bluuebunny/crossref_metadata_2025_split huggingface dataset:
Urinary Incontinence During Pregnancy And Determination Of The Factors Affecting It
Authors: ÇITAK Gizem , DEMİRTÜRK Funda 
Published: August 2021

Introduction: This study was conducted to determine the prevalence of urinary incontinence in pregnancy and the factors affecting it.
Materials and Methods: A total of 300 pregnant women were included. Subjects were examined in terms of physical and sociodemographic characteristics as well as chronic illness status, prenatal and gestational drug use, pelvic trauma and surgical history, chronic cough and smoking, presence of constipation, contraceptive use, obstetric history and urinary incontinence before and during pregnancy. The Sandvik index was used to determine the severity of incontinence in cases having incontinence and the King’s Health Questionnaire was used to assess the quality of life of the incontinent.
Results: It was determined that 173 women (%57.7) had urinary incontinence during their pregnancy; and found that having urinary incontinence prior to pregnancy, use of anti-hypertensive in pregnancy, trimester, disuri and fullness sensation of bladder before and during pregnancy and difficulty in urination during pregnancy were the factors affecting incontinence in pregnancy (p0.05).
Conclusion: Urinary incontinence in pregnancy is affected by neither advanced physical stresses in the current pregnancy nor by the previous obstetric history; but non-mechanical factors such as the maternal genetic structure and/or hormonal and physiological changes are thought to play role in urinary incontinence development.
*Presented As The Oral Paper İn The 4th International 5th National Midwifery Congress, master’s thesis
Effect of intraperitoneal and systemic sirolimus administration on postoperative peritoneal adhesions in rats
Authors: İNAL Abdullah , SAYDAM Mehmet 
Published: August 2021

Purpose: Consequences and complications due to postsurgical adhesions remain to be substantially high. Perilous complications such as inadvertent enterotomy during reopening of abdomen or bowel obstruction may cause not only morbidity but also mortality. Immunosuppressive drugs seem to have a positive effect on postoperative adhesion prevention. Sirolimus is a carbocyclic, lactone-lactam macrolide antibiotic with immunosuppressive, antitumoral, and antifungal properties. Currently sirolimus has clinical usage in posttransplantation immunosuppression and in coronary and peripheral artery vascular stents on routine basis with a relatively low adverse effect profile. We aimed to define and compare systemic and intraperitoneal effect of sirolimus on postoperative peritoneal adhesions.
Methods: Three groups of rats for intraperitoneal sirolimus, systemic sirolimus, and control group have been constituted. A peritoneal adhesion model created on each rat. On postoperative 7. day all rats were surgically explored and evaluated with a macroscopic adhesion scoring system.
Results: After macroscopic evaluation scores assessed, there were statistically significant difference between three groups (intraperitoneal sirolimus, oral-systemic sirolimus and control). There was statistically significant difference between intraperitoneal sirolimus and control groups.
Conclusion: This study showed that in a rat model intraperitoneal sirolimus administration has significant effect on postoperative adhesion prevention.
SUMBANGSIH PERANGKAT LUNAK DALAM MANAJEMEN PROYEK PERANGKAT LUNAK
Authors: Amrozi Yusuf , Ahdi Moh Wafiyul , Aziz Kamal Abdul 
Published: August 2021

Pengerjaan suatu proyek bisa dikatakan berhasil apabila pelaksanaan dan pengendalian yang sangat bagus agar terhindar dari kegagalan suatu proyek. Dengan adanya perkembangan perangkat lunak pada bidang manajemen proyek, kini para manajer proyek dapat memanfaatkan hal tersebut untuk menyelesaikan suatu proyek dengan lancar. Manfaat yang dapat dirasakan dalam penggunaan perangkat lunak untuk membantu pengerjaan proyek adalah meningkatnya kualitas perencanaan, pelaksanaan dan pengendalian suatu proyek. Tujuan dari jurnal ini adalah untuk menggali lebih dalam mengenai sebesar apa sumbangsih dari perangkat lunak terhadap pelaksanaan manajemen proyek. Kesimpulan yang bisa didapat adalah bahwa perangkat lunak memiliki kemudahan dalam akses dan manfaat dalam pelaksanaan manajemen proyek sehingga pelaksanaan proyek menjadi lancar tanpa adanya kegagalan.
Status of Land Tenure Security in Nepal
Authors: Nepal Harisharan , Marasini Anil 
Published: August 2021

Land is a fundamental natural resource for living, an economic asset for production, legal entity with multiple rights over it and above all, a societal factor for self-actualization. So, ownership of land has multi-faceted understanding around the world. For the developing country like Nepal having diverse societal arrangements, land tenure system plays important role in economic, social and political structure. As Nepal is in the process of implementing federalization, assessment of land tenure security shall be one of the instruments for developing new land related policies and assessing the effect of new policies afterward. The objective of this paper is to perform SWOT analysis on the status of land tenure security in Nepal by reviewing the history of the tenure system and current tenure system, studying country reports and research papers and analyzing policies and institutions. The study shows that despite some initiatives by government, NGOs, bilateral agencies and media to improve land tenure security, land tenure insecurity prevails in all areas of the country even in registered lands. It is found that stable rganization, registration of most of the built-up and cultivated land, advocacy to protect the right of landless has strengthened the land tenure security. However, the tenure rights of socially and economically disadvantaged people and displaced people from disasters have not been properly addressed and those people are at high risk of eviction from the place they are living. The study recommends that land tenure insecurity arising from political, legislative and organizational behavior should be managed by appropriate interventions and policy reforms. As most of the analyses of land tenure security in Nepal have been performed in a descriptive way, this study explicitly investigates the issue through SWOT analysis.
Spatial Distribution and Temporal Change of Extreme Precipitation Events on the Koshi Basin of Nepal
Authors: Shrestha Sanjeevan , Baidar Tina 
Published: August 2021

Climate change, particularly at South Asia region is having a huge impact on precipitation patterns, its intensity and extremeness. Mountainous area is much sensitive to these extreme events, hence having adverse effect on environment as well as people in term of fluctuation in water supply as well as frequent extreme weather events such as flood, landslide etc. So, prediction of extreme precipitation is imperative for proper management. The objective of this study was to assess the spatial distribution and temporal change of extreme precipitation events on Koshi basin of Nepal during 1980-2010. Five indicators (R1day, R5 day, R > 25.4 mm, SDII and CDD) were chosen for 41 meteorological stations to test the extreme events. Inverse distance weighting and kriging interpolation technique was used to interpolate the spatial patterns. Result showed that most extreme precipitation events increased up to mountain regions from low river valley; and then it decreased subsequently up to Himalayan regions (south to north direction). However, there is high value of indices for lowland Terai valley also. Most of the indices have hotspot with higher value at north western and southern part of the study area. For temporal change, most of the extreme precipitation indices showed increasing trend within 30 years’ period. The spatial distribution of temporal change in indices suggests that there is increasing trend in lowland area and decreasing trend in mountainous and Himalayan area. So, adaptive measure should be adopted through proper land use planning, especially at those hotspot areas and their tributaries; to reduce adverse effect of extreme precipitation events.
SISTEM ANALISA DAN PENENTU KELAYAKAN KENDARAAN BERMOTOR PADA KANTOR DINAS PERHUBUNGAN KABUPATEN HULU SUNGAI UTARA
Authors: Wahyudi Johan 
Published: August 2021

Abstrak – Data untuk menganalisa dan menentukan kelayakan sebuah kendaraan bermotor saat ini masih mengandalkan kemampuan visual dari petugas yang memeriksa kelayakan kendaraan bermotor. Dalam hal ini bisa terjadi kesalahan kecil yang kadang tidak terdeteksi dalam menentukan kelayakan kendaraan bermotor. Agar mengurangi kesalahan tersebut, diperlukan sistem komputer yang dapat mengolah data yang diinputkan dari hasil pemeriksaan untuk dapat menganalisa dan menentukan kelayakan dari kendaraan bermotor yang diperiksa. Sistem komputer yang dibangun disesuaikan dengan sistem pemeriksaan kelayakan kendaraan bermotor yang berjalan di Dinas Perhubungan Kabupaten Hulu Sungai Utara. Tujuan dari penelitian ini yaitu untuk mengetahui dan menganalisis kelayakan berkala kendaraan bermotor pada Unit Pelaksana Teknis Pengujian Kendaraan Bermotor Dinas Perhubungan Kabupaten Hulu Sungai Utara. Metode penelitian yang digunakan adalah metode penelitian deskriptif dengan data kuantitatif. Sampel yang diambil berjumlah 85 responden pelanggan uji kelayakan kendaraan dengan menggunakan accidental sampling. Penelitian ini dilakukan di Unit Pelaksana Teknis Pengujian Kendaraan Bermotor Kabupaten Hulu Sungai Utara. Pengumpulan data yang digunakan adalah wawancara, observasi, kuisioner, dokumentasi dan studi pustaka. Efektifitas pelayanan menjadi harapan pemerintah dan masyarakat pengguna jasa pengujian kendaraan bermotor agar tujuan dari pelaksanaan pelayanan tersebut dapat memberikan pelayanan pengujian kendaraan bermotor yang terbaik kepada masyarakat saat pengujian kendaraan bermotor serta penerimaan pemerintah dari pengujian kendaraan bermotor. Adapun data utama yang diinputkan adalah data user, data petugas, dan data registrasi. Kemudian dilakukan proses pendataan administrasi yang diinputkan melalui form input data pemeriksaan dan form input data penerbitan surat laik jalan. Adapun laporan yang dibuat adalah laporan data petugas, laporan data registrasi, laporan data hasil pemeriksaan dan laporan data kelayakan. Kata Kunci : Pemeriksaan, Kelayakan Pengujian
APLIKASI PEMETAAN LAYANAN KESEHATAN BAGI PENYANDANG DISABILITAS DI KOTA BANJARMASIN MENGGUNAKAN GIS BERBASIS WEB
Authors: Wahyudi Johan 
Published: August 2021

Abstrak–Ketersediaan ruang publik dan tempat layanan kesehatan yang ramah bagi penyandang disabilitas adalah mampu menyediakan fasilitas dan aksesibilitas bagi penyandang disabilitas. Pelayanan kesehatan juga merupakan pelayan publik yang menjadi hak warga negara dimana pelayanan tersebut bisa menyentuh semua kalangan termasuk saudara kita yang menyandang difabel namun pelayanan kesehatan di Indonesia saat ini belum memuaskan. Kota Banjarmasin mengemban amanah untuk memberikan kesempatan kesehatan yang sama bagi masyrakatnya. Hal tersebut sebagai salah satu upaya untuk pemenuhan atas kebutuhan fasilitas dan aksesibilitas untuk penyandang disabilitas di lyanan kesehatan yang ada di Kota Banjarmasin, terkait dengan pemenuhan kebutuhan sarana, prasarana, dan aksesibilitas. Permasalahan yang terjadi dilapangan saat ini adalah penyandang disabilitas belum mendapatkan informasi tentang tempat kesehatan yang ada di Kota Banjarmasin dengan berbagai informasi yang diberikan seperti lokasi keberadaan, layanan khusus penyandang disabilitas, daftar dokter, dan fasilitas yang di sediakan. Geographic Information System (GIS) adalah sistem informasi khusus yang mengelola data dan memiliki informasil spasial (bereferensi keruangan). Dengan menggunakan GIS maka diharapkan akan lebih mudah bagi para penyandang disabilitas untuk mendapatkan informasi dan mengetahui pemetaan tempat layanan kesehatan yang ada di Kota Banjarmasin. Karena dengan adanya GIS maka akan digambarkan letak lokasi tempat kesehatan pada kondisi sesungguhnya. Kata Kunci : Disabilitas, GIS, Fasilitas Kesehatan.
PKM PANTI ASUHAN BAYI DAN BALITA “ FAJAR HARAPAN” PEKANBARU
Authors: Wedayanti Made Devi 
Published: August 2021

Panti Asuhan Bayi dan Balita “ Fajar Harapan” adalah merupakan salah satu panti asuhan yang berada di Jalan Mustafa Yatim No.12 Pekanbaru, Riau yang di ketuai oleh Bapak H. Yazid Bakhri. Saat ini panti asuhan ini menampung 77 anak terdiri 11 bayi, 15 balita 21 Orang duduk di SD, 30 orang di SMA dan SMP dengan jumlah pengasuh 6 orang. Dalam perkembangannya panti asuhan fajar harapan memiliki berbagai masalah diantaranya Pertama panti asuhan hanya mengandalkan donatur untuk memenuhi kebutuhan finansial seperti masyarakat dan pemerintah. Kedua Tingkat kesadaran akan kesehatan didalam panti masih kurang seperti banyaknya anak panti yang mengalami kudis, kutuan, penyakit gatal gatal dan panu. Ketiga masalah ketiga adalah masih kurangnya fasilitas tempat tidur sehingga anak anak panti hanya tidur diatas karpet (tikar) tipis. PKM dilaksanakan dengan beberapa tahap antara lain: pelatihan, implementasi dan evaluasi.. Solusi yang ditawarkan oleh program PKM ini meliputi tiga hal: penyuluhan, pendampingan, pengobatan dan pemberian fasilitas.
P PENYULUHAN PERUBAHAN PRILAKU HIDUP BERSIH DAN SEHAT MASYARAKAT DALAM PENCEGAHAN COVID 19
Authors: Tauhid Tauhid 
Published: August 2021

The corona virus has an impact on death continued to increase, thus providing fear, trauma and stress for the community. The Community Service Team STISIP Mbojo provides counseling and assistance in changing clean and healthy living behavior for community in Kelurahan Rabangodu Selatan. The method used is counseling and mentoring. Participants include Lurah, , RT, RW and Community. The Result obtained : First; outreach activities in providing information regarding the corona virus disease (covid) 19 epidemic and the causative factors and ways of preventing it are running smoothly. Second; assistence activities through preparing a place to wash hands in every house, encouraging the community to plan a living pharmacy in each house to create a comfortable and healthy environment, familiarize the community with wearing masks, the down movement for a clean environment, and build a harmonious spirit of mutual cooperating in togetherness to crate a healthy village , with wearing masks, the down moverment for a clean environment, and build a harmonious spirit of mutual cooperation in togetherness to create a healthy village through the clean Friday movement environment (JUMPA BERLIAN).
Comparative Value of Cholinesterase Inhibitors and Memantine in Persons with Moderate-to-Severe Alzheimer’s Disease in the United States: A Cost-Effectiveness Analysis
Authors: Yunusa Ismaeel , Alsahali Saud , Rane Amey , Eguale Tewodros 
Published: August 2021

Background: Pharmacological treatment of Alzheimer’s disease (AD) involves symptomatic improvement of cognition using cholinesterase inhibitors (ChEIs) and memantine. The cost-effectiveness of these medications will guide decision-makers in making judicious use of scarce healthcare resources, particularly during the advanced disease stages. Objective: To evaluate the cost-effectiveness of ChEIs, memantine, and ChEI-memantine combinations in persons with moderate-to-severe AD from the US healthcare perspective. Methods: This pharmacoeconomic evaluation study used a state-transition Markov cohort model to simulate the costs and effectiveness of ChEI-memantine combinations compared with monotherapies of ChEI (donepezil, galantamine and rivastigmine) and memantine in persons with moderate-to-severe AD over a lifetime horizon with a 1-year cycle length. We estimated expected quality-adjusted life-years (QALYs), costs (in 2020 $US), net monetary benefits, and incremental cost-effectiveness ratios (ICERs). We discounted future costs and QALYs at the rate of 3%. Results: In this study, donepezil monotherapy, galantamine-memantine combination, and rivastigmine transdermal patch formed the cost-effectiveness frontier. Findings suggests that rivastigmine transdermal patch is the optimal treatment strategy at a willingness-to-pay (WTP) threshold of $150,000/QALY (ICER = $93,307/QALY [versus donepezil monotherapy]). Results across subgroups by age and sex also suggest that the rivastigmine transdermal patch is the optimal treatment strategy with the highest net benefit. Conclusion: From the US healthcare perspective, we found that, for persons with moderate-to-severe AD at a WTP threshold of $150,000/QALY, the rivastigmine transdermal patch is the most cost-effective pharmacological treatment option. Given that the transdermal patch is a preferred route of administration for persons with AD and their caregivers due to its convenience, our findings provide additional incentives for its use.
Effect of health care disparities on procedure selection of autologous breast reconstruction in Florida
Authors: Huayllani Maria T. , Torres-Guzman Ricardo A. , Avila Francisco R. , Advani Pooja P. , Spaulding Aaron C. , Cochuyt Jordan J. , Nguyen Minh-Doan T. , Lu Xiaona , Rinker Brian D. , Forte Antonio J. 
Published: August 2021

INTRODUCTION: Disparities in access to reconstructive surgery after breast cancer have been reported. We aim to evaluate demographic and socioeconomic factors influencing type of autologous breast reconstruction in Florida. METHODS: We queried the Florida Inpatient Discharge Dataset to evaluate disparities in type of autologous breast reconstructive surgery between January 1, 2013, and September 30, 2017. Patients 18 years of age or older were included. Women younger than 65 years old on Medicare were excluded. Patients were categorized into three groups according to type of autologous reconstruction: latissimus dorsi pedicled flap (pedicled flap), free flap, or pedicled flap with implant (combined flap). Demographic and socioeconomic variables were evaluated. 𝜒2 and Mann–Whitney tests were used to estimate statistical significance. A multivariate logistic regression was performed to find independent associations. RESULTS: Our results showed higher odds of reconstruction with free flap in Hispanic patients (odds ratio (OR), 1.66; 95% CI, 1.32–2.09; P < 0.0001) and patients with comorbidities (OR, 1.45; 95% CI, 1.23–1.71; P < 0.0001). However, patients treated in Central and South Florida were less likely to undergo free flap than combined and pedicled flap reconstructions compared with those treated in North Florida (P < 0.05). Patients insured by Medicaid and Medicare were less likely to undergo free flap than combined or pedicled flap reconstruction compared to patients with private insurance (P < 0.05). CONCLUSIONS: Our study identified that race, region, insurance, and comorbidity are factors associated with type of autologous breast reconstruction in Florida.
Can we reduce psychosomatic symptoms and work presenteeism with physical activity?
Authors: Petrovčič Andreja , Erčulj Vanja , Boštjančič Eva 
Published: August 2021

BACKGROUND: Past studies have tended to consider the relationships between presenteeism, physical activity and psychosomatic symptoms in a partial manner and not as a whole. OBJECTIVE: This cross-sectional study investigated the relationship between physical activity, psychosomatic symptoms and presenteeism, in order to increase the visibility of presenteeism and promote workplace health. METHODS: Two questionnaires (Patient Health Questionnaire and Work Limitations Questionnaire) with a set of physical activity questions were administered on the sample of 514 employees. RESULTS: The results showed a statistically significant relationship between presenteeism and some variables of physical activity, as well as between presenteeism and psychosomatic symptoms. Further results showed a statistically significant association between psychosomatic symptoms and some variables of physical activity. General evaluation (adequacy) of physical activity, and lack of general, aerobic physical activity proved to be important predictors of presenteeism, while general, aerobic physical activity also predicted psychosomatic symptoms. Analysis of the results revealed that psychosomatic symptoms moderate the relationship between physical activity and presenteeism. CONCLUSIONS: The article points out that employees with health problems have a lower percentage of productive time than healthy employees. However, developing an active lifestyle can be a cost-effective measure to cope with presenteeism and promote psychophysical health among employees.
Effects of three 8-week strength training programs on jump, speed and agility performance in prepubertal children
Authors: Jaimes Diego A.R. , Petro Jorge L. , Bonilla Diego A. , Cárdenas Johanny G. , Duarte Ailin O. , Contreras Dennis 
Published: August 2021

BACKGROUND: Supervised strength training has been shown to promote physiological adaptations in children and youth that can be beneficial to the process of physical growth and developed, and general health status. METHODS: Sixty-three children (9.2 [Formula: see text] 0.5 years old) were randomly assigned to training groups: multi jumps (MJ) ([Formula: see text] 20), sled towing (ST) ([Formula: see text] 21), or uphill running (UR) ([Formula: see text] 22). The following tests were applied before and after each intervention: vertical jump (ABK, CMJ, SJ), standing broad jump (SBJ), velocity/agility 4 [Formula: see text] 10 m, and 20 m sprint test (ST[Formula: see text]). RESULTS: After 8 weeks of training, statistically significant changes were found in all study variables for all groups, but with different effect sizes. In the ABK jump, the largest effect size was observed in UR (1.40, 0.97–1.85), while in ST and MJ it was medium (0.67, 0.44–0.98 and 0.48, 0.17–0.82, respectively). Similarly, the effect size in the SJ jump was large for the UR and ST groups (1.10, 0.78–1.51 and 1.30, 0.98–1.64, respectively) and medium in MJ (0.56, 0.24–0.97). However, the magnitude of the effect registered in SBJ was large in MJ (0.80, 0.55–1.15) and medium in UR and ST (0.56, 0.32–0.86 and 0.64, 0.42–1.013, respectively). CONCLUSIONS: All three training programs improve jumping and velocity/agility performance but based on clinical significance, UR and ST methods can be considered more efficient to improve physical performance in children.
Early prediction of prostate cancer biochemical recurrence and identification of disease persistence using PSA isoforms and human kallikrein-2
Authors: Do Carmo Silva Joana , Vesely Stepan , Luksanova Hana , Prusa Richard , Babjuk Marko 
Published: August 2021

BACKGROUND: The role of isoforms of prostate specific antigen (PSA) and other kallikrein-related markers in early detection of biochemical recurrence (BCR) after radical prostatectomy (RP) is not well known and serum PSA is currently used in preoperative risk nomograms. OBJECTIVE: The aim of this research was to study pre- and early postoperative levels of important PSA isoforms and human kallikrein-2 to determine their ability to predict BCR and identify disease persistence (DP). METHODS: This study included 128 consecutive patients who underwent RP for clinically localized prostate cancer. PSA, fPSA, %fPSA, [–2]proPSA, PHI and hK2 were measured preoperatively, at 1 and 3 months after RP. We determined the ability of these markers to predict BCR and identify DP. RESULTS: The DP and BCR rate were 11.7%and 20.3%respectively and the median follow up was 64 months (range 3–76 months). Preoperatively, the independent predictors of BCR were PSA ( p-value 0.029), [–2]proPSA ( p-value 0.002) and PHI ( p-value 0.0003). Post-RP, PSA was the single marker correlating with BCR, both at one ( p-value 0.0047) and 3 months ( p-value 0.0004). PSA, fPSA, [–2]proPSA and PHI significantly correlated to DP at 1 and 3 months post-RP ( p-value <  0.05), although PSA had the most significant existing correlation ( p-value <  0.0001). CONCLUSIONS: [–2]proPSA and PHI are preoperative predictors of BCR and DP that outperform the currently used serum PSA. At the early postoperative period there is no additional benefit of the other markers tested.