bluuebunny/crossref_metadata_2025 huggingface dataset:
A COMPARATIVE STUDY OF INTRALESIONAL TRIAMCINOLONE ACETONIDE ALONE VERSUS COMBINATION OF 5-FLUOROURACIL AND TRIAMCINOLONE ACETONIDE IN THE TREATMENT OF KELOID
Authors: Gupta Neha , Paliwal Vijay , Kumawat Kanchan , Kumar Narendra , Khan Imran , Bhargava Puneet , K Mathur Deepak
Published: May 2021

Background: Keloids are benign proliferative condition of dermal broblast. Intralesional corticosteroid improves keloid but associated with
signicant adverse effects like dyspigmentation, tissue atrophy and telengectasia and contraindicated in certain conditions like hypertension and
diabetes. 5-Fluorouracil (5-FU), a pyrimidine analogue with an inhibitory effect on TGF-β induced broblast proliferation is useful in treatment of
keloids but is associated with ulceration and pain. A low dose of Triamcinolone if added to 5-FU injection overcomes these issues.
Approach: This study was conducted in a tertiary care hospital. Sixty patients; thirty in each group were included. In group A, once weekly
intralesional Triamcinolone and in group B, intralesional injection of Triamcinolone mixed with 5-Flurouracil in 1: 9 dilution were injected for 8
sessions. Parameters of Vancouver scale were noted at the baseline and at the end of treatment.
Results: Out of 60 patients enrolled in this study. The combination group was better in improving height (62.11% vs 78%), pliability (44.14% vs
8.81%), and vascularity (55.78% vs 61.30%) and results were statistically signicant (P valve <0.05) however it was not better in improving
pigmentation (43.47% vs 20%) and volume (69.79% vs 80.76%) (P valve > 0.05). Pain and pruritus improved completely (100%) in both the
groups at the end of the treatment. Excellent improvement in patient and observer assessment score was seen in 96.67% vs 3.33% in combination
group and TAC group respectively. The difference was statistically signicant (P valve<0.05). Combination was better irrespective of age of the
patient, duration, site, and origin of keloid. All patients treated with 5 FU develop ulceration and pain.
Conclusion: Both the therapies are effective but combination is superior to TAC alone. We advocate that 5-FU should be used alone, addition of
TCA does not have any added advantage in therapeutic outcome rather it increases the cost of treatment.
UNUSUAL PRESENTATION OF PRIMARY PLEOMORPHIC RHABDOMYOSARCOMA OF HEART: COMPLETE ATRIOVENTRICULAR BLOCK AND SEVERE MITRAL REGURGITATION
Authors: Kumar* G.Sandeep , Pranoy G. , Raju A. Ashok , Naidu K.C. Karthik , Kumar P.Sampath
Published: May 2021

Primary cardiac tumours are rare and difcult to diagnose because most are asymptomatic or have varied non-specic presentations. This report
describes a 29-year-old man presenting with complete heart block, primary cardiac tumour in the left atrium, and severe mitral regurgitation. In
view of the primary severe mitral regurgitation and complete heart block, mitral valve repair and pacemaker insertion were planned. Mitral valve
repair was done with 29mm St Jude tailor annuloplasty ring, and the biopsy was taken from the nodules noted in the left atrium; temporary right
ventricular epicardial pacemaker implantation and CABG with SVG to PDA graft were done to look for the recovery of complete heart block.
Histopathological examination revealed pleomorphic rhabdomyosarcoma. The patient developed renal failure and liver failure during the
postoperative period and expired after 10 days
‘THOSE WE CARRIED BUT NEVER HELD’-A REVIEW OF CAUSES OF STILLBIRTH AT TERTIARY CARE CENTRE.
Authors: Jha Nisha , Deshpande Sonali , Gaddapa Srinivas , Badgire Swati , Aaglawe Shreya. P. , Phadtare Pooja , Dandale Sayali. U.
Published: May 2021

Background: In order to reduce perinatal mortality, better understanding of aetiology of antepartum still births is very essential. Stillbirth rate
according to the future years will be decided and UNICEF's goal of 'making every baby count' can be achieved only if; contributing factors of
stillbirth are reviewed and assessed
Aim:To estimate the incidence, factors related and delays responsible for still birth at tertiary care center.
Method: A prospective observational study was conducted in Government medical college and hospital, Aurangabad from 2018 to 2020 after
Institution Ethics Committee approval. Data of 1211 still birth cases were analysed and also classied as per CODAC classication system.
Results: The incidence of still birth was found to be 3.09 %. As per CODAC classication, Intrapartum factors were observed in 13.21% cases,
maternal factors in 40.21%, fetal factors in 26.34% and placental factors in 18.66%, cord related in 4.38% and unexplained factors in 11.72% of
cases.
Conclusion: In addition to disorders during pregnancy, low socioeconomic condition, poor referral services and suboptimal intrapartum care in
referring facilities responsible for majority of still births which could have been prevented. We speculate that upgrading the existing health system
performance, particularly high quality intrapartum care by skilled health personnel, will reduce stillbirths substantially.
A COMPARATIVE STUDY BETWEEN EFFICACIES OF USG GUIDED BOTULINUM TOXIN INJECTION INTO THE SUBSCAPULARIS MUSCLE AND THE CONSERVATIVE TREATMENT IN HEMIPLEGIC SHOULDER PAIN
Authors: Batabyal Subhadeep , Kumar De Saumen , Haldar Rathindra Nath
Published: May 2021

Introduction: Hemiplegic shoulder pain (HSP) is a common complication after stroke. HSP inhibits recovery and rehabilitation and impairs the
quality of life of stroke survivors. Although the etiology of HSP is not well known, it has been suggested that multiple factors contribute to HSP. Our
approach is to compare the efcacy of USG guided Botulinum toxin injection into the subscapularis muscle and conservative treatment in case of
intractable hemiplegic shoulder pain.
Material and methods: In this Parallel Group Open Level Randomized Controlled Trial, conducted in the Department of Physical Medicine and
Rehabilitation, IPGME&R, SSKM Hospital, Kolkata between September, 2017 to September, 2018 (Twelve months) on 34 (17 in each group)
patients with intractable (persistent pain for more than 3 months) hemiplegic shoulder pain. In group 1, Botulinum toxin injection was given in
subscapularis muscle by USG guided lateral approach. In group 2, managed conservatively with Physical therapy (stretching, passive range of
motion exercise), Modality (hot pack, infrared, IFT), pain medications (NSAIDS, oral opioids) and Neuromuscular electrical stimulation of
shoulder. Parameters used: 1. Pain intensity - measured by Numerical Rating Scale (NRS) [Score 0- 10], 2. Spasticity measured by - Modied
Ashworth Scale (MAS) [score 0-4], 3. Shoulder range of motion - External rotation (ER) [score 0- 90] assessed. The patients attending the Physical
Medicine and Rehabilitation OPD at IPGME&R and SSKM Hospital, Kolkata were included and studied if they fullled the inclusion and
nd exclusion criteria after getting Institutional Ethics Committee clearance and informed written consent. After initial visit, followed up on 2 week,
th th 4 week and 12 week. Comparison done considering all the parameters considering basal and follow up data to compare the efcacy of intramuscular botulinum toxin injection and those with in group 2, managed conservatively.
Results: All the data collected during this study period were analyzed by using statistical software Statistica vertsion 6 [Tulsa, Oklahoma: StatSoft
Inc., 2001] and GraphPad Prism version 4 [San Diego, California: GraphPad Software Inc., 2005]. There was statistically signicant difference
(group 1 is statistically superior than group 2) between two groups at 2nd, 4th and 12th week in respect to NRS, MAS of subscapularis and ER of
shoulder joint (p value<0.05).
Conclusion: There was signicant short-term improvement of shoulder pain, spasticity of shoulder internal rotator(subscapularis) and range of
motion in the form of external rotation after Botulinum toxin injection compared to conservative treatment. But in terms of intermediate-term and
long-term follow-up although both groups showed signicant improvement but Botulinum toxin injection group was statistically superior than
conservative treatment.
KNOWLEDGE AND PERCEPTION ABOUT CANCER: A STUDY AMONG YOUTH IN DELHI
Authors: Bhardwaj Tushti
Published: May 2021

Introduction: Cancer has become one of the major health challenges around the globe. Most of the cancers can be managed appropriately if these
are identied early, which requires knowledge among the general population about the symptoms. Thus it is important to understand the knowledge
and perception of people about the causes and symptoms of cancer. The present study examined knowledge and awareness of youth about the
symptoms of cancer and studied their perception about myths associated with cancer.
Method: A sample of 80 college students was studied using a self developed questionnaire. The participants were invited through college
circulars. The anonymous questionnaire was administered on a prescheduled time followed by an awareness session to the participants. Data was
managed and analysed through MS excel using tabular-graphic representation and descriptive statistics.
Results: The study reported low level of knowledge among the college youth about early symptoms and causes of cancer. Myths about cancer
being infectious, transmitted through casual contact and incurable were revealed among educated youth.
Conclusion: The educated youth are not able to identify the initial symptoms of cancer which may hinder early identication of the disease in
family. The study emphasized the urgent need of information; education and communication campaigns about cancer through educational
institutions so that entire family can be educated about the disease.
PHYSICAL THERAPY INTERVENTION FOR PATIENT WITH EAST SYNDROME- A CASE STUDY.
Authors: Bagthariya(M.P.T) Kinjal
Published: May 2021

EAST syndrome is autosomal recessive disorder due to mutations in gene KCNJ10, a gene encoding a potassium channel expressed in the brain,
eye, ear and kidney. It is characterized by four cardinal features; Epilepsy, Ataxia, Sensorineural deafness, and renal salt-wasting Tubulopathy, thus
the acronym EAST syndrome. It was rst described as a distinct clinical entity in 2009 by Bockenhauer and scholl, who named this condition EAST
syndrome and SeSAME syndrome for Seizures, Sensorineural deafness, Ataxia, Mental retardation and Electrolyte imbalance respectively.
Neurodevelopmental delay is evident in most patients with EAST syndrome that were old enough to be assessed; Thus, physiotherapy intervention
also plays a vital role in EAST syndrome along with medical management. From physiotherapy perspective; symptomatic management to Improve
overall health, wellbeing and motor control becomes ultimate goal in the patient with EAST syndrome. As there is no specic physical therapy
treatment approach and no specic tool to evaluate function for children with EAST syndrome; for clinically presented delay development and
ataxia, Neurodevelopment therapy (NDT) was utilized as treatment approach and Gross motor function measure (GMFM) & Gross motor
performance measure (GMPM) were utilized for assessment in this case study to track progress on follow ups. Result showed marked
improvement in GMFM and GMPM scores at follow ups and concluded that Physical therapy intervention improves the gross motor function as
well as gross motor performance in patient with EAST syndrome.
ACCEPTANCE, COMPLICATION, EXPULSION AND FAILURE RATE OF POSTPARTUM IUCD IN A TERTIARY CARE HOSPITAL
Authors: Pramanick Sumit Ranjan , Mandal Saumen , Chandra Mandi Bharat , Jana Debarshi
Published: May 2021

Introduction: 1
India's population has crossed one billion in the year 2000. In recent censes of 2011 it has reached 121 crores and it is estimated to 2
reach a gure of1.53 billion by 2050, making it the most populous country in the world .
India is the rst country in the world to adopt an ofcial population policy and launch ofcial family planning programme way back in 1952, which
remains the mainstay of family planning efforts.
Aims and objectives:
1. To nd out the proportion of accepting the Post-Partum Intrauterine Contraceptive Device (PPIUCD) insertion among eligible women
delivering at SSKM hospital.
2. To assess the complications of post placental &intra caesarean PPIUCD if any among these acceptors.
3. To determine the spontaneous expulsion rate of this contraceptive device.
Materials and methods: All Adult ANC women attending SSKM hospital at Gynae OPD and as well as admitted in hospital wards or Labour
Room who will full the inclusion criteria during data collection period.
Conclusion: The study results, it can be concluded that PPIUCD in the eld of PPFP is a promising approach. Whatever may be the mode of
delivery, PPIUCD is safe and efcacious in terms of safety and efcacy.
SERUM ALBUMIN LEVELS AND ITS CORRELATION WITH SHORT TERM OUTCOME IN ACUTE ISCHEMIC STROKE PATIENTS
Authors: Dhanju Avtar Singh , K Thiyagu , Chhabra Ajay , Singh Pashaura
Published: May 2021

Aim:The study was undertaken with the aim to establish the denite correlation between serum albumin levels and outcome of ischemic stroke.
Methodology: The present observational study was conducted on 100 acute ischemic stroke patients meeting inclusion and exclusion criteria. All
patients were investigated for hypoalbuminemia and their stroke severity was assessed by NIHSS score on day 1 and day 7. The relationship
between admission albumin levels, NIHSS values and outcome of those patients was ascertained.
Results: There was increased prevalence of hypoalbuminemia in AIS patients and there was signicant correlation between NIHSS score on day
1&7, mortality and hypoalbuminemia in AIS patients and there was signicant association between high NIHSS score and mortality in AIS
patients.
Conclusion: serum albumin is an independent predictor of functional outcome following an acute ischemic stroke and serum albumin level is
inversely correlated with severity of stroke at presentation.
RELATIONSHIP BETWEEN LOWER ANTERIOR CROWDING WITH FACIAL HEIGHT AND DEPTH IN BENGALEE POPULATION - À CEPHALOMETRIC STUDY
Authors: Banerjee Manas , Mukherjee Kasturi , Banerjee Prakash
Published: May 2021

INTRODUCTION- A study of head and face presents a multidimensional problem which includes height, depth and width dimension and
esthetics. The head and face is not spherical with qual radius in all directions. It is rather an irregular polygon and could not be measured by simple
geometrical and mensurational methods. Malocclusion and dentofacial deformity arise through variations in normal developmental process and so
must be evaluated against a perspective of normal development of the craniofacial morphology like facial height and depth.
AIMS AND OBJECTIVES- The basic aim of this study was to nd the co-relation between lower anterior crowding with facial height and depth
in Bengalee population by the lateral cephalometrics.
MATERIALS AND METHODS- The present study was conducted on thirty young Bengalee subjects comprising of males and females of
fourteen to twenty years of age. Fifteen subjects were selected with noncrowded normal class - 1 cases and fteen with crowded mandibular
incisors. The purpose of this study was to evaluate the relationship between facial height, facial depth and lower anterior crowding among the two
above mentioned groups.
RESULT AND CONCLUSION- Both linear dimensions and angular values were compared between the two sample groups. The measurements
were taken from lateral cephalograms. The parameters used were Anterior facial height, Posterior facial height, mandibular length, Facial depth
(SN length), 'e' and 'f' values (linear dimensions). The angular values compared were SN-MP angle, SN-Occlusal plane angle and SNEndognathion angle. For each measurement the mean, standard deviation and standard error were established. Correlation were made by
comparing the different parameters between the crowded and non-crowded sample group.
HOW DEPRESSED ARE THE ELDERLY PERSONS IN OLD-AGE HOMES? A PILOT STUDY IN AN OLD-AGE HOME OF SILIGURI
Authors: Tirkey Louis , Ananya Jyotirmay Ramanandi , Chakraborty Suvajit
Published: May 2021

INTRODUCTION: With the increasing trend of nuclear families in the society, the care of older persons in the families gets difcult and they are forced to shift to old age homes. There are lack of close family ties and reduced connections with their culture of origin, which leads to high risk of depression among olders. OBJECTIVE:Determine the Prevalence of depression among the inmates of old-age home and identify associated factors METHODS: Study type and design: 7 Observational study, Cross sectional design Study setting:The study was conducted in Aapnaghar old-age home of Siliguri, West Bengal (The old age home was chosen by lottery method). Study population:In-mates of Aapnaghar old-age home Study period: 2 months Sample size: All inmates of Aapnaghar old-age home was included by complete enumeration method; total 75 participants DISCUSSION:In Mild mood disturbance to borderline clinical depression, 28 (54.9%) patients were Male and 9 (37.5%) patients were Female. In Moderate to severe depression, 15 (29.4%) patients were Male and 15 (62.5%) patients were Female. Association of Gender vs Normal, Mild mood disturbance to borderline clinical depression and Moderate to severe depression was statistically signicant (p<0.0001). In Normal, 6 (42.9%) patients were married, 1 (4.2%) patients were unmarried and 1 (2.7%) patients were others. In Mild mood disturbance to borderline clinical depression, 7 (50%) patients were married, 19 (79.2%) patients were unmarried and 11 (29.7%) patients were others. CONCLUSION: In the current study, the BDI has been utilized to detect the prevalence of depression. Although it is not designed for diagnostic purposes, its epidemiologic utility has been evaluated in several studies. Depression was a common nding among the elderly in old-age home. These results could help to clarify the attributes of target populations for depression and provide insight to prevent depression among elderly
DIURNAL VARIATION IN SPIROMETRIC PARAMETERS WITH BODY MASS INDEX AND MEAN ARTERIAL PRESSURE AMONG APPARENTLY HEALTHY ADULTS
Authors: Mathur Tanuj , Verma Dileep Kumar , Tiwari Sunita , Verma Narsingh , Singh Ranjana
Published: May 2021

Introduction: The purpose of the study was to identify diurnal variations in forced expiratory volume in 1 second (FEV1), Mean Arterial Pressure
(MAP) and Body Mass Index (BMI) and a possible association between them. Materials and methods: 40 healthy adults fullling the eligibility
criteria were recruited. Spirometric analysis of FEV1 was performed. Results: FEV1 showed statistically signicant differences according to time
of day. FEV1 values in the morning was 2.83 + .62 and in the evening, raised to 2.95 + .522 in study population. The highest value was noted in the
evening as compared to morning. MAPmean values in the morning was 87.37 + 5.204. MAPmean values in the evening was 88.40 + 7.519, which
again showed an increase in the evening. Conclusion: The present study indicated a denite diurnal variation in the pulmonary function and
cardiovascular parameter.
FACTORS PREDICTING OUTCOMES OF UPPER LIMB RADIO-CEPHALIC ARTERIO-VENOUS FISTULA- A PROSPECTIVE OBSERVATIONAL STUDY
Authors: Hussain Galeti Ershad , Ahmad Ifrah , Reddy Pogula Veda Murthy
Published: May 2021

AIMS AND OBJECTIVES: To study the factors predicting outcomes of upper limb radio-cephalic arterio-venous stula.
MATERIALAND METHODS: This was an observational prospective study that included all chronic renal failure patients requiring AV Fistula
surgery between June 2018 to December 2019. All patients whose vascular anatomy does not permit the construction of a native AV stula, as
detected on preoperative doppler study, were excluded from the study.
RESULTS: Out of 120 cases studied, 88 were male, and 32 were females. In males out of 88 cases, 61 cases had successful outcome (69%) and in
27 cases, stula failed (31%). No signicance on the outcome of the AV stula noted related to comorbidities. Mean preoperative radial artery
diameter of 2.8 and 1.9 mm was associated with successful and failed stula, respectively. Mean preoperative cephalic vein diameter of 2.2 and 1.9
mm were associated with successful and failed stulae, respectively. Results suggested a threshold PSV of at least 50cm/sec for stula success. A
stula diameter of > 0.4 cm and a minimum ow rate of > 58mL/min resulted in a 93% chance that the stula would be adequate versus 28 % if
neither of the minimum criteria were met. Mean post-operative cephalic vein diameter 4.24 and 3.28 mm were associated with successful and failed
stula, respectively.
CONCLUSION: In our study the cephalic vein size, arterial size and ow rate is the predominant factor determining the success of the radio
cephalic stula. There is increasing evidence that routine preoperative duplex USG reduces the rate of primary stula failure and unnecessary
surgical exploration. Aminimum arterial diameter of 2mm is associated with successful stula formation. Below this diameter, the success of the
stula depends on the ability of the artery to dilate. Athreshold for the minimal venous diameter is difcult to establish. But most clinical studies use
a value of 2.5mm for AFV.
A True Full-Duplex IO (TFD-IO) with Background SI Cancellation for High-Density Interfaces
Authors: Goyal Sandeep , Parulekar Ganpat Anant , Gupta Shalabh
Published: May 2021

In this work, we have proposed and experimentally demonstrated a true full-duplex IO (TFD-IO) for high-speed high-density interfaces. The proposed TFD-IO can be used as an independent module that converts a unidirectional IO/interconnect to a fully bidirectional IO/interconnect, to ideally double the throughput of the high-speed interface.
The TFD-IO uses a correlation-based technique to cancel the self-interference (SI) adaptively in the background. The signals transmitted from the near-end and the far-end can use independent baud-rates and signaling schemes in a TFD-IO. A proof-of-concept design of the TFD-IO module has been fabricated in a 65 nm CMOS technology, and demonstrated with bidirectional throughputs of up to 12.8\,Gb/s.
On Beamforming Gain Models for Performance Evaluation and Analysis of Narrowband and Wideband Wireless Networks
Authors: Chen Yi , Han Chong
Published: May 2021

Directional antennas and beamforming techniques that bring promising transmission gain to the wireless links are widely incorporated in the system-level analysis of wireless networks. In many existing studies, the beamforming gain model to calculate the beamforming gain considers beamforming pattern and aligned as well as misaligned cases. However, the channel properties, e.g., the K factor and the spatial distribution of multi-paths, are neglected, which could significantly influence the beamforming gain. In this paper, a general beamforming gain model is appropriately defined, while the traditional beamforming gain model is proved to be only a special case in the proposed general model by consideringan oversimplified channel with no angular spread. In light of this, expressions of the received signal amplitude and the beamforming gain are rigorously derived for narrowband fading and wideband statistical mmWave channels, respectively. Thorough comparison between the proposed beamforming gain model and the traditional beamforming gain is provided, which demonstrates and validates that the traditional model incorrectly captures the beamforming gain and thereby, leads to inaccurate system-level network analysis. To this end, the effectiveness and importance of the proposed general beamforming gain model are revealed, particularly for millimeter-wave wideband systems.
High Sensitivity and Full-circle Optical Rotary Sensor for Non-cooperatively Tracing Wrist Tremor with Nanoradian Resolution
Authors: Xu Xin , Dai Zongren , Wang Yifan , Li Mingfang , Tan Yidong
Published: May 2021

An
optical rotary sensor based on laser self-mixing interferometry is proposed,
which enables noncontact and full-circle rotation measurement of non-cooperative
targets with high resolution and sensitivity. The prototype demonstrates that
the resolution is 0.1μrad and the linearity is 2.33×10-4. Stability of the prototype is 2μrad over
3600s and the repeatability error is below 0.84°under 9-gruop full-circle
tests. The theoretical resolution reaches up to 16nrad. Random rotation has
been successfully traced with a bionic hand to simulate the tremor process. Error
analysis and limitation discussion have been also carried out in the paper.
Although the accuracy needs further improvement compared with the best rotary
sensor, this method has its unique advantages of non-cooperative target
sensing, high sensitivity and electromagnetic immunity. Hence, the optical
rotary sensor provides a promising alternative in precise rotation measurement,
tremor tracing and nano-motion monitoring.
La evaluación del aprendizaje en educación básica, una revisión desde la normatividad en México
Authors: Hernández Madrigal Pastor
Published: May 2021

Hablar de evaluación del aprendizaje en el contexto normativo jurídico en México implica una revisión de los últimos cinco acuerdos, que permite examinar de una forma constante la complejidad de la tarea docente al momento de la evaluación del aprendizaje, a partir de una transición de la evaluación cuantitativa a integrar la evaluación cualitativa pero que al mismo tiempo se considera la política educativa, la visión social del mundo y ciertos elementos pedagógicos que permiten integrarse en el trabajo de las maestras y maestros de educación básica y sus repercusiones en las evaluaciones educativas en el país.

Cada Acuerdo Nacional sobre la Evaluación del aprendizaje responde a una necesidad social y a un régimen político que culmina en su proyección en cada escuela y aula a través de la labor pedagógica de los docentes en la formación de ciudadanos competentes, participativos y responsables para enfrentar los retos del Siglo XXI.
Pengaruh Aktivitas Perdagangan CSB Mall Terhadap Kinerja Jalan Cipto Mangunkusumo Koridor SMKN 2 - SMUK Bpk Penabur Kota Cirebon
Authors: Prayitno Adil , Anggitia Anggitia
Published: May 2021

Jalan Cipto Mangunkusumo merupakan jalan perkotaan di Kota Cirebon yang saat ini memiliki aktivitas guna lahan samping jalan yang beragam serta tingkat kesibukan yang tinggi. Aktivitas guna lahan yang beragam tentunya menarik pergerakan melintasi jalan Cipto Mangunkusumo yang secara langsung mempengaruhi kondisi arus llau lintas pada ruas jalan dan berpotensi menimbulkan titik konflik yang menghambat arus pergerakan lalu lintas. Studi ini bertujuan untuk mengetahui bagaimana kinerja ruas jalan Cipto Mangunkusumo saat ini, diukur berdasarkan derajat kejenuhan, waktu tempuh dan tingkat pelayanan (Level of Service). Penelitian pada Ruas Jalan Cipto Mangunkusumo ini dilakukan untuk menganalisis tingkat kepadatan volume arus lalu lintas dan pengaruh hambatan samping akibat aktivitas perdagangan CSB Mall terhadap parameter-parameter kinerja jalan dan tingkat pelayanan jalan. Tingkat kepadatan volume arus lalu lintas tertinggi selama 3 hari penelitian di Ruas Jalan Cipto Mangunkusumo Kota Cirebon, berada pada hari Rabu tanggal 03 Juni 2020 dengan jumlah total keseluruhan berdasarkan pada saat jam puncak yaitu sebesar 4.906 smp/jam. Sedangkan aktivitas hambatan samping pada saat jam puncak yaitu 886 smp/jam termasuk dalam kategori tinggi, H (daerah niaga dengan aktivitas jalan yang tinggi). Untuk kapasitas sendiri pada saat jam puncak yaitu 7.635 smp/jam hal tersebut masih dapat dikatakan stabil karena penelitian dilakukan pada masa pandemic covid-19 dan penerapan PSBB (Pembatasan Sosial Berskala Besar). Derajat kejenuhan pada saat jam puncak yaitu 0.68 smp/jam pada saat terjadinya suatu hambatan pada Ruas Jalan Cipto Mangunkusumo Kota Cirebon. Besar tingkat pelayanan jalan pada Ruas Jalan Cipto Mangunkusumo Kota Cirebon, selama 12 jam pengamatan di lapangan, sepanjang Ruas Jalan Cipto Mangunkusumo Kota Cirebon yang diamati (Koridor SMKN2 – SMUK BPK Penabur) maka dapat disimpulkan tingkat pelayanan jalan pada ruas jalan tersebut mendekati nilai D dan berada pada kategori C, yaitu arus lalu lintas stabil tetapi kecepatan dan gerak kendaraan dikendalikan.
Perencananaan Teknis Waktu Siklus Traffic Light pada Simpang Yudhasari - Perjuangan Kota Cirebon
Authors: Hermawan Dedi , Dianasari Utami Desi
Published: May 2021

Persimpangan merupakan simpul dalam jaringan transportasi dimana dua atau lebih ruas jalan bertemu, disini arus lalu lintas biasanya mengalami konflik. Permasalahan Simpang Yudhasari-Perjuangan adalah pertumbuhan aktivitas penduduk yang meningkat disekitarnya, ditandai dengan semakin banyaknya pemukiman-pemukiman baru, area komersil dan pendidikan yang bermunculan, menjadikan volume kendaraan di persimpangan pun ikut meningkat. Hal tersebut tidak diimbangi dengan kapasitas jalan yang tidak bertambah. Hal tersebut menjadi salah satu penyebab penelitian tentang kinerja Simpang Yudhasari-Perjuangan, meliputi waktu siklus, kapasitas, derajat kejenuhan, dan hambatan samping menggunakan metoda MKJI, 1997. Dari hasil analisis dapat disimpulkan bahwa waktu siklus yang diperlukan antara 95 sampai dengan 97 detik untuk 3 fase, sedangkan  derajat kejenuhan rata-rata sebesar 0,87. Hambatan samping yang tinggi pun menjadi salah satu penyebab menurunnya kinerja simpang, terutama arah lengan Perjuangan-Majasem, untuk tipe pejalan kaki dan kendaraan keluar masuk di sekitar area simpang. Perlunya peninjuan kembali dari beberapa instansi terkait yang berkepentingan untuk masalah hambatan samping maupun arus lalu lintas, seperti penataan PKL, penataan area komersil, penataan area parkir di sekitar area simpan,. Jika dibiarkan maka kinerja simpang akan terus menurun, dan hambatan samping akan semakin tinggi.
Pengaruh Perkuliahan Daring Terhadap Efektivitas Pembelajaran Mahasiswa Program Studi Administrasi Publik Universitas Pembangunan Nasional “Veteran” Jawa Timur di Era Pandemi COVID 19
Authors: Pratama Ananta , Cahyaningrum Novia , Wulandari Ayu , Anggraini Siska Zunita
Published: May 2021

Perkuliahan daring (online) merupakan kebijakan pemerintah yang menjadi sarana utama dalam pembelajaran ketika wabah Pandemi COVID-19. Hal ini juga diterapkan di Universitas UPN Veteran Jawa Timur yang mengikuti anjuran pemerintah untuk melakukan kegiatan daring  yang menggunakan sarana aplikasi online, seperti whatsapp grup, zoom, google classroom, dan media aplikasi lain Penelitian ini bertujuan untuk menganalisis efektifitas perkuliahan daring pada mahasiswa Prodi Administrasi Publik Fakultas Ilmu Sosial dan Politik di saat Pandemi COVID-19. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan menggunakan metode survey melalui google form secara online. Hasil penelitian ini diharapkan dapat mengetahui keefektifan kegiatan belajar mengajar secara daring (online) di era pandemi COVID-19. Khususnya bagi Program Studi Administrasi Publik, Fakultas Ilmu Sosial dan Ilmu Politik, UPN “Veteran” Jawa Timur.
Pemanfaatan Citra Landsat 8 Untuk Estimasi Luas Lahan Terbangun dan Tidak Terbangun pada Kota Bandung
Authors: Solihin Indra Permana Solihin , Kurniyanto Rachmad
Published: May 2021

Perkembangan ekonomi dan pertumbuhan penduduk dikota Bandung yang sangat pesat saat ini, dimungkinkan akan mengakibatkan ketidakseimbangan pada penggunaan lahan. Dari sisi lain untuk memenuhi kebutuhan masyarakat, diperlukan peran pemerintah untuk memperhatikan tata kota yang berkontinu agar kualitas hidup masyarakat tetap terjaga dan ada keseimbangan antara lingkungan alami dan buatan. Maka dibutuhkan sistem yang mampu memonitoring perkembangan penggunaan lahan dengan memanfaatkan analisis Sistem Informasi Geografis. Penelitian ini menggunakan transformasi NDBI (Normalized Difference Built-Up Index) untuk mendeteksi lahan terbangun yang ada di kota Bandung.
Pengaruh Locus Of Control Terhadap Kinerja Usaha Dengan Orientasi Pasar Sebagai Variabel Moderasi
Authors: Abdullah Fahmi
Published: May 2021

Kondisi perdagangan di pasar loak Porong setiap tahunnya mengalami peningkatan, hal ini dapt dilihat dari semakin banyaknya jumlah pedagang di pasar loak dan pada saat ini juga fasilitas berdagang juga semakin memadai. Penelitian ini bertujuan untuk mengetahui pengaruh locus of contorl terhadap kinerja usaha dan mengetahui efek moderasi orientasi pasar pada pengaruh locus of control terhadap kinerja usaha. Alat analisis untuk menguji hipotesis menggunakan SPSS 16.0 sampel dalam penelitian ini adalah 82 pedagang di pasar loak Kecamata Porong. persamaan regresi pertama pada penelitian ini sebagai berikut: Y = 1,294 + 0,671X1, hasil uji hipotesa kesatu menunjukkan hipotesis diterima, artinya  locus of control berpengaruh signifikan terhadap kinerja usaha, sedangkan persamaan regresi kedua adalah Y = 3,997 + 0,310 ZX1 + 0,042 ZX2 + 0,026 AbsZX1-ZX2 untuk uji hipotesis kedua, hasilnya ditolak artinya orientasi pasar tidak mampu memoderasi pengaruh locus of control terhadap kinerja usaha, dari hasil penelitian menyebutkan bahwa orientasi pasar merupakan homologiser moderation, karena b2 dan b3 sama-sama tidak signifikan pengaruhnya.
Strategi Adaptasi Berbasis Modal Sosial Petani Garam dalam Menghadapi Kebijakan Impor Garam
Authors: Ilman Naafi’a Muhammad
Published: May 2021

Tujuan dari penelitian ini mengetahui bagaimana strategi adaptasi berbasis modal sosial pada petani garam dalam menghadapi kebijakan impor garam yang tinggi di Desa Rawaurip, Kecamatan Pangenan, Kabupaten Cirebon. Penelitian ini memakai pendekatan kualitatif dan metode studi kasus. Peneliti mengumpulkan data dengan menggunakan teknik observasi, wawancara dan studi dokumentasi. Hasil penelitian menunjukkan bahwa petani garam terdapat tiga tipologi petani garam diantaranya, buruh tani garam, petani garam pemilik tambak dan petani garam yang memiliki pabrik garam. Ketika kebijakan impor garam yang tinggi, sehingga menciptakan harga yang murah yaitu Rp. 200,-/kg. Disetiap level petani garam melakukan strategi adaptasi yang berbeda diantaranya tindakan eksternal seperti mencari pekerjaan diluar bidang garam, tindakan adaptif yaitu mencoba untuk menyesuaikan dengan harga garam yang murah dengan bernegosiasi, dan etika subsistensi yaitu petani garam melakukan tindakan aman dengan menekan pengeluaran. Ditambah lagi, strategi adaptasi ini berbasis modal sosial Putnam diantaranya (1) tindakan eksternal petani garam sangat erat dengan kepercayaan yang dimiliki oleh petani garam, norma yang dijunjung. (2) Tindakan adaptif petani garam sangat erat dengan adanya jaringan sosial antar petani garam, dan (3) tindakan etika subsistensi berkaitan dengan norma dan jaringan sosial dengan adanya hubungan patron-klien. Sehingga tercipta kebertahanan hidup petani garam dalam menghadapi harga garam yang murah akibat impor garam yang tinggi.
THE STATE OF INDUSTRY IN TURKESTAN IN THE EARLY YEARS OF SOVIET RULE
Authors: Urol K. Khudoykulov
Published: May 2021

The article deals with the history of the industrialization of Turkestan in the 20thyears of the XXth century. Outlines the main directions of the policy of the Bolshevik regime of the Soviets in this area. And also the history of construction of industrial enterprises in the region is given.
KEY WORDS: industry, Turkestan, economy, soviet, Bolshevik regime, Constitution, NEP (New Economic plan), law, machinery and power plants
EXPLORING MAHARASHTRA BUDDHIST TOURISM: A DESCRIPTIVE STUDY
Authors: Mr. Gotpagar Rahul Vijay
Published: May 2021

This study considers which factors are strengthen Maharashtra Buddhist Tourism and to address the problems faced by Maharashtra Buddhist tourism. It also crucially evaluates Maharashtra Tourism Statistics by availing secondary information’s by using various methods. There is Buddhist establishment in entire Maharashtra which has been facing various problems may be economic and non-economic which could be sincere attempt to discuss in this research paper. Maharashtra has unique and diverse culture in the sense of socio eco diversity. But some hurdles have been facing by Maharashtra. One can easily sort out lower growth of Buddhist Tourism in Maharashtra.
KEYWORDS-Buddhist Caves, Buddha Vihara, Buddhist Tourism, Shraman Sanskriti
Formulación de políticas públicas en salud durante la pandemia de COVID-19 en países americanos
Authors: Landeros Olvera Erick , Arroyo Cruz Francisco Javier , Rodríguez-Hernández Mariela de Jesús
Published: May 2021

Introducción: La pandemia ha provocado una situación de respuesta inmediata de acciones globales no probadas y no evaluadas, se ha tenido poco tiempo para verificar resultados. Es imprescindible formular políticas públicas para establecer la normativa de dichas acciones en los programas en salud. Objetivo: Presentar una propuesta para la operacionalización de políticas de salud que sean encaminados a resolver problemas derivados de la pandemia por Covid-19. Desarrollo: Ante las epidemias registradas en la historia, las políticas de salud desarrollaron programas que ofrecieron soluciones de prevención y tratamiento. Ahora, la situación de emergencia ha obligado a trabajar para remediar, comprender y mejorar las políticas sanitarias en los países americanos. La Organización Mundial de la Salud ha hecho esfuerzos por contribuir a delimitar la pandemia a través de los distintos gobiernos de América, pero ¿Cómo se pueden formular políticas factibles si la situación en cada país ha presentado distintas estategias de contingencia sanitaria? La propuesta para la Formulación y ejecución de las políticas públicas de salud es la siguiente: 1.Definir el problema, 2.Generar soluciones, 3.Objetivo principal, 4.Redactar estrategias, 5. Operacionalización, 6.Planeación, 7.Ejecución, 8.Resultados, 9.Evaluación, 10.Retroalimentación. Conclusiones: Las políticas públicas de salud deben ser “adaptadas” a la realidad financiera y cultural de cada país, considerar retos actuales de salud; sin embargo, los profesionales de la salud, al proponer políticas públicas, deben estar conscientes de buscar respaldo del congreso, que sea la voz para representar la propuesta de quienes están en el lugar de los hechos.
Conductas sexuales en jóvenes mexicanos durante el confinamiento por COVID-19
Authors: Amaro-Hinojosa Marily Daniela , Jiménez-Vázquez Vicente , Juárez-Mediana Liliana Leticia , Torres-Obregon Reyna , Orozco-Gómez Claudia
Published: May 2021

Introducción: El confinamiento por la pandemia de coronavirus (COVID-19) originó cambios en la atención a la salud sexual y reproductiva, así como en las conductas sexuales de la población. Objetivo: Describir las conductas sexuales de los jóvenes mexicanos durante el confinamiento por COVID-19. Metodología: Diseño descriptivo transversal, se conformó la muestra por 613 jóvenes de 18 a 28 años de México, el muestreo fue no probabilístico por conveniencia, se realizó una encuesta en línea. Se aplicó una cédula de datos y un cuestionario de conductas sexuales adaptado para este estudio. El análisis de los datos se realizó en el paquete estadístico SPSS versión 25, a través de estadística descriptiva e inferencial como fue la prueba t de Student. Resultados: Las principales conductas encontradas durante el confinamiento por coronavirus fueron: la masturbación 49.9%, ver pornografía 43.2%, sexting 33.9%, cibersexo 17.9% y tener sexo oral, vaginal y/o anal en 46.8%. Conclusiones: La conducta sexual de los jóvenes se modificó durante el confinamiento comparado con el último año. Estos  hallazgos brindan evidencia para el desarrollo de intervenciones de Enfermería para la promoción de la salud sexual ante situaciones de crisis en salud como lo es el COVID-19.
significado del cuidado enfermero en el contexto de la pandemia COVID-19
Authors: Perez Toriz Jorge Eduardo , Báez-Hernández Francisco Javier , Flores Merlo Marcela , Nava Navarro Vianet , Morales Nieto Arelia , Zenteno López Miguel Ángel
Published: May 2021

RESUMEN Introducción: El brote infeccioso provocado por la nueva cepa de coronavirus, ha provocado una pandemia con graves consecuencias sanitarias y sociales, que hacen suponer cambios en los significados que se tiene, de lo que es el cuidado de enfermería. Objetivo: explorar el significado de cuidado que tiene el profesional de enfermería ante la pandemia de SARS-CoV2, en un hospital COVID de la ciudad de Puebla, México. Metodología: se desarrolló un estudio cualitativo descriptivo, basándose en la perspectiva fenomenológica interpretativa. El tamaño de muestra se determinó hasta alcanzar el punto de saturación. Se realizaron entrevistas a profundidad que fueron grabadas y transcritas en su totalidad. Se realizó análisis de contenido donde se identificaron temas emergentes. La interpretación de la información fue mediante el método de Colaizzi. Resultados: se encontró que el significado del cuidado de enfermería, es entendido como una responsabilidad dirigida hacia la familia, el paciente y hacia sí mismo, donde emergen dos tipos de cuidado: complejo y de protección, dentro de un ambiente de incertidumbre, pero que, a partir del afrontamiento de sus miedos, dan como resultado: un aprendizaje y una mayor experiencia. Conclusiones: el cuidado de enfermería durante la pandemia se muestra como un valor que surge de un estado de consciencia, para cumplir con la obligación que tiene con los otros y lo otro, donde se reconfigura su papel en la sociedad.
Fatalismo y estrés percibido relacionado con la pandemia de COVID-19 de los profesionales de enfermería
Authors: Maldonado-Muñiz Gabriela , Trejo-García Claudia Atala , Gerrero-García Adriana , Mendoza-Benítez Irene
Published: May 2021

Introducción: El profesional de enfermería es primordial para afrontar la pandemia de COVID-19, los cambios en la organización de trabajo y la vulnerabilidad pueden estar relacionados con el fatalismo y estrés percibido, respuesta neurológica que impacta en la calidad de vida de las personas. Objetivo: Analizar el nivel de fatalismo y estrés percibido relacionado con la pandemia COVID-19 de los profesionales de enfermería. Metodología: Estudio tipo cuantitativo, alcance correlacional, diseño observacional, transversal. Muestra de 551 profesionales de Enfermería del estado de Hidalgo, no probabilística, se incluyó a profesionales que laboraban en los tres niveles de atención, que aceptaron participar y con acceso a internet; posterior al asentimiento informado se aplicaron la escala de fatalismo relacionado con COVID-19 y la escala de estrés percibido relacionado con la pandemia, a través un formulario de Google Drive. El análisis estadístico fue realizado con SPSS versión 24.  Resultados: edad media de 34.46±9.4 años, 89% mujeres, 68% con nivel Licenciatura, prevaleció la religión católica con 84.2%. 3.1 % de la muestra mostró nivel de estrés alto, 59.9% medio y 37% bajo; 61% evidenció fatalismo ausente ante la posibilidad de contagio por el Coronavirus y 39% presente. El análisis correlacional mostró que el nivel de estrés y el fatalismo obteniendo Rho=-.236 con una correlación negativa nula. Conclusión: No existe una relación significativa entre el fatalismo y el nivel de estrés percibido relacionado con la pandemia de COVID-19 de los profesionales de enfermería.
Proceso de enfermería a usuaria con diagnóstico de Neumonía por SARS-CoV-2
Authors: Peralta-Peña Sandra Lidia , Díaz-Correa Dayanira Ariadna , Vargas María Rubi
Published: May 2021

Introducción: Tras la pandemia por el virus SARS-Cov-2 la participación de la enfermería profesional a sido parte medular del éxito en la atención de usuarios diagnosticados con COVID-19 debido a la alta tasa de mortalidad a nivel mundial. El uso de metodologías propias de enfermería marcan la pauta para un mejor razonamiento clínico asegurando así una precisión diagnóstica y terapéutica. Objetivo: Presentar una propuesta de cuidado enfermero siguiendo métodos y recursos propios de la disciplina enfermera. Metodología: Se empleó el proceso de enfermería como método de intervención, las taxonomías de la NANDA, NOC y NIC. La precisión de los diagnósticos se estimó a través de la Escala de Precisión de Diagnósticos de Enfermería de Lunney y la jerarquización de diagnósticos con la red de razonamiento clínico del modelo AREA.  Presentación del caso: Usuario femenino de 67 años diagnosticado con Neumonía por SARS-Cov-2 que ingresa al servicio de Terapia Intensiva tras doce días de hospitalización en Medicina Interna y siete días de apoyo ventilatorio invasivo con sedoanalgesia. Conclusiones: La aplicación del proceso de enfermería y recursos complementarios permitieron que se obtuvieran diagnósticos más precisos, su jerarquización y el desarrollo del juicio terapéutico al intervenir.
Determining the optimum fixed solar-shading device for minimizing the energy consumption of a side-lit office building in a hot climate
Authors:   Department of Mechanical Engineering, College of Technological Studies, PAAET, Kuwait, Alajmi Ali F. , Aba-alkhail Faris ,   Architecture Department, College of Architecture, Kuwait University, ALAnzi Adnan ,   Architecture Department, College of Architecture, Kuwait University
Published: May 2021

Buildings consume nearly 40% of the annual global energy consumption, with about 70% in hot climate regions. An efficient building design in every aspect is a crucial step towards minimizing such consumption. Windows system, including solar shading attachment, plays a pivotal role in designing a sustainable building. At the beginning, a survey of architectural firms was conducted to assess the current local practice of selecting the type and size of solar shading devices in different orientations. Regrettably, the survey outcomes did not consolidate the designers’ basis for choosing such solar shading devices. Therefore, the main aim of this study is to find the optimum solar shading type and size among the three most common types (simple overhang, louvers, and overhang/sided-fins) in each façade orientation (East, West, North, and South). The manipulated design parameters comprised the overhang projection from the wall base to half of the window’s height and sided-fins projection (from the wall base to half of the window’s width), as well as the overhang projection’s tilt angle (from 90° to 135°). The considered design parameters provide 4416 design options that were handled efficiently by using the simulation-based optimization technique (SBOT). The results showed that the overhang/sided-fins performed best in terms of reducing the total energy consumption in all orientations (13-28%), while louvers’ shading came second on all orientations by saving 10–21% except in the East, where the simple overhang showed slightly better performance by saving 22%. Recommended type and size for the solar shading in each orientation have been provided.