bluuebunny/crossref_metadata_2025_split huggingface dataset:
BENTUK PENYAJIAN TARI KIPAS OLEH SANGGAR SENI DUAGHA DI KECAMATAN WARKUK RANAU SELATAN KABUPATEN OKU SELATAN
Authors: Ariska Ira 
Published: March 2021

<p><em>Fan Dance is one of the dance creations that exist in the district of South OKU, which until now is still held high by the community as a tradition directed at the South OKU district precisely Ranau area because this dance is only used for entertainment such as during weddings, circumcision, and so on.</em><em> </em><em>The purpose of this research is to know and describe the form of presentation of fan dance by Art Gallery Duagha in District Warkuk Ranau Selatan South OKU District. In this research researchers use qualitative descriptive research methods, data collection retrieval techniques through observation, interviews, and documentation</em><em> </em><em>The results of this study showed that according to Soedarsono's theory of the form of presentation attributed to the material used by the researchers was the form of presentation at the fan dance by the art gallery Duagha in South OKU district which includes motion components, floor patterns, music, makeup, costumes, property, and venue. The movement components consist of motion greeting, worship, Tabik, Nindai, Rock Reject, and right mutogh. The floor pattern consists of a V-letter, circle, and horizontal floor pattern. The music includes traditional music. The dressing uses pretty makeup. The costumes used are the typical clothes of Ranau area called Kawai Kanduk and the property that only fans use. As well as his performances can be on the stage open and closed but in this study there is a closed stage like inside the building.</em></p><p><em> </em></p><p><strong><em>Keywords</em></strong><strong><em> </em></strong><strong><em>: </em></strong><em>presentation form, Fan dance</em><em>, Oku Timur</em><em></em></p>
THE Inisiasi Menyusui Dini Berpengaruh terhadap Lama Pelepasan Plasenta pada Ibu Bersalin Kala III
Authors: Tindaon Rotua Lenawati , Zendato Lidya Meidarwati , Karmila Karmila , Rahmaida Fitri , Gulo Shinta Samsidar , Waruwu Yeniman 
Published: March 2021

Pelepasan plasenta merupakan manajemen aktif kala III dalam proses persalinan. Kontraksi uterus yang baik dapat mempercepat proses pelepasan plasenta dan mengurangi resiko perdarahan. Faktor yang mempengaruhi lama pelepasan plasenta salah satunya adalah Inisiasi Menyusui Dini. Tujuan penelitian ini untuk mengetahui adanya pengaruh Inisiasi Menyusui Dini terhadap lama pelepasan plasenta pada ibu bersalin kala III di Klinik Pratama Bunda Patimah Tahun 2021.Jenis penelitian ini adalah pre-eksperiment dengan rancangan Static Group Comparison. Populasi dari penelitian ini adalah ibu bersalin pada kala III menggunakan teknik purposive sampling dengan jumlah sampel 64 orang ibu bersalin. Hasil penelitian ini menggunakan uji wilcoxon. Berdasarkan uji wilcoxon didapatkan nilai p-value 0,00 (< 0,05), berarti ada pengaruh Inisiasi Menyusui Dini terhadap lama pelepasan plasenta pada ibu bersalin kala III. Kesimpulan dari penelitian ini yaitu ada pengaruh Inisiasi Menyusui Dini terhadap lama pelepasan plasenta pada ibu bersalin kala III dan dapat diaplikasikan untuk mempercepat pengeluaran plasenta dan mengurangi resiko perdarahan pada ibu bersalin.
Négocier au sein des négociations : les petits États insulaires, l’Alliance des petits États insulaires et les négociations climatiques
Authors: Klöck Carola 
Published: March 2021

Toute négociation multilatérale est structurée par les coalitions ; celles-ci jouent un rôle particulièrement important pour les petits États tels que les petits États insulaires. Le présent article examine une telle coalition, l’Alliance des petits États insulaires (l’AOSIS) au sein des négociations climatiques. En suivant les questions de ce numéro spécial, l’analyse démontre d’abord la nécessité d’un engagement collectif en vue des ressources limitées des petits États. Elle examine ensuite la diversité des délégations insulaires et souligne l’importance du soutien des organisations non-insulaires. Dans la troisième partie, elle explore les positions insulaires communes au sein des négociations, mais aussi la pluralité des intérêts des membres de l’AOSIS, et enfin les accomplissements de l’AOSIS. Même si ceux-là restent parfois symboliques, c’est grâce aux efforts communs via l’AOSIS que les petits États insulaires font entendre leur voix sur la scène internationale.
Performance of cytology, acid-fast bacilli smear, gene Xpert and mycobacterial cultures in endobronchial ultrasound-transbronchial needle aspiration aspirate in diagnosing mediastinal tuberculous lymphadenitis
Authors: Mohan V Frank , Nangia Vivek , Singh A K , Behl Rahul , Dumeer Nitin 
Published: March 2021

Background:
Diagnosis of isolated mediastinal tuberculosis (TB) can be challenging. Endobronchial ultrasound (EBUS) increases the diagnostic yield by direct sonographic visualization of mediastinal and hilar lymph nodes. With the advent of molecular techniques such as Gene Xpert, their addition to the cytology and cultures increases the diagnostic yield and detection of rifampicin resistance (RR) which helps change the effective therapeutic regimen immediately.

Materials and Methods:
Prospective analysis of all patients undergoing EBUS-guided transbronchial needle aspiration (EBUS-TBNA) with a clinical possibility of TB in isolated mediastinal lymphadenopathy patients at a tertiary care referral center between June 2016 and January 2018. All patients had at least five passes from each node of which two passes from each lymph node sampled in 2 ml of saline for culture and Gene Xpert for microbiologic, pathologic, and molecular analysis as per hospital protocol.

Results:
Out of 60 patients, 44 were diagnosed to have mediastinal tuberculous lymphadenitis, 8 sarcoidosis, 2 malignancies, and 6 reactive lymphadenitis. TBNA cytology was positive in 40/44 patients (90.9%), out of which 18 patients were culture positive with the sensitivity of 100%, specificity 47.6%, positive predictive value (PPV) 45%, and negative predictive value (NPV) 100%, (P value 0.011). TBNA acid-fast bacilli (AFB) smear was positive in 20/44 patients (45.45%) out of which 12 were culture positive, with sensitivity of 67%, specificity 80.95%, PPV 60%, NPV 85% (P value 0.011). TBNA Gene Xpert was positive in 30/44 patients (68.2%), out of which 6 (13.63%) showed RR-TB and two were cytology negative. Sixteen patients where culture positive with sensitivity of 88.89%, specificity 66.67%, PPV 53.33%, NPV 93.33% (P value of 0.005). TBNA AFB culture was positive in 18/44 patients (40.9%).

Conclusion:
EBUS-TBNA is an effective and safe diagnostic tool for intrathoracic TB, especially for mediastinal tuberculous lymphadenitis. The combination of various tests increases the diagnostic yield. Mediastinal nodal aspirates traditionally believed to be paucibacillary can still be captured by Gene Xpert.
Diagnostic utility of pleural fluid carcinoembryonic antigen in patients with exudative pleural effusion
Authors: Krishnan Vishnu G , Kunoor Akhilesh , Keechilath Pavithran , Mehta Asmita Anilkumar 
Published: March 2021

Background:
Pleural effusion (PE) is presenting symptoms of many different diseases and is often a diagnostic challenge. Negative cytology in the malignant PE requires more complicated diagnostic procedures, such as closed pleural biopsy or thoracoscopic pleural biopsy. Not all the patients will be fit for such invasive procedures due to high risk. Tumor markers seem to be a promising alternative and have been proposed to aid in the differentiation of the PE etiology.

Objective:
The objective of the study was to evaluate the diagnostic value of pleural fluid carcinoembryonic antigen (CEA) in differentiation between malignant and nonmalignant PEs and to compare adenosine deaminase (ADA) levels with respect to malignant and nonmalignant PE.

Methodology:
It was a prospective observational study. Patients who presented with undiagnosed exudative PE during the time period 2016–2018 were studied. Pleural fluid was subjected to all routine investigations such as sugar, protein, lactate dehydrogenase, ADA, and CEA.

Results:
A total of 100 patients were included in the study. Fifty-one patients had malignancy. Univariate analysis showed that smoker, previous history of cancer, ADA <20, and CEA of >2.15 were variables associated with malignancy. Multivariate analysis showed pleural fluid CEA >2.15 as only independent risk factor associated with malignancy. The sensitivity of 91.5% and 65% and specificity of 92.5% and 81.4%, respectively, were found for CEA 2.15 ng/dl and ADA <16.5 U/L as plotted from receiver operating characteristic curve. The combined CEA and ADA (2.39 ng/ml and 16.5 U/L) values in pleural fluid had higher sensitivity of 100%.

Conclusion:
Our study demonstrated that pleural fluid CEA levels have a sensitivity of 93.5% and specificity of 73% in diagnosing of malignant PE. ADA levels lesser than 16.5 U/L were seen in patients with malignant PE, but less sensitive and specific compared to CEA. Combined ADA and CEA levels had higher sensitivity than CEA alone.
Safety and diagnostic yield of transbronchial lung cryobiopsy by flexible bronchoscopy using laryngeal mask airway in diffuse and localized peripheral lung diseases
Authors: Goel Manoj Kumar , Kumar Ajay , Maitra Gargi , Singh Balkar , Ahlawat Sunita , Jain Priti , Garg Neeraj , Verma R K 
Published: March 2021

Background:
Intubation with either an endotracheal tube or a rigid bronchoscope is generally preferred to provide airway protection as well as to manage unpredictable complications during transbronchial lung cryobiopsy (TBLC). The laryngeal mask airway has been described as a safe and convenient tool for airway control during bronchoscopy.

Aims and Objectives:
In this study, we evaluated the safety and outcome of using a laryngeal mask airway (LMA) as a conduit for performing TBLC by flexible video bronchoscopy (FB).

Methods:
We retrospectively analyzed the database of the patients who underwent TBLC between November 2015 and September 2019. The procedure was performed using FB through LMA under general anesthesia. Prophylactic occlusion balloon was routinely used starting January 2017 onwards. Radial endobronchial ultrasound (R-EBUS) guidance was used for TBLC in the localized lung lesions when deemed necessary. Multidisciplinary consensus diagnostic yield was determined and periprocedural complications were recorded.

Results:
A total of 326 patients were analysed. The overall diagnostic yield was 81.60% (266/326) which included a positive yield of 82.98% (161/194) in patients with diffuse lung disease and 79.54% (105/132) in patients with localized disease. Serious bleeding complication occurred in 3 (0.92%) cases. Pneumothorax was encountered in 8 (2.45%) cases. A total of 9 (2.76%) cases had at least 1 major complication.

Conclusion:
This study demonstrates that the use of LMA during TBLC by flexible bronchoscopy allows for a convenient port of entry, adequate airway support and effective endoscopic management of intrabronchial haemorrhage especially with the use of occlusion balloon.
Chylothorax - Modalities of management and outcomes
Authors: Pulle Mohan Venkatesh , Puri Harsh Vardhan , Asaf Belal Bin , Bishnoi Sukhram , Yadav Ajit , Kumar Arvind 
Published: March 2021

Background:
At present, there are no universally accepted protocols for the management of chylothorax. This study aims at reporting the clinical experience and presenting our institutional protocol for managing chylothorax.

Materials and Methods:
This is a retrospective analysis of chylothorax patients managed at a dedicated thoracic surgical unit over 8 years. A detailed analysis of demography and perioperative variables including complications was carried out. Factors influencing failure of conservative and surgical therapy were analyzed.

Results:
A total of 26 patients were included with a mean age of 42.4 years (range, 2–72 years). Postsurgical chylothorax was the most common variant (53.8%). Majority (46.1%) of the patients had >1000 ml/24 h intercostal tube drainage at presentation. All patients were initially subjected to conservative management, of which 11 (42.4%) patients were managed successfully with conservative therapy alone. Rest 15 (57.6%) patients required video-assisted thoracoscopic thoracic duct ligation, which was successful in 10/15 (66.7%) patients, whereas additional intervention was required in 5/15 (33.3%) patients. Drain output of >1000 ml/day was an independent predictor of failure of conservative therapy. Nontraumatic bilateral chylothorax was associated with high probability of failure of surgical therapy in the first attempt and may require additional treatment modality.

Conclusions:
Initial conservative management is recommended for all chylothorax patients, which is unlikely to succeed if daily drainage is >1000 ml/24 h. VATS thoracic duct ligation is recommended in such cases. Nontraumatic bilateral chylothorax has higher surgical failure rates. In such cases, additional procedures in the form of pleurodesis and/or thoracic duct embolization/disruption should be considered.
SYMPTOMATIC DISCOID MENISCUS: A CASE SERIES
Authors: Santoso, MD Asep , Saspraditya Erwin , Nagieb Muhammad , Aribowo Gilang Persada , Anwar Iwan Budiwan , Sibarani Tangkas SMHS 
Published: March 2021

Background: Discoid meniscus is a rare entity of knee pathology. The discoid meniscus can be encountered incidentally during a treatment of another knee pathology as an asymptomatic entity or can be a symptomatic pathology which warrant treatment Case presentation: There were 8 cases of symptomatic discoid meniscus reported in this retrospective case series. The symptoms presented at age range 16-47 year-old. Majority of the case (6 of 8) are lateral discoid meniscus with female gender predominant. Complete type of discoid meniscus was also found in 6 of 8 cases. There were 5 cases of ruptured discoid meniscus, three of them needed repair. Conclusions: Symptomatic discoid meniscus can be presented on wide range of age of patients. We found female gender, discoid lateral meniscus, and complete type are the predominant pattern of discoid meniscus cases presentation.
Pandangan Etika Kristen Terhadap Identitas Homoseksual
Authors: Christopher Alexander  , Simanjuntak Ferry 
Published: March 2021

Persoalan mengenai homoseksualitas terus menjadi perdebatan di berbagai kalangan, baik dalam psikologi, biologi, maupun teologi. Berbagai argumen saling dilontarkan untuk mempertahankan pandangan masing-masing pihak pro dan kontra homoseksualitas. Terlebih lagi persoalan mengenai identitas homoseksual. Gay gene adalah senjata paling utama yang dilontarkan oleh pihak pro homoseksual untuk menjadi tembok pelindung bagi para kaum homoseksual. Pembenaran diri mengenai homoseksualitas pun turut didukung dengan cara menggunakan Alkitab sebagai pendukungnya. Dalam kesempatan kali ini, penulis mengangkat topik “Pandangan Etika Kristen Terhadap Identitas Homoseksual” untuk mencoba menolong setiap kaum homoseksual untuk menyadari bahwa mereka tidak pernah diciptakan dalam keadaan seperti itu. Dan Alkitab jelas mengatakan bahwa menjadi homoseksual adalah dosa (Roma 1:24-27). Allah tidak pernah menciptakan seseorang dengan orientasi seksual berupa homoseksual, terbukti dengan Allah menciptakan Adam dan Hawa sejak mulanya, yang berarti orientasi seksual yang dikehendaki Allah adalah berupa heteroseksual. Para kaum homoseksual kemudian harus mengakui dosanya di hadapan Allah, bertobat, dan meminta kasih karunia Allah untuk memampukan mereka keluar dari dosa homoseksualitas. Karena pengampunan dan kasih karunia Allah selalu tersedia bagi mereka yang mau merendahkan hatinya untuk datang kepada-Nya.
Kata Kunci: Etika Kristen; Homoseksualitas; Identitas Homoseksual; Gen Gay; Genetik
Perubahan Kebiasaan Masyarakat pada Masa Pandemi Covid-19 di Pamijahan Bogor
Authors: Rukiat Rukiat , Maturidi Maturidi 
Published: March 2021

This research aims at how changes in people's habits during the Covid-19 pandemic in Kp. Segog, considering there are changes in habits that occur in society at this time. So that people are advised to wear masks, wash their hands and keep their distance and maintain a clean lifestyle. In this study, researchers tried to find steps in a clean lifestyle and inhibiting factors from changing habits in the kp community. Segog. The method used is a case study through interviews using a list of questions. Respondents for this study were people in Kp. Segog. The hope of this researcher can provide inspiration for the community, or for researchers and readers in general. As an additional reference that is used by the wider community.
Keywords: Change, Habit, Covid-19.
THE CONTENT OF THE CONCEPT OF «WINE» IN THE SOURCES OF RUSSIAN LAW XI-XVII CENTURIES
Authors: Сквозников А.Н. 
Published: March 2021

Аннотация. В статье рассматривается возникновение и развитие института вины в русском средневековом праве. Автор приходит к выводу о том, что в русском законодательстве XI-XVII вв. понятие «вина» имело полисемантичное значение. Преобладало понимание вины в значении запрещенного деяния, в результате которого был причинен вред лицу или его имуществу и за которое обидчик (правонарушитель) обязан понести наказание. В русском средневековом обществе понимание вины постепенно эволюционировало в направлении от запрещенного деяния, причинившего вред, в область внутреннего отношения субъекта к содеянному и его последствиям.
Annotation. The article discusses the emergence and development of the institution of guilt in Russian medieval law. The author comes to the conclusion that in the Russian legislation of the XI-XVII centurie the concept of «guilt» had a polysemantic meaning. The prevailing understanding of guilt in the meaning of a prohibited act, which resulted in harm to a person or his property and for which the offender (offender) is required to be punished. In Russian medieval society, the concept of guilt gradually evolved in the direction from the prohibited act that caused harm to the area of the subject's internal relationship to the deed and its consequences.
Improving counteraction to economic crime using the capabilities of the Internet and cryptographic means
Authors: Сомик К.В. , Хабибулин А.Г. 
Published: March 2021

Аннотация. В статье рассматриваются правовые аспекты противодействия незаконной предпринимательской деятельности и иным взаимосвязанным преступлениям, совершаемым в закрытом сегменте сети Интернет с использованием информационных технологий, криптографических средств и криптовалюты. На основе анализа способов подготовки, совершения и сокрытия цифровых следов таких преступлений обосновываются предложения по совершенствованию уголовно-правовых норм, направленных на повышение эффективности выявления, пресечения и предупреждения рассматриваемых преступлений.
Annotation. The article examines the legal aspects of countering illegal business activities and other interrelated crimes committed in the closed segment of the Internet using information technology, cryptographic tools and cryptocurrency. Based on the analysis of the methods of preparation, commission and concealment of digital traces of such crimes, proposals are substantiated for improving the criminal law norms aimed at increasing the efficiency of detecting, suppressing and preventing the crimes in question.
IMPLEMENTATION OF LEGAL RESPONSIBILITY I N THE LAW ENFORCEMENT BLOCK OF THE MECHANISM OF LEGAL REGULATION
Authors: Кузьмин И.А. 
Published: March 2021

В статье приводятся промежуточные результаты исследования вопросов реализации юридической ответственности. Сформулированы подходы к пониманию механизма правового регулирования и его содержания. Установлены закономерности взаимодействий между правовыми средствами в процессе реализации юридической ответственности. Предложена общетеоретическая модель реализации юридической ответственности в правоохранительном блоке механизма правового регулирования. Проанализированы проблемные ситуации, при которых нарушаются принципы юридической ответственности и разрушаются системные связи между правовыми средствами.
Annotation: The article presents the interim results of research on the realization of legal liability. Approaches to understanding the mechanism of legal regulation and its content are formulated. The patterns of interactions between legal remedies in the process of realization legal liability have been established. A general theoretical model of the realization of legal liability in the law enforcement block of the mechanism of legal regulation is proposed. The author analyzed problematic situations in which the principles of legal liability are violated, and the cases in which the systemic connections between legal remedies are destroyed.
La Crítica de la razón pura: una antología hispanoamericana Luis Eduardo Hoyos y Pedro Stepanenko(eds.)
Authors: Acosta Domínguez Juan Carlos 
Published: March 2021

Crítica de la razón pura: una antología hispanoamericana, realizada por Luis Eduardo Hoyos y P. Stepanenko. En ésta es posible en- contrar una serie de enfoques muy actuales, que permiten al lector en lengua española tener un primer acer- camiento —complejo y detallado— a las partes medulares del pensamiento filosófico de Kant. El libro cuenta con once artículos, los cuales abordan y desarrollan nue- vos enfoques sobre temas kantianos clásicos. En algunos casos, los autores muestran ciertos errores e imprecisio- nes en los que Kant —desafortuna- damente— incurrió al momento de moldear su proyecto filosófico, como lo comprueban las aproximaciones críticas que realizan en sus trabajos.
Aproximacions a la perspectiva de la persona en tractament de manteniment amb metadona: Reflexions a propòsit de 10 anys de recerca / Approaches to the perspective of the individual receiving methadone maintenance treatment: Reflections on 10 years of research
Authors: Trujols Albet Joan , Guàrdia-Olmos Joan , Iraugui Ioseba , Pérez de los Cobos José 
Published: March 2021

Resum. Els tractaments de manteniment amb metadona (TMM) són un autèntic tractament psicofarmacològic de la dependència d’heroïna i, a la vegada, un element indispensable de les polítiques i les intervencions de reducció de danys. L’efectivitat dels TMM ha estat avaluada, gairebé de manera exclusiva, mitjançant la utilització d’indicadors anomenats durs. Intentant anar més enllà d’aquest enfocament tradicional, hem portat a terme, durant els darrers 10 anys, diversos estudis emprírics i assaigs teòrics que s’emmarquen dins d’un objectiu global de generar coneixement al voltant de –i amb– la perspectiva de la persona en TMM. En aquest article, resumim de manera selectiva les troballes més rellevants d’aquesta línia de recerca per discutir després algunes de les seves principals implicacions. Finalment, abordem alguns dels reptes –i suggerim alguns dels canvis necessaris– per a una avaluació dels TMM realment centrada en el pacient.Summary. Methadone maintenance treatment (MMT) is both a specific psychopharmacological treatment of heroin dependence and a core harm-reduction intervention. Over the last 10 years we have been working to break the mould of the traditional focus on the so-called hard indicators of MMT effectiveness, pursuing instead a line of research that makes room for the consideration of the perspectives of methadone-maintained patients, resulting in several empirical and theoretical papers. Firstly, this commentary briefly and selectively summarizes some key findings from five of these papers. It then discusses the main implications of these findings. Finally, it addresses some of the challenges involved in conducting a genuinely patient-centred evaluation of MMT, along with some of the changes that would be required to accomplish this.