bluuebunny/crossref_metadata_2025_split huggingface dataset:
СИНЕРГЕТИЧНИЙ ПІДХІД ДО ІНФОРМАЦІЙНОГО ЗАБЕЗПЕЧЕННЯ ЗАВАНТАЖЕНОСТІ СУДЕН НА ПРИПОРТОВИХ ЗАЛІЗНИЦЯХ
Authors: Kazymyrenko Yu.O. , Drozd O.V. 
Published: November 2021

Вступ. Підвищення ефективності експлуатації припортових залізниць зале- жить від застосування інформаційного простору, який об’єднує діяльність спе- ціалізованих комунікацій для їх обслуговування. Мета роботи полягає у практич- ному застосуванні синергетичного підходу до розробці нового інформаційного забезпечення завантаженості суден на основі принципів синхронізації діяльності залізниці і порту. Методологія досліджень ґрунтується на наукових положеннях системного аналізу, об’єктно-орієнтованого програмування та попередніх дослі- дженнях авторів щодо транспортно-технологічних систем припортових заліз- ниць і проєктування спеціалізованих інформаційних систем для їх обслуговування. Проаналізовано проблемні питання вантажообігу на припортових залізницях, зокрема пов’язаних з недоліками інформаційних систем; визначено шляхи їх вирі- шення. Взаємодію залізничного і водного транспорту наведено у графічній інтер- претації у вигляді моделі синергетичного підходу до єдиного інформаційного про- стору. Модель надає уявлення про принципи синхронізації для координації служб залізниці і порту. Складено програму заходів щодо підвищення ефективності виконання вантажних операцій за рахунок впровадження нових організаційних рішень з інформаційного забезпечення, виконано їх ситуаційний аналіз. Розробле- но проєкт інформаційної системи, який матиме модульну структуру, що перед- бачатиме роботу у режимах адміністратора і користувача. Для написання бази даних застосовано мову програмування Java. Результати роботи апробовані на віртуальній моделі і можуть бути застосовані у сучасній практиці стивідор- них та логістичних компаній. Висновки: за допомогою синергетичного підходу досліджено взаємозв’язок організаційних, економічних та експлуатаційних скла- дових завантаження суден на припортових залізницях з розробкою нового інфор- маційного забезпечення для підвищення ефективності організаційних процесів. Практичне значення роботи полягатиме у розробці програми заходів та ситу- аційному аналізі організаційно-технічних рішень з інформаційного забезпечення для завантаження суден на припортових залізницях.
Magnetic resonance linear accelerator technology and adaptive radiation therapy: An overview for clinicians
Authors: Hall William A. , Paulson Eric , Li X. Allen , Erickson Beth , Schultz Christopher , Tree Alison , Awan Musaddiq , Low Daniel A. , McDonald Brigid A. , Salzillo Travis , Glide‐Hurst Carri K. , Kishan Amar U. , Fuller Clifton D. 
Published: November 2021

AbstractRadiation therapy (RT) continues to play an important role in the treatment of cancer. Adaptive RT (ART) is a novel method through which RT treatments are evolving. With the ART approach, computed tomography or magnetic resonance (MR) images are obtained as part of the treatment delivery process. This enables the adaptation of the irradiated volume to account for changes in organ and/or tumor position, movement, size, or shape that may occur over the course of treatment. The advantages and challenges of ART maybe somewhat abstract to oncologists and clinicians outside of the specialty of radiation oncology. ART is positioned to affect many different types of cancer. There is a wide spectrum of hypothesized benefits, from small toxicity improvements to meaningful gains in overall survival. The use and application of this novel technology should be understood by the oncologic community at large, such that it can be appropriately contextualized within the landscape of cancer therapies. Likewise, the need to test these advances is pressing. MR‐guided ART (MRgART) is an emerging, extended modality of ART that expands upon and further advances the capabilities of ART. MRgART presents unique opportunities to iteratively improve adaptive image guidance. However, although the MRgART adaptive process advances ART to previously unattained levels, it can be more expensive, time‐consuming, and complex. In this review, the authors present an overview for clinicians describing the process of ART and specifically MRgART.
EFEKTIVITAS PREEMTIF KETAMIN SUB DOSIS DALAM MENGURANGI KEBUTUHAN OPIOID INTRAOPERATIF DAN LAMA WAKTU EKSTUBASI
Authors: Septyawan Rizky Bagoes 
Published: November 2021

Surgical perioperative management undergoes updates to support postoperative patient outcomes. The concept of longer preoperative fasting times, cleansing ofthe gastrointestinal tract, and re-feeding after 3-5 days after surgery has begun to be abandoned which is then formulated into a new protocol called ERAS(Enhanced Recovery After Surgery) including preoperative counseling, optimization of nutrients, the use of standard anesthesia and analgesy drugs, as well asearly mobilization using the concept of preemptive analgesia. The use of low-dose ketamine for postoperative analgesia has evolved in part due to nmdaantagonistic properties that reduce central sensitization and opioid tolerance but are still controversial. This study aims to study the effects of low-dose ketamineas a preemptive and evaluate the total needs of opiods, as well as the length of time extubation with single blind experimental research. Patients with label A gotpreemptive therapy of subdose ketamine while label B got perioperative standard analgesia therapy. Analgesia in groups A and B is administered before surgery.Treatment control is done with single blind control that is the patient does not know the type of drug given. The comparison of the amount of fentanyl in the controlgroup and treatment in this study was significantly different (p=0.044). The old comparison of extubation in both groups obtained a significant p value (<0.0001).Preemptive administration of subdose ketamine effectively decreases the amount of fentanyl administration used during surgery and shortens the extucation time.
Keywords: Preemptive; Ketamin subdose; Fentanil; Extucation Time.
PERBEDAAN KEPATUHAN PEMBATASAN CAIRAN PASIEN GAGAL GINJAL KRONIK (GGK) ANTARA PASIEN YANG DIBERIKAN EDUKASI MENGGUNAKAN MEDIA AUDIOVISUAL DENGAN LEAFLET DI RUANG HEMODIALISA RSUD DR. SAIFUL ANWAR MALANG
Authors: Kusumawardani Satiti 
Published: November 2021

ABSTRACT
One of the treatments to save the life of patients with chronic renal failure is hemodialysis therapy, accompanied by fluid intake restriction. This research aimed to figure out the effect of health education using audiovisual media on fluid restriction of Chronic Kidney Failure patients in the Hemodialysis Room of RSUD Dr. Saiful Anwar Malang. This research was a quantitative approach with a quasi-experimental design with a pretest-posttest approach with control group design. The sampling technique used in this research is purposive sampling. In the control group, the score of adherence to fluid restriction in CKD patients was significantly different (p=0.000). In the treatment group, the score of adherence to fluid restriction in CKD patients was significantly different (p=0.000). There was a difference in adherence scores after education between the control group and the experimental group (p=0.040). Education using audio-visual is very effective for increasing one's knowledge. So it is recommended that the next researchers to conduct health education research using the audio-visual method more than one meeting.
Keyword: Health Education, Chronic Kidney Disease (CKD), Fluid Intake
ABSTRAK
Salah satu penanganan untuk menyelamatkan nyawa pasien Gagal Ginjal Kronik adalah terapi hemodialisis, disertai pembatasan asupan cairan. Tujuan dari penelitian ini untuk mengetahui pengaruh pendidikan kesehatan media audivisual terhadap pembatasan cairan pasien Gagal Ginjal Kronik di Ruang Hemodialisa RSUD Dr. Saiful Anwar Malang.Penelitian ini menggunakan pendekatan kuantitatif desain Quasi Eksperiment Teknik sampling yang digunakan purposive sampling. Pada kelompok kontrol, skor kepatuhan pembatasan cairan pada pasien GGK berbeda signifikan (p=0.000). Pada kelompok perlakuan, skor kepatuhan pembatasan cairan pada pasien GGK berbeda signifikan (p=0.000). Terdapat perbedaan skor kepatuhan sesudah edukasi antara kelompok kontrol dan kelompok eksperimen (p=0.040). Edukasi menggunakan audio visual sangat efektif untuk meningkatkan pengetahuan seseorang, sehingga disarankan kepada peneliti selanjutnya untuk melakukan penelitian pendidikan kesehatan menggunakan metode audio visual lebih dari satu kali pertemuan.
Kata Kunci: Pendidikan kesehatan, Gagal Ginjal Kronik, Asupan Cairan
ANALISIS KESULITAN SISWA DALAM MEMPELAJARI DIAGRAM LINGKARAN
Authors: Ambarawati Mika , Pujinugroho Mochtar Abidin , Burat Trivina , N.M Avin Reisa , Munika Munika , Bondi Agustina , Sawe Maria 
Published: November 2021

Penelitian yang dilakukan memiliki tujuan menganalisis kesulitan siswa Sekolah Menengah Pertama (SMP) kelas VII dalam mempelajari diagram lingkaran. Penelitian sebelumnya belum ada yang menganalisis khusus tentang diagram lingkaran, sebagian besar peneliian menganalisis kesulitan statistik secara umum. Metode penelitian adalah metode kualitatif. Penyajian dan analisis data pada penelitian kualitatif ini dilakukan secara naratif. Subjek penelitian adalah siswa SMP yang diklasifikasikan berkemampuan tinggi, sedang dan rendah. Hasil penelitian menunjukan bahwa terdapat beberapa kesulitan yang dialami siswa dalam mempelajari diagram lingkaran diantaranya yaitu kesulitan siswa dalam menggunakan rumus, kesulitan dalam menghitung, dan kesulitan dalam mengubah kalimat permasalahan ke dalam model matematika ataupun sebaliknya.
EKSPLORASI KONSEP DILATASI ETNOMATEMATIKA PADA BATIK TEMBAKAU JEMBER
Authors: Sulisawati Dwi Noviani , Amalia Devita , Djamali M. Fadil 
Published: November 2021

Etnomatematika merupakan ragam cara yang berbeda dalam melakukan matematika yang memperhitungkan penggunaan konsep-konsep matematika dalam sistem akademik yang dikembangkan di berbagai lapisan masyarakat dengan tetap memperhatikan tujuan yang berbeda – beda, dimana perbedaan budaya akan menciptakan perbedaan dalam praktek matematikanya (cara berhitung, mengelompokkan, mengukur, merancang bangunan atau alat, bermain dan lainnya). Berdasarkan hal tesebut penelitian ini bertujuan mendeskripsikan hasil eksplorasi etnomatematika pada batik tembakau Jember. Metode analisis dalam penelitian ini dengan menggunakan metode kualitatif dengan pendekatan etnografi. Teknik pengumpulan data berupa observasi, dokumentasi dan wawancara. Penelitian ini dilakukan di Rumah Batik Rolla Jember dan Rezti’z Batik Tegalsari Ambulu Jember. Penelitian dilaksanakan selama satu minggu. Hasil dari penelitian ini menunjukkan bahwa Etnomatematika pada batik motif tembakau khas Jember mempunyai konsep matematis berupa konsep dilatasi.
Walking Biomechanics and Spine Loading in Patients With Symptomatic Lumbar Spinal Stenosis
Authors: Mousavi Seyed Javad , Lynch Andrew C. , Allaire Brett T. , White Andrew P. , Anderson Dennis E. 
Published: November 2021

Symptomatic lumbar spinal stenosis is a leading cause of pain and mobility limitation in older adults. It is clinically believed that patients with lumbar spinal stenosis adopt a flexed trunk posture or bend forward and alter their gait pattern to improve tolerance for walking. However, a biomechanical assessment of spine posture and motion during walking is broadly lacking in these patients. The purpose of this study was to evaluate lumbar spine and pelvic sagittal angles and lumbar spine compressive loads in standing and walking and to determine the effect of pain and neurogenic claudication symptoms in patients with symptomatic lumbar spinal stenosis. Seven participants with symptomatic lumbar spinal stenosis, aged 44–82, underwent a 3D opto-electronic motion analysis during standing and walking trials in asymptomatic and symptomatic states. Passive reflective marker clusters (four markers each) were attached to participants at T1, L1, and S2 levels of the spine, with additional reflective markers at other spinal levels, as well as the head, pelvis, and extremities. Whole-body motion data was collected during standing and walking trials in asymptomatic and symptomatic states. The results showed that the spine was slightly flexed during walking, but this was not affected by symptoms. Pelvic tilt was not different when symptoms were present, but suggests a possible effect of more forward tilt in both standing (p = 0.052) and walking (p = 0.075). Lumbar spine loading during symptomatic walking was increased by an average of 7% over asymptomatic walking (p = 0.001). Our results did not show increased spine flexion (adopting a trunk-flexed posture) and only indicate a trend for a small forward shift of the pelvis during both symptomatic walking and standing. This suggests that provocation of symptoms in these patients does not markedly affect their normal gait kinematics. The finding of increased spine loading with provocation of symptoms supports our hypothesis that spine loading plays a role in limiting walking function in patients with lumbar spinal stenosis, but additional work is needed to understand the biomechanical cause of this increase.
Evaluation of Residents’ Comfort in High-Rise Residential Buildings in Dubai, United Arab Emirates
Authors: Jung Chuloh , Awad Jihad , Al Qassimi Nahla 
Published: November 2021

The global record of 1,700 % urban footprint growth in only 38 years made Dubai one of the fastest growing cities in the world. The density of the metropolis population is approximately 762.6 individuals/ km2, and high-rise residential buildings in Dubai have reached 581,166 units (79%) in 2020 and become a common residential type. The objective of this study is to provide basic data for the design of high-rise residential buildings in the future by evaluating the health of the residents of high-rise residential buildings in Dubai. As a methodology, the Todai Health Index, a structured health assessment tool, was used for high-rise residents’ survey. For the analysis, the health evaluation data from residents were used as the dependent variable, and the number of living floors as the architectural characteristic and the indoor temperature and humidity condition as the residential environments were analyzed as the independent variable. The result had shown that residence floor is irrelevant to overall health, changes in the health status compared to those in the previous year, and the occurrence of daily disease health evaluation by the Todai Health Index. It was statistically proven that the thermal environment has a significant correlation with the residence floor, but the effect of the thermal environment on health was not strong. However, the humidity environment has a very strong relationship with the health of residents. The humidity environment has a very close relationship not only with the occurrence of daily diseases of residents but also with the health evaluation analyzed by the Todai Health Index. There is a significant relationship between the humidity environment and both physical and mental health. It was analyzed that a slightly humid condition had a positive effect on health.
The Role of 6-Minute Walk Test Guided by Impedance Cardiography in the Rehabilitation Following Knee Arthroplasty: A Randomized Controlled Trial
Authors: Lin Yangyang , Hu Xingwei , Cao Yalin , Wang Xing , Tong Yao , Yao Fengjuan , Wu Peihui , Huang Huiling 
Published: November 2021

Objective: To explore the effect of the 6-minute walk test (6MWT) guided by non-invasive cardiac output on the rehabilitation of patients with knee osteoarthritis following artificial total knee arthroplasty.Methods: About 66 patients with knee osteoarthritis planned to undergo artificial total knee arthroplasty were included from March 2019 to October 2019, and randomly assigned to the intervention group or control group. Under the guidance of a clinical rehabilitation physician, orthopedic physician, and cardiologist, a home rehabilitation exercise program based on 6MWT and non-invasive cardiac output was formulated for patients with knee osteoarthritis. The participants of the intervention group conducted full rehabilitation training supervision and guidance through the WeChat platform to ensure their rehabilitation pieces of training were completed safely and effectively. As for the control group, patients were just given rehabilitation training manuals at the time of discharge and completed the training by themselves.Results: At 6 months post-operatively, 6-minute walk distance (413.88 ± 44.61 vs. 375.00 ± 40.53 m, P &lt; 0.05), active metabolic equivalent (4.13 ± 0.29 vs. 3.88 ± 0.27, P &lt; 0.05), stroke volume after 6MWT (114.97 ± 12.05 vs. 98.38 ± 16.43 ml, P &lt; 0.05), and cardiac output (11.92 ± 1.68 vs. 9.79 ± 1.82 l/min, P &lt; 0.05) of the intervention group were significantly higher than those of the control group. The symptom evaluation scores of the intervention group were also better than those of the control group.Conclusions: The multidisciplinary post-operative rehabilitation exercise training program is beneficial to the recovery of lower limb function and the improvement of exercise capacity after knee replacement, and it also helps to improve the non-invasive hemodynamic indicators related to the cardiac function of the patient.Clinical Trial Registration:http://www.chictr.org.cn/index.aspx.
Circulating Biomarkers and Cardiac Structure and Function in Rheumatoid Arthritis
Authors: Kobayashi Masatake , Ferreira Maria Betânia , Costa Rita Quelhas , Fonseca Tomás , Oliveira José Carlos , Marinho António , Carvalho Henrique Cyrne , Girerd Nicolas , Rossignol Patrick , Zannad Faiez , Rodrigues Patrícia , Ferreira João Pedro 
Published: November 2021

Background: Rheumatoid arthritis (RA) increases the risk for abnormalities of the cardiac structure and function, which may lead to heart failure (HF). Studying the association between circulating biomarkers and echocardiographic parameters is important to screen patients with RA with a higher risk of cardiac dysfunction.Aim: To study the association between circulating biomarkers and echocardiographic parameters in patients with RA.Methods: Echocardiography was performed in 355 patients with RA from RA Porto cohort and the associations between echocardiographic characteristics and 94 circulating biomarkers were assessed. These associations were also assessed in the Metabolic Road to Diastolic Heart Failure (MEDIA-DHF) [392 patients with HF with preserved ejection fraction (HFpEF)] and the Suivi Temporaire Annuel Non-Invasif de la Santé des Lorrains Assurés Sociaux (STANISLAS) (1,672 healthy population) cohorts.Results: In the RA Porto cohort, mean age was 58 ± 13 years, 23% were males and mean RA duration was 12 ± 10 years. After adjustment and multiple testing correction, left ventricular mass index (LVMi), left atrial volume index (LAVi), and E/e′ were independently associated with biomarkers reflecting inflammation [i.e., bone morphogenetic protein 9 (BMP9), pentraxin-related protein 3 (PTX3), tumor necrosis factor receptor superfamily member 11a (TNFRSF11A)], extracellular matrix remodeling [i.e., placental growth factor (PGF)], congestion [i.e., N-terminal pro-brain natriuretic peptide (NT-proBNP), adrenomedullin (ADM)], and myocardial injury (e.g., troponin). Greater LVMi [hazard ratio (HR) (95% CI) per 1 g/m2 = 1.03 (1.02–1.04), p &lt; 0.001], LAVi [HR (95% CI) per 1 ml/m2 = 1.03 (1.01–1.06), p &lt; 0.001], and E/e′ [HR (95% CI) per 1 = 1.08 (1.04–1.13), p &lt; 0.001] were associated with higher rates of cardiovascular events. These associations were externally replicated in patients with HFpEF and asymptomatic individuals.Conclusion: Circulating biomarkers reflecting inflammation, extracellular matrix remodeling, congestion, and myocardial injury were associated with underlying alterations of cardiac structure and function. Biomarkers might be used for the screening of cardiac alterations in patients with RA.
A Model for the Prediction of Mortality and Hospitalization in Chinese Heart Failure Patients
Authors: Zhuang Bo , Shen Ting , Li Dejie , Jiang Yumei , Li Guanghe , Luo Qian , Jin Yishan , Shan Ziwei , Che Lin , Wang Lemin , Zheng Liang , Shen Yuqin 
Published: November 2021

Background: Although many risk prediction models have been released internationally, the application of these models in the Chinese population still has some limitations.Aims: The purpose of the study was to establish a heart failure (HF) prognosis model suitable for the Chinese population.Methods: According to the inclusion criteria, we included patients with chronic heart failure (CHF) who were admitted to the Department of Cardiac Rehabilitation of Tongji Hospital from March 2007 to December 2018, recorded each patient's condition and followed up on the patient's re-admission and death. All data sets were randomly divided into derivation and validation cohorts in a ratio of 7/3. Least absolute shrinkage and selection operator regression and Cox regression were used to screen independent predictors; a nomogram chart scoring model was constructed and validated.Results: A total of 547 patients were recruited in this cohort, and the median follow-up time was 519 days. The independent predictors screened out by the derivation cohort included age, atrial fibrillation (AF), percutaneous coronary intervention (PCI), diabetes mellitus (DM), peak oxygen uptake (peak VO2), heart rate at the 8th minute after the cardiopulmonary exercise peaked (HR8min), C-reaction protein(CRP), and uric acid (UA). The C indexes values of the derivation and the validation cohorts were 0.69 and 0.62, respectively, and the calibration curves indicate that the model's predictions were in good agreement with the actual observations.Conclusions: We have developed and validated a multiple Cox regression model to predict long-term mortality and readmission risk of Chinese patients with CHF.Registration Number: ChicTR-TRC-00000235.