bluuebunny/crossref_metadata_2025_split huggingface dataset:
A comparative study of anaemia with the degree of glycaemic control in type 2 diabetes mellitus
Authors: S. Prabhu , Teli Balakrishna 
Published: July 2019

Background: Anaemia is one of the world’s most common preventable condition yet it is often overlooked especially in people with Diabetes Mellitus. Anaemia is a common finding in patients with diabetes. Anaemia in patients with diabetes mellitus might contribute to the pathogenesis and progression of cardiovascular disease and aggravate diabetic nephropathy and retinopathy. This aims to study the correlation between HbA1c and blood glucose levels in anaemic diabetics in order to assess the influence of anaemia on HbA1c and the effect of severity and type of anaemia on HbA1c.Methods: It’s a case control study, 200 Diabetic subjects were divided into two groups of 100 each based on their HbA1c levels group A, with good glycaemic control (HbA1c<7) and group B with poor glycaemic control (HbA1c>7), incidence of anaemia was measured and compared among them and also with 100 age and sex matched healthy non Diabetic controls. Results: In this study, it was found that high incidence of anaemia was found significantly higher in diabetics group with poor glycaemic control. Anemia was detected in 55% of patients among diabetic patients. Anaemia was seen in 71% of patients in group B with poor glycaemic control as compared to group A with good glycaemic control, in which only 39% of patients had anaemia. Mean haemoglobin was significantly lower that is, 10.81±3.0 in group with poor glycaemic control as compared to group with good glycaemic control i.e. 13.04±2.02. There was a statistically significant negative correllation between Haemoglobin percentage and HbA1c.Conclusion: Anaemia is a common finding in patients with diabetes. Diabetes related chronic hyperglycaemia can lead to a hypoxic environment in the renal interstitium which results in impaired production of erythropoietin by the peritubular fibroblasts and subsequently anaemia occurs. Anaemia in patients with diabetes mellitus might contribute to pathogenesis and progression of cardiovascular disease and aggravate diabetic nephropathy and retinopathy. However, an emphasis on regular screening for anaemia, alongside that for other diabetes related complications, might help to delay the progression of vascular complication in these patients.
Study of cutaneous manifestation of HIV disease in correlation with CD4 lymphocyte count
Authors: Kumari Neeti , Krishan Kewal , Bist Jatinder Singh , Mehta Anil Kumar 
Published: July 2019

<p class="abstract"><strong>Background:</strong> HIV infection is associated with numerous cutaneous changes even before the onset of immunologic dysfunction and AIDS. We all know that as search for reliable clinical indicators for management of human immunodeficiency syndrome in resource poor settings continues, cutaneous disorder can be considered among key clinical indicators for prediction of underlying immune status and disease progression. To study occurrence of various cutaneous manifestations and its correlation with CD4 cell counts in HIV infected Patients.</p><p class="abstract"><strong>Methods:</strong> 120 HIV positive patients above 14 year old with definite cutaneous manifestations attending dermatology OPD in Department of Skin, STD and Leprosy, in a tertiary care centre Dehradun (Uttarakhand, India) were studied from December 2013 to January 2016.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 120 HIV positive patients in our cross-sectional study, 50.83% of patients belonged to 31-40 years age group. Male to female ratio was 1.9:1 and heterosexual route was most common route of transmission. 69.17% of our study population had CD4 cell counts below 200 cells/mm<sup>3</sup> and 23.33% of patients had CD4 cell counts &lt;50 cells/mm<sup>3</sup>. Among these, commonest cutaneous manifestations were pruritic papular eruption, cutaneous drug reactions, molluscum contagiosum, seborrheic dermatitis. 17 patients (14.17%) had more than one cutaneous disorder with mean CD4 cell count of 121.5 cells/mm<sup>3</sup> indicating advanced stage.</p><p class="Default"><strong>Conclusions:</strong> At the end of study we concluded that cutaneous manifestations can be considered as a good clinical indicators for the progression of disease and underlying immune status in resource poor setting. </p>
Español neutro — español latino: Hacia una norma hispanoamericana en los medios de comunicación
Authors: López González Antonio María 
Published: July 2019

Within the framework of the varieties of the Spanish language in America, there has been built a linguistic variety, popularly known as Latin Spanish, commonly used in the international media, audiovisual productions and in the dubs made in Latin America. This article aims to analyse the concept of neutral or Latin Spanish (español neutro and español latino), its role as a standard Spanish-American variety, its fields of use, as well as its linguistic characteristics.
Antimicrobial Effect of Multilayered Carbon Nanotubes on Multi-Drug-Resistant Pseudomonas aeruginosa
Authors: Mousavi Hadis , Rouhani Nejad Hamideh , Zandi Masoud , Khodavirdi Pour Amir 
Published: July 2019

Background: Pseudomonas aeruginosa is the primary cause of infection with impaired defense mechanisms. P. aeruginosa commonly causes nosocomial infections and is the most common pathogen isolated from patients hospitalized for longer than 1 week. We examined the antimicrobial effect of multilayered carbon nanotubes on multi-drug-resistant.
Materials and Methods: In this research, 20 clinical isolates collected at Motahari Hospital (Tehran, Iran) were compared with the standard (ATCC 27853) and identified as P. aeruginosa based on biochemical testing. Conventional disk diffusion assay demonstrated the methicillin resistance of the isolates. Minimal inhibitory concentrations for antibiotics and the multilayer CNTs were determined using the microdilution method. Single-walled CNTs were prepared and their efficacy and potential synergism with antibiotics was assessed.
Results: Synergism against P. aeruginosa was evident for methicillin + single-walled CNTs.
Conclusion: The inhibitory effect of single-walled CNTs and methicillin was synergistic against the growth of P. aeruginosa.
Serum Liver Proteins and 17
Authors: Tahmasebi Fard Zahra , Rouhollah Fatemeh , Nafisi Nahid 
Published: July 2019

Background: Breast cancer is a hormone-dependent malignancy that is associated with estrogen and progesterone interactions. The liver is the most important organ to be affected by the metastasis of breast cancer, which causes functional impairment.
Aim: We compared levels of obesity, 17β-estradiol, and secreted proteins in postmenopausal women with breast cancer but without hepatic symptoms to those in healthy postmenopausal women.
Materials and Methods: We recruited 105 postmenopausal women with breast cancer but without any clinical hepatic symptoms based on a physician’s diagnosis, and 105 healthy postmenopausal women. After taking blood samples, we separated the serum and determined the levels of alanine aminotransferase (ALT), enzyme aspartate aminotransferase (AST), sex hormone-binding globulin (SHBG), and 17β-estradiol using an enzyme-linked immunosorbent assay (ELISA). The results were statistically analyzed using SPSS.
Results: The mean ages of the subjects in the cancer and control groups were 60.88 ± 0.85 and 55.56 ± 0.81 years, respectively. The exception ages (p=0.002), body mass index (BMI) values (p=0.033), serum glutamic oxaloacetic transaminase (SGOT) levels/AST levels (p=3.1*10−4), serum glutamic pyruvic transaminase (SGPT) levels/ALT levels(p=0.001), SHBG levels(p=0.014), and 17β-estradiol levels(p=0.003) in the serum differed significantly between the groups. Moreover, the mean serum 17β-estradiol (E2) levels and weights were higher in the cancer group than in the control group. Nevertheless, the mean serum levels of synthetic liver enzymes (SHBG, ALT, and AST) were lower in the cancer group than in the control group.
Conclusion: In general, the postmenopausal cancer patients had higher serum estrogen levels and BMIs than their healthy counterparts. Furthermore, the levels of liver enzymes apparently decreased in the cancer group, probably owing to liver malfunction.
Realismo Grotesco e Carnalidade: Inspirações Bakhtinianas em Estudos de Games
Authors: Majkowski Tomasz Z. 
Published: July 2019

O objetivo deste artigo é reformular a crítica dos retratos do corpo humano e das interações humanas básicas em jogos digitais tendo em conta a teoria do carnavalesco e do realismo grotesco de Mikhail Bakthtin. De acordo com o estudioso russo, a segunda é a convenção estética dominante da primeira, facilitando a representação da essência do carnaval (entendido como visão de mundo, não como festival). Meu argumento é que várias deformações grotescas do corpo em jogos de videogame mainstream e de orçamento alto, como protagonistas masculinos muito musculosos, mulheres hipersexualizadas e inimigos hediondos ou inumanos, assim como a estranha obsessão em produzir cenários fotorrealistas, se configuram firmemente dentro dessa estética. O mesmo se aplica ao corpo fragmentado, incompleto do protagonista em perspectiva de primeira pessoa. O imaginário é ainda mais reforçado pela maneira comum que games AAA lidam com interação humana, pois tendem a reduzir qualquer contato a várias colisões de corpos, jogando qualquer outra convenção social – mesmo uma simples conversa – para fora do terreno do gameplay ou reduzindo-a drasticamente. A mais importante colisão desse tipo é, claro, o combate frequente de natureza violenta excessiva. As lutas conjuram importantes aspectos do carnavalesco: humilhação ritual e o desmantelamento de hierarquias – representadas pela clara estratificação de antagonistas, variando em força e perigo que apresentam ao protagonista – reduzindo-as a sua carnalidade. Esse modo de interpretação abre mais perspectivas em consideração à questão da importância social de jogos de videogame violentos como possíveis veículos de expressão de oposição a ordens políticas e éticas estáticas.
Compreendendo jogos de computador para uma pessoa como sistemas experimentais
Authors: Möring Sebastian 
Published: July 2019

Esse artigo analisa e teoriza as condições que permitem a compreensão do gameplay de jogos de computador single player (single player computer game play ou SPCGP no original) como parte de uma prática de produção de conhecimento chamada experimentação. Portanto, baseia-se na teoria de sistema experimental de Hans-Jörg Rheinberger. Tal abordagem é uma contribuição útil ao campo da hermenêutica dos jogos de computador, a medida que permite compreender o gameplay como um processo hermenêutico, assim como, descreve em maiores detalhes o círculo hermenêutico de gameplay. O artigo argumenta que, até então, a experimentação nos Game Studies, e na hermenêutica de jogos tem sido equiparada com processos padrões de gameplay. Em outras palavras, todo gameplay é experimentação. Os exemplos, frequentemente mencionados nesses casos são, entretanto, meros dispositivos teste de acordo com a teoria de Rheinberger. A fim de ser um sistema experimental, os jogos de computador precisam ser capazes de produzir inovações reais por si mesmo. Isso, depende por um lado, do nível de complexidade que um determinado jogo exibe, e por outro, do nível de criatividade de dado jogador. Por fim, o artigo sugere que existem apenas quatro casos diferentes nos quais os jogos de computador tornam se geradores reais de surpresas e, portanto, qualificam ou participam de sistemas experimentais que apresentarei e discutirei: glitches em jogos que facilitam as chamadas façanhas em SPCGP; jogos suficientemente complexos, com alto grau de emergência; o processo de produção de jogos de computador; e jogos que historicamente participam do avanço da ciência.
Intervenção Neuropsicológica com Crianças e Adolescentes – Uma Revisão da Literatura
Authors: Guimarães Mônica Narciso , Monteiro Roberta Angelo 
Published: July 2019

Este artigo teve como objetivo realizar uma revisão literária sobre os estudos científicos publicados nos últimos dez anos em reabilitação/intervenção neuropsicológica com crianças e adolescentes, buscando identificar como os programas com abordagens voltadas para as dificuldades acadêmicas e executivas se articulam com as demandas familiares e escolares. As principais bases de dados utilizadas foram PubMed, SciELO e Redalyc. Dentre os 89 artigos encontrados, dez foram selecionados por englobarem métodos para o ensino de estratégias que facilitassem a aprendizagem escolar e os comportamentos adaptativos. Os resultados dos estudos sugerem que a intervenção neuropsicológica em crianças e adolescentes promove o desenvolvimento de habilidades cognitivas e dos processos de aquisição de linguagem. Entretanto, em face da distância entre o contexto clínico de intervenção e o educacional, mais estudos precisam ser promovidos em busca de um olhar mais integrado sobre esses espaços de promoção de desenvolvimento.
Identidade Cultural e o Corpo
Authors: Groh Arnold 
Published: July 2019

O ser humano define a sua identidade principalmente pela forma como apresenta, desenha e estiliza o seu corpo. Ao fazê-lo, os indivíduos fazem declarações sobre a sua filiação para um contexto social. A globalização implica uma mudança de identidade entre os membros das culturas menos industrializadas, uma vez que estão expostos aos efeitos da dominação cultural. Para o indivíduo, essa exposição pode ser tanto mais forte quanto mais autônoma era sua cultura de origem antes do confronto. Há uma parcialidade de elementos culturais que estão sendo transferidos, de modo que a cultura industrializada tem um forte impacto em outras culturas. O consentimento global em relação aos padrões de comportamento, especialmente à autoapresentação corporal e aos estilos cognitivos relacionados, leva à obliteração do conhecimento tradicional, que está entrelaçado com o comportamento sobre o qual a identidade foi definida anteriormente. Os elementos culturais transferidos estão sendo utilizados para a construção de identidades pessoais globalmente padronizadas, em que os elementos relativos ao desenho visual do corpo humano são de grande relevância para a autodefinição. A perda de identidades diversas em favor da pertença à sociedade global provoca uma série de problemas que podem ser demonstrados em modelos funcionais. Esses modelos, por sua vez, podem apoiar o planeamento de estratégias de intervenção e o trabalho de resgate. Neste artigo, analisa-se o papel do corpo nos efeitos desestabilizadores da mudança cultural e discutem-se as possibilidades de intervenção.
EMPIRICAL STUDY OF TWIN DEFICITS IN INDONESIA: THE RELATIONSHIP BETWEEN CAUSALITY AND EARLY WARNING SYSTEM OF TWIN DEFICITS’ CAUSE
Authors: Kuncahyo Prawudya 
Published: July 2019

The aim of this research is to investigate the causality of deficit budget with the current account deficit (twin deficits) in Indonesia and to detect the decision indicators of twin deficit as an early warning system model of twin deficits’ occurrence. The research applied a quantitative approach with granger causative data to find the significant relationship of twin deficits in Indonesia. At the early stage, it analyzes the detection of twin deficits by using quantitative phenomenological approach in a form of mathematic formula calculation via non-parametric model with EWS signal extraction. It used 1 derivation standard (DS) and 24 months signal windows to extract signal. Signal extraction is applied to monitor the evolution of economic indicators which has a systematic tendency of twin deficits in Indonesia. Microsoft Office Excel 2007 and E. Views 7 are the software used within this research. The result of this research signified that there is a relationship between twin deficits in Indonesia with the budget deficit which is influencing the current account deficit. It strengthen the Twin Deficits Hypothesis (TDH) that explains the existence of budget deficit will affect the current account deficit by access of interest rate. Additionally, the result of a signal extraction calculation from the chosen indicator variable trend showed a positive signal of twin deficits. It is justified by the abnormal behavior of variables which states up to 50 percent probability. Those variables are export growth, import growth, terms of trade, inflation, growing industrial sector, real exchange rate, foreign reserve growth, and growth of world oil price.
ECONOMIC VALUATION OF MANGROVE FOREST IN THE EAST COAST OF THE CITY OF SURABAYA, EAST JAVA PROVINCE, INDONESIA
Authors: Kusumawardani Deni 
Published: July 2019

The city of Surabaya has been voted as one of the pilot areas of mangrove forest conservation in ASEAN. Most of the mangrove forest area in the city of Surabaya spread across the East Coast (Pamurbaya). The purpose of this study is to estimate the total economic value of mangrove forests in the area as a source of information for planning and evaluation of conservation policy. The results of the valuation involving some valuation techiques, both market and non-market approaches, yield total economic value of about Rp 49.6 billion (US$ 3.8 million) per year, or 105.3 million (US$ 8,101.8) per ha per year. Almost all of these values is the use value, particularly direct use valule both extractive (timber and fisheries) and non extractive (outdoor recreation). Indirect use value which consists of abrasion barrier and carbon sinks contributed relatively small compared to the direct use value. Meanwhile, non-use value is the smallest contributors to the total economic value. This fact proves that the mangrove forest in Pamurbaya has economic benefits outweigh the ecological benefits. Keywords: economic valuation, mangrove, non-market approach, the city of Surabaya
Analisis Kinerja Pengelolaan Pendapatan Asli Daerah Kota Pariaman Dari Tahun 2011-2017
Authors: Indrawani Sri Ayu 
Published: July 2019

This study aims to determine the development and analyze the performance of PAD management in Pariaman city, which is measured by regional financial analysis, namely looking at the level of revenue of PAD, PAD growth rate, PAD effectiveness ratio, PAD elasticity ratio, and Pariaman PAD tax ratio. This type of research is descriptive research using regional financial ratio analysis. The results of the study can be concluded that the development of regional original income in the city of Pariaman experienced fluctuations every year, even though the growth of the city of Pariaman was always positive, despite an increase and decrease every year. Viewed in terms of the effectiveness of regional revenue, the effectiveness rate is above 100%, although in 2016 and 2017 it produces values below 100 but can still be classified as very effective because they still range from 75-100. In addition, from the overall elasticity level it can be said to be less elastic because the results obtained are a small majority of 1, whereas if viewed from the perspective of the accepted local tax ratio, especially at regional revenue, the tax ratio is very good because of increasing annual returns and value above 100. Keywords: Regional Original Income
PENERAPAN BLENDED LEARNING MENGGUNAKAN MODEL FLIPPED CLASSROOM BERBANTUAN GOOGLE CLASSROOM DALAM PEMBELAJARAN MATEMATIKA SMP
Authors: Kurniawati Meyla , Santanapurba Harja , Kusumawati Elli 
Published: July 2019

Abstrak: Terbukanya sumber belajar yang luas bagi siswa memberikan ruang kepada guru untuk beralih dari teacher centered learning menuju student cen­tered learning. Hal ini dapat diimplementasikan dalam pembelajaran berbasis blended learning meng­gunakan model flipped classroom yang memadukan pembelajaran online di rumah dan tatap muka di kelas. Dengan adanya internet yang menyediakan berbagai learning management system seperti Google Classroom, guru dapat membuat kelas virtual untuk melaksanakan pembe­lajaran online di rumah agar siswa terlatih bertindak aktif dan mandiri dalam belajar. Penelitian ini ditujukan untuk mendeskripsikan proses pem­belajaran blended learning, menilai hasil belajar siswa, mengetahui perbedaan hasil belajar siswa laki-laki dengan perempuan, dan menilai tanggapan siswa. Penelitian ini menggunakan metode deskriptif mengambil subjek siswa kelas VII A SMP Negeri 9 Banjarmasin tahun pelajaran 2018/2019 berjumlah 36 siswa. Teknik pengumpulan data berupa observasi, tes, dan kuesioner. Teknik analisis data berupa statistik des­krip­tif dan inferensial. Hasil penelitian menunjukkan proses pembelajaran berada pada kategori sangat baik, hasil belajar siswa berada pada kategori cukup, terdapat perbe­daan hasil belajar antara siswa laki-laki dengan perempuan, dan tanggapan siswa berada pada kategori sangat tinggi. Kata kunci: Blended Learning, Flipped Classroom, Google Classroom Abstract: The opening of extensive learning resources for students provides space for teachers to switch from teacher centered learning to student centered learning. This can be implemented in blended learning using a flipped classroom model that combines online learning at home and face to face in class. With the internet that pro­vides various learning management systems such as Google Classroom, teachers can create virtual classes to carry out online learning at home so that trained students act actively and independently in learning. This research is aimed to describe the blended learning process, assess student learning outcomes, know differences in learning outcomes between male and female students, and assess student responses. This study used a descriptive method taking the subject of students grade VII A in SMP Negeri 9 Banjarmasin in the school year 2018/2019 totaling 36 students. Data collec­tion techniques in the form of observations, tests, and questionnaires. The data analy­sis techniques were descriptive and inferential statistics. The results showed that the learning process was in a very good category, student learning outcomes were in a sufficient category, there were differences in learning outcomes between male and female students, and student responses were in the very high category. Keywords: Blended Learning, Flipped Classroom, Google Classroom
STRATEGI PENGEMBANGAN BISNIS KERIPIK BAYAM
Authors: Rukka Rusli M , Busthanul Nurbaya , Fatonny Nur 
Published: July 2019

AbstractThe aim of this research is to understand the description of Business model canvas and to create a design of business transformation. The reseach held at CV. OAG Makassar, It is one of a company that produced spinach chips. In order to complete a valid data, researcher were conducted a participatory action reseach method, where the researcher also involved for more than two months in the company. The general description of the company was explained in descriptive by describing the company resources position and their performance. Business model and its business transformation model were analized using business model canvas approach and customer emphaty map. The development strategy result of CV AOG business transformation is to improving the preserves of customer segment and so as their resource key. The improvement on value propositions like customer customization services, websites and social media in its value on channels and customer relationship produce a revenue streams from new product selling which made from spinach and other veggies. Improvement also needed in social activities on key activities, increasing partners such as event organizer and delivery services as key partners, also cost added for customization and social activity on cost structure. Keywords : development strategy; bussiness model canvas; spinach chips.