bluuebunny/crossref_metadata_2025 huggingface dataset:
"Focus on hyperuricemia". The resolution of the Expert Council
Authors: Drapkina O. M. , Mazurov V. I. , Martynov A. I. , Gaidukova I. Z. , Duplyakov D. V. , Nevzorova V. A. , Ostroumova O. D. , Chesnikova A. I.
Published: May 2023

Мочевая кислота (МК) — это конечный продукт пуринового обмена, являющийся основной составляющей клеточных запасов энергии, таких как аденозинтрифосфат (АТФ), а также компонентом дезоксирибонуклеиновой (ДНК) и рибонуклеиновой (РНК) кислот. На сегодняшний день в Российской Федерации нормальным показателем МК в сыворотке крови считается <360 мкмоль/л (6 мг/дл) для женщин и  <420 мкмоль/л (7 мг/дл) для мужчин [1], в то время как Американская коллегия ревматологов рекомендует считать нормой уровень <360 мкмоль/л (6 мг/дл) [2,3], а Британское общество ревматологов - <300 мкмоль/л (5 мг/дл) [4].

Гиперурикемия (повышение уровня МК в сыворотке крови) - широко распространенное метаболическое нарушение в Российской Федерации (16,8%) [1] и за рубежом (20,1%) [2], чаще выявляется у мужчин и возрастает по мере старения [1]. Гиперурикемия (ГУ) в 1,9 раза чаще встречается у лиц с ИМТ 25-30 кг/м2 и в 4,2 раза чаще у лиц с ИМТ >40 кг/м2 , по сравнению с пациентами с ИМТ <25 кг/м2[1].

В крупных эпидемиологических исследованиях было показано, что ГУ представляет собой модифицируемый фактор риска развития и прогрессирования основных хронических неинфекционных заболеваний, таких как артериальная гипертензия (в том числе преэклампсия) [5,6], атеросклеротические сердечно-сосудистые заболевания (ССЗ) [7], хроническая сердечная недостаточность [8], сахарный диабет 2 типа (СД 2 типа), хроническая болезнь почек (ХБП), метаболический синдром [9], синдром обструктивного апноэ во сне [10]. Данные многочисленных эпидемиологических и проспективных исследований позволяют утверждать, что бессимптомная ГУ также выступает мощным, независимым и модифицируемым сердечно-сосудистым фактором риска. В связи с этим возникла необходимость разработать алгоритм инициации и интенсификации уратснижающей терапии у пациентов в зависимости от сердечно-сосудистого риска.

С этой целью 02 декабря 2022 г. под председательством академика РАН О.М. Драпкиной под эгидой Российского общества профилактики неинфекционных заболеваний состоялся Совет экспертов «В фокусе гиперурикемия». Группа экспертов была представлена ведущими специалистами в области терапии, кардиологии, общей врачебной практики, ревматологии, клинической фармакологии.  В результате объединения усилий была подготовлена резолюция, отражающая междисциплинарное мнение экспертов по различным аспектам проблемы гиперурикемии,  и  сформулированы  предложения.
Assistência pré-natal às gestantes com diagnóstico de sífilis segundo os enfermeiros da atenção primária à saúde
Authors: Reis Eluana Maria Cristofaro , Mendes Sandra Soares , Calheiros Christianne Alves Pereira , Silva Simone Albino da , Silveira Cristiane Aparecida , Freitas Patrícia Scotini
Published: May 2023

Objetivo: analisar como ocorre a assistência pré-natal às gestantes com diagnóstico de sífilis pelos enfermeiros que atuam na atenção primária à saúde, em uma regional de saúde do interior do Estado de São Paulo.
Método: pesquisa de delineamento não experimental, transversal, do tipo correlacional descritiva e de abordagem quantitativa.
Resultados: foi possível observar que 29,6% dos enfermeiros referiram não realizar consultas subsequentes de pré-natal, e ainda uma associação importante onde a maioria dos enfermeiros que realizaram as consultas subsequentes baseava sua assistência em protocolo municipal (P=0,000). Destaca-se entre os resultados que 30,4% dos enfermeiros não cumpriram a prescrição de benzilpenicilina benzatina para as gestantes reagentes à sífilis e 22,7% não administraram a mesma sem a presença do médico na unidade. Outro resultado que merece atenção, é a prescrição de protocolo único de tratamento para gestantes independentemente do estágio da sífilis.
Conclusão: Há lacunas entre os protocolos para a assistência às gestantes com diagnóstico de sífilis e a assistência prestada pelos enfermeiros da atenção primária à saúde. Espera-se que as ações evidenciadas neste estudo promovam melhorias para a prática dos enfermeiros e que contribua para atingir no Brasil a meta preconizada pela Organização Mundial de Saúde para a sífilis congênita.
SWIRLING FLOW AND BREAKUP CHARACTERISTICS AT HIGH REYNOLDS NUMBER IN A PRESSURE-SWIRL ATOMIZER FOR ARTIFICIAL SNOWMAKING
Authors: Dong Peiwen , Zhang Bowen , Liu Guoqiang , Wu Haifeng , Yan Gang , Wang Ruixiang
Published: May 2023

The pressure-swirl atomizer is used to provide atomized droplets, which is the main atomization component of the snowmaker. The formation of snowflakes is significantly affected by the effective collision between droplets and ice nucleus produced by ice nucleus generator. Whether the collision position moves forward or lags behind, it will both cause deterioration of the snow quality. Therefore, the flow and breakup process, breakup length, and variation law of atomization are very crucial for regulating the snow quality. The fully developed swirling flow at high Reynolds number in the pressure-swirl atomizer for outdoor snowmakers were investigated based on VOF-LES approach, and its accuracy was verified by experimental results. It was found that the Kelvin-Helmholtz instability caused by the velocity difference at gas-liquid interface decisively leads to the liquid film fragmentation. The primary breakup occurs after 5.4 ~ 5.8 times orifice diameter. As the injection pressure increases from 0.6 MPa to 1.4 MPa, the breakup length reduces by 7.7%, the jet velocity increases by 66.7%. It is critical to adjust the effective collision position and enhance the convection, so as to improve the quality of snow.
SINGLE- AND MULTI-OBJECTIVE NUMERICAL OPTIMIZATION OF DELTA WINGLET PAIR POSITIONED IN A DUCT
Authors: Demirağ Hüseyin Zahit , İzgi Burak , Dogan Mehmet , İğci Atila Abir
Published: May 2023

In the present work, three-dimensional numerical study was carried out to perform the single- and multi-objective optimization process of delta winglet pair (DWs) mounted on a rectangular duct with a hydraulic diameter of Dh = 0.0535 m. For the purpose of presenting the consistency of numerical model with experimental data, experimental work was also performed for DWs with an angle of attack of θ = 40° ranging from Re = 5000-20,000. The response surface method (RSM) with central composite design (CCD) was performed to construct numerical design parameters as well as to obtain responses for Nu, f, and thermal enhancement factor (TEF). On this basis, the DWs' angle of attack (θ), the ratio of the transverse distance between the trailing edges of DWs to the duct width (LVG/W), and the Reynolds number (Re) were considered to be design parameters. The selected single-objectives are maximizing Nu, minimizing f, and maximizing TEF. Moreover, the chosen multi-objectives are maximizing Nu while minimizing f; maximizing Nu and TEF while minimizing f. The findings indicate that the angle of attack (θ) and Re have the greatest influence on all responses compared to the LVG/W ratio. For single-objectives, increase in Nu, decrease in f, and increase in TEF were attained on the order of 45.67%, 14.89%, and 3.98%, respectively, in comparison to the reference case. Furthermore, maximizing Nu while minimizing f was selected as a multi-objective, increase in Nu and decrease in f were calculated to be 36.38% and 12.76%, respectively, compared with the reference case.
Sentidos subjetivos atribuídos às reações de familiares após comunicação de más notícias em um pronto-socorro
Authors: Leite Alane Ribeiro , Santana Ramiro Rodrigues Coni , Latorraca Carolina de Oliveira Cruz
Published: May 2023

INTRODUÇÃO: No cotidiano do hospital, inevitavelmente, a equipe de saúde se relaciona com pacientes e familiares que receberam algum tipo de má notícia. Constituindo-se como uma tarefa árdua, porém fundamental, a comunicação de más notícias é um importante tema de estudo na área da saúde. OBJETIVOS: O objetivo é descrever e analisar quais são os sentidos subjetivos atribuídos pelos profissionais às reações da família a uma comunicação de más notícias. Os objetivos específicos foram: identificar processos simbólicos e práticas reguladoras da produção de sentidos; analisar como se apresenta a emocionalidade dos profissionais envolvidos nas situações de comunicação de más notícias; e analisar como o contexto de pronto socorro atua enquanto mediador de produções simbólico-emocionais dos profissionais. MÉTODO: Participaram deste estudo profissionais de um pronto socorro de um hospital universitário da cidade de São Paulo. Foram apresentadas três vinhetas de casos clínicos que retratam diferentes reações de familiares de pacientes após uma comunicação de más notícias, no Pronto Socorro. A partir de uma pergunta disparadora, conduziu-se uma entrevista semi-estruturada. RESULTADOS: Evidenciou-se que ausência da instrumentalização para a comunicação de más notícias durante a graduação em medicina e enfermagem repercute em diversos âmbitos da experiência do profissional, desde como administram suas próprias emoções até o modo como lidam com as múltiplas reações emocionais dos familiares dos pacientes. CONSIDERAÇÕES FINAIS: Este estudo sugere, então, a relevância de haver, durante a formação profissional, maior espaço para estudo e discussão sobre os temas que emergem em um contexto de comunicação de más notícias.
A comparative analysis of carer-employees in Canada over time: a cross-sectional analysis of Canada’s General Social Survey, 2012 and 2018
Authors: Wu Jerry , Williams Allison , Wang Li , Kitchen Peter
Published: May 2023

Objectives

The aims of the study are to identify trends in the socio-demographic, health, and work profiles of Canadian carer-employees (CEs) over time, as well as the gender difference in the intensity of caring.

Methods

Cross-sectional data from cycles 26 and 32, collected in 2012 and 2018 respectively, of the Canadian General Social Survey (GSS) were used. Logistic, multinomial logistic, and linear regressions were used to estimate how caregiving is associated with caregivers’ health, well-being, and work in both cycles. Regressions from both cycles were then compared with chi-square tests for significant differences over time.

Results

The proportion of male CEs grew between 2012 and 2018, and women were no longer more likely to be a CE. The intensity of care for female CEs was significantly increased from 2012 to 2018 as compared with their male counterparts. General health (2018: OR = 0.25[0.11, 0.61] vs. 2012: OR = 0.33[0.15, 0.72]) and life satisfaction ($$\beta$$
β
 = -0.42[0.54, -0.30] vs. $$\beta$$
β
 = -0.22[-0.30, -0.14]) were significantly worsened with respect to the role of CEs from 2012 to 2018.

Conclusion

Our study provides the evidence that CEs’ health and well-being have worsened over time, especially for female CEs, indicating that the needs of CEs are growing at a faster rate than the supports available. The results are meaningful in informing and justifying the provision of CE supports at work in order to sustain CEs in the workplace, such as the carer-friendly workplace policies.
Living in a Fishbowl or Not: The Role of Transparency and Privacy in Creative Dialogues on Enterprise Social Media
Authors: Osch Wietske Van ,   HEC Montréal, Canada / Michigan State University, Bulgurcu Burcu ,   Toronto Metropolitan University, Liang Yuyang ,   HEC Montréal
Published: May 2023

Transparency—the observability of activities, behaviors, and performance—is often treated as a panacea
for modern management. Yet there is a conundrum in the literature, with some studies suggesting that
transparency may benefit group creativity and others suggesting that privacy may do so. A similar
conundrum exists regarding the effects of different social capital types—structural holes vs. network
cohesion—on group creativity. Enterprise social media (ESM) provide a unique opportunity to solve these
conundrums by allowing groups to be “transparent” (non-group members can observe and/or participate
in group activities) or “private” (group members and activities are hidden from the community) and
enabling groups to develop distinct social capital structures. Using data from 28,083 written interactions
produced by 109 transparent and 106 private groups in an ESM of a multinational design firm, we found
strong support for our contingency hypotheses that both transparent and private groups may produce high
levels of creative dialogues, yet in different forms. Specifically, expansion-focused creative dialogues—
those focused on combining or expanding existing concepts—emerge in transparent groups, but only
when the group’s social capital is characterized by structural holes. Conversely, we found that reframingfocused dialogues—those focused on challenging and rethinking—emerge in private groups but only
when the group’s social capital is characterized by network cohesion. Theoretically, these findings can
help to solve the conundrums in the literature on group creativity and shed light on the role of ESM use
in this context. Practically, our findings offer a critical reflection o contemporary initiatives for increasing
transparency, whether through physical design or digital transformation.
FREEDOM OF CONSCIENCE: ESSENTIALITY AND NEW CONTEXTUAL MEANINGS
Authors:   Taras Shevchenko National University of Kyiv, Ukraine, Nesterova Maria
Published: May 2023

The article considers different approaches to the problem of freedom of conscience. As a result of the formed approaches, it can be established that the essence of research attitudes regarding freedom of conscience was mainly expressed in the model of the relationship "religious organization-person-state". Its leading idea can be considered a combination of two discursive directions of understanding freedom of conscience, which are directly related to each other – legal and axiological. Through the prism of various approaches correlated with modern scientific discourses, new contextual realities are proposed, within which freedom of conscience changes semantic nuances, being realized in the space of religious security, in its which is a free practice of faith by every person within the limits of the freedom of functioning of religious organizations is possible. It is emphasized that the essential features of freedom of conscience are influenced, firstly, by personal factors (worldview, religious traditions, etc.); secondly, confessional and inter-confessional communicative practices (both within the same denomination and at the inter-confessional level); thirdly, institutional "slices" (interactions in the processes of institutionalization), fourthly, state powers (observance of laws, consideration of international experience, prevention of abuse of religion, etc.). Their conceptualization is based on the existential-legal dominant, which largely determines their scientific discourse's content and main structural and semantic aspects. The affirmation and actualization of this discourse took place based on the synthesis of the domestic religious and legal tradition and pan-European humanistic and legal visions. Such a synthesis makes it possible to understand freedom of conscience not only as a worldview value, but also as a strategy for implementing religious security, thanks to which resistance to external and internal threats is possible.
Microfacies and C/O-isotopes in lacustrine dolomites reflect variable environmental conditions in the Germanic Basin (Arnstadt Formation, Upper Triassic)
Authors: Hofbauer Barbara , Viehmann Sebastian , Gier Susanne , Bernasconi Stefano M. , Meister Patrick
Published: May 2023

The conditions in ancient evaporative environments conducive to authigenic carbonate (especially dolomite [CaMg(CO3)2]) formation are still insufficiently understood. Insights from microfacies analysis can help to constrain the conditions in these environments. We provide a brief overview of the microfacies association and carbon and oxygen isotope compositions of dolomite beds intercalated in a claystone-rich succession from the Norian Arnstadt Formation in Thuringia and Lower Saxony (Germany) in order to gain further insight into the depositional conditions and processes leading to the formation of authigenic Mg/Ca-carbonates in the Germanic Basin. The studied intervals are ascribed to lacustrine, partially evaporitic conditions, while the sedimentary structures were not obliterated by recrystallization. The microfacies of the dolomites is diverse, showing homogeneous micrite, mudclasts, lamination, and peloidal structures, and reflects a shallow to deeper water (below wave base) and episodically evaporative environment. The dolomites exhibit oxygen isotope values (δ18O) in the range from −5.21 to −0.36‰ VPDB and, hence, only represent a weak meteoric influence, suggesting that the authigenic carbonate generally formed under evaporative conditions. Carbon isotope values (δ13C) in the range of −4.28 to 1.39‰ VPDB indicate a small contribution of remineralized organic carbon, mainly in sediments that were presumably deposited in deeper water or under brackish conditions. Sedimentary structures, such as lamination with graded silt layers, reworked mudclasts embedded in a fine dolomicrite matrix, and peloids showing plastic deformation, indicate that the sediment was still unlithified. These observations would be consistent with an authigenic formation of Mg/Ca-carbonates directly from the lake water, and their deposition under variable conditions in a large playa-lake/perennial lake system.
Deformation of the Dachstein Limestone in the Dachstein thrust sheet (Eastern Alps, Austria)
Authors: Fernandez Oscar , Grasemann Bernhard , Sanders Diethard
Published: May 2023

Deformation affecting the Upper Triassic Dachstein Limestone has been analyzed in the Dachstein thrust sheet, the uppermost thrust unit of the central Northern Calcareous Alps (Eastern Alps). Different scales of deformation are discussed, from kilometer-scale thrusting down to folds in the order of tens of meters to meters. Observations are based on both conventional outcrop observations and on digital fieldwork performed on drone-captured virtual outcrops and on GoogleMaps 3D terrain renderizations. The structures observed were formed at different times and document the following events: 1) Late Triassic syn-depositional instability and slumping; 2) Late Triassic syn-depositional growth of the Hallstatt diapir; 3) Late Triassic syn-depositional, salt-driven, extensional faulting; 4) Jurassic-age re-activation of extensional faults; 5) (presumably) Early Cretaceous shortening in both east-west and north-south directions; and 6) (presumably) Late Cretaceous extensional re-activation of faults. The structures and their origin have a bearing on the interpretation of the tectonic evolution of the Dachstein thrust sheet, highlighting the potential relevance of salt tectonics in controlling its structure.
Old orogen – young topography: Evidence for relief rejuvenation in the Bohemian Massif
Authors: Wetzlinger Klaus , Robl Jörg , Liebl Moritz , Dremel Fabian , Stüwe Kurt , von Hagke Christoph
Published: May 2023

The Bohemian Massif is the relic of a major Paleozoic mountain range that is known to have exhumed and its surface levelled in the Permian, but its Neogene landscape evolution is largely unconstrained. The landscape is characterized by rolling hills and extended planation surfaces above an elevation of about 500 m. However, at lower elevations deeply incised gorges confined by steep hillslopes are abundant and contrast impressively with the low relief landscapes above. Rivers with a bimodal morphology (i.e. steep at lower elevations and gentle at higher elevations) drain either to the north into the Vltava (Moldau) River or to the south into the Danube River. Hence, a continental drainage divide runs through the Bohemian Massif. Here, we quantify spatial characteristics of the Bohemian Massif landforms by computing landscape metrics like steepness index or geophysical relief derived from digital elevation models. From this we infer temporal change of the landscape in the past and predict them for the future evolution of the region.

We show that the landscape is characterized by out-of-equilibrium river profiles with knickpoints abundantly at elevations between 450 m and 550 m separating steep channel segments at lower elevations from less steep channels at higher elevations. Hypsometric maxima at or close above knickpoint elevations, along with high and low values in geophysical relief as indicator for the degree of fluvial landscape dissection downstream and upstream of major knickpoints, support the idea of landscape bimodality. Furthermore, we find a distinct drainage divide asymmetry, which causes the reorganization of the drainage network of the region. Across-divide gradients in channel steepness predict the northward migration of the Danube-Vltava drainage divide including growth and shrinkage of tributary catchments, thus controlling changes in the Central European drainage pattern.

All aspects suggest that the region experienced relief rejuvenation during the last few million years. We suggest that this relief rejuvenation is related to the inversion of the Molasse basin with a long wavelength rock uplift pattern and low uplift rates. Vertical motion of crustal blocks at discrete faults may locally affect the uplift pattern. However, the contrasting bedrock properties between the sedimentary cover (Molasse sediments) and the crystalline basement (Bohemian Massif) cause substantial differences in erosion rate and are thus the superior control on the topographic variations of the entire region.
La deformación varisca de los sinclinales de Tor-Casamanya y Llavorsí en la Zona Axial pirenaica (Pirineos Centrales)
Authors: Clariana Pilar
Published: May 2023

La cartografía geológica y el estudio estructural de los sinclinales de Tor-Casamanya y Llavorsí, parte central de la Zona Axial Pirenaica han permitido encontrar estructuras y foliaciones relacionadas con dos eventos de deformación producidos durante la orogenia Varisca, D1 caracterizado por pliegues de dirección E-O a SE-NO, vergentes al Norte y D2 caracterizado por el desarrollo de (i) pliegues derechos o vergentes al sur, (ii) cabalgamientos de orientación E-O y sentido de movimiento hacia el sur enraizados en la base del Silúrico o en niveles más profundos.
Psychological characteristics of IT workers with different professional tasks
Authors: Paskenova Aisa V. , Makaricheva Elvira V. , Fatkhutdinova Liliya M.
Published: May 2023

The study involved 99 IT-workers who were divided into 4 subgroups depending on the content of the job: 3 groups of professional IT-workers system administrators, software developers, product supporters (62 people), and a group of office workers (37 people). The neurotic state questionnaire by Yakhin and Mendelevich, the Pittsburgh sleep questionnaire, as well as a questionnaire on socio-demographic indices were used. Software developers showed a significant tendency to neurotic depression and reactions of hysterical type compared with the other groups. This was related with both the personal characteristics of the workers, and the content and organization of work. For the other two subgroups of professional IT-workers, characterological features played a more important role in the development of neurotic states than the content of the job.
Possibilities’ analysis of modern methods in diagnostics of autism spectrum disorders
Authors: Pichugina Yulia A. , Arapiev Yuri U. , Lopatina Olga L. , Salmina Alla B. , Higashida Harukhiro
Published: May 2023

Various approaches to diagnostics of autism spectrum disorders, based on identification of genetic, morphological, metabolic biomarkers, and also registration of peculiar features of character by means of scales and questionnaires have been analyzed.
Effectiveness of treatment of detrusor over activity after transuretral resection of benign prostate hyperplasia
Authors: Simanov Ruslan N. , Amdiy Refat E. , Al-Shukri Salman Kh. , Kuzmin Igor V. , Barysheva Olga Yu.
Published: May 2023

BACKGROUND: In a significant number of patients with benign prostatic hyperplasia who underwent transurethral resection (TURP), micturition disorders are detected in the late postoperative period. The issues of drug treatment of overactive bladder are widely covered in the literature and clinical guidelines. However, the number of studies on the treatment of patients with detrusor overactivity after TURP is relatively small.
AIM: The aim of the study is to increase the effectiveness of treatment of patients with detrusor overactivity after TURP in the late postoperative period.
MATERIALS AND METHODS: We treated 51 patients with urodynamically confirmed detrusor overactivity after TURP aged 56 to 87 years (mean 71.5 8.4 years). Taking into account the comorbid background, concomitant therapy, age characteristics and the presence of contraindications, 8 patients were prescribed solifenacin, 9 trospium chloride, 34 mirabegron. Appointment of anticholinergic therapy for 1 month in 7 patients was ineffective, they were prescribed mirabegron. Drug treatment lasted 3 months. With insufficient effectiveness of drug therapy, combined treatment with mirabegron was performed in combination with extracorporeal magnetic stimulation (ECMS) for 1 month (12 sessions of ECMS in total). When the combination of ECMS and mirabegron was ineffective, intravesical botulinum therapy was performed. The effectiveness of treatment was assessed by subjective assessment by patients, the results of patients filling out IPSS questionnaires, urination diaries, ultrasound results and uroflowmetry.
RESULTS: After the end of drug therapy 17 (33.3%) patients subjectively rated the result of treatment as excellent, 15 (29.4%) patients as good. In 19 (37.3%) patients the effectiveness of drug therapy was regarded as insufficient and they underwent combined therapy with mirabegron and ECMS. As a successful combination therapy was recognized in 10 (52.6%) patients. Botulinum therapy was performed in 6 patients with ineffectiveness of the previous stages of treatment with a positive effect in 5 (83.3%) of them. Tolerability of treatment was satisfactory. Based on the results of the study, an algorithm for the treatment of detrusor overactivity in patients with urination disorders in the late postoperative period after TURP was proposed.
CONCLUSIONS: The applied treatment regimen for patients with detrusor overactivity after TURP is effective and can be recommended for use in clinical practice.
Kidney cystosis — hereditary, congenital and acquired
Authors: Zamyatnin Sergey A. , Gonchar Irina S.
Published: May 2023

Renal cysts can be both an independent nosological entity, and a clinical manifestation, or a complication of a severe diseases. Understanding the epidemiology, pathogenesis and diversity of causes of cystic kidney disease contributes to the timely diagnosis and selection of reasonable treatment and prevention tactics. The presented literature review describes the most common processes that contribute to the development of this pathology, as well as genetic diseases and rare causes, the clinical manifestation of which is the formation of cystic cavities. The article presents the main diagnostic algorithms and modern classifications of the disease for practical assistance to the doctor. The review contains up-to-date information on the modern staging of cystic kidney disease according to the Bosniak classification, and also presents the risk of malignancy, according to the statistical data presented in the literature.
Laparoscopic buccal plasty of the pyeloureteral segment and proximal ureter
Authors: Guliev Bahman G. , Komyakov Boris K. , Avazkhanov Zhaloliddin P. , Korol Evgeniy I.
Published: May 2023

BACKGROUND: With recurrent extended strictures of the pyeloureteral segment and the proximal ureter, when standard operations are ineffective or technically impossible, the narrowed area can be replaced with a flap from the cheek mucosa.
AIM: The aim of the study is the results of laparoscopic plastic surgery of the pyeloureteral segment and proximal ureter with buccal graft.
MATERIALS AND METHODS: Minimally invasive plastic surgery of the extended stricture of the pyeloureteral segment, upper and middle third of the ureter with a flap from the cheek mucosa was performed in 27 patients. There were 16 men, 11 women, and the average age was 51 years. The cause of narrowing in 16 patients was previously performed pyeloplasty, in 10 contact ureterolithotripsy in the proximal ureter, in 1 his injury during laparoscopic excision of a parapelvical kidney cyst. Laparoscopic access was used in 24 patients, and robot-assisted access was used in 3 patients. In 17 of them, the narrowed area was replaced by the onlay technique, in 10 patients, anastomosis augmentation was performed with a buccal graft.
RESULTS: There were no intraoperative complications. The duration of operations ranged from 115 to 340 minutes. There were no cases of urine leaking through the drainage. Fever up to 38.0 C was observed in 5 (18.5%) patients, 3 (11.1%) of them underwent antibacterial therapy (grade II according to Clavien), and 2 (7.4%) without nephrostomy drainage, puncture nephrostomy (grade IIIa according to Clavien) was performed. There were no complications according to Clavien IIIb degree. On excretory urograms and computed tomography, the area of the ureter replaced by a buccal flap is wide and well passable. In patients with pyeloureteral segment strictures, a decrease in the size of expanded cups and pelvis was observed in dynamics. Clinically, all operations were successful, as it was possible to relieve patients from nephrostomy drainage and symptoms of upper urinary tract obstruction.
CONCLUSIONS: Buccal ureteroplasty may be the method of choice in patients with extensive narrowing of the pyeloureteral segment and proximal ureter. It is a relatively simple operation and does not require extensive mobilization of the ureter and provides good functional results.
Zinner’s syndrome. Clinical case
Authors: Bokovoi Sergey P. , Zverev Yurii A. , Perfileva Olga V. , Bobyleva Maria N.
Published: May 2023

Zinners syndrome refers to rare malformations and is characterized by a triad of signs - unilateral renal agenesis, obstruction of the vas deferens, and cystic transformation of the seminal vesicle. A description of a clinical case of Zinners syndrome with an atypical clinical picture is presented. This observation indicates the need for an in-depth examination of the genital organs in men with renal agenesis.
Konstruksi sosial atas peran madrasah dalam upaya pencegahan perbuatan seks bebas pada remaja di MA. Al-Ittihad Poncokusumo Malang
Authors: Saadah Lailatus , Towaf Siti Malikhah , Sukamto Sukamto , Ruja I Nyoman , Kurniawan Novian Candra
Published: May 2023

The psychological development of adolescents is often uncontrolled, causing them to do things that deviate from the norms and values that exist in their environment. Often, teens don't know what they're doing. Deviations that occur in adolescents are far from free sex therapy. Educational institutions that play an important role in preventing free sex are Madrasah. This research uses a case study type with a qualitative approach. This research uses observation, interview, and documentation techniques. According to the data obtained, the role of Madrasah in preventing free sex behavior in adolescents lies in several approaches: during and outside of educational activities. This approach has a positive impact on adolescents who attend MA. Al-Ittihad Poncokusumo Malang.

Perkembangan psikologis remaja seringkali tidak terkendali sehingga menyebabkan mereka melakukan hal-hal yang menyimpang dari norma dan nilai yang ada di lingkungannya. Seringkali, remaja tidak tahu apa yang mereka lakukan. Penyimpangan yang terjadi pada remaja jauh dari terapi seks bebas. Lembaga pendidikan yang berperan penting dalam pencegahan seks bebas adalah madrasah. Penelitian ini menggunakan jenis studi kasus dengan pendekatan kualitatif. Penelitian ini menggunakan teknik observasi, wawancara, dan dokumentasi. Menurut data yang diperoleh, peran madrasah dalam mencegah perilaku seks bebas pada remaja terletak pada beberapa pendekatan: selama dan di luar kegiatan pendidikan. Pendekatan ini memberikan dampak yang positif dalam diri remaja yang bersekolah di MA. Al-Ittihad Poncokusumo Malang.
Pengrajin mebel di Kota Pasuruan (strategi pengrajin mebel Bukir Kota Pasuruan dalam mempertahankan usaha mebel di tengah persaingan dengan industri mebel)
Authors: Maulana Firman , Ruja I Nyoman , Eskasasnanda I Dewa Putu , Sukamto Sukamto
Published: May 2023

This study aims to describe: (1) the characteristics of furniture craftsmen in Pasuruan (2) the competition that arises between fellow furniture craftsmen (3) the strategy of furniture craftsmen to remain competitive with furniture craftsmen and the furniture industry. Furthermore, this research was designed using a qualitative approach with a descriptive type of research. The data collection technique used purposive. The data collection procedure uses observation, interviews, and documentation, while the data analysis uses the Miles & Huberman interactive model. The results of the study show that: (1) the character of furniture craftsmen in Bukir Village is a business actor who processes wood so that it can be made into goods. (2) The competition that occurs between furniture craftsmen starts from the purchase of wood to the production process, then there is no agreement when selling the prices of furniture craftsmen. (3) The strategy of furniture craftsmen as actors is to be smart in utilizing wood according to its use. Furniture craftsmen must be able to maintain the quality of goods so that they are not pressured by the price of goods from the industry. Mutual openness between furniture craftsmen provides advantages in terms of developing the latest models, as well as being able to survive in the face of competition.

Penelitian ini bertujuan untuk mendeskripsikan: (1) karakteristik pengrajin mebel di Kota Pasuruan (2) persaingan yang muncul antara sesama pengrajin mebel (3) strategi pengrajin mebel agar tetap bisa bersaing dengan pengrajin mebel dan industri mebel. Selanjutnya penelitian ini dirancang menggunakan pendekatan kualitatif dengan jenis penelitiannya deskriptif. Teknik pengambilan data menggunakan purposive. Prosedur pengumpulan data menggunakan observasi, wawancara, dan dokumentasi, sedangkan analisis data menggunakan model interaktif Miles dan Huberman. Hasil penelitian menunjukkan bahwa: (1) karakter pengrajin mebel di Kelurahan Bukir merupakan pelaku usaha yang mengolah kayu agar bisa menjadi barang. (2) Persaingan yang terjadi antar pengrajin mebel dimulai dari pembelian kayu sampai proses produksi, kemudian saat penjualan harga barang pengrajin mebel tidak ada kesepakatan. (3) Strategi pengrajin mebel sebagai aktor yaitu harus pintar dalam memanfaatkan kayu sesuai kegunaan. Pengrajin mebel harus bisa menjaga kualitas barang supaya tidak tertekan dengan harga barang dari industri. Saling keterbukaan antar pengrajin mebel memberikan keuntungan dalam hal perkembangan model–model terbaru, juga dapat bertahan menghadapi persaingan.
Pendidikan sosial ekonomi bagi santri melalui wirausaha berbasis syariah di Kepontren Sidogiri Kraton Pasuruan
Authors: Qomariah Laily , Towaf Siti Malikhah , Purnomo Agus , Efendi Bintang Muhammad Sahara , Pramesthi Ratih
Published: May 2023

This study was used to explore socio-economic education through sharia-based entrepreneurship in the Sidogiri’s Kepontren. The scope of this research is sharia management which is used in running a business that contains a form of socio-economic education given by Kepontren to students. This type of research is descriptive qualitative so that in analyzing the data the author uses the technical analysis of the Miles and Huberman interactive model. The results of this study are that the management of Kepontren is neatly organized, quite modern, and follows the sharia basis used. This can be seen from the Kepontren business units in each region and the transparency carried out by Kepontren, through the contracts used in every management related to financial management. (3) The form of socio-economic education provided by Kepontren to students such as the practice of muamalah knowledge and direct practice through sharia-based entrepreneurship (Toko Basmalah) spread across various regions. Instilling a spirit of social care by cooperating with and carrying local businesses/small-medium enterprises and distributing zakat/alms.

Penelitian ini digunakan untuk mengeksplor pendidikan sosial ekonomi melalui wirausaha berbasis syariah di Kepontren Sidogiri. Ruang lingkup penelitian ini yaitu manajemen syariah yang digunakan dalam menjalankan usaha yang mana di dalamnya mengandung bentuk pendidikan sosial ekonomi yang diberikan Kepontren kepada para santri. Jenis penelitian ini adalah kualitatif deskriptif sehingga dalam menganalisis data penulis menggunakan teknis analisis model interaktif Miles dan Huberman. Hasil dari penelitian ini yaitu Manajemen Kepontren sudah tertata rapi, cukup modern dan sesuai dengan basis syariah yang digunakan. Hal ini dapat dilihat dari unit usaha Kepontren di setiap daerah dan transparansi yang dilakukan Kepontren, melalui akad yang digunakan pada setiap manajemen yang berkaitan dengan pengelolaan keuangan. Bentuk pendidikan sosial ekonomi yang diberikan Kepontren kepada para santri seperti pengamalan ilmu muamalah dan praktek langsung melalui wirausaha berbasis syariah (Toko Basmalah) yang tersebar di berbagai daerah. Menanamkan jiwa peduli sosial dengan menggandeng dan menggendong usaha lokal/ usaha kecil-menengah dan pembagian zakat/sedekah.
Upaya mengembangkan karakter kejujuran melalui koperasi siswa di SMPN 2 Pamekasan
Authors: Utomo Ardika Riski Pranoto , Sukowiyono Sukowiyono , Mawarti Rista Ayu
Published: May 2023

This study aims to describe the efforts to develop the character of honesty through student cooperatives at SMPN 2 Pamekasan, to find out the obstacles and solutions given by the teacher in developing the character of honesty at SMPN 2 Pamekasan. The study uses a qualitative approach with a descriptive type of study. Data collection techniques using observation, interviews, and documentation. In the data analysis technique using data collection, data reduction, data presentation and drawing conclusions. The results of the study show that, (1) Efforts to develop the character of honesty through student cooperatives at SMPN 2 Pamekasan one of which is the teacher as a motivator for students, the way students develop the character of honesty at SMPN 2 Pamekasan through student cooperatives is by implementing honesty, (2) obstacles The things that students get to apply honesty at SMPN 2 Pamekasan include lack of discipline, lack of responsibility, and task execution, (3) solutions for developing honesty through the application of student cooperatives at SMPN 2 Pamekasan by the teacher, namely by reprimanding students by calling students individually. private and not crowded place. With this student cooperative, students learn about the importance of honesty.

Kajian ini bertujuan untuk mendeskripsikan upaya mengembangkan karakter kejujuran melalui koperasi siswa yang berada di SMPN 2 Pamekasan, mengetahui hambatan dan solusi yang diberikan oleh guru dalam mengembangkan karakter kejujuran di SMPN 2 Pamekasan. Kajian menggunakan pendekatan kualitatif dengan jenis kajian deskriptif. Teknik pengumpulan data menggunakan observasi, wawancara, dan dokumentasi. Pada teknik analisis data menggunakan pengumpulan data, reduksi data, penyajian data serta penarikan kesimpulan. Hasil dari kajian menunjukkan bahwa, (1) Upaya mengembangkan karakter kejujuran melalui koperasi siswa di SMPN 2 Pamekasan salah satunya guru sebagai pendorong peserta didik, cara siswa mengembangkan karakter kejujuran di SMPN 2 Pamekasan melalui koperasi siswa yaitu dengan cara melaksanakan kejujuran, (2) hambatan yang didapat siswa untuk menerapkan kejujuran di SMPN 2 Pamekasan antara lain yaitu kurangnya kedisiplinan, kurangnya tanggung jawab, dan pengerjaan tugas, (3) solusi pengembangan kejujuran melalui penerapan koperasi siswa di SMPN 2 Pamekasan oleh guru yaitu dengan menegur peserta didik dengan cara memanggil siswa secara pribadi dan tempat yang tidak ramai. Dengan adanya koperasi siswa tersebut peserta didik belajar mengenai pentingnya kejujuran.
Pengembangan media pembelajaran literasi digital interaktif pada materi persebaran flora dan fauna
Authors: Prayoga Titip , Suharto Yusuf , Taryana Didik
Published: May 2023

Perkembangan pendidikan pada masa modern telah menuntut adanya media pembelajaran yang dapat dimanfaatkan seiring dengan perkembangan teknologi yang ada. Salah satu media pembelajaran yang sesuai pada zaman modern adalah media pembelajaran yang berbasis literasi digital dan interaktif. Pengembangan media pembelajaran literasi digital ini memiliki tujuan untuk meningkatkan kualitas pembelajaran Geografi. Pada tahap pengembangan media ini menggunakan Model pengembangan dari Sadirman yang meliputi 8 urutan pengembangan meliputi: (1) analisis kebutuhan, (2) penyusunan tujuan media pembelajaran, (3) pengumpulan butir materi, (4) perumusan instrument penilaian produk, (5) pembuatan media, (6) pelaksanaan tes. Pada tahap ini dilakukan uji kevalidan produk yang dilakukan oleh 3 ahli yang pertama ahli media mendapatkan nilai 100 persen dengan kriteria kevalidan “valid”, yang kedua ahli materi mendapatkan nilai 75,5 persen dengan kriteria kevalidan “cukup valid” dan yang terakhir penilaian dari guru Geografi mendapatkan nilai 91,4 persen dengan kriteria kevalidan “valid”. Pada tahap ini juga dilakukan uji keefektifan untuk mengukur tingkat keefektifan produk. Dan yang menjadi subjek penelitian adalah siswa SMAN 1 Kalitidu kelas XI IPS 1 yang berjumlah 31 siswa. Kelas ini dibagi menjadi dua kelompok kontrol dan eksperimen untuk menguji keefektifan media pembelajaran. dan hasilnya gain skor kelas eksperimen lebih besar dibanding kelas kontrol yakni sebesar 27,5 sedangkan gain skor kelas kontrol sebesar 19. Jadi, dapat dinyatakan media pembelajaran literasi digital interaktif ini valid dan efektif digunakan oleh siswa. (7) selanjutnya revisi; dan (8) produk akhir.
Perilaku wirausahawan industri kecil sepatu di Desa Jampirogo Kecamatan Sooko Kabupaten Mojokerto
Authors: Khurnia Khoirina , Eskasasnanda I Dewa Putu , Ruja I Nyoman , Sukamto Sukamto , Pramesthi Ratih
Published: May 2023

The purpose of this study is to describe the behavior of entrepreneurs in running a small shoe industry business in Jampirogo Village, Sooko District, Mojokerto Regency. The research method chosen is a qualitative approach with descriptive research type. The process of collecting informants using snowball sampling technique. Data collection procedures include observation, interviews and documentation. The results of this study can be found that there are four things that an entrepreneur does in running his business, namely the need to have a firm attitude and dare to take risks, communicate well in order to expand the marketing network, be able to compete with the outside world, improve product quality.

Tujuan penelitian ini adalah untuk mendeskrispsikan perilaku wirausahawan dalam menjalankan usaha industri kecil sepatu di Desa Jampirogo Kecamatan Sooko Kabupaten Mojokerto. Metode penelitian yang dipilih yaitu pendekatan kualitatif dengan jenis penelitian deskriptif. Proses pengumpulan informan menggunakan teknik snowball sampling. Prosedur pengumpulan data meliputi observasi, wawancara dan dokumentasi. Hasil penelitian ini dapat ditemukan bahwa terdapat empathal yang dilakukan seorang wirausaha dalam menjalankan usahanya yaitu perlu memiliki sikap tegas dan berani mengambil resiko, melakukan komunikasi dengan baik guna memperluas jaringan pemasaran, mampu bersaing dengan dunia luar, memperbaiki kualitas produk.
Pemilu 2024: Pesta demokrasi akbar pembangkit kondisi ekonomi pasca pandemi
Authors: Maulana Gentur Isra'j , Fridawati Priska Illiyina , Masruroh Heni
Published: May 2023

The emergence of the discourse of postponing the 2024 election is one of the crucial issues in early 2021. There are many pros and cons that occur in society regarding this issue. Because in addition to being related to the provisions of the Indonesian constitution, the process of implementing the 2024 elections also occurred in the midst of economic recovery after the COVID-19 pandemic. However, in the end, President Joko Widodo in his speech delivered on April 10, 2022, emphasized that the 2024 general election will continue to be held as it should be and without any delay. For this reason, in this study, it will be explained whether the 2024 election can go hand in hand with the economic recovery of the COVID-19 pandemic. By using this type of normative justice research with qualitative data collection methods, the results of this study found that the 2024 elections should continue to run in accordance with the provisions of the constitution and must be able to run in the midst of economic recovery after the COVID-19 pandemic, of course, with various careful preparations so that later the 2024 elections will also be able to boost the acceleration of economic recovery after the COVID-19 pandemic.

Munculnya wacana penundaan pemilu 2024 menjadi salah satu isu krusial di awal tahun 2021. Banyak pro dan kontra yang terjadi di masyarakat terkait isu ini. Karena selain berkaitan dengan ketentuan konstitusi Indonesia, proses pelaksanaan pemilu 2024 juga terjadi di tengah pemulihan ekonomi pasca panncemi COVID-19. Namun pada akhirnya Presiden Joko Widodo dalam pidatonya yang disampaikan pada tanggal 10 april 2022 menegaskan bahwasanya pemilihan umum 2024 akan tetap dilaksanakan sesuai semestinya dan tanpa ada penundaan suatu apapun. Untuk itu dalam penelitian ini akan dijelaskan apakah pemilu 2024 bisa berjalan beriringan dengan pemulihan ekonomi paca pandemi COVID-19. Dengan menggunakan jenis penelitian keadilan normatif dengan metode pengumpulan data kualitatif, hasil dari penelitian ini didapatkan bahwa pemilu 2024 sudah seyogyanya harus tetap berjalan sesuai dengan ketentuan konstitusi dan harus bisa berjalan ditengah pemulihan ekonomi pasca pandemi COVID-19, tentunya dengan berbagai persiapan yang matang sehingga nanti pemilu 2024 juga mampu mendongkrak percepatan pemulihan ekonomi pasca pandemi COVID-19.
PERJUANGAN BERSENJATA DI JAWA TAHUN 1945 UNTUK MEMPERTAHANKAN KEMERDEKAAN DITINJAU DARI GERAK SEJARAH SIKLUS
Authors: Rifki Abdilah Farid
Published: May 2023

Historical events that took place vary in motion. They all have their characteristics. The understanding of the motion of history is lacking. With an incident familiar to the Indonesian armed struggle in 1945, it is hoped that the reader will be able to understand how history moves. The motion of history to be discussed this time is the motion of cycle history. The method used consisted of library studies and reinterpreted in easily understood language.Berbagai peristiwa sejarah yang terjadi memiliki gerak sejarah yang berbeda-beda. Semua memiliki ciri khas masing-masing. Pemahaman mengenai gerak sejarah sangat kurang. Melalui peristiwa yang sudah tidak asing bagi bangsa Indonesia yakni perjuangan bersenjata di Jawa tahun 1945, diharapkan pembaca dapat memahami bagaimana sejarah itu bergerak. Gerak sejarah yang akan dibahas kali ini adalah gerak sejarah siklus. Metode yang digunakan berupa studi pustaka dan menginterpretasikan kembali dengan bahasa yang mudah dipahami.