bluuebunny/crossref_metadata_2025_split huggingface dataset:
Profile of Patients with Stroke in Western Region of Nepal: A Hospital based Retrospective Study
Authors: Lamichhane Buddhi Sagar , Thakuri Surya Bahadur Hamal , Dhakal Rabi Mohan , Dhakal Tulsi , Khanal Gopal 
Published: October 2020

Background: Stroke is one of the most common cause of morbidity and mortality worldwide. Approximately 50-85 percent of strokes are due to ischemic cerebral infarction and 7-27 percent to intracerebral hemorrhage. Since the incidence of stroke is increasing in our country, the study aims to identify various factors associated with stroke.
Materials and Methods: This is a retrospective study of 86 patients admitted in A & B International Hospital, which is a private hospital located in Pokhara ,Nepal from 1st January 2018 to 31st December 2019.The case notes were taken from hospital record section and relevant data extracted and analyzed. Approval from the hospital management was taken prior to collecting the case notes. Patients below 18 years of age, stroke due to trauma were excluded. The data were collected, and were analyzed using SPSS version 20.0 software
Results: Of the total 86 patients studied, the age range was from 36 years to 94 years with mean age of 64.3 years. Mean age in ischemic stroke was 66.7 years and in hemorrhagic stroke was 54.8 years. Stroke is more common in men than female (2.3:1 ratio) .Ischemic stroke accounted for 80.2 percent of cases and hemorrhagic stroke for 19.2 percent. Most common presentation included limb weakness, facial deviation and speech abnormality. Most common vascular territory involved was MCA territory infarction and small vessel strokes.
Conclusion: Stroke is prevalent in our country and the incidence rises with age. Ischemic stroke is more prevalent than hemorrhagic stroke. Mean age of hemorrhagic stroke is lower than that of ischemic stroke and hypertension is most commonly associated risk factor for both types of stroke.
Prevalence of Caesarean Section in Matri Shishu Miteri Hospital of Gandaki Province
Authors: Pageni Prem Raj , Adhikari Rajesh , Dhungana Padma Raj , Kafle Deepak Raj 
Published: October 2020

Background: Caesarean section (CS) is one of the commonest obstetrics procedure to reduce the risks for mother and fetus when vaginal delivery is not anticipated. The objective of the study was to determine the rate and clinical indication of Caesarean section.
Materials and Methods: This was a hospital based descriptive retrospective study done within a time frame of a year (from Shrawan 2075 BS to Ashad 2076 BS; 17 July 2018 to July 16 2019) in Matri Shishu Miteri Hospital, Pokhara, Nepal. The total number of deliveries, their modes of delivery, indication for the Cesarean section, age group, number of parity, period of gestation and type of Caesarean section either elective or emergency were descriptively analyzed.
Results: A total of five hundred and eighty eight cases underwent delivery during the study period. Of them 128 (21.76%) cases were delivered by Caesarean section. Analysis revealed that the common age group for the CS patients was between 20-30 years (64.8%) of them 66 (51.6%) cases were primi gravida. Emergency Caesarean section was done for 75(58.6%) cases and elective Caesarean section for 53(41.4%) cases. The most common indication for Caesarean section was found to be previous caesarean section 21% (n=27), cephalopelvic disproportion (CPD) 18% (n=23), fetal distress 18% (n=23), failed induction 14.1% (n=18), breech presentation 10.2 %( n=13), non progress of labor (NPOL) 9.4 %( n=12) and oligohydramnios 7.8% (n=10).
Conclusion: Our study revealed that the rate of Caesarean section is higher than that recommended by World Health Organization (WHO), which needed to be 10-15% of the total deliveries. The common indications for Caesarean sections were pervious Caesarean section, fetal distress, CPD, failed induction, breech presentation, non progress of labour (NPOL) and oligohydramnios among others.
Systems Theory Conceptualised and Pasted to Teaching and Learning
Authors: Khuzwayo Dr Qaphelisani Obed 
Published: October 2020

Though the Systems Theory had been successfully and variedly applied in different world settings, however, it is hardly conceptualised and related to the core bussiness of the schooling system: quality teaching and learning. In this article, I used it to adress such litrature gap and contribute some knowledge on its interactive components' functionalism in order to accelerate upwardly the learner results. Such knowledge was a culmination of the voices of those in the field of teaching. To make sense of how the systems as sub-systems and supra-systems are interconected in schools as organisational structures, I utilised the qualitative inquiry. Data generated and analysed, revealed that the Systems Theory survives in the schooling system through its key features namely interdependance, relationships and interactions among its components as well as feedback, adaptibility and flexibility to the environmental contexts where adaptation makes the school human structures to cope with the unexpected atrocities. The lesson learned is that each part affects the functioning of the whole. For example, if one grade educator is on leave, it takes time for learners to adapt to the teaching philosophy of the other one. Further, though the Systems Theory in this article appeared to be applied successfully with its voluminous enabling interconnected factors, however, it was discovered that it's not free from some systems' roadblocks. Through the principle of adaptibility, some systems' constraints had a strength to turn some teaching and learning threats into opportunities. At its finality, data also showed that to make Systems Theory a reality, its sub-systems in the school and supra-systems in the environment where the school is situated, are to function as collective twins for making the school a centre of excellence. So, in the South African school contexts, the Systems Theory links the schools' functioning to its interconnected parts.
Forage Mass, Tillering, Nutritive Value and Root System of Ruzigrass Inoculated with Plant Growth Promoting Bacteria Associated with Doses of N-Fertilizer
Authors: Barreiros Artur Roque Domingues , Cecato Ulysses , Duarte Camila Fernandes Domingues , Hungria Mariangela , Biserra Thiago Trento , Silva Diogo Rodrigues da , Mamédio Divaney , Sanches Renan , Fernandes Henrique Jorge 
Published: October 2020

The aim of this study was evaluating the effect of the inoculation of plant growth promoting bacteria (PGPB) in forage mass, tillering, nutritive value and root system of ruzigrass (Urochloa ruziziensis (R. Germ. & Evrard) Crins (syn. of Brachiaria ruziziensis) associated with doses of N-fertilizer. The bacteria inoculated were Azospirillum brasilense Ab-V5, Pseudomonas fluorescens CCTB03 and Pantoea ananatis AMG 521, plus the control treatment (non-inoculated), associated with doses of N-fertilizer (0, 50 and 100 kg N ha-1). The experiment was performed in a randomized block design, in a 4x3 factorial scheme, with four replicates, totaling 48 plots (12 m2). There were no effects of the PGPB and the use of N-fertilizer on the leaf blade, stem+sheath, forage mass, daily and yearly accumulation of forage mass. The PGPB did not have influence on the density of tillers. The doses of 50 and 100 kg of N ha-1 increased the amount of tillers. The AMG 521 strain associated with N-fertilizer provided heavier tillers. There was no effect of the PGPB on crude protein (CP), neutral detergent fiber (NDF), as well as acid detergent fiber (ADF), and in vitro digestibility of the dry matter (IVDDM). The use of 100 kg of N ha-1 contributed to an increase in CP and a decrease in NDF. The AMG 521 strain contributed to a smaller diameter of the root. Strains CCTB03 and AMG 521 demonstrated a smaller area, length and root density when associated with the dose of 50kg of N ha-1. In general, the PGPB were not efficient in promoting productive increments in ruzigrass.
Entrepreneurship teacher training in high school in Bogotá (Colombia)
Authors: Rico Angélica , Cárdenas Angela Patricia 
Published: October 2020

Entrepreneurship is an issue that has positioned itself as a key element for decision-making by governments, in their aspiration to generate new alternatives for progress. Its involvement in education has led international organizations to consider it within their action plans. In the case of the Organization for Economic Cooperation and Development, its incorporation is in sight, especially in high school. Law 1014 of 2006 in Colombia supports the entrepreneurship class at schools in the country, intending to motivate processes that increase job opportunities and improve the quality of life of the society.
However, according to this law, the responsibility of leading concrete actions in the classrooms falls on the teachers who, despite the lack of training in entrepreneurship at the university degrees, courageously assume this challenge. Considering this situation, it is important to generate a discussion from the teachers' point of view in the framework of a qualitative investigation, through interviews and documentary analysis, configures an inquiry resulting from the approach to their experiences, concerns and needs for a quality teacher training, that assumes entrepreneurship based on the demands of the new millennium.
Hence, this reflection article is inclined to present the tasks aimed at the implementation of entrepreneurship in high school, from the experience of the teachers and instructors of the National Learning Service, through an approach to the reality of some schools in the city ​​of Bogota. As a result, it was possible to demonstrate their efforts, learn about their implementation style and uncover this immense field to explore within the lack of training offered by universities and institutions in charge of providing training to teachers and those who are being prepared to become ones.
Pemanfaatan Lahan Pekarangan dalam Mendukung Ketahanan Pangan Rumah Tangga Melalui Metode Vertikultur
Authors: Ekawati  , Rahmatullah Rizieq  , Hery Medianto Kurniawan  
Published: October 2020

One of the alternatives to mitigate the limitations of agricultural land in urban areas in an effort to produce family food is the use of yard with verticulture method. However, the partners of this community service activity were housewives in Permata Griya RT Residence 03/RW 019; most of them have not utilized their home yard for any productive and economically valuable activities through plant cultivation. This is caused by the limited land and partners’ knowledge about plant cultivation techniques. This community service activity aims to provide training and practice of narrow land utilization with verticulture method, arranging plants vertically using used tins and plastic bottles.. The service activity was conducted through lecture, discussion, and demonstration approach. The result of the activity impacted on the participants’ knowledge and insight: all participants knew cultivation techniques and make the growing media of verticulture mainly by using used goods
Membudayakan Keterampilan Menulis pada Mading Kelas untuk Melatih Kreativitas Siswa
Authors: Yasa Arnelia Dwi 
Published: October 2020

Menulis merupakan kegiatan yang tidak terpisahkan dari kehidupan manusia sehari-hari. Kemampuan menulis dapat dipupuk dari rajin membaca. Salah satu media bacaan sekaligus media untuk menuangkan karya-karya siswa adalah mading. Mading merupakan wahana untuk menerapkan kemampuan siswa terutama dalam bidang tulis-menulis. MI Manbaul Ulum Karangduren adalah Sekolah yang terletak di Kabupaten Malang. Sekolah belum memiliki mading kelas yang memuat hasil karya tulisan siswa. Sehingga, kesempatan siswa untuk mengembangkan kreativitasnya dalam menulis terhambat. Perlu upaya untuk meningkatkan kemampuan menulis bagi siswa untuk membangun budaya baca. Salah satu cara adalah dengan menerbitkan mading sebagai alat bantu pengajaran dan pembinaan. Melaui mading, diharapkan dapat membuat siswa memiliki kreativitas dalam menulis. Hasil dari kegiatan pengabdian menunjukkan bahwa keterampilan menulis siswa mengalami peningkatan. Rata-rata nilai N-Gain Skor test Kreativitas 0,73 berkategori tinggi. Hal ini menunjukkan tingkat efektivitas dari perlakuan berpengaruh tinggi terhadap post test.
Penyediaan Air Bagi Masyarakat Pesisir Terdampak Kekeringan dengan Teknologi Desalinasi Air Laut Sederhana
Authors: Krisdiarto Andreas Wahyu , Ferhat Amallia , Krisdiarto Andreas Wahyu , Bimantio Mohammad Prasanto 
Published: October 2020

Desa Sendang di Kec Donorojo, Kab Pacitan merupakan daerah terdampak kekeringan di musim kemarau, dan termasuk desa tertinggal sehingga menjadi prioritas ditumbuhkembagkan oleh pemerintah. Di desa ini terdapat tempat wisata pantai Klayar. Meskipun ada penyediaan air dari PDAM, namun masih sangat terbatas, masyarakat sering kekurangan air bersih, sehingga kebutuhan untuk pertanian dan kawasan wisata sering terganggu. Tanaman banyak yang mati karena cekaman kekurangan air, sehingga menimbulkan kerugian. Saat ini sudah berkembang teknologi desalinasi air laut yang bisa diaplikasikan sebagai solusi kekurangan air di kawasan tersebut. PKM ini bertujuan meningkatkan harkat masyarakat desa Sendang dengan membantu penyediaan air di saat kemarau dari air laut. Sebagai pendukung aplikasi teknologi tersebut agar berkelanjutan, diadakan pelatihan dan pendampingan, baik teknis maupun organisatoris. Teknologi yang diterapkan bersifat sederhana, serta dapat dibuat dan dirawat masyarakat setempat. Sasaran penerima manfaat program adalah masyarakat, secara khusus kelompok sadar wisata, dengan kelompok pendukung generasi muda dan lembaga pendidikan (SD). Hasil alat destilasi prisma kaca menunjukkan tingkat destilasi 100ml per hari dari ukuran kotak destilasi 50x50x30 cm dengan sudut kaca prisma 45° dan lama penyinaran ±8 jam. Suhu di dalam kotak destilasi berkisar 50-60°C pada siang hari. Air hasil destilasi memenuhi kualitas sebagai air bersih, yakni berkadar garam 20-40 ppm.
Accountant Profession Responding To Impact Worse In Economic Conditions.
Authors: Mahmud Usep , Sugito Sugito 
Published: October 2020

The economic crisis has already general some audit risks. Audit practices become more complex. Going concern issues, ligitation toward accounting profession, changes in laws and regulation affecting the profession have created the risk environment. Accounting profession responses such changes by managing them properly to aproaches that are used to mitigate such risks are the comprehensive approach, and the appropriate policies and procedures approach. Moreover Indonesian Accountant Association as a standart board Authority has issued some PSAK ( Indonesian GAAP ) and SPAP ( Indonesia GAAS ) to provide the guidance for implementing audit engagement in the risk environment.
Analisis Strategi Pemasaran Dalam Upaya Peningkatan Daya Saing Umkm
Authors: Sulistiyani Sulistiyani , Pratama Aditya , Setiyanto Setiyanto 
Published: October 2020

Strategi pemasaran mempunyai peran penting bagi UMKM. Peran penting dari strategi pemasaran yang tepat akan mampu meningkatkan daya saing produk yang dihasilkan UMKM. Dalam upaya menuyusun strategi pemasaran dibutuhkan informasi yang lengkap berkaitan dengan pasar, konsumen maupun produk yang dibutuhkan. Tidak adanya informasi yang mendukung dalam penentuan strategi pemasaran tentu saja membuat UMKM sulit bersaing. Tujuan penelitian ini untuk menganalisis penerapan strategi pemasaran dalam upaya peningkatan daya saing UMKM. Metode analisis: menggunakan pendekatan dekriptif dengan metode kualitatif melalui tahapan reduksi data, penyajian data dan penarikan kesimpulan dengan menggunakan analisis SWOT. Hasil penelitian ini adalah, Wilayah pemasaran produk yang dipilih pada industri keripik pisang Tunas Metro adalah wilayah Metro dan sekitarnya Hal ini disebabkan keterbatasan modal yang dimiliki home industri kripik pisang tunas. strategi pemasaran yang dilakukan oleh home industri kripik hanya dengan kedekatan personal maupun penjualan yang ada di toko saja. Minimnya kemampuan pemahaman dan pengelolaan dari segi digital atau e-commarace yang membuat pemilik belum memanfaatkan media yang ada secara optimal. Berdasarkan analisis SWOT yang dilakukan pada UKM keripik pisang tunas Metro, maka beberapa strategi telah dirumuskan dalam upaya meningkatkan daya saing diantaranya sebagai berikut; Mempertahankan harga dan kualitas produk untuk meningkatkan loyalitas konsumen; Menjalin kerjasama yang saling menguntungkan untuk memperluas wilayah pemasaran; Meningkatkan jumlah produksi menjelang musim kemarau; Menjaga kualitas produk; merubah desain kemasan supaya lebih menarik konsumen; Memanfaatkan perkembangan teknologi sebagai sarana promosi; Meningkatan modal usaha untuk memperluas wilayah pemasaran dan menambah jumlah produksi; Melakukan perluasan wilayah pemasaran dan melakukan promosi untuk menarik konsumen.
Efektifitas Pengelolaan Lokasi Wisata Curug dan Bukit di Subang Jawa Barat
Authors: Alfiah Alfiah , Andriani Jeni , Furyanah Anah 
Published: October 2020

AbstractPermasalahan dalam penelitian ini adalah bagaimana bagaimana regulasi/komitmen dalam pengelolaan lokasi wisata? Bagaimana kemampuan SDM Lokal dalam mengelola lokasi wisata ? Bagaimana upaya tata kelola lokasi wisata ? dan bagaimana upaya mengelola sarana prasarana di lokasi wisata ?. Tujuan Penelitian yaitu untuk menemukan, mendeskripsikan, dan menganalisis mengenai regulasi atau komitmen dalam pengelolaan wisata, untuk mnegetahui dan menganalisa kemampuan SDM lokal dalam mengeloa lokasi wisata, untuk menemukan, mendeskripsikan, dan menganalisis upaya yang akan dilakukan dalam mengelola potensi wisata di lokasi wisata dan untuk menemukan, mendeskripsikan, dan menganalisis mengenai sarana prasarana yang ada di lokasi wisata.Metode analisis:penelitian ini menggunakan metode analisa deskriptif kualitatif dengan strategi fenomenologi dengan tehnik pengumpulan data yaitu kuesioner dan wawancara. Responden menggunakan teknik purposive yaitu (1) aparat desa terdiri dari Kepala Desa, Sekretaris Desa, Bendahara Desa, Kepala BPD, Ketua Karang Taruna, Ketua Ulama, dan Ketua Bumdes. (2) pengelola wisata (Ketua RT dan Pengelola Wisata merangkap anggota karang taruna) dan (3) Pengunjung yang ditemui dilapangan dengan menggunakan sample simple sederhana. Lokasi penelitian berada di Kampung Penyeredan, Desa Cimanggu Kecamatan Cisalak, Kabupaten Subang Provinsi Jawa Barat.Hasil penelitian ini menunjukkan bahwa pengelolaan lokasi wisata belum efektif dapat dilihat sebagai berikut: (1) Saat ini kedua lokasi wisata belum memiliki regulasi baik berupa Peraturan atau Keputusan Kepala Desa sebagai payung hukum/ legalitas pengelolaan lokasi wisata baik Curug Paok maupun Bukit Pasir Jaka, (2) Kemampuan dan pengetahuan SDM local selaku pengelola dalam mengelola lokasi wisata masih sangat terbatas; (3) Pengelolaan Desa Wisata belum ada pencatatan tentang pendapatan dan pengeluaran dari pengelolaan wisata, belum ada pelaporan terkait pengelolaan lokasi wisata, Pengunjung belum dikenakan biaya masuk, (4) Sarana dan prasarana yang belum memadai. Kata Kunci: Efektivitas, Pengelolaan lokasi Wisata
Dampak Covid-19 Terhadap Perubahan Harga Saham dan Volume Transaksi (Studi Kasus Pada PT. Ramayana Lestari Sentosa, Tbk.)
Authors: Nurmasari Ifa 
Published: October 2020

Kasus covid-19 pertama kali di Indonesia diumumkan pada 2 Maret 2020. Penelitian ini bertujuan untuk mengetahui apakah terjadi perbedaan yang signifikan dari harga saham dan volume transaksi saham karena adanya pandemi covid-19 (studi kasus pada PT. Ramayana Lestari Sentosa, Tbk). Data penelitian ini diambil 31 hari sebelum dan 31 hari setelah diumumkannya kasus pertama covid-19 di Indonesia. Data diolah dengan paired sample t-tes, dengan menggunakan SPSS versi 20. Dari hasil pengolah data, menunjukkan terjadi perbedaan signifikan pada harga saham sebelum dan sesudah diumumkannya kasus pertama covid-19 di Indonesia. Hal ini ditunjukkan dengan nilai signifikasi 0,00 < 0,05. Dimana harga saham mengalami penurunan dibandingkan sebelum adanya kasus covid-19. Sedangkan untuk volume transaksi saham juga menunjukkan perbedaan yang signifikan. Dimana nilai signifikasinnya 0,01 < 0,05. Volume transaksi saham sesudah pengumuman menunjukkan nilai yang meningkat.
Obstetric blood loss: priorities in the infusion solutions choice
Authors: En-Din Kim 
Published: October 2020

Objective. To study the effect of Rheosorbilact on the main life support systems in patients with massive blood loss in obstetrics.
Materials and methods. The study was carried out in 56 puerperas with massive blood loss during obstetric operations for placenta previa. Surgical intervention was performed under general multicomponent anesthesia with mechanical ventilation. After the end of the operation, the patients were on prolonged mechanical ventilation for 4-6 h until the main life support systems were stabilized. With the purpose of infusion therapy were used Rheosorbilact (13-15 ml/kg), 0.9 % sodium chloride solution (25-30 ml/kg) and blood components. The main life support systems were assessed by non-invasive monitoring of central and peripheral hemodynamics and autonomic nervous system.
Results and discussion. Blood loss was 1500-2000 ml, which developed within 20 min from the moment of the start of the operation. Taking into account the pharmacological properties of the drugs used, infusion therapy began with a jet intravenous injection of Rheosorbilact followed by the introduction of 0.9 % sodium chloride. After 30 min from the onset of bleeding and the administration of infusion-transfusion therapy, a significant increase in cardiac output over the initial parameters was noted. At the same time, the epicardial fat volume (EFV) significantly decreased by 4.4 %. 30 min after the end of the infusion-transfusion therapy, a stable hemodynamic profile was noted. 4 h after the end of the infusion therapy, there was an increase in cardiac output and MDP relative to the original value, a decrease in post-load and heart rate, an increase in EFV by 8.1 % (p<0.05). SI decreased by 54.6 % (p<0.05). Diuresis significantly increased to 1.75 ml/kg/h. The initial intravenous infusion was with Rheosorbilact. Considering that the transition of extracellular fluid into the vascular bed is a rather slow process, the transfusion of a hyperosmolar solution exceeding the plasma pressure is more justified. Within 30 min from the start of infusion therapy, the hemodynamic profile stabilized.
Conclusions. In acute massive blood loss, the use of Rheosorbilact allows you to quickly, effectively and safely correct the deficit in circulating blood volume. Primary targeted hemodynamic support with the use of a low-volume hyperosmolar infusion of Rheosorbilact makes it possible to achieve hemodynamic stabilization with a smaller infusion volume due to interstitial redistribution of fluid into the vascular bed.