bluuebunny/crossref_metadata_2025_split huggingface dataset:
Peripheral blood leukocyte count and prognosis in patients with myocardial infarction treated with thrombolytic therapy
Authors: V. I. Tseluyko  , O. E. Matuzok  , N. Y. Mishchuk  , L. M. Yakovleva  
Published: April 2019

The aim — to evaluate the predictive value of peripheral blood leukocyte count regarding the efficacy of thrombolytic therapy (TLT) and STEMI clinical course.Materials and methods. We examined 100 patients with STEMI admitted to hospital during the first 6 hours after anginous chest pain onset and treated with TLT. In 12 ± 2 months after study entry, the information about complications during follow‑up period was collected and cardiac ultrasound was repeated. TLT efficacy was evaluated according to ST segment dynamics on ECG directly before TLT and in 180 min after its initiation. TLT was considered effective in case of ST segment reduction ≥ 50 %.Results and discussion. Median of leukocyte count was 10.8 · 109/L. Patients were divided into two groups: group I consisted of patients with leukocyte count ≤ 10.8 · 109/L, group II — of patients with leukocyte count > 10.8 · 109/L. Patients in group II were more likely to have anterior MI localization (р = 0.03). They had higher maximum MB‑creatinine phosphokinase (р = 0.001) and higher C‑reactive protein level at hospitalization (р = 0.03). In the acute period of myocardial infarction patients of the 2nd group had a statistically significantly higher complication rate (χ2 = 7.77; p = 0.005), and after 1 year of observation — a greater risk of adverse events (χ2 = 5.66; p = 0.02) and a smaller ejection fraction (p = 0.009). A correlation was revealed between the level of leukocytes of the maximum value of MB‑creatinine phosphokinase (r = +0.42; p < 0.001) and the echocardiogram indices in the long‑term period, in particular, the end‑diastolic volume of the left ventricle (r = +0.41; p = 0.007), end‑systolic volume of the left ventricle (r = +0.51; p < 0.001), left ventricular ejection fraction (r = –0.50; p < 0.001), myocardium mass of the left ventricle (r = +0.35; p = 0, 03). By the method of ROC analysis, the predictor value of the content of leukocytes relative to the efficiency of CLT was established using a cut‑off point of 11.0 · 109/L.Conclusions. The initial amount of leukocytes in the peripheral blood of more than 10.8 · 109/L in patients with acute coronary syndrome with ST segment elevation, who underwent TLT, is associated with a higher volume of myocardial damage, a higher risk of complications in the acute and distant MI. The number of white blood cells ≥ 11 · 109/L is associated with insufficient efficiency of TLT.
New reconstructive surgery for radical surgical treatment of colon non-tumorous diseases
Authors: V. M. Melnik  , A. I. Poyda  , A. A. Qadeer  
Published: April 2019

The aim — to develop new methods of reconstructive operations after radical surgery of colon non­neoplastic diseases in patients with atypical small intestine and superior mesenteric artery anatomy, as well as atypical anatomical relationship between the ileal segments and the demucosal surgical anal canal, in the presence of irritable bowel syndrome.Materials and methods. New methods of reconstructive surgery after radical surgical treatment of patients with non­neoplastic diseases of the large intestine (small bowel reservoir, ileoendoanal anastomosis method, methods of mobilization and dislocation of the small bowel graft into the pelvic cavity) have been developed. These techniques were used in 32 patients from 2008 to 2017.Results and discussion. Postoperative complications due to the implementation of reconstructive­restoration stage of surgical intervention arose in 3 (9.4 %) operated patients. Favorable functional results were obtained, in particular, the absence of diarrhea syndrome and anal incontinence syndrome in 28 (93.3 %) patients. The presence of postcollectomic syndrome I (mild) degree in 26 (86.7 %) operated patients, II (moderate) degree — in 4 (13.3 %).Conclusions. Developed methods of new reconstructive operations in the radical surgical treatment of patients with non­tumor colon diseases contributed to the uncomplicated flow of healing ileo­endoanal anastomosis, the postoperative complications frequency reduction, physiological retardation of the small intestine contents, intestinal digestion improvement, absorption, and anal hold.
Collagen type I and III study in the gastroesophageal junction in the patients with hiatal hernia
Authors: V. V. Grubnyk  , T. A. Savenko  
Published: April 2019

The aim — to study the collagen I and III composition in samples of the phrenoesophageal ligament in patients with and without hiatal hernia.Materials and methods. The composition of collagen type I and type III was studied in samples of the phrenoesophageal ligament in 18 patients with gastroesophageal reflux disease who underwent hiatal hernia repair. Intraoperative biopsy was performed on all patients (main group). For comparison, samples of the phrenoesophageal ligament were collected from 14 cadavers (control group). In the main group there were 8 (44.4 %) men and 10 (55.6 %) women, in the comparison group — 6 (42.9 %) and 8 (57.1 %), respectively (p > 0.05). The average age in the groups was 49.0 ± 15.4 and 49.3 ± 9.6 years, respectively (p > 0.05). The body mass index did not significantly differ in the groups (p > 0.05). Patients with diseases associated with collagen synthesis, smokers and individuals who had previously undergone an operation in the area of the esophago­gastric ligament were excluded from the study. The amount of type I and III collagen was determined with primary monoclonal antibodies to the corresponding proteins. To quantify the results of immunohistochemical reactions in sections with a 400­fold increase in the microscope, the number of cells in which immunoperoxidase marks (positive staining) are detected in 10 fields of view selected at random (> 200 cells) is detected. The calculation of the results was carried out according to the H­SCORE formula.Results and discussion. The content of collagen type I and type III in the ligaments in patients with hiatal hernia was 49.1 % and 29.3 %, respectively, lower than in the control group (p < 0.01).Conclusions. Patients with large and giant hernias has a connective tissue synthesis defect. The quality of phrenoesophageal ligament can be an etiological factor for the hiatal hernia occurrence. This factor should be considered when selecting a method of laparoscopic cruroraphy.
Surgical treatment of giant incisional ventral hernias with modified polypropylene mesh
Authors: Ya. P. Feleshtynsky  , R. A. Lutkovskyy  , V. V. Smishchuk  , V. F. Vatamaniuk  
Published: April 2019

The aim — to improve the results of surgical treatment of giant incisional ventral hernias (GIVH) with the Ramirez operation in combination with modified polypropylene mesh.Materials and methods. The surgical treatment analysis of 142 patients with GIVH has been performed. Depending on the type of mesh used during surgical treatment, patients were divided into 2 groups. In 71 (50 %) of group I patients, the component separation technique by Ramirez in combination with the «onlay» alloplasty with the modified polypropylene mesh was performed. In the 2nd group in 71 (50 %) patients the component separation technique by Ramirez in combination with «onlay» alloplasty using the classic polypropylene mesh was used.Results and discussion. Statistically significant better results were obtained in patients of group І compared to group II: seroma revealed in 23 (32.4 %) in group II compared to 5 (7.0 %) in group I (p < 0.05), respectively, the suppuration of the postoperative wound — from 6 (8.5 %) to 1 (1.4 %) (p < 0.05), inflammatory infiltrate — from 9 (12.7 %) to 1 (1.4 %) (p < 0.05). The terms of stay of patients of group ІІ on inpatient treatment — 12 ± 2.3 days, group ІІ — 7 ± 1.2 days. Long­term results: ligature fistulas of the anterior abdominal wall were detected in 4 (6.3 %) patients of group II, in patients of group I of the ligature fistulas were not detected (p < 0.05), meshoma — in 2 (3.2 %) of patients in group ІІ, in group І there was no stir (p > 0.05). Chronic pain in the abdominal wall in 6 — 8 months after surgery was observed in 5 (7.9 ± 0.5 %) patients in group ІІ and in 1 (1.6 %) group І (p > 0.05), recurrences of hernia were found in 6 (9.5 %) patients of group ІІ, in group І — in 1 (1.6 %) (р < 0.05).Conclusions. Surgical treatment of GIVH by the anterior method of the anatomical abdominal wall components separation in combination with the onlay technique using a modified polypropylene mesh is more effective than using the classic polypropylene mesh, as evidenced by a decrease in seroma frequency from 32.4 ± 1.0 to 7.0 ± 0.4 %, suppuration of the postoperative wound — from 8.5 ± 0.4 to 1.4 ± 0.2 %, inflammatory infiltrate — from 12.7 ± 0.5 to 1.4 ± 0.2 %, ligature fistulas of the anterior the abdominal wall — from 6.3 ± 0.4 to 0 %, meshoma — from 3.2 ± 0.3 to 0 %, chronic postoperative pain — from 7.9 ± 0.5 to 1.6 ± 0.2 %, hernia recurrence — from 9.5 ± 0.5 to 1.6 ± 0.2 %.
Analysis of simultaneous operations in patients with hyperglycemia
Authors: T. O. Ogorodnik  , V. H. Mishalov  , A. V. Dinets  
Published: April 2019

The aim — to identify and evaluate simultaneous gynaecological and abdominal operations in a retrospective cohort of patients aged 55 years and older with impaired glucose tolerance.Materials and methods. All patients who underwent operative treatment at the Department of Surgery in 2016 — 2018 were included in this study. The analysis of medical records provided the identification of patients over the age 55 years, in whom simultaneous operations were performed, that is, surgical interventions on two or more anatomical zones for various diseases. A total of 3974 surgeries were performed in 3158 patients, 816 of which had simultaneous operations. Of these patients, 185 were 55 years old and older with impaired glucose tolerance. 325 simultaneous operations were performed in these ones.Results and discussion. 46 gynaecological and 279 operations on the abdominal organs and hernias were performed in the cohort. Impaired glucose tolerance was detected in all patients who underwent simultaneous gynaecological operations and in 20 (30 %) patients who did not undergo simultaneous gynaecological operations (p = 0.0001). Abdominoplasty and hernioplasty were statistically significantly more often performed simultaneously with gynaecological operations (in 16 (14.4 %) and 6 (3.6 %) and in 57 (51.4 %) and 20 (12.1 %) observations (p < 0.05), respectively). Analysis of clinical data revealed the postoperative complications in 8 (17.3 %) patients who underwent simultaneous gynaecological operations, and in 19 (29.0 %) patients without simultaneous gynaecological operations (p = 0.18).Conclusions. Patients with impaired glucose tolerance over the age of 55 years who underwent gynaecological simultaneous operations have a higher risk of hyperglycaemia, as well as a higher incidence of postoperative complications, which must be considered when planning surgical interventions in this cohort of patients.
Superficial temporal artery based flaps for reconstruction of postburn scar facial defects
Authors: O. A. Zhernov  , R. Y. Trach  , A. O. Zhernov  , O. O. Huz  
Published: April 2019

The facial tissues restoration for cicatricial defects after burns and injuries is one of the complex problems of reconstructive surgery. Preformed flaps are not widely used because of the complicated application, frequent complications and uncertain postoperative effect.The aim — to improve the results of surgical treatment in patients with postburn facial deformities with superficial temporal artery and the superficial fascia based expanded flaps in the neck region.Materials and methods. The study included 3 patients with total and subtotal face scar deformities. Expanded flaps from intact anterolateral areas of the neck with based on superficial temporal artery with the superficial fascia were applied. The defects of the face were closed for 5 — 6 weeks after the flap’s formation.Results and discussion. There was complete flap survival in 3 cases. Venous congestion was observed in 1 case. In another 1 case, due to necrosis and retractor prolapse, flap formation was stopped. The possibility of neck flaps pre­formation based on the superficial temporal artery and the superficial fascia was shown.Conclusions. The method of flaps pre­formation in the neck area improves their blood supply, and pre­expansion increases the amount of plasty material. The best vascular supply for the neck flaps formation is the superficial temporal artery and the superficial fascia. The use of preformed flaps allows the substitution of large subtotal or total facial defects.
ALTERNATING VOLTAGE CONTROL SYSTEM WITH SPECTRAL STRUCTURE CONTROL
Authors: Юдин Алексей , Yudin Aleksey , Елисеичев Евгений , Eliseichev Evgeniy , Юдин Виктор , Yudin Viktor 
Published: April 2019

The purpose of the work is development of the algorithm for the operation of a system to control alter-nating voltage ensuring minimum changes of a voltage spectral structure. It is necessary for precision electro-technologies such as growing monocrystals in which high frequency constituents in spectrum result in the uneven release of induced power into a melt.
The investigation methods are based on a com-puter simulation of alternating voltage control processes, for the analysis of a spectral structure there is used discrete Fourier transformation. The mathematical support developed for the system of control is realized in a matrix form.
A spectrum nearness criterion based on the idea of the distance between signals is offered. The algorithm of the system work for regulator control ensuring minimum changes in the spectrum whenever necessary to change a load or at voltage changes in the circuit is developed.
The testing of the algorithm offered confirms its working capacity. Its realization requires considerable expenditures for initial data storage that confines a realization sphere of the control system by a type of industrial computers.
ANALISIS KINERJA RANTAI PASOK SAYURAN DAUN DI GIANT EKSTRA BOTANI SQUARE KOTA BOGOR.
Authors: Yusdiarti Arti , Miftah Himmatul , Khairi Yudrik 
Published: April 2019

Sayuran daun yang bersifat mudah rusak harus diberi perlakuan khusus oleh setiap pelaku rantai pasok agar tepat waktu, tepat kualitas dan tepat kuantitas Penelitian ini bertujuan untuk menganalisis kondisi rantai pasok sayuran bayam, caisim, kangkung, lettuce head dan sawi putih di Giant Ekstra Botani Square Kota Bogor. Data dianalisis secara deskriptif dan kuantitatif dengan pendekatan SCOR (Supply Chain Operation References). Penelitian dilakukan di Giant Ekstra Botani Square. Metode pengambila`n data dilakukan dengan wawancara terhadap pihak Giant Ekstra dan supplier menggunakan snowball sampling. Hasil penelitian menunjukkan bahwa kondisi rantai pasok sayuran daun di Giant Ekstra terdiri dari empat elemen yaitu struktur rantai, manajemen rantai, sumberdaya rantai dan proses bisnis rantai pasok. Struktur rantai pasok terdiri dari Giant Ekstra, supplier, dan petani. Pengelolaan manajemen, sumberdaya, dan proses bisnis sudah efektif hal ini terlihat dari fungsi pemasaran sudah dilakukan di tiap lembaga hanya beberapa fungsi yang tidak dilakukan oleh Giant Ekstra seperti pengemasan dan pengangkutan, sedangkan supplier dan petani tidak melakukan penyimpanan, dengan demikian dapat disimpulkan bahwa kinerja rantai pasok Giant Ekstra Botani Square Kota Bogor sudah efektif.Kata kunci : Kondisi Rantai Pasok, SCOR, Marjin Pemasaran
KERAGAAN USAHA DAN STRATEGI PENGEMBANGAN PETERNAKAN AYAM RAS PEDAGING
Authors: Fatmawati Dewi , Masithoh Siti , Novita Ita 
Published: April 2019

Tujuan penelitian ini adalah untuk mengetahui keragaan usaha, faktor internal dan eksternal serta strategi alternatif usaha peternakan ayam ras pedaging di Kecamatan Parung, Kabupaten Bogor. Hasil penelitian ini menunjukkan peluang dalam usaha ayam pedaging adalah kemudahan bahan baku dan pertumbuhan penduduk; ancamannya yaitu harga pakan tidak stabil, rentannya terjangkit penyakit, dan harga jual fluktuatif; kekuatannya adalah hubungan baik dengan pemasok, usaha turun temurun dan pertumbuhannya cepat; kelemahannya yaitu modal terbatas, sangat tergantung kepada pedagang pengumpul dan teknologi masih sederhana. Skor bobot rata-rata matriks IFE 2, 511 dan matriks EFE 3,045. Matriks IE pada usaha peternakan ayam ras pedaging di Kecamatan Parung terletak pada kuadran II, artinya berada pada tahap tumbuh dan kembangkan. Strategi pengembangnyanya melalui perluasan kandang, pengoptimalkan modal, peningkatkan kapasitas peternak, dan jalinan kemitraan.Kata kunci : Ayam Ras Pedaging, Analisis SWOT, Strategi pengembangan
ANALISIS NILAI TAMBAH OLAHAN GULA AREN DI KELOMPOK USAHA BERSAMA (KUB) GULA SEMUT AREN (GSA)
Authors: Maulana Harry , Miftah Himmatul , Yusdiarti Arti 
Published: April 2019

Penelitian ini bertujuan untuk mengetahui nilai tambah dan keuntugan pengolahan gula aren di KUB “Gula Semuat Aren “(GSA) Desa Wanasari Kecamatan Cibeber Kabupaten Lebak Provinsi Banten. Penelitian dilakukan pada bulan Agustus-Oktober 2017. Metode pengumpulan data dilakukan melalui observasi dan wawancara. Responden penelitian adalah 24 orang pengrajin aren anggota KUB GSA. Analisis data dilakukan dengan menggunakan formula nilai tambah menggunakan metode Hayami. Hasil penelitian menunjukan bahwa nilai per kilogram produk yaitu rendemen sebesar 18,18 % , harga output Rp 10.500,- nilai tambah sebesar Rp. 1.030,75 /kg dan rasio nilai tambah 53,99 %.Kata kunci : Nilai Tambah, Keuntungan Pengolah, Metode Hayami, Gula Aren, KUB GSA,
STRATEGI PENGEMBANGAN AGROINDUSTRI KOMODITAS KAKAO DI KABUPATEN KOLAKA – SULAWESI TENGGARA
Authors: Herdhiansyah Dhian Herdhiansyah 
Published: April 2019

Xx12 I Herdhiansyah D dan Asriani. Strategi pengembangan agroindustri komoditas kakao Peningkatan luas areal dan produksi tanaman perkebunan di Kabupaten Kolaka dinilai masih kurang dalam menciptakan kesempatan kerja yang lebih banyak disebabkan produksi tanaman perkebunan masih sedikit yang diolah pada tingkat lebih lanjut. Hasil tanaman perkebunan diperdagangkan para petani rata-rata masih terbatas pada tingkat on farm agribusiness dengan nilai tambah bagi petani yang masih terlalu kecil sehingga pendapatan petani belum memadai. Sampai saat ini belum ada acuan yang akurat bagi pemerintah Kabupaten Kolaka. Diversifikasi produksi komoditas kakao belum berkembang dan hasil ikutannya belum dimanfaatkan. Penelitian ini bertujuan untuk merumuskan strategi pengembangan agroindustri komoditas kakao. Objek penelitian adalah komoditas kakao yang terdapat di Kabupaten Kolaka dengan metode SWOT. Hasil penelitian menunjukkan strategi pengembangan agroindustri komoditas kakao berada pada kuadran I atau strategi yang dibuat dengan menggunakan seluruh kekuatan untuk memanfaatkan peluang yaitu strategi agresif. Strategi agresif berdasarkan faktor kekuatan yang merupakan internal dan faktor peluang yang merupakan faktor eksternal dengan alternatif strategi: peningkatan kemandirian petani melalui pembinaan dan penyuluhan, pengembangan kemitraan pada kegiatan agroindustri dalam upaya menambah nilai tambah produksi komoditas kakao.
Pengaruh Minyak Atsiri Bangle (Zingiber Purpureum Roxb.) sebagai Antibakteri terhadap Kualitas Sabun Cair
Authors: Wulandari Dewi 
Published: April 2019

Tujuan penelitian ini adalah untuk mempelajari pengaruh minyak atsiri dari rimpang bangle sebagai antibakteri Staphylococcus aureus dan Escherichia coli terhadap kualitas sabun cair. Penelitian ini menggunakan rancangan acak lengkap dengan lima perlakuan dan tiga ulangan. Perlakuannya adalah penambahan minyak atsiri berturut-turut S0 (0 ml), S1 (0,62 ml), S2 (1,24 ml), S3 (1,86 ml), dan S4 (2,5 ml). Data yang diperoleh dianalisis secara statistik dengan menggunakan analisis sidik ragam dan Duncan’s New Multiple Range Test pada taraf 5%. Hasil penelitian menunjukkan bahwa penambahan minyak atsiri rimpang bangle berpengaruh nyata terhadap uji antibakteri, viskositas, bobot jenis, alkali bebas, derajat keasaman (pH), dan uji iritasi sabun cair. Perlakuan terbaik sabun cair dalam penelitian ini adalah S4 (penambahan minyak atsiri bangle 2,5 ml) yang memiliki aktivitas antibakteri terhadap S. aureus 9,50 mm dan E. coli sebesar 8,67 mm, viskositas 179,62 Cp, bobot jenis 1,04 g/ml, alkali bebas 0,18%, pH 9,53, dan uji iritasi 0,15 (hampir tidak tampak).
OPTIMALISASI BADAN PENYELESAIAN SENGKETA KONSUMEN TERHADAP SENGKETA PINJAMAN KREDIT KENDARAAN BERMOTOR DI WILAYAH BOGOR BERDASARKAN UNDANG-UNDANG PERLINDUNGAN KONSUMEN
Authors: Lase Edy Sanjaya , Taufiq Muhammad 
Published: April 2019

The purpose of this study are to find out and analyze the optimization of the Consumer Dispute Settlement Agency against disputes in motor vehicle credit loans in the Bogor region based on Law Number 8 of 1999 concerning Consumer Protection, and also the inhibiting factor in the optimization of BPSK against disputes in motor vehicle loan loans. The research method used in this study is normative juridical research that takes a qualitative approach. The results of this study are: the role of BPSK on disputes over motor vehicle credit loans is not optimal, it is necessary to optimize efforts for BPSK to become a fast, inexpensive and fair consumer-focused settlement institution outside the court. The inhibiting factor is the optimization of the Bogor City BPSK and Bogor Regency against disputes on motorized vehicle loans, including legislation and resources. BPSK is shackled by very complex regulations in the UUPK, even some UUPK articles actually contradict each other. Resource constraints include human resources, infrastructure and budgeting.
PENGARUH MENONTON TAYANGAN FTV KUASA ILAHI TERHADAP PERILAKU MASYARAKAT
Authors: Lestari Utri Indah , Suryatna Undang , Kusumadinata Ali Alamsyah 
Published: April 2019

Penelitian ini memfokuskan bahwa dengan menonton tayangan FTV Kuasa Ilahi dapat merubah perilaku masyarakat. Dengan adanya tayangan tersebut masyarakat akan mengetahui hal apa saja yang boleh dilakukan dan tidak boleh dilakukan sesuai dengan syariat Islam, yang membuat masyarakat lebih intropeksi terhadap diri sendiri dan akan menjadi umat yang lebih taat kepada Tuhan-Nya. Penelitian ini bertujuan untuk (1) menganalisis karakteristik masyarakat terhadap tayangan FTV Kuasa Ilahi dan konten tayangan FTV Kuasa Ilahi, (2) Mengetahui pengaruh tayangan FTV kuasa ilahi terhadap perilaku menonton. Penelitian ini menggunakan metode penelitian kuantitatif. Hasil penelitian yang dilakukan menggunakan deskriptif menunjukan bahwa (1) karakteristik masyarakat yang menonton tayangan FTV pada kategori usia remaja dewasa, dengan pendidikan mayoritas bertaraf SMA dan frekuensi menonton menunjukan kategori sering. Sedangkan kategori konten film, alur cerita, karakter penokohan dan nilai budaya menunjukan keterpaan yang intensif dari penonton. (2) Terdapat hubungan yang kuat antara perilaku menonton tayangan FTVdengan konten tayangan.