bluuebunny/crossref_metadata_2025_split huggingface dataset:
Glucose Levels During Dialysis with Glucose-Free Versus Glucose-Rich Dialysate Fluid
Authors: Bushljetik Irena Rambabova , Trajceska Lada , Pusevski Vladimir , Spasovski Goce 
Published: February 2020

Abstract

Introduction: Asymptomatic hypoglycaemia has been reported in both diabetic and non-diabetic patients on haemodialysis. Uremic symptoms as inadequate appetite, nausea and vomiting worsen the risk of hypoglycaemia at dialysis initiation. As a standard therapeutic approach for decreasing this risk and dis-equilibrium syndrome at our dialysis unit, a continuous venous 5% glucose solution is applied during the glucose-free dialysate (GFD) dialysis. In this interventional study we sought to assess the glycaemic control during standard initiating dialysis protocol versus novel approach with glucose-rich dialysis fluid (GRD).

Material and methods: Twenty-one dialysis patients with chronic renal failure were dialyzed alternatively using GRD (5.6 mmol/l) and GFD fluid. They were not taking any hypoglycaemic medication prior and food during dialysis session. Blood was sampled at regular intervals during dialysis. The dialysis prescription consisted of ultrafiltration (UF) of up to 1 L, membrane surface (MS) up to 1.4 square meters and duration time of 2-2.5 hours. Intra-patient glycaemic variability was defined by Coefficient of variation (CV). In paired analysis t-test was used to determine the glucose control differences in both therapeutic approaches in each patient. For the whole group t-test was used to assess the glucose variability as CV.

Results: The mean age of study participants was 62.95±11.73 years; 7 (33%) had diabetes. The two dialysis approaches did not differ in respect of initial blood pressure, UF and MS. Only two episodes of hypoglycaemia occurred in both types of dialysis. The mean glucose level was higher during GRD (8.15±1.89 vs. 6.29±1.33, p=0.001), respectively. The glucose CV was lower in GRD dialysis when pared t-test was applied, without significant difference (16.97± 8.86 vs. 21.05±11.99, p=0.151). When only diabetic patients were analysed, there was no significant glucose CV difference as well (p=0.151). For the whole cohort glucose variability was significantly higher in glucose-free dialysate dialysis (p=0.0001).

Conclusion: The GRD approach for initiating dialysis sessions is non-inferior to standard GFD care. Dialysate rich in glucose obtains better glucose control during dialysis compared to glucose-free dialysate.
Coping with Cystic Fibrosis in the Republic of Macedonia–Parent Perspective
Authors: Zorcec Tatjana , Pop-Jordanova Nada , Fustik Stojka , Jakovska Tatjana , Spirevska Lidija 
Published: February 2020

Abstract

Introduction: Cystic fibrosis (CF) is a progressive, life-threatening, genetic disease which mainly damages the lungs and the digestive system. It’s a complex medical condition, with several individual forms and variation in the symptoms severity. Few factors such as age of establishing the diagnosis, the number and the type of infections and their management, best treatment options, comorbid conditions etc. can influence the patient’s overall health, disease progression and quality of life. Many CF patients will reach adulthood, so coping with the chronic disease is very important for the overall health and everyday living.

Aim of the study: To screen the quality of life in CF patients in the Republic of Macedonia, from the parent perspective.

Subjects and methods: In the study we have included 55 parents of CF patients. We have created a questionnaire, specially designed for this survey, with questions related to their everyday coping with CF and quality of life.

Results: The majority of the parents refer to the overall typical social and emotional life of their children, addressing some difficulties concerning the financial aspect of the disease and still significantly having fear from the stigma in the society.

Conclusion: CF patients and their families in the Republic of Macedonia must overcome many obstacles on daily basis. Despite that, they can still have full and meaningful lives.
The Influence of Maternal Levels of Vitamin D and Adiponectin on Anthropometrical Measures and Bone Health in Offspring
Authors: Velkavrh Manca , Paro-Panjan Darja , Benedik Evgen , Mis Natasa Fidler , Godnov Uros , Salamon Aneta Soltirovska 
Published: February 2020

AbstractBackground: From the conception onward, certain parameters associated with maternal health may affect foetal body composition, growth and bone mineral content.The objective of the study was to determine the association between maternal vitamin D and adiponectin status with the anthropometrical measures of newborns, and bone health status measured by Quantitative Ultrasound (QUS) at birth.Methods: Circulating 25OHD and adiponectin concentration were measured in 73 pregnant women. Correlations with the anthropometrical measures and bone health status in their infants were studied. Bone health was evaluated using QUS with the measurements of speed of sound (SOS, in m/s) and Z score on the right tibia.Results: There was no significant association between maternal 25OHD and newborn’s anthropometrical measures at birth (weight p=0.35, length p=0.59 and head circumference p=0.47). There was a significant negative correlation between a maternal serum adiponectin and a) weight of infants at birth (R= -0.37, p=0.002); b) birth length (R= -0.31, p=0.008) and c) head circumference (R= -0.29, p=0.014). There was no significant correlation between maternal 25OHD blood levels during pregnancy and SOS in newborns (p=0.48). Additionally, a correlation between maternal adiponectin concentration during pregnancy and SOS in newborns was not significant (p=0.82).Conclusion: Although a high prevalence of low 25OHD level among pregnant women was found, maternal vitamin D status did not influence growth and bone health of their offspring at birth. Maternal adiponectin levels in plasma showed an inverse relationship with anthropometrical measures of infants at birth, while no correlation with the newborn’s bone health was found.
PEMANFAATAN TEKNOLOGI DALAM UPAYA MENGANTISIPASI MUSCULOSKELETAL DISORDERS (MSDS) PETANI DI KUBE USAHO BASAMO
Authors: Mufti Dessi , Duskiardi Duskiardi , Zoni Mirza 
Published: February 2020

Pertanian di Indonesia umumnya masih dilakukan secara sangat sederhana dengan mengandalkan tenaga manusia dan hewan. Jorong Koto Gadang merupakan daerah yang berpotensi untuk bercocok tanam holtikultura seperti tomat, cabe, kol, dan sayur-sayuran lainnya. Lahan yang tersedia lebih kurang seluas 20 ha, tetapi tergarap semua oleh masyarakat. ini disebabkan petani masih menggunakan peralatan manual (cangkul) untuk mengolah lahan yang ada. Selain itu pekerjaan mencangkul yang relatif lama akan dapat menyebabkan resiko cedera pada beberapa bagian anggota tubuh (Musculoskeletal Disorders/MSDs). Dirasakan sangat perlu memanfaatkan teknologi yang telah untuk memudahkan pekerjaan petani dan mengurangi resiko cedera tersebut. Berdasarkan asesmen awal dengan REBA diperoleh skor awal 10 artinya resiko levelnya sangat tinggi dan tindakan perbaikan perlu saat ini juga. Teknologi yang dapat digunakan adalah menggunakan cultivator. Pemilihan cultivator ini diperoleh dari diskusi dengan anggota Kube dengan melihat kondisi lahan dan fungsinya. Selanjutnya dilakukan asesmen kembali dengan REBA dan memperlihatkan hasil lebih baik dengan skor 7 yang artinya masih perlu perbaikan. Perbaikan dapat dilakukan dengan memodifikasi alat dan jenis material alat tersebut.
Kata Kunci: Ergonomi, Holtikultura, KUBE, Musculoskeletal disorders
ABSTRACT
Agriculture in Indonesia is generally still done very simply by relying on human and animal labor. Jorong Koto Gadang is an area that has the potential to grow horticulture such as tomatoes, chilies, cabbage, and other vegetables. The available land area is approximately 20 hectares, but it is cultivated by the community. this is due to farmers still using manual equipment (hoes) to cultivate existing land. In addition, relatively long hoeing work can cause the risk of injury to some parts of the body (Musculoskeletal Disorders / MSDs). It is felt that it is necessary to utilize technology that has made it easier for farmers to work and reduce the risk of injury. Based on the initial assessment with REBA an initial score of 10 means that the level of risk is very high and corrective action is necessary at this time. The technology that can be used is to use a cultivator. The selection of cultivators was obtained from discussions with Kube members by looking at the condition of the land and its functions. Furthermore, the assessment was carried out again with REBA and showed better results with a score of 7 which means it still needs improvement. Improvements can be made by modifying the tool and the type of material the tool is.
Keywords: Ergonomic, Holticultura, KUBE, Musculoskeletal disorders
Paraspinal Fat Stranding as an Unexpected Finding on Body Computed Tomography: A Key to Early Detection of Spinal Osteomyelitis
Authors: Chen Eric L. , Rosenberg Michael , Saran Nitu , Ozgen Burce , Xie Karen , Mar Winnie A. 
Published: February 2020

Objective:
At present, early detection of spinal osteomyelitis is a challenge. Patients may present with non-specific symptoms and diagnostic imaging studies may be obtained for seemingly unrelated complaints. Paraspinal fat stranding on body computed tomography (CT) as a sign of osteomyelitis is easily overlooked and has not been reported in the literature to our knowledge. The purpose of this study is to review findings on body CT that points to unsuspected spinal osteomyelitis.

Material and Methods:
A retrospective review of patients with spinal osteomyelitis who also had concomitant chest, abdominal, or pelvic CT scans between August 2013 and February 2017 yielded 10 patients who had confirmed osteomyelitis (ages between 51 and 75, mean age 64.8). Images and medical records were reviewed.

Results:
The age of the patients ranged from 51 to 75 years (median value, 64). All patients had multiple underlying medical illnesses, and half of them had a known preceding infection such as sepsis or urinary tract infection. At presentation, three patients had a fever and two patients had neurologic deficits. Seven out of eight patients had elevated C-reactive protein and erythrocyte sedimentation rate, five patients had leukocytosis, and four patients had positive blood cultures. Paravertebral fat stranding and endplate erosions were observed in 9 and 6 cases, respectively, on initial body CT for unrelated indications, and subsequent magnetic resonance imaging confirmed osteomyelitis discitis.

Conclusion:
Clinically significant, but initially unsuspected, spinal pathology such as osteomyelitis may present on body CT scans. Earlier diagnosis of spinal osteomyelitis can be made by performing a focused evaluation of the paraspinal soft tissues and including osteomyelitis in the differential diagnosis, particularly in high-risk patients.
Keyhole clipping of a low-lying basilar apex aneurysm without posterior clinoidectomy utilizing endoscopic indocyanine green video angiography
Authors: Wong Andrew K. , Wong Ricky H. 
Published: February 2020

Background:
Basilar apex (BX) aneurysms are surgically challenging due to their anatomic location, need to traverse neurovascular structures, and proximity to multiple perforator arteries. Surgical approaches often require extensive bone resection and neurovascular manipulation. Visualization of low-lying BX aneurysms is typically obscured by the posterior clinoid and upper clivus and poses a unique challenge. Subtemporal or anterolateral approaches with a posterior clinoidectomy are often required to achieve adequate exposure, though these maneuvers can add invasiveness, risk, and morbidity to the procedure. Endoscopes and, more recently, fluoroscopic angiography capable endoscopes offer the possibility of providing improved visualization with less exposure allowing for minimally invasive clipping.

Case Description:
We present the case of a 42-year-old female with incidentally found 5 mm middle cerebral artery and 5 mm BX aneurysms. She underwent a minimally invasive supraorbital keyhole craniotomy for the clipping of both aneurysms. While the posterior clinoid obstructed the necessary visualization for the BX aneurysm, use of endoscopy and endoscopic fluoroscopic angiography allowed for safe and successful clipping without the need for a posterior clinoidectomy.

Conclusion:
This represents the first reported case of a BX aneurysm clipping through a minimally invasive keyhole craniotomy using endoscopic indocyanine green video angiography. Use of endoscopic indocyanine green angiography, combined with keyhole endoscopic approaches, allows for safe minimally invasive clipping of challenging posterior circulation aneurysms.
PLANO DE RECUPERAÇÃO JUDICIAL: AS CONSEQUÊNCIAS DA FÉ
Authors: Gonçalves Oksandro , Licks Gustavo 
Published: February 2020

O trabalho pretende, a partir da análise de dois processos, enfrentar o problema da deliberação do plano de recuperação judicial pelos credores. A visão maniqueísta do processo, em que a racionalidade está subjugada à fé dos credores de dias melhores causou consequências graves quanto ao agravamento da crise. A pesquisa realizada pelo método indutivo evidenciou que os credores não se insurgiram por estarem em situação pior do que antes do ajuizamento da ação. Observou-se que não houve a preservação da função social da empresa nem dos ativos. Assim, o estudo revelou que credores aprovam o plano apresentado sem analises circunstanciadas.
Pemanfaatan Cangkang Rajungan (Portunus pelagicus. Sp) dan Eceng Gondok Sebagai Sumber Kalsium Pada Pakan Ayam
Authors: Hamka Muhammad Iqbal , Wiharto Muhammad , Fadilah Ratnawaty 
Published: February 2020

Penelitian ini bertujuan untuk mengetahui kandungan nutrisi pakan ayam berbahan baku tepung cangkang rajungan ( Portunus pelagicus sp.) dan eceng gondok. Penelitian ini menggunakan metode rancangan acak lengkap (RAL) dengan 4 level perlakuan dengan mensubstitusi tepung ikan, yaitu K (Tepung ikan 30%, tepung cangkang rajungan 0%, dan tepung eceng gondok 0%), A (Tepung ikan 10%, tepung cangkang rajungan 20%, dan tepung eceng gondok 0%), B (Tepung ikan 10%, tepung cangkang rajungan 10%, dan tepung eceng gondok 10%), C (Tepung ikan 10%, tepung cangkang rajungan 0%, dan tepung eceng gondok 20%), Penelitian ini terdiri dari dua tahap, yaitu tahap pertama adalah pembuatan tepung cangkang rajungan (Portunus pelagicus sp.) yang sudah bersih dan dikeringkan selama ±8 jam, kemudian ditepungkan menggunakan ayakan 80 mesh, sedangkan pembuatan tepung eceng gondok dikeringkan selama ±8 jam lalu ditepungkan. Tahap kedua adalah membuat pakan sesuai dengan formulasi yang telah ditentukan dan kemudian hasilnya dilakukan uji proksimat mencakup kandungan protein, lemak, kalsium, dan kadar air. Hasil penelitian menunjukkan bahwa substitusi pakan berbahan baku tepung cangkang rajungan ( Portunus pelagicus sp.) dan eceng gondok memiliki pengaruh yang sangat signifikan terhadap kandungan nutrisi pada pakan ayam. Hasil uji penelitian ini menunjukkan bahwa perlakuan yang terbaik yang mendekati standar SNI pakan ayam adalah perlakuan C. Kandungan nutrisi pada perlakuan ini adalah protein 26,32%, lemak 3,42%, kalsium 1,35%, dan kadar air 4,12%.
The Effect of Eating Food Patterns with Nutritional Status of Age 12 - 24 Months in The Working Area of Pademawu Pademawu District, Pademawu District, Pamekasan District
Authors: Maksum Ali 
Published: February 2020

Malnutrition is a malnourishment condition resulting from the imbalance of micro nutrient an macro nutrien. Parental diet can help create problems related to the nutritional status of toddlers. Giving the child a right opportunity to consume food does not assure the toddler to be free of his nutritional statis. That’s why researches are interested in studying the effectof a diet for twelfth-twenty fourth months old of child’snutritional status.
The sample design of this study is taken for sixty nine respondents, data gathering on the foster diet variabel diet question naire and variable data nutritional status with anthropo metric mesures. The collected data was analyzed using cross table analysis.
Cross table analysis showsthat there is a linkbetween the foster diet and thet welfth-twenty fourth months old of child’s nutritional status, and the diet of democratic food has the highest impact on the nutritional status of the toodler twelfth-twenty fourth months old of child’s nutritional status at the medical center of Pademawu, Pamekasan.
The study found that there is a nurturing pattern of eating under the child’s twelfth-twenty fourth months old of child’s nutritional status by the most dominan foster pattern is the democratic upbringing in the workplace of the medical center of Pademawu, Pamekasan.
Formulasi dan Evaluasi Gel Antioksidan Ekstrak Daun Bidara (Ziziphus jujuba Mill.)
Authors: Elfasyari Trie Yuni , Putri Lita Riastienanda , Wulandari Sawitri 
Published: February 2020

Daun bidara memiliki kandungan fenolat dan flavonoid yang berkhasiat sebagai antioksidan. Penelitian ini bertujuan untuk memformulasikan ekstrak etanol daun bidara dalam bentuk sediaan gel serta uji aktivitas antioksidannya. Basis gel dibuat dengan variasi konsentrasi HPMC 3, 5, dan 7% dengan konsentrasi ekstrak 2,5% untuk setiap formula. Selanjutnya dilakukan evaluasi kestabilan gel selama 3 minggu. Aktivitas antioksidan diuji dengan metode DPPH. Hasil menunjukkan ekstrak etanol daun bidara dapat diformulasikan menjadi sediaan gel antioksidan dengan variasi basis HPMC 3 dan 5%, dimana sediaannya memiliki sifat fisik dan stabilitas yang baik, terbukti dengan tidak adanya perubahan organoleptis, pH, viskositas, dan daya sebar selama evaluasi. Gel ekstrak etanol daun bidara memiliki aktivitas antioksidan yang berbeda-beda berdasarkan variasi konsentrasi HPMC. Peningkatan konsentrasi HPMC menyebabkan perbedaan kemampuan pelepasan zat aktif yang ditunjukkan dengan persen inhibisi yang berbeda untuk F1, F2, and F3 yaitu masing-masing sebesar 52,55; 48,66; dan 32,88%.
Kadar Fosfor, Kalium dan Sifat Fisik Pupuk Kompos Sampah Organik Pasar dengan Penambahan Starter EM4, Kotoran Sapi dan Kotoran Ayam
Authors: Kaswinarni Fibria , Nugraha Alexander Arya Surya 
Published: February 2020

Tujuan penelitian ini adalah mengetahui kadar fosfor dan kalium serta sifat fisik pupuk kompos setelah diberi penambahan starter EM4, kotoran ayam dan sapi. Rancangan yang digunakan adalah RAL dengan 4 perlakuan dan 3 ulangan. Dari hasil penelitian menunjukkan bahwa perlakuan kedua (P2) dengan komposisi sampah sayur 50 kg + 1 kg kapur + 1 kg bekatul + kotoran ayam 15% memberikan kadar fosfor terbaik. Untuk semua perlakuan menunjukkan hasil kadar fosfor dan kalium yang sudah sesuai dengan syarat SNI 17-7030-2004. Sifat fisik pupuk kompos yang diamati yaitu pH, suhu, bau, tekstur dan warna juga sudah sesuai dengan syarat pupuk kompos yang matang yaitu menghasilkan pH 6,3-7, suhu 29-30oC, tidak berbau, berwarna cokelat kehitaman dan tekstur yang halus.
A Study of Anxiety in Epileptic People Attending Out-Patient Department of Psychiatry, Nepal Medical College Teaching Hospital
Authors: Singh PM , Khadka S , Chhetri A 
Published: February 2020

Background: Epilepsy is the most common chronic neurological disease in the general population and affects approximately 1% of the population in the United States. Anxiety disorders are common co morbidity among patients with epilepsy. Incidence of anxiety was found to be 16.7% in patients with epilepsy. This study has tried to evaluate the anxiety disorder in patients with epilepsy attending outpatient department of Nepal Medical College.
Objective: To estimate the prevalence of anxiety in outpatients with epilepsy and the sociodemographicprofiles of patients with epilepsy.
Methods: It is a descriptive cross-sectional study. The sample comprised of 55 outpatients with epilepsy attending Psychiatry department of Nepal Medical College Teaching Hospital. Informed consent was taken and semi- structured proforma was filled with adequate information. Diagnosis was based on ICD-10 DCR and severity was assessed using Hospital Anxiety and Depression Scale (HADS). Data was evaluated with SPSS 16 and appropriate statistical tools were applied.
Results: The study found that a great number of epileptic patients were suffering from comorbidanxiety disorder (36.36%). Also married patients had higher anxiety disorder (57.69%), thus, showed a significant relation based on marital status and anxiety in epileptic patients.
Conclusion: Anxiety disorders are common in people with epilepsy. Increased awareness of the clinical presentations of anxiety disorders should be initiated for securing the mental health and quality of life in people with epilepsy.
Confrontation with a live subretinal parasite
Authors: Khadka Simanta , Byanju Raghu Nandan , Pradhan Sangita 
Published: February 2020

Background: Parasitic infestation of the eyes are a major cause of ocular diseases across the globe. Filarial and filarial-like nematodes top the list of the nematodes that affect the eye.
Case: A rare case of live sub retinal worm is reported in a 25 years old apparently healthy young male. The case presented with unilateral loss of vision and floaters in the affected eye. Upon examination a live subfoveal worm was identified with continuous wriggling movements and diffuse retinal edema. The worm was removed surgically and sent for parasitological examination.
Observation: The worm was identified microscopically as Loa Loa. However detailed histopathological examination could not be incorporated. The patient’s vision improved to 6/12 (0.30 Log MAR) from the initial presentation of 3/60 (1.30 Log MAR) after three months follow-up.
Conclusion: The rare sub retinal live worm presents a challenge in management. The management depends upon the location and viability of the parasite. Surgical management is aimed at worm removal and vision preservation.
Persepsi Masyarakat Tentang Persahabatan dalam Film 5 cm (Studi Deskriptif Pada Siswa SMK Negeri 1 Barumun Padang Lawas)
Authors: Dalimunthe Sri Rizki Kurnia , Hendra Yan , Matondang Armansyah 
Published: February 2020

This study takes the theme of a film titled Public Perceptions of Friendship in the film 5 Cm. This study aims to look at the values that exist in the film 5 cm and to know the perception of friendship in the film 5 cm which includes the values of loyalty, struggle, sincerity, solidarity, mutual help, sacrifice and hard work. The method used in this research is descriptive method. The object of research is the public perception of the film 5 Cm with perception theory approach. To determine the number of respondents of this study using the sample population. The population in this study were students of SMK Negeri 1 Barumun Padang Lawas, amountingÂ toÂ 360Â peopleÂ throughoutÂ theÂ classÂ X,Â XI,Â XIIÂ DepartmentÂ ofÂ Computer Engineering and Networks (TKJ) of SMK Negeri 1 Barumun. And sampling techniques used in this research is purposive sampling by taking a sample of 40 people or 10% of the total population. Data collection techniques used is to spread out the questionnaire, literature study and documentation. Data analysis techniques in the study of data analysis techniques using descriptive method by describing and explaining the data obtained during the study. These results indicate that the film 5 Cm is a film that provides benefits to the community. The majority of students have a perception that tend to be positive about the values of friendship that exist in the film 5 Cm.