bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mindful Medical Practice Enabling the Management of Anorexia Nervosa, Alcohol Use Disorder and Separation Anxiety Disorder
Authors: Lucena Ricardo 
Published: January 2020

This is a case report of comorbidity involving psychiatric disorders. The case could only be understood and managed effectively due to the combination of the therapeutic alliance as the cornerstone of mindful medical practice, psychotherapeutic approaches, and medication. A 27-year-old woman started a psychiatric treatment because of her alcohol problem. She drank daily until she passed out. After assessment, she was admitted into a detoxification facility for a month. As an outpatient, she remained abstinent for periods of time (1-9 months). She also struggled with binge eating, purging and disturbed perception of body image (perceiving herself as obese).The therapeutic alliance was the main component of treatment. She felt understood and not judged. She kept an open mind to understand her psychopathology. Psychoeducation was an important tool. It included sessions on addiction and the core symptoms of anorexia nervosa. Behavioural analysis and skills training helped to identify an anxiety disorder at the basis of all clinical presentation. The patient realized how ambivalent she was to change. After several episodes of alcohol use, binge eating and purging, she redefined her life goals. As a result, her motivation to change evolved. She became mindful of triggers and began to have fewer episodes of alcohol use. She could decrease her binge eating, purging behaviour, and became aware of her distorted perception of her body. She accepted to take medication to control her pathological anxiety, as well as started using paced breathing and muscle relaxation.
Shared Decision Making in Surgery: A Meta-Analysis and Full Systematic Review
Authors: Niburski Kacper , Guadagno Elena , Poenaru Dan 
Published: January 2020

Shared decision-making (SDM), the process where physician and patient reach an agreed-upon choice by understanding the values, concerns, and preferences inherent within each treatment option available, has been increasingly implemented in clinical practice to better health care outcomes. Despite the proven efficacy of SDM to provide better patient-guided care in medicine, its use in surgery has not been studied widely. A search strategy was developed with a medical librarian. It included nine databases from inception until December 2018. After a 2-person title and abstract screen, full-text publications were analyzed in detail. A meta-analysis was done to quantify the impact of SDM in surgical specialties. In total 5,596 studies were retrieved. After duplicates were removed, titles and abstracts were screened, and p-values were recorded, 140 (45 RCTs and 95 cross-sectional studies) were used for the systematic review and 42 for the meta-analyses. Most of the studies noted decreased intervention rate (8 of 14), decisional conflict (13 of 16), and decisional regret (3 of 3), and an increased decisional satisfaction (9 of 12), knowledge (19 of 20), SDM preference (6 of 8), and physician trust (3 of 4) when using SDM. Time increase per patient encounter was inconclusive. The meta-analysis showed that despite high heterogeneity, the results were significant. Far from obviating surgical immediacy, these results suggest that SDM is vital for the best indicators of care. With decreased conflict and anxiety, increasing knowledge and satisfaction, and creating a more whole, trusting relationship, SDM appears to be beneficial in surgery.
WABAH GAYA HIDUP HEDONISME MENGANCAM MORAL ANAK
Authors: Setianingsih Eka Sari 
Published: January 2020

Belakangan ini pelajar Indonesia telah begitu terjangkiti virus hedonisme. Orientasi pelajar yang seharusnya belajar atau menuntut ilmu dalam keseharian mereka berubah menjadi berorientasi pada mencari kesenangan dan kenikmatan dengan bergaya mewah dan membangun kebiasaan buruk. pelajar kita benar-benar dalam kubangan bahaya nyata. Salah satunya dengan dijadikan hedonisme sebagai orientasi hidup mereka. Para pelajar kehilangan kreativitasnya dan motivasi belajar karena lebih mengutamakan bersenang-senang. Akhirnya muncul kebiasaan aneh dilakangan anak dan remaja. Seperti balapan liar hanya untuk sekedar pratice, mengejar untuk memiliki barang-barang mewah meski kadang harus membuat mereka kehilangan kehormatan diri. hedonisme sebagai doktrin yang menyatakan bahwa kesenangan adalah hal yang paling penting dalam hidup. Paham inilah yang saat ini sedang mewabah di kalangan pelajar. Seperti contoh ilustrasi sebelumnya di atas di mana para pelajar berdandan tak semestinya, lebih mementingkan gaya hidup (fashionable). Hal ini tentu mengakibatkan tergerusnya tujuan mulia pendidikan negara ini yang seharusnya mencerdaskan kehidupan bangsa tapi faktanya moral pelajar kian hari semakin merosot.
Mycoplasma pneumoniae infections, 11 countries in Europe and Israel, 2011 to 2016
Authors: Beeton Michael L , Zhang Xu-Sheng , Uldum Søren A , Bébéar Cécile , Dumke Roger , Gullsby Karolina , Ieven Margareta , Loens Katherine , Nir-Paz Ran , Pereyre Sabine , Spiller O Brad , Chalker Victoria J ,   the ESCMID Study Group for Mycoplasma and Chlamydia Infections (ESGMAC) Mycoplasma pneumoniae subgroup
Published: January 2020

Background

Mycoplasma pneumoniae is a leading cause of community-acquired pneumonia, with large epidemics previously described to occur every 4 to 7 years.

Aim
To better understand the diagnostic methods used to detect M. pneumoniae; to better understand M. pneumoniae testing and surveillance in use; to identify epidemics; to determine detection number per age group, age demographics for positive detections, concurrence of epidemics and annual peaks across geographical areas; and to determine the effect of geographical location on the timing of epidemics.

Methods
A questionnaire was sent in May 2016 to Mycoplasma experts with national or regional responsibility within the ESCMID Study Group for Mycoplasma and Chlamydia Infections in 17 countries across Europe and Israel, retrospectively requesting details on M. pneumoniae-positive samples from January 2011 to April 2016. The Moving Epidemic Method was used to determine epidemic periods and effect of country latitude across the countries for the five periods under investigation.

Results
Representatives from 12 countries provided data on M. pneumoniae infections, accounting for 95,666 positive samples. Two laboratories initiated routine macrolide resistance testing since 2013. Between 2011 and 2016, three epidemics were identified: 2011/12, 2014/15 and 2015/16. The distribution of patient ages for M. pneumoniae-positive samples showed three patterns. During epidemic years, an association between country latitude and calendar week when epidemic periods began was noted.

Conclusions
An association between epidemics and latitude was observed. Differences were noted in the age distribution of positive cases and detection methods used and practice. A lack of macrolide resistance monitoring was noted.
Electronically assisted surveillance systems of healthcare-associated infections: a systematic review
Authors: Streefkerk H Roel A , Verkooijen Roel PAJ , Bramer Wichor M , Verbrugh Henri A 
Published: January 2020

Background
Surveillance of healthcare-associated infections (HAI) is the basis of each infection control programme and, in case of acute care hospitals, should ideally include all hospital wards, medical specialties as well as all types of HAI. Traditional surveillance is labour intensive and electronically assisted surveillance systems (EASS) hold the promise to increase efficiency.

Objectives
To give insight in the performance characteristics of different approaches to EASS and the quality of the studies designed to evaluate them.

Methods
In this systematic review, online databases were searched and studies that compared an EASS with a traditional surveillance method were included. Two different indicators were extracted from each study, one regarding the quality of design (including reporting efficiency) and one based on the performance (e.g. specificity and sensitivity) of the EASS presented.

Results
A total of 78 studies were included. The majority of EASS (n = 72) consisted of an algorithm-based selection step followed by confirmatory assessment. The algorithms used different sets of variables. Only a minority (n = 7) of EASS were hospital-wide and designed to detect all types of HAI. Sensitivity of EASS was generally high (> 0.8), but specificity varied (0.37–1). Less than 20% (n = 14) of the studies presented data on the efficiency gains achieved.

Conclusions
Electronically assisted surveillance of HAI has yet to reach a mature stage and to be used routinely in healthcare settings. We recommend that future studies on the development and implementation of EASS of HAI focus on thorough validation, reproducibility, standardised datasets and detailed information on efficiency.
PRELIMINARY THERMAL CONTROL DESIGN ANALYSIS OF LAPAN SAR-MICROSATELLITE DEPLOYABLE SOLAR ARRAY PANEL USING ONE NODAL METHODE
Authors: Budiantoro Poki Agung , Fauzi Ahmad 
Published: January 2020

LAPAN SAR-Microsatellite is the first LAPAN micro satellite being developed and planned to carry a Synthetic Aperture Radar (SAR) payload. Different from optical satellites that have been developed, LAPAN SAR-Microsatellite requires a lot more power. Solar array panels are needed to generate solar radiation into electrical energy which is used by all of subsystem satellite as energy to turn on and turn off all of components. More larger the area of solar array panel, more greater to the energy obtanied. Therefore, the needed of deployable solar array panel is a must caused by the dimension of the main body structur (MBS) are not large enough. Solar cells will experience a decrease in efficiency if they experience excessive heat. If there is a decrease in efficiency in the solar cell, it will have an impact on the decrease in power produced. The purpose of this study is to conduct thermal design on solar panels to maintain temperature according to their working temperature. Calculations are carried out on the temperature of solar array panel with various optical properties in the upper and lower panel that best which will be use using one nodal analysis methode According to the calculation result from all of the designs passive thermal control system on this study show that Design-5 is the best thermal control design which can be used for LAPAN SAR-microsatellite deployable solar array panel which α=0.24 at the top and ε=0.9 at the bottom surface of solar array panel.
Desain e-book petunjuk praktikum IPA berbasis tri N (niteni, nirokke, nambahi)
Authors: Widyawati Ani , Setyawan Dhimas Nur , Kuncoro Krida Singgih 
Published: January 2020

Internet of things (IoT) lebih banyak mengambil peran dalam segala bidang di era desruptif. Pendidikan lebih ditekankan untuk berbasis digital dan paperless. Media cetak dalam pembelajaran semakin diminimalkan dan digeser dengan media digital agar lebih ramah lingkungan. Tuntutan Internet of things (IoT) tetap harus mengedepankan budaya luhur bangsa Indonesia. Pembudayaan yang luhur merupakan dharma keempat dalam Catur Dharma Perguruan Tinggi Tamansiswa yang dapat dilakukan dengan membudayakan ajaran Ki Hadjar Dewantara pada pembelajaran. Salah satu ajaran Ki Hadjar Dewantara adalah Tri N: niteni, nirokke, nambahi. Penelitian ini bertujuan untuk mendeskripsikan desain e-book petunjuk praktikum IPA berbasis Tri N (niteni, nirokke, nambahi). Metode yang digunakan adalah deskriptif kualitatif. Penelitian ini menghasilkan suatu desain e-book petunjuk praktikum IPA berbasis Tri N. Petunjuk praktikum IPA yang dihasilkan mempunyai karakteristik sebagai berikut yakni (1) berbentuk e-book, (2) memuat konsep ajaran Tri N dalam kegiatan praktikum yang didesain menarik dalam bentuk tabel hubung kait yang disertai simbol, (3) menunjukkan akitifitas Tri N yang sesuai dalam setiap tahapan kegiatan praktikum, dan (4) mengajak praktikan untuk melakukan aktifitas niteni, nirokke, dan nambahi selama praktikum.
Menganalisis Kemampuan Pemecahan Masalah pada Fluida Statis
Authors: Fitri Atika Rohmatul 
Published: January 2020

Fisika adalah mata pelajaran yang membahas tentangÂ peristiwa dan gejala alam, yang melibatkan langkah ilmiah dan dipelajari secara empiris, logis, sistematis, danÂ rasional Fluida statis termasuk topik yang sukar, pokok bahasannya berhubungan dengan peristiwa-peristiwa nyata dikehidupan sehari-hari. Tujuan dari penelitian ini adalah menganalisis kemampuan pemecahan masalah pada fluida statis. Penelitiannya adalah penelitian deskriptif kuantitatif yang menggunakan metode survei. Penelitian dilakukan dengan memberikan soal yang terdiri dari 5 soal esai. Penelitian dilakukan kepada 22 responden. Hasil penelitian menunjukkan bahwa mahasiswa cenderung menyelesaikan soalÂ secara matematis saja. Penelitian menunjukkanÂ masih mengalami kesulitan dalam memahami konsep Hukum Hidrostatis dan Hukum Pascal yang dapat mempengaruhi pemecahan masalah yang dilakukan. Dari analisis data didapatkanÂ mahasiswa memiliki skor rendah karena tidak memperhatikan indikator-indikator pemecahan masalah.Â
Causality Assessment of Adverse Drug Reaction Using Naranjo Probability Scale: A Retrospective Study
Authors: Bajracharya Sangha Ratna , Ghimire Rakesh , Gyanwali Pradip , Khadka Anjan 
Published: January 2020

Introduction: Globally, Adverse Drug Reaction (ADR) has been listed as the sixth leading causes of death. Recognition of ADR and establishment of relationship of drug with the symptom is the first step to the management of the problem. In this study, Naranjo algorithm has been used which is one of the most accepted tools for the assessment of causality of ADR with the suspected drug.
Methods: A retrospective descriptive study was done which included 35 reported cases of ADRs in Drug Information Unit (DIU) in tertiary care teaching institute of Nepal from Dec 2015 to Oct 2016. Based on the information in the reported ADRs forms, categorisation was done using Naranjo’s ADR Probability scale. The data was analysed using SPSS version 16.0 and descriptive statistics was used.
Results: It was seen that ADRs were more common in male (n=20) as compared to female (n=15). Amongst male, ADRs were more common in age group 50-75 years (n=8). ADRs were most commonly seen with antimicrobial agents (40%) followed by Non-Steroidal Anti-inflammatory Drugs (NSAIDs) (20%) and immunosuppressants (20%). Within the antimicrobial agents, anti-tubercular drugs (20%) contributed the most in ADRs and hepatotoxicity was the most common ADR seen. Majority of ADRs were categorised under possible (n=29) followed by probable (n=6).
Conclusions: Naranjo algorithm could be a useful tool for causality assessment of ADR which can help physicians to guide the therapy.
Kajian Wilayah Birokrasi Bersih dan Melayani Kepolisian Resort Kota Besar Medan
Authors: Hartanto Dadang 
Published: January 2020

Reformasi Birokrasi Pemerintah Indonesia dimulai sejak terterbitnya Peraturan Presiden Nomor 80 Tahun 2011 tentang Grand Desain Reformasi Birokrasi Indonesia 2010-2025 dan Peraturan Menteri Pendayagunaan Aparatur Negara dan Reformasi Birokrasi Nomor 20 Tahun 2010 tentang Road Map Reformasi Birokrasi 2010-2014. Melalui kedua pedoman tersebut Polrestabes Medan mulai menerapkan secara bertahap reformasi birokrasi. Tujuan penelitian ini adalah untuk mengetahui proses pencapaian wilayah birokrasi bersih dan melayani Polrestabes Medan. Metode penelitian yang digunakan adalah deskriptif kualitatif dengan didukung data sekunder. Hasil penelitian ini menunjukkan bahwa dalam perjalanannya penerapan dan pelaksanaan reformasi birokrasi terdapat area perubahan dan program yang membuahkan beberapa capaian dan perkembangan yang baik. Aspek pencapian tersebut tidak terlepas dari indikator yang telah ditetapkan yaitu perubahan mind set,pembenahan sistem pelayanan publik berbasis IPTEK, Penguatan Peraturan dan Kepemimpinan
Persepsi Publik Tentang Destinasi Pariwisata Danau Toba Sebagai Global Geopark Kaldera UNESCO
Authors: Wal hidayat Taufik , Nasution Irwan 
Published: January 2020

<p>Isu tentang destinasi pariwisata Danau Toba dijadikan sebagai global Geopark Kaldera oleh UNESCO semakin massif di kalangan masyarakat khususnya yang berada di Kota Medan. Tujuan penelitian ini adalah untuk mengetahui persepsi publik tentang keberadaan Geopark Kaldera Danau. Metodologi penelitian yang digunakan adalah metode penelitian deskriptif kuantitatif. Hasil penelitian ini membuktikan bahwa minat dan ketertarikan responden sebesar 56% - 81,6% terhadap isu wacana destinasi pariwisata Danau Toba sebagai global Geopark Kaldera oleh UNESCO. Sebesar 71,6% - 88,3% responden berkeinginan Danau Toba sebagai global Geopark Kaldera UNESCO dan cenderung memberikan jawaban positif. Hal lainnya yaitu (<em>decision</em>) keputusan dan minat dalam penyebaran isu wacana juga memberikan jawaban yang positif.</p>
Kola Saami Languages: Problem of Language Preservatiom and Functioning in the Urban Environment
Authors: Ivanishcheva Olga Nikolaevna 
Published: January 2020

The article presents an analysis of the sociolinguistic situation in the Kola North with the Kildin Saami language. Purpose of work – to consider the historical reasons for the situation of the indigenous language of the North, as well as the current situation with educational programs in the Kildin Saami language.
The following method was used in the study: descriptive method. The result of the analysis is that in the study indicates the directions of activity of state structures and Saami activists to improve the functioning of the language, shows that in the conditions of the Russian-speaking environment, the chance for the survival of a minority language has a distance education, recommendations to the activities for conservation and revitalization Kildin Saami language.
The study showed that the most suitable teaching technology for the dispersed population is the organization of training on the basis of specially prepared distance learning courses integrated into a single system on the training portal, which not only organizes training in the form of transferring teaching and methodological material to the learner for assimilation, but also monitors and evaluates the knowledge gained in asynchronous mode, analysis of the quality of the passage of educational material.
Cyclicity as a Leading Structural Parameter of Musical Compositions in Cultures of South and South-East Asia
Authors: Kartashova Tatiana Viktorovna , Antipova Viktoriia Yurevna 
Published: January 2020

The article is devoted to the identification of conceptually identical perceptions of musical time in the cultures of India and Indonesia. The paper considers tala, the Indian category of time, in the context of structuring the parameters of musical compositions in Indian art. Gamelans (Indonesian ensembles of musical instruments) are described in detail as well as the basic principles of organizing musical material in the compositions they perform.
The aim of the work is to compare the patterns of perception of the category of time in the cultures of India and Indonesia. The research methodology is based on the principles of an integrated approach that considers the musical traditions of these countries from theoretical and historical-cultural positions. In the process of working on this article, the key role was played by the experience of studying Indian and Indonesian cultures obtained by the authors during scientific internships in India and Indonesia (T.V. Kartashova – institute Shriram Bharatiya Kala Kendra in 2004–2006 and in 2009 (New-Delhi, India); V.U. Antipova studied at the Indonesian Institute of Arts in Yogyakarta under the Darmasiswa Indonesian Scholarship program in the 2017–2018 academic year). The result of the study is the identification of the cyclical nature of musical time in the art of India and Indonesia. It is concluded that in the coordinate systems of different civilizations there are certain intersection points, and often they appear at a conceptual level. The identification of common interpretations of various categories makes it possible to comprehend deep intercivilizational ties, which makes it possible to identify the relatedness of the basics of world understanding in the cultures of South and Southeast Asia.
The Priority of Spiritual Values of Traditional Culture During Students’ Learning Process at the Specialty "Ethnophonology"
Authors: Matylitskaya Natalia Viktorovna 
Published: January 2020

The article reveals some features of the innovative specialization «Ethnophonics». The purpose of the article is to actualize its significance for education and culture in Belarus. Based on the methods of generalizing pedagogical experience, the scientific and methodological activity of the Department of Ethnology and Folklore of the Belarusian State University of Culture and Arts in teaching students authentic folklore was studied and generalized. The research results revealed the actual content of students' professional training and determined the priority pedagogical task – the development of the spiritual values of traditional culture. Conclusion: it is necessary to teach students authentic sound through the disclosure of the semantics of traditional rites and their practical reconstruction.
A review of cancer immunotherapy toxicity
Authors: Kennedy Lucy Boyce , Salama April K. S. 
Published: January 2020

AbstractCancer immunotherapies, including checkpoint inhibitors and adoptive cell therapy, manipulate the immune system to recognize and attack cancer cells. These therapies have the potential to induce durable responses in multiple solid and hematologic malignancies and thus have transformed treatment algorithms for numerous tumor types. Cancer immunotherapies lead to unique toxicity profiles distinct from the toxicities of other cancer therapies, depending on their mechanism of action. These toxicities often require specific management, which can include steroids and immune‐modulating therapy and for which consensus guidelines have been published. This review will focus on the toxicities of checkpoint inhibitors and chimeric antigen receptor T cells, including pathophysiology, diagnosis, and management.
Perancangan Enterprise Architecture Sistem Informasi dengan Menggunakan Framework TOGAF ADM pada CV. Garam Cemerlang
Authors: Soraya Virna , Sari Wellia Shinta 
Published: January 2020

CV. Garam Cemerlang merupakan perusahaan manufaktur yang memproduksi berbagai jenis garam. Meskipun perusahaan ini sangat baik di bidang pembuatan garam, perusahaan ini hanya didukung oleh sistem keuangan yaitu menggunakan aplikasi krieshand untuk mengelola laporan keuangan. Aktivitas proses bisnis yang ada di perusahaan dilakukan secara manual dan hanya menggunakan Microsoft Office sebagai aplikasi untuk pencatatan data. Sehingga aktivitas terkait dengan pengadaan bahan baku, produksi, dan penjualan garam belum efisien dan mengakibatkan perusahaan mengalami keterlambatan dalam mengelola data. Tujuan penelitian ini adalah membuat perancangan enterprise architecture sistem informasi pengadaan bahan baku, produksi dan penjualan menggunakan TOGAF dengan metode ADM (Architecture Development Method) yang terdiri dari fase Preliminary, fase Requirement Management, fase Architecture Vision, fase Business Architecture, fase Information System Architecture, fase Technology Architecture, fase Opportunities and Solution, fase Migration Planning, dan fase Implementation Governance. Perencanaan enterprise architecture ini menghasilkan blueprint arsitektur bisnis, arsitektur sistem informasi, arsitektur teknologi, analisis gap pada setiap arsitektur, serta roadmap implementasi sistem informasi pada CV. Garam Cemerlang.Â Kata kunciâ€” Enterprise Architecture, TOGAF, Architecture Development Method, Sistem Informasi