bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Faktor Prediksi Keberhasilan Traksi Servikal Berdasarkan Tercapainya Realignment Tulang Servikal Pada Evaluasi Foto Polos Servikal Lateral Serial Pasien Dengan Cedera Tulang Servikal Subaksial
Authors: Faried Ahmad , Arifin Muhammad Zafrullah , Dahlan Rully Hanafi , Tjahjono Firman Priguna , Sutiono Agung Budi 
Published: January 2021

Pendahuluan. Cedera tulang servikal merupakan cedera tulang belakang yang paling ditakuti, baik bagi dokter, pasien dan keluarganya. Semua pasien dengan cedera tulang servikal subaksial yang tidak stabil, harus segera dilakukan fiksasi menggunakan traksi servikal. Foto polos servikal lateral masih merupakan standar dalam menganalisis stabilitas stuktur tulang servikal dan masih memiliki nilai diagnostik tinggi dalam menge- valuasi keberhasilan traksi servikal pasien cedera tulang servikal. Keberhasilan traksi servikal dapat diprediksi dengan melihat tercapainya realignment tulang servikal berdasarkan evaluasi foto polos servikal lateral serial pada pasien cedera tulang servikal subaksial.
Metode. Penelitian ini merupakan studi retrospektif yang dilakukan terhadap 30 pasien cedera tulang servikal subaksial yang masuk Unit Gawat Darurat (UGD) Rumah Sakit dr. Hasan Sadikin Bandung (RSHS) periode 2009–2013. Studi ini menggunakan metode statistik logistik regresi dengan kemaknaan berdasarkan nilai p < 0,05 dan confidence interval sebesar 95%.

Hasil. Studi ini menunjukkan bahwa dari semua karakteristik pasien cedera servikal subaksial yang dilakukan traksi servikal (closed reduction), didapatkan interval kedatangan ke rumah sakit dan facet lock (FL) merupakan faktor utama suatu kegagalan traksi servikal. Interval kedatangan pasien ke RSHS pada keberhasilan traksi servikal bermakna signifikan secara statistik (p=0.015; 2–sided tail dengan Pearson's chi–square) dan distribusi FL pada keberhasilan traksi servikal bermakna signifikan secara statistik (p=0,001; 2 sided tail dengan fisher's exact test). Odds ratio untuk ada atau tidak adanya FL adalah 3,8 dengan 95% confidence interval 0.5–27.1; dengan p=0,001.

Kesimpulan. Disimpulkan bahwa dalam penanganan dan terapi cedera servikal subaksial > 24 jam perlu di–informed concent–kan akan kegagalan upaya traksi, serta bilamana terdapat FL tidak perlu dilakukan suatu upaya traksi servikal (closed reduction) percobaan, melainkan harus langsung dilakukan terapi definitif (opened reduction) serta stabilisasi
THE EFFECTIVENESS OF SUPPLY CHAIN MANAGEMENT PRACTICES ON MANUFACTURING MICRO, SMALL AND MEDIUM ENTERPRISES (MSME) IN LUSAKA: A CASE OF MANDEVU AND KALINGALINGA MARKETS
Authors: Demberere Jeffrina , Kasongo Richard Mwale 
Published: January 2021

Purpose: The purpose of this study was to find out the state of supply chain management within MSME’s in Zambia by investigating the Supply Chain Management (SCM) practices, its benefits and challenges using some selected manufacturing micro, small-medium enterprises in Mandevu and Kalingalinga markets of Lusaka.
Methodology: The study used descriptive research design and chose questionnaire as the tool for data collection. Purposive sampling technique was employed to obtain information from both the management and staff of the MSMEs. One hundred (100) questionnaires were distributed to the respondents. The obtained data were then analysed using the descriptive method.
Results: The study found out that the manufacturing MSME sector appreciates good supply chain management practices, but does not practise it. The study discovered that the sector has not established long term relationships with its customers and suppliers. The sector was found to face several challenges which threaten its long term growth and survival, the most worrying challenges being the lack of financial resources, failure to practice continuous quality improvement, low integration of process technologies and forecasting challenges. The study also revealed that when implemented SCM practices deliver a number of benefits to the MSMEs. For example, increased response to the customer, cost-cutting on service delivery, improved information sharing and improved capacity to offer after-sale services. It is evident that MSMEs would perform well if supply chain management activities are improved. This, however, can be accomplished, if the MSMEs engage in strategic partnerships, customer relationship, high level of information sharing, information quality, as well as continuous quality improvement.
Unique contribution to theory, practice and policy: The study could be replicated in other industry sectors of the economy and also in other developing countries to help build on the body of knowledge.
EFFECT OF CLIMATE CHANGE ON BEE FARMING. A CRITICAL REVIEW OF LITERATURE
Authors: Kimani James 
Published: January 2021

Purpose: Climate warming affects the phenology, local abundance and large‐scale distribution of bees. Despite this, there is still limited knowledge of how climate affect plant‐pollinator mutualisms and how changed availability of mutualistic partners influences the persistence of interacting species. This article reviews the evidence of climate warming effects on bee farming and discuss how their interactions may be affected by change in climate. Bees provide the majority of biotic pollination and are at risk from a multitude of factors; changes in land use, intensive agricultural practices, mono-cropping (growing a single crop year after year on the same land), and the use of pesticides have all contributed to large-scale losses, fragmentation and degradation of bee habitat. The general objective of the study was to establish the effect of effect of climate change on bee farming.
Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps.
Findings: The study found out Climate change is causing temperature shifts which are leaving bees unable to pollinate in time. Bees are severely vulnerable to extreme weather and climate change has caused flowers to emerge and bloom earlier. Changing temperatures have also reduced the size of their wild range by approximately five miles.
Recommendations: The study recommends that the local community needs to be enlightened on the need to form self-help group. These will provide them a platform to access more incentives and be able to share more information in relation to honey yield and to put more emphasis on providing food and water to bees during dry season
Optimización del proceso de eliminación de aloína del gel fileteado mecánico de Aloe vera concentrado 10X
Authors: Martinez Burgos Walter José 
Published: January 2021

Se optimizó el proceso de eliminación de aloína del gel de aloe vera en la planta de proceso Aloe Technology S.A.S, para ello se evaluaron tres variables de entrada: tiempo de agitación-tA (30, 45 y 60 minutos), temperatura-T (40 -70C) y concentración de carbón activado-CA (1.0, 1.5 y 2.0%). La aloína se cuantifico por HPLC. Los resultados muestran que la concentración de CA y tA ejercen efecto significativo en la eliminación de la aloína del gel de aloe vera, mientras que la temperatura no. Según los resultados obtenidos las condiciones óptimas para la eliminación de la aloína del gel son 1.5% de CA y tA de 45 min, la temperatura debe estar en un rango entre los 40-70 °C. El modelo encontrado tuvo un R2=0,976 y un R2 Ajustado =0,96 lo cual indica que el modelo, explica 97.6 % el comportamiento de la aloína en el procesamiento del gel.
ANALISIS PERILAKU MASYARAKAT KOTA PONTIANAK DALAM MENGHADAPI PANDEMI VIRUS CORONA (COVID-19)
Authors: Steven Steven 
Published: January 2021

AbstractAt the beginning of 2020, the whole country was struck by the Corona virus pandemic (Covid-19) which caused panic in all countries where hundreds of thousands of people were infected and thousands more died. For Indonesia Corona virus itself (Covid-19) has been determined as a national disaster that must be completely eradicated, for that the central government has appealed to each local government to provide guidance to the community in overcoming this outbreak so that it can run effectively and efficient. One of them is the regional government in Pontianak, where Pontianak is the highest number of Corona (Covid-19) positive patients in West Kalimantan, with 78 positive patients infected with Corona (Covid-19) compared to other regions in West Kalimantan . Therefore this study aims to analyze the behavior of Pontianak city people in dealing with the Corona virus pandemic (Covid-19). Samples taken were 382 people in Pontianak City. The results of this study indicate that the behavior displayed by people who do not comply with government regulations is based on the perception of the Pontianak city community itself. The research method used by this research is literature study with a quantitative descriptive approach. Keywords: Covid-19 Pandemic, Behavior, Pontianak City AbstrakDi awal tahun 2020, seluruh negeri dilanda pandemi virus Corona (Covid-19) yang menimbulkan kepanikan di seluruh negara yang ratusan ribu orangnya terjangkit dan ribuan lainnya meninggal dunia. Untuk virus Corona Indonesia sendiri (Covid-19) sudah ditetapkan sebagai bencana nasional yang harus diberantas tuntas, untuk itu pemerintah pusat mengimbau kepada setiap pemerintah daerah agar memberikan pembinaan kepada masyarakat dalam menanggulangi wabah ini agar dapat berjalan efektif. dan efisien. Salah satunya adalah pemerintah daerah di Pontianak, dimana Pontianak merupakan jumlah penderita positif Corona (Covid-19) tertinggi di Kalbar, dengan 78 penderita positif terjangkit Corona (Covid-19) dibandingkan daerah lain di Kalbar. Oleh karena itu penelitian ini bertujuan untuk menganalisis perilaku masyarakat kota Pontianak dalam menghadapi pandemi virus Corona (Covid-19). Sampel yang diambil sebanyak 382 orang di Kota Pontianak. Hasil penelitian ini menunjukkan bahwa perilaku yang ditampilkan oleh masyarakat yang tidak mematuhi peraturan pemerintah didasarkan pada persepsi masyarakat kota Pontianak itu sendiri. Metode penelitian yang digunakan dalam penelitian ini adalah studi literatur dengan pendekatan deskriptif kuantitatif. Kata Kunci: Pandemi Covid-19, Perilaku, Kota Pontianak
ANALISIS PERSEPSI KINERJA DAN ETIKA DALAM PELAYANAN PADA SEKOLAH GOLDEN BEE KOTA PONTIANAK
Authors: Barata Juliahir , Yuana Yuana 
Published: January 2021

ABSTRACT Survey was conducted at Golden Been Kindergarten in Pontianak City with descriptive method. There are variables which consist of service performance which is limited to five dimensions. The dimensions of service performance are namely reliability, responsiveness, empathy, and manifestation. Due to the services which are given and done by the institution are not yet to be in accordance with stakeholders’ wishes, the main priority dimension of research variables is essential to note in order for the institution services to meet the satisfaction and requirements of all users. Based on Cartesian diagram mapping, the variables dimension is the ability of staffs and officers to give quick responses to complaints, service speed, attentions to complaints, ease in fulfilling the desire of service user. Whilst low priority is considered essential in the variable dimension of the payment time flexibility in case of unexpected delay. Keyword: service, service performance, priority, variables dimension ABSTRAKSurvei dilakukan di Taman Kanak-Kanak Golden Been Kota Pontianak dengan metode deskriptif. Variabel yang terdiri dari kinerja pelayanan dibatasi pada lima dimensi. Dimensi kinerja pelayanan yaitu reliability, responsiveness, empathy, dan manifestation. Dikarenakan pelayanan yang diberikan dan dilakukan oleh lembaga belum sesuai dengan keinginan stakeholders, maka dimensi prioritas utama variabel penelitian perlu diperhatikan agar pelayanan lembaga memenuhi kepuasan dan kebutuhan seluruh pengguna. . Berdasarkan pemetaan diagram kartesius, dimensi variabelnya adalah kemampuan petugas dan petugas dalam memberikan tanggapan yang cepat terhadap keluhan, kecepatan pelayanan, perhatian terhadap keluhan, kemudahan dalam memenuhi keinginan pengguna jasa. Sementara prioritas rendah dianggap penting dalam dimensi variabel fleksibilitas waktu pembayaran jika terjadi penundaan yang tidak terduga. Kata kunci: pelayanan, kinerja pelayanan, prioritas, dimensi variabel
ANALISIS REKRUTMEN PEGAWAI DAN DAMPAKNYA PADA TINGKAT PENGANGGURAN DI KOTA PONTIANAK
Authors: Giovanni Jonathan , Ekobelawati Fransiska 
Published: January 2021

ABSTRACT The research was made by looking at the phenomenon of the growth in the number of businesses in 2017, there were more than 6,500 (six thousand five hundred) new business entities formed in Pontianak City which indirectly also affected Pontianak City's Gross Regional Domestic Product (PDRB) according to the business field in 2018 which an increase of 5.05 percent from the previous year. However, in reality on the ground, according to the release of data by BPS Pontianak City in 2018, it shows that the open unemployment rate in 2018 was 10.37 percent, up 1.04 percent compared to 2017. This is very contrary to the previous fact where the agency business continues to increase in Pontianak City. This study will dig deeper into the role of businesses, especially in the trade sector, in attracting prospective employees as an effort to reduce unemployment in Pontianak City. The data were obtained through questionnaires and interviews with business people, of course, by prioritizing health protocols. The results showed that the biggest problem with the increase in the unemployment rate in Pontianak City was the interest of business actors to seek workers from outside the Pontianak City area which prevented the existing workforce from being absorbed. inside the city of Pontianak. Keywords: recruitment, labor, Pontianak ABSTRAK Penelitian dibuat dengan melihat fenomena adanya pertumbuhan jumlah usaha tahun 2017 tercatat lebih dari 6.500 (enam ribu lima ratus) badan usaha baru terbentuk di Kota Pontianak yang secara tidak langusng juga mempengaruhi Produk Domestik Regional Bruto (PDRB) Kota Pontianak menurut lapangan usaha pada tahun 2018 yang meningkat 5,05 persen dari tahun sebelumnya. Namun pada kenyataan di lapangan menurut rilis data oleh BPS Kota Pontianak tahun 2018 menunjukkan bahwa tingkat pengangguran terbuka pada tahun 2018 adalah sebesar 10,37 persen, naik 1,04 persen dibandingkan dengan tahun 2017. Hal ini menjadi sangat bertolak belakang dengan fakta sbelumnya dimana badan usaha terus bertambah di Kota Pontianak. Penelitian ini akan menggali lebih dalam peran usaha terutama pada sektor perdagangan dalam menarik calon karyawan sebagai usaha mengurangi tingkat pengangguran di Kota Pontianak. Data diperoleh melalui kuisioner dan wawancara dengan para pelaku usaha tentu dengan tetap mengedepankan protocol kesehatan.hasil penelitian menunjukan bahwa masalah terbesar meningkatnya tingkat pengangguran di Kota Pontianak adalah ketertarikan para pelaku usaha untuk mencari pekerja dari luar daerah Kota Pontianak yang membuat tidak terserapnya tenaga kerja yang ada di dalam Kota Pontianak. Kata Kunci: rekrutmen, tenaga kerja, Pontianak
FREQUENCY OF HEPATOCELLULAR CARCINOMA AND ASSOCIATED SOCIODEMOGRAPHIC FACTORS IN TREATED PATIENTS OF CHRONIC HEPATITIS C
Authors: Tariq Rabia , Abbas Anum , Saeed Farrukh , Qureshi Zafar Ali 
Published: January 2021

Objective: To look for frequency and associated socio-demographic factors of newly diagnosed patients of heaptocellular carcinoma (HCC) among patients treated adequately for hepatitis C infection.
Study Design: Correlational study.
Place and Duration of Study: Gastroenterology Department, Pak Emirates Military Hospital Rawalpindi, fromNov 2017 to Oct 2018.
Methodology: This analysis was performed on 170 patients treated effectively for hepatitis C with standard antiviral therapy at our hospital. They were followed up for two years after the sustained viral response has been achieved. Ultrasonography was done in all cases and contrast enhanced computerized tomography scan done on patients who were positive on ultrasound. Factors like age, gender, genotype of heaptocellular carcinoma, presence of cirrhosis and model for end-stage liver disease (MELD) score were related with presence of heaptocellular carcinoma among the target population.
Results: Out of 170 patients included in final analysis 121 were male, 49 were female. About 53 patients werediagnosed as suffering from heaptocellular carcinoma while 117 were negative for that. Thirty six patients hadcirrhosis while 134 non cirrhotic. After applying the binary logistic regression genotypes other than 3, high model for end-stage liver disease score & presence of cirrhosis had a strong relationship with presence of heaptocellular carcinoma among the patients treated for hepatitis C virus.
Conclusion: Physicians and patients cannot ignore the possibility of a malignant outcome even after successfultreatment of hepatitis C. Local protocols should be set for screening especially the high risk cases even aftertreatment of hepatitis..........
MATERNAL OBESITY AND OBSTETRIC OUTCOME IN PREGNANT WOMEN ATTENDING PNS SHIFA KARACHI
Authors: Anwar Rabiah , Razzaq Kashif , Parveen Naheed 
Published: January 2021

Objective: To evaluate the impact of obesity on maternal and neonatal outcome.
Study Design: Comparative cross sectional study.
Place and Duration of Study: Department of Gynaecology and Obstetrics, Pakistan Naval Ship, Shifa HospitalKarachi, from Nov 2016 to Oct 2017.
Methodology: All singleton pregnant women of normal prepregnancy body mass index (BMI) and obese women having ≥30 body mass index, delivering newborn at 28-42 weeks of gestation were included. Comparison of antenatal complications and neonatal outcomes was done among both groups.
Results: Obese women significantly developed gestational hypertension (OR=7.4 95% CI, 4.84-11.4), preeclampsia (OR=2.22 95% CI, 1.36-3.6), gestational diabetes mellitus (OR=5.2; 95% CI, 3.57-7.58), labor induction (OR= 2.79 95% CI, 2.03-3.84), failed induction of labor (OR = 5.3 95% CI, 8.05-29.38), cesarean delivery (OR=1.89 95% CI, 1.41-2.5), large for gestational age newborn (OR=3.97 95% CI, 2.87-5.50). But there was no statistically significant difference in small for gestational age newborn (OR=0.91 95% CI, 0.42-1.98), new born with APGAR score ≤7 after 5 min after delivery (OR=2.168 95% CI, 0.97-4.82) among obese and normal weight pregnant women.
Conclusion: There is increased risk of gestational hypertension, preeclampsia, gestational diabetes, failed induction of labor, dystocia, cesarean delivery and large for gestational age newborns in obese women.Keywords: , , , , ,
DIAGNOSTIC UTILITY OF SATB2 IN METASTATIC COLORECTAL CARCINOMA
Authors: Salim Sammeen , Asif Muhammad , Ahmed Rabia , Din Hafeez Ud , Khadim Muhammad Tahir , Sadaf Gazala 
Published: January 2021

Objective: The purpose of this study was to evaluate the diagnostic utility of SATB2 in detecting CRC origin for patients presenting with metastatic carcinomas.
Study Design: Cross sectional, comparative study.
Place and Duration of Study: Study was conducted at department of Histopathology, Armed Forces Institute of Pathology, Rawalpindi from January 2019 to June 2019.
Materials and Methods: Already diagnosed 68 cases of metastatic carcinoma of various origins with unknown primary were retrieved from tumour registry. Paraffin embedded blocks were taken and a panel of Immunohistochemistry was applied which includes CK7, CK20,CDX2 and SATB2. Positivity of SATB2 alone, and combination of SATB2 with CK 7,CK20 and CDX2 was evaluated.
Results: Out of 68 metastatic adenocarcinoma cases 28(41%) had positive SATB2 expression and 38 (56%) were negative. All the positive SATB2 cases had 100 % (28/28) expression with CDX2, 93% (26/28) of the cases had expression with CK20 and 21% (6/28) of the cases showed expression of CK7. The sensitivity of SATB2 alone was 100% in metastatic colorectal carcinoma as compared to CK20 and CDX2. The sensitivity of SATB2 in combination with CDX2 (100%) and CK20 (93%)in comparison to the double combination of CK20 and CDX2(93 %). The sensitivity of SATB2 and CK20 combination was 93%, which was equal to CK20 and CDX2 combination.
Conclusions: Our results show that SATB2 is a sensitive marker in the IHC panel for cases with suspected metastasis from colorectal region.
THE ASSOCIATION OF PERIODONTAL DISEASES WITH TYPE 2 DIABETES MELLITUS AND DIABETES LINKED DYSLIPIDEMIA IN PAKISTANI POPULATION
Authors: Khan Zara Khalid , Khan Muhammad Uzair , Khan Amna Khalid , Muttee Rukhsana , Khalid Rubeena , Khan Malik Muhammad Khalid Bashir 
Published: January 2021

Objective: To determine the development of dyslipidemia in type 2 diabetics with and without periodontaldiseases.
Study Design: Comparative cross-sectional study.
Place and Duration of Study: Fauji Foundation Hospital and Pak Emirates Military Hospital, Rawalpindi,Pakistan, from Jan 2018 to Jan 2019.
Methodology: Total number of participated subjects (males and females) was 75, with age ranging from 23 to 72 years. Their tests included blood sugar, lipid profile, HbA1c and hepatitis screening. Oral health parameters were divided into two categories; type 2 diabetes mellitus with and without periodontitis.
Results: Out of 75 patients, males and females were 19 (25.3%) and 56 (74.7%). Females with periodontitis 20(74.1%) and without periodontitis 36 (75%) possessed larger numbers. Mean ages [56.33 ± 10.88 years] hada higher incline, along with significantly altered total cholesterol [5.41 ± 1.70 mmol/l], triglycerides [2.55 ± 1.46mmol/l], low and high density lipoproteins [3.01 ± 1.22 mmol/l, 0.97 ± 0.48 mmol/l] in type 2 diabetes mellituswith periodontitis. Patients of diabetes without periodontitis showed mild derangements for triglycerides [1.88 ± 1.22 mmol/l]. Patients of diabetes with dyslipidemia and periodontitis 16 (59.3%) were documented highest innumber, compared to other type 2 diabetes mellitus groups.
Conclusion: There was an overall significant association between type 2 diabetes mellitus related dyslipidemiaand periodontitis. Also, significant difference in age and gender of study subjects was noted that affected middle aged females more often than middle to late aged males.
DIFFERENCE BETWEEN TARGET AND POST OPERATIVE REFRACTIVE ERROR FOLLOWING CONGENITAL CATARACT SURGERY IN PAEDIATRIC PATIENTS VISITING ARMED FORCES INSTITUTE OF OPHTHALMOLOGY
Authors: Javaid Mamoona , Masud Hannan 
Published: January 2021

Objective: To determine the difference between target and postoperative refraction in children with congenital cataract.
Study design: Prospective interventional study
Place and Duration of Study: This study was conducted at Armed Forces Institute of Ophthalmology from May 2017 to May 2018.
Methods: This study was conducted on 38 eyes suffering from congenital cataract. Age at the time of surgery, axial length, average keratometry reading, estimated refraction, and the power of IOL implanted were recorded. Spherical equivalent of post-op refraction at 3 months after surgery was noted. The difference between the estimated and actual postoperative refraction was termed as prediction error. Age, keratometry, and axial length were then assessed for its effects on prediction error.
Results: Overall the mean prediction error was 1.43±1.98 D. The mean prediction errors in eyes with axial lengths ⩾20 mm were 0.96± 1.03 D and in eyes <20 mm were 5.50± 3.49 D. The mean prediction errors in eyes in children aged ⩾4 years were 0.14± 0.61 D) and in children aged < 4 years was 2.60± 2.07 D. The differences between the prediction errors for both axial length and age were statistically significant (p<0.05).
Conclusion: IOL power calculations in eyes with axial length less than 20 mm and children less than 4 years of age are prone to postoperative refractive errors. This study has reflected that adult based formulas are not reliable in pediatric age group.