bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kenyamanan Pencapaian Pengguna Bangunan Rumah Sakit Multi Massa terhadap Desain Sirkulasi sebagai Penghubung Antarfungsi Bangunan
Authors: Pynkyawati Theresia , Meilan Panji , Rafles Alfonzo Dianro , Putro Bayu Mirza Dwi 
Published: August 2020

ABSTRAKRumah sakit merupakan sebuah sarana penunjang bagi masyarakat dalam memenuhi kebutuhan jasmani ketika dalam kondisi sakit ataupun saat mengalami kecelakaan darurat. Sarana maupun prasarana yang tersedia pada rumah sakit diharapkan dapat memberikan kenyamanan terhadap pasien, maupun staff tenaga medis dan non medis. Sarana sirkulasi menjadi sebuah penghubung kegiatan di dalam sebuah bangunan. Pola sirkulasi yang baik akan mempermudah pengguna bangunan dalam beraktifitas. Desain rancangan Rumah Sakit Dustira menerapkan konsep bangunan dengan tatanan multi massa. Dampak dari konsep ini menyebabkan setiap bangunan pada kawasan memiliki jarak pencapaian yang berbeda. Adapun maksud dari penelitian ini bertujuan untuk mengukur tingkat kenyamanan pencapaian pada pengguna di kawasan rumah sakit. Metode analisa dilakukan secara kualitatif terhadap kenyamanan sirkulasi yang diuraikan secara deskriptif dan mengacu pada teori kenyamanan pencapaian, zoning pada rumah sakit, dan teori konsep tatanan massa. Hasil analisis menunjukan bahwa kenyamanan pencapaian pada setiap kebutuhan medis cukup nyaman, dengan pola sirkulasi yang teratur dan zoning yang jelas ditambah adanya signage disetiap node dapat membantu pengunjung atau pasien dalam menemukan gedung medis yang dituju.Kata kunci: Rumah Sakit, multi massa, kenyamanan pencapaian, sirkulasi, pengguna bangunnan AbstraCTThe hospital is a supporting facility for the community in meeting physical needs when they are sick or when experiencing an emergency accident. Facilities and infrastructure available at the hospital are expected to provide comfort to patients, as well as medical and non-medical staff. The means of circulation become a hub of activity in a building. A good circulation pattern will facilitate building users in their activities. The design design of the Dustira Hospital applies the concept of building with a multi-mass order. The impact of this concept causes each building in the region to have different achievement distances. The purpose of this study aims to measure the level of comfort of achievement for users in the hospital area. The method of analysis is carried out qualitatively on the convenience of circulation which is described descriptively and refers to the theory of comfort of achievement, zoning in hospitals, and the theory of the concept of mass order. The results of the analysis show that the comfort of achievement in each medical need is quite comfortable, with regular circulation patterns and clear zoning plus the presence of signage in each node can help visitors or patients find the intended medical building.Keywords: Hospital, multi mass, comfort achievement, circulation, building users
Experiência e significado de mentoria: da abordagem socrática à nova ciência da aprendizagem
Authors: Mjelde Liv 
Published: August 2020

A mentoria como práxis desejada nas organizações de ensino chegou à frente das discussões sobre aprendizagem e ensino nas últimas décadas. A mentoria como conceito em teoria educacional na tradição europeia está ligada ao que foi chamado de Método Socrático. O mestre-professor é uma pessoa de experiência com quem os jovens podem conversar. Perguntas e reflexões devem desenvolver a curiosidade e o engajamento dos estudantes na busca de novos conhecimentos. Esse entendimento de conhecimento e aprendizagem corresponde a um modelo de aprendizagem em que a atividade prática é a base para aprender. Contradições entre perspectivas sobre formas de aprender são uma questão central em nossa época. Neste artigo, discutese essa problemática no contexto do trabalho científico de John Dewey, Célestin Freinet, Paulo Freire, Maria Montessori e Lev Vygotsky.
Habilidades socioemocionais na educação atual
Authors: Córdova Pena Anderson , Alves Gisele , Primi Ricardo 
Published: August 2020

O novo contexto em que as relações entre professores, alunos e instituições de ensino se desenvolvem com a mediação das tecnologias da educação a distância e a expectativa pela volta às aulas presenciais após a quarentena fazem refletir sobre uma questão que já vinha sendo apontada como fundamental para a formação de pessoas e profissionais no século XXI antes mesmo da pandemia: a importância do desenvolvimento de habilidades socioemocionais. Nesse sentido, o Instituto Ayrton Senna vem ocupando posição de liderança, colocando, na pauta dos sistemas de ensino de todo o país, essa mudança de mentalidade para a formação de um o novo paradigma educacional. Esta entrevista busca elucidar o impacto das competências socioemocionais nos processos de ensino, aprendizagem e formação para um novo mercado de trabalho.
PRINCIPLES OF NUTRITION IN CANCER MANAGEMENT
Authors: Jamdade Mrunal Ashay 
Published: August 2020

Now a day number of cancer patients are increasing. There are many reasons for cancer development and eating habits is one of them. Of course, medical field has answer for cancer treatment. But they cause severe nutritional damage to humane body.
Proper nutrition care in cancer patient results in patient’s health improvement and cancer recurrence chances are reduced. With help of this nutrition therapy patient can tolerate treatment and damage to body can be minimized.
Medical nutrition therapy has promising role in prevention of cancer. This article is a sincerer attempt to highlight importance of nutrition in cancer management.
Pelatihan Pembuatan dan Penggunaan Pupuk Pada Tanaman di SMA Muhammadiyah 3 Bungah Gresik
Authors: Fathoni Muhammad Zainudin , Ismiyah Elly , Sudirdjo Poerwo 
Published: August 2020

Pupuk merupakan komoditi untuk menjadikan tanaman lebih produktif dengan menambahkan suplemen unsur makro dan mikro sehingga kualitas maupun kuantitas produk pertanian dan perkebunan akan lebih baik. Pemupukan merupakan suatu tindakan dalam perawatan tanaman yang bertujuan memberikan tambahan unsur hara bagi tanah. Pemupukan memberikan pengaruh yang besar pada pertumbuhan dan produksi tanaman. Pemupukan terdiri dari pupuk organik dan anorganik. Kedua pemupukan ini harus seimbang agar kandungan unsur hara dapat terjaga dengan baik. Penggunakan pupuk anorganik yaitu pupuk kimia banyak digunakan, namun penggunaan pupuk kimia secara terus-menerus akan mengurangi tingkat kesuburan tanah. Hal ini harus diimbangi dengan pupuk organik. Pengetahuan akan pupuk ini masih rendah, sehingga diperlukan suatu pengenalan, pembinaan, pelatihan dan praktek tentang penggunaan pupuk. Oleh karena itu dilakukan suatu kegiatan pengabdian masyarakat pelatihan pembuatan dan penggunaan pupuk, sasaran dari pengabdian ini adalah para siswa tingkat SMA. Para siswa SMA dipilih sebagai generasi muda untuk mengetahui atau memahami tentang pupuk organik dan anorganik serta mampu memberikan sumbangsih implementasi pada industri pertanian. Kegiatan pengabdian dilakukan dengan presentasi teori dan praktek pembuatan dan penggunaan pupuk. Hasil dari kegiatan ini, para siswa mengetahui dan memahami tentang kandungan pupuk organik dan anorganik, kandungan unsur hara dalam tanah, keseimbangan dalam menjaga kandungan unsur hara dalam tanah, praktek pembuatan pupuk serta cara penggunaannya. Kata Kunci: Keseimbangan tanah, Jarak Pemupukan, Pupuk Organik Anorganik, Unsur Hara
Alkaline Phosphatase Levels Before and After Nonsurgical Periodontal Therapy
Authors: Pradhan Shaili , Koirala Pramod Kumar 
Published: August 2020

Introduction: Chronic periodontitis is a multifactorial disease resulting in the inflammation and destruction of the supporting structures. Early detection of periodontal changes, prognosis and efficacy of treatment have been monitored by Alkaline Phosphatase Levels (ALP) levels.
Objective: This study was carried out to determine level of ALP in saliva and serum before and after periodontal therapy.
Methods: This pretest posttest study included 22 patients with generalised chronic periodontitis (GCP). The patients received nonsurgical periodontal therapy (NSPT). Saliva and serum levels of ALP were measured at baseline and after two months of periodontal therapy.
Results: Twenty-two patients of mean age 44 years were analysed. Participants had significantly better periodontal parameters after two months. Salivary ALP levels, which were high at baseline, decreased after periodontal treatment. A significant positive correlation (0.0001) was found between the salivary levels of ALP and periodontal inflammatory conditions. Gingival index was found directly proportional with salivary ALP level but not with serum ALP.
Conclusion: Periodontal therapy lowered the levels of ALP saliva in GCP patients with high ALP levels. Biochemical analysis of enzymes found in saliva may help in patients’ evaluation to determine the control and progression of periodontal destruction and aid in a correct diagnosis, prognosis and, consequently, better treatment.
Periodontal Status and Quality of Life in Adult Patients Attending a Tertiary Care Centre in Kathmandu Valley
Authors: Shakya Sonika , Shrestha Priti , Poudel Sabina 
Published: August 2020

Introduction: Symptoms of periodontal disease like redness, bleeding on brushing, loosening of affected teeth, and persistent bad breath are not usually documented in a research report. Such symptoms are highly relevant from the patient’s point of view and often have a considerable adverse impact on their daily quality of life.
Objective: The objective of this study was to assess the periodontal health status and its impact on quality of life.
Methods: Clinical attachment loss of total 100 participants were measured at six sites of all teeth and patients divided into severity groups according to loss of attachment. The Nepalese version of the Oral Health Impact Profile (OHIP-14) was used to assess impact of periodontal status on patient’s quality of life. In addition, participants were also asked to complete a simple ‘yes/no’ checklist of symptoms relating to their periodontal health in the past year which included swollen gums, sore gums, receding gums, loose teeth, drifting teeth, bad breath, or toothache.
Results: Overall OHIP-14 score significantly differed between patient groups. The impact of oral health on quality of life was greater in patients with high/severe periodontitis and the result was statistically significant (p=0.001).
Conclusion: There is significant difference between oral health related quality of life in healthy and periodontally involved patients as assessed by using OHIP-14. Treatment strategies should focus on improving the quality of life of periodontal patients.
PARÂMETROS DE DEGRADAÇÃO RUMINAL E DIGESTIBILIDADE IN VITRO DE DIETAS PARA RUMINANTES UTILIZANDO DIFERENTES NÍVEIS DE COPRODUTOS INDUSTRIAIS
Authors: Ferro Mariane Moreno , De Moura Daiane Caroline , Da Costa Fabiana Gomes , De Oliveira Edimar Barbosa , Ferro Rafael Moreno , Cabral Luciano da Silva 
Published: August 2020

Objetivou-se investigar diferentes níveis de inclusão de três coprodutos (farelo de gérmen de milho desengordurado, grão de destilaria de milho e farelo de girassol) sob os parâmetros de degradação ruminal e digestibilidade in vitro. As dietas experimentais foram constituídas pela inclusão de níveis de 0, 100, 200 e 300 (g kg-1) dos coprodutos. A inclusão farelo de gérmen de milho desengordurado não alterou (P>0,05) a produção de gases da fração CNF, a taxa de degradação da fração CNF e a taxa de degradação da fração fibrosa, enquanto, a produção de gases da fração fibrosa apresentou redução linear (P<0,05). A inclusão do grão de destilaria de milho não alterou (P>0,05) a digestibilidade da MS e a taxa de degradação da fração rápida digestão, entretanto a produção de gases da fração de rápida digestão (VGCNF) apresentou redução linear (P<0,05). A inclusão do farelo de girassol não alterou (P>0,05) a produção de gases, a taxa de degradação da fração CNF e digestibilidade da MS. Assim o grão seco da destilaria do milho e o farelo de girassol podem ser incluídos até o nível de 300 g kg-1 nas dietas, e o farelo de gérmen de milho desengordurado incluído em níveis de até 100 g kg-1.
Palavras-chave: degradação ruminal; farelo de girassol; farelo de gérmen de milho; grão seco da destilaria do milho.

PARAMETERS OF RUMINAL DEGRADATION AND IN VITRO DIGESTIBILITY OF DIETS FOR RUMINANTS USING DIFFERENT LEVELS OF INDUSTRIAL CO-PRODUCTS

ABSTRACT: The objective was to investigate different levels of inclusion of three co-products (defatted corn germ meal, corn distillery grain and sunflower meal) under the parameters of ruminal degradation and in vitro digestibility. The experimental diets were constituted by the inclusion of levels of 0, 100, 200 and 300 (g kg-1) of the co-products. The inclusion of defatted corn germ meal no effect (P>0.05) the production of NFC fraction gases, the NFC fraction degradation rate and the fibrous fraction degradation rate, while the production of fibrous fraction gases presented a linear reduction (P<0.05). The inclusion of the corn distillery grain no affect (P>0.05) the digestibility of DM and the rate of degradation of the fast digest fraction, however the production of gases of the fast digest fraction showed a linear reduction (P<0.05). The inclusion of sunflower meal no effect (P>0.05) the gas production, the NFC fraction degradation rate and DM digestibility. Thus, the dry grain of the corn distillery and sunflower meal can be included up to the level of 300 g kg-1 in the diets, and the defatted corn germ meal included in levels of up to 100 g kg-1.
Key words: ruminal degradation; sunflower meal; corn germ meal; dry grain from corn distillery.
Endoscopic endonasal approach for suprasellar meningiomas: introduction of a new scoring system to predict extent of resection and assist in case selection with long-term outcome data
Authors: Youngerman Brett E. , Banu Matei A. , Gerges Mina M. , Odigie Eseosa , Tabaee Abtin , Kacker Ashutosh , Anand Vijay K. , Schwartz Theodore H. 
Published: August 2020

OBJECTIVE
The endoscopic endonasal approach (EEA) has gained increasing popularity for the resection of suprasellar meningiomas (SSMs). Appropriate case selection is critical in optimizing patient outcome. Long-term outcome data are lacking. The authors systematically identified preoperative factors associated with extent of resection (EOR) and determined the relationship between EOR and long-term recurrence after EEA for SSMs.

METHODS
In this retrospective cohort study, the authors identified preoperative clinical and imaging characteristics associated with EOR and built on the recently published University of California, San Francisco resectability score to propose a score more specific to the EEA. They then examined the relationship between gross-total resection (GTR; 100%), near-total resection (NTR; 95%–99%), and subtotal resection (STR; < 95%) and recurrence or progression with Kaplan-Meier survival analysis.

RESULTS
A total of 51 patients were identified. Radiographic GTR was achieved in 40 of 47 (85%) patients in whom it was the surgical goal. Significant independent risk factors for incomplete resection were prior surgery (OR 25.94, 95% CI < 2.00 to 336.49, p = 0.013); tumor lateral to the optic nerve (OR 13.41, 95% CI 1.82–98.99, p = 0.011); and complete internal carotid artery (ICA) encasement (OR 15.12, 95% CI 1.17–194.08, p = 0.037). Tumor size and optic canal invasion were not significant risk factors after adjustment for other variables. A resectability score based on the multivariable model successfully predicted the likelihood of GTR; a score of 0 had a positive predictive value of 97% for GTR, whereas a score of 2 had a negative predictive value of 87.5% for incomplete resection. After a mean follow-up of 40.6 ± 32.4 months (mean ± SD), recurrence was 2.7% after GTR (1 patient with atypical histology), 44.4% after NTR, and 80% after STR (p < 0.0001). Vision was stable or improved in 93.5% and improved in 67.4% of patients with a preoperative deficit. There were 5 (9.8%) postoperative CSF leaks, of which 4 were managed with lumbar drains and 1 required a reoperation.

CONCLUSIONS
The EEA is a safe and effective approach to SSMs, with favorable visual outcomes in well-selected cases. The combination of postoperative MRI-based EOR with direct endoscopic inspection can be used in lieu of Simpson grade to predict recurrence. GTR dramatically reduces recurrence and can be achieved regardless of tumor size, proximity or encasement of the anterior cerebral artery, or medial optic canal invasion. Risk factors for incomplete resection include prior surgery, tumor lateral to the optic nerve, and complete ICA encasement.
Noninvasive patient tracker mask for spinal 3D navigation: does the required large-volume 3D scan involve a considerably increased radiation exposure?
Authors: Klingler Jan-Helge , Hubbe Ulrich , Scholz Christoph , Volz Florian , Hohenhaus Marc , Vasilikos Ioannis , Masalha Waseem , Watzlawick Ralf , Naseri Yashar 
Published: August 2020

OBJECTIVEIntraoperative 3D imaging and navigation is increasingly used for minimally invasive spine surgery. A novel, noninvasive patient tracker that is adhered as a mask on the skin for 3D navigation necessitates a larger intraoperative 3D image set for appropriate referencing. This enlarged 3D image data set can be acquired by a state-of-the-art 3D C-arm device that is equipped with a large flat-panel detector. However, the presumably associated higher radiation exposure to the patient has essentially not yet been investigated and is therefore the objective of this study.METHODSPatients were retrospectively included if a thoracolumbar 3D scan was performed intraoperatively between 2016 and 2019 using a 3D C-arm with a large 30 × 30–cm flat-panel detector (3D scan volume 4096 cm3) or a 3D C-arm with a smaller 20 × 20–cm flat-panel detector (3D scan volume 2097 cm3), and the dose area product was available for the 3D scan. Additionally, the fluoroscopy time and the number of fluoroscopic images per 3D scan, as well as the BMI of the patients, were recorded.RESULTSThe authors compared 62 intraoperative thoracolumbar 3D scans using the 3D C-arm with a large flat-panel detector and 12 3D scans using the 3D C-arm with a small flat-panel detector. Overall, the 3D C-arm with a large flat-panel detector required more fluoroscopic images per scan (mean 389.0 ± 8.4 vs 117.0 ± 4.6, p < 0.0001), leading to a significantly higher dose area product (mean 1028.6 ± 767.9 vs 457.1 ± 118.9 cGy × cm2, p = 0.0044).CONCLUSIONSThe novel, noninvasive patient tracker mask facilitates intraoperative 3D navigation while eliminating the need for an additional skin incision with detachment of the autochthonous muscles. However, the use of this patient tracker mask requires a larger intraoperative 3D image data set for accurate registration, resulting in a 2.25 times higher radiation exposure to the patient. The use of the patient tracker mask should thus be based on an individual decision, especially taking into considering the radiation exposure and extent of instrumentation.
Conservative Care Cost Analysis of Patients of Long Bone Fracture in Emergency Room. A Review to See the Sufficiency of Health Insurance Costs
Authors: Bayusentono Sulis  , Hajali Cery 
Published: August 2020

Long bones are bones that include the humerus, radius, ulna, femur, tibia and fibula. Aside from fibula, the main function of long bones is as the main skeleton in movement. Therefore, whenever there is a fracture in the long bone, the ability to move will be lost.The occurrence of this long bone fracture itself is still a global problem because the number of events is still quite large. This is in line with the increase in socioeconomic status and the incidence of traffic accidents which is one of the causes of fractures.
METHOD
This study is a prospective study to determine the magnitude of the cost of treatment conservatively in cases of long bone fractures in RSUD dr. Soetomo. The study design used was a prospective cohort. The sample size used in this study was determined by consecutive sampling, ie patients who met the inclusion criteria in the period May - August 2017.
RESULTS
From the observations for four months from May 2017 - August 2017 at Emergency Room Soetomo General Hospital, found 77 patients with long bone fractures that were casted. Of these patients, 38 patients were placed in a slab, 39 patients were placed in a circular cast. Among the 39 people, 17 patients were excluded according to the exclusion criteria and 22 patients were included as the study sample according to the inclusion criteria. By using a statistical test using paired sample T test with a value of α = 0.05, a significance of 0.025 was obtained. Because the significance value is 0.025 <0.05 (α).
DISCUSSION
From the resultsa difference between the BPJS rate of installing circular cast on long bone fractures with the real cost of installing circular cast on long bone fractures. In addition, from the value of the mean we get that the average value of the BPJS rate is greater than the real cost value, which means we can conclude that the BPJS cost can cover the cost of conservative therapy in cases of long bone fractures.
CONCLUSION
In the economic aspect, the longer the length of stay means the higher the costs that must be paid by the patient (the payer) and accepted by the hospital. This only applies to real tariffs, whereas to INACBG's long or short length of stay does not affect the cost.
Modern view on heart failure with preserved ejection fraction
Authors: Шумаков Д.В. , Зыбин Д.И. , Пронина В.П. , Зыбина О.Ю. , Попов М.А. 
Published: August 2020

Сердечная недостаточность с сохраненной фракцией выброса является одной из распространенных форм сердечной недостаточности. Это патологическое состояние остается серьезной проблемой для специалистов. Многие важные аспекты синдрома остаются неясными, включая патофизиологические механизмы, раннюю диагностику и лечение. Болезнь чаще протекает бессимптомно и выявляется на поздних стадиях. В статье отражены вопросы патофизиологии, диагностики и будущие направления в лечении сердечной недостаточности с сохраненной фракцией выброса.
Heart failure with preserved ejection fraction is the most common form of heart failure. This pathological condition has always been aserious problem for specialists. Many important aspects of the syndrome remain unclear, including pathophysiological mechanisms, early diagnosis and treatment. The disease is often asymptomatic and is diagnosed in the advanced stages. The article reviews the issues of pathophysiology, diagnosis and future treatment options for heart failure with preserved ejection fraction.