bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improvement of methods of diagnosis and treatment of patients with obstructive jaundice of tumor genesis
Authors: Revazov E. B. , Khutiev T. S. , Revazova M. R. , Chetiev A. N. , Beslekoev U. S. , Ardasenov T. B. 
Published: October 2023

The Objective was to improve medical and diagnostic care for patients with obstructive jaundice of tumor genesis.Methods and Materials. Retrospective analysis of the treatment results of 309 patients with obstructive jaundice of tumor genesis. We studied the results of endoscopic transpapillary and/or percutaneous transhepatic antegrade endobilliary minimally invasive surgical interventions of 307 (99.3 %) patients. We carried out the analysis of complications, reasons and possible elimination path. A new, more effective method of trepan-biopsy of tumors of the pancreatic head and distal choledochus and devise for it implementation were developed (patent № 2722655, 2747591).Results. Minimally invasive decompression interventions at the first stage of treatment of patients with obstructive jaundice of tumor genesis reduced the percentage of fatal postoperative complications to 1.3 %. The first results of the application of the developed trepan-biopsy method showed their high efficiency, reliability and safety.Conclusion. The differentiated approach to the choice of the method of decompression of the biliary tract at the first stage is important for improving the results of treatment. The use of the method of simultaneous puncture transhepatic billioduadenal drainage with trepan-biopsy of tumors of the pancreatic head and distal choledochus is, as it seems to us, a new, promising adjustment in solving the problem of morphological verification of tumors of the hepatopancreatoduodenal zone and reducing the time of diagnosis and treatment of patients with obstructive jaundice of the tumor genesis.
Minimal invasive prophylaxis of bleeding from esophageal varices in children with extrahepatic portal hypertension
Authors: Yuldashev R. Z. , Aliev M. M. , Shokhaidarov Sh. I. 
Published: October 2023

The objective of the work was to study the efficacy of minimally invasive endoscopic treatment of esophageal varices (EV) in children with extrahepatic portal hypertension (EHPH).Methods and Materials. Eighty children aged 3 to 17 years of age with EHPH included in this study. The patients were divided into three analysis groups. The group I (n=14) included children with EHPH who had not previously undergone any surgical interventions and endoscopic ligation of EV was performed against the background of acute bleeding or after medical hemostatic treatment. The group II (n=37) included patients who had undergone the endoscopic treatment of EV after an unsatisfactory outcome of previously performed surgical interventions. The group III included 29 children who underwent only azygos-portal disconnection procedures. We performed the comparative analysis of the severity of EV before and after sessions of the endoscopic treatment of EV, as well as the analysis of the frequency of recurrent bleedings in comparison groups.Results. According to the research results, recurrent gastroesophageal hemorrhages were noted in 44.4 % of cases in the group I. In the group II, 37 patients underwent a total of 68 sessions of the stage endoscopic treatment of EV. According to the control endoscopic examinations, there was a significant reduction in the risk of bleeding from EV between ligation sessions (p=0.001) of the endoscopic treatment of EV. During the follow-up period, in the group II, recurrent bleedings from EV were noted in 6 (16.2 %) patients. Whereas in 10 (34.5 %) children of the group III, recurrent gastroesophageal hemorrhages were noted in the postoperative period. The analysis showed a significant correlation of the presence of «red flags» with recurrent episodes of bleedings in children of the group II after the endoscopic treatment of EV (r=0.32 p=0.05). Analysis of the causes of recurrent gastroesophageal bleedings in children of the group III did not reveal significant differences in such parameters as the degree of EV and «red flags».Conclusion. Thus, the endoscopic treatment of EV is a safe and effective method of secondary prevention of bleedings from EV. The question concerning the primary prevention of gastroesophageal hemorrhages require further study.
Hubungan Usia dan Kadar Prostate Specific Antigen (PSA) dengan Derajat Histopatologi Adenokarsinoma Prostat di RSUD Abdoel Wahab Sjahranie Samarinda
Authors: Pratiwi Novita Eka Tyas , Riastiti Yudanti , Irawiraman Hadi , Danial Danial 
Published: October 2023

Adenocarcinoma prostate generally occurs in older adults and maybe because of increase in prostate-specific antigen (PSA) levels. It is essential to know the relationship between age and PSA levels with histopathological grade to determine the appropriate management in cases of prostate adenocarcinoma. Objective: To determined the relationship between age and PSA levels with the histopathological grade of prostate adenocarcinoma patients at Abdoel Wahab Sjahranie General Hospital, Samarinda. Methods: The research design was analytic observational with a cross-sectional study approach. The data was taken from the medical records of prostate adenocarcinoma patients at Abdoel Wahab Sjahranie Hospital Samarinda from 2018 until 2022 using the total sampling method. 52 patients met the inclusion criteria. Bivariate analysis using the Chi-square test. Results:This study showed that there was no relationship between age (p=0.433) and PSA levels (p=0.347) with the histopathological grade of prostate adenocarcinoma patients at Abdoel Wahab Sjahranie General Hospital, Samarinda. Conclusion: There was no significant relationship between age and PSA levels with the histopathological grade of prostate adenocarcinoma at Abdoel Wahab Sjahranie Hospital, Samarinda.Keywords: adenocarcinoma prostate, age, histopathological degree, PSA levels
Toward an Efficient Method for F-16 Limit Cycle Oscillation Prediction
Authors: Kariv Daniel , Kunz Donald L. , Iovnovich Michael 
Published: October 2023

This study presents the development and validation of a computationally efficient prediction framework for the well-known nonlinear F-16 limit cycle oscillation (LCO) phenomenon. The framework relies on a simple physical working model that has been suggested and demonstrated in the past according to which LCO is primarily a flutter instability that is bounded by the existence of nonlinear structural damping (NSD), although potentially affected by nonlinear aerodynamic effects as well. In the framework developed herein, the NSD model is derived and calibrated using a novel method that simplifies the process and allows applicability of the derived NSD models for multiple aircraft download cases. Good LCO prediction capabilities are obtained using the suggested method in terms of LCO levels and trends with flight conditions, as demonstrated using four F-16 test configurations. This framework also allows several practical benefits, which makes it particularly suitable for industrial-level applications.
Studi Evaluasi Dan Perencanaan Eksisting Kinerja Proses Pengolahan Air Minum Instalasi Pengolahan Air Arang Limbung Perumda Air Minum Tirta Raya Kabupaten Kubu Raya
Authors: Aulia Sauqiyah , Kadaria Ulli , Nugraheni Putranty Widha 
Published: October 2023

Lokasi penelitian berada di IPA 3 Perumda Arang Limbung, Desa Arang Limbung, Kecamatan Sungai Raya, Kabupaten Kubu Raya. Memiliki kapasitas 120 L/detik serta unit pengolahan pengolahan lengkap. Air baku menggunkan air Sungai Kapuas dan hasil pengamatan didapatkan kerak dan lumut menempel di dinding bak yang bisa mempengaruhi kualitas dan kuantitas air. Tujuan penelitian ini untuk mengetahui kualitas air baku dan air hasil olahan IPA 3 Arang Limbung apakah sesuai standar baku mutu serta memberikan rekomendasi optimalisasi IPA pada unit proses. Tahapan penelitian meliputi analisa kualitas air baku, evaluasi kondisi eksisting instalasi dan optimalisasi kinerja unit operasi dan proses pengolahan instalasi, analisa kualitas air produksi dan hasil optimalisasi unit instalasi. Kualitas air baku tidak sesuai baku mutu air kelas I PP RI No. 22 Tahun 2021 yaitu kekeruhan 42,237 NTU, warna 323,333. Kualitas air minum tidak sesuai dengan Kepmenkes RI No. 492/Menkes/Per/IV/2010 yaitu warna 125 Pt.Co, dan pH 4,56. Upaya optimalisasi IPA 3 Arang Limbung yaitu, dilakukan penentuan dosis koagulan dengan percobaan jartest, mendesain ulang beberapa unit operasi instalasi antara lain, bak flokulasi yaitu P = 5 m, T = 5 m, bak sedimentasi P = 14 m, L = 6 m, bak filtrasi P = 8 m, L = 4 m, H = 5,5 m, dan menambah satu unit bak reservoir. Diharapkan dengan dilakukannya evaluasi pada IPA 3 Arang Limbung hasil air olahan sesuai dengan baku mutu Permenkes No.492 Tahun 2010 dan perencanaan unit instalasi pengolahan sesuai dengan SNI 6774-2008.
Peran Sastra Cyber Dalam Pembelajaran Di sekolah
Authors: Dhinda Wulandari Dhinda Wulandari , Azka Davia  
Published: October 2023

Tujuan penulisan artikel ini adalah mendeskripsikan (1) sastra cyber, (2) pembelajaran sastra di sekolah, dan (3) peran sastra cyber pada pembelajaran di sekolah. Metode yang digunakan untuk mengumpulkan data adalah kajian pustaka. Paparan yang mengandung informasi tentang peran sastra digital (sastra cyber) pada pembelajaran sastra di sekolah. Matrik pencatatan data disusun berdasarkan kebutuhan dan mengandung dua unsur, yakni deskripsi sumber data dan data terkutip atau kutipan data. Hasil penelitian ini menunjukkan bahwa sastra digital berperan sebagai perluasan apresiasi sastra. Oleh karena itu, hadirnya sastra cyber ini peserta didik dapat dengan mudah membuka sendiri karya sastra yang ingin mereka baca. Selain itu, hal tersebut dinilai dapat melestarikan Bahasa dan sastra di kalangan remaja hingga masyarakat luas. Sastra Cyber merupakan salah satu bentuk perlindungan bahasa dan sastra dengan terus melestarikan Bahasa Indonesia dengan berkarya dibidang sastra. Selain itu, sastra cyber juga berperan sebagai arsip dan sumber data karena ruang yang tidak terbatas dan tanpa batasan waktu. Sastra Cyber juga berfungsi sebagai media pembelajaran sastra untuk peserta didik di sekolah
Un idillio dannunziano
Authors: Melosi Laura 
Published: October 2023

The article aims to verify how the modern classic of 19th century Giacomo Leopardi has influenced d’Annunzio, with particular regard to the representation of nature. Traditionally, critical studies on d’Annunzio’s models have not recognised significant traces of ‘leopardismo’ in this author. The analysis of the poem Nox, in Primo vere, shows that the young d’Annunzio knew Leopardi’s works very well like a Cicognini School student had to do. It also proves that leopardian lection of Idylls is present in some d’Annunzio’s descriptions of natural landscapes, like lunar nights and quiet countryside. However, d’Annunzio never gave up his style, which was evident right from his early poetic stage.
«L’amante delle cose»: su natura, arte, scrittura nei Taccuini
Authors: Rusi Michela 
Published: October 2023

The writing of the Taccuini expresses d'Annunzio's tension to appropriate ‘things’, to decipher their language and to bring out their full-bodied evidence, achieving results comparable to the highest ones of his poetry. Starting from this persuasion, the present contribution highlights as the primary tool of this perceptive ability and of the poetics that is based on it is for the writer the body, which however in the transformations to which it is subject conditions and limits this ability and over time it loses it, precisely because of the particular visionary intensity that characterized it. It is a parable that must be read as internal to the biographical path of the writer (illness, old age), therefore interpreted without the ideological and moralistic conditionings that still weigh on a correct collocation and understanding of d’Annunzio's experimentalism.
El ideario romántico en la construcción patrimonial de la ciudad de Córdoba. Aportaciones para una interpretación de su contexto turístico-cultural
Authors: Royo-Naranjo Lourdes , Laguna Bolívar Ángela 
Published: October 2023

La configuración del escenario patrimonial de las ciudades andaluzas tiene una estrecha vinculación con los cambios acaecidos durante el Romanticismo y las nuevas concepciones históricas y estéticas que se dieron con este nuevo período a nivel nacional. En nuestro caso de estudio, la ciudad de Córdoba constituye un buen ejemplo de ciudad ideal para los primeros turistas románticos. Su visita y como consecuencia de ello, los testimonios que describen el espacio urbano cordobés, terminarán calando de forma significativa en la imagen del panorama turístico de la ciudad, influenciando a las campañas de marketing realizadas hasta nuestros días y provocando que la visión foránea mantuviera un peso importante en la definición patrimonial de la ciudad.
Este artículo presenta una somera revisión de los estudios realizados, así como los primeros resultados investigadores dentro de una tesis doctoral que definieron y configuraron una serie de clichés e ideas preestablecidas sobre la ciudad de Córdoba y su actividad patrimonial, reflejándose de manera directa en la actividad turística actual, que deben ser revisados e interpretados para su correcta contextualización patrimonial en clave de futuro.
DEPREM RİSKİNE İLİŞKİN SİGORTA VE TAZMİN SÜRECİNE DAİR GÜNCEL SORUNLAR
Authors: DEMİRCİ Serdar 
Published: October 2023

Deprem katastrofik bir risktir. Günümüz modern bilim dünyasında uygun teknik alt yapı ve inşaat teknolojileriyle birlikte deprem riskinin olumsuz sonuçları minimize edilebilir hale gelmiştir. Buna karşın bulunduğumuz coğrafya ile bize özgü bazı hatalarımızdan dolayı deprem, ülkemiz açısından hȃlȃ büyük kayıplara neden olmakta ve gündemdeki acı yerini korumaktadır.
Doğal afet niteliği taşıyan deprem riskine karşı, en azından ekonomik yıkımların önüne geçebilmek adına bir risk transfer mekanizması olan “sigorta” önemli bir enstrümandır. 1999 Gölcük depremi sonrasında, yaşanılan kayıpların sebep olduğu farkındalıkla birlikte deprem riskine karşı sigorta güvencesinden daha etkin şekilde yararlanmak fikri somut bir hal almıştır. Bu kapsamda zorunlu bir sigorta ihdas edilmiş ve ihtiyaç halinde kullanılmak üzere reasürans korumasıyla birlikte ciddi bir fon tesisi sağlanmıştır. Zorunlu deprem sigortasının yanında, ihtiyari sigortalar da deprem riskine karşı teminat sunmaktadır.
Bu çalışmada da başta zorunlu deprem sigortası olmak üzere, deprem riskini ihtiva eden sigorta sözleşmeleri özelinde var olan genel duruma sigorta hukukunun genel ilkeleri dahilinde kısaca değinilmeye çalışılmıştır. Bilhassa ülkemizin halihazırda yaşamış olduğu büyük deprem felaketi sonrasında zararların tazmini sürecinde sigortalıların karşılaşabileceği muhtelif güncel sorunlara, ışık tutulmaya ve çözüm önerileri getirilmeye gayret edilmiştir.
YÜKLENİCİLERİN (MÜTEAHHİTLERİN) DEPREM SEBEBİYLE ORTAYA ÇIKAN MADDİ ZARARLARDAN ESERİN AYIPLI OLMASINDAN KAYNAKLANAN SORUMLULUĞU
Authors: GÜMÜŞ Sarp 
Published: October 2023

Ülkemizde 6 Şubat 2023 tarihinde Kahramanmaraş merkezli on bir ili etkileyen deprem felaketi, yıkılan veya ağır hasar gören yapılar sebebiyle bu yapıları inşa eden yüklenicilerin (müteahhitlerin) sorumluluğunu bir kez daha gündeme getirmiştir. Çalışmamız, yüklenicilerin özellikle yapıların ayıplı inşa edilmesi sebebiyle zarar görenler ile bir eser sözleşmesi ilişkisi içerisinde olması halinde hukuki sorumluluğunun ve buna karşılık iş sahibinin sahip olduğu hakların neler olduğunun incelenmesini hedeflemektedir.
Eserin ayıplı olarak inşa edilmesi halinde iş sahibi, yükleniciye karşı bazı seçimlik haklara sahip olup iş sahibinin bu seçimlik hakların yanında genel hükümlere göre yükleniciden tazminat isteme hakkı da saklıdır. Bu tazminat hakkının kapsamına, ayıp zararı ile birlikte ayıptan doğan zararların da girdiğinin kabulü ile iş sahibinin, eserde ayıp sebebiyle meydana gelen kıymet noksanının yanı sıra uğramış olduğu maddi zararın tazminini de talep edebilmesi mümkün olur. Bu sayede, iş sahibinin sahip olduğu seçimlik hakları çeşitli sebeplerle kullanamamasından veya kullansa bile zararını tam olarak karşılayamamasından kaynaklanan mağduriyetinin de önüne geçilir.
İş sahibi tarafından genel hükümlere dayanan maddi tazminat taleplerinde, özellikle deprem gibi doğal afetlerde mücbir sebep dolayısıyla illiyet bağının kesildiği savunmasıyla karşılaşılabilir. Bu tür durumlarda, yüklenicinin salt mücbir sebebe dayanarak illiyet bağının kesildiğine ve bu sebeple tazminat taleplerinden sorumlu olmadığına yönelik savı her zaman kabul görmemeli; somut uyuşmazlıkta hâkim tarafından mücbir sebebin kaçınılmazlık unsuru göz önünde tutularak maddi tazminat talepleri yönünden bir inceleme yapılmalıdır.
TRAJETÓRIA DO PROGRAMA NACIONAL DE IMUNIZAÇÕES EM ALAGOAS
Authors: Rebelo Aquino Rodrigues Ana Paula , Castro Teixeira Maria Denise , De Araújo Mendes Tânia Kátia , Nascimento de Veras Julliana Danielle , Alves Waldman Eliseu 
Published: October 2023

Objetivo: Descrever a trajetória do Programa Nacional de Imunizações no estado de Alagoas. Método: Trata-se de um relato de experiência. Resultados: As atividades voltadas ao acompanhamento da vacinação em Alagoas tiveram início na década de 1950, com o Serviço Especial de Saúde Pública. O programa estadual não possui documentos públicos institucionais de sua trajetória nos primeiros anos, por isso, os relatos das gestoras são primordiais para iniciar o registro da atuação do programa. A gestão do programa tinha o apoio do Ministério da Saúde, que realizava cursos e inquéritos. Não ocorria falta de insumos, os imunobiológicos eram disponibilizados diariamente nas salas de vacina de Alagoas, os municípios possuíam contato direto com a gestão do programa, que explicava e estimulava o aumento das coberturas vacinais, além de parabenizar quem as alcançava. Considerações finais: Em Alagoas se registra, nas quatro primeiras décadas, um trabalho intenso, com comunicação entre municípios e o estado, capacitações, campanhas de vacinação e o acompanhamento in locu pelos gestores dos trabalhos dos municípios alagoanos, que realizavam cursos e inquéritos no estado e com o apoio da rede estadual de educação, cujas escolas eram sede dos postos volantes nas campanhas de vacinação.
The Actor's Relationship to the Traditional Government of Parlondut Samosir Village
Authors: Gultom Yohansen Wyckliffe , Tonny P. Situmorang  , Bengkel Ginting  
Published: October 2023

The relationship between actors at the village level in Indonesia often changes in each period. The uniformity of actors in Indonesia has finally begun to take place since the enactment of Law No. 5 of 1979 concerning Village Government. This study wanted to look at the relationship of actors at the village level. Especially in Parlondut Village, Samosir Regency. This research is qualitative research with qualitative descriptive methods and data collection techniques in the form of in-depth interviews along with literature studies. The results of this study show that there are differences in dominance between actor relations (power over relations) in each period of power at the village level. In addition, from the aspect of relations or values (power to relation) there is a value order that is still maintained, such as Dalihan Na Tolu and marsiadapari which lasted since the traditional reign of Ancient Batak, the Dutch period, Japan including during the Old Order through the huta and habius governments. As a conflict resolution in the midst of conflict at the Parlondut village level, Samosir Regency is recognized as an indigenous community but not as an indigenous village because there must be supporting regulations at the district level.
ANALISIS CAMPAIGN PROGRAM GO GREEN YANG DILAKUKAN PANDAWARA GROUP
Authors: Ardilla Yunda , Arlanthy Indah Putri , Fauzi Avri Zavira , Deskita H.S Zelyne 
Published: October 2023

Lingkungan merupakan sesuatu yang tidak bisa dipisahkan dari manusia secara ilmiah, karena manusia akan terus berinteraksi dengan lingkungannya. Dan terkadang manusia juga bisa memengaruhi lingkungan itu sendiri.
Pandawara group menerapkan beberapa kegiatan kebersihan di beberapa kota. Mereka melakukan dengan ketekunan bukan semata-mata perintah dari seseorang. memulai kegiatan dengan cara yang ekstrem dan hampir meregut nyawa mereka, akan tetapi itu tidak menjadi penghalang mereka untuk tidak melakukan kegiatan tersebut. Yang awalnya mereka hanya anak muda biasa yang suka nongkrong tengah malam tapi kini mereka telah berubah menjadi pahlawan kebersihan yang disegani oleh masyarakat. Oleh karena itu, penting untuk menjaga kebersihan air agar tetap layak untuk digunakan. Salah satu cara untuk melakukannya adalah dengan mengontrol pencemaran air yang disebabkan oleh bahan berbahaya, seperti logam berat, bahan kimia, limbah domestik, dan limbah industri pabrik. Karena pasti ada dampak negatifnya ketika kita membiarkan alam semakin memburuk.
Thermal protection improvement of building envelope near external corner (Tomsk)
Authors: Ivanova E. A. , Penyavskii V. V. 
Published: October 2023

The problem of energy saving is relevant nowadays. Great attention is especially paid to improving the energy efficiency of different building envelopes, since the heat consumption is a significant part of total costs for utility needs. Purpose: The aim of the paper is to study the state of the building envelopes nearby the outer corner. Research findings: Methods of reduction of the negative impact of the thermal bypass nearby the corner manifest themselves in condensation, mold, and subsequently lead to the envelope destruction. The use of insulated bevel edge leads to better results than that without insulation. But the minimum dew point temperature remains at corners and does not exceed 13.5 °C. Only in this case, the minimum dew point temperature moves to bevel edges. Value: The thermal bypass (outer corner) effect on the temperature field of its inner surface is studied. Three wall thicknesses are investigated: 510, 640, and 770 mm. It is shown that in all cases the corner temperature decreases below the dew point temperature.
Historical settlements on territories of Kazan and Kama agglomerations (Kazan)
Authors: Khakimova T. S. 
Published: October 2023

Due to the growing interest in the country's resources, including territories, it is worth paying attention to historical settlements, i. e., potential tourist, recreational, cultural objects, integral components of regional, group and district settlement systems, territories with cultural heritage objects. The article considers historical settlements in Kazan and Kama agglomerations of the Re-public of Tatarstan. The purpose of the study is to determine the historical settlement position on the territory of these agglomerations. Research is based on practice, data from the state statistics service, cartographic materials, documents on territorial planning of the region, municipalities as part of agglomerations, field studies. Methods of analysis, historical and archival documents, cartographic analysis, field studies are applied. The functioning of historical settlements on the territory of Kazan and Kama agglomerations is investigated. The article defines problems and tasks of including historical settlements in the functional framework of the territory.