bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Implementation Of PPI Policy Toward Service in The Public Health Center Berbek Nganjuk Regency
Authors: Tohari Amin , Suhita Byba Melda , Laela Siti Farida Noor 
Published: May 2020

The effort to implement PPI policy have varied obstacles such as the lack of commitment and support from the stakeholder in the organization, limited financial resources to fulfill the PPI standard, limited human resources. Lack of understanding of the PPI concept and the way to implement PPI standard which is needed. The purpose of this study is to analyze The implementation of PPI policy toward service in Public Health Center Berbek Nganjuk Regency. The design of this research is to use qualitative methods using a case study approach. which is a type of qualitative research that looks closely at individual interpretations of their experiences. Data collection techniques used were Participant observational, independent interview, documentation and triangulation. Research instruments: Researchers as instruments (human instruments), notebooks, tape recorders, cameras. Data: qualitative descriptive, personal data documents, field notes, statements and actions of informants, documents etc. with a sample size of 10 informants who are officers in each service unit at the Public Health Center Berbek Nganjuk Regency.Data validation using Triangulation Technique was carried out by 2 informants. The results of this study indicate that the application of Services for patients using APD (masker, handscun, service clothes, shoes dan helmets) at the Public Health Center in Berbek Nganjuk Regency are almost all carrred out by offcers., Not all clinical service personnel carry out hand washing according to SOP in the public health center Berbek Nganjuk Regency, Not all the service places have a record of nosocomial infection at the public health certer, in Berbek, Nganjuk Regency, It was found that some of the clinical service personnel who carred out the injection were still throwing the needle closed. at the public health certer, in Berbek, Nganjuk Regency, The obstacles of PPI is the officer has less obedient with SOP that are made according to the agreement
Transepidermal Water Loss Value Comparison Between Tengkawang and Durian Seed Oil Lotion
Authors: Febriaty Irma Ramadhani , Usman Thamrin , Alimuddin Andi Hairil 
Published: May 2020

Body epidermis has an important health function to prevent body dehydration. This research aims to compare Transepidermal Water Loss (TEWL) values between durian seed oil and tengkawang oil. Skin that had been applied with tengkawang oil and durian seed oil lotion were tested for irritation and TEWL values. The tengkawang oil had an acid number of 17 g/mol and contained 8.54 % free fatty acid, while the durian seed oil had an acid number of 6.34 g/mol and contained 2.89 % free fatty acid. Irritation testing was done using lotion containing 100 % of each oil. TEWL analysis on skin applied with the tengkawang oil lotion after 1 hour showed that the lotion could reduce epidermal water evaporation by 35.23 % compared to the skin condition before treatment. Epidermal water evaporation reduction at the second, third and fourth hours after the tengkawang oil lotion application was 31.33 %, 33.93 % and 27.9 %, respectively. TEWL analysis on skin applied with the durian seed oil lotion after 1 hour showed that the lotion could reduce epidermal water evaporation by 11.34 % compared to the skin condition before treatment. Epidermal water evaporation was reduced 14.64 %, 10.53 % and 2.99 % at the second, third and fourth hours after application of the durian seed oil. Based on these results, it can be concluded that tengkawang oil gives better TEWL values compared to durian seed oil.
COVID-19: ramifications in surgical practice
Authors: Neupane Harish Chandra , Tamang Tseten Yonjen , Angadi Siddeshwar , Shrestha Nikki , Dangal Ganesh 
Published: May 2020

Nepal lies between two large countries (India and China) who have reported high incidence of COVID-19. It is only logical that we prepare the best with the limited medical facilities that we have. There are numerous challenges that impact the surgical department and the hospital administration in general. New guidelines are being formulated and updated frequently. The challenge to provide sufficient personal protective equipment, limited finances and need to train staffs are pertinent challenges. A change in the method of treatment and execution has exerted pressure on the surgeons with a need to keep abreast of new developments.
We describe the numerous impacts of the COVID-19 on surgical practice, the impact on surgeons, patients, surgical residents and even the hospitals which have led to all “new normal” in surgery.
Knowledge and attitude on emergency contraception among adolescent students of an urban school
Authors: Shakya Vivechana , Ghimire Nirmala 
Published: May 2020

Introduction: Emergency contraception (EC) is used to prevent pregnancy in the first 5 days after sexual intercourse, mainly unprotected intercourse, contraceptive failure, rape or coerced unprotected sex. This study aims to identify the knowledge and attitude on EC and associated factors among adolescent students.
Method: A cross-sectional study was conducted to find out knowledge and attitude on EC among adolescent students of both sex, grade 11 and 12 at Advanced Academy, a private school in Kumaripati, Lalitpur, Nepal, during 19 January 2018 to 13 February 2018. Non probability convenience sampling and self-administered questionnaire was used for data collection. Association of demographic variables with knowledge and attitude of EC and further correlation between knowledge and attitude were analysed. The SPSS 16 was used for data analysis.
Result: Out of 343 students, 211 (61.5%) had fair knowledge of EC, 125 (36.5%) poor and 7 (2%) good knowledge. Favourable attitude towards EC was found in 285 (83.1%) and unfavourable in 58 (16.9%). The mean age was 17.33 ± 0.98 years, 206 (60.1%) in 15-17 year age group (middle adolescence), female 143 (41.7%), and 160 (46.7%) from within Kathmandu valley. There was significant positive co-relation between knowledge and attitude and no significant association between demographic variables with knowledge and attitude.
Conclusion: Majority of adolescence students 15-21 years of age had favourable attitude but less knowledgeable in regard to emergency contraception.
Methicillin-resistant staphylococcus aureus carriage and comorbidity in patients with chronic kidney disease V D stage: a 3-year prospective study
Authors: Shifris I. 
Published: May 2020

Asymptomatic methicillin-resistant Staphylococcus aureus (MRSA) nasal colonization is a confirmed factor that affects the frequency of comorbid bacterial infections and mortality in patients with end-stage renal disease (ESRD).
The aim was to study the frequency of comorbid conditions and their dynamics in ESRD patients depending on their MRSA status.
Methods. To prospective cohort study included 265 ESRD patients, 204 of whom were treated by hemodialysis (HD) and 61 by peritoneal dialysis (PD). All recorded comorbidities, their frequency and the dynamics of change, polymorbidity indices, were analyzed depending on whom had MRSA nasal colonization (group 1, n = 92) and without it (group 2, n= 173). The most common cause of ESRD was glomerulonephritis - 161 patients (60.75%). The groups were representative according to gender, age, type of kidney injury and modality of renal replacement therapy (RRT).
Results. According to the results of a 3-year study investigation, the patients with MRSA carriage had a statistically significant higher level of comorbid conditions frequencies compared to the patients who had opportunistic pathogenic bacteria carriage, namely: prevalence of coronary artery disease (55.4% vs 30.1%, р=0.0001), heart failure (44.6% vs 25.4%, р=0.0015), secondary hyperparathyroidism (61.9% vs 45.1%, р=0,009), chronic obstructive pulmonary disease (31.5% vs 17.3%, р=0.0082), peripheral vascular disease (39.15 vs 17.9%, р=0.0001).
The increase in the modified polymorphism index in patients of Group 1 and Group 2 during the observation period, was 30 % and 5% respectively.
One hundred thirty three hospitalization cases were detected during follow-up period: among patients from Group 1- 66 (71.34%) cases, Group 2 - 67 (38.73%); χ² = 26.180, р < 0.0001; RR – 1.8524, 95% ДІ: 1.4760 – 2.3247.
Conclusions. Asymptomatic MRSA nasal colonization is a factor that can increase the incidence of coexisting diseases as well as the total number of comorbid conditions in dialysis patients.
Guideline updates for definition, diagnosis and management of hepatorenal syndrome
Authors: Kolesnyk M. 
Published: May 2020

Hepatorenal syndrome (HRS) is a unique form of acute kidney injury (AKI) developing in patients with end‐stage liver disease. AKI is a frequent complication in advanced cirrhosis patients which is associated with increased hospital admissions and decreased survival. The definition of AKI in cirrhosis has been recently modified and the new diagnostic criteria are based on small changes in serum creatinine with respect to previous values, occurring within a short period of time.
Systemic circulatory dysfunction and marked kidney vasoconstriction play a key role in the development of HRS. The modification of the AKI definition has also led to a change in the diagnostic criteria of HRS. The new diagnostic criteria are based on AKI stages and there is no need to reach a specific serum creatinine threshold. The use of the new HRS definition may lead to an earlier identification of renal impairment and better prognostic stratification. According to these new criteria, treatment with vasoconstrictors and albumin for the management of HRS will be started at lower serum creatinine values, with expected higher response rates. There are consistent data showing that some urine biomarkers, particularly NGAL (neutrophil gelatinase‐associated lipocalin), may be useful in daily clinical practice for the differential diagnosis of the cause of AKI in cirrhosis. Various HRS treatment regimens are available worldwide and all are designed to increase the mean arterial pressure by increasing the central blood volume and decreasing splanchnic vasodilation, and to serve as bridge to liver transplantation.
Using Economic Barometers to Analyze the Impact of the COVID-19 Pandemic on the National Economies
Authors: Puhachova М. V. 
Published: May 2020

Bearing in mind a number of factors, well-known analytical companies and individual economists have been warning over a long time about the impending recession of the global economy. But the unexpected powerful impact on it from the pandemic can aggravate even the worst projections. Analysts are attempting to predict the economy development at global, regional and country level, in order to grasp and prevent future negative effects of the pandemic in all the spheres of human life.
Now there exists a variety of qualitative indicators based on information from Business Tendency Survey and Consumer Sentiment Survey. Respectable international and national institutions use these indicators to quickly assess the current economic situation and predict its change for the several forthcoming quarters. These indicators are considered as very sensitive to any kind of events taking place in the economic and social life, because they are capable to provide the earliest signals of future change in the economy.
The article contains a review of the dynamics of changes in the Global Economic Barometers computed and analyzed by well-known analytical institutions, and the barometers’ capacity to reflect the new pandemic’s impact on the global economy. The barometers provide up-to-date information about changes in the economy in the current month, with a strong lead over the official quantitative information.
To estimate the pandemic’s impact on the development of Ukrainian economy, the author proposes to use Economic Sentiment Indicator and Business Confidence Indicators in the industry and the retail trade (for investigating the supply and demand), which are computed by the official statistics on the basis of qualitative information obtained from the surveys. These indicators are harmonized from the analogous European indicators, but issued with the quarter periodicity now. The conclusion is made about the urgent need to adopt the monthly periodicity for these and other barometers, created according to the European methodology, to enable for quick demonstration of the pandemic’s impact on the development of the Ukrainian economy. Also, it is proposed to search for new barometers that would be capable of providing for a more accurate reflection of change in the Ukrainian economy.
Validation of the Neuropsychiatric Inventory Based on Item Response Theory
Authors: Wada-Isoe Kenji , Kikuchi Takashi , Umeda-Kameyama Yumi , Mori Takahiro , Akishita Masahiro , Nakamura Yu 
Published: May 2020

Background: The Neuropsychiatric Inventory (NPI) is a widely used scale for the assessment of the behavioral and psychological symptoms of dementia (BPSD). We previously developed a novel dementia scale, the ABC dementia scale, in the TRIAD1412 trial and we compared the BPSD domain scores with the NPI scores. We, therefore, considered that we should investigate the quality of the NPI items using statistical approaches. Objective: We investigated the statistical characteristics of the 12 questions or items in the Japanese version of the NPI using the item response theory. This theory is the standard approach for the development of a new assessment scale and we used it to evaluate the quality of the items in the NPI. Methods: First, we performed factor analysis with Promax rotation to identify latent constructs in the data from 312 patients obtained in TRIAD1412. Second, following the result of the factor analysis, we divided the 12 items into domains and then investigated the characteristics of the sub-syndromes in each domain using item response category characteristic curves. Results: We found three latent constructs or domains: “hyperactivity,” “psychosis and apathy,” and “affect” (Cronbach’s α= 0.68) in the 12 items. Further, the items on euphoria, apathy, and appetite and eating abnormalities did not provide sufficient information to estimate BPSD severity. Conclusion: The NPI item characteristics indicate that while the scale can distinguish whether patients have severe BPSD or not, it cannot estimate the degree of severity in a suspected case with a mild or unknown level of BPSD.
PEMETAAN SISTEM STRUKTUR KONSTRUKSI RUMAH TRADISIONAL ACEH DALAM MERESPON GEMPA
Authors: Meutia Erna 
Published: May 2020

Rumah-rumah tradisional yang tersebar di seluruh Indonesia merupakan kekayaan budaya yang terbentuk berdasarkan pengetahuan yang diturunkan secara turun temurun. Pengetahuan bangunan yang merespon alam telah menghasilkan bangunan dengan teknologi sederhana. Teknik membangun Rumah tradisional hanya berdasarkan pengetahuan dan intuisi yang di dapat dari kondisi alam setempat serta pengalaman yang diturunkan secara turun temurun. Sebagaimana kita ketahui rumah-rumah tradisional tersebut tidak pernah direncanakan untuk suatu bangunan yang tahan gempa, Meskipun demikian rumah-rumah tradisional tersebut tetap kokoh berdiri walaupun sering terjadi gempa. Hal ini telah dibuktikan oleh rumah tradisional Aceh yang berada di wilayah gempa kuat. Aceh termasuk dalam kawasan Indonesia, terletak di ujung Utara pulau Sumatera, berada pada wilayah gempa 6 yang merupakan wilayah gempa terkuat. Rumah Tradisional Aceh adalah rumah kayu yang berbentuk panggung, didirikan di atas sejumlah tiang-tiang bulat yang diletakkan di atas pondasi batu. Setiap bagian-bagian pembentuk Rumah Tradisional Aceh di hubungkan dengan sambungan menerus yang diperkuat dengan pasak atau ’bajo’ dan ikatan tali ijuk. Masing-masing bagian ini saling mendukung untuk mempertahankan konstruksinya terhadap goncangan gempa yang terjadi. Oleh karena itu Rumah tradisional Aceh memiliki keunggulan secara struktural dalam merespon gempa.
Tofu Factory Liquid Waste for Making Struvite with Canted Vertical Reactors
Authors: Sutiyono  , Luluk edahwati  , Pratiwi Kartika , Fanani Achmad 
Published: May 2020

Struvite is a white crystal, chemically known as magnesium ammonium phosphate hexahydrate (MgNH4PO4.6H2O). Tofu factory liquid waste is waste that can be reused because of its content. Tofu factory liquid waste can potentially pollute the environment. This research aimsto analyze the manufacture of struvite by utilizing the phosphate content contained in the liquid waste of tofu factories using vertical canted column reactors which can reduce environmental pollution due to liquid waste of tofu factories. This study uses a vertical canted column reactors by mixing anequimolar 1: 1: 1 MgCl2: NH4OH: H3PO4 solution. Struvite crystallization process operates at a temperature variation of 30°C,35°C,40°C,45.50°Cand a pH of 8, 9,10,11,12 by maintaining the air rate of 0.5 liters minute-1 and a MAP (Magnesium Ammonium Phosphate)flow of 56 ml minutes-1 as a whole. The crystallization process runs until a steady state conditionis reached. Then, the struvite crystals obtained were filtered and dried at room temperature for 24 hours. After that struvite crystals were analyzed using XRF, XRD, and SEM. The results of the study obtained the best phosphate conversion of 24.935% at 30°C and pH 8.
Mapping the Transformation of Information into Knowledge in Early Modern Florence
Authors: DeSilva Jennifer Mara 
Published: May 2020

The recent use of geographic information systems (GIS) to visualize large historical datasets are particularly useful to History instructors who seek real-world platforms that support an open-ended investigation of past societies. The University of Toronto’s DECIMA Project (Digitally Encoded Census and Information Mapping Archive) presents an open-access platform through which anyone can explore census material collected in early modern Florence. This article explores how senior undergraduate students used the DECIMA Project to construct research-based learning assignments that they developed independently. A rubric assessed the resulting student work in order to evaluate several cognitive abilities that students employed during their method design, data analysis, and the contextualization of conclusions. The assignment also drew on central History disciplinary concepts (articulating a question, constructing an argument, evaluating sources, and discerning challenges to the narrative), while introducing students to 'real Florentines.'
Klasifikasi Tutupan Lahan Menggunakan Citra Landsat 8 Operational Land Imager (OLI) di Kecamatan Pangandaran
Authors: Derajat Roihan Muhammad , Sopariah Yesi , Aprilianti Syifa , Candra Taruna Aditya , Rahmawan Tisna Hangga Aria , Ridwana Riki , Sugandi Dede 
Published: May 2020

Data citra satelit digunakan untuk mendeteksi klasifikasi penutupan lahan di Kawasan Wisata Kecamatan Pangandaran Kabupaten Pangandaran. Penelitian dilakukan dengan beberapa tahap, yaitu pra-pengolahan citra, interpretasi visual citra, membuat penciri kelas klasifikasi citra, groundchek, dan uji akurasi. Metode yang digunakan dalam penelitian ini yaitu metode klasifikasi tidak terbimbing (unsupervised classification) IsoData dan K-means. Penelitian ini bertujuan untuk melakukan klasifikasi tutupan lahan di Kecamatan Pangandaran menggunakan citra satelit Landsat 8 OLI (Operational Land Imager) hasil perekaman terakhir. Peta hasil klasifikasi lahan dalam penelitian ini memiliki tingkat akurasi ketelitian 86.67% dan telah memenuhi syarat yang sudah ditentukan USGS. Kelas-kelas penutup lahan yang terdapat pada wilayah penelitian berdasarkan citra adalah liputan vegetasi alami/semi alami lain, hutan mangrove, bangunan bukan pemukiman, dan bangunan pemukiman campuran. Manfaat peta hasil klasifikasi tutupan lahan tersebut adalah untuk analisis spasial dalam bidang perencanaan wilayah atau pembangunan.
HAKIKAT PEMBUKTIAN MELALUI MEDIA ELEKTRONIK DALAM PRESPEKTIF SISTEM PERADILAN PIDANA INDONESIA
Authors: Mamulai Muslim 
Published: May 2020

Proof via electronic media in criminal trials, still based on the provisions contained in the Code of Criminal Procedure, namely with reference to the theory of proof under the law negatively, but in practice there is still a criminal trial the pros and cons. However, in fact the truth of the witness examination teleconference remain equal value, with a witness who was not present at the trial because the witness has been sworn in.
Keywords: Electronic Media in the criminal justice system.

Abstrak
Pembuktian melalui media elektronik dalam persidangan pidana, masih didasarkan pada ketentuan yang terdapat dalam Kitab Undang-Undang Hukum Acara Pidana, yaitu dengan mengacu pada teori pembuktian berdasarkan hukum secara negatif, tetapi dalam praktiknya masih ada persidangan pidana pro dan kontra. Namun, sebenarnya kebenaran teleconference dari pemeriksaan saksi tetap bernilai sama, dengan saksi yang tidak hadir di persidangan karena telah saksi telah ditetapkan.
Kata kunci: media elektronik; sistem; peradilan pidana
FUNGSI PENGAWASAN MAHKAMAH AGUNG DALAM PENYELENGGARAAN PERADILAN YANG IMPARSIAL
Authors: Sampara Said 
Published: May 2020

Implementation of judicial power in the realization of judicial impartiality rests on their independence and the independence of judiciary in performing the duties of his judicial is not affected by any power, as well as the responsibilities imposed on judges in carrying out the task of checking and deciding cases and functions of the Supreme Court under the supervision of the judiciary the impartiality in the administration of judicial power, manifested in the form of preventive supervision, in the form of signs norms enshrined in both the legislation and the code of ethics and code of conduct of judges. In addition, there are forms of repressive supervision which in practice is carried out by the Supreme Court and the Judicial Commission.
Abstrak
Implementasi kekuasaan kehakiman dalam perwujudan imparsialitas yudisial bertumpu pada independensi mereka dan independensi kehakiman dalam menjalankan tugas-tugas kehakimannya tidak dipengaruhi oleh kekuasaan apa pun, serta tanggung jawab yang dibebankan pada hakim dalam melaksanakan tugas memeriksa dan memutuskan kasus dan fungsi Mahkamah Agung di bawah pengawasan pengadilan, ketidakberpihakan dalam administrasi kekuasaan kehakiman, yang diwujudkan dalam bentuk pengawasan preventif, dalam bentuk tanda-tanda norma yang diabadikan baik dalam undang-undang dan kode etik serta kode perilaku hakim. Selain itu, ada bentuk pengawasan represif yang dalam praktiknya dilakukan oleh Mahkamah Agung dan Komisi Yudisial.