bluuebunny/crossref_metadata_2025_split huggingface dataset:
The utility of mean platelet volume delta (∆VPM) and mean platelet volume / platelet index as predictors of mortality in patients with Sepsis and Septic Shock
Authors: America Serrano González , Jesús Bautista López Federico del , Eusebio Jimenez Ríos 
Published: June 2021

Background. Sepsis and septic shock are the most severe clinical expressions of infection, despite having characterized several decades ago, remain as a diagnostic challenging and this can delay treatment and increasing hospital cost secondary to this pathology.
Our objective was to determine the usefulness of the mean platelet volume delta (ΔVPM) as a predictor of mortality.
Methodology. We performed an observational and descriptive study with 83 patients with Sepsis and / or septic shock criteria, from May 1, 2017 to August 1, 2017. Survival analysis was performed using Kaplan and Meier tables and was corroborated by the Long Rank test. The prognostic value through the proportional risk of Cox.
Results. Thirty-seven patients (44.6%) died because of the septic process. A univariate Cox regression analysis revealed a MPV / platelet index at admission of less than 4 was associated with a significant reduction in the risk of mortality from sepsis or septic shock at 60 days (HR, 0.236; 95% CI, 0.083-0.671; p = 0.007). The DVPM was not significantly associated with a reduction in the risk of mortality (HR, 0.373, 95% CI, 0.132-1.057, p = 0.640).
Conclusion. The platelet parameters are economical and available, providing diagnostic and prognostic results, avoiding costs, time and special tests. The VPM / PLQ index could be an effective "Alert System" in early sepsis.
Filosofía de la educación en la era digital
Authors: BRIVIO RAMIREZ AURELIA JOSEFINA , BRIVIO AMBROGIO MATTEO 
Published: June 2021

El presente estudio tuvo como objetivo identificar los cambios en la filosofía de la educación en la era digital, habiéndose modificado y evolucionado de manera permanente, más aún en estos tiempos de pandemia en la cual prima el uso de los recursos y herramientas tecnológicas como medios de aprendizaje, lo que implica un cambio en la forma de actuar de los agentes educativos. En este artículo de revisión se investigó el término en estudio, identificando los cambios que sufrió como producto de la incorporación de la tecnología en el ámbito educativo. En esta investigación se abordó la filosofía en el sector de la educación y el acceso a la educación inclusiva. A las conclusiones que la investigación arribó fueron: La filosofía en la era digital, se fue introduciendo de manera paulatina en el modo de vida y actuar de los educadores y estudiantes; por otra parte, en la literatura investigada se observa un mejor desarrollo en los países que desde una temprana edad, incorporan en sus mallas curriculares el uso de los recursos tecnológicos, lo que implica el logro de una mayor capacidad de los estudiantes para entender la realidad.
Analysis of Covid-19 impact on virtual hotel operation in Indonesia
Authors: Roz Kenny , Riyanto Dicky Wisnu Usdek , Marsudi Marsudi , Salahudin Salahudin 
Published: June 2021

The Covid-19 pandemic outbreak had a devastating effect on the economic sector in Indonesia, especially in the tourism sector. This study aims to reveal the impact Covid-19 on the Indonesia tourism sector especially the virtual hotel operation. This research uses a qualitative approach and content analysis as data mapping of Indonesia online media content. Nvivo-12 plus software is used to manage and analyze the data. The results of this research pandemic covid 19 outbreaks have an impact on the economy of Indonesia and affect startup virtual hotel operations (especially Airy rooms) to the point of closing operations in Indonesia. This research provides some insight into future research opportunities in the new normal conditions in tourism sector operation
Determinants of unplanned Pregnancy among Women: A case of Awach Health Centre IV in Gulu district.
Authors:   , Okae Norman , Kasozi Namagga Jane , Nambooze Grace 
Published: June 2021

Background: Planning of pregnancy is a pertinent public health practice that every woman should embrace at her reproductive age. It is considered a major necessity in adopting a healthier lifestyle before pregnancy that leads to positive maternal-child health outcomes. On the contrary, unplanned pregnancy is ranked among the major public health problems that predispose women to huge mortality and morbidity mainly through criminal/unsafe abortion coupled with poor post-abortion care. Methodology: We used descriptive designs, employing qualitative approaches. We purposely selected 10 participants who lived within Aswa County, to participate in the study. Data were collected using an in-depth interview. Interpretive content analysis was used to generate categories and themes. Results: The study generated four themes namely: individual determinants, family determinants, community determinants, and health facility determinants of an unplanned pregnancy. Conclusion and Recommendations : This study has contributed substantially in revealing determinants of an unplanned pregnancy. In Awach Health Centre IV, the determinants of unplanned pregnancy are sexual desires, prostitution, school-going status, income level, number of sexual partners, amenorrhoea, marital status, contraceptives usage, religion, domestic violence, family planning discussion with husband. Others are; breastfeeding status during conception, the gender of existing children, recurrent obstetrical complications, distance from husband, rape, peer pressure, denial of pregnancy by men, type of settlement, contraceptive failure, and lack of sensitization. There is a need for a multi-level approach to address determinants of unplanned pregnancy ranging from individuals, families, communities, and health facilities approach. Improvement in the economic status of women, and implementing programs that encourage education of women/girl child could reduce unplanned pregnancy.
ANTIMICROBIAL ACTIVITIES OF ARTABOTRYS ODORATISSIMUS R.Br.
Authors: Sethi Poonam , Karmegam Nandhagopal 
Published: June 2021

ABSTRACT
Artabotrys odoratissimus R.Br. (Annonaceae) a medium sizes shrub with hooks, sweet smelling flowers and aggregate fruits, was tested for activity against gram negative bacteria. The fruit of the experimental plant was extracted with water, methanol and toluene: methanol (2:1 v/v). Artabotrys fruits showed good antibacterial activity and produced zone of inhibition of 32mm. The methanolic extract of the fruit showed maximum zone of inhibition at 300 ?g/ml against Pseudomonas fluorescens. The present study clearly indicates that A. odoratissimus had a profound antimicrobial activity and it may be useful in the treatment of various infectious caused by bacteria.
Keywords: Artabotrys, Gram Negative Bacteria, Pseudomonas, Zone Of Inhibition
PENGARUH KOMPETENSI SUMBER DAYA MANUSIA TERHADAP KUALITAS PELAYANAN JASA DOKUMEN IMPOR DI PT SARANA PUBLIK LOGISTIK JAKARTA
Authors: Yuliyanti Dewi 
Published: June 2021

Penelitian ini bertujuan untuk mengetahui apakah ada pengaruh kompetensi sumber daya manusia untuk layanan kualitas dokumen impor di PT Sarana Logistik Umum Jakarta. Judul penelitian ini diangkat berdasarkan pengalaman yang menunjukkan penurunan jumlah pengguna layanan selama lima tahun terakhir. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan uji statistik regresi linier sederhana. Berdasarkan hasil penelitian, data yang diperoleh persamaan regresi sebagai berikut: Y = 23,6 + 0,405X. Berdasarkan analisis data statistik, indikator penelitian ini adalah valid dan variabel yang dapat diandalkan. Hasil penelitian menunjukkan bahwa hipotesis "r hitung" adalah lebih besar dari r tabel (0,651> 0,266) dengan tingkat signifikansi 6,095, sehingga hipotesis ini diterima dan ada pengaruh positif dan signifikan antara kompetensi sumber daya manusia terhadap kualitas pelayanan impor dokumen di PT Sarana Umum Logistik. Kata Kunci : Kompetensi, Sumber Daya Manusia, Kualitas Layanan.This study aims to determine whether there is an influence of human resource competence to quality services of import documents in PT Sarana Public Logistics Jakarta. The title of this research was appointed based on experiences that showed a decrease in the number of service users over the last five years. This research is a quantitative study using statistical testing of simple linear regression. Based on the results of the study, the data obtained the following regression equation: Y = 23.6 + 0,405X. Based on statistical data analysis, the indicators of this study are valid and variables are reliable. The results showed that the hypothesis “r hitung” was greater than r table (0.651> 0.266) with a significance level of 6.095, so that this hypothesis was accepted and there is a positive and significant effect between human resource competence towards service quality of import documents in PT Sarana Public Logistics. Keywords : Competence, Human Resources, Quality Services.
ANALISIS AKTOR YANG BERPERAN DAN MEMPENGARUHI IMPLEMENTASI KEBIJAKAN TATA RUANG : STUDI DI KABUPATEN PANDEGLANG
Authors: HAKIM AGUS LUKMAN 
Published: June 2021

Abstrak: Kabupaten Pandeglang Provinsi Banten telah menetapkan Perda No. 03 tahun 2011 tentang Tata Ruang Kabupaten Pandeglang 2011-2031. Pasca implementasi Perda tersebut belum berdampak pada pembangunan Kabupaten Pandeglang. Penelitian ini bertujuan untuk menganalisis aktor yang berperang dan berpengaruh dalam implementasi Perda RTRW. Penelitian ini menggunakan data primer berupa observasi, angket dan wawancara serta data sekunder berupa dokumen terkait kebijakan tata ruang. Pendekatan yang digunakan deskriptif kualitatif, dengan alat analisis stakeholder dan Content Analysis. Hasil penelitiannya adalah aktor yang berkepentingan dan berpengaruh dalam implementasi kebijakan tata ruang di Kabupaten Pandeglang adalah Bupati. Adapun instansi yang memiliki kepentingan dan pengaruh besar dalam kebijakan tata ruang adalah Bappeda, Dinas Pekerjaaan Umum dan Penataan Ruang, Dinas Penanaman Modal dan Pelayanan Perizinan Terpadu Satu Pintu. Selanjutnya, Dinas Lingkungan Hidup, Dinas Perikanan, Dinas Pariwisata, Dinas Pertanian, Dinas Perindustrian dan Perdagangan, Dinas Pemukiman, Kawasan Pemukiman dan Pertanahan, Komisi I DPRD Pandeglang, Dinas Perhubungan dan Satuan Polisi Pamong Praja. Pemain kunci atau key player dalam implementasi kebijakan adalah Bupati dan Dinas/Badan yang terkait. Adapun aktor yang memiliki kepentingan kecil dan pengaruhnya besar dalam kebijakan tata ruang di Pandeglang, yaitu Investor, Wartawan, LSM dikategorikan ke dalam Contest Setter (pendukung). Adapun aktor yang memilik kepentingan dan pengaruh kecil adalah media massa sehingga dikategorikan sebagai crowd (pengikut lain). Implementasi kebijakan tata ruang sangat tergantung keberpihakan tata ruang dari pengambil kebijakan yaitu kepala daerah sehingga kebijakan tata ruang merupakan aspek politik bukan aspek teknis.Kata kunci : Kebijakan Tata Ruang, Aktor Berkepentingan dan Berpengaruh, Politik Tata Ruang
¿Es importante la epistemología de las ciencias en la formación de investigadores y de profesores en física?
Authors: Colombo de Cudmani L. , Salinas de Sandoval J. 
Published: June 2021

En este trabajo fundamentamos la pertinencia de la epistemología en la formación de profesores en física e investigadores en física y en enseñanza de la física.También analizamos diversas experiencias realizadas a lo largo de los últimos veinte años, en las que hemos participado en la incorporación de tópicos de epistemología en la formación de profesores e investigadores (Colombo de Cudmani, L., Salinas, J., Jaén, M., 2000).Estas experiencias se han desarrollado fundamentalmente en cuatro contextos:- Curso de grado sobre «Elementos de Epistemología e Historia de la Física» (asignatura obligatoria del plan de estudios de las carreras de bachiller universitario en física y licenciado en física de la UNT).- Diversos cursos de formación, de perfeccionamiento y de postgrado, destinados a docentes en física de diversos niveles y orientaciones educativos (en los que la dimensión epistemológica se integra funcionalmente al tratamiento de contenidos educativos o disciplinares específicos).- Cursos de postgrado sobre «Epistemología de la Física» e «Impacto Epistemológico de la Física Contemporánea» (asignaturas del plan de estudios de la carrera de postgrado de magister en Enseñanza de las Ciencias -Área Física- de la UNT).- Curso de postgrado sobre «Modelos de Aprendizaje que fundamentan la Enseñanza de las Ciencias Fácticas» (asignatura del plan de estudios de la carrera de postgrado de magister en Enseñanza de las Ciencias -Área Física- de la UNT).
¿Qué puede hacer un profesor como tú o un alumno como el tuyo con un libro de texto como éste? Una relación de actividades poco convencionales
Authors: Campanario Juan Miguel 
Published: June 2021

En este artículo se sugieren actividades y tareas poco convencionales para alumnos y profesores que pueden realizarse utilizando los libros de texto de ciencias habituales. Con estas actividades y tareas se intenta fomentar el procesamiento en profundidad de la información de los libros de textos por parte de los alumnos o que éstos aprendan sobre sus propios procesos de aprendizaje.
The cost of one unit blood transfusion components and cost-effectiveness analysis results of transfusion improvement program
Authors: İndelen Cenk , Uygun Kızmaz Yeşim , Kar Ahmet , Shander Aryeh , Kırali Kaan 
Published: June 2021

Background: This study aims to analyze the cost of the entire transfusion process in Turkey including evaluation of the cost of transfusion from the perspective of hospital management and determination of savings achieved with the transfusion improvement program.
Methods: Invoices, labor, material costs were calculated with micro-costing method, while general production expenses were calculated with gross costing method between January 2018 and December 2019. Unit costs for each blood product were calculated separately by collecting unit acquisition costs, material costs, labor costs, and general production expenses and, then, distributed into six different blood products as follows: erythrocyte suspension, fresh frozen plasma, pooled platelet, apheresis platelet, cryoprecipitate, fresh whole blood. The total costs for 2018 and 2019 were calculated and the savings achieved were estimated. The Turkish Lira was converted into the United States Dollar ($) currency using the purchasing power parity.
Results: In 2018/2019, the blood component transfusion cost was $240.90/251.18 for erythrocyte suspension, $120.00/128.67 for fresh frozen plasma, $313.50/322.19 for pooled platelet, $314.24/325.73 for apheresis platelet, $104.95/113.99 for cryoprecipitate, and $189.91/209.09 for fresh whole blood. The total transfusion cost was $6,224,208.33 in 2108 and $5,308,148.43 in 2019. As a result of the transfusion improvement program launched in 2019, the amount of blood components decreased by 23.24%, compared to the previous year, and a saving of $916,059.9 was achieved.
Conclusion: The transfusion is a burden for both the hospital management systems and the country's economy. To accurately calculate and manage this economic burden is important for sustainable healthcare services.
Desenvolvimento de rede de estações de baixo custo para previsão regional em nowcasting
Authors: Sousa Elisvania Machado de , Melo Leonardo Alexandrino de , Puhales Franciano Scremin , Anabor Vagner 
Published: June 2021

The use of Internet of Things (IoT) has intensified in the current decade, and this paper demonstrates how it can help solve problems regarding forecast, analyses and study of meteorological variables in several points of small areas. When applying the concept of IoT in meteorological instrumentation, looking forward to build a high cost-effective prototype of an embedded system, costing hundredths of a professional station, capable of gather and share meteorological data with precision and high frequency, which are essential in applications such as nowcasting.
Flotation for Ballasted Sailing Yachts
Authors: Wilson Vance O. , Reuter Wolfgang 
Published: June 2021

The thought of accidentally sinking after being damaged makes every skipper shudder at his probable helplessness in staying afloat. Sooner or later, yachtsmen will demand positive flotation for all boats through 65 feet in length. What should the Naval architect be doing and what can the builders expect in new materials and arrangements for flotation?
This paper will review the state­of-the-art and encourage further research and planning by attempting to show a need, feasibility considerations, and fringe benefits.
Flotation after damage for ballasted yachts has, for years, been only a dream because of lack of flotation space in sailboat hulls that are already volume critical, as compared with similar length power boats. It is hoped that few low density materials, as available, and arrangement considerations in the original design will make his safety feature a reality.
The transition to agricultural cultivation of neo-crops may fail to account for wild genetic diversity patterns: insights from the Cape Floristic Region
Authors: Galuszynski Nicholas C. 
Published: June 2021

Aim
The global increase in the cultivation of native wild plants has raised concerns regarding potential risks associated with translocating genetic lineages beyond their natural range. This study aimed to investigate whether agricultural cultivation of neo-crops (a) accounts for the levels of genetic diversity present in wild populations, and whether (b) cultivated populations are genetically divergent from wild populations and thus pose a potential threat to wild genetic diversity.

Location
The Cape Floristic Region (CFR), located along the southern Cape of South Africa.

Methods
High Resolution Melt analysis (HRM) coupled with Sanger sequencing was used to screen three non-coding chloroplast DNA loci in Cyclopia Vent. (Fabaceae), a CFR endemic neo-crop cultivated for the production of a herbal infusion referred to as Honeybush tea. Wild and cultivated populations for three of three widely cultivated Honeybush species (C. intermedia, C. longifolia, and C. subternata) were screened. Genetic diversity and differentiation were measured and compared between wild and cultivated groups.

Results
Across all asseccions, a total of 17 haplotypes were detected, four of which were shared between wild and cultivated populations, while the remaining 13 were only detected in wild populations. Genetic diversity and differentiation was significantly higher in wild populations than in cultivated populations.

Conclusions
If no guidelines exist to facilitate the introduction of native wild plant taxa to a cultivated setting, wild genetic diversity patterns are likely to be compromised by cultivated populations. In the case presented here, cultivation represents a genetic bottleneck, failing to account for rare haplotypes, and may have disrupted species boundaries by initiating interspecific hybridization. More empirical work is required to evaluate the extent to which neo-crop cultivation poses a risk to wild genetic resources in the CFR and globally.
Validity and reliability of the DiCI for the measurement of shoulder flexion and abduction strength in asymptomatic and symptomatic subjects
Authors: González-Rosalén Javier , Cuerda-Del Pino Alba , Sánchez-Barbadora Mariana , Martín-San Agustín Rodrigo 
Published: June 2021

Background
A higher risk of shoulder injury in the athletic and non-athletic population is frequently associated with strength deficits. Therefore, shoulder strength assessment can be clinically useful to identify and to quantify the magnitude of strength deficit. Thus, the aim of this study was to evaluate the validity and reliability of a DiCI (a new hand-held dynamometer) for the measurement of shoulder flexion and abduction strength in asymptomatic and symptomatic subjects.

Methods
Forty-three recreational athletes (29 males and 14 females; age: 22.1 ± 0.47 years; body mass: 68.7 ± 13.1 kg; height = 173.3 ± 9.7 cm) and 40 symptomatic subjects (28 males and 12 females; age: 49.9 ± 8.1 years; body mass: 70.6 ± 14.3 kg; height = 171.7 ± 9.0 cm) completed shoulder flexion and abduction strength tests in two identical sessions one-week apart. Both types of movement were evaluated at 45º and 90º.

Results
Relative reliability analysis showed excellent intra-class correlation coefficients (ICC) for all evaluated movements (ICC range = 0.90 to 0.99). Absolute reliability analysis showed a standard error of measurement (SEM) ranging from 1.36% to 2.25%, and minimal detectable change (MDC) ranging from 3.93% to 6.25%. In conclusion, the DiCI is a valid and reliable device for assessing shoulder strength both in recreational athletes and in subjects with restricted mobility and loss of strength.
Effects of COVID-19 Pandemic on Mental Health of Youths in Nigeria: The Counselors Intervention Strategy
Authors: Ubi Godwin Michael , Effiom Bassey Ekeng , Esuabana Stella 
Published: June 2021

In late December, 2019, patients diagnosed with viral pneumonia due to an unidentified microbial agent were reported in Wuhan, China. A novel coronavirus was subsequently identified as the causative pathogen, provisionally named 2019 novel coronavirus (2019-nCoV). As at November 10, 2020, confirmed cases had reached an alarming 50,994,215 with a global death toll of 1,264,077 from 2019-nCoV infections, most of which involved people living in or visiting countries with high rate of prevalence and thus increasing the human-to-human transmission. A random sampling of 150 inmates in a Psychiatric clinic revealed that the advent of the COVID 19 pandemic in Nigeria left many youths stressed up, depressed, traumatized with excited state of anxiety leading to mental health challenges and some of which resort to committing suicide.The post COVID 19 era plunged many youths into joblessness. Many youths who were into artisans and gainfully employed with private outfits and organizations such as private schools lost their jobs (20.67%) due to the COVID 19 disease outbreak which shut down schools, businesses and government. The state of joblessness of the youths in the current post COVID 19 era has further affected the mental health of some of the youths in Nigeria. Absence of government palliatives (4.00%), ASUU Strike (3.33%), High level of poverty, isolation, Sicknesses (13.33%), High level of Despondency, Loss of accommodation (16.67%), Inflation (increased prices of food and other items), Increased transportation cost, Persistent lockdown, Social unrest, High level of insecurity (17.33%), Security personnel brutality and Increase crime rates. The counselor’s intervention strategy should focus on helping the youths with poor mental health due to COVID 19 to regain self- confidence, regain self –esteem, seek medical attention for them, canvass for free medication for affected ones, create awareness on job opportunity for them, engage governments on behalf of the youths for employment opportunities as well as giving them palliatives, reopening of schools/universities and linking them to credit facilities, social safety nets and other available opportunities.