bluuebunny/crossref_metadata_2025_split huggingface dataset:
Internet Addiction among Secondary School Adolescents: A Mixed Methods Study
Authors: Tenzin Karma , Dorji Thinley , Choeda Tshering , Wangdi Phuntsho , Oo Myo Minn , Tripathi Jay Prasad , Tenzin Tashi , Tobgay Tashi 
Published: November 2019

Introduction: Excessive use of internet can lead to "Internet Addiction". A sharp rise in the number of internet users among adolescents in Bhutan have been observed lately which could have potential side-effects on their health. The aim of this study was to find the prevalence of internet addiction and psychological co-morbidities among the secondary school-going adolescents.
Methods: This is a descriptive cross-sectional quan-qual sequential mixed method design with a quantitative component and qualitative component. The study was conducted between 1st May and 30st November 2017 conducted in twelve schools across Bhutan after taking ethical clearance was from Research Ethics Board of Health of Bhutan. Data were doubleentered in EpiData Entry, validated and imported into STATA version 12.0 for analysis. Point estimate at 95% CI was calculated along with frequency and proportion for binary data.
Results: Among 721 adolescents from twelve selected schools, prevalence of internet addiction was 248 (34.440%) at , 95% Confidence Interval (31-38%). Out of A total of 586 (81%) preferred smartphone for internet use with 388 (54%) actually using it. Depression and anxietywere the associated psychological co-morbidities seen along with internet addiction. Internet addiction was high among those using internet at home, using smartphone for internet access, social networking and night time internet use were associated with internet addiction. Boredom, stress/anxiety and peer pressure were triggers of internet use. Internet addiction also affected academic performance, social interactions and sleep.
Conclusions: Prevalence of internet addiction among adolescents in Bhutan is high comparing to previous standard data which requires immediate attention.
Prevalence of Selected Non-Metric Dental Traits in Indo-Nepalese and Tibeto-Nepalese Ethnic Groups of Western Hilly Region
Authors: Sah Sanjay Kumar , Kandel Santosh , Shrestha Raju , Atreya Alok 
Published: November 2019

Introduction: Additional anatomic features present on teeth are called non-metric dental traits. Carabelli’s cusp and shovelling are such traits which are mostly evaluated for identification of ethnicity. The present study aims to determine the prevalence of Carabelli’s cusp and shovelling among Indo-Nepalese and Tibeto-Nepalese ethnic group.
Methods: A descriptive cross-sectional study was conducted in a tertiary hospital from March 22 to June 22 2019 after obtaining ethical approval from the institutional review committee. The study was conducted among 274 patients and convenient sampling method was applied. Data were analyzed by the help of Statistical Package for Social Sciences version 21.
Results: Among 274 cases, 153 (55.84%) cases were Indo-Nepalese and 121 (44.16%) were TibetoNepalese. Carabelli’s cusp (16/26) was noticed in 87 (56.86%) of Indo-Nepalese and 45 (37.19%) of Tibeto-Nepalese. Shovelling (11, 12, 21, 22) was present in 47 (30.71%) Indo-Nepalese and 79 (65.28%) of Tibeto-Nepalese. Further, Carabelli’s cusp (16/26) was found in 77 (53.10%) females and 55 (55.12%) males. Shovelling was present in 75 (51.72%) females and 51 (39.53%) males. Bilateralism with respect to Carabelli’s cusp was present in 82 (62.2%) cases. Presence of bilateral shovelling on upper central incisors and lateral central incisors were among 117 (94.35%) and 56 (91.80%) respectively.
Conclusions: Carabelli’s cusps are frequently found in Indo-Nepalese ethnic group and shovelling of teeth most commonly present in Tibeto-Nepalese population. Further, bilaterism for shovelling of teeth is more common than bilaterism for cusp of Carabelli.
Patients Understanding of their Diagnosis and Treatment Plans During Discharge in Emergency Ward in a Tertiary Care Centre: A Qualitative Study
Authors: Yadav Ajay Kumar , Sundar Budathoki Shyam , Paudel Masum , Chaudhary Ritesh , Shrivastav Vijay Kumar , Malla Gyanendra Bahadur 
Published: November 2019

Introduction: Many patients do not understand their emergency care plan or their discharge instructions. Patients should understand both the care that they received and their discharge instructions. Patients’ knowledge of the diagnosis and treatment plan is an integral component of patient education. The objective of the study is to identify and describe the areas of patients’ understanding and confusion about emergency care and discharge instructions at the BP Koirala Institute of Health Sciences, Dharan, Nepal.
Methods: A qualitative study involving 426 patients discharged from the emergency unit of BPKIHS using a semi-structured questionnaire. Cases who are Leaving against medical advice, absconded cases and those patients who came just for vaccination are excluded from the study. The ethical approval for this study was received from the institutional review committee of B P Koirala Institute of Health Sciences, Dharan [Ref: IRC/0752/016].
Results: There were 256 (60.1%) of men in this study. More than half of the participants reported not being able to read English. More than 90% of the respondents reported they could not read their prescription at all. While patient could point out their understanding of their diagnosis at discharge, most of them could not tell the names and the dosage of all the drugs prescribed to them at discharge. More than 95% of the patients could not tell the most common side effects of the drugs that they are prescribed.
Conclusions: There is a need to further explore the factors influencing the understanding of the patients regarding their treatment plan. Interventions to understand the health literacy needs and ways to improve the health literacy of the patients are needed.
PENGARUH KOMUNIKASI ORGANISASI DAN PENGEMBANGAN GURU TERHADAP ETOS KERJA GURU
Authors: Edi Edi 
Published: November 2019

Perhatian utama pembahasan dalam penelitian ini adalah menyangkut komunikasi organisasi dan pengembangan guru serta pengaruhnya terhadap etos kerja guru. Metode penelitian menggunakan metoda survey terhadap guru. Teknik pengumpulan data, selain melaksanakan observasi langsung, mengadakan wawancara dengan pihak terkait, dan menyebarkan. Hasil penelitian menyatakan bahwa: (1) Terdapat pengaruh yang positif dan signifikan komunikasi organisasi terhadap etos kerja guru (2) Terdapat pengaruh yang positif dan signifikan pengembangan guru terhadap etos kerja guru SMP Negeri di Sektor 3 Kecamatan Jatibarang Kabupaten Indramayu (3) Terdapat pengaruh yang positif dan signifikan komunikasi organisasi dan pengembangan guru secara simultan terhadap etos kerja guru. Penulis menyarankan, bahwa: (1) Masih perlu ditingkatkan komunikasi organisasi lagi dengan mencipakan alur komunikasi yang lebih efektif di dalam organisasi sekolah (2) Sesuai hasil penelitian bahwa pengembangan guru berpengaruh secara signifikan terhadap etos kerja guru. Oleh karena itu untuk meningkatkan etos kerja guru dapat dilakukan dengan cara meningkatkan pengembangan guru melalui komunikasi yang baik, pelatihan, MGMP, organisasi guru, pemberian tanggung jawab yang jelas dan memberikan pengakuan atau apresiasi terhadap guru yang berprestasi.
Effects of ischemic preconditioning on local hemodynamics and isokinetic muscular function
Authors: Huang Bo-Huei , Wang Ting-Yao , Lu Kang-Hao , Chang Cheng-Yu , Chan Kuei-Hui 
Published: November 2019

BACKGROUND: The ergogenic effect of ischemic preconditioning (IPC) has been widely approved, but the mechanisms underlying the beneficial effects are still not fully clarified. OBJECTIVE: The aim of this study was to examine the effects of IPC on human isokinetic muscular function and hemodynamics during exercise. METHODS: In a counterbalanced, crossover study, 14 healthy non-athletic males (26.0 [Formula: see text] 3.5 years) performed isokinetic muscle strength and endurance tests of the dominant leg on an isokinetic dynamometer, preceded by either IPC on bilateral thighs (3 [Formula: see text] 5-min compression/5-min reperfusion cycles at 50 mmHg greater than the participant’s systolic blood pressure) or SHAM (10 mmHg) intervention. Participants underwent strength testing by performing three maximum isokinetic knee extensions and flexions at the angular velocities of 30[Formula: see text]s[Formula: see text], 150[Formula: see text]s[Formula: see text], and 270[Formula: see text]s[Formula: see text]. An endurance test was also conducted over 30 repetitions at 180[Formula: see text]/s. Hemodynamics of the vastus lateralis muscle were monitored before and after the interventions and during exercise tests by near-infrared spectrometer (NIRS). RESULTS: Resting total hemoglobin significantly increased after IPC ([Formula: see text] 0.048, [Formula: see text] 0.15). During the endurance testing, the oxygen uptake was significantly improved after IPC as shown by the change of oxygenated hemoglobin, deoxygenated hemoglobin, and oxygen saturation, at small to moderate effect size. However, both muscular strength and endurance were found unchanged. CONCLUSION: IPC improves the local oxygenation status without altering maximal muscle strength and endurance in young non-athletic males.
Pengaruh Personal Selling Dan Kualitas Pelayanan Terhadap Keputusan Menabung Pada PT. Bank Danamon Indonesia Tbk. Cabang Katamso Medan
Authors: Jamaluddin Jamaluddin , Su William , Vennolia Vennolia , Bangun Iin Keristi 
Published: November 2019

Saat ini persaingan perbankan semakin tajam. Nasabah menjadi semakin teliti dalam melakukan pembelian dalam suatu produk yang mereka inginkan. Dengan keadaan tersebut mendorong perusahaan agar bisa menarik nasabah.Bank sebagai lembaga keuangan menyediakan berbagai jasa kebutuhan pelayanan bagi nasabah. Dalam menjalankan kegiatan, bank membutuhkan nasabah untuk semakin berkembang dan memperluas pelayanan. Oleh karena itu, maka bank harus memberikan pelayanan dan mampu memenuhi semua kebutuhan yang dibutuhkan oleh nasabah. Setiap persaingan dapat diatasi apabila konsumen bisa merasa loyal terhadap suatu produk tertentu. Cara bank dalam mempengaruhi konsumen adalah melalui personal selling dan kualitas pelayanan. Dengan memaksimalkan kedua cara ini diharapkan bisa meningkatkan keputusan menabung nasabah. Penelitian ini bertujuan untuk mengetahui pengaruh secara simultan dan parsial dari variabel personal selling dan kualitas pelayanan terhadap keputusan menabung. Sample yang digunakan sebanyak 245 responden dari populasi 629 pelanggan. Hasil berpengaruh signifikan terhadap keputusan menabung pelanggan.
Pengaruh Intervensi Peer Group terhadap Kemampuan Koping Anak yang Menghadapi Abuse dan Neglect
Authors: Supartini Yupi , Ningsih Ratna 
Published: November 2019

The purpose of this research to assess the influence of the peer group on coping abilities of teenagers who face abuse and neglect. Design studies used Quasi experiment. The population was children aged adolescents at high school, which was potentially facing abuse and neglect, in East Jakarta. The methode of sample selection was purposive sampling, determination of sample selection methdos have been due to a case of child abuse is a case that does not come to the surface/an iceberg phenomenon, so that a relatively small number reported. Methodes of data collection using questionnaires that have been tested. The results showed no significant effect of group therapy activities against child coping skills in the face of abuse and neglect (p value=0,019). The implications of this study can give an idea of how carers can provide care to children potentially exposed to violence and neglect, especially in school and can be input for health services, especially in health centers School health programs in designing the program in anticipation of or prevention of abuse and neglect in children school environment. This program provide feedback on the guidance counselor to develop a counseling program using a model of peer group. For the future studies it is advisabled to involve the parents as respondents.
Sanitary and microbiological indicators of drinking water of livestock farms
Authors: Fotina T. I. , Nazarenko S. M. , Fotin A. I. 
Published: November 2019

The article presents data on the study of sanitary and microbiological indicators of drinking water of livestock farms. The criteria for sanitary and hygienic assessment of water from a microbiological point of view are the total amount of microflora and the presence or absence of Escherichia coli, the definition of pathogenic microorganisms, including salmonella, which characterize its fitness for consumption by animals. The main purpose of sanitary and microbiological research is to provide animals, the population with quality water, for which hygienic assessment of water of infectious safety for human and animal health is carried out. Full supply of livestock enterprises with good quality water is one of the main prerequisites for successful production of quality and safe livestock products. The goal of the work. In connection with this, the purpose of our research was to investigate the sanitary and microbiological parameters of the drinking water of livestock farms. Sanitary and microbiological studies of drinking water sources for animals were conducted. It was found that in the studied samples, the number of bacteria of the group of Escherichia coli (BGKP) in 1 liter of water (coli-index) ranges from 200 to 140 000 and more. Of all the samples tested for this indicator, only 39.4% of the reservoirs met the normative indicator. Water samples from artesian wells in 12.3% of cases did not meet the sanitary and hygienic requirements for the amount of BGKP. When carrying out sanitary-microbiological analysis of samples of water from various elements of water supply systems with respect to conditionally pathogenic microflora, it was found that the samples that were collected from the wafers had the highest degree of microbial contamination. The total number of microorganisms was 107 CFU/cm3, and the coli index exceeded 240 thousand units. Examining the water samples found that 40% of the samples had an increased amount of enterobacteria. From the samples tested, 100 cultures of conditionally pathogenic microflora were isolated, including E. faecalis – 32%, E. coli – 23%, E. cloacae – 9%, E. faecium – 11% and K. pneumoniae – 4%, of which 59.3 respectively: 30.4; 33.3; 54.5 and 75% had hemolytic properties. E. faecalis showed resistance to erythromycin, cefuroxime, benzylpenicillin, ampicillin, tetracycline, vancomycin; E. faecium – to vancomycin, ciprofloxacin, tetracycline; representatives of the family Enterobacteriacea (E. coli, K. pneumoniae, E. cloacae) – mainly to amoxicillin, streptomycin, levomycetin.
A SOBERANIA ENTRE A RENÚNCIA DOS DIREITOS ILIMITADOS DO CONTRATO HOBBESIANO E A “ALIENAÇÃO VERDADEIRA” DO PACTO ROUSSEAUNIANO
Authors: Mariano da Rosa Luiz Carlos 
Published: November 2019

Detendo-se na transição do estado de natureza para a sociedade civil, o artigo contrapõe o caráter contingente e voluntário do contrato hobbesiano e a necessidade que implica o processo de constituição do social que determina o pacto rousseauniano, convergindo para a antinomia da relação envolvendo liberdade e autoridade que se de acordo com a perspectiva de Hobbes demanda a renúncia dos direitos ilimitados dos sujeitos em função da soberania estatal e acarreta a instituição do soberano como representante, detentor de todo o poder coletivo e única fonte da lei, segundo a leitura de Rousseau requer a “alienação verdadeira” dos indivíduos em face da soberania popular e resulta na constituição do povo soberano, única fonte legítima do poder e seu único detentor, e na instituição da Vontade Geral como condição para o seu exercício.
Makna Kode Semik dan Simbolik (Semiotik Roland Barthes)
Authors: Rokhyanto Rokhyanto Rokhyanto 
Published: November 2019

Permasalahan yang terdapat dalam tulisan ini kemudian dirumuskan sebagai berikut: kode semiotik apa sajakah yang terdapat dalam novel Aroma Karsa karya Dee Lestari? dan bagaimanakah makna kode semiotik yang terdapat dalam novel Aroma Karsa karya Dee Lestari? Tujuannya ingin mengkaji secara rinci beberapa kode yang terdapat dalam novel Aroma Karsa karya Dee Lestari, dan ingin memahami fungsi makna yang terdapat dalam mitos secara rinci dari kejadian dalam novel Aroma Karsa karya Dee Lestari.
Sumber tulisan ini yakni: novel Aroma Karsa, sedangkan teknik pengumpulan data check-list dan instrument pemandu penjaringan data yang sudah diberi nama. Adapun analisis data bersifat kualitatif, yang reduksinya mengikuti meringkas novel, memberi tanda, dan pengelompokkan data. Hasil tulisan ini tentang kode gnomik ini berkaitan dengan mitos tentang suatu Desa Dwarapala yang menghuni di Alas Kalingga. Para penghuni masih percaya keturunan Mahesa Guning. Hidup bersandar pada Dewa dan kekuatan ghaib.
Anung dan Suma salah satu penduduk Alas Kalingga. Delusi ialah kesalahpahaman terhadap suatu hal berupa keyakinan yang dipegang secara kuat namun tidak akurat yang terus ada walaupun bukti menunjukkan hal tersebut tidak memiliki dasar dalam realitas. Sejak kecil Suma sudah mengalami masalah dengan daya penciuman, makanya ia tidak seperti anak yang lain bebas ke mana-mana. Karena sudah tidak punya pilihan lain.
Setelah dibuat data secara sederhana di bagi menjadi tiga bagian. Kernel 1: 1, 2 mengandung cerita yang normal, Kernel 2: 51, 52, 53, 54 mengalami sorot balik dan Kernel 3: 3—50 dan 55--61 kernel mengalami kenormaan lalu klimaks dan penyelesaian. Pada tahap rangsangan ada pada Kernel 7—42, sedangkan gawatan kernel 43--47: Selanjutnya, tikaian kernel 48 dan Rumitan Kernel 49, 50. Klimaks, terdapat kernel 55, 56, 57, 58, sedangkan Leraian Terdapat pada kernel 59 dan 60. Penyelesaian terdapat pada kernel 61, Saat itu Suma sedang mengadakan pameran parfum Puspa Ananta dan Puspa Kangga ditawarkan kepada masyarakat. Suma sedang mengadakan pameran parfum di Malll Atrium. Suma mendapat perhatian cantik, supel, mempesona, sehingga banyak fotografer mengambil gambar.
ВЛИЯНИЕ ГЕНОТИПА БЫКОВ НА МОЛОЧНУЮ ПРОДУКТИВНОСТЬ И ВОСПРОИЗВОДИТЕЛЬНЫЕ КАЧЕСТВА ГОЛШТИНСКИХ КОРОВ
Authors: SANOVA Z.S. 
Published: November 2019

Приведены результаты оценки быковпроизводителей голштинской породы по молочной продуктивности и воспроизводительным качествам их дочерей. Обработаны данные 563 первотелок и 45 быковотцов. В среднем удой дочерей за 1ю лактацию от разных отцов колебался от 6784 до 7789 кг, по содержанию жира и белка в молоке различий не выявлено. Большинство производителей обладали желательной степенью реализации генетического потенциала. Основной вклад в генетическое совершенствование стада вносят быки Altahessel Sex138929389, Altajupiter Sex 66011448 и ClearEc Altar2 62916235, достоверно увеличивая удой дочерей за 305 дней 1й лактации от 350 кг до 490 кг по сравнению со средними показателями по стаду. Уровень раздоя коров по 1й лактации достоверно обусловливает их дальнейшую продуктивность. У дочерей ClearEc Altar2 отмечена положительная корреляция (0,44) между удоем и белком, а у дочерей Бодо 354239752 (r0,68) между жиром и белком. Отмечены дочери с отрицательной коррелятивной связью между удоем и жиром, это свидетельствует о том, что в этих группах с высокой молочной продуктивностью отбор коров по жирномолочности не обеспечивает повышение белковомолочности. Самый короткий сервиспериод (98 дней) характерен для дочерей Магикон 536522893, наиболее длинный у дочерей Dinom Altatyson 66133528 и Short Cut 3504510619. Используемые быкипроизводители в хозяйстве реализуют свой потенциал в более сжатые сроки, что необходимо учитывать при дальнейшем их закреплении.The results of estimation of Holstein sires based on milk productivity and reproductive qualities of their daughters are presented .The findings of 563 heifers and 45 bullsfathers were processed.on average, the milk yield of daughters for 1 lactation from different fathers ranged from 6784 to 7789 kg, theee were not found any differences in the content of fat and protein in milk.most producers had a desirable degree of realization of genetic potential. Bulls Altahessel Sex138929389, Altajupiter Sex 66011448 and ClearEc Altar2 62916235mainly contribut to the genetic improvement of the herd, significantly increasing yield of daughters in 305 days of the first lactation from 350 kg to 490 kg compared to the average for the herd. The level of milking cows on the 1st lactation reliably determines their further productivity. Daughters of ClearEc Altar2 had a positive correlation (0.44) between milk yield and protein, and daughters of Bodo bull 354239752 (r0.68) between fat and protein. Daughters with a negative correlation between milk yield and fat were noted, this indicates that the selection of cows by fat content does not provide an increase in protein content in these groups with high milk productivity. The shortest service period (98 days) are typical for daughters of Magikon 536522893, the longest the daughters Dinom Altatyson 66133528 and Short Cut 3504510619.sires, used in farming, realize their potential in a shorter time, which should be taken into account in their further consolidation.