bluuebunny/crossref_metadata_2025_split huggingface dataset:
Организация стоматологической помощи населению Украины: законодательные основания для усовершенствования в условиях децентрализации власти
Authors: Dmitrenko I.A. 
Published: December 2020

Цель исследования: определить подходы к обеспечению финансовой доступности населения Украины к специализированной медицинской помощи в условиях административной реформы и реформы здравоохранения (на примере стоматологической помощи). Задачи исследования: провести анализ законодательного регулирования финансовой доступности стоматологической помощи в Украине; предложить подходы к совершенствованию финансового обеспечения стоматологической помощи в условиях административной реформы. Материалы и методы. Использовались законодательные и нормативно-правовые акты (14 ед.), научные источники по теме (13 ед.), отечественные и международные аналитические документы (5 ед.). Применялись методы системного подхода, системного анализа, обобщения, графический. Результаты и обсуждение. В программу медицинских гарантий в рамках реформирования вторичной медицинской помощи включен ограниченный перечень стоматологических услуг населению: ургентная стоматологическая помощь взрослым, ургентная и плановая стоматологическая помощь детям. Это нарушает конституционные права граждан на бесплатную медицинскую помощь в учреждениях здравоохранения государственной и коммунальной формы собственности при высоком уровне потребностей населения в стоматологической помощи, увеличении доли бедного населения до 24,1 % в 2018 году, уровня безработицы – более чем на 35,0 % с 2006 по 2016 годы, ограничении льгот для отдельных контингентов населения на зубопротезирование. Показано, что получение органами управления объединенных территориальных общин полномочий заботиться об обеспечении населения общины социальными услугами и возможностей получать средства в местные бюджеты из дополнительных источников позволяет осуществлять распределение средств с учетом приоритетных потребностей населения. Наиболее рациональным вложением средств следует считать финансирование целевых программ по здравоохранению, в частности, профилактики и лечения стоматологических заболеваний. Выводы. Резервы повышения финансовой доступности населения к стоматологической помощи заложены в законодательном регулировании деятельности объединенных территориальных общин в пределах реформы местного самоуправления.
Дыхательный водородный тест в диагностике патологии желудочно-кишечного тракта
Authors: Stepanov Yu.M. , Budzak I.Ya. , Konenko I.S. 
Published: December 2020

Статья содержит информацию о современном методе оценки состояния тонкого кишечника — дыхательном водородном тесте. Отдельно анализируются 2 основных показания для его использования — синдром избыточного бактериального роста в тонкой кишке и лактазная недостаточность. Показаны теоретические и практические аспекты использования дыхательного водородного теста. Приведены основные положения 1-го Римского консенсуса по использованию дыхательного водородного теста. В статье представлены результаты собственных исследований.
Взаимосвязь индекса массы тела и углеводного обмена у больных с хроническим панкреатитом
Authors: Ismailov S.I. , Nazyrov F.H. , Azizov B.A. 
Published: December 2020

В работе изучена взаимосвязь между индексом массы тела и нарушением углеводного обмена у больных с хроническим панкреатитом. Прослежена корреляционная связь индекса массы тела с уровнем глюкозы натощак (r = 0,33; р = 0,01), HbA1c (r = 0,32; р = 0,02), иммунореактивного инсулина (r = 0,49; р < 0,0001) и НОМА-IR (r = 0,58; р < 0,0001).
Эффективность примененияпрепарата Колонзак у пациентов с различными клиническими вариантами синдрома раздраженного кишечника
Authors: Janelidze D.T. 
Published: December 2020

Актуальность. На сегодняшний день этиология симптомов синдрома раздраженного кишечника (СРК) полностью не установлена. Отсутствие четкого понимания патогенетических механизмов развития того или иного функционального заболевания кишечника, в том числе СРК, с учетом наличия разнообразных структурно-морфологических нарушений в стенке кишки диктует необходимость поиска новых препаратов, действие которых будет направлено на разные звенья патогенеза кишечных заболеваний. Цель исследования — изучить эффективность и безопасность применения препарата Колонзак у пациентов с различными клиническими вариантами синдрома раздраженного кишечника. Материалы и методы. Обследованы 42 пациента с верифицированным диагнозом СРК (14 — СРК тип 1; 14 — СРК тип 2; 9 — СРК тип 3; 5 — СРК тип 4) в возрасте от 25 до 45 лет (средний возраст 35,0 ± 1,7 года). У всех пациентов с СРК органическая кишечная патология была исключена при проведении колоноскопии. ­Диагноз СРК установлен в соответствии с Римскими критериями IV. Кроме модификации образа жизни и соблюдения правил питания в зависимости от типа СРК, все пациенты (независимо от варианта СРК) получали средство Колонзак по 1 капсуле 2 раза в день, утром и вечером перед едой 30 дней. Все пациенты заполняли опросник по оценке степени тяжести симптомов СРК до и после курса лечения. Полученные результаты были статистически обработаны при помощи программ Excel 2017 (Microsoft) и Statistica 13. Результаты. Проведенное исследование показало, что Колонзак, содержащий пробиотические штаммы бифидобактерий, пребиотик инулин и масляную кислоту, можно рассматривать как безопасное, хорошо переносимое и высокоэффективное средство для пациентов с разными вариантами СРК. У пациентов с СРК применение препарата Колонзак сопровождалось статистически значимым улучшением состояния. Выводы. Наше исследование подтвердило клиническую эффективность средства Колонзак как мультикомпонентного колонопротектора при СРК. Полученные результаты позволяют рекомендовать широкое применение препарата Колонзак у пациентов с разными вариантами СРК.
Meningkatkan keaktifan siswa kelas VII dalam mata pelajaran bahasa Indonesia dengan menggunakan pendekatan saintifik dalam kegiatan lesson study
Authors: Setiawan Arif , Mujianto Gigit , Asihono Djoko 
Published: December 2020

Abstrak Mata pelajaran bahasa Indonesia merupakan salah satu mata pelajaran yang sering diremehkan oleh para siswa. Akan tetapi, kenyataannya pada evaluasi akhir banyak ditemukan nilai terendah yang diperoleh siswa berasal dari mata pelajaran bahasa Indonesia. Penelitian ini bertujuan untuk meningkatkan keaktifan siswa pada mata pelajaran bahasa Indonesia. Subjek penelitian adalah 27 siswa kelas VII SMP Muhammadiyah 06 Dau Malang. Program lesson study ini dilakukan dalam 4 siklus dengan menerapkan pendekatan saintifik yang diimplementasikan melalui strategi pembelajaran inkuiri. Strategi tersebut berimplikasi pada pemakaian metode inkuiri, diskusi, dan kunjung kelompok. Hasil penelitian menunjukkan keatifan siswa dapat ditingkatkan. Peningkatan keaktifan siswa tersebut beriringan dengan tujuan pembelajaran dengan menggunakan pendekatan saintifk yang meliputi (1) menanya/menjawab teks prosedur, (2) menerapkan penulisan teks prosedur, dan (3) mengomunikasikan menanggapi teks prosedur. Berdasarkan hal tersebut dapat disimpulkan pemakaian pendekatan saintifik dalam kegiatan lesson study dapat meningkatkan keaktifan siswa dalam mata pelajaran bahasa Indonesia. Kata kunci: keaktifan siswa, lesson study, pendekatan saintifik Abstract Bahasa Indonesia subject is one of the subjects that is often underestimated by students. However, it was found that the lowest scores obtained by students came from Indonesian subjects in the final evaluation. This research aimed to increase student activeness in Indonesian subjects by analysing 27 research subjects on grade VII students of SMP Muhammadiyah 06 Dau Malang. This lesson study program was carried out in 4 cycles by applying a scientific approach through an inquiry learning strategy. This strategy implied to the use of inquiry, discussion, and group visits methods. The results showed that students activity could be improved. Increasing the activeness of students goes parallel with the learning objectives by using a scientific approach which includes (1) asking / answering procedure texts, (2) applying procedural text writing, and (3) communicating responding to procedural texts. Based on the result, it can be concluded that the use of a scientific approach in lesson study activities can increase student activeness in Bahasa Indonesia subjects. Keywords: student activity, lesson study, scientific approach
Pengembangan media board game untuk pembelajaran tematik di sekolah dasar
Authors: Safitri Wahyu Candra Dwi 
Published: December 2020

ABSTRAKPembelajaran tematik di sekolah dasar sangat penting untuk memperkuat karakter siswa, salah satunya dengan media board game. Penelitian ini bertujuan untuk mengembangkan dan menguji kevalidan, kepraktisan, dan keefektifan media board game pada pembelajaran tematik di sekolah dasar. Metode penelitian yang digunakan adalah R&D dengan desain ADDIE yang meliputi lima tahap, yakni 1) analysis (analisis), 2) design (perancangan), 3) development (pengembangan), 4) implementation (implementasi), dan 5) evaluation (evaluasi). Kevalidan produk diperoleh melalui uji pakar dengan instrumen validasi pakar. Kepraktisan produk diperoleh melalui uji coba terbatas 8 siswa dan pemberian angket untuk melihat respon siswa setelah menggunakan media board game. Keefektifan produk diperoleh melalui uji coba satu kelas dengan one grup pretest-posttest design yang hasilnya diuji menggunakan Paired Samples t-Test dengan SPSS 20.0. Hasil penelitian menunjukkan bahwa media board game dapat meningkatkan kemampuan pemecahan masalah pada pembelajaran tematik di sekolah dasar. Media pembelajaran dinyatakan valid berdasarkan hasil uji pakar media, pakar materi, dan pakar pembelajaran yang rata-ratanya mencapai 74.3% (tinggi). Media pembelajaran dinyatakan praktis berdasarkan hasil angket respon siswa mencapai 94% (praktis). Media pembelajaran juga dinyatakan efektif berdasarkan rata-rata hasil pretes dan postes serta uji Paired Samples T Test pretest-posttest dengan menunjukkan nilai Sig. (2-tailed) sama dengan 0,000. Kata kunci: Media pembelajaran, Board Game, Pemecahan Masalah, Siswa Sekolah Dasar ABSTRACTThis study aimed to develop and test the validity, practicality, and effectiveness of game board media on thematic learning in elementary schools. It employed Research and Development (R&D) method with ADDIE design, including: 1) analysis, 2) design, 3) development, 4) implementation, and 5) evaluation. The product validity was obtained through expert tests using expert validation instruments. The product practicality was verified after limited trials to 8 students. Questionnaires were given to see student responses after using the game board media. The product effectiveness was validated by a one-class trial with one group pretest-posttest design, tested using Paired Samples t-test in SPSS 20.0. Results showed that board game media improved elementary school students’ problem-solving skills in thematic learning. The learning media is valid based on the test results of media experts, material experts, and learning experts. It is also practical based on the results of the student response questionnaire. The learning media is effective based on the results of the average pretest and posttest and the Paired Samples t-test pretest-posttest test results by showing the Sig. (2-tailed) equal to 0,000. Keywords: Learning media, Board Game, Problem Solving, Elementary students
Model evaluasi ketercapaian kompetensi dasar qur’an hadits berbasis kognitif pada pembelajaran pendidikan agama islam
Authors: Herman Uus , Rochman Chaerul , Maslani Maslani 
Published: December 2020

ABSTRAK Pesantren berkonstribusi besar dalam merealisasikan tujuan pendidikan nasional serta mencerdaskan kehidupan bangsa, salah satunya melalui model evaluasi ketercapaian kompetensi dasar (KD). Tujuan penelitian ini untuk menganalisis ketercapaian KD qur’an-hadis berbasis kognitif pada pembelajaran Pendidikan Agama Islam di Satuan Pendidikan Muadalah TMI Pondok Pesantren Darussalam Sindangsari Kersamanah Garut. Jenis penelitian ini adalah deskriptif. Pengumpulan data melalui wawancara, observasi dan dokumentasi. Data dianalisis melalui analisis deskriptif. Hasil penelitian menunjukkan Dari gambar diatas diketahui bahwa persentase ketercapaian nilai kompetensi dasar qur’an-hadis berbasis kognitif dapat diungkapkan bahwa rata-rata ketercapaian kompetensi dasar pemahaman ayat alqur’an adalah 21,21 %; hafalan ayat alqur’an adalah 20,20 %; pemahaman hukum-hukum tajwid adalah 19,19 %; pemahaman hadis adalah 21,21 %; dan rata-rata ketercapaian kompetensi dasar no. 5 yang berkenaan dengan hafalan hadis adalah 19,19 %. Berdasarkan analisis ketercapaian KD qur’an-hadis maka dapat disimpulkan bahwa, capaian KD mata pelajaran Qur’an-Hadits belum merata. KD qur’an-hadis penjadi prioritas dalam pembelajaran Pendidikan Agama Islam dan Satuan Pendidikan Muadalah (SPM) Pondok Pesantren Darussalam. Oleh karena itu, proses pembelajaran seharusnya memprioritaskan tercapainya KD sebagai bahan evaluasi hasil pembelajaran. Kata Kunci: Analisis ketercapaian; Kompetensi Dasar; Qur’an-Hadis; Kognitif. Islamic boarding schools contributed in realizing the goals of national education and enrich the life of a nation with evaluation model for the achievement of basic competencies (KD) as example. The purpose of this research was to analyze the achievement of cognitive-based KD quran-hadith in Islamic religious education lesson at the Muadalah Education Unit of the Darussalam Sindangsari Kersamanah Islamic Boarding School, Garut. The research employed descriptive method by collecting data through interviews, observation and documentation. The data were analyzed through descriptive analysis. The research results showed the achievement of the basic competency values of the cognitive-based quran-hadiths revealed that the average achievement of the basic competence of 21.21% understanding the verses of the alquran; 20.20% memorization of the verse alquran; 19.19% understanding of the laws of recitation; 21.21% understanding of hadith; and the average achievement of basic competencies no. 5 which is 19.19% related to the hadith memorization. It can be concluded that the KD achievements in the Qur'an-Hadith subjects are not evenly distributed. KD quran-hadith is a priority in the learning of Islamic Religious Education and Muadalah Education Unit (SPM) Pondok Pesantren Darussalam. Therefore, the learning process should prioritize the achievement of KD as material for evaluating learning outcomes. Keywords: Achievement Analysis; Basic Competence; Qur'an-Hadith; Cognitive.
Pemberdayaan Satgas Gotong Royong Berbasis Desa Adat Dalam Pencegahan COVID-19 di Banjar Serongga Pondok, Tabanan
Authors: Cahyawati Putu Nita , Aryastuti A. A. Sri Agung , Evayanti Luh Gde 
Published: December 2020

The COVID-19 pandemic is affecting all elements of Indonesian society. Lack of knowledge, lack of readiness, and insufficient allocation of funds make the prevention of this disease a challenge for the entire community. Social distancing, limiting all activities outside the home, using masks, hand sanitizers and disinfectants are all efforts that can be made to prevent the spread of this disease. Banjar Serongga Pondok is one of the traditional Banjar which is quite consistent in implementing these things. The residents of Banjar Serongga Pondok have indeed tried to reduce all activities outside the home, but it is undeniable that there are still residents who have not been able to implement this properly. Therefore, a special task force was formed called the Satgas Gotong Royong Berbasis Desa Adat as the driving force for all COVID-19 virus prevention activities in Banjar. The routine efforts that usually they do are spraying disinfectant liquid every Sunday. However, the limitations of disinfectant fluids and budget constraints in the implementation of these activities made it difficult to carry out the activities. The condition, exacerbated by the scarcity of masks, also made it difficult for the task force to work for residents. Based on these problems, the service is focused on providing information related to COVID-19, providing masks, hand sanitizers, and disinfectants to the COVID-19 Task Force in Banjar Serongga Pondok. The activity was started by giving a speech by Kelian Adat Banjar Serongga Pondok, remarks by the head of the activity organizer, material delivery and discussion, the delivery of assistance, and assistance in the implementation of disinfection. This program is expected to help the task force's work program continuity in preventing the transmission of COVID-19, especially in Banjar Serongga Pondok.
Feasibility Study on the Implementation of Clinic SIM and ERM integrated Pcare as a BPJS Kesehatan Application at Udayana University Clinic
Authors: Sudiarmini Luh , Sudiarmini Luh , Ida Bagus Fajar Manuaba , I Nyoman Hariyasa Sanjaya 
Published: December 2020

The development of an information system and communication technology has an impact on the health service sector in the form of electronic-health or e-health. One of the e-health applications is a Clinic SIM and electronic medical records. Not only provides information for the academic communities, but Udayana University Clinic also serves BPJS Kesehatan patients since 2014. After occupying a new building, there have been various obstacles related to the implementation of the management information system. Which it is still being done manually and limited space to store medical record files. One of the efforts to overcome this problem is by implementing a Clinic SIM and ERM. Before the implementation of these activities, a feasibility study was proposed on the application of CSIM and ERM integrated BPJS Healthcare. The purpose of this study was to determine the feasibility of implementing Clinic SIM and ERM which are integrated with Pcare-BPJS at Udayana University Clinic. This study used a qualitative research design. Data collection was started between December 2019 and January 2020 using the in-depth interview method on 9 informants. This study informs that the application of Clinic SIM and ERM integrated BPJS Kesehatan meets the feasibility aspect based on acceptance, demand, integration, and practicality. Conclusion: the obstacles in this study are related to the implementation aspect due to lack of human resources, infrastructure, implementation methods, budget, and minimal application of Clinic SIM and ERM.
Keywords: feasibility study, Clinic SIM, ERM, Pcare BPJS Kesehatan
Noise Exposure Decreases the Number of Spermatozoa in Male Mice (Mus musculus L.) Even With Grape Seed Extract (Vitis vinifera L.) Administration
Authors: Siregar Ghestiara 
Published: December 2020

Excessive continuous noises exposure changes the male hormone system which leads to formation of oxidative stress and results in disrupt of semen quality. This condition can be reduced by the use of antioxidants. Grape seed is one of the antioxidants that contains phenol components that have Resveratrol compounds. This research aimed to observe the effect of noise exposure on the number of spermatozoa of male mice given grape seed extract. The method of the research was a post-test only control group design with research subjects of 30 male Mus musculus L. (Swiss Webster) mice divided into 5 groups: group A (treatment control) was not given noise exposure and grape seed extract, group B (negative control) was not given noise exposure and was given grape seed extract, groups C, D, E (treatment group) were given noise exposure with sequential intensities of 65 dB, 85 dB, 105 dB. The treatment was given for 33 days. The results showed that noise exposure with different intensities of 65 dB, 85 dB, 105 dB reduced the spermatozoa count of male Swiss Webster mice even with the administration of grape seed extract. One Way Anova test was used to analyze the data with p-value of 0.001. Conclusion: There were differences in spermatozoa count between the control group and the treatment group. Provision of noise exposure with a value above the threshold limit reduces the number of male Swiss Webster mice spermatozoa given with grape seed extract.
Keywords: Number of Spermatozoa, Grape Seed Extract, Noise exposure
Abordaje clínico y diagnóstico de la glomerulonefritis membranoproliferativa, reporte de caso
Authors: Torres Serrano Rodolfo Eduardo , Rosselli Sanmartín Carlos , Olivares Algarín Orlando , Olivares Algarín Carlos Roberto , Latorre Núñez Yulieth , Moreno Lucero Paula Andrea , Zambrano Amastha Luis Carlos , Ardila Castillo William 
Published: December 2020

La glomerulonefritis membranoproliferativa es una lesión poco frecuente, que abarca un grupo de patologías que comparten un patrón histológico en común, y pueden originarse a partir de diversos mecanismos patogénicos. Con base a los hallazgos de la biopsia renal, inicia un proceso que busca determinar la etiología de la lesión. El daño renal inicial ocurre por el depósito de inmunoglobulinas, elementos del complemento o ambos en el mesangio y en el endotelio capilar, generando depósitos subendoteliales, subepiteliales, y/o en la membrana basal glomerular, adoptando con frecuencia el glomérulo un aspecto lobulado. Se presenta el caso de un hombre de 48 años que ingresó al servicio de urgencias del Hospital San José de Bogotá, sin antecedentes relevantes que debuta con proteinuria en rango nefrótico severo (62 gramos en 24 horas), elevación de nitrogenados y reporte de biopsia con glomerulonefritis membranoproliferativa, se describe el enfoque clínico y diagnóstico de esta entidad.
Síndrome hemolítico urémico posterior a ingesta de veneno de serpiente bothrops: Reporte de un caso
Authors: Mendoza Panta Diego Alexander , Cuesta Mero Paola Lisette , Correa Mejía Jimmy Patricio 
Published: December 2020

El síndrome hemolítico urémico (SHU) es una entidad clínica deﬁnida por la tríada anemia hemolítica no inmune, trombocitopenia e insuﬁciencia renal aguda, en la que las lesiones subyacentes están mediadas por un proceso de microangiopatía trombótica (MAT) sistémico. Distintas causas pueden desencadenar el proceso de MAT que caracteriza el SHU.
Se describe el caso de una mujer, con antecedentes de Diabetes Mellitus, Hipertensión arterial, quién ingiere veneno de serpiente tipo Bothrops con fines medicinales; luego de 72 horas es hospitalizada por edema de miembros inferiores, dolor abdominal, equimosis, ictericia, realizándose analítica sanguínea donde se constata trombocitopenia, elevación de azoados y anemia, documentándose datos de Falla Renal Aguda, catalogándose como Síndrome hemolítico urémico secundario a la ingesta de veneno de serpiente. Se describen aspectos del diagnóstico, manejo clínico que se realizó. El compromiso renal por veneno de serpiente Bothrops es una entidad poco frecuente, que si no se maneja de manera adecuada puede ser letal, y más aún si existen comorbilidades predisponentes.