bluuebunny/crossref_metadata_2025 huggingface dataset:
Congenital heart defects in children with cleft lips and/or palates at an academic hospital in central South Africa
Authors: Barrett WJ , Diedericks BJS , Barrett CL , Joubert G , Turton EW
Published: February 2020

Background: Globally, cleft deformities are the most common craniofacial anomalies and show an association with congenital heart defects. Little research on cleft lips and/or palates (CL/P) and congenital heart defects has been reported from Africa, and none from South Africa. In 2001, it was proposed that CL/P be listed as one of six priority conditions for monitoring and notification to South African health authorities. This goal of creating a national registry has not been achieved. A near-fatal anaesthetic incident following a missed cardiac lesion in a child with a cleft lip and palate prompted this study.

Objectives: To describe the prevalence of congenital heart defects diagnosed in children with CL/P presenting for corrective surgery during the Smile Week over three consecutive years (2013–2015) at an academic hospital in South Africa.

Methods: A retrospective, descriptive file review of 62 patients with CL/P was performed. Since 2013, echocardiography has been performed on all patients with CL/P.

Results: Twenty-three, 21 and 18 patients were operated in 2013, 2014 and 2015, respectively. Of these patients, 85.5% (n = 53) had no clinical evidence of a cardiac defect, of which eight did have clinically significant cardiac defects on echocardiography. Sixteen patients (25.8%) in total (n = 16/62) with a cleft deformity had a clinically significant congenital heart lesion. Of the 16 patients with a cardiac defect on transthoracic echocardiography, only four had clinical evidence of cardiac defect. Therefore, sensitivity of clinical examination was 25%, whereas the specificity was 89.1%. Three of the four patients with a syndrome had a clinically significant echocardiographic finding.

Conclusion: A national guideline for the preoperative care of patients with CL/P, including routine echocardiography, is needed. Furthermore, a national registry is required for patients with CL/P with associated congenital anomalies.
ANALISIS FRAMING PEMBERITAAN PIDATO MENTERI NADIEM MAKARIM PADA PERINGATAN HARI GURU NASIONAL
Authors: Sari Nove Kurniati
Published: February 2020

Nadiem Makarim is part of the Jokowi cabinet which received pros and cons responses from the public. His background as a businessman has been criticized by various parties who doubt his capacity in government. Criticism of Nadiem was also given in the text of his speech on Teacher's Day which was considered different from other formal public speeches. The method in this study uses Robert N. Entman's framing analysis model to explore the perspective of online media on Nadiem Makarim's speech text. The author argues, using framing analysis, the construction of events presented by the media can be understood from various points of view and lead public interpretations as objectively as possible. The purpose of this study is to find differences between the media in processing and presenting facts about an event. The results of this study indicate that each media has its own characteristics in preaching the Teacher's Day speech by Nadiem Makarim. Liputan6 presents the news from the standpoint of Nadiem's ​​concern for national education. Whereas Pontas.id, Republika.co.id, and CNNIndonesia.com use the perspective of educational leaders in criticizing aspects of the application and prospects of the essence of the speech text.
“To Select and Appoint...”: Organization of the Institute of the Comissioner Council for Religious Cults in the Molotov Region. 1944 – 1946
Authors: Glushaev  , Goleva
Published: February 2020

the publication presents documents from the collections of the State Archive of the Perm Krai – SAPK. The documents deal with the genesis of the institution of the commissioner Council for religious cults in the Molotov region during the Second world war. The relevance of the study is to study the Soviet state-confessional policy in 1944–1946 years. The main aspects of reforming the anti-religious policy of the USSR in the conditions of the Second world war are considered in substantial monographs. The attention of most researchers is focused on the relations between the state and the Russian Orthodox Church and the activities of the Council for the Affairs of the ROC. To a lesser extent, the formation of the institution of commissioners of the Council for religious cults in the regions has been studied. Archival materials show the practices of the authorities with the help of which the organization of the institution of the commissioner took place. The commissioners were to control local religious associations.
Documents from the Fund of the commissioner Council for religious cults (SAPK F. r–1204. Op. 2. D. 9) have been prepared for publication in accordance with the existing rules.
Why Do Bosses Not Like the Members of Intelligentsia? Part 3
Authors: Volsky
Published: February 2020

the article is a statement of the conclusions that can be drawn from the definition of intelligentsia given in the second part of this work. It is shown how different attitudes to truth can lead to social marginalization and obstruction of the people of intelligentsia. This is explained by the fact that the need of the human mind to know the truth and communicate it to as many people as possible often conflicts with the interests of the individual – the carrier of this mind, as well as with the interests of his environment.
Pengembangan Sumber Daya Manusia Kepariwisataan Dalam Pendidikan Kejuruan
Authors: Harahap Zulkifli , Ritonga Abdul Kadir
Published: February 2020

Pada suatu Lembaga dengan jalur Pendidikan formal dapat mempersiapkan lulusannya yang mempunyai keunggulan di dunia kerja, dengan diantaranya yaitu pada khususnya pada jalur Pendidikan kejurusan bidang kepariwisataan. Pendidikan kejuruan memiliki karakteristik yang berbeda dengan satuan pendidikan lainnya. Perbedaan tersebut dapat dikaji dari tujuan pendidikan, substansi pelajaran, tuntutan pendidikan dan lulusannya. Pengembangan Kepariwisataan dalam pendidikan kejuruan (vocational) merupakan suatu kebutuhan sangat penting pada masa mendatang. Pendidikan Kejuruan abad XXI terus dikembangkan seiring dengan perkembangan teknologi baik secara makro dan mikro dengan diiringi pengembangan Sumber Daya Manusia untuk mendukung keberhasilan pendidikan kejuruan khususnya bidang kepariwisataan di Indonesuia. Indonesia menempatkan pendidikan kejuruan sebagai bagian dari sistem pendidikan nasional untuk menyiapkan lulusan bekerja atau melanjutkan kejenjang lebih tinggi atau bekerja mandiri berwirausaha. Terdapat beberapa tujuannya yang terdiri atas tiga aspek pokok, yaitu kompetensi kerja, karakter (kepribadian dan ahklak mulia) untuk hidup mandiri (life skills), dan berkembangnya karir melalui pendidikan kejuruan.
Meliponiculture and physicochemical properties of honey produced by the African stingless bee Plebeina hildebrandti Friese in Kalakamati village, Botswana
Authors: Bafo W.
Published: February 2020

This study was conducted to assess the harvesting practices in Kalakamati village of honey produced by the African stingless bee Plebeina hildebrandti Friese and to determine the physicochemical properties of this honey. To understand stingless bee honey harvesting practices, a semi-structured questionnaire was prepared and 15 individuals who have experience in collecting stingless bee honey were interviewed. The physicochemical properties of four honey samples were analysed following standard procedures. The stingless bee honey had average moisture (28.4%), reducing sugar (61%), apparent sucrose (2.4%), free acidity (36 meq/kg), pH (4.77), total ash (0.42%), hydroxymethylfurfural (HMF) (17.82 mg/kg) and water-insoluble solids content of 0.07%. All the parameters comply with the Tanzanian standard for stingless bee honey whereas all but moisture content agrees with the European standard for honey from Apis mellifera. Moisture content of the stingless bee honey in the present study is higher than the 21% EU standard for Apis mellifera honey. In Kalakamati village, honey from stingless bees is collected from the bush and stingless bees are not kept by farmers. According to the respondents, honey from stingless bees is consumed as it is, is used as a substitute for sugar in tea and for its medicinal value to treat cough, stomach ache and flu. The results suggest that honey produced by stingless bees in Kalakamati village is of good quality as it generally meets international quality standards. Honey production from stingless bees could contribute to poverty alleviation and food security in the study area if appropriate interventions are made.
Camels in Botswana: Herd dynamics and future development implications
Authors: Seifu E
Published: February 2020

This study was conducted to assess the current status of camels kept at the Tsabong Ecotourism Camel Park (TECP) and to make recommendations for improvement of their productivity. A semi-structured questionnaire was prepared and all park workers and the park manager were interviewed on various issues related to the camel park. In addition, field observations were made by touring the entire park in order to identify browse species consumed by the camels. Also, the overall conditions of the camel herd were assessed by visiting them at the kraal. The results showed that the camel park is currently facing a wide range of problems and the Tsabong camel herd is underutilized and performing well below its potential. The camels are currently used only for tourism (riding) purposes. However, the main reason for keeping camels elsewhere in the world is for food production, mainly for milk production. Thus, due emphasis should be given to milk production from camels alongside camel tourism (camel safari). If appropriate interventions are taken to improve the productivity of the camels, they would significantly contribute towards achieving food security and economic prosperity in Kgalagadi District, Botswana.
The second Symposium held in February 2018 under the theme “Biodiversity Management - A Strategy for Sustainable Development and Climate Change Adaptation and Mitigation”
Authors: Marumo Marumo Kedumetse
Published: February 2020

The Global Taxonomy Initiative (GTI) was developed by governments through the Convention on Biological Diversity (CBD) after acknowledging the existence of taxonomic impediment to the sound management of biodiversity. The main aim of the strategy is to develop the human resources and infrastructure necessary to generate, disseminate and use taxonomic knowledge and information in a manner that assists parties in effectively implementing the convention. The National Taxonomy Committee (NTC) is a committee mandated to drive the Global Taxonomy Initiative programme of work in Botswana.
Biodiversity and climate change perceptions in arid lands-implications for sustainable development in Botswana
Authors: Atlhopheng J R
Published: February 2020

The paper considers the biodiversity and climate change perceptions in the semi-arid landscape of Botswana. Ecosystem services are essential to the planet’s equilibrium/wellbeing. However, anthropogenic influences, including climate change remain a stressor to the biodiversity resources. For Botswana, the land degradation and droughts, climate change and livelihoods are intertwined to divulge distinctive vulnerabilities and impacts. The existing action plans such as National Biodiversity Strategy and Action Plan (NBSAP), the Botswana National Action Programme to Combat Desertification (BNAP-CCD) and climate change’s nationally determined contributions (NDCs) point to the need for synergies. Research projects highlight increased vulnerabilities for various sectors, which challenge the country’s sustainability initiatives to meet the Sustainable Development Goals (SDGs), National Development Plan 11 (NDP11) and the Vision 2036 imperatives. The perception study reveals the general public’s interpretations of what is good and what are challenges, at district levels. These reveal that biodiversity or climate change are not perceived to contribute much to the ‘good’ of the country, except for 2 district groups in northern Botswana. The national challenges hinge much on biodiversity loss and climate change – hence restricting attainment of the national development priorities.
Adopting deficit irrigation as a strategy to enhance food security in Botswana
Authors: Clift–Hill A
Published: February 2020

Food security can be defined as ensuring that all people, at all times, have access to sufficient, safe and nutritious food that meets their dietary needs and preferences for an active and healthy life. Most countries aim to achieve food security by maximising production and thus reducing the reliance on imported food. Botswana is a net food importing developing country (NFIDC). The average annual food import bill over the last three years has been six billion Pula. The value of imported food as a proportion of all merchandise imports fell from 14.2% in 2000 to 8.7% in 2015. This resulted in Botswana’s ranking in the world moving from position 63 in 2000 to 100 in 2015.

In this study, data provided by Statistics Botswana were disaggregated to separate foodstuff from beverages and tobacco. Over the last three years, one fifth of imported food valued at just over one billion Pula per year, has been staple cereals (sorghum, maize and wheat). Seventy five per cent of all imports are from South Africa which makes the country’s position of food insecurity even more precarious. An argument is presented to encourage the irrigation of staple cereal crops so as to increase production and thus substitute for imports, create employment and improve the food security status of the country. In particular, it is argued that deficit irrigation should be adopted as a matter of policy, allowing the most efficient use of limited water resources and resultant increase in irrigated area and quantities of staple foods produced.
INFLUENCE OF STRENGTHENING OF PARTS ON THE RELIABILITY OF MACHINES
Authors: Dudnikov Anatoly , Dudnikov Igor , Gorbenko Oleksandr , Kelemesh Anton
Published: February 2020

The paper considers the issues of increasing the reliability of agricultural machinery through the use of reinforcing processing of recovered machine parts by plastic deformation, which provides an increase in the quality of their surface layer during recovery.
The operational stability of the piston fingers and the upper heads of the connecting rods restored by vibration reinforcement on the engines working in the mechanized agricultural complex was carried out: tractor - agricultural machine - car. Studies have shown that the amount of wear of piston fingers restored by the vibration deformation method is 1.23 times smaller than the traditional method of recovery, which confirms the effectiveness of vibration technology.
Technological processes of restoration of discs of diggers of beet harvesters, discs of coulters of grain planers, plow blades with use of vibrating vibrations of the processing tool are developed and put into production.
The results of these developments showed an increase of 1.21 times the time of beet harvester harvesting with the diggers' wheels with the vibration-strengthened method; an increase in technical use factor of 1.07 times, compared to new 65G steel wheels.
To improve the reliability of the PLN-5-35, PLN-3-35 plows, the technology of restoration of working bodies - blades is developed and introduced into production, which provides for increase of their durability and durability.
The coefficient of technical use of the plow units with the blades restored by the developed technology is 1.01 times higher than that of the plow units with the new blades made of 65G steel.
The wear rate of the toe, width and thickness of the blade are 1.51 respectively; 1.22 and 1.27 times less than the new 65G steel blades.
The results of the study of vibrating reinforcing processing of working bodies of agricultural machinery help to increase their resource, which provides increased reliability of machines.
DEPENDENCE BETWEEN OPERATING REQUIREMENTS AND PARAMETERS OF RATIONAL CHOICE OF THE VIBRATION CONVEYOR DESIGN
Authors: Tokarchuk Oleksii , Vіtalіy Yaropud
Published: February 2020

An analysis is made of the dependence between the individual experimental requirements and the parameters of the vibratory conveyor.
The main problem in the creation and justification of the parameters of new designs of continuous vibratory conveyors that provide the expansion of technological capabilities is the reduction of energy resources with improved conditions for their operation, as well as the development of methods for designing their working elements is of great technical importance.
The process of moving cargo by a vibrating conveyor is accompanied by complex phenomena in the material layer. Theoretical studies relating to the laws of motion of a single material point can be applied in calculating the entire flow only when taking into account the specific features of the cargo, its physical and mechanical properties and the influence of air resistance. During abrupt movement, especially in closed gutters and pipes, under the load and above it, rarefaction and high pressure zones are formed, this phenomenon is observed to a greater extent during the transportation of dusty loads.
The basic arrangement of the vibratory conveyor depends mainly on the type of drive: eccentric, aspiration, electromagnetic. The influence of the operating mode of the conveyor, as well as the amplitude and frequency of oscillation on the speed of transportation of grain; dependence of plant performance from these parameters, is established.
Experimental graphs of the dependence of the speed of transporting grain on the width of the trough and amplitude, are presented and also graphs are built showing the performance of the vibratory conveyor on the complex function of a number of parameters: amplitude, vibration frequency, etc.
RELEVANSI SIKAP PLURALIS YESUS DALAM INJIL LUKAS
Authors: ALAKAMAN MARLEN TINEKE
Published: February 2020

Dalam konteks keberagaman, tetap saja ada sikap yang bertentangan dengan kenyataan itu.Keragaman masyarakat Indonesia dan Maluku khususnya terdiri dari berbagai agama, etnis dan ras juga menunjukkan terdapatnya persoalan keberagaman itu. Sikap eksklusif, konflik dan pertikaian yang menggunakan “baju agama”, merebaknya aksi-aksi teroris, pengrusakan dan pembakaran sarana dan tempat ibadah, sikap saling curiga antar umat beragama (Islam dan Kristen) cukup membuktikan bahwa sikap pluralis yang diharapkan menjadi pilihan dalam konteks bermasyarakat di Indonesia dan Maluku khususnya masih jauh dari apa yang diharapkan. Belajar dari tokoh Yesus yang juga hidup dalam konteks kemajemukan, seorang Yahudi asli tetapi diri-Nya senantiasa dilukiskan sebagai yang berada didalam suasana konflik dengan para pemuka agama Yahudi.Praktek hidup Yesus sebagaimana yang dipotretkan oleh Kitab Lukas menjadi hal yang menarik dalam konteks keberagaman di Indonesia dan Maluku.Menurut  Lukas, sikap pluralis yang ditunjukkan Yesus yakni Yesus berpihak pada orang-orang miskin, Yesus sahabat kaum perempuan, Yesus sahabat pemungut cukai dan orang berdosa. Konkritnya yang membedakan kitab Lukas dengan Kitab Injil lainnya ialah cerita mengasihi musuh dan orang Samaria yang murah hati yang bagi penulis, Yesus mengajarkan suatu pola sikap baru, pola sikap yang pluralis yang bertindak tanpa pandang bulu, sampai pada musuh sekalipun.
FACEBOOK : A Product Of Popular Culture And The Virtual Interreligious Dynamics
Authors: KALAY NELSON SEMOL
Published: February 2020

Popular Culture especially Facebook has become a part our everyday life. Religious communities such as church is also using this media of communication to support its ministerial purposes. In this article, I try to explore about the ideas of Facebook in order to see to what extend this media has already contributed not merely for any particular religion, but also for strengthening interreligious relations. This article begins with a consideration on why we should pay attention on Facebook in our theological discourses, followed by a brief description why it has been said as a form of popular culture. In the next section, I will analyze social, existential or hermeneutical, and transcendent dimensions functions of Facebook setting out from Gordon Lynch’s theory. In the end, I will specifically highlight how Facebook can contribute for interreligious dynamics. This part ends up with three considerations that Facebook has built an online interreligious community, increased public awareness on social and political issues, and bridged the gap in the spatially-segregated community.
Faktor yang Berhubungan dengan Kejadian Abortus Inkomplit di RSIA Sitti Khadijah I Makassar Tahun 2018
Authors: Ruqaiyah Ruqaiyah
Published: February 2020

Abortus merupakan masalah kesehatan masyarakat karena memberikan dampak pada kesakitan dan kematian ibu. Salah satu penyebab utama kematian ibu adalah perdarahan berupa komplikasi yang disebabkan abortus. Abortus dapat menyebabkan komplikasi yang mengarah pada kematian ibu.Tujuan dilakukan penelitian ini adalah untuk mengetahui faktor-faktor apakah yang berhubungan dengan kejadian abortus nkomplit di Rumah di Rumah Sakit Ibu dan Anak Sitti Khadijah 1 Makassar Januari – Mei 2018. Penelitian ini menggunakan metode penelitian analitik dengan menggunakan pendekatan cross sectional study untuk mengetahui antara hubungan umur dan paritas pada abortus inkomplit Di Rumah Sakit Ibu dan Anak Sitti Khadijah 1 Makassar dengan populasi sebanyak   orang dengan jumlah sampel 31 orang dengan mengunakan teknik Total Sampling. Dari hasil ujian statistik dengan menggunakan uji chi-square (Fisher’s Exact Test) diperoleh untuk variabel umur ibu nilai p = 0,004 > α = 0.005 artinya ada hubungan antara umur ibu dengan kejadian abortus inkomplit. Untuk variabel paritas ibu  nilai P = 0,000 > α = 0.005 artinya ada hubungan antara paritas dengan kejadian abortus inkomplit. Kesimpulan dari dua variabel yaitu umur dan paritas ada hubungan dengan kejadian abortus inkomplit di Rumah Sakit Ibu dan Anak Sitti Khadijah 1 Makassar 2018.
Hubungan Riwayat Sectio Caesarea dan Paritas Terhadap Kejadian Plasenta Previa di RSUD Haji Makassar Tahun 2018
Authors: Hartuti Noviyani
Published: February 2020

Tujuan Penelitian ini adalah diketahuinya hubungan antara riwayat sectio caesarea dan paritas terhadap kejadian plasenta previa di RSUD Haji Makassar tahun 2018. Penelitian ini menggunakan metode penelitian analitik dengan melakukan pendekatan Cross Sectional Study untuk mengetahui hubungan antara riwayat sectio caesarea dan paritas terhadap kejadian plasenta previa di RSUD Haji Makassar. Secara keseluruhan jumlah populasi yang ada sebanyak 177 orang dan didapatkan besar sampel sebanyak 177 orang dengan menggunakan tekhnik Total Sampling. Dari hasil analisis hubungan antara riwayat sectio caesarea terhadap kejadian plasenta previa yang memiliki riwayat sectio caesarea dan mengalami plasenta previa sebanyak 1 orang (0,6%), sedangkan ibu yang tidak mengalami plasenta previa  sebanyak  9 orang (5,1%), dari paritas ibu dengan paritas tinggi yang mengalami plasenta previa sebanyak 9 orang (5,1%) dan yang tidak mengalami plasenta previa sebanyak 53 orang (29,9%). Hasil penelitian menunjukkan bahwa tidak ada hubungan antara riwayat sectio caesarea terhadap kejadian plasenta previa di RSUD Haji Makassar dengan nilai P-value (0,543), dan ada hubungan antara paritas terhadap kejadian plasenta previa di RSUD Haji Makassar dengan nilai P-value (0,010).  Kesimpulan dari dua variabel yaitu riwayat sectio caesarea tidak berhubungan dengan kejadian plasenta previa sedangkan paritas memiliki hubungan dengan kejadian plasenta previa di RSUD Haji Makassar tahun 2018
Hubungan Pengetahuan dan Kolestrol Terhadap Disfungsi Seksual Wanita Premenapause di Wilayah Kerja Puskesmas Kassi-Kassi Kota Makassar
Authors: Maharani Dian , Jafar Nurhaedar , Multazam Multazam
Published: February 2020

Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan kolestrol  dengan  disfungsi seksual wanita premenapause di wilayah kerja puskesmas kassi-kassi.Penelitian ini merupakan penelitian survey dengan desain cross sectional dan dilakukan di wilayah kerja puseksamas kassi-kassi.Populasi dalam penelitian ini adalah seluruh wanita premenapuse (45-55 thn) berjumlah 352  orang.teknik pengambilan sampel menggunakan metode purposive sampling,dengan jumlah 78 orang.penelitian dilakukan dari bulan oktober s.d september 2018.Data dianalisis dengan menggunakan uji chIsquare. Dari hasil analisi data didapatkan bahwa ada hubungan antara pengetahuan terhadap disfungsi seksual dimana nilai p value 0,029<0,05 ,begitu juga dengan  variabel kolestrol dimana nilai p value 0,012 < 0,05 menyatakan ada hubungan antara kolestrol dengan disfungsi seksual,dimana wanita premenopause yang berpengetahuan kurang lebih banyak mengalami disfungsi seksual,dan wanita premenopause yang memiliki kolestrol tinggi lebih banyak mengalami disfungsi seksual
Hubungan antara Ibu Pengidap Diabetes dengan Kelahiran Bayi Makrosomia di RSUD Syekh Yusuf Gowa Tahun 2018
Authors: Farahdiba Idha , Gassing Agussalim
Published: February 2020

Berdasarkan pengambilan data awal yang diperoleh di RSUD Syech Yusuf Gowa, pada tahun 2016 jumlah ibu hamil yang mengalami Diabetes sebanyak 510 dari jumlah kunjungan ibu hamil sebanyak 1840, pada tahun 2017 jumlah ibu hamil yang mengalami Diabetes sebanyak 543 dari jumlah kunjungan ibu hamil 1243, dan pada bulan Januari s/d juli tahun 2018 jumlah kunjungan ibu hamil sebanyak 308 orang (Profil RSUD Syech Yusuf Gowa). Tujuan dilakukannya penelitian ini adalah untuk mengetahui Hubungan Antara Pengidap Diabetes Dengan Kelahiran Bayi Makrosomia di RSUD Syekh Yusuf Gowa Tahun 2018.  Penelitian ini menggunakan metode penelitian Analitik dengan melakukan pendekatan Cross Sectional Study untuk mengetahui Hubungan Antara Pengidap Diabetes Dengan Kelahiran Bayi Makrosomia di RSUD Syekh Yusuf Gowa dengan jumlah populasiDari hasil uji statistik dengan menggunakan uji Chi-Square (Fisher’s Exact Test) diperoleh nilai P (0,518) < α (0,05), yang berarti bahwa tidak ada hubungan antara ibu pengidap Diabetes dengan kelahiran bayi Makrosomia di RSUD Syekh Yusuf Gowa tahun 2018. Kesimpulan dari penelitian ini tidak terdapat hubungan antara ibu pengidap Diabetes dengan Kelahiran bayi Makrosomia di RSUD Syekh Yusuf Gowa sehingga diharapkan pada ibu hamil rutin untuk memeriksakan kehamilannya untuk mencegah terjadinya komplikasi pada kehamilan dan persalinan
Minimally invasive approach and application of new technologies in bariatric and metabolic surgery
Authors: Morales Conde S , López Bernal F , Alarcón del Agua I , Licardie Bolaños E , Barranco Moreno A , Socas Macías M
Published: February 2020

El abordaje mínimamente invasivo en cirugía bariátrica es una realidad, no existiendo duda actualmente que su aplicación debe ser prácticamente en todos los procedimientos, incluso en cirugía de revisión de cirugía previa laparotómica. Ante este escenario, si hablamos de aplicación de las nuevas técnicas y la tecnología en cirugía bariátrica debemos enfocar el tema a tres aspectos fundamentalmente: las vías actuales para realizar la cirugía de forma más segura apoyadas en las nuevas tecnologías, tales como: la mejora del material quirúrgico, la robótica, la cirugía con sistemas 3D o el potencial que tiene la cirugía guiada por la imagen. Por otro lado, se tiende a mejorar las ventajas del acceso a la cavidad mediante: la miniaturización de los trocares, es decir la minilaparoscopia, la reducción de su número o la cirugía por acceso único. Por último, el control del proceso asistencial del paciente avanza hacia la innovación mediante el uso de la telemonitorización gracias a la aplicación de las nuevas tecnologías. Estos aspectos son claves en el presente y el futuro de la cirugía bariátrica y metabólica y sin duda son el punto de desarrollo innovador y de la nueva visión asociada a este tipo de procedimientos.
Metabolic results of bariatric surgery. Impact on cardiovascular risk.
Authors: Mateo Gavira I , Vílchez López FJ , Mayo Ossorio MÁ , Medina Herrero D , Sánchez Toscano E , Pacheco García JM , Prada Oliveira A , Aguilar Diosdado M
Published: February 2020

La obesidad supone un importante impacto sociosanitario por su elevada prevalencia, las comorbilidades asociadas y su elevada mortalidad. La cirugía bariátrica, aunque no exenta de riesgos, se postula como un tratamiento eficaz en la consecución de una importante pérdida ponderal y mejoría de las patologías asociadas a la obesidad. Los datos de remisión, superiores a los de cualquier abordaje terapéutico intentado hasta la actualidad, plantean la posibilidad de considerar la cirugía metabólica como alternativa terapéutica en pacientes con diabetes y un índice de masa corporal inferior al considerado hasta el momento. Así, la cirugía metabólica ha supuesto la incorporación de las técnicas de cirugía bariátrica al arsenal terapéutico de situaciones clínicas tradicionalmente consideradas de manejo dietético y farmacológico. Dicho beneficio metabólico se traduce en una reducción del riesgo cardiovascular, así como una notable mejora en la calidad de vida de los pacientes intervenidos.
Current status in bariatric surgery research
Authors: Camacho Ramírez A , Aguilar Diosdado M , Campos Martínez FJ , Salas Álvarez J , Falckenheiner Soria J , Moreno Arciniegas A , Pérez Arana GM , Prada Oliveira JA
Published: February 2020

La investigación en medicina es la única herramienta útil utilizada por el médico para avanzar en su actividad. La cirugía bariátrica no es ajena a esta dinámica natural instaurada. Desde sus comienzos y hasta la época actual las indicaciones y directrices han ido variando. Las sociedades científicas, cada vez más estructuradas y organizadas, han ido marcando las pautas generales en las actuaciones clínicas además de orientar la investigación, asistiendo en los últimos años a un importante crecimiento tanto del número como de la calidad de los estudios. Ésta proyección hace posible el progreso y la innovación de nuevas técnicas que van ocupando su lugar dentro de este campo, como son el caso de las técnicas endoscópicas o las indicaciones para la cirugía metabólica. La investigación en cirugía bariátrica y sus comorbilidades no son solo el resultado de las actuaciones clínicas. Es inevitable su necesaria ampliación a campos más complejos como el conocimiento de los mecanismos causantes. Para poder asegurar el progreso en esta rama quirúrgica de la medicina son aún forzosos los lazos entre la investigación humana y animal.
Gluteus abscess due to Dermatobia hominis
Authors: Gómez Sánchez J , Zurita Saavedra MS , Hernández García E , Alcaide Lucena M , Mirón Pozo B
Published: February 2020

Los abscesos glúteos constituyen una de las enfermedades más frecuentes en la población, siendo tratados en ocasiones como una entidad menor, sin embargo, en ocasiones pueden tratarse de la manifestación de patologías subyacentes o como la forma de presentación de enfermedades tropicales.

Presentamos una mujer con antecedente de un viaje turístico, que presenta tumoración glútea dolorosa que ha ido en aumento asociada a prurito y febrícula. Ante la sospecha de un absceso glúteo con mala evolución se realiza incisión y drenaje, obteniéndose una larva inerte de Dermatobia hominis y material purulento.

La miasis por Dermatobia hominis es infrecuente en nuestro medio, sin embargo, debido al incremento del turismo a climas tropicales, se debe tener una alta sospecha diagnóstica de esta patología ante abscesos de evolución tórpida y antecedentes de viajes a zonas endémicas. Su tratamiento varía, desde el tratamiento médico y medidas físicas para extracción de la larva, hasta el tratamiento quirúrgico con la exéresis de la misma.
Gallbladder duplication and acute cholecystitis
Authors: Moya Sánchez E , Medina Salas V , Diéguez Castillo C
Published: February 2020

La duplicación vesicular es una malformación congénita poco frecuente. Las anomalías morfológicas vesiculares y las variantes anatómicas en su posición se asocian con un aumento del riesgo de complicaciones tras la cirugía. Las técnicas de imagen realizadas de forma preoperatoria ayudan a confirmar el diagnóstico.
Beginnings of bariatric and metabolic surgery in Spain
Authors: Baltasar A
Published: February 2020

La cirugía bariátrica (CB), del griego bari (peso) y iatrein (cura) trata la obesidad y comienza en España en 1973. Su mayor desarrollo ocurre tras la fundación de SECO (Sociedad Española de Cirugía de la obesidad) en 1997. La finalidad de este trabajo es reflejar los cambios que han ocurrido en estos 22 años.
Prevalence and incidence of obesity in our environment. Implications for the health system
Authors: Vílchez López FJ , Mateo Gavira I , Larrán Escandon L , Mayo Ossorio MÁ , Pacheco García JM , Prada Oliveira JA , Aguilar Diosdado M
Published: February 2020

En las últimas décadas se ha producido un notable incremento en la prevalencia e incidencia del sobrepeso y de la obesidad tanto a nivel mundial como en nuestro país, dentro del cual, nuestra comunidad se encuentra entre las regiones con datos más desfavorables. La obesidad eleva el riesgo de complicaciones crónicas que afectan a la salud y a la calidad de vida de la persona, se ha relacionado con un aumento importante de los costes directos e indirectos (comparados con las personas con normopeso) y, por tanto y por todo ello, si no se modifican las tendencias actuales, podría comprometer la sostenibilidad de los sistemas sociosanitarios públicos. Además, en este contexto, en los últimos años se ha producido una expansión de la cirugía bariátrica como técnica de elección en el tratamiento de pacientes con obesidad grave.
The gastric bypass. A unique concept and multiple realities.
Authors: Membrives Obrero A , Ruiz Rabelo J , Cobo Padilla D , Castilla Cabezas J , Gómez Álvarez M , Díaz Iglesias C , Briceño Delgado FJ
Published: February 2020

Cuando hablamos de bypass gástrico, en realidad nos referimos a un conglomerado de técnicas que tienen en común la creación de un reservorio gástrico de pequeño tamaño sobre el cual se realiza una anastomosis gastroyeyunal en "Y" de Roux. La diversidad de métodos por los que esto se consigue hace que los resultados globales de la técnica no puedan ser extrapolados, de forma inequívoca, a todos los pacientes con obesidad mórbida. El objetivo de este artículo es revisar los resultados con aquellas variaciones que tienen más importancia, la creación de la anastomosis gastroyeyunal y la longitud de los distintos tramos intestinales que se crean, así como evaluar cual es el papel que ocupa el bypass gástrico actualmente en el arsenal de técnicas de las que disponemos en el tratamiento quirúrgico de la obesidad mórbida.
PHYSICAL THERAPY AND SWIMMING INFLUENCE ON FEMALE TYPE OF ADIPOSE DEPOSITION AND CELLULITE
Authors: Maznev Ivan , Izov Nikolay , Nikolova Milena , Dimitrova Antoaneta , Grigorova-Petrova Kristin
Published: February 2020

Cellulite is a very common problem with women of all ages, and many of them try to solve it using various methods. To evaluate the effect of swimming and physiotherapy on subcutaneous fat in overweight women with female type of adipose deposition. The research was done among 38 women aged between 22 and 48 years, with gynoid accumulation of fat and cellulite II, III-A and III-B classes. For one month, a complex of fifteen procedures was applied every other day. The procedures included a combination of the following methods: free style intermittent swimming for 20 min in a pool, a vacuum massage - 30 min, a lymphatic press massage - 20 min, a manual massage with anti-cellulite creams - 20 min. The combination of exercises for the muscles of the abdominal wall, hip muscles and thighs had to be performed at home daily. Five circumferences and ten skin folds were measured before and after the treatment. We found out that a total of ten skin folds was an integral indicator of the nutritional obesity degree and level of subcutaneous fat. At the end of the study, subcutaneous fat was reduced from 222.4 mm to 209.9 mm (10.34%). The reduction of the skin folds, typical for gynoid type deposition of fat and cellulites, was the most pronounced in the following zones: a fold over anterior superior iliac spine, a fold over the patella, a fold in the popliteal fossa and a fold on the medial side of the cruris. The results of the complex therapeutic approach revealed a reduction in the examined indicators within the first month. It is suitable to apply swimming and physiotherapy in the comprehensive treatment of cellulite with women who have female type of adipose deposition.
OPTIMIZATION OF TEACHING METHODS IN SPORTS CLASSES WITH STUDENTS WITH VISUAL IMPAIRMENTS
Authors: Albert Mariana , Albert Evald
Published: February 2020

The motivation for conducting the present research is the creation of kinesitherapeutic algorithms adapted to visually impaired student so that they can achieve greater autonomy and activity in motor skills during sports classes. The aim of the study is to develop a kinesitherapeutic program to improve the physical fitness of students with visual impairments during their sports classes. Tasks: To explore the peculiarities of the students’ adaptation to regular physical workload; To analyze the students’ social behavior and attitude within and outside the group; To optimize the methods of teaching sport. The research was done among 105 people (male and female) with major Vision-impaired Masseurs. The Kinesitherapeutic Program included five successive stages: 1. Improving coordination 2. Training proper breathing. 3. Investigating and practicing Chi gon exercise. 4. Learning and applying yoga exercises. 5. Filling in a questionnaire. The survey shows that 82.86% of students believe the kinesitherapeutic program improves their autonomy and locomotion activity, increases their motor skills and physical fitness. The kinesitherapeutic program is applicable to pupils as well as students with visual disturbances with different majors. For the first time, sports classes combine Chi gong and yoga exercises with static-strength workouts and balance exercises to increase physical activity as well as to prevent and treat clinical conditions associated with visual disturbances.
IMPLIKASI DILEMATIS STATUS JANDA BAGI WANITA
Authors: Arifin Muhamad
Published: February 2020

Setiap wanita sejatinya mendambakan untuk bisa menjalani kehidupan rumah tangga yang harmonis hingga akhir hayatnya. Namun bagi beberapa wanita, keinginan itu kadang harus kandas untuk bebeapa waktu, dan bagi sebagian lainnya kandas untuk selamanya. Melalui penelitian ini, penulis hendak mengungkap alasan alasan yang melatar belakangi terjadinya status janda pada wanita. Pengetahuan tentang latar belakang terjadinya status janda, penulis melanjutkan dengan mengungkap alasan sebagian wanita yang lebih memilih untuk mempertahankan statusnya sebagai seorang janda. Dari pemahaman terhadap dua aspek ini, penulis dapat mengungkap kondisi dilematis dan beberapa solusi nyata bagi seorang janda. Harapannya penelitian ini dapat bermanfaat bagi wanita janda yang sedang dalam dilema, kesusahan untuk memutuskan sikap.
قواعد في رد البدعة عند علماء الشافعية
Authors: Ihsan Muhammad Nur
Published: February 2020

مما قد علم بالنصوص الشرعية أن البدعة في الشرع كلها ضلالة، وليس منها شيء حسن، وأن العمل إذا تبين كونه بدعة فهو باطل ومردود على صاحبه، إلا أن أصحاب البدعة لهم شبه وحجج يتشبثوا بها في تحسين البدع وتبريرها وترويجها بين الناس. وقد ذكر أهل العلم من جميع المذاهب قواعد وأصولا يمكن من خلالها معرفة بطلان البدعة وردها ودحض شبهات أهلها. فهذا البحث المتواضع مشاركة في بيان هذا الأمر وذلك من خلال أقوال علماء الشافعية رحمهم الله. وقسمته إلى مقدمة تشتمل على خلفية البحث وتحديد المسألة ومنهج البحث، ثم موضوع البحث ويشتمل على تعريف البدعة لغة واصطلاحا، وتعريف القاعدة وأهمية معرفتها، وقواعد في رد البدعة في نظر علماء الشافعية، ثم الخاتمة وفيها ذكر نتائج البحث.

وهذا البحث يُعدُّ من البحوث المكتبية التي تعتمد على المنهج الكمي (Kuantitatif) الذي يقوم بجمع أقوال علماء الشافعية من بطون مؤلفاتهم المتعلقة بهذه المسألة، وأما ما يتعلق بعرض البيانان وتقريب المعلومات للوصول إلى نتائج البحث فيستخدم المنهج الوصفي (Deskriptif) والاستقرائي (Dedukatif) وتحليل المحتوى (Analisa isi).

ومن خلال دراسة أقوال هؤلاء العلماء واستقرائها وتحليلها يمكن تلخيص القواعد لرد البدعة في الأمور التالية: 1) الأصل في العبادة المنع أو التحريم، ويندرج تحت هذه القاعدة: أن العبادة لا تبنى على القياس، وأن الثواب على العمل مبني على التوقيف أيضا، 2) كل بدعة ضلالة، 3) درء المفسدة مقدم على جلب المصلحة، 4) النية الحسنة غير كافية في قبول العبادة،5) الاحتياط في موافقة السنة والاقتداء بسلف الأمة 6) الكثرة ليست دليلا على الحق، وإنما الحق موافقة الكتاب والسنة
ETIKA KOMUNIKASI DALAM VEDA (TINJAUAN FENOMENOLOGI PADA ERA GLOBALISASI)
Authors: Suhardi Untung
Published: February 2020

This research using triggered with the phenomenon that it is this day of the importance of the application of ethics in the life of , especially ethical in the vedas that exist in the life of religious social .This research using analysis deksriptif qualitative done with the approach phenomenology in of life at literature hindu .Research discussed about the history of communication in the vedas , ethics communication in the vedas and efforts the preservation of the implementation of the communication in the life of religious social . The result of this research showed that form of communication which limited only speak to your neighbor, but hindu give the findings for donations to civilization mankind that communication the most essential relationships are vertical with the almighty.Communication used in basic hindu thought this is what made the concept of the balance between spiritual life and a globe which is later, becomes the basis for behavior communicate in life in the present.In relation to the process communication veda is very long apply pattern interaction  with your neighbor and its environment good horizontally with fellow human beings began of the family, the community and even to the national interest and state.Their effort to preserve ethics communication in the vedas formed by openness individual, the integration of all components hindu, capital intellectual as turning point in progress human resources, and sanction to local knowledge.
Nilai-Nilai Pendidikan Kesetiaan Devī Sāvitrī Dalam Vāna Parva
Authors: Hemamalini Kadek
Published: February 2020

This study discusses about the value of teaching the loyalty of Devi Savitri in Vana Parwa. This theme was created based on the phenomenon of the declining value of faithfulness between husband and wife in married life, as they appear in the mass media and real life which are affairs and divorce in marriage. Related to that phenomenon, writer invites people began to improve itself by studying Hindu literature. Which one of them is Devi Savitri's story in the Vana Parva, which can be used as guidance in run a married life. This study tried to explore the value of teaching the loyalty of Devi Savitri in Vana Parwa, as well as its still  relevance in this era. This research is a literature study. Using the concept the value of teaching the loyalty of Devi Savitri, and Vana Parva. The results of this study found that  Devi Savitri was the wife who uphold the Satya concepts, such as Satya Wacana, Satya Hredaya, Satya Laksana, Satya Mitra and Satya Samaya. Furthermore, Devi Savitri also act with love and devotion to her family.  In order to the values and the concepts can be applied  in this era.
PENERAPAN METODE BERMAIN PERAN DALAM MENGEMBANGKAN KARAKTER DAN KECERDASAN LINGUISTIK PADA SISWA SMP KELAS VIII DI PASRAMAN PURNA LINGGA PONDOK GEDE
Authors: Utami Erma Wahyu
Published: February 2020

This study discusses the learning method using the role playing method in Pasraman with the aim of developing Linguistic character and intelligence. This research was conducted in Pasraman Purna Lingga Pondok Gede. The background of this research is to develop learning methods to vary, because previously in Pasraman Purna Lingga using conventional methods or lecture methods. The lecture method is considered less attractive because students are only silent, listening and easily bored for the writer trying to apply the role playing method, where students participate actively in the learning process. This study uses a qualitative descriptive approach in which the data collection uses interview techniques, observation and documentation in the Purna Lingga Pondok Gede area. From the results of the study using the role playing method that is applied to students of Class VIII Middle School characters in students has developed well, by using simulations through drama scripts students can know and understand the characters that are in the Ramayana story and applied in everyday life. Whereas for linguistic intelligence class VIII students are already good at using language and fluent in talking about knowing the accuracy of intonation, pronunciation, facial expressions and fluent in delivering the drama script. Keywords: Methods of Role Playing, Character, Linguistics
ANTISEDEN KEPUTUSAN PEMBELIAN KONSUMEN TISU MEREK ALFAMART
Authors: Suhaya Suhaya
Published: February 2020

Customer decisions are crucial, from the business aspect it is a potential moment. So the right step for the company is to give the best, like promotion and good image. This research is intended to analyze the independent variables. How does it affect the dependent variable (purchasing decision). So we know a number that can be used to make decisions. To prove the purpose of the research, at least a quantitative approach is used. Data collection techniques using primary (direct), by asking a list of questions. Data were analyzed using linear regression with several stages, including the validity test, the classic assumption test, and the hypothesis test. The results of the study suggest, consumer decisions in buying greatly influenced by many factors, but promotion has a big contribution.
FAKTOR-FAKTOR YANG MEMPENGARUHI KOMITMEN TENAGA PENGAJAR PERGURUAN TINGGI
Authors: Sutoro Moh.
Published: February 2020

The main task of the lecturer is Tri Dharma. Then, the implementation must be accompanied by responsibilities, quality-oriented teaching, benefit-oriented research, and welfare-oriented service. To realize this requires an effort, and therefore this research was conducted to see what factors influence lecturer performance. The quantitative research method was chosen as a scientific way, by distributing questionnaires and analyzing with structural models. The results showed, performance is achieved through commitment, and motivation and other variables. This finding confirms that commitment plays an important role in realizing performance, even in reality other variables such as motivation, discipline, compensation and the environment are needed
KINERJA BANK UMUM KONVENSIONAL DI ERA REFORMASI
Authors: Ai Lutfi Hidayat Raden
Published: February 2020

Banking institutions are one pillars of the country's economy. His role as a regulator of financial traffic is the cause. Therefore, banks cannot fail, especially bankruptcy. The impact is triggering inflation and deflation that disrupt the economic system and crisis. A bitter experience occurred in 1998. The state suffered losses and triggered a social crisis. Since then, Indonesia has continued to maintain banking institutions to remain healthy and stable. This study aims to present information on banking performance, so it can be useful for parties. Proof efforts use a quantitative approach. Research data sourced from OJK. The results showed that the bank's performance was relatively good. But the last ten years showed a downward trend. The bank is able to maintain capital adequacy, good management of credit burden and risk, so as to increase interest income. But this has not been able to optimize profit and liquidity