bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge among Nurses Regarding Post-Partum Depression in a Tertiary Hospital Setting of Nepal
Authors: Gurung S , Shah S , Lamichhane K 
Published: November 2019

Introduction: Postpartum depression is an important health problem which influences well-being, quality and security of life and may cause more serious problems than major depression occurring in normal life periods. It has an adverse influence on self-esteem, skills, child care, familial responsibility and roles of the mother. The aim of the study was to find out nurses’ knowledge regarding postpartum depression.
Material And Method: Descriptive study design was used to find out the knowledge regarding postpartum depression among nurses. Seventy-four nurses were selected from general and critical care units of a hospital by non probability enumerative sampling technique for the study. Data was collected by pre tested self-administered semi-structured questionnaire and collected data was analyzed by descriptive statistics (frequency, percentage, mean and standard deviation) with SPSS version 20.
Results: Fifty percent of respondents knew postpartum depression (PPD) is a type of mood disorder associated with childbirth. Majority of respondents knew poor marital relationship (85%), unwanted and unplanned pregnancy (83.88%), previous mental illness (78.40%) and lack of family support (66.20%) are risk factors of PPD. Regarding symptoms of PPD respondents knew low energy (78.37%), extreme sadness (68.91%), changes in sleeping and eating pattern (67.56%) and crying (66.21%). Eighty percentages of the respondents knew PPD can be identified by observation and antidepressant drug (88%) and psychotherapy (83.78%) are medical management of PPD. Majority of respondents knew nursing management of PPD are maintaining close observation of mother (93.24%), maintaining safe environment (86.48%) and family counseling (83.78%). Eighty one percentage respondents knew poor mother infant attachment is main consequence of PPD in child and poor relationship (54.05%), suicide (33.79%) and harm to baby (12%) in mother. Fifty four percentages had low knowledge regarding PPD.
Conclusion: It is concluded that knowledge regarding PPD is inadequate among nurses. It is recommended that hospital management should provide in-service education to nurses to uplift their professional knowledge regarding PPD and encourage applying knowledge in practice during care of women with PPD.
Outpatient anterior cervical discectomy and fusion in the ambulatory surgery center setting: safety assessment for the Medicare population
Authors: Rossi Vincent , Asher Anthony , Peters David , Zuckerman Scott L. , Smith Mark , Henegar Martin , Dyer Hunter , Coric Domagoj , Pfortmiller Deborah , Adamson Tim , McGirt Matthew 
Published: November 2019

OBJECTIVESeveral studies have demonstrated that anterior cervical discectomy and fusion (ACDF) surgery in the outpatient versus hospital setting provides improved efficiency, cost-effectiveness, and patient satisfaction without a compromise in safety or outcome. Recent anecdotal reports, however, have questioned whether outpatient ACDF surgery is safe in the > 65-year-old Medicare population. To date, no clinical study has assessed the safety of outpatient ACDF in an ambulatory surgery center (ASC), specifically in a Medicare population. The authors set out to analyze their 3-year experience with Medicare-enrolled patients undergoing ACDF surgery at a single ASC to determine its safety profile, perioperative care protocol, and associated outcomes.METHODSA retrospective analysis of 119 consecutive patients > 65 years (Medicare-eligible) who underwent 1-, 2-, or 3-level ACDF at a single ASC from 2015 to 2018 (since Medicare payment approval) was conducted. All patients were in American Society of Anesthesiologists classes I–III. Postoperatively, patients were observed for a minimum of 4 hours in a recovery setting for the following factors: neck swelling, neurological status, ability to swallow solid food, and urination capacity. All patients received a multimodal pain management regimen prior to discharge home. Data were collected on patient demographics, comorbidities, operative details, and all perioperative and 90-day morbidity.RESULTSComplete data were available for all 119 consecutive Medicare-eligible patients, 97 (81.5%) of whom were actively enrolled in Medicare. One-, 2-, and 3-level ACDFs were performed in 103 (86.6%), 15 (12.6%), and 1 (0.8%) patients, respectively. No patients required return to the operating room for intervention within the 4-hour postanesthesia care unit observation window. No patients required transfer from the ASC to the hospital setting for further observation or intervention. Thirty-day adverse events were reported in 2.4% of cases, all of which resolved by 90 days after surgery. The incidence of 90-day hospital readmission was 1.7% (n = 2), with 1 patient (0.8%) requiring reoperation at the index level for deep infection. All-cause 90-day mortality was 0%.CONCLUSIONSAn analysis of consecutive Medicare patients (American Society of Anesthesiologists classes I–III) who underwent mostly 1-level and some 2-level ACDFs in an ASC setting demonstrates that surgical complications occur at a low rate with a safety profile similar to that reported for both inpatient ACDF and patients younger than 65 years. In an effort to reduce cost and improve efficiency of care, surgeons can safely perform ACDF in the Medicare population in an ASC environment utilizing patient selection criteria and perioperative management similar to those reported here.
Augmented Reality Tools in Physics Training at Higher Technical Educational Institutions
Authors: Грунтова Тетяна , Єчкало Юлія , Стрюк Андрій , Пікільняк Андрій 
Published: November 2019

Hruntova T. V., Yechkalo YU. V., Stryuk A. M. and Pikilʹnyak A. V. Augmented Reality Tools in Physics Training at Higher Technical Educational Institutions.
Research goal: the research is aimed at theoretical substantiation of applying the augmented reality technology and its peculiarities at higher technical educational institutions. Research objectives: the research is to solve the problems of determining the role and place of the technology in the educational process and its possible application to physics training. Object of research: teaching physics to students of higher technical educational institutions. Subject of research: the augmented reality technology as a component of the training process at higher educational institutions. Research methods used: theoretical methods include analysis of scientific and methodological literature; empirical methods include studying and observation of the training process. Research results: analysis of scientific publications allows defining the notion of augmented reality; application of augmented reality objects during laboratory practical works on physics is suggested. Main conclusions. introduction of the augmented reality technology in thetraining process at higher technical educational institutions increases learning efficiency, facilitates students’ training and cognitive activities, improves the quality of knowledge acquisition, provokes interest in a subject, promotesdevelopment of research skills and a future specialist’s competent personality.
Structuring Augmented Reality Information on the stemua.science
Authors: Шаповалов Віктор , Атамась Артем , Білик Жанна , Шаповалов Євгеній , Учитель Олександр 
Published: November 2019

Shapovalov V.V., Atamas A.I., Bilyk Zh.I., Shapovalov YE.V. and Uchytel A.D. Structuring Augmented Reality Information on the stemua.science.
It is demonstrated that one of the conditions for successful scientific and pedagogical work is exchanging of methodical materials, including with using of augmented reality. We propose to classify approaches of placing methodical materials on closed, open and open-moderated types. One of the important benefits of a closed type is the high quality of the methodical material, but it’s limited by amount of material and the lack of exchange opportunities that are problems, and there are no open-moderated resources in the Ukrainian language. The aim of this article is to analyze approaches of systematization of methodical material with using of augmented reality and recommend using of STEMUA for systematization of them. It is shown that STEMUA allows teachers to develop methodical material and place it on this platform. The platform automatically organizes methodical material in the database. Consequently, the platform is satisfying the methodical needs of Ukrainian teachers for material with using of complementary reality in the teaching. It is recommended for teachers and methodists to provide development and methodical materials with using of augmented reality and add them to the platform database.
The role of arginase in the microcirculation in cardiovascular disease
Authors: Wernly Bernhard , Pernow John , Kelm Malte , Jung Christian 
Published: November 2019

In the microcirculation, the exchange of nutrients, water, gas, hormones, and waste takes place, and it is divided into the three main sections arterioles, capillaries, and venules. Disturbances in the microcirculation can be measured using surrogate parameters or be visualized either indirectly or directly. Arginase is a manganese metalloenzyme hydrolyzing L-arginine to urea and L-ornithine. It is located in different cell types, including vascular cells, but also in circulating cells such as red blood cells. A variety of pro-inflammatory factors, as well as interleukins, stimulate increased arginase expression. An increase in arginase activity consequently leads to a consumption of L-arginine needed for nitric oxide (NO) production by endothelial NO synthase. A vast body of evidence convincingly showed that increased arginase activity is associated with endothelial dysfunction in larger vessels of the vascular tree. Of note, arginase also influences the microcirculation. Arginase inhibition leads to an increase in the bioavailability of NO and reduces superoxide levels, resulting in improved endothelial function. Arginase inhibition might, therefore, be a potent treatment strategy in cardiovascular medicine. Recently, red blood cells emerged as an influential player in the development from increased arginase activity to endothelial dysfunction. As red blood cells directly interact with the microcirculation in gas exchange, this could constitute a potential link between arginase activity, endothelial dysfunction and microcirculatory disturbances. The aim of this review is to summarize recent findings revealing the role of arginase in regulating vascular function with particular emphasis on the microcirculation.
Epileptic Seizure Prediction and Source Localization using Entropy Analysis of Scalp EEG
Authors: Reza Mohammad Ali , Arefin ASM Shamsul 
Published: November 2019

Epilepsy is one of most common neurological disorders that affects people of all ages and can cause unpredictable seizures which may even cause death. The prediction of epileptic activities thus can have a great impact in avoiding fatal injuries through early preparation with medicines and also in improving the efficacy of medicines. A technique for early prediction of epileptic seizure from EEG signal is proposed in this paper. The pre-ictal period of epileptic seizure clearly depicts a start of seizure and comparing the changes in entropy of EEG signals in different brain regions during the pre-seizure period, the proposed technique could successfully predict the seizure using entropy analysis. Moreover, the region of the epileptic activities was also localized by dividing the total brain into four topographic regions and by calculating the entropy from this four zones separately. Thus, this proposed technique has the potential to help the clinical neurologists to investigate seizure detection and treat the patient in a better way with less supervision and better accuracy.
Bangladesh Journal of Medical Physics Vol.11 No.1 2018 P 16-25
Analisis Kelembagaan Implementasi Perhutanan Sosial di Provinsi Sumatera Utara
Authors: Affandi Oding 
Published: November 2019

Deforestrasi dan degradasi hutan yang disebabkan oleh buruknya tata kelola hutan telah menimbulkan hilangnya akses masyarakat terhadap sumberdaya hutan (SDH). Dalam upaya memperbaiki tata kelola hutan serta meningkatkan hak dan akses legal masyarakat dalam memanfaatkan hutan, Pemerintah Indonesia telah mengalokasikan kawasan hutan seluas 12,7 juta hektar dalam Program Perhutanan Sosial (PS). Di tingkat daerah, Provinsi Sumut telah menetapkan target PS seluas 550.887 hektar. Sejak program PS dikeluarkan tahun 2016, dalam implementasinya masih berjalan lambat dan belum menjadi pendukung tata kelola hutan yang baik. Penelitian ini bertujuan untuk menganalisis kelembagaan implementasi program PS di Provinsi Sumut. Metode pengumpulan data dilakukan dengan wawancara, FGD, dan kajian dokumen. Analisis penelitian dilakukan secara deskriptif dan kelembagaan melalui pendekatan kerangka kerja: Struktur Kelembagaan - Karaketeristik Sumberdaya – Perilaku Aktor – Kinerja. Hasil penelitian menunjukkan bahwa, program PS di Provinsi Sumut masih berjalan lambat sehingga belum menjadi pendukung dalam tata kelola hutan yang baik. Situasi kelembagaan program PS menunjukkan: (1) Pemda Provinsi Sumut belum mempunyai peraturan khusus tentang Fasilitasi Implementasi Program PS; (2) Program PS mampu mengubah karakteristik SDH dari common pool goods menjadi private goods; (3) Adanya perbedaan kepentingan dan kekuasaan actor menjadikan perilaku actor belum sepenuhnya mendukung program PS; (4) Kinerja implemementasi program PS masih terkategori rendah. Untuk meningkatkan kinerja kelembagaan direkomendasikan: Pada tingkat nasional diterbitkan Inpres atau Kepres dan pada tingkat Provinsi Sumut diterbitkan Peraturan Gubernur tentang Fasilitisi Implementasi PS; Melakukan peningkatan kualitas dan pendampingan aktor pelaksana program PS; Disusun rencana aksi bersama dalam pelaksanaan program PS;Untuk meningkatkan motivasi aktor PS maka diadakan Inovasi Perhutanan Sosial Award; serta Adanya pengintergrasian program PS dengan industri atau jasa berbasis SDH dengan memanfaatkan teknologi informasi digital
Kata kunci: Perhutanan Sosial; Kelembagaan; Tata Kelola Hutan, Provinsi Sumut
Pengetahuan, Persepsi dan Kebijakan Pengelolaan Ekowisata Gajah di Kawasan Aek Nauli, Danau Toba
Authors: Kuswanda Wanda 
Published: November 2019

The development of tourist destinations is very important to increase the return of traveler to Lake Toba, North Sumatra. The Aek Nauli Elephant Conservation Camp (ANECC) is one of the locations that being developed in the Special Purpose Forest Region (SPFR) of Aek Nauli as a location conservation and scientific tourism for Sumatran elephants. Elephant was chosen an 'icon' for new ecotourism because them are animals that attract communities. This study aims to obtain information about knowledge and visitor perceptions as well as policy recommendations to develop elephant scientific tourism for supporting the tourist visits to Lake Toba in ANECC, SPFR of Aek Nauli, North Sumatra. This research was conducted in the ANECC area for six months, starting from May to October 2018. Data collection were used by questionnaires and interviews. Respondents are ANECC visitors who were selected by using the purposive random sampling method. Data analysis is carried out quantitatively whit frequency tables. The results showed that visitors knowledge about the existence of elephant ecotourism came from friends and social media. They visited ANECC for curiosity and interest in the presence of elephants. Perception of 85% respondents is positive for elephant scientific tourism because of good service, elephant attractions presentation and adequate facilities and free. The policy references are recommended for the ANECC development as follows implement to animal welfare and health for elephants, reinforce coordination and communication between managers, develop cooperation with business society (travel and hotels), to make ecotourism packages that integrated with Lake Toba, improve promotion through internet marketing and social networking and collaborating with local communities.
Pemeriksaan Kadar Ureum dan Kreatinin Pasien HIV yang Mendapatkan Terapi ARV di Puskesmas Harapan Sentani Kabupaten Jayapura Papua
Authors: Rampa Ester , Prastyawati Rini , Sinaga Herlando 
Published: November 2019

ARV therapy in HIV patients prolongs the age of HIV patients, but has a contribution to the incidence of kidney disease. Damage to kidney function is not only a result of HIV infection and side effects of ARV treatment but complications of opportunistic infections that can interfere with the functioning of other organs can also affect kidney function. This research aims to determine the results of examination of urea levels and creatinine levels in HIV patients with ARV therapy. This type of research was descriptive with a laboratory test approach. The research was conducted for 1 month, starting from May 1 to June 1, 2018. The population used in this research were all HIV patients with ARV therapy who conducted examinations at Harapan Sentani Health Center during the research period. The samples size were 24 (total sampling). The sample used was serum HIV sufferers with ARV therapy. Methods for examining kidney function include the levels of urea and creatinine used were photometry. The results showed that from 24 samples studied there were normal urea levels of 24 patients (100%) and no urea levels were found to increase or decrease (abnormally), whereas normal creatinine levels were 13 patients (54.3%) and creatinine levels were increased by 11 patients (45.7%).
Keywords: HIV patients; ARV therapy; ereum; creatinine

ABSTRAK

Terapi ARV pada penderita HIV memperpanjang usia pasien HIV, namun memiliki kontribusi terhadap kejadian penyakit ginjal. Kerusakan fungsi ginjal bukan hanya akibat dari infeksi virus HIV dan efek samping dari pengobatan ARV tetapi komplikasi infeksi oportunistik yang dapat mengganggu fungsi organ tubuh yang lain juga bisa berpengaruh terhadap fungsi ginjal. Penelitian ini bertujuan untuk mengetahui hasil pemeriksaan kadar ureum dan kadar kreatinin pada penderita HIV dengan terapi ARV. Jenis penelitian ini adalah deskriptif dengan pendekatan uji laboratorium. Penelitian ini dilaksanakan selama 1 bulan, mulai dari tanggal 01 Mei sampai dengan 01 Juni 2018. Populasi yang digunakan dalam penelitian ini adalah semua pasien HIV dengan terapi ARV yang melakukan pemeriksaan di Puskesmas Harapan Sentani selama masa penelitian. Ukuran sampel adalah 24 (total sampling). Sampel yang digunakan adalah serum penderita HIV dengan terapi ARV. Metode pemeriksaan fungsi ginjal antara lain adalah kadar ureum dan kreatinin yang digunakan adalah fotometri. Hasil penelitian menunjukkan bahwa dari 24 sampel terdapat kadar ureum normal sebanyak 24 pasien (100%) dan tidak ditemukan kadar ureum yang meningkat atau menurun (abnormal), sedangkan kadar kreatinin yang normal sebanyak 13 pasien (54,3%) dan kadar kreatinin yang meningkat sebanyak 11 pasien (45,7%).
Kata kunci: penderita HIV; terapi ARV; ureum; kreatinin
An E-Sequence Approach to the 3x + 1 Problem
Authors: Wang Sanmin 
Published: November 2019

For any odd positive integer x, define ( x n ) n ⩾ 0 and ( a n ) n ⩾ 1 by setting x 0 = x , x n = 3 x n − 1 + 1 2 a n such that all x n are odd. The 3 x + 1 problem asserts that there is an x n = 1 for all x. Usually, ( x n ) n ⩾ 0 is called the trajectory of x. In this paper, we concentrate on ( a n ) n ⩾ 1 and call it the E-sequence of x. The idea is that we generalize E-sequences to all infinite sequences ( a n ) n ⩾ 1 of positive integers and consider all these generalized E-sequences. We then define ( a n ) n ⩾ 1 to be Ω -convergent to x if it is the E-sequence of x and to be Ω -divergent if it is not the E-sequence of any odd positive integer. We prove a remarkable fact that the Ω -divergence of all non-periodic E-sequences implies the periodicity of ( x n ) n ⩾ 0 for all x 0 . The principal results of this paper are to prove the Ω -divergence of several classes of non-periodic E-sequences. Especially, we prove that all non-periodic E-sequences ( a n ) n ⩾ 1 with lim ¯ n → ∞ b n n > log 2 3 are Ω -divergent by using Wendel’s inequality and the Matthews and Watts’ formula x n = 3 n x 0 2 b n ∏ k = 0 n − 1 ( 1 + 1 3 x k ) , where b n = ∑ k = 1 n a k . These results present a possible way to prove the periodicity of trajectories of all positive integers in the 3 x + 1 problem, and we call it the E-sequence approach.
Le mura coloniali di Ariminum e il deposito monetale di fondazione con semuncia a «testa di Gallo»
Authors: Ortalli Jacopo 
Published: November 2019

The colonial walls of Ariminum and the deposit of coins with a “Gaulish head semuncia”
Excavations made in Rimini, near the Arch of August, have brought to light remnants of the surrounding wall of the city, built on 268 BC, when the Latin colony was founded. At the bottom of the wall, on the outside, was discovered a votive deposit dating from the time of building. It included a sacrified dog, and three coins : two bronzes minted in the Ariminum colony and a “Gaulish head semuncia”. Offered in 268 BC or in the immediate aftertime, this deposit shows that the Rimini “Gaulish head” aes graue cannot be attributed to the Senones, but has been minted by the Roman shortly before the foundation of the colony, between 283 and 268 BC.
Images of enchainment in the Hisperica Famina and vernacular Irish texts
Authors: Sayers William 
Published: November 2019

Images of Enchainment in the Hisperica Famina and Vernacular Irish Texts.
The expression “ausonica catena”, in the Hisperica Famina, does not refer to the unability to speak Latin or Irish, but rather to the voluntary submission to the discipline of Latin rhetoric, as the “faminatores” conceived it. In the ancient Irish literature, the chain image symbolizes a link with the Otherworld, from which warriors, musicians, historiographers, rhetors and judges draw power, art and truth.
Gloses en vieux-breton (§ 6-9)
Authors: Lambert Pierre-Yves 
Published: November 2019

Old Breton Glosses (6-9)
6. The alternation between a and o in the OBret. glosses might reflect a phonetic feature (neutralization of the distinction in a nasalizing context), but in some cases it might simply be a graphical blunder. — 7. esatcod St. Omer 666 contains the copula es. — 8. Notes on the glosses on the Irish Canons, Orléans 221, particularly the nouns eleuc, uitula, amsobe “chronicler”, olo/olguo “track, trace”, milintric “whore”, etc., and the verbs im “sum”, doguolouit “redegit”, testoner “habendus est”, di-imdam “if he suffers”, mar-dotas “if it has revealed”, etc. — 9. erublobion gl. proletarios and eusouion gl. gestatorum.