bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical and Paraclinical Findings in Children With Congenital Hepatic Fibrosis: A Single Center 10-Year Study
Authors: Dehghani Seyed Mohsen , Saeidi Amir , Nejati Farzaneh , Shahramian Iraj , Bazi Ali , Jangjou Ali , Derakhshan Ali , Salarzaei Morteza , Parooie Fatemeh
Published: August 2020

Background: Congenital hepatic fibrosis (CHF) is an autosomal hereditary disorder affecting the porto-biliary system. It is a rare hereditary disorder often presenting in childhood or adolescence with hepatomegaly, splenomegaly, and gastrointestinal bleeding. A timely diagnosis of organomegalies by sonography can prevent esophageal varices. Liver transplantation is now the only cure for CHF. Objectives: The current study aimed to determine clinical and paraclinical findings in patients diagnosed with CHF from 2008 to 2017. Methods: This was a descriptive cross-sectional study of all children <18 years of age who were diagnosed with CHF from 2008 until 2017 in the pediatric hepatology ward at Nemazee hospital, Shiraz, Iran. Results: Overall, 32 CHF patients were included during the study period. Of these, 12 (37.5%) and 20 (62.5%) were female and male, respectively. The most frequent clinical presentations at diagnosis were hepatomegaly (81%), splenomegaly (68%), gastrointestinal bleeding (43%), abdominal protrusion (40%), ascites (21%), and epistaxis (6%). Severely enlarged livers were observed in 2 patients. Only 5 patients showed a normal-sized spleen, and kidney sonographic findings were normal in 30 patients. Liver enzymes were not severely deviated from the normal range. There was a significant association between spleen size and esophageal varices (P=0.01). Overall, 8 patients were liver transplanted due to decompensated cirrhosis. One patient developed bone marrow suppression secondary to the Epstein bar virus and ultimately succumbed to post-transplant lymphoproliferative disorder. In the study period, 2 girls and 2 boys died of disease complications. Conclusion: The results of the present study indicated that the most common clinical findings of CHF in pediatric patients are splenomegaly and hepatomegaly presenting as abdominal distention and gastrointestinal bleeding. Laboratory data can be normal in most cases, but ultrasonographic findings (in liver, spleen, and even kidneys) can be helpful. The present study also showed that patients with splenomegaly are at higher risk of esophageal varices.
Development and Psychometric Evaluation of Nursing Audit Tool
Authors: Ekici Dilek , Mert Tugba
Published: August 2020

Background: Better healthcare outcomes in health services are obtainable from frequently observing ongoing healthcare activities, gathering data, and assessing outcomes. Objectives: This study aimed to establish the basic principles of nursing care standards and practices in wards, develop a nursing audit tool for periodically monitoring and controlling ongoing nursing activities, and evaluate nursing care quality. Methods: A methodological investigation of field visit data gathered between November 2017 and April 2019 was conducted. A nursing service audit tool was used to collect data. Based on the literature and expert consideration, a conceptual structure of the nursing audit criteria containing 63 items and four factors (patient care, indirect care, unit criteria, and head nurse) was developed. The hospital supervisors visited all the wards and evaluated all the items of the tool accordingly. Nursing outcomes of units were used for determine the predictive validity of the tool. Two supervising nurses collected the data using the tool during their shifts. Supervisors were trained on the use of the tool to avoid any differences between evaluators. Each supervisor collected 309 tools. A total of 618 data were collected. Results: The level of validity and reliability of the tool is within acceptable limits; thus, it can be regarded as a valid and reliable tool for monitoring nursing care processes in the general wards of the hospital. Conclusion: The developed tool will help nurse managers monitor the nursing care process in accordance with the quality standards.
View From Above: Bibliometric and Citation Analysis of Global High Altitude Medicine Research
Authors: Liew Chee Hwui , Flaherty Gerard Thomas
Published: August 2020

Introduction: High altitude destinations are popular among international travelers. Travel medicine practitioners should be familiar with altitude physiology and high altitude illness recognition, prophylaxis, and management. We performed the first bibliometric analysis of high altitude medicine research. Methods: All articles published in a specialist high altitude medicine journal through April 2020 were mapped against the 34 domains in a theoretical body of knowledge. Citation counts of articles, as well as authors publishing the most articles, were obtained from Scopus. Collaboration analysis was performed using established methods. Results: Mapping of 1150 articles published from 2000 to 2020 identified the leading domains represented by high altitude medicine articles. The top five domains were altitude acclimatization and deterioration (19.4%, n=510); cardiovascular physiology (6.8%, n=180); work at altitude (6.6%, n = 174); acute mountain sickness (6.4%, n=169); respiratory and acid-base physiology (5.9%, n=155). Published articles attracted a total of 13,324 citations, with a mean of 11.6 citations per article. The average number of citations per author was 22.3. The USA was the most productive country with 432 publications (37.6%), followed by the UK (9.5%, n=109) and Switzerland (5.6%, n=64). The collaboration index for multi-authored publications increased from 3.8 in 2002 to 5.4 in 2019. Conclusion: We have performed the first comprehensive bibliometric analysis in high altitude medicine. Efforts to increase the research activity in neglected topics and to promote greater collaboration between high altitude medicine and related fields of study such as travel medicine may be worthwhile.
The First Presentation of Pediatric COVID-19 With Diabetic Ketoacidosis: A Unique Case Report
Authors: Jafarpoor Shahin , Abedini Masoumeh , Eghbal Fatemeh , Saburi Amin
Published: August 2020

Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), or COVID-19, is a pandemic infectious disease involved all over the world. Its mortality, especially in cases with additional co-morbidities, is so high that is has attracted the attention of the world. Diabetes mellitus is known as one of its risk factors for mortality. Case Presentation: A unique case of pediatrics COVID-19 who presented with diabetic ketoacidosis (DKA) is reported in this manuscript as the first presentation. He presented with abdominal pain, nausea, and vomiting. RT-PCR test for COVID-19 via nasal swab was performed, and a positive diagnosis was obtained. Chest CT scan confirmed the diagnosis with multifocal bilateral patchy consolidation. Case was discharged after usual treatment of COVID-19. Conclusion: In pediatrics, this disease can be subtle and have a confusion presentation, but it should be controlled to avoid spread of the disease. During epidemic status, suspicious cases specially children with nonspecific symptoms and other underlying diseases should be considered as at risk or potentially asymptomatic COVID-19 cases.
ON THE QUESTION OF THE FORMS OF IMPLEMENTATION OF THE FUNCTIONS OF THE MODERN STATE
Authors: Grin’ko Andrey A.
Published: August 2020

The article deals with the most important features of the forms of implementation of the functions of the state at the present stage of development. Attention is drawn to the debatable nature of the issue due to the presence of different points of view on
the list of forms and their content. Topicality of this issue as the appropriate set of functions and forms determines the degree of effectiveness of the entire state. The author analyses the main approaches to the problem of allocation of forms that have
developed in Russian science. It is noted that interdependence of various forms of state functions and conditionality of their differentiation into legal and non-legal (or organisational). Attention is drawn to the fact that forms are closely connected
not only with the essence, but also with the activities of the modern state. They are dynamic and transform with changes in the spheres of life of society and the state. It is concluded that only through a combination of forms that contribute to the full
implementation of functions, the most stable and successful development is possible.
THE PROBLEM ISSUES OF ENSURING NATIONAL SECURITY AT THE REGIONAL LEVEL
Authors: Tikhaleva Elena Yu.
Published: August 2020

Functioning and exchange of information between state structures of federal and regional level, coordination of interests of various subjects of the Russian Federation, promote stability in the country. In this situation, the necessary «balance» is
formed in the relations between the Russian Federation and its administrative-territorial units that at due level can protect the state from social shocks and crises. In this regard, the author analyses the participation of subjects of the Russian Federation
in ensuring national security. The article provides a generalised characteristic of correlations between the concepts of «national security» and «regional security». The attention is drawn to factors infl uencing the regional security system. Some
topical issues of legal regulation of activity of subjects of the Russian Federation about the ensuring national security are considered. The author revealed negative tendencies taking place within the regional security system. Based on the conducted research, the conclusion is made that there are a number of problems in the fi eld of national security at the regional level. These problems can affect the state as a whole
ON THE ISSUE OF THE ADMINISTRATIVE-TERRITORIAL STRUCTURE OF NATIONAL MINORITIES IN THE TEREK DISTRICT OF THE NORTH CAUCASUS REGION
Authors: Aver’yanov Anton V.
Published: August 2020

The article is devoted to the process and results of territorial self-determination of national minorities in the Terek district in 1924-1930 within the framework of the Soviet national construction. This problem has not yet found special coverage in
the scientifi c literature. The study determined the nature and degree of infl uence of the geographical location of the Terek district and its ethno-social structure on the processes of administrative and territorial arrangement of national minorities.
The features of settlement, social and religious structure of the largest ethnic groups are determined. The main priorities in the implementation of the policy of territorial separation of ethnic groups living in the region are indicated. The main criteria for creating national territorial entities, including Soviets of villages of the hill people and Soviets of villages of the Russian Cossacks, are highlighted. Projects on allocation of national districts and areas are analysed. Objective and subjective factors that hindered the implementation of these projects were identifi ed. It was proved that the national policy in the Terek district was subject to signifi cant adjustments due to local ethnic, social, cultural, economic and political specifi cs. It is noted that the ethnosocial structure of national minorities in the region was extremely heterogeneous. It was revealed that the Cossack factor continued to play an important role in the process of territorial self-determination of national minorities in the Terek district.
ON THE PECULIARITIES OF CHRONOTOPE IN NEW ENGLAND GOTHIC: THE HOUSE OF THE SEVEN GABLES BY NATHANIEL HAWTHORNE AND THE HAUNTING OF HILL HOUSE BY SHIRLEY HARDIE JACKSON
Authors: Vasil’yeva El’mira V.
Published: August 2020

The article deals with Mikhail Bakhtin’s term «the chronotope of the castle» analysed on the material of two New England Gothic novels – «The House of the Seven Gables» by Nathaniel Hawthorne and «The Haunting of Hill House» by Shirley Hardie Jackson. The author assumes that chronotope is not just a spacetime characteristic, but a set of motifs – the motive of dark past, the motif of spatial and temporal isolation, and the motif of «sentient» house. All of these motifs were used by classic Gothic novel writers of the 1760s to 1830s, and were as well employed in later quasi-Gothic texts. At the turn of the 19th century, Gothic novel commenced its parallel development in American literature, where it subsequently became one of the national genres. American writers aspired to adapt Gothic poetics to the cultural context of the country. For instance, in New England Gothic fi ction, the chronotope of the castle was transformed into the chronotope of the «bad» house. However, the set of motifs has remained the same: both Hawthorne and Jackson consistently used the motifs, provided by British Gothic fi ction, yet they further explored them and came up with their own interpretations.
PHYSICAL AND MECHANICAL CHARACTERISTICS INVESTIGATION OF FABRICS FOR OIL AND GAS COMPLEX WORKERS
Authors: Shustov Yu. S , Lebedeva N. P.
Published: August 2020

The requirements for fabrics designed for sewing workwear for oil and gas workers are determined. A study was carried out on four tissue samples of various fibrous composition produced by LLC Tchaikovsky Textile Company. We studied the structural characteristics of fabrics, their strength characteristics, the change in linear dimensions after wet processing and drying with ironing, breathability and hygroscopicity, flame retardant and oil-water-repellent properties, as well as antistatic properties. In the research process,
standard techniques were used. It has been established that fabric samples Frall Strong 260A RS and Flame Fort 200A RS most fully meet the requirements of operation.
STUDY OF THE ONE-DIMENSIONAL FIBROUS PRODUCT’S COMPONENT RATIO OF UNEVENNESS AND ITS DEPENDENCE OF THE LINEAR DENSITY UNEVENNESS
Authors: Sevost’yanov P. A.
Published: August 2020

The article presents the results of a study of the relationship between irregularity in linear density and the proportion of components of one-dimensional fibrous products (tape, tourniquet, roving, yarn). A formula is obtained for estimating the coefficient of variation for the component fraction depending on the unevenness for the linear density and the average component fraction. The estimate allows one to predict the expected
unevenness of the component share in the product based on known information about the unevenness of the components. Regularities are established and examples are given of the relationship between correlation functions and spectral dispersion densities for unevenness by linear density and component share in the product depending on the share of components, their unevenness, and the spectral composition of the unevenness.
IMPROVING EFFICIENCY OF LOAD TESTING OF LOCALISATION SOFTWARE Y USING THE FUNCTION OF CONSTRUCTING A TRANSLATION TEST DICTIONARY
Authors: Barilo I. I.
Published: August 2020

The article discusses the features of the implementation of software for the localisation of developed software at the initial stage of its development; we compiled a list of problems necessary to consider when choosing software for localisation; an option is proposed for solving the main problems by developing a function for constructing a test dictionary that allows it to be scaled for software under development; we present the results of a study of a number of existing dictionaries of localisation of popular software; it is concluded that it is necessary to calculate the values of the parameters of the construction function
depending on the type of software; the analysis of localisation dictionaries is carried out and a number of parameters of the function for constructing a test dictionary for the requirements of the developer are prepared.
COMPARACIÓN DEL RENDIMIENTO Y CAMBIOS MORFOLÓGICOS EN MAÍZ TUXPEÑO V-520C ADAPTADO A VALLES ALTOS EN MÉXICO
Authors: López-Morales Fernando , García-Zavala J. Jesús , Corona-Torres Tarsicio , Cruz-Izquierdo Serafín , López-Romero Gustavo , Reyes-López Delfino , Vásquez-Carrillo Ma. Gricelda , Molina-Galán José D.
Published: August 2020

La selección masal visual (SMV) es un método efectivo para adaptar razas tropicales y subtropicales de maíz (Zea mays L.) a otros ambientes. La variedad de maíz Tuxpeño V-520C es originaria de tierras bajas de Veracruz, pero fue adaptada por SMV a Valles Altos durante 14 (C14) y 19 (C19) ciclos, seleccionando plantas sanas y con buen rendimiento. El objetivo de este estudio fue evaluar el rendimiento de grano y cambios morfológicos de planta y mazorca en la variedad original V-520C (C0), C14 y C19, junto con el Compuesto Universal (CU) de la raza Chalqueño como testigo. En los ciclos agrícolas de 2013 y 2014 se realizaron seis experimentos en los estados deMéxico y Veracruz. El diseño experimental fue bloques completos al azar con tres repeticiones. Se registraron el rendimiento de grano, características agronómicas, de espiga y componentes del rendimiento. Los análisis de varianza combinado a través de localidades e individual de Veracruz no incluyeron el CU, mientras que el de Valles Altos sí lo hizo. Se observaron cambios morfológicos significativos por efecto de la SMV en el análisis combinado y en el de Valles Altos, y en los tres análisis hubo al menos una significancia entre ambientes, entre genotipos o en la interacción genotipo por ambiente para rendimiento y caracteres morfológicos de planta y mazorca. El C19 incrementó las frecuencias de genes favorables para mayor rendimiento en el análisis combinado (3.5 t ha-1) y de Veracruz (2.6 t ha-1); además, redujo los días a floración, la altura de planta y el tamaño de espiga, e incrementó el número de ramas primarias de la espiga y los componentes de rendimiento; debido a ésto, C19 fue el mejor genotipo, similar al CU. La SMV fue efectiva para la adaptación del maíz Tuxpeño V-520C de la zona tropical a la zona templada.
CRECIMIENTO DE PLÁNTULAS DE NUEVE GENOTIPOS DE Bouteloua curtipendula CON DOS TAMAÑOS DE CARIÓPSIDE
Authors: Ramírez-Meléndez J. Elvira , Hernández-Guzmán Filogonio J. , López-Castañeda Cándido , Miranda-Jiménez Leonor , Carrillo-Llanos Ma. de Jesús , Quero-Carrillo Adrián R.
Published: August 2020

Establecer praderas en temporal árido representa un reto, por lo que un rápido desarrollo de la plántula implica ventajas. El presente estudio tuvo como objetivo evaluar el crecimiento inicial de Bouteloua curtipendula (Michx.) Torr. proveniente de dos tamaños de cariópside. El material vegetal incluyó a las variedades NdeM-125, NdeM-303, NdeM-417, NdeM-La Resolana y los genotipos CP-62 (Coahuila), CP-Centauro (Durango), CP-Teloxtoc (Puebla), CP-Ñañú1 (Hidalgo) y CP-Mixe (Oaxaca), con tamaños de cariópside grande (CG) y chico (CCh). Cariópsides de cada tamaño se sembraron en almácigo en sustrato de suelo, tepezil (mineral inerte y liviano que facilita la aireación y capilaridad) y corteza molida de árbol a razón 2:1:1. Se realizó trasplante en tubetes de 70 cm3 21 días después de siembra (dds) bajo un diseño completamente al azar. Se realizaron muestreos destructivos a los 43, 56, 67, 81 y 96 días después de siembra (dds) en condiciones de invernadero. Se determinó el peso de los componentes morfológicos en cada muestreo y se calculó la tasa absoluta de crecimiento (TAC), área foliar específica (AFE), tasa relativa de crecimiento (TRC) y tasa de asimilación neta (TAN). Se realizó análisis de varianza y prueba de comparación de medias de Tukey (P ≤ 0.05). El rendimiento de materia seca (MS) de componentes morfológicos fue diferente (P ≤ 0.05) a 56 dds y se observó que sembrar CG en NdeMLa Resolana resultó en mayor MS aérea y radical y mostró mayor peso de inflorescencia (P ≤ 0.05) a 81 y 96 dds. Los valores máximos para TAN y TRC ocurrieron en etapas iniciales y disminuyeron a mayor edad de planta para todos los materiales. En TRC, NdeM-125 con CG fue mayor conforme avanzó la edad de la planta, mientras en TAN, CP-Ñañú1 mostró mayores valores (P ≤ 0.01). El AFE fue mayor para todos los materiales a 81 y 96 dds y CP-Mixe con CCh fue el mejor tratamiento. Seleccionar por tamaño de cariópside resulta en desarrollo diferencial de plántula. Las plantas de NdeM-La Resolana a partir de ambos tamaños de cariópside mostraron producción de semilla precoz, lo que resulta valioso para auto-recuperación de agostaderos.
CONCENTRACIÓN DE CARBONO EN VÁSTAGOS Y RAÍCES DE DIFERENTES ESPECIES DE PASTOS EN NUEVO LEÓN, MÉXICO
Authors: Yerena-Yamallel José I. , Jiménez-Pérez Javier , Alanís-Rodríguez Eduardo , Aguirre-Calderón Oscar A.
Published: August 2020

En México, los estudios sobre la evaluación del coeficiente de concentración de carbono en pastos son de gran importancia, pero no hay información al respecto. En el presente estudio, se determinó la concentración de C en vástagos y raíces de 21 especies de pastos. El estudio se realizó durante los meses de abril y mayo de 2018 en los municipios de Linares y Montemorelos, Nuevo León, México. Se analizó un total de 378 muestras provenientes de 21 especies, tres sitios por especie, dos componentes por sitio y las mediciones se realizaron por triplicado. La concentración de C se obtuvo con el equipo Solids TOC Analyzer. La concentración promedio de C en las especies varió de 32.5 % en Paspalum notatum Flüggé a 39.9 % en Setaria viridis (L.) P. Beauv., con media general de 36.4 %. La concentración de C en el componente raíz de todas las especies fue 36.0 % y en vástago 36.9 %. Pennisetum ciliare (L.) Link presentó la mayor concentración de C en el vástago (41.9 %) y P. notatum mostró el valor menor (33.2 %). El contenido promedio de C en la raíz entre las especies varió de 31.8 % en P. notatum a 39.8 % en Cynodon plectostachyus (K. Schumann.) Pilg. Utilizar un valor generalizado para la concentración de carbono total da como resultado una sobrestimación del carbono capturado en los pastos.
Comités de ética en investigación durante la epidemia del nuevo coronavirus (COVID-19) en Perú
Authors: García-Mostajo Jorge A. , Alvarez-Arroyo Violeta , Duffoó-Rosales Mariangela , Jiménez-Arismendiz Harold , Rivera Fulton P.
Published: August 2020

Carta al editor (sin resumen)
Octabrix based IoT device for neighboring locality air purity monitoring system
Authors: HS Shreenidhi , Ramaiah Narayana Swamy
Published: August 2020

ABSTRACT
Internet of Things (IoT) is evolving to be a revolution in the field of technology both in terms of hardware and software. Various market opportunities and rapid increase in number of connected devices witness the growth of IoT. In this paper, an IoT enabled device is implemented for monitoring the pollution level at a specific location. Octabrix device is utilised to manipulate the MQ-2 sensor data to analyze the pollution level. An Octabrix is a pair of low cost Wi-Fi module with minimal space requirement standalone application. The proposed system uses MQ-2 sensor, which monitors air purity in and around its neighboring location. In-turn, Octabrix is programmed to notify the air purity among the authenticated users automatically through an internet enabled smart-phones. Octabrix development board consists of an in-build LED ring that turns BLUE, RED when the air quality is below and above threshold value respectively. Also, the notification of the Air purity could be obtained through Google Allo on an internet enabled smart-phone via Blynk SMS. The proposed system is analyzed using Thinger.io a cloud platform for analyzing the sensor data. The experimental result is plotted and compared for different localities.

Type of Paper: Empirical

Keywords: Internet of Things; Octabrix; MQ-2 Sensor; GOOgle ALLo; Thinger.io; Blynk
Policy Direction for Philippine Level 3 Local Government Hospitals based on the Predictors of Quality Patient Care
Authors: Abraham Lucille A. , Castaño Mary Caroline N.
Published: August 2020

ABSTRACT
Objective – The study aims to formulate a policy direction (through a model) among Philippine level 3 local government hospitals based on the predictors of Quality Patient Care (QPC). The predictors are cost-effectiveness, utilization of materials, services by human resources, accessibility, leadership and management and ethical standards as independent variables in relation to the dependent variable which is QPC.

Methodology/Technique – Survey questionnaires and interviews were conducted to patients, hospital directors, doctors, nurses, administrative and ancillary officers. The study used descriptive (mean and standard deviation) and inferential (ordinary least squares and multiple regression analysis) statistics.

Findings – The study revealed that the utilization of materials has the most influence/effect on QPC wherein an increase in 1% of materials brought about an increase of 0.55 % in QPC. Likewise, accessibility brought about an increase in QPC by 0.42 %; and services rendered by human resources brought about an increase in QPC by 0.05 %.

Novelty – This is the first study of Philippine Level 3 local government hospitals which aims to formulate a policy direction (through a model) based on the predictors of QPC. This can be used by the national and local governments in devising policies to improve healthcare, particularly in the hospital industry.

Type of Paper: Empirical

Keywords: local government hospitals; Philippines; policy direction; quality patient care
PENENTUAN KUALITAS PEKTIN DENGAN FORMULASI PH EKSTRAKSI PADA LIMBAH KULIT KAKAO (Theobrema cacao L.)
Authors: Aisyah  , Jannah Asmanur , Nurfitri
Published: August 2020

Pada umunya aktifitas manusia pada usaha budidaya pertanian menghasilkan limbah terutama pada tanaman yang menghasilkan buah. Pektin adalah salah satu hasil pengolahan limbah yang bernilai ekonomi tinggi. Diantara limbah pertanian yang dapat dimanfaatkan sebagai bahan baku pektin diantaranya adalah jerami padi, kulit kentang, kulit buah-buahan serta daun dan ranting tanaman-tanaman tertentu. Salah satu limbah hasil pertanian yang potensial menghasilkan pektin adalah limbah kulit Kakao (Theobrema cacao L.) dengan kandungan Pektin sebesar 2 sd 10%. Penelitian ini bertujuan untuk mengetahui pengaruh tingkat pH ekstraksi terhadap komponen mutu Pektin yang memenuhi standar. Pektin dari kulit Kakao dibuat dengan tiga variasi pH diantaranya pada pH1.5, 2 dan 2.5). Karakter pektin yang diamati antara lain : rendemen Pektin, kadar air, kadar metoksil dan berat ekivalen. Pektin yang dihasilkan dari ekstraksi dengan variasi perbedaan pH menghasilkan serbuk berwarna coklat dan tidak berbau. Komponen mutu yang dihasilkan dari penelitian ini dan sudah memenuhi standar IPPA (International Pektin Producers Asseciation) dari semua formulasi pH yang dicoba adalah kadar air pectin berkisar antara 11.92 sd 11.96%, kadar abu berkisar antara 4.87 sd 7.87% dan kadar metoksil berkisar antara 4.96 sd 7.36%.
Sistem Entri Resep Dokter Terkomputerisasi dalam Sistem Informasi Rumah Sakit: Literature Review
Authors: Ilhamsyah Rudi , Setyonugroho Winny
Published: August 2020

Latar Belakang: “Manusia tempat berbuat salah” sebuah kalimat yang dinyatakan oleh Institute of Medicine yang menunjukkan banyaknya kesalahan penulisan resep yang merugikan pasien sehingga biaya perawatan kesehatan juga membengkak. Kesalahan-kesalahan ini dapat dicegah dengan penggunaan teknologi informasi kesehatan, salah satunya berupa rekam medis elektronik yang pada awalnya dimaksudkan untuk mempersingkat, menyederhanakan, dan menyatukan data perawatan pasien.

Metode: Pengumpulan jurnal mengenai CPOE dalam review ini merupakan kolaborasi tim peneliti di Magister Administrasi Rumah Sakit Universitas Muhammadiyah Yogyakarta. Pemilihan jurnal dilakukan dengan kriteria inklusi berupa peer reviewed yang menyebutkan Hospital Information System, yang dipublikasikan dalam Bahasa Inggris, dengan kriteria eksklusi Predatory Journals, Predatory Publisher, dan Grey Literature.

Hasil: Dari 40 jurnal yang diikutkan dalam analisis ini, dilakukan pengelompokan berdasarkan tempat penelitian, 26 jurnal melakukan penelitian one-center, sisanya multicenter. Dari 40 jurnal, 33 diantaranya menggunakan sistem CPOE yang berbeda, hanya 2 jenis CPOE yang pernah digunanakan bersamaan. CPOE yang digunakan juga merupakan program yang diperjualbelikan. Sedangkan untuk CDSS sebagian besar menggunakan CDSS yang berbeda, kecuali 2 jenis CDSS.

Kesimpulan: Pada penggunaan CPOE maupun CDSS tidak ada penjelasan mengenai ada atau tidaknya institusi yang terpercaya yang mengawasi pembuatan dan pengembangannya.
Analisa Pola Frekuensi Keranjang Belanja Dengan Dengan Perbandingan Algoritma Fp-Growth (Frequent Pattern Growth) dan Eclat pada minimarket
Authors: Wijaya Krisna Nata
Published: August 2020

Dalam kegiatan transaksi jual beli di minimarket ataupun toko pemilik harus mengerti apa yang diinginkan komsumen dalam memberikan kenyaman berbelanja, terutama kemudahan dalam pemilihan barang yang disesuaikan dengan tata letak atau penempatan barang. Dengan menerapkan association rule pada data transaksi akan memudahkan pemilik dalam mengelolah informasi penjualan dan mencari itemset. Oleh karena itu, penelitian ini Melakukan analisis pola data transaksi penjualan dengan menerapkan metode asosiasi pada data mining. Selanjutnya dengan melakukan perbandingan algoritma Fp-Growth dan Eclat dengan minimum support dan confidence sebesar 0.01% untuk menentukan jumlah aturan yang terbentuk sebagai bahan pengambil keputusan yang ditunjukan untuk frekuensi keranjang belanja.
Penunjang Keputusan Dalam Kelayakan Pemberian Kredit Motor Pada PT.Mandala Multifinance
Authors: Sarwindah Sarwindah
Published: August 2020

PT Mandala Multi Finance merupakan perusahan leasing yang bergerak dibidang jasa kredit motor bagi pemohon kredit dan mengambil keuntungan dari pembayaran bunga kredit. Pada dasarnya perusahaan leasing merekrut tenaga kerja dibagian credit analyst untuk melakukan analisis terhadap kemampuan membayar pemohon kredit dan melakukan survey lapangan untuk mengurangi kemacetan dalam  membayar kredit. Seorang  Credit Analyst diharapkan untuk bekerja cepat dan teliti dalam menganalisa banyaknya data pemohon kredit yang masuk sehingga tidak menutup kemungkinan terjadi kesalahan-kesalan, seperti kesalahan perhitungan, kesalahan membaca data, dan lain-lain. Oleh karena itu dalam upaya membantu Credit Analyst dalam kegiatan pengambilan keputusan konsumen layak kredit, diperlukan model sistem berbasis komputer yang dapat memberikan kemudahan dalam melakukan analisa data, perhitungan penilaian kriteria pemohon kredit, serta membantu pengolahan data menjadi informasi untuk mengambil keputusan dari masalah tersebut.  Sebuah sistem penunjang keputusan merupakan pilihan tepat untuk membantu penyeleksian pemohon kredit dimana sistem penunjang keputusan ini dirancang dengan menggunakan metode AHP, pembuatan sistem menggunakan bahasa pemograman php dan database mysql. Diharapkan sistem penunjang keputusan ini dapat membantu kerja perusahaan leasing khususnya pada bagian Credit Analyst dalam melakukan penyeleksian pemohon kredit dan dapat mengurangi kesalahan dalam menentukan konsumen layak kredit.
Mewujudkan Good Governance Melalui Asas Akuntabilitas dalam Pengelolaan Keuangan Negara
Authors: Muhajir Ichsan
Published: August 2020

Negara hukum merupakan esensi yang menitik beratkan pada tunduknya pemegang kekuasaan negara pada aturan hukum. Pemerintah sebagai pemegang kekuasaan harus mewujudkan pemerintahan yang baik, salah satunya dengan mengelola keuangan negara secara bertanggung jawab. Tujuan penelitian ini untuk mengetahui pengelolaan keuangan negara yang berdasarkan asas akuntabilitas yang dapat mewujudkan good governance. Permasalahan yang dibahas dalam penelitian ini yaitu: (1) Prinsip akuntabilitas dalam pengelolaan keuangan negara; (2) Mewujudkan good governance melalui asas akuntabilitas dalam pengelolaan keuangan negara. Motode yang digunakan dalam penelitian ini yaitu yuridis normatif maksudnya data yang diperoleh dengan berpedoman pada segi-segi yuridis, selain itu juga berpedoman pada segi-segi empiris yang dipergunakan sebagai alat bantu. Hasil dari penelitian ini menunjukkan bahwa prinsip yang digunakan dalam pengelolaan keuangan negara salah satunya adalah akuntabilitas yang berorientasi pada hasil terkandung makna bahwa setiap pengguna anggaran wajib menjawab dan menerangkan kinerja organisasi atas keberhasilan atau kegagalan suatu program yang menjadi tanggung jawabnya. Asas akuntabilitas dalam pengelolaan keuangan negara sangat mempengaruhi terwujudnya good governance di Indonesia.
The Deadly Trio of Malaria, Pneumonia and Diarrhea: Assessing Community Knowledge Gaps and Beliefs within Integrated Community Case Management (iCCM) Practice in a Nigerian State
Authors: Amzat Jimoh , Shehu Samaila
Published: August 2020

The trio of Integrated Community Case Management (iCCM) target conditions, malaria, pneumonia and diarrhea, constitute a devastating global disease burden killing over 1 million under-5 children annually. Nigeria accounts for almost 15% of global under-5 mortality. The World Health Organization is promoting iCCM in resource-constrained societies. Therefore, this study assesses the knowledge of community members on iCCM target conditions. Health belief model serves as a theoretical guide for the study, which was conducted in three purposively selected Local Government Areas in Sokoto State, Nigeria. The study found that there are still some significant misconceptions despite the high prevalence of these diseases. About one-quarter of the respondents did not believe any of the diseases could kill a child. Socio-demographic variables have a significant effect on the knowledge gaps constituting barriers to the uptake of iCCM services. Despite the high usage of insecticide-treated bed-net, 68.9% of the respondents disclosed perceived malaria within the last 30 days preceding the survey. In all, 85.4% of the respondents have some religious barriers to attending health facilities. The study concluded that the diseases’ misconceptions limit the uptake of iCCM services where available. Therefore, knowledge of community members on iCCM needs to be improved.
Determinants of Health Care Utilization among Retirees in Rural Akwa Ibom State, Nigeria
Authors: Ononokpono Dorothy N. , Peters Moses I. , Usoro Nsidibe Akpan
Published: August 2020

The rising population of the elderlyis one of the most important demographic phenomena in recent times globally. In Nigeria, the estimated population of older persons is about 6 million, and this group of people are confronted with various health challenges and a reduction in earnings, which exacerbates their poor health and healthcare utilization. Studies have shown that healthcare is a fundamental requirement for living a socially and economically productive life; however, in many developing countries including Nigeria, healthcare services utilization among older persons and particularly retirees has received less attention. The main objective of this study was to examine the determinants of healthcare services use among retired primary school teachers in Etinan Local Government in Akwa Ibom State. We utilized Andersen’s healthcare model to explain the factors associated with retirees’ healthcare utilization.Data were collected throughnon-participant observation and semi-structured interviews, conducted with 217 respondents.Data on socio-demographic characteristics of respondents were analyzed using descriptive statistics, while qualitative narratives were analyzed thematically and presented verbatim. Findings from the study revealed that the majority of respondents attributed difficulties in the utilization of health care services to inadequate health facilities, lack of trained healthcare personnel, high cost of health services, distance to health facilities, and late payment of pension, among other factors. Study findings suggest the need for the provision of quality healthcare infrastructure for the retired adults and timely payment of pensions as a panacea for poor healthcare accessibility and utilization.
Patterns of Corruption in Ahmadu Bello University Teaching Hospital Shika, Zaria, Kaduna State, Nigeria
Authors: Abdulkareem Simiat Bidemi
Published: August 2020

In Nigeria, corruption is the obstacle preventing the country from achieving its enormous potential.Corruption in the health sector is a concern in Nigeria where public resources are already scarce. Corruption in the health sector has made various health institutions to be ineffective while scarce resources invested in the sector are wasted. It weakens the social contract between the government and its people, and drains billions of dollars annually from the country’s economy. The deplorable condition of thehealth sector in Nigeria, in spite of government spending raises serious concerns. Theseconcerns include mismanagement, embezzlement, poor funding, shortage of drugs and medicalequipment in public hospitals etc. This paper therefore examines how corruption has impeded on theservice delivery in Ahmadu Bello University Teaching Hospital (ABUTH) Shika, Zaria. The main objective of this study is toinvestigate the effect of corruption on service delivery and how it affects patients in the study area. Data were collected from the targeted populations through in-depth interviews and focus group discussions. The findings revealed that there is diversion of drugs, injections and other materials for personal use and sales, also money meant for fuel and diesel diverted to personal pocket. It is recommended that any health workers caught in one corrupt act or the other should be dealt with severely to serve as deterrent to others and also Federal Ministry of Health should procure and distribute drugs and other medical materials needed in the hospital and the public must be aware of the drugs that are free.
GCLIQUE: An Open Source Genetic Algorithm for the Maximum Clique Problem
Authors: Shah Shalin
Published: August 2020

A clique in a graph is a set of vertices that are all connected to each

other. A maximum clique is a clique of maximum size. A graph may have

more than one maximum cliques. The problem of finding a maximum

clique is a strongly hard NP-hard problem. It is not possible to find an

approximation algorithm which finds a maximum clique that is a constant

factor of the optimum solution. In this work, we present a genetic algorithm

for the maximum clique problem that is able to find optimum or

close to optimum solutions to most DIMACS graphs. The genetic algorithm

uses new crossover mechanisms which are able to find reasonably

good cliques which can then be used in other applications downstream.

We also provide C++ code for our algorithm. Results show that our algorithm

is able to find maximum cliques for most DIMACS instances, and

if not, close to optimum solutions for the other instances.
ANALISIS NILAI MORAL DALAM NOVEL SURAT KECIL UNTUK TUHAN KARYA AGNES DAVONAR
Authors: Ramban Hendry , Tampubolon Cholastina , Annisa Annisa
Published: August 2020

Tujuan Penelitian ini untuk mengetahui wujud dan bentuk penyampaian nilai moral yang terkandung dalam novel Surat Kecil Untuk Tuhan karya Agnes Davonar dalam kehidupan sehari-hari. Pendekatan penelitian yang digunakan adalah pendekatan kualitatif. Hasil penelitian ini hanya mengetahui wujud dan bentuk penyampaian nilai mora; yang terkandung dalam novel Surat Kecil Untuk Tuhan karya Agnes Davonar. Dalam Penelitian ini, Sumber data yang digunakan dalam penelitian ini adalah novel Surat Kecil Untuk Tuhan karya Agnes Davonar yang memiliki tebal 258 halaman. Teknik pengumpulan data dalam penelitian ini menggunakan study naskah (analaysis content). Hasil penelitian menunjukan bahwa novel Surat Kecil Untuk Tuhan karya Agnes Davonar memiliki banyak wujud nilai moral yang bisa dijadikan sebagai contoh kepada penikmat karya sastra dalam bertingkahlaku di kehidupan sehari-hari.
STRATEGI KOMUNIKASI PEMASARAN TERPADU COFFEE SHOP KOPI TULI
Authors: Putri Adinda Valisha , Ali Dini Salmiyah Fithrah
Published: August 2020

Coffee shop kopi tuli merupakan coffee shop pertama di Indonesia yang dikelola oleh kaum disabilitas tuli. Coffee shop kopi tuli memiliki keunikan dari interaksi dengan pelanggan menggunakan bahasa isyarat yang merupakan value yang dapat dimanfaatkan sebagai strategi komunikasi pemasaran. Penelitian ini bertujuan untuntuk mengetahui Strategi Komunikasi Pemasaran Terpadu Coffee Shop Kopi Tuli. Metode penelitian pada penelitian ini adalah deskriptif kualitatif dengan paradigma post positivistik. Pengumpulan data dilakukan melalui observasi, wawancara dan dokumentasi. Teknik Analisis Data berpedoman pada Miles dan Huberman yang terdiri dari pengumpulan data, Reduksi data, Penyajian Data dan Penarikan kesimpulan. Hasil penelitian kegiatan perencaan dari coffee shop kopi tuli dengan menganalisis masalah melalui analisis pasar, SWOT dan competitor, menganalisis khalayak, merumuskan tujuan komunikasi, pemilihan media dan saluran komunikasi serta pengembangan pesan. Pada kegiatan pelaksanaan yaitu melalui kegiatan personal selling, sales promotion, public relation dan publisitas, event dan pengalaman. Kegiatan evaluasi dengan cara mengukur kerja.
FORMULASI LOTION EKSTRAK ETANOL BUAH STROBERI (Fragaria x ananassa Duchesne ex Weston) SEBAGAI TABIR SURYA
Authors: Widyastuti Widyastuti
Published: August 2020

Abstrak Buah stroberi mempunyai banyak khasiat bagi kesehatan karena mempunyai efek sebagai antioksidan yang dapat melindungi kulit akibat paparan sinar matahari. Buah stroberi diekstraksi secara maserasi menggunakan pelarut etanol 96% dan ekstrak dilakukan pengujian skrining fitokimia serta kadar senyawa fenolik total. Pengujian aktivitas antioksidan dengan metode DPPH dan pengujian tabir surya menggunakan metode spektrofotometri. Ekstrak dibuat sediaan lotion dengan menvariasikan VCO dan minyak zaitun sebagai emolien. Dari penelitian ekstrak mengandung senyawa fenolik, flavonoid dan saponin. Pada konsentrasi 1 mg/mL ekstrak mengandung senyawa fenolik total 1755 mg GAE/100 g ekstrak dengan kapasitas antioksidan sebesar 6,23%. Pengujian aktivitas tabir surya didapatkan %Te dan %Tp pada konsentrasi ekstrak 200 µg/mL masing-masing 0,5039 dan 0,5365 dan semakin berkurang dengan meningkatnya konsentrasi ekstrak, termasuk dalam klasifikasi sunblock. Nilai SPF ekstrak pada konsentrasi 200 µg/mL sebesar 13,85 termasuk kedalam kategori proteksi maksimal. Sediaan lotion semua formula memenuhi persyaratan evaluasi fisik dengan formula yang terbaik pada F4 yang mengandung VCO 10%. Dapat disimpulkan ekstrak etanol buah stroberi mempunyai aktivitas sebagai antioksidan dan tabir surya serta dapat dibuat dalam bentuk sediaan lotion.Kata kunci: stroberi, tabir surya, lotion Abstract Strawberry fruit has many benefits for health as an antioxidant that can protect the skin due to exposure to sunlight. Strawberry extracted by maceration using 96% ethanol and extracts were carried out phytochemical screening tests and total phenolic compounds. Testing of antioxidant activity with the DPPH method and testing of sunscreen using spectrophotometric methods. The lotion was prepared by varying the VCO and olive oil as emollients. From the research extract contains phenolic compounds, flavonoids and saponins. At a concentration of 1 mg/mL the extract contained a total phenolic compound of 1755 mg GAE/100g extract with an antioxidant capacity of 6.23%. Tests of sunscreen activity obtained %Te and %Tp at extract concentrations of 200 µg/mL respectively 0.5039 and 0.5365 and decreased with increasing concentration of extract, included in the sunblock classification. The SPF value of the extract at a concentration of 200 µg/mL of 13.85 was included in the category of maximum protection. Lotion preparations for all formulas met the physical evaluation requirements with the best formula in F4 containing 10% VCO. It can be concluded that the ethanol extract of strawberry fruit has an activity as an antioxidant and sunscreen and can be made in a lotion dosage form.Keywords: strawberry, sunscreen, lotion
PENETAPAN KADAR FLAVONOID DAUN BINAHONG (Anredera cordifolia (Ten) Steenis) DENGAN METODE SPEKTROFOTOMETRI UV-VIS
Authors: Helmidanora Rusdiati - , Sukawaty Yullia - , Warnida Husnul -
Published: August 2020

Tumbuhan binahong (Anredera cordifolia (Ten) Steenis) digunakan secara empiris untuk mengobati luka gigitan dan luka infeksi. Penelitian terdahulunya menyatakan ekstrak binahong bersifat antibakteri, antifungi, antivirus, antidiabetes, antihipertensi, anti inflamasi, analgesil, dan antioksidan. Metabolit sekunder yang memberikan aktivitas farmakologi ini adalah flavonoid yang terkandung di dalam daun binahong Penelitan ini bertujuan untuk mengetahui jumlah falvonoid total yang terkandung dalam daun binahong. Serbuk simplisa daun binahong dimaserasi dengan pelarut etanol 95%. Diperoleh rendemen ekstrak 6,10%b/b. Hasil skirining Fitokimia menjukkan keberadaan flavonoid, alkaloid, saponin, dan fenol. Kadar flavonoid total ditetapkan dengan spektrofotometri menggunakan reagen aluminium klorida. Jumlah flavonoid total dihitung dari kurva kalibrasi kuersetin (Y = 0.01856x - 0.01092, r2 = 0.99474). Disimpulkan bahwa ekstrak etanol daun binahong mengandung senyawa flavonoid sebanyak 25.8969 mg QE/g.
Karakterisasi Kokristal Asiklovir-Nikotinamida yang Dibuat dengan Tiga Metode Kokristalisasi
Authors: Barikah Kuni Zu'aimah , Nawatila Roisah , Winantari Agnes Nuniek , Siswodihardjo Siswandono , Setyawan Dwi
Published: August 2020

Asiklovir (ASV) merupakan antiviral dengan bioavailabilitas oral yang rendah oleh karena sifat kelarutannya yang kurang baik. Pembentukan kokristal farmasi merupakan salah satu modifikasi padat yang dapat digunakan untuk meningkatkan kelarutan. Nikotinamida (NKT) merupakan bahan koformer berupa vitamin larut air yang memiliki potensi untuk berikatan dengan ASV membentuk kokristal ASV-NKT. Pembentukan kokristal secara umum dapat dilakukan dengan metode penguapan pelarut, akan tetapi kurang efisien dalam pembuatan skala besar. Oleh karenanya, telah dikembangkan beberapa metode lain yaitu metode grinding dan slurry. Kokristal ASV-NKT selanjutnya dibentuk menggunakan tiga metode yang berbeda yaitu penguapan pelarut, grinding dan slurry serta dianalisis menggunakan difraksi sinar-x serbuk, Differential Scanning Calorimeter (DSC) dan uji disolusi in vitro. Pengujian menggunakan difraksi sinar-x serbuk dan DSC menunjukkan adanya pembentukan fase padat baru yaitu kokristal walaupun belum menunjukkan hasil yang optimal. Akan tetapi, pembentukan kokristal ASV-NKT metode penguapan pelarut dan slurry memberikan efek peningkatan disolusi ASV pada media dengan pH 6,8. Peningkatan disolusi tersebut tidak didapatkan pada pembentukan kokristal ASV-NKT dengan metode grinding. Oleh karenanya dapat disimpulkan bahwa pembentukan kokristal ASV-NKT mendapatkan hasil lebih optimal dengan menggunakan metode penguapan pelarut dan slurry dibandingkan metode grinding.
IDENTIFICATION RISK FACTORS OF DEPRESSION AND MEDICATION ADHERENCE IN PATIENTS WITH CHRONIC KIDNEY FAILURE IN ISLAMIC HOSPITAL JAKARTA PONDOK KOPI
Authors: Wulandari Nora , Wiyati Tuti , Astami Virza
Published: August 2020

Gagal ginjal kronis merupakan suatu penyakit dengan pengobatan dalam jangka waktu lama yang secara tidak langsung akan memberikan perubahan hidup pasien serta berisiko terjadinya depresi. Tujuan dari penelitian ini yaitu untuk mengetahui tingkat kejadian depresi, tingkat kepatuhan minum obat dan mengetahui hubungan antara depresi dengan kepatuhan minum obat pada pasien gagal ginjal kronis di RS Islam Jakarta Pondok Kopi. Penelitian ini dilakukan secara cross sectional. Kuesioner Morisky Medication Adherence Scale(MMAS-8) digunakan untuk menilai kepatuhan minum obat, sedangkan Clinically Useful Depression Outcome Scale(CUDOS) untuk menilai tingkat depresi. Penelitian ini melibatkan 138 responden yang menggunakan obat minum. Dari hasil penelitian ini didapatkan sebanyak31,2% responden dengan depresi minimal, dan 45,7% responden dengan kepatuhan minum obat yang tinggi. Faktor lamannya pengobatan signifikan dengan depresi (p=0,006) sedangkan faktor status pendidikan signifikan dengan kepatuhan minum obat (p=0,011). Tidak terdapat hubungan yang signifikan antara depresi dan kepatuhan minum obat (p=0,957).