bluuebunny/crossref_metadata_2025_split huggingface dataset:
Approach to the surgical treatment of acute paraproctitis on the background of diabetes mellitus
Authors: Militsa M. M. , Postolenko M. D. , Militsa K. M. , Angelovskiy I. M. , Soldusova V. V. , Kasakov V. S. 
Published: June 2019

Purpose of the study. Was to reveal the peculiarities of surgical treatment of acute paraproctitis in patients with diabetes mellitus.
Materials and methods. The analysis of results of treatment in 1591 patients for the last 8 years is carried out. In 90 (6,8%) patients, the process proceeded against the background of diabetes mellitus.
Results. The criteria for choosing the mode of operation are based on the location of the abscess and the main purulent course, its relation to the elements of the external anal sphincter, the nature of the cicatricle process in the zone of the internal opening and the function of the rectum apparatus.
Conclusion. Incomplex cases, surgical treatment should be two-stage and organ-preserving. To the possibility and timing of the removal of the inner hole should be approached individually.
Treatment of purulent-inflammatory complications in a combat gunshot trauma
Authors: Fomin O. O. , Kovalchuk V. P. , Fomina N. S. , Zheliba M. D. , Dobrovanov O. , Kralinsky K. 
Published: June 2019

Purpose of the study. Justification of the effective treatment tactics of the wounded with the gunshot fractures of the long bones.
Materials and methods. The examination and treatment of 123 wounded with gunshot fractures were performed. All wounded were divided into 3 groups according to clinical observation. For the first clinical group the traditional treatment of the combat fractures with osteometallosynthesis out of injury zone was done. In the second group, treatment was added with negative pressure therapy. In the third clinical group Wounded got a VAC-associated therapy with the proposed of counter-drainage of wounds with the flow-washing irrigation with antiseptic solutions Decasan + 3% hydrogen peroxide. A bacteriological study of the wounds` exudates was carried out, and the sensitivity of microorganisms to antibiotics was determined.
Results. The assay of microbiological investigation of the wounds of patients, which got explosive and mineexplosive injuries, demonstrated a predominance gramnegative microflora in the wound microbiocenoses such as Acinetobacter spp. (53% of cases) and Pseudomonas spp. (15% of cases). Gram-positive cocci were isolated from 22,2% of cases. The analysis of the antibiotic sensitivity data of gram-negative nonfermentative rods showed a high level of resistance to most antibacterial. All strains of acinetobacteria and pseudomonads were susceptible to polymyxin B and colistin, but resistant to unprotected and protected aminopenicillins (amoxicillin/clavulanate, ampicillin/ sulbactam). Acceleration of regenerative processes in the wound under the influence of VAC-therapy (formation of healthy granulations, disappearance of edema) in patients with negative pressure suppression (II HS, III HS) led to a reduction of hospitalization period, which took in average 7,8 ± 1,2 days, that was 5,2 ± 0,8 days less than in a control group. In the third group of wounded, a mixture of Decasan and 3% hydrogen peroxide in the proportion of 3 : 1 was used for rinsing of wounds. On the third day tissue edema decreased in 94,45% of the wounded in that observation group, while in the second clinical group it was observed in 88,89% of patients. The duration of the hydration phase in the wound process was reduced to 5,7 days. The period of complete healing of the wounds was shorter for 2,5 days. The period of indoor stay of the wounded of this group in the hospital decreased from 14,97 to 10,8 days.
Conclusions. Prevalence of gram-negative microorganisms in a gunshot wound and their high degree of resistance to antibiotics should be noticed when one takes a decision about empirical antibiotic therapy in the wounded. Observed clinical results of the proposed negative pressure therapy with counter-drainage of wounds by setting of flow-washing irrigation with a mixture of antiseptics Decasan and 3% hydrogen peroxide allow recommending this scheme for treatment of wounded with gunshot fractures of long bones.
Evaluation Scale of Sepsis II severity score
Authors: Syplyviy V. A. , Grinchenko S. V. , Ievtushenko D. V. , Ievtushenko A. V. 
Published: June 2019

Background. Actually sepsis is one of the main causes of high lethality among surgical patients.
The purpose of this study. Is improvement of Sepsis severity evaluation Score based on available clinical and laboratory indicators.
Materials and methods. 140 patients with surgical sepsis and purulent focuses localized in skin and subcutaneous tissue, abdominal cavity, lung, urogenital system were included to investigation.
Results. Improved Sepsis severity evaluation Score includes clinical characteristics (estimation of consciousness, systolic blood pressure, heart rate, respiratory rate, daily diuresis, body temperature), blood system`s reaction, indicators of acute physiological disorders of kidneys and liver. Evaluation score includes localization of purulent focus, pathogen type, patient`s age, accompanied chronic pathology.
Conclusions. Use of Improved Sepsis severity evaluation Score, based on available clinical and laboratory indicators, allows to estimate severity and unfavorable outcome risk in patients with having sepsis with reasonable accuracy.
Stage surgical tactics in patients with obstructive jaundice complicated of the acute cholangitis and biliary sepsis
Authors: Kanikovskiy O. Ye. , Karyi Ya. V. , Babiichuk Yu. V. 
Published: June 2019

Purpose of the study. Improve treatment results of the patients with obstructive jaundice complicated of the acute cholangitis and biliary sepsis.
Materials and methods. We analyzed the outcomes of surgical treatment of 200 patients with obstructive jaundice of the non-tumor genesis. The acute cholangitis was observed in 35 patients, which was caused of the biliary sepsis in 10 cases. The patients were divided into three groups: group I (n = 95), where endoscopic methods of biliary decompression were used; group II (n = 48), where biliodigestive anastomoses were formed; and group III (n = 57), where the external drainage of bile ducts was conducted.
Results. The patients of the group I demonstrated a gradual decrease of bilirubin and alkaline phosphataselevels, whichreachedthenormalreadings on Day 7. The patients of the group II demonstrated normal levels of bilirubin and alkaline phosphatase on Day 14. The patients of the group III demonstrated rapid decrease of bilirubin and alkaline phosphatase levels, which reached the normal readings on Day 28. The transaminase level in each group of patients had reached the norm earlier.
Conclusions. Priority is given to stage surgical tactics in patients with obstructive jaundice complicated of the acute cholangitis and biliary sepsis. Single-stage correction is recommended for patients with hyperbilirubinemia of less than 200 mcmol/l and duration of jaundice for less than 14 days, in the presence of compensated or subcompensated co-occurring pathology as well as in the absence of acute cholangitis.
Casación civil: génesis y recepción del recurso de casación en el derecho civil peruano
Authors: Távara Córdova Francisco 
Published: June 2019

El artículo analiza la evolución de la casación civil desde una perspectiva histórica, a partir de su inicial recepción y adecuación en nuestro ordenamiento jurídico hasta su actual configuración. Del mismo modo, analiza su problemática y posibilidades de reforma sistémica e integral que racionalice la actividad de los órganos casacionales de la Corte Suprema de Justicia de la República, reduzca la carga procesal y se asegure la igualdad de las partes en el proceso, con el fin de que se dé cabal cumplimiento a los fines de la casación y se garantice el principio de predictibilidad de las resoluciones judiciales en el ámbito de la justicia civil.
Lo que los juristas no dicen. Normas no expresadas y despositivización
Authors: Barberis Mauro 
Published: June 2019

Uno de los problemas más intrigantes de la reciente teoría del derecho está representado por las reglas implícitas y/o no expresadas. Sin embargo, el tema, propuesto por Riccardo Guastini en los años noventa del siglo pasado, incomoda a otros juristas y teóricos: de hecho, lo discuten casi solo los genoveses y sus amigos, como veremos. El artículo reconstruye la tematización del problema, estrechamente relacionado con otros típicos temas «genoveses», como son la distinción interpretación/construcción y el mismo concepto de marco de Kelsen. Aquí se distinguen, especialmente, las normas implícitas de las normas (totalmente) no expresadas, volviendo a definir las primeras como una variable dependientede su aplicación judicial, y considerando las segundas como un elemento del proceso que llamo despositivización del derecho.
Особенности основных фенологических фаз продукционного периода сортов Negr
Authors: Polulyakh Alla , Volynkin Vladimir , Beibulatov Magometsaigit 
Published: June 2019

Знание фенологических особенностей сортов винограда важно для формирования промышленного конвейера столовых сортов винограда и в селекционной работе при создании сортов с заданным хозяйственными характеристиками. В результате анализа дат наступления основных фенологических фаз столовых сортов винограда V. v. orientalis Negr. в условиях ампелографической коллекции установлено, что согласно международному классификатору OIV по продолжительности продукционного периода изученные сорта разделяются на пять групп: сорта раннего, раннесреднего, среднего, среднепозднего и позднего сроков созревания. Продолжительность продукционного периода у столовых сортов V. v. orientalis Negr. раннего срока созревания составляет 115±4,4 - 121±1,6 дней, раннесреднего срока созревания 129 - 135±2,4 дней, среднего срока созревания 141±1,3 - 145±0,9 дней, сортов среднепозднего срока созревания 146 - 155±0,7 дней, сортов позднего срока созревания 156±0,5 - 165±2,0 дней.Understanding of the phenological peculiarities of grapevine cultivars is important for the formation of an industrial conveyor of table grapes and in breeding work when creating cultivars with pre-determined economic characteristics. Analysis of the onset dates of main phenological phases of table grapevine cultivars V. v. orientalis Negr. in the conditions of ampelographic collection revealed that, according to the OIV international classifier, the studied cultivars can be divided into five groups based on the length of production period: early, early-medium, medium, medium-late and late ripening. The length of production period of table cultivars V. v. orientalis Negr. of early ripening period is 115 ± 4.4 - 121 ± 1.6 days, that of early-medium ripening period is 129 - 135 ± 2.4 days, of medium ripening period is 141 ± 1.3 - 145 ± 0.9 days, for varieties of medium-late ripening period it is 146 - 155 ± 0.7 days, late ripening cultivars - 156 ± 0.5 - 165 ± 2.0 days.
Обработка холодом в технологии стабилизации вин и пути оптимизации энергозатрат
Authors: Silvestrov Anton , Chaplygina Natalya , Vedernikova Tatyana , Ryzhkov Valentin , Feodosidi Konstantin , Timofeev Ruslan 
Published: June 2019

Проведен развернутый анализ существующих аппаратарно-технологических схем обработки виноматериалов холодом. Выделены проблемные места технологии обработки холодом, обоснованы пути оптимизации этого процесса. Выявлено преимущество систем непосредственного охлаждения виноматериалов. Изучены теплотехнические характеристики материалов изоляционных конструкций изотермических резервуаров. Установлены значимые показатели, определяющие эффективность изоляционных конструкций. Проведен детальный анализ теплоизоляционных свойств различных материалов, применяемых для термоизоляции резервуаров, а также стабильности этих свойств во времени в условиях реального производства. Даны рекомендации по выбору оптимальной изоляционной конструкции изотермических резервуаров. Приводятся сопоставительные данные по затратам электроэнергии в традиционной схеме обработки виноматериалов холодом и рекомендуемой. Делаются выводы о возможности сокращения и оптимизации энергозатрат на процесс обработки виноматериалов холодом.A detailed analysis of the existing machine and technological schemes for base wine cold processing was conducted. Problem areas of cold processing technology were identified; ways to optimize this process were established. The advantages of base wine direct cooling systems were revealed. Thermo-technical characteristics of insulating structure materials used in isothermal tanks were studied. Significant indicators that determine the effectiveness of the insulating structures were established. The thermal insulation properties of various materials used for thermal insulation of the tanks undergone in-depth analysis, along with stability of these properties over time under actual production conditions. Recommendations are given as to the choice of the optimal insulating design of the isothermal tanks. Comparative data on electricity consumption using the traditional base wine cold processing scheme and the recommended one is given. Conclusions are drawn about the ways to reduce and optimize energy consumption during base wine cold processing.
Karakteristik Pola Gambar Anak Usia Dini
Authors: Loita Aini 
Published: June 2019

Abstrak
Menggambar merupakan aktivitas yang disukai oleh anak usia dini. Berbagai perkembangan fisik dan mental terlibat dalam kegiatan menggambar. Sesuai dengan pengalaman jiwanya, anak-anak menggambar sesuatu yang diketahuinya menurut jalan pikirannya yang berbeda dengan pemikiran orang dewasa. Tahapan gambar anak usia dini dimulai dari gambar coreng moreng tak beraturan, terkendali dan coreng moreng bernama. Gambar atau seni lukis karya anak usia dini menjadi unik, imajinatif, jujur, lugas dan naif, berani, juga menunjukkan spontanitas. Disamping sifat-sifat lain yang khas sebagai ungkapan anak, para pendidik dan pengamat seni harus memahami karakter anak usia dini agar setiap proses pembelajaran tepat guna sesuai sasaran pertumbuhan dan perkembangan anak usia dini. Sudah selayaknya menghargai karya anak-anak sesuai dengan fitrahnya dan memberikan peluang sebesar-besarnya untuk mengembangkan potensi dan kreativitas anak dalam berekspresi seni. Proses pendidikan yang dilaksanakan dalam suasana yang menyenangkan maka potensi dan kreativitas anak didik akan tergali secara optimal.
Abstract
Drawing is an activity favored by early childhood. A variety of physical and mental developments are involved in drawing activities. In accordance with the experience of his soul, the children draw something he knows according to his way of thinking that is different from that of adults. Early childhood picture stages begin with irregular, controlled scribbles and streaks named. Picture or painting by early childhood to be unique, imaginative, honest, straightforward and naive, brave, also shows spontaneity. In addition to other distinctive traits as the child's expression, art educators and observers must understand the character of early childhood in order that each learning process is appropriate to target the growth and development of early childhood. Should properly appreciate the work of children in accordance with his nature and provide opportunities as much as possible to develop the potential and creativity of children in art expression. The process of education is carried out in a pleasant atmosphere then the potential and creativity of students will be explored optimally.
Keywords: Character, Early Childhood, Picture.
Penerapan Model Service Learning Untuk Meningkatkan Sikap Kepedulian Sosial Siswa Pada Pembelajaran IPS SD
Authors: Karlela Desi , Anisah Ani Siti 
Published: June 2019

This study aims to know the studentsâ€™ social awareness by service learning model. The method that is used is quantitative method with quasi-experimental design. The population in this study is all of the students in SDN Tarogong II Garut. The sample of this study is the fourth grade students which class A as experimental class and class B as control class. Service learning model is one of contextual learning that present learning based on the reality of studentsâ€™ daily life.This learning model has a value if it is related with IPS subject value based in increasing the understanding of studentsâ€™ social awareness because it is associated with social value. In this context,the teacher must be able to have the skill in developing many kinds of learning method that give students the base thinking in developing the studentsâ€™ understanding about social attitude, in this case their social awareness. Th results of study show that results of Spearman correlation test for t-count is 11.60287 and t- table is 2. 019541. The results show that the value of t-count is bigger than t-table, so the correlation of coefficient is significant. It confirms that H0 is rejected and H1 is accepted. As conclusion, there is the influence of X variable to Y variable. It means that service learning method give significant influence to the studentsâ€™ social awareness by the determination value about 76.7% which means that the effect of this category is strong/ high.
The Application of The Right Brain Methods : The Association and Correlation Method In Optimizing Vocabulary Mastery at The Seventh Grade Students of SMPN 1 Rancah-Ciamis
Authors: Nurfitriani Meiliana 
Published: June 2019

This study investigated the application of the right brain methods, namely the association and correlation method in optimizing the studentsâ€™ vocabulary mastery at the seventh grade of SMPN 1 Rancah Ciamis. It uses the qualitative approach by using Classroom Action Research (CAR) to determine how the right brain methods help students in optimizing vocabulary mastery, and to analyze how the studentsâ€™ progress related to the right brain methods in optimizing vocabulary mastery in the seventh grade students of SMPN 1 Rancah. This study is conducted in three cycles, each of which consisted of planning, acting, observing, and reflecting. The data of the study are taken from the questionnaire, observation, interview and the studentsâ€™ vocabulary test in form of multiple choice and studentsâ€™ presentation. Data analysis techniques used are descriptive analysis both qualitatively and quantitatively. The results show that the implementation of the right brain methods, namely the association and correlation method affected possitively on the improvement of studentsâ€™ vocabulary mastery. It is based on the enthusisatic and the active participation of the students in the process of teaching and learning, and also the results of studentsâ€™ vocabulary test from pre-cycle to cycle III.
MEMBENTUK KARAKTER SISWA DENGAN MENANAMKAN NILAI-NILAI MATEMATIKA
Authors: Nahdi Dede Salim 
Published: June 2019

Kegagalan pendidikan dapat menciptakan produk yang tidak lagi memiliki kepekaan hati nurani yang berlandaskan moralitas, sense of humanity, dan problem kemerosotan moral. Banyak sekali kejadian yang mengindikasikan semakin terkikisnya moral anak bangsa, seperti pergaulan bebas, kekerasan anak-anak dan remaja, kejahatan terhadap teman, pencurian remaja, kebiasaan menyontek, penyalahgunaan obat-obatan, dan sebagainya. Untuk itulah pendidikan harus kembali ke fitrahnya. Pendidikan yang tidak hanya berorientasi pada kecerdasan intelektual tetapi juga kecerdasan emosional. Setiap mata pelajaran yang diajarkan hendaknya dapat membantu anak untuk tumbuh dan berkembang menjadi pribadi-pribadi yang lebih bermanusiawi dan bertanggung jawab. Mata pelajaran matematika sebagai mata pelajaran pokok di sekolah harus mampu menjawab tantangan bahwa pendidikan nilai dapat diajarkan melalui pembelajaran matematika. Pembelajaran matematika harus lebih diberdayakan untuk mendukung pengembangan pribadi siswa.
MENELAAH TEORI VYGOTSKY DAN INTERDEPEDENSI SOSIAL SEBAGAI LANDASAN TEORI DALAM PELAKSANAAN PEMBELAJARAN KOOPERATIF DI SEKOLAH DASAR
Authors: Suci Yayu Tresna 
Published: June 2019

Pembelajarn kooperatif memiliki popularitas yang membumi di dunia pendidikan. Penelitian mengenai keunggulan pembelajaran kooperatif banyak ditemukan dan membawa angin segar bagi peningkatan kualitas pembelajaran di sekolah. Dewasa ini pembelajaran kooperatif diharapkan bisa menjadi ruh dalam setiap aktivitas belajar di sekolah, akan tetapi pada pelaksanaanya tidak sedikit guru yang salah memberikan persepsi tentang pembelajaran kooperatif dan cenderung kesulitan dalam menerapkannya di kelas mereka. Tulisan ini mencoba membangun pembelajaran kooperatif dari segi teoritis yaitu melalui pemikiran vygotsky dan teori interdepedenncy social. Kedua teori ini akan ditelaah secara sistematis guna memberikan gambaran bagaimana wujud pembelajaran kooperatif yang lebih memadai.
Variability in Optical Coherence Tomography Angiography Interpretation in a Cohort of Retina Specialists
Authors: Prenner Sofia , Fine Howard F. , Feiner Leonard 
Published: June 2019

BACKGROUND AND OBJECTIVE:
To investigate the variability in optical coherence tomography angiography (OCTA) image interpretation in a cohort of retina specialists.

PATIENTS AND METHODS:
A survey consisting of a study set of images from 12 eyes examined by OCTA was created. Eight multiple-choice answers were provided as response options for each case. The survey was sent to 100 retina specialists, with instructions to complete the survey only if they had facility with the interpretation of OCTA images. Thirty-eight physicians completed the survey. Data generated were subsequently analyzed and interpreted.

RESULTS:
Krippendorff's alpha coefficients of agreement and their associated 95% confidence intervals (CIs) were utilized for statistical analyses. For the overall data, the estimated alpha coefficient was 0.366 (95% CI, 0.31–0.47). Although the estimated alpha coefficient is significant, the level of significance is considered low, as it is far from unity (0.366). Therefore, although statistically significant, the overall data did not demonstrate either high reliability or agreement in interpretation. Additional analyses evaluating the influence of years and location of practice, and frequency of OCTA use did not demonstrate a significant effect on reliability measures.

CONCLUSIONS:
Significant variability exists in the interpretation of OCTA images in this cohort of retina specialists. The overall data did not demonstrate high reliability or agreement in interpretation of images, suggesting the need for additional study of this nascent technology.

[
Ophthalmic Surg Lasers Imaging Retina
. 2019;50:344–353.]
Promotional Tools: Household Marketing Strategy and Its Effectiveness
Authors: Alam Khan Md.Shahin 
Published: June 2019

For any organizations, it is necessary to examine whether its marketing activities are enough to attract customers. The main objective of this study is to focus on the effectiveness of promotional tools of paintings industries.This research has done on the Roxy Paints Bangladesh Ltd. Every company employs their at best efforts to attract customer and to keep potential customer satisfied through their proper household marketing activities and tools. The effectiveness of these efforts depends on how the customer viewing the ads, how they remind advertisements in time of searching and purchasing the products. This report is based on some documents and also some practical observations. The nature of this study is exploratory and descriptive. All the issues intended to this study are explored through assessing and analyzing information those are gathered from different sources.