bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessment of the Quality of Medical Care at the Primary Stage of Its Delivery: the Volume of Use of Diagnostic Measures in Patients with Psoriasis
Authors: Л. В. Черкашина
Published: September 2019

The objective: to study the volume and adequacy of the use of diagnostic measures by primary care physicians in the provision of medical care to patients with psoriasis, taking into account the anamnestic, laboratory and instrumental components.Materials and methods. The adequacy of the use of diagnostic procedures at the stage of primary care of 110 patients with psoriasis with varying severity and taking into account the clinical-anamnestic, laboratory and instrumental component of the diagnostic process was studied.Results. It was revealed that the completeness of clinical and anamnestic examination by general practitioners according to the generalized quality indicator is at the level of 61.7÷64.5% and is characterized by insufficient consideration of constitutional and biological in 71.0±4.9% of patients, somatovisceral markers of undifferentiated connective tissue dysplasia – in 85.70±4.4%, the influence of adverse regional-ecological factors, living conditions andьprofession – in 82.5±4.8%, as well as in the elimination behavior of patients regarding aggravating factors – in 74.6±5,5% sicks.Conclusion. The adequacy of clinical and laboratory examination of patients at the stage of primary care in terms of a generalized quality indicator is at 58.3÷63.4% and is characterized by a low level of examinations regarding possible disorders of microelement homeostasis and comorbidity. Completeness of the clinical and instrumental examination according to the generalized quality indicator is at the level of 65.1÷66.5% and is characterized by a low level of instrumental diagnostics of the vegetative status, densitometry, assessment of the individual level of pain sensitivity.
Histological and Immunohistological Features of Reccurences in Patients with High Grade Diffuse Astrocytic Tumors
Authors: Т. М. Чертенко
Published: September 2019

The objective: to study recurrences of high grade diffuse astrocytic tumors and to attempt to create some recommendations for their following treatment.Materials and methods. 25 relapsed cases were investigated. 15 of them were early recurrences and 10 were late recurrences. The primary tumor specimens from patients with early recurrences were additionally examined to value tumor transformation. Case histories of patients were studied retrospectively. The histological investigation and immunohistochemistry were performed. Immunohistochemical analysis included expression of 12 markers: GFAP, Anti-IDH1R132H, vimentin, EGFR, Ki-67, MMP-9, VEGF,CD34, CD3,CD4, CD8, CD68. Mutation IDH1105GGTSNP was detected through molecular analysis. Statistical analysis was used to value quantitative and qualitative data. Tumor transformation in paired samples was valued with the McNemar test.Results. The one case of pseudoprogression was found among all studied recurrences. Post-treatment effects were more common in early recurrences rather than for late recurrences. In early relapsed tumors, a significant increase of CD8-cell infiltration was observed (McNemar test p-value=0,01343; p <0,05). The index of vascularisation was significantly higher in early recurrences (Mann-Whitney U test, р exect=0,016, р<0,05). There was a strong direct correlation between the index of vascularisation and the percentage of tumor cells expressed MMP-9 (rs=0,893, р<0,05). The mutation IDH1105GGTSNP related to cases of late recurrences (Mann-Whitney U test; p=0,043 p<0,05).Conclusion. It is important to distinguish pseudoprogression from true progression because it leads to a different treatment strategy. The knowledge of proliferative, vascular and invasive features of the relapsed tumor, the study of their immune response will make possible to create and to put into practice the effective personalized treatment for patients with high grade astrocytomas.
The Law of Ukraine (Project) «On Primary Care on the Basis of Family Medicine»
Authors: А. А. Попильнюк
Published: September 2019

Цей Закон визначає правові, організаційні, економічні та соціальні засади забезпечення громадян України та інших осіб, які перебувають на її території, первинною медичною допомогою, встановлює засади функціонування та розвитку сімейної медицини.
The Role of Primary Care in the Organization of Evidence-based Preventive Measures
Authors: В. М. Лехан  , Л. В. Крячкова  , В. І. Колесник  , Л. О. Гриценко
Published: September 2019

The concept of evidence-based prevention is widespread, the embodiment of which is envisaged at the level of primary medical care (PMP), which determined the relevance of the study.The objective: is to evaluate assess the role of the primary level in the organization of preventive measures based on evidence based on the opinions of the heads of the PMP institutions.Materials and methods. The research was conducted among 52 organizers of primary health care in the Dnipropetrovsk region. Used independently developed questionnaire. Processing of the results was carried out using standard statistical procedures.Results. The respondents were fairly knowledgeable about the evidence for common screening tests. The degree of awareness of the managers of PMP institutions in conducting preventive examinations with proven effectiveness correlates with their use in everyday practice (Spearman’s correlation coefficient ρ=0,38; p<0,05). When organizing preventive measures at the primary level, according to the majority of the interviewed managers (92,3%), they rely mainly on clinical protocols for certain ontologies. The list of preventive medical examinations, approved by the new procedure for the provision of PMP, is still not actively used (38,5%). This is due both to the shortcomings of the existing regulatory information on conducting effective screening (42,3% of respondents) and to a certain inconsistency of the provisions of the regulatory act with the USPSTF recommendations.Conclusions. In the conditions of imperfection of the regulatory framework for screening research based on evidence, it is necessary to introduce a new approach to the organization and conduct of preventive measures in the paradigm of evidence-based prevention. The implementation of proven effective preventive measures should be implemented at the level of primary health care, with its active participation and coordinating role, collaboration with the public health and e-Health.
Effectiveness of Training Sessions in Changing the Level of Knowledge and Motivation of Family Doctors to the Implementation of Evidence-based Screening into Their Clinical Practice
Authors: І. В. Шушман  , П. О. Колесник
Published: September 2019

The objective: evaluation of the effectiveness of training sessions in changing the level of knowledge and motivation of Family Doctors to the implementation of evidence-based screening into their clinical practiceMaterials and methods. Before the interactive training, immediately after, 3 and 12 months after the training the knowledge, as well as the assessment of the motivation to introduce knowledge into practical activities have been assessed. The total number of persons who took part in the testing was 334 persons, including 68,7% of the family doctors and 31,3% of nurses.Results. According to the test results, the average level of knowledge of family doctors at the beginning of the training was quite low and amounted to only 6,1±1,8 points out of 20 possible, immediately after the training the level of knowledge increased significantly and amounted to 14,9±2,3 points (p<0,001), and 3 months after the training, the average level of knowledge decreased to 10,21±3,21 points, but was higher than before the start of the training (p>0,005). The level of motivation of health workers at the beginning of the training was average; immediately after the training, the level of motivation rose to high: 19,95±2,38 and was significantly higher than at the beginning (p>0,005). 3 months after the training, the level of motivation of the training participants to implement changes in practice decreased slightly and amounted to 19,11±3,18 points (p<0,005), and 12 months after the training it was significantly lower than the previous data – 16,1±4,53 (p>0,005) and actually the starting starting level of motivation registered before the training.Conclusions. Interactive trainings have proven to be an effective way to increase the level of knowledge and motivation of health workers to implement evidence-based recommendations for the prevention and screening of cardiovascular risk in their clinical practice. Although the level of knowledge of health workers remained stable after 3 and 12 months after the training, the level of motivation 12 months after the training significantly decreased in the absence of a number of factors supporting the motivation of medical personnel to change.
How to reach the target blood pressure level according to the 2018 European recommendations? Reserve possibilities of phytomolecules
Authors: М. М. Долженко  , В. А. Несукай  , С. А. Бондарчук  , О. В. Шершнева  , І. В. Чорна
Published: September 2019

The article highlights the prevalence of arterial hypertension (AH). Attention is paid to the classification of hypertension and target blood pressure (BP). The classification of hypertension according to the level of blood pressure, the presence of cardiovascular risk factors, target organ damage and / or the presence of associated diseases helps to optimize individual treatment. Correction of treatment is also carried out depending on the initial level of blood pressure and comorbid pathology. Attention is focused on the need for the appointment in many cases, immediately combined antihypertensive therapy. Such drugs, in addition to many well-known tableted drugs, are also drugs of plant origin. On the example of the herbal preparation Neocardil, from the standpoint of evidence, the place of flavonoids in the treatment of patients with hypertension is considered.
Diagnostic Technologies and Their Implementation in a Patient-oriented Strategy for the Management of Patients with Chronic Dermatoses: an Innovative Filling of the Typical Tasks of the Activities of the General Practitioner-family Medicine Doctor
Authors: Л. В. Черкашина
Published: September 2019

A problem-specific analysis of innovative diagnostic technologies was completed, which fulfill typical tasks of activity (TZD) of a general practitioner-family medicine (OPSM) and on the basis of a structural-functional analysis of an educational and professional program at the pre- and post-graduate stage of preparation, as well as qualification characteristics OPSM doctor regarding patients with chronic dermatosis (CD). It has been demonstrated that innovative-methodological filling of the TZD of the OPSM doctor allows to implement a patient-oriented approach, is functionally relevant with the basic directions of training and technologies of the OPSM doctor’s activities, including interaction (teamwork) with specialists of higher levels of medical care.It is proved that the competence of the physician OSPM includes symptomatic/syndromological diagnosis of HD, establishing a preliminary and clinical diagnosis of HD, ensuring sufficient volumes of laboratory and instrumental verification of diagnosis, as well as differential diagnosis, including comorbid with CD pathology, personification of long-term patient monitoring tactics. The analysis of innovative diagnostic methods and algorithms, the phasing of their use at the primary level, the aspects of coordination with specialists of the II – III levels of medical care are determined.
Unresolved Problems in the Treatment of Arterial Hypertension and What to Do
Authors: С. О. Андрієвська  , В. К. Кротенко
Published: September 2019

The emergence of numerous combinations of antihypertensive drugs in recent years creates a problem of choice for the doctor due to the lack of classification decisions in this area of hypertension.The objective: effectiveness study of the antihypertensive combination of enalapril and indapamide (Enzix duo and Enzix duo forte, manufacturer of Hemofarm AD, Serbia) was studied in patients with high cardiovascular risk of grade II with concomitant coronary heart disease or diabetes.Material and methods. Surveyed 28 patients randomized into 2 groups depending on the severity of the disease. To check the progress of the disease, a complex of surveys was conducted – the dynamics of clinical status, echocardiography, BP monitoring and questionnaires were studied using the 36-Hem Short-Form Health Survey (SF-36) classic questionnaire for self-assessment of quality of life.Results. The integrated assessment of the effectiveness of the applied treatment algorithm allowed us to establish a positive dynamics of the clinical condition of the patients, the achievement of the target blood pressure level in all studied patients (after adjusting the drug dose), a statistically significant decrease in the LVMH index and average BP monitoring values.Conclusions. The results of the study have shown that the drug combination therapy Enzix duo forte can successfully treat patients with any degree of hypertension, including patients with malignant forms, coronary heart disease, diabetes.
Evaluation of the Efficiency of the Therapy of Vegetative Disfunction Syndrome in Children Using Adaptol Preparation
Authors: Л. В. Квашніна  , Т. Б. Ігнатова  , О. В. Скобенко  , І. С. Майдан
Published: September 2019

Efficacy preparation Adaptol was studied in 30 children and adolescents aged 12-16 years with autonomic dysfunction. Group of patients received Adaptol as monotherapy during 4 weeks. Clinical state of patients was estimated daily, including neurological examination and examination of autonomic nervous system state. Examination showed that Adaptol had distinct thymoleptic, stabilizing and nootropic activity and improved parameters of autonomic homeostasis. These data permit to recommend Adaptol for monotherapy of autonomic dysfunction in children and adolescents.
Technologies of Screening for Diseases of the Liver and Pancreas in the Combined Pathology of the Digestive System
Authors: Ю. І. Решетілов  , С. М. Дмитрієва  , О. Е. Алипова  , О. Ю. Васильченко  , Н. М. Проценко
Published: September 2019

Objective: to evaluate the results of the use of non-invasive screening and control of treatment in patients with inflammatory diseases of the digestive system and pancreas organs by introducing aeroion testing method.Materials and methods. A comprehensive clinical and laboratory examination of 156 patients with a combined pathology of the digestive system was conducted: 64 (41.1%) men and 92 (58.9%) women. Patients were randomized by age and sex. The control group included 30 healthy individuals.Results. It was established that during clinical and laboratory remission (according to the results of standardized examinations in accordance with the current clinical protocol), a corresponding recovery of the aero-ion profile of patients was also observed. Aeroionic determination of the content of endogenous alcohol allows to evaluate the functional state of the liver.Conclusion1. In chronic pancreatitis combined with hepatobiliary pathology, the main parameters of aeroion testing are an increase in the levels of hydrogen sulfide, methane, exogenous alcohol and ammonia, as well as a tendency to a decrease in the oxygen content.2. Aeroion testing is a modern non-invasive diagnostic method that can be recommended for the primary screening of diseases of the digestive system.3. The definition of aeroionic markers contributes to improving the quality of diagnosis of diseases of the digestive system.4. Visibility and non-invasiveness of the method of aeroion testing positively influences the formation of compliance of patients with the pathology of the digestive system.
A Clinical Case of Combined Primary Sclerosing Cholangitis, Nonspecific Ulcerative Colitis and Autoimmune Hepatitis
Authors: О. П. Федорова  , Н. Г. Горбаткова  , О. В. Дудко  , С. І. Свистун
Published: September 2019

Primary sclerosing cholangitis (PSC) is a chronic cholestatic liver disease of unknown etiology, leading to the development of secondary biliary cirrhosis, portal hypertension and liver failure. Many scientists point to the possibility of combining primary sclerosing cholangitis with such autoimmune diseases as ulceral colitis, Crohn’s disease, rheumatoid arthritis, autoimmune thyroiditis, Sjogren’s syndrome, autoimmune pancreatitis and autoimmune hepatitis.The article describes a clinical case of combined autoimmune damage to the gastrointestinal tract deals with primary sclerosing cholangitis and nonspecific ulcerative colitis.
The Effect of the Treatment-and-prophylactic Complex on the Indices of the Function of External Respiration in Patients with Bronchial Asthma Against the Background of Overweight or Obesity
Authors: В. І. Величко  , Д. О. Лагода
Published: September 2019

Objective: to analyze the effect of the developed treatment-andprophylactic complex (PBL) on the indices of respiratory function in patients with bronchial asthma (BA) on the background of overweight or obesity.Materials and methods. By design, the study took place in two stages. At the first stage, 105 patients were screened (72 women and 33 men, whose mean age was 41.19 ± 1.05 years) with the main diagnosis of asthma. The second stage included 75 patients (72 women and 33 men, whose average age was 41.19 ± 1.05 years) with asthma against the background of overweight or obesity. All patients were diagnosed according to international consensus documents.Results. It was found that overweight or obesity is an aggravating factor in BA, since patients of the main group with a severe course had a significantly higher BMI, the percentage of body fat mass than patients of other groups. As a result of evaluating the effectiveness of the developed forestry complex with the inclusion of pharmacological correction along with training in the conditions of the Asthma school against the background of basic therapy in patients with asthma against the background of overweight or obesity, it was found that the main group that used the above mentioned PBM showed the best results asthma-control. A positive trend in asthma control (RRR = 0.75, NNT = 2.12) was established, which is more reliable (p <0.05) than in the comparison group.Conclusion. Patients with overweight and patients with Npimt did not have significant differences in indicators of respiratory function. In patients who received the proposed therapeutic and prophylactic complex, there was a significant increase in physical activity, namely, an increase in the number of steps that they took during the day (p<0.05).
Primary Care in the Future: Professional Excellence (Based on the results of the 22nd Wonca World Conference, Seoul, South Korea, October 17–21, 2018).
Authors: В. І. Ткаченко
Published: September 2019

The article presents an overview of the most significant event of 2018 in the field of family medicine – activities before and during the 22nd World Conference WONCA World (Seoul, South Korea, 13–21.10.2018). The results of the WONCA World Council meeting and preconference held by the WONCA World working groups including the Young Family Doctors Movement are described. The summary of key lectures, sessions and workshops are presented, main directions of development of family medicine in the world, its scientific research, continuous professional development and postgraduate education, clinical aspects; as well as participation in them of Ukraine.
The Prevalence of Major Cardiovascular Risk Factors in Elderly People with Coronary Heart Disease Who Died from Cardiovascular Disease and Prognostic Significance of These Indicators
Authors: В. Ю. Жарінова  , Г. П. Войнаровська  , І. С. Шаповаленко  , В. О. Кузнєцова
Published: September 2019

The objective: to determine the prevalence of the main factors of CVD in the elderly who died of cardiovascular disease and to determine the predictive value of these indicators.Materials and methods. A retrospective assessment of the history of the diseases of 454 patients with coronary heart disease, undergoing inpatient treatment in the cardiology department of the DF «Institute of Gerontology named after D.F. Chebotareva NAMNU» for the period from 1997–2017. All the patients were first hospitalized in the hospital and subsequently were observed with the main diagnosis of coronary heart disease: stable angina pectoris I–IV FK. And in the future it was observed for 5–20 years (average term of observation 10 years), until the end point. As a final point, cardiovascular death was taken.Results. As a result of data analysis, it has been shown that the most common factors of cardiovascular death in patients with coronary artery disease over the age of 60 were hypertension, diabetes, hypercholesterolemia , and smoking. In the presence of a risk factor –smoking – significantly reduces the average age of death by 5 years, diabetes – for another 4 years. At the same time, the determining factors that influenced the life expectancy were LDL, glucose, heart rate, and also the level of SAT increase in patients with CHD associated with a decrease in life expectancy.Conclusions.1. In patients with coronary artery disease over the age of 60 years, a simultaneous combination of three or more FR was found, indicating the need for an active integrated approach to their correction at a younger age. In the presence of a risk factor – smoking – significantly reduces the average age of death by 5 years, diabetes – for another 4 years.2. The most common causes of cardiovascular death in patients with coronary artery disease over the age of 60 years were hypertension, diabetes , hypercholesterolemia, smoking, which are largely associated with the possibility of drug correction.3. As a result of regression analysis, it has been shown that life expectancy has a significant impact on the life expectancy of LDL, glucose, heart rate, and the increase in SBP in patients with CHD associated with reduced life expectancy.
Diagnosis of Bacterial Overgrowth Syndrome and Lactase Deficiency in Patients with Irritable Bowel Syndrome in Practice of a Family Doctor
Authors: В. В. Чернявський  , М. М. Руденко  , А. Є. Байло
Published: September 2019

The objective: improving the quality of the diagnosis of irritable bowel syndrome, taking into account the state of intestinal microbiota and lactase deficiency by scientific and practical explanation of hydrogen breath tests using in the routine practice of the family doctor.Materials and methods. 150 patients with IBS were examined. In 32 patients with IBS, hydrogen tests with lactulose and glucose were used. Tests were performed using Advanced Hydrogen Breath Testing (Micro H2 Meter). In order to investigate the diagnostic value of lactose respiratory test (LRT), a biochemical study of lactase activity in the biopsy of the postbulbary department of the duodenum was selected as a comparison method. 30 persons (15 men, 15 women) with irritable bowel syndrome and anamnestically suspected lactase deficiency (LD) were examined.Results. The irritable bowel syndrome was more common in women (67,3%), the ratio of women and men among these patients was 2:1. From the different forms of IBS, the variant of IBS-C was prevalent in 69 (46,0%) patients, patients with IBS-D were 32 (21.3%), and persons with IBS-M were 49 (32,7%). In patients with IBS bacterial overgrowth syndrome was found in 37,5% of cases. Sensitivity, specificity of the glucose respiratory test was detected: the sensitivity was 83,3%, the specificity was 84,9%. Sensitivity, specificity of the lactose respiratory test was detected: the sensitivity is 85,7%, the specificity is 81,3%. Reduced lactase activity was found in 50% of patients with IBS.Conclusions. In patients with irritable bowel syndrome, for the diagnosis of bacterial overgrowth syndrome and lactase deficiency, it is advisable to use hydrogen glucose and lactulose respiratory tests, alone or in combination, which increases the reliability of the results of the diagnosis. They are non-invasive, highly informative and correlate with microbiological methods.
Age Features of Hemodynamic Parameters of Blood Flow Velocity of the Main Neck Arteries in Patients with Non-alcoholic Fatty Liver Disease and Overweight
Authors: О. Д. Терсіна
Published: September 2019

The objective: the purpose is to determine the peculiarities of the influence of non-alcoholic fatty liver disease (NAFLD) / steatosis combined with overweight (OW) on the parameters of the blood flow velocity of the main neck arteries among different age groups.Materials and methods. A total number of 290 patients were examined. Blood velocity data were compared in 150 patients with NAFLD and overweight and blood flow rates of 140 patients with normal body weight (NBW) without liver disease. The patients were divided into four age groups (according to WHO criteria): 1st age group from 25 to 34 years old, 2nd age group – 35–44 years old, 3rd age group – 45 to 59 years old, 4th age group – 60 to 75 years old. The data of the blood flow velocity of the main neck arteries, obtained with a complex duplex examination (color Doppler mapping / CDM mode and Doppler examination), were analyzed.Results. The decrease of the rate of blood flow of the main neck arteries in the patients of all age groups was found compared to the control groups and the age difference between the groups was determined. A reliable correlation between OW and blood flow velocity (p<0,05), TCIM and blood flow velocity (p <0,05) was found in patients of the examined groups.Conclusions. Changes in the rate of blood flow to the main neck arteries, revealed during a complex duplex examination, are the result of the effect of NAFLD (steatosis) and OW with significant (p<0,05) differences in all age groups.
Correction of Asthenic Syndrome in Patients with Leptospirosis
Authors: О. О. Зубач  , О. М. Зінчук  , О. Ю. Плевачук
Published: September 2019

Leptospirosis remains one of the most common zoonoses worldwide and is often characterized by severe course in a considerable number of hospitalized patients. The issue of early rehabilitation of these patients has been incompletely highlighted in scientific literature. The data of the results of prescribing the drug Entrop (Olainfarm, Latvia) for asthenic syndrome treatment in patients with leptospirosis have been presented in the article. Administration of the drug Entrop showed high efficacy, in particular, improvement of patients’ psycho-emotional state (cognitive function, general condition, mood, the level of physical and mental tiredness) and good tolerance. The obtained results enable to recommend the drug for patients with such pathology.
Hemophilia
Authors: С. В. Видиборець  , Ю. Ю. Дерпак  , Ю. Ю. Попович
Published: September 2019

Algorithms of hemostatic therapy of hemophilia disease are presented.The treatment is based onsubstitute therapy by blood clotting factorsand other hemostatic drugs. Schemes for calculationof the hemostaticdrug doses, intervals between the doses, and duration of treatment forthe mostincident manifestations of the hemorrhagic syndrome arepresented. Protocols of hemophiliadisease treatment in an outpatientsetting and in hospital are discussed.
Advanced Using of Apiculture Products in Patients with Chronic Bronchitis at Primary Level
Authors: Н. Д. Чухрієнко  , Л. А. Кийко
Published: September 2019

This paper presents the results of rehabilitation of 128 patients with chronic bronchitis using apiculture products. The impaired pulmonary function has been found to persist in patients with chronic bronchitis in incomplete remission along with incomplete elimination of pathogenic flora from bronchial tree. It has been demonstrated that consuming honey, propolis, and farina leads to alleviated bronchial obstruction and, consequently, to the improved pulmonary function. The patients with chronic bronchitis demonstrate reduced expectoration with decreased pathogenic flora content. All these factors can ensure prolonged remission, reduced incidence rate, and decreased disability period.
ARAHAN PENGEMBANGAN KAWASAN WISATA SUNGAI MUSI KOTA PALEMBANG
Authors: Prakoso Aditha Agung
Published: September 2019

Development of a tourism area requires appropriate development direction, in this case is the direction of the development of the area of attraction, accessibility and amenitas / facilities. Musi River area has tremendous tourism potential, to lift the tourism potential as a tourist attraction of river banks, it is necessary development directives that not only develop tourism activities by providing opportunities to the local economy to develop in the field of tourism but also by preserving the potential of local culture and architecture.Keywords: guidelines, tourism, Musi River, Palembang
KETERKAITAN PERILAKU PENGGUNA DENGAN POLA RUANG KAWASAN (STUDI KASUS: FASILITAS HIBURAN DI JL.KALIURANG DAN SETURAN-BABARSARI, YOGYAKARTA)
Authors: Fitria Tika Ainunnisa
Published: September 2019

Abstract: The high growth of entertainment facilities currently trigger a disruption of environmental balance. The density of facilities in a space affects the frustration for the surrounding community. Space has important meaning for human. The socio-spatial approach is a paradigm in urban design. This research is a descriptive - qualitative through interviews method to absorb opinions, perceptions, and behavioral mapping. The goal is to find out the human behavior mapping, and identify the type and frequency of behavior and the linkages between the human behavior and the specific design features.Keywords: human behavior, spatial pattern, entertainment facilities
PRESERVASI KAWASAN PERDAGANGAN KOTAGEDE YOGYAKARTA DENGAN PENDEKATAN ADAPTIVE REUSE
Authors: Yetti Aprodita Emma
Published: September 2019

Abstract: Pasar Gede Kotagede had a role as the center of the economy since the Islamic Mataram empire stands. Pasar Gede and surroundings has an attraction for people and travelers to come and stay in Kotagede. Cultural acculturation not only show up from the social side but also appears in the architectural. However, the development of the era and the residents as slowly erode the architectural form in the buildings and the area around Pasar Gede. This research uses qualitative explorative method to study the theory with "adaptive reuse" approach and explore the findings in site. The results of this research aims to produce preservation policy, to maintain the activities of economic and trading activities that have been very solid and environmental improvements to be more responsive and more 'wise' in visual perspective on architectural physical to improve the smoothness of activities and comfort.Keywords: Preservation, Adaptive Reuse, Pasar Gede
Preparing Women in Academic Psychology for Their First Compensation Negotiation: A Panel Perspective of Challenges & Recommendations
Authors: Seligman Laura D. , Anderson RaeAnn Elizabeth , Ollendick Thomas H. , Rauch Sheila A. M. , Silverman Wendy K. , Woods Douglas W.
Published: September 2019

Successfully landing and then negotiating for your first position is an exciting and challenging task. In this paper, we use a narrative review to present the literature on gender and negotiation with a focus on academic psychology work contexts. We highlight important differences between factors that are within the individual’s control vs. factors at the institutional or societal level. Drawing directly from the research literature, we make several recommendations for women trying to manage negotiation in contexts that are likely biased against them at the institutional and cultural level. For example, we recommend that women take steps to reduce situational ambiguity, use niceness and assertion strategically, and cognitive re-framing to improve performance. We also make parallel recommendations for institutions, to create a more equal playing field in employment negotiations in academia. We conclude with expert advice on how to manage the important task of negotiation throughout the career from successful psychologists to contextualize the research findings at the personal level.
The Lure of Counterfactual Curiosity: People Incur a Cost to Experience Regret
Authors: FitzGibbon Lily , Komiya Asuka , Murayama Kou
Published: September 2019

After making a decision, it is sometimes possible to seek information about how things would be if one had acted otherwise. We investigated the lure of this counterfactual information, namely counterfactual curiosity. In a set of five experiments (total N = 150) we used an adapted Balloon Analogue Risk Task with varying costs of information. People were willing to seek information about how much they could have won, at a cost, and even though it had little utility and a negative emotional impact (i.e. it led to regret). We explore the downstream effects of seeking information on emotion, behavior adjustment, and ongoing performance, showing that it has little or even negative performance benefit. We also replicated the findings with a large-sample (N = 361) preregistered experiment that excluded possible alternative explanations. This suggests that information about counterfactual alternatives has a strong motivational lure – people simply cannot help seeking it.
Designing A Protective Relay for Differential Protection of Power Transformers Using Clarks Transform and S Transform
Authors: Padam Javad
Published: September 2019

Given that power transformers are one of the most important components of each network, their protection is an important part that the power transformer errors must be accurately identified and distinguished from each other. Therefore, identification and differentiation of transient phenomena of power transformers, including internal and external errors and magnetic inrush current are essential. In this research, Clarke transform and S transform were used to distinguish between these phenomena that the proposed algorithm is very suitable in terms of three characteristics of accuracy, speed and computational cost. Initially, the simulation of internal, external errors and magnetic inrush current of the transformer was performed for different transformer scenarios. For this purpose, 1060 signal tests were performed under different conditions. Subsequently, the signals of differential current obtained by Clarke transformation and S transformation were analyzed and appropriate criteria were extracted for detecting the current of internal errors from external errors and inrush current. The simulated internal and external errors include three- phase, three-phase to ground, two- phase, two- phase to ground and phase to ground error. Simulations were performed using PSCAD software and implementation of the proposed algorithm in MATLAB environment. The results of this study prevent the unwanted performance of differential protection to prevent undesirable electrifying. It is clear that the description of transient phenomena is the first step towards improving new ideas and criteria for protection with the greater reliability of power transformer which can be controlled better such unusual conditions that are currently used in equipment and relay.
MAP Training My Brain™: Meditation Plus Aerobic Exercise Lessens Trauma of Sexual Violence More Than Either Activity Alone
Authors: Shors Tracey , Chang Han Y.M. , Millon Emma
Published: September 2019

Sexual violence against women often leads to post-traumatic stress disorder (PTSD), a mental illness characterized by intrusive thoughts and memories about the traumatic event (Shors and Millon, 2016). These mental processes are obviously generated by the brain but often felt in the body. MAP Training My Brain is a novel clinical intervention that combines mental training of the brain with physical training of the body (Curlik and Shors, 2013; Shors et al., 2014). Each training session begins with 20-min of sitting meditation, followed by 10-min of slow-walking meditation, and ending with 30-min of aerobic exercise at 60–80% of the maximum heart rate (see maptrainmybrain.com). In previous studies, the combination of mental and physical (MAP) training together significantly reduced symptoms of depression and ruminative thoughts, while reducing anxiety (Shors et al., 2014, 2017; Alderman et al., 2016). We also documented positive changes in brain activity during cognitive control and whole-body oxygen consumption in various populations. In the present pilot study, we asked whether the combination of meditation and aerobic exercise during MAP Training would reduce trauma-related thoughts, ruminations, and memories in women and if so, whether the combination would be more effective than either activity alone. To test this hypothesis, interventions were provided to a group of women (n = 105), many of whom had a history of sexual violence (n = 32). Groups were trained with (1) MAP Training, (2) meditation alone, (3) aerobic exercise alone, or (4) not trained. Individuals in training groups completed two sessions a week for at least 6 weeks. MAP Training My Brain significantly reduced post-traumatic cognitions and ruminative thoughts in women with a history of sexual violence, whereas meditation alone, and exercise alone did not. MAP Training significantly enhanced a measure of self-worth, whereas meditation and exercise alone did not. Similar positive effects were observed for all participants, although meditation alone was also effective in reducing trauma-related thoughts. Overall, these data indicate the combination of meditation and exercise is synergistic. As a consequence, MAP Training is preferable and especially so for women who have experienced sexual violence in their past. Simply put, the whole is greater than the sum of its parts.
Truncating Bar Graphs Persistently Misleads Viewers
Authors: Yang Brenda , Restrepo Camila Vargas , Stanley Matthew
Published: September 2019

In press: https://doi.org/10.1016/j.jarmac.2020.10.002 Data visualizations and graphs are increasingly common in both scientific and mass media settings. While graphs are useful tools for communicating patterns in data, they also have the potential to mislead viewers. In five studies, we provide empirical evidence that y-axis truncation leads viewers to perceive illustrated differences as larger (i.e., a truncation effect). This effect persisted after viewers were taught about the effects of y-axis truncation and was robust across participants, with 83.5% of participants across all 5 studies showing a truncation effect. We also found that individual differences in graph literacy failed to predict the size of individuals’ truncation effects. PhD students in both quantitative fields and the humanities were susceptible to the truncation effect, but quantitative PhD students were slightly more resistant when no warning about truncated axes was provided. We discuss the implications of these results for the underlying mechanisms and make practical recommendations for training critical consumers and creators of graphs.
Pulvino-cortical interaction: an integrative role in the control of attention
Authors: Bourgeois Alexia , Guedj Carole , Carrera Emmanuel , Vuilleumier Patrik
Published: September 2019

Selective attention is a fundamental cognitive function that guides behavior by selecting and prioritizing salient or relevant sensory information of our environment. Despite early evidence and theoretical proposal pointing to an implication of thalamic control in attention, most studies in the past two decades focused on cortical substrates, largely ignoring the contribution of subcortical regions as well as cortico-subcortical interactions. Here, we suggest a key role of the pulvinar in the selection of salient and relevant information via its involvement in priority maps computation. Prioritization may be achieved through a pulvinar- mediated generation of alpha oscillations, which may then modulate neuronal gain in thalamo-cortical circuits. Such mechanism might orchestrate the synchrony of cortico-cortical interaction, by rendering neural communication more effective, precise and selective. We propose that this theoretical framework will support a timely shift from the prevailing cortico- centric view of cognition to a more integrative perspective of thalamic contributions to attention and executive control processes.
The effect of intrinsic image memorability on recollection and familiarity
Authors: Broers Nico , Busch Niko
Published: September 2019

Many photographs of real-life scenes are very consistently remembered or forgotten by most people, making these images intrinsically memorable or forgettable. Although machine vision algorithms can predict a given image’s memorability very well, nothing is known about the subjective quality of these memories: are memorable images recognized based on strong feelings of familiarity or on recollection of episodic details? We tested people’s recognition memory for memorable and forgettable scenes selected from image memorability databases, which contain memorability scores for each image, based on large-scale recognition memory experiments. Specifically, we tested the effect of intrinsic memorability on recollection and familiarity using cognitive computational models based on Receiver Operating Characteristics (ROCs; Experiment 1 and 2) and on remember/know (R/K) judgments (Experiment 2). The ROC data of experiment 1 indicated that image memorability boosted memory strength, but did not find a specific effect on recollection or familiarity. By contrast, ROC data from Experiment 2, which was designed to facilitate encoding and, in turn, recollection, found more evidence for a specific effect of image memorability on recollection. Moreover, R/K judgments showed that, on average, memorability boosts recollection rather than familiarity. However, we also found a large degree of variability in these ratings across individual images: some images actually achieved high recognition rates by exclusively boosting familiarity rather than recollection. Together, these results show that current machine vision algorithms that can predict an image’s intrinsic memorability in terms of hit rates fall short of describing the subjective quality of human memories.
Self-referential encoding of source information in recollection memory
Authors: Lawrence Ross , Chai Xiaoqian
Published: September 2019

Self-referential memory encoding has been previously shown to enhance memory. The self-referential facilitation effect has also been found in source memory (memory with contextual details). In this study, we investigated how subjective recollection interacts with the self-referential effect for source memory. Using a remember/know paradigm, we compared source memory accuracy under self-referential encoding and semantic encoding. Two types of source information were included, a “peripheral” source which was not inherent to the encoding activity, and a source information about the encoding context. SRE benefits on source memory accuracy were observed in recollection for both types of source information, but not in familiarity-based memory. In contrast, for familiarity-based memory, semantic encoding resulted in higher source accuracy for the background source compared to self-referential encoding. These results suggest self-referential encoding creates a richer, more detailed memory trace which can be recollected later on.
Low rectal resection without a diverting stoma
Authors: Thakur Binay , Devkota Mukti , Li Zuosheng , Sharma Amit , Regmi Yogesh
Published: September 2019

Background: A diverting stoma is a usual practice after low and ultralow rectal resections in a fear to minimize the morbidities related to anastomotic leak. We tried to explore not to use a prophylactic diverting stoma and to assess the rate of leak.

Methods: Patients undergoing total proctocolectomy (18%)/ low anterior resection of rectum (LAR) (59%)/ ultralow LAR (18%) and intersphincteric LAR (5%) for colorectal adenocarcinoma were analyzed. In all the cases, total mesorectal excision (TME) approach was used. CT/ MRI was used for proper staging and clinically locally advanced tumors were subjected to neoadjuvant chemoradiation (23%). Anastomosis was performed using circular stapler for colorectal or ileorectal anastomosis (94%) and hand-sewn for coloanal anastomosis (6%). Integrity and adequate vascularity of anastomosis was checked using air leak test and excising epiploica at the region of anastomosis.

Results: Seventeen patients with mean age of 52 years were analyzed. Mean distance of tumor from the anal verge was 7 cm. Open and Laparoscopic resections were done in 82% and 18%, respectively. Average height of anastomosis was 3.5 cm from the anal verge. Superficial surgical site infection, intraabdominal abscess requiring prolonged intravenous antibiotics and urinary retention were observed in 41%, 6%, and 6%, respectively. There was one anastomotic leak (6%), which led to post operative death of the patient.

Conclusion: Low rectal resections may be carried out without a diverting stoma with an acceptable anastomotic leak rate. In a well-performed ileorectal/ colorectal/ coloanal anastomosis with a good vascularity at the site of anastomosis, routine use of diverting stoma may not be justified, though a randomized controlled trial with larger sample is needed.
Comparative Study of External Beam Radiotherapy with Cisplatin Verses Paclitaxel in Locally Advanced Cervical Carcinoma
Authors: Shrestha Suresh , Manandhar Tara
Published: September 2019

Objective: The purpose of the study was to identify the value and response of four field radiotherapy, combined with concurrent chemotherapy (cisplatin vs. paclitaxel) as radio a sensitizer.

Method: Fifty patients with diagnosis of Carcinoma of Cervix were consecutively enrolled in this study 25 assigned in each group. Gr 1 was assigned for Cisplatin as sensitizer and Gr 2 received Paclitaxel. Radiation fields were similar. The response and adverse effects were evaluated in fixed interval or at the time when it occurred.

Result: Fifty patients were enrolled. FIGO stage of disease were stage IIB (n=33) and stage IIIB (n=14). The most commonly used field size for anterior / posterior field 15 x 15 cm and 15 x 18 cm. The lateral field size from right and left are 15 x 7 cm and 15 x 6 cm. Cisplatin 30 mg /m2 or Paclitaxel 230mg/m2 were used as assigned in each group of 25. During weekly assessment of chemo-irradiation, the reaction was seen from second week to fifth week of the treatment which were mild to moderate in severity. Vesico-Vaginal Fistula were seen in 8.0% of patient. Eighteen patients came for one follow up, 15 patients attended two follow up, and 17 patients attended all three scheduled follow up. Complete response was evaluated in 25 patients (p=0.002), partial response in 14 patients (p=0.03) and poor response in 11 patients (P=0.50).

Conclusion: There are no significant differences in cisplatin or paclitaxel as a sensitizer in concurrent radiotherapy in response for cancer of uterine cervix. Rate of side effects were also similar. Further large scale studies may evaluate the difference in response of concurrent chemo-radiotherapy of these two drugs to confirm the optimal duration and schedule of concurrent chemotherapy.
Analiza uporabe financijske poluge u poduzeću „Hrvatske šume“ d.o.o.
Authors: Klobučar Damir , Orsag Silvije
Published: September 2019

Uspjeh poslovanja za vlasnike poduzeća ovisi o postignutoj snazi zarađivanja, ali i o izboru oblika financiranja poslovanja poduzeća. Sumarno se oportunost izbora oblika financiranja može promatrati preko pravila financijske poluge. Pravilo govori o tome kako se oportunom uporabom dugova može povećati prinos za vlasnike prema prinosu koje bi imali da se dugovi nisu koristili. U radu su najprije analizirani mogući pristupi analizi oportunosti uporabe financijske poluge i izoliran je kao najbolji pristup onaj koji isključuje zamku spontanog financiranja. Nakon toga primijenjena je analiza na konkretne podatke poduzeća Hrvatske šume d.o.o. u razdoblju 2005.-2015. Analiza je pokazala kako u Hrvatskim šumama d.o.o., osim u zadnjoj godini analiziranog razdoblja, uporaba financijske poluge nije bila oportuna. Pri tome je ključni razlog za neodgovarajuće zaduživanje izrazito slaba snaga zarađivanja u najvećem dijelu analiziranog razdoblja, dok su na to samo ograničeno utjecali skupi dugovi.