bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case Report (Precis): Patient with MR-Documented Large Lateral Cervical Disc Misdiagnosed as Neurodegenerative Disease
Authors: Epstein Nancy E. 
Published: September 2020

Background:
Patients who present to neurologists with cervical radiculopathy typically undergo initial MR scans. If reports show “abnormal” findings they, and other physicians, should review the studies with the interpreting radiologists/neuroradiologists. When patients’ neurological deficits progress, neurologists should review their electromyographic (EMG) findings (i.e. especially if documenting neurodegenerative disease), the initial “abnormal” MR scans/reports (i.e. review with radiologists/neuroradiologists), and obtain spinal surgical consultations to rule out “surgical” disease.

Case Description:
A middle aged patient presented several months previously to a neurologist with the chief complaint of unilateral neck/arm pain, accompanied by focal weakness, and numbness in a specific distal cervical nerve root distribution. The patient’s initial MR showed a large lateral disc herniation in the lower cervical spine on the symptomatic side. However, as the neurologist interpreted the EMG as consistent with a neurodegenerative syndrome, the patient was not referred to a spine specialist. Frustrated by progressive worsening, the patient ultimately referred himself for a spinal surgical consultation. By this time, he had developed severe unilateral upper extremity motor weakness (3/5), pin loss, atrophy, and fasciculations in the nerve root distribution that correlated with the location of the distal cervical disc seen on the original MR. When the repeat MR confirmed the same large distal lateral disc herniation, the patient successfully underwent an anterior cervical discectomy/fusion (ACDF).

Conclusion:
This Case Report (Precis) highlights two “teachable moments”. First, physicians, including neurologists and spinal surgeons, who order MR studies that show “abnormal” findings should review these studies with the interpreting radiologists/neuroradiologists. This is particuarly true if patients continue to demonstrate progressive neurological deterioration. Second, before patients are told that they have neurodegenerative syndormes, repeated review of the MR reports and/or repeating these studies, and obtaining spinal surgical consultations are warranted to rule out “surgical” disease.
Description of Two-particle One-hole Electronic Resonances using Orbital Stabilization Methods
Authors: Thodika Mushir , Mackouse Nathan , Matsika Spiridoula 
Published: September 2020

Two-particle one-hole (2p-1h) resonances are elusive to accurate characterization, their decay to the neutral state being a two-electron process.Although in limited cases single reference methods can be used, a proper description of a 2p-1h resonant state entails a multi-configurational treatment of the reference wavefunction. In this work we test the performance of the orbital stabilization method to characterize the 2p-1h resonances found in water and benzene. We employ a set of two multi-reference approaches, namely the restricted active space self-consistent field and multi-reference configuration interaction, as well as, the single reference method, equation of motion for electron attachment coupled-cluster with singles and doubles, in the case of benzene.We further explore the resonant channel mixing in benzene between the B2g shape resonance and 2p-1h resonance, a phenomenon which has been mentioned quite often in experimental studies.
últimas palavras: agoridade dos altos e baixos da vida humana
Authors: Figuerêdo Arolda Maria da Silva 
Published: September 2020

As Últimas Palavras pertence a um conjunto de obras que nos permite adentrar numa rede de significados, onde, de forma convergente, a beleza e a sutileza se estreitam, mas, antagonicamente, também os dissabores que se nos apresentam, cotidianamente, como sendo normais e dignos de serem aceitos. Nesta obra, o autor propõe uma escrita poética, que mescla temáticas instigantes da contemporaneidade, consoante a tradição, sempre que a ela recorre. Compõe-se de uma série de poemas que revelam, na reflexão metalinguística, filosófica e literária, o papel e função da poesia na formação do homem e no seu processo de humanização/desumanização, a partir de títulos, em letras iniciais minúsculas, a exemplo de “a poesia precisa sair das calçadas”, “a crônica”, “o poema”, “um best-seller” e “meus
últimos versos”.
Construindo significativamente o ensino da ciência
Authors: Lins Leonardo Diego , Dantas Filho Francisco Ferreira 
Published: September 2020

O Ensino de Ciência, de maneira geral, é caracterizado pelo excesso de exercícios repetitivos, problemas resolvidos, utilização de uma sucessão de “fórmulas”, muitas vezes decoradas de forma literal e arbitrária, em detrimento de uma análise mais profunda, visando à compreensão dos fenômenos físicos, químicos e biológicos envolvidos no cotidiano do aluno. Particularmente, há graves problemas no Ensino de Ciência, como a aprendizagem mecânica por parte dos alunos do Ensino Fundamental e Médio. Assim, propõe-se a operacionalização didática dos conteúdos ministrados em Ciência pelo modelo cognitivista ausubeliano, pois é o mais adaptável à concepção de material didático em Ciência, permitindo a exploração de forma hierárquica do universo cognitivo do aprendiz, como também possibilita a manipulação deliberada deste universo para propiciar uma aprendizagem significativa.
STUDY ON BIOMOTRICE CAPACITIES AT THE JUNIOR ATHLETES PRACTICING BASKETBALL
Authors: Petreanu Adrian Gheorge , Petreanu Manuela 
Published: September 2020

Analysis carried out in our study aims to identify the athletes biomotric level at Steaua Basketball juniors U16 and U18 are halfway through training before the competion wanting to identify the effectiveness of the training programs at a specific period and age or if they applied the use of information to obtain an aim of adjusting the parameters of effort and resources used. Actual testing of the study was realised on a total of 37 athletes from basketball practice with experience of at least 2 years and with an average age of 15.6 years and a 1.90 cm height. Three standardized tests were applied to measure the initial speed, total speed, agility and endurance under speed and they are: running speed over a distance of 20 m, T test, and YoYo test. The results and data obtained showed us that we need changes in the training plan aimed at developing speed and agility biomotrice qualities and for resistance to maintain the same characteristics. In conclusion intermediate, testing in performance sport especially juniors, are absolutely necessary thus realizing real feedback on the effectiveness is planned and the sport periodization is made by coaches.
AN ESTIMATION METHOD OF THE NATURAL FREQUENCY OF A CUBE FORM MICRO SATELLITE
Authors: OKUYAMA Kei-ichi , HIBINO Shigeru , MATSUOKA Misuzu , LIDTKE Aleksander 
Published: September 2020

Micro satellites must survive severe mechanical conditions during their launch phase. One design requirement for rockets is the stiffness requirement, i.e. the natural frequencies requirement. In the early stages of satellite development, presumption of the natural frequency of a satellite may be difficult.
The material used for the structure of many micro satellites is an aluminum alloy. The structure subsystem occupies a large portion of the satellite mass, and the elastic modulus of this aluminum alloy is larger than that of other subsystems. Therefore, the mechanical property of the aluminum alloy cannot be used to represent the mechanical property of the whole satellite. The density of an actual satellite differs from the density of the aluminum alloy. Therefore, when estimating the minimum natural frequency, the size and the elastic modules of an actual satellite structure must be used. When using an actual satellite structure, the estimated minimum natural frequencies of the lateral direction and the longitudinal direction during the ascent phase are in agreement with the measured values acquired by the vibration tests.
In order to shorten a process of satellite development, this paper describes a practical method for estimating the natural frequency of a micro satellite.
UJI FOTOSTABILITAS PIGMEN BIXIN PADA BENTONIT DAN BENTONIT TERPILAR-TiO2
Authors: Wahyuni Nelly - 
Published: September 2020

One of the characteristics of the bixin pigment is its low photostability, which causes its limitations. There are many methods to improve the photostability of bixin. This study aims to study the rate of degradation of bixin in the form of an extract that will be impregnated in bentonite and TiO2 pillared bentonite. The photostability test was carried out by continuously illuminating the sample with ultraviolet (UV C) light for nine h. Bixin concentration was observed using a UV-spectrophotometer. The results showed that the impregnation of bixin extract on bentonite could increase the photostability of bixin from 14.4 h to 138.6 h. On the other, impregnation of bixin on TiO2 pillared bentonite increases the rate of bixin degradation. The half-life of bixin offered to this material is only 3.7 h. TiO2 pillared bentonite enrolls as a photocatalyst, which is enhanced photodegradation of bixin pigment. Keywords: bixin, bentonite, photostability, pigment, TiO2-pillared bentonite
Gambaran pengetahuan, sikap, dan hambatan perawat mengenai health literacy di RS TK II Pelamonia Makassar
Authors: Sriyanah Nour , Kadar Kusrini , Erika Kadek Ayu 
Published: September 2020

Pendahuluan: Kurangnya pengetahuan perawat mengenai karakteristik pasien yang berhubungan dengan health literacyyang rendah akan menimbulkan kesenjangan dalam pemberian pelayanan kesehatan. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan sikap, pengalaman, dan hambatan perawat mengenai health literacydi RS. Tk II Pelamonia Makassar. Metode: penelitian ini menggunakan desain penelitian deskriptif. Jumlah sampeldigunakan sebanyak 35 responden dengan menggunakan teknik purposive sampling. Data dikumpulkan dengan kuesioner. Hasil : hasil dari penelitian ini adalah: (1) Rerata nilai pengetahuan responden mengenai health literacyyaitu 0,0. (2) Rerata nilai sikap responden mengenai health literacyyaitu 19,0. (3) Rerata nilai strategi responden mengenai health literacyyaitu 17,00. (4) Rerata nilai pengalaman mengenai health literacyyaitu 16,0. (5) Mayoritas responden terkendala dengan kurangnya kerjasama pasien untuk menilai health literacy. Kesimpulan: kurangnya pengetahuan dan sikap perawat mengenai health literacy dan masih banyaknya hambatan yang dimiliki. Hal ini diharapkan peningkatan pengetahuan mengenai health literacybagi petugas kesehatan terutama perawat.
Pengaruh practice based simulation model terhadap skill performance mahasiswa keperawatan
Authors: Issroviatiningrum Retno , Suyanto Suyanto 
Published: September 2020

Pendahuluan:Upayauntuk meningkatkan mutu pendidikan keperawatan khususnya untuk mendukung peserta didik menjadi perawat profesional memerlukan proses pembelajaran dengan menggunakanfasilitas keterampilan klinis melalui pendekatan problem based learning.Penelitian ini bertujuan untuk menganalisis pengaruh practice based simulation modelterhadap skill perfomancemahasiswa keperawatan. Metode: Penelitian ini menggunakan Quasy – Experimentdengan pendekatan pretest-posttest with control group design. Pengambilan sampel denganteknik simple random samplingdengan jumlah21 responden baik kelompok intervensi maupun kontrol.Analisis data menggunakan uji Paired T-Testdan Independent Samples T-Test. Hasil: Selisih peningkatan skill performance pada kelompok intervensi sebanyak 11,47 poin dan kelompok kontrol sebanyak 2,29 poin. Practice based simulation modelberpengaruh terhadap skill perfomancedengan nilaip= 0,00<0,05.Simpulan:Practice based simulation modelmemengaruhiskill perfomancemahasiswa keperawatan.
Kebijakan model palliative care untuk menurunkan nyeri pada ODHA
Authors: Muntamah Ummu , Haryani Siti 
Published: September 2020

Pendahuluan: Tingginya angka ODHA memerlukan perhatian khusus karena dampak negatif pada kondisi fisik maupun psikis. Sebagian besar pasien berobat pada stadium lanjut dengan berbagai infeksi oportunistik (IO), sehingga diperlukan pengobatan suportif untuk meningkatkan kualitas hidup pasien melalui palliativecare. Tujuan penelitian ini, yaitu membangun kebijakan model palliative care sebagai upaya meningkatkan kualitas Hidup pada ODHA. Metode: penelitian ini menggunakan metode action research dengan jumlah sampel 88 perawat. Hasil: analisa menggunakan uji rank Wilcoxon diperoleh nilai Z hitung =-5,599 dengan p value 0,000<α= 0,05, artinya terdapat perbedaan yang signifikan tingkat pengetahuan perawat sebelum dan setelah diberikan modul dan pelatihan palliative care untuk mengatasi nyeri pada ODHA. Simpulan: ada pengaruh pelatihan dan modul palliative care terhadap tingkat pengetahuan perawat. Nilai rerata tingkat pengetahuan perawat tentang palliative care setelah dilakukan pelatihan lebih besar dari pada sebelum pelatihan (22,88) >19,28. Hasil ini menunjukkan adanya peningkatan pengetahuan perawat tentang palliative care.
Diet rendah karbohidrat pada pasien diabetes mellitus tipe 2: Literature review
Authors: Kurnia Anna 
Published: September 2020

Pendahuluan: Diabetes mellitus (DM) menjadi salah satu dari 10 penyakit noncommunicable penyebab kematian. Diabetes mellitus Tipe 2 (DMT2) adalah jenis diabetes yang paling banyak (90%) dan terjadi resistensi insulin. Intervensi diet merupakan manajemen penting bagi pasien DMT2. Tujuan dari literatur review ini adalah mendeskripsikan analisis mengenai efek diet rendah karbohidrat terhadap output perawatan dari DMT2. Metode: Tinjauan sistematis melalui identifikasi dan analisis jurnal dengan topik sama sesuai kriteria inklusi dan eksklusi yang telah peneliti tentukan. Desain yang digunakan, yaitu randomized controlled trials (RCTs). Jurnal diperoleh melalui database jurnal berupa google scholar, EBSCOhost danScience Direct dari tahun 2016 sampai dengan tahun 2019. Hasil: Kelompok diet rendah karbohidrat mengalami penurunanlevel HbA1c, penurunan BB dan penurunan penggunaan obat antidiabetes serta memiliki kepuasaan selama menjalani perawatan yang diukur menggunakan kuesioner DTSQ. Simpulan: Diet rendah karbohidrat, pembatasan kalori, dan kontrol energi dapat meningkatkan kontrol glikemik dan menurunkan faktor risiko komplikasi pada pasien DMT2. Perlu penelitian dengan batasan waktu yang lebih lama serta jumlah sampel yang lebih banyak.
SISTERHOOD IN ANN M. MARTIN'S BELLE TEAL
Authors: Damayanti Delia Cesar , Pramesti Tri 
Published: September 2020

A relationship called sisterhood has become an ordinary thing in society. The sisterhood docs not only happen to fellow women without blood tics but also occur between relationships across generations of which parents and children live. To examine the occurrence of sisterhood relationships by parents and children, the writer decided to do a study on a novel entitled Belle Teal by Ann M. Martin. Using qualitative method, the data are analysed descriptively. By applying feminist literary criticism the writer discusses several problem statements which include the sisterhood that occurs across generations and how sisterhood can be exposed to cross-generational relationships. From the analysis, it can be concludedthat sisterhood can occur across-generation. Mutual caring, intimacy and shared activity can enhance and expose sisterhood relationship among the perpetrators. Sisterhood also has a positive impact that can make a person have a more godly thought than before.
DISMANTLING THE MEANING OF LOVE: A DECONSTRUCTION IN THE NOVEL CINTA TERAKHIR BY VINCENTIUS J. BOEKAN
Authors: Mauk Vincentius , Afdholy Nadya 
Published: September 2020

This study aims to deconstruct the meaning of love in the novel Cinta Terakhir by Vincentius J. Boekan. The novel Cinta Terakhir by Vincentius J. Boekan tells the romance of two human beings, Armando and Rosalia whose meaning is different from love in general. The method used in this research is descriptive qualitative. The results showed that (1) the main character of Armando was a betrayer of love who appeared when Indonesian political conditions were influenced by international politics, then Armando's characters betrayed their love by choosing the NKRI ideology as a fixed price, (2) the nature of patriotism was so inherent in the character's characteristics Armando is very strong towards the ideology of the Republic of Indonesia so Armando prefers to flee with hundreds of thousands of East Timorese people to the West Timor of the Republic of Indonesia and leaves his beloved wife and only daughter in Timor Leste, but Catholic marriage remains husband and wife until death separates.
INITIATING LAW REFORM IN INDONESIA (FROM THE DIGNIFIED JUSTICE PERSPECTIVE)
Authors: Indah S Christina Maya , Prasetyo Teguh 
Published: September 2020

It is argued in this article that a study on the law reform of a country is the study which related to understanding of a scientific paradigm which made up of the basic idea of a country’s legal system. The main argument in this article is that the basic idea ofma legalmrefom on a legal system must be build upon the enforcement of the juridical principles found and developed in the system. This is derived from a postulate of the Dignified Justice teory perspective.In this view legal virtues underpinning a legal system are examined together as one system of principles and rules or a legal system. Philosophically, or it is a theoretical and a paradigm that law is believed as inseparable from the legal science itself. This philosophy has been developed to make a correction to the sociological jurisprudence perspective, which mainly argued that each occurence of social changes in a legal system cannot be answered by regulation alone. The sociological jurisprudence point of view argues that law is confined to the status quo of a society. Many has argued that this sociological indicative has occurred in many civil law systems, in particular Indonesia, to be used as its best prototype. In the Indonesian legal system, law is positioned as rules and regulations made by the legislative branch of the government. In this perspective laws has been excluded from humanity almost altogether. This article argues that Pancasila as the Indonesia Legal System is the way to solve this problem. Since Pancasila is used as the basis of the State and the source of all legal sources. For this reason, it is interesting to examine how the Pancasila actually became a basis of values in initiating the project of law reform in Indonesia.
PERKAWINAN IN FIERI DAN PERKAWINAN IN FACTO ESSE DALAM PEMAHAMAN YURIDIS GEREJA KATOLIK
Authors: Galed Daniel Ortega 
Published: September 2020

Dignity and marriage institutions with all kinds of complexity are always interesting to be discussed from any aspects. Marriage always has a permanent characteristic whether cultural influences or the mentality of the age changes in concepts and ideas in it. It demands the involvement of the subject (husband and wife) and requires the existence of "consent" as an object of action. The two essential elements; action (actus) and fact (factum) are recorded chronologically in the pattern of cause and effect, which in the juridical understanding of Catholic marriage is read separately, The juridical consequences of the two have a major impact especially on determining the validity and the invalidity of each marriage matter in the Catholic Church. The research method used in this paper is of exegesis and historical-comparative study of the postulates on the Catholic marriage in the CIC 1983. In fieri marriages in turn are an essential moment in assessing the validity of a marriage. The consensus exchanged by the two partners is the realization of their full human will, which must be free from various psychological anomalies and external pressures. He was born from the directness to form a partnership (consortium) which is based on its intrinsic nature and indissolubility.Martabat dan institusi perkawinan dengan segala macam kompleksitasnya selalu menarik untuk dibahas dari aspek manapun. Seiring perubahan konsep dan ide di dalamnya, entah pengaruh budaya maupun mentalitas zaman, perkawinan selalu mempunyai ciri yang tetap. Ia menuntut keterlibatan subjek (suami-istri) dan mengharuskan adanya “kesepakatan” sebagai objek tindakan. Kedua unsur esensial itu, tindakan (actus) dan fakta (factum), terekam secara kronologis dalam pola sebab akibat, yang dalam pemahaman yuridis perkawinan Katolik dibaca dalam momentum terpisah. Konsekuensi yuridis dari keduanya memiliki dampak besar terutama untuk menentukan validitas dan invaliditas dalam setiap perkara nulitas perkawinan dalam Gereja Katolik. Metode penelitian dalam penelitian ini ialah metode eksegese dan telaah historis-komparatif atas dalil-dalil mengenai perkawinan Katolik dalam CIC 1983. Perkawinan in fieri pada gilirannya merupakan momentum esensial dalam menilai keabsahan sebuah perkawinan. Konsensus yang saling ditukarkan oleh kedua pasangan merupakan realisasi dari kehendak penuh mereka sebagai manusia, yang harus bebas dari aneka anomali psikologis maupun tekanan eksternal. Ia lahir dari keterarahan untuk membentuk sebuah persekutuan (consortium) yang difondasikan pada sifat hakikinya yang unitas dan indissolubilitas.
DISKRESI YANG DILAKUKAN APARAT PENEGAK HUKUM DALAM SISTEM HUKUM MILITER INDONESIA
Authors: Pramono Budi 
Published: September 2020

The implementation of law enforcement in the Indonesian military environment according to the writer's observation is still chaotic and there is sectoral ego. Discretion is very important in law enforcement in the military legal system, law enforcement officials are required to act wisely, wisely and responsibly. This research is a study of normative law using statutory and conceptual approaches. Every policy issued by public officials must pay attention to the signs that do not conflict with law and human rights, do not conflict with statutory regulations, must apply the general principles of good governance; and does not conflict with public order and decency. The use of discretion has a positive impact on law enforcement, although in certain circumstances the public interest must violate the law. In conducting discretion a clear and accurate consideration is needed, so that it can be accounted for legally, morally and to the community seeking justice, so that military soldiers before becoming law enforcers must go through education/courses first.Pelaksanaan penegakan hukum di lingkungan militer Indonesia menurut pengamatan penulis masih terjadi carut marut dan adanya ego sektoral. Diskresi sangat penting dalam penegakan hukum dalam sistem hukum militer, aparat penegak hukum dituntut untuk bertindak arif, bijaksana dan bertanggung jawab. Penelitian inimerupakan peneltian hukum normatif dengan menggunakan pendekata perundang-undangan dan konseptual. Sertiap kebijaksaan yang dikeluarkan oleh pejabat publik harus memperhatikan rambu-rambu tidak bertentangan dengan hukum dan HAM, tidak bertentangan dengan peraturan perundang-undangan, wajib menerapkan asas-asas umum pemerintahan yang baik; serta tidak bertentangan dengan ketertiban umum dan kesusilaan. Penggunaan diskresi berdampak positif terhadap penegakan hukum, meskipun dalam keadaan tertentu untuk kepentingan umum harus melanggar hukum. Dalam melakukan diskresi diperlukan pertimbangan yang jelas dan akurat, sehingga dapat dipertanggung jawabkan secara hukum, moral dan kepada masyarakat pencari keadilan, sehingga prajurit militer sebelum menjadi penegak hukum harus melalui pendidikan/kursus terlebih dahulu.