bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementasi Model Pembelajaran Kooperatif Tipe Think Pair Share (TPS) Berbantuan Alat Peraga untuk Meningkatkan Pemahaman Konsep Matematika Siswa
Authors: Dewi Ni Komang Tri Yunita , Sugiarta I Made , Parwati Ni Nyoman 
Published: February 2021

Penelitian ini bertujuan untuk meningkatkan pemahaman konsep matematika dan mendeskripsikan tanggapan siswa kelas VIII E SMP Negeri 1 Banjar terhadap implementasi model pembelajaran kooperatif tipe Think-Pair-Share berbantuan alat peraga. Jenis penelitian ini adalah penelitian tindakan kelas yang terdiri dari tahap perencanaan, pelaksanaan tindakan, observasi dan evaluasi, serta refleksi yang dilaksanakan dalam 3 siklus. Subjek penelitian ini adalah siswa kelas VIII E SMP Negeri 1 Banjar tahun ajaran 2018/2019. Hasil penelitian menunjukkan bahwa persentase banyaknya siswa yang memperoleh skor rata-rata pemahaman konsep meningkat dari siklus ke siklus berturut-turut 12,5%, 56,25% dan 75%. Efektifitas peningkatan pemahaman konsep sebelum dan sesudah pelaksanaan tindakan diuji menggunakan uji t diperoleh nilai t hitung sebesar 6,15 dan t tabel sebesar 2,09 dengan taraf signifikansi . Oleh karena itu, ditolak, ini berarti ada perbedaan yang signifikan pemahaman konsep matematika siswa sebelum dan sesudah tindakan. Tanggapan siswa terhadap pembelajaran yang dilaksanakan tergolong positif dengan rata-rata 41, 32.
Antihistamínicos y embarazo
Authors: Naranjo Plutarco , Naranjo Enriqueta 
Published: February 2021

Siguiendo la misma técnica utilizada, en trabajos previos, para estudiar el efecto embriotóxico de la clorfeniromino (Clorotrimatón) y la difenidramino (Benadryl), en el presente trabajo se estudió la embriotoxicidad de la mepiramina (Neoantorgan).
Se encontró que cuando a las ratonas preñadas se les dejó beber una solución de mepiramina, en vez de agua pura, se produjeron efectos embriotóxicos a partir de la concreción 1x10-4.
Los efectos embriotóxicos se manifestaron por disminución del número de crías por parto, debido a reabsorciones, menor peso de los recién nacidos, mayor mortalidad perinatal y de animales jóvenes y desarrollo retrasado. A mayor dosis el efecto embriotóxico fue mayor.
Comparativamente entre las tres drogas, los efectos embriotóxicos fueron mayores con la clorofelamina y decrecientemente menor con la de fenaldremina y mepiramina. Dichos efectos serían independientes de la toxicidad en el adulto asàcomo también de la potencia antihistamínica
Corrección quirúrgica de la estrechez uretral masculina
Authors: Pazmiño Milton 
Published: February 2021

En el servicio de Urología del Hospital General de Kansas City, Estados Unidos, se efectuaron desde 1960 a 1963; 32 uroloplastias, es decir correspondió al 10% del total de pacientes con diagnóstico de estrechez uretral. De los 32 casos, 8 (25%) fueron de localización de peneona, 6 (18, 7%) escrotal y 18 (56,3%) bulbo-membranasa. La técnica quirúrgica de reparto para cada caso básicamente, se sujetó al principio de enterramiento de un segmento intacto de urotelio, con las modificaciones propuestas por Johansson, Lapides y Leadbetter, según la localización peneona, escrotal o bulbo-membranasa, respectivamente. De las 32 uroplastias, 19 (59,3%) fueron exítosas con una exelente recuperación funcional. En 7 (21,8%) se efectuó solamente el primer tiempo operatorio, ya sea porque se consideró que los pacientes recibieron beneficio con la primera intervención (5 casos) o ya porque no regresaron al hospital (2).
Hubo 6 fracasos (18,9%) debidos principalmente a complicaciones tales como divertículo post-quirúrgico con crecimiento de pelo, reestrechez del estema proximal, formación de fistula y, en un caso, por invasión masiva de un carcinoma uretral que obligó a efectuar una derivación vesicular permanente.
Healthcare-associated infections in home healthcare: an extensive assessment, 2019
Authors: Hoxha Ana , Duysburgh Els , Mortgat Laure 
Published: February 2021

Introduction
The number of patients and clinical conditions treated in home healthcare (HHC) is increasing. Care in home settings presents many challenges, including healthcare-associated infections (HAI). Currently, in Belgium, data and guidelines on the topic are lacking.

Aim
To develop a definition of HAI in HHC and investigate associated risk factors and recommendations for infection prevention and control (IPC).

Methods
The study included three components: a scoping literature review, in-depth interviews with individuals involved in HHC and a two-round Delphi survey to reach consensus among key informants on the previous steps’ results.

Results
The literature review included 47 publications. We conducted 21 in-depth interviews. The Delphi survey’s two rounds had 21 and 23 participants, respectively. No standard definition was broadly accepted or known. Evidence on associated risk factors was impacted by methodological limitations and recommendations were inconsistent. Agreement was reached on defining HAI in HHC as any infection specifically linked with providing care that develops in a patient receiving HHC from a professional healthcare worker and occurs ≥ 48 hours after starting HHC. Risk factors were hand hygiene, untrained patients and caregivers, patients’ hygiene and presence and management of invasive devices. Agreed recommendations were to adapt and standardise existing IPC guidelines to HHC and to perform a national point prevalence study to measure the burden of HAI in HHC.

Conclusions
This study offers an overview of available evidence and field knowledge of HAI in HHC. It provides a framework for a prevalence study, future monitoring policies and guidelines on IPC in Belgium.
Enfermedad y reescritura: el oficio de escribir en "Los diarios de Emilio Renzi" de Ricardo Piglia
Authors: Puxan-Oliva Marta 
Published: February 2021

Este artículo estudia el efecto que tiene la enfermedad Esclerosis Lateral Amiotrófica (ELA) que padeció el escritor argentino Ricardo Piglia en la revisión y reescritura de sus diarios para la publicación de Los diarios de Emilio Renzi. Además de constituir un texto que trata la relación entre literatura y enfermedad y que la representa, Los diarios de Emilio Renzi aprovechan la oportunidad para interrogar el lugar de enunciación, el oficio de escribir, el modo mismo de escribir un diario. Así, la enfermedad se construye como nuevo lugar de enunciación. La resignificación de la escritura dietaria se produce en particular a través de la relectura de El oficio de vivir de Cesare Pavese y de la relación entre diario y muerte. En este juego de relaciones, Piglia propone la reescritura y la enfermedad como espacios para redefinir el modo de escribir y un nuevo oficio de vivir.
Pelatihan pengolahan minyak jelantah menjadi sabun cuci untuk pemberdayaan ibu-ibu PKK di Bandar Lampung
Authors: Handayani Kusuma , Kanedi Mohamad , Farisi Salman , Abdullah S Wawan 
Published: February 2021

Minyak jelantah (mijel) is known in Indonesia as waste cooking oil. Even though it is a waste, mijel is still used by consumers for savings. The problem is, if it is used repeatedly more than three times, mijel can cause health problems. In addition to health hazards, if discharged through water channels, it can cause environmental pollution. Lack of public knowledge about the dangers of using the mijel in the end will have a negative impact. To educate the public about the health-risks of using mijel, we held a short training for housewives in Kelurahan Tanjung Agung, Bandar Lampung on July 22, 2020. This training provided the targeted housewives with the knowledge and skills to process the waste cooking oil into laundry soap. The purpose of this activity was to educate and provide training to the community, especially PKK women who interact directly with the use of mijel, about the dangers of mijel and how to manage it. PKK women who participated in the training seemed interested and understood the explanation described, this can be seen from the increase in the average pretest score from 55.7 to 81.3 at posttest. The benefits obtained by the participants are: 1) Understanding that using mijel more than three times can cause health problems for consumers. 2) Processing of waste cooking oil to laundry soap can reduce pollution in the aquatic environment.3) Laundry soap made from waste cooking oil can be a source of family income.
Pemberdayaan kelompok tani tambak garam bulcin mandiri di Desa Bulu Cindea Kecamatan Bungoro Kabupaten Pangkep
Authors: Jalil Abd. Rasyid , Rahmi Rahmi , Nanda Abdul Rakhim , Muhammad Rahmat , Jaya Ilham 
Published: February 2021

The development of Bulu Cindea village’s potential, especially salt in Pangkep Regency, needs to be continuously pursued to improve farming community’s economy, especially salt. This service program aims to produce iodized salt consumption by innovating consumption salt equipment to increase salt production and productivity at a low cost and sustainable manner. Through FGDs and technical guidance on the utilization of low power equipment, by metthos used was following with the salt farmer group’s household electricity capacity. This service activity will benefits various parties, including village community groups involved in community service, universities, and village government officials. The target audience for this service activity is the group of salt farmers in Bulu Cindea village. After this service activity was carried out, there was a change in behaviour through the understanding of the partner group about the better quality of consumption salt. The post-test results showed that the groups understanding of the activity participants reached 82.5%.The need for further community empowerment in building an iodized salt processing industry improves public welfare and health.
Information, Communication and Mass Media; A Positive Outlook
Authors: Parajuli Pradip 
Published: February 2021

Mass media was gifted on the Nepali soil early as one and half century ago. We have no longer history on mass media and journalism as other countries compared to the four and half century long history of world journalism, the history of Nepalese mass media and journalism is undoubtedly a recent phenomenon. The art and science of using information to one's advantage is one of the keys to influence and power in any society. As a matter of fact man alone has the capacity to generate information through new symbols, and to share the meaning of these symbols with fellow men. One may even look with advantage at human history through the information/ communication prism.
It is the history of an ever-increasing capability to create new generated information and shares it with others to their mutual advantage to ward off danger, to inform about the new opportunities, etc. In brief, information/ communication are the key to organized human life.
Morphometric Study of Distal End of Human Dry Radii
Authors: Kadel Muna , Thapa Trilok Pati 
Published: February 2021

Introduction: Radius is the lateral bone of forearm. Important parameters of its distal end include angle of radial inclination, palmar tilt, and length of radial styloid process. Morphometry of the distal end of radius is important in various clinical orthopaedic procedures such as reduction of distal radius fractures, design of distal radius prosthesis, and kinematics of the wrist joint. The aim of this study is to determine the angle of radial inclination, palmar tilt, length of styloid process, oblique width, transverse and anteroposterior diameter of distal end of human dry radii in Nepalese population.
Methods: This is a descriptive cross-sectional study conducted in the dissection hall of Department of Human Anatomy, Nepalese Army Institute of Health Sciences, Sanobhyrang, Kathmandu, Nepal from October 2019 to November 2019 after obtaining ethical approval. Total 76 human dry radii were included in the study by convenience sampling method. Angle of radial inclination, palmar tilt, length of styloid process, oblique width, transverse and anteroposterior diameter of distal end of human dry radii were studied. Data was collected and analysed by SPSS version 24.
Results: Mean length of styloid process was 1.09 cm. Mean anteroposterior and transverse diameter of distal end of radius was 1.88 cm and 2.85 cm respectively. Mean oblique width of distal radius was 2.82 cm. The mean palmar tilt and angle of inclination of radius were 9.72 and 23.62 degree respectively.
Conclusions: This study provides the reference data for the anatomical alignment while treating the injuries of the distal end of radius in Nepalese population.
Epidemiology, Clinico-radiological Profile and Management of Hepatocellular Carcinoma in a Tertiary Care Center in Nepal
Authors: Deo Rajeeb Kumar , Chitalkar Prakash , Malla Srijan , KC Indu , Karki Binod , Thapa Rajkumar 
Published: February 2021

Introduction: Hepatocellular Carcinoma (HCC) is a common malignancy of gastrointestinal tract presenting in clinical practice. The common etiologies are hepatitis B virus (HBV), hepatitis C virus (HCV) and alcohol consumption. Treatment of HCC is multimodality based on Barcelona Clinic Liver Cancer (BCLC) staging system. The aim of the article is to study the demographic, clinico-radiological profile and treatment patterns of HCC patients.
Methods: This is a retrospective cross sectional study of patients diagnosed as HCC at Shree Birendra Hospital, Chhauni, Kathmandu, Nepal from April 2017 to March 2020. The study was approved by Institutional Review Committee. Data were collected for demography, clinical feature, histology, HBsAg status, serum AFP values, radiological findings and treatment details from hospital record. Data were analysed using Excel 2010 and SPSS v 21.
Results: Total of 36 patients diagnosed with HCC were included for analysis. There was a male predominance (72.22%) and the mean age was 66.75 ± 12.02 years. Pain abdomen and jaundice were present in 63.89% and 38.89% respectively at presentation and features of chronic liver disease (CLD) were evident in 83.33%. HBsAg was present in 44.44% of HCC. Location of tumour was primarily in right lobe (80.56%) and size of lesion varied greatly. Tissue diagnosis was obtained in 52.78% patients. Chemotherapy option was limited to Sorafenib.
Conclusions: HCC is more prevalent in older males. The common modes of presentation were pain abdomen and jaundice. Most of the HCC had underlying CLD and were advanced. Sorafenib was the mainstay of treatment in advanced HCC.
ФУНКЦИОНАЛЬНАЯ ПАРАДИГМА ПРЕДЛОГА
Authors: Zahnitko Anatolii Panas 
Published: February 2021

Прорецензировано оригинальное издание "Русские предлоги и средства предложного типа. Материалы к функционально-грамматическому описанию реального употребления. Кн. 2: Реестр русских предложных единиц: А – В (объективная грамматика)" ( Издательство УРСС, Москва 2018) с определением статуса формально-грамматической, семантической и морфосинтаксической их парадигм, рассмотрением эволюции взглядов авторов материалов и выявлением квалифицирующих признаков ядерной, приядерной, первой периферийной и второй периферийной зон предложных единиц. Рассмотрены особенности лексикографической статьи в анализируемых материалах и установлены квалификационные характеристики статуса предложных единиц в семантико-синтаксической и коммуникативной страктурах предложения.
Do Androids Dream of Electric Sheep?
Authors: Horsfield Robert 
Published: February 2021

This article performs a close reading of the Philip K. Dick novel, Do Androids Dream of Electric Sheep? While developing the argument for an ‘ironic’ usage of the concept of the Anthropocene. This ironised conception is one that intends to countenance both the Anthropocene’s strength as a designation of human impact on the non-human and the important, valid critiques responding to the Anthropocene. Philip K Dick’s work, in particular Do Androids Dream of Electric Sheep? is a superb illustration of such an ironic dynamic because of the dual narrative structure present. For example, Do Androids Dream of Electric Sheep? raises questions about human identity that, while metaphysical, have great significance materially for the characters in the novel, and can be understood as a form of structural discrimination. To demonstrate this ironic duality that should be brought to the Anthropocene, the article draws on Nick Land’s essay Kant, Capital, and the Prohibition of Incest: A Polemical Introduction to the Configuration of Philosophy and Modernity.
Exchanges Discourse Podcast
A Conversation with...Rob Horsfield [16:41]
Analisis Pengaruh Budaya 5R dan Kinerja Karyawan Terhadap Kepuasan Pelanggan PT.Indoporlen
Authors: Krismahariyanto Mei , Prastya Mohamad 
Published: February 2021

The research using amount 100 of data which taken in proportionate stratified random sampling, the examination of data using in quantitative statistical with aid of correlation technique of SPSS method version 16.0, The Quantitative calculation through statistical analysis produces the result value of R coefficient 0,750 which contributes to the meaning both variables of 5S customs (X1) and employee performances (X2) have strong correlation against customer satisfaction (Y), valuable contribution / effect of both independent variables which observed to dependent variable (Y) was expressed to R square value or coefficient determination R square (R2) result shown 0,892 or 89,2%. This value expressed that contribution / effect from both independent variables is 89,2% whereas the remain 1,8% was influenced by or revealed by another variables which loose observed. The result of F test taken from Anova as known that F count 5,112 is bigger than F table 3,0902 (5,112 > 3,0902) in significant a 0,05. The comparison value means both variables in mutual have any correlation to customer’s satisfaction
A COMPARATIVE STUDY OF INTRATHECAL BUPIVACAINEHEAVY (0.5%) WITH BUPIVACAINE HEAVY (0.5%) PLUS DEXMEDETOMIDINE FOR LOWER ABDOMINAL SURGERIES
Authors: Shailesh Kumar , Singh Jitendra Prasad , Prasad Arjun , Horo Veena 
Published: February 2021

Introduction: Several adjuncts like adrenaline, opioids and alpha-2 adrenergic agonists are being used with local anaesthetics intrathecally for prolongation of intra-operative and post-operative analgesia and to reduce the side-effects of high doses of local anaesthetics.
Aim: The present study was done to evaluate the onset and duration of sensory and motor block, hemodynamic effects, post-operative analgesia and adverse effects of Dexmedetomidine given intrathecally with hyperbaric 0.5% Bupivacaine.
Materials and methods: Sixty inpatients of ASA class I and II scheduled for various lower abdominal surgeries under Sub-Arachnoid Block were randomly divided into two groups of 30 each namely C (Control), D(Dexmedetomidine) . All received 12.5mg hyperbaric bupivacaine plus 0.5 ml Normal Saline in Group C (Control),10µg Dexmedetomidine (diluted in preservative free Normal saline of 0.5ml) in Group D(Dexmedetomidine) . The onset time to reach peak sensory and motor level, the regression time for sensory and motor block, hemodynamic changes and side-effects were noted.
Results: The duration of sensory and motor block, rescue analgesia was significantly prolonged in Dexmedetomidine group when compared to that of Control group.
Conclusion: Dexmedetomidine 10 µg seems to be a better neuraxial adjuvant to hyperbaric Bupivacaine.
Keywords: Bupivacaine; Dexmedetomidine; intrathecal.
Fish Community Structure in Air Remuding River, Riau Silip, Bangka Regency
Authors: Ubb Hodri Msp 
Published: February 2021

Air Remuding River is a river which located in Pangkal Niur Lama Hamlet, Riau Silip District, Bangka Regency. Air Remuding River is ± 1 km from Pangkal Niur Lama Hamlet. This study aims to analyze the structure of the fish community in the Air Remuding River and to analyze the relationship between the physical and chemical factors of the waters to the species composition of the fish in the Air Remuding River. This research conducted in the month of January 2020 in the waters of the Air Remuding River, Pangkal Niur Lama Hamlet, Riau Silip District, Bangka Belitung Islands Province. The results of this study indicate that the most common fish caught in the Air Remuding river we're 2501 fishes (Rasbora bankanensis). Diversity Index (H '), Air Remuding River fish with a range of 0.66-0.72. included in the criteria of moderate diversity, while the Uniformity Index (E), Air Remuding River fish were high uniformity and the Dominance Index ranged from 0.19 to 0.23. The composition of fish species in the Air Remuding River correlates with DO, depth, current velocity and nitrate.
Skrining Kesehatan Pada Anak Usia Sekolah Di SDN 19 Mendobarat
Authors: Nurvinanda Rezka , Anggraini Rima Berti 
Published: February 2021

ABSTRAK Anak usia sekolah merupakan masa dimana terjadi perubahan yang bervariasi pada pertumbuhan dan perkembangan anak yang akan mempengaruhi kondisi kesehatan anak. Kegiatan skrining kesehatan yang dilakukan pada siswa dan siswi di SDN 19 Mendobarat bertujuan untuk mendeteksi dini anak yang memiliki masalah kesehatan agar segera mendapatkan penanganan sedini mungkin. Metode pelaksanaan pada kegiatan skrining kesehatan terdiri dari pemeriksaan kepala mencakup rambut, mata, hidung, telinga, mulut dan gigi, pemeriksaan kulit dan kuku, berat badan serta tinggi badan. Hasil skrining kesehatan sebagian besar siswa dan siswi SDN 19 Mendobarat mengalami masalah pada gigi, juga memiliki masalah dalam perawatan diri seperti kuku yang panjang dan kotor, telinga kotor, dan kulit yang kurang bersih. Tetapi mayoritas anak memiliki kebersihan diri yang baik. Kesimpulannya masalah kesehatan terkait kebersihan diri apabila tidak dilakukan penatalaksanaan yang baik dapat menimbulkan berbagai dampak yang dapat mengganggu aktivitas anak usia sekolah sehingga penting untuk dilakukan skrining kesehatan dan pendidikan kesehatan. Kata Kunci: Anak, Skrining Kesehatan, Usia Sekolah ABSTRACT School-age children are a time when there are various changes in children's growth and development that will affect the child's health condition. The health screening activities carried out on students at SDN 19 Mendobarat aims to detect children who have health problems early so that they can get treatment as early as possible. The implementation method for health screening activities consists of examination of the head covering hair, eyes, nose, ears, mouth and teeth, examination of skin and nails, body weight and height. The results of health screening, most of the students at SDN 19 Mendobarat experienced problems with their teeth, as well as problems in self-care such as long and dirty nails, dirty ears, and unclean skin. But the majority of children have good personal hygiene. In conclusion, health problems related to personal hygiene if good management are not carried out can have various impacts that can interfere with school age children activities so it is important to carry out health screening and health education. Keywords: Children, Health Screening, School Age.