bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERBANDINGAN HASIL ANALISIS SPERMA DARI PROSES COITUS INTERRUPTUS DAN MASTURBASI PADA KASUS INFERTILITAS
Authors: Priyanto Edy , Arjadi Fitranto , Agatri Norina 
Published: July 2021

Pasangan infertil semakin banyak ditemukan di Indonesia, 40% penyebab infertilitas terkait dengan faktor suami. Analisis sperma merupakan metode untuk mengetahui penyebab infertilitas. Metode masturbasi lebih direkomendasikan dibandingkan coitus interruptus. Kekurangan pada metode masturbasi adalah adanya beban psikologis dan latar belakang agama. Tujuan penelitian adalah membandingkan hasil analisis sperma dari hasil coitus interruptus dan masturbasi pada kasus infertilitas. Jenis penelitian adalah observasional analitik. Sampel penelitian berjumlah 97 laki-laki infertil yang melakukan pemeriksaan di RSIA Bunda Arif pada bulan Januari 2017 – Juni 2018. Teknik sampling menggunakan total sampling. Analisis sperma menggunakan klasifikasi dari WHO tahun 2010. Analisis statistik yang digunakan adalah uji t tidak berpasangan. Hasil penelitian menunjukkan perbedaan bermakna konsentrasi sperma (p=0,043) pada kelompok masturbasi 46,5 ± 7,2 dan kelompok coitus interruptus 18,7 ± 5,3. Hasil yang tidak bermakna pada motilitas (p=0,632) dan morfologi (p=0,722). Kesimpulan penelitian adalah analisis sperma dengan proses masturbasi lebih baik konsentrasinya dibandingkan dengan proses coitus interruptus pada kasus infertilitas.

Infertile couples are increasingly found in Indonesia and the 40% of many causes are related to husband factors consequently sperm analysis is needed to predict infertility. A method of masturbation is more recommended than coitus interruptus. The deficiency of masturbation method lies on psychological and religious burden. This research aims at comparing the sperm analysis resulted from coitus interuptus and masturbation in infertility cases. It belongs to observational analityc reserach. The subjects of the research were 97 infertile male patients who underwent examination in RSIA Bunda Arif in January 2017-June 2018 and total sampling method was applied. The sperm analysis utilized WHO classification in 2010 and independent t-test was used in statistics analysis. The results of this study showed the sperm comparison and research results (p = 0.043) in masturbation groups is 46.5 ± 7.2 and the coitus interruptus group is 18.7 ± 5.3 and the result is not suitable for motility (p = 0.632) and morphology (p = 0.722) in spite of the fact that it showed better in the masturbation group. The study concludes that the sperm concentration in sperm analysis in the masturbation process is better and more recommended than that of coitus interruptus.
Tingkat kesesuaian infrastruktur Kampung Batik Laweyan Kota Surakarta berdasarkan konsep ramah lingkungan
Authors: Anugrahaningrum Apriniata Andip , Yudana Galing , Aliyah Istijabatul 
Published: July 2021

<p class="Abstract">Perkembangan Kampung Batik Laweyan yang berfungsi sebagai permukiman, pariwisata, dan aktivitas industri tidak terlepas dari elemen-elemen di dalamnya; salah satunya yaitu ketersediaan infrastruktur. Infrastruktur ramah lingkungan merupakan konsep yang diperlukan dalam sebuah kawasan untuk mewujudkan ruang yang aman, nyaman, dan berkelanjutan tanpa menimbulkan pencemaran lingkungan. Akan tetapi pada kenyataannya, infrastruktur di Kampung Batik Laweyan masih menimbulkan beberapa permasalahan, salah satunya yaitu terlihat dari kondisi Sungai Jenes yang masih tercemar. Permasalahan tersebut menjadi hal yang penting untuk diperhatikan karena akan berpengaruh terhadap berjalannya aktivitas di Kampung Batik Laweyan. Menteri Perindustrian Indonesia pun menghimbau agar seluruh sentra industri batik yang tersebar di seluruh wilayah Indonesia menjadi sentra yang ramah lingkungan. Penelitian ini bertujuan untuk mengetahui tingkat kesesuaian infrastruktur Kampung Batik Laweyan Kota Surakarta berdasarkan konsep ramah lingkungan. Metode yang digunakan dalam penelitian ini adalah metode deduktif dengan analisis data yang digunakan yaitu teknik analisis skoring deskriptif yang disesuaikan terhadap teori terkait. Hasil analisis penelitian menunjukkan bahwa tingkat kesesuaian infrastruktur di Kampung Batik Laweyan termasuk pada tingkat kesesuaian sedang, artinya berdasarkan perhitungan rata-rata pada seluruh variabel menyatakan kondisi infrastruktur di kawasan ini cukup memenuhi terhadap indikator ramah lingkungan. Jenis infrastruktur yang tergolong sangat sesuai terhadap indikator ramah lingkungan adalah jaringan drainase, jaringan air limbah, dan jaringan air bersih. Sedangkan jenis infrastruktur yang dinilai kurang ramah lingkungan adalah jaringan listrik dan pengelolaan persampahan.</p>
Konsep kota hijau dan peningkatan ketahanan kota di Indonesia
Authors: Fuady Mirza 
Published: July 2021

Sebagai upaya mengatasi berbagai persoalan kota seperti semakin berkurangnya ruang terbuka hijau akibat meningkatnya ruang terbangun dalam kota, beberapa kota di Indonesia termasuk kota Banda Aceh sudah menerapkan konsep Kota Hijau. Implementasi konsep Kota Hijau yang berbasis lingkungan menuntut kesiapan pemerintah dan warga kota untuk saling berpartisipasi mendukung konsep Kota Hijau yang diharapkan berdampak positif meningkatkan ketahanan kota. Namun keberhasilan penerapan konsep ini membutuhkan keseriusan pemerintah kota dalam membuat kebijakan pro lingkungan dan keaktifan peran komunitas hijau yang hidup dalam masyarakat. Untuk itu penelitian ini dilakukan dengan tujuan untuk mengetahui dan mendeskripsikan penerapan konsep Kota Hijau di Indonesia dan dampaknya dalam meningkatkan ketahanan kota. Penelitian ini menggunakan metode deskriptif kualitatif dalam mengumpulkan dan menganalisis data terkait implementasi konsep Kota Hijau di Indonesia. Hasil penelitian menunjukkan bahwa konsep Kota Hijau secara umum memberikan keuntungan bagi masyarakat dengan makin meningkatnya kuantitas dan kualitas ruang terbuka hijau dalam kota. Meskipun konsep Kota Hijau belum seutuhnya berhasil diwujudkan oleh pemerintah kota di Indonesia namun penyempurnaannya terus dilakukan secara berkesinambungan. Sinergi dari kebijakan pemerintah dan peran masyarakat secara sistematis dan konsisten dalam menerapkan atribut hijau dalam konsep Kota Hijau berdampak positif bagi ketahanan dan keberlanjutan kota.
Adherence to Attendance at Outpatient Clinic and Longterm Survival of Patients after Stroke in Outpatient Setting: the Data of REGION-M Registry
Authors: Martsevich S. Yu. , Tolpygina S. N. , Chernysheva M. I. , Zagrebelny A. V. , Voronina V. P. , Lukyanov M. M. , Kutishenko N. P. , Dmitrieva N. A. , Lerman O. V. , Lukina Yu. V. , Blagodatskikh S. V. , Okshina E. Yu. , Parsadanyan N. E. 
Published: July 2021

Aim. Assess the two-year survival rate of patients who have undergone acute cerebral circulation disorder, depending on their commitment to visiting the district polyclinic before and after discharge from the hospital.Material and methods. The outpatient part of the REGION-M register included 684 patients attached to the Moscow City Polyclinic №64, discharged from the Moscow City Clinical Hospital n.a. F.I. Inozemtsev of from 01.01.2012 to 04.30.2017 with a confirmed diagnosis of acute cerebral circulation disorder (cerebral stroke / transient ischemic attack).Results. Of the entire cohort, 83.2% of patients and 84.2% after hospital discharge attended the clinic during the year before the development of reference acute cerebral circulation disorder. Patients who attended the clinic before and after the reference stroke were older, more likely to have diabetes, comorbid disease and disability. For 22 months of follow-up, mortality was 28.8% (197 out of 684 people). Among those who applied and did not apply to the clinic before the reference acute cerebral circulation disorder, the difference in mortality tended to be reliable (27.4% versus 35.7%, p <0.1), while mortality was almost twice as low among patients who applied to the clinic at least 1 time after discharge (25.7%) than among patients who did not apply after discharge - 45.4%, p<0.0001. When adjusting for sex and age (the relative risk of death for them was 1.009, 95% confidence interval 1.005-1.01 2, p<0.0001 ), the statistical validity of reducing the risk of death was maintained when patients were committed to visiting the clinic after discharge - the relative risk of death 0.366 (95% confidence interval 0.269-0.500, p<0.0001 ).Conclusion. Lower mortality among those who visited the district polyclinic after undergoing stroke confirms the important role of medical observation in the posthospital period. At the same time, there is a reserve in improving the long-term prognosis of the lives of patients who have suffered a cerebral stroke or transient ischemic attack, due to greater coverage of patients with medical supervision in the clinic.
Evaluation of Procalcitonin Levels in Patients with Various Forms of Acute Coronary Syndrome, Depending on the Presence of Adverse Hospital Outcomes
Authors: Drapkina O. M. , Zakharova V. A. 
Published: July 2021

Aim. to study the levels of procalcitonin in patients with various forms of acute coronary syndrome (ACS), depending on the presence of adverse hospital outcomes.Materials and Methods. The study included 222 patients admitted to the emergency cardiology department with a diagnosis of ACS in the period from March 2014. until January 2017. Of these, 106 (47.7 %) patients were diagnosed with unstable angina (NS) and 116 (52.3%) with myocardial infarction (MI). Non ST segment elevation MI (NSTEMI) was diagnosed in 47 (40.5%) patients with MI, and ST elevation MI (STEMI) – in 69 (59.5%) patients with MI. After the assessment of the patient's compliance with the criteria for inclusion/exclusion in the study, the procedure for signing the patient's informed consent form was carried out. The protocol of the study was approved by the local Ethics committee of the M. E. Zhadkevich State Clinical Hospital. In each study subgroup, the presence of adverse outcomes during the current hospitalization was assessed: cardiovascular death, nonfatal MI, nonfatal acute cerebrovascular accident, acute heart failure, as well as a combined endpoint, including all of the listed adverse outcomes. All patients, in addition to routine laboratory methods of investigation, were examined for the level of procalcitonin at admission to the hospital, on 2-3 and 4-5 days.Results. Patients with MI compared to patients with NS were characterized by a large number of registered endpoints in general (24.1% vs. 6.6%, p<0.001), while in the group of patients with MI, cardiovascular death was more often recorded (10.3% vs. 0.9%, p<0.001) and acute heart failure (12.9% vs. 5.6%, p=0.009). Patients with MI, in particular with STEMI, who had adverse hospital outcomes, were characterized by statistically significantly higher levels of procalcitonin compared to patients without adverse hospital outcomes. Patients with STEMI showed significantly higher levels of procalcitonin at all stages of the disease, and patients with MI-only at 2-3 and 4-5 days. There were no statistically significant differences in the level of procalcitonin at all stages of the disease in patients with NSTEMI and with unstable angina, depending on the hospital outcomes.Conclusion. Elevated procalcitonin levels in patients with MI, in particular with STEMI, are associated with adverse hospital outcomes; for other forms of ACS, no statistically significant differences were observed with different hospital outcomes.
Heart Condition in Convalescents of Hemorrhagic Fever with Renal Syndrome According to Echocardiography Data
Authors: Manakhov K. M. , Tsarenko O. E. , Chevplyanskaya O. N. , Bagautdinova L. I. , Melnikov A. V. , Malinin O. V. , Dudarev M. V. , Sarksyan D. S. , Platonov A. E. , Maleev V. V. 
Published: July 2021

Aim. To study the morpho-functional parameters of the heart in convalescents of hemorrhagic fever with renal syndrome (HFRS) using echocardiography.Material and methods. The study included 27 patients without any chronic diseases who had severe or moderate HFRS (the main group) within 3 weeks after their discharge from the infection diseases hospital. The reference group consisted of 19 patients comparable by age and gender, without any chronic diseases. Transthoracic echocardiography was the basic method of heart and hemodynamics investigation. The test was performed using tissue Doppler and non-Doppler assessment of left ventricle systolic deformation method (speckle-tracking method).Results. Violation of longitudinal systolic deformation of the left ventricle was observed in 15 (55.6%) patients, which was combined with diastolic left ventricle filling by the type of relaxation violation in 8 (29.6%) cases. Mitral valve insufficiency of 1 degree was identified in 11 (40.7%) HFRS patients, insufficiency of the tricuspid valve of 1 degree was identified in 4 (14.8%) patients. Pericardial effusion was detected in 2 (7.4%) patients. In 7 (25.9%) patients in the first 3 weeks after discharge from the hospital, additional floating echoes were detected on the leaves and fibrous ring of the aortic valve, which were considered as a manifestation of thromboendocarditis.Conclusion. Further investigation is necessary to assess the prognostic value (including the risk of thromboembolic complication developing) of the changes revealed in HFRS convalescents and to support the inclusion of echocardiography in the examination program during dispensary observation of HFRS-convalescents.
Prevalence of Shoulder Arthroplasty in the United States and the Increasing Burden of Revision Shoulder Arthroplasty
Authors: Farley Kevin X. , Wilson Jacob M. , Kumar Anjali , Gottschalk Michael B. , Daly Charles , Sanchez-Sotelo Joaquin , Wagner Eric R. 
Published: July 2021

Background:
Existing data on the epidemiology of shoulder arthroplasty are limited to future projections of incidence. However, the prevalence of shoulder arthroplasty (the number of individuals with a shoulder arthroplasty alive at a certain time and its implications for the burden of revision procedures) remains undetermined for the United States. Hence, the purpose of this study was to estimate the prevalence of shoulder arthroplasty in the United States.

Methods:
The National Inpatient Sample (NIS) was queried to count all patients who underwent total shoulder arthroplasty (TSA), including both anatomic and reverse TSA, and hemiarthroplasty between 1988 and 2017. The counting method was used to calculate the current prevalence of TSA and hemiarthroplasty using age and sex-specific population and mortality data from the U.S. Census Bureau.

Results:
In 2017, an estimated 823,361 patients (95% confidence interval [CI], 809,267 to 837,129 patients) were living in the United States with a shoulder replacement. This represents a prevalence of 0.258%, increasing markedly from 1995 (0.031%) and 2005 (0.083%). Female patients had a higher prevalence at 0.294% than male patients at 0.221%. Over 2% of people who were ≥80 years of age in the United States were living with a shoulder replacement. Furthermore, approximately 60% of patients living with a shoulder replacement had undergone the operation between 2013 and 2017. The incidence of revision shoulder arthroplasty is increasing on an annual basis, with 10,290 revision procedures performed in 2017, costing the U.S. health-care system $205 million.

Conclusions:
The prevalence of shoulder arthroplasty in the United States has markedly increased over time. This trend will likely continue given increasing life expectancies and exponentially increasing shoulder arthroplasty incidence rates. Most patients do not have long-term follow-up, and revision shoulder arthroplasty rates are increasing, a trend that is projected to continue. The data from our study highlight the enormous public health impact of shoulder replacement and shed light on a potentially increasing revision burden.
Geographic features and environmental consequences of coffee tourism and coffee consumption in Budapest.
Authors: Dávid Lóránt , Remenyik Bulcsú , Adol Gogo Fredrick Collins 
Published: July 2021

As a survey by the Hungarian Central Statistical Office (2019) confirms coffee is consumed in 83% of Hungarian households, thus our country can be considered to be one of the major coffee drinking nations. At the end of the 19th century and the turn of the twentieth Budapest with its internationally famous and unique coffee culture was known as the coffeehouse capital. Post-modern tourism revived this tradition and coffee became once again a favourite consumer item while cafés turned into scenes of community life. The latest stage of the coffeehouse renaissance was partly due to the increasing role of American type café chains including McCafé, Starbucks, California Coffee Company etc. and the drop in the price of the Arabica coffee. Our research focuses on the impact of this new type of coffee consumption wave on the coffee habits of Hungarians. The American café chains have become widespread in Europe and their ability to keep the price of coffee low worldwide demonstrates significant market power. While coffee consumption has several benefits from a physiological point of view, its environmental impact is detrimental to the planet. Coffee cultivation contributes to the destruction of rainforests, the changing of the soil and last but not least results in a high amount of solid waste due to the popularity of coffee capsules. Our treatise explores these concerns as well.
Congestion-aware and Predictive Geo-Casting Routing Mechanisms for Mobile ad hoc Network
Authors: Hashim Ahlam 
Published: July 2021

Abstract
Mobile Ad-hoc Networks (MANETs) has gained remarkable appreciation during the last decade because of its high flexibility. Due to high mobility and unpredictable topology changes, most of the existing routing protocols are unable to adapt to these changes and efficient route selection becomes a challenging task. The existing routing protocols incur high control overhead during route discovery process, tendency to select an unreliable route and high data packet loss during route maintenance. Therefore, this paper presents A Congestion-aware and Predictive Geo-casting Routing Mechanism (CPGR) for MANET that optimally utilize the constrained network resources and reliably detect high-quality links. CPGR exploits a multi-facet routing strategy that takes into consideration the congestion level, relatively higher signal strength, and hop-counts of neigh- boring nodes while making routing decisions. This strategy not only ensures data dissemination via high quality nodes but also balances out resource consumption among nodes while traversing through shorter paths. Demonstrated by simulation results in NS-2, CPGR achieves improved performance in terms of end-to-end delay, control overhead, and packet delivery ratio as compared to existing solutions.
Verbal intelligence is a more robust cross-sectional measure of cognitive reserve than level of education in healthy older adults
Authors: Boyle Rory , Knight Silvin P , De Looze Céline , Carey Daniel , Scarlett Siobhan , Stern Yaakov , Robertson Ian H , Kenny Rose Anne , Whelan Robert 
Published: July 2021

Abstract
BackgroundCognitive reserve is most commonly measured using socio-behavioural proxy variables. These variables are easy to collect, have a straightforward interpretation, and are widely associated with reduced risk of dementia and cognitive decline in epidemiological studies. However, the specific proxies vary across studies and have rarely been assessed in complete models of cognitive reserve (i.e., alongside both a measure of cognitive outcome and a measure of brain structure). Complete models can test independent associations between proxies and cognitive function in addition to the moderation effect of proxies on the brain-cognition relationship. Consequently, there is insufficient empirical evidence guiding the choice of proxy measures of cognitive reserve and poor comparability across studies.MethodIn a cross-sectional study, we assessed the validity of 5 common proxies (education, occupational complexity, verbal intelligence, leisure activities, and exercise) and all possible combinations of these proxies in 2 separate community-dwelling older adult cohorts: The Irish Longitudinal Study on Ageing (TILDA; N = 313, mean age = 68.9 years, range = 54–88) and the Cognitive Reserve/Reference Ability Neural Network Study (CR/RANN; N = 234, mean age = 64.49 years, range = 50–80). 15 models were created with 3 brain structure variables (grey matter volume, hippocampal volume, and mean cortical thickness) and 5 cognitive variables (verbal fluency, processing speed, executive function, episodic memory, and global cognition).ResultsNo moderation effects were observed. There were robust positive associations with cognitive function, independent of brain structure, for 2 individual proxies (verbal intelligence and education), and 16 composites (i.e., combinations of proxies). Verbal intelligence was statistically significant in all models. Education was significant only in models with executive function as the cognitive outcome variable. Three robust composites were observed in more than two thirds of brain-cognition models: the composites of 1) occupational complexity and verbal intelligence, 2) education and verbal intelligence, and 3) education, occupational complexity and verbal intelligence. However, no composite had larger average effects nor was more robust than verbal intelligence alone.ConclusionThese results support the use of verbal intelligence as a proxy measure of CR in cross-sectional studies of cognitively healthy older adults.
Efficacy of Using High-Dose Vitamin C, Thiamine, and Hydrocortisone in Sepsis and Septic Shock: A Retrospective Before-After Study
Authors: Wali Haytham , Malik William , Mayette Juliane 
Published: July 2021

Abstract
Background/Objective Sepsis can be associated with increased production of reactive oxygen species that deplete antioxidant molecules and increase the consumption of vitamin C, which correlates with multiorgan failure and death. Intravenous vitamin C may protect several microvascular functions, including capillary blood flow, microvascular permeability barrier, and arteriolar responsiveness to vasoconstrictors and vasodilators. This study was conducted to assess the practice of administering high-dose vitamin C in critically ill patients with sepsis or septic shock at our institution retrospectively.Methods We conducted an electronic health record (EHR)-based, retrospective, before-after study. The primary objective was to assess the efficacy of using a high-dose vitamin C regimen in decreasing hospital mortality. A two-sided P-value of < 0.05 was considered statistically significant.Results A total of 84 patient records were included in this study. Administration of high-dose vitamin C, thiamine, and hydrocortisone was associated with higher hospital mortality (64.3% versus 42.9%; P = 0.049), higher ICU mortality (59.5% versus 42.9%; P = 0.07), shorter ICU length of stay (three versus seven days; P = 0.53), higher incidence of acute kidney injury (61.9% versus 26.2%; P = 0.001), and a higher requirement for renal replacement therapy (76.9% versus 45.5%; P = 0.06).Conclusion Administration of high-dose vitamin C, thiamine, and hydrocortisone in critical care patients with sepsis or septic shock was associated with higher hospital mortality and higher incidence of acute kidney injury.