bluuebunny/crossref_metadata_2025 huggingface dataset:
STRESS-RESPONSE EXPRESSION IN DIFFERENT ANESTHESIA TECHNIQUES DURING OPHTHALMOSURGICAL INTERVENTIONS IN CHILDREN
Authors: Korobova L. S. , Lazarev V. V. , Balashova L. M. , Kantarzhi E. P.
Published: May 2019

Just like any surgery, a surgical operation pertaining to the eye and its appendages is a common cause of stress that changes the functions of all organs and systems. Numerous previous studies have shown this. The task of anesthesia is to protect a body from stress.

The purpose of the studywas to estimate the severity of a stress reaction when using different methods of anesthesia during eye surgeries in children.

Material and methods.Plasma concentrations of glucose, lactate and cortisol were measured in children aged 4 to 18 years old at three surgical stages. Various methods of anesthesia were used in 5 groups. The patients were distributed at random with 20 children in every group.Results.All estimated values were within the age-specific reference range. Glucose and cortisol levels tended to increase, whereas lactate level was decreasing.

Conclusion.The suggested anesthesia types can sufficiently protect patients during eye surgeries and be applied in the practice.
TREATMENT AND MEDICAL REHABILITATION IN CHILDREN WITH A HYPERACTIVE BLADDER
Authors: Novikova E. V.
Published: May 2019

The article describes modern technologies of medical rehabilitation in children with a hyperactive bladder (HAB) aimed at the perfection of a urinary act at any levels of bladder innervation. Medical rehabilitation of children with HAB includes behavioral therapy and drug therapy. Physiotherapeutic methods are popular due to the eﬀect on the basic links of pathogenesis, lack of adverse eﬀects and possibility of use in infants. The complex treatment of neurogenic bladder dysfunction uses a wide spectrum of physiotherapeutic methods aimed at the regulation of urination acts at the level of supraspinal and spinal urination centers, system of detrusor stabilizing reﬂexes and improvement of blood supply and metabolic trophic processes in the detrusor. Natural and preformed methods of physiotherapy are currently used along with exercise therapy, massage and biofeedback therapy.
ESOPHAGOPLASTY WITH STOMACH OR COLON ESOPHAGOPLASTY IN CHILDREN? COMPARISON OF TREATMENT OUTCOMES
Authors: Razumovsky A. Yu. , Alkhasov A. B. , Bataev S. M. , Chumakova G. Yu. , Zadvernyuk A. S..
Published: May 2019

Purpose. A prospective study was carried out. It compared treatment outcomes in children who underwent esophagoplasty with stomach or colon esophagoplasty.

Materials and methods. Clinical records of 172 patients who underwent esophagoplasty at N. F. Filatov Children’s Clinical Hospital No. 13 of Moscow from 2009 to 2015 were analyzed. The operated children were divided into two groups. 46 children from group 1 (basic group) aged 2 months to 13 years underwent esophagoplasty with stomach. 126 children aged 2 months to 18 years who had colon esophagoplasty were enrolled in group 2 (control group). In both groups, the majority was presented by children with atresia and corrosive strictures of esophagus. Clinical observation, esophagogastroduodenoscopy, contrast radiography, CT and MRI study, survey of patients were used to estimate direct and remote treatment outcomes.

Results. The analyzed groups were comparable for the course of the early postoperative period. The early postoperative period had no complications in 54% of cases in group I and in 54.4% of cases in group II. Recurrent surgeries for complications were more frequent in group I (23.9%) as compared to group II until signifcant indices were reached (10.3%, p = 0.04). In the comparison groups, patients’ quality of life were signifcantly diﬀerent by the rate of almost any complications in the remote period. They demonstrated better quality of life for children after colon esophagoplasty.

Conclusion. Higher quality of life in children after colon esophagoplasty compared to children following esophagoplasty with stomach indicates that this is a surgery of choice in children.
STRUCTURE OF SURGICAL ABNORMALITY IN NEWBORNS OF THE NIZHNY NOVGOROD REGION
Authors: Karpova I. Yu. , Parshikov V. V. , Rozhdenkin E. A. , Batanov G. B. , Pivikov V. E. , Pyatova E. D. , Molchanova D. V. , Bebenina A. A.
Published: May 2019

Introduction.A tendency to the decline in birth rate and reduced number of diseases of the neonatal period has been lately observed in the Nizhny Novgorod region.

Materials and methods. 494 neonates with a surgical pathology aged from the frst hours to several weeks were treated in hospitals serving as clinical bases for the Volga Research Medical University from 2013 to 2017. 305 (62%) boys and 189 (38%) girls were observed. The majority of children (88%) were taken to surgical departments from maternity homes and perinatal centers of the city and region. 62 (12%) of children were hospitalized following the referral from local pediatricians. Admitted patients had a clinical and instrumental examination and initial therapy that stabilized their conditions and prepared them for surgeries.

Results. Congenital malformations (CM) were diagnosed in 330 (67%) children only. According to analysis of diseases related to the neonatal period, purulent and septic processes were found in 104 (21%) patients. Surgeries were performed in children aged from day 1 to several months of life.

Conclusion. Modern antenatal diagnostics and complex examination of newborns in the neonatal period enable timely detection of congenital abnormalities and initiation of adequate treatment.
EXPERIENCE WITH TREATMENT OF DENTIGEROUS CYSTS OF THE JAWS IN CHILDREN
Authors: Slesareva O. A. , Karpova I. Yu.
Published: May 2019

Introduction A tendency to the increasing rate of follicular jaw cysts in children has been observed in Nizhny Novgorod region lately. Material and methods. 240 children (131 (54.6%) boys and 109 (45.4%) girls) with follicular jaw cysts aged 4 to 17 inclusive were treated at the maxillofacial department of Nizhny Novgorod Regional Children’s Clinical Hospital between 2003 and 2018. The follicular jaw cyst was diagnosed based on complaints, past medical history, and X‑ray examination (orthopantomography, computed tomography) done on the outpatient basis. All patients were operated using standard methods such as cystectomy, cystotomy, cystectomy with maxillary sinusotomy (when a cyst penetrates the maxillary sinus). Results. Within the last years, duration of hospitalization was reduced from 17.0±0.6 to 4.0±0.3 calendar days (2017) and to 4.8±0.4 calendar days (2018). The amount of immature permanent teeth increased as well. Conclusions. Thus, in spite of a greater number of children with follicular jaw cysts in Nizhny Novgorod region, it was possible to reduce duration of hospitalization and increase the number of preserved immature permanent teeth due to better diagnostics, earlier cyst detection and use of cystectomy.
Onkoloji Hemşirelerinin Tükenmişlik ve İş Doyumu Düzeyleri: Adana Örneği
Authors: KUMAŞ Gülşah , ÖNER YALÇIN Sibel , ÖZTUNÇ Gürsel
Published: May 2019

Onkoloji
birimlerinde çalışan hemşireler sıklıkla ağır sağlık problemleri olan
hastalarla çalışmak zorundadırlar. Kanser tanısı konulmasından hastanın
kaybedilmesine kadar olan süreç sadece hasta ve
ailesi için değil bakım veren hemşireler için de çeşitli zorluklar
içermektedir. Hastaların ağır yan etkileri olan tedavilerini yönetme,
hastaların tedaviye uyum sorunları, hastaların ağrı ve acı çekmesine şahitlik
etme, ekip çatışmaları, terminal dönem hastalarının bakımı ve kaybedilmesi ile
ilgili yaşanan stresli durumlar bu zorluklardan bazılarıdır. Araştırmamız onkoloji hemşirelerinin iş doyumu ve tükenmişlik
düzeylerini belirlemek amacı ile tanımlayıcı olarak yapılmıştır.Araştırmamız,
Adana il merkezinde biri devlet diğeri vakıf olmak
üzere iki üniversite hastanesi ile bir devlet hastanesinin onkoloji ve
hematoloji birimlerinde görev yapan 72 hemşirenin katılımıyla yapılmıştır. Araştırmamızda
Maslach Tükenmişlik Ölçeği ve Minesota İş Doyum Ölçeği kullanılmıştır.Araştırma
sonuçlarına göre hemşirelerin yaş ortalaması 31.2±8.4, %56.9'u evli, %48.6'sı
lisans mezunu, %16.7'si ise onkoloji hemşireliği sertifikasına sahiptir. Tükenmişlik
Ölçeğinin, duygusal tükenme (DT) alt boyutunda hemşirelerin (27.89±6.54 puan), duyarsızlaşma
(D) alt boyutundan (12.53±4.71 puan) yüksek düzey tükenme yaşadıkları, kişisel
başarı (KB) alt boyutunda ise düşük düzey tükenmişlik yaşadıkları belirlenmiştir.
İş doyum ölçeğinin içsel doyum puan ortalaması 36.19±9.88, dışsal doyum puan
ortalaması ise 21.64±6.26’dır.

Sonuç olarak
hemşirelerin yüksek düzeyde tükenmişlik yaşadıkları, ancak başkalarına faydalı
olduklarını düşündükleri için kişisel başarı duygusu ve orta düzeyde iş tatmini
yaşadıkları söylenebilir.
Loïc Wacquant'a İlişkin Notlar Üzerinden Güncel Türkiye Okuması Denemesi
Authors: KİRMİZİ Meric
Published: May 2019

Bu
makalede Wacquant'ın bir araştırmacı olarak kendine iki görev biçtiği ileri
sürülmektedir. Bu görevlerden birincisi, araştırmacılara Bourdieu’yü anlatmak
ve Bourdieu’nün kavramsal çerçevesinin akademik araştırmalarda, örneğin kent
araştırmalarında, doğru bir biçimde kullanımını desteklemektir. Bu konuda Wacquant’a
bir eleştiri, Wacquant Bourdieu'yle ilgili açıklayıcı bilgiler verir ve iyi örneklerin
yanında, onun araştırmacılarca sıklıkla yanlış anlaşılıp, kullanıldığı
durumları sergilerken, gerçekte kendi Bourdieu okumalarının da bir dolayım olduğu
gerçeğini onun göz ardı etmesidir. Wacquant’ın ikinci görevi ise, cezalandırıcı
devlet, ırk ve toplumsal sınıflar arasındaki ilişkiler, beden ve kent
etnografisi gibi konularda kendi kuramlarını geliştirirken, yöntembilimsel
olarak Bourdieu’nün ayak izinden gitmektir. Bu görevi altında, Wacquant'ın 20.
yüzyıl sonuna özgü, iki başlı devlet (Centaur state) izleği birçok çalışmasında
önemli bir belirleyici olarak yer aldı. Bu devlet tepede özgürlükçü (liberal)
ve altta cezalandırıcıydı (paternalist). Bu makale öncelikle, Wacquant'ın bu
görevlerini en iyi temsil eden çalışmalarını özetler. Ardından, ABD ve Fransa’nın
geçen yüzyılın sonlarındaki toplumsal koşullarının Türkiye'deki geçerliliğini
tartışır. Son olarak, Bourdieu’nün bürokratik alan gibi kavramsallaştırmaların
Türkiye’deki güncel toplumsal ve siyasal bağlamı anlamaya ne ölçüde rehberlik
edebileceğini inceler. Makale, güncel merkezileşme eğilimini devletin cezalandırıcı
yüzünün liberal yüzüne ağır basması olarak yorumlar ve bu savı verilerle destekler.
Mekân, Kimlik, Sınıf: Farklar Neden Bir Arada Barınamazlar?
Authors: ALPMAN Polat
Published: May 2019

Eşitsizlik
ve ayrımcılık modern kapitalist toplumsal yapının bir parçasıdır. Eşitsizlik
farklılaşmanın bir türüdür. Farkları eşitsizlik ve ayrımcılık nedenine
dönüştüren koşullar, kapitalizmin tarihsel gelişiminin bir sonucudur. Mekân,
bütün farklılaşmaların somut hale gelip cisimleştiği; farkların eşitsizlik ve
ayrımcılık haline dönüştüğü ilk yerdir. Farklılaşmanın birçok nedeni vardır.
Mekânsal farklılaşma, kaynakların eşitsiz dağılımıyla başlayan bir sürecin
ürünüdür. Bu durum onu eşitsizlik olarak tanımlamanın ilk adımını oluşturur.
Ancak mekânsal farklılaşmanın sürdürülmesine neden olan birçok eşitsizlik
biçimi bulunmaktadır. Mekânsal farklılaşma sınıfsal, kültürel, etnik, dinsel,
cinsel kimliklerin kente yerleşmelerinde, yer bulma davranışlarında ve yerleşim
stratejilerinde belirleyicidir. Ayrıca mekânsal farklılaşma toplumsal
farklılaşmanın ve işgücü piyasasının yeniden düzenlenmesinin ön koşuludur.
Mekânsal farklılaşma, kentteki yerleşimle ilgili bir farklılaşma olarak ortaya
çıksa da farklılaşmanın nedeni toplumsal alanlardaki eşitsizliklerin örgütlenme
biçimidir. Mekânsal farklılaşma ve kimlikler arasındaki ilişki dikey ve yatay
hatta inşa edilir. Egemen kimliğin dışında kalan kimlikler üzerindeki tahakküm,
mekânsal farklılaşma yoluyla yeniden üretilmektedir. Kimlik ve mekânsal
farklılaşmanın iç içe girmesinin sonuçlarından biri işgücü piyasasının
kimliklerle yeniden düzenlenmesidir. Ayrıca yeni elitlerin, kendilerine
benzemeyen diğer sosyal gruplardan ve kimliklerden ayrışmalarını sağlamaktadır.
Bu çalışma mekân, kimlik, sınıf kavramlarından hareketle farklılaşmanın
mekânsal dinamiklerini ve farkların neden bir arada barınamadıklarını anlamayı
ve açıklamayı amaçlamıştır.
Meningkatkan Mutu Pendidikan/Menjamin Mutu Pendidikan Melalui Supervisi Pendidikan Untuk Mencapai Kualitas Pendidikan Nasional
Authors: putri marchelina nurfa
Published: May 2019

Kualitas pendidikan di indonesia masih belum memenuhi kualitas yang baik .kondisi pendidikan di indonesia saat ini bisa dikatakan kacau sebab masalah-masalah sering muncul di dunia pendidikan pada saat sekarang ini,contohnya saja tidak menghargai guru,bullying,guru dipenjarakan gara-gara menegur siswa begitu juga dengan supervisi pendidikan dimana pada saat sekarang ini banyak orang yang tidak mengenal apa itu arti supervisi dan apa kegunaan supervisi tersebut.Untuk memperbaiki pendidikan di Indonesia diperlukan sistem pendidikan yang responsif terhadap perubahan dan tuntutan zaman.peningkatan kualitas pendidikan perlu dilakukan secara berkesinambungan.Kata kunci:Meningkatkan Mutu Pendidikan/Menjamin Mutu Pendidikan Melalui Supervisi Pendidikan Untuk Mencapai Kualitas Pendidikan Nasional
Improved day ahead heating demand forecasting by online correction methods
Authors: Bünning Felix , Bollinger Andrew , Heer Philipp , Smith Roy S. , Lygeros John
Published: May 2019

To reduce the heating and cooling energy demand of buildings and districts novel control strategies are constantly being developed that require information on the future demand of the controlled entity. Demand forecasting is commonly done with deterministic white box models or fitted grey-box models, however, recently more and more data and machine learning based approaches are being developed. All approaches have weaknesses: white-box models require major modelling effort, grey-box approaches are limited by their model or parameter complexity and machine learning is dependent on hyperparameters, some of which are randomly chosen, and therefore considered unreliable. Here we develop a forecasting approach based on Artificial Neural Networks (ANN) and introduce error correction methods based on online learning and the learned autocorrelation of the forecasting error. We compare the approach to other regression based and grey-box methods in a real case study of a small-scale district energy system with mixed use and unknown lower-level control. We show that the proposed method outperforms the other forecasting methods in terms of average error and coefficient of determination. We further demonstrate that in our case study the error correction methods significantly reduce variance in ANN performance created by randomly initialized parameters in the networks.
Kondisi supervisi pendidikan yang seharusnya terjadi
Authors: Nurastati
Published: May 2019

Supervisi dalam dunia pendidikan sangat penting dilaksanakan karena berpengaruh terhadap kinerja guru pada hasil pembelajaran, dengan demikian pelaksanaan supervisi dapat berjalan dengan baik maka perlu diketahui apa dan bagaimana supervisi suatu pendidikan. Supervisi akademik merupakan suatu hal yang harus diketahui terlebih dahulu oleh seorang kepala sekolah, karena seorang kepala sekolah dia akan menjalankan suatu suprvisi atau disebut sebagai seorang supervisor dalam pelaksanaan supervisi
Pengaruh pendidikan di daerah terpencil
Authors: karlina leni
Published: May 2019

rakyat di indonesia atau bangsa indonesia ini belum memenuhi kualitas pendidikan yang yang di inginkan atau di harapkan di bandingkan dengan kualitas negara yang memiliki terbaik di dunia seperti pendidikan yang maju di finlandia indonesia di bisa di kategorikan sangat jauh tertinnggal dengan indonesia hal ini dapat di lihat dari presentasi pesererta didik yang menjadi tolak ukur pendidikan, dalam meningkatkan mutu pendidikan supervisi pendidikan memiliki peranan yang sangat penting dan sangat di butuhkan dalam pengembangan mutu pendidikan. dunia yang serba pendidikan saat ini atau dunia berilmu pengetahuan membuat orang-orang bersaing secara berpendidikan.
Menyimak Drama
Authors: Widayat Nida Nur Azizah Nur
Published: May 2019

Keterampilan berbahasa meliputi empat keterampilan dasar, yaitu menyimak, berbicara, membaca, dan menulis. Setiap keterampilan itu erat sekali hubungannya dengan keterampilan lainnya dengan cara yang beraneka ragam (Satria, 2017). Menyimak adalah aktivitas berbahasa pertama yang dikenal manusia sejak lahir, sebelum mulai belajar dan menguasai keterampilan berbahasa lain manusia akan mengenal menyimak terlebih dahulu. Keterampilan menyimak sebagai pondasi awal dalam pembentukan di diri seseorang mengenai suatu konsep dalam berbahasa artinya, kegiatan menyimak merupakan kegiatan penyaluran informasi tertentu bagi anak saat mengalami proses imitasi. Keterampilan menyimak berperan penting dalam usaha mempelajari banyak hal, apalagi di dunia pendidikan.
Supervisi Pndidikan
Authors: Fadhilah Naila
Published: May 2019

Supervisi pendidikan sebagai pembinaan yang meliputi bimbingan dalam bidang pendidikan kearah yang lebih baik sehingga terwujudnya peningkatan mutu kearah yang lebih baik lagi. Dalam hal ini supervisi pendidikan juga sangat berperan penting dalam upaya meningkatkan kinerja guru disekolah. Peningkatan kinerja guru dalam hal pembelajaran tentu sangat penting untuk dilakukan agar terwujudnya profesionalisme guru yang pada akhirnya juga akan berdampak pada peningkatan mutu sekolah serta seberapa besar pengetahuan yang didapat oleh siswanya sendiri.
pengaruh pendidikan di daerah terpencil
Authors: karlina leni
Published: May 2019

rakyat di indonesia atau bangsa indonesia ini belum memenuhi kualitas pendidikan yang yang di inginkan atau di harapkan di bandingkan dengan kualitas negara yang memiliki terbaik di dunia seperti pendidikan yang maju di finlandia indonesia di bisa di kategorikan sangat jauh tertinnggal dengan indonesia hal ini dapat di lihat dari presentasi pesererta didik yang menjadi tolak ukur pendidikan, dalam meningkatkan mutu pendidikan supervisi pendidikan memiliki peranan yang sangat penting dan sangat di butuhkan dalam pengembangan mutu pendidikan. dunia yang serba pendidikan saat ini atau dunia berilmu pengetahuan membuat orang-orang bersaing secara berpendidikan.
Preference for hierarchy is associated with reduced empathy and increased counter-empathy towards others, especially out-group targets
Authors: Hudson Sa-kiera Tiarra Jolynn , Cikara Mina , Sidanius Jim
Published: May 2019

The capacity to empathize with others facilitates prosocial behavior. People’s willingness and capacity to empathize, however, is often contingent upon the target’s group membership – people are less empathic towards those they categorize as out-group members. In competitive or threatening intergroup contexts, people may even feel pleasure (counter-empathy) in response to out-group members’ misfortunes. Social dominance orientation (SDO), or the extent to which people prefer and promote group-based inequalities, is an ideological variable that is associated with a competitive view of the world, increased prejudicial attitudes, and decreased empathy. Thus, higher levels of SDO should be associated with reduced empathy and increased counter-empathy in general, but especially towards those whose subjugation maintains group inequalities. Across three studies we show that among White individuals, higher SDO levels are associated with less empathy, and more counter-empathy in response to others’ good and bad fortunes. More importantly, these reductions in empathy and increases in schadenfreude as a function of SDO were significantly stronger for Asian and Black targets than for in-group White targets when group boundaries were made salient prior to the empathy ratings. Finally, in a fourth study we show that this phenomenon is not dependent upon a history of status differences: higher SDO scores were associated with decreased empathy and increased counter-empathy for competitive out-group (relative to in-group) targets in a novel group setting. We discuss implications of these effects for hierarchy maintenance.
Self-prescribed nutrition supplements for hair loss following laparoscopic sleeve gastrectomy bariatric surgery: extent of the problem in a cohort of Chinese patients
Authors: Bhagat Sachin , Guo Haijun , Gupta Radheshyam , Zhu Jiangfan , Shah Jay Narayan
Published: May 2019

Introductions: Hair loss is common after bariatric surgery. This study analyzes the extent and risk factors of hair loss following laparoscopic sleeve gastrectomy (LSG), and satisfaction of self-prescribed supplements.

Methods: All patients of LSG bariatric surgery during June 2013 to August 2016 at Shanghai East Hospital affiliated to Tongji University, Shanghai, China were included in the study. Study variables were- age, gender, preoperative body mass index, hemoglobin, albumin, total cholesterol, iron, zinc, copper, folic acid, vitamin B12, vitamin D, and postoperative excess weight loss (% EWL), time and degree of hair loss, satisfaction of using supplements. Logistic regression was used to analyze risk factors for hair loss.

Results: Total of 86 patients underwent LSG. After exclusion data on 54 patients (M=11, F=43) were analyzed. Hair loss was reported by 42/54 (77.8%, M=6, F=36), starting at 3.43±1.36 months and ending at 8.59±3.38. All of 11 severe hair losses were in female. The female gender, preoperative serum folic acid, and %EWL were significant risk factors for hair loss. Hair regrowth was reported by 39/42 (92.86%). The 15 patients who used various self-prescribed iron and zinc supplements reported no satisfactory benefit.

Conclusions: Hair loss was seen in 3/4th of patents after LSG bariatric surgery. Self-prescribed nutrition supplements were used by 1/3 of patients without satisfaction. Female gender, preoperative serum folic acid, and %EWL were significant risk factors for hair loss.
Percutaneous trigger finger release using 18G hypodermic needle
Authors: Yadav Sandip Kumar , Sah Deb Narayan , Gupta Manoj Prasad
Published: May 2019

Introductions: Patients of stenosing tenosynovitis or trigger finger presents with pain, swelling, limitation of finger movement, and triggering. Thickening of the A1 pulley, with resultant entrapment of flexor tendons, is the primary pathology. In failed conservative treatment, surgical release by open or percutaneous technique is used. The aim of this study was to evaluate the results of percutaneous release of trigger fingers using hypodermic 18-gauge needle under local anesthesia.

Methods: A cross sectional study of percutaneous release of trigger fingers using hypodermic 18-gauge needle under local anesthesia was performed in outpatient clinic at Janaki Medical College Teaching Hospital, Janakpur, Nepal, from July 2016 to September 2017. Informed consent was obtained. All the patients were followed up on 3rd day, 1st week and one month in outpatient department, and further telephone follow up at three and six months after surgery.

Results: There were 38 patients, female 25 and male 13, age 24 to 67 years. Successful release was achieved in 36/38 (95%) with normal activities within 48 hours. None had complications like digital neurovascular injury or tendon bowstringing. One patient had superficial skin infection and was treated successfully with oral antibiotics. Two (5.2%) had pain and recurrent triggering requiring open release in the first week. At one, three and six months follow up patients reported no triggering of released fingers.

Conclusions: Percutaneous release with hypodermic 18-gauge needle under local anesthesia in the treatment of trigger finger was an effective and convenient method with a low complication rate.
Interpretation on coexistence or association of thrombocytopenia with malaria
Authors: Nepal Niraj , Choudhary Prabesh Kumar , Mainali Nirajan
Published: May 2019

Background: Malaria is a major health problem especially in developing countries. It is a major causeof morbidity and mortality especially in the tropics. There are several hematological changes in thisparticular disease, which includes thrombocytopenia, anemia , atypical lymphocytosis and infrequentlyintravascular coagulation. The aim of the study is to detect and compare the severity of varioushematological changes, especially thrombocytopenia in the particular type of malaria.Materials and Methods: This was an observational study done on the patients attending the outpatientand inpatient departments clinically suspected for malaria in Nobel Medical College, Biratnagar, Nepal.Thick and thin slides were made and stained with Leishman’s stain for malarial parasites and also antigentests were included wherever necessary. Other tests included were, complete blood counts.Results: Amongst the included 800 patients with suspicion of malaria, 135 (17%) patients demonstratedmalarial parasites on peripheral blood film. Male predominance in male to female predominance of 3.5:1was observed. Total number of 120 out of 135 had thrombocytopenia. Thrombocytopenia was observedhigher in P. Vivax (79.3%) followed by Mixed infection (17%) and P. falciparum (3.7%) respectively.Conclusion: Anemia with mainly thrombocytopenia was mainly seen in P. Vivax type followed by P.Falciparum. Since thrombocytopenia is associated with malaria, which is demonstrated in our study,treating physicians should keep malaria as one of the differential diagnosis in patients with fever and lowplatelets.
THE STUDY RESULTS OF ADAPTIVE-ECOLOGICAL TRAITS OF THE NEW VARIETIES AND PROMISING LINES OF WINTER SOFT WHEAT IN THE RYAZAN REGION
Authors: Levakova O. V.
Published: May 2019

A number of objective reasons for the modern agrarian complex show that it is necessary to orient the most part of the agricultural establishments to a wider introduction of environmentally adaptable varieties. Due to the relevance of this problem, the article analyzes the study results of the competitive variety trials (2016–2018) of 6 varieties, 2 of which are on the SVT, and 11 breeding lines of winter wheat of local selection according to the parameters of ecological adaptability in the agricultural zone of the Ryazan region. There were studied such indicators as stress tolerance, genetic flexibility, coefficient of variation, coefficient of adaptability, yield range, index of stability and indicator of PUSS. As a result of research, it was found that the yield of the standard variety “Angelina” was 7.59 t/ha. The varieties “Glafira”, “Okskaya Krasa” (8.25 and 8.31 t/ha, respectively) produced larger average productivity than the standard variety. The breeding lines “L 45/18”, “L 48/18”, “L 49/18”, “L 65/18”, “L 64/18”, “L 46/18”, “L 63/18” had an average productivity of 7.72 to 8.16 t/ha. It was established that the studied winter wheat varieties and lines had different stress resistance (–0.9...–3.1), a large variation in genetic flexibility (6.9–8.34), different stability index (3.4–19.0) and PUSS (39.6%–223.6%). It was found that only 10 (58.8%) varieties and lines out of 17 studied ones had an average adaptability factor higher than 1. The study has identified that the variety “Glafira” and the breeding lines “L 43/18”, “L 44/18”, “L 45/18” are the most adaptable and stable ones in the conditions of the Ryazan region.
RECONSTRUCTIVE AND STABILIZING ABILITY OF THE MAIZE LINES IN STERILE CYTOPLASM “M” AND “C” TYPES OF CMS
Authors: Krivosheev G. Ya. , Ignatiev A. S.
Published: May 2019

Seeds of maize hybrids in the Russian Federation are obtained using CMS, therefore it is necessary to transfer the developed hybrids to a sterile basis to introduce them into production. The purpose of the work is to study the reaction of self-pollinated maize lines to various types of CMS. There was estimated the response of 26 self-pollinated maize lines to the “M” type of CMS and the response of 23 lines to the “C” type of CMS. The simple sterile hybrids “Milena M”, “Madonna M”, “Krucha M”, “Istok C”, “Nimfa C”, “Malvina C”, which are the mother forms of the new three-linear maize hybrids have been used as the testers of the sources of sterility. The self-pollinated lines have been classified according to the response to the “M” type of CMS as sterility fixers (11), incomplete sterility fixers (7), fertility reducing agents (6), non-uniform in reconstructing ability (2). In relation to the “C” type of CMS there were identified 10 sterility fixers, 3 incomplete sterility fixers, 7 fertility reducing agents, 3 non-uniform in reconstructing ability. The reducing agents of Moldavian type of CMS “FC 18 A”, “T 22 A”, “DS 768/83-3”, “DS 768/85-4”, “DS 768/85”, “DS 768/85-5” are of the greatest practical interest as they can be used as natural reducing agents (paternal forms) in the developed hybrid combinations. The constant natural reducing agents of the “C” type of CMS (“T 22 A”, “PLS 61”, “DK 22/325”, as paternal forms of hybrids grown on sterile cytoplasm of the “C” type) are of practical value. The use of sterile testers in hybridization allows simultaneously with the development of new hybrids to start the first stage of their transfer to a sterile basis, namely to evaluate the response of the lines to the sterile cytoplasm.
Pharmacoeconomic Analysis of Vinflunine in Patients With Urothelial Transitional Cell Carcinoma Resistant to Platinum-Based Regimens
Authors: Nedogoda Sergei , Rogov Vladimir , Salasyuk Alla , Frolov Maksim
Published: May 2019

Aim. To assess the economic outcomes of using vinflunine in combination with the best supportive therapy (BST) in the treatment of patients with urothelial transitional cell carcinoma (UTCC) and ineffectiveness of chemotherapy with a cisplatin-containing combination of drugs and the inability to use immuno-oncological drugs.

Methods. The economic impact assessment was carried out using cost-effectiveness analysis and budget impact analysis. Cost-effectiveness and budget impact analyses were performed in Microsoft Excel models.

Results. The use of vinflunine in combination with BST in the second-line chemotherapy of UTCC, compared with using BST only, increases the life expectancy of patients – overall survival (OS) with vinflunine + BST was 6.9 months, only with BST was 4.3 months. The amount of additional costs to achieve one unit of efficiency (ICER) when using vinflunine in combination with BST amounted to 190 920 rubles for one added month of life, which is 61.7% lower compared to the reference ICER for pembrolizumab (the drug is included in the drug list). As a result of the analysis of the “impact on the budget”, it was shown that the use of therapy with vinflunine requires additional financial costs for a course of treatment in the amount of 49 639 191 руб. (57,76%) for the first year, 138 516 980 руб. (80,03%) for the second year and 263 841 866 руб. (88,91%) for the third year of the analyzed introduction of vinflunine into the structure of drug provision for patients with UTCC in the Russian Federation, based on the calculation of the need for 586 patients per year.

Conclusion. Based on the analysis, it was shown that therapy with vinflunine combination with BST is a cost-effective and preferred alternative compared to BST for treating patients with urothelial transitional cell carcinoma and ineffectiveness of chemotherapy with a cisplatin-containing combination of drugs and the inability to use immuno-oncological drugs.
RANCANG BANGUN SISTEM INFORMASI PERSEDIAAN OBAT BERBASIS WEB DI APOTEK XYZ
Authors: Suryadi Andri , Harahap Erwin , Rachmanto Adi
Published: May 2019

Meskipun telah memasuki abad digital yang dimana berbagai aspek ini kini telah terkomputerisasi, masih ditemukan pengelolaan data obat pada beberapa apotek yang masih dilakukan secara konvensional. Hal ini kurang efektif karena membutuhkan waktu yang cukup lama dalam pembuatan laporan dan kemungkinan buruk bisa terjadi jika data tersebut hilang atau rusak. Ruang lingkup permasalahan penelitian ini adalah bagaimana merancang sistem informasi  pada suatu Apotek yang tujuannya akan mempermudah proses pengolahan suatu data untuk sebuah informasi yang lebih akurat dan lebih tepat waktu sesuai dengan yang diharapkan dan diinginkan oleh pengguna, khususnya pegawai apotek yang bersangkutan, demi menciptakan efisiensi dan efektivitas kerja perusahaan atau instansi itu sendiri maupun dalam meningkatkan pelayanan Apotek terhadap pelanggan atau kliennya. Tujuan penelitian ini adalah merancang dan membuat sebuah sistem informasi berbasis web yang berguna dalam mengolah data obat - obatan serta informasi tentang jenis obat yang ada pada suatu apotek secara lengkap. Metode yang digunakan dalam penelitian ini adalah SDLC (System Development Life Cycle) dan dalam pembuatan sistem ini, kami menggunakan bahasa pemrograman PHP, dan database MySQL. Hasil dari sistem yang telah selesai dibuat adalah berupa sistem informasi apotek yang dapat mengelola informasi dan data obat – obat yang tersedia.
PENGEMBANGAN MEDIA PEMBELAJARAN INTERAKTIF BERBASIS ANDROID MATERI BUDAYA NASIONAL DAN INTERAKSI GLOBAL PENDIDIKAN GEOGRAFI
Authors: Arliza Rika , Setiawan Iwan , Yani Ahmad
Published: May 2019

Abstract- This research is a type of product development that aims to determine the feasibility of developinginteractive learning media products based on Android. The research method used is the design of the developmentmodel used in this study is the adaptation of the Luther model. The results of this study are: (1) Android-basedinteractive learning media applications on national cultural material and global interactions are arranged bygetting input from validators (2) the results of the feasibility of percentage of android-based interactive learningmedia by media experts that get percentages: Text aspect 80 %, 80% image aspect, 80% animation aspect, 80%video aspect, 80% packaging aspect, 80% usage aspect.Keywords : development, interactive learning media, based on androidAbstrak- Penelitian ini merupakan jenis pengembangan produk yang bertujuan untuk mengetahui kelayakanpengembangan produk media pembelajaran interaktif berbasis Android. Metode penelitian yang digunakan adalahdesain model pengembangan yang digunakan dalam penelitian ini adalah adaptasi model Luther. Hasil daripenelitian ini adalah: (1) aplikasi media pembelajaran interaktif berbasis Android pada materi budaya nasional daninteraksi global disusun dengan mendapatkan masukan dari validator (2) hasil kelayakan persentase mediapembelajaran interaktif berbasis android dengan media ahli yang mendapatkan persentase: Aspek teks 80%, aspekgambar 80%, aspek animasi 80%, aspek video 80%, aspek kemasan 80%, aspek penggunaan 80%.Kata kunci : pengembangan, media pembelajaran interaktif, berbasis android.
Pengaruh Pembelajaran Adaptif dan Pembelajaran Demokratis terhadap Kinerja Mengajar Guru PNS se Kabupaten Mojokerto
Authors: Ikmal Happy
Published: May 2019

Adaptive challenges require re-orientation of thinking and operation, the gap between aspiration and reality is closed when they learn new ways, in addition to adaptive teaching, there is also democratic teaching, democratic teachers must respect the rights of students, including the right to be guided, to be humanized. The purpose of this research are: 1) To know whether Adaptive learning and democratic learning have an effect simultaneously on teaching performance of teacher 2) To know whether adaptive learning and democratic learning have partial influence on teachers' teaching performance 3) To know which of them is most dominant influence among adaptive learning organizations. And democratic learning on teacher teaching performance. This research uses quantitative description analysis with explanatory research, Number of subjects in population 385 people. Sampling method using saturated sampling. In this study the authors use multiple linier regression analysis techniques. The technique, described briefly among variables. From the research results can be summarized as follows: 1) Adaptive learning and democratic learning effect simultaneously on teacher teaching performance. 2) Adaptive learning and parochial learning partially affect teacher teaching performance. 3) Democratic learning has the most dominant influence on teachers' teaching performance.
Tren Prevalensi Berat Badan Rendah, Berat Badan Berlebih, dan Obesitas pada Kelompok Dewasa Muda: 1993 – 2014
Authors: Setia Ningrum Defi Amalia , Bantas Krisnawati
Published: May 2019

Worsening nutritional status is the major determinant health problems worldwide, especially in developing countries. Worsening nutritional status at a young age is a strong predictor of the deterioration of health in the elderly. This study aims to estimate the prevalence and assess trends of underweight, overweight, and obesity between 1993–2014 among Indonesian Young Adult. A secondary data from Indonesia Family Life Survey (IFLS) period I (1993) to V (2014) We evaluated trends by using chi-square test to analyze the prevalence ratios (PR) of underweight, overweight, and obesity in each period comparing with the first IFLS study in 1993. The results of this study showed that the highest prevalence of overweight and obesity was in 2014, 23.8% and 8%. The trend of prevalence of underweight likely to be stable in men and decreases in women. The prevalence of overweight and obesity Indonesian young adult both men and women shows an increasing trendency. Results of the calculation of the prevalence ratio showed increasing significantly in both overweight and obesity in 2007 (PR overweight = 1.76 (95% CI: 1.64 - 1.89); PR obesity = 3.00 (95% CI: 2.46 - 3.69)) and 2014 (PR overweight = 2.26 (95% CI: 1.97 - 2.60); obesity PR = 4.73 (95% CI: 3.87 - 5.78)). Management of underweight, overweight, and obesity in young adult is required to prevent obesity and worsening health in adulthood.
Self Efficacy Meningkatkan Perilaku Pasien Dalam Latihan Mobilisasi Post Operasi ORIF Pada Ekstremitas Bawah
Authors: Sudrajat Ace , Wartonah Wartonah , Riyanti Eska , Suzana Suzana
Published: May 2019

Surgery for bone repositioning through internal fixation (Open Reduction Internal Fixation) is a medical action to improve the position of the fractured bone. The purpose of the ORIF action is to restore the function of bone movement and stabilization so that patients are expected to mobilize early after surgery. One of the treatment focuses on postoperative patients with ORIF is gradual exercise and activity. The purpose of the study was to determine the effect of self-efficacy of postoperative patients with ORIF in the exercise of lower extremity mobilization. The cross sectional research method that involving 80 respondents who had been carried out ORIF installation surgery in the orthopedic surgical treatment room. Data analysis using linear regression test, the results showing that there is a positive and significant effect of the patient's self-efficacy on lower limb mobilization exercises at p-value = 0.005 with the R square value = 0.495 which means that the effect of self-efficacy is moderate on post ORIF patient mobilization exercises. So in general it can be concluded that the effect of increasing patient efficacy will increase the behavior of lower limb mobilization exercises in lower limb patients.
Matematički modeli u kriminologiji
Authors: Bukovec Maja , Pažanin Igor
Published: May 2019

Uloga matematičkog modeliranja u društvenim znanostima je važna te su do danas predstavljeni mnogi matematički modeli koji opisuju razne društvene fenomene. Cilj ovog rada prezentirati je nekoliko matematičkih modela koji se koriste u proučavanju kriminala, a opisani su običnim diferencijalnim jednadžbama.
Generalizirani Apolonijev problem
Authors: Guberina Antonija , Koceić Bilan Nikola
Published: May 2019

Apolonijev problem glasi: "Konstruiraj kružnicu koja dodiruje tri zadane kružnice". U uvodnom dijelu definiramo Apolonijev problem reda n i na taj ga način generaliziramo. U nastavku rada posebno promatramo sve Apolonijeve probleme reda 1, 2 i 3 te određujemo geometrijsko mjesto središta (GMS) rješenja što je posebno interesantno za Apolonijeve probleme reda 2 jer se kao GMS javljaju konike pa na takav način dobivamo alternativnu definiciju konika. Važno je istaknuti da se kao GMS rješenja Apolonijevih problema reda 3, između ostaloga, javljaju presjeci 3 konike, 2 konike i pravca, koji su, protivno površnoj intuiciji, neprazni. Apolonijeve probleme reda n=4 nije interesantno promatrati jer rješenja postoje samo u posebnim sluµcajevima. Također se iznosi ideja za daljne razmatranje stavljajući proizvoljni kut presjeka između traženih kružnica i zadanih elemenata.
Interaktivni upitnici
Authors: Pavasović Slobodan
Published: May 2019

Uvođenje aktivne (odnosno interaktivne) nastave, poticanje i razvijanje kritičkoga i kreativnog razmišljanja polaznika te naglasak na razumijevanju i mogućnostima primjene usvojenih pojmova i metoda, veliki su izazov u nastavi matematičkih predmeta. Koristan alat za postizanje ovih ciljeva su programi za interaktivno sudjelovanje (eng. survey software / poll software), koji omogućavaju izradu pitanja u Web-sučelju na koja polaznici, svatko za sebe, odgovaraju istovremeno (na primjer putem svojih mobilnih telefona). Zajedničkom analizom danih odgovora nastoji se otkloniti uzroke grešaka. Kao primjer mogućnosti korištenja programa za interaktivno sudjelovanje, u članku se prikazuje korištenje programa PollEverywhere u nastavi te iskustva u njegovoj primjeni na predmetu Matematika preddiplomskog stručnog studija Građevinarstvo na FGAG-u Sveučilišta u Splitu.
Sermaye Şirketlerinin Birleşmesinde Vergi Sorumluluğu
Authors: DAYANÇ KUZEYLİ N. Nilay
Published: May 2019

Bu makale kapsamında sermaye şirketlerinin birleşmesi ve birleşme neticesinde birleşilen şirketin vergi sorumluluğu incelenecektir. Vergi sorumluluğu, vergi alacağına ilişkin maddi ve şekli ödevlerin, vergiyi doğuran olay kendi kişiliğinde gerçekleşmemiş olan üçüncü kişilerden talep edilebilmesi olarak tanımlanabilir. Şirketlerin birleşmesinde ise birleşilen şirketin, birleşen şirketin vergi ödevlerini yerine getirmemesinden doğan sorumluluğun kendisine atfedilip atfedilemeyeceği, birleşilen şirkete sorumluluk atfedilecek ise, bunun kapsamına ilişkin çeşitli kanunlarda yer alan ve birbirlerinden farklılık gösteren düzenlemeler, bu makale kapsamında değerlendirilecektir.
Monitoring Home Sales Data with Optimization of Information Systems
Authors: Rahayu Sri , Nurhaeni Tuti , Pangestu Panji Bangun
Published: May 2019

PT. Sinar Property Group is a company that deals in home sales. Marketing Division of the company is the most dominating division in home sales data processing and it is very needed. Consumers data who buy a home become the basic reference in monitoring, it is also used for monitoring consumer payment transaction status and payment transaction archiving. The research is using SWOT as its method that used for knowing strength of the company, weakness, opportunity, and its threat. The results of the analysis show the company needs a system that capable to monitoring centered home sales data which functionally, marketing manager knows the total of consumer and total of sold home using a system which can be accessed in realtime using web-based system, so it will be easier in making decision.

 

Keywords​: Sales, Monitoring, Sales Report, Website.
Análisis de la señalización horizontal, calidad de servicio y seguridad vial en la Espoch
Authors: Guerrero Godoy Alexandra Patricia , Villa Uvidia Ruffo Neptalí , Ureña Moreno Juan Enrique , Salas Salazar Miriam Del Rocío
Published: May 2019

El presente estudio está enfocado en realizar una investigación sobre la relación que existe entre la señalización horizontal y la seguridad vial dentro de los predios de La Escuela superior Politécnica de Chimborazo ubicada en la parroquia Lizarzaburu del cantón Riobamba. Esto permitirá medir el impacto que tiene la señalización horizontal en la seguridad vial de las personas que conforman la comunidad politécnica y a su vez plantear una estrategia técnica para mitigar la problemática de seguridad vial como un referente para toda la sociedad.

Por este motivo, el análisis está enfocado en medir el impacto que tiene la señalización horizontal en la seguridad vial de las personas que integran la comunidad politécnica; así como también a los conductores de los diferentes vehículos motorizados y no motorizados que interactúan en las actividades cotidianas de este centro de educación superior; y generar la propuesta técnica para la señalización horizontal en las vías internas y de esta manera contribuir a la mejora de  la movilidad y por ende la calidad de vida de los involucrados a través de la reducción de incidentes en el área de seguridad vial.
Estudio y propuestas para mejorar la gestión de estacionamientos vehiculares en la Escuela Superior Politécnica del Chimborazo
Authors: Naranjo Silva Fredy Gonzalo , Palaguachi Sumba Juan Pablo , Oleas Lara Carlos Xavier , Llamuca Llamuca José Luis
Published: May 2019

Desde la aparición del automóvil este se ha convertido en el medio transporte imprescindible para la sociedad actual, mostrando con el pasar del tiempo un acelerado crecimiento de la población vehicular y por consiguiente los efectos negativos que este medio transporte provocan en el medio ambiente, el entorno de las ciudades y espacios públicos con alta afluencia de personas. Estos problemas han sido motivo de diferentes estudios que han determinado estrategias para reducir los efectos que provoca este fenómeno. Una de las principales estrategias utilizada es la gestión de estacionamientos la cual resulta imprescindible por su relación directa con este medio de transporte. La presente investigación muestra la problemática del estacionamiento en el campus de la Escuela Superior Politécnica de Chimborazo en Ecuador analizando el entorno, las instalaciones que posee, las zonas más conflictivas, la demanda de estacionamiento, para dar soluciones que mejoren la movilidad e imagen al interior del campus
Fractura de fémur atípicas por medicamentos bifosfonato. A propósito de un caso.
Authors: Correa Vivanco Edwin Javier , Luzuriaga Luzuriaga Juan Alberto , Garces Granoble Karla Pilar , Valdez Vallejo Magna Mercedes
Published: May 2019

Los medicamentos de mayor línea de utilizacion en la osteoporosis son los bifosfonatos y dentro de nuestro pais el mayor medicamento utilizado en las instituciones hospitalarias del estado es el alendronato, se utilizan los bifosfonatos por su mecanismo de accion atirresortivos potentes y han demostrado su gran eficasia para reducir fracturas tanto vertebrales como no vertebrales, pero como todo medicamento presenta efectos secundarios, los mayormente mencionados son las fracturas de femur atipicas al mantener el tratamiento continuo mayor de 5 años. A continuacion se presenta un caso de una paciente de 57 años de edad que a mantenido tratamiento con alendronato por 10 años con supervision medica, con cuadro clinico de inicio de dolor en muslo izquierdo,  que presenta fractura cerrada de femur tipo III Según clasificacion de Winquist y Hansen de pierna izquierda al recibir un traumatismo leve en rodilla izquierda, que posteriormente  se complico con trombosis pulmonar bilateral.
PREDIKSI POLA KELULUSAN MAHASISWA MENGGUNAKAN TEKNIK DATA MINING CLASSIFICATION EMERGING PATTERN
Authors: Farida Ida , Hendric Spits Warnars Harco Leslie
Published: May 2019

Mercu Buana University is one of the private universities in Indonesia, especially in DKI Jakarta, which has a large number of students and a number of graduations. However, the University management has difficulty predicting a pattern and graduation rate from existing student data in each academic year. Most researchers use data mining techniques to find a regularity of patterns or relationships set on large data. In this paper, to predict patterns and analyze student graduation rates researchers use data mining by focusing on the classification process using emerging pattern algorithms on the timeliness of student studies. In this study the data used came from combined data between student master data and graduation data. The results of testing the data carried out by researchers in the data mining application produce graduation patterns with various variations according to the learning attributes used, namely gender, class, study program, lecture system and student GPA.

By using the results of testing this study, it is expected that the resulting data can help the management of the University as a basis for analysis in planning the teaching and learning process strategy to increase the graduation rate on time and as a support for the management of Mercu Buana University