bluuebunny/crossref_metadata_2025_split huggingface dataset:
MEDICAL AND SOCIOLOGICAL RATIONALE FOR OPTIMIZATION OF CONTINUING PROFESSIONAL DEVELOPMENT OF MEDICAL DOCTORS IN THE FIELD OF TREATMENT OF PATIENTS WITH CORONARY HEART DISEASE AND COMORBIDITIES
Authors: Lasytsia T. S. , Moroz G. Z. , Hidzynska I. M. 
Published: April 2020

State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department, Kyiv, Ukraine
Purpose: to evaluate the awareness about the coronary heart disease (CHD), associated with comorbidities, amongst the internists of the State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department (SIS «RPC PCM» SAD), with the consequent working out of the study module «Comorbidities in patients with CHD: up-to-date treatment requirements».
Material and methods. This integrated medical and sociological study was based on data derived from the anonymous survey of 48 medical doctors (MDs) of SIS «RPC PCM» SAD (7 males and 41 females), performed by the use of dedicated questionnaire. The age of respondents varied from 32 to 72 years; the average age was 53,1±1,17 years; the average length of service was 27,8±1,35 years. Statistical data analysis was performed by the use of standard statistical package (Statistica v. 6.0).
Results and discussion. On the whole, the SIS «RPC PCM» SAD MDs pointed at the comprehensive approach to the assessment of patients` health status: 97,9±2,1 % of respondents payed attention to the presence of comorbidities while planning the examination and treatment of patients with CHD. The most prevalent comorbidities were as follows: arterial hypertension, diabetes mellitus, chronic cholecystitis, non-alcoholic fatty liver disease and osteochondrosis. We established that MDs had the high competence in the risk factors modification in CHD patients: 95,8±2,9 % of doctors pointed to the fact that they discussed with their patients the issues regarding the risk factors modification. The principal items the MDs payed attention at were as follows: smoking cessation (93,8±3,5 %), body mass control (93,8±3,5%), adherence with the proper level of physical activity (87,5±4,8 %), nutrition (83,3±5,4 %), the necessity of the control of blood pressure (87,5±4,8 %) and total cholesterol level (66,7±6,8 %).
Conclusion. According to the sociological study results, we ascertained the principal statements of the parts of the study module «Comorbidities in patients with CHD: up-to-date treatment requirements», and 95,8±2,9 % of MDs considered it as such to be implemented in the study process.
THE ADVANTAGES OF USING THE UNIFIED MEDICAL INFORMATION SYSTEM IN THE HEALTHCARE INSTITUTIONS FOR PREVENTION OF CHRONIC NONCOMMUNICABLE DISEASES
Authors: Mazepa Yu. S. , Shestak N.V. 
Published: April 2020

The aim is to analyze the advantages of introducing medical information systems in the healthcare institution in order to improve work on the prevention of NCDs through the example of the State Institution of Science “Scientific and Practical Center of Preventive and Clinical Medicine” of the State Administrative Department (hereinafter referred to as SIS “SPC PCM” of the SAD).
Materials and methods. The method of structural and logical analysis and the bibliosemantic method of research have been used in the work. The bibliosemantic method was used to examine the state of studying the problems of NCDs, modern medical information systems both in Ukraine and in the world, and the ways to solve them through the analysis of WHO data, sources of literature, and electronic resources. The method of structural and logical analysis made it possible to distinguish, to logically structure and to create links between the introduction of the unified medical information system and the results from working with patients with NCDs, established a modern analysis and information system for monitoring the health status of the population, created information and reference system to ensure the educational process on specific issues and approaches, including the prevention of NCDs, regulated a synthesis of the results, that ensured a library and patent and licensing work in the scientific institution.
Research results and their discussion. The use of the unified medical information system in the healthcare institution is an effective way to disseminate, control, and make available the information, and also to ensure long-term communication between the patient and the doctor on issues related to the prevention of NCDs.
THE STUDY OF PATIENTS` EXPECTATIONS IN THE CONTEXT OF SATISFACTION OF THEIR PSYCHOLOGICAL NEEDS RELATED TO MEDICAL CARE
Authors: Pylypenko N. , Sydorenko O. , Shestak N. 
Published: April 2020

Purpose: the study the patients` expectations in the context of satisfaction of their psychological needs related to «health professional – patient» communication.
Material and methods. The pilot survey of 58 persons (20 males and 38 females, aged from 21 to 70 years) was performed by the use of dedicated questionnaire regarding the patients` expectations about the «health professional – patient» communication. The questionnaire included 10 statements related to different aspects of «health professional – patient» communication. The respondents were asked to rank the statements (1 through 10) depending the importance of each aspect in total «health professional – patient» communication hierarchy. We used bibliosemantic, comparative and empirical methods for data analysis.
Results and discussion. The pilot survey demonstrated that the following aspects of «health professional – patient» communication are equally important for both males and females: feeling of emotional comfort, the active doctor`s position; the doctor`s interest in the patient`s situation, not indifferent attitude and sincere desire to help. Males, as compared to females, were more demanding on the following aspects: the doctor`s readiness for dialogue, the doctor`s ability to listen to patient`s concerns about health status, process and outcomes of treatment; receiving information from the doctor in an accessible manner regarding the key aspects, purpose and prospects of treatment; receiving information from the doctor regarding the prevention of disease occurrence and/or recurrence; a clear, reasoned doctor`s explanation of the need for treatment. We established the difference between males and females in the priority of such aspect, as the doctor`s statements disposed a patient to a positive treatment outcomes. In contrast to males, that aspect was ranked by females as one of the most important points in «health professional – patient» communication.
Conclusion. Dialogical, collegial and collaborative interaction models could predominantly interpret the patients` expectations about the «health professional – patient» communication. These models assume shared decision-making, trust in doctor-patient relationship, and receiving all necessary information from the doctor regarding the patient`s health status and treatment process.
PATIENTS` AWARENESS ABOUT ARTERIAL HYPERTNESION. THE ROLE OF NURSE STAFFING
Authors: Mararash H.H. 
Published: April 2020

Purpose: to evaluate the patients` awareness about arterial hypertension (HYP), and to clarify the role of nurse staffing in HYP prevention.
Material and methods. We enrolled 120 HYP patients receiving follow-up care in Municipal Out-Patients` Clinic #1 (males – 43,3 %, females – 56,7 %; age ranged from 23 to 79 years). The awareness about HYP was evaluated by means of questioning. All the enrolled patients participated in the survey. Along with the survey, we performed blood pressure check and discussed with patients the issues regarding healthy life-style, risk factors modification and the potential HYP complications. Survey data analysis was performed by the use of Statistica v. 10.0 software package.
Results and discussion. The HYP anamnesis duration was characterized by significant variation. The majority of respondents (82 %) pointed at HYP duration more than 10 years. The blood pressure checking revealed the predominance of degrees 1 and 2 of HYP. About the half of patients (n=59 [49,2 %]) were aware of their health status due to the long-term disease, along with 48 (40,0 %) patients who were insufficiently aware of their condition. Finally, 13 (10,8 %) patients had lacked interest in their disease, suggesting the passive and irresponsible attitude towards their own health.
Conclusions. The effectiveness of preventive healthcare, as one the nurse staffing activities, is influenced by the following factors: key aspects, format and levels of preventive measures; patient-nurse partnership; material and technical support; patients` needs and interests; and the nurse`s ability to be creative.
THE SURGICAL TREATMENT OF HEAD RADIAL BONE FRACTURE IV TYPE BY MASON-HOTCHKISS FOR THE IMPLEMENTATION OF THE CEMENTLESS BIPOLAR MODULAR ENDOPROSTHESIS OF THE HEAD RADIAL BONE
Authors: Shcherbakov D. E. , Makarov V. B. , Boiko I. V. , Lazarenko H. O. 
Published: April 2020

Aim. The author of the article shows the features of the surgical technique of implantation of the developed cementless modular bipolar endoprosthesis of the head of the radial bone with a pair of metal-metal friction.
Materials and methods. The developed cementless modular bipolar endoprosthesis of the radial head with a pair of metal-metal friction. Indications for endoprosthetic of the head of the radial were the fracture of the head IV, according to Mason-Hotchkiss. The result of the treatment was assessed by the Mayo Elbow Performance Score evaluation system.
Results and discussion. At fractures on Mason-Hotchkiss IV type, the endoprosthetic of the head of a radial bone is applied. The use of the developed modular endoprosthesis of the head of the radial made it possible to restore the stability of the elbow joint, to resume rotational movements of the head radial, while maintaining the functional volume of flexion-extensor movements, and also to restore the length of the radial bone.
Conclusions. The use of the developed advanced cementless bipolar modular endoprosthesis of radial head fracture-dislocation type IV by Mason-Hotchkiss allowed obtaining a good result, according to the assessment of the MEPS clinic (88.5 scores) in 6 months after surgery.
FEATURES OF PERIOPERATIVE MANAGEMENT OF PATIENTS AT LAPAROSCOPIC ANTIREFLUX INTERVENTIONS
Authors: Cherniy V. I. , Shtompel I. V. 
Published: April 2020

Aim. The analyzing current available literature on the problem of anesthesiology of antireflux interventions in patients with hernias of the esophageal aperture.
Materials and methods. Biblosemantic, comparative and systems analysis. The suggested recommendations are based on the data of contemporary literature analysis, the results of randomized trials and meta-analyzes, devoted to the study of the problem of anesthesiology of antireflux surgery.
Results and discussion. The analyzing the problems of anesthesia and analgesia in patients with hernias of the esophageal aperture, it is necessary following next concepts: general inhalation anesthesia in laparoscopic surgery, should be taking into account the technical features of surgery, as well as, the injection and diffusion of CO2 in tissue in time of carboperitoneum, in the same time, besides that to guarantee rapid awakening of the patient without residual sedation. The possibility of developing specific late complications, as well as, ruptures of the esophagus and stomach, pneumothorax makes adjustments in the tactics of the introduction in this category of patients in the perioperative period.The choice of anesthesia method is greatly determined the length of the post-anesthetic rehabilitation period, the stay of the patient with artificial ventilation of the lungs, the need and the length of stay in the intensive care unit.
Conclusions. Ourday the question is still remain, which of the methods of inhalation anesthesia Low flow anesthesia or Minimal flow anesthesia is better, in the case of the requirements of comfort, patient’ safety and pharmacoeconomic feasibility.The principles of accelerated rehabilitation are possible not only if the surgical invasion is reduced, but also with the use of managed general anesthesia with adequate perioperative anesthesia.The operation of the patient in time is the best method of prevention of many early and delayed complications of the postoperative period. This provision has been validated by numerous clinical trials and is rarely take into account at present.The ideology of inhaled anesthesia involves not only sufficient control over the depth of anesthesia, but also predictability at the stage of anesthesia.
THE CEREBRAL CHRONIC ISCHEMIA, THE INTERACTION OF CEREBRO-CARDIAL SYSTEM STUDIES. CREATION OF PATHOLOGICAL SYSTEM OF THE BRAIN
Authors: Cherniy T. V. 
Published: April 2020

Concerning all etiological factors for the increasing factors of Chronic Cerebral Ischemia (CCI) fits into the concept of the creation of a stable pathological system in the central nervous system (CNS).
Aim. The evaluation of the increasing factors for the formation of a pathological system of the brain, peculiarities of cerebro-cardial interactions with the help of parameters of quantitative electroencephalography and heart rate variability in patients with CNS of different genesis.
Materials and methods. At aged from 40 to 68 were comprehensively examined 88 people in dynamics in the period from 2016 to 2019. The registration of brain biopotentials was recorded using Tredex Expert computer-based electroencephalograph. For the analysis of EEG, the amplitude-time representation of an unsteady signal and its result of continuous wavelet transform were used. In the dynamics of therapy, an analysis of quantitative EEG (qEEG), heart rate variability (HRV) (Utas UM 200) was proceed.
Results and discussion. Using the method of quantitative EEG with a wavelet conversion of a stationary EEG signal [9], the formation and destruction of stable pathological systems of the brain in patients with stroke, transient cerebral ischemia (TCI), MCI grade 2 were studied. In patients with MCI grade 2, in contrast to the “healthy brain”, the role of the “central contour” of regulation of heart rate variability shifts from the vegetative centers of the medulla oblongata to the region of diencephalic formations; in the thalamus area; into the hypothalamic zone. In patients with stroke, the role of the "central contour" is shifted to the region of limbic-hippocampal formations, the diencephalic zone, the area of the thalamus and ascending thalamocortical pathways. In patients with TCI, the role of the “central contour” shifts to the cortical region (signs of cortical irritation), diencephalic zone, thalamus and descending corticothalamic pathways.
Conclusions. The positive effect of therapy when acting on the formed pathological system should be considered the appearance of an EEG on the wavelet graph in parallel with the dominant frequency of the subdominant frequency in the alpha range, the movement of the “central contour” of regulation of heart rate variability in the region of the vegetative centers of the medulla oblongata.
APLIKASI MODEL E-MARKETPLACE DALAM E-AGRIBUSINESS
Authors: Fachriyan Hilmi Arija , Wijaya I Putu Eka 
Published: April 2020

Economic activity is currently entering an era called the era of digital economy. Digital economy involves the process of e-business or e-commerce that utilizes the internet network. The rapid growth of internet users in Indonesia has affected the agribusiness sector to adopt e-commerce called e-agribusiness.In line with the development of the internet, a new understanding of electronic marketing paradigm in e-agribusiness in the form of e-marketplace. Some agribusiness e-marketplace sites have been born in Indonesia such as "agromaret.com", "kecipir.com", "limakilo.id", and "agribisnispedia.com". These five agribusiness e-marketplaces each have their own characteristics, advantages and disadvantages. Basically, the success of an e-marketplace depends heavily on the level of involvement of the participating participants. The lack of e-marketplace reliability is often criticized as one of the key factors that reduce the confidence of sellers or buyers to participate. The process of maturing the e-marketplace is needed to influence the user's perception of the quality of the technical service, the quality of the content service and the quality of customer service. Therefore, there is pressure on the provider side to improve the quality of its services and offer something unique above industry standards to achieve a competitive advantage over other agribusiness e-marketplaces. Keywords:e-commerce, e-agribusiness, e-marketplace.
ANALISIS KANDUNGAN UNSUR HARA LIMBAH CAIR TEH HIJAU SEBAGAI BAHAN PUPUK ORGANIK PADA BIBIT TEH
Authors: Muningsih Retno , Ciptadi Gunawan 
Published: April 2020

Tea shoots processing intended to alter the chemical composition of fresh tea shoots, so bring the desired properties. Freshly plucked tea leaves containing water 75% of the weight of the leaves. The water contained in the leaves removed through the process of withering and drying in the processing of green tea. Green tea liquid waste obtained from the milling process and not used optimally, it needs a touch technology that can turn liquid waste into useful liquid organic fertilizer. The use of an activator / starter (micro-organisms) in green tea liquid waste is an alternative technology to improve the health and fertility of the soil and plants. The purpose of this study to determine the benefits of using liquid waste of green tea on the growth of tea seeds. Results of analysis of the utilization liquid waste of green tea with the addition of starter (EM-4) has not shown any real effect on the percentage of seedling growth and seedling growth (plant height, number of leaves and greenery). Keywords: liquid waste, green tea, organic matter.
ANALISIS PROFITABILITAS USAHATANI PADI ORGANIK DI PAGUYUBAN AL-BAROKAH KECAMATAN SUSUKAN KABUPATEN SEMARANG
Authors: Novitaningsih T. , Santoso S. I. , Setiadi A. 
Published: April 2020

The aims of this research are to find out the ammount of profit, profitability, R/C Ratio, and analyzing the ammount of production during 5 years of organic rice farming in the Al-Barokah community, Susukan District, Semarang Regency. This study was conducted on December 2016 – January 2017 in Ketapang Village, Susukan, Semarang. The study method used to collect the data was survey method. The data collected of study was the primary data and the secondary data. The location in this research is selected by several considerations, such as Al-Barokah association is one of farming trade association that uses organic farming system. The populations retrieval used purposive method, then determine the number of samples used the slovin formula. The respondent in this research are 81 farmers of organic rice. The data analyzed of study was the farming income, R/C Ratio, profitability and trand analysis. Based on the result of income analysis, R/C Ratio and profitability has done that organic rice farming is very feasible and very profitable.Keywords: profitability analysis, farming, organic rice.
ANALISIS PEMASARAN KERIPIK TEMPE DI DESA LEREP KECAMATAN UNGARAN BARAT KABUPATEN SEMARANG
Authors: Pratiwi Arinda Afif , Hastuti Dewi , Istanto Istanto 
Published: April 2020

The purpose of this study are to determine the number of marketing channels, the amount of marketing margins and marketing efficiency of tempe chips in Lerep Village, West Ungaran District Regency. The basic method of research used is descriptive method of analysis. Determination of the sample area is done purposively in Lerep Village, West Ungaran District Regency. The number of respondents as many as 15 respondents. Data analysis cost analysis and marketing margin of each marketing channel, analysis of marketing efficiency of tempe chips each channel. The results showed that there are three channels of marketing tempe chips. Channel I consists of: Producer - Final Consumer, Channel II consists of: Manufacturer - Retailer - Final Consumer and Channel III consists of : Manufacturer - Wholesaler - Retailer - Final Consumer. Total marketing margin value on channel I is Rp. 4,380, channel II is Rp. 4,500, - and channel III is Rp. 4,500. The cost incurred on channel I is Rp. 120, on channel II of Rp. 513 and on channel III is Rp. 815. The marketing of tempe chips has shown an efficient value. It can be seen from marketing efficiency value of each channel is channel I equal to 0,26%, channel II equal to 1,18%, and channel III equal to 1,87%. Channel II is an efficient channel in the marketing of tempe chips everyday. Keywords: Tempe Chips, Marketing Channels, Marketing Margin, Marketing Efficiency
PENAMBAHAN AIR PERASAN JERUK NIPIS (Citrus aurantiifolia) SEBAGAI ACIDIFIER TERHADAP BOBOT RELATIF, PANJANG RELATIF USUS HALUS DAN KONSUMSI PAKAN AYAM BROILER
Authors: Pratama Aditya Surya , Yudiarti Turrini , Isroli Isroli 
Published: April 2020

The aim of the research was to improve the relative weight, relative length and dietary of the broilers’ small intestine (duodenum, jejunum, ileum) with the slight squeeze of the lime as acidifier. The research was conducted according to completely randomized design with 3 treatments and 6 replications (each experimental unit consisted of 5-6 broilers). Treatments were T0 (normal), T1 (5mL lime + 1000mL water), and T2 (10mL + 1000 mL water). Relative weight and relative length of the small intestine were not affected by the addiction of the lime, either dietary was not significantly affected by the addiction of the lime on the water as acidifier. The lime could not improve the dietary of the broiler.
Keywords: Broiler, Lime, Acidifier, Small Intestine, Dietary.
FAKTOR-FAKTOR YANG MEMPENGARUHI PENDAPATAN USAHATANI TEBU (Sacharum officinarum L) DI KECAMATAN PANGKAH KABUPATEN TEGAL
Authors: Alfatah Rahmat Abi , Hastuti Dewi , Prabowo Rossi 
Published: April 2020

Purpose of this research is to know the acceptance level, income and the factors that is affecting the level of sugarcane farmers income. Regional sampling method and respondent sampling are conducted by purposive sampling method which is set a lend area sampled is 1 – 3,5 acres. Number of samples are taken by 59 respondents of the sugarcane farmers who are scattered in several villages at the Pangkah sub District. The analysis method used is descriptive analysis, cost analysis, revenue, income and multiple linear regression. The result of the study indicate that the average cost is obtained by the total cost Rp. 54.953.884. The revenue is obtained Rp. 82.979.127, while the income earned Rp. 28.025.243 every harvest time. The result of multiple liniear regression is known that the determination coefficient (R2) is 0.848. Meanwhile the result of testing t test obtained by educational factors have significant 0.042 which mean have a real impact to income at 5% real level. The ages factors have significant 0.001 which mean have a real impact to income at 1% real level. The land area have significant 0.044 which mean have a real impact to income at 5% real level. The labours have significant 0.001 which mean have a real impact to income at 1% real level. The amount of production have significant 0.000 which mean have a real impact to income at 1% real level.
Keywords: Income, Sugarcane, farmers, Regression, Pangkah