bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENYELESAIAN PEMBIAYAAN BERMASALAH PADA PEMBIAYAAN MURABAHAH DI BANK ACEH SYARIAH TAKENGON
Authors: Syaripuddin Syaripuddin 
Published: March 2021

Penelitian ini bertujuan untuk mengetahui bagaimana penyelesaian pembiayaan bermasalah pada pembiayaan murabahah di bank aceh syariah takengon. Dalam penelitian ini penulis menggunakan data primer dan sekunder hasil wawancara yang dilakukan dengan pihak bank yang berkaitan dengan pembiayaan. Tujuan dari pada penelitian ini (1) untuk mengetahui bagaimana cara penyelesaian pembiayaan bermasalah pada pembiayaan murabahah pada bank aceh syariah (2) untuk mengetahui apa yang dilakukan pihak bank bagi nasabah yang tidak mampu membayar angsuran. Jenis penelitian ini adalah deskriptif kualitatif, dengan teknik pengumpulan data menggunakan wawancara, dokumentasi dan observasi. Informan pada penelitian ini adalah pegawai dan nasabah bank aceh syariah takengon.
Adapun hasil dari pada penelitian ini adalah cara untuk menyelesaiakan pembiayaan bermasalah atau untuk penyelamat terhadap pembiayaan bermasalah yaitu dengan cara, yang pertama dengan cara Rescheduling suatu tindakan yang diambil cara memperpanjang jangka waktu pembiayaan nasabah, dimana nasabah diberikan keringanan oleh pihak bank agar dapat melunasi kewajibannya. Yang kedua dengan cara Reconditioning Merupakan upaya lembaga keuangan dalam menyelamatkan pembiayaan dengan mengubah seluruh atau sebagai perjanjian yang telah dibuat oleh lembaga keuangan dangan nasabah, karena nasabah tidak mampu lagi membayar angsurannya. Dan yang terakhir yaitu Penyitaan Jaminan Penyitaan jaminan ini merupakan jalan terakhir bagi pihak bank untuk menyelasaikan pembiayaan bermasalah apabila nasabah benar-benar tidak mempunya iktikad baik dalam melunasi kewajibannya atau memang nasabah tidak mampu lagi membayar semua hutang-hutangnya kepada pihak bank.
MANAGEMENT OF ADHESIVE CAPSULITIS OF SHOULDER JOINT BY SINGLE PLATELET RICH PLASMA INJECTION
Authors: Suman Himanshu , Acharya Puneet Kumar , Krishna Jyoti , Sharma Yash , Dosaj Oaj 
Published: March 2021

Introduction: Adhesive capsulitis is a painful impairment characterized by the restriction of movement of shoulder due to the adhesions across the glenohumeral joint, injection of platelet-rich plasma is effective treatment to reduce the pain and restore the movement of shoulder.
Aim: To assess the effectiveness single PRP injection in management of adhesive capsulitis.
Material and Methods: This study enrolled 12 patients experiencing the shoulder pain for at least 3 months and attending our medical college hospital. Patients with adhesive capsulitis were given a single injection of PRP (4 ml) and followed up for 12 weeks, VAS scores and Disability Index scores were recorded and compared with the baseline scores.
Result: In present study majority of patients were females with mean duration of symptoms was 3 months. Post PRP treatment all the patients have shown significant improvement on pains VAS score, movement VAS score on 2nd, 6th, and 12th weeks follow up.
Conclusion: Present studies conclude that the AC is more prevalent among females which can be treated effectively with PRP technique. PRP as is a simple, safe and cost-effective management of AC without any adverse effects.
Keywords: Adhesive Capsulitis, Platelet-Rich Plasma, Corticosteroid, Intra-articular
Plantas aquáticas em ecotecnologias: perspectivas para fitorremediação de ferro e manganês
Authors: Silva Dayane Mendes , Lizieri Claudineia , Oliveira Júnior Ernandes Sobreira 
Published: March 2021

Fitorremediação consiste no uso de plantas para mitigação de ambientes poluídos, tanto os terrestres como os aquáticos. Embora esta ecotecnologia tem crescido consideravelmente nas últimas décadas, a expansão de sua aplicação ainda esbarra no desafio para selecionar espécies de plantas com tal potencial. Neste trabalho, duas espécies de macrófitas aquáticas, Spirodela polyrhiza e Ricciocarpus natans, foram estudadas em experimentos laboratoriais para avaliação de seu desempenho na remoção de manganês (Mn) e do ferro (Fe) em solução. Plantas de S. polyrhiza foram testadas para ambos metais e submetidas às concentrações de 10, 15, 20, 25 e 30 mg/L de Mn e Fe. Enquanto plantas de R. natans foram submetidas às concentrações de 1, 2, 6 e 18 mg/L de Fe. Os resultados mostraram que plantas de S. polyrizha foram capazes de remover 34% do Mn e até 80% do Fe adicionados na solução. Entretanto, a redução da biomassa e do conteúdo de clorofila foi detectada nessas plantas. As plantas de R. natans, removeram até 50% do Fe nas concentrações de 2, 6 e 18 mg/L e não demonstraram queda da biomassa e clorofila em nenhuma das concentrações testadas, evidenciando resultados promissores para a fitorremediação de Fe. Estudos com experimentos de campo são necessários para considerar as variantes ambientais envolvidas no processo de remediação. No entanto, os achados aqui apresentados trazem, à luz da ciência, contribuições significantes para o conhecimento fitorremediador de S. polyrizha e R. natans, espécies aquáticas amplamente distribuídas nos corpos d’ água brasileiros.
The Effect of Class Management on Economic Learning Motivation at SMA Negeri 20 Palembang
Authors: Yulaini Erma , Rachmawati Diana Widhi , Putri Devi Nur Ahini Oktavia , Chayanti Nyoman Tri 
Published: March 2021

The purpose of this study was to determine the effect of classroom management on motivation to study economics at SMA Negeri 20 Palembang for the 2019/2020 academic year. The research method used quantitative descriptive method. The sample in the research of class X amounted to 54 students. In collecting data the researchers used techniques of documentation and questionnaires. The results showed that the class management had a significant effect on the economic learning motivation received with a large effect from the class management of 31.97%, while the remaining 68.03% was influenced by other factors. Therefore, classroom management is needed in the learning process.
Keywords: Classroom Management, Learning Motivation, Management Education
Poets in a Transnatural Landscape: Coleridge, Nature, Poetry
Authors: Leadbetter Gregory 
Published: March 2021

This essay addresses the nature of the experience of nature, as evoked, in particular, by Coleridge, and the relationship between that experience and the impulse to speak of it, especially in poetry. Always a fascinated observer of his own responsiveness, he wrote to Thomas Wedgwood in 1802 that ‘I never find myself alone within the embracement of rocks & hills, a traveller up an alpine road, but my spirit courses, drives, and eddies, like a Leaf in Autumn: a wild activity, of thoughts, imaginations, feelings, and impulses of motion, rises up from within me’. As in his verse, the rhythmic motility of these lines, so characteristic of his language, cannot bear a merely consequential correspondence to the contours of landscape: not everyone who moves through such territory writes like Coleridge. With reference to his poetry, criticism, notebooks and letters, this essay examines the more complex relation to landscape at work in Coleridge's language: the connection between the ineffable character of sensory experience and the effusion of utterance; the participatory character of Coleridge's engagement with the natural world; the irruptive, ecstatic and synaesthetic qualities of his writing with regard to landscape; and the paradoxical desire both to name and not to name, to know and unknow, imprinted in his poetry. In doing so, the essay contends for the presence in Coleridge's work of a psychotropic poetics related to the nature of his experience of the natural order, in which poetry has the potential to act as a maker of ‘nature’ – like the natural world itself, an educative stimulus to our epistemic, empathetic and creative powers – and as such, transnatural. Friedrich Schlegel made the suggestive remark that ‘one cannot really speak of poetry except in the language of poetry’, and the essay concludes with a poem of my own germane to its theme.
Overcoming Challenges to Teamwork in Healthcare: A Team Effectiveness Framework and Evidence-Based Guidance
Authors: Zajac Stephanie , Woods Amanda , Tannenbaum Scott , Salas Eduardo , Holladay Courtney L. 
Published: March 2021

Background:Safe and effective patient care depends on the teamwork of multidisciplinary healthcare professionals. Unfortunately, the field currently lacks an evidence-based framework for effective teamwork that can be incorporated into medical education and practice across health professions. We introduce a comprehensive framework for team effectiveness. Common challenges to teamwork in healthcare are identified along with evidence-based strategies for overcoming them.Methods:The framework was developed in four steps: 1) grounding in the existing team science literature, 2) semi-structured interviews (N= 13), 3) thematic analysis and initial framework development, and 4) revision of the framework through input from healthcare professionals representative of different functions across the healthcare system (N= 13). A diagnostic tool consisting of one survey item per team competency was developed to complement the framework. The survey was then administered to healthcare teams across clinical and administrative functions (N= 10 teams, 96 individuals), and results were compiled and then used to conduct debriefs with individual team members and teams. A set of common teamwork challenges were identified using the survey and qualitative data. Qualitative data was analyzed to explore the unique ways these challenges manifest in both clinical and administrative teams.Results:The five most common challenges that face healthcare teams relate to accountability, conflict management, decision-making, reflecting on progress, and coaching. These challenges were similar across both clinical and administrative team types. Based on the authors' collective experience designing and implementing Team Development Interventions (TDIs), strategies for managing each challenge are provided.Conclusions:The proposed framework is unique in two ways. First, it's generally applicable across the many types of teams that contribute to the quality and safety of patient care. Second, the levels of the framework build upon each other to contribute to the development of the ideal team states. The framework and accompanying strategies can provide guidance for where and how to target developmental efforts.
Conceptualising Primary-Secondary School Transitions: A Systematic Mapping Review of Worldviews, Theories and Frameworks
Authors: Jindal-Snape Divya , Symonds Jennifer E. , Hannah Elizabeth F. S. , Barlow William 
Published: March 2021

There is continued interest internationally in primary-secondary school transitions. Fourteen literature reviews of primary-secondary transitions have been published over the last 20 years, however none of them have systematically analysed primary-secondary school transition ontology, i.e., researchers’ worldviews, theories/models and frameworks. This is a major gap in these reviews and the papers published in this area; this is of concern as it is difficult to trust the robustness of a study if its foundation, such as researchers’ conceptualisation of transitions, is not visible. Therefore, using the Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre) approach, we undertook a systematic mapping review, of empirical studies published internationally between 2008 and 2018. Our objectives were to explore researchers’ and research participants’ conceptualisation of transitions, the conceptual framework used by the researchers and their discourse about transitions. Of the 96 studies included in this systematic mapping review, most had not clearly defined transition, and even when conceptualisation was explicit, it did not underline the research design or frame the findings. Most researchers adopted previously used theoretical frameworks.These theoretical frameworks can be beneficial; however, as the researchers did not adapt or develop them in the context of transitions research, it limits a meta-theoretical understanding of transitions. Further, the majority did not report study participants’conceptualisation of transitions. Similarly, a large number of researchers adopted a negative discourse about primary-secondary school transitions, with some using a mixed discourse and only two papers had a primarily positive discourse. This systematic mapping review is original and significant as it is the first study to provide a review of school transitions ontology and offers unique insights into the conceptual and methodological gaps that international transitions researchers should address.
The Role of Immunological and Clinical Biomarkers to Predict Clinical COVID-19 Severity and Response to Therapy—A Prospective Longitudinal Study
Authors: Copaescu Ana , James Fiona , Mouhtouris Effie , Vogrin Sara , Smibert Olivia C. , Gordon Claire L. , Drewett George , Holmes Natasha E. , Trubiano Jason A. 
Published: March 2021

BackgroundThe association of pro-inflammatory markers such as interleukin-6 (IL-6) and other biomarkers with severe coronavirus disease 2019 (COVID-19) is of increasing interest, however their kinetics, response to current COVID-related treatments, association with disease severity and comparison with other disease states associated with potential cytokine storm (CS) such as Staphylococcus aureus bacteraemia (SAB) are ill-defined.MethodsA cohort of 55 hospitalized SARS-CoV-2 positive patients was prospectively recruited – blood sampling was performed at baseline, post-treatment and hospital discharge. Serum IL-6, C-reactive protein (CRP) and other laboratory investigations were compared between treatment groups and across timepoints. Acute serum IL-6 and CRP levels were then compared to those with suspected COVID-19 (SCOVID) and age and sex matched patients with SAB and patients hospitalized for any non-infectious condition (NIC).ResultsIL-6 was elevated at admission in the SARS-CoV-2 cohort but at lower levels compared to matched SAB patients. Median (IQR) IL-6 at admission was 73.89 pg/mL (30.9, 126.39) in SARS-CoV-2 compared to 92.76 pg/mL (21.75, 246.55) in SAB (p=0.017); 12.50 pg/mL (3.06, 35.77) in patients with NIC; and 95.51 pg/mL (52.17, 756.67) in SCOVID. Median IL-6 and CRP levels decreased between admission and discharge timepoints. This reduction was amplified in patients treated with remdesivir and/or dexamethasone. CRP and bedside vital signs were the strongest predictors of COVID-19 severity.ConclusionsKnowledge of the kinetics of IL-6 did not offer enhanced predictive value for disease severity in COVID-19 over common investigations such as CRP and vital signs.
Rapid Intervention of Chlorpromazine and Promethazine for Hibernation-Like Effect in Stroke: Rationale, Design, and Protocol for a Prospective Randomized Controlled Trial
Authors: Lv Shuyu , Zhao Wenbo , Rajah Gary B. , Dandu Chaitu , Cai Lipeng , Cheng Zhe , Duan Honglian , Dai Qingqing , Geng Xiaokun , Ding Yuchuan 
Published: March 2021

Background: Following an acute ischemic stroke (AIS), rapidly initiated reperfusion therapies [i. e., intravenous thrombolysis (IVT) and endovascular treatment (EVT)] demonstrate robust clinical efficacy. However, only a subset of these patients can benefit from these therapies due to their short treatment windows and potential complications. In addition, many patients despite successful reperfusion still have unfavorable outcomes. Thus, neuroprotection strategies are urgently needed for AIS patients. Chlorpromazine and promethazine (C+P) have been employed in clinical practice for antipsychotic and sedative purposes. A clinical study has also shown a neuroprotective effect of C+P on patients with cerebral hemorrhage and subarachnoid hemorrhage. The safety, feasibility, and preliminary efficacy of intravenous administration of C+P in AIS patients within 24 h of onset will be elucidated.Methods: A prospective randomized controlled trial is proposed with AIS patients. Participants will be randomly allocated to an intervention group and a control group with a 1:1 ratio (n = 30) and will be treated with standard therapies according to the current stroke guidelines. Participants allocated to the intervention group will receive intravenous administration of C+P (chlorpromazine 50 mg and promethazine 50 mg) within 24 h of symptom onset. The primary outcome is safety (mainly hypotension), while the secondary outcomes include changes in functional outcome and infarction volume.Discussions: This study on Rapid Intervention of Chlorpromazine and Promethazine for Hibernation-like Effect in Stroke (RICHES) will be the first prospective randomized controlled trial to ascertain the safety, feasibility, and preliminary efficacy of intravenous C+P as a neuroprotection strategy in AIS patients. These results will provide parameters for future studies, provide insights into treatment effects, and neuroprotection with phenothiazine in AIS.Clinical Trial Registration:www.chictr.org.cn, identifier: ChiCTR2000038727.
Case Report: Anti-NMDA Receptor Encephalitis With Bilateral Hearing Loss as the Initial Symptom
Authors: Cheng Hongjiang , Yang Fengbing , Zhang Jing , Xu Lina , Jia Longbin , Zhao Doudou , Liu Wei , Li Huimin 
Published: March 2021

Introduction: Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is an autoimmune disease associated with the NMDA receptor. This paper describes a patient who presented with bilateral hearing loss as the initial symptom of anti-NMDAR encephalitis.Case Report: We describe a 31-year-old young female with anti-NMDAR encephalitis who presented with bilateral severe hearing loss after brief loss of consciousness and then accompanied by other symptoms, such as generalized tonic–clonic seizures, manic episodes, excessive salivation, severe cognitive impairment, and complex non-convulsive status epilepticus. Great improvement was achieved by a combined treatment of steroid, IVIG, and plasmapheresis, especially after surgical removal of the ovarian teratoma. When she was discharged on hospital day 43, her hearing loss obtained a significant improvement.Conclusion: This case study and literature review investigated the impairment of hearing loss and its subsequent treatment in patients with anti-NMDAR encephalitis.
Spinal Epidural Cavernous Hemangiomas: A Clinical Series of 9 Cases and Literature Review
Authors: Zhao Liyan , Jiang Yining , Wang Yubo , Bai Yang , Sun Ying , Li Yunqian 
Published: March 2021

ObjectiveSpinal epidural cavernous hemangiomas are very rare vascular lesions and are, therefore, seldom reported and easily misdiagnosed. Herein, we present a series of 9 cases with spinal epidural cavernous hemangiomas and discuss their pathogenesis, clinical characteristics, radiological findings, differential diagnosis, surgical interventions, pathological characteristics, and prognosis.MethodsWe retrospectively retrieved and analyzed the data of patients with pure epidural cavernous hemangiomas, who underwent spinal magnetic resonance imaging, and surgical intervention at the First Hospital of Jilin University, China, between January 2005 and December 2019. The data on patients’ clinical manifestations, imaging characteristics, surgical intervention, histopathological findings, and postoperative follow-up were also recorded and analyzed.ResultsIn all, 5 men and 4 women with the mean age of 61 years (range, 41–78 years) were recruited. All patients experienced a gradual onset of symptoms and a slowly progressive clinical course, and no patient presented an acute onset of symptoms. The clinical manifestations include myelopathic signs in 8 patients (88.9%) and radicular symptoms in 3 patients (33.3%). On T1-weighted imaging, 6 lesions appeared isointense (55.6%), and 4 lesions exhibited hypointense (44.4%) signals. On T2-weighted imaging, 8 lesions appeared hyperintense (88.9%), and 1 lesion was heterogeneously intense (11.1%). Following gadolinium administration, 5 lesions appeared homogeneous with significant enhancement (55.6%), 1 lesion was homogeneous and mild enhancement (11.1%), and 3 lesions were heterogeneous with mild enhancement (33.3%). All patients received early microsurgery assisted by intraoperative electrophysiologic monitoring and neuronavigation in the lateral position via the posterior midline approach. Five patients underwent total laminectomy (55.6%), and 4 underwent hemilaminectomy (44.4%). Total excision was achieved in all cases. The average follow-up period was 55.1 months (ranging 10–123 months). All patients exhibited significant clinical improvement of their neurological deficits and achieved a favorable outcome with no recorded recurrence at last follow-up.ConclusionsSpinal epidural cavernous hemangiomas are rare vascular malformations. Early surgical treatment with total resection is an optimum treatment, particularly for patients with an acute exacerbation onset. The prognosis is mostly good and depends predominantly on the severity of the preoperative status.
Evaluation of 18F-FMISO PET and 18F-FDG PET Scans in Assessing the Therapeutic Response of Patients With Metastatic Colorectal Cancer Treated With Anti-Angiogenic Therapy
Authors: Lee Sze Ting , Tebbutt Niall , Gan Hui Kong , Liu Zhanqi , Sachinidis John , Pathmaraj Kunthi , Scott Andrew Mark 
Published: March 2021

IntroductionTumor hypoxia and angiogenesis are implicated in tumor growth and metastases, and anti-angiogenic therapies have an important role in treating patients with metastatic colorectal cancer. However, the prevalence of hypoxia has not been fully evaluated in colorectal liver metastases, and hypoxic response to anti-angiogenic therapy has not been clearly established. The aims of the study were to evaluate the changes seen on 18F-FMISO and 18F-FDG PET scans in patients treated with anti-angiogenic therapy, and to correlate these measures of hypoxia and metabolism with clinical outcomes, and blood biomarkers of angiogenesis.MethodsPatients with metastatic colorectal carcinoma planned for treatment with bevacizumab and chemotherapy received routine staging investigations prior to any treatment, including a FDG PET scan. A FMISO PET scan was performed within 4 weeks of staging tests, with blood specimens collected at that time for serum VEGF and osteopontin measurement. Follow-up FDG and FMISO scans were performed after 1 cycle of treatment. Results were compared to response (RECIST), progression free survival (PFS), and overall survival (OS).ResultsA total of 15 patients were recruited into this prospective trial, of which 13 patients were evaluable for assessment of treatment follow-up. Baseline FDG uptake was higher than FMISO uptake, and there was a significant decrease in FDG uptake (SUVmax and TGV) but not FMISO uptake (SUVmax and TNR) after treatment. There was a positive correlation between FDG and FMISO SUVmax on both baseline and post-treatment PET scans. Blood biomarkers of serum VEGF and osteopontin were significantly correlated with the FDG and FMISO PET parameters.ConclusionsThis study shows that hypoxia in metastatic colorectal cancer, assessed by FMISO PET, shows minor changes following initial treatment with anti-angiogenic therapy, but is associated with therapeutic response. FDG PET uptake changes (SUVmax, TLG) are also associated with response to anti-angiogenic therapy. These findings demonstrate the interplay between tumor metabolism and hypoxic regulation following anti-angiogenic treatment of metastatic colorectal cancer.