bluuebunny/crossref_metadata_2025_split huggingface dataset:
Disparities in emergency department access, resource allocation, and outcomes between migrants and the local population
Authors: Jauslin Andrea S. , Schultze Leandra , Knuchel Daniel , Simon Noemi R. , Nickel Christian H.  , Bingisser Roland 
Published: November 2021

AIMS: To characterize a group of migrant emergency department (ED) patients regarding demographics, access to the ED, mode of referral, use of resources, and short-term outcomes, and to compare them to a group of local ED patients.

METHODS: Prospective cohort study with consecutive enrollment of adult patients presenting to the ED of a Swiss tertiary care hospital from October 21st to November 11th, 2013 and February 1st to February 23rd, 2015. In accordance with the International Organization for Migration, we defined migrants as persons who have changed their country of usual residence, irrespective of their legal status. The primary outcome was defined as the number of resources allocated to migrants, as compared to local patients, using uni- and multivariable quasi-Poisson regressions. Acute morbidity, hospitalization, intensive care unit (ICU) admission, and 30-day mortality were assessed as secondary outcomes.

RESULTS: Migrant patients were younger, more often male and self-presenters, and of lower acuity. After adjustment for age, gender and acuity, we observed a non-significant difference of 3.6% in the mean number of resources allocated to migrant patients as compared to local patients (adjusted RR 0.964, CI 0.923-1.006). No difference in 30-day mortality (adjusted OR 0.777, CI 0.346-1.559) was observed between the two patient groups, but migrant patients had lower odds of acute morbidity (adjusted OR 0.652, CI 0.560-0.759), hospitalization (adjusted OR 0.666, CI 0.555-0.799), and ICU admission (adjusted OR 0.649, CI 0.456-0.910).

CONCLUSIONS: ED access approximation, resource allocation, and mortality were comparable between migrant patients and local patients. Lower admission rates to wards and the ICU may raise concerns but can be explained by lower acute morbidity in migrant patients.
ĐÁNH GIÁ IN VITRO KHẢ NĂNG KHÁNG VI-RÚT GÂY BỆNH ĐỐM TRẮNG CỦA CÁC LOẠI CAO CHIẾT TRÊN MÔ HÌNH TÔM THẺ CHÂN TRẮNG (Litopenaeus vannamei)
Authors: Tịnh Bùi Thị Thanh , Linh Trần Phạm Vũ , Hương Trần Thị Thanh , Nam Liêu Bảo , Tín Lại Minh , Quân Nguyễn Đăng , Thảo Ngô Huỳnh Phương 
Published: November 2021

Vi-rút gây bệnh đốm trắng (WSSV) là tác nhân lây nhiễm và gây tử vong hàng loạt trên tôm nuôi nước lợ. Nghề nuôi tôm hiện nay thường sử dụng hóa chất và kháng sinh để điều trị và kiểm soát nhiều loại bệnh trong đó có bệnh đốm trắng, việc này gây nhiều trở ngại cho xuất khẩu và tiêu dùng. Có rất nhiều nghiên cứu đã cho thấy tác dụng của nhiều loại thảo dược giúp phòng trị bệnh đốm trắng trên tôm. Trong nghiên cứu này, 15 loại cao chiết thảo dược đã được đánh giá độ độc tính và khảo sát in vitro khả năng kháng WSSV trên mô hình tôm thẻ chân trắng bằng phương pháp tiêm. Kết quả khảo sát độc tính cho thấy, hầu hết các cao chiết là an toàn khi tiêm vào tôm ở nồng độ 0,25 mg/mL, trong đó 5 loại thể hiện độc tính cao, 4 loại thể hiện độc tính trung bình và 6 loại an toàn với tôm. Kết quả đánh giá in vitro cho thấy đưng, dà vôi, ổi, mấm trắng, cỏ mực, đước, cốc trắng và diệp hạ châu có hoạt tính kháng WSSV tốt nhất ở nồng độ khảo sát 0,0025 mg/mL. Những kết quả này tạo tiền đề cho các khảo sát in vivo khả năng kháng WSSV của 8 loại cao chiết thảo dược nhằm tìm ra các loại cây thảo dược tiềm năng trong phòng trị bệnh đốm trắng trên tôm.
ABSTRACT
White Spot Syndrome Virus (WSSV) is a highly infectious agent and causes mass mortality in farmed shrimp. In shrimp farming nowadays, farmers often use chemicals and antibiotics to treat and control many diseases, including white spot disease, thus resulting in many obstacles for shrimp export and consumption. Many studies have shown the effects of herbs on preventing white spot disease. In this study, 15 types of herbal extracts were evaluated for their toxicity and the in vitro resistance to WSSV in white leg shrimp injection models. The results of the toxicity showed that all the herbal extracts were safe when being injected into shrimp at a concentration of 0.25 mg/mL. Five of the herbs were highly toxic, four had medium toxicity, and six were safe for shrimp. The in vitro WSSV resistance testing showed that there were eight herbal extracts (Rhizophora mucronata, Ceriops tagal, Psidium guajava, Avicennia marina, Eclipta prostrata, Lumnitzera racemosa, Phyllanthus urinaria and Rhizophora apiculata) having the highest activity against WSSV at the concentration of 0.0025 mg/mL. These initial results suggest the in vivo investigations on the resistance to WSSV of these eight herbal extracts to find potential herbal plants for aquaculture use, instead of antibiotics, in the prevention and treatment of white spot disease in shrimp.
TO THE QUESTION OF MORPHOLOGY OF MYRICA GALE L. GENERATIVE PLANTS
Authors: Tolchennikova I. , Antonova I. 
Published: November 2021

The distribution of Myrica gale on the coast of the Gulf of Finland is confined to regularly flooded coastal habitats, characterized by milder environmental conditions compared to the uplands and under the residual influence of the Gulf Stream. In Russia, M. gale is located on the northeastern border of the range. The study of the features of the species that contribute to the dispersal in the northern direction, and the properties of the environment that prevent such dispersal, is always of great interest. Growth in colder conditions in comparison with other members of the family, mainly inhabitants of the tropical and subtropical areas, affected the formation of such adaptations as deciduousness, changes in the structure of flowers and bark, as well as the presence of a large number of protective leaf organs. Their quantitative and qualitative analysis made it possible to establish the presence of 4 lignified parchment-like scales that do not fall completely and 6 membranous with partially lignified tops scales that stretch out while unfolding. An attempt was made for the first time to analyze the spatial structure of the shoots of the species. A sympodial growth of shoots and the phenomenon of acrotonia, as well as a spiral formation of lateral shoots, were established. In the structure of the mature generative branch of M. gale there were identified 3 types of shoots: long growth, medium and short, and also their leaf series were analyzed.
Leaf series of short and medium shoots are characterized by significant asymmetry compared to leaf series of long shoots and are incomplete. The curves were constructed on the basis of such characteristics of leaf organs as their total number, length along the central vein, including the petioles (if they are presented), and internode lengths. A large number of rudiments of leaf organs determines the gradual formation of the buds, and the imperfection of the structure of the scales reflects the weak protective ability of these organs. Both features indicate the deep ancientness of the species and the difficulty in adapting to cold environmental conditions. Mature generative branches of M. gale are similar in habit to small trees, which is of particular interest in the context of modeling possible directions of adaptation during the spread of species of subtropical origin to more northern regions.
Central nervous system involvement in Multiple Myeloma—Diagnosis, treatment and outcome: A case report
Authors: Muhammad Uzair Ali  , Shafaq Maqsood  , Mahrukh Malik  , Kausar Bano  
Published: November 2021

Multiple Myeloma is a clonal proliferation of plasma cells with bone marrow as the primary site of occurrence. Extramedullary multiple myeloma is uncommonly seen either at presentation or later during the course of the disease. Central nervous system involvement by multiple myeloma is an extremely rare entity with a dismal outcome. This case report focuses on 45yr old male who presented with bone aches. Investigation findings leading to diagnosis involved elevated calcium levels, lytic lesions on radiological examination and clonal plasma cells in bone marrow biopsy. During his treatment patient was given chemotherapy regimens containing Lenalidomide, Bortezomib, Cyclophosamide and Prednisolone. He developed neurological complications (CNS myelomatosis) thereafter, which resulted in his demise. The clinical presentation, diagnosis, treatment and outcome of this rare condition is detailed in these pages.
Keywords: Multiple Myeloma, Extramedullary Multiple Myeloma, CNS Myelomatosis
Continuous...
COVID-19 amongst cancer patients: an experience from Oman
Authors: Bassim Jaffar Al Bahrani  , Itrat Mehdi  , Faryal Ali Khamis  , Abdulaziz Mohammed Al Farsi  , Fatma Al Fahdi  , Najla Ali Al Lawati  
Published: November 2021

Introduction: The pandemic of coronavirus has no parallel in recent history. Human Life has completely transformed. There are no approved standard therapies. Patients with comorbidities, old age, immunocompromised, and cancer are at higher risk of complicated course and higher mortality.
Patients and Methods: This study is an analysis of Cancer patients who got COVID-19 infection to assess the rate, demographics, laboratory data, and mortality. The data was compared, with normal non-cancer COVID-19 infected patients.
Results: The overall number of COVID-19 positive cancer patients was low (0.47%) compared to normal population (2.17%). The mortality in COVID-19 Positive cancer patients was 35.1% vs 1.03%. Diabetic, hypertensive and cardiac patients are more likely to get COVID-19. Among Normal subjects, ratio of expatriate patients was higher. Septicemia was more frequent in cancer patients. Non-cancerous patients were more commonly ventilated. Leucocytosis, renal impairment, Hypocalcemia, high Troponin, high D-dimer, and high transaminases were seen more in non-cancerous patients. A high Lactate dehydrogenase was more common in cancer patients. The mortality from COVID-19 was higher in cancer patients 25% vs 15.7%. Around 72.8% cancer patients received active treatment with in past 4 weeks before COVID-19 infection.
Discussion and Conclusions: There are very few reports of COVID-19 infection in cancer patients. The number of patients is small with limited information and capacity of the healthcare system. Oncologists should consider to tailor cancer clinical management. The cancer patients must practice social distancing, and seek early evaluation for symptoms suspicious for COVID-19, testing for virus and chest radiography.
Contintuous...
“O prato faz as pessoas”: metonímia e metáfora em conversa
Authors: Bernardo Sandra Pereira , Velozo Naira de Almeida 
Published: November 2021

Analisa-se, neste trabalho, o papel de metonímias e metáforas na organização conceptual de uma das interações do Banco de dados interacionais (RONCARATI, 1996), com vistas a descrever (i) as funções das metonímias com base em Littlemore (2015) e (ii) a relação entre as metonímias e as metáforas propostas. Além da função basilar da metonímia, no âmbito da Linguística Cognitiva, como processo cognitivo em que uma entidade dirige a atenção, ou dá acesso mental, à outra entidade, postulou-se as seguintes funções mais recorrentes na interação: (i) base para destaques e conceptualização (construal); (ii) referência anafórica, coesão e coerência; (iii) referência exofórica; (iv) construção e estabelecimento de relações entre comunidades discursivas; (v) avaliação; e (vi) humor. A partir dessas funções metonímicas, buscou-se aventar um papel basilar das metonímias em relação às metáforas, por meio dos elementos dos MCIs ativados para construção de sentidos e dos elementos do cenário destacados nas expressões metafonímicas.
Konstruksi Etis Teologis tentang Investasi Keuangan Gereja: Analisis Lukas 19:16-24
Authors: Munanto Tjandra , Hermanto Yanto Paulus , Hindrajat Juliana 
Published: November 2021

Abstract: The church as a non-profit organization has a vision and mission related to effective fund management. Considering recent developments where the church is being challenged to face various world problems such as natural disasters, economic crises, pandemics, lack of funds, world inflation, the church must find a way out so that all the main activities of the church can run well. One of the most important factors in managing church funds is how the church can find alternative sources of income so that church funds do not depend solely on the congregation's love offerings and the congregation's tithe which tends to be increasingly uncertain in number. To answer the research problem, the author uses a qualitative research approach and through excavation of Luke 19:12-27. The purpose of this research is to provide a way out for churches in managing church funds. From the results of this study obtained a biblical method of investment, effective and low risk level.Abstrak: Gereja sebagai organisasi non-profit memiliki visi dan misi yang berkaitan dengan pengelolaan dana yang efektif. Mengingat perkembangan akhir-akhir ini dimana gereja ditantang menghadapi berbagai permasalahan dunia seperti bencana alam, krisis ekonomi, pandemi, kekurangan dana, inflasi dunia, maka gereja harus mencari jalan keluar agar seluruh kegiatan utama gereja dapat berjalan dengan baik. Salah satu faktor yang terpenting dalam mengelola dana gereja adalah bagaimana gereja dapat mencari sumber pendapatan alternatif agar dana gereja tidak semata-mata tergantung kepada persembahan kasih jemaat dan persepuluhan jemaat yang cenderung makin tidak menentu jumlahnya. Untuk menjawab permasalah penelitian maka penulis menggunakan pendekatan penetian kualitatif dan melalui penggalian terhadap Lukas 19:12-27. Tujuan penelitian ini untuk memberikan jalan keluar bagi gereja-gereja dalam mengelola dana gereja. Dari hasil penelitian ini diperoleh cara inestasi yang alkitabiah, efektif dan tingkat resiko yang rendah.
RESPON PERTUMBUHAN, PRODUKSI DAN KADAR FOSFOR DAUN TERHADAP PEMBERIAN DOLOMIT DAN PUPUK NPK PADA KACANG KEDELAI (GLYCINE MAX (L.) MERRIL) PADA TANAH ULTISOL
Authors: Pandiangan Samse , Tampubolon Bangun , Naibaho Benika , Lumbangaol Jualiana 
Published: November 2021

The objectives of this study was to observe the effect of dolomite and NPK fertilizer application on growth, yield and leaf phosphorus levels of soybeans (Glycine max (L.) Merril) due to the application of dolomite and NPK fertilizers. This research was conducted from June 2019 to December 2019, at the Experimental Station of Agriculture Faculty of University of HKBP Nommensen Medan in Simalingkar B Village, Medan Tuntungan District at an altitude of ±33m above sea level. Soil type Ultisol with Tex-sand 43.75%, Tex-dust 42.18%, Tex-clay 14.07; pH 4.63; cation exchange capacity (CEC) 14.64%, Ptotal 0.10%, N kjehldahl 1.9% K-exch 0.20%, Ca-exch 1.32%, Mg-exch 0.92%. This research was arranged in a factorial randomized block design (RAK) with 2 treatment factors, namely, the first factor was dolomite (D) which consisted of 3 levels, namely: D0 = 0 g/polybag, D1 = 11.2 g/polybag, D2 = 22.4 g/polybag. The second factor was NPK fertilizer (N), which consisted of 4 levels, namely: N0 = 0 g/polybag, N1 = 1.5g/polybag, N2 = 3 g/polybag and N3 = 4.5g/polybag. Parameters observed were plant height, number of leaves, number of pods, number of filled pods, weight of filled pods, dry seed production per plant, dry weight of 100 seeds and leaf phosphorus levels. The results showed that dolomite application had a very significant effect on the number of pods, number of filled pods, weight of filled pods, dry seed production per plant, dry weight of 100 seeds, but had no significant effect on plant height, number of leaves and leaf phosphorus levels. The application of NPK fertilizer had a very significant effect on the number of pods, number of filled pods, dry seed production per plant, dry weight of 100 seeds but had no significant effect on plant height, number of leaves, weight of filled pods and leaf phosphorus content. The interaction of dolomite and NPK fertilizer had no significant effect on all observed parameters.
ANALISA KEBUTUHAN AIR BERSIH DI KOTA MEDAN SUMATERA UTARA
Authors: Simanjuntak Salomo , Zai Eben Oktavianus , Tampubolon Michael Halomoan 
Published: November 2021

The water that humans really need is good quality water, which is commonly known as clean water. Clean water is one type of water-based resource that is of good quality and is commonly used by humans for consumption or in carrying out their daily activities including sanitation. The most important thing is clean water is a basic human need which greatly affects human health.
The stages in completing this Final Project are first to collect the required data from the Central Bureau of Statistics and BAPPEDA Medan City with literature reviews and ask questions directly to related parties about the required data. Then the calculation of the projected population in the city of Medan using the geometric, arithmetic method.
The next stage is calculating the need for clean water in Medan City and calculating the maximum daily water needs and peak hours.
EVALUASI PERKERASAN JALAN KAKU (RIGID PAVEMENT) PADA JALAN SM RAJA MEDAN DENGAN METODE BINA MARGA
Authors: Sidabutar Ros Anita , Saragi Yetty Riris , Pasaribu Humisar , Pardede Maruli , Hutabarat Torang 
Published: November 2021

axle vehicles with the aim of shortening the distance and travel time from one place to another, as well as an infrastruture that is needed to support development. The design of the Sisingamangaraja – Lubuk Pakam road pavement consisting of a cement concrete slab as a foundation layer and a foundation laver above the subgrade.
The purpose of this study was to evaluate the thickness of the pavement using the Highways Method. The research method used is the secondary data collection method. The data collected include traffic data, concrete data, soil data, vehicle axle free data, CBR modulus of subgrade.
Plaanning the thickness of the road pavement concrete slab using the Highways Method obtained 300 mm. A planner is expected to have “felling engineering” supported by extensice knowledge and experience gained in the field.
TINGKAT PENERAPAN KESELAMATAN, KESEHATAN KERJA DAN LINGKUNGAN (K3L) PADA PROYEK KONSTRUKSI
Authors: Simanjuntak Johan Oberlyn , Lumbangaol Partahi , Simanjuntak Salomo , Pasaribu Humisar , Simanungkalit Okto 
Published: November 2021

Increased development in various regions in Indonesia, especially in the city of Medan, makes many contactors compete with each other in implementing a project. Starting from the time, quality, and cost. However, there are still many contractors who ignore Occupational Safety, Health and Environment (K3L). This study aims to determine the level of application of Occupational Safety, Health and Environment (K3L) in construction projects. Occupational Health, Safety and Environment (K3L) is a program that aims to create a safe, healthy workplace. So that it can reduce the risk of work accidents and occupational diseases as low as possible on the project.
The theory used in this study uses quantitative methods that tend to produce descriptive results. The sampling technique was carried out by observation and questionnaire. The instrument used comes from the Minister of Public Works Regulation No. 9 of 2008. This research was conducted on the Cinema Grand Jati Junction construction project located on Jln Perintis Kemerdekaan, Medan
The results of the research on the level of application of Occupational Safety, Health, and Environment (K3L) for the Cinema Grand Jati Junction construction project on Jln Perintis Kemerdekaan, Medan amounted to 90.54%. The completeness of K3L facilities in the project was 86.7%.
Spaces of Privacy in Early Modern Dutch Egodocuments
Authors: Green Michaël 
Published: November 2021

While the word 'privacy' itself only started to appear in the Dutch language in the newspapers of the nineteenth-century, Michaël Green argues that the idea underlying it was already developing in the early seventeenth century in Dutch contexts. In his article, Green examines, first, transformations that occurred in the seventeenth century in architectural idealizations of the family house, where plans for corridors started to appear alongside locks and separate rooms. Then, based on several examples of egodocuments - among them the diaries of the schoolmaster David Beck and an autobiographical piece by Maria de Neufville - he focuses on how members of the middling and elite classes wrote about their own practical experiences of spatial and emotional privacy.
СЫБАЙЛАС ЖЕМҚОРЛЫҚТЫҢ АЛДЫН АЛУ ӘДІСІ РЕТІНДЕ КІРІСТЕР МЕН АКТИВТЕРДІҢ МІНДЕТТІ ЭЛЕКТРОНДЫ ДЕКЛАРАЦИЯСЫ: SWOT ТАЛДАУЫ
Authors: Кошербаева Айгуль , Нуркей Айсулу , Куандыков Нуржан 
Published: November 2021

Многие государства и международные организации внедряют декларирование доходов и активов для снижения уровня теневой экономики. Однако до сих пор существуют споры принятия данного механизма в качестве антикоррупционного инструмента. Данная статья рассматривает эффективность использования декларирование доходов и активов, в том числе и всеобщее декларирование, через электронные носители как способ противодействия коррупции. Для анализа выбран SWOT анализ, посредством него оценены основные ключевые моменты и выработаны рекомендации, в особенности для Казахстанской политики противодействия коррупции.
Көптеген мемлекеттер мен халықаралық ұйымдар көлеңкелі экономиканың деңгейін төмендету үшін кірістер мен активтер туралы декларацияны енгізуде. Дегенмен, бұл механизмді сыбайлас жемқорлыққа қарсы құрал ретінде қабылдау туралы пікірталастар әлі де бар. Бұл мақалада сыбайлас жемқорлыққа қарсы күрес әдісі ретінде электронды ақпарат құралдары арқылы кірістер мен активтер туралы декларацияны, оның ішінде әмбебап декларацияны қолдану тиімділігі қарастырылады. Талдау үшін SWOT талдауы таңдалды, оның көмегімен негізгі түйіндер бағаланды және ұсынымдар әзірленді, әсіресе қазақстандық сыбайлас жемқорлыққа қарсы саясаты бойынша.
Many states and international organizations are introducing declarations of income and assets to reduce the level of the shadow economy. However, there is still debate about the adoption of this mechanism as an anti-corruption tool. This article examines the efficiency of using the declaration of income and assets, including universal declaration, through electronic media as a way to combat corruption. For the analysis, a SWOT analysis was selected, through which the main key points were assessed and recommendations were developed, especially for the Kazakhstan anti-corruption policy.
SOME ISSUES OF INTERACTION BETWEEN CIVIL SOCIETY AND THE POLICE
Authors: Қожабеков Ерғали , Марашева Амира 
Published: November 2021

Полиция қызметінің сапасын арттыру бойынша жоспарланған іс-шаралар қарқын алуда. Ішкі істер органдарының жұртшылықпен өзара іс-қимыл жасасуында біршама өзгерістер бар. Құқық қорғау органдарының, оның ішіндегі, полиция органдарының қызметінің сапасын жақсартуға байланысты орын алып жатқан жаңғырту жұмыстары жалғасуда. Осымен сабақтас, кемшін тұстары да бар. Бұл мақалада осы кемшіліктердің орнын толтыру жолындағы авторлардың ұсыныстары мен уәждері келтіріледі.
Плановые мероприятия по повышению качества деятельности полиции набирают обороты. Есть некоторые изменения во взаимодействии органов внутренних дел с общественностью. Набирает обороты проводимая модернизация, связанная с улучшением качества деятельности правоохранительных органов, в том числе органов полиции. Вместе с этим имеются определенные недостатки, которые нашли отражение в данной статье, где авторамиприводятся рекомендации и мотивы на пути к восполнению этих недостатков.
Planned measures to improve the quality of police activity are gaining momentum. There are some changes in the interaction of the internal affairs bodies with the public. The ongoing modernization related to improving the quality of law enforcement agencies, including the police, is gaining momentum. Along with this, there are also disadvantages. This article presents the recommendations and motivations of the authors on the way to make up for these shortcomings.