bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of left ventricular systolic function by Myocardial Deformation Imaging in asymptomatic HIV patients
Authors: Sherpa Kunjang , Sah Ram Kishor , Maskey Arun , Malla Rabi , Sharma Deewakar , Rajbhandari Sujeeb , KC Man Bahadur , Tamrakar Rikesh , Shakya Sushil , Timilsina Birat Krishna , Hirachan Anish , Koirala Prabha Chapagain , Adhikari Ajay , Nazmy Shaneez 
Published: November 2019

Background and Aims: Despite improvements in clinical care, evidence from both industrialized and developing countries indicates that the prevalence of subclinical cardiac dysfunction in individuals with well-controlled HIV infection may approach 50% and represent a newly recognized comorbid condition. The aim of our study was to reveal abnormalities in cardiac function using conventional transthoracic echocardiography and left ventricular strain imaging in HIV infected patients without cardiovascular disease.
Methods: This was a hospital based, single center descriptive cross-sectional comparative study conducted in National Academy of Medical Sciences (NAMS), Bir Hospital which included HIV patients with baseline examination including a patient medical history, clinical examination, baseline CD4 count, viral load and a standardized transthoracic echocardiography and strain imaging examination and the findings were compared among age and sex frequency matched healthy adult population.
Results: Our study enrolled 142 patients out of which 95 HIV positive patients (mean age 36.7±9.2 years with 58% female) and 47 healthy control (mean age 33.7±8 years with 57.4% female). The median duration of HIV diagnosis was 7 years (IQR 2, 10) and median CD4 count was 464 cells/mm3 (IQR 259,750). There was no significant difference in conventional echocardiographic parameters between two groups except for transmitral E velocity that was lower in HIV group (P value of 0.001). The HIV population has lower mean global longitudinal strain (GLS) value of -19.92% ± 2.54 SD compared to the healthy control population with mean of -21.39% ± 1.54 SD(P value of 0.001) and patients with CD4 count less than 300 cell/mm3 had GLS value significantly lower than -18% (P value of 0.05).
Conclusion: HIV infected population without established cardiovascular disease have subclinical left ventricular dysfunction revealed by GLS imaging technique.
High dose versus low dose Aspirin after Percutaneous Coronary Intervention in Coronary Artery Disease
Authors: Rajbhandari Rajib , Tamrakar Rikesh , Limbu Yuba Raj , Singh Satish , KC Sanjay Singh 
Published: November 2019

Background and Aims: Patients with Coronary artery disease who undergo percutaneous coronary intervention (PCI) are prescribed with maintenance aspirin dose that vary between 75 mg to 300 mg daily. The objective of this study is to evaluate the effects of high dose versus low dose aspirin doses prescribed on hospital discharge in PCI.
Methods: All the patients who had undergone PCI at our hospital from 2017 February to October 2017 were enrolled in the study. They were divided into two groups receiving low dose (<200mg) aspirin and high dose (>200mg) aspirin. Patients were interviewed on phone after completion of one year for the possible complications and new ischemic events during the follow up period.
Results: Among 150 patients selected 101 fulfilled the criteria and sixty patients (59.4%) were discharged on low-dose aspirin 75-150mg and 41 patients (40.6%) were discharged on high-dose aspirin of 300mg. The mean age in low aspirin group was 59.8±13.19 years and 49.4±10.7 years in high aspirin group. Although high aspirin dose patients did not complain of epigastric pain more often, upper GI bleeding was significantly higher in high aspirin group 7.5% vs 11.1% (p<0.05). One patient in high aspirin group had hemorrhagic stroke while low aspirin group had none. One patient in high aspirin had sudden cardiac death at home. Clinically, there was no significant difference in new ischemic events during follow up period.
Conclusion: In patients with coronary artery disease undergoing PCI, discharge on high-dose rather than low-dose aspirin may increase the rate of bleeding without providing additional ischemic benefit.
नेपालको भाषा नीति Nepalko Bhasha Niti
Authors: गिरी Giri जीवेन्द्र Jibendra देव Dev 
Published: November 2019

प्रस्तुत अध्ययनमा नेपाल बहुभाषिक देश हो भन्ने कुरा नेपालका भाषाहरूको पारिवारिक वर्गीकरण सहित तथ्यहरूद्वारा स्पष्ट पार्दै नेपालले अङ्गीकार गरेको भाषिक नीतिमा प्रकाश पारिएको छ । यस क्रममा विगतमा अँगालिएको एक भाषिक नीतिबाट विभिन्न भाषाभाषीमा परेको प्रभावबारे जानकारी दिइएको छ र वर्तमान नेपालमा नेपालका सबै भाषाप्रति समान दृष्टिकोण राखिएको तथा विभिन्न भाषाको संरचनागतएवम् स्तरगत विकासका निम्ति विभिन्न कार्य गरिएको र भविष्यमा त्यसले अझ मूर्त रूप प्राप्त गर्दै जाने निष्कर्ष निकालिएको छ । यस निम्ति सरकारद्वारा उपयुक्त भाषानीति लागू गरिने र जनस्तरको जागरणले त्यसलाई बल पु¥याउने अपेक्षा गरिएको छ ।
Alteración de la visión y su relación con la utilización de aparatos electrónicos en adolescentes de escuelas públicas de San Lorenzo
Authors: Ferreira Martínez Jessica , Cardozo Olivia 
Published: November 2019

Introducción: Los defectos de refracción no corregidos son la principal causa de discapacidad visual. En sitios en donde la atención oftalmológica es escasa, se han realizado programas de tamizaje por los maestros, que fueron eficientes para detección precoz de defectos refractivos.
Objetivo: Determinar la frecuencia de alteración de la visión y su relación con la utilización de aparatos electrónicos en adolescentes de dos escuelas de San Lorenzo.
Materiales y Métodos: Estudio observacional, descriptivo, con componente analítico. Fueron incluidos adolescentes de 12 a 18 años de edad de dos escuelas de San Lorenzo. Las variables estudiadas fueron: Edad, Sexo, visión menor a 20/40, antecedente de consulta previa, antecedente familiar de uso de anteojos, horas de uso de aparatos electrónicos, uso de redes sociales, horas al aire libre, tiempo dedicado a lectura no académica, presencia de síntomas oculares. Análisis estadístico: SPSSv21 utilizando estadística descriptiva e inferencial. Protocolo aprobado por el comité de ética institucional con consentimiento informado.
Resultados: fueron evaluados 300 adolescentes, se detectó que la mediana de edad fue 14 años, predominó el sexo femenino (58,7%); el 7,3% presentó una alteración de la visión, el 64,3% no consultó previamente. El antecedente familiar de uso de anteojos, no tuvo significancia. Se vio que las horas diarias de uso de aparatos electrónicos fue mayor en los que tenían visión disminuida con un menor tiempo al aire libre en aquellos con visión alterada. El diagnóstico más frecuente fue astigmatismo.
Conclusión: La frecuencia de alteración de la visión en adolescentes fue 7,3%. Los adolescentes con visión alterada tuvieron más horas diarias al uso de aparatos electrónicos, observándose que las horas que pasaban al aire libre fue menor en los mismos.
Analisis Proses Formulasi Peraturan Daerah (Studi Pada Peran DPRD Lombok Barat Dalam Proses Formulasi Perda No 3 Tahun 2015 Tentang Pedoman Umum Pelaksanaan Pengarusutamaan Gender Dalam Pembangunan Di Kabupaten Lombok Barat)
Authors: H. Idris Mustamin , Hidayat Rahmad , Mahsar Mahsar 
Published: November 2019

Reform and regional autonomy are under way in the country and are expected to provide a more democratic life. One of them is the demands of the Regional People's Legislative Assembly (DPRD) to carry out its duties and functions in the regions, the wrong function of legislation, the formulation process of Regional Regulation (PERDA). The purpose of this study is intended to examine the role of the West Lombok Regional House of Representatives as one of the actors of Policy Formulation of PERDA. 3 of 2015 on General Guidelines of Gender Mainstreaming in Development in West Lombok Regency and the Factors Affecting it.
The method used in this research is qualitative method with descriptive approach, the data in this research are primary and secondary data in the form of observation, interview and documentation.
The results of this research indicate that the role of West Lombok Regency DPRD as one of the actors of PERDA Formulation is seen from its role in the drafting of Local Regulation, where most have been run in accordance with Standard Operating Procedures (SOP), following the procedure of drafting of Raperda and preparing Raperda. Other actors involved are Family Planning and Women Empowerment (BKBPP). Supporting Factors are in the form of budget as a form of support from the budget of APBD for the field of women's empowerment, facilities and infrastructure formation Raperda Initiative DPRD. While the inhibiting factor in the formation of Raperda Initiative is Human Resources (HR) Experts remain that are not yet available in the formulation of Raperda on Gender Mainstreaming.
Implementasi Sistem Informasi Administrasi Dalam Peningkatan Pelayanan Kesehatan Pada Puskesmas Bayan
Authors: Rachman M. Taufik , Syahida Nidya Putri , Isnaini Yana 
Published: November 2019

Health center of Bayan is one of the main health center is location in the north of Lombok district. As the performance of systems running in patient care in the health center of Bayan is still not optimal for the data processing is still done use media bookkeeping. Many of the constraints experienced by the health center, including an error in the input, data storage, and can occur double patient files. So that data processing becomes ineffective and inefficient. There are several public and employee perception of the administration of health care information system in health center Bayan. This is the author's interest in conducting research on employee perceptions of the application of information systems administration in the improvement of health services in health center Bayan and in this case the author uses qualitative research methods in which a qualitative study that examines the participants with strategies that are interactive and flexible.
The qualitative research aimed at understanding social phenomena from the perspective of the participants. The results obtained from this study is an information system that is applied to the health center administration Bayan still using a manual system, which means keep using the computer but not connected to a data network local area network ( LAN) and does not use as a database server. From this study it can be concluded that the health care information system in health center Bayan already well underway although there are some deficiencies in the means of infrastructures and human resources.
Grandparenthood, grandchild care and depression among older people in 18 countries
Authors: Bordone Valeria , Arpino Bruno 
Published: November 2019

Due to the increasing central role of grandparenthood in later life, sound knowledge about its effects on older people’s health is more and more important. This paper examines the impact of becoming a grandparent, having more grandchildren, and engaging in grandchild care on depressive symptoms. Moreover, based on the structural ambivalence theory, we expect that such effects differ across contexts as (grand)childcare is differently organised across Europe. Taking advantage of the longitudinal structure of the Survey of Health, Ageing and Retirement in Europe (SHARE), we estimate fixed-effects models. Our results show that women face a decline in depressive symptoms when becoming grandmothers, but neither an increase in the number of grandchildren nor changes in grandchild care are associated with changes in depressive symptoms. The analyses by country highlight differences across Europe, without, however, drawing a clear pattern. Our results show that depression consequences of grandparenthood also vary between countries characterised by similar roles of grandparents. This suggests the need to make available more refined questions about grandparenthood in surveys on older people.
Zusammenfassung
Aufgrund der zunehmend zentralen Rolle von Großelternschaft im späteren Leben wird fundiertes Wissen zu deren Auswirkungen auf die Gesundheit älterer Menschen immer wichtiger. Dieses Papier untersucht die Auswirkungen des Übergangs in die Großelternschaft der Geburt weiterer Enkelkinder sowie des Engagements in der Enkelkinderbetreuung auf depressive Symptome. Überdies erwarten wir auf der Grundlage der Theorie der strukturellen Ambivalenz, dass sich die Stärke dieser Effekte zwischen verschiedenen Kontexten unterscheidet, da die (Enkel-)Kinderbetreuung innerhalb Europas unterschiedlich organisiert ist. Unter Nutzung der Längsschnittstruktur des Survey of Health, Ageing and Retirement in Europe (SHARE) schätzen wir Fixed-Effects-Modelle. Unsere Ergebnisse zeigen, dass Frauen einen Rückgang der depressiven Symptome erleben, wenn sie erstmals Großmütter werden, aber weder eine Erhöhung der Anzahl der Enkelkinder noch Veränderungen in der Enkelkinderbetreuung sind mit Veränderungen der depressiven Symptomatik verbunden. Die Analysen nach Ländern zeigen Unterschiede innerhalb Europas auf, ohne dass jedoch ein klares Muster zu erkennen ist. Unsere Ergebnisse zeigen, dass die depressionsbezogenen Folgen einer Großelternschaft auch zwischen Ländern variieren, in denen die Rollen der Großeltern ähnlich geprägt sind. Dies legt nahe, dass in Umfragen unter älteren Menschen die Fragen zur Großelternschaft weiterentwickelt werden müssen.
Detection of dengue virus in Aedes mosquitoes in Delhi, India
Authors: Kaushik Suresh Chand , Singh Sukhvir , Srivastava Purnima , Rajendran R. 
Published: November 2019

Detection of viruses in human sera particularly in endemic areas is cumbersome and laborious. Therefore, an alternative approach, Immuno-fluorescence assay (IFA) was performed to determine dengue virus (DENV) positivity in mosquitoes. A total of 1055 adult Aedes aegypti female mosquitoes were tested for IFA test against DENV. Minimum infection rate (MIR) for DENV was found higher during August to November 2016 ranging from 10.75 to 20.83. The average yearly MIR was about 6.64. Higher MIR for Ae. aegypti was found in Sarfabad, Noida (12.71) and Khoda Colony, Ghaziabad (11.90). Minimum MIR (4.67) was observed in Sanjay colony (Faridabad). The main contribution of this study resides in the development of a more suitable monitoring system for early detection of viral circulation and to prioritize early intervention in the non-transmission season.
Evaluation of entomopathogenic fungi against Raoiella indica Hirst (Acari: Prostigmata: Tenuipalpidae)
Authors: Chavan Indhusri , Pradeep S. , Sridhara S. , Ashrith K.N. 
Published: November 2019

Entomopathogenic fungi Metarrhizium anisopliae, Beauveria bassiana and Lecanicillium lecanii tested against immature and adults of Raoiella indica under laboratory condition with five different concentrations of each sprayed on leaf discs containing larvae, nymphs, and adults, indicated that all life stages were susceptible. Larval and nymphal stages were generally less susceptible than adults. Based on probit analysis, L. lecanii was the most virulent with LC50 of 8.15 Ã— 105 conidia ml-1 and 1.30 Ã— 105 conidia ml-1 followed by M. anisopliae 18.05 x 105 conidia ml-1 and 2.70 Ã— 105 conidia/ml and B. bassiana (27.13 Ã— 105 conidia ml-1 and 4.80 Ã— 105 conidia ml-1) for immature and adults, respectively. However the efficacy of the fungal pathogens evaluated clearly differs from that of the controls. These entomopathogenic fungi could be considered as an environmentally friendly alternative for biocontrol of R. indica.
DISCALCULIA E APRENDIZAGEM MATEMÁTICA NO QUARTO ANO DO ENSINO FUNDAMENTAL: ALGUMAS COMPREENSÕES
Authors: Neves Regina da Silva Pina , Borges Maria José Gontijo 
Published: November 2019

O fracasso escolar, experimentado pelos estudantes, muitas vezes, tem como causas não apenas as falhas que ocorrem nos processos de ensino e de aprendizagem, mas também pode estar relacionado a um transtorno específico que compromete o modo de interagir com os conceitos matemáticos, como, por exemplo, a Discalculia. A aprendizagem matemática por meio da resolução de problemas permite que o estudante se desenvolva em vários aspectos, pois nela ele precisa ler, interpretar, compreender e decidir sobre as estratégias mais indicadas para a resolução do problema. Cientes dessas questões, este estudo teve como objetivo compreender a conceituação em matemática de uma estudante do 4º ano do ensino fundamental que apresentava laudo de Discalculia em contextode intervenção psicopedagógica. Foram realizadas sessões de avaliação e intervenção psicopedagógicas, de forma sistemática e dinâmica, o que proporcionou elementos para investigar e analisar o modo de pensar da estudante, por meio de suas produções orais e escritas. Ficou evidenciado o uso do algoritmo formal para resolver as operações e que a estudante, mesmo tendo dificuldades, não recorre aos algoritmos alternativos, de forma a criar estratégias pessoais para a resolução dos problemas apresentados. Foi possível verificar a potencialidade da resolução de problemas nos processos de ensino e de aprendizagem com compreensão e significado, o que tornouas intervenções psicopedagógicas eficientes e produtivas.
GEOMETRIA NO ENSINO FUNDAMENTAL: DAS EXIGÊNCIAS LEGAIS ÀS PRÁTICAS COTIDIANAS
Authors: Penteado Daniele Regina , Pereira Ana Lúcia , Brandt Célia Finck 
Published: November 2019

A partir de uma pesquisa documental sobre como os conteúdos de geometria aparecem formalizados nos documentos da área e nas avaliações externas, no presente artigo buscamos analisar as concepções que os professores apresentam sobre o ensino desse conteúdo. Os sujeitos da pesquisasão professores de matemática em serviço da rede pública de ensino do Estado do Paraná, Brasil. A pesquisa é de natureza qualitativa e os dados foram organizados e interpretados a partir da Análise de Conteúdo por meio da qual foi possível identificarmos três categorias centrais sobre as concepções dos professores em relação ao ensino do Conteúdo Estruturante Geometrias no Ensino Fundamental. Nossos resultados apontam que os professores, via de regra, reconhecem a relevância desse conteúdo ea necessidade de seguir as recomendações oficiais, mas é de uso comum entre eles adiar os temas sobre geometria para o final do ano, tornando muitas vezes impossível abordá-lo adequadamente por falta de tempo. Nossos resultados revelam ainda que os professores associam isso principalmente à “defasagem no processo de ensino e aprendizagem” associada à dificuldade de aprendizagem dos alunos e as “lacunas” deixadas na formação inicial dos professores.
Legado e rupturas da Revolução Soviética desde as lutas sociais na América Latina
Authors: Barbosa Lia Pinheiro 
Published: November 2019

É inegável o legado da Revolução Soviética de 1917 para o crisol da resistência histórica latino-americana e caribenha, sobretudo nas revoluções desencadeadas a partir de meados do século XX. O presente escrito apresenta alguns elementos de releitura teórica e históricopolítica da Revolução Soviética nas lutas sociais de fim de século, em particular aquelas articuladas pelos movimentos sociais, no caso, o Movimento Zapatista.
Implementasi dan Uji Kinerja Algoritma Background Subtraction pada ESP32
Authors: Jatmiko Didit Andri , Prini Salita Ulitia 
Published: November 2019

Salah satu hal penting pada computer vision adalah ciri (feature) citra. Ciri digunakan sebagai dasar untuk mendeteksi objek, baik itu benda, manusia maupun hewan. Ciri citra yang biasa digunakan dalam penelitian antara lain tepian, sudut, bentuk maupun gradient histogram. Penelitian ini menjelaskan kinerja algoritma background subtraction pada unit pemroses berdaya rendah sebagai salah satu algoritma pada computer vision. Algoritma ini memiliki kompleksitas yang rendah dan dapat digunakan untuk mendeteksi objek sehingga berpotensi diterapkan pada kamera keamanan. Algoritma ini bekerja dengan melakukan pengurangan nilai piksel current frame dengan background model. Penelitian ini telah berhasil menerapkan algoritma dasar pengolahan citra, yaitu algoritma background subtraction pada modul ESP32. Pengujian menggunakan input citra yang memiliki dimensi 80x60 piksel dengan format warna 8bit grayscale. Ukuran frame citra 80 x 60 piksel dipilih sebagai citra uji karena keterbatasan memory DRAM EPS32 sebesar 328 KB (kilobyte). Implementasi pada modul ESP32 yang dilengkapi dengan mikroprosesor Xtensa 32-bit LX6 yang bekerja pada frekuensi 240MHz dapat memproses algoritma background subtraction 10000 kali dalam waktu ±2000ms menggunakan input citra uji tersebut.
Kata Kunci – Background Subtraction; ESP32; Image Processing; Microcontroller; Object Detection.
Aplikasi Chatbot Speak English Media Pembelajaran Bahasa Inggris Berbasis Android
Authors: Afrianto Irawan , Irfan Muhammad Fahmi , Atin Sufa 
Published: November 2019

Kemampuan Bahasa Inggris yang baik tentu akan menjadi modal kompetitif, baik dalam bidang pendidikan maupun pekerjaan.Teknologi chatbot adalah merupakan teknologi yang dapat dimanfaatkaan sebagai solusi untuk permasalahan dalam lingkup edukasi. Beberapa penelitian telah membuktikan pemanfaatan chatbot sebagai media belajar, terutama pembelajaran Bahasa Inggris. Disamping itu, sumber daya untuk mendukung pengembangan teknologi chatbot sudah cukup banyak tersedia, seperti API yang mempermudah untuk pembuatan chatbot seperti Dialogflow API yang digunakan pada penelitian ini. Metode yang digunakan pada penelitian ini ialah berlatih dan evaluasi mandiri. Adapun tools pendukung ialah Languagetool API untuk koreksi grammar, Google Speech Recogntion dan Google Text-to-Speech menyediakan antarmuka voice chat. Penelitian ini membahas tentang pemanfaatan teknologi chatbot, tepatnya dengan membangun sebuah aplikasi android sebagai media latihan percakapan Bahasa Inggris. Adapun hasil pengujian menyimpulkan bahwa 63,96% pengguna menyatakan setuju dengan fitur yang dikembangkan pada aplikasi tersebut. Pengguna setuju, sistem yang telah dibangun dapat menjadi solusi untuk permasalahan tersebut, yakni sebagai media latihan percakapan Bahasa Inggris, selain itu pengguna juga terbantu dengan adanya fitur-fitur seperti voice chat, koreksi kesalahan, log harian untuk berlatih dan evaluasi mandiri.
Kata Kunci – Chatbot; Pembelajaran Bahasa Inggris; Dialogflow API; Languangetool API; Google Text-To-Speech.
Model Sistem Pengelolaan Pengetahuan Guru di Sekolah Luar Biasa Tunarungu
Authors: Mardzuki Tati Harihayati , Khoerudin Arief Nur 
Published: November 2019

Guru sebagai tenaga pendidik akan mendapatkan pengetahuan mengenai metode pembelajaran yang disesuaikan dengan tingkat ketunarunguan para siswanya melalui pelatihan-pelatihan. Hasil pelatihan belum disebarluaskan kepada guru-guru yang tidak diikutkan dalam pelatihan tersebut, sehingga ketika mendapatkan masalah pada saat proses belajar mengajar di kelas biasanya guru tersebut harus langsung menemui bagian Kurikulum. Guru piket sebagai pengganti guru yang tidak hadir terkadang memberikan materi tidak sesuai dengan materi sebelumnya, hal ini dikarenakan guru piket tidak mengetahui sejauh mana materi yang terakhir diajarkan dan buku/materi ajar apa yang terakhir digunakan. Sistem pengelolaan pengetahuan guru dapat dijadikan sebagai salah satu cara untuk mengatasi masalah yang ada di sekolah luar biasa tunarungu saat ini, dimana para guru nantinya dapat menyebarkan pengetahuan dan pengalamannya (sharing knowledge) melalui forum, dan menggunakan metode Case Based Reasoning (CBR) untuk menemukan solusi dengan mengadaptasi solusi dari kasus-kasus yang pernah digunakan di masa lalu. Model untuk mengelola pengetahuan tasit menjadi pengetahuan eksplisit menggunakan model SECI (Socialization, Externalization, Combination dan Internalization). Hasil dari penelitian ini berupa sebuah model sistem yang akan mendeskripsikan kebutuhan dan karakteristik sistem pengelolaan pengetahuan guru yang akan dibangun, agar pengetahuan dan pengalaman para guru mudah dikelola, dapat disimpan, dapat diciptakan dan dapat diperbaharui sehingga mudah ditemukan ketika dibutuhkan.
Kata Kunci – Pengetahua; Guru; Materi ajar; Sharing knowledge; Case based reasoning.