in clinical practice, but its diagnosis could be delayed due to the inherent limitation of current diagnostic tools. Current practice suggests that RIFLE, AKIN, and KDIGO diagnostic criteria used to assess the presence of AKI and its severity are insufficient to illustrate the complexity of the AKI syndrome. Proteinuria and micro-albuminuria, classical markers of chronic kidney disease (CKD) progression, have been used and validated for the progression of AKI to CKD. Kidney injury molecule-1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), and urinary cystatin C could play a role in prediction of renal recovery. Indication of renal biopsy in critically ill patients are unexplained renal impairment or progression of CKD with both glomerular hematuria and proteinuria more than 1 gr per day, renal manifestations of life threathening systemic disease, suspected acute or chronic rejection of a transplanted kidney. The maintenance of adequate hemodynamics should be beneficial in preventing the onset or the worsening of AKI, but fluid overload should be avoided. Timing of acute renal replacement therapy (ARRT) initiation is still controversial, moreover, specific thresholds for starting are still unclear.Keywords: acute kidney injury (AKI); critically ill; glomerular filtration rate (GFR)
Determinan Status Imunisasi Dasar Pada Anak Balita 12-59 Bulan di Indonesia
Authors: Mappadang Revita Virgini , Langi Fima F.L.G. , Pinontoan Odi Roni
Published: June 2021

Background: Immunization comes from the word "immune" meaning immunity. Immunization means being immunize, giving passive immunity (given antibodies) to the baby. The Indonesian Demographic Health Survey (IDHS) in 2017 shows that the achievement of complete basic immunization has not yet reached the government's target of 92%. This research aims to study the determinants of age of child, sex of child, age of mother, number of live children, level of mother’s education, residence and antenatal care with immunization. Method:  This research was a quantitative with a cross sectional study design. The data used were secondary taken from 2017 IDHS data conducted in 34 provinces in Indonesia with a total sample of 9,424 children under five. Data were processed and analyzed in a univariate, bivariate, and multivariate manner using the chi square test. Result: highschool education (p= <0,001, AOR 0,757); number of children more than two (p=<0,001, AOR 0,728); and village residence (p=0,007, AOR 0,868) reduces odds ratio. Conclusion: the level of mother’s education, number of live children and residence are the determinants
Mapalus dalam Pembangunan Kesehatan Masyarakat Minahasa di Sulawesi Utara
Authors: Nelwan Jeini Ester
Published: June 2021

Backgroud: Mapalus is one of the socio-cultural values in the Minahasa community. Other existing socio-cultural values such as Si Tou Timou Tumou Tou and Torang Samua Basudara. Mapalus is an embodiment of philosophy Si Tou Timou Tumou Tou. The purpose of this research was to describing the implementation of Mapalus in public health. Method: This research was a qualitative research. Model of this research was a case study. Result: The result of this research was showed that the implementation of Mapalus has been change from traditional models (mutual cooperation and assistance) to modern models. Conclusion: Mapalus has grown from the agricultural sector to the other sectors like social, economic, government, and health.
Faktor-faktor Risiko Stres Kerja pada Aparatur Sipil Negara
Authors: Reppi Bryan , Sumampouw Oksfriani Jufri , Lestari Hesty
Published: June 2021

Background: The Health and Safety Executive (HSE) stated that stress and depression related to work in 2017/2018 were 595,000 cases with a prevalence rate of 1,800 per 100,000 workers. Work-related stress and depression also contribute 44% of all cases of occupational health disorders and 57% of absences from work due to illness. Job stress can occur to workers in all fields including government employees. This study aims to determine the relationship between risk factorsand work-related stress on civil servants in Regional Financial and Asset Agency of North Sulawesi Province.  Method: This research was a quantitative study with cross sectional research design, conducted in 2019, from August to September at the Regional Finance and Assets Agency (BKAD) of North Sulawesi Province. The sample was 118 people determined by the Total Sampling method. Data was collected by respondent completing NIOSH Generic Job Stress Questionnaire. Univariate, bivariate, and multivariate were use to analyze the data using SPSS program. Results: The results showed that there was a relationship between interpersonal conflict, workload, social support and work stress on civil servants in BKAD North Sulawesi Province. Conclusion: This study concluded that interpersonal conflict is the most influential factor in work-related stress on civil servants in BKAD North Sulawesi Province. It is recommended for all civil servants in BKAD North Sulawesi Province to be more aware to the work-related stress factors so that it can be controlled
Hubungan antara Promosi Kesehatan dan Keselamatan Kerja dengan Tindakan Pencegahan Covid-19 Pada Pegawai Rumah Sakit
Authors: Waleleng Veronica , Doda Diana Vanda D. , Manampiring Aaltje Ellen
Published: June 2021

Background: Indonesia is currently experiencing a case of the Covid-19 pandemic, a case of the corona virus appears and attacks humans for the first time in Wuhan Province, China. This emergency occurs mainly in patients with previous health problems. Many schools and universities are closed by the government by imposing learning and working at home, limiting religious activities, limiting transportation modes, restricting activities in public places and dismissing workplaces and other activities specifically related to aspects of defense and security. The government in this case continues to make promotions to disseminate the prevention of the spread of the corona virus, especially in workplaces. Health promotion is an important determinant of the healthy behavior of the community, especially workers who continue to work during the Covid-19 pandemic. The purpose of this study was to analyze the relationship between Occupational Health and Safety Promotion (K3) and COVID 19 Prevention Measures for employees at a hospital in North Sulawesi Province. Methods: This study was an observational study with a cross sectional study design. The population in this study were all employees of the Eye Hospital. The sample in this study was a total population of 70 people. The independent variables in this study were training, communication, and supervision with the dependent variable, namely the prevention of Covid 19. The research data were analyzed using univariate, bivariate and multivariate analysis and chi-square statistical calculations. Presentation of data is made in table and narrative form. Results: This study showed that 51.8% of hospital staff did not take preventive measures properly. The results of the bivariate analysis showed that there was a significant relationship between K3 training and covid-19 preventive measures with a value of p = 0.047, there was a significant relationship between K3 communication and covid-19 prevention measures with a value of p = 0.000, there was a significant relationship between supervision and covid-19 precaution with a value of p = 0.000. The results of the multivariate analysis showed communication (p = 0.000; OR = 5.090 was the most dominant influencing factor, with good supervision it would increase covid-19 prevention measures for employees at a hospital in North Sulawesi Province, Conclusion: Conclusion of the study This states that OHS training, OHS communication and supervision have an important role in efforts to prevent Covid-19 at a hospital in North Sulawesi Province and the factor that plays the most role in taking Covid 19 preventive measures is K3 communication.
Faktor-faktor Marketing Mix yang Berhubungan dengan Keputusan Pasien Memilih Rawat Inap Rumah Sakit Manembo-Nembo Bitung
Authors: Makawimbang Rickhard Williams , Korompis Grace Ester Caroline , Mandey Sylvia L
Published: June 2021

Background: Hospital marketing management is an effort that can be done to make utilization of hospital services higher and thus impact on the decision of patient choosing a hospital, the high and low desire of consumers or the public to use a hospital service product based on the application of the existing marketing mix. Research Methods: This study was an observational study with a cross sectional study design. The population in this study were patients from all classes of hospital care. The sample in the study was a sample that met the inclusion and exclusion criteria of 53 patients. The variables in this study were the marketing mix variable, namely: location, cost, personnel, promotion, physical evidence, products with the dependent variable, namely the decision to choose hospitalization. The research data were analyzed using univariate, bivariate and multivariate analysis and logistic regression statistical calculations. Presentation of data was made in table and narrative form. The research data were analyzed using univariate, bivariate and multivariate analysis and logistic regression statistical calculations. Data presentation was made in the form of tables and narratives. Research Results: The results showed that there was a significant relationship between the location and the decision to choose hospitalization with a value of p = 0.004, there was a significant relationship between costs and the decision to choose hospitalization with a value of p = 0.000, there was a significant relationship between personnel and the decision to choose hospitalization with a value of p = 0,000, there was no significant relationship between promotion and the decision to choose hospitalization with a value of p = 0.184, there was a significant relationship between the process and the decision to choose hospitalization with a value of p = 0.018, there was a relationship between the product and the decision choosing hospitalization with a value of p = 0.013 and there was no significant relationship between physical evidence and the decision to choose to be hospitalized with a value of p = 0.300. The results of the multivariate analysis showed that cost (p = 0.001) was the most dominant factor influencing the decision to choose to be hospitalized at Manembo-nembo Type C Hospital. Conclusion: The conclusion of this study is that the factors of location, cost, personnel, processes and products are related to the decision to choose to be hospitalized. The most dominant factor related to the decision to choose to hospitalization is cost.
Relevant Matters of Organising Physical Education for Students at The Initial Stage of University Studies
Authors:   Odessa National Academy of Food Technologies, Khalaidzhi Svitlana , Kananykhina Olena ,   Odessa National Academy of Food Technologies, Yahotin Rodion ,   Odessa National Academy of Food Technologies, Sergeeva Tatyana ,   Odessa National Academy of Food Technologies
Published: June 2021

The problem of determining the physical fitness of 1st year students and identifying their risk of developing cardiovascular disease in the first stage of physical education before the students’ medical examination is considered. During the analysis of literature sources, test tasks were selected in order to investigate and assess the level of physical fitness of students according to the methodology proposed by the Jyvaskyla University (Finland) and the risk of cardiovascular disease according to A. Z. Zapesochny’s methodology. 670 first-year students participated in the study. The assignment to evaluate fitness levels consisted of recording the walking time at a maximal pace over a 2 km distance and determining the post-exercise heart rate. The evaluation of the results was performed against the fitness level index. When testing according to Zapesochny’s methodology, the following indicators characterising risk factors for cardiovascular disease were considered: body weight and length, gender, blood pressure, hereditary factors, bad habits and physical activity. All the results, which were evaluated in scores, were combined to calculate the cardiovascular disease development risk level. An analysis of the results showed that 32.24% of first year students had a high level of physical fitness and only 8.21% had a low level. In 48.07% of the tested persons, the risk of cardiovascular diseases was absent. The explicit and maximum risk observed in 2.98% of the tested persons. This data helped in the first stage of physical education to select an appropriate physical activity for the students without risk of harm to their health prior to undergoing medical check-up.
Power in Russia: Modus Vivendi and Artis Imago
Authors:   Ushinsky Yaroslavl State Pedagogical University, Zlotnikova Tatyana
Published: June 2021

Contemporary Russian socio-cultural, cultural and philosophical, socio psychological, artistic and aesthetic practices actualize the Russian tradition of rejection, criticism, undisguised hatred and fear of power. Today, however, power has ceased to be a subject of one-dimensional denial or condemnation, becoming the subject of an interdisciplinary scientific discourse that integrates cultural studies, philosophy, social psychology, semiotics, art criticism and history (history of culture). The article provides theoretical substantiation and empirical support for the two facets of notions of power. The first facet is the unique, not only political, but also mental determinant of the problem of power in Russia, a kind of reflection of modus vivendi. The second facet is the artistic and image-based determinant of problem of power in Russia designated as artis imago. Theoretical grounds for solving these problems are found in F. Nietzsche’s perceptions of the binary “potentate-mass” opposition, G. Le Bon’s of the “leader”, K.-G. Jung’s of mechanisms of human motivation for power. The paper dwells on the “semiosis of power” in the focus of thoughts by A. F. Losev, P. A. Sorokin, R. Barthes. Based on S. Freud’s views of the unconscious and G. V. Plekhanov’s and J. Maritain’s views of the totalitarian power, we substantiate the concept of “the imperial unconscious”. The paper focuses on the importance of the freedom motif in art (D. Diderot and V. G. Belinsky as theorists, S. Y. Yursky as an art practitioner). Power as a subject of influence and object of analysis by Russian creators is studied on the material of perceptions and creative experience of A. S. Pushkin (in the context of works devoted to Russian “impostors” by numerous authors). Special attention is paid to the early twenty-first century television series on Soviet rulers (Stalin, Khrushchev, Brezhnev, Furtseva). The conclusion is made on the relevance of Pushkin’s remark about “living power” “hated by the rabble” for contemporary Russia.
Deep Learning for Signal Processing with Predictions of Channel Profile, Doppler Shift and Signal-To-Noise Ratio
Authors: Ngo Thinh , Kelley Brian , Paul Rad
Published: June 2021

This paper proposes Deep Learning (DL) for Signal Processing, with reviews and discussions of the three recent DL application advancements in wireless communication, which predict channel profile, Doppler shift, and signal-to-noise ratio (SNR) of LTE and 5G systems. MATLAB simulations are performed on time-domain and frequency-domain signals, emulating real wireless environments, with randomized payloads (e.g., non-data-aided), modulation types [QPSK, 16QAM, 64QAM], Doppler shifts [0, 50, .., 550] Hz, and SNRs [-10, 20] dB. The predictions are accurate at ~95%. The methodology consists of input diversity to empower multiple inputs per prediction, binary prediction to reduce prediction complexity and uncertainty, and a hybrid DL convolutional neural network and long-short-term-memory (CNN-LSTM) model to learn features in every input and across inputs. Additionally, the paper presents common lessons learned and future research directions. The designed methodology provides an effective backup scheme for prediction accuracy enhancement upon nonperformance of the traditional single input single output, multi-class prediction scheme. Furthermore, the review aims to extend upon the methodology's success from the three applications paving the way for a universal DL prediction methodology for wireless communications (i.e., DL for Signal Processing) and other domains.
Future mobility as a bio-inspired collaborative system
Authors: Coretti Sanchez Naroa , Múgica Gonzalez Juan , Alonso Pastor Luis , Larson Kent
Published: June 2021

The current trends towards vehicle-sharing, electrification, and autonomy are predicted to transform mobility. Combined appropriately, they have the potential of significantly improving urban mobility. However, what will come after most vehicles are shared, electric, and autonomous remains an open question, especially regarding the interactions between vehicles and how these interactions will impact system-level behaviour. Inspired by nature and supported by swarm robotics and vehicle platooning models, this paper proposes a future mobility in which shared, electric, and autonomous vehicles behave as a bio-inspired collaborative system. The collaboration between vehicles will lead to a system-level behaviour analogous to natural swarms. Natural swarms can divide tasks, cluster, build together, or transport cooperatively. In this future mobility, vehicles will cluster by connecting either physically or virtually, which will enable the possibility of sharing energy, data or computational power, provide services or transfer cargo, among others. Vehicles will collaborate either with vehicles that are part of the same fleet, or with any other vehicle on the road, by finding mutualistic relationships that benefit both parties. The field of swarm robotics has already translated some of the behaviours from natural swarms to artificial systems and, if we further translate these concepts into urban mobility, exciting ideas emerge. Within mobility-related research, the coordinated movement proposed in vehicle platooning models can be seen as a first step towards collaborative mobility. This paper contributes with the proposal of a framework for future mobility that integrates current research and mobility trends in a novel and unique way.
Correlated Non-Coherent Radar Detection for Gamma-Fluctuating Targets in Compound Clutter
Authors: Zuk Josef
Published: June 2021

This work studies the problem of radar detection of correlated gamma-fluctuating targets in the presence of clutter described by compound models with correlated speckle. If the correlation is not accounted for in a radar model, the required signal-to-interference ratio for a given probability of detection will be incorrect, resulting in over-estimated performance. Although more generally applicable, the is focus on airborne maritime radar systems. Hence K-distributed sea clutter is used as the main example. Detection via square-law non-coherent pulse integration is formulated in a way that accommodates arbitrary partial correlation for both target radar cross-section (RCS) and clutter speckle. The obstacle to including this degree of generality in previous work was the fact that Swerling's original characterization of the standard RCS fluctuation classes as gamma distributions for the power is not sufficient for the inclusion of both correlation sources (i.e.target and clutter speckle) for gamma-fluctuating targets. An extension of the model is required at the quadrature component (i.e. voltage) level, as phase relationships can no longer be neglected. This is addressed in the present work, which not only postulates an extended model, but also demonstrates how to efficiently compute it, with and without a number of simplifying approximation schemes within the framework of the saddle-point technique.
A Systematic Approach to Identify the Breast Cancer Grades in Histopathological Images Using Deep Neural Networks
Authors: Silva S. H. S. , Jinasena Kasun
Published: June 2021

The main intent of the research is to develop an automated application that can determine the Nottingham Histologic Score of a given input histopathological image obtained from breast cancer or healthy tissues with DenseNet based architecture. In this study, we were able to obtain more than 94% accuracy rates for each trained model including 2-predict, 3-predict, and 4-predict networks.
Validating Gauge-based Spatial Surface Atmospheric Temperature Datasets for Upper Benue River Basin, Nigeria
Authors: Salaudeen A. , Ismail A. , Adeogun B.K. , Ajibike M.A.
Published: June 2021

Like most other countries of Africa, one of the main problems threatening effective impact modelling in Nigeria including Upper Benue river basin, dwells in lack of high-quality in-situ observation datasets at appropriate spatiotemporal scales. Gridded meteorological variables can serve as promising alternatives to in-situ measurements in data sparse regions, but then, require validations to assess quantitatively their level of accuracies and reliabilities. As a consequence, this study makes comparative analysis of two gauge-based, spatially interpolated surface atmospheric temperature datasets with in-situ measurements in seven distinct meteorological stations covering the period of 1982-2006. Correspondingly, spatial analysis and statistical measures were used to assess the performances of the gridded datasets from the Climate Research Unit (CRU) and the Climate Prediction Centre (CPC). Results from spatial distributions depict 8, 11 and 10 °C as observed minimum temperatures and 33, 36, 42 °C as observed maximum temperatures over the Cameroon highland (Gembu), the Jos plateau and at the northern fringes of the basin respectively. Consequently, both the CRU and CPC datasets captured remarkably well the observed temperature gradients along the varying topography, though with differing margins. The interannual variabilities indicate CRU dataset to better capture the signs and magnitudes of the observed anomalies as compared to the CPC data. Moreover, the CRU data was noted to be more outstanding in representing the observed features in seasonal temperature variations over most stations. Also, the shapes of the probability density function (PDF) for both datasets in minimum and maximum temperatures measured closely the shapes of the observed PDF. Trend analysis suggests CRU datasets to better represent the warming and the cooling trends than the CPC. Overall, the CRU datasets are the most outstanding in this study and is therefore preferred for water resource application over the study area.
Apologetika Imajinatif: Sebuah Proposal bagi Apologetika dalam Konteks Pascamodern
Authors: Aruan Abel Kristofel
Published: June 2021

Setelah sekian lama pendekatan apologetika klasik dan evidensial kokoh sebagai cara mempertahankan iman Kristen, pascamodernisme muncul untuk mengkritik penggunaan alat verifikasi absolut terhadap klaim-klaim iman. Kendati demikian, James K. A. Smith dan Alister McGrath melihat pascamodernisme sebagai kawan ketimbang lawan, kesempatan ketimbang tantangan. Karena itu, memperhatikan kritik-kritik penting dari semangat pascamodernisme justru akan menolong gereja menjawab tuntutan pascamodernisme itu sendiri. Artikel ini mengusulkan pendekatan apologetika imajinatif sebagai solusi untuk menjawab kritik tersebut. Berbeda dengan apologetika klasik/evidensial, apologetika ini bertendensi menggunakan imajinasi lebih daripada sebelumnya dalam upaya-upaya mempertanggungjawabkan iman Kristen. Di kala apologetika menerima tuduhan kering dan terkesan mengesampingkan aspek eksistensial yang nyatanya berdiam dalam diri manusia, apologetika imajinatif dapat menjadi usulan solusi untuk menghindari tuduhan ini. Dua implikasi muncul dari penalaran ini. Pertama, dalam dialog-dialog apologetika, seorang apologist harus lebih banyak menggunakan alat-alat retoris imajinatif. Kedua, gereja harus menolong pendengar untuk mendapatkan presentasi imajinatif tentang bagaimana rasanya hidup menjadi seorang Kristen, dengan cara menampilkan kisah kehidupan Kristen sehari-hari kepada mereka. Dengan demikian, alih-alih gereja menggunakan apologetika, gereja adalah apologetika itu sendiri.

For a long time, classical and evidential apologetics have been firmly established as a way of defending the Christian faith. However, postmodernism appears to criticize the use of absolute verification tools for faith claims. Nevertheless, James K.A. Smith and Alister McGrath see postmodernism as friend rather than foe, opportunity rather than challenge. Therefore, paying attention to important criticisms of the spirit of postmodernism will actually help the church to answer the demands of postmodernism itself. This article proposes an imaginative apologetics approach as a solution to answer this criticism. In contrast to classical/evidential apologetics, this apologetics tends to use imagination more than before in efforts to account for the Christian faith. When apologetics accepts dry accusations and seems to override existential aspects that actually dwell in humans, imaginative apologetics can be a proposed solution to avoid these accusations. Two implications emerge from this reasoning. First, in apologetic dialogues, an apologist must use more imaginative rhetorical tools. Second, the church must help listeners get an imaginative presentation of what it’s like to live as a Christian, by presenting them with stories of everyday Christian life. Thus, instead of the church using apologetics, the church is apologetics itself.
Construction of Accurate Crack Identification on Concrete Structure using Hybrid Deep Learning Approach
Authors: Babikir Adam Edriss Eisa , A Sathesh
Published: June 2021

In general, several conservative techniques are available for detecting cracks in concrete bridges but they have significant limitations, including low accuracy and efficiency. Due to the expansion of the neural network method, the performance of digital image processing based crack identification has recently diminished. Many single classifier approaches are used to detect the cracks with high accuracy. The classifiers are not concentrating on random fluctuation in the training dataset and also it reflects in the final output as an over-fitting phenomenon. Though this model contains many parameters to justify the training data, it fails in the residual variation. These residual variations are frequent in UAV recorded photos as well as many camera images. To reduce this challenge, a noise reduction technique is utilized along with an SVM classifier to reduce classification error. The proposed technique is more resourceful by performing classification via SVM approach, and further the feature extraction and network training has been implemented by using the CNN method. The captured digital images are processed by incorporating the bending test through reinforced concrete beams. Moreover, the proposed method is determining the widths of the crack by employing binary conversion in the captured images. The proposed model outperforms conservative techniques, single type classifiers, and image segmentation type process methods in terms of accuracy. The obtained results have proved that, the proposed hybrid method is more accurate and suitable for crack detection in concrete bridges especially in the unmanned environment.
Infradian rhythms of daily shoot increment in Salix viminalis (salicaceae) clones
Authors: Afonin Alexey A.
Published: June 2021

The structure of seasonal dynamics of daily growth of shoots of basket willow (Salix viminalis) is described and analyzed. Object: model inbred-clone population of S. viminalis. Material: developing shoots on annual saplings from cuttings. Methods: comparative morphological, chronobiological, numerical analysis of time series. The formation of dimorphic root systems of one-year saplings from cuttings is described. It is established that the seasonal dynamics of daily increment of shoots is determined by the interaction of linear and nonlinear components. Linear components are approximated by regression equations, and nonlinear components are approximated by harmonic oscillation equations. The rhythmicity of seasonal dynamics of shoot growth is described. Four groups of biorhythms were identified: annual with a period of about 96 days, subannual with a period of 4064 days, and infradian with a period of 1924 days and infradian with a period of 1016 days. The alternation of peaks and dips in the seasonal dynamics of shoot increment is determined by infradian biorhythms with a period of 19...24 days. Infradian biorhythms with different periods are synchronized with each other. The probable reason is the existence of a pulse synchronizer of biorhythms. Interclonal differences in the seasonal dynamics of the daily growth of shoots were not revealed. The probable cause of intraclonal differences is the ontogenetic heterogeneity of vegetative buds, from which annual shoots have developed. To verify this hypothesis, we plan to observe the development of seedlings grown from cuttings harvested from different parts of the uterine shoots. The results obtained are recommended to be taken into account when planning agroforestry measures for crop of S. viminalis.
Accumulation of heavy metals and arsenic in grass Leonurus quinquelobatum Gilib.
Authors: Dyakova Nina Alekseevna
Published: June 2021

The Voronezh region is traditionally the most important area of crop production and farming. The purpose of the study was to study the contamination by heavy metals of medicinal vegetable raw materials of the Voronezh region on the example of the grass of the five-plant desert collected in urban and agro-ecological systems, which experience different anthropogenic effects. The accumulations of heavy metals (lead, mercury, cadmium, nickel, copper, zinc, cobalt, chromium) and arsenic were studied, in 51 samples of five-layer desert grass. Comparing the data on heavy metal content in the upper soil layers of the region and the content of these elements in the grass of the five-layer desert, it can be assumed that there are significant physiological barriers to the accumulation of ecotoxicants in the generative organs of the plant, which is particularly noticeable for elements such as lead, mercury, arsenic, cadmium, cobalt and chromium. The five-point desert is able to selectively concentrate some heavy metals entering the active centers of enzyme systems (such as copper and zinc) if their environmental content is below some vital level; With a significant content of these elements in soils, the plant also physiologically blocked their entry into the leaves. Thus, for a five-layer desert under anthropogenic load conditions, an edaphotype is formed as a result of the action of selection under conditions of man-made pollution of the external environment and the manifestation of adaptation to these conditions. The results of studies have shown that the grass of the five-plant desert is able to accumulate toxic elements from soils, which is important in planning the places of production of medicinal vegetable raw materials and assessing its quality.