bluuebunny/crossref_metadata_2025_split huggingface dataset:
Treatment with High Dose Rifampicin in Tuberculous Meningitis: A Case Report
Authors: Ketaren Retno J , Goenawan Vonny , Simca Jennifer 
Published: October 2020

<p class="m-1735312214968439241gmail-paragraph"><strong>Introduction</strong><strong> </strong><strong>:</strong> Tuberculous meningitis continues to be associated with considerable mortality and morbidity.A randomized comparison of higher-dose intravenous rifampicin (approximately 13 mg/kg per day) versus a standard oral dose in adults with tuberculous meningitis showed that mortality among patients who received higher intravenous dose was 50% lower than those who received the standard dose.<sup>1 </sup>While there are other contradictory results regarding the use of high-dose rifampicin in patients with tuberculous meningitis.</p><p class="m-1735312214968439241gmail-paragraph"><strong>Method</strong><strong> :</strong> We hereby report a case of a 20-year-old female patient presented with a history of fever, palpable neck lymph nodes and headache since 1 month before admission. Neurological examination revealed nuchal rigidity without other neurological deficits. Head MRI with contrast showed meningitis with tuberculoma in the right parietal lobe +/- 0.4 cm and neck ultrasonography showed multiple lymphadenopathy with 1 cm in diameter. Cerebrospinal fluid examination revealed tuberculous meningitis. The patient had been treated with rifampicin 450 mg, other tuberculosis regiments, levofloxacin, and dexamethasone. After one week of treatment, the patient developed generalized seizure and deterioration of consciousness. Imaging re-evaluation showed multiple acute infarction in the cortical and subcortical left frontal lobe, bilateral insula, bilateral temporal lobe, right parietal lobe to the corpus callosum, more prominent leptomeningeal contrast, and communicating hydrocephalus. Ventriculoperitoneal shunt was done. The patient was then treated with a higher dose of Rifampicin (15 mg/kg ~ 900 mg) and showed improvement after 2 weeks of treatment without any abnormal laboratory findings.</p><p class="Body"><strong>Conclusion : </strong>The usage of high dose rifampicin is still controversial. From this case we can conclude that by giving high dose rifampicin, the patient has a better outcome without any significant side effects. Thus, we support the hypothesis of using high-dose rifampicin in patients with tuberculous meningitis that does not respond to the standard treatment.</p>
LAUGHTER THERAPY REDUCES ANXIETY IN FIRST YEAR STUDENTS OF STIKes SANTA ELISABETH MEDAN IN 2018 [LAUGHTER THERAPY MENURUNKAN ANSIETAS MAHASISWA TINGKAT I STIKES ELISABETH MEDAN TAHUN 2018]
Authors: Karo Mestiana Br , Simorangkir Lindawati , Gea Lestariani 
Published: October 2020

<p>Anxiety is a reaction that anyone can experience. Excessive anxiety will hinder a person's function in his life. Students often experience anxiety, as a result of psychosocial factors, where students do not respond appropriately to stressors, for example, new environmental situations. Laughter therapy is a powerful antidote to stress, illness and conflict. The purpose of this study was to determine the effect of child therapy on the anxiety of first-year students of STIKes/Health Institute of Santa Elisabeth Medan in 2018. The research design applied One Group Pre-Post Test Design. The sampling technique was selected using quota sampling, with a total sample of 63 people. The results of the study revealed that the average anxiety level of the students was 1.83 before being given the laughter therapy. After the laughter therapy, the average of students’ anxiety level decreased into 0.98. The Wilcoxon test showed the comparison score before and after the therapy, with p value 0.0001 (p &lt;0.05). This also means that there was an effect of laughter therapy on the anxiety of students at STIKes Santa Elisabeth Medan in 2018. From the research results, it is expected that students should experience the laughter therapy to reduce their anxiety and manage to more calm and relaxed.</p><p><strong>BAHASA INDONESIA </strong>Ansietas adalah reaksi yang dapat dialami siapapun. Rasa cemas yang berlebihan akan menghambat fungsi seseorang dalam kehidupannya. Mahasiswa sering mengalami cemas, akibat dari faktor psikososial, dimana mahasiswa tidak merespon secara tepat terhadap stressor misalnya terhadap situasi lingkungan yang baru. Laughter therapy atau terapi tawa merupakan penangkal stres, sakit dan konflik yang kuat. Tujuan penelitian ini untuk mengetahui pengaruhlaughter therapy terhadap ansietas mahasiswa tingkat I STIKes Santa Elisabeth Medan Tahun 2018. Desain penelitian menggunakan rancangan One Group Pre-Post Test Design. Teknik pengambilan sampel dipilih dengan menggunakan quota sampling, denganrjumlah sampel sebanyak 63 orang. Hasil penelitian sebelum diberikan laughter therapy, rata-rata tingkat ansietas 1,83. Kemudian setelah diberikan laughter therapy terdapat penurunan menjadi 0,98. Uji statistik yang digunakan adalah uji Wilcoxon dengan nilai p value = 0,0001 (p &lt; 0,05) yang berarti ada pengaruh laughter therapy terhadap ansietas mahasiswa tingkat I STIKes Santa Elisabeth Medan tahun 2018. Dari hasil penelitian di harapkan mahasiswa dapat melakukan laughter therapy sehingga dapat mengurangi kecemasan yang dialami dan membuat lebih tenang dan rileks.</p><div> </div>
POLA KOMUNIKASI TOKOH ADAT DALAM MELESTARIKAN BUDAYA TRADISIONAL SUKU SAMBORI
Authors: Hidayatullah Arief 
Published: October 2020

Sambori merupakan sebuah desa yang ada di wilayah Kecamatam Lambitu, Kabupaten Bima, Nusa Tenggara Barat (NTB). Desa Sambori merupakan sebuah desa yang berada didataran tinggi pengunungan Lambitu Kabupaten Bima. Kehidupan masyarakat di Desa Sambori masih tergolong sangat tradisional, dimana masyarakat masih mempertahankan nilai-nilai, norma dan aturan yang sudah sejak lama tertanam secara turun-temurun.
Masyarakat Sambori memiliki adat-istiadat yang berbeda dengan orang Bima pada umumnya. Seperti bahasa, sistem mata pencaharian, sistem kekerabatan, tradisi kesenian dan norma sosial. Masyarakat Sambori, sebagainnya masih tinggal dalam rumah adat yang di sebut “Uma Lengge”. Kehidupan sosial masyarakat suku Sambori masih sangat kental dengan “nuntu ra mufaka” yang lebih di kenal dengan musyawarah. Biasanya Suku Sambori menyelesaikan setiap masalahnya dengan melakukan musyawarah untuk mendapatkan kesepatakan bersama. Tokoh adat masyarakat Sambori memiliki peran yang sangat penting dalam mewarisi serta melestarsikan berbagai budaya suku Sambori tersebut.
Pola komunikasi merupakan aktivitas komunikasi yang dilakukan secara berluang (terus-menerus) hingga menjadi tanda yang melekat pada proses komunikasi tersebut. Menurut Onong Uchjana Effendy (2010) bahwa pola komunikasi dikelompokan menajadi tiga, yakni pola komunikasi primer, sekunder dan linear. Sedangkan menurut Deddy Mulyana (2003) pola komunikasi meliputi; pola komunikasi satu arah, pola komunikasi dua arah dan pola komunikasi banyak arah.
Penelitian ini menggunakan jenis penelitian dekskriptif kualitatif. Subyek penelitian ditentukan dengan purposive sampling, yakni tokoh adat masyarakat Sambori. Teknik pengumpulan data yang digunakan adalah obsevasi, wawancara dan dokumentasi. Proses analisa data dalam penelitian ini menggunakan metode analisis data, yakni mereduksi data, display data dan penarikan kesimpulan. Uji keabsahan data yang digunakan adalah dengan triangulasi data. Data disajikan dalam bentuk deskriptif kualitatif tentang pola komunikasi tokoh ada dalam melestarikan budaya tradisional di Sambori.
Hasil penelitian menunjukan bahwa pola komunikasi tokoh adat Sambori dalam melestarikan budaya tradisional suku Sambori lebih dominan menggunakan pola komunikasi linear atau pola komunikasi dua arah. Hal tersebut terjadi karena masyarakat Sambori mempercayai tokoh adat sebagai sumber informasi sekaligus komunikator dalam berbagai hal yang berkaitan dengan kehidupan sosial masyarakat Sambori.
Analisis Praktik Wacana Mengenai Kelompok LGBT dalam Publikasi Daring Feminis
Authors: Indari Anggita Ayu , Novianti Wiwik 
Published: October 2020

Nowadays, the discourse of LGBT people in Indonesia’s mainstream media is still so heteronormative and religious-bias. Contrarily to the fact, there is still a media that offers an alternative even though most of Indonesian Media only covers prominent discourse regarding to LGBT people. Magdalene is the example of one of them. Through their online publication, Magdalene tries to challenge the hegemony of mainstream media which often marginalizes, subordinates, and stigmatizes LGBT people. It is quite interesting because actually Magdalene is created as feminist publication which covers the voice of women, not particularly LGBT people.
This study aims to find out how the contents about LGBT people in Magdalene’s online publication is influenced by the discourse practice of the media. In conducting the analysis, researcher uses the Discourse Practice Analysis based on Norman Fairclough’s Critical Discourse Analysis. Additionally, the analysis is also based on Reese & Shoemaker’s Hierarchy of Influences on Media Content. In the end, the result shows that the discourse of LGBT people in Magdalene’s online publication is significantly influenced by personal attitudes, beliefs, and values upheld by the editorial team.
Status and Rehabilittion Pattern of Mangrove Ecosystem in the Eastern of Segara Anakan Cilacap
Authors: Hilmi Endang , Kartika Sari Lilik , Mahdiana Arif , Rani Samudra Sesilia 
Published: October 2020

The Segara Ankan Lagoon (SAL) has a potentially reduced mangrove ecosystem. In this year, the mangrove area in SAL is predicted only remaining 1788 ha. The degradation of The Segara Ankan Lagoon (SAL) has a potentially reduced mangrove ecosystem. In this year, the mangrove area in SAL is predicted only remaining 1788 ha. The degradation of mangrove ecosystem often occurres in SAL, especially in Eastern of Segara Anakan Lagoon Cilacap (E-SAL). To reduce mangrove degradation need activities to review their status and recovery activities. This research aims to analysis the activities to support the effort of mangrove rehabilitation. The results of this researchd showed that (1) The potential of mangrove ecosystem in E-SAL was seedling between 15.000 – 34.999 trees ha-1, sapling between 5.199-9.065 trees ha-1 and trees between 533 – 1366 trees ha-1, (2) The status of mangrove ecosystem in E-SAL was damaged – very damaged. (3) the model spesices selection of rehabilitation pattern to reduce mangrove degradation were Rhizophora apiculata, Rhizophora mucronata, Aegiceras corniculatum, Sonneratia alba, Avicennia marina, and Bruguiera gymnorrhiza
ANALISIS HERMENEUTIK ATAS DIALOG PADA FILM DILAN 1990 BAGI PENEGUHAN CINTA SUAMI ISTRI DI ERA MILENIAL
Authors: DOHO YOHANNES DON BOSCO 
Published: October 2020

ABSTRACT
Hermeneneutic is a theory that was originally intended to interpret scriptural texts. But over time, hermeneutics also aims to understand the various forms of text that ultimately mean as the process of changing something or situation of ignorance to understand, and it is implemented on the theory of interpretation of the text, one of which is the interpretation of the lyrics of the song. One of the philosophers in this theory is Schleiermacher who proposed his first two hermeneutical theories of understanding: grammatical understanding of all expressions, and second: the psychological understanding of authors. Based on both of them, Hermeneutics becomes an intuitive understanding, whose task is to reconstruct the author's mind. This study aims to analyze the moral message of the dialectics of the 1990 film Dilan. Based on dialogue in film researchers dive into the moral message for the institution of marriage of millennial people. Performed by using qualitative interpretive approach. The results confirm that the alignment of husband and wife life is always colored dynamics that actually strengthen the harmonization. A harmonious marriage and deliver couples to a happy life. Moral behavior in married life includes the ability , will , and habit. A moral attitude encompasses conscience, self esteem, empathy, loving the good, self-control and humility. Everything is set in the era and characteristics of the millennial generation.
Keywords: dialog, film, hermeneutics, , marriage, millennial
MEDIASI KESALEHAN SELEBRITI PEREMPUAN HIJRAH DI MEDIA SOSIAL INSTAGRAM
Authors: Machmiyah Siti 
Published: October 2020

ABSTRACT
The group of people who call themselves 'hijrah' in the realm of Islam has indeed become a new trend in Indonesia. This cannot be separated from the influence of post-Islamism which is rife where the traditional elements (in this case religion) can go hand in hand with the elements of modernity. Hijrah becomes a form of popular culture that can be easily followed by some Indonesian people, including by female celebrities, they eventually become a new 'capital' among bearers of hijrah because celebrities have a strong magnet to be a Hijrah trendsetter only close to the da’I who is a role model. The celebrities who hijrah were inevitably packing themselves to become the perfect celebrity hijrah figure, one of which was by branding the hijrah on Instagram social media, the hijrah celebrity then mediated ‘piety’ on Instagram through three things; upload preaching message content in everyday life, Islamic lifestyle in marketing endorsement products, and do remediation of preaching content from the da'i they follow.
Keywords : Celebrity, Hijrah, mediation
Immediate and Long-Term Implications of the COVID-19 Pandemic for People With Disabilities
Authors: Kendall Elizabeth , Ehrlich Carolyn , Chapman Kelsey , Shirota Camila , Allen Gary , Gall Andrew , Kek-Pamenter Joe-Anne , Cocks Kevin , Palipana Dinesh 
Published: October 2020

Some people with disabilities may have greater risk of contracting COVID-19 or experiencing worse outcomes if infected. Although COVID-19 is a genuine threat for people with disabilities, they also fear decisions that might limit lifesaving treatment should they contract the virus. During a pandemic, health systems must manage excess demand for treatment, and governments must enact heavy restrictions on their citizens to prevent transmission. Both actions can have a negative impact on people with disabilities. Ironically, the sociotechnical advances prompted by this pandemic could also revolutionize quality of life and participation for people with disabilities. Preparation for future disasters requires careful consideration.
COVID-19 and Overall Mortality Inequities in the Surge in Death Rates by Zip Code Characteristics: Massachusetts, January 1 to May 19, 2020
Authors: Krieger Nancy , Waterman Pamela D. , Chen Jarvis T. 
Published: October 2020

Objectives. To address evidence gaps in COVID-19 mortality inequities resulting from inadequate race/ethnicity data and no socioeconomic data. Methods. We analyzed age-standardized death rates in Massachusetts by weekly time intervals, comparing rates for January 1 to May 19, 2020, with the corresponding historical average for 2015 to 2019 stratified by zip code social metrics. Results. At the surge peak (week 16, April 15–21), mortality rate ratios (comparing 2020 vs 2015–2019) were 2.2 (95% confidence interval [CI] = 1.4, 3.5) and 2.7 (95% CI = 1.4, 5.5) for the lowest and highest zip code tabulation area (ZCTA) poverty categories, respectively, with the 2020 peak mortality rate 1.1 (95% CI = 1.0, 1.3) times higher in the highest than the lowest poverty ZCTA. Similarly, rate ratios were significantly elevated for the highest versus lowest quintiles with respect to household crowding (1.7; 95% CI = 1.0, 2.9), racialized economic segregation (3.1; 95% CI = 1.8, 5.3), and percentage population of color (1.8; 95% CI = 1.6, 2.0). Conclusions. The COVID-19 mortality surge exhibited large inequities. Public Health Implications. Using zip code social metrics can guide equity-oriented COVID-19 prevention and mitigation efforts.
Dental Radiographs for Age Estimation in US Asylum Seekers: Methodological, Ethical, and Health Issues
Authors: Kapadia Farzana , Stevens Jacqueline , Silver Diana 
Published: October 2020

Unaccompanied migrant children seeking asylum status in the United States are often forced to undergo dental radiographs, or x-rays, to verify that they are younger than 18 years. The application of third molar dental radiographs is methodologically flawed and should not be employed as a determinant of chronological age. Furthermore, the use of such tests without obtaining informed consent from either the youth or an objective advocate is unethical. Finally, the legal and health consequences of these inappropriately applied tests are severe and jeopardize the safety and security of these vulnerable minors.
Development of Calculation Theory for Hinged-Connected Beams on Elastic Base
Authors: Kozunova O. V. 
Published: October 2020

The paper provides a brief review of the literature on the theory and methods of calculating hinged-connected or articulated structures on an elastic base. The author refers to the works of B. G. Korenev, G. Ya. Popov, I. A. Simvulidi, R. V. Serebryany, A. G. Yuriev, in which, using various approaches, studies have been carried out to calculate hinged-connected beams and slabs on an elastic base. From the analysis of scientific literature on the topic under consideration, it can be concluded that there is no general approach to solving this problem, which is valid for any hinged-connected beams and plates lying on any model of an elastic base under the action of an arbitrary external load. In addition, a similar problem for this type of engineering calculations is observed in the normative documents. In the Republic of Belarus, a number of industry documents have been used to calculate pavement bearing elements for various highways and track transverse structures, in which road pavements with a load-bearing element and the connection of elements between themselves (hinged or rigid) are considered in an incoherent formulation. The paper proposes a universal approach for calculating hinged-connected beams on an elastic foundation, based on the mixed method of structural mechanics, taking into account the Zhemochkin ratios for functions of the elastic medium effects. The following hypotheses and assumptions are taken into account: only normal stresses act on the contact of the beam with the base, hypotheses of the bending theory are valid for beams, hinges between the beams are cylindrical, and the distribution of contact stresses along the width of the beams is uniform. As a result of the proposed calculation, the stress-strain state of a system of hinged-connected beams on an elastic foundation has been investigated, namely: distribution of contact stresses under beams, internal forces in the beams and hinged joints, as well as settlements of the elastic foundation under them. The numerical implementation of this approach has been performed using the mathematical package Mathematica 10.4. Examples of calculation are given for different versions of hinged-connected beams and an elastic base: for three hinged-connected beams based on Winkler and seven – on an elastic half-space.
Application Flexibility of Jet Pump – Unconventional Method for Offloading a Sidetracked Well and Reactivation of Inactive Well using Jet Pump
Authors: Abbasi Haris Shakeel , Khan Zubair , Junaid Ahmad Hafiz , Cristea Robert Constantin 
Published: October 2020

Abstract
This paper presents the analysis and results of the Jet Pump (JP) applications in the two oil fields: Well -A, for customer in U.A.E, and Well-B for customer in Oman. Well-A was a deviated well with 3-1/2-inch single string completion. The tubing-string was equipped with three Side Pocket Mandrels (SPM). Based on preliminary screening for Artificial Lift Systems (ALS) against the provided well data, the jet pump system was found the most suitable ALS method. Jet pump was evaluated for its efficiency in reviving a dead well with rig less installation using Jet Evaluation and Modeling Software (JEMS). Thus, a reverse circulation JP was straddled across the last SPM in the tubing using two tubing packers. The power fluid was then injected through casing which entered the JP to create the drawdown required to bring the formation fluid through tubing to the surface. The dead well was produced successfully at different injection pressures and rates for four months. The production results were compared to the theoretical model of JEMS to assess the JP performance.
The Well-B was a newly side tracked well where customer intended to use a jet pump for offloading the kill fluid of well from its last zone. A 2-7/8-inch bottom hole assembly of JP was run at 9,348 ft depth during the well completion. Jet pump was freely dropped in the well to offload the kill fluid and revive the production. Rig pump was used to inject power fluid at high pressure in the tubing and returned fluids were taken from the annulus. Constant samples of produced liquid were taken to ensure the kill fluid has been offloaded and the reservoir started contributing its fluid. Jet pump was retrieved with the help of slick line once satisfactory results were received at the surface. The well was successfully offloaded at around 900 bbl. of gross fluid using JP technology.
Drill Bit Damage Assessment Using Image Analysis and Deep Learning as an Alternative to Traditional IADC Dull Grading
Authors: Ashok Pradeepkumar , Vashisht Prabal , Kong Hyeok , Witt-Doerring Ysabel , Chu Jian , Yan Zeyu , van Oort Eric , Behounek Michael 
Published: October 2020

Abstract
IADC dull bit grading is the current industry standard to assess the condition of a drill bit when it comes out of the hole. It is intended to capture the impact of drilling issues (e.g. drilling abrasive hard rock, drilling dysfunctions) on the bit and to improve future bit selection. However, the grading process is manual and subjective, making the bit grading outcome an inconsistent and unreliable metric. Recent advances in image processing and deep learning allow for bit grading to become more consistent and automated. Such a process is described in this paper.
The dataset used in this project consisted of multiple images (taken from different perspectives in a random manner) of used drill bits from 13 bit runs across multiple wells. As a preliminary step in developing the approach, only PDC bits were considered in this project. The first task was to identify all the cutters on a drill bit image using Convolutional Neural Networks (CNN). The CNN approach was chosen since it has shown remarkable success in solving the problem of object detection and classification in other fields. Next, the amount of damage to each cutter was quantified using image processing techniques. Finally, from information gathered in the previous steps, a holistic damage assessment of the drill bit was made.
The trained CNN was able to detect the cutters in an image to a high degree of accuracy. The accuracy of cutter detection was further improved through the use of heuristics that predict potential locations of cutters based on blade location and shape. The identification of unique cutters from a group of images of the same bit proved more challenging. Since the images could not be appropriately stitched together, each image was graded independently, and a holistic assessment of the bit was made by aggregation of the individual assessments. Additionally, not all of the cutters identified could be positively identified as damaged or not. For example, if the perspective that was available was at a right angle to the cutter's face, it is inherently not possible to quantify the damage. The computer-generated assessment of the bit was validated with collaborative assessments made by multiple human operators.
This paper presents a novel approach to bit damage classification that removes the subjective bias that comes with human evaluations. The application of deep learning techniques to cutter identification, damage detection and quantification is unique and has the potential to significantly improve bit design, selection, and thus, drilling efficiency.