bluuebunny/crossref_metadata_2025_split huggingface dataset:
MANAJEMEN RANTAI PASOK PRODUK BERAS RI1 ORGANIK (STUDI KASUS PT. SWASEMBADA ORGANIS)
Authors: Fauziya Lia , Sitorus Ediyanto 
Published: May 2019

PT Swasembada Organis merupakan perusahaan yang belum pernah melakukan pengukuran kinerja secara sistematik menggunakan sistem pengukuran kinerja atau metode tertentu. Seiring berjalannya waktu banyak masalah yang terjadi di PT Swasembada Organis yaitu mengalami masalah dalam kinerja supply chain nya, bahan baku yang di dapat dari supplier mengalami kendala sehingga mengakibatkan terlambatnya supply bahan baku perusahaan, sehingga berdampak kepada supply ke KFC yang terlambat. Di karenakan hal yang demikian sehingga kinerja supply chain managemnet nya tidak baik, sehinga perlu diadakan penelitian yang membahas tentang pengukuran kinerja supply chain management. Penelitian ini bertujuan untuk mengukur performa mana yang bermasalah dalam kinerja supply chain tersebut, dan kemudian menentukan strategi yang paling tepat untuk perbaikan kedepannya. Penulis menggunakan jenis penelitian deskriptif, dengan pendekatan kuantitatif. Metode yang digunakan untuk mengukur performa supply chain adalah Supply Chain Operations Reference (SCOR). Pengukuran performansi dalam penelitian ini juga didukung oleh metode Analytical Hierarchy Process (AHP) dengan diolah menggunakan alat sintesis atau software yaitu Expert Choice 2000. Hasil dari penelitian menunjukkan bahwa hasil analisis menggunakan metode AHP, yang menjadi alternative strategi atau pengukur kinerja utama adalah Stabilitas Produksi, Lead time pemenuhan pesanan, Keakuratan Persediaan, Kinerja Pengiriman dan Memenuhi Kebutuhan Pelanggan.
Sähköinen valtakirjaan perustuva puolesta-asiointi terveydenhuollossa
Authors: Hilama Pirjo , Rauhala Minna , Jylhä Virpi , Kinnunen Ulla-Mari 
Published: May 2019

Suomessa otettiin käyttöön joulukuussa 2017 valtakirjalla tapahtuva puolesta-asiointi muutamissa alueellisissa sähköisissä terveyspalveluissa, kuten Etelä-Savon Hyvis.fi - ja Oulun Omahoito.fi -palveluissa. Sähköiset valtakirjat tallennetaan tällä hetkellä kansalliseen valtuusrekisteriin Suomi.fi -valtuudet palvelussa. Toisen puolesta asioinnin mahdollistava kehitystyö lähti käyntiin sähköisissä asiointipalveluissa kansalaisilta tulleiden palautteiden myötä. Keskeiseen rooliin sosiaali- ja terveydenhuollon sähköisessä puolesta asioinnissa nousee lainsäädäntö ja muu sääntely. Terveyden- ja hyvinvoinnin laitos (THL) kokosi vuonna 2016 toiminnallisen määrittelydokumentin kehitystyötä varten. Puolesta-asioinnin mahdollistava toteutus eteni toiminnallisen määrittelyn kautta siirtyen teknisen toteutuksen ja mahdollistamisen kautta palveluita käyttävien hyödynnettäväksi.
Tutkimuksen tarkoituksena oli selvittää, missä asioissa kansalaiset tekisivät puolesta-asioinnin sähköisiä valtuutuksia (valtakirjoja) terveydenhuollossa ja miten tärkeäksi he asian tällä hetkellä kokevat sekä saada lisää tietoa kansalaisten valtuutuksen tekemisen tarpeesta. Tässä tutkimuksessa käytettiin asiantuntijoiden antaman suosituksen mukaan termiä puolesta-asiointi terminä ja puolesta asiointi, kun se sisälsi määreen.
Tämän tutkimus vahvisti aiempaa tietoa sähköistä asiointitapaa käyttävistä henkilöistä ja heidän mielipiteistään. Kansalaiset haluavat valtuuttaa asioimaan puolestaan terveydenhuollossa oman lapsensa. Puolesta-asiointia halutaan mieluiten käyttää sähköisissä asiointipalveluissa ajanvarauksen tekemiseen terveydenhuoltoon sekä reseptien katsomiseen ja uusimiseen. Mitä enemmän puolesta asioitavat asiat liittyvät itse sairauden hoitoon tai hoitamiseen, sitä enemmän epäröidään sähköistä puolesta-asioinnin tekemistä. Tämän tutkimuksen tulosten perusteella vaikuttaa siltä, ettei tarvetta puolesta asiointiin terveydenhuollossa osata täysin kuvitella ennen kuin tilanne ja todellinen tarve ovat käsillä.
Development of Local Instruction Theory of Multiplication Based on Realistic Mathematics Education in Primary Schools
Authors: Arini Arini 
Published: May 2019

This study aims to develop a local instruction theory (LIT) based on realistic mathematics education (RME) that is valid, practical, and effective on the topic of multiplication in grade III of elementary school. The research method used is research design type Gravemeijer & Cobb (2013). The research was conducted in three phases, namely preparing for the experiment, experimenting in the classroom, and conducting retrospective analysis. Data was collected using document analysis, observation, interviews, field notes, tests, and questionnaires. The collected data was analyzed qualitatively and quantitatively. Based on the research that has been carried out, LIT is produced which is valid, practical, and effective against students' mathematical problem solving abilities. Students can find a standard multiplication algorithm with a series of activities, namely finding the product of multiplication with repeated additions, ten multiplications, multiples of multiples of ten, and standard multiplication algorithms.
Keywords: LIT, RME, multiplication
Field Trials Indicating the Potential of Abutilon Theophrasti (Medic.) As A New Fibre Crop in Southwest Germany
Authors: Scheliga Maria , Brand Urs , Türk Oliver , Gruber Sabine , Petersen Jan 
Published: May 2019

Natural fibre based composites are being used more frequently in the automotive industry because of their positive characteristics. Fibres currently used and mostly imported to Europe do not sufficiently meet all the demands for natural fibres. As a new fibre plant velvetleaf (Abutilon theophrasti) has been taken into consideration. However, there is no knowledge about the cultivation of velvetleaf in Europe.
Four field trials in southwest Germany were set up to investigate the potential of fibre yield in a temperate climate. The factors crop density, nitrogen fertilization, accessions, and different harvesting dates were tested.
Across all experiments fibre yield ranged from 0.4 to 1.5 t ha-1 dry matter. The highest yields were achieved with a crop density of 30 plants m-2, and with N fertilization of 100-150 kg N ha-1 for the accession ‘Herbiseed’. For highest fibre yield, the date of harvest should be at the beginning of maturity.
This study provides first insights into possibility and variation of cultivating velvetleaf and suggests adequate fibre yield when cultivated in proper plant density and appropriate accession. However, before the plant can be implemented as a new crop, more research on fibre quality and breeding activity to improve agronomic factors is required.
Omega-3 polyunsaturated fatty acids of fish and their role in cancerous cell lines: A review of in-vitro studies
Authors: Jameel Farheen , Agarwal Priyanka , Arshad Mohd. , Serajuddin Mohd. 
Published: May 2019

Abstract
Fish are a major dietary source of n-3 and n-6 polyunsaturated fatty acids (PUFAs) in humans since the human body lacks the necessary enzymes required to synthesize them. Diets rich in fish oil containing n-3 fatty acids have been shown to lower the incidence rates of cancer. They have also been shown to have cytotoxic or anti-proliferative effects on a variety of human cancer cell lines, and they are known to nurture overall human health without any observable side effects. The present review focused on in-vitro research findings regarding the apoptotic and anti-proliferative role of n-3 fatty acids FAs that highlight the important mechanisms and pathways of their action in inhibiting the progression of cancer. A survey of the literature indicated the paucity of information on the use of n-3 FAs in combination with other anticancer substances. Therefore, further research needs to be undertaken on the use of n-3 FAs in combination with other anticancer phytochemicals and drugs, the use of antibodies as specific carriers of n-3 FAs, and different increasing ratios of n-3/n-6 FAs that not only control the side effects of chemotherapy but also enhance its efficacy and selectivity. These FAs might also prove to be a pioneer therapy against cancer.
The Prosperity of Liberal-Capitalism in the North Atlantic
Authors: Dhillon Taranjot 
Published: May 2019

Violence, colonial living and the shift in political ideologies explained the success of expansion and consolidation of liberal-capitalism in the north Atlantic world in the early modern period. Although, disease greatly decimated the Indigenous population, internal conflicts ultimately led to the reduction of Indigenous authority and paved the way for colonial expansion. Unlike the French, which colonized to solidify trading, the English strategy was to bring in as many settlers to plant colonies, therefore pressuring Indigenous communities into surrendering control and power in the New World.At the same time, although the war was marked as a British victory, the British government quickly learns that their ignorance towards their North American colonies would become costly.
KECERDASAN EMOSIONAL DAN BERFIKIR LOGIS PENGARUHNYA TERHADAP HASIL BELAJAR EKONOMI
Authors: Maemunah Maemunah , Herman Herman , Rahmatullah Rahmatullah 
Published: May 2019

The Research purpose is 1. How to know the influence of emotional intelegent through study result of student partisipan MAN Wajo and SMAN 5 Wajo. The research type is expost facto research is student parcitipan MAN Wajo and SMAN 5 Wajo in class XI IIS. Sample that used number 122 divided into 60 students participant MAN Wajo and 62 student participant SMAN 5 Wajo. Data collection technique apply with using questionnaire in scale likert shape to know the influence emotional entelegent and logical tehniqque whil study result take from technique report score. Data analysis use descriktive analysis technique. Conditional test ofinfrencial statistic analysis. The result of research show 1. Emotional entelegent is significant influenced economy result of student partisipan of MAN Wajo and SMAN 5 Wajo 2. Logical thinking is significant influenced through economy study result of student psrcitipsn of MAN Wajo and SMAN 5 Wajo. 3. Emotional intelegent and logical thngking is significant influenced together trought economi study result of student participant of MAN Wajo and SMAN 5 Wajo. 4. Double liner analysis result show that as simultant variabel emotion intelegent and logical thingking have is significant influence trought economy study result of students participant MAN Wajo and SMAN 5 Wajo.
Kendi Kendisinin Peygamberi Bir Sürrealist: Alejandro Jodorowsky Sinemasında Erken Postmodern Eğilimler
Authors: AYDIN Şükrü , UÇAR İLBUĞA Emine 
Published: May 2019

Bu
çalışma Latin Amerikalı anarşist-mistik sanatçı Alejandro Jodorowsky’nin sinema
filmlerinde erken-postmodern özellikleri ortaya koymayı amaçlamaktadır.
Sinemacı, oyun yazarı, çizgiroman yazarı ve okültist olarak çok yönlü bir
portre çizen Jodorowsky’nin filmleri artık kült mertebesine ulaşmış olmasına
rağmen eserlerinin genel olarak akademik
ilgiye değer görülmediği iddia edilebilir. Nitekim, hem Türkiye’de hem de
Anglo-Sakson Batı literatüründe Jodorowsky sineması üzerine yapılmış akademik
çalışmalara rastlamak oldukça zordur. Bu açıdan bakıldığında bu çalışma
ulusötesi sinemada sıradışı bir auteur olan ve izleyiciyi grotesk ve vahşet yüklü
imajlarla şoke ederek sağaltmayı amaçlayan ve sanatını dünyaya karşı takındığı
felsefi tutumun bir dışavurumu olarak gören Alejandro Jodorowsky’ye dair Türkçe
literatürde bir kaynak olma iddiası da taşımaktadır.

Bu çalışmada örneklem olarak seçilen
üç El Topo (1970), La Montaña Sagrada (1973) ve Santa Sangre (1989) filmleri metin analizi
yöntemiyle incelenmiştir. Bu film örneklerinde görülebileceği gibi Jodorowsky, modern dünyada
yabancılaşmış karakterleri anlam ve köken arayışına yönelten dairesel alegorik
hikayeler anlatması, büyük anlatıları -özellikle de Katolik kilisesi ve onun
kurtarıcı mesih inancını- ve de semavi dinlerin ruhanilik anlayışını hicveden
parodileri tercih etmesi bakımından postmodern bir sinemacı olarak
değerlendirilmektedir.
Changes in Astigmatism Before and After Pterygium Surgery
Authors: Parajuli Rojeeta , Bajracharya Leena 
Published: May 2019

Introduction: Pterygium is a degenerative condition of the subconjuctival tissue, which proliferates as vascularised granulation tissue to invade the cornea resulting in destruction of the superficial layer of the corneal stroma and bowman's membrane. This change in cornea leads to corneal opacity, visual impairment and significant induced astigmatism. The ensuing pathologic changes consist of elastoid degeneration of collagen and the appearance of subepithelial fibrovascular tissue
Objective: To measure the change in corneal astigmatism after pterygium surgery and the relationship of astigmatism with respect to size of pterygium.
Methodology: Hospital based prospective, non-randomized study, comprising 61 eyes of 56 patients who underwent pterygium excision and autologus conjuctival graft during the period October 2009 to September 2010. A total of 56 participants were enrolled and followed upto 3 months after surgery. Corneal topography was used to measure corneal astigmatism before and after pterygium surgery.
Results: The mean age of patient was 46.11 years, standard deviation was 18.86 Male: female ratio: 0.8:1 Preexisting induced astigmatism among study group patients was 2.6D and mean astigmatism after pterygium surgery was 0.8D. This finding was found to be statistically significant(P value <0.001). Over all change in mean astigmatism was 1D in our study. In grade I Mean astigmatism before surgery was 0.96D and Mean astigmatism after surgery was 0.46D, Changes in mean astigmatism after surgery was 0.50D. In grade II Mean astigmatism before surgery was 1.99D and Mean astigmatism after surgery was 0.54D, Changes in mean astigmatism after surgery was 1.45D. In grade III Mean astigmatism before surgery was 10.71D and Mean astigmatism after surgery was 3.10D, Changes in mean astigmatism after surgery was 7.61D. The change in mean astigmatism is greatest in patients with grade III pterygium.
Conclusion: After pterygium surgery astigmatism significantly reduces and astigmatism increases with the grade of pterygium.
Comparison of Maternal and Perinatal Outcome in Elective and Emergency Cesarean Section in a Tertiary Care Centre
Authors: Subedi Anjali , Shrestha Junu , Adhikari Krishna Murari , Shrestha Aashika , Gurung Sangeeta 
Published: May 2019

Introduction: Cesarean delivery is the birth of a fetus via laparotomy and then hysterotomy. There are increased maternal and fetal morbidities and mortalities associated with such delivery, more in emergency cesarean section. Various studies have shown increasing trend of this mode of delivery worldwide leading to an increase in its associated risks and cost to the patients.
Objective: The objective of the study was to compare the maternal and perinatal outcome in elective and emergency cesarean section.
Methodology: It was a prospective comparative study conducted in the department of obstetrics and gynecology, Manipal Teaching Hospital from March, 2018 to September, 2018. All the patients undergoing cesarean section either elective or emergency were enrolled in the study after their consent. After collecting data from patients, maternal and perinatal outcomes were analyzed by using SPSS software.
Results: There were total 1254 deliveries in the study duration, out of which 461(36.76%) were cesarean section (cs). The incidence of emergency cs was 86.5% and elective cs was 13.5%. Majority of women (75.7%) undergoing cs had no any antenatal visit. Around 81% of cases undergoing emergency cs were unbooked whereas only 48.4% of unbooked cases underwent elective cs (P-value 0.000). The most common indication for cs in both elective and emergency category was previous cs. There was no maternal complication in elective cs group but there were 8 cases (2%) in emergency cs (P value-0.293). In emergency cs group, 7 babies had poor Apgar score whereas all babies had good Apgar score in elective group (P-value-0.057). There was increased rate of NICU admission in emergency group than in elective group (3% vs 0%, P value-0.166).
Conclusion The study showed that the incidence of cesarean section was high in our centre. The maternal and fetal risks were higher in emergency cs than in elective cs, but these were not statistically significant.
Multiple Organ Dysfunction Syndrome- Clinical Profile, Associations and Outcome in Critically ill Children Aged 1 Month to 14 Years Admitted to PICU in Nobel Medical College Teaching Hospital in Biratnagar
Authors: Giri Arun , Yadav Sunil Kumar , Sah Vijay , Niroula Niraj , Singh Binayak 
Published: May 2019

Introduction: Multiple organ dysfunction syndrome (MODS), characterized by a progressive physiologic dysfunction involving two or more organ systems after an acute threat to systemic homeostasis, is not a rare entity among patients admitted to the pediatric intensive care units. Despite recent advances made in the medical technology and newer treatment strategies, large numbers of deaths in the PICU are attributable to MODS.
Objective: To describe the clinical profile of MODS among children admitted in PICU and to observe its associations and outcome.
Methodology: A hospital based prospective observational study was conducted in PICU of Nobel medical college teaching hospital, Biratnagar, Nepal from June 2017- May 2018. Children aged 1 month to 14 years admitted in the PICU with various medical and surgical illnesses were included in the study. All variables defining MODS and the data showing the presence or absence of sepsis were collected within 1 hour of admission (day 0) and then every day until transfer or discharge from PICU or until patient's death.
Results: Out of 150 admissions in the PICU, 103 fulfilled the inclusion criteria, and were enrolled in the study. A total of 53 patients (51%) developed MODS at some time during their stay at PICU and 88.7% of them had it at the time of admission. Of 103 cases under study, 26 died (mortality rate = 25.2%) and 92.3% of deaths were attributable to MODS. Children with neurological involvement had the highest risk of death [odds ratio (OR), 19.8; 95% confidence interval (95%CI), 4.37-90.30]. 75.5% of children with MODS had some sort of infection and 49% of them had sepsis. Conditions like SIRS, Sepsis, Severe sepsis, Septic shock and ARDS in the study patients were found significantly associated with MODS.
Conclusion: A MODS is a common clinical entity among patients admitted to the PICU and are associated with significant mortality and morbidity. In children, MODS usually seem to develop early and in a simultaneous way. In developing countries like ours, morbidity and mortality associated with MODS in the PICUs is higher than that in the developed countries. Prevalence of sepsis in children with or without MODS is greater in the developing countries. Sepsis is further responsible for larger number of deaths in PICU.
Hospital-based Analytical Study of Anti-thyroid Peroxidase Titre Among Type-2 Diabetic Patients Suffering from Thyroid Disorders
Authors: Jha Rajneesh , Mishra Amit , Mishra Meena Kumari , Mallick Ram Lala 
Published: May 2019

Introduction: Thyroid hormones control growth, development and metabolic processes. Either excessive or deficient secretion of these hormones interfere with metabolism. Thyroid hormones, therefore, can alter a person's blood sugar. Relatively, thyroid peroxidise enzyme plays a key role in thyroid hormone production. The individuals who suffer from autoimmune thyroid diseases produce auto antibodies against thyroid peroxidise (called anti-TPO).
Objectives: We aimed to investigate an association of anti-TPO titer among type-2 diabetic patients suffering from thyroid disorders attending the local hospital.
Methodology: Based on findings of thyroid variables [such as total triiodothyronine (TT3 ), thyroxine (T4 ) and thyroid stimulated hormone (TSH)], type-2 diabetic patients were categorized into Euthyroidism, Subclinical hypothyroidism and Hypothyroidism. In this hospital-based prospective study, venipuncture was performed to collect anti-cubital venous blood samples (n=100) from January to December, 2018. After separation of sera, estimation of certain parameters such as TT3, T4 , TSH and anti-TPO were carried out for correlative analyses. In this aspect, based on WHO guidelines, the patients who had fasting as well as postprandial blood sugar levels > 126 and 200 mg/dl were confirmed for diabetes mellitus. In addition, if these patients exhibited HbA1C levels > 10.8 %, they were enrolled into the 1 study. The patients who were hyperglycemic (with fasting as well as post-prandial blood sugar levels < 126 and 200 mg/dl) were excluded.
Results: In the three groups as stated above, we observed that more a rise in level of glucose, greater were the values of TSH and anti-TPO.
Conclusion Such findings emphasize and put an impact in situations of thyroid abnormality among type-2 local diabetic population.
Recent experience on atrial septal defect device closure at Shahid Gangalal National Heart Centre, Kathmandu, Nepal
Authors: Adhikari Chandra Mani , Shrestha Manish , Bogati Amrit , Dhungel Sachin , Acharya Kiran , Shakya Urmila , Sharma Poonam , Aryal Shilpa , Adhikari Jagat , Malla Rabi 
Published: May 2019

Background and Aims: Atrial septal defect (ASD) device closure has been accepted worldwide as an alternative to surgical closure with the excellent results. This interventional, non-surgical technique plays an important role in the treatment of ASD. This audit aims to report our experience of ASD device closure in our centre.
Methods: This cross sectional study was conducted at Shahid Gangalal National Heart Centre, Kathmandu, Nepal. All patients who were attempted for ASD device closure from February 2016 to January 2018 were included. ASD size, device size, procedural approach, and device implantation success rates were retrospectively analyzed from our hospital records.
Result: During the study period, 566 cases were attempted for device closure. Among them device was successfully implanted in 557(98.4% of cases). In nine cases ASD device could not be implanted. Among the 557 successful cases, 401 (71.9%) were female. Age ranged from 5 to 72 years with the mean of 30.9 years. In five patients, transcatheter closure cases, was done under general anesthesia with the guidance of transesophgeal echocardiogram. In all other patients, device closure was done in local anesthesia under transthoracic echocardiography guidance. ASD size ranged from 7mm to 37mm with the mean of 20.8mm. ASD device ranged from 8 to 42mm with the mean of 26.5mm. Four different devices were used with the Amplatzer septal occluder used in 527 (94.6%) patients, hyperion( Comed) device in 10 (1.7%) patients, Memopart (Lepu) device in 19 (3.4%) patients and Cera (Life tech) device in 1(0.1%) patients.
Discussion: ASD device closure is a safe and effective procedure.
HUBUNGAN KADAR LEMAK DALAM ASI MATUR DENGAN PENAMBAHAN BERAT BADAN BAYI UMUR 1-2 BULAN DI PUSKESMAS JABUNG
Authors: Yuliani Ita 
Published: May 2019

Kekurangan gizi pada bayi dapat diukur menggunakan indek berat badan menurut umur (BB/U). Berat badan bayi dapat dipengaruhi oleh beberapa faktor salah satunya ada asupan ASI. Studi pendahuluan menunjukkan bahwa, ibu yang memberikan ASI secara ekslusif dengan frekuensi dan durasi menyusui baik namun terjadi permasalan pada penambahan berat badan pada bayi. Hal tersebut bisa diakibatkan oleh salah satu faktor yaitu kandungan lemak dalam ASI, karena kandungan lemak dalam ASI sangat diperlukan untuk penambahan berat badan bayi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kadar lemak dalam ASI Matur dengan penambahan berat badan bayi. Desain penelitian asosiatif dengan pendekatan cross sectional, populasinya sebanyak 41 orang ibu menyusui, sampling menggunakan teknik quota sampling dengan jumlah sampel sebanyak 37 responden ibu menyusui yang memenuhi kriteria inklusi. Instrumen penelitian mengunakan timbangan, microtoice dan di ekstrasi soxhlet, kemudian di analisa dengan korelasi Product moment yang menunjukkan nilai rhitung = 0,706 > rtabel =0,325 sehingga menunjukkan adanya hubungan antara kadar lemak dalam ASI Matur dengan penambahan berat badan bayi.