bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Kinerja Operasional Kereta Api Pangrango Bogor – Sukabumi
Authors: Saputra Dika , Osly Prima Jiwa , Meutia Wita 
Published: May 2020

Kota Bogor dan Kota Sukabumi dua wilayah penting di Jawa Barat yang memiliki hubungan erat satu sama lain. Sehingga terdapat kebutuhan pergerakan yang besar pada kedua wilayah tersebut. Keterbuhungan antar kedua wilayah tersebut, difasilitasi oleh kereta api Pangrango Bogor – Sukabumi. Kereta api Pangrago yang diresmikan pada November 9, 2013 diharapkan dapat membantu memenuhi kebutuhan pergerakan pada kedua wilayah tersebut. Kereta api Pangrango digunakan untuk perjalanan kerja, berdagang maupun berlibur.. Maksud dari tujuan penelitian ini adalah untuk mengidentifikasi waktu henti dan waktu tempuh serta menganalisa kenyamanan kereta api Pangrango Bogor – Sukabumi. Metode pengumpulan data dalam penelitian ini menggunakan survei kinerja dan wawancara. Analisis yang digunakan adalah analisa jumlah responden dan analisis metode Importance Performance Analysis (IPA). Hasil dari kinerja rata – rata waktu tempuh dari stasiun Bogor Paledang – Sukabumi selama suvei sebesar121 menit dan hasilnya sama sesuai GAPEKA 2017 yaitu 121 menit. Rata – rata waktu tempuh dari stasiun Sukabumi – Bogor Paledang selama survei sebesar 122.66 dan hasilnya hampir mendekati GAPEKA 2017 yaitu 123 menit. Rata – rata waktu henti dari stasiun Bogor Paledang – Sukabumi selama survei sebesar 23 menit dan hasilnya sesuai GAPEKA 2017 yaitu 23 menit. Rata – rata waktu henti dari stasiun Sukabumi – Bogor Paledang selama survei sebesar 23 menit dan hasilnya sesuai GAPEKA 2017 yaitu 23 menit. Hasil dari metode Importance Performance Analysis (IPA) diperoleh rata – rata nilai tingkat kepuasan dan kepentingan dari keseluruhan atribut pelayanan kereta api Pangrango Bogor Paledang – Sukabumi sebesar6603 dan 8275. Dengan nilai kesesuain sebesar 79.79%. Dari hasil GAP ANALYSIS (kesenjangan) didapatkan nilai rata – rata dibawah 0, berarti atribut – atribut yang sudah tertera di kuersioner belum memenuhi harapan para pengguna kereta Api Pangrango Bogor – Sukabumi.
Leadership Under Islamic Norms (Al Imamah fill Islam)
Authors: Rifai Moh. 
Published: May 2020

<p>Based on the expert opinions, a leadership was a governance which carried out by someone (individual) including institutions based on deliberation that gave a consensus decisions in the form of right and obligation which must be done as the mandate. Another argument said that a leadership was a society servants (al imamu huwa ngabdu qoumin). In fact, the country that was not Islamic state (under Islamic norms) there was different meaning of a leadership here. A leader would develop based on the basic foundations (norms) of each countries including have different patterns which be expanded by each government systems of its country. For the example, the Republic of Indonesia which embraced Presidential systems with Trias politica models (The typical division is into three branches: a legislature, an executive, and a judiciary) that have its primary tasks and functions. When these branches were not harmonious, it would made imbalance nuances and mutual suspicion among the government institutions.</p><p> </p>
A Review on Chiral Columns/Stationary Phases for HPLC
Authors: Suraj Koorpet R  , Akshay N  , Nishanth G  , Chandan R S  , Anand Kumar Tengli  
Published: May 2020

The chiral separation of pharmaceutical molecules and their precursors is one of the important areas of application of HPLC in pharmaceutical analysis for obtaining enantiomerically pure drug. The latter procedures include the use of so-called chiral selectors to enantio-selectively recognise and isolate the enantiomer. The direct approaches, i.e. those which do not derivate the compound of interest before separation, are addressed in detail, since they are now the most common approaches. The role of stereochemistry in medicinal products is being given greater emphasis to medical practice. For physicians to make conscious choice about the use of single-enantiomered medicinal products, basic knowledge is required. For few treatments single-enantiomer formulations can provide more selectivity than a combination of enantiomers in their biological purposes, enhanced therapeutic indexes and/or better pharmacokinetics. This highlights the possible biological and pharmacological variations between the two drug enantiomers and underlines the clinical experience of individual enantiomers. Particular emphases have been put on chiral separation by HPLC on chiral stationary phases (CSPs). Chiral derivatization reagents (CDRs) are optically pure reagent on reaction with drugs forms a pair of diastereoisomers that can be separated on conventional achiral phase. In Chiral mobile phase additive (CMPA) method, the stationary phase is achiral and the chiral selector is dissolved during the mobile phase. Interaction with the analyte’s enantiomer leads to the formation of transient diastereomeric complexes that are separated by their affinity towards mobile/stationary phase. Separation mechanisms and method development for chiral molecules using these phases are discussed in this review.
ANÁLISE DA FREQUÊNCIA DE INFECÇÃO DE FERIDA OPERATÓRIA DE ACORDO COM O TIPO DE ASSEPSIA E ANTISSEPSIA NO PRÉ-OPERATÓRIO
Authors: Manhães Raiza Tinoco , Mandarim Maria Elena , Rodrigues Andreia , Almeida Giovanna , Caldas Maria Alice 
Published: May 2020

Estudos sugerem que não há necessidade do uso de escovas para degermação pré-operatória das mãos, preconizando apenas o uso de antissépticos. A escovação parece aumentar as lesões nas mãos e disseminar bactérias; enquanto a utilização de antissépticos reduz o tempo de degermação e o uso de escovas. Objetivo: realizar uma análise comparativo entre a escovação tradicional pré-cirurgica das mãos com antissépticos e a degermação pré-cirurgica com a lavagem das mãos utilizando o antisséptico polivinilpirrolidona-iodo (PVP-I) ou clorexidine. Métodos: Para alcançar esses objetivos foi realizado um Estudo Documental e Exploratório de 200 cirurgias ginecológicas e de mastologia realizadas no Hospital Escola Alvaro Alvim, Campos dos Goytacazes, RJ. Os dados de interesse para o estudo foram obtidos a partir da coleta de dados de registro de cirurgias do centro cirúrgico e respectivo prontuário de acordo com a ficha clinica elaborada para a coleta das informações. As 200 cirurgias foram divididas em dois grupos sendo 100 delas realizadas por equipes que utilizaram a escovação das mãos (grupo A) e as outras 100 cirurgias à equipe apenas lavou as mãos com os antissépticos (grupo B) citados acima. Resultados: Foram observados quatro casos de infecção da ferida pós-operatória, dois no grupa A e dois no grupo B. A análise dos resultados do presente estudo mostra que os dois métodos aplicados de assepsia pré-cirúrgica, com e sem utilização de escovas, apresentaram eficiência e eficácia semelhantes, uma vez que não houve diferença estatística significante entre as taxas de infecção da ferida operatória.
Rinoplastia reparadora com enxerto de cartilagem costal em caso de necrose septal em paciente com Granilomatose com Poliangeite
Authors: MANDARIM DE LACERDA MARIA ELENA , Guimaraes Leonardo Araujo , Souza David de Almeida , Botelho Lara Gomes , Dos Santos Julyane Alves de Assis , D’Oliveira Leonardo Ferraz Marques 
Published: May 2020

Descrita em 1937, por Friedrich Wegener, a Granulomatose com Poliangeíte (GPA) – anteriormente conhecida como Granulomatose de Wergener – é uma condição autoimune rara. Trata-se de uma vasculite que acomete vasos de pequeno a médio calibre e inflamação granulomatosa necrotizante. Vasos de grande calibre raramente são afetados. Acomete regiões de cabeça e pescoço com regular frequência. Possui predileção pelo trato respiratório alto, pulmões e rins, no entanto pode acometer qualquer órgão. As regiões de orelha, nariz e garganta são as mais comuns em manifestações primárias da doença. Objetivo: Relatar a abordagem cirúrgica reparadora em quadro de deformidade nasal, em paciente com diagnóstico de GPA há 25 anos. Descrições: Paciente do sexo feminino, 41 anos de idade com diagnóstico de GPA há 25 anos. Apresenta quadro de deformidade nasal há aproximadamente 19 anos. Apresenta desabamento do arcabouço cartilaginoso desencadeada por necrose de septo nasal. Não foram relatadas queixas funcionais. Programada rinoplastia aberta com confecção de neosepto em L a partir de enxerto de cartilagem costal. Atualmente a paciente apresenta sustentação da ponta nasal, reversão completa do quadro de nariz em sela, sem queixas funcionais. Conclusão: A GPA é uma doença rara que em acometimentos nasais a perfuração de septo é um evento comum. Raramente, com um longo tempo de doença, pode causar destruição mais extensa da cartilagem nasal, gerando deformidades. Este artigo apresenta um caso raro, de uma paciente com longo período de doença, apresentando deformidade nasal. Foi realizada rinoplastia reparadora com enxerto de cartilagem costal. A cirurgia foi realizada no Serviço de Cirurgia Plástica do Hospital Universitário Pedro Ernesto.
Influential Marketing Strategies are Simultaneously Against the (use of) the Occupational Hospitalization by the BPJS Patients in Hospital Muhammadiyah University of Malang
Authors: Churniawan Arief , Suhita Byba Melda , Peristiowati Yuly 
Published: May 2020

The aimed of this research to analyze marketing strategies take effect simultaneously against the (use of) the occupational hospitalization by the BPJS patients in hospital Muhammadiyah University of Malang. Quantitative research design that is crossectional. Research on variable i.e. the influence marketing strategies are simultaneously against and as the independent variable and the (use of) occupation hospitalization as the dependent variable BPJS. Population research i.e. whole health BPJS patients who underwent hospitalization on 15th October – November 15, 2018. Samples taken by random sampling technique as much as 92 respondents. The data collected by the instruments and questionnaires processed in coding, editing, tabulating and scoring as well as tested with linear regression test.
Linear regression results indicate that partially and the simultaneous there are shows a value of p = 0,00 < 0.05 so that ther is influence marketing strategies towards occupational (usage) of inpatient care by patients BPJS RS UMM Malang. R Square (R2) of 0.660 or 60.6% that shows contributions from independent variable marketing strategies (product, price, place, people, and processes), while the rest was 39.4% in influence by other factors that do not exist in this research model. Multiple correlation coefficient is used to measure the keeratan relationship between the dependent and independent variables. The results showed that the strategy of marketing (product, price, place, people, and processes) conducted by the managing of RS UMM exactly will affect the increase in occupasi or DRILL the patients. Process management efekstif, efficient and does not kink as well as facilitate the patient in obtaining health services can be one alternative reference patient in taking a decision to receive a health service. The existence of a negative perception by the patient about marketing strategy indicated that dissatisfaction received the patient and can make patients feel uncomfortable in accepting hospital service, so this affects patients in using the services of the hospital or hospital can move patients
Health Promoting Lifestyle among Nurses of a Tertiary Level Hospital
Authors: Baral Pramila , Tamrakar Neeta 
Published: May 2020

Background: Lifestyle-related diseases are increasing worldwide representing 63% of all deaths globally. Health-promoting behaviors among nurses may affect the quality of patient care and education. This study aims to identify the health-promoting lifestyle among nurses.
Methods: Descriptive, cross-sectional study design was used among 111 nurses working in Manipal Teaching Hospital, Pokhara from November 2016 to March 2017. A simple random sampling technique (lottery method) was applied using a self-administered structured standard tool, Health Promoting Lifestyle Profile II. The analysis was done using an independent t-test.
Results: The total Health-Promoting Lifestyle Profile II mean score was 137.66±19.18. The highest mean score was in spiritual growth (27.43±4.63) and lowest in physical activity (17.03±4.88). A good health-promoting lifestyle was among 60.4% of the nurses. The significant difference in the mean score of total Health-Promoting Lifestyle Profile II was found in marital status (p=0.031) and educational qualification (p=0.009). Likewise, the significant mean difference of interpersonal relations, nutrition and stress management was found with educational qualification (p < 0.05). The significant mean difference in nutrition was also found with marital status (p=0.02). There was a significant mean difference in physical activity and spiritual growth with work experience (p<0.05).
Conclusion: The spiritual aspect of health has been more focused by the nurses. Along with this, nurses need to put greater emphasis on physical activity and stress management for better health.
Treatment Non-Compliance in Bipolar Affective Disorder Patients: A Study from a Tertiary Care Centre in Nepal
Authors: Subedi Sandip , Paudel Kamala 
Published: May 2020

Background: Treatment Non-compliance is a major challenge in the treatment of Bipolar Affective Disorder as it can give rise to lots of unwanted consequences. Therefore, understanding various reasons for non-compliance and taking steps to reduce it is a key step in minimizing the unwanted consequences. Thus, This study was done to identify the pattern of non-compliance in patients with Bipolar Affective Disorder.
Methods: This was a cross-sectional study including 76 patients who attended Psychiatry OPD of Universal College of Medical Sciences. Socio-demographic datasheet, Datasheet for various factors related to non-compliance, Morisky 8-Item Medication Adherence Scale (MMAS-8) and Descriptive summaries of socio-demographic and contributing factors for all patients were used to record the data.
Results: Out of a total of 76 patients, males (55.2%) were slightly higher than Females. The mean age of participants was 35.78±12.25 years. About 76.8% of the patients were non-compliant. High non-compliance was seen in age below 40 years (48.7%), male (52.6%) and duration of illness up to 15 years (78.9%), having up to 3 pills (44.7%) and having previous treatment history (60.5%).
Conclusion: Treatment non-compliance was very high in patients with BPAD. Appropriate measures need to be taken care of to reduce non-compliance.
Awareness of Basic Life Support among Health Personnel in a Rural Teaching Hospital
Authors: Giri Prabin Kumar , Pokhrel Bishal , Panta Prem Prasad , Khapung Robin 
Published: May 2020

Background: Cardiopulmonary resuscitation success rates depend on the knowledge and skills of Adult basic life support (BLS) and advanced life support. The objective of the study was to find the level of awareness on BLS and skills among health personnel working in different departments of a rural teaching hospital.
Methods: This descriptive cross-sectional study was conducted in a tertiary care hospital of Karnali Academy of Health Sciences, Jumla, Nepal. The awareness level about BLS was assessed using a structured questionnaire. Health personnel’s previous exposure to BLS and the inclusion of BLS in their curriculum was also assessed.
Results: Among 91 participants,74% (n=67) heard about BLS ,64% (n=58)have seen performing and 25%(n=23) have performed CPR. Only 8%(n=7) attended a workshop on BLS. 43% (n=39) answered 100 and 46%(n=42) answered 30 compression per minute in adult during CPR.71%(n=65) knew the ratio of chest compression to breath in adults. Only 41%(n=37) identified anatomy/area mid-chest for chest compression. Only 40%(n=36) are familiar to the Heimlich maneuver and 5.5%(n=5) were aware of the sequence of BLS which is Head tilt, chin lift, check the pulse. Seventy-eight percent (n=71) responded that BLS training should be a part of the medical curriculum. Mean awareness of general medicine is significantly lower than the other two groups (P<0.001).
Conclusion: The level of awareness and knowledge regarding BLS is different among health personnel. Hospital staff and nursing students had better knowledge regarding BLS than general medicine students.
Pelvic Organ Prolapse in Countries of Different Economy: A Systematic Review
Authors: Paudel Shishir , Chalise Anisha , Dangal Ganesh , Bhandari Tulsi Ram , Baral Gehanath 
Published: May 2020

Aims: This review was done to identify the reported prevalence rate of pelvic organ prolapse among the different world populations.
Methods: Systematic review of Pelvic Organ Prolapse (POP) using the PRISMA checklist; PubMed database was searched on reportingthe prevalence of POP and its management measures in January 2020. Medical Subject Headings (MeSH) like "Pelvic Organ Prolapse"OR "Uterine Prolapse" OR “Vaginal Wall Prolapse” OR "Cystocele"AND "Prevalence [key word/s]" were used. Additional articles were identified through the reference list of the retrieved articles.
Results: Out of 91 screened articles, 46 full articles were eligible and only 15 satisfied by selection criteria for the systematic review.The methodological score rated for the quality of studies is 4.5±1.7 (range=2-7) out of 8 points. The mean prevalence of POP diagnosis was 40%; with 42.44% in low and lower-middle-income countries,and 35.56%in upper-middle and high-income countries. Increasing age and parity, body mass indexand fetal macrosomia were found to be the significant risk factors irrespective of the country’s economy.
Conclusions:The low and lower-income countries have almost twice the burden of prolapse than the countries of the higher economy. The major risk factors associated with prolapse remain common in all countries irrespective of national income or development.
Are we teaching patient safety to our academics?
Authors: Neto Aniz Kassis , Ferreira Juliane Bibiano , Carrijo Rôksanny Carneiro , Dos Santos Emerson Roberto , Fucuta Patrícia da Silva , André Julio Cesar , Abreu Lima Alba Regina de 
Published: May 2020

Nowadays, one of the biggest concerns in the health care field is centered on patient safety with a primary focus on the errors of the medical team. In 2009, WHO created a guide for universities aimed at patient safety in which it suggests new ways of approaching patients, thus improving the quality of trained professionals and dramatically reducing adverse events. There is a consensus that there is a restructuring of a system that currently presents serious failures that result in permanent harm to the objective of the medical team, which is the well-being of the patient, as well as an efficient inspection of the Decree Number 529/13 in Brazilian universities. It is in this context that the present work proposes to highlight the gap currently existing in Brazilian universities, based on the sampling of one of them, located in the countryside of São Paulo. Prospective intervention study using a quantitative and qualitative methodology, carried out in two stages: analysis of teaching plans and application of the quantitative and qualitative perception instrument to professors. Was not found in the teaching plans of the modules of the medical course at Universidade Brasil the concept of patient safety. Semi-structured questionnaire was answered by 47 teachers, 11 (23.4%) of the basic cycle and 36 (76.6%) of the clinical cycle and internship. Professors at Universidade Brasil consider that the themes are extensivily addressed in their classes, although they are not described in most of the modules' teaching plans. Medical education in Brazil needs a qualitative leap, and that leap is certainly in the area of patient safety. In the context of implementation, the multiprofessional edition of the World Health Organization (WHO) patient safety curriculum guide can be used as guidance and a current and very promising development in relation to the acquisition and examination of the skills necessary for safe care for the patient is the establishment of interprofessional training wards. Considering that medical students are the future driving force of change in health care, it is necessary to encourage quality improvement and patient safety education to offer the patient-centered. The graduation, at any time and since day one, is the moment of formation, therefore favorable to the teaching of this topic for students in the health care field, and all teachers should be involved with these contents.
Suprahepatic space as an alternative site for distal catheter insertion in pseudocyst-associated ventriculoperitoneal shunt malfunction
Authors: Habibi Zohreh , Golpayegani Mehdi , Ashjaei Bahar , Tayebi Meybodi Keyvan , Nejat Farideh 
Published: May 2020

OBJECTIVEDistal catheter malfunction due to pseudocyst formation or intraabdominal adhesion is a significant problem, especially in pediatric patients who have limited sites for distal catheter insertion. In this study, the authors present a series of 12 patients with intractable distal shunt malfunctions due to peritoneal pseudocyst formation who underwent distal catheter replacement in the suprahepatic space to reduce the risk of distal catheter malfunction.METHODSTwelve consecutive patients with shunt malfunction due to pseudocyst formation who had undergone ventriculosuprahepatic shunting from 2014 to 2019 were identified. According to medical records, after primary evaluations, shunt removal, and antibiotic therapy, they underwent revision surgeries with placement of a distal catheter into the suprahepatic space.RESULTSNine boys and 3 girls, ranging in age from 5 months to 14 years, with one or more episodes of pseudocyst formation, underwent shunt revision with placement of a distal catheter into the suprahepatic space. After a median follow-up of 31 months, none of the patients experienced further distal malfunction.CONCLUSIONSThe suprahepatic space appears to be a safe place to secure the distal end of a ventricular catheter following pseudocyst formation, with less risk of re-adhesion. This lower risk might be attributable to the lack of omentum in the suprahepatic space.