bluuebunny/crossref_metadata_2025 huggingface dataset:
Características clínicas y sociodemográficas en pacientes con anemia megaloblástica. Hospitales de San José e infantil universitario de San José
Authors: Hernández Cruz José Ignacio , Diaztagle Fernández Juan José , Bolaño Cantillo Javier Enrique , Castañeda Fierro José Fernando , Araque Parra Edna Carolina
Published: September 2019

Deficiency of vitamin B 12 is the most frequent cause of anemia after the origin of iron deficiency. Objective: to establish the sociodemographic and clinical profile in megaloblastic anemia. Materials and methods: series of patients hospitalized with megaloblastic anemia between January 2010 and December 2011 in the San José and Infant University hospitals of San José, Bogotá DC. Results: 17 cases, 11 in men. Average age 59 years (DE: 15.8 years, range: 37-82), 88% married, stratum two 76.4%, pensioners 17%, with income of two legal minimum wages in force 94.1% monthly and live with more than two people 75.4% . Seven patients (41.1%) with a combined deficit of folic acid and vitamin B12, of vitamin B 12 three (17.6%) and of folic acid two (14.2%). The most frequent manifestations were anorexia (70.5%), dry skin (62.5%), atrophic glossitis (29.4%) and jaundice (23.5%). Association with autoimmune disease was observed in 17.6%, neoplasias of non-haematological origin 11.7% and chronic alcohol consumption 35.3%. Conclusion: the majority belonged to low socioeconomic status, with limited income and families made up of more than two people. The most frequent manifestations were digestive, dermatological and neurological. A combined deficit of vitamin B12 and folic acid was found, exclusive of folic acid associated with chronic alcohol consumption and only of vitamin B 12. Abbreviations: AM, megaloblastic anemia.
Producción de bloques de agarosa para visualización de hongos
Authors: Gómez Garzón Marcela , Munar Cristancho Tatiana , Suarez Martínez Camila , León Enciso Jeannette , Flórez Alex Alexis
Published: September 2019

Objective: to establish a protocol for obtaining fungal blocks using agarose as a matrix. Methods: the fungi were included in agarose, the process was standardized and the protocols were tested in microwave oven, conventional and in the automatic processor for obtaining sheets following the usual histological technique. Conclusions: the processor protocol to obtain multiple sheets is reproducible and the preparations allowed easy visualization of the fungi with H & E and Gomori colorations. Abbreviations: H & E, hematoxylin-eosin.
Pseudotumor inflamatorio o miofibroblástico del brazo: Manejo laparoscópico
Authors: Molina Juan Pablo , Graziano Francis , Pacheco Maikel , Archila María del Pilar
Published: September 2019

Inflammatory pseudotumor or myofibroblastic tumor of the spleen is a benign, unusual splenic primary neoplasm, also described in other lymphoid organs, gastrointestinal tract, meninges and soft tissues. The cause is not clearly understood, but theories related to immunological deficit, Epstein Barr virus infection and vascular disorders have been proposed. The case that is described in a young patient corresponds to this pathology that as far as we investigate has not been described in our country and few are reported in the literature.
Nevus genital atípico
Authors: DeCastro Lotero Patricia
Published: September 2019

A 22-year-old patient who consulted for presenting a pigmented papule on the left major lip. The pathology shows an atypical genital cell nevus with the presence in the dermoepidermal junction of a proliferation of atypical and theca melanocytes with loss of cell cohesion. Diagnostic criteria, histopathological parameters and differential diagnosis are discussed.
TERRITORY BRANDING AS A TOOL OF A TOURIST-RECREATIONAL COMPLEX
Authors: SUSHCHENKO O.A. , KASENKOVA K.V.
Published: September 2019

Topicality. The actuality of problem of necessity of territory branding as a tool to improve the touristic-recreational complex development has been substantiated. Today competition is experienced not only among products and enterprises but also among countries and destinations. When considered from this respect, destinations expecting to take advantage in the competition need to determine their features that would help them become brands and benefit from these features. It is almost impossible for a country to create a consistent perception as each of the touristic-recreational complexes constituting that country has different outstanding features.
Aim and tasks. The aim of the article is analysis of an influence of a touristic-recreational complex brand on increasing of tourists� loyalty and tourists flow to a destination was performed. The key idea behind this research is to assess the perception of own positioning at the world tourism market by the representatives of tourism business as applied to the perception of potential consumers.
Research results. The issues of forming, promotion and positioning of a territory brand were studied. The interpretation of a territorial brand based on the use of the brand architecture concept was provided. The main stages of the branded tourist product forming process were proposed. It was determined that consistent and competent territorial branding is a management tool that can effectively solve problems of increasing the competitiveness and sustainability of the development of touristic-recreational complex. The modern branding models of a tourist destination were analyzed. The interrelation of the main definitions of the destination brand was shown.
Conclusion. It was determined that under current conditions the factors of non-price competition of regions act as tools of technological competition. It was shown that the brand of the destination can set a vector of his development. It was revealed, that an assembled brand with a help of stakeholders leads to a cultural and trading connections extension of the regions. The parameters by which the residents of developed and developing countries evaluate a touristic-recreational complex were defined. The basic principles, according to which the touristic-recreational complex branding concept creation should take place, were formulated.
MANAGEMENT OF INNOVATIVE DEVELOPMENT OF THE FOOD INDUSTRY IN THE CONTEXT OF GLOBAL ENVIRONMENTAL AND ECONOMIC CHALLENGES
Authors: NAUMOVA L.M. , NAUMOVA O.V. , NAUMOV O.B.
Published: September 2019

Topicality. Today, there is a rapid change in the global food market, the formation of a "green" economy, increasing requirements for quality parameters of food products, increasing competition in international food markets. All this determines the relevance of the problem of management of innovative activity of food enterprises in the context of global environmental and economic challenges.
Aim and tasks. The aim of the article is to form a theoretical and methodological basis for the management of innovative development of food enterprises in the conditions of formation in the conditions of global environmental and economic challenges.
Research results. In the process of research, we have studied the basic models of innovative development of the food industry, were determined methodical bases of formation of the strategy of innovative development of food enterprises, which are based on the principles of the theory of analytical hierarchy and the theory of analytical networks. We have built a hierarchical model of economic stability assessment and a hierarchical model of innovative management of the food industry. The hierarchical model of innovative management includes such types of innovative activity of the enterprise of the food industry: researches and developments; acquisition of new technologies; production, design and design works; purchase of software; training and preparation of personnel; marketing researches; acquisition of fixed assets. There may be such options for innovation policy: replacement of discontinued, obsolete products; improvement of product quality; expansion of the range; preservation of traditional markets; creation of new markets; ensuring compliance with modern standards.
Conclusion. Strategic development of the food industry on innovative principles requires: program-target approach to the development and implementation of innovative projects; creation of an innovative system to improve the efficiency of production; development of promotion and information-analytical support; creation of competitive in price and quality of raw materials and products that meet the requirements of safety for humans and the environment, the formation of a favorable human environment; development and implementation of innovative technologies in the food industry. The hierarchical model has great analytical capabilities. It can identify the value of the priority criteria and alternative development scenarios of the enterprise. It provides opportunities to: identify the most important indicators. This will make it possible to greatly reduce the size of the comparison matrices at the next level. This reduces the size of the work of experts; assessment of the priorities of factors on the level of influence on the economic stability of the enterprise; find the most important sets of policies of participants; assessment of priorities of participants on the level of influence on the economic stability of the enterprise.
TINJAUAN YURIDIS TENTANG INFORMED CONSENT SEBAGAI HAK PASIEN DAN KEWAJIBAN DOKTER
Authors: Mayasari Dian Ety
Published: September 2019

Upaya kesehatan dilakukan oleh dokter atau yang dikenal sebagai transaksi terapeutik diawali dari adanya informed consent yaitu penjelasan dari dokter mengenai kondisi penyakit pasien serta tindakan medis yang akan dilakukannya dalam rangka kesembuhan pasien dan kemudian dari penjelasan tersebut mendapat persetujuan dari pasien atau keluarga pasien. Pembahasan ini didasarkan pada metode penulisan yuridis normatif, yaitu mengkaji dari peraturan perundang-undangan yang berlaku antara lain Kitab Undang-Undang Hukum Perdata, Undang-Undang Nomor 39 Tahun 1999 tentang Hak Asasi Manusia, Undang-Undang Nomor 29 Tahun 2004 tentang Praktik Kedokteran, Undang-Undang Nomor 36 Tahun 2009 Tentang Kesehatan, dan Peraturan Menteri Kesehatan Republik Indonesia Nomor 290/MENKES/PER/III/2008 tentang Persetujuan Tindakan Kedokteran. Penting sekali peranan dari informed consent karena  awal terjadinya hubungan dokter dan pasien karena pasien datang kepada dokter menyampaikan keluhan penyakitnya, dokter memberikan penjelasan diagnosa penyakit serta tindakan medik yang akan dilakukannya dan pasien memberikan persetujuan, oleh sebab itu sebagai bentuk kesepakatan bersama lebih baik dibuat dalam bentuk tertulis agar ada bukti otentik apabila pada saat pasien tidak mendapat kesembuhan justru berbalik menduga dokter melakukan tindakan malpraktek padahal dokter menjalankan tindakan medik sesuai prosedur.
PARTISIPASI MASYARAKAT DALAM PENYUSUNAN ANALISIS MENGENAI DAMPAK LINGKUNGAN BERDASARKAN UU NO 32 TAHUN 2009
Authors: Syaputri Martika Dini
Published: September 2019

UU No 32 Tahun 2009 tentang Perlindungan dan Pengelolaan Lingkungan Hidup dan Peraturan Menteri No. 17 Tahun 2012 tentang Keterlibatan Masyarakat dalam Proses Analisis Dampak Lingkungan Hidup telah mengakomodir masyarakat untuk ikut berperan secara aktif dalam proses penyusunan AMDAL pada tahap penapisan hingga keputusan kelayakan. Meskipun dalam peraturan perundang-undangan telah memberikan posisi strategis bagi masyarakat untuk memberi saran, pendapat maupun tanggapan namun  pada kenyataannya partisipasi justru hanya sekedar sebagai prasyarat secara formalitas saja. Keberpihakan pada pemilik usaha menjadikan AMDAL tidak dapat berfungsi sebagai bentuk preventif terhadap kerusakan lingkungan. Peranan partisipasi masyarakat dalam mewujudkan pembangunan berkelanjutan perlu di pahami sehingga masyarakat secara terbuka diberikan kesempatan untuk berpartisipasi secara aktif. Oleh karena itu, diperluakannya suatu pembaharuan hukum guna memperjelas setiap mekanisme dan bentuk partisipasi masyarakat dalam proses penyusunan AMDAL.
PENEGAKAN HUKUM ATAS TINDAK PIDANA PERDAGANGAN ORANG PERSPEKTIF HAK ASASI MANUSIA
Authors: Basuki Udiyo
Published: September 2019

Perdagangan orang (trafficking) merupakan kejahatan lintas negara (transnational organized crime) yang keji terhadap Hak Asasi Manusia (HAM), yang mengabaikan hak sesorang untuk bebas, hak untuk tidak disiksa, kebebasan pribadi, pikiran dan nurani dan hak untuk tidak diperbudak. Angka kasusnya baik di tingkat global, kawasan maupun nasional memperlihatkan kecenderungan adanya peningkatan. Untuk itu, Indonesia sebagai bagian dari masyarakat dunia yang warganya relatif banyak menjadi korban trafficking berupaya untuk melakukan penegakan hukum atas merebaknya tindak pidana (TPPO) dimaksud.

Disadari, selain memeranginya di dalam negeri maka harus ada upaya bersama dengan negara lain. Maka kerjasama antar pemerintah, antar-NGO, ormas dan perseorangan dalam dan luar negeri yang dibina dan dikembangkan dengan baik, menjadi keniscayaan. Akhirnya, dengan mendasarkan pada penegakan hukum berperspektif HAM, sebuah kerangka respon komprehensif harus mencakup pencegahan perdagangan orang, perlindungan atas orang yang diperdagangkan dan penjatuhan hukuman kepada para pelaku perdagangan orang.
People, Clouds, and Roots
Authors: Winarto Yunita T. , Walker Sue , Ariefiansyah Rhino
Published: September 2019

Various studies reveal the paradox of farmers’ local knowledge. Farmers are equipped with traditional cosmology and detailed empirical knowledge of their agricultural habitats. However, these same knowledge frameworks seem to contribute to entrapping farmers in a mind-set that prevents them from understanding the diverse unintended consequences of changes in their environment. To avoid this, we utilize the learning arena of science field shops (SFSs) to help farmers better understand the relationships at work from the “clouds to the roots and in between”, and to address ongoing changes and vulnerabilities in the environment. This article seeks to explain the changes that occurred to farmers following the learning they acquired from SFSs and its impact on their anticipation and decision making.
Phân tích dao động riêng kết cấu tấm composite lớp gia cường ống nano cacbon có gắn lớp vật liệu áp điện
Authors: Thẩm Vũ Văn , Quốc Trần Hữu , Tú Trần Minh
Published: September 2019

Bài báo sử dụng lý thuyết bậc cao bốn ẩn chuyển vị cải tiến (HSDT-4) và dạng nghiệm Navier (chuỗi Fourie kép) để phân tích dao động riêng của tấm composite lớp gia cường bằng ống nano carbon đơn vách (single-walled carbon nanotube - SWNT), tích hợp lớp vật liệu áp điện. Các phương trình cân bằng động cho tấm chữ nhật bốn biên tựa khớp được thiết lập từ nguyên lý Hamilton và phương trình Maxwell. Độ tin cậy của thuật toán và chương trình tính được kiểm chứng qua so sánh với các kết quả đã công bố. Các khảo sát số được trình bày để đánh giá sự ảnh hưởng của đặc trưng vật liệu, kích thước tấm và độ dày lớp áp điện đến tần số dao động riêng của kết cấu tấm tổng thể xét cho cả trường hợp mở mạch và ngắt mạch.

Từ khóa:

lý thuyết bốn ẩn chuyển vị; phân tích dao động riêng; vật liệu áp điện; ống nano carbon; composite lớp.
Đánh giá hiệu quả của cột liên hợp thép - bê tông trong nhà công nghiệp tiền chế
Authors: Hòa Nguyễn Đình , Cường Nguyễn Quốc
Published: September 2019

Trong nhà công nghiệp tiền chế, tiết diện cấu kiện cột thép thường được quyết định bởi trạng thái giới hạn về sử dụng, bên cạnh đó, cột thép có khả năng chịu lửa và chống ăn mòn thấp. Để khắc phục được các vấn đề này, giải pháp cột liên hợp thép - bê tông cho nhà công nghiệp tiền chế được xem xét sử dụng. Mặc dù loại cột này được nghiên cứu và ứng dụng khá phổ biến hiện nay trong ngành xây dựng nhờ kết hợp được đồng thời các ưu điểm của vật liệu thép và bê tông, nhưng chủ yếu trong các công trình nhà cao tầng, chưa áp dụng nhiều trong nhà công nghiệp. Trong bài báo này trình bày cách tính toán cột liên hợp thép - bê tông theo tiêu chuẩn EN 1994-1-1, đưa ra các ví dụ tính toán với các phương án cột liên hợp khác nhau, so sánh kết quả tính toán với phương án sử dụng cột thép, đánh giá hiệu quả sử dụng cột liên hợp thép - bê tông cho nhà công nghiệp.

Từ khóa:

cột liên hợp thép-bê tông; nhà công nghiệp tiền chế; tiết diện chữ H bọc không hoàn toàn; tiết diện thép hộp nhồi bê tông; tiết diện ống thép nhồi bê tông.
Nghiên cứu kiểm soát nứt do nhiệt trong bê tông khối lớn bằng cơ chế sử dụng ống làm lạnh
Authors: Thực Lưu Văn , Trung Lê Quang , Hùng Nguyễn Mạnh
Published: September 2019

Bài báo trình bày kết quả nghiên cứu kiểm soát nhiệt trong bê tông khối lớn bằng cơ chế sử dụng ống làm lạnh. Các mô phỏng số được thực hiện trên khối bê tông có kích thước 5,0 × 10,0 × 5,0 m sử dụng công cụ phân tích nhiệt dạng dòng của chương trình Midas/Civil. Hai mô hình có sử dụng và không sử dụng ống làm lạnh được mô phỏng để đánh giá hiệu quả của ống làm lạnh trong việc kiểm soát nhiệt trong khối bê tông. Bốn mô hình với thời gian tuần hoàn nước lạnh khác nhau đã được phân tích để lựa chọn thời gian làm lạnh tối ưu. Kết quả nghiên cứu cho thấy, hệ thống ống làm lạnh đã làm giảm được 21,8°C nhiệt độ ở tâm khối, theo đó làm giảm chênh lệch nhiệt độ ΔT từ 49,4°C xuống còn 20,6°C. Đồng thời, quá trình tuần hoàn nước lạnh phải đảm bảo có thời gian ít nhất đến thời điểm nhiệt ở tâm khối bê tông đạt cực đại. Từ đó, bài báo đưa ra các kết luận về hiệu quả của ống làm lạnh trong việc kiểm soát nhiệt trong bê tông khối lớn.

Từ khóa:

bê tông khối lớn; chỉ số nứt nhiệt; nhiệt thủy hóa; ống làm lạnh.
Nghiên cứu sự ảnh hưởng của công tác lập kế hoạch đến hiệu quả hoạt động quản lý nhà nước trong đầu tư công xây dựng hạ tầng đường bộ tại Việt Nam
Authors: Hải Nguyễn Lương
Published: September 2019

Công tác lập kế hoạch là một trong các chức năng quan trọng của hoạt động quản lý nói chung, đặc biệt có ý nghĩa đối với hoạt động quản lý Nhà nước trong đầu tư xây dựng hạ tầng trong điều kiện khó khăn về nguồn vốn cũng như sự phức tạp của cơ chế thực hiện dự án. Bài báo nhằm làm rõ sự ảnh hưởng của công tác lập kế hoạch tới hiệu quả quản lý nhà nước trong đầu tư xây dựng hạ tầng đường bộ tại Việt Nam. Kết quả nghiên cứu đã tổng hợp các nhóm nhân tố chủ yếu và chỉ ra các nhóm nhân tố liên quan đến xây dựng cơ chế vận hành và minh bạch kế hoạch cho thấy sự ảnh hưởng rất có ý nghĩa thống kê (p << 0,05) đến hiệu quả hoạt động quản lý nhà nước. Kết quả nghiên cứu đóng góp quan trọng cả về phương diện khoa học và thực tiễn trong lĩnh vực quản lý quản lý nhà nước về đầu tư xây dựng nói chung và phát triển bền vững kết cấu hạ tầng đường bộ nói riêng ở Việt Nam.

Từ khóa:

lập kế hoạch; quản lý nhà nước; đầu tư xây dựng; hạ tầng đường bộ.
Áp dụng phương pháp phân tích thứ bậc (AHP) để lựa chọn phương thức thực hiện dự án đầu tư xây dựng
Authors: Thanh Phạm Quang
Published: September 2019

Phương pháp phân tích thứ bậc (AHP) là một phương pháp phân tích định lượng được sử dụng để phân tích và lựa chọn phương án. Ưu điểm là qua việc phỏng vấn chuyên gia ta lợi dụng được các ý kiến đó thay vì yêu cầu một khối lượng dữ liệu lớn và không cần quá nhiều dữ liệu bằng số. Vì lý do đó, nó khá phù hợp với việc lựa chọn phương thức thực hiện dự án đầu tư xây dựng, vốn được coi là một công việc phức tạp do rất khó lượng hóa các khía cạnh cần đánh giá, nhất là khi liên quan đến rủi ro. Bài báo này đề xuất giải pháp áp dụng phương pháp phân tích thứ bậc để lựa chọn phương thức thực hiện dự án cho các chủ đầu tư đầu tư xây dựng ở Việt Nam.

Từ khóa:

phân tích thứ bậc (AHP); ra quyết định; phương thức thực hiện dự án đầu tư xây dựng.
Runoff over Siberian river basins as an integrate proxy of permafrost state
Authors: Melnikov V. P. , Pikinerov P. V. , Gennadinik V. B. , Babushkin A. G. , Moskovchenko D. V.
Published: September 2019

A new phenomenon has been investigated - an increase in the winter and early spring streamflow of northern rivers. Assuming that the increased discharge may be due to permafrost degradation in river basins, the thaw rate was estimated by modeling. A mathematical model that takes into account the typification of the four permafrost categories, reflecting the dependence of the runoff on the cryological conditions of the watershed areas, showed a rapid degradation of sporadic permafrost and expansion of discontinuous permafrost at the account of continuous one.
LH2 complexes (B800-850 AND B800-830) are assembled in the cells of sulfur bacterium Thiorhodospira sibirica, strain Kir 3, without any carotenoids
Authors: Bolshakov M. A. , Ashikhmin A. A. , Makhneva Z. K. , Moskalenko A. A.
Published: September 2019

It has been studied the result of assembling the light-harvesting complexes in the cells of purple sulfuric bacterium Thiorhodospira (T.) sibirica, strain Kir‑3, while suppressing biosynthesis of carotenoids by diphenylamine (DPA). LH2 complexes (B800-850 and B800-830) with different carotenoids’ composition were isolated from the cells obtained. Maximal inhibition of carotenoid biosynthesis (~90% of the control) was achieved at the inhibitor concentration of 53,25 mM (9 mg/l). It has been established that changes in qualitative and quantitative composition of carotenoids do not affect the assembling of B800-830 and B800-850 complexes. It is assumed that in the population of DPA-LH2 complexes from T. sibirica, strain Kir‑3, both carotenoidless complexes and the complexes, containing one or two carotenoid molecules, can be assembled. These results support a hypothesis that carotenoids are not required for assembling B800-850 and B800-830 complexes.
Greetings from the President of the Russian Federation V.V. Putin to general meeting of members of the Russian Academy of Sciences
Authors: Putin V. V.
Published: September 2019

Greetings from the President of the Russian Federation V.V. Putin to general meeting of members of the Russian Academy of Sciences
Speech by the minister of science and high education of the Russian Federation M.M. Kotyukov
Authors: Kotyukov M. M.
Published: September 2019

Speech by the minister of science and high education of the Russian Federation M.M. Kotyukov
On the activities of the RAS presidium in 2018. Report by the chief scientific secretary of the RAS presidium, RAS academician N.K. Dolgushkin
Authors: Dolgushkin N. K.
Published: September 2019

Chief Scientific Secretary of the RAS Presidium, RAS Academician N. K. Dolgushkin, has informed the General Meeting about the work done by the RAS Presidium during the reporting period and the key decisions made. The interaction between the Academy of Sciences and public authorities has been streamlined, and there is progress in international cooperation. Persistent efforts are being made to propel Russia into the ranks of world's leading countries in the field of scientific research.
PAKAN AMPAS TAHU YANG DIFERMENTASI DENGAN RAGI TAPE UNTUK MENINGKATKAN PERTUMBUHAN DAN KELANGSUNGAN HIDUP BENIH IKAN LELE DUMBO (Clarias Gariepinus)
Authors: Yohanista Maria
Published: September 2019

Pakan merupakan faktor utama yang perlu diperhatikan untuk pertumbuhan Ikan Lele  Dumbo (Clarias gariepinus). Proses fermentasi akan menyederhanakan partikel bahan pakan, sehingga akan meningkatkan nilai gizinya. Bahan pakan yang telah mengalami fermentasi akan lebih baik kualitasnya dari bahan bakunya. Fermentasi ampas tahu dengan ragi akan mengubah protein menjadi asam-asam amino, dan secara tidak langsung akan menurunkan kadar serat kasar ampas tahu. Metode yang digunakan adalah Metode Eksperimen. Penelitian menggunakan Rancangan Acak Lengkap (RAL), yaitu terdiri dari 3 perlakuan 3 ulangan yakni perlakuan pemberian pakan ampas tahu yang difermentasi dengan ragi tape 1%, pakan ampas tahu yang difermentasi dengan ragi tape 3%, pakan ampas tahu yang difermentasi dengan ragi tape 5%. Hasil perhitungan dengan menggunakan Rancangan Acak Lengkap dan Analisis Sidik Ragam (ANOVA),  diperoleh dari F hitung < F  tabel (0,05) yakni 0,29 < 5,14. Ini menunjukan bahwa tidak berbeda nyata atau sama, maka tidak dilanjutkan dengan uji  Beda Nyata Terkecil (BNT). Ho diterima, karena hasil penelitian manunjukan bahwa tidak adanya perbedaan penggunaan ampas tahu yang difermentasi menggunakan ragi tape terhadap pertumbuhan dan kelangsungan hidup Ikan Lele Dumbo (Clarias gariepinus). Kelangsungan hidup benih ikan lele dumbo selama penelitian adalah 97,78% pada semua perlakuan. Kualitas air selama penelitian masih dalam kisaran yang layak untuk pertumbuhan dan kelangsungan hidup benih ikan lele dumbo (Clarias gariepinus).
Wellbeing Series: Building Mental Health Resilience for Emergency Personnel
Authors: Gallagher Sharon
Published: September 2019

In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019
Wellbeing Series: Sleep practices for shift worker
Authors: Varghese Motty
Published: September 2019

In this wellbeing series we present practical advice for prehospital care providers, responders, and all shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.
Diagnostic Accuracy of Gene X-pert MTB/RIF for Tuberculous Pleural Effusion Compared to Adenosine Deaminase (ADA) at Haji Adam Malik General Hospital Medan
Authors: Muhammad Zainul A  , Fajrinur Syahrani  , Siagian Parluhutan , Eyanoer Putri Chairani
Published: September 2019

Indonesia is one of the few countries in the world with very high burden of tuberculosis (TB). Tubercular pleural effusion (Pleural TB) is the most common form of extra-pulmonary TB, however the remains a common clinical challenge. This research from May 2017 through September 2017 a total of 42 patients with exudative lymphocytic pleural effusions suspected to pleural tuberculosis were enrolled in this study. Adenosine deaminase (ADA) and Gene X-pert were examined from pleural fluid. Diagnosis was made clinically or based from sputum/pleural fluid culture. The result of this research showed out of all participants, 64,3% (27/42) had ADA in positive level (>40 IU/L) and 31% (13/24) had Gene X-pert positive Mycobacterium Tb. The Gene X-pert sensitivity was 40.7% with specificity 86.6%, PPV and NPV were 44.8% and 57.1% respectively. Kappa Compatibility study show that Gene X-pert point was 0.227 (p 0.066). The usefulness of Gene X-pert to diagnose pleural TB is limited by its poor sensitivity.  Gene X-pert cannot be used as single diagnostic tool for tuberculous pleural effusion
MENINGKATKAN MINAT DAN MOTIVASI BELAJAR SISWA MELALUI METODE BERVARIASI PADA MATA PELAJARAN IPS DI KELAS BAWAH SDN 13 TELAGA BIRU
Authors: Samandi Lidwina
Published: September 2019

Penelitian ini bertujuan untuk meningkatkan minat dan motivasi belajar siswa melalui metode bervariasi pada mata pelajaran IPS di kelas bawah SDN 13 Telaga Biru. Adapun metode yang digunakan dalam penelitian ini, yaitu penelitian tindakan kelas. Setelah dilakukan penelitian sebanyak dua siklus, minat dan motivasi belajar siswa mengalami peningkatan. Pada siklus I, minat dan motivasi belajar siswa secara berurut berjumlah 55,56% dan 5667%. Adapun pada siklus II, minat dan motivasi belajar siswa secara berurut berjumlah 72,22% dan 80%. Oleh sebab itu, dapat diketahui bahwa penggunaan metode bervariasi dapat meningkatkan minat dan motivasi belajar siswa SDN 13 Telaga Biru.

Kata kunci: minat, motivasi, metode bervariasi
UPAYA MENINGKATKAN HASIL BELAJAR SISWA PADA MATERI KESEBANGUNAN MELALUI PENDEKATAN PEMBELAJARAN MATEMATIKA REALISTIK DI SMP NEGERI 4 LIMBOTO BARAT
Authors: Djaini Arwin
Published: September 2019

Penelitian ini bertujuan untuk meningkatkan hasil belajar siswa pada materi kesebangunan melalui pendekatan matematika realistik di SMP Negeri 4 Limboto Barat. Adapun metode penelitian yang digunakan yakni metode penelitian tindakan kelas. Setelah dilakukan penelitian sebanyak dua siklus, dapat diketahui bahwa hasil belajar siswa mengalami peningkatan baik ketuntasan maupun nilai rata-rata. Ketuntasan tersebut mengalami peningkatan dari 58,5% pada siklus I menjadi 85,61% pada siklus II. Selanjutnya nilai rata-rata mengalami peningkatan dari 70,75% pada siklus I menjadi 87,5% pada siklus II.

Kata kunci: hasil belajar, kesebangunan, matematika realistik
Characteristics of Listeria monocytogenes Strains Isolated from Milk and Humans and the Possibility of Milk-Borne Strains Transmission
Authors: SKOWRON KRZYSZTOF , WAŁECKA-ZACHARKSA EWA , GRUDLEWSKA KATARZYNA , WIKTORCZYK NATALIA , KACZMAREK AGNIESZKA , GRYŃ GRZEGORZ , KWIECIŃSKA-PIRÓG JOANNA , JUSZCZUK KLAUDIA , PALUSZAK ZBIGNIEW , KOSEK-PASZKOWSKA KATARZYNA , GOSPODAREK-KOMKOWSKA EUGENIA
Published: September 2019

Listeria monocytogenes is the etiological factor of listeriosis. The main source of these organisms is food, including dairy products. The aim was to determine the multiple correlations between the drug susceptibility, virulence genes (VGs), and biofilm formation on silicone teat cups of milk-borne and human L. monocytogenes strains. The spread of L. monocytogenes via contaminated teat rubbers was assessed. The L. monocytogenes strains recovered from milk (18), human blood (10), and the reference strain ATCC®19111™ were used in the study. Penicillin resistance was the most prevalent resistance in the milk isolates (n=8; 44.4%), whereas among clinical strains erythromycin resistance was predominating – (n=6; 60%). The most frequent VGs among strains isolated from milk were hlyA (100%) and plcB (100%) whereas in strains isolated from blood – hlyA (100%) and prfA (90%). All tested VGs were present in 50% of blood isolates and 11% of milk-borne strains. The strains isolated from milk formed a significantly stronger biofilm. The strains with more numerous virulence genes were resistant to more antibiotics and formed a stronger biofilm. It was shown that contaminated teat cups might contribute to the transmission of L. monocytogenes in the herd. It seems reasonable to monitor the occurrence of L. monocytogenes biofilm in a dairy processing environment.
Mangiferin ve Kanser
Authors: Zengin Fatmanur Hümeyra , Akbulut Gamze
Published: September 2019

Kanser, kontrolsüz ve anormal hücre çoğalması ile karakterize bir hastalıktır. Birçok yeni antikanser ilacı piyasada bulunmasına rağmen, çoğu zayıf biyoyararlanım, yüksek maliyet ve amaçlanmayan yan etkilerden dolayı hayati endişelere neden olmaktadır. Bu nedenle kanserin başka yöntemlerle önlenmesi düşüncesi ortaya atılmış ve “kemoprevensiyon” son yıllarda üzerinde en fazla çalışılan konulardan biri olmuştur. Mango olarak da bilinen Mangifera indica, uzun yıllardır Ayurveda ve geleneksel tıbbi sistemlerde kullanılmaktadır. Mangonun ana etken maddesi kabul edilen mangiferin, C-glukozilksanton yapıda çeşitli farmakolojik aktivitelere sahip, doğal bir polifenoldür. Son yıllarda yapılan çalışmalarda, mangiferinin antiinflamatuvar, antikanser, antidiyabetik, antioksidatif, yaşlanma karşıtı, immünomodülatör, hepatoprotektif, antihiperlipidemik, antialerjik ve analjezik etkiler gibi özelliklere sahip, umut verici bir antioksidan olduğu bildirilmiştir. In vitro ve in vivo çalışmalarda farklı kanser tiplerine karşı geniş spektrumlu etkililik göstermektedir. Mangiferinin yapısındaki C-glukozil bağ ve polihidroksi grupları, temel olarak serbest radikal temizleme etkinliğine katkıda bulunur. Ayrıca proinflamatuvar transkripsiyon etmenleri, hücre döngüsü proteinleri, büyüme faktörleri, kinazlar, sitokinler, kemokinler, adhezyon molekülleri ve inflamatuvar enzimleri modüle etme yeteneğine sahip olduğu gösterilmiştir. Bu hedefler potansiyel olarak kanserin başlatılması, ilerlemesi ve metastazını baskılayarak mangiferinin kemoprevensiyon ve tedavi edici etkilerine aracılık edebilir. Ancak, çalışmalarda mangiferinin oral biyoyararlılığının çok düşük olduğu bildirilmiş ve etkileri üzerine bildirilen çalışmalar ağırlıklı olarak kültür hücrelerinde ve kemirgenlerde yürütülmüştür. Mangiferinin daha iyi anlaşılabilmesi için insanlarda daha fazla klinik çalışmaya gerek vardır.
Hastane Beslenme Hizmetlerinde Hasta Memnuniyeti
Authors: Bıyıklı Ali Emrah , Bilici Saniye
Published: September 2019

Sağlık hizmetlerinde kalite şartlarının en önemlilerinden biri hasta memnuniyetinin sağlanmasıdır. Hasta memnuniyeti birçok etmenden etkilenebilmektedir. Hastanelerde yatan hastalara verilen beslenme hizmetleri hasta memnuniyetindeki en önemli bileşenlerden birini oluşturmaktadır. Bu çalışmada, hastaların hastane beslenme hizmetlerinden memnuniyet durumunun değerlendirildiği çalışmalar derlenmiştir. Yapılan literatür taraması sonucunda hastane beslenme hizmetleri, besin kalitesi, menü kalitesi, yemek servis kalitesi, personel hizmet kalitesi, atmosfer kalitesi ve diyetisyen ilgisi alt boyutları altında incelenmiştir. Yatan hastaların beslenme hizmetlerinden memnuniyetini etkileyen etmenler daha çok besin kalitesi ve menü kalitesi alt boyutlarında bulunmaktadır. Hastane beslenme hizmetlerine duyulan memnuniyeti arttırmak için alt boyutlarının tümünü kapsayan bir kılavuz geliştirilmesi sektöre önemli bir kazanç sağlayacaktır.
Pengembangan Sistem Informasi Terintegrasi Untuk Upt Puskesmas
Authors: Rasyidi Mohammad Arif , Hidayah Lailatul , Andayani Puji , Ngatini Ngatini
Published: September 2019

Pelayanan pada puskesmas sering dinilai kurang cepat, ditambah lagi dengan jumlah pasien yang banyak membuat antrian menjadi tidak dapat dihindari.  Proses administrasi yang masih manual ditambah dengan antrian membuat waktu pelayanan menjadi panjang.  Data rekam medis yang masih disimpan secara konvensional dalam ratusan map di lemari bertingkat membuat pencarian data pasien menjadi lambat dan besar kemungkinan kurang akurat.

Berdasarkan permasalahan yang ada, maka kami tergerak untuk membangun sebuah sistem informasi untuk menyimpan data rekam medik pasien puskesmas. Semua data rekam medik puskesmas yang sebelumnya disimpan secara manual akan dipindahkan ke sistem informasi yang dibangun yang juga mencakup proses otomasi alur pendaftaran ke poli yang diperlukan. Berbeda dengan sistem yang telah ada, sistem rekam medik ini juga dilengkapi dengan kartu pintar pribadi untuk masing-masing pasien dan terintegrasi dengan data pasien dari Badan Penyelenggaran Jaminan Sosial (BPJS) Kesehatan. Petugas cukup memindai kartu ini untuk mengakses data rekam medik pasien.

Sistem ini dibangun dengan menggunakan pendekatan Waterfall sebagai metode pengembangan perangkat lunaknya. Dengan adanya sistem informasi rekam medis ini data pasien dapat disimpan dengan lebih efisien dan terhindar dari duplikasi data. Pasien yang datang ke puskesmas akan dapat terlayani dengan lebih cepat. Catatan riwayat kesehatannya juga dapat diketahui secara lengkap sehingga diagnosa dokter bisa menjadi lebih akurat. Aplikasi rekam medis terintegrasi ini juga memudahkan proses pencarian data.sehingga dapat meningkatkan kinerja pegawai puskesmas dalam melakukan pengolahan data rekam medis, dan juga obat-obatan. Selain itu resiko rusak, hilang, dan duplikasi data rekam medik pasien juga akan dapat diminimalisir. Aplikasi rekam terintegrasi ini membuat laporan yang ditujukan kepada pimpinan menjadi lebih akurat.
Pervaporation Performance of Ag-PVA Nanocomposite Membranes: Effect of Operating Temperature
Authors: Selim Asmaa , Tóth András József , Haáz Enikő , Fózer Dániel , Mizsey Péter
Published: September 2019

The features of pervaporation are continuously improved with the production of more and more efficient membranes. In our present study, silver nanoparticles are in-situ generated in a poly (vinyl alcohol) using solution-casting in order to enhance its capability for pervaporation. The membrane is tested on the case study of ethanol dehydration by pervaporation. Effect of silver content on the pervaporation separation index and the enrichment factor of the membrane at 15 % mass water at 40 °C are reported. Pervaporation data for nanocomposite membranes show around 100 % increase in the water permeance values while the intrinsic selectivity decreases that is typical for pervaporation membranes. The water permeances of original crosslinked PVA membrane and the 2.5 % silver loaded PVA membrane are 26.65 and 70.45 (g/m2.kPa.h), respectively. The values of total flux are closely related to water flux, showing that membranes could be successfully assigned to separate water from ethanol even at the azeotropic point. The influence of temperature on the efficiency of the pervaporation process, permeation parameter and diffusion coefficient of the feed component is also discussed. The negative heat of sorption (∆Hs) values calculated on the basis of the estimated Arrhenius activation energy values indicates that the sorption process is controlled by Langmuir's mode. Our results show that the 0.5 mass% silver loaded poly (vinyl alcohol) membrane exhibits excellent PV performance.
Insuflador-exsuflador mecânico versus manobra PEEP-ZEEP em pacientes em ventilação mecânica prolongada
Authors: Campos Josué Felipe R. , Godoy Marcos David P , De Souza Leonardo Cordeiro , Coutinho William Maia , Forgiarini Junior Luiz Alberto
Published: September 2019

Introdução: A presença da via aérea artificial, associada com a imobilidade no leito, resulta em um déficit na desobstrução das vias aéreas em pacientes sob ventilação mecânica (VM). Tal condição contribui para o desenvolvimento de quadros de hipoxemia e/ou infecções respiratórias, aumentando o trabalho respiratório e também as falhas de extubação. Objetivo: Comparar os efeitos da utilização do insuflador-exsuflador mecânico e da manobra PEEP-ZEEP em relação í  mecânica respiratória em pacientes ventilados mecanicamente por tempo prolongado. Métodos: Ensaio clí­nico randomizado cruzado, incluindo pacientes em ventilação mecânica por mais de 10 dias. Os pacientes foram randomizados para receber a aplicação do insuflador-exsuflador mecânico e da manobra PEEP-ZEEP. Foram mensuradas complacência pulmonar, estática e dinâmica, e resistência pulmonar antes e após a aplicação de cada técnica. Resultados: Foram incluí­dos 22 pacientes. Na análise intragrupos observa-se aumento significativo na complacência dinâmica e complacência estática após a aplicação de ambas as técnicas. A resistência pulmonar variou significativamente apenas após a aplicação do insuflador-exsuflador mecânico. Não foram observadas diferenças significativas na análise intergrupos. Conclusão: O insuflador-exsuflador mecânico e a manobra de PEEP-ZEEP demonstraram ter efeito positivo tanto sobre a complacência estática quanto a dinâmica. Entretanto, a resistência pulmonar aumentou após a aplicação do insuflador-exsuflador mecânico.Palavras-chave: respiração artificial, resistência das vias respiratórias, complacência, fisioterapia, unidades de terapia intensiva.
Importância do teste cardiopulmonar para a fisioterapia cardiovascular
Authors: Floriano Rafael Santiago , Orsini Marco , Reis Michel Silva
Published: September 2019

O teste de exercí­cio cardiopulmonar (TECP) é um método não invasivo de avaliação global da integridade dos ajustes fisiológicos no organismo humano durante a execução do exercí­cio fí­sico. Na prática clí­nica, o TECP tem sido utilizado com as mais diversas finalidades. O profissional capacitado pode utilizá-lo principalmente para avaliar a capacidade funcional dos indiví­duos submetidos ao teste, mas também pode ser realizado com a finalidade diagnóstica, prognóstica e principalmente para a reabilitação, na qual a prescrição de exercí­cios é determinada de forma segura e individualizada. Nos últimos anos este teste tem se tornado uma importante ferramenta para os fisioterapeutas e educadores fí­sicos para a prescrição de exercí­cio fí­sico. Os í­ndices de limitação funcional mais observados são: 1) o consumo de oxigênio pico (VO2pico) ou consumo máximo de oxigênio (VO2máx); 2) limiar anaeróbico ventilatório (LAV) em ní­veis de exercí­cio fí­sico submáximo. Desta forma, o objetivo do nosso trabalho foi disseminar o conhecimento sobre o TECP entre os nossos pares e outros profissionais da saúde. Neste sentido, promovendo a possibilidade de discussão sobre a potencial inserção do TECP nos programas de reabilitação cardí­aca ambulatorial de forma precisa e segura, para melhora da capacidade funcional e a qualidade de vida dos pacientes.Palavras-chave: teste de esforço, consumo de oxigênio, desempenho fí­sico funcional, liminar anaeróbio.
Assistência fisioterapêutica a um paciente submetido í cirurgia de revascularização do miocárdio com evolução de mediastinite como complicação pós-operatória
Authors: De Oliveira Jonaí­na Fiorim Pereira , Bonomo Livia Maria Marques , Brito Flávia Azevedo , Costa Regina Mamede , Tótola Cleilda Ribeiro , Gomes Fernando Luiz Torres
Published: September 2019

A fisioterapia integra os cuidados do paciente submetido í  cirurgia cardí­aca. Porém são escassos estudos que relacionam esta ciência a pacientes que desenvolveram mediastinite pós-operatória. O objetivo do estudo foi relatar o acompanhamento fisioterapêutico em um caso clí­nico de mediastinite associada í  Cirurgia de Revascularização Miocárdica realizada no Hospital Universitário Cassiano Antônio de Moraes (HUCAM). Desenvolveu-se um estudo de caso relatando a abordagem fisioterapêutica realizada ao paciente durante o perí­odo de internação hospitalar. O tratamento fisioterapêutico do paciente do estudo ocorreu duas vezes ao dia com os objetivos de restabelecer as funções pulmonares e a mobilidade para o retorno às atividades funcionais. As condutas aplicadas, junto às abordagens clí­nicas, visaram í  melhora rápida e a alta hospitalar precoce. Conclui-se que a diversidade dessas situações e a existência de poucos estudos sobre a atuação fisioterapêutica nesses casos mostram uma lacuna de conhecimento nesta área da saúde e a possibilidade de explorar o assunto para ampliar a atuação deste profissional em futuros casos semelhantes.Palavras-chave: mediastinite, doenças cardiovasculares, Fisioterapia.
Perfil clí­nico de pacientes submetidos í ventilação mecânica em uma unidade de pronto atendimento da região central do Rio Grande do Sul
Authors: De Freitas Mainara Antunes , Aragones Bárbara Lago , Fleck Caren Schlottfeldt
Published: September 2019

Introdução: A procura pelas Unidades de Pronto Atendimento (UPA) vem em um crescente, com atendimento 24 horas e extremamente resolutivo. É um serviço importante na classificação de atenção ao usuário, com grande rotatividade de pacientes. Objetivo: Traçar o perfil dos pacientes submetidos í  ventilação mecânica invasiva (VMI) que são internados na UPA na região central do estado. Métodos: Estudo quantitativo, com análise descritiva de prontuários de pacientes internados na UPA submetidos í  VMI, no perí­odo de fevereiro a junho de 2017. Resultados: Amostra de 14 prontuários, 57,2% (n = 8) do sexo feminino e 64,3% (n = 9) com idade superior a 60 anos. O diagnóstico inicial mais frequente foram as complicações respiratórias 62% (n = 13). Entre patologias de base, a hipertensão arterial sistêmica teve maior incidência 36% (n = 9). Quanto às manifestações clí­nicas no momento da intubação, a mais frequente foi a hipoxemia 33,4% (n = 4) e o principal motivo da intubação foi rebaixamento de sensório 57,1% (n = 8). A permanência na unidade em 42,8% (n = 6) dos casos durou menos de 24 horas. Conclusão: Predominaram pacientes mulheres idosas, apresentando como diagnóstico inicial complicações respiratórias, tempo de permanência na unidade após VMI menos de 24 horas e a maioria dos prontuários sem prescrição de fisioterapia.Palavras-chave: emergência, fisioterapia, respiração artificial.
Effect of different accessions on yield contributing characters and yield of strawberry under different growing condition
Authors: Alam Md Shamsul , Islam Md Rafiqul , Afrin Sadia
Published: September 2019

An experiment was conducted at Bangladesh Institute of Nuclear Agriculture (BINA), Horticulture Division farm, BINA, Mymensingh on effect of different accessions on yield contributing characters and yield of strawberry under different growing conditions during October, 2016 to April, 2017. The twofactor experiment had two levels of planting conditions (Factor A) and three strawberry accessions (Factor B) as follows –Factor A- Planting conditions: a) pot condition and b) field condition and Factor B – strawberry accessions: accession-1( RABI strawberry-1), accession-2 (New York, USA) and accession-3(Kagawa, Japan). The experiment was conducted in randomized complete block design with 3 replications. Results showed that accession-2 revealed the highest results almost all yield contribution characters and yield parameters. The tallest plant (29.78 cm), the highest number of leaves (46.35), longest leaf (26.58 cm), no. of inflorescences (15.95), number of flowers per inflorescence (8.21), number of fruit per inflorescences (7.45), diameter of fruit (4.25 cm), fresh weight of fruit (22.17 g), total soluble solids (18.54 %), yield (g/plot) (400.3 g) and yield per hectare (21.72 t/ha) were recorded from accession-2. But number of seeds per fruit (217.0) was observed from accession -1. The lowest values were found on all the mentioned parameters in accession-3.The significant difference between the growing conditions was observed on all the mentioned parameters. The highest yield (20.12 t/ha) per hectare and yield contributing characters were noted in field condition and the lowest values on all the mentioned parameters were obtained in pot condition. Statistically significant variations were found on all the mentioned parameters due to combined effect. The tallest plant (30.33 cm), highest number of leaves per plant (47.36), longest leaf (27.64 cm), number of inflorescences (16.66), number of flowers per inflorescences (8.99), number of fruit per inflorescences (7.68), individual weight of fruit (25.19 g), total soluble solids (18.98), yield per plot (482.6 g), yield per hectare (24.37t/ha) were found in accession-2 under field condition. The highest diameter of fruit (4.50 cm) was found in accession-3 in field condition which was statistically similar with accession-2 both in field condition and pot condition. The maximum number of seeds per fruit (217.0) was recorded from accession-3 both in pot and field condition. But accession-2 gave the minimum number of seeds per fruit (118.0) under field condition.

Res. Agric., Livest. Fish.6(2): 171-179, August 2019
Intensidades educativas, fugas para incluirse
Authors: Belgich Horacio , Marrone Trinidad , Martinelli María Alejandra
Published: September 2019

Se trata de componer un pensamiento tal que comience a vislumbrar territorios en el cual líneas de existencias creativas, desviantes, fugadas de un orden instituido rígido e identidades cerradas, se asienten en él como un territorio nuevo, donde se inventan nuevas conexiones entre alumnos, entre alumnos y los saberes, entre alumnos y adultos, o bien entre estos y el ejercicio de su autoridad, por ejemplo. Esas salidas de atolladeros a veces inextricables desde cierta imagen de pensamiento se denomina agenciamiento, que no es otra cosa que aquellas conexiones que permiten que las multiplicidades devengan, se propaguen en nuevos territorios de saber, que se conectan a saberes sabidos, o quizá nuevos, u otros, olvidados ya, pero que adquieren potencia a partir de ese encuentro inesperado e inevitable entre cuerpos, visibilidades, paisajes, voces y decires, que se despliegan en territorios donde obrar y pensar son actos afirmativos, pero al mismo tiempo leves, innovadores, nómades y transdisciplinarios. Y allí se compone la inteligencia, con la cual aprenhedemos al mundo; con amores y con hallazgos que enamoran. Ya que nos interrogamos con Gilles Deleuze: ¿Por qué amores se aprende? ¿Por qué encuentros?