bluuebunny/crossref_metadata_2025_split huggingface dataset:
STUDI KEEKONOMIAN PEMANFAATAN TANDAN KOSONG KELAPA SAWIT PADA PEMBANGKIT LISTRIK BIOMASSA MUARO JAMBI
Authors: Djufri S. Umar 
Published: December 2019

Limbah padat dari perkebunan kelapa sawit dan pabrik kelapa sawit berupa tandan kosong (Cangkang kosong) atau tandan kosong kelapa sawit ( TKKS ) dapat dimanfaatkan sebagai sumber energi alternatif pada Pembangkit Listrik Tenaga Biomassa. Tandan Kosong kelapa sawit memiliki energi sebesar 4.492,2 kkal/kg setara dengan 1,163 WH ( 1kkal = 4.187 Joule) dan dimanfaatkan sebagai bahan bakar pada pembangkit listrik tenaga Biomassa yang digunakan untuk memanaskan air di dalam boiler, sehingga menghasilkan suhu uap dan tekanan uap yang memutar turbin uap . Turbin uap berfungsi sebagai prime mover untuk memutar generator , sehingga menghasilkan output berupa daya listrik . Dengan menjelaskan secara teknis dan keekonomisan pemanfaatan limbah padat tandan kosong di pabrik kelapa sawit PT. BAM di Kabupaten Muaro Jambi , Provinsi Jambi , untuk pembangkit listrik dan listrik dapat dijual ke PT. PLN ( Persero).Hasil Penelitian dari analisis perhitungan biaya produksi listrik yang didapat berdasarkan suku bunga 6 %, 9 % dan 12 % adalah Rp. 572,67 /kWh , Rp. 680,67/ kWh dan Rp. 814,32 /kWh , sedangkan rata- rata tarif dasar listrik adalah Rp. 1.500/ kWh . Dengan pemanfaatan tandan kosong kelapa sawit yang dihasilkan PKS PT . BAM ini merupakan salah satu upaya untuk mengurangi limbah dan merupakan salah satu upaya untuk mengurangi limbah dan merupakan diversifikasi bisnis hilir dari pabrik kelapa sawit dapat menghasilkan sekitar 18.867,84 MWh per tahun dengan investasi sekitar 2,67 (Million USD) dapat menarik para investor. Berdasarkan tarif tenaga listrik kelapa sawit PT. BAM , maka mendapat hasil penjualan tenaga listrik ke PT. PLN Persero adalah sebesar 1.572,31 MWh perbulan atau Rp. 1,45 Milyar ( 6 % ), Rp. 1,29 Milyar ( 9%) dan Rp. 1,08 Milyar ( 12 % ) perbulan .
(TIDAK) MENYOAL DEWAN KEAMANAN NASIONAL INDONESIA
Authors: Montratama Ian , Yani Yanyan Mochammad 
Published: December 2019

That approach requires a interagencies coordinating forum to break any strategic bureucratic blockades. Such forum is known as National Security Council (NCS). In Indonesia, NCS is not created. This paper tries to analyze the creation of NCS that currently being hampered due to the absence of National Security Law.

Keywords: interagencies, coordination forum, National Secuirty Council (NCS)

Abstrak

Hampir seluruh isu Keamanan Nasional bersifat multi dimensi yang hanya bisa ditangani secara lintas kementerian/lembaga. Hal tersebut menuntut adanya forum koordinasi lintas kementerian/lembaga agar hambatan terkait birokrasi yang bersifat strategis dapat diterabas. Forum seperti itu dikenal dengan Dewan Keamanan Nasional (DKN). Di Indonesia, DKN belum terbentuk. Naskah ini berusaha mengkaji pembentukan DKN yang saat ini terkendala dengan absennya UU Keamanan Nasional.

Kata Kunci: lintas kementerian/lembaga, forum koordinasi, Dewan Keamanan Nasional (DKN)
TIONGKOK SEBAGAI PEMIMPIN DUNIA BARU MELALUI INVESTASI DI NEGARA-NEGARA DI DUNIA
Authors: Nadya Annissa , Trihandayani Elshadai , Usha I Gusti , Agnetha Maria , Soukotta Theofilia , Melani Sepril 
Published: December 2019

Tulisan ini akan membahas mengenai Tiongkok sebagai negara yang saat ini dapat dikatakan sebagai negara superpower. Tiongkok melakukan investasi global besar-besaran dan hadir di negara-negara di seluruh dunia, tidak terbatas hadir di negara-negara berkembang tetapi juga di negara maju.Investasi Tiongkok yang hampir hadir di sebagia besar negara di dunia, menunjukkan Tiongkok telah berhasil memperluas pengaruhnya, sehingga semakin besar kekuatan yang dimiliki Tiongkok. Kemudian, inovasi besar yang digagas oleh Tiongkok, mendorong semakin banyak hadirnya investasi Tiongkok di dunia.Seluruh kawasan telah merasakan hadirnya Tiongkok dengan adanya investasi tersebut. Tiongkok dipandang sebagai negara yang penting saat ini.Adapun tujuan tulisan ini adalah untuk menjelaskan bagaimana investasi global yang dilakukan Tiongkok, mendorongnya hadir sebagai pemimpin dunia saat ini. Metode penelitian ini bersifat kualitatif.Penulis menggunakan teori World Leadership menurut Modelski sebagai pedoman.Tulisan ini menemukan, jika Tiongkok berpotensi untuk menjadi New World Leader berlandaskan kekuatan dan inovasi yang dimiliki Tiongkok.

Kata Kunci : Tiongkok, Investasi, New World Leader, Kekuatan
RIVALITAS GEOPOLITIK AMERIKA SERIKAT â€“ TIONGKOK DI MYANMAR
Authors: Suwarman Eufronius , Watunwotuk Kartika , Melianti Lecya , Rosari Maria , Yewen Natalia , Naomi Regina 
Published: December 2019

Kompetisi komprehensif A.S.-China saat ini bermain dalam skala yang semakin global. Fokus utama kompetisi adalah wilayah Indo-Asia-Pasifik yang luas, dan berpusat di Asia Tenggara, contohnya adalah Myanmar. Penulisan ini akan membahas rivalitas AS dan Tiongkok di Myanmar untuk mencapai kepentingan nasional mereka. Metode yang digunakan dalam penulisan ini adalah metode kualitatif. Argumen akhir dari penulisan ini bahwa rivalitas AS-Tiongkok ditujukan untuk memperluas pengaruh mereka di Myanmar karena wilayah Myanmar yang strategis dan sumber daya alam yang melimpah menjadi daya tarik Tiongkok. Keuntungan Beijing sebagian besar ekonomi dan diplomatik, sedangkan Washington lebih beragam. Namun Myanmar mampu menyikapi dengan baik kehadiran dua kekuatan besar tersebut.

Kata Kunci: Rivalitas AS-Tiongkok, Kepentingan nasional AS-Tiongkok, Respon Myanmar
Influence of psychoemotional stress on microbal landscape of gingival furrow
Authors: Risovannaya O. N. , Lalieva Z. V. 
Published: December 2019

Relevance of the research topic. The oral cavity is one of the most diverse microbiomes in the human body, which is divided into several biotopes: oral mucosa, dental plaque, gingival fluid and gingival sulcus zone and others. The biotope of the gingival sulcus is unique in that quantitative and qualitative changes in the microbial communities of this microecological system can lead to the development of the main dental diseases — gingivitis, periodontitis and caries. Purpose. To study the influence of emotional stress on the microbal landscape of the gingival furrow, which is in a state of eubiosis and dysbiosis. Materials and methods. The study involved 67 aged by 30–49 years. A microbiological study was made of the general microbial contamination of the gingival furrow and its colonization by individual microbal species using aerobic and anaerobic cultivation methods. Results. In the state of relative dormancy, 100 % of people without gum disease were found to have an eubiotic condition of the gingival microbal, at 100 % of persons with periodontis the microbal of the gingival groove was in a state of dysbiosis. Summary. The influence of the stressor on the disorder of the balance of the microbial homeostasis of the dental gingival slit causes an increase in the imbalance of microbial associations in the form of a decrease in the comensal microflora and an increase in the opportunistic pathogenicity. Highlights. 1. Emotional stress may cause the development of periodontal diseases in people who work in the field of law enforcement. 2. On a background of emotional stress the dysbalance of microbial associations increases.
Individualization of Drug Therapy Mode in a Patient with Disseminated Form of GIST by Determining Active Metabolites of the Drug (Tyrosine Kinase Inhibitor) in Blood Plasma
Authors: Adleyba S. T. , Kogonia L. M. , Gurevich L. E. , Sidorov A. V. 
Published: December 2019

An own experience of effective treatment of a patient with a disseminated form of gastrointestinal stromal tumor (GIST) with a preparation from the group of tyrosine kinase inhibitors (imatinib) is presented.Relevance. Therapy of gastrointestinal stromal tumors is still a complex problem of modern oncology. Since 2001, a breakthrough has occurred in the treatment of patients with GISTO due to the successful use of a targeted drug from the group of tyrosine kinase inhibitors — imatinib, which is effective in the first line of inoperable and / or metastatic GISTs, and is also used for the neoadjuvant, adjuvant therapy of localized GISTs. The lack of response to therapy and, consequently, the progression of the disease, may be associated with a decrease in the therapeutic concentration of imatinib in the blood plasma. Determining the concentration of active metabolites of imatinib in the serum allows timely identification of potential causes of insufficient response to therapy and individual correction of the dose of the drug.Materials and methods. In order to determine the significance of the correlation between increasing / decreasing the dose of imatinib and achieving a therapeutic response, we used a laboratory method of high performance liquid chromatography to determine the concentration of imatinib in serum.Conclusion. Determination of the reduced concentration of active metabolites of imatinib in the blood plasma by high performance liquid chromatography with the detection of tandem mass spectrometry in a patient with disseminated form of GIST allowed to correct the dose of the drug and achieve a positive effect.
Assessment of anxiety-depressive disorders and quality of life indicators in elderly women
Authors: Pavlova T. V. , Proshchayev K. I. , Satardinova E. E. , Pilkevich N. B. , Pavlova L. A. 
Published: December 2019

Objective. To assess anxiety-depressive disorders and indicators of quality of life in elderly women.Materials and methods. The study included 540 women with hormonal disorders in the form of a premenopausal or menopausal syndrome: 270 women, aged 44–54 years (mean age 49.1 ± 2.2), of whom 150 women with ‘–’ and 120 with ‘+’ variant of the biological age and 270 women aged 55–64 years (mean age 57.2 ± 2.4), of which 150 with ‘–‘ and 120 people with ‘+’ version of biological age. All patients, depending on the proposed variant of nutritional support and physical activity, were divided into three groups: the 1st (standard recommendations), the 2nd (standard recommendations, scandinavian walking and daily walks for at least 30 minutes), the 3rd (standard recommendations, scandinavian walking, daily walks for at least 30 minutes and nutritional support). Assessment of the degree of depression was carried out on the basis of the Beck scale. The quality of life was determined by the SF-36 Health Status Survey, a visual analogue scale for assessing the anxiety-depressive syndrome.Results. On the scale of assessing the level of depression, the level of anxiety-depressive syndrome in women, data were obtained on a reliable improvement of this indicator with the use of nutritional support and physical activity. The maximum difference was noted in older persons with ‘–‘ and ‘+’ variant of biological age. On the scale of assessing the level of psychological health in women, we obtained data on improving this indicator with nutritional support and physical activity, but a significant difference was found only in comparison with patients who received neither nutritional support nor physical activity.Conclusion. The use of nutritional support and physical activity in elderly women improves the parameters of quality of life, especially in terms of general health, depression and social functioning.
Use of mobile applications assessing motor activity of patients after myocardial infarction for improving indicators of physical rehabilitation
Authors: Ponkin S. L. , Tsygankova O. V. , Fyodorova E. L. , Bondareva Z. G. 
Published: December 2019

Considering the widespread use of mobile phones, cellular communication systems wide coverage of the territory of the Russian Federation, the free or low cost of mobile applications for assessing motor activity, convenient interface and high accuracy of measurements of the apps; the usage of the modern technologies while involving underwent myocardial infarction patients into rehabilitation programs could increase the percentage of these programs participants and improve the results obtained during the implementation of the programs.Research goal. assessment of the impact of the usage of mobile applications, that could monitor the level of motor activity, on the results of a six-minute walk test (6 MWT) among the patients with myocardial infarction who were on the second stage of cardiac rehabilitation.Materials and methods. Materials and methods: 224 patients were examined: 99 (44.2 %) men and 125 (55.8 %) women aged 60.6 ± 11.5 years, who had had myocardial infarction from 6 days to 6 months ago (median 16 [10; 139] days), which passed the second stage of rehabilitation for 11.6 ± 1.4 days in the conditions of the specialized cardiology department of the Resort-hotel ‘Sosnovka’ (Berdsk, Russia). At the time of admission, in the middle of the rehabilitation course (on the 6th day) and before discharge (on the 12th day), a six-minute walk (6 MWT) test was performed (6 MWT1, 6 MWT2 and 6 MWT3, respectively). Changes in these parameters over time were estimated as the difference between the second and first 6 MWT, the third and first 6 MWT test results, and compared in two groups.Results obtained. The results of 6 MWT1 performed on admission of patients to the department did not differ between the two groups (F = 3.068; p = 0.81). 6 MWT2, conducted on average one week after the start of the second stage of the cardio-rehabilitation program revealed a statistically significant difference between the groups (F = 21.758; p < 0.001), which became more visible when 6 MWT3 was conducted at the end of the second week in the department (F = 66.615; p < 0.001), indicating the advantages of the group using the mobile application.Conclusion. The active introduction of mobile applications into real clinical practice effectively, non-invasively, does not require additional financial investments from the health care system and personal time of the doctor, being a positive determinant of the preventive behavior of patients.
Features of hematopoiesis in newborns with signs of morphofunctional immaturity
Authors: Baranovskaya I. B. , Samokhina O. F. , Boyko N. V. , Sysoeva I. P. 
Published: December 2019

The purpose of this work was to identify the characteristics of hematopoiesis in newborns of 1–7th days of life with signs of morphofunctional immaturity. Three groups of newborns were formed: 1) healthy full-term babies (control); 2) full-term, but low-weight for gestational age children; 3) premature babies (gestational age 34–36 weeks) with signs of malnutrition. On the Sysmex XN analyzer, traditional hemogram indicators were analyzed, including reticulocyte parameters, as well as a calculated index — an indicator of erythropoiesis (EE) effectiveness. A total of 714 blood samples were examined. The following statistical characteristics of the indicators were analyzed: mean value (M), mean standard square deviation (Sd), error of the mean value (St er). The statistical significance of intergroup differences was established on the basis of the Money-Whitney test (p ≤ 0.05). Comparative intergroup analysis showed no statistically significant differences (p ≥ 0.05) between the baseline red blood values (hemoglobin, erythrocytes, hematocrit, etc.) in the control newborns and children with signs of morphofunctional immaturity. According to the data obtained in newborns in the full-term, but low-weight for gestational age (group 2), there was a tendency to a decrease in the content of reticulocytes and their immature fractions, an indicator of the erythropoiesis efficiency, an index of reticulocyte production. Premature infants with signs of malnutrition (group 3) differed from the control group in a statistically significant (p ≤ 0.05) increase in the content of reticulocytes (by 2–3 days), an index of their production (by 2 days), and also an indicator of erythropoiesis (on 2–3 days). At the same time, a statistically significant decrease in the content of leukocytes (1st and 4th days), neutrophils (4th day) and lymphocytes (3rd day) was registered in premature babies.
Replantation of tooth as alternative to deletion (clinical case)
Authors: Rotin N. E. 
Published: December 2019

Urgency. Replantation of the tooth the expeditious return of an extracted tooth in his hole. Despite the fact that the operation of tooth replantation has been known since the 19th century, to this day in dental practice, this technique is rarely used, although in some cases this type of organ-preserving operations is the only alternative to tooth extraction.Purpose. To analyze the effectiveness of the operation of tooth replantation carried out by the classical method.Materials and methods. Replantation of tooth 1.2 was carried out according to the classical method. Evaluation of optical density of bone tissue surrounding the root apex of the replanting tooth 1.2 was carried out with the use of computed tomography in X-ray output 0,04 mSv according to Hounsfield. The efficiency of the graft mobility was determined using the apparatus Periotest M Siemens (Medizintechnik Gulden). The values of the device from –8.0 to +9.9 correspond to the lack of mobility of the tooth (osteoid type of tooth fixation), from +10.0 to +19.9 — the first degree of mobility, from +20.0 to 29.9 — the second degree, from +30.0 and more — the third degree.Conclusion. 1 year 7 months after the replantation of tooth 1.2 we observed a complete restoration of its functions and the absence of pathological mobility.
Dynamics of blood lipid-phospholipid profile indicators in elderiy patients with stroke
Authors: Slyusar T. A. , Abramenko Yu. V. , Yakovlev N. A. , Choroshavina K. V. 
Published: December 2019

Objective. To study dynamics of blood lipid-phospholipid profile indicators in elderly patients with stroke for criteria optimization of differential diagnosis, treatment and prognosis.Material and methods. Sixty patients, aged from 60 to 74 years with new-onset hemispheric stroke were examined. 34 patients of them were diagnosed with ischemic stroke (IS); 26 patients had intracerebral hemorrhage (ICH). Patient’s status was assessed using the NIHSS, the Rivermead mobility index, the modified Renkin scale, the Barthel ADL index. We measured blood levels of phosphotidylinosits in patients with acute IS and ICH. The percentage absorption of lipid-phospholipid complexes was also studied in the infrared spectrum of blood serum. The control group consisted of 20 healthy individuals.Results. Dynamics of lipid-phospholipid complexes in blood serum is associated with the type of stroke. The blood levels of phosphotidylinosits in patients with acute IS and ICH were strongly correlated with degree of neurological deficit, levels of daily activity and functional independence (p < 0,05–0,01).Conclusion. The received data may be important for individualization of diagnostics and therapeutic interventions in elderly patients with acute IS and ICH.
Thermography screening of thyroid gland: how to distinguish health from pathology
Authors: Dolgov I. M. , Volovik M. G. , Nikitina O. V. , Shkurat T. P. 
Published: December 2019

This research is organized to investigate if the thermal gradient (Tgrad) (difference between temperature maximum and minimum in the region of interest over thyroid gland on neck thermogramm) could be a marker of normal/ abnormal thyroid function and, if so, find out the cut-off value and check it screening validity.Materials and methods.Thermography examination was performed using a TVS-300 med (S-Petersburg, Russia) thermal imaging camera with a resolution of 384 × 288 pixels and sensitivity was <0.04 °C according to European Association of Thermology standards. Anterior neck thermografic images were performed and collected in cloud database, where, by mean of program tools, region of interest were marked and Tgradcalculated. Totally 1025 pts with different thyroid pathology (group 1: female 944, age 15–90 (55,4±15,8), male 81, age 14–86 (53,6±18,8)), and 395 healthy persons (group 2: male 324 age 17–26 (21,8±4,4), female 71 age 16–70т (34,6±12,7)) were investigated. To check the quality of the model another 314 persons (18 male and 296 female) were studied in screening mode.Results.Calculated Tgradvalue was 1,65±0,53 °C, Ме 1,53(1,24; 1,90) and 0,98±0,23 °C, Me 1,01(0,82; 1,15) for group 1 and 2 accordingly. By mean of binary logistic regression analysis we found good correlation between Tgradvalue and presence/absence of thyroid pathology: significance level р<0,0001, χ² = 838,84, df = 1, β 0 = 9,984, β 1 = –9,033. Area under curve in ROC analysis was 0,922 (95 % CI 0,908; 0,935), р<0,001; optimal cut off value for Tgradwas 1,21 °C for maximal sensitivity (79,8 %) and specificity (83,3 %). In screening evaluation, according to optimal cut-off value 1,2 °C for Tgrad, 82,2 % of cases were classified correctly: true-positive and true-negative results were achieved in 258 from 314 pts.Conclusion.Thermography test, based on Tgradvalue calculation, could help to distinguish persons with normal and abnormal function of thyroid gland.
Mesane Çıkım Obstruksiyonu Saptanan Obez Hastalarda Alfa Bloker Tedavisinin Etkinliği
Authors: KARABIÇAK Mustafa , TÜRK Hakan , ÜN Sıtkı , ARSLAN Erkan , OĞÜTLÜ Ahmet 
Published: December 2019

Amaç: Mesane çıkım obstruksiyonu sebebiyle alfa bloker tedavisi kullanan hastaların vücut kitle indeksine göre tedavi etkinliğini karşılaştırmaktır. Materyal metod: Mayıs 2015 ile Ocak 2018 arası alt üriner sistem semptomarı ile polikliniğimize başvuran ve mesane çıkım obstruksiyonu olduğu düşünülen hastalar değerlendirildi. Dışlanma kriterleri sonrası hastalar obez ve obez olmayan olarak iki gruba ayrıldı. Alfa bloker tedavisinin etkinliği her iki grupta değerlendirildi. Bulgular: Çalışmaya 91 obez hasta (grup I) ve 280 obez olmayan (grup II) olmak üzere 371 hasta dahil edildi. Hastaların 4. ve 12. hafta sonunda Q MAX ve PVR değerlerini inceledik. Her iki grubunda tedaviden eşit oranda yararlandığını gördük. Hastaların IPSS değerlerini incelediğimizde ise 4. hafta sonunda grup I’de IPSS değerinde değişim gözlenmedi. Grup II’de ise IPSS değerleri düşüş gösterdi. 12. hafta sonunda her iki gruptaki hastaların IPSS değerlerinin eşit oranda düştüğü görüldü. Sonuç: Çalışmamızda alfa bloker tedavisinin hem obez hemde obez olmayan hasta grubunda etkin ve güvenle kullanılabileceği görüldü.
Tıp Dili ve Türkçe Üzerine Öğretim Üyesi Görüşleri
Authors: SEVİNÇ Hüseyin Fatih 
Published: December 2019

Amaç: Erciyes
Üniversitesi Tıp Fakültesi öğretim üyelerinin Türkçe ve Tıp dilinin güncel
sorunlarına bakış açısını belirlemeyi amaçladık. Gereç ve Yöntemler: Erciyes
Üniversitesi Tıp Fakültesindeki 252 öğretim üyesinin 131’i (%51,9) katılmıştır.
Anket, öğretim üyelerinin Türkçenin sorunlarıyla, bilim ve Tıp diliyle ilgili
bakış açılarını araştırmak için hazırlanmış çoktan seçmeli toplam 31 sorudan
oluşmaktadır.Bulgular: Katılımcıların 126’sı (%96,2)
dilimizde kirlenme olduğunu düşünmektedir. Araştırmaya katılan öğretim üyelerinin 101’i (%77,1) Türkiye’de
tıp alanında kullanılan dille ilgili sorun olduğunu düşünmektedir.

Sonuç: Dilimize ne kadar
güvenirsek, dilimizi ne kadar çok işlersek ve öğretirsek dilimiz o kadar çok
gelişir. Bize düşen görev, bize bırakılan binlerce yıllık bu mirası en iyi
şekilde koruyarak ve geliştirerek gelecek nesillere aktarmaktır.