bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characteristics and treatment outcomes of HIV infected elderly patients enrolled in Kisii Teaching and Referral Hospital, Kenya
Authors: Nyagaka Benuel , Kiilu  Musyoki Stanslaus , Karani Lucy , Kebira Nyamache Anthony 
Published: December 2020

Background: A better understanding of the baseline characteristics of elderly people living with HIV/AIDS (PLWHA) is relevant because the world’s HIV population is ageing.
Objectives: This study aimed to evaluate the baseline characteristics of PLWHA aged ≥ 50years at recruitment to HIV/ AIDS clinic compared against the viral load (VL) and CD4 count among patients attending Kisii Teaching and Referral Hospital (KTRH), Kenya.
Methods: We retrospectively evaluated temporal inclinations of CD4 levels, viral load change and baseline demographic characteristics in the electronic records at the hospital using a mixed error-component model for 1329 PLWHA attending clinic between January 2008 and December 2019.
Results: Findings showed a significant difference in the comparison between baseline VL and WHO AIDS staging (p=0.026). Overall VL levels decreased over the period significantly by WHO AIDS staging (p<0.0001). Significant difference was ob- served by gender (p<0.0001), across age groups (p<0.0001) and baseline CD4 counts (p=0.003). There were significant differences in WHO staging by CD4 count >200cell/mm3 (p=0.048) and residence (p=0.001).
Conclusion: Age, WHO AIDS staging, gender and residence are relevant parameters associated with viral load decline and CD4 count in elderly PLWHA. A noticeable VL suppression was attained confirming possible attainment of VL suppression among PLWHA under clinical care.
Keywords: HIV infected elderly patients; Kisii Teaching and Referral Hospital, Kenya.
PENGEMBANGAN LEMBAR KERJA PESERTA DIDIK BERBASIS PENDEKATAN KONSTRUKTIVISME PADA MATERI BARISAN DAN DERET
Authors: Mulya Novita  , Selvia Erita  , Maila Sari  , Aan Putra  
Published: December 2020

This study aims to produce Student Worksheets based on a constructivism approach on line and series materials to improve student learning outcomes. The development model used in this research is the ADDIE model development. The Student Worksheets design was validated by experts and tested. The validity instrument used a validation sheet and the practicality instrument used a teacher response questionnaire and a student response questionnaire. The results showed that the resulting constructivism based Student Worksheets met the valid and practical product quality criteria. The average validity index in all aspects is 0.731 with the valid category, so it can be recommended for use in the learning process. The average index for the questionnaire response of students was 84.31% with the practical category and the average index for the teacher's questionnaire response was 90.27% with the very practical category in the use of learning tools based on the constructivism approach. Student Worksheets based on the constructivism approach can be used in learning line and series materials because they have been assessed valid and practical.
Abstrak
Penelitian ini bertujuan untuk menghasilkan Lembar Kerja Peserta Didik (LKPD) Berbasis Pendekatan Konstruktivisme pada materi barisa dan deret untuk meningkatkan hasil belajar peserta didik.Model pengembangan yang digunakan dalam penelitian ini adalah pengembangan model ADDIE. Rancangan LKPD divalidasi oleh pakar dan diujicoba. Instrumen validitas menggunakan lembar validasi dan instrumen praktikalitas menggunakan angket respon guru dan angket respon peserta didik. Hasil penelitian menunjukkan bahwa LKPD berbasis pendekatan konstruktivisme yang dihasilkan telah memenuhi kriteria kualitas produk yang valid dan praktis. Rata-rata indeks validitas pada semua aspek adalah 0,731 dengan kategori valid, sehingga dapat direkomendasikan untuk digunakan dalam proses pembelajaran. Indeks rata-rata angket respon peserta didik adalah 84,31% dengan kategori praktis dan indeks rata-rata angket respon guru adalah 90,27% dengan kategori sangat praktis dalam penggunaan perangkat pembelajaran berbasis pendekatan konstruktivisme. Lembar Kerja Peserta Didik berbasis pendekatan konstruktivisme ini dapat digunakan dalam pembelajaran materi barisan dan deret karena telah mendapat penilaian sangat baik dan layak digunakan.
Kata Kunci: Lembarkerja Peserta Didik (LKPD), Pendekatan Konstruktivisme, Hasil Belajar
KINERJA DAN DISPOSISI MATEMATIS SISWA MELALUI PENERAPAN MODEL PROJECT BASED LEARNING DI SMP
Authors: Rosnawati  , Johar Rahmah , Abidin Zainal 
Published: December 2020

Performance requires students to be actively involved in completing the task, because it is considered not only the products, but the more important is the skill to finish the task. The other important thing to consider in developing a student's performance is a mathematical disposition. Project Based Learning (PjBL) is a technique to make sure students become productive, since they will be working in a project learning activities that makes it more interesting and real so that students are able to develop mathematical performance and disposition. This study aims to analyze the development of the student's performance in completing the task groups and individuals as well as the disposition of its mathematical through the application of the model PjBL. The data were collected through observation, interviews and questionnaires. Research result, it is known that 1) student develops their performance in completing a task group to carry out all stages of the completion of the task. 2) Student develops their performance in completing individual tasks to carry out all stages of the completion of the task. 3) Student’s mathematical disposition after learning with PjBL experiencing growth than before the application of the model, particularly on indicators of interest and curiosity.
Abstrak
Kinerja menuntut siswa aktif dalam menyelesaikan tugas, karena yang dinilai bukan hanya produk yang dihasilkan, tetapi lebih dipentingkan keterampilan yang dimiliki dalam menyelesaikannya. Hal penting yang harus diperhatikan dalam mengembangkan kinerja adalah disposisi matematis siswa. Model Project Based Learning (PjBL) membuat siswa menjadi produktif, karena mereka akan bekerja dalam sebuah proyek yang aktivitas belajarnya lebih menarik dan nyata sehingga siswa mampu mengembangkan kinerja dan disposisi matematisnya. Penelitian ini bertujuan untuk menganalisis perkembangan kinerja siswa dalam menyelesaikan tugas kelompok dan individu serta disposisi matematisnya melalui penerapan model PjBL. Teknik pengumpulan datanya dengan observasi, wawancara dan angket. Hasil penelitian, diketahui bahwa 1) siswa mengembangkan kinerjanya dalam menyelesaikan tugas kelompok dengan melaksanakan seluruh tahap penyelesaian tugas. 2) siswa mengembangkan kinerjanya dalam menyelesaikan tugas individu dengan melaksanakan seluruh tahap penyelesaian tugas. 3) disposisi matematis siswa sesudah pembelajaran dengan model PjBL mengalami perkembangan dibandingkan sebelum penerapan model tersebut, terutama pada indikator minat dan keingintahuan.
Kata Kunci: Project Based Learning, Kinerja, Disposisi Matematis
ETV and choroid plexus coagulation: a critical analysis
Authors: Santos Marcelo Volpon 
Published: December 2020

Objective: To analyze the current medical literature regarding the addition of choroid plexus coagulation (CPC) to an endoscopic third ventriculostomy (ETV), with the aim of improving its efficacy. The historical background and rationale for these procedures are also presented.
Methods: A Pubmed search using MeSH terms “choroid plexus coagulation” and “endoscopic third ventriculostomy” was performed in October 2020, retrieving 107 papers. A summary of the findings of these articles is provided, with a particular emphasis on the ones with higher scientific evidence levels (two systematic reviews with meta-analyses and three prospective studies with large case series). The following questions should be answered: “Does CPC add to the success rate of ETV, and in comparison, with shunts?” “Which clinical and surgical factors contribute to positive results of CPC / ETV?” And “Does CPC add morbidity / mortality to endoscopic surgery?”
Results/Discussion: There is significant evidence to support that CPC adds up to the success rates of ETV; this is particularly true in the context of the so-called “communicating hydrocephalus”, especially for patients with post-infectious and post-hemorrhagic hydrocephalus. Nevertheless, patients with “obstructive” etiologies also benefit from CPC + ETV. Pooled success was estimated at around 63%, and successful results as measured by shunt-free rates ranged from 49% to 75%. The highest benefit was observed in patients above 6 months of age. Other factors that might have an influence in success rates include extent of cauterization and, understandably, the use of flexible endoscopes, that allow for coagulating greater amounts of choroid plexus. Morbidity rates were not affected and remained similar to ETV and other neuroendoscopic procedures alone (around 1% overall).
Conclusion: The addition of CPC to an ETV can be quite beneficial and improve its success rate; this combination is certainly useful to avoid shunts. Nevertheless, patient selection and a thorough knowledge of the surgical indications and techniques is still required to achieve satisfactory results.
CAVALCANTE, P. R. CONTRIBUIÇÕES DA PSICOLOGIA NO ACESSO À JUSTIÇA: (des)construções no campo sociojurídico, desafios e possibilidades de atuação na Defensoria Pública. Rio de Janeiro: Lumen Juris, 2016, p. 296.
Authors: Eliana Mazaro Rita , Rosa Antunes Aline 
Published: December 2020

CAVALCANTE, P. R. CONTRIBUIÇÕES DA PSICOLOGIA NO ACESSO À JUSTIÇA: (des)construções no campo sociojurídico, desafios e possibilidades de atuação na Defensoria Pública. Rio de Janeiro: Lumen Juris, 2016, p. 296.
Rita Eliana Mazaro, Aline Rosa Antunes
PERANAN BUDAYA ORGANISASI DALAM MEWUJUDKAN GOOD UNIVERSITY GOVERNANCE (GUC) : SEBUAH IMPLIKASI SISTEM PENGENDALIAN INTERNAL DI POLITEKNIK NEGERI BANDUNG
Authors: Rosmiati Mia , Hastuti Hastuti , Rufaedah Yanti , Barnas Benny 
Published: December 2020

Tata kelola perguruan tinggi yang baik di masa globalisasi ini sudah menjadi tujuan atau cita-cita dari setiap institusi pendidikan tinggi yang ada di Indonesia, dan perwujudan dari cita-cita tersebut akan tercapai apabila perguruan tinggi sudah menlaksanakan sistem pengendalian dengan baik. Penelitian ini bertujuan untuk menganalisa peranan budaya organisasi dalam mewujudkan Good University Governance (GUG) melalui pelaksanaan kebijakan Sistem Pengendalian Internal (SPI) di Politeknik Negeri Bandung (Polban). Metode penelitian yang digunakan adalah deskriptif analisis dengan pendekatan kualitatif dimana penulis berupaya untuk memaparkan temuan yang diperoleh dari sumber data baik primer yang diperoleh melalui wawancara dengan informan maupun data sekunder yang diperoleh dari peraturan-peraturan mengenai sistem pengendalian, serta menganalisis kaitan antara dimensi yang ada dalam budaya organisasi dengan prinsip-prinsip yang terdapat dalam GUG. Hasil dari penelitian ini menunjukkan bahwa keberhasilan pelaksanaan SPI di Polban erat kaitannya dengan iklim atau budaya organisasi dari perguruan tinggi tersebut sehingga masih ada dimensi yang belum terlaksana secara benar dan menyeluruh. Apabila budaya yang dikembangkan dalam mengelola perguruan tinggi tersebut adalah budaya yang baik dan positif, maka cita-cita untuk mewujudkan tata kelola perguruan tinggi yang baik akan dengan mudah dicapai, demikian juga sebaliknya. Kesimpulan dari penelitian ini adalah perguruan tinggi perlu untuk mengembangkan budaya organisasi yang kondusif sehingga akan mendukung keberhasilan pelaksanaan sistem pengendalian internal di perguruan tinggi khususnya Polban yang pada akhirnya akan membantu perwujudan dari Good University Governance.
PENYAKIT TANAMAN APEL DARI CITRA DAUN DENGAN CONVOLUTIONAL NEURAL NETWORK
Authors: Septian M Ridwan Dwi , Paliwang Andi Asrafil Ardan , Cahyanti Margi , Swedia Ericks Rachmat 
Published: December 2020

Tanaman Apel merupakan buah tahunan yang berasal dari daerah Asia Barat dengan iklim sub tropis. Di Indonesia tanaman Apel ditanam sejak tahun 1934 hingga saat ini. Tanaman Apel dapat tumbuh dan berbuah baik di daerah dataran tinggi. Para petani biasanya melakukan pencegahan penyakit atau hama dengan melakukan penyemprotan setiap 1 – 2 minggu sekali dengan dosis ringan. Pencegahan ini agar penyakit/hama dapat segera ditanggulangi dan baik jika dilakukan pada pagi atau sore hari. Terkadang petani juga membutuhkan seorang pakar dalam menentukan jenis hama/penyakit pada tanaman Apel agar dapet memberikan solusi terbaik. Oleh karena itu diperlukan adanya pendekatan digital agar dapat mengenali beragam jenis hama/penyakit tanaman Apel dengan cepat dan mudah. Teknologi Deep Learning, merupakan salah satu bidang ilmu baru dalam Machine Learning dan berkembang dengan depat. Deep Learning memiliki kemampuan yang baik dalam Computer Vision, salah satunya yaitu image classification atau klasifikasi objek pada citra. Metode yang dapat digunakan dalam melakukan klasifikasi citra ini yaitu Convolutional Neural Network (CNN). Berdasarkan hasil uji coba, aplikasi berhasil diimplementasikan dengan baik menggunakan framework dart berbasis android dengan hasil final test accuracy yang diperoleh yaitu didapat keakuratan sebesar 97,1%.
A CLINICAL STUDY IN THE MANAGEMENT OF AMAVATA (RHEUMATOID ARTHRITIS) THROUGH KSHARA VASTI ALONG WITH SHAMANOUSHADHI
Authors: Sourabh Gupta  , M.A. Hullur  
Published: December 2020

Amavata is a disorder where in lot of similarity is seen with Rheumatoid arthritis. This is a systemic chronic inflammatory joint disorder which affect predominantly to synovial joints. Cardiac involvement, symmetrical involvement of joints along with pain, stiffness and swelling with number of systemic complications resembles the disease Amavata.
Methods: A total of 15 patients considering inclusion and exclusion criteria were selected to study Amavata in detail according to Ayurvedic texts and Rheumatoid Arthritis of modern medicine. Kshara Vasti schedule followed by Shamanoushadhi Simhanada Guggulu 500mg twice and Rasna Saptak Kwatha 40ml as Anupana for 45 days was given for 38 days with 1 month follow-up period.
Results: Out of 15, 11 patients (73%) falls under marked relief category, 3 patients (20%) falls under moderate relief category and lastly 1 patient (6%) falls under mild relief category in subjective parameters. In the objective parameters, 9 patients (60%), 11 patients (73.33%) falls under marked relief category of grip strength and tenderness respectively. 03 patients (20%), 2 patients (13.33%) falls under moderate relief category of grip strength and tenderness respectively. 03 patients (20%), 2 patients (13.33%), 14 patients (93.33%) falls under mild relief category of grip strength, tenderness and E.S.R respectively. 1 subject (6.66%) falls under no relief category of E.S.R.
Conclusion: All parameters of assessment but Kshara Vasti showed better improvement in the symptoms of the disease Amavata.
PHARMACEUTICAL & ANALYTICAL STUDY OF SAMAGUNA BALIJARITA RASA SINDURA
Authors: Sorab Gaind  , Pradeep Agnihotri  
Published: December 2020

Rasasindura is a one of Kuppipakva Rasayana a unique method of preparation and is one such imperative Kupipakwa Rasayana, referred to be Elixir of life. It is formulated by two fundamental substances of Rasashastra i.e., Shudha Parada and Shudha Gandhaka. It is said to be prepared by same process but with different proportion of Gandhaka, and accordingly various forms of Rasasindura are named as Ardhaguna, Samaguna, Dviguna, Triguna, Chaturguna, Panchaguna, Shadguna balijarita Rasasindura, where in, the therapeutic merits of Rasasindura and pharmaceutics of Rasasindura changes according to quantum of Gandhaka.
Rasasindura is a Sagandha, Sagni and Bahirdhooma Kupipakwa Rasayana. Samaguna balijarita Rasasindur was prepared with equal quantities of Parada and Gandhaka by Kupipaka method in 20 hours and physicochemical analysis was carried out.
Ash values in Samagunabalijarita Rasasindur were found to be 0.02%. Free mercury was nil in Samagunabalijarita Rasasindur where as its traces were present in the Kajjali. Free sulfur traces were present in Samagunabalijarita Rasasindur. Total mercury percentage in Samaguna Kajjali was 36.02%. Total mercury percentage in Samagunabalijarita Rasasindoor was 83.15%. Total sulfur percentage in Samagunabalijarita Rasasindoor was 13.06%. By XRD analysis Samagunabalijarita rasasindur was identified as Cinnabar having Hexagonal crystal structure with primitive lattice.
EVALUATION OF EFFICACY OF JALOUKAVACHARANA AND SIRAVYADHANA IN THE MANAGEMENT OF VATARAKTA: A COMPARATIVE STUDY
Authors: Rajeshwari  , Deenaprakash Bharadwaj  , Harshavardhana K  
Published: December 2020

Vatarakta is the illness that exhibits different signs and symptoms based upon the Dosha, Utthana and Gambheera Avastha. Dietary habits and life style modalities play a major role in the causation of Vatarakta. Though various remedies are there to treat it, Raktamokshana is said to be an effective, and standard technique. Hence it is claimed to be an important affective tool in the management of Vatarakta. This study is undertaken to explore and compare the efficacy of Jaloukavacharana and Siravyadhana in Vatarakta.
Randomized comparative clinical trial was adopted in this study. 40 subjects fulfilling diagnostic and inclusion criteria were selected and divided into two groups. The day on which the procedure was conducted was considered as first day of the trail. Follow up was on 8th & 15th day. Total duration of Study was 15 days. In both the group there is a significant improvement of subjective and objective symptoms except on Vaivarnya. The collected data is statistically analysed Jaloukavacharana is found to be more effective in the features Daha and Shopha. Siravydhana is more effective in Shoola and Vivarnya. Both the procedure shows equal effect on Sparshaasahatva. The overall results of Group A are 82.11% and Group B is 82.76%. Both the treatments are equally effective in Vatarakta. Hence alternative hypothesis H3 is proved. This simple and cost-effective treatments are painless do not require any anaesthesia. Hence it can be easily performed in OPD level on day-care basis.
ROLE OF RUBBER BAND LIGATION AS A NON-INVASIVE TREATMENT IN HAEMORRHOID W.S.R. TO INTERNAL HAEMORRHOIDS
Authors: Verma Shweta  , Bhargav Akhlesh  
Published: December 2020

In the present modern age,the majority of people are suffering from haemorrhoids. Mithyaahara- Vihara (faulty food habits and improper sedentary lifestyle) has increased its incidence. Internal haemorrhoid is situated internal to anal orifice, starts at anorectal ring and ends at the dentate line. Haemorrhoidectomy either open or closed is an invasive procedure for the treatment of hemorrhoids. A non-invasive measure for the treatment of haemorrhoids is Rubber Band Ligation. In this method, internal haemorrhoids are tied off at its base with rubber bands to cutting off blood flow resulting in necrosis of the haemorrhoidal stump. It relies on the principle of mucosal fixation. In the present clinical study Rubber Band, Ligation was done in randomly selected 15 patients of either sex with internal haemorrhoids. The duration of the trial was of 15 days, with a follow-up of 4 weeks. The total effect of therapy was assessed based on Clinical &Postoperative criteria. Statistical analysis has determined significance of the treatment. For all values significance level was p<0.05. In proctorrhagia percentage relief was 77.7% and results were highly significant while in prolapse percentage relief was 66.6% and the results were highly significant.Rubber band ligation has the advantages of no requirement of anesthesia, minimal hospitalization, and less postoperative pain. Hence after clinical study, it can be concluded that Rubber Band Ligation is a timely accepted effective treatment modality for complete relief of symptomatic internal haemorrhoids. Through a non-invasive approach, it cures internal haemorrhoids without disturbing normal haemorrhoidal cushion.
PERSPECTIVE APPROACH TO PSYCHO-SOMATIC DISORDERS IN ELDERLY PATIENTS WITH CERTAIN MEDICINAL PLANTS IN COVID PANDEMIC
Authors: Debashree Priyadarshini  , Binodini Tripathy  , Gopal C Nanda  
Published: December 2020

Psychosomatic disorders have now become a common disease in present global scenario due to Covid pandemic. People are always in panic due to morbidity of the disease whereas the livelihood has become a secondary morbid condition due to economic slowdown. Under the above global scenario almost every person is undergoing certain psychosomatic problems either one or both of the factors. Apart from this, the present trend of competitive and conservative life-style has made young and old person to panic mental situations. The egoistic attitude of the human being and his inability to compromise his desire/demands tends to imbalance of temperament resulting into essential hypertension, insomnia, irritability etc. Ultimately such person becomes addicted to anxiolytic, anti-depressant and tranquilising drugs of modern medicine. Psychiatric disorders are commonly encountered by clinical medicine and the management includes psychotherapy, behavioural therapy, physical treatment with antipsychotic drugs, but the post management leads to addiction or drug dependence along with morbid withdrawal symptoms in patients. In view of problems of dependence specific approach of Ayurvedic concept like Satwavajaya and Daivavyapasraya have provided the light of protection but the practices are still limited due to orthodox beliefs. Some psychotropic drugs like Medhyarasayana etc. in single and compound form are described in classical texts for the management of different mental disorders. The use of herbs to offset these antecedents and outcome has greatly increased in recent years. Not only it is helpful for psychosomatic issues rather it would be helpful at least in such Covid pandemic as because the anti-psychotic drugs are scarce in market due to heavy personal demands. Ayurvedic approach can also create a trend of revitalising herbal preparations keeping behind the hazardous post drug complication. It is an attempt for mainstreaming the Ayurveda in present scenario.
THERAPEUTIC APPLIANCE OF IMPERILED MEDICINAL PLANT PULLAS-RHODODENDRON ARBOREUM SM.: A SHORT PERIODICAL ANALYSIS FROM ANCIENT TO MODERN ERA
Authors: Santosh Kumar Thakur  , Sumit Natthani  , Mita Kotecha  
Published: December 2020

Rhododendron arboreum Sm. the world’s most famous rhododendron, is known as national flower of Nepal. The word Rhododendron is derived from Greek word rhodo mean rose and dendron means tree. It is often called Rhodies. The flowers being sweet and sour taste are used in the preparation of squash, jams, jellies and local brew. It is used in folklore medicine to treat many disorders and often used as a substitute to another famous plant drug Rohitaka. Pharmaceuticals companies and traditional practitioners of Nepal are using its bark, as a substitute of Rohitaka i.e. Tecomella undulate (Sm.) Seem. The present review highlights some potential therapeutics from ancient to modern era in order to explore the gap as well as bring out certain suggestive approaches from exploration of its ancient traditional therapeutics/properties to future conservation of this plant species.