bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative evaluation of the endovascular and surgical revascularization effectiveness for acute limb ischemia
Authors: O. I. Pityk  , V. O. Prasol  , A. B. Babynkin  
Published: July 2019

The aim — to do comparative evaluation of the endovascular and surgical revascularization effectiveness in patients with acute limb ischemia, caused by thrombosis and embolism of lower limb arteries.Materials and methods. The study was performed based on a retrospective analysis of the results of treatment of 215 patients with acute limb ischemia caused by acute emboli and thrombosis of lower limb arteries or bypases. The main group included 108 patients who underwent endovascular interventions (intra‑arterial catheter‑directeded thrombolysis was performed in 72 % of patients, and endovascular thrombectomy was performed in 28 % of patients), the comparison group included 107 patients were performed surgical operations of thromboembolectomy or bypases for the purpose of revascularization.Results and discussion. In order to determine how the degree of ischemia affects technical success of endovascular and surgical interventions in patients with acute limb ischemia, patients were stratified according to severity of ischemia. The technical success of revascularization in patients with 1 or 2A degrees of ischemia was not significantly different between groups. In patients of the surgical group with ischemia 2B, the technical success rate of revascularization was significantly higher compared with endovascular, 83.6 % versus 71.9 % (p < 0.05). The number of amputations in endovascular and surgical groups was not significantly different, 16.7 %, and 18.7 % (p > 0.05).Conclusions. The severity of limb ischemia is the main factor that determines the results of treatment of acute limb ischemia, both with endovascular and surgical methods of revascularization. Patients with severe grade 2B ischemia require emergency restoration of blood circulation in the ischemic limb and surgical methods are the most appropriate treatment. In patients with moderately severe 1 and 2A ischemia, both surgical and endovascular revascularization methods can be effectively used.
Evaluation of the life quality in patients with diabetic foot syndrome before treatment and in the late period
Authors: O. V. Marchenko  , M. B. Gorobeiko  , T. Yu. Yuzvenko  , Z. G. Krushinska  
Published: July 2019

The aim — to study the life quality aspects in patients with diabetes mellitus complicated by diabetic foot syndrome, which affect both treatment and rehabilitation.Materials and methods. 198 patients with diabetes mellitus type 2, diabetic foot syndrome and post‑operative foot wounds were examined for purulent‑necrotic complications in the period from 2017 to 2018. There were 97 men (49 %) and 101 women (51 %). The average age of patients was 59.2 ± 2.7 years (39 — 76 years). The duration of diabetes mellitus was on average — 11.8 ± 2.7 years. The EuroQol EQ‑5D‑5L questionnaire based on the five components of the life quality, such as: mobility, self‑care, ordinary daily activities, pain and discomfort, anxiety and depression were used for health state assessment. Each question is divided into 5 levels depending on the degree of problem severity (no problem, minor problems, problem of moderate severity, significant problems, and big problems). A visual analogue scale for the subjective assessment of one’s own health was also determined.Results and discussion. A statistically significant decline in the life quality indicators, as well as the psychological component of the life quality, was revealed. Thanks to treatment and a critical attitude to one’s condition, the frequency of complaints decreased from 57.0 % (at the beginning of treatment) to 50.5 % after 12 months (p = 0.058). Improved adaptation was noted, which also was contributed to a complaints decreasing (p < 0.05). According to other indicators of life quality (general health, physical functioning, pain intensity, level of depression), a statistically significant decrease was found in both men and women. It is established that there was no correlation between the average score on a visual analogue scale and the result of EuroQol EQ‑5D‑5L self‑assessment.Conclusions. Most patients cannot independently objectively assess the severity of their condition, especially at the beginning of treatment. There is no clear relationship between the subjective clinical assessment of the state of health and the presence of individual complaints in patients. The pain and discomfort in the lower extremities has significantly subjectively reduced (from 46 to 26 %), as well as problems with movement (from 41 to 32 %) as a result of treatment. The reduction in the proportion of patients with anxiety and depression (from 53.0 % to 39.4 %) depended on symptomatic and pathogenetic treatment.
The primary diagnostic endoscopic methods for connective tissue diseases verification in patients with respiratory manifestations
Authors: M. S. Opanasenko  , L. I. Levadna  , O. V. Tereshkovych  , B. M. Konik  , V. B. Bychkovskyi  , I. V. Liskina  , L. M. Zagaba  , M. I. Kalenychenko  , S. M. Shalagai  , M. Yu. Shamrai  , V. I. Lysenko  , O. K. Obremska  
Published: July 2019

The aim — to conduct a retrospective analysis of the connective tissue diseases diagnosis in 47 patients of different ages with respiratory manifestations.Materials and methods. A clinical analysis of the first diagnosed cases of connective tissue diseases in 47 patients treated on the basis of the department of thoracic surgery and invasive diagnostic methods, from 2010 to 2018 was done. Among patients, women predominated — 33 (70.2 %), men — 14 (29.8 %). Among them, at the age of 20 — 29 years old, there were 8 (16.8 %) patients; 30 — 39 years — 14 (29.8 %) patients; 40 — 49 years old — 12 (25.5 %); 50 — 59 years old — 9 (19.5 %); over the age of 60 years‑ 4 (8.4 %). The patients were hospitalized with the following diagnoses: disseminated pulmonary disease — 10 (21.3 %), disseminated pulmonary disease complicated by unilateral pleurisy — 12 (25.5 %) patients; disseminated pulmonary disease complicated by bilateral pleurisy — 1 (2.1 %) case; disseminated pulmonary disease complicated by unilateral pleurisy and intrathoracic lymphadenopathy — 2 (4.3 %) observations; rounded lung lesion — 1 (2.1 %) case; unilateral pleurisy— 4 (8.4 %); bilateral pleurisy — 6 (12.9 %); pleurisy with pericarditis — 11 (23.4 %) cases.Results and discussion. In all cases, the specificity of the autoimmune lesion was identified. The attention is paid to the need for early diagnosis of this pathology and the adequate pathogenic treatment appointment by profile specialists.Conclusions. Of newly diagnosed patients with total respiratory, cardiovascular and renal impairment without any history of chronic disease should be considered as a risk group for further diagnosis of connective tissue diseases. The use of video‑assisted thoracoscopic surgery diagnostic methods with biopsy of affected tissues should be the standard of study along with immunological confirmation when establishing the type of connective tissue diseases. The connective tissue diseases type identification should be done considering the clinical manifestations, based on the pathomorphological study results and the serological verification by specialists, since the nosology type establishment timely contributes to the immunopathological syndromes detection and allows the immune‑dependent complications prevention by adequately prescribed pathogenically valid treatment.
Postmodern Romantik İlişkiler ve Reklam: Tinder Örneği
Authors: TAPAN Aysel 
Published: July 2019

Gündelik
hayatın önemli bir parçası haline gelen mobil flört uygulamaları, romantik
ilişkilerin doğasını hızla değiştirmeye devam etmektedir. Kimileri mobil flört
uygulamalarını “aşkın bayağılaşması” olarak yorumlarken, bazıları bu flört etme
biçimlerindeki derin değişim ve dönüşümü dijital dünyanın kaçınılmaz
sonuçlarından biri olarak görmektedir. Bu çalışmanın amacı ise teknolojik
gelişmelerin etkisiyle cinsler arası ilişkide flört etme biçimlerindeki değişimler
ile tüketim arasındaki ilişkiyi ortaya koyabilmektir. Bu bağlamda romantik
ilişkilerin tarihsel bir düzlemde anlamına ve değişimine ilişkin literatür
gözden geçirilerek, coğrafi konum tabanlı flört uygulamalarının reklam
sektörüne yarattığı fırsatlar değerlendirilmiştir. Çalışma kapsamında postmodern
romantik ilişkilerin, dijital yaşam tarzları, kültür ve tüketimle olan bağı
çerçevesinde, konum tabanlı sosyal ağ
uygulamaları arasında en popülerlerden biri olan mobil flört uygulaması
Tinder’da yayınlanan reklamlar, niteliksel ve niceliksel içerik analizi yöntemiyle
incelenmiştir. Sonuç olarak, reklam
mesajlarının büyük oranda lüks ve sembolik tüketime ilişkin anlam ve sembollerle
işaret ettiği fakat markaların coğrafi konuma uyumlu reklam stratejileri geliştirmedikleri
görülmüştür. Elde edilen veriler ayrıca, küresel bir eğilim olan ve kısa
dönemli ilişkileri vurgulayan Tinder’da yayınlanan reklamlarda, geleneksel
romantik ilişkileri yeniden üreten anlam ve sembollerin yer aldığını ortaya
koymaktadır.
Determinants and Aspirants of Nurse Migration from Nepal: A Cross Sectional Study from Kathmandu
Authors: Munikar Sabika , Thapa Kanchan 
Published: July 2019

Introduction: Migration is the result of interplay of many factors, which guide the individual’s decision to emigrate. Health workers tend to go where the working conditions are best. This study aims to identify the determinants and aspirants of nurse migration from Nepal.
Methods: A descriptive cross sectional study was conducted using interview technique. A semi structured questionnaire was administered to all nurses working at a private hospital who met the inclusion criteria.
Results: Majority of the participants were 20- 30 years old (93.20%), Hindu (86.5%), Chhetri (35.1%), unmarried (66.2%), had completed intermediate level (58.1%). Among the total respondents, 93.20% intended to migrate to abroad and more than half of the respondent (62.20%) preferred Australia as destination. The general factor provoking migration was bad nature of politician (98.6%) followed by political instability (90.5%) and non-availability of job (90.5%). The major working condition and social factors provoking migration were occupational security in other country (85.10%) and peer influence (91.9%) respectively. The reasons for migration as mentioned by respondents were education (59.50%) followed by better job opportunities (40.50%), better living standard (21.60%) and family and/or peer pressure (8.10%).
Conclusions: The present study concluded that majority wanted to migrate and Australia was famous choices for nurses. Bad nature of politician, occupational security in other country and peer influence were factors for migration. The major purpose for migration was education.
Use of Granulocyte Colony-Stimulating Factor Among Patients of Chronic Liver Disease in a Tertiary Hospital in Nepal: A Pilot Study
Authors: Pathak Rahul , Thapaliya Sabin 
Published: July 2019

Introduction: Granulocyte colony stimulating factor improves short-term survival and clinical outcomes in alcoholic hepatitis, acute-on-chronic liver failure and decompensated chronic liver disease. Our study aimed to assess survival benefit and change in Child-Turcotte-Pugh and Model For End-Stage Liver Disease scores 30 days after Granulocyte colony stimulating factor therapy in chronic liver disease patients, irrespective of their mode of presentation.
Methods: This was a prospective observational study conducted in a university teaching hospital, where 25 patients with chronic liver disease were given 300 micrograms of Granulocyte colony stimulating factor subcutaneously 12 hourly plus standard medical therapy. We assessed survival until day 30. Child-Turcotte- Pugh and Model For End-Stage Liver Disease scores at enrolment and 30 days after treatment were compared.
Results: 21 of 25 patients treated with Granulocyte colony stimulating factor survived at day 30. Treatment with Granulocyte colony stimulating factor reduced Child-Turcotte-Pugh score from 10.33 ± 1.24 to 8.76 ± 1.79 (p< 0.001) at day 30 and Model For End-Stage Liver Disease score from 22.10 ± 4.67 to 16.38 ± 5.52 (p < 0.001) at day 30.
Conclusions: Granulocyte colony stimulating factor improves clinical outcome, Child-Turcotte-Pugh and Model For End-Stage Liver Disease scores in patients admitted with chronic liver disease for any cause. Further studies are needed to explore whether lower doses (total six doses) of Granulocyte colony stimulating factor are as effective as higher doses (total 10 doses).
Comparison of Maximum Phonation Duration and S/Z Ratio in Individuals with Asthma, Tuberculosis and Clinically Normal Voice
Authors: Shrestha Susmita , Adhikari Anil Kumar 
Published: July 2019

Introduction: The ability of a person to phonate a sound gets affected in different laryngeal and respiratory pathology which can be measured by the help of two measure called as Maximum Phonation Duration (MPD) and S/Z ratio that helps to assess the efficiency of respiratory and phonatory system. The aim of this study is to measure the MPD and S/Z ratio in Normal, Tuberculosis and Asthma group patient.
Methods: The participant included Normal, Asthma and Tuberculosis patient where the recording was made in a quiet room with the help of PRAAT software and the participant were asked to sustain phonation of sound on single breath. Analysis was done with helps of SPSS version 25.0.
Results: There was a significant difference noted in MPD of /a/, /i/, /u/ sound between control and experimental group. MPD were significantly shorter in Asthma and Tuberculosis group compared to Normal group with no significant difference in S/Z ratio.
Conclusions: Maximum Phonation Duration is more reduced in Asthma and Tuberculosis patient compared to Normal group which indicate Asthma and Tuberculosis patient has to put more effort to phonate a sound.
PEMANFAATAN MEDIA PEMBELAJARAN IPA BAGI PESERTA DIDIK DENGAN VISUAL IMPAIRMENT DI SLB
Authors: Widiyawati Yeni 
Published: July 2019

Tujuan penelitian ini yaitu untuk mengetahui: 1)ketersediaan; 2) jenis dan kondisi; serta 3) tingkat pemanfaatan dari media pembelajaran dalam pembelajaran IPA bagi peserta didik dengan visual impairment di SLB. Metode penelitian yang digunakan berupa wawancara serta observasi terkait jenis dan kondisi serta pemanfaatan media dalam pembelajaran IPA bagi peserta didik dengan visual impairment. Hasil penelitian di empat SLB menunjukkan bahwa 1) sekolah belum optimal dalam menyediakan media pembelajaran IPA yang dapat diakses oleh peserta didik dengan visual impairment; 2) jenis media pembelajaran IPA yang disediakan sekolah sangat terbatas dan terkadang dalam kondisi rusak; dan 3) pemanfaatan media pembelajaran IPA di keempat SLB tersebut dapat dikatakan kurang maksimal.
UTILIZATION OF SCIENCE INSTRUCTIONAL MEDIA FOR VISUAL IMPAIRMENT STUDENTS IN SPECIAL SCHOOLS
Abstract
The aims of this research is to reveal: 1) avaibility; 2)type and condition & 3)utilizattion degree of science instructional media for visual impairment students in special schools. Interview and observation to find out the type, condition and degree of science instructional media for visual impairment students was used as a method in this research. The result shows: 1)the avaibility of science instructional media inspecial schools hasn’t optimal yet; 2)type of science instructinal media that available in schools was limited and some was turns to improper condition to use; 3)the utilization of science instructional media in those special schools hasn’t optimal yet.
Keywords: , , special school.
IMPLEMENTASI MODEL PEMBELAJARAN INKUIRI TERBIMBING DENGAN KOOPERATIF JIGSAW TERHADAP KETERAMPILAN PROSES SAINS SISWA SMP
Authors: Jiwanto Ikhbar Nur , Sugianto Sugianto , Khumaedi Khumaedi 
Published: July 2019

Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran inkuiri terbimbing dipadu kooperatif jigsaw dan pengaruh kemampuan akademik awal siswa, serta ada tidaknya hubungan antara model pembelajaran dengan kemampuan akademik awal siswa terhadap keterampilan proses sains siswa SMP. Desain penelitian yang digunakan adalah posttest only control design dengan faktorial 2×3. Teknik pengumpulan data menggunakan dokumentasi berupa kemampuan akademik awal siswa, lembar observasi dan tes keterampilan proses sains. Hasil penelitian menunjukkan nilai rata-rata skor keterampilan proses sains siswa kelas eksperimen lebih tinggi yaitu 83,70 daripada kelas kontrol yaitu 79.03. Nilai rata-rata skor keterampilan proses sains siswa berkemampuan akademik awal tinggi, sedang, dan rendah berturut-turut yaitu 87,00, 81,05, dan 78,38. Dari hasil analisis dapat disimpulkan bahwa model pembelajaran inkuiri terbimbing dipadu kooperatif jigsaw dan kemampuan akademik awal berpengaruh nyata terhadap keterampilan proses sains siswa, serta tidak ada interaksi antara model pembelajaran dengan kemampuan akademik awal siswa terhadap keterampilan proses sains siswa SMP.
THE INFLUENCE OF IMPLEMENTATION OF JIGSAW COOPERATIVE LEARNING INQUIRY MODEL TO SCIENCE PROCESS SKILLS OF JUNIOR HIGH SCHOOL STUDENTS
Abstract
This purposes of research are to know the role of guided inquiry learning model with jigsaw cooperative and the role of initial academic ability, and is there any interaction between learning model and initial academic ability to science process skill of Junior High school. This research uses posttest only control design with factorial design 2×3. Data collections techniques are documentation for initial academic ability, observation sheet and test for science process ability observation. The output of this research shows that the science process skill average score of experiment class is higher that is 83.70 than the control class that is 79.03. Science process skill average score of students with high, moderate, and low initial academic is 87.00, 81.05, and 78.38. Data analysis shows that guided inquiry learning model with jigsaw cooperative and initial academic ability has influence on science process skill of Junior High School students, and there is no interaction between learning model with initial academic ability to science process skill of Junior High School students.
PENGARUH PEMBELAJARAN OUTDOOR LEARNING PADA MODEL DISCOVERY LEARNING TERHADAP HASIL BELAJAR SISWA PADA MATERI PENCEMARAN LINGKUNGAN KELAS X DI SMA NEGERI 1 TAHUNAN JEPARA
Authors: Laksita Rahmawati , Sulistya D. Endah Rita , Nurwahyunani Atip 
Published: July 2019

Penelitian ini bertujuan untuk mengetahui pengaruh pembelajaran Outdoor learning pada model Discovery learning terhadap hasil belajar siswa kelas X pada materi pencemaran lingkungan. Pelaksanaan penelitian dilakukan pada semester genap tahun ajaran 2016/2017 dengan populasi penelitian yang digunakan yaitu kelas X MIPA SMA Negeri 1 Tahunan Jepara. Sampel yang digunakan yaitu kelas X MIA 3 sejumlah 35 orang sebagai kelas eksperimen dan kelas X MIA 1 sejumlah 36 orang sebagai kelas kontrol. Tehnik sampling yaitu menggunakan cluster random sampling dan metode yang digunakan yaitu quasi eksperimental design dengan desain penelitian nonequivalent control group design. Instrument yang digunakan yaitu test (lembar tes kemampuan kognitif) lembar tes berjumlah 20 soal yang terdiri dari kemampuan menjelaskan, mencontohkan, mengklasifikasikan ketiganya merupakan aspek yang terdapat dalam ranah memahami dan non test (lembar observasi). Lembar observasi digunakan dalam penelitian dengan teknik pengamatan untuk mengumpulan data. Lembar observasi dipergunakan dalam menilai sesuatu dengan mengamati objek/subjek penelitian secara langsung, seksama dan sistematis. Pengamat dapat melihat dan mengamati sendiri.
Hasil analisis hasil belajar menujukan perbedaan yang signifikan nilai rata-rata posttest kelas eksperimen 84.0 kelas kontrol dengan rata-rata 69.4 dan untuk hasil belajar afektif nilai rata-rata kelas ksperimen 81.61 kelas kontrol dengan rata-rata 74.65 serta hasil belajar psikomotor dengan rata-rata kelas ksperimen 80.00 kelas kontrol dngan rata-rata 74.86.
THE EFFECT OF THE OUTDOOR LEARNING INTEGRATED DISCOVERY LEARNING MODEL OF OUTCOMES AND CONCEPT UNDERSTANDING FOR ENVIRONMENT POLLUTION SUBJECT AT CLASS X STUDENT OF SMA NEGERI 1 TAHUNAN JEPARA
Abstract
This reseach aims is to understanding the effect of outdoor learning integrated discovery learning model of concept understand and outcomes of class X students, implemented of environment pollution material. This reseach implemented on 2016/2017 with X class student as population in SMA N 1 Tahunan Jepara. The sample consist of X class of 3 MIA with 35 pupils for experiment class and X class of MIA 1 with 36 pupils for control class. This study used cluster random sampling technique. This reseach used cluster random sampling technique to take of sample. The desaign of this research was Quasi Experimental with Nonequivalent control Group Design. The result of T test of pretest is not real difference. While, the T test of postest result is good effected of cognitif outcomes and concepts understanding. The data obtained is tcount 2.891, ttable 1.67 and tcount 5.548, ttable 1.67, accordingly, both of them accepted. The data show tcount ?ttable. Its mean the data is significant.
MISKONSEPSI MAHASISWA TEKNIK INFORMATIKA PADA MATERI KELISTRIKAN
Authors: Prasetyono Rizki Noor 
Published: July 2019

Penelitian ini bertujuan untuk mengetahui kedalaman mahasiswa dalam memahami konsep kelistrikan dan miskonsepsi yang dialami. Penelitian ini dilaksanalan sebelum perkuliahan mata kuliah Fisika Dasar II pada mahasiswa teknik informatika tahun ajaran 2016/2017. Untuk mengidentifikasi pra konsepsi dan miskonsepsi mahasiswa pada materi kelistrikan digunakan instrument tes pilihan ganda dengan metode Certain of Response Index. Metode ini juga dapat membedakan jawaban dari pertanyaan mahasiswa yang mengalami miskonsepsi, keberuntungan menjawab (lucky guess), kurangnya pengetahuan (lack of knowledge), dan mahasiswa yang memahami materi. Berdasarkan data hasil penelitian didapatkan lima pertanyaan dari konsep dasar kelistrikan bahwa mahasiswa mengalami miskonsepsi. Mahasiswa mengalami miskonsepsi pada konsep arus listrik, tegangan dalam rangkaian, penerapan hukum ohm, hambatan variabel, dan penerapan hukum kirchoff. Berdasarkan lima butir soal pada materi kelistrikan, 71 % mahasiswa mengalami miskonsepsi.
MISCONSEPTS STUDENTS OF INFORMATIC ENGINEERING IN ELECTRICAL SUBJECT
Abstract
The purpose of the research was find the depth of students in understand the electrical concepts and misconceptions experienced. This research was conducted before the subject of Physics II course in Informatics Engineering students of the academic year 2016/2017. To identify the preconceptions and misconceptions students of electrical subject used multiple-choice test instrument with the method Certain of Response Index. This method can also distinguish answers from students who have misconception, lucky guess answer, lack of knowledge, and students who understand the material. Based on the research data, the five questions of the basic concepts of electricity college students have misconceptions. Students have misconceptions on the concept of electric current, voltage in the circuit, the application of ohms law, variable resistor, and the application of Kirchhoff laws. Based on five quetions electrical materials, 71% of students has misconceptions.
Choosing a Proper Scenario of the Monetary Development and Financial Integration in the EurAsEC
Authors: Zhuk Irina , Godes Nadzeya 
Published: July 2019

The article is devoted to the problem of choosing an effective scenario of monetary integration within the EurAsEC. A fundamentally new approach is that the Eurasian integration is considered to become an alternative to disintegrative tendencies of post-Soviet countries. The advisability for a common currency and a system of supranational governance structure are given on the basis of the analysis of development of EurAsEC member states. The reasonability and timeliness of this event as a basis for further development of integration processes and sustainable development of EurAsEC is substantiated.