bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kajian Azaz Manfaat Jembatan Penyeberangan Orang (JPO) di Jalan Sultan Thaha Kota Jambi
Authors: Yamali Fakhrul Rozi 
Published: December 2019

Pedestrian facilities are often overlooked. Whereas pedestrians include elements of traffic flow that need attention, especially in dense urban areas will be vehicles. The purpose of this research is to know the benefits of the Pedestrian Overpass (JPO) in Jalan Sultan Thaha near WTC Mall of Jambi City. The research conducted is to survey JPO users during peak hours and busy days and compare to the traffic in the research area. The results of the study assessed the suitability of the ferry facilities to the existing requirements and to recommend appropriate facilities can be calculated from the highest crossing volume (P) and vehicle volume (V) at peak hours ie P = 325 pedestrians /hour, V = 2610.75 vehicles./hour. Based on the recommendation of choosing a road crossing facility, it can be concluded that the recommended facilities are Zebra Cross (ZC) crossing facilities and it is not feasible to use JPO. From the percentage data of population growth in the estimation of the number of people who will use pedestrian overpass, it will work at 8 years 3 months ahead. Keyword : Pedestrian Overpass, Crossers, traffic density
Analisis Dampak Perkebunan Kelapa Sawit Terhadap Sosial Dan Ekonomi Masyarakat di Kabupaten Asahan
Authors: Abdina Muhammad Fadly 
Published: December 2019

Indonesia masih menempati posisi teratas sebagai negara produsen minyak kelapa sawit (CPO) terbesar dunia, dengan produksi sebesar 19,4 juta ton pada 2009. Berdasarkan total produksi tersebut diperkirakan hanya sekitar 25% sekitar 4,8 juta ton yang dikonsumsi oleh pasar domestik. Sehingga sebagai penghasil CPO terbesar di dunia, Indonesia terus mengembangkan pasar ekspor baru untuk memasarkan produksinya.Pada sepuluh tahun terakhir luas areal perkebunan kelapa sawit di Sumatera Utara meningkat dari sekitar 650 ribu hektar tahun 2000 menjadi 1,05 juta hektar tahun 2009 (Ditjen Perkebunan 2010). Dengan luasan tersebut, Sumatera Utara memiliki luasan sekitar 14 % dari total luasan perkebunan kelapa sawit di Indonesia atau urutan kedua setelah Riau dan luas areal pada tahun 2009 dapat memproduksi CPO sebesar 3,18 juta ton atau sekitar 17 % dari total produksi CPO nasional.Peningkatan hasil produksi tanaman kelapa sawit yang terdapat di kabupaten Asahan, selayaknya dapat berbanding lurus dengan sinergitas pembangunan perkebunan kelapa sawit yang berlandaskan keberlanjutan. Pembangunan perkebunan kelapa sawit berkelanjutan (Sustainable) adalah pembangunan yang berdampak positif terhadap aspek sosial, ekonomi dan budaya masyarakat sekitar perkebunan, regional dan nasional.Analisis perbandinagn dampak dari perkembangan perkebunan kelapa sawit sebelum dan sesudah dapat dilakukan dengan menggunakan analisis Uji t terhadap kontribusi usahatani sebelum dan sesudah berkembangnya perkebunan kelapa sawit. Hasil dari analisis Uji t terhadap kontribusi usahatani sebelum dan sesudah berkembangnya perkebunan kelapa sawit ialah :Sebelum Berkembangnya Perkebunan Kelapa sawit% pendapatan usahatani lain terhadap total pendapatan rumah tangga tani (karet, padi, ternak) sebesar 38 %Sesudah Berkembangnya Perkebunan Kelapa Sawit% pendapatan usahatani kelapa sawit terhadap total pendapatan rumah tangga tani 62 %Pada penelitian ini diperoleh 62 % dari total pendapatan keluarga petani, sehingga dikatakan kontribusi perkebunan kelapa sawit besar sesuai dengan kriteria kontribusi 50-75 % (besar)
Perfil profissional das Enfermeiras dos Centros de Atenção Psicossocial de uma capital do Nordeste, Brasil.
Authors: Silva John Victor dos Santos , Brandão Thyara Maia 
Published: December 2019

Objetivo: descrever as características sobre formação e trabalho das enfermeiras de Centros de Atenção Psicossocial.
Método: Estudo descritivo, quantitativo, com 18 enfermeiras dos Centros de Atenção Psicossocial no Nordeste, Brasil. Foi aplicado questionário estruturado sobre a formação e o trabalho. A análise dos dados foi realizada por estatística descritiva.
Resultados: A população de estudo foi composta por mulheres, sendo a maioria natural de Maceió (55,6%), formadas há mais de cinco anos (83,3%), com especialização lato sensu (83%) e todas trabalhavam 30 horas semanais. Dentre as atividades realizadas, destacam-se: oficinas e grupos terapêuticos, projeto terapêutico singular, visitas domiciliares, atividades externas com os usuários, acolhimento, atendimento individual e familiar, consulta de enfermagem, administração de medicamentos, curativos, verificação dos sinais vitais, medidas antropométricas, entre outros.
Conclusão: O enfermeiro possui um papel importante nas atividades relacionadas ao processo de reabilitação psicossocial dos indivíduos em sofrimento mental, principalmente na coordenação das equipes de enfermagem.
Fasulye gelişiminde, Rhizoctonia solani B227'nin biyotik stresine karşı Trichoderma harzianum ID11C'nin biyokontrol etkinliği
Authors: ALPAY KARAOĞLU Şengül , BOZDEVECİ Arif , PINARBAŞ Müberra , VEYİSOĞLU Gökhan , TARAKÇI Cemre 
Published: December 2019

Çalışmada
çay toprağından izole edilen Trichoderma
harzianum ID11C suşunun bazı enzim aktivitesi, ağır metallere toleransı,
tohum (domates, mısır ve fasulye) çimlenmesi üzerine etkinliği ve fasulyede Rhizoctonia solani B227 (AG-4)'nin
biyotik stresine karşı biyokontrol aktivitesinin araştırılması amaçlandı. T. harzianum ID11C suşunun bazı enzim
aktiviteleri kromojenik yöntemle incelendi. Sonuçlar farklı konsantrasyonlarda ağır
metal (Cu, Pb, Zn ve Cd) ve tuz toleransı olduğunu gösterdi.T. harzianum ID11C Rhizoctonia solani B227(AG4) izolatının fasulye gelişimine karşın
patojenite testi ve T. harzianum ID11C
suşunun tohum çimlenme başarısına olan etkinliği, su agar metodu ile incelendi.
T. harzianum ID11C ve R. solani B227 varlığında fasulye
gelişim parametreleri saksı deneyi ile araştırıldı. Fizyolojik (ana kök ve
gövde uzunluğu, saçaklanma sayısı, yaprak sayısı, yaş ve kuru ağırlıkları)
parametreler ölçüldü ve istatistiksel analizleri yapıldı.Trichoderma harzianum ID11C suşu, yüksek
konsantrasyonlarda ağır metallere (100-400 mM) ve tuza (250 mM) karşı
toleranslıdır. Bitki gelişimini teşvik eden enzim aktivitelerinin var olduğu
gözlendi. T. harzianum suşunun tohumların çimlenme başarısı üzerinde kontrole
kıyasla olumsuz bir etkisinin olmadığı tespit edildi. Saksı deneyinde, kontrol
ile R. solani B227 grupları birbirine
kıyaslandığında, gövde ve ana kök uzunluğu, saçaklanma sayısı ve kökte lezyon
skala değerleri ile yapılan istatistik analizi sonucu aralarında anlamlı farkın
(p&lt; 0.05, Tukey) olduğu belirlendi. R.
solani B227 ve T. harzianum ID11D’nin
ayrı ayrı fasulye gelişimi üzerine olan etkileri, kontrol grubuna göre iyi olmadığı belirlendi.
Ancak ID11C ve B227+ID11C grupları B227 grubu ile kıyaslandığında, patojenik
etkinliği azalttığı belirlendi.

R. solani B227 (AG4) izolatı, fasulyede
(Zulbiye) patojeniteye neden olduğu, T.
harzianum ID11C suşunun ise istatistiksel olarak olumlu yönde anlamlı bir
fark oluşturmamasına rağmen, tüm parametrelerde patojeniteyi azalttığı
belirlendi. T. harzianum ID11C
suşunun fasulye tarımında Rhizoctonia
solani’ye karşı biyokontrol ve bitki destekleyici ajan olarak
kullanılabileceği sonucuna varıldı.
PROVISION OF CENTRAL VENOUS ACCESS DURING ALLOGENEIC HAEMATOPOIETIC STEM CELL TRANSPLANTATION
Authors: Spirin M. V. , Galstyan G. M. , Drokov M. Yu. , Kuzmina L. A. , Klyasova G. A. , Parovichnikova E. N. , Savchenko V. G. 
Published: December 2019

Introduction. The transplantation of allogeneic haematopoietic stem cells (allo-HSCT) is impossible without a central venous catheter (CVC).Aim. To determine an optimal approach to providing venous access during allo-HSCT.Materials and methods. This prospective, non-randomised, single-centre study included 146 patients (70 men and 76 women, median age 37 years) who underwent the fi rst allo-HSCT. Prior to conditioning, one of the following CVCs was placed: Hickman or Leonard tunnelled double-lumen silicone catheters (BardAccessSystem); polyurethane non-tunnelled CVCs without (Certofi x Duo, B. Braun) or with an antibacterial coating (Certofi x Protect Duo, B. Braun). The following complications were recorded: early complications, mechanical complications, catheter-associated thrombosis (CAT), catheterrelated bloodstream infections (CRBSI), as well as catheter exit-site and tunnel infections.Results. A total of 320 CVCs were placed (146 prior to allo-HSCT and 174 in the post-transplant period); 259 of the CVCs were non-tunnelled and 61 were tunnelled. Non-tunnelled CVCs were used for 1–123 days (median 22 days), whereas tunnelled CVCs were implanted for 9–621 days (median 146 days). The use of non-tunnelled CVCs was associated with 2.7 % (1.0/1000 catheter days) of mechanical complications and 9 % of CAT (1.4 / 1000 catheter days). The use of tunnelled CVCs was associated with the following complications: accidental removal — 1 (1.6 %), catheter rupture — 4 (6.5 %), CAT — 5 (8.2 %) patients (0.3 / 1000 catheter days); 18 (29.5 %) patients exhibited catheter obstruction, with CVC function being restored in 14 (77.7 %) patients, whereas in 4 (22.3 %) patients the CVC was removed. The incidence of CRBSI associated with non-tunnelled and tunnelled CVCs was 4.4 and 1.5 per 1000 catheter days, respectively. The study revealed no significant differences in the probability of developing CRBSI between non-tunnelled CVCs with and without antibacterial coating (p = 0.298), as well as between non-tunnelled and tunnelled CVCs in the fi rst 28 days after the catheter placement (p = 0.424). The risk of developing CRBSI when using tunnelled CVCs increased after 150 days of use.Conclusion. Allo-HSCT can be performed using any CVC type. Our study revealed no advantages in employing nontunnelled CVCs with an antibacterial coating compared to those having no coating. Tunnelled CVCs (as opposed to nontunnelled ones) provide the opportunity to employ a single catheter throughout the entire transplantation and post-transplant period. It should be noted that tunnelled CVCs should not be used for more than 150 days, since prolonged use of such CVCs significantly increases the risk of infection.Conflict of interest: the authors declare no conflict of interest.Financial disclosure: the study had no sponsorship.
HIGH-DOSE CHEMOTHERAPY FOR PRIMARY DIFFUSE LARGE B-CELL LYMPHOMA OF THE CENTRAL NERVOUS SYSTEM. INTERIM RESULTS OF THE CNS-2015 PROTOCOL
Authors: Zvonkov E. E. , Koroleva D. A. , Gabeeva N. G. , Gavrilina O. A. , Fedorova S. Yu. , Gubkin A. V. , Kovrigina A. M. , Yatsyk G. A. , Klyasova G. A. , Savenko T. A. , Savchenko V. G. 
Published: December 2019

Introduction. Induction chemotherapy (CT) for primary diffuse large B-cell lymphoma (DLBCL) of the central nervous system (CNS) is based on the use of methotrexate in high doses. An optimal consolidation strategy involves high-dose chemotherapy followed by autologous haematopoietic stem cell transplantation (auto-HSCT). The most effective conditioning regimen comprises a combination of chemotherapy agents including thiotepa.Aim. To present the authors’ experience of applying auto-HSCT/TBC in patients with primary DLBCL of the CNS.Methods. The prospective study CNS-2015 was carried out among 20 patients aged 20–52 years (median 42 years old) from 2015 to 2019. The male/female ratio came to 13/7. The somatic status of 17 (85 %) patients was 0–1 on the ECOG scale. Only 3 (15 %) patients showed the somatic status of 4 points. According to the criteria of the MSKCC prognostic system, 18 (90 %) and 2 (10 %) patients were assigned to the low-risk and medium-risk groups, respectively.Results. All patients included in the study received 3–5 cycles of chemotherapy with high doses of methotrexate, vincristine, procarbazine and rituximab (R-MPV), as well as underwent auto-HSCT following TBC-based conditioning regimen (thiotepa, busulfan, cyclophosphamide). Prior to auto-HSCT, 15 and 5 out of 20 patients having completed induction chemotherapy achieved complete remission and partial remission, respectively. Following auto-HSCT, complete remission was achieved in 5 patients with an initial partial response to treatment. All patients underwent temozolomide maintenance therapy for 2 years. With a median follow-up of 17 (1–46) months, 18 patients are alive and in remission. Two patients, who relapsed 4 and 5 months after auto-HSCT and achieved no response to the second line of chemotherapy and radiation therapy, died 24 and 26 months after auto-HSCT.Conclusion. R-MPV is an effective treatment for patients with primary DLBCL of CNS, which is not accompanied by severe toxicity. The use of high-dose chemotherapy with TBC allows a high remission rate to be achieved. The mortality associated with treatment in the group of patients included in the study came to 0 %.
Kształcenie wychowawczyń przedszkoli w Prywatnym Seminarium dla Wychowawczyń Przedszkoli Marii Papiewskiej w Lublinie (1918 -1939)
Authors: Hajkowska Monika 
Published: December 2019

Celem artykułu jest przedstawienie zagadnienia kształcenia w Prywatnym Seminarium dla Wychowawczyń Przedszkoli Marii Papiewskiej w Lublinie (1918-1939). W artykule podjęto w szczególności próbę analizy programu kształcenia zakładu w oparciu o materiały archiwalne, między innymi protokoły egzaminacyjne. Ze względu na charakter źródeł i specyfikę badań posłużono się metodami charakterystycznymi dla nauk historycznych. Wywód składa się z trzech części. W pierwszej przedstawiono biografię założycielki zakładu, Marii Papiewskiej. Druga część to rys działalności seminarium, w tym również założenia organizacyjne, kryteria przyjęć, charakterystyka uczennic. W części trzeciej omówiony został program nauczania. Seminarium było jedynym zakładem kształcenia wychowawczyń w Lublinie działającym do wybuchu II wojny światowej. Mimo tego, że kandydatki pochodziły z różnych środowisk i niektóre legitymowały się świadectwami ukończenia zaledwie pięciu klas szkoły powszechnej nie szczędzono wysiłków w celu uzyskania przez nie jak najwyższych kwalifikacji. Problem przygotowania nauczycieli przedszkoli wydaje się ponadczasowy. Niezmienne pozostają miłość do pracy z dziećmi oraz negacja rutyny i schematu.
REPRESENTASI PESANTREN DAN KESALAHAN BERBAHASA DALAM NOVEL “CIUMAN TERAKHIR AYAH” KARYA: MAUFIQURRAHMAN SURAHMAN
Authors: Kadarisman Kadarisman 
Published: December 2019

The novel is one type of prose literary work in which there are building elements such as plot, character, setting, and of course language. As part of literature, novels also have their own genre. Indonesian literature continues to evolve in accordance with the demands and development of the times, and in accordance with the situation and conditions in the community of writers and readers.
In the novel Ciuman Terakhir, the work of Maufiqurrahman Surahman will be found in a portrait of the world of pesantren which is very thick. This indicates that the sociology of the author is very influential in constructing a literary work. This can be seen in the way the author chooses diction, plot, builds character, and creates a certain atmosphere in the novel.
On the other hand, there are still some language errors in the novel The Last Kiss of the Father. Therefore understanding of linguistic rules is very important, because literary works use language as a medium of liaison between authors and readers.
Analysis of Clinical Rockall Score in patients with Acute Upper Gastrointestinal Bleeding in the Emergency Services of a Tertiary Hospital
Authors: Shilpakar Olita , Prasad Pratap Narayan , Maharjan Ramesh Kumar 
Published: December 2019

Introduction: Upper gastrointestinal bleeding is a gastrointestinal emergency. It is characterized by hematemesis or melena or both. Rapid identification and stabilization of patients with upper gastrointestinal bleeding presenting to the emergency department is essential for patient survival. This study was done to inspect the use of the Clinical Rockall score to predict the outcome in patients with Upper gastrointestinal bleeding.
Methods: A cross sectional study of 272 patients who presented to the emergency department of Tribhuvan University Teaching hospital within a period of one year with hematemesis or melena or both was performed. The Clinical Rockall Score was calculated for each patient based on the points assigned for clinical variables.
Results: The most common cause of upper gastrointestinal bleeding was esophageal varices 86 (31.6%), followed by ulcers 53 (19.5%). Hematemesis was the most common mode of presentation in 133 (48.9%) followed by melaena in 95 (34.9%) and both in 44 (16.2%). High clinical Rockall score of >4 was associated with outcomes like transfusion in 81% patients, rebleeding in 61.9% and mortality in 69% of patients. The predictive accuracy of clinical Rockall score for transfusion, the AUROC was 0.737 (95% CI: 0.678-0.791, P=0.001); for rebleeding, the AUROC was 0.863 (95% CI: 0.8-0.927, P= 0.001) and for mortality, the AUROC was 0.877 (95% CI: 0.81-0.944, P= 0.001).
Conclusions: Clinical Rockall Score is a simple and rapid non endoscopic risk score that can be applied at the time of presentation to the emergency department to predict mortality outcomes in patients with acute UGIB.
Association of Microalbuminuria with Recent Ischemic Stroke
Authors: Jha Rohan , Shrestha Tirtha Man , Aacharya Ramesh 
Published: December 2019

Introduction: Microalbuminuria is considered as an indicator of increased mortality in diabetes mellitus, hypertension and myocardial infarction and is also attributed to increased cerebrovascular risk. The aim of this study was to evaluate microalbuminuria in patients of recent ischemic stroke and see if microalbuminuria is significantly associated with recent ischemic stroke.
Methods: From August 2015 to November 2015, all patients of first episode ischemic stroke presenting to Tribhuvan University Teaching Hospital emergency within 24 hours of onset of stroke suggestive symptoms were enrolled in this study. Non contrast CT scan head, random blood glucose, and urine spot microalbumin test was done in each case.
Results: Microalbuminuria was predominantly present in a total of 27 (79.4%) subjects, while absent in 7 (20.6%). Microalbuminuria was present in 77.0% of the non hypertensive cases and 85.71% of hypertensive cases. Microalbuminuria was present amongst 74.1% of non diabetics and in all the diabetics. Microalbuminuria was present in 78.6% of smokers and in 80% of non smokers. Microalbuminuria was present in 91.67% of cases with lacunar stroke and in 72.7% cases with territorial infarction.
Conclusions: There was no statistically significant association between microalbuminuria and ischemic stroke.
Clinical Features and Visual outcome in Acute and Recurrent Case of Optic Neuritis.
Authors: Paudel Jyoti Bastola , Sharma Ananda Kumar , Sitaula Sanjeeta , Thapa Madhu 
Published: December 2019

Introduction: Optic neuritis is an inflammation of the optic nerve that usually affects young females. In Western countries, natural history and treatment of optic neuritis(ON) has been studied extensively. However aetiology, natural history, clinical features of ON and their relation to multiple sclerosis in Asian population needs to be defined yet.
Methods: 30 patients who were diagnosed as optic neuritis were included between June 2013 to December 2014 at BP Koirala Lions Centre for Ophthalmic Studies (BPKLCOS). A detailed history was obtained followed by examination of anterior and posterior segment. Assessment of visual acuity, color vision, contrast sensitivity, visual evoked potential (VEP),visual field and MRI of orbit and brain was done in all cases. All patients were treated with intravenous Methylprednisolone 500mg twice daily for 3 days followed by oral steroid for 11 days which was tapered in the next 4 days.The patients were reassessed at 2 weeks, 1 month and 3months.
Results: Commonest presenting symptom was diminution of vision(65%). MRI showed multiple paraventricular oval plaques definite of multiple sclerosis in one patient and one was diagnosed as probable MS who had a single periventricular plaque. Visual evoked potential (VEP) showed increase in the mean P100 latency at 60’ and reduction in amplitude in eyes affected with optic neuritis compared to normal eyes. At 3 months follow up, 70% had good visual recovery (>6/18). The cause of non-improvement in vision was disc pallor. Optic disc pallor was detected in 37.5% of the eyes during follow up.
Conclusions: Good visual recovery was observed in most eyes with acute optic neuritis. Multiple sclerosis was seen in 1 patient who had recurrent optic neuritis.
Wild Honey Poisoning: A Case Report
Authors: Shilpakar Olita , Rajbhandari Bibek , Karki Bipin 
Published: December 2019

Wild honey is consumed in many parts of the world as an alternative source of medicine with the belief of reducing cardiovascular, gastrointestinal and many other ailments. However, intoxication secondary to consumption of wild honey produced from the nectar of a few species rhododendrons has been encountered due to a toxin known as grayanotoxin. It is a sodium channel toxin causing symptoms like bradycardia, arrhythmias, hypotension, sweating, dizziness and altered sensorium. We report a case of a 58 year old man who presented to the emergency room following ingestion of wild honey with bradycardia, hypotension and altered mental status.
Keywords: bradycardia; grayanotoxin; hypotension; wild honey poisoning.
Prevalence of GeneXpert Positive in Sputum Negative with Clinico-radiologically Case Suggestive of Pulmonary Tuberculosis.
Authors: Rajbhandari Bibek , Chaudhary Navin Kumar 
Published: December 2019

Introduction: Tuberculosis remains of public health concern, particularly in highly endemic regions.1 It accounts globally for 3 million deaths annually. Pulmonary tuberculosis is primarily diagnosed by identification of Mycobacterium tuberculosis using sputum smear microscopy.2 Clinicians often depend on alternative diagnostic algorithms based on patient symptoms and chest X-ray findings, which have low sensitivity which may lead to either over or under diagnosis of pulmonary tuberculosis. The GeneXpert assay has been shown to have an accuracy comparable to that of culture.3 The sensitivity of a single GeneXpert result in smear-negative, culture-positive cases is 72.5%; the sensitivity increases with repeated testing.4 Xpert has been found to be a cost-effective method for smear-negative TB diagnosis in comparison to traditional methods in resource-limited settings. The aim of the study was to find the prevalence of Genexpert Positive in Sputum negative cases.
Methods: This descriptive cross sectional study was done in Bir Hospital, Mahabouddha, Kathmandu for 1 year after taking ethical clearance. Data was collected and entry was done with point estimate at 95%. Sample size was calculated using the standard formula. Convenience Sampling technique was used, data analysis was done with SPSS Microsoft Excel Sheet.
Results: Prevalence of Genexpert Positive in Sputum negative cases was part to be 27.27%.
Conclusions: Present study showed GeneXpert could be used as a diagnostic tool for the diagnosis of tuberculosis by correlating the clinicoradiological features to this infectious disease. With judicious case detection and implementing appropriate measures, TB incidence, prevalence and morbidity can be minimized to a greater extent.
Keywords: acid fast bacilli; tuberculosis; X-ray.