bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Kekuatan Tali Baja Mini Crane Dengan Penggerak Mesin Sepeda Motor
Authors: Akhmadi Amin Nur , Usman Wawan Junaidi 
Published: March 2024

Crane (mini crane) merupakan pesawat pengangkat yang digunakan untuk membantu dalam pemindahan bahan / material. Mini crane membantu sistem pengangkatan karena efektif dan cepat untuk memindahkan bahan bangunan ke tempat lebih tinggi. Tali baja merupakann komponen penting di sebuah crane karena komponen tersebut berhubungan langsung dengan beban, maka perlu dilakukan penelitian tentang kekuatan tali baja pada mini crane. Uji tarik tali baja di lakukan di Laboratorium Perindustrian Kabupaten Tegal, dengan metode uji benda sesuai dengan SNI 0076 : 2008. Metode uji tarik tali baja mengunakan mesin Shimadzu UH 1000 kNI dengan suhu ruangan 24°C. Kekuatan tali baja sesuai dengan spesifikasi kekuatan mini crane dengan hasil uji tarik pada tali baja sebesar 411,96 kgf sehingga aman digunakan pada mini crane. Untuk tekanan gulungan satuan tali baja pada drum berat beban sebesar 200 kg didapatkan tekanan drum sebesar 1,30 kg, dengan dibantu puli majemuk (puli tetap dan bebas) yang memperingankan beban tegangan tali sehingga menjadi 100 kg dengan tegangan kait tunggal sebesar 70,71 kg.
PENERAPAAN SENSOR PROXIMITY DAN PHOTOELECTRIC SENSOR UNTUK MENGETAHUI PERBANDINGAN KWALITAS BENANG YANG BAIK PADA MESIN RIETER E7/5-A
Authors: Desmira Desmira 
Published: March 2024

Penerapan sensor untuk menghasilkan kwalitas benang yang baik sangat dibutuhkan didalam dunia industri. Salah satu penerapan sensor yang umum digunakan adalah sensor proximility yang bisa mengatur jarak ketepatan dalam menghasilkan benang dan kain yang lebih baik. Penelitian ini dilakukan pada mesin rieter e7/5-a di PT.budi texindo prakarsa bertujuan untuk mengatur jarak ketika proses pemintalan benang dimesin rieter e7/5-a. Dari penelitian selama satu bulan disana didapatkan hasil perbandingan antara penerapan sensor proximity dapat mempercepat proses pemintalan benang dan meminilisir kegagalan didalam pemintal benang. Yang dianalisa adalah jenis benang Combed dan Carded. Secara garis besar benang Combed adalah benang yang teksturnya halus dan memiliki komposisi kapas 100% dan kualitasnya sangat baik dan biasa digunakan untuk membuat sebuah pakaian. Sedangkan untuk benang Carded adalah benang dengan jenis tekstur yang agaknya kasar dan kualitasnya tidak lebih baik daripada benang jenis Combed. Benang jenis Carded ini biasanya digunakan untuk membuat kaos kaki dan semacamnya dengan harga yang tidak lebih mahal dari produksi benang Combed. Untuk pembuatan kedua jenis benang tersebut terdapat beberapa perbedaan tersendiri. penerapan sensor sensor proximity dan photoelectric sensor untuk dapat memantau benang yang menghasilkan kwalitas benang yang baik pada mesin rieter e7/5-a di PT. Budi Texindo. Perbandingan selisih ( gap ) tertinggi terdapat pada berat Kebersihan sliver Combing yaitu 1.706 sedangkan jarang terdekat dengan karakteristi kwalitas adalah Banyaknya serat panjang sebesar 0,412.
İlkokul 4. Sınıf Öğrencilerinin Empatik Eğilim Düzeyleri ve “Hayır” Diyebilme Becerilerinin İncelenmesi
Authors: ERK Emrullah , ÖNER SÜNKÜR Meral 
Published: March 2024

ÖZ
Bu araştırmanın amacı, ilkokul 4. sınıf öğrencilerinin empatik eğilim düzeyleri ve “hayır” diyebilme becerilerinin incelenmesi ve empatik eğilim düzeyleri ile “hayır” diyebilme becerileri arasındaki ilişkinin belirlenmesidir. Betimsel bir araştırma olan bu çalışma, genel tarama modeli kullanılarak gerçekleştirilmiştir. Araştırmanın evrenini, 2020-2021 eğitim öğretim yılında Diyarbakır ili merkez ilçelerindeki resmi ilkokullarda öğrenim görmekte olan 22524 dördüncü sınıf öğrencisi oluşturmaktadır. Araştırmanın örneklemini ise, ulaşılabilir örnekleme yöntemi ile seçilen 418 ilkokul 4. sınıf öğrencisi oluşturmaktadır. Veri toplama aracı olarak “Kişisel Bilgiler Formu”, “Empatik Eğilim Ölçeği” ve “Hayır Diyebilme Ölçeği” kullanılmıştır. Çalışmadan elde edilen veriler SPSS paket programı ile analiz edilmiştir. Verilerin analizinde İlişkisiz Örneklemler için t testi, Tek Yönlü Varyans Analizi (ANOVA), Kruskal Wallis-H testi, Scheffe testi, Mann-Whitney U testi ve Pearson Momentler Çarpımı Korelâsyonu kullanılmıştır. Ayrıca, bağımsız değişkenlerin bağımlı değişkenleri yordama düzeylerini belirlemek amacıyla Çoklu Doğrusal Regresyon Analizi yapılmıştır. Çalışmanın bulgularına göre; ilkokul 4. sınıf öğrencilerinin empatik eğilim düzeyleri ile kardeş sayısı, kardeş sırası, baba eğitim durumu ve sosyoekonomik durum değişkenleri açısından anlamlı farklılık olmadığı; anne eğitim durumu değişkeni açısından ise anlamlı farklılık olduğu görülmüştür. Öğrencilerin “hayır” diyebilme becerisi ile anne mesleği değişkeni açısından anlamlı farklılık olmadığı; kardeş sayısı, kardeş sırası, anne-baba eğitim durumu ve sosyoekonomik durum değişkenleri açısından ise anlamlı farklılık olduğu görülmüştür. İlkokul 4. sınıf öğrencilerinin bilişsel empati düzeyleri ile duygusal empati düzeyleri arasında yüksek düzeyde pozitif bir ilişki, bilişsel empati ile reddetme boyutu arasında düşük düzeyde pozitif bir ilişki, bilişsel empati ile direnme eğilimi arasında düşük düzeyde negatif bir ilişki, reddetme eğilimi ile direnme eğilimi arasında düşük düzeyde pozitif bir ilişki ve duygusal empati eğilimi ile reddetme eğilimi arasında orta düzeyde pozitif bir ilişki görülmüştür. Diğer taraftan, duygusal empati eğilimi ile direnme eğilimi arasında herhangi bir ilişkiye rastlanmamıştır. İlkokul 4. sınıf öğrencilerin empatik eğilim düzeylerinden bilişsel empati ve duygusal empati boyutları, “hayır” diyebilme becerilerinden reddetme boyutunu %13’ünü açıklamaktayken, direnme boyutunu ise anlamlı yordamadığı görülmüştür. Araştırmanın sınırlılık ve sonuçlarından yola çıkarak uygulayıcılara ve araştırmacılara yönelik öneriler sunulmuştur.
Clinical course of COVID-19 infection in liver transplant patients
Authors: Bolkvadze R. , Chomakhashvili Z. , Nakashidze M. , Beridze D. , Beridze S. , Shanava K. , Mikeladze L. , Kashibadze K. 
Published: March 2024

In the presence of chronic liver diseases, the post‑infectious period of COVID‑19 is difficult and potentially mortal. The impact of COVID‑19 on liver transplant patients has not been thoroughly investigated.
Objective — to study the characteristics of the clinical course of COVID‑19 in liver transplant patients.
Materials and methods. At the end of December 2014, the first successful liver transplant operation in Georgia was performed at the Batumi Referral Hospital of the Autonomous Republic of Adjara. To date, a total of surgical interventions have been conducted, including 42 surgeries since the beginning of the pandemic. We analysed
The incidence of COVID‑19 infection in the cohort of 88 patients throughout their hospital stay after liver transplant and at the late postoperative period was analysed, as well as the characteristics of the clinical course of COVID‑19. To prevent COVID‑19 transmission within the hospital, a special protocol been developed: to ensure that the patient is safely isolated from contact with the source of infection. In the postoperative period, all patients received immunosuppressive therapy. To monitor the course of the disease, an interdisciplinary team was created, which consisted of a transplant surgeon, hepatologist, gastroenterologist, infectious disease specialist, therapist, and immunologist. The consultation was held at the place of residence and treatment of a patient.
Results. No cases of COVID‑19 infection were reported among patients at the hospital where the liver transplant was conducted. In the late period, COVID‑19 was registered in 17 (19.3%) patients, of whom one (5.9%) died from the infection. One patient was infected with COVID‑19 twice. We have identified four variants of the clinical course of COVID‑19: mild (23.5%) — without any symptoms except for mild respiratory symptoms; aggravated (41.2%) — mild respiratory symptoms and dyspeptic symptoms without significant changes in clinical diagnostic parameters; moderate (29.4%) — cough without sputum, hyperthermia for three days, decreased sense of smell, the presence of dyspeptic symptoms, increased average values of biochemical parameters (alanine aminotransferase, aspartate aminotransferase, γ‑glutamyl transpeptidase, alkaline phosphatase, total bilirubin); severe (5.9%) — development of multiple organ failure.
Conclusions. The implemented set of preventive measures ensured the patient’s protection from COVID‑19 infection in all cases during their hospital stay. In liver transplant patients.
An initial experience with laser hemorrhoidoplasty in patients with grade 2-3 hemorrhoids
Authors: Galyga T. M. , Perepadja V. M. , Vladichuk Y. V. , Antoniv V. R. , Kryvopustov M. S. , Kindzer S. L. 
Published: March 2024

Hemorrhoids are detected in 11% of the adult population, and they account for 42% of all rectal disorders. According to leading coloproctology centres, about 30% of patients with chronic hemorrhoids require surgical intervention. Each of these methods has its own advantages and disadvantages. None of them, however, provides minimally invasive intervention, which is the prevailing trend in modern surgery.
Objective — to conduct a comparative analysis and evaluate the outcomes of laser hemorrhoidoplasty and Milligan‑Morgan hemorrhoidectomy for patients with grade 2—3 chronic hemorrhoids.
Materials and methods. The study presents the treatment outcomes of 59 patients with grade 2—3 chronic internal hemorrhoids. The main group included 29 patients who underwent laser hemorrhoidoplasty. As a surgical treatment, the 30 patients in the control group underwent the Milligan‑Morgan operation using an Ethicon Harmonic ultrasonic electrosurgical coagulator.
Results. Treatment of hemorrhoids with a diode laser performed by a trained surgeon in accordance with the protocol and manner of execution offers a number of advantages compared to the traditional Milligan‑Morgan procedure. These advantages include a shorter operation time (p <0.001), reduced intensity and duration of postoperative pain after laser hemorrhoidoplasty (an average of 3.59±1.15 days), whereas after Milligan‑Morgan surgery, it was 5.60±1.22 days (p <0.001), decreased incidence of postoperative bleeding, and maintaining the radicality of the removal of the cavernous tissue substrate.
Conclusions. In the surgical treatment of grade 2—3 chronic internal hemorrhoids, laser hemorrhoidoplasty of internal hemorrhoidal nodes has undeniable advantages over the standard Milligan‑Morgan procedure.
A clinical case of successful treatment of acute phlegmonous appendicitis incarcerated in a hernial sac (Amyand’s hernia)
Authors: Haluzynska О. І. , Bilianskyi L. S. 
Published: March 2024

Atypical localization of the vermiform appendix (VA) in acute appendicitis can lead to diagnostic and tactical errors in emergency abdominal surgery. The rarest and most atypical localization of the VA is within the hernial sac. This type of hernia is defined as Amyand’s hernia. The optimal scope of surgical intervention and access method (laparoscopic or open) for Amyand’s hernia have not been definitively determined. Questions remain regarding the necessity of removing an unaffected vermiform appendix, the approach to hernioplasty in destructive appendicitis, and the feasibility of using a mesh implant for hernioplasty. In cases of a sliding hernia, the destruction of the hernial sac can lead to difficulties with suturing the peritoneum, assessing the state of the strangulated testicle in men, and performing an orchidectomy. Therefore, it is imperative to establish an algorithm for the evaluation and surgical management of patients with strangulated inguinal hernias.
Objective — present a clinical case of successful treatment of Amyand’s hernia with acute phlegmonous appendicitis incarcerated in a strangulated inguinal hernial sac and reactive orchoepididymitis, focusing on the selection of medical and diagnostic strategies to reduce the risk of complications.
The clinical case illustrates the effective management of a patient who presented with acute phlegmonous appendicitis and purulent orchoepididymitis. These abnormalities were found to be atypically localised within the sac of a strangulated right‑sided inguinal hernia, known as Amyand’s hernia. The necessary surgical procedures included an appendectomy and an orchidectomy.
Conclusions. Inflammation of the vermiform appendix in Amyand’s hernia can lead to various unpredictable purulent complications, such as acute typhlitis, purulent peritonitis, necrotizing orchoepididymitis, and Fournier’s phlegmon, necessitating extensive surgical intervention. The collective global and personal experience in treating Amyand’s hernia suggests the possibility of establishing standardised protocols for diagnosing and selecting a surgical intervention technique.
Comparative evaluation of different types of gastric conduits used for single-stage reconstruction during oesophageal cancer esophagectomy. Review
Authors: Shudrak Y. A. 
Published: March 2024

In the treatment of local and local‑regional oesophageal cancer, esophagectomy takes centre stage. It is a complex procedure with a high rate of postoperative complications. There are different methods for oesophageal reconstruction, including colon interposition, supercharged jejunal interposition, and gastric pull‑up. Each has both advantages and disadvantages. However, a gastric graft is the preferred option due to the less traumatic nature of the operation. Currently, there are different methods for forming a gastric graft. Gastric conduits are classified based on their shape and can be categorised as whole‑stomach, sub‑total stomach, or gastric tube. Previous research on the functional characteristics of gastric conduits revealed that the most effective solution is a typical gastric tube. Due to its width (3—6 cm), the gastric tube limits its impact on lung movement within the pleural cavity, hence decreasing the incidence of postoperative respiratory complications (e.g., pneumonia). Pulmonary complications and anastomotic leaks are the main contributing causes of postoperative morbidity and mortality after esophagectomy. Other complications include technical and functional issues, as well as delayed problems such as anastomotic strictures and disease recurrence. However, the rate of complications remains between 20 and 80%, prompting oncologic surgeons to develop new methods for gastric conduit formation. Over the past 5 years, innovative methods using a special‑shaped gastric tube have been suggested. They appear to decrease the incidence of postoperative complications and enhance nutritional outcomes. This study aimed to evaluate the advantages of using special‑shaped gastric tubes in clinical practice as opposed to whole‑stomach and typical gastric tubes.
Endocrine disorders in burn disease. Literature review
Authors: Kravets O. V. , Yekhalov V. V. , Gorbuntsov V. V. 
Published: March 2024

The purpose of the review is to highlight clinically hidden variants of hormonal dysfunctions in burn disease, which strongly determine the peculiarities of the course of the pathological condition but are often overlooked by clinicians. Based on available literary sources, this study provides a comprehensive analysis of specialised medical reports from both domestic and foreign researchers. The focus of this analysis was on compensatory and pathological shifts in hormonal regulation of the body in individuals suffering from local heat injury. The collected scientific data is expected to be useful to practitioners in the field of combustiology in their practical activities. Damage to the endocrine glands is one of the key pathogenetic factors of local thermal injury, but the intracellular mechanisms of the influence of burn disease on these processes remain poorly understood. The criticality of burn injuries often leads to hypodiagnosis of endocrine disorders, which are indeed typical and rapidly developing. The neuroendocrine response to severe burns is a multisystem coordinated response of the body, which can not only maintain homeostasis and play a protective role in critical conditions but also cause tissue damage, realising the properties of a «double‑edged sword». Burns covering more than 40% of the total surface area of the body are accompanied by a stress reaction and hyperinflammation with a steady increase in the secretion of catecholamines, glucocorticoids, and cytokines. Classic studies confirm that a sharp post‑burn increase in stress hormones (adrenaline, norepinephrine, glucagon, and cortisol) contributes to the development of hyperglycemia, a systemic catabolic state, and multiple organ dysfunction. It has been established that the hypothalamic‑pituitary axis is responsible for fluctuations in the content of pituitary hormones in the blood serum of patients with local thermal lesions. After severe burns, the plasma renin‑angiotensin‑aldosterone system is activated, and the level of some hormones increases for more than 2 months after the injury.
An algorithm for the diagnosis of sacrococcygeal pilonidal disease in resource-limited settings
Authors: Dubenko D. , Susak Y. 
Published: March 2024

Pilonidal disease (PD) is a very common condition. In the countries of the global West, which have high per capita income and advanced health care systems, the average lifetime incidence is about 26 cases per 100,000 people. In the USA, about 70,000 new cases of the disease are registered annually. The full‑scale aggression of the Russian Federation in February 2022 resulted in a drastic decline in access to high‑quality health care in Ukraine, particularly affecting people living in temporarily occupied territories, communities with significant destruction, and internally displaced persons. Pilonidal disease substantially reduces patients’ working capacity, diminishes their quality of life, and, in some cases, can result in severe complications that pose an immediate threat to their lives.
Objective — to develop a standardised algorithm for diagnosing sacrococcygeal pilonidal sinus disease (PD) in resource‑limited settings (combat zones, territories located in the close vicinity of the theatre of military operations where the population does not have full access to specialised health services; de‑occupied territories, which are temporarily deprived of access to qualified medical personnel and appropriate technical resources).
A standardised algorithm for diagnosing PD has been developed. It consists of nine stages organised into consecutive blocks. Each stage is designed according to the «task‑step‑commentary» principle and includes detailed explanations for performing the diagnostic procedure.
Conclusions. Sacrococcygeal pilonidal sinus disease is a common condition that requires timely diagnosis and further management. In resource‑limited settings, the creation of diagnostic algorithms is one of the important ways to improve access to health services.
Clinical features, anxiety and depression among patients with irritable bowel syndrome with constipation and Hashimoto’s thyroiditis with hypothyroidism
Authors: Onofrijchuk J. A. , Solovyova G. A. , Bogomaz V. M. , Kozak N. P. , Skrypnychenko S. V. , Onofrijchuk Y. A. 
Published: March 2024

Objective — to determine the peculiarities of clinical characteristics, assessment of anxiety and depression prevalence in patients with irritable bowel syndrome with constipation (IBS‑C) and Hashimoto’s thyroiditis with hypothyroidism.
Materials and methods. 96 patients with IBS‑C were included in the clinical prospective study and were divided into 2 groups: 65 (67.7%) patients with IBS‑C and Hashimoto’s thyroiditis with hypothyroidism (study group) and 31 (32.3%) patients with IBS‑C (control group). Clinical examination findings were analyzed with help of questionnaires. The Hospital Anxiety and Depression Scale (HADS) was used to identify anxiety disorders and depression. Statistical analysis was performed using Stata 11 and Statistica 6 software packages.
Results. Patients with irritable bowel syndrome with constipation (IBS‑C) and Hashimoto’s thyroiditis with hypothyroidism were more likely to have bloating than patients with isolated irritable bowel syndrome with constipation (p <0.05), who are more likely to have heartburn. No statistical difference was observed between the frequency of nausea, vomiting, pain or heaviness in stomach and loss of appetite in both groups (р >0.05). Anxiety was significantly more prevalent in patients with IBS‑C and Hashimoto’s thyroiditis with hypothyroidism (p=0.002). No statistical difference was observed between the frequency of depression in both groups (p=0.180).
Conclusions. It’s more likely that patients with IBS‑C and Hashimoto’s thyroiditis have higher frequency of bloating and higher anxiety level than patients with isolated IBS‑C, in which heartburn is predominantly observed. There was no significant difference in depression level between patients with IBS‑C and Hashimoto’s thyroiditis and patients with isolated IBS‑C.
Modern Features of the Epidemiological Situation of Tuberculosis in Ukraine (Review)
Authors: Valetskyi Yu.M. , Nychyporuk V.O. , Valetska R.O. 
Published: March 2024

Objective — to study the epidemiological situation of tuberculosis in Ukraine from 2018 to 2022.
Materials and methods. This research utilised a comprehensive source base including official statistical data from the State Statistics Service and the Ministry of Health of Ukraine, scholarly articles from both international and domestic researchers, materials from periodicals and international conferences and internet resources. Additionally, the insights and analyses were enriched by involving six experts and organisers from the phthisiatric service. These experts were instrumental in interpreting statistical data and identifying causal relationships within the dynamics of the epidemiological indicators.
Results and discussion. From 2018 to 2022, the incidence of tuberculosis (TB), including its recur­rences, in Ukraine decreased by 27.3 %. During this timeframe, TB incidence among children aged 0—14 years fell by 16.9 %, and among adolescents aged 15—17 years, it dropped significantly by 45.8 %. Despite these overall reductions, a notable increase in TB incidence was observed across the Ukrainian population by approximately 3.5 % and specifically among children aged 0—14 years by 25.4 % in 2021, compared to 2020. The Odesa Oblast reported the highest morbidity rate across all Ukrainian regions over this five-year period, although it experienced a 36.0 % reduction from 2018 to 2022. Importantly, the prevalence of all forms of active TB across the Ukrainian population decreased by 40.7 % from 2018 to 2022. This decline was also reflected among children aged 0—14 and 15—17 years, with decreases of 34.1 and 49.7 %, respectively. Statistically, the highest morbidity rate among healthcare institution employees in Ukraine was observed in 2018, reaching 6.0 per 10,000 employees.
Conclusions. Since 2020, a concerning trend has emerged in Ukraine with an increase in the incidence of tuberculosis by almost 3.5 %, and a sharp rise of 25.4 % among children aged 0—14 years in 2021, reversing the previously declining trend. This uptick is likely influenced by the COVID-19 pandemic. Despite this, there was a notable decrease in the prevalence of all forms of active TB across Ukraine's entire population by 40.7 % from 2018 to 2022. The highest morbidity rate among healthcare workers was observed in 2018, at 6.0 per 10,000 workers. A significant concern remains TB's impact on the working-age population, leading to permanent disability. However, the rate of primary disability due to TB among the adult and working-age population showed a decrease in 2022 by 11.4 and 3.9 %, respectively. The underdiagnosis of TB, potentially exacerbated by the COVID-19 pandemic and the ongoing conflict, poses a significant challenge to controlling the disease.