bluuebunny/crossref_metadata_2025_split huggingface dataset:
Segurança do paciente em centro cirúrgico: desafios para a prática de enfermagem
Authors: Oliveira Bárbara Cristina da Silva , De Oliveira Deiziane Serafim , Ferreira Josefa Danielma Lopes , Virgínio Nereide de Andrade , Monteiro Gicely Regina Sobral da Silva , De Lima César de Andrade , De Oliveira Regina Célia , Gonçalves Karyne Kirley Negromonte , Morais Camila Abrantes Cordeiro 
Published: March 2021

Objetivo: Conhecer a percepção dos profissionais de enfermagem acercada segurança do paciente em centro cirúrgico. Métodos: Trata-se de uma pesquisa de caráter exploratório e descritivo, com abordagem qualitativa, realizada em um centro cirúrgico por meio de entrevista semiestruturada. A amostra foi constituída por 10 profissionais de enfermagem. Os dados foram organizados e analisados através da Análise de Conteúdo, proposta por Bardin. Resultados: Foi possível identificar duas categorias temáticas: Percepção da equipe de enfermagem acerca da Segurança do Paciente; Fatores que interferem na segurança do paciente em centro cirúrgico. Os resultados contribuem para revelar os fatores relacionados a subjetividade que envolve a relação entre a equipe de enfermagem e a percepção a respeito da segurança do paciente no centro cirúrgico, evidenciado também a importância da educação permanente na instituição para fornecer subsídios para capacitação dos profissionais, guiando uma assistência qualificada. Conclusão: A equipe de enfermagem associa o tema de segurança do paciente com prevenção, proteção e cuidados durante a assistência. As principais atividades realizadas no centro cirúrgico foram a realização do checklist, identificação correta do paciente, prevenção de lesão por pressão, comunicação e higienização simples das mãos.
POLA BANGUNAN LEUIT, SAUNG LISUNG, DAN GOAH MASYARAKAT SUNDA KASEPUHAN CIPTAGELAR DALAM PENGELOLAAN PANGAN
Authors: Aulia Afina Nisa , Adhitama Gregorius Prasetyo 
Published: March 2021

Sebagai masyarakat peladang yang masih menerapkan aturan leluhur, masyarakat Sunda Kasepuhan Ciptagelar memiliki aturan tersendiri terkait pengolahan pangan, dimulai dari menyimpan padi di leuit (lumbung), menumbuk padi di saung lisung, hingga memasak nasi di goah (area masak). Tidak hanya itu, masyarakat ini juga tidak pernah kekurangan pangan, bahkan memiliki persediaan pangan yang cukup hingga beberapa tahun kedepan. Sehingga tujuan utama dari penelitian ini adalah untuk melihat keterkaitan penggunaan leuit, saung lisung, dan goah dengan keberhasilan masyarakat Kasepuhan Ciptagelar dalam mengelola pangan, terutama dari sisi pola letak bangunan. Berdasarkan tujuan tersebut, maka penelitian ini termasuk ke dalam penelitian etnografi dengan metode penelitian kualitatif. Data dalam penelitian ini diperoleh dari hasil observasi site-plan kampung adat Sunda Kasepuhan Ciptagelar, jarak antar bangunan, serta jumlah bangunan secara keseluruhan. Setelahnya data dianalisa menggunakan teori Ruang dan Jarak Edward Relph yang menyatakan bahwa jarak tiap bangunan merepresentasikan identitas dan maknanya sendiri yang didasari oleh pemahaman manusia mengenai ruang atau jarak dari lingkungan yang dihuni. Analisa mengenai posisi dan jarak bangunan ini kemudian dikaitkan dengan keberhasilan pengelolaan pangan masyarakat Kasepuhan Ciptagelar dengan menggunakan metoda analisa interpretatif. Hasil penelitian menemukan bahwa keseluruhan desa Kasepuhan Ciptagelar merupakan area yang luas sehingga terbagi menjadi beberapa klaster bangunan yang saling terpisah dengan jarak yang cukup jauh satu sama lain. Meskipun begitu, dikarenakan ketiga obyek penelitian ini merupakan satu kesatuan yang terintegrasi hingga tidak dapat dipisahkan, maka ketiganya akan selalu ada di tiap klaster yang paling kecil dan terisolir sekalipun. Dengan demikian, tiap klaster memiliki setidaknya satu komplek leuit tempat menyimpan padi, satu saung lisung tempat menumbuk padi, dan masing-masing rumah memiliki goah tempat memasak beras. Adanya ketiga jenis bangunan ini menjadikan tiap klaster berdaulat dalam hal pangan dimana mereka masing-masing memiliki fasilitas untuk menyimpan padi, menumbuk padi, dan memasak nasi.
ANALISIS PENYELESAIAN TINDAK LANJUT HASIL PEMERIKSAAN BPK PADA PEMERIKSAAN KINERJA ATAS KEGIATAN APIP INSPEKTORAT KABUPATEN BARITO TIMUR
Authors: Banjar Nahor Josmar Lambok , Adriani Ade , Nor Wahyudin 
Published: March 2021

AbstrackThe purpose of this research is to reveal the obstacles in the completion of the follow-up of audit the BPK of the performance audit of APIP Inspectorate of East Barito Regency. This research uses qualitative methods with a case study approach which was carried out at the Inspectorate of Barito Timur, Central Kalimantan from September to December 2018. The result of the analysis reveal that the obstacles in completing this follow-up are caused by several internal aspects, including: 1) human resources, the lack of ASN, the mismatch of the educational background of the ASN personnel, and the lack of teamwork 2) leadership, the leader has not yet prepared a work plan for completion of the follow-up to the BPK audit results on performance audit of APIP activities, formed a special team, coordinates, controls, never holding a special meeting to discuss BPK findings on the completion of the BPK audit follow - up on the performance audit APIP, there is no formation of a special team that handle the completion of the follow-up results of the BPK audit on the performance audit of APIP, there is no instruction from the leadership to complete the follow-up of the BPK audit results on the APIP performance audit. 3) Work environment, non-physical work environment, a work culture that has not been optimal , encourages completion of follow-up. Meanwhile, the physical work environment, such as the availability of facilities and facilities is still limited.Research on these three aspects is very useful to understand how to optimize the acceleration of the completion of the follow-up of the inspection results, especially in the Inspectorate of East Barito Regency APIP
STRUKTUR KEPEMILIKAN MANAJERIAL, STRUKTUR KEPEMILIKAN INSTITUSIONAL, DAN UKURAN PERUSAHAAN TERHADAP KINERJA PERUSAHAAN DAN DAMPAKNYA TERHADAP MANAJEMEN LABA PADA PERUSAHAAN SEKTOR PERTAMBANGAN BATUBARA PADA TAHUN 2017-2019
Authors: Malahayati Rina 
Published: March 2021

This study is aimed to examine the influence of managerial ownership structure, institutional ownership structure, and firm size on company performance and the impact on the earning management on companies of sector coal mining in 2017 – 2019. Unit analysis are companies listed on coal mining for period 2017-2019. The population are 75 observations (25 companies x 3 years). Data processing uses panel data processed by using SPSS. For testing the hypothesis, the study uses path analysis. The result showed that (1) managerial ownership structure, institutional ownership structure, and firm size simultaneously to company performance, (2) the managerial ownership structure no effect on company performance, (3) the institutional ownership structure effect to negatively on company performance, (4) the firm size effect to positively on company performance, and (5) the company performance effect to negatively on earning management.
KELUHAN SUBJEKTIF PENYAKIT KULIT PADA PEKERJA DI BAGIAN PACKING HASIL LAUT
Authors: Entianopa Entianopa - 
Published: March 2021

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p>Penyakit kulit pada nelayan akibat pengaruh air laut yang karena kepekatannya oleh garam, dalam hal ini ar laut merupakan penyebab dermatosis kulit kronis dengan sifat primer. Tapi penyakit kulit mungkin pula disebbakan oleh jamur atau binatang laut. Pekerjaan basah merupakan tempat berkembangnya penyakit jamur. Gatal mungkin menghinggapi nelayan yang hidup di pantai dengan keadaan sanitasi yang kurang baik. Penelitian ini merupakan penelitian <em>analitik</em> dengan pendekatan <em>cross sectional</em> yang bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan keluhan subjektif pada karyawan di Bagian Packing Hasil Laut di Mendahara Kabupaten Tanjung Jabung Timur Tahun 2018. Populasi dalam penelitian ini adalah seluruh karyawan di Bagian Packing Hasil Laut di Mendahara Kabupaten Tanjung Jabung Timur Tahun 2017 yang berjumlah 41 orang. Sampel secara <em>total sampling </em>yaitu seluruh karyawan yang berjumlah 41 orang. Proses penelitian ini dilakukan pada tanggal 9 April-20 April Tahun 2018 di Bagian Packing Hasil Laut di Mendahara Kabupaten Tanjung Jabung Timur. Data dianalisis secara univariat dan bivariat dengan menggunakan <em>uji Chi Square</em>. Hasil penelitian diperoleh sebagian besar (58,5%) responden memiliki pengetahuan rendah, (56,1%) responden memiliki sikap kurang baik, (56,1%) responden memiliki personal hygiene kurang baik dan (65,9%) responden pernah mengalami keluhan subjektif penyakit kulit. Hasil analisis bivariat diperoleh bahwa terdapat hubungan yang signifikan antara pengetahuan dengan p-value = 0,014, sikap dengan p-value = 0,026, personal hygiene dengan p-value = 0,000 dengan keluhan subjektif penyakit kulit. Diharapkan dapat meningkatkan pengetahuan dan wawasan tentang pencegahan penyakit kulit, serta pemeriksaan rutin kesehatan dengan memanfaatkan pelayanan kesehatan setempat agar kejadian penyakit kulit dapat dikenali secara dini.</p></td></tr></tbody></table></div>
Phytochemical Screening, Antibacterial and Cytotoxic Activity of Dendobium lasianthera J.J.Sm. from Papua
Authors: Agustini Verena , Simaremare Eva S. , Gunawan Elsye , Awom Jane , Wopi Susan 
Published: March 2021

The aims of the study are to evaluate bioactive compounds, antibacterial and cytotoxic potential of D. lasianthera. This orchid grows well all over New Guinea Island as an ornamental plant because of their beautiful flowers. Orchids also known rich of its phytochemical compounds which already used as a traditional medicine in many countries around the world. However, research in pharmacological fields is still limited. In this study, leaves and stem of D. lasianthera were powdered and extracted with ethanol followed by fractionated using n-hexane, ethyl acetate, and ethanol solvent. Extract as well as fraction were tested for phytochemical screening and determined antibacterial activity against Escherichia coli and Staphylococcus aureus using Disc Diffusion Method. Brine Shrimp Lethality Test (BSLT) was used to observe cytotoxic potential of leaves and stem extract and fraction at 10, 50, 100, 250, 500, 750, and 1000 ppm. The results showed that the leaves and stem extract contained tannin and alkaloids, separately. The ethanol extract of D. lasianthera showed 7.35 mm (leaves) and 7.43 mm (stem) inhibition zone against S. aureus Furthermore, the maximum inhibition zone of ethanol fraction of leaves and n-hexane fraction of stem were 8.42 mm and 8.10 mm separately. The LC50 of stem extract and fractions in these study were 699.3 ppm (ethanol extract), 602.1 ppm (ethyl acetate), 329.6 ppm (n-hexane fraction) and 676 ppm (ethanol fraction), whereas for leaves, only ethyl acetate fraction has toxict activity with an average LC50 833.2 ppm.Â Key words: D. lasianthera; phytochemical screening; antibacterial; cytotoxicity; Papua.Â
The effect of consuming an anthocyanin-containing supplement derived from Bilberry (Vaccinium myrtillus) on eye function: A Randomized, Double-Blind, Placebo-Controlled Parallel Study
Authors: Sekikawa Takahiro , Kizawa Yuki , Takeoka Atsushi , Sakiyama Takuji , Li Yanmei , Yamada Takahiro 
Published: March 2021

Objective: The purpose of this study was to determine the effects of 6-week consumption of anthocyanin-containing supplement on eye function.Methods: This was a randomized, placebo-controlled, double-blind, parallel-group comparison study involving 32 healthy Japanese adults with eye fatigue after using visual display terminals (VDTs). Subjects were randomly allocated into either the active group (bilberry-derived anthocyanin 43.2 mg per capsule) or placebo group using a random number generator. Subjects consumed either one active or placebo capsule once a day for 6 weeks. The primary outcome measured was the change in percentage of pupillary response pre- and post-VDT use, whereas the secondary outcomes were tear film break-up time, Schirmer's value, muscle hardness, and subjective symptoms. Experimental data was analyzed using Student's t-test, the two-way analysis of covariance, or Mann–Whitney U-test.Results: Each group included 15 subjects in the efficacy analysis. The active group showed a significant improvement in the logarithmic conversion values of the percentage of pupillary response (active group: 0.2 ± 0.4, placebo group: 0.0 ± 0.3; P = 0.043) and pupillary response/near point (active group: 0.1 ± 0.4, placebo group: −0.1 ± 0.3; P = 0.049) pre- and post-VDT use at 6 weeks compared with the placebo group in a subgroup analysis per eye. No adverse events were reported.Conclusions: The consumption of the supplement containing anthocyanins extracted from bilberry for 6 weeks inhibited the decrease in the accommodative function caused by oxidative stress due to VDT use.Trial registration: UMIN-CTR: UMIN000037039.Foundation: BGG Japan Co., Ltd. and Arysta Health and Nutrition Sciences Corp.
Aortic Valve Calcification Is Associated with Future Cognitive Impairment
Authors: Chung Hojune E. , Chen Jessica , Ghosalkar Dhairyasheel , Christensen Jared L. , Chu Alice J. , Mantsounga Chris S. , Neverson Jade , Soares Cullen , Shah Nishant R. , Wu Wen-Chih , Choudhary Gaurav , Morrison Alan R. 
Published: March 2021

Background: While an association between atherosclerosis and dementia has been identified, few studies have assessed the longitudinal relationship between aortic valve calcification (AVC) and cognitive impairment (CI). Objective: We sought to determine whether AVC derived from lung cancer screening CT (LCSCT) was associated with CI in a moderate-to-high atherosclerotic risk cohort. Methods: This was a single site, retrospective analysis of 1401 U.S. veterans (65 years [IQI: 61, 68] years; 97%male) who underwent quantification of AVC from LCSCT indicated for smoking history. The primary outcome was new diagnosis of CI identified by objective testing (Mini-Mental Status Exam or Montreal Cognitive Assessment) or by ICD coding. Time-to-event analysis was carried out using AVC as a continuous variable. Results: Over 5 years, 110 patients (8%) were diagnosed with CI. AVC was associated with new diagnosis of CI using 3 Models for adjustment: 1) age (HR: 1.104; CI: 1.023–1.191; p = 0.011); 2) Model 1 plus hypertension, hyperlipidemia, diabetes, CKD stage 3 or higher (glomerular filtration rate < 60 mL/min) and CAD (HR: 1.097; CI: 1.014–1.186; p = 0.020); and 3) Model 2 plus CVA (HR: 1.094; CI: 1.011–1.182; p = 0.024). Sensitivity analysis demonstrated that the association between AVC and new diagnosis of CI remained significant upon exclusion of severe AVC (HR: 1.100 [ 1.013–1.194 ]; p = 0.023). Subgroup analysis demonstrated that this association remained significant when including education in the multivariate analysis (HR: 1.127 [ 1.030–1.233 ]; p = 0.009). Conclusion: This is the first study demonstrating that among mostly male individuals who underwent LCSCT, quantified aortic valve calcification is associated with new diagnosis of CI.
Superior Frontal Gyrus TOMM40-APOE Locus DNA Methylation in Alzheimer’s Disease
Authors: Bezuch Natalia , Bradburn Steven , Robinson Andrew C. , Pendleton Neil , Payton Antony , Murgatroyd Chris 
Published: March 2021

Background: The APOE ɛ4 allele is the strongest known genetic risk factor for sporadic Alzheimer’s disease (AD). The neighboring TOMM40 gene has also been implicated in AD due to its close proximity to APOE. Objective: Here we tested whether methylation of the TOMM40-APOE locus may influence ApoE protein levels and AD pathology. Methods: DNA methylation levels across the TOMM40-APOE locus and ApoE levels were measured in superior frontal gyrus tissues of 62 human brains genotyped for APOE and scored for AD neuropathology. Results: Methylation levels within the TOMM40 CpG island in the promoter or APOE CpG island in Exon 4 did not differ between APOE ɛ4 carriers versus non-carriers. However, APOE ɛ4 carriers had significantly higher methylation the APOE promoter compared with non-carriers. Although DNA methylation at TOMM40, APOE promoter region, or APOE did not differ between AD pathological groups, there was a negative association between TOMM40 methylation and CERAD scores. ApoE protein concentrations did not significantly different between APOE ɛ4 carriers and non-carriers, or between AD pathological groups. Finally, there was no correlation between ApoE protein concentrations and DNA methylation levels. Conclusion: APOE gene methylation may not be affected by genotype, relate to AD pathology or ApoE protein levels in the superior frontal gyrus, though, DNA methylation at the ApoE promoter differed between genotype. DNA methylation at TOMM40 associated with amyloid-β plaques and longitudinal fluid intelligence. In sum, these results suggest a complicated regulation of the TOMM40-APOE locus in the brain in controlling ApoE protein levels and AD neuropathology.
An intelligent medical decision support system for diagnosis of heart abnormalities in ECG signals
Authors: Revathi J. , Anitha J. , Hemanth D. Jude 
Published: March 2021

This work describes a novel method to detect a Bundle branch block and myocardial infarction from the multi-lead ECG signal. The clinical characteristics of BBB and MI extracted by using a derivative filter and continuous wavelet transform (CWT). The signal with the frequency below 50 Hz obtained and derivative-based filter applied to extract features. The continuous wavelet transforms also applied to the signals of BBB and MI. The CWT coefficients extracted, and the signals reconstructed from the wavelet to obtain the features. The feature vectors generated from each lead of both the methods computed using parameters such as spectral entropy, mean of peaks, total energy from power spectrum density, form factor, and root mean squared value. The results of both the derivative-based filter and CWT analyzed by applying these features to the classifiers. The accuracy of classification of diseases computed using SVM, KNN, Levenberg-Marquardt Neural Network (LMNN), and scaled conjugate gradient backpropagation network (SCG NN). The best accuracy obtained from the derivative filter and wavelet transform method is 96.4% using LMNN and SCGNN classifier and 96.4% using KNN and LMNN classifier respectively.
An innovative method for cardiovascular disease detection based on nonlinear geometric features and feature reduction combination
Authors: Saeedi Abdolkarim , Moridani Mohammad Karimi , Azizi Alireza 
Published: March 2021

Cardiovascular is arguably the most dominant death cause in the world. Heart functionality can be measured in various ways. Heart sounds are usually inspected in these experiments as they can unveil a variety of heart related diseases. This study tackles the lack of reliable models and high training times on a publicly available dataset. The heart sound set is provided by Physionet consisting of 3153 recordings, from which five seconds were fixed to evaluate to the developed method. In this work, we propose a novel method based on feature reduction combination, using Genetic Algorithm (GA) and Principal Component Analysis (PCA). The authors present eight dominant features in heart sound classification: mean duration of systole interval, the standard deviation of diastole interval, the absolute amplitude ratio of diastole to S2, S1 to systole and S1 to diastole, zero crossings, Centroid to Centroid distance (CCdis) and mean power in the 95–295 Hz range. These reduced features are then optimized respectively with two straightforward classification algorithms weighted k-NN with a lower-dimensional feature space and Linear SVM that uses a linear combination of all features to create a robust model, acquiring up to 98.15% accuracy, holding the best stats in the heart sound classification on a largely used dataset. According to the experiments done in this study, the developed method can be further explored for real world heart sound assessments.
Implementasi Model Pembelajaran Terpadu Di SDI Darush Sholihin Kecamatan Tanjunganom Kabupaten Nganjuk
Authors: Anwar Anwar 
Published: March 2021

Peneliti ini dibingkai dalam topik besar program implementasi model pembelajaran terpadu yang difokuskan agar dapat meningkatkan keefektifan peserta didik di SDI Darush Sholihin Nganjuk. Permasalahan yang diajukan dalam penelitian ini meliputi pertanyaan: 1). Bagaimanakah implementasi model pembelajaran terpadu di SDI Darush Sholihin Nganjuk. 2). Bagaimana implementasi model pembelajaran terpadu dapat meningkatkan keefektifan pembelajaran di SDI Darush Sholihin Nganjuk. Jenis pendekatan penelitian ini menggunakan Penelitian kualitatif dengan jenis studi kasus. Metode pengumpulan data dalam penelitian ini dilakukan dengan menggunakan tiga metode yaitu; Pengamatan terlibat (participant observation), Wawan cara mendalam (indepth interview) dan Dokumentasi. Data yang terkumpul setelah data dikumpulkan, lalu pengkodean kemudian diolah dan disajikan serta dibahas lalu dikumpulkan. Penelitian ini berhasil memperoleh temuan sesuai pertanyaan permasalahan yang pada garis besarnya dapat disimpulkan sebagai berikut:1) Pembelajaran terpadu di SDI Darush Sholihin menggunakan beberapa macam model yang digunakan berdasarkan pola pengintegrasian materi atau tema. Berdasarkan pola tersebut, terdapat sepuluh model pembelajaran terpadu yang dipakai SDI Darush Sholihin yaitu: (1) terpisah ( fragmented ), (2) terhubung (connected), (3) tersarang (nested), (4) terurut (sequenced), (5) terbagi (shared), (6) terjaring (webbed), (7) terikat (threaded), (8) terpadu (integrated), (9) terbenam (immersed), (10) jaringan (networked), Adapun bentuk atau model pembelajaran terpadu yang dirancang di SDI Darush Sholihin adalah bentuk tematik (terjala/webbed) untuk kelas bawah (1-3). 2) Keefektifan pembelajaran terpadu tercermin dari bermaknanya pembelajaran. Pembelajaran yang bermakna menghasilkan siswa yang aktif dalam proses belajar mengajar yang menyenangkan, sehingga terjadi komunikasi dua arah guru dan murid. Pembelajaran yang menyenangkan jika guru kreatif dan terdapat variasi cara belajar sehingga menghasilkan prestasi belajar yang baik
Schooling vs Home Education: Implications in Measuring Success in Home Education in The United Kingdom
Authors: Govaerts Fadoua 
Published: March 2021

This paper aims to address the current limitations of measuring success in Home Education. Educational achievements in schools are measured through standard knowledge-based assessments which take place during various stages in a child’s formal education, based on the National Curriculum. However, due to the unique purpose, aims and methods used by Home Educators, current measurements and standards are incompatible with achievements identified by Home Educating families. The established traditional concepts of educational success are the framework of current measurement of educational achievements, which may be contrary to the concepts of families who follow different philosophical understandings of education. The reality of each family having their individual aims and purpose of Home Education has resulted in their achievements to be immeasurable by the traditional standards as used in schools. This paper aims to argue that it is necessary to review current philosophical and theoretical concepts in education, apart from knowledge-based education as set out by the state in the National Curriculum. This will allow us to develop new common grounds in measurement of educational success inclusive of individual achievements set out by Home Educators.