bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nutritional approach in digestive surgery. One way to improve postoperative results.
Authors: Oliva Mompean F , Gomez Rosado JC , Valdes Hernandez J , Cornejo Jurado I 
Published: February 2021

Resumen

El enfoque nutricional del paciente quirúrgico no parece generalizado en la práctica clínica. Sin embargo es importante para la mejor recuperación de los pacientes, mejora los resultados y disminuye las complicaciones, estancias y costes, propiciando postoperatorios más favorables.

La detección temprana de la desnutrición es importante para individualizar los requerimientos proteicos, evitando la sobrealimentación. Nos decidimos por MUST por su facilidad de aplicación, capacidad de cribado y reproducibilidad, incluso por el propio paciente.

Aconsejamos terapia nutricional preoperatoria en pacientes de riesgo moderado-alto, con suplementos orales, siempre que sea posible. Recomendamos suplementos de arginina, ribonucleótidos y ácidos grasos omega-3, especialmente en oncológicos. Se mantiene en aquellos con riesgo elevado.

Evitamos la resistencia a la insulina y su implicación en la respuesta inflamatoria suministrando maltodextrina al 12,5%, previa a cirugía programada.

Iniciamos ingesta oral a las 12 horas postoperatorias para normalizar tan pronto como es posible, sin necesidad de evidenciar motilidad intestinal.
Hubungan Pendidikan dan Pendapatan Orang Tua dengan Pertumbuhan Balita
Authors: Khayati Yulia Nur , Sundari Sundari 
Published: February 2021

The factors influencing the growth and development of children are internal factor, external factor which is prenatal factor, during giving birth factor and after giving birth factor. Prenatal factors include nutrition, mechanism, toxin, endoctrine, radiation, and mother’s psychological condition, while for the factors after giving birth are nutrition, psychological condition, social environment and stimulation. Family and culture factors involve parents’ job and income, educational levels and knowledge. The purpose of this research is to know the correlation between parents’ educational levels and income with the growth of children under five measured by using Body Weight/Body Height (BB/TB) and Body Height/Age (TB/A). The method applied analytical observational using cross sectional approach. The samples were children under five aged 0-5 years as many as 75 respondents. The technique to collect the data used WHO’s growth table consisting of body height per age (TB/U) and body weight per body height (BB/TB), parents’ job and income were collected by using questionnaires and analyzed bivariately by using chi Square test. The results of this research showed a correlation between parents’ educational levels and income with the growth (TB/U), a correlation between parents’ educational levels and the growth of the children (BB/TB) and no correlation between parents’ income with the growth of the children (BB/TB)
Efektivitas Terapi Rendam Kaki Air Hangat terhadap Perubahan Penurunan Tekanan Darah Ibu Hamil Preeklampsia
Authors: Inayah Maslahatul , Anonim Tri 
Published: February 2021

Maternal Mortality Rate (MMR) can be a measuring tool to determine the quality of health services both during pregnancy and postpartum. Pregnant women with preeclampsia can cause complications that lead to increased maternal mortality and perinatal mortality. There are several attempts to control high blood pressure. This method can use pharmacological or non pharmacological. The purpose of this study was to determine the effectiveness of warm water foot soak therapy on changes in blood pressure reduction of preeclamptic pregnant women. This type of research is a quantitative study with aresearch quasi-experimentaldesign, with adesign approach pre and post test in the intervention group and the conMtrol group. The sample for each group is 10 people, so that the total number of samples is 20 respondents.Bivariate analysis was performed using the Wilxocon test because the data distribution was not normal and the Mann-Whitney Test to determine the difference before and after the intervention was given.The results of the bivariate analysis showed that there was an effect of giving warm water foot soaking therapy to changes in the decrease in systolic and diastolic blood pressure of preeclamptic pregnant women with a value of p = 0.004 and p = 0.011 and there were differences in changes in the decrease in systolic and diastolic blood pressure between the intervention group and the control group. p = 0.001 and p = 0.007.
PERAN HAKIM AGUNG SEBAGAI PEMBARU HUKUM UNTUK MEWUJUDKAN PENGADILAN YANG BERSIH
Authors: - Taqwaddin 
Published: February 2021

Tulisan ini membahas peranan Hakim Agung sebagai pembaru hokum untuk mewujudkan pengadilan yang bersih. Pembahasannya menggunakan teori Roscoe Pound dan Mochtar Kusumaatmadja, yaitu fungsi hokum sebagai sarana pembaharuan masyarakat. Beberapa strategi yang dapat dilakukan oleh Hakim Agung untuk mewujudkan pengadilan yang besih adalah : perekrutan calon hakim haris bersih dan berkualitas, perlunya peningkatan kualitas dan kecendekiawanan hakim, putusan hakim harus mengutamakan pada kemanfaatan dan rasa keadilan, penguatan pengawasan, dan pembenahan manajemen peradilan.Â Kata kunci : Hakim Agung, Pembaruan Hukum, Pengadilan yang BersihÂ
PELUANG PENERAPAN FPIC SEBAGAI INSTRUMEN HUKUM PROGRESIF UNTUK MELINDUNGI HAK MASYARAKAT ADAT DALAM KEGIATAN USAHA MINYAK DAN GAS BUMI
Authors: Nidasari Nisa Istiqomah 
Published: February 2021

AbstrakPengadaan tanah untuk kegiatan industri minyak dan gas bumi merupakan kegiatan strategis yang diprioritaskan negara atas nama ‘kepentingan umum’. Tidak jarang, pengadaan tersebut merampas hak tenurial masyarakat adat demi menyediakan lahan bagi perusahaan untuk melakukan eksplorasi dan eksploitasi. Padahal fungsi tanah bagi masyarakat adat tidak hanya sebagai tempat tinggal saja, tetapi juga sebagai tempat peribadatan, sumber mata pencaharian serta bagian dari budaya dan warisan leluhur yang harus dipertahankan dan dilestarikan. Hak masyarakat adat terhadap tanah ulayat juga dilindungi oleh berbagai instrumen hukum nasional dan internasional.Salah satu prosedur yang dapat memberikan perlindungan terhadap hak-hak fundamental masyarakat adat adalah FPIC (Free, Prior and Informed Consent) atau PADIATAPA (Persetujuan Atas Dasar Informasi Awal Tanpa Paksaan). Secara khusus, tulisan ini bertujuan untuk menjawab pokok permasalahan sebagai berikut: Pertama, mengapa FPIC dapat menjadi instrumen hukum progresif untuk melindungi hak-hak masyarakat adat dalam kegiatan usaha migas? Kedua, bagaimana FPIC dapat meningkatkan kepastian hukum bagi investasi di sektor migas? Ketiga, bagaimana strategi untuk menerapkan FPIC dalam kebijakan pengadaan tanah untuk industri migas di Indonesia? AbstractLand clearing for oil and gas industry is deemed as a strategic activity that is prioritized in the name of ‘Public Interest’. In many cases, such land clearing confiscated the land tenure of indigenous peoples to give space for oil companies conducting exploration and exploitation. This is unacceptable for indigenous peoples because not only they often depend on their customary land for their livelihoods and residence, but also because it has strong cultural and often spiritual significance. The rights of indigenous peoples over their customary land is protected under national and international legal frameworks.One of the procedure that shall gives a protection over the fundamental rights of Indigenous Peoples is FPIC (Free and Prior Informed Consent). In the business perspective, FPIC will increase the legal certainty for invesment as it provides the companies with social license to extract. Specifically, this paper will address the following questions: First, how FPIC could be a progressive legal instrument to protect Indigenous Peoples rights in the activity of oil and gas? Second, how FPIC could increase the legal certainty for investment in oil and gas industry? Third, what are the strategies to apply FPIC in the land clearing policy for oil and gas industry in Indonesia?
GUGATAN WARGA NEGARA (STUDI KASUS: GERAKAN SAMARINDA MENGGUGAT
Authors: Alamanda Rizkita 
Published: February 2021

AbstrakPerubahan iklim bukan lagi menjadi sebuah omong kosong, kenyataan bahwa bumi semakin panas dan ancaman atas dampak perubahan iklim telah menjadi nyata. Pergeseran musim mengakibatkan kegagalan dalam bercocok tanam, kenaikan permukaan air laut mengancam keberadaan negara-negara kepulauan kecil. Banjir dan kekeringan adalah sebagian kecil dari dampak perubahan iklim yang telah nyata dirasakan. Bumi semakin panas, para ahli dalam Laporan IPCC WG I AR 5 semakin yakin bahwa penyebab perubahan iklim adalah akibat aktivitas manusia. Pertanyaan yang kemudian muncul adalah siapa yang bertanggung jawab atas kerusakan dan kerugian yang diderita akibat dampak perubahan iklim? Di Indonesia, Gugatan Warga Negara menjadi salah satu bentuk litigasi yang menjadi alternatif penyelesaian dampak perubahan iklim yang dirasakan oleh masyarakat. Abstract Climate change is not longer became an issue, we are facing the fact that earth is getting warmer and the impact of climate change is become real. The season changed, and affected the crops failure. The raising sea level threatening the existence of small islands. Flood and drought are simply the several impact of climate change that has been perceived. Earth is getting warmer, the IPCC Fifth Assessment Report of Working Group I ensure the main cause of climate change is from anthropogenic activities. The question that arose later is who will be responsible for any damage of the climate change impact? Citizen Law Suit in Indonesia has become one of litigation form that can be an alternative solution of climate change impacts in civil society.
Alat Ukur Tinggi dan Berat Badan Berbasis Arduino Uno
Authors: Agusli Rachmat , Tullah Rahmat , Karisma Naufal 
Published: February 2021

Indeks Massa Tubuh (IMT) adalah formula yang berasal dari berat badan (kg) / tinggi (m2) yang dapat digunakan untuk menentukan seberapa besar seseorang dapat terpapar risiko penyakit kardiovaskular. Kegemukan dan obesitas (BMI abnormal) dapat menyebabkan banyak penyakit dyslipidemia serta menyebabkan perubahan dari struktur pembuluh darah d dimana Struktur ini sangat berperan penting dalam sistem vaskular yaitu sel endotel (penting dalam proses homeostasis). Jika terjadi kerusakan, maka mengakibatkan sel endotel dilepaskan dari dinding lumen kemudian diedarkan dalam darah dan disebut Circulating endothelial. Ttujuan penelitian ini penulis ingin membuat alat yang dapat membantu untuk mengetahui berat ideal dengan menggunakan metode prototype mikrokontroler Aarduino Uno dan beberapa komponen lainnya seperti Sensor Load cell dan Ultrasonik. Adanya alat ini diharapkan dapat mengurangi terjadinya penyakit obesitas dan juga beberapa penyakit yang terkait massa berat badan.
FIR-luminous [C ii] Emitters in the ALMA-SCUBA-2 COSMOS Survey (AS2COSMOS): The Nature of Submillimeter Galaxies in a 10 Comoving Megaparsec-scale Structure at z ∼ 4.6
Authors: Mitsuhashi I. , Matsuda Y. , Smail Ian , Hayatsu N. H. , Simpson J. M. , Swinbank A. M. , Umehata H. , Dudzevičiūtė U. , Birkin J. E. , Ikarashi S. , Chen Chian-Chou , Tadaki K. , Yajima H. , Harikane Y. , Inami H. , Chapman S. C. , Hatsukade B. , Iono D. , Bunker A. , Ao Y. , Saito T. , Ueda J. , Sakamoto S. 
Published: February 2021

Abstract
We report the discovery of a 10 comoving megaparsec (cMpc)-scale structure traced by massive submillimeter galaxies (SMGs) at z ∼ 4.6. These galaxies are selected from an emission line search of ALMA Band 7 observations targeting 184 luminous submillimeter sources (S
850μm ≥ 6.2 mJy) across 1.6 degrees2 in the COSMOS field. We identify four [C ii] emitting SMGs and two probable [C ii] emitting SMG candidates at z = 4.60–4.64 with velocity-integrated signal-to-noise ratio of S/N > 8. Four of the six emitters are near-infrared blank SMGs. After excluding one SMG whose emission line is falling at the edge of the spectral window, all galaxies show clear velocity gradients along the major axes that are consistent with rotating gas disks. The estimated rotation velocities of the disks are 330–550 km s−1 and the inferred host dark-matter halo masses are ∼2–8 × 1012
M
⊙. From their estimated halo masses and [C ii] luminosity function, we suggest that these galaxies have a high (50%–100%) duty cycle and high (∼0.1) baryon conversion efficiency (SFR relative to baryon accretion rate), and that they contribute ≃2% to the total star formation rate density at z = 4.6. These SMGs are concentrated within just 0.3% of the full survey volume, suggesting they are strongly clustered. The extent of this structure and the individual halo masses suggest that these SMGs will likely evolve into members of a ∼1015
M
⊙ cluster at z = 0. This survey reveals a synchronized dusty starburst in massive halos at z > 4, which could be driven by mergers or fed by smooth gas accretion.
On the Nature of GW190814 and Its Impact on the Understanding of Supranuclear Matter
Authors: Tews Ingo , Pang Peter T. H. , Dietrich Tim , Coughlin Michael W. , Antier Sarah , Bulla Mattia , Heinzel Jack , Issa Lina 
Published: February 2021

Abstract
The observation of a compact object with a mass of 2.50–2.67M
⊙ on 2019 August 14, by the LIGO Scientific and Virgo collaborations (LVC) has the potential to improve our understanding of the supranuclear equation of state. While the gravitational-wave analysis of the LVC suggests that GW190814 likely was a binary black hole system, the secondary component could also have been the heaviest neutron star observed to date. We use our previously derived nuclear-physics-multimessenger astrophysics framework to address the nature of this object. Based on our findings, we determine GW190814 to be a binary black hole merger with a probability of >99.9%. Even if we weaken previously employed constraints on the maximum mass of neutron stars, the probability of a binary black hole origin is still ∼81%. Furthermore, we study the impact that this observation has on our understanding of the nuclear equation of state by analyzing the allowed region in the mass–radius diagram of neutron stars for both a binary black hole or neutron star–black hole scenario. We find that the unlikely scenario in which the secondary object was a neutron star requires rather stiff equations of state with a maximum speed of sound

times the speed of light, while the binary black hole scenario does not offer any new insight.
A Deep Search for Emission from “Rock Comet” (3200) Phaethon at 1 au
Authors: Ye 叶泉 Quanzhi 志 , Knight Matthew M. , Kelley Michael S. P. , Moskovitz Nicholas A. , Gustafsson Annika , Schleicher David 
Published: February 2021

Abstract
We present a deep imaging and spectroscopic search for emission from (3200) Phaethon, a large near-Earth asteroid that appears to be the parent of the strong Geminid meteoroid stream, using the 4.3 m Lowell Discovery Telescope. Observations were conducted on 2017 December 14–18 when Phaethon passed only 0.07 au from the Earth. We determine the 3σ upper level of dust and CN production rates to be 0.007–0.2 kg s−1 and 2.3 × 1022 molecules s−1 through narrowband imaging. A search in broadband images taken through the SDSS r′ filter shows no 100 m class fragments in Phaethon’s vicinity. A deeper but star-contaminated search also shows no sign of fragments down to 15 m. Optical spectroscopy of Phaethon and comet C/2017 O1 (ASASSN) as a comparison confirms the absence of cometary emission lines from Phaethon and yields 3σ upper levels of CN, C2, and C3 of ∼1024–1025 molecules s−1, 2 orders of magnitude higher than the CN constraint placed by narrowband imaging, due to the much narrower on-sky aperture of the spectrographic slit. We show that narrowband imaging could provide an efficient way to look for weak gas emission from near-extinct bodies near the Earth, though these observations require careful interpretation. Assuming Phaethon’s behavior is unchanged, our analysis shows that the DESTINY+ mission, currently planning to explore Phaethon in 2026, may not be able to directly detect a gas coma.
The Sizes and Albedos of Centaurs 2014 YY49 and 2013 NL24 from Stellar Occultation Measurements by RECON
Authors: Strauss Ryder H. , Leiva Rodrigo , Keller John M. , Wilde Elizabeth , Buie Marc W. , Weryk Robert J. , Kavelaars JJ , Bridges Terry , Wasserman Lawrence H. , Trilling David E. , Ainsworth Deanna , Anthony Seth , Baker Robert , Bardecker Jerry , Bean James K , Bock Stephen , Chase Stefani , Dean Bryan , Frei Chessa , George Tony , Gill Harnoorat , Gimple H. Wm. , Givot Rima , Hopfe Samuel E. , Cota Juan M. , Kehrli Matthew , King Rebekah , L. Haley Sean , Lara Charisma , Lund Nels , Mattes Martin L. , McCandless Keitha , McCrystal Delsie , McRae Josh , Rodriguez Melgarejo Leonardo Emmanuel , Mendoza Paola , Miller Alexandra , Norfolk Ian R. , Palmquist Bruce , Reaves Robert D. , Rivard Megan L , von Schalscha Michael , Schar Ramsey , Stoffel Timothy J , Swanson Diana J. , Thompson Doug , Wise J. A. , Woods Levi , Yang Yuehai 
Published: February 2021

Abstract
In 2019, the Research and Education Collaborative Occultation Network (RECON) obtained multiple-chord occultation measurements of two Centaur objects: 2014 YY49 on 2019 January 28 and 2013 NL24 on 2019 September 4. RECON is a citizen-science telescope network designed to observe high-uncertainty occultations by outer solar system objects. Adopting circular models for the object profiles, we derive a radius

km and a geometric albedo

for 2014 YY49 and a radius

km and a geometric albedo

for 2013 NL24. To the precision of these measurements, no atmosphere or rings are detected for either object. The two objects measured here are among the smallest distant objects measured with the stellar occultation technique. In addition to these geometric constraints, the occultation measurements provide astrometric constraints for these two Centaurs at a higher precision than has been feasible by direct imaging. To supplement the occultation results, we also present an analysis of color photometry from the Pan-STARRS surveys to constrain the rotational light curve amplitudes and spectral colors of these two Centaurs. We recommend that future work focus on photometry to more deliberately constrain the objects’ colors and light curve amplitudes and on follow-on occultation efforts informed by this astrometry.
CD40 Agonist Overcomes T Cell Exhaustion Induced by Chronic Myeloid Cell IL-27 Production in a Pancreatic Cancer Preclinical Model
Authors: Burrack Adam L. , Rollins Meagan R. , Spartz Ellen J. , Mesojednik Taylor D. , Schmiechen Zoe C. , Raynor Jackson F. , Wang Iris X. , Kedl Ross M. , Stromnes Ingunn M. 
Published: February 2021

Abstract
Pancreatic cancer is a particularly lethal malignancy that resists immunotherapy. In this study, using a preclinical pancreatic cancer murine model, we demonstrate a progressive decrease in IFN-γ and granzyme B and a concomitant increase in Tox and IL-10 in intratumoral tumor-specific T cells. Intratumoral myeloid cells produced elevated IL-27, a cytokine that correlates with poor patient outcome. Abrogating IL-27 signaling significantly decreased intratumoral Tox+ T cells and delayed tumor growth yet was not curative. Agonistic αCD40 decreased intratumoral IL-27–producing myeloid cells, decreased IL-10–producing intratumoral T cells, and promoted intratumoral Klrg1+Gzmb+ short-lived effector T cells. Combination agonistic αCD40+αPD-L1 cured 63% of tumor-bearing animals, promoted rejection following tumor rechallenge, and correlated with a 2-log increase in pancreas-residing tumor-specific T cells. Interfering with Ifngr1 expression in nontumor/host cells abrogated agonistic αCD40+αPD-L1 efficacy. In contrast, interfering with nontumor/host cell Tnfrsf1a led to cure in 100% of animals following agonistic αCD40+αPD-L1 and promoted the formation of circulating central memory T cells rather than long-lived effector T cells. In summary, we identify a mechanistic basis for T cell exhaustion in pancreatic cancer and a feasible clinical strategy to overcome it.
Dexmedetomidine Versus Clonidine as Adjuvants in Epidural Analgesia in Gynecological Laparotomy
Authors: Pratiwi Dewa Ayu Nyoman Isma , Sucandra I Made Agus Kresna , Senapathi Tjokorda Gde Agung 
Published: February 2021

Abstract
Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. If the management of acute postoperative pain is not done properly, it can lead to the complication such as chronic pain. Epidural anesthesia reduces perioperative stress response in surgery, increasing the surgery outcome. Epidural analgesia is one of the potential acute postoperative pain treatments. The administration of α-2 agonists has analgesic and sedative effect when used as adjuvant in epidural analgesia. The administration of α-2 adrenergic agonists' adjuvant can increase the potential duration of analgesia and reduce the local anesthetic dose needed 30%–40% and can reduce the occurrence of the side effects. Dexmedetomidine is one of the most potent and high selective alpha-2 adrenergic receptor agonists. The use of dexmedetomidine during epidural anesthesia has faster onset and longer motor sensory blockade duration with hemodynamic stability that can be accepted. While clonidine acts as selective partial alpha-2 receptor agonists that cause the analgesic action of alpha-2 receptor in the dorsal of spinal cord. Clonidine has been shown its ability to reduce the local anesthesia needed and improve the pain scores when is combined with bupivacaine 0.125% with or without fentanyl opioid 1–2 μg/mL.
To Determine the Efficacy of Intrathecal Dexmedetomedine and Fentanyl as Adjuvants to Spinal Anesthesia for Lower Abdominal Surgeries Below the Level of Umbilicus - A Prospective Randomized Controlled Double Blinded Study
Authors: Laxmikanth Jadi , Segaran Sivakumar , George Sagiev Koshy , John Ashwin , Johns Jemmie Rachel , Mani Nikita 
Published: February 2021

Abstract

Background:
Spinal anesthesia is widely used regional anesthesia technique; however, postoperative analgesia is a major problem. The duration of analgesia can be prolonged by the addition of intrathecal adjuvants. Hence, this study is aimed to assess the characteristics of spinal block between the groups.

Patients and Methods:
One hundred and twenty-six adult patients were enrolled in this study. Patients were randomized into three groups of 42 in each group by the computer-generated numbers. Group A received 12.5 mg of 0.5% bupivacaine (2.5 ml) + 25 mcg fentanyl (0.5 ml), Group B received 12.5 mg of 0.5% bupivacaine (2.5 ml) + 5 mcg dexmedetomidine (0.1 ml) + 0.4 ml normal saline (NS), and Group C received 12.5 mg of 0.5% bupivacaine (2.5 ml) + 0.5 ml NS. Block characteristics and hemodynamic changes were recorded between the groups.

Results:
Time to achieve sensory block (T10) and motor block (M1) were faster in Group B when compared to Group A and C (P < 0.001). Duration of sensory block and motor block was longer with Group B (450.12 ± 22.295 min and 390.12 ± 22.551 min) when compared to Group A (380.71 ± 13.331 min and 320.71 ± 13.403 min) and Group C (220.10 ± 14.635 min and 180.10 ± 14.355 min). Time for first rescue analgesia was also longer in Group B when compared to Groups A and C (P < 0.001).

Conclusion:
Intrathecal dexmedetomidine provides effective prolongation of sensory and motor block as adjuvant to hyperbaric bupivacaine in spinal anesthesia.