bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementing A Criminal Background Check Process
Authors: Rhodes Ann , Solow Catherine 
Published: May 2020

ABSTRACT
Motivated by external factors and an interest in providing the highest quality of patient care, the University of Iowa implemented a criminal background check process for all health science students in 2004. The authors detail the principles that guided policies and procedures that were put into place at university and collegiate levels to ensure that applicants and students understand the process; that an individualized review of criminal conduct reported in a background check occurs; and that fair and consistent action is taken in cases considered. The number and type of infractions reviewed by the Carver College of Medicine during a four-year period are conveyed as well as national statistics resulting from the criminal background check pilot operated by the American Medical College Application Service. The authors conclude that criminal background checks are an effective tool to be used for screening purposes before students are allowed patient contact but there must be clear procedures that are communicated to applicants and students as well as considered action taken when problematic behavior is uncovered by the check.
The Role of State Medical Boards In Regulating Physician Participation In Executions
Authors: Alper Ty 
Published: May 2020

ABSTRACT
The recent increase in calls for physician participation in lethal injection executions is likely to place a spotlight on state medical boards, the only entities empowered to discipline doctors for ethical violations. This article begins by recounting the history of physician participation in lethal injection executions, as well as the opposition of most medical professional organizations to the practice. The current state of the law suggests, however, that the role of state medical boards is quite circumscribed, at least in the majority of states with death penalty statutes that appear to contemplate some level of physician participation in executions. In order to further determine the legality of medical board action, I conducted a comprehensive study of the statutes and regulations governing state medical boards in all 50 states. The study concludes that only a handful of states – and only seven death-penalty states – explicitly incorporate the AMA's ethical guidelines into their own state ethical codes. I conclude by suggesting that, where doctors who participate in executions are doing so in order to relieve pain and suffering, it is not clear that a state medical board should intervene even in the rare instance when it would be legally possible to do so.
An Assessment of USMLE Examinees Found to Have Engaged in Irregular Behavior, 1992–2006
Authors: Johnson David Alan 
Published: May 2020

ABSTRACT
Purpose: The United States Medical Licensing Examination® (USMLE®) program takes active measures to ensure the integrity of the licensing examination process. This study looks at the examinees found by the USMLE program to have engaged in irregular behavior and their subsequent success in completing the examination sequence and obtaining a full, unrestricted medical license.
Methods: Working with the Office of the USMLE Secretariat, all individuals determined by the program to have engaged in irregular behavior related to the examination were identified for the period 1992–2006. These individuals were then searched against databases at the Federation of State Medical Boards for board action history and licensure status.
Results: A total of 433 individuals were deemed to have engaged in irregular behavior by the USMLE Committee on Irregular Behavior. Subgroups disproportionately represented included males (66.7%) and international medical graduates (78.8%). Document falsification was the most common infraction under computer-based test administration. Less than half of the irregular behavior cohort (45.7%) successfully completed the USMLE sequence. Only 37.2% completed the USMLE sequence and obtained a full, unrestricted medical license in a U.S. jurisdiction. Graduates of U.S. and Canadian medical schools were the subgroup most likely to complete the USMLE sequence and obtain their medical license.
Conclusions: A finding of irregular behavior by the USMLE carries significant potential consequences. State medical boards have denied licenses to individuals with irregular behavior and been unwilling to support the prospective licensure of individuals barred from the program indefinitely.
Identification of Swimming Pool Sanitation in Banyuwangi
Authors: Astuti Yuli , Puspikawati Septa Indra , Yuliandari Inriza 
Published: May 2020

The purpose of this research is to know the description of sanitation of swimming pool X Glagah in Banyuwangi. This research used observation and interview technique. The research was on June, 2017, took place in swimming pool X Glagah in Banyuwangi. The observation and Interview performed using an research instrument. The research instrumen based on Minister of health of Republic of Indonesia Regulation No. 416 of 1990 about requirement and monitoring water quality, and Minister of Tourism of Republic of Indonesia No. 16 of 2015 about swimming pool business standard. The observation instrument contains five variables. There are water quality of swimming pool, sanitasion facility, health of building and environment, health of room, and evaluation for employees. There are three variables on interview instrument. There are product, services, and management
The Relation Between IGF-1 Levels and Fasting Blood Glucose in Obese Women
Authors: Wardana Zakaria Sendy , Sari Gadis Meinar , Tinduh Damayanti 
Published: May 2020

This study used a cross sectional study method using 39 obese women aged 19-22 years old, Body Mass Index (BMI) 25-35 kg / m2 and Percentage Body Fat (PBF) above 30%, normal blood pressure, heart rate normal rest and normal Hemoglobin (Hb). IGF-1 levels were measured using the Enzym Link Immunosorbent Assay (ELISA) method, while the FBG measurements used ACCU-CHEK® Performance. Data analysis techniques used the Pearson Correlation test with the Statistical Package for Social Science (SPSS). The results obtained an average level of IGF-1 (11,530 ± 4,397) ng / mL and an average FBG (90,153 ± 6,659) mg / dL (r = 0.379) and (p = 0.017). Based on the results of the study, it’s concluded that there is a positive correlation of IGF-1 levels with FBG in obese women. Further research is needed to explain the physiological mechanism of the relation between IGF-1 and FBG in more detail
Operating Performance of Power Systems Integrated HVDC Solution: KonTum-GiaLai Transmission System Case Considering Penetration of Renewable Energy
Authors: Le Kim Hung , Tran Ngoc Thien Nam , Nguyen Viet Tri , Truong The Khanh , Duong Minh Quan 
Published: May 2020

The increasing demand for electricity along with the development of distributed generators showed that improving transmission efficiency and reliability is an indispensable requirement in the operation of the power system. Advanced technologies need to be applied to modern power systems for purposes of conveying large power flows, mitigating the risk of faults. High-voltage direct current (HVDC) transmission is now considered an effective solution for investment in large-length power lines, replacing the conventional high-voltage alternative current (HVAC) transmission system, especially in period of increasing generation capacity due to the penetration of renewable energy sources. This study assesses the performance of the HVDC system on an actual power grid based on planning and improvement demands. The calculation results of power flows, power losses and short-circuit faults were investigated using ETAP software
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Clinicopathological study of gall bladder carcinoma: Our experience from Patan Hospital, Patan Academy of Health Sciences
Authors: Paudyal Sanjaya , K.C. Shiva Raj , Maharjan Shanta Bir , Shah Surendra , Giri Niraj 
Published: May 2020

Introduction: Gall bladder carcinoma is not a common disease. The overall prevalence is low worldwide. It is a highly malignant tumor with a poor prognosis. The outcome of gallbladder carcinoma is poor, and the overall 5-year survival rate is less than 5%. The carcinoma gall bladder is 2-6 times more common in females compared to males and its incidence increases with increasing age. Aggressive surgical management and preoperative adjuvant therapy have helped to prolong survival in patients with gallbladder cancer. We conducted a study with an aim to evaluate the clinicopathological aspect of the disease in patients of gall bladder cancer managed in our surgical department.
Methods: Data were recorded retrospectively by reviewing the charts of the patients who were diagnosed and treated for carcinoma gall bladder in Patan hospital from Aug 2017 to Aug 2019.
Results: Thirty patients were included in the study. Twenty (66.7%) were female and ten (33.33%) were males. Age ranged from 36 to 83 years with the median age of presentation at 63.5 yrs. Curative treatment was possible in 43.33% of the patients, among them 12 had radical surgery and one had cholecystectomy alone for the T1a stage. All other (56.6%) required palliative treatment. One patient developed liver metastasis within six months of radical excision.
Conclusions: The majority of the patients present with an advanced disease which makes it less chance for curative surgical resection. Since only palliative care is possible in an advanced stage, early detection and curative treatment are advisable.
Transarterial embolization in management of post-traumatic hematuria
Authors: Chataut Dinesh , Suwal Sundar , Thapa Ajit , Chaudh Ranjit , Ghimire Ram Kumar 
Published: May 2020

Introduction: Iatrogenic injuries are the most common (>50%) cause of renal vascular lesions and most of these vascular lesions resolve spontaneously, however, surgical or percutaneous treatment is recommended when there is massive bleeding, renal hemorrhage persisting for more than 72 hours, or progressively deteriorating renal functions. Renal artery embolization is considered safe, effective as well as less invasive as the alternative treatment method is emergent nephrectomy or clamping of the renal artery which results in the loss of the kidney. We conducted a study to describe the efficacy of transarterial embolization in the management of post-traumatic hematuria.
Methods: Retrospective review of 30 patients from April 2013 to July 2017 who underwent transarterial embolization for renal vascular lesions following blunt and iatrogenic renal injuries was done. Type of renal vascular lesions, the angiographic status of visualized vascular lesions immediately following embolization, and post-procedural status of hematuria were evaluated.
Results: Thirty patients with a mean age of 35.3 years were included in the study. Twenty-two patients with pseudoaneurysm and eight with arteriovenous fistula in the kidney underwent transarterial embolization. Selective embolization was done in 28 out of 30 patients with complete resolution of hematuria. Two patients underwent non-selective embolization of the main renal artery which was necessary for control of hematuria.
Conclusions: Transarterial embolization is a highly effective technique in the management of traumatic renal vascular lesions presenting with left threatening or continuous hematuria.
A rare case of duodenal cancer with achalasia cardia
Authors: Mishra Kartikesh 
Published: May 2020

Duodenal adenocarcinoma constitutes 0.4% of gastrointestinal malignancies. Achalasia incidence rate is 0.5-1.2 per 100000. The combination is rare.
This is a report of a 68-year-old male from Nepal with history of five years abdominal pain, dysphasia and weight loss. Duodenoscopy could confirm ulcero-proliferative growth at D1-D2. Barium meal depicted features of achalasia cardia.
No similar case report suggests that occurrence of duodenal carcinoma and achalasia cardia is merely co- incidental.
Discussion: No similar case report suggests that occurrence of duodenal carcinoma and achalasia cardia is merely co- incidental.
Consent: Informed consent was obtained from the patient for publication of this case report .
Structural changes of lymph nodes under high calorie diet and melatonin correction
Authors: Harapko T.V. , Mateshuk-Vatseba L.R. , Holovatskyi A.S. 
Published: May 2020

The article presents and analyzes data from an experimental study conducted on white rats in females and males of reproductive age. The purpose of the study to study the morphometric and histological changes in the parenchyma of the lymph nodes of rats under the high-calorie diet (HCD) and with the correction of melatonin. The study was performed on 80 white rats of reproductive age. Microanatomy of the structural components of lymph nodes of white rats under physiological norms was examined in 10 intact animals. Experimental animals are divided into 5 groups. Statistical processing of digital data was performed using “Excel” software and “STATISTICA 6.0” using the parametric method. Eight weeks after HCD, there was a significant decrease in the relative area of the cortical substance in the parenchyma of lymph nodes of white rats of males and females by 10.3 % and 8.3 %, respectively, and an increase in the relative area of the medullary substance by 16.1 % and 13.2 %, respectively, greater than the intact animal group parameter. Corticomedullary index (CMI) decreased by 22.9 % and 19.0 %. After six weeks of HCD and the next six weeks of standard vivarium diet and melatonin administration, the relative area of cortical substance in the parenchyma of lymph nodes of white rats in males and females was 2.0 % and 2.9 %, respectively, greater than the parameters of the intact group of animals. Accordingly, the relative area of the medullary substance is 3.1 % and 4.6 % less than the parameters of the intact group of animals. CMI in both male and male rats was 5.1 % and 7.6 %, respectively, greater than the intact animal group parameter. Under the conditions of melatonin correction, it was found that on the histological preparations of lymph nodes the vein and artery were full-blooded. Empty hemocapillaries with thickened wall are observed. In the paracortical region, the number of high endothelial capillary venules decreases. Thus, long-term administration of melatonin improves the morphometric parameters of the parenchyma of the lymph nodes of rats, restores the morphological structure of the organ.
Psychological and pedagogical conditions for the support of gifted children on the experience of a private lyceum named after G.V. and N.G. Riumin of Ryazan
Authors: Shiltsova Julia Vyacheslavovna , Arkharova Lyudmila Ivanovna , Korchagina Larisa Mihajlovna 
Published: May 2020

The experience of psychological and pedagogical support of gifted children, which consists mainly in the creation of certain conditions in a private educational institution is presented in the article. On the basis of a private lyceum named after G.V. and N.G. Riumin of Ryazan, created by the founder N.V. Riumin – candidate of psychological sciences and by its director L.I. Arkharova – candidate of pedagogical sciences, head of the Pedagogy and Teacher Education Department at FSBEI of HE " Ryazan State University named for S. Yesenin", the experience of cooperation of higher education and general education institutions in the formation and upbringing of gifted children has been studied. L.I. Arkharova’s psychological and pedagogical competencies and long experience enabled to create the conditions for attracting the best teachers of Ryazan. Being rather a small city, when the teachers of the FSBEI of HE " Ryazan State University named for S. Yesenin" know the best of the best by sight, teach the potential teachers a worthy education and “see” the situation from the inside, close cooperation and interaction can be observed. Entering the lyceum, children individually reveal their potential being surrounded by care, warmth, love and attention to the personality of everyone.
Prawo do nauki obcokrajowców - analiza krajowych rozwiązań prawnych w obszarze systemu oświaty
Authors: Kurzyna-Chmiel Danuta 
Published: May 2020

Prawo do nauki jest prawem człowieka. Zgodnie z omówionymi w artykule głównymi regulacjami prawa międzynarodowego i krajowego każdy ma prawo do nauki. Głównym celem artykułu jest prawna analiza prawa do nauki osób nie posiadających obywatelstwa polskiego w obszarze systemu oświaty. Przynależność państwowa, nie jest uznawana za warunek korzystania z niego. Krajowe rozwiązania prawne wynikają z przyjęcia licznych zobowiązań prawno-międzynarodowych. Prawo do nauki, podobnie jak i obowiązki oświatowe jednostki, dotyczy wszystkich osób znajdujących się pod władzą Rzeczypospolitej Polskiej, a więc należy uznać, że także obcokrajowców. Powszechny i równy dostęp do wykształcenia w obszarze systemu oświaty nie jest jednak taki sam dla obywateli polskich i obcokrajowców. Jest on wiązany z instytucją obywatelstwa.
Interpretacja Europejskiej Konwencji Praw Człowieka a międzynarodowe prawo uchodźcze - kilka uwag na tle pozbawienia wolności w związku z migracyjnym statusem
Authors: Markiewicz-Stanny Joanna 
Published: May 2020

Niniejszy artykuł jest poświęcony problematyce detencji uchodźców i osób poszukujących ochrony międzynarodowej w ramach procedur azylowych i migracyjnych, analizowanej z punktu widzenia interakcji pomiędzy standardami praw człowieka a prawem uchodźczym. Celem podejmowanych rozważań jest odpowiedź na pytanie czy i w jaki sposób Europejski Trybunał Praw Człowieka uwzględnia standardy prawa uchodźczego analizując dopuszczalność tego typu ingerencji w wolność i bezpieczeństwo osobiste pod rządami art. 5 EKPC. Zagadnienie to jest złożone, ponieważ mowa o dwóch reżimach prawa międzynarodowego w ramach których przesłanki zastosowania detencji administracyjnej uchodźców i osób poszukujących ochrony międzynarodowej się różnią. Przeprowadzona w tym kontekście analiza orzecznictwa strasburskiego prowadzi do wniosku, że ETPC aczkolwiek przywołuje i bierze pod uwagę standardy prawa uchodźczego, to jednak jego postawa zdaje się być silnie zdeterminowana faktem, że detencja imigracyjna ściśle łączy się z wykonywaniem przez państwa prawa do kontroli własnego terytorium. W konsekwencji nie wszystkie rozwiązania prawa uchodźczego są przez ETPC uwzględniane, co w sposób szczególny dotyczy zastosowania standardu ostatecznego charakteru środków detencyjnych.
Online Management System Berbasis Web Pada SMK Multistudi High School Batam
Authors: Maulana Algifanri , Wangdra Yvonne 
Published: May 2020

Merancang sebuah aplikasi dalam pelayanan menejemen sistem Informasi secara online yang berbasis web merupakan tujuan dasar dari penelitian ini. Didalam aplikasi ini di rancang khusus informasi tentang profil sekolah, fasilitas yang ada, prestasi yang pernah di raih, memberi kemudahan dalam registrasi siswa baru, pemberitahuan pembayaran SPP, dan kondisi keuangan sekolah sehingga menjadi profile lengkap dari sebuah sekolah. Dengan demikian dapat menjadi transparansi bagi siswa dalam mengikuti setiap kegiatan. Aplikasi ini menggunakan sistem pelayanan dalam bentuk digital dirancang dengan menggunakan Bahasa ASP menggunakan Visual Studio dan database SQL Server. Sistem pelayanan dan transaksi digital akan membantu seluruh orang tua dalam menentukan pilihan bagi putra putrinya. Metode penelitian ini menggunakan metode analisa deskriptif kualitatif oleh karena itu pengumpulan data dilakukan dengan cara observasi dan teknik wawancara.

Kata kunci: online management, system informasi, manajemen pelayanan

Abstract
Designing an application in web-based online information system management services is the basic objective of this research. In this application specially designed information about school profiles, existing facilities, achievements that have been achieved making it easy to register new students, notification of tuition payments, and the financial condition of the school so that it becomes a complete profile of a school. Thus it can become transparency for students in participating in each activity. This application uses a service system in digital form designed using the ASP Language using Visual Studio and SQL Server databases. The digital service and transaction system will help all parents in making choices for their children. This research method uses descriptive qualitative analysis method therefore data collection is done by observation and interview techniques.
Keywords: online management, information systems, service management
Analisis Histogram Steganografi Least Significant Bit Pada Citra Grayscale
Authors: Hasan Nur Fitrianingsih , Dengen Christin Nandari , Ariyus Dony 
Published: May 2020

Kesadaran pentingnya keamanan data pada era digital saat ini ditandai dengan berkembangnya aplikasi keamanan data. Pada penelitian ini akan dilakukan analisis histogram terhadap suatu aplikasi keamanan data. Tujuan dari analisa ini adalah mengetahui perubahan histogram yang dilakukan penyisipan pesan. Hasilnya penyisipan pesan pada citra menggunakan Least Significant Bit secara visual tidak terlihat perubahan. Analisis histogram menunjukkan perubahan grafik terlihat lebih signifikan pada file gambar .tif, .png dan .jpg sementara .bmp tidak signifikan. Jumlah karakter yang disisipkan mempengaruhi grafik histogram. Stego image yang dihasilkan memenuhi syarat imperceptibility. Dibuktikan dari nilai PSNR yang dihasilkan yaitu PSNR >40db. Perubahan ekstensi image menjadi salah satu faktor hasil nilai PSNR. Dibuktikan dengan ekstensi image .bmp memiliki nilai MSE paling rendah dan PSNR paling tinggi yaitu, MSE=0,66141 dan PSNR=49,9601.

Kata kunci: Histogram, Steganografi, LSB, Grayscale, PSNR

Abstract
Awareness of the importance of data security in the current digital era is marked by the development of data security applications. In this study a histogram analysis of a data security application will be performed. The purpose of this analysis is to determine the histogram changes made by message insertion. The result is the insertion of messages in the image using Least Significant Bit visually does not change. Histogram analysis shows that graph changes are more significant in .tif, .png and .jpg image files while .bmp is not significant. The number of characters inserted affects the histogram graph. The resulting stego image meets the requirements of imperceptibility. Proven from the PSNR value generated is PSNR>40dB. The change in image extension is one of the factors resulting from the PSNR value. Evidenced by the extension .bmp image has the lowest MSE value and the highest PSNR, namely, MSE=0.66141 andPSNR=49.9601. Keywords: Histogram, Steganography, LSB, Grayscale, PSNR.
Applying Possessive Pronoun in Writing Sentences: Exploring Students’ Ability and Problems in a Mixed Method Study
Authors: Syahdan Syahdan , Putri Eka Utami 
Published: May 2020

The purpose of this research was to find out the students' ability in applying Possessive pronoun in writing sentences and the problems encounter it. This mixed method study employs an explanatory design to reveals it. 53 students out of 105 students from1st semester EFL students from one reputable University in Pekanbaru, Indonesia, were invited to this study. These 53 students were selected using simple random sampling and enrolled for an essay test and interview to see the students' ability and explaining the problems. The data analysis using SPSS showed that the average score of students was 52.98. Meanwhile for the median is 48, the mode is 20. The score of Standard Deviation is 27.93, Variance is 780.25, and Range is 84. Z-Score was found 41.5%, which is means higher than average and 58.5% while, students' ability was indicated below the average. It showed that the students were low ability in applying possessive pronoun in writing sentences. The study also found the common problems, i.e., (1) students still mixed up between possessive pronoun and possessive adjectives. (2) students used the wrong pattern in using a possessive pronoun. (3) students did not understand clearly about a possessive pronoun, (4) experiencing difficulties in learning possessive pronoun.