bluuebunny/crossref_metadata_2025 huggingface dataset:
Blood pressure limits affecting carotid artery injury: a cross sectional study
Authors: GÜNEŞLİ Aylin , ACIBUCA Aynur , ALTIN Cihan , GEZMİŞ Esin , TEKİNDAL Mustafa Agah , YALÇIN Çiğdem , ALKAN Ozlem
Published: September 2020

Objective: Although it is well known that high blood pressure causes undesirable effects on carotid arteries, it is not clear as to which threshold value this effect starts. The aim of this study is to evaluate and determine this threshold.
Materials and Methods: This cross-sectional study included a total of 308 individuals in the following groups; Group 1: individuals with systolic blood pressure (SBP) <120 mmHg and diastolic blood pressure (DBP) <80 mmHg (optimal), Group 2: SBP 120-129 mmHg and/or DBP 80-84 mmHg (normal), Group 3: SBP 130-139 mmHg and/or DBP 85-89 mmHg (high-normal), Group 4: SBP 140-159 mmHg and/or DBP 90-99 mmHg, Group 5: SBP 160-179 mmHg and/or DBP 100-109 mmHg, and Group 6: SBP≥180 mmHg and/or DBP≥110 mmHg. Carotid distensibility and elasticity were measured in all groups.
Results: A statistically significant difference was determined between the groups in carotid distensibility and elasticity (p<0.001, for both values). There was no significant difference between groups 2 and 1 (p>0.05), but there was a significant difference between other groups (groups 3-4-5) and group 1 (p<0.05, for all comparisons). SBP>135.5 mmHg started to affect carotid distensibility with 78.2% sensitivity and 74.6% specificity, and DBP>86.5 mmHg with 79.3% sensitivity and 71.6% specificity. Carotid elasticity was seen to be affected by SBP>137.5 mmHg with 80.4% sensitivity and 73.1% specificity, and DBP>88.5 mmHg with 79.1% sensitivity and 73.8% specificity.
Conclusion: Carotid distensibility and elasticity decreases with increasing blood pressure. In individuals with high-normal blood pressure, carotid damage may begin after a certain blood pressure value.
Prognostic significance of PRAME (preferentially expressed antigen of melanoma) expression in breast cancer
Authors: DALCI Kubilay , KEKEÇ Yalçın , PAYDAŞ Semra , ZORLUDEMİR Suzan , ERGİN Melek , TANRIVERDİ Kahraman , SEYDAOĞLU Gülşah , UÇAR Gülsüm
Published: September 2020

Purpose: The aim of this study is to detect the PRAME (Preferentially Expressed Antigen of Melanoma) in 54 patients with breast cancer and 37 patients with benign breast lesions.
Materials and Methods: PRAME expressions in 54 breast cancer, 20 benign breast lesions and 10 normal breast tissue samples were studied with RT-PCR. Expression of PRAME was studied with IHC in 37 benign breast lesions, in 54 breast cancer patients from both tumor and normal breast tissue. RT-PCR and IHC results for PRAME were compared in this study.
Results: PRAME was found to be expressed in 50 % of the breast cancer and 25 % of the benign breast lesions. Using IHC method, (+), (++) and (+++) staining for PRAME expression were found in 29,6%, 31,5% and 3,7% of the cases, respectively in invasive component of the breast cancer. PRAME expression detected by both IHC and RT-PCR was compared with prognostic parameters. PRAME expression in breast cancer was found to be associated with high tumor grade and negative hormone receptor. We found an important association between PRAME RT-PCR and of PRAME IHC.
Conclusion: Both RT-PCR in fresh tissues and IHC method in paraffin embedded tissues can be used to identify PRAME expression and the predictive role of PRAME expression.
Şiddete yönelik beyaz kod verilerin değerlendirilmesi
Authors: TORUN Nazan
Published: September 2020

Amaç: Türkiye’de bulunan sağlık kurum ve kuruluşlarında görev yapan personele yönelik yapılan şiddetin sıklığını, türünü ve ciddiyetini inceleyerek sonuçlarını belirlemek, hem de yıllar itibari ile bildirilen şiddet sayısı bakımından farklılık olup olmadığını belirlemek amacıyla yapılmıştır.Gereç ve Yöntem: Bu çalışmada Sağlık Bakanlığının 2012-2018 yıllar arasındaki sağlık bakanlığına bağlı kurum ve kuruluşlarına ait “Beyaz Kod” kayıtları retrospektif olarak incelenmiştir. Elde edilen veriler, şiddetin türü, bildirim yapılan hastanenin türü, şiddetin gerçekleştiği birim, şiddete uğrayan personelin unvanı, şiddetin gerçekleştiği zaman, şiddetin nedeni ve şiddetin sonucu kapsamında değerlendirilmiştir. Yıllar arasında şiddet olayları arasında ikili karşılaştırmaları hesaplamak için R dilinde “pairwise. prop.test” kullanılmıştır.Bulgular: Çalışmada şiddetin daha çok; yaz aylarında, devlet hastanelerinde, acil servislerde, 10: 00 – 14: 00 saatleri arasında ve fiziksel şiddetten daha ziyade sözel şiddetin yaşandığı; şiddet mağdurunun ise sıklıkla doktor olduğu saptanmıştır. Yıllar itibari ile sözel şiddetin artış gösterdiği belirlenirken; fiziksel şiddetin özellikle 2016 yılından sonra azaldığı tespit edilmiştir.Sonuç: Sağlık sektöründe çalışan personele yönelik şiddetin sürdürülebilir sağlık reformu ile çözülmesi gerektiği düşünülmektedir.
Effects of Pilates exercises on pain, disability and postural control in patients with chronic neck pain: randomized controlled trial
Authors: SOYSAL TOMRUK Melda , KARA Bilge
Published: September 2020

Purpose: Chronic spinal pain is a condition that causes loss of postural control. Exercise is useful to improve postural control however there has been lack of evidence that Pilates exercises increases postural control in patients with chronic neck pain (PwCNP). The aim of the study was to determine the effects of Pilates exercises on postural control in PwCNP.Materials and Methods: Thirty-six PwCNP randomly divided into two groups: Pilates (n=18) and home exercise (control) group (n=18). Eight-week Pilates and home exercise training performed for both groups. Limits of stability, postural stability and clinical test for sensory interaction balance tests were used to evaluate postural control. Evaluations were repeated in 8th week, when training sessions were completed. Results: Pain, disability, overall limits of stability and overall postural stability scores were improved for both groups. Anteroposterior postural stability and eyes open-eyes closed firm surface sensory interaction for balance showed significant improvement only in Pilates group. Pilates training showed superior effect over home exercise group for improving anteroposterior postural stability in between group analysis. Conclusion: Pilates exercises can be useful to provide improvement in anteroposterior postural stability and sensory interaction for balance. Pilates training should be included physical therapy programs when postural control improvement is desired in PwCNP.
Graviditenin sosyal destek algısı ve prenatal bağlanma düzeyine etkisinin incelenmesi
Authors: TURAN Zekiye , KURT Gönül , ARSLAN Hamide
Published: September 2020

Amaç: Bu çalışma ile, gebelik sayısının sosyal destek algısı ve prenatal dönem bağlanma düzeyine etkisinin incelemesi amaçlanmıştır. Gereç ve Yöntem: Bu çalışmada tanımlayıcı analitik araştırma dizaynı kullanılmıştır. Araştırmanın örneklemini 98 primigravida, 107 multigravida oluşturmuştur. Verilerin toplanmasında, “Katılımcı Tanılama Formu”, “Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ)” ve “Prenatal Bağlanma Envanteri (PBE)” kullanılmıştır. Bulgular: Gebelerin ÇBASDÖ ortanca puanı 74,0 (13-84), PBE puan ortalaması 41,16±10,65 olarak hesaplanmıştır. Multigravidaların PBE puanlarının primigravidalara göre daha yüksek olduğu belirlenmiştir. Gebelerin yaşı, eğitim düzeyi ve çalışma durumuna göre PBE puanları açısından gruplar arasında istatistiksel olarak anlamlı fark bulunmuştur. Primigravidalarda, üçüncü trimester PBE puanının birinci ve ikinci trimesterlere göre anlamlı olarak daha düşük olduğu belirlenmiştir. Gebelerin ÇBASDÖ ve alt boyutları arasında pozitif yönde yüksek düzeyde bir ilişki bulunmuştur. Tüm gebelerde ve multigravidalarda, ÇBASDÖ ve PBE arasında negatif yönde bir ilişki olduğu saptanmıştır.Sonuç: Eğitim düzeyi, yaş, ekonomik durum ve çalışma durumunun gebelikte sosyal destek algısı ve prenatal bağlanma düzeyini etkilediği bulunmuştur. Multigravidaların prenatal bağlanma düzeyinin yüksek olduğu, primigravidalarda ise, üçüncü trimesterde prenatal bağlanma düzeyinin düşük olduğu görülmüştür. Gebelerde prenatal bağlanma düzeyi arttıkça sosyal destek algısının azaldığı saptanmıştır.
Türkiye sağlık sistemi verimliliğinin incelenmesi
Authors: ÖZÇELİK Mail , YIGIT Pakize
Published: September 2020

Amaç: Son yıllarda sağlık harcamalarına ayrılan payın hızla artması ve ülkelerin eldeki sınırlı kaynakları verimli bir şekilde kullanma çabaları, sağlık sektöründe makro düzeydeki verimlilik çalışmalarını hızlandıran en önemli faktör olmuştur. Bu araştırma, Türkiye sağlık sistemi verimliliğinin iller (IBBS-Düzey 3) düzeyinde incelenmesi amacıyla yapılmıştır. Araştırmada, Türkiye sağlık sisteminin verimlilik düzeyi ile birlikte verimsizlik kaynakları ve verimsizlikle ilişkili olan sosyoekonomik faktörler iller düzeyinde incelenmiştir.Gereç ve Yöntem: Araştırmada verimlilik için veri zarflama analizi, verimlilik ile ilişkili faktörlerin belirlenmesinde çok değişkenli Tobit regresyon analizi kullanılmıştır. Girdi yönelimli Veri Zarflama Analiz (VZA) yöntemiyle toplam verimlilik (CCR), teknik verimlilik (BCC) ve ölçek verimliliği olmak üzere üç farklı verimlilik skoru hesaplanmıştır. VZA modelinde kullanılan girdi değişkenleri başına düşen yatak (her 1000 kişide), hekim sayısı (her 1000 kişide) ve hemşire sayısı (her 1000 kişide)’dır. Çıktı değişkenleri doğumda beklenen yaşam süresi ve bebek ölüm hızı (her 1000 canlı doğumda)’dır. Bulgular: Araştırma bulgularına göre, 10 ilin toplam verimli (CCR), 14 ilin ise teknik verimli (BCC) olduğu bulunmuştur. İllerin ortalama toplam verimlilik skoru 0,8051 (CCR), teknik verimlilik skoru 0,8332 (BCC) olarak bulunmuştur. İllerin ortalama ölçek verimlilik skoru 0,9649’dur.Sonuç: İllerin girdilerinde görülen verimsizlik kısmen ölçek verimsizliğinden kaynaklanırken, büyük oranda kaynak kullanımına bağlı teknik verimsizlikten kaynaklanmaktadır. Araştırma bulguları, illerin teknik verimliliğine ve verimsiz illeri nispeten verimli kılmak için sağlık girdilerinde yapılacak değişikliklere dair yönetici ve politika yapıcılara bilgi sunmuştur.
Şizofreni tanılı hastalarda çocukluk çağı travmasının dissosiyasyonla ilişkisi
Authors: ŞENER Ayçe , TOMRUK Nesrin , EVREN Cüneyt , KARAYTUĞ Mahmut Onur
Published: September 2020

Amaç: Dissosiyatif belirtiler, şizofreni de dahil olmak üzere pek çok psikiyatrik hastalıkla beraber görülür ve sıklıkla öncesinde travmatik bir deneyim mevcuttur. Bu çalışmayla Şizofreni tanılı hastalar’da çocukluk çağı travmasının sıklığı ve dissosiyatif yaşantılarla ilişkisinin araştırılması amaçlanmıştır.Gereç ve Yöntem: DSM-IV tanı kriterlerine göre şizofreni tanısı alan 40 kadın, 40 erkek olmak üzere 80 hasta ile görüşülmüştür. Çalışmaya dahil edilen hastalar; sosyodemografik veri formu, SCID-I ölçeği, çocukluk çağı travma ölçeği (CTQ-28), dissosiyatif yaşantılar ölçeği (DES), DES takson ölçeği (DES-Takson), Calgary şizofrenide depresyon ölçeği (CŞDÖ), dissosiyatif bozukluklar görüşme formu (DDIS) ile değerlendirilmişlerdir.Bulgular: Çalışmaya dahil edilen hastalar çocukluk çağı travması olan ve olmayan şeklinde iki gruba ayrıldı. Çocukluk çağı travmasına maruz kalan grup ile maruz kalmayan grup karşılaştırıldığında sosyodemografik veriler açısından anlamlı bir farklılık saptanmadı. Hastalığa ilişkin veriler ile de travma yaşantısı arasında anlamlı bir ilişki gözlenmedi. Travma yaşantısı ile depresyon ve borderline kişilik özellikleri varlığı özellikle ilişkili bulundu, yaşanan travma türlerinden ise duygusal kötüye kullanım varlığı, çocukluk çağı travma ölçeği (CTQ-28) toplam skorundan sonra dissosiyatif yaşantıların varlığı ve depresyon ile en ilişkiliydi.Sonuç: Bu çalışmanın sonucuna göre şizofreni tanılı hastalarda psikiyatrik muayene içinde rutin travma öyküsü sorulması önem arz etmektedir.
Epidemiological profile of extrapulmonary tuberculosis cases: 4 year-experience
Authors: ETİZ Pınar , ALTUNSU Ali Tanju
Published: September 2020

Purpose: The aim of this study was to examine the demographic features, organ and tissue distribution, diagnostic methods and treatment outcomes of extrapulmonary tuberculosis cases who were registered to the Adana Tuberculosis Dispensary.Materials and Methods: 400 cases, who were diagnosed with extrapulmonary tuberculosis, treated and followed up between 2014 and 2017, were examined and analyzed retrospectively. Their demographic characteristics, drug susceptibility tests, follow‑ups and treatment outcomes were reviewed. Individual data for extrapulmoary tuberculosis cases were collected from tuberculosis registers, tuberculosis medical personal files and treatment cards.Results: In total, 400 cases of extrapulmoary tuberculosis were recorded. Patients were within the range of 0 to 87 years old (mean age: 41.19±19.97 years), and 245 of them (61.2%) were female. Tuberculosis most frequently affected lymph nodes (38.8%), followed by pleura (17.8%) and gastrointestinal tract (9.0%). None of the cases had multidrug-resistant tuberculosis. Treatment completion rates were high and reached 95.8%.Conclusion: The present findings provide information about the epidemiology of extrapulmonary tuberculosis in Adana during the 4-year period. The occurrence of cases at the most productive age is important to show the degree of economic loss in Turkey. Tuberculosis is a contagious illness that mainly affects the lymph nodes rather than the lungs. Investigations into epidemiological and clinical characteristics of extrapulmonary tuberculosis in large number of cases might be crucial to early diagnosis and therapy in endemic countries such as Turkey.
Comparison of two types of polyvalent snake antivenom used in treatment
Authors: GÜLEN Müge , SATAR Salim , YEŞİLOĞLU Önder , İNCE Çağdaş , ESEN Cemre , ACEHAN Selen
Published: September 2020

Purpose: In this study; we aimed to compare the effectiveness of the two types of polyvalent snake antivenom and to determine the possible local and systemic reactions in patients who admitted to the emergency department with snake bite.
Materials and Methods: We performed this retrospective study on 30 patients who complained of snakebite. We grouped the patients according to the antivenom type (PoliseraTM or Polivalan TM) which they received. Demographic characteristics of the patients, vital signs, local tissue findings, and laboratory parameters were recorded in the standard data form. The following data were also recorded; the number of vials of snake antivenom used in each group, additional doses of venom were administered, and whether any local or systemic reaction to antivenom has developed or not.
Results: Thirty patients were included in the study. 16 patients were administered PoliseraTM (Group 1) snake antivenom and 14 patients were administered Polivalan TM (Group 2) snake antivenom. Patients in Group 1 were given an average of 9.1±7.3 vials, while patients in Group 2 were given an average of 11.6±12.7 vials. More allergic reactions-urticaria, fever, and cellulite were observed in the group receiving PolivalanTM antivenom.
Conclusion: Different methodologies arising from the production of antivenom, pyrogen contamination, and differences in packaging can cause different effects and side effects even in products with the same dose and antivenom content.
Memenin filloides tümörlerinin klinik özellikleri ve süreci
Authors: DALCI Kubilay , GUL Mehmet Onur , SARITAŞ Ahmet Gökhan , GÜMÜŞ Serdar , SAKMAN Gürhan , ERGİN Melek
Published: September 2020

Amaç: Primer meme neoplazilerinin %0,3-1’ini oluşturan nadir görülen fibroepitelyal meme tümörü ’dür. Klinik, radyolojik ve histopatolojik olarak fibroadenomlar ile karışırlar. Bu yazıda, filloides meme tümörü nedeni ile tedavi edilen hastalarımızın demografik özellikleri, klinikopatolojik bulguları, takip sonuçları ve uygulanan tedavi yöntemlerinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Ocak 2010-Temmuz 2019 tarihleri arasında tedavi edilen 24 filloides tümör hastasının verileri retrospektif olarak incelendi.
Bulgular: Yaş ortalaması 44,1 (20-64) yıl idi. En sık başvuru semptomu hızlı büyüyen kitle idi. Hastalık 12 hastada sağ memede, 2 hastada bilateral idi. Biyopsi yöntemi olarak, 10 hastada tru-cut biyopsi, 13 hastada eksiyonel, 1 hastada insizyonel biyopsi kullanıldı. Eksizyonel biyopsi (n:6), segmental mastektomi(n:11) ve mastektomi (n:7) uygulanan cerrahi prosedürler idi. Ortalama tümör boyutu 64,6 mm(20-220) olarak saptandı. Histopatolojik olarak, 9 benign, 6 borderline ve 9 malign filloides tümör tanısı konuldu. Ortalama takip süresi 18 (6-82)ay idi. Takipte, malign filloides tümörlü 4 hastada lokal nüks, 1 hastada uzak metastaz tespit edildi. 3 hasta kemoterapi ve 2 hasta radyoterapi tedavisi aldı.
Sonuç: Filloid tümörler nadir görülen, miks tip meme tümörleridir. Klinik, radyolojik ve histopatolojik olarak meme fibroadenomları ile karışabilmektedir. Uygun cerrahi tedavinin yapılabilmesi için tru-cut biyopsi ile ameliyat öncesi tanının konulması önemlidir. Aksi taktirde re-operasyon ve lokal nüks oranları artmaktadır.
Stresin cerrahi olmayan periodontal tedavi üzerine etkisi
Authors: ÖZCAN Mustafa , ÖZCAN Gönen
Published: September 2020

Amaç: Bu çalışmanın amacı stresin cerrahi olmayan periodontal tedavi (COPT) sonuçları üzerine etkisini değerlendirmektir.

Yöntem: Çalışmaya 40 yetişkin kronik periodontitis hastası dahil edildi. Klinik periodontal parametreler kaydedildi ve diş eti oluğu sıvısı (DOS) inflamatuar biyobelirteçleri (IL-1 beta, IL-6 ve IL-10) ve tükürük stres biyobelirteçleri (kromogranin-A, kortizol ve a-amilaz) toplandı. Hastaların stres derecesi ölçülerek kategorize edildi. Tüm klinik ve biyolojik parametreler COPT'den önce ve sonra 1. ayda kaydedildi.

Bulgular: Stresli hasta grubunda, klinik parametreler ve tükürük stres belirteç düzeyleri yüksek bulundu (p <0.05). İki grup arasında inflamatuar belirteçlerden IL-1 beta düzeylerinde istatistiksel olarak anlamlı bir fark tespit edildi (p <0.001). Tedavi sonrası klinik parametreler ve IL-1 beta düzeylerindeki değişim stressiz hastalarda anlamlı derece yüksek olarak tespit edildi (p <0.05).

Sonuç: Psikososyal stresin, kronik periodontitis hastalarında cerrahi olmayan periodontal tedaviye verilen yanıtı olumsuz etkilediği tespit edilmiştir. Periodontal hastalığa sahip bireylere psikoloijik destek sağlanarak yeni tedavi protokolleri oluşturulabilir.
Application of Sensor Technology in Electromechanical Automation System
Authors: Chen Shaoqian , Du Haochen
Published: September 2020

Sensor technology is a core of electromechanical automation system. Among them, sensor is also the most important content of high-tech electronic technology in China, but the application level of sensor technology in China is relatively backward. Although sensor technology is constantly updated and strengthened, there are still some problems in the application of sensor technology. In this paper, the problem of easy being interfered and high energy consumption has been explained, and some corresponding solutions have been discussed.

 

 
The Strategy and Path of Finite Element Analysis in the Design of Auto Parts
Authors: Tang Qian
Published: September 2020

Under the background of helping to realize “made in China 2025”, it is the most challenging task to standardize the implementation of General Principles of Structural Finite Element Analysis for Mechanical Products (GB/T33582-2017). The current changes and progress of the automobile industry are promoting the development of innovation. Infrastructure design, reducing design risks and eliminating artificial subjective factors can shorten the design cycle of the goals to be achieved.
Persuasion Act in the Proposal Movie
Authors: Soedjarwo Gabriella Novianty
Published: September 2020

The act of persuasion happens anywhere and anytime. When we need a help, we persuade other to do what we need. In order to have a successful persuasion, we apply certain strategy. This pragmatic paper wants to analyse the effective strategies in order to have an effective persuasive acts. Pragmatics is chosen as the method since the analysis is about the language used in certain context, in this case persuasion. This paper elaborates how certain speech acts can help the speaker to perform persuasion successfully. Besides, the researcher also analyses how the attempts of persuading violate certain maxims stated by Grice. The researcher took a movie entitled The Proposal (2009) as the data since it shows how the main characters apply certain speech acts and strategies in order to achieve effective persuasion. In this movie, Margaret and Andrew are trying to persuade each other in order to get different advantages through faking marriage. The researcher takes the dialogue of those two characters as the data. Then, the data was analysed using speech act theory, implicature, and language function theory on persuasion. The result of the study is the successful persuasion relies on using appropriate speech act, flouting the maxim of quantity, and applying good persuasive strategy. Key words: Persuasion, Speech Act, Maxim, Strategy
Turn Taking in Mata Najwa Talk Show "Ragu-Ragu Perpu" Episode: A Conversational Analysis
Authors: Habibi Firdaus , Hidayat Didin Nuruddin , Alek Alek
Published: September 2020

The present research aims to investigate the key features of turn taking in Mata Najwa talk show about Ragu-ragu Perpu (doubtful of rules of law). In addition, the authors propose to describe the use of turn-taking features between speaker to listener in Mata Najwa talk show. Moreover, The authors utilize a qualitative research methodology by applying a descriptive analysis in the research. To collect the data, the authors select the specific types of turn-taking occured between. In analyzing the data, the authors implemented Jacob L. Mey analysis theory in which selected the types of turn-taking into several forms. For instance, taking the floor (starting up, taking over, interruption, and overlaps), holding the floor, and yielding the floor. The results indicated that the conversation between seven speakers during the talk show are dominated by interruptions and overlapping. It indicates that 24 utterences express the existance of interruptions, while 16 lucutors show the overlapping. Moreover, the speakers tend to use several strategies to hold the talk, including verbal fillers, silent pauses, and lexical repetitions. Within the context of Mata Najwa talk show program, the host of the Mata Najwa tends to apply greetings and questions in yielding the talk to the interlocutors. In conclusion, interruption and overlapping are the two features of turn-taking mostly occured during the conversation.
Immediate and Long-Term Results of the Spleen-Preserved Operations in the Surgical Treatment of Gastric Cancer
Authors: Rogozianskaia Marina I. , Redkin Alexander Nikolayevich , Moshurov Ivan Petrovich
Published: September 2020

ntroduction. Currently, total gastrectomy with D2 lymphadenectomy is the standard surgical treatment for proximal gastric cancer at the resectable stages (I-III). The issue of advisability of splenectomy as a component of lymphadenectomy remains a controversial one, especially when the tumor is localized in the region of the body or cardiac region of the stomach.The aim of the study was to compare immediate and long-term outcomes, including the quality of life, between spleen preserving and spleen removing surgeries.Methods. The study included 363 patients with gastric cancer II-III stages, localized in the upper and/or the middle third of the stomach, who underwent surgery at the Voronezh Regional Clinical Oncology Hospital and the Voronezh Clinical Hospital of the Russian Railway-Medicine in 2015-2017. All patients were conditionally divided into 2 groups for comparative retrospective analysis. All patients of the first (experimental or spleen-preserved) group (144 patients) were performed R0 total gastrectomy with D2 lymphadenectomy, including splenic hilar nodes (№ 10,11) removal without splenectomy. Patients of the second (control or splenectomy) group (219 patients) were performed R0 total gastrectomy with D2 lymphadenectomy and prophylactic splenectomy (for splenic hilar nodes removal).Results. The average duration of the operation and the volume of blood loss did not differ in both groups. The incidence of early postoperative surgical complications was lower in the spleen-preserved group. Splenectomy was associated with more severe complications of class 4 and 5 according to the Clavien-Dindo classification. Conclusion. Parameters of the 1- and 3-year overall survival rate did not differ in both groups. The results of the GSRS questionnaire were similar in both groups, excluding reflux-esophageal symptoms scale. The reflux scale demonstrated a statistically and clinically significant advantage of spleen preservation.
Test Procedure for a New Type of a Ventricular Assist Device Based on a Viscous Friction Pump
Authors: Zhulkov Maksim , Golovin Alexander , Grenaderov Alexander , Tsirikhov Vitaliy , Sabetov Azat , Agaeva Hava , Alsov Sergey , Chernyavskiy Alexander
Published: September 2020

Introduction. Currently, the possibility of effective correction of multiple organ failure and increasing the life expectancy of patients with critical heart failure using the ventricular assist devices (VAD) is absolutely evidenced. The development of alternative analogues of such devices produced within the country has been an urgent problem for many decades. The design of this machine requires the development of a protocol for carrying out complex biomedical studies on the biocompatibility and safety of the new device.The aim of the study was to develop a protocol for testing and conducting comprehensive biomedical biocompatibility studies of a new ventricular assist device in an acute animal experiment.Materials and methods. The study to develop a technique for implanting a left-ventricular assist device (LVAD) in an acute experiment included female mini-pigs, weighed 40-60 kg. In a series of acute experiments, 5 implantations of a disk pump as a LVAD were performed with a maximum observation period equal 6 hours.Results. In the series of acute experiments, an implantation technique was developed and the fundamental possibility of a viscous friction pump application as a ventricular assist device was evidenced. In all experiments (n = 5), the average level of free hemoglobin did not exceed 2.6 mg%, which supports safety of performance of the viscous friction pump regarding blood erythrocytes. None of the experiments recorded episodes of pump shut-off or breakdown.Conclusions. The series of acute experiments on mini-pigs helped reveal a number of anatomical and physiological features of this animal species that significantly complicated implementation of persistent observation. However, the developed experimental LVAD test methodology can be recommended for use in further chronic experiments on large laboratory animals (calves).
Current Views on the Use of Bariatric Surgery in Patients with Extreme Obesity
Authors: Mitsinskaya Aleksandra , Kaschenko Victor , Fishman Mikhail , Sokolov Alexey , Samoilov V. S. , Mitsinskiy Mikhail , Varzin Sergey Alexandrovich , Lodygin Aleksandr , Akhmetov Azat
Published: September 2020

Currently, the prevalence of obesity and its extreme forms is progressively increasing throughout the world. The article presents analysis of different approaches to the surgical treatment of super and super-super obesity. The range of methods varies from one-stage restrictive interventions to the use of multi-component combined operations with long-term preoperative preparation. In general, the opinions of the experts seem to be different, so at the present time there are no uniform recommendations for treating patients with extreme obesity, the fact determining the need for further research
Intraoperative Tactics of Local Surgical Hemostasis in Injuries and Planned Operations on the Parenchymal Organs of the Abdominal Cavity
Authors: Severinov Dmitriy Andreevich , Bondarev Gennady Alekseevich , Lipatov Vyacheslav Alexandrovich , Saakyan Araik Rubenovich
Published: September 2020

Currently, mortality rate in the liver and spleen injuries remains high, despite the present-day level of advances in the diagnosis and treatment of surgical diseases. Damage to parenchymal organs leads to the development of intra-abdominal bleeding. The severity of bleeding depends on the anatomical features of the blood supply to the damaged organ and the massiveness of the lesion, the type of traumatic agent. Intraoperative provision of reliable hemostasis is a significant problem in liver and spleen injuries. This paper summarizes the experience of Russian and foreign experts on surgical treatment of various types of parenchymal organ injuries. Stitching, adhesive compositions, biological and synthetic films, non-contact methods are used to achieve the final intraoperative hemostasis for parenchymal organ injuries; electrocoagulation is also very popular. Currently, the issues of surgical treatment tactics of spleen and liver injuries are not fully resolved. The search for optimal options, as well as technical advancement of organ-preserving operation techniques involving parenchymal organs, remains relevant. This depends on the structural features of these organs, availability of the methods of local hemostasis listed in this paper and surgeon's knowledge and manual skills. Moreover, at present, hemostatic application agents are widely introduced into clinical practice, parenchymal bleeding caused by superficial planar injuries of parenchymal organs being the main indication for the use of these agents.
Rudolf MATAS-the father of modern vascular surgery (to the 160th of birthday)
Authors: Andreev Alexander Alekseevich , Ostroushko Anton Petrovich
Published: September 2020

Рудольф Матас родился в 1860 году в США. В 1880 году Матасу окончил медицинский колледж университета Луизианы со степенью доктора медицины. Он работал хирургом, профессором анатомии, редактором новоорлеанского медицинского и хирургического журнала. Он разработал и осуществил в 1888 году операцию по поводу травматической артериальной аневризмы (операция Матаса), за что его сегодня часто называют отцом современной сосудистой хирургии. В 1888 году Рудольф Матас, с целью купирования послеоперационного гиповолемического шока, использовал внутривенный физиологический раствор. В 1894 Г.. стал профессором и заведующим кафедрой хирургии в Тулане, которую возглавлял в течение 33 лет. В 1899 году он опубликовал доклад об успехах спинномозговой анестезии с использованием кокаина, став первым хирургом в Соединенных Штатах, который использовал спинномозговую анестезию. Он был первым хирургом в мире, который использовал субарахноидальное введение опиатов в спинномозговой анестезии. В 1906 году он разработал зажим для контроля скорости вливания внутривенных растворов. Рудольф Матас был избран президентом Американской коллегии хирургов и Американской ассоциации торакальной хирургии, получил шесть почетных степеней, был признан почетным членом и награжден медалями хирургических обществ двенадцати стран. В 1908 году он перенес энуклеацию правого глаза. В возрасте 92 лет почти полностью ослеп. Он умер в 1957 году. В 1937 году его именем была названа библиотека медицинской школы Тулейнского университета штата Луизиана.
Cena musical paulistana dos anos 2010 e o “novo artista da música” na produção independente brasileira pós-internet
Authors: Galletta Thiago
Published: September 2020

Partindo de entrevistas com artistas e analisando a importância da cena musical paulistana dos anos 2010, enquanto proeminente polo criativo na música brasileira atual, o artigo discute algumas das principais reconfigurações que se operam – a partir do contexto digital recente – nos lugares ocupados pelos artistas e pelas cenas “independentes” na cadeia de produção e consumo musical. Serão analisados ainda, especialmente, os papéis simultâneos assumidos por estes artistas no cenário tecnológico e econômico emergente, enquanto “criado­res” de sua obra e como “gestores” e “comunicadores” de suas carreiras. Aqui se sublinhará tanto os novos potenciais produtivos e estéticos descortinados em meio a estas mudanças, co­mo também tensões entre estas atribuições e funções concomitantes, que não conviviam de modo tão imbricado em décadas anteriores.
PEMANFAATAN LIMBAH PLASTIK MENJADI AGREGAT PADA MORTAR GEOPOLIMER
Authors: Qomaruddin Mochammad , Ariyanto Ariyanto , Istianah Istianah , Zahro Fatimatuz
Published: September 2020

Berbagai jenis plastik susah berkontaminasi dengan tanah yang juga dianggap limbah anorganik, yang sulit hancur dengan sendirinya. Solusi pemanfaatan limbah plastik dapat digunakan sebagai agregat beton. Metode yang digunakan yaitu eksperimental di laboratorium dengan membandingkan mortar geopolimer dan konvensional dalam variasi jumlah agregat plastik substitusi agregat alam. Pengaruh penambahan plastik  Pasta geopolimer menggunakan 3 varian molaritas 8M, 12M, 16M. Hasil pengujian kuat tekan beton didapatkan nilai kuat tekan tertinggi pada mortar geopolimer 12M dengan penambahan agregat kasar berupa limbah plastik sebanyak 15% pada umur 28 hari dengan dengan hasil kuat tekan sebesar 28,24 MPa. Kuat tekan yang dihasilkan pada mortar konvensional dan mortar geopolimer didapatkan semakin meningkat dengan bertambahnya umur pengujiannya. Pengaruh agregat plastik dapat mengikat lebih baik secara homogen pada mortar geopolimer dibanding dengan mortar konvensional.
PROTOTYPE REGION OF INTEREST (ROI) CITRA WAJAH MANUSIA BERBASIS BINARY LARGE OBJECT (BLOB) ANALYSIS
Authors: Putra Arief Bramanto Wicaksono , Rosada Mirza Rafdi , Gaffar Achmad Fanany Onnilita
Published: September 2020

Setiap manusia memiliki identitasnya masing-masing, dan tidak akan sama satu identitas seseorang dengan identitas lainnya. Biometrik suatu wajah tidak akan sama dengan wajah lainnya, oleh karena itu dirancang suatu prototype pengenalan identitas ciri wajah pada wilayah-wilayah tertentu atau Region of Interest (ROI). ROI yang digunakan merupakan biometrik-biometrik unik yang terdapat pada wajah. Untuk mendapatkan ROI, proses segmentasi yang digunakan diantaranya adalah: Morfologi, Flood fill Algorithm dan Tresholding. Kemudian dengan menggunakan BLOB Analysis jumlah area dan nilai piksel yang terdapat pada ROI yang telah tersegmentasi akan dijadikan sebagai ekstraksi ciri pengenalan yang kemudian akan teridentifikasi menggunakan pendekatan Euclidean distance. ROI yang diperoleh dari ekstraksi menggunakan BLOB analysis mencakup 6 sampai 9 area biometrik wajah seperti alis, mata, hidung, mulut dan telinga. Hasil performansi dari identifikasi kemiripan wajah menggunakan 3 data wajah dengan 5 data sampel berbeda pada masing-masing wajah adalah 33,3%.
Investigasi Kerentanan Tanah Berpotensi Likuifikasi Menggunakan Metode Mikroseismik Di Wilayah Prambanan, Yogyakarta
Authors: Aditama Maulana Rizki , Saadi Achmad Gunar , Nurcahya Budi Eka
Published: September 2020

Metode mikroseismik merupakan suatu metode pasif seismik yang menggunakan sumber pasif bumi. Metode ini dapat digunakan untuk menganalisis potensi efek kerentanan tanah di sekitar wilayah Prambanan, Yogyakarta, Indonesia. Studi kali ini berlandaskan pada teori gempa bumi yang dapat memicu mengaktifkan bahaya lain seperti likuifaksi yang disebabkan karena tanah kehilangan kekuatan akibat kehilangan tegangan yang berasal dari pori batuan yang terisi oleh fluida. Dengan demikian, informasi tentang potensi likuifaksi diperlukan untuk mencegah kerusakan, pada hal ini terfokus pada candi Prambanan. Teknik pengukuran dan analisis mikrotremor telah berhasil untuk mengidentifikasi keberadaan kerentanan tanah dan potensinya terhadap likuifaksi dengan cara mikrozonasi di banyak tempat di seluruh dunia. Makalah ini menyajikan studi eksperimental mikrotremor untuk penyelidikan karakteristik tanah berdasarkan tiga parameter seismik pasif yaitu frekuensi dominan (f0), amplifikasi (A0), dan indeks kerentanan seismic (SVI). Dilakukan pengambilan data sebanyak 56 titik titik di sekitar candi Prambanan untuk menyelidiki sifat-sifat tanah di daerah ini. Dalam hasil penelitian ini, perlu dicatat bahwa karakteristik mikrotremor tergantung pada jenis endapan tanah dengan menghasilkan nilai amplifikasi diatas 4 dan nilai indeks SVI berada pada 20 - 100.  Dengan demikian, wilayah penelitian termasuk pada zona berbahaya potensi likuifaksi apabila terjadi gempa lokal maupun regional, terkhusus di wilayah utara dan timur, dibuktikan dengan distribusi nilai Ao dan SVI yang tinggi. Peta mikrozonasi dari hasil penelitian ini diharapkan dapat digunakan sebagai referensi untuk pembangunan dan perencanaan kota di sekitar Prambanan dan mendorong inovasi untuk mengurangi dampak kerentanan seismik dan likuifaksi di sekitar Candi Prambanan
Desain Ulang Modul Paten Dan Cipta Dari Sistem Informasi Hak Kekayaan Intelektual Universitas Jenderal Soedirman
Authors: Syaiful Aliim Muhammad , Siswantoro Hari , Supriyanti Retno
Published: September 2020

Sentra HKI adalah sistem informasi yang dikembangkan oleh Puslit Hak Kekayaan Intelektual dan Sertifikasi Produk LPPM Universitas Jenderal Soedirman untuk mengarsipkan dokumen HKI secara digital seperti Paten, Indikasi Geografis, Cipta, Merek, PVT (Perlindungan Varietas Tanaman), Rahasia Dagang, DTLST (Desain Tata Letak Sikuit Terpadu), dan Desain Industri. Sentra HKI juga digunakan untuk mengelola pengajuan HKI baru dan memantau status HKI yang saat ini dimiliki oleh LPPM UNSOED. Kondisi saat ini Sentra HKI berjalan tidak sesuai dengan fungsinya, menu selain Paten dan Cipta tidak bisa diakses, selain itu menu paten dan cipta tidak mendukung pengarsipan dokumen berdasarkan riwayatnya karena setiap melakukan pembaharuan dokumen, dokumen lama akan terhapus dengan dokumen baru. Hal ini juga terlihat pada struktur tampilan layar menu paten dan cipta yang juga tidak mendukung pengarsipan dokumen berdasarkan riwayat dan diikuti dengan struktur basis data yang juga tidak mendukung pengarsipan dokumen berbasis riwayat. Dengan melalui pengembangan aplikasi berupa desain ulang baik struktur basis data dan struktur tampilan yang mendukung pengarsipan dokumen berbasis riwayat Sentra HKI kembali mampu mengelola pengajuan HKI baru dan memantau status HKI yang dikelola oleh LPPM UNSOED.
Pendampingan Pembukuan Sederhana dan Mutu Produksi Usaha Brayan Food di desa Kertanegara Kecamatan Kertanegara Kabupaten Purbalingga
Authors: Mafudi Mafudi , Faturrokhman Agus
Published: September 2020

Kegiatan ini bertujuan untuk mengembangkan kapasitas produksi dua kelompok usaha mikro yang memproduksi makanan ringan di Dusun Kalisogra Kabupaten Banyumas, yaitu Kelompok Usaha Bersama (KUB) Cempaka dan Melati. Permasalahan yang dihadapi KUB Cempaka yang memproduksi kripik pisang yaitu dapur produksi belum higienis karena berlantai tanah, ukuran dan rasa kripik belum standar, kemasan belum standar karena masih menggunakan stapler, variasi rasa produk masih terbatas belum memiliki sarana transportasi, belum memiliki spinner untuk mengurangi kadar minyak kripik untuk menjaga daya tahan, belum memiliki jaringan untuk pasokan bahan baku pisang, belum memiliki media pemasaran, belum memiliki ijin kesahan dari Dinas Kesehatan yaitu Pangan Industri Rumah Tangga (PIRT). Metode yang digunakan adalah ceramah, pelatihan dan pendampingan di lokasi kegiatan. Hasilnya adalah peningkatan higienitas dapur produksi yang berdampak pada kualitas produk dan kepuasan anggota yang bekerja di dapur, ukuran kripik yang standar karena dipotong menggunakan alat, kemasan yang menarik dapat meningkatkan harga jual produk, variasi rasa dapat meningkatkan pangsa pasar, penggunaan spinner untuk mengurangi kadar minyak sehingga kripik lebih tahan lama, pengurusan ijin kesahan PIRT memberikan jaminan kepada pembeli akan mutu produk serta tidak perlu khawatir produk akan disita jika ada inspeksi dari Dinas Kesehatan karena produk dianggap tidak legal
Efektivitas Program Pendampingan Kewirausahaan dan Program Pelatihan Berbasis Partisipatory Training Untuk Mendorong Kemandirian Ekonomi Bagi Komunitas Penyandang Disabilitas di Kabupaten Purbalingga
Authors: Novandari Weni , Suliyanto Suliyanto
Published: September 2020

Populasi penyandang disabililtas di Kabupaten Purbalingga terbilang besar, yaitu mencapai 7.885 orang. Mayoritas para penyandang disabilitas tersebut masuk dalam kategori miskin cacat, yang tinggal di desa dengan kemampuan ekonomi kurang Oleh karena itu, dibutuhkan pendampingan dan pemberdayaan bagi kaum disabilitas ini agar mereka memiliki kemandirian dan berdaya secara ekonomi sehingga dapat mengurangi jumlah masyarakat miskin di Kabupaten Purbalingga.

Kegiatan PPM ini bertujuan untuk menguatkan mental kewirausaaan para penyandang disabilitas dan membekali para penyandang disabilitas dengan ketrampilan yang dapat mereka manfaatkan agar mereka dapat mandiri dan berdaya secara ekonomi.

Metode pelaksanaan kegiatan adalah 1) Memberikan pelatihan pembuatan produk kerajinan dari kayu, 2) Memberikan bantuan alat produksi, berupa mesin scroll saw,mesin gerenda dan mesin bor. 3) Memberikan penyuluhan dengan materi penguatan mental kewirausahaan.

Hasil pelatihan menunjukkan bahwa materi pelatihan yang diberikan sudah sesuai dengan kebutuhan dan kondisi fisik mitra. Dengan pendampingan, diharapkan peserta dapat mempraktikkan ketrampilan yang mereka peroleh dalam kegiatan pelatihan dan memulai usaha untuk membuat dan memasarkan berbagai produk dari limbah kayu.
Pendampingan UMKM Batik Dalam Mengoptimalkan Nilai Tambah UMKM Melalui Pelatihan Pembuatan Motif Batik Khas Purbalingga
Authors: Setyorini Christina Tri , Susilowati Dewi
Published: September 2020

Kegiatan ini bertujuan untuk meningkatkan pemahaman dan keterampilan perajin batik mengenai motif batik khas Purbalingga. Adapun tujuan kegiatan ini adalah: meningkatnya keterampilan peserta dalam melakukan desain motif batik khasPurbalingga, peserta mampu melakukan teknik desain yang baik dan berkurangnya ketergantungan kepada daerah lain dalam melakukan desain batik sehingga dapat menekan biaya produksi dan menekan harga jual. Objek dalam kegiatan Pengabdian Kepada Masyarakat ini merupakan ibu rumah tangga yang tertarik dan telah menekuni dunia perbatikan dari desa Metenggeng, Desa Cipaku dan Desa Sangkanayu Kecamatan Mrebet Kabupaten Purbalingga. Kegiatan dilaksanakan dengan memberikan penyuluhan dan pelatihan. Hasil kegiatan menunjukkan adanya peningkatan keterampilan desain batik dengan motif khas Purbalingga. Diharapkan peningkatan keterampilan membuat desain motif batik khas Purbalingga, dapat meningkatkan penghasilan perajin batik serta menjaga warisan leluhur.
OPTIMALISASI PEMANFAATAN LAHAN PEKARANGAN PADA KELOMPOK KESWADAYAAN MASYARAKAT DI KELURAHAN KEDUNGWULUH KECAMATAN PURWOKERTO BARAT
Authors: Badriah Lilis Siti , Rahajuni Dijan , Tini Etik Wukir
Published: September 2020

Peningkatan nilai ekonomi lahan pekarangan melalui pemanfaatannya sudah dilaksanakan oleh masyarakat di Kelurahan Kedungwuluh tetapi hasilnya belum optimal. Mereka menginginkan kegiatannya tersebut menjadi lebih produktif, tetapi terkendala oleh keterbatasan pengetahuan dan keterampilan. Dalam aspek produksi mereka mengahadapi masalah bagaimana cara meningkatkan produktivitas lahan pekarangan sedangkan masalah dalam aspek manajemen adalah bagaimana cara melakukan pembukuan keuangan usaha yang benar. Tujuan pengabdian masyarakat ini, pertama,  untuk memberikan solusi dalam meningkatkan produktivitas lahan pekarangan melalui perbaikan metode bercocok tanam sayuran organik dengan teknik vertikultur. Kedua,  untuk memberikan solusi dalam aspek manajemen dengan mengadakan penyuluhan, pelatihan, dan pendampingan proses penyusunan pembukuan. Mitra kegiatan adalah kelompok keswadayaan masyarakat di Kelurahan Kedungwuluh Kecamatan Purwokerto Barat, Kabupaten Banyumas. Metode pelaksanaan kegiatan terdiri dari ceramah, praktek/pelatihan, evaluasi, dan pendampingan. Pelaksanaan kegiatan ini telah menunjukkan adanya peningkatan pengetahuan dan keterampilan mitra. Indikator keberhasilan antara lain terlihat dari hasil wawancara dengan kelompok masyarakat yang menunjukkan adanya peningkatan pengetahuan dan keterampilan mereka setelah pemberian penyuluhan dan pelatihan dibandingkan sebelumnya. Keberhasilan juga terlihat dari adanya peningkatan produktivitas lahan dengan indikator jumlah tanaman yang bertahan hidup sampai masa panen lebih banyak jika dibandingkan kondisi sebelumnya. Dengan demikian hasil yang diperoleh saat ini tidak saja dapat digunakan untuk memenuhi kebutuhan konsumsi keluarga, tetapi juga ada sebagian yang dapat dijual sehingga kegiatan ini dapat menghemat pengeluaran dan dapat mendorong peningkatan pendapatan.
PENDAMPINGAN PENGUATAN KELEMBAGAAN MELALUI RINTISAN KOPERASI BAGI FORUM PENGRAJIN BATIK PURBALINGGA (FPBP
Authors: Wulandari Siti Zulaikha , Martini Sri , Sulistyandari Sulistyandari
Published: September 2020

Forum Pengrajin Batik Purbalingga (FPBP )merupakan kelompok batik pertama di Purbalingga yang saat ini anggotanya berjumlah 170 orang pembatik. Keberadaan FPBP yang masih bersifat informal dan belum memiliki ketetapan hukum yang kuat menjadikannya tidak berkembang secara optimal. Kegiatan pengabdian ini bertujuan untuk melakukan pendampingan terhadap FPBP dalam mengelola sekaligus menguatkan kelompok, agar FPBP dapat berkembang secara lebih optimal. Berdasarkan analisis dan diskusi dengan FPBP, diketahui permasalahan prirotas yang  perlu segera diberikan alternatif solusi untuk pemecahan masalah yaitu melalui 1).Penyuluhan dan pendampingan penguatan aspek pengelolaan organisasi dan dinamika kelompok; 2). Penyuluhan dan sosialisasi mengenai  koperasi dalam paradigma baru dan 3). Pendampingan rintisan pembentukan koperasi batik. Hasil pelaksanaan kegoatan ini menunjukkan bahwa anggota FPBP secara umum sangat mendukung terbentuknya Koperasi batik.  Rintisan Koperasi batik FPBP di wujudkan melalui dibukanya gerai penjualan batik Purbalingga Wastra Lingga. Bantuan modal awal barang dagangan berupa bahan baku produksi batik (kain mori, malam dan bahan pewarna) menjadi langkah awal rintisan koperasi batik, yang disediakan bagi para pembatik anggota FPBP. Dalam pelaksanaan kegiatan ini, pengurus FPBB diberi penyuluhan mengenai perkoperasian dan pendampingan dalam merancang anggaran dasar dan anggaran rumah tangga (AD/ART) Koperasi Batik. Rintisan koperasi batik berupa penjualan bahan baku batik di Wastra Lingga telah menunjukkan adanya kegiatan transaksi yang cukup signifikan.
OPERATOR ⊞A and ⊠A ON INTUITIONISTIC FUZZY RING
Authors: Pratama Dian
Published: September 2020

Intuitionistic fuzzy sets is a sets that are characterized by membership and non-membership function which  sum is less than one. When applied to ring theory, it will called intuitionistic fuzzy rings. The fuzzy set operator is a mapping between the membership function and the interval [0,1]. In this study, we will describe properties of operator  and  in intuitionistic fuzzy rings. The characteristics that will be studied include the structure of  and  if A is an intuitive and fuzzy ring and vice versa.
PERHITUNGAN HARGA OPSI EROPA MENGGUNAKAN MODEL BINOMIAL MULTIPERIODA (STUDI KASUS SAHAM TELKOM.JK)
Authors: Sofiyati Noor
Published: September 2020

Binomial Model is one of method to determine the option price. In this model, assumed that  the stock price only move  up or down in the each steps. In this journal will be reviewed the risk neutral world assumption and real world to determine option price and knowing how to calculate option payoff for european option from stock price use Binomial Multiperoid Model with different strike price.