bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penghentian obat anti tuberkulosis pada meningitis tuberkulosis
Authors: Pratiwi Sujie , Ramadhan Mochamad Iskandarsyah Agung , Kartika Merry , Imran Yudhisman 
Published: April 2020

LATAR BELAKANGPenghentian Obat Anti Tuberkulosis (OAT) pada dugaan Meningitis Tuberkulosa (METB) dapat dilakukan dengan penilaian gejala klinis, dan Computerized Tomography (CT) Scan kepala dengan kontras.
DESKRIPSI KASUSPasien laki-laki, usia 36 tahun, dibawa ke instalasi gawat darurat (IGD) RS Hermina Daan Mogot dengan keluhan penurunan kesadaran bertahap sejak 1 hari yang lalu. Pasien mengeluh nyeri kepala yang memberat dalam 3 bulan, demam naik turun sejak 1 bulan. Pasien memiliki riwayat kontak serumah dengan penderita Tuberkulosis (TB). Pada pemeriksaan neurologi didapatkan, Glasgow Coma Scale (GCS) E3M5V2, tanda rangsangan meningeal (+) dan test HIV (-). CT Scan kepala dengan kontras didapatkan penyengatan kontras minimal di daerah sisterna silvii bilateral dan sisterna basalis dan kronik iskemik serebral infark pada frontoparietal kanan. Pasien mendapatkan tata laksana antiedema dan OAT kategori I. Setelah terdapat perbaikan klinis berupa perbaikan kesadaran menjadi compos mentis dan derajat nyeri kepala berkurang, pasien pulang dengan tata laksana antiedema, OAT dan antiplatelet. Saat rawat jalan pasien masih mengeluhkan nyeri kepala, dilakukan pemeriksaan CT Scan kepala, masih terdapat penyengatan kontras hingga bulan ke-12 dan ke-15. Pada bulan ke-18 pasien sudah tidak mengeluhkan nyeri kepala dan tidak terdapat penyengatan kontras pada CT scan kepala sehingga OAT dapat dihentikan.
KESIMPULANPemberian OAT bervariasi pada setiap individu. Perpanjangan dan penghentian terapi dipertimbangan berdasarkan kondisi pasien dan dapat didukung dengan pemeriksaan penunjang seperti CT Scan kepala.
Thermal and hydraulic investigation of large-scale solar collector field
Authors: Lal Shrestha Nirendra , Frotscher Ophelia , Urbaneck Thorsten , Oppelt Thomas , Göschel Thomas , Uhlig Ulf , Frey Holger 
Published: April 2020

Large collector fields are increasingly being integrated into district heating systems. Due to the operation mode of these networks, the solar system must provide the desired supply temperature. Therefore, knowledge of thermal-hydraulic behavior and energy efficiency are very important for planning, operation and control. The study presents the investigation of two large-scale solar collector fields in Chemnitz (Germany).
Healing of equine heel bulb lacerations: Evidence behind casting compared to bandaging alone
Authors: Dubuc Julia , Ruiz Jonny 
Published: April 2020

PICO question
In horses with heel bulb lacerations, does casting the distal limb compared to bandaging result in increased speed of healing and functional outcome?

Clinical bottom line
Category of research question
Treatment
The number and type of study designs reviewed
A single retrospective study was found to be relevant to the topic along with one case report and two case series, including one tutorial article
Strength of evidence
The majority of the current recommendations come from expert opinions, making the level of evidence low
Outcomes reported
There are currently insufficient data to compare the effect of foot/slipper casts versus bandaging alone on the rate of healing of equine heel bulb lacerations
Conclusion
Based on the information from these three publications, it is not possible to recommend the use of a foot cast over a bandage alone at this time

How to apply this evidence in practice
The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.
Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.
PENGARUH RSNI 1726:2018 BERDASARKAN PETA GEMPA INDONESIA 2017 TERHADAP DESAIN BEBAN GEMPA SEISMIK DI KALIMANTAN SELATAN
Authors: Purnamasari Eka 
Published: April 2020

Berdasarkan Peta Gempa Indonesia 2017 dan ASCE 7-16 maka disusunlah Rancangan Peraturan Gempa Indonesia RSNI 1726:2018. Sesar Tarakan, sesar Mangkalihat, dan sesar Meratus merupakan tiga zona sesar utama di pulau kalimantan. Sesar yang berada disekitar Kalimantan Selatan yaitu sesar meratus dengan arah NE-SW yang dikenal juga sebagai zona sesar anjak. Sesar-sesar tersebut memiliki panjang lebih dari 100 km yang dapat berpotensi menimbulkan gempa dengan magnitudo 7.
Sebagai bahan penelitian maka dipilihlah 14 kota besar di Kalimantan Selatan yang berada dizona gempa yang berbeda sesuai dengan Peta Gempa Indonesia 2017. Berdasarkan RSNI 1726:2018 terdapat penetapan nilai Koefisien Situs Fa dan Fv yang baru, dimana hal tersebut mempengaruhi besarnya Spektrum Respons Desain dan Kategori Desain Seismik.
Terjadi penurunan rasio nilai Ss pada Kab. Tabalong dan peningkatan nilai Ss terbesar pada daerah pegunungan meratus dan Kab. Tapin. Pada Spektrum Respons Perioda Pendek 0,2 detik (SDS) pada semua kota di kalimantan selatan terjadi penurunan rasio berdasarkan kelas situs, dengan nilai kelas situs tanah keras (SC) lebih besar dari kelas situs tanah lunak (SE). Sedangkan sebaliknya dari Spektrum Respons Perioda 1-detik (SD1) terjadi peningkatan rasio berdasarkan kelas situs, dengan nilai kelas situs tanah lunak (SE) lebih besar dari pada kelas situs tanah keras (SC). Struktur bangunan dengan kategori resiko IV didapati memiliki kategori desain seismik tertinggi yaitu KDS D Pada Situs Tanah Keras (Sc) terjadi pada daerah yang berada dalam peta zona gempa Ss senilai 0,3 s.d 0,4g; KDS D Pada Situs Tanah Sedang(SD) terjadi pada daerah yang berada dalam peta zona gempa Ss senilai 0,25 s.d 0,4g; KDS D Pada Situs Tanah Lunak (SE) terjadi pada daerah yang berada dalam peta zona gempa Ss senilai 0,05 s.d 0,4g.
SISTEM KELAYAKAN INVESTASI REAL ESTATE PADA PERUMAHAN CITRA GARDEN
Authors: Nirwana Hanifah Dwi 
Published: April 2020

real estate. Tinjauan terhadap aspek pasar, legal, teknis dan lingkungan serta finansial merupakan bagian penting dalam menetukan kelayakan investasi. Urut-urutan proses dalam melakukan kajian terhadap aspek-aspek tersebut kebanyakan tidak dilakukan oleh pengembang secara sistematis, sehingga memerlukan waktu yang relatif lama. Untuk memudahkan pengembang dalam melakukan kajian terhadap kelayakan investasi real estate perlu dibuat suatu rangkaian prosedur yang sistematis dan terintegrasi ke dalam suatu sistem. Sistem Kelayakan Investasi Real estate (SKIR) yang disusun pada penelitian ini dibatasi pada perumahan skala menengah ke atas yang berlokasi di Kota Banjarmasin dan sekitarnya. Sistem ini diwujudkan ke dalam lingkungan berkomputer, dengan harapan proses dalam melakukan kajian kelayakan menjadi lebih efektif. Hasil dari penelitian ini berupa Program Aplikasi Sistem Investasi Real estate. Sistem ini menggunakan sistem operasi Windaw XP dengan bahasa pemrograman Microsoft Visual Foxpro 9.0 dimana dalam program aplikasi dapat langsung terkoneksi ke database. Validasi program SKIR ini diujikan dengan obyek studi Perumahan Citra Garden dengan hasil sistem dapat berjalan dengan baik.
A visita técnica como método de ensino para guias de turismo: o Morro da Urca como local de visita e aprendizagem histórica
Authors: Nascimento Júnior José Lúcio 
Published: April 2020

Este artigo parte das categorias produção de sentido, produção de presença e consciência histórica como referência para analisar um método de Ensino de História no curso Técnico em Guia de Turismo. Considerando que um professor, para ensinar, recorre a diferentes saberes e esses possibilitam o uso de diferentes métodos, a escolha da visita técnica como ferramenta de ensino liga-se a possibilidade de junção de dois objetivos no ensino de história para futuros guias de turismo: a aprendizagem histórica e a experimentação do atrativo como local visita e estudo.
A escuta como forma de testemunhar o sofrimento vivido por crianças na Segunda Guerra Mundial
Authors: Flor Dalânea Cristina , Otto Claricia 
Published: April 2020

"As Últimas Testemunhas - Crianças na Segunda Guerra Mundial”, da Nobel de literatura Svetlana Aleksiévitch, apresenta uma centena de relatos de adultos que vivenciaram a segunda Guerra Mundial durante a infância. Os relatos, coletados entre os anos e 1978 e 2004 e somente traduzido para o português em 2018, trazem o modo como cada adulto, na época criança, viu, sentiu e viveu os horrores da Guerra e como cada um lida com esta experiência após tantos anos.
Pengaruh Kecepatan, Kelincahan, Dan Motivasi Terhadap Kemampuan Menggiring Bola Pada Permainan Sepakbola Murid SD Inpres Bontomanai Makassar
Authors: Nurwirhanuddin  , Suprianto  
Published: April 2020

ABSTRACT
The study aims at examining the speed, agility, and motivation on ball dribbling abilities in football game of students at SD Inpres Bontomanai Makassar. The populations of the study were all students class 4, 5 and 6 at SD Inpres Bontomanai. The samples were taken by purposive sampling technique. The study is descriptive research with path analysis research. Data were analyzed by employing statistics descriptive analysis and inferential analysis with SPSS 22 program. The results of the study are: (1) there is direct influence significantly of speed on motivation in football game of students at SD Inpres Bontomanai Makassar by 34%, (2) there is direct influence significantly of agility on motivation in football game of students at SD Inpres Bontomanai Makassar by 61%, (3) there is direct influence significantly of speed on ball dribbling abilities in football game of students at SD Inpres Bontomanai Makassar by 33%, (4) there is direct influence significantly of agility on ball dribbling abilities in football game of students at SD Inpres Bontomanai Makassar by 37%, (5) there is direct influence significantly of motivation on ball dribbling abilities in football game of students at SD Inpres Bontoimanai Makassar by 33%, (6) there is direct influence significantly of speed on motivation in football game of students at SD Inpres Bontomanai Makassar by 11%, and (7) there is direct influence significantly of agility on motivation in football game of students at SD Inpres Bontomanai Makassar by 20%.
Keywords: speed, agility, motivation, ball dribbling abilitie
Faber Polynomial Coefficient Estimates for Subclass of Analytic Bi-Bazilevic Functions Defined by Differential Operator
Authors: Et al. Juma 
Published: April 2020

In this work, an explicit formula for a class of Bi-Bazilevic univalent functions involving differential operator is given, as well as the determination of upper bounds for the general Taylor-Maclaurin coefficient of a functions belong to this class, are established Faber polynomials are used as a coordinated system to study the geometry of the manifold of coefficients for these functions. Also determining bounds for the first two coefficients of such functions.
In certain cases, our initial estimates improve some of the coefficient bounds and link them to earlier thoughtful results that are published earlier.
Evaluation of Separation Factors Used in Wellbore Collision Avoidance
Authors: Bang Jon , Nyrnes Erik , Wilson Harry 
Published: April 2020

Summary
Separation factor (SF) is a widely used parameter for specifying the safe distance between two wells, and for monitoring safe distance while drilling. A variety of SF formulas is commonly applied in the industry. This paper demonstrates that different SF formulas may give significantly different results when applied to the same scenarios. This may create confusion about the interpretation and validity of the various SF definitions. More worryingly, the application of an incorrect SF formula may lead to wrong decisions with respect to well placement.
A valid SF formula must adhere to fundamental principles of mathematical statistics, as elucidated in this paper. The paper further reviews commonly used SF formulas against these principles. The evaluation shows that several SF formulas may give either overly optimistic or unnecessarily pessimistic results, and, therefore, should not be used. These conclusions are supported by numeric examples.
SF formulas in common use apply to a point-to-point model. However, an important application of the SF parameter is the monitoring of changes in SF along a wellbore. This implies the calculation of SF for successive point pairs, resulting in an SF listing or graph. Notable conclusions of the study are that none of the currently used formulas produces both intuitive and correct SF graphs, and that the validity of an SF graph cannot in general be assessed from its visual appearance alone. Furthermore, the current common practice of selecting the point pairs by solely geometric-distance criteria should be changed, because it frequently leads to optimistic SF values. All these findings should be of major concern to the industry.
Large-scale sequencing combined with bioinformatics analysis reveals KLF8 an apoptosis repressor in hepatocellular carcinoma
Authors: Xing Hao , Zhang Jin , Zheng Kai-Lian , Wang Ming-Da , Han Jun , Li Chao , Li Zhen-Li , Wu Han , Liang Lei , Wu Meng-Chao , Shen Feng , Yang Tian 
Published: April 2020

Abstract
The authors have requested that this preprint be withdrawn due to a need to make corrections.
A high dietary fiber randomized clinical trial reduces gestational weight gain, fat accrual, and postpartum weight retention
Authors: Hull Holly R. , Herman Amy , Gibbs Heather , Gajewski Byron , Krase Kelli , Carlson Susan E. , Sullivan Debra K. , Goetz Jeannine 
Published: April 2020

Abstract
Background: Interventions to prevent excessive gestational weight gain (GWG) have had limited success This pilot study examined the effectiveness of a single goal (SG) high dietary fiber intervention to prevent excessive GWG. Methods: Twelve weekly lessons focused on consuming a high fiber diet (≥30 g/day). Snacks containing 10-12 g of dietary fiber were given for the first six weeks only. Body composition was measured at baseline and at the end of the intervention. At one-year postpartum, body weight retention and dietary practices were assessed. A p-value is reported for the primary analysis only. For all other comparisons, Cohen’s d is reported to indicate effect size. Results: The SG group increased fiber intake during the study (32 g/day at 6 weeks, 27 g/day at 12 weeks), whereas the UC group did not (~17 g/day). No differences were found for the proportion of women classified as excessive gainers (p=0.13). During the intervention, the SG group gained less body weight (-4.1 kg) and less fat mass (-2.8 kg) (d=1.3). At one year postpartum, the SG group retained less weight (0.35 vs. 4.4 kg, respectively; d=1.8), and reported trying to currently eat high fiber foods. Conclusion: The SG intervention resulted in less weight gain, fat accrual, and weight retention at one year postpartum. A residual intervention effect was detected postpartum with the participants reporting continued efforts to consume a high fiber diet.
Psychiatric disorders risk in patients with iron deficiency anemia and association with iron supplementation medications: a nationwide database analysis
Authors: Lee Herng-Sheng , Chao Hsin-Hao , Huang Wan-Ting , Chen Solomon Chih-Cheng , Yang Hsin-Yi 
Published: April 2020

Abstract
Background: It has been shown that iron deficiency anemia (IDA) is associated with psychosocial consequences and psychiatric morbidity. However, the association between adults with IDA and psychiatric disorders has not been clarified. The purpose of this study was to investigate the psychiatric disorder morbidity of an IDA group in comparison with a non-IDA group and to examine the risk of psychiatric disorders in IDA patients treated with iron supplementation.
Methods: All study subjects were 20 years of age or over with newly diagnosed IDA enrolled in the Taiwan National Health Insurance Database from 2000 to 2012. We matched IDA and non-IDA subjects according to age and gender in a 1:2 ratio. Our primary outcome was diagnosis of psychiatric disorders and the patients were monitored until the end of 2013. A multivariate Cox proportional hazards regression model was used to explore the risk of psychiatric disorders in patients with IDA after adjustment for confounders, including demographic characteristics and comorbidities.
Results: The adjusted hazard ratios (aHRs) of psychiatric disorders was 1.49 (95% CI = 1.43–1.56) in the IDA group compared with the non-IDA group. Among the different types of psychiatric disorders, the IDA group was associated with significantly higher incidence and risks of dementia, anxiety disorders, depression, sleep disorders, and psychotic disorders ( p < 0.05). Furthermore, iron supplementation in IDA subjects was associated with a significantly lower risk of psychiatric disorders compared to non-iron supplementation in IDA patients.
Conclusions: Our study indicates that IDA subjects had an increased risk of psychiatric disorders, regardless of other confounders. In IDA patients, iron supplementation was associated with a decreased risk of psychiatric disorders. Moreover, IDA patients receiving iron supplementation also had a lower risk of sleep disorders.
Impact of socioeconomic status on patient experience on quality of care for ambulatory healthcare services in Tertiary hospitals in Southeast Nigeria.
Authors: Aloh Henry Egi , Onwujekwe Obinna E. , Aloh Obianuju G. , Okoronkwo Ijeoma L. , Nweke Chijioke Joel 
Published: April 2020

Abstract
Background: To determine how socioeconomic factors, such as level of education and employment status, affect patient experiences on quality of care for ambulatory healthcare services in teaching hospitals in southeast Nigeria. Methods: The study used a cross-sectional design to collect data using exit poll. A pre-tested structured questionnaire was administered on clients accessing care in the outpatient departments of three tertiary hospitals in Nigeria. The assessment of patient experiences for quality of care was based on five (5) domains of care: waiting time; environment of the outpatient department; quality of doctor’s care; quality of care by nurses/other health workers; and responsiveness of care. In addition, the overall quality of care was assessed. Results: The mean rating of patient experience of quality of care for the ambulatory care (outpatients’ visits) was 74.31 ± 0.32%. There were moderate differences among the hospitals for various levels of patients’ care, especially for waiting time, quality of doctors’ care and overall quality of care. Employment status was a statistically significant (p ≤ 0.05) determinant of overall patient experience rating for quality of care, while the level of patient’s education was an influence on the perception of waiting by the patients and their rating of care from nurses/other healthcare providers (apart from medical doctors). Conclusion: The study show that educational and employment status (measures of socioeconomic status) of patients determined how patients receiving ambulatory (outpatient) healthcare services perceived the quality of care in the hospitals. Hence, in order to ensure equity, there is need to institutionalize patient-centered care, giving full consideration to patients’ socioeconomic status. Keywords: Quality of care, Patient Experience, Socioeconomic Status, Hospitals, Nigeria.
Implementation of the WHO Hand Hygiene Strategy in Faranah Regional Hospital, Guinea
Authors: Müller Sophie Alice , Diallo Alpha Oumar Karim , Wood Rebekah , Bayo Mouctar , Eckmanns Tim , Tounkara Ousmane , Arvand Mardjan , Diallo Mamadou , Borchert Matthias 
Published: April 2020

Abstract
Background: Healthcare-associated infections are the most frequent adverse events in healthcare worldwide, with limited available evidence suggesting highest burden in resource-limited settings. Recent Ebola epidemics emphasize the disastrous impact that spread of infectious agents within healthcare facilities can have, accentuating the need for improvement of infection control practices. Hand hygiene (HH) measures are considered to be the most effective tool to prevent healthcare-associated infections. However, HH knowledge and compliance are low, especially in vulnerable settings such as Guinea.
The aim of PASQUALE (Partnership to Improve Patient Safety and Quality of Care) was to assess knowledge and compliance with HH and improve HH by incorporating the WHO HH Strategy within the Faranah Regional Hospital (FRH), Guinea.
Methods: In a participatory approach, a team of FRH staff and leadership was invited to identify priorities of the hospital prior to the start of PASQUALE. The local hygiene committee was empowered to increase its activities and take ownership of the HH improvement strategy. A baseline assessment of knowledge, perception and compliance was performed months before the intervention. The main intervention consisted of local alcohol-based-hand-rub (ABHR) production, with final product efficacy testing, in conjunction with a training adapted to the needs identified in the baseline assessment. A follow-up assessment was conducted directly after the training. Effectiveness of the intervention was assessed via uncontrolled before-and-after comparison.
Results: Baseline knowledge score (13.0/25) showed a significant increase to 19.0/25 in follow-up. Baseline-Compliance was 23.7% and increased significantly to 71.5% in follow-up. Compliance rose significantly across all professional groups except for midwifes and in all indications for HH, with the largest in the indication “Before aseptic tasks”. The increase in compliance was associated with the intervention and remained significant after adjusting for confounders. The local pharmacy successfully supplies the entire hospital. The local supply resulted in a ten-fold increase of monthly hospital disinfectant consumption.
Conclusion: The WHO HH strategy is an adaptable and effective method to improve HH knowledge and compliance in a resource-limited setting. Local production is a feasible method for providing self-sufficient supply of ABHR to regional hospitals like the FRH. Participatory approaches like hygiene committee ownership builds confidence of sustainability.
Outcome of intravitreal bevacizumab injection without pre and postoperative antibiotics
Authors: Shrestha Ruchi , Karki Pratap , Joshi Sagun Narayan 
Published: April 2020

Abstract
Backgound Intravitreal injections are the most common treatment modality for several retinal pathologies. Despite endophthalmitis being the most feared complication, antibioprophylaxis remains controversial in intravitreal injections. Methods This was a retrospective study done for a period of 2 years from 1st January 2017 to 31st December 2018 in BPKLCOS among patients receiving intravitreal bevacizumab. The intravitreal injection was given by a single surgeon. It included 503 eyes which received intravitreal bevacizumab over a period of 2 years without pre and postoperative antibiotics. Results Out of 503 eyes studied over a period of 2 years without antibiotic prophylaxis the rate of endophthalmitis was 0.0019% which is very low compared to the other studies with rate of endophthalmitis between 0.019-0.09%. Conclusion The risk of endophthalmitis was low even without pre/post-operative antibiotics. Intravitreal injection can be given safely without pre-operative and post-operative antibiotics. Trial Registration not applicable as it is a retrospective study.