bluuebunny/crossref_metadata_2025 huggingface dataset:
TÜRKİYE’NİN 1970’Lİ YILLARI VE MİLLİYETÇİ CEPHE HÜKÜMETLERİ
Authors: KARATAŞ Murat
Published: October 2022

Türkiye’nin 1970'li yılları, Cumhuriyet dönemi siyasî tarihinin en buhranlı yıllarından birisi olma özelliği taşır. “Ara Rejim” şeklinde bir askeri vesayetin yaşandığı dönemin ilk yıllarında ortaya çıkan partiler üstü hükümet modeli ülkenin temel sorunlarını çözemediği gibi bunların daha da kronik bir durum kazanmasına sebep oldu. Ara Rejim dönemini bitiren 1973 seçimleri Bülent Ecevit liderliğindeki Cumhuriyet Halk Partisi’nin (CHP) zaferiyle sonuçlandı. Uzun uğraşılar sonunda CHP – MSP koalisyon hükümeti tarihi yanılgıyı ortadan kaldırma iddiasıyla kuruldu. Bu hükümetin dış politikadaki en önemli çıkışı Kıbrıs Barış Harekâtı (1974) oldu. CHP lideri Ecevit’in Kıbrıs zaferini sandıktan tek başına iktidar olma yolunda kullanarak koalisyonu bozması ülkeyi yeni bir sürece soktu. Türkiye güçlü bir hükümetin olmadığı bu süreçte bir yandan ABD’nin askeri ve ekonomik ambargosu gibi dış kaynaklı problemlerle boğuşurken, bir yandan da yüksek enflasyon, anarşi, yolsuzluk ve yoksulluk gibi iç problemlerle karşı karşıya kaldı. Siyasî cepheleşmenin/kutuplaşmanın sık sık gündeme geldiği 1970’li yılların ikinci yarısındaki en önemli gelişmelerden birisi de Milliyetçi Cephe adıyla tanınan koalisyon hükümetleri oldu. Bu dönemde merkez solu temsil eden CHP’ye karşı siyasi yelpazenin sağında yer alan milliyetçi-muhafazakâr partilerin güç birliği şeklinde ifade edilen Milliyetçi Cephe Hükümetleri iki kez kuruldu. Bu hükümetlerin ilki Mart 1975 – Haziran 1977 tarihleri arasında, ikincisi ise Temmuz 1977 – Ocak 1978 tarihleri arasında Türkiye'yi yönetti. Birinci Milliyetçi Cephe Hükümeti; Adalet Partisi (AP), Cumhuriyetçi Güven Partisi (CGP), Milliyetçi Hareket Partisi (MHP), ve Mili Selamet Partisi (MSP)'den oluşurken, İkinci Milliyetçi Cephe Hükümeti ise AP, MHP ve MSP üçlüsünün bir araya gelmesiyle oluştu. Dönemde AP’nin Kasım 1979 – 12 Eylül 1980 tarihleri arasında tek başına iktidar olduğu MHP ve MSP tarafından desteklenen hükümet kerhen/örtülü Milliyetçi Cephe Hükümeti olarak nitelendi. Demirel 12 Mart 1971’de iktidardan uzaklaştırılmasına rağmen 1970’li yıllarda açık ya da örtülü şekilde oluşturduğu Milliyetçi Cephe Hükümetleri ile dönemin en uzun süreli koalisyonunu kurarak ülkeyi yönetti. Bununla birlikte Milliyetçi Cephe Hükümetlerini oluşturan partilerin önceliklerinin farklılığı dönemde iç politikada ekonomik, siyasi ve sosyal sorunların çözülememesine neden oldu. Dış Politikanın konuları ise Kıbrıs Meselesi ve bunun çevresinde oluşan ABD’nin silah ambargosu, Ege Sorunu, Türkiye-AET ilişkilerinin yeniden düzenlenmesi oldu. Makalede Milliyetçi Cephe Hükümetleri ve uygulamaları döneme ait basın örnekleri ve araştırma inceleme eserlerden faydalanılarak analiz edilecektir.
SOSYAL BİLGİLER ÖĞRETMENLERİNİN ORTAOKUL SOSYAL BİLGİLER DERS KİTAPLARINA İLİŞKİN GÖRÜŞLERİ (KARABÜK ÖRNEĞİ)
Authors: BERAT Gökhan , CANDAN Ahmet Sait
Published: October 2022

Öğrencilerin ilgi alanları, mizaç tipleri ve zihinsel gelişimlerinin farklı olduğu bir eğitim/öğretim ortamında öğretmen ve öğrencilerin en çok kullandıkları araçların başında ders kitapları gelmektedir. Günümüzde öğrencilerin, genelde tüm derslerde, özelde ise sosyal bilgiler dersinde aynı hazırbulunuşluk düzeyinde olmalarını beklemek büyük bir yanılgıdır. Bu bağlamda, diğer ders araç-gereçlerinin yoksunluğu ve eksikliğine rağmen, özellikle ders kitaplarının nitelikli fiziksel, eğitsel, görsel ve dil-anlatım özelliklerine sahip olmaları gerekmektedir. Bu araştırmada Ortaokul 5, 6 ve 7. Sınıf Sosyal Bilgiler ders kitapları öğretmen görüşleri doğrultusunda fiziksel, eğitsel, görsel ve dil-anlatım özellikleri açısından değerlendirilmiştir. Araştırmanın amacı İlköğretimde okutulmakta olan Sosyal Bilgiler ders kitaplarını fiziksel tasarım, eğitsel tasarım/içerik, dil/anlatım ve imla özellikleri ile ölçme ve değerlendirme bağlamında incelemek ve alanyazına bu konuda katkı sağlamaktır. Araştırma, 2020-2021 eğitim-öğretim yılında Karabük il merkezinde ve Safranbolu ilçe merkezinde görev yapan 39 sosyal bilgiler öğretmenleri ile yapılmıştır. Bu kapsamda araştırma betimsel nitelikli tarama modelinde yapılmıştır. Nicel araştırma yöntemlerinden alan taraması “survey” yöntemi kullanılmıştır. Sonuç olarak, İlköğretim Sosyal Bilgiler ders kitaplarının bazı yönlerden yeterli olduğu; fakat öğrencilerin özellikle bilişsel gelişim düzeylerine uygunluk açısından önemli eksikliklerinin olduğu tespit edilmiştir.
OSMANLI TARİHYAZIMINDAKİ İNTİHALLERE BİR ÖRNEK: SİLAHDÂR’IN NUSRETNÂME’SİNDEKİ EDİRNE VAKASI ANLATISI
Authors: ORAL Özgür
Published: October 2022

Osmanlı tarih yazarları, eserlerini inşa ederken kendi şahitliklerini yazdıkları gibi kendilerinden önceki kaynaklara da müracaat etmişlerdir. Bu yazarlardan kimi kaynaklarını ve kaynaklarından istifade biçimini belirtirken, kimi ise bu hususta tamamen sessiz kalmıştır. Osmanlı tarih yazarlarının kaynaklarını belirtmeden yapmış oldukları alıntıların intihal kapsamında değerlendirildiği bu yazıda, 18. yüzyılın önde gelen müelliflerinden Silahdar Fındıklılı Mehmed Efendi’nin Edirne vakası anlatısına yoğunlaşılmıştır. Bu vaka esnasında Edirne’de bulunan Silahdar’ın, İstanbul’da çıkan isyanla ilgili anlatısının Rahıki Ali Çelebi’nin hadiselerin hemen ardından kaleme aldığı ve şimdiye kadar Osmanlı tarihçilerince kullanılmayan vekayinamesinden intihal edildiği tespiti yapılmış, Silahdar’ın kaynağını belirtmeme hususundaki bilinçli tercihi ve nedenleri tartışmaya açılmıştır.
Analisa Uji Ketahanan Kelelahan ASS Kuningan 70/30 dengan Mesin Uji Tipe Cantilever Rotary Bending
Authors: Adam R , N S Dera
Published: October 2022

Ketahanan material pada masa sekarang ini sangat berperan penting dalam era teknologi. Teknologi berkembang sangat maju dan pesat seiring dengan kemajuan jaman. Berbagai penelitian telah dilakukan oleh berbagai institusi dari seluruh penjuru Dunia untuk menemukan teknologi baru. Penemuan baru tersebut sebagai modal awal untuk menciptakan teknologi yang lebih mutakhir. Seiring dengan perkembangan IPTEK yang sedemikian pesat dewasa ini. Oleh karena itu di butuhkan acuan standar uji fatigue dari suatu material agar para perancang dan pembuat memiliki patokan dasar dalam merancang atau membuat sesuatu agar tidak merugikan atau membahayakan keselamatan penikmat maupun pengguna teknologi. Salah satu cara untuk mengetahui kekuatan atau ketahanan suatu material. Tujuan penelitian hanya menganalisa siklus kelelahan dan ketahanan material Ass kuningan batangan 70/30 hingga mengalami kegagalan atau patah menggunakan metode pengujian fatigue tipe cantilever rotary bending. Konversi satuan beban Kg terhadap Mpa, Konversi satuan waktu detik terhadap waktu putaran. Berdasarkan hasil data yang di dapat dari hasil pengujian fatik tipe cantilever rotary bending yang dilakukan di lab masin fakultas teknik universitas gorontalo. Di tarik kesimpulan secara ilmiah bahwa untuk menganalisis ass kuningan 70/30 pada mesin uji fatik tipe (cantilever rotary bending ,) dengan jumlah spesimen 4 batang dengan durasi waktu 1 jam mendapatkan data analisis bahwa Spesimen 1 dengan Beban 20 kg  mendapatkan tegangan  1.320 Mpa dan siklus 63.700 putaran dan spesimen 2 dengan beban 25 kg mendapatkan tegangan 1650 Mpa dengan siklus 40.012 putaran dan spesimen 3 dengan beban 30 kg mendapatkan  tegangan 1981 Mpa dengan siklus 7.350 putaran dan untuk spesimen 4 mendapatkan tegangan 2311 Mpa dengan siklus 816 putaran.
Availability of Palm Oil Biodiesel in Indonesia and Its Effect on Diesel Engine: A Review
Authors: W Saputro  , W D Lestari  , L Edahwati  , R D Issafira  , A K Faizin  , N Adyono  , T P Sari
Published: October 2022

Palm oil is one of the base ingredient that can be used in making of biodiesel which is an alternative fuel to replace diesel fuel. The ability of palm oil as biodiesel should be balanced with the quantity of palm oil as well as the level of biodiesel production capability. In this paper, authors try to analyze about palm oil as biodiesel starting from number of palm plantations up to the level of biodiesel production capability from palm oil. The analysis conducted in the first part of this paper can be used as a reference that shows the level of availability of the palm oil which can be processed into biodiesel as an alternative fuel in the future. In the next part, the authors tried to analyze the impact of biodiesel made from palm oil starting from engine performance, exhaust gas emissions, rate of wear, quality of lubricant, and deposit formed. It was is done in order to find out the advantages and disadvantages that occur from biodiesel so that it can be used as a reference or consideration in the use of biodiesel-fueled palm oil.
Non-Premixed Combustion Simulation with Variation of Swirl Burner Slope using Turbulence Modeling K-ɛ
Authors: R D Issafira  , W Wijayanti  , L Edahwati  , W D Lestari  , W Saputro  , A K Faizin  , N Adyono  , T P Sari
Published: October 2022

Combustion is a very complex matter. Therefore, we need to know the phenomenon that occur in combustion apart from the temperature distribution. This research uses quasi-research. The background in using quasi-experimental is because it has advantages in data collection. Moreover, the phenomena that occur in more detailed research by means of a numerical approach could also be observed. This research was conducted with an approach (simulation) of diffusion combustion using methane (CH4) fuel and air containing 29% oxygen (O2), 71% nitrogen (N2) and the addition of swirl in the air ducts. k-ɛ turbulence modeling was aaplied in this somulation. This variation of the fuel velocities are 3 m/s, 5 m/s, 7 m/s, where the air velocity was varied for 3 m/s, 5 m/s, 7m/s. In this simulation, room pressure of 1 atm was applied for the surrounding. The results showed that, the greater the angle of inclination of the swirl burner, the shorter the flame. And on the variation of fuel velocity, we get the result that the higher fuel velocity, increase fire height; however, the temperature of the fire height will decrease.
Feasibility Study on Performance of Heat Exchanger-001 Refinery in Pusat Pengembangan Sumber Daya Manusia MIGAS Cepu
Authors: Saputro E , Santoso R A , Saraswati N N , Rochim M
Published: October 2022

PPSDM Migas Cepu is one of the oil and gas industries in Indonesia. Their process requires Heat Exchanger for pre-heating purposes. The Heat Exchanger cannot work optimally because of the impurities attached to the walls shell and tube. Sometimes the impurities are attached to the walls of the shell and tube, so it makes can’t work optimally in this industry. For that reason, the purpose of this calculation is to find out the heat efficiency during the process. Heat efficiency is the ratio of the amount of heat that moves from a high-temperature fluid to a lower temperature fluid in a certain time unit which can show the performance of a Heat Exchanger. The result show that the clean overall coefficient (Uc) and design overall coefficient (Ud) are 7,4301 Btu/ft2.jam.oF and 7,2517 Btu/ft2.jam.oF. For dirt factor (Rd) are 0,0033 ft2.jamoF/Btu. The Pressure Drop is 0,0448 Psi for Tube and 0,0035 Psi for Shell. The value of the Heat Efficiency is 82,3840 %. This means according to the results of these parameters, it can be concluded that the Heat Exchanger-001 is still possible to operate.
Secondary Flow Phenomenon at Elbow Ducting of The Closed-Circuit Subsonic Wind Tunnel: An Experimental Study
Authors: Faizin A K , Sutardi  , Edahwati L , Lestari W D , Adyono N , Issafira R D , Saputro W , Sari T P
Published: October 2022

The installation of elbow ducting in closed-loop wind tunnel installation will cause a pressure drop. Pressure drop was caused by flow separation and secondary flow phenomenon in the elbow ducting. The test section used in this experimental study was an octagonal elbow 90º with radius ratio (rm/Dh) = 0.6. Diameter hydraulic (Dh) elbow of 806 mm. In this study, the Reynolds number is measured based on the free flow velocity (U∞) inlet section, that is ReDh = 4.63x105. The experimental results showed the pressure drop is ΔCp = 1.46 for Re = 4.63x105. This difference in pressure value between the outer and inner (ΔCp) of the elbow ducting was caused by secondary flow. The secondary flow was observed through a horizontal velocity profile where at xi/Dh = 1.35, fluid flow was accelerated on the inner wall and decelerated on the outer wall of the ducting elbow. Then, at xi/Dh = 1.63 to xi/Dh = 2.01, there are gradual shifts of the velocity profile where the fluid flow is accelerated toward the outer wall.
FAKTOR-FAKTOR YANG MEMENGARUHI NILAI PELANGGAN DAN PENGARUHNYA TERHADAP LOYALITAS PELANGGAN DALAM BERBELANJA PRODUK ELEKTRONIK SECARA ONLINE
Authors: Fresno Musa , Farida Cut Muthiah , Arthananda Kevin Pratama , Larasati Putri , Istijanto Istijanto
Published: October 2022

Perkembangan teknologi dan pandemi Covid-19 semakin mempercepat adopsi konsumen terhadap metode berbelanja secara online. Di sisi lain, meningkatnya persaingan antar platform berbelanja online dan rendahnya loyalitas konsumen memicu adanya fenomena berpindahnya konsumen antar platform yang satu dengan lainnya. Penelitian ini bertujuan untuk menguji faktor-faktor yang memengaruhi nilai pelanggan dan pengaruhnya terhadap loyalitas pelanggan. Studi ini menggunakan kerangka Stimuli-Organism-Response sebagai dasar teori penjelasannya. Metode analisis yang digunakan adalah regresi berganda dengan piranti lunak SPSS. Pengumpulan data dilakukan dengan purposive sampling terhadap 268 responden yang berbelanja produk elektronik secara online. Hasil penelitian menunjukkan bahwa faktor-faktor yang memengaruhi nilai pelanggan secara positif dan signifikan adalah layout and functionality, financial security, service quality, price and affordability, brand image, dan data privacy. Selanjutnya, hasil studi ini juga menemukan bahwa nilai yang dirasakan pelanggan memengaruhi loyalitas pelanggan secara positif signifikan. Hasil penelitian ini memberikan kontribusi terhadap literatur yang ada terkait belanja online dan juga memberikan wawasan bagi pelaku platform belanja online dalam mengembangkan bisnisnya.
MODEL KETERKAITAN FEAR OF COVID-19, TRAVEL ANXIETY, TERHADAP TRAVEL INTENTION DENGAN VARIABEL RISK ATTITUDE SEBAGAI VARIABEL INTERVENING DI ERA NEW NORMAL
Authors: Verinita Verinita , Habibah Putri , Suryaningsih Ika Barokah , Azman Heru Aulia
Published: October 2022

Sektor pariwisata berperan penting sebagai salah satu sumber pendapatan negara yang dapat mendorong pertumbuhan ekonomi nasional. Dengan munculnya  COVID-19 mengakibatkan runtuhnya pariwisata sektor lainnya. COVID-19 berdampak negative terhadap industry pariwisata baik dalam hal kunjungan wisatawan domestic maupun wisatawan mancanegara. Hal ini memaksa perubahan kondisi dari era normal menjadi era new normal. Yang tentu saja akan menyebabkan perubahan perilaku masyarakat ketika berwisata. Penelitian ini bertujuan untuk mengidentifikasi perilaku para wisatawan terhadap  niat untuk  berkunjung ke destinasi wisata melalui variabel fear of covid 19, travel anxiety dengan variabel risk attitude  sebagai variabel intervening. Data responden  diperoleh melalui kuesioner yang disebarkan secara online kepada 210 responden yang berdomisili di lima kabupaten/kota dengan kunjungan wisata tertinggi di Provinsi Sumatera Barat. Data diolah dengan secara kuantitatif menggunakan SMART-PLS 3.0. Pada penelitian ini diperoleh hasil bahwa ketakutan masyarakat untuk berwisata pada era new normal tidak sebesar saat pandemic covid 19 sedang tinggi.  Hal ini dibuktikan  bahwa pada era new normal masyarakat tetap memiliki niat (revisit intention)  untuk  melakukan perjalanan wisata meskipun memiliki kecemasan (fear of covid 19)  dan sikap atas  resiko (risk attitude) akan  tertular  COVID-19. Ketakutan responden  terhadap tertular covid 19  (fear anxiety) dibarengi dengan tetap memperhatikan konsep CHSE ( Cleanliness, Health, Safety dan Environment).
STRATEGI PENGEMBANGAN DESTINASI WISATA DANAU SIPIN JAMBI
Authors: Dahmiri Dahmiri , Khalik Idham
Published: October 2022

Tujuan penelitian ini adalah untuk mengetahui berbagai masalah yang dihadapi serta menemukan startegi dalam pengembangan kawasan wisata Danau Sipin Jambi. Sumber data adalah data primer yang diperoleh dari informan yang dipilih dari berbagai kalangan seperti pemerintah, swasta, masyarakat dan pelaku usaha. Data sekunder diperoleh dari instansi, literature dan laporan lembaga terkait. Alat pengumpul data adalah beupa panduan wawancara yang sudah disiapkan serta melalui pengamatan langsung atau observasi. Pengolahan data dilakukan menggunakan metode kualitatif dengan alat bantu untuk menganalisis analisis factor internal dan factor eksternal dengan pendekatan Matrik SWOT analysis. Hasil penelitian menyimpulkan bahwa strategi pengembangan yang dapat dilakukan pada kawasan objek wisata Danau Sipin Jambi adalah menjaga kelestarian lingkungan danau baik air, udara dan tanah disekitar danau, meningkatkan keramahan dan pelayanan yang prima sehingga pengunjung merasa puas dan memberikan kesan yang baik, Meningkatkan keterlibatan masyarakat sekitar dalam pengelolaan dan pemeliharaan danah, melakukan promosi yang masif melalui kegiatan dan even-even dan media online dalam upaya mengenalkan dan menarik minat pengunjung baik lokal maupun nasional dan melengkapi sarana dan prasarana pendukung sehingga berdampak pada peningkatan pengunjung serta dalam upaya mengantisipasi kehadiran objek wisata buatan yang menjadi pesaing
KAMPUNG AKUAPONIK: PEMODELAN TEKNOLOGI AKUAPONIK GUNA MENINGKATKAN KETERAMPILAN DAN KEMANDIRIAN MASYARAKAT TEMPILANG
Authors: Kurniawan Andri
Published: October 2022

Pemanfaatan lahan sempit dan tidak produktif melalui kegiatan budidaya ikan merupakan salah satu cara meningkatkan produktivitas lahan. Teknologi akuaponik memadukan budidaya ikan dan sayur dengan sistem resirkulasi dinilai sebagai teknologi sederhana, tetapi tepat guna.

Teknologi ini mengedepankan efisiensi lahan dan pemanfaatan limbah organik ikan sebagai pupuk bagi tanaman yang berada di atasnya. Pengembangan teknologi ini dapat menghasilkan multile product dalam satu siklus produksi. Lebih jauh, teknologi ini mampu meningkatkan kemandirian serta produktivitas masyarakat sehingga secara tidak langsung diharapkan dapat menunjang perekonomian dan kesejahteraannya.

Kegiatan KKN IX yang dilaksanakan oleh Universitas Bangka Belitung (UBB) di Desa Basun, Desan Dam 3, dan Desa Kelekak Kabung di Kecamatan Tempilang adalah menifestasi peran dharma pengabdian UBB kepada masyarakat. Penerapan teknologi akuaponik diharapkan dapat menghadirkan pengetahuan dan keterampilan baru bagi masyarakat sehingga optimalisasi lahan non produktif dapat ditingkatkan dan mampu menghasilkan sesuatu yang lebih bermanfaat dan bernilai ekonomis.
MEMBANGUN DUSUN TUING DARI SEKTOR PERIKANAN, PARIWISATA, DAN PERTANIAN
Authors: Karsiningsih Eni
Published: October 2022

Dusun Tuing Desa Mapur Kecamatan Riau Silip Kabupaten Bangka merupakan salah satu dusun tertinggal di Kabupaten Bangka.  Faktor utama penyebab ketertinggalannya adalah akses jalan yang sangat jelek.  Akan tetapi, Dusun Tuing menyimpan potensi pariwisata yang sangat indah dan perikanan yang belum terlalu diekplor serta pertanian yang masih perlu dikembangkan.  Sehingga perlu pendekatan-pendekatan yang dilakukan untuk melakukan pembenahan dan pengembangan terhadap sektor-sektor tersebut seperti membuat alat bantu tangkap ikan, memberi bantuan GPS, melakukan penataan dusun, melakukan sosialisasi dengan pemerintah daerah, membentuk kelompok tani, membuat demplot dan vertikultur sayur mayur, pemberian bibit ayam kampung super dan bibit karet, sosialisasi UU status kepemilikan lahan, dan membuat RAB pengaspalan jalan.  Sebagian besar kegiatan-kegiatan pengabdian di Dusun Tuing ini berhasil dilakukan sehingga masyarakat dapat membuat rumpon cumi dan rumpon ikan serta tahu titik-titik penangkapan dengan menggunakan GPS, tahu metode demplot dan vertikultur dan mampu mengembangbiakkan ayam kampung super.  Oleh karena itu, agar Dusun Tuing dapat keluar dari belenggu ketertinggalan, sebaiknya pemerintah daerah segera melakukan pengaspalan jalan berdasarkan RAB yang telah dibuat, melakukan sosialisasi Perda No. 1 tahun 2013, dan bekerjasama dengan Univeritas Bangka Belitung untuk membuat master plan pengembangan pariwisata di Dusun Tuing.
The Method of Cryodestruction of Bening Neoplasms of the Skin and Mucosa in Dermatovenerology and Cosmetology (Literature Review)
Authors:   A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia, Lipova E.V. , Vitvitskaya Yu.G. ,   A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia, Chekmarev A.S. ,   A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia, Glazko I.I. ,   A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia, Sokolskaya A.A. ,   A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia, Silyutina T.A. ,   A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia
Published: October 2022

The urgency of the problem of neoplasms has been high over the past decades. According to Russian researchers, when treating patients with neoplasms, epithelial and benign formations prevail. Today, in the doctor’s arsenal there is a wide range of therapeutic techniques, including various methods of destruction, including cryosurgery. Cryosurgery is a minimally invasive method of removing skin neoplasms, which is effectively used in the practice of a dermatovenereologist and cosmetologist to remove warts, treat molluscum contagiosum, seborrheic keratosis, etc. This method is based on the impact of ultra-low temperatures on the skin, the source of which is liquefied gases, resulting in tissue destruction. This procedure is an effective alternative to invasive methods and can be performed quickly and cost-effectively on an outpatient basis. The main advantages of using cryosurgery include ease of implementation, a relatively small number of contraindications and a good cosmetic result. Absolute contraindications for this method include neoplasms of unspecified etiology, some of the malignant neoplasms, patient disagreement with possible changes in pigmentation, obvious sensitivity or adverse reaction to cryosurgery. There are various techniques for carrying out the procedure, which include simple methods of applying liquid nitrogen, such as using a cotton swab, which is immersed in a Dewar vessel and then loosely pressed against the neoplasm, and more technologically advanced – the use of cryosurgical devices that work with liquid nitrogen.
Features of Radiological Diagnosis of Hemorrhages in Foci of Brain Lesions in Oncohematological Pathology. Clinical Observation
Authors:   Burnasyan State Research Center – Federal Medical Biophysical Center of Federal Medical Biological Agency, Kozyrev S.V. , Ionova E.A. ,   Burnasyan State Research Center – Federal Medical Biophysical Center of Federal Medical Biological Agency, Sorochan D.A. ,   Burnasyan State Research Center – Federal Medical Biophysical Center of Federal Medical Biological Agency, Troyan V.N. ,   The N.N. Burdenko Main Military Clinical Hospital Ministry of Defense of the Russian Federation, Bobin A.N. ,   The N.N. Burdenko Main Military Clinical Hospital Ministry of Defense of the Russian Federation, Truten I.V. ,   The N.N. Burdenko Main Military Clinical Hospital Ministry of Defense of the Russian Federation, Rukavitsyn O.A. ,   The N.N. Burdenko Main Military Clinical Hospital Ministry of Defense of the Russian Federation
Published: October 2022

The acute myeloid leukemia (AML) is the malignant transformation and uncontrolled proliferation of abnormally differentiated, long-lived myeloid progenitor cells cause a large number of blast cells in the circulating blood and replacement of normal bone marrow with tumor cells, as well as damage to other organs and systems. Neurological disorders in AML diseases are among the secondary lesions of the nervous system. Morphologically, neuroleukemia is characterized by multifocal leukemic infiltrates and disorders of the myelination of nerve fibers. The formation of leukemic foci in the medulla leads to an increase in intracranial pressure, compression of cerebral and spinal structures, loss of functions of the affected area. In such situations, computed tomography of the brain may reveal lesions of the brain substance, leukemic infiltration of the meninges of the brain, intracranial hemorrhages, and cerebral infarctions.
Relationship between QRS duration on ECG and Left Ventricular Systolic Function by Echocardiography in patients with Non-ST elevated Myocardial Infarction
Authors: Rahman Md Zillur , Akanda Abdul Kader , Ullah Mohammad , Alam Md Shariful , Mostofa Md Gulam , Islam Mohammad Mamoon , Hossain Md Iqbal , Haque Md Ahsanul
Published: October 2022

Background: Early risk stratification of patients with myocardial infarction is critical to determine optimum treatment strategies and enhance outcomes. The present study was therefore undertaken to determine the relationship between QRS duration (QRSd) on admission ECG and left ventricular ejection fraction (LVEF) as a measure of left ventricular function in non-ST elevated myocardial infarction (NSTEMI) patients.
Methods: This observational study was carried out from January to December 2020 with total of 120 patients with a history of NSTEMI. Based on the cut-off value of QRS duration 100 msec, the patients were divided into two groups – one group with QRS duration d” 100 msec (normal QRS) and another group with QRS duration > 100 msec (prolonged QRS). Left ventricular systolic function was considered preserved, if it was e” 52% and reduced if it was < 52%. The association and correlation between QRS duration and LVEF was then observed.
Results: The prevalence of reduced LVEF in patients with prolonged QRS duration (> 100 msec) was double (38%) than that of preserved (19.5%). The risk of having LV dysfunction in patients with prolonged QRS duration was 2.5 (95% CI = 1.1 – 6.2) times higher than that in patients normal QRS duration (d” 100 msec) (p = 0.039). The QRS duration and LVEF bear a significantly inverse relationship (r = -0.341, p < 0.001). The sensitivity of prolonged QRS duration (> 100 msec) in correctly detecting LV dysfunction was inappreciably low (38%), although its specificity in excluding those who did not have LV dysfunction was optimum (80.5%) with overall diagnostic accuracy being 52.5%.
Conclusion: Prolonged QRS duration on a standard 12-lead ECG is associated with reduced echocardiographic LVEF. However, QRS duration in predicting LV dysfunction is much less sensitive, although its specificity is optimum indicating that QRS duration is not a good predictor of LV dysfunction (reduced LVEF), but it can dependably predict those who do not have LV dysfunction (preserved LVEF).
Cardiovasc j 2022; 15(1): 36-41
Association of Diabetic Retinopathy with Angiographic Severity of Coronary Artery Disease in Patients with Non-ST Elevation Myocardial Infarction
Authors: Amin Heru Al , Choudhury Amal Kumar , Ahsan Syed Ali , Dutta Bijoy , Hossain Mujtahid Mohammad , Alam Nur , Uddin Kofil , Saha Partha Pratim
Published: October 2022

Background: Bed side ophthalmoscopic examination is a simple measure of diagnosis of diabetic retinopathy and has been shown to be a predictor of poor outcome in various cardiovascular conditions including coronary artery disease. The present study was intended to find the relationship between diabetic retinopathy with the severity of coronary artery disease in patients with non ST elevation myocardial infarction (NSTEMI).
Methods: This cross-sectional observational study was conducted with a total of 120 NSTEMI patients with diabetes undergoing coronary angiogram and also fundoscopic examination with fundal photography during the index hospitalization. Study subjects were divided into two groups on the basis of diabetic retinopathy (Group-I: NSTEMI with diabetic retinopathy; Group- II: NSTEMI without diabetic retinopathy). Severity of coronary artery disease was determined by Gensini score and correlation between diabetic retinopathy and Gensini score was assessed.
Results: Gensini score was significantly higher in patients with diabetic retinopathy than that in patients without diabetic retinopathy (62.2±27.7 vs. 43.3±25.3, p<0.001).Gensini score increased with increasing severity of diabetic retinopathy (p <0.001).The risk of having severe CAD in patient with diabetic retinopathy was 13.03 (95% CI =2.410-70.419) (P<0.003). A significant correlation between diabetic retinopathy and Gensini score was noted (p value <0.001)
Conclusion: It may be concluded that presence and severity of diabetic retinopathy is associated with angiographic severe coronary artery disease in patient with NSTEMI and it may be considered as an independent predictor of severity of CAD. As is a bed side assessment, so before performing coronary angiography, it appears to be additive for risk stratification.
Cardiovasc j 2022; 15(1): 49-55
Correlation between Microalbuminuria and Coronary Angiographic Severity in Non-diabetic Myocardial Infarction patients
Authors: Islam Mohammad Mamoon , Akanda Abdul Kader , Ullah Mohammad , Alam Md Shariful , Mostofa Md Gulam , Rahman Md Zillur , Ali Md Bonday , Basak Suchitra
Published: October 2022

Background: Microalbuminuria may have an association with myocardial infarction in absence of traditional risk factors like diabetes. The present study was intended to find the association between microalbuminuria and angiographic severity of coronary artery disease in non-diabetic myocardial infarction patients.
Methods: This cross sectional analytical study included 105 non-diabetic patients with myocardial infarction who underwent coronary angiography (CAG). The microalbuminuria was defined as urine albumin to creatinine ratio (ACR) of 30 -300 mg/g, while angiographic severity was measured by Gensini score with score e” 36 was taken as moderate to severe coronary artery disease (Group I) and score below 36 was termed as absent or mild coronary artery disease (Group II). Association of microalbuminuria with severity of coronary artery disease was determined.
Results: Presence of microalbuminuria was found significantly higher (45%) in patients with moderate to severe coronary artery disease than that in patients with absent or mild CAD (4.6%). The Odds of having moderate to severe coronary artery disease in patients with microalbuminuria was observed to be 17 times (95% CI = 4.5 - 63) higher than that in patients without having this condition. Correlation between ACR and Gensini score was also found a significant positive relationship (r=0.702, p<0.001) with 70% of variation in Gensini score being explained by ACR.
Conclusion: Microalbuminuria can be considered as a predictor of the severity of coronary artery disease in non-diabetic myocardial infarction patients.
Cardiovasc j 2022; 15(1): 56-62
Post-operative Outcome during Off-Pump Coronary Artery Bypass Surgery – A Comparison between Combined High Thoracic Epidural Anaesthesia with General Anaesthesia and General Anaesthesia Alone
Authors: Azad Saiful Islam , Alam Sarif Shammirul , Beg Abdul Khaleque
Published: October 2022

Background: In the postoperative period inadequate analgesia may increase morbidity by causing adverse haemodynamic, metabolic, immunologic and haemostatic attentions and prolong mechanical ventilation with more ICU stay. This study has been undertaken to compare postoperative outcome in off-pump coronary artery bypass surgery (OPCAB) between high thoracic epidural anaesthesia (HTEA) as an adjunct to general anaesthesia (GA) vs. GA alone.
Methods : This prospective, randomized case control comparative study was carried out in sixty patients without having left main coronary artery disease, left ventricular ejection fraction <30% or contraindication of regional anaesthesia scheduled for OPCAB. They were divided into two groups, thirty in each group. Group A received GA alone and group B received high thoracic epidural anaesthesia with GA. Requirement of postoperative analgesics, pain score, sedation score, and post-operative complications were evaluated. Results: Rescue analgesics was needed in 16 (53.3%) and 6 (20.0%) patients in group A and group B respectively (p<0.05). Post-operative pain score (VAS) during maintenance with ventilator with awareness at first fourth hour and after extubation during movement & cough were significantly different between two groups. Post-operative sedation score was significantly different between two groups except in 1st hour. No post-operative complication was observed in both groups.
Conclusion: High thoracic epidural anaesthesia with GA appeared to be most reliable postoperative pain reliever with better post-operative outcome in OPCAB surgery.
Cardiovasc j 2022; 15(1): 63-68
Analysis of Risk Factors among the Hypertensive Patients in a Tertiary Care Hospital of a Northern District in Bangladesh
Authors: Saiduzzaman Md , Kabir Md Shahriar , Rabbani ASM Golam , Matin Md Abdul , Alam Md Rezaul , Rubaiyat Khandaker Abu , Reza Md Mamun
Published: October 2022

Background: Hypertension is the leading cause of cardiovascular morbidity and mortality all over the world. Although some epidemiological studies on hypertension have been conducted in Bangladesh, the factors associated with hypertension in this nation remain unclear. The objective of this study was to determine the factors associated with hypertension among the adult population in a northern district in Bangladesh.
Methods: This cross- sectional study was conducted at the Department of Cardiology, M. Abdur Rahim Medical College Hospital, Dinajpur from March 2021 to February 2022. Out of total of 500 participants from OPD and indoor Cardiology Department of this hospital, 250 hypertensive patients were recruited as cases and another 250 normotensive participants were taken as control.
Results: Majority of the hypertensive patients in the study population were in 46-55 years of age group [male 48(32.4%) and female 40(39.2%)]; whereas normotensive participants less in number in the same age group [male 20(16.1%) and female 24(19.0%)]. Hypertension was more common in males (59.2% of cases). Moreover, hypertensive participants had strong family history (66%) of hypertension, urban residential area (68%), habits of smoking (67.2%), diabetes mellitus (64%), and excess salt consumption (70%). Raised levels of total cholesterol, triglycerides, and LDL were more common among hypertensive participants than that of the normotensive control group and which was found to be statistically significant.
Conclusion: Our study shows that the risk of hypertension was significantly associated with older age, male sex, family history of hypertension, urban residence, smoking, excess salt consumption, higher BMI and waist circumference, dyslipidemia and diabetes mellitus. More studies and area-specific longitudinal research is needed in this field which would help adopt national policies to limit incidence as well as consequences of hypertension in our country.
Cardiovasc j 2022; 15(1): 69-74
Evaluation of Subdermal Birth Control Implants Use among Married Women of Reproductive Age in a Metropolitan City of Bangladesh
Authors: Islam Baishakhi , Jannat Tamanna , Begum Arifa , Sharmee Tania Hussain , Luna Mahfuja Khanam
Published: October 2022

Background: Long-term hormonal birth control implant is the way of achieving optimal birth spacing in our country where high birth rate is one of the major concerns.
Aims & objectives: To evaluate the knowledge, attitude, usage & feedback that influences the use of subdermal implants. Methods: This cross-sectional study was conducted in different maternity centers in Dhaka city. A total of 200 married women of reproductive age (18-45 years) were included in the study, whereas women beyond this age range & having co-morbidities were excluded. Data were collected through a standardized questionnaire and analyzed using Microsoft Excel 2007 spreadsheet.
Results: In this study, 60% of women were in the age group ranging from 27 to 35 years, 27.5% were educated up to SSC/HSC level, 37% were housewives, 46% had poor socioeconomic conditions and 57.5% came from rural areas. The majority (71%) had heard about implants and 29% didn’t know about the implant. Overall attitude was positive in 33% of respondents. About 39.70% quit due to desired pregnancy. Among 59% of users, there was a negative attitude due to some adverse effects.
Conclusion: Despite some negative attitudes regarding subdermal implants, the use of this method is progressively gaining positivity regarding knowledge, attitude and other associated factors among women of reproductive age.
Mediscope 2022;9(2): 60-67
Serum Vitamin D Status and its Relationship with Metabolic Parameters in Patients with Type 2 Diabetes Mellitus
Authors: Islam Md Tazul , Nargis Susmita , Roy Heera Lal , Islam Ehsanul , Sultana Mahmuda , Mahmud Sarker Hafiz
Published: October 2022

Vitamin D is a fat-soluble vitamin with hormonal functions, which helps in calcium and phosphate homeostasis and bone metabolism. Beyond the role in bone health, vitamin D influences non-skeletal health problems and chronic diseases like obesity, hypertension, cardiovascular diseases, glucose intolerance and type 2 diabetes mellitus (T2DM). Low vitamin D impairs insulin synthesis and secretion resulting in glucose intolerance in T2DM. This study was carried out between July 2015 to June 2016 to assess vitamin D status in T2DM patients. In this study, vitamin D {25-hydroxycholecalciferol [25(OH)D3]} was assessed in 65 type 2 diabetes mellitus patients and 70 healthy subjects of matching age and sex. Serum 25-hydroxycholecalciferol, fasting blood glucose (FBG), total cholesterol and serum creatinine were estimated. Data were analyzed with the help of the statistical package “R” (version 2.7). Serum 25-hydroxycholecalciferol in cases (Group A) was 55.73±9.02 ng/ml and in controls (Group B) was 53.77±10.86 ng/ml; there was no statistically significant difference between the two groups. Serum FBG was significantly different between the two groups, whereas serum total cholesterol and serum creatinine were not significantly different between the two groups. In type 2 diabetes patients, no significant correlation was found between serum 25-hydroxycholecalciferol with Body mass index (BMI), fasting blood glucose and total cholesterol. In healthy controls, there was no significant correlation of serum 25-hydroxycholecalciferol with BMI, fasting blood glucose and total cholesterol. Vitamin D level was sufficient in both type 2 diabetes patients and healthy individuals. Vitamin D was not associated with T2DM.
Mediscope 2022;9(2): 75-80
Treatment Options of Temporomandibular Joint Ankylosis at a Tertiary Level Hospital in Bangladesh: A Two-Year Retrospective Analysis
Authors: Rahman AFM Shakilur , Hosen Md Ikbal , Towhid Soroar Jahan , Talukder Md Ali Hossain , Hasan Md Imrul , Shah Md Sakawath Hosain , Hossain Mohammad Azmal
Published: October 2022

Introduction: The study compares the surgical treatment options utilized to treat temporomandibular joint ankylosis at a tertiary level hospital in Bangladesh from 2016 to 2017.
Materials and Methods: In this retrospective analysis, 18 patients (28 joints) were studied. History, radiological and physical examinations, and mouth opening were all part of the preoperative and postoperative evaluation. Age, sex, underlying cause, affected joint (s), surgery modality, complications, and follow-up durations were all taken into consideration. The data was analyzed using the SPSS 22.0 statistical software. The degree of mouth opening before and after different surgical techniques in different patient categories was compared using a one-way ANOVA followed by Tuky's HSD test.
Results: Temporomandibular joint ankylosis was found to be in several forms (fibrous, fibro-osseous, and osseous), with trauma (61.11%) being the most common cause. The patients ranged in age from 5 to 30 years old, with females accounting for 55.55% of the total. The mean mouth opening significantly increased from 3.11 mm pre-operatively to 31.17 mm in the first month following surgery (p = 0.00001). In 55.55% of the instances, temporary facial nerve paresis occurred.
Conclusions: Temporomandibular joint ankylosis can be successfully managed with early excision of the ankylotic mass, restoration of the ramus height by bone grafting, interpositional arthroplasty, and intensive physiotherapy.
Update Dent. Coll. j: 2022; 12(2): 7-13
IMPLEMENTASI ISAK 35 PADA YAYASAN IKATAN PERSAUDARAAN HAJI INDONESIA MADIUN
Authors: Wibisono Nurharibnu , Hidayatul Alveniawati  , Arini Wildaniyati
Published: October 2022

The goal of this study is firts, to know the management of financial of the Madiun Indonesian Hajj Brotherhood Foundation (IPHI). Second, To obstain the processing of financial statement at the Indonesian Hajj Brotherhood Foundation in Madiun with financial statements according to ISAK 35. This study is a qualitative analysis that purposes to answer questions regarding financial management at the foundation and the suitability of its financial management based ISAK 35. Collecting data through observation, interviews also with documentation. The data is processed by means of descriptive analysis. The output of research show that the Financial Statements based on ISAK 35 consist of various inform including balance sheet, report of comprehensive income, statement of changes in net assets, report of cash flows also notes to financial reports. However, the IPHI Madiun Foundation has not made the 5 (five) financial reports based on applicable standards. IPHI Madiun Foundation only makes cash in and cash out finacial reports. Accountability within the IPHI Madiun Foundation has not been carried out optimally, as evidenced by the absence of disclosure of financial conditions to the public or to donors. Recommendation that can be given are in terms of preparing financial report in conformability with ISAK 35, it can be done by participating in training which is hope to improve knowledge in the field of accounting. With ISAK 35 the IPHI Madiun Foundation may be give directives to the presentation of financial statements, and the IPHI Madiun Foundation will be more obedient to the regulations so that accountability can be obtained.
Las listas Unesco del Patrimonio Mundial y del Patrimonio Inmaterial: una reflexión desde la España rural
Authors: Benítez Tellaetxe Conchi
Published: October 2022

Reflexión sobre la vinculación y sinergias que surgen cuando en un mismo territorio confluyen varios bienes protegidos por figuras UNESCO a partir de la experiencia de la Comarca de Sobrarbe (Huesca), un territorio rural del norte de España declarado en su totalidad Geoparque Mundial y en el que se ubican diferentes bienes inscritos en la Lista del Patrimonio Mundial, en la Lista Representativa del Patrimonio Cultural Inmaterial de la Humanidad y una Reserva de la Biosfera. Convergencias entre la Convención para la protección del Patrimonio Mundial, cultural y natural (1972) y la Convención para la salvaguardia del Patrimonio Cultural Inmaterial (2003). La realidad de la gestión, desde el ámbito local, del patrimonio reconocido por la UNESCO. Algunas consideraciones sobre la brecha urbano-rural y sus implicaciones para la salvaguarda del patrimonio de valor universal. Conclusiones y apuntes para el futuro.
Patrimonio Mundial e impacto local. Efectos de la inclusión en la Lista
Authors: Troitiño Torralba Libertad
Published: October 2022

Este trabajo plantea una reflexión acerca de los pros y contras de la inclusión en la lista de Patrimonio Mundial desde una óptica basada no tanto, en la repercusión externa/internacional, sino en los efectos que este tipo de distinción o reconocimiento tiene sobre el contexto local en sus múltiples dimensiones, económica, social, funcional, ambiental, etc. Se conmemoran los 50 años de la “Convención de Patrimonio Mundial” de París (1972), que supusiera un punto de inflexión en el quehacer por la protección, conservación y salvaguarda de los valores naturales y culturales existentes en nuestro planeta. Han pasado 44 años, desde que se inscribieran los 12 primeros sitios en la Lista, que, hasta la fecha, registra 1.251 bienes. El proceso tiene sus luces y sombras (Troitiño, 2018), no solo en lo que respecta a la fase previa de su inclusión, sino una vez declarado como Patrimonio Mundial. En el artículo se hará un breve repaso por la evolución de los Sitios que se han ido declarando en estas más de cuatro décadas, para centrarnos en una segunda parte, en la elaboración de un diagnóstico, en el que identificar los impactos comunes (positivos y negativos) detectados en los bienes inscritos.
Políticas locales para la preservación de un patrimonio global. El Archipiélago de Revillagigedo, Patrimonio Mundial
Authors: Ramírez Vuelvas Carlos
Published: October 2022

En 2016, durante la 40ª reunión de la Unesco, el Archipiélago de Revillagigedo obtuvo el rango de Patrimonio Natural en la Lista del Patrimonio Mundial. Desde esta declaración, instituciones, organizaciones y gobiernos fomentan la conservación del Archipiélago. Sin embargo, tanto la gestión de políticas y normas de preservación, como el desarrollo del conocimiento académico científico, revelan las debilidades sistémicas del Archipiélago. La colaboración entre instituciones de gestión pública, las universidades e instituciones académicas, así como las organizaciones de la sociedad civil dedicadas a la preservación del medio ambiente será fundamental para cumplir con las exigencias para la protección de este Patrimonio Mundial.
Impacto de la inscripción de la zona arqueológica de Palenque en la Lista del Patrimonio Mundial
Authors: Vargas Amilcar
Published: October 2022

El sitio arqueológico y parque nacional de Palenque (México) fue inscrito en la lista del Patrimonio Mundial en 1987 buscando un impacto en la conservación del sitio pero también un impacto en el turismo lo que ha convertido a la zona en un polo de desarrollo regional en torno a los valores económicos del sitio. Sin embargo, la pobreza y la marginación persisten en el presente en una de las regiones culturales más ricas de México. En este artículo se presenta un estudio de la evolución de esta situación y se discute el estado de los impactos logrados a partir de la inscripción de Palenque en la lista. Nuestros resultados se basan en un trabajo empírico realizado en la zona arqueológica y sus comunidades circundantes mediante metodologías etnográficas entre 2014 y 2019. Como contribución al estado actual, se proponen directrices generales que podrían contribuir a mejorar los impactos de la inscripción en las comunidades locales y proporcionar una mejor comprensión y protección del Valor Universal Excepcional del sitio mediante el compromiso local y las inversiones sociales para reducir la presión económica y política.
Parque Nacional Canaima, Patrimonio Mundial: ¿espíritu del mal?
Authors: Rodríguez Fernández Iokine
Published: October 2022

El Parque Nacional Canaima y Patrimonio Mundial de la UNESCO, reconocido internacionalmente como una de las maravillas naturales del mundo, es la tierra ancestral del pueblo indígena Pemón. A pesar de la íntima conexión de este pueblo indígena con la naturaleza y su fuerte vínculo histórico y cultural con esta zona, su relación con el Parque Nacional Canaima y el Patrominio Mundial no ha sido feliz. Este artículo examina por qué y sugiere formas en que la Unesco podría ayudar a garantizar que las visiones del mundo y los derechos de los habitantes tradicionales reciban una mayor consideración en la futura implementación de la Convención del Patrimonio Mundial.