bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of Different Planting Systems on Growth and Yield Parameters of ‘Azman’ Banana Variety
Authors: BAYSAL Filiz
Published: January 2023

The objective of this work was to evaluate the growth and yield of the Azman banana (AAA, Cavendish subgroup) variety subjected to increasing planting densities. The trial was prepared using single (1.8 x 2.0 m), pair (1.2 x 1.2 x 2.0 m), and triangle (1.5 x 1.8 m) row planting systems. There was a significant difference in pseudostem length, pseudostem circumstance, leaf length, and leaf width with regard to different planting systems. Maximum pseudostem length was observed in the single row system (216.00 cm), but maximum pseudostem circumstance was observed in the triangular row system (64.00 cm). The influence of plant population on yield and yield attributing characters were markedly observed. According to the planting systems, single row planting had the highest bunch weight of 34.66 kg, while no statistical difference could be determined in pair and triangular row planting. When the parameters related to the fruit were examined, there was no statistical difference between planting systems in terms of hand and finger numbers, but a significant difference was found between finger length and diameter.

At the end of the study, it is concluded that spacing of 1.2 x 1.2 x 2.0 m (pair row) gave higher total banana yield and economic profit than the spacing of 1.5 x 1.8 m (triangular row). However, longer and wider fruits were obtained in plant spacing 1.8 x 2.0 m (single row). Therefore, when calculated as the plant planted per decare and bunch weight, it was concluded that pair row planting can be recommended for banana growers.
Sulfoxaflor’a Maruz Kalan Zebra Balığı Embriyo ve Larvalarında Gelişimsel Süreçler ve Davranış Üzerine Etkiler
Authors: KÖKTÜRK Mine , SULUKAN Ekrem
Published: January 2023

Sulfoxaflor (SFX), zararlıları kontrol etmek için yaygın olarak kullanılan bir neonikotinoid insektisittir ve hedef olmayan organizmalar için risk oluşturmaktadır. Hedef olmayan canlılar üzerine toksik etkilere sahip olduğu bilinen bu insektisitin sucul canlılardaki etkileri tam olarak bilinmemektedir. Bu çalışmada sulfoxaflor insektisitinin zebra balığı embriyo ve larvalarında gelişimsel toksisitesi ve davranış üzerine etkileri araştırıldı. Zebra balığı embriyo-larvalarına 96 saat boyunca farklı dozlarda (1, 10 ve 50 ppm) sulfoxaflor maruz bırakılmış ve hayatta kalma oranı, koryondan çıkış oranı ve morfolojik değişiklikler gibi gelişimsel toksisite göstergesi olan parametreler incelendi. Ayrıca zebra balığı larvalarında 96.saatte davranış üzerine sulfoxaflorun etkileri locomotor akitive (toplam mesafe ve hız) ile belirlendi. Sonuçlar, SFX maruziyetinin embriyo koryondan çıkışında gecikmeye ve özellikle 50 ppm uygulama grubunda embriyo-larvalarda ölümlerinde önemli bir artışa yol açtığı belirlendi. SFX doza bağlı olarak farklı malformasyonlara (pericardial ödem, besin kesesi ödemi, omurga ve kuyruk deformasyonu, küçük göz oluşumu) neden olduğu gözlemlendi. SFX maruziyeti 96.saatte davranış testinde 50 ppm uygulama grubunda toplam mesafe ve hızın önemli oranda artarak larvalarda hiperaktiviteye sebep olduğu görüldü. Bu çalışma, sulfoxaflorun suda yaşayan organizmalar üzerindeki potansiyel toksik etkilerini değerlendirmek için veri sağlayacaktır.
Diseño y validación de una herramienta para la predicción de desenlaces adversos en pacientes con obstrucción intestinal por bridas: La escala HALVIC
Authors: Quiroga-Centeno Andrea Carolina , Pinilla-Chávez María Camila , Chaparro-Zaraza Diego Fernando , Hoyos-Rizo Katherine , Pinilla-Merchán Pedro Felipe , Serrano-Pastrana Juan Paulo , Gómez Ochoa Sergio Alejandro
Published: January 2023

Introducción. La obstrucción intestinal por bridas representa una causa común de consulta a los servicios de urgencias, pero hay poca claridad sobre qué pacientes tienen mayor riesgo de desarrollar complicaciones. El objetivo de este estudio fue diseñar y validar una escala de predicción de riesgo de desenlaces adversos en pacientes con obstrucción intestinal por bridas.
Métodos. Estudio de cohorte retrospectivo realizado a partir de la base de datos MIMIC-IV. Se incluyeron pacientes adultos admitidos al servicio de urgencias entre 2008 y 2019, con diagnóstico de obstrucción intestinal por bridas. El desenlace principal fue el compuesto de resección intestinal, ingreso a unidad de cuidados intensivos y mortalidad por cualquier causa. Se diseñó una escala de predicción de riesgo asignando un puntaje a cada variable.
Resultados. Se incluyeron 513 pacientes, 63,7 % hombres. El desenlace compuesto se presentó en el 25,7 % de los casos. La edad, historia de insuficiencia cardiaca y enfermedad arterial periférica, nivel de hemoglobina, recuento de leucocitos e INR constituyeron el mejor modelo de predicción de estos desenlaces (AUC 0,75). A partir de este modelo, se creó la escala simplificada HALVIC, clasificando el riesgo del desenlace compuesto en bajo (0-2 puntos), medio (3-4 puntos) y alto (5-7 puntos).
Conclusión. La escala HALVIC es una herramienta de predicción simple y fácilmente aplicable. Puede identificar de manera precisa los pacientes con obstrucción intestinal por bridas con alto riesgo de complicaciones, permitiendo el ajuste individualizado de las estrategias de manejo para mejorar los desenlaces.
How Patients Benefit From Broad Use of Blockchain in Healthcare​
Authors: Butler-Everson Mary
Published: January 2023

Now and in the near future, blockchain improves the lives of patients. Hear how the patient journey transforms with the ability to control ownership of patient data, and how critical data is shared seamlessly between stakeholders. With blockchain, healthcare is becoming patient-centered, both clinically and administratively.
Shaping the Trajectory of Blockchain in Healthcare
Authors: Prichep Elissa , Moose Chris , Treshock Mark
Published: January 2023

In 2020, 55% of organizations viewed blockchain as a strategic priority.  Though blockchain investments and use cases in healthcare are increasing, attention is needed on how this technology will impact patients.  This panel discusses the implications of blockchain for society, its potential to improve healthcare, and the possibilities for shaping a positive future.
How Blockchain Elevates Health Solutions and Services Today and in the Future
Authors: Culver Kyle
Published: January 2023

The healthcare industry is beginning to see real value created from blockchain powered solutions. The presentation spotlights what value and impact is being created for early adopters. The speaker will share informed insights for future applications and opportunities poised for business success.
Implementasi Kepemimpinan Kepala Sekolah dalam Membina Kinerja Guru
Authors: Yuliana Rina , Syaodih Cahya , Sulastini Rita
Published: January 2023

The Covid 19 pandemic which began to spread in Indonesia at the end of 2019 had a major impact on the world of education. With the outbreak pandemic, it has spawned new innovations, namely technology-based learning and internet networks. The essence of the problem formulation in this study is the leadership of the Principal in fostering teacher performance. The problem of improving teacher performance is an unresolved problem in line with the complexity of environmental changes, both in terms of planning, implementation and evaluation. The theological basis in the Al-Qur'an letter Al-Muj is verse 11 and the words of the Prophet Muhammad SAW which means "Indeed, those who act justly, later by Allah's side will be placed on the pulpit of light, are those who are fair in law towards families and whatever handed over (authorized) to them." The main theoretical foundation of this thesis is Leader Shift, John C Maxwell. The research uses a qualitative approach, descriptive method, descriptive study at SDN 1 Grogol and SDN 2 Winong, Cirebon Regency. Data collection techniques in the form of observation, interviews, and documentation on the Principal. Data analysis consists of data reduction, data presentation and drawing conclusions. The results of the study show that the teacher's performance is quite good with the implementation of a good Principal's leadership and is in accordance with the basic concepts described earlier, although there are still a few obstacles in reality. The obstacle that arises is that the teacher's self-actualization process is still not maximal against the programs set by the Principal. The conclusion from this study is that in general, the leadership of a school principal has more or less influenced the performance of teachers, a school principal has many important roles in his efforts to manage and organize the school and all the people involved in it.
Pelaksanaan Program Kampus Mengajar Untuk Meningkatkan Kemampuan Literasi dan Numerasi di SD 173408 Dolok Sanggul
Authors: Manurung Rolan , Nahor Jernih Martha Banjar
Published: January 2023

Penelitian ini bertujuan untuk mengetahui bagaimana pelaksanaan program kampus mengajar untuk meningkatkan kemampuan literasi dan numerasi siswa di Sekolah Dasar. Kampus Mengajar merupakan bagian dari program kebijakan Merdeka Belajar oleh Kementrian Pendidikan, Kebudayaan, Riset, dan Teknologi Republik Indonesia untuk membantu sekolah yang terdampak Covid-19. Berdasarkan hasil penelitian, diketahui bahwa kemampuan literasi dan numerasi peserta didik sangatlah rendah. Literasi dan numerasi  merupakan kompetensi dasar yang dibutuhkan oleh peserta didik untuk menganalisis suatu bacaan maupun angka dalam berbagai konteks. Penelitian ini merupakan jenis penelitian pengabdian kepada masyarakat. Manfaat kegiatan ini adalah peserta didik dapat mengaplikasikan konsep matematika yang telah dipelajari dalam kehidupan sehari-hari, membantu peserta didik membiasakan mengerjakan soal-soal literasi dan numerasi dan menumbuhkan minat baca para peserta didik. Metode yang digunakan pada penelitian ini yaitu observasi , wawancara dan mengajar untuk mengumpulkan data kemampuan literasi dan numerasi peserta didik. Hasil pengabdian menunjukkan bahwa terdapat perubahan dan dampak yang baik bagi peserta didik, guru maupun sekolah seperti meningkatnya kualitas kemampuan membaca peserta didik, meningkatnya kemampuan numerasi peserta didik.
K3 Lingkungan Kerja dan Bahan Kimia Berbahaya PT. Adi Satria Abadi
Authors: Parmawati Sih
Published: January 2023

Seiring dengan perkembangan sektor industri, terdapat banyak sumber bahaya yang berpotensi menimbulkan bahaya. Sehingga perlu dilakukan suatu upaya pengendalian terhadap sumber bahaya tersebut, salah satunya adalah pengendalian terhadap instalasi listrik, penanggulangan kebakaran dan pengawasan konstruksi bangunanan. Materi pokok bagian ini adalah: (1) rancangan penelitian; (2) populasi dan sampel (sasaran penelitian); (3) teknik pengumpulan data dan pengembangan instrumen; (4) dan teknik analisis data. kesimpulan yang didapatkan meliputi: 1) PT. Adi Satria Abadi adalah Perusahaan yang bergerak di industri penyamakan kulit dengan bahan baku kulit kambing dan domba. 2) PT. ASA Telah memiliki kelembagaan K3 dan sudah menjalankan kegiatannya dengan cukup baik, akan tetapi masih ada beberapa hal yang belum menerapkan K3 baik di bagian konstruksi bangunan, kelistrikan dan kebakaran. 3) PT. ASA sudah memiliki gudang untuk tempat penyimpanan bahan kimia yang sudah dilengkapi dengan LDKB tetapi belum memiliki ahli K3 bahan kimia berbahaya sebagai upaya pengendalian bahaya bahan kimia berbahaya di tempat kerja. 4) Bidang Kesehatan Kerja PT. Adi satria Abadi telah memiliki klinik untuk pekerja, serta terdapat ventilasi udara di tempat kerja.
Studi Percobaan Dampak Debit Aliran Pada Kedalaman Gerusan Terhadap Hilir Pintu Air Dengan Dasar Tanah Liat/Lempung
Authors: Latif A. Amin , Arsal Andi Sitti Fatmah , Putra Wudi Darul
Published: January 2023

Pintu dorong (sluice gate) adalah satu dari sekian banyak bentuk dan model konstruksi dari  bangunan hidro yang umum diketahui  dengan alat ukur yang memiliki fungsi untuk membagikan air berdasarkan debit aliran yang telah  didesain dengan mengatur tinggi-rendah  permukaan air. Dalam mengoptimalkan fungsi  pintu-air untuk mengontrol  debit aliran, dan mengatur tinggi-rendah permukaan air di daerah hulu bangunan pintu-air, kerap kali ditemui permasalahan di penggerusan lokal (local scouring) di area hilir konstruksi pintu-air. Riset ini memiliki tujuan untuk mengetahui dampak debit aliran pintu air (Q) terhadap kedalaman gerusan (Ds) dengan dasar saluran berupa tanah liat/ lempung dengan mekanisme saluran terbuka. Penelitian ini berbentuk percobaan di laboratorium yang dilaksanakan di Laboratorium Teknik Hidrolika Fakultas Teknik Universitas Hasanuddin. Penelitian ini dilaksanakan dengan 3 model debit yaitu 1.382,838 cm3/detik, 1.462,747 cm3/detik, dan 2.013,329 cm3/detik dengan bukaan pintu 0.5 cm. Hasil penelitian menunjukkan bahwa kedalaman gerusan pada debit 1.382,838 cm3/detik, 1.462,747 cm3/detik, dan 2.013,329 cm3/detik adalah masing-masing sebesar 4,3 cm, 5,5 cm dan 9,0 cm.  Dengan demikian, debit aliran (Q) sangat mempengaruhi kedalaman gerusan (Ds) dimana semakin besar nilai debit aliran maka semakin besar dan dalam pula penggerusan yang akan terjadi di  daerah hilir pintu air.
Analisis Picture Storybook dalam Meningkatkan Kemampuan Theory of Mind Anak Usia Dini
Authors: Gusmayanti Elsy , Ayriza Yulia
Published: January 2023

Kemampuan bersosialisasi dengan orang lain berhubungan dengan kemampuan memahami situasi dan keadaan orang lain, dalam ilmu psikologi perkembangan disebut dengan istilah theory of mind.  Theory of mind merupakan salah satu keterampilan yang berkembang dalam kemampuan sosial-kognitif pada anak. Penelitian ini bertujuan untuk menganalisis buku cerita bergambar dalam meningkatkan kemampuan theory of mind anak usia dini. Penelitian ini menggunakan metode kajian literatur dengan menelaah  jurnal terkait buku cerita bergambar dan peningkatan kemampuan theory of mind anak usia dini. Berdasarkan hasil kajian literatur yang telah peneliti kaji, peneliti menemukan bahwa buku cerita bergambar masih konsisten dalam membantu meningkatkan kemampuan theory of mind pada anak usia dini. Ditemukan juga konsep buku cerita bergambar yang sesuai seperti penggunaan bahasa yang jelas, sesuai untuk berbagai karakter anak, sesuai dengan latar belakang sosial dan budaya, berisikan macam-macam emosi pada karakter cerita, dan memiliki narasi cerita yang melibatkan kejutan, rahasia, trik, dan kesalahan, sehingga mengundang anak-anak untuk melihat sesuatu dari sudut pandang yang berbeda
Multimedia Pembelajaran Interaktif untuk Guru PAUD
Authors: Rasmani Upik Elok Endang , Wahyuningsih Siti , Nurjanah Novita Eka , Jumiatmoko Jumiatmoko , Widiastuti Yuanita Kristiani Wahyu , Agustina Putri
Published: January 2023

Melalui multimedia pembelajaran interaktif proses pembelajaran di Pendidikan Anak Usia Dini menjadi lebih bermakna, menyenangkan dan menarik sehingga anak menjadi lebih luas dalam memahami, merasakan seperti kenyataan aslinya, menumbuhkan perhatian atau antusiasme terhadap materi pembelajaran yang disampaikan oleh guru dikelas.  Fakta di lapangan didapatkan kelemahan dalam menerapkan multimedia pembelajaran interaktif hal tersebut dikarenakan kurangnya kemampuan guru dalam penguasaan teknologi dalam melaksanakan pembelajaran dikelas. Tujuan penelitian ini adalah untuk mendeskripsikan penggunaan media interaktif pada pembelajaran di PAUD. Penelitian ini dilaksanakan selama 6 bulan melalui pendekatan penelitian deskriptif kualitatif. Teknik pengumpulan data yang digunakan yakni data primer dan data sekunder. Partisipan yang terlibat sebanyak 15 orang yang dipilih dengan Teknik Purposive Sampling. Hasil penelitian menunjukkan bahwa multimedia interaktif sangat diperlukan bagi pendidikan anak usia dini untuk mengembangkan kompetensi guru dan suasana nyaman, menyenangkan dikelas
Modeling the Way Learning Model in Applying Character Education Values to Early Childhood
Authors: Masturin Masturin
Published: January 2023

This study focuses on the “modeling the way” learning model that applies character education values to early childhood. The research was conducted at PAUD Nurul Ilmi, Jati, Kudus, Jawa Tengah with a case study method and a qualitative approach. This research’s informants came from students, teachers, and parents. The results showed that learning by modeling the way on the object of research is carried out through some process, among others: First, the teacher identifies the learning topic. Second, the teacher divides the class into smaller groups with one particular topic being discussed. Third, each group is accompanied to practice on the topics. Fourth, each group demonstrated and provided feedback. The study highlighted that the inculcation of character values from an early age is effective through the “modeling the way” learning model (making practical examples). The contribution of this research is to make references for PAUD educators in carrying out learning
SARS-CoV-2 Variants Distribution and Infections in Vaccinated and Unvaccinated Hospitalized Individuals in the Dominican Republic.
Authors: Paulino-Ramirez Robert , Rojas-Fermin Rita , Cuevas Paula , Tapia Leandro , Vallejo Degaudenzi Alejandro , Mueses Sayira , Calderón Victor Virgilio , Jabier Maridania , Guzman-Marte Anel , Tolari-Jacobo Gilda , Ruiz Ingrid , Sanchez-Marmolejos Ann , Cuevas Lantigua Gabriella
Published: January 2023

First cases of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in the Dominican Republic (DR) were reported in early 2020. During the first trimester of 2021 a national vaccination campaign was deployed, including whole-virus inactivated, adenovirus-based, and mRNA vaccines platforms. To better understand the effectiveness and efficiency of vaccines to reduce COVID-19 related deaths, among vaccinated (2-doses), unvaccinated and partially vaccinated (1-doses), and SARS-CoV-2 variants we analyzed clinical and molecular data obtained from breakthrough infections in hospitalized individuals. Samples from SARS-CoV-2 infected hospitalized patients were collected for viral sequencing. During the study period, we analyzed the data of thirty-three (n=33) COVID-19 case-patients from June to September 2021. Studied cases reported receiving a whole-virus attenuated vaccine (CoronaVac) in 36.8%. The survival rate among two-dose vaccinated individuals was 73% (95% CI, 70.8 to 74.2) compared to 65% in unvaccinated individuals. Molecular variant analysis of variant circulation among infections was initially due to B.1.621 (Mu) and rapidly shifting to B.1.617 (Delta) variants. No differences in outcomes between Mu, Iota, or Delta infections were observed. This suggests that VOIs can also have a deleterious impact on vaccinated individuals.
ANTROPOLOGI HUKUM SEBAGAI LANDASAN MANUSIA BERFIKIR SECARA DASAR
Authors: Pujianti Puja
Published: January 2023

Antropologi secara garis besar dipecah menjadi 2 bagian yaitu antropologi fisik/biologi dan antropologi budaya. Tetapi dalam pecahan antropologi budaya, terpecah – pecah lagi menjadi banyak sehingga menjadi spesialisasi – spesialisasi, termasuk antropologi pendidikan. Seperti halnya kajian antropologi pada umumnya antropologi pendidikan berusaha menyusun generalisasi yang bermanfaat tentang manusia dan perilakunya dalam rangka memperoleh pengertian yang lengkap tentang keanekaragaman manusia
ANTROPOLOGI HUKUM MENJADI SECERCAH HARAPAN HUKUM INDONESIA
Authors: saputra dimas dwi
Published: January 2023

Secara etimologis antropologi berasal dari Bahasa Yunani, yaitu “Anthropos” yang berarti manusia dan “Logos” berarti ilmu pengetahuan . Jadi Antropologi merupakan ilmu yang mempelajari manusia. Oleh karena itu antropologi didasarkan pada kemajuan yang telah dicapai ilmu pengetahuan sebelumnya. Antropologi hukum adalah ilmu yang mempelajari tentang manusia dan budayanya khusus dibidang hukum. Kebudayaan hukum yang dimaksud adalah kekuasaan yang digunakan oleh penguasa untuk mengatur masyarakat agar tidak melanggar kaidah-kaidah sosial yang telah ada didalam suatu masyarakat itu sendiri
Penerapan Strategi Pelaksanaan (Sp 1-4) Dalam Pemberian Asuhan Keperawatan Jiwa Pada Ny. P Dengan Masalah Risiko Perilaku Kekerasan
Authors: Siregar Lisma Sari
Published: January 2023

Risk of Violent Behavior is deviant behavior that is harmful to oneself, others, and the environment, characterized by uncontrolled rage, noise and anxiety. The impact of patients with a risk of violent behavior if left untreated can cause a high risk of injuring themselves, others and the environment. The purpose of this writing is to provide mental nursing care to Mrs. P. The method of writing is descriptive, namely case studies by conducting nursing care to patients with priority problems of risk of violent behavior with an implementation strategy (SP). Data collection techniques were carried out using interview techniques, observation, and physical examination. Nursing problems found in Mrs. P is the risk of violent behavior. Suggestions in the management of patients with risky problems of violent behavior are expected that with this study medical staff can build a relationship of trust with clients so that good communication can emerge and clients can express their problems so that the nursing process is achieved, the role of the family to visit clients and take care of current clients live alone and provide sufficient support and attention to the client in order to speed up the client's healing process.
DINAMIKA ANTROPOLOGI HUKUM DI INDONESIA
Authors: Oktaviara Wulan
Published: January 2023

Antropologi hukum merupakan ilmu yang mempelajari perilaku manusia dalam budaya hukum.
New technological solutions for preserving the endangered languages
Authors: Julia Normanskaja
Published: January 2023

LingvoDoc platform is a revolutionary tool for preserving and promoting endangered languages in the Russian Federation. The platform offers a new approach to working with dictionaries and corpora by systematizing thousands of dictionaries, making them easily accessible and providing linguists with tools that are not available anywhere else. The platform is also the basis for a training platform, which uses artificial intelligence technologies to create an individualized learning experience for each user. The platform includes modules for teaching Russian, Komi, Udmurt, Moksha, Erzya, and Khanty, with at least 10,000 exercises on verb management and the compatibility of modern forms with adverbs, these exercises, with the help of artificial intelligence technologies on the training platform will be selected for each user individually, depending on his request and the mistakes made in previous exercises.
Low-cost, portable, easy-to-use kiosks to facilitate home-cage testing of non-human primates during vision-based behavioral tasks
Authors: Giverin Christopher , Ramezanpour Hamidreza , Kar Kohitij
Published: January 2023

Non-human primates, especially rhesus macaques, have played a significant role in our current understanding of the neural computations underlying human vision. Apart from the established homologies in the visual brain areas between these two species, and our extended abilities to probe detailed neural mechanisms in monkeys at multiple scales, one major factor that makes NHPs an extremely appealing animal model of human-vision is their ability to perform human-like visual behavior. Traditionally such behavioral studies have been conducted in the controlled laboratory settings. Such in-lab studies offer the experimenter a tight control over many experimental variables. However, typical constraints related to such experiments include, 1) limited total experimental time, 2) requirement of dedicated human experimenters for the NHPs, 3) requirement of additional lab-space, 4) additional time and training required for chairing and head restraints of monkeys, 5) NHPs often need to undergo invasive surgeries for a head-post implant. To overcome these limitations, many laboratories have now adapted home-cage behavioral training and testing of NHPs. Home-cage behavioral testing enables the administering of many vision-based behavioral tasks simultaneously across multiple monkeys with much reduced human personnel requirements, no NHP head restraint, and provide NHPs access to the experiments without specific time constraints. Here, we provide the details of operating and building a portable, easy-to-use kiosk for conducting home-cage vision-based behavioral tasks in NHPs.
La première réception française du Tractatus Theologico-Politicus. Une conversation avec Pierre-François Moreau
Authors: van Binsbergen Thomas
Published: January 2023

La première réception du Tractatus Theologico-Politicus de Spinoza a rarement été étudiée en tant qu'une occasion de philosophie politique. Cette conversation avec Pierre-François Moreau (ENS de Lyon) explore la première réception française : des relations entre huguenots, libertins et catholiques, à l'histoire comme espérance, en passant par Boulainvillier.
Pathophysiology of Primary anti-phospholipid syndrome
Authors: Sakib S M Nazmuz
Published: January 2023

Suspected APS patient undergoes through two immunoassays and a functional coagulation assay.1.Anti-beta2 glycoprotein I / anti-beta2GPI antibodies; IgM and IgG by ELISA.2.Anticardiolipin antibodies (aCL); IgM and IgG by enzyme-linked immunosorbent assay (ELISA) (de Laat-Kremers et al., 2022).LA functional coagulation assayIt is basically a three-step procedure:For hemostasis a screening test is performed which depends upon prolonged phospholipid. Most common used screening tests are; aPTT and (dRVVT)When the patient plasma is mixed with normal plasma the prolonged screening test can’t be corrected. This suggests the presence of inhibitor not the deficiency of coagulation factor. When excess phospholipid is added, the prolonged coagulation test is corrected or shortens which manifests its dependency on phospholipid
Penerapan Asuhan Keperawatan Jiwa Pada Tn. R Dengan Masalah Isolasi Sosial: Menarik Diri Di Ruang Bukit Barisan
Authors: Lumbantobing Formasi
Published: January 2023

Social isolation or withdrawal is a condition in which a person experiences a decrease in interacting with other people, because patients feel rejected, not accepted, lonely, and unable to build meaningful relationships with other people or those around them. The purpose of this case report is to analyze generalist nursing care standards for schizophrenic patients in reducing symptoms of social isolation. During the assessment process, the nurse uses therapeutic communication and builds a trusting nurse-client relationship. In Mr. R's case, it was found that the client experienced symptoms of social isolation such as less spontaneous, apathetic (indifferent to the environment), blunted affect, absent or lacking in verbal communication, refusing to relate to others, self-isolation (alone), less aware of the surrounding environment, disturbed drinking, decreased activity and others. The predisposing factor for Mr. X is that he has never experienced a mental disorder before. The nursing diagnoses that appeared in Mr. R's case were social isolation: withdrawal, impaired self-concept: low self-esteem, risk of sensory perception disorders: hallucinations. But in practice, the writer focuses on the problem of social isolation: withdrawal. Nursing planning and implementation is adjusted to the implementation strategy for patients with social isolation. The evaluation found that there was an increase in the client's ability to control the social isolation experienced and the impact on reducing the symptoms of social isolation experienced.
Manajemen proses didalam lembaga pendidikan
Authors: putri Sri katelia
Published: January 2023

Manajeman proses adalah suatu hal pertama yang sangat dibutuhkan dalam melakukan sesuatu didalam lembaga pendidikan maupun didalam pemerintahan, karna manajeman proses adalah semua hal program-program yang ada dilembaga itu, dieksekusi agar lembaga pendidikan bisa berproses dengan baik dan bisa bersaing dengan lembaga yang ada diluar. Manajeman proses itu sangat perlu sebuah perbaikan dalam lembaga pendidikan, agar lembaga bisa berjalan dengan efektif. Manajeman proses sesuatu yang sangat menonjol disebuah organisasi maka dari itu manajeman proses sangatlah berperan dalam memproses sebuah lembaga ataupun sebuah organisai maupun di pemerintahan. Kata kunci: manajemen proses, lembaga pendidikan, manajemen islam, strategi manajemen, perbaikan manajemen.
Dinamika Antropologi Hukum di Indonesia
Authors: Athifah Ulfah
Published: January 2023

Antropologi secara etimologis berasal dari bahasa Yunani. Kata anthropos berarti manusia dan logos berarti ilmu pengetahuan. Jadi antropologi adalah ilmu yang mempelajari manusia. Dalam ilmu antropologi hukum dipelajari mengenai peran, status atau kedudukan,nilai, norma juga kebudayaan. Semua ini sangat erat kaitannya dengan ilmu antropologi hukum. Sebelum berdirinya Komunisme, magistrat-magistrat Tiongkok, misalnya, tidak berurusan dengan menginterpretasi dan menerapkan aturan hukum untuk kasus-kasus konflik yang terjadi, namun menggunakan aturan hukum hanya sebagai pedoman teladan-teladan yang sangat berguna, tetapi tidak harus diteladani dalam kasus konkrit.
A Bayesian Level Set Method for Identifying Subsurface Geometries and Rheological Properties in Stokes Flow
Authors: Holbach Lukas , Gurnis Michael , Stadler Georg
Published: January 2023

We aim to simultaneously infer the shape of subsurface structures and material properties such as density or viscosity from surface observations. Modeling mantle flow using incompressible instantaneous Stokes equations, the problem is formulated as an infinite-dimensional Bayesian inverse problem. Subsurface structures are described as level sets of a smooth auxiliary function, allowing for geometric flexibility. As inverting for subsurface structures from surface observations is inherently challenging, knowledge of plate geometries from seismic images is incorporated into the prior probability distributions. The posterior distribution is approximated using a dimension-robust Markov-chain Monte Carlo sampling method, allowing quantification of uncertainties in inferred parameters and shapes.The effectiveness of the method is demonstrated in two numerical examples with synthetic data. In a model with two higher-density sinkers, their shape and location are inferred with moderate uncertainty, but a trade-off between sinker size and density is found. The uncertainty in the inferred is significantly reduced by combining horizontal surface velocities and normal traction data. For a more realistic subduction problem, we construct tailored level-set priors representing "seismic" knowledge and infer subducting plate geometry with their uncertainty. A trade-off between thickness and viscosity of the plate in the hinge zone is found, consistent with earlier work.
Free will determines the limits of psychological foresight: Review of “Free Will” by Sam Harris
Authors: Grüning David Joachim
Published: January 2023

The existence of free will and its prerequisites have entertained countless debates. The position one takes in these debates dictates their outlook on limitations of knowledge. Like the majority of philosophers and researchers, Harris (2012), in his book, misses out on exploring the consequences accepting or rejecting free will has for the predictability of human psychology. In the present review, I show the following: If we understand and model human cognition and behavior as a result of environmental & individual causes that both are knowable, adding a per-definition indeterminable source, namely, free will, can only reduce the maximum power of our prediction model. That is, accepting a free human will renders impeccable foresight theoretically, and empirically, impossible. I situate its consequences in the three exemplary application fields of management and leadership, historic analysis, and theory building.
Impact of COVID-19 Pandemic on General Well-being and Instating the New Normal
Authors: Jojy Ashley Grace , Shainy Munna Rajeev , Jaiswal Rohit , Pandey Navya
Published: January 2023

Context: COVID-19 pandemic called for a strange situation where physical interactions are prohibited and purely null, and it bridged chaos in terms of finance, education, work, environment, medical health-care services and more which go barely known or unrecognized.Aims: The present study aimed to understand the relationship between adults’ stress levels and general well-being during the COVID-19 pandemic, along with sex, age, and progressing days of quarantine/lockdown and their adaptation to the same. Followed by it, the qualitative phase covered the varied experience of individuals during the pandemic.Methods: The study followed a sequential explanatory design. The study involved psychometric assessment during the initial phase of the pandemic followed by a semi-structured interview through video calling platforms. Appropriate statistical analyses were employed to arrive at quantitative data to reach the findings. The interviews analysed through the lens of Interpretative Phenomenological Approach (IPA).Results: The quantitative aspect of the study established no significant differences between the intended dyads of comparison. Consequently the relationship between stress, wellbeing, age and progressing days of quarantine were significantly established. The qualitative analysis gave rise to seven themes including tripartite outlook of COVID-19 pandemic and emotional experiences associated with the pandemic.Conclusions: The study made an attempt to understand the role of COVID-19 pandemic on the mental health of individuals in terms of their of certain relevant parameters. Uniquely, the study filled the gap of exploring the experiences of individuals from a global diverse population.Key Messages: This study draws light to the fact that the COVID-19 pandemic appeared to be a bolt from the blue for everyone which spiked the levels of stress and reduced wellbeing. Through a subjective exploration, it proved as time passed by, individuals developed helpful coping mechanisms which reversed the same effects.
Anthropometric Assessment of Patients on Maintenance Hemodialysis at a Tertiary Care Hospital in Nepal
Authors: Agrawaal Krishna Kumar
Published: January 2023

INTRODUCTION Protein energy wasting is common in hemodialysis patients and is linked to increased morbidity and mortality. Anthropometric measurements such as skin fold thickness, mid arm circumference and mid arm muscle circumference are widely used to assess nutritional status in patients on maintenance hemodialysis. Subjective global assessment dialysis malnutrition score is used to classify patients’ nutritional status. The aim of this study was to assess the nutritional status using anthropometry.
MATERIAL AND METHODS This descriptive cross-sectional study was carried out from 1st October 2021 till 30th September 2022 under Nephrology unit, Department of Internal Medicine at Universal college of Medical Sciences, Bhairahawa, Nepal. Ethical clearance was taken. Subjective Global Assessment Dialysis Malnutrition score was calculated. Triceps skin fold thickness, Mid arm circumference and Mid arm muscle circumference was measured. Convenience sampling was used. The data were analyzed using the Statisti- cal Package for the Social Science version 17.
RESULTS In this study of 50 patients undergoing MHD for at least 3 months, the Mean age of population was 42.00 ±15.26 years. Nearly half of the study population 21 (42%) was having mild to moderate malnutrition using subjective global assessment dialysis malnutrition score and none had severe malnutrition.
CONCLUSION There is mild to moderate malnutrition in patients on maintenance hemodialysis at our center based on anthropometric measure- ment including subjective global assessment dialysis malnutrition score tool.
Clinical Profile and Echocardiographic Changes in Patients with Newly Diagnosed Type 2 Diabetes
Authors: Jaiswal Niraj Kumar , Karki Manoj , Dhakal Pushpa Raj , Dahal Manish , Kandel Sanjog , Shahi Aakash , Chaudhary Shatdal
Published: January 2023

INTRODUCTION The burden of type 2 diabetes is increasing in world and same is scenario in Nepal.The prevalence of T2DM in Nepal  has increased from 2014 to 2020. T2DM is still a major cause of worldwide morbidity and mortality, due to its complications. A strong correlation between cardiovascular diseases and diabetes mellitus type 2 (DM) has been found. This study aimed to investigate echocardiographic features and clinical proﬁle in patients with newly diagnosed T2DM.
MATERIAL AND METHODS Our study included 100 patients with newly diagnosed type 2 diabetes, presented to Medicine Department of Universal College of Medical Sciences Teaching Hospital, Bhairahawa  from 1st May, 2019 AD to 30th April 2020. We included type 2 diabetes diagnosed as per American diabetes association 2018 criteria.
RESULTS Males (52%) were more compared to females (44%). 28%  were in age group 61-70 years, 26% in age group 41-50 years and 25% in age group 51-60 years. Abnormal thirst 42%, polyuria 38% and weight loss 32% were most common presenting symptoms with 23% having all 3 symptoms. Fifty two percent were smokers, 22% consumed alcohol, 48% had HTN and 23% cases had CAD. Fourty two cases (42%) had Left ventricular diastolic dysfunction, 25 cases (25%) had Left ventricular hypertrophy (LVH), 16 cases (16%) had RWMA others had RA/RV dilated and dilated LV/LA.
CONCLUSION LVDD was most common echocardiographic ﬁnding in newly diagnosed type 2 diabetes.
The Relationship Between the Weight of the Placenta and Birth Weight of the Neonate
Authors: Bhattarai Laxmi , Gautam Bishnu , Chhetri Pradip
Published: January 2023

INTRODUCTION Weight of placenta has long been associated with fetal growth and perinatal well-being. Low placental weight (standardized for sex and gestational age) is more common among stillbirths whereas high placental weight is associated with neonatal death, serious neonatal morbidity, low 5-min Apgar score, and respiratory morbidity. Low placental weight is believed to reﬂect an inadequate placental surface area for nutrient and gas exchange, leading to fetal compromise. However, it has also been proposed that the increased risk associated with high placental weight is the result of villous oedema, which may compress blood vessels and reduce transfer of gas and nutrients to the fetus.
MATERIAL AND METHODS A descriptive cross-sectional study of the total, 798 subjects met the inclusive criteria. After consent, age, sex, prepregnancy weight, weight of mother at the time of delivery, neonatal weight and trimmed placental weight were recorded.
RESULTS The mean birth weight was 2818±447.19 gm while the placental weight was 489.29±59 gm with mean placental-fetal weight ratio of 17.63. The mean birthweight of male was 2823.97±451.12 gm whereas female was 2811.69±442.93 gm. Similarly, mean placental weight of male was 490.37±57.7 gm and female was 487.98±60.58 gm. As gestational age increases placental and birth weight also increases whereas placental-birth weight ratio decreases.
CONCLUSION There is a positive relation between placental weight and weight of the neonate at the time of birth. However, the ratio of the placental and neonatal birth weights at term decreases with advancing gestational age. Thus, prolongation of pregnancy at term may adversely affect the fetus.
Distribution of ABO and RH Blood Groups in Western Region of Nepal
Authors: Mishra Satyendra Kumar , Shakya Ojeena , Pokhrel Buddhi Raj , Poudel Anuj , Srivastava Manglesh Kumar
Published: January 2023

INTRODUCTION Determination of ABO and Rh blood group types are clinically important for various purposes including blood transfusion. There is a wide regional, racial, and ethnic variability among these blood groups. We aim to determine the ABO and Rh blood group patterns in patients attending a tertiary care center of Western Nepal.
MATERIAL AND METHODS This hospital-based cross-sectional study involved 600 patients visiting Universal College of Medical Sciences (UCMS), Bhairahawa undergoing blood group determination. The study was conducted for six months from 1st January to 30th June 2017. Ethical clearance for the study was taken prior to the study. Written and verbal consent were taken from each participant before the study. Blood group was determined using open slide test method and reverse grouping was performed via tube method. Finally, Rh-DU test was performed in Rh-negative samples to test for weak D antigen.
RESULTS Among the ABO blood group, most common blood group was O (34.2%) followed by B (29.2%) and A (25.3%). Sub-group analysis showed only one A2 sub-group, the remaining being A1. Majority of the patients were Rh positive (95.8%). All the Rh negative patients tested negative for Du as well. The overall distribution pattern of combined ABO-Rh blood group was O+ > B+ > A+ > AB+ > O-> A- =B- > AB-.
CONCLUSION In the current study, O positive was the most common blood group in Western Nepal followed by B positive, and A positive respectively. AB-negative was the rarest blood group. The study can provide insight for future hematological studies.
National Geographic Information Infrastructure Programme to Support National Geographic Information System in Nepal
Authors: Chhatkuli Raja Ram , Chhatkuli Raja Ram
Published: January 2023

GIS are effective tools for the planning and monitoring of different development projects like engineering, socio-economic, and environmental projects. Due to lack of proper spatial data and geoinformation infrastructure in the past, all GIS projects spent very significant share of their projects on the development of such framework data. Recently the Survey Department of His Majesty’s Government of Nepal has launched a national geoinformation infrastructure programme (NGIIP) to support sectoral GISes with spatial data and. The rationale and the objectives of the programme in the context of the open data dissemination policy undertaken in Nepal are outlined.
Need of Licensing in Surveying Profession in Nepal
Authors: Shrestha Buddhi Narayan
Published: January 2023

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Database generalization and production of derived maps at 1:100000 and 1:250000 scales using NTDB in NGII context
Authors: Kayastha Durgendra Man
Published: January 2023

Multi resolution geodatabase will support diverse application requirements ranging in scale and resolution. Creation of such a database primarily enhances production of derived maps, which is one of the key application areas within NGII context. The paper identifies the processes involved specifically in the area of production of derived maps.
National Geographic Information Infrastructure in Nepal for Strengthening Planning and Resource Management
Authors: Chhatkuli Raja Ram
Published: January 2023

Nepal has a tremendous potentiality of water-resources ranking only second in the world and it has also a rich natural wealth like biodiversity, lofty Himalayas, scenic valleys and mountains among others. It has a hardworking and patriotic workforce. However, it is limited by heavily diverse topography and fragile geological conditions coupled with extensive poverty and abundant illiteracy. The thrust of the development problem in Nepal is “poor management”. Simply said, management is a cycle of planning, implementation, monitoring/evaluation and re-planning. One of the weaknesses of the Nepalese management process is the lack of adequate geographic information in decision-making thus resulting in poor-management. To support this gap, His Majesty’s Government of Nepal initiated National Geographic information Infrastructure Programme (NGIIP) since 2002. This programme is the extension of the digital mapping programme of Survey Department, which was initiated in 1996.
Nepal is a member of the Global Mapping community. The NGII programme will support in the development of a spatial data infrastructure and a geographic information system at the national level. NGII Programme has the overall objectives of strengthening planning and resource management in Nepal and its specific objectives are to develop a platform to facilitate data sharing among Survey Department, Central Bureau of Statistics and participating agencies. As part of its contribution to the NGIIP, Survey Department provides spatial data ranging from 1:25,000 to 1:1Million. To facilitate the success of the NGII initiatives several approaches have been undertaken. Some of them are: the identification of the key players and developing a stakeholders’ institutional coordination mechanism, the situational analysis and needs assessment, developing an implementation strategy, and conceptualisation of a NGII centre of excellence for promoting sustainability.
The programme has multiple facets like: fundamental- and meta- database production, technology installation and human resource development, and institution building components including standards and processes. The details are explained. Least developed countries like Nepal are entangled with the vicious circle of lack of information, poor planning, poor performance, and subsequent lack of resources for additional funding for information. A strong will and commitment is necessary to make a breakthrough. This is a time in Nepal, when a breakthrough is underway with the launching of a NGII programme. The programme has a promising future; but it being on a very initial phase, its effectiveness cannot be evaluated as yet.
Digital Conversion of Analogue Cadastral Maps of Kathmandu Metropolitan City
Authors: Acharya Babu Ram , Baral Toya Nath , Subedi Nab Raj
Published: January 2023

Land is the olny immovable property that can be used as a means for agricultural production as well as a means for mortgage for financing industrial or commercial enterprises. Spatial technologies play a key role in managing our land, water and natural resources. Cadastral data is a major component for the development of Land Infromation system. Therefore, systematic land registration system based on accurate and scientific cadastral map are found inevitable for poverty alleviation, good governance and women empowerment through security of their rights on property as well as the planning and development of a sustainable environmental protection within Metropolitan city. Digital cadastral parcel is the fundamental spatial unit on which database is designed, created, maintained and operated. Availability of accurate and updated cadastral maps is a primary requisite for successful planning, policy formulating and maintenance of city utility services, which meed cadastral and utility information together. Flawed cadastral maps can put land, revenue and taxation system at stake. Kathmandu, the capital city of Nepal still is lacking utility maps combining cadastral information with the utility. There is an urgent need to have an effective, accurate and easy to access land revenue and utility services system within the urban areas which could be achieved after the production of reliable base maps and land registration system to guarantee  land allocation and property rights which can well be achieved by digitla conversion and correction of base cadastral maps. This paper highlights the drawbacks of the conventional cadastral maps and the possible advantages of digital cadastral maps over these. Also the problems, issues and implications during digital conversion and creating database of the same will be discussed.