bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penerapan Pelatihan Siap Siaga Bencana (Sigana) Dalam Meningkatkan Kesiapsiagaan Bencana Pada Pecalang
Authors: Laksmi Ida Ayu Agung 
Published: February 2020

Setiap Desa di Bali, memiliki satuan penjaga keamaan yang disebut sebagai Pecalang. Sebagai penjaga keamanan masyarakat, Pecalang tentunya harus dibekali pelatihan siap siaga bencana sebagai upaya dalam meningkatkan kesiapsiagaan bencana. Oleh karena itu, perlu dilakukan Pelatihan Siap Siaga Bencana (SIGANA) pada pecalang Desa Selat Badung. Pelatihan ini merupakan jenis pengabdian masyarakat dengan menggunakan pendekatan kuantitatif untuk mengukur tingkat kesiapansiagaan peserta dalam menghadapi bencana di Badung dengan menggunakan desain penelitian pre-eksperimental yaitu One Groups Pretest-Posttest Design untuk mengukur keefektivanprogram pelatihan SIGANA. Analisis data yang digunakan adalah dengan uji paired T-test dengan hasil didapatkan perbedaan yang signifikan antara nilai pre-test dan post-test kesiapsiagaan pada 25 orang peserta pelatihan SIGANA dengan nilai p < 0.001. Berdasarkan hasil tersebut, maka dapat disimpuklan bahwa pelatihan SIGANA efektif dalam meningkatkan kesiapsiagaan bencana pada pecalang Desa Selat, Badung. Oleh karena itu, untuk mendukung berdirinya Desa Tangguh Bencana, perlu dilakukan pelatihan-pelatihan kebencanaan yang rutin pada seluruh lapisan masyarakat.
Prevalence of Neurocysticercosis among Seizure patients: - Single Center Study
Authors: Thapa Dinesh Kumar , Nepal Pankaj Raj , Karki Karuna Tamrakar 
Published: February 2020

Background and purpose: The incidence of Epilepsy is high all over Nepal. This study was conducted to analyze the relationship between the incidence of seizure and neurocysticercosis (NCC) among patients admitted to our hospital in Far Eastern Nepal.
Material and method: A descriptive cross-sectional study was done among patients diagnosed as NCC with a seizure disorder in B & C Medical College Teaching, from September 2017 to August 2018. Neurocysticercosis was diagnosed based on Computer Tomography (CT), Magnetic Resonance Imaging (MRI), clinical features and laboratory investigations matching Del Brutto’s absolute and major criteria.
Result: 103 patients were admitted to the hospital with clinical features of seizure disorder. Neurocysticercosis was diagnosed in 29(28%) patients. Among them, 21(72.41%) were males and 8(27.59%) were females. Patients presented with Generalized tonic-clonic seizure (GTCS) were 18(62%) and 3(10.35%) patients had focal seizures. Focal Seizure with secondary generalization (FSSG) was seen in 5(17%), 2(7%) had status epilepticus and 1(3.45%) patient had presented with absence seizure. Most of the patients 18(62%) had a calcified stage of NCC with perilesional edema in neuroimaging. Phenytoin was the most commonly used intravenous antiepileptic drug (AED) followed by Levetiracetam and Sodium Valproate. Carbamazepine was the most common oral AED used.
Conclusion: NCC is the most common finding among seizure patients admitted to our hospital. The incidence of NCC is high in Eastern Nepal. Poor hygiene, insanitation, low socioeconomic status and lack of awareness were the key factors in spreading NCC.
Patterns and Severity of Injuries in Patients Following Road Traffic Accidents – A Medicolegal Aspects
Authors: Chaudhary Archana , Wasti Harihar 
Published: February 2020

Background and purpose: Road traffic accident (RTA) is the major cause of the morbidity and mortality throughout the world and the incidence is still very high in developed and developing countries. With the objective to see the pattern and severity of the injury following RTA from the medico legal point of view, this study was design in a tertiary care centre at far eastern part of Nepal.
Material and method: This is a prospective analytical study with non- probability consecutive sampling of road traffic accidents cases presented in the emergency department during period of 6 months. Type of study: Prospective Analytical study.
Result: There were total 210 cases of road traffic accidents with mean age of 31.8 (SD 15.7) years where majority were at 20-29 years of age group and males were the majority. Majority of the cases had injuries to the extremities followed by head. Grievous injury and life threatening injuries were also a common finding in this study.
Conclusion: Road traffic accidents are more common among male, bike/scooter rider and 22-29 years of age group. Majority of the injury were fracture/dislocation of extremities and intracranial injuries. As per the medicolegal aspect, grievous and life threatening injuries were common findings among patients with road traffic accidents.
Predictors and Significance of Orbital Fracture in Traumatic Brain Injury
Authors: Karki Karuna Tamrakar , Nepal Pankaj Raj 
Published: February 2020

Background and purpose: Orbital manifestation in traumatic brain injury though uncommon, is one of the major complications of traumatic brain injury that has to be addressed judiciously to prevent permanent visual loss.
Material and Methods: 211 patients who underwent CT for traumatic brain injury in between September to December 2019 were prospectively examined for the orbital manifestation. Patients who had undergone CT head including orbit with 3D face RECON were only included in our study to remove the bias between fracture line and suture in plain CT scan. CT imaging was evaluated to identify and subtype the orbital fracture.
Results: Total number of patients was 28, with mean age of 33.82 (SD 17.15) years. Majority of the patients were male which accounted 79% of sample size. There was 78% mild head injury followed by 18% and 4% moderate and severe head injury respectively. The most common type involved among all were blow out fracture and lateral orbital wall fracture. Clinically vision was abnormally around 21% of the cases, abnormal papillary reaction was seen in 25% of the cases around 93% of the cases had raccoon eye at the time of presentation. There was proptosis in around 14% of the patients and subconjunctival hemorrhage was seen in around 93% of the cases. Around 79% of the patients had intact vision at the time of presentation and 3.6% of the patients improved their vision during the course of treatment. Complete globe disruption who required evisceration of the eyeball was 10.7% and those who had abnormal vision at the time of presentation, 7.1% that did not improve their vision.
Conclusions: orbital manifestations with either type of orbital fracture in traumatic brain injury are useful for the prediction of severity of orbital injury and its clinical outcome. This helps to identify patients in high risk and start early treatment to prevent permanent visual loss.
Outcome Following Decompressive Surgery for Malignant Middle Cerebral Artery Infarction
Authors: Nepal Pankaj Raj , Rijal Suman 
Published: February 2020

Background and purpose: When >50% of the brain supplied by middle cerebral artery (MCA) gets infracted they are often termed as malignant MCA infarction. Decompressive hemicraniectomy has became the standard treatment option in carefully selected cases with higher survival benefit (78% Vs 29%) in a pooled analysis of one year follow up; however, there was no promising outcome noted in terms of disability rating. To see the outcome following decompressive hemicraniectomy and lax duroplasty for malignant middle cerebral artery (MCA) infarction this study was pserformed.
Materials and Methods: This is a retrospective analytical study, with non-probability consecutive sampling of decompressive hemicraniectomy with lax duroplasty for malignant MCA territory infarction over the last 4 years were collected and Glasgow outcome scale (GOS) at one and six month were measured. The significance was analyzed using chi square or Fisher exact test wherever applicable using SPSS-20.
Results: Total 31 cases, with male predominance (74.2%), and mean age of presentation was 51.9 years. Most commonly operated side was on the left (58.1%). Overall favorable outcome at 6 month was 35.5%. When operated for the preoperative GCS of >8, favorable outcome was observed in 30.8% at one month and 76.9% at six months which was statistically significant.
Conclusion: Decompressive hemicraniectomy with lax duroplasty has a significant survival benefit. The outcome is significantly better when the preoperative GCS is >8.
Comparative Study of Surgical Outcome of Chronic Subdural Hematoma Treated with and without External Drainage
Authors: Sapkota Suresh , Niraula Kiran , Lohani Subash , Shrestha Shikher , Shrestha Bibhusan , Shaheen Ashraf 
Published: February 2020

Background and purpose: Chronic subdural hematoma (cSDH) poses a significant morbidity and mortality risk particularly in elderly population. It can be treated with simple surgical techniques like burr hole drainage under local anesthesia, however it often recurs after surgical evacuation in significant number of patients.
Material and methods: A randomized controlled trial was designed at Mayo Hospital/KEMU in 2013 to 2016. Total number of 98 patients who met the inclusion and exclusion criteria were randomized into ‘with drain’ and ‘without drain’ arm. All of them were treated with burr hole drainage under local anesthesia. Half of them had subdural drain while the remaining half did not. Recurrence of hematoma and surgical outcome was compared.
Result: Among 98 patients included in the study(54 males and 44 females) met the inclusion criteria. Mean age of presentation was 63 years ± 12.4 (range 40-100). There was left sided preponderance in hematoma location (53.1%). Mean midline shift was 2.7 mm ± 1.5. Owing to drainage of cSDH, post-operative MRC score of patients along with midline shift in the CT brain showed statistically significant improvement. However, irrespective of insertion of drainage system, there was no significant difference noted in recurrence of cSDH, midline shift and improvement in presenting symptoms (hemiparesis or monoparesis) considering all post-operative days.
Conclusion: There is no significant difference in recurrence rate depending on weather a postoperative external drainage is placed or not.
Outcome of Bell’s Palsy- An Institutional Study
Authors: Thakur Rajnish Kumar , Rajbanshi Jagat Narayan , Khadka Samjhana , Nepal Pankaj Raj 
Published: February 2020

Background and purpose: Bell’s palsy represents sudden onset of lower motor neuron type of facial palsy in the absence of other cranial nerve involvement. Pathophysiologically, it has been described mostly due to viral infection, and early use of antiviral therapy, steroids and physiotherapy has shown to limit the disease and helps in early recovery from palsy. With the objective to evaluate over all clinical outcome of the patients presented with Bell’s palsy with our treatment strategies this study was performed.
Material and method: This is a prospective analytical study with non probability consecutive sampling technique over the duration of 6 months. Continuous variable like age is presented using mean and standard deviation. Categorical data are presented as percentage and analysis of outcome of the treatment is done using Fischer’s exact test. Statistical analysis was done using SPSS -20.
Result: Total number of patients enrolled in the study was 19, where mean age was 33.47 (SD 15.71) years. Bell’s palsy was more commonly seen in female patients (58%). House Brackmann grading of facial nerve palsy at the time of presentation was four. There was significant association of early treatment with complete recovery in this study.
Conclusion: Early treatment of bells palsy with acyclovir, steroids, and physiotherapy has shown promising result in most of the studies; and this holds true in this study as well, where delaying the treatment was significantly associated with poorer recovery.
Heat Treatment Optimisation of Supersolidus Sintered Steel Compounds
Authors: Farayibi P. K. , Blüm M. , Weber S. 
Published: February 2020

Abstract
The high demands on wear resistant tools have led to the development of wear resistant claddings on a substrate, which can be a low alloyed steel with higher ductility than the cladding to improve the resistance of the tool against fracture. In this study, the post heat treatment of sinter-cladded X245VCrMo9-4 steel coating on X120Mn12 steel substrate was investigated, as it is expected that the substrate remained austenitic while the coating possessed a tough martensitic matrix with uniform dispersion of carbide precipitates. Samples were prepared by sintering at 1250 °C in a vacuum furnace under a nitrogen atmosphere at 80 kPa and a heating rate of 10 K/min, and was allowed to cool in the furnace after a dwell of 30 min at sintering temperature. These samples were subjected to heat treatment by austenitisation, oil quenching and tempering. The effect of heat treatment procedures deployed on the samples was examined using optical microscopy, scanning electron microscopy, X-ray diffraction and hardness. Experimental results were supported by computational thermodynamic calculations. The results indicated that the optimised heat treatment, through which the hardness of the steel coating is significantly enhanced while the substrate microstructure remained austenitic, is by austenitising at 950 °C, quenching and low temperature tempering at 150 °C. Quenching temperature was significant to the hardness of the steel coating, as quenching from higher temperature led to a lower hardness of the matrix when compared to quenching at lower austenitisation temperature owing to a high fraction of retained austenite.
Quenching Aluminum for Residual Stress and Distortion Control∗
Authors: MacKenzie S. 
Published: February 2020

Abstract
The heat treatment of aluminum (Solution Heat Treatment, Quenching and Aging) are critical processes to insure that the desired mechanical and corrosion properties are achieved. Of these steps, quenching is perhaps the most critical of all the operations. If quenching is too fast, properties are met, but the part may have excessive distortion or residual stresses. This can result in shortened life due to residual stresses, or result in additional non-value added straightening of the component and this increases cost and cycle time. In this paper, the mechanism for distortion of aluminum is explained, and methods (racking and quenchants) are shown that can reduce distortion and residual stresses in heat treated components.
AUTOMATION METHOD OF THE CONCRETE REDOSAGE PROCESS IN CONCRETE BUSINESS UNIT
Authors: Torres Raphael José Rodrigues , De Carvalho Zulmara Virginia , Filgueira Burlamaqui Aquiles Medeiros 
Published: February 2020

Mixing concrete is a standardized material whose consistency is measured by the slump, which has a previously defined acceptability range, but not always respected in the tacing water redosage by the mixer operator, causing material losses, when returned by the construction team, or structural problems, by reducing of a final strenght due water excess. Thus, in this article we will evaluate the new technologies for slump characterization, in order to developer an automation mechanism with the use of sensor and internet of things, capable of ensuring the material properties. In this sense, we used the Works of Amziane et al (2005) and Palazzo et al (1989), as well as NBR 7212 (2012) and others developed within this área. Preliminary studies point to the possibility of using sensors inside concrete plant, installed in concrete mixer truck, in order to obtain reliable slump results.
Primary prevention of road traffic accident–related traumatic brain injuries in younger populations: a systematic review of helmet legislation
Authors: Du Rebecca Y. , LoPresti Melissa A. , García Roxanna M. , Lam Sandi 
Published: February 2020

OBJECTIVERoad traffic accidents are the most frequent cause of severe traumatic brain injury (TBI), particularly among young populations worldwide. Helmets are proven to prevent injuries; however, estimates of helmet compliance are low globally. Surgical/critical care management of TBI is often used to treat these injuries, but primary prevention should be recommended. A key component in promoting TBI prevention among pediatric and young populations is through helmet legislation. The authors investigated helmet policies for motorcycles and bicycles globally to provide recommendations for how related legislation may impact TBI and guide advocacy in pediatric neurosurgery.METHODSThe authors conducted a systematic review of helmet laws and/or policies by using the National Library of Medicine PubMed and SCOPUS databases. Additional articles were identified using citation searches of key publications. Abstracts from articles of all sources were read and selected for full-text review. Details of relevant full articles were extracted and analyzed for the following: bibliographic data, study aim, design and duration, study participants, intervention characteristics, and intervention effect data.RESULTSOf 618 search results, 53 full-text articles were analyzed for recommendations. Helmet legislation is associated with increased helmet use among bicyclists and decreased road traffic accident–related head injuries and fatalities among motorcyclists and bicyclists. Laws are more effective if comprehensive and inclusive of the following: both primary riders and passengers, all age groups, all modes of transportation made safer by helmets, a proper use clause, and standardized helmet quality measures. Cultural, socioeconomic, and infrastructural circumstances are important as well, and legislation must consider enforcement mechanisms with penalties significant enough to incentivize behavioral changes, but proportional to community socioeconomic status.CONCLUSIONSCompulsory use laws are the optimal primary intervention; however, concurrent programs to support financial access to helmets, change cultural attitudes, increase health literacy, and improve road infrastructure will augment legislative benefits. Pediatric neurosurgeons are caretakers of children suffering from TBI. Although extensive study has explored the surgical management of TBI, the authors believe that primary prevention is instrumental to improving outcomes and reducing injury. All helmet laws are not equal; based on these findings, a comprehensive, context-specific approach is the key to success, especially in resource-limited countries.
Sympathectomy via a posterior approach after a failed trans-thoracic approach: a case of its use for arrhythmia
Authors: Blatt Daniel , Cheaney Barry , Holste Katherine , Balaji Seshadri , Raslan Ahmed M. 
Published: February 2020

OBJECTIVECongenital long QT syndrome (LQTS) provides an opportunity for neurosurgical intervention. Medication and implantable cardiac defibrillator (ICD)–refractory patients often require left cardiac sympathetic denervation (LCSD) via anterior video-assisted thoracoscopic surgery (VATS). However, this approach has major pulmonary contraindications and risks, with a common concern in children being their inability to tolerate single-lung ventilation. At Oregon Health & Science University, the authors have developed a posterior approach—extrapleural, minimally invasive, T1–5 LCSD—that minimizes this risk.METHODSA 9-year-old girl with LQTS type III presented to the emergency department while experiencing ventricular tachycardia (VT) and ventricular fibrillation (VF) with multiple ICD firings. Medical management failed to resolve the VF/VT. VATS was attempted but could not be safely performed due to respiratory insufficiency. The patient was reintubated for dual-lung ventilation and repositioned prone. Her respiratory insufficiency resolved. Using METRx serial dilating tubes under the microscope, the left T1–5 sympathetic ganglia were sectioned and removed.RESULTSPostoperatively, the patient had no episodes of VF/VT, pneumothorax, hemothorax, or Horner syndrome. With mexiletine and propranolol, she has remained largely VF/VT free, with only one VT episode during the 2-year follow-up period.CONCLUSIONSMinimally invasive, posterior, extrapleural, T1–5 LCSD is safe and effective for treating congenital LQTS in children, while minimizing the risks associated with VATS.
ANALISIS PERSEPSI NILAI DAN KEPERCAYAAN TERHADAP NIAT PEMBELIAN JASA PAYMENT POINT ONLINE BANK
Authors: Fithriani Merry 
Published: February 2020

Abstract:. This reseach aimed to find out and analyze of perceived value and trust on purchase intention on PPOB services in the south Bandung area. The population in this study is the owner of a credit kios in the southern Bandung area.by using saturated sample that is the number of samples equal to the population of 120 respondents.this reseach is using Struktural Equation Model (SEM) AMOS 21.the test result concluded that perceived value and trust significant positive effect on the intention to use PPOB services in the south Bandung area.based on the indicators described in perceived value are emotional value,social value,and functional value,and in trustworthiness namely ability,virtue,integrity,they have a significant partial effect on purchase intention.the result can be maintain by giving the customer the best value and obtain their trust to sustain their purchase intention.Keyword: Perceived value,Trust,Purchase IntentionAbstrak: Penelitian ini bertujuan untuk mengetahui dan menganalisa pengaruh persepsi nilai dan kepercayaan terhadap niat pembelian jasa PPOB di wilayah Bandung selatan. Populasi dalam penelitian ini adalah pemilik kios pulsa di wilayah bandung selatan. dengan menggunakan sampel jenuh yaitu jumlah sampel sama dengan populsi yaitu sebanyak 120 responden. Alat analisa dengan menggunakan Struktural Equation Model (SEM) AMOS 21. Hasil dari penelitian menunjukkan bahwa persepsi nilai dan kepercayaan signifikan berpengaruh positif terhadap niat menggunakan jasa PPOB di wilayah Bandung selatan. berdasarkan indikator yang dijelaskan pada persepsi nilai yaitu nilai emosional, nilai sosial dan nilai fungsional, dan pada kepercayaan yaitu kemampuan, kebajikan, integritas maka mereka memiliki pengaruh parsial yang signifikan terhadap niat pembelian. Hasilnya dapat dipertahankan dengan memberi pelanggan nilai terbaik dan mendapatkan kepercayaan mereka untuk mempertahankan niat pembelian mereka.Kata Kunci: Persepsi nilai,kepercayaan,niat pembelian
ETNOMATEMATIKA MOTIF CEPLOKAN BATIK YOGYAKARTA DALAM PENINGKATAN PEMAHAMAN KONSEP MATEMATIKA SISWA
Authors: Andriani Siska , Septiani Indri 
Published: February 2020

Pemahaman konsep merupakan suatu aspek yang sangat penting dalam pembelajaran, dengan memahami konsep siswa dapat mengembangkan kemampuannya dalam setiap materi yang diajarkan.Penelitian ini bertujuan untuk meningkatkan pemahaman konsep siswa terhadap konsep matematika terutama pada geometri transformasi sehingga diberikan perlakuan pembelajaran matematika dengan memanfaat budaya, yaitu pada motif batik yogyakarta. Etnomatematika sebagai media dalam pembelajaran matematika juga bertujuan untuk mengenalkan dan melestarikan budaya yang ada di Indonesia. Penelitian ini di lakukan di SMA N 01 Bangunrejo, Kabupaten Lampung Tengah, Lampung. Penelitian ini merupakan penelitian eksperimen semu dengan melibatkan sampel sebanyak 41 siswa yang terbagi menjadi 2 kelas, yaitu kelas kontrol dan kelas eksperimen. Data yang terkumpul dianalisis menggunakan . Berdasarkan hasil penelitian disimpulkan bahwa ada peningkatan pemahaman konsep geometri transformasi bermuatan etnomatematika pada motif batik ceplokan yogyakarta pada siswa kelas XI dimana diperoleh nilai dan , karena nilai kurang dari maka dapat disimpulkan bahwa etnomatematika pada motif ceplokan Yogyakarta dapat meningkatkan memahaman konsep matematika siwa.