bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pattern of computerized tomography findings of the brain in cerebrovascular accidents
Authors: Shrestha Elina , Thapa Narayan Bikram , Rajbhandari SBS 
Published: July 2021

Introduction: Semi-industrialized countries like Nepal have high mortality and disability rates due to cerebrovascular accident, representing for more than 80% of all stroke deaths globally. Stroke is the most common neurological disorder requiring prolonged hospital stay. Aims of our study was to evaluate the role of computerized tomography in evaluation of cerebrovascular accident by differentiating ischemia from hemorrhage and proper identification of negative cases.
Methods: A descriptive cross sectional study of total 155 patients, clinically diagnosed as stroke, referred to our department of radiology for computerised tomography evaluation during six month period, were enrolled into study. The clinical information, proper history, computerised tomography findings were properly documented and analysed in SPSS version 20 software.
Results: Out of total 155 patients, 85 cases (55 %) were males and 70 cases (45 %) were females with male: female ratio of 1.2:1. The mean age of the patients was 63±15 years. There was significant correlation between clinical with neuroradiological findings as evidenced by p value of 0.000. Sensitivity, specificity, positive predictive value, negative predictive value of clinical findings when correlated to CT in diagnosing ischemic infarction were 84.3%, 67.3%, 82.6%, 70%. Similarly, sensitivity, specificity, positive predictive value, negative predictive value in diagnosing hemorrhagic infarction were 67.3%, 84.3%, 70%, 82.6% respectively.
Conclusions: Computerised tomography is the first line reliable imaging modality for diagnosis, management of cerebrovascular accident and exclusion of stroke mimicker lesions. Education regarding prevention and control of modifiable risk factors can minimize the incidence of stroke.
Analysis of Acute Postoperative Pain in Patients undergoing Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia in Manipal Teaching Hospital
Authors: Shrestha Binod Bade , Shrestha Sujan 
Published: July 2021

Background: Laparoscopic inguinal hernia repair in adults require the use of prosthetic material. We aimed to investigate the acute postoperative pain in patients who underwent transabdominal preperitoneal inguinal hernia repair using heavy or light weight polypropylene mesh.
Methods: This observational, analytical study was conducted in172 adult patients, aged 18-80 years, who underwent transabdominal preperitoneal inguinal hernia repair from January 2017 - October 2019. The patients were divided into two groups as HWM group (heavyweight polypropylene mesh), n=81 and LWM group (light weight polypropylene mesh) n=91. The patients in both the groups were compared in terms of acute postoperative pain at 24 and 48 hours using visual analogue scale (VAS) score.
Results: The visual analogue scale (VAS) score of HWM group and LWM group at 24 hours was 5.42 ± 1.25 and 4.46 ± 1.61 respectively (p=0.00). The VAS score at 48 hours was 3.44 ± 1.07 and 2.74 ± 1.27 for HWM and LWM group respectively (p=0.00).
Conclusions: The post-operative pain at 24 and 48 hours following transabdominal preperitoneal inguinal hernia repair using light weight polypropylene mesh was less as compared to the patients whose hernia were repaired using heavy weight polypropylene mesh.
SERVQUAL Questionnaire based Health Service Quality Assessment in a Private Hospital of Western Nepal.
Authors: Ghimire Pradeep , Ghimire Prajwal , Acharya Madhu 
Published: July 2021

Introduction: Questionnaire based assessment is a simple, scientific tool to collect responses from individuals and standardised questionnaires can be used to assess health care quality of a health care institution. The aim of this study was to assess health service quality of a private hospital on the basis of questionnaire-based data collected from the patients admitted in the hospital using service quality (SERVQUAL) questionnaire method.
Methods: A descriptive cross sectional study was conducted in 203 adult patients in Fishtail Hospital and Research Centre, Pokhara, Nepal from January 2015 to January 2016. The response of the patients towards various aspects of service provided by the hospital was collected using SERVQUAL questionnaire. The data was graded in Likert scale and SPSS software 24 was utilized to analyse the data.
Results: A total of 181(89.12%) patients were satisfied with the health service quality provided by the hospital that was assessed on the basis of parameters of SERVQUAL questionnaire and 156 (76.74%) patients graded various hospital factors as being good.
Conclusions: Based on SERVQUAL questionnaire we found that 89.12% of patients were satisfied with the service provided by our hospital and 76.74% of patients graded various hospital factors such as doctors, nurses, reception staff and food provided in canteen as being good. We recommend such surveys should be regularly performed in health care institutions to scrutinise and enhance the level of health care service quality.
Factores de riesgo en enfermedad trofoblástica gestacional: Estudio caso - control.
Authors: Jefferson Luz , Vicuña Ricardo , Rechkemmer Adolfo 
Published: July 2021

Este estudio pretende contribuir al conocimiento de la incidencia y factores de riesgo de la enfermedad trofoblástica gestacional en nuestro medio. El estudio en forma de caso control retrospectivo en el Hospital Arzobispo Loayza, incluyó 100 mujeres con enfermedad trofoblástica gestacional y como controles, 98 pacientes obstétricas normales atendidas en el hospital entre enero de 1984 y diciembre de 1992. La incidencia de mola hidatidiforme fue de 4,7 por 1000 partos, y la de coriocarcinoma, 0,149 por 1000 partos. La edad promedio fue 28,42 años. No se demostró que el estrato socioeconómico constituya un factor de riesgo. El grado de instrucción secundaria se asoció con un riesgo menor (OR=0,48, IC=0,233-0,98). No se demuestra un efecto protector o de riesgo de la multiparidad en la adquisición de enfermedad trofoblática gestacional. Las mujeres con esta patología tuvieron una edad de primera gestación significativamente menor (19,97 años), en comparación a sus controles obstétricos (21,22 años). El antecedente de embarazo molar previo se asoció con un incremento del riesgo, pero, sin alcanzar significación estadística (OR=6,51, p=0,101).
The Continuity of Settlement of Social Feuds among Kurds in the Kurdistan Region
Authors: Lalik Krzysztof 
Published: July 2021

Abstract
The autonomous Iraqi Kurdistan Region currently prides itself not only in its political autonomy and rapid economic development but also in promotion of the idea of human rights and the rule of law. It can be understood that modernising processes may inevitably lead to atrophy of traditional customs and social organisation of Kurdish society. One can easily discern that many cases of disputes among the inhabitants of the Kurdistan Region are processed according to judiciary principles that contradict the official legal doctrines. The examination and comparison of this mechanism in the previous century and nowadays led the author to the conclusion that the unofficial system of justice actually refers to the old tribal mechanism of solving feuds that has been repeatedly practised by bygone Kurdish generations.
The Concept of Religion in Meiji Popular Discourse
Authors: Takao Makoto Harris 
Published: July 2021

Abstract
This article challenges claims that the Japanese neologism shūkyō (as a translation for “religionȍ) lacked an established nature prior to the twentieth century and had little to do with experiences of the urban masses. It accordingly problematizes the term as a largely legal concept, highlighting historical newspapers as underutilized sources that offer insight into Meiji popular discourse and attendant conceptualizations of “religion.” This article endorses a shift in both our chronological understanding of shūkyō's conceptual history as well as its sociocultural mobility. By expanding the milieu understood as being familiar with debates on a range of “religious” issues, this article thereby offers a counter-narrative in which regular use of shūkyō begins to clearly emerge from the mid-1880s, exponentially increasing with the following decades.
Pierwszy List Jana jako świadectwo teologiczne o historii zbawienia realizującej się w Jezusie Chrystusie
Authors: Kot Piotr 
Published: July 2021

Lektura Pierwszego Listu Jana rodzi pytanie o naturę świadectwa, które autor pisma składa wobec wspólnoty chrześcijańskiej przeżywającej wewnętrzny kryzys. Czy jest to świadectwo oparte na wyuczonej doktrynie, czy też wyrasta z doświadczenia historycznego autora? Jest to w gruncie rzeczy pytanie o autorytet prezentowanej nauki. Słownictwo zastosowane zwłaszcza w Prologu Listu pozwala określić go jako świadectwo teologiczne. Nie polega ono jedynie na wiernym przywoływaniu z pamięci przeszłych wydarzeń historycznych, gdyż w 1 J autor nie odnosi się wprost do słów i czynów ziemskiego Jezusa. Jest ono raczej traktowaniem zaistniałych faktów jako „źródła teraźniejszości”. Świadectwo to posiada silny autorytet, ponieważ wyrasta z dwóch źródeł: relacji naocznego świadka paschalnego życia Jezusa Chrystusa oraz refleksji nad egzystencjalnymi konsekwencjami tego historio-zbawczego wydarzenia w obliczu aktualnych potrzeb wspólnoty.
"Zasiądzie w pokoju na wieki" (2 Bar 73,1). Pokój jako element mesjańskiej rzeczywistości eschatologicznej w Syryjskiej Apokalipsie Barucha
Authors: Miduch Maria Elżbieta 
Published: July 2021

Druga Księga Barucha to apokalipsa żydowska pochodząca z okresu następującego bezpośrednio po zburzeniu Świątyni Jerozolimskiej przez Tytusa w 70 r. po Chr. Jest to zapis refleksji teologicznej po tym traumatycznym dla Żydów wydarzeniu. Znaczące miejsce w prezentowanej myśli zajmuje mesjasz, jego misja i jego królestwo. Autor Syryjskiej Apokalipsy Barucha w mesjańskiej interwencji widzi ratunek dla przygniecionego nieszczęściami ludu Izraela. Eschatologiczne działania Boga są tożsame z misją jaką wypełni Boży Pomazaniec. W świecie pełnym chaosu, wojen i przemocy wyczekiwany jest prawdziwy i trwały pokój. Jest on rozumiany znacznie szerzej niż tylko zawieszenie broni. Głębia pokoju objawi się podczas panowania mesjasza. Jego opisy kontrastują z rzeczywistością, w jakiej znajduje się naród wybrany pod panowaniem rzymskim.
Magdalena Jóźwiak, „Komentarz do historii Hioba” Filipa Prezbitera (Bibliotheca Biblica: Wrocław: Wydawnictwo „Tum” 2015)
Authors: Bardski Krzysztof 
Published: July 2021

Recenzja książki: Magdalena Jóźwiak, „Komentarz do historii Hioba” Filipa Prezbitera (Bibliotheca Biblica: Wrocław: Wydawnictwo „Tum” 2015). Ss. 264. PLN 49. ISBN 978-83-7454-325-5.
Stanisław Narcyz Klimas, Autentyczność Bożego Grobu w Jerozolimie. Badania historiograficzne, archeologiczno-architektoniczne i udokumentowane w zabytkach (I-X w.) (Kalwaria Zebrzydowska: Calvarianum 2017)
Authors: Pudełko Jolanta Judyta 
Published: July 2021

Recenzja książki:
Stanisław Narcyz Klimas OFM, Autentyczność Bożego Grobu w Jerozolimie. Badania historiograficzne, archeologiczno-architektoniczne i udokumentowane w zabytkach (I-X w.) (Kalwaria Zebrzydowska: Calvarianum 2017). Ss. 594. PLN 55. ISBN 978-83-63440-36-7
Rancang Bangun Sistem Pengereman Mesin Gerinda Duduk
Authors: Sirajuddin Sirajuddin , Rustang Rustang 
Published: July 2021

Tujuan jangka panjang penelitian ini adalah merancang dan membuat beberapa sistem pengereman pada mesin gerinda duduk. Sedangkan tujuan khususnya adalah merancang dan membuat sistem pengereman dinamik pada mesin gerinda duduk pada bengkel mekanik Jurusan Teknik Mesin Politeknik Negeri Ujung Pandang. Metodologi ini mencakup perancangan sistem, persiapan bahan dan alat, perakitan dan pembuatan sistem serta pengambilan hasil. Sehingga terbentuklah sebuah instalasi pengereman dinamik pada mesin gerinda duduk. Hasil yang dicapai adalah dengan mensuplai tegangan dc ke dalam kumparan stator motor mesin gerinda pada saat mesin gerindaÂ dioffkan dengan variasi tegangan dc sebesar 30 v, 50 v , 70 v, 90 v, dan 110 v dengan variasi diameter batu gerinda 16 cm, 18, cm dan 20 cm, diperoleh hasil pengereman tercepat adalah tegangan yang tertinggi 110 volt dc dengan diameter batu gerinda yang terkecil 16 cm yaitu 3.41 detik, sehingga dapat diisimpullkan bahwa semakin besar tegangan DC yang disuplai dan semakin kecil batu gerinda dari mesin gerinda tersebut maka semakin cepat pula hasil pengeremannya. Dengan terwujudnya instalasi sistem pengereman dinamik mesin gerinda duduk pada bengkel mekanik Jurusan Teknik mesin Politeknik Negeri Ujung Pandang tentunya dapat mencegah praktikan dalam kesalahan pengereman, meningkatkan keamanan dan kenyamanan kerja serta dapat dijadikan sebagai pembelajaran buat mahasiswa.
Optimasi Operasi Unit-Unit Pembangkit Pada PLTU Barru
Authors: Tandioga Remigius , Mulyadi Musrady , Azwar Azwar , Rauf Widya Wirawati 
Published: July 2021

Masalah yang sering dihadapi oleh suatu unit pembangkit listrik khususnya pembangkit termal adalah adanya biaya operasi yang cukup tinggi. Sehubungan dengan biaya operasi maka dalam penelitian ini dilakukan perhitungan optimasi operasi pada pembangkit termal yang bertujuan mengetahui model operasi yang optimal, membandingkan biaya operasi dengan berbagai metode, dan menentukan biaya tarif dasar yang termurah di setiap unit-unit pembangkit. Dalam penelitian ini, metode yang digunakan untuk perhitungan optimal biaya operasi adalah metode Lagrange multiplier dan dynamic programming. Kriteria utama yang harus dipenuhi adalah mengetahui karakteristik input-output dari unit-unit pembangkit tersebut. Dari hasil perhitungan optimasi diketahui bahwa metode Lagrange multiplier lebih optimal dibandingkan dengan menggunakan metode dynamic programming meskipun hasil perhitungannya hampir sama. Pada umumnya hasil perhitungan lebih optimal dibandingkan kondisi nyata PLTU Barru. Khususnya pada bulan Mei 2016, hasil perhitungan yang optimal sepanjang hari (selama 24 jam) dengan daya totalÂ rata-rata 71,58 MW (71,58%) yaitu pada tanggal 7, 20, 21, 26, 27, 28, 29, 30, dan 31. Adapun kondisi nyata PLTU Barru lebih optimal dibandingkan hasil perhitungan dengan daya total rata-rata 50,36 MW (50,36%) yaitu pada tanggal 4 jam 17:00 â€“ 24:00, tanggal 5 jam 01:00 â€“ 16:00, tanggal 6 jam 01:00 â€“ 17:00, tanggal 8 jam 17:00 â€“ 24:00, tanggal 10 jam 01:00 â€“ 08:00, tanggal 11 jam 01:00 â€“ 12:00, tanggal 18 jam 01:00 â€“ 12:00, tanggal 19 jam 01:00 â€“ 02:00, tanggal 22 jam 06:00, dan tanggal 25 jam 21:00 â€“ 22:00, dan diluar dari waktu tersebut hasil perhitungan menunjukkan nilai optimal
Factors Affecting Delivery Methods in Severe Preeclampsia Patients at Dr. RSUP. Mohammad Hoesin Palembang January 2018 – December 2019
Authors: Putra Hadrians Kesuma , Adnan Abadi  , Dinda Radeta  
Published: July 2021

Background: Hypertension in pregnancy (HIP) is the second highest cause of maternal death in Indonesia. Termination of pregnancy in patients with HIP or preeclampsia is the most common treatment to save both the mother and the fetus. There are two methods of delivery that can be done, namely vaginal or abdominal termination (sectio caesaria). Due to the high incidence of severe preeclampsia in Indonesia and the various determinants in choosing a delivery method for severe preeclampsia, the aim of this study is to analyze what factors influenced it in Dr. Mohammad Hoesin Palembang Hospital.
Method: This type of study is an analytic observational study with a cross-sectional study design. A total of 210 samples were taken using the simple random sampling technique from the medical records of severe preeclampsia patients who gave birth at Dr. Mohammad Hoesin Palembang Hospital during January 2018 – December 2019 and was analyzed by univariate, bivariate and multivariate analysis with SPSS ver.26.
Result: A total of 81 (38.6%) PEB patients underwent vaginal delivery and 129 (61.4%) underwent a caesarean section delivery. From the observations, 67 people (57.3%) were aged 20-34 years, 40 people (78.4%) with a gestational age of 34-36 weeks, 92 people (57.9%) multiparity, 104 people (62, 3%) without a history of hypertension, 86 people (53.4%) without a history of SC, 98 people (84,5%) with a bishop score ≤5, 116 people (59,5%) without PJT, 122 people (61%) without macrosomic fetuses, 108 people (63.5%) without PROM, and 84 people (75%) with complications underwent cesarean delivery. The factors of gestational age (p value = 0.001), history of sectio caesaria (p value = 0.000), bishop score (p value = 0.000), and complications or comorbidities (p value = 0.000) had a significant relationship to the method of delivery for patients with PEB with factors bishop score is the most influencing factor (OR = 10,299).
Conclusion: Therefore, gestational age, history of CS, bishop score, and complications or comorbidities are factors that influence the delivery method of PEB patients.
Options of the placental dysfunction correction in women with preeclampsia
Authors: Karimov A.Kh. , Davlietova D.M. 
Published: July 2021

Background. Placental dysfunction (PD) is one of the most common complications of pregnancy, which has not only medical but also social significance. The links of the PD pathogenesis include endothelial dysfunction, hemodynamic disorders of the placental vessels, disorders of arterial and venous blood flow in the placenta.
Objective. To study diagnostic methods and possibilities of PD correction in women with preeclampsia (PE).
Materials and methods. The study involved 68 women with PE in the II and III trimesters of pregnancy, treated at the multidisciplinary clinic of the Tashkent Medical Academy during 2017-2019. Patients underwent standard clinical, laboratory and instrumental examination with color Doppler mapping of vessels of the uterine-placental-fetal system and ultrasound evaluation of the fetoplacental system.
Results and discussion. Premature aging of the placenta was found in 77.3 % of cases, turbid amniotic fluid – in 59.09 %, oligohydramnion – in 27.3 %. Disorders of uteroplacental blood flow were detected in 28.3 % of cases, placentofetal blood flow – in 26.7 %. Impaired blood flow at both levels without critical values occurred in 10 % of pregnant women. In case of insufficiency of a blood circulation of 2nd grade the syndrome of fetal growth restriction was observed in 16,7 % of cases. Compensated forms of PD were subject to the comprehensive treatment with the addition of infusions of L-arginine (Tivortin, “Yuria-Pharm”) in the inpatient phase and oral administration of Tivortin aspartate in the outpatient phase. The length of the fetal thigh in the group of L-arginine at the beginning of treatment was 47.33 mm, which was by 9.04 % less than this parameter in physiological pregnancy. After treatment with Tivortin, in the full-term period, no significant difference was found. In pregnant women who received L-arginine at 25-29 weeks of pregnancy, after 2 weeks, the resistance indices (RI) of the umbilical artery and uterine artery decreased from 0.68±0.09 to 0.58±0.05 and from 0,58±0.16 to 0.43±0.08, respectively. The RI of the middle cerebral artery increased from 1.05±0.23 to 1.27±0.19. Parameters of RI dynamics indicate that the early treatment with Tivortin is more effective than late.
Conclusions. 1. Regardless of the presence of fetal growth restriction syndrome in women with disorders of uterine-placental-fetal circulation, it is advisable to include L-arginine in the treatment to prevent this condition. 2. Ultrasound examination is a reliable method for evaluating the effectiveness of PD treatment.
2020 challenge: the potential options of COVID-19 therapy
Authors: Kovalenko S.V. 
Published: July 2021

Background. Coronavirus disease (COVID-19) is a new disease, and there is no vaccine, specific drugs and treatment protocols. In 15-20 % of patients the course is severe course, and 4 % of cases are fatal. 15 % of adults infected with the SARS-CoV-2 coronavirus develop pneumonia. In 5 % pneumonia progresses to a critically severe condition with the development of respiratory failure and acute respiratory distress syndrome.
Objective. To describe the potential options of COVID-19 therapy.
Materials and methods. Analysis of literature sources on this topic and the own clinical study, which involved 60 patients with COVID-19 (main and control groups, standardized by age and sex). In the control group, standard treatment was prescribed, and in the main group – basic therapy and Ksavron tid, Tivorel once a day and Reosorbilact once a day (all medications – by “Yuria-Pharm”).
Results and discussion. Antiviral drugs (nelfinavir, remdesivir, favipiravir), recombinant human monoclonal antibodies to interleukin-6 receptors tocilizumab, and chloroquine-related drugs (sometimes in combination with azithromycin) are used for COVID-19 pharmacotherapy. Usage of edaravone (Ksavron) to inhibit the cytokine storm and of Reosorbilact to reduce the incidence of pulmonary complications, the duration of mechanical ventilation, and the volume of infusions has a great potential. The use of the latter is especially appropriate under the conditions of restrictive infusion regimen. In addition, L-arginine and L-carnitine (Tivorel) can be used. L-arginine reduces spasm of smooth bronchial muscles and improves the vasomotor function of the pulmonary endothelium. L-carnitine has anti-inflammatory and immunomodulatory effects. The own study found out that the level of C-reactive protein in the main group (standard therapy + Ksavron, Tivorel and Reosorbilact) has decreased from 39.45 to 7.5 mg/L, and in the control group – from 46.26 to 12.50 mg/L, indicating a more pronounced reduction of inflammation in the main group. In addition, the content of D-dimer and ferritin decreased more markedly in the main group (by 24.1 % and 27.1 % respectively). The additional pathogenetic treatment listed above helped to improve blood oxygen saturation, reduce the number of leukocytes and decrease the length of hospital stay.
Conclusions. 1. Antiviral drugs, tocilizumab, chloroquine-related drugs, and azithromycin are used to treat COVID-19. 2. Potential treatment options include the usage of Ksavron, Reosorbilact and Tivorel. 3. According to own research, the inclusion of these drugs into the combined therapy reduces the activity of the inflammatory process in the lungs and counteracts the tendency to thrombosis.