bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sinergy in Integrated Systems of Risk ManagemeSinergy in Integrated Systems of Risk Management and its Accounting in the Digital Economynt and its Accounting in the Digital Economy
Authors: Oparin S. G. 
Published: December 2020

The impact of risks on organizations' performance, the effectiveness of projects and business processes is constantly increasing, and the level of risk is often a determining factor in strategic decision-making. However, according to international statistics, only 16.2% of projects are recognized as successful — performed on time and within the budget, and 52.7% of projects are implemented with an excess of budget, on average by 89%. In order to improve the efficiency of integrated risk management systems, for the first time, an attempt has been made to take into account the synergy, resulting from the digital integration of many heterogeneous elements of the management system and the uncertainties of existing factors into a single socio-economic system based on the priority of the subjective, which are associated with concepts such as non-linearity, uncertainty and randomness. The mutual influence and adjustment the elements of a integrated management system to the purpose and conditions of operation means, that the system relies on a distributed quality and performance assessment, taking into account the uncertainties of existing risk factors. The real transport infrastructure investment project shows the benefits of a synergistic approach and the digital method of integrated bundles, its software implementation on the Microsoft Excel platform in ensuring risk management and achieving the reliability of estimates based on uncertainty and risk.
Management of Economics and State "Bottom"
Authors: Solozhentsev E. D. 
Published: December 2020

The scientific problem of economics “Managing the quality of human life” is formulated on the basis of artificial intelligence, algebra of logic and logical-probabilistic calculus. Managing the quality of human life is represented by managing the processes of his treatment, training and decision making. Events in these processes and the corresponding logical variables relate to the behavior of a person, other persons and infrastructure. The processes of the quality of human life are modeled, analyzed and managed with the participation of the person himself. Scenarios and structural, logical and probabilistic models of managing the quality of human life are given. Special software for quality management is described. The relationship of human quality of life and the digital economy is examined. We consider the role of public opinion in the management of the “bottom” based on the synthesis of many studies on the management of the economics and the state. The bottom management is also feedback from the top management.
Tip 2 Diyabetli Bireylerde Serum D Vitamini, Kalsiyum ve Magnezyum Düzeylerinin Beslenme Durumu ile İlişkisinin Belirlenmesi
Authors: Özpak Akkuş Özlem , Saka Mendane 
Published: December 2020

Amaç: Bu çalışmada, tip 2 diyabetli bireylerde serum D vitamini, kalsiyum ve magnezyum düzeyleri ile beslenme durumu arasındaki ilişkinin değerlendirilmesi amaçlanmıştır.
Bireyler ve Yöntem: Çalışma, Hakkari Devlet Hastanesi Dahiliye polikliniğinde takip edilen, 25-45 yaş arası, 51 tip 2 diyabetli ve 51 sağlıklı bireyle yürütülmüştür. Bireylerin demografik özellikleri araştırmacılar tarafından hazırlanan anket ile sorgulanmıştır. Diyetle magnezyum ve kalsiyum alım miktarları 24 saatlik besin tüketim sıklığı anketi ile elde edilmiştir. Bireylerin antropometrik ölçümleri (vücut ağırlığı, boy uzunluğu, bel çevresi) alınmış ve serum D vitamini, iyonize kalsiyum ve magnezyum düzeyleri analiz edilmiştir. D vitamininin esas kaynağı güneş ışınları olduğu için çalışma aynı mevsim içerisinde yapılmıştır.
Bulgular: Çalışmaya 48 erkek (28 tip 2 diyabetli) ve 54 kadın (23 tip 2 diyabetli) birey katılmıştır. Tip 2 diyabetli ve sağlıklı erkek bireylerin günlük kalsiyum alımlarının sırasıyla %10.7, %45.0’inin <1000 mg olduğu saptanmıştır (p<0.05). Tip 2 diyabetli (%84.3) ve sağlıklı bireylerin (%86.7) serum D vitamini düzeyinin çoğunlukla eksiklik düzeyinde olduğu (p>0.05); iyonize kalsiyum (sırasıyla %82.3, %84.3) (p>0.05) ve magnezyum (sırasıyla %82.3, %64.7) (p<0.05) düzeylerinin ise normal sınırlarda olduğu saptanmıştır. Tip 2 diyabetli bireylerin beden kütle indeksi (BKİ) değeri 25-29.9 kg/m2 arasında olanların ve tip 2 diyabetli kadınların bel çevresi ≥88 cm olanların serum D vitamini düzeyleri sağlıklı bireylerden daha düşüktür (sırasıyla p=0.002; p=0.009). Sağlıklı bireylerin magnezyum alımı ile vücut ağırlığı (r=0.353) ve BKİ değerleri (r=0.282) arasında pozitif anlamlı ilişki saptanmıştır.
Sonuç: Tip 2 diyabetli bireylerin serum D vitamini, kalsiyum ve magnezyum düzeylerinin düşük olduğu, yüksek BKİ ve bel çevresi değerlerinin hem tip 2 diyabetle hem de düşük serum D vitamini düzeyleri ile ilişkili olduğu gözlenmiştir.
Analysis of Obstetric Medical Determinant Factors toward Mothers with the Stunting Children
Authors: Syahril Erlin , Mappaware Nasrudin Andi , Akib Marliyanti , Mursyid Muhammad 
Published: December 2020

Introduction: Toddlerhood is a period that is very sensitive to the environment so more attention is needed especially the adequacy of nutrition. Nutrition problems, especially stunting in a toddler can inhibit the growth and development of the children. This study aimed to identify various obstetric medical characteristics and determine the obstetric medical determinant factors that most influence pregnant women with the incidence of stunting in Mamuju Regency, West Sulawesi.
Methods: This study was conducted from June until August 2019 in Mamuju Regency, West Sulawesi. The total samples in this study were 88 people who were taken from mothers who had stunting toddlers aged 2-5 years old in Mamuju Regency, West Sulawesi. A total sampling method was used. A cross-sectional with the retrospective approach with a regression test. Data instruments were used questionnaires, observation sheets, and checklists.
Results: The result of the stunting study was found from the toddler nutrient data from January until June 2020 in West Sulawesi by using total sampling. The researchers found a sufficient influence for the complication during childbirth factor, while the weak relation of the stunting based on the ages, parity, pregnancy spacing, poor obstetric history, comorbid disease, maternal surface, neonatal surface, hemoglobin levels, and the history of Sectio Caesarea (SC).
Conclusion: One of the obstetric medical factors that have a sufficient relationship for causing the stunting for children is the complication during childbirth, while other obstetric medical factors have a very weak relation to the stunting case.
Hubungan Tingkat Kepatuhan ANC dengan Kejadian Anemia, Makrosomia, dan Gemelli pada Kasus Pendarahan Postpartum
Authors: Nurdin Azizah , Ihsanul M Yusril , Andi Palancoi Najamuddin 
Published: December 2020

Latar Belakang :Antenatal care (ANC) merupakan pelayanan ibu hamil yang dilakukan selama kehamilan oleh tenaga kesehatan profesional. Keidakpatuhan ANC merupakan salah satu faktor risiko tidak langsung mengakibatkan terjadinya komplikasi kehamilan seperti anemia, makrosomia dan gemelli. Tujuan penelitian ini untuk mengetahui apakah ada hubungan antara tingkat kepatuhan ANC dengan kejadian anemia, makrosomia dan gemelli.
Metode : Penelitian ini menggunakan design penelitian yaitu analitik retrospektif dengan pendekatana Cross-sectional. Populasi penelitian ini adalah semua ibu hamil yang mengalami perdarahan postpartum di RSUD Syekh Yusuf Tahun 2018. Teknik pengambilan sampel menggunakan total sampling.
Hasil : penelitian menunjukkan bahwa terdapat hubungan antara tingkat kepatuhan ANC dengan kejadian anemia dengan nilai p-value sebesar 0,004. Sedangkan variabel lain didapatkan hasil tidak terdapat hubungan yang signifikan, yaitu hubungan tingkat kepatuhan ANC dengan kejadian makrosomia didapatkan nilai p-value sebesar 0,759, dan hubungan tingkat kepatuhan ANC dengan kejadian gemelli didapatkan nilai p-value sebesar 0,085.
Kesimpulan: Terdapat hubungan antara tingkat kepatuhan ANC dengan kejadian anemia.
Pengagihan Sumber Perubatan Terhad Dalam Menangni Pandemik Covid-19:Prinsip Keadilan dari Perspektif Bioetika dan Sharia'ah
Authors: Alias Fadhlina , Hussin Syaryanti 
Published: December 2020

At the end of 2019, the world was shaken by the discovery of a new coronavirus strain (SARS-CoV-2), which was identified to be the source of the outbreak that originated in China. The outbreak, which was subsequently named COVID-19, was declared as a pandemic by the World Health Organisation and has adversely affected and impacted upon many countries, not only from the aspects of medical and health care services, but also with respect to economic stability, financial management and social security. The treatment of COVID-19 patients is costly and involves limited resources, particularly in the case of critically ill patients who require mechanical ventilation. Thus, medical practitioners are faced with complex issues in justifying the distribution of health care resources to deserving patients. This article seeks to discuss the concept of justice in the distribution of health care resources from the bioethical and Islamic standpoints. The research employs the qualitative method of doctrinal analysis, which comprises primary and secondary sources relating to the principle of justice in contemporary medical ethics and from the sharīcah point of view. Findings of this study illustrate that there exist similarities between the two perspectives, which among others, include the agreed nexus between the allocation of scarce resources to patients and deliberations on the futility of medical treatment.
Abstrak
Pada penghujung tahun 2019, dunia digemparkan dengan penemuan strain coronavirus baru (SARS-CoV-2) yang dikenalpasti sebagai punca wabak absah yang bermula di China, yang kemudiannya dinamakan COVID-19. Wabak yang telah diisytiharkan sebagai pandemik oleh Pertubuhan Kesihatan Sedunia ini menjejaskan dan memberi impak yang signifikan terhadap kelangsungan sesebuah negara bukan sahaja dari aspek perkhidmatan perubatan dan penjagaan kesihatan, tetapi juga dari segi kestabilan ekonomi, pengurusan kewangan dan keselamatan sosial. Rawatan pesakit COVID-19 melibatkan kos yang tinggi dan sumber yang terhad, terutamanya pesakit-pesakit kritikal yang memerlukan alat bantuan pernafasan. Oleh itu, pengamal perubatan berhadapan dengan isu-isu yang kompleks tentang kewajaran pengagihan sumber yang terhad kepada pesakit yang berhak. Makalah ini bertujuan untuk mengupas konsep keadilan dalam pengagihan sumber perubatan dari sudut pandangan bioetika dan bagaimana Islam menangani isu tersebut. Kajian ini mengaplikasi metode kualitatif iaitu analisa doktrin yang merujuk kepada sumber-sumber utama dan sekunder berkaitan prinsip keadilan di dalam etika perubatan moden dan dari sudut pandangan sharīcah. Hasil kajian mendapati bahawa terdapat persamaan di antara kedua-dua perspektif tersebut, antaranya justifikasi pengagihan sumber perubatan yang terhad berkait rapat dengan pertimbangan tentang rawatan perubatan yang tidak membawa apa-apa manfaat (futile treatment).
Evaluation of Visual Examination of Stool as A Screening Test for Infant with Prolonged Neonatal Cholestasis Namely Biliary Atresia
Authors: Sarker Mst Mukta , Karim ASM Bazlul , Halder Soma 
Published: December 2020

Introduction: Neonatal cholestasis is a hepatobiliay disease characterized by biliary obstruction in the neonatal period. Biochemically it is evidenced by prolonged elevation of serum conjugated bilirubin beyond the first 14 days of life.1 Most common causes are biliary atresia and idiopathic neonatal hepatitis.3, 4
Objective: To evaluate stool color as a screening test by visual inspection in infants with prolonged neonatal cholestasis.
Methodology: This was a cross-sectional analytic study, conducted in Pediatric Gastroenterology and Nutrition Department,BSMMU, Dhaka, from 3 September 2012 to 3 February 2013 about 6 month duration. Statistically calculated 38 infants with prolonged neonatal direct hyperbilirubinaemia beyond their 14 days of age were included in this study.
Results: The mean age of the subjects was 62.3 days with a standard deviation (SD) ±13.7 days. Male to female ratio was 1.2:1. All (100%) the subjects were icteric and hepatomegaly was found in 94.7% subjects. Dark urine (84.2%), pale stool (78.5%), bleeding manifestations (31.8%) and infection (29%) were also observed. Thirty (78.5%) subjects had pale colored stool. Mean (± SD) albumin and conjugated bilirubin levels were 3.68 (±1.88)gm/dl and 5.29 (±1.31)mg/dl respectively. ALT and GGT level of the study subjects were 346.19±124.28 u/dl and 315±198.91 u/l respectively. Common ultrasonographic findings of the patients were non visualization of gallbladder 60.5%, non-visualization of common bileduct 50%, hepatomegaly 92.1%, and triangular cord sign in portahepatis 7.9%. Scintigraphy revealed impaired excretion into intestine 88.9% in majority of the subjects. Liver biopsy revealed liver architecture was preseved 65.8% bile duct proliferation 52.6%, regenarating nodule was absent 65.8% gaint cell was present 52.6% portal tract inflammation was found in 47.4%. Sensitivity of stool color in the diagnosis of neonatal cholestasis was found 90.6%, specificity 83.3%, accuracy 89.5%, positive predictive value 96.7% and negative predictive value 62.5%.
Conclusion: It can be concluded that stool color might be reliable indicator for screening of prolonged neonatal cholestasis namely biliary atresia.
J Bangladesh Coll Phys Surg 2021; 39(1): 46-52
Stereotactic Biopsy in The Diagnosis of Small Brain Lesion
Authors: Das Sukriti , Bhuiyan Md Sharif , Ghosh Dipankar , Rashid Md Mamunur 
Published: December 2020

Background: Stereotactic neurosurgery involves mapping the brain in a three-dimensional coordinate system. With the help of MRI and CT scans and 3D computer workstations, neurosurgeons are able to accurately target any area of the brain especially deep seated and brain stem.
Objectives: Stereotactic brain biopsy is a minimally invasive procedure that uses this technology to obtain samples of brain tissue for diagnostic purpose of multiple brain disorder where start to any medication was impossible or no response to any medical management for long term.
Materials and Methods: Twenty-five patients underwent stereotactic biopsy of brain lesions using“KOMAI” Stereotactic frame system and were enrolled.
Results: Of the 25 cases, positive tissue biopsy was found in 20 cases. In 5 patients, biopsy showed gliotic brain tissue or normal brain tissue. There was no post-operative new deficits or mortality seen.
Conclusion: Stereotaxy is minimally invasive procedure having no complication. So, before starting any medication blindly stereotactic tissue diagnosis can help a lot in many medical and surgical diseases.
J Bangladesh Coll Phys Surg 2021; 39(1): 24-35
Changing Clinical Pattern of Dengue Fever and Its Unusual Manifestations- 9 2019 Outbreak in Dhaka, Bangladesh
Authors: Islam Quazi Tarikul , Sagor Hironmoy Barman , Tuli Tasmina Chowdhury , Noor Farha Musharrat , Islam Md Momin 
Published: December 2020

Background: In 2019 Bangladesh faced largest outbreak of Dengue fever (DF) and clinicians observed some changing patterns in presentation and laboratory findings of DF. This study intends to find the changing patterns of dengue and its different manifestations including unusual one.
Material and Method: This study deals around 220 dengue patient visited to popular Medical College Hospital as inpatient of medicine department during the period 1st July 2019 to 31st December 2019. Chi-square statistics was used find the intra and inter association among the disease mainfestatons and multinominal logistic regression analysis was used to compare disease severity.
Results: Among 220 dengue serologically positive cases, the most common age group affected was 18-49 years (68.6%). Regarding the known common features like fever (91.8%), vomiting (50.2%), headache (48.2%), were frequent among the patients but myalgia (19.6%), rash (14.5%), retro orbital pain (14.1%) were not so common. Presence of unusual features like abdominal pain (49.3%), loose motion (55%) and cough/ breathlessness (41.4%) ascites (53.2%), pleural effusion (51.8%), hepatomegaly (32.3%), peri-gallbladder edema (35.5%) and splenomegaly (15.1%) were also common among dengue patients. Serum Lipase was also increased in (28.8%) cases suggesting pancreatitis.
Conclusion: Unusual Manifestations of dengue fever is common. As the spread of dengue is increasing with significant morbidity and mortality, it is extremely important for the clinicians to know about its unusual manifestations.
J Bangladesh Coll Phys Surg 2021; 39(1): 9-18
Hyperpigmentation with Vitamin B12 Deficiency in an Adolescent Girl
Authors: Hasan Syeda Humaida , Samad Rasheda , Das Jagadish C , Ara Ferdous , Faisal Mohammad Abu 
Published: December 2020

Hyperpigmentation as primary symptom is rare in vitamin B12 deficiency. This adolescent non vegetarian girl presented with hyperpigmentation, anaemia, glossitis and weight loss. She was worked up to find out the cause of anemia and hyperpigmentation. Addison disease was a strong provisional diagnosis. Her cortisol level was normal and megaloblastic anemia due to vitamin B12 deficiency was found. All of her symptoms were dramatically improved by injectable cobalamin. As vitamin B12 deficiency is a treatable condition so it should be ruled out in patient presenting with hyperpigmentation. Early replacement therapy also prevents multisystem involvement like bone marrow failure and demyelinating neurological disease.
J Bangladesh Coll Phys Surg 2021; 39(1): 62-67
Selección e identificación de una nueva bacteria productora de pectinasa a partir de fuentes geotermales
Authors: Salazar Israel , Ramírez Heber , Zúñiga Ariadna , Yllanes Mirella , Naquiche Ana , Castillo Daladier , Castellanos Roberto 
Published: December 2020

Los microorganismos son una fuente potencial de enzimas. Las bacterias termófilas producen enzimas termoestables, como las pectinasas, que permiten obtener una serie de productos que hidrolizan pectinas, heteropolisacáridos, componentes principales de la capa media de la pared celular de la piel de los cítricos (naranjas, limones y mandarinas), manzanas, melocotones y otros vegetales. El cultivo bacteriano productor de pectinasas se seleccionó de bacterias aisladas de géiseres de aguas termales. Las muestras se sembraron en medio líquido y sólido, se incubaron a 60 °C durante 24 a 48 horas respectivamente, observándose halos de hidrólisis como indicativos de producción de pectinasa. Las bacterias que formaron los halos se sembraron en medio de producción de pectinasas, evaluando su actividad enzimática y producción de proteínas. Se aislaron veinte cultivos bacterianos gram positivos, de los cuales 12 fueron productores de pectinasas, siendo el cultivo LBE-P4 el de mayor actividad enzimática con 0.154 U/ml y 0.069 mg/ml de proteínas totales, que fue identificado molecularmente como Geobacillus kaustophilus LBE-P4.
Korelasi Self Efficacy Dengan Hasil Pembelajaran Biologi di SMA 1 Rambatan Kabupaten Tanah Datar Sumatera Barat
Authors: Marneli Diyyan , Dirma Hanif , Delfita Rina 
Published: December 2020

Penelitian ini didasari karena banyak siswa yang memiliki self efficacy yang rendah dalam pembelajaran biologi dikarenakan siswa masih kurang peduli terhadap tujuan dalam mengikuti pembelajaran biologi. Penelitian ini bertujuan untuk mengetahui korelasi antara self efficacy dengan hasil pembelajaran biologi pada kelas XI SMA 1 Rambatan. Metode yang digunakan ialah metode deskriptif kuantitatif dengan pendekatan korelasional. Subjek pada penelitian ini adalah siswa kelas XI. Pengumpulan data dilakukan dengan mengunakan instrument angket dan nilai hasil belajar siswa. Teknik analisis data yang digunakan pada penelitian ini adalah uji korelasi product moment dan uji signikafikansi dengan uji t. Hasil penelitian menunjukkan terdapat hubungan positif yang signifikan antara self efficay dengan hasil pembelajaran biologi, pada kriteria sedang. Namun demikian hasil penelitian ini menunjukkan self efficacy siswa bukanlah satu-satunya faktor untuk meningkatkan hasil pembelajaran biologi siswa, tetapi masih banyak lagi faktor yang mampu mempengaruhinya.
Foraging Behaviour of Three Sympatric Babblers (Family: Timaliidae)
Authors: JULIANA JONATHON , GAWIN DENCY FLENNY 
Published: December 2020

We investigated the foraging ecology of three species of babblers in Kampung Gumbang, Kampung Padang Pan and Dered Krian National Park, Bau. Vegetation in Kampung Gumbang include tall trees, shrubs and patches of kerangas. Dered Kerian National Park consists of mixed dipterocarp forest and limestone forest, which is surrounded by orchards and few villages. In Kampung Padang Pan, the vegetation is a mixed fruit orchard and secondary forest. Foraging data were obtained to compare foraging behaviour in three species. From 133 observations, suspended dead leaves was the most frequently used substrate by the three species. Stachyris maculate showed the most general foraging behavior, and it adopted probing strategy. Cyanoderma erythropterum and Mixnornis gularis obtained food items by gleaning. These three babblers utilize different foraging strategies and substrates, irrespective of their resemblances in other characteristics. C. erythropterum and S. maculate forage mainly among dead and curled, twisted leaves in understory vegetation at significantly different heights. M. gularis forages on dead and living leaves and this species can be found abundantly in disturbed forest and plantation or farm habitats. All the three areas were observed never lacked falling leaves and structural complexity required as foraging substrates by those three babbler species. All three babblers occupy different foraging niches, and therefore interspecific competitions among themselves are minimized.
THE IMPLEMENTATION OF BALANCED SCORECARD (BSC) IN MEASURING PERFORMANCE IN MALAYSIA HIGHER EDUCATION INSTITUTIONS
Authors: MOHAMAD YUSOF MOHAMAD SUWARDI 
Published: December 2020

Higher Education Institutions (HEIs) under the Ministry of Education Malaysia (MOE) are considered as the catalysts for excellence in the national education sector. The education sector has always enjoyed the highest national development budget and this has proven that the government's commitment to the education is paramount. Growth rates for researching output and quality are among the highest in the world, and higher education institutions in Malaysia has achieved a strong ranking among their Asian counterparts. Malaysia must make adjustments, including transforming higher education systems to thrive in an increasingly challenging global economic environment. Therefore, a form of performance assessment mechanism needs to be developed to evaluate on the performance and quality of services delivered in line with the goals set. The Balanced Scorecard (BSC) is one of the most widely used assessment instruments in assessing the performance on the institution. Therefore, the purpose of this study is to highlight the importance of BSC in the measuring performance in the Malaysia HEIs. Many previous studies have been conducted to evaluate the effectiveness of BSC especially in corporate companies and the results of these studies show that BSC has a positive and beneficial impact on the organization. However, there are still fewer studies which involve the Malaysia HEIs in conducting BSC-based performance evaluations. In addition, a strategic map will be developed to guide the implementation of BSC in Malaysia HEIs. When implemented, it is hoped that the BSC can be used by management to assist in the implementation of long-term strategies as a tool in monitoring and evaluating the performance of Malaysia HEIs in addition to preparing for future educational challenges