bluuebunny/crossref_metadata_2025 huggingface dataset:
Aktivitas Pengembangan Kompetensi Sumber Daya Manusia Dalam Pengelolaan Pelayanan Ibadah Haji
Authors: Yusica Tena Nissa , Sanusi Irfan , RS Syamsuddin
Published: September 2020

Tujuan penelitian ini untuk menganalisis aktivitas kompetensi pelatihan dan pendidikan karyawan dalam pelayanan ibadah haji, penilaian kerja karyawan dalam pelayanan ibadah haji dan aktivitas karir karyawan. Penulis menggunakan teori Manajemen Sumber Daya Manusia yang dikemukakan oleh Garry Dessler.  Hasil penelitian menunjukan, Pertama: Pelatihan dan pendidikan dilakukan oleh Staf Seksi Penyelenggaraan Haji dan Umrah metodenya adalah dengan menggunakan sistem ceramah, magang, pelatihan dalam kelas dengan bimbingan instruktur. Kedua: Penilaian kerja karyawan yang mencakup aspek penilaian kerja karyawan meliputi perbuatan positif, perbuatan negatif, kehadiran, kedisiplinan, kesetiaan, prestasi kerja, tanggung jawab, ketaatan, kejujuran, kerjasama, prakarsa, dan kepemimpinan dan  dilakukan di dalam kantor dengan menggunakan metode kajadian kritis, metode manajemen tujuan, metode kejadian penting, dan metode tinjauan lapangan. Ketiga: yang menjadi tolak ukur penentuan karier karyawan harus memiliki pemahaman, keterampilan, ilmu pengetahuan, kapasitas dan kompetensi yang baik dalam hal manajemen perhajian. Sehingga sehingga sumber daya manusia yang  meningkat.

The purpose of this study was to analyze the competency activities of training and education of employees in the Hajj service, the assessment of employee work in the Hajj service and employee career activities. The author uses the theory of Human Resource Management proposed by Garry Dessler. The results showed, First: Training and education carried out by the staff of the Section for Hajj and Umrah Implementation of the method is to use the lecture system, internships, training in the classroom with the guidance of instructors. Second: Employee work assessments that include aspects of employee work assessment include positive actions, negative actions, attendance, discipline, loyalty, work performance, responsibility, obedience, honesty, cooperation, initiative, and leadership and carried out in the office using the critical incident method , methods of goal management, methods of important events, and methods of field review. Third: the benchmark for determining employee careers must have good understanding, skills, knowledge, capacity and competence in terms of management of study. So that human resources increase.
Strategi Pengembangan Sumber Daya Manusia Dalam Meningkatkan Kinerja Karyawan
Authors: Miftahudin Miftahudin
Published: September 2020

The purpose of this research is to find out how the process of human resource training conducted by the Synergy Foundation, how the process of human resource education conducted by the Synergy Foundation, how the career development process is carried out by the Sinergi Foundation in an effort to improve the quality of employee performance. The method used in this research is descriptive method, using a qualitative approach. Based on the results of the study, the training process carried out was based on the results of the annual Sinergi Foundation evaluation. Strategies carried out in training by on the job, and recommending their employees to attend training outside the institution. Furthermore, the process of employee education is more focused on employee theoretical understanding. Straregi is used by conducting education within the institution and sending its employees to study outside. Development of the quality and quantity of employees, the leadership has policies and directives for all employees in the structural to have a new concept with the aim that each department has innovation about the development of its department.
Manajemen Zakat Produktif dalam Upaya Meningkatkan Kesejahteraan Ekonomi Masyarakat
Authors: Atqia Muhammad Reza
Published: September 2020

This research discusses about management of zakat in an effort to improve the economic welfare of the community carried out by the Rumah Zakat from the beginning planned, implemented and supervised the program to achieve that goal.. This study uses the deskiptive method, which in conducting this research, the researcher tries to describe and describe the condition of the object of research based on facts that are visible or as they are. The results obtained by this study, namely the activities of Zakat Houses in managing productive zakat, Rumah Zakat moves based on its vision and mission and moves by always running partnerships with various parties, both the community and the government. Zakat House also has the planning, implementation and supervision of good productive zakat for the economic welfare of the community. This is given to small entrepreneurs in order to develop their business to become more productive.
Penerapan Fungsi Manajemen Pesantren dalam Proses Rekruitmen Santri
Authors: Suminar Suminar , Syamsuddin Syamsuddin , Yuliani Yuliani
Published: September 2020

Penelitian ini bertujuan memberikan gambaran manajerial lembaga Pesantren Darul Inayah dalam proses rekruitmen santri. Penelitian ini menggunakan metode deskriptif dengan pendekatan kualitatif. Teknik pengumpulan data, diantaranya; observasi, wawancara, dan studi dokumentasi. Berdasarkan hasil penelitian. Lembaga Pesantren Darul Inayah telah menerapkan fungsi  manajerial dalam proses rekruitmen santri, meliputi; pertama, perencanaan yang mencakup konsep dan strategi yang matang, merumuskan tujuan jelas, serta membuat program kegiatan yang akan dilaksanakan. Kedua, pengorganisasian yang mencakup pembagian divisi, pembagian tugas dan pengelompokan kerja pada masing-masing panitia. Ketiga, pengarahan yang mencakup pemberian motivasi, pelatihan dan pengarahan kepada semua panitia. Keempat, pengawasan yang mencakup pengawasan langsung oleh para pengurus dan pengawasan tidak langsung dilakukan dalam bentuk rapat evaluasi panitia. Khusus bagi anak yatim piatu dan dhuafa diberikan peluang untuk masuk dengan mudah, agar dapat menempuh pendidikan dengan gratis.

This study aims to describe the management at Darul Inayah Islamic Boarding School in the process of santri recruitment which includes planning, organizing, directing and controlling activities. The method used is descriptive method with a qualitative approach. Data collection techniques through observation, interviews, and documentation studies. The results showed that the application of management functions in the santri recruitment process had been quite successful, through planning which included mature concepts and strategies, had clear objectives, and clearly the program of activities to be carried out. Organizing includes division, division of tasks and grouping of work for each committee. The briefing includes providing motivation, training and direction to all the committee. Supervision carried out includes direct supervision to the field carried out by directors and indirect supervision carried out in the form of committee evaluation meetings for santri recruitment. The result of the implementation management is to provide opportunities for orphans, orphans and poor people to study for free.
Optimalisasi Pelayanan Masjid dalam Upaya Meningkatkan Aktivitas Dakwah
Authors: Fauzi Rafi , Rahman Arif , Herman Herman
Published: September 2020

Penelitian ini bertujuan untuk mengetahui perencanaan pelayanan dalam upaya meningkatkan aktivitas dakwah di Masjid Istiqomah, untuk mengetahui penerapam pelayanan dalam upaya meningkatkan aktivitas dakwah di Masjid Istiqomah, untuk mengetahui evaluasi pelayanan dalam upaya meningkatkan aktivitas dakwah di Masjid Istiqomah. Penelitian ini menggunakan metode dekriptif dengan pendekatan kualitatif. Adapun teknik dalam pengumpulan data melalui observasi, wawancara dan studi dokumentasi sebagai bukti adanya pelayanan masjid dalam upaya meningkatkan aktivitas dakwah di Masjid Istiqomah. Berdasarkan hasil dan penelitian yang dilakukan di Masjid Istiqomah dari optimalisasi pelayanan masjid dalam upaya meningkatkan aktivitas dakwah dapat disimpulkan: Pertama, bahwa perencanaan pelayanaan masjid di Masjid Istiqomah terbagi menjadi dua bagian yang dimana bagian itu perencanaan pelayanan yang dilakukan untuk bulanan dan perencanaan pelayanan yang dilakukan untuk tahunan. Kedua, penerapan pelayanan masjid tersendiri merupakan suatu usaha yang dilakukan pihak DKM dan pengurus Masjid Istiqomah agar memberikan rasa nyaman kepada para jamaah yang datang, baik dalam bentuk kegiatan sehari-hari maupun kajian-kajian. Ketiga, proses tahapan evaluasi pelayanan masjid di Masjid Istiqomah yaitu dengan melakukan pertemuan secara langsung maupun melalui media sosial.

Kata Kunci: Pelayanan; Masjid; Aktivitas; Dakwah.

 

ABSTRACT

This study aims to determine service planning in an effort to increase the propaganda activity in the Istiqomah Mosque, to determine the application of service in an effort to increase the propaganda activity in the Istiqomah Mosque, to find out the evaluation of services in an effort to increase the propagation activities in the Istiqomah Mosque. This research uses descriptive method with a qualitative approach. The technique in collecting data through observation, interviews and documentation studies as evidence of mosque services in an effort to increase the activities of preaching in the Istiqomah Mosque. Based on the results and research conducted at the Istiqomah Mosque from optimizing mosque services in an effort to increase propaganda activities, it can be concluded: First, that the planning of mosque services at the Istiqomah Mosque is divided into two parts in which that part is planning services performed for monthly and service planning carried out for annual. Second, the application of separate mosque services is an attempt by the DKM and Istiqomah Mosque officials to provide comfort to the worshipers who come, both in the form of daily activities and studies. Third, the process of evaluating the mosque services at the Istiqomah Mosque, namely by meeting directly and through social media.

Keywords: Service; Mosque; Activity; Da'wah.
Implementasi Perencanaan Pondok Pesantren Dalam Meningkatkan Kualitas Santri
Authors: Cahyono Eko Rahmad
Published: September 2020

ABSTRAK

Tujuan dilakukannya penelitian ini adalah untuk mengetahui penetapan tujuan, pemrograman dan penganggaran kegiatan Pondok Pesantren At-Tamur untuk menciptakan generasi santri yang diinginkan oleh pondok pesantren agar mengembangkan kualitas santri untuk bisa berkembang di masyarat dan bermanfaat untuk masyarakat. Metode yang digunakan dalam penelitian ini adalah metode deskriptif yang menghasilkan data deskriptif berupa perkataan yang tertulis maupun lisan dari sumber-sumber penelitian dengan teknik pengumpulan datanya adalah deduktif empirik melalui kegiatan observasi, wawancara dan dokumentasi. Dari hasil penelitian ini, yaitu untuk meningkatkan kualitas para santri dalam bidang keagamaan, keilmuan, kewirausahaan, dan sosial. Untuk meningkata, pelajaran agama, baik dari segi akhlak, dan ibadah. Kemudian di lengkapi dengan program Pondok Pesantren At-Tamur dari prgram mengaji Al-Qur’an, hadits, kitab kuning, praktek ibadah mahdhoh dan ghairu mahdhoh, belajar akhlak, kegiatan ngajar mengajar. Dalam bidang penganggaran kegiatan di Pondok Pesantren At-Tamur berbeda dengan lembaga lainnya yaitu dengan sumber donatur dan relawan.

Kata kunci: Implementasi, Perencanaan, Pesantren , Kualitas, Santri

ABSTRACT

The purpose of this research is to determine the goal setting, programming and budgeting of the At-Tamur Islamic Boarding School activities to create the generation of students desired by Islamic boarding schools to develop the quality of students to be able to develop in society and be beneficial to society. The method used in this research is descriptive method that produces descriptive data in the form of written and oral words from research sources with the data collection technique is empirical deductive through ovservation, interviews and documentation. From the results of this study namely to improve the quality of students in the fields of religion, science, entrepreneurship, and social. To improve, religious studies, both in terms of morals, and worship. Then it is complemented by the At-Tamur Islamic Boarding School program of the Qur’an study program, hadith, yellow book, mahdhoh and ghairu mahdhoh worship practices, moral learning, teaching teaching activities. In the field of budgeting the activities at At-Tamur Islamic Boarding School are different from other institutions, namely from donorss and volunteer sources. 

Keywords: Implementation, Planning, Islamic Boarding School, Quality, Santri
Manajemen Strategis Pendayagunaan Zakat Infak dan Shadaqah dalam Pengentasan Kemiskinan
Authors: Alam Agum Restu , Anwar Saeful , Setiawan Asep Iwan
Published: September 2020

Tujuan dari penelitian ini untuk mengetahui bagaimana keberhasilan MAI dalam mengentaskan kemiskinan melalui program bina dengan pendayagunaan zakat, infak dan shadaqah yang produktif serta tahapan Manajemen Strategis yang ada di MAI. Metode yang digunakan adalah metodeideskriptif dengan pendekatan kualitatif, dengan teknik pengumpulan data yang dihimpun melalui teknik observasi, wawancara, studi dokumen dan studi pustaka. Hasil penelitian menunjukan bahwa proses pendayagunaan MAI pada tahapan Analisis Lingkungan telah dilakukan untuk memaksimalkan kekuatan dan memanfaatkan peluang yang ada sehingga dapat meminimalisir kelemahan dan ancaman sehingga proses pendayagunaan dapat mengentaskan kemiskinan. Tahapan Formulasi Strategi berupa perumusan visi, tujuan, strategi, dan kebijakan telah diprogram secara sistematis. Selanjutnya Implementasi Strategi dengan membuat lima program utama yang dibuat secara matang dan profesional. Terakhir tahapan Evaluasi dan Pengendalian Strategi dengan melakukan evaluasi secara berkala dan sistematis sehingga pengendalian program dapat dilakukan dengan baik sesuai prosedur. Kata Kunci: Manajemen Strategis; Pendayagunaan; Zakat; Kemiskinan.

The purpose of this study is to find out how the success of MAI in alleviating poverty through community development programs by utilizing productive zakat, infaq and shadaqah as well as the stages of Strategic Management in MAI. The method used is a descriptive method with a qualitative approach, with data collection techniques collected through observation, interviews, document studies and literature studies. The results showed that the process of utilizing the MAI at the Environmental Analysis stage had been carried out to maximize strengths and take advantage of existing opportunities so as to minimize weaknesses and threats so that the empowerment process could reduce poverty. The Stages of Strategy Formulation in the form of vision, goals, strategies and policies have been systematically programmed. Next Implementation Strategy by making five main programs that are made in a mature and professional manner. The last step is the Evaluation and Control Strategy by conducting periodic and systematic evaluations so that program control can be carried out properly according to procedures.Keywords: Strategic Management; Utilization; Alms; Poverty.
A Content Analysis Study of University Programs from the Research Project of Transition and Postsecondary Programs for Students with Intellectual Disability (TPSID) in the USA
Authors: Park Youn Jung ,   The Korean Society of Special Education, Seo Hyojeong
Published: September 2020

In order to promote better practices in higher education for students with intellectual and developmental disabilities in Korea, this study was conducted to analyze the projects of the Transition and Postsecondary Programs for Students with Intellectual Disability (TPSID) funded by the US Department of Education. The data from a total of 46 university programs were analyzed for program outlines, detailed program features, and qualification requirements. The contents of university programs were classified into two categories: administrative information (e.g., target students, school size, program length, academic/employment credentials, program requirements for admission) and program details (e.g., course types, information for inclusive and special classes, extracurricular activities, career development activities, employment). Finally, the qualification requirements were analyzed using the college and career readiness framework for secondary students with disabilities, emphasizing the importance of students’ competencies for transition, academics, and social skills. Based on the major findings, we discuss the implications for establishing and developing the system of university supports for students with intellectual and developmental disabilities, as well as for enhancing educational supports to develop student capacities for higher education.
Inappropriate requests for tumor markers in patients aged 50 years and older: lessons not learned.
Authors: Camargos Einstein , Nascimento-Júnior Valter Paz
Published: September 2020

Tumor marker (TM) requests are common in the clinical practice when screening for neoplasms. Objectives: To investigate, within a private health insurance, the ordering frequency and the costs related to inappropriate TM test orders. Methods: This study analyzed data regarding TM requests within a private health insurance between 2010 and 2017. Patients included in this analysis were ≥ 50 years old, had available medical records, and had at least 1 TM tested within the study period. Tests were considered inappropriate when TMs were used in screening for neoplasms, ie, when there was no previous diagnosis. We evaluated data regarding age, sex, the ordering physician’s medical specialty, and test costs. Results: Between 2010 and 2017, 1112 TM tests were performed and increased from 52 to 262 per year. Our sample consisted mostly of women (69.5%) with a mean age of 59.4 (SD, 8.2) years. Most orders were inappropriate (87.8%) and represented 79.4% of all expenses with TM tests. Cardiology professionals were the medical specialty that requested the most TM tests (23.9%), followed by internal medicine specialists (22.7%) and gynecologists (19.2%). Conclusion: We observed a high percentage of inappropriate test orders in the study period, resulting in elevated costs. Studies of this nature deserve the attention of health care managers, and interventions should be performed in order to reduce the inappropriate use of TM tests in clinical practice.
Conversational Intelligence Challenge: Accelerating Research with Crowd Science and Open Source
Authors: Burtsev Mikhail , Logacheva Varvara
Published: September 2020

Development of conversational systems is one of the most challenging tasks in natural language processing, and it is especially hard in the case of open‐domain dialogue. The main factors that hinder progress in this area are lack of training data and difficulty of automatic evaluation. Thus, to reliably evaluate the quality of such models, one needs to resort to time‐consuming and expensive human evaluation. We tackle these problems by organizing the Conversational Intelligence Challenge (ConvAI) — open competition of dialogue systems. Our goals are threefold: to work out a good design for human evaluation of open‐domain dialogue, to grow open‐source code base for conversational systems, and to harvest and publish new datasets. Over the course of ConvAI1 and ConvAI2 competitions, we developed a framework for evaluation of chatbots in messaging platforms and used it to evaluate over 30 dialogue systems in two conversational tasks — discussion of short text snippets from Wikipedia and personalized small talk. These large‐scale evaluation experiments were performed by recruiting volunteers as well as paid workers. As a result, we succeeded in collecting a dataset of around 5,000 long meaningful human‐to‐bot dialogues and got many insights into the organization of human evaluation. This dataset can be used to train an automatic evaluation model or to improve the quality of dialogue systems. Our analysis of ConvAI1 and ConvAI2 competitions shows that the future work in this area should be centered around the more active participation of volunteers in the assessment of dialogue systems. To achieve that, we plan to make the evaluation setup more engaging.
Annotator Rationales for Labeling Tasks in Crowdsourcing
Authors: Kutlu Mucahid , McDonnell Tyler , Lease Matthew , Elsayed Tamer
Published: September 2020

When collecting item ratings from human judges, it can be difficult to measure and enforce data quality due to task subjectivity and lack of transparency into how judges make each rating decision. To address this, we investigate asking judges to provide a specific form of rationale supporting each rating decision. We evaluate this approach on an information retrieval task in which human judges rate the relevance of Web pages for different search topics. Cost-benefit analysis over 10,000 judgments collected on Amazon’s Mechanical Turk suggests a win-win. Firstly, rationales yield a multitude of benefits: more reliable judgments, greater transparency for evaluating both human raters and their judgments, reduced need for expert gold, the opportunity for dual-supervision from ratings and rationales, and added value from the rationales themselves. Secondly, once experienced in the task, crowd workers provide rationales with almost no increase in task completion time. Consequently, we can realize the above benefits with minimal additional cost.
Sulfate attack resistance and reliability analysis of fibre-reinforced concrete materials
Authors: Zhu Feifei , Qiao Hongxia , Li Jiangchuan
Published: September 2020

Sulfate erosion is one of the important factors causing the decline of concrete durability, and it is also one of the most environmentally damaging and most influential types of environmental erosion. In view of the problem that the durability of fibre-reinforced concrete decreased due to sulfate attack, according to the natural environmental conditions in western China, the rapid corrosion test of fibre (layered hybrid) concrete was carried out using the test method of accelerated erosion in saturated solution immersion. The loss of strength, mass and relative dynamic elastic modulus was studied as the law of durability degradation. A reliability analysis method for the residual life of sulfate-resistant concrete based on Wiener distribution is proposed. The dynamic elastic modulus was selected as the key degradation indicator to establish the fibre concrete reliability model and for life prediction. The results show that the layered hybrid fibre-reinforced concrete has stronger erosion resistance. Among the reliability evaluation parameters, the relative dynamic elastic modulus is more sensitive than the mass loss. The Wiener distribution process can effectively describe the degradation law of fibre concrete performance. Based on the experimental data, the residual life reliability model established by this method can directly reflect the relationship between the reliability of the test piece and the corrosion time and can reflect the remaining life of the test piece.
Some properties and estimates for φ-sub-Gaussian stochastic processes
Authors: Vasylyk Olga , Hopkalo O. M. , Kozachenko Yu. , Sakhno L. M.
Published: September 2020

In this paper, there are studied properties of stochastic processes belonging to the spaces of φ-sub-Gaussian random variables Sub_φ (Ω). For the processes defined on R, we obtain conditions for boundedness and continuity with probability 1, estimates for the distribution of the supremum are also derived.
Berry-Esseen bound for nearly critical branching processes with immigration
Authors: Khusanbaev Ya. , Sharipov S. , Golomoziy V.
Published: September 2020

In this paper, we consider a nearly critical branching process with immigration. We obtain the rate of convergence in central limit theorem for nearly critical branching processes with immigration.
European codes of contemporary Ukrainian symbolism
Authors:   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, Stoian S. P.
Published: September 2020

The article analyzes the specifics of contemporary Ukrainian symbolism in visual art in the context of a relationship with the European tradition. By drawing parallels between contemporary works by Ukrainian authors and symbolic images created in different historical periods of European culture from ancient times to nowadays, their deep kinship in their motives and meanings is demonstrated. This indicates that modern Ukrainian symbolism, on the one hand, is organically included in the European tradition, and on the other hand, contains unique, authentic features inherent in Ukrainian culture. Numerous works by contemporary Ukrainian authors, close to the idea of creating images, far from the principles of realism, images. It always hides multilayered, undiscovered meanings, testifies to the significant relevance of symbolism in contemporary art. At this stage of development, it demonstrates a crisis of form and radical conceptuality, in contrast to which artists are beginning to develop an interest in deeper, meaningful and multi-vector artistic images. It is noted that human is immersed in the world of symbols from birth, and it is this ability to symbolize even in primitive times begins to distinguish it from the animal world, because only human consciousness can create a symbolic space of culture. Art is also born in the bosom of symbolism because even the first rock paintings contain symbolic and mythological meanings. After all, man can see in the image of a tree, not just a plant that is a source of food or shelter, but a symbol of the universe, which combines three levels of the universe: underground, earthly and celestial. Symbolism is a much broader phenomenon than just an artistic direction, because the desire to generate symbolic images in art was present in all periods of human development, retreating to the periphery in times of powerful rationalization of culture and returning to the forefront of appealing to transcendent, irrational, unconscious of our existence. Only by conducting a thorough analysis of this phenomenon from the birth of art in primitive times, going through all stages of development of European culture, we can fully understand the origins, specifics and relationship of modern Ukrainian symbolism with European tradition, as well as its authenticity and originality. It distinguishes the phenomenon from all that has already been created in the space of visual art.
Changes the Ocular Surface after Corneal Refractive Surgery. Review
Authors: Trufanov S. V. , Sukhanova E. V. , Tyurina A. A.
Published: September 2020

Modern corneal refractive surgery provides high efficiency, safety, predictability and stability of the different ametropia kinds correction’s clinically-functional results. However, in overwhelming percentage of cases, having spent some time after surgery patients complain about discomfort, eyes dryness, burning, feel gritty, redness, blurred and vision instability. Complaints mentioned above are caused by the appearance of transitory dry eye syndrome. Main etiology and pathogenesis factors of this disease are presented in this review. The results of dry eye syndrome classical diagnosis methods have been analyzed, as well as modern techniques, characterized by high specificity and sensitivity, which allow to increase the dry eye’s diagnostics accuracy. The study of the dry syndrome after corneal refractive surgery is devoted to a huge number of works of domestic and foreign authors. However, at present time there is no unique algorithm for assessing the damage of the ocular surface before and after corneal refractive surgery, which would include a set of high-precision and specific techniques for quickly and reliably evaluate the severity of dry eye syndrome, allowing to develop preventive measures and pathogenetically oriented treatment and, thereby, accelerate rehabilitation of patients after surgery. Research continuation is needed in this direction.
Surgical Treatment of Previously Unclosed Macular Holes
Authors: Faizrakhmanov R. R. , Larina E. A. , Pavlovskii O. A.
Published: September 2020

Macular holes are the most often pathology leading to reduced vision among persons after 60 years. The macular hole is the acquired disease which is a defect of a foveola part of retina on all thickness from an internal limiting membrane to an external segment of a photoreceptor layer. The standard method of treatment is surgery method: a microinvasive vitrectomy with membrane peeling in macular area. There is a number of the techniques increasing efficiency of operative intervention. Even in case of successful surgical intervention macular holes are not always closed.

The purpose: development and assessment of morphological parameters of the central retina with a new surgical method of closing earlier operated macula hole using a free flap.

Material and methods. 40 patients (40 eyes, 28 women and 12 men) had participated in this study. All patients were operated about macular hole with negative anatomic result. By technology which were used earlier, patients were divided into 3 studied groups (with PRP mass using, with introverted flap using, with mechanical matching of edges of a hole). The main method of research was the optical coherent tomography. All patients were operated by an original technique. It’s purpose was a closing of earlier operated rigid macular hole using a free flap.

Results. The defect of a photoreceptor component was closed with an additional expansion of earlier created macular rexis in patients of the 1st and 3rd groups at reoperation. The earlier created flap of an internal limiting membrane was used in patients of the 2nd group. In the analysis of dependence of change of visual acuity from morphological parameters of a macular hole after primary surgical treatment the inverse correlation relation from diameter of a macular hole on small and big radiuses is revealed. The highest visual acuity after a reoperation was reached at patients of the second group.

Conclusions. It is necessary to consider the technique which was used earlier, diameter of a macular hole on small and big radiuses, postoperative edema in a parafovea zone for planning the surgical treatment and a forecast of functional results.
Optical Coherent Tomography-Angiography in the Research of Myopia Complicated by Choroidal Neovascularization
Authors: Drozdova E. A. , Zhiliaeva O. V.
Published: September 2020

Purpose: to determine the features of myopic choroidal neovascularization (mCNV) using optical coherent tomography-angiography (OCTA) in patients with complicated myopia during anti-VEGF therapy.

Patients and methods. A prospective study of 25 people (40 eyes) with complicated myopia was carried out, which consisted in a comparative analysis of the qualitative and quantitative OCTA characteristics of 29 eyes with myopic CNV and 11 paired intact eyes. OCTA was used in the Angio Retina and Angio Analytics modes based on automatic software. The phenotypic features of CNV before treatment, during anti-VEGF therapy (Ranibizumab) and at the end of the observation period were taken into account.

Results. The average follow-up period is 26.12 (12.36; 35.02) months. Two mCNV phenotypes were established: glomerular (44.83 %) and flat (55.17 %) as regularized (18.75 %) and tangled (81.25 %) vascular network patterns. Hypointensive peripheral halo during the entire period of the neovascular complex activity was visualized regardless of the phenotype. Significant differences in the flat phenotype were revealed: neuroepithelial detachment (87.50 %) was more common, the Select Area and Flow Area of the neovascular complex was significantly greater both before treatment and at the end of the observation period, the mCNV course of continued growth after injection of anti-VEGF did not occur, recurrence rate is much higher. The area and perimeter of the foveal avascular zone (FAZ) in the eyes with mCNV increased significantly by the end of the observation. The acirculatory index (AI) was determined to be significantly higher, and the Retinal capillary flow density in the fovea region 300 μm wide around the FAZ (FD) was lower in the eyes with mCNV compared to the control group. The nonactive neovascular complex were characterized by depletion of the vascular network with a predominance of intervascular space, vessels in the form of a residual skeleton, blindly end, dim, small capillaries and end loops are missing. Halo with nonactive CNV is not found.

Conclusion. OCTA identifies the features of the course of myopic CNV depending on the phenotype, allows to evaluate the effectiveness of anti-VEGF therapy and the degree of progression of degenerative changes in the macular region.
Features of the Eye Hydrodynamics on the Background of Thyroid Dysfunctions
Authors: Likhvantseva V. G. , Korosteleva E. V. , Borisenko T. E. , Skopintseva M. M.
Published: September 2020

Purpose: to study the features of eye hydrodynamics in patients with thyroid dysfunctions.

Patients and methods. The material for this study was the results of a survey of 43 patients (86 eyes) with thyroid dysfunctions: 23 people (46 eyes) with primary untreated hypothyroidism (PGT) and 20 people (40 eyes) with primary untreated thyrotoxicosis (PTT). There weren’t ophthalmic hypertension and glaucoma There weren’t signs of ophthalmic hypertension and glaucoma in the patients included in this study at the stage of primary ophthalmologic diagnostics.

Results. Correlation analysis revealed a causal relationship between the ratio of T4 / TSH hormones, on the one hand, and indicators of secretion of aqueous humor per unit of time and ease of outflow, on the other hand. In the group of patients with hypothyroidism, a weak linear inverse correlation was found between the ratio of free thyroxine and thyroid stimulating hormone and the minute volume of aqueous humor: according to the regression model, an increase in the ratio of T4 / TSH hormones by 1 was accompanied by a decrease in the minute volume of aqueous humor by 3 units. In patients with thyrotoxicosis, a statistically significant inverse linear correlation was found between the ratio of the T4 / TSH hormones and the coefficient of ease of outflow. According to the regression model, with an increase in the ratio of hormones T4 / TSH by 1, the coefficient of lightness of outflow decreases by 5 units. The presence of thyroid receptors in the cytoplasm and nuclei of the endothelium cells of the trabecular apparatus, the nuclei of fibroblasts forming the stroma of the trabeculae, as well as in the nuclei of the pigment and non-pigment epithelium of the processes of the ciliary body substantiates the molecular basis of the causal connection of thyroid dysfunctions with hydrodynamic disorders The conducted studies confirm the modern concept that the control of regulation of the tissue and organ homeostasis is carried out by the coordinated interaction of 3 systems: nervous, endocrine, and immune. Regression modeling clearly shows a pronounced causal relationship between thyroid dysfunctions and hydrodynamic processes in the eye.

Conclusion. The results of clinical studies demonstrate the fact of controlling regulation by hydrodynamic processes at the eye level by the endocrine system, explain the possible mechanism on a morphological basis, and reveal the potential of a new therapeutic strategy.
Features of the Anterior Segment of the Eyeball in Children with 5 Cicatricial Retinopathy of Prematurity According to Ultrasound Biomicroscopy and Optical Coherent Tomography
Authors: Tereshchenko A. V. , Trifanenkova I. G. , Yerokhina E. V.
Published: September 2020

Purpose: to study the features of the anatomical and topographic relationships of the eye’s anterior segment structures in children with stage 5 ROP in the cicatricial period with the method of ultrasound biomicroscopy and optical coherent tomography of the anterior segment and to evaluate the possibility of using the data to optimize the surgical treatment of ROP.

Patients and methods. For the period 2015–2018 in the Kaluga branch of the Fyodorov Eye Microsurgery, 68 children (118 eyes) with 5 cicatricial ROP stages were examined and treated. Gestational age at birth varied from 24 to 31 weeks, body weight at birth — from 630 to 1600 grams. Age at the time of the survey ranged from 5 to 15 months. All children underwent the complex diagnostic examination, which included biometrics, tonometry, ultrasound ophthalmoscanning in B-mode, as well as UBM and OCT of the anterior segment of the eyeball. The extent of fixation of retrolental opacities to the posterior lens capsule, the presence of cystic cavities and retinal folds at the periphery, traction detachment of the ciliary body were determined. OCT of the eye anterior segment was performed in the presence of iridocorneal contact in order to clarify its length. As a result, a comprehensive detailed assessment made it possible to clarify or reject the characteristics identified by UBM, as well as determine the phasing and develop an individual plan of the operation in each case.

Conclusion. The use of complex diagnostic examinations, including UBM and OCT of the eye anterior segment in patients with 5 cicatricial PH stages, allows to optimize the tactics of surgical treatment in the advanced stages of the disease.
Influence of combined mechanical-chemical versus mechanical bowel preparation on anastomotic leak and surgical site infections after elective resection of left colon cancer
Authors: Ali Mohamed Mahmoud , El-Badry Ashraf Mohammad
Published: September 2020

Background: Mechanical bowel preparation (MBP) before elective resection of left colon cancer remains controversial. We propose that the protective effect of MBP is dependent on its combination with chemical preparation by oral antibiotics.Methods: Medical data of adult patients with left colon cancer who underwent elective resection at Sohag University Hospital (August 2016-March 2019) were reviewed. Anastomotic leak (AL), surgical site infections (SSI), postoperative morbidity and mortality were compared among patients who preoperatively received MBP followed by chemical preparation with oral antibiotics (MBP and OABx group) versus another group of preoperative MPB alone (MBP group).Results: Forty-two patients with left colon adenocarcinoma were enrolled, 21 per group. Overall, sigmoid colon was the most common site of left sided colon cancer (76%). Malignant lesions were found in proximal sigmoid in 19 (45%), rectosigmoid in 13 (31%), descending colon in 8 (19%) and splenic flexure in 2 (5%) patients. Dukes’ classification was A in 6 (14%), B in 19 (45%) and C in 17 (41%) patients. Compared with MBP, MBP and OABx group showed significantly lower rates of anastomotic leak (3 patients (14%) versus 1 (5%) respectively, p<0.05) and surgical site and intraabdominal infections (7 patients (33%) versus 2 (10%), p<0.05). MBP and OABx group exhibited lesser grades of postoperative complications (p<0.05) and shorter hospital stay (p<0.05). Postoperative mortality occurred only in the MBP group.Conclusions: Combined mechanical-chemical bowel preparation prior to elective resection of left colon cancer confers superior clinical outcome regarding anastomotic leak, surgical site infections and overall postoperative complications.
Compare outcome in patients of ileostomy and colostomy closure with surgical stapler versus ileostomy and colostomy closure with hand sewn anastomosis: a prospective study
Authors: Gohil Vikram B. , Bhatt Jenil Y. , Shah Samir M. , Aphale Rijuta
Published: September 2020

Background: Diverting temporary stoma is created to protect the primary bowel pathology and distal anastomosis. Once that primary pathology has been overcome or distal anastomosis gets healed, closure of temporary stomas can be carried out. Invention of stapling devices for intestinal anastomosis provided another dimension than hand sewn method to the stoma closure techniques. In this study, we have compared two methods of loop stoma closure-hand sewn method versus stapler method.Methods: This is prospective comparative study in which 50 cases of loop ileostomy/colostomy were taken. 25 patients underwent ileostomy/colostomy closure by hand sewn anastomosis (group A). Another 25 patients underwent ileostomy/colostomy closure by stapler anastomosis (group B). Time taken for operation, initiation of oral intake, anastomotic leak, post-operative wound infection and total hospital stay duration were compared between these two groups to conclude about which method is superior and in the best interest of patient and surgeon.Results: Mean operation time 105.96 minutes (group A) and 72.84 minutes (group B). Mean time to start oral intake 5.36 days (group A), 3.6 days (group B). 16% patients (4/25) group A and 4% patients (1/25) group B developed anastomotic leak. 28% patients (7/25) group A and 8% patients (2/25) group B had post-operative wound infection. Mean hospital stay 10.4 days in group A and 7.84 days in group B.Conclusions: Stapler method provides significant benefits in terms of less operative time, early oral intake and less hospital stay. Overall stapler method for stoma closure is more efficient and cost effective.
Ventral hernia from routine repairs to abdominal wall reconstruction: our initial experience
Authors: Ishwarappagol Sheetal , Krishnappa Rohit
Published: September 2020

Background: Loss of continuity of abdominal wall significantly affects the functions of protection of viscera, postural stabilization, and maintenance of intra-abdominal pressure. The newer understanding of abdominal wall reconstruction (AWR) aims at restoring abdominal wall anatomy and function, instead of simply patching the defect. We want to showcase the changing trends and results in hernia repair at a Medical Institution.Methods: This is an observational retrospective study conducted in RRMCH, Bengaluru from July 2018-2019 including all patients with ventral hernia undergoing the specified hernia repairs.Results: A total of 54 patients with ventral hernias undergoing routine hernia repairs/AWR surgeries were retrospectively analysed. The overall mean age was 46.62±12.44 year. Majority subjects were females (n=37; 68.5%), and overweight (Mean BMI=28.07±3.01/m2). 14 patients (25.92%), all males, had history of tobacco consumption. There were 38 (70.37%) primary ventral hernias and 7 recurrent hernias. Overall mean defect size was 10.2±0.4 cm. Most frequently performed was open retro rectus Hernioplasty (n=18; 33.33%), followed by open Preperitoneal Hernioplasty (n=17; 31.48%), laparoscopic intraperitoneal onlay mesh (IPOM) (n=16; 29.62%) and open transversus abdominis release (TAR) (n=3; 5.5%). On statistical analysis, it was found that Open repairs had higher post-operative pain (p=0.0005), longer hospitalization (p=0.0002) and higher incidence of surgical site events (p=0.0134) when compared to Laparoscopic repairs.Conclusion: As known already, minimally invasive techniques of hernia surgeries are shown to have acceptable outcomes when compared to radical open surgeries. Newer techniques of AWR are being employed to routine cases in larger numbers, and not just for complex reconstruction, at most centres with acceptable outcomes.
10 year institutional experience of use of buccal mucosal grafts for complex urethral reconstruction for varied indications with its outcome
Authors: Athawale Hemangi R. , Mane Shivaji B. , Daginawala Taha
Published: September 2020

Background: The objective of the study was to evaluate long term efficacy and outcome of use of buccal mucosal graft (BMG) for urethral reconstruction in varied urologic conditions in children.Methods: We retrospectively reviewed the medical records of 41 patients from 2009 till 2019 in our institution in which BMG was used for urethral reconstruction. Clinical findings along with surgical techniques used were noted for these patients. Postoperative outcome and complications were evaluated.Results: Mean age was 6.8 years and mean follow up was for 4 years. Out of 41 patients, BMG for substitution urethroplasty was used in 25 cases of hypospadias, 4 cases of urethral stricture, 6 cases of 46 XY disorders of sexual disorders, 4 cases of Y-duplication of urethra, and 2 cases of redo-epispadias repair. 11 patients underwent one stage repairs with a success rate of 63% and 30 patients underwent two stage repair with a success rate of 66%. Analysis and comparison of the outcome in relation to the type of repair, meatal position and number of surgical procedures prior to BMG urethroplasty was statistically insignificant.Conclusions: Buccal mucosa is an ideal graft substitute for urethroplasty. Two stage reconstructions has a slightly higher success rate than one stage reconstruction but the choice of the technique must be based on patients characteristics and on surgeons preference.
A rare clinical entity of asymptomatic adult bochdalek hernia
Authors: Ramachandran Balamurugan , Pugazhenthi Aravindan Srinivasan , Bharadwaj Rajkumar Abhinav , Dube Saumitra , Perumal Moorthy
Published: September 2020

Bochdalek hernia (BH) is the commonest congenital diaphragmatic hernia, caused by the failure of the posterolateral diaphragmatic foramina to fuse properly. It is extremely rare in adults and accounts for 5-10%. Presenting a case of 48 years female with complaints of dry cough and left chest pain for 1 week. Diminished breath sounds and abnormal gurgling sounds heard on auscultation of left chest wall. X-ray chest showed elevated left hemi diaphragm and gastric bubble. Computed tomography (CT) chest revealed left diaphragmatic hernia with splenic flexure, transverse colon, mesocolon, spleen and upper pole of left kidney as content and atelectasis of left lung lower lobe. Patient underwent laparoscopic repair of hernia with mesh plasty. Intraoperatively, the contents were reduced into the abdominal cavity and left lung expansion noted. The defect of size 6×10 cm in the left diaphragm was sutured and composite mesh placed. Post-operative chest x-ray showed expanded left lung. On follow up of patient after 2 weeks and 1 month, patient was asymptomatic. BH in adults is an uncommon. The contents can be reduced via thoracic or abdominal approach, with abdominal approach having easier access. With the advent of minimal access techniques, delineating clear anatomy, more working space, early recovery, and early return to home and work is possible. Thus, laparoscopic repair of adult diaphragmatic hernia is a safe and effective modality of surgical treatment.
Primary hydatid cyst of the mesentery presenting as a small bowel volvulus
Authors: Urval Medha , Pai B. Srinivas , Mulla Sameer Ahmed
Published: September 2020

Hydatid disease mostly caused by Echinococcus granulosus (dog tape worm) is a common parasitic disease in pastoral areas. It produces cysts in the human body. Human is an accidental intermediate host. Most common sites are liver and lungs. Intraperitoneal hydatid cyst occurs sometimes and it is usually secondary to rupture of primary hepatic hydatid cyst. Primary intraperitoneal hydatid cyst is rare (2%). Primary hydatid cyst in mesentery is very rare. Small bowel volvulus is rare but documented complication of tumours of the mesentery, including cysts. In this article, the authors present a case of primary mesenteric hydatid cyst with acute intestinal obstruction secondary to volvulus.
Forgotten double J stent in crossed renal fused ectopia: a rare case report
Authors: Kumar Prashant , Joseph Sachin , Misra Pabitra Kumar , Nair Kiran S.
Published: September 2020

Ureteral double J (DJ) sent has now become one of the most commonly used tools in endourology. Complications are bound to occur if forgotten to remove, such as encrustations, infection, migration, renal dysfunction, hydronephrosis. Crossed renal fused ectopia is a very rare congenital malformation due to abnormal kidney ascent with fusion during embryogenesis in the first trimester. we report a very rare case of forgotten DJ stent in crossed fused ectopia, in 66 years old diabetic patient post left ureterorenoscopy (URS) done 3 years back. Retrograde intrarenal surgery (RIRS) was done for DJ stent removal right.