bluuebunny/crossref_metadata_2025 huggingface dataset:
PEMANFAATAN AIR DATARAN TINGGI DI DESA BATU KERAMAT KECAMATAN KOTA AGUNG TIMUR, TANGGAMUS LAMPUNG
Authors: Dewanto Ordas
Published: March 2020

Desa Batu Keramat Kecamatan Kota Agung Timur, Kabupaten Tanggamus Propinsi Lampung, terletak pada daerah dataran tinggi.  Masyarakatnya memiliki mata pencaharian 60% bertani dan berternak.  Jenis usaha yang mereka lakukan ini sangat prospek untuk ditingkatkan, karena potensi air dari dataran tinggi sangat bagus.  Hasil pengolahan data resistiviti menunjukkan bahwa titik pengukuran terdiri dari 5 lapisan tanah dan batuan.  Dari identifikasi kelima lapisan dapat dikatakan bahwa pada titik pengukuran tersebut tidak ditemukan keberadaan akuifer air tanah. Dengan demikian dapat disimpulkan bahwa kedalaman air tanah di Desa Batu Keramat sebelah barat berada pada kedalaman yang sangat dalam, yang di atasnya terdapat batuan yang keras sehingga tidak mungkin untuk dibuat sumur gali.  Solusinya membuat sumur bor dengan biaya yang sangat mahal dan sangat sulit untuk dilakukan.  Jalan satu-satunya untuk mendapatkan air yaitu dari dataran tinggi air pegunungan.  Oleh karena itu tim Pengabdian Unila mengajak masyarakat Batu Keramat khususnya Mitra (H. Eko Yulianto) untuk memanfaatkan air dari dataran tinggi menuju tempat ternak, tanaman dan rumah tangga.  Metode kegiatan yang digunakan dalam kegiatan ini adalah metode participatory rural approisal yang melibatkan masyarakat dalam kegiatan secara keseluruhan.  Pelaksanaan kegiatan ini melalui penyuluhan, pelatihan dan demonstrasi serta evaluasi untuk melihat efektivitas program sehingga program akan tersosialisasi dengan baik serta efisien.  Metode lainnya meliputi desain pembuatan alat saluran air dan tempat usaha, demonstrasi dan pelatihan.  Hasil yang diperoleh saat ini yang telah dikerjakan oleh Mitra dan Tim Pengabdian Unila adalah saluran air dari bak penampung menuju bak air mitra, kolam ikan dan tanaman.  Peningkatan usaha sedikit demi sedikit mengalami kenaikan, yaitu dari tanaman dan ternak.
PEMBERDAYAAN WANITA TANI MELALUI PENENTUAN HARGA POKOK PRODUKSI, PENGEMASAN DAN PEMASARAN GULA AREN DI KECAMATAN BATU BRAK LAMPUNG BARAT
Authors: Agustina Yenni
Published: March 2020

Kecamatan Batu Brak merupakan salah satu kecamatan penghasil gula aren di lampung barat.  Produksi gula aren yang terus meningkat membuktikan bahwa gula aren lampung barat semakin diminati oleh khalayak ramai.  Namun sayangnya sistem perhitungan harga pokok produksi yang masih tradisional, serta sistem pengemasan yang masih tradisional dan sistem pemasaran yang masih sederhana menjadikan gula ini belum menjangkau pemasaran hingga ke mancanegara.  Padahal kabupaten Lampung Barat memiliki potensi yang sangat bagus untuk menjadi produsen gula aren yang besar.  Berdasarkan hal tersebut maka, tim berinisiatif untuk membantu wanita tani sebagai salah satu mesin penggerak untuk menghasilkan gula aren melalui sosialisasi, pelatihan, pendampingan, dan monev penentuan harga pokok produksi dalam hal penentuan harga jual sehingga memiliki harga jual yang mampu bersaing, sistem pengemasan yang menarik dan sistem pemasaran yang  efektif.  Metode yang digunakan yaitu dengan metode pendampingan serta pelatihan.  Program kegiatan ini pun mendapatkan resepon yang positif dari peserta.

 

Kata Kunci:Harga Pokok Perhitungan, Pemasaran,dan pengemasan, gula aren.
Peningkatan Partisipasi Masayarakat pada Studi Pemetaan Partisipatif dalam Pembuatan Jalur Evakuasi Bencana Tsunami di Desa Wisata Pagar Jaya
Authors: Wibowo Rahmat Catur , Karyanto, S.Si., M.T. Karyanto , Zaenudin, S.Si., M.T. Ahmad , Sarkowi Muh
Published: March 2020

Desa wisata Pagar Jaya memiliki beberapa obyek geowisata yang sangat menarik untuk dikunjungi seperti: Dinding Dasit, Pantai T. Indah, Pantai T. Hantu, dan Batu Wayang. Semua obyek geowisata tersebut berada di area pesisir dan sangat rentan terhadap ancaman bencana tsunami. Nilai penting dari proses partisipatif dalam kajian risiko bencana adalah  mewadahi masyarakat dalam mengambil keputusan dan merumuskan tindakan prioritas pengurangan risiko bencana. Tujuan dari pengabdian ini adalah: memetakan kondisi eksisting obyek geowisata Dinding Dasit, Teluk Indah, Teluk Hantu, dan Batu Wayang berbasis geospasial, mengedukasi masyarakat akan prinsip-prinsip mitigasi bencana tsunami, dan mengintegrasikan data geospasial dan nonspasial dari kelompok masyarakat dalam pembuatan jalur evakuasi bencana tsunami di Desa Wisata Pagar Jaya. Kelompok masyarakat yang tergabung dalam Kelompok Sadar Wisata (Pokdarwis) Desa Wisata Pagar Jaya merupakan subjek utama dalam proses pemetaan partisipatif. Proses pemetaan melalui tahap Focus Group Discussion dan in-depth interview berkaitan dengan risiko bencana dan jalur evakuasi. Sistem Informasi Geografis kemudian mentransformasikan hasil pemetaan partsipatif dalam bentuk digital. Hasil dari penelitian ini adalah peta partisipatif jalur evakuasi untuk bencana tsunami di Desa Pagar Jaya yang secara geografis berada di pesisir selatan Pulau Sumatera.
Mobile Phone Radiofrequency Radiation Assessment Based on Call-Related Factors and Physical Condition from Selected Mobile Phones
Authors: Oluwafemi Ilesanmi Banjo , Adeoye Olusegun Johnson
Published: March 2020

The intensity of electromagnetic radiation around selected mobile phones is in a bid to confirm their adherence to the specified radiofrequency exposure limit on non-ionizing radiation. Measurements were taken with the use of Radiofrequency Meter (RF) TM-96, 9V DC and Spectrum Analyzer (NA-773, 144/430 MHz) at distances 5 cm, 10 cm, 15 cm, 20 cm, 25 cm and 30 cm from the mobile phone users. The level of radiations from the selected mobile phones ranges from 0.3119 to 0.5407 mW/cm2 during dialing. Out of the tested mobile phones, the radiation levels of Asus, Infinix 3 and Siccoo X100 phones which are 0.5407, 0.5009 and 0.4506 mW/cm2 respectively are above the International Commission on Non-ionizing Radiation Protection (ICNIRP) reference level which is 0.45 mW/cm2. Result from measurement showed that high radiation levels from a transmitting handset occur between seeking for connection and call establishment. It was also confirmed that the physical condition of mobile phones affects its radiation level.
Anomalous Activity Detection in Videos Using Increment Learning
Authors: Didwania Prerna , Jagtap Vandana
Published: March 2020

Nowadays, there is a rapid growth in the number of video cameras at public and private sector because of the monitoring and security purposes. As video surveillance using Closed Circuit Television (CCTV) is in boom nowadays, it has got more research attention due to increased global security concerns. This rapidly growing data can be used to automatically detect the anomalous activities which are going around in our surrounding. Anomalous activity is something that deviates from its normal nature or something that opposes the normal events. This research mainly focuses on detecting anomalous activities in crowded scenes by using video data. Automatically detecting the anomalous activity without using the handcrafted feature has become the need of the hour. This paper contains a survey of different approaches used for anomaly detection in the past. Different incremental and transfer learning approaches are discussed in this paper and it was found that incremental learning has not been used for video-based anomalous activity detection.
Study of Metrics that Could be Considered as Inputs to an Intelligent System for Diagnosing Schizophrenia based on an Electroencephalogram (EEG)
Authors: Temgoua Nanfack Pélagie Flore , Junior Angouah Massaga Morel
Published: March 2020

Intelligent systems are now part of human daily life. This justifies its application in various fields. However, the field of psychiatry still seems to be at a disadvantage. In this paper, we are interested in measures that can be used as input to an intelligent system for detecting brain diseases using an electroencephalogram (EEG). Indeed, spectral analysis and the study of brain connectivity are two methods of EEG analysis that can be used to characterize schizophrenia. The spectral analysis allows to calculate the power (absolute and relative), the frequency peak among others. Concerning the study of cerebral connectivity, the Phase Lag Index (PLI), which is an adjacency matrix ; which is an adjacency matrix used to assess brain connectivity. Once the PLI is obtained, units such as degree, density and strength on each channel are calculated. These units are evaluated on twenty (28) EEGs, fourteen (14) of people suffering from schizophrenia and fourteen (14) of healthy people. Once the PLI is obtained, units such as degree, density and strength on each channel are calculated. These units are evaluated on twenty (28) EEGs, fourteen (14) of people suffering from schizophrenia and fourteen (14) of healthy people. On the other hand, the value of strength is always lower in sick people than in healthy people. This is true regardless of the frequency band or channel used. This study shows that values such as degree, density, strength of a predefined adjacency matrix, then power, peak frequency band can be used as input values of an intelligent system for diagnosing psychiatric or brain diseases such as schizophrenia.
Study on the Spatial Radiation Characteristic by Adjusting the Violin Sound Post
Authors: Nishimura Yuya , Minami Rin Ema , Nishimura Sohei
Published: March 2020

Violins were invented in the 16th century in Italy, many methods of manufacturing and adjusting have been developed. Certain violins are highly valued from a cultural perspective as well as for their high sound quality. However, Violin repairers have carried on techniques that have largely been transmitted verbally from generation to generation, so there is a little detailed documentation. Much research has been done to elucidate manufacturing technology and materials used for these valuable violins. This study aims to support the passing down of certain techniques from an acoustic engineering perspective. Many elements defining the timbre, but this study will be focusing on the sound post and the bridge. By clarifying the relationship of adjusting the sound post to the Spatial Radiation Characteristic, we will estimate the ideal position of the sound post and attempt to present the results in the form of a graph.
Gain and Bandwidth Considerations for Microstrip Patch Antenna Employing U and Quad L shaped Slots with DGS and Parasitic Elements for WiMax / WiFi Applications
Authors: Raviteja G. Viswanadh , Madhan B. T. V , Kshetra Sree M. , Avinash N. , Naga Surya P. R. S.
Published: March 2020

In this research article, a microstrip patch antenna for Wireless Applications is presented. Stage by stage, the antenna is modified to achieve the desired wideband characteristics. The final proposed antenna is a combination of U and Quad L shaped slots with L shaped DGS and U shaped dual parasitic elements. Parameters S11, bandwidth and gain of the antenna versions during each stage are noted and steps are taken to improve these parameters. The end result is a wideband microstrip patch antenna working in the frequency range of 4.75 GHz to 6.15 GHz with a bandwidth of 1.40 GHz. The peak gain observed is about 7.24 dB at 5.64 GHz frequency. Simulations are carried out using HFSS software. The obtained results show that the proposed antenna can be extensively for WiFi (4.9 GHz to 5.9 GHz) and WiMax (5.3 GHz to 5.8 GHz) Applications.
Callus Induction and Virus Free Potato Mini-Tuber Production through Meristem Culture
Authors: Serine Sayma , Hasan Tanjila , Chowdhury Hosna Ara , Islam Ariful , Hossain Belal
Published: March 2020

The experiments were conducted with a view to establish a protocol for virus free mini-tubers production, in vitro, using potato meristem as explant, collected from potato sprouts of three popular potato varieties Diamant, Cardinal, Granola. In the present study four levels of GA3 (100, 200, 300 and 400 ppm) were used to assess the influence on sprouting abilities in three selected potato verities. The maximum sprouting efficiency was observed in 400ppm GA3 treatment within short period of time in Granola variety. The effect of different combination and concentration of IBA, 2, 4-D and BAP was used along with fresh MS media to inoculate meristems of potato sprouts. IBA concentration were 0.25mg/L, 1.5mg/L; 2, 4-D concentration were 0.125mg/L, 0.25mg/L, 0.37mg/L, 0.50mg/L, 1.0mg/L 2.0mg/L and BAP concentration were 0.5 mg/L, 1.0 mg/L, 1.5 mg/L and 2mg/L. The effect of combined hormones was also studied. The Diamant  variety showed the maximum callus size (0.74cm) within a very short period of time (2 days) while treated at the concentration of 0.25 mg/L IBA, 0.25 mg/L 2, 4-D and 1.00 mg/L BAP. Granola meristem inoculated in hormonal treatment showed the best results regarding minimum days required to shoot initiation (5.34 days) followed by Diamant (6.68) days and Cardinal (7.64 days). The highest number of shoots/plantlet (4.33 shoots/plantlet) and the longest plantlet (9.32 cm) was found in Granola variety followed by Diamond (3.67 shoots/plantlet; 7.53cm) and Cardinal (4.0 shoots/plantlet; 7.62 cm). Maximum numbers of leaves were also found in Granola variety (15 leaves) in the treatment combination of 0.25 mg/L IBA, 0.125 mg/L 2,4-D and 0.5 mg/L BAP. Granola gave maximum performance in respect of maximum length of root (6.55 cm roots/plantlets) within a short time of root initiation (20 days), followed by Diamant (4 cm roots/plantlets) of root initiation (4.47 days) and Cardinal (4.53 cm roots/plantlets) of root initiation (26.39 days). Rooted plantlets were gradually acclimatized and successfully established in the field. However, in overall observation in this study, Granola showed better performance from meristem tissue culture and all plants were found normal and free from potato viruses that were tested through ELISA test.
The Altemeier Procedure for Strangulated Rectal Prolapse: A Case Report
Authors: Hajri Amal , Yaqine Karim , El Jai Saad Rifki , Boufettal Rachid , Errguibi Driss , Chehab Farid
Published: March 2020

Rectal prolapse is the complete protrusion of the rectum through the anal canal. It is most common in elderly people, but can rarely occur at any age, the strangulated rectal prolapse is a rare complication. We report the case of a 78-year old men who underwent emergency surgery for strangulated rectal prolapse. Emergency perineal rectosigmoidectomy (Altemeier repair) was performed with simple outcome.

This case highlights the importance of Altemeier’s procedure in the face of a strangulated rectal prolapse in an emergency situation.
El asma como símbolo literario. Una aproximación cultural a la medicina
Authors: Li Man
Published: March 2020

Los estudios emergentes de humanidades médicas proponen una aproximación cultural a la medicina que cuestiona el positivismo, el pragmatismo, la naturaleza hegemónica y la tendencia a objetivar y cosificar que existe en las prácticas de la medicina a lo largo de la historia. Dentro de este marco teórico, el presente trabajo intenta explorar el asma desde una perspectiva cultural, centrada en su metaforización en la literatura a través de las obras La casa de los espíritusde Isabel Allende, Respirede Anne-Sophie Brasme, Cracksde Sheila Kohler y Lord of the Fliesde William Golding. Se observa una estrecha relación entre la representación de la marginalidad, el concepto derridiano de la respiración y los síntomas asmáticos, una representación que ayuda a crear, a su vez, un efecto curativo característico de las narrativas de enfermedad.
Endovascular treatment of chronic lower limb ischemia - the first experience of consecutive patients in the Kyrgyz Republic
Authors: Chevgun S.D. , Abdyldaev I.Z. , Imankulova A.S. , Bebezov I.H. , Cholponbaev D. Ch. , Nurbekov K.N.. , Daniyarov B.S. , Raimkulov A.E. , Alekseev D.N. , Osmonov T.A.
Published: March 2020

Objective: Pure atherosclerosis and diabetes mellitus are often responsible for the lesion of lower limb arteries. As a result, critical ischemia may develop. Endovascular treatment of lower extremities chronic ischemia in the modern world one of the most effective methods of limbs salvage. This report is an analysis of the first experience of endovascular treatment in consecutive patients with chronic lower limb ischemia in the Kyrgyz Republic.

Methods: In 2016-2018, there were 31 patients with chronic lower limb ischemia in IIb-IV Fontaine's stages who underwent endovascular treatment. The primary endpoint was 6-month painlessness or reduction of the Fontaine stage; freedom from amputation up to six months; active regenerative process or full recovery of ulcers/wounds up to six months. The secondary endpoints included 6-month all-cause mortality and reintervention rate.

Results: Overall,  27 (87.1%) patients reached painless form (stage I according to Fontaine (ABI ≥0.9)), with complete regeneration or active reparative process observed in 20 (64. 5%) patients. In general, major amputation was avoided in 29 (93.5%) patients (two patients underwent amputation by E. Burgess). Minor amputations were performed below the level of foot dorsum (Sharp) in 35.5% (11 patients). Simultaneous percutaneous coronary interventions and peripheral interventions were performed in 6 (19. 4%) cases. In total, within 6 months one death was registered (3.2%).

Conclusion:  The first endovascular treatment of consecutive patients showed encouraging 6-month results. Simultaneous («Ad-hoc») or stepwise (at the current hospitalization) procedures on coronary and peripheral arteries ensure safety and can provide more chances of  patient`s survival.
Immediate clinical and angiographic outcomes after delayed percutaneous coronary interventions in patients with acute coronary syndrome
Authors: Chevgun S.D. , Abdyldaev I.Z. , Daniyarov B.S. , Bebezov I.H. , Badrakly E.F. , Osmonov T.A.
Published: March 2020

Objective:  Coronary artery disease (CAD) remains the leading cause of premature death. Clinical management of patients with such disorders as acute coronary syndrome (ACS) is still one of the most important and debated issues in modern medicine. Some patients fail to come on  the most relevant and recommended time for percutaneous coronary interventions (PCI) to receive an effective treatment. This study analyzed the results of the practical approach to the “compelled” delayed percutaneous coronary interventions (DPCI) in patients with acute coronary syndrome.

Methods: The study was performed retrospectively. From 2013 to 2016, there were 141 patients with CAD. The DPCI group with an average admission time when symptoms onset  counts 89.4±17.5 hours was compared with the groups with medical therapy only (MT) and PCI after stabilization (PPCI).

Results: The revascularization Index in DPCI was 0.90±0.18 and in PPCI made 0.89±0.2 (p˃0.05). The percentage of ST segment recovery in the DPCI was 72.8% in patients with elevation, and 87% with ST segment depression. At the same time in comparison with the medical therapy group, a significant difference was found according to this criterion (45.2% and 67.2%, respectively) (p˂0.05). There were marked changes in DPCI in the data of the echocardiogram due to the reduction in  the size of the left ventricle after delayed PCI. The main role in increasing the ejection fraction in DPCI group was the contraction of the left ventricle cavity during the end of systolic phase. In DPCI group 39 convalescents (92.9%) reached condition stabilization. All-cause mortality during hospitalization in the DPCI was noted for 3 patients (7.1%) and 9 patients (18%) in the MT (p˂0.05). The PPCI group had no lethal cases.

Conclusion: Delayed PCI in patients with ACS is safe and effective procedure. The use of delayed PCI in combination with optimal drug therapy is the most appropriate non-surgical method of myocardial revascularization in the studied cohort of patients. Delayed PCI results showed greater efficacy in the dynamics of the clinical and functional patient’s status compared to PCI performed after ACS stabilization.
Individual-typological features of regulation of cardiorhythm in foreign students during education process
Authors: Satarkulova Ainura M. , Aisaeva Shadiya Yu , Shanazarov Almaz S.
Published: March 2020

Objective: In studies of the mechanisms of human adaptation to professional and educational activities, as well as in clinical practice, the method of mathematical analysis of heart rate variability (HRV) is widely used. Based on this, the aim of this paper is to determine the typology and characteristics of the vegetative regulation of the heart as a prenosological control of the functional state of the body of practically healthy foreign students.

Methods: In 2018, 389 male students from India and Pakistan, which are studying at the International higher school of medicine (ISM) aged 17-24, served as test subjects. For each student, the main HRV parameters were recorded in a sitting position for 5 minutes by means of “PSYCHOPHYSIOLOGIST” software and hardware company Medicom MTD  (Russia).

Results: In total, 52% of young men had type I (with a moderate predominance of central regulation), 5% - type II (with a pronounced predominance of central regulation), 36% - type III (with a moderate predominance of autonomous regulation), and 7% - type IV (with a pronounced predominance of autonomous regulation). Students with a predominance of central regulation (types I and II) compared with types III and IV (predominance of autonomous regulation) have an excess of sympathetic influences on the heart, as indicated by reliably low values ​​of the SDNN, Mo, TP and high level of SI, which leads to various dysfunctional disorders, especially with severe centralization. In the group of persons with type III, a balance is maintained between the tone of the sympathetic and parasympathetic nervous system, while type IV shows a significant prevalence of parasympathetic effects on the heart rhythm.

Conclusion: The results indicate a risk of developing disadaptation in the students' body during education process and the importance of systematic monitoring to detect early cardiac arrhythmias.
Intrauterine balloon tamponade in the management of postpartum hemorrhage
Authors: Osmonova Saikal , Nazaralieva Saltanat
Published: March 2020

Objective: According to WHO, the maternal mortality ratio in Kyrgyz Republic is 76 cases per 100.000 live births and is the highest among the Central Asian and Eastern European countries. It is necessary to study and implement minimally invasive postpartum hemorrhage treatment methods to prevent massive obstetric hemorrhage.

Methods: A prospective study of 35 cases of the use of intrauterine balloon tamponade (UBT) for the treatment of hypotonic postpartum hemorrhage was conducted. The indicators were assessed to evaluate the effectiveness of UBT.

Results: Hemostatic effect after UBT was achieved in 30 cases (85.7%), the average total blood loss was 664.57

(117.83) ml; reduced need for blood products, high doses of prostaglandins, large volume of fluid maintenance was observed. Breastfeeding started within the first 30 – 60 minutes after birth in 88.6% of cases.

Conclusion: UBT fully complies with the strategy for preservation of the reproductive potential in women, allows to improve medical and economic indicators.
RESULTS OF EMERGENCY LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH HIGH OPERATIONAL RISK
Authors:   Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Makhmadov Farukh Isroilovich , Mirbegiev Dzhamshed ,   Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Karimov Paymon Shodmonkhudzhaevich ,   Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Makhmadyorov Khayom Shavkatovich ,   Department of Surgical Diseases № 1, Avicenna Tajik State Medical University
Published: March 2020

Objective: To study the results of emergency laparoscopic and traditional cholecystectomy in patients with high operational risk. Methods: The results of surgical treatment of 132 patients with acute calculous cholecystitis with high operational risk were studied, in particular: advanced age – 34.8% (n=46); Grade III-IV obesity – 24.3% (n=32); history of abdominal operations – 18.2% (n=24); “difficult” gallbladder – 22.7% (n=30). Conducted clinical, laboratory and instrumental methods of research. In 89 (67.4%) cases, emergency laparoscopic cholecystectomy (LCE) was performed, in 43 (32.6%), emergency traditional cholecystectomy was performed. Results: All urgent LCEs are distributed according to the degree of complexity according to the classification of LCE classes according to Iannet. Not one of the interventions, of the main group of patients did not correspond to the “simple” class of LCE. 87 (97.8%) cases were related to “complex” LCE when technical difficulties arose at different stages of the operation: with the imposition of pneumoperitoneum and the installation of trocars in patients with obesity (n=24) and with the adhesive disease after suffered abdominal operations (n=16). “Dangerous” LCE was noted in 2 (2.2%) cases of Mirizzi type II syndrome, which required conversion with intraoperative choledochoscopy. In 43 observations, an open cholecystectomy was produced, of which, in 62.6% of cases non-standard techniques have been implemented: Pribram cholecystectomy (n=11), “from the bottom” (n=5) and the “piece-breaking” method (n=5). After performing open interventions, 7 (16.3%) patients experienced postoperative complications with a lethal outcome (2.3%). In LCE, complications were observed in 11.2% of cases in the form of bleeding from the gallbladder bed (n=6) and bile leakage through the control drainage (n=4). In the postoperative period after LCE, one patient (1.1%) died of pulmonary embolism. Conclusion: The application of the proposed techniques allows reducing the duration of the operation, reducing the number of intra- and postoperative complications and, thereby, improving the results of surgical treatment of this heavy contingent of patients. Keywords: Cholelithiasis, acute calculous cholecystitis, emergency laparoscopic cholecystectomy, adhesive disease.
PSORIASIS: THE VALUE OF PHYSIOTHERAPEUTIC FACTORS IN THE COMPLEX THERAPY OF CHRONIC DERMATOSIS
Authors:   Department of Physiotherapy and Medical Rehabilitation, North-Western State Medical University named after I.I. Mechnikov, Kiryanova Vera Vasilyevna , Egorova Yuliya Sergeevna ,   Leningrad Regional Center for Specialized Medical Care, Petrova Elena Vadimovna ,   Department of Physiotherapy and Medical Rehabilitation, North-Western State Medical University named after I.I. Mechnikov
Published: March 2020

The analysis of the literature data conducted incorporating modern views on psoriasis and the effectiveness of its complex therapy with the use of existing methods of physiotherapeutic treatment. The questions of the urgency of the problem of psoriasis, its etiology, and pathogenesis, the clinical picture of the disease, drug treatment are reflected. The review of physiotherapeutic methods in the complex treatment of psoriasis is presented. The modern scientific view of psoriasis is described as a systemic disease that manifests as a form of immune-dependence dermatosis. The question of application of physical factors considered in the complex therapy of psoriasis, the mechanism of their action, and describes the methods of physiotherapy due to the therapeutic treatment of psoriasis, in particular, ultraviolet radiation Keywords: psoriasis, physiotherapy, treatment, PUVA therapy, ultraviolet radiation, prophylactic physiotherapy.
DEVELOPMENT OF GASTRIC CANCER ON THE BACKGROUND OF THE FOREIGN BODY
Authors:   Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University, Yuldoshev Ravshan Zokhidovich , Zikiryakhodzhaev Dilshod Zukirovich ,   Republican Cancer Research Center, Khuseynzoda Zafar Khabibullo ,   Republican Cancer Research Center, Khodzhamkulov Ashurali Akramovich ,   Thoracoabdominal Department, Republican Cancer Research Center, Azatulloev Yodgor Imomnazarovich ,   Department of Oncology, Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan, Boboev Iskandar Kurbonalievich ,   Department of Oncology and Radiation Diagnostics, Avicenna Tajik State Medical University, Abdulloev Akbar Shukurovich ,   «Shifobakhsh» National Medical Center, Dilshodov Sayokhidin Mukhidinovich ,   Thoracoabdominal Department, Republican Cancer Research Center
Published: March 2020

Gastric cancer is one of the most frequently encountered malignant human tumors. Cancer usually occurs, as a rule, on the background of chronic inflammatory diseases of the stomach, and it is now found that in an absolutely healthy stomach, neoplastic changes are impossible. They preceded the pre-cancerous condition that takes place with chronic anacid gastritis, callous gastric ulcer, and gastric polyps. The average, from pre-cancerous condition to cancer is from 10 to 20 years. The development of gastric cancer on the background of the foreign body is an extremely rare phenomenon. Possible causes of this transformation are the long-term presence of foreign body with the development of a circular neoplastic shaft around it. The article presents the result of surgical treatment of a patient with stomach cancer that developed on the background of a foreign body. Keywords: Gastric cancer, foreign body, diagnosis, surgical tactics, prognosis.
THE STRUCTURE OF CONGENITAL MALFORMATIONS OF THE FEMALE REPRODUCTIVE SYSTEM (ACCORDING TO THE TAJIK SRI OF OBSTETRICS, GYNECOLOGY, AND PERINATOLOGY)
Authors:   Department of Obstetrics and Gynecology, Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan, Aminova Farangiz Bakhtiyordzhonovna , Khodzhamurodova Dzhamila Amonovna ,   Department of Obstetrics and Gynecology, Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan, Kosimova Farzona Olimdzhonovna ,   e Department of Obstetrics and Gynecology, Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan, Ibragimova Farangiz Ibodulloevna ,   Department of Obstetrics and Gynecology, Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan
Published: March 2020

Objective: To study the structure of congenital malformations of the reproductive organs in adolescent girls and women of early, and active reproductive age, according to their appeal to the Tajik Scientific Research Institute of Obstetrics, Gynecology, and Perinatology. Methods: 182 teenage girls and women of reproductive age (from 14 to 26 years), with isolated and combined congenital malformations of the reproductive organs and anomalies of the urinary system, were examined. All patients were: history collection (mothers and relatives), general clinical (general and gynecological) examination, abdominal cavity examination, rectum, vaginal probing, endoscopic (hysteroscopy, diagnostic and therapeutic laparoscopy) study, evaluation of the condition of the mammary glands according to the Tanner scale, hormonal screening, genetic and urologist consultation, determination of sex chromatin, echographic methods for examining the uterus and ovaries, magnetic resonance imaging of the pelvic organs. Results: In 29 (15.9%) patients noted different types of vagina malformations with impaired menstrual blood flow; congenital anomaly of the body and cervix were in 86 (47.3%) patients (saddle uterus – 43 (23.6%), two-horned uterus – in 23 (12.6%), single-horned uterus – 8 (4.4%), complete doubling of the uterus and cervix – in 7 (3.8%) and rudimentary functioning uterus – in 5 (2.7%) cases). Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome was detected in 22 (12.1%) patients, while in all cases female sex chromatin (46, XX) was diagnosed, 5 (2.7%) patients suffered from female false hermaphroditism and 4 (2.2%) – masculine false hermaphroditism. In 36 (19.8%) patients, genital malformations were combined with anomalies of the urinary system Conclusion: Identified various forms of congenital malformations of reproductive organs, clinically manifested with the onset of menarche, or – sexual life. In the structure of these defects, the developmental anomaly of the uterus and cervix prevailed over other congenital malformations and accounted for 47.3% of cases. Keywords: Congenital malformations of the vagina and uterus,, atresia of the hymen, violation of gender identification.
ASSESSMENT OF RISK FACTORS OF PREMATURE BIRTH
Authors:   Izhevsk State Medical Academy, Shklyaev Aleksey Evgenievich , Semyonova Margarita Vitalievna ,   Izhevsk State Medical Academy, Lyalina Anastasia Sergeevna ,   Izhevsk State Medical Academy, Maksimov Ivan Evgenievich ,   Izhevsk State Medical Academy
Published: March 2020

Objective: Assessment of the significance of possible etiological factors in the development of early-premature birth in the Udmurt Republic. Methods: The main monitoring group consisted of 94 women with extremely early premature birth, the comparison group – 94 women with spontaneous childbirth in time. The estimation of the significance of risk factors was carried out by means of determination of relative risk value (RR), which characterizes the relationship between exposure and pathology. The data obtained as a result of the research are processed by generally accepted methods of variation statistics. Results: The obtained data on the significant influence of the morphofunctional state of the placenta (chronic placental insufficiency, relative risk, RR=3.4), premature rupture of the fetal membranes (RR=3.9), cervical insufficiency (RR=23) for the development of early premature childbirth. The somatic history of women with extremely early premature birth is a pathology of the cardiovascular system (arterial hypertension, RR=5.7), liver and biliary tract (dyskinesia, RR=3.7), iron deficiency anemia (RR=5.0), what is important for the adequate development and functioning of the placenta. Conclusion: Premature birth still remains an important problem in obstetrics, neonatology, and pediatrics. Of the risk factors we have identified for the Udmurt Republic, the most important consider the cervical insufficiency, premature birth in the anamnesis, inflammatory processes of the cervix, etc. Pregravid preparation taking into account these risk factors, and also the correction of extragenital pathology, can help to reduce the incidence of early premature birth. Keywords: Premature birth, early premature birth, risk factors.
SOCIO-DEMOGRAPHIC CHARACTERISTICS OF PERSONS SUFFERING WITH HEROIN ADDICTION
Authors:   Department of Psychiatry and Narcology named after prof. M.G. Gulyamov, Avicenna Tajik State Medical University, Gulyamov Shodibek Minkhozhevich
Published: March 2020

Objective: To study and present the socio-demographic characteristics of patients with heroin addicts and its impact on the prognosis of the disease, to develop recommendations for improvement of specialized drug treatment services Methods: The paper presents data on the study of the socio-demographic characteristics of 130 patients with heroin addiction. Such parameters as age, level of education, family, labor and social status were taken into account. Results: The socio-demographic indicators of the studied patients testify to the spread of heroin addiction among the socially significant groups of the population, that is expressed in strengthening specific weight of young people with education and with a preserved social and labor status. It has been established that the largest proportion of patients with heroin addiction is in the age of 31-40 years (40%) with secondary education (73.9%) who do not have a permanent job (86.2%) who have not served in the army (73.9%) and married (64.6%). Conclusion: The totality of socio-demographic indices, the most characteristic and often encountered in the present time in patients of heroin addiction allows to determine the group of risk. It should be based on preventive measures for the timely detection of persons suffering from heroin addiction. In the complex of medical and social measures on prevention of heroin addiction, along with pharmacotherapy, a significant place should occupy in the treatment of patients in the programs implemented in the country psycho-social rehabilitation and group psychotherapy programs. Keywords: Drugs, drug addiction, heroin addiction, opioids, drug treatment.
MODERN APPROACH TO THE DIAGNOSTIC AND SURGICAL TREATMENT OF THE NASAL SEPTUM CURVATURE
Authors:   Khatlon State Medical University, Kurbanov Ubaydullo Abduloevich , Makhmudov Ibodullo Khamidovich ,   Department of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dzhanobilova Sitora Murodilloevna ,   Department of Reconstructive and Plastic Microsurgery, Republican Scientific Center for Cardiovascular Surgery, Kholov Sharafdzhon Iskhokdzhonovich ,   Department of Reconstructive and Plastic Microsurgery, Republican Scientific Center for Cardiovascular Surgery, Dadodzhonov Zhakhongir Yuldoshmatovich ,   Department of Surgical Disciplines, Khatlon State Medical University
Published: March 2020

Objective: Improving the results of septo- and rhinoplasty Methods: The results of surgical treatment of 267 patients with the curvature of the nasal septum without or in combination with the deformation of the external nose are analyzed. The average age of patients was 22.4 years. All variety of forms of curvature of the nasal septum was systematized and conditionally distributed according to the classification of R. Mladina. Isolated curvature of the quadrangular cartilage was found only in 7 cases (2.6%). To determine the type of deformation of the external nose was used Yong Jo Jang’s classification. Septo- and septorhinoplasty in 250 cases (93.6%) was performed by open access. In general, septoplasty combined with rhinoplasty was performed in the majority of cases (n=242, 90.6%). Septoplasty is an isolated form was carried out only in 25 (9.4%) patients. Results: Good and satisfactory long-term results were noted in 265 (99.2%) cases. An unsatisfactory result occurred in two (0.8%) patients who had a residual deformity of the external nose and deformation of the nasal septum. Various complications after septo- and septorhinoplasty were recorded in 11 (4.1%) cases Conclusion: In most cases (79.4%), the curvature of the nasal septum is combined with the deformation of the external nose of various forms and severity, therefore, the elimination of the curvature of the nasal septum and correction of deformation of the external nose is advisable to perform simultaneously. Preference in performing septorhinoplasty should be given open access, which contributes to a more adequate and correct intervention Keywords: The curvature of the nasal septum, deformity of the external nose, computed tomography, septorhinoplasty, open rhinoplasty.
Rights of Due Process in Civil Procedurs of Some Countries in the World an in Vietnam
Authors: Quan Nguyen Van , Thao Nguyen Bich
Published: March 2020

Currently, civil procedure legal science in the world begins to study the application of fair procedural rights. Meanwhile, Vietnamese civil procedure legal science seems to pay attention to the proceedings instead of the procedural rights. In this context, the paper examines the application of rights of due process around the world and in Vietnam. From there, the author suggests a number of appropriate orientations in this area that Vietnam should apply in the near future in order to match the trend in the world and the reality of Vietnam.

Keywords: Civil procedure, due process, rights of due process, human rights.

References:

[1] Rhonda Wasserman, Procedural Due Process: A Reference Guide to the United States Constitution, Greenwood Publishing Group, 2004.[2] E. Thomas Sullivan and Toni M. Massaro, The Arc of Due Process in American Constitutional Law, Oxford University Press, 2013.[3] Khoa Luật Đại học Quốc gia Hà Nội, Giáo trình Luật tố tụng dân sự Việt Nam, NXB. Đại học Quốc gia Hà Nội.[4] European Court of Human Rights (2013), Guide to Article 6: The Right to a Fair Trial (Civil Limb), http://www.echr.coe.int/Documents/Guide_Art_6_ENG.pdf.[5] C.H. Van Rhee & Alan Uzelac (eds.), Truth and Efficiency in Civil Litigation: Fundamental Aspects of Fact-Finding and Evidence-Taking in a Comparative Context, Intersentia, 2012, pp. 5-6.
Perception of Quality in a Philippine Private Academic Institution
Authors: G. Dalangin Jerico John
Published: March 2020

The purpose of this research is to obtain information and measure the service quality experience in a Philippine Private Academic Institution. This study used quantitative descriptive research method utilizing individual level data through adapted research instrument from Pamatmat et. al. (2018) utilizing the Service Quality Dimension. Percentage, Mean Score, Frequency Distribution, T-test and ANOVA were used for data analysis. The study sought the participation of 290 parents from a private academic institution in North Metro Manila. Using snowball sampling method, the 290 parents’ respondents were derived using the Slovin’sformula based form the total student population of 1,061 admitted during school year 2018-2019 from the private institution. The Service Quality Experience Instrument was found to be highly reliable (38 items; α = .873). The result highlights the five dimensions of service quality experience where Place of resident and civil status was significant with the five dimension of service quality. Sex was significant to responsiveness. Educational Attainment was significant to assurance. Monthly Income was significant to assurance, empathy, reliability, and responsiveness. Sex was significant to assurance, reliability and responsiveness. Tangible scored lowest possibly due to the concern on parking space availability which might have impact the totality of the raw score for the tangible service quality dimension.  Assurance scored the highest wherein the item that got the highest score was pertaining to the community involvement of the private academic institution.
Safety and Efficacy of Percutaneous Cholecystostomy for Emphysematous Cholecystitis
Authors: Imanzadeh Amir , Kokabi Nima , Pourjabbar Sarvenaz , Latich Igor , Pollak Jeffrey , Kim Hyun , Gunabushanam Gowthaman
Published: March 2020

Objective:

The objective of the study was to evaluate the safety and efficacy of percutaneous cholecystostomy (PC) in treating critically ill patients with emphysematous cholecystitis who were deemed poor surgical candidates.

Materials and Methods:

The Institutional Review Board exemption was obtained for this retrospective study. Patients with emphysematous cholecystitis who were deemed to be poor operative candidates by the treating surgeon and underwent PC placement between May 2008 and April 2017 at a single institution were identified through a medical records search. Demographics, laboratory values, imaging data, procedural technique, complications, hospitalization course, clinical outcome, and survival data were obtained.

Results:

Ten consecutive patients were included, with a mean age of 75.0 ± 12.2 years, including six men and four women. The most common comorbidity was diabetes (60%, 6/10) followed by hypertension (40%, 4/10). Intraluminal or intramural gas as well as gallbladder wall thickening were noted in all patients. Procedure technical success rate was 100%. There was a complete resolution of symptoms in 90% (9/10) of patients at a mean of 2.9 ± 1.4 days post-procedure. Thirty-day survival rate was 90% (9/10); one patient died on the 6th post- procedure day from sepsis. Two more deaths occurred within a year after PC from unrelated causes. About 50% (5/10) of patients underwent elective cholecystectomy at a median interval of 69 days post-procedure. In 40% (4/10) of patients, cholecystostomy was the definitive treatment, with tube removal at a median of 140 days post- procedure.

Conclusion:

PC appears to be a safe and generally effective alternative management option in patients with emphysematous cholecystitis that is considered very high risk for surgery.
Dipole Field Interactions Determine the CO2 Reduction Activity of 2D FeNC Single Atom Catalysts
Authors: Vijay Sudarshan , Gauthier Joseph , Heenen Hendrik , Bukas Vanessa Jane , Kristoffersen Henrik Høgh , Chan Karen
Published: March 2020

Electrochemical CO2 Reduction (CO2R) can potentially allow for the sustainable production of valuable fuels and chemicals. Recently, single atom catalysts on a 2D support have been shown to be a promising catalyst candidate. Using state-of-the-art methods, we develop a model for Fe doped graphene which rationalises several critical experimental observations: the contentious origin of the pH dependence of reactivity and the dependence of current-potential relationships on active site. We show that single atom catalysts have the unique ability to stabilise different dipoles associated with critical reaction intermediates, which translates to significant shifts in activity. This provides a new rational design principle and paves the way for rigorous computation-guided catalyst design of new single atom catalysts for CO2R.
Stereospecific, Palladium-catalyzed C(sp3)–H Alkenylation and Alkynylation of a Proline Derivative Enabled by 8-Aminoquinoline as a Directing Group
Authors: Balliu Aleksandra , Strijker Aaltje Roelofje Femmigje , Oschmann Michael , Pourghasemi Lati Monireh , Verho Oscar
Published: March 2020

In this preprint, we present our initial results concerning a stereospecific Pd-catalyzed protocol for the C3 alkenylation and alkynylation of a proline derivative carrying the well utilized 8‑aminoquinoline directing group. Efficient C–H alkenylation was achieved with a wide range of vinyl iodides bearing different aliphatic, aromatic and heteroaromatic substituents, to furnish the corresponding C3 alkenylated products in good to high yields. In addition, we were able show that this protocol can also be used to install an alkynyl group into the pyrrolidine scaffold, when a TIPS-protected alkynyl bromide was used as the reaction partner. Furthermore, two different methods for the removal of the 8-aminoquinoline auxiliary are reported, which can enable access to both cis- and trans-configured carboxylic acid building blocks from the C–H alkenylation products.
β-Cyclodextrin-Poly (β-Amino Ester) Nanoparticles Are a Generalizable Strategy for High Loading and Sustained Release of HDAC Inhibitors
Authors: Chaudhuri Sauradip , Fowler Martha , Mohammad Afroz S. , Zhang Wenqui , Baker Cassandra , Broughton Colton , Knight Brandon , Elmquist William , Stabenfeldt Sarah , Sirianni Rachael W.
Published: March 2020

Here, we describe a simple, efficient formulation of a novel library of β-cyclodextrin-poly (β-amino ester) networks (CDN) to achieve this goal. We observed that network architecture was a critical determinant of CDN encapsulation of candidate molecules, with a more hydrophobic core enabling effective self-assembly and a PEGylated surface enabling high loading (up to ~30% w/w), effective self assembly of the nanoparticle, and slow release of drug into aqueous media (24 days) for the model HDACi panobinostat. Optimized CDN nanoparticles were taken up by GL261 cells in culture, and released panobinostat was confirmed to be bioactive. Pharmacokinetic analyses demonstrated that panobinostat was delivered to the brainstem, cerebellum, and upper spinal cord following intrathecal administration via cisterna magna injection in healthy mice. We next constructed a library of CDNs to encapsulate various small, hydrophobic, ionizable molecules (panobinostat, quisinostat, dacinostat, givinostat, and bortezomib, camptothecin, nile red, and cytarabine), which yielded important insights into the structural requirements for effective drug loading and CDN self-assembly. Taken in sum, these studies present a novel nanocarrier platform for encapsulation of HDACi via both ionic and hydrophobic interactions, which is an important step toward better treatment of disease via HDACi therapy.