bluuebunny/crossref_metadata_2025 huggingface dataset:
Potensi Kepatuhan Pembayaran Pajak Pada Pelaku Industri Kecil Dan Menengah (IKM) Pasca Penerbitan PP NO. 23 Tahun 2018 (Studi Kasus pada IKM di Jombang)
Authors: Nur Wida Putri Rahmawati , Seno Aji Tony
Published: March 2020

PP Nomor 23 tahun 2018 merupakan kebijakan Pemerintah dalam perpajakan untuk pelaku usaha Industri Kecil dan Menengah. PP Nomor 23 tahun 2018 mengatur penurunan tarif pajak menjadi 0,5%. Berlaku sejak 1 juli 2018. Tujuan Penelitian ini adalah untuk mengetahau tingkat pemahaman pelaku usaha pada PP Nomor 23 tahun 2018 dan juga potensi kepatuhan pembayaran pajak pelaku usaha setelah adanya PP Nomor 23 tahun 2018. Penelitian ini menggunakan metode deskriptif kualitatif. Metode yang digunakan untuk menjabarkan dan membandingkan tingkat pemahaman para informan terhadap 5 poin dalam PP Nomor 23 tahun 2018, dan potensi menjadi Wajib Pajak yang patuh terhadap pembayaran pajak setelah adanya PP Nomor 23 tahun 2018. Hasil penelitian menunjukkan bahwa tingkat pemahaman pelaku usaha terhadap PP Nomor 23 tahun 2018 tidak berpotensi pada keputusan pelaku usaha untuk menjadi Wajib Pajak yang patuh dalam pembayaran pajak.
KEPEMIMPINAN, KOMITMEN, DAN BUDAYA ORGANISASI MEMPENGARUHI KINERJA KARYAWAN (Studi Kasus: PT.SUMRE1CON DI KOTA BALIKPAPAN
Authors: Ariani Misna Ariani
Published: March 2020

Abstract

 A good company or organization, will focus human resources, because it is expected to perform its function optimally, especially facing the dynamics of environmental changes that occur. Some successful companies or organizations have a leader who can manage and create effective and efficient human resources.

This study aims to prove and analyze the influence of Leadership, Commitment, and Organizational Culture on Employee Performance PT.Sumre1con in Balikpapan City. The analysis tools used are Multiple Linear Regression Test and Classic Assumption Test, Validity Test and Reliability Test.

In the multiple linear regression equation analysis, independent variables including Leadership (X1), Commitment (X2), Organization Culture (X3) together have a significant influence on Employee Performance (Y) PT.Sumre1con in Balikpapan City. This is evidenced by the magnitude of R square, R, and F-count> F-table. And leadership variables have a dominant influence on employee performance PT.Sumre1con in the city of Balikpapan, with t-count> t-table and at a significant level ? and the largest partial r-value from the other.
GAMBARAN KESELAMATAN DAN KESEHATAN KERJA DALAM PENGGUNAAN PESTISIDA PADA PETANI SAYUR DI KELURAHAN LAMARU BALIKPAPAN
Authors: Marlina Marlina , Ardi Indrawan
Published: March 2020

Kelurahan Lamaru merupakan salah satu kelurahan yang mayoritas penduduknya bermata pencaharian sebagai petani sayur, untuk meningkatkan hasil pertaniannya para petani selalu menggunakan pestisida kimia untuk mengurangi serangan hama. Pestisida berisi zat kimia berbahaya.penggunaan APD (Alat Pelindung Diri) dapat melindungi petani saat melakukan pencampuran dan penyemprotan pestisida. Penelitian ini bertujuan untuk mengetahui gambaran keselamatan dan kesehatan kerja dalam penggunaan pestisida pada petani sayur di Kelurahan Lamaru Balikpapan berdasarkan alat pelindung diri dan cara kerja penyemprotan.

Pada penelitian ini menggunakan metode kuantitatif dengan teknik sampel jenuh/total sampling. Metode pengambilan data dalam penelitian ini dilakukan dengan observasi menggunakan analisis univariat yakni yang memuat distribusi frekuensi untuk mendeskripsikan alat pelindung diri dan cara kerja. Dalam pemenuhan APD petani hanya dapat memakai beberapa APD yakni topi, baju lengan panjang dan celana panjang sehingga hal ini tidak sesuai dengan pemenuhan APD dan cara kerja karena tingkat pendidikan petani yang rendah menyebabkan kurangnya pengetahuan tentang bahaya pestisida dan petani bersentuhan langsung dengan pestisida tanpa memakai APD yang lengkap sehingga menyebabkan keracunan akut dengan efek lokal yakni gatal-gatal dan pusing saat penyemprotan dan setelah penyemprotan. Kesimpulan dari penelitian ini adalah terdapat gambaran keselamatan dan kesehatan kerja dalam penggunaan pestisida pada petani sayur di Kelompok Tani Mentari Jaya berdasarkan alat pelindung diri sebanyak 38% dan cara kerja sebanyak 57%.
ANALISIS PENERAPAN KESELAMATAN PELAYARAN PADA SPEEDBOAT DI ASTRA INFRA PORT EASTKAL PT PELABUHAN PENAJAM BANUA TAKA
Authors: Ardan Muhammad Fahrizal , Zainal Isradi
Published: March 2020

Penelitian ini bertujuan untuk mengetahui tingkat kesesuaian dan penyebab ketidaksesuaian penerapan keselamatan pelayaran yaitu life saving appliances speedboat Eastkal 01 di Astra Infra Port Eastkal PT Pelabuhan Penajam Banua Taka. Penelitian ini menggunakan metode kualitatif dengan pendekatan observasional yaitu mengetahui tingkat kesesuaian dan penyebab ketidaksesuaian penerapan keselamatan pelayaran yaitu life saving appliances dengan mengacu pada standar yang digunakan untuk menilai life saving appliances di speedboat Eastkal 01 jenis kapal penumpang atau passenger ship yang ditentukan berdasarkan SOLAS Consolidated Edition 2014, khususnya pada bagian III tentang Life Saving Appliances and Arrangments. Hasil penelitian ini menentukan bahwa penerapan keselamatan pelayaran pada speedboat Eastkal 01 di Astra Infra Port Eastkal PT Pelabuhan Penajam Banua Taka berdasarkan standar Safety of Life at Sea (SOLAS) sudah sangat sesuai untuk speedboat dengan berat kotor 21 GT dengan total jumlah penumpang yang diangkut sebanyak 30 penumpang dari sisi Life Saving Appliances yaitu personal life saving applaincenya, Visual Signal atau Distress Flare, Survival Craft dan Communication serta dari sisi pemeliharaan dan perawatan pada LSA untuk lebih menjamin keadaan LSA yang baik saat digunakan yaitu dilakukan 1 bulan sekali dan 1 tahun sekali untuk pemeliharaan dan perawatannya. Namun dalam penelitian ini terdapat atribut yang kurang pada personal life saving appliance yaitu lifejacket light salah satu pelengkap dari lifejacket yang belum diterapkan dan lifebuoy self activating smoke signal untuk lifebuoy sesuai dengan peraturan atau standar Safety of Life at Sea Chapter III tentang life saving appliances and arrangments dan Life Saving Appliance Code pada Chapter II dan drill atau latihan kedaruratan masih belum sering di lakukan oleh karyawan/i Eastkal.
Fibrin Glue Versus Autologous Serum for Conjunctival Autograft Fixation in Pterygium Surgery
Authors: Rafe Abdul , Naeem Saquib , Munawar Tariq
Published: March 2020

Purpose:  To compare the outcomes of conjunctival autograft fixation using autologous serum vs fibrin glue to cover the bare sclera in pterygium excision surgery.

Study Design:  Quasi experimental study.

Place and Duration of Study:  The study was conducted in Ophthalmology Department of CMH Kharian from April 2018 to November 2018.

Material and Methods:  Forty patients with primary pterygium were selected by convenient sampling technique. Patients with recurrent Pterygia and moderate to severe dry eyes, keratitis or secondary to trauma were excluded. The patients were divided into two groups, group A treated with fibrin glue and group B treated with autologous serum technique. All patients underwent pterygium excision under topical anaesthesia. The conjunctival autograft was removed from superior temporal bulbar conjunctiva to cover the scleral bed produced by pterygium excision. Post operatively the patients were followed-up for three months to assess the fixation or otherwise. Data was noted and analysed by using SPSS version 23.

Results:  The graft was taken-up nicely in most of the cases. The patients were followed up for three months after surgery. The frequency of graft lost in Group A and Group B was noted as n = 8 (40%) and n = 1 (5%), respectively (p = 0.008). The only other complication was recurrence of pterygium which was n = 5 (25%) and n = 3 (15%), in Group A and Group B, respectively (p = 0.429). No case of infection was noted.

Conclusion:  Fixation of conjunctival autograft with autologous serum is a safe and effective method and potential alternative of fibrin glue technique.
A Mirage of a dislocated lens in uveitis
Authors: Nadeem Sana , Naeem BA
Published: March 2020

We present a very strange case of a 44-year-old diabetic lady who presented with what appeared to be a cataractous lens dislocated in the anterior chamber of her left eye, following weight bearing, a week prior to presentation. The possibility of this being the lens became doubtful on slit lamp examination, as keratic precipitates and flare was noted bilaterally. Her pupil was miosed rendering posterior segment view extremely difficult. Subconjunctival mydriacaine and dexamethasone were given along with topical steroids and cycloplegics, which allowed a better view of the pupillary area, revealing a hint of a nuclear sclerotic cataract, very well in its natural anatomical location. This is a rare presentation of exudate in anterior uveitis presenting as a lens-like mass, producing such an illusion, as to completely baffle doctors regarding its diagnosis. The mass-like exudate subsequently diminished with topical therapy, and disappeared in around a week’s time. Both eyes are quiet at a five months follow-up.
Frequency Of Pseudophakic Glaucoma In A Tertiary Care Hospital Of Pakistan
Authors: Fasih Uzma , Shahid Erum , Shaikh Arshad
Published: March 2020

Purpose:  To evaluate the frequency, causes and management of pseudophakic glaucoma among the pseudophakic patients presenting in a tertiary care hospital of Pakistan.

Study Design:  Descriptive cross sectional study.

Place and Duration of Study:  Department of Ophthalmology, Abbasi Shaheed Hospital, Pakistan, from August 2017 to June 2018.

Material and Methods:  Adult patients between 50 to 70 years of age with pseudophakic glaucoma were included in the study by non-probability convenience sampling after institutional review board approval. Patients with primary open angle, primary angle closure, traumatic glaucoma, diabetes mellitus and hypertension were excluded. Pseudophakic glaucoma was labeled in case of cataract surgery with intraocular lens implantation and intraocular pressure > 21 mmHg or more in one eye along with glaucomatous optic disc or retinal nerve fiber layer defect on OCT (optical coherence tomography). Frequencies were computed for categorical variables. Data was analyzed on SPSS version 20.

Results:  Twenty-eight eyes with pseudophakic glaucoma were studied. There were 15 (53.57%) males. Mean age was 63 ± 10.4 SD years. Mean IOP was 30.78 ± 7.5 mm Hg. Patients with extracapsular cataract extraction were 18 (64.2%) and 10 (35.8%) had phacoemulsification. Most frequent cause was posterior capsular rupture (n = 16, 57.1%) followed by pupillary block, (n = 4, 14.2%) and UGH (n = 3, 10.7%). Medical treatment was successful in 20 (71.4%) and surgical treatment was done in 8 patients.

Conclusion:  Most common causes of pseudophakic glaucoma are posterior capsular rupture, vitreous loss, uveitis and pupillary block. Pseudophakic glaucoma is more common with anterior chamber intraocular lenses and extracapsular cataract extraction.
PHILOSOPHICAL KNOWLEDGE IS THE METHODOLOGICAL REGULATOR FOR THE DEVELOPMENT OF ALL DISCIPLINES
Authors: Muzaffar Umarovich Mamadaliev
Published: March 2020

The article depicts the nature of philosophic knowledge, their difference from the knowledge received from other subjects and its role in the process of formation of spiritually developed person.
KEY WORDS: Philosophical knowledge, natural knowledge, mysteries of the world, living education, intellectual eagerness, thinking absolutely, logical thinking, daily (ordinary) education (knowledge).
Notre revue Médecine Intensive Réanimation
Authors: Ritzenthaler Thomas , Schnell David
Published: March 2020

Chères lectrices, chers lecteurs,Au fil des années, la revue Médecine Intensive Réanimation a évolué avec notre spécialité en gardant pour principal objectif la formation continue des médecins intensivistes réanimateurs francophones. Cette année, elle franchit une nouvelle étape en devenant entièrement produite par notre société. Dès janvier 2020, Mme Juliette Berthoin, Responsable des Publications de la SRLF, assurera le secrétariat et le processus éditorial de la revue sous la houlette de M. Martin Lavillonnière, Directeur Administratif de la SRLF, fort de son expérience dans le domaine.
Building a Picture of Usage Patterns in a Language Learning Space: Gathering Useful Quantitative and Qualitative Data
Authors: Thornton Katherine , Noguchi Nao
Published: March 2020

While evaluation of a language learning space can be a difficult undertaking, it is possible to design evaluation instruments that both satisfy institutional demands for numeric data and also provide useful information that can be used to improve the space. This paper reports on the implementation, one quantitative and one qualitative, of two evaluation instruments at a small and relatively new self-access centre in Osaka, Japan. The area counting system gives rich data about how students are using the space, while the user experience survey provides much valued learner voices on different aspects of the space and its mission. Examples are given from the findings and how this data can be utilised to enhance the space itself.
Flaxseed Oil Augments Plasma Levels of Omentin but not Chemerin and Thromboxane B2 in Patients with Coronary Artery Disease: Preliminary Data from a Randomized Controlled Trial
Authors: Zahra Mollarasouli , Mohammad Alizadeh , Ali Golmohammadi , Sorayya Kheirouri , Sevda Saleh-Ghadimi
Published: March 2020

There is evidence that Omega-3 fatty acid attenuates the production of pro-inflammatory markers. This study sought to determine whether flaxseed oil supplementation reduces the production of selected adipocytokines and Thromboxane B2 involved in a pathogenesis coronary artery disease. In this clinical trial, 40 angiographically confirmed coronary artery disease patients were admitted to receive either flaxseed oil (n = 19) or placebo (n = 21) for ten consecutive weeks. The intervention group received 5 mL per day of flaxseed oil (containing 2.5 g of α-linolenic acid) emulsified in low (1.5%) cow milk while the placebo group received equivalent volume of the milk. The plasma levels of Omentin, Chemerin, and Thromboxane B2 were measured using enzyme-linked immunosorbent assay. The participants were 55.25 ± 7.25 years old. The supplementation resulted in remarkable increase in plasma levels of Omentin (0.31 vs. 0.07 ng/L, P = 0.023). However, levels of Chemerin and Thromboxane B2 concentration remained unchanged following the intervention (–0.08 vs. 0.04 ng/L, P = 0.827 and –0.15 vs. –0.05 pg/mL, P = 0.167, respectively). The findings suggest that Flaxseed oil is useful as an adjunctive therapy for management of adipose tissue-derived pro-inflammatory markers. This also warrants further studies to explore the underlying mechanisms involved in the anti-inflammatory properties of the supplement.
HARNESS FITTINGS OF 7th—6th CENTURIES BC IN THE TRANSCAUCASIA AND THE NEAR EAST
Authors: Makhortykh S. V.
Published: March 2020

The article is devoted to the analysis of different types of metal and bone harness fittings of VII—VI centuries BC which were found in the South Caucasus and the Near East. Among those fittings, which are constituted about 50 artifacts, two major groups could be distinguished: plain fittings of various geometric shapes and fittings with zoomorphic decorations. The latter group dominates and constitutes about 80 % of the total number of findings. The major regions of distribution of these horse harness attachments are Armenia and Turkey. The cylindrical harness fittings of the first type from the group 1 were the most widespread among the geometrical samples (8 items), while among the zoomorphic ones — claw-shaped, or beak-shaped objects of type 1 from the group 2 (19 items). It should be noted that the majority of the analyzed finds were found not in burial monuments, as in the Northern Caucasus and in the Ukrainian forest-steppe, but at settlements. The emergence of the tradition of manufacturing, as well as the widespread using of various types of harness fittings, and primarily the zoomorphic ones, to the South of the main Caucasian ridge, was the result of the staying and activity on this territory of the Scythians of the South of Eastern Europe. The main period of existence of strap-dividers in Transcaucasia and the Near East was the second half of the VII — the first half of the VI centuries BC.
ON THE BORDER OF THE STEPPE.THE SOUTHERN HILLFORT GROUP OF THE SCYTHIAN TIME OF THE DNIPRO-DONETSK FOREST-STEPPE
Authors: Kriutchenko O. O.
Published: March 2020

The structure of the fortified settlements enlargemented on the territory of the Dnipro-Don forest-steppe, starting from the middle-second half of the VI century BC. According to the results of the investigation of the Bilsk hillfort, the Perekipsky shaft in the Kharkiv region and settlements along the Muravsky path, we suggest that the functions of these fortifications were much wider than the protection of the inhabitants of the surrounding settlements. In this article we summarize the results of the investigation of the settlement group and burial fields that are located on the border of the steppe.

A developed system of the open settlements with ashes, which formed the separate groups, so-called bushes, appeared in this region in the Middle Scythian period. That were located in the upper reaches of small tides, among the ramified system of ravines near the watershed. The choice of that place was due to the convenient location for farming, in places free from the forest. At the same time there appered the first hillfort in the region — Chervonosivske.

A synchronous and concentrated system of stationary settlements were located around this hillfort. The hillfort had the simple defensive structure (protected by a shaft and a moat from the one side of the field). The Taranivske and Velykohomilshansky hillforts with the bushes of the open settlements appered in the V century BC. Likely, all settlements, except Korobovy Khutory were built in the Middle Scythian time. The site of these ancient settlements is protected along the perimeter with one line of fortifications. The number of settlements along the Muravsky path drastically decreased, in the Late Scythian time. The new settlements appered in the middle flows of tributaries (Novoselivka) and in floodplains of large river systems. As an question — the functioning of Chervonosovsky, Taranivsky and Velykohomilshansky hillforts in the IV century BC. The well-fortified hillfort Korobovy Khutory appeared in the final of V century BC. on the cape near the Siversky Donets.The traces of seasonal stands are recorded in the floodplain. The process proceeds in parallel with the infiltration in the steppe nomads in this region.
ANTIQUITIES OF THE III—I CENTURIES BC IN THE FOREST-STEPPE DONETS REGION
Authors: Pelyashenko K. Yu.
Published: March 2020

For the territory of the forest-steppe part of the river basin. Seversky Donets, as well as for the entire Dnepro-Donets Forest-Steppe as a whole, the period of the last three centuries BC is the least studied. First of all, this is due to a very limited range of archaeological sources. The article gives an analysis of materials relating to the III—I centuries. BC, obtained mostly as a result of the excavations of the author, involving a few previously known random finds. In addition to the single random finds found on the surface, the main array of artifacts associated with the period under consideration is presented in the materials of the excavation of the Tsirkuni settlement. It is still the only monument in the forest-steppe Donets region on which objects are found, which, according to the general context, can be dated to the last centuries BC. Among them are fragments of imported pottery ceramics, iron brooches, a hook, a petioled three-bladed arrowhead, several types of buckles, a bronze ring with rounded protrusions.

These findings allow us to talk about the continuation of life on some forest-steppe monuments of Scythian time in this period and only to suggest the ethnicity of new migrants in the territory, among which could be both late Scythians and Eastern nomads (late Sauromats, Sirmatians, Siraks).
KURGAN OF EARLY SСYTHIAN AGE IN KHARKIV REGION
Authors: Okatenko V. N. , Skory S. A. , Zymovets R. V.
Published: March 2020

The publication presents the results of excavations of the mound 4 of the Dushnovo group of large-scale graveyard of the Scythian time near the city Lyubotin, Kharkiv region (the Seversky Donets basin). It is important to emphasize that no one kurgan in this group was previously investigated by archaeologists.

Part of the embankment was seriously damaged by the local people’s economic activity, and before excavation it was a height of up to 0.90 m with a diameter of about 30 m.

In the course of works the remains of a square (4 Ч 4 m) original ground-based facility, with an in-depth foundation, which once had fence walls, were found under the embankment. The massive column-pillars, which originally frame the front of the building, were leaving the entrance to it free. The area around this object was lined with bark, and in the immediate vicinity there was a fairly large wooden platform.

Several items were preserved in the robbery track, in particular, fragments of stucco dishes of the early Scythian period (a pot, a bowl, a scoop), fragments of the light-loamy Miletus amphora.

The constructive feature of the structure and the preserved things make it possible to interpret this object as a sanctuary and date approximately not later than the end of VII century BC.
ON SOME PROBLEMS CONNECTED WITH SOURCES ON THE BEGINNINGS OF THE SCYTHIAN HISTORY
Authors: Medvedev A. P.
Published: March 2020

The subject of this article is the problem of correlation and verification of ancient literary sources and archaeological evidence with a view to reconstruct the history and culture of the early Scythians. The author analyzes the current state of affairs in cultural identification of the Cimmerians and the Scythians in Russian archaeological and historical science and shows drawbacks of the hypercritical approach to ancient literary sources on the basis of the early Greek tradition on the Cimmerians and the Scythians in the Northern Black Sea region. If we use the methods that have been recently used to analyze the Greek tradition on the Cimmerians, we will have to make a disappointing conclusion that not only the Cimmerians but also the Scythians in the Northern Black Sea region are virtually not mentioned for a period before the middle of the 5th century BC. The archaeological evidence can largely make up for the shortage of narrative sources on the Scythians. The author makes a conclusion that the «old» hypothesis about the arrival of the Scythians in the Black Sea region (based on the third Herodotus’ story) and replacement of the late pre-Scythian culture by the early Scythian one combines almost all known literary and archaeological evidence into a more consistent theory than the «new» approach offered in the 1990s and stating that the Cimmerians were bearers of the Early Scythian culture known only to the west of the Euphrates.
SOME PROPERTIES OF ADSORPTIVE CARBON DRESSING APPLICABLE TO QUESTIONS OF POSTOPERATIVE TREATMENT OF WOUNDS IN RATS WITH GUERIN CARCINOMA
Authors: Babchenko O. Yu. , Sakhno L. A. , Sarnatskaya V. V. , Yushko L. A. , Nikolaev V. G.
Published: March 2020

Abstract. Aim — еvaluation of the adsorptive potential of carbon dressing, including its activity towards microbial cells of clinical strains with high antimicrobial resistance, and its effect on the course of wound process after removing a massive tumor in Guerin's rats. Materials and Methods. Microbial cell adsorption of S. aureus, A. baumannii and K. Pneumoniae cultures were studied in vitro. Woundplanimetry, photo-monitoring, and odor control on a verbal rating scale were carried out to control the state of wounds. Results: 1-hour contact of cell cultures with adsorptive carbon dressing ensured the decrease in the number of bacterial cells by 60.6-96.3%.Theuse of dressing after removing the tumor permitted to stop quickly capillary bleeding, stop/reduce traumatic edema, lower the risk of infectingthe wounds under recurrence of carcinoma growth and increase the average lifespan of animals by 1.5 times. Conclusion: adsorptive carbon dressing with high adsorption potential can be considered asa promising application means for the prevention and treatment of wound infection.
APPLICATION OF THE METHOD OF NON-INVASIVE MONITORING OF THROAT WITH THE USE OF BIOMIMPEDANSOMETRY IN THE EMERGENCY MEDICINE
Authors: Zamiatin Petro , Shapov Pavlo , Tomashevskyi Roman , Kolisnyk Kostyantyn , Boyko Olena
Published: March 2020

Abstract. Possibilities of active non-invasive monitoring of blood loss in catastrophe medicine are considered in the work. As a method of monitoring the condition of the hematopoietic system of the victim, we have chosen bioimpandansometry, which allows to obtain information about the condition of the internal organs of the patient and filling them with blood non-invasively.
VIDEOTRACOSCOPIC INTERFERENCE WITH BULLOUS EMPHYSEMA COMPLICATED BY SPONTANEOUS PNEUMOTHORAX
Authors: Boyko V. V. , Gaft K. L. , Nakonechny E. V. , Shilina M. V.
Published: March 2020

Objective. To study the factors of a large number of relapses of spontaneous pneumothorax in bullous emphysema (BE) of the lungs and to improve the results of treatment of patients with various forms of BE with the help of developed methods.

Methods. The study is based on the study of the results of surgical treatment of 423 patients with different forms of BE, which used traditional and developed surgical tactics using patented methods for determining the elastic capacity of pulmonary tissue and autohemoplévoidosis as an integral component of radical surgical interventions.

Results. The use of developed surgical tactics using videotrakaskopicheskoy biopsy to further determine the destructive index in patients with different forms of BE has reduced the overall number of relapses from 18.8% in the comparison group to 5.1%.

Conclusion. Videotracoscopic biopsy with the definition of a destructive index allows to more objectively distribute FE in forms that allows to choose optimal surgical tactics.
EVALUATION OF THE EFFECTIVENESS OF TELEREHABILITATION AMONG GEORGIAN PATIENTS AFTER TOTAL ARTHROPLASTY HIP JOINT
Authors: Saganelidze H. , Shavgulidze M. , Lukhum C.
Published: March 2020

Summary. To achieve a good functional result, rehabilitation is a necessary component of the postoperative period for patients after total hip replacement.  In the Georgian healthcare system, rehabilitation treatment is not financed by insurance and a certain number of patients, after being discharged from the hospital, cannot afford to undergo a course at a rehabilitation center.  For such patients, we used virtual rehabilitation sessions with the help of Whatsapp or Waiber messengers, with a rehabilitologist who worked with patients in the hospital.  Sessions with a duration of 30-40 minutes were held 5 times a week, during the first month after discharge from the hospital.

The aim of this work is to evaluate the effectiveness of virtual rehabilitation, by comparing patients of 3 groups.  Group A, 56 patients (women-35, men -21, average age of the group 69.4 years), underwent a standard course of rehabilitation in specialized institutions.  Group B, 52 patients (women 33, men 19, the average age of the group 69.8 years) underwent a course of virtual rehabilitation.  Group C, 42 patients (women 26, men 16, the average age of the group 72.8 years) did not undergo rehabilitation.

The range of motion in the hip joint after hip replacement was estimated according to the M. D’Aubigne and M. Postel quantitative scale.  All patients were evaluated one month after surgery.

Virtual rehabilitation has proven effective. It can be especially important for developing countries.
ADVANTAGES OF USING MODIFIED LIFT TECHNIQUE FOR SURGICAL CORRECTION OF THE RIVER FURS
Authors: Firsik T. M.
Published: March 2020

Summary. The aim of the study was to compare and analyze the results of surgical treatment of patients with rectal fistulas by performing standard techniques and modified fistula ligation techniques.

Materials and methods: a retrospective study 55 patients who underwent surgical treatment for transfusion of the rectum between January 2017 and April 2019.  The patients were divided into two groups: 29 patients (52.7%) were operated by standard procedures, 26 patients (47.3%) underwent surgery using a modified fistula ligation technique.

Results. The use of standard techniques for surgical treatment of rectal fistula provided 86.2% satisfactory results.  However, in addition to disease recurrence, 6.8% of the development of anal sphincter insufficiency was recorded.  Using modified LIFT technology, 84.6% of successful operations were achieved.  There were no cases of sphincter apparatus failure.

Conclusions. Performing minimally invasive techniques for surgical correction of rectal fistula significantly reduces the risk of anal sphincter insufficiency in the postoperative period.
SURGICAL TREATMENT OF DAMAGES OF INTERNAL-TASK BODIES AND RETROPERITONEAL SPACE IN THE CONDITIONS OF MASSIVE HEMORRHAGE
Authors: Zamyatin P. M. , Miroshnichenko Yu. I. , Beresnev S. O. , Cheverda V. M. , Provar L. V. , Resurrection N. M.
Published: March 2020

Summary. The results of treatment of 108 patients with unstable fractures of the pelvic bones and internal organs lesions were provided for the period from 2009 to 2017, 56 of them were victims of the proposed tactic, which allowed to reduce the postoperative mortality by 17,3 %, the frequency of purulent-septic complications by 14,7 %.
TREATMENT-DIAGNOSTIC MEASURES FOR INJURY OF THE NECK
Authors: Syzyi M. Yu.
Published: March 2020

Summary. The article is devoted to the study of the urgent problem of neck injury and medical diagnostic tactics. Externally, a small wound on the neck can hide serious damage to deep structures and adjacent anatomical areas. In peacetime during neck injuries, it is necessary stick to the basic principles of surgery: all wounds are subject to primary surgical treatment with a thorough revision of the wound canal. The algorithm of therapeutic and diagnostic measures depends on the nature and severity of the damage, clinical symptoms, and related injuries that are life-threatening.
SYNTHETIC PATCH INFECTION IN CAROTID ENDARTERECTOMY
Authors: Pulyaeva I. S.
Published: March 2020

Aim. To define tactics of treatment of patients with infecting of synthetic patch after carotid endarterectomia(CEA).

Materials and methods. As a result of treatment of 123 patients with hemodynamically meaningful stenosises of carotids and/or presence of embolic plate in SI «Zaycev V.T. IGUS of NAMSU» from 2014 for 2018 51 CEA was executed with in seaming of patch. In 5 cases autove in used as a patch, at 46 patients were used synthetic patch. As a rule, this group was entered by patients with extensive stenosis (more than 2 cm) - 33 patients, patients with insufficient retrograde pressure and/or presence of neurological deficit in the period of crossclamping of internal carotid — 18 patients.

Results. The direct results of operation we estimated complex on the basis of degree of change of clinical status and presence of postoperative complications. At 43 patients in a postoperative period are not educed complications. At 8 patients an early postoperative period was complicated by bleeding from a patch, that demanded the repeated operative treatment. In two cases through 2 and 2,5 year, infecting of synthetic patch, that demanded urgent operative intervention as excision of synthetic patch and inseaming of autovein patch, was educed. To the patients control of passableness of carotids was executed through every 6 months Hemodynamically meaningful Restenilооm was observed in 3 cases at this group of patients.

Conclusion. At hemodynamically meaningful extensive stenosises of carotids and insufficient level of retrograde arteriotony it is necessary to execute CEA with inseaming of synthetic patch. In case of the repeated interference on a carotid careful hemostasis and antibacterial therapy allows to bring down the level of infectious complications.
PATHOMORPHOLOGICAL STRUCTURE OF INTRAHEPATIC DUCTS AND CHOLEDOCH IN PATIENTS WITH ACUTE AND CHRONIC CHOLANGITIS.
Authors: Maloshtan O. V. , Nekliudov A. O. , Smachylo R. M. , Tyschenko A. M. , Кlyosova М. О. , Volchenko O. V.
Published: March 2020

Abstract. The morphological status of bile duct cells was studied in patients with acute and chronic cholangitis at different terms of the disease.All patients (32) were divided into 4 groups: up to 5 days, 12-14 days, 28-30 days and 10-12 months. The control group included 12 patients without clinical manifestations of choledocholithiasis. Acute cholestasis is registered in the intrahepatic bile ducts, the maximal severity of which is on first two weeks. In the period of 28-30 days the residual phenomena of acute cholangitis and the growth of connective tissue in the duct walls and around them are registered. In patients with cholangitis, the largest changes in the wall of the choledochus are recorded in 3-5 days from the onset of the disease in the form of edema-desquamative and epithelium necrosis. On 12-14 days marked "attenuation" and demarcation of the inflammatory process, and on 28-30 there’s the appearance of connective tissue in the wall of the choledoch. Patients operated on for chronic recurrent cholangitis for 1 year are documented on the background of the development of choledoch stricture, cholestasis, cholangiosclerosis, and biliary cirrhosis, as a complication.
A CASE OF UTERINE PYOMYOMA IN COMBINATION WITH SECONDARY APPENDICITIS
Authors: Lazurenko V. V. , Safonov R. A. , Starkova I. V. , Lyashchenko O. A. , Goryanskiy A. S.
Published: March 2020

Abstract. Purpose. To demonstrate a rare clinical case of pyomyoma complicated by perforation and the development of secondary appendicitis

Materials and methods. The study involved clinical instrumental examination and surgical treatment of a woman with extragenital pathology, who presented in postmenopausal period with uterine leiomyoma modified into pyomyoma and hystero-appendicular fistula resulting in secondary appendicitis.

Results. Diagnosis of pyomyoma is difficult due to absence of pathognomonic symptoms and mimicking into a range of pathological conditions inherent to postmenopausal period. This complication of leiomyoma may result in spontaneous perforation of the uterus involving neighboring organs in the inflammatory process and the development of surgical diseases, particularly secondary appendicitis. 

Conclusions. In pyomyoma, even taking into account complications in the form of surgical diseases there is a possibility of performing laparoscopic surgical treatment of the required volume which gives a positive result.
PECULIARITIES OF BACTERIAL KERATITIS IN PATIENTS WITH DIABETES MELLITUS DEPENDING ON THE SEVERETY OF DIABETIC POLINEUROPATHY
Authors: Zavoloka O.V.
Published: March 2020

Summery. The dependence of the peculiarities of bacterial keratitis on the severity of DPN was proven with the help of 15 patients with type 1 diabetes mellitus. During all periods of observation, the severity of conjunctival hyperemia, the size of erosion and the threshold of corneal sensitivity at the stage of severe complications exceeded the corresponding indicators of patients with asymptomatic DPN. Normalization of conjunctival color in all patients with severe complications occurred at 8 days, and reepithelialization of the cornea 4 days later than in asymptomatic DPN. On the last 22nd day of observation, the corneal opacification of the peripheral localization remained in 33.3% of patients (2 patients) with the stage of severe complications, whereas in all patients with asymptomatic DPN the cornea was already transparent on the 14th day of observation. The threshold of corneal sensitivity at 22nd day in patients with severe complications was 35.3% higher than with asymptomatic DPN (p <0.05). So, patients with severe complications DPN with bacterial keratitis show a more pronounced violation of corneal innervation, which manifests by decrease of its sensitivity, and leads to prolongation of the duration of the disease.
SURGICAL METHODS OF TREATMENT OF CHRONIC DISTAL ISCHEMIA OF UPPER EXTREMITIES
Authors: Orlov A. G.
Published: March 2020

Summary. Introduction. Indications for operations on the arterial arc of the brush can bediagnosed distal thromboembolism, thrombosis and occlusion of the arteries with stored the main blood flow through the arteries of the forearm. Purpose of the study. Improve the treatment results for patients with chronic upper limb ischemia. Materials and methods. We have analyzed the result of the treatment of 64 patients with chronic arterial ischemia of the upper limbs. All interventions were performed under conduction anesthesia by interscalene brachial plexus block under ultrasound control. Results. Digital periarterial sympathectomy gives a pronounced long-lasting effect, it can be regarded as a method of choice in the treatment ucral ischemia of the hand. Direct intervention on arterial arch of hand in some cases allows to restore the main blood flow, which significantly improves treatment results. Data triplex scanning arterial arch of the hand and finger arteries and transcutaneous oximetry indicate the increase of linear blood flow velocity and decrease of the index of peripheral vascular resistance in all cases. Dynamics of evaluation of serum nitric oxide and VEGF in venous blood of the affected limb shows the increase of the studied parameters, confirming the effectiveness of sympathectomy to improve blood supply. Conclusions. Digital periarterial sympathectomy in Raynaud’s syndrome and obliterating atherosclerosis allows to achieve better treatment results than the rib sympathectomy.
PREDICTION OF THE DEVELOPMENT OF INSOLVENCY OF ANASTOMOSES ACCORDING TO THE LEVEL OF CRYOBILK
Authors: Timcheko M. E. , Ivanova Yu. V. , Gramatyuk S. M.
Published: March 2020

Abstract. The aim of the study was to create individualized surgical treatment tactics in patients who underwent anastomosing intestinal surgery using the express method for determining cryoglobulins. The study was based on a study of the results of treatment in 96 patients who underwent resection of segments of the small intestine with the formation of inter-intestinal anastomoses, in the SI «ZIGUS NAMSU» during the period from 2015 to 2018 years. Using a high-quality rapid method for the determination of cryoglobulinemia (CGE) during surgery can significantly affect surgical tactics: with a low level of cryobilk in blood serum, it can perform a resection of a segment of the small intestine with the formation of primary small intestinal anastomoses; when the level of cryobilk in blood serum is more than 80 mg / l, which corresponds to a positive rapid test for cryobilk, one should refrain from the formation of primary anastomoses, and use the tactics of the formation of “delayed” anastomoses, in severe general condition of patients (and a high level of CGE – more 600 mg/l) – also the formation of the final small intestinal stoma.
MODERN VIEWS FOR THE TREATMENT OF ACUTE UNCOMPLICATED APPENDICITIS: APPENDECTOMY OR ANTIBIOTICS?
Authors: Vashchuk V.V. , Andrushchenko V.P. , Khomchenko T.V. , Kyryk T.P.
Published: March 2020

Summary. The paper reviews the results of randomized controlled trials and meta-analysis data from comparisons of antibiotics and appendectomy in the treatment of acute uncomplicated appendicitis ) is carried. It has been shown that appendectomy remains in most cases the gold standard for the treatment of acute uncomplicated appendicitis is proved. At the same time, it is noted that in separate groups of patients with no risk of development of complications and / or with high operational risk in persons with critical violations of vital functions of the body, in case of impossibility to perform an operation, antibiotic therapy can be a highly effective and safe method of treatment is established. Preparations of choice are carbapenems (mepenes), fluoroquinolones III (levofloxacin) and metronidazos/ornizol is indicated.
PENGEMBANGAN MODEL PEMBELAJARAN MATEMATIKA BERBASIS BUDAYA MELALUI PERMAINAN TRADISIONAL JAWA
Authors: Oktafianti Riani Ika , Purwoko Riawan Yudi , Astuti Erni Puji
Published: March 2020

The purpose of this study was to develop a culture-based mathematics learning model through traditional Javanese games and find out the feasibility so that it could be used for elementary school students. This development research uses the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation). Through these stages of development, it  produce culture-based mathematics learning model through traditional Javanese games products with the main products in the form of model books, student books, teacher books, syllabus, lesson plans, and student worksheets. The research subjects were 19 fourth grade students at Klegenwonosari Elementary School. The data collection techniques in this study were carried out test and non-test. The data analysis technique in this study was in scores and percentages. Starting from the needs analysis of learning models, culture-based needs analysis, and curriculum analysis it is known that the use of mathematical learning models through traditional games has been done but outside learning, students were lack of knowledge about the traditional Javanese culture games that were Gobag Sodor and Engklek. Based on the results of the study, the mathematical learning model through traditional Javanese games fulfills the valid criteria with an average score of 3.79 from the model expert's assessment. Fulfill the effective criteria by obtaining the results of completeness of students 84.21% and get very positive students responses with a percentage of 90.90%. Therefore, Culture-based Mathmatics learning model through traditional Javanese games is suitable for elementary students. Keywords: traditional Javanes games, mathematics models, ethnomatematics
ANALISIS KEMAMPUAN BERPIKIR TINGKAT TINGGI PADA SISWA INTROVERT DALAM MENYELESAIKAN MASALAH MATEMATIKA
Authors: Sangadah Nur Laeli , Sukarmi Sukarmi
Published: March 2020

Penelitian ini bertujuan untuk mengetahui kemampuan berpikir tingkat tinggi pada siswa introvert dalam menyelesaikan masalah matematika. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi. Subjek penelitian ini adalah siswa kelas VIII A SMPN 2 Sruweng tahun pelajaran 2018/2019 berjumlah 2 siswa dengan teknik pengambilan subjek menggunakan purposive. Teknik pengumpulan data menggunakan 3 metode yaitu tes penyelesaian masalah matematika, catatan lapangan dan wawancara. Instrumen penelitian dalam penelitian ini adalah peneliti, tes penyelesaian masalah matematika dan pedoman wawancara. Teknik analisis data menggunakan model Miles dan Huberman yang meliputi tiga langkah yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian yaitu menunjukkan kemampuan berpikir tingkat tinggi siswa introvert pada aspek menganalisis mampu menguraikan informasi dan menggunakan strategi yang tepat sehingga memperoleh suatu jawaban yang benar. Kemudian, pada aspek mengevaluasi mampu menilai dan menarik sebuah pendapat atas keputusan yang diperoleh dari hasil menyelesaian soal
Analisis Semiotika pada Cover Majalah Tempo Edisi 4 - 11 Juni 2018
Authors: Nugroho Abraham Akbar
Published: March 2020

Dalam sebuah majalah, penempatan tata letak menjadi hal yang paling diperhatikan. Karena majalah memiliki ruang yang lebih banyak untuk gambar dan foto. Sehingga gambar atau foto bisa mewakili isi dari berita atau informasi yang disampaikan. Sebuah foto pada majalah haruslah memiliki keterangan untuk memperjelas foto tersebut. Selain isi dengan tata letak yang menarik, sesuatu yang menjadin perhatian pada majalah adalah covernya. Didalam penelitian ini, penulis menggunakan metode penelitian kualitatif dengan metode pendekatan semiotika. Semiotika Charles Sanders Pierce, maka tanda-tanda dalam gambar dapat dilihat dari jenis tanda yang digolongkan dalam semiotik. Diantaranya: ikon, indeks dan simbol. Hasilnya setiap elemen yang terdapat di dalam cover tersebut menghasilkan makna yang dapat dipahami oleh siapa saja yang membacanya. Karena pada setiap foto yang diilustrasikan dengan gambar dari setiap tokoh yang berada di dalamnya. Sedangkan untuk tanda-tanda lainnya yang berada didalamnya juga dibahas berdasarkan pemaknaan dan fungsi dari penggunaannya.
Dakwah Intraktif Kultural Emha Ainun Nadjib
Authors: Rio Febriannur Rachman
Published: March 2020

Emha Ainun Nadjib atau Cak Nun merupakan salah satu intelektual muslim Indonesia yang sudah menerbitkan buku-buku best seller maupun berceramah di banyak tempat di dalam maupun luar negeri. Metode dakwah yang dilakukan Cak Nun sukses membuatnya disukai banyak kalangan di masyarakat. Cak Nun menerapkan teknik komunikasi interaktif dan pendekatan kultural sehingga  apa yang dia sampaikan bisa diterima oleh publik. Cak Nun membangun keakraban sehingga para pendengar merasa memiliki ikatan emosional dengannya. Aktifitas dakwah Cak Nun melalui forum Maiyah telah dilakukan selama bertahun-tahun dengan jumlah pendengar yang semakin berkembang. Materi ceramahnya menyentuh banyak topik dengan tidak meninggalkan muatan religiositas. Hingga saat ini, platform yang digunakan tidak hanya offline, namun juga diperkuat melalui website www.caknun.com yang terkoneksi dengan kanal youtube. Dokumentasi kegiatan dakwah tidak hanya dilakukan website resminya, namun juga oleh pihak-pihak lain yang merasa perlu menyimpan dan menyebarkan konten dakwah yang disampaikan melalui media sosial.
Kekerasan Verbal dalam Program Televisi “Rumah Uya” di Trans 7
Authors: Badrus Sholeh
Published: March 2020

Program acara televisi Rumah Uya Trans 7 merupakan tayangan talkshow yang menayangkan tentang penyelesaian masalah orang – orang yang berseteru sebagai narasumber program ini. Dalam proses penayangannya terkadang program ini menampilkan kekerasan verbal atau konflik antar narasumber yang di datangkan. Program televisi Rumah Uya Trans 7 juga beberapa kali mendapat teguran dari KPI, diantaranya pada tayangannya pada tanggal 19 Oktober 2017 menayangkan dua orang perempuan yang bertengkar karena saling mengaku  sebagai pasangan seorang pria, jenis pelanggaran ini dikategorikan sebagai pelanggaran atas kewajiban program siaran untuk menghormati hak privasi dalam kehidupan pribadi objek siaran. Adapun tujuan dalam penelitian ini adalah untuk mengetahui bagaimana kekerasan verbal yang terjadi pada program televisi Rumah Uya Trans7 Episode tanggal 17 s/d 28 Oktober 2017. Penelitian ini menggunakan metode Analisis Isi kuantitatif dengan teknik pengumpulan data dengan mengunduh video tayangan Rumah Uya Trans7 di Youtube kemudian di analisis.

Berdasarkan hasil penelitian yang dilakukan terjadi sebanyak 346 kekerasan verbal muncul dalam tayangan diteliti yaitu sebanyak 10 Episode penayangan. Dari keseluruhan episode yang diteliti, kekerasan verbal secara membentak mendominasi dengan 257 kali atau 74,28% secara keseluruhan. Kekerasan verbal secara menghina mendapatkan porsi kedua terbesar dengan frekuensi kemunculan sebanyak 34 kali atau 9,83% secara keseluruhan. Kekerasan verbal secara memaki terjadi sebanyak 30 kali atau 8,67% secara keseluruhan. Selanjutnya kekerasan verbal secara memaksa, tingkat kemunculannya sebesar 19 kali atau 5,49% secara keseluruhan. Adapun kekerasan verbal secara mengancam memiliki frekuensi kemunculan terkecil yaitu sebanyak 6 kali atau 1,73% secara keseluruhan.