bluuebunny/crossref_metadata_2025 huggingface dataset:
CLASSIFICATION OF INNOVATIVE METHODS USED IN HIGHER EDUCATION
Authors: Niyozova Yulduz
Published: January 2021

This article highlights the main classifications, which are used in the system of higher education. Moreover, different ideas of scientists analyzed and important points presented according to practical values.
KEYWORDS: methods, innovative, educational process, activity, terms, process, competition, research, pedagogical technology, stages, connection
ВЛИЯНИЕ МЕСТНЫХ КОРМОВЫХ ДОБАВОК НА БИОХИМИЧЕСКИЕ ПОКАЗАТЕЛИ
СЫВОРОТКИ КРОВИ СИММЕНТАЛЬСКОЙ ПОРОДЫ В УСЛОВИЯХ ЯКУТИИ
Authors: Ньургустана Михайловна Алексеева , Парасковья Прокопьевна Борисова , Наталия Афанасьевна Николаева
Published: January 2021

Цель исследования – получение экспериментальных данных по влиянию год местных кормовых добавок на биохимические показатели сыворотки крови дойных коров симментальской породы в условиях Якутии. В научном опыте, проведенном на коровах симментальской породы, установлено положительное влияние местных кормовых добавок на биохимические показатели сыворотки крови. В наших исследованиях следует отметить, что содержание общего белка сыворотки крови подопытных животных находилось в пределах физиологической нормы. Некоторое преимущество по содержанию общего белка обнаружено у коров II опытной группы, по динамике белковых фракций видно, что наибольшая концентрация глобулинов в сыворотке крови у коров II опытной группы за период опыта. Так, содержание α-глобулинов в сыворотке крови составило 12,9 г/л, β-глобулинов – 9,9 и γ-глобулинов – 20,2 г/л. Разница между группами по содержанию альбуминов как и глобулинов была незначительной (Р < 0,95). Также содержание в сыворотке крови холестерина у коров II опытной группы была больше на 7,95 как ммоль/л, чем у коров контрольной, и на 1,24 ммоль/л, чем у коров I опытной группы. Проведенные исследования показали, что изменение содержания белка и его фракций в сыворотке крови свидетельствует об усилении обменных процессов в организме коров симментальской породы. Использование в составе основного рациона кормления кормовых добавок из местного сырья оказало определенное влияние на минеральный состав сыворотки крови животных. К концу опыта в сыворотке крови коров контрольной группы уровень кальция составил 12,76 г/%, фосфора 4,62 мг/%, в крови коров I и II опытных групп – 12,71 г/% и 4,66 мг/%; 12,80 г/% и 4,67 мг/% соответственно. Эти данные свидетельствуют о нормализации минерального обмена у животных и отсутствии у них остеомаляции. Следует отметить, что у коров II опытной группы наблюдалась тенденция увеличения состава аминокислот. В начале периода опыта содержание лизина в крови повысилось на 5,22 мг/% по сравнению с контролем и на 5,79 мг/% со II опытной группой, метионина на 19,67 и 10,02 мг/% соответственно. Такая же закономерность и по остальному составу аминокислот и в конце проведения опыта. Полученные данные свидетельствуют, что оптимизация кормовых рационов коров симментальской породы по содержанию витаминов группы А и С за счет применения местных кормовых добавок оказала положительное влияние на кроветворную функцию.
MENINGKATKAN PSYCHOLOGICAL WELL-BEING MELALUI CINEMA EDUCATION SEBAGAI UPAYA MENGHADAPI AGING POPULATION
Authors: Rizky Rahmaniar
Published: January 2021

Psychological well-being merupakan keadaan dimana individu dapat menyeimbangkan potensi dalam dirinya secara optimal. Tujuan dari penelitian adalah untuk mengetahui ada tidaknya peningkatan psychological well-being sebelum dan sesudah diberikan cinema-education sebagai upaya preventif menghadapi aging population di Desa Mangkujayan, Kecamatan Ponorogo, Kabupaten Ponorogo. Desain penelitian yang digunakan dalam penelitian ini adalah yaitu one-group pretest-post test design. Teknik pengambilan sampel dari penilitian ini yaitu purposive sampling, dimana sampel yang terpilih berdasarkan pertimbangan dari penelitian ini. Pengambilan sampel ini dengan tujuan agar tidak adanya pemilihan sampel pada subyek berdasarkan hal-hal diluar kebutuhan data dari penelitian. Teknik pengumpulan data yang digunakan dalam penelitian ini yaitu dengan menggunakan kuesioner, yang merupakan instrument pengumpulan data yang berisikan pernyataan atau pertanyaan yang diberikan oleh peneliti, yang selanjutnya diisi langsung oleh responden. Teknik analisis data dengan menggunakan Uji  Wilcoxon melalui aplikasi SPSS 16. Hasil melalui Uji Wilcoxon menunjukkan signifikan <0.05 yaitu 0.005 dan dapat dikatakan bahwa hipotesis diterima sehingga layanan cinema education dapat meningkatkan psychological well-being sebagai upaya preventif menghadapi aging population di Desa Mangkujayan Kecamatan Ponorogo Kabupaten Ponorogo tahun 2020.
1-Year Journey: An Insight
Authors: Shamsudin Rosnah
Published: January 2021

On behalf of the Editorial Board Members of the Advances in Agricultural and Food Research Journal —(AAFRJ) (https://journals.hh-publisher.com/index.php/AAFRJ/index), I am glad to present the Volume 1, Issue 1 and Issue 2 of the journal for year 2020. The journal which was established in April 2020 has now published 2 issues; twice in a year. AAFRJ is a Gold open access journal and is also indexed in Google Scholar, Crossref and Malaysian Citation Centre (MyJurnal).
PENGARUH PMR DENGAN KARTU PENGINGAT TERHADAP KEPATUHAN DAN KESESUAIAN PENGOBATAN PASIEN TUBERKULOSIS
Authors:   Universitas Ma Chung, Malang, Indonesia, Hendra Godeliva Adriani
Published: January 2021

The duration of tuberculosis treatment affects patient adherence. The pharmacist monitors the patient's medication by providing an intervention in the form of a reminder card. The research objective was to use a reminder card to determine the compliance level of tuberculosis patients. The design of this study was a pre-experimental one group pretest-post test from December 2019 - January 2020. The study sample was 133 adult tuberculosis patients who received detached drugs and had undergone treatment >1 month at the Pulmonary Poly Outpatient Waluyo Jati Kraksaan Hospital. The level of adherence with the reminder card intervention was calculated using the pill count method and analyzed using the Wilcoxon test. The result of tuberculosis patient adherence level increased significantly (p<0.05) after giving the reminder card from 50.00% to 99.37%. Providing a reminder card is an effort that can improve adherence to treatment of tuberculosis patients.
PENERAPAN MODEL PEMBELAJARAN QUANTUM TEACHING UNTUK MENINGKATKAN PEMAHAMAN KONSEP SISWA PADA PEMBELAJARAN IPA DI SEKOLAH DASAR
Authors: Winarto Wahyu
Published: January 2021

Latar belakang masalah dalam penelitian ini adalah rendahnya pemahaman konsep siswa pada pembelajaran IPA di Sekolah Dasar. Peneliti mempunyai alternatif untuk menyelesaikan permasalah tersebut yaitu dengan menerapkan model pembelajaran Quantum Teaching. Karena Quantum Teaching adalah pengubahan bermacam-macam interaksi yang ada di dalam dan disekitar momen belajar. Interaksi-interaksi ini mencakup unsur-unsur belajar efektif yang mempengaruhi kesuksesan siswa. Interaksi-interaksi ini mengubah kemampuan dan bakat alamiah siswa menjadi cahaya yang bermanfaat bagi mereka sendiri dan bagi orang lain, sehingga diharapkan mampu meningkatkan pemahaman konsep siswa. Rumusan masalah penelitian ini adalah bagaimanakah pelaksanaan pembelajaran IPA dengan menerapkan model pembelajaran Quantum Teaching dan apakah model pembelajaran Quantum Teaching dapat meningkatkan pemahaman konsep siswa dalam pembelajaran IPA.  Adapun tujuan penelitian ini untuk mengetahui seberapa besar penerapan model pembelajaran Quantum Teaching dapat meningkatkan pemahaman konsep siswa pada pembelajaran IPA di Sekolah Dasar. Metode penelitian yang digunakan adalah Penelitian Tindakan Kelas (PTK) dengan menggunakan model penelitian Kemmis & Mc Taggart. Dimana ada empat tahapan yang harus dilakukan yaitu perencanaan, pelaksanaan, pengamatan dan refleksi.
PENERAPAN MODEL INKUIRI SOSIAL UNTUK MENINGKATKAN KEMAMPUAN BERPIKIR KRITIS MAHASISWA CALON GURU SD
Authors: Rahmawati Deasy , Annita Ike
Published: January 2021

ABSTRACT

This aims of this study is to comprehend  the increase in the critical thinking skills of PGSD students through the implementation of social inquiry models in elementary social studies education courses. The population of this study were all 3rd semester students of the PGSD FKIP Unla study program. Sampling was carried out by using saturated sampling technique, where all members of the population were sampled, class A01 as a control class that applied conventional learning and class A02 as an experimental class that was treated with social inquiry learning models. The data in this study were obtained through the results of the pretest and posttest using the critical thinking essay test instrument. The results of this study indicate that there are differences in the increase in the critical thinking skills of PGSD students in the SD social studies course after the social inquiry learning model is applied. Beside that, the critical thinking skills of PGSD students in the Elementary Social Sciences Education course after applying the social inquiry learning model are better than the control class using conventional learning methods.

 

ABSTRAK

Penelitian ini bertujuan untuk mengetahui peningkatan kemampuan berpikir kritis mahasiswa PGSD melalui penerapan model inkuiri sosial dalam mata kuliah pendidikan IPS SD.  Populasi dalam penelitian ini adalah seluruh mahasiswa semester 3 program studi PGSD FKIP Unla. Penarikan sampel dilakukan dengan teknik sampling jenuh, dimana seluruh anggota populasi dijadikan sampel, yaitu kelas A01 dijadikan kelas kontrol yang menerapkan pembelajaran konvensional dan kelas A02 dijadikan kelas eksperimen yang mendapatkan perlakuan model pembelajaran inkuiri sosial. Data yang dalam penelitian ini diperoleh melalui hasil pretes dan postes dengan menggunakan instrumen tes uraian berpikir  kritis. Hasil penelitian ini menunjukkan bahwa terdapat perbedaan peningkatan kemampuan berpikir kritis mahasiswa PGSD pada mata kuliah Pendidikan IPS SD setelah diterapkan model  pembelajaran inkuiri sosial. Selain itu, kemampuan berpikir kritis mahasiswa PGSD pada mata kuliah Pendidikan IPS SD setelah diterapkan model  pembelajaran inkuiri sosial lebih baik daripada kelas kontrol yang menggunakan metode pembelajaran konvensional.
PERBANDINGAN MODEL PEMBELAJARAN MAKE A MATCH DENGAN TALKING STICK PADA MATA PELAJARAN MATEMATIKA MATERI PECAHAN DI KELAS III SDN SIRNA JAYA
Authors: Sidik Egi Mohamad , Permana Rahmat , Taufik Saleh Yopa
Published: January 2021

In the learning process, especially in mathematics in third grade students at SDN Sirna Jaya, it is known that they still lack understanding of fraction material, learning centered on lecture methods, which causes students to feel bored and uninterested in the material. Based on the results of the Pre-test there are still some that have not reached the Minimum Criteria for completeness set by the school for mathematics subjects with a weight of 70. The purpose of this study is to find out Make A Match learning, Talking Stick learning and know the comparison of learning models Make A Match and Talking Stick learning model in mathematics subject matter in fractional grade III at SDN Sirna Jaya. This research is a quantitative study while the research method is an experimental research. The results showed that there was a comparison of the Make A Macth learning model with the Talking Stick with the acquisition of a significance result of 0.023 <0.05 so that the conclusion H0 was rejected and H1 accepted.
PENERAPAN METODE COOPERATIVE LEARNING DALAM PEMBELAJARAN MENULIS TEKS IKLAN, SLOGAN, DAN POSTER UNTUK PENINGKATAN AKTIVITAS DAN KREATIVITAS SISWA KELAS VIII SMP PASUNDAN 2 BANDUNG
Authors: Nurhayatin Titin , Rustandi Adi , Nugraha Eggie , Kusmini Anne
Published: January 2021

This research is motivated by learning conditions that are still not optimal, both process and learning outcomes. Therefore, we conducted a research to apply lesson study by using the Cooperative Learning method in Indonesian Language, in writing advertisement, slogans, and posters texts in class VIII of Pasundan 2 Junior High School Bandung. This research is expected to improve learning outcomes, activities and creativities. The research method used is an experimental method. The research subjects were students of Pasundan 2 Bandung Junior High School Class VIII C. This research was an implementation of plan, do and see. The validity of the data is done through triangulation techniques. Based on the results of the study it can be concluded that the application of lesson study using the Cooperative Learning method is carried out in accordance with the stages in the lesson study, namely plan, do and see. Lesson study makes the learning planning process more mature so that in the implementation of learning the model lecturer feels more prepared. Lesson Study can effectively improve the quality of learning, both processes and results. This can be seen from the test results which are tested on the average significant improvement. Likewise in the process, based on the observations made, the activity and creativity of students of Pasundan 2 Junior High School Bandung increased. Thus, it can be concluded that the implementation of lesson study with cooperative learning effectively increases the activity, creativity, and learning outcomes of students in Pasundan 2 Junior High School Bandung significantly.
Nonlinear boundary-value problems for degenerate differential-algebraic systems
Authors: Chuiko Sergii , Nesmelova Ol'ga
Published: January 2021

The study of the differential-algebraic boundary value problems, traditional for the Kiev school of nonlinear oscillations, founded by academicians M.M. Krylov, M.M. Bogolyubov, Yu.A. Mitropolsky and A.M. Samoilenko. It was founded in the 19th century in the works of G. Kirchhoff and K. Weierstrass and developed in the 20th century by M.M. Luzin, F.R. Gantmacher, A.M. Tikhonov, A. Rutkas, Yu.D. Shlapac, S.L. Campbell, L.R. Petzold, Yu.E. Boyarintsev, V.F. Chistyakov, A.M. Samoilenko, O.A. Boichuk, V.P. Yacovets, C.W. Gear and others. In the works of S.L. Campbell, L.R. Petzold, Yu.E. Boyarintsev, V.F. Chistyakov, A.M. Samoilenko and V.P. Yakovets were obtained sufficient conditions for the reducibility of the linear differential-algebraic system to the central canonical form and the structure of the general solution of the degenerate linear system was obtained. Assuming that the conditions for the reducibility of the linear differential-algebraic system to the central canonical form were satisfied, O.A.~Boichuk obtained the necessary and sufficient conditions for the solvability of the linear Noetherian differential-algebraic boundary value problem and constructed a generalized Green operator of this problem. Based on this, later O.A. Boichuk and O.O. Pokutnyi obtained the necessary and sufficient conditions for the solvability of the weakly nonlinear differential algebraic boundary value problem, the linear part of which is a Noetherian differential algebraic boundary value problem. Thus, out of the scope of the research, the cases of dependence of the desired solution on an arbitrary continuous function were left, which are typical for the linear differential-algebraic system. Our article is devoted to the study of just such a case. The article uses the original necessary and sufficient conditions for the solvability of the linear Noetherian differential-algebraic boundary value problem and the construction of the generalized Green operator of this problem, constructed by S.M. Chuiko. Based on this, necessary and sufficient conditions for the solvability of the weakly nonlinear differential-algebraic boundary value problem were obtained. A typical feature of the obtained necessary and sufficient conditions for the solvability of the linear and weakly nonlinear differential-algebraic boundary-value problem is its dependence on the means of fixing of the arbitrary continuous function. An improved classification and a convergent iterative scheme for finding approximations to the solutions of weakly nonlinear differential algebraic boundary value problems was constructed in the article.
«Por nuestras muertas». El despertar de un poder y la movilización de Ni Una Menos [NUM] en el Perú de 2016
Authors: Canaza Choque Franklin Américo
Published: January 2021

Interesa ante todo, regresar al Perú de 2016 para reconstruir y poder explicar el movimiento social de Ni Una Menos (NUM) en un escenario profundamente dañado por el incremento de violencia contra las mujeres y de elevadas tasas de feminicidios. Frente a esto, pudo notarse que diferentes grupos y colectivos decidieran crear desde la redes una alerta sobre el tema. La solución planteaba que se convocaría a una movilización nacional que pudiese dar cuenta de la crítica situación de miles de mujeres en el país. Esta pretensión, finalmente, detonó el 13 de agosto de 2016 ante la impunidad por parte del Poder Judicial al dictaminar fechas antes dos sentencias benignas. De eso trata NUM, movimiento que procede de una radiografía inadmisible y de un cuadro acumulado por inmensas denuncias relativas por actos de violencia o de feminicidios presentados, en donde las mujeres, mayoritariamente, se posicionaban en medio de todos estos problemas. En esa tensa situación, es que sucede que una errada decisión institucional, pudo definitivamente, ser el punto explosivo y el inicio de un caudal de reclamos y encuentros devenidos desde la indignación y la intervención de la colectiva femenina o de las colectivas que reunía NUM.
Rancang Bangun Alat Ukur Kondisi Ruang Inkubator Bayi berbasis Komputer PC dan Aplikasi Android
Authors: Marwita Fivit , Ariman Ariman , Febriansyah Muhammad , Iswoko Iswoko
Published: January 2021

Penyusunan rancang bangun alat ukur kondisi ruang pada inkubator bayi yang terkoneksi ke personal computer (PC) ini ditujukan untuk mempermudah petugas perawatan atau teknisi di instansi kesehatan dalam melakukan perawatan alat inkubator bayi, petugas tidak perlu melakukan pengukuran yang hasilnya di input dan di analisa secara manual. Namun, semua data dari alat ukur terkoneksi dengan perangkat komputer dan aplikasi Android. Koneksi antara alat dengan perangkat komputer ini menggunakan perangkat software LabVIEW (Laboratory Virtual Instrument Engineering Workbench), sedangkan perangkat kerasnya menggunakan arduino UNO.

                Keadaan yang diukur pada alat ukur ini adalah pada suhu ruang, suhu matras, kelembaban dan tingkat kebisingan. Sensor yang digunakan adalah sensor suhu ( LM35), Sensor kelembaban (DHT11) dan sensor suara (Mic condenser). Pada alat ukur ini akan di tampilkan seluruh pembacaan secara real time pada displai (LCD 20 x 4). Koneksi pembacaan pada software LabVIEW akan melakukan pembacaan sesuai pengaturan pada alat inkubator bayi, data pembacaan adalah sebanyak lima kali dengan rentang waktu perpindahan lima menit sekali. Setelah pengukuran selesai, hasil secara otomatis akan masuk ke program microsoft excel hasil akhir perhitungan rata-rata otomatis dan kemudian di kirimkan ke aplikasi Android

                Dengan demikian penelitian dan alat yang dirancang ini dapat membantu petugas terkait untuk dapat melakukan perawatan rutinnya serta dapat mengontrol atau melakukan perbaikan apabila terdapat hasil kondisi alat tidak baik (pencegahan dini).

Kata Kunci :LabView, Arduino Uno, Aplikasi Android, sensor , Inkubator bayi
QUALITY OF LIFE IN PATIENTS WITH TERTIARY HYPERPARATHYROIDISM AFTER OPERATIVE TREATMENT
Authors: Makarov I. V. , Karpova D. O. , Ivanov A. Yu. , Kapitonova S. A.
Published: January 2021

An increase in the life expectancy of patients undergoing renal replacement therapy is directly related to an increase in the number of patients with secondary (SHPT) and tertiary hyperparathyroidism (THPT). The main treatment for secondary and tertiary hyperparathyroidism is surgical. Moreover, improving the quality of life of this category of patients is one of the main purpose of surgical intervention.
The purpose is to evaluate changes in the quality of life of patients with tertiary hyperparathyroidism who are on program hemodialysis after surgical treatment.
Materials and methods. A survey of 60 patients with THPT was carried out before and after surgery using the Short Form-36 questionnaire (SF-36). The survey was attended by 35 women (58%) and 25 men (42%). Statistical processing of the results was carried out using Microsoft Office Excel and the program Statistic 7.
When analyzing the results of the survey, it can be noted that the indicators of quality of life after surgery were significantly higher than the values before surgery. The greatest increase was observed in the assessment of indicators related to the mental component of health - by 27.4%; physical component of health increased by 13.8%. At the same time, the average value of the scale of physical functioning increased by 30.2%, role-based functioning, due to physical condition - by 75%, and due to emotional state - by 100%, pain intensity - by 58%. The indicator of vital activity increased by 2 times. A pronounced correlation was observed between the levels of parathyroid hormone (r = 0.81, at p = 0.0002), ionized calcium (r = 0.56, at p = 0.003) and scales of physical functioning before and after the operation.
SIMULATION MODEL OF OPERATIONAL INTERVENTIONS TAKING INTO ACCOUNT NEW NECK TOPOGRAPHIC–ANATOMICAL DATA
Authors: Maleev Yu. V. , Romashchenko P. N. , Fomin N. F. , Chernykh A. V. , Krivolapov D. S. , Vshivtsev D. О. , Golovanov D. N.
Published: January 2021

Considerable difficulties and serious complications during operations on the thyroid (thyroid gland) and parathyroid gland (OSG), larynx, cervical trachea and esophagus are caused primarily by their large anatomicalvariability. Purpose of the study. To develop a simulation model of surgical interventions on the neck, taking into account new data on its typical anatomy to improve the quality of life of patients. Material and methods: Somatometry of the neck: 300 men aged 17 to 47 years (22 ± 4 years) and 475 women from 16 to 66 years (21.9 ± 5 years). Topographic-anatomical studies - 426 non-fixed corpses of persons who died suddenly: 290 males who died aged 18 - 83 years (47 ± 12) and 136 - females aged 17 - 85 years (52 ± 16). Clinical studies - in the clinic of faculty surgery S.P. Fedorova VMA from 2013 to 2017: 470 operated patients with thyroid pathology. Results and conclusion. The optimal method of neck somatometry was tested; systematized topographic – anatomical structural features of the thyroid gland and the thyroid gland, VGN, esophagus, trachea, larynx; made anatomical discoveries; proposed new principles for developing a simulation model of operations, taking into account extreme types of variability. A treatment and diagnostic algorithm is proposed for thyroid and thyroid surgery, which minimizes intraoperative and postoperative complications and improves the quality of life of patients.
CLINICAL AND ANATOMICAL RATIONALE OF MINIMALLY INVASIVE PARATHYROID SURGERY
Authors: Romashchenko P. N. , Fomin N. F. , Maistrenko N. A. , Maleev Yu. V. , Krivolapov D. S. , Pryadko A. S. , Vshivtsev D. O. , Starchik D. A.
Published: January 2021

The information presented in the literature on the use of minimally invasive interventions in the treatment of hyperparathyroidism is not fully justified by topographical and anatomical studies and does not take into account individual features of the location and syntopia of the parathyroid glands, which requires additional scientific research. Purpose of the study: based on the topographical and anatomical features of the structure of the anterior neck region, determine the most rational methods of minimally invasive interventions on the parathyroid glands, evaluate their clinical effectiveness and justify their use in the implementation of a treatment and diagnostic algorithm in patients with hyperparathyroidism.
Material and methods: The design of the study consisted of two stages – anatomical and clinical. Anatomical stage is performed on 2 levels: 1) on anatomical material, which included 15 human cadavers; 2) on plastinated cross-cuts of the neck (n=3) of human cadavers. During the clinical stage, the results of examination and treatment of 53 patients with hyperparathyroidism, who underwent surgery using three methods: Сonventional (n=18/34%); Minimally Invasive Video Assisted Parathyroidectomy (n=32/60%) and Transoral Endoscopic Parathyroidectomy Vestibular Approach (n=3/6%). Results: at the anatomical stage, the validity and safety of minimally invasive video-assisted Parathyroidectomy was proved. The use of this access in clinical practice as an alternative to the traditional one has shown its effectiveness in reducing the frequency of specific postoperative complications from 16.7% to 6.3% with an acceptable increase in the duration of surgery from 42.8±15.7 to 64.4±23.5 minutes and maintaining the average duration of inpatient treatment after surgery at the level of 3.4±0.6 days. Conclusion: minimally invasive video-assisted parathyroidectomy can be considered the operation of choice in the treatment of patients with hyperparathyroidism. The use of this technique with the implementation of lateralization of the thyroid lobe, the preservation of the upper and lower thyroid vessels, as well as the use of intraoperative neuromonitoring and Identification of pathological and normal parathyroid tissue by fluorescent labeling with 5-aminolevulinic acid can improve the results of surgical treatment, reduce the number of postoperative complications, the frequency of persistence and relapse of the disease, and improve the quality of life of patients.
METHOD FOR DESIGNING SURGICAL ACCESS FOR ADRENALECTOMY USING 3D-MODELING
Authors: Romashchenko P. N. , Zheleznyak I. S. , Maistrenko N. A. , Bliumina S. G.
Published: January 2021

In the literature, insufficient attention is paid to the preoperative planning of the approach to adrenal glands using the modern capabilities of computed tomography (CT) navigation. The aim of the work was to demonstrate the possibilities of designing safe access for adrenalectomy using three-dimensional printed models based on preoperative CT data. The possibilities of preoperative access design for edrenalectomy were studied in 362 adrenal tumor patients who underwent CT imaging on Aquillion 64 (Toshiba, Japan), followed by post-processor image processing, construction of multi-plane and 3D reconstructions. All patients were divided into retrospective (n=157) and prospective (n=205) groups. In 3 clinical cases, preoperative access design was supplemented by the creation of a three-dimensional printed model of the adrenal gland with a tumor using the Slicer 4.10.1 software.
Reliable anthropometric (body mass index, body shape) and CT-criteria for designing surgical access to the left and right adrenals were determined: diameter of formation; tumor syntopy in relation to the walls of the inferior vena cava; the length of the central adrenal vein and the place where it flows into the inferior vena cava; the location of the tumor relative to the inferior vein of the right lobe of the liver, as well as relative to the gate of the right kidney; location near the aortic-renal vascular triangle, gate of the left kidney and spleen vessels. Three patients with a borderline number of risk criteria for the development of vascular complications associated with the technical difficulties of adrenalectomy (for right adrenals≥4, for left adrenals≥3) underwent
CT-segmentation of images with the subsequent creation of three-dimensional plates - a model of an NP tumor with neighboring organs and vessels.
Preoperative CT design of the approach, taking into account the risk criteria for complications and the use of 3-D printed models, can reasonably apply endoscopic and open options for adrenalectomy, significantly improving the immediate results of treatment of patients.
ROLE OF INFECTION IN THE ORIGIN, COURSE, RESULTS OF TREATMENT OF TOXIC GOITER
Authors: Tereshchenko I. V.
Published: January 2021

To date, the question of the causes of toxic goiter has not been resolved. Purpose: to analyze the role of infection in the occurrence, course, treatment outcome of toxic goiter. Observed in the dynamics of 64 patients with toxic goiter. In 36% of cases, thyrotoxicosis manifested itself after acute infections. Foci of chronic bacterial infection were detected in 59 (92.2%) patients. Serological indices of persistence of herpes simplex virus, Epstein- Barr, cytomegalovirus (HSV, EBV, CMV) were high in all patients with suspected viral persistence (n = 20). In 1/3 of the observations a combined infection was established. The infection was cured in 34 patients. The infection was not cured in 30 patients. The observations showed that acute and chronic bacterial and viral infections can provoke the onset of toxic goiter, worsen its course, reduce the effectiveness of therapy, affecting the main link in the pathogenesis of the disease - the activity of the autoimmune process in the thyroid gland. Infection exacerbations stimulate the production of AT-rTTG, leading to relapses thyrotoxicosis. Conclusion: although infection is not the main etiological factor of toxic goiter, its role in the manifestation, course of toxic goiter, the effectiveness of therapy, and the distant prognosis is undeniable. Starting treatment for toxic goiter, in including planning surgical treatment or radioiodine therapy, it is necessary to identify and sanitize foci of infection, to check the possible persistence of common viruses of herpes simplex, Epstein-Barr, cytomegalovirus. This will improve the prognosis, reduce the high risks of thyrotoxicosis relapses.
HYPERLACTATEMIA IN TREATMENT OF DIABETES TYPE 2 BY METFORMIN
Authors: Tereshchenko I. V.
Published: January 2021

It was previously found that when it is treated type 2 diabetes mellitus (DM2) by metformin, hyperlactemia does not develop or occurs extremely rarely, and due to concomitant pathology. Clinicians usually do not monitor blood lactate levels. Goal: to analyze the frequency of hyperlactatemia in patients with DM2, its possible causes and role in this of metformin, clinical manifestations, ways of elimination and prevention. We observed in the dynamics of 38 patients with DM2 receiving metformin in doses of 1500–3000 mg / day. All patients were tested the level of lactate in the blood. Hyperlactatemia was detected in 6 cases (12.8% of patients), of which two patients (5.3%) showed lactic acidosis: the blood lactate level of them was 4.0 μmol/L and 4.6 μmol/L. A correlation between the level of lactic acid and the dose of metformin has not been established. All observed patients had polymorbidity and compelled polypharmacy. Hypothyroidism was observed in 42.1% of patients; in patients with lactic acidosis hypothyroidism was decompensated, i.e. it was chronic oxygen starvation of tissues. Conclusion: Observations confirmed that treatment of DM2 with metformin is rarely complicated by lactic acidosis and even moderate hyperlactatemia. Complications of diabetes, concomitant pathology and compelled polypharmacy, including metformin, disrupt the metabolism of lactic acid, its elimination, utilization in gluconeogenesis processes; in ≈12.8% of cases, the level of lactate in the blood rises. The risk of lactic acidosis, i.e. death threat occurs in ≈5.3% of patients. Along with the etiological factors of lactic acidosis widely presented in publications in patients with type 2 diabetes mellitus, in ≈42.1% of cases, lactate accumulation is promoted by hypothyroidism, the decompensation of which creates chronic oxygen starvation of tissues. To check periodically the level of lactic acid and monitor the function of the thyroid gland it is necessary in all patients with DM2, even if they are not treated with metformin.
FEATURES OF FINE-NEEDLE VACUUM ASPIRATION BIOPSY UNDER ULTRASOUND CONTROL IN PATIENTS WITH FOCAL THYROID PATHOLOGY
Authors: Borsukov A. V. , Tagil A. O.
Published: January 2021

One of the main diagnostic methods used in diseases of the thyroid gland is ultrasound examination of the thyroid gland. Due to its availability and noninvasiveness, high information content, ultrasound is an extremely effective method of differential diagnosis of thyroid pathology. Despite the sufficient Arsenal of diagnostic methods that allows us to suspect nodal changes in the thyroid gland, a cytological biopsy is the “golden standard” in diagnostic algorithms. The use of ultrasound control methods for performing minimally invasive interventions significantly facilitates manipulation and reduces the risk of possible complications, but does not exclude the possibility of their occurrence.
In connection with all the above, there is an idea to create a device that helps to facilitate the performance of a fine-needle aspiration biopsy to a specialist, reduce the risk of possible complications and increase the information content.
In the Problem scientific research laboratory «Diagnostic studies and minimally invasive technologies” of the Smolensk state medical University developed a device to increase the efficiency and informational content of fine-needle aspiration biopsy under the control of ultrasound navigation in patients with nodular formations of the thyroid gland. 26 (9.5%) patients were performed fine-needle vacuum aspiration biopsy using the created device, thanks to which 18 (6.6%) patients were found to have adenomatous formation, changes in the type of subacute thyroiditis were found in 5 (1.8%) patients, and 3 (1.09%) cases of follicular neoplasia.
In cases where a higher discharge is necessary for the collection of cytological material, and the developed device allows you to create conditions that increase the information content and facilitate the procedure, in addition, it is possible to perform the procedure by one specialist, which reduces the workload of several specialists in the Department dealing with minimally invasive interventions.
DIAGNOSTIC AND CHOICE OF SURGICAL TACTICS IN PATIENTS WITH RETROSTERNAL GOITER
Authors: Gostimsky A. V. , Karpatsky I. V. , Matveeva Z. S. , Shudaev I. R. , Selikhanov B. A.
Published: January 2021

Background. The frequency of retrosternal goiter is 10-15% of the total number of surgical thyroid diseases. The main treatment method is surgery. The relevance of the work is determined by the contraventions in algorithm for the preoperative sternotomy risk assessment in this group of patients. Objective: to identify factors that increase the risk of sternotomy in patients with retrosternal goiter.
Material and methods. The study was performed in the St. Petersburg City Hospital 26 in 2011–2019. During this period 1156 operations for thyroid diseases were performed. Retrosternal goiter was detected in 227 (19.6%) patients.
Results. The clinical picture of the retrosternal goiter was polymorphic and depended on the degree of compression of mediastinal organs and vessels. Long-term compression of the organs of the neck and mediastinum contributes to relative compensation and the asymptomatic course, which was observed in 78 (34.4%) cases.
The main diagnostic method for retrosternal goiter was radiological. Computed tomography helped to the mediastinum. The most significant factors in determining the likelihood of sternotomy were: the size of the retrosternal part of the goiter and its relationship with the upper thoracic aperture, localization of the goiter in the anterior or posterior mediastinum, the relations of thyroid tissue with vital organs, large vessels and nerve trunks. Combined cervical access with longitudinal transverse sternotomy was planned in 18 cases, but the real need for it was only in 2 (0.9%) cases.
Conclusion. Computed tomography with 3-D reconstruction is the leading method of differential diagnosis and determination of surgical treatment tactics in patients with retrosternal goiter. In most cases, surgery is possible through cervical approach, but it is necessary to foresee the likelihood of sternotomy. Determining only the absolute dimensions of a goiter does not always determine the need for longitudinal-transverse sternotomy. An important role is played by a combination of risk factors.
THE PREVALENCE OF MODIFIABLE RISK FACTORS IN THE POPULATION AND IN PATIENTS WITH DIABETES MELLITES, INCLUDING DIABETIC FOOT SYNDROME
Authors: Kravtsova T. Yu. , Zarivchatskiy M. F. , Lukin P. S. , Blinov S. F. , Bacheva M. V.
Published: January 2021

Goal of work - identify modifiable risk factors for chronic non-infectious diseases in patients with type 2 diabetes mellitus and in the formation of diabetic foot syndrome. Material and methods. A comparative medical and social study was conducted - a survey of patients in clinics of the city of Perm, suffering and not suffering from diabetes. The study involved 230 people who were assigned according to the presence/absence of diabetes mellitus. The first group included 178 patients with an average age of 45.8 (30.0; 59.0). The second group included 27 patients with diabetes mellitus, with an average age of 61.7 years (50.0; 62.0). The third group included 25 patients with diabetic foot syndrome, whose average age was 64.72 years (61.0; 69.0). Women predominated in all groups. Original and generally accepted questionnaires were used to study the presence of common risk factors for chronic diseases among respondents. Results. The analysis of the studied materials showed a clear qualitative and quantitative pattern of accumulation of risk factors in the age exponent. Most risk factors tend to grow up to 54-65 years. Risk factors such as smoking, alcohol abuse, poor nutrition and overweight, depression and hypertension predominate (р<0,05) in older age groups of respondents. In patients with diabetes mellitus, low physical activity, poor nutrition, and obesity predominate (р<0,05). In patients with diabetic foot syndrome, the same risk factors were identified as in patients without this pathology. At the same time, in respondents with diabetic foot syndrome, physical activity was minimal, and body mass index values were much higher (р<0,05); in addition, patients with diabetic foot syndrome are more likely (р<0,05) to be depressed and perceive their health as «very poor.»
Pengaruh Penerimaan Pajak Restoran Terhadap Penerimaan Pajak Daerah di Kota X
Authors: Hernawati Euis
Published: January 2021

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penerimaan pajak restoran terhadap penerimaan pajak daerah di kota X. Metode yang peneliti digunakan pada penelitian ini adalah analisis kuantitatif, Hasil penelitian ini  diperoleh nilai koefisien determinasi adalah 88,5% yang berarti 88,5% penerimaan pajak daerah dapat dijelaskan oleh penerimaan pajak restoran, sementara 11,5% atau sisanya dapat dipengaruhi oleh variabel lainnya. Kegiatan penyuluhan pajak merupakan tindakan yang pemerintah daerah lakukan untuk menyelesaikan masalah yang terjadi pada kegiatan pemungutan pajak restoran. Meski telah cukup baik, tapi kegiatan pelaksanaan masih belum cukup optimal. Oleh karena itu, peneliti menyarankan untuk mengoptimalkan upaya untuk menyelesaikan masalah yang terjadi pada kegiatan pemungutan pajak restoran sehingga masalah yang terjadi bisa diselesaikan sepenuhnya
Pengaruh Motivasi Kerja, Kompetensi dan Komunikasi Organisasi Terhadap Kinerja X
Authors: Suntani Sentiana Soni
Published: January 2021

Solusi yang baik untuk mewujudkan kualitas sumber daya manusia adalah pendidikan. X adalah salah satu dari X. Banyak faktor yang mempengaruhi pendidikan di X, yang menyebabkan kinerja guru di X tidak optimal. Dengan demikian, tujuan dari penelitian ini adalah untuk menyelidiki motivasi kerja, kompetensi guru, komunikasi organisasi, dan kinerja guru di X, dan untuk menyelidiki pengaruh motivasi kerja, kompetensi guru, dan komunikasi organisasi terhadap kinerja guru di X. Metode penelitian menggunakan survei deskriptif dari unit sampel dari 65 guru di X. Pengujian hipotesis penelitian menggunakan analisis jalur, untuk memproses data dari kuesioner menggunakan program komputer kantor microsoft Excel dan SPSS untuk Windows Versi 17,00. Berdasarkan hasil penelitian, dapat disimpulkan bahwa hubungan motivasi kerja, kompetensi guru, dan komunikasi organisasi, dengan kinerja guru adalah positif. Arti dari hubungan positif di sini adalah bahwa jika motivasi kerja, kompetensi guru, dan komunikasi organisasi meningkat, kinerja guru akan meningkat. Motivasi kerja, kompetensi guru, dan komunikasi organisasi memiliki pengaruh yang signifikan terhadap kinerja guru di X.
Analisis Laporan Keuangan Terhadap Kinerja Keuangan di KSP XX Kebumen
Authors: Wahyuningsih Sri , Andraeni Asih
Published: January 2021

Tujuan dari penelitian adalah untuk mengetahui kinerja keuangan KSP XX Kebumen, karena piutang anggota yang tinggi, sehingga mengakibatkan kas yang dimiliki koperasi menurun. Metode  penelitian yang digunakan adalah deskriptif  kuantitatif  dengan  perhitungan analisis  rasio  keuangan  berdasarkan data laporan  keuangan  tahun  2016-2018.Hasil penelitian ini  menunjukkan  bahwa  rasio likuiditas sebesar 111,88% termasuk dalam katagori buruk. Rasio sovabilitas terdapat DER sebesar 498,28% dan DAR sebesar 80,93% termasuk dalam  katagori buruk. Rasio rentabilitas terdapat ROA sebesar 1,89% dan ROE sebesar  7,46%  termasuk  dalam  katagori  kurang  baik. Untuk  aktivitas  terdapat TATO  sebesar 0,33 kali  dan  RTO  sebesar  0,38 kali  termasuk dalam  katagori  buruk. Hal ini  menunjukkan  bahwa  KSP  Lestari  Jaya  Mandiri Kebumen  perlu  memperbaiki  perputaran  piutangnya, agar  sisa  hasil  usaha  yang  didapat setiap  tahunnya  selalu  meningkat.
Kualitas Pelayanan Perizinan Satu Pintu di Kabupaten Kebumen
Authors: Partiwi Sotya
Published: January 2021

Penelitian ini bertujuan untuk menentukan layanan perizinan di Kantor Pelayanan Investasi dan Terpadu Satu Pintu, Kabupaten Kebumen yang diukur menggunakan Indeks Kepuasan Masyarakat. Penelitian ini merupakan jenis penelitian deskriptif dengan menggunakan analisis Indeks Kepuasan Masyarakat berdasarkan Peraturan Menteri Reformasi Administrasi dan Reformasi Birokrasi Republik Indonesia No. 14/2017 tentang Pedoman Unit Survei Kepuasan Masyarakat Penyedia Layanan Publik. Penelitian dilakukan di 26 Kabupaten di Kabupaten Kebumen dengan 374 responden menggunakan layanan perizinan. Dari hasil penelitian dapat dilihat bahwa Indeks Kepuasan Masyarakat untuk layanan lisensi memperoleh hasil sebesar 82,15, dalam indeks Kualitas Layanan angka tersebut berada dalam kategori antara 76,61-88,30 yang berarti "Bagus". Kemudian kinerja layanan perizinan di Kabupaten Kebumen berada dalam kategori kualitas layanan yang baik
Pengaruh Kompensasi dan Pemberdayaan Terhadap Loyalitas Dengan Kepuasan Kerja Sebagai Variabel Intervening
Authors: Rizana Dani
Published: January 2021

Penelitian ini bertujuan untuk menganalisis pengaruh kompensasi dan pemberdayaan terhadap Loyalitas dengan kepuasan kerja sebagai variabel intervening. Penelitian ini menggunakan metode analisis deskriptif kuantitatif dengan bantuan program SPSS 25. Dalam metode statistika, dilakukan uji validitas, reliabilitas, pengujian asumsi klasik dan analisis jalur, uji t dan analisis korelasi. Sampel dalam penelitian ini sebanyak 35 responden dengan teknik pengambilan sampel jenuh dengan pengumpulan data menggunakan kuesioner. Pengujian Hipotesis pada analisis jalur variabel kompensasi berpengaruh positif terhadap kepuasan kerja dan variabel pemberdayaan berpengaruh positif terhadap kepuasan kerja dengan kontribusi 75,7%. Pengujian Hipotesis pada analisis jalur persamaan II variabel pemberdayaan tidak berpengaruh positif terhadap loyalitas, variabel kompensasi berpengaruh positif terhadap loyalitas dan variabel kepuasan kerja berpengaruh positif terhadap loyalitas dengan kontribusi 73,5%.
Pelaksanaan Standar Operasional Prosedur Check In Di Kantor Depan Hotel De Paviljoen Bandung
Authors: Sri Marini  , Jessica Tisnadjaya
Published: January 2021

Penelitian ini bertujuan untuk mengetahui pelaksanaan standar operasional prosedur check in di kantor depan Hotel De Paviljoen Bandung Metode penelitian yang akan digunakan oleh penulis dalam penelitian ini adalah metode deskriptif dengan pendekatan kuantitatif. Teknik pengumpulan data yang dilakukan yaitu dengan cara penyebaran kuesioner, observasi. Sedangkan teknik analisis data dengan menggunakan skala likert. Keefektifan Pelaksanaan Standar Operasional Prosedur check in yang ada di Hotel De Paviljoen Bandung belum terlaksana secara maksimal, dikarenakan adanya beberapa faktor yang belum terlaksana dengan baik oleh setiap petugas kantor depan.
Analisis Kepuasan Masyarakat Terhadap Pelayanan Publik Berdasarkan Indeks Kepuasan Masyarakat di Kantor Kecamatan Ayah Kabupaten Kebumen
Authors: Sulistyo Indah Nur’aini , Sotya Partiwi Ediwijoyo
Published: January 2021

Fasilitas pelayanan yang dianggap masih kurang memadai dan lamanya waktu penyelesaian pelayanan serta tidak adanya kepastian waktu pada pelayanan pembuatan e-KTP di Kantor Kecamatan Ayah adalah permasalahan yang sering dikeluhkan oleh sebagian masyarakat. Karena itu penulis ingin mengetahui seberapa besar kepuasan masyarakat terhadap pelayanan publik di Kantor Kecamatan Ayah Kabupaten Kebumen. Metode penelitian menggunakan deskriptif pendekatan kualitatif  dengan perhitungan Indeks Kepuasan Masyarakat (IKM) yang mengacu pada PERMENPAN RB Nomor 14 Tahun 2017. Berdasarkan perhitungan Indeks Kepuasan Masyarakat, dari 9 (sembilan) indikator yang memiliki nilai IKM tertinggi adalah biaya dan tarif pelayanan dengan nilai IKM sebesar 3,50 dengan nilai konversi IKM sebesar  87,50 Sedangkan indikator yang memiliki nilai IKM terendah adalah indikator waktu penyelesaian pelayanan mendapatkan nilai IKM sebesar 2,66 dan nilai konversi IKM sebesar 66,50. Secara keseluruhan IKM pada Kantor Kecamatan Ayah pada tahun 2018 sebesar 82.25 yang berarti kualitas pelayanan publik berada pada tingkat “B” atau “Baik”.
New Approaches to Understanding Judicial Ethics in the Information
Authors:   Russian State University of Justice (Moscow), Burdina E. V.
Published: January 2021

Introduction. The article is devoted to the problems of the essence and content of judicial ethics in the new conditions of the technical revolution and with other social needs for legal regulation. Theoretical Basis. Methods. The work used a systematic, activity-personal approach to the study of moral and ethical standards of the conduct of judges. This made it possible to reveal a new and broader view on judicial ethics, which is not simply a set of moral restrictions and obligations imposed on a judge. Results. The work has identified and analysed the signs of judicial ethics at the current stage of development. It is argued that ethical regulation is precautionary in relation to the legal regulation of the independence of judges, for they complement ethical rules and reinforce legal norms. The ethical conduct of judges is an instrument guaranteeing judicial independence in all of its manifestations, including in organisational and judicial relations. The new realities of our time recognise the expansion of boundaries and the subject area itself of ethical regulation. A broader view on judicial ethics, which differs from the traditional one, is hereby justified. The latter is defined in two ways – namely both as a system of professional values, as well as a means of judicial administration based on the principle of self-regulation. By its very nature, judicial ethics is the result (and the way) of judicial self-governance, developed on the basis of the experience of functioning bodies of the judicial community. Discussion and Conclusion. Conclusions are drawn on both the instrumental and the managerial impact of the categories of ethics. The subject of judicial ethics has been defined, which constitutes the rules of conduct of judges in the performance of their professional duties and beyond – namely the set of general principles of work of a judge, as well as the personal qualities of a judge personifying the judicial power. Proposals on the optimisation of the mechanism of ethical influence, differentiation of ethical and disciplinary norms have also been substantiated.