bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Relationship between Atherosclerosis and Non-Alcoholic Fatty Liver Disease According to Polysystemic Ultrasound of the Arteries and Hepatic Steatometry
Authors: Dynnyk O. B. , Mostovy S. E. , Boyko G. L. , Nastenko E. A. , Gnoeva N. G. 
Published: September 2020

Introduction. Coronary heart disease (CHD) remains the most common cause of death and disability in Ukraine and around the world. CHD is caused by atherosclerosis. Non-alcoholic fatty liver disease (NAFLD) is considered an independent predictor of CHD.
Aim. To identify the relationship between atherosclerosis and NAFLD according to polysystemic ultrasound (ps-US) of the arteries and liver steatometry.
Materials and methods. We conducted an open prospective study in 2019 of 93 people, including 58 women and 35 men aged 22 to 79 years. Chronic CHD was detected in 36 patients and 57 apparently healthy individuals. US was performed by Soneus P7 (Ultrasign, Ukraine). We determined condition of the abdominal organs in the B-mode as well as the amount extent of hepatic steatosis – through steatometry by attenuation coefficient (AC) measurement – ACM) for the diagnosis of NAFLD. Atherosclerosis of the abdominal aorta and common carotid arteries (atherosclerotic plaques and the thickness of the intima-media complex) was detected.
Results and discussion. There was an increase in AC (a sign of NAFLD) in 36 patients with CHD. The presence of carotid atherosclerosis confirms a higher percentage of patients with signs of hepatosis in the CHD group.
Conclusions. An innovative method of quantitative ultrasound of hepatosteatosis (steatometry) can be used as a screening for the detection of NAFLD in population studies. The relationship between markers of atherosclerosis and NAFLD has been revealed according to the data of ps-US of the arteries and hepatic steatometry which allows to prescribe comprehensive treatment and evaluate its effectiveness. NAFLD can be a predictor of atherosclerosis and the formation of CHD, which gives grounds for the primary prevention of the latter.
Covid-19 ve Ergoterapi: Salgın Hastalıklara Hızlı Cevap Verme ve Hazırlıklı Olma Boyutuyla Bir Gözden Geçirme Çalışması
Authors: SALAR Sinem , AKEL Semin 
Published: September 2020

Dünya’nın globalleşmesi salgın hastalıkların yayılmasını kolaylaştırırken toplum sağlığını korumada da birlik içinde olmayı öğretmektedir. Bu nedenle, sağlık sisteminin parçası olan her profesyonel gibi ergoterapistlerin de salgın hastalık gibi halk sağlığını etkileyen durumlarda hazır olması gerekmektedir. Bu çalışmanın amacı; COVID-19 pandemisi sürecinde tüm ihtiyacı olan bireylere yönelik rehabilitasyonu planlama için ergoterapistlerin rol ve sorumluluklarını derlemektir. Bu süreçte kişilerin okupasyonlarını yürütme ve okupasyonlara ulaşma sırasında yaşadığı değişimler, adaptasyonlar ve bunların sonuçları ergoterapi açısından önemlidir. COVID-19 pandemisi ile ortaya çıkan ihtiyaçlara yönelik ergoterapistlerin hazır olması gereken alanlar bu derleme ile sıralanmıştır. Bireyi bütüncül değerlendiren ergoterapistler güvenli ve sağlıklı kalmak için enfeksiyon kontrol önlemlerine uyma, erişme ve kullanma sırasında hayati ihtiyaçları mental sağlık, irade, psikolojik-fiziksel boyutları ile anlayabilir. Pandemiden en fazla etkilenen ülkelerden gelen yayınlar, Dünya Sağlık Örgütü, Dünya Ergoterapistler Federasyonu, Amerikan Ergoterapi Derneği bazı temel konular üzerinde durmaktadır. Kaynaklara ulaşma, günlük yaşam aktiviteleri, akut bakım, iletişim, mobilite, stigma, sosyal izolasyon, mental sağlık ve iyi olma hali bu konular arasındadır. Bu derlemede, bahsedilen durumlara yönelik hizmet verilmesi için gerekli olan telesağlık, mental sağlık çalışmaları, bireysel/aile/toplum çalışmaları, yardımcı teknoloji, akut bakım konuları ele alınmıştır.
COVID-19, UNA OPORTUNIDAD PARA REFLEXIONAR SOBRE LA TOMA DE DECISIONES EN INCERTIDUMBRE
Authors: Borrell carrió Francisco 
Published: September 2020

En una crisis sanitaria son múltiples los agentes que confluyen para delimitar el curso de los acontecimientos: profesionales de la salud, gestores, políticos, economistas, periodistas, etcétera, y, por supuesto, cada uno de los ciudadanos. El pensamiento crítico (que nosotros preferimos llamar “cognición educada”) es una metodología que puede aplicarse a las decisiones tomadas en incertidumbre con el objetivo de mejorar su calidad. En el presente trabajo analizamos hasta qué punto los representantes institucionales (y otros profesionales implicados en la presente crisis) siguieron normas básicas del pensamiento crítico. Y, asimismo, identificamos fenómenos de tipo grupal y personal (entre otros: pensamiento mágico, gregarismo, pensamiento único, negacionismo, conocimiento privilegiado, efecto circular de persuasión, furor salubrista, sesgo de representatividad, previsión de costes, etcétera.) en el origen de decisiones de baja calidad. Por otro lado, describimos cómo estos fenómenos pueden compensarse, a nivel grupal (neutralidad epistémica, selección de expertos, transparencia de las conversaciones de alto nivel, etcétera) como personal (entrenamiento perceptivo, modelos explicativos, distinguir conocimiento privilegiado de evidencia, calibrar la intensidad de una creencia, etcétera). El pensamiento crítico puede y debe enseñarse como piedra de toque de cualquier formación reglada, para asegurar decisiones futuras de calidad en cualquiera de los niveles que podamos considerar.
PENGGUNAAN FLASHCARD EMOJI DALAM MENINGKATKAN KECERDASAN INTERPERSONAL PADA ANAK TK A SARTIASARI SURABAYA
Authors: Ariyanti Eny 
Published: September 2020

This research aims to improve children's interpersonal intelligence group A Kindergarten school year Sartiasari 2018-2019 by using a flashcard learning emoji. This research is a Research Action Class (PTK) conducted two cycles. The subject in this study A group of Kindergaten children Sartiasari Surabaya with age 4-5 years totalling 28 children. The object in this study was interpersonal intelligence. Data collection techniques in the study by observation and documentation. Research instrument used observation and guidance on analysis in quantitative descriptive. The results showed the ability of interpersonal intelligence of children can be improved through learning flashcard emoji. Kids are invited to know the range of expression flashcard emoji, emoji range expressions mimicked the flashcard, classify and guess her friend's expression with a flashcard emoji. The ability to know the range of expression on pre cycle reached 35.6%, then in the cycle I completeness average percentage of learning increased to 46.42% and the average percentage of completeness study on cycle II increased to 85.71%. Improvement of pre cycle to cycle I of 10.82%, and an increase from cycle I to cycle II amounted to 39.29%.
Key words: interpersonal intelligence, flashcard emoji, kindergarten
UPAYA MENINGKATKAN KREATIVITAS ANAK USIA 3-4 TAHUN MELALUI MEDIA POPING (POHON PISANG) DI PPT MADANI KLAMPIS NGASEM SURABAYA
Authors: . SUJATI 
Published: September 2020

The current phenomenon in the education system only emphasizes cognitive abilities. In connection with this, the researchers conducted research by developing the creativity of children in the 3-4 year age group at PPT Madani. The purpose of this study is to increase the creativity of students using POPING (banana tree) media.The type of research used was the design of Kemmis and Mc Taggart and carried out in two cycles. The data collection technique used was observation to determine the fluency and originality aspects and interviews to find out flexibility and elaboration. Data analysis techniques in this study are qualitative descriptive and quantitative description of percentages.The improvement results are shown in cycle I and cycle II are known to increase from 50% to 85%. It can be concluded that students' creativity in making toys from POPING (banana tree) is very high.
Keywords: creativity, POPING (banana tree)
GAMBARAN FAKTOR RISIKO INSIDEN KANKER OVARIUM DI RSUD ARIFIN ACHMAD PROVINSI RIAU
Authors: Agusweni Trisia , Dewi Yulia Irvani , Erwin Erwin 
Published: September 2020

Kanker ovarium dikenal sebagai silent killer karena pada stadium awal penyakit ini tidak menunjukkan gejala klinis yang spesifik. Penyebab kanker ovarium belum diketahui secara pasti akan tetapi berbagai faktor risiko diduga memiliki pengaruh terhadap timbulnya kanker ini. Penelitian ini bertujuan untuk mengetahui gambaran faktor resiko terhadap insiden kanker ovarium di RSUD Arifin Achmad Provinsi Riau. Penelitian menggunakan desain penelitian deskriptif analitik dan pendekatan retrospektif. Sampel penelitian 88 responden (rekam medik) yang diambil berdasarkan kriteria inklusi menggunakan teknik purposive sampling. Analisis yang digunakan adalah analisis univariat untuk mengetahui gambaran distribusi frekuensi. Hasil penelitian menunjukkan dari 88 responden sebanyak 63 responden (71,6%) tidak memiliki riwayat keluarga dengan kanker, stadium IIIC sebanyak 62 responden (70,5%), usia menarche 5-12 tahun sebanyak 70 responden (79,5%), 36 responden (40,9%) primipara, dan sebanyak 66 responden (75%) tidak ada riwayat memakai alat kontrasepsi, menggunakan alat kontrasepsi pil sebanyak 8 responden (9,1%) yang lama pemakaian alat kontrasepsi selama 1 tahun sebanyak 7 responden (8%) dan 88 responden (100%) tidak mengkonsumsi obat subur. Berdasarkan hasil penelitian dapat disimpulkan gambaran usia menarche 5-12 tahun, diharapkan kepada orang yang memiliki faktor resiko kanker ovarium untuk melakukan deteksi dini sebagai upaya pencegahan terhadap kanker ovarium.
Histomorphological Spectrum of Diseases in Endobronchial Biopsy
Authors: Shrestha Richa , Shrestha Anil , Yogi Subash 
Published: September 2020

Aim: To study the histomorphological pattern of disease in endobronchial biopsy in Nepalgunj Medical College Teaching Hospital (NGMCTH), Kohalpur.
Background: Study of endobronchial biopsy is mainly indicated for malignancies, however, various other conditions including inflammatory pathology can be correctly identified.
Material and Methods: This is a hospital based descriptive study carried out at Department of Pathology, NGMC, Kohalpur from August 2017 to July 2018. The study included 51 cases of endobronchial biopsy. All bronchial biopsies were processed according to the standard method and the detail microscopic findings were studied and the data were analysed statistically.
Result: The age of patients ranged from 20-80 years. Cough was the most common presenting symptom. Most common benign pathology was tuberculosis and among malignancies squamous cell carcinoma was common histopathological diagnosis.
Conclusion: Identification of lung pathology at early stage with correct histological morphology is important to decrease morbidity and mortality related to both benign and malignant condition.
Surgical Management of Gastric Cancer: An Institutional Experience
Authors: Sharma Anup , Thapa Pradip 
Published: September 2020

Introduction: Gastric cancer (GC) is the second most common cause of cancer-related deaths causing about 800,000 deaths worldwide/year. In Nepal gastric cancer is the second common cancer among males after the lung cancer. Gastric cancer shows a wide variation in incidence worldwide, being highest in Korea and Japan. It is detected early due to the low threshold for upper gastrointestinal endoscopy and screening programs. In the rest of the world and particularly in developing countries, GC is advanced in most of the cases. Inspite of controversies in extent of resection and lymphadenectomy, surgery remains the gold standard treatment. The study was conducted to determine the outcome of the patients with gastric cancer.
Methods: The study was conducted in the department of surgery at Nepalgunj Medical College and Teaching Hospital Kohalpur from November 2015 to Dec 2018. Patients diagnosed with GC were studied. The patients with resectable disease underwent radical resection followed by adjuvant chemo-radiation as indicated. Patient’s demography, clinical presentation, stage of disease, types of surgery performed and survival were analysed.
Results: 58 patients were diagnosed with gastric cancer. The age ranged from 20-83 years with the mean of 61.26±11.28. Male to female ratio was 2.41: 1. The common clinical presentations were weight loss, anorexia and anemia, 17 (29.31%) had gastric outlet obstruction at initial presentation and 4 (6.89%) presented with perforation peritonitis. Antropyloric region was the commonest site of tumor location seen in 41 (70.68%). 7 (12.06%) patients had distant metastasis and 5 (8.62%) had ascites at presentation. Out of 58 patients, 43 (74.13%) were operated. Only 18 (41.86%) patients underwent R0 resection. 14 (24.13%) underwent palliative gastrojejunostomy. Two (3.44%) patients underwent primary repair for perforation and in 9 (15.51%) the procedure was abandoned due to and presence of metastasis. There was one post-operative mortality. The histology of gastric cancer was found to be adenocarcinoma in all patients. There was no patient in stage I. 3(16.66%) patients were in stage II and 15 (83.33%) in stage III. 17 (29.31%) had stage IV disease. Out of 43 operated patients, 13 lost follow up. All 17 resected patients and those with metastatic disease were followed up. There was no death and no local recurrence in stage II. In stage III, 78.57% were alive and in stage IV 35.29% were alive.
Conclusion: Gastric cancer is one of the common gastrointestinal malignancies affecting predominantly male gender. Stage of the disease is one of the major prognostic factors related with the survival. Adenocarcinoma is the commonest histology. Radical resection followed by adjuvant chemotherapy is the standard of care. Palliative chemotherapy can prolong the overall survival in patients with metastatic disease.
Diagnosis and Management of Choledochal Cyst : A Single Center Experience
Authors: Malla Bala Ram , Shakya Yagya Ratna , Rajbhandari Nripesh 
Published: September 2020

Objective: Choledochal cyst is cystic dilatation of intrahepatic and/ or extrahepatic bile duct. Its incidence is 1 in 1000 in Asian population. The objective of the study was to study the presentation, diagnosis, treatment and postoperative outcome of choledochal cyst operated in Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Nepal.
Methods: This retrospective study was done by reviewing all the records of patients with choledochal cyst who underwent operative treatment in Dhulikhel Hospital from January 2015 to July 2019.
Results: We analyzed twenty cases of Choledochal cyst. It was found to be common in age group (21-30 ) years with female preponderance (85%). Most common presenting symptom was abdominal pain. Abdominal Ultrasonography was the initial diagnostic tool. Todani type I choledochal cyst was the commonest type. All the cases underwent complete excision of extrahepatic biliary tree followed by hepato-jejunostomy. There was no post-operative anastomosis stricture in follow up period.
Conclusion: Choledochal cyst presents commonly with abdominal pain. It can be diagnosed with abdominal ultrasonography. It has good outcome if treated adequately with good surgical technique.
Bencana Kabut Asap dalam Bingkai Media Online
Authors: Sujoko Anang , Apriliani Candra , A.R Fikri 
Published: September 2020

Peristiwa kebakaran hutan di Indonesia merupakan peristiwa yang sudah berulangkali terjadi di setiap musim kemarau, sehingga media memiliki perspektif penting dalam menyajikan berita tersebut. Penelitian ini bertujuan untuk menganalisis media Sindonews membingkai peristiwa kebakaran hutan di Indonesia selama Oktober 2015. Penelitian ini menggunakan metode penelitian analisis framing Model Pan dan Kosicki. Hasil penelitian menunjukkan bahwa Sindonews membingkai kebakaran hutan mencapai titik yang sangat bahaya. Sejumlah 70 berita Sindonews cenderung menekankan tema pada dampak dari bencana kabut asap dan lambannya pemerintah dalam menangani bencana ini menjadi sudut pandang yang dominan. Sindonews membingkai lambannya respon pemerintah tersebut dengan kinerja pemerintahan.
Sensitivity and uncertainty analysis for a radioecological model / Sensitivitäts- und Unsicherheitsanalyse eines radioökologischen Modells
Authors: Ünver Ö. , Kocar C. , Tuncel G. 
Published: September 2020

Abstract
Uncertainty and sensitivity analysis were conducted for a radioecological model which was developed and applied for severe accident scenario for Akkuyu NPP in Turkey. Uncertainty was investigated in the doses and activity concentrations. Sensitivity analysis was conducted to find out most influencing parameters on the doses. 96 parameters, related with foodstuffs, feedstuffs and grass, inhalation rate and reduction factor for external irradiation, and transfer of 137Cs, 134Cs and 131I isotopes, were studied by probabilistic methods. Latin Hypercube Sampling method was used to generate random parameters. In sensitivity analysis Spearman rank coefficients between the parameters and doses were calculated. The uncertainty analysis proves that the lifetime doses are in the range of 4.8 - 32 mSv and short-term doses are in the range of 1.1 - 2.8 mSv when all parameters vary simultaneously. Sensitivity analysis proves that soil-plant and feed-cow milk transfer factors for cesium, beef and grain consumption, and reduction factor for external irradiation have more influence on the lifetime doses, and transfer factor for cow milk for iodine and interception factor for grass also affect the short-term doses.
Validation of a new neutronics/thermal hydraulics coupling code for steady state analysis of light water reactors / Analyse stationärer Betriebsbedingungen in LWR durch gekoppelte Rechnungen
Authors: Safavi A. , Esteki M. H. , Mirvakili S. M. , Khaki M. 
Published: September 2020

Abstract
One of the most important issues in nuclear reactor operation and its designing is considering the interaction between thermal hydraulics and neutronics physics because there is an important relationship between the states of fluid and neutron spectrum and power distribution. In this research, the MCNP4C and COBRA-EN nuclear codes were coupled with each other to precisely analyze the fuel assembly of the light water reactor core. This coupling was carried out using iterative processes between the linked neutronic and thermal-hydraulic codes applying successive procedures while the desired convergence was made in both. The newly designed code was checked for three test problems, and the obtained results showed the improvement of the computations procedures by the developed code.
Solution of the VVER-1000 full core calculation benchmark by the KARATE code system
Authors: Temesvári Emese , Hegyi György , Hordósy Gábor , Maráczy Csaba 
Published: September 2020

Abstract
The VVER-1000 Full Core Calculation Benchmark was presented in the 26th AER Symposium in 2016. Recently there are several solutions of this benchmark made by several reactor physics codes. In this paper the solution of the benchmark calculated by the KARATE code system will be presented in details and some comparisons to the reference solution will be shown.
SKETCH-N/ATHLET steady-state and dynamic coupling scheme verification on Kalinin-3 benchmark results
Authors: Romanenko Vladislav , Zimin Vyacheslav , Nikonov Sergey , Tikhomirov Georgy , Perin Yann , Henry Romain , Velkov Kiril 
Published: September 2020

Abstract
The paper describes the multi-physics coupling scheme between the SKETCH-N nodal neutronics code and the best-estimate thermohydraulic code ATHLET v3.2. Some first results are discussed. Various possible options of coupling have been considered. A scheme is selected and applied for data exchange between the codes based on MPI library. The verification and validation were performed using the transient of the Kalinin-3 international Benchmark. The simulation results show good agreement with experimental data and calculations performed by the participants of the benchmark. Parallel to the coupling scheme development, a visualization system to process the results is being created. The steady-state analysis is carried out using both simple and complex thermohydraulic models. The calculations of the transient \Switch off of one MCP (Main Coolant Pump) at nominal power" is performed applying a more elaborate thermohydraulic model taking into account inter- channel mass transfer.
Assessment of the VVER-1200 reactivity coefficients on the basis of the data measured at the energy power levels
Authors: Pinegin A. A. , Gomozov K. I. , Semenov S. V. , Shcheglov A. S. 
Published: September 2020

Abstract
Reactivity coefficients in respect to the fuel temperature and coolant density are the important integral parameters, which determine behavior of nuclear reactors in case of accidents. Experimental justification of these coefficients in the operating reactor is a quite complicated task. Changes of the coolant density and fuel temperature are the interdependent processes, which are difficult to separate. Experiments with excitation of axial and diametrical xenon oscillations, which were initiated by moving of the CPS CR (control rods of the control and protection system) group or an individual CPS CR, were carried in the framework the commissioning tests in the VVER-1200 reactor. Using the methods of mathematical statistics, we carried out multiple modelling of experiments with excitation of axial and diametrical xenon oscillations. Actual values of the reactivity coefficients, as well as some other parameters ensuring the best agreement of the calculated and experimental data were evaluated with the help of Bayes theorem.
Experimental Study for Assessment of Cutting Density Effect on Hole Cleaning Efficiency in Inclined and Horizontal Wells
Authors: Mohammed Sahmi E , H. M. Almahdawi Faleh 
Published: September 2020

The poor hole cleaning efficiency could causes many problems such as high torque, drag, poor hydraulics and pipe stuck. These inherent problems result in an avoidable high operation cost which this study tried to address. In this study, the effect of cutting density on hole cleaning efficiency in deviated and horizontal wells was investigated. Experiments were conducted using 40 feet (12 m) long of flow loop made from iron and PVC. However, the test section was made from PVC with (5.1m) long and (4” ID) for outer pipe and (2” OD) inner pipe. The cutting transport ratio (CTR) was determined from weight measurements for each test. Cutting Transport Ratio has been investigated for effects of the following parameters; flow rate, cutting size and density, yield point of drilling mud, and inclination angle. Once the setup was positioned at the desired inclination, the cutting was transported for 3 minutes at a constant flow rate and yield point. The amount of cutting removed during each test was thereafter weighted to determine cutting transport ratio CTR.
The results obtained from this study showed that the cutting density has a slight to moderate effect on hole cleaning efficiency. Also, there was a remarkable improvement in the cutting transport ratio annular velocity and hole inclination angle was increased. However, the yield point (Yp) was negligible at maximum values of annular velocity. Therefore, at high value of yield point the cuttings with large and medium size were transported more than small size. This case is inversed at a low value of Yp. Moreover, for all sizes the heavy cutting transport less than light cutting. Finally, the critical angle was recorded between 65o-75o. Sigma plot 12.5 program has been used to graph all figures in this paper.