bluuebunny/crossref_metadata_2025_split huggingface dataset:
Status Akta Notaris yang dibuat oleh Notaris yang Merangkap Jabatan Sebagai Advokat
Authors: Ragil Kusnaning Rini  , Siti Romlah  
Published: September 2020

Notary deed as an authentic deed is often used as a means of proof in a trial, because it is the most powerful and perfect. Considering the importance of a notarial deed as a means of proof, the making of a notary deed must be done properly and carefully. The phenomenon of notary that doubles the position as an advocate of course also affects the authentic deed that was made by the notary.
A notary who concurrently serves as an advocate is considered to violate the provisions in the Act, so that the notary becomes unauthorized and no longer has power in making a notarial deed. That a deed which is due to the inability of the employee / official who made it or because of a defect in its form, then the deed cannot be treated as an authentic deed, and only has power as a deed under the hand if it is signed by the parties and is no longer has the power of proof that is perfect. For that, those who feel aggrieved can file a lawsuit and claim for compensation to the notary. And for violations of dual positions committed, if it is proven that the notary may also be subject to sanctions.
Athletic Technical Skills of Students as Training Efficiency Indicator
Authors: Barantsev Sergey , Naidyonova Elena , Serygina Vera , Merkulova Irina , Myshyakov Vladimir 
Published: September 2020

The purpose of the study is to evaluate the effectiveness of training sessions among the 1st-3rd year students of the general physical training (GPT) volleyball groups.
Materials and methods. The athletic technical skills (ATS) have been tested by results of tests on upper and lower passes and serves. ATS testing of students from GPT volleyball groups was carried out at the beginning and at the end of the spring semester, in which 45 of the 1st year students (2 study groups), 60 of the 2nd year students (3 groups), 33 of the 3rd year students (2 groups) took part. The same students took part in the testing at the beginning and at the end of the semester (pairwise comparison).
Research result. The method to evaluate the effectiveness of practical training for the Program of “Physical Culture” has been developed. Special aspects of ATS indicators dynamics of the 1st-3rd year students of GPT educational groups with sports orientation (volleyball) from the beginning to the end of spring semester were revealed.
Conclusion. The highest efficiency of training sessions was observed among the 2nd year students. It is characterized by an increase in the number of students who successfully passed the tests on upper and lower passes by 5%, and 12%, respectively. The number of students who successfully passed the tests on serves increased by 11%, and a performance level grew from middle at the beginning of the semester to high at the end of the semester.
The lowest effectiveness of training sessions was observed among the 1st year students. The outcome indicator of volleyball basic training corresponds to medium level at the beginning and at the end of the spring semester. The change in the number of students who successfully passed the tests on upper passes (–2%), lower passes (–2%), and serves (+2%) was insignificant from the beginning to the end of the semester.
Dermolipectomy of the Anterior Abdominal Wall a Patient Satisfaction Survey among 234 Patients
Authors: RIBAG Yassamina 
Published: September 2020

Introduction:
Dermolipectomy of the anterior abdominal wall also called abdominoplasty (or « Tummy Tuck surgery ») is one of the most demanded cosmetic surgeries in Morocco and worldwide. Whether the surgery is an aesthetic success depends on the patient’s expectations and their subjective perception of the final result.
This survey aims to:

Assess the level of satisfaction/dissatisfaction among the patients who underwent an Abdominoplasty.
Determine the criteria that influence the patients’ perception of the result.
Assess the efficiency of our standards of care.
A Load Balancing Per Connection Classifier Dengan Pengukuran Quality of Service Pada Jaringan LAN Lingkup Universitas
Authors: Nur Utomo Aulia Desy Aulia 
Published: September 2020

Abstract
In the use of internet networks that are general in nature need to implement an appropriate network configuration to maximize the use of internet connections provided by service providers. This is important for the optimal use of internet services and in accordance with utilities that are basically general and shared can be achieved. Per Connection Classifier is a load balancing method for distributing traffic loads to more than one network connection point in a balanced way, so that traffic can run optimally.
This research focuses on network configuration methods to maximize internet usage for all users. Quality of Service is used to see the performance of network traffic which is indicated by the value of the parameter delay, throughput, and packet loss.
Based on the results of testing and research that have been carried out before and after using load balancing per connection clasifier, the delay value is decreased from 180.26 ms to 148.36 ms and throughput increased from 1.76% to 2.03%, then packet loss decreased from 25.37% to 18.59% according to the TIPHON standard.
Keywords: Quality of Service, Per Connection Classification, load balancing, delay, throughput, packet loss
Desain Digital Right Management (DRM) Untuk Perangkat Lunak Berbasis Desktop Menggunakan Teknik Mutual Authentication
Authors: Setyoko Yoso Adi 
Published: September 2020

Software yang tergolong sebagai aplikasi desktop cukup rentan dari bentuk pembajakan. Pembajakan terhadap software sangat mudah yaitu dengan cara menduplikat software tersebut. Untuk menanggulangi permasalahan duplikasi data tersbut maka dibutuhkan mekanisme perlindungan data yang disebut sebagai Digital Right Management (DRM). Beberapa pihak pembuat software telah menerapkan teknik-teknik DRM contohnya dengan menggunakan Public Key Infrasturktur (PKI), kemudian dengan teknik penggunaan kode lisensi, serta Attribute Based Access Control (ABAC).Sedangkan penelitian kami saat ini melakukan pendekatan lain dalam pembuatan DRM yaitu menggunakan teknik rekayasa protokol jaringan yang disebut dengan proses Mutual Authenticataion atau autentikasi dua arah. Pada tahun 2004 Philips menerbitkan sebuah dokumen dan protokol yang digunakan untuk komunikasi smart card dan reader-nya. Protokol yang dibuat oleh Philips di dalamnya terdapat proses Mutual Authentication Pada penelitian ini penulis mengadopsi protokol tersebut untuk diterapkan sebagai DRM. Hasil penelitian kami dapat membuktikan secara matematis bahwa protokol hasil adopsi dan modifikasi tersebut mampu mengamankan komunikasi yang dilakukan antara client (software) dan server. Celah yang dapat ditanggulangi melalui protokol ini adalah celah kebocoran kunci, celah kebocoran autentikasi, dan celah kebocoran pertukaran data. Kelanjutan penelitian ini adalah pengujian availability dan performansi protokol.
INTERAKSI SOSIAL ANTARA DIFABEL DENGAN PEDAGANG PASAR TANGGUL DI KOTA SURAKARTA
Authors: Saputra Johan Effendy Dwi 
Published: September 2020

<p><em>The rapid development and growth in the trade sector makes the traditional market a place where sellers and buyers exchange for goods and services. With the traditional market everyone has the right to access it as well as the diffable that have special needs. This research aims to determine the social interaction between the disabled and the market trader of Surakarta City and to know the service provided by the trader to the diffable. This study used the symbolic interacionism theory of George Herbert Mead. This research with a qualitative descriptive approach gathered from findings in the field through observation, in-depth interviews and documentation. The results of this research show that the form of social interaction that occurs between the diffable with the market trader of the city embankment of Surakarta is associative and dissociative. Pasar Tanggul also provides some services to the diffable by providing a friendly smile, good service by traders and market managers, whether it is to serve the diffable honestly and help the diffable in shopping. So that the diffable feel comfortable with the service provided. In addition, it is also supported and availability of accessible facilities that facilitate the accessibility of Tanggul market.</em></p><p><strong><em>Keywords:</em></strong><strong> </strong><strong><em>Social interactions, Diffable, Merchants, Traditional Markets.</em></strong></p><p><strong><em> </em></strong></p><p><strong>Abstrak</strong><strong></strong></p><p>Perkembangan dan pertumbuhan yang sangat pesat dalam sektor perdagangan menjadikan pasar tradisional sebagai tempat penjual dan pembeli mengadakan pertukaran barang dan jasa. Dengan adanya pasar tradisional semua orang berhak untuk mengaksesnya begitu juga dengan difabel yang memiliki kebutuhan khusus. Penelitian ini bertujuan untuk mengetahui bentuk interaksi sosial antara difabel dengan pedagang Pasar Tanggul Kota Surakarta dan Untuk mengetahui pelayanan yang diberikan pedagang terhadap difabel. Penelitian ini menggunakan teori Interaksionisme Simbolik dari George Herbert Mead. Penelitian ini dengan pendekatan deskriptif kualitatif yang dikumpulkan dari hasil temuan di lapangan melalui observasi, wawancara mendalam dan dokumentasi. Hasil penelitian ini menunjukkan bahwa bentuk interaksi sosial yang terjadi antara difabel dengan pedagang Pasar Tanggul Kota Surakarta yaitu asosiatif dan disosiatif. Pasar Tanggul juga memberikan beberapa pelayanan terhadap difabel dengan memberikan senyuman yang ramah, pelayanan yang baik oleh pedagang maupun pengelola pasar, baik itu dalam melayani difabel dengan jujur dan membantu difabel dalam berbelanja. Sehingga difabel merasa nyaman dengan pelayanan yang diberikan. Selain itu juga didukung dan tersedianya fasilitas yang ramah difabel yang mempermudah difabel dalam mengakses Pasar Tanggul.</p><p><strong>Kata kunci:</strong><strong> </strong><strong>Interaksi Sosial, Difabel, Pedagang, Pasar Tradisional.</strong><strong></strong></p><p><strong> </strong></p>
Anemia at Presentation Predicts Acute Mortality and Need for Readmission Following Geriatric Hip Fracture
Authors: Ryan Gareth , Nowak Lauren , Melo Luana , Ward Sarah , Atrey Amit , Schemitsch Emil H. , Nauth Aaron , Khoshbin Amir 
Published: September 2020

Background:
There is a paucity of research regarding the relationship between anemia and postoperative morbidity and mortality among geriatric patients presenting with hip fracture. The objective of this study was to determine the effect of anemia at presentation on 30-day morbidity and mortality among geriatric patients with hip fracture.

Methods:
The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for all hip fracture patients ≥60 years old from 2011 to 2016. Included were all emergency unilateral, nonpathological hip fractures (femoral neck, intertrochanteric, or subtrochanteric) treated with arthroplasty, intramedullary nailing, or open reduction and internal fixation. Anemia was classified as a hematocrit (HCT) level of <0.41 and <0.36 for male and female patients, respectively. Age, body mass index (BMI), race, comorbidities, smoking status, American Society of Anesthesiologists (ASA) class, baseline functional status, time to surgery, operative time, anesthesia type, need for transfusion, fixation method, length of stay (LOS), and discharge destination were collected. Our primary outcome of interest was 30-day postoperative mortality, with all-cause readmission and any postoperative ischemic events (cerebrovascular accident [CVA] and myocardial infarction [MI]) analyzed as secondary outcomes. A multivariable regression analysis was performed and odds ratios (ORs) with 95% confidence intervals (CIs) were calculated while controlling for confounding variables.

Results:
Of 34,805 patients identified, 22,469 (65%) were anemic at presentation (63% female; mean age, 80 ± 8 years), while 12,336 (35%) were non-anemic (85% female; mean age, 79 ± 8 years). Anemia at presentation was independently associated with higher odds of mortality (OR,1.3 [95% CI, 1.1 to 1.5]) and readmission (OR, 1.2 [95% CI, 1.1 to 1.3]), while no relationship was observed for MI (OR, 1.1 [95% CI, 0.9 to 1.4]) or CVA (OR, 0.8 [95% CI, 0.6 to 1.1]).

Conclusions:
Our findings suggest that anemia at presentation is associated with greater 30-day postoperative morbidity and mortality in geriatric hip fracture patients. Additional research should focus on elucidating this modifiable risk factor and advancing the preoperative optimization of hip fracture patients.

Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Compared with two-stage revision, retained spacers have a similar infection-relief rate and a higher complication rate
Authors: Cai Yuanqing , Fang Xinyu , Lin Yi , Huang Zida , Zhang Chaofan , Li Wenbo , Zhang Wenming , Guan Zhenpeng 
Published: September 2020

Abstract
Background: Periprosthetic joint infection (PJI) is a devastating complication for joint arthroplasty, there are many challenges in therapy. The treatment of PJI including surgery and systemic administration of antibiotics. As for surgery, two-stage revision is regarded as the “gold standard” for PJI treatment presently, in which antibiotic-impregnated spacers play an important role. However, some patients are unable to undergo reimplantation of the prosthesis after spacer implantation, this spacer, namely, “destination joint spacer”. The clinical outcomes of these patients remain unknown. The purpose of this research was to study the infection-relief rate and clinical outcome of these patients.Methods: From January 2006 to December 2017, data from PJI patients who underwent implantation with antibiotic-impregnated cement spacers in our center due to chronic PJI were collected retrospectively. Age, sex, body mass index (BMI) and laboratory test results were recorded, and the infection-relief rate and clinical outcomes were observed.Results: A total of 62 patients who were diagnosed with PJI were enrolled, with an age of 65.13 ±9.94 (39-88) years. There were 21 cases in the destination joint spacer group and 41 cases in the temporary spacer group (reimplantation of prosthesis after infection relief). The Charlson comorbidity index (CCI) in the destination joint spacer group was higher than that in the temporary spacer group. Our study showed that the infection-relief rate of destination joint spacers was similar to that of two-stage revision, but the incidence of complications was higher than that of two-stage revision, especially for the type I spacer used in this study.Conclusions: The infection-relief rate of destination joint spacers was similar to that of two-stage revision, but the complication rate was higher than that of two-stage revision (especially for the type I spacer).
Risk Factors for the Transmission of Mycobacterium Bovis to Slaughterhouses Workers in Brazzaville, Republic of the Congo
Authors: Miassangoumouka Jean P. , Linguissi Laure S. Ghoma , Itoua Lauréat Pavel , Fotso Brigitte Tumamo , Andoseh Geneviève , Numfor Leonard , Amona Inestin , Kikayi Hortense Goma , Ntoumi Francine 
Published: September 2020

Abstract
Zoonotic tuberculosis is a major form of TB affecting humans and many animal species. Infected cattle pose a threat to public health. The aim of the study was to characterize the risks of exposure to bovine tuberculosis by slaughterhouse workers in Brazzaville. A survey was carried out among 57 workers from three slaughterhouses in Brazzaville (Mpila, Kanga Mbanzi and La Fougère) using questionnaires and field observations. The results of the profile revealed that the majority of staff are made up mainly of people over 40 years old (40.6 ± 8.4) i.e. 50.9% and 96.5% male. Married workers represent a third of respondents (29.8%) and live in families made up of 4.9 ± 2.4 people. Workers with secondary education are the majority (66.7%). The average number of years of work in slaughterhouses in Brazzaville is 18.9 ± 9.5 years. The survey also showed that many workers, 52.6%, have never received training to work in slaughterhouses. A tier of workers (31.7%) have no knowledge of animal tuberculosis, in particular its modes of transmission or its clinical signs. The premises are; normal, regularly cleaned, but are not disinfected. Despite the common occurrence of injuries, 73.7% of those surveyed said that they were not subjected to medical checks. To this, we must add, the lack of work clothes adapted by some (29.8%). All of these shortcomings constitute significant risks of contamination from zoonoses, and tuberculosis in particular. Thus, the study recommends strengthening the capacities of professionals in slaughterhouses, their medical follow-up and improve infrastructure. Finally, the fight against zoonotic tuberculosis requires a multisectoral framework involving doctors and veterinarians in the context of the "One Health" approach.
Analysis of continuity of care and related factors in diabetic patients in Korea
Authors: Shin Ji Yeh , Kim Ha Jin , Cho BeLong , Yang Yun Jun , Yun Jae Moon 
Published: September 2020

Abstract
Background: Diabetes is one of the fastest growing diseases with approximately 463 million patients worldwide. It is established that to manage diabetes, continuity of care in primary care setting is crucial. We aim to statistically define and analyze factors of continuity that are associated with patient, clinic, and geographical relationship.Methods: We used 2014~2015 claim data from National Health Insurance Service (NHIS), with 39,096 eligible outpatient attendances across 29,912 office-based clinics. We applied multivariable logistic regression to analyze factors that may affect three kinds of continuity of care index for each patient: most frequent provider continuity index (MFPC), modified-modified continuity index (MMCI), and continuity of care index (COC). Results: Mean value of continuity of care indices were MFPC 0.90, MMCI 0.96, COC 0.85. Among patient factors, old age above 80 (MFPC 0.81 [0.74-0.89], MMCI 0.84 [0.76-0.92], COC 0.81 [0.74-0.89]) and disability were strongly associated with lower continuity of care. Another significant factor was residential area: further the patients lived from their primary care clinic, lower the continuity of diabetes care (MFPC 0.74 [0.70–0.78], MMCI 0.70 [0.66–0.73], COC 0.74 [0.70–0.78]). Patients who lived in metropolitan areas had higher continuity of care compared to those of other areas (metropolitan area, MFPC 1.19 [1.17-1.27], MMCI 1.17 [1.10-1.25], COC 1.19 [1.12-1.27]). There was no statistical significance among clinic factors, such as the number of physicians or nurses hired per clinic, between the lower and the higher continuity of care groups.Conclusion: Geographical proximity of patient’s residential area and clinic location showed the strongest correlation as factor of continuity. Political support is necessary to geographically align the imbalance of supply and demand of medical needs.
A Situational Analysis of Competences of Research Ethics Committee Members in Review of Research Protocols with Complex and New Study Designs in Uganda
Authors: Ainembabazi Provia , Castelnuovo Barbara , Okoboi Stephen , Arinaitwe Walter Joseph , Parkes-Ratanshi Rosalind , Byakika-Kibwika Pauline 
Published: September 2020

Abstract
BACKGROUND Over the past two decades, Uganda has experienced a significant increase in clinical research driven by both industry and the need to combat the emergence and re-emergence of infectious disease epidemics. This has broadened the spectrum of research proposals that need evaluation by Research Ethics Committees (RECs) with associated requirement for new expertise. We assessed the competencies of REC members in review of research protocols with complex and new research study designs to guide development of a training curriculum to improve the quality of review.METHODS This was a cross-sectional study design, with quantitative and qualitative data collection methods. We used a structured pre-coded questionnaire to collect data on competencies of REC members in review of research protocols with complex and new research study designs. Research Ethics Committee members were also asked to outline a list of additional topics for which they needed training. Data from coded questions was entered into Epidata Version 3.1 and then exported to STATA Version14.1 for analysis. Descriptive analysis was performed for quantitative data and findings were presented using percentages and frequencies. RESULTS We enrolled 55/97 REC members from 6 RECs, majority of whom were males (56.4%, n= 31/55). The level of competence for review of selected study design was lowest for Controlled Human Infection Model (6, 10.9%) and reverse pharmacology design (6, 10.9%,), and highest for cluster randomized study design (29, 52.7%) and implementation science research (29, 52.7%).CONCLUSION There is lack of competence in review of research protocols with complex and new study design and our analysis suggests that additional training in this area is an urgent priority.
Evaluation of Refeeding Outcomes Over 5-Years in A Specialist Adolescent Eating Disorder Center in The UK: A Retrospective Chart Review Study.
Authors: Brennan Cliona Rae , Chapman Simon , Illingworth Sarah 
Published: September 2020

Abstract
Background and aims: Refeeding syndrome (RS) is a serious clinical syndrome, its early identification is key to safe management. The aim of this study was to evaluate existing practices in a highly specialist centre for eating disorders and compare refeeding management, nutritional, and clinical outcomes in cases admitted to secondary care with those managed in primary care.Methods: Retrospective analysis of electronic case records of adolescent patients at moderate – high risk of developing refeeding syndrome and treated for anorexia nervosa by a specialist eating disorder centre in London over a 5-year period. Statistical analysis compared refeeding methods used in this population to establish if there were differences in refeeding methods used within the sample and if so, how they impacted on outcomes. Results: Adolescents admitted to inpatient care had significantly lower energy intakes (374kcal/d ± 205 compared with 621kcal/d ± 348, p = 0.001 ) and higher rates of weight loss at assessment (0.86kg/week ± 0.7 compared with 0.38kg/week ± 0.7, p = 0.003), without significant differences in other markers of medical instability. Incidence of RS symptoms did not differ significantly between groups and, similarly, no statistically significant difference was found between groups in treatment outcomes, measured by discharge weight (kg) and percentage median BMI (41.5kg ± 8.3 compared with 43.7kg ± 7.7, p = 0.322 and 81.6% ± 8.5 compared with 82.3% ± 9.7, p = 0.622). Conclusions: Findings from this study support the hypothesis that refeeding adolescents with AN, at high risk of developing RS, with higher energy feeds than that advised by national guidance, in the absence of prophylactic phosphate supplementation or incremental energy increases, does not increase the risk of developing refeeding complications. These findings support recent evidence that advocates a less conservative refeeding approach and a review of current national guidance.