bluuebunny/crossref_metadata_2025 huggingface dataset:
RESULTS OF ENHANCED RECOVERY PROTOCOL IN GERONTOLOGICAL PATIENS WITH COLON CANCER
Authors: Manikhas G. M. , Khalikov A. D. , Khanevich M. D. , Khrykov G. N. , Podgornaya N. Yu.
Published: July 2019

The study evaluated the results of introduction of enhanced recovery protocol in elderly and senile patients who underwent planned colon cancer surgery. The largest rate of colon cancer was noted in elderly and senile patients in Russia and majority of countries. These patients had an increased rate of complications, hospital stay and mortality compared with young patients. The authors proposed the enhanced recovery protocol for gerontological patients based on clinical data and literature analysis. The protocol implementation decreased the number and severity of complications, shortened the postoperative patient day and improved the quality of life of the patients.
MODIFIED METHOD OF LAPAROSCOPIC GASTRIC BYPASS SURGERY
Authors: Fishman M. B.
Published: July 2019

OBJECTIVE. The study aimed to improve the results of gastric bypass surgery. MATERIALS AND METHODS. The article analyzed the results of surgical treatment of 342 patients with metabolic syndrome who underwent operation at the period from 2008 to 2016.The patients were divided into 2 groups according to the type of operation. The first group included 224 (65,4 %) patients who underwent standard surgery LGB using Lontron procedure. The second group numbered 118 (34,5 %) patients whom LGB operation with ARC (the original method) were performed. The efficacy of operation was evaluated in different terms (after 3-month, one year and 3 years). The article described in detail and showed the technique of proposed modified operation of gastric bypass surgery. RESULTS. The proposed method of operative treatment was validated by researches performed. There was demonstrated higher efficacy of operations compared with the standard gastric bypass surgery. CONCLUSIONS. The operation of modified laparoscopic gastric bypass with formation of antireflux valve allowed clinicians to improve the results, decrease the number of complications and have a strong influence on main components of metabolic syndrome.
SURGICAL METHODS OF BLEEDING PREVENTION FROM ESOPHAGEAL VARICES IN TREATMENT FOR PATIENTS WITH LIVER CIRRHOSIS
Authors: Zarivchatskiy M. F. , Kamenskikh E. D. , Mugatarov I. N. , Kolyvanova M. V.
Published: July 2019

E.A. Vagner Perm State Medical University OBJECTIVE. The authors would like to improve the results of surgical treatment of patients with threat of bleeding from esophageal varices. MATERIALS AND METHODS. The study included 90 patients with esophageal varices on the background of liver cirrhosis. Portocaval bypass was performed on 21 patients. The direct interventions on the stomach and esophageal varices were carried out in 29 patients. The endoscopic ligation of esophageal varices was used in 40 cases. RESULTS. The rate of cumulative survival after portocaval bypass was 93,3±6,4 % (up to1 year), 3-year survival rate counted 66,7±12,2 % and 5-year rate was 60,0±12,7 % , respectively. The rate of survival after direct interventions on the stomach and esophageal varices consisted of 92,9 %±6,9 %, 76,0±12,2 % and 65,1±14,5 %, respectively. The survival rate after the endoscopic ligation of esophageal varices class A and B in Child-Pugh numbered 100 %, 91,0±8,7 % and 54, 6±20,6 %, but in case of the class C survival rate counted 60,0±20,4 %, 45,0 %±18,8 and 22,5±18,5 %, respectively. CONCLUSIONS. The authors recommend to apply the long-term courses of endo scopic ligation of esophageal varices in order to prevent bleeding from them. The methods of portcaval bypass or direct intervention should be used in case of lack of effect of endoscopic ligation method.
Risk factors of cerebral complications after cardiac surgery
Authors: Tibekina L. M. , Smertina E. G. , Zolotov V. D. , Zaitseva A. O. , Kretsu A. P. , Stolyarov M. S. , Kamenskikh M. S. , Starosotskaya M. V. , Shmatov D. V.
Published: July 2019

OBJECTIVE. The authors defined the risk factors of cerebral complications after cadiosurgical operations. MATERIAL AND METHODS. The patients with ischemic heart disease who underwent coronary artery bypass grafting (CABG) were included in the first group (n=189) 132 (69,8 %) men and 57 (30,2 %) women aged 62,5 ± 8,3 years old. The patients who underwent reconstructive surgery of the heart valves were in the second group (n=50) and numbered 34 (68 %) men and 16 (32 %) women aged 63,1 ± 7,7 years old. The operations on valves were performed under conditions of extracorporeal circulation in the Center of Cardiosurgery and Interventional Cardiology of St. Petersburg Multidisciplinary Center. RESULTS. The research showed that the proportion of severe cerebral complications such as acute stroke and delirium was equal to 7,4 % in patients with coronary artery bypass grafting, while in group of patients with valvular pathology it numbered 14,0 %. The proportion of patients with delirium was 5,8 % in the first group and it consisted of 12 % in the second group. The number of patients with stroke was 1,58 % in the first group and it counted 2,0 % in the second group. Chronic cerebrovascular failure, stroke in the anamnesis, fibrillations of auricles and post-infarction cardiosclerosis were the leading risk factors of acute stroke development in early postoperative period. CONCLUSIONS. There was noted that such risk factors as postinfarction cardiosclerosis, stroke in the anamnesis and also the constrictive atherosclerosis of brachiocephalic trunk were associated with the group of patients who had cerebral complications after CABG operation. The proportion of patients with fibrillations of auricles (paroxysmal form) and a low left ventricular ejection fraction was higher in group of patients who underwent reconstructive surgery of the heart valves. The frequency of tobacco smoking was high among patients in both subgroups (77 % and 57,1 %).
Endovideosurgical aspects of treatment of bilateral inguinal hernias
Authors: Zemlyanoy V. P. , Sigua B. V. , Syomin D. S. , Sopiya E. P.
Published: July 2019

OBJECTIVE. The article detected risk factors of supravesial hernia formation and its recurrence in patients with bilateral inguinal hernias after laparoscopic herniaplasty. The authors would like to develop strategy in order to solve this problem. MATERIAL AND METHODS. An analysis of treatment results was made in 84 patients. The research was based on ultrasound clinical data at the period of 3-5 years after operation. RESULTS. Factors of high recurrence rate and supravesial herhia formation were identified as combination of features of work activity and increased physical exertion accompanied by chronic diseases and regular intra-abdominal rise of pressure. The algorithm of choice among various laparoscopic methods of surgery was designed. Total prosthesis of supravesial and inguinal regions using developed original technique is recommended for application in cases of high risk group. Standard separate hernioplasty could be used in an absence of high risk. CONCLUSIONS. The proposed algorithm allowed doctors to reduce the rate of recurrence and formation of supravesial hernias.
PROSTHESIS OF AORTIC VALVE BY STENTED AND STENTLESS BIOLOGICAL PROSTHESES: INTERMEDIATE ANALYSIS OF RESULTS
Authors: Astapov D. A. , Demidov D. P. , Semenova E. I.
Published: July 2019

OBJECTIVE. The authors assessed an impact of the design of biological prosthesis on efficacy of aortic valve replacement in elderly patients. MATERIAL AND METHODS. Randomized parallel controlled prospective study was carried out. The patients were divided into groups with stented and stentless prostheses. A value of peak valve gradient was determined as a primary end point. RESULTS. The peak gradients were significantly higher in the first group than in the second group. There was noted a significant difference in value of miocardial hypertrophy of the left ventricular (mass index of the myocardium) during 30-day terms after operation. CONCLUSIONS. The final results would be possible to consider after the end of the study. The results of intermediate analysis supported the validity of the proposed hypothesis.
Morphofunctional state of erythrocytes in benign obstructive jaundice
Authors: Pakhomova R. A. , Vinnik Yu. S. , Kochetova L. V. , Nagornov Yu. S.
Published: July 2019

OBJECTIVE. Structural and functional properties of erythrocytes were researched in patients with benign obstructive jaundice of different degree of severity. MATERIAL AND METHODS. Patients (n =81) with obstructive jaundice of benign genesis were examined at the period from 2013 till 2016. The control group consisted of 29 healthy patients. The atomic-force microscopy of erythrocytes was applied in all patients in order to study structural and functional properties of erythrocytes. RESULTS. There was noted, that growth of bilirubin conсentration caused the increase of erythrocyte size. Binocave red blood cells acquired horizontal orientation in patients with B class of obstructive jaundice. Erythrocytes transformed to domed stomatocyte and their square increased, volume of red cells become twice more compared with normal state in patients with C class of obstructive jaundice. CONCLUSIONS. The degree of severity of obstructive jaundice caused red cell transformation. The binocave erythrocytes changed to the domed stomatocytes. This transformation significantly increased erythrocyte volume, the number of ruptures and their volume on bilipidic membrane layer.
Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries
Authors: Samokhvalov I. M. , Kazhanov I. V. , Manukovskiy V. A. , Tulupov A. N. , Mikityuk S. I. , Gavrishchuk Ya. V.
Published: July 2019

OBJECTIVE. Clinical efficacy of extraperitoneal pelvic packing for hemostasis was assessed in patients with unstable pelvic ring injuries and signs of unstable hemodynamics. MATERIAL AND METHODS. The results of treatment were analyzed in 19 patients with hemodynamically unstable pelvic ring injuries. Extraperitoneal pelvic packing was applied in order to stop bleeding after mechanical pelvic stabilization. The evaluation of hemostasis efficacy was performed by using computerized helical tomography with intravenous contrast. RESULTS. The extraperitoneal pelvic packing allowed doctors to achieve stop of bleeding in 14 (73,7 %) patients. CONCLUSIONS. Complex of mechanical stabilization and extraperitoneal pelvic packing of damaged pelvic ring could be actively used in cases of severe injuries for victims in critical conditions.
Pulmonary embolism in multifield hospital: results of autopsy study
Authors: Kirienko A. I. , Lebedev I. S. , Polyanko N. I. , Orekhov O. O. , Raksha A. P. , Turishcheva O. O. , Ivanchikova E. S. , Chumakova M. A. , Gavrilov S. G.
Published: July 2019

OBJECTIVE. Modern data analysis of the rate of pulmonary embolism (PE) development was made. A comparative analysis of epidemiology dynamics of diseases was carried out and included of the past 40 years. MATERIAL AND METHODS. The retrospective analysis of 2042 autopsies was conducted in autopsy department of Municipal clinical hospital №1 named after N. I. Pirogov at the period from 2011 to 2013. According to results of necropsies, 440 samples of pulmonary embolism of different localization and their terms were found. RESULTS. Conducted study demonstrated a relative growth of the development rate of pulmonary embolism and fatal pulmonary embolism. Pulmonary embolism had been revealed by autopsy in 4,4 % patients in 1964-1973, but the rate of PE increased to 21,5 % in 2011-2013. The fatal PE was noted in 9,3 % of autopsies in 2011-2013, though it counted 2,5 % in 1964- 1973. CONCLUSIONS. The rate of pulmonary embolism development increased in 5 times. The growth of the PE rate was revealed in postoperative period and significant part of complications (18,5 %) were associated with fatal PE.
Surgical correction of respiratory failure in patients with diffuse pulmonary emphysema who underwent long-term oxygen therapy
Authors: Gorbunkov S. D. , Varlamov V. V. , Chernyi S. M. , Zaripova Z. A. , Gichkin A. Yu. , Lukina O. V. , Kiryukhina L. D. , Kovalev M. G. , Romanikhin A. I. , Akopov A. L.
Published: July 2019

OBJECTIVE. The research showed the possibility of operative treatment of patients with terminal stage of respiratory failure who underwent long-term oxygen therapy. MATERIAL AND METHODS. Surgical correction of respiratory failure was performed for two patients after clinical, functional and radio studies. RESULTS. The degree of arterial hypoxemia significantly decreased after operation due to improved ventilation of maximally saved pulmonary tissue areas. This allowed doctors to apply a situational oxygen therapy. Tolerance of physical activity reliably improved and value of BODE-index decreased. CONCLUSIONS. The terminal stage of respiratory failure couldn’t be a contraindication to surgical treatment.
Results of prophylaxis of venous thromboembolism after orthopedic operations
Authors: Sukovatykh B. S. , Sukovatykh M. B. , Per’Kov S. O.
Published: July 2019

OBJECTIVE. The research compared efficacy and safety of application of dabigatran and rivaroxaban in prevention of venous thromboembolism after orthopedic operations. MATERIAL AND METHODS. An analysis of prophylaxis and treatment results of venous thromboembolism was made in 208 patients who underwent knee and hip arthroplasty. The patients were divided into two statistically homogeneous groups. The first group consisted of 102 patients where dabigatran etexilate therapy was used in fixed dose 220 mg/day. The second group included 106 patients who had prophylaxis by rivaroxaban in dose 10 mg/day. RESULTS. Venous thromboembolic complications were noted in 36 (17,3) patients equally in both groups. Internal bleedings of different nature were found in 18 (8,65 %) patients with deep venous thrombosis. It occurred more often against a background of therapeutic dose of anticoagulants in the second group (on 2,29 %). CONCLUSIONS. There wasn’t noted any statistically significant difference in efficacy and safety between dabigatran etexilate and rivaroxaban.
Substantiation of minimally invasive surgeries on thyroid gland
Authors: Maistrenko N. A. , Romashchenko P. N. , Krivolapov D. S.
Published: July 2019

OBJECTIVE. The authors determined criteria for reasonable selection of patients for application of optimal minimally invasive interventions in cases of thyroid gland diseases. MATERIAL AND METHODS. The treatment results of 322 patients with thyroid gland diseases were analyzed. There were used a conventional method and variety of minimally invasive methods. RESULTS. It was stated that the main criteria that verified a choice of optimal minimally invasive surgery were the nodule size and thyroid gland volume, autoimmune inflammation of thyroid tissues against a background of toxic and diffuse toxic goiter, retrosternal goiter position and necessity of central lymphodissection in case of metastatic thyroid gland. CONCLUSIONS. The authors applied the determined criteria based on modern diagnostic methods in patients with surgical thyroid gland diseases. This study allowed doctors to justify the choice of optimal minimally invasive surgeries and avoid unreasonable operations, improve treatment results.
Possible reasons of insufficient efficacy of laparoscopic gastric bypass in surgical treatment of metabolic syndrome
Authors: Fishman M. B. , Yan V. , Sokolova D. A.
Published: July 2019

OBJECTIVE. The study assessed an efficacy of laparoscopic gastric bypass (LRGB) in correction of main components of metabolic syndrome (MS). The authors revealed the possible reasons of insufficient efficacy of operation. MATERIAL AND METHODS. Results of LRGB were estimated in 228 patients who underwent operation during 5 years. Index of body mass, % EBMIL, lipid spectrum, level of glycemia, content of leptin and ghrelin were considered. RESULTS. The high efficacy of operation influence on MS was found in young age groups. Other groups had lower efficacy of operation. The reason was in gastrointestinal tract reconstruction that resulted in decrease of body mass, regress of associated diseases, change of key hormones which regulated energy metabolism, homeostasis of glucose and lipids. The ghrelin level didn’t have a determining value and didn’t influence on decrease of MT after operation. CONCLUSIONS. The operation effectively influenced on all possible components of MS, but the ghrelin content wasn’t determinative for long-term regulation of body mass loss and reduced the efficacy of operation.
Infrared fluorescence guided pleural biopsy during thoracoscopy
Authors: Akopov A. L. , Papayan G. V. , Karlson A. .. , Chistyakov I. V. , Dvoretskiy S. Yu. , Agishev A. S. , Gorbunkov S. D. , Il’In A. A.
Published: July 2019

OBJECTIVE. The authors developed methods and assessment of efficacy of infrared fluorescence imaging of pleural carcinomatosis using indocyanine green (ICG). MATERIAL AND METHODS. The prospective study included 14 patients with malignant pleural carcinomatosis. All patients underwent standard thoracoscopy with pleural biopsy, then pleural cavity was examined under fluorescence control using ICG solution. Comparison of accuracy of biopsy materials obtained in white light and fluorescence was made. RESULTS. Signs of malignancy had 21 biopsy specimens out of 28, which were obtained in white light (in 12 patients out of 14). Research of biopsy specimens using fluorescence allowed doctors to make the precise diagnosis in all 14 patients, with 33 out of 34 biopsy materials being informative. CONCLUSIONS. Intraoperative application of infrared ICG fluorescence developed accuracy of biopsy and histological verification of the diagnosis.
Minimally invasive technologies in complex treatment of patients with acute fluid clusters in sterile pancreatonecrosis
Authors: Bombizo V. A. , Tseimakh E. A. , Ustinov D. N. , Buldakov P. N. , Averkina A. A. , Udovichenko A. V. , Berdinskikh A. Yu.
Published: July 2019

OBJECTIVE. The study investigated the efficacy of minimally invasive interventions in patients with sterile form of pancreatonecrosis. MATERIAL AND METHODS. There were 202 patients with sterile form of pancreatonecrosis during 5 years. Local complications such as acute fluid clusters were revealed in 136 (67,3 %) and dense infiltrates were noted in 66 (32,7 %) patients. Minimally invasive surgeries were performed on 132 (65,3 %) patients. RESULTS. Pathological process was successfully treated in 97,2 % patients by using given methods and convertion to open surgery was performed in 2,8 % patients. CONCLUSIONS. The application of minimally invasive methods was final in 97,2 % patients with sterile form of pancreatonecrosis without lethal outcomes.
Correction of impairments of visceral blood flow and oxygen-carrying function of the portal blood in diffuse purulent peritonitis
Authors: Belik B. M. , Suyarko V. A. , Mareev D. V. , Efanov S. Yu. , Pyasetskiy K. G.
Published: July 2019

OBJECTIVE. The authors assessed an efficacy of correction of visceral blood flow and oxygen-carrying function of portal blood in patients with diffuse purulent peritonitis. The intraportal infusion therapy was applied using ozone-saturated solutions. MATERIAL AND METHODS. There were investigated the dynamics of index changes in blood flow of the portal vein, common hepatic artery, superior mesenteric artery and main parameters of oxygenation of system and portal blood. RESULTS. There was found that the application of intraportal infusion therapy facilitated to hepatic and mesenteric blood flow, oxygen-carrying function of portal blood and liver oxygenation. The method helped to restore liver function and eliminated enteral disfunction and it decreased severity of patients’ state that allowed doctors to improve treatment outcomes. CONCLUSIONS. The intraportal infusion therapy using ozone-saturated solutions is an important part of treatment management in severe forms of purulent peritonitis.
Complex application of cosmetics products of the line A “Skinormil” in the care of the skin of patients with acne
Authors: Vintserskaya G. A. , Ngema M. V. , Prokhorov D. V. , Kuznetsova M. Yu. , Sherengovskaya Yu. V.
Published: July 2019

The article outlines the questions of pathogenesis of acne as well as clinical trial data, which indicate that the skin of patients with acne needs comprehensive care with therapeutic cosmetics. Long term use of medical cosmetics has a positive effect on the course of acne disease. The basis of the study is the use of cosmetics line A “Skinormil” including the patented complex Citobiol lRIS, zinc sulfate and vitamin A. Seventy-four patients with acne of the first, second and third severity were monitored and it was recommended them a comprehensive skin care with medical cosmetics. According to the analysis of the clinical picture, it was concluded that on the background of proper care, there is a positive dynamics in the course of acne.
Ligand-Enabled β-C(sp3)–H Lactonization: A Stepping Stone for General and Practical β-C–H Functionalizations
Authors: Zhuang Zhe , yu jin-quan
Published: July 2019

β-C–H functionalization of aliphatic acids is emerging as a valuable synthetic disconnection that complements a wide range of conjugate addition reactions. Despite two decades of effort on β-C–H functionalizations, reported reactions bear numerous challenges, especially for industrial-scale applications due to the use of expensive oxidants and poor scope. For example, arylation reactions are only compatible with aryl iodides but not the more practical aryl bromides and chlorides, alkylations are limited to primary alkyl coupling partners; fluorination and amination reactions have not been possible using free carboxylic acids as directing groups. The unselective formation of mono- and di-functionalized products is another major drawback. Herein, we report an unprecedented palladium-catalyzed β-C(sp3)–H lactonization of aliphatic acids enabled by a mono-N-protected β-amino acid ligand. The highly strained and reactive β-lactone products are versatile linchpins for the mono-selective installation of diverse alkyl, alkenyl, aryl, alkynyl, fluoro, hydroxyl, and amino groups at the β position of the parent acid, thus providing a one-for-all strategy to synthesize a myriad of carboxylic acids. The use of inexpensive tert-butyl hydrogen peroxide (TBHP) as the oxidant, as well as the ease of product purification without column chromatography renders this reaction amenable to ton-scale manufacturing.
Exploring the Chemical Space in Search for Improved Azoheteroarene-Based Photoswitches
Authors: Vela Sergi , Kruger Constantin , Corminboeuf Clemence
Published: July 2019

In the quest for improved photo switches, azoheteroarenes have emerged as a potential alternative to azobenzene. However, to date the number and types of these species that have subjected to study is insufficient to provide an in-depth understanding of the photochemical effects brought about by different substituents. Here, we computationally screen the optical properties and thermal stabilities of 512 azoheteroarenes that consist of eight different N-containing heteroarenes combined with 64 substitution patterns. The most promising compounds are identified and their properties rationalized based on the nature of the azoheteroarene core and the location and type of substitution patterns.
Masyarakat Minangkabau dalam Kumpulan Cerpen Kaki Yang Terhormat Karya Gus Tf Sakai
Authors: Karami Habibullah , Rahmat Wahyudi , Laila Aruna
Published: July 2019

Masalah dalam penelitian ini adalah banyaknya bentuk realitas sosial masyarakat Minangkabau dalam kumpulan cerpen Kaki Yang Terhormat karya Gus tf Sakai . Masalah ini menjadi acuan utama untuk menemukan seperti apa realitas sosial masyarakat Minangkabau dalam kumpulan cerpen Kaki Yang Terhormat dari kacamata pengarang. Jenis penelitan ini adalah penelitian kualitatif. Metode yang digunakan dalam penelitian ini adalah metode deskriptif. Data dalam penelitian ini berupa kata-kata, kalimat dan dialog yang berhubungan dengan realitas sosial Minangkabau. Sumber data dalam penelitian ini adalah kumpulan cerpen Kaki Yang Terhormat karya Gus Tf Sakai. Hasil penelitian ini menggambarkan realitas sosial masyarakat Minangkabau yang terjadi dari kebudayaan atau tradisi yang sudah lahir dari nenek Moyang mereka, yang merupakan adat istiadat atau yang sudah menjadi identitas bagi masyarakat di Minangkabau ataupun dari kebiasaan yang terjadi berulang kali dan ditetapkan sebagai tradisi bagi masyarakat Minangkabau. Berdasarkan hal tersebut, Gus tf Sakai dalam kumpulan cerpen mengungkapkan realitas sosial masyarakat Minangkabau dari segi, (1) bahasa, terdapat bahasa Minang dan bahasa Indonesia; (2) sistem ilmu pengetahuan, mengenai alam takambang jadi guru; (3) sistem kemasyarakatan/sistem sosial, berupa tradisi yang menjadi identitas bagi masyarakat Minangkabau; (4) peralatan/perlengkapan, mengenai peralatan/ciri khas bagi masyarakat Minangkabau yang menjadi kebutuhan untuk hidup maupun kebudayaan dari masyarakat Minangkabau; (5) sistem mata pencaharian, mengenai pekerjaan bagi masyarakat Minangkabau (6) kesenian, mengenai seni gerak yang dimiliki masyarakat Minangkabau yaitu silek, dan (7) sistem religi, mengenai budaya ke surau bagi remaja di Minangkabau.
大型养路机械捣固车发展及展望
Authors: 李 传坤
Published: July 2019

本文介绍捣固车的种类及发展历程，以及捣固车知名生产厂家的捣固原理进行分析。大型养路机械适用于铁路线路的新线施工、既有线大中修清筛作业后和运营线路维修作业，对轨道进行自动抄平、起拨道、道碴捣固作业，提高道床石碴的密实度，增加轨道的稳定性，消除轨道的方向偏差，左、右水平偏差和前、后高低偏差，使轨道线路达到线路设计标准和线路维修规则的要求，保证列车的安全运行。本文针对捣固车的现状进行分析。
对建筑工程项目管理水平提升的思考
Authors: 吴 进锋
Published: July 2019

随着中国社会经济的不断发展，建筑工程项目建设需求量也越来越大，建筑工程项目管理水平直接关系着建筑工程的最终建设质量。目前，建筑企业在施工过程中通常会面临一定的安全问题和质量管理问题，影响企业的经济效益。因此，必须要加强对建筑工程项目管理水平的研究，消除生产过程中的安全隐患，缩短建设工期，促进建筑行业的可持续发展。
Karakteristik Fisik, Kimia dan Mutu Sensori Susu Bubuk Kecambah Kedelai Instan Berdasarkan Variasi Penambahan Maltodekstrin
Authors: Dewi Rosita , Aminah Siti , Suyanto Agus
Published: July 2019

The addition of maltodextrin is known to coat flavor components, increase volume, accelerate the drying process, prevent heat damage and increase solubility and characteristic quality of sensory. The general purpose of the research is to know the effect of variation of maltodextrin addition to physical characteristics (white degree, solubility and water absorption), chemistry (water content, ash content, fat content, protein and carbohydrate) and sensory milk quality of instant soybean sprouts based on variation of maltodextrin addition. The method of this research is monofactorial experiment, which consists of 5 treatment of maltodextrin concentration, 0%, 5%, 10%, 15% and 20%. Each treatment was repeated 5 times, so that 25 experimental units were obtained. Physical and chemical test results were analyzed using Anova method followed by Duncan's advanced test while the sensory quality test data were analyzed using Friedman followed by Wilcoxon's advanced test. The results showed that there was a significant effect of the addition of maltodextrin concentration to physical test (white degree, solubility and water absorption) and water content, crude fiber, protein and carbohydrate but no significant effect on ash and fat content. Instant soybean sprouts with a 15-20% maltodextrin variation yield the best physical, chemical and sensory quality.
Evolução dos meios adequados de solução dos conflitos aos serviços notariais e de registro
Authors: Dias Feliciano Alcides , Oliveira Alice Brites Osório de
Published: July 2019

No contexto da necessidade de incentivar os meios adequados de solução de conflitos como alternativas às vias judiciais, encontra-se a possibilidade de implementação da conciliação, mediação e arbitragem como nova função nos serviços notariais e registrais. Assim, objetiva-se através do método dedutivo com base na revisão bibliográfica, identificar similaridades e compatibilidade entre seus institutos, principalmente, pelos seus atores atuarem como auxiliares da justiça e serem considerados instrumentos de pacificação social.
Foreign Language Beliefs and Behaviors of English Speaking Communities’
Authors: Ardini Sukma Nur
Published: July 2019

The aim of this paper is to report the observation findings of foreign language beliefs and behaviors among three communities of English speaking communities’ specific of their cultural identity. The study used descriptive qualitative design since the author wants to describe the phenomenon happened in this study. Three English speaking communities were taken as the data; first, Krismit whatsApp group conversation; second, a private whatsApp conversation between two non-native speakers; third, a classroom talk. Those data were taken from the author’s cellphone, then the chats were exported, transcribed and analyzed well through their beliefs and behaviors specific of their cultural identity. The findings of the present study indicate that the awareness of using English pattern in two communities needs to be more highlighted, while the other community revealed the cultural matter in the form of expressions. Therefore, teachers’ and educators’ big effort in decreasing this issue is crucially needed.
Efektivitas Berkumur Ekstrak Kulit Apel Manalagi (Malus sylvestris Mill.) 12,5% terhadap Penurunan Indeks Plak
Authors: Raphael Alexander , Soegiharto Georgius Soetjipto , Evacuasiany Endang
Published: July 2019

Penyakit periodontal merupakan salah satu penyakit yang umum ditemukan diseluruh dunia. Berdasarkan Hasil Riset Kesehatan Dasar (RISKESDAS) persentase penduduk Indonesia yang memiliki masalah gigi mulut pada tahun 2007 dan 2013 mengalami peningkatan dari 23,2% menjadi 25,9%. Penyebab utama adalah plak. Bakteri yang dominan pada plak merupakan golongan Streptococcus seperti Streptococcus mutans, Staphylococcus aureus, Neiseria sp, dan masih banyak lagi. Pembentukan plak dapat dicegah dengan berkumur ekstrak apel manalagi (Malus sylvestris Mill.) dengan konsentrasi 12,5%. Tujuan pada penelitian ini untuk mengetahui efek berkumur ekstrak apel manalagi (Malus sylvestris Mill.) dalam menurunkan indeks plak gigi.

Racangan penelitian ini merupakan penelitian eksperimental semu dengan desain pre-test dan post-test. Subjek penelitian sebanyak 32 orang yang dibagi menjadi 2 kelompok secara acak (n=16). Kelompok pertama berkumur dengan ekstrak kulit apel manalagi (Malus sylvestris Mill.) dan kelompok kedua sebagai kontrol berkumur dengan air mineral. Data yang diukur adalah indeks plak gigi dengan metode O’Leary. Analisis data persentase indeks plak gigi menggunakan paired T-test dan independent T test dengan a = 0,05.

Hasil penelitian menunjukan rata – rata indeks plak gigi sebelum dan sesudah berkumur ekstrak kulit apel manalagi (Malus sylvestris Mill.) sebersar 29,02% dan 16,18%. Hasil analisis data didapatkan nilai p<0,05 berarti terdapat perbedaan yang signifikan antara kelompok yang berkumur ekstrak kulit apel manalagi (Malus sylvestris Mill.) 12,5% dengan air mineral. Simpulan dari penelitian ini adalah berkumur dengan ekstrak kulit apel manalagi (Malus sylvestris Mill.) 12,5% dapat menurunkan indeks plak gigi.
ENAM Gene Mutation Factor in Amelogenesis Imperfecta
Authors: Apriani Anie , Sembiring Linda Sari , Suryatmojo Ibnu , Sandra Ferry
Published: July 2019

Amelogenesis Imperfecta (AI) is an abnormal disease that occurs in hard tissue of teeth. Clinical features of Amelogenesis Imperfecta look like immature enamel that looks like hypomaturation. The etiology of AI is influenced by the TGF-?1 factor which is disturbed during the formation and development of enamel, one of which is caused by the presence of ENAM gene mutations. Further research on genetic history in the family and biomineralization of the formation of  enamel important to be developed later.
Efek Berkumur Sari Buah Tomat (Solanum lycopersicum L.) Terhadap Indeks Plak Gigi
Authors: Egi Marcella , Soegiharto Georgius Soetjipto , Evacuasiany Endang
Published: July 2019

Penyakit periodontal merupakan urutan tertinggi dari penyakit gigi dan mulut di Indonesia. Plak gigi merupakan faktor etiologi yang menjadi penyebab terjadinya penyakit periodontal. Plak gigi merupakan lapisan biofilm yang terdiri dari glikoprotein saliva, polimer ekstraseluler dan bakteri dimana salah satu bakteri utama dalam plak gigi adalah Streptococcus mutans. Pembentukan plak gigi dapat dicegah dengan kontrol plak meliputi kontrol mekanis dan kontrol kimiawi, salah satunya penggunaan obat kumur menggunakan bahan alami yaitu sari buah tomat. Penelitian ini bertujuan untuk mengetahui efek berkumur sari buah tomat (Solanum lycopersicum L.) terhadap indeks plak gigi.

Rancangan penelitian ini berupa eksperimental semu, dengan desain pre-test dan post-test yang bersifat komparatif. Subjek penelitian berjumlah 33 orang. Pengukuran indeks plak gigi dilakukan enam kali, yaitu sebelum dan setelah berkumur sari buah tomat pada hari ke-1, ke-3 dan ke-7. Indeks plak gigi diukur menggunakan metode O’Leary. Analisis data dilakukan dengan paired t-test dan Wilcoxon test dengan ?=0.05.

Hasil penelitian rerata penurunan indeks plak gigi setelah berkumur sari buah tomat (Solanum lycopersicum L.) pada hari ke-1 sebesar 13,67, hari ke-3 sebesar 11,03 dan hari ke-7 sebesar 11,07. Hasil analisis data didapatkan nilai p<0,05 berarti terdapat perbedaan presentasi rata-rata indeks plak gigi sebelum dan sesudah berkumur sari buah tomat (Solanum lycopersicum L.) yang signifikan.

Simpulan penelitian ini adalah berkumur dengan sari buah tomat (Solanum lycopersicum L.) memiliki efek menurunkan indeks plak gigi.
Deteksi Dini Oral Squamous Sel Carcinoma (OSCC) dengan Menggunakan Human Papillomavirus (HPV) sebagai Penandanya
Authors: Pranata Natallia
Published: July 2019

Insidensi oral squamous cell carcinoma (OSCC) secara global diprediksi akan meningkat sekitar 62% pada tahun 2035. Salah satu pathogen yang dapat menyebabkan keganasan adalah human papillomavirus (HPV). Pada kasus OSCC sekitar 17% hingga 87% diakibatkan oleh infeksi HPV.1–3 OSCC memiliki prognosis yang baik jika terdeteksi pada tahap dini. Deteksi HPV pada OSCC menjadi biomarker penting, dan dapat digunakan sebagai screening populasi memiliki resiko terkena OSCC.
Kadar Hambat Minimum (KHM) dan Kadar Bunuh Minimum (KBM) Ekstrak Etanol Daun Ketepeng Cina (Cassia alata L.) Terhadap Pertumbuhan Candida albicans
Authors: Shailla Gharnita Yassie , Lelyana Shelly , Sugiaman Vinna Kurniawati
Published: July 2019

Candida albicans merupakan jamur dimorfik oportunistik penyebab utama oral candidiasis. Salah satu obat oral candidiasis yang suing digunakan adalah nistatin namun memiliki banyak efek samping maka dibutuhkan pengobatan alternatif dengan memanfaatkan tanaman herbal seperti daun ketepeng cina (Cassia alata L.). Penelitian ini bertujuan untuk mengetahui kadar hambat minimum (KHM) dan kadar bunuh minimum (KBM) ekstrak etanol daun ketepeng cina (Cassia alata L.) terhadap pertumbuhan Candida albicans dengan menghitung jumlah yeast. Penelitian ini bersifat eksperimental laboratorium dengan membandingkankelompok uji yang mengandung ekstrak daun ketepeng cina (Cassia alata L.) dengan konsentrasi 200 mg/mL; 100 mg/mL; 50 mg/mL; 25 mg/mL; 12,5 mg/mL; 6,25 mg/mL dan 3,125 mg/mL yang ditanam dalam media PDA. Kontrol positif berupa nistanin, dan media PDB sedangkan kontrol negatif berupa media PDB, dan DMSO 10% terhadap Candida albicans yang sebelumnya telah diinkubasi pada suhu 37oC selama 24 jam dan dilakukan pengulangan sebanyak empat kali. Berdasarkan basil penelitian diketahui bahwa ekstrak etanol daun ketepeng cina (Cassia alata L.) mampu menghambat pertumbuhan Candida albicans pada konsentrasi 200 mg/mL secara sig (p<0,05) namun tidak dapat membunuh Candida albicans. Simpulan dari penelitian ini menunjukkan bahwa ekstrak etanol daun ketepeng cina (Cassia alata L.) dapat menghambat pertumbuhan Candida albicans.
Perbedaan Kekuatan Geser Perlekatan (Shear Bond Strength) Antara Self – Adhering Flowable Composite dan Flowable Composite dengan Sistem Adhesif Self – Etch pada Dentin
Authors: Tanjung Steven , Djuanda Rudy , Evelyna Angela
Published: July 2019

Restoration is a treatment to restore the structure of missing dental hard tissue due to caries. Flowable composite has good adaptability to the cavity wall so that it is widely used as an intermediate layer. Composite resins require an adhesive system to bond chemically with dental hard tissue. Self - adhering flowable composite combining etching, priming, and adhesive in one flowable package. This study was conducted with the aim to determine the difference in shear bond strength between Self – adhering flowable composite and flowable composite with self – etch adhesive system on dentine. The number of samples used was 38 pieces. After dentin was prepared and fixed, samples was divided into 2 groups, each group consisting of 19 samples. First group was applied with self – adhering flowable composite, second group was applied with flowable composite with self – etch adhesive system. Samples was immersed in pH 6.8 normal saline and stored for 24 hours, then dried and shear bond strength was tested using a universal testing machine. The data obtained were analyzed using independent t – test. The statistical analysis using independent t – test showed that there were significant differences in the shear bond strength between the two groups, p=0,000 (p<0.05). The study concluded that there is difference of shear bond strength between self – adhering flowable composite and flowable composite with self – etch adhesive system on dentine.
A qualitative approach to understanding adoption or resistance of long-standing belief systems within the equine industry
Authors: Lord Robyn
Published: July 2019

The equine industry is changing after hundreds of years of solid foundations built on long-standing beliefs. The natural horse and hoof introduction have spurred a push to wake up this sleeping, yet strong industry. Both factions of the industry, hoof care, and horsemanship are affected. The debate of natural versus traditional is growing causing friction in some areas and asking participants to pick a side.
This research was conducted with industry leaders that represent both sides: natural and traditional. Leaders were chosen for their role in either inciting adopting or resistance. Also included in the interview process are middle management professionals who are witnessing the friction of new beliefs and the contradictions to the industry status quo. This research was conducted by interviewing 41 leaders within the industry, representing a wide array of disciplines, both natural and traditional. Their viewpoints represent the current state of the industry under analysis.
The Effect of Problem Based Learning Model on Understanding Concepts and Problem Solving Skill in Social Sciences in Grade IV Students of SDN 1 Mulung Driyorejo Gresik
Authors: Muliyono Miftaqul Rizqi , Suyanto Totok , Yani Muhammad Turhan
Published: July 2019

This study aims to determine whether the use of the problem-based learning model can influence the understanding of concepts and problem-solving skills in social studies learning in the fourth grade of SDN 1 Mulung. This study uses a quantitative method with quasi-experimental design type nonequivalent sampled group design. The dependent variable in this study is the understanding of concepts and problem-solving skills, and the different variables are problem-based learning models. The sample chosen in this study uses namely IV-A class students totaling 20 students and IV-B class students totaling 20 students, using the sample random sampling technique. Data collection techniques using tests (pre-test and post-test). The research instrument used was a test sheet for understanding concepts and problem-solving skills. Instrument analysis technique uses validity test and reliability test while the data analysis technique uses the normality test, homogeneity test, hypothesis test, and normalized n-gain test. Based on the calculation of the T-test, Sig. (2-tailed) That is equal to 0,000 <0,05, then Ha is accepted, or there are significant differences between the difference between the results of the post-test and pre-test of the control class with the difference between the results of the post-test and the pre-test of the experimental class. This can be interpreted that the problem-based learning model has a significant effect on the understanding of concepts and problem-solving skills in social studies learning in the fourth grade of SDN 1 Mulung on natural resource material. To provide effective, interesting, and fun learning for students, teachers, should use an interesting learning model.
Symbols that Transform: Trickster Nature in Detective Fiction
Authors: Rowland Susan
Published: July 2019

C. G. Jung's 1911 volume finds a home in the English edition of his Collected Works as Volume 5: Symbols of Transformation (1956). This paper will argue that Jung here offers insight into symbolism that can augment and expand his notion of symbol and myth as engines of psychic transformation. While Symbols of Transformation's subtitle, “An Analysis of the Prelude to a Case of Schizophrenia,” indicates a clinical approach, my paper will develop Jungian symbols and myth in a popular cultural form, detective fiction. It will show how detective fiction adopts the ancient trickster myth to generate symbols that re-shape modern consciousness in its relation to non-human nature.    The trickster myth itself has a possible antecedent in humans evolving through and with, the practice of hunting. For the modern urban person, detective fiction supplies the hunt and here the Jungian symbol demonstrates its potency for realigning both human nature, and humans and nature. As well as Jung, this paper draws on Lewis Hyde's remarkable Trickster Makes This World (1998) and offers case studies of two novels overtly attuned to hunting through the figure of the dog. These novels are Arthur Conan Doyle's The Hound of the Baskervilles (1902) and a recent creative response to it in Nevada Barr's Winter Study (2008) set among mythical and actual wolves.
Hermaphrodite as Healing Image:
Authors: Fidyk Alexandra
Published: July 2019

This exploration considers the question: What healing and transformation might these image-makers bring to education? Through hermeneutic tracking, a telling of the Greek myth of Hermaphrodite’s birth lays the background. Upon this scene, the alchemical process of psychological development is described wherein a bridge is made to the education and the ways that it might come to be informed through therapeutic practices. Here amplification of the images of Hermes and Aphrodite are traced to revision the ways teachers might embrace apeironic learning through a vibrant relationship to the child – Hermaphrodite, the inner child and the actual child in the classroom – and to move toward a more differentiated and androgynous consciousness. Tact, love, care, freedom, eros and the erotic play, embodiment, joy and ethics are some of the characteristics that appear as curative for education reimagined through mythic imagination.
Toni Morrison’s Beloved:
Authors: Martinez Inez
Published: July 2019

Toni Morrison’s Beloved explores how the American decision to enslave Africans was a failure in love affecting the love relationships between enslaved mothers and children, mates, and members of the free black community. Through focus on maternal infanticide, the novel makes conscious the slave mothers’ plight: since they could not offer their children lives in freedom, they experienced motherlove as “as a killer.” The concepts of cultural phantom, cultural shadow, and cultural complex help identify what in Beloved is being drawn from collective unconsciousness for purposes of collective healing. The following analysis distinguishes personal complexes, such as the protagonist’s negative mother complex, from cultural complexes, such as the guilt issuing from the structural impossibility of protecting ones children from slavery. Morrison’s giving conscious representation to the psychological legacy of slavery opens a possibility of increased psychological freedom for the African-American community. Further, because Beloved offers to American collective consciousness the understanding that enslaving people is a failure in love, it provides an opportunity for all Americans to help heal the American dream, making it more whole by enabling the rights to life, liberty, and equal justice for all through incorporating the ideal of love of one another.
Writing about War:
Authors: Rowland Susan
Published: July 2019

Arguably, in a time of war literature, and indeed all writing, is saturated with deep psychic responses to conflict. So that not only in literary genres such as epic and tragedy, but also in the novel and comedy, can writing about war be discerned. C.G. Jung,  Shakespeare and Lindsay Clarke are fundamentally writers of war who share allied literary strategies. Moreover, they diagnose similar origins to the malaise of a culture tending to war in the neglect of aspects of the feminine that patriarchy prefers to ignore. In repressing or evading the dark feminine, cultures as dissimilar as ancient Greece, the 21st century, Shakespeare's England and Jung's Europe prevent the healing energies of the conjunctio of masculine and feminine from stabilising an increasingly fragile consciousness. In the Troy novels of Clarke, Answer to Job by Jung and Much Ado About Nothing by Shakespeare, some attempt at spiritual nourishment is made through the writing.
Utilizing the Concept of the Shadow in Fiction Writing in order to Facilitate a Dialogue between Ego Consciousness and the Unconscious
Authors: Sonik Madeline
Published: July 2019

Utilizing the Concept of the Shadow in Fiction Writing in order to Facilitate a Dialogue between Ego Consciousness and the Unconscious
Through (With) the Looking Glass
Authors: Elias Karen
Published: July 2019

Through (With) the Looking Glass
Dampak stres akademik dan cyberloafing terhadap kecanduan smartphone
Authors: Hamrat Nacep , Hidayat Dede Rahmat , Sumantri Mohamad Syarif
Published: July 2019

The purpose of this study was to investigate the effect of academic stress and cyberloafing to smartphone addiction. For this purposed, we conducted a survey from 225 participants of post-graduate student at Universitas Negeri Jakarta. This study was used Structural Equation Modelling (SEM) to evaluate the structural model. The result showed that stress academic positively significant affected both smartphone addiction and cyberloafing. The effect of cyberloafing positively significant on smartphone addiction. Stress academic and cyberloafing simultaneously had a positive significant effect to smartphone addiction.
Konsep dan aplikasi konseling olahraga bagi atlet; peluang dan tantangan
Authors: Sin Tjung Hauw
Published: July 2019

The development of the world is now complex, problems are diverse, including in sports settings. The problem of athletes is more complex, not a few athletes who do not compete because of low self-management, unstable emotional control and even motivation and performance that are not optimal. Not to mention the condition of the relationship between athletes and athletes, athletes with coaches and even family problems that are Carrie away and affect psychological conditions during sparring in the field. The condition requires the existence of a special psychological companion for athletes, this condition makes the background of the need for sports counseling, a sports counselor can accompany the need for special personnel skilled and mastering the psychological concepts of athletes. This has become a new alternative for counselors in performing. Script will present the background of the need for sports counseling services, athlete’s problems, direction of sports counseling services and opportunities and challenges.