bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of Self-medication practices and patterns among the healthcare professionals in a tertiary care hospital
Authors: Padmavathi T , Murugan Rajavel , B H Hansi 
Published: August 2021

Over recent days self medication has become much prevalent among general population as well as medical fraternity and can cause serious implications such as financial cost, wastage of resources, drug resistance and adverse effects. More than 50% of general population have been found to implicate practice of self medication. Due to the nature of their work, the health care workers have a good idea about drug dosages and frequently indulge in self medication.This observational, questionnaire based study was conducted in a tertiary care hospital after obtaining approval from IEC. Questionnaire comprising of 20 questions pertaining to self-medication such as drugs administered, the reasons for self-medications, the diseases and adverse reactions was distributed to the staff nurses, nursing assistants, lab technicians and theatre assistants. Out of 170 healthcare professionals 150 responded Of the 90 participants who had illness 73 participants (81.1%) self-medicated. The main reasons for self-medication were availability of the old prescription (32.9%), triviality of illnesses (19.2%), familiarity with the drugs (19.2%) and long distance to reach the doctor (15.1%). The drugs used were analgesics and antipyretics (NSAIDS) (78.6%), anti-ulcer drugs (20%), anti-histamines (11.4%) and antibiotics (10%).The symptoms were headache (61.4%), fever (17.1%), acidity (17.1%), cough and cold (14.3%), body pain (12.9%) and GIT (5.7%).Self medication practice among health care workers was proved to be high since they are closely related to doctors and drugs.The high prevalence has to be reduced since it could lead to drug resistance and unwanted side effects.
Outcome of neonates born to mothers with premature rupture of membranes
Authors: Charan Murmu Mangal , Mahala Ratikanta , Ranjan Champatiray Jyoti , Pradhan Madhusmita 
Published: August 2021

Premature rupture of membranes (PROM) is a syndrome characterized by rupture of the fetal membranes before labour. Acute chorioamnionitis complicates 0.5% - 10% of all pregnancies but the incidence may be as high as 3-25% in pregnancies complicated by PROM of more than 24 hours duration. Intrauterine infection specially chorioamnionitis is one of the most serious problems found by the practicing Obstetrician and subsequently by the Pediatrician. The incidence of neonatal infection for infants born to women with PROM range from 1 – 2.6%. To know the incidence, clinical course, outcome of early onset sepsis following PROM more than 18 hours. Materials & Methods: This is a prospective study conducted from December 2018 to September 2020 in SCB Medical College and Hospital and SVPPGIP Cuttack. All neonates born to healthy mothers with PROM more than 18 hours during their hospital stay were studied. 53.3% of the cases had Premature rupture of membranes of 18-24 hours duration,38.3% cases had Premature rupture of membranes of 24 to 72 hour and 8.4 % cases had Premature rupture of membranes of more than 72 hr. RDS was the most common clinical manifestation (37.5%) followed by septicemia (10%), meningitis (1.7%) and pneumonia 1.7%. Most common organisms isolated in blood culture were Staphylococcus followed by Klebsiella, E. coli, Pseudomonas. The incidence of neonatal infection in neonates born to mothers with PROM was 10%. Premature rupture of membranes is responsible for increased perinatal morbidity among preterm neonates & directly proportional to duration of PROM.
Circumstances of death and pattern of fatal railway injury
Authors: Kumar Patnaik Kiran , Panigrahi Hemanta , Das Sudeepa 
Published: August 2021

The progressive extension of railway networking and increasing number of passengers as well as goods train to meet the demands of rapid industrialization and growing urbanisation, results in an increase in the various modes of railway fatalities. To evaluate the pattern and distribution of fatal railway injuries in relation to the circumstances of death in cases of railway related deaths. The study was conducted at Forensic Medicine and Toxicology department of M.K.C.G. Medical College & Hospital, Berhampur for medico legal autopsy on selected cases of death due to alleged railway injuries, were subjected to thorough post mortem examination and the pattern of injuries noted.A total number of 1314 cases were brought for medico-legal autopsy during the study period, out of which 94 cases were selected for the present study having clear history of railway related deaths (in which either a train caused death or in which a body was found on the track) excluding all other causes of death (even the cases brought by the GRPS having natural deaths were not considered as study material). The study conducted in the department of Forensic Medicine and Toxicology revealed that the number of railway related deaths, both accidents and suicides is substantial in the locality. Amongst these, accidental railway deaths (63.83%) outnumber the other manners of death. The ante mortem nature of the railway injuries could be well established in the present case study material.
Deciphering the diagnostic dilemma of abdominopelvic tuberculosis and advanced ovarian cancer
Authors: Gandhi Anitha , Shanmugasundaram Sundaram , Shunmugam Deepa 
Published: August 2021

Abdominopelvic tuberculosis often poses a diagnostic challenge due to its bizarre clinical features and inconclusive imaging features. Most such patients were categorized under advanced ovarian cancer and undergo radical cytoreductive surgery with its associated morbidity, which would otherwise resolve spontaneously with medical management. This is a retrospective study of ten patients referred to the Department of Surgical Oncology between November 2015 to October 2018 in a tertiary care centre at south Tamil Nadu, India as advanced ovarian cancer and later diagnosed to have tuberculosis.In 10 patients, the mean age was 34 years; mean CA125 was 496.6 IU/ml. abdominal pain and distension, loss of weight were seen in 70% of cases, respectively.Only one patient had a prior history of tuberculosis. The imaging findings were complex adnexal mass in 9 patients (90%), ascites in 6 patients (60%) and omental stranding in 6 patients (60%). Abdominal paracentesis was done in 6 patients (60%) and all had lymphocyte rich effusion. The diagnosis is established by laparotomy and biopsy in seven patients (70%), diagnostic laparoscopy in two patients (20%) and image-guided trucut biopsy in one patient (10%) with histopathology revealing caseating granulomas. With our patients' experience, a high index of suspicion is always needed whenever we encounter young women presenting with ascites, adnexal mass and elevated serum CA125 even when the routine investigations for tuberculosis reveal negative findings. The biopsy is the gold standard for establishing the diagnosis and to commence therapy.
Carotid plaque morphology-An indicator for brain infarcts
Authors: Mukherjee Nilanjan , Kumar Sen Kamal , Mohapatra Manoranjan , Kumar G Monoj , Arun Kumar B 
Published: August 2021

Cerebrovascular adverse events are one of the most common causes for morbidity and mortality worldwide. Thromboembolism being the culprit behind a significant number of such events. An attempt has been made to ascertain the association of carotid plaque morphology in the occurrence of ischemic stroke. Heterogeneous plaques (Type 2 & 3) weremostly observed to be ipsilateral to the side of brain infarct, as compared to the contralateral side. Detection of heterogeneous plaques and plaque ulceration in patients may indicate future development of stroke. This study included 75 consecutive patients having anterior circulation infarct in MRI of the brain and atherosclerotic changes in extra cranial carotid system on Carotid Duplex scan. Plaque morphology ipsilateral to the brain infarct was compared to that on the contralateral side. Significantly higher number of heterogeneous plaques (Type 2 & 3) were present ipsilateral to the side of brain infarct, as compared to the contralateral side (p-value 0.004). Plaque ulceration was also observed to be present more frequently on the side of infarct (22.6% on the ipsilateral side and 5.4% on the contralateral side). Moreover, Diabetes mellitus and dyslipidemia were the most prevalent risk factors (78.2% and 65.2%, respectively) in patients with these types of plaques. Detection of heterogeneous plaques and plaque ulceration in patients may indicate future development of stroke, necessitating prompt and appropriate management protocols.Periodic screening of such patients with Carotid Duplex Ultrasonography is expected to be very helpful.
Ma
Authors: Verdejo Ruiz Mónica 
Published: August 2021

En Japón, tradicionalmente las artes como la pintura, la música, el teatro y, en especial la caligrafía –shodo–, comparten una constante esencial: el no-ser como agente compositivo en oposición al ser. En términos matéricos esto puede expresarse en la dualidad interdependiente lleno-vacío. El término nipón ma implica tanto ese vacío en sí mismo -como intervalo-, como la simultánea percepción de lleno y vacío. Su vinculación con la percepción espacial ha sido objeto de interés durante las últimas décadas. Sin embargo, escasean las declaraciones en cuanto a la materialización del ma por medio de la construcción física. Por ello, la presente investigación persigue descifrar los medios a través de los cuales dicha dualidad se manifiesta en la arquitectura.
Para ello se analizarán dos obras proyectadas por Kazuo Shinohara, defensor de la esencia arquitectónica tradicional nipona y la condición artística de la casa. El estudio se centra en los planos de la Casa Paraguas y la Casa en una Calle Curvada, redibujados especialmente para esta investigación siguiendo un código binario que distingue el lleno, en negro, del vacío, en blanco.
A partir de los resultados obtenidos, se infiere que Shinohara intencionadamente condensa las actividades domésticas, liberando el resto del interior de compartimentaciones y configurando así un gran espacio vacío en el que aparecen elementos estructurales aislados, cuya función consiste en tensionar el vacío a través de la variabilidad en las distancias con respecto de la envolvente.
Ambas estrategias –los distintos grados de compartimentación, y por tanto, de condensación del lleno, y la tensión del vacío a través de elementos aislados– son igualmente apreciables en las obras de shodo. Y a pesar de las fundamentales diferencias entre ambas disciplinas, más allá de una azarosa coincidencia, tales similitudes apuntan hacia una lógica compositiva común, que encuentra su centro en la configuración del ma.
PENERAPAN METODE BERMAIN AKTIF UNTUK MENINGKATKAN PERILAKU IMAN DAN SOSIAL ANAK USIA KELAS BALITA DI SEKOLAH MINGGU GEREJA BETHEL INDONESIA TANAH ABANG [THE IMPLEMENTATION OF THE ACTIVE PLAY METHOD TO IMPROVE THE FAITH AND SOCIAL BEHAVIOR OF CHILDREN IN THE SUNDAY SCHOOL OF BETHEL CHURCH INDONESIA, TANAH ABANG]
Authors: Prawatya Michaella 
Published: August 2021

<p>The Nursery Sunday School of GBI Tanah Abang was accustomed to share God’s words by story telling method. Nevertheless, the method raised issues, where the children easily got bored and their faith as well as social behavior were not improved. Based on those issues, the teacher was eager to look for improvement by carrying out classroom action research through active play method. This study aimed at: (1) describing the implementation of active playing method, (2) analyzing children’s faith and social behaviors, (3) identifying the obstacles of active-play method’s implementation. Prior to this study, seven children were chosen as research subjects to participate in three cycles. The data was obtained by observation, field notes, teacher’s interview, lesson plan documentation, and parents’ questionnaires. The study results: (1) improving actions are done according to the active playing method sequences with improvements on the next cycle (2) 86% of all students achieve high level of faith behavior (3) 71% of all students reach intermediate to high level of social behavior (4) arising obstacles are the limitations of students in communication, lack of knowledge and preparation of teachers regarding to playing method, learning time constraints, as well as the limitations of existing facilities.</p><p><strong>BAHASA INDONESIA ABSTRACT: </strong>Sekolah minggu GBI Tanah Abang memiliki kelas untuk anak usia Balita, di mana, firman Tuhan biasa dibagikan dengan menggunakan metode bercerita. Namun hal tersebut membuat anak-anak cepat bosan serta iman dan perilaku sosialnya tidak berkembang. Berdasarkan kerisauan guru tersebut maka dilakukan tindakan perbaikan berupa penelitian tindakan kelas dengan menerapkan metode bermain. Tujuan penelitian ini adalah: (1) mendeskripsikan penerapan metode bermain, (2) menganalisis perilaku iman dan sosial anak, (3) mengidentifikasi kendala-kendala dalam penerapan metode bermain. Penelitian ini dilaksanakan dalam tiga siklus, dengan subjek tujuh anak. Data didapat melalui observasi, catatan lapangan, wawancara guru, dokumentasi RPP, dan kuesioner kepada orang tua. Setelah itu data dianalisis secara kualitatif deskriptif. Hasil dari penelitian ini menunjukkan: (1) tindakan perbaikan dilakukan sesuai dengan langkah metode bermain dengan penyempurnaan pada siklus berikutnya, (2) terlihat peningkatan perilaku iman hingga 86% siswa mencapai tingkat tinggi, (3) terlihat peningkatan perilaku sosial hingga 71% siswa mencapai tingkat sedang hingga tinggi, (4) kendala-kendala yang dihadapi antara lain keterbatasan siswa dalam berkomunikasi, kurangnya pengetahuan dan persiapan guru mengenai metode bermain, keterbatasan waktu pembelajaran, serta keterbatasan fasilitas yang ada.</p>
Upaya Meningkatkan Kemampuan Representasi Matematis Siswa dengan Metode Pembelajaran Guided Note Taking Berbantuan Geogebra
Authors: Juliana Veva Rahmawati  
Published: August 2021

ABSTRAK
Kemampuan representasi matematis merupakan salah satu aspek penting yang harus dikuasai peserta didik. Melalui proses representasi yang baik, peserta didik akan mampu untuk menemukan gagasan-gagasan ataupun ide-ide dari suatu permasalahan yang disajikan. Akan tetapi, masih banyak peserta didik yang belum memiliki kemampuan reprsentasi matematis yang baik. Salah satunya dijumpai pada peserta didik XI-TEDK 2 SMKN 26 Jakarta. Hal ini tentunya membuat peserta didik tidak memiliki kepercayaan diri serta keyakinan positif terhadap matematika. Metode Guided Note Taking (GNT) berbantu software GeoGebra dapat menjadi salah satu alternatif pembelajaran yang dapat digunakan. Jenis penelitian ini, merupakan Penelitian Tindakan Kelas (PTK) yang dilakukan dalam tiga siklus. Setiap siklus terdiri dari 4 tahap yaitu perencanaan, pelaksanaan, analisis dan refleksi. Terdapat 34 peserta didik yang menjadi subjek penelitian pada XI-TEDK 2. Metode GNT berbantu GeoGebra diakhiri dengan tes akhir siklus untuk mengukur kemampuan representasi matematis peserta didik. Hasil penelitian menunjukkan bahwa, persentase kemampuan representasi matematis peserta didik mengalami peningkatan di setiap siklusnya. Siklus I memperoleh sebesar 61,76%, meningkat menjadi 79,41% pada siklus II dan 88,23% pada siklus III. Selain itu, terjadi peningkatan, atau minimal tidak terjadi penurunan kemampuan representasi matematis peserta didik pada setiap siklusnya.

Kata kunci : Kemampuan Representasi Matematis, GNT, GeoGebra.
The Effect Of Returnon Asset Returnon Equity And Current Ratio On Company Value With Good Corporate Governance As Moderating Variables
Authors: Nova Yolanda , Maryanti Enny 
Published: August 2021

This study uses a quantitative approach. Sampling is ii purposive sampling. the initial population of 81 companies after passing the criteria stage, the remaining 51 companies were used in this study. The data analysis technique used is the Outer Model to test the validity and reliability of the data and the Inner Model to test the hypothesis using the SmartPLS version 3.0 program.
The results of this study indicate that: 1) Good Corporate Governance cannot moderate the relationship between4redcx ROA and firm values ​​as evidenced by a p-value of 0.52 and a t-statistic value of 1.944, 2) Good Corporate Governance does not can moderate the relationship between ROE and firm value as evidenced by a p-value of 0.120 and a t-statistic value of 1.556, 3) Good Corporate Governance cannot moderate the relationship between CR and firm values ​​as evidenced by a p-value of 0.314 and the t-statistic value is 1.009.
Coreflood Model Calibration for Alkali Surfactant Polymer Process from a High Salinity Reservoir to Design an ASP Pilot
Authors: Urdaneta Marisely 
Published: August 2021

Abstract
This paper aims to address calibration of a coreflood Alkali Surfactant Polymer (ASP) formulation experiment through parametrization of fluid-fluid and rock-fluid interactions considering cation exchange capacity and by rock to guide an ASP pilot design.
First of all, a series of chemical formulation experiments were studied in cores drilled from clastic reservoir so that displacement lab tests were run on linear and radial cores to determine the potential for oil recovery by ASP flooding and recommended the chemical formulation and flooding schemes, in terms of oil recovery. Therefore, to simulate the process, those tests performed with radial core injection were taken, because this type of test has a better representation of the fluid flow in reservoir, the fluids are injected by a perforation in the center of the core, moving in a radial direction the fluids inside the porous medium. Subsequently, displaced fluids are collected on the periphery of the core carrier and stored in graduated test tubes. The recommended test was carried out to the phase of numerical simulation and historical matching. Reservoir simulation is one of the most important tools available to predict behavior under chemical flooding conditions and to study sensitivities based on cost-effective process implementation. Then, a radial core simulation model was designed from formulation data with porosity of 42.6%, a pore volume (PV) of 344.45 ml, radius of 7.17 cm and weight of 1225.84 g. The initial oil saturation was 0.748 PV (257.58 ml), with a critical water saturation of 0.252 PV (86.78 ml).
For the simulation model historical matching, adjustments were made until an acceptable comparison was obtained with laboratory test production data through parameterization of relative permeability curves, chemical adsorption parameters, polymer viscosity, among others; resulting in an accumulated effluents production mass 37% greater for alkali than obtained in the historical, regarding to surfactant the deviation was 8% considered acceptable and for the polymer the adjustment was very close. For the injector well bottom pressure, the viscosity ratio of the mixture was considered based on the polymer concentration and the effect of the shear rate on the viscosity of the polymer as well as the effect of salinity in the alkali case.
Finally, a calibrated coreflood numerical simulation model was obtained for ASP flooding to design an ASP Pilot with a residual oil saturation of 0.09 PV (31 ml) meaning 64% more recovered oil compared to a waterflooding case.
The Zone II Aorta is not a Forbidden Zone for Occlusion in Women with Morbidly Adherent Placenta
Authors: Liu Juanfang , Xie Shanshan , Zhou Xueliang , Li Zhaonan , Chen Jianjian , Han Xinwei 
Published: August 2021

Abstract
Aim: To evaluate the safety and efficacy of balloon occlusion at the Zone II aorta for the management of morbidly adherent placenta.Methods: From September 2015 to October 2018, a total of 80 consecutive patients who were prenatally diagnosed with morbidly adherent placenta were assigned into two groups: the balloon occlusion group (n=40) and the non-balloon occlusion group (n=40). The intraoperative estimated blood loss, blood transfusion, urine output, serum creatinine (Scr), blood urea nitrogen (BUN) and hysterectomy rate were recorded and compared between the two groups.Results: The estimated blood loss in the balloon occlusion group was significantly lower than that in the non-balloon occlusion group (811.75±299.93 ml vs 1529.75±808.01 ml, P<0.001). The median amount of packed RBCs transfused in the balloon occlusion group and non-balloon occlusion group was 0 U and 2 U, respectively (P=0.001). The women in the former group had a lower blood transfusion rate than those in the latter group (30% vs 57.5%, P=0.013). Hysterectomy occurred in none in the balloon occlusion group but in 6 patients in the non-balloon occlusion group (P=0.011).Conclusion: The middle abdominal aorta (Zone II) is not a forbidden zone for occlusion as long as the single occlusion time is limited to 15 mins. Balloon occlusion at the Zone II aorta can effectively reduce blood loss, transfusion requirements and hysterectomy rates in patients with morbidly adherent placenta.
Molecular diversity in Lactucaspeciesusing Isozymes and RAPD Markers
Authors: Sammour Reda H. Helmy , Mustafa A-Z. A. 
Published: August 2021

Abstract
Understanding of the molecular basis of genetic diversity in Lactucaaccessions is substantial for the management, improvementand efficient uses of Lactuca accessions. Therefore, this workaimed to evaluate molecular diversity among twenty-six accessions of Lactuca species usingisozymes and RAPD analyses. The polymorphic percentages were 87.09%and 100% in isozymes and RAPD analyses respectively, indicating a high genetic variation within and among Lactuca species. The number of alleles were higher in the wild species compared to the cultivated species, reflecting a reduction in the richness of alleles in the cultivated species due to domestication that caused a reduction in genetic diversity to meet the demand for high crop productivity.Isozymes and RAPD clustering dendrogrames: (1) separated,L. sativa accessions in more than one cluster confirming their polyphyletic origin; (2)collected the accessions of L. vimineain one cluster revealed its homogeneity; and (3) divided the accessions of L.saligna in two clusters varied in the number of alleles, particularly “A” form. The corresponding analysis associated the accessions of the wild species based on the alleles “B”of the tested isozymes and the cultivated species on alleles “A” and “C”, suggesting that: (1) allele “B” might be the primitive form of these loci that can tolerate the environmental stresses which prevails in the habitats of the wild species, and (2) “A” and “C” could be the derived forms. These results are of great interest for the management of Lactuca germplasm and for future breeding programs of lettuce.