bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of multifocal ischemic stroke after cessation of anticoagulant therapy in a patient with antiphospholipid syndrome
Authors: Minina Yulia D. , Kalinin Vladimir A.
Published: September 2021

The clinical case presents a young patient with antiphospholipid syndrome, which was the cause of recurrent acute ischemic cerebrovascular accidents and pathology of pregnancy. During the clinical and laboratory examination, the patient was diagnosed with systemic lupus erythematosus. To determine the etiology of ischemic strokes and recurrent pregnancy loss, the patient underwent an immunological blood test which led to diagnosing the antiphospholipid syndrome. The patient failed to comply with the doctor's recommendations for taking an anticoagulant in the early postpartum period that resulted in the development of multifocal ischemic stroke. After treatment, the patient's condition improved, focal neurological symptoms partially regressed, and laboratory parameters returned to normal. As a secondary prevention of thrombosis, the patient was prescribed anticoagulant therapy.
Main areas of development of public-private partnership in providing cancer care
Authors: Breusov Aleksei V. , Rios Eduardo A. , Breusov Dmitrii A.
Published: September 2021

Objectives to substantiate and define the main directions of the development of public-private cooperation in the provision of specialized oncological care to patients.
Material and methods.The research was based on the data of official statistics, scientific and methodological literature presented in the eLibrary, Publons, Scopus, the Cochrane Library databases. Research methods included bibliographic, descriptive and analytical, content analysis method, mathematical and statistical (calculation of relative indicators, mean values, methods of aligning the interval time series).
Results. Reducing morbidity and mortality from oncopathology is a state-scale problem that can only be solved comprehensively by attracting private investors when implementing innovative public-private partnership projects in healthcare. One of the modern models of interaction between state and business is the construction of public-private partnerships for new medical infrastructure.
Conclusion. The Center for Nuclear Medicine for the treatment of cancer is an innovative project, the implementation of which will help to reduce mortality from malignant neoplasms, increase the availability of specialized care and the quality of life of patients.
Immunological and hemostasiological aspects of pathogenesis of obliterating atherosclerosis of arteries of the lower extremities
Authors: Korymasov Evgenii A. , Krivoshchekov Evgenii P. , Kazantsev Aleksandr V. , Pribytkov Dmitrii L.
Published: September 2021

Objectives to study the changes in the immunological status and hemostatic system in patients with obliterating atherosclerosis of the lower limb arteries with the damage to the femoral-popliteal-tibial segment.
Material and methods. A comprehensive study of the cytokine status and hemostatic system in patients with obliterating atherosclerosis of lower limb arteries with lesions of the femoral-popliteal tibia segment was carried out.
Results. The progressive course of obliterating atherosclerosis is often associated with an increased content of cytokines (IL-1, IL-6, IL-8, TNF), as well as with the phenomena of hypercoagulation (increased platelet aggregation activity, shortened APTT, CT, TT, increased fibrinogen content), SFMCs, D-dimer).
Conclusion. The study of the immunological status and hemostatic system should be performed in all patients with obliterating atherosclerosis of the lower limb arteries in order to adequately medically correct and prevent postoperative complications.
Comparison of sound perception using CIS and ACE sound coding strategies in cochlear implants
Authors: Kolokolov Oleg V. , Kuznetsov Aleksandr O. , Machalov Anton S. , Grigoreva Alla A.
Published: September 2021

Objectives to study the effect of ACE and CIS sound coding strategies on sound perception in patients with the cochlear implants system produced by Cochlear Limited.
Material and methods. The study included 50 patients taking the rehabilitation course in the Astrakhan branch of the National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency over the past 5 years (from 2014 to 2019). The group of subjects included children over 7 years old and adults, whose success in rehabilitation made it possible to perform a full range of tests. The patients underwent tonal threshold audiometry and speech audiometry in a free sound field; the results obtained were registered in special MS Excel tables and further analysed using statistical methods.
Results. There were no statistically significant differences in hearing thresholds on tonal audiometry when using the coding strategies ACE and CIS, however, differences in speech perception were observed on average by 4.2%. The patients experienced in using hearing aids reported improved speech recognition, with scores varying within 5%.
Conclusion. Using a higher-resolution coding strategy can significantly improve speech recognition, while lower-resolution coding is beneficial for patients with digital hearing aid experience.
Potassium nutrition in rice: A review
Authors: S Vijayakumar , Kumar Dinesh , Ramesh Kulasekaran , Govindasam Prabhu , Jinger Dinesh , Khanam Rubina , P Saravanane , E Subramanian , Joshi Ekta , Sharma VK , Rajpoot Sudhir K
Published: September 2021

Potassium (K) is the most neglected nutrient in Indian agriculture and accounts only 10% of the total fertilizer use. The increased cropping intensity and use of high yielding cultivars since the green revolution led to heavy withdrawal of K from soil. Persistent K mining over the past six decades has mined soil K level in many cultivated areas and continuously transforming sufficiency into deficiency. A recent soil test a little over 1 lakh samples from 33 states of India have categorized 41.1%, 29.3%, and 29.5% of soil samples as low, medium and high in available K respectively. Further, the trend of soil available K status showed a persistent decline in percentage of area under high and medium soil K. Consequently, the evidence of rice crop responding to K nutrition is increased. This review attempts the nexus of K nutrition in rice for devising strategies for potassium management in rice-based cropping systems in the country.
Physical and nutrient characterization of the grains from traditional rice varieties of Kerala and validation of the trait linked molecular markers
Authors: George Jeena , Jayalekshmy VG , Shahiba AM , Chacko Arun , Lachyan Tejashree S
Published: September 2021

Kerala is rich with traditional rice varieties that could grow in various agro- climatic conditions of the state. However many of these traditional varieties are not cultivated and have become extinct due to low yield, promotion of high breed variety seeds and high-cost in continuing the cultivation with traditional seeds. The lack of knowledge about the nutraceutical values of traditional rice varieties among farmers leads to the non-participation in cultivation. Present study was aimed at to characterization of thirty traditional rice varieties in terms of physico-chemical, cooking quality as well as molecular screening with markers specific to quality traits. All the varieties used is unique in their quality parameters, among them Njavara Veluthath (13.57%) and Orumundakan (13.35%) were rich in protein content whereas, Karimbalan (311.54 mg/Kg and 102.41 mg/kg) and Veliyan (218.25 mg/Kg and 56.88mg/kg) were superior in Iron and Zinc content. The carotene content ranged from 0.14 mg/100g (Mullan kayama) to 0.56 mg/100g (Njavara veluthath) and amylose content was maximum in Cheruviripp (29.52%). Thus, these varieties need to be conserved and promote them by commercialize and through general public awareness about their medicinal benefits. Correlation analysis showed positive significant relationship between Iron and Zinc content, while amylose content had positive correlation with volume expansion and optimum cooking quality. The SSR marker RM535 linked to Quantitative Trait Loci for Iron and Zinc content was detected in thirteen varieties, RM190 linked with Wx gene locus associated with amylose content in seventeen varieties and the marker RM520 linked to QTL for protein content was detected in all the varieties.
Performance analysis of machine learning libraries
Authors: Kędziora Ewa Justyna , Maksim Grzegorz Krzysztof
Published: September 2021

The paper presents results of performance analysis of machine learning libraries. The research was based on ML.NET and TensorFlow tools. The analysis was based on a comparison of running time of the libraries, during detection of objects on sets of images, using hardware with different parameters. The library, consuming fewer hardware resources, turned out to be TensorFlow. The choice of hardware platform and the possibility of using graphic cores, affecting the increase in computational efficiency, turned out to be not without significance.
Graphics display capabilities in web browsers
Authors: Sołtysiuk Damian , Skublewska-Paszkowska Maria
Published: September 2021

The article discusses the issue of displaying graphics in web browsers. A couple of methods related to its display can be distinguished. The methods discussed are: SVG, HTML5 Canvas and the WebGl graphics engine. The research was done using a dedicated web application written in Angular and TypeScript language along with the help of Two.js library for displaying 2D graphics. After analyzing all the results it concluded that, guided by the rendering time of the elements, HTML5 Canvas turned out to be the best method. On the other hand, the best method which achieves the highest number of FPS for animation is WebGl.
Gambaran skala nyeri pada anak post operasi mayor usia 3-5 tahun dengan menggunakan skala nyeri FLACC
Authors: Miniharianti Miniharianti , Zaman Badrul
Published: September 2021

Pembedahan merupakan salah satu tindakan invasif yang sering dilakukan pada anak di rumah sakit. Salah satu keluhan yang sering dirasakan setelah post operasi  mayor adalah nyeri. Perawat secara legal dan etik bertanggung jawab dalam menangani nyeri serta mengurangi penderitaan nyeri pada pasien. Pengkajian skala  nyeri merupakan langkah dasar dalam menentukan tindakan selanjutnya. Tujuan penelitian ini untuk mengetahui gambaran skala nyeri pada anak post operasi mayor pada anak usia 3-5 tahun dengan menggunakan skala nyeri Face, Legs, Activity, Cry, and Consolability (FLACC). 

Desain penelitian yang digunakan adalah deskriptif sederhana. Sampel diambil dengan consecutive sampling. Jumlah sampel 30 anak usia prasekolah dengan post operasi mayor.

Hasil penelitian didapatkan bahwa mayoritas responden berusia 3 tahun (46,7%). Sebagian besar responden memiliki jenis pembedahan gastrointestinal (67,7%), semua responden mendapatkan jenis analgesik paracetamol (100%), sebagian besar responden memiliki jenis kelamin laki-laki (60%), sebagain besar responden pernah mengalami operasi sebelumnya (80%). Sebagian besar responden memiliki tingkat skala nyeri 5 (40%).

Penelitian ini diharapkan dapat menjadi data dasar bagi tenaga kesehatan khususnya perawat supaya dapat menerapkan skla ukur FLACC scale untuk mengkaji skala nyeri anak.
Analysis of Adolescent Hemoglobin Levels on Knowledge, Body Mass Index, and Menstrual Patterns
Authors: Mas'odah Siti , Dwiyanti Ratih Dewi , Utama Ricko Dharmadi
Published: September 2021

Anemia can be related to several factors, including knowledge, body mass index, and menstrual patterns. Adolescent girls are a high-risk group who experience anemia. This study aims to analyze the hemoglobin levels of adolescent girls about knowledge, body mass index, and patterns menstrual. Information on the relationship between hemoglobin levels and these factors expects to be a reference for strategies to overcome anemia in adolescent girls. The sample of this research is the students of Martapura Indonesia vocational high school, totaling 45 people. Data collection includes weight and height measurements, hemoglobin examination (using Easy Touch GCHb), and questionnaires. Data analysis used bivariate analysis of chi-square test with 0.05 with 95% confidence degree. Results Respondents had fewer hemoglobin levels 47%, normal 53%. The body mass index value of respondents is less than 85%, normal 13%, excess 2%. The respondent's menstrual pattern obtained 26% abnormal data, 74% normal data. Knowledge of anemia of respondents with enough category 34%, good category 66%. The conclusion is that there is no relationship between hemoglobin levels and body mass index (p-value 0.281), menstrual patterns (p-value 0.073), and knowledge of anemia (p-value 0.402) in adolescent girls. Hemoglobin levels may more influence by the consumption pattern of foods containing iron, so it recommends that young women consume more iron-rich foods and avoid the simultaneous consumption of substances that inhibit their absorption, such as tea and coffee.
Comparative Analysis of Manual and Mechanised Yam Minisett Planting
Authors:   Automotive and Refrigeration Engineering, Takoradi Technical University, Takoradi, Ghana, Arkoh A. K. , Amponsah S. K. ,   CSIR-Crops Research Institute, Kumasi, Ghana., Asante J. Opoku- ,   Agricultural and Biosystems Engineering, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
Published: September 2021

Pain in yam cultivation has been identified as critical areas in yam cultivation. The aim of the study was to compare the manual and mechanised yam minisett planting. To address this problem, heart rate (HR) of workers during mounding and ridging, and planting were measured as well as assessing economic feasibility in mechanising yam planting. Polar watch (RS 800 CX) was used to measure HR of the operations. Hoe and cutlasses were used for mounding and ridging. The HR of tractor operator during planting was determined. Descriptive statistics and analysis of variance (ANOVA) were done using GenStat software (VSN International, 2011). Statistical significance was carried out at p<0.05. The field capacity was 3.84 and 1.45 h/ha for mechanised and manual, respectively. The mean HR was 112.80 and 112.7 bpm for mounding and ridging respectively while 112.00, 132.00 bpm for mechanised and manual, respectively. Mechanised yam minisett planting reduces labour cost by 50%.
Geospatial Location Based Study for Establishment of New Public Health Centers: A Case of Adama City, Oromia, Ethiopia
Authors:   Research Scholar, Department of Geo-Engineering, College of Engineering, Andhra University, Visakhapatnam (Andhra Pradesh), India., Gebreselassie Temesgen Abraham , Rao Prof. P. Jagadeeswara ,   Professor, Department of Geo-Engineering, College of Engineering, Andhra University, Visakhapatnam (Andhra Pradesh), India,
Published: September 2021

This study focuses on establishing adequate public healthcare centers to reduce disease spread and untimely death of human lives in Adama City, Ethiopia. There is considerable evidence, owing to poor geographical accessibility, the primary healthcare facility is not reaching the majority of the population in developing nations. This case study has been carried out to identify and prioritize the suitable areas to develop healthcare centers using a Geographic Information System (GIS). Thematic maps and ancillary data are used to analyze location-allocation analysis in ArcGIS-10.4. Required field data was collected using GPS in Adama, Oromia, Ethiopia, and required supporting data from the Municipality of the City. The density of population is the significant input in calculating the standards for services-based location-allocation. Therefore, road networks, existing healthcare facilities, and population density are the critical parameters considered to identify the new healthcare centers to be established to cater to the people's needs. In addition, land use/cover classes and settlement location, proximity to the existing healthcare centers are also considered in GIS analysis for better results. The study identified eight suitable sites to develop healthcare centers in the city. Therefore, the government can utilize the recommendations for infrastructure development planning to improve healthcare facilities based on the accessibility.
Experimental study on the use of unmanned aerial vehicles for the prediction of oil and gas facilities
Authors: Sedlerova Olga , Arkhipov Oleksander , Golubov Stanislav , Bondarenko Alla
Published: September 2021

The article is devoted to the topical problem of forecasting oil and gas promising objects using the latest remote sensing technologies. The proposed new approach to obtaining field verification data is an essential component of the methodology for solving oil and gas prospecting problems on land (satellite technology).Experimental field studies were carried out using the Ocean Optics STS-VIS Developers kit spectroradiometer installed on a quadcopter. Using the example of the Vostochnorogintsevska area, which is part of the Talalaevska-Rybaltsy oil and gas region of the Dnieper-Donetsk oil and gas region, the main stages of the developed method are demonstrated: a model of the fault-block structure was created, the neotectonic features of this area and its local blocks were estimated, photometric measurements of a multispectral satellite image along the route were carried out, birch leaves were sampled again along the same route for spectrometry using the ASD FieldSpec 3 FR instrument.The main objective of the experiment was to carry out field measurements with the Ocean Optics STS-VIS Developers kit spectroradiometer along a route that repeats the routes of measurements with spectrometers carried out earlier. The results showed that the optical anomaly, which is identified with a hydrocarbon accumulation, along the profile at the Vostochnorogintsevska area corresponds to the segment between points 15-26.The same anomaly has been established with the spectrometry device ASD FieldSpec 3 FR (2009 and 2021), the instrument SF-18 (1999 and 2004). Sufficiently accurately allocated transition from object to background, which corresponds to the boundary of the deposit on the drilling data (point 16 on the profile), i.e. has been confirmed in principle the possibility of allocating a low-intensity optical anomalies over hydrocarbon reservoirs using spectroradiometer STS-VIS Developers kit, mounted on quadrocopter.
Vadim Ivanovich Lyalko (on the occasion of his 90th birthday)
Authors: CASRE SI
Published: September 2021

A brief review of the biography and scientific achievements of Academician of the NAS of Ukraine V.I. Lyalko on the occasion of the 90th Аnniversary.
Fibrilación auricular con riesgo cardioembólico bajo y accidente cerebro vascular isquémico. Reporte de caso
Authors: Bautista Vargas William Fernando
Published: September 2021

La fibrilación auricular es la enfermedad más prevalente en pacientes hipertensos mayores de 60 años. Si bien una gran proporción de pacientes tiene síntomas relacionados con esta arritmia, algunos pacientes asintomáticos pueden  desarrollar accidentes cerebrovasculares como única manifestación clínica. Para el clínico es importante tener un conocimiento claro sobre las herramientas, escalas e información específica para realizar una correcta valoración del paciente con fibrilación auricular, con el objetivo de prevenir las complicaciones relacionadas con esta arritmia. Se presenta el caso de un paciente de sexo masculino con fibrilación auricular y riesgo bajo de accidente cerebrovascular isquémico, portador de monitor de eventos, sin evidencia de arritmia por mas de un año, quien desarrolló un ACV isquémico en múltiples territorios cerebrales, con posterior documentación  de trombo en la auriculilla izquierda.
THE EFFICACY OF CLINICAL EXAMINATION, ULTRASONOGRAPHY AND CT SCAN IN DETECTING MALIGNANT LYMPH NODES OF THE NECK IN ORAL CANCER AND CONFIRMATION WITH FINAL HISTOPATHOLOGY REPORT
Authors: Bendale Kaustubh , Bharani Shiva , Lakshmi Subha , Gireesh Rinsha
Published: September 2021

To evaluate and compare the diagnostic accuracy of detecting malignant cervical lymph nodes using Clinical evaluation, CT scan and
Ultrasonography and conrmation with histopathology in patients with squamous cell carcinoma. Atotal number of 30 patients, of both sexes, with
carcinoma of different regions of the oral cavity, conrmed with incisional biopsy were included in this study. We found USG to be most sensitive
(83.5%), followed by CT (78.3%) and clinical evaluation (63.7%). Similarly, CT scan was found to be most specic (81.5%), followed by USG
(78.2%) and clinical evaluation (60.7%).
“ROLE OF ULTRASOUND IN VOCAL CORD PALSY”
Authors: Garg Utkarsh , Narula Harneet , Gupta Manish , Singh Ujjwala , Singh Shreya
Published: September 2021

Phonation is beyond doubt one of the highest functions of the human
larynx. The vocal cords, also known as vocal cords, as the name
suggests are infolding of mucosa aligned horizontally. The phonatory
process, or voicing, occurs when air is expelled from the lungs through
the glottis, creating a pressure drop across the larynx. When this drop
becomes sufciently large, the vocal cords start to oscillate. The
motion of the vocal cords during oscillation is mostly lateral, though
there is also some superior component as well. However, there is
almost no motion along the length of the vocal cords. The oscillation of
the vocal cords serves to modulate the pressure and ow of the air
through the larynx, and this modulated airow is the main component
of the sound. The sound that the larynx produces is a harmonic series.
In other words, it consists of a fundamental tone (called the
fundamental frequency, the main acoustic cue for the percept pitch)
accompanied by harmonic overtones, which are multiples of the
(1) fundamental frequency .
PROGNOSTIC ROLE OF NLR AND RBS LEVELS IN DIABETIC PATIENTS WITH SEVERE COVID-19 DISEASE
Authors: Srivastava Anubha , Bhardwaj Anubhuti
Published: September 2021

Objective-This retrospective study was done to assess the role of NLR (Neutrophil to lymphocyte ratio) and RBS (RANDOM BLOOD SUGAR)
levels at the time of admission as prognostic markers and correlate them with clinical outcome.
Materials and methods:Atotal of 100 diabetic patients with severe COVID-19 Disease, requiring ICU admission were studied at SRN Hospital,
Prayagraj. Blood samples were sent for various inammatory markers along with random blood glucose levels. Patients were divided as survivors
and non- survivors.
Results: The mean NLR was higher in the group of patients who did not survive (11.35±8.09) than in the patients who survived (7.79±5.27). Mean
RBS (in mg/dL) in the survivor group and the non-survivor group at the time of admission was 232.19±133.75 and 333.41±130.81 respectively.
The NLR, RBS, CRP cutoff were identied as >7.247, >254.6 mg/dL,>12.86 mg/Lrespectively to predict mortality using the ROC curve (p value
<0.05).
Conclusion:NLR and RBS at the time of admission can be easily used as surrogate markers for predictors of mortality. Screening and intensive
glucose control is strictly recommended for all diabetic patients.
ROLE OF BILIRUBIN AS A POTENTIALANTIOXIDANT IN SMOKERS
Authors: S Varshini. , Preethi A. , Udayakumari G.
Published: September 2021

Introduction: Globally, smoking causes about 71% of lung cancer, 42% of chronic respiratory diseases and about 10% of cardiovascular disease.
Smokers are exposed to potential oxidative damage. This leads to depletion of the body's defense against oxidative stress, like decrease in the levels
of Paraoxanase -1. This study aimed to assess the antioxidant property of Bilirubin in comparison to Paraoxonase-1 in smokers.
Materials & methods: This case control study was carried out at Govt. Kilpauk Medical College Hospital after obtaining ethical committee
approval and informed consent. This study involves 2 groups with 90 chronic smokers and 90 apparently healthy individuals who are not smokers.
Serum Bilirubin and Paraoxanase -1 levels were estimated and compared between these two groups. Correlation between Bilirubin and
Paraoxanase-1 was analyzed. Statistical analysis was done using SPSS package version 20.
Results: The mean value for Bilirubin is 0.566 +/- 0.03 mg/dL in smokers and 0.620 +/- 0.05 mg/dL in non-smokers. There is signicant
difference in bilirubin levels between smokers and non smokers (p value - 0.049). The mean value for Paraoxonase-1 is 3.291+/- 0.75 ng/dL in
smokers and 4.513+/- 0.96 ng/dL in non-smokers. There is signicant difference in Paraoxanase -1 levels between smokers and non smokers (p
value - 0.025). The scatter plot between Paraoxanase -1 and Bilirubin shows no signicant correlation.
Conclusion: The Paraoxanase -1 and Bilirubin values in smokers are considerably reduced in comparison to that of non-smokers. This shows that
Paraoxanase -1 and Bilirubin exhibits potential antioxidant properties. Bilirubin estimation is inexpensive and can be easily measured rather than
measuring other known antioxidants such as PON-1. Role of Bilirubin as a marker to detect the oxidative stress levels in smokers is established in
this study
A STUDY OF DEMOGRAPHIC AND CLINICAL PROFILE OF DENGUE FEVER PATIENTS IN A TERTIARY CARE HOSPITAL, RAJASTHAN
Authors: Gupta Manoj Kumar , Sharma Raman , Mahawar Sunil Kumar , Sharma Shrikant , Palawat Arvind
Published: September 2021

BACKGROUND: Dengue fever is caused by dengue virus,belongs to Flaviviridae family, transmitted mostly in urban
area by Aedes aegypti and in rural area by Aedes albopictus mosquitoes. Dengue still remains challenge for the treating
physician due to non-specific clinical presentation such as fever, headache, rashes, myalgia which often overlaps with
other endemic infections. Early identifications of warning signs, diagnosis, appropriate fluid replacement and
supportive cares can reduce dengue associated mortality. OBJECTIVE: A study of demographic and clinical profile of
dengue fever patients in a tertiary care hospital, Jaipur Rajasthan. MATERIAL AND METHOD: A descriptive,
prospective,cross sectional,analytic sturdy conducted on dengue fever patient who were admitted in Medicine wards in
the period of august 2019 to December 2019. A detailed history, general and systemic clinical examination with
hematological profile and biochemical investigations were done. Signs of plasma leakage were assessed by chest
rediograph and abdominal ultrasonography,hematocrit etc.patients wewe classified as dengue fever without warning
sign,with warning sign and severe dengue. RESULT:Total 210 patients diagnosed as dengue fever based on detection
of dengue non-structural protein 1 (NS1),dengue serology [anti-dengue IgM anti-body] in the blood sample.Most cases
were males (72.86%),and fever was most common symptom present in all cases.Most affected cases were in 15-25 years
age group (57.14%).Maximum patient were from urban area (71.43%).Thrombocytopenia,leucopenia,increased liver
enzymes raised hematocrit and bleeding manifestations were found in 87.62%, 46.62%, 95.71%, 6.67% and 58.8%
patients respectively. CONCLUSION: Dengue fever can have different clinical manifestations. No specific anti-viral
therapy or vaccination available till now. Early diagnosis and early management are needed to reduce complications
and mortality.
A atuação do podólogo na equipe multidisciplinar e o impacto das úlceras venosas na qualidade de vida dos pacientes
Authors: Plais Kátia , Andreia dos Santos Cinara , De Oliveira Martins Ana Paula , Carolina Santos Jéssica , Da Silva Santos Jheniffen , Gonçalves da Souza Josinara , Da Silva Patrícia , Da Silva Moreira Vitória Carolina , Ribeiro Christiana Vargas
Published: September 2021

As úlceras venosas são lesões de pele comuns nos membros inferiores, causadas por problemas circulatórios. Devido a sua complexidade, necessitam do acompanhamento de uma equipe multidisciplinar. Neste contexto, o podólogo presta grande contribuição no atendimento primário desses pacientes pois, através de uma avaliação criteriosa dos membros inferiores, pode tratá-los e encaminhá-los ao especialista adequado. Neste estudo, foi realizada uma pesquisa de artigos científicos na base de dados do Google Acadêmico e SciELO, com o objetivo de determinar o processo de formação e desenvolvimento das úlceras venosas nos membros inferiores. Foram explanados os mecanismos através dos quais o indivíduo pode adquirir essas lesões, e foram discutidos os impactos ocasionados na rotina do paciente. A partir da análise dos artigos, foi verificado um resultado positivo quando há o trabalho da equipe multidisciplinar no atendimento ao paciente, buscando soluções e a melhora de sua qualidade de vida; e o podólogo auxilia na prevenção desta condição patológica conforme citado acima.
АПРОКСИМАЦІЯ УНІВЕРСАЛЬНИХ ХАРАКТЕРИСТИК ГІДРОТУРБІН МЕТОДАМИ ІНЖЕНЕРНОЇ ГЕОМЕТРІЇ
Authors: Васько П.Ф.
Published: September 2021

Апробовано застосування методів інженерної геометрії для апроксимації функціональних двопараметричних залежностей універсальних характеристик гідротурбін, які являють собою сукупність розімкнених та зімкнених ліній на площині, що характеризують результати експериментальних досліджень фізичних моделей турбін. Універсальні характеристики наведені в номенклатурі гідротурбін і слугують вихідною інформацією для вибору параметрів натурних зразків та визначення режимів їх ефективної експлуатації. Вони дозволяють розрахувати діаметр робочого колеса для отримання заданої потужності; номінальне число обертів турбіни; значення ККД і допустимі висоти відсмоктування при всіх напорах і потужностях; відкриття напрямного апарату для будь-якого навантаження турбіни. Проведення багатоваріантних розрахункових досліджень потребує цифрового оброблення вихідної графічної інформації та її подальшого використання. Тому були розглянуті питання апроксимації кривих та поверхні кубічними сплайн-функціями, графічного визначення максімори поверхні та графічного визначення перетину поверхонь. Розроблено методичні положення визначення енергоефективного режиму роботи пропелерних та радіально-осьових гідротурбін при змінних витратах води та частоти обертання. Положення ґрунтуються на застосуванні методів інженерної геометрії для апроксимації універсальної характеристики турбіни у формі поверхні тривимірного геометричного тіла та визначення максімори поверхні, яка характеризує оптимальну функціональну залежність між відкриттям напрямного апарату і частотою обертання, що забезпечує найбільшу енергетичну ефективність процесу перетворення гідроенергетичного потенціалу водотоку в механічну енергію обертового руху турбіни. Запропоновано алгоритм розрахунку коефіцієнтів апроксимаційних кубічних сплайн-функцій універсальної характеристики гідротурбіни для визначення та реалізації законів керування енергоефективними режимами роботи гідроагрегатів при одночасній зміні двох параметрів керування. Алгоритм полягає в апроксимації вихідної універсальної характеристики гідротурбіни на рівномірну сітку параметрів керування з подальшим прямим розрахунком коефіцієнтів сплайн-функцій за рекурентними співвідношеннями. Бібл. 17, рис. 7.
АНАЛІЗ УМОВ ВПРОВАДЖЕННЯ СЕЗОННОГО ГЕОТЕРМАЛЬНОГО АКУМУЛЮВАННЯ В СИСТЕМАХ СОНЯЧНОГО ЦЕНТРАЛІЗОВАНОГО ТЕПЛОПОСТАЧАННЯ
Authors: Лисак О.В.
Published: September 2021

Метою статті є аналіз застосування сезонного геотермального акумулювання (СГА) у системах сонячного централізованого теплопостачання (ССЦТ). Такі системи, що акумулюють теплоту, вироблену за рахунок сонячної енергії в теплий період року, з подальшим використанням акумульованої теплоти в холодний період року для забезпечення потреб теплопостачання, буде позначено в статті як ССЦТ-СГА.
Було виконано класифікацію ССЦТ-СГА та проаналізовано вибір СГА. Найоптимальнішим варіантом вважається акумулювання з використанням «штучних озер». Щодо інших варіантів, то вони переважно є дорожчими за вказане рішення.
Що стосується впровадження ССЦТ-СГА, то серед факторів, які сприяли їх широкому розповсюдженню, були: зниження вартості сонячних колекторів, висока ціна на корисні копалини, наявність розгалужених систем теплопостачання, зниження температурного графіку в теплових мережах. Проте в умовах України впровадження ССЦТ-СГА наразі може бути значно ускладненим через значну кількість систем централізованого теплопостачання (ЦТ), що перебувають у вкрай занедбаному стані.
ССЦТ-СГА є порівняно новим видом систем ЦТ, вартість теплоти від них ще не є усталеною величиною, як і вартість самих систем. За рахунок постійного удосконалення, напрацювання нових технічних рішень та збільшення досвіду впровадження нових систем кінцева вартість теплопостачання від них постійно зменшувалась протягом минулих десятиліть. Тому в роботі розглянуто поточний стан досліджень щодо зменшення вартості ССЦТ-СГА та необхідні умови для ефективного впровадження ССЦТ-СГА. Як показав проведений економічний аналіз, зі збільшенням об’єму значно знижується вартість акумулятора, що дозволяє обґрунтувати його використання в ЦТ у разі високої щільності споживання теплоти. Бібл. 45, табл. 1, рис. 2.
ВПЛИВ СПІВВІДНОШЕННЯ МІЖ ІНОКУЛЯТОМ І ОРГАНІЧНИМ СУБСТРАТОМ НА ВИХІД БІОГАЗУ
Authors: Четверик Г.О. , Маслова Н.О.
Published: September 2021

Визначення метанового потенціалу органічних субстратів є важливим завданням на етапі проєктування біогазових комплексів, заводів або станцій. Вихідні субстрати, особливо це стосується субстратів, які складаються з посліду або гною, відрізняються своїм складом протягом року. Тому на біогазових об’єктах зазвичай створюють лабораторії, де перевіряють характеристики вихідного субстрату й виконують тести з визначення його метанового потенціалу. Метою роботи є дослідження виходу біогазу залежно від співвідношення між інокулятом і субстратом. Наведено умову, за якої значення співвідношення між інокулятом і субстратом можна вважати раціональним, а саме: необхідно, щоб відхилення значення виходу біогазу було незначним відносно невеликих змін співвідношення між інокулятом і субстратом. Наведено результати експериментів з метанової анаеробної переробки коров’ячого гною при різних значеннях співвідношення між інокулятом і коров’ячим гноєм. Визначено вихід та склад біогазу, ступінь переробки органічної речовини. Встановлено раціональне значення співвідношення між інокулятом і коров’ячим гноєм. Проаналізовано необхідність перемішування субстрату при виконанні тесту з визначення метанового потенціалу в лабораторних умовах. З’ясовано, що для органічних субстратів, які легко зброджуються або досить розбавлені водою, достатньо струшувати вміст реактора вручну раз на добу. У разі, якщо у складі органічного субстрату переважають компоненти, що важко зброджуються або органічний субстрат містить високу кількість сухої речовини, перемішування обов’язкове. Наведено спосіб перемішування для проведення тесту з визначення метанового потенціалу органічних субстратів, які містять коров’ячий гній. Наведено два критерії, згідно з якими слід виконувати вибір співвідношення між інокулятом і досліджуваним субстратом для різних видів органічних субстратів при визначенні їхнього метанового потенціалу: перший критерій – це наявність власної клітинної біомаси в субстраті; другий критерій – це наявність переважно легко зброджуваних компонентів у субстраті. Рекомендовано необхідні значення співвідношення між інокулятом і досліджуваним субстратом для органічних субстратів, що є перспективними і можуть першочергово бути використані в біогазових станціях. Бібл. 20, табл. 3, рис. 1.
Autoorganización, autopoiesis y causalidad no lineal
Authors: Castillo López Nancy Carolina
Published: September 2021

El cambio paradigmático de una visión de la realidad desde la física clásica, hacia las ciencias de la vida es esencial, en virtud que la primera, a pesar de sentar las bases para explicar muchos fenómenos naturales, se queda corta cuando incluimos lo vivo en la ecuación.  Reconocer los procesos autoorganizados de las diferentes estructuras, comprender los patrones de vida, y especialmente identificar sus diferencias, nos posibilitan actuaciones más asertivas, consecuentes con el ecosistema y su funcionamiento.  Un punto importante de mencionar es que cuando surgió el término autopoiesis, no se aceptaba su uso para explicar los patrones de las redes de tercer orden (agregados de organismos), sin embargo, con el tiempo se ha aplicado y adaptado, reconociendo que en estos el funcionamiento depende de la relación de sus partes y no de la autopoiesis de sus componentes.  Dicha situación es determinante para establecer diferencias clave como la restricción de la creatividad que imponen los organismos vivos a sus miembros contrastada con la amplificación de la misma que requieren las estructuras sociales.  Lo anterior se evidencia en como las sociedades opresivas o rígidas llegan a marchitar el espíritu humano, al punto de impedir el progreso de sus integrantes.
Medication-Related Osteonecrosis of the Jaw in Patients Treated Concurrently with Antiresorptive and Antiangiogenic Agents: Systematic Review and Meta-Analysis
Authors: Srivastava Akanksha , Gonzalez Graciela M. Nogueras , Geng Yimin , Won Alexander M. , Myers Jeffrey , Li Yisheng , Chambers Mark S.
Published: September 2021

Introduction

Medication-related osteonecrosis of the jaws (MRONJ) is a known adverse event related to the use of antiresorptive (AR) drugs. More recently, an association between antiangiogenic (AA) drugs and MRONJ has been suggested. This review aimed to investigate the overall prevalence and relative risk of MRONJ in patients treated concurrently with AA and AR agents in comparison with a single AA or AR drug.

Methods

A review protocol was registered with PROSPERO (ID: CRD42020214244). A systematic literature search, study selection, quality assessment, and data extraction were carried out following PRISMA guidelines. Random-effects meta-analysis models were used to summarize relative estimates for the outcomes, namely prevalence and relative risk of MRONJ. Exposure variable included type of drug, specifically AA and AR agents administered either concurrently or individually.

Results

Eleven studies were included in the final qualitative and quantitative syntheses. The overall pooled weighted prevalence of MRONJ with concurrent AA-AR drugs was 6% (95% CI: 3–8%), compared with 0% (95% CI: 0–0%) for AA only and 5% (95% CI: 0–10%) for AR only. However, high heterogeneity was noted among included studies. Retrospective cohort studies showed a higher pooled prevalence of 13% (95% CI: 10–17%) for concurrent AA-AR therapy. The pooled risk ratio for MRONJ revealed a risk with concurrent AA-AR drugs 2.57 times as high as with AR only (95% CI: 0.84–7.87); however, this difference was not statistically significant. Concurrent AA-AR drugs had a risk for MRONJ 23.74 times as high as with AA only (95% CI: 3.71–151.92).

Conclusions

High-quality, representative studies are needed for accurate estimation of relative risk of MRONJ with concurrent AA and AR therapy.
Pemberdayaan Kelompok Toga Paras Usadha Desa Bukian dalam Pemanfaatan Bahan Alam untuk Kesehatan
Authors: Permatananda Pande Ayu Naya Kasih , Luh Gede Pradnyawati , Desak Putu Citra Udiyani , I Gde Suranaya Pandit
Published: September 2021

Desa Bukian merupakan salah satu desa unggul yang berada di Kecamatan Payangan, Bali yang didukung oleh iklim, suhu, dan luas wilayah yang cocok untuk pertanian dan perkebunan. Desa ini memiliki suatu kelompok masyarakat yang giat dalam mensosialisasikan dan mempraktikkan pengolahan tanaman obat tradisional, yaitu Kelompok TOGA Paras Usadha. Tujuan pengabdian masyarakat ini adalah untuk memberdayakan kelompok tersebut dalam memanfaatkan bahan alam untuk kesehatan dengan penerapan teknologi tepat guna. Kegiatan yang diberikan berupa focus group discussion, pemaparan materi, dan demonstrasi video mengenai jalur penemuan bahan alam di Indonesia, tahap pembuatan simplisia, hingga aspek hygiene dan sanitasi yang perlu diperhatikan dalam produksi herbal. Evaluasi dilakukan dalam melihat keberhasilan kegiatan berupa pemberian kuesioner untuk menilai pengetahuan dan sikap peserta kegiatan setelah diberikan materi. Kegiatan ini dihadiri oleh 15 peserta kegiatan yang terdiri dari perangkat desa dan anggota Kelompok TOGA Paras Usadha. Kegiatan tersebut berlangsung baik dan lancar dengan hasil evaluasi sesuai ekspektasi. Pembinaan kepada kelompok ini diharapkan untuk terus berlanjut kedepannya.
Penggunaan Fasilitas Informasi dalam Pengabdian Masyarakat di Posyandu Citra Rw 08 Desa Rancaekek Kulon, Kecamatan Rancaekek Kabupaten Bandung
Authors: Ai Nunung
Published: September 2021

Posyandu Pelayanan Kesehatan (Surat Pelayanan Terpadu) yang merupakan pengembangan kesehatan sebagai salah satu bentuk yang dilakukan masyarakat pada tingkat dasar karena belum maksimalnya tingkat pelayanan yang dimiliki oleh mitra Posyandu yaitu Posyandu Citra RW 08 Rancaekek Kulon. Kelurahan, Rancaekek, Bandung. Upaya pengabdian ini menggunakan metode 1) Menghadapi masalah pendataan, 2) Narasumber harus maksimal dan efisien dalam melakukan pelayanan dan saran Posyandu, 3) WhatsApp Messenger merupakan aplikasi komunikasi smartphone, aplikasi messaging platform lintas batas yang memungkinkan kita untuk bertukar pesan tanpa pulsa karena paket data Internet WhatsApp Messenger. komunikasi yang sangat berguna dalam pencarian dan pelayanan Posyandu. WhatsApp Messenger adalah aplikasi berbasis smartphone (Android) yang dirancang untuk memantau dan menggunakan layanan Posyandu, layanan informasi Posyandu, kesehatan ibu dan bayi, informasi tumbuh kembang bayi dan bayi (gizi) yang dibutuhkan untuk memberikan saran dan informasi, informasi KB, persalinan informasi dan informasi kehamilan. Efek yang memberikan efek positif dengan memberikan informasi melalui sistem WhatsApp Messenger untuk Posyandu. Mitra Posyandu sangat responsif setelah menerima informasi melalui sistem WhatsApp Messenger. Hasilnya bagus dan dapat memberikan pelayanan untuk meningkatkan pelayanan, serta Posyandu meningkatkan simpanan di kawasan Ranc 08 di Desa Rancaekek Kulon Kecamatan Rancaekek Kabupaten Bandung Kata Kunci.
Penyuluhan Terhadap Aparatur Desa dalam Penguatan Kelembagaan Bidang Pendidikan dan Pertanian Desa Cirebon Girang
Authors: Heryanto Yanto , Deden Deden
Published: September 2021

Kelembagaan sebuah instansi sangat mempengaruhi keberlangsungan instansi tersebut, di mana pun instansinya dan besar ataupun kecilnya instansi tersebut. Hal ini tidak terkecuali dengan instansi yang berada di desa. Instansi yang bergerak dalam bidang pendidikan maupun instansi lainnya seperti instansi pertanian, baik formal maupun yang dikelola oleh masyarakat desa. Aparatur desa diharapkan dapat membantu meningkatkan pengelolaan lembaga pendidikan dan pertanian yang sudah berada di tengah-tengah masyarakat Cirebon Girang seperti PAUD dan GAPOKTAN (Gabungan Kelompok Tani). Salah satu bentuk partisipasi aparat desa dalam hal ini adalah membantu pembentukan yayasan yang dapat memayungi kedua lembaga tersebut baik dalam satu yayasan yang sama atau yayasan yang berbeda. Tujuan dari kegiatan PKM ini adalah ; 1). Meningkatkan kapasitas pengetahuan Aparatur Desa dalam pengelolaan kelembagaan masyarakat, khususnya kelompok lembaga pendidikan dan pertanian, 2). Memberikan pencerahan mengenai prosedur (alur) dalam membentuk dan mengelola kelembagaan masyarakat, khususnya kelompok lembaga pendidikan dan pertanian. Kegiatan ini dilaksanakan oleh tim Dosen dan Mahasiswa dari Universitas Swadaya Sunan Gunungjati Cirebon bersama-sama dengan Pemerintah Desa Cirebon Girang. Setelah mengikuti kegiatan ini, pengetahuan dan pemahaman peserta yang terdiri dari aparatur pemerintah Desa dan masyarakat mengenai pemberdayaan mengalami peningkatan. Berdasarkan evaluasi yang dilakukan pada akhir kegiatan, pemahaman peserta terhadap materi cukup baik, terbukti  meningkat pengetahua nya dari 6 menjadi rata-rata 7,8 (32%).
The Implementation on Using Google Classroom for Online Learning for Elementary School Teachers
Authors: Setiawan Fiki , Prambudi Hery , Supenah Pipin , Supriyatin Supriyatin
Published: September 2021

The government has issued various policies to stop the spread of COVID-19. One of them is online learning (on the network) which is carried out by almost all levels of education in Indonesia. Learning models are developed based online (e-learning). Nevertheless, on the other hand, the implementation of online learning experiences obstacles such as teachers' lack of knowledge and skills in managing to learn online. This community service aims to improve the abilities and skills of elementary school teachers in using e-learning applications based on Google Classroom in helping the online learning process during the pandemic. The target of this activity is the Gegunung Village Elementary School teachers. Execution method using lectures, practicum, and question and answer. Training participants are given an understanding concept about distance learning media or online and practising use of the Google Classrooms application. The results of this activity include training participants very enthusiastic about participating in the training. The Gegunung Village Elementary School teacher can understand the use of google classroom with an indicator that the teacher can create online learning. The Gegunung Village Elementary School teachers have operated the application Google Classroom as an alternative medium. However, assistance still needs to be done until the teacher understands and uses Google Classroom as an online learning medium during the COVID-19 pandemic.
The Analysis of University Student’s Critical Thinking in Writing Argumentative Essays in the English Department of UNESA
Authors: Cahyadewi Arinta , Lolita Yuri
Published: September 2021

Background: An argumentative essay is a reflection of students' critical thinking. Writing an argumentative essay means practicing critical thinking.Objective: To describe how critical thinking is reflected in argumentative writing and to find out how students respond in applying critical thinking in an argumentative essay.Methods: This research is descriptive qualitative as a research design. To obtain the data, the instrument used by the researcher was an assessment rubric and a questionnaire.Results: This shows that students' critical thinking skills in argumentative writing are pretty good, and they can solve the problems they face by relying on their critical thinking. In conclusion, most of the students apply their critical thinking in writing argumentatively well.Conclusion: This study found that the argumentative essays written by the research subjects were reasonable based on the scoring rubric used in this study. Students are also able to use their critical thinking in developing an argumentative essay
Pelatihan Berbahasa Jawa di Media Sosial pada Siswa SMP Surakarta Untuk Menanamkan Pendidikan Budi Pekerti
Authors: Waluyo Budi , Fitriana Tya Resta , Veronika Prima
Published: September 2021

Latar Belakang: Pengabdian ini relevan dengan kondisi sekarang ini yang mengharuskan kita banyak berkomunikasi melalui media sosial. Pengabdian ini dilatarbelakangi permasalahan dari mitra yaitu kurangnya wawasan siswa dalam menggunakan Bahasa Jawa di sosial media. Terkait permasalahan tersebut maka perlu adanya pelatihan berbahasa Jawa yang baik dan benar di media sosial.   
Tujuan: Pengabdian ini bertujuan untuk memberikan wawasan kepada generasi muda khususnya pelajar terkait dengan tata krama dan budi pekerti khususnya dalam penggunaan bahasa Jawa untuk proses komunikasi di media sosial. Pengabdian ini menjadi hal yang urgent untuk dilaksanakan karena aktivitas siswa selama pembelajaran daring banyak menggunakan media sosial untuk berkomunikasi sedangkan masih banyak ditemukan kesalahan dalam berbahasa Jawa.
Metode : Metode yang dilaksanakan dengan metode ekspositori dan praktik dalam kelompok kecil. Peserta adalah siswa-siswa SMPN 2 Surakarta.
Hasil: Peserta bertambah wawasan terkait bagaimana cara berkomunikasi dengan Bahasa Jawa di media sosial yang baik dan benar sesuai dengan unggah-ungguh yang berlaku.
Kesimpulan: Hal ini relevan dengan kondisi pandemi yang mengharuskan kita banyak berkomunikasi melalui media sosial baik WhatsApp maupun yang lain.