bluuebunny/crossref_metadata_2025 huggingface dataset:
A case of duodenal and pancreatic agenesis in a calf
Authors: ATASEVER Ayhan , EKEBAŞ Görkem
Published: November 2020

A three-day-old montafon calf brought to the clinic died in spite of intervention attempts. The necropsy of this calf was about 1 liter of cheese-packed dairy cows in the abdominal cavity, where the intestines were filled with anemic and gas. The liver tissue was pale gray-white in color. Duedonum was not present where it should have been between jejenum and the end of abomasum’s pyloris region. Instead, there was a structure presenting hyperemic and adipose tissue about 25-30 cm, along with lymp nodules. At the end of the Pylorus and at the beginning of the jejunum, there were luminal structures near the thick, crumpled crater-like circle. Pancreas was not present where it should be found anatomically. In the chest cavity, it was observed that the lungs were somewhat reddish in color and not well collapsed. Heart was anemic of and muscles were pale. Due to necropsy findings and histopathological examination, this case which is rarely seen at calves is the first case reported from Turkey, which is defined as a congenital duodenal agenesis.
Ratlarda Tekrarlayan Dozlarda GnRH uygulamasının, Östrojen α ve Progesteron B Reseptörlerine Etkisinin İmmunohistokimyasal Olarak Araştırılması
Authors: USLU Sema , YÖRÜK Mecit
Published: November 2020

Sunulan bu çalışma da, tekrarlayan dozlarda GnRH enjeksiyonunun östrojen ve progesteron reseptörlerinin dağılımına etkisinin belirlenmesi amaçlandı. Çalışmada (n=24) adet rat kullanıldı. Gruplar; hiçbir uygulama yapılmayıp placebo enjeksiyonu yapılan kontrol grubu (n=6), tek GnRH enjeksiyonu yapılan Grup 1 (n=6), 5 gün üst üste GnRH enjeksiyonu yapılan Grup 2 (n=6), 10 gün süreyle tekrarlayan dozlarda GnRH uygulanan Grup 3 (n=6) olarak rastgele 4 gruba ayrıldı. Uygulama sonunda sakrifiye edilen ratlardan ovaryum ve uteruslar alınarak histolojik doku takip prosedürü ardından bloklandı. Kesilen dokular immunohistokimyasal olarak östrojen, progesteron reseptörlerinin dağılımı ve boyanma şiddeti yönünden incelendi. Tek doz GnRH uygulanan 1 grubunda ratlarda ovaryum ve uterusta kontrol grubuna benzer şekilde immunohistokimyasal reaksiyonlar şekillendi. 5 ve 10 gün süreyle GnRH uygulanan gruplarda ise uterusta ve ovaryumda immunohistokimyasal reaksiyonlar değişiklikler gösterdi. Kontrol ve 1 grupta ovaryumlar değerlendirildiğinde; Östrojen α reseptörlerinin, foliküllerdeki granüloza hücrelerinde, primer, sekunder ve graaf folikül duvarında granüloza hücrelerinde (+) olarak görüldü. Germinatif epitelde, damar duvarı endotel hücreleri, düz kas hücrelerinde ve interstisyel hücrelerde (+) reaksiyonlar tespit edildi. Kornu ve korpus uteri bölümlerinden alınan doku örneklerinde ise endometriyum epitelinde (+) reaksiyonlar görüldü. Grup 2 ve 3’te, ovaryum da benzer yerleşim bölgelerinde fakat boyanma şiddeti yönünden farklı şiddette reaksiyonlar tespit edildi. Progesteron B reseptörlerinin; Grup 1,2,3 ve 4’te korpus luteum luteal hücreleri, germinatif epitel, teka interna / eksterna hücreleri pozitif reaksiyon gösterdiği, gruplar arasında boyanma şiddetinin değiştiği görüldü. Kornu ve korpus uteride endometriyum epiteli, stratum bazalis bölgesi, miyometriyum ve perimetriyumda (+) reaksiyonlar tespit edilirken kontrol grubu örneklerinde miyometriyum bölgesinde (+) reaksiyon tespit edilemedi.
AUTONOMIA MUNICIPAL NO FEDERALISMO FISCAL BRASILEIRO: A EFICIÊNCIA NA ADMINISTRAÇÃO TRIBUTÁRIA MUNICIPAL
Authors: Silva Albertiano Dias da , Silva Alex Dias da
Published: November 2020

O objetivo deste artigo científico é analisar as principais características e arranjos da administração tributária dos Municípios brasileiros com a finalidade de buscar um modelo de eficiência para a concretização do princípio constitucional da autonomia dos entes federativos, sobretudo a autonomia municipal. Com a Constituição Federal de 1988 surgiu uma nova ordem jurídica que ocasionou, entre outras, a descentralização dos serviços públicos entre os entes federativos, sobretudo aumentando as atribuições de competências municipais. Abordaremos a função do Município no federalismo fiscal e as formas de efetivar o princípio da autonomia e autossuficiência. Estudaremos os principais tributos da competência constitucional tributária dos Municípios: ISS, IPTU, ITBI, taxas, contribuições de melhoria, contribuições de iluminação pública e etc. Destacaremos a importância das transferências e repasses intergovernamentais, sobretudo provenientes das esferas federal e estaduais. Conheceremos a forma de gerir o orçamento público, com o modelo de gerenciamento das receitas e despesas pelos instrumentos da legislação vigente. Verificaremos a estrutura e o modus operandi da administração tributária municipal ao fiscalizar e arrecadar, identificando as principais deficiências e desafios. E finalmente, quando da conclusão do estudo indicaremos as potenciais soluções para uma melhor eficiência na administração tributária visando a tornar mais efetiva a autonomia municipal no federalismo fiscal brasileiro.
A SOBERANA VIRTUDE DA CLEMÊNCIA PROCLAMADA PELO TRIBUNAL DO JÚRI E SEUS CONTORNOS JURISPRUDENCIAIS
Authors: Damas Silveira Edson , Castanheira Mallet Luiz Fernando
Published: November 2020

O presente artigo objetiva lançar luzes sobre limites à soberana decisão do Tribunal do Júri, a partir da possibilidade de se absolver por clemência o acusado, ainda que reconhecida materialidade do delito e sua autoria devidamente provada dentro do processo. Diante dessa realidade, pode o Órgão de Acusação manejar apelação alegando decisão manifestadamente contrária às provas dos autos e, bem por isso, provocar o Tribunal Recursal a fim de rever o veredicto proferido em primeiro grau, nos exatos termos permitidos pela legislação processual vigente. Como metodologia adotou-se a revisão bibliográfica sobre o tema. Como metodologia o artigo adota a revisão bibliográfica sobre o tema.
O Ministério Público e a liberdade de expressão dos seus membros
Authors: De Araújo Valter Shuenquener , Porfiro Camila de Almeida
Published: November 2020

O presente artigo analisa os limites da liberdade de expressão dos membros do Ministério Público à luz do direito brasileiro e internacional. Em primeiro lugar, serão explorados o conteúdo e os limites desse direito fundamental, que ostenta posição preferencial no sistema constitucional pátrio. Em seguida, far-se-á um exame crítico dos deveres funcionais de promotores e procuradores previstos na legislação, com ênfase nos fundamentos e objetivos institucionais do Ministério Público. Por fim, com base na orientação do Conselho Nacional do Ministério Público e de órgãos do Direito Internacional, serão apresentados parâmetros para a manifestação desses agentes, notadamente para fins de aplicação de sanções disciplinares.
OS EFEITOS DA OZÔNIOTERAPIA EM INDIVÍDUOS COM DORES
MUSCULOESQUELÉTICAS: REVISÃO SISTEMÁTICA
Authors: Ferreira Tereza Cristina dos Reis , Torres Luciano Gil Saldanha , Monteiro Brenda Beatriz Silva , Silva Izabelle Chrystine Sousa da , Mendonça Suellen da Silva
Published: November 2020

As dores musculoesqueléticas estão se tornando cada vez mais frequentes no ambiente acadêmico e ocupacional, podendo estar relacionadas tanto com os hábitos de vida quanto com as atividades desenvolvidas. Em vista disso, diversos meios para se tratar as dores musculoesqueléticas foram desenvolvidas, como a ozonioterapia, no qual é uma modalidade que apresenta diversas características benéficas ao corpo humano. o objetivo deste trabalho foi de realizar uma revisão sistemática sobre a eficácia da Ozonioterapia no tratamento de dores musculoesqueléticas. Foi realizada uma revisão sistemática, retrospectiva e descritiva da literatura nas bases de dados: SciELO, PUBMED, Crochane e Trial clinics, em língua inglesa e portuguesa; a busca dos artigos ocorreu em agosto de 2020, com a estratégia de busca “ozônioterapia” e “dor”e “muscular” com o operador booleano “and”. Foram evidenciados 7 artigos na literatura dentro dos critérios de inclusão e exclusão. Pode-se concluir que a ozonioterapia possui diversos efeitos benéficos ao corpo humano, sendo utilizado com resultados bastante positivos para a redução de dores musculoesqueléticas. Além disso, o O3 apresenta baixo grau de efeito colateral negativo, sendo poucas as pesquisas que relatem casos de rejeição ao tratamento.
ANÁLISE COMPARATIVA DOS EFEITOS DA FISIOTERAPIA AQUÁTICA E DA MUSCULAÇÃO TERAPÊUTICA NA QUALIDADE DE VIDA E NO EQUILÍBRIO DE IDOSOS
Authors: Alves Jéssica Patrícia da Silva , Nascimento Prisciane Anastacia da Silva , Brito Aymee Lobato , Teixeira Tainá Alves , Santos Marcio Clementino de Souza , Sobral Luciane Lobato
Published: November 2020

Introdução: Envelhecer com qualidade de vida é um grande desafio e, com isso, vem a preocupação dos profissionais da saúde em minimizar os efeitos negativos do envelhecimento, os quais devem orientar o paciente sobre a importância de conhecer as maneiras de obter o controle e a manutenção da funcionalidade. Devido ao grande número de fatores que afetam o equilíbrio, a prática de exercícios físicos está sendo sugerida como forte indicador de melhora de qualidade de vida. Objetivo: Analisar os resultados gerados da comparação entre os efeitos da fisioterapia aquática e da musculação terapêutica no equilíbrio e na qualidade de vida de idosos. Metodologia: Foram selecionados 40 pacientes, divididos em 4 grupos, sendo distribuídos da seguinte forma: Grupo FA (fisioterapia aquática); Grupo MT (musculação terapêutica); Grupo MT+FA (fisioterapia aquática mais musculação terapêutica) e Grupo controle, classificados como idosos sedentários da comunidade. Foi coletada a assinatura do TCLE e aplicada fichas de avaliações e escalas de equilíbrio (Tinetti), qualidade de vida (Sf-36), eficácia de quedas –Internacional (FES I). Resultados: Os recursos fisioterapêuticos utilizados em ambiente aquático e terrestre apresentam uma significante melhora na manutenção do equilíbrio. Entretanto, estudos sobre esse tema ainda são bastante escassos, assim como o termo “musculação terapêutica”, o qual ainda é pouco conhecido e mencionado na literatura. Em virtude disso, o presente estudo tem o intuito de contribuir com mais informações sobre este tema na tentativa de preencher essa lacuna de conhecimento. Conclusão: A atividade física independentemente do tipo promove efeitos benéficos na qualidade de vida.
SITUATION AND COMPETENCY OF FIRST RESPONDER IN PREPAREDNESS ON FACING EMERGENCY TO IMPROVE PUBLIC SAFETY IN THE UNIVERSITY
Authors: Putri Suci Tuty , Salasa Sehabudin , Sumartini Sri
Published: November 2020

Background: Cardiovascular disease and trauma caused by accidents remain the leading cause of death. Data by WHO reveals that 17,9 million people die from cardiovascular disease before reaching hospital. The problem is caused by the first aid mistake; hence, a prompt and effective response action of the first responder is important to handle out-of-hospital emergency care. The need for care and human resources is the biggest and most important component to act as the first responders.Objectives: The research aims to discover evaluation emergency situation in university and the competency level of the first responder taking first aid training in affect the way patients are managed during an emergency.Methods: The method employed is mixed methods consists of FGD with a four-stage contingency planning approach and quasi-experimental design of one group post-test that was conducted to obtain quantitative data. There were 30 participants in this research. Thematic and descriptive analysis tests were used to analyze the dataResults: The results show that there are four important things in developing an emergency system in the university area which are a distribution of operational area, communication system, Developing emergency system, and sustainable improvement of first responder capacity. The results of the competency assessment show that the average knowledge level of the participants is 79.5, and their psychomotor level is above 80%.Conclusion: First aid training is important to given for first responder to improve safety in the university. Keywords: Public Safety Center, First Responder, Emergency.
THE EFFECT OF PSYCHOLOGICAL AND HEALTH EDUCATION APPROACHES BASED ON SELF-EFFICACY ON COMPLIANCE WITH TUBERCULOSIS PATIENT: A SYSTEMATIC REVIEW
Authors: Choliq Idham , Sukartini Tintin , Makhfudli Makhfudli
Published: November 2020

Background: One of the obstacles to TB management today has been non-compliance. Non-compliance of TB patients in treatment can be influenced by the perception of self-efficacy.Objective: The study aimed to analyze the effect of psychological and health education approaches based on self-efficacy on adherence with tuberculosis patients.Design: Design research uses systematic review based on PRISMA checklist.Data Sources: Using three databases: Scopus, Science direct, and CINAHL. The three databases are of high and medium reputation. The search was conducted from June to July 2020. The keywords in this systematic review are “mycobacterium tuberculosis” OR "tuberculosis" OR "pulmonary TB", "adherence OR Compliance" and "psychology OR health education OR self-efficacy". Searching are limited to journal articles, 2012-2020 publication years and English language articles.Review Methods: To assess the quality of articles is using the JBI Critical Appraisal Tool and PRISMA checklist as a guide to filter articles.Results: A total of 10 articles were analyzed according to inclusion criteria. The results obtained as many as 6 studies are randomized control Trials, 2 studies use Quasi-Experiment, and 2 observational studies. The number of samples varied from 19 to 361 respondents. Age from 15 to 65 and above. Gender characteristics are dominated by men and the study was multi-regional. and most levels of education at the elementary and junior high school levels. The psychological and health education approaches based on self-efficacy are divided into several approaches that are proven to increase compliance including: psychotherapy, mindfulness, counseling and education, Medication Adherence Enhancement Program (MAEP).Conclusion: Psychological approaches and Health Education based on self-efficacy consist of various interventions. The articles analyzed mostly use the HBM concept. There needs to be a self-efficacy development program that not only emphasizes the individual and cognitive, but also needs social and family support in improving self-efficacy, so that it affects the effectiveness of treatment. Keywords: Mycobacterium Tuberculosis, Compliance, Psychology, Health Education, Self-Efficacy.
THE ERGONOMIC GYMNASTIC ON BLOOD PRESSURE AMONG ELDERLY
Authors: Septianingrum Yurike , Susanto Moh Haris
Published: November 2020

Background: Pre elderly and elderly experience uncontrolled hypertension due to disobedience to diet and not regularly taking medication (Padila, 2013). Uncontrolled hypertension can cause stroke, heart trouble, coronary heart disease and death (Laily, 2017). One of the non-pharmacological therapies to reduce blood pressure elderly with hypertension is ergonomic gymnastic (Wratsongko, 2010).Objectives: The purpose of this study was to analyze the effect of ergonomic gymnastic on blood pressure among elderly.Methods: This study was pre-experimental with one-group pre-posttest design approaches. Population in this study were all elderly in Suko Village who matched the inclusion and exclusion criteria as many as 25 people. The sample of this study were 23 respondents and were taken by simple random sampling technique. Respondents were given ergonomic exercises for twice a week with a duration of 30 minutes. Blood pressure measurement data were taken using a sphygmomanometer and a stethoscope. Wilcoxon sign rank test with significance value less than .05 were used to analyzed data.Results: The results of the study there were significant differences between before and after doing ergonomic gymnastic with p value = 0.00, meaning that there was an influence of ergonomic gymnastics on blood pressure among elderly in Suko Village.Conclusion: The Ergonomic gymnastic can reduce blood pressure among elderly in Suko Village. The role of nurses is needed as a provider of geriatric nursing care, especially in hypertension geriatric Keywords: Hypertension, Ergonomic Gymnastic, Elderly, Blood Pressure.
THE ROLE OF SOCIAL SUPPORT ON TREATMENT ADHERENCE IN TB PATIENTS: A SYSTEMATIC REVIEW
Authors: Barik Ardila Lailatul , Indarwati Retno , Sulistiawati Sulistiawati
Published: November 2020

Background: Adherence to treatment regimens in TB patients was carried out by using a pharmacological and non-pharmacological approach or paying attention to the social aspects of the patient.Objective: This review is to analyze and identify the literature related to the social support approach to treatment adherence in TB patients.Design: The systematic design of this review is to find and review journal articles from the database using Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA).Data Sources: This systematic review is based on literature studies from various journal data bases in the last 5 years, including Scopus, ScienceDirect, ProQuest and Google Scholar by conducting a comprehensive review. The keywords in this Systematic review are adjusted to the Medical Subject Heading (MeSH) and use a combination of Boolean operators (AND and OR), namely "Social Support" OR "Family Support" OR "Peer Group Support" OR "Nurse Support" AND "adherence OR Compliance" AND "Tuberculosis" OR "pulmonary TB”.Review Methods: The review method on this systematic review uses the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Evaluation) guidelines and the assessment of the quality of the study in the article uses the JBI critical appraisal tools.Results: In this literature ten articles fit the inclusion and exclusion criteria and relate to the topic. It was found that social support which includes family support, peer support and support from health workers is one of the driving factors for treatment adherence in TB patients.Conclusion: Aspects of social support which include family support, peer group support and support from health workers have an important role and become a driving factor for TB patients to adhere to the treatment regimen. For further research, the development of interventions to improve adherence to TB patients needs to consider these social aspects. Keywords: Medication Adherence, Social Support, Tuberculosis.
THE CAUSES OF ADVERSE TREATMENT RESULTS AND THE WAYS OF THEIR ELIMINATION IN BLEEDING FROM CHRONIC GASTRODUODENAL ULCERS
Authors: Samoilenko Gennady E. , Zharikov Stanislav O. , Klimanskyi Ruslan P.
Published: November 2020

The aim: Is to determine the main causes of adverse outcomes of the patients’ treatment with acute ulcerative gastroduodenal bleeding and to develop preventive measures to improve the quality of the patients’ treatment with this pathology.
Materials and methods: A retrospective analysis of the treatment results of 1323 patients with bleeding of ulcerative etiology has been carried out. There are 375 patients with gastric ulcer (28.3%) and 948 patients (71.7%) with duodenal ulcer among them. The patients’ age ranged from 15 to 93 years old. Concomitant pathology was observed in 623 (47.1%) patients, the most common of which were coronary heart disease, chronic non-specific lung diseases and cerebrovascular diseases. Mild severity of blood loss was detected in 404 (30.5%) patients, moderate severity 693 (52.5%), severe 145 (10.9%) and extremely severe 81 (6.1%). Overall mortality was 5.9%, postoperative mortality 6.3%, the mortality in conservative treatment only 6.1%.
Results: The main cause of the patients’ mortality with acute ulcerative gastroduodenal bleeding was decompensated hemorrhagic shock which developed at the prehospital stage in 45.3% and as a result of bleeding recurrence during treatment 44.2% of the patients. Inadequate drug therapy increases the risk of bleeding recurrence from 15.8 to 32.7%. The use of proton pump blockers and the combination of bolus and prolonged use of proton pump blockers allow to reduce the risk of bleeding recurrence by half (up to 6.8%).
Conclusions: Endoscopic hemostasis in combination with the injection method with diathermocoagulation or thermal coagulation can be considered as full-fledged, and when performing endoscopic monitoring the preference should be given to coagulation methods of diathermo- and hydrodietermocoagulation.
KIDNEY STONE DISEASE WITH SPECIAL REGARD TO DRUG-INDUCED KIDNEY STONES – A CONTEMPORARY SYNOPSIS
Authors: Dobrek Łukasz
Published: November 2020

Kidney stone disease (nephrolithiasis; urolithiasis) is a clinical entity with long-term course and recurrence, primarily affecting mature and ageing men, involving the formation and presence of urinary stones in the kidneys and urinary tract. The pathogenesis of this disorder is complex and still not fully understood. A rare, potentially modifiable, form of kidney stone disease takes the form of drug-induced urinary stones.
The aim of the review was a brief description of the classification and pathophysiology of kidney stone disease, along with the short characteristics of drug-induced urinary stones. This type of stones is formed as a result of crystallisation in the kidneys and urinary tract of sparingly soluble drugs and their metabolites, or as a result of metabolic changes caused by drugs, predestinating the development of stones containing endogenous compounds.
Conclusion: Therefore, during treatment with the use of drugs with high lithogenic potential, the safety of pharmacotherapy should be monitored in the context of its increased risk of developing urinary stones.
ENSURING THE RIGHT TO HEALTH OF STAFF OF THE UNITED NATIONS
Authors: Syroid Tetiana L. , Fomina Lina O. , Havrylenko Oleksandr A.
Published: November 2020

The aim: Of the study is to characterize the internal acts of the United Nations on the regulation of the right to health of its staff.
Materials and methods: Achieving the purpose of the study is ensured due to the analysis of internal acts of the United Nations, doctrinal sources on the issue selected. The methodological basis is a number of special and general methods.
Conclusions: The right to health guaranteed by the International Bill of Human Rights is comprehensive and closely linked to labour human rights. International civil servants of the UN system are not exempt. Thus, within the United Nations, a number of acts have been developed, the provisions of which set out recommendations aimed at reducing possible cases of infection of workers, maintaining their mental health while on quarantine, informing staff about their actions in case of illness, testing workers, etc. However, these acts need to be improved.
MODERN ENDOVASCULAR TREATMENT METHODS FOR ERECTILE DYSFUNCTION: A CRITICAL ANALYSIS
Authors: Piegza Magdalena , Paterak Mateusz , Błachut Michał , Piegza Jacek
Published: November 2020

75% of men with coronary artery disease confirmed by coronarography have erectile dysfunction in history, while 75% of patients with a vascular etiology of ED have significant stenoses in penile arterial vascularization. Patients with coronary artery disease have shown a relationship between the range of the lesions in the coronary vessels and erectile dysfunction intensity.
This paper aims at attempting to systematize the knowledge of the benefits and drawbacks of nonsurgical endovascular treatment methods for erectile dysfunction with confirmed vascular causes. It analyzes seven studies which assess the results of erectile dysfunction treatment with percutaneous angioplasty. It also mentions the limitations of the cited works and formulates relevant conclusions.
Conclusions: The analysis shows that endovascular procedures in erection-related arteries are safe in a specially selected group of men. It is necessary to conduct further studies to define an appropriate group of patients who have a chance of benefiting optimally from the endovascular treatment of erectile dysfunction in a long-term follow-up.
Ekspresi Emosi (EE) dan Gejala Yang Muncul Pada Pasien Gagal Jantung
Authors: Laksmini Puji , Rahayu Sri , Feng Lin Mei , Yunita Prabawati Chlara , Sulistyo Budhi Bagus
Published: November 2020

Pendahuluan: Gagal jantung adalah tahap akhir dari semua penyakit jantung, dan jumlah morbiditas dan mortalitas meningkat seiring waktu. Tanda dan gejala yang dialami pasien dipengaruhi oleh berbagai faktor. Emosi yang diekspresikan (EE) memprediksi kelangsungan hidup penyakit jantung dalam studi sebelumnya tetapi hubungannya belum diverifikasi. Tujuan: Mendeskripsikan ekspresi emosi (EE), gejala dan korelasinya antara kedua variabel tersebut pada pasien gagal jantung. Metode: Desain penelitian kuantitatif, cross sectional dengan kuesioner terstruktur. Empat puluh pasien dengan gagal jantung berpartisipasi dalam penelitian ini. Hasil: Tidak ada korelasi yang signifikan antara ekspresi emosi (EE) dan gejala gagal jantung yang dilaporkan (p-value = 0,377) dari sudut pandang pasien dalam studi pendahuluan ini. Kesimpulan: Hubungan antara EE dan gejala gagal jantung akan divalidasi dengan pendekatan analisis skala besar dan diadik pada penelitian selanjutnya.
Persepsi Keluarga dan Peran Pengetahuan Dalam Mengurangi Kedatangan Pasien Yang Tertunda Dengan Sindrom Koroner Akut
Authors: Yusniawati Yustina , Wayan Agus Maharyawan I , Abel Prayoga Muhamad
Published: November 2020

Sindrom Koroner Akut (SKA) adalah suatu tanda dan gejala klinis adanya iskemia miokard yang merupakan suatu kegawatdaruratan kardiovaskuler, namun, keterlambatan pasien tiba di IGD masih sering terjadi. Keterlambatan tiba dihubungkan dengan faktor pengetahuan keluarga dan persepsi keluarga dalam mengenali tanda dan gejala SKA, dimana keluarga terdekat dengan pasien SKA menjadi salah datu komponen penting dari keterlambatan tiba pasien SKA dating ke IGD PJT RSUP Sanglah Denpasar. Tujuannya penelitian ini untuk mengetahui hubungan pengetahuan dan persepsi keluarga dengan keterlambatan tiba pasien SKA Di IGD Pelayanan Jantung Terpadu RSUP Sanglah Denpasar. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional, dan teknik pengambilan data menggunakan purposive sampling dengan jumlah 292 keluarga pasien yang mengantar pasien SKA ke IGD PJT. Hasil yang diperoleh yaitu sebanyak 73,3% keluarga pasien tidak memiliki pengetahuan yang baik tentang gejala SKA dan terdapat 62,3% keluarga pasien memiliki persepsi bahwa gejala SKA yang dirasakan merupakan kelelahan akibat dari aktiftas sehari-hari. Dari analisa data diperoleh bahwa terdapat hubungan antara pengetahuan dan persepsi keluarga dengan keterlambatan SKA dimana terdapat hubungan yang sedang antara penetahuan keluarga dan persepsi keluarga dengan keterlambatan tiba pasien SKA di IGD. Keluarga yang tidak mengetahui tanda dan gejela SKA dan persepsi keluarga bahwa gejala yang dialami pasien karena kelelahan, sehingga petugas kesehatan perlu memberikan penyuluhan kepada keluarga mengenai tanda dan gejala SKA, pola hidup sehat, dan pentingnya untuk datang ke IGD ketika tanda SKA dirasakan.
Effect Of Progressive Muscle Relaxation Technique On Pain In Post Sectio caesarea
Authors: Pragholapati Andria
Published: November 2020

The cause of AKI at delivery is the presence of complicating factors during labor. To save mather and baby during childbirth due to labor complicating factors, one of them is by performing section caesarea, the most frequent impact felt by klien post section caesarea is pain. Pain has a very complex impact on the care of post partum mothers, includin Activity of Daily Living (ADL) is impaired. Non pharmacological management to reduce pain can be a progressive muscle relaxation technique. This study aims to determine the effect of progressive muscle relaxation techniques on pain at clients of post sectio caesarea in RSUD Kota Bandung. This study is a pre experimental study with one group pre test post test design approach.
The number of sample in this study is 20 persons selected in purposive sampling technique. The applied instrument is Numeric Rating Scale (NRS) and work procedure of progressive muscle relaxation. The data is then analyzed by wilcoxon test.
The study reveals that more than half of clients post operative sectio caesarea were on pain scale 6 before progressive muscle relaxation and almost half had pain scale 3 and 4 after progressive muscle relaxation. And acquired p value = 0.000, so it was concluded that there was influence of progressive muscle relaxation to pain scale to the clients of  sectio caesarea. 
The results of this study it’s expected that progressive muscle relaxation technique can be used as reference for making SOP in the room and can be used as a non pharmacological intervention in pain management
Pengaturan Waktu Pemberian Makanan Tambahan dengan Status Gizi Berdasarkan Tinggi Badan Balita
Authors: Syaiful Bachri
Published: November 2020

Di Bondowoso, prevalensi stunting bulan Februari 2019 mencapai 17,54% dari 45.002 balita. Stunting berkaitan erat dengan asupan gizi yang tidak adekuat, salah satunya adalah waktu pemberian MP ASI. Tujuan penelitian untuk mengetahui hubungan waktu pemberian MP ASI dengan status gizi berdasarkan tinggi badan pada balita di Bondowoso. Penelitian ini adalah korelasional dengan pendekatan kontrol kasus. Jumlah populasi 46 balita dan sampel berjumlah 41 balita dengan teknik proportional random sampling. Instrumen menggunakan kuesioner waktu pemberian MPASI, microtoise dan aplikasi z score. Hasil penelitian menunjukkan nilai balita dengan riwayat waktu pemberian MP ASI sesuai yaitu 56,1%, sedangkan 43,9 % balita dengan riwayat waktu pemberian MP ASI tidak sesuai. Balita usia 2-3 tahun yang memiliki tinggi badan normal sejumlah 56,1%, balita yang mengalami stunting sejumlah 43,9%. Hasil uji statistik korelasi rank spearman diperoleh p value 0,049 < α (0,05) dengan korelasi 0,310. yang berarti H0 ditolak atau artinya terdapat hubungan yang signifikan antara waktu pemberian MP ASI dengan status gizi berdasarkan tinggi badan balita usia. Diharapkan adanya pemberian edukasi yang menarik pada masyarakat tentang waktu pemberian MP ASI yang sesuai untuk mencegah terjadinya stunting pada balita.
Hubungan Persalinan Jampersal Dengan Kepuasan Ibu Bersalin Di Puskesmas
Authors: Putra Dony
Published: November 2020

Kepuasan pasien adalah suatu tingkatan perasaan pasien yang timbul sebagai akibat dari kinerja layanan kesehatan yang diperolehnya setelah pasien membandingkannya dengan apa yang diharapkannya. Penelitian ini bertujuan untuk mengetahui hubungan persalinan Jampersal dengan kepuasan ibu bersalin wilayah kerja Puskesmas Curahdami Kabupaten Bondowoso tahun 2013. Desain penelitian yang digunakan adalah studi korelasi dengan pendekatan Cross-Sectional. Populasi pada penelitian ini ibu yang pernah bersalin di wilayah kerja Puskesmas Curahdami pada bulan Januari-Juni tahun 2013 sebanyak 100 orang dengan sampel 80 orang menggunakan teknik Simpel Random Sampling. Dari hasil penelitian menunjukkan bahwa ibu bersalin yang merasa puas dengan persalinan Jampersal sebanyak 49 orang (61,25%) dan yang tidak puas sebanyak 31 orang (38,75%). Data yang diperoleh selanjutnya dianalisis dengan menggunakan Chi Square satu sampel didapatkan χ2 hitung > χ2 tabel yaitu 4,05 > 3,841 dimana KK  0,22. Sehingga Hipotesa nol (Ho) ditolak dan Hipotesis alternatif  (Ha) diterima yang artinya ada hubungan persalinan Jampersal dengan kepuasan ibu bersalin wilayah kerja Puskesmas Curahdami Kabupaten Bondowoso tahun 2013. Dengan meningkatkan kualitas pelayanan akan mempengaruhi kepuasan ibu bersalin yang artinya ibu bersalin akan merasa puas karena memperoleh pelayanan yang baik atau sesuai dengan yang diharapkan, semakin baik kualitas pelayanan kesehatan yang diberikan, semakin sempurna kepuasan tersebut
Особливості репродуктивної здатності видів роду Juglans L. у колекційних насадженнях національного ботанічного саду імені М. М. Гришка НАН України
Authors: Абоімова О. М.
Published: November 2020

У 2016-2017 рр. визначено показники репродуктивної здатності видів роду Juglans L. Методи проведення досліджень: біолого-статистичні (візуальні спостереження та аналіз отриманих результатів), лабораторні (дослідження фертильності пилкових зерен). Виявлено, що частка фертильного пилку становила від 92,3 % (J. regia L. f. fertilis Petz et Kirch.) до 70,4 % (J. mandshurica Maxim.). Виявлено, що частка стерильного пилку найнижча у рослин J. regia L. f. fertilis Petz et Kirch. (7,6 %), вища – у рослин J. ailantifolia Carrière (35,1 %). З'ясовано, що показники реальної насіннєвої продуктивності видів роду Juglans L. найвищі у J. regia L. f. fertilis Petz et Kirch. (10,7), а найнижчі – у J. microcarpa Berland. (0,5). Встановлено, що середнє значення потенційної репродуктивної здатності найвище у J. regia L. f. fertilis Petz et Kirch. – (23,3), а найнижче – у J. microcarpa Berland. (1,6). Коефіцієнт продуктивності дослідних видів виявився найвищим у J. mandshurica Maxim. (80,1), а найнижчим – у J. major (Torr.) A. Heller (33,3). Найбільший врожай (6 балів) у дослідних рослин J. nigra L. зафіксовано у 2018 р., а найменший (2 бали) – у рослин J. microcarpa Berland. у 2017 р. Встановлено, що нежиттєздатного насіння дослідних видів в умовах інтродукції найбільше у J. regia L. f. fertilis Petz et Kirch. (3-2,7 %), а найменше – у J. mandshurica Maxim. (0,6-0,7 %). Виявлено, що стратифікація насіння видів роду Juglans L. в умовах інтродукції становить від 120 (60) (J. regia L. f. fertilis Petz et Kirch.) до 145 днів (J. nigra L., J. cinerea L.). Найкраща схожість насіння для більшості дослідних видів Juglans L. спостерігалась під час осіннього посіві в ґрунт з оплоднями – до 92 % (J. regia L.). Найгіршими виявились показники схожості насіння J. regia L. f. fertilis Petz et Kirch. (10 %). Дослідження показників репродуктивної здатності рослин роду Juglans L. показало, що отримані результати відрізняються між рослинами різних видів, проте види роду Juglans L. формують високу частку фертильного пилку – від 92,3 % (J. regia L. f. fertilis Petz et Kirch.) до 70,4 % (J. mandshurica Maxim.), щорічно плодоносять, формують виповнене схоже насіння, що говорить про адаптацію в умовах інтродукції.
BELLS, LANDSCAPE, LIFE, TIME (ACCORDING TO ORTHODOX LITERATURE)
Authors:   Siberian center for Bell Art of the Novosibirsk Metropolitan Area, BLAGOVESHHENSKAYA LARISA DMITRIEVNA
Published: November 2020

The article shows how the bell ringing was interpreted in the Russian Orthodox (mainly pre-revolutionary) literature, and indicates important ethnographic details recorded in it.
THE ROLE OF METAPHOR IN HISTORICAL KNOWLEDGE
Authors:   Perm State National Research University, LAPTEVA MARIYA PETROVNA
Published: November 2020

The article continues the author's series of publications on the terminological apparatus of the historian. The problems of humanitarian science cannot have "final solutions". F.R.Ankersmith paid attention to the fact that the attitude to the role of metaphors knows not onli "ups" but also "downs". Exploring aspects of the conceptual arsenal associated with the explicit use of the metaphor. "Implicit use" refers to those semantic situations when a historian or another humanist enters into a kind of dialogue with other sciences, carrying out terminological borrowing. Since the semantic content of the term changes in this case, then, in essence, a metaphorical action takes place that does not require a special name. The article contains, the author's reflection on the circumstances and features of the use of metaphors. The author finds out how and why historiography becomes metaphorical. Referring to specialists who developed the cognitive basis of the theory of metaphor, the author analyzes different traditions of understanding what metaphor is. There is a search for a positive sense of metaphor usage with some ambiguity. Since the metaphor creates a new meaning of the word, its cognitive significance becomes unquestionable. By citing examples of various uses of metaphors in the texts of historians, the author shows how a metaphor helps clarify the uniqueness of historical situations.
ON THE HORSE, PROLETARIAN". RUSSIAN RIDER IN THE MILITARISTIC MYTHS OF POWER
Authors:   Russian State University for the Humanities, SHAPIRO BELLA LVOVNA
Published: November 2020

The consequences of the First World War had the most serious impact on the development of the national myth of power, where the image of the rider played a dominant role. After the October revolution, the development of the symbolic image of the Russian rider shifted to the sphere of revolutionary cult. Heroic myths about red riders embodied in artistic images of mass culture, understandable to the proletariat. The image of the Russian rider received the most stable connotations in the militaristic scenario: Russia's special historical path determined the originality of its national symbols. The main essential characteristic of the image of the Russian rider was his connection with the cycle "death-rebirth- immortality" due to the special mission of the hero as a defender of the Fatherland. The apotheosis of the development of the symbolic image was the triumphant departure of "Victory Marshal" G. K. Zhukov at the Parade on July 24, 1945. "It was the last day when the dead stood in columns next to the living", - wrote the biographer of "Victory Marshal". In 1950s the cavalry in the Soviet army was disbanded, the activities of military stud farms were stopped. However, the symbolic images of remote riders throwing their horses into a rapid attack remain clear to most of us even now.
Board Diversity and Sustainability Reporting: Evidence from Industrial Goods Firms
Authors:   Department of Accounting and Finance, Kwara State University, Malete, Kwara State, Nigeria, Musa Saidu , Gold Nusirat ,   Department of Accounting and Finance, Kwara State University, Malete, Kwara State, Nigeria, Aifuwa Hope ,   Department of Accounting, Faculty of Management Sciences, University of Benin, Benin City, Edo State, Nigeria
Published: November 2020

The sustainable development goals (SDGs) adopted by all the United Nations member countries were to reduce the social and ecological outcome of businesses and governments across the globe, among others. Businesses can key into this agenda by disclosing their economic, environmental and social impact in their financial reports. However, in Nigeria, the extent of sustainability reporting amongst firms is still low and not a listing requirement. Against this backdrop, this study investigated the influence of a diverse board on the extent of sustainability reporting in listed industrial goods firms on the Nigerian Stock Exchange from the period 2014-2018. We developed a sustainability disclosure index using the Global Reporting Initiative (GRI) guidelines to score the information content of annual reports relating to sustainability performance. Nationality, age and educational level were used to proxy diversity in the boardroom. The study also used descriptive and inferential statistics to summarize the data and to draw an inference on the population studied. Our study failed to validate the theoretical framework - StakeholderDependency Theory used in the study, as results from the panel least squares regression revealed that age diversity in the boardroom negatively and significantly affects the extent of sustainability reporting. Furthermore, we found no evidence on the nexus between nationality diversity and sustainability reporting; and education level diversity and sustainability reporting. The study concluded that diversity in boardroom influences the extent of sustainability reporting in Nigeria. This study recommends that firms should increase the representation of foreign directors in the boardroom because they add value and a wealth of experience to the board.
Funding of Micro Scale Enterprises: Is Cooperative Financing Helpful?
Authors:   Department of Business Administraton, Olabisi Onabanjo Univerity, Ago-Iwoye, Nigeria, Ogunmuyiwa Michael , Aladegoroye Oluwakemi ,   Departement of Cooperative and Rural Development, Olabisi Onabanjo Univerity, Ago-Iwoye, Nigeria, Abosede Adebiyi ,   Department of Business Administraton, Olabisi Onabanjo Univerity, Ago-Iwoye, Nigeria
Published: November 2020

The study investigates the influence of cooperative financing on the performance and survival of micro scale businesses, in Ogun State, Nigeria. A survey research design was adopted to generate crosssectional data, using a structured questionnaire as the research instrument. From a population of 1,165,848 a sample size of 384 was obtained using the Raosoft sapling size formulae. Regression analysis was used to analyze the data. The findings revealed that cooperatively sourced finance has a positive and significant effect on operational performance of micro scale enterprises but no significant effect on business survival. This implies that survival of micro scale enterprises is beyond financing. The study recommends that cooperative societies, beyond financing should assist members in the area of general management of activities such as records keeping to improve the operational performance as well as the survival rate of businesses in Ogun State, Nigeria.
CONCEPTUAL APPARATUS OF THE CATEGORY OF AGRICULTURAL WASTE, THEIR CLASSIFICATION AND PROSPECTS OF FURTHER USE FOR BIOENERGY PRODUCTION
Authors: HONCHARUK Inna , VOVK Valeria
Published: November 2020

The article examines the interpretation of the concept of «waste» in European and domestic regulatory documents and reveals the absence of an environmental component in the definitions, which today is an extremely important aspect of any kind of activity. Attention is paid to an important group of waste - agricultural waste, which simultaneously have the most negative impact on the environment and can be used as a secondary raw material to support the activities of other industries. Attention is paid to an important group of waste - agricultural waste, which simultaneously have the most negative impact on the environment and can be used as a secondary raw material to support the activities of other industries. A list of European and domestic regulatory documents that partially regulate various aspects of agricultural waste management is provided, and the lack of both in regulatory documents and among scientific approaches to determining the essence of agricultural waste is provided, in this regard, the author's understanding is presented of this category of waste. Also, a comparison was made between the classification of agricultural waste in accordance with the State Waste Classifier of Ukraine DK 005-96 with the classification of the corresponding waste group given in the European Waste Catalog. Analyzed the volumes of waste generation in Ukraine by type of economic activity in 2019. The structure of emissions from the agro-industrial complex of Ukraine has been studied and it is indicated that the largest environmental pollutants are animal waste (animal manure and bird droppings), but today there are ways of converting such waste into biofuels, namely biogas. The implementation of the process of processing animal waste (animal manure and bird droppings, which are by-products of production and which do not need to be grown additionally) into biogas, will provide not only the environmental component of waste management - reducing greenhouse gas emissions, but also provide additional economic benefits. This study found that the processing of animal waste, with the formation of biogas, will partially solve environmental problems, as well as gain advantages in the form of decentralized production of renewable energy or fuel production for the formation of energy independence of the agricultural sector of Ukraine and the state as a whole.
GENERALIZED THEORY OF MAGNETO-THERMO-VISCOELASTIC SPHERICAL CAVITY PROBLEM UNDER FRACTIONAL ORDER DERIVATIVE: STATE SPACE APPROACH
Authors: Khavale S.G. , Gaikwad K.R.
Published: November 2020

This paper is dealing the modified Ohm's law with the temperature gradient of generalized theory of magneto-thermo-viscoelastic for a thermally, isotropic and electrically infinite material with a spherical region using fractional order derivative. The general solution obtained from Laplace transform, numerical Laplace inversion and state space approach. The temperature, displacement and stresses are obtained and represented graphically with the help of Mathcad software.
INFLUENCE OF THE ELECTROCONTACT METHOD OF BAKING ON THE QUALITY OF THE CAKE WITH THE ADDITION OF FRESH CHERRIES
Authors:   Federal State Budgetary Educational Institution of Higher Education « Orenburg State University», Sidorenko G.A. , Solovykh S.Yu. ,   Federal State Budgetary Educational Institution of Higher Education « Orenburg State University», Popov V.P. ,   Federal State Budgetary Educational Institution of Higher Education « Orenburg State University», Maneeva E.Sh. ,   Federal State Budgetary Educational Institution of Higher Education « Orenburg State University», Yavkina D.I. ,   Federal State Budgetary Educational Institution of Higher Education « Orenburg State University», Zinykhing G.B. ,   Federal State Budgetary Educational Institution of Higher Education « Orenburg State University»
Published: November 2020

Приведены результаты исследования технологии производства кекса с добавлением измельченной вишни с применением электроконтактного способа выпечки. Изучено влияние добавки вишни на изменение силы тока и температуры образцов кекса в процессе электроконтактной выпечки. Установлено влияние дозировки измельченной вишни на органолептические и физико-химические показатели качества кекса. Установлена оптимальная дозировка измельченной вишни в рецептуре кекса, выпекаемого электроконтактным способом, позволяющая получать готовые изделия с наилучшим сочетанием органолептических и физико-химических свойств.
DEVELOPMENT OF NUTRITIONALLY ADAPTED BAKERY PRODUCTS FOR BABY FOOD BASED ON BAKERY MIXTURES
Authors:   Federal State Autonomous Scientific Institution «Scientific Research Institute of the Bakery Industry», Tyurina I.A. , Nevskaya E.V. ,   Federal State Autonomous Scientific Institution «Scientific Research Institute of the Bakery Industry», Borisova A.E. ,   Federal State Autonomous Scientific Institution «Scientific Research Institute of the Bakery Industry», Peshkina I.P. ,   Federal State Autonomous Scientific Institution «Scientific Research Institute of the Bakery Industry»
Published: November 2020

Хлебобулочные изделия в России сегодня, как и всегда, составляют основу пищевого рациона. Анализ ассортимента хлебобулочных изделий для детского питания показал, что на сегодняшний день их вырабатывается недостаточно. Научно обоснован рецептурный состав хлебопекарных смесей для хлебобулочных изделий с учётом медико-биологических требований, предъявляемых к рационам питания детей, позволяющий получить изделия с высокими потребительскими свойствами. Определены показатели качества смесей и хлебобулочных изделий, приготовленных из них. Анализ гранулометрического состава смесей показал, что размеры частиц находились в пределах от 0,01 до 0,30 мм. При этом содержание частиц в интервале от 0,01 до 0,03 мм составило 72–80% от их общего объёма в зависимости от наименования смеси. Полученные результаты позволяют предположить, что в процессе хранения они будут сохранять равномерное распределение рецептурных компонентов и способствовать получению качественных изделий. Произведен расчет суточной потребности пищевых веществ при употреблении 100 г изделий, покрывающейся в среднем по белкам на 12,7–16,0%, пищевым волокнам — на 22,0–27,3%, железу — на 15,0%, тиамину — на 17,3– 25,0%, рибофлавину — на 9,2–15,0% в зависимости от смеси. В соответствии с ТР ТС 022/2011 «Пищевая продукция в части ее маркировки» изделия хлебобулочные для детского питания являются источником пищевых волокон (более 3 г на 100 г продукции), железа, тиамина, рибофлавин (более 15% от среднесуточной потребности). Выявлено положительное влияние упаковочных материалов на изменение показателей качества хлебопекарных смесей в процессе хранения.