bluuebunny/crossref_metadata_2025 huggingface dataset:
International practices of using the cluster approach for the development of integration processes
Authors: Karapetian Eduard
Published: September 2019

The research paper considers the existing approaches to defining the essence of clusterization and clusters in foreign economies, and presents the analysis of conditions leading to the emergence and development of industrial clusters. Some practices of forming cluster structures in the developed countries are described. The role of industrial clusters in providing real economic growth and increasing efficiency of production is clarified. It is proved that using the cluster approach in Ukraine is a necessary foundation for a revival of regional manufacturing and thereby ensuring a high level of the national economy’s competitiveness. The aim of the article is to undertake an in-depth study of international concepts and axiomatic doctrines of integration processes on the basis of using the cluster approaches, which may become the foundation of applied research devoted to efficient functioning of industrial associations as a priority of structural modernization and acceleration of innovation andinvestment growth of the national manufacturing.The cluster approach has emerged from implementing a policy of foreign countries focused on the development of regions. Implementation of clustering in international activities clearly demonstrates its advancement and efficiency. An important factor of improving efficiency is the organizational factor associated with the regional association of manufacturers. The regions in whose territories clusters are formed become leaders in national economies and foreign economic relations.The study of the basic concepts of competition and global practices of business activities allows us to conclude that the theory of cluster mechanisms serves as a basis for establishing more successful firms and economic systems. Cluster systems combine the most effective and interconnected types of economic activity by grouping successfully competing firms that form the leading component of the whole economic system of the state and create competitive positions in the sectoral, national and global markets. The cluster approach, which was originally used to research issues of competitiveness of individual groups of enterprises, subsequently have become applicable in solving a wider range of tasks: the analysis of the competitiveness of the state, region, sector; as a basis of national manufacturing policy; as a basis for the interaction of big and small businesses.
Efficiency of distributing results of collaborative efforts in construction
Authors: Shesterniak Mariia
Published: September 2019

The article clarifies that results of collaborative efforts in construction, which are received without establishing a legal entity, are presented by constructed buildings that belong to owners as a jointly-owned property. It is revealed that a completed real estate object is put into operation by the operator of collaborative activities. It is pointed out that results of collaborative efforts are distributed according to percentage rates of co-owners and in accordance with the purpose of the joint project. The procedure of completing documents on jointly constructed building which is based on the aims of the collaborative activities is analyzed. It is determined that the aim of joint construction is to obtain a part of ownership in a constructed building by every co-owner (the aim is achieved at the time of signing the act of distributing housing space) or to get profits from jointly constructed buildings. The goal of collaborative activities includes constructing a building, its sale and distributing profits from collaborative activities (the aim is achieved at the time of distributing profits among participants of collaborative activities). It is found that a collaborative activity is discontinued upon achieving the aim. It is proposed to establish a standard act of distributing housing space of a jointly constructed building in accordance with an agreement on collaborative activities without setting up a legal entity.
Logistic costs and their classification
Authors: Zadorozhnyi Zenovii , Hrytsyshyn Anna
Published: September 2019

The research paper considers theoretical foundations for the concept of “logistic costs” and introduces a new definition for this term. The concept is viewed as a component of operating costs of enterprise related to supply of market, purchase of supply stock, warehousing, storage, shipment and outward transportation. The need of using the term “logistic costs” in accounting is emphasized. In this context, the authors suggest viewing it as the costs of material, financial and human resources used for logistic operations.A number of scientific papers related to estimating costs of logistic operations have been analyzed, and it is found that some issues of accounting of logistic costs are not sufficiently researched and require more detailed study.The existing classifications of total logistics costs given in educational and research literature are considered, and some proposals for their improvement are developed.It is pointed out that any optimization of costs cannot be performed without taking into account the factors that affect these costs. It is proved that logistic costs are influenced by quantitative and qualitative factors, which are systematized with respect to the following logistic operations: taking, accepting and proceeding orders; production planning; purchase and supply of products; warehousing and storage of products; sales of products; delivery of products to customers.The structure of logistic costs in overseas enterprises is analyzed. The tasks of accounting of logistics costs are outlined.Information on logistic costs in terms of financial and managerial accounting as well as tax calculation is grouped.
Thomas Sargent and Christopher Sims as creators of new empiricalmacroeconomics
Authors: Ivashuk Yurii
Published: September 2019

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Management of educational services provision in Ukraine’s higher institutions
Authors: Baboval Nadiia
Published: September 2019

The article considers the key issues of modernizing quality management systems and ways to address problems related to developing, updating and improving quality management systems for providing educational services by higher institutions of Ukraine.Theoretical aspects associated with management of educational services provision in higher institutions of Ukraine are discussed.It is found that public administration should be based on mechanisms and incentives that will affect the performance of higher institutions, force them to improve the quality of educational services and bear responsibility for their activities.It is proved that in the context of reforming higher education, the quality of management is of vital importance as a factor of systems organization of the university, which ensures its success, competitiveness, and preconditions for its development. A well-judged analysis of the environment of higher institutions and an impartial assessment of their activities allow university authorities to make the best possible choice towards developing universities in a market-driven economy.Using the PDCA methodology will be positively related to a series of measures to improve quality management for provision educational services by higher institutions. The PDCA methodology acts as an algorithm for decisions made by the head of the university aimed at managing the whole process and achieving goals.
Водоснабжениеиводоотведение:вчера,сегодня,завтра
Authors: Volkov A. , Gogina E. , Orlov V. , Chizhik K.
Published: September 2019

Статья посвящена 90летию со дня создания факультета Водоснабжение и водоотведение в Национальном исследовательском Московском государственном строительном университете. В настоящее время почти вековые традиции бережно хранит и развивает кафедра Водоснабжение и водоотведение . Приведен также краткий обзор становления и развития специальности Водоснабжение и водоотведение в России. Отмечена актуальность проблем этой важной отрасли в жизни общества. Рассказано о людях, внесших значительный вклад в развитие специальности, подготовки студентов и научнопреподавательских кадров страны. Проводимые коллективом кафедры Водоснабжение и водоотведение научные исследования отвечают как традициям сформировавшихся научных школ, так и современным проблемам водного хозяйства коммунального и промышленного назначения. Результаты научноисследовательских работ внедрены на объектах многих городов не только в России, но и за ее пределами.

The article is dedicated to the 90th anniversary of the establishment of the Department of Water Supply and Wastewater Disposal at the National Research Moscow State University of Civil Engineering. At present almost ageold traditions are carefully preserved and developed by the Department of Water Supply and Wastewater Disposal. A brief overview of the establishment and development of the specialty Water supply and wastewater disposal in Russia is also given. The immediacy of the problems of this important industry in society is noted. It is told about people who have made a significant contribution to the development of the specialty, the training of students and scientific and teaching staff of the country. The research carried out by the staff of the department Water Supply and Wastewater Disposal corresponds both to the traditions of the established scientific schools and the current problems of public utilities and industrial water resources. The results of research work have been implemented at the facilities of many cities, not only in Russia, but also abroad.
Изменениеζ-потенциалаводнойсредывультразвуковомполе
Authors: Vikulina V. , Kiroshka S.
Published: September 2019

На границе адсорбционного слоя мицеллы возникает электрокинетический потенциал, который получил название потенциала. Численное значение потенциала существенно влияет на процессы, происходящие при очистке воды, а именно при коагуляции и осаждении. Рассмотрено влияние ультразвуковой кавитации на изменение потенциала водной среды. Представлено ультразвуковое оборудование и приборы для определения потенциала. Приведены экспериментальные данные по влиянию ультразвукового поля на электрофоретическую подвижность частиц в воде. Получена зависимость потенциала от продолжительности ультразвуковой обработки. Проведенные экспериментальные исследования подтверждают использование ультразвукового метода обработки воды для интенсификации процессов водоочистки.

At the boundary of the adsorption layer of the micelle an electrokinetic potential arises named potential. The numerical value of potential produces a significant impact on the processes that occur during water treatment, namely, coagulation and sedimentation. The influence of ultrasonic cavitation on the change in potential of aquatic environment is considered. Ultrasonic equipment and instruments for determining potential are presented. Experimental data on the effect of ultrasonic field on the electrophoretic mobility of particles in water is presented. The dependence of potential on the duration of ultrasonic treatment is obtained. The conducted experimental studies confirm the use of the ultrasonic method of water treatment for the enhancement of water treatment processes.
Воздействиеультразвуковогополянадинамическуювязкостьводы
Authors: Vikulin P. , Khlopov K. , Cherkashin M.
Published: September 2019

Enhancing water purification processes is provided by various methods including physical ones, in particular, exposure to ultrasonic vibrations. The change in the dynamic viscosity of water affects the rate of deposition of particles in the aquatic environment which can be used in natural and wastewater treatment. At the Department Water Supply and Wastewater Disposal of the National Research Moscow State University of Civil Engineering experimental studies were conducted under laboratory conditions to study the effect of ultrasound on the change in the dynamic viscosity of water. A laboratory setup has been designed consisting of an ultrasonic frequency generator of the relative intensity, a transducer (concentrator) that transmits ultrasonic vibrations to the source water, and sonic treatment tanks. Experimental studies on the impact of the ultrasonic field in the cavitation mode on the dynamic viscosity of the aqueous medium were carried out the exposure time was obtained to achieve the maximum effect.

Интенсификация процессов очистки воды осуществляется с помощью различных методов, в том числе и физических, в частности воздействием ультразвуковых колебаний. Изменение динамической вязкости воды влияет на скорость осаждения частиц в водной среде, что может быть использовано в процессах очистки природных и сточных вод. На кафедре Водоснабжение и водоотведение Национального исследовательского Московского государственного строительного университета в лабораторных условиях проведены экспериментальные исследования по изучению влияния ультразвука на изменение динамической вязкости воды. Разработана схема лабораторной установки, состоящая из генератора ультразвуковых частот с соответствующей интенсивностью, преобразователя (концентратора), передающего ультразвуковые колебания в исходную воду, и емкости для озвучивания. Выполнены экспериментальные исследования по влиянию ультразвукового поля в режиме кавитации на динамическую вязкость водной среды, получено время экспозиции для достижения максимального эффекта.
Аэрациядлябиологическойочисткисточныхвод:актуализациязарубежныхтерминовиаббревиатур
Authors: Bazhenov V. , Ustiuzhanin A. , Koroleva E.
Published: September 2019

Представлен анализ отечественных и зарубежных методик расчета аэротенков и руководств по их проектированию. Анализ современных подходов к расчету очистных сооружений свидетельствует о том, что расчетный расход воздуха определяют в соответствии с потребностью биологического процесса в кислороде на окисление органических соединений, нитрификацию и денитрификацию. Адаптированы международные термины и аббревиатуры к российским аналогам во взаимосвязи с теорией массопереноса кислорода, а также зарубежные руководства по проектированию сооружений для аэрации сточных вод. Поясняется различие между натурными (измеряемыми экспериментально) и расчетными (определяемыми для проекта) параметрами OUR и AOR, SOTR и SOR. Балансовое равенство между OTR и AOR является оптимальным и экономичным проектным решением. Отмечено, что использование актуализированных международных терминов и аббревиатур в тендерных и конкурсных процедурах (при проектировании и поставке) упростит их проведение и обеспечит взаимопонимание сторон. Потребность в регулировании подачи воздуха в аэротенки обоснована балансом кислорода потребление растворение . В динамических условиях для регулируемых систем OTR OUR. При автоматизированном поддержании заданной уставки по концентрации растворенного кислорода это условие приводит к экономии потребляемой электроэнергии.

The study of domestic and foreign methods for aeration tanks evaluation and their guidelines is presented. The analysis of modern approaches to the calculation of treatment facilities indicates that the calculated air flow rate is determined in accordance with the oxygen demand of the biological process for the oxidation of organic compounds, nitrification and denitrification. International terms and abbreviations have been adapted to Russian analogues taken in conjunction with the theory of oxygen mass transfer, as well as the international guidelines for the design of wastewater treatment facilities. The difference between the field (experimentally measured) and calculated (determined for the design) parameters OUR and AOR, SOTR and SOR is explained. Balance equality between OTR and AOR is an optimal and economical design solution. It is noted that the use of updated international terms and abbreviations in tender and competitive procedures (during design and delivery) will simplify their implementation and ensure mutual understanding between the parties. The need for regulation of the air supply to aeration tanks is justified by the balance of oxygen consumption transfer . In dynamic conditions for regulated systems OTR OUR. With the automated maintenance of the set point for the concentration of dissolved oxygen this condition provides for the savings in energy consumption.
Исследованиетекстурыповерхноститрубвцеляхповышенияихтранспортирующейспособности
Authors: Dezhina I. , Orlov V. , Zotkin S.
Published: September 2019

Представлены результаты поисковых исследований по транспортировке воды и песка на специально разработанных лабораторном и производственном стендах, включающих платформу со сменными модульными полимерными элементами (желобами), имеющими искусственную шероховатость. Представлена методика проведения экспериментов на крупногабаритных стендах с модульными трубными элементами с использованием фото и киноаппаратуры, а также устройств для определения скоростей, наполнений и уклонов. Выявлен характер зон турбулентности при различной текстуре внутренних поверхностей желобов в виде разновысоких препятствий. Приведены результаты гидравлических экспериментов при двух режимах: однофазном (вода без инородных включений) и двухфазном (вода с примесью песка разного фракционного состава). По результатам экспериментальных исследований выявлены области эффективной работы модульных желобов по транспортировке песка для различных текстур искусственной шероховатости труб систем водоотведения. Обоснована целесообразность использования рифленых внутренних стенок трубопроводов, транспортирующих сточные воды, для эффективного выноса осевших на дно и стенки труб песчаных гряд.

The results of exploratory research on the transportation of water and sand in specially designed laboratory and work benches including a platform with replaceable modular polymer elements (troughs) with artificial roughness are presented. The methodology of experiments on large benches with modular piped elements using photo and film equipment as well as devices for determining velocity, filling and slope is presented. The nature of the turbulence zones with a different texture of the inner surfaces of the troughs in the form of obstructions of different height is revealed. The results of hydraulic experiments are presented in two modes: singlephase (water without foreign inclusions) and twophase (water mixed with sand of different fractional composition). According to the results of experimental studies the areas of effective operation of modular troughs for sand transportation for various textures of artificial roughness of pipes of sewer systems were identified. The expediency of using corrugated inner walls of pipelines transporting wastewater for the efficient removal of sand belts settled on the bottom and walls of the pipes is substantiated.
Современныерешенияпореконструкциималыхканализационныхочистныхсооружений:конструкцииирасчет
Authors: Iantsen O.
Published: September 2019

Рассмотрены современные решения, предлагаемые для реконструкции малых очистных сооружений, в составе которых имеются биофильтры. Пик проектирования и строительства биофильтров пришелся на 1960 1970е годы. В настоящее время биологические фильтры зачастую служат для доочистки сточных вод. Предлагается снова их использовать в качестве основных очистных сооружений. Данные сооружения, как правило, конструктивно представляют собой железобетонные емкости, поэтому целесообразно разработать новые технологические схемы с учетом использования существующих сооружений. Рассмотрены три технологические схемы с различной комбинацией зон нитрификации и денитрификации. Приведены графические результаты санитарнотехнических анализов по ряду показателей, на основании которых показана достаточная эффективность очистки для сброса очищенной воды в водоемы рыбохозяйственного значения. Предложен метод расчета биофильтров для конкретных загрузочных материалов. Сделан вывод о том, что высота сооружения зависит не только от необходимой степени очистки, параметров поступающей воды, но и от вида и размера загрузочного материла. Предложенные технологические схемы позволят шире использовать биофильтры как при реконструкции существующих, так и при проектировании новых очистных сооружений.

The advanced solutions proposed for the reconstruction of small wastewater treatment facilities that contain biofilters are considered. The peakpoint of designing and constructing biofilters occurred in the 1960 1970s. At present biological filters are often used for wastewater treatment. It is proposed to use them again as the basic treatment facilities. These structures, as a rule, are structurally reinforced concrete tanks so it is advisable to develop new process flow schemes taking into account the use of existing structures. Three process flow schemes with different combinations of nitrification and denitrification zones are considered. Graphic results of sanitary and technical analyses of a number of indicators are presented on the basis of which sufficient purification efficiency is shown that allows discharging effluents into fishery water bodies. A method for calculating biofilters for specific media materials is proposed. It is concluded that the height of the structure depends not only on the required level of purification, the parameters of the incoming water but also on the type and size of the media material. The proposed process flow schemes will provide for the wider use of biofilters both in the reconstruction of existing and in the design of new treatment facilities.
Gastropods In Mangrove Forest Of Tongkeina Village, Bunaken Sub-District, City Of Manado
Authors: Talumingan Dewanti Y , Tilaar Ferdinand F. , Rangan Jety K. , Baroleh Maartinus , Watung Victor N. R. , Windarto Agung B.
Published: September 2019

This research aims to determine the types or species of gastropod and its distribution in mangrove forests in Tongkeina village and to know the species of mangrove in Tongkeina village. The Research was conducted on one sampling point with one 100 meters long line transect which was is laid perpendicular to the outer direction of the mangrove.  To collect gastropod samples, three quadrates with a size of 10x10meters with a distance between the quadrate 5 meters were made. In the quadrate, 15 subquadrates sized 1x1meters were also made. Based on the results, there were 6 species of gastropods and two distribution patterns of i.e., Cluster the species of the Littoraria scabra, Angustassiminea castanea, Terebralia sulcate. The uniform distribution pattern is Ischinocerithium rostratum, Caliostoma jujubinum, and Nerita senegalensis. There are ten mangrove species found and  the most common species is Soneratia alba with a total of 27 individuals.Keywords: Gastropods, forest, Mangrove, Tongkeina village ABSTRAKPenelitian ini bertujuan untuk mengetahui Jenis-jenis gastropoda serta persebaran pada hutan mangrove di Kelurahan Tongkeina dan untuk mengetahui Jenis-jenis mangrove di Kelurahan Tongkeina. Penelitian hanya di lakukan satu titik pengambilan sampel dimana dibuat 1 line transek dengan Panjang 100meter yang di tarik tegak lurus dari arah terluar mangrove kemudian dibuat 3 kuadrat dengan ukuran 10x10meter dengan jarak antara kuadrat 5 meter, dan di dalam kuadrat dibuat 15 subkuadrat berukuran 1x1 meter. Berdasarkan penelitian hasil ditemukan ada 6 spesies gastopoda dan dua pola persebaran Gastropoda yaitu mengelompok dan seragam, spesies mengelompok yaitu Littoraria scabra, Angustassiminea castanea, Terebralia sulcate. Pola persebaran seragam yaitu Ischinocerithium rostratum, Caliostoma jujubinum, Nerita senegalensis. Mangrove ditemukan 10 Spesies yang terbanyak adalah Soneratia alba dengan jumlah 27 individu.Kata kunci: Gastropoda, Hutan, Mangrove, Kelurahan Tongkeina.
Pengaruh Perawatan Payudara terhadap Kelancaran Asi pada Ibu Nifas di RSUD Syeh Yusuf Kabupaten Gowa
Authors: Rahmatia Sitti , Harliani Harliani , Basri Muhammad
Published: September 2019

Perawatan payudara adalah suatu cara memperlihatkan secara langsung pada ibu nifas tentang cara perawatan payudara melalui pemberian rangsangan pada otot-otot payudara untuk memperlancar ASI. Tujuan penelitian ini adalah untuk mengetahui kelancaran ASI ibu nifas setelah diberikan perawatan payudara.Penelitian ini merupakan penelitian Quasi eksperimen dengan pendekatan pre test dan post test, sampel dalam penelitian ini adalah ibu nifas hari pertama di wilayah kerja Puskesmas Lancirang yang berjumlah 15 orang kelompok eksperimen dan 15 orang kelompok kontrol. Penelitian ini menggunakan lembar observasi. Hasil penelitian ini diolah dengan menggunakan uji Wilcoxon dengan nilai standar p< 0,05.Hasil penelitian ini menunjukkan bahwa untuk kelompok eksperimen ada pengaruh perawatan payudara terhadap kelancaran ASI pada ibu nifas dengan nilai p = 0,000. Sedangkan untuk kelompok kontrol nilaip = 0,083. Hal ini menunjukkan bahwa pada kelompok kontrol yang tidak diberikan perawatan payudara tidak memberikan hasil yang bermakna.Adapun kesimpulan dari penelitian ini adalah bahwa ada pengaruh perawatan payudara terhadap kelancaran ASI pada ibu nifas. Saran yang dapat diberikan khususnya untuk Puskesmas Lancirang agar perawatan payudara diberikan secara berkesinambungandemi tercapainya pemberian ASI eksklusif.
Hubungan Kepatuhan Antenatal Care (ANC) dan Dukungan Suami dengan Kelancaran Persalinan di Desa Bulu Allapporenge Kecamatan Bengo Kabupaten Bone
Authors: Malka St.
Published: September 2019

Pemeriksaan ANC bagi ibu hamil bertujuan untuk mendeteksi kelainan-kelainan yang mungkin ada atau akan timbul selama kehamilan .Apabila cepat diketahui akan dapat segera diatasi sebelum berpengaruh tidak baik terhadap kehamilan dengan melakukan pemeriksaan ANC secara rutin dan teratur.Tujuan penelitian untuk mengetahui kepatuhan ANC dan dukungan suami dengan kelancaran persalinan di Desa Bulu Allapporenge.Metode penelitian ini menggunakan survey analitik dengan pendekatan Cross Sectional.Populasi penelitian dalam penelitian ini adalah ibu yang telah melahirkan ≤ 24 bulan.Tehnik pengambilan sampel menggunakan purposive sampling sebanyak 46 orang.Uji statistik menggunakan Chi Square dengan nilai signifikan α 0,05 diperoleh hasil perhitungan dengan nilai ρ value 0,00, artinya ada hubungan antara kepatuhan ANC dan dukungan suami dengan kelancaran persalinan di Desa Bulu Allapporenge.Diharapkan kepada ibu untuk lebih termotivasi melakukan kunjungan ANC dan diharapkan suami dapat mendampingi istri pada proses persalinan sehingga dapat membantu proses kelancaran persalinan.
Peran Diet 3J pada Pasien Diabetes Melitus di Puskesmas Sudiang Raya Makassar
Authors: Darmawan Sri , Sriwahyuni Sriwahyuni
Published: September 2019

Diabetes Melitus merupakan suatu sindrom klinik yang ditandai oleh hiperglikemia yang disebabkan oleh defisiensi atau penurunan efektifitas insulin. Tujuan penelitian ini untuk melihat peran diet 3j pada pasien diabetes melitus di puskesmas sudiang raya makassar. Metode penelitian dalam penelitian ini adalah menggunakan penelitian korelasional dengan rancangan cross sectional. Populasi dalam penelitian ini adalah semua penderita diabetes melitus sebanyak 90 penderita dengan teknik pengambilan sampel dalam penelitian ini adalah accidental sampling yaitu teknik penentuan sampel berdasarkan kebetulan, sebanyak 48 sampel. Data dikumpulkan dengan menggunakan kuesioner dan pengolahan data menggunakan program komputer software SPSS 22 dengan tingkat kesalahan α=(0,05) dan dianalisis menggunakan uji chi square dengan nilai alternative fisher’s exact α : 0,05. Hasil analisa data menunjukkan bahwa ada peran diet 3j pada pasien diabetes mellitus ditunjukkan dengan nilai p = 0,007 dimana pasien mampu mengonrol makanan yang benar, memerisakan gula darah secara rutin dan minum obat secara teratur. Kesimpulan dalam penelitian ini diet 3J mampu mengontrol peningkatan kadar gula darah pada pasien diabetes melitus dengan cara patuh atau memperhatikan makanan dan minuman yang dikomsumsi. Saran bagi peneliti selanjutnya perlu adanya penelitian untuk menganalisis lebih jauh tentang usia, jenis kelamin, dan pendidikan terakhir.
Faktor-Faktor yang Mempengaruhi Lamanya Penyembuhan Luka Perineum pada Ibu Nifas di Ruang Perawatan Rumah Sakit Mitra Manakarra Mamuju
Authors: Manuntungi Andi Ernawati , Irmayanti Irmayanti , Ratna Ratna
Published: September 2019

Ruptur perineum adalah robekan yang terjadi di daerah perineum sewaktu persalinan.Perineum berperan dalam persalinan karena merupakan bagian luar dari dasar panggul. Perineum yang terletak antara vulva dan anus, panjangnya rata-rata 4 cm. Tujuan : Mengetahui Faktor-faktor yang mempengaruhi lamanya penyembuhan luka perineum pada ibu nifas di Ruang perawatan Rumah Sakit Mitra Manakarra Mamuju Kabupaten Mamuju. Metode : Analitik dengan pendekatan studi cross sectional yang dilaksanakan di ruang perawatan Rumah Sakit Mitra Manakarra Mamuju. Sampel dalam penelitian ini adalah ibu nifas yang mengalami luka jahitan akibat ruptur perineum. Jumlah populasi dalam penelitian adalah 36 dan teknik penarikan sampel menggunakan total sampling. Pengumpulan data dengan membagikan kuesioner yang berisi pertanyaan tentang faktor - faktor yang mempengaruh lamanya penyembuhan luka perineum pada ibu nifas. Hasil Penelitian : berdasarkan uji Chi-Squaredidapatkan P value 0,878>0,05 : tidak terdapat hubungan antara usia dengan lama penyembuhan luka perineum. Hasil uji analisis Fisher’s Exact Test diperoleh ρvaluelebih kecil dari nilai ɑ (0,018<0,05) artinya terdapat hubungan antara status gizi dengan lama penyembuhan luka perineum. Hasil uji analisis chi square diperoleh ρvaluelebih besar dari nilai ɑ (0,221<0,05) artinya tidak ada hubungan antara pendidkan dengan lama penyembuhan luka perineum. Kesimpulan :makan makanan yang tinggi protein baik selama hamil sampai masa nifas seperti makan makanan yang berprotein tinggi seperti ikan gabus, karena makanan tinggi protein dapat meregenerasi luka dengan cepat.
First record of Helophorus villosus Düftschmid, 1805 (Coleoptera: Hydrophyloidea: Helophoridae) in Ukraine
Authors: Shatrovskiy O. G.
Published: September 2019

Helophorus villosus Düftschmid, 1805, known formerly from Central Europe, has been recorded for the first time from Ukraine (Odessa Region). A description of the species and data on its ecology and geographic distribution are given. H. villosus is proposed to be included in the Red Book of Ukraine.
First record of the soft-winged flower beetle from the genus Cerapheles Mulsant et Rey (Coleoptera: Malachiidae) in Ukraine
Authors: Kravchenko O. M.
Published: September 2019

The soft-winged flower beetles genus Cerapheles Mulsant et Rey, 1867 and species C. terminatus (Ménétriés, 1832) are recorded for the first time for Ukraine (Lviv and Volyn Regions). The habitats and host plants of adults of this species are characterized. The main morphological differences of Cerapheles from the related genus Anthocomus Erichson, 1840, as well as the redescription of male and the brief characteristics of female of C. terminatus are provided based on the current approaches in the soft-winged flower beetles taxonomy.
Megabruchidius dorsalis (Fåhreus, 1839) (Coleoptera: Chrysomelidae: Bruchinae) is a new adventive species in the Kharkiv Region (Ukraine)
Authors: Lezhenina I. P. , Vasylieva Yu. V.
Published: September 2019

Larvae, pupae and imagoes of Megabruchidius dorsalis have been found in October 2018 as a result of examination of the beans of the honey locust (Gleditsia triacanthos) in the arboretum of the Dokuchaiev Kharkiv National Agrarian University. The seed beetles colonized in 52% of the beans harvested in the current year and in 81% of the beans harvested in the previous years.
The species composition of butterflies and moths (Insecta: Lepidoptera) of the Regional Landscape Park ‘Mizhrichynskyi’ (Chernihiv Region, Ukraine)
Authors: Yepishin V. V. , Kavurka V. V.
Published: September 2019

206 species of Lepidoptera from 25 families were found in the Regional Landscape Park ‘Mizhrichynskyi’ as a result of our study. In addition, 13 species were known from the park based on the published data from the end of the last century. 20 species are recorded from Chernihiv Region for the first time.
Evaluación económica del tratamiento de artritis reumatoide con terapia biológica anti TNF en Colombia
Authors: Quintana Gerardo , Restrepo Juan Pablo , Cáceres Heidy , Rueda Juan David , Rosselli Diego
Published: September 2019

Introducción: la artritis reumatoide (AR) es una enfermedad crónica de alto costo para el sistema de salud, en particular cuando se requiere terapia biológica.

Objetivos: diseñar un modelo económico para la toma de decisiones entre adalimumab (ADA), etanercept (ETA) e infliximab (INF) en el contexto colombiano.

Metodología: se diseñó un modelo de Markov, con un horizonte temporal de dos años, una perspectiva de un tercero pagador, que midiera efectividad clínica (en proporción de pacientes con respuesta ACR50 o mayor), abandono de terapia, eventos adversos, calidad de vida en AVAC (años de vida ajustados por calidad) y costos directos de tratamiento en pesos colombianos.

Resultados: la suspensión de la terapia fue mayor para INF y menor para ETA. La ganancia en AVAC fue ligeramente más alta para ETA y para ADA que para INF. Los costos anuales promedio de la terapia con INF fueron $44.8 millones, para ADA $41.0 millones, y $39.0 millones para ETA. El costo promedio por mes logrado en ACR50 o superior fue de $9.37; $8.83 y $13.5 millones, respectivamente, para ADA, ETA e INF.

Conclusiones: dadas las limitaciones y los supuestos del modelo, se podría concluir que, en el paciente colombiano "caso tipo" con AR, ETA es dominante sobre ADA e INF al tener un costo global total menor, y una efectividad superior a INF y por lo menos igual a la de ADA
Analgesia epidural en dolor crónico oncológico refractario
Authors: Ramírez Lizeth Jazmín , Santacruz Juan Guillermo , Arteaga Carlos
Published: September 2019

El manejo adecuado del dolor es uno de los síntomas más frecuentes en los pacientes con cáncer en progresión en quienes se está realizando manejo paliativo y control de los síntomas al final de la vida, sin embargo no siempre es fácil conseguir un adecuado control y no es infrecuente que nos enfrentemos a pacientes con dolor severo a pesar de un tratamiento multimodal que incluye el uso y rotación de opioides como estrategia analgésica principal.

Los procedimientos analgésicos invasivos, dentro de los que se encuentran la infusión de anestésicos locales y opioides a través de un catéter epidural, puede ser una estrategia terapéutica para el manejo de estos pacientes con dolor crónico oncológico refractario
Síndrome de la bolsa de orina púrpura
Authors: Campbell Santiago Emilio , Izquierdo Arturo , Campbell Sebastián , Erazo Lilia , Calderón Carlos
Published: September 2019

Se presenta el caso de un paciente masculino de 62 años remitido por oncología para estudio por presentar orina de color morado. Desde hace tres meses tiene sonda vesical permanente por retención urinaria posterior a una resección quirúrgica de una metástasis cerebral por tumor primario a nivel pulmonar, tiene pendiente radioterapia holoencefálica y posterior quimioterapia sistémica. La única medicación que tomaba de manera intermitente era omeprazol, refería además anorexia y náuseas. La bolsa urinaria contenía orina de color morado y a la extracción aparecía turbia. El análisis de la orina fue compatible con infección urinaria. El color de la orina en la bolsa fue motivo de una interesante discusión científica. Se discuten los mecanismos a través de los cuales la orina toma dicho color
Síndrome de Mounier Kuhn
Authors: Hernández Geovanny , Ruales Franco , Vargas Leslie , Ramírez Fáiver
Published: September 2019

Paciente con un cuadro clínico crónico caracterizado por episodios intermitentes de tos y sibilancias interpretados previamente como crisis asmáticas, por hallazgos radiológicos se realiza diagnóstico de traqueobroncomegalia o síndrome de Mounier Kuhn. El síndrome de Mounier Kuhn es una malformación congénita rara del tracto respiratorio bajo, caracterizada por aumento del calibre de la tráquea y los bronquios principales debida a atrofia o ausencia de fibras elásticas del músculo liso del árbol bronquial, lo cual predispone a infecciones respiratorias a repetición debido a la inadecuada limpieza mucociliar, llevando a la aparición de bronquiectasias. Hay pocas descripciones de este síndrome a nivel mundial
Con relación al artículo: "Lupus eritematoso sistémico con anticuerpos antinucleares negativos y anemia hemolítica". Acta Med Colomb 2010; 35: 179-182
Authors: Restrepo Escobar Mauricio
Published: September 2019

Con relación al artículo: "Lupus eritematoso sistémico con anticuerpos antinucleares negativos y anemia hemolítica". Acta Med Colomb 2010; 35: 179-182
Clinical Profile and Treatment Evaluation of Rifampicin-Resistant and Multidrug-Resistant Tuberculosis Patients at Dr. Kanujoso Djatiwibowo Public Hospital, Balikpapan
Authors: Adiwinata Randy , Rasidi Josephine , Marpaung Maurits
Published: September 2019

Background: Rifampicin-resistant (RR-TB) and multidrug-resistant tuberculosis (MDR-TB) remains a major health problem worldwide and

in Indonesia also become a challenge in total eradication of tuberculosis. Dr. Kanujoso Djatiwibowo Public Hospital (RSKD) Balikpapan

is one of the two referral hospitals in East Kalimantan for evaluation and initiation of MDR-TB treatment. The objective of this study is to

evaluate clinical profile and treatment of RR-TB and MDR-TB patients at RSKD.

Methods: A retrospective cross-sectional study was conducted using data from eTB manager database and medical record of RR-TB and

MDR-TB at RSKD from January 2013 to October 2016.

Results: Twenty eight RR-TB and MDR-TB patients, most of them were female (53.6%), belong to 35-44 age group (28.6%), housewife

(25%), graduated from senior high school (42,9%), malnutrition (28.6%), and relapse cases (50%). Diabetes mellitus and anemia were

found in 42,9% and 44.4% of the patients, respectively. The most resistant pattern is rifampicin-resistant TB (57,1%) followed by rifampicin

and isoniazid resistant. The most common side effect of TB treatment was gastrointestinal complaints (44.4%). The success rate of MDRTB

treatment at RSKD was 20%, followed by 20% mortality, 50% of lost to follow up, 10% of treatment failure, and there are 8 patients still

ongoing therapy.

Conclusion: Most of the RR-TB and MDR-TB cases were relapse cases. Counseling, education, and support for the patients undergoing MDR-TB

treatment are strongly needed to increase success rate and decreasing number of lost to follow up.
Effect on Ubiquinone MDA Level of Plasma, FEV1% and CAT Score Stable COPD Patients
Authors: Fornia Ardorisye , Suradi Suradi , Aphridasari Aphridasari
Published: September 2019

Background: Oxidation stress showed clinical evidence of increased in patients with COPD and contribute functionally to expiratory air flow

resistance, so the body requires exogenous antioxidants to inhibit oxidative stress. This study was conducted to assess whether there is influence

on levels of MDA plasma ubiquinone, FEV1% and patients with stable COPD CAT score.

Methods: This study is a clinical trial experimental with pretest and post-test design which aims to determine the effect of plasma MDA, FEV1%

and patients with stable COPD CAT score. Subjects consist of 30 patients with stable COPD who came to Pulmonary outpatient clinic of Moewardi

hospital Surakarta during June to August 2016. The sample was taken by consecutive sampling. Subjects were divided into two group, the

treatment group (n=15) received additional therapy ubiquinone 1x150mg/day and the control group (n=15) received standard therapy. MDA

plasma levels, FEV1% and CAT scores were measured at the time of control pulmonary outpatient clinic.

Results: Giving ubiquinone can significantly lower CAT score better in the treatment group compared to the control group. There were no

statistically significant difference (p=0.744) in plasma MDA treatment group (1.37 ± 0.11) compared to controls (1,39 ± 0.16). There were no

statistically significant difference between (p=0.276) the decline in FEV1% treatment group (43.28 ± 20.59) and the control group (36.01 ± 14.73).

Conclusion : The use of Ubiquinone in decreasing CAT score for stable COPD patients. There was lowering effect in MDA plasma but there

was no excalation value in FEV1%.
Effects of Mangosteen pericarp Extract to Clinical Improvements, The Plasma Level of IL-6 and Malondialdehyde in Acute Exacerbation of COPD Patients
Authors: Baroroh Khilyatul , Suradi Suradi , Rima Ade
Published: September 2019

Background: Amplification of inflammation in acute exacerbation of chronic obstructive pulmonary disease (COPD) increases inflammatory

mediators and oxidative stress in the airways, pulmonary and systemic circulation that are characterized by increased plasma level of IL-6

and MDA, resulting in worsening of clinical symptoms. Xanthones in mangosteen pericarp have anti-inflammatory and antioxidant effects,

potentially as an adjuntive therapy in acute exacerbations of COPD.

Methods: The aim of this study was to determine the effect of mangosteen pericarp extract to clinical improvements, plasma level of IL-6 and

MDA of acute exacerbation COPD patients. A clinical trial of experimental with pretest and posttest was conducted on 34 acute exacerbation

of COPD patients in Dr. Moewardi Hospital Surakarta and Dr. Ario Wirawan Lung Hospital Salatiga from April until May 2016. The sample

was taken by consecutive sampling. Subjects were divided by randomized double blind technique into the treatment group (n=17) received

mangosteen pericarp extract 2x1100mg/day and control group (n = 17) received placebo. Clinical improvements were measured in CAT

score and length of stay. CAT score, plasma level of IL-6 and MDA were measured on admission and at discharge. Length of stay based

on the number of days of care in hospitals.

Results: There was significant difference (p=0,011) towards decreased of IL-6 plasma level between treatment group (-2,17 ± 3,46 pg/

mL) and control group (+1,67 ± 6,81 pg/mL). There were no significant difference towards decreased of length of stay (p=0,34) between

treatment group (4,12 ± 1,54 days) and control group (5,24 ± 2,49 days), towards decreased of CAT score (p=0,252) between treatment

group (-19,18 ± 3,96) and control group (-18,24 ± 2,75), and towards decreased of MDA plasma level (p=0,986) between treatment group

(+0,03 ± 0,36μmol/L) and control group (+0,35 ± 1,58).

Conclusions: The addition of mangosteen pericarp extract 2x1100mg/day during hospitalization was significantly lowered plasma levels

of IL-6, but were not significant in lowering the CAT score, shortening the length of stay, and reducing the increase in plasma level of MDA.
Neutrophyl Lymphocyte Ratio in Tuberculosis Patients and Multi Drug Resistant Tuberculosis Patients
Authors: Sormin Delores Elisabeth , Siagian Parluhutan , Sinaga Bintang YM , Eyanoer Putri Chairani
Published: September 2019

Background: Delayed in diagnosis and treatment of tuberculosis will increase the risk of MDR TB. WHO recommends Xpert MTB/RIF as

diagnostic tools to identify MDR TB. Availability of Xpert MTB/RIF is still limited, another diagnostic tool is needed. Neutrophyl lymphocyte

ratio (NLR) was presumed to be able to identify the probability of MDR TB. The aim of this study is to evaluate the comparison of NLR in tuberculosis

and MDR TB patients.

Methods: This is an analytic descriptive study with case series approach in Adam Malik General Hospital Medan. This study held since

January – December 2015 with number of sample as much as 100 bacteriological confirmed TB patients and 100 MDR TB patients. We

performed leukocyte differential count from peripheral blood examination to obtain NLR

Result: Mean NLR of TB patient 4.62±2.37 and MDR TB 3.28±1.44. There was significant difference of NLR between both groups using

Mann-Whitney test (P=0.001). The cut off value by ROC analysis was 2.91 with sensitivity, specificity, positive predictive value, negative

predictive value and accuracy was 77%, 50%, 60.6%, 68.4% and 63.5% respectively.

Conclusion: There was significant difference of NLR between bacteriological confirmed TB patients and MDR TB patients. Value of NLR
Mechanical Ventilation in Non Lung-Post Surgery Patients
Authors: Sari Ika Yunita , Pamungkasningsih Sri Wening , Rasmin Menaldi
Published: September 2019

A case of a 41-year-old man, with a lump in his left abdomen since 5 months before admission to the hospital. In the last 2 weeks the patient

complained of reddish urine and pain during urination. The diagnosis of the patient is a left kidney tumor, has performed nephrectomy and

splenectomy surgery. Postoperative complications include sepsis, anemia and hypoalbuminemia. Sepsis in these patients is caused by

colonic perforation leading to intra-abdominal infection. These complications cause patients to get treatment in the intensive care unit longer by using a

ventilator for four days.
Respiration Status of Asthma Patients Who Get Nebulisation Using Jet Nebulizer Compared to Nebulizer Using Oxygen
Authors: Santosa Agus , Endiyono Endiyono
Published: September 2019

Background: Some of regional hospitals still provide oxygen gas for nebulizer to therapies in astma patiens. The study was aimed to observe the effectiveness of jet nebulizer vs oxygen as a driving gas for nebulizer on respiratory parameters of asthma patients which is breath pattern, respiration rate (RR), breath sound, oxygen saturation (SpO2), peak expiratory flow rate (PEF}.
Method: The research was an experimental with a combination design, pre-post test with control group and post test only with control group in RSUD dr. R. Goeteng Taroenadibrata Purbalingga consisted of 60 respondents selected by proportional stratified random sampling. Data analysis used was independent t-test and fisher’r exact test.
Result: There was no difference in the respiratory pattern variables between jet nebulizer and oxygen as a driving gas nebulizers (p> 0.05). The jet nebulizer was better in reducing RR in asthma patients than the oxygen as a driving gas nebulizer (p
Effects of Ginseng Extract to The Plasma Level of Interleukin-8, COPD Assessment Test Scores, and Length of Hospitalization Acute Exacerbation of COPD Patients
Authors: Sari Aslani Threestiana , Suradi Suradi , Aphridasari Jatu
Published: September 2019

Background: COPD exacerbations is an acute condition with worsening symptoms and require more intensive treatment changes. Increased inflammatory exacerbations marked increase in plasma levels of IL-8, exacerbation of clinical symptoms and risk of hospitalization. Ginseng extracts have anti inflammatory so it can be used as an additional drug in COPD exacerbations.
Method: This study aimed to analyze the effect of ginseng extract on plasma levels of IL-8, CAT scores, and length of hospitalization of patients with COPD exacerbations. Clinical trials of experimental with pre test and post test design was conducted on 34 patients with COPD exacerbation in Dr. Moewardi Hospital Surakarta and Dr. Ario Wirawan Lung Hospital Salatiga from August until September 2016. Samples were taken by consecutive sampling were divided into two groups. The treatment group (n = 17) received standard therapy and ginseng extracts 2x100mg/day and the control group received only standard therapy (n = 17). Clinical improvement measured in CAT score and length of stay. Plasma levels of IL-8, CAT scores, and longer hospitalization time measured at entry and discharge criteria are met. Length of stay based on the number of days of care in hospitals.
Results: There were significant difference (p=0.000) towards decreased of of IL-8 plasma level between treatment group (-12.38 ± 10,35pg/ml) and control group (0.65 ± 7,92pg/ml), towards decrease of CAT score (p=0.000) between treatment group (-16.53 ± 1.28) and control group (-12.59 ± 2.87), and length of stay (p = 0.004) between treatment group (4.29 ± 1.45) and control group (5.76 ± 1.20).
Conclusions: The addition of ginseng extract 2x100 mg/day during hospitalization was significantly lowered plasma levels of IL-8, CAT scores, and shortening the length of stay. (J Respir Indo. 2018; 38: 192-8)