bluuebunny/crossref_metadata_2025_split huggingface dataset:
CLINICAL AND MOSAIC THINKING IN INTERN DOCTORS SPECIALIZED IN DISEASES OF THE NERVOUS SYSTEM
Authors: Yekhalov V.V. , Mizyakina K.V. , Barannik C.I. , Chekha K.V. 
Published: February 2019

One of the key requirements of the modern medical science is the ability to build a chain of actions from the current position to the goal set. The building of such chains needs "sustained" thinking. In the modern society, there is a persistent tendency towards the fragmentary presentation and perception of information with clear focus rather on its quantity than on its quality. Mosaic thinking impedes contextual understanding. The aim of the study is to assess the propagation effect of "mosaic thinking" among students and interns, depending on the focused specialization; to identify the causes, negative and positive features of replacing the "sustained” thinking with "mosaic" one; to identify and improve the adaptive elements of teaching in graduate and postgraduate higher medical education. An anonymous survey was conducted for 200 students of the 5-6th year of study and interns specialized in diseases of nervous system and (to compare with) in general medicine using the M.B. Litvinova survey technique. The findings indicate a tendency toward developing “mosaic” thinking within the students’ community, while intern doctors demonstrate an increased proportion of the respondents demonstrating “sustained” thinking. This can probably be explained by the conscious exposure of young colleagues to the basics of the specialty. The "sustained" thinking prevails in the group of interns specialized in diseases of nervous system that can be explained by more focused specialization and more rapid engagement into the future profession.
ANALYSIS OF CHANGES IN HOMOCYSTEIN USED AS A MARKER OF METABOLIC SYNDROME IN PATIENTS WITH INCREASED BODY MASS INDEX WHO HAVE MULTIPLE TRAUMA
Authors: Kucheryavchenko V. V. 
Published: February 2019

In recent years, the concept of "metabolic syndrome" has become more spreading, and in parallel with disorders of carbohydrate and lipid metabolism, endothelial dysfunction is no less significant. The aim of our work was to analyze changes in homocysteine (HC) as a marker of metabolic syndrome in patients with an increased body mass index (IBMI) in polytrauma. The study involved 224 patients with polytrauma, who had different initial values of body mass index (BMI) and were treated at the polytrauma department and the intensive care unit for patients with combined injuries for a period from 1 day to 1 year since the moment of injury. All the patients were subjected to identifying the level of serum HC. The patients had the same severity according to the APACHE II scale, 14 ± 5.8, at the admission to the hospital, and were divided into 3 stratified clinical groups depending on the initial values of anthropometric parameters and BMI. The study was conducted on the 1, 3, 7, 14, 30 and 360 days from the date of polytrauma. Assessment of blood serum HC was performed by ELISA. It was found that the overweight patients with BMI ≤ 29.9 demonstrated an increase in the mean values of blood HC on the 7th and 14th days of the treatment, with a further decrease on the 15th day since the date of injury. For the patients with BMI within the range of 30.0 - 39.9, the persistence of the HC index during the first month of the treatment at baseline with an increase on the 360th day was found out. The patients with BMI ˃ 40.0 showed an increase in the level of blood HC through the year since the date of polytrauma. It was revealed that the level of HС directly affects the course of traumatic disease in patients with increased BMI, its severity in terms of uniformity of injuries received and the same range of severity according to the APACHE II scale depends on BMI at the admission to the hospital.
INTERRELATION BETWEEN THE CHANGES IN QUALITY OF LIFE AND ARTERIAL STIFFNESS IN PATIENTS WITH DIABETES MELLITUS TYPE 2 AND CONCOMITANT OBESITY
Authors: Fushtey I.M. , Solovyuk Ye.A. , Solovyuk A.O. 
Published: February 2019

The purpose of this work was to study the general characteristics of quality of life (QoL), the effect of overweight on QoL, the nature of eating behaviour in patients with diabetes mellitus (DM) type 2 and concomitant overweight (OW) and obesity, as well as to establish the correlation with indicators of functional state of the arterial vessels. 64 people (34 women and 30 men) with DM and concomitant overweight and obesity (average age 56.3 ± 10.23 years) formed the 1 group, 34 people (19 women and 15 men), whose average age was 55.6 ± 11.92 years constituted the 2 group, and 28 healthy individuals formed the control group. SF-36v2 questionnaires were used to evaluate QoL. The effect of overweight on QoL was analyzed according to the IWQOL-Lite questionnaire data, the patterns of eating behaviour were determined by the COEQ4 for 7 days using FPRS questionnaire. The functional state of the arterial vessels was assessed by estimating the pulse wave velocity using the automated rheographic complex ReoCom (KhAI Medika (Ukraine)). The patients with DM and concomitant overweight and obesity were found to experience some changes in QoL according to the SF-36v2 questionnaire. The changes were primarily characterized by a decrease in physical activity, as well as in social and emotional status. These changes differed not only from the QoL assessment by healthy individuals, but also from those of patients with DM and normal body weight. The nature of eating behaviour in overweight or obese patients with DM was characterized by an increased hunger in parallel with a worsened emotional state and an increased desire to eat certain types of foods that can contribute to weight gain. Structural changes in arterial vessels that typically are indicative of arterial stiffness correlate with indicators of emotional state and physical activity in patients with DM and comorbid overweight and obesity.
EVALUATION OF THE QUALITY OF PRIMARY MEDICAL ASSISTANCE TO PATIENTS WITH ECZEMA: STUDY OF THE SCOPE AND ASSESSMENT OF THE ADEQUACY OF TREATMENT AND PREVENTIVE MEASURES
Authors: Cherkashyna L.V. 
Published: February 2019

The development of general medical practice as a scientific specialty and practice and the structuring of medical care according to the levels of its delivery are characterized by shifting the emphasis on long-term care for patients with chronic dermatoses to the level of general practitioners. This paper describes the scope of treatment and prophylactic measures at the stage of primary medical care for 75 patients with eczema of different severity. It was revealed that the completeness of the use of non-medicated means in the period between the exacerbations of eczema prescribed by general practitioners was at the level of 56.1 ÷ 60.2% according to the generalized quality index and was characterized by insufficient use of autotraining techniques with elements of psychological correction in 76.7 ± 5,0%, herbal ointments in 72,7 ± 5,1%, as well as insufficient physiotherapeutic corrections in 57,3 ± 5,7%. Adequate use of pharmacological medicines prescribed by general practitioners for the periods between the exacerbation of eczema makes up 53,1 ÷ 53,9% according to the generalized indicator of quality and is characterized by low use of magnesium-containing products in 76,0 ± 4 9% of cases and adrenal gland stimulants in 74,7 ± 5,0% of cases, as well as detoxification agents (53,3 ± 5,8)% of cases. The analysis of general indicators of the quality of therapeutic and prophylactic process in the periods between exacerbations of chronic eczema has shown that general practitioners prefer to prescribe non-medicinal means, underestimating the importance of using immunomodulatory drugs and vitamins (A, E, B and C).
Biological aspects of pink ear emperor, Lethrinus lentjan (Lacepede, 1802) in Bangka and adjacent waters
Authors: Restiangsih Yoke Hany , Muchlis Nur’ainun 
Published: February 2019

Coral fish is the one of the important fish resources in Indonesian waters, but the potential and exploitation rate needs to be obtained. Pink ear emperor is one of coral fish that many caught in Bangka. Research was conducted to determine biological aspect of pink ear emperor caught by fish traps, that includes length distribution, length-weight relationship, sex ratio, maturity stage, food habits, and length at first mature. This research was conducted from February 2014 to November 2015 with sampling location in Sungailiat fishing port. The observed aspects included fork length, weight, sex, gonad maturity and fish stomach contents was done monthly. The results showed the growth pattern are allometric negative, folk length ranged from 12 to 58 cm. The condition of sex ratio of males to females was 1:2,06. The gonade maturity stage of males and females were stage I, II, III, and IV for all months of observation. Stomach contained was shellfish, crap, shrimp and fish. Length at first capture(Lc) was 28 cm and length at first maturity(Lm) was 26 cm. Size length at first capture was bigger than the size length at first maturity, so the pink ear emperor at Sungailiat available to maintained the balance of fish stock on population.AbstrakIkan karang merupakan salah satu sumber daya yang penting di perairan Indonesia, namun tingkat potensi dan tingkat pemanfaatannya masih perlu untuk dikaji. Ikan lencam merupakan salah satu ikan karang yang banyak tertangkap di perairan Bangka. Tujuan penelitian ini mengkaji beberapa aspek biologi ikan lencam hasil tangkapan bubu, meliputi sebaran ukuran panjang, pola pertumbuhan, nisbah kelamin, dan ukuran rata-rata pertama kali matang gonad dan kebiasaan makan. Penelitian ini dilaksanankan di PPN Sungailiat pada bulan Februari 2014 – November 2015. Aspek yang diamati meliputi panjang cagak, bobot tubuh ikan, jenis kelamin, kematangan gonad, dan isi lambung ikan. Hasil penelitian menunjukkan pola pertumbuhan ikan lencam bersifat allometrik negatif. Sebaran ukuran panjang berkisar antara 12 – 58 cm. Nisbah kelamin jantan terhadap betina sebagai 1 : 2,06. Pada setiap bulan pengamatan tingkat kematangan gonad jantan dan betina berada pada stadia I, II, III, dan IV. Isi lambung ikan lencam selama pengamatan terdiri dari kerang-kerangan, kepiting, udang, dan hancuran ikan. Panjang pertama kali ikan tertangkap (Lc) sebesar 28 cm dan pertama kali matang gonad (Lm) sebesar 26 cm. Rata-rata ukuran pertama kali tertangkap lebih besar dbandingkan dengan ukuran pertama kali matang gonad sehingga ikan lencam di Perairan Bangka masih dapat mempertahankan keseimbangan stok dalam suatu populasi.
Morphological characteristics of silver barb fish population Barbonymus gonionotus (Bleeker, 1849) from different water locations in Central Java Province
Authors: Ayyub Hasan , Budiharjo Agung , . Sugiyarto 
Published: February 2019

There are population of silver barb (Barbonymus gonionotus) in Bengawan Solo River, Dengkeng River, Opak River and Gajah Mungkur Reservoir. Bengawan Solo River’s flow meet Dengkeng River’s flow while Opak River’s flow separated from the two other made an interesting phenomenon of population separability to study diversity and grouping between populations through morphological markers. The study aimed to analyze the diversity of silver barb in the Bengawan Solo River, Dengkeng River, Opak River and Gajah Mungkur Reservoir based on morphological characters. Measurement of morphological characters with morphometric methods with 14 measured morphological characters. Measurement of water chemical and physical factors include temperature, current velocity, depth, pH, dissolved oxygen and substrate. The result showed that the four distinguished morphological characteristics of the population predominantly in silver barb (B. gonionotus) were the dorsal depth, snouth length and caudal pundacle depth. Group analysis showed that silver barb population of the Bengawan Solo River had morphological characters more similar to the Dengkeng River than Opak River and Gajah Mungkur Reservoir because of the similarity of habitat and proximity of the location. Based on the most influential environmental factors is the difference in current velocity.AbstrakPopulasi ikan tawes (Barbonymus gonionotus ) terdapat di Sungai Bengawan Solo, Sungai Dengkeng, Sungai Opak, dan Waduk Gajah Mungkur. Aliran Sungai Bengawan Solo bertemu dengan aliran Sungai Dengkeng sedangkan aliran Sungai Opak terpisah dari keduanya. Hal ini menjadikan sebuah fenomena keterpisahan populasi yang menarik untuk diteliti keragaman dan pengelompokan antar populasi melalui penanda morfologis. Penelitian ini bertujuan untuk menganalisis keragaman ikan tawes di Sungai Bengawan Solo, Sungai Dengkeng, Sungai Opak, dan Waduk Gajah Mungkur berdasarkan karakter morfologis. Pengukuran karakter morfologis dengan metode morfometrik dengan 14 karakter morfologis yang diukur. Pengukuran faktor fisika kimia air meliputi suhu, kuat arus, kedalaman, pH, oksigen terlarut, dan substrat. Hasil penelitian menunjukkan karakter morfologis pembeda keempat populasi tersebut yang dominan pada ikan tawes adalah tinggi sirip dorsal, panjang moncong, dan tinggi batang ekor. Analisis kelompok menunjukkan populasi ikan tawes Sungai Bengawan Solo memiliki karakter morfologis lebih mirip dengan Sungai Dengkeng daripada Sungai Opak dan Waduk Gajah Mungkur karena kemiripan habitat dan kedekatan lokasi. Faktor lingkungan yang paling berpengaruh adalah perbedaan kuat arus perairan.
The resistance of sangkuriang catfish (Clarias gariepinus Burchell 1822) against Aeromonas hydrophila bacteria given moringa leaf extracts (Moringa oleifera L.) through the feed
Authors: Rosidah . , Buwono Ibnu Dwi , Lili Walim , Suryadi Ibnu Bangkit , Triandika Ade Reza 
Published: February 2019

This study aims to reveal effective concentration of moringa leaf extract which is inducing body resistance of sangkuriang catfish against Aeromonas hydrophila. This study used as experimental method of Completely Randomized Design (CRD) with six treatments and three replications. The treatment used in this research are the addition of Moringa leaf extract into feed with concentration of 0 ppm (A), 100 ppm (B), 125 ppm (C), 150 ppm (D), 175 ppm (E) and 200 ppm (F). Observed Parameters are total leukocyte count, increase in leukocyte, clinical sign and survival rate. Increase in leukocyte and survival rate data were analyzed using F test and Duncan test with significance level 0,05, while clinical sign data was analyzed descriptively. The results showed that Moringa leaf extract was effective to induce the immune of sangkuriang catfish. The 150 ppm concentration resulted the highest total leukocyte count of 23.46 ± 6.46% and didn’t have clinical symptons after challenge with Aeromonas hydrophila and highest survival rate 80.0 ± 5.00%. Based on the regression analysis, 153.95 ppm of Moringa leaf extract is the optimum concentration with 95.62% on the survival of sangkuriang catfish after challenge with Aeromonas hydrophila.AbstrakPenelitian ini bertujuan untuk menentukan konsentrasi yang efektif dari ekstrak daun kelor untuk menginduksi ketahanan tubuh ikan lele sangkuriang terhadap serangan bakteri Aeromonas hydrophila. Penelitian ini menggunakan metode eksperimental Rancangan Acak Lengkap dengan enam perlakuan dan tiga ulangan. Perlakuan penelitian yang digunakan adalah penambahan ekstrak daun kelor ke dalam pakan dengan konsentrasi 0 ppm (A), 100 ppm (B), 125 ppm (C), 150 ppm (D), 175 ppm (E) dan 200 ppm (F). Parameter yang diamati meliputi jumlah total sel darah, peningkatan jumlah sel darah putih, gejala klinis, dan sintasan. Data peningkatan jumlah sel darah putih dan sintasan dianalisis menggunakan uji F dan uji jarak berganda pada taraf kepercayaan 5%, sedangkan data gejala klinis dianalisis secara deskriptif. Hasil penelitian menunjukkan ekstrak daun kelor efektif untuk menginduksi ketahanan tubuh benih lele sangkuriang. Konsentrasi 150 ppm menghasilkan rata-rata jumlah sel darah putih tertinggi 23,46±6,46% dan setelah diuji tantang tidak menunjukkan gejala klinis, serta tingkat sintasan yang tertinggi sebesar 80,0±5,00%. Berdasarkan analisis regresi konsentrasi ekstrak daun kelor memberikan pengaruh sebesar 95,62% dengan konsentrasi optimum sebesar 153,95 ppm terhadap sintasan ikan lele sangkuriang setelah di uji tantang dengan Aeromonas hydrophila.
ANALISIS DAYA OUTPUT DAN EFISIENSI KINCIR AIR SUDU MIRING YANG BEKERJA PADA SALURAN HORIZONTAL
Authors: Boli Rahmat , Makhsud Abdul , Tahir Mahmuddin , Tahir Mahmuddin 
Published: February 2019

Abstract : Water wheels angle blade shape with a diameter of 1,000 m wheels, blade length of 0.25 m, and a blade width of 0.3 m. This study aims to determine the power and efficiency of the waterwheel. To test the water mill, then made a model of open channel with a channel length of 12.25 m, a width of 0.334 m channel, channel height of 6.0 m, and the angle of 450. The waterwheel power and efficiency can be determined by varying the flow rate of 0.050 m3/s to 0,032 m3/s at a load of 2 kg to 8 kg. Measurement of the flow rate by method of filling the bucket with a bucket voleme 50 L. To determine the flow rate through the duct bucket volume divided by the time it takes to fill the bucket.Abstrak : Kincir air bentuk sudu miring dengan diameter roda 1,000 m, panjang sudu 0,25 m, dan lebar sudu 0,3 m. penelitian ini bertujuan untuk mengetahui daya dan efisiensi kincir air. Untuk menguji kincir air tersebut, maka dibuatkan model saluran terbuka dengan panjang saluran 12,25 m, lebar saluran 0,334 m, tinggi saluran 6,0 m, dan sudut kemiringan 450. Daya dan efisiensi kincir air dapat diketahui dengan memvariasikan debit aliran 0,050 m3/s sampai 0,032 m3/s pada beban 2 kg sampai 8 kg. Pengukuran debit aliran dengan metode mengisi ember dengan voleme ember 50 L. Untuk mengetahui debit aliran yang melalui saluran maka volume ember dibagi dengan waktu yang dibutuhkan untuk mengisi ember tersebut.
Hubungan Motivasi Kerja, Karakteristik Individu dan Kompensasi terhadap Disiplin Kerja Perawat Rumah Sakit Cikunir Bekasi Tahun 2018
Authors: Permana Dini Rahmawati 
Published: February 2019

Discipline is a function of operational human resources management the most important because the better the working discipline employees the better performance is achieved. Factor affecting the discipline of work i.e. the motivation of working nurses to increase productivity, the characteristics of the individuals belonging to each nurse, as well as the existence of the application of the compensation is good for the welfare of nurses. This research aims to look at the description of the work discipline Hospitals Cikunir bekasi as well as find out how relationships work, the characteristics of individual motivation and compensation against the discipline of nursing work in a hospital Cikunir Bekasi. This research uses a quantitative approach with methods "Cross Sectional". The research sample is all over the nurses as much as 30 people were taken with the total sampling method. Univariate analysis done subsequent to see frequency distribution, bivariat analysis using Pearson Correlation and multivariate analysis using multiple linear regression. The test results showed that the bivariate variables work motivation, compensation and individual characteristics have a significant relationship against the discipline of work. Whereas, in multivariate test of variables of individual characteristics, work motivation and compensation the most dominant effect significantly to the discipline of work i.e. the individual characteristics of the variable with a value of 0.002 0.546 Beta with significance. To increase work discipline nurses RS Cikunir Bekasi, required the effort of increasing internal and external training of nurses and nursing career, improving the motivation of working nurses by providing a reward or promotion position in accordance with performance assessment the nurse.
Pengaruh Motivasi dan Kepuasan Kerja Terhadap Kinerja Perawat Rumah Sakit Putera Bahagia Cirebon
Authors: Novitasari Niken 
Published: February 2019

Nurse's performance is crucial for the hospital, because it can improve services in hospitals where the quality of service of hospital largely determined by human resources in it. The nurse is most employees who are in the hospital, the nurse's performance for that very need to be improved for the Betterment of hospital services. This research aims to look at the picture of the performance of Hospital nurses Son Happy Cirebon and knowing how to influence motivation and job satisfaction on performance of nurses. The method used in this research is quantitative research method that is descriptive. Analysis method used is by doing the test validity and reliability as well as a test of normality for comparison as well as multiple correlation and regression tests with multiple regression analysis method and processed with SPSS software 25. The results of this study showed that motivation and satisfaction have a correlation with the performance of the nurses, but after a test done together then obtained that motivation has no significant relationship with the performance, but job satisfaction have a significant influence on performance although only amounted to 19.6%. From this it can be concluded that the "motivation and job satisfaction have a correlation with the performance but after tested together just satisfaction of work that has significant relationship with the performance. Then the hospital should focus to improve the job satisfaction of nurses as well as looking for other variables that affect the performance of the nurses.
Analisis Tes HIV dengan Sikap Ibu Hamil dalam Pencegahan Penyakit HIV/AIDS di Wilayah Kerja UPT Puskesmas Stabat Lama Tahun 2018
Authors: Fitria Aida , Aisyah Siti 
Published: February 2019

The risk of HIV transmission from mother to child without prevention or intervention efforts ranges from 20-50%. Taking an HIV test during pregnancy is an important activity carried out in an effort to increase public awareness about HIV and AIDS. The purpose of this study was to determine the analysis of HIV testing with the attitudes of pregnant women in the prevention of HIV / AIDS in the Work Area of the Stabat Lama Health Center UPT in 2018. The type of research used is analytic survey with cross sectional approach. The population in this study is the same as the sample taken by accidental sampling as many as 30 people. Data collection methods are primary, secondary and tertiary data. Data analysis used is using univariate and bivariate analysis with chi-square test. The results HIV testing has a relationship with the attitude of pregnant women in the prevention of HIV / AIDS. The conclusion of this study shows that HIV testing has a relationship with the attitudes of pregnant women in HIV / AIDS prevention in the Work Area of the Stabat Lama Health Center UPT in 2018. It is hoped that the research sites can be a reference for the community and for cadres better understand the importance of implementing HIV / AIDS tests for pregnant women.