bluuebunny/crossref_metadata_2025_split huggingface dataset:
Oncological outcomes of obstructed locally advanced rectal cancer in the era of multi-modal therapy
Authors: Franklyn Joshua , Varghese Gigi , Rghunath Rajat , Sebastian Tunny , Jesudason Mark Ranjan 
Published: October 2018

Background: The management of locally advanced rectal cancer is multi-modal. In India, a number of patients present with features of intestinal obstruction and are diverted prior to initiation of chemo-radiation therapy. The purpose of this paper is to study the demographics and oncological outcomes of obstructed locally advanced rectal cancer (OLARC) requiring pre-therapy diversion colostomy in comparison with patients who did not need pre-treatment diversion (non-obstructed group).Methods: This is a retrospective analysis of a prospective data-base. Patients diagnosed with non-metastatic locally advanced adenocarcinoma of the rectum in a colorectal unit of a tertiary care teaching hospital between August 2012 and December 2014 were analyzed. Data was collected from hospital records and telephonic interviews.Results: Two hundred and thirteen patients were diagnosed to have locally advanced rectal cancer. One hundred and fifty patients (70.4%) did not have features of intestinal obstruction and received NACRT upfront and 63 (29.6%) required pre-therapy diversion colostomy. Thirty-nine patients (61.9%) completed therapy (neo-adjuvant chemo-radiotherapy followed by Surgery and adjuvant chemotherapy) in the obstructed group, compared to 127(84.7%) in the non-obstructed group (0<0.05) who completed all components of cancer directed therapy. The 3-year overall survival (OS) of the obstructed and non-obstructed groups was 59% vs 90% (p<.001) and the disease-free survival (DFS) was 51% and 76% (p<0.01) respectively.Conclusions: In the era of multi-modal therapy, patients with obstructed locally advanced rectal cancer have worse oncological outcomes with respect to overall and disease-free survival.
Laparoscopic inguinal hernia repairs: comparison between TAPP and TEP at a tertiary center of Nepal
Authors: Gurung Komal B. , Banepali Niroj , Sthapit Rakesh R. , Adhikari Baikuntha 
Published: October 2018

Background: Laparoscopic inguinal hernia repair has been proven to be a safe and effective procedure for groin hernias. In recent years, many of the tertiary centers in Nepal have started performing laparoscopic hernia repair. With the availability of resources and the facilities, the laparoscopic repairs for inguinal hernias are going to be more accessible in near future in Nepal. The aim of this study was to compare the intraoperative events and postoperative complications of transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) techniques of laparoscopic inguinal hernia repairs.Methods: Out of 56 patients, 30 underwent TAPP and 26 TEP repairs for primary unilateral inguinal hernias and were prospectively analyzed. Patient demographics, past medical and surgical history, intraoperative, and postoperative events were recorded. Patients were followed-up for two years.Results: Demographic parameters were comparable in both the groups. The difference in mean operating time was statistically significant (longer in the TAPP group). Intraoperative events such as port-site bleeding and peritoneal tear were comparable in both groups. The immediate postoperative complications like skin ecchymosis, cord hematoma, and scrotal edema were comparable in both repairs. Immediate postoperative pain was significantly lesser in TEP repair whereas the hospital stays and time to return to the normal physical activity were comparable in both groups.Conclusions: Both TAPP and TEP laparoscopic techniques are safe and effective for inguinal hernia repair. However, there are few advantages of TEP repair such as shorter duration of surgery and less postoperative pain.
Safety and efficacy of laparoscopic versus open surgery in management of common bile duct stones: experience at the Sohag University Hospital, Egypt
Authors: Helmy Mena Z. , Ahmed Ahmed E. 
Published: October 2018

Background: Management of common bile duct (CBD) stones includes removal of the gallbladder and clearance of the ductal system which can be achieved through different approaches; endoscopic, laparoscopic or surgical. Objective of this study is to assess the safety, efficacy, technical feasibility and surgical outcomes of laparoscopic common bile duct exploration (LCBDE) versus open surgery in the treatment of patients with cholidocholithiasis.Methods: From June 2015 to December 2017, 120 patients with CBD stones were prospectively treated at Sohag University Hospital, Upper Egypt. Patients were divided into two groups: the first one treated by LCBDE (60 patients), while the other group treated by open surgery (60 patients).Results: The ages of our patients were ranged from 20 to 80 (mean = 40) years, with a female predominance (female/male = 74/46). Patients in the first group were treated by laparoscopic approaches: transcystic approaches in four patients and transcholedochotomy approaches in 56 patients. Choledochoscop was routinely used to detect, extract the stones, in addition to assessment of CBD clearance. The conversion rate was done in two cases. The operative time was 120 (90-220) min, the clearance of CBD stones was achieved in 98.4% of cases (one case of missed stones). Hospital stay was 3 (2-4) days, with no mortality, morbidity rate was 5% including bile leak, and missed stone. The operative time in the second group was 100 (80-180) min, the clearance of CBD stones was achieved in 96.6% of cases (two cases of missed stones). Hospital stay was 8 (5-12) days, with no mortality; the morbidity rate was 15% in the form of wound infection, bile leak, missed stone and ileus.Conclusions: Management of cholidocholithiasis by laparoscopic approach is feasible, effective and safe procedure with good outcome and high success rate.
Gümüşhane’deki Osmanlı Dönemi Eserleri: Sultan Süleyman Han Cami ve Çevresindeki Yapılara Dair
Authors: SAYLAN Kemal 
Published: October 2018

Sultan
Süleyman Han Cami’nin yapım tarihi kesin olarak bilinmese de Kanuni Sultan
Süleyman döneminde yapıldığı kabul edilmektedir. Cami ve çevresindeki yapılarla
birlikte kasaba merkezinde küçük bir külliye mahiyetindedir. Yapıların merkezinde
Kanuni Sultan Süleyman Han (Cami-i Kebir) Cami bulunmaktadır. Diğer yapılar ise
caminin etrafında şekillenmiştir. Caminin çevresinde farklı tarihlerde türbe,
hazire, çeşme, kütüphane, medrese ve vakıf binaları inşa edilmiştir. Ancak bu
yapılardan bir bölümü günümüze ulaşamamıştır. Günümüze kalabilen yapılar cami,
türbe, hazire ve çeşmeden ibarettir.

Sultan
Süleyman Han Cami, Gümüşhane Kasabası’nın kuruluşu, gelişimi ve tarihi
açısından büyük önem taşımaktadır. Bölgedeki gümüş madenlerinin ekonomik
değerinin artmasıyla birlikte kasaba gelişmiş ve kasaba merkezinde bir cami
inşa edilmiştir. Kasaba nüfusun artması
üzerine Türk şehir yapısına uygun olarak caminin çevresinde yeni evlerin ve
çarşının inşa edilmesiyle de Gümüşhane Kasabası idari bir merkez halini
almıştır. 19. Yüzyıldan itibaren de Osmanlı taşra teşkilatında Trabzon
Vilayeti’ne bağlı bir sancak merkezi olmuştur.

Gümüşhane
Kasabası bugün terkedilmiş bir şehir görünümündedir. Kasaba, 19. yüzyılın
ikinci yarısından itibaren Harşit Vadisi’ne kaymaya başlamıştır. Bölge, Günümüzde
Gümüşhane şehrinin bir mahallesi konumundadır ve Süleymaniye adıyla
anılmaktadır. Bölgede ayakta kalabilen en önemli yapı ise Sultan Süleyman Han
Cami (Cami-i Kebir)’dir.

Çalışmada
Başbakanlık Osmanlı Arşivi’nde yer alan kayıtlardan hareketle cami ve
çevresindeki yapıların Osmanlı dönemindeki fonksiyonları konu edilecek, ayrıca
bu yapıların günümüzdeki durumlarına değinilecektir. Böylece günümüzde
kaybolmaya yüz tutmuş olan bu yapıların değeri ve önemi ortaya çıkarılmaya çalışılacaktır.
Theophanes Kroniğinde Doğa Olayları Ve Yer Bilimleri Gözlemleri
Authors: MADEN Nafız , BEKER Yasemin , NAZIR Bayram 
Published: October 2018

Bu çalışmanın amacını Bizanslı tarihçi Theophanes’in
MS 284-813 yılları arasındaki olayları anlattığı kroniğindeki doğa olayları ve
yer bilimleri gözlemleri oluşturmaktadır. Theophanes 758/760 yıllarında
İstanbul’da zengin ve aristokrat bir ailenin çocuğu olarak doğmuş ve 818
yılında sürgünde olduğu Samothroke adasında vefat etmiştir. Annesi Theodora, babası ise Bizans
İmparatorluğu’nun Akdeniz'deki adalarının valisi Isaakios’dur. Theophanes,
810/811 yıllarında ölen Georgios Synkellos'un teşvik ve arzusuyla onun yarım
kalan kroniğini devam ettirmeye karar vermiştir. MS 284-813 yıllarında arasını
kapsayan Chronographia isimli eserini 810-814 yıllarında tamamlamıştır. 33 adet
doğa olayı ve yer bilimleri kaydına yer veren Theophanes'in vakayinamesi çok
eski kaynaklara ulaşması ve kaybolmuş kaynakları kullanması açısından oldukça
önemlidir.
Intramural Duodenal Hematoma In 2-year Old Child
Authors: Hota Dayanand , Rattan Kamal Nain , Khursheed Ahmad , Swami Manish , Bhardwaj Harish 
Published: October 2018

Background: Intramural hematoma of the duodenum is a rare cause of acquired duodenal obstruction. It is often a diagnostic dilemma and a high degree of suspicion is required to make an early and accurate diagnosis in children.
Case Report: A 2-year-old child presented with bilious vomiting and abdominal distension. X-ray abdomen showed high intestinal obstruction. Ultrasound and CT scan abdomen gave suspicion of pancreatic pseudo-cyst near head of pancreas. At surgery, an intramural hematoma of the duodenum was found and drained.
Conclusion: Intramural duodenal hematoma is a rare entity especially in children and should be considered in differential diagnosis of acquired duodenal obstruction.
Klasifikasi Keluhan Menggunakan Metode Support Vector Machine (SVM) Pada Akun Facebook Group iRaise Helpdesk
Authors: Fatmawati Fatmawati , Affandes Muhammad 
Published: October 2018

Abstrak – Facebook Group iRaise Helpdesk merupakan salah satu layanan media sosial yang digunakan pihak PTIPD UIN Suska Riau sebagai layanan pelanggan (customer services) sistem akademik. Mengingat sistem akademik baru mengalami peralihan yang sebelumnya bernama SIMAK menjadi iRaise, sehingga masih ada permasalahan yang ditimbulkan, dan menjadi keluhan bagi penggunanya. Untuk pengolahan data keluhan, pihak PTIPD masih menggunakan proses manual dengan menggunakan microsoft word dan excel. Sehingga pada penelitian ini akan dilakukan pengklasifikasian permasalahan sistem iRaise pada kategori multiclass yaitu: login, krs, nilai dan personal. Dengan menggunakan metode Support Vector Machine (SVM) dengan kernel RBF. Jumlah dataset sebanyak 1040 data keluhan. Pengujian dilakukan menggunakan aplikasi RapidMiner dan diuji dengan menggunakan 10-Fold cross validation dan diukur dengan confussion matrix. Dari hasil uji coba aplikasi menunjukkan akurasi tertinggi sebesar 95.67% pengujian tanpa menggunakan feature selection pada titik C=2 dan .Kata Kunci : confussion matrix, cross validation, iraise, keluhan, klasifikasi, rapidminer, support vector machine.
Rancangan Sistem Informasi Manajemen Aset di PT. Sentral Tukang Indonesia
Authors: Ridwan Muhammad , Muhammad Muhammad , Ramadhani Siti 
Published: October 2018

Sentral Tukang Indonesia adalah perusahaan retail yang menjual aksesoris bangunan yang beralamat di Jl. Riau No.131 C-D, Pekanbaru. Sentral Tukang saat ini menghadapi masalah dalam manajemen aset dari proses perawatan aset karena masih menggunakan ingatan perorangan saja sedangkan asetnya banyak. Jika perorangan tersebut terlupa akan menjadi masalah apalagi terkait jenis aset yang melakukan pembayaran dan jika terlambat akan dikenakan denda. Penelitian ini untuk memudahkan sentral tukang untuk melakukan pencatatan perawatan aset perusahaan tersebut. Penelitian ini dibuat dengan menggunakan Visual Basic 6.0 sebagai program aplikasi desktop dan MySQL sebagai aplikasi databasenya. Proses penelitian dilakukan observasi dikarena penulis juga bekerja di sentral tukang selama setahun dan penulis mendapatkan masalah aset ini. Tahap pembuatan aplikasi ini yaitu analisa kelemahan sistem lama, pencarian data, perancangan, pembuatan, pengetesan, dan implementasi dari perancangan sistem informasi manajemen aset di sentral tukang. Hasil dari penelitian ini program desktop yang mengelola pencatatan perawatan aset dan juga sebagai pengingat akan perawatan aset-aset yang berada di Sentral Tukang. Kata Kunci – Sistem Infomasi, Manajemen Aset, Perawatan Aset
UHT İçme Sütlerinde Jelleşme Sorunu: Enzimlerin Etkisi
Authors: ERGİN Firuze , KÜÇÜKÇETİN Ahmet 
Published: October 2018

Sütün raf ömrünü uzatmak için endüstride kullanımı en
yaygın ısıl işlem yöntemi UHT (Ultra High Temperature - Çok Yüksek Sıcaklık Uygulaması)
işlemidir. Ancak, depolama sırasında enzimatik ve fiziksel etkilere bağlı
olarak meydana gelen jel oluşumu UHT içme sütlerinin raf ömrünü kısaltmaktadır.
Çiğ sütte bulunan psikrotrofik bakteriler tarafından üretilen yüksek sıcaklığa
dirençli proteinazlar ile sütün yapısında doğal olarak bulunan plazmin ve
plazmin sistemi enzimleri UHT içme sütlerinde jel oluşumuna neden olmaktadır. Söz
konusu enzimler, sütün en önemli proteini olan kazeine farklı şekilde etki
etmekte ve UHT içme sütlerinde farklı metabolitler üretmektedir. Bu derlemede,
UHT içme sütlerinde meydana gelen jelleşmenin oluşum mekanizması ve oluşumunu
etkileyen enzimler hakkında bilgi verilmesi amaçlanmaktadır.
Gıda İçin Gelecek Öngörüleri: Yıl 2050
Authors: GÖKIRMAKLI Çağlar , BAYRAM Mustafa 
Published: October 2018

Gıda, insanlık tarihinin başlangıcından itibaren, hayatın
devamlılığı için en önemli kaynaklardan biri olmuştur. Geçmişten günümüze
kadar, gıdanın güvenliğini sağlamak, onu iyi şekilde muhafaza edebilmek ve
yeterince üretebilmek hayatta kalmanın anahtar koşulu sayılmıştır. Gıdaya ve
tarıma verilen bunca öneme rağmen, günümüzde insanlık faaliyetleri sonucu
ortaya çıkan küresel ısınma, aşırı nüfus artışı, plansız ve hızlı kentleşme,
tahrip edilen tarım ve orman arazileri gibi pek çok sorun gıda güvenliğini
tehdit etmektedir. Şu anki durumun devam etmesi durumunda, bu tehdidin
gelecekte artarak ciddi bir soruna dönüşebileceği öngörülmektedir. Bu
çalışmada, dünya nüfus artışının, su kaynaklarının, küresel ısınmanın, bilişim
ve geleceğin mutfaklarının, değişen kültürlerin, nanoteknolojinin, modern
biyoteknolojilerin, gen teknolojilerinin ve yeni gıda üretim teknolojilerinin
yakın gelecekte gıda ve tarım sektörlerine olası etkileri üzerine yapılan
araştırmalar ve öngörüler derlenmiştir.&nbsp;
Tuz: Gıdalardaki Algısı, Fonksiyonları ve Kullanımının Azaltılmasına Yönelik Stratejiler
Authors: AKGÜN Banu , GENÇ Seda , ARICI Muhammet 
Published: October 2018

Tuz insanlığın ilk
çağlarından beri gıdanın lezzetini ve dayanıklılığını artırmak için
kullanılmaktadır. Yapısındaki sodyum ile vücutta sıvı ve elektrolit dengesinin
sağlanmasında ve kan basıncının düzenlenmesinde önemli rol oynayan tuz, fazla
tüketildiğinde başta kalp hastalıkları olmak üzere pek çok önemli rahatsızlığa
neden olmaktadır. Günümüzde, yetişkin insanların tükettikleri günlük ortalama
tuz seviyesi tavsiye edilen miktarın çok üstündedir ve diyetle alınan tuzun
çoğu işlenmiş gıdalardan gelmektedir. Bu nedenle, bilim
insanları gıda endüstrisi ile ortak çalışmalar yaparak tuz alımının
azaltılması için yeni stratejiler geliştirmektedir. Ancak ürünün kalite
özelliklerini bozmadan NaCI seviyesini düşürmek kolay bir işlem değildir. Bu
derlemede tuzun tat algısı, gıdalardaki fonksiyonları ve işlem görmüş gıdalarda
tuz içeriğinin azaltılması için uygulanabilecek stratejiler hakkında bilgiler
sunulmuştur.
Territorial and Social Diversity of Social Security in Poland in Years 2010-2014
Authors: Iwacewicz-Orłowska Anna 
Published: October 2018

Abstract
Subject and purpose of work: The discussion undertaken in this article concerns differences in the level of social security. The main aim is to analyse the territorial and social diversity of social security in Poland in years 2010-2014. Materials and methods: The research study presented was carried out on the basis of the analysis and synthesis of literature, statistical data, as well as the author’s reflections. Results: Differences in the level of social security to a large extent depend on the following factors: the territorial location and the size of the locality, age group, types of socio-economic groups, and type of household. Social security level is diversified territorially and socially. Conclusions: The residents of small cities from the north-east part of the country and people aged between 16-24 are most threatened with poverty. In the case of Poland a high percentage of poverty threat is a matter of concern amongst working people. The lowest poverty level is in the group of 55- year olds, that is people receiving retirement benefits.
Integrated Territorial Investments in the Formula of Cohesion Policy 2014 - 2020
Authors: Kowalska Iwona 
Published: October 2018

Abstract
Subject and purpose of work: EU regional policy aims to increase the economic and social cohesion of the Member States. For the programming period of 2014 - 2020 a new tool has been planned, which will contribute to the effective implementation of the cohesion policy - Integrated Territorial Investment (ITI). The aim of this article is to determine whether the direction of measures arising from the assumptions of the cohesion policy 2014 - 2020, implemented in the ITI strategy, addresses actual problems in the area covered by the ITI strategy (on the example of Kalisz-Ostrów Agglomeration - KOA). Materials and methods: The study was based on the analysis and synthesis of EU and Polish regulatory provisions on the cohesion policy 2014 - 2020, data on financial allocation for the implementation of the ITI and literature on the subject of EU regional policy. Results: The direction of measures arising from the assumptions of the cohesion policy 2014 - 2020 in the ITI strategy addresses real problems in the development of the area covered by the KOA strategy. EU funds have been planned for: promoting entrepreneurship; promoting low-carbon strategies; the development of an educated society and investments in modern infrastructure. Conclusions: Solving the problems of the areas covered by the ITI strategy will depend on the realization of the development goals. Therefore, the synergy of conditions associated with the transformation of the postulated stage into the executive stage of the cohesion policy under ITI is necessary. This synergy is associated with both the quality of human capital and the amount of financial resources as well as the competences of those involved in the implementation of the ITI concept.
Analysis of Appeal Procedure for Co-Financing of Tourism Projects under Regional Operational Programme for Podlaskie Province 2007-2013
Authors: Snarski Sławomir J. , Martyniuk Marek 
Published: October 2018

Abstract
Subject and purpose of work: Research targeted at verification of the effectiveness of the appeal procedure for co-financing of tourism projects under the ROPPV 2007-2013 has been presented in the article. Materials and methods: The article is based on the analysis of the secondary data collected by the Podlaskie Province Marshal’s Office in Bialystok and the literature covering the research area. The analysis of detailed information was performed using inductive inference. Results: None of the applicants under Priority Axis III. Tourism and culture development ROPPV 2007- 2013 decided to exercise their right regarding the use of the judicial stage of the appeal procedure. Conclusions: It is impossible to clearly determine the degree of effectiveness of the appeal procedure concerning the process of application for the co-financing of tourism projects under the ROPPV 2007- 2013 because the mechanism of verification of the correctness of projects’ assessment was not applied in its full extent.
Agricultural Advisory Services in Eastern Mazovia in the Activity of the Mazovian Agricultural Advisory Centre
Authors: Niewęgłowski Marek , Pielech Joanna 
Published: October 2018

Abstract
Subject and purpose of work: The study presents the effects of agricultural advisory services in the eastern part of Mazovia. The effect of advisory work was the number of services provided by advisers over a three-year-long period of their work. The state institution providing advisory services for farmers in this area is the Warsaw-based Mazovian Agricultural Advisory Centre (MAAC) with a Branch Office in Siedlce. The main objective of the conducted research was to assess the performance of agricultural advisers within six counties: Siedlce, Węgrów, Garwolin, Łosice, Sokołów and Mińsk, located in the eastern part of Mazovian (pol. Mazowieckie) Province. Materials and methods: The activity of the Siedlce Branch was analysed during the years 2012-2014. Particular attention was paid to the distribution and availability of services to farmers. This study was prepared on the basis of an analysis of available internal documents from MAAC and the literature on this field. Results: Based on the performed studies, it was found that agricultural advisory services play a very important role in the adaptation of farms to changing environmental conditions. Conclusions: Nowadays, in the era of globalisation and integration farmers face new challenges, which would be difficult to meet without an efficient agricultural advisory system.
Possibility of Industrial Hemp Cultivation in Areas of High Nature Value
Authors: Zadrożniak Bogumiła , Radwańska Katarzyna , Baranowska Alicja , Mystkowska Iwona 
Published: October 2018

Abstract
Subject and purpose of work: The aim of this work is to present the possibilities of cultivating varieties of industrial hemp which are registered in Poland in areas of high nature value. Materials and methods: This work is a type of overview; it describes characteristic features of areas of high nature value. It also presents specific biological properties, cultivation and agrotechnical requirements, as well as the versatility of industrial hemp usage. Results: This study demonstrated considerable importance of industrial hemp in developing areas of high nature value, in accordance with the idea of sustainable development. Conclusions: Due to the specific biological properties of industrial hemp, its low cultivation and agrotechnical requirements and lack of the need to use pesticides, industrial hemp can be successfully grown in areas of high nature value.
Development of the Tourist Function Within Areas of Lower Silesian Landscape Parks
Authors: Uglis Jarosław , Jęczmyk Anna 
Published: October 2018

Abstract
Subject and purpose of work: The aim of the study was to present the development of the tourist function in the areas of Lower Silesian landscape parks. The subject of the study were the communes associated with Lower Silesian landscape parks. Materials and methods: The study covered 59 communes of the Lower Silesia Voiovodeship where 12 landscape parks are located. In this research six indicators of the level of tourism development were listed - three in the field of conditions of tourism development and three in the field of tourist traffic. Results: A significant dependency between the surface area of a landscape park and the state of tourismoriented land development was established. It turned out that among the 59 surveyed communes in 14 of them there are no tourist accommodation facilities. Conclusions: Based on the conducted surveys, it was found that the highest level of tourist function development occurs in the communes associated with the following landscape parks: Śnieżnik, the Sudety Wałbrzyskie, the Owl Mountains, Książ and Bóbr Valley Landscape Park.