bluuebunny/crossref_metadata_2025 huggingface dataset:
Registration of Underage Marriage Perspectives of Marriage Registrat Officer in Gorontalo City
Authors: Djuma Taufik , Suleman Zulkarnain
Published: September 2019

Penelitian ini bertujuan mengetahui dan menganalisis pandangan Pegawai Pencatat Nikah pada Kantor Urusan Agama di Kota Gorontalo terhadap pencatatan perkawinan di bawah umur. Penelitin ini merupakan penelitian lapangan. Pendekatan yang digunakan adalah pendekatan hukum dan pendekatan sosiologis. Data dikumpulkan melalui pengamatan, wawancara dan dokumentasi. Selanjutnya diolah dan dianalisis dengan deskriptif kualitatif. Hasil penelitian menunjukkan bahwa: Pertama, tingkat perkawinan di bawah umur pada wilayah KUA di Kota Gorontalo meningkat tiap tahunnya sejak 2016 sampai 2018. Berbagai alasan dikemukakan para pihak, baik calon pengantin maupun keluarga untuk dapat melaksanakan perkawinan di bawah umur; Kedua, pada prinsipnya para Pegawai Pencatat Nikah di Kota Gorontalo memahami dan melaksanakan aturan pencatatan nikah berdasarkan Peraturan Menteri Agama Nomor 19 Tahun 2018 tentang Pencatatan Perkawinan.
Effective Communication for Harmonious Polygamy Couple in Bone Bolango Regency
Authors: Gaib Imran , Muhammad Nova Effenty
Published: September 2019

Penelitian ini membahas komunikasi efektif bagi pasangan poligami di Kabupaten Bone Bolango. Penelitian ini adalah penelitian lapangan dengan metode pengumpulan data berupa pengamatan, wawancara dan dokumentasi. Data yang dikumpulkan diolah dan dianalisis dengan deskriptif kualitatif dengan menggunakan pendekatan komunikasi. Hasil penelitian menunjukkan bahwa pelaku poligami di Kabupaten Gorontalo dalam menjalani kehidupan rumah tangganya tetap harmonis. Hal ini dikarenakan pasangan tersebut senantiasa membiasakan berkomunikasi secara efektif, sehingga segala persoalan rumah tangga dapat diselesaikan dengan baik.
Kritik terhadap Fikih Poligami: Studi atas Pemikiran Siti Musdah Mulia
Authors: Suleman Zulfitri Zulkarnain , Suleman Zulkarnain
Published: September 2019

Tulisan membahas pemikiran Siti Musdah Mulia tentang penolakannya terhadap poligami karena dinilai melecehkan dan menghina martabat perempuan. Undang-Undang Perkawinan dan KHI yang melegalkan poligami menurutnya lebih berpihak kepada kepentingan laki-laki dan mengabaikan perempuan. Ketentuan poligami di dalam Undang Undang Perkawinan dan KHI berimplikasi kepada psikologis terhadap perempuan; kekerasan terhadap perempuan; dan sosial terhadap masyarakat. Implikasi ini dengan nyata telah menimbulkan dampak nagatif seperti maraknya perkawinan di bawah tangan (sirri) atau perkawinan tidak tercatat, tingginya angka kekerasan dalam rumah tangga, tingginya kasus pelanggaran hak-hak anak, terlantarnya para istri dan anak-anak, terutama secara psikologis dan ekonomi. Berdasarkan prinsip ushul fikih yang menolak ekses (dampak) negatif (mafsadat/kemudharatan) daripada kemaslahatan, Siti Musdah Mulia berksimpulan bahwa poligami dapat dinyatakan   haram  lighairihi  (haram  karena  eksesnya).  Selain  pertimbangan ushul fikih Siti Musdah Mulia melakukan reinterpretasi atas al-Quran (surat al- Nisa‟ ayat 3) dan hadis dengan pendekatan tematik-holistik dan kontekstual- historis. Dengan pendekatan ini, Siti Musdah Mulia menyimpulkan bahwa ayat Q.S. al-Nisa‟ayat 3 bukan ayat yang berisi anjuran untuk poligami, melainkan lebih pada memberikan solusi agar para wali terhindar dari berbuat tidak adil terhadap anak yatim yang berada dalam perwalian mereka, yaitu dengan perempuan lain saja. Q.S. al-Nisa‟: 3 ini berada dalam satu tarikan nafas dengan bolehnya menggauli budak perempuan tanpa nikah. Kini perbudakan dan menggauli budak perempuan tanpa nikah tidak dipraktikan, meskipun ayatnya masih tercantum dalam al-Quran. Karena perbudakan tidak dipraktikan karena dinilai sebagai kejahatan kemanusiaan. Jika perbudakan dilarang dan ditinggalkan, sementara ayatnya masih ada, maka sejatinya poligami dilarang dan  ditinggalkan  karena  dampak  buruk,  meskipun  ayat  membolehkannya. Dalam konteks ini penolakan Nabi saw. atas putrinya dimadu oleh Ali bin Abi Thalib  dapat  dipahami  bahwa  poligami menyisakan  derita  kepada  istri  dan anak-anak.
PERBANDINGAN EXPONENTIAL SMOOTHING HOLT-WINTERS DAN ARIMA PADA PERAMALAN PRODUKSI PADI DI PROVINSI GORONTALO
Authors: Akolo Ingka Rizkyani
Published: September 2019

Gorontalo merupakan salah satu provinsi di Indonesia yang memiliki lahan pertanian yang besar yang sebagian besar ditanami padi. Kebutuhan bahan pangan padi di Gorontalo bertambah dari tahun ke tahun sesuai dengan pertambahan penduduk. Akan tetapi, karena terjadi perbedaan hasil panen padi di setiap daerah mengakibatkan kelangkaan beras sehingga mempengaruhi pemenuhan kebutuhan dan stabilitas penyediaan pangan di Gorontalo. Untuk membuat perencanaan terkait komoditas akan pangan diperlukan model matematika khusus untuk peramalan. Salah satunya model yang sering digunakan untuk peramalan adalah dalam peramalan adalah metode metode exponential smoothing Holt-Winters dan Autoregressive Integrated Moving Average (ARIMA). Tujuan dari penelitian ini adalah untuk mengetahui model peramalan produksi padi di Provinsi Gorontalo menggunakan metode exponential smoothing Holt-Winters dan ARIMA sehingga dapat memberikan masukan kepada Pemerintah Daerah dalam mengambil kebijakan yang berkaitan dengan ketahanan pangan di Provinsi Gorontalo. Hasil analisis menunjukkan bahwa model peramalan terbaik adalah Model peramalan produksi padi dengan metode exponential smoothing Holt-Winters (αlpha = 0.5, gamma = 0.3, delta = 0,1)  yang memberikan nilai RMSE lebih kecil dibandingkan metode ARIMA.
THE AT (THE AMAZING TECHNOLOGY) MEMPERKENALKAN WILAYAH MARITIM DAN POTENSI DAERAH PROVINSI KEPULAUAN RIAU MENGGUNAKAN VISUAL VIDEO DAN BERBASIS ANDROID SEBAGAI MEDIA PENGUATAN PENGETAHUAN ANAK SEKOLAH DASAR DI PESISIR
Authors: Nusyirwan Deny , Purnama Muhammad Bayu , Fadillah Muhammad Abyan , Perdana Prasetya Perwira Putra , Shafira Allysia , Putra Sulthan Syarif Hanisetya , Putro Dimas Nugroho
Published: September 2019

Kepulauan Riau (Kepri) is the 32nd province in the Republic of Indonesia which is determined by the DPRRI based on the Constitution No. 25 with Tanjungpinang as the capital city. According to the Kepulauan Riau Health and Stastistic Agency in 2016 the Kepulauan Riau Province had 253,420 km2 consisting of an ocean area of 242,825 km2 (96%) and land area of 10,595.41 km2 (4%). From these data, it is expected that the coastal areas should be able to become a mainstay of the Kepri community's income sources. With the unique potential and economic value, it will be an attraction to disturbances and threats. Therefore, it is necessary to strengthen human resources in coastal areas through education.

The life patterns of  coastal communities certainly require a different approach to be able to improve education and knowledge of coastal communities, the technology-based solution proposed is The-AT (The Amazing Technology), introduce the maritime region and the potential of the kepulauan riau using visual video and android as a medium to strengthen the knowledge of elementary school children on the coast. The-AT applies games for childrens, which begins with the game showing a map of the area through a gopro camera, then the students are asked to name the island and the location and potential commodities of the area.  Android, video and audio will be displayed about the area as information to students who cannot answer correctly. This technology is an effective solution in the formation of thinking patterns for elementary school children regarding the islands in the Kepulauan Riau, so that the formation of a sense of familiarity and a sense to build the potential that exists in the area. At the end it will initiate the technopreneur in the future.
Will Mentoring a Student Teacher Harm My Evaluation Scores? Effects of Serving as a Cooperating Teacher on Evaluation Metrics
Authors: Ronfeldt Matthew , Bardelli Emanuele , Brockman Stacey L. , Mullman Hannah
Published: September 2019

Growing evidence suggests that preservice candidates receive better coaching and are more instructionally effective when they are mentored by more instructionally effective cooperating teachers (CTs). Yet teacher education program leaders indicate it can be difficult to recruit instructionally effective teachers to serve as CTs, in part because teachers worry that serving may negatively impact district evaluation scores. Using a unique data set on over 4,500 CTs, we compare evaluation scores during years these teachers served as CTs with years they did not. In years they served as CTs, teachers had significantly better observation ratings and somewhat better achievement gains, though not always at significant levels. These results suggest that concerns over lowered evaluations should not prevent teachers from serving as CTs.
Deductive Data Mining
Authors: Hong Maxwell , Jacobucci Ross , Lubke Gitta
Published: September 2019

Data mining methods offer a powerful tool for psychologists to capture complex relations such as interaction and nonlinear effects without prior specification. However, interpreting and integrating information from data mining models can be challenging. The current research proposes a strategy to identify nonlinear and interaction effects by using a deductive data mining approach that in essence consists of comparing increasingly complex data mining models. The proposed approach is applied to three empirical data sets with details on how to interpret each step and model comparison, along with simulations providing a proof of concept. Annotated example code is also provided. Ultimately, the proposed deductive data mining approach provides a novel perspective on exploring interactions and nonlinear effects with the goal of model explanation and confirmation. Limitations of the current approach and future directions are also considered.
Hanoi Old Quarter Houses: A View for Bayesian Analysis
Authors: Quynh Bui Dieu
Published: September 2019

The mentioning of Hanoi – the capital city of Vietnam and the land of thousand years of civilization – depicts among both locals and tourists the image of the ‘Sword Lake’ with its ancient ‘Turtle Tower’ and the charming Old Quarter with its preserved shop-houses lying along small ancient commercial alleys. The houses in the old quarter constructed over a century ago which feature tube houses with inclined tile roofs and a blend of French architecture create the infusions of history and memory. One can easily find abundant research done on these townhouses, either in the collectibles of many authors, the quintessential drawings of talented painters, or in publications on the history of the Old Quarter. Among these, the recent work by Vuong et al. (2019) adds an extremely interesting view of the architectural features of Hanoi’s ancient townhouses as these features are viewed as dependent and independent variables. The study titled ‘Cultural evolution in Vietnam’s early 20th century: A Bayesian network analysis of Hanoi Franco- Chinese house designs’ aims to find traces of cultural evolution in the early 20th century in Vietnam and highlight the most notable elements that affect the Vietnamese people’s perception of cultural evolutions.
Cryptographic Methods with a Pli Cachete: Towards the Computational Assurance of Integrity
Authors: Collins Thatcher Louis
Published: September 2019

Unreproducibility stemming from a loss of data integrity can be prevented with hash functions, secure sketches, and Benford's Law when combined with the historical practice of a Pli Cacheté where scientific discoveries were archived with a 3rd party to later prove the date of discovery. Including the distinct systems of preregistation and data provenance tracking becomes the starting point for the creation of a complete ontology of scientific documentation. The ultimate goals in such a system--ideally mandated--would rule out several forms of dishonesty, catch computational and database errors, catch honest mistakes, and allow for automated data audits of large collaborative open science projects.
A Unified Framework for Aerocapture Systems Analysis
Authors: Girija Athul Pradeepkumar
Published: September 2019

A unified framework for aerocapture systems analysis studies is presented, taking into account the interconnected nature of interplanetary trajectory design and vehicle design. One of the limitations of previous aerocapture systems studies is their focus on a single interplanetary trajectory for detailed subsystem level analysis. The proposed framework and aerocapture feasibility charts enable a mission designer to perform rapid trajectory and vehicle design trade-offs, and is illustrated with its application to a Neptune mission. The approach can be applied to other atmosphere-bearing Solar System destinations. The framework can be be implemented in an aerocapture software suite to enable rapid mission design studies.
Peran Orangtua dalam Pemberian Pendidikan Seks Sejak Dini bagi Anak Difabel Mental Intelektual terhadap Pencegahan Kekerasan Seksual
Authors: Budiarty Astry
Published: September 2019

Pendidikan seks bagi anak difabel mental intelektual atau yang lebih dikenal dengan istilah tunagrahita menjadi suatu permasalahan yang penting di tengah masyarakat. Hal tersebut berdasar sebab pendidikan seks merupakan salah satu upaya agar setiap anak berkebutuhan khusus dapat mengenali, memahami dan mengelola perkembangan dan perubahan secara biologis yang terjadi pada dirinya agar tidak terjebak pada perilaku seks yang menyimpang dan yang terpenting agar tidak mendapatkan kekerasan dan pelecehan seksual dari orang lain. Penelitian ini menggunakan metode penelitian kualitatif dan sampel dalam penelitian ini yaitu narasumber atau informan yang dipilih dengan menggunakan metode purposive sampling. Penelitian ini menunjukkan bahwa peran orang tua dalam pemberian pendidikan seks sejak dini bagi anak difabel mental intelektual dimulai sejak anak berumur 5 tahun, dengan pengenalan organ intim, cara membersihkan diri atau kegiatan menjaga kebersihan diri berupa mandi, cara berpakaian, bagian tubuh apa saja yang boleh dan tidak boleh dilihat dan diraba oleh orang lain sebagai upaya pencegahan terhadap kekerasan seksual pada anak difabel mental intelektual.---Sex education for children with intellectual disabilities or better known as mental retardation becomes an important issue in the community. This is based on sex education as an effort so that every child with special needs can recognize, understand and manage the development and biological changes that occur in him so as not to get caught up in deviant sexual behavior and most importantly so as not to get sexual violence and harassment from people other. This type of research is qualitative and the sample in this study is the informant or informant using purposive sampling method. This research shows that the role of parents in providing early sex education for children with intellectual mental disabilities begins when their child is 5 years old, with the introduction of intimate organs, how to clean themselves or activities to maintain personal hygiene in the form of bathing, how to dress, what body parts are may and may not be seen and touched by others as an effort to prevent sexual violence in children with intellectual disabilities.
A Comparative Study Among Asean And Asia Countries Community To The Realization And Application Of English, Culture, And Science And Technology
Authors: putra seno himala
Published: September 2019

The Problem of this study was to find out the realization and the application of English, Culture heritage, Human Source, Economy, Science and Technology among ASEAN and Asia Countries Community
The Perception Gap: How False Impressions are Pulling Americans Apart
Authors: Yudkin Daniel , Hawkins Stephen , Dixon Tim
Published: September 2019

This report shows the various ways Americans misperceive the views of their political opponents.
Omental Infarction: A Case Treated with Laparoscopic Surgery
Authors: Ng Bertrand , Yasser Arafat
Published: September 2019

Omental infarct is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Here, we present a case of omental infarct in a 67-year-old gentleman with background history of diabetes mellitus who present unusually with a severe acute onset right hypochondrium pain. Examination revealed that he was tender to touch at the right and was having localized guarding. His inflammatory markers were normal. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day. Omental infarct cases with right hypochondrium pain can sometimes mimicked acute cholecystitis and management includes laparoscopic surgery which can hasten symptoms resolution and reduces hospital stay, however recommendation for surgery has to be balanced with anesthetics risk and complication of the surgery itself.
Good Agreement Between Hba1c Analyzed Using Capillary Electrophoresis, HPLC, Immunological and Enzymatic Methods
Authors: Larsson Anders , Vallée Maria , Mandic-Havelka Aleksandra , Larsson Anders , Elmgren Anders , Larsson Benny , Sisowath Christin , Nordin Gunnar , Hansson Lars-Olof , Lohmander Maria , Rollborn Niclas , Åkerfeldt Torbjörn
Published: September 2019

Purpose: Hemoglobin A1c (HbA1c) is an essential marker for assessment of glycemic control in diabetes patients. The aim of this study was to evaluate the agreement between different HbA1c methods.
Methodology: We used blood samples to compare HbA1c results analyzed with Capillarys 3 Tera, Roche Tina-Quant HbA1c Gen 3, BioRad Variant II Turbo (3 sites), Mono S® and Abbott Architect enzymatic method. The comparisons were made as paired instrument comparisons with Capillarys 3 Tera.
Results: The linear correlations between the HbA1c methods were as follows:
Cobas 6000 = 0.982 x Capillarys 3 Tera + 0.975, R² = 0.994;
Architect c8000 = 0.982 x Capillarys 3 Tera + 1.064, R² = 0.994;
Mono S® = 0.916 x Capillarys 3 Tera + 3.397, R² = 0.965;
BioRad Variant II Turbo = 0.923 x Capillarys 3 Tera + 4.062, R² = 0.990;
Tosoh G8 = 0.963 x Capillarys 3 Tera + 3.895, R² = 0.996.
Conclusions: The different instrument platforms showed the best agreement in the 50-70 mmol/mol interval. Above and below this range the methods separated into 2 groups, one consisting of Capillarys 3 Tera, Roche Tina-Quant and Abbott enzymatic method and the other group consisting of BioRad Variant II Turbo, Tosoh G8 and Mono S®.
Extracorporeal Mass Exchange Technology Platform for Temporary Liver Support: A Clinical Feasibility Study on a Device and the Cell Source Primary Human Liver Cells
Authors: Gerlach Jörg C.
Published: September 2019

Clinical feasibility phase-I study data are discussed on the use and the safety of a modular mass exchanger for temporary extracorporeal treatment of liver failure; and the use of the cell source primary human liver cells isolated from discarded transplant organs as a metabolic module in this mass exchanger. This technology platform can be compared with the mass exchange functions of a human placenta before giving birth. The "maternal blood side" can be used with various sources/modules of metabolic support including artificial (e.g. absorber) or biological elements (e.g. cells), separated by membrane compartments. These keep the source of metabolic support from contact with the patient, including the immune cells, while allowing exchange of soluble or protein-bound plasma components for therapy. Each of the multiple independent membrane compartments are bundled towards the in/outlets but interwoven to form a decentralized multi-compartment mass exchanger within an effector module compartment. The use of liver cells as a metabolic module in this compartment results in its function as a bioreactor. A combination with further modules outside of the mass exchanger was demonstrated through a continuous SPAD for detoxification. Nine patients (5 m, 4 f) with a median age of 43 years (range 11-55 years) were treated with a total of 11 metabolic modules in 12 sessions, with overall treatment times ranging from 11 to 216 hours. Patients suffered from acute-on-chronic liver failure (AoCLF, n=3), acute liver failure (ALF, n=3) and primary non-function graft after liver transplantation (PNF, n=3). Treatment resulted in a one-year survival of 78%. The results showed a significant decrease in thrombocytes and fibrinogen. No severe adverse effects were found. One patient (AoCLF) recovered without transplantation and remained alive for the one-year follow-up. Six patients (3 ALF, 2 PNF, and 1 AoCLF) were successfully bridged to transplantation, and two (1 AoCLF, 1 PNF) died within ten days after termination of therapy. Total and conjugated bilirubin, ammonia, urea and creatinine were significantly reduced by the end of therapy, compared to baseline. The MELD score decreased significantly, whereas no significant improvements were observed in APACHE-II, APACHE-III, SOFA and Child-Pugh scores.

Conclusion: The mass exchanger technology platform, the Core Module used with primary human liver cells as Metabolic Module, proved to be clinically feasible and safe. Further clinical studies are required to prove the efficacy of such therapies. However, the clinical impact of using human liver cells as a Metabolic Module is limited and a reliable, biocompatible and effective metabolic source is in need.
Amelanotic Acral Lentiginous Melanoma of the Heel: A Case Report of Misdiagnosis
Authors: Furlaneto Jr José M. , Juhl Mark E. , Agnihotri Gaurav , Tsoukas Maria M.
Published: September 2019

Acral lentiginous melanoma is an uncommon skin cancer that usually affects palms, soles, and nail apparatus of elderly Black and Asian individuals. Diagnosis is difficult, as it may mimic benign or traumatic lesions such as plantar warts or diabetic ulcers, especially if it is amelanotic. For this reason, detection is challenging, and proper diagnosis and treatment is often delayed, ultimately resulting in a poor prognosis. We report an 83-year-old Hispanic female with a two-year history of a painful, non-healing, glistening, exophytic mass on her left heel that was previously treated as a wart prior to proper biopsy and management. Patient education, complete physical exam and greater knowledge about this tumor, whether pigmented or not, are an important weapon to prevent its aggressiveness, increasing patients’ survival rate by decreasing the risk local invasion and metastasis. Biopsy should always be considered, especially in the setting of unresponsiveness to the treatment.
Periprocedural intracranial hemorrhage after embolization of cerebral arteriovenous malformations: a meta-analysis
Authors: Subat Yosuf W. , Dasenbrock Hormuzdiyar H. , Gross Bradley A. , Patel Nirav J. , Frerichs Kai U. , Du Rose , Aziz-Sultan M. Ali
Published: September 2019

OBJECTIVE

The primary goal of the treatment of cerebral arteriovenous malformations (AVMs) is angiographic occlusion to eliminate future hemorrhage risk. Although multimodal treatment is increasingly used for AVMs, periprocedural hemorrhage after transarterial embolization is a potential endovascular complication that is only partially understood and merits quantification.

METHODS

Searching the period between 1990 and 2019, the authors of this meta-analysis queried the PubMed and Embase databases for studies reporting periprocedural hemorrhage (within 30 days) after liquid embolization (using cyanoacrylate or ethylene vinyl alcohol copolymer) of AVMs. Random effects meta-analysis was used to evaluate the pooled rate of flow-related hemorrhage (those attributed to alterations in AVM dynamics), technical hemorrhage (those related to procedural complications), and total hemorrhage. Meta-regression was used to analyze the study-level predictors of hemorrhage, including patient age, Spetzler-Martin grade, hemorrhagic presentation, embolysate used, intent of treatment (adjuvant vs curative), associated aneurysms, endovascular angiographic obliteration, year of study publication, and years the procedures were performed.

RESULTS

A total of 98 studies with 8009 patients were included in this analysis, and the mean number of embolization sessions per patient was 1.9. The pooled flow-related and total periprocedural hemorrhage rates were 2.0% (95% CI 1.5%–2.4%) and 2.6% (95% CI 2.1%–3.0%) per procedure and 3.4% (95% CI 2.6%–4.2%) and 4.8% (95% CI 4.0%–5.6%) per patient, respectively. The mortality and morbidity rates associated with hemorrhage were 14.6% and 45.1%, respectively. Subgroup analyses revealed a pooled total hemorrhage rate per procedure of 1.8% (95% CI 1.0%–2.5%) for adjuvant (surgery or radiosurgery) and 4.6% (95% CI 2.8%–6.4%) for curative intent. The treatment of aneurysms (p = 0.04) and larger patient populations (p < 0.001) were significant predictors of a lower hemorrhage rate, whereas curative intent (p = 0.04), angiographic obliteration achieved endovascularly (p = 0.003), and a greater number of embolization sessions (p = 0.03) were significant predictors of a higher hemorrhage rate. There were no significant differences in periprocedural hemorrhage rates according to the years evaluated or the embolysate utilized.

CONCLUSIONS

In this study-level meta-analysis, periprocedural hemorrhage was seen after 2.6% of transarterial embolization procedures for cerebral AVMs. The adjuvant use of endovascular embolization, including in the treatment of associated aneurysms and in the presurgical or preradiosurgical setting, was a study-level predictor of significantly lower hemorrhage rates, whereas more aggressive embolization involving curative intent and endovascular angiographic obliteration was a predictor of a significantly higher total hemorrhage rate.
Revascularization and functional outcomes after mechanical thrombectomy: an update to key metrics
Authors: Mouchtouris Nikolaos , Al Saiegh Fadi , Fitchett Evan , Andrews Carrie E. , Lang Michael J. , Ghosh Ritam , Schmidt Richard F. , Chalouhi Nohra , Barros Guilherme , Zarzour Hekmat , Romo Victor , Herial Nabeel , Jabbour Pascal , Tjoumakaris Stavropoula I. , Rosenwasser Robert H. , Gooch M. Reid
Published: September 2019

OBJECTIVE

The advent of mechanical thrombectomy (MT) has become an effective option for the treatment of acute ischemic stroke in addition to tissue plasminogen activator (tPA). With recent advances in device technology, MT has significantly altered the hospital course and functional outcomes of stroke patients. The authors’ goal was to establish the most up-to-date reperfusion and functional outcomes with the evolution of MT technology.

METHODS

The authors conducted a retrospective study of 403 patients who underwent MT for ischemic stroke at their institution from 2010 to 2017. They collected data on patient comorbidities, National Institutes of Health Stroke Scale (NIHSS) score on arrival, tPA administration, revascularization outcomes, and functional outcomes on discharge.

RESULTS

In 403 patients, the mean NIHSS score on presentation was 15.8 ± 6.6, with 195 (48.0%) of patients receiving tPA prior to MT. Successful reperfusion (thrombolysis in cerebral infarction score 2B or 3) was achieved in 84.4%. Hemorrhagic conversion with significant mass effect was noted in 9.9% of patients. The median lengths of ICU and hospital stay were 3.0 and 7.0 days, respectively. Functional independence (modified Rankin Scale score 0–2) was noted in 125 (31.0%) patients, while inpatient mortality occurred in 43 (10.7%) patients.

CONCLUSIONS

As MT has established acute ischemic stroke as a neurosurgical disease, there is a pressing need to understand the hospital course, hospital- and procedure-related complications, and outcomes for this new patient population. The authors provide a detailed account of key metrics for MT with the latest device technology and identify the predictors of unfavorable outcomes and inpatient mortality.
Specification of a model for the study of management culture
Authors: Sánchez Sánchez Arturo
Published: September 2019

Six explanatory paths of knowledge management organizations tend to balance the opportunities and capabilities through motivational leadership processes are specified. A non - experimental and documentary study was carried out with a selection of sources indexed and registered in ISSN-DOI. From the theoretical, conceptual and empirical frameworks model dependency relationships between variables determining -rules, values, beliefs, perceptions - regarding knowledge management specified. Under the model explains the balance between power relations and influence between leader and followers, motivational order mediating variables -an attitude, intention, skill and knowledge- included. In connection with the proposals of the state of knowledge and the literature reviewed, the relevance of the model compared to other more diverse and comprehensive proposals discussed.
A Fresh Look at ‘Relational’ Values in Nature: Distinctions Derived from the Debate on Meaningfulness in Life
Authors: Neuteleers Stijn
Published: September 2019

Some recent policy-oriented publications have put forward a third category of environmental values, namely relational or eudaimonic values, in addition to intrinsic and instrumental values. In this debate, there is, however, much confusion about the content of such values. This paper looks at a fundamental debate in ethics about a third category of reasons besides reasons from morality and self-interest, labelled as reasons of love, care or meaningfulness. This category allows us, first, to see the relation between relational and eudaimonic values, and, second, to make clear and applicable distinctions between the relational valuing of nature and moral or instrumental valuing.
1. KARAKTERISTIK ANAK USIA MURAHIQAH
Authors: Fakhrurrazi
Published: September 2019

Perkembangan Masa anak usia murahiqah merupakan sebuah periode dalam kehidupan manusia yang batasan usia seringkali tidak terlalu jelas dalam pertumbuhan fisiknya. Masa murahiqah ini sering dianggap sebagai masa peralihan, anak yang meranjak usia murahiqah tidak mau lagi diperlakukan sebagai anak-anak, tetapi dilihat dari pertumbuhan fisiknya ia belum dapat dikatakan orang dewasa. Anak usia murahiqah perlu dijaga dan dilindungi dalam masa pertumbuhan dengan cara membimbing agar anak usia murahiqah terjaga terhadap nilai-nilai negatif.
2. URGENSI PENDIDIKAN BERBASIS FITRAH
Authors: Wahidah
Published: September 2019

Pandangan Islam secara global menyatakan bahwa fitrah merupakan kecenderungan alamiah bawaan sejak lahir. Penciptaan terhadap sesuatu ada untuk pertama kalinya dan struktur alamiah manusia sejak awal kelahirannya telah memiliki bawaan secara alamiah pada tiap individu. Islam sebagai agama fitrah tidak hanya sesuai dengan naluri keberagamaan manusia, bahkan menunjang pertumbuhan dan perkembangan fitrahnya. Hal ini menjadikan eksistensinya utuh dengan kepribadiannya yang sempurna. Pendidikan berbasis fitrah adalah upaya menemani, merawat, menumbuhkan dan membangkitkan semua potensi anak didik dengan tetap fokus pada sisi (terang) lebihnya. Sehingga dapat kita katakan bahwa pendidikan berbasis fitrah adalah pendidikan yang mengaitkan tujuan penciptaan seseorang dimuka bumi sehingga setiap orang akan mempunyai peran dalam peradabaan (misi hidup). Karena tujuan hidup tidak hanya menjadi bahagia tapi dapat bermanfaat untuk orang lain dan terhormat.
Assessment of Knowledge on Organ Donation Among Degree College Students at Selected College, Tiruati
Authors: Lakshmi M. Bhagya , Hemalatha S.
Published: September 2019

Organ transplantation is a medical procedure in which an organ is removed from one body and placed in the body of a recipient to replace a damaged or missing organ. Organ /tissues that are transplanted within the same person’s body are called Auto grafts. Transplants that are recently performed between two subjects of the same species are called Allograft. Allografts can either be from a living or cadaveric source. Organs are systems of cells and tissues that perform a specific task eg:- Respiration, Circulation, gets rid of the body waste. AIM To assess the level of knowledge on organ donation among degree college students, and To associate the level of knowledge on organ donation with their selected demographic variables. Methodology: A descriptive design was adopted.40 students were selected by using simple random sampling technique at SV Govt polytechnic college, Tirupati. The level of knowledge was assessed by using the structured questionnaire. Results: The results were out of 40 students 16% (16) had moderate knowledge 21% (21) had inadequate knowledge and only 3% (3) had adequate knowledge. Conclusion: based on the obtained findings the researcher prepared a book let which will help them to improve their knowledge
Pengaruh Pemberian Ekstrak Etanol Buah Masisin (Rhodomyrtus tomentosa Wight) terhadap Frekuensi, Konsistensi, dan Durasi Diare pada Hewan Coba Mencit Putih Jantan (Mus musculus) yang Diinduksi Oleum Ricini
Authors: Toemon Angeline Novia , Carmelita Austin Bertilova , Widiarti Astri , Mutiasari Dian
Published: September 2019

People in Central Borneo which is often used to treat diarrhea is the fruit of masisin (Rhodomyrtus tomentosa Wight) with active compounds which are capable to treat diarrhea such as alkaloids, flavonoids, tannins, saponins, and steroids. Diarrhea is a defecate with a liquid or half-liquid feces, the content of water in a feces is more than usual, it is more than 200 g or 200 ml / 24 hours. To know the effectiveness of the extract of the fruit of masisin as an alternative to antidiarrheal treatment seen from the frequency, duration, and consistency of feces in male white mice (Mus musculus). This study design was a true experimental design with post-test control group design with 5 treatments for each group. This study started by making some extracts of Masisin fruit. Followed observation with 5 treatment groups animals. The induction of diarrhea was using oleum ricini, with aquadest as the negative control, and Loperamide HCL as the positive control. The dose of ethanol extracts of masisin fruit divided into 0.3 mg/g BW, 0.6 mg/g BW and 1.2 mg/g BW, all of the treatments were given orally. This study data was statistically analyzed with one way ANOVA. The results of one way ANOVA test showed that the value of p <0,05 meaning that there is the influence of EEBM on frequency, consistency and duration of diarrhea at doses 0.3 mg/g BW, 0.6 mg/g BW and 1.2 mg/Gbw. Based on observations ethanol extracts of masisin fruit had antidiarrheal effect at doses 0,3 mg/g BW, 0.6 mg/g BW and 1.2 mg/g BW in male white mice (Mus musculus).
Pengaruh Perspektif Pembelajaran dan Pertumbuhan terhadap Kinerja Perspektif Pelanggan pada Pasien Rawat Jalan Instalasi Farmasi Rumah Sakit
Authors: Syahruddin Muh
Published: September 2019

The aim of this study is to know how the impact of learning-growth perspective and internal business process perspective to performance customer perspective of pharmacy installation for outpatients in BLUD H.M. DjafarHarun Hospital, North Kolaka Region, Southeast Sulawesi. The method of this study is descriptive,non-experimental case study. The data was collected with retrospective and prospective method consist of quantitative and qualitative data. Data was taken from interview with a pharmacist, direct observation, documents survey and questioners to analyze Results of the study are two employees involved in developing training in the year 2012, no training in 2013, based on questioner employee satisfaction was good, work spirit was also good with percentage 83,45%, management information system needs further development. Based on questioner internal business process is good, level of drug stock availability in the year 2012 was 99,12% and in 2013 was 95,14%, dispensing time for powder medicine was 13,65 minutes, dispensing time for ready stock medicine was 3,53 minutes, supplier performance has not been good enough, level of medication error and potential error was low. Based on questioner, customer satisfaction was still low, reliability dimension was 0,02, responsiveness 0,00, tangible 0,00, assurance 0,01, empathy 0,02. 89,36% of patients in 2012 were covered with pharmaceutical service from hospital pharmacy installation,this level decreased in 2013 for 37,20%, the average time for drug information was 25,56 seconds.
Potensi Antimikroba Ekstrak Etanol Kulit Luar Buah Cempedak (Artocarpus integer (Thunb.) Merr.)
Authors: Saputri Rina , Hakim Ali Rakhman , Syahrina Dahlia , Lisyanti Fatthiya
Published: September 2019

The background of this research is to develop the potential of biological resources in South Kalimantan. In particular, the biological source is cempedak fruit. The use of cempedak which has been scientifically studied is the use of cempedak bark as anti-malaria. Other studies related to other parts of cempedak are still not widely used. Based on the potential possessed by cempedak bark, it is likely that other parts of cempedak also have potential as traditional medicine. This study aims to identify the content of secondary metabolites from the outer skin of cempedak fruit, analyze the potential of the outer skin of cempedak fruit as an antimicrobial and analyze the effective dose as an antimicrobial. The method used to see MIC values with liquid dilution and KBM values with solid dilution. The results of phytochemical identification showed that the ethanol extract of the outer skin of cempedak fruit contained secondary metabolites in the form of saponins, tannins, flavonoids and alkaloids which have antimicrobial potential. The results of the antimicrobial activity test showed the MIC value of the ethanol extract of cempedak fruit outer skin against Escherichia coli bacteria at a concentration of 50% and against Staphylococcus aureus at a concentration of 25%. The KBM value also shows the same value as KHM. Based on the results of the study it can be concluded that the ethanol extract of cempedak fruit outer skin has broad-spectrum antimicrobial activity.
Uji Iritasi Formulasi Sediaan Krim Ekstrak Bawang Dayak (Eleutherine bulbosa (Mill.) Urb) pada Kelinci Albino Putih
Authors: Ardhany Syahrida Dian , Effendie Rizky Ramadhani , Novaryatiin Susi
Published: September 2019

Based on research before, ethanolic extract of bawang dayak (Eleutherine bulbosa (Mill.) Urb) has been tested can inhibit the growth of acne-causing bacteria, therefore made an anti-acne cream for easy used. Thi study aims to know primary irritation activity of bawang dayak using patch test method. The results showed that the primary irritation index of control group (0.625< 2), P1 was 1g of cream (0.75< 2), P2 was 0.5g of cream (0<2) and P3 was 0.25g of cream (0< 2) in category of invisible irritation, so it can be concluded that the cream of ethanolic extract of bawang dayak topically does not irritate animals.
Hubungan Pengetahuan dan Sikap terhadap Pemberian Terapi Insulin dalam Situasi Non-Critical Pasien Diabetes Melitus
Authors: Baeda Abd Gani
Published: September 2019

Diabetes mellitus is a chronic metabolic disorder disease caused by ineffective production of insulin used by the body causing hyperglycemia. Blood sugar is controlled by insulin. One of the therapy in control of blood sugar is insulin. The aim of this study was to find out the correlation among nurses knowledge, attitudes and behaviors in handling and administering insulin. A Cross-sectional design study involving 103 nurses in the surgery and internal room applied to this study. The results showed that there was no significant correlation between knowledge and attitudes toward nurses' behavior in providing noncritical insulin therapy. A majority of respondents have 67% moderate knowledge, 50% of respondents have a positive attitude, and 61.2% of respondents have satisfactory behaviour. The Conclusion of this study was the training is required to improve knowledge and satisfactory performance.
Hubungan Try Out dengan Tingkat Kelulusan Uji Kompetensi Perawat di Universitas Sembilanbelas November Kolaka
Authors: Siagian Heriviyatno Julika , Sagita Arman
Published: September 2019

Competency Test is a process of measuring students� knowledge, skills, and attitude in universities that organize higher education in Health. Data obtained from the results of the nurse competency test at Sembilanbelas November University in Kolaka from July 2017 period IX showed that 2 of 18 (11%) registered participants passed the test and 16 others (89%) did not pass it. The purpose of this study was to determine the factors correlated to the graduation level of the competency test at Sembilanbelas November University in Kolaka. This type of research was Analytic using the design of Cross-Sectional Study. The population of this study was 80 people where 67 of them were taken as sample using the Simple Random Sampling technique which was then analyzed using Spearman-Rank test method. The results of Statistical tests showed that there is a correlation between the try out variable and the graduation of competency test (P-value = 0.013 and correlation coefficient = 0.301), there is no correlation between Grade Point Average variable and the graduation of competency test (P-value = 0.349 and correlation coefficient = 0.116), and there is a correlation between learning style variable and the graduation of competency test (P-value = 0,000 and correlation coefficient = 0.517). It is expected that nursing colleges pay more attention to factors that have a close correlation with the graduation level of nursing competency test. One of them is by increasing the number of try out for students and making student learning styles effective in order to improve the graduation level of the nurse competency test.
Gambaran Tingkat Kecemasan pada Perempuan Menopause di Junjung Buih III Palangka Raya
Authors: Chusna Nurul
Published: September 2019

Menopause is a period that sometimes makes some women experience physical and psychological disorders such as depression and so on. For some women, this period is also considered as the beginning of his nightmare in life. This study was conducted to see how the picture of anxiety levels in menopausal women is upheld in Junjung Buih III Palangkaraya foam. This study uses descriptive research design, namely research conducted with the main purpose of making an overview of the situation objectively. In retrieval of data using a cross-sectional time approach, namely the collection of data collected at certain times that can describe the situation in a certain time. The sample used in this study was menopausal women with 30 respondents. Anxiety in menopausal women is assessed by a questionnaire test with closed questions, respondents just choose alternative answers according to instructions, variations of the answers have been determined and arranged in advance so that respondents have the freedom to choose answers, The results of the study showed that the level of anxiety in menopausal women in Junjung Buih III Palangkaraya was moderate (50%).
Edukasi Senam Kaki terhadap Kemampuan Melakukan Senam Kaki pada Penderita Diabetes Melitus Tipe 2 di Puskesmas Kereng Bangkirai Palangka Raya
Authors: Christyanni Yuyun , Aheng Novi Mery Kala , Nyamin Yongwan
Published: September 2019

The incidence of diabetes mellitus shows an increasing prevalence today. This condition is influenced by the lack of knowledge of clients in the management of Diabetes Mellitus. Efforts to increase knowledge can be done through education using media and effective methods. The use of audiovisual media is believed to be the most effective media in conveying information. Education in this study used audiovisual media that was applied in conjunction with the demonstration method. The purpose of this study was to analyze the effect of education with audiovisual media and demonstration methods on the ability to do foot exercises in patients with Type 2 Diabetes Mellitus in the work area of KerengBangkirai Health Center, Palangka Raya. The research method used was a quasy experiment with one group pre and post-test design. The sampling technique was done by purposive sampling as many as 30 peoples. The results showed that there were differences in knowledge and ability to do foot exercise before and after the education which was shown from the results of the paired t-test obtained p-value = 0,000 <a = 0.05. Foot exercise education with audiovisual media and demonstrations had an effect on the ability to do foot exercise in patients with Type 2 Diabetes Mellitus in the working area of Kereng Bangkirai Health Center.
Analisis Antimullerian Hormon (AMH) di Dalam Serum pada Berbagai Kategori Indeks Masa Tubuh
Authors: Pambudi Didik Rio , Sa�adi Ashon , Sudjarwo Sudjarwo
Published: September 2019

Obesity-related to the result of decreased reproduction. Obese women are more prone to abnormal anovulation and uterine bleeding, endometrial hyperplasia/cancer, infertility, miscarriage, and pregnancy complications, compared to women of normal weight. This study aims to determine the levels of anti-Mullerian hormone (AMH) in the serum at various BMI (body mass index), also to determine the relationship and correlation between obesity and AMH levels in serum. The population in the study were women aged 20 years to 40 years with less BMI, Normal BMI and Obesity BMI. The study subjects were women between the ages of 20 to 40 years with a BMI less than 17-19.9, obesity BMI = 25 and normal BMI 20-25 as controls. Height measurement, weight weighing, and BMI calculation carried out according to the standard and subject to approval. Taking blood samples for the examination of AMH levels carried out by the RSKI laboratory (Infection Special Hospital) Airlangga University. The results of the data processed with SPSS 25 with the Shapiro-Wilk normality test and Mann Whitney statistical analysis for different tests and Spearman analysis for the correlation test. The results of the study found homogeneous samples, there were no significant differences between the AMH levels of the less and obese groups with, p = 0.832 (p> 0.05). AMH levels in BMI were less (0.459 � 0.112 ng / mL) than obesity BMI (0.432 � 0.058 ng / mL), so it was concluded that AMH levels did not correlate with less BMI with obesity BMI, with a correlation value (r) = -0.105 (p = 0.643; p> 0.05). The results of this study concluded that body mass index not related and does not correlate with the levels of anti-Mullerian hormone in the serum.
Profil Kadar Hemoglobin dan Indeks Eritrosit pada Penjual Ikan Bakar di Kota Palangkaraya
Authors: Sartika Fera , Purbayanti Dwi , Lestari Eny
Published: September 2019

The process of fish by baking or burning using charcoal can produce toxic chemical compounds, one of which is a carbon monoxide (CO) compound. CO compounds can be inhaled into the lungs through the respiratory system in humans, thereby replacing the position of oxygen to bind to hemoglobin and consequently, the level of oxygen in the blood becomes reduced. The purpose of this study was to determine the profile of hemoglobin and erythrocyte indices of the grilled fish seller selling around Pahandut District, Palangka Raya City. The study was conducted with a purposive sampling technique and the number of samples in this study was 25 people. The results showed normal hemoglobin levels of 24 people and below the normal value of 1 person. Normal MCV values were 16 people, MCV below normal values were 9 people (36%). Normal MCH 21 people (84%), MCH under normal values 2 people (8%), normal MCHC 19 people (68%), MCHC below normal values 1 person (1%), MCHC more than normal values 5 people (20%). Profile and erythrocyte indices of 25 samples obtained normal hemoglobin levels of 24 people (96%) and hemoglobin levels below normal values of 1 person (4%). The results of 1 person (4%) cytitrocyte index were suspected of having microcytic hypochromic anemia which could be caused by iron deficiency, and 1 person (4%) of the type was suspected of having microcytichipchromic anemia.