bluuebunny/crossref_metadata_2025 huggingface dataset:
O PAPEL E AS LIMITAÇÕES DAS REDES SOCIAIS PARA O ACESSO À INFORMAÇÃO NAS CAMPANHAS ELEITORAIS
Authors: Massimino Daniel De Mello , Freitas Cinthia Obladen de Almendra
Published: December 2018

RESUMO: Há muito tempo os candidatos aos cargos eletivos no Brasil buscam alternativas para levar ao eleitor suas propostas e ideias acerca do que pretendem desenvolver caso sejam eleitos. “Santinhos”, camisetas, comícios, carros de som deram a tônica durante décadas às campanhas eleitorais, muitas vezes representando enormes gastos para os candidatos, favorecendo, inclusive, o tão combatido “caixa 2”. O papel da Internet, e em especial das redes sociais é realidade e alcançou importante posição em uma campanha eleitoral, em face das restritivas regras de financiamento e gastos, bem como por conta de sua pretensa pervasividade. Diante deste cenário, questiona-se qual seria, atualmente, o papel e as limitações das redes sociais no tocante ao acesso à informação sobre os candidatos pelos eleitores, bem como em que medida a propaganda eleitoral por tais redes representa a democratização do acesso à informação ou um risco à lisura do pleito, uma vez que do mesmo modo com que um candidato pode se apresentar aos eleitores com rapidez e eficácia, poderia também, de forma semelhante, manchar a imagem de outro candidato, valendo-se dessa mesma rapidez, utilizando-se, por exemplo, de sistemas robóticos de comentários. O artigo aborda também à possibilidade de que os eleitores que não tenham acesso a tal meio digital sejam alijados do processo de escolha de seus representantes, causando, portanto, uma carência democrática. A metodologia de pesquisa segue abordagem hipotético-dedutiva, com levantamento de dados em bases documentais, bibliográficas e institutos de pesquisa.

 

Palavras-chave: Democracia. Eleições. Participação. Redes Sociais. TICs.
Meio ambiente e Violência: (in) eficácia da tutela penal
Authors: Pozzebon Fabrício , Falavigno Srta.
Published: December 2018

O presente trabalho se propõe a analisar as condutas agressivas contra o meio ambiente, partindo do pressuposto que estas devem ser entendidas como um fenômeno complexo e multifacetado, caracterizado pela violência, de dimensão planetária. Tal violência acarreta especial insegurança quanto à qualidade de vida das presentes e futuras gerações, do modo que está a exigir uma compreensão diferenciada da recorrente busca de soluções legislativas, especialmente de índole penal, como forma de combater o problema. O objetivo do trabalho é relacionar a violência ao meio ambiente, questão atual e recorrente, com a sociedade complexa, emprestando uma novo olhar à abordagem do tema, diverso do que se encontra na doutrina jurídica tradicional. A metodologia utilizada é revisão bibliográfica.

 

Palavras-chave: Meio Ambiente. Violência. Direito Penal. Cultura. Sociedade.
Expresiones de lo fronterizo en producciones culturales recientes
Authors: Navallo Tatiana
Published: December 2018

Una somera mirada del discurso crítico literario y cultural reciente pone en evidencia la pluralidad de perspectivas desde las que es utilizada la noción de frontera, junto al flujo migratorio que esta noción evoca. Entre estas aristas se nos presenta de qué manera, tanto la migración interna como el cruce mismo de la línea divisoria geopolítica en una región fronteriza, no solo son elementos que configuran la noción de frontera, sino que la misma coyuntura histórica-política en la que se producen estas migraciones habilita una noción cultural de la frontera, “una metáfora”, en palabras de María-Socorro Tabuenca Córdoba. El espacio fronterizo se convierte, así, en un espacio simbólico en el que quedan subsumidos tanto el límite político como el cultural, poniendo al descubierto las repercusiones políticas y legales de los desplazamientos migratorios, sean estos voluntarios o no, como así también las estrategias textuales y culturales que dan lugar a la apropiación discursiva de “lo fronterizo” en producciones culturales surgidas en condiciones de frontera. Dinámica propia que habilita negociaciones múltiples, desde donde se puja por el derecho a expresar discursivamente una crítica, un reclamo o, simplemente, el derecho mismo a la palabra.
Peticiones varias
Authors: Uribe Sara
Published: December 2018

Me piden que corrija las pruebas de un libro que no va a publicarse. Que señale las erratas. Que aporte mis posibles comentarios al diseño. Que.

Paso la madrugada leyendo galeras que bien podrían ser invisibles, contener lorem ipsum en lugar de las palabras que.

El editor de la sucursal en Barcelona me escribe diciendo que no. Dice que no como quien arroja fruta podrida a la basura. No nos conocemos. Jamás he escuchado el timbre de su voz, pero en su correo me dice, enfáticamente, que no es viable compartir mi libro de manera gratuita en internet. Que está mal, muy mal, tan mal que por eso el libro no puede publicarse. Tan mal que debo pedir perdón de rodillas al copyright. Tan mal que por eso en España está prohibido sacar fotocopias de los libros. Que iré a la cárcel. Que debería hacer penitencia por el resto de mis días.
La Rueda Mágica: ser y hacer una escuela de la crítica
Authors: Rabanal Gatica Dámaso
Published: December 2018

Carreño, Rubí. La Rueda Mágica. Ensayos de música y literatura. Manual para (in)disciplinados. Santiago: Ediciones Universidad Alberto Hurtado. 528 págs.

Pedro Lemebel comentó alguna vez que “comer solo, es como comerse a si mismo”. Si desplazamos este razonamiento a la academia, es posible decir que durante mucho tiempo – y espero que cada vez menos – el ejercicio de la crítica operó de igual manera: un proceso de investigación solitario, reservado, cuidado y protegido (en un espíritu enciclopedista y disciplinar dirían algunos) difícil de pensar para el sigo XXI donde la prioridad y la agenda del campo crítico prioriza, promueve y tiene intención de favorecer la colectividad, colaboración e interdisciplina.
Pengaruh Faktor Predisposisi dan Dukungan Suami terhadap Pemberian Imunisasi Campak pada Bayi di Wilayah Kerja Puskesmas Johan Pahlawan Kabupaten Aceh Barat
Authors: Wulan Mayang , Listiarini Utary Dwi
Published: December 2018

Imunisasi campak merupakan imunisasi dasar lengkap yang wajib diberikan pada bayi umur sembilan bulan dan masih dapat diberikan sampai usia 11 bulan. Cakupan imunisasi campak di wilayah kerja Puskesmas Johan Pahlawan mengalami penurunan yaitu pada tahun 2013 sebesar 46,3% dan pada tahun 2014 sebesar 39,3%. Faktor yang diduga berpengaruh terhadap pemberian imunisasi campak pada bayi adalah faktor predisposisi dan dukungan suami.Tujuan penelitian ini adalah untuk menganalisis pengaruh faktor predisposisi dan dukungan suami terhadap pemberian imunisasi campak pada bayi di wilayah kerja Puskesmas Johan Pahlawan Kabupaten Aceh Barat tahun 2017. Jenis penelitian ini adalah penelitian analitik dengan desain cross sectional. Populasi penelitian ini yaitu seluruh ibu yang mempunyai bayi usia 12 bulan yang berdomisili di wilayah kerja Puskesmas Johan Pahlawan sebanyak 78 orang, dengan sampel adalah seluruh populasi. Analisis data dilakukan secara univariat, bivariat menggunakan uji chi-square dan multivariat menggunakan uji regresi logistic ganda. Hasil penelitian menunjukkan bahwa tidak ada pengaruh antara pekerjaan (p= 0,951) dan pengetahuan (p= 0,676) terhadap pemberian imunisasi campak pada bayi dan ada pengaruh antara pendidikan (p= 0,025), sikap (p= 0,001) dan dukungan suami (p= 0,001) terhadap pemberian imunisasi campak pada bayi di wilayah kerja Puskesmas Johan Pahlawan Kabupaten Aceh Barat tahun 2015. Variabel yang sangat berpengaruh adalah variabel dukungan suami. Disarankan kepada Dinas Kesehatan Kabupaten Aceh Barat agar melakukan sosialisasi pentingnya imunisasi campak pada bayi kepada pasangan suami istri (pasutri) usia muda dan mengadakan perlombaan bayi sehat. Kepada Puskesmas Johan Pahlawan disarankan agar memberikan pembekalan pengetahuan tentang imunisasi campak kepada pengunjung KIA, mengikutsertakan tokoh-tokoh masyarakat serta menyediakan pelayanan posyandu pada sore hari (di atas jam 14 WIB). Kepada Dinas Syariat Islam agar mensosialisasikan tentang kehalalan vaksin campak (fatwa MUI) kepada majelis taklim laki-laki dan pada kegiatan safari subuh.
Hubungan Pengetahuan Ibu Post Partum Tentang Perawatan Luka Perineum dengan Proses Penyembuhan Luka di Klinik Bersalin Hj. Nirmala Sapni, Amkeb Medan
Authors: Nurrahmaton Nurrahmaton , Sartika Dewi
Published: December 2018

Robekan perineum terjadi hampir pada semua persalinan pertama dan tidak jarang juga pada persalinan berikutnya. Robekan perineum umumnya terjadi di garis tengah dan bisa menjadi luas apabila kepala janin lahir terlalu cepat, sudut arkus pubis lebih kecil dari pada biasa, kepala janin melewati pintu panggul bahwa dengan ukuran yang lebih besar dari pada sirkumferensia suboksipito bregmatika. Luka perineum adalah perlukaan pada diagfragma urogenitalis dan musculus lefator ani, yang terjadi pada waktu persalinan normal, atau persalinan dengan alat, dapat terjadi tanpa luka pada kulit perineum atau pada vagina, sehingga tidak terlihat dari luar. Tujuan penelitian ini untuk membuktikan hubungan pengetahuan Ibu post partum tentang perawatan luka perineum dengan proses penyembuhan luka. Penelitian ini bersifat survei analitik dengan pendekatan cross sectional, populasi penelitian adalah seluruh ibu post partum yang ada di Klinik Bersalin Hj. Nirmala Sapni, Am.Keb pada bulan Agustus sampai dengan September 2017 yaitu sebanyak 32 ibu. Teknik pengambilan sampel dalam penelitian ini dilakukan dengan teknik total populasi. Hasil penelitian menemukan dari 32 responden mayoritas pengetahuan responden tentang perawatan luka perineum adalah cukup yaitu sebanyak 15 orang (46,9%) dan minoritas berpengetahuan baik sebanyak 8 orang (25%), penyembuhan luka normal yaitu sebanyak 12 orang ( 37,5%) dan minoritas cepat yaitu sebanyak 9 orang (28,1%). Hasil uji Chi-Square (person Chi-Square)  dengan nilai p 0,00 <α=0,05 dimana H0 ditolak dan Ha diterima. Kesimpulannya ada hubungan yang signifikan antara pengetahuan ibu tentang perawatan luka perineum dengan proses penyembuhan luka.
Pengaruh Faktor Predisposisi, Pendukung dan Penguat terhadap Perawatan Kehamilan di Kecamatan Raya Kahean Kabupaten Simalungun
Authors: Saragih Rapida , Nasution Ramadhani Safitri
Published: December 2018

Perawatan kehamilan sangat penting bagi kesehatan ibu dan janin, karena dengan melakukan perawatan kehamilan dapat mencegah komplikasi pada kehamilan yang dapat mengancam jiwa ibu dan janin. Rendahnya keinginan ibu hamil dalam melakukan perawatan kehamilan di Kecamatan Raya Kahean terkait dengan adat istiadat, dan kurangnya pengetahuan, sumber informasi, dukungan suami, serta dukungan tenaga kesehatan. Tujuan; untuk menganalisis pengaruh faktor predisposisi, pendukung dan penguat terhadap perawatan kehamilan di Kecamatan Raya Kahean Kabupaten Simalungun. Jenis penelitian yang digunakan dalam penelitian adalah Survei Analitik dengan pendekatan cross sectional. Populasi penelitian adalah ibu hamil trimester III, dengan besar sampel 97 ibu hamil. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Analisis data menggunakan uji regresi logistik ganda pada taraf kepercayaan 95%. Hasil uji regresi logistik ganda disimpulkan bahwa variabel dukungan suami dan sumber informasi memiliki pengaruh yang signifikan terhadap perawatan kehamilan. Sedangkan tiga variabel adat istiadat, pengetahuan dan dukungan petugas kesehatan memiliki pengaruh yang tidak signifikan terhadap perawatan kehamilan di Kecamatan Raya Kahean Kabupaten Simalungun. Saran; bagi tenaga kesehatan di Kecamatan Raya Kahean khususnya bidan desa agar lebih aktif dalam memberikan dukungan serta penyuluhan kepada masyarakat tentang pentingnya melakukan perawatan kehamilan.  Bagi anggota keluarga khususnya pada suami agar memotivasi dan mendukung ibu dalam melakukan perawatan kehamilan.Kunci: Faktor Predisposisi, Pendukung, Penguat, Perawatan Kehamilan
Design Of Information System Of Medical Record Web Based Inpatient Public Hospital in South Solo
Authors: Akbar Aidil
Published: December 2018

Medical record clerk Public Hospital in South Solok still trouble in the process management of inpatient data because it is still using manual systems that haven't computerized. Then needed a medical record information system Web-based inpatient care can help medical record officers in the process of the patient data management. Objectives; To produce a medical record information system Web-based inpatient Public Hospital in South Solok. Method; This system design method using the system development life cycle SDLC (Systems Development Life Cycle) which consists of the stages of planning, analysis, design, implementation, and usage. Results; Produce a medical record information system web-based inpatient public hospital in south solok. which can be used for computerized medical record officers by the management of the medical record in inpatient services unit. Conclusion; The presence of medical record information system Web-based Inpatient Public Hospital in Solok Selatan, can facilitate the attendant medical record medical record data in the management of patient hospitalization, because the system information it generates various reports information medical record of patients required inpatient management for decision making.
Hubungan Mutu Pelayanan Dokter Dengan Kepuasan Pasien Rawat Jalan di Puskesmas Londut Kabupaten Labuhanbatu Utara
Authors: Hasibuan Nurhakiki , Moriza Tengku
Published: December 2018

Pengukuran tingkat kepuasan pasien mutlak dalam upaya peningkatan mutu pelayanan kesehatan. Melalui pengukuran tersebut, maka dapat diketahui sejauh mana dimensi-dimensi mutu pelayanan kesehatan yang telah di selenggarakan dapat memenuhi harapan Pasien. Tujuan; penelitian untuk mengetahui Hubungan Mutu Pelayanan Dokter Dengan Kepuasan Pasien Rawat Jalan di Puskesmas Londut Kabupaten Labuhanbatu Utara. Metode; Desain Penelitian yang digunakan dalam penelitian ini adalah pendekatan explanatory research, pengambilan sampel yang diambil dengan menggunakan accidental sampling yaitu sebanyak 88 orang. Pengumpulan data diambil dari data primer dan data sekunder. Analisis data yang digunakan adalah menggunakan uji chi-square. Hasil;  penelitian menunjukkan bahwa sebagian besar mutu pelayanan hubungan responsiveness kategori cukup yaitu 48 responden (54,5%), reliability responden kategori cukup yaitu 48 responden (54,5%), assurance kategori cukup yaitu 50 responden (56,8%), empathy kategori cukup yaitu 53 responden (60,2%), tangible kategori cukup yaitu 44 responden (50,0%). Kesimpulan;  dalam penelitian ini menunjukkan bahwa  terdapat hubungan  yang signifikan antara Mutu Pelayanan Dokter Dengan Kepuasan Pasien Rawat Jalan Di Puskesmas Londut Kabupaten Labuhanbatu Utara. Melalui penelitian ini, sebaiknya pihak puskesmas khususnya dokter lebih meningkatkan ketepatan waktu dalam memberikan pelayanan kepada pasien dan lebih menjalankan komunikasi dua arah dengan pasien agar terciptanya hubungan yang baik antara dokter dan pasien.
Pengaruh Mutu Pelayanan Kesehatan Terhadap Kebaikan Pasien Rawat Jalan Jantung di Rumah Sakit Advent Medan
Authors: Tarigan Andini Mentari , Zein Umar , Syamsul Darwin
Published: December 2018

Kebaikan pasien merupakan salah satu indikator penting yang harus diperhatikan dalam pelayanan kesehatan. Survei awal yang dilakukan di Rumah Sakit Advent Medan pada poli jantung pasien mengatakan merasa menunggu lama terhadap jam pelayanan yang tidak sesuai, kurang jelasnya informasi yang diberikan oleh petugas kesehatan serta mengatakan minimnya waktu pasien untuk berkonsultasi kepada dokter. Tujuan; untuk menganalisis Pengaruh Mutu Pelayanan Kesehatan Terhadap Kebaikan Pasien Rawat Jalan Jantung di Rumah Sakit Advent Medan. Metode; Penelitian ini adalah penelitian dengan pendekatan Cross Sectional Study. Populasi dalam penelitian ini pasien yang berobat di poli jantung dengan jumlah sampel 80 responden dengan cara pengambilan sampel penelitian yaitu menggunakan teknik accidental sampling. Hasil; Diperoleh hasil, variabel yang memiliki pengaruh yaitu reliability mempunyai nilai p (Sig) 0.000 < 0.05, tangible p (Sig) 0.001 < 0.05, empathy p (Sig) 0.007 < 0.05 sedangkan variabel yang tidak memiliki pengaruh yaitu assurance p (Sig) 0.843 > 0.05 dan responsiveness p (Sig) 0.064 > 0.05. variabel yang paling besar pengaruhnya terhadap kebaikan pasien adalah variabel reliability dengan nilai sig 0.000 dan Exp (B) 15.979 yang artinya reliability yang baik memiliki 16 kali bepengaruh terhadap kebaikan pasien. Kesimpulan; Dari hasil penelitian, diharapkan rumah sakit memberikan informasi yang jelas terkait mengurus berkas pasien kunjungan ulang, ruang poli yang tidak berpindah-pindah dan waktu pelayanan yang sesuai sehingga memudahkan pasien dan meningkatnya kebaikan pasien.
RANCANG BANGUN SISTEM MANAJEMEN PENGETAHUAN UBI JALAR BERBASIS WEB MENGGUNAKAN METODE KMSLC
Authors: Surianti Surianti , Banyal Nur Ain , Wahab Syari Rukmana
Published: December 2018

Penelitian ini merupakan penerapan sistem manajemen pengetahuan yang dapat digunakan para petani ubi jalar maupun masyarakat luas yang membutuhkan informasi dan pengetahuan tentang budidaya ubi jalar. Kurangnya informasi dan pengetahuan yang petani dapatkan tentang cara budidaya ubi jalar yang baik dapatkan menurunkan tingkat produksi. Sistem ini diharapkan dapat membantu para petani ubi jalar dalam mencari dan mendapatkan pengetahuan. Tujuan dari penelitian ini untuk mengembangkan suatu sistem manajemen pengetahuan berbasis web dalam mengolah pengetahuan. Adapun metode yang digunakan yaitu metode knowledge management system life cycle (KMSLC). Hasil dari penelitian ini dapat mendownload pengetahuan sehingga diharapkan dapat membantu penyuluh dalam transfer pengetahuan ke petani dan memudahkan petani untuk memperoleh pengetahuan mengenai budidaya ubi jalar yang tepat.
MEMBANGUN WEB CRAWLER BERBASIS WEB SERVICE UNTUK DATA CRAWLING PADA WEBSITE GOOGLE PLAY STORE
Authors: Ilmawan Lutfi Budi
Published: December 2018

At this time, Google Play Store is not providing API that can be used for accessing datas from applications on it’s application store. With that plenty application’s data, it could be used to make it a good research object, specially on data mining field. In this research, the system that is built is the system that can retrieve that applications’ data. For multiplatform’s purpose, web services are used for being an interface between client and server. Finally, the built system is working as expected. The system can retrive data from Google Play Store and it is suitable from requirements of data analysis stage. It can also integrated with REST web service to provide multiplatform access.
METODE SUPPORT VECTOR MACHINE DAN FORWARD SELECTION PREDIKSI PEMBAYARAN PEMBELIAN BAHAN BAKU KOPRA
Authors: Drajana Ivo Colanus Rally
Published: December 2018

Telah banyak peneliti-peneliti termotivasi dalam meningkatkan kinerja performa prediksi. Support Vector Machine (SVM) metode yang berlandaskan pada teori pembelajaran statistic dan memberi hasil yang menjanjikan akan lebih baik dibanding metode lain. SVM bekerja juga dengan baik terhadap data yang berdimensi tinggi dengan menggunakan teknik kernel. Penentuan variabel yang relevan sangat dibutuhkan untuk dapat memberikan kinerja performa lebih efektif lagi pada suatu model. Pada penelitian ini bermaksud untuk mengembangkan model prediksi dengan mengkombinasikan algoritma Support Vector Machine dengan Feature Selection, khususnya forward selection dalam memprediksi pembayaran pembelian bahan baku kopra. Model yang diusulkan dievaluasi menggunakan data time pembelian bahan baku kopra. Hasil eksperimen penelitian ini menunjukan dimana series pembayaran algoritma SVM dan Forward Selection memberikan kinerja performa yang terbaik dibandingkan SVM, SVM dan Backward Elimination serta BPNN dan Feature Selection.
DYNAMIC MANET ON DEMAND PROTOCOL PADA JARINGAN SENSOR NIRKABEL UNTUK SISTEM MONITORING LAHAN PERTANIAN
Authors: Halid Agus , Takumansang Leonardo O. J , Fajar Mohammad
Published: December 2018

Penelitian ini bertujuan untuk menerapkan dan mengevaluasi protokol Dynamic Mobile Ad-Hoc Network (DYMO) pada sistem monitoring lahan pertanian berbasis jaringan sensor nirkabel. Rancangan jaringan terdiri dari node sensor yang ditempatkan secara statik di lahan pertanian dan node router serta gateway sebagai node bergerak yang dibawa oleh petani/mobil pertanian. Hasil evaluasi menunjukkan bahwa protokol DYMO dapat digunakan pada jaringan sensor nirkabel untuk sistem monitoring lahan pertanian. Evaluasi rancangan dan skenario di atas lingkungan simulasi OPNET memperlihatkan kinerja jaringan menggunakan protokol DYMO dapat diterima. Salah satu pengujian memperlihatkan rata-rata delay pengiriman dan penerimaan data sebesar 10,812506/ms, minimal waktu delay end-to-end pengiriman dan penerimaan node sebesar 19,105028/ms, maksimal sebesar 19,643988/ms, dan rata-rata pengiriman dan penerimaan delay end-to-end yaitu 19,377766/ms, nilai rata-rata throughput sebesar 46.651 bits/sec. Selain itu, evaluasi awal prototip node sensor berbasis XBee pada jarak 120 meter menunjukkan kinerja jaringan seperti kehilangan paket (packet loss) dan kekuatan sinyal yang dapat diterima.
Age-dependent peculiarities of pancreatic exocrine apparatus morphometric changes
Authors: Mokra A. P. , Shul’gai A. G. , Peleshok O. Y.
Published: December 2018

The peculiarities of pancreas exocrine components structural change in white rats of different age groups were determined by means of morphometric methods. It was found out that parenchyma density decreases and stromal component specific gravity increases with age. The size and area of acini, the area of nucleus surface and the nucleoplasmic ratio in exocrine cells decrease with age. Due to age-dependent changes of pancreatic excretory ducts, the ductile constriction, in­terlobular and intralobular ducts’ dilations are observed. It proves different adaptive capacity of the ductal system in general.
Level of cellular reactivity of organism and extent of intoxication severity in patients with acute and exacerbation of chronic pancreatitis depending on genes polymorphism CFTR, PRSS1, IL-4 and TNF-α
Authors: Ivashchuk S. I. , Sydorchuk L. P. , Korovenkova O. M.
Published: December 2018

The level of cellular reactivity of organism and extent of intoxication severity depending on genes polymorphism CFTR (ΔF508, rs 113993960), PRSS1 (R122H, rs 111033565), IL-4 (C-590T, rs 2243250) and TNF-α (G-308A, rs 1800629) were investigated in 123 patients with acute and exacerbation of chronic pancreatitis (edematous form). It has been established that higher level of cellular reactivity by 20,96% (р<0,05) and endointoxication occurs in the carriers of NN-genotype of the gene CFTR, thus showing less favourable clinical course of pancreatitis. The higher degree of exo- and endointoxication formation has been observed in the carriers of GA-genotype of the gene PRSS1 on the background of considerable limitation of allergic reactions development. In the carriers of TT-genotype of the gene IL-4 there is the most serious degree of intoxication on the background of hyporeactivity and maximum limitation of immune system hypersensitivity to exo- and endotoxins.
Persistent delusions of modern gastroenterology
Authors: Tsimmerman Y. S.
Published: December 2018

The author shares his thoughts about exaggerating the role of infection with Helicobacter pylori in etiology and pathogenesis of chronic gastritis, peptic ulcer disease, gastric cancer. Arguments against the common concept of functional gastrointestinal disorders, formulation of syndromic rather than nosological diagnosis are represented. Particular attention is paid to the moral and ethical aspects of the use of placebo in clinical trials. The shortcomings and errors of the terms that are used in modern gastroenterology are analyzed in detail.
Autonomic dysfunction in chronic pancreatitis and associated diseases of the digestive system
Authors: Babinets L. S. , Sabat Z. I.
Published: December 2018

The article analyzes the literature on the role of autonomic dysfunction and other psychosomatic disorders in causing and progression of pancreatitis and associated gastrointestinal states. The influence of deviations of autonomic nervous system balance regulation on the emergence of hemodynamic, morphological, metabolic, energy disorders in aforementioned pathological conditions is studied. Pathogenic aspects of treatment of autonomic disorders are considered.
Chronic biliary pancreatitis
Authors: Eremina E. Y. , Strokova O. A.
Published: December 2018

The article represents the causes of the disease, pathogenic mechanisms, clinical symptoms, contemporary diagnostics and treatment techniques of patients with chronic biliary pancreatitis.
Treatment of a patient with relapsing hypertriglyceridemia-induced necrotizing pancreatitis: a case report
Authors: Susak Y. M. , Tkachenko O. A. , Lobanova O. M.
Published: December 2018

This case report demonstrates a clinical treatment tactic of a 39 y.o. patient with acute necrotizing pancreatitis. The peculiarity of the disease course is its cause – hypertriglyceridemia associated with poorly managed type 2 diabetes. Within 5-year interval in 2007 and 2012 respectively, the patient suffered two attacks of severe necrotizing pancreatitis. In 2007 he had necrotizing noninfectious pancreatitis, and in 2012 – infectious necrotizing pancreatitis requiring open sequestrectomy. The patient underwent efferent therapy methods such as hemosorbtion and plasmapheresis in combination with standard treatment scheme. The post-operative period was marked by arrosive hemorrhage, subphrenic abscess, ligature fistulas and giant post-operative hernia. During all period of observation (2007 – 2017), the patient was suffering hypertriglyceridemia (blood test as of December 22, 2016 demonstrated high level of triglycerides – 21.92 mmol/L), which required the periodical plasmapheresis procedure. Despite two attacks of severe acute necrotizing pancreatitis, five years later the patient’s life quality according to SF-36 questionnaire is approaching normal.
CT modern potential in acute pancreatitis visualization (part 3)
Authors: Filatau A. A. , Litvin A. A.
Published: December 2018

Currently, magnetic resonance imaging (MRI) acquires a special popularity in visualization of the pancreas in acute pancreatitis. The article deals with the effectiveness of MRI in the diagnostics and treatment of severe acute pancreatitis. Advantages of MRI can be listed as following: better zoom of soft tissue structures and minimal pathological changes, absence of ionizing radiation, informative value of unenhanced investigation (including vessels), possibility of MRCP with all its advantages. For patients with severe acute pancreatitis the MRI importance is seen in a more precise diagnostics of necrotic changes in the pancreas and peripancreatic tissues, especially at the beginning of the disease.
Important role of fat tissue hormones in development of comorbid chronic pancreatitis and obesity
Authors: Hristich T. N.
Published: December 2018

Aim of this paper is to consider the role of hormones of the adipose tissue in mechanisms of obesity, metabolic syndrome, type 2 diabetes mellitus upon chronic pancreatitis.

Materials and methods. The literature review indicates the value of visceral fat in the development of insulin resistance, dyslipidemia, including atherogenic one, taking into account the possible infiltration of pancreatic tissue by adipocytes. Participation of some adipocytokines of adipose tissue in the development of obesity upon chronic pancreatitis is highlighted. It is shown that in some cases the hormones of visceral adipose tissue, penetrating through the portal vein to the liver and then to the pancreas, aggravated the course of systemic chronic inflammation of the inherent chronic pancreatitis, promote steatosis and development of fatty pancreatic disease.

Conclusion. Literary sources indicate the leading role of visceral adipose tissue and its hormones in the formation of obesity in chronic pancreatitis. Due to the infiltration of the pancreatic tissue by adipocytes, lipoidosis and steatosis develop. With the progression of the process type 2 diabetes mellitus, fatty liver or pancreatic disease, or cancer of these orhans. Consequently, there is a need for serious differentiated preventive and curative measures aimed at promoting a healthy lifestyle to improve the quality of life of patients suffering from chronic pancreatitis.
Pathogenetic and clinical features of iron deficiency anemia on the background of chronic pancreatitis
Authors: Babinets L. S. , Palykhata M. V.
Published: December 2018

One of the leading reasons of anemia on the background of chronic pancreatitis is the atophic changes of the mucous membrane of the gastrointestinal tract, chronic enteritis, accompanied by accelerated passage of chyme in the intestine, malabsorption syndrome. In healthy people, the concentration of iron is carefully regulated by cells in the proximal parts of the small intestine, which regulate its intake to match the loss of element. Errors in iron balance frequently lead to iron deficiency anemia. Such patients often have the following states: cognitive disorders, greater risk of mortality and hospitalizations among adults and, especially, old people, violation of thermoregulation, dysfunction of the immune system, gastro-intestinal disorders, Helicobacter pylori infection.
Diagnostic value of changes in matrix metalloproteinases upon pancreatic diseases
Authors: Vinokurova L. V. , Varvanina G. G. , Smirnova A. V. , Gulyayev A. S. , Dubtsova Y. А. , Noskova К. К. , Bordin D. S.
Published: December 2018

The aim of the study was to analyze the changes in the content of tumor necrosis factor (TNFα), matrix metalloproteinases type 2 and type 9 (MMP-2 and -9) and tissue inhibitor of matrix metalloproteinases type 2 (TIMP-2) in the serum of patients with chronic pancreatitis (CP) and pancreatic cancer.

Materials and methods. 75 patients with CP and pancreatic head cancer were examined. In the blood taken on an empty stomach, the concentrations of TNFα, MMP-2, MMP-9 and TIMP-2 were determined by an enzyme immunoassay. A statistical analysis of the differences in the median concentrations of MMP-2, MMP-9, TNFα, and TIMP-2 in various pancreatic diseases and in control was carried out using the Kraskel-Wallis test, while post-hoc Dunn test with the Holm correction was used for multiple pairwise comparisons. All calculations and visualization of the results were performed in a computer environment for statistical calculations R (packages stats, PMCMR, ggplot2). The differences between the groups were considered statistically significant at values ​​p≤0.05.

Results. A statistically significant increase in the number of MMP-9 in the blood serum of patients with pancreatic cancer and patients with CP without cystic formations with a duration of CP of 6-15 years was found in comparison with the control group (p=0.008, p=0.044, respectively). There were no statistically significant differences between the noted groups as for the concentration of MMP-2, TNFα. Comparing the groups of CP with the formation of postnecrotic pancreatic cysts and CP without cystic lesions, a significant decrease in the TIMP-2 concentration was found in patients with postnecrotic pancreatic cysts (p=0.024).

Conclusion. It was stated by our study that CP as an inflammatory pathology of the pancreas is characterized by changes in the concentration of MMP-9 and TIMP-2. The level of MMP-9 can be used as an additional criterion in developing a strategy for the prediction of pancreatic cancer. The study of such indicators as the system of matrix metalloproteinases and their inhibitors on the background of a chronic inflammatory reaction is an actual and clinically significant task.
Diagnostic and treatment tactics in patients with pancreatic cystic lesion in the outcome of chronic pancreatitis
Authors: Koshel A. P. , Drozdov Y. S. , Dibina T. V.
Published: December 2018

Aim: To substantiate the choice of the optimal treatment strategy for patients with pancreatic cysts on the background of chronic pancreatitis.

Materials and methods: A retrospective-prospective analysis of the treatment of 58 patients (31 (53.4%) men and 27 (46.6%) women, aged from 26 to 73) with chronic pancreatitis complicated by the formation of cystic lesion was done.

Results: Conservative treatment was applied in 8 (13.8%) cases, the puncturing technique was used in 19 (32,8%) cases, various surgeries performed in 31 (53.4%) patients. Conservative treatment was effective in 3 (37.5%) cases, puncture treatment – in 7 (36.8%), surgical – in 28 (90.3%) patients.

Conclusion: Based on the findings, an algorithm of choosing the tactics of treatment of patients with pancreatic cysts in the outcome of chronic pancreatitis was developed in the clinic.
Influence of gallbladder condition on parameters of electrocardiography, echocardiography and coronaroangiography
Authors: Strilchuk L. M.
Published: December 2018

Precise criteria of cholecystocardial syndrome according to results of electrocardiography (ECG), echocardiography (EchoCG) and coronaroangiography (CAG) are not established yet. That’s why the aim of our paper was to identify typical changes in ECG, EchoCG and CAG in dependence of gallbladder (GB) condition. We analyzed data of 98 patients with clinically and instrumentally verified diagnosis of ischemic heart disease (40% — acute myocardial infarction, 60% — angina pectoris), 79% males and 21% females, mean age 61,7±1,6 years. Patients were divided into groups according to GB condition, assessed by ultrasound (intact GB, n=29; sludge and cholesterosis, n=13; bent GB body, n=13; GB neck deformations and cholecystitis, n=27; cholelithiasis, n=11; past cholecystectomy, n=5). All parameters were compared to values of intact GB group, which were taken as 100%. It was established that histograms of structural and functional condition of heart were dependant of GB disorder. In patients with different GB conditions main changes of heart and coronary vessels were mainly related to the frequencies of rhythm and conductivity disorders, ST interval depressions, signs of left ventricle hypertrophy, hypokinetic zones detection, different types of blood supply, qualitative and quantitative characteristics of main coronary arteries abnormalities. Heart changes were alike in patients with cholelithiasis and past cholecystectomy, and in patients with sludge and bent GB body. Heart rate, EchoCG parameters of heart structure and ejection fraction were almost not dependant of GB condition.
Genotype of Helicobacter pylori and non-steroidal anti-inflammatory drugs
Authors: Shirinskaya N. V. , Pomorgaylo Y. G. , Vas’kina T. V. , Kirichenko N. P.
Published: December 2018

Studying strains of Helicobacter pylori in a mucous membrane of a stomach in adult patients taking non-steroidal anti-inflammatory drugs was carried out. Helicobacter pylori genotyping was performed by technique of polymerase chain reaction. Results of the conducted research, despite some heterogeneity, show existence of statistically significant differences depending on existence of erosive and ulcer changes and a factor of non-steroidal anti-inflammatory drugs intake.
Hepatic encephalopathy: definition, etiology, pathogenesis factors, clinical picture, diagnostic and treatment methods
Authors: Tsimmerman Y. S.
Published: December 2018

The review presents modern information on such an actual clinical problem as hepatic encephalopathy syndrome upon acute and chronic hepatic insufficiency: its definition, etiology, detailed description of pathogenesis factors, clinical features, classification, diagnostic methods (clinical and laboratory-instrumental). The possibilities of treatment are fully highlighted: dietotherapy and pharmacotherapy of hepatic encephalopathy upon acute and chronic hepatic insufficiency.
Individual approach to ensure nutritional support of patients with acute pancreatitis
Authors: Zybin K. D.
Published: December 2018

The article studies the issues of nutritional support and its optimization for various types of energy deficiency in surgical patients with acute pancreatitis. The author presented the results of his own study, which included patients with moderate and severe acute pancreatitis. Patients are divided according to the type of energy deficiency (enzymatic, hypoxic, substrate, hypermetabolic). An algorithm for differential diagnosis of energy deficiency types and associated nutritional support is presented. The author achieved an effective individualized nutritional support for patients with acute pancreatitis.
Peculiarities of blood fibrinolytic activity in patients with comorbidity of chronic pancreatitis and coronary heart disease
Authors: Gontsaryuk D. A.
Published: December 2018

The article presents the original data indicating changes in the fibrinolytic potential in patients with comorbidity of chronic pancreatitis and coronary heart disease. The results indicate that the increased proteolytic capacity (due to the decreased fibrinolysis) and generalization of the atherosclerotic process, activating chronic DIC-syndrome may be considered as factors aggravating the clinical course of chronic pancreatitis, coronary heart disease and chronic cardiac insufficiency, as they promote the risk of cardiovascular events and ischemic pancreatitis.
Hereditary pancreatitis: tactics of diagnostics and differential diagnostics (clinical case)
Authors: Gubergrits N. B. , Byelyayeva N. V. , Lukashevich G. M. , Fomenko P. G.
Published: December 2018

The article presents a literature review on the main genetic mutations leading to the development of pancreatitis, analyzes the pathogenesis of hereditary pancreatitis and the high risk of pancreatic cancer upon this disease. The authors described their own clinical case of calcificating pancreatitis that developed in a patient with a mutation of the cationic trypsinogen gene. The tactics of treatment and observation is discussed.
Wilson’s disease — hepatocerebral dystrophy
Authors: Tsimmerman Y. S.
Published: December 2018

The article presents a detailed review of modern ideas on Wilson’s disease – hepatocerebral dystrophy. The definition, terminology, history of the study of the disease are stated. Special attention is paid to the analysis of the pathogenesis of hepatocerebral dystrophy, including the genetic basis of its development, the disturbance of copper metabolism. The clinical picture is thoroughly described, taking into account the characteristics of liver lesion and extrahepatic manifestations, diagnostics, classification. Particular attention is paid to the means of pathogenetic and symptomatic treatment.
New systems for assessing severity and predicting outcomes of acute pancreatitis
Authors: Litvin A. A. , Filatov A. A. , Sychev S. I. , Prokoptsov A. S.
Published: December 2018

The article is a review of the literature on new systems for assessing the severity and predicting the outcomes of acute pancreatitis. The authors cite current literature data on the effectiveness of various new scales, as well as information on developed systems that undergo a clinical information test in determining the severity of acute pancreatitis.
Chronic pancreatitis: differential diagnosis of pain with a syndrome approach treatment
Authors: Hristich T. N. , Hontsariuk D. O.
Published: December 2018

The aim of literature review is to highlight the essential problem of internal medicine – a differential diagnosis of abdominal pain syndrome in chronic pancreatitis.

Features of the clinical picture of abdominal pain in the main diseases of internal medicine are presented. The effectiveness of laboratory and modern instrumental diagnostic methods and their significance in tactics and treatment strategies are discussed in detail.
Peculiarities of clinical course of osteoarthritis combined with type 2 diabetes mellitus, obesity and hypertension
Authors: Serdulets Y. I.
Published: December 2018

The aim of paper is to study the clinical indices of articular syndrome in patients with osteoarthritis combined with type 2 diabetes mellitus, obesity and hypertension. It has been found out that the combined course of osteoarthritis, abdominal obesity and type 2 diabetes mellitus is accompanied by the intensified pain syndrome in the joints, a disruption of the motor function as well as the daily activities of patients.
Turkish migration in Europe and desire to migrate to and from Turkey
Authors: Sirkeci Ibrahim , Esipova Neli
Published: December 2018

Turkey’s accession to the European Union has turned out to be a very long saga. One of the concerns in Europe is that Turkey’s membership would open the way for millions of immigrants from Turkey arriving in Western European member states, as was believed to be the case with Eastern European enlargement in the 2000s. This paper focuses on migration flows and causes of human mobility while drawing upon the Gallup World Poll on migration in Europe with particular reference to the data on desire to migrate permanently from Turkey and to Turkey. The Gallup World Poll is an on-going project surveying residents in more than 150 countries on a variety of topics including international mobility. The full data set includes over 400,000 face-to-face interviews conducted in 2009, 2010 and 2011. Despite exceptions with different sample sizes, in each of the 160 countries 3,000 cases were collected as part of a larger survey. Turkish respondents have lower desire to emigrate compared to the rest of the world while Iranians and Germans are top groups who desire to migrate to Turkey. The data shows that Turkey has been a growing economy and attracting immigration while also producing emigration. Turkey’s overall socio-economic and political record suggests that the desire to migrate from Turkey will continue despite recent economic advances. Nevertheless, the Gallup data shows that the level of desire to migrate in Turkey is remarkably lower than many neighbouring countries and Europe.
Combatting fraud as a disincentive of an unintended economic migrant: A comparative review of the direct Turkish model and the indirect Australian model
Authors: Ozyurek Sherene , Fernandez Rodger
Published: December 2018

Under the new Turkish Law on Foreigners and International Protection (Article 54) represents a rapid deterrent approach as the consequences of fraud are implemented within 30 days. In contrast to the Turkish approach, Public Interest Criteria 4020 used in Australian law implies a lengthy process that may take up to two years. A quantitative analysis of retrospective data (2010-2014) of the Australian Migration Review Tribunal substantiated the notion that in contrast to the Turkish model, the Australian model is used as a procrastinating tool to the advantage of unintended economic migrants to remain in Australia.
Population Policies in Turkey and Demographic Changes on a Social Map
Authors: Yucesahin Mustafa Murat , Adalı Tuğba , Türkyılmaz A Sinan
Published: December 2018

Compared to its past structure, Turkey is now a country with low levels of fertility and mortality. This junction that Turkey now has reached is associated with a number of risks, such as an ageing population, and a decreasing working-age population. The antinatalist policy era of Turkey was followed by a period of maintenance, yet the recent demographic changes formed the basis of a pronatalist population policy from the government’s view. This study discusses the link between demographic change and population policies in Turkey. It further aims to position Turkey spatially in relation to selected countries that are in various stages of their demographic transitions with different population policies, using a multidimensional scaling approach with data on 25 selected countries from the UN. The analysis is based on a 34-year period, 1975-2009, so as to better demonstrate Turkey’s international position on a social map, past and present. Our findings suggest that Turkey’s position on the social map shifted towards developed countries over time in terms of demographic indicators and population policies.
Masculine Features in the Speech of Turkish Female Teenagers
Authors: Elyıldırım Selma , Er Ayten
Published: December 2018

Female and male speakers show differences in the use of language connected with  gender. In fact, gender surrounds individuals since their birth and they are conditioned by a social construction to behave in a certain pattern. In other words, people’s beliefs, actions and desires about sexual difference give way to the differences between female and male speakers and individuals are coded about behavior and identity of a specific gender.  This coding affects their language use which conforms to the gender they belong to, as well.  However, recently teenage female speakers have shown the tendency of using masculine features in their speech. This study aimed to bring these features into light. In data collection two sources were used: a corpus generated from the conversations of teenage speakers and a focus group carried out with a small group of these speakers. The corpus was comprised 20 female and 15 male Turkish subjects’ conversations.  The conversations took place in the same sex group as well as mixed sex group in formal contexts such as classroom, office meetings, etc. and informal contexts such as social gatherings, chatting in cafes, etc. In the analysis of the corpus data the choice of lexical items, grammatical structures and level of formality were examined. The results of the study revealed that some female speakers produce words and structures peculiar to the male speech.  This study considers the findings of the study and draws some conclusions from these findings.
Are Ethnic Entrepreneurs Social Innovators? Turkish Migrant Entrepreneurs in Salzburg
Authors: Berner Heiko
Published: December 2018

Social innovations are targeted measures that are capable to resolve social problems (Rammert 2010) and they are directed towards an improvement of the situation (Gillwald 2000). Finally, they are directed towards an amelioration of the situation (Gillwald 2000). In Austria it is argued that ethnic business represents a type of social innovation (Haberfellner 2000). The question the paper addresses is if and to what extent ethnic business goes hand in hand with social developments and possibly boosts social change. Entrepreneurs of Turkish origin in Salzburg are the focus of analysis. The paper starts with a definition of the term ‚social innovation‘ (1), the issues of ethnic vs. migrant business (2.), followed by the description of the labour market situation of Turkish migrants in Salzburg and discrimination in the labour market (3.), and, to to round up, the analysis of biographic interviews with Turkish entrepreneurs in Salzburg (4.). The preliminary results show that there exist social problems such as the lower socio-economic situation of Turkish migrants in Salzburg and discrimination in the labour market. These problems can be seen as basis for the need of social innovations. But nevertheless Turkish run ethnic businesses in a strict sense of the word are no social innovation because they do not act against the problems in an intended way; they rather work on their own account. They may overcome disadvantages on the labour market but their actions are not directed towards overcoming the problem per se. It is much rather a transintentional aspect (Schimank 2010), which goes beyond the economic interest of the actors.