bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tension-type headache in patients with concomitant musculoskeletal disorders
Authors: Novikov Yu. O. , Salakhov I. E. 
Published: February 2020

Introduction. According to the defi nition of the World Health Organization (WHO), tension-type headache (TTH) is the most common type of primary headache. Rehabilitation of patients with chronic tension-type headache continues to be an important socio-medical problem. Its main goal is the most complete restoration of the functions of the musculoskeletal system of the neck, the correction of vascular and psychoemotional problems, and the patient′s return to his everyday life and work. As a rule, the main emphasis in the treatment of such patients is placed primarily on drug therapy. At the same time, practitioners are faced with a number of problems — the low effectiveness of the treatment, the nonpersistency of the results, allergic reactions, polypharmacy and others. All this suggests that there is a need for differentiated rehabilitation treatment of patients with tension-type headache with the use of various non-pharaceutical methods. The goal of research — to evaluate the clinical effi cacy of complex non-drug therapy in patients with tension-type headache.Materials and methods. The prospective controlled randomized study, which was conducted from October 2017 to March 2019 at the Department of Medical Rehabilitation of the Bashkir State Medical University, included 110 patients with TTH from the age of 20 to 45 years. All patients, depending on the treatment methodology used, were randomly divided into two groups of 55 people. Patients of the main group received complex rehabilitation treatment with the use of non-drug methods: osteopathic correction, acupuncture and exercise therapy. Patients in the control group received treatment in accordance with the standard of medical care for TTH (analgesics, non-steroidal antiinfl ammatory drugs, antidepressants, vasoactive and nootropic drugs). The study of the clinical effectiveness of the therapy included: an assessment of the severity of pain with the use of a visual analogue scale and a tensoalgimeter, a goniometric study with an assessment of the volume of active movements in the cervical spine, transcranial ultrasound dopplerography with an assessment of quantitative indicators in the system of the middle cerebral artery.Results. The use of complex non-drug therapy in patients with TTH compared with standard drug therapy leads to a signifi cantly more important decrease in the severity of pain, an increase in pain threshold, an increase in the volume of active movements in the cervical spine. The effect of non-drug treatment methods on blood fl ow in the system of the middle cerebral artery is comparable in its effectiveness with the use of pharmaceutical drugs.Conclusion. The proposed complex rehabilitation treatment of patients with TTH with the use of non-drug methods has shown clinical effi cacy which is comparable, and in a number of indicators, superior to the effectiveness of conventional medical treatment. All this determines the necessity of wider implementation of multidisciplinary non-drug treatment of patients with this pathology.
Pediatric Differentiated Thyroid Carcinoma: Outcome in Response to Initial Treatment
Authors: Uddin Md Mosleh , Ali Razib Syed Farhan , Salam Kazi Shameemus , Sattar Mohd Abdus , Siddiquee Belayat Hossain 
Published: February 2020

Introduction: Though the differentiated thyroid carcinoma in children is a common pediatric endocrine malignancy, its prognosis is excellent with a proper initial treatment.
Objectives: This is to evaluate the initial treatment patern for a good prognosis with longterm outcome in pediatric DTC patients.
Methods: This study is a prospective one done in BSMMU during a period of 10 years in 52 post-operative pediatric DTC patients after excluding the follow-up missing patients. These patients are yet in a regular follow-up were outcome evaluated with clinical, pathological & imaging studies.
Results: All the patients got initial treatment of total thyroidectomy. About half of the group had undergone neck dissection along with total thyroidectomy. Forty six patients had taken 131-I therapy. The survival is 100%.
Conclusion: The life expectancy for children with DTC is excellent. However, many patients experience adverse effects from thyroid surgery, resulting in life long complications.
Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 143-148
DISEÑO GRÁFICO Y PATRIMONIO
Authors: Lazo-Galán Juan 
Published: February 2020

El diseño gráfico profesional en Ecuador se ha convertido en una carrera que tiene una enorme aceptación en el país con más de 24 universidades que tienen la carrera. Es una profesión que utiliza signos y símbolos arraigados en el inconsciente colectivo para generar comunicación. En un importante movimiento en los últimos años, los diseñadores gráficos han estado buscando referentes dentro del patrimonio ecuatoriano para generar propuestas con características propias, en algunos casos volviendo la mirada al pasado y en otras buscando en la cultura popular y en la naturaleza aquello que nos caracteriza. Este artículo analiza el diseño gráfico generado en los últimos 50 años y su relación con el patrimonio histórico, cultural y natural del país.
Palabras Clave: Cultura popular, precolombino, naturaleza, identidad, expresión visual
AbstractProfessional graphic design has become a career with a huge acceptance in Ecuador, with more than 24 universities offering it as a program of study. It’s a profession that uses signs and symbols rooted in the collective subconscious to producecommunication. In an important movement over the last few years, graphic designers have been searching for references within Ecuadorean culture to generate proposals with their own unique characteristics, in some cases, looking at the past andin others, searching within popular culture and in nature all that characterizes us. This article analyzes graphic design generated in the last 50 years and its relationship with the country’s historical, cultural and natural heritage.
Keywords: Popular culture, pre-Columbian, nature, identity, visual expression.
Regional variation in practitioner employment in general practices in England: a comparative analysis
Authors: Spooner Sharon , Gibson Jon , Checkland Kath , McBride Anne , Hodgson Damian E , Hann Mark , McDermott Imelda , Sutton Matt 
Published: February 2020

BackgroundIn recent years, UK health policy makers have responded to a GP shortage by introducing measures to support increased healthcare delivery by practitioners from a wider range of backgrounds.AimTo ascertain the composition of the primary care workforce in England at a time when policy changes affecting deployment of different practitioner types are being introduced.Design and settingThis study was a comparative analysis of workforce data reported to NHS Digital by GP practices in England.MethodStatistics are reported using practice-level data from the NHS Digital June 2019 data extract. Because of the role played by Health Education England (HEE) in training and increasing the skills of a healthcare workforce that meets the needs of each region, the analysis compares average workforce composition across the 13 HEE regions in EnglandResultsThe workforce participation in terms of full-time equivalent of each staff group across HEE regions demonstrates regional variation. Differences persist when expressed as mean full-time equivalent per thousand patients. Despite policy changes, most workers are employed in long-established primary care roles, with only a small proportion of newer types of practitioner, such as pharmacists, paramedics, physiotherapists, and physician associates.ConclusionThis study provides analysis of a more detailed and complete primary care workforce dataset than has previously been available in England. In describing the workforce composition at this time, the study provides a foundation for future comparative analyses of changing practitioner deployment before the introduction of primary care networks, and for evaluating outcomes and costs that may be associated with these changes.
Digital interventions for parents of acutely ill children and their treatment-seeking behaviour: a systematic review
Authors: Donovan Emily , Wilcox Christopher R , Patel Sanjay , Hay Alastair D , Little Paul , Willcox Merlin L 
Published: February 2020

BackgroundConsultations for self-limiting infections in children are increasing. It has been proposed that digital technology could be used to enable parents’ decision making in terms of self-care and treatment seeking.AimTo evaluate the evidence that digital interventions facilitate parents deciding whether to self-care or seek treatment for acute illnesses in children.Design and settingSystematic review of studies undertaken worldwide.MethodSearches of MEDLINE and EMBASE were made to identify studies (of any design) published between database inception and January 2019 that assessed digital interventions for parents of children (from any healthcare setting) with acute illnesses. The primary outcome of interest was whether the use of digital interventions reduced the use of urgent care services.ResultsThree studies were included in the review. They assessed two apps and one website: Children’s On-Call — a US advice-only app; Should I See a Doctor? — a Dutch self-triage app for any acute illness; and Strategy for Off-Site Rapid Triage (SORT) for Kids — a US self-triage website for influenza-like illness. None of the studies involved parents during intervention development and it was shown that many parents did not find the two apps easy to use. The sensitivity of self-triage interventions was 84% for Should I See a Doctor? compared with nurse triage, and 93.3% for SORT for Kids compared with the need for emergency-department intervention; however, both had lower specificity (74% and 13%, respectively). None of the interventions demonstrated reduced use of urgent-care services.ConclusionThere is little evidence to support the use of digital interventions to help parent and/or carers looking after children with acute illness. Future research should involve parents during intervention development, and adequately powered trials are needed to assess the impact of such interventions on health services and the identification of children who are seriously ill.
Prevalence of chronic kidney disease in the community using data from OxRen: a UK population-based cohort study
Authors: Hirst Jennifer A , Hill Nathan , O’Callaghan Chris A , Lasserson Daniel , McManus Richard J , Ogburn Emma , Mena José M Ordóñez , Shine Brian , Taylor Clare J , Vazquez-Montes Maria DLA , Yang Yaling , Hobbs FD Richard 
Published: February 2020

BackgroundChronic kidney disease (CKD) is a largely asymptomatic condition of diminished renal function, which may not be detected until advanced stages without screening.AimTo establish undiagnosed and overall CKD prevalence using a cross-sectional analysis.Design and settingLongitudinal cohort study in UK primary care.MethodParticipants aged ≥60 years were invited to attend CKD screening visits to determine whether they had reduced renal function (estimated glomerular filtration rate [eGFR] <60 ml/min/1.73 m2or albumin:creatinine ratio ≥3 mg/mmol). Those with existing CKD, low eGFR, evidence of albuminuria, or two positive screening tests attended a baseline assessment (CKD cohort).ResultsA total of 3207 participants were recruited and 861 attended the baseline assessment. The CKD cohort consisted of 327 people with existing CKD, 257 people with CKD diagnosed through screening (CKD prevalence of 18.2%, 95% confidence interval [CI] = 16.9 to 19.6), and 277 with borderline/transient decreased renal function. In the CKD cohort, 54.4% were female, mean standard deviation (SD) age was 74.0 (SD 6.9) years, and mean eGFR was 58.0 (SD 18.4) ml/min/1.73 m2. Of the 584 with confirmed CKD, 44.0% were diagnosed through screening. Over half of the CKD cohort (51.9%, 447/861) fell into CKD stages 3–5 at their baseline assessment, giving an overall prevalence of CKD stages 3–5 of 13.9% (95% CI = 12.8 to 15.1). More people had reduced eGFR using the Modification of Diet in Renal Disease (MDRD) equation than with CKD Epidemiology Collaboration (CKD-EPI) equation in the 60–75-year age group and more had reduced eGFR using CKD-EPI in the ≥80-year age group.ConclusionThis study found that around 44.0% of people living with CKD are undiagnosed without screening, and prevalence of CKD stages 1–5 was 18.2% in participants aged >60 years. Follow-up will provide data on annual incidence, rate of CKD progression, determinants of rapid progression, and predictors of cardiovascular events.
Role of the GP in the management of patients with self-harm behaviour: a systematic review
Authors: Mughal Faraz , Troya M Isabela , Dikomitis Lisa , Chew-Graham Carolyn A , Corp Nadia , Babatunde Opeyemi O 
Published: February 2020

BackgroundSelf-harm is a serious risk factor for suicide, a major public health concern, and a significant burden on the NHS. Rates of self-harm presentation in primary care are rising and GPs interact with patients both before and after they have self-harmed. There is significant public and political interest in reducing rates of self-harm, but there has been no robust synthesis of the existing literature on the role of GPs in the management of patients who self-harm.AimThis study aimed to explore the role of the GP in the management of patients with self-harm behaviour.Design and settingA systematic review and narrative synthesis of primary care literature.MethodThis systematic review was conducted and is reported in line with PRISMA guidance. Electronic databases systematically searched were MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science, and AMED. Two independent reviewers conducted study screening and selection, data extraction, and quality appraisal of all included studies. Thematic analysis was conducted.ResultsFrom 6976 unique citations, 12 studies met eligibility criteria and were included. These 12 studies, published from 1997–2016, of 789 GPs/family medicine physicians from Europe, the US, and Australia were of good methodological quality. Five themes were identified for facilitating GP management of self-harm: GP training, improved communication, service provision, clinical guidelines, and young people. Four barriers for GP management of self-harm were identified: assessment, service provision, local, and systemic factors.ConclusionGPs recognise self-harm as a serious risk factor for suicide, but some feel unprepared for managing self-harm. The role of the GP is multidimensional and includes frontline assessment and treatment, referral to specialist care, and the provision of ongoing support.
MODEL PERSAMAAN REGRESI PERILAKU PARKIR PENGENDARA WANITA DAN PRIA DI PALEMBANG INDAH MALL (PIM)
Authors: Ramadhani Ramadhani 
Published: February 2020

The research objective of Regression Equation Model Behavior Women Riders parking in Palembang Indah Mall ( PIM ) to obtain regression model was chosen in the group of men and women , so that it can be stated that the variables that have a dominant influence on the parking time is the frequency of visits. While the ability to drive influence covered by the influence of frequency. That is however the condition of driving ability as long as it has the frequency of visits are frequent, parking time will be brief. The regression model obtained consisting of : Regression Equation Model for Women in PIM parking time : Wpw = 57.325-0.451 F and Model Regression Equations for Men parking time in PIM : Wpp = 43.485-0.442 F.
Keywords : Regression Equation Model, parking time.
PENGARUH LAPISAN UMPAN KAWAT SENG PADA BAJA KARBON DAN BAJA PERKAKAS DENGAN PROSES BUSUR LISTRIK
Authors: Djunaidi Rita 
Published: February 2020

Dalam penelitian ini di lakukan Proses Semprot Logam Busur Listrik dengan umpan Kawat Seng menggunakan variable logam dasar berbeda yaitu Logam Perkakas dengan Logam Karbon. Kekerasan Baja Perkakas 410 HV Sedangkan Baja Karbon mencapai 405 HV. Dari hasil penelitian Baja Perkakas lebih tinggi di banding Baja Karbon laju Aus Deposit Logam Semprot dipengaruhi kekerasan.
Kata Kunci: umpan kawat seng, baja perkakas, baja karbon
ANALISA PERHITUNGAN BREAK EVEN POINT (BEP) UNTUK PERUMAHAN GRAHA BUMI ENIM DI KOTA MUARA ENIM SUMATERA SELATAN
Authors: Rachman Delli Noviarti 
Published: February 2020

Kebutuhan akan rumah merupakan kebutuhan dasar manusia. Karena sangat pentingnya pemenuhan kebutuhan akan perumahan dan permukiman, maka pemerintah telah mengaturnya dalam Peraturan Pemerintah Nomor 88 Tahun 2014 tentang Pembinaan Penyelenggaraan Perumahan dan Kawasan Permukiman. Penelitian ini bertujuan untuk mengetahui identifikasi biaya yang diperhitungkan kemudian didapatkan titik impas serta keuntungan 2 tipe rumah dengan mengambil data pada Perumahan Bumi Graha Enim di Kota Muara Enim. Dari hasil analisa break even point dengan 3 metode perhitungan yang berbeda, didapatkan hasil untuk rumah tipe 36 mencapai titik impas pada Rp. Rp. 4.278.928.172,- (36 Unit) dan Tipe 38+ sebesar Rp.2.840.692.373 (18 unit). Berdasarkan hasil analisa break even point, maka diperoleh margin of safety nya berada pada posisi 64,00%, yang artinya developer pasti mendapatkan keuntungan walaupun waktu penjualannya cukup lama. Hasil penelitian menunjukan bahwa membangun rumah dengan tipe 36, developer akan mendapatkan keuntungan yang lebih kecil dibandingkan dengan membangun rumah dengan tipe 38+.
Kata kunci : Break Even Point, Margin of Safety, Developer.
Perbandingan Perhitungan Debit Banjir Rancangan Di Das Betara Dengan Menggunakan Metode Hasper, Melchior dan Nakayasu
Authors: Aurdin Yulyana 
Published: February 2020

Das Betara sebagai salah satu subdas yang terletak di Kabupaten Bangka Selatan Provinsi Bangka Belitung memiliki luas 259,3 Km2. Salah satu sungai yang sering menyebabkan banjir di das Betara adalah sungai Bangka Ujung yang melintas dari hulu das Betara hingga bermuara selat Bangka. Sungai Bangka Ujung sering meluap dan menyebabkan banjir dikarenakan sedimentasi yang terlalu tinggi dan alur sungai yang cenderung berubah-ubah akibat sedimentasi. Sungai Bangka Ujung ini memiliki panjang total 38,9 Km yang melewati beberapa kecamatan di Bangka Selatan. Untuk itu diperlukan upaya untuk mengatasi banjir yang sering terjadi di sungai Bangka Ujung. Pada penelitian ini dilakukan analisis hidrologi terhadap catchment area yang masuk Das Betara. Metode analisis hidrologi yang digunakan yaitu menghitung hujan kawasan dengan metode poligon Thiessen dan menghitung banjir rancangan dengan kala ulang 2, 5, 10, 25, 50 tahun dan 100 tahun dengan metode analisis frekuensi. Untuk mencari debit banjir rancangan dicari menggunakan beberapa metode dengan Hasper, Melchior dan Nakayasu. Hasil analisis debit banjir rancangan untuk masing-masing metode dengan berbagai periode ulang diperoleh analisis dari metode Nakayasu memberikan nilai terbesar, yang kemudian diikuti oleh metode Hasper dan Melchior. Nilai debit rancangan metode Melchior menunjukkan untuk kala ulang 2 tahun, 5 tahun, 10 tahun, 25 tahun, 50 tahun, 100 tahun sebesar 88,39 m3/s, 108,28 m3/s, 117, 29 m3/s, 125,54 m3/s,130 m3/s dan 133,59 m3/s.
Kata Kunci : Das Betara, Banjir Rancangan, Sungai Bangka Ujung.
KATEGORI DESAIN SEISMIK WILAYAH KOTA PALEMBANG BERDASARKAN SNI 03-1726-2012 DENGAN MENGGUNAKAN PETA HAZARD GEMPA INDONESIA 2010
Authors: Sapta Sapta , Farlianti Sari 
Published: February 2020

Seismic Design category described the Risk level of Seismicity are used as the basis for the selection of the Moment Frame Structure that will be used in the implementation of the design of structures that use the SNI 03-2847-2013. KDS in SNI 03-1726-2012, classified into three levels respectively, namely; Low (SDC A and B), intermediate (SDC C) and high (SDC D, E and F). Classification of SDC are determined based on the values of the SDS and the SD1 is the spectral response acceleration parameter design on a short period and a period of 1,00 second. The value of the SDS and the SD1 is determined the condition of soil density (soft, medium or hard) on the regions reviewed. From the results of the analysis performed using data on Earthquake Hazard Map 2010 by using application designs spectra and on the website of http://puskim.pu.go.id obtained the value soil for SDS Badger, medium and hard respectively worth 0.43; 0.278; 0.209 SD1 and 0.361; 0.234; 0.179, so it can be inferred that the Palembang area with a high level of risk, namely KDS D, which in the planning of the structure requires using the structure of Special Moment Frame (SRPMK) which refers to the SNI 03-2847-2013.
Key words: Seismic Design category (SDC), Map of the earthquake area, Moment Frame
PENGARUH KELEMBABAN FLUKS ELEKTRODA E 6013 LAS SMAW PADA KEKUATAN SAMBUNGAN TUMPUL BAJA PADUAN BERKEKUATAN TARIK TINGGI AISI 4340
Authors: Ilmi Bahrul 
Published: February 2020

Pada artikel ini, dilakukan penelitian terhadap kekuatan tarik sambungan pada baja paduan berkekuatan tarik tinggi AISI 4340 dengan metode pengelasan SMAW (Shielded Metal Arc Welding) menggunakan elektroda E 6013 dengan kondisi fluks normal tanpa perlakuan, dengan kondisi fluks yang dikeringkan terlebih dahulu dalam oven pemanas pada temperatur 135 derajat Celcius selama 1 jam sesaat sebelum digunakan, dan dengan kondisi fluks yang dibasahi dengan air. Material disambung dengan bentuk kampuh V dengan sudut 60 derajat. Spesimen pengujian tarik dibuat berdasarkan standar JIS Z3121. Dari hasil pengujian yang dilakukan didapat kekuatan tarik spesimen dengan kondisi fluks normal sebesar 45,33 kgf/mm2 dan kekuatan luluh 19,44 kgf/mm2, kekuatan tarik spesimen dengan kondisi fluks yang dikeringkan sebesar 49,64 kgf/mm2 dan kekuatan luluh 21,76 kgf/mm2, kekuatan tarik spesimen dengan kondisi basah sebesar 40,79 kgf/mm2 dan kekuatan luluh 17,79 kgf/mm2. Dari penelitian ini dapat disimpulkan bahwa kelembaban fluks elektroda E 6013 pada las SMAW sangat berpengaruh pada hasil pengelasan dan kekuatan sambungan las baja AISI 4340.
Kata Kunci: kelembaban fluks E 6013, las SMAW, baja AISI 4340
RESPON SPEKTRA GEMPA DESAIN UNTUK WILAYAH KOTA PANGKAL PINANG DENGAN MENGGUNAKAN APLIKASI DESAIN SPEKTRA PADA SITUS http://puskim.pu.go.id
Authors: Farlianti Sari , Sapta Sapta 
Published: February 2020

Pada makalah ini penulis memaparkan penentuan respon spektra gempa desain untuk wilayah kota Pangkal Pinang dengan menggunakan aplikasi desain spektra pada situs http://puskim.pu.co.id yang merupakan program aplikasi Desain Spektra yang dikeluarkan oleh Pusat Penelitian dan Pengembangan Permukiman (PUSKIM) Kementerian Pekerjaan Umum, pada kondisi tanah lunak, sedang dan keras. Program aplikasi ini dapat digunakan dalam mendapatkan parameter–parameter gempa baik dalam bentuk data dan grafik dengan hanya memasukan nama kota atau koordinat pada lokasi bangunan akan dibangun, kemudian data-data tersebut dapat digunakan dalam mendesain bangunan tahan gempa dengan menggunakan SNI 03-1726-2012 sebagai pengganti SNI 03-1726-2002. Pada aplikasi ini menggunakan Peta Hazard Gempa Indonesia 2010 dalam menentukan percepatan pada batuan dasar (SB), periode pendek (Ss) dan Periode 1 detik (S1) sedangkan untuk mendapatkan data respon spektra desain digunakan SNI 03-1726-2012. Wilayah Kotamadya Pangkal Pinang pada peta gempa SNI 03-1726-2002 terletak pada wilayah zone gempa 1 yang mempunyai resiko gempa rendah, dari hasil analisa yang menggunakan Program Aplikasi Desain Spektra, didapatkan nilai respon spektrum desain lebih rendah dari hasil perhitungan yang menggunakan SNI 03-1726-2002, untuk semua jenis tanah.
Kata kunci: Peta Hazard Gempa, Respon spektra desain