bluuebunny/crossref_metadata_2025_split huggingface dataset:
Management of Frailty and its Challenges in Geriatric Patients on General Abdominal Anesthesia.
Authors: Naço Majlinda , Gani Haxhire , Belba Monika , Mukaj Suzana , Kodra Nertila , Naço Eden , Llukaçaj Alma , Dibra Arvin 
Published: January 2021

Introduction: In that material, we are doing to informed for frailty, how we can measure it, surgical outcome and its management from the anesthesiologist. Frailty is a condition of decreased physiological reserves that often increases with increasing age and decided in adverse outcomes.
Frailty in elderly surgical patients may be varied from 25,5 -56.1% and is a strong predictor for surgical outcomes.
The anesthetist needs to predict how a geriatric patient will tolerate the stress of surgery and to do what is necessary to protect and save elderly lives.
In Albania, there are almost 439 000 elderly people in 2021 and suspect to 626 000 in 2051. According to the WHO, 1 in 25 persons performed surgery, so the number of geriatric patients that done surgery will be very high.
According to deficits’ in function, mobility, cognition, chronic diseases, and geriatric syndromes we can use the clinical frailty scale, the Edmonton Frailty Scale, or frailty index for calculation of frailty.
We need frailty patients to evaluated preoperative risk-classification, intra-operative care, management of general anesthesia, early immobilization as well as treatment of postoperative delirium because frailty increased intra-operative morbidity, increased postoperative complications especially delirium, extends hospitalization, non – home discharge, and mortality.
Anesthesiologists would be always aware to prepare the geriatric patients for surgery, to maintain the intra-operative functional reserve of frailty patients, to manage perfect anesthesia, to realized early mobilization, and discharge back home.
Conclusion: Many geriatric patients have multi-organ problems. Frailty is a practical, unifying concept in the care of these older people that directs attention away from organ-specific diagnoses towards a more holistic viewpoint of the patient and their medical medicament. All geriatric patients need to screen for frailty.
Management of COVID-19 Patient in Cardiac Surgery with Cardiopulmonary Bypass.
Authors: Ibrahimi Alfred , Kuci Saimir , Bejko Ervin , Llazo Stavri , Goga Marsela , Bulku Esmerilda , Burimi Jonela , Dumani Selman , Likaj Ermal , Zeitani Jacob , Prifti Edvin 
Published: January 2021

Introduction; The diagnosis of COVID-19 is quite challenging due to the inconsistent correlation between laboratory findings, radiological imaging, and the clinical picture and contact history of the patient. The patients who underwent cardiac surgery with cardiopulmonary bypass (CPB) face double risk because CBP triggers an intense inflammatory response and the leading cause of mortality in COVID-19 patients is “cytokine storm”. In our institution 15 confirmed cases operated on with open-heart surgery. 9 cases isolated CABG, 4 cases valvular combined with CABG, and 1 valvular disease.
Materials and method; All patients undergoing elective or urgent cardiac surgery at “Mother Theresa” ’s Hospital from 11 March to 30 November 2020 were included in this study. Patients diagnosed with COVID-19 infection via positive throat swab taken due to clinical suspicion postoperatively were reviewed. Patients characteristics, type of intervention, date of COVID-19 diagnosis.
Results: 9 patients (72%) normal recovery, no respiratory failure, only 3-5 days of fever (max 39,4). 3 of them a moderate respiratory failure. 3 patients with severe respiratory failure. Only 3 deaths (26,6%).
Recommendation: It's important to a preoperative screening for COVID-19 patients.
The outcome of cardiac surgical patients who contracted COVID-19 infection perioperatively is extremely poor. Aggressive respiratory assistance (early intubation), high doses of corticosteroids, and anticoagulation, better results.
Ulcerative Colitis: the Role of Elective and Emergency Surgery
Authors: Mulita Francesk , Iliopoulos Fotios , Liolis Elias , Tchabashvili Levan , Drakos Nikolas , Tsilivigkos Christos , Maroulis Ioannis 
Published: January 2021

Inflammatory bowel disease (IBD) is a group of auto-inflammatory conditions characterized by chronic, remitting, and relapsing inflammation of the alimentary tract. It is comprised of two phenotypically different entities: Crohn’s disease, and ulcerative colitis (UC). The aim of this article is to explore the role of the general surgeon regarding the treatment of patients suffering from UC while presenting a case of a 55-year-old woman with low-differentiated colon adenocarcinoma associated with ulcerative colitis. Patients with UC have a high-risk of developing colorectal cancer. While medical treatment is commonly the initial approach to UC, surgery constitutes a major contributor in dealing with UC.
Inflammatory bowel disease (IBD) is a group of auto-inflammatory conditions characterized by chronic, remitting, and relapsing inflammation of the alimentary tract. It is comprised of two phenotypically different entities: Crohn’s disease, and ulcerative colitis (UC). The aim of this article is to explore the role of the general surgeon regarding the treatment of patients suffering from UC while presenting a case of a 55-year-old woman with low-differentiated colon adenocarcinoma associated with ulcerative colitis. Patients with UC have a high-risk of developing colorectal cancer. While medical treatment is commonly the initial approach to UC, surgery constitutes a major contributor in dealing with UC.
Case report. A 55-year-old female with hypertension and iron deficiency anemia presented to our emergency department with fever, diarrhea, and epigastric pain for 24 hours which was not associated with heartburn, vomiting, melena, or hematemesis. On examination, the patient’s temperature was 39oC, heart rate was 104 beats per minute, blood pressure was 108/65 and the respiratory rate was 20 breaths per minute. Her abdomen was soft, without distension, and with no evidence of palpable mass...
TO STUDY SERUM ZINC LEVEL IN CHILDREN WITH FEBRILE SEIZURE.
Authors: Choudhary Deepak , Kulhari Sandeep 
Published: January 2021

Background: Febrile seizures are the most common cause of convulsions in children. However, the exact underlying etiology and the pathophysiological mechanisms are yet to be established. Various theories have been put forward regarding the role of trace elements as predisposing factors in causing the convulsions. Among them, Zinc is the most interesting trace element whose role in diarrhea and pneumonia is well proven.
Methods: Hospital based Prospective, Analytical, Case – Control study conducted on 100 patients were enrolled in the study out of which 50 were cases which were febrile convulsion patients and 50 were control who were age and weight matched children.
Results: Mean zinc level was 69.80±13.13mcg/dl and 80.76±10.24 mcg/dl in study and control groups respectively and this difference was found statistically highly significant (p<0.001).
Conclusion- This study establishes a definite relationship between zinc deficiency and febrile seizures thereby substantiating zinc as an important predisposing factor in febrile seizures.
Keywords: Zinc, Epilepsy, Deficiency
TO EVALUATE THE EFFECT OF MATERNAL EDUCATION ON INITIATION OF BREASTFEEDING
Authors: Sodawat Rishi , Kumar Nayan 
Published: January 2021

Background: Breastfeeding practices play an important role in reducing child mortality and morbidity. This study describe the breastfeeding practices.
Methods: This observational prospective study was conducted on 500 newborns delivered at Department of Rajkiya Mahila Chikitsalaya (RMC), Ajmer and outborn section of Department of Pediatrics, Jawaharlal Nehru Medical College & Hospital.
Results: The effect of mother’s education on initiation of breastfeeding was found to be significant. The effect of higher family income on early initiation of breastfeeding was found statically significant.
Conclusions: The study emphasizes the need for breastfeeding intervention programs especially for the mothers during antenatal and postnatal check-ups.
Keywords: Breastfeeding, Immunization, Infants.
Formulasi Peraturan Desa Tentang Lubuk Larangan
Authors: Bustanuddin Bustanuddin , Radjab Dasril 
Published: January 2021

Penelitian mengenai Formulasi Pembentukan Peraturan Desa Sungai Rotan Kecamatan Renah Mendaluh Kabupaten Tanjung Jabung Barat Tentang Lubuk Larangan ini didasarkan pada permasalahan yakni ketidakadanya peraturan desa yang mengatur tentang kelestarian lingkungan khususnya berkenaan dengan lubuk larangan. Sehingga perlu dibentuk suatu aturan yang mengatur perihal tersebut. Penelitian ini mengkaji bagaimana Formulasi Pembentukan Peraturan Desa Sungai Rotan Kecamatan Renah Mendaluh Kabupaten Tanjung Jabung Barat Tentang Lubuk Larangan. Pembentukan Peraturan Desa ini bertujuan untuk mengahsilkan suatu produk hukum yang dapat memberikan perlindungan akan memberikan jaminan kelestarian akan keberadaan lubuk larangan yang terdapat di Desa sungai Rotan. Pembentukan Peraturan Desa dilaksalanakan, sebagai bagian dari proses penyelenggaraan pemerintahan daerah dan pemerintahan desa untuk mewujudkan kedaulatan rakyat dan pembangunan berkelanjutan yang sesuai dengan ketentuan hukum yang berlaku, yang bermuara pada peningkatan kesejahteraan dan kepentingan rakyat dan penyelesaiaan permasalahan dalam masyarakat. Penelitian ini merupakan penelitian hukum normatif. penelitian ini melakukan pengkajian yang menitik beratkan kepada proses Formulasi Pembentukan Peraturan Desa Sungai Rotan Kecamatan Renah Mendaluh Kabupaten Tanjung Jabung Barat Tentang Lubuk Larangan. Penelitian ini menghasilkan suatu kajian akan kebutuhan produk hukum desa bagi masyarakat Desa Sungai Rotan sebagai pedoman dalam bermasyarakat khususnya berkenaan dengan tanggaung jawab akan kelestarian lingkungan hidup.
Politik Hukum Kewenangan Pemerintah Daerah dalam Pengaturan Hak Kekayaan Intelektual
Authors: Darwance Darwance , Yokotani Yokotani , Anggita Wenni 
Published: January 2021

Seiring dengan perkembangan ilmu pengetahan dan teknologi, objek perlindungan hak kekayaan intelektual pun semakin berkembang dari waktu ke waktu. Objek-objek yang dimaksud tidak hanya ada di satu tempat saja, tetapi menyebar di berbagai daerah. Pada beberapa cabang HKI, salah satunya karena kepemilikan komunal atau penemunya tidak lagi diketahui, tidak dapat diberikan perlindungan perspektif HKI, misalnya pengetahuan atau obat-obatan tradisional. Beberapa kasus di antaranya adalah pembajakan keanekaragaman hayati dari pengetahun obat-obatan tradisional Indonesia, yakni dipatenkannya tanaman brotowali oleh perusahaan Jepang. Di sisi lain, peraturan perundang-undangan bidang HKI minim memberikan kewenangan secara langsung kepada pemerintah daerah berkaitan dengan perlindungan HKI. Oleh sebab itu, penelitian yang bersifat normatif dengan pendektan peraturan perundang-undangan ini mengkaji politik hukum tentang kewenangan pemerintah daerah dalam peraturan perundang-undangan di bidang hak kekayaan intelektual. Hasilnya, dari seluruh peraturan perundang-undangan bidan HKI, kewenangan pemerintah daerah secara eksplisit hanya diatur dalam Undang-Undang Merek dan Indikasi Geografis. Selebihnya penyebutannya bersifat umum, misalnya penggunaan istilah “negara” dalam Undang-Undang Hak Cipta sebagai pemegang ekspresi budaya tradisional dan hak cipta atas ciptaan yang penciptanya tidak diketahui. Padahal, dalam konteks negara hukum, wewenang pemerintahan berasal dari peraturan perundang-undangan yang berlaku, sejalan dengan asas legalitas yang merupakan dasar dalam setiap penyelenggaraa kenegaraan dan pemerintahan.
Pengaruh Rasio Kesehatan Bank (CAR, NPF, FDR, BOPO) Terhadap Return On Assets pada Bank Umum Syariah di Indonesia
Authors: Devi Heidy Paramitha 
Published: January 2021

Banking financial performance is reflected in their financial reports. Assessment of bank performance can be measured through financial ratio analysis approaches, one of which is the ratio of the bank's ability to generate profits or ROA. In generating good profits, a bank must be said to be healthy, the bank's health ratio which can describe the bank's health condition includes the level of capital adequacy, liquidity ratios, and bank operating expense ratios. The aims of the research are to find out and analyze the influence of the level of bank health ratio on the financial performance of Syariah Public Banks. The population are Bank Umum Syariah (BUS) in Indonesia which is registered in Bank Indonesia directory period 2016- 2020 that is 14 Bank Syariah. This study combined of a research object and one-time dimension, measurement by data analysis tools eviews 8, the test model chosen is the Fixed Effect Model - Least Square Dummy Variable. F test results showed that six variables simultaneously affect the amount of lending with the value of Prob (F-statistic) 0.000000. Hypothesis test results showed that CAR and NPF ratios have no influence to ROA, while FDR has a positive significant influence to ROA and BOPO ratio has a negative influence on ROA.
Pengaruh DER, ROE, SG, NPM, CR, DPR terhadap Nilai Perusahaan Sektor Industri yang terdaftar di BEI
Authors: Wulandari Bayu , Albert Albert , Harianto Feren , Sovi Sovi 
Published: January 2021

The purpose of this study was to see and test whether the effect of DER, ROE, Sales Growth, NPM, CR, Dividend Policy (DPR) on firm value (PBV) in consumer goods industry sector companies listed on the IDX (Indonesia Stock Exchange) year 2017-2019. This research uses a method with a quantitative descriptive approach. The population obtained was 51 companies listed on the IDX (Indonesia Stock Exchange) from 2017-2019. Samples were taken using the purposive sampling technique. This technique is also often used by other researchers because the samples obtained are closer to the research objectives. The samples obtained were 20 companies. Data analysis used several analyzes, namely multiple linear analysis, the coefficient of determination test, classical assumption test, F test, and t-test. This study shows positive results, that is, if seen partially, this research shows that the DER, ROE, Sales Growth, NPM, CR variables have no effect on the Firm Value variable. Variable Dividend Policy shows that the opposite result and significant effect on the variable value of the company (PBV) listed on IDX (Indonesia Stock Exchange). Variable DER, ROE, Sales Growth, NPM, CR, Dividend Policy (DPR) simultaneously affect the Company's variable value (PBV) in the company consumer goods listed on IDX (Indonesia Stock Exchange).
Influência da adubação no crescimento e no desenvolvimento de Salvia splendens
Authors: Steffens Cristian José , Girardi Leonita Beatriz , Menegaes Janine Farias , Monteiro Daniela  Machado , Ferreira Ítalo Girardi 
Published: January 2021

O presente trabalho tem como objetivo avaliar a influência do substrato e da adubação no desenvolvimento e qualidade de mudas de alegria-de-jardim (Salvia splendens Ker Gawl.). Adotou-se o delineamento inteiramente casualizado, com quatro tratamentos constituídos de diferentes métodos de adubação sendo: T1 - testemunha; T2 - adubação por fertirrigação; T3 - adubação foliar e T4 - adubação por fertirrigação + foliar, com cinco repetições sendo cada unidade experimental composta de quatro mudas. As mudas foram transplantadas em bandejas de 15 alvéolos com substrato turfa, as adubações foram realizadas em três etapas semanalmente a partir do transplante. Avaliou-se a altura de plantas, espessura do caule, número de folhas, comprimento e massa verde radicular e coesão de torrão, através de escalas de notas de 1 a 5. Observou-se que a altura de plantas foi maior no tratamento T4, todavia, neste tratamento as plantas estavam estioladas. As características avaliadas das raízes tiveram melhor desempenho nos tratamentos TI e T2, assim como melhor coesão de torrão; as mudas com adição de adubação por fertirrigação apresentam maior uniformidade de bandeja tanto em tamanho. Desta forma, recomenda-se a adubação por fertirrigação para a produção de mudas de alegria-de-jardim.
Investigação acerca das percepções e estratégias adotadas por professores argentinos para abordagem do tema “saúde” na escola
Authors: Fettermann Fernanda Almeida , Jesus Rhenan Ferraz de , Salgueiro Andreia Caroline Fernandes , Folmer Vanderlei 
Published: January 2021

Objetivo: investigar os conceitos sobre “Saúde” e as estratégias utilizadas pelos docentes para o trabalho da temática saúde na escola. Metodologia: trata-se de uma pesquisa qualitativa realizada com professores de língua portuguesa da província de Corrientes/Argentina. As atividades foram divididas em etapas: i) aplicação de um questionário inicial; ii) formação de professores; e iii) reaplicação do questionário inicial. Essa pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Sul, sob o Certificado de Apresentação de Apreciação Ética 19717619.1.0000.5347. Resultados: Participaram 51 professores, com média de idade de 41 anos. Foi possível observar que, após a formação, os professores ampliaram seus conceitos de saúde, passando a considerar outros aspectos além do conceito puramente biomédico. Os professores ainda avaliaram a formação como boa/ótima. Considerações Finais: a formação possibilitou aos professores ampliar seus conceitos de saúde e conhecer novas possibilidades de abordar esse assunto em sala de aula. Sugere-se que novas pesquisas como esta sejam realizadas em diferentes países, principalmente aqueles pertencentes ao MERCOSUL.
Sustentabilidade do cultivo de mandioca em comunidades indígenas do Pantanal Brasileiro
Authors: Concenco Germani , Tomazi Michely , Marques Rodolpho Freire , Chandra Sudeep , Chandola Vaishali , Melo Thais Stradioto , Silva Laryssa Barbosa Xavier da 
Published: January 2021

We aimed with this study to help maximizing cassava production for subsistence in indigenous communities at the Brazilian Pantanal, by introducing minimal changes to the usual indigenous way of cultivation aiming to reduce human labor in weed management in this crop. For that, we tested distinct intercrops and phosphate sources, taking the Babassu Indigenous Village, located in Miranda‑MS, Brazil, as a reference. The experiment involved the intercrop of cassava with pigeon pea (Cajanus cajan), jack‑bean (Canavalia ensiformis) and millet (Pennisetum americanum) and the source of phosphate fertilizer (mycorrhizal inoculants, P2O5 and without fertilization / mycorrhizal inoculum). Soil samples were collected to study the soil seed bank of spontaneous species. We adopted the phytosociological method to assess the absolute level of infestation, its composition density, frequency, dominance and importance value, and diversity coefficients of Simpson and Shannon-Weiner, as well as the Shannon Evenness Proportion (a sustainability coefficient) for all treatments. Areas were also grouped by similarity of plant species. Cultivation of cassava for subsistence in indigenous areas also selects certain spontaneous species, and management should focus in removing mostly by hand those established in the crop row; the damage to the crop may be higher in years of high abiotic stresses. There is no effect of phosphate supply source (P) in the level or composition of spontaneous species. There is clear evidence that the continued cultivation of cassava for subsistence in indigenous areas of the Brazilian Pantanal is sustainable over time, mainly when intercropped with other food species.
Quality profile of catfoods
Authors: Faria André Gomes , Oliveira Alexandre José de , Corrêa Géssica , Aguiar Édina de Fátima , Rufino Luciana Rosa Alves , Silva Nhayandra Christina Dias e , Oliveira Nelma de Mello Silva 
Published: January 2021

There is a series of feeds aimed at cats in the pet market, amongst which extruded feeds stand out, because their manufacturing process goes through thermal treatment. Such process is the main factor for the reduction of microbial contamination, as well as the action of the water in the feed. This is responsible for controlling degradation by bacteria and fungi after the manufacturing process. After opening the packages, there are several ways and factors that lead to contamination in feed. This study aimed at assessing cat feeds for their microbioligical and brotmathological content. For this, we analyzed different kinds of cat feed in the original package and traded in bulk, with different types of classification as to their quality. The assessments consisted in finding if the nutrients of the feeds were within the minimum levels required by the Manual Pet Food Brazil (2014). Analyses were performed to determine the presence of Salmonellae spp., Eschirichia coli, coliforms at 35ºC e 45ºC, Aspergillus spp e Penicillium spp; and also, for the existence of aflatoxin in the feeds. The microbiological results showed that the feeds traded unpackaged in the city of Alfenas Minas Gerais obtained results with higher levels of contamination in relation to those traded in their original packaging. This showed that the feeds exposed to the environment may compromise their microbiological quality and endanger the pets’ health. These results prove the need of greater restrictions to the trading of feeds in bulk, so that the degradation of the product is reduced, thus preserving the quality of the feed and the safety of the cats.
PERAN USAHA MIKRO, KECIL DAN MENENGAH (UMKM) DALAM MENINGKATKAN EKONOMI KELUARGA DI KELURAHAN MANDE KECAMATAN MPUNDA KOTA BIMA
Authors: Said Sitaman , Azhar Azhar 
Published: January 2021

Penelitian ini bertujuan untuk mengetahui Peran Usaha Mikro, Kecil dan Menengah (UMKM) dalam Meningkatkan Ekonomi Keluarga di Kelurahan Mande Kecamatan Mpunda Kota Bima. Penelitian ini menggunakan pendekatan kualitatif dengan jenis penelitian deskriptif. Jenis data penelitian terdri dari data primer dan data sekunder. Data primer diperoleh melalui wawancara mendalam dengan para pelaku UMKM di Kelurahan Mande Kota Bima. Selain teknik wawancara, pengumpulan data juga menggunakan observasi dan dokumentasi untuk mendapatkan data sekunder. Analisis data menggunakan teknik analisis deskriptif kualitataif, meliputi: reduksi data, penyajian data, dan kesimpulan/verifikasi data. Hasil penelitian menunjukkan bahwa peran UMKM dalam meningkatkan ekonomi keluarga di Kelurahan Mande, meliputi: (1) membuka peluang kerja atau lapangan pekerjaan, bahwa keberadaan usaha mikro kecil dan menengah (UMKM) dapat membantu masyarakat dalam memperoleh pekerjaan dan penghasian tambahan karena tidak memerlukan skill atau kemampuan khusus; dan (2) meningkatkan kesejahteraan masyarakat, yang terdiri dari beberapa indicator yaitu kesehatan, pendidikan, pendapatan, dan akses teknologi informasi dan komunikasi. Berdasarkan hasil observasi dan wawancara penulis dengan informan diperoleh informasi bahwa informan merasa sudah mampu memenuhi kesejahteraan keluarga baik dari aspek kesehatan, pendidikan, pendapatan, dan akses teknologi informasi dan komunikasi dengan menjadi pelaku usaha maupun bekerja di sektor UMKM.