bluuebunny/crossref_metadata_2025 huggingface dataset:
HUMOR PORNOGRAFI DALAM TATARUCINGAN ‘TEKA-TEKI SUNDA’ (PORNOGRAPHIC HUMOUR IN TATARUCINGAN ‘SUNDANESE RIDDLES’)
Authors: Lyra Hera Meganova , Wahya Wahya , Yudi Permadi R
Published: October 2020

This writing describes pornographic humour conveyed in tatarucingan ‘Sundanese riddles’. I focuses on pornographic connotation and types of pornographic humour existing in tatarucingan. The method used was descriptive one with theoretical analysis by Sukatman (2009) combined with Danandjaja (1984), Rahmanadji (2007), Yuniawan (2007), and Mulia (2014). The result shows that the pornographic connotation in tatarucingan conveyed in the questions or answers of the tatarucingan ‘riddles’. I means that the pornographic connotation may be conveyed in the questionsand may also be in the answers of the riddles. The types of pornographic connotation include rational-answer humour, logic games humour, pseudo-incoherence humour, sound games humour and metaphorical humour. AbstrakPenelitian ini mendeskripsikan humor pornografi yang terdapat dalam tatarucingan ‘teka-teki Sunda’. Masalah yang dikaji meliputi konotasi pornografi dan jenis humor pornografi yang terdapat dalam tatarucingan. Metode penelitian yang digunakan adalah metode deskriptif dengan kajian menggunakan analisis teori Sukatman (2009) yang diekletikkan dengan teori Danandjaja (1984), Rahmanadji (2007), Yuniawan (2007), dan Mulia (2014). Hasil penelitian menunjukkan konotasi pornografi yang terdapat dalam tatarucingan muncul pada pertanyaan atau jawaban tatarucingan. Dalam arti, konotasi pornografi ada yang muncul dalam pertanyaan,ada pula yang muncul dalam jawaban tatarucingan. Humor pornografi jika dilihat dari jenisnya meliputi humor rasionalitas jawaban, humor permainan logika, humor ketidaklogisan semu, humor permainan bunyi, dan humor bermetafora.
互联网 + 审计”时代审计标准人才职业胜任力的重构途径探究
Authors: 曹 铭 , 孙 楠
Published: October 2020

在互联网高速发展的背景下，中国审计人员需要不断学习现代技术。在现代技术高速发展的同时，我们应该从职业道德、技术水平、人际关系三个维度重新构建审计人才职业胜任力架构，并在此基础上开展审计职业胜利培养工作，结合时代发展需求培养审计人才，确保人才具备完成企业日常工作的能力。除此之外，应该在当前背景下，创新管理模式，并从职业道德、人际关系能力、智力能力等维度下，完善人才培养计划，重构审计人才职业胜任力教学流程，使审计教学工作，可以在改革背景下取得良好的成绩。
边缘计算的应用及未来挑战
Authors: 朱 军军
Published: October 2020

随着科学技术的飞速发展和信息时代的全面到来，边缘计算作为一种新型计算模型，在当前各个领域有着十分广泛的应用价值。边缘计算对于云计算模型来说，能更好、更快、更迅速地响应用户的需求。论文主要针对边缘计算的概念和相关的应用进行探究，指出边缘计算的未来发展方向和挑战，希望能为物联网服务技术的升级和优化提供一定的参考。
城市地铁建设中的安全风险分析与管理
Authors: 翟 连矿
Published: October 2020

随着中国经济的快速发展，国家越来越重视城市地铁建设中的安全风险与管理工作。为了进一步提高中国地铁建设过程中的安全施工效率，必须要根据实际情况做好完善的应急预案工作，减少地铁建设施工中的人为操作失误频率，做好对应的施工风险防范措施。因此，论文主要针对城市地铁建设中的安全风险分析与管理进行简要分析，并提出合理化建议。
关于机械设计制造现代化工艺及精密加工技术的分析
Authors: 魏 青锋
Published: October 2020

机械设计制造行业对中国经济的增强以及社会进行具有不可替代的重要意义，能在一定程度上增强中国的综合实力，提高国际竞争力，促进中国整体实力的提升。因此，强化对现代化机械设计制造工艺及精密加工技术的研究和分析，改善传统、不合适的技术工艺，融合现代化科学技术，吸取优秀经验，进行积极的技术创新，对于进一步提升中国机械设计制造行业的核心竞争力具有重要的促进作用。论文主要对现代化机械设计制造工艺及精密加工技术进行概述，并分析这两者的技术特点，重点探究精密加工技术在现代化机械设计制造工艺中的应用措施，旨在进一步优化机械设计制造工艺和技术，促进中国机械设计行业的持续稳定性发展。
如何识别录井工程中各种工程异常
Authors: 王 克武
Published: October 2020

随着中国经济的快速发展，国家越来越重视录井工程中的工程异常工作。为了进一步提升油田工程的施工效率，必须要根据实际情况选用新技术和新工艺，增强对钻井工作的实时监测，了解录井工程基本常识，并制定针对性的可用方案。因此，论文主要针对如何识别录井工程中各种工程异常进行简要分析，并提出合理化建议。
对提升相关方安全管理水平的探讨
Authors: 朱 婵 , 王 翔
Published: October 2020

为提升相关方安全管理水平，论文剖析了相关方安全管理存在的三大风险及六个短板问题，提出了七项管理控制措施及建议，明确了应建立有效的相关方内部监管机制。
探讨园林绿化工程中反季节植物种植技术管理
Authors: 张 晓非
Published: October 2020

随着园林绿化工程的不断发展，园林施工时不同的种植方法也被广泛应用，特别是反季节种植的技术应用的非常广泛。要想提高园林绿化工程中苗木的成活率，相关的人员就要加强分析以及研究反季节种植的方法。通过采取科学的技术进行种植，不仅有效提高了植物的成活率，还推动了园林工程的整体质量，改善了环境的质量，促使中国城市健康的发展。因此，论文对园林绿化工程当中反季节植物种植方法管理进行了深入分析。
矿山资源勘察中的探矿工程技术应用
Authors: 张 进 , 马 世芳
Published: October 2020

常规探矿工程技术能实现对矿藏进行定位和挖掘工作，但在多形式下矿床和复杂地形的干扰下，常规探勘工程技术存在定位不准、矿床分析能力较弱的问题，为此提出基于矿山资源勘察中的探矿工程技术应用。利用矿床电磁电感现象，构建矿山资源勘察甚低频电磁电感装置，分析反射信号，寻找探矿靶区，制定实施钻探位置，基于不同材质的工艺处理，利用各种钻探设备以提高钻探效率。基于此，论文对矿山资源勘察中的探矿工程技术应用进行了探讨，以供参考。
建筑工程结构的渗水检测技术应用问题探讨
Authors: 明 娟 , 黄 炬
Published: October 2020

房屋的渗漏水问题严重影响我们的生活 , 建筑渗漏也不断的引发了争议。基于此，论文重点结合实际工程案例，对建筑工程结构的渗水检测技术应用问题进行了详细的分析，以供参考。
加强化工企业安全生产管理的重点和要点
Authors: 金 玉山
Published: October 2020

化工企业属于危险行业，在企业生产过程中设备、工艺、人员、环境等方面都对安全生产造成一定影响。为提高化工企业安全生产水平，化工企业需要加强多方面的管理。
Тhe specifics of creating an image of Вelarus in literary reports on the wandering subjects of the 1920 30's.
Authors: Bykova Ol’ga
Published: October 2020

The article deals with the extraordinary spread of literary reporting on wandering subjects, which became a part of Ukrainian Soviet journalism during the period of national and cultural revival, named «rooting». The reports of Mykhailo Bykovets «On Red Belarus» and Arkadiy Lubchenko «The Blue-eyed Sister of Ukraine» are thoroughly analyzed. It was written after delegations of Ukrainian writers and journalists visited in the late 1920 Soviet Belarus.

The object of characterization in the article was the authors' impressions of the reforms of Soviet power in the economic, political, social and cultural life of the republic. It is noted much about attention in the collections of reports focused on Ukrainian Belarusian cultural relations, establishing direct contacts between writers, the highest result of which was the publication of the almanac «New Belarus», which included works by 30 Belarusian writers in translations. Among them S. Pylypenko, P. Tychyny, V. Sosyury, I. Kulik, T. Masenko, A. Paniv and others.

The main emphasis of the study is that the characteristic feature of the reports «On Red Belarus» by M. Bykovets and «The Blue-eyed Sister of Ukraine» by A. Lubchenko is an attraction to fragmentation. The text of the report «On Red Belarus» is divided into fifteen parts, but retains its integrity due to the presentation of information from 1 person. It is noted that the chronological type of composition chosen by the journalist allows not only to describe events, but also to share their own impressions and thoughts from what they saw. Traveling reports of the reporter often consist of fixing all the little things that reproduce the unique Belarusian color.

It is emphasized that the language of the reports «On Red Belarus» by M. Bykovets and «Blue-eyed Sister of Ukraine» by A. Lubchenko is extremely simple, unformalized.

It seems that journalists are talk to their readers and bring the necessary information to him. The authors try to make their reports as interesting as possible for the reader. That is why they introduce into the texts details that make them more interesting and on the other hand, distract readers from the monotonous and chronic description of the journey itself.

The literary reports on the wandering theme of A. Lubchenko and M. Bykovets, despite the ninety years since their writing, are read with interest and are relevant today, because they are interesting, informative, fascinating, attract contemporary readers with fresh sensations, intriguing presentation of experiences and seen, and show a picture of the life of Soviet Belarus in the 1920 and 1930.
Budist Uygurlarda Yétiken Takımyıldızı inancı
Authors: İSİ Hasan
Published: October 2020

Büyükayı Takımyıldızı, insanlık tarihi boyunca birçok medeniyetin mitolojik ve astrolojik inanç sistemleri içerisinde dinî ve din dışı değerlere sahip olmuştur. Bu takımyıldızı, Türk düşünce sistemi içerisinde hem yazılı metinler hem de sözlü kaynaklar vasıtasıyla görülmektedir. Bu çalışma, Büyükayı Takımyıldızı özelinde Budist Uygurlarda Yétiken adıyla görülen inanca dayalı uygulamaları ele almaktadır. Bu uygulamalar, Eski Uygur Türkçesine 14. yüzyılda Çinceden çevrilen ve Çin düşünce sistemi içerisindeki Taoist ve Tantrik fikirleri yansıtan Yétiken Sūtra adlı eserde görülmektedir. Bu yönüyle eldeki çalışma, Yétiken Sūtra içerisinde yer alan Taoist ve Budist fikirleri ortaya koyma amacından ileri gelmektedir. Ağırlıklı olarak 14. yüzyıla tarihlenen Uygur Budizmi eserleri içerisinde yer alan Yétiken Sūtra, bünyesinde hem Taoizm hem de Tibet Budizmi’ne dayalı unsurları barındırmaktadır. Bu unsurlar, eldeki yazı içerisinde ağırlıklı olarak Çin Budizmi içerisindeki Taoist fikirler olup Tantrik Budizm’in etkilerini de yansıtan uygulamaları da içermektedir. Bu uygulamalar, takımyıldızlara ilahlık yükleme, muskalar, ilahlara yakarış, yemek sunuları gibi Taoist uygulamalar ile Tibet ve Çin Budizmi içerisinde öneme sahip Buda ve Bodisattva kişiliklerini oluşturmaktadır. Ayrıca, Eski Uygurca Yétiken Sūtra içerisinde hem Taoizm hem de Tibet Budizmi ile de ortaklaşan özellikler de söz konusudur. Bunlar arasında uzun yaşama sahip olma, hastalık ve sıkıntılardan kurtulma, işinde terfi etme gibi ortaklıklar yer almaktadır. Bu doğrultuda, Yétiken Sūtra Budist Uygurların Çin Budizmi kaynaklı dinî etkileri göstermesi bakımından önem arz etmektedir.
ENTRE DISTANCIAMENTOS E APROXIMAÇÕES NA EFETIVAÇÃO DAS POLÍTICAS PÚBLICAS EDUCACIONAIS
Authors: SOUZA RIOS PEDRO PAULO , OLIVEIRA DA SILVA THAYNARA , DE SOUZA NASCIMENTO LAISE
Published: October 2020

O presente trabalho busca refletir as especificidades das Políticas Públicas Educacionais, refletindo sobre sua efetividade na realidade das escolas públicas, além de elucidar suas descrições legisladas e refletir sobre todo processo metodológico das atribuições dessas políticas. Para elaboração e estruturação do artigo, foram utilizados teóricos que atribuem suas fundamentações metodológicas em ideologias que possibilitem a democracia, participação social e efetividade dessas leis que objetivam garantir o acesso e promover uma educação de qualidade, a exemplo, Cury (2014) e Libâneo (2012), além das informações que consistem na Lei de Diretrizes e Base da Educação - LDB. O trabalho foi estruturado a partir das vivências proporcionadas pelo estágio supervisionado nas séries iniciais e fundamentais, além, da inquietação individual como cidadã e acadêmica sobre a funcionalidade desses sistemas educacionais, e objetiva refletir acerca das ações e as consequências que as políticas públicas educacionais ocasionam na sociedade.
AVALIAÇÃO DA QUALIDADE DA ESCOLA ATRAVÉS DOS INDICADORES OFICIAIS  ANÁLISE DA PROPOSTA DE AVALIAÇÃO DAS ESCOLAS NO ESTADO DE SERGIPE NO PERÍODO 2009-2016
Authors: PEREIRA RODRIGO
Published: October 2020

A ideia de qualidade no ensino e qualidade da escola estão diretamente ligadas a uma dupla dimensão: social e individual. Para isso, além da educação ser entendida como um conceito histórico, também deve ser entendido no seu valor antropológico por uma dimensão civilizatória. Na sociedade organizada a escola exerce esse papel social de preparo para a experiência na coletividade. Afirma-se que o processo de organização da escola básica, a gestão da prática pedagógica e curricular demandam uma compreensão do papel exercido pela educação e as possibilidades. A opção para este texto foi compreender a representação de escola de qualidade que vigorou no Estado de Sergipe no período 2009-2016. Esta análise foi realizada através do estudo dos documentos oficiais divulgados e padronizados pela Secretaria de Educação do Estado à época.
REPRESENTAÇÃO E PARTICIPAÇÃO: A BUSCA PELA LEGITIMIDADE DA BNCC
Authors: COSTA BEZERRA SILVA VANESSA MARIA , DA SILVA RICARDO , DA SILVA CLESIVALDO
Published: October 2020

Este trabalho apresenta como ocorreu o processo de elaboração da BNCC e mais especificamente no que concerne à Comissão de Especialistas e as audiências públicas que foram realizadas nesse percurso de construção da base, tendo como foco o discurso da participação e da representação para tal documento. O estudo baseia-se na análise qualitativa e documental, utilizando as contribuições de Macedo (2014), Pitkin (2004), Santomé (2003), Chauí (2012), Lüchmann (2007), dentre outros. Ademais, compreende-se que a busca para legitimar a construção democrática da BNCC através da ampla participação e com o discurso de que o documento representa a diversidade brasileira, em suma, esconde os seus reais objetivos para a educação pública, que estão voltados as demandas dos agentes privados, visando a formação de um sujeito que contemple as necessidades impostas pelo neoliberalismo.
KAJIAN BIOFISIK LAHAN DAN PERFORMANS BISNIS PERTANIAN DATARAN TINGGI DI KABUPATEN KONSERVASI TAMBRAUW PROVINSI PAPUA BARAT
Authors: Sagrim Meky , Iyai Deny A. , Pakage Stepanus , Tukayo Rudolf
Published: October 2020

Tambrauw Regency is obliged to safeguard the policies of the central government, especially in food self-sufficiency efforts. Determine locations that have land suitability specifications for soybeans and analyze farming agribusiness as an important factor in agricultural development. The research activity was carried out in Kebar District and Senopi District. Peanut farmers are the focus of research, with the consideration that peanuts and soybeans are a family (leguminoseae). At this stage, the study of the characteristics and specifications of the Kebar District and Senopi District areas as potential areas for the development of soybean commodities was carried out. The study of the shape, pattern, type and pattern of farming, as well as the use of agricultural production facilities by the farming community is carriedout. Data and information from various branches of farming were held with community discussions in the form of FGD. Data analyzed descriptively. The results showed low availability of potassium in flat areas and forests and acidic soil pH in flat-savanna regions. The hindering area is the slope, and flat areas only lack potassium. Potential food crops to be developed are upland rice plants and yams. The results of evaluation of land suitability for horticultural plants (Peanuts, Mustard, Tomatoes and Chillies) show "quite suitable" to "according to the margins". The farming production of Kebar was dominated by agricultural commodities and provides enough income for the household economy.
TINGKAH LAKU MENGUNYAH KERBAU MOA YANG DIBERI HIJAUAN LOKAL DI PULAU MOA KABUPATEN MALUKU BARAT DAYA
Authors: Latupeirissa C. Ch. E. , Papilaya Bercomien J. , Lelloltery Richo P.
Published: October 2020

The objective of the present study was to examined the chewing behaviour of Moa buffalo fed on local forages. The experiment was analysed as Latin square 4 x 4, four treatments and four replicates. The treatments were A (combination of graas and aulumadam), B (grass and knumge, C (grass and weru leaves) and D (grass).Variables measured were chewing during eating (intake rate, chewing rate and efficiency) and chewing during rumination (ruminating rate, time spent ruminating per bolus, rumination efficiency, and regurgitation rate). The result show that intake rate was  31.78, 30.52, 31.99, 32.14 gram/minutes for treatmen A, B, C and D, respectively.   Chewing rate (no.of chew/minutes) for   A, B, C and D was 50.81, 53.95, 56.50, and 55,67, reapectively, and chewing efficiency (no.of chews/dry weight) was 0.23, 0.31, 0.21, and 0.35 for A, B, C, and D, respectively. Ruminating rate (no of bolus/minutes) was 1.16, 1.06, 1.26, and 1.34 for A. B, C and D, respectively. Ruminating efficiency (no. of chews/bolus) for A, B, C, and D was 37.70, 43.68, 36.48 and 36.24, respectively. Time spent ruminating per bolus was 1.14, 0.96, 0.82. and 0.75 minutes for A, B, C, and D, respectivly, and regurgitation rate (minutes) was 0.16, 0.89, 1.46, and 0.44 for A, B, C, and D, respectively. It can be concluded than Moa buffalo consume all forages with similar rate and efficiency, while chewing rate differ among the the treatments. Chewing rumination is similar among all forages.
Pengembangan Ekonomi Desa melalui Kampung Garam (Studi Kasus Desa Bunder Kecamatan Pademawu Kabupaten Pamekasan Madura)
Authors: Wahyurini Endang Tri , Hamidah Emmy
Published: October 2020

The purpose of this research was to obtain an overview and analyze the patterns of economic development in the village of Bunder, Pademawu Pamekasan District. The research employed descriptive analytical-qualitative methods. The research illustrated that the village of Bunder was a village on the coast with considerable salt potential. The majority of the people earned their living as salt farmers. Based on the Pamekasan Regent program to facilitate the management and economic development in the village, a thematic village was formed, the formation of these thematic villages based on the local potential of the region. Therefore, the village of Bunder was designated as "Village of Salt". The wealth and beautiful panorama of salt in this village motivated the community to build a "Salt Edu-tourism", a tourist destination besides conducting salt recrystallization efforts with a boiled salt system. The conclusion of the research was that the economic development of the village through the salt village was a form of competitive economic development.Tujuan dilakukan penelitian ini adalah untuk mendapatkan gambaran dan menganalisis pola pengembangan ekonomi desa di Desa Bunder Kecamatan Pademawu Pamekasan. Penelitian menggunakan metode deskriptif analitis kualitatif. Penelitian ini menggambarkan bahwa Desa Bunder merupakan   desa di pesisir dengan potensi garam yang cukup besar. Mayoritas masyarakatnya bermata pencaharian sebagai petani garam. Berdasarkan program Bupati Pamekasan untuk memudahkan dalam pengelolaan dan pengembangan ekonomi di desa perlu dibentuk desa tematik, pembentukan desa tematik ini berbasis potensi lokal wilayah tersebut. Oleh karena maka Desa Bunder ditetapkan sebagai “Kampung Garam”. Kekayaan dan panorama garam yang indah di desa ini memberikan motivasi kepada masyarakat untuk membangun sebuah destinasi “Eduwisata Garam” selain itu juga dilakukan usaha rekristalisasi garam dengan sistem garam rebus. Simpulan penelitian bahwa pengembangan ekonomi desa melalui kampung garam adalah sebagai bentuk pembangunan ekonomi yang berdaya saing.
Pathology of Ground Squirrels in a Research Colony
Authors: Nation Patrick N
Published: October 2020

This paper presents a retrospective review of the postmortem findings in a colony of wild-caught ground squirrels used in medical research. The species included in this study were Richardson's ground squirrel Urocitellus richardsonii, Columbian ground squirrel Urocitellus
columbianus and golden-mantled ground squirrel Callospermophilus lateralis. The pathologic findings in 160 ground squirrels from this colony demonstrated a wide variety of conditions, with chronic nephritis and hepatic adenomas being the most frequent overall. All animals with gross
lesions of chronic interstitial nephritis had both glomerular and tubulointerstitial disease upon microscopic examination. As the first review of pathology in a research colony of ground squirrels. this study provides data for use in comparative studies about rodent diseases and important
information for those who maintain such animals for research.
Rendimiento académico del alumnado universitario participante en un programa de Aprendizaje-Servicio
Authors: Cañadas Laura , Santos-Pastor Maria Luisa
Published: October 2020

El Aprendizaje-Servicio reporta numerosos beneficios en el aprendizaje y desarrollo personal del alumnado universitario. Sin embargo, apenas se ha valorado cómo afecta a su rendimiento académico. Los objetivos de esta investigación son: (1) valorar el rendimiento académico del alumnado que participa en un programa de Aprendizaje-Servicio universitario en comparación con el alumnado que no elige participar; y (2) analizar las diferencias entre asignaturas, cursos y años académicos entre el alumnado que participa en el programa. Participaron 314 estudiantes (100 en Aprendizaje-Servicio) del Grado en Ciencias de la Actividad Física y el Deporte o el Grado en Maestro/a en Educación Primaria (Mención en Educación Física). Se recogieron las calificaciones finales en cada asignatura, y las calificaciones obtenidas en la tarea de Aprendizaje-Servicio y en la tarea alternativa propuesta para el alumnado no participante, calculando el porcentaje que suponía sobre la puntuación asignada a esa tarea en cada asignatura. Los resultados muestran diferencias estadísticamente significativas en las variables de rendimiento académico estudiadas entre el alumnado participante en Aprendizaje-Servicio y el que no participa, obteniendo mejores calificaciones los primeros. Además, entre aquellos que participaron en Aprendizaje-Servicio existen diferencias estadísticamente significativas en las variables de rendimiento académico estudiadas en función de la asignatura en la que se ha desarrollado el proyecto, en la calificación media final en función del curso en el que se participa y en el valor medio del porcentaje obtenido sobre la calificación asignada en la tarea Aprendizaje-Servicio/tarea alternativa en función del año académico en que se desarrollaron los proyectos.
The Order and Organization of Opioid Agonist Replacement Therapy Support Service for Drug Addicts in Primary Care Settings
Authors: Л. Г. Матвієць
Published: October 2020

Providing of medical care and replacement therapy for the addicted is the important component of the health care systems in realization of the principle of «harm reduction» from the shadow use of the forbidden substances. Recently in Ukraine, like in many other countries of the world the systemic approach to the to such groups of patients is implementing at the primary care level, and thus family doctor/general practitioner must have the needed level of knowledge, including knowledge – of legislative base, for the realization of such approach. The aim of the presented publication is an improvement of knowledge of primary care specialists in questions the medical and social help and organization of the replacement therapy to the addicted people. The article is formed as a lecture for the distance education and is continue of the previous author’s publications in «Family medicine» (№ 5–6, 2019). The article gives a general information about the basic legislative acts approved in Ukraine for regulation of the order of use and providing of the opioid replacement therapy by narcology service, the framework of the government Drug Strategy and policy in 2020 (approved at Feb. 6, 2019) is described and the information about the order of providing the replacement therapy and its goals for the specialists who works out of the nacrology service is discussed. The methods and order of work for the primary care specialist in replacement therapy program is described together with the features of methadone as a replacement drug in primary care level.
Effect of S-ademethionine on Arginine Content and Its Metabolites in Patients with Chronic Lymphocytic Leukemia During Chemotherapy
Authors: І. М. Скрипник  , Г. С. Маслова
Published: October 2020

The objective: to investigate the nature of changes in arginine and its metabolites in the dynamics of S-ademethionine administration on the background of program chemotherapy (CT) in patients with B-cell chronic lymphocytic leukemia (B-CLL).Materials and methods. 26 patients with B-CLL were examined. Depending on the inclusion of S-ademethionine in therapy, patients were divided into two groups: I (n=12) – patients with B-CLL, who received CT; II (n=14) – patients with B-CLL, who on the background of CT was treated with S-ademethionine 1000 mg/day intravenously for 10 days, then 1000 mg/day orally for 18 days. Assessment was performed twice: before the CT started and after 2 courses of CT. The content of arginine, citrulline, arginase activity, ornithine decarboxylase (ODC) in the blood serum was investigated.Results. Holding CT for patients with B-CLL with inclusion of concomitant therapy with S-ademethionine can increase the arginine level in 1.2 times (p=0.01), the ODC activity – 28 times (p=0.001) and decrease the arginase activity in 1,4 times (p=0.01), the citrulline content – 7.9 times in the blood serum (р=0.0001).Conclusion. In patients with B-CLL, the appointment of S-ademethionine on the background of CT can reduce the manifestations of arginine/citrulline cycle disorders caused by oncohematological disease.
Canephron® N in the Treatment of Recurrent Cystitis in Women of Childbearing Age: a Randomized Controlled Trial
Authors: М. Є. Сабадаш  , О. В. Шуляк
Published: October 2020

The objecrive: to study the effect of the herbal preparation Canephron® N, in particular its effectiveness in the prevention of recurrence of cystitis caused by E. coli in women of childbearing age.Materials and methods. Ninety patients were randomized into two treatment groups. Patients of both groups, study (n = 45) and control (n = 45), received antibiotic therapy (fluoroquinolones) for 7 days according to the results of urine culture. In addition, the patients of both groups were given general recommendations for the prevention of cystitis (drink enough liquid, avoid hypothermia, etc.). Patients of the study group additionally took Canephron® N for 3 months (2 tablets three times a day). Control examinations were carried out on the 7th day, as well as after 3, 6 and 12 months; in the event of a recurrent episode, the examination was carried out immediately. At each control point in time, the following symptoms of cystitis were recorded: pain in the bladder, burning and acute pain during urination, urgency to urinate and frequent urination in small portions. The criteria for establishing a recurrent episode of cystitis were recurrent symptoms of lower urinary tract infection, accompanied by pyuria and a positive culture of urine.Results. Compared to monotherapy with fluoroquinolones, the use of Canephron® N in combination with fluoroquinolones is more effective in educing the symptoms of cystitis after 7 days, as well as pyuria after 3, 6 and 12 months and the level of E. coli in urine after 3 and 12 months. In all control periods, the frequency of recurrent episodes in the study group was lower than in the control group, while the difference was statistically significant after 6 months (8.9 % versus 17.8 %) and after 12 months (15.5 % in compared with 35.5 %). After 12 months, the mean severity of symptoms of lower urinary tract infection (LUTI) was 6 points (p≤0.05) in the control group and 3 points (p≤0.05) in the study group. This indicates that relapses were less severe in the study group.Conclusion. The use of the herbal medicinal product Canephron® N is an innovative therapeutic method for relieving the symptoms of cystitis and, in particular, reducing the frequency of recurrent episodes of cystitis.
Doctor’s Transformational Leadership
Authors: А. І. Літвак  , В. Л. Михайленко  , О. С. Коміссарова
Published: October 2020

Leadership is a current management concept, including change management which presupposes not a job level but an authority level. The current times see leadership to be not somebody’s special feature. Today each employee can be a leader or have such feeling and be a role model in his/her sphere. Leadership is an important socio-personal competence because it includes both a component of social influence and a personal resource allowing a person to take on a leadership role.Transformational leadership is directed to individual relations formed between the leader and each follower separately. It includes some leader’s basic behavior features as worker’s hobbies promotion, supporting and self-esteem growth, creativity stimulation, comfort zone destruction, the will to team goals changes.The study involved 40 doctors. All participants were offered a multidisciplinary questionnaire by Bass–Avolio, which allows you to assess the characteristics of the individual in relation to leadership. This questionnaire includes 21 transformational and transactional leader’s characteristics statements. Doctors have estimated leadership factors really high. Meanwhile, our doctors have demonstrated a mismatch between transformational and transactional leadership characteristics and have to continue further leader sip learning.
To the Issue of Providing the Population with Comprehensive Medical Aid at Cerebrovascular Diseases at Primary Health Care Level (According to the Results of Sociological Study)
Authors: Г. О. Слабкий  , М. М. Прокопів
Published: October 2020

The reform of health care system is being carried out in the country with the priority development of primary health care on the basis of general medical practice-family medicine. Against the background of the priority development of primary medical-and-sanitary care on the basis of general medical practice-family medicine a lack of readiness of doctors to provide comprehensive medical care to the population with cerebrovascular diseases.The objective: to define the necessary measures to provide comprehensive medical aid to the population with cerebrovascular diseases at the level of primary health care in megapolis.Materials and methods. Sociological, statistical methods and the method of structural-and logical analysis were applied in the course of study. 376 family doctors working in Kyiv were interviewed with the use of a special questionnaire.Results. In order to provide the population with medical care for cerebrovascular diseases, family doctors must provide services of a prophylactic, therapeutic and rehabilitative character and provide medical and social aid to families. For that family doctors must acquire established competencies. The competencies are detailed and comprehensive. They integrate with the types of medical care in the cerebrovascular diseases. According to the results of research, the most appropriate ways for family physicians to master the necessary competencies are short-term trainings (92.6±1.3%), distance webinars (82,9±1.9%) and thematic improvement courses (57.7±2.5%).Conclusions. The introduction of the proposed types of health care will provide the population with comprehensive medical aid for cerebrovascular diseases at the level of primary health care.
The Analysis of Intestinal Lavage Method Efficiency in Patients with Chronic Pancreatitis Exacerbation
Authors: Л. С. Бабінець  , Б. О. Мігенько
Published: October 2020

The clinical picture in patients with chronic pancreatitis (CP) which develops due to acute pancreatitis (AP) (in month after attack of AP) is characterized by intestinal insufficiency syndrome (IIS). The multifactorial mechanism of IIS in CP as a result of AP requires direct attention of the physician on the elimination of the pathological symptoms, which are the main cause of malabsorption, trophological insufficiency, abdominal discomfort and pain, and as consequence, reduced quality of life and social adaptation.The objective: to investigate the dynamic of the clinical signs, anthropometric parameters and pro- and antioxidant status indicators after treatment by proposed treatment with the intestinal lavage course in patients with chronic pancreatitis which is as result of acute pancreatitis.Materials and methods. The results of investigation and outpatient treatment of 34 patients with CP (complicated by IIS) as a result of AP were analyzed.Results. It was established the effectiveness of the optimized treatment complex at the level of MA – 39,55 %, CM254 – 8,85 %, CM280 – 7,09 %, SOD – 7,75 %, SH-groups – 5,18 %, catalase – 17,78 %. The effectiveness of the optimized treatment complex by the level of PSA was 41,15 %, ferritin – 18,61 %, albumin – 15,13 %. The implementation of the proposed treatment course in the standart treatment of patients with chronic pancreatitis which developed due to acute pancreatitis has led to a significant more effective reduction of pain, improved coprogram results and normalization of endogenous intoxication indicators and positive changes antioxidant system.Conclusion. The conducted analysis of results showed that the parameters of C-reactive protein, albumin and ferritin can be used as markers of the intoxication expresion, severity of inflammation and nutrient deficiency, as well as determining the number of intestinal lavage procedures: when the content of CRP 3,0–7,0 mg/l, ferritin – 100,0–150,0 ng/ml, albumin – 35,0–32,0 g/l one lavage procedure was performed; with content of CRP – 7,0–30,0 mg/l, ferritin – 50,0–100,0 ng/ml, albumin – 32,0–29,0 g/l – 3 procedures were perfomed, with a CRP content of 30,0–50,0 mg/l, ferritin – 20,0–50,0 ng/ml, albumin ≤29,0 g/l 5 procedures of intestinal lavage were performed.
Relationship Between Pathogenetic Mechanisms of NSAID-gastropathy Development in Elderly Patients with Concomitant Ischemic Heart Disease
Authors: В. В. Пархоменко  , І. М. Скрипник  , О. Ф. Гопко
Published: October 2020

The objective: to study the relationship between risk factors and mechanisms of NSAID gastropathy development with concomitant ischemic heart disease.Materials and methods. The study included 125 patients who underwent general clinical examination, upper endoscopy with biopsy of the gastric mucosa (GM), followed by histological examination of biopsies, assessment of mucosal function of GM (content of N-acetylneuraminic acid (NANA) and fucoproteins in the blood), oxidative stress (concentration of TBA-active products and catalase activity in the blood serum), endothelial dysfunction (nitrite concentration and endothelial NO-synthase (eNOS), inducible NOS (iNOS) activity), severity of erosive-ulcerative lesions according to modified Lanzascore scale with assessment of histological changes.Results. In most patients of both groups, the onset of complaints was provoked by taking ASA and/or NSAIDs and had a direct correlation with the number of anti-inflammatory drugs (r=0.72; r=0.63; p=0.025), and also depended on the duration of NSAIDs treatment (r=0.52; r=0.67; p=0.031). There is a strong direct relationship between the concentration of NANA in the blood serum and the amount of NSAIDs (r=0.69; p=0.03), the duration of drugs (r=0.50; p=0.024), the content of TBA reactants in the blood serum (r=0.59; p=0.015), the severity of erosive-ulcerative lesions according to Lanzascore scale (r=0.71; p=0.017) on the background of inverse correlation with eNOS activity (r=–0,65; р=0,024). Correlation analysis showed a direct relationship between iNOS activity and H. pylori infection (r=0.63; p=0.030), the severity of erosive-ulcerative lesions according to Lanzascore scale (r=0.50; p=0.047), the GM infiltration by polymorphonuclear leukocytes (r=0.72; p=0.027) against the background of inverse correlation with the catalase activity (r=–0.41; р=0.030).Conclusion. The degree of GM injury depends on the amount and duration of NSAIDs and/or ASA, the presence of comorbid pathology, H.pylori infection, oxidative stress activity, endothelial dysfunction.
The Use of Harpagophytum Procumbens (Martynia Fragrans) in Rheumatology: a Look through the Prism of Comorbidity (Literature Review)
Authors: О. І. Волошин  , С. І. Сміян  , Л. О. Волошина  , С. С. Горевич
Published: October 2020

The objective: is to highlight the scientific achievements of the use of Harpagophytum procumbens in patients with osteoarthritis and other rheumatic diseases, including the aspect of comorbid processes inherent in this pathology.Materials and methods. The authors conducted a research in printed and electronic publications, science research bases, the State Register of Medicinal Products of Ukraine using methods of analysis, comparison and synthesis of information data, as well as the results of their own initial studies of the efficacy of Harpagophytum procumbens in patients with osteoarthritis with phenomena comorbid processes.Results. Materials of scientific researches carried out in different countries of the world testify that the extract of Martynia Fragrans has a multifaceted therapeutic effect of patients with osteoarthritis and age-old comorbid processes due to the properties of this plant like hypotensive, cardiotonic, disaggregant, hypoglycemic, choleretic, which improves the digestive system and kidneys qualities. The indicated properties of drugs with Martynia Fragrans are important in terms of a possible beneficial effect on comorbid diseases of the cardiovascular, digestive, genitourinary systems and diabetes mellitus, which occur in patients with osteoarthritis. A further prospect of clinical research in this direction is presented, which will be in line with the main principles of the «Strategy of the World Health Organization in the field of traditional medicine for 2014–2023».Conclusions. Preparations of Martynia (Harpagophytum procumbens) root have a multifaceted mechanism of action and are effective and safe in the treatment of patients with osteoarthritis, arthritis, mild and moderate pains. Achievements of traditional medicine and the latest studies of the effects of the extracts of Martynia Fragrans on metabolism, other organs and systems provide prospects for their positive impact on comorbid diseases in osteoarthritis and improve the overall results of treatment of such patients, being the prospects for further research.
Investigation of Usage of Milled Pine Cone in Brake Pads
Authors: SUGÖZÜ İlker , SUGÖZÜ Banu
Published: October 2020

Automotive brake pads are polymer composites containing polymer matrix and various fibers and obtained by mixing and pressing different powder materials. Each material added to the content has one or more tasks. Therefore, the properties and quantities of the materials added to the content are very important in terms of braking performance. In this study, the use of milled pinus brutia cone and pinus nigra cone from the pine cone family in the automotive brake pad was investigated experi-mentally. First of all, cones are ground and powdered. The milled 10% pinus brutia cone and 10% pinus nigra cone were added to the pad com-ponent. The performance tests of the pads were carried out on pin on disk type test device. Friction coefficient, wear, density and hardness tests of the pads were done. The test results have been shown to affect the brak-ing performance of milled pine cone.
PERENCANAAN DAN IMPLEMENTASI KEPERAWATAN
Authors: jannah nurfatul
Published: October 2020

Perencanaan keperawatan adalah suatu proses di dalam pemecahan masalah yang merupakan keputusan awal tentang sesuatu apa yang akan dilakukan, bagaimana dilakukan, kapan dilakukan, siapa yang melakukan dari semua tindakan keperawatan (Dermawan, 2012). Implementasi adalah tahap ketika perawat mengaplikasikan rencana asuhan keperawatan ke dalam bentuk intervensi keperawatan guna membantu klien mencapai tujuan yang telah ditetapkan (Asmadi, 2008). Penulisan ini bertujuan untuk mengetahui dan memberi informasi tentang perencanaan dan impelementasi keperawatan. Penulisan ini menggunakan metode literature review dengan pendekatan jurnal atau artikel, buku dan e-book yang relevan dan akurat serta berfokus pada perencanaan dan implementasi keperawatan. Adapun jurnal atau artikel dan e-book yang digunakan pada literature review adalah jurnal atau artikel dan e-book yang didapatkan dengan menggunakan Google Scholar, dan Jurnal Keperawatan Indonesia.
Fuzzy particle swarm optimization algorithm (NFPSO) for reachability analysis of complex software systems
Authors: Salimi Nahid , Rafe Vahid , tabrizchi hamed , Mosavi Amir
Published: October 2020

Nowadays, model checking is applied as an accuratetechnique to verify software systems. The main problem of modelchecking techniques is the state space explosion. This problemoccurs due to the exponential memory usage by the model checker.In this situation, using meta-heuristic and evolutionary algorithmsto search for a state in which a property is satisfied/violated is apromising solution. Recently, different evolutionary algorithmslike GA, PSO, etc. are applied to find deadlock state. Even thoughuseful, most of them are concentrated on finding deadlock. Thispaper proposes a fuzzy algorithm in order to analyze reachabilityproperties in systems specified through GTS with enormous statespace. To do so, we first extend the existing PSO algorithm (forchecking deadlocks) to analyze reachability properties. Then, toincrease the accuracy, we employ a Fuzzy adaptive PSO algorithmto determine which state and path should be explored in each stepto find the corresponding reachable state. These two approachesare implemented in an open-source toolset for designing andmodel checking GTS called GROOVE. Moreover, theexperimental results indicate that the hybrid fuzzy approachimproves speed and accuracy in comparison with other techniquesbased on meta-heuristic algorithms such as GA and the hybrid ofPSO-GSA in analyzing reachability properties.
MANFAAT DOKUMENTASI KEPERAWATAN DALAM ASUHAN KEPERAWATAN
Authors: Bismar Muhammad
Published: October 2020

Latar belakang : Dokumentasi merupakan aspek penting dari praktik keperawatan. sistem dokumentasi yang ideal harus memberikan informasi klien yang komprehensif, menunjukkan hasil dan standar klien, manfaat dokumentasi sebagai media untuk mendefinisikan fokus keperawatan bagi klien dan kelompok. Untuk membedakan tanggung gugat perawat dengan anggota tim kesehatan lainnya. Sebagai sarana untuk melakukan evaluasi terhadap tindakan yang telah diberikan kepada klien. Tujuan : Untuk mengetahui apa manfaat dokumentasi keperawatan dalam asuhan keperawatan. Metode : Jurnal ini menggunakan metode tersearch dan analisis dari berbagai sumber seperti buku teks, buku referensi jurnal dan e-book, dan juga di bandingkan dengan jurnal yang berhubungan dengan manfaat dokumentasi keperawatan dalam asuhan keperawatan. Hasil : Dari hasil perbandingan jurnal dokumentasi asuhan keperawatan merupakan bagian penting dari kegiatan yang harus dikerjakan oleh perawat setelahmemberi asuhan kepada pasien. Dokumentasi sebagai suatu sarana informasi yang lengkap dari status kesehatan pasien, kegiatan asuhan keperawatan, kebutuhan fisik mau pun sosial pasien serta respons pasien terhadap tindakan asuhan yang telah di berikan. Kesimpulan : Dokumentasi asuahn keperawatan yang dilakukan perawat memiliki manfaat yang besarbagi fasilitas pelayanan kesehatan, perawat, serta klien. Jika perawat selalu melakukan pendokumentasianasuhan keperawatan, perawat bisa mendapatkan perlindungan dari hukum, perawat juga dapatmeningkatkan pengetahuan komunikasi dan dapat memberikan jaminan mutu, akreditas, keuangan yang terjaga di fasilitas pelayanan kesehatan.
TAHAP-TAHAP PROSES KEPERAWATAN DALAM PENGOPTIMALAN ASUHAN KEPERAWATAN
Authors: Tampubolon Kristina N
Published: October 2020

ABSTRAKPerawat sebagai suatu profesi dapat mempertahankan dan meningkatkan mutu asuhan keperawatan maka jawabannya adalah dengan adanya standar. Standar merupakan level kinerja yang diinginkan dan yang dapat dicapai dimana kerja aktual dapat dibandingkan. . Dokumentasi asuhan keperawatan mencakup pernyataan dan pelaporan tentang pengkajian (pengumpulan data), diagnosis keperawatan, rencana tindakan keperawatan, tindakan dan evaluasi keperawatan.Dokumentasi yang efektif menjamin kesinambungan pelayanan, menghemat waktu, dan meminimalisasi resiko kesalahan Fator-faktor yang berhubungan dengan perilaku pendokumentasian adalah pengetahuan, sikap, beban kerja, saran, insentif dan kepemimpinan. Asuhan keperawatan adalah suatu pendekatan untuk pemecahan masalah pada pasien dengan memberikan pelayanan keperawatan. Sejauh ini perawat tidak sepenuhnya melakukan asuhan keperawatan sesuai dengan SOP.Sedangkan, Proses Keperawatan adalah suatu metode yang sistematis dan terorganisasi dalam pemberian asuhan keperawatan, yang difokuskan pada reaksi dan respons unik individu pada suatu kelompok atau perorangan terhadap gangguan kesehatan yang dialami, baik actual maupun potensial.
Faktor-Faktor yang Mempengaruhi Pengambilan Keputusan terhadap Pelaksanaan Triage di IGD
Authors: siregar Anggita salsha safira
Published: October 2020

Latar Belakang Rumah sakit khususnya IGD mempunyai tujuan agar tercapai pelayanan kesehatan yang optimal pada pasien secara cepat dan tepat serta terpadu dalam penanganan tingkat kegawatdaruratan sehingga mampu mencegah resiko kecacatan dan kematian Di Instalasi Gawat Darurat (IGD) pengetahuan, ketrampilan, dan sikap perawat sangat dibutuhkan, perawat harus mampu memprioritaskan perawatan pasien atas dasar pengambilan keputusan klinis dimana ketrampilan penting bagi perawat dalam penilaian awal, perawat harus mampu memprioritaskan perawatan pasien atas dasar pengambilan keputusan yang tepat. MetodeMetode yang digunakan adalah literature review atau studi pustaka. Literature review yang dilakukan pengkajian serta menganalisis jurnal, text book, dan ebook yang relevan dan berfokus pada proses keperawatan sebagai system pelayanan kesehatan. Adapun sumber yang digunakan yaitu diterbitkan pada 10 tahun terakhir.Hasil Perawat yang ditempatkan di triage adalah perawat yang senior dengan berbekal pengalaman dan pengetahuan untuk mengambil keputusan cepat dan tepat sesuai dengan kebutuhan sumber daya dalam waktu respon time yang telah di tetapkan. Seorang perawat triage dituntut menjalankan sistem pelayanan bersifat darurat sehingga perawat dan tenaga medis lainnya harus memiliki kemampuan, keterampilan, teknik serta ilmu pengetahuan yang tinggi dalam memberikan pertolongan kedaruratan kepeda pasien.Pembahasan Pada ruang triage peran perawat pada di fokuskan pada 3 peran utama yaitu care giver, leader, manager dan komunikator. Tingkat pengetahuan perawat dikategori berdasarkan lima indikator penilaian yaitu pengetahuan, prinsip-prinsip triage, kategori triage dan metode triage. Pengetahuan sangat erat kaitannya dengan pendidikan dimana diharapkan sesorang dengan pendidikan tinggi, maka orang tersebut akan makin luas pengetahuannya. Response time sangatlah tergantung kepada kecepatan dan kualitas pemberi pertolongan untuk menyelamatkan atau mencegah kecacatanPenutup Keadaan gawat darurat merupakan suatu keadaan klinis dimana pasien membutuhkan tindakan medis segera guna menyelamatkan nyawa dan kecacatan lebih lanjut. Secara umum ada dua faktor yang mempengaruhi akurasi pengambilan keputusan perawat dalam pelaksanaan triage. Faktor pertama adalah factor internal yang meliputi tentang pengetahuan, pengalaman kerja dan pelatihan sedangkan faktor kedua merupakan faktor eksternal meliputi hal-hal yang berhubungan dengan lingkungan kerja, beban kerja, kondisi klinis dan riwayat klinis pasien.
Berpikir Kritis Dalam Pengambilan Keputusan Pada Keperawatan
Authors: Sembiring Nikita Gina Chesena
Published: October 2020

Setiap tindakan yang dilakukan secara rasional oleh seseorang selalu melibatkan keputusan atau pilihan. Setiap pengambilan keputusan dan penyelesaian masalah menuntut seseorang itu untuk dapat menerima hal baru, perbedaan, dan aspek-aspek yang lebih kompleks dari lingkungan yang sudah ada ada (Nursalam, 2008). Dalam pengambilan keputusan seorang perawat harus berlandasan etika praktik keperawatan yang berdasarkan pada pemikiran kritis dan efektif mengenai tanggung jawab dan kewajiban seorang perawat terhadap pasien. Perawat profesional akan mengambil tindakan yang cepat dan tepat ketika keadaan klien memburuk, mendeteksi jika pasien mengalami komplikasi serta memiliki inisiatif untuk mengatasinya. Sehingga menuntut perawat untuk berpikir kritis dan mempunya waktu cepat dan tanggap dalam mengambil keputusan.