bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Point-Rating Scale for Determining Treatment Tactics in Patients With Adhesive Small Bowel Obstruction
Authors: Sigua B. V. , Zemlyanoy V. P. , Filenko B. P. , Kotkov P. A. , Kalandarova D. Kh. , Kozobin A. A. 
Published: August 2021

Relevance. The most practiced method of treating patients with acute intestinal obstruction - urgent surgical intervention - does not guarantee remission, contributing to the progression of morphological changes in the abdominal cavity. From this perspective, a shift in emphasis towards the planned surgical treatment of patients with adhesive disease with the use of the existing anti-adhesive methods after conservative resolution of the intestinal passage disorders looks like a promising direction.Aim of the study. Improving the results of patients with acute adhesive intestinal obstruction treatment by developing a point-rating scale that allows to highlight groups of patients who are prone to conservative resolution of intestinal passage disorders episode, and, thereby, reduces the proportion of urgent interventions.Material and methods. The analysis of the 125 patients treatment results (retrospective group) admitted with symptoms of acute adhesive intestinal obstruction was carried out. On this basis, the point-rating scale was developed including a number of factors that have certain value in terms of predicting the probability of conservative therapy success. Subsequently the developed scale was applied in 170 patients (prospective group) as part of treatment tactics implementation aimed at maximally conservative resolution of adhesive intestinal obstruction without negative effect on the immediate results of patients operated in later periods.Results. The developed point-rating scale made it possible to reduce the frequency of urgent interventions among patients with signs of acute adhesive intestinal obstruction (from 79.2% to 57.6%) due to longer conservative measures — 18.1±17.2 and 11,2±8.7 hours in prospective and retrospective groups, respectively). There was no negative impact on the frequency of resection interventions (12.2 and 16.1% in the prospective and retrospective groups) as well as postoperative complications and overall mortality.Conclusions. The developed point-assessment scale made it possible to stratify patients in accordance with the probability of conservative therapy success and to justify its continuation for more than 12 hours in low-risk patients. The obtained results allow us to recommend the proposed scale for use in clinical practice.
Shorting Resection and Correction of the Leg Length in the Treatment of Posttramatic Tibial Defects Complicated by Osteomyelitis
Authors: Artemiev A. A. , Ivanov P. A. , Kashoob A. M. , Grigoriev M. A. , Gandzhaliev R. A. , Soloviev Yu. S. , Sysoev I. A. 
Published: August 2021

Background.Severe fractures of the shin bones are often accompanied by the formation of defects in the tibia, suppuration and soft tissue necrosis. In the case of surgical treatment of fractures, infectious complications reach 3.6-9.1%. One of the methods of treatment of infected defects is resection of the ends of the tibia with shortening. This operation has proven to be effective in the treatment of fresh fractures. The relevance of the work is due to the prospects of using this technique in the treatment of the consequences of fractures with the formation of infected defects of the tibia.Aim of the study. Improving the results of treatment of patients with post-traumatic defects of the tibia complicated by osteomyelitis by performing a shortening resection with simultaneous or sequential correction of the segment length.Material and methods.The results of treatment of 65 patients with diaphyseal post-traumatic tibial defects complicated by osteomyelitis were analysed. They were divided into 2 groups. Group 1 was formed by 31 (47.7%) patients, they underwent shortening resection of the ends of bone fragments in the defect zone with simultaneous lengthening at another level. Group 2 included 34 (52.3%) patients who underwent a shortening resection of the tibia without lengthening. In all cases, the Ilizarov apparatus was used as a fixator.Results.The technique for assessing the size of the true defect of the tibia was optimized taking into account the initial shortening of the segment and the distance between the proximal and distal fragments after resection of their ends. A treatment regimen was developed depending on the level of localization of the tibial defect, and the results of treatment of patients in the compared groups were assessed.Conclusion.Shortening resection is an effective treatment for patients with post-traumatic tibial defects complicated by osteomyelitis. Depending on the level of localization of the defect, it is advisable to carry out treatment according to one of two possible options. When the defect is localized in the upper and middle third of the tibia, shortening resection in an isolated form is shown. If the defect is localized in the lower third of the tibia, it is possible to supplement the shortening resection with an osteotomy in the upper third with Ilizarov lengthening.
Evaluation of Cytokine Dynamics in Patients With Multiple and Concomitant Closed Chest Injuries
Authors: Khalyapina A. B. , Parshikov M. V. , Bolotov D. D. , Zhuravlyova G. M. , Yarygin N. V. 
Published: August 2021

Aim of the study. An actual problem of the modern approach to the management of patients in the post-traumatic period with the aim of predicting, preventing and treating complications of post-traumatic pneumonia is the assessment of the dynamics of the cytokine profile in this period.Material and methods. Investigations were carried out at the time of hospitalization prior medical interventions. During the research the following methods were used: clinical, physical, instrumental, follow-up, radiation (MRI, CT, X-Ray), endoscopic, laboratory. Blood was taken from the peripheral vein on the first, third, fifth, seventh and ninth day of hospitalization to determine the interlikin profile. The definition of Proinflammatory cytokines: IL-1, IL-6 and IL-10 in the blood serum performed by ELISA on the immunofermental analyzer Abbott AXSYM using standard kits ProCon (“Protein contour”, St. Petersburg, Russia). Data were processed statistically using Student’s t-test.Results. Analysis of the results of determination of IL-1 in the serum of patients DK showed that in all stages of the disease, in addition to IV, the contents of this cytokine exceeded the control values in varying degrees of severity. While the levels of IL-1 in the serum of patients with the 1ststage of the disease was 4.0 times; stage 2–3.4 times; the third stage is 1.5 times higher than normal. And only in patients with very severe stage of pneumonia contents IL-1 did not differ from the norm. A similar picture was observed when determining the serum content of patients with a very severe stage of pneumonia, and only in contrast to the level of IL-1 in patients with a very severe stage of pneumonia, the IL-6 content remained significantly higher than normal. So, the content of IL-10 in patients with a very severe stage of pneumonia of stage I, II, III and IV of the disease averaged 330.7±24.5, respectively; 210.5±17.3; 123.4±15.3 and 98.5±12.7 pg/ml (in all cases p<0.05). CONCLUSION The results obtained in a comparative study of contents of proinflammatory cytokines (IL-1, IL-6 and TNF-a) in the blood serum showed that the determination of the spectrum of cytokines in peripheral blood, in our opinion, is the most perspective and can be a key marker for early detection of inflammation. Key words: post-traumatic pneumonii, interlikin profile, peripheral blood serum>˂0.05).Conclusion. The results obtained in a comparative study of contents of proinflammatory cytokines (IL-1, IL-6 and TNF-a) in the blood serum showed that the determination of the spectrum of cytokines in peripheral blood, in our opinion, is the most perspective and can be a key marker for early detection of inflammation.
Combined Blunt Splenic Injury in Adults: Modern Approach to Diagnosis and Treatment
Authors: Aleksandrov V. V. , Maskin S. S. , Matyukhin V. V. 
Published: August 2021

Background. The high frequency of injuries of the spleen, as well as its important immunocompetent role in the body, dictate the need to develop a standardized approach to the diagnosis and treatment of this category of patients.Aim. Standardization of the treatment and diagnostic approach for combined blunt splenic injury to improve treatment results.Material and methods. The analysis of literary sources of Russian and foreign authors on this issue.Results. The therapeutic and diagnostic algorithm was developed for combined blunt splenic injury based on the severity of the patient, and a detailed description of non-operative and damage control surgical treatment was given.Conclusion. The use of endovascular interventions in the treatment of splenic injuries, as well as their gradual treatment in conditions of severe polytrauma, helps to reduce mortality.
Experience of Implementation of an Organizational and Methodological Approach to the Description and Standardization of Treatment and Diagnostic Processes in N.V. Sklifosovsky Research Institute for Emergency Medicine
Authors: Fomenko N. S. , Perminov A. Y. , Petrikov S. S. 
Published: August 2021

Currently, the issues of improving the quality of medical care and the effectiveness of management are in the focus of attention of heads of medical organizations. Obviously, for the successful management of any complex object, it is necessary to understand the principles of its operation and have a formalized description (model).This article presents the experience of systemic implementation of the organizational and methodological approach developed by the authors to the description and standardization of the treatment and diagnostic processes of a multidisciplinary hospital.When writing the work, the methods of system analysis and synthesis were used. Analyzed and systematized the successful experience of the N.V. Sklifosovsky Research Institute for Emergency Medicine on the introduction of the developed organizational and methodological approach into the current activities of a medical institution, as well as the results of its approbation in more than 270 complex medical and diagnostic processes, surgical interventions, active methods of treatment, instrumental and laboratory diagnostics.The article defines the most important principles for the formation of small groups, the basic values underlying their work, the main motivational factors for the participation of doctors, as well as critical factors for the success of the implementation of the organizational and methodological approach. The experience of its phased implementation is considered: from the processes of the admission department to the processes of medical and intensive care departments; as well as implementation features in the description of diagnostic profile processes.Based on the results of the implementation of the organizational and methodological approach at the N.V. Sklifosovsky Research Institute for Emergency Medicine, a conclusion was made about its universality and applicability for any medical institution.In the conclusion of the article, recommendations are formulated for the systemic organization of implementation in a medical institution of the organizational and methodological approach developed by the authors to the description and standardization of treatment and diagnostic processes.
DETERMINANTS OF BANKING INDUSTRY PROFITABILITY: AN EMPIRICAL RESEARCH OF INDONESIA FINANCIAL INSTITUTIONS
Authors: Johan Suwinto 
Published: August 2021

ABSTRAK

Penelitian ini bertujuan untuk mempelajari determinan profitabilitas perbankan di Indonesia. Penelitian difokuskan pada 19 bank yang dikategorikan sebagai bank book 3 dan 4 sesuai ketentuan bank sentral. Tujuh rasio keuangan utama, yaitu dampak pemegang saham (bank swasta versus bank milik negara), dan status dampak bank (bank milik lokal versus bank milik asing) dianalisis sebagai penentu profitabilitas bank. Kami menggunakan data panel seimbang dan menguji statistik model dengan pooled least square, model efek tetap, atau model efek acak dengan menggunakan program E-views. Sampelnya adalah 19 bank yang mempublikasikan laporan tahunannya dari tahun 2016-2018. Hasil empiris menunjukkan bahwa determinan utama profitabilitas perbankan adalah kredit macet. Pinjaman bermasalah yang lebih tinggi akan membutuhkan persyaratan cadangan yang lebih tinggi. Persyaratan cadangan yang lebih tinggi akan berdampak pada profitabilitas bank. Selain itu, penentu utama pengembalian ekuitas adalah status kepemilikan bank (kepemilikan lokal versus kepemilikan asing). Pemegang saham lokal menunjukkan lebih banyak dukungan untuk profitabilitas perbankan daripada pemegang saham asing. Variabel signifikan kurang dari 1%, dan hanya status pengaruh bank terhadap return on equity yang signifikan pada kurang dari 10%.
Relationship of Multiple Intelligence with Cognitive Learning Outcomes of Students in Class VIII Science Subjects of SMP 13 Padang
Authors: Saldayu Fazli , Ristiono Ristiono , Yogica Relsas , Sumarmin Ramadhan 
Published: August 2021

ABSTRACT Intelligence is an ability, with its completeness process, which is capable of handling various problems. Each student has a tendency for intelligence from nine intelligences, namely Linguistic, Mathematical-Logical, Visual-Spatial, Intrapersonal, Naturalist, and Existential. This intelligence is called Multiple Intelligence. This research is a descriptive study, using a correlational study approach between multiple intelligences and student learning outcomes. To find out the relationship between variables, a correlation test was used using the Spearman-Rank correlation. The data obtained were analyzed by normality test. The results obtained in the form of population data are normally distributed. Furthermore, the data analyzed using correlation analysis with the results in the form of correlation variables that have no effect. Based on the results of the study in general it can be concluded that the intelligence of multiple intelligence has a significantly different relationship to learning outcomes. Although with a significantly different level of correlation, but multiple intelligence still has a relationship with learning outcomes, the point is that if the correlation coefficient increases, the learning outcomes of students will be more dominant. The coefficient of determination is 24.85% and 7.99% shows that learning outcomes in science subjects in class VIII 4 and class VIII 5 are influenced by multiple intelligences.Keywords: multiple intelligence, cognitive learning outcomes
The Influence of The Power of Two Learning Model Containing Science Literacy on Students Learning Competencies in the Material of Human Digestive Systems in SMP Negeri 18 Padang
Authors: Yulianti Sari , Chatri Moralita , Yogica Relsas , Syamsurizal Syamsurizal 
Published: August 2021

ABSTRACTThis research is based on the problems that exist in SMPN 18 Padang, students learning competencies are still low. Efforts that can be made are applying the learning model Power of Two with scientific literacy on digestive system material at SMPN 18 Padang. The purpose of this study was to determine the increase in the competency of students through the model The power of twowith scientific literacy in the material of human digestive systems in SMPN 18 Padang.This type of research is experimental research with a randomized control group posttest only design. The population in this study were all class VIII SMPN 18 Padang registered in the 2018/2019. Sampling was done using technique Simple Random Sampling, which was chosen as the sample of the study was class VIII.6 as the experimental and VIII.7 as the control class. The instruments used were in the form of questions posttest for knowledge competencies, observation sheets for attitude and skills. The hypothesis was tested using the t-test, can be concluded that the competence of learners knowledge tcount 5,72> ttable 1.67, the competence of attitude value tcount 1,84> ttable 1,67, and the competency of skills value tcount 3.39> ttable 1.67. This shows that the hypothesis is accepted. Concluded that the application of model The power of two with scientific literacy can improve the competency of knowledge, attitudes, and skills of class VIII students of SMPN 18 Padang. Keywords: the power of two, scientific literacy, learning competency
Validity of High Order Thinking Skills (HOTS) Oriented Student Worksheet (LKPD) on Structure and Function of Plant Tissue Material for Class VIII Junior High School
Authors: Aprilia Ratna Sari , M Des , Fitri Rahmadhani , Zulyusri Zulyusri 
Published: August 2021

Curriculum 2013 push student to have the high order thinking skills (HOTS). But in the SMPN 15 Padang especially in class VIII, there is no available teaching material that can improve students high order thinking skills in the learning process. Therefore, HOTS oriented LKPD has been developed in the structure and function of plant tissue material. The purpose of this research to know validity of High Order Thinking Skills (HOTS) oriented student worksheet (LKPD) on structure and function of plant tissue material for class VIII junior high school. This research is part of Plomp model that is development or prototyping phase. Data analyzed through quantitative analysis. The instrument of data collection using validation questionnaires. The product validated by 3 lecturers of biology and a natural science teacher of SMPN 15 Padang. Based on the results of the study obtained the validity of LKPD 90.96% with very valid category.
The Effect of the application of the Cooperative Learning Model Type Snowball Throwing Against an increase in the activity of learning to the learners on subjects Science in grade VII Inclusive SMPN 23 Padang
Authors: Khairani Eliza Octa , Helendra Helendra , Fevria Resti , Ristiono Ristiono 
Published: August 2021

The research was distributed by the low activity of learning to learners in an inclusive classroom while learning the IPA take place where student activity still centered on teachers so that students not actively in learning. This research aims to find out how big the influence of cooperative learning model type Snowball Throwing against learning activities learners in learning the IPA in the VII inclusive classroom junior high school 23 Padang. This type of research is the Quasy alphabets experiment using Control-Group design Only. This research was carried out in class VII2 as class experiments with the number of learners 32 people (with 3 learners ABK) and VII3 class as the class of the control to the number of learners 32 people (with 2 of HER students). The instruments used in the research in the form of the now learners learning activities that contains items of the statement drawn up in accordance with a predetermined indicators. Data analysis technique used is comparing the difference of two average learners with learning activities begins conducting a test of its homogeneity and normality, so that in the end done with test t (t-test).The value of the rat experimental 92.42 class average and average value of kotrol class 70.08. Hypothesis test results data learning activities students class experiments and gained control of that class Fhitung < Ftabel then the hypothesis is accepted. This means that there is a positive influence towards learning activities learners by implementing cooperative learning model type Snowball Throwing.
Identification of Misconceptions on Material of Food Digestive System in Humans Using Two Tier Multiple Choice Diagnostic Tests at SMPN 15 Padang
Authors: Harahap Fahry , Darussyamsu Rahmawati , Yuniarti Elsa , Ristiono Ristiono 
Published: August 2021

Misconceptions is a concept that doesn’t suitable with the concept recognized by expert. Misconceptions whom occur in students’ selves prohibit the formed of relation with new concepts and disrupt the realization of learning process. Therefore, misconceptions needs to be known by teacher and folloed up early. The aim of this research is to identify the misconception on the concepts of food digestive system material in humans which experienced by second class at SMP 15 Padang. This research is a descriptive research which conducted at SMP 15 Padang. The populations of this research are 221 students of second class. The sample is 22,5% of 221 members of populations, which is 50 members.the tacking of sampling used simple random sampling technique. The data used are primary data which taking by two tier multiple choice and analyzed through quantitative technique analysis by percentage. Based on the results of the study, it seen that the highest misconception is the type of food ingredients and its content by 38%, digestive organs (digestive glands and glands) by 49%, the structure and function of the digestive organs by 38%, the relationship between structure and bioprocess in digestive organs by 46.75%, indicator of mechanical and chemical digestion by 50%, disorders / diseases of the digestive system by 49%, and the Thus it can be concluded that there is a misconception in Class VIII students of SMP 15 Padang about the food digestive system material in humans with varying percentages.
The Effect of Environmental-Based Guided Inquiry Learning Model on the Competence of Science Students in Tarusan
Authors: Mawaddah Rintia , Helendra Helendra , Selaras Ganda Hijrah , Ardi Ardi 
Published: August 2021

The lack cognitive competency os caused by a problem when learning begins, in the learning model used does not involve active students in learning. How to overcome thatis done to increase the students' cognitive competency is to apply an guided inquiry learning model based environment at SMPN 2 Koto XI Tarusan in KD. 3.7 material interaction of living things with their environment. This research used a Randomized Control Group Posttest Only Design. The population in this study were all student VII SMPN 2 Koto XI Tarusan. Sampel was taken by purposive sampling technique. The hypothesis testing using the t test. The results of data analysis in the research obtained in a cognitive competency that tcount>ttable (1.70>1.67). So, the conclusion of the guided inquiry learning model baased environment give a meaningfull effect on student' cognitive competency
The Development of E-Learning Based Schoology of Learning Media about Animalia Material for 10th Grade High School
Authors: Yoanda M Risai , Fitri Rahmadhani , Ristiono Ristiono , Sumarmin Ramadhan 
Published: August 2021

Teaching and learning process is an interaction between the teacher and students that takes place in learning to achieve learning objectives.Teachers have limitations in teaching students, although there are still many positive things that can be obtained from it, some of the limitations are one of them, students who are less motivated to bring thick books due to weight and so on, in the learning process of Information Communication Technology (ICT) where the use of technology can be implemented in the collection of files and books that can be stored in e-learning media so that students do not need to carry thick and heavy books. Then the schoology-based e-learning learning media was developed for 10th grade high school students. This media development uses three stages of 4-D models. The object of this research is the learning media of barbarian schoology e-learning for 10th grade students. The media schoology was validated by 2 Biology Department lecturers from the Faculty of Mathematics and Natural Sciences and 1 Pariaman High School teacher, it was conducted to determine the practicality level of schoology media by the teacher and 10th grade students of Pariaman 1 High School. This research produces schoology-based e-learning media learning products about animalia material for grade X high school / MA students with very valid criteria for validity testing, and very practical criteria for practicality tests for teachers and students. So it can be concluded that the school-based e-learning learning media developed are valid and practical to use.