bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of the welfare of laying hens, broiler chickens and turkeys in terms of bird health as surveyed during inspection in slaughterhouses
Authors: Večerková Lenka , Voslářová Eva , Večerek Vladimír
Published: July 2019

During the period 2010–2017 we monitored 17 346 183 laying hens, 887 994 167 broiler chickens and 919 843 turkeys slaughtered at slaughterhouses in the Czech Republic. In cooperation with the State Veterinary Administration, we recorded findings detected in slaughtered birds within thepost mortemveterinary inspection. We analysed the total number of patho-anatomical findings (of intravital origin) and the number of findings divided into acute, chronic and traumatic diseases. In hens, the total ratio of the number of patho-anatomical intravital findings to the number of slaughtered birds (index) was found to be 0.378. This index of the incidence of patho-anatomical findings in hens was higher (P< 0.001) than that found in broilers (0.016) and turkeys (0.101). The prevailing findings in hens were chronic changes (26.32%), followed by acute changes (5.29%), but also notable were traumatic changes (3.90%). Compared to the findings in broilers which were divided into chronic (0.34%), acute (0.10%) and traumatic diseases (0.02%) and turkey findings which were broken down into chronic (7.60%), acute (0.16%) and traumatic diseases (0.33%), the findings of acute, chronic and traumatic diseases were higher (P< 0.001) in hens than in broilers and turkeys. These findings show that the health condition and hence the welfare of laying hens as reflected in the patho-anatomical findings during the veterinary inspection of slaughtered birds is significantly worse than the health condition of broilers and turkeys. This demonstrates the need for increased care for laying hens both on farms and in transit to the slaughterhouse.
FEATURES OF THE ORGANIZATION OF CLINICAL TRIALS OF NARCOTIC DRUGS IN RUSSIA
Authors: Gildeeva G. N. , Ezhova E. A. , Butuzova D. V. , Mishchenko N. L. , Yurkov V. Y. , Teteneva A. V. , Ageeva T. S.
Published: July 2019

The problem of ensuring the necessary level of availability of narcotic drugs (NLP) in the Russian Federation, especially in the framework of palliative medical care for oncological patients is the area of special and constant attention of the Government and civil society. Recently, a number of necessary changes of the legislation aimed at simplifying the procedures for prescribing and issuing NLP have been introduced, and the possibility of optimizing the rules for their storage and accounting as well as improving the methods for calculating the needs for such drugs are being actively discussed.As part of the import substitution program in Russia, the new dosage forms for NLP are under development. Such process is accompanied by clinical studies with a number of features that take into account the specific chemical composition of finished products.
CARDIAC CONTRACTILITY MODULATION IN HEART FAILURE PATIENTS. FUNDAMENTAL MECHANISMS AND CLINICAL RESULTS
Authors: Ryabov I. A. , Chichkova T. Yu. , Mamchur S. E. , Khomenko E. A.
Published: July 2019

This review highlights the preclinical and clinical data about a relatively new electrophysiological method for chronic heart failure (CHF) treatment, cardiac contractility modulation (CCM). The review presents efficacy and safety data. An updated information about the capability of CCM to influence the molecular genetic apparatus of the cardiomyocytes is proposed. In addition, the review assesses prospects for application of CCM as a tool for reverse cardiac remodeling in patients with CHF.
EFFICACY OF ATRIAL FIBRILLATION DETECTION IN CRYPTOGENIC STROKE ACCORDING TO DATA OF IMPLANTABLE LOOP RECORDERS: PILOT STUDY
Authors: Mamchur S. E. , Ivanitskiy E. A. , Polikutina O. M. , Chichkova T. Yu. , Mamchur I. N. , Romanova M. P. , Khomenko E. A.
Published: July 2019

Aim. To estimate the efficacy of invasive and non-invasive long-term ECG monitoring in comparison with conventional follow-up for the detection of silent atrial fibrillation (AF)/atrial flutter (AFL)/atrial tachycardia (AT) in patients with a cryptogenic stroke.Methods. The randomized, prospective, two-center study enrolled 36 patients who suffered cryptogenic stroke (CS) or transient ischemic attack (TIA) without past history of AF/AFL/AT. Patients were randomized in a 1:1:1 ratio to one of the three ECG monitoring strategies: standard arrhythmia monitoring (group I, n=12), ECG-monitoring with implantable loop recorder (group II, n=12), and ambulatory noninvasive ECG monitoring (group III, n=12). The primary endpoint was the time to the first detection of AF/AFL/AT. Patients, assigned to the group I, underwent an assessment at scheduled and unscheduled visits and received ambulatory ECG monitoring 28 days and 1 year after randomization. Patients in the group II underwent implantation of Reveal XT (Medtronic, USA) with the daily remote data transmission to CareLink Network. In the group III, for long-term external monitoring, Spyder system (WEB Biotechnology, Singapore) was used for up to 28 days.Results. During the first 28 days of observation, there were no significant differences in AF detection rates between groups I, II, and III: 0 (0%), 1 (8%), and 2 (17%) cases, respectively, р=0.537. During the year of observation, AF/AFL/AT episodes were detected in 1 case (8%) in the group I, 6 cases (50%) in the group II, and 2 cases (17%) in the group III, p=0.0486. The mean time from enrollment into the study to detection of the first AF/AFL/AT episode was 67 days (15; 97) in all groups. In the groups II and III, the first arrhythmia episodes were detected by monitoring devices on days 24 and 6, respectively. In most cases, arrhythmia episodes detected by long-term monitoring were asymptomatic. Recurrent stroke or TIA events occurred in group I and III (1 case in each group), but not in the group with implantable cardiac monitors. Subgroup analysis showed that significantly higher AF/AFL/AT detection rate was associated with stroke, CHA2DS2VASc score ≥2, and the presence of hypertension. For the 12 months of follow-up, the mean AF burden in the group II was 0.4 (0.2; 0.5) hours per day (1.6%). In the patients with recurrent stroke, AF burden was 3.2% compared to 0.9% in the rest of patients.Conclusion. Detection of silent AF with implantable cardiac monitors is superior to standard and long-term external monitoring in cryptogenic stroke patients.
ATRIAL FIBRILLATION IN CLINICAL PRACTICE: DEFECTS OF ECG INTERPRETATION
Authors: Khorkova N. Yu. , Kharats V. E. , Gizatulina T. P. , Khrushcheva O. A.
Published: July 2019

The article focuses on the defects of diagnosing atrial fibrillation in clinical practice. A series of clinical cases suggesting ECGbased overdiagnosis of atrial fibrillation and associated unreasonable therapy with oral anticoagulants is presented.
Analisis Nilai Kejujuran dalam Permainan Tatarucingan
Authors: Noviati Pupung Rahayu , Giwangsa Sendi Fauzi
Published: July 2019

AbstractThe purpose of this study is to analyze the play of tatarucingan, both related to the form of tatarucingan games, how to play the game of tatarucingan, the values contained in the game of tatarucingan and the implementation of honesty values in basic education. The method used in this study uses descriptive analytical methods. The result of this study is that tatarucingan game is an existing game that has been played by two or more people both by women and men. The value of honesty is in the activity when playing tatarucingan games. Keywords: Honesty Value, Tatarucingan Game.  AbstrakTujuan penelitian ini untuk menganalisis permainan tatarucingan, baik yang berkaitan dengan bentuk permainan tatarucingan, cara memainkan permainan tatarucingan, nilai-nilai yang terkandung dalam permainan tatarucingan serta implementasi nilai kejujuran dalam pendidikan dasar. Metode yang digunakan dalam penelitian ini menggunakan metode deskriptif analitik. Hasil dari penelitian ini adalah permainan tatarucingan merupakan permainan yang sudah ada sejak dulu yang dimainkan oleh dua orang atau lebih baik oleh perempuan maupun laki-laki. Nilai kejujuran terdapat dalam aktivitas ketika memainkan permainan tatarucingan. Kata Kunci: Nilai Kejujuran, Permainan Tatarucingan.
POTENSI EKSTRAK BUAH KECIPIR (Psophocarpus tetragonolobus (L.) DC.) SEBAGAI ANTIOSTEOPOROSIS DENGAN PARAMETER PENINGKATAN ALKALIN FOSFATASE PADA TIKUS WISTAR BETINA YANG DIINDUKSI DEKSAMETASON
Authors: Nurmala Nurmala , Lestari Fetri , Choesrina Ratu
Published: July 2019

Kecipir (Psophocarpus tetragonolobus (L.) DC.) merupakan tanaman polong-polongan (Fabaceae) yang mengandung fitoestrogen, berperan dalam mencegah kehilangan massa tulang akibat defisiensi estrogen. Penelitian ini bertujuan untuk mengetahui aktivitas ekstrak etanol buah kecipir sebagai antiosteoporosis berdasarkan kadar ALP (Alkaline phosphatase) plasma pada tikus yang diinduksi deksametason. Tikus dikelompokkan menjadi tiga kelompok yaitu kontrol positif, kontrol negatif dan kelompok uji (ekstrak dosis 500 mg/kg BB). Kelompok kontrol positif dan kelompok uji diberi induksi deksametason 0,1 mg/kg BB. Pemberian induksi dilakukan selama 29 hari, dan pemberian sediaan uji untuk kelompok uji dilakukan selama 18 hari. Pengukuran kadar ALP dilakukan sebanyak tiga kali yaitu ALP awal, ALP pascainduksi dan ALP pascaterapi. Keberhasilan induksi osteoporosis ditandai dengan adanya penurunan kadar ALP pascainduksi dibandingkan kadar ALP awal. Keberhasilan terapi ditandai dengan adanya peningkatan kadar ALP  pascaterapi dibandingkan kadar ALP pascainduksi. Berdasarkan adanya peningkatan kadar ALP plasma pascaterapi pada kelompok uji menunjukkan bahwa ekstrak etanol buah kecipir dosis 500 mg/kg BB berpotensi sebagai antiosteoporosis.Kata Kunci: buah kecipir (Psophocarpus tetragonolobus), antiosteoporosis, ALP (Alkaline phosphatase), fitoestrogen.
Isolasi Glukosamin Dari Eksoskeleton Kecoa Madagaskar (Gromphadorhina portentosa)
Authors: Permanasari Fairuz Rifdah , Maulana Indra Topik , Syafnir Livia
Published: July 2019

Pendahuluan: Kecoa Madagaskar (Gromphadorhina portentosa) merupakan salah satu jenis kecoa yang banyak dimanfaatkan sebagai pakan burung,ikan arwana, tarantula dll. Kecoa ini berukuran lebih besar, tidak memiliki sayap, tidak berbau, jinak, dan bergerak lambat. Eksoskeleton kecoa Madagaskar mengandung senyawa kitin yang berpotensi untuk dijadikan sumber glukosamin yang bermanfaat dalam produksi cairan synovial serta mencegah destruksi tulang. Tujuan penelitian ini adalah menghasilkan glukosamin dari eksoskeleton kecoa Madagaskar. Metode Penelitian: Glukosamin diperoleh melalui proses deproteinasi, demineralisasi, deasetilasi yang kemudian dilanjutkan dengan proses hidrolisis kimiawi dengan HCl 32%. Kesimpulan Hasil: Rendemen glukosamin yang dihasilkan adalah sebesar 22,16%  dengan nilai LoD 0,917%. Spektrum FTIR menunjukkan adanya pita serapan pada daerah NH, OH, C-N, C-H, C-O, gugus Amina Sekunder, dan Glikosida
KOMUNIKASI PEREMPUAN DALAM KELUARGA BERPOLIGAMI
Authors: Suryandari Nikmah
Published: July 2019

Fenomena poligami menjadi polemik dalam negara timur, seperti Indonesia. Sebagai negara mayoritas muslim Indonesia mengenal dua sistem dalam berkeluarga, yaitu sistem monogami dan poligami. Pernikahan di Madura tidak jauh berbeda dengan sistem pernikahan tradisional di daerah lain. Praktek poligami pada mulanya hanya dilakukan oleh laki-laki Madura yang memiliki jabatan atau memiliki materi lebih, seperti tokoh agama, pejabat, atau seorang blater yang berpengaruh dalam lingkungan masyarakat. Namun praktik poligami yang terjadi belakangan ini dilakukan pula oleh laki-laki Madura yang tidak berkecukupan secara materi. Dengan kondisi diatas, fenomena praktek poligami di Bangkalan Madura dapat diibaratkan seperti fenomena gunung es. Masalah dalam penelitian ini adalah bagaimana komunikasi perempuan dalam keluarga berpoligami di Bangkalan Madura? Penelitian ini menggunakan paradigma konstruktivis dengan jenis penelitian kualitatif deskriptif. Pengumpulan data ini menggunakan wawancara mendalam (depth interviews) , observasi partisipan.
Developing English Materials for Students with Visual Impairment at Language Development Center (P2B) State Islamic University (UIN) Sunan Kalijaga
Authors: Putri Dharmasanti Rawidya
Published: July 2019

AbstractThe research starts from the necessity of the visual impairment students to have their own and specific media to learn due to their disability condition. The research is conducted in State Islamic University Sunan Kalijaga Yogyakarta as one of the inclusive university in Indonesia. The research involves four visual impairment students who learn English subject together with another non-visual impairment student in Class P academic year 2014/2015. The development of the English materials involves the conduct of need analysis to know the need of the topic of English subject. This study belongs to Research and Development (R&D). in which educational R & D is a process used to develop and validate educational products. The result of the study is the need analysis itself and the development of the English material based on the need analysis. Keywords: Development of Materials, Need Analysis, and Inclusive Education.AbstrakPenelitian ini berawal dari kebutuhan mahasiswa tuna netra tersebut untuk memiliki media pembelajaran Bahasa Inggris sendiri yang sesuai dengan kondisi disabilitas mereka. Penelitian ini dilakukan di Universitas Islam Negeri Sunan Kalijaga Yogyakarta yang merupakan universitas inklusi di Yogyakarta. Penelitiuan ini melibatkan empat mahasiswa tuna netra yang belajar Bahasa Inggris bersama-sama dengan mahasiswa non disabilitas di Kelas P tahun ajaran 2014/2015. Pengembangan modul Bahasa Inggris ini menggunakan analisis kebutuhan untuk mengetahui topic atau tema apa saja yang dibutuhkan mahasiswa tuna netra dalam pembelajaran Bahasa Inggris. Penelitian ini termasuk dalam bidang Pengembangan dan Penelitian untuk mengembangkan dan memvalidasi sebuah produk pendidikan. Hasil penelitian berupa analisis kebutuhan dan modul pembelajaran Bahasa Inggris untuk mahasiswa tuna netra di Universitas Islam Negeri Sunan Kalijaga Yogyakarta.Kata Kunci: Pengembangan Modul, Analisis Kebutuhan, Pendidikan Inklusi.
Pendidikan Agama Islam Berperspektif Multikultural (Studi di Sekolah Dasar Tumbuh 1 Yogyakarta)
Authors: Ashadi Willi
Published: July 2019

AbstractThis study aims to describe the practice of multicultural Islamic religious education in SD Tumbuh 1 Yogyakarta and its output on the establishment of inclusive and tolerant attitude among students. The results of this study show that the model of learning of Islamic religious education in SD Tumbuh 1 Yogyakarta is inclusive and multicultural. The material of Islamic religious education in SD Tumbuh 1 Yogyakarta emphasizes on universal Islamic values (rahmatān lil 'alamīn). In terms of teaching and learning methods, Islamic religious education teachers are not only fixated on one method, but incorporate various methods. Similarly, the use of media of learning is quite diverse. The evaluation is not only based on cognitive aspect, but also affective and psychomotor aspects. The learning output of Islamic religious education in SD Tumbuh 1 Yogyakarta is able to create student's inclusive thinking. They are very appreciative and tolerant towards other faiths. Keywords: Islamic Religious Education, Multicultural, Inclusive, Tolerant. AbstrakPenelitian ini bertujuan mendeskripsikan praktik pendidikan agama Islam berperspektif multikultural di SD Tumbuh 1 Yogyakarta dan output-nya terhadap pembentukan sikap inklusif dan toleran di kalangan siswa. Hasil penelitian ini menunjukkan bahwa model pembelajaran pendidikan agama Islam di SD Tumbuh 1 Yogyakarta bercorak inklusif dan multikulturalis. Materi pendidikan agama Islam di SD Tumbuh 1 Yogyakarta lebih banyak menekankan nilai-nilai Islam yang universal (rahmatān lil ‘alamīn). Dari sisi metode pengajaran dan pembelajaran, guru pendidikan agama Islam tidak hanya terpaku pada satu metode saja, namun menggabungkan beragam metode. Demikian juga dengan penggunaan media pembelajaran yang cukup beragam. Sementara dari sisi evaluasi, tidak hanya didasarkan pada aspek kognitif semata, namun juga mencakup aspek afektif dan psikomotorik. Output pembelajaran pendidikan agama Islam di SD Tumbuh 1 Yogyakarta mampu membentuk pola pikir inklusif siswa. Siswa sangat apresiatif dan toleran terhadap pemeluk agama lain.  Kata kunci: Pendidikan Agama Islam, Multikultural, Inklusif, Toleran.
Membangun Karakter Bangsa Melalui Implementasi Pendidikan Karakter Islami Dalam Keluarga
Authors: Hakim Alif Lukmanul
Published: July 2019

AbstractThis article describes the significance and urgency of the implementation of Islamic character education and its contribution in building the character of the nation. Especially when this nation is faced in an era of globalization that brings consequences. One of the negative consequences is the decline of moral values. Indonesian Muslim community can choose and sort the culture that is by Islamic teaching and national identity. Indonesian Muslims are expected to have moral quality and integrity, so as to bring Indonesia to be a dignified and developed nation. In this context, the family as the first educational institution plays an important role in creating a good generation. Implementation of Islamic character education at the family level can be done by teaching children to Islamic behavior such as work ethic, honesty, and so on.Keywords: National Character, Islamic, and Family.  Abstrak Artikel ini memaparkan tentang signifikansi dan urgensi implementasi pendidikan karakter Islami serta kontribusinya dalam membangun karakter bangsa. Saat ini bangsa ini dihadapkan pada era globalisasi yang membawa konsekuensi. Salah satu konsekuensi negatifnya adalah melunturnya nilai-nilai moralitas. Masyarakat Muslim Indonesia dituntut dapat memilih dan memilah budaya yang sesuai dengan ajaran Islam dan jati diri bangsa. Muslim Indonesia diharapkan memiliki kualitas dan integritas moral yang kokoh, sehingga mampu membawa bangsa Indonesia menjadi bangsa yang maju dan bermartabat. Dalam konteks inilah, keluarga sebagai institusi pendidikan pertama memainkan peran penting dan sentral dalam melahirkan generasi bangsa yang berkarakter. Implementasi karakter pendidikan Islami di level keluarga dapat dilakukan dengan mengajarkan anak pada prilaku Islami seperti etos kerja, jujur, dan sebagainya. Kata kunci: Karakter Bangsa, Islami, dan Keluarga.
Del teatro al cine: sobre el concepto de adaptación y sus transformaciones
Authors: Gómez García Iván
Published: July 2019

From the origins of cinema, the relationship between theater and the moving image has been persistent. It has also been problematic in several ways. Theatre seemed a particularly suitable medium to provide film with plots, as well as actors and a sense of staging. The two media proximity has caused many misunderstandings and not a few headaches to writers, producers and film directors. The aim of this article is to trace different options for film adaptations of theatrical texts and also to understand the problems posed in several films by Orson Welles, Roman Polanski, Louis Malle, Peter Brook, and Ingmar Bergman.
El teatro áureo en la pantalla: estrategias de cinematización del monólogo (I)
Authors: Trecca Simone
Published: July 2019

The purpose of this essay is to propose, through some significant examples, a model of study of film rewriting strategies of Spanish Golden Age drama, starting with monologues modalities of adaptation. After a methodological introduction, the study will focus on appropriation tactics of two famous female monologues, taken from Lope de Vega’s Fuente Ovejuna and Calderón de la Barca’s El alcalde de Zalamea.
La dama duende prohibida: la censura de la película argentina en la España franquista
Authors: Pucciarelli Tiziana
Published: July 2019

This article brings to light censorship documents about Argentinian film La dama duende (1945) that is preserved in the Archivo General de la Administración of Alcalá de Henares, files number 9425 and 9426. Censors opinions clarify the reasons for its prohibition and provide new information about the film.
«Don Juan, ¿español?». Sobre la españolidad en Don Juan de José Luis Sáenz de Heredia
Authors: Elder Cayce
Published: July 2019

Although Franco-era film adaptations of the Spanish comedia are often dismissed as propaganda due to the regime’s broader ideological use of the Golden Age to promote ‘traditional’ Spanish values, this essay suggests that these films merit closer scrutiny. Saenz de Heredia’s 1950 film Don Juan is both a response to Hollywood’s Adventures of Don Juan (Vincent Sherman, 1948) and a narrative film that, while reclaiming the Don Juan legend as Spanish cultural patrimony, reveals inherent contradictions and flaws in Franco’s idea of Spain and Spanishness. Superficially, it is ideologically orthodox, but closer examination reveals how the film is symptomatic of defects in Franco’s projected vision of Spain.
El teatro áureo en la gran pantalla:Menos es másde Pascal Jongen yEl desdén con el desdénde Moreto
Authors: Vaccari Debora
Published: July 2019

This article analises the relationship between the filmMenos es más(2000) andEl desdén con el desdén(1651-52), a comedia by Agustín Moreto. The film adaptation uses a theatrical text by making a series of changes in order to reach a new target, teenager viewers.
Surgery for total and subtotal neck contractures with pre-expanded posterior cervicothoracic, cervicoshoulder, and parascapular flaps
Authors: O. A. Zhernov  , H. P. Kozynets  , R. Ya. Trach  , O. O. Huz
Published: July 2019

Restoration of adequate skin coverage, movements and aesthetic neck contours for the anterior chest lesion, as the main donor sites, is one of the important problems of reconstructive surgery.The aim — to improve the surgical treatment results in patients with postoperative total and subtotal cervical neck deformities with pre‑expanded cervicodorsal and cervicoshoulder flaps based on the superficial cervical artery and parascapular flaps based on the circumflex scapular artery.Materials and methods. The study included 12 patients aged from 6 to 48 years. Reconstruction of neck contracture with pre‑expanded cervicodorsal and cervicoshoulder flaps based on the superficial cervical artery and parascapular flaps based on the circumflex scapular artery was done. The tissue areas were based on the surrounding perforated vessels to increase the flaps size.Results and discussion. The practicability and effectiveness of pre‑expanded cervicodorsal and cervicoshoulder flaps feed by superficial cervical artery and parascapular flaps feed by the circumflex scapular artery in total and subtotal scar neck deformities with lesion of the anterior chest wall were shown. A good result with full survival of the flaps was achieved in 13 (76.5 %) cases. The incomplete removal of scars in 3 (17.6 %) patients was rated as a satisfactory result. In 1 (5.9 %) patient, in the postoperative period, a partial necrosis of type 1 flap appeared and the result was assessed as satisfactory.Conclusions. Proper preoperative planning and thorough implementation of surgical intervention ensure good results in 76.5 % and satisfactory — in 23.5 % of cases in the immediate period and good results in all patients — in the remote period.
Comparative evaluation of the endovascular and surgical revascularization effectiveness for acute limb ischemia
Authors: O. I. Pityk  , V. O. Prasol  , A. B. Babynkin
Published: July 2019

The aim — to do comparative evaluation of the endovascular and surgical revascularization effectiveness in patients with acute limb ischemia, caused by thrombosis and embolism of lower limb arteries.Materials and methods. The study was performed based on a retrospective analysis of the results of treatment of 215 patients with acute limb ischemia caused by acute emboli and thrombosis of lower limb arteries or bypases. The main group included 108 patients who underwent endovascular interventions (intra‑arterial catheter‑directeded thrombolysis was performed in 72 % of patients, and endovascular thrombectomy was performed in 28 % of patients), the comparison group included 107 patients were performed surgical operations of thromboembolectomy or bypases for the purpose of revascularization.Results and discussion. In order to determine how the degree of ischemia affects technical success of endovascular and surgical interventions in patients with acute limb ischemia, patients were stratified according to severity of ischemia. The technical success of revascularization in patients with 1 or 2A degrees of ischemia was not significantly different between groups. In patients of the surgical group with ischemia 2B, the technical success rate of revascularization was significantly higher compared with endovascular, 83.6 % versus 71.9 % (p < 0.05). The number of amputations in endovascular and surgical groups was not significantly different, 16.7 %, and 18.7 % (p > 0.05).Conclusions. The severity of limb ischemia is the main factor that determines the results of treatment of acute limb ischemia, both with endovascular and surgical methods of revascularization. Patients with severe grade 2B ischemia require emergency restoration of blood circulation in the ischemic limb and surgical methods are the most appropriate treatment. In patients with moderately severe 1 and 2A ischemia, both surgical and endovascular revascularization methods can be effectively used.
Evaluation of the life quality in patients with diabetic foot syndrome before treatment and in the late period
Authors: O. V. Marchenko  , M. B. Gorobeiko  , T. Yu. Yuzvenko  , Z. G. Krushinska
Published: July 2019

The aim — to study the life quality aspects in patients with diabetes mellitus complicated by diabetic foot syndrome, which affect both treatment and rehabilitation.Materials and methods. 198 patients with diabetes mellitus type 2, diabetic foot syndrome and post‑operative foot wounds were examined for purulent‑necrotic complications in the period from 2017 to 2018. There were 97 men (49 %) and 101 women (51 %). The average age of patients was 59.2 ± 2.7 years (39 — 76 years). The duration of diabetes mellitus was on average — 11.8 ± 2.7 years. The EuroQol EQ‑5D‑5L questionnaire based on the five components of the life quality, such as: mobility, self‑care, ordinary daily activities, pain and discomfort, anxiety and depression were used for health state assessment. Each question is divided into 5 levels depending on the degree of problem severity (no problem, minor problems, problem of moderate severity, significant problems, and big problems). A visual analogue scale for the subjective assessment of one’s own health was also determined.Results and discussion. A statistically significant decline in the life quality indicators, as well as the psychological component of the life quality, was revealed. Thanks to treatment and a critical attitude to one’s condition, the frequency of complaints decreased from 57.0 % (at the beginning of treatment) to 50.5 % after 12 months (p = 0.058). Improved adaptation was noted, which also was contributed to a complaints decreasing (p < 0.05). According to other indicators of life quality (general health, physical functioning, pain intensity, level of depression), a statistically significant decrease was found in both men and women. It is established that there was no correlation between the average score on a visual analogue scale and the result of EuroQol EQ‑5D‑5L self‑assessment.Conclusions. Most patients cannot independently objectively assess the severity of their condition, especially at the beginning of treatment. There is no clear relationship between the subjective clinical assessment of the state of health and the presence of individual complaints in patients. The pain and discomfort in the lower extremities has significantly subjectively reduced (from 46 to 26 %), as well as problems with movement (from 41 to 32 %) as a result of treatment. The reduction in the proportion of patients with anxiety and depression (from 53.0 % to 39.4 %) depended on symptomatic and pathogenetic treatment.
The primary diagnostic endoscopic methods for connective tissue diseases verification in patients with respiratory manifestations
Authors: M. S. Opanasenko  , L. I. Levadna  , O. V. Tereshkovych  , B. M. Konik  , V. B. Bychkovskyi  , I. V. Liskina  , L. M. Zagaba  , M. I. Kalenychenko  , S. M. Shalagai  , M. Yu. Shamrai  , V. I. Lysenko  , O. K. Obremska
Published: July 2019

The aim — to conduct a retrospective analysis of the connective tissue diseases diagnosis in 47 patients of different ages with respiratory manifestations.Materials and methods. A clinical analysis of the first diagnosed cases of connective tissue diseases in 47 patients treated on the basis of the department of thoracic surgery and invasive diagnostic methods, from 2010 to 2018 was done. Among patients, women predominated — 33 (70.2 %), men — 14 (29.8 %). Among them, at the age of 20 — 29 years old, there were 8 (16.8 %) patients; 30 — 39 years  — 14 (29.8 %) patients; 40 — 49 years old — 12 (25.5 %); 50 — 59 years old — 9 (19.5 %); over the age of 60 years‑ 4 (8.4 %). The patients were hospitalized with the following diagnoses: disseminated pulmonary disease — 10 (21.3 %), disseminated pulmonary disease complicated by unilateral pleurisy — 12 (25.5 %) patients; disseminated pulmonary disease complicated by bilateral pleurisy — 1 (2.1 %) case; disseminated pulmonary disease complicated by unilateral pleurisy and intrathoracic lymphadenopathy — 2 (4.3 %) observations; rounded lung lesion — 1 (2.1 %) case; unilateral pleurisy— 4 (8.4 %); bilateral pleurisy — 6 (12.9 %); pleurisy with pericarditis — 11 (23.4 %) cases.Results and discussion. In all cases, the specificity of the autoimmune lesion was identified. The attention is paid to the need for early diagnosis of this pathology and the adequate pathogenic treatment appointment by profile specialists.Conclusions. Of newly diagnosed patients with total respiratory, cardiovascular and renal impairment without any history of chronic disease should be considered as a risk group for further diagnosis of connective tissue diseases. The use of video‑assisted thoracoscopic surgery diagnostic methods with biopsy of affected tissues should be the standard of study along with immunological confirmation when establishing the type of connective tissue diseases. The connective tissue diseases type identification should be done considering the clinical manifestations, based on the pathomorphological study results and the serological verification by specialists, since the nosology type establishment timely contributes to the immunopathological syndromes detection and allows the immune‑dependent complications prevention by adequately prescribed pathogenically valid treatment.
Combined shrapnel injury of the inferior vena cava which caused bulletpulmonary artery embolism (case report and review of the literature)
Authors: I. P. Khomenko  , Ie. V. Tsema  , B. M. Koval  , I. I. Gangal  , A. V. Dinets  , V. G. Mishalov
Published: July 2019

Bullet embolism is a rare and unpredictable complication of gunshot and mine‑explosive injuries. With only few cases described in the literature, bullet embolism may become a diagnostic challenge for emergency and military surgeons. Thus, bullet embolization is a rare phenomenon, the complications can be devastating.A clinical case of bullet embolism is described. 34‑years old man got combined abdominal‑skeletal mine‑explosive injuries with damage to hollow organs (duodenum and transverse colon), inferior vena cava and both low extremities. Internal bleeding was stopped by the inferior vena cava edge wound suturing. Wounds of duodenum and large intestine were sutured; gunshot fractures of both tibial bones were stabilized with external fixation devices. Computer tomography of the entire body showed the presence of embolus in the right middle lobe artery. Clinical manifestations of pulmonary embolism were not observed. The patients had several complications after surgery such as: multiple focal necrosis and perforations of transverse colon caused a fecal peritonitis; duodenum suture failure caused forming of a duodenal fistula; postoperative wound infection. These complications necessitated performing of multiple reoperations. Attempts of endovascular bullet extraction didn’t undertake because of severe concomitant injuries, its complications and asymptomatic clinical course of pulmonary artery projectile embolism. Open surgery removing of embolus was successfully performed in 80 days after injury. The patient was discharged from hospital in good condition in 168 days after gunshot wound. Patients with an explosive‑mine wound and gunshot wound with no exit should to be examined with whole‑body computer tomography for determining possible projectile migration with bloodstream. Patients with asymptomatic pulmonary artery embolism should to be managed non‑operatively in the early posttraumatic period. In case of symptomatic pulmonary artery bullet embolism is reasonable to consider of a possibility of an open thoracic surgery.
Successful treatment of a patient with appendicular biliary fistula (Case report)
Authors: Iu. A. Mikheiev  , N. A. Shabanov  , A. V. Kanaki  , K. S. Barska
Published: July 2019

The clinical observation of a rare complication of gallstone disease cholesysto‑ appendicular biliary fistula was described. Male patient, 69 years old, sick for 2 weeks, when the pain appeared in the right upper quadrant after diet errors, fever up to 37.5 — 38.0 °C with chills in the evening, skin icterus. He had not addressed for medical aid, was treated on his own, took antipyretic and antispasmodic drugs. The pain syndrome was stopped, but the body temperature with chills remained high, yellowness of the skin and sclera, darkening of the urine, acholic feces appeared. The patient was hospitalized at Clinical Hospital with a preliminary diagnosis: Pancreatic head disease. Choledocholithiasis. Cholangitis. Mechanical jaundice. The patient was operated on after the examination, stabilization of the patient’s condition and normalization of clinical and laboratory parameters on the third day after hospitalization. Upper median laparotomy, cholecystectomy, appendectomy, choledocholithotomy with choledocholitoextraction, choledoch drainage by Kerr, abdominal drainage was performed. The postoperative period was uneventful. On the 9th day after the operation, the patient was discharged in a satisfactory condition. A control examination carried out in 1 month after surgery revealed no complications.Thus, before the operation and intraoperatively, an cholesysto‑ appendicular fistula was diagnosed. In the medical literature, reports of such biliodigestive fistula were not found. The described clinical observation demonstrates the possibility of successful application of a radiological diagnostic complex method for the detection of biliodigestive fistulas. Biliodigestive fistula is a serious complication, the early diagnosis of which is very difficult. Most often this complication is diagnosed intraoperatively, during cholecystectomy. Endoscopic retrograde cholangiopancreatography, multispiral computed tomography and ultrasound of the abdominal organs showed the greatest diagnostic value.
PERLINDUNGAN HUKUM TERHADAP KONSUMEN DALAM HAL PENGEMBANG (DEVELOPER) APARTEMEN DINYATAKAN PAILIT
Authors: Saputri Elsa Mellinda , Waspiah Waspiah , Arifin Ridwan
Published: July 2019

Semakin berkembangnya bisnis di Indonesia, menjadikan suatu permasalah bagi konsumen ketika perusahaan tersebut tidak dapat lagi berjalan sesuai dengan ketentuan. Saat ini, banyak perusahaan yang mengalami kepailitan. Ketika kepailitan menimpa sebuah perusahaan, maka perusahaan tersebut diambil alih oleh kurator sesuai dengan ketentuan yang ada dalam Undang-Undang Kepailitan Nomor 37 Tahun 2004 tentang Kepailitan dan Penundaan Kewajiban Pembayaran Utang, dan pemiliknya tidak lagi berhak atas hartanya untuk sementara. Keadaan semacam ini membuat bingung para konsumen yang tidak mengetahui mengenai masalah kepailitan, karena memang pada awal perjanjian perusahaan yang diwakili oleh agennya tidak pernah menjelaskan masalah kepailitan. Tanggung jawab pengembang terhadap konsumen apabila pengembang tersebut telah dinyatakan pailit yaitu dengan cara membayarkan ganti rugi sesuai dengan perjanjian tertulis yang telah disepakati dan disetujui oleh kedua belah pihak. Bagi pengembang (debitur) yang telah dinyatakan pailit oleh Pengadilan Niaga, seluruh kreditur baik setuju maupun tidak setuju dengan langkah mempailitkan debitur, akan terikat dengan putusan pailit tersebut. Pada Undang - Undang Nomor 8 Tahun 1999 Pasal 19 tentang Perlindungan Konsumen, mengatur bahwa pelaku usaha berkewajiban untuk mengganti rugi apabila konsumen dirugikan akibat mengkonsumsi barang atau jasa yang harus segera dibayar dalam kurun waktu tujuh hari setelah tanggal transaksi, apabila pelaku usaha yang memberikan barang atau jasa dipailitkan oleh Pengadilan Niaga atas permohonan kreditur atau pun debitur itu sendiri. Dalam Undang – Undang Nomor 8 Tahun 1999 pula, telah diatur tersendiri tentang bagaimana penyelesaian sengketa konsumen dengan menempatkan posisi konsumen sebagai pihak yang diberi perlindungan. Namun dengan dipailitkannya pelaku usaha, menjadikan konsumen (kreditur) tidak cakap hukum dan kehilangan wewenangnya untuk mengelola kekayaannnya sendiri yang kemudian beralih kepada kurator. Ketidakmampuan pelaku usaha yang dinyatakan pailit tersebut untuk memenuhi hak konsumen menempatkan posisi konsumen sebagai kreditur konkuren yang akan mendapatkan pelunasan terhadap utangnya pada posisi paling terakhir.
BITCOIN SEBAGAI DIGITAL ASET PADA TRANSAKSI ELEKTRONIK DI INDONESIA (Studi Pada PT. Indodax Nasional Indonesia)
Authors: Wijaya Frida Nur Amalina
Published: July 2019

Pemanfaatan teknologi informasi dengan internet dalam perekonomian telah memberikan banyak manfaat dalam berbagai kehidupan masyarakat baik dalam perdagangan ataupun investasi. Saat ini Bitcoin tidak dianggap sebagai alat pembayaran atau crypto currency. Bitcoin dianggap sebagai digital aset yang memiliki nilai ekonomi bagi para penggunanya. Berdasarkan keputusan menteri perdagangan yang menetapkan bitcoin sebagai digital aset yang termasuk kedalam aset kripto yang dapat diperdagangkan pada Bursa Berjangka. Namun sebelum lebih jauh masuk kedalam ranah bursa berjangka tidak ada peraturan khusus yang membahas mengenai digital aset itu sendiri. Pengaturan mengenai transaksi elektronik hanya membahas secara umum mengenai segala sesuatu yang berhubungan dengan media elektronik. Untuk itu penelitian ini akan menganalisis konsep penggunaan bitcoin sebagai digital aset yang dapat digunakan sebagai transaksi elektronik dan investasi. Serta Tidak adanya payung hukum tentu menambah permasalahan mengenai ketidak jelasan pertanggung jawaban para pihak dalam menghadapi resiko-resiko yang akan terjadi. Untuk itu penulis akan melakukan penelitian dengan mengkaitkan konsep Bitcoin sebagai digital aset dengan peraturan perundang-undangan di Indonesia.
URGENSI IMPLEMENTASI UNCITRAL MODEL LAW ON CROSS-BORDER INSOLVENCY DI INDONESIA: STUDI KOMPARASI HUKUM KEPAILITAN LINTAS BATAS INDONESIA DAN SINGAPURA
Authors: Amalia Jihan
Published: July 2019

Dalam era globalisasi, perdagangan tak lagi hanya dilakukan dalam satu wilayah negara, melainkan dapat pula antarnegara. Perkembangan bisnis internasional beriringan dengan kebutuhan akan hukum yang juga akomodatif. Dalam perjanjian pinjam-meminjam antarpelaku usaha, ada kalanya debitor tidak dapat membayarkan utangnya sehingga mengalami kepailitan. Hal ini membuat kepailitan lintas batas menjadi diskursus yang penting dalam mengimbangi dinamika dunia usaha saat ini. Dalam tulisan ini, ada beberapa hal terkait yang akan dibahas. Pertama, UNCITRAL Model Law on Cross-Border Insolvency memberi pedoman terkait hukum kepailitan lintas batas. Kedua, status quo hukum kepailitan Indonesia dalam mengatur kepailitan lintas batas. Ketiga, studi komparasi dengan Singapura sebagai negara yang hingga sebelum 2017 tidak menerapkan UNCITRAL Model Law on Cross-Border Insolvency. Keempat, urgensi UNCITRAL Model Law diimplementasikan dalam hukum kepailitan Indonesia. Tulisan ini dibuat berdasarkan penelitan yuridis-normatif dengan bahan hukum primer dan sekunder sebagai data sekunder yang menjadi dasar analisis.
Geleneksel ve Sosyal Medyada Reklama Yönelik Tutum ve Reklam Değeri Arasındaki İlişkinin Karşılaştırılması
Authors: ATAR G. Motif , İSPİR N. Bilge
Published: July 2019

İnternet kullanan kişilerin sayısının artmasına bağlı olarak sosyal medya, tüketiciler ile iletişim biçimini değiştiren bir platforma dönüşmüştür. Bu hız ve etkileşimlilik sosyal medyanın giderek büyüyen bir reklam ortamı olmasını sağlamış ve geleneksel medya ile arasındaki fark açılmıştır. Geleneksel bir mecra olarak televizyonun günümüzde yaygın olarak kullanılmasına rağmen, sosyal medya reklamları, televizyon reklamlarının etki alanını daraltmaya başlamıştır. Dolayısıyla bu iki farklı mecradaki reklamlara yönelik tüketici tutumları da farklılaşmaktadır. Bu çalışma, geleneksel medyada televizyon ve sosyal medyada Facebook ve Instagram’daki reklamlara yönelik, tüketici tutumu ile algılanan reklam değeri arasındaki ilişkiyi açıklamaya çalışmaktadır. İncelenen mecralarda reklama yönelik tutumu ve algılanan reklam değerini ölçmek için Ducoffe (1995) tarafından geliştirilen ölçek uyarlanmış ve her üç mecra için reklama yönelik tutum ve algılanan reklam değeri ayrı ayrı ölçülmüştür. Elde edilen sonuçlara göre sosyal medya reklamları geleneksele göre daha bilgilendirici, eğlendirici bulunmakta ve reklam değeri daha yüksek algılanmaktadır.
Reklamcılıkta Distopya Gerçeği: Reklamlara Yönelik Bir Çözümleme
Authors: BECAN Cihan
Published: July 2019

Yaşadığımız tüketim çağında insanlar, geçmişe nazaran nasıl daha mutlu bir yaşama erişebileceğinin arayışı içerisinde olmuştur. Çoğu zaman tüketicilerine mükemmel bir dünya tasarımı vadeden reklamlar, her zaman onlara kendilerini özel hissettirerek ulaşmayabilir. Reklamın kusursuz dünyasına meydan okuyan distopik (anti-ütopik) söylem ile hazırlanmış reklamlar, korkudan ve tehditten yararlanarak hedef kitleyi satın almaya yönlendirebilir. Konunun kuramsal çerçevesinin ‘distopya’ kavramı ışığında ele alınması da böylesi bir gereksinimden ortaya çıkmıştır. Temel itibariyle bu çalışmada tüketim sistemiyle bağlantılandırılan distopya olgusunun ve distopik unsurların, sembolik tüketim mekanizmasının ana çarklarından biri olarak kabul edilen reklamlarda nasıl işlendiği gösterilmeye çalışılmaktadır. Bu çerçevede “Reklamda Distopik Çerçeve” nin ortaya koyduğu distopik bileşenler açıklanmış ve ülkemizde yayınlanan TV reklam spotları incelenmiştir. Televizyon ortamında yayınlanan reklamlara yönelik nitel araştırma yöntemi altında, söylem analizi anlayışı benimsenmiştir. Elde edilen verilere göre, reklamcılıktaki distopik çerçeveyi oluşturan unsurların televizyon reklamlarında görsel ve dilsel iletilerinde görüldüğü ve tüketimi pekiştirmek için kullanıldığı doğrulanmıştır.
Markalara Yönelik Sanal Dedikodu ve Marka Beğenilirliği İlişkisi Üzerine Bir Araştırma
Authors: GÖKALİLER Ebru , SAATCIOĞLU Ezgi
Published: July 2019

İnternet
kullanım alışkanlıklarının değişimi beraberinde markalar ve tüketiciler
arasında da farklı bir ilişkinin gelişimini getirmektedir. Bireylerin, sosyal medyada
yaptıkları paylaşımlar kısa sürede geniş kitlelere ulaşabilirken markalar
hakkında üretilen olumlu ve olumsuz içerikler, markaya yönelik beğenilirliği
değiştirebilmektedir. Çalışmanın amacı; bireylerin sosyal medyada sanal
dedikodu yapma durumlarını, markalara yönelik olumlu ve olumsuz içerikler ile marka
beğenilirliği arasındaki ilişkiyi incelemektir. Bu amaç doğrultusunda anket
tekniğinden yararlanılarak nicel veriler toplanmıştır. Amaçsal örneklem ile
anket 352 sosyal medya kullanıcısına uygulanmıştır. Anketten elde edilen
verilere, hipotezleri test etmek amacıyla T-testi ve korelasyon analizi
uygulanmıştır. Araştırmadan elde edilen bulgulara göre; katılımcıların, sanal
dedikodu yapma eğilimleri cinsiyete göre anlamlı bir farklılık göstermemektedir.
Olumlu sanal dedikodunun etkilediği marka beğenilirliği boyutları ile olumsuz
sanal dedikodunun etkilediği marka beğenilirliği boyutları arasında düşük
düzeyde bir ilişki bulunmakta olup bu ilişki istatistiksel açıdan anlamlı
değildir. Sanal dedikodu yapma durumu ile hem olumlu sanal dedikodunun hem de
olumsuz sanal dedikodunun marka beğenilirliğine yansıması arasında anlamlı
fakat düşük düzeyde bir ilişki bulunmaktadır.
Postmodern Romantik İlişkiler ve Reklam: Tinder Örneği
Authors: TAPAN Aysel
Published: July 2019

Gündelik
hayatın önemli bir parçası haline gelen mobil flört uygulamaları, romantik
ilişkilerin doğasını hızla değiştirmeye devam etmektedir. Kimileri mobil flört
uygulamalarını “aşkın bayağılaşması” olarak yorumlarken, bazıları bu flört etme
biçimlerindeki derin değişim ve dönüşümü dijital dünyanın kaçınılmaz
sonuçlarından biri olarak görmektedir. Bu çalışmanın amacı ise teknolojik
gelişmelerin etkisiyle cinsler arası ilişkide flört etme biçimlerindeki değişimler
ile tüketim arasındaki ilişkiyi ortaya koyabilmektir. Bu bağlamda romantik
ilişkilerin tarihsel bir düzlemde anlamına ve değişimine ilişkin literatür
gözden geçirilerek, coğrafi konum tabanlı flört uygulamalarının reklam
sektörüne yarattığı fırsatlar değerlendirilmiştir. Çalışma kapsamında postmodern
romantik ilişkilerin, dijital yaşam tarzları, kültür ve tüketimle olan bağı
çerçevesinde, konum tabanlı sosyal ağ 
uygulamaları arasında en popülerlerden biri olan mobil flört uygulaması
Tinder’da yayınlanan reklamlar, niteliksel ve niceliksel içerik analizi yöntemiyle
incelenmiştir.  Sonuç olarak, reklam
mesajlarının büyük oranda lüks ve sembolik tüketime ilişkin anlam ve sembollerle
işaret ettiği fakat markaların coğrafi konuma uyumlu reklam stratejileri geliştirmedikleri
görülmüştür. Elde edilen veriler ayrıca, küresel bir eğilim olan ve kısa
dönemli ilişkileri vurgulayan Tinder’da yayınlanan reklamlarda, geleneksel
romantik ilişkileri yeniden üreten anlam ve sembollerin yer aldığını ortaya
koymaktadır.
Çocuk Televizyon Kanallarının Yeni Medyada Genişleyen Kullanım Alanı ve Değişen Televizyon Seyri: TRT Çocuk, Baby TV ve Disney Junior Örnekleri
Authors: YILMAZ GÜNTAY Gamze
Published: July 2019

Bilgi
ve iletişim teknolojilerindeki gelişmeler, hayatımızdaki herşeyi etkileyerek
yaşam biçimlerimizde belirleyici bir rol oynamaktadır. Dijital teknolojilerin
bir sonucu olarak multimedya içerikleri barındıran yeni medya seçeneklerinin
toplumsal yaşamdaki ve bireysel tercihler üzerindeki izleri, bugün gelinen
noktada geleneksel medya anlayışında da köklü değişiklikler yaşanmasına zemin
hazırlamıştır. Daha görsel kültür odaklı bir medya anlayışının geliştiğini ve
televizyonla başlayan bu sürecin yeni medya ile ivme kazandığını
söyleyebiliriz. Etkileşimsellik, hipermetinsellik, her yerden ulaşılabilirlik
ve kullanıcı türevli içerik üretimi gibi özellikleri nedeniyle, hayatlarımızda
vazgeçilmez bir yer edinen yeni medya ve kullanım pratikleri, hızla akan
bilgiye yetişmek isteyen kullanıcılar için de tercih edilir hale gelmiştir. Teknolojik
gelişmelerle paralel olarak değişen iletişim ve bilgi edinme biçimlerimizin
sonucu olarak televizyon izlenme süreçleri de bu bağlamda genişlemiş ve
değişime uğramıştır. Özellikle genç nesil ve çocuk kullanıcılar tarafından
farklı bir medya tüketim süreci geliştirilmiştir. Bu bağlamda, televizyon
kanallarındaki yayınların yeni medyada genişleyen kullanım alanları düşünülerek
çalışmamızda, farklı yaş gruplarındaki çocuklara yönelik yayın yapan
televizyonlar olan TRT Çocuk, Baby TV ve Disney Junior kanallarının web
sayfaları pek çok açıdan incelenerek özellikle okul öncesi dönemde çocukların
zihinsel, ruhsal, sosyal ve bilişsel gelişimlerine etkisi bağlamında olumlu ve
olumsuz yanları birarada ortaya konulmaya çalışılmıştır.