bluuebunny/crossref_metadata_2025 huggingface dataset:
Low rise residential construction as the basis of building industry innovative development
Authors: Losev Yuriy , Losev Konstantin
Published: April 2021

The article analyzes the current situation in Russian construction industry associated with the low innovation activity at all levels of construction sphere. Among the many reasons for the technological low innovative ability to technological change in construction industry, the authors outline reasons that might radically and positively influence the situation in domestic construction within the first half of the 21st century. The object of the study is the "construction system" concept, which is proposed to be identified as a main link of building innovations that promotes or, accordingly hinders construction objects production. When considering this concept, it becomes obvious that the critical link of innovation is concentrated in the concept of "structural framework" and related technologies for the production of construction objects. It is concluded that the main obstacle to the construction industry innovative development is the conservatism of building frames structural solutions and the corresponding technologies of the construction systems which are oriented to multi-storey housing construction and the main priorities of such construction are concentrated in mega-cities. The requirements for living environment, architectural diversity, residential building layouts, «green building» principles, energy efficiency, economy and internal comfort of housing are being raised. The paper emphasizes that existing building systems, especially in megacities, is not able to solve demographic problems and promote a healthy and safe life for people. The authors suggest that in the near future the turn to other priorities of housing construction and the transition to a new technological order with the help of industrial innovative low-rise residential construction systems for development of the Eurasian space of the country on the "linear city" concept base.
Application of assumptions of educational transactional analysis in the constructivist learning theory
Authors: Prauzner Tomasz , Prauzner Kacper
Published: April 2021

The article presents considerations regarding the use of current assumptions of transactional educational analysis in reference of constructivist learning theory. The development of neurodidactics and the widespread use of modern information technology in education puts in a new sense the accepted EAT paradigms in current school education. The authors put a number of open questions, which aim to take further discussion and reflection.
“Once upon a time, in a supervisor’s office” – phenomena occurring in TA supervision at early stages of psychotherapist’s development
Authors: Szekiełda Agata , Jaskulska Anna
Published: April 2021

This article concentrates on the traits of a supervisor that are relevant at the onset of the therapeutic work as well as the phenomena that are likely to occur in the process of supervision. The authors emphasise the relevant aspects of supervision that require acknowledgement and analysis, such as entering games by taking on roles in drama triangle and experiencing fear/anxiety in relationship with a supervisor. Most importantly, the effective means of dealing with these obstacles are being presented in order to facilitate the process of establishing and maintaining a safe supervisory relationship. These include changing the drama triangle into a beneficial triangle and dealing with fear/anxiety in supervision in a way proposed by Shohet. In order to illustrate the above mentioned processes, the authors employ an original fairy tale.
Transactional Analysis in the service of the mentalisation capacity
Authors: Kuźnik Marek
Published: April 2021

Conceptualization of language of Transactional analysis is being discussed in this article. It seems that Transactional Analysis deliver tools, which allow mentalizing in patient-therapist relationship. In this article basic TA concepts describing internalizing relationship will be presented. This process is fundamental to mentalizing and this will be described in second part of the text. This article shows part of case study in which TA strengthened therapeutic relationship and at the end healed the patient.
Modern mathematics teaching with the use of computer-based tasks – reality or myth?
Authors: Czajkowska Monika
Published: April 2021

In this article, I present partial results of my research, conducted as part of the project entitled Introducing students aged 12-17 to solving computer-based tasks. Research shows that the vast majority of teachers are merely pretending to conduct modern teaching when making use of computer-based tasks during mathematics lessons. In reality, their lessons are typical and conservative, dominated by frontal work and methods based on knowledge transfer. Most often, lessons feature selected-response questions used to verify the student's knowledge, rarely implementing tasks which require the student to experiment by making use of a computer screen. This situation is caused by multiple factors, including: teachers' views on the place and role of using IT resources for teaching mathematics, insufficient number of computers, tablets, and smartphones in schools, not enough computer-based mathematical tasks with a significant didactic value, insufficient competence of teachers, outdated external exam system, incorrect teacher evaluation system.
Movement and Sports Activities through Games to Enhance the Skills of Creative Thinking and Quality of Learning Process for Children Aged 14–15
Authors: Basuki  , Nurhasan  , Suroto
Published: April 2021

The study aims to develop mobile exercises through games to strengthen students’ creative thinking. To achieve the goal of learning a sports and health subject, teachers may use optional teaching methods. It is carried out using an experimental research and development project called The Postest-Only Control Group Design. When analyzing the quality of the learning process, a quantitative descriptive analysis technique based on Formative Class Evaluation (FCE) questionnaires are used. The implementation rate for all indicators was found to be 89%. The small group shows a probability index of less than 0.05% or 0.000 and an FCE index of 89.35%. The large group reveals 0.000 and the FCE category is 85.26%. It is necessary to research developing the activity of learning the movements performed by games to strengthen creative thinking, another influence on the creative thinking of students from both the product test group and the control group is the transfer of exercises through games. Based on FCE, it shows that learning quality is important for employment, and according to experts, the entire product design is also important to apply.
Reconstruction of the ligamentous apparatus of the lower pelvis in robot-assisted radical prostatectomy as a stage of the learning curve
Authors: Svetocheva Ya. A. , Slusarenko R. I. , Tsarichenko D. G. , Suhanov R. B. , Bezrukov E. A. , Rapoport L. M.
Published: April 2021

Objective of the study. To evaluate results of robot-assisted laparoscopic radical prostatectomy in the framework of a surgeon’s learning curve; to evaluate the effect of reconstruction of the ligamentous apparatus of the lower pelvis on early recovery of urine retention.

Materials and methods. 246 patients were divided into 3 groups depending on the surgery date. The analyzed data was accumulated prospectively and retrospectively. Preoperative characteristics (TNM stage, PSA, ISUP), intraoperative characteristics (surgical time, blood loss volume, surgery type and character, type of reconstruction  of the ligamentous apparatus of the lower pelvis) and postoperative characteristics (duration of bladder drainage with a urethral catheter, level and time of recovery for urine retention and erectile function) were evaluated. Reconstruction of the ligamentous apparatus of the lower pelvis was performed through reconstruction of the Denonvillier fascia (Rocco stitch), as well as through suturing fibers of the bladder neck with periurethral tissues and residual puboprostatic ligaments for stabilization of the urethrovesical complex.

Results. All operations were successfully completed without conversions or transfusions. Median surgical time was 160 minutes (p = 0.0001). Median blood loss was 173.3 cm3 (p = 0.0002). Mean prostatic volume was 36 cm3  (29–47.5 cm3), and overall frequency of positive surgical margin was 12.82 %. Overall frequency of urine retention recovery was 51.6 % after 3 months, 63.7 % after 6 months (p >0.05). In the patient group with reconstruction of the ligamentous apparatus of the lower pelvis, frequency of urine retention recovery was higher than in the group without reconstruction: 64.1 % vs 45.3 % (after 3 months, р = 0.041) and 74.7 % vs 62.3 % (after 6 months, р = 0.034).

Conclusion. Surgical time, blood loss were significantly decreased with the number of performed operative interventions. Significant improvement of early urine retention recovery was observed in the patient group with reconstruction of the ligamentous apparatus of the lower pelvis.
Adolescents’ Understanding of Human Images in Fine Art Photography: A Formative Experiment
Authors: Ermolaeva M.V. , Lubovsky D. , Silaeva L.V.
Published: April 2021

The article describes a formative experiment in which teaching adolescents the basics of fine art photography was used as a means of developing their understanding of human images in photography. The study was conducted with 62 students of 5th grades and 63 students of 9th—10thgrades and employed the following techniques: a modified version of a technique for studying the perception of art (by V.A. Guruzhapov, Yu.A. Poluyanov), A.V. Karpov's reflectivity questionnaire, and the technique “Who am I?” by M. Kuhn and T. McPartland (modified by T.V. Rumyantseva). The formative experiment involved a specially developed programme for teaching the basics of fine art photography consisting of 16 lessons. It is shown that these lessons promote the formation of meaning-making systems of understanding of fine art and facilitate the acquisition of the cultural norm in the perception of fine art photography in high school students. Also, the lessons proved highly effective in developing personality-related educational outcomes (such as reflectivity and self-identification) in younger adolescents. Further research perspectives and practical significance of the experiment are discussed.
Minimally invasive Ozaki procedure for aortic valve disease, preliminary results
Authors: Kadyraliev B. K. , Arutyunyan V. B. , Chragyan V. A. , Askadinov Magamedganipa N. , Enginoev Soslan T. , Kucherenko Sergei V.
Published: April 2021

Objective. To assess the efficiency and realizability of the surgical technique of aortic valve reconstruction using autologous pericardium treated by glutaraldehyde in different aortic valve diseases such as aortic stenosis, aortic regurgitation, rheumatic and degenerative diseases of aortic valve. In 2014, Ozaki presented the technique described.
Materials and methods. In this work we analysed 10 cases of ministernomy combined with Ozaki procedure in patients operated at Sukhanov Federal Center for Cardiovascular Surgery.
Results. No hospital mortality was registered in our study. Intraoperatively, transition to a full sternotomy was not required. A mean time of aortic cross-clamping was 84.6 ( 14.4) minutes, a mean value of artificial circulation was 103.1 ( 17.7) minutes, a mean time of ventilation was 8.4 hours, and a mean time of staying in intensive care unit room was 1.6 days.
Conclusions. Minimally invasive approach combined with Ozaki procedure is realizable; it is an alternative to conventional sternotomy and should be used for patients in grave condition having concomitant diseases.
A case of new coronavirus infection course in a child with severe secondary immunodeficiency associated with hematopoietic stem cell transplantation
Authors: Grymova Natalya , Khuzina Ekaterina A. , Furman Evgeny G. , Nikonova Olga E.
Published: April 2021

Numerous articles have been published on COVID-19 cases in the child population now. Children become infected and get sick with a new infection much less often and more easily than adults. The supposed relative resistance of children to SARS-CoV-2 can be explained by a number of reasons, one of which is the immaturity of the ACE2 receptor, or by the fact that children have certain features of innate immunity that disappear in ontogenesis. On the contrary, the maturity of the immune system may explain the unfavorable type of triggered immune response associated with the development of acute respiratory distress syndrome in adult patients.

The article describes a case of a new coronavirus infection in a 5-year-old child with a severe secondary immunodeficiency condition associated with hematopoietic stem cell transplantation. By describing this clinical case, we wanted to draw attention to a mild course of COVID-19 infection in a child with a burdened premorbid history in the form of severe secondary immunodeficiency associated with hematopoietic stem cell transplantation in the treatment of acute promyelocytic leukemia.
Problems in differential diagnosis of secondary hyperparathyroidism
Authors: Shulkina S. G. , Sirin D. O. , Smirnova E. N. , Zhelobov V. G. , Kolomeets N. Yu. , Loran E. A. , Perevoschikov A. N. , Koryagin V. S.
Published: April 2021

Hyperparathyroidism is an endocrine disease characterized by excessive production of parathyroid hormone in the main cells of the parathyroid glands. Depending on the cause of this disease, there are primary, secondary (SHPT) and tertiary hyperparathyroidism. The most common causes of SHPT are vitamin D deficiency and chronic kidney disease (CKD). Vitamin D is converted to its active form by hydroxylation in the renal tubules. Developmental abnormalities and chronic kidney diseases lead to atrophy of the tubular epithelial cells that causes a violation of vitamin D metabolism and the development of SHPT, which in turn are accompanied by a violation of calcium-phosphorus metabolism and a syndrome of musculoskeletal disorders. This article presents an analysis of a clinical case of a patient diagnosed secondary hyperparathyroidism against the background of vitamin D deficiency combined with polycystic kidney disease. This clinical case reflects the complexity of the differential diagnosis of the disease and the tactics of patient's management.
Features of reproductive function in infertile women with hyperthyroidism
Authors: Rzakulieva L. M. , Hajizade A. E.
Published: April 2021

Objective. The aim was to study the characteristics of reproductive function in women of fertile age with infertility and hyperfunction of the thyroid gland.

Materials and methods. The object of the study was 148 women of fertile age. To compare the indicators obtained by special methods, the control group included the indicators of laboratory and instrumental examination of 30 non-pregnant women of reproductive age. Reproductive function was evaluated in 118 women with hyperthyroidism: 58 retrospectively (group I) and 60 prospectively (group II); the control group consisted of 30 healthy women of reproductive age. Hormonal studies were performed by radioimmune and enzyme immunoassay methods using the automatic analyzer "Cobb" ("Hoffmann La Roche", Switzerland), as well as DPS test systems the analyzer Immulite (USA). Ultrasound of the thyroid gland was performed by a linear sensor with a frequency of 7.5 MHz. The volume of the thyroid gland was calculated according to the Bruno formula.

Results. For women of fertile age with hyperthyroidism, a decrease in ovarian reserve is characteristic that is manifested by a significant increase in FSH level (14.1 3.1 IU / L, p 0.05), and a decrease in inhibin B level (35.9 12,7 pg / ml, p 0.05). In 47.7 % of women of fertile age with hyperthyroidism, there is a decrease in ovarian volume and a significant reduction in the average number of antral follicles of normal size (4.34 1.56, p 0.05).

Conclusions. Based on the results obtained, it can be assumed that in diffuse toxic goiter there are not only functional disorders (metabolism of hormones of the reproductive system), but also deep organic changes in the structure of the ovaries that leads to a rapid suppression of their functions. In cases of thyroid diseases, the clinical manifestation of these changes is premature and early menopause.
Role of genetic structure of Helicobacter Pylori in formation of chronic inflammatory process in gastric mucosa
Authors: Manyakina O. M. , Akkuratova-Maksimova I. S. , Pukhova T. G. , Shitova A. S.
Published: April 2021

The literature review highlights the questions of the interaction of Helicobacter pylori and the human body. Modern data on the structure of the pathogenicity island in the Helicobacter pylori genome are presented. There is given a detailed description of both well-known virulence and pathogenicity factors of the infection (genes encoding the formation of urease subunits, in particular urel, cytotoxin associated gene A, vacuolating cytotoxin gen A, blood group associated binding adhesion, induced by contact with epithelium) and less studied ones (sialic acid-binding adhesion, adhesion-associated lipoprotein A and B, adhesin gene of Helicobacter pylori, Hp outer membrane protein). The significance of individual genes and proteins encoded by them in the development of chronic inflammatory process in diseases of the upper digestive tract, as well as in ulcer and carcinogenesis is analyzed. Mechanisms of interaction of bacteria with epithelial cells of the gastric mucosa, adhesive and cytotoxic effects of Helicobacter pylori, factors of biofilm formation are described. The influence of the genetic structure of Infect on cytological composition of the gastric glands in the form of reduction of specialized glandular cells chief and parietal cells of pyloric glands and the increase of endocrine cells in the pool is assessed. It is shown that colonization of the gastric mucosa by highly pathogenic strains of Helicobacter pylori contributes to the development of widespread pronounced and active inflammation in it, the appearance of morphological signs of atrophy. The role of the genetic characteristics of the infection in the failure of anti-helicobacter therapy is emphasized. Separately, the question of the effect of combined infection of the gastric mucosa with highly pathogenic strains of Helicobacter pylori and Epstein-Barr virus is highlighted.
Spatially Distinct Tectonic Zones across Oklahoma Inferred from Shear-Wave Splitting
Authors: Ortega-Romo Angie D. , Walter Jacob I. , Chen Xiaowei , Carpenter Brett M.
Published: April 2021

To better understand relationships among crustal anisotropy, fracture orientations, and the stress field in Oklahoma and southern Kansas, we conduct shear-wave splitting analysis on the last 9 yr of data (2010–2019) of local earthquake observations. Rather than a predominant fast direction (ϕ), we find that most stations have a primary fast direction of polarization (ϕpri) and a secondary fast direction of polarization (ϕsec). At most stations, either the primary fast direction of polarization (ϕpri) or the secondary fast direction of polarization (ϕsec) is consistent with the closest estimated maximum horizontal stress (σHmax) orientation in the vicinity of the observation. The general agreement between fast directions of polarization (ϕ) and the maximum horizontal stress orientations (σHmax) at the regional level implies that the fast polarization directions (ϕ) are extremely sensitive to the regional stress field. However, in some regions, such as the Fairview area in western Oklahoma, we observe discrepancies between fast polarization directions (ϕ) and maximum horizontal stress orientations (σHmax), in which the fast directions are more consistent with local fault structures. Overall, the primary fast direction of polarization (ϕpri) is mostly controlled and influenced by the stress field, and the secondary fast direction of polarization (ϕsec) likely has some geologic structural control because the secondary direction is qualitatively parallel to some mapped north-striking fault zones. No significant changes in fast directions over time were detected with this technique over the 5 yr (2013–2018) of measurements, suggesting that pore pressure may not cause a significant enough or detectable change above the magnitude of the background stress field.
A negação do trabalho em Leite Derramado, de Chico Buarque
Authors: Fogal Alex Alves , Araújo Bárbara Del Rio
Published: April 2021

Este artigo busca identificar como a negação do trabalho em Leite Derramado fomenta uma perceptiva crítica em relação ao modo de produção capitalista, sobretudo em um contexto periférico. Inicialmente, pode-se dizer que não há espaço para a representação do trabalho nas memórias do narrador Eulálio, decadente empresário, que habita um hospital simples. Entretanto, esse tema se faz revelador na medida em que ironiza a tradição de uma classe que vive da exploração do trabalho dos outros. Além disso, nota-se que a narrativa permite refletir sobre o processo de fetichização que se implementou sobre a lógica do trabalho e sobre a consciência dos indivíduos no capitalismo contemporâneo.
Vozes da memória: a supraliteratura Svetlana Aleksiévitch
Authors: De Campos Lucena Júlia
Published: April 2021

A escritora bielorrussa Svetlana Aleksiévitch, vencedora do prêmio Nobel de Literatura em 2015, inaugura uma nova estética literária — um novo gênero em que autor e coletividade dividem a autoria de um “romance mosaico”. Seus livros são compostos de breves histórias particulares, monólogos reflexivos e testemunhos coletivos de momentos tão extremos da experiência humana que só convencem porque sabemos reais. Trata-se da realidade enquanto gênero literário. Pretende-se, neste artigo, analisar essa reelaboração literária da memória proposta por Svetlana a partir da obra Vozes de Tchernóbil; refletir sobre como ela toca o modelo historiográfico proposto por teóricos como Walter Benjamin e Dominick Lacapra; além de elaborar, brevemente, o gênero literário que dá suporte a esse empreendimento, e que se pretende inaugural na estética do testemunho: o Romance de Vozes.
Três fotografias na tonalidade do abandono
Authors: Clevelares Gustavo Augusto De Abreu
Published: April 2021

Este ensaio tem como objetivo operacionalizar o pensamento teórico-crítico sobre literatura, fotografia e política, através de uma incursão por três imagens retiradas de recente exposição do fotojornalista Maurício Lima, que confronta o olhar do espectador pela força do abandono dos corpos de sujeitos em trânsito de refúgio.
Lessons Learned: Developing an Undergraduate Hartford Partnership Program in Aging Education
Authors: Mulvaney Elizabeth A. , Petracchi Helen E. , Engel Rafael J.
Published: April 2021

Meeting the needs of the growing older adult population requires generalist trained social workers to deliver services, especially for home and community- based care coordination. This article describes how one BSW program adapted its existing MSW Hartford Partnership Program for Aging Education (HPPAE) to prepare baccalaureate-level social workers to serve older adults. Looking at the core components of the HPPAE and the CSWE 2015 Educational Policy and Accreditation Standards, this article explains the challenges that arose in developing a BSW HPPAE and how they were addressed. A BSW HPPAE model of education, patterned after the MSW HPPAE, is a viable option for needed workforce preparation and offers an opportunity for BSW programs to prepare students with important gerontological knowledge and skills while they master generalist practice.
Pendidikan Paralegal Bagi Masyarakat Sebagai Wujud Pemenuhan Hak Asasi Manusia Berkelanjutan
Authors: Gunawan Yordan , Hafiz Mohammad Bima Aoron
Published: April 2021

Paralegals are parties that can provide advocacy or legal assistance to the people in a broad sense beside advocates, lecturers and other legal activists. The role of paralegal itself is not intended to replace the function of an advocate. Instead, it is aimed to be able to cooperate in the fulfillment of access to justice for the society, especially the people who are poor and other vulnerable groups. In Indonesia, paralegal position is a voluntary activity in conducting empowerment process in the society. The beginning of this article will invite and provide understanding to readers to understand the definition and comprehension of paralegals, types, and their important role for the fulfillment of access to justice which is one of the most basic parts of human rights. Beside preparing a law-conscious society, paralegals also provide human rights protection to people who are having problems with law, until the stage of investigation in the police office. The villagers trained will get certification and verified by the government. The society service uses educational methods or approaches that are oriented to problem solving process using the pattern of education elements conducted systematically, directed and planned with the active participation of individuals, groups and society as a whole to find ways to solve problems faced by the society by paying attention to the surrounding socio-economic and local cultural factors. This approach is considered to be able to move the society dynamically towards progress as expected. Meanwhile, being participative is an approach that emphasizes on the efforts to increase the participation of the society or individuals directly in various processes and implementation of programs. The results of the service program are demonstrated with the establishment of a paralegal society, increased awareness and knowledge of the society on their rights in the field of law
Pemetaan Analisis Jabatan dan Penilaian Kinerja sebagai Dasar Pengembangan Sistem Remunerasi
Authors: Hidayah Nur , Dewi Arlina
Published: April 2021

Job analysis and performance appraisals are the basis of developing a remuneration system consisting of fees for position, fees for service, and fees for people. Clinic Pratama receives payment for health services for patients participating in the National Health Insurance in the form of a capitation package. The capitation package distribution has not been regulated based on the position value index and performance appraisal according to the performance indicators of each employee’s detailed job descriptions, responsibilities and authorities. The purpose of this community service activity is to develop a remuneration system which can then be implemented in KPF as a strategy in human resource management facing the era of National Health Insurance (JKN) to achieve Universal Health Coverage (UHC). The method used is a qualitative method through a Focus Group Discussion (FGD) approach, interviews and documentation studies. The results of community service show that the Remuneration System can be developed based on Job Analysis and Performance Appraisals
Complaint Handling Systems In The Public Sector: A Comparative Analysis Between Indonesia and Australia
Authors: Harijanti Susi Dwi
Published: April 2021

This article deals primarily with complaint handling system with reference to an ombudsman that established by the government as opposed to the private ombudsman variety in Indonesia and Australia’s jurisdictions. In practice, group of people or persons have often arisen complaints or grievances in public service, and it requires solutions. It is widely known that the Ombudsman office has long been regarded as an effective office in resolving people complaint. This is mainly because the nature of the Ombudsman as an independent and impartial institution. This article argues that regardless of the different context of introduction of an ombudsman in Indonesia and Australia because of different political and social context, however, the performance of ombudsman in both countries has showed significant role in enhancing public services through their expanded mandates and stronger powers.
PERAN BANTUAN AHLI ILMU KEDOKTERAN FORENSIK DALAM PEMBUKTIAN PERKARA TINDAK PIDANA PEMBUNUHAN PADA TAHAP PENYIDIKAN
Authors: Pambudi Luthfi Arya Ravi , Purwanto Heri
Published: April 2021

Dalam suatu pembuktian perkara pidana yang berkaitan dengan tubuh dan atau jiwa manusia Ilmu kedokteran forensik mempunyai peranan yang sangat penting. Penelitian ini adalah penelitian hukum normatif penelitian ini untuk mempelajari bagaimana proses penegakan hukum yang dilakukan oleh aparat penegak hukum yaitu Kepolisian sebagai penyidik, bidang hukum dan bidang kedokteran sangat berkaitan dalam rangkaian pembuktian perkara tindak pidana pembunuhan dikarenakan tidak kemampuan ilmu yang dimiliki dari penyidik maupun hakim dalam menangani perkara tindak pidana pembunuhan yang berkaitan dengan tubuh dan jiwa manusia, dalam penelitian ini mencari bagaimana peran ilmu kedokteran forensik dalam membantu penyidik untuk menemukan kebenaran materiil pada perkara tindak pidana pembunuhan, berdasarkan hasil penelitian dilapangan, peran bantuan ilmu kedokteran forensik sangat diperlukan untuk menemukan kebenaran materiil pada perkara tindak pidana pembunuhan agar dapat membuat terang perkara pidana tersebut dan memperoleh alat bukti yang sah, tetapi tidak selamanya peran ilmu kedokteran forensik berhasil, terdapat juga hambatan-hambatan yang terjadi. Kesimpulan yang diambil dari penelitian ini untuk aparat penegak hukum perlu adanya koordinasi dengan dokter forensik dan harus mengedepankan keadilan sebagai dasar melakukan penyidikan.
UPAYA PERLINDUNGAN HUKUM BAGI PASIEN BPJS TERKAIT SISTEM RUJUKAN RUMAH SAKIT DI KOTA YOGYAKARTA
Authors: Kusumastuti Finensia Aulia , Fajar ND Mukti
Published: April 2021

Penelitian ini bertujuan untuk mengetahui upaya pasien BPJS Kesehatan dalam mendapatkan perlidungan hukum dan faktor penghambat maupun pendukung dalam perlindungan hukum bagi pasien BPJS Kesehatan. Penelitian ini menggunakan pendekatan empiris (yuridis sosiologis) menggunakan sumber data dan bahan hukum dalam sumber data terbagi menjadi dua bagian yaitu data primer dan sekunder sedangkan bahan hukum terbagi tiga bagian yaitu bahan hukum primer, sekunder dan tersier yang dimana bagian-bagiannya sangat penting untuk menjadi dasar penulisan karya ilmiah ini. Penelitian ini menggunakan responden dan narasumber untuk menguatkan dalil-dalil penulisan penelitian ini mengambil data yang dilaksanakan di Rumah Sakit PKU Muhammadiyah Yogyakarta, Rumah Sakit DKT Dr. Soetarto Yogyakarta, kantor BPJS Kesehatan Yogyakarta dan kantor Dinas Kesehatan Kota Yogyakarta. Untuk mencapai tujuan tersebut penulis menggunakan teknik pengumpulan data berupa wawancara serta meminta data – data kepada pihak yang terkait. Penelitian yang digunakan adalah penelitian kualitatif yaitu penelitian yang dilakukan untuk mendapatkan data-data sekunder dan bahan-bahan yang berhubungan dengan penelitian yang diperoleh dari berbagai sumber. Hasil penelitian ini mendapatkan tiga rumusan masalah yaitu Upaya yang dapat dilakukan pasien pengguna BPJS Kesehatan, Faktor pendukung dan penghambat dalam mendapatkan perlindungan hukum bagi pasien BPJS Kesehatan.
FUNGSI PENGAWASAN ASAS NETRALITAS TERHADAP ASN DI DAERAH ISTIMEWA YOGYAKARTA OLEH BADAN PENGAWAS PEMILU DIY
Authors: Ajiprasetyo Muhammad Khaisar , Sarnawa Bagus
Published: April 2021

Badan Penyelenggara Pemilu yakni KPU, Bawaslu, DKPP melakukan tugasnya masing-masing. Dalam hal pengawasan proses pemilu di Provinsi DIY dilaksanakan oleh Bawaslu DIY berdasarkan Undang-Undang No 7 Tahun 2017 tentang Pemilu, Bawaslu berwenang mengawasi dan memproses pelanggaran yang terjadi dalam pelaksanaan pemilu. Diantara hal yang diawasi oleh Bawaslu DIY adalah netralitas ASN. Maka, pengawasan terhadap kenetralan ASN sangat diperlukan guna memastikan bahwa ASN tidak terlibat dalam politik praktis yang dapat menimbulkan permasalahan birokrasi. Penelitian ini bertujuan untuk mengetahui peran Bawaslu DIY terhadap asas netralitas ASN di DIY. Apakah ASN di DIY sudah mentaati asas netralitasnya sebagai ASN atau belum. Metode penelitian yang digunakan adalah penelitian empiris. Penelitian ini dilaksanakan di kantor Bawaslu Provinsi DIY. Berdasarkan penelitian yang dilakukan, pelanggaran pemilu sebenarnya masih terjadi di wilayah hukum Provinsi DIY, namun dalam hal pelanggaran netralitas ASN masih dikategorikan minim. Dari data yang didapat, bahwa netralitas ASN harus dijaga karena posisi ASN yang strategis dalam pemerintahan, maka pengawasan terhadap ASN dilakukan oleh Bawaslu mulai dari upaya pencegahan, upaya penindakan, hingga proses pemberian sanksi kepada ASN yang melanggar. Bawaslu harus terus melaksanakan kewajiban sesuai regulasi dan mengupgrade SDM juga menambah fasilitas yang dapat menunjang kinerja pengawasan pemilu agar pelanggaran-pelanggaran yang masih terjadi dapat ditekan jumlahnya
PENYELESAIAN SENGKETA WANPRESTASI DENGAN DOKUMEN PRIBADI SEBAGAI JAMINAN PADA PELAKSANAAN PERJANJIAN PINJAM MEMINJAM
Authors: Fahreza Chandra , Heriyani Endang
Published: April 2021

Penelitian ini mengkaji bagaimana cara penyelesaian sengketa wanprestasi pada pelaksanaan perjanjian pinjam meminjam dengan jaminan dokumen pribadi di koperasi pamengkeut banda kota Tasikmalaya menjadi permasalahan dalam penelitian ini. Tujuan dalam penelitian ini, yaitu bagaimana penyelesaian sengketa dalam hal pemimjam melakukan wanprestasi dalam perjanjian pinjam meminjam yang menggunakan jaminan dokumen pribadi. Dalam penelitian ini menggunakan metode penelitian hukum normatif yaitu metode yang dilakukan dengan cara menganalisis dan menelusuri bahan dokumen yang siap pakai mencakup penelitian terhadap asas-asas hukum yang terdapat dalam peraturan perundang-undangan dengan jenis penelitian yang bersifat deskriptif. Dapat ditarik kesimpulan bahwa dalam pelaksanaan perjanjian pinjaman dengan jaminan dokumen pribadi ketika terjadi hal-hal yang tidak diinginkan seperti wanprestasi yang dimana wanprestasi tersebut dilakukan oleh anggota koperasi, pihak koperasi akan melakukan upaya penyelesaian permasalahanya diluar pengadilan dan mengutamakan tindakan yang bersifat kekeluargaan dan persuasif. Pihak koperasi lebih mengutamakan penyelesaian sengketanya dengan pendekatan yang bersifat kekeluargaan.
Ophthalmic practice during COVID-19 pandemic
Authors:   Ocular Trauma and Emergency Department, Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 1336616351, Iran, Soleimani Mohammad , Mohammad-Rabei Hossein ,   Basir Eye Health Research Center, Tehran 1416753955, Iran
Published: April 2021

Coronavirus disease 2019 (COVID-19) pandemic has caused significant changes in ophthalmic practice. The initial strategy of strict restriction of elective activities has been replaced with various guidelines to revitalize ophthalmic procedures considering the new safety concerns. In this manuscript, we reviewed recent recommendations for ophthalmic practice in different fields of ophthalmology during the COVID-19 pandemic.
Disorganization of the retinal inner layers as a predictor of visual acuity in eyes with macular edema secondary to uveitis
Authors:   Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 300384, China; Shanxi Eye Hospital, Taiyuan 030002, Shanxi Province, China, Liu Zheng , Li Xiao-Rong ,   Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 300384, China, Zhang Xiao-Min ,   Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 300384, China
Published: April 2021

AIM: To assess the correlation between disorganization of the retinal inner layers (DRIL) and best-corrected visual acuity (BCVA) in patients with uveitis and macular edema (UME) who underwent systemic treatment using optical coherence tomography (OCT).
METHODS: A retrospective clinical study of 23 patients (30 eyes) with DRIL and 23 patients (31 eyes) without DRIL secondary to UME were included. All patients underwent comprehensive ophthalmic examinations at baseline, 3, 6, and 12mo after local and systemic treatment. The OCT-based parameters included foveal center point thickness (FCPT), mean thickness (MT), and diameters of DRIL in horizontal and vertical directions. BCVA and OCT-based parameters were compared between the two groups. The relationship between each OCT parameter and BCVA was evaluated using linear correlation and regression analysis.
RESULTS: At the initial visit, the mean baseline FCPT was 441.03±128.68 μm in the eyes with DRIL and 337.26±99.31 μm in the eyes without DRIL (P=0.001). No significant differences were observed in MT (P=0.357). The mean size of transverse and vertical diameters of DRIL was 684.07±267.51 and 267.07±104.61 μm at baseline, respectively. There was significant improvement in BCVA and OCT-based parameters at 3, 6, and 12mo in all cases (P<0.001 for each timepoint). In addition, significant differences were detected in BCVA and OCT parameters between eyes with and without DRIL at each time point (P<0.01 for each timepoint). A greater DRIL range at baseline was associated with a worse baseline BCVA (transverse diameter of DRIL: r=0.875, P<0.001; vertical diameter of DRIL: r=0.622, P<0.001). The transverse diameter of baseline DRIL was found to be significantly correlated with the final BCVA (P=0.003).
CONCLUSION: The improvement in BCVA is associated with DRIL in patients with UME. DRIL is an easy-to-determine and robust imaging biomarker that could help predict BCVA prognosis in eyes with UME.
Short-term effects of intravitreal Conbercept injection combined with laser photocoagulation on macular edema secondary to ischemic retinal vein occlusion
Authors:   Medical School of Ophthalmology & Optometry, Shandong University of Traditional Chinese Medicine, Jinan 250355, Shandong Province, China, Liu Zheng-Feng , Zhang Xiao-Yan ,   Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250002, Shandong Province, China, Pan Xue-Mei ,   Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250002, Shandong Province, China, Zhang Rui-Xue ,   Medical School of Ophthalmology & Optometry, Shandong University of Traditional Chinese Medicine, Jinan 250355, Shandong Province, China, Bi Hong-Sheng ,   Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250002, Shandong Province, China; Shandong Provincial Key Laboratory of Integrated Traditional Chinese and Western Medicine for Prevention and Therapy of Ocular Diseases, Wen Ying ,   Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250002, Shandong Province, China; Shandong Provincial Key Laboratory of Integrated Traditional Chinese and Western Medicine for Prevention and Therapy of Ocular Diseases
Published: April 2021

AIM: To observe changes in the best-corrected visual acuity (BCVA), central macular thickness (CMT), and central choroidal thickness (CCT) of patients with macular edema (ME) secondary to ischemic retinal vein occlusion (iRVO) following intravitreal Conbercept injection.
METHODS: This retrospective study included 33 eyes from 33 patients who received intravitreal injections of Conbercept for ME secondary to iRVO. Treatments were performed on a 3+pro re nata (3+PRN) basis. All of the patients were examined by fundus fluorescein angiography and spectral domain optical coherence tomography at the first visit. Laser photocoagulation was performed in the nonperfusion area of the retina of all eyes after the first injection. BCVA, CMT, and CCT were observed before and after 6mo of treatment. The number of injections necessary to achieve improved vision was also noted.
RESULTS: Following Conbercept treatment, the mean BCVA significantly improved from 0.81±0.39 at baseline to 0.41±0.25 and 0.43±0.29 logMAR in the third and sixth months, respectively (both P=0.000). The CMT of the patients at baseline was 556.75±98.57 μm; 304.78±68.53 and 306.85±76.77 μm 3 and 6mo after treatment, respectively (both P=0.000 vs baseline). The CCTs of the patients at baseline, 3 and 6mo after treatment were 304.63±57.83, 271.31±45.53, and 272.29±39.93 μm, respectively (P=0.026 and 0.035 vs baseline). No severe adverse event relevant to the therapy was noted, and the average number of injections delivered was 3.35.
CONCLUSION: Intravitreal Conbercept injection combined with laser photocoagulation appears to be a safe and effective treatment for ME secondary to iRVO in the short-term.
Transepithelial photorefractive keratectomy for myopia: effect of age and keratometric values
Authors:   Department of Ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada-Sardjito Eye Center, Dr. Sardjito General Hospital, Yogyakarta 55284, Indonesia, Pertiwi Amanda Nur Shinta , Supartoto Agus ,   Department of Ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada-Sardjito Eye Center, Dr. Sardjito General Hospital, Yogyakarta 55284, Indonesia; Dr. Yap Eye Hospital, Yogyakarta 55232, Indonesia, Goenawan Wasisdi ,   Department of Ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada-Sardjito Eye Center, Dr. Sardjito General Hospital, Yogyakarta 55284, Indonesia; Dr. Yap Eye Hospital, Yogyakarta 55232, Indonesia, Suhardjo Suhardjo ,   Department of Ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada-Sardjito Eye Center, Dr. Sardjito General Hospital, Yogyakarta 55284, Indonesia; Dr. Yap Eye Hospital, Yogyakarta 55232, Indonesia
Published: April 2021

AIM: To investigate demographic and preoperative factors increasing the risk of ametropia following transepithelial photorefractive keratectomy (transPRK) in myopia and myopic astigmatism.
METHODS: This retrospective cohort study included myopic eyes (-0.50 to -8.75 D) with or without astigmatism (up to 3.50 D) enrolled at Dr. Yap Eye Hospital Yogyakarta. TransPRK was performed using Technolaz 217z100 excimer laser. Subjects were clustered into ametropia and emmetropia group based on uncorrected distance visual acuities (UDVA) 3mo post-operatively. Multiple preoperative and intraoperative parameters were analyzed using Logistic regression to obtain their effect on ametropia risk following transPRK.
RESULTS: A total of 140 eyes of 87 consecutive subjects were studied. Prevalence of ametropia following transPRK was 20 (14.29%) eyes. Subjects in ametropia group were significantly older than the emmetropia group (31.80±14.23 vs 18.88±2.41, respectively; P<0.001). Bivariate Logistic regression analysis showed that older age (OR=1.23), higher preoperative spherical equivalent (>-6 D; OR=12.78), steeper anterior keratometric readings (Kmax>45 D and mean K>44 D; OR=4.28 and 4.35, respectively) increased the risk of ametropia following transPRK. Adjusted multivariate Logistic regression analysis showed that age was the strongest predictor for the incidence of ametropia following transPRK. Complications of transPRK were overcorrection, suspected posterior keratoectasia and accommodation insuffiency.
CONCLUSION: Older age can be the strongest factor for increasing ametropia risk following transPRK. Cut-off points of Kmax and mean K at 45 and 44 D respectively are proposed as the predictors for ametropia following transPRK.
Correlation of the retinopathy degree with the change of ocular surface and corneal nerve in patients with type 2 diabetes mellitus
Authors:   Xuzhou Medical University, Xuzhou 221002, Jiangsu Province, China, Han Jia-Xin , Liang Huan-Huan ,   Xuzhou Medical University, Xuzhou 221002, Jiangsu Province, China, Guo Jian-Xin ,   Department of Ophthalmology, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221002, Jiangsu Province, China
Published: April 2021

AIM: To investigate the change of ocular surface and corneal nerve and their correlation in patients suffering from type 2 diabetes mellitus under different degrees of retinopathy.
METHODS: Totally 129 type 2 diabetes mellitus patients (257 eyes) were included. They were divided into three groups: no diabetic retinopathy (NDR) group (33 cases, 66 eyes), non-proliferative diabetic retinopathy (NPDR) group (32 cases, 64 eyes), and proliferative diabetic retinopathy (PDR) group (34 cases, 67 eyes). Healthy normal individuals were enrolled as controls (30 cases, 60 eyes). Ocular Surface Disease Index (OSDI) questionnaire was completed by all subjects, and dry eye analyzer was applied to examine tear meniscus height (TMH), first tear break-up time (FTBUT), average tear break-up time (ATBUT), tear film lipid layer thickness classification, and meibomian gland loss (MGL) score. Corneal nerve fiber density (CNFD), corneal nerve branch density (CNBD), corneal nerve fiber length (CNFL), and corneal nerve fiber tortuosity (CNFT) were examined by in vivo confocal microscopy (IVCM). The differences and correlation among these parameters were analyzed.
RESULTS: Total OSDI score, TMH, FTBUT, ATBUT, tear film lipid layer thickness, MGL score, CNFD, CNBD, CNFL, and CNFT were statistically different among the four groups (P<0.05). In NDR group, CNFL was positively correlated with TMH (r=0.493, both P<0.01) and ATBUT (r=0.437, P<0.05). CNFL in NPDR group was positively correlated with TMH (r=0.642, P<0.01) and ATBUT (r=0.6, P<0.01). CNFL in PDR group was positively correlated with TMH (r=0.364, P<0.05) and ATBUT (r=0.589, P<0.01), with low negative correlation with MGL score (r=-0.331, P<0.05).
CONCLUSION: With the progression of diabetic retinopathy, TMH, BUT, lipid layer thickness, CNFL, CNFD, and CNBD gradually decreased, while total OSDI score, MGL score, and CNFT increased. CNFL is correlated with TMH and ATBUT in diabetic patients.