bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pembuatan Hand Sealer untuk Meminimalkan Cacat Kemasan Produk
Authors: Setiawan Heri , Amarul Amarul , Fatah Abdul , Nalhadi Ahmad , Maulana Dimas Alman , Supriyadi Supriyadi 
Published: January 2020

Teknologi yang masih konvensional merupakan salah satu kendala yang dialami Usaha Mikro Kecil Menengah (UMKM) dalam bersaing. Persoalan peralatan juga dialami oleh UKM Aneka Snack Geri Sun yang terletak di daerah Pageragung, Walantaka, Kota serang. Dalam menjalankan usahanya beberapa produk harus kembali dikarenakan kurang rekatnya pengemasan. Cacat kemasan ini disebabkan sistem pengemasan masih menggunakan media api yang sangat tergantung keterampilan dan ketelitian pekerja. Kegiatan pengabdian ini bertujuan merancang alat sealer sederhana untuk meminimalkan persoalan cacat produk dihadapi pemilik usaha. Perancangan alat dilakukan dengan memodifikasi hand sealer yang sudah ada dengan fokus penurunan beban biaya listrik yang digunakan. Berdasarkan beberapa hasil uji coba yang dilakukan dihasilkan hand sealer sederhana yang mampu bekerja lebih baik dari pada menggunakan media api. Waktu yang dibutuhkan dari proses pemanasan sampai pengemasan tidak berebda jauh dengan hand sealer yang sudah ada. Keunggulan rancangan alat ini terletak pada beban listrik yang digunakan yaitu lebih hemat 60 sampai 100 kali lipat dibandingkan dengan hand sealer yang sudah ada. Penghematan beban listrik yang ada mampu menghemat biaya produksi dibandingkan dengan menggunakan media api maupun hand sealer yang ada di pasaran.
LITERASI AKUNTANSI DAN PEMASARAN ONLINE BAGI UMKM DESA TIRTONIRMOLO KABUPATEN BANTUL
Authors: Haptari Vissia Dewi , Nugroho Rahadi 
Published: January 2020

Usaha mikro, kecil dan menengah (UMKM) memberikan kontribusi yang cukup siginifikan dalam perekonomian Indonesia. Namun demikian, tidak sedikit UMKM yang mengalami kesulitan untuk mengembangkan bisnisnya karena kesulitan permodalan dan pemasaran yang masih tradisional. Kesulitan permodalan disebabkan karena sulitnya akses pembiayaan ke lembaga pembiayaan karena pembukuan yang tidak memadai. Oleh karena itu, salah satu tema Kuliah Kerja Mahasiswa (KKM) PKN STAN 2019 adalah literasi akuntansi dan pemasaran online UMKM. Setelah KKM beberapa UMKM mengimplementasikan aplikasi akuntansi UMKM. Namun demikian, masih diperlukan pemantauan implementasi pembukuan UMKM dan variasi pemasaran UMKM pada periode-periode mendatang untuk melihat dampak hal tersebut terhadap pembiayaan dan bisnis UMKUM.
Prevalence of Bullying among Nurses in a Tertiary Hospital, Bangalore
Authors: Baburajan Cency , Arasu Sakthi , Naveen Ramesh 
Published: January 2020

Background: In the last decade, research conducted in different countries has shown that bullying in the health care sector especially among nurses is a widespread and serious problem. Bullying of nurses at workplace affects their quality of life, hinders delivery of quality healthcare and contributes to increase in workplace stress. So, this study was conducted to assess the prevalence of work place bullying among nurses working in a tertiary care hospital in Bangalore.
Methods: This study was conducted among 300 staff nurses providing in-patient services in a tertiary health care hospital located in Bangalore. The required sample was selected utilizing the documents maintained in the office of Chief of Nursing Services and using computer generated random numbers. The data was collected using self-administered questionnaire which comprised of socio-demographic factors and Negative Acts Questionnaire-Revised.
Results: Among the 297 respondents, 26.9% were victims of bullying in the past six months according to Negative Acts Questionnaire-Revised (NAQ-R). Among the participants who were bullied, those exposed to work-related bullying, person-related bullying and physical intimidation were 80%, 60% and 21.3% respectively.
Conclusion: This study suggests existence of work place bullying among nurses which can adversely affect their performance as health care professionals and their quality of personal life.
Health Risk Behaviors of Employees in Selected Oil Servicing Companies in Port Harcourt
Authors: Godspower Imiete , Tsaro Kpang Meelu-Bari Barinua 
Published: January 2020

Background: The recent rate of deaths of worker in the oil industry is alarming. However, the way managers of the workers handle the problem is even more worrisome. This study investigated the health risk behaviours of employees in selected oil servicing companies in Port Harcourt city, Nigeria.
Methods: The study adopted the purposive sampling technique to select three notable oil servicing firms in the area and then selected 175 workers of the 350 workers as target population. Questionnaires were used to elicit information regarding the subject matters from the respondents. Data generated were presented in tables, while percentages were used as a yardstick for conclusions.
Results: Findings showed that most of the respondents exceeded driving speed limit (73.6%), do not get enough rest (84.9%), alcohol consumption (76.1%), cannot manage their individual stress (75.9%), having more than one sexual partners (74.8%). Also noted in the study is that most workers do not maintain low sugar diet (65.6%), do not take adequate fruits/vegetables (54.1%), do not get adequate sleep (54.6%), regular exposure to sun (58.5%), not coping with work stress (59.2%) and not socializing with friends (56%).
Conclusions: As a result of these findings, it was recommended that, there is need for supervisors of the workers to engage the workers in round table discussions that will ease the stress and psychological imbalance of the workers, the supervisors are advised at the instant of this research, to institute periodical exercises for workers to keep them fit and encourage healthy living, finally, there is need for awareness campaign by the companies for the purpose of re-orienting the workers on the need to practice with safety always.
Analysis of Uterine Rupture in Pregnancy at a Tertiary Care Hospital
Authors: Shakya Beemba 
Published: January 2020

Aims: To analyze patients with uterine rupture in pregnancy.
Methods: This was a cross-sectional retrospective study undertaken at Paropakar Maternity and Women’s Hospital. Two years’ medical records of uterine rupture between 14 April 2017 and 13 April 2019 were reviewed. Information on patient characteristics, age, parity, mode of previous deliveries, onset of labour spontaneous or induced, type and site of rupture, maternal and perinatal outcome, management and complications associated with it were retrieved and was analyzed using SPSS version 16.0.
Results: Among 29 uterine rupture cases, majority of cases occurred in 25-29 years (48.3%), para1 (79.3%) and unbooked cases (72.4%). Most of them occurred in previous scar 23(79.3%); rupture was complete in 13 and incomplete in 10 cases. Six (20.6%) were unscarred uterine rupture. Rupture repair was done in 24(82.7%) and peripartum hysterectomy (subtotal hysterectomy) in 5(17.2%) cases. The most common complications were postpartun hemorrhage (55.2%), hospital stay >7 days (55.2%), blood transfusion (48.3%) and ICU admission (41.3%). There was no maternal mortality. Perinatal death was 15 (51.7%)-13 stillbirths and 2 neonatal deaths.
Conclusions: Majority of the uterine rupture occurred in previous scar (79.3%). Most of the cases underwent repair of the uterus (82.7%) and remaining were peripartum hysterectomy (17.2%). There was no maternal mortality. However, perinatal mortality occurred in 51.7%.
Keywords: peripartum hysterectomies, previous scar, repair of uterus, uterine rupture.
Usefulness of Anti-Müllerian Hormone in Polycystic Ovarian Syndrome in Infertile Women
Authors: Rijal Hima 
Published: January 2020

Aims: To correlate the AMH level with various clinical and biochemical parameters in patients presenting to infertility clinic with diagnosis of PCOS.
Methods: This is a hospital based prospective study carried out in the Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital from January 2018 to December 2018. Women of reproductive age (21– 35 years) who presented to infertility clinic were recruited for study after taking informed consent. PCOS patients were selected by the Rotterdam criteria. Data regarding menstrual history, clinical manifestations of hyperandrogenism, transvaginal ultrasound (TVS) assessments for ovarian follicles, and the levels of AMH, LH, FSH, testosterone and Estradiol were collected.
Blood sampling for hormone measurement (LH, FSH, Testosterone, Estradiol) was performed in the second day of menstrual cycle. Serum AMH was measured in any day of menstrual cycle. TVS was performed for morphology of ovaries during follicular phase.
Results: There were 54 patients with PCOS based on Rotterdem criteria. The mean age was 26.6±3.7 year (range=20-35). Among the study population 42 patients (78%) had primary infertility. High AMH with bilateral polycystic ovaries was in 32(59.2%), bilateral PCO with normal AMH was in 13(24%), unilateral polycystic ovaries with high AMH was in 2(3.7%). AMH mean value was 9.8±4.1 ng/ml (range=2.8-19.8), high in 40 women (74%) and normal in 14 women (26%).
Conclusions: Serum AMH can be a useful serum marker of PCOS and it correlates with the clinical and biochemical abnormalities in women with PCOS.
Keywords: anti mullarian hormone, infertility, hyperandrogenism, polycystic ovarian syndrome
Pedunculated Fibroid Mimicking an Ovarian Cancer
Authors: Bhattachan Kabin , Karki Aruna , Dangal Ganesh , Kumari Pradhan Hema , Shrestha Ranjana 
Published: January 2020

Large myoma may show various type of degenerative change and have alteration of radiological view. Subserosal or pedunculated fibroid with cystic degeneration may mimic complex ovarian mass on radiological imaging. A 34 year female, para one, with normal menstrual period presented with radiological diagnosis of complex adnexal mass and CA 125 value 100 u/ml. Postoperative finding revealed cystic degeneration of pedunculated subserosal fibroid receiving blood supply from adherent omentum.
Keywords: Cystic degeneration, pedunculated fibroid, complex ovarian mass.
New Russian Trivalent Hepatitis B vaccine (Bubo<sup>®</sup>-Unigep): Phase I Clinical Study Results and Perspectives of Further Investigations Aiming Registration in Russia
Authors: Maksvitis R. Yo. , Ivanov R. V. , Amelin A. V. , Goncharova A. V. , Andreeva A. S. , Grinyov I. A. 
Published: January 2020

Relevance.The absence of a registered vaccine against G145R escape mutant determines the need to develop a drug for the prophylaxis of infectious hepatitis caused by the hepatitis B virus.Theaimof the study was to evaluate the safety and reactogenicity of a new hepatitis B recombinant Bubo®-Unigep yeast vaccine in healthy volunteers.Materials & Methods.To confirm the safety of the new trivalent Bubo®-Unigep vaccine, an open, single- center, nonrandomized clinical trial was conducted in healthy male volunteers at the clinical base of «Uromed» (Smolensk) according to the protocol developed by the contract research organization R&D Pharma.Results and discussions.Safety and reactogenicity assessment was carried out throughout the study period. In the safety assessment, one adverse event was reported that was not related to the use of Bubo®-Unigep vaccine. No serious adverse events have been reported. There were no local reactions at the injection site throughout the observation period. The results indicate a high safety and areactogenicity of Bubo®-Unigep vaccine.Conclusions:The confirmed safety and areactogenicity of a new Bubo®-Unigep vaccine in a phase I clinical trial allows to proceed to the next stage and to conduct a registration study in which immunogenicity, safety and reactogenicity will be studied during the full course of vaccination. The introduction of such a vaccine on the market will contribute to a more effective vaccination against those serotypes of the hepatitis B virus that are endemic and prevail in the Russian Federation. Due to the created complete immunity, the infection threshold rises and the number of cases of hepatitis B among the already vaccinated population decreases.
Vaccination against HPV: Theoretical Aspects and Practical Results of Cervical Cancer Prevention
Authors: Zarochentseva N. V. , Trushina O. I. , Novikova E. G , Baranov I. I. , Lopukhov P. D. , Rovinskaya O. V. 
Published: January 2020

Relevance.Cervical cancer (CC) continues to be the focus of attention of oncologists all over the world due to the fact that the incidence of it over the past decades has not tended to decrease. The steady increase in morbidity, high mortality rates, and the tendency to «rejuvenate» the disease, the relatively low detection rate of the early stages of the disease due to poor results of cytological screening predetermine the search for new scientifically based approaches to solving cervical cancer problems. A promising direction for the prevention of squamous cell carcinoma and adenocarcinoma associated with human papillomavirus (HPV) is prophylactic vaccination against HPV, the need for which is due to the role of HPV infection in carcinogenesis processes.The aimof this article is to summarize the currently available data on advances in the prevention of precancerous lesions and cervical cancer, primarily through vaccination against HPV infection.Conclusions.The creation of vaccines for the prevention of oncogenic HPV types is a significant achievement in the biomedical research area. The successful development of a group of vaccines, which can confidently be called the vaccines of the 21st century, gives us hope that modern medicine has the potential to reduce population cancer risk and reduce the likelihood of early onset of cervical cancer. Demonstration of the efficacy and feasibility of routine HPV vaccination programs in a number of countries demonstrates encouraging progress in solving cervical cancer problems. Vaccination against HPV will not only ensure epidemiological well-being, but also lead to a decrease in morbidity and mortality from such a terrible complication of human papillomavirus infection – cervical cancer.
Cervical disc replacement: examining “real-world” utilization of an emerging technology
Authors: Witiw Christopher D. , Smieliauskas Fabrice , Ham Sandra A. , Traynelis Vincent C. 
Published: January 2020

OBJECTIVECervical disc replacement (CDR) has emerged as an alternative to anterior cervical discectomy and fusion (ACDF) for the management of cervical spondylotic pathology. While much is known about the efficacy of CDR within the constraints of a well-controlled, experimental setting, little is known about general utilization. The authors present an analysis of temporal and geographic trends in “real-world” utilization of CDR among those enrolled in private insurance plans in the US.METHODSEligible subjects were identified from the IBM MarketScan Databases between 2009 and 2017. Individuals 18 years and older, undergoing a single-level CDR or ACDF for cervical radiculopathy and/or myelopathy, were identified. US Census divisions were used to classify the region where surgery was performed. Two-level mixed-effects regression modeling was used to study regional differences in proportional utilization of CDR, while controlling for confounding by regional case-mix differences.RESULTSA total of 47,387 subjects met the inclusion criteria; 3553 underwent CDR and 43,834 underwent ACDF. At a national level, the utilization of single-level CDR rose from 5.6 cases for every 100 ACDFs performed in 2009 to 28.8 cases per 100 ACDFs in 2017. The most substantial increases occurred from 2013 onward. The region of highest utilization was the Mountain region (Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, and Wyoming), where 14.3 CDRs were performed for every 100 ACDFs (averaged over the 9-year period of study). This is in contrast to the East South Central region (Alabama, Kentucky, Mississippi, and Tennessee), where only 2.1 CDRs were performed for every 100 ACDFs. Patient factors that significantly increased the odds of undergoing a CDR were age younger than 40 years (OR 15.9 [95% CI 10.0–25.5]; p < 0.001), no clinical evidence of myelopathy/myeloradiculopathy (OR 1.5 [95% CI 1.4–1.7]; p < 0.001), and a Charlson Comorbidity Index score of 0 (OR 2.7 [95% CI 1.7–4.2]; p < 0.001). After controlling for these factors, significant differences in utilization rates remained between regions (chi-square test = 830.4; p < 0.001).CONCLUSIONSThis US national level study lends insight into the rate of uptake and geographic differences in utilization of the single-level CDR procedure. Further study will be needed to ascertain specific factors that predict adoption of this technology to explain observed geographic discrepancies.
Biomechanical evaluation of two alternative techniques to the Goel-Harms technique for atlantoaxial fixation: C1 lateral mass–C2 bicortical translaminar screw fixation and C1 lateral mass–C2/3 transarticular screw fixation
Authors: Du Yue-Qi , Li Teng , Ma Chao , Qiao Guang-Yu , Yin Yi-Heng , Yu Xin-Guang 
Published: January 2020

OBJECTIVEThe authors conducted a study to investigate the biomechanical feasibility and stability of C1 lateral mass–C2 bicortical translaminar screw (C1LM-C2TL) fixation, C1 lateral mass–C2/3 transarticular screw (C1LM-C2/3TA) fixation, and C1LM-C2/3TA fixation with transverse cross-links (C1LM-C2/3TACL) as alternative techniques to the Goel-Harms technique (C1 lateral mass–C2 pedicle screw [C1LM-C2PS] fixation) for atlantoaxial fixation.METHODSEight human cadaveric cervical spines (occiput–C7) were tested using an industrial robot. Pure moments that were a maximum of 1.5 Nm were applied in flexion-extension (FE), lateral bending (LB), and axial rotation (AR). The specimens were first tested in the intact state and followed by destabilization (a type II odontoid fracture) and fixation as follows: C1LM-C2PS, C1LM-C2TL, C1LM-C2/3TA, and C1LM-C2/3TACL. For each condition, the authors evaluated the range of motion and neutral zone across C1 and C2 in all directions.RESULTSCompared with the intact spine, each instrumented spine significantly increased in stability at the C1–2 segment. C1LM-C2TL fixation demonstrated similar stability in FE and LB and greater stability in AR than C1LM-C2PS fixation. C1LM-C2/3TA fixation was equivalent in LB and superior in FE to those of C1LM-C2PS and C1LM-C2TL fixation. During AR, the C1LM-C2/3TA–instrumented spine failed to maintain segmental stability. After adding a cross-link, the rotational stability was significantly increased in the C1LM-C2/3TACL–instrumented spine compared with the C1LM-C2/3TA–instrumented spine. Although inferior to C1LM-C2TL fixation, the C1LM-C2/3TACL–instrumented spine showed equivalent rotational stability to the C1LM-C2PS–instrumented spine.CONCLUSIONSOn the basis of our biomechanical study, C1LM-C2TL and C1LM-C2/3TACL fixation resulted in satisfactory atlantoaxial stabilization compared with C1LM-C2PS. Therefore, the authors believe that the C1LM-C2TL and C1LM-C2/3TACL fixation may serve as alternative procedures when the Goel-Harms technique (C1LM-C2PS) is not feasible due to anatomical constraints.
PENERAPAN METODE FAST TERHADAP PENGEMBANGAN SIM-RS UNTUK PENINGKATAN PELAYANAN DI RUMAH SAKIT
Authors: Putri Nur Rahma  , Makhrajani Madjid  , Herlina  , Ayu Dwi Putri Rusman  , Noer Bahry Noer  , Fridawati Rifai  
Published: January 2020

Penerapan SIM telah diamanatkan oleh Undang-undang untuk segera diterapkan yakni pada

Nomor 44 Tahun 2009 Pasal 52. Penelitian ini bertujuan untuk Mengetahui kendala yang menjadi factor penghambat dalam penerapan system informasi manajemen di rumah sakit. Menghasilkan strategi paling efektif yang dapat mengoptimalkan penerapan system informasi manajemen di rumah sakit. Menggunakan metode FAST dalam merancang system informasi managemen rumah sakit dirumah sakit. Metode yang digunakan kualitatif dan kuantitatif. Metode kualitatif pada penelitian ini digunakan untuk membantu proses identifikasi, dalam metodologi pengembangan sistem informasi manajemen rumah sakit dalam guna mendukung keputusan manajemen pelayanan. Metode kuantitatif digunakan untuk mengevaluasi kualitas informasi sebelum dan sesudah pengembangan sistem informasi.Hasil penelitian menunjukkan kendala utama belum diterapkannya system informasi manajemen di rumah sakit adalah mahalnya biaya membangun system informasi manajemen, Strategi yang efektif untuk menerapkan system informasi manajemen di rumah sakit adalah perkuat komitmen manajemen rumah sakit bahwa sistem informasi manajemen akan berjalan, Dengan metode FAST dapat memperbaiki kualitas informasi melalui aplikasi system informasi manajemen di rumah sakit. Sistem informasi yang dikembangkan perlu diaplikasikan secara on-line dengan menggunakan Local Area Network untuk penggunaan multiuser
FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP KEJADIAN HIPERTENSI PADA LANSIA DI WILAYAH KERJA PUSKESMAS MAIWA KAB.ENREKANG
Authors: Yuli Hilda Sari  , Usman  , Makhrajani Majid  
Published: January 2020

Hipertensi disebut silent killer karena sifatnya asimptomatik dan telah beberapa tahun menimbulkan stroke yang fatal atau penyakit jantung. Meskipun tidak dapat diobati, pencegahan dan penatalaksanaan dapat menurunkan kejadian hipertensi dan penyakit yang menyertainya. Penelitian ini bertujuan untuk membuktikan apakah ada tidaknya pengaruh faktor-faktor yang mempengaruhi terhadap kejadian hipertensi pada lansia di Wilayah Kerja Puskesmas Maiwa Kab.Enrekang. Penelitian ini menggunakan penelitian analitik dengan rancangan cross sectional studi, dengan menggunakan Systematic Random Sampling. Data dianalisis dengan uji Chi Square, Koefisien phi dengan α 0,05. Sebanyak 77 lansia yang memenuhi kriteria penelitian, uji chi-square bahwa ada pengaruh tingkat stres terhadap kejadian hipertensi pada lansia X2 hit. 72,616 stres dapat menjadi faktor pencetus, penyebab sekaligus akibat dari suatu gangguan atau penyakit , ada pengaruh bertambahnya usia terhadap kejadian hipertensi pada lansia dengan X2 hit. 34,720 Semakin tinggi umur seseorang semakin tinggi tekanan darahnya, jadi orang yang lebih tua cenderung mempunyai tekanan darah yang tinggi dari orang yang berusia lebih muda.,dan ada pengaruh genetik terhadap kejadian hipertensi pada lansia dengan X2 hit. 41,819 Adanya faktor genetik pada keluarga tertentu akan menyebabkan keluarga itu mempunyai risiko menderita hipertensi. Hasil penelitian ini diharapkan lansia dapat mengontrol tingkat stres dengan baik,mengurangi aktivitas yang melelahkan dan teratur melakukan cek tekanan darah, serta rutin mengikuti posyandu lansia