bluuebunny/crossref_metadata_2025_split huggingface dataset:
Previously operated recurrent pilonidal sinus treated with crystallized phenol: Twenty-year experience in a cohort study
Authors: Kargın Süleyman , Doğru Osman , Turan Ersin , Saygın Kerimoğlu Ramazan , Ebru Nazik Emet , Esen Ebru 
Published: December 2022

Objective: Postoperative recurrent pilonidal sinus disease is troublesome, and its treatment is a challenge. In this study, it was aimed to present the long-term efficacy of crystallized phenol treatment on postoperative recurrent pilonidal sinus disease through our results collected within the last 20 years.
Material and Methods: Two hundred and twenty-seven patients who had been previously operated on and suffered from recurrent pilonidal sinus disease were enrolled. The operation was applied in our outpatient clinic under local anesthesia. Demographic data of the patients, number of crystallized phenol treatment, duration of follow-up and recurrence numbers were prospectively recorded. Treatment success and factors affecting recurrence were examined.
Results: Our success rate was found as 71.5%. This success rate belongs to the group of patients who never quit treatment and complied with the treatment. The patients were followed up for a mean 45.8 months. Of the post-crystallized phenol treatment recurrences, 72.4% took place within the first five years, while 97.4% did so within the first 10 years. Mean number of crystallized phenol applications was 2.6. The longer the duration of the disease before treatment, the more recurrence was observed after treatment (p= 0.02). There was no correlation between the number of previous operations and recurrence after treatment. As the number of sinus openings increased, so did the number of applications (p= 0.001).
Conclusion: Crystallized phenol treatment yields promising long-term results in recurrent pilonidal sinus disease as well and may be recommended as the first choice in recurrent pilonidal sinus disease treatment since it is an effective non-operative treatment modality.
Evaluation of Echinococcus DNA by polymerase chain reaction (PCR) in cystic Echinococcosis of the liver
Authors: Tolga Kırış Mehmet , Ergün Sefa , Akıncı Ozan , Ergin Sevgi , Velidedeoğlu Mehmet , Sami Kocazeybek Bekir , Göksoy Ertuğrul 
Published: December 2022

Objective: The aim of this study was to determine the DNA and genotypes of Echinococcus granulosus in liver cyst hydatids isolated in humans.
Material and Methods: This study was conducted prospectively at the Department of General Surgery of the Cerrahpaşa School of Medicine, University of İstanbul-Cerrahpaşa, between January 2015 and June 2016 in 30 patients who were operated on for cystic Echinococcosis. E. granulosus DNA was analyzed using the Polymerase Chain Reaction (PCR) method in the cyst samples (protoscolex and/or germinative membrane) obtained during the operation, and genotype was determined in the PCR positive samples by sequence analysis. At the same time, indirect hemagglutination (IHA) was used to test for the presence of antibodies in the patients’ blood.
Results: E. granulosus DNA was found in 29 out of 30 cystic Echinococcosis of the liver samples. All of the 29 cystic Echinococcosis samples were found to be G1 (sheep) species. Also, IHA was positive in 22 patients and negative in eight patients.
Conclusion: In the present study, G1 species was the most commonly seen liver cystic Echinococcosis species. We suggest that a vaccine, which could be developed against prevalent regional genotypes, would be efficacious in the prevention of the disease with a cause of mortality and morbidity.
COVID-19 outbreak and acute appendicitis: Does the lockdown has a influence on appendectomies?-A single center retrospective cohort study
Authors: Ocak Sönmez , Faruk Bük Ömer , Safa Uyanık Mustafa , Burak Çiftci Ahmet 
Published: December 2022

Objective: Healthcare systems have been negatively affected from COVID-19 pandemic worldwide. Elective surgical procedures were postponed and conservative treatment options were considered even in urgent conditions. This study aimed to explore the influence of the COVID-19 pandemic on urgent appendectomy in a pandemic hospital.
Material and Methods: Patients on whom appendectomy was performed between March 2020- June 2020 were included into the study (pandemic group). For comparison, control group patients were selected in the same period of 2019 (control group). Patients’ demographics, laboratory and radiological findings, length of hospital stay, complications and histopathological findings of the groups were compared.
Results: Forty-six patients were included in pandemic group and and one hundred-one in the control group. Patient characteristics were similar in both groups. There were no significant differences in type of surgery, complications, laboratory and histopathological findings. In the control group, length of hospital stay was longer when compared with the pandemic group.
Conclusion: Although the number of appendectomies performed decreased significantly during the COVID-19 pandemic, perioperative parameters were similar in both groups
Short and long term results of anatomical reconstruction of perineal body and sphincter complex in obstetric anal sphincter injuries
Authors: Kemal Kayapınar Ali , Ali Çetin Durmuş , Betül Paköz Zehra , Karakolcu Kübra , Egemen Ertaş İbrahim , Erdinç Kamer Kemal 
Published: December 2022

Objective: The effective way to reduce the risk of fecal incontinence (FI) in primary repaired obstetric anal sphincter injuries (OASIS) patients is to accurately detect the injury and provide complete anatomical reconstruction. The aim of the study was to evaluate the short-term and long-term results of OASIS cases that were diagnosed by an experienced surgical team and whose perineal body and anal sphincters were reconstructed separately.
Material and Methods: Sixteen patients that required consultations due to anal sphincter damage during vaginal delivery and underwent anatomical reconstruction due to Grade 3c and Grade 4 sphincter damage between 2007 and 2019 were included in the study. These cases were divided into three groups [Group 1 (≤12 months), Group 2 (12-60 months), Group 3 (≥60 months)] according to the time elapsed until anal manometry, and incontinence questionnaires were conducted in the postoperative period. Recto-anal inhibitory reflex (RAIR), mean resting (IB) and squeezing (SB) pressures were measured by anal manometry. Anal incontinence (AI) and FI rates were determined by questionnaires. Anal sphincter damage repair techniques (overlapping, end-to-end) were determined. These parameters were compared between the three groups.
Results: Mean age of the patients was 27.5 (16-35) years. Six (37.5%) patients had Grade 3c, while 10 (62.5%) had Grade 4 injury. The overall mean RP and SP were 35 (26-56) mmHg and 67 (31-100) mmHg, respectively. Mean RP and SP were 46/67 mmHg, 33.5/75.5 mmHg, and 37.5/70.5 mmHg in Groups 1, 2, and 3 respectively. There was no difference between the three groups in terms of mean RP and SP (p= 0.691, p= 0.673). The rate of AI and FI in all patients were 18.75% and 12.5%, respectively while the rate of severe AI incontinence was 6%. Severe AI was observed in 1 (16.7%) case in Group 1, mild AI was observed in 1 (25%) case in group 2, and in 1 (16.7%) case in Group 3. RAIR was positive in all patients. In Group 1, 5 (83.3%) patients underwent overlapping repair, and in Group 3, 6 (100%) patients underwent end-to-end repair. This difference was statistically significant (p= 0.011).
Conclusion: In vaginal births, evaluation of anal sphincter damage, determination of perineal body structures and anal sphincters separately and performing anatomical reconstruction when needed significantly reduce the rate of FI in the short and long term.
Pengaruh Disiplin Belajar Dan Motivasi Belajar Terhadap Hasil Belajar Dengan Menggunakan Pembelajaran E-Learning Pada Sekolah Minggu Buddha (Smb) Chong De Se-Sumatera Utara
Authors: Sylvia Lestari  , Muljadi  , Lianah  
Published: December 2022

This research was conducted ƭ on ƭ the ƭ factorsƭ thatƭ affectƭ learning ƭ outcomes, ƭ especially ƭ on ƭ the ƭ subject ƭ of ƭ Buddhism at SMB Chong De, North Sumatra. Thisƭ research ƭ wasƭ initially ƭ motivatedƭ by ƭ theƭ fact ƭ thatƭ studentƭ learningƭ outcomesƭ varied and tended to be low. Based on the previous analysis, ƭ it ƭ shows ƭ that ƭ student ƭ learning ƭ outcomes ƭ are ƭ in ƭ line ƭ with ƭ habits ƭ that ƭ do ƭ not show discipline and motivation in learning ƭ when ƭ learning ƭ with ƭ e-learning, ƭ this ƭ is ƭ shown ƭ by ƭ the ƭ tasks ƭ done ƭ by ƭ plagiarizing ƭ from the internet. This research was conductedƭ usingƭ aƭ quantitativeƭ approachƭ withƭ exƭ postƭ factoƭ type.ƭ Theƭ respondentsƭ ofƭ thisƭ study were 336 students and
183 samples used in thisƭ studyƭ wereƭ determinedƭ basedƭ onƭ the ƭ Slovinƭ formula.ƭ Collectingƭ dataƭ usingƭ a ƭ questionnaire with a Likert scale of 4 choices. The validityƭ testƭ wasƭ carried ƭ outƭ with ƭ the ƭ Product ƭ Momentƭ Correlation ƭ andƭ the ƭ reliability was carried out with the Cronbach Alpha formulaƭ whileƭ theƭ homogeneityƭ testƭ wasƭ carriedƭ outƭ withƭ theƭ Bartletƭ test.ƭ Theƭ resultsƭ showed that (1) there was a positive influence of ƭ discipline ƭ with ƭ learning ƭ outcomesƭ indicated ƭ by ƭ the ƭ correlationƭ coefficient ƭ of ƭ 0.895; (2) there is a positive effect of motivation withƭ learningƭ outcomesƭ indicatedƭ byƭ theƭ correlationƭ coefficientƭ ofƭ 0.899;ƭ (3)ƭ thereƭ isƭ an influence of discipline and motivation with learningƭ outcomesƭ together,ƭ indicatedƭ byƭ theƭ correlationƭ coefficientƭ valueƭ ofƭ 0.898
A Study on Effects of Immersion in River Water and Sea Water on DNA Placed on Guns
Authors: Jovanović Jelena 
Published: December 2022

To determine the quantity of DNA that can be obtained from that placed on guns after 30 minutes, 90 minutes and 270 minutes of immersion in water. Also, the aim of this study was to disclose how different types of water environments, such as freshwater and saltwater, affect the amount of DNA loss and degradation over the preset period of time.
Firearms was swabbed with a double swabbing technique. DNA was isolated using a Qiagen procedure, quantified by real-time PCR, amplification was on thermal cycler and Capillary electrophoresis was performed on 3500 Genetic analyzer. The electropherograms obtained were analyzed with the GeneMapper ID-X software.
Through the comparison of DNA amounts detected after isolation and DNA profiles/allele numbers detected on guns, it can be concluded that the influence of saltwater and freshwater are significantly different. The loss of DNA in saltwater from the outer firearms surface after 30 min is similar to the loss of DNA in freshwater after 90 minutes of immersion.
Based on the results of this study, especially the results of real casework sample, it can be concluded as expected that saltwater has a more serious effects on the degradation and the loss DNA on guns than freshwater. Further, it point out that the guns found in freshwater after crime could be a valuable piece of forensic evidence, whilst the guns recovered from saltwater will have less value as forensic evidence if found after more than 30 minutes
RENCANA PENGEMBANGAN FASILITAS DESTINASI WISATA TEMAJUK KABUPATEN SAMBAS KALIMANTAN BARAT
Authors: Mawazi Sabahan , Evita Rossi , Erwandi Puput 
Published: December 2022

Abstrak
Desa Temajuk merupakan desa wisata pertama yang ada di kabupaten Sambas Kalimantan Barat. Secara geografis, desa wisata Temajuk terletak sangat strategis dikarenakan letak posisi desa ini berbatasan langsung dengan kampung Telok Melano Sarawak yang menjadi kawasan pengembangan strategis negara Malaysia. Selain letaknya yang berbatasan langsung dengan negara Malaysia, desa wisata Temajuk juga memiliki daya tarik wisata yang jumlahnya sangat dominan bila dibandingkan dengan desa lain di kabupaten Sambas. Penelitian ini bertujuan untuk menyusun rencana pengembangan fasilitas destinasi wisata Temajuk sebagai desa wisata di kabupaten Sambas. Pendekatan penelitian yang digunakan dalam penelitian ini berupa metode deskriptif kualitatif dengan pengambilan data menggunakan metode survei, observasi, wawancara, dan studi pustaka. Hasil dari penelitian ini berupa konsep dan rencana pengembangan fasilitas wisata yang digambarkan dengan peta perencanaan.
KAJIAN PERENCANAAN WILAYAH KEPULAUAN DALAM INTERPRETASI HUKUM DAN ADMINISTRASI PERENCANAAN WILAYAH
Authors: Lovina Ronaldy 
Published: December 2022

Abstrak
Pengelolaan ruang kawasan diatur sebagai pedoman di dalam menyusun program pembangunan yang berkelanjutan yang sinkron dan terintegrasi antar-inter dokumen perencanaan. Dokumen Perencanaan tersebut dapat berupa Dokumen Perencanaan Wilayah dan Kota serta Dokumen Perencanaan Zonasi Wilayah Perairan dan Pulau-Pulau Kecil, selain itu termasuk ke dalam dokumen yang mengatur rencana program pembangunan seperti Dokumen Perencanaan Pembangunan Jangka Panjang, Menengah dan Rencana Kerja pada masing-masing Instasi/Lembaga. Di dalam penyusunan Dokumen Perencanaan yang outputnya berupa peraturan perundangan yakni berupa Peraturan Pemerintah, Peraturan Presiden maupun Peraturan Daerah. Penyusunan Dokumen Perencanaan dan proses legalisasinya berpedoman kepada hukum dan administrasi perencanaan. Hukum adminsitrasi perencanaan yang ada telah memberikan ruang gerak dan pedoman yang dapat memberikan arahan di dalam membuat suatu keputusan tentang muatan dokumen perencanaan wilayah (ruang, darat dan laut). Setelah memahami peraturan perundangan yang merupakan hukum perencanaan wilayah, penulis ingin menganalisis dan mengkaji substansinya.
Seasonal significance of new particle formation impacts on cloud condensation nuclei at a mountaintop location
Authors: Hirshorn Noah S. , Zuromski Lauren M. , Rapp Christopher , McCubbin Ian , Carrillo-Cardenas Gerardo , Yu Fangqun , Hallar A. Gannet 
Published: December 2022

Abstract. New particle formation (NPF) events are defined as a
sudden burst of aerosols followed by growth and can impact climate by
growing to larger sizes and under proper conditions, potentially forming
cloud condensation nuclei (CCN). Field measurements relating NPF and CCN are
crucial in expanding regional understanding of how aerosols impact
climate. To quantify the possible impact of NPF on CCN formation, it is
important to not only maintain consistency when classifying NPF events but
also consider the proper timeframe for particle growth to CCN-relevant
sizes. Here, we analyze 15 years of direct measurements of both aerosol size
distributions and CCN concentrations and combine them with novel methods to
quantify the impact of NPF on CCN formation at Storm Peak Laboratory (SPL),
a remote, mountaintop observatory in Colorado. Using the new automatic
method to classify NPF, we find that NPF occurs on 50 % of all days
considered in the study from 2006 to 2021, demonstrating consistency with
previous work at SPL. NPF significantly enhances CCN during the winter by a
factor of 1.36 and during the spring by a factor of 1.54, which, when combined with
previous work at SPL, suggests the enhancement of CCN by NPF occurs on a
regional scale. We confirm that events with persistent growth are common in
the spring and winter, while burst events are more common in the summer and
fall. A visual validation of the automatic method was performed in the
study. For the first time, results clearly demonstrate the significant
impact of NPF on CCN in montane North American regions and the potential for
widespread impact of NPF on CCN.
Factores clínicos asociados a complicaciones pulmonares y extrapulmonares en pacientes con fibrosis quística
Authors: Almonte Mora Florisel , Cuevas Schacht Francisco Javier , Pérez González Oscar Alberto 
Published: December 2022

Introducción: La fibrosis quística (FQ), afecta el epitelio exocrino, formando una mucosidad espesa que obstruye los conductos de los diferentes órganos, siendo el pulmón y páncreas los más afectados. El objetivo del presente estudio fue determinar la asociación entre los factores clínicos y las complicaciones, así como la supervivencia de pacientes con FQ atendidos en un centro de referencia pediátrica en México.
Métodos: El presente estudio observacional, longitudinal, fue realizado en el Instituto Nacional de Pediatría en México, de abril del 2012, a abril del 2022. Con una muestra no probabilística ingresaron al estudio niños con fibrosis quística. Las variables fueron: demográficas, complicaciones pulmonares, extrapulmonares y mortalidad. Se realiza la asociación con chi-cuadrado y la supervivencia con Kaplan-Meir.
Resultados: Se analizan 71 pacientes, lactantes menores 41 casos (62%), pre-escolares 12 casos (16.9%). Fueron 40 hombres (56.3%). 57 casos (80.3%) tuvieron exacerbación infecciosa, 11 casos (15.5%) aspergilosis broncopulmonar, 9 casos (12.7%) con hipertensión pulmonar, 5 casos (7%) con neumotórax, 12 casos (16.9%) con ventilación mecánica, 70 casos (98.5) con insuficiencia pancreática, 10 casos (14%) con enfermedad hepatobiliar. Hubo asociación de complicaciones extrapulmonares con el fenotipo F508. La supervivencia global fue de 150 meses. En pacientes con ventilación mecánica invasiva la supervivencia fue de 55 meses (P<0.001), en pacientes con ventilación mecánica no invasiva fue de 106 meses (P<0.001), en pacientes con neumotórax fue de 25 meses P<0.001, en pacientes con aspergilosis broncopulmonar alérgica fue de 125 meses P<0.01.
Conclusión: la mayor complicación extrapulmonar de pacientes con FQ es la insuficiencia pancreática. La presencia de neumotórax disminuye la supervivencia.
WANPRESTASI DALAM PELAKSANAAN PEMBAYARAN HARGA EKSPOR IKAN TUNA DI BANDA ACEH
Authors: Kurniasari Eka , Nia Nia 
Published: December 2022

Riset ini untuk mengetahui dan menjelaskan metode pelaksanaan dan bentuk pembayaran harga yang digunakan dalam perjanjian ekspor impor ikan tuna dan resikonya bagi pengekspor, bentuk-bentuk wanprestasi yang terjadi dalam pelaksanaan pembayaran harga ekspor ikan tuna, serta upaya yang dilakukan dalam penyelesaian wanprestasi yang terjadi dalam pelaksanaan pembayaran harga ekspor ikan tuna di Banda Aceh. Jenis penelitian ini merupakan jenis penelitian yuridis empiris. Pengumpulan data diperoleh dari penelitian lapangan dengan melakukan observasi dan wawancara terhadap Pengusaha ekspor ikan tuna diwilayah kota Banda Aceh, Staff Dinas Kelautan dan Perikanan serta Staff Dinas Perindustrian dan Perdagangan Kota Banda Aceh dan. Hasil penelitian yang diperoleh Metode pelaksanaan Ekspor yang dilakukan Eksportir Ikan Di Banda Aceh pada dasarnya dibagi menjadi 3 bagian Sale’s Contract Process, Cargo Shipment Process, Shipping Documents Negotiation Process.
Pemanfaatan Sistem Informasi Manajemen untuk Meningkatkan Penjualan pada UMKM (Studi Kasus pada Dapur Keripik Rida 3 Kota Binjai)
Authors: Daulay Deby Dewanty , Khairani Dita Fatimah , Lestari Endang , Mastura Mastura , Ridjal Maulana Ichsanul , Mulya Nanda Adilfa , Rambe Ricky Riduansyah , Hanan Zhafirah 
Published: December 2022

Artikel ini bertujuan mengungkapkan hasil pelatihan e-commerce pada UMKM produksi keripik singkong di Kelurahan Kebun Lada, Kota Binjai. Pemasaran produk dari penjual konvensional sudah terjadi dari masa lampau, di mana hanya dari mulut ke mulut dan dititipkan dari warung ke warung. Sehingga mengakibatkan pasar dari produk tersebut menjadi kurang luas. Mengatasi hal tersebut, Mahasiswa Magister Ilmu Manajemen, Fakultas Ekonomi dan Bisnis, Universitas Sumatera Utara 2022 mengadakan Pengabdian Masyarakat guna untuk pelatihan e-commerce sebagai media promosi. Hal ini dilakukan sebagai upaya peningkatan perekonomian warga di masa pandemi Covid-19. Metode yang digunakan dalam kegiatan ini adalah metode kaji tindak (action research) yang melibatkan kelompok masyarakat sasaran yaitu pemilik UMKM Dapur Keripik Rida 3. Hasil yang diperoleh dari pelatihan ini yakni pemilik usaha dapat mengenal e-commerce, akun Tokopedia Seller serta memiliki desain logo untuk membantu meningkatkan pemasaran dan perekonomian dari produk UMKM-nya.
DIFFERENTIATING TOURMALINE SPECIES VIA CHEMISTRY AND REFLECTANCE SPECTROSCOPY AT THE GIANT COPPER PORPHYRY DEPOSIT AND ASSOCIATED TOURMALINE BRECCIA PIPES: TESTING TOURMALINE AS A MINERAL VECTOR
Authors: Fischer Bill T. , Marshall Daniel D. , Hanchar John M. , Riley Dean , Hiebert Scott 
Published: December 2022

AbstractThe A.M. breccia is part of the Giant Copper porphyry deposit in southern British Columbia. It is the only well-defined zoned tourmaline breccia pipe in the Canadian Cordillera. Tourmaline is a common alteration mineral within the A.M. breccia and is spatially associated with Cu mineralization. Observed changes in tourmaline chemistry range from alkali (schorlitic-dravitic) to calcic (feruvitic-uvitic). Tourmaline subspecies vary based on their spatial location within the A.M. breccia. Tourmaline outside of the pipe contains higher concentrations of Mg, whereas tourmaline preferentially incorporates Fe within the pipe. These chemical variations are indistinguishable in hand specimens. Spectral reflectance data were collected from 587 tourmaline grains to determine if discerning chemical changes in tourmaline can be made field-based and thus more cost-effective. Spectral reflectance differentiates tourmaline associated with mineralization and breccia textures from tourmaline occurring distal to the pipe contact or within barren tourmaline breccia pipes. Fe-rich tourmaline within the A.M. breccia shows spectral characteristics of end-member schorl (Fe-rich) spectra. Tourmaline distal to the A.M. breccia and within barren pipes demonstrates spectra of end-member dravite (Mg-rich). This grouping suggests that tourmaline subspecies can be inferred by spectral reflectance, enhancing the efficiency of tourmaline as a mineral vector.Tourmaline was also identified via airborne spectral surveys. However, the airborne spectral survey did not identify the end-member spectral properties identified by in situ analysis. Airborne spectral surveys can rapidly identify tourmaline breccia pipe exposures and expedite early stages of exploration in ore districts where tourmaline is a known gangue mineral.
LOGIKA DAN METODE PENALARAN DALAM PERSPEKTIF FILSAFAT NYĀYA DARŚANA
Authors: Siswadi Gede Agus 
Published: December 2022

Nyāya merupakan salah satu sistem filsafat India yang masuk dalam golongan Astika. Nyāya mengkhususkan diri pada eksposisi metodologi penalaran atau sebuah metode yang digunakan untuk validasi. Metode validasi dalam sistem filsafat nyāya disebut dengan pramana sehingga nyāya sangat identik dengan sistem logika. Kajian ini memfokuskan diri dengan menggunakan pendekatan penelitian studi kepustakaan. Adapun hasil dalam penelitian ini adalah terdapat empat prinsip yang perlu dilakukan dalam sebuah penalaran atau logika dalam menemukan sebuah kebenaran yakni, Pratyaksa Pramāna artinya sebuah kebenaran yang diperoleh melalui pengamatan secara langsung. Anumāna Pramāna artinya kebenaran yang diungkap melalui proses penyimpulan, selanjutnya Upamāna Pramāna yakni mengungkap kebenaran melalui perbandingan, dan terakhir adalah Śabda Pramāna yakni memperoleh suatu kebenaran melalui penyaksian. Ke empat metode itu dapat secara bersamaan digunakan untuk mendapatkan suatu kebenaran yang valid.