bluuebunny/crossref_metadata_2025 huggingface dataset:
Study of the characteristics of a radio photon device for determining the phase difference of a radar signals
Authors: Gusenitsa Yaroslav N. , Snegirev Aleksandr L. , Pokotilo Sergey A.
Published: April 2021

The paper considers the problem of accurate calculation of the phase of the radar signal in relation to the receiving phased antenna arrays. Methods for determining the phase difference based on a comparison of the received signal with the local oscillator signal are listed, as well as a method based on the use of a radio-photon analog-to-digital converter for the output signal of the receiving phased antenna array. Their disadvantages are indicated. A method and a radio photon device are proposed that are devoid of these disadvantages. The method allows you to calculate the phase difference of the radar signal at the output of the electro-optical modulator and the output signal of the photodetector, taking into account the known values of the amplitudes and phase difference of the microwave signals at the input of the receiving elements of the phased antenna array. The radio-photon device allows you to implement this method and, unlike the known analogues, is based on the use of two parallel-connected electro-optical modulators constructed according to the scheme of the Mach-Zehnder interferometer. It is shown that the proposed radio photon device provides a higher accuracy of determining the phase of the radar signal in comparison with existing analogues. At the end of the work, an analysis of the results of experimental studies using the proposed method and a radio photon device is presented. According to the results of the experiment, it was found that the phase and phase differences vary linearly, and their maximum reaches π. In addition, the square of the amplitude of the optical signal at the input of the photon-electronic unit is proportional to the phase difference and inversely proportional to the ratio of the amplitudes of the output signals of the adjacent receiving elements of the phased antenna arrays.
Application of microwave Doppler displacement sensors in anti-lock braking system
Authors: Khablov Dmitry V.
Published: April 2021

The issues of optimization of the vehicle anti-lock braking system are considered. To increase the reliability of the system, it is proposed to use a brake distribution system adaptive to the quality of the road surface for a quick stop of the vehicle while maintaining controllability. The system together with sensors angular wheel speed included a microwave Doppler displacement and speed sensor. The use of the specified Doppler sensor made it possible to achieve a more accurate coincidence of the dependence of the braking force on the degree of adhesion of the wheels to the road surface by monitoring the ratio between the angular and linear speeds of movement. In this way, it was possible to minimize the braking distance of the vehicle while maintaining controllability under various driving conditions.
Method for calculating the cost of perspective measuring equipment
Authors: Volchkov Alexey A. , Kornev Alexey S. , Khayrullin Rustam Z.
Published: April 2021

The problem of improving the quality of forecasts of the cost of measuring means is considered. The main approaches to the prediction value and the main factors that determine the cost of measuring instruments are presented. The method for calculating the cost of perspective measuring equipment based on taking into account its technical characteristics has been developed. The methods for accounting non-linear dependences of cost on technical characteristics are suggested. As example we consider additive and multiplicative value models of generators of high-frequency signals, and spectrum analyzers as the functions of technical characteristics of these devices.
Precise measurements of specific heat capacity of beryllium in temperature range 260–870 K
Authors: Kompan Tatiana A. , Kulagin Valentin I. , Vlasova Viktoriya V. , Kondratiev Sergey V. , Pukhov Nikolay F.
Published: April 2021

The possibility of using beryllium as a means of storing and transferring a unit of specific heat capacity and extending the range of values of heat capacity measures from 1654 to 2900 J/(kg·K) towards the upper limit is estimated. The temperature dependence of the specific heat capacity of beryllium samples of known composition in the temperature range of 260–870 K has been determined. The reproducibility of the thermophysical properties of beryllium over time and under repeated heating in the specified temperature range is analyzed. The results obtained are relevant for the field of metrological support in the field of measurements of thermophysical quantities.
The measuring system for monitoring the microarc heating process during surface hardening of steel products
Authors: Stepanov Makar S. , Koshlyakova rina G.
Published: April 2021

The accelerated heat treatment during steel products hardening technology has been investigated. The possibility of measuring the temperature of steel products by thermoelectric platinum-platinum-rhodium thermocouple under microarc heating conditions is analyzed. During the experiments, working junctions of two S-type thermocouples: working and standard, were coined into the sample surface at the same level. The free thermocouples ends were connected to a digital multimeter and a personal computer. It was determined that 5 factors affect the measurement results: the electric current strength in the circuit, carbon powder, calibration, number of repeated measurement cycles, and a thermocouple copy. When planning the experiment, the concept of conducting a step-by-step nested experiment was used. Variance analysis method was used to process the experimental results. The measurement method precision parameters were calculated: repeatability and reproducibility. A linear mathematical model linking the measurement method reproducibility index with the measured temperature value has been obtained. A linear mathematical model is obtained that relates the reproducibility index of the measurement method to the measured temperature value. A measuring system for the experimental determination of the temperature of a steel sample is proposed and its application is justified for different electric current densities on the sample surface and varying duration of microarc heating. The possibilities of selecting and controlling the microarc heating modes depending on the required temperature of the heat treatment of the steel product are determined.
Endangered but not too late : the state of digital news preservation
Authors: McCain Edward , Nell Mara , Kara Van Malssen , Dorothy Carner , Bernard Reilly , Kerri Willette , Sandra Schiefer , Joe Askins , Sarah Buchanan
Published: April 2021

"What we found in this research is that news organizations are saving digital news content to at least a limited extent, one that often depends on the kind of technologies where news content resides, their purpose, and other key factors. We found that the degree to which your existing content is accessible and useful depends not only on the technologies used, but also on your policies, if any, about what is saved. Other factors that affect access to content include the workflows used to assemble and store content, the metadata that’s saved with your content--or missing depending on how it is managed--whether or not you have staff dedicated to preservation work, and how well content translates when you undergo a transition from one technology platform to another, an inevitable fact of life in today’s publishing industry. News organizations that use either an archive or digital asset management (DAM) system of some kind have the most control of the content used to post, publish, broadcast or stream the news. They are also in the best position to find and access past content, understand its origins and licensing rights, reuse it for new products, tap it for newsroom research, publish it in related content links, and take full advantage of the long-tail phenomenon by reselling to the public or research community. ..."--Findings summar
PREVALENCE OF GALL BLADDER SQUAMOUS CELL CARCINOMA IN NORTH WEST RAJASTHAN: A FIVE YEAR RETROSPECTIVE STUDY AT OUR INSTITUTE.
Authors: Bano Tanu , Gupta Neelu
Published: April 2021

Background: Gallbladder cancer is the most common malignant tumor of the biliary tract. The majority of cases are adenocarcinoma (AC). Pure squamous cell carcinoma (SCC) of gallbladder accounts only 3% of the malignant neoplasm of this organ.

Methods: The medical records of all the patients who underwent cholecystectomy and specimen sent to the Pathology Department of Sardar Patel Medical College, Bikaner, in last five years were retrospectively analysed.

Results: Out of total 1375 patients, 40 patients had gall bladder tumors and 1 (2.5%) patient had histological evidence of squamous cell carcinoma of gall bladder. The patient was 43 year old female. cholecystectomy was performed.

Conclusion: Squamous cell carcinoma (SCC) is rare tumour of gall bladder.

Keywords: Squamous cell carcinoma, Adenocarcinoma, Gall Bladder
The Relationship of Psychological Wellbeing and Psychological Hardiness With the Mediating Role of Social Support in Women With Breast Cancer
Authors:   Department of Psychology, Kish Branch, Islamic Azad University, Kish, Iran., Azadi Roya , Ahadi Hassan ,   Department of Psychology, Research Branch, Islamic Azad University, Tehran, Iran., Hatami Hamid Reza ,   Department of Psychology, Imam Hossein University, Tehran, Iran.
Published: April 2021

Aims: Breast cancer is the most common cancer in women and the first cause of cancer death. This study aims to determine the relationship between psychological wellbeing and psychological hardiness with the mediating role of social support in women with breast cancer. Methods & Materials This research was a correlation study based on Structural Equation Modeling (SEM). The study population consisted of women with breast cancer living in Mazandaran Province, Iran, in 2017. For this study, a sample of 236 patients with breast cancer was selected by the random sampling method. Then, Ryff psychological welfare questionnaire, Ahvaz hardiness inventory, and Berlin social support scales were administered to them. The obtained data were analyzed using the SEM. Findings: The correlation between variables of psychological wellbeing and psychological hardiness with social support was significant (P<0.001). Fit indices indicated an appropriate fit for the proposed model (P<0.05). There was also a significant relationship between psychological hardiness and psychological wellbeing through social support (P<0.05). Conclusion: Considering the importance of preserving and improving the quality of life of patients with breast cancer, the evaluation of psychological hardiness, and social support with psychological wellbeing, and proper intervention to improve the mental health of these patients, is recommended.
Оцінка використання шаблонів проектування програмного забезпечення
Authors: Бичок Максим Олександрович , Погудіна Ольга Костянтинівна
Published: April 2021

The subject of study in the article is software development processes using design patterns. The aim is to improve the quality of modern software development projects through the use of experience and knowledge, to build software subsystems that are focused on infrastructure and work with an external client. Objectives: to review the methodology, programming paradigms and the possibility of their application at the design and coding stages of the software development life cycle; development of the concept of using design patterns in software design as knowledge available for reuse, propose an approach to the practical implementation of design patterns to node.js projects. The models used are the Composite design pattern, the Chain of responsibility design pattern. The used methodologies are object-oriented programming, as the most common programming paradigm, a unified modeling language UML for displaying the structure of design patterns. The following results are obtained. Modern methodologies and design paradigms are considered, a classification is formed in the form of a tree structure with a division into declarative and imperative subspecies, it is concluded that within the framework of the study we will use an object-oriented methodology as the most common design paradigm. An example of building an information system of the node.js project is considered. Analyzed the main errors that arise when developing and writing code for working with an external client. The elements of the node.js project and the concepts of structuring their relationship with existing design patterns are considered. An example of a practical implementation of a node.js project and its relationship with the Composite and Chain of responsibility design patterns is considered. In this connection, the work provides the structure of these templates. Findings. The scientific novelty of the results obtained is as follows: the model of design patterns was further developed through their use in the concept of building a node.js application, which makes it possible to improve the quality of interaction between the project team and reduce its execution time.
Clima Organizacional E Qualidade De Vida No Trabalho De Servidores Públicos: Estratégias Para Elevar A Eficiência Dos Serviços Públicos
Authors: Souza Tatiana Fabíola Costa , Madeira Flávia Mendes , Torres Luiz Claudio Bezerra
Published: April 2021

A eficácia na administração pública é essencial no atendimento das necessidades da população e, nesse ínterim, os trabalhadores do serviço público têm o direito de usufruir de um espaço profissional com instrumentos e condições apropriadas à função a que se destina. Com vistas a essa conjuntura, salienta-se o seguinte problema de pesquisa: quais seriam as influências mais importantes do clima organizacional na gestão de pessoas na área da administração pública? Como hipótese, defende-se que uma entidade com um espaço de trabalho com condições favoráveis pode criar um ambiente motivador aos funcionários. Quanto ao objetivo geral, definiu-se averiguar a relevância do clima organizacional como um distintivo estratégico na administração pública. Acerca dos objetivos específicos, foram estabelecidos: observar os atributos básicos e as características mercadológicas acerca da gestão de pessoal; investigar as questões conceituais, culturais e sociais atinentes ao clima organizacional; avaliar os benefícios do clima organizacional na elevação da eficácia da administração pública, com ênfase para a melhoria de qualidade de vida dos servidores públicos. A metodologia adotada nesse estudo foi a seguinte: Revisão Bibliográfica Narrativa (Revisão de Literatura).
O atendimento educacional especializado em Cumaru- PE em tempos de pandemia da COVID-19
Authors: Borba Jocélia Emília
Published: April 2021

Partindo do princípio que a Covid-19 é uma doença que surgiu na China, mas tomou uma proporção mundial e não tem cura e que ainda estão pesquisando uma vacina, este artigo tem o objetivo de analisar os impactos causados pela pandemia do Coronavírus na educação de crianças com deficiência no município de Cumaru-PE, bem como as estratégias utilizadas para ofertar o conhecimento ao público atendido no Atendimento Educacional Especializado (AEE). Uma educação comprometida com a educação das crianças com deficiência busca diversas estratégias para continuidade e oferta do ensino de forma remota. Por meio de aplicativos como o WhatsApp, ou aulas online por meio da ferramenta Zoom, e, para as crianças cuja deficiência inviabiliza o uso da internet são encaminhadas atividades impressas onde com a ajuda dos pais eles respondem e fazem a devolutiva para as correções. Tudo isso foi possível porque os pais estavam comprometidos a ajudar seus filhos em casa, para que durante o período de pandemia não ficasse sem realizar as suas tarefas escolares. A utilização de jogos foi outra proposta lúdica para que todos participem do momento de construção do conhecimento. É um artigo de cunho bibliográfico embasado em Citelli (2000); Silveira (2004); Mantoan (2003) e Freire (2007) dentre outros e quantitativo, pois traz seus resultados consolidados por meio de gráfico. O mesmo possibilita novos estudos sobre a temática que está em destaque mundial desde dezembro de 2019.
MODERN TRENDS IN DEVELOPMENT OF LOGISTICS IN THE AGRICULTURAL SECTOR OF KHARKIV OBLAST
Authors: Bilokin Aleksander
Published: April 2021

The financial condition of enterprises in the agricultural sector of the region does not allow, without additional measures of state and regional support, to carry out an expanded reproduction of production and to provide for their own needs in agricultural machinery. Enterprises of the agricultural sector of the Kharkiv region do not have a standard provision with tractors and other agricultural machinery, the actual provision is 60-70% of the technological need. Agricultural machinery of own production has a lower cost, technical level, productivity, reliability, quality, and also an insufficient assortment. To ensure the sale of agricultural machinery produced at the enterprises of the region, it is necessary to improve its technical level, reliability and quality. This is one of the essential factors for determining the tasks for the production of equipment by enterprises of tractor and agricultural engineering in the region and the development of measures to strengthen state and regional support for agricultural enterprises for the purchase of equipment. The main resources for the development agricultural machinery in the Kharkiv region are: scientific and technical potential; production potential of enterprises producing tractors and other agricultural machinery; financial and investment resources of regional, Ukrainian and foreign investors; personnel potential of the region and the system of its reproduction in educational institutions; managerial capacity capable of establishing effective management. Formation of logistical support of the agricultural sector in accordance with modern world standards, increasing the level of capital security of the industry, expanded reproduction of fixed capital require significant investment, which can be provided by: preferential long-term government lending at low interest rates for agricultural machinery and equipment, construction of livestock herds and perennials; interest-free state lending for environmentally friendly agricultural production and introduction of innovative technologies; stimulating the creation of agro-industrial associations, joint ventures in combining the land capital of domestic agricultural formations and the fixed capital of foreign companies, the development of a civilized leasing market.
ASSESSMENT OF SCHOOLCHILDREN’S DEMAND SATISFACTION WITH CATERING SERVICES IN GENERAL SECONDARY EDUCATION INSTITUTIONS
Authors: Petruk Julija , Hryhorenko Oleh
Published: April 2021

The article is devoted to topical issues, concerning school children`s high quality food supply. The direct research has been taken among pupils of 1-11forms in 4 Kiev schools. An assessment of the primary and secondary pupils` demand for food supply services during a week and a working day in school canteens was given in the article. The actual organization of meals in school canteens was objectively assessed. Identified both achievements and shortcomings in the organization of student nutrition. The degree of deviation of some indicators of quality of food from those which were reached in the best establishments of restaurant economy, serving the applicants of general secondary education at the place of study, was specified. The factors influencing assessment of the main indicators of food quality in the school canteens and cafeterias were analyzed, such as: range of dishes, quality of dishes, service culture. Significant influence of reforming the organization of pupils` nutrition in secondary schools on quality assessment was found, such as: expanding the range of dishes, improvement of customer service methods, creating a comfortable environment in the places for food consumption as well as taking into account such factors of influence as age features of pupils, food intake, free meals organization and meals payed by parents, the duration of pupils stay in the school an so on. A great attention was payed to searching the ways of expanding the range of dishes in school canteens, the dish quality improvement, the implementation of new methods and forms of service, improvement of service culture. Recommendations were developed: about using the received information when scheduling pupils` meals during the day taking into account features of demand on different days of the week; about changing the pupils` meal organization during extraordinary situations (the spread of coronavirus infection) to neutralize negative influences; about improving indicators of the quality of food organization concerning the experience of the best school canteens and cafeteria etc. The necessity of constant feedback with the school canteens customers was proved, which is very important for achieving the main goal- providing students with quality, safe and rational food.
ACCOUNTING OF INDIRECT MANUFACTURING COST BASED ON ACTIVITY-BASED COSTING (ABC) AND ANALYSIS OF THEIR EFFECTS ON PRICING
Authors: Zasadnyi Bohdan , Ahmed Khudhur Mohammed
Published: April 2021

The current article covers the application of indirect manufacturing costs according to the cost system on the basis of activities and their effect on pricing. The system considers costs based on activities from modern cost accounting systems that work to achieve a distinguished level of accuracy in determining indirect manufacturing costs through its focus, it also provides new control methods that contribute to preserving the indirect costs in the organization and rationalizing its uses, and how it affects the pricing of products. The importance of this research lays in from the fact that it is looking to clarify indirect manufacturing costs and how to allocate them and to study the costing system on the basis of activities, which aims to allocate indirect costs to products more accurately, especially with the increase in the total of indirect costs as a result of technological development and assistance to management in improving the pricing process.
CENTER OF AGRICULTURAL COMPETENCIES AS AN INNOVATIVE MECHANISM OF THE AGRICULTURAL SECTOR MANAGEMENT
Authors: Bilokin Aleksander
Published: April 2021

The article identifies the main theoretical and methodological foundations for the formation of the agricultural competence center (AC) on an innovative basis. It is proposed to introduce the best world practice of the Extension system as a basis, which will enable the subjects of the agricultural sector to improve the methods of agriculture and technology through educational and practical activities, targeted transfer of know-how. The formation of the AC region in the context of cluster development is the basis for increasing the competitiveness of the agar sector of the region and the country as a whole. It should concentrate on ensuring equal competitive conditions for all actors of the agricultural sector. The main purpose of creating AC on an innovative basis in the region is to consolidate the efforts of government, business and science for economic development of the region, aimed at solving socio-economic problems. Within the framework of the regional AC, the organization of Agribusiness Incubators is proposed, which will provide a rapid increase in the level of innovation and stability in the agricultural sector of the economy. The main strategic prospects for the development of AC have been identified. AC allows for greater flexibility, adaptability and mobility of the association. As a result, the form of cooperation will provide an opportunity to ensure: interaction of scientific and educational institutions, authorities, agribusiness structures and their public organizations to obtain a synergistic effect; reduction of total costs for research and development of innovations with their subsequent commercialization due to high efficiency of production and technological structure; more efficient use of infrastructural and scientific potential of the region; implementation of potentially significant financial and innovation-investment projects; mobilization of disparate investment resources, their accumulation and transformation into productive capital. Proposed the creation of Agribusiness Incubators within the regional AC, which are a key element of strategy in the agricultural sector to rapidly increase the level of innovation and stability in the agricultural sector of the region and the country as a whole. The creation of Agribusiness Incubators will increase the economic potential of entrepreneurs in the agricultural sector and create conditions for self-employment in the region. The agribusiness incubator will be a platform for public-private dialogue, training and exchange of best practices in the agricultural sector. The creation of the proposed AC is a tool for leveling the global challenges facing the region and the state as a whole. Such global challenges may include demographic decline and urbanization, increased competition, the growing role of digital technologies and the shift of quality jobs from production and marketing to the digital plane, investors' willingness to return on investment and, consequently, their unwillingness to invest in the industry.
METHODOLOGICAL BASIS OF ENSURING STRATEGIC MANAGEMENT OF THE REGION'S COMPETITIVE DEVELOPMENT BASED ON PURPOSE
Authors: Nesterenko Svetlana
Published: April 2021

The analysis of the functions and results of strategic management of the development of the region was carried out, which showed that goal-setting becomes its most important function, and the main result is a system of goals and strategies for regional development. Strategic processes in the region require the presence of strategic goals, the creation of a mechanism for their transformation into strategies and strategic actions that provide access to capital of different levels and the competitiveness of the region as a unification of the goals of stakeholders. The analysis of the region as a state-territorial entity, as a system, as an organization, as a subject of strategic management, was carried out, which made it possible to develop a system of relevant concepts of the region and use a comprehensive methodology for studying the strategic goal-setting of the development of the region on a system-dialectical basis. As a result of using this methodology to analyze the region as a subject of development, the nature, factors of the formation of economic subjectivity and the products of its activity are determined. The main products of the region's activities are: the competitiveness of the region and its subsystems: social, economic, managerial, environmental, infrastructural, institutional, security; competitive public goods; competitive resources and potentials of the region. Thus, the concept of a region as a subject of economic development is based on the integration of the properties of a region as a state-territorial entity, system, organization, subject of strategic goal-setting. The region as a subject of economic development is a territorial-organizational economic system that has multi-level governing bodies and a system of goals, providing a functional dominant of the progress of population reproduction, entrepreneurship and potential in the interests of present and future generations within a single state, taking into account a dynamic external environment. Thus, the authorities should integrate the generalized goals of the region as a whole, organize the purposefulness of the population and other subjects of the region and form "their" goals within the framework of state federal goals of a higher level.
IMPROVING THE MANAGEMENT OF THE COMPETITIVENESS OF PRODUCTS AT FOOD INDUSTRY ENTERPRISES
Authors: Yegupov Yuriy , Yegupova Irina
Published: April 2021

The academic paper substantiates a number of recommendations for improving the conceptual foundations of building a system for managing the competitiveness of products at food industry enterprises. Setting of objectives for the implementation of this process should be determined exclusively for each individual product name, taking into account the stage of its life cycle, external and internal conditions for the enterprise operation, and the chosen corporate strategy. As a part of the product competitiveness management system, it is proposed to form three subsystems: quality management, cost management, and product marketing support management. Structuring the quality management system, according to the main groups of single indicators, is of practical interest. Taking into account the specifics of the products of the food industry, it is proposed to structure the specified system, according to three groups of indicators characterizing the microbiological, physicochemical, and organoleptic properties of the products. In each of these blocks, the following actions should be carried out: establishment of a range of permissible values for each indicator; control of compliance with the latter; staff motivation. Within the cost management subsystem, it is advisable to single out a separate block dedicated to the optimization of direct material costs in order to ensure the optimal price-quality ratio by the criterion of maximizing profits from product sales. One of the main reasons hindering the application of the process approach in managing the competitiveness of products is the lack of formalization and systematization of methods for its implementation. In this regard, the author's solution to this problem is proposed in the context of the implementation of the function of planning the competitiveness of products. In particular, the expediency of using the author's algorithm for the formation of an optimal program for increasing the competitiveness of products has been substantiated. An effective mechanism for motivating the participation of personnel of food industry enterprises in activities aimed at increasing the competitiveness of products has been proposed.
CURRENT PROBLEMS OF FINANCIAL SUPPORT OF THE HEALTHCARE INSTITUTIONS’ ACTIVITY IN UKRAINE IN THE CONDITIONS OF THEIR REFORM
Authors: Posylkina Olga , Hladkova Olha
Published: April 2021

The article considers the issues of formation of effective financial support for the activity of health care institutions (HСIs) of Ukraine in the conditions of their reform. It is noted that one of the main factors influencing the effectiveness and efficiency of the health care system is its financial security. Based on this, the need for effective management of HСIs funding was emphasized. After examining the existing views on the concept of "financial security", its author's definition is given. Thus, it is proposed to understand the financial support of the health care institution as the principles, sources and methods of attracting and distributing financial resources in the HСIs (family or private doctor), through the use of which protection, preservation, strengthening and restoration of public health is provided. Based on the official statistics of the World Health Organization and the Cabinet of Ministers of Ukraine, the authors review the current state of financial support of health care in Ukraine over the past 5 years and conclude that real per capita health expenditures are declining every year. And the main source of their funding is central government spending. In their structure, central government funds in the form of medical subventions averaged 77%. The other 23% was at the expense of local governments. In order to better understand the essence of the financial support of HСIs, the article reveals the main factors influencing its formation and analyzes the existing methods of financing their activities. All factors were divided into factors of internal and external environment, and the methods of financing the HСIs included budget funding, program-target method, payment for medical services. The authors revealed their main advantages and disadvantages and concluded that according to the Concept of Health Care Financing Reform in Ukraine, the industry should be financed mainly on a contractual basis. The way out of the difficult financial situation in health care is also the transition to insurance medicine and the introduction into the practice of providing medical services of the method of insurance of financial provision of HСIs on the basis of compulsory health insurance.
Lupus nephritis with an unusual histopathological pattern
Authors:   Nephrology Department, Hospital Central do Funchal, Funchal, Portugal, Aveiro Marcelo , Pestana Nicole ,   Nephrology Department, Hospital Central do Funchal, Funchal, Portugal, Silva Francisca ,   Nephrology Department, Hospital Central do Funchal, Funchal, Portugal, Vieira Pedro ,   Nephrology Department, Hospital Central do Funchal, Funchal, Portugal, Rosa Nuno ,   Nephrology Department, Hospital Central do Funchal, Funchal, Portugal, Silva Gil ,   Nephrology Department, Hospital Central do Funchal, Funchal, Portugal
Published: April 2021

Introduction: Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect multiple organs. When the kidney is involved it is generally termed lupus nephritis (LN), and is a major contributor to the morbidity and mortality associated with SLE. The classic pattern of lupus nephritis in a renal biopsy is an immune complex mediated glomerulonephritis. The presence of crescents, in diffuse proliferative lupus nephritis, and serologic positivity for antineutrophil cytoplasmatic antibodies (ANCA), more often antimyeloperoxidase than anti-proteinase 3, has been linked with specific clinicopathological features, poor treatment response and a worse kidney survival. Clinical case: We present the case of a 19-year-old male, without relevant past medical history, who presented severe headaches, hypertension and peripheral edema. The blood analysis revealed hemoglobin (Hb) 7.6 g/dL, creatinine (Cr) 2.64 mg/dL, blood urea nitrogen (BUN) 101 mg/dL, and urine analysis, hematuria and nephrotic proteinuria. The autoimmunity panel results were consistent with SLE paired with positivity for ANCA-proteinase 3 antibody. A renal biopsy revealed crescentic glomerulonephritis with fibrinoid necrosis and Bowman capsule rupture. The patient was diagnosed with class IV LN. The initiation treatment consisted of cyclophosphamide (CIPH) and prednisolone (PDN). At the 6-month follow-up, CIPH was stopped and mycophenolate mofetil (MMF) initiated as maintenance therapy, combined with PDN. Although microscopic hematuria and C3 consumption were still present (a new biopsy was pondered but the patient refused any further invasive diagnostic measures), C1q levels decreased from 26.6 to 19.3 U/ml (negative if < 20 U/ml) and anti-dsDNA was also negative with progressive declination of the degree of proteinuria. The creatinine levels returned to normal. Conclusion: The authors emphasize the importance of this class IV LN, influenced by the association with anti-proteinase 3, due to the implications in the histopathological pattern and in therapy selection. In this specific case kidney function, proteinuria and lupus activity had an important decrease without significant complications with the chosen treatment.
The misleading laboratory results: Renal impairment associated with high anti myeloperoxidase titer (anti-MPO) does not always mean ANCA vasculitis
Authors:   Nephrology Department, Hospital Garcia de Orta, Almada, Portugal, Sousa Mariana , Santos Cristina ,   Nephrology Department, Hospital Garcia de Orta, Almada, Portugal, Gouveia Rita ,   Nephrology Department, Hospital Garcia de Orta, Almada, Portugal, Pereira Fernando ,   Nephrology Department, Hospital Garcia de Orta, Almada, Portugal, Manso Rita ,   Pathology Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal, Silva Jorge ,   Nephrology Department, Hospital Garcia de Orta, Almada, Portugal
Published: April 2021

Introduction: Antineutrophil cytoplasmic autoantibodies (ANCAs) are crucial in the pathogenesis of ANCA-associated glomerulonephritis. Although highly specific for this disease, these antibodies can appear in healthy individuals or occur in other settings such as malignance, other inflammatory disease, or drugs. Renal biopsy remains essential for diagnosis and as a prognostic tool. Failing to perform a biopsy risks an incomplete evaluation or misdiagnosis. Clinical case: A 60-year-old male known to have had previous normal kidney function was admitted with generalized pitting edema, nonpruritic erythematous rash, and decreased urine output. He had been recently started on clozapine for depression. Laboratory tests revealed nephrotic syndrome with massive proteinuria (11g/day), hematuria and elevated serum creatinine that reached a maximum of 4.9 mg/dl. The only positive finding was a high titer of myeloperoxidase (MPO) ANCA antibody (111 UI/ml). Clozapine was discontinued, and he was started on conservative management of the nephrotic syndrome. The rash disappeared within one week. Kidney biopsy showed cellular variant focal segmental glomerulosclerosis (FSGS) with mild acute tubular injury. The patient was treated with oral prednisolone with complete remission. Repeat MPO-ANCA was negative after one month. Discussion: We present a challenging case that highlights the importance of kidney biopsy for accurate diagnosis with major impact on treatment and prognosis. This case also underlines the presentation and evolution of FSGS cellular variant, a rare and poorly understood disease. The relationship between skin rash with high MPO titer and the administration of clozapine with clinical remission after its discontinuation favors the hypothesis of drug associated ANCA-vasculitis.
Pengaruh Pendidikan Kesehatan pada Audio Visual dengan Visual pada Deteksi Dini Kanker Serviks Melalui Pemeriksaan IVA Pengetahuan dan Sikap Ibu di Hinai Kiri Puskesmas Kecamatan Secanggang Kabupaten Langkat Tahun 2018
Authors: NURNILAWATI SRI
Published: April 2021

Cervical cancer is a malignant disease in cervix; it ranks the second as the cause of death in women throughout the world after breast cancer. The coverage of its early detection, using IVA method in Indonesia is 8.1% so that the case is found when it has already been in advanced stage. IVA (Visual Inspection with Acetic Acid) is a simple alternative method which is aimed to detect cervical cancer early as possible. The objective of the research was to find out the influence of audiovisual media health education with visual media about cervical cancer early detection through IVA screening on women’s knowledge and attitude at Hinai Kiri Puskesmas. The research used quasi experimental method with without control group design. The samples were 24 married women who were 30-50 years old, taken by using purposive sampling technique. The data were analyzed by using bivariate analysis with paired t-test statistic test. The  result of paired t-test showed that p-value = 0.000 (p<0.05) in the respondents’ knowledge and attitude with the increase in the mean-score of the knowledge with audiovisual media was -16.75, visual media was -13.42, and the mean-score of attitude with audiovisual media was -18.83, visual media was -20..34. There was the influence of health education of audiovisual media with visual media on the respondents’ knowledge and attitude toward cervical cancer early detection through IVA screening. It is recommended that health education technique be developed to increase people’s awareness of cervical cancer, and cervical cancer screening facility be provided by using affordable IVA method.
Efektifitas Pembentukan Kampung KB sebagai Indikator Perubahan Perilaku Masyarakat di Jl. Muharto Gang 5B RW 08 Kelurahan Kotalama Malang
Authors: Nining Nining Loura Sari
Published: April 2021

KB Village is one of the KKBPK strengthening programs that is managed and managed from, by and for the community to empower and provide facilities for the community. This study aims to look at the relationship between the community and the existence of KB villages. Quantitative research methods with cross sectional methods. The data collection tool consisted of a questionnaire with a sample of 100 respondents. This research uses purposive sampling technique. Statistical tests using chi-square and fisher precisely in the univariate and bivariate analysis. The results of the study found that the effectiveness of the KB respondents' village formation was moderate (50%), the respondent's behavior (62%) was sufficient and the Spearman trial results obtained sig. (2-tailed) of 0.00 so ? <0.01 (?) there is a relationship between the effectiveness of the formation of the KB village with changes in society. KB Village on Jl. Muharto Gang 5B Rw 08 Kotalama Malang needs great appreciation and support from various needs that have been managed, so that it becomes an indicator of the KB village process that began in 2017 and ends in 2019 that can be adjusted to the needs of the community better.
Analisis Kepuasan Kerja Perawat Terhadap Manajemen Keperawatan Di RSUD Waluyo Jati Kraksaan
Authors: Titik Suhartini Titik
Published: April 2021

Hospital is one form of health service that provides services in full in accordance with theneeds of the community. The most dominant health personnel providing services are nursing staff, so that nurses in particular are one of the determinants of achieving quality hospital services. Nurses in carrying out their duties can be influenced by many things, especially the acceptance of nurses in carrying out their work, in this case the performance of nurses is one of the determinants of job satisfaction felt by nurses. Nurse job satisfaction will affect the management process carried out in the hospital, especially in each inpatient room. The purpose of this study was to analyze nurse satisfaction with nursing management at RSUD Waluyo Jati Kraksaan.In this study using a correlational analytic research design. The population is inpatientnurses at RSUD Waluyo Jati Kraksaan. The sampling technique used is stratified randomsampling. Data analysis using Kendall's Tau test to determine the relationship of variableswith a significance level of p ? 0.05.The results of the study showed that nurses' job satisfaction was mostly satisfied, as many as 73 respondents (81.5%) while overall nursing management was in a good category. Theresults of the test data analysis obtained P = 0,000 with ? = 0.05 so that the conclusion there is a relationship between nurse job satisfaction and nursing management.Management of nursing management, especially in the inpatient room, is influenced by nurse job satisfaction. All forms of management management methods carried out are strongly influenced by the work ability of each nurse so that all forms of nursing activity programs will provide good results for nursing services
EVALUASI TAMAN PEMULIHAN GIZI TERHADAP PERILAKU IBU BALITA GIZI BURUK DAN GIZI KURANG DI PUSKESMAS JATIWATES KABUPATEN JOMBANG
Authors: Ningtyas Septi Fitrah , Grah Prihartanti Niken , Mudhawaroh Mudhawaroh , Ratnawati Mamik
Published: April 2021

Introduction: The problem of malnutrition is one of the problems that often becomes a controversy in the territory of Indonesia. The purpose of this study was to analyze the Nutrition Recovery Park (NRP) program on the nutritional status of children in Jatiwates, Jombang. Method: This study used an observational analytic method with a retrospective cohort study design. The population in this study were all mothers of children under five who had malnourished toddlers in the work area of ??Jatiwates Health Center with 36 respondents. The sampling technique uses total sampling. Data analysis using chi square statistical test, followed by logistic regression test. Results: The results of the statistical test showed a significant relationship between the behavior of mothers towards the nutritional status of children while the knowledge and attitudes of mothers were not significantly related to nutritional status. Conclusion: The NRP program is also very helpful for mothers in improving the nutritional status of children, in NRP mothers will better understand the nutritional needs of children, and how to process food properly and correctly, which indirectly the mother's actions will continue the NRP program at home
PENGARUH PIJAT KAKI TERHADAP RESIKO JATUH PADA LANSIA : SYSTEMATIC REVIEW
Authors: Sartika Fanny Dewi , Irwan Andi Masyitha , Erika Kadek Ayu
Published: April 2021

Background: Falling in the elderly is the most common thing in the elderly. Therefore the elderly need the right intervention to prevent falls. Foot massage is one of the interventions that can help the elderly overcome these health problems.  Objective: to assess the effectiveness of foot massage on the balance of the elderly by looking at the duration of time used, the benefits of giving foot massage, instrument of assessment of balance. Methods: The method of searching articles through electronic databases based on PubMed, Science Direct, Wiley Online, and Google Scholars. Result: The results of a review of six articles consisting of two Randomized Control Trial (RCT) studies and four Quasi-Experiment studies discussed the effectiveness of foot massage on balance. Given the length of time for giving foot massage for 10 minutes for each foot, the most effective assessment of fall risk is to use TUG measurement, as well as some benefits of foot massage including increasing balance which is significantly demonstrated by increasing TUG, increasing flexibility and function balance of ankle joints, and can be a viable alternative treatment for performance improving balance, foot ROM, and foot sensation in diabetic patients with peripheral neuropathy. Conclusion: foot massage is very useful to be done in the elderly to improve health status and can prevent the risk of falling

 

Keywords : Foot Massage, Balance, risk of falling, elderly