bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of Glycosylated hemoglobin with Radiological severity, Systemic inflammation and Hypercoagulability in COVID -19 patients in a hospital from Central India: A Monocentric Retrospective Observational study
Authors: Gupta Prakhar , Samuel Tasha , Halani Ankitkumar , Ratre Bhupendra K 
Published: June 2021

Background: COVID-19 is currently the most common cause of morbidity and mortality worldwide. Diabetes is also one of the most common causes of morbidity and associated complications. Identification of prognostic markers like glycated hemoglobin can help early categorization of patients and their better management.
Aims and Objectives: To determine if Glycated Hemoglobin (HbA1c) levels are associated with radiological severity of COVID -19 disease, thereby predict prognosis in COVID -19 patients. Its association with D dimer andIL-6 was also evaluated to assess hypercoagulability and systemic inflammation in these patients.
Materials and Methods: A monocentric retrospective observational study was conducted during admission period from August 1, 2020- October 31, 2020. HbA1c levels of 188 patients who tested positive for COVID-19 in a dedicated COVID-19 tertiary care center (L.N. Medical college and J.K. Hospital, Bhopal) were determined. They were divided into 2 groups: A (HbA1c level ≤6.5 %), B (HbA1c level >6.5 %). Severity of disease in terms of lung involvement in HRCT Chest was recorded. Their SpO2 and oxygen requirement at admission was also recorded. Among laboratory investigations, D dimer, IL6 Levels were obtained.
Results: Out of 188 COVID-19 positive patients included in our study, there were 132 men, 56 women. Median age of patients was 66 years. Mean HbA1c level was 7.2%. Of these, 87 had normal HBA1C and 101 had raised HBA1C >6.5%. Oxygen was required in 58 patients with raised HbA1c (RR of 2.782, p value<0.0001), of which 42 patients had severe lung involvement (RR of 2.498, p value=0.0003). 20 (22.9%) patients with normal HbA1c required oxygen on admission, out of which 11 (12.6%) patients had severe lung involvement. Those who had higher HbA1c levels, had higher chances of severe lung involvement (>50%) in radiological evaluation (RR 2.783, p-value 0.0003, Positive Likelihood ratio: 2.78, 95% CI: 1.60 to 4.83, 85% specificity).Significant increase in D dimer was seen in 77 (76.2%) patients with raised HbA1c compared to 40 patients (45.9%) with normal HbA1c(RR-1.6582, p-value 0.0001). No significant relation between HbA1c levels with IL-6 was found.
Conclusion: Patients with raised HBA1C contracting COVID-19 have more severe inflammation and greater lung involvement, higher chances of oxygen requirement and are associated with higher risk of hypercoagulability. HbA1C will not only help identify hyperglycemia but also help assess severity of disease (both clinically and radiologically), systemic inflammation, hypercoagulability, thereby helps in predicting prognosis, managing patients and hasten recovery.
Predictors of surgical outcome among patients with spontaneous supratentorial intracerebral hemorrhage: A prospective single institutional study
Authors: Lamichhane Somraj , Devbhandari Ruchi , Tripathee Sabin , Chapagain Manisha 
Published: June 2021

Introduction: Intracerebral hemorrhage (ICH) is a potentially devastating neurologic emergency with long-term functional independence achieved in only limited patients with good prognostic factors. The objective of this study is toidentify the predictors of functional outcome in terms of modified Rankin Scale (mRS) following craniotomy and evacuation of spontaneous supratentorial ICH.

Methodology: It is a prospective study of forty patients conducted at the College of Medical Sciences (CMS) from May 2019 to April 2020 with three months follow-up. Patients of spontaneous supratentorial ICH with features of raised ICP and deteriorating GCS underwent surgical evacuation. The various predictors of outcome like Glasgow Coma Score (GCS) and pupillary inequality at presentation, age, location of hematoma, clot volume, comorbidities, intra-ventricular extension and involvement of dominant hemisphere were documented and compared with outcome in terms of modified Rankin Scale (mRS).

Results: The mortality rate at three months was 25% (32% in deep seated and 13.3% in lobar ICH) and higher in patients with poor GCS and pupillary inequality at presentation, volume >100 ml, intra-ventricular extension and patients undergoing decompressive craniectomy. Twenty patients (50%) had a favorable outcome (mRS 1-3) at follow-up, while 20 (50%) had a poor outcome (mRS 4-6). Unfavorable outcome was significantly higher among deep seated hematoma, age>70 years, poor GCS and pupillary inequality at presentation, clot volume >100ml, pre-existing co-morbidity, patients undergoing decompressive craniectomy and involvement of dominant hemisphere.

Conclusion: Surgical evacuation of spontaneous supratentorial ICH is associated with high mortality in patients with poor GCS and pupillary inequality at presentation, and large clot volume with intraventricular extension. However, young patients with good pre-morbid status, moderate volume of hematoma, not involving dominant hemisphere and moderate to good GCS have good functional outcome.
A rare case of chickenpox induced myoclonus
Authors: Mathur Navgeet , Mathur Medha , Verma Anjana 
Published: June 2021

In presence of abnormal neurological features, infective etiology should be kept as one of the differential diagnoses. This case report was about 38 years old male patient who presented with fever with blister-like rashes in centripetal distribution over the body and myoclonus. CSF examination showed the presence of varicella-zoster Ig M antibodies. Diagnosis of chickenpox induced myoclonus was made. Appropriate treatment recovered the patient completely. This case report highlighted the clinical spectrum of chickenpox as well as the possible pathogenesis and diagnostic, therapeutic approach of this uncommon entity.
Inventarisasi Ikan Demersal dan Ikan Pelagis yang Didaratkan di PPI Kijang Kecamatan Bintan Timur Kabupaten Bintan
Authors: Lubis Eflin Krismasia , Sinaga Theresia Yesika , Susiana Susiana 
Published: June 2021

Ikan merupakan sumber protein hewani yang dibutuhkan oleh manusia disamping daging. Jenis ikan yang pada umumnya ditangkap untuk dijadikan konsumsi baik dalam bentuk segar maupun olahan adalah jenis ikan pelagis dan ikan demersal. Penelitian ini bertujuan untuk mengetahui jenis jenis ikan demersal dan ikan pelagis yang didaratkan di PPI Kijang. Metode penelitian dilakukan melalui survey lapang dan pengumpulan data primer dan sekunder yang didapatkan melalui nelayan dan petugas PPI Kijang. Hasil penelitian terdapat 7 jenis ikan demersal, diantaranya : Ikan delah (Caesio teres), Ikan kurisi (Nemipterus nemurus), Ikan pari (Neotrygon kuhlii), Ikan manyung (Netuma thalassina), Ikan lebam (Siganus guttatus), Ikan jebung (Abalistes stellaris), dan Ikan sebelah (Psettodes erumei). Untuk ikan pelagis terdapat untuk 7 jenis, diantaranya : Ikan Selar (Atule mate), Ikan Kuwe (Gnathanodon speciosus), Ikan Bulat (Carangoides plagiotaenia), Ikan Tongkol (Euthynnus affinis), Ikan Tenggiri (Scomberomorus comerson),Ikan Kembung (Rastrelliger kanagurta), dan Ikan Selikur (Scomber australasicus).
Comprendre les transformations de l’industrie musicale
Authors: Ruiz Émilie , Tellier Albéric , Pénin Julien 
Published: June 2021

L’objectif de cet article est de revenir sur les profonds bouleversements touchant la musique enregistrée depuis l’avènement de la numérisation, qui a permis la dématérialisation des œuvres. Nous proposons un cadre général pour mieux cerner les défis à relever par les acteurs, en mobilisant une approche fondée sur le modèle d’affaires. Nous défendons l’idée qu’un nouvel écosystème de la musique est en train de se développer, nécessitant l’acceptation collective d’un « méta-modèle d’affaires » pour fonctionner. L’article présente également les travaux de ce numéro spécial.
O conceito de outrem
Authors: Ferreira Filipe 
Published: June 2021

Este artigo combina a extraordinária análise por parte de Deleuze de Sexta-feira ou os Limbos do Pacífico, de Michel Tournier, que apresenta um Robinson Crusoé duplo, perverso, em relação ao de Daniel Defoe, com uma análise crítica de concepções como a de ser-no-mundo, resultantes da hermenêutica fenomenológica de Heidegger. O meu ponto é que sem outrem [Autrui], ou o que Deleuze chama a estrutura-outrem [structure Autrui], não é possível ‘interpretar' ser-no-mundo, que, por outras palavras, o que se descompreende sem esta estrutura é justamente uma compreensão pré-ontológica do ser, não se atingindo a facticidade do ser precisamente por se viver, se sofrer, sem outrem, um processo inverso, o de uma ‘desfactização' do próprio fato ou facticidade do ser. Proponho, portanto, uma nova concepção do limite de ser-no-mundo não em termos da morte mas de outrem, do que é perder outrem, a estrutura-outrem, e como esta perda implica a perda de ser-no-mundo, a possibilidade ela mesma de interpretar, de compreender, as suas diferentes estruturas (ser-aí, ser-com, ser-para-a-morte, etc.) O conceito de outrem funciona assim como uma gigante dobra entre ser-no-mundo e o seu avesso ou o que Artaud definiu como ‘o outro lado da existência’, mas também entre a ausência de outrem e a criação de ‘mundos sem outrem', todos eles ‘menores', ‘ilhas desertas', 'plateaus', constituídos na imanência desta ausência, do próprio ‘fora'.
KIRGIZ EDEBİYATINDA HİTABET (ÇEÇENDİK ÖNÖR) SANATI
Authors: KAYHAN Shurubu 
Published: June 2021

Kırgızlarda sözlü edebiyatın kökleri çok eski çağlara dayanmaktadır. Tarihleri boyunca konargöçer hayatı benimseyen Kırgızların yaşam şartları ve hayata bakışları edebiyatın bu türünün gelişmesine yol açmıştır. Halkın toplum içerisindeki yaşantıları, birbirleriyle olan iletişimleri, davranış şekilleri ve görgü kuralları âdeta bu türün yansımasıdır. Ayrıca sözlü edebiyat çocukların eğitimi ve terbiyesinde de büyük önem taşımıştır. Söz konusu Kırgızlardaki hitabet sanatı (çeçendik önör) da sözlü edebiyatın önemli bir parçasıdır.
Hitabet güzel söz söyleme sanatı olarak tanımlanmakla birlikte folklorun taleplerine de uyan, duruma göre anlık aktarılan anlamlı, keskin, doğru konuşmanın akıcılığı ve yaratıcılığıdır. Hitabet sanatını halka aktaranlara Kırgızlar “çeçenler” demektedirler. Çeçenlik özel yetenek olup nesilden nesile aktarılmakla birlikte usta çırak ilişkisi ile de gelişmiştir. Çeçenler konuşurken bazen atasözleri ve deyimleri de yerinde kullanarak konuşmalarını etkili kılmışlardır. Böylesine güzel konuşanların sözleri ve eylemleri halk arasında efsane hâle gelmiştir. Hitabet sözleri genellikle bir konuşmacının diğerini yenmek amacıyla bilmece, soru ve cevap olarak aktarımının yansımasıdır.
Bu çalışmada hitabet sanatının tanımı, özellikleri, tarihi, Kırgız halkındaki gelişme süreçleri temsilcileri ve hitabet hikâyelerinden örnekler verilecektir.
An optimal design problem with non-standard growth and no concentration effects
Authors: Barroso Ana Cristina , Zappale Elvira 
Published: June 2021

We obtain an integral representation for certain functionals arising in the context of optimal design and damage evolution problems under non-standard growth conditions and perimeter penalisation. Under our hypotheses, the integral representation includes a term which is absolutely continuous with respect to the Lebesgue measure and a perimeter term, but no additional singular term. We also study some dimension reduction problems providing results for the optimal design of thin films.
Understanding the Trade Adjustment Assistance (TAA) for Farmers Program
Authors: Evans Edward A. 
Published: June 2021

This publication discusses the Trade Adjustment Assistance (TAA) for Farmers program, intended to help producers of primary agricultural commodities adjust to increased foreign import competition. This is EDIS document FE498, a publication of the Department of Food and Resource Economics, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida, Gainesville, FL. Published January 2005.
Understanding Exchange Rates: A Weakening U.S. Dollar--Good, Bad, or Indifferent for Florida Farmers and Agribusinesses?
Authors: Evans Edward A. 
Published: June 2021

This publication explains the concept of fluctuating currency exchange rates, defines common terms used (such as strengthening or weakening of the dollar), discusses factors that determine the exchange rate, considers the potential implications of a weak U.S. dollar on U.S. and South Florida agriculture in general, and makes a few suggestions regarding what farmers and agribusinesses can do to protect themselves from currency fluctuations. This is EDIS document FE546, a publication of the Department of Food and Resource Economics, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida, Gainesville, FL. Published April 2005.
FE546/FE546: Understanding Exchange Rates: A Weakening US Dollar—Good, Bad, or Indifferent for Florida Farmers and Agribusinesses? (ufl.edu)
Validation of an Area-Wide Extension Program to Estimate the Seasonal Abundance of Adult Citrus Root Weevils with Unbaited Pyramidal Traps
Authors: Futch Stephen H. , Duncan Larry W. , Zekri Mongi 
Published: June 2021

This document is HS994, one of a series of the Horticultural Sciences Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Published February 2005. This research was supported by the Florida Agricultural Experiment Station, and approved for publication as Journal Series No. N-02573. This project is supported by the USDA Diaprepes Grant #727384112.
HS994/HS240: Validation of an Area-Wide Extension Program to Estimate the Seasonal Abundance of Adult Citrus Root Weevils with Unbaited Pyramidal Traps (ufl.edu)
Nantucket Pine Tip Moth, Rhyacionia frustrana (Comstock) (Insecta: Lepidoptera: Tortricidae)
Authors: Dixon Wayne N. 
Published: June 2021

The Nantucket pine tip moth, Rhyacionia frustrana (Comstock), is a serious pest of young pine in plantations, wild pine seedlings in open areas, Christmas tree plantings, ornamental pines, and pine seed orchards in the United States. Growth loss and stem deformity, caused by larvae feeding inside growing shoots, buds, and conelets, can be considerable during the first five years when most damage occurs (Yates et al. 1981). The increasing population of a preferred host species, loblolly pine (Pinus taeda L.), in Florida poses an ever-increasing problem of Nantucket pine tip moth infestations. This document is EENY-304 (originally published as DPI Entomology Circular 298), one of a series of Featured Creatures from the Entomology and Nematology Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Published: August 2003.
EENY304/IN581: Nantucket Pine Tip Moth, Rhyacionia frustrana (Comstock) (Insecta: Lepidoptera: Tortricidae) (ufl.edu)
Pemberian Akupresur Untuk Menurunkan Nyeri Dan Kadar Asam Urat Pada Klien Asam Urat Di Poncowarno Kecamatan Kalirejo Lampung Tengah
Authors: Pribadi Teguh , Rahma Ainur , Yulendasari Rika 
Published: June 2021

ABSTRAKPada tahun 2018, prevalensi penyakit sendi di Lampung berada pada urutan ke-12 di Indonesia yaitu sebesar 7,2%. Terapi nonfarmakologi untuk mempercepat proses penyembuhan pada pasien hiperurisemia yaitu terapi herbal, hemeopati, akupuntur, akupresur, terapi nutrisi, refleksologi, terapi garam, dan yoga. Akupresur merupakan salah satu teknik pengobatan tradisional Cina ang dapat digunakan untuk menurunkan nyeri, mengobati penyakit dan cidera. Tujuan setelah penyuluhan dan demonstrasi, diharapkan pemberian akupresur dapat untuk menurunkan kadar asam urat dan rasa nyeri pada klien Asam urat tinggi. Adapun kegiatan yang dilakukan berupa penyuluhan menggunakan leaflet dan demonstrasi akupresur. Terdapat penurunan kadar asam urat dan nyeri pada klien asam urat tinggi setelah pemberian akupresur selama 7 hari di Poncowarno Kecamatan Kalirejo, Lampung Tengah. Dengan demikian, pemberian akupresur pada klien asam urat sangat efektif dalam menurunkan kadar asam urat dan nyeri. Kata Kunci: Nyeri, Akupresur, Asam Urat ABSTRACTIn 2018, the prevalence of joint disease Lampung ranks 12th at Indonesia (7.2%). Nonpharmacological therapy to accelerate the healing process in hyperuricemia's patients that is herbal therapy, hemeopathy, acupuncture, acupressure, nutritional therapy, reflexology, salt therapy, and yoga. Acupressure is one of the traditional Chinese medicine techniques which can be used to reduce pain, treat illnesses and injuries. The purpose after counseling and demonstration, it is expected that the provision of acupressure can reduce uric acid levels and pain in high uric acid's client. The activities carried out in the form of counseling using leaflets and acupressure demonstrations. There was a decrease in uric acid levels and pain in high uric acid's clients after giving acupressure for 7 days at Poncowarno, Kalirejo District, Central Lampung. Thus, giving acupressure to uric acid clients is very effective in reducing uric acid levels and pain. Keywords: Pain, Acupressure, Gout
Peningkatan Pengetahuan Care Giver Dalam Merawat Lansia Di Pslu Natar
Authors: Irianto Gunawan , Lestari Arena 
Published: June 2021

ABSTRAK Kegiatan pengabdian masyarakat ini dilakukan di Panti Sosial Lanjut Usia di Natar Lampung Selatan dengan tujuan meningkatkan pengetahuan care giver atau pendamping untuk melakukan perawatan pada lansia di panti. Sasaran kegiatan ini adalah para care giver yang berjumlah 14 orang, strategi intervensi dilakukan melalui 3 tahapan yaitu perencanaan, pelaksanaan dan evaluasi. Metode pelatihan dengan menggunakan metode ceramah atau presentasi, role play dan diskusi. Evaluasi dilakukan dengan mengunakan kuesioner yang mengukur pengetahuan care giver pre dan post kegiatan pelatihan. Aadanya peningkatan yang cukup signifikan dari pengetahuan care giver tentang perawatan lansia, hal ini terlihat dari persentasi pengetahuan baik meningkat menjadi 90% dengan skor rata-rata 89 dan care giver yang memiliki pengetahuan kurang menjadi 10% dengan skor rata-rata 49.Pelatihan peningkatan pengetahuan caregiver melakukan perawatan lansia secara signifikan meningkatkan pengetahuan care giver dalam merawat lansia di panti. Kata Kunci : care giver, pengetahuan, perawatan lansia ABSTRACT This community service activity was carried out at the elderly social institution in Natar, South Lampung with the aim of increasing the knowledge of caregivers or assistants to care for the elderly in the orphanage. The target of this activity is 14 caregivers. The intervention strategy is carried out in 3 stages, namely planning, implementing and evaluating. The training method uses lectures or presentations, role plays and discussions. The evaluation was carried out using a questionnaire that measured the knowledge of care giver pre and post training activities.There was a significant increase in the care giver's knowledge about elderly care, this can be seen from the percentage of good knowledge increasing to 90% with an average score of 89 and caregivers who have less knowledge to 10% with an average score of 49. Training to increase caregiver knowledge in caring for the elderly significantly increases the knowledge of caregivers in caring for the elderly in the elderly social institution. Keywords: care giver, knowledge, elderly, social institution
Konseling Kelompok Berbasis Client Centered Untuk Menurunkan Kecemasan	Pada Lansia
Authors: Hidayat Elsy Junilia , Hidayah Nurul 
Published: June 2021

ABSTRAK Orang lanjut usia (lansia) memiliki kemungkinan lebih tinggi untuk mengalami gangguan kecemasan daripada depresi. Pengabdian kepada masyarakat ini bertujuan untuk menguji pengaruh konseling kelompok berbasis client-centered untuk menurunkan kecemasan pada lansia. Penelitian ini menggunakan pendekatan kuantitatif tipe eksperimen. Subjek penelitian ini berjumlah 6 wanita lansia dengan rentang usia 62-79 tahun di RW 03 wilayah kerja Puskesmas X. Hasil analisis data menggunakan SPSS menunjukkan koefisien Z = -2,20 dan p = 0,116 ( p < 0,05) artinya ada penurunan kecemasan antara sebelum dan sesduah pemberian konseling kelompok berbasis Client-Centered (rerata skor pretes = 16 dan rerata postes = 10). Dapat disimpulkan bahwa konseling kelompok berbasis Client-Centered dapat menurunkan kecemasan pada lansia. Kata kunci: lansia; cemas; Client Centered. ABSTRACT The elderly have a high probability of anxiety disorder than depression. The type of this research was a quantitative approach with quasi-experiment. The subjects of this study were 6 elderly females in the age range of 62-79 years old who lived at RW 03 near the working area of Puskesmas X. The data analysis shows that the coefficient of Z = -220 and p=0,116 (p < 0,05) mean there was a reduction of the anxiety between the beginning and after giving the counseling group with the Client-Centered method (the average of pretest score= 16 and the average of posttest score=10). The conclusion of this research shows that counseling groups with the Client-Centered method could reduce the anxiety disorder of the elderly. Keywords: elderly; anxiety; Client-Centered
Persediaan Program School Enterprise di Kolej Vokasional, Malaysia: Aplikasi Fuzzy Delphi.
Authors: Mohd Radzi Norfariza , A. Ghani Muhammad Faizal 
Published: June 2021

Program School Enterprise (SE) adalah merupakan sebuah program keusahawanan yang dilaksanakan oleh Kolej Vokasional (KV) di Malaysia sebagai salah satu bentuk kurikulum yang melibatkan kemahiran praktikal. Bagi memenuhi aspirasi pendidikan yang sentiasa berkembang, program ini memerlukan kepada sebuah persediaan yang terperinci bagi meningkatkan keberkesanannya terhadap para pelajar yang berada di Kolej Vokasional. Kajian ini bertujuan untuk mengkaji perancangan persediaan program School Enterprise yang berkesan yang mampu menjadi panduan kepada pentadbir, pensyarah dan para pelajar khususnya di Kolej Vokasional di Malaysia. Kajian ini menggunakan kaedah Fuzzy Delphi yang melibatkan lima belas pakar dalam bidang pendidikan Keusahawanan dan Perniagaan. Soal selidik yang dibina daripada temubual serta tinjauan literatur diedarkan kepada panel pakar bagi mendapatkan persetujuan mereka terhadap elemen penting serta kandungan terhadap persediaan program School Enterprise ini. Dapatan kajian berjaya menyenaraikan lima elemen penting bagi mewujudukan persediaan program School Enterprise yang berkesan disamping item yang relevan bagi setiap elemen. Elemen yang diperlukan didalam persediaan program ini adalah kefahaman program, kesediaan pelajar, kesediaan guru, kesediaan organisasi sekolah serta penyediaan modul. Sebagai implikasi, profil persediaan ini diharap mampu meningkatkan keberkesanan program School Enterprise sedia ada agar lebih berdaya saing serta lebih relevan dengan kehendak terkini dalam pembinaan sumber manusia yang berpengetahuan, berkemahiran serta memberi sumbangan besar kepada negara.