bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sorption of cesium on Tamusu clay in synthetic groundwater with high ionic strength
Authors: Zhang Han , Dong Yang , He Hanyi , Li Honghui , Zhao Shuaiwei , Liu Jun , Jia Meilan , Yang Jijun , Yang Yuanyou , Liu Ning , Liao Jiali 
Published: July 2019

Abstract
The sorption behaviour of cesium on Tamusu clay was first investigated by batch experiments under synthetic groundwater and deionized water conditions. The results showed that the sorption could be well described by the pseud-second-order kinetic model or by the Freundlich isotherm model, and the Kd
values decreased rapidly when temperature was greater than 328 K. However, the influence of initial cesium concentration, initial pH and Humic acid (HA) on the sorption behaviour in the synthetic groundwater exhibited a significant difference from those in the deionized water. In particular, the Kd
value in the synthetic groundwater (5.47 mL/g) was much lower than that in the deionized water (58.97 mL/g). The SEM/EDS, effect of ion strength and pH-independent results in the synthetic groundwater indicated the cesium sorption on Tamusu clay was mainly involved in an ion exchange process. Additionally, the research reported in this work implies that the retardation of cesium on Tamusu clay was significantly lower than that on other clay rock in the world. The results suggest that the sorption behaviour of cesium or other nuclides on Tamusu clay should be evaluated in synthetic or actual groundwater but not in deionized water.
Transverse Injection Experiments within an Axisymmetric Scramjet Combustor
Authors: Assis Shan M. , Suppandipillai Jeyakumar , Kandasamy Jayaraman 
Published: July 2019

Abstract
Investigations on the performance of a rear wall angled cavity with upstream transverse fuel injection in a Mach 1.8 flow field is experimentally studied in a non-reacting flow facility. The high speed flow is directed to a circular cross sectional supersonic combustor and proceeded towards the cavities having two consecutive angles being inclined towards the downstream flow direction. Wall mounted injector is positioned at a distance of 10 mm upstream from the cavity. Air is used as the injectant to simulate the gaseous fuel. The experiments are performed to explore the effect of the increase in injection pressures within various rear wall angled cavities by comparing with the ‘no-injection’ case and to finally assess the mixing performance of the flow. Transverse injection through upstream wall orifice of the cavities outlines a more uniform mixing compared to ‘no-injection’ configuration. Increase in injection pressures enhances mixing and stagnation pressure loss values.
Edicts and Decrees during the Republic: A Reappraisal
Authors: Lanfranchi Thibaud 
Published: July 2019

Abstract
In this paper, edicts and decrees are examined from the perspective of their meaning and their relations. After a brief overview of the literature, this article aims at setting out the difference between edicts and decrees and its evolution during the Roman Republic, mainly focusing on Latin sources. As Praetors' edicts and decrees are rather wellknown, this article focuses on edicts and decrees by other magistrates and in literary sources. Edictum appears to be originally a kind of order, decided by the sole magistrate and linked to his coercitio, whereas decretum is a collective decision, linked to iurisdictio, made to settle a very precise circumstance. Both of those acts gradually lost their differences and were reused in a different manner during the Empire.
Functional Assessment of Port Pavements: The Case of Container Terminals
Authors: Marcobal-Barranco José Ramón , Lara-Galera Antonio L. , Camarero-Orive Alberto 
Published: July 2019

Abstract
Pavements play an essential role in the handling of cargo in port areas. This led the Spanish State Ports Authority, together with the Technical University of Madrid (UPM), to embark on an initiative these past ten years to improve pavements in Spanish ports. Part of the doctorate program at UPM on port pavement maintenance is being developed into a pavement condition index for container storage and operation areas. This index includes some aspects of the pavement that directly affects operations, namely, pavement distresses related to roughness, terminal zone, occupancy level and capacity of the terminal, and importance assessed by traffic intensity. Pavement roughness directly affects driver comfort, working speed and pace of work, crane breakdowns, and general operation efficiency. The other factor regarding pavement condition considers the real influence on the transportation line in terms of cost. All the steps of the process were checked by an expert panel formed by technicians involved in this activity area to complete a good functional assessment process for port pavements.
The Neural Basis of Approach-Avoidance Conflict: A Model Based Analysis
Authors: Zorowitz Samuel , Rockhill Alexander P. , Ellard Kristen K. , Link Katherine E. , Herrington Todd , Pizzagalli Diego A. , Widge Alik S. , Deckersbach Thilo , Dougherty Darin D. 
Published: July 2019

AbstractApproach-avoidance conflict arises when the drives to pursue reward and avoid harm are incompatible. Previous neuroimaging studies of approach-avoidance conflict have shown large variability in reported neuroanatomical correlates. These prior studies have generally neglected to account for potential sources of variability, such as individual differences in choice preferences and modeling of hemodynamic response during conflict. In the present study, we controlled for these limitations using a hierarchical Bayesian model (HBM). This enabled us to measure participant-specific per-trial estimates of conflict during an approach-avoidance task. We also employed a variable epoch method to identify brain structures specifically sensitive to conflict. In a sample of 28 human participants, we found that only a limited set of brain structures [inferior frontal gyrus (IFG), right dorsolateral prefrontal cortex (dlPFC), and right pre-supplementary motor area (pre-SMA)] are specifically correlated with approach-avoidance conflict. These findings suggest that controlling for previous sources of variability increases the specificity of the neuroanatomical correlates of approach-avoidance conflict.
The Use of Science Reflective Journal Writing by JAS Approach to Train Students Metacognitive Ability
Authors: Septina Esky Purba , Marianti Aditya , Widiatningrum Talitha 
Published: July 2019

This research aims to train students’ metacognitive ability used Science Reflective Journal Writing by JAS approach on the material of reproductive system. This type of research was One shot case study which was conducted at SMA Negeri 2 Pemalang. The subjects of this research were students of grade XI MIA 4 and XI MIA 5. The Independent variable of this research was Science reflective journal writing in problem-based learning by JAS approach, while dependent variables were metacognitive ability, activity and students’ cognitive learning results. The students’ metacognitive ability was measured by using observation sheets of students’ activity, discussion assessment sheets, and post-test questions. The results of analysis showed that the use of science reflective journal writing has good influence to train the students’ metacognitive ability. The students’ metacognitive ability of SMA Negeri 2 Pemalang was included in good category which is 76% , it also gave an influence to cognitive learning result with mastery learn classical ≥ 75% and student activity with a range of 62.51% - 81.25% classified as active. Based on the results of the research, it can be concluded that the students’ metacognitive ability at SMA Negeri 2 Pemalang for reproductive system material classified as good on the aspects of describing, interpreting, evaluating, planning, and also has good influence to the activity and students’ cognitive learning results on the material of reproductive system.
The Development of Plant Encyclopedia Based on Datebase in Adiwiyata Senior High School
Authors: Asyifa Bella Firdha , Rudyatmi Ely , Abdullah Muhammad 
Published: July 2019

SMA Negeri 1 Cawas does not have a digital inventory of plants. Digital inventory can be stored for long time and updated. The study aims to develop an encyclopedia of-based plants database in adiwiyata schools. Research design with Research and Development (RnD). The steps include analysis of potential and problems; data collection; product design; design validation by media experts (lecturers and media experts BPMPK) and material experts (expert classification lecturers); revision 1; small-scale trials (for biology teachers, Wakakur and responses by class XI MIA students 2); revision 2; large-scale trials (all students of class XI MIA); revision 3; and the final product. Based on the results of the study there were 46 plant species. Encyclopedia design (Ensiya) includes templates, systems coding, and finalization program. Ensiya is used to facilitate the management of plant inventories. Revision 1, carried out on the program name, label, motivation, and location of the outbox. Revision 2 of the program name; label box size; motivation box and outbox. The results of a large-scale trial, Ensiya obtained a very feasible assessment by students and received positive responses. Revision 3, program name font; picture box; motivation, and the location of the outbox. Conclusion of this study, that the plant encyclopedia (Ensiya) in the database-based adiwiyata school was successfully developed using Microsoft Visual Basic Express. Ensiya digital documents, 165 MB file size, accessed offline, transferred between computers with data transfer, and can be changed by studying Microsoft Visual Basic Express programming, is very valid and very feasible.
Parental Permissiveness And Family Functions On Unwanted Pregnancy In Teenagers
Authors: Septiarum Rina , Suwarni Linda , Alamsyah Dedy 
Published: July 2019

Abstract
ASFR (Age Specific Fertility Rate) in Sintang District of pregnancy on 15-19 years old teenagers was 9.85%, the highest in West Kalimantan. The aim of the study was to determine the association between parental permissiveness to teen dating behavior and the concept of family function with unwanted pregnancy in teenagers in the work area of Mensiku Health Center Sintang District. The study used a cross-sectional design with a quantitative approach. The sample in this study were 60 people. Statistical tests used the chi-square test with a confidence level of 95%. The results showed parental permissiveness (p-value = 0.004; PR = 2.176), religious function (p-value = 0.02; PR = 1.726), and reproductive function (p-value = 0.033; PR = 1.696) were associated with unwanted pregnancy. Social-cultural function, affection function, protection function, socialization and education function, economic function, environmental function were not associated with unwanted pregnancy (p value> 0.05). It was concluded that parental control, sex education, and the strengthening of religious education in the family environment were important factors associated to the incidence of unwanted pregnancy in teenagers.

Abstrak
ASFR (Age Spesific Fertility Rate) di Kabupaten Sintang pada kehamilan 15-19 tahun sebanyak 9.85%, tertinggi di Kalimantan Barat. Tujuan penelitian untuk mengetahui hubungan antara permisifitas orang tua terhadap perilaku pacaran remaja dan konsep 8 fungsi keluarga dengan kehamilan tidak diinginkan pada remaja di wilayah kerja Puskesmas Mensiku Kabupaten Sintang. Penelitian menggunakan desain crosss sectional dengan pendekatan kuantitatif. Sampel dalam penelitian ini sebanyak 60 orang. Uji statistik menggunakan uji chi square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan ada hubungan yang signifikan antara permisifitas orang tua (p value =0,004; PR=2,176), fungsi agama (p value=0,02; PR= 1,726), dan fungsi reproduksi (p value = 0,033; PR= 1,696) dengan kehamilan tidak diinginkan. Variabel yang tidak berhubungan yaitu fungsi sosial budaya, fungsi cinta kasih, fungsi perlindungan, fungsi sosialisasi dan pendidikan, fungsi ekonomi, fungsi lingkungan (p value > 0,05). Disimpulkan bahwa kontrol orang tua terhadap pergaulan anak remaja mereka, sex education, dan penguatan pendidikan agama di lingkungan keluarga menjadi faktor penting yang berkaitan dengan kejadian kehamilan tidak diinginkan pada remaja.
Evaluation of Basic Emergency Obstetric and Newborn Care (BEMONC) Implementation
Authors: Gustina Erni , Rahmi Syarifah Alfiana 
Published: July 2019

Abstract
Maternal Mortality Rate is one indicator in describing the health status of people in a region. This study aimed to evaluate the implementation of Basic Emergency Obstetric and Newborn Care (BEMONC) at the Tegalrejo Yogyakarta Public Health Center with Basic Emergency Obstetric and Newborn Care. This research was qualitative with a case study design. The subjects were 5 BEMONC Core Team informants and 3 BEMONC patients. The instrument used in-depth interviews and checklists. The results of the Input: do not have nurses in the BEMONC core Team, due to a lack of nurses and not all BEMONC officers have received training. Infrastructure facilities were insufficient, but budget was enough. The BEMONC implementation went well but on holydays the doctors did not stand by and the shift was not evenly distributed. The implementation output reached the target and the service was satisfactory but found officers who were not friendly with the patient's family. Input is in accordance with the standard, but health personnel and training are not up to standard. The output reached the target and the service was satisfactory but one of the officers was not friendly. The Team must try to focus on customer satisfaction in a friendly manner so that the services provided meet patient expectations.
Abstrak
Angka Kematian Ibu merupakan salah satu indikator dalam menggambarkan derajat kesehatan masyarakat di suatu wilayah. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) di Puskesmas PONED Tegalrejo Yogyakarta. Penelitian ini adalah kualitatif dengan rancangan studi kasus. Subyek sebanyak 5 informan Tim Inti PONED dan 3 pasien PONED. Instrumen menggunakan wawancara mendalam dan checklist. Hasil pada Input tidak terdapat perawat di dalam Tim inti PONED, disebabkan kurangnya perawat dan belum semua petugas PONED mendapatkan pelatihan. Sarana prasarana kurang tercukupi namun pendanaannya tercukupi. Pelaksanaan PONED berjalan baik namun pada hari-hari besar dokter tidak stand by dan pembagian shift kurang merata. Output pelaksanaan mencapai target dan pelayanannya memuaskan namun ditemukan petugas yang kurang ramah dengan keluarga pasien. Input sesuai dengan standar, namun tenaga kesehatan dan pelatihan tidak sesuai standar. Output mencapai target dan pelayanan yang memuaskan namun salah satu petugasnya kurang ramah. Sehingga Tim harus berusaha fokus terhadap kepuasan pelanggan secara ramah agar pelayanan yang diberikan memenuhi harapan pasien.
The Association between Marketing Mix and Decision Process for Choosing Outpatient Health Services
Authors: Farantika Dwiki Yessi , Witcahyo Eri , Utami Sri 
Published: July 2019

Abstract
The hospital marketing mix is ​​a set of marketing tools used by hospitals in influencing and knowing the response of service buyers. Dr. Abdoer Rahem Situbondo Regional General Hospital experienced a decrease in the number of patient visits over the past three years from 2014 to 2016, respectively 59,537, 53,720 and 47,699. This shows that patient loyalty is reduced. This study aimed to analyze the marketing mix association with the decision process of choosing outpatient health services at Dr. Abdoer Rahem Situbondo Regional General Hospital. The type of research used is analytic with cross-sectional design. Samples of 94 people were taken by systematic random sampling technique and analyzed using the contingency coefficient test with a confidence level of 95%. The results of this study were that type of employment, product mix, price mix, and promotion mix had weak association with the decision process of choosing outpatient health services. While variables that were not associated with the decision process of choosing outpatient health services were age, gender, education level, monthly income and place mix. The conclusion of this study was that the hospital can focus on improving product mix, price mix, and promotion mix.

Abstrak
Bauran pemasaran rumah sakit merupakan seperangkat alat pemasaran yang digunakan rumah sakit dalam mempengaruhi dan mengetahui tanggapan pembeli pelayanan. RSUD dr. Abdoer Rahem mengalami penurunan jumlah kunjungan pasien lama selama tiga tahun terakhir dari tahun 2014 hingga 2016 secara berturut turut 59.537, 53.720 dan 47.699. Hal ini menunjukkan loyalitas dari pasien berkurang. Penelitian ini bertujuan untuk menganalisis hubungan bauran pemasaran dengan proses keputusan memilih pelayanan kesehatan rawat jalan RSUD dr. Abdoer Rahem Situbondo. Jenis penelitian yang digunakan adalah analitik dengan design cross sectional yang. Sampel sebanyak 94 orang yang diambil dengan teknik systematic random sampling dan dianalisis menggunakan uji koefisien kontingensi dengan tingkat kepercayaan 95%. Hasil penelitian ini adalah ada hubungan yang lemah antara jenis pekerjaan, bauran produk, bauran harga, dan bauran promosi dengan proses keputusan memilih pelayanan kesehatan rawat jalan. Sedangkan variabel yang tidak berhubungan dengan proses keputusan memilih pelayanan kesehatan rawat jalan adalah umur, jenis kelamin, tingkat pendidikan, pendapatan per bulan dan bauran tempat. Kesimpulan penelitian ini adalah pihak rumah sakit dapat berfokus pada pembenahan bauran produk, bauran harga, dan bauran promosi.
Consumption Pattern and Nutrition Conseling Roles on Obesity of Integrated Primary School Students
Authors: Hadi Anto J. , Manggabarani Saskiyanto , Yetti R Erni , Tombeg Zadrak , Ishak Syamsopyan , Said Irfan 
Published: July 2019

Tumbuh kembangnya anak usia sekolah yang optimal tergantung pemberian zat gizi dengan kualitas dan kuantitas yang baik dan benar. Salah satu upaya kesehatan tersebut adalah dengan perbaikan gizi anak usia sekolah dasar. Tujuan penelitian ini untuk menganalisis hubungan pola konsumsi dan konseling gizi terhadap kejadian obesitas. Jenis penelitian yang digunakan adalah observasional dengan pendekatan cross sectional study. Populasi dan sampel penelitian ini adalah siswa dengan pengambilan sampel secara exhaustic sampling dengan jumlah 146 sampel. Penelitian ini dilaksanakan di Sekolah Dasar Islam Terpadu Rama Kota Makassar. Hasil penelitian diperoleh bahwa pola konsumsi berhubungan dengan kejadian obesitas dengan nilai p (0,00) < 0,05, konseling gizi berhubungan dengan kejadian obesitas dengan nilai p (0,01) < 0,05. Kesimpulan diperoleh bahwa ada hubungan pola konsumsi dan konseling gizi terhadap kejadian obesitas. Bagi siswa yang sudah terlanjur menderita obesitas agar menjaga pola makan dan aktivitas fisik secara teratur dan ketat serta berkonsultasi ke ahli gizi.
Abstract
The optimal growth of school-age children depends on providing nutrients with good and correct quality and quantity. One of the health efforts is to improve nutrition of elementary school age children. The purpose of this study was to analyze the relationship of consumption patterns and nutrition counseling to the incidence of obesity. The type of research used was observational with a cross sectional study approach. The population and sample of this study were students with exhaustic sampling with 146 samples. This research was conducted at the Rama Integrated Islamic Primary School in Makassar City. The results showed that consumption patterns associated with the incidence of obesity with a value of p (0.00) <0.05, nutritionlcounseling was associated with the incidence of obesity with a value of p (0.01) <0.05. The conclusion is that there is a relationship between consumption patterns and nutritional counseling on the incidence of obesity. For students who have already suffered from obesity in order to maintain regular and strict diet and physical activity and consult a nutritionist.
Pulmonary embolism as the presenting symptom and a confounder in ACTH-secreting bronchial carcinoid
Authors: Yang Wei , Pham David , Vierra Aren T , Azam Sarah , Gui Dorina , Yoon John C 
Published: July 2019

Summary
Ectopic ACTH-secreting pulmonary neuroendocrine tumors are rare and account for less than 5% of endogenous Cushing’s syndrome cases. We describe an unusual case of metastatic bronchial carcinoid tumor in a young woman presenting with unprovoked pulmonary emboli, which initially prevented the detection of the primary tumor on imaging. The source of ectopic ACTH was ultimately localized by a Gallium-DOTATATE scan, which demonstrated increased tracer uptake in a right middle lobe lung nodule and multiple liver nodules. The histological diagnosis was established based on a core biopsy of a hepatic lesion and the patient was started on a glucocorticoid receptor antagonist and a somatostatin analog. This case illustrates that hypercogulability can further aggravate the diagnostic challenges in ectopic ACTH syndrome. We discuss the literature on the current diagnosis and management strategies for ectopic ACTH syndrome.

Learning points:

In a young patient with concurrent hypokalemia and uncontrolled hypertension on multiple antihypertensive agents, secondary causes of hypertension should be evaluated.

Patients with Cushing’s syndrome can develop an acquired hypercoagulable state leading to spontaneous and postoperative venous thromboembolism.

Pulmonary emboli may complicate the imaging of the bronchial carcinoid tumor in ectopic ACTH syndrome.

Imaging with Gallium-68 DOTATATE PET/CT scan has the highest sensitivity and specificity in detecting ectopic ACTH-secreting tumors.

A combination of various noninvasive biochemical tests can enhance the diagnostic accuracy in differentiating Cushing’s disease from ectopic ACTH syndrome provided they have concordant results. Bilateral inferior petrosal sinus sampling remains the gold standard.