bluuebunny/crossref_metadata_2025_split huggingface dataset:
Death from diabetic ketoacidosis in the Eastern part of Denmark in 2016-2018. Beta-hydroxybutyrate as a marker
Authors: Simonsen Kirsten Wiese , Linnet Kristian , Rasmussen Brian Schou 
Published: October 2020

Abstract
Diabetes mellitus is a disease caused by a deficiency in (type 1) or inability to use insulin (type 2). Untreated it can lead to diabetic ketocidosis (DKA) – state with high levels of ketone bodies (acetone, acetoacetate, beta-hydroxybutyrate (BHB)). This state can be life threatening. Measurement of ketone bodies together with vitreous/urine glucose and glycosylated hemoglobin (HbA1C) are therefore essential to diagnose DKA-related deaths.
All autopsy samples received at our department in the period 2016-2018 for toxicological investigations were analyzed for acetone, BHB, and vitreous glucose (N = 1394). In case of a high level of BHB, HbA1C and urine glucose were measured. Thirty two cases (2.3%) were concluded to be DKA-related deaths. Eleven (34%) of these had no known history of diabetes.
BHB accounts for the major part of ketone bodies and is directly associated with the acidosis effect. Therefore, BHB is preferred to acetone when evaluating DKA and other ketoacidosis-related deaths. We compared acetone and BHB levels to evaluate if the easy acetone measurement could cover our needs for screening. We found that high BHB levels (>2000 µmol/L) were detected if the acetone cut off was set to 0.01 g/L. But, many samples would have low BHB < 3-500 µmol/L with this cut off, and many samples with raised BHB (500-1,200 µmol/L) would not be detected. We therefore recommend to screen all samples for BHB. In case of a high BHB (>1,000 µmol/L) vitreous/urine glucose and HbA1C must be measured to distinguish DKA from other types of ketoacidosis.
PROBLEMATIK PEMENUHAN BEBAN KERJA GURU DAN ALTERNATIF PEMENUHANNYA (Studi Kasus di Kota Depok Provinsi Jawa Barat)
Authors: Sabon Simon Sili 
Published: October 2020

Penelitian ini bertujuan mengidentifikasi kekurangan beban kerja mengajar guru dan strategi sekolah dalam memenuhi kekurangannya. Penelitian ini merupakan studi kasus. Data primer dikumpulkan melalui pengisian kuesioner oleh guru, diperkaya dengan wawancara dan diskusi. Jumlah kuesioner yang diolah sebanyak 34 responden. Data dianalisis dengan teknik statistik deskriptif. Hasil penelitian mendapatkan masih banyak guru terkendala dalam pemenuhan beban kerja minimal sehingga mereka kehilangan peluang mendapat tunjangan profesi. Salah satu sebabnya adalah terbatasnya jumlah tugas tambahan. Strategi sekolah dalam memenuhi beban kerja adalah mengutamakan guru yang sudah bersertifikat pendidik memenuhi beban kerjanya dengan cara diberi tugas tambahan dan/atau ditugaskan mengajar di sekolah lain. Direkomendasikan dalam upaya pemenuhan beban kerja, hendaknya guru dicarikan alternatif kegiatan, baik melalui penambahan jam mengajar di sekolah asal dengan melibatkannya dalam kegiatan ekstra dan kokurikuler, atau sekolah lain. Selain itu program lima hari sekolah dengan menambah jam kerja di sekolah dan tugas tambahan dapat menjadi alternatif pemenuhan beban kerja minimal.
Algoritma Simulated Annealing untuk Menentukan Rute Kendaraan Heterogen (Studi Kasus)
Authors: Andriansyah Andriansyah , Novatama Rizky , Sentia Prima Denny 
Published: October 2020

Permasalahan transportasi dalam supply chain management sangat penting untuk dikaji karena dapat menimbulkan biaya logistik yang sangat besar. Salah satu cara untuk mengurangi biaya transportasi adalah dengan penentuan rute kendaraan atau dikenal dengan istilah vehicle routing problem. Objek yang menjadi kajian merupakan perusahaan yang bergerak pada bidang distribusi produk untuk area kota Banda Aceh dan sekitarnya. Dalam proses distribusi, perusahaan ini menggunakan dua jenis kendaraan dengan kapasitas dan biaya operasional yang berbeda sehingga permasalahan menjadi heterogeneous fleet vehicle routing problem. Penentuan rute kendaraan dalam penelitian ini dilakukan dengan tiga metode, yaitu metode analitik, algoritma insertion heuristic sebagai metode heuristik, dan algoritma simulated annealing sebagai metode metaheuristik. Berdasarkan hasil yang diperoleh dari data ujicoba, algoritma simulated annealing merupakan algoritma yang paling baik dalam menyelesaikan permasalahan. Secara rata-rata, algoritma simulated annealing dapat menghasilkan kualitas solusi yang sama dengan metode analitik, namun dengan waktu komputasi yang lebih singkat. Selain itu, algoritma simulated annealing menghasilkan kualitas solusi yang lebih baik dibandingkan algoritma insertion heuristic yang dikembangkan dalam penelitian dan dapat meningkatkkan kualitas solusi sebesar 20,18% dari penelitian sebelumnya dengan waktu komputasi 19,27 detik. AbstractTransportation problems in supply chain are very important to be discussed because they can raises enormous logistic cost. Route determination of the vehicles known as vehicle routing problem is the one of ways to reduce transportation cost. The object discussed in this study is the distribution company for Banda Aceh city and its surroundings. The company uses two types of vehicle to distribute the product for customers. The differences each vehicle are vehicle capacity and operational cost. To cover these differences, the problem becomes heterogenous fleet vehicle routing problem. The study uses three methods to solve the problem. Analitycal method, insertion heuristic algorithm as heuristic method and simulated annealing algorithm as metaheuristic method are the methods used. According to the results, simulated anneling algorithm produces the better solutions than two others. On average, solutions produced by simulated annealing algorithm from dataset have same quality with analitycal method, but with faster computation. Furthermore, simulated anneling algorithm produces better quality of solutions than insertion heuristic algorithm both from this study and previous study. The solution improves 20,18% with computation time 19,27 seconds.
Technical nuances of a posterior-only L5 vertebrectomy with anterior column reconstruction
Authors: Bogdan Lukasz , Galgano Michael 
Published: October 2020

Background:
Burst fractures involving the L5 vertebra are quite rare . They can be managed with anterior, posterior, or combined 360 approaches. Here, we report a 25-year-old female who presented with a traumatic cauda equina syndrome attributed to an L5 burst fracture following a motor vehicle accident, and who did well after a posterior-only decompression/fusion.

Case Description:
A 25-year-old female presented with a traumatic cauda equina syndrome attributed to an L5 burst fracture following a motor vehicle accident. She was treated with a posterior-only vertebrectomy and followed for 5 postoperative months. During this time, she experienced complete resolution of her preoperative neurological deficit and demonstrated radiographically confirmed spinal stability.

Conclusion:
One of the major pros for the all-posterior L5 corpectomy as in this case, was that the patient underwent a successful single-stage, single-position operation. However, the posterior-only L5 corpectomy approach is technically demanding, and only allows for the placement of a lower profile interbody cage.
Fusiform superior cerebellar artery aneurysm treated with flow diversion: A case report
Authors: Serulle Yafell , Khatri Deepak , Fletcher Jada , Pappas Anna , Heidbreder Audrey , Langer David , Ortiz Rafael A. 
Published: October 2020

Background:
Fusiform aneurysms of the distal superior cerebellar artery are rare and challenging to treat. Due to the rarity of these lesions, there is little consensus regarding their management. Treatment options have traditionally included parent artery sacrifice with either an endovascular approach or microsurgical clipping. Given the small diameter of the superior cerebellar artery, flow diversion has not been typically considered as a viable treatment option for these aneurysms.

Case Description:
A 67-year-old female presented complaining of severe sudden onset headache. Noncontrast head CT demonstrated no intracranial hemorrhage. Head CT angiogram demonstrated a 4.2 mm fusiform aneurysm in the distal right superior cerebellar artery. The patient underwent treatment with the Pipeline embolization device which was deployed in the right superior cerebellar artery covering the aneurysm. Six-month posttreatment follow-up angiogram demonstrated resolution of the aneurysm with patency of the parent vessel.

Conclusion:
To the best of our knowledge, this is the first report of a distal superior cerebellar artery aneurysm treated with the Pipeline embolization device. The use of a Pipeline stent to create flow diversion should be considered in a case of a fusiform aneurysm of the right superior cerebellar artery. Treatment with flow diversion may allow for the treatment of the aneurysm while preserving patency of the parent vessel.
Traumatic acute epidural hematoma caused by injury of the diploic channels
Authors: Teramoto Shinichiro , Tsutsumi Satoshi , Ishii Hisato 
Published: October 2020

Background:
Traumatic acute epidural hematomas (EDHs) commonly develop by rupture of the meningeal arteries. EDH caused by an injury of the diploic channel (DC) has not been reported.

Case Description:
A 21-year-old man suffered a head injury while falling off the skateboard. At presentation, the patient was drowsy but did not exhibit any focal neurological deficits. Cranial computed tomography (CT) revealed a biconvex intracranial hematoma with 18-mm thickness in the high parietal region and a linear fracture that involved both the outer and inner tables and passed above the hematoma. A well-developed and large DC was observed near the hematoma. Patient’s consciousness level decreased at 12 h after admission with considerable growth of the hematoma. A frontoparietal craniotomy revealed an EDH. The dura mater and the meningeal arteries underneath the hematoma were intact. The medial bone cut caused brisk bleeds from the large DC. Postoperative CT revealed the cut of the DC and other finer DCs exhibiting air density and lying near the fracture. Based on these findings, we assumed that the EDH was developed by an injury of the DCs.

Conclusion:
Traumatic EDH can develop by an injury of the DCs. Careful observation of patient’s neurological status and precise interpretation of neuroimages is important to identify venous EDHs.
PENGARUH KEMAMPUAN VERBAL, NUMERIK, DAN SPASIAL TERHADAP KEMAMPUAN MENYELESAIKAN SOAL CERITA
Authors: Mukaromah Sri Jamilah , Hasyim Maylita 
Published: October 2020

<em><em>Penelitian ini bertujuan untuk mengetahui pengaruh kemampuan verbal, numerik, dan spasial terhadap kemampuan menyelesaikan soal cerita bangun ruang sisi datar pada siswa kelas VIII SMP Negeri 2 Tugu Tahun Pelajaran 2016/2017. Penelitian ini merupakan penelitian kuantitatif dengan jenis penelitian assosiatif kausal.Populasi penelitian mencakup seluruh siswa kelas VIII SMP Negeri Tugu. Sampel yang digunakan adalah siswa kelas VIII A, VIII F, dan VIII H yang diambil dengan teknik cluster random sampling sejumlah 82 siswa. Pengambilan data menggunakan metode tes. Hasil analisis menunjukkan bahwa ada pengaruh kemampuan verbal, numerik dan spasial secara simultan terhadap kemampuan menyelesaikan soal cerita sebesar 29,9% dengan persamaan regresiÂ Â </em></em>Y = 18,740 + 0,300X<sub>1 </sub>+ 0,239X<sub>2 </sub>+ 0,209X<sub>3</sub>
UPAYA MENINGKATKAN HASIL BELAJAR MATEMATIKA SISWA DENGAN MENGGUNAKAN MODEL PEMBELAJARAN STAD
Authors: Musriah Musriah 
Published: October 2020

<p><em>This research is aimedÂ to improve mathematics students learning </em><em>outcomes</em><em>in elementary school, especially on </em><em>folding symmetry and rotary symmetry</em><em> materials throug</em><em>h</em><em>the implementation of cooperative learning on </em><em>STAD</em><em>. This research was a classroom action research refferedto Kemmis and Mc Taggartâ€™s design, which includes planning, acting, observing, and reflecting. The research subject were all the student of fifth gradeÂ in SDN 1 </em><em>Ketajen Gedangan Sidoarjo</em><em> inÂ theÂ the period of 2017/2018. After the action is applied</em><em>, average value in the test results</em><em>on cycle I is 61,66 while average value in the test resultson cycle II is 70.</em><em></em></p><p><strong><em>Keywords</em></strong><em>: </em><em>STAD model, mathematics study result</em></p><p><strong>Â </strong></p>
PERBEDAAN HASIL BELAJAR SISWA DITINJAU DARI MODEL SAVI DENGAN MODEL RECIPROCAL TEACHING
Authors: Gayanti Nurfitriana , Anggreini Dewi 
Published: October 2020

<p><em>This study aims to know about differences in student learning outcomes that are reviewed from the SAVI learning modelwith Reciprocal Teaching learning model on circle material. This quantitative quasi-experiment research carried in SMPN 1 Karangrejo with 348 population and sample takencluster random samplingso that there are 2 classes namely VIII D class as a SAVI learning model class with 32 students, and VIII B clas as a reciprocal teaching learning model class with 32 students. The data analize using t-test. After making a calculation with a significant level is 5% and dk 62 so obtained t<sub>count</sub>= 7,141765 &gt; t<sub>table</sub>= 1,99897, its mean H<sub>0 rejected </sub> and H<sub>1</sub> received, so it was concluded that there was a significant difference between the learning outcomes of mathematics using the SAVI learning model and the Reciprocal Teaching learning model at the learning outcomes of mathematics on circle material at the students VIII class in SMPN 1 Karangrejo in the period 2017/2018</em><em></em></p><p><em>Â </em></p><strong><em>Keywords</em></strong><em>:mathematics learning outcomes, SAVI, reciprocal teachin</em>
Summary review and synthesis: effects on habitats and wildlife of the release and management of pheasants and red‐legged partridges on UK lowland shoots
Authors: Sage Rufus B. , Hoodless Andrew N. , Woodburn Maureen I. A. , Draycott Roger A. H. , Madden Joah R. , Sotherton Nicolas W. 
Published: October 2020

This review examines 128 items of primary and other literature to provide an insight into current knowledge of the effects of pheasant and red‐legged partridge releasing and associated management for shooting on habitats and wildlife in the UK. It summarizes key findings and uses them to define sub‐topic sections for which the effects are classified as positive, neutral or negative. This forms the basis of a numerical synthesis of effects and some overall conclusions.Fifty‐four directly related studies were identified, which defined 25 sub‐topics or effects. A mix of positive, neutral and negative ecological consequences of releasing are described, for which the corresponding number of sub‐topics approximately balance each other. Positive effects are usually a consequence of gamebird management activities, most negative effects are caused by the released birds themselves. The different spatial scales at which effects are likely to operate are identified, for example effects on generalist predators or of gamecrops occur at the landscape scale, while many habitat effects have a local impact.Some local negative effects have relatively straightforward management solutions for example, by identifying and avoiding especially sensitive sites when locating release pens. The synthesis identifies seven negative effects associated with the increasing scale of releasing. Several positive effects are linked to economic considerations and are more likely to have greater impact at larger shoots. Pheasants released into woodland have more direct local effects than partridge releases on farmland.The framework of sub‐sections could be used as the basis for a more complex synthesis or weighted analysis for a particular set of ecological priorities. The review findings should be interpreted as representing a median type of shoot in terms of size and adherence to good practice over recent decades. They increase the awareness of potential conflicts, highlighting the need for best practice and what factors to consider for mitigation.
Chorological contributions for some narrow-range endemic plant taxa in Turkey
Authors: HAMZAOĞLU Ergin , KOÇ Murat 
Published: October 2020

The taxonomy of narrow endemic plant taxa, chorology and protective biology are an important contribution for every new population determined. Here, new population information from Turkey has been given for a total of 5 narrow-range endemic plant taxa, led by Aethionema dumanii (Brassicaceae), Astragalus aytatchii (Fabaceae), Salvia halophila (Lamiaceae), Sedum hewittii (Crassulaceae) and Senecio olympicus (Asteraceae). Furthermore, some features and ecological preferences, localities, distribution map and images of the species are given.
Understanding Learner Interaction in Web Based Learning to Improve English Speaking Skills in Second Grade of SMAN 4 Senior High School Bandar Lampung: Using Canvas Learning Management System
Authors: Mendis Upeka , Dharmawan Yanuarius Yanu 
Published: October 2020

Understanding learner interaction in web based learning to improve English speaking skills in second grade classroom of SMAN 4 senior high school Bandar Lampung: using canvas learning management system, English Study Program, Teacher Training Faculty of Bandar Lampung University.The objective of conducting this research is to find out the interaction in Canvas Learning management system (LMS) in the speaking classroom and effects of using Canvas LMS to improve speaking skills. After it is confirmed that there is indeed necessity behind the action, I will explain concepts of interaction, Canvas LMS and speaking skills. The participants of this research are students in second grade of SMAN 4 senior high school. They are selected as data resource to know about interaction and effects of using Canvas LMS. From them, I retrieve data to be analyzed. By giving questionnaire, observing and conducting independent sample t-test method gives me some findings to discuss. The results show that there is indeed necessity in doing English speaking lessons in Canvas LMS. Moreover it is about students’ interaction and effects to improve English speaking skills. First is about interaction, it is the main ingredient in any kinds of learning methods. There are three main types introduced my Moore (1989), there are learner-instructor, learner- learner and learner-content. Those types necessary appear in web based learning. These interactions lead to improve students’ speaking skills too.
The Effects of Students' Perception on Teacher’s Pedagogic Competence and Language Attitude Towards Student’s English Achievement
Authors: Nupus Hayati 
Published: October 2020

This research is a kind of survey and aims to find and analyze empirically the efects of student perception on Teacher’s pedagogic competence towards student’s English achievement, the effects of language attitude towards Student’s English achievement, and the effects of The student perception on teacher’s pedagogic competence and language attitude towards student’s English achievement. The Method used in this research is a survey method. The observed population of this research is student of second grade of state vocational high schools in Serang-Banten, sample was taken as many as 50 students, the sample was gained through simple random sampling, which means that the reseacher mixed the subjects in the population so that they will be considerably the same. The collecting of the data used by the questioner and collecting of student’s English achievement. The gained data was analyzed by using correlation technique and multiple regressions. Previously, the prerequisite test before examining the regression test must be accomplished, such as normality test and linearity test. This research is done on October 2017. The result of the research concluded: 1).There are any significant effects of student perception on Teacher’s pedagogic competence and Language Attitude collaboratively towards students’ English Achievement students at State Vocational High Schools in Serang-Banten. It can be proved by Sig = 0,000 < 0.05 and Fo = 47,843, 2).There is a significant effect of student perception on Teacher’s pedagogic competence towards students’ English Achievement students at State Vocational High Schools in Serang-Banten. It can be proved by Sig = 0,010 < 0.05 and th = 2,677, 3).There is a significant effect of the Language Attitude towards students’ English Achievement students at State Vocational High Schools in Serang-Banten. It can be proved by Sig = 0.000 < 0.05 and th = 4,137.
Use of a dynamic axial external fixator combined with internal cross pins for metacarpal fracture treatment in calves
Authors: YURTAL Ziya , ALTUG Muhammed Enes , DEVECİ Mehmet Zeki Yılmaz , İŞLER Cafer Tayer , ALAKUŞ İbrahim 
Published: October 2020

This study aimed to investigate the effectiveness of using dynamic axial external fixator combined with cross pins in the treatment of distal metacarpal fractures in calves. The results of distal metaphyseal metacarpal fractures treated with this method in six calves (four females, two males) were examined. The ages of the patients were 17.16 ± 13.22 and their weight was 52 ± 9.48. The calves were born by pulling during labor and they could not stand up after birth. The clinical and radiological examinations found a distal metaphyseal metacarpal fracture. Dynamic axial external fixator with cross pin support was applied to all patients in the operative treatment. The patients' foot postures, stepping, walking and running were found to be smooth and adequate in the postoperative examination. Therefore, cross-pin supported dynamic axial external fixation was found to be a strong enough, well-tolerated and easy-to-apply technique which can be used especially in the treatment of open and infected metacarpal fractures.
Student’s Perception of Online Learning for Public Speaking Course
Authors: Wibowo Ary Iswanto , Khairunas Sayyid 
Published: October 2020

This research is aimed to find the perception of students on the speaking ability in Public Speaking class during pandemic Covid-19. By communicating to students who are from Public Relation majored, the researchers considered that speaking as a tool of communication should be done intensively. Therefore, within this pandemic teachers and students should change their learning methods from offline face to face to online face to face. The authors stated the problems that the students faced, they are perceptions and difficulties of online public speaking learning. A qualitative method had been used to analyze this case. The authors used the percentage of students as respondents to see the perceptions. The result of this research viewed that students disagree with the online Public Speaking Course. This amount consisted of 35,4% of total respondents that possessed in the second rank. While the first rank with the amount of 36,5% stated hesitation whether should be conducted online or offline. This also made authors and may other researchers to rethink about online Public Speaking Course.

Perception, Public Speaking, Online