bluuebunny/crossref_metadata_2025 huggingface dataset:
ASSESSMENT OF THE IMPLEMENTATION OF OCCUPATIONAL SAFETY AND HEALTH AT THE GAMELAN INDUSTRY CENTER USING HAZOP AND WISE METHODS
Authors: Rahma Ratih Andhika Akbar , Hasanudin Achmad
Published: March 2020

Sentra industri gamelan di Kabupaten Ponorogo belum menerapkan Keselamatan dan Kesehatan Kerja (K3). Hal ini dikarenakan minimnya pemahaman pemilik industri dan pekerja mengenai pentingnya penerapan K3 di tempat kerja. Oleh karena itu, penerapan K3 di IKM khususnya pada sentra industri Kabupaten Ponorogo harus efektif dan optimal untuk meningkatkan produktivitas dan daya saing sentra industri. Tujuan penelitian ini yaitu menilai penerapan keselamatan dan kesehatan kerja dengan metode HAZOP dan WISE di Sentra Industri Gamelan Kabupaten Ponorogo. Penelitian ini merupakan penelitian kuantitatif dengan rancangan deskriptif analitik. Objek penelitian yaitu empat industri gamelan di sentra industri gamelan Kabupaten Ponorogo. Tahapan dalam penelitian ini yaitu identifikasi bahaya dan penilaian risiko di sentra industri menggunakan metode HAZOP serta penilaian penerapan K3 menggunakan metode WISE. Hasil identifikasi bahaya dan penilaian risiko menggunakan HAZOP worksheet menunjukkan sebanyak 60 % faktor bahaya di sentra industri gamelan Kabupaten Ponorogo memperoleh skor risiko pada level tinggi. Hasil observasi WISE checklist menunjukkan usulan tindakan perbaikan sangat dibutuhkan dengan persentase pada masing-masing industri yaitu industri A sebanyak 55,17 %, industri B sebanyak 50 %, industri C sebanyak 51,72 %, dan industri D sebanyak 56,90 %. Berdasarkan hasil analisis data diketahui bahwa penerapan keselamatan dan kesehatan kerja di sentra industri gamelan Kabupaten Ponorogo masih sangat rendah dengan persentase pada masing-masing industri yaitu industri A sebesar 6,9 %, industri B sebesar 12,07 %, industri C sebesar 10,34 %, dan industri D sebesar 6,9 %.
Comparison of Axial Ocular Measurements with Contact and Non-contact Biometry
Authors: Ashraf Muhammad Arslan , Sarwar Muhammad Suhail , Afzal Muhammad Awais , Khalid Imran , Shahid Sehrish
Published: March 2020

Purpose:  To compare between non-contact and contact biometry for measurements of central corneal thickness (CCT), anterior chamber depth (ACD), lens thickness (LT) and axial length (AL).

Study Design: Descriptive Cross Sectional Study.

Place and Duration of Study:  Mayo Hospital, Lahore from June 2018 to December 2018.

Material and Methods:  Eighty-four subjects, (168 non-pathological eyes) visiting the eye outpatients department were recruited by non-probability convenience sampling. Patients with high refractive errors and suffering from any ocular pathology were excluded from the study. CCT, ACD, LT and AL were measured with non-contact Biometer (HAAG Streit) followed by Contact Biometer (Ultrasound) after taking consent from the patient. Data was entered and analyzed by using SPSS-21 and Medcalc software. Normality of quantitative data was checked with Shapiro Wilk test. Independent sample t test was used for parametric variable and Mann Whitney-U test was used for non-parametric data. For the agreement between two techniques Cohen’s Kappa test used and Bland-Altman plot was drawn for graphical presentation. P-value equal or less than 0.05 was taken as significant.

Results:  Mean age of 84 subject (female: 45.24% and male: 54.76%) was 53.05 ± 13.56 years. The AL was significantly longer for the non-contact measurement with the difference of 0.53 ± 0.32 mm (p < 0.001). Contact pachymetry was significantly higher with the difference of 8.67 ± 20.83 µm (p = 0.046). ACD was significantly deeper for non-contact measurements with the difference of 0.51 ± 0.32 mm (p < 0.001). Contact ultrasound A-scan measured LT significantly thicker with the difference of 0.59 ± 0.56 mm (p < 0.001).

Conclusion:  There is significant difference of axial ocular measurements (CCT, ACD, LT and AL) between contact (ultrasound A-scan) and non-contact (HAAG Streit) biometry (p < 0.05).
Intracameral Bevacizumab versus Subconjunctival Bevacizumab in the Treatment of Neovascular Glaucoma
Authors: Sultan Sharjeel , Siyal Nisar , Waris Nazish , Khokhar Rasheed
Published: March 2020

Purpose: To compare the effect of intracameral Bevacizumab with sub-conjunctival Bevacizumab in the treatment of neovascular glaucoma.

Study Design:  Quasi Experimental study.

Place and Duration of Study:  This study was conducted at Civil hospital Karachi, Pakistan from September 2017 to October 2018.

Material and Methods:  Patients with intractable Neo-vascular glaucoma visiting the outpatient department of civil hospital, Karachi were included in the study and followed up for 8 months. Patients with sulcus or scleral fixation IOLs and those who were treated with vitreoretinal surgeries were excluded. Patients were divided into two groups. Group A included patients treated with intracameral Bevacizumab and in group B, patients treated with sub-conjunctival Bevacizumab were included. Best-corrected visual acuity (BCVA), intraocular pressure (IOP) and neovascularization of the iris (NVI) were compared between the two groups.

Results:  Thirty-eight eyes were included in the study; 24 (56.7%) right eyes and 14 (43.3%) left eyes. Most of the patients were males with mean age of 54.53 ± 7.2 years. Mean total injection/eye was 3.45 ± 1.73 in group A and 3.12 ± 2.10 in group B. Pre-injection BCVA (log MAR) was 0.48 ± 0.32 in group A and 0.34 ± 0.32 in group B. At 8 months, BCVA was 1.7 ± 0.2 in group A and 0.48 ± 0.34 in group B which were statistically significant. Pre-injection IOP (mmHg) was 48.9 ± 1.8 in group A and 47.34 ± 1.8 in group B. Post-injection IOP was 28.7±0.8 in group A (p = 0.001) and 34.2 ± 3.4 in group B (p = 0.11) at eight months.

Conclusion:  This study demonstrates that intracameral Bevacizumab significantly improves BCVA and controls IOP in neovascular glaucoma. However, sub-conjunctival Bevacizumab significantly improves BCVA but decrease in IOP is not statistically significant.
Mean Change in Refractive Status After Levator Muscle Resection in Patients of Simple Congenital Ptosis
Authors: Mohsin Javaid Rana Muhammad , Chaudhary Nasir , Habib Rehab , Khan Asad Aslam , Siddique Kashif
Published: March 2020

Purpose:  To determine the mean change in refractive status after Levator muscle resection in patients of simple congenital ptosis.

Study Design:  Quasi Experimental study.

Place and Duration of Study:  This study was carried out at Institute of Ophthalmology, King Edward Medical University, Mayo Hospital Lahore, from 2014 to 2015.

Material & Methods:  Fifty patients were selected under the age of 12 years with no sex predilection presenting with simple congenital ptosis of pupil sparing type. Patients with neurogenic, aponeurotic ptosis, mechanical ptosis, Blepharophimosis syndrome, patients with previous failed ptosis surgery and patients with corneal anomalies were excluded. After history and examination, Cycloplegic retinoscopy was done, which was repeated after surgical intervention. All interventions were done by a single ophthalmic surgeon. The patients were examined and discharged on the second post operative day. All data including preoperative and postoperative recordings of spherical and cylindrical values were collected on a self-designed proforma. Follow up period was extended to 3 months. At 3rd month cycloplegic retinoscopy was done and change in character of refractive status was analyzed. Mean change in refractive status was calculated by difference of preoperative and postoperative sphere and cylinder values.

Results:  Mean age of patients was 4.26 ± 3.78 years. Mean change in spherical value after treatment was 0.447 ± 0.339. This difference was statistically significant with p-value = 0.000. While mean change in cylindrical value after treatment was 0.640 ± 0.580. This difference in cylinder value after treatment was also statistically significant with p-value = 0.000.

Conclusion:  Levator muscle resection has a significant effect on refractive status of the patients with congenital ptosis.
Change in Central corneal thickness after Phacoemulsification
Authors: Wali Fariha Sher , Surhio Sajjad Ali ` , Talpur Rafeen , Jawed Muhammad , Shujaat Shehnilla
Published: March 2020

Purpose:  To determine changes in central corneal thickness after phacoemulsification at first post-operative day, one week and one month.

Study Design:  Descriptive Observational study.

Place and Duration of Study:  Sindh Institute of Ophthalmology and Visual Sciences, Hyderabad. From June 2018 to March 2019.

Material and Methods:  Ninety-two patients with ages between 35 and 72 years presenting with senile and pre-senile cataract were selected by non-probability convenience sampling. Patients with previous ocular surgery, ocular trauma, Glaucoma, Uveitis, Contact lens wear and long-term use of ocular medication were excluded. The patients were subdivided into three groups depending on variability in their corneal thickness. Patients with preoperative central corneal thickness (CCT) from 480 to 529µm were placed in group 1 (Thin), group 2 included patients with CCT ranging between 530 and 569µm (Moderate), patients with CCT from 570-640µm were placed in group 3 (Thick). Preoperative CCT was measured before extraction of cataract via phacoemulsification and then repeated on first post-operative day and then on one week and one month.

Results:  Preoperative mean central corneal thickness increased by 10.2% on first post-operative day. It reduced to 3.1% on seventh post-operative day. It further reduced to 0.7% on 30th post-operative day. Central corneal thickness reduced to mean value of 548.8µm on 30th post-operative day, which was statistically non-significant as compared with preoperative mean value (544.96µm).

Conclusion:  There was no statistically significant change in CCT one month after phacoemulsification when compared with the pre-operative CCT.
Who’s Responsible Here? Establishing Legal Responsibility in the Fissured Workplace
Authors: Goldman Tanya , Weil David
Published: March 2020

The nature of work is changing, with workers enduring increasingly precarious working conditions without any safety net. In response, this Article proposes a new “Concentric Circle framework” which would improve workers’ access to civil, labor, and employment rights. Many businesses, including app-based platforms, have restructured toward “fissured workplace” business models. They treat workers like employees (specifying behaviors and closely monitoring outcomes) but they classify workers as independent contractors (engaging them at an arms-length and cutting them off from rights and benefits tied to employment). These arrangements confound legal classifications of “employment” and expose deficiencies with existing workplace protections, which are based on “employment relationships.” As a result, a growing number of workers lack both bargaining power and critical workpalce rights and benefits. We propose a Concentric Circle framework to better govern workers’ rights in the modern era. At the core, we maintain that certain rights and protections should not be tethered to an employment relationship, but to work itself. Thus, the right to be compensated for work and paid a minimum wage; freedom from discrimination and retaliation; access to a safe working environment, and the right to associate and engage in concerted activity should belong to all workers, not just employees. Second, as a middle circle, we argue for a rebuttable presumption of employment to address those rights that remain exclusive to employees (and not independent contractors), and we propose an updated legal test of employment. Finally, at the outer ring of the framework, we suggest policies that could enhance workers’ access to benefits that promote worker mobility and social welfare. Other scholarship has focused exclusively on either independent contractors or employees, or it has proposed a new category of worker altogether. We contend that this comprehensive framework better assigns rights, responsibilities, and protections in the modern workplace than do current legal doctrines or alternative proposals.
Discovering Methods of Bettering our Writing Center: A Report on Visits to US University Writing Centers
Authors: Andersson Shawn , Nakahashi Maho
Published: March 2020

English writing centers in Japan are a somewhat new phenomenon. The purpose of this study was to gain a perspective of actual operations of writing centers abroad. We visited the English writing centers of three universities in California with well-established, large centers to get a perspective of the day-to-day operations and best practices on how to run a writing center. The universities that we visited include the Hume Center for Writing and Speaking at Stanford University; the University of California, Berkeley Student Learning Center; and the University of California, Davis Student Academic Success Center.
Effectiveness of Probiotics in the Management of Functional Constipation in Children: A Randomized, Double-Blind, Placebo-Controlled Trial
Authors: Srihati Dyah Permatasari Tjokronegoro , Najib Advani , Agus Firmansyah
Published: March 2020

A randomized, double-blind, placebo-controlled trial was conducted to assess the efficacy of probiotics (L. acidophilus, B. longum, and S. thermophylus 2 × 109 cfu/day) in 78 children aged 4–10 years old with functional constipation (Rome III criteria) at several schools in Jakarta, Indonesia. The case finding used a validated parent-report questionnaire. Subjects were randomly assigned to receive either oral probiotics (L. acidophilus, B. longum, and S. thermophylus 1 × 109 cfu/day) or placebo twice a day for 4 weeks. There were more subjects in the probiotics group who had improvement in stool consistency (P = 0.022) and difficulty/painful defecation (P = 0.009) than in the placebo group. Other symptoms (frequency of bowel movements, withholding behavior, fecal incontinence, and presence of stool mass in abdomen) also improved, but no statistically significant differences were found. Constipation severity significantly improved in the probiotics group (P = 0.026). Overall improvement (defined as decrease of constipation severity score >60% at the end of evaluation) was higher in the probiotics group than the placebo group (31/39 versus 18/39, P = 0.002) with number needed to treat (NNT) of 3 (95%CI 2;8). The present study shows that probiotics (L. acidophilus, B. longum, and S. thermophylus 2 × 109 cfu/day) are effective in the management of functional constipation in children.
Dinâmicas imobiliárias urbano-rurais:
Authors: Valões José Inaldo , Guerra Lemuel Dourado
Published: March 2020

Neste artigo, analisamos o conflito entre uma comunidade de pescadores de Arapiraca-AL e o capital imobiliário pela posse de uma porção de terra à margem do denominado Lago da Perucaba, na zona rural da referida cidade. Desde 2014 os pescadores enfrentam um processo judicial movido pela Prefeitura Municipal visando à desocupação do local tradicional de moradia e/ou apoio às suas atividades laborativas e culturais, sem indenização. No presente texto, apresentamos as linhas gerais do debate de inspiração marxista sobre Estado e movimentos sociais relativos ao espaço urbano e a contextualização do caso pesquisado, bem como a análise dos usos que os pescadores fazem da judicialização do conflito. Dentre as principais conclusões, destacamos as seguintes: (1) o caso dos pescadores da Perucaba é emblemático da acumulação por espoliação em favor do capital imobiliário na cidade de Arapiraca, revelada pelo papel do Estado, tanto na ação do Executivo como no uso do judiciário; e (2) a judicialização do conflito favoreceu os pescadores, que entram em cena de maneira autônoma e constroem estratégias alternativas ao uso dos instrumentos de defesa legal oferecidos pelo campo jurídico, combinando ações jurídicas e políticas.
KINGS AND GODS OF ASIAN SCYTHIA (Based on the Material of the Arzhan-2 Barrow)
Authors: Chugunov K. V.
Published: March 2020

The article is devoted to the reconstruction of the mythology of the nomads of the Tuva early Scythian times. An attempt to determine the status of a man and a woman buried in the burial of the Arzhan-2 mound is made on the basis of archaeological data and works on the reconstruction of the mythology of the Scythian-Saka tribes. The study showed that the man was a «king» with the attributes of Yima’s progenitor, and the woman was associated with the goddess of the royal hearthstone Tabithi. In addition, the role of gold in the funeral rites of early nomads and the correspondence of archeology and written sources are examined.
SCYTHIANS IN KYTA
Authors: Molev E. A.
Published: March 2020

The article is devoted to the results of studies of Scythian monuments of ancient settlement and necropolis of Kytaia. In the scientific revolution, the materials of the 1970—2012 research carried out by S. S. Bessonova and E. A. Molev and not illuminated in full in due time.
«ABOVE THE HORNS IS THE POWER OF PERFECT APPEARANCE» (to the Image of Deer in Scythian Art)
Authors: Vertiienko H. V.
Published: March 2020

The article deals with the problem of depicting hypertrophied horns of deer in the works of Scythian art through the prism of Iranian representations of visualization of the military category of ama-power inherent in the Ancient Iranian military deity Verethragna. The Iranian name of a «deer» *gaṷaźna — is a compound and combines the stem *gau- «bull» and the stem *aźna-, formed from the verbal root * 1aź- «to drive, lead». This indicates the belonging of a deer and a bull to one class of animals in the world view of the Iranian peoples. Accordingly, in Scythian art, as in a language, the visual image of a deer probably served as the semantic equivalent of the image of a bull, given the insignificant prevalence of the latter’s images. According to the Yasht 14 of the Young Avesta, the bull acts as one of the embodiments of the military deity Verethragna and in the text above the horns the ama-power is localized (Yt 14, 7). The analysis of the use of the term ama- in the Yasht 14 shows that this «power» is a feature inherent exclusively to the military deity and the worriers. The interpolation of these data to Scythian art (the formation of this text and the art of the animal style occurred synchronously) can explain the reason for the image of hypertrophied horns of a deer, which can in this case symbolize the ama-power that is located above the brow. Accordingly, works and objects with such images could have as their goal the allotment of their owners with this power and familiarization with the military deity.
TUL - satavuotias, joka karkasi ikkunasta mutta ei kadonnut
Authors: Hentilä Seppo
Published: March 2020

[The article is based on the book by the author, TUL liikuttaa, kasvattaa, vaikuttaa. Suomen Työväen Urheiluliitto 1919–2019. Suomen Kirjallisuuden Seura, Helsinki 2019.]

 

The Finnish sports movement was divided in two as a consequence of the Civil War in 1918. Worker athletes who had fought on the Red side were expelled from The Finnish Gymnastic and Sport Federation (SVUL) after the war. Hence, in January 26, 1919, The Finnish Workers Sport Federation (TUL) was founded by 56 workers’ sports clubs. What is the reason for the TUL, as one of the few traditional people’s movements in Finland, reaching the age of 100 years? Most importantly, the sense of belonging to a community was traditionally considered important among workers. As long as there was a vivid working-class culture in Finland, sports were an essential part of life in the workers’ communities. Workers’ sports clubs formed a versatile school of life in which young people learned much more than only sports and gymnastics. The club activities were based on the rules of organised democracy, and they helped young people to understand the value of cooperation, respect for others and participation in society. The TUL’s role has been manifold; it has got people moving, brought people up, and influenced the sports politics. Many of the original political, educational and social values of the TUL are still actual today. The most important is the promotion of equality between different population groups through sports.
Designing Principled Academic Discussion Tasks
Authors: Lesley Jamie , Brereton Peter
Published: March 2020

In this paper, we introduce a principled approach to material design for academic discussion courses. This approach is informed by our experiences of creating, developing, and evaluating course materials in our roles as academic managers for a large-scale academic discussion program at a private university in Tokyo. These principles are used to assist in the writing of discussion questions conducive to academic discussion and the creation of pre-task preparation activities to support students in their discussions. We believe that the principles will be of use to teachers new to academic discussion classes as a way to guide, evaluate, and justify the design of their course materials with regard to activity aims, content, and organization. Similarly, we hope that the paper can operate as a useful review of best practice for more experienced course developers.

本論文では、アカデミックディスカッションコースの教材を作成する為の、合理的な取り組み方法を紹介する。都内のある大学での、大規模なアカデミックディスカッションプログラムのコース教材を構成、開発、および評価をした著者の経験を述べたものである。この方式においては、まずアカデミックディスカッションを行う為の議題の作成と、議論の際、学生に役立つ事前準備課題のアクティビティを作成する事に重点を置いている。アカデミックディスカッションクラスの担当講師、およびコース開発者達が指導や評価をおこなう際や、目標、内容、構成に留意しコース教材を正当に作成することができるように、使用できるチェックリストを紹介している。
Focus on Field in an Advanced Reading Classroom
Authors: Inako Ayumi
Published: March 2020

What can a reading classroom provide for advanced English learners beyond input into grammar and vocabulary? The author proposes a focus on field—the nature of the social action realized in the text—as well as using the scale of semantic gravity—the degree to which the meanings of the text relate to its context. Many reading materials contain multiple fields, which can cause difficulty for students in tracking their content. A case study of a text on the topic of solar storms employs the methodology of Legitimation Code Theory (LCT), whereby an external language for description is created for the specific research purpose. Analysis from the perspective of semantic gravity helps identify where shifts in the field of the text occur, enabling the teacher to guide the students in their reading as the text unfolds. The author concludes by discussing the applicability of this method.

上級英語学習者向けの読解授業が文法と語彙のインプット以外に提供できるものは何だろうか。本稿では、テクストによって具現化される社会的活動の性質を表す活動領域（field）に焦点を当てるとともに、テクストの意味が分脈と関係する度合いを示す意味的重力（semantic gravity）の概念を使用することを提案する。多くの読解教材には複数の活動領域が含まれ、学習者にとって内容の把握が難しくなる要因となっている。このケーススタディでは、「太陽嵐」に関する読解テキストを取り上げ、正当化コード理論（Legitimation Code Theory—LCT）の方法論に基づいて、本研究に特定の目的に合わせた外的記述言語（external language of description）を作成する。分析によって、意味的重力の観点がテキストの展開とともに活動領域の移行が起きている場所の特定に役立つことが明らかになる。結論として、この方法の応用可能性を議論する。
SURGICAL TREATMENT OF HIGH-RISK PATIENTS IN PATIENTS
Authors: Boyko V. V. , Ivanova Yu. V. , Tymchtnko M. E.
Published: March 2020

Summary. Due to analysis of the factors that lead to incompetence of bowels` anastomosis and sutures the levels of risk of the development of this complication were created. The surgical tactics depending on the level of risk of the development of bowels` sutures and anastomosis incompetence was created. The method of forming of late bowels` anstomosis in patients with high and moderate levels of risk of  the development of bowels` sutures and anastomosis incompetence were created. This method excludes performing of multistaged  intraabdominal operations. The using of developed algorithm allows to decrease postoperative morbidity and mortality.
USE OF SYSTEM ANALYSIS METHODS IN SOLVING MEDICAL DIAGNOSTIC ISSUES OF MONITORING CONSEQUENCES OF EXTREME SITUATIONS
Authors: Zamiatin P. , Kolisnyk K. , Avrunin O. G. , Boyko O.
Published: March 2020

Abstract. The paper considers the possibility of solving medical and diagnostic issues of monitoring the consequences of emergencies by applying the methods of system analysis and mathematical statistics. At the same time, algorithms for calculating optimal behavior are provided for the most effective elimination of the consequences of emergencies and complex solution of problems of diagnosing the victims and rendering primary care.
CORRELATION ANALYSIS OF MORPHOLOGICAL CHANGES IN THE LAMINA CRIBROSA IN THE DEPENDENCE OF VISUAL FUNCTIONS IN PATIENTS WITH MYOPY OF DIFFERENT LEVEL
Authors: Bеzdеtkо P. А. , Hulidа А. О.
Published: March 2020

Summary. Myopia is one of the most common visual disorders affecting both children and adults. A high degree of myopia further increases the chance of developing irreversible visual impairment due to pathologic changes in the retina, decrease in the capacity for work and significantly impairs the quality of life. The purpose was to study correlation connection between changes in morphological structures of lamina cribrosa and functional indicators of visual functions in patients with low, moderate and high stage of myopia using optical coherence tomography. Materials and methods. Clinical and diagnostic examination was performed on 120 patients, 204 eyes. Among all the persons who were examined, there were 120 patients (204 eyes), of whom 64 were women [(53.33 ± 6.44)%] and 56 were men [(46.67 ± 6.44)%]. The control group consisted of 20 practically healthy volunteers (38 eyes), of which 11 women and 9 men were matched by gender and age. Results. The data obtained strong correlative connection between morphological changes in lamina cribrosa and visual field, refraction, axial length of the eye. Conclusions. Optical coherence tomography can helps diagnose morphological changes of lamina cribrosa in early stages and to provides in-time preventive methods to slow down myopia progression That affects functional and visual changes of eye analizator.
APPLICATION OF VACUUM THERAPY IN CONDITIONS OF COMPLEX TREATMENT OF COMPLEX FORMS OF DIABETIC SYNDROME
Authors: Kozlovskaya I. M. , Iftodiy A. G. , Kulachek J. V. , Grebenyuk V. I. , Kovtiuk N. I.
Published: March 2020

Summary. The aim of the study was to improve the results of treatment of patients with diabetic foot syndrome by applying a complex method of VAC-associated therapy. After 5 days of this treatment we enhanced the local blood flow of wounds from 27-31 to 52-54 mm Hg. (p<0.01), while in the comparison group the blood flow was 29-34 mm Hg, granulation tissue in the wound developed on average 4.93±0.64 days, which was significantly faster than in the control – 9,42±0.81 (p<0,05). Contamination of the wound of the main group before treatment was 8,4±0.14 Lg CFU/g of tissue, for 5 days – 2,8±0.21 Lg CFU/g of tissue, and the regenerative-inflammatory type of cytograms dominated. For 10 days the pathological microflora in the wound was absent, regional epithelialization appeared, the cytogram was of the regenerative type. In the comparison group, contamination before treatment was 8,1±0,17 Lg CFU/g (p<0.05), on the 5th and 10th day the indices were significantly higher than main group– 6,2±0.18 Lg CFU/g (p<0,01) and 3,8±0.19 Lg CFU/g (p<0,01), respectively and the cytograms were still of inflammatory type. The proposed comprehensive method of VAC-therapy provides an effective antibacterial, anti-inflammatory effect, promotes better regeneration and significantly improves the wound healing.
USE OF MINIMALLY INVASIVE TECHNOLOGIES IN TREATMENT OF ACUTE OBSTRUCTIVE COLON OBSTRUCTION
Authors: Moiseyenko A. S. , Ryabtsev R. S. , Moiseyenko Yu. А.
Published: March 2020

Summary. The article presents the experience of colorectal stenting in the treatment of obstructive acute obstruction of the colon, which can achieve reduction in the number of complications. The result of the application of minimally invasive surgery stenting to reduce the frequency of postoperative mortality and complications. In addition, the technology can significantly reduce postoperative day berth that has a significant economic impact.
CLASSIFICATION OF OPERATIONS FOR COMPLICATED GASTRODUODENAL ULCERS
Authors: Shepetko E.N. , Fomin P.D.
Published: March 2020

Abstract. A unified classification of operations for complicated gastroduodenal ulcers has been proposed to understand their place in the structure of surgical interventions, technological features and methods for their implementation, as well as functional efficacy and prevention of recurrent ulceration. This is a classification of operations in the pyloroduodenal zone with complicated duodenal ulcers, classification of vagotomy, classification of gastroenterostomy and classification of gastric resection. The proposed of operations classification for complicated gastroduodenal ulcers will help to a wide range of surgeons not only in understanding the range of surgical interventions, but also in an effort to master the techniques of operations for their application in surgical practice.
ACUTE PANCREATITIS AS AN INITIAL SYNDROME OF ZOSTER
Authors: Duzhyi I. D. , Navras A. Ya. , Yurchenko A. V. , Shevchenko Yu. Yu. , Hnatenko I. A.
Published: March 2020

Summary. Zoster is referred to as an infectious disease that, affecting the nerve ganglia, can manifest itself in a different clinic, depending on the nerves involved in the process.

Since, in addition to the chest wall and pleural cavity, the lower intercostal nerves innervate the abdominal wall, peritoneum and give branches to the internal organs, the disease may manifest itself with clinical signs of diseases of the chest or abdominal cavities.

The authors share the observation of zoster, which manifested signs of acute pancreatitis, and only after 7 days did the symptoms of the underlying disease — zoster appear.
OBSERVATION OF THE RESULTS OF THE SUBTOTAL RESECTION OF THE ONLY ADRENAL TO THE RIGHT
Authors: Zhmurenko E. V.
Published: March 2020

Relevance. Surgical intervention is the main radical and effective treatment for benign adrenal tumors. Of particular interest is the possibility of performing organ-saving operations in patients with a tumor of the contralateral adrenal gland more than 3 cm after previously undergoing adrenalectomy.
Objective: to evaluate the results of the subtotal resection of the only adrenal gland on the right regarding a benign tumor.
Results. This section of the article provides a detailed description of complaints, anamnesis, results of laboratory and instrumental methods of research of the patient before and after surgery.
Conclusions. 1) Removal of a tumor of a single adrenal gland with its central segment and ligation of its central vein did not lead to disruption of the hormonal function of the gland during the observation period up to 2 months after surgery.
2) After a single adrenal gland resection was performed, blood pressure indices steadily decreased, which was accompanied by a decrease in doses of antihypertensive drugs.
EFFECTIVENESS OF ENDOSCOPIC TREATMENT OF BILIARY FISTULAS
Authors: Moskaliuk O. P. , Shkvarkovskiy I. V. , Bryndak I. A. , Kachmar V. J. , Kulachek Ya. V.
Published: March 2020

Abstract. Despite the great experience in biliary surgery, the total frequency of iatrogenic bile duct lesions, accompanied by the formation of biliary fistulas, reaches 2%. The aim of the study is to analyze the results of endoscopic treatment of patients with biliary fistulas after cholecystectomy. Materials and methods of research. The results of endoscopic treatment of 19 patients with biliary fistulas that occurred after cholecystectomy were studied. Women were 11 (57.9%), men – 8 (42.1%). Research results. The reason of the formation of bile fistula was biliary hypertension in case of choledocholithiasis in 14 (73.6%) patients. Endoscopic papillosphincterectomy was performed to restore the free passage of bile into the duodenum. Lithoextraction with balloon was carried out in 11 (57.9%) patients, and in 3 (15.8%) patients was used litoextraction with basket. Endobiliary drainage was performed in 5 (26.3%) patients. Conducting decompression of bile ducts in all cases of type A fistulas resulted in the cessation of bile fistula the day after surgery. Conclusions. ERCP is a highly effective method for treating biliary fistulas, which identifies the location of leakage of bile, and restoring of bile flowing to the duodenum helps to heal the fistula.
OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES
Authors: Drozdova A. G.
Published: March 2020

Abstract. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques. Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on. Results of the study. Minimally invasive interventions were performed in 92% of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43% of patients, hemorrhagic pancreatic necrosis – in 24%, infected pancreatic necrosis – in 33%. The postoperative period was complicated by 13.3%, the mortality rate was 9.3%. Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.
USE OF AUTOMATIC PLATFORM FACTOR IN THE STRUCTURE OF VIDEOTORACOSCOPIC OPERATIONS IN THE GENERALIZED FORM OF LUNG EMPHYSEMA
Authors: Gaft K. L.
Published: March 2020

Introduction. The generalized form of pulmonary pulmonary emphysema is one of the most severe conditions of pulmonary pathology that a surgeon encounters when performing video-assisted thoracoscopic surgery. The developed method of autohemopleurodesis is based on processes characteristic of the development and transformation of hemothorax, and irrigation of the pleural cavity is carried out not by whole autologous blood, but by its components, for which a platelet factor (ATP) is used.

The aim of the study is to study the effectiveness of the developed method of autohemopleurodesis with autologous platelet factor (autohemopleurodesis with ATP) compared with chemical pleurodesis with 70.0% alcohol in patients with generalized form of pulmonary emphysema.

Materials and research methods. The study was performed in 15 patients after autohemopleurodesis with ATP and in 13 patients after chemical pleurodesis with 70.0% alcohol.

Research results and discussion. In all patients after chemical pleurodesis with 70.0% alcohol, there was a marked thickening of the pleura along the posterior surface of the chest wall to 6.2-6.5 mm, a moderate thickening of the pleura to 3.9 mm in the costal-diaphragmatic sinuses, associated with the pleura reaction to effusion and a slight thickening of the pleura in the aperture. On day 14 in the aperture and sinuses, pleural thickness averaged 2.0 mm, which indicates the restoration of fibrinolysis after the end of the action of a chemical stimulus. In patients after autohemopleurodesis with ATP, there was a moderate thickening of the pleura in all the studied areas, which, in our opinion, was a consequence of the slight primary irritating effect of ATP. However, a significant thickening of the pleura on the 14th day to 5.2 mm in the aperture, 4.7 in the costal diaphragmatic sinuses and up to 5.8 on the posterior surface of the chest can indicate a progressive prevalence of fibrinogenesis over fibrinolysis

Conclusions. The developed method of autohemopleurodesis with ATP makes it possible to more effectively create the so-called fibrin cortex, which is based on the formation of platelet growth factor and liquid fibrin, which are a new generation of platelet and stem cell concentrate in the form of a three-dimensional structure.
RESULTS OF INSPECTION AND TREATMENT OF PATIENTS WITH STENOSIS OF CAROTIDS IN COMBINATION WITH PATHOLOGIES OF OTHER SYSTEMS
Authors: Pulyaeva I. S.
Published: March 2020

Summary. An aim of work is an analysis of results of inspection and treatment of patients with the hemodynamically meaningful defeat of carotids in combination with pathology of other organs and systems. Materials and methods. The results of treatment are analysed 187 patients with hemodynamically by meaningful stenosis of carotids in SI «Zaycev V.T. IGUS of NAMSU» from 2015 for 2018 on a background forthcoming surgical treatment of chronic ischemia of lower limbs, ischemic heart  or pathology of gastrointestinal tract trouble. Patients are divided into 3 groups. The first group was made by patients with the chronic ischemia of lower limbs of 2-Д degree - 167 patients. 7 patients entered a group with pathology of gastrointestinal tract. 3 a group was made by 13 patients with ischemic heart trouble. Results and discussion. The direct results of operation we estimated complex on the basis of degree of change of clinical status and presence of postoperative complications. At 161 the patients of the first group in a postoperative period are not educed complications, for a 2th patient thrombosis of anastamosis and ischemic stroke, at 4th paresis of n. Hypoglossuss. In the second group for all operated patients concerning stenosis of carotid, complications were not in a postoperative period. For one patient with the cancer of stomach, that was not execute a reconstructive operation on a carotid an ischemic stroke developed in connection with bleeding. In 3 cases in a postoperative period observed symptomatology of stroke for patients operated concerning  ischemic heart, carotid endarterectomia was not executed these patients. Conclusions. To the patients with general atherosclerosis and stroke in anamnesis it is necessary to conduct carotids screening. At hemodynamically meaningful stenosises patients with heart diseaseby and pathology of abdomen of must execute carotid endarterectomia of the first stage, that reduces the risk of ischemic stroke in a postoperative period at treatment of basic pathology.
ANALISIS BERPIKIR KREATIF DALAM MENYELESAIKAN MASALAH BARISAN DAN DERET ARITMATIKA DENGAN METODE OPEN-ENDED
Authors: Darminto Bambang Priyo , Setianingsih Lilis
Published: March 2020

This study aims to determine students creative thinking skills in solving arithmetic progression and series problems with the open-ended method. The research method used is a qualitative method with a case study approach. The selection of subjects uses a purposive technique that is based on certain characteristics. The subjects in this study were 3 junior high school students selected in the category of high matematical abilities. Methods of collecting data using tests, interviews, field notes, and documentation. Data analysis techniques used the triangulation method to gain deeper understanding of the subject under study. Based on the results of the study show the ability of creative thinking of students because it meets the three indicators of creative thinking, namely fluency: students are able to calculate smoothly and solve problems correctly, flexibility: students are able to find other ways to find the same results, novelty: students are able to think in new ways and different from other subjects.
Efek Strategi Komunikasi Pemasaran pada Loyalitas Pelanggan Apotek K-24 Mulyosari
Authors: Dedy Ayub Wicaksono
Published: March 2020

Strategi komunikasi pemasaran merupakan salah satu awal dalam rangka mengenalkan produk dan jasa kepada konsumen, dan akan menjadi sangat penting karena akan berkaitan dengan keuntungan yang didapat dari perusahaan. Apotek K-24 Mulyosari menerapkan strategi komunikasi pemasaran dengan memberikan kemudahan disetiap pelayanannya. Salah satunya dengan memberikan beberapa fitur layanan via internet. Strategi pemasaran dengan memberikan kemudahan ini akan mempengaruhi pelanggan maupun calon pelanggan dalam hal perubahan sikap. Pelanggan yang puas akan kualitas layanan dan produk yang dijual akan berpengaruh pada citra baik dan menghasilkan pelanggan yang loyal. Pelanggan yang setia akan melanjutkan penggunaan merek tersebut, walaupun dihadapkan dengan banyak alternative merek produk pesaingnya. Penelitian ini dilakukan untuk menguji pengaruh strategi komunikasi pemasaran terhadap loyalitas pelanggan Apotek K-24 Mulyosari. Peneliti menggunakan teori komunikasi pemasaran dan teori perubahan sikap yang nantinya akan menghasilkan Brand Loyality (loyalitas pelanggan), metode yang digunakan dalam penelitian ini yaitu : metode kuantitatif deskriptif dengan proses pengumpulan data menggunakan metode survei berupa kuesioner. Berdasarkan hasil dari pengujian hipotesis, maka penelti memperoleh hasil bahwa Ha diterima yang berarti strategi komunikasi pemasaran berpengaruh signifikan terhadap loyalitas pelanggan Apotek K24 Mulyosari, kemudian dari analisa data menggunakan regresi linier sederhana, peneliti memperoleh hasil bahwa strategi komunikasi pemasaran memberikan pengaruh 51% terhadap loyalitas pelanggan Apotek K-24 Mulyosari dengan memiliki nilai korelasi (R) sebesar 0,714 yang menunjukkan kategori kuat, sebab pelanggan Apotek K-24 sangat responsif dengan kemudahan layanan yang diberikan oleh perusahaan Apotek K24 Mulyosari.
Identitas Diri Perempuan di Facebook
Authors: Suprihatin
Published: March 2020

Era digital memberi peluang pada hadirnya nilai penting identitas. Identitas dianggap sebagai kunci eksistensi diri manusia utamanya di media sosial. Melalui identitas, seseorang dinilai, dihargai, dikenali. Melalui media sosial, teknologi memberi kemungkinan kepada manusia untuk mengendalikan aspek identitas yang ingin ditampilkan di ruang publik. Apa yang ingin disampaikan diseleksi, didekonstruksi, dipilih sebagaimana seseorang ingin dilihat. Sebagai sebuah platform media sosial, Facebook merupakan aplikasi paling populer baik di dunia maupun di Indonesia, sebagai sebuah aplikasi yang membuat penggunanya mengonstruksi citra dan identitas untuk dirinya. Dari penelitian yang pernah dilakukan, salah satu alasan orang menggunakan Facebook salah satunya adalah untuk mendapatkan perhatian dan pengakuan dari orang lain yang ada dalam lingkaran pertemanannya. Menjadi menarik melihat bagaimana perempuan menampilkan identitas dirinya di internet. Hal ini didasari beberapa hasil penelitian bahwa perempuan lebih sering mengakses media sosial ketimbang laki-laki. Melalui metode analisis isi kualitatif, penelitian ini mencoba mengeskplorasi seperti apa perempuan menampilkan identitas dirinya di media sosial Facebook. Gambaran seperti apa yang diharapkan oleh para perempuan akan diterima oleh teman-temannya di media sosial. Serta bagaimana identitas itu ditampilkan. 

Kata kunci: identitas, perempuan, media sosial, Facebook
Membangun Partisipasi Komunikan dalam Kegiatan Campus Social Responsibility (CSR)
Authors: Puasini Aprilyantini
Published: March 2020

Surabaya  sebagai kota metropolitan ke dua setelah Jakarta  berpenduduk  2917.688 jiwa, tersebar di 31 kecamatan atau 154 kelurahan ( https// Surabayakota .bps.go.id), disebut kota Pahlawan, kota yang indah tetapi juga  kota yang memiliki beragam  masalah sosial yang kompleks. Untuk meminimalisir masalah tersebut, penangannnya tidak mudah  perluketerlibatan  dari berbagai lembaga terkait, seperti yang disampaikan oleh Tri Rismaharani, Walikota Surabaya :” bahwa anak putus sekolah di Surabaya saat ini jumlahnya mencapai 500, hal ini sangat memprihatinkan….“( Surya.co.id : 13-7-2018). Program Campus Social Responsibility merupakan salah satu solusi yang dibangun Pemerintah Kota dengan tujuan untuk mengurangi jumlah anak rentan putus sekolah di kota Surabaya. Upaya pelaksanaan program pemerintah kota Surabaya ini menginspirasi untuk melakukan penelitian dengan judul Membangun partisipasi komunikan dalam kegiatan campus social responsibility (CSR) tahun 2018.Penelitian menggunakan metode kualitatif, agar menghasilkan data deskriptif , yang bisa mengungkap temuan-temuan di lapangan tentang bagaiamana membangun partisipasi komunikan dalam kegiatan sosial tersebut, melalui proses pengumpulan data, observasi, dan wawancara kepada informen  sebagi pelaku , juga arsip-asrip data laporan mahasiswa berupa aktifitas pendampingan yang dilakukan selama mengikuti program CSR. Hasilnya dalam kegiatan CSR, partisipasi yang dibangun baik oleh mahasiswa maupun  individu-individu sebagai komunikan adalah membangun komunikasi efektif baik melalui komunikasi interpersonal maupun komunikasi organisasi , sehingga terbangun interaksi imajiner baik dari mahasiswa sebagai kakak pendamping maupun adik asuhnya, seperti terbangun mental yang positif melalui pemahaman simbol-simbol yang bermakna.
Representasi Transgender (LGBTQ) dalam Media Massa
Authors: Afniar Aulia
Published: March 2020

Media massa sangat berperan dalam memberi informasi berbagai peristiwa di dunia. Sebagai informasi saat ini yakni bagaimana fenomena trangender di konstruksikan dalam media massa. Secara definisi transgender merupakan seseorang yang mengenakan atribut-atribut gender berlainan dengan konsepsi gender yang dikonstruksikan secara sosial oleh masyarakat.

Pada peneliti ini peneliti melakukan pengamatan dengan pendekatan kualitatif dan metode studi kasus. Peneliti melakukan perbandingan bingkai pemberitaan media oleh negara Indonesia dengan Amerika Serikat. Pada hasil dari penelitian ini Media Massa pun dalam menampilkan sebuah informasi selalu menilaikan dengan respon negative seakan kaum minoritas ini dianggap membawa pengaruh buruk pada setiap orang. Rekonstruksi inilah sering terjadi dan dibangun oleh media sehingga penerima pada audience atau masyarakat pengkonsumsi media akan menganggap kaum LGBTQ adalah perilaku yang menyimpang dan tidak mendapat tempat dalam kehidupan sosial.

 

Kata Kunci: Transgender; Media Massa ; Pendekatan kualitatif; Studi Kasus.
Nuestra Revista hacia SciELO Perú
Authors: Rengifo García Graciela
Published: March 2020

Desde el año 1920, el Archivo General de la Nación (AGN) edita la Revista del Archivo Nacional del Perú (ahora Revista del Archivo General de la Nación), fecha en que el Dr. Horacio H. Urteaga (director del Archivo Nacional 1917-1944) inició su publicación conjuntamente con el P. Domingo Angulo; en ella se difunde la producción de artículos científicos de disciplinas como la Historia y la Archivística, trabajos desarrollados tanto por investigadores del AGN como por investigadores nacionales y extranjeros; nuestra publicación busca ser un referente en el campo y consolidarse como una herramienta de consulta para los investigadores de las áreas antes mencionadas.
Acne Vulgaris: Treatment Made Easy for the Primary Care Physician
Authors: Berry Katherine , Lim Jordan , Zaenglein Andrea L.
Published: March 2020

Acne is the most common skin condition observed in adolescent and preadolescent patients. Pediatric providers are on the forefront of managing the disease, often as a secondary concern in a busy practice. Therefore, every provider needs to have an acne treatment plan that is effective, easy to communicate, and simple to follow. This article provides treatment rationale and guidelines-based recommendations for the initial treatment of acne, tips for troubleshooting any side effects, and a plan for subsequent follow-up to maintain good control.

[
Pediatr Ann
. 2020;49(3):e109–e115.]
General Pediatric Clinical Applications of POCUS: Part 1
Authors: Finkel Leah , Paladugu Komal , Sanyal Shuvani , Ghelani Seema , Colla Joseph S.
Published: March 2020

The use of point-of-care ultrasound (POCUS) performed by non-radiologists has become more widespread and is entering new arenas of clinical care. Children in particular are prime candidates for ultrasound, as they are both usually thinner than adults and are particularly at risk from the harmful effects of ionizing radiation. In this two-part article, we propose 10 uses of POCUS that pediatricians can apply to their practice in both inpatient and outpatient settings.

[
Pediatr Ann
. 2020;49(3):e147–e152.]