bluuebunny/crossref_metadata_2025 huggingface dataset:
DA TUTELA JURÍDICA DOS INDIVÍDUOS LGBT SOB A PERSPECTIVA DA LIBERDADE, DA IGUALDADE, DA VIDA E DA DIGNIDADE DA PESSOA HUMANA
Authors: Galdino Valéria , Mazaro Juliana Luiza
Published: December 2018

Nem sempre os direitos do ser humano são garantidos e respeitados sem lutas, mesmo aqueles que lhe são inerentes e que, muitas vezes, acabam tendo que ser (re)conquistados, como ocorrem com os direitos das minorias sexuais. Razão pela qual a presente pesquisa analisou, por meio da revisão bibliográfica, a construção histórica dos princípios e dos direitos fundamentais da dignidade, da vida, da igualdade e da liberdade da pessoa humana sob a perspectiva dos indivíduos LGBT. Para tanto, será explorado como tais afetam, positiva ou negativamente, na vida desse segmento social. Para tanto, verificou-se que a comunidade LGBT no Brasil, devido a discriminação que sofrem por sua orientação sexual ou identidade de gênero, sofrem constantemente violações e abusos desses princípios e direitos. A liberdade e a autonomia dessas minorias sexuais em escolher a sua identidade de gênero e a orientação afetivo-sexual são consideradas uma subversão da heteronormatividade afetando inúmeros direitos, especialmente a igualdade formal frente a material, dificultando ou inviabilizando o exercício dos direitos das pessoas transgêneros.
Dos lados opuestos y una experiencia fronteriza: deixis del cruce en los relatos de Rosario Sanmiguel y Sandra Cisneros
Authors: Mora Ordoñez Edith
Published: December 2018

Las literaturas de la frontera en México y chicana en Estados Unidos traducen diversas perspectivas y significaciones de identidad fronteriza desde ambos territorios. Este trabajo realiza una interpretación de los relatos “Bajo el puente” y “Las hilanderas”, de Rosario Sanmiguel (1994) y La casa en Mango Street, de Sandra Cisneros (2009), con el objetivo de establecer relaciones dialógicas entre la construcción simbólica de los espacios vinculados con el lugar de origen –la casa- y los lugares situados en una instancia imaginaria al otro lado de la frontera. El análisis se aborda metodológicamente desde el enfoque de la “pragmática literaria” y se apoya en los recursos literarios de la “deixis”, de acuerdo con la enunciación de posiciones y desplazamientos de los personajes, así como en las metáforas de cruce de la frontera.
La vida insaciada. A propósito de un poema inédito de Sara Uribe
Authors: Valencia Alfonso
Published: December 2018

Abro un libro y encuentro una tarjeta con el mensaje “Fe de erratas”. Enumera dos errores en la edición de un libro cuya portada es indescifrable. Leo el primero: “pág. 44, donde dice porque no sé si la distancia es un veneno o una vida insaciada, debe decir porque no sé si la distancia es un veneno o una vid insaciada”. Pienso en la fortuna del error, en la vida insaciada, incumplida; y en los que “con la noche a cuestas se marchan y buscan en los bolsillos palabras para amainar su hambre de caminos pero no encuentran sino agujeros lentos orificios de tiempo y lugares perdidos de todo lo que alguna vez pensaron que olvidarían y que es ahora el rostro la mirada con que observan el espejo que los desnombra”.
Memorias que germinan
Authors: Merro Agustina
Published: December 2018

Mirian Pino y Dámaso Rabanal (comps.) Lenguajes de la memoria II. Entre la creación y la crítica. Narvaja Editor, Unquillo, 2017. 432 págs.

En el Prólogo de este libro que reúne trabajos seleccionados del coloquio Lenguajes de la memoria (Córdoba, Argentina, 2014-2016), los compiladores nos invitan a “mover la tierra de la memoria” en un movimiento que, aseguran, no deja idénticos al terreno ni a quien lleva a cabo la acción. Es por eso que nos permitimos calzarnos el delantal de jardinero y arroparnos con la paciencia de quien se dedica amorosamente a las plantas para aventurarnos en estas frondosas páginas.
Hubungan Karakteristik Ibu Bersalin dengan Ketuban Pecah Dini di Rumah Sakit Martha Friska
Authors: Panjaitan Ivansri Marsaulina , Tarigan Andini Mentari
Published: December 2018

Ketuban pecah dini adalah pecahnya ketuban sebelum waktunya melahirkan. Hal ini dapat terjadi pada akhir kehamilan maupun jauh sebelum waktunya melahirkan. Ketuban Pecah Dini pada Preterm adalah Ketuban Pecah Dini sebelum usia kehamilan 37 minggu dan  Ketuban Pecah Dini yang terjadi lebih dari 12 jam sebelum waktunya melahirkan. Tujuan penelitian ini untuk mengetahui Hubungan Karakteristik ibu bersalin dengan Ketuban Pecah Dini di Rumah sakit Martha Friska Tahun 2017. Jenis Penelitian ini menggunakan Pendekatan cross sectional. Penelitian ini menggunakan data sekunder dari rekam medik. Sampel yang digunakan adalah total Sampling dimana pengambilan sampel adalah keseluruhan populasi ibu yang mengalami ketuban pecah dini sebanyak 45 orang. Dari hasil penelitian didapatkandari 45 ibu bersalin hasil Asymp.Sig pada variabel Usia 20-35 sebanyak 39 orang (86,7%)dengan nilai p= 0,011, yang berarti ada hubungan yang signifikan antara usia dengan ketuban pecah dini.pada variabel Paritas Multigravida sebanyak 32 orang ( 71,1%) dengan nilai Asymp.Sig p = 0,031, yang berarti ada hubungan yang signifikan antara paritas dengan ketuban pecah dini.Pada variabel dengan status pekerjaan IRT sebanyak 33 orang (73,3%) dengan Nilai Asymp.Sig p = 0,014 yang berarti ada hubungan yang signifikan antara pekerjaan dengan ketuban pecah dini. Kesimpulannya ada hubungan antara Usia, Paritas, dan Pekerjaan Ibu bersalin dengan Ketuban Pecah Dini di Rumah Sakit Martha FriskaTahun 2017.Kata Kunci : KPD,Ibu Hamil, Karakteristik.
Faktor yang Berhubungan dengan Kejadian Keputihan Pada Remaja Putri di SMA Darussalam Medan
Authors: Oriza Novalita , Yulianty Roslina
Published: December 2018

Pendahuluan : Keputihan merupakan salah satu masalah kesehatan reproduksi wanita. Lebih dari 50% perempuan diseluruh dunia pernah mengalaminya. Keputihan sebenarnya tidak perlu diobati, namun kebanyakan wanita tidak mengetahui tentang keputihan dan penyebabnya sehingga jika tidak ditangani dengan baik akan menibulkan kemandulan dan merupakan gejala awal dari kanker rahim. Tujuan : penelitian ini adalah  untuk mengetahui faktor yang berhubungan dengan kejadian keputihan di SMA Darussalam Medan. Metode :Penelitian ini dilakukan menggunakan jenis penelitian survei analitik  dengan pendekatan cross sectional. Populasi penelitian ini adalah seluruh  remaja putri di SMA Darussalam Medan sebanyak 207 remaja putri dari 8 kelas pengambilan sampel dengan Proportional Stratifies Random Sampling sehingga didapatkan besar sampel sebanyak 136 orang.Analisa data dalam penelitian ini adalah analisa univariat, bivariat dan multivariat. Hasil : penelitian  dari  ujichi-square dengan nilai (sig α <0,05) yang berartiterdapat hubungan yang signifikan antara pengetahuan tentang vulva hygiene (p=0,006), sikap tentang vulva hygiene (p=0,004), pemakaian pantyliner (p=0,004), dan pemakaian cairan pembersih vagina (p=0,025). Hasil uji penelitian dengan metode Enter dengan nilai (sig α <0,05) yang berarti sangat memengaruhi terjadinya kejadian keputihan, sikap (sig= 0,008) dan  pemakaian pantyliner (sig=0,001).Kesimpulan : penelitian ini dapat disimpulkan bahwa faktor yang berhubungan dengan kejadian keputihan pada remaja putri di SMA Darussalam Medan adalah pengetahuan, sikap, pemakaian pantyliner, frekuensi penggantian pantyliner, dan pemakaian cairan pembersih vagina, serta variabel pemakaian pantyliner yang memengaruhi remaja terhadap kejadian keputihan di SMA Darussalam Medan Tahun 2017.
Hubungan Pengetahuan dan Sikap Ibu Hamil tentang Pemanfaatan Buku KIA di Puskesmas Namu Ukur
Authors: Hanum Rina , Safitri Mey Elisa
Published: December 2018

Pendahuluan: Tingginya angka kematian ibu membuat adanya keputusan Menteri Kesehatan Republik Indonesia 284/MENKES/SK/III/2004 tentang  Buku Kesehatan Ibu dan Anak (KIA). Buku KIA merupakan alat untuk mendeteksi secara dini adanyagangguan atau masalah kesehatan ibu dan anak. Tujuan: Tujuan dalam penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap ibu hamil tentang pemanfaatan buku KIA di Puskesmas Namu Ukur. Metode: Penelitian ini menggunakan metode survei yang bersifat analitik dengan pendekatan cross sectional. populasi dalam penelitian ini adalah sebanyak 548 ibu yang memiliki balita,, sampel diperkecil menggunakan rumus slovin sehingga sampel dalam penelitian ini adalah 84 Ibu hamil. Pengumpulan data diambil dari primer, sekunder, dan tersier. Analisis data menggunakan analisis univariat berupa distribusi frekuensi dan analisis bivariat mengguakan uji chi-squre pada tingkat kepercayaan 95%.  Hasil: Hasil uji statistic didapatkan nilai p = 0,001 pada variabel pengetahuan, nilai p = 0,017 pada variabel sikap dimana p < α (0,05). Kesimpulan: Kesimpulan dalam penelitian ini terdapat hubungan pengetahuan dan sikap ibu hamil tentang pemanfaatan buku KIA di Puskesmas Namu Ukur. Disarankan kepada Puskesmas Namu Ukur, khususnya bidan untuk dapat meningkatkan dukungannya dalam pemeriksaan ANC dan memberikan informasi dan penyuluhan kepada ibu hamil tentang frekuensi pemeriksaan kehamilan, dan memberitahu manfaat dari buku KIA sehingga ibu hamil memnfaatkan buku KIA mulai kehamilan hingga pemeriksaan balitaKata Kunci : Pengetahuan, Sikap, Pemanfaatan Buku KIA
Pengaruh Faktor Thought And Feeling, Personal References, Resources dan Cultureterhadap Kepuasan Pasien di RSU Delima Medan
Authors: Kinayan Nangari Sembiring Guru
Published: December 2018

Rumah Sakit Umum Delima Medan (RSUDM). Beroperasi dengan 60 unit tempat tidur rawat inap, terletak di KM 13,7 Medan. Masalahnya, pertama sejak awal sampai sekarang pemakaian tempat tidur rawat inap tidak pernah mencapai BOR 60%. Tujuan; menghentikan masalah riil RSUDM telah melaksanakan 2 kali uji akreditasi versi anjuran KARS (Komite Akreditasi Rumah Sakit), tetapi tindakan tersebut tidak pernah memberikan perbaikan yang memuaskan. Metode; Jenis penelitian survey analitik dengan rancangan cross sectional (potong lintang) Sampel dihitung berda sarkan populasi pasien rawat inap yang pulang di sepanjang 1 bulan sebanyak 345 orang jumlahnya  78 orang. Hasil; Variabel "Thought and Feeling" dengan Coef = 0,392 dan Sig = 0,00 <0.05; dan variabel "Culture" dengan Coef = 0,401 dan Sig = 0,00 <0.05   mampu memengaruhi nilai variabel dependent "Behavior". Dua variabel lain yaitu variabel "Personal References" dan "Resources" tidak memiliki indikasi berpengaruh. Tidak ada kebermaknaan pengaruh suatu faktor variabel biodata yang diregistrasi.  Kesimpulan; Untuk meningkatkan BOR, peneliti menganjurkan manajemen rumah sakit menggunakan temuan penelitian untuk mengatur ulang pelayanan perawat dan pelayanan dokter di rawat inap, memberikan pasien edukasi kesehatan yang lebih akurat dan efektif sehingga mampu menilai makna pelayanan yang baik seperti yang ditawarkan RS.
Analisis Pengaruh Mutu Pelayanan Terhadap Kepuasan Pasien Rawat Inap di RSU Mitra Sejati Medan
Authors: Meliala Sri Agustina
Published: December 2018

Angka Bed Occupancy Ratio (BOR) di RSUD Kotapinang tergolong rendah, yaitu 2,37 % pada tahun 2013 dan 5,21 pada tahun 2014. Rendahnya angka BOR ini diduga berkaitan dengan adanya ketidakpuasan pasien terhadap mutu pelayanan di ruang rawat inap RSUD Kotapinang. Tujuan: Tujuan penelitian ini  adalah untuk menganalisis pengaruh mutu pelayanan tampilan fisik (Tangible), kehandalan (Reliability), ketanggapan (Responsiveness), jaminan (Assurance), dan empati (Empathy) terhadap kepuasan pasien rawat inap di RSUD Kotapinang. Jenis penelitian ini adalah penelitian kuantitatif, menggunakan research explanatory dengan rancangan cross sectional dengan sampel pasien rawat inap berjumlah 85 orang. Metode: Metode pengumpulan data dilakukan melalui wawancara menggunakan kuesioner yang dibagikan kepada responden berisi pernyataan tentang mutu pelayanan rumah sakit dan kepuasan pasien di RSUD Kotapinang Kabupaten Labuhanbatu Selatan. Hasil: Hasil penelitian didapat variabel empati dengan nilai p < 0,001, artinya variabel yang paling berpengaruh terhadap kepuasan pasien. Kesembuhan pasien di samping obat yang dimakan, mutu layanan juga sangat berpengaruh terhadap kecepatan kesembuhan pasien. Mereka menginginkan agar dilayani tanpa membeda-bedakan golongan, suku dan agama. Kesimpulan: Diharapkan penelitian dapat memberi masukan kepada staf dan petugas RSUD Kotapinang untuk terus mengupayakan memberikan pelayanan prima kepada setiap pasien dengan ketulusan hati guna tercapainya kepuasan serta loyalitas pasien.
Faktor Yang Memengaruhi Kejadian Pulang Atas Permintaan Sendiri (PAPS) Pada Pasien Rawat Inap di RSU Madani Kota Medan
Authors: Lubis Muhammad Firza Syahlefi , Simanjorang Asyiah
Published: December 2018

Pendahuluan: Kepuasan terhadap pelayanan kesehatan diukur dengan indikator kepuasan mutu layanan kesehatan, proses layanan kesehatan dan sistem layanan kesehatan. Namum adakalanya layanan yang diterima tidak sesuai dengan harapan pasien, Hal ini menyebabkan pasien merasa tidak puas akhirnya memutuskan untuk mengakhiri pengobatan terhadap dirinya dan pasien pulang sebelum selesai masa pengobatannya yang dikenal sebagai pulang atas permintaan sendiri (PAPS) atau pulang paksa. Angka PAPS di RSU Madani lebih dari SPM Rumah Sakit yaitu tidak lebih dari 5% sedangkan kejadian PAPS di RSU Madani 6,6% Tujuan: Untuk meneliti tentang Faktor – Faktor Yang Memengaruhi Kejadian Pulang Atas Permintaan Sendiri (PAPS) di RSU Madani Kota Medan. Metode: Penelitian ini adalah penelitian survei explanatory research dengan pendekatan CrossSectional Study. Populasi dalam penelitian ini adalah seluruh pasien PAPS yang dirawat inap. Sampel dalam penelitian ini adalah seluruh populasi yang akan diteliti total population. Hasil: Penelitian menunjukan adanya pengaruh antara variabel keterjangkauan biaya P (Sig) = 0.003, variabel sarana prasarana P (Sig) = 0.018 dan variabel dukungan keluarga P (Sig) = 0.022. Variabel yang paling mempengaruhi adalah variabel keterjangkauan biaya dengan nilai Exp(B) sebesar 34.810 keterjangkauan biaya pasien lebih berisiko mengalami PAPS pada pasien umum sebanyak 35 kali lipat dibandingkan dengan pasien asuransi. Sedangkan variabel yang tidak berpengaruh adalah variabel pengetahuan, sikap petugas, dan persepsi penyakit. Kesimpulan: RSU Madani Medan diharapkan memberikan informasi yang jelas terkait biaya yang harus dikeluarkan pasien agar tidak terjadi salah persepsi dan membenahi sarana prasarana seperti memperluas lahan perpakiran rumah sakit agar pasien merasa nyaman dan menekan tingginya angka PAPS di rumah sakit.
Faktor yang Berhubungan dengan Pelaksanaan Standar Prosedur Operasional Kerja di Unit Kerja Rekam Medis RSUD Dr.R.M. Djoelham Binjai
Authors: Sulisna Aida
Published: December 2018

Standar Prosedur Operasional (SPO) rekam medis sangat berpengaruh kepada Rumah sakit dan juga kepada pasien karena berkas rekam medis memiliki nilai  terhadap administrasi, hukum, penelitian, dokumentasi, dan medis. Semua pasien yang masuk pada pelayanan kesehatan. Tujuan: Tujuan penelitian ini  adalah untuk mengetahui faktor-faktor yang berhubungan dengan pelaksanaan prosedur operasional kerja diunit kerja rekam medis RSUD Dr. RM.Djoelham Binjai. Metode: menggunakan total sampling dimana semua anggota populasi dijadikan sebagai sampel penelitian dengan jumlah responden 32 orang. Hasil: Hasil yang minoritas pengetahuan kurang dengan pelaksanaan SPO kurang 1 orang (3,1%). minoritas sikap baik dengan pelaksanaan SPO kurang 1 orang (3,1%). minoritas pengawasan kurang dengan pelaksanaan SPO kurang 3 orang (9,4%). dan minoritas pelatihan kurang degan pelaksanaan SPO kurang 2 orang (6,3%). Kesimpulan: Tidak ada hubungan signifikan faktor pengetahuan dengan pelaksanaan SPO oleh Unit kerja rekam medis.Ada hubungan signifikan faktor sikap, faktor pengawasan, faktor pelatihan dengan pelaksanaan SPO oleh unit kerja rekam medis.
Pengaruh Faktor Psikologis dan Organisasi terhadap Kinerja Perawat di Rumah Sakit Umum Daerah Sultan Abdul Aziz Syah Peureulak
Authors: Yanti Dewi , Muhammad Iman
Published: December 2018

Peran komunikasi dalam meningkat kinerja perusahaan sangat penting karena sistem komunikasi yang baik akan meningkatkan kinerja karyawan. Membatu mendorong dan mengarahkan karyawan untuk melakukan pekerjaan, mempengaruhi sikap, perilaku dan menanamkan kepercayaan karyawan. Tujuan: Untuk mengetahui hubungan komunikasi pemimpin dengan kinerja petugas kesehatan di Puskesmas B.P Mandoge. Desain: Jenis penelitian ini adalah penelitian yang menggunakan desain cross sectional, sampel yang diambil dengan mengunakan total population dengan rumus slovin yaitu sebanyak 49 pasien. Pengumpulan data diambil dari data primer dan sekunder. Analisa data yang digunakan untuk mengetahui hubungan variabel menggunakan uji chi-square. Alat ukur yang di gunakan adalah kuesioner. Hasil: Mayoritas petugas kesehatan berpendapat bahwa komunikasi pemimpin dalam kategori cukup yaitu 19 responden (38,8%) dan mayoritas petugas kesehatan memiliki kinerja dalam kategori kurang yaitu 22 responden (44,9%). Kesimpulan: Komunikasi pemimpin adalah sig-p = 0,017 atau < nilai sig α = 0,05. Hal ini membuktikan bahwa komunikasi pemimpin memiliki hubungan dengan kinerja petugas kesehatan di Puskesmas B.P Mandoge. Bagi Puskesmas B.P Mandoge disarankan penelitian ini dapat dijadikan sebagai salah satu indikator dalam menentukan kebijakan berkaitan dengan upaya meningkatkan komunikasi pimpinan secara baik agar terwujud kinerja bawahan yang maksimal.
ANALISA CLUSTERING PHISING DENGAN K-MEANS DALAM MENINGKATKAN KEAMANAN KOMPUTER
Authors: Rustam Suhardi
Published: December 2018

Almost the crime in cyber is a condition of criminal activity using computers or computer networks as tools and also as a target. Fraud in academic websites the most at risk. The action of Phishing is on the rise. Recorded globally, the number of fraudulent mode phishing 42% of the mode in addition to phishing which is stated in the website Anti-Phishing Working Group (APWG) in its monthly report, noting there 12.845 e-mail new and unique as well as 2.560 a fake site that is used as a means of phishing, in Addition to increase the quantity, the quality of the attacks is also increasing, the need for the work done by the network administrator in improving surveillance in monitoring activity on the network, in the action of data theft will perform the action of manipulating someone with the appearance of a particular web site. In this study a set of datasets will be clustering using k-means, K-Means algorithm will classify the dataset, resulted in the identification of phishing that is accurate and certifiable. With the results of this research iteration=10, the K-Fold=2 the of the Bouldin Davis index = 0.119.
MODEL NEURAL NETWORK BERBASIS FORWARD SELECTION UNTUK PREDIKSI JUMLAH PRODUKSI MINYAK KELAPA
Authors: Botutihe Marniyati Husain
Published: December 2018

Sulitnya memprediksi jumlah produksi dimasa datang sehingga permintaan komsumen seringkali tidak terpenuhi dengan baik. Tujuan penelitian ini adalah untuk membuat model prediksi jumlah produksi minyak kelapa menggunakan metode neural network berbasis forward selection, untuk mengetahui jumlah produksi di masa yang akan datang dengan tingkat error yang lebih rendah. Model yang dipilih berdasarkan nilai root mean square error (RMSE) terkecil yang diperoleh dari hasil pengujian. Hasil prediksi jumlah produksi minyak kelapa berdasarkan penelitian yang telah dilakukan sebelumnya dengan hasil niali aktual jumlah produksi minyak kelapa januari 2015, nilai tersebut berdasarkan hasil produksi yang telah terjadi. Dengan rata – rata presentase yang diperoleh yaitu 91.01%.
Histostructure of pancreas in patients with autoimmune pancreatitis type I and II: connection with the level of IgG4-positive plasma cells
Authors: Gaidar Y. A. , Oshmyanska N. Y. , Halenko A. P.
Published: December 2018

Differential diagnosis of autoimmune pancreatitis apart from everything else is based on specifics of immunoglobulin G4 involvement into the pathogenesis.

Aim is to analyze two forms of autoimmune pancreatitis and their relation to the level of IgG4-positive plasma cells.

Methods and results. The present study was conducted on 54 patients with chronic pancreatitis, from which 15 cases with autoimmune pancreatitis were selected by using morphological and immunohistochemical methods.

Conclusion. It has been established that for autoimmune pancreatitis type I dense lymphocytic periductal infiltrate, multilevel fibrosis, obliterating venulitis and high IgG4-positive plasma cells in the pancreas (>30 per high power field) were typical. In the cases of autoimmune pancreatitis type II, besides the specific histopathological signs of AIP, significantly epithelial damage of pancreatic ducts by leukocytes, low levels of IgG4-PPC in the pancreas and focal lesions on stages I–III of disease (80%) were observed.
Enzyme replacement therapy for maldigestion syndrome: clinical surveillances
Authors: Chernyavskiy V. V. , Gvozdetska L. S. , Parunyan L. M.
Published: December 2018

Maldigestion persists in most patients with chronic pancreatitis (CP) and celiac disease. The objective lipase and amylase insufficiency diagnosis is needed to achieve an adequate clinical response to oral pancreatic enzyme substitution therapy. The novel data are presented in the article on the role of 13C-mixed triglyceride and 13C-corn starch breath tests as tools for exocrine pancreatic insufficiency diagnostics, for evaluating fat and starch malabsorbtion in CP patients. 165 patients (135 with CP and 30 with CP + celiac disease) and 30 healthy volunteers were included in the investigation. Delayed results of enzyme replacement therapy for maldigestion were estimated in 1 and 2 year of surveillance. It has been shown that partial recovery of exocrine pancreatic function is possible, and replacement therapy leads to patients’ nutritional status improving. It has been shown that 13C-breath tests could be useful tools in clinical practice for CP diagnostics. They are well-correlated with fecal elastase-1 level, have high sensitivity and specificity for diagnostics of lipase and amylase deficiency. Tests make it possible to choose the initial pancreatic enzyme dosage and are beneficial during the treatment for pancreatic enzyme dose correction.
Cholelithiasis, cholecystectomy – what comes next?
Authors: Plotnikova Y. Y. , Ruban A. P. , Bagmet A. D.
Published: December 2018

Article is dedicated to the gallstones, cholecystectomy upon asymptomatic gallstones. Pathogenetic mechanisms of postcholecystectomical syndrome in patients after cholecystectomy without evidence are described, as well as the methods of its diagnostics. Current data on the use of drugs with a high level of evidence and recommendations in the treatment of postcholecystectomical syndrome are represented. Article also provides our own research on the improvement of the motor-evacuating function of the biliary tract and lithogenicity of the bile after cholecystectomy in patients with gallstone disease.
Evidence-based pancreatology 2016–2017 (review of results of research on chronic pancreatitis)
Authors: Gubergrits N. B. , Byelyayeva N. V. , Lukashevich G. M. , Fomenko P. G. , Berezhnaya E. V. , Rakhmetova V. S.
Published: December 2018

The article reviews the European recommendations on diagnostics and treatment of chronic pancreatitis, pain relief upon chronic pancreatitis. The results of evidenceased studies on risk factors of functional pancreatic insufficiency in patients with chronic pancreatitis, assessments of the informative value of various imaging methods, treatment of pancreatic insufficiency, markers of pancreatic fibrosis are analyzed. A conclusion is drawn on the need for further conduction of evidence-based research.
Distribution of genotypes of Helicobacter pylori in Uzbekistan
Authors: Karimov M. M. , Ismailova J. A. , Sobirova G. N. , Dalimova D. A. , Rustamova S. T.
Published: December 2018

Зараз відзначається, що, незважаючи на високу інфікованість Helicobacter pylori (НР) у багатьох країнах, не у всіх виникають асоційовані з цією інфекцією захворювання, такі як гастрити, виразка шлунка і дванадцятипалої кишки, рак шлунка. Повна ерадикація НР в регіоні, де інфікованість становить понад 80%, практично неможлива, занадто висока ймовірність рецидиву зараження. Тому одним із способів запобігання розвитку захворювань шлунка, особливо раку шлунка, ми бачимо у визначенні вірулентності НР, що мешкає в шлунку пацієнтів. Метою досліджень є визначення вірулентності НР у хворих із гастроентерологічними захворюваннями в Узбекистані.
The role of microbiota in the course and development of metabolic processes in chronic pancreatitis
Authors: Gontsaryuk D. A. , Khristich T. N.
Published: December 2018

The article discusses the importance of a microbiota for the life of a healthy person and the role of it in food digestion. Attention is focused on the participation of microbiota in the synthesis, metabolism, recycling, utilization of vitamins, steroids, immunoglobulins, elimination of toxins. The role of colonization of opportunistic and pathogenic microbiota, starting from the oral cavity, in the development of diseases of the digestive organs is discussed. Modern ideas about the role of microbiota in the formation of metabolic disorders in chronic pancreatitis are analyzed.
Disorders of the gallbladder and sphincter of Oddi in the Rome criteria IV: diagnostic capabilities, or searching for a “gold standard”
Authors: Zhuravlyova L. V. , Moiseyenko T. A. , Filonenko M. V. , Zhuravlyova A. K.
Published: December 2018

The aim of the work is to study and describe modern ideas on the functional gallbladder and sphincter of Oddi disorders (FGSOD). The main methods of FGSOD diagnosis are described, their diagnostic capabilities and possible adverse consequences are indicated. The changes of indications for the use of invasive methods of FGSOD diagnosis and treatment are reflected through the historical context. A comparative analysis of FGSOD classifications in the Rome criteria for functional gastrointestinal disorders in 2006 and 2016 was conducted. The main results of the most significant studies, devoted to the different variants of FGSOD, carried out in various countries during the last decade, are given. The new pathogenetic concepts about the mechanism of biliary pain and the methods of treatment of FGSOD are described. The refined diagnostic criteria of FGSOD can be of significant interest to practicing gastroenterologists and therapists.
Non-invasive ultrasound diagnosis of gastroesophageal reflux disease
Authors: Saatov Z. Z. , Karimov M. M. , Sobirova G. N. , Akhmatkhodzhaev A. M. , Yakubov M. M.
Published: December 2018

The clinical efficacy of transabdominal ultrasonography in the diagnosis of gastroesophageal reflux disease was presented in the article. 250 patients with clinical and endoscopic signs of gastroesophageal reflux disease were examined. The authors examined the distal esophagus, where they determined the length of the abdominal esophagus, the esophageal diameter, lumen width, the thickness and structure of walls. It was revealed that the most common signs of gastroesophageal reflux disease were the expansion of the diameter of the distal part of the esophagus after ingestion of liquids, regurgitation of gastric contents into the esophagus in the form of a symmetrical thickening of the walls of the esophagus.
Probiotics and prebiotics in clinical practice
Authors: Plotnikova E. Y. , Baranova Е. N.
Published: December 2018

У статті наведені дані про сучасні пробіотики, визначення, класифікація, лікувальні та профілактичні ефекти, форми випуску, способи застосування. Також представлений огляд пребіотичних форм, описана їх подібність та відмінності, показання для застосування. Детально описана лактулоза як основний пребіотичний препарат.
Metabolic acidosis as an important factor of pathogenesis of chronic pancreatitis
Authors: Zemlyak O. S. , Babinets L. S.
Published: December 2018

Article presents the results of the analysis of scientific literature on the role of metabolic acidosis in the pathogenesis of chronic pancreatitis. It is stated that metabolic acidosis is an important predictive factor in the formation and deepening of trophic insufficiency, which further reduces the quality of life of patients with chronic pancreatitis and worsens the prognosis. This motivates the need to take into account the presence of metabolic acidosis during the development of a complex treatment program for such patients.
The problems of delayed diagnostics of neuroendocrine tumors of the gastrointestinal tract and pancreas (clinical case)
Authors: Vologzhanina L. G. , Petukhova I. V.
Published: December 2018

Gastrinoma is a rare neuroendocrine tumor, with frequent cases of late detection. A clinical case of late diagnostics of gastrinoma complicated by metastases is presented, with symptomatology remaining after surgical treatment, which is stopped with the help of proton pump inhibitors.
What is common between functional dyspepsia and bacterial overgrowth syndrome
Authors: Plotnikova E. Y. , Zakharova Y. V. , Gracheva T. Y.
Published: December 2018

The article presents the results of a review of various syndromes that occur in the pathology of the digestive system. Functional dyspepsia and the principles of its treatment are considered in detail. Proton pump inhibitors are one of the main groups of drugs used to treat functional dyspepsia. A serious complication of prolonged use of proton pump inhibitors is the syndrome of small intestinal bacterial overgrowth. The main principles of treatment of this complication are antibacterial therapy and probiotics. Enterobseptic Novobismol® and modern probiotic Maxilak® can be drugs of choice in this situation.
Staging chronic pancreatitis with exocrine function tests: are we better?
Authors: Sperti C. , Moletta L.
Published: December 2018

Chronic pancreatitis (CP) is an inflammatory disease of the pancreas evolving in progressive fibrotic disruption of the gland with exocrine and endocrine pancreatic insufficiency. Although imaging features of CP are well known, their correlation with exocrine pancreatic function tests are not obvious, particularly in the early stage of the disease. There are many clinical classification of CP, all suggested for better distinguish and manage different forms based on etiological and clinical factors, and severity of the disease. Recently, a new classification of CP has been suggested: the M-ANNHEIM multiple risk factor classification that includes etiology, stage classification and degree of clinical severity. However, more accurate determination of clinical severity of CP requires a correct determination of exocrine function of the pancreas and fecal fat excretion. Recently, Kamath et al. (2017) demonstrated that the evaluation of exocrine pancreatic function by acid steatocrit and fecal elastase-1 (EF-1) was helpful, but EF-1 was able to detect exocrine pancreatic insufficiency in more patients, upgrading some patients in higher stage of disease according to M-ANNHEIM classification. So, EF-1 is a more accurate test to determine exocrine pancreatic insufficiency and to stage chronic pancreatitis in the M-ANNHEIM classification. On the contrary, EF-1 determination shows low sensitivity in detecting exocrine pancreatic insufficiency in early stage of the disease.
Features of pharmacotherapy of chronic pancreatitis (literature review)
Authors: Hontsariuk D. O.
Published: December 2018

The aim of literature review is to present modern approaches to the treatment of pain syndrome in chronic pancreatitis, the effects of drug therapy, pharmacotherapeutic features of the mechanisms of the drugs effect on the pancreatic exocrine function insufficiency.

 Attention is paid to the conditions of use of substitution therapy, dosing of enzyme preparations and indications for their prescription. A differentiated approach to the prescription of drugs correcting the state of the microbiocenosis of small and large intestines is proposed.
The impact of a mega-event on city branding: The European Capital of Culture 2010 and the image of Istanbul
Authors: Doğan Evinç , Sirkeci Ibrahim
Published: December 2018

This study examines the ways in which the city image of Istanbul is re-created through the mega-events within the context of the European Capital of Culture (ECoC) 2010. Istanbul “took the stage” as one of the three ECoC cities (Essen for the Ruhr in Germany and Pécs in Hungary), where the urban spaces were projected as the theatre décor while residents and visitors became the spectators of the events. Organisers and agents of the ECoC 2010 seemed to rebrand Istanbul as a “world city” rather than a “European capital”. With a series of transnational connotations, this can be considered as part of an attempt to turn Istanbul to a global city. In this study we examine posters used during the ECoC 2010 to see whether this was evident in the promoted images of Istanbul. The research employs a hermeneutic approach in which representations, signs and language are the means of symbolic meaning, which is analysed through qualitative methods for the visual data (Visual Analysis Methods), namely Semiotics and Discourse Analysis. The analysed research material comes from a sample of posters released during the ECoC 2010 to promote 549 events throughout the year. Using stratified random sampling we have drawn 28 posters (5% of the total) reflecting the thematic groups of events in the ECoC 2010. Particular attention is also paid to the reflexivity of the researchers and researchers’ embeddedness to the object of research. The symbolic production and visual representation are therefore investigated firstly through the authoritative and historically constituted discourses in the making of Istanbul image and secondly through the orders of cultural consumption and mediatisation of culture through spectacular events. Hence enforcing a transnationalisation of the image of the city where the image appears to be almost stateless transcending the national boundaries. Findings and methodology used in this study can be useful in understanding similar cases and further research into the processes of city and place branding and image relationships.
Integration prospects of Turkey into European Structures and Turkish Immigration to Germany
Authors: Palat Milan
Published: December 2018

The objective of the paper was to evaluate Turkey’s integration prospects into European structures and relationships between immigration from Turkey and economic indicators in Germany using quantitative methods. Despite Turkey’s unclear European integration prospects, it is predicted that Turkish immigration to established member countries of the EU will continue. The strongest waves may flow to Germany, Netherlands or France, where numerous Turkish minorities are already present and where the living standards are high. Results from the statistical analysis of the paper showed a positive correlation between immigration total and the growth of gross domestic product On the other hand, a negative correlation of immigration total and unemployment was found and a positive relationship between immigration total and income total which is in agreement with the expected dependency direction. With regards to immigration from Turkey it is less correlated to unemployment than immigration total. But there is a correlation between immigration from Turkey and the stock of foreigners in Germany This is in accordance with the theoretical concept of network theory where an existing community of migrants keeps attracting new migrants because the costs and risks associated with migration are lower, thanks to established linkages to the country of origin. The observed correlation of migration and unemployment points to the fact that immigration to Germany responds to changes in demand in the labour market. Even though a time lag may occur in the case of unemployment and immigration, migration appears to be a relatively effective mechanism to offset existing imbalances in German labour markets.
But it does move, doesn´t it? The debate on the allocation of refugees in Europe from a German point of view
Authors: Bendel Petra
Published: December 2018

This article examines the current debate on the allocation of refugees, based on the principle of “shared responsibility and solidarity among the EU Member States”. Arguing that the Dublin system has failed, I discuss alternative proposals, adopting both the perspective of the Member States and the view of the applicants themselves. Whereas most research has centred on the opportunities and risks of these instruments, on their efficiency or cost-benefit-relation, I ask for the political enforceability of the possible alternatives in the light of changed power relations in the European Parliament, the Commission and the Council. I shall argue that particularly the current perception of the German government might represent a window of opportunity for a policy change.
Discovering the Changes in Gendering of Products: Case of Woman in ‘Bikerni Community’ in India
Authors: Jain Varsha , Bharadwaj Kriti , Bansal Amrita , Natarajan Vivek S
Published: December 2018

In the Indian society, gender roles have played an important role in shaping the culture. However, due to technological advancements and change in societal needs, there is an evolution in the gender roles. This evolution has created a need to understand the gendered products from a new perspective. Therefore, this paper tries to discover the factors of consumption of gendered products and role of social media in shaping the consumption pattern and motivation of women in biking industry in India. Subsequently, to address the objectives, qualitative methods such as in-depth interviews, netnography and projective techniques are applied and data is analyzed further. With the help of data analysis, it has been found that that Indian woman is motivated by a quest for freedom, independence and empowerment. The families and close-knit communities that they are part of, such as Bikerni Association of India, help them participate in a hyper-masculine product market.
Migration of highly educated Belgian and Dutch Turks: ‘Young Brains’ of Turkey
Authors: Yilmaz Sinem
Published: December 2018

The aim of this research is to reflect the social imaginaries of highly educated Turkish migrants on their migration to their parents’ home country. Based on fieldwork and interviews with 19 Turkish-origin Belgian and Dutch citizens in a post-migration setting, this study demonstrates their pre- and post-migration lifestyles, and propounds the way they attribute meaning to their movement. The gap between personal wills of the actors of migration and expectations of them clearly shows how policies are flawed in their considerations of socio-cultural and economic development through ‘development agents’.
The Alevi Diaspora – Its emergence as a political actor and its impact on the homeland
Authors: Arslan Zeynep
Published: December 2018

Through comparative literature research and qualitative analysis, this article considers the development of Alevi identity and political agency among the diaspora living in a European democratic context. This affects the Alevi emergence as political actors in Turkey, where they have no official recognition as a distinct religious identity. New questions regarding their identity and their aspiration to be seen as a political actor confront this ethno-religious group defined by common historical trauma, displacement, massacre, and finally emigration.
An Assessment of the Refugees' Access to Labor and Housing Markets and Healthcare Services in Turkey from Syrian Refugees' Perspective
Authors: Kargin Inci Aksu
Published: December 2018

In March 2011, Syrians engaged in peaceful protests as a means of demanding socioeconomic reform. However, the regime’s response prompted the start of a civil war, which has caused hundreds of thousands of civilians to lose their lives and millions more to seek asylum in neighboring countries, with Turkey serving as the destination for most of Syria’s refugees. This study assesses the Syrian refugees’ experiences as they attempt to navigate the Turkish labor and housing markets and access healthcare services. By conducting semi-structured interviews with 60 Syrian refugees in Hatay and Gaziantep provinces of Turkey, this study has determined that the Syrian refugees in Turkey have been forced to work for less pay than the country’s citizens and without insurance, expected to pay high rents and deposits for housing, and they have experienced numerous problems in accessing healthcare services in Turkey such as having difficulty in accessing proper translation services.
Overpowering the law enforcing agency and human rights challenges
Authors: Ullah AKM Ahsan , Sagor Lutfunnessa
Published: December 2018

This research seeks to explore and understand the extent of human rights is violated by an elite force in Bangladesh. The constitutional right to life should not be derogated or suspended, and no person should be stripped of his or her basic human rights. (Number) of victims and human rights activists were recruited via snowball sampling and in-depth interviews were conducted. Secondary data was obtained via daily newspapers, magazines and bulletins published by various human rights organizations in Bangladesh. This is due to the elite force ignoring the existing constitutional guarantee of the right to life. The participants views were that the government has to ensure human rights are maintained. It should limit the jurisdiction of the elite force and conform to the Universal Declaration of Human Rights.
The politics of 2011 riots in North London: How riots did not culminate into inter-ethnic conflict?
Authors: Karan Olgu
Published: December 2018

While there has been a considerable research study into the causes and consequences of the 2011 riots and rioters' composition in terms of their class, ethnic origin and gender, there is much less on the shop-keepers perspectives on the August, 2011 riots in London. One of the consequence of this under-research area is little is known about how riots affect relationships between communities in multi-ethnic London. Based on forty interviews conducted with Kurdish and Turkish (KT) shop-owners and key persons from community organizations in North London, the findings of this study state that the theory of middleman minorities does not provide conceptual insight to explain the events. Rather, utilization of theory of framing sheds light upon the perceptions and actions of migrants from Turkey and inter-ethnic relationships in North London. This article argues that KT shopkeepers, community organizations and rioters managed to generate a shared consciousness during face-to-face encounters on the streets. The conscious efforts of shopkeepers and rioters constructed an interest alignment against government policy for cutting social programmes, economic deprivation, and police misconduct. To this end, members of ethnic groups prevented inter-ethnic conflict.
Syrian Refugees’ Children Instructional Challenges and Solutions in Jordan: Teachers’ and Parents’ Perspectives
Authors: Alkhawaldeh Ahmad
Published: December 2018

As a neighboring country to Syria, Jordan received a large influx of Syrian refugees whose children’s education has been a huge challenge to the Jordaninan educational system. The present qualitative study investigates the educational challenges Syrian refugee children faced with possible solutions to overcome them. Therefore, a conveniently selected sample of twenty four participants (twelve Syrian refugee teachers and twelve Syrian refugee parents) filled out an open questionnaire on Syrian refugee students’ instructional challenges, the reasons for such challenges and the solutions to surmount them. The major challenges, according to Syrian refugees’ teachers, revolved around lack of achievement among refugee children, lack of devotion to school learning responsibilities, insufficient refugee teacher training, refugee children’s behavioral difficulties and overcrowded classrooms. According to Syrian refugee parents, most of these challenges encompassed deterioration in instructional achievement, lack of school assignments, carelessness to achieve well in Match and English, lack of high qualifications among refugee parents, difference in interest in French in Syria and English in Jordan, violent behaviors among refugee children because of the war situation and absence of one of their parents. Other challenges included vague attitudes towards learning, lack of concentration in exams, quick irritation, stubbornness, negative attitude toward schooling, mis-behaviors by classmates and difference between school and home instruction. Most of the reasons for such challenges belonged to the war condition and the psychological traumas and social circumstances of refugee children. Recommended proposals embodied strengthening school/parents communication, training refugee teachers and tackling refugee children’s psychological problems.
Metamorphosis of educational understanding: Temporary integration regarding Syrians in Turkey
Authors: Samuk Sahizer
Published: December 2018

The integration of refugees in Turkey has been realized in the field with the help of DGMM (Directorate General on Migration Management), Kızılay and UNHCR mainly, and by many more international and non-governmental organizations that have supported refugees by answering their short-term needs such as giving them cards for shopping, clothes, preparing them for winter (“winterization”) and providing educational assistance. I conducted 15 interviews with state officials, various NGOs and a few refugees. During my research many interesting points about integration policies (to-be-formed) at the moment in Turkey were discovered. One interesting finding was that the state officials do not like to use the word “integration”, as it is reminiscent of the way Turkish migrant workers were treated in Germany, where assimilation and integration were understood as the same concept. I use the term “temporary integration” for the case of all refugees, but this article will focus mostly on the Syrians. Within the context of temporariness, this article’s central attention will be the educational integration of Syrian refugees in Turkey. I argue in the paper that the temporariness and the nostalgia with the Ottoman past are two main elements mostly present regarding the educational integration of Syrians in Turkey.
Turkish teachers and schools in the eyes of refugee students
Authors: Dogutas Aysun
Published: December 2018

This study aimed to reveal how refugee students think about their Turkish teachers and schools through art. This study was done using an art based research method, proposed as a way of analysis by Mullen (2003) and Huss and Cwikel (2005). The study was carried out with 25 refugee students from two primary schools in the central city of Denizli in the 2017-2018 academic years. During the study, the students were asked to draw a picture of a teacher on one side of a paper and draw a picture of a school on another side of the paper. Later, students, who can speak Turkish, were asked to say a phrase about the school and teacher concepts. Phrases and drawings of the refugee children about the image of their teacher and school show us that these students have positive opinions about their teachers and schools.