bluuebunny/crossref_metadata_2025 huggingface dataset:
The Idea and Application of Tuina in the Prevention and Treatment of COVID-19
Authors: Li Zhengyu
Published: September 2020

While traditional Chinese medicine has displayed a positive and effective role in saving lives of COVID-19 patients, Tuina, which is an important component in Chinese medicine, has also shown its merits in enhancing the immune function and relieving symptoms in COVID-19 patients. This article elaborates the long history of Tuina in treating and preventing epidemic diseases and its effect in improving the immune function. It also introduces some special Tuina methods, for instance, sputum drainage by the back-patting method to enable the discharge of sputum; slant-scrubbing method applied on the hypochondriac regions to bring the effect of soothing the liver to regulate qi, which may also relieve anxiety of patients with COVID-19; and spine-pinching method to enhance human resistance to diseases, which is more suitable for the elderly and for children with mild or common types of COVID-19 and can also be used for health care and disease prevention among the general population. Tuina methods for children using the common children's specific Tuina points and manipulations to improve children's body constitution are also mentioned in the article. Self-acupoint Tuina for health care, including acupoints for prevention purposes, acupoints for early clinical stage (mild stage) and recovery stage, as well as acupoints for children health care and specific operations, is also illustrated in the article. Moreover, basic exercises for health care, such as eight-section brocade, Shaolin internal exercises, six-character formula, and change of tendons, are also presented. In the final analysis, this article is aimed at some ideas and feasible applications of Tuina therapy in the prevention and treatment of COVID-19, in the hope to provide some worthy experience and introduce methods in preventing and fighting against COVID-19 to people all over the world.
Gadolinium In Medicine-An Evaluation and Update
Authors: Eleonore Blaurock-Busch
Published: September 2020

Gadolinium-Based Contrast Agents (GBCA) are intravenous drugs used in diagnostic imaging procedures to enhance the quality of Magnetic Resonance Imaging (MRI) or Magnetic Resonance Angiography (MRA). FDA alerts concerning potential side effects increased patient and medical concerns. More recent FDA information indicate that ionic gadolinium is released from some GBCAs, potentially causing gadolinium toxicity. We checked if gadolinium is excreted renally without intervention after previous administration of GBCAs, and if chelating agents are effective in removing gadolinium that may have remained in the body after GBCA administration. Through the evaluation of our internal database and the studies of others, we concluded that no clear consensus exists at this time. While the DTPAs may be the choice of chelators for the removal of gadolinium from the human body, further studies are needed to prove this. It seems clear, however, that microcyclic GBCAs provide a lesser risk of causing gadolinium retention and gadolinium toxicity symptoms.
DÖVİZ KURU VOLATİLİTESİNİN DOĞRUSAL VE DOĞRUSAL OLMAYAN YÖNTEMLER İLE İNCELENMESİ
Authors: GÜN Musa
Published: September 2020

Bu çalışma Dolar/TL döviz kuru volatilitesini modellemeyi amaçlamaktadır. Bu doğrultuda çalışmada geleneksel değişen varyans tekniklerinin yanı sıra zaman serilerinin kırılma ve asimetri gibi doğrusal olmayan özelliklerini dikkate alan Markov Rejim Değişimi GARCH (MSGARCH) yöntemi kullanılmıştır. Çalışma kapsamında döviz kuru volatilitesi Temmuz 2001’den Şubat 2020’ye kadar uzanan konjonktürel dalgalanmaları ve yapısal değişimleri içeren uzunca bir dönem için incelenmiştir. Diğer yöntemlere göre daha iyi sonuçların elde edildiği MSGARCH modeli bulguları kurda yüksek ve düşük riskli rejimler olduğunu ve bu rejimler arasında sıklıkla geçişler yaşandığını göstermektedir. Düşük volatilite rejiminden yüksek volatiliteye geçiş ani, çok keskin ve yüksek düzeyde gerçekleşmektedir. Buna rağmen volatilitenin yüksek riskli rejimde kararlı bir yapıda olmadığı ve riskin daha düşük olduğu rejime doğru bir eğilim sergilediği tespit edilmiştir. Döviz kurunda yaşanan ani sıçramaların bir süre sonra dengeye gelmesi bunu doğrulamaktadır. Diğer taraftan düşük riskli rejim dönemlerinde ise meydana gelen dalgalanmaların etkileri ortadan kalkmayıp kur üzerinde bunlar korunmakta ve dolayısı ile kur uzun dönemde bir artış trendi göstermektedir.
FENOMENA KELOMPOK SEL (CELL GROUP) DALAM GEREJA LOKAL
Authors: Hosea Amos
Published: September 2020

Tulisan ini membahas tentang kelompok sel yang dianggap oleh ahli peneliti pertumbuhan gereja sebagai sebuah fenomena yang menarik untuk diteliti dan diterapkan di dalam sebuah gereja lokal. Di dalam pertumbuhan gereja ditemukan berbagai macam model yang disebut sebagai model pertumbuhan gereja.  Tulisan ini membahas tentang kelompok sel secara komprehensif dan bersifat umum yang dimulai dari pembahasan tentang pengertian kelompok sel. Terdapat beberapa defisini yang digunakan untuk menggambarkan pengertian sebuah kelompok sel. Pengertian atau berbagai definisi kelompok sel dibahas secara komprehensif supaya dapat memberikan pengertian yang utuh. Perbedaan antara gereja yang memiliki kelompok sel dengan gereja yang tidak memakai kelompok sel di dalam sebuah gereja lokal digambarkan secara singkat. Untuk lebih memperjelas pengertian kelompok sel, perbedaan antara ibadah umum dengan kelompok sel diulas secara umum. Sejarah kelompok sel mendapat perhatian khusus di dalam tulisan ini. Alasan penerapan kelompok sel bagi sebuah gereja lokal mendapat sorotan khusus.  Dan pada akhirnya diulas bagaimana proses dan penerapan sebuah kelompok sel di dalam sebuah gereja lokal.
KREDIBILITAS PRIBADI GEMBALA DALAM PERTUMBUHAN GEREJA
Authors: RAJAGUKGUK JOHANNES S.P
Published: September 2020

Gembala sebagai pemimpin gereja merupakan salah satu penentu dari perkembangan gereja yang dipimpinnya. Mau tidak mau, seorang pemimpin gereja harus memiliki, menjaga dan meningkatkan kredibilitas (kualitas) pribadinya dari waktu ke waktu. Kredibilitas pribadi seorang pemimpin seharusnya akan memberi nilai tinggi bagi setiap pemimpin dimata mereka yang dipimpin dan mereka yang ada disekitar kelompok yang dipimpinnya.  Kredibilitas pribadi seorang gembala yang mumpuni seharusnya akan mampu mengembangkan organisasi  gereja yang dipimpinnya. Untuk dapat mengatakan bahwa seorang pemimpin atau gembala memiliki kredibilitas tinggi harus dilihat dari berbagai faktor, misalnya kepribadiannya, kemampuan komunikasinya, hubungan sosialnya, kompetensinya dan lain-lain.
Ulasan Buku
Authors: Gultom Junifrius
Published: September 2020

Sebagai dosen yang pernah beberapa kali mengampu mata kuliah Teologi Kontemporer, kehadiran buku ini sangat tepat bukan hanya kete-rsediaanya di dalam literatur ber-bahasa Indonesia, dan oleh penulis-penulis Indonesia tetapi juga sebuah buku yang memperluas cakupan teo-logi-teologi kontemper. Juga, saya bersyukur karena tiga tahun yang lalu saya sempat menanyakan di sebuah grup facebook yaitu Forum Teologi dan Biblika, tentang informasi buku apa yang cocok dipakai untuk mata kuliah Teologi Kontemporer untuk memperlengkapi sekaligus meng-update beberapa buku-buku berbahasa Indonesia yang sudah ada. Pertanyaan ini saya ajukan mengingat saya me-rasa ketika kira-kira 28 tahun yang lalu sewaktu duduk di program S-1, saya mendapatkan mata kuliah Teo-logi Kontemporer yang hanya ber-fokus pada Teologi-teologi abad 19 dan 20 (dengan latarbelakang akhir abad 18).
ULASAN BUKU
Authors: Chandra Donny Charles
Published: September 2020

Hermeneutik, ilmu dan menafsirkan Alkitab ditulis oleh Dr. Muryati Setianto. Beliau menyelesaikan studi program Dok-toral di Sekolah Tinggi Teologi Bethel di In-donesia. Beliau juga pernah menempuh pen-didikan studi program Magister di Inter-national Theological Seminary di Los Angeles, California, USA. Serta meraih gelar Sarjana Teologi di Institut Teologi dan Keguruan Indonesia (ITKI) sekarang ber-nama Sekolah Tinggi Teologi Bethel In-donesia. Penulis adalah dosen tetap di Sekolah Tinggi Teologi Bethel Indonesia dan telah mengampu mata kuliah herme-neutik selama kurang lebih 9 Tahun.
La influencia de la personalidad en las trayectorias educativas de estudiantes
Authors: Orozco Edelman Evodio Juber
Published: September 2020

El objetivo del estudio fue establecer la influencia de la personalidad en las trayectorias educativas de estudiantes de Pedagogía, de la Facultad de Humanidades de la Universidad de San Carlos de Guatemala. Para obtener datos cuantitativos se aplicó la prueba Unidades de la personalidad desde la emoción y la actitud (UPEA) a 62 estudiantes de la jornada vespertina y del plan sabatino. Los resultados de la prueba evidenciaron que la mayoría de los estudiantes se inclina por el análisis y la reflexión; predominó el tipo de personalidad abstractiva. Los datos cualitativos se obtuvieron mediante la entrevista a 27 estudiantes de ambas jornadas. Se profundizó en la personalidad desde resultados de la prueba UPEA por medio del análisis de los procesos de la emoción, el afecto, las actitudes, el pensamiento/razonamiento y las decisiones de los estudiantes en las trayectorias educativas. Se indagó, desde el nivel primario hasta el universitario, sobre las relaciones estudiantiles con el docente, los pares estudiantiles, la familia y la sociedad. Los resultados confluyen en que los rasgos de personalidad tienen incidencia directa en la dinámica del aprendizaje, en algunos casos, para fortalecer y en otros, para debilitar los procesos de pensamientos/razonamientos y decisiones en las trayectorias educativas de primaria, secundaria y universitaria.
EDUCAÇÃO AMBIENTAL NA FORMAÇÃO DO ENGENHEIRO AGRÔNOMO: REFLEXÕES À LUZ DO MATERIALISMO HISTÓRICO DIALÉTICO E DO PENSAMENTO FREIREANO
Authors: Moreira Cirdes Nunes , Araújo Monica Lopes Folena
Published: September 2020

Este trabalho consiste numa pesquisa bibliográfica,onde são trazidas algumas reflexões em tornodo materialismo histórico dialético, como fundamentaçãofilosófica e epistemológica que serviráde base teórico-metodológica para nossa pesquisadoutoral que tem como tema a educação ambiental(EA) na formação agronômica, no contextode uma universidade pública no Brasil. Nelesão analisadas algumas contribuições presentesno pensamento de Karl Marx e que serviram deinspiração para Paulo Freire na perspectiva daEA transformadora, emancipatória, voltada àformação de profissionais comprometidos com asustentabilidade. Todavia, diversos autores apontama fragilidade com que a EA é abordada naformação dos engenheiros agrônomos, devido àênfase tecnicista que prevalece na maioria doscursos ofertados no país, aspecto motivador à realizaçãodeste estudo.
MAPEAMENTO DO CAMPO SOCIOAMBIENTAL A PARTIR DOS PERIÓDICOS DE EDUCAÇÃO AMBIENTAL NO PERÍODO DE 2010 A 2014
Authors: Henrique Victor Hugo de Oliveira
Published: September 2020

Este trabalho tem como objetivo fazer um mapeamentodas pesquisas na área socioambientala partir das revistas científicas de Educação Ambientalno Brasil. O trabalho consiste em umapesquisa qualitativa, pesquisa que recobre umcampo transdisciplinar que envolve as ciênciashumanas e sociais, assumindo diversas formasde análise, e busca encontrar os sentidos dosfenômenos humanos e entender seus significados.O método para a coleta de dados foi realizadopor meio de análise documental dos resumosdos artigos dos 4 principais periódicos da EducaçãoAmbiental: Revista Eletrônica do Mestradoem Educação Ambiental da Universidade doRio Grande do Sul, Revista Ambiente & Sociedade,Revista Brasileira de Educação Ambiental,Revista Pesquisa em Educação Ambiental e tambéma partir da análise dos currículos – obtidosna plataforma Lattes do CNPq – dos autores detrabalhos. Os dados nos permitiram perceber queexiste uma produção pequena ainda na área socioambiental,com pesquisas centradas mais nasregiões sul e sudeste e uma quantidade maior depesquisadores oriundos das ciências da natureza.
Gender features of occupational pathology in the Russian Arctic
Authors: Syurin Sergei A. , Frolova N. M.
Published: September 2020

Introduction. An interest in studying the gender characteristics of occupational pathology is determined by increasing economic activity in the Arctic and the upcoming expansion of women’s access to occupations with harmful working conditions.The purpose of the study was to carry out a comparative investigation of working conditions and occupational pathology among male and female workers at enterprises in the Arctic.Material and methods. The data of socio-hygienic monitoring “Working conditions and occupational morbidity” of the population of the Russian Arctic in 2007-2018 were studied.Results and discussion. 92.6% of occupational diseases have been established to occur in men due to more harmful working conditions (fibrogenic aerosols, noise, whole-body, and hand-arm vibration, the severity of labor). The risk of their occurrence in 2018 was higher than in 2007 (RR = 1.71; CI 1.51-1.93) and higher than in women (RR = 9.45; CI 7.19-12.4). Unlike men, 48.8% of women worked at facilities of the first group of sanitary and epidemiological welfare (satisfactory conditions) and they had in 2007-2018 a relatively stable number of newly diagnosed occupational diseases. The risk of occupational pathology in women in 2018 and 2007 did not change significantly (RR = 1.07; CI 0.73-1.59). In the structure of occupational diseases in men, the first places are occupied by vibration disease (24.2%), sensorineural hearing loss (20.3%) and radiculopathy (20.1%), and in women - myofibrosis of the forearms (21.2%), radiculopathy(13.7%) and chronic bronchitis (13.4%).Conclusion. Reducing exposure to physical overloads, fibrogenic aerosols, noise, vibration, and chemical factors should be a priority preventive direction at enterprises in the Arctic, especially among male workers whose occupational morbidity rate tends to increase.
National and international experience of hygienic regulation of aircraft noise (literature review)
Authors: Kriyt Vladimir E. , Friedman K. B. , Sladkova Yu. N. , Volchkova O. V. , Kuznetsova E. B.
Published: September 2020

In the modern world, in the era of global industrialization, urbanization, and digitalization, providing safe living conditions is getting increasingly important. At the same time, the balance between providing comfort, economic expedience, and safety is an extremely important aspect. Development of technologies in the aviation industry, expansion of cities and their approaching to airports, as well as increased migration and tourist flows are the main challenges to ensuring a safe human environment. Currently, noise pollution, which is one of the main environmental health risk factors, is a serious public health problem. According to WHO Guidelines, air transport noise takes the first place for its annoying effect on the population. According to the European Guidelines, a cause-effect relationship between night noise exposure and health status change has been identified. This paper analyzes national and foreign procedural and technical approaches to the regulation and assessment of aircraft noise in residential areas in the vicinity of airports. The sanitary rules СП 2.1.8.3565-193 currently in force on the territory of the Russian Federation regulate the assessment of aircraft noise for compliance with allowable levels by the equivalent sound level standard for daytime and nighttime established for residential areas. This approach is harmonized with international legislation; however, regulatory values presented in the new sanitary rules are both the same for all residential areas and the most stringent in comparison with the standards in countries with highly developed aviation worldwide.
Analysis of the structure of acute poisoning with modern psychoactive substances
Authors: Sinenchenko A. G. , Lodyagin A. H. , Shilov M. M. , Batotsyrenov B. V. , Balabanova O. L. , Shikalova I. A.
Published: September 2020

Introduction. The article presents the epidemiological analysis of the structure of acute poisonings with modern psychoactive substances.The aim of the study was to analyze the structure of acute poisonings with modern psychoactive substances among patients hospitalized in General hospitals for 2019 to improve preventive measures.Material and methods. There were used data obtained from the consolidated accounting documents of branches of the Centre for the treatment of acute poisoning. The aggregation of the material used numerical characteristics of the variables with the assessment of their accuracy and reliability, the significance of differences increased non-parametric Pearson criterion.Results. The prevalence in biological fluids in hospitalized patients of γ-hydroxybutyrate was 46.6% (1452), synthetic α-PVP - 20,2% (631), synthetic opioids (methadone) and 13.2% (413). In the overall structure of acute poisonings registered in 2019, the proportion of poisoning with modern drugs amounted to 22.2% (4442), the case-fatality rate is 0.3%, which proves its high epidemiological significance. In the course of studying the dynamic characteristics of the epidemiological process the main peaks of the detection of psychoactive substances among the total number of performed laboratory research were established to be noted in July (52%), August (60,8%) and November (54,3%) 2019 based on the analysis conclusions are made about the feasibility of improving the system of prevention of acute poisonings with modern psychoactive substances at the pre-hospital and hospital stages.
Screening and post-screening of air pollution markers in mixed saliva of preschool children
Authors: Khripach Ludmila V. , Knyazeva T. D. , Zheleznyak E. V. , Makovetskaya A. K. , Koganova Z. I. , Budarina O. V. , Sabirova Z. F. , Ingel F. I. , Demina N. N. , Lebedeva N. V.
Published: September 2020

Introduction. salivary diagnostics is a promising area that requires further research.The aim of the study. The two-stage study is aimed at identifying reliable biochemical and immunological markers of the influence of atmospheric air pollution in saliva samples in preschool children.Material and methods. Mixed saliva samples were taken from 112 children aged 5-7 years in 6 kindergartens located at distances of 1.7-5.9 km from the complex of agricultural processing enterprises. At the screening stage, the intensity of luminol-dependent chemiluminescence (LC), levels of secretory IgA (sIgA), IL-8, uric acid, activities of α-amylase, and lysosomal enzyme N-acetyl-β-d-glucosaminidase (NAG) were determined in saliva samples; at the post-screening stage, IL-1b and IL-6 were added.Results. In children at the screening stage only those markers that can be considered as indirect signs of phagocyte activation were associated with exposure levels to industrial zone emissions by significant equations: CL (y=6.98-0.17 x; p=7.2*10-9); IL-8 (y=776.2-83.2 x; p=3*10-4); NAG (y=13.94-0.93 x; p=0.037). To check whether this coincidence is random, we selected two additional markers in the form of functional “fork”: IL-1β (leukocyte pyrogen) and IL-6 (cofactor of B-lymphocyte differentiation). Methods of regression, correlation, and cluster analysis confirmed all 4 “phagocytic” markers significantly to increase along the gradient of industrial emissions and form a single cluster, cross-linked with significant correlation coefficients. IL-6 saliva content was associated with exposure levels by a rise-fall relationship, and, contrary to conventional beliefs, had no connection with sIgA content. The last finding may be related to the lack of ability of IL-6 and defensins to induce sIgA in mice [Boyaka et al., 2001].Conclusion. The survey results suppose that emission gradient from the industrial zone contains PM and does not contain haptens or immunotoxic compounds. Post-screening can be a useful technique when using saliva samples as insufficiently studied objects.
Dynamics of indices of the workers’ health in different labor intensity
Authors: Sorokin Gennady A. , Shilov V. V.
Published: September 2020

Introduction. Work and stress occupy a leading place among the causes of diseases of Russians. Working hours and work intensity (WI) are the main parameters of the workload. The main difficulty of physiological analysis, measurement, and hygienic assessment of WI is a purely individual psychophysiological characteristic of the degree of stress of the working person’s body, being masked by three factors: the composition and organization of labor actions, personal factor, and hygienic working conditions. The individual physiological range of average work intensity (IR) is 1.5. The change in WI inside of this diapason determines the intra-shift dynamics of performance, from the typical monotonous activity to the characteristic of neuro-humoral stress. The criterion for physiological and hygienic assessment of Wt is the stability of the dynamics of performance, fatigue, and health indices of employees.The purpose of the study: to establish the annual increase in the risk of health disorders of employees at different levels of physiological intensity of work, correlated with IR. Materials and methods. We studied WI and the dynamics of health index s(DZ) in 2509 physical and mental workers with varying degrees of fatigue (industrial workers, doctors, nurses, school teachers, office workers). The annual increase in risk (AIR) chronic fatigue syndrome, cardiovascular diseases, and diseases of the musculoskeletal system, long-term morbidity with the temporary disability (MTD) was used to characterize the WI.Results. With high and high WI, the long-MTD AIR (0.80%) of the watch factory workers is 3.2 times higher than the control level - 0.25%. At a high WI level (1.11-1.20) of the installers, the AIR of cardiovascular diseases with MTD (1.0%) is 6.7 times higher than the control level of 0.15%, and the GPR of musculoskeletal diseases (1.1%) is 7.9 times higher than the control level of 0.14%. In precision workers with increased WI (1.01-1.10), the AIR of chronic fatigue syndrome (1.98%) exceeds the background level of 0.5% per year by 3.9 times, and with a high WI level (1.11-1.20), the AIR of musculoskeletal disorders exceeds the control level (0.2%) by 10.7 times. The maximum WI values for mental workers are 5-14% higher than those set for manual labor.Conclusions. 1. The IR is determined by the ratio of the maximum labor productivity, at which there is still no employee fatigue at the end of the working day, to the productivity, at which there is large employee fatigue. IR = 1.5. 2. When WI is 20 -30% above the lower bound of IR, there are 2-4 times increased AIR health disorders; while WI 30-40% higher than the lower border of IR, AIR for chronic fatigue syndrome, cardiovascular disease, diseases of the musculoskeletal system increases by 5-10 times. 3. Long hours, which are often considered the main risk factor for the health of workers, are the actual risk factor if the work is not performed at a reduced intensity.
Legal analysis of the use of health risk assessment in the field of sanitary and epidemiological well-being of the population
Authors: Karelin Aleksandr O. , Lomtev A. Yu. , Yeremin G. B. , Mozzhukhina N. A. , Ganichev P. A.
Published: September 2020

In recent years, when regulating relations in the field of ensuring the sanitary and epidemiological well-being of the population, risk-oriented supervision, and the population health risk assessment have been increasingly applied. The usage of these effective tools requires a clear legal framework. The article represents the analysis of the legal aspects of the usage of public health risk assessment and risk-based control (surveillance) in the field of the sanitary-epidemiological well-being of the population in the Russian Federation. Special attention is drawn to the problems of applying the methods for state sanitary-epidemiological surveillance. The analysis of draft laws related to this area and the legislation and experience of other countries is performed. The analysis of modern legislative changes regarding the application of risk-based supervision and the application of public health risk assessment allows concluding that the methodology for health risk assessment is an important tool in regulating relations in the field of ensuring the sanitary and epidemiological well-being of the population. Currently, there is a certain legal and regulatory framework for its use. But it needs improvement. As the experience of the “regulatory guillotine” carried out in many countries shows, this procedure allows eliminating many contradictions existing in regulatory legal acts. A risk-based approach is enshrined in the legislation of all EAEU member countries. At the same time, an analysis of the regulatory framework showed that a risk-oriented model was formed to a greater extent and is functioning in terms of classification (categorization) by the risk of harm to the health of legal entities (LE), individual entrepreneurs (IP) or their activities than risk-based supervision of products traded in the consumer market. The transition to a new model of state control (supervision) requires legal consolidation of the risk management system in the law on sanitary and epidemiological well-being and taking into account the experience of the EU and EAEU countries in this area.
Legal and economic problems of improvement of the control system of the medical waste
Authors: Shamshurina Nina G. , Prisyazhnaya Nadezhda V. , Pavlova Julia V. , Shulyat'ev Sergey V.
Published: September 2020

Introduction. The article is devoted to the current problem of regional development - to the address with the waste of medical origin and the creation of a control system of medical waste as an element of internal quality control and safety of the medical activity. Functioning of a control system of medical waste and ensuring introduction in the medical organizations of progressive, cost-effective methods of hardware disinfecting of dangerous medical waste in the epidemiological relation are the priority factors forming the level of population health of the population of Russia. Safe utilization - the key direction of functioning of a system of the address of medical waste - at the same time the potential epidemiological and ecological danger determines the need of legal and financial and economic support of a control system of medical waste, both on federal, and at the regional level. Creation of environmentally friendly ways of the address with medical waste, effective management of these processes, their legal support belongs to the system of ensuring national security.Material and methods. Authors carried out the analysis of current state of the address with medical waste in a number of regions of the Russian Federation, application of an integrated approach to utilization and neutralizations of waste of this type within regional environmental policy is reasoned. Gaps of legal regulation of a control system of medical waste on the basis of the analysis of law-enforcement practice are revealed. A methodical approach is proposed, the peculiarity of which is the legal and financial justification of the territorial schemes used in the regions for the treatment of medical waste. The methodological tools of the study include statistical methods of processing data on the disposal and disposal of medical waste. Approbation of methodical tools is carried out on the example of the Moscow region.Results. The Moscow region pays close attention to the methods of medical waste management, the desire to ensure environmental safety, preventing the violation of the law in matters of disposal of medical waste. On the other hand, low satisfaction of the authorities with the pace of solving the problem of recycling, not included in the process of medical activity of health care institutions, the consequences of which may be medical waste requiring disinfection and treatment. The result of the study are recommendations of the need for interregional interaction in the field of placement and construction of complexes on processing, utilization, and neutralization of medical waste of different hazard classes.Conclusion. Authors consider the perspective direction of scientific and technological development creation of the hi-tech equipment for utilization of different types of medical waste with receiving secondary raw materials and also neutralization of extremely hazardous and highly hazardous medical waste.
Substantiation of the use of indices of the heart rate variability in predicting the development of polyneuropathies in workers of coal enterprises
Authors: Gidayatova Margarita O. , Martynov Ilya D. , Yamshchikova Anastasia V. , Fleishman Arnold N.
Published: September 2020

Introduction. One of the most common forms of occupational diseases of the peripheral nervous system is autonomic-sensory polyneuropathy. For Kuzbass, which is one of the leaders in coal mining, the problem of early diagnosis and prevention of polyneuropathies is the most urgent.The purpose of this study was to determine autonomic disorders and their role in the development of occupational polyneuropathy in workers of coal enterprises in Kuzbass.Material and methods. 72 male miners aged from 40 to 64 years with working experience from 15 to 36 years were examined. The control group consisted of 18 subjects of the same age, engaged in light physical or mental work that had no occupational risk factors. To assess the degree of peripheral nerve damage electroneuromyography was performed in all cases; indices of spectral and nonlinear heart rate variability were used to determine the state of autonomic regulation.Results. No signs of polyneuropathy were detected in 20 subjects of the examined workers of coal enterprises according to electroneuromyography data. The miners with diagnosed polyneuropathy were divided into 3 groups according to the severity of the lesion of the impulse conduction along the peripheral nerves. In the miners with no signs of polyneuropathy, who exposed to harmful production factors, a statistically significant decrease in the power of high-frequency oscillations of the heart rate variability spectrum was determined. The subjects with initial disorders of the impulse conduction showed a progressive decrease in high-frequency oscillations, with moderate signs of polyneuropathy, there were a sympathetic predominance and increased influence of suprasegmental autonomic centers. In the development of severe disorders of the impulse conduction along the peripheral nerves, depression of oscillations in all frequency ranges and rigidity of the heart rate are characteristic.Conclusion. The obtained data confirm the influence of autonomic dysfunction on the development of occupational polyneuropathy. The analysis of heart rate variability is an important tool for evaluating autonomic regulation and can be used in mass medical examinations. A decrease in spectral and nonlinear parameters in coal-mining workers is an early sign of the disorder of autonomic regulation, which allows predicting the occurrence and development of peripheral nerve damage.
State of actual nutrition for children of school age
Authors: Filimonov Sergey N. , Tapeshkina Natalia V. , Koskina Elena V. , Vlasova Oksana P. , Sitnikova Elena M. , Sviridenko Olga A.
Published: September 2020

The purpose of this study was to evaluate the nutritional status of school-age children living in monotown.Material and methods. A computer test was used to assess nutrition, namely, the program of the analysis of the frequency of food consumption «Human nutrition analysis» differentiated by classes of education for schoolchildren aged 7-10 years (junior classes), 11-13 years (middle link of education) and 15-16 years (high school). The total sample size amounted to 612 schoolchildren. The comparative analysis of qualitative and quantitative indices of the composition of the diet was carried out based on existing regulations.Results. In all age groups of schoolchildren, an imbalance in the intake of macro- and micronutrients with diets was revealed, which was due to the imbalance of the food set. In the daily diet of children of 7-16 years, there was a fairly adequate caloric value, however, they were deficient in total protein (89.0-96.4%) and excessive in fat (100.4-124.3%) and carbohydrates (105.3-118.5% of physiological norms). The protein content of animal origin in the daily diets of all schoolchildren was below the norms of physiological needs and accounted for 88.0%, 85.4%, 90.7%, respectively. Diets were scarce in their content of meat and meat products (68.1-73.2% from the recommended level of consumption), fish and seafood (32.9-47.5%), eggs (62.3-82.4%), milk and dairy products (48.5%-72.1% per day), bakery products (79.4-93.6%), potatoes (62.9-71.0%). Actual food consumption and the intake of nutrients are influenced by the age of the schoolchild (the determination coefficient of 0.53).Conclusion. The development of programs to optimize the nutrition of schoolchildren should be carried out in the light of previously identified violations corresponding to the regional nature.
Heavy metals and arsenic in drinking water and health risk assessment of the region with the developed mining industry
Authors: Babayan Gayane H. , Sakoyan Astghik G.
Published: September 2020

Introduction. Drinking water intended for South Armenia’s towns and rural communities is abstracted from minor mountain rivers belonging to the basins of the Voghchi and Meghri, the water of which is treated at five water treatment plants. The river basins are home to the major copper molybdenum and gold ore mining centers of the republic.The purpose of this research was to study heavy metals Ag, Al, As, Cd, Cu, Fe, Mo, Ni, Pb, Sn, Sb, Se, Zn, Hg, Te in centralized drinking water supply systems and assess drinking water-caused health risks to the population.Material and methods. In 2016-2017 from 43 sampling sites a total of 53 basic water samples were taken, including 14- from surface water supply sources, 16 - from water treatment plants, 33- from water supply networks. Heavy metals were determined by the atomic absorption method. To assess the quality of water on water abstraction sites relevant ecological (regional) norms and national and international standards were used. The risk of development of noncarcinogenic and carcinogenic effects was assessed in the case of oral intake of and dermal exposure to tap water.Results. On water abstraction sites, background regional levels of surface waters exceeded the concentration of aluminum, iron, molybdenum, tin, antimony (by as 13.3-1.1 times). Water treatment efficiency at water treatment plants is estimated at 12% - 69% depending on different metals. Concentrations of heavy metals in drinking water do not exceed the norms. The risk of development of noncarcinogenic effects in the population at chronic exposure to drinking water is insignificant (HI<1), whereas a total carcinogenic risk exceeds a safety limit for arsenic (CR=9.59×10–5).Conclusion. The acceptable quality of drinking water supplied to consumers is not yet an index of sustainable and safe water supply in the studied region because of a water pollution level on intake sites, obsolete water treatment technologies, poor sanitation and technical condition of plants and water networks.
KOP Bölgesinde Manda Yetiştiriciliği ve Önemi
Authors: ERMETİN Orhan
Published: September 2020

Türkiye’de yetiştirilen mandalar, ırk olarak Nehir mandalarının bir alt grubu olan Akdeniz mandalarından köken almakta olup, Anadolu Mandası olarak adlandırılmıştır. Anadolu mandaları, Türkiye şartlarına binlerce yılda çok iyi adapte olmuş ve kendine özgü karakteristik özellikler geliştirmiştir. Genel rengi siyah olup, yay şeklinde geriye kavisli boynuza sahiptirler. Ortalama süt verimi 1000 kg, ortalama laktasyon süresi ise 250 gündür.
Mandalar, sığırlara kıyasla daha az et ve süt vermelerine rağmen, et ve süt kalitesinin yüksekliği ile hastalıklara, kötü beslenme ve çevre şartlarına dayanıklılığı gibi avantajları bulunmaktadır. Manda sütü yağ ve toplam kuru madde açısından çok zengin olup, son yıllarda manda sütünden yapılmış yoğurt, kaymak ve peynir gibi ürünlere talep gittikçe artmaktadır. Ülkemizde son yıllarda tüketici talebi ile Tarım ve Orman Bakanlığının destekleri ile manda yetiştiriciliği yaygınlaşmaktadır.
KOP Bölgesi; 4.307.408 kişilik nüfusu, 95.945 km2 yüz ölçümü ile Türkiye'nin %12,24’ünü oluşturan önemli tarımsal üretim alanlarından biridir ve tarımın bölge ekonomisinde ağırlıklı etkisi vardır. Orta Anadolu Bölgesinde 8 ilden oluşan KOP illeri içinde manda sayısı en fazla olan il Yozgat olup, ilde 4133 baş manda varlığından yılda 1447 ton süt elde edilmektedir. Yozgat ilini Aksaray (1381 baş), Konya (865 baş), Kırıkkale (482 baş) ve Kırşehir (221 baş) takip etmektedir. KOP Bölgesi illerinde manda yetiştiriciliğinin mevcut durumu incelenerek, sürdürülebilir manda yetiştiriciliği için bakış açısı ve öneriler sunulmuştur.
Hatay İlinde Üretilen Bazı Kuru Kaba Yemlerin Besin Madde İçeriklerinin Belirlenmesi
Authors: ZAHAL Süleyman , KAYA Şerafettin
Published: September 2020

Bu çalışmada, Hatay’da üretilen ve ruminantların beslenmesinde yaygın olarak kullanılan bazı kuru kaba yemlerin besin madde içeriklerinin belirlenmesi amaçlanmıştır. Bu amaca yönelik olarak Hatay ili genelinde 19 adet buğday samanı, 18 adet yonca kuru otu (YKO), 2 adet fiğ kuru otu, 2 adet mercimek samanı, 1 adet yer fıstığı kuru otu, 4 adet karışık çayır kuru otu (ÇKO) olmak üzere 46 adet kuru kaba yem örneklenmiştir. Örneklenen kaba yemlerde KM, HK, HP, HY, OM, HS, ADF, NDF ve ADL düzeyleri belirlenmiş ve kaba yemlerin ME düzeyleri hesaplama yoluyla tespit edilmiştir. Besin madde içerikleri YKO için HP % 15.58, HS %32.84, ADF %37.52, NDF %44.38 ve ME düzeyi 1727 kcal/kg olarak, Fiğ kuru otu için aynı sırayla %13.96, % 31.26, % 32.68, % 43.31 ve 1766 kcal/kg ME, buğday samanı için de % 3.22, % 41.04, % 48.40, % 68.60 ve 864 kcal/kg ME olarak tespit edilmiştir. Çalışmada elde edilen değerlerin söz konusu kuru kaba yemler için, gerek yapılan önceki çalışmalarda gerekse yemlerin besin madde içeriklerini açıklayan ve genel kabul gören tablo değerlerine uyumlu olduğu, arada ortaya çıkan farklılıkların yem bitkisinin çeşidine, yetiştiricilik yapılan bölgenin iklim ve toprak özelliklerine bağlı olduğu söylenebilir.
The Role of Clove Farmer's Wife in Meeting Household Needs
Authors: Malia Putri Rika , Bahtiar  , Anggraini Dewi
Published: September 2020

This study aims to discover the role and driving factors of the clove farmer's wife in meeting household needs in Patowonua Village, Lasusua District, North Kolaka Regency. The research approach used is descriptive qualitative, which is intended to describe reality in explanations and descriptive narratives. Data obtained through interview and observation techniques in the Patowonua Village community. The results of this study indicate that the role of the wife of a clove farmer in meeting household needs is helping the husband grow crops; managing household finances; sell the results of farming; borrow money from family; participate in producing agricultural commodities. The participation of clove farmer's wives in meeting household needs is driven by several factors, namely the desire to increase family income; to fill in spare time; and there is an encouragement of interest to help her husband.
Validating Children 's Stories and Decisions after Trafficking for Prostitution
Authors: Mbakogu Ifeyinwa
Published: September 2020

Research on trafficking for prostitution in West Africa is focussed mostly on the experiences of women. When attention is directed to children, their voices are silent; and attention is placed on traffickers, therefore, downplaying the role of relatives in children’s movement from home. Moreover, when children are removed from trafficking, the usual path to re-integration is to unite them with their parents. Two issues drive this paper: if a parent that is implicated in the trafficking of their child for prostitution should be included in decision-making for reintegrating the child; and if a child understands their experience of trafficking to make informed decisions about moving on after trafficking. Based on this foundation, the paper explores one child’s journey from Nigeria to Burkina Faso for prostitution, with attention to the child’s perspectives on their journey and decisions for moving on after trafficking to inform the inclusion of children trafficked for prostitution in decisions about their reintegration.
Evaluation of Boundary-Spanning on Climate Change ENGO International Greenpeace in Asia
Authors: Rozalinna Genta Mahardhika , Aulia Izzah Azmi
Published: September 2020

This paper discusses the evaluation of boundary-spanning on climate change ENGO International Greenpeace in Asia. The evaluation process uses secondary data from documents presented on the official website of Greenpeace, especially countries in Asia. These countries include Indonesia, Malaysia, the Philippines, Thailand, India, Japan, South Korea, and China. Evaluation of the boundary-spanning is obtained from the results of the mapping of all issues and campaigns related to climate change. The results: 1) limitation of the problem and identity of the campaigns carried out out all based on the ecological conditions of each country; 2) limitation organizational through institutional strengthening becomes the main focus in the pattern of movement, and tactical efforts are made through the publication of reports and analysis is step by step in various communication and action media.
MENINGKATKAN HASIL PEMBELAJARAN TEMATIK MELALUI PENERAPAN MODEL PERMAINAN KUIS WHO WANTS TO BE A MILLIONAIRE
Authors: Cahyadi Cahyadi
Published: September 2020

Dalam pembelajaran di kelas, guru hendaknya mampu menggunakan suatu pendekatanatau metode pembelajaran yang tepat dan selalu memperhatikan tujuan pembelajaran sertasituasi dan kondisi siswa maupun sekolah sehingga dapat meningkatkan minat dan motivasisiswa dalam belajar. Realita di SDN Jayasakti 02 Kecamatan Muaragembong KabupatenBekasi, proses pembelajaran yang disajikan pada umumnya masih bersifat konvensional ataupembelajaran berpusat kepada guru/teacher center, dapat dipastikan siswa akan merasa jenuh,apalagi proses pembelajarannya hanya bersifat hapalan konsep atau fakta saja tanpa dikemasdalam bentuk pembelajaran interaktif yang melibatkan siswa sebagai subjek dalam belajar.Guru yang baik akan bertanggung jawab dalam memilih metode dan media pembelajaranyang tepat untuk membantu siswa dalam proses belajarnya. Mengingat usia sekolah dasaridentik dengan bermain, maka proses pembelajaran akan lebih optimal bila dikemas dengancara belajar sambil bermain. Situasi seperti ini sepertinya akan lebih cocok bagi siswa usiasekolah dasar jika dibandingkan dengan proses pembelajaran yang biasa saja, mereka akanmerasa senang dan tidak bosan karena dapat belajar sambil bermain. Rohlen (1996)menyatakan bahwa proses belajar adalah hasil dari pengalaman, dan pengalaman itumelibatkan beberapa orang. Metode yang digunakan dalam penelitian ini adalah PenelitianTindakan Kelas yang mendeskripsikan efektifitas permainan kuis who wants to be amillionaire dalam pembelajaran tematik di kelas VI A SD Negeri Jayasakti 02 KecamatanMuaragembong Kabupaten Bekasi. Peningkatan dapat dilihat dari proses dan hasil belajarsiswa. Dilihat dari hasil evaluasi siklus pertama sampai dengan kedua didapat nilai rata-ratapre-test 46,36 dan pos-test 77,27 dalam siklus pertama. Nilai rata-rata pre-test dalam sikluskedua adalah 45,00 dan rata-rata post-testnya 81,81, perbandingan nilai pre-test dan pos-testdalam dua siklus tersebut terlihat peningkatan yang signifikan. Dilihat dari prosespembelajaran dengan permainan kuis who wants to be a millionaire respon siswa sangat baik,dibuktikan dengan keterlibatan siswa secara aktif dalam proses pembelajaran baik secarasosial maupun emosional. Dengan demikian dapat disimpulkan bahwa pembelajaran tematikdengan permainan kuis who wants to be a millionaire dapat meningkatkan proses dan hasilbelajar siswa
PENINGKATAN KEMAMPUAN MENULIS PARAGRAF BAHASA INDONESIA MELALUI PERTANYAAN TERSTRUKTUR DI SEKOLAH DASAR
Authors: Rosiana Rina Rosiana
Published: September 2020

Untuk meningkatkan kemampuan menulis paragraf khususnya mata pelajaran BahasaIndonesia perlu adanya upaya yang jelas. Salah satu upaya tersebut adalah denganmenggunkan pertanyaan terstruktur. Permasalahan penelitian dapat dirumuskan sebagaiberikut: Apakah pemberian pertanyaan terstruktur dapat meningkatkan kemampuan menulisparagraf Bahasa Indonesia siswa kelas VI SDN Karang Asih 06 Cikarang Utara?. Tujuanpenelitian tindakan ini adalah 1) Mengetahui pengingkatan kemampuan menulis paragrafsingkat Bahasa Indonesia dengan menggunakan pertanyaan terstruktur siswa kelas VI SDNKarang Asih 06 Cikarang Utara; 2) Meningkatkan keterampilan guru dalam mengembangkandan memvariasikan metode pembelajaran. Adapun metode penugasan dengan latihan-latihanmembuat paragraf. Penelitian tindakan ini bertujuan untuk: (1.) Mengetahui peningkatankemampuan menulis paragraf singkat bahasa Indonesia dengan menggunakan pertanyaanterstruktur siswa kelas VI SDN Karang Asih 06, (2.) Meningkatkan keterampilan guru dalammengembangkan dan memvariasikan metode pembelajaran. Melalui hasil penelitian yangdilakukan dapat ditunjukkan bahwa melalui pertanyaan terstruktur dapat meningkatkankemampuan menulis paragraf bahasa Indonesia. Hal ini dapat ditunjukkan dari hasil belajarsiswa yang mengalami peningkatan pada masing-masing siklus.
PENINGKATAN HASIL BELAJAR PENDIDIKAN AGAMA ISLAM (PAI) DENGAN STRATEGI CROSSWORD PUZZLE PADA SISWA KELAS VI SD NEGERI KARANG ASIH 04 KECAMATAN CIKARANG UTARA KABUPATEN BEKASI
Authors: Masih Masih
Published: September 2020

Peningkatan Hasil Belajar Pendidikan Agama Islam (PAI) Dengan Strategi CroswordPuzzle telah diteliti pada Siswa Kelas VI SD Negeri Karang Asih 04 Kecamatan CikarangUtara Kabupaten Bekasi dari tanggal 25 Juli 2018 sampai dengan 26 September 2018.Masalah yang dikaji dalam penelitian ini adalah : (1) bagaimana penerapan strategiCrossword Puzzle dalam pembelajaran Pendidikan Agama Islam (PAI) pada siswa kelas VISD Negeri Karang Asih 04 dan (2) apakah strategi Crossword Puzzle dapat meningkatkanhasil belajar Pendidikan Agama Islam (PAI) pada siswa kelas VI SD Negeri Karang Asih 04.Jenis Penelitian ini adalah menggunakan rancangan Penelitian Tindakan Kelas (PTK).Penelitian ini terdiri dua rangkaian siklus kegiatan dimana setiap siklus meliputi tahapanperencanaan, pelaksanaan tindakan, observasi dan refleksi. Data yang diperoleh dalampenelitian ini dianalisis secara deskriptif kualitatif yang bersumber dari lembar observasi danlembar kerja siswa. Hasil penelitian ini ditemukan bahwa penerapan strategi CrosswordPuzzle dalam pembelajaran PAI pada kelas VI SD Negeri Karang Asih 04 dapatmeningkatkan peran aktif siswa dalam belajar dan mengurangi kecenderungan gurumendominasi kegiatan pembelajaran. Hal ini dilihat dari terjadinya peningkatan siswa yangaktif dari siklus I dengan rata-rata jumlah sswa yang aktif 19 orang dengan persentase25,34% dan pada siklus II meningkat menjadi 21 orang siswa atau 24,70% dari 25 orangsiswa disamping itu, persentase aktivitas guru meningkat dari skor rata-rata 3,09 (kategoricukup baik) menjadi rata-rata 3,90 (kategori baik). Selain itu, ketuntasan belajar siswamelalui strategi Crossword Puzzle menunjukan peningkatan, hal ini tergambar pada Siklus I,siswa yang tuntas 17 orang atau 68% dan siswa yang belum tuntas 8 orang atau 32%. Padasiklus II mengalami peningkatan yang signifikan yakni jumlah siswa yang tuntas 21 orangatau 84% dan siswa yang belum tuntas menjadi berkurang yaitu sisa 4 orang atau 16%.