bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hubungan Kadar Laktat dan Albumin dengan Mortalitas dan Morbiditas Pasien Perforasi Ulkus Peptikum
Authors: Karina Gisela , Rudiman Reno , Ruchimat Tommy 
Published: November 2020

Latar Belakang. Perforasi ulkus peptikum merupakan kondisi emergensi di seluruh dunia, dengan tingkat mortalitas sampai dengan 30%. Penilaian kadar laktat dan albumin dalam darah diharapkan dapat menjadi suatu perangkat penilai untuk memperkirakan tingkat mortalitas dan morbiditas pasien perforasi ulkus peptikum.3,5
Metode. Desain analitis menggunakan metode kohort prospektif dengan analisis korelasi hubungan kadar albumin dan laktat terhadap kejadian mortalitas dan morbiditas pasien perforasi ulkus peptikum di RS. Hasan Sadikin. Subjek penelitian dilakukan dengan cara consecutive sampling. Populasi terjangkau adalah pasien dengan diagnosis klinis perforasi ulkus peptikum yang datang ke Unit Gawat Darurat RSHS pada periode 1 Februari 2018 – 28 Februari 2019. Uji statistik menggunakan uji analisis regresi logistik bivariat.
Hasil. Didapatkan 40 pasien, mayoritas berjenis kelamin laki – laki (35 pasien), sisanya perempuan dengan rentang usia 22 – 80 tahun. Didapatkan 11 pasien meninggal (27.5% dari sampel). Pasien mati memiliki rata – rata kadar laktat 6,4 ± 3,7 mmol/L dan rata – rata kadar albumin 2,1 ± 0,4 mg/dL. Morbiditas pada penelitian ini ialah komplikasi hospital acquired pneumonia pasca operasi. Hasil uji Wald membuktikan bahwa kadar laktat berhubungan positif secara signifikan dengan mortalitas pasien perforasi ulkus peptikum dengan probabilitas kesalahan statistik sebesar p = 0,024 (p < 0,05) dan kadar albumin berhubungan negatif secara signifikan dengan mortalitas pasien perforasi ulkus peptikum dengan probabilitas kesalahan statistik sebesar p = 0,032 (p < 0,05).
Kesimpulan: Kadar laktat berhubungan positif dengan mortalitas pasien namun tidak dengan morbiditas pasien, sedangkan kadar albumin berhubungan negatif dengan mortalitas pasien namun tidak dengan morbiditas pasien.. Semakin tinggi kadar laktat dan semakin rendah kadar albumin, semakin tinggi probabilitas pasien untuk mati.
Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (1) for managing renal calculi
Authors: Waqar Ahmed Memon  , Salman El Khalid  , Ali Haider  , Sherjeel Saulat  , Shariq Anis Khan  , Muhammad Bilal Quddus  , Khadijah Abid  
Published: November 2020

Abstract
Objective: To compare upper versus lower calyceal approaches in percutaneous nephrolithotomy for managing renal calculi.
Method: The retrospective study was conducted in the Department of Urology, The Kidney Centre Post-Graduate Training Institute, Karachi, and comprised data of patients who underwent percutaneous nephrolithotomy from January 2014 to January 2015. Patients were divided into upper pole puncture group A and lower pole puncture group B. Data was analysed using SPSS 17.
Results: Of the 198 patients, 147(74.2%) were males and 51(25.8%) were females. The overall mean age was 40.64±14.02 years. Of the total, 69(34.84%) were in group A and 129(65.15%) were in group B. Inter-group difference was significant in pre- and post-operative haemoglobin (p<0.05). Post-operative outcomes showed that blood transfusion, stone clearance and complication like tube thoracostomy had significant association with both the groups (p<0.05). Complete clearance was seen in 152(76.8%) patients; 40(74.1%) in group A and 102(81.6%) in group B.
Conclusion: The success rate was found to be better in lower calyceal puncture group than upper calyceal puncture group for the management of renal calculi.
Key Words: Upper and lower calyceal approach, Percutaneous nephrolithotomy, Continuous....
PLASMAPHERESIS IN PATIENT WITH GUILLAIN-BARRE SYNDROME OF THE INTENSIVE CARE UNIT
Authors: Ramdhani Vicky Muhammad , Suwarman K , Sudjud Reza Widianto , Pradian Erwin 
Published: November 2020

Purpose: The purpose of writing this case report is to determine the importance of patient treatment using appropriate and specific therapies and the use of mechanical ventilation in the threat of respiratory failure of patients with GBS.
Methodology: We presented a case of 47 years old man with chief complaint of weakness in both upper and lower extremities. The patient was diagnosed with GBS and plasmapheresis was performed.
Findings: Holistic intensive care together with plasmapheresis has been shown to improve the survival of patients with GBS. In the current study, the patient was admitted for 1 day in HCU before he experienced difficulty in breathing, was intubated, and transferred to ICU. Plasmapheresis was performed six times in the ICU. The patient progressively improved until he was discharged to the HCU on 10th day of ICU admission.
Unique contribution to theory, practice, and policy: Holistic intensive care together with plasmapheresis has been shown to improve the survival of patients with GBS. From the current study, we recommend healthcare practitioners to perform either IVIG therapy or plasmapheresis for GBS patient
Caracterización morfológica de aislados de Colletotrichum asociados a antracnosis en cítricos en Tuxpan Veracruz
Authors: Allende-Molar Raúl , Alarcón-Pulido Sara Aída , Hernández-Sánchez María de la Luz , González-Cárdenas Julio César , Elorza Martínez Pablo 
Published: November 2020

El objetivo de este trabajo fue aislar y caracterizar morfológicamente aislados de Colletotrichum responsables de antracnosis en cítricos en Tuxpan Ver. Se utilizaron muestras de tejidos vegetales con síntomas de antracnosis para obtener aislados de Colletotrichum, una vez obtenidos se codificaron y se hicieron bioensayos arreglados en un diseño completamente al azar con 6 tratamientos y 4 repeticiones para observar el desarrollo de cada aislado. Cada uno de los aislados obtenidos fue considerado como un tratamiento Las variables analizadas fueron tasa de crecimiento, caracterización de colonias y de apresorios. Los resultados mostraron que existieron diferencias significativas entre los tratamientos: en cuanto a su crecimiento el aislado UVA1 fue el que mostró la menor tasa de crecimiento de 6.5 mm por día, su desarrollo de micelio fue blanco casi transparente sin presencia de masas conidiales y en los otros aislados el crecimientos casi siempre fue similar con rangos de la tasa de crecimiento por día entre 8.1 a 9.0 mm por día; en cuanto a la caracterización de colonias fueron casi similares ya que el micelio en la myoría fue abundante con masa conidiales de color salmón y masas de esclerocios de color negro. La formación de apresorios ocurrió entre 24 y 72 h.
Adequacy of Food Aid Packs Provided during Natural Disasters: A Provincial Case Study
Authors: Gomez Katrina G. , Ignacio Ma. Socorro E. 
Published: November 2020

Background. Due to the devolved nature of Philippine local governance, disaster management systems such asrelief work and food aid pipelines, have been managed by local government units during natural disasters.
Objectives. This study assessed the nutrient adequacy of food aid packs provided during natural disasters inthe province of Albay. Specific objectives included assessment of the types of food and food sources, as wellas the practices in the food aid pipeline, and assessment of the nutritional quality of food aid packs throughcomparison with the recommended energy/nutrient intake (REI/RNI) for Filipinos.
Methods. Key informant interviews were conducted to gather information on food sources and pipelines.Information on the quantities of food components in food aid packs distributed was also collected, and the freeiFRNI software used to derive nutrient content. These quantities compared with the REI/RNI for the generalpopulation. Descriptive statistics on Microsoft Excel were used to calculate the mean, median and mode formacronutrients as well as Vitamin A and iron to determine the overall intake of individuals relying on these foods.Ethical clearance was secured from the University of the Philippines REB.
Results. Analysis of the food components showed that the food aid packs were insufficient to meet the REI/RNI for the general population, particularly for food packs distributed on the barangay and city/municipal levels.Food was sourced from local suppliers as an emergency purchase during the forecast of a disaster, in place of theprescribed practice of stockpiling. Procured food would then be repacked and distributed on the provincial, city/municipal and barangay levels in a staggered schedule depending upon the length of the disaster or evacuation.
Conclusion. The food packs distributed by the barangay and city/municipal sub-units of the provincialgovernment of Albay are insufficient to meet the daily caloric and micronutrient needs of a general populationpurely reliant on food aid after a natural disaster.
Management of Minor Ailments by Community Pharmacists in Cebu, Philippines – An Exploratory Study
Authors: See Gerard Lee L. , Arce, Jr Florencio V. 
Published: November 2020

Background. Community pharmacists play a central role in the management of minor ailments and their clinicalknowledge is vital in improving treatment outcomes of these ailments. The provision of minor ailment servicein developed countries has been successful yet the practice in the Philippines has not been documented.
Objectives. The aim of this study was to document the involvement of community pharmacists in the managementof minor ailments, the practices, and the perceived challenges in the provision of pharmacy service.
Methods. This was an exploratory descriptive study. Using qualitative research technique, a guided interviewquestionnaire was employed for data gathering. The practices employed and perceived challenges encounteredby pharmacists were interpreted using conventional content analysis.
Results. Colds, cough, skin allergy, diarrhea were the four most common ailments managed by communitypharmacists. Pharmacists had underdeveloped roles in consultation. Community pharmacists were knowledgeableon the causes of the minor ailments and the medications dispensed were compliant with approved productindications. The absence of institutional guidelines (66%), lack of ailment-specific training (100%), insufficientclinical skills (76.7%), and a dominant patient self-selection behavior for OTC medicines (73.3%) were perceived aschallenges in the provision of minor ailment services.
Conclusion. Community pharmacists managed common ailments with non-prescription medicines howeverconsultation roles were found to be underdeveloped.
TRƯỜNG HỢP BỆNH NHÂN HO RA MÁU NẶNG, HIẾM GẶP ĐƯỢC CỨU SỐNG TẠI BỆNH VIỆN PHỔI TRUNG ƯƠNG
Authors: Luong Dinh Van , Tuan Dinh Van , Duc Dang Duy , Vinh Nguyen Le , Long Nguyen Thanh , Nghia Nguyen Viet 
Published: November 2020

Ho ra máu là máu khạc ra từ dưới thanh môn trở xuống, một triệu chứng thường gặp nhưng có rất nhiều nguyên nhân. Ho ra máu nặng được định nghĩa là khi lượng máu ho ra từ > 100 đến > 600 ml trong 24 giờ. Ho ra máu nặng thường là dấu hiệu của một bệnh nặng và có thể gây tử vong do ngạt và tắc nghẽn đường thở. Ho ra máu nặng chiếm khoảng 5% các trường hợp ho ra máu và tỷ lệ tử vong lên tới 80%.
Tại Bệnh viện Phổi trung ương đã điều trị nhiều trường hợp ho ra máu nặng bằng phẫu thuật cùng với sự phối hợp của nhiều chuyên khoa khác nhau (Hồi sức tích cực, các phương pháp điều trị nội khoa mới nhất, nút mạch, nội soi can thiệp, …), đã cứu chữa thành công rất nhiều bệnh nhân ho ra máu nặng với nhiều nguyên nhân khác nhau như do di chứng lao phổi, u nấm phổi, giãn phế quản, ung thư phế quản, nhồi máu phổi, các dị tật bẩm sinh phổi, …).
Tháng 02/2018 vừa qua, Bệnh viện tiếp nhận một trường hợp ho ra máu nặng có nguy cơ tử vong rất cao. Bệnh nhân được cứu chữa thành công nhờ sự chỉ đạo trực tiếp của Giám Đốc Bệnh viện, sự phối hợp tích cực của nhiều chuyên Khoa, kíp phẫu thuật và việc ứng dụng các kỹ thuật, công nghệ cao trong chẩn đoán, điều trị. Mặc dù tại bệnh viện chuyên khoa đầu ngành về hô hấp, ho ra máu nặng không quá hiếm song trường hợp này lại có rất đặc biệt.
Beginning Modern Dance
Authors: Giguere Miriam 
Published: November 2020

Beginning Modern Dance introduces undergraduate and high school students to modern dance as a performing art through participation, appreciation, and academic study in the dance technique course.
In the book, 50 photos with concise descriptions support students in learning beginning modern dance technique and in creating short choreographic or improvisational studies. For those new to modern dance, the book provides a friendly orientation on the structure of a modern dance technique class and includes information regarding class expectations, etiquette, and appropriate attire. Students also learn how to prepare mentally and physically for class, maintain proper nutrition and hydration, and avoid injury.
Beginning Modern Dance supports students in understanding modern dance as a performing art and as a medium for artistic expression. The text presents the styles of modern dance artists Martha Graham, Doris Humphrey and José Limón, Katherine Dunham, Lester Horton, and Merce Cunningham along with an introduction to eclectic modern dance style. Chapters help students begin to identify elements of modern dance as they learn, view, and respond to dance choreography and performance.
Through modern dance, students learn new movement vocabularies and explore their unique and personal artistry in response to their world. Beginning Modern Dance supports your students in their experience of this unique and dynamic genre of dance.
Beginning Modern Dance is a part of Human Kinetics’ Interactive Dance Series. The series supports introductory dance technique courses taught through dance, physical education, and fine arts departments. The Interactive Dance Series offers students a guide to learning, performing, and viewing dance.
Ethnic (pay) disparities in public sector leadership in Aotearoa New Zealand
Authors: Came Heather , Badu Emmanuel , Ioane Julia , Manson Leanne , McCreanor Tim 
Published: November 2020

New Zealand Governments have longstanding policy commitments to equal employment practices. Little attention has been paid to ethnic pay disparities in recent years. Informed by a series of official information act requests, we were interested to find out what extent, ethnic pay disparities existed within the core public sector and district health boards (DHBs). We examined the population proportions of Māori, Pasifika and Other ethnicities earning over $NZ100,000 over five year intervals between 2001 to 2016, using linear regression analysis. The analyses showed a statistically significant pattern of ethnic pay disparities across the public sector. There were fewer Māori and Pasifika staff employed in DHBs than their population proportion. The failure to promote Māori and Pasifika to the upper tiers of public sector is consistent with definitions of institutional racism. The authors call for more research to understand the dynamics of ethnic pay disparity and the drivers of this disparity.
Gate-All-Around FETs: Nanowire and Nanosheet Structure
Authors: Yoon Jun-Sik , Jeong Jinsu , Lee Seunghwan , Lee Junjong , Baek Rock-Hyun 
Published: November 2020

DC/AC performances of 3-nm-node gate-all-around (GAA) FETs having different widths and the number of channels (Nch) from 1 to 5 were investigated thoroughly using fully-calibrated TCAD. There are two types of GAAFETs: nanowire (NW) FETs having the same width (WNW) and thickness of the channels, and nanosheet (NS) FETs having wide width (WNS) but the fixed thickness of the channels as 5 nm. Compared to FinFETs, GAAFETs can maintain good short channel characteristics as the WNW is smaller than 9 nm but irrespective of the WNS. DC performances of the GAAFETs improve as the Nch increases but at decreasing rate because of the parasitic resistances at the source/drain epi. On the other hand, gate capacitances of the GAAFETs increase constantly as the Nch increases. Therefore, the GAAFETs have minimum RC delay at the Nch near 3. For low power applications, NWFETs outperform FinFETs and NSFETs due to their excellent short channel characteristics by 2-D structural confinement. For standard and high performance applications, NSFETs outperform FinFETs and NWFETs by showing superior DC performances arising from larger effective widths per footprint. Overall, GAAFETs are great candidates to substitute FinFETs in the 3-nm technology node for all the applications.
Assessing Creativity and Innovation in Islam
Authors: Iqbal Cameron 
Published: November 2020

The purpose of this study is to understand how Islam assesses creativity—specifically, to determine if an Islamic framework for assessing creativity can be identified. Islam does not provide a framework for assessing creativity, but Islamic scholars continue to assess creativity in the absence of this framework. This study was conducted with the assistance of seven informants from seven leading Islamic traditions based in the UK. Each informant provided a unique insight into their understanding and interpretations of Islamic scriptures and texts in relation to creativity and to determine how creativity in Islam is assessed.
Investigation on Some Biological Aspects of Nile Tilapia, Oreochromis niloticus (L. 1758) from Khashm El-Girba Fish Market, Sudan: Length Weight Relationship, Condition Factor and Sex Ratio
Authors: Abdalla Mutasim Yousif Mohamed , Ahmed Ahmed Abu Zaid , Elhassan Moatez Mohammed 
Published: November 2020

The present study was carried out to investigate some aspects of the biology of Oreochromis niloticus, it has ecological and economic importance, found in Khashm El-Girba market; here, we describe the length-weight relationships, condition factors and sex ratio of O. niloticus. A total of 525 specimens were collected from August to November 2016. This study indicated that; the regression of length against weight was computed from the relationship W= a Lb; growth coefficient (b) value 2.880 ±0.430 less than 3, which indicate have negative allometric growth. The condition factors (K) is 3.866 ± 0.027; While the sex ratio was (M: F) 1:0.98.
Standardisation and Quality Evaluation of Finger Millet Based Nutri Flakes
Authors: Zacharia Riya K. , Aneena E. R. , Panjikkaran Seeja Thomachan , Sharon C. L. , Lakshmi P. S. 
Published: November 2020

Aims: To standardise ready to eat millet based nutri flakes and to evaluate nutritional and shelf life qualities.
Study Design: Completely randomized design
Methodology: In the present study 5 treatments along with one control with 3 replications were standardized. Finger millet flour was used as the major ingredient and used in varying proportions starting from 50 to 80% along with 10 – 50 % of tapioca flour and 10 per cent other ingredients The best treatment were selected through sensory evaluation The selected treatment were evaluated for nutritional and shelf life qualities. The observations were tabulated and analysed statistically as completely randomized design (CRD).
Results: Among various treatments, highest scores of organoleptic qualities was observed for finger millet based nutri flakes added with tapioca flour (T3-60% FM + 30% TF +10% other ingredients) and it was selected as the best treatment with mean score of 7.92 for overall acceptability. The prepared product was nutritionally superior and highly acceptable throughout the storage.
Conclusion: Nutri flakes based on 60% finger millet flour (FM) along with 30% TF was found to be the best combination for the preparation of nutri flakes and secured the highest mean score of 7.92 for overall acceptability. These nutri flakes were nutritionally superior and were shelf stable for 3 months.
Laparoscopic Surgery in a Developing Country in East Africa: An Audit at the Initial Part of a Surgeons’ Learning Curve
Authors: Wismayer Richard 
Published: November 2020

Background: In many surgical conditions, laparoscopic surgery has been used for surgical access. In the West, laparoscopic cholecystectomy is the gold standard treatment for cholecystitis. On the other hand controversy has been generated with laparoscopic appendicectomy due to the cost, time consuming nature of the procedure, together with many trocar sites which in all approximate to the length of an open appendicectomy incision. The purpose of this study is to audit the initial laparoscopic units experience in a developing country in East Africa.
Methods: This was a retrospective study conducted in the Department of Surgery. All patients that consented to laparoscopic cholecystectomy and laparoscopic appendicectomy over the initial period of 13 months were included in this study.
Results: A total of thirty (30) patients consented to having laparoscopic surgery; Ten (10) patients consented to laparoscopic cholecystectomies with a male:female ration of 1:2.33 and twenty (20) patients consented to laparoscopic appendicectomies with a male:female ratio of 1:1.2. The mean operating time was 58.5 minutes for laparoscopic cholecystectomy and 40.45 minutes for laparoscopic appendicectomy. The duration of post-operative admission ranged from 3 days to 5 days with a mean duration of 4.2 days for laparoscopic cholecystectomy and from 2 days to 5 days with a mean of 2.65 days for laparoscopic appendicectomy. No complications were reported apart from spinal headache in 2 patients (2.6%) out of the total laparoscopic procedures. There were no readmissions over the one month of follow up.
Conclusions: Laparoscopic cholecystectomy and laparoscopic appendicectomy allows for early discharge and is safe. In Uganda, the low incidence of cholecystitis compared to the higher incidence of appendicitis, supports the adoption of laparoscopic appendicectomy compared to cholecystectomy for hand and eye coordination training. The surgeons’ initial cases of laparoscopic procedures have demonstrated an adequate level of safety which supports laparoscopic appendicectomy to acquire the basic laparoscopic surgery skills.
The CAG promoter maintains high‐level transgene expression in HEK293 cells
Authors: Dou Yuanyuan , Lin Yan , Wang Tian‐yun , Wang Xiao‐Yin , Jia Yan‐long , Zhao Chun‐peng 
Published: November 2020

The vast majority of therapeutic recombinant proteins are produced in mammalian cell lines. However, proteins generated in nonhuman cell lines, such as Chinese hamster ovary (CHO) cells, are decorated with human‐like glycan structures that differ from those of human cells, and these may induce immunogenic responses in human cells. Human embryonic kidney cells (HEK293F) are also extensively used as hosts for the expression of recombinant therapeutic proteins, but their utility is limited by the low expression of transgenes in these cells. Here, we investigated recombinant protein expression from eight frequently used promoters in transfected HEK293F cells. The expression levels and stability of the transgenes were evaluated by flow cytometry and qRT‐PCR. The most efficient expression (in terms of both mRNA and protein yields) was achieved using a cytomegalovirus (CMV) major immediate‐early enhancer combined with the chicken beta‐actin promoter (CAG) promoter, as compared to all other tested promoters under both transient and stable transfection conditions. In addition, application of mild hypothermia (i.e., 33 °C) after transfection improved the positive effect of the CMV enhancer fused to the chicken beta‐actin promoter (CAG promoter) on enhanced green fluorescent protein (eGFP) expression. Although the temperature sensitivity of the CMV promoter is greater than that of CAG promoter, recombinant protein levels were still highest when expression was driven by the CAG promoter. When eGFP was replaced with hepatitis B surface antigen, the CAG promoter still showed the highest transgene expression. In conclusion, our data show that the CAG promoter is a strong promoter for recombinant protein expression in HEK293F cells.