bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Solution for Medical Information Management
Authors: Ciora Radu Adrian , Gîfu Daniela , Cioca Adriana-Lavinia 
Published: November 2021

Abstract
Nowadays, the amount of data that is being generated by medical devices has exponentially increased. The aim of this paper is to develop an integrated health data management tool, that aggregates data from various sources, which are in various formats. With the aid of artificial intelligence (AI), this data will be processed and will help healthcare professionals be aware of the improvements that could make the healthcare system be more preventive, predictive and personalized. This paper introduces an integrated medical information management system – that intends to manage medical activities in hospitals, clinics and laboratories and describes its development and future directions of improvement. Furthermore, it presents a smart analysis tool that can generate both statistical data, but also infer additional information from the medical records based on natural language processing (NLP), image processing and machine learning. The novelty of the system is that it gives an overview of the patients’ medical record, statistical analysis, examinations results and interpretations. Furthermore, the system is trying to predict the evolution of a disease, based on previous medical records.
Evolutionary and Prognostic Particularities in Patients with COPD, Chronic Cor Pulmonale and COVID-19
Authors: Popa Nicoleta-Alina , Sipos Adina-Marieta , Popescu Mircea Ioachim 
Published: November 2021

Abstract
Chronic obstructive pulmonary disease (COPD) is a chronic disease of the respiratory airways due to the partially reversible obstruction of the airflow caused by an abnormal inflammatory response to toxic substances, most often to cigarette smoke.(1) COVID-19 is a mild to severe respiratory disease caused by a coronavirus from the genus Betacoronavirus.(2) Patients with COPD have a major risk of COVID-19 infection. Treating patients with COPD, chronic cor pulmonale and COVID-19 is a current challenge.
PEMULIAAN DEWI SRI DALAM AKTIVITAS DOMESTIKASI PADI DI BALI
Authors: Sugita I Wayan , Suteja I Wayan , Rema I Nyoman 
Published: November 2021

The Balinese agricultural culture has existed since prehistoric times, with the advent of agriculture, especially rice domestication, as an important cultivation to date, gave rise to the myth of Dewi Sri. This study aims to studying the breeding of Dewi Sri in rice domestication activities in Bali, whose data sources were collected through field observations by observing archaeological remains in the form of worship media, lontar manuscripts and inscriptions. Besides being complemented by literature studies of various relevant journals, book and reports. This research has succeeded in revealing that the breeding of Dewi Sri in Bali is very unique, it can be seen from her mention of her local name, the worship media and its symbols are also influenced by Balinese local wisdom. Breeding is also carried out with prayers and ceremonies that are balanced with maintaining and caring for rice and rice field in order to achieve maximum results. Budaya agraris masyarakat Bali telah ada sejak masa prasejarah, dengan munculnya pertanian domestikasi padi sebagai budidaya penting hingga saat ini, memunculkan mitos Dewi Sri. Penelitian ini bertujuan untuk mengkaji pemuliaan Dewi Sri dalam aktivitas domestikasi padi di Bali, yang sumber datanya dikumpulkan melalui observasi di lapangan dengan mengamati tinggalan arkeologi berupa media pemujaan, manuskrip lontar dan prasasti. Selain itu dilengkapi dengan studi pustaka terhadap berbagai jurnal, buku dan laporan yang relevan. Penelitian ini berhasil mengungkap bahwa pemuliaan Dewi Sri di Bali sangat unik dapat dilihat dari penyebutan Dewi Sri dengan nama lokal, media pemujaan dan simbol-simbolnya juga dipengaruhi oleh kearifan lokal Bali. Pemuliaan juga dilakukan dengan doa dan upacara, diseimbangkan dengan memelihara dan merawat padi dan lahan persawahan, agar dapat mencapai hasil yang maksimal.
Unfreezing without Refreezing Change Management: Dilemmatic Roles of Agents in Succeeding the Bureaucracy Reform
Authors: Prasojo Eko , Putri Miranda , Hariyati Desy 
Published: November 2021

The implementation of bureaucracy reform in many countries continues to experience various problems, in relation to the system, regulations and actors. The success of such reform shows the important role of the actors involved in promoting change agendas. Studies on bureaucracy reform have covered many aspects of the system, stages and factors that influence its success or failure. This study specifically analyses the aspect of the related actors, namely the role of change agents in the implementation of change management, who support the implementation of bureaucracy reform. Departing from theory regarding the role of agent of change and the stages of change management during the process of bureaucracy reform, the data collection was conducted through in-depth interviews with a number of stakeholders of National Development Planning Agency, Indonesia. The qualitative data is processed using the Discourse Network Analyzer. The results show that there are three roles conducted by the agent of change in pushing reform agendas, namely as catalysts, solution givers and as process helper. To improve the performance of their roles, there are at least two attributes that they must have, i.e., skills and behavioral attributes, which both play a significant role in supporting the success of bureaucracy reform.
Use of Over-the-Counter Products in Lebanese Adults with Cardiovascular Disease
Authors: Sheikh-Taha Marwan , El-Halabi Celia , El-Harake Katia 
Published: November 2021

Background: While selling over-the-counter (OTC) products in pharmacies is convenient to individuals and can be beneficial, it might potentially cause harm. We hereby describe the patterns of OTC product consumption amongst adults with cardiovascular disease (CVD) in Lebanon and the potential interactions with prescription medications and patient diseases.
Methods: This was a cross-sectional study in the setting of nine community pharmacies across different governorates of Lebanon. Data of interest were collected from adult patients with CVD history through face-to-face interviews using a short questionnaire.
Results: Out of 201 adult patients included in the study, 190 (94.5%) were using at least one OTC product, with a mean of 3.2 ± 2.4 per patient (range of 1 to 12 products). The proportion of patients taking analgesics was the greatest (81.1%), followed by those taking vitamins (48.8%), minerals (29.9%), and herbal products (13.9%). Several potentially harmful OTC product- drug or -disease interactions were identified. Only 65.3% of OTC users reported obtaining information about the used products from healthcare professionals (HCPs), and 35.3% did not disclose the use of the products to their HCPs.
Conclusion: The use of OTC products was highly prevalent among patients with CVD with potential interactions with prescription medications and patient diseases. In order to ensure optimal patient outcomes, clinicians are strongly encouraged to inquire about OTC product use and counsel patients about the risks and benefits associated with such products.
MODEL CNN LENET DALAM PENGENALAN JENIS GOLONGAN KENDARAAN PADA JALAN TOL
Authors: Pramana Anggay Luri , Setyati Endang , Kristian Yosi 
Published: November 2021

Research in the field of transportation, especially vehicle classification with various methods, is a widely developed field of study. Vehicles can be categorized by shape, dimension, logo, and type. The vehicle dataset is also not difficult to find because it is general in nature. Based on the research that has been done, the introduction of group types based on the number of axles with CNN, the dataset is not yet available to the public. In this paper, we discuss the introduction of the types of groups using the Convolutional Neural Network method. The architecture used is the LeNet model. The trial scenario is carried out in 4 stages, namely 25 epochs, 50 epochs, 75 epochs and 100 epochs. Based on the test results, the accuracy obtained continues to increase at 50 epochs and 100 epochs iterations. Starting from an accuracy of 82%, 94% to the highest accuracy of 95%. Likewise in the prediction the data has increased from 80%, 85% to the highest accuracy that can be 86%. From 50 epochs to 75 epochs, the accuracy of both training and testing has decreased.
PERBANDINGAN ESTIMASI ANGGARAN BIAYA ANTARA METODE BOW, SNI DAN PERHITUNGAN KONTRAKTOR
Authors: Piluto Bambang 
Published: November 2021

In determining the price of a job, it need the basic tool of unit price analysis, namely the construction costs analysis. In calculating the construction costs analysis there are several methods have been generally used such as analysis of BOW, SNI and also companies that make their own calculation analysis. A comparative study is needed from the three methods so that it can be seen which is more effective and efficient as a basis for all parties in determining the strategy in terms of cost budget estimates. The study was conducted by preparing a project cost budget plan based on the volume of works on the bill of quantity (BoQ). The unit price analysis is calculated based on BOW analysis, SNI analysis and Contractor version analysis. From the estimation results, a price based on BOW analysis is IDR 2,682,315,013,-, based on SNI analysis is IDR 1,958,002,381, - and based on analysis of contractor calculations is IDR 1,781,956,483. Differences in price between BOW and SNI is IDR 724,312,632. Differences in price between BOW and contractors calculation is IDR 900,358,529. Differences price between SNI and contractors calculation is IDR 176,045,897.
KUALITAS SENSORIS DAGING ITIK AFKIR DENGAN LAMA PEMBERIAN TEPUNG DAUN ASAM GELUGUR (GARCINIA ANTROVIRIDIS) YANG BERBEDA DALAM RANSUM KOMERSIL
Authors: Hardiyanto Rico , Dewi Wahyuni  , ELis Dihansih  
Published: November 2021

Itik merupakan salah satu potensi peternakan yang dapat diambil telurnya maupun dagingnya. Itik memiliki keunggulan dibandingkan dengan jenis ternak lainnya karena itik memilki daya tahan terhadap penyakit yang cukup baik dan pemeliharaannya yang mudah. Kandungan di dalam daun asam gelugur berupa Hydroxycitrit Acid (HCA) yang merupakan asam organik utama yang berhasiat sebagai antilipidemik dan antiobesitas. Penelitian ini bertujuan untuk menguji pengaruh lama pemberian tepung daun asam gelugur (Garcinia Antroviridis) dalam ransum komersil terhadap kualitas sensoris daging itik afkir. Penelitian ini dilaksanakan di kandang unggas Universitas Djuanda Bogor pada tanggal 30 Juni – 4 Agustus 2019. Ternak yang digunakan dalam penelitian ini 16 ekor itik Tegal afkir. Penelitian ini menggunakan rancangan acak lengkap (RAL) yang terdiri dari 4 perlakuan dan 4 ulangan, setiap perlakuan terdiri dari 4 ekor itik. Perlakuan pada penelitian ini adalah R0= 0% (kontrol), R1= pemberian 6% selama 1 minggu, R2= pemberian 6% selama 3 minggu, R3= pemberian 6% selama 5 minggu. Data yang diperoleh dari analisis menggunakan uji Kruskal Wallis bila data menunjukkan hasil berbeda nyata (P<0,05) atau sangat nyata (P<0,01) dilanjutkan dengan Uji Duncan. Peubah yang diamati dalam penelitian ini adalah uji hedonik , dan uji mutu hedonik. Hasil penelitian menunjukkan lama pemberian tepung daun asam gelugur dalam ransum komersil berpengaruh nyata (P<0,05) terhadap uji hedonik rasa dan tidak berpengaruh nyata (P>0,05) terhadap aroma, keempukan, warna, dan juiceness daging. Sedangkan penilaian panelis terhadap uji mutu hedonik berbeda nyata (P<0,05) terhadap aroma dan warna dan tidak berbeda nyata (P>0,05) terhadap keempukkan, rasa, dan juiceness daging itik afkir. Kesimpulan pemberian tepung daun asam gelugur selama 1 minggu sudah dapat memperbaiki warna daging itik afkir sedangkan lama pemberian 3 minggu mampu mengurangi aroma amis.
Influence of Gender on Total Serum Creatine Kinase and Creatine Kinase-Mb Levels of Nigerian Hypertensives
Authors: Efobi Henry Afamuefuna , Bassey Iya Eze 
Published: November 2021

Introduction: Hypertension is a long-term medical condition which when not detected and managed properly and on time often results to complications leading to disabilities and mortality. Gender has been known to affect the interpretation of some variables necessitating the need for gender-specific ranges.
Objectives:This study evaluated total creatine kinase (CK) and creatine kinase-MB (CK-MB) isoenzyme activities of hypertensive subjects in Calabar, Nigeria and to assess if gender has influence on the activities of these enzymes.
Methodology:One hundred and two participants were consecutively enrolled in this case control study. Serum total serum CK and CK-MB activity were evaluated in fifty one hypertensive and 51 normotensive subjects. The total CK levels were assessed using a spectrophotometric method while immunoinhibition method was used to determine the activity of CK-MB. Data was analyzed using Student’s t-test and Pearson’s correlation. Statistical significance was set at p<0.05.
Results:The total creatine kinase activities of the hypertensives did not differ significantly from those of the normotensive controls (p = 0.428) while the serum CK-MB activities of the hypertensive subjects were significantly higher than those of the normotensive controls (p=0.000). The body mass index of the hypertensives was significantly higher than those of the normotensive subjects (p=0.030). Gender had no effect on the blood pressure, body mass index and levels of CK and CK-MB (p>0.05). There was also no significant correlation (p>0.05) between blood pressure, body mass index and the levels of CK and CK-MB.
Conclusion:CK-MB activities were significantly higher in hypertensive subjects compared to normotensive controls. There were no gender specific differences in the CK-MB levels of male and female hypertensives. This cardiac marker should be included in the routine assessment of hypertensives and gender-specific considerations may not be necessary in the interpretation of the data.
Sexual Dimorphism in Maxillary First Molar among Nepalese Population of Eastern Nepal
Authors: Sah Sanjib Kumar , Pokhrel Suman , Mehata Umesh Kumar , Chaudhary Raju Kumar , Shah Rajesh Kumar 
Published: November 2021

Introduction: Sexual dimorphism refers to differences in size, stature and appearance between male and female. It is a known fact that tooth crown is formed to full size in childhood even before eruption into oral cavity. The shape and size of the teeth permits an interesting dimension of study for sexual dimorphism, we aimed to delineate the sexual dimorphism by measuring the mesiodistal (MD) and buccolingual (BL) diameters of permanent maxillary first molar in Nepalese population of Eastern Nepal.
Objectives: The aim of this study was to evaluate the sexual dimorphism in maxillary first molar among Nepalese population of eastern Nepal
Methodology: 100 participants of either sex (50 males & 50 females) aged between 17 to 25 years were enrolled in the study. After thorough dental examination, impression of the maxillary arch was made and MD diameter and BL diameters were measured with the help of vernier caliper. A P value of <0.05 was considered as statistically significant.
Results: Sexual dimorphism was found in MD and BL diameters of maxillary first molar in males measuring higher than females. Right mesiodistal showed the highest sexual dimorphism, whereas right buccolingual showed the least.
Conclusions: This study confirms that permanent maxillary first molar shows significant sexual dimorphism, out of which mesiodistal measurement stands out to be the best parameter in Nepalese population of Eastern region.
Fetal Outcome of Term Pregnancy with Non-Reactive Non-Stress Test at Birat Medical College Teaching Hospital
Authors: Deo Amit , Mahato Raj Deb , Subedi Ram Bhakta , Pradhan Tarun 
Published: November 2021

Introduction: Non-stress test (NST) in pregnancy helps to detect fetuses which are at risk of developing hypoxia. In general, reassuring NST indicates good fetal outcome while non-reassuring NST may result in abnormal perinatal outcome.
Objectives: The objective of this study is to detect the fetal outcome among term uncomplicated pregnancies with Non-reactive NST in Birat Medical College Teaching Hospital.
Methodology: A cross-sectional study conducted for 6 months in the department of Obstetrics and Gynaecology at Birat Medical College Teaching Hospital. Singleton pregnancies with longitudinal lie and cephalic presentation between 37 to 42 weeks Period of gestation were included in the study. All participants were advised for a NST as an institutional protocol for 20 minutes at the time of admission. Participants with Non-reactive NST were counselled and planned for emergency LSCS as per hospital protocol. Participants were followed up for intraoperative findings such as colour of liquor and umbilical cord abnormality and outcome of fetus were assessed for APGAR score and need for NICU. The collected data was entered in Microsoft Excel and analyzed by using SPSS version 22.
Results: Out of 115 pregnant women, the mean age and standard deviation of 24.93±4.68 years. Decelerations was found in 35(30.4%), Decreased baseline variability was found in 33(28.7%), Persistent fetal tachycardia was found in 23(20%) and Decreased baseline fetal heart was found in 24(20.9%). Intraoperative meconium-stained liquor was found in 39(33.9%) of patients. All babies born were shown APGAR score > 7 at 5 minutes. 14(12.2%) babies were admitted to the Neonatal intensive care unit (NICU). Correlation of admission NST was not found statistically significant with fetal outcome.
Conclusion: LSCS for abnormal NST does not show adverse fetal outcome.
Lymphocyte-Neutrophil Ratio in the Diagnosis of Tubercular Pleural Effusion in a Tertiary Care Centre: A Descriptive Cross Sectional Study
Authors: Jha Rajneesh , Mehata Ram Kumar , Koirala Puru 
Published: November 2021

Introduction: Tuberculosis is a common infection in our community. Tubercular pleural effusion is the second most common form of extrapulmonary tuberculosis. Among the several causes of exudative pleural effusison tubercular remains the most common form in clinical practice. The aim of this study was to evaluate the significance of lymphocyte-neutrophil ratio(LN ratio) in cases of exudative effusion for diagnosis of tubercular effusion.
Methods: This was a hospital based cross sectional studydone in Patients at tertiary care hospital from 1st September 2020 to 1st april 2021after taking ethical clearance from institutional reviw committee. Convienience samplingwas done. Statistical Analysis of data like percentages and frequencies were used for categorical variables. Mean and SD (standard deviation) were used for describing continuous variables. Inferential statistical tools like Chi-Square test and Student’s t-test were used. P-value of <0.05 was considered statistically significant.
Results: out of 200 cases 75% were tubercular pleural effusion and these cases were found have high levels of LN ratio (0.89 ± 0.11 for females and 0.97 ± 0.14 for males) and ADA (137.79 ± 44.61for females and 147.61 ± 51.64 for males) and more than 90% sensitivity and specificity of LN ratio and ADA level.
Conclusion: Exudative pleural fluid L/N ratio >0.75 is an efficient means of diagnosing tuberculous pleural effusion and its combination with ADA level gives us more accuracy and surety about the diagnosis of tubercular pleural effusion.
Pengambilan Keputusan Pegawai Tidak tetap menjadi Pegawai Tetap Dengan Decission Tree
Authors: Febryantahanuji Febryantahanuji 
Published: November 2021

Employee recruitment is something sensitive in a company. Therefore, the company which hiring an employee have to notice the factor which affect eligibility that employee to be used as a permanent employee. So, to ignore an error, a company should have a system to help them to minimalize recruitment from outsourcing employee to be a permanent employee in a company. The application decission tree C4.5 method in a employee recruitment selection can help a company for determining an employee which is eligibility with predicted as well as portend data with make tree structure which have code from result of that attribute test, using algoritma C4.5 it can get a main indicator in a employee recruitment.
Profile of HbA1c, Cholesterol and Triglyceride in Type 2 Diabetes Mellitus
Authors: Gunardi Gunardi 
Published: November 2021

Diabetes mellitus type 2 (DM Type-2) is a metabolic disease which characterized by hyperglycemia due to failure of insulin secretion, insulin action or both. If DM is not handled properly, then it will arise complications in various organs of the body. The criterias of DM control including HbA1c levels and lipid fractions. Lipid pattern in patients with DM type 2 is very dependent on HbA1c control. High HbA1c is associated with high triglycerides and cholesterol. Research objective to find out the description of Hba1c, cholesterol and triglyceride levels in patients of DM type 2 at the Outpatient Poly of RSUD Tidar Magelang. Research method the research type was descriptive with observational design. Primary data were obtained from levels measurements of HbA1c, cholesterol and triglycerides.. The normal HbA1c levels 4-5,80%, good control 6,1-6,5%, moderate 6,6-7,8%, bad 8,8-14,1% respectively as much as 65,96%, 12,77%, 10,64%, and 10,90%. The normal cholesterol levels 100-160 mg/dL, moderate 200-220 mg/dL, and high 250-300 mg/dL, respectively 74,47%, 10,64%, and 14,89%. The normal triglyceride levels 70-140 mg/dL, high limit 150-165 mg/dL, and high 200-252 mg/dL respectively as much as 63,83%, 19,15% and 17,02%. Based on the age of normal HbA1c levels as much as 65,96%, normal cholesterol 74,47%, and triglycerides 63,83%. The levels of HbA1c, cholesterol, and triglycerides were mostly normal in age groups of elderly, and male. The high levels of HbA1c, cholesterol, and triglycerides were more common in elderly than in other age groups.
Description Of Plumbum (Pb) Levels In Urine On Metal Smelting Workers In Small Industry Village (PIK)
Authors: Sari Luthfi Puspita 
Published: November 2021

Many lead used in a variety of industrial activity, one of them metal fusion. Lead distill most through inhalation, that comes from particle or vehicle fumes. Lead distill on worker metal fusion at Perkampungan Indutry Kecil (PIK) happened because the worker still incomplete in use self protection. High lead degree in blood, by will heart in detoxification by the kidneys as excretion organ in form of urine. Kidneys can excretion lead through urine the most is approximately 75-80%. The objective research know the level of lead (Pb) in the urine on workers metal fusion at PIK Kebasen Tegal regency. Research Methods an observational study. Nonprobability sampling technique using purposive sampling total 27 sample. The research data served in descriptive the shape of chart to describe level plumbum in urine metal fusion working. The study was conducted on January 29-30, 2020 at PIK Kebasen Tegal regency. Lead levels from 27 samples no metal fusion workers who have plumbum levels exceeding the threshold value of 0.01 mg/L.According to research conducted obtained the lead levels in urine on metal fusion workers above the threshold value is 0.01 mg/L