bluuebunny/crossref_metadata_2025_split huggingface dataset:
Using ESN-Smartphone Application to Maximize AIS Reperfusion Therapy in Alexandria Stroke Network: A Stroke Chain of Survival Organizational Model
Authors: Mansour Ossama Yassin , Ramadan Ismail , Elfatatry Amer , Hamdi Mohamed , Abudu Ashraf , Hassan Tamer , Eldeeb Hany , Marouf Hazem , Mogahed Mohamed , Farouk Mohamed , Abas Mohamed , Hamed Mervat , Afify Mohamed , Abdallah Tamer , Zaidat Osama 
Published: February 2021

Background: In developing countries like Egypt, the clinical workflow of stroke management is poorly established due to the lack of awareness of the stroke patients concerning their need of therapeutic intervention and the poor identification of facilities equipped to treat stroke. Hence, establishing a stroke system of care in developing countries that can efficiently and rapidly triage patients to the appropriate reperfusion therapy center is imperative to improving stroke management and outcomes.Aims: To evaluate a pilot experience in stroke hospital identification and expediting decision-making in AIS treatment through the Alexandria stroke network and Egyptian Stroke Network (ESN)-app.Methods: Between 2017 and 2019, seven hospitals registered themselves on the AS-Network as pilot hospitals. The ESN-application was used to detect stroke type, tele-connect stroke teams and hospitals, track triage of patients to equipped facility in real time, and streamline stroke workflow. The quality of and time required for stroke management were compared between 84 patients with acute ischemic stroke (AIS) whose treatment involved the ESN-app and 276 patients whose treatment did not.Results: During this pilot study, 360 AIS cases received reperfusion therapy, 84 of which were indicated by the ESN-app. The use of the application was associated with the significant drop in time metrics for the reperfusion AIS-patients (door-in-door-out time; 56 ± 34 min vs. 96 ± 45 min, door-to-groin puncture time; 50 ± 7 min vs. 120 ± 25 min, door-to-needle time; 55 ± 12 min vs. 78 ± 16 min with p &lt; 0.0001). Its use was also associated with higher rates of excellent outcomes at the 90-day follow-up (without ESN-app vs. with ESN-app, 67.9 vs. 47.1%, p = 0.001) but no difference in 90-day mortality or symptomatic intracerebral hemorrhage (without ESN-app vs. with ESN-app, 9.5 vs. 11.2% and 4.8 vs. 5.1%, p &gt; 0.05).Conclusion: Our pilot experience demonstrated that the use of the ESN-app expedited the stroke treatment workflow and facilitated tele-connection between registered stroke facilities. Additionally, its use might be associated with achieving higher rates of excellent outcomes at 90 days, where a larger scale study is needed for more confirmation.
Intraoperative Fascia Tension as an Alternative to Component Separation. A Prospective Observational Study
Authors: Niebuhr Henning , Aufenberg Thomas , Dag Halil , Reinpold Wolfgang , Peiper Christian , Schardey Hans Martin , Renter Marc Alexander , Aly Mohamed , Eucker Dietmar , Köckerling Ferdinand , Eichelter Jakob 
Published: February 2021

Incisional hernias are common late complications of abdominal surgery, with a 1-year post-laparotomy incidence of about 20%. A giant hernia is often preceded by severe peritonitis of various causes. The Fasciotens® Abdomen device is used to stretch the fascia in a measurably controlled manner during surgery to achieve primary tension-free abdominal closure. This prospective observational study aims to clarify the extent to which this traction method can function as an alternative to component separation (CS) methods.Methods: We included data of 21 patients treated with intraoperative fascia stretching in seven specialized hernia centers between November 2019 and August 2020.Results: Intraoperatively-measured fascial distance averaged 17.3 cm (range 8.5–44 cm). After application of diagonal-anterior traction &gt;10 kg for an average duration of 32.3 min (range 30–40 min), the fascial distance decreased by 9.8 cm (1–26 cm) to an average 7.5 cm (range 2–19 cm), which is a large effect (r = 0.62). The fascial length increase (average 9.8 cm) after applied traction was highly significant. All hernias were closed under moderate tension after the traction phase. In 19 patients, this closure was reinforced with mesh using a sublay technique.Conclusion: This method allows primary closure of complex (LOD) hernias and is potentially less prone to complications than component separation (CS) methods.
Traffic Accident Evaluation using MATlab
Authors: V Sharmila , T.K.P. Rajagopal , S Deva arasi , M Ramani , S Karthick raja 
Published: February 2021

The main aim of this paper is to analyze the road traffic accidents in metro-politian city level at all intersection points. Analysis shows that the distribution of road accidental deaths and injuries in cities varies according to age, month and time. To develop the system that would avoid the accident by sending the notification whether the area is most traffic and there are so many accidents occurred in that place .The most accident precaution systems are available but those are not enough to users, so this new system may bring comfort zone to the users. Already know that high number of accidents is happened because of hightraffic at peak hours.Reason of traffic was no of vehicles are increased.so the main concept of the system has to be done using the no of vehicles at every zone. And we use some clustering methods to denote that which zone was in active and un-active state .The userwho travelling in the night that should be most useful for them.
Ultrasonic Studies and Molecular Interactions of N, N-Dimethyl Formamide and 1-Butanol with n-Hexane at Different Temperatures 303K ,308K and 313K.
Authors: P.S. Syed Ibrahim , S Chidambaravinayagam , J Senthil Murugan , J Edward Jeyakumar 
Published: February 2021

The Ultrasonic velocity(U), density(?), and viscosity(?) have been measured for the ternary liquid mixtures of N,N-Dimethyl Formamide (NNDMF), 1 butanol and n hexane at various temperatures viz., 303 k,308 k and 313 k at constant frequency 2 MHz. for different concentrations ranges from 0.001M to 0.01M. The acoustical parameters such as adiabatic compressibility(?), Rao constant(R), absorption coefficient (?/f2), internal pressure(?i), cohesive energy(CE), free volume(Vf), free length(Lf) and acoustic impedence(z), were calculated from the experimental data. These parameters in accordance with their ultrasonic velocities corresponding to different concentrations were discussed.
Smart Solid Waste Management System Using IOT
Authors: M.P Sureshkumar , S Pavithran 
Published: February 2021

The smart city consists not only the suffocated facilities but also it should consist of a smart solid waste management system. The huge generation of solid waste and shortage of land for dumping results in search of best schemes. Collection, transportation, and disposal of solid waste is a huge concern and also a very challenging task. Proper tools like IoT should be employed to integrate these works smoothly and efficiently. IoT consists of sensors which help in indicating the waste levels and collection routes to the server, from which the waste was collected in a quick and efficient manner. IoT contributes in all stages of waste management, which results in saving of time and money.
Experimental Investigation on Partially Replacement of Cement and Fine Aggregate by Glass Powder and Vermiculite
Authors: A Dharani , P Vanmathi 
Published: February 2021

Concrete is the most widely used manmade material in the construction industry. So, it is essential to utilize industrial by - products and waste products instead of concrete, which has many advantages. Waste glass from glass manufacturing industries can be grounded and used as an alternative for cement. Glass has high silica content, thus making it potentially pozzolanic. Finely ground glass does not contribute much to alkali - silica reaction, which can be prevented by adding mineral admixtures. Vermiculite is a low density material obtained by exfoliating rock. It can be used as replacement for fine aggregate because of it’s specific properties such as light weight, improved workability, fire resistance. This project work aims at studying the effects of replacing cement and fine aggregate by glass powder and vermiculite respectively in M35 grade concrete. Vermiculite is added in 12 %, 15 % and 18 % of fine aggregate and glass powder is added in 15 %, 18 % and 20 % of cement. The main objective is to analyse compression, splitting tensile and flexural strengths for various proportions of vermiculite and glass powder are compared with conventional specimens.
Application of Smart Waste Management Strategies for Sustainable Waste Management
Authors: G Senthilkumar 
Published: February 2021

India is moving towards development of smart cities which requires a marked improvement in Municipal Solid Waste Management (MSWM) to provide a clean and aesthetically appealing environment specifically in urban agglomerations. Presently India is producing around 65 million tones of municipal solid waste annually and 80% of which is dumped simply on the open ground. Even after the Solid waste management rules 2016 comes into effect there is no marked improvement in the waste management. The use of technologies like Internet of Things (IoT) and adopting a policy of smart waste – smart resources it is possible to create more robust Sustainable solid waste management systems. IoT is a concept that connects numerous and various physical objects to the internet with the help of sensors and other wireless technologies, conceptually the process of connecting different types of devices extracting the data from them to perform an action in the context of data read. With Swatch Bharath, Clean India mission and the development of Smart cities projects the government of India is offering and encouraging a phenomenal change in waste management policies and action plans with an objective to make the waste management technically feasible, environmentally and financially sustainable. In the present study an assessment of existing waste management scenario was carried out for the semi urban location, Annamalai Nagar Special town Panchayat of Cuddalore District in Tamilnadu state. IoT based waste management has been proposed, the ill effects of the present waste management practices and likely benefits of the application of technology enhanced IoT based waste management have been compared for the real time waste management system.
The Effect Of Fermentation On Nutrition Content (Protein, Fat, Carbohydrate And Fiber) In Processed Red Beans (Phaseolus Vulgaris L.)
Authors: Erwin Indayanti  , Sugeng Maryanto  , Purbowati  
Published: February 2021

Red bean tempeh is a processed product from nuts which is formed by the help of Rhizopus sp, mold through a fermentation process. One of the uses of red bean production through the boiling and fermentation process is an effort to increase the variety of red bean processing to increase the nutritional value of kidney beans. Purpose To determine the nutritional content and analysis of nutritional content in boiled red beans and red bean tempeh. This study was a pre experimental design. With a completely randomized design approach. The research carried out is by making preparations in the form of boiled red beans and red bean tempeh and then tested for nutritional content. The analysis test for protein content used the kjedahl method, the fat content used the Soxhlet method, the carbohydrate content used the anthrone method, and the fiber content used the reflux method. Statistical analysis of different tests was performed using the independent t test, with data distribution normally distributed. The average yield of nutrient content in boiled red beans was 18.77% protein, 4.03% fat, 27.40% carbohydrates, and 18.25% fiber. The nutritional content of red bean tempeh is 12.26% protein, 3.96% fat, 34.75% highest carbohydrate, and 22.10% fiber. The most significant test results were the carbohydrate content (p = 0.001) and the protein content (p = 0.021). Fat (p = 0.965) and fiber (p = 0.399) content showed no significant difference. There are differences in the nutritional content of boiled red beans and red bean tempeh, namely in the carbohydrate content and protein content, which shows a significant difference (p <0.05).
Factors Related To The Event Of Less Nutrition In Children Age 37-59 Months In The Center Of Public Health In Kaubele District Biboki Moenleu North Central Timor Regency
Authors: Elisabeth Usfal  , Sugeng Maryanto  , Indri Mulyasari  
Published: February 2021

Malnutrition problems in children under five can be influenced by energy intake, protein intake and the incidence of diarrhea. The purpose of the study was a factors associated with the incident of malnutrition in children aged 37-59 months at The Center Of Public Health Kaubele Moenleu Biboki District North Central Timor Regency.This study was a correlation descriptive study with a cross sectional approach. The sample consisted of 78 toddlers at the Kaubele The Center Of Public Health, Biboki Moenleu District, North Central Timor Regency, taken by proportional random sampling technique. Data collection instrument using secondary data from weighing results, kueisoner, form SFFQ. Data analysis using chi-square (α = 0.05). The result of this study indicated that there were intake energy good 8 toddlers ( 10.3 % ) , energy less 70 toddlers ( 89.7 % ); protein intake more 2 toddlers ( 2.6 % ) , protein good 32 toddlers ( 41.0 % ) , less 44 toddlers ( 56.4 % ); toddlers who do not diarrhea 36 toddlers ( 46.2 % ) , diarrhea 42 toddlers ( 53.8 % ); toddlers normal weight of 30 toddlers ( 38.5 % ) , toddlers weight less 48 toddlers ( 61.5 % ); There is correlation between intake energy , protein intake and the chain diarrhea with the genesis malnutrition in toddlers ( p = 0.025, p = 0.002 and p = 0.000 ). There is correlation between intake energy , protein intake and the chain diarrhea with the genesis malnutrition in toddlers 37-59 months in The Center Of Public Health Kaubele Biboki Moenleu District North Central Timor Regency.
Pengaruh Edukasi Gizi Melalui Komik Dan Leaflet Terhadap Peningkatan Pengetahuan Terkait Anemia Pada Remaja Putri Di Sma Negeri 14 Jakarta
Authors: Hannanti Herdara , Ibnu Malkan Bakhrul Ilmi  , Muh. Nur Hasan Syah  
Published: February 2021

AbstrakBackground : Anemia is still a major public health problem in the world. Indonesia become one of the countries experiencing triple burden of malnutrition and one of them is anemia. The current situation of covid-19 pandemic considered worsen the challenge. Education especially about anemia problem on adolescents girl play an important role in the emergency response covid-19 pandemic. Purpose : To determine the effect of nutrition education using comic and leaflet on the improvement of anemia knowledge in adolescents girl in SMA Negeri 14 Jakarta . Method : Design of this study is quasy experimental with pre-post test group design involving 126 female students in class X and XI which choosed by cluster random sampling. Knowledge data collected with online method. Result : The result was there were differences in respondents knowledge on the effect of nutrition education using comic (p=0,000) and leaflet (p=0,000) media with alpha 0,05. Conclusion : There is an effect of nutrition education using comic and leaflet on anemia knowledge in adolescents girl in SMA Negeri 14 Jakarta
Latar Belakang : Anemia hingga saat ini masih menjadi masalah utama dalam kesehatan yang terjadi di seluruh dunia. Indonesia menjadi salah satu negara yang mengalami tiga beban malnutrisi, salah satunya diantaranya adalah anemia. Kondisi pandemi covid-19 saat ini dinilai dapat memperburuk tantangan tersebut. Edukasi terutama mengenai masalah anemia pada remaja putri berperan penting dalam masa tanggap darurat pandemi covid-19. Tujauan : Mengetahui pengaruh edukasi gizi melalui komik dan leaflet terhadap peningkatan pengetahuan terkait anemia pada remaja putri di SMA Negeri 14 Jakarta. Metode : Desain penelitian yang digunakan, yaitu quasy experimental dengan rancangan pre-post test group design melibatkan 126 siswi kelas X dan XI yang dipilih dengan cluster random sampling. Pengambilan data pengetahuan dilakukan secara daring. Hasil : Ada perbedaan pengetahuan responden terhadap pengaruh penggunaan media edukasi gizi melalui komik (p=0,000) dan leaflet (p=0,000) dengan alpha 0,05. Kesimpulan : Ada pengaruh edukasi gizi melalui komik dan leaflet terhadap peningkatan pengetahuan anemia pada remaja putri di SMA Negeri 14 Jakarta.
Diet Ketogenik dan Dampaknya terhadap Mikrobiota Usus pada Kondisi Diabetes Melitus Tipe 2
Authors: Ayuningtyas Annisa 
Published: February 2021

ABSTRACT

The incidence of type 2 diabetes mellitus (T2DM) increase significantly. Lifestyle changes, including patterns and types of food, have an effect on the occurrence of T2DM. Changes in the composition and type of gut microbiota have a significant impact on the incidence of metabolic diseases, including T2DM. Ketogenic diet, which consist of high fat, moderate protein, and very low carbohydrates, is currently a common diet for weight-loose program in obese people, where obesity is a risk factor for T2DM. However, the use of this diet as management in T2DM subject is still a controversy. It is proven that ketogenic diet can alter the composition of Bacteriodetes to Firmicutes in T2DM subject and may improve the metabolic profile of this subject. The ketogenic diet can be recommended as a diet for T2DM subject with attention to the special conditions of the subject.
Abstrak
Angka kejadian diabetes mellitus tipe 2 (DMT2) meningkat secara signifikan. Perubahan gaya hidup termasuk pola dan jenis makanan berpengaruh terhadap terjadinya penyakit DMT2. Perubahan komposisi dan jenis mikrobiota usus berdampak signifikan terhadap kejadian penyakit metabolik, termasuk DMT2. Diet ketogenik dengan komposisi tinggi lemak, cukup protein, dan karbohidrat sangat rendah, saat ini menjadi tren diet yang banyak dipilih untuk menurunkan berat badan pada orang obesitas, dimana obesitas menjadi salah satu faktor risiko DMT2. Meskipun demikian, penggunaan diet ini sebagai manajemen diet pada individu dengan DMT2 masih menjadi kontroversi. Pemberian diet ketogenik pada individu dengan DMT2 mampu mengubah komposisi Bacteriodetes terhadap Firmicutes dan berdampak terhadap perbaikan profil metabolik. Diet ketogenik dapat direkomendasikan sebagai diet bagi individu dengan DMT2 dengan memperhatikan kondisi khusus.
Validation of WINROP algorithm as a screening tool for retinopathy of prematurity in a northern Spanish cohort
Authors: Fernández-Ramón Raúl 
Published: February 2021

Introduction: WINROP (Weight, Insulin-like growth factor 1, Neonatal Retinopathy of Prematurity) is a computer-based ROP risk which correlate postnatal weight gain with the developed of treatment-requiring ROP. The purpose of this study was to evaluate the ability of the WINROP algorithm to detect severe (Type 1 or Type 2) ROP in a Spanish cohort of infants.
Methods: Birth weight, gestational age, and weekly weight measurements of preterm infants (>23 and <32 weeks gestation) born between 2015 and 2017 were retrospectively collected and entered in WINROP algorithm. Infants were classified according alarm activation and compared with ROP screening outcomes. Sensitivity, specificity, and predictive values were calculated.
Results: A total of 109 infants were included. The mean gestational age was 29.37 ± 2.26 weeks and mean birth weight was 1178 ± 320 g. Alarm occurred in 47.7 % (52/109) of neonates, with a mean time from birth to alarm of 1.9 ± 1.4 weeks. WINROP had a sensitivity of 100% (CI 95%, 59-100), a specificity of 55.9% (CI 95%, 45.7-65.7), a positive predictive value of 13.5% (CI 95%, 11.1-16.2) and a negative predictive value of 100% (CI 95%, 93.7-100) for predicting severe ROP.
Conclusion: The WINROP algorithm has proven to be a useful tool in the detection of severe ROP in our cohort. Nevertheless, in extremely preterm infants (GA <28 weeks) the results should be taken with caution and an optimization of WINROP can be necessary to improve its utility in other populations.
Language, Culture and Mind
Authors: Sinha Christopher Glyn 
Published: February 2021

I start by displaying a detail from a painting by Veronese, an Italian Renaissance painter. This painting has different titles if you look for it on the internet, but one of the titles is The Dialectic, and the detail that you see here represents one way of trying to depict the human understanding of the network of meaning within which we all live, and the way that as scientists and scholars we reflect upon language and meaning as a kind of web, which binds us together with each other, with other human beings, and a web which we can examine in order to foster our own cognitive creativity.
OGRODY BASENU MORZA ŚRÓDZIEMNEGO – NA PRZYKŁADZIE ZAŁOŻEŃ OGRODOWYCH W HISZPANII I NA CYPRZE
Authors: Hortyńska Paulina , Dudkiewicz Margot 
Published: February 2021

W basenie Morza Śródziemnego powstały jedne z najstarszych cywilizacji świata. Rozwinęły się tu kultury Egiptu, starożytnej Grecji i Rzymu. Było to miejsce przenikania się sztuki perskiej, hellenistycznej, starochrzesciańskiej, bizantyjskiej i islamu. Ponadto region śródziemnomorski cechuje się łagodnym klimatem i urozmaiconym krajobrazem. Są to powody powstania wspaniałych założeń ogrodowych. Przeprowadzono badania wybranych obiektów ogrodowych na terenie Hiszpanii i na Cyprze. Zwrócono uwagę na układ funkcjonalno-przestrzenny ogrodów, roślinność i zastosowane materiały. Badania objęły ogród zabytkowy Park Güell w Barcelonie oraz współczesne ogrody przydomowe.
TATHBȊQ WASȊLAH AL-TA'LIM "POWTOON" FȊ TARQIYYATI MAHᾹRAH AL-‎QIRᾹ'AH‎
Authors: Hanifah Umi , Hidayah Muhfidatul Winda Winda 
Published: February 2021

Among the problems of learning Arabic in Islamic schools is the number of students who find it difficult to learn reading skills, one of the reasons is the use of learning media that is not effective and causes students to get bored. Therefore, in this study the authors examine the "Powtoon" learning media to improve reading skills. The purpose of this study was to determine the application of the "Powtoon" learning media and the effectiveness of its application in improving reading skills, therefore this research is very important for Arabic teachers in solving the problem of learning reading skills. This study is a quantitative study. The subjects in this study were students of class VII at State Islamic Junior High School 2 Sidoarjo. Data collection uses observation, interview and test. The results showed that the application of the "Powtoon" learning media was effective in improving the reading skills students of class VII at State Islamic Junior High School 2 Sidoarjo with a score of t_0, the result was 29.8 and tt was 1.701, so t_0 was greater than tt which means that the null hypothesis (Ho) is Rejected and the alternative hypothesis (Ha) is accepted.
Keywords: Learning Media, Powtoon, Reading Skills,