bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perubahan Perilaku Santri (Studi Kasus Alumni Pondok Pesantren Salafiyah di Desa Langkap Kecamatan Besuki Kabupaten Situbondo)
Authors: Susanto Happy , Muzakki Muhammad 
Published: November 2018

Basically the students have been educated and guided by the cottage salafiyah with different habituation, that is by carrying out routine positive activities such as habituation discipline conducting worship obligatory, habituation implement devotions sunnah, habituation noble against teachers, parents and peers as well as away shameful and unjust deeds. But when they returned to their own villages phenomenon graduates of behavioral changes in santri who are not in accordance with the rules of Islam taught by the cottage salafiyah. From this study we can conclude that Behavioral Changes Santri In Langkap Village District of Besuki Situbondo, as follows: (1) To instill the Islamic values to santri with sunnah worship, familiarize the santri disciplined in carrying out the obligatory worship, equip the santri with skills so that they are confident as to preach to the people, to familiarize the santri have a certain good for teachers, parents and friends. (2) The model of behavior change salafiyah alumni of the boarding school, namely; leaving habituation worship sunnah, dereliction of worship obligatory, not ashamed of female graduates open her nakedness, deeds are shameful and unjust. (3) Factors that cause changes of behavior salafiyah graduates of the boarding school, namely; there is a sense, not sincerely take part in boarding school finally when returning home feel free to do anything, the environment of graduates santri was minimum in practice the teachings of Islam so that affects personality, economic pressure, lack of guidance and supervision of parents so that they are free to do anything, graduates age santri who are still teenagers so easily influenced by the environment, in short a vulnerable time in boarding school have an impact on self unsound science graduates santri.
APLIKASI TERJEMAHAN SANDI MORSE BERBASIS ANDROID MORSE TRANSLATOR APPLICATIONS BASED ON ANDROID
Authors: Nasfi Nahar Muhammad Husnur Rijal , Alwi Aslan , Setyawan Moh. Bhanu 
Published: November 2018

Sandi morse adalah suatu bentuk kode atau isyarat untuk berkomunikasi. Kode-kode ini biasanya dipakai di organisasi kepramukaan sebagai sarana pendidikan untuk mencari metode komunikasi yang lebih efektif digunakan di saat-saat tertentu. Pembelajaran sandi morse dapat menjadi sarana untuk melatih para anggota Pramuka agar menjadi terampil, cerdas, dan memiliki indera pendengaran atau penglihatan yang tajam. Dalam dunia Pramuka, sandi morse juga kerap dipelajari sebagai salah satu bentuk keterampilan. Kemampuan seorang anggota pramuka untuk mengirimkan dan menerima kode morse adalah salah satu dari kecakapan yang dapat menerima tanda kecakapan khusus. Dibalik sekian banyak manfaat yang dihasilkan dari sandi morse, banyak diantara kita punya kesulitan untuk menerjemahkan kode sandi morse karena sandi ini hanya terdiri dari simbol titik dan garis yang rumit, jika dilihat sekilas terasa mirip. Berdasarkan uraian di atas, tujuan pembuatan tugas akhir ini adalah untuk pengerjaan aplikasi berbasis kata sandi morse berdasarkan Android guna memudahkan pengguna menejermahkan kalimat ke bentuk sandi morse secara cepat dan akurat. Aplikasi ini tidak hanya bisa mengubah kode menjadi kode morse pelihara juga mampu mengubah kode morse menjadi kalimat. Diharapkan dengan aplikasi ini dapat membantu pengguna dalam menerjemahkan kalimat ke sandi morse or sebaliknya sehingga pengguna tidak akan mengalami kesulitan lagi ketika penerjemahan kode morse.
OC32 HYBRID PALLIATION FOR HYPOPLASTIC LEFT HEART SYNDROME AND VARIANTS: A SINGLE CENTER 5-YEAR EXPERIENCE
Authors: Oreto L. , Manuri L. , Calvaruso D. , Guerra C. , Ferro G. , Campanella I. , Nicita G. , Grasso N. , Zanai R. , Trombetta B.M. , Sturiale M. , Fonte A. , Iorio F. , Reali S. , Agati S. 
Published: November 2018

Background:
Hybrid palliation is an alternative to Norwood stage I for the initial management of hypoplastic left heart syndrome (HLHS). We aimed to report our experience with hybrid strategy in HLHS over 5 years in a tertiary care Institution.

Methods and Results:
Forty-four consecutive patients with HLHS or variants underwent hybrid palliation at a mean age of 2.7 days and mean weight of 3.08 Kg. Balloon atrioseptostomy was required in 5 patients and surgical septectomy in 2 cases. In-hospital death was 11% (5 patients, including 2 preterms and 1 congenital atrioventricular block). Three high-risk patients were diverted to rescue Norwood operation between 37 and 60 days, with 2 early deaths. Interstage mortality was 11% (5 patients, including 1 preterm and 2 intracranial hemorrhage). Fifteen patients required interventional procedures during interstage (mean age 3 months), such as atrial septal dilatation (3 cases) or stenting (7 cases), ductal stent dilatation (9 cases) or restenting (2 cases). Three patients underwent stage II operation in other Institutions. At a mean age of 6 months, 14 patients had comprehensive Norwood stage I-II, whereas 14 received biventricular repair. Survival after surgical stage II was 79% (11 patients) and 93% (13 patients), respectively. All 11 patients after comprehensive I-II and 4/13 after biventricular repair required interventional procedures for pulmonary branches stenosis, either balloon dilatation (16 procedures) or stenting (7 procedures). Four patients underwent Fontan operation and 7 are currently awaiting. Overall survival is 76%.

Conclusions:
In our experience hybrid palliation has been the treatment of choice for HLHS and variants, unless contraindicated by the presence of aortic reverse coarctation or excessive ductal diameter.
Despite the tendency described by the Society of Thoracic Surgeons Congenital Heart Surgery 2015 Database, that institutions with higher hybrid use are expected to have low annual HLHS case volume (<5/year), our average case volume is almost double (9/year). Besides, our in-hospital mortality lies below that reported by STS database. Moreover, hybrid approach resulted in a successful bridge to biventricular repair in as much as 7 patients with hypoplastic mitral and aortic valves, who would have not been eligible for biventricular repair at birth.
OC69 SURGERY FOR BENTALL ENDOCARDITIS: SHORT AND LONG-TERM OUTCOME FROM A MULTI-CENTRE REGISTRY
Authors: Sponga S. , Di Mauro M. , Pacini D. , Murara G. , Di Bartolomeo R. , Cappabianca G. , Beghi C. , Weltert L. , De Paulis R. , De Vincentiis C. , Biondi A. , Santini F. , Salsano A. , Salvador L. , Picichè M. , Mariscalco G. , Maselli D. , Rinaldi M. , Mancuso S. , Scrofani R. , Cagnoni G. , Antona C. , Dato G.M.A. , Centofani P. , De Bonis M. , Pozzoli A. , Cugola D. , Galletti L. , Villa E. , Dossena Y. , Troise G. , Barili F. , Paparella D. , Margari V. , Lorusso R. , Parolari A. , Livi U. 
Published: November 2018

Background and aim:
Endocarditis after Bentall procedure is a rare but severe complication. Infection usually involves the prosthesis, the annulus, and can lead to pseudoaneurysm or mediastinitis. Surgery in these patients is a challenge but conservative therapy, sometime preferred because of prohibitive perioperative risk, is not effective. Aim of the study was to assess the outcome at short and long term of patients re-operated for Bentall procedure-related endocarditis.

Methods:
From 2003 to 2018, 3398 patients were operated for endocarditis in 22 centres. Among them, 46 had a Bentall procedure-related endocarditis. Pre-operative characteristics were: mean age 57 ± 14, LVEF 56 ± 7%, EuroScore 28%, pre-operative shock 13%, active endocarditis 87%, perivalvular issues 63%, aortic regurgitation 17%, mitral involvement 24%. Most common pathogens involved were Staphylococcus Aureus (26%) and Enterococcus (22%). Implanted composite graft depended from age and centre/surgeon preference, were mechanical Bentall (33%), Bioconduit (30%) and Bentall with Biological Stented Prosthesis (24%).

Results:
During a median hospital stay of 16.5 days, 16 (35%) patients experienced major complications, such as major bleeding (11%), sepsis (11%), MOF (11%) and renal failure (11%), leading 10 (22%) patients to early death. At univariate analysis, Staphylococcus Aureus infection was a risk factor for early (HR 8.1 (1.8–36)) and long-term mortality (HR 4 (1.2–13)). One, 5 and 10-year survival was respectively 78 ± 6%, 69 ± 9%, 69 ± 9%.

Conclusions:
Surgery is effective to treat Bentall procedure–related endocarditis even if this complex procedure is affected by high perioperative mortality. Endocarditis relapse seems to be rare.
OC58 PRELIMINARY RESULTS OF MITRAL VALVE SURGERY IN OCTOGENARIANS: A GIROC MULTICENTER STUDY
Authors: Stura E. Cura , Ricci D. , Paparella D. , Nicolardi S. , Vanelli P. , Casali G. , Antona C. , Rinaldi M. 
Published: November 2018

Objective:
In this multicenter prospective study we sought to analyze preliminary results of high risk old patients who underwent mini-invasive mitral valve surgery.

Methods:
From January 2016 to March 2018, 38 patients ≥80 years old underwent MV surgery: mean EuroSCORE II was 4.5 ± 3.7, mean predictive mortality according to logistic Euroscore was 15.4 ± 11.2%. Male were 47.4%, mean BMI was 23.8 ± 3.5. Main MV etiology was degenerative (76.3%). Comorbidities included: diabetes (13.2%), COPD (10.5%), CRF (15.8%), peripheral vasculopathy (21.1%) and AF (60.5%). Mean pre-operative EF was 59.9 ± 10.1% and severe pulmonary hypertension (≥ 55 mmHg) was present in 36.8% of the cases. Patients who underwent previous cardiac operation were 2.6 %. A preoperative vascular screening of the aorta was perfomed in 81.6% patients.

Results:
All patients except one (97.4%) underwent mini-invaive mitral valve surgery. Mitral repair was obtained in 12 out of 38 patients. Main associated procedures were TV repair (15.8%), ASD closure (13.2%) and AF-crioablation (7.9%). Mean cardiopulmonary and cross-clamping time were respectively 122.7 ± 34.4 and 85.2 ± 24.5 minutes. Aortic clamping was obtained with either Chitwood clamp (94.5%) or endoballoon (5.5%). Conversion to sternotomy was necessary in only one case. Operative mortality was 0%. Reoperation for bleeding, aortic dissection and major neurologic events were not reported. 34.2% of the patients required blood transfusion, 5.3% emodyalisis and 5.3% PM implantation. Mean ventilatory support, ICU and hospital stay were respectively 14.5 ± 14 h, 3.3 ± 5.7days and 10.0 ± 5.8days. 30-day mortality was 2.6%.

Preliminary Conclusions:
mini-invasive approach allows acceptable morbidity and mortality in octogenarian patients.
OC10 CLINICAL AND HEMODYNAMIC PERFORMANCE OF THE THIRD-GENERATION ST. JUDE TRIFECTA AORTIC VALVE: SHORT-TERM FOLLOW-UP ANALYSIS
Authors: Vacirca S.R. , Nardi P. , Pisano C. , Bertoldo F. , Ciani C. , Greci M. , Bassano C. , Scafuri A. , Pellegrino A. , Ruvolo G. 
Published: November 2018

Background and Aim:
We retrospectively analyzed the short-term outcome of the third-generation St. Jude Trifecta aortic valve.

Methods:
Between December 2014 and December 2017, 177 patients (mean age 75 ± 7 years, 95 males, 82 females) underwent aortic valve replacement (AVR) with St. Jude Trifecta aortic valve and were followed up to 27 ± 9 months.

Results:
Operative mortality was 3.4% (1.7%, isolated AVR). Three-year survival was 84% ± 6%, freedom from cardiac death 98% ± 1%. Echocardiographic variables are reported in Table.

Conclusions:
Trifecta valve provides favourable clinical outcome and hemodynamic performance. No early structural valve degeneration has been observed. Due to the minimal incidence of severe PPM and to the low value of mean trans-prosthetic gradient, Trifecta valve should be considered as one of the best options among the third generation biological prostheses. Longer follow-up is mandatory.
Table. Echocardiographic variables and clinical status
OC77 THE OCS HEART SYSTEM FOR EX-VIVO PERFUSION OF THE DONOR HEART: THE NIGUARDA EXPERIENCE
Authors: Botta L. , Cannata A. , Merlanti B. , Costetti A. , Tata G. , Marchetti C. , Bosi M. , Russo C.F. 
Published: November 2018

Abstract

Background:
The “Organ Care System (OCS)- Heart”-TransMedics (TM) is the only clinical platform for ex-vivo perfusion of human donor hearts, preserving the graft in a warm beating state. AIM: To analyze results of HTX performed with OCS.

Methods:
From 2015 to 2018, 7 patients (mean age: 46y) received a donor heart (mean age: 39y) preserved with the OCS-Heart system. Ischemic, cardiopulmonary (CPB) bypass time and day-0/day-1 CK-MB levels (TM-group) were compared with those of 95 patients transplanted with the cold static storage (CSS-group). The OCS was used for expected long ischemic times or for adverse donor (cardiac arrest) or recipient (infected LVAD, ECMO and unusual anatomy) features.

Results:
Mean out-of-the-body perfusion time was 296 minutes. Overall ischemic time was 124 (TM-group) vs. 187 minutes in the CSS-group (P = 0.01). The OCS allowed to spare 159 minutes of estimated ischemia. D0/D1 CK-MB was 115 and 36 vs. 125 and 47 ng/ml in the CSS-group (P = NS). ICU stay was 20 days. Two patients died for hemorragic shock (LVAD recipient) and for multiorgan failure. One patient developed a severe right failure, treated by mechanical assistance, weaned after 8 days. Five recipients are alive at a mean FU of 18 months.

Conclusions:
Ex-vivo perfusion of donor hearts is technically safe and permits a significant reduction of the ischemic time. A trend toward reduction of myocardial damage was observed when compared to CSS. The real impact in unfavourable donor-recipient combination needs further investigations. A potential expansion of donors’pool is predictable with this innovative system.
EP22 MINIMALLY INVASIVE AORTIC VALVE SURGERY: SINGLE CENTRE EVOLUTION OF TECHNIQUES
Authors: Marchetto G. , La Torre M.W. , Ricci D. , Qarra S. El , Capozza C. , Barbero C. , Marro M. , Stura E. Cura , Boffini M. , Rinaldi M. 
Published: November 2018

Backgrounds:
Ministernotomy represents the standard approach to isolated aortic valve replacement (AVR) in our Centre. Sutureless Minithoracotomy AVR has been introduced from 2014. We aim to analize the evolution of techniques in minimally invasive (MI)-AVR.

Methods:
From November 2014 to January 2018, 216 patients underwent MI-AVR at our Institution: 180 ministernotomy AVR and 36 minithoracotomy Sutureless AVR. Preoperative characteristics showed a higher risk profile in the minithoracotomy group regarding age, hypertension and EUROscore (Table 1).

Results:
Results are summarized in Table 1. We recorded no mortality in the minithoracotomy, 2/180 (1.1%) in ministernotomy group; two (1.1%) postoperative neurological events in ministernotomy and one (2.8%) in minithoracotomy group (p = 0.67); no paravalvular leak that required redo surgery in both groups. A PM implant was necessary in 8 patients, 4 in ministernotomy (2.2%) and 4 (11.1%) in minithoracotomy group (p = 0.04). Clamping time (CT) and Cardiopulmunary By Pass time (CPB) were lower in minithoracotomy Sutureless AVR group (p CT = 0.01, p CBP = 0.03).

Conclusions:
MI-AVR can be performed safely, with low postoperative morbidity; sutureless Minithoracotomy AVR widens the minimally invasive portfolio especially in higher risk patients, it is associated with shorter CT and CPB times however it carries a higher risk of PM implant.
RF37 LATE OUTCOMES OF SURGICAL REPAIR OF TRUNCUS ARTERIOSUS. A 2 DECADES EXPERIENCE
Authors: Çelmeta B. , Vedovelli L. , Castaldi B. , Milanesi O. , Stellin G. , Padalino M.A. 
Published: November 2018

Background and aim:
To determine whether the right ventricle outflow tract (RVOT) type of reconstruction is correlated to different outcomes in long term results in patients who survived after surgical repair of truncus arteriosus (TA).

Methods:
We retrospectively reviewed the outcomes of 30 patients with TA who underwent successful surgical repair in our center between 1994–2017. We analyzed late results according to the type of RVOT repair.

Results:
Among 30 survivors after TA repair, 6 (20%) were affected by DiGeorge syndrome. The RVOT reconstruction was achieved by means of a conduit (Contegra or Homograft) in 53.6%. In the remaining group of patients, a direct right ventricle-pulmonary artery anastomosis ± interposition of left atrial appendage (LAA) was performed. At a median follow-up time of 12 years (range 4 months-23 years, 93% complete), 6 patients (3 affected by DiGeorge syndrome) died late. Between RVOT groups, there was no difference in terms of late mortality; however, the use of a conduit was significantly associated with a higher risk for reoperation (p 0.021; OR 8.80, 1.35–57.4, Figure 1).

Conclusions:
Post surgical history of patients with TA is characterized by a higher incidence of late adverse events when RVOT is reconstructed by means of a conduit. Reconstruction of the RVOT with a direct anastomosis and/or left atrial appendage interposition reduces effectively the need for reoperation in long term.
RF81 SUTURELESS AORTIC PERCEVAL BIOPROSTHESIS IN CARDIAC REOPERATIONS: SINGLE CENTER EXPERIENCE
Authors: Concistrè G. , Chiaramonti F. , Bianchi G. , Margaryan R. , Santarelli F. , Gasbarri T. , Kallushi E. , Cerillo A.G. , Murzi M. , Farneti P. , Solinas M. 
Published: November 2018

Background and Aim:
Perceval sutureless aortic bioprosthesis (LivaNova, Italy) represents an innovative approach for surgical aortic valve replacement (AVR), in order to reduce operative time and facilitate prosthesis implantation, specially in complex procedures. We described our experience with Perceval bioprosthesis in cardiac reoperations (REDO).

Methods:
From March 2011 to December 2017, 841 patients underwent AVR with sutureless aortic Perceval bioprosthesis at our Institution. Of these, 72 patients had previously undergone cardiac surgery. Mean age was 73 ± 4 years, 33 patients were female (46%), and mean logistic EuroSCORE was 27.3 ± 14%. Preoperative, periprocedural and echocardiographic parameters, as well as clinical outcomes, were analyzed.

Results:
The primary procedure was aortic valve surgery in 46 patients (64%). Isolated REDO AVR was performed in 51 patients (71%). REDO surgery was performed via full sternotomy in 63 patients (87.5%) and via right minithoracotomy in 9 patients (12.5%). Cardiopulmonary bypass and aortic cross-clamp times were 98.4 ± 34.3 and 53.3 ± 35.7 minutes for isolated AVR and 176.4 ± 71.5 and 108.1 ± 39.7 minutes for combined procedures. In-hospital deaths occurred in 4 patients (5.5%), two patient had cardiac death, and all patients were alive at a mean follow-up of 28.6 ± 12.4 months. Pacemaker implantation was performed in 4 patients. On echocardiographic evaluation, no patient showed paraprosthetic leakages and mean transprosthesis gradient was 10.4 ± 6.3 mmHg.

Conclusions:
Perceval sutureless AVR is a fast and safe procedure, even in high-risk REDO surgery, providing a good hemodynamic performance with excellent clinical results.
RF19 ENDOVASCULAR SURGERY FOR TYBE B AORTIC DISSECTION: IS THERE A DIFFERENCE BETWEEN ACUTE AND CHRONIC?
Authors: Scigliano F. , Di Tommaso L. , Di Tommaso E. , Mottola M. , Fontana I. , Tozzi A. , Pilato E. , Iannelli G. 
Published: November 2018

Background and aim:
Open surgery for type B Aortic Dissection remains a clinical challenge with high morbidity and mortality. Thoracic EndoVascular Aortic Repair (TEVAR) is developing as a strong alternative to open surgery for treatment of acute and chronic type B Aortic Dissection. TEVAR has shown improved early and late results, compared with open surgery or medical therapy, mostly in complicated patients.
To assess if there are some differences in clinical outcome after TEVAR for acute or chronic TAAD, we reviewed our long term experience.

Methods:
From March 2001 to March 2018, out of 289 patients underwent TEVAR, 141 were treated for TAAD (48.8%), 88 for acute (within 14 days) and 53 for chronic dissection (after 14 days). The procedures were performed in a hybrid operating room. Patients received general anesthesia and mechanical ventilation with invasive monitoring. The delivery system was inserted through femoral or iliac artery.

Results:
The overall 30-days mortality was 3.5% (5 patients), All deaths were the result of preoperative malperfusion. There were no neurological complications or paraplegia. At long-term follow-up, aortic related mortality was 7.8% (11 patients) A secondary endovascular or conventional procedure was required in 26 patients (18.4%). There were no statistically significant differences between groups.

Conclusions:
Early and late outcome supports the safety and effectiveness of TEVAR for type B aortic dissection without differences between acute and chronic group. Mortality and morbidity is predominantly related to the patient preoperative status. However, long-term follow-up is mandatory to confirm clinical safety of this procedure
CHOLANGITIS AND BILIARY SEPSIS ON THE BACKGROUND OF CHOLECYSTO-CHOLEDOHOLITHIASIS. DIAGNOSTIC CRITERIA AND TREATMENT TACTICS IN EMERGENCY DEPARTMENT
Authors: Korolkov A. Y. , Popov D. N. , Kitaeva M. A. , Tantsev A. O. , Teplov V. M. , Bagnenko S. F. 
Published: November 2018

The article presents modern diagnostic criteria and treatment tactics in patients with cholangitis and biliary sepsis on the background of cholecysto-choledocholithiasis. The analysis of one-stage combined methods of surgical treatment was performed.
ANALYSIS OF MORBIDITY WITH THE ARTERIAL HYPERTENSION AMONG CITIZENS OF THE KRASNODAR CITY
Authors: Bagdasar’yan A. S. , Sirunyants A. A. , Linchenko S. N. , Pukhnyak D. V. , Gerashyenko E. V. , Kamalyan Zh. A. , Staritskiy A. G. 
Published: November 2018

The clinic-statistical analysis of complaints of Krasnodar citizens about the arterial hypertension according to the data of the first medical aid service has been performed to optimize the organizational and methodological approaches to prevention and medical service for population. As the material of the study the database of the complex automatic control system of emergency stations in 2015–2016 has been considered. The study has revealed that the arterial hypertension is one of the severest diseases in the structure of the cardiovascular pathologies in men of working age and older women which provides the significant working area for the first medical aid service and demands the principal reorganization in the activity of the out-patient and polyclinic departments responsible for the clinical examination of the population.
COMPARATIVE ANALYSIS OF AVAILABILITY AND QUALITY OF MEDICAL CARE OF A DOCTOR OF EMERGENCY MEDICINE
Authors: Miroshnichenko A. G. , Alimov R. R. 
Published: November 2018

Comparative analysis of medical care availability and quality revealed that emergency care doctor delivered medical care more effective in comparison with a surgeon and therapeutist. Herewith decreased the waiting time among patients of initial examination (from 17.0 to 9.0 min) and frequency of difference in diagnosis (from 22.8 to 24.6).