bluuebunny/crossref_metadata_2025_split huggingface dataset:
A survey of nurses’ opinions about delirium in ICU
Authors: Rajbhandari Nikeshmani , Koirala Naba Raj , Rajbanshi Lalit Kumar , Arjyal Batsalya 
Published: November 2021

Introduction: Delirium is underdiagnosed especially in ICU. In a study done in the Netherlands investigators found not only ICU nurses but also intensivists had difficulty in diagnosing delirium. With the impact that delirium has on patients’ health, its monitoring and detection should be considered an integral part of patient care in critical care medicine, Knowledge and attitude are one of the primary unmet needs regarding early detection and treatment of delirium. Since nurses are the first line assessors in any ward we would like to carry out this cross-sectional survey on a group of nurses.
Objective: To assess the nurses’ knowledge about delirium & to compare the knowledge between those that have worked in ICU or critical care to those who haven’t.
Methodology: This was a cross-sectional survey carried out at Birat medical college and teaching hospital. Here all nurses were requested to fill a questionnaire that consisted of 15 questions. A time-frame of 1 week was taken to gather the data.
Results: We collected data from 124 nurses, who had varying educational degrees, Eighty-four were currently working in an ICU and 32.5% of those not working had previously worked in an ICU. Over all knowledge level for nurses was poor where 94 of 124 nurses had less than 50% scores. About 27% of those who had worked in an ICU setting had good knowledge compared to 17.5% of those who had not.
Conclusion: Training regarding delirium is required to increase identification and adequate management to decrease morbidity due to delirium.
Dilemma in diagnosing Metabolic Disorder: A case of Galactokinase Deficiency with an unusual presentation
Authors: Rajbhandari Prasun , Rimal Hem Sagar , Dahal Sonia 
Published: November 2021

An infant with metabolic disorder can have vague presentations like repeated chest infections, feeding intolerance and failure to thrive. This may lead to a diagnostic dilemma. Detailed clinical history together with biochemical investigations are must to reach a diagnosis. Galactokinase Deficiency (GKD) has a varied presentation with some features like microcephaly, juvenile cataracts and failure to thrive. We encountered a case of GKD in an infant in which there was an absence of cataracts. Raised Immunoreactive Trypsinogen (IRT) in Newborn Screening was strongly suggestive of Cystic Fibrosis (CF), however Genetic Analysis revealed a heterozygous missense variation in EXON4 of the GALK1 GENE, confirming the diagnosis of GKD. Hence, this case highlights the importance of considering different metabolic disorders as differential diagnoses of one another even in absence of a typical feature of a particular disorder.
Pengaruh Media Pembelajaran Berbasis Cisco IT Essensials Virtual Desktop Dan Motivasi Belajar Dalam Meningkatkan Hasil Belajar Mata Pelajaran Perakitan Komputer Di SMK Al Furqon Mranggen Demak
Authors: Mahbub Mohammad Ali 
Published: November 2021

Penggunaan media dalam proses pembelajaran merupakan hal yang sangat penting, yang nantinya akan sangat saling mempengaruhi dengan komponen- kompenen yang ada dalam sistem belajar. Penelitian ini merupakan salah satu upaya untuk mendorong warga sekolah dalam mengembangkan dan memanfaatkan TIK, khususnya media IT Essentials Virtual Desktop dalam proses pembelajaran. Melihat kondisi tersebut, maka penulis tertarik untuk melakukan penelitian tentang Pengaruh Media Pembelajaran Berbasis Cisco It Essensials Virtual Desktop Dan Motivasi Belajar Dalam Meningkatkan Hasil Belajar Mata Pelajaran Perakitan Komputer Di Smk Al Furqon Mranggen Demak. 6. Berdasarkan hasil analisis nilai F sebesar 9,590, sedangkan nilai signifikansi F sebesar 0,000. Dengan menggunakan DFI = 2 dan DF (degree of freedom) sebesar 53 (56 - 2 – 1) di peroleh nilai F sebesar 3,1716 dari hasil tersebut nilai F hitung lebih besar 9,590 dan nilai signifikansi sebesar 0,000 lebih rendah dari 0,05 (? = 5%) yang menunjukkan Ho ditolak dan Ha diterima, sehingga hipotesis yang menyatakan “ada pengaruh positif penggunaan media pembelajaran cisco (X1) terhadap hasil belajar siswa kelas X dan XI TKJ SMK AL FURQON Mranggen Demak” dapat diterima.
Sobrepeso y obesidad infantil
Authors: Guadamuz Delgado Jennifer , Miranda Saavedra Mario , Mora Miranda Natalia 
Published: November 2021

La obesidad se define como un exceso de grasa y para su diagnóstico en los niños se utiliza como medida estándar el índice de masa corporal, la relación peso / longitud y ciertos laboratorios específicos, esto varía según la edad y el género. Cada vez es más prevalente ver esta enfermedad en los niños y adolescentes conforme van pasando los años y sus causas se encuentran divididas según grupo de edad, tipo de alimentación, patologías especificas causantes, así como diferentes medicamentos.
La evaluación clínica, como en cualquier otra patología, está primordialmente definida por una historia clínica que involucre desde antecedentes personales patológicos hasta antecedentes familiares de importancia y un examen físico completo por sistemas, con el fin de identificar a tiempo esta enfermedad, la cual se ha visto de manera trascendental como afecta en la etapa adulta de estos niños con comorbilidades de diferentes etiologías.
El tratamiento pediátrico va dirigido a utilizar como última instancia los fármacos, los mismos serán utilizados hasta agotar otras medidas igualmente importantes y con menos efectos secundarios, así como la implementación de dietas nutricionales ajustadas a cada necesidad , actividad física según la preferencia del paciente con el fin de que se vea atraído por el ejercicio como tal, y no menos importante la terapia de grupo en compañía de psicólogos, pues se ha visto como esta enfermedad es causa de acoso psicológico y físico por parte de otros niños pudiendo causar incluso de trastornos depresivos.
Wypowiedzi romanistów międzywojennych o roli i znaczeniu prawa rzymskiego
Authors: Zych Radosław Łukasz 
Published: November 2021

Współczesny dyskurs naukowy poświęcony roli prawa rzymskiego stał się podstawą do podjęcia badań nad znaczeniem „spuścizny” rzymskiej w wypowiedziach romanistów II Rzeczpospolitej Polskiej. Celem niniejszego artykułu jest zbadanie znaczenia myśli romanistycznej w kształtowaniu kultury prawnej i prawniczej Polski międzywojennej. W konkluzjach autor stwierdza, że refleksja nad znaczeniem „spuścizny” myśli rzymskiej koncentrowała się w związku z pracami nad kodyfikacją prawa prywatnego, czy rozważaniami nad edukacją patriotyczną. Podkreślanie przez polskich romanistów znaczenia „spuścizny” rzymskiej stanowiło istotny czynnik w kształtowaniu świadomości prawnej II Rzeczpospolitej Polskiej.
Szomszédsági hatások a világ kukorica piacán 1996 és 2015 között
Authors: Szerb András Bence , Fertő Imre , Csonka Arnold 
Published: November 2021

A mezőgazdaság globalizálódása jelentősen átalakította a kukorica világkereskedelmét. Az elmúlt évtizedekben tapasztalható piaci növekedés, a szabadkereskedelmi egyezmények számának emelkedése, valamint területi koncentráció indokolttá teszi a szomszédsági hatások vizsgálatát. A szomszédsági hatások irodalma korábban szinte kizárólag az ipari és a szolgáltatási szektorra koncentrált. A tanulmány célja a térbeli függőség, mint a szomszédsági hatásokra utaló jelenség bemutatása a kukorica világpiacán 1996 és 2015 közötti időszakban. A cikk Moran-féle globális és lokális I mutató segítségével elemzi a térbeli függőséget a kukorica piacon, kitérve annak időbeli dinamikájára. Eredményeink megerősítették, hogy a kukoricapiac bővülése több térségben előidézte a térbeli függőség erősödését.
Concept and Classification of Covert Embezzlement of the Property of Another
Authors: Haidar O. V. 
Published: November 2021

The author has studied the concept of covert embezzlement of the property of another, which is provided by the legislator and has analyzed the concepts revealed by leading scholars in the field of criminal law and in the field of criminalistics. The peculiarities inherent in theft in contrast to other lucrative criminal offenses have been highlighted. The statistical data for 2020 provided by the Office of the Prosecutor General regarding registered thefts on the territory of Ukraine have been analyzed. A statistical comparison of registered thefts with other lucrative criminal offenses and with all registered criminal offenses has been conducted.
The classification of covert embezzlement of the property of another provided by the legislator has been studied. The classifications of thefts provided by leading scholars in the field of criminalistics have been analyzed. The author has specified the criteria according to which the Office of the Prosecutor General classifies thefts. Each classification during its application in practice has been analyzed.
A separate type of thefts has been identified. The author has studied the devices by means of which the specified thefts are committed. The concept of devices used during the commission of thefts has been revealed. The author has provided courts verdicts on the territory of Ukraine on the fact of covert embezzlement of the property of another with the use of special devices. After the conducted analysis, the classification of thefts based on the acquired knowledge has been provided.
Organized Illegal Migration as Manifestation of Transnational Criminality and Source of Threats to National Security of Ukraine
Authors: Panchenko O. A. 
Published: November 2021

Illegal migration is publicly dangerous, harmful, criminal phenomenon, which really threatens to national security of many countries. The issue of providing the proper state of national security is of greater actuality for Ukraine. Therefore, the issues of scientific analysis of the relationship of migration and national security, making suggestions for the improvement of counteraction to illegal migration, taking into account the threats which it creates, are very important.
The problem of the organized illegal migration of population is studied by experts as one that requires an urgent solution. The indicated form of migration was transformed into highly profitable criminal business, became the important element of the transnational organized crime. The latter has already gone beyond the interests of national security, since it threatens to political stability and economic development of many world countries, it results in serious violations of human rights, development of parallel economy, which feeds crime.
The relevance of the problem of the organized illegal migration predetermines the increased attention to it both by separate countries and at international level, requires urgent development and introduction of new effective measures of counteraction. Aggression of the Russian Federation and caused mass internal moving of population in our country, Ukraine’s approaching to the EU and introduction of the visa-free arrangements with most Member States of the EU stipulated the cardinal change of approaches in regulating migration processes, transition from repressive methods to prevention.
Therefore the present system of counteraction to the organized illegal migration requires an improvement by effective application of administrative measures to illegal migrants in combination with bringing their traffickers to criminal liability and other measures of migratory sphere’s regulation. Thus, granting priority to national interests in the state migration policy at the admissible restriction of human right to free movement is very important.
Experts Participation in Crime Scene Search while Investigating Murders
Authors: Vuima A. H. 
Published: November 2021

The need to involve experts into crime scene search while investigating murders has been substantiated. The categories of experts who are most often involved by investigators into crime scene search have been defined. The author has clarified the method of determining the normative aspect of involving the latter into murders’ crime scene search.
It has been determined that forensic inspectors, who are members of the investigative task force, are most often involved into investigations. It has been found out that the main assistance of the latter during the crime scene search is to carry out photo and video recording, as well as the detection, removal and packaging of traces and physical evidence.
It has been established that a canine handler with a service dog may be a member of the investigative task force. The author has provided conditions, which are the basis for the investigator to decide to use the dog at the scene. The author has formulated the basic tasks, which can help a canine handler with a service dog to solve them during murder’s crime scene search.
According to the analysis of investigative and judicial practice of investigating intentional homicides, the author has defined the frequency of involving forensic experts by investigators to crime scene search, where the dead body was found. The reasons why investigators do not examine the corpse at the place of its discovery have been established. The information that should be established and recorded during the examination of the corpse at the scene has been identified. Circumstances have been revealed that indicate the expediency of conducting an examination of the corpse at the crime scene, but not in the premises of the forensic examination bureau.
The author has provided circumstances that may take place in case of a murder and which are the grounds for the involvement of a specialized mobile laboratory of the Expert Service of the Ministry of Internal Affairs of Ukraine. The procedure of actions of the employees of the specified laboratory on a crime scene has been defined.
The specifics of the explosives specialist’s activity at the crime scene have been revealed, and the author has also determined the documents that are compiled by the latter based on the results of his participation in the crime scene search. The specifics of divers’ activities in the crime scene search while investigating a murder have been determined.
It has been substantiated that the procedural, theoretical and practical aspects of the participation of experts in the crime scene search while investigating murders, depending on the specifics of the methods of committing these crimes, need further research.
SISTEM PAKAR DIAGNOSA PENYAKIT PADA TANAMAN PINANG MENGGUNKAN METODE FORWARD CHAINING
Authors: ST,.M.Kom Mardeni , Retina Dahlia , Muhaimin Abdi 
Published: November 2021

Budidaya pinang juga mengalami kendala-kendala diantaranya yaitu serangan penyakit. Cara yang paling umum dilakukan oleh petani untuk mengendalikan penyakit pinang adalah dengan menggunakan bahan kimia atau pestisida dalam kurun jangka panjang jika penggunaan bahan kimia yang berlebihan pada suatu wilayah akan menimbulkan dampak negatif yaitu terbunuhnya mikroba. Dengan hilangnya keseimbangan ekosistem alam akan melahirkan penyakit baru yang lebih ganas. Tujuan pembuatan aplikasi ini adalah untuk menyajikan informasi dengan cepat dan akurat dalam penyelesaian masalah untuk membantu konsultasi tentang penyakit pada tanaman pinang. Selain itu juga untuk mengetahui cara-cara pembuatan program yang bersifat Sistem pakar dengan menggunakan bahasa pemrograman untuk aplikasi kecerdasan buatan, yaitu PHP dan Mysql. Dengan mengunakan metode forward chaining adalah suatu strategi pengambilan keputusan yang mulai dari bagian premis menuju klonklusi. Hasil implementasi sistem yaitu sistem memberikan pertanyaan berupa gejala-gejala yang harus dijawab petani berdasarkan gejala yang tanaman pinang dari proses tersebut sistem memberikan informasi penyakit pinang yang diderita tanaman pinang. Dari hasil pengujian sistem pakar ini telah dapat mediagnosa penyakit pinang. Setelah diagnosa maka akan muncul jenis penyakit dan solusi.
APLIKASI DETEKSI PLAGIARISME TUGAS AKHIR BERBASIS WEB DENGAN MENGGUNAKAN ALGORITMA RABIN-KARP ROLLING HASH (STUDI KASUS: AMIK MAHAPUTRA RIAU)
Authors: Heri Herianto , Yulis Yulisman , Herrianti Manullang Winda , Irawan Yuda 
Published: November 2021

Skripsi ini membahas tentang Aplikasi Deteksi Plagiarisme Tugas Akhir Berbasis Web Dengan Menggunakan Algoritma Rabin-Karp Rolling Hash (Studi Kasus: Amik Mahaputra Riau). Dimana Sistem ini digunakan di Amik Mahaputra Riau. Dengan adanya sistem ini dapat mempermudah admin, ketua jurusan dan mahasiswa di kampus Amik Mahaputra Riau dalam pendeteksian plagiarism tugas akhir mahasiswa dan mempermudah proses kerja ketua jurusan dalam mengecek tugas akhir yang sama serta mempermudah mahasiswa mengupload berkas tugas akhir dan mendeteksi plagiarism isi tugas akhir yang diakses melalui akun mahasiswa masing-masing. Sistem informasi ini didesain menggunakan model Unifield Modeling Language (UML). Metode yang digunakan yaitu metode waterfall. Alasan menggunakan metode ini adalah karena metode waterfall melakukan pendekatan secara sistematis dan berurutan dalam membangun suatu sistem. Proses metode waterfall yaitu pada pengerjaan dari suatu sistem dilakukan secara berurutan. Sistem yang dihasilkan akan berkualitas baik, dikarenakan pelaksanaannya secara bertahap sehingga tidak terfokus pada tahapan tertentu. Diharapkan dengan adanya sistem informasi ini, bisa memudahkan admin, ketua jurusan dan mahasiswa dalam mendeteksi plagiarism tugas akhir maupun dokumen lain dan mempermudah mahasiswa untuk mengetahui hasil persentase plagiarism tugas akhirnya tanpa harus datang ke kampus.
Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis
Authors: Gan Daniel Z. Q. , McGillivray Lauren , Han Jin , Christensen Helen , Torok Michelle 
Published: November 2021

Digital mental health interventions (DMHIs) present a promising way to address gaps in mental health service provision. However, the relationship between user engagement and outcomes in the context of these interventions has not been established. This study addressed the current state of evidence on the relationship between engagement with DMHIs and mental health outcomes. MEDLINE, PsycINFO, and EmBASE databases were searched from inception to August 1, 2021. Original or secondary analyses of randomized controlled trials (RCTs) were included if they examined the relationship between DMHI engagement and post-intervention outcome(s). Thirty-five studies were eligible for inclusion in the narrative review and 25 studies had sufficient data for meta-analysis. Random-effects meta-analyses indicated that greater engagement was significantly associated with post-intervention mental health improvements, regardless of whether this relationship was explored using correlational [r = 0.24, 95% CI (0.17, 0.32), Z = 6.29, p &lt; 0.001] or between-groups designs [Hedges' g = 0.40, 95% CI (0.097, 0.705), p = 0.010]. This association was also consistent regardless of intervention type (unguided/guided), diagnostic status, or mental health condition targeted. This is the first review providing empirical evidence that engagement with DMHIs is associated with therapeutic gains. Implications and future directions are discussed.Systematic Review Registration: PROSPERO, identifier: CRD 42020184706.
Dryland Watershed Restoration With Rock Detention Structures: A Nature-based Solution to Mitigate Drought, Erosion, Flooding, and Atmospheric Carbon
Authors: Gooden Jennifer , Pritzlaff Richard 
Published: November 2021

Historic land degradation is an ongoing threat to the Sky Islands of southern Arizona, US, and northern Sonora, Mexico, an area designated as a globally significant biodiversity hotspot. Land degradation has reduced ecosystem services provisioning, released carbon from disturbed soils into the atmosphere, and significantly diminished resilience to climate change. Private land managers in the region have developed methods to reverse degradation and restore biodiversity and ecosystem function. Land managers have used rock detention structures (RDS), technology adapted from traditional Indigenous practices in the region, as a tool for reversing desertification and watershed degradation. The structures were installed primarily for erosion control and water management, but they have had positive impacts on multiple biophysical systems. In this study, we analyze watershed-scale installation of RDS as a nature-based solution for climate change mitigation and adaptation. Case studies include four properties that offer examples of structures that have been in place over a period ranging from 1 to 40 years. We reviewed journal articles and other studies conducted at the four sites, supplemented with interviews, to catalogue the nature-based solutions provided by RDS. This study documents positive impacts on overall stream flow, reduction in peak runoff during inundation events, and increased sedimentation, which increase resilience to drought, erosion, and flooding. Data suggest potential impacts for climate change mitigation, though further research is needed. In addition, results suggest that watershed restoration with RDS offers a host of co-benefits, including an increase in biodiversity and wildlife abundance, an increase in vegetative cover, and increased surface water provisioning over time to support the land-based livelihoods of downstream neighbors. In the discussion, we consider barriers to replication and scalability using the strategy of the UN Decade on Ecosystem Restoration as a guiding framework, discussing issues of awareness, legislation and policy, technical capacity, finance, and gaps in knowledge.