bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALYSIS OF THE STRATEGIC POSITIONS OF CENTER OF PEDIATRICS: THE PROBLEM OF IMPROVEMENT OF HUMAN RESOURCES MANAGEMENT
Authors: DUBROVINA Nadiya , SIWIEC Andrzej , DUBROVINA Vira , TULAI Oksana
Published: December 2020

In the article the problem of analysis of the strategic positions is considered on the example of the Center of Pediatrics named after John Paul II in Sosnowiec. The Center of Pediatrics is one of the leading medical institution in Silesian Voivodship in Poland. The purposes of research were to study the positions of the Center of Pediatrics in the national ratings, to reveal the reasons of decreasing evaluation of the Center of Pediatrics according to the different criteria, to provide initial sociological research of medical staff and to develop the essential recommendations for the improvement of positions of the Center of Pediatrics in the national ratings. For the analysis of the strategic positions of the Center of Pediatrics according the different criteria the results of national rating of leading medical institutions in Poland during period of 2015-2018 were used. We revealed that during last years the strategic positions of the Center of Pediatrics was dropped and the main reasons in the losses of positions were essentially decrease in the component «Management» and «Quality of care». In this issue we focused on the problem of improvement of human resources management in mentioned organization. According to the provided initial sociological research we revealed the needs and values of the different categories of personnel and developed complex of measures for Strategic Development Program which increases efficiency of the Center of Pediatrics over next 5 years. This Program allows improve competitiveness of this organization and its strategical positions in the national ratings of leading medical institutions in Poland.
SUSTAINABLE ENTERPRISE COMPETITIVENESS IN THE CONTEXT OF ORGANIZATIONAL, THEORETICAL AND METHODOLOGICAL MANAGEMENT TOOLS
Authors: KUZMYNCHUK Nataliia , YEVTUSHENKO Viktoriia , KUTSENKO Tetiana , TEROVANESOVA Oleksandra
Published: December 2020

The article assesses the level of competitiveness of enterprises over time using the local taxonomic indicators of the development of production, financial, marketing and social sustainability and total integrated indicator of the state of sustainable competitiveness. The methodical approach to the assessment of the level of sustainable enterprise competitiveness and the impact of organizational and managerial potential on the sustainable enterprise competitiveness is improved. Conceptual bases of creation of organizational and managerial potential of sustainable enterprise competitiveness are developed. The authors propose a scientific and practical approach to modelling the influence of organizational and managerial potential on the overall integrated indicator of sustainable enterprise competitiveness, which centers on the identification of possible development scenarios shaped by organizational and managerial factors determining the efficiency of ensuring sustainable competitiveness of machine-building enterprises. Substantiation is provided for the creation of a mechanism ensuring the sustainable enterprise competitiveness that takes into account available organisational and managerial potential as the basis for making quality managerial decisions on improving the adaptability of enterprises to difficult and changing external conditions.
METHODS OF TEACHING FINANCIAL LITERACY IN HIGHER EDUCATION: EXPERIENCE AND PROSPECTS
Authors: KIZYMA Tetiana , KRUPIAK Iryna , KOLOMYYCHUK Natalia
Published: December 2020

Introduction. An integral condition for determining the role of educational factors in the process of forming the financial worldview of citizens is the development and testing of effective and efficient methods of teaching financial literacy. At the same time, there is currently no single methodological approach to the teaching of financial literacy in educational institutions of Ukraine, which requires intensification of scientific efforts aimed at studying the above problem.

The purpose is to systematize the experience of teaching financial literacy in higher education and highlight the prospects for its improvement in modern conditions of development of the domestic educational space.

Methods. Methods of dialectical analysis and synthesis, as well as methods of logical generalization, comparison and formalization are used in the reseach.

Results. The newest methods of teaching financial literacy are studied, the features and advantages of each of them are highlighted and the positive effects they cause are emphasized, namely: promoting the development of theoretical thinking and cognitive interest in financial literacy; activation of perception of material in the process of teaching the basics of financial literacy; providing professional motivation and formation of corporate culture in students when studying the discipline "Methods of teaching financial literacy". A number of scientific and pedagogical events organized and conducted at Ternopil National Economic University together with teachers of secondary, vocational and higher educational institutions are analyzed in order to discuss the vectors of improving the current methods of teaching financial literacy. The necessity of using innovative tools in teaching financial literacy in domestic educational institutions is substantiated and the directions of increasing the level of financial literacy of Ukrainians in modern conditions are suggested.

Perspectives. Further research is proposed to focus on identifying the main vectors of increasing the level of financial literacy of children and youth, as the most potentially favorable for this segment of Ukrainian society. In our opinion, this will provide an opportunity to form a holistic system of measures to overcome the sometimes indifferent attitude of young Ukrainians to their future financial well-being.
Perbedaan Hematokrit Darah Segar dan Darah Simpan (30 Hari) DI UTD RSAM Bandar Lampung
Authors: Syuhada Syuhada , Aditya Aditya , Candrawijaya Ira
Published: December 2020

Latar Belakang: pada saat pengambilan darah eritrosit akan mengalami kerusakan, setiap hari viabilitas eritrosit menjadi terus menurun akibat dari penurunan kadar ATP (Adenosin Trifosfat), sehingga apabila kadar ATP menurun maka terjadinya kehilangan lipid membran, membrane menjadi kaku dan bentuknya dari cakram menjadi sferis (tidak central polar dan ukuran kecil). Penelitian ini ditujukan untuk mengetahui perbedaan nilai hematokrit darah segar dengan darah simpan (30 hari) di UTD RSUD Dr. H. Abdul Moeloek Lampung tahun 2020. Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah kuantitatif observasional dengan desain non probability sampling. Sampel yang digunakan pada penelitian ini responden yang bersedia mendonorkan darahnya di UTD RSUD Dr. H. Abdul Moeloek Lampung. Analisa data menggunakan rumus wilcoxon. Hasil: diperoleh p value >0,05 yang artinya tidak terdapat perbedaan yang signifikan antara darah segar dengan darah simpan (30 hari) di UTD RSUD Dr. H. Abdul Moeloek Lampung. Kesimpulan: pengelolaan darah donor dan kualitas darah donor di tempat tersebut dalam keadaan baik sehingga darah donor bias diberikan kepada resipen, tanpa memiliki perubahan komponen yang signifikan.
Perbedaan Jumlah Eritrosit Antara Darah Segar dan Darah Simpan
Authors: Arviananta Rizki , Syuhada Syuhada , Aditya Aditya
Published: December 2020

ada saat pengambilan darah donor eritrosit akan mengalami kerusakan, setiap hari viabilitas eritrosit menjadi terus menurun akibat dari penurunan kadar ATP (Adenosin Trifosfat), sehingga apabila kadar ATP menurun maka terjadi kehilangan lipid membran, membran menjadi kaku, dan bentuk dari cakram menjadi sferis (tanpa sentral polar dan ukuran kecil), hal ini menyebabkan kalium keluar dan natrium masuk ke sel. Maka hal ini akan berpengaruh terhadap jumlah eritrosit yang akan ditransfusikan. Penelitian ini ditujukan untuk mengetahui perbedaan jumlah eritrosit antara darah segar dan darah simpan (30 hari). Jenis penelitian yang digunakan adalah Kuantitatif Observasional dengan teknik Non probability sampling. Sampel yang digunakan pada penelitian ini yaitu subjek penelitian yang bersedia mendonorkan darahnya. Analisa data menggunakan rumus Wilcoxon. Berdasarkan hasil pemeriksaan, rerata penurunan jumlah eritrosit selama 30 hari pada laki-laki yaitu 4,624 juta/mm3 (9,3%) dan pada perempuan 3,88 juta/mm3 (8,2%), dimana penurunan tersebut masih dalam batas nilai normal. Diperoleh p-value > 0,05 yang artinya tidak terdapat perbedaan yang signifikan pada jumlah eritrosit antara darah segar dan darah simpan (30 hari).
Dampak Dehidrasi Saat Masa Kehamilan
Authors: Maryanto Erlicha Paramitha
Published: December 2020

Air merupakan hal yang vital untuk seseorang dan berfungsi sebagai penjaga hemostasis sel. Komposisi cairan dalam tubuh berubah selama masa kehamilan demi mendukung pertumbuhan dan perkembangan janin dalam kandungan. Keadaan fisiologis yang dialami wanita hamil dapat mempengaruhi keseimbangan cairan tubuh yang akan berefek pada status hidrasi wanita hamil. Di Indonesia ditemukan sebanyak 57.1% wanita hamil mengalami dehidrasi. Dehidrasi adalah keadaan terjadinya ketidakseimbangan cairan tubuh dimana tubuh kehilangan cairan lebih banyak daripada asupan cairan yang masuk ke dalam tubuh. Penelitian ini menggunakan metode studi literatur dengan pencarian kata kunci “kehamilan”, “dehidrasi”, “status hidrasi”. Dampak yang ditimbulkan dari dehidrasi selama masa kehamilan adalah gangguan pertumbuhan dan perkembangan janin, penurunan volume ketuban, infeksi saluran kemih, dan konstipasi. Pencegahan akan kekurangan cairan harus dilakukan dengan cara konsumsi air yang cukup yaitu 3 L/hari yang bersumber dari minuman atau makanan dengan kelembaban tinggi dan memenuhi kebutuhan asupan zat gizi.
Penerapan Aspek Spiritualitas dengan Pemenuhan Kebutuhan Spiritual Pada Pasien
Authors: Amiruddin Achmad , Murniati Murniati
Published: December 2020

Latar belakang; perawat meyakini manusia sebagai makhluk bio-psiko-sosio-kultural dan spiritual yang utuh berespons terhadap suatu perubahan yang terjadi antara lain karena gangguan kesehatan dan penyimpangan pemenuhan kebutuhan. Tujuan; mengetahui hubungan penerapan aspek spiritualitas perawat dengan pemenuhan kebutuhan spiritual pada pasien rawat inap di Puskemas Barombong. Metode; Desain penelitian analitik deskriptif dengan menggunakan metode desain Cross Sectional melakukan pengukuran atau pengamatan pada saat bersamaan dengan teknik pengambilan sampel secara Purposive Sampling. Data diperoleh melalui kuesioner yang diolah dengan menggunakan program komputer SPSS. Analisis data univariate dan bivariat dan deskripsi. Hasil; uji statistik diperoleh nilai ρ = 0.034 < α = 0.05, terdapat hubungan penerapan aspek spiritualitas perawat dengan pemenuhan kebutuhan spiritualitas pasien. Kesimpulan; terdapat hubungan penerapan aspek spiritualitas perawat dengan pemenuhan kebutuhan spititualitas terhadap pasien yang dirawat inap. Perlu ada strategi dalam meningkatkan pelayanan kesehatan khususnya dalam penerapan aspeks kebutuhan spiritual pasien
Aspek Spiritualitas dalam Pemenuhan Kebutuhan Spiritual Pasien
Authors: Husaeni Hermin , Haris Abdul
Published: December 2020

Latar belakang; Perawat sebagai tenaga kesehatan yang professional mempunyai kesempatan yang paling besar untuk memberikan pelayanan kesehatan khususnya pelayanan/asuhan keperawatan yang komprehensif dengan membantu klien memenuhi kebutuhan dasar yang holistik. Metode; analitik deskriptif metode Cross Sectional dengan teknik pengambilan sampel secara Purposive Sampling. Analisis data yang akan digunakan univariat dan bivariat menggunakan uji statistik dengan tingkat kemaknaan 0,05 dan dan diolah secara elektronik dengan menggunakan program SPSS 21. Hasil; uji statistik diperoleh nilai ρ = 0.034 < α = 0.05, terdapat hubungan penerapan aspek spiritualitas perawat dengan pemenuhan kebutuhan spiritualitas pasien. Kesimpulan; terdapat hubungan penerapan aspek spiritualitas perawat dengan pemenuhan kebutuhan spititualitas terhadap pasien yang dirawat inap. Perlu ada strategi dalam meningkatkan pelayanan kesehatan khususnya dalam penerapan aspeks kebutuhan spiritual pasien.
Hubungan antara motivasi belajar dengan prestasi belajar mahasiswa
Authors: Yuriatson Yuriatson , Asmi A.Syamsinar
Published: December 2020

Latar belakang; peningkatan kualitas sumber daya manusia sudah merupakan suatu keharusan bagi dunia apalagi pada era globalisasi yang menuntut kesiapan setiap bangsa untuk bersaing secara bebas. Metode; deskriptif analitik dengan rancangan cross sectional study dimana peneliti melakukan observasi atau pengukuran variabel sesaat artinya subyek diobservasi satu kali saja dan dieksplorasikan secara bersamaan dengan menggunakan alat ukur kuesioner. Melalui penentuan populasi, sampel dan sampling, pengumpulan data, pengolahan data dan analisa data. Hasil; analisis menunjukkan bahwa motivasi baik sebanyak 28 responden (84,8%) memiliki prestasi baik, 1 responden (3,0%) sedang, dan prestasi kurang tidak ada. Sedangkan untuk responden motivasi belajar kurang sebanyak 4 responden (12,1%) memiliki prestasi baik. Kesimpulan; motivasi mempunyai fungsi yang penting dalam belajar, karena motivasi akan menentukan intensitas usaha belajar yang dilakukan mahasiswa.
Welding deformations of welded joints between 1D Ag nanowire connectors and 3D substrates: a molecular dynamics study
Authors: Luan Shiyi , Zhao Qiang , Gui Chengqun , Zhou Shengjun
Published: December 2020

In order to enrich the understanding of the relationship between 1D and 3D Ag nanomaterials in welding deformation, molecular dynamics simulations were performed to study a common structure of welded joints in Ag nanowire (NW) connectors on Ag substrates. The effects of the overlapping length, welding temperature and NW diameter on welding strength, dislocation and atomic strain were investigated, with the aim of understanding welding deformations of welded joints. With the increase in the overlapping length, welding temperature and NW diameter, the welding strength increases while the increment decreases. Dislocations can be reduced by increasing the overlapping lengths, NW diameters and annealing time. Moreover, the welded joint performance in shear strength could be improved by performing thermal annealing or decreasing NW diameters. The coordination number, residual stress and energy variation have also been analyzed to explain the above phenomenon. This work can provide guidance for the welding of nanomaterials with different dimensions.
PERANCANGAN MODEL UNTUK PERAMALAN TINGKAT PERTUMBUHAN PEMBIAYAAN MELALUI METODE JARINGAN SARAF TIRUAN DI BNI SYARIAH
Authors: Themba Orfyanny S , Mokhtar Susianah
Published: December 2020

ABSTRAKTren perkembangan pembiayaan di Indonesia mulai meningkat namun cenderung melambat dari tahun ke tahun. Peramalan pertumbuhan pembiayaan pada bank syariah menjadi hal yang menarik karena naik turunnya pembiayaan akan berdampak pada perekonomian Indonesia. Tujuan dari penelitian ini melakukan peramalan pertumbuhan pembiayaan dalam jangka waktu setahun melalui metode Jaringan Saraf Tiruan pada data Bank BNI Syariah dari tahun 2015 sampai dengan 2019. Hasil dari peramalan diharapkan memberi informasi bagi bank untuk menunjang pengambilan keputusan dan menyiapkan strategi meningkatkan pembiayaan sehingga semakin besar laba yang akan diperoleh. Model peramalan dibuat berdasarkan metode peramalan dan ditujukan untuk digunakan pada aplikasi peramalan pembiayaan. Model Jaringan Saraf Tiruan memiliki nilai akurasi peramalan yang tinggi karena memiliki nilai error RMSE, MAPE yang minimum. Dari hasil peramalan menggunakan model Jaringan Saraf Tiruan menunjukkan terjadi peningkatan pembiayaan pada setiap bulannya untuk akad murabahah, mudharabah, musyarakah dan qardh. Hanya pembiayaan yang menggunakan ijarah yang mengalami penurunan drastis dibanding tahun-tahun sebelumnya. Pembiayaan murabahah masih tetap mendominasi dibanding akad mudharabah, musyarakah, qardh dan ijarah selama tahun 2020 Kata Kunci: Jaringan Saraf Tiruan ;PembiayaanABSTRACT Trend of financing development in Indonesia is starting to increase but tends to slow down from year to year. It is interesting to forecast the growth of financing in Islamic banks because the up and down of financing will have an impact on the Indonesian economy. The purpose of this study to forecast financing growth within a year through the Neural Network method on BNI Syariah Bank data from 2015 to 2019. The results of the forecast are expected to provide information for banks to support decision making and prepare strategies to increase financing so that greater profits that will be obtained. The forecasting model is made based on the forecasting method and is intended for use in financing forecasting applications. The Artificial Neural Network Model has a high value of forecasting accuracy because it has a minimum error value of RMSE, MAPE. The results of forecasting using the Artificial Neural Network model show an increase in financing every month for murabahah, mudharabah, musyarakah and qardh contracts. Only financing using ijarah has experienced a drastic decline compared to previous years. Murabahah financing still dominates over the mudharabah, musyarakah, qardh and ijarah contracts during 2020Keyword: Arificial Neural Network ;Financing
HISTOPATHOLOGICAL SPECTRUM OF VARIOUS BIRADS CATEGORIES OF BREAST LESIONS- A RETROSPECTIVE STUDY.
Authors: Kumari P. Ramana , Harika M. , Jahnavi G. , Bala G. Saila
Published: December 2020

Introduction: Carcinoma of breast is the most common cancer of women, the incidence of which continue to increase worldwide. Sonomammography is a sensitive method for the diagnosis of breast cancer preoperatively.
Aim: The aim of the present study is to evaluate the histopathological findings of various categories of BIRADS breast lesions and to analyse the discordant cases.
Materials and methods: This is a retrospective study of patients who have undergone mammography and simultaneous breast core needle biopsy. This study includes a total of 252 cases.
Results: Of these cases 2/252(0.8%) cases were assigned BIRADs category II, 16/252(6.4%) were assigned BIRADs category III, 64/252(25.4%) cases were assigned as BIRADs category IV and 170/252 (67.4%) were assigned as BIRADs category V.
Conclusion: In this study Radio-pathological concordance has been observed in 88% cases.
A STUDY ON IMMUNIZATION OF CHILDREN AT URBAN HEALTH TRAINING CENTRE IN UDAIPUR CITY, RAJASTHAN
Authors: Mathur Anjili , Fatima Anum , Vyas Abhinav , Meena Anuradha , Priyadarshini Shruti
Published: December 2020

Background: Immunization is the most economic and most efficient solution to prevent children from infectious diseases. Despite launch of several programmes by the government, parents attitude and knowledge towards vaccination is what matters most. Objective:(i) To study immunization related details of children in general population of UHTC. (ii) To counsel mothers regarding immunization. Methodology: A questionnaire based cross sectional study was conducted for 2 month duration (August and September 2020) among 100 mothers who visited general outdoor of a UHTC in Udaipur city.Data was entered in MS Excel and analysed through SPSS. Result: Majority of the mothers were of the age group 21-25 years (56%),educated upto secondary school (49%), were housewives / unemployed (46%) . The source of information for the maximum participants were health workers. Majority chose government set ups for vaccination of their children (91%).Among all, 69% were fully immunized,30% were partially immunized and only 1% were not immunized at all. An overall 38% drop-out rate was seen. The most common reason of non-vaccination was found to be fear of side effects among the parents (37%).Conclusion: Active and comprehensive involvement of sociologists, behavioural scientists and health personnel is very important to produce effective changes in the attitudes and practices regarding immunization of children.
A GAS CHROMATOGRAPHY STUDY ON THE EFFECT OF TWO DIFFERENT CURING CYCLES ON THE RESIDUAL MONOMER CONTENT OF TWO DIFFERENT HEAT CURE DENTURE BASE RESINS.
Authors: PT Joy , Correya Bennett Atlin , Zahida V. K , Vasunni Gilsa K. , Alapatt Julie George
Published: December 2020

The conversion of monomer to polymer is not complete in denture base resins and residual monomer left can cause mucosal irritation, inflammation, and allergic reactions in tissues adjacent to dentures. The mechanical properties of denture base resins have been found to be lacking with increased residual monomer content. Therefore, it is desirable to reduce the residual monomer content in the processed denture. In the present study Gas chromatography method was used to determine the levels of residual methyl methacrylate monomer of two different brands of heat cure denture base resins processed by two different polymerization cycles. The study concluded that while processing the denture sufficient length of boiling phase should be given and for each brand, manufacturer’s instructions should be strictly followed while selecting polymerization cycle.
A STUDY OF 100 CASES OF ARRYTHMIAS IN FIRST WEEK OF ACUTE MYOCARDIAL INFARCTION
Authors: Patel Harita M. , Joshi Hitarth
Published: December 2020

BACKGROUND: Incidence of Arrhythmia in first week of Acute myocardial infarction. AIM To study the incidence of arrhythmias in the first week of Acute Myocardial Infarction (AMI) with respect to type of arrhythmia, age distribution, sex and location of infarction, various risk factors in a patient population from western India and to evaluate its prognostic value and relation of complications with incidence of arrhythmias. METHOD : Hundred cases of AMI with arrhythmia admitted in ICCU of G K GENERAL HOSPITAL – GAIMS , BHUJ were taken in the study. RESULT: • Among 100 cases, maximum incidence (40%) was found in 6th decade. Incidence of a rrhythmias was higher in males (81%) than females (19%). Anterior wall infarcts (61%) were more common than inferior wall (36%). Ventricular Premature Contraction (VPC) was the commonest arrhythmia is anterior wall MI (45.9%) and in inferior wall MI (19.4%). CONCLUSION : • Hence, in one of the largest study of this kind in a patient population of Western India, we established VPC’s as the most common arrhythmia in AMI patients. Older patients (sixth decade) and males are affected more commonly. Ventricular tachycardia is more fatal in acute inferior wall MI.
COMPARATIVE EVALUATION OF SINGLE DOSE PALONOSETRON AND GRANISETRON IN MIDDLE EAR SURGERIES FOR PREVENTION OF POSTOPERATIVE NAUSEA AND VOMITING.
Authors: Savargaonkar Anjali P. , Ruparel Dipakkumar H. , Patil Uttam
Published: December 2020

Background and aims: Palonosetron 5HT 3 antagonist have been evaluated in delayed chemotherapy induced nausea and vomiting but its antiemetic efficacy after middle ear surgery is less clear which is high risk for post operative nausea and vomiting.( PONV). This study aimed to evaluate whether Palonosetron conferred any advantage over Granisetron in terms of duration of prophylaxis and its effect on the incidence and severity of PONV in patients undergoing middle ear surgeries (MES) when used as single dose prophylactic antiemetic. Methods: One hundred ASA I and II patients of either gender aged 18 to 60 were randomly assigned into group P (Palonosetron n=50) or group G( Granisetron n=50), by computerised randomisation. Analysis was done in terms of incidence and severity of nausea, vomiting and rescue antiemetic usage till 72 hours of surgery. Results: During 72 hours, group P had more number of complete responders than in group G (56% vs. 34%). This difference was more significant after 24hours. 50% of patients in group G as against 28% in group required rescue antiemetic. Conclusion: Single dose prophylactic Palonosetron 0.075 mg and 2.5 mg Granisetron conferred similar protection against postoperative nausea and vomiting for initial six hours postoperatively but Palonosetron was more effective than Granisetron for long term prophylaxis over 72 hours against PONV after MES without significant adverse effects.
REFLECTED INGUINAL LIGAMENT: A POTENTIAL ANATOMICAL LANDMARK FOR MESH FIXATION IN INGUINAL HERNIA REPAIR.
Authors: Francis Joseph , Nazer Nihaz Y. , Aboobacker Shabnam S.
Published: December 2020

Introduction
Recurrence of inguinal hernia after surgery secondary to mesh fixation techniques still remains a complication of inguinal hernioplasty. This study focuses on evaluating the reflected inguinal ligament and its potential in surgical application.
Method
A total of 181 patients undergoing inguinal hernia repair at Travancore Medical College, Kollam, Kerala between 2015 to 2020 were included in the study. The reflected inguinal ligament was identified by tracing fibres passing upwards and medially from the pubic tubercle to the rectus sheath. The incidence of the ligament and its shape were documented.
Results
Of the 181 patients, the male to female ratio was 7.6:1. The average age of the study population was 55.1 ± 14.3. 37% had right sided inguinal hernia, 19% had left sided inguinal hernia and 44% had bilateral inguinal hernia. Intraoperatively, the reflected inguinal ligament was identified in all patients with 60% having a triangular shape and rest had rectangular shape. Rectangular shape is more common as age increases.
Discussion
Current literature rarely examines the reflected inguinal ligament in depth. Further ambiguity is caused by various authors using different nomenclature for the ligament. Accepting the limitations such as constrained geographical variation in our study population, the findings of our study in combination with those of existing literature warrants further studies specifically evaluating the reflected inguinal ligament.
Conclusion
The reflected ligament was identified in all of our patients. This study recommends that further studies evaluate the reflected inguinal ligament as a potential landmark to fix the medial end of the mesh during inguinal hernioplasty.
Between Nordism and Nationalism: The Methods of the Norden Associations’ Educational Efforts, 1919–1965
Authors: Åström Elmersjö Henrik
Published: December 2020

The Norden Associations (föreningarna Norden) were established in 1919 with the intention of promoting understanding and cooperation between the Nordic countries. The definition of “Norden” was negotiated from the very beginning, and Icelandic and Finnish associations were not established until the 1920s. Promoting understanding and cooperation was very much considered an educational effort, and Norden was imagined within educational efforts sponsored by the associations. In this regard, the associations had predecessors in the Nordic schoolteacher meetings that dated back to the age of Scandinavism in the middle of the nineteenth century. The Norden Associations created special school boards in the 1920s in order to both promote a more Nordic approach in some subjects—mainly language, geography, and history—and to promote cooperation between the countries, with the youth as the catalyst for a more Nordistic future. This article looks into how the Norden Associations imagined a Nordic school, in which a Nordic sentiment was established, and how this imagination related to the reality of the nationalistic school and to ideas of broader international cooperation, between which the “Nordic idea” has always been sandwiched. The article shows how the methods used effectively hindered the imagination of Norden and the “Nordic idea” beyond the scope of cooperation between nations.
Percepção de enfermeiros sobre diagnóstico e acompanhamento de mulheres com depressão pós-parto
Authors: Dos Santos Flavia Karen , Da Silva Samara Cristina , Ariana Silva Marla , Dos Santos Lago Karen , Nunes Andrade Silmara , Consolação dos Santos Regina
Published: December 2020

Objetivo: Analisar as percepções de enfermeiros sobre diagnóstico e acompanhamento da depressão pós-parto em Divinópolis-MG. Método: Estudo qualitativo, descritivo, realizado no perí­odo de setembro de 2018 através de roteiro semiestruturado e referencial Minayo, com amostra de nove enfermeiros da Estratégia de saúde da famí­lia. Resultados: Os enfermeiros não possuem suporte literário pré-definido para seguir caso deparem com mulheres em depressão pós-parto, sendo essas direcionadas para o psicólogo ou psiquiatra. Nas unidades não existem capacitação para os profissionais relacionados í  temática, impactando negativamente nos atendimentos, tornando-o fragmentado. Não há um assessoramento por parte do municí­pio para auxiliar os profissionais de enfermagem a lidarem com essas mulheres. São utilizados mecanismos relacionados a busca ativa na maioria das unidades do estudo. Conclusão: É de suma importância o assessoramento municipal diretamente relacionado a temática, uma vez que contribui para um atendimento integral que vai de acordo com as diretrizes do Sistema Único de Saúde.
Análises estatísticas, visuais e não paramétricas para a otimização do ajuste de curvas idf e construção de ábacos de projeto de obras hidráulicas: estudo de caso em São Carlos - SP
Authors: Nóbrega Gomes Júnior Marcus , Alves Braga Pedro Henrique , Mendiondo Eduardo Mario , Ribeiro Reis Luisa Fernanda
Published: December 2020

Um dos elementos mais importantes no projeto de obras de drenagem urbana para o controle de cheias é a intensidade máxima média de precipitação para dada duração e probabilidade anual. Tipicamente, essa informação é apresentada no formato de Curvas de Intensidade - Duração e Frequência (IDF). Porém a frequente ausência de séries extensas de precipitação leva à necessidade de extrapolações estatísticas via distribuições teóricas de probabilidade. Decidir qual é a melhor distribuição de probabilidade que explique as observações e permita a extrapolação para maiores tempos de retorno depende das observações de precipitação e de sua qualidade. Desse modo, o objetivo desse artigo é avaliar via análises estatísticas (Coeficiente de Determinação) não paramétricas (teste de Kolmogorov-Smirnov e P-Valor) e visuais as melhores combinações entre os métodos de avaliação de frequência empíricos (Weibull, Mediana, Hosking, Blow, Cunnane, Gringorten, Hazen, Tukey’s e Chegodayev’s) e teóricos (Gumbel, Log-Normal e Normal) para aos dados históricos de São Carlos - SP (1961-2018). Com a IDF obtida pelo ajuste otimizado, ábacos foram construídos utilizando o método racional modificado como uma forma de elaborar cálculos rápidos de vazões de pico para pequenas bacias.
Palavras-chave: Distribuição de Probabilidade de Gumbel. Weibull. Kolmogorov-Smirnov. IDF.
Avaliação hidrodinâmica de um reator anaeróbio híbrido (UAHB) submetido à variação senoidal cíclica da vazão afluente
Authors: Pereira Godinho Jayson , Hermes Passig Fernando , Arantes Eudes José , Querne de Carvalho Karina , Belini Aldria Diana
Published: December 2020

Neste trabalho foi avaliado o comportamento hidrodinâmico de um reator anaeróbio híbrido (UAHB) em escala de bancada (22,1 L) submetido a variações senoidais cíclicas em valores superiores e inferiores a 30% da vazão afluente. A operação do reator foi dividida em etapas com variação da vazão e do Tempo de Detenção Hidráulica (TDH), sendo: etapa I com 1,84 L.h-1 e 12 h, etapa II com 2,76 L.h-1 e 8 h e etapa III com 5,53 L.h-1 e 4 h. O comportamento hidrodinâmico foi avaliado por meio de ensaios de estímulo-resposta tipo pulso, utilizando eosina Y como traçador. Nos ensaios hidrodinâmicos foram verificados adiantamento do pico de concentração do traçador e lento decaimento da concentração (fenômeno de cauda longa). O regime de escoamento no reator foi classificado como de tanques de mistura completa em série (N-CSTR), mesmo com a variação da amplitude da vazão afluente. Foram observadas zonas mortas apenas na etapa I. Não foi verificada presença de curtos-circuitos hidráulicos e a eficiência hidráulica foi classificada como satisfatória nas etapas de operação.
Palavras-chave: Traçador. Fenômeno de Cauda. Modelos Uniparamétricos. Difusão. Anomalias.
FATORES QUE PODEM INTERFERIR NA ESCOLHA DO TIPO DE PARTO
Authors: Martins Klaynna de Fatima Dutra , Bandeira Luelma Kattely Freires , Corrêa Hellen Vivianni Veloso , Souza Elaine Glauce Santos de , Silva Susanne Cristine Brito e
Published: December 2020

Objetivo: Verificar quais fatores podem interferir na escolha do tipo de parto. Métodos: Trata-se de uma pesquisa transversal, quantitativa e qualitativa de caráter exploratório, realizada mediante a aplicação de questionários com 102 entrevistadas com idade entre 18 e 35 anos. A pesquisa ocorreu no Posto Escola Saúde do Marco, na região metropolitana de Belém. Resultados: Os fatores que interferiram na escolha do tipo de parto, foram à presença de complicações como: apresentação pélvica, hipertensão materna, bebê prematuro e dificuldade na hora do parto, outros fatores apontados foram medo da dor e insegurança na hora do parto normal, decisão do médico e escolha da gestante Conclusão: Os motivos da preferência pela cesárea tiveram como maior influência, as complicações vivenciadas durante a gravidez e o parto, além de outros fatores, em que se destacou a decisão do médico.
THE ROLE OF ENGLISH EDUCATION TOWARDS STUDENT’S MORALS (At State Vocational High Schools 1 Karawang)
Authors: Asep Darojatul Romli  , Asep Jamaludin  , Sihabudin
Published: December 2020

This research is useful for: a. State School 1 Karawang in knowing how much influence English Education in shaping the morals of students in SMK Negeri 1 Karawang. b. The results of this study can be used as information for educators in applying and knowing what factors are the biggest influence on the moral behavior of students in SMK Negeri 1 Karawang. c. As an evaluation material specifically for schools that carry out the learning process by teachers, and schools can monitor the morals of their students so that they are of good character.

 

Keywords: English Education, Roles, Morals
IMIGRAN DAN MASALAH INTEGRASI SOSIAL
Authors: Alamari Muhammad Fauzan
Published: December 2020

Imigrasi telah menjadi bagian dari sejarah manusia, bahkan hingga sebelum masehi.Kondisi imigran saat ini menjadikan banyak negara mengalami dilemma yang sangat besar dalam hal penanganan dan pengintegrasian imigran.Hal ini tidak mudah bagi para imigran dikarenakan adanya pro dan kontra oleh masyarakat di negara penerima mengenai kehadiran imigran, yang menyadikan masalah ini semakin rumit.Seperti yang terjadi di Amerika Serikat, Australia, Beberapa negara Eropa dan juga Indonesia. Tetapi pada kenyataan imigran seringkali memberikan kontribusi yang luar biasa dibidang ekonomi, budaya, tetapi disaat yang sama juga imigran sering kali menimbulkan masalah yang besar.
国土空间规划背景下基于多规融合的“存量规划”编制探索
Authors: 璐 李
Published: December 2020

中国国土空间规划时代的来临，标志着“多规合一”机制体制改革的完成，“多规合一”面临内容的统一和整合。实际工作中由于多专业规划体系存在的矛盾，造成规划内容错综复杂，不易理清。存量规划是中国本轮国土空间规划核心内容之一，存在着原土地利用规划和城市规划相关概念多元化、内容相似等问题。论文结合规划编制中实际存在的问题，系统梳理存量规划相关概念，捋顺相关内容，为中国目前国土空间规划建言献策。
土壤重金属污染来源、现状以及修复治理技术研究进展
Authors: 建英 杜
Published: December 2020

土壤重金属污染是土壤污染的一种常见类型，重金属污染是由工业生产、农业化肥等多方面因素导致的。论文通过对土壤重金属污染源与现状进行分析，探讨土壤重金属修复治理技术的应用。
可移动式实物培训教室在安全培训中的实践与开发
Authors: 立召 王 , 彭石 王 , 强 李 , 莉琳 田
Published: December 2020

为了提高安全培训质量，有效降低因安全培训不到位导致的风险，可移动式实物培训教室应运而生。可移动式实物培训教室有别于传统授听课学习的方式，采用实物展示和教师讲解相结合的教学方式，增强其互动性，按模块设置培训课程，配备模拟作业风险场景的设施，可满足不同行业，如制造业、炼化企业、建筑及信息技术等行业技术工人安全培训的需求。论文介绍了可移动式实物培训教室的培训特点、功能及实物教室配套模块的实用性产品开发。
BULANIK MANTIK VE KONTROL SİSTEMLERİNİN BİREYSEL KREDİLENDİRMELERİN NİHAİ KARAR AŞAMASINDA KULLANIMI
Authors: PETRİÇLİ Gülcan , EMEL Gül Gökay
Published: December 2020

Batık kredilerdeki hızlı artış, bankaların kredi verirken risklerini minimize edebilmeleri için daha temkinli ve seçici davranmalarını gerektirmektedir. Kredilendirme işlemleri, her ne kadar nesnel ve nicel finansal kriterler kullanılarak yapılıyor olsa da müşteriye sunulan kredi teklifi müşterinin beklentilerini karşılamadığı zaman, nihai karar aşaması sezgisel olarak gerçekleştirilebilmektedir. Bu gibi durumlarda, alınan kararların başarımı banka personelinin veya birim yöneticisinin tecrübelerine bağlı kalmaktadır. Bu tür öznel uygulamalar, hem bir banka içinde tek tip olmayan kredilendirme kararlarının alınmasına hem de batık kredi olasılığının artmasına neden olabilmektedir. Bu sakıncaları gidermenin yollarından biri, nihai karar aşamasının banka üst yönetimi tarafından ortak akıl ile belirlenmiş bazı öznel kurallar dahilinde standartlaştırılıp otomatikleştirilmesidir. Bulanık mantık, öznel yargıların ve nitel kriterlerin nicel olarak değerlendirilmesine ve analiz edilmesine olanak sağlamaktadır. Bu çalışmanın amacı, kredilendirme sürecinin nihai karar aşamasında kullanılmak üzere oluşturulan örnek bir öznel değerlendirme kural tabanı için bulanık mantık yaklaşımlarından nasıl yararlanılabileceğini incelemektir. Çalışmada, hipotetik bir kredilendirme problemi ele alınmış, bulanık dilsel niteleyiciler, bulanık önermeler ve bulanık mantık kontrol sistemi (BMKS) kullanılarak modellenmiş ve çözülmüştür. Çözüm sonucunda MATLAB yazılımı ile görselleştirilen BMKS kural tabanı, farklı seviyelerdeki öznel değerlendirme puanlarının nihai karar üzerindeki etkisinin incelenmesini olanaklı kılmıştır. Ayrıca, elde edilen pseudo-code iki boyutlu yüzey görüntüsü ile karar alanları ve müşteri grupları oluşturulmuştur.
THE IMPACT OF THE COURT OF JUSTICE OF THE EUROPEAN UNION ON THE DEVELOPMENT OF THE EUROPEAN UNION SOCIAL POLICY
Authors: UĞUR RIZZI Canan
Published: December 2020

Social policy as a subject of welfare state has been studied mostly from the point of citizenship rights. Yet, the regulations of social policies at the European Union (EU) level are increasing day by day, which makes it an important subject for the European studies. Therefore, it is necessary to seek an answer to the question of how social policies that have been perceived as main subject of national policies have become part of the European legislation.
This research attempts to answer this question. The research benefits from the cases of the Court of Justice of the European Union (CJEU) as an explanatory factor, following the elaboration of social policy and European integration relationship. Thus, a bridge between various welfare systems and a uniformed EU social policy is more likely to be built. The paper argues that as the selected cases, Viking and Laval indicate, the CJEU is an important actor that promotes the argument about social policies at the EU level. The cases are not offering only a solution to the pertinent problem but also supporting more consistent social policies in the member states of the EU thanks to its “spill- over” impact.
RESEARCH ON THE QUALITY OF SEPARATION OF THE POTATO MILLER WITH BRIDGE WORKING AUTHORITIES OF THE POTATO MACHINE
Authors: Hrushetskiy Sergiy , Yaropud Vitaliy , Babyn Ihor
Published: December 2020

From a brief analytical review of the works devoted to the research of the digging working bodies of potato harvesting machines, it can be seen that by the present time considerable theoretical and experimental material has been accumulated, which reveals the regularities of the processes of interaction of working bodies of different structures with the bulbous mass. However, to date, it has not been possible to create a sufficiently efficient, reliable, low-energy device that satisfies all the agrotechnical requirements of a potato harvester and the problem of developing such a device still remains relevant.
Considering the urgency of the issues related to the development of the bribery working bodies in the creation of reliable high-performance potato harvesting machines of relatively low energy intensity, in this work the aim is to systematize and generalize the research on modern technologies for growing and harvesting potatoes and to create a new construction of the bribery working potato took together with the tubers a minimum amount of soil and provided the possibility of better crushing of the formation to facilitate separation when increasing the ex plutational productivity, technological reliability of the undermining working body and reducing its traction resistance.
According to the results of the researches, a new combined excavator working body was developed, which contains passive brazing blades and detachable discs with soil hooks and provides work at high speeds. The use of new dredging working bodies will increase the purity of the heap ladder by 30.8% compared to the baseline. It is proved that the installation in the excavation part of the discs with soil hooks on the side surface allows to significantly improve the crumb formation in comparison with the basic variant. As a result of the comparative tests of experimental potato diggers equipped with the developed excavating part, with the use of its final rigging. It is established that the use of detachable disc elements in the undercut part significantly reduces the traction resistance of the experimental undercut working body in comparison with the basic variant of their work, improves the cover of the bourbon layer and allows to increase the purity of the pile ladder. Investigation of wear of the developed gear discs during the research period has shown that in the absence of a manufacturing defect, the life of the disks will be equal to the life of the potato harvester.
Modern technology assists disabled competitors: the first “Cybathlon” special competition in Zürich
Authors: Erdmann Włodzimierz S. , Aschenbrenner Piotr , Giovanis Vasilios
Published: December 2020

Purpose: The purpose of the study was presentation of modern bioengineering technology in order to help people with severe disabilities. Methods: Bioengineering industry can offer severely disabled people several devices in order to enable them to take part in the competition different than Paralympics. The first international competition for people with disabilities supported by modern assistive technology, such as sensors, motors, displays were allowed to compete in Cybathlon held in Zürich in 2016. About 70 athletes and their teams from 25 countries appeared at the event. Results: There were six disciplines (races): 1) Powered Arms (Upper Extremities) Prostheses Race, 2) Powered Legs (Lower Extremities) Prostheses Race, 3) Powered Wheelchair Race, 4) Powered Exoskeleton Race, 5) Functional Electrical Stimulation Bike Race, 6) Brain-Computer Interface Race. About a quarter of the teams represented industry and the rest represented university laboratories. Conclusions: The competition was a success. The organisers have decided for it to be organized every four years, just like the Olympic Games for able bodied competitors. The main inventor of the event professor Robert Riener from Zürich Polytechnic (ETHZ) said assistive technology should: a) be user-friendly b) to function well, c) be affordable, d) to be used within the barrier-free environment.
Evaluating measurement accuracy and repeatability with a new device that records spatial knee movement
Authors: Fei Tian  , Qiuyue Huang  , Zhi Zheng  , Ningwei Li  , Ting Zhu  , Wei Da  , Shaobai Wang
Published: December 2020

Purpose: A novel portable system has been used to evaluate spatial knee movement, but its accuracy and repeatability is not known. The aim of this study was to investigate the accuracy and repeatability of the measurement. Methods: Ten healthy participants were included, and the knee motion trajectory during walking were assessed. Six evaluations were conducted (three days by two raters) for each participant. The motion parameters at the key points and the range of motion were statistically analyzed. Intraclass correlation coefficients (ICC), standard error of the measurement (SEM), and the Bland–Altman method were used. Results: For intra-rater repeatability, 1) the ICC values range from 0.75 to 0.9 for rotations; and 0.64 to 0.96 for translations. Among the ICC values, 100% of rotations and 90% of translations were not less than 0.70; 2) among the SEM values, 100% of rotations were not more than 5°, while 73.3% of translations were less than 3 mm. For inter-rater repeatability, 1) the ICC values range from 0.68 to 0.99 for rotations; and 0.57 to 0.93 for translations. Among the ICC values, 95.6% of rotations and 82.2% of translations were not less than 0.70; 2) among the SEM values, 100% of rotations were not more than 5°, and 48.9% of translations were less than 3 mm. The Bland–Altman plots showed good agreement for intra- and inter- repeatability. Conclusions: The results indicated that the accuracy and repeatability of the measurement were acceptable, except for the inter-rater repeatability for translation. This may help researchers and physicians better interpret the measurement data.
Electromyographic evaluation of selected muscles during active hip extension in men treated McKenzie method
Authors: Jabłońska Magdalena , Fryzowicz Anna , Ogurkowska Małgorzata B.
Published: December 2020

Purpose: The aim of this study was to evaluate objective results of short-term treatment with the use of electromyography and to determine changes in muscle recruitment during the prone hip extension test in individuals with chronic low back pain who underwent the McKenzie treatment. Methods: The studied group consisted of 17 male office workers aged 33–55 who underwent two experimental sessions comprising of 3 measurements and the McKenzie method of mechanical diagnosis and therapy. Electromyographic examination of selected muscles was performed during the test in order to assess changes in their activity before and after the McKenzie method and the Visual Analogue Scale was used to assess the level of pain. Results: There was a tendency towards significance at the beginning of activation between the first and second test for the left erector spinae muscle (p = 0.0684). In 18% of patients, the onset activation time decreased, which is indicative of correct direction of changes. No statistically significant changes were observed in the remaining muscles. Statistical significance (p = 0.0131) was observed between the first and third test for the left erector spinae muscle. A decrease in the onset activation time was observed in 75% of the subjects. Effectiveness increased by as much as 57%. The level of pain decreased in the third test compared to the first one (p = 0.0240). However, the change in pain sensations between the first and second test was not statistically significant. Conclusions: The study showed objective changes in the activation sequence of selected muscles and subjective changes in pain following short term McKenzie therapy.
A 3D trabecular bone homogenization technique
Authors: Marques Marco C. , Belinha Jorge , Oliveira António F. , Cespedes Maria Cristinha M. , Natal Jorge Renato M.
Published: December 2020

Purpose: Bone is a hierarchical material that can be characterized from the microscale to macroscale. Multiscale models make it possible to study bone remodeling, inducing bone adaptation by using information of bone multiple scales. This work proposes a computationally efficient homogenization methodology useful for multiscale analysis. This technique is capable to define the homogenized microscale mechanical properties of the trabecular bone highly heterogeneous medium. Methods: In this work, a morphology - based fabric tensor and a set of anisotropic phenomenological laws for bone tissue was used, in order to define the bone micro-scale mechanical properties. To validate the developed methodology, several examples were performed in order to analyze its numerical behavior. Thus, trabecular bone and fabricated benchmarks patches (representing special cases of trabecular bone morphologies) were analyzed under compression. Results: The results show that the developed technique is robust and capable to provide a consistent material homogenization, indicating that the homogeneous models were capable to accurately reproduce the micro-scale patch mechanical behavior. Conclusions: The developed method has shown to be robust, computationally less demanding and enabling the authors to obtain close results when comparing the heterogeneous models with equivalent homogenized models. Therefore, it is capable to accurately predict the micro-scale patch mechanical behavior in a fraction of the time required by classic homogenization techniques.