bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kesesuaian Penerapan Manajemen Mutu Ikan Pindan Bandeng (Chanos chanos) Terhadap Standar Nasional Indonesia
Authors: Masrifah Elis , Noorachmat Bambang Pramudya , Sukmawati Anggraini 
Published: May 2019

Fish processing is an important role in post-harvest activities, because fishery products are perishable goods. Therefore we need a fast and precise handling to maintain its quality before it reaches the consumer. There are many kind of fish processing, both traditional and modern such as salting, boiling, and smoking. Entering of the ASEAN Economic Community (AEC) in 2015, fishing industries is not less important than other sectors, quality of fishery products and competitiveness is very necessary. To improve the quality of fishery products is should be control the processing and apply of food safety management systems such as Integrated Quality Management Program based on the concept of Hazard Analysis Critical Control Point (HACCP). One of fish processing units was existing in Bogor is Cindy Group (Small Medium Enterprises), they are producing preserved fishmilk. The purposes of the study are: (1) to analyze the level of implementation of the basic eligibility (GMP and SSOP) at Cindy Group, (2) to analyze the suitability of each characteristic quality of product against the requirements of SNI 2717: 2009. The study was conducted at Cindy Group SMEs located Bogor regency. The research method is descriptive with 30 respondents by purposive sampling. The results showed that based on the assessment of the level of implementation of the basic eligibility (GMP and SSOP) using UPI Assessment questionnaire published by Directorate General of the processing and marketing of fishery products, Ministry of Maritime Affairs and Fisheries) showed that SMEs Cindy Group obtained SKP the feasibility value "B" consisting of 4 minor irregularities, 2 major irregularities, and 1 serious irregularities. In quality, preserved milkfish products based on the results of testing Organoleptic and chemical have good quality according to SNI 2717: 2009. The results of organoleptic test using hedonic test showed an average value over than 7 (7 is minimum figure in SNI), indicates that the product can be accepted by consumers. Overall, the level of implementation of the basic eligibility processing program on processing of preserved milkfish in Cindy Group has been quite good, percentage rate of application of the basic feasibility is 92%. This product can be registered to BSN to get the registration number of SNI and feasible to labeled SNI on product packaging.
Model Pelayanan Pelanggan pada Toko Eceran Tradisional
Authors: Wiputra Panca , Sumarwan Ujang , Wijayanto Hari 
Published: May 2019

Retail Business is growing that makes traditional retail company must compete with modern retail company. It is needed for traditional company to maintain service quality to achieve satisfaction and loyalty. Sinar Fajar is one who keeps traditional retail by delivering goods to smaller retailer company. This research is aim to gives traditional retail company a broad view about which variable that gives impacts for customers satisfaction and the strategy to implicate the result of research. Service Quality is measured by Retail Service Quality Scale (RSQS) method which is specific to measure service performance in retail industry worldwide. Data was collected from 176 respondent that participate by filling self administered questionnaire after they shop from Sinar Fajar. Research was conducted in January-March 2014 and analyzed with Customers Satisfaction Index (CSI), Structural Equation Modeling (SEM), and Importance Performance Analysis (IPA) Method to advice the company that which variable shows impacts for customers satisfaction. The result is 71.45% Customer is satisfied by the performance of Sinar Fajar, IPA has identified groups of variable to make strategic decision to allocating resources. Variable Dimension that influence most is policy and the least is Personal Interaction. Customers who are satisfied will become loyal so they will recommend Sinar Fajar to other Customers
Strategi Pengembangan Kewirausahaan Sosial PT Bina Swadaya Konsultan
Authors: Safa'at Ikhwan , Syarief Rizal , Suryani Ani 
Published: May 2019

In the second World Entrepreneurship Forum in Lyon, France in 2009, Bina Swadaya stated definition of Social Entrepreneurship is social development with entrepreneurship solution. Developments that includes aspects of poverty alleviation, productive employment and social integration. PT Bina Swadaya Konsultan, a subsidiary of Bina Swadaya Organization with the spirit of entrepreneurship in an effort to sustain the community development process that can provide benefits for society and the life-cycle companies develop social entrepreneurship in accordance with its competence. . The purpose of this study was (1) Identify the internal and external factors that influence the development of social entrepreneurship PT BSK, (2) Getting some alternatives strategy in the development of social entrepreneurship to the purpose of the development of social entrepreneurship, (3) Obtain the priority of social entrepreneurship development strategy in accordance with the company's internal and external conditions. Research methodology using IFE, EFE, IE Matrix, SWOT and QSPM. Priority strategy of development of social entrepreneurship PT BSK are (1) Restructuring and Market Penetration, (2) Focus, Product Development and Differensiation, (3) Market Development and Market Penetration, (4) Vertical Integration, (5) Product Improvement and Diversification.
Importancia de la autopsia y del estudio de la placenta en la evaluación de la muerte fetal en el Hospital Universitario de Santander
Authors: Mantilla Hernandez Julio Cesar , Contreras Forero Francisco Javier , Duarte Villamizar Jonathan Alexis , Blanco Nestor Fabian , Alarcón Tarazona Ismael Enrrique 
Published: May 2019

Objetivo: evaluar las causas de muerte fetal, mediante antecedentes clínicos maternos, análisis de los hallazgos de la autopsia fetal y estudio de la placenta. Materiales y Métodos: se realizó un análisis retrospectivo de 332 muertes fetales durante el periodo comprendido de 2005-2009 ocurridas en el Hospital Universitario de Santander (HUS) Bucaramanga, Colombia. Se incluyeron análisis histopatológicos de la placenta y el feto. Se planteó la siguiente clasificación de las causas de muerte fetal 1) Hipoxia fetal intrínseca 2) Anomalías congénitas 3) Infecciones ascendentes 4) Traumatismos del parto 5) Hidrops fetal. Se determinaron como no clasificables a fetos macerados. Se establecieron subgrupos de análisis de la población como edad materna, edad fetal y se analizan los datos mediante porcentajes y promedios. Resultados: el promedio de edad materna fue de 25,9 años, el promedio de edad gestacional fue de 28,9 semanas. Se conoció el tipo de muerte en el 87,96% de los casos. Las causas más frecuentes de muerte fueron la hipoxia fetal intrínseca 46,67%: insuficiencia placentaria 17,5%, desprendimiento placentario 6,6%, infarto placentario 6,3%, HTA materna 4,5%. Anomalías congénitas 18,07%, infección bacteriana ascendente 16,26%, causa desconocida 12,04%. En gestaciones entre 20-29 semanas la principal causa de muerte fue patología placentaria (43.97%); en cuanto a 37-42 semanas la principal causa fue las anomalías congénitas (5,1%). Conclusiones: el presente estudio muestra que las principales causas de óbito fetal están vinculadas con patologías que pueden ser detectadas y manejadas de manera adecuada y expone la importancia de la autopsia fetal sumado al estudio anatomopatologico de la placenta a la hora de determinar dichas causas.
Calidad microbiologica del agua en dos instituciones de salud del eje cafetero, colombia 2015
Authors: Acevedo Osorio German Oved , Duran Ospina Patricia , Betancourt Carmen Luisa 
Published: May 2019

Objetivo: Analizar la calidad microbiológica del agua de los servicios de hospitalización, Unidad de cuidados intensivos y Cirugía pre y pos desinfección de grifos de dos instituciones de salud del Eje Cafetero durante el tercer trimestre del 2015. Materiales y métodos: estudio descriptivo observacional, transversal, Se tomaron muestras de agua de tres puntos críticos como son área de quirófanos, hospitalización y unidad de cuidados intensivos. Se realizó una toma de muestras antes de realizar la desinfección del grifo, y otra después de la desinfección para de esta manera determinar si el filtro instalado en los grifos influía en los resultados microbiológicos, las muestras se analizaron por filtración por membrana. Resultados: se encontró que en una de las instituciones existen gran presencia de mohos y levaduras, aerobios mesófilos, en concentraciones mayores e inviables sanitariamente antes de realizar desinfección del grifo. Y con presencia en menor concentración pos-desinfección posiblemente debido a la ausencia de desinfección de grifos y almacenamiento en tanques. En la segunda institución no se presentaron recuentos significativos de microorganismos. Conclusiones: una de las instituciones cuenta con agua inviablemente sanitaria en uno de sus puntos críticos, debido a la alta presencia de Mohos y Levaduras, y aerobios mesófilos, el cual imposibilita su consumo según el decreto 2115 de 2007, y normas internacionales.
Методичні положення щодо формування дизайну вхідних груп підприємств обслуговування, вбудованих і вбудовано-прибудованих в житлові будинки
Authors: Абизов В. А. , Кулик А. В. 
Published: May 2019

Determination of the basic methodological provisions for the formation of the design service enterprises' entrance groups built-in into the residential buildings. Consideration of design features of the entrance groups of built-in objects in accordance with the hierarchical levels of formation of their architectural environment. The research is based on a systematic approach that allows us to consider the architectural environment of entertaining institutions as hierarchically subordinate to the integrity. Also are used methods of historical, comparative and typological analysis, experimental design. The article comprehensively examines the various factors and conditions that influence on the organization of the architectural environment of the service enterprises' entrance groups located on the first floors of residential buildings. The main stages of designing and the corresponding hierarchical levels of formation of the design of the service objects' entrance groups, are revealed. The proposed method of designing of service enterprises' entrance groups of built-in into the apartment houses is proposed. The peculiarities of the design of entrance groups in accordance with the revealed hierarchical levels of formation and development of their architectural environment are presented. The given methodological provisions regarding the formation of the design of service enterprises' entrance groups of built-in into the apartment houses will be useful for the current practice of designing, rehabilitating, modernizing and exploiting the built-in service objects and will contribute to solving the problem of aesthetic expressiveness of residential development.
Implementation of enhanced recovery after surgery- ERAS, a paradigm shift in surgery
Authors: Shah Jay Narayan 
Published: May 2019

The history of enhanced recovery after surgery (ERAS) has its roots to the earlier ERAS Study Group. This was a collaborative group on peri-operative care to further develop ideas put forth in the 1990’s by Professor Henrik Kehlet of University of Copenhagen. Kehlet reported that the morbidity, mortality and overall costs of surgery requires multimodal interventions to reduce pain; cardiopulmonary, infective and thromboembolic complications; cerebral dysfunction; nausea and gastrointestinal paralysis, fatigue and prolonged recovery. The ERAS Society, registered and based in Stockholm, has over the years developed ‘perioperative care’ strategies to improve recovery after surgery through research, education, audit and implementation of evidence-based practice. An evidence-based consensus protocol for patients undergoing colon surgery was developed and published by the ERAS Study Group3 and later the group showed that just a protocol was not sufficient to change surgical practice in accordance with ERAS. The ‘manual of fast track recovery for colorectal surgery (Springer)’ was published by the ERAS Society as 1st in the series of enhanced recovery. Thereafter various professional societies and organizations around the world have worked together to develop, modify, promote and propagate ERAS. From its original work on colorectal surgery, the ERAS is now implemented in virtually all the disciplines of surgeries and the guidelines are available at ERAS Society website.
The strategies of ERAS is designed for ‘preoperative, intraoperative and postoperative care’ through multimodal, integrated, multidisciplinary approach from all the stake holders: the patient, surgeons, anaesthesiologists, pain specialists, nursing staff, physical and occupational therapists, social services, and hospital administration. It advocates of the standardized medical care to improve the outcomes and lower the health care costs by minimizing surgical trauma, postoperative pain, complications, length of hospital stay, while expediting recovery and improving the overall outcomes.
Outcome of anterior cruciate ligament reconstruction using bone-patellar tendon-bone auto graft
Authors: Shah Gajendra Mani , Pradhan Nabees Man Singh , Tamrakar Rojan , Gyawali Bidur , Bhatta Toya Raj , Acharya Balakrishnan M. , Basnyat Sagan , Shrestha Suman 
Published: May 2019

Introductions: A rupture of the Anterior Cruciate Ligament (ACL) is the most common ligament injury resulting in instability of the knee which can cause secondary articular injury and early osteoarthritis (OA). Aim of this study was to evaluate the short term outcomes of ACL reconstruction using Bone Patellar Tendon Bone Auto Graft (BPTB) auto graft and factors that might contribute to poor results.
Methods: Patients with Anterior Cruciate Ligament injury during the period of July 2013 to May 2014 were enrolled to observe the outcome of the ACL reconstruction using BPTB without arthroscopy. Lysholm Knee Scoring Scale was used to determine the clinical outcome. Outcome parameters were evaluated using Statistical Package for Social Science Version 20 (SPSS).
Results: Total 30 normal or near normal function outcome of knee was reported in 29 (97%) patients after ACL reconstruction using BPTB without arthroscopy. There was no failure of grafts. Good static knee stability achieved with increased patient’s satisfaction. Lysholm Score was excellent in 27 (90%) and good in 3 (10 %) cases. Anterior knee pain persisted in 6 cases (20%).
Conclusions: Excellent functional outcome with BPTB auto graft in Anterior Cruciate Ligament injury was achieved.
Stillbirth at Patan Hospital, Nepal
Authors: Shrestha Sarada Duwal , Gurung Padma , Shrestha Reena , Shrestha Prashant , Pradhan Renee , Pant Una 
Published: May 2019

Introductions: Stillbirth (SB) is one of the most common adverse outcomes of pregnancy. The aim of this study was to determine the SB rate and to identify the likely causes contributing to SB.
Methods: This cross-sectional study was conducted at Patan Hospital from 15th June 2014 to 14th June 2017 for all the cases of SBs, at or after 22 weeks, birth weight of 500 gm or more. The perinatal outcome, demographic profile, fetal characteristics, causes and contributing factors were analyzed.
Results: There were 262 SB out of total 23069 deliveries, (11.24 per 1000) and 119 (46.12%) had antenatal check-up (ANC) at Patan Hospital. The 214 (82.95%) SB were among 20-34 years mothers, 133 (51.55%) being multigravida. Antepartum SB were 234 (89.31%), macerated 213 (81.30%), birth weight <1000gm 86 (32.82%) and male 156 (59.54%). The intrauterine growth restriction (IUGR) was present in 60 (22.90%), unexplained casue in 43 (16.41%), prematurity 28 (10.69%), congenital anomalies 26 (9.92%), pre-eclampsia 19 (7.25%), gestational diabetes, and abruptio placenta each 13 (4.96%). Delay in seeking care in 202 (78.30%) was a potential contributing factor.
Conclusions: The SB was 11.24/1000 births. The causes in descending order were IUGR, unexplained, prematurity, congenital anomalies, pre-eclampsia, gestational diabetes and abruptio placenta. Delay in seeking care was found as a potential contributing factor.
Dasatinib tyrosine kinase inhibitor as second and third line therapy in chronic myeloid leukemia: outcome of a Nepalese study
Authors: Manandhar Nora Ranjitkar , Kayashta Gyan Krishna , Acharya Paras Kumar 
Published: May 2019

Introductions: Dasatinib is indicated as a first line, second line and third line tyrosine kinase inhibitor (TKI) in chronic myeloid leukemia (CML). In our center it is used as a second line or third line therapy in BCR-ABL gene positive CML.
Methods: It is a retrospective observational therapy done from June 2015 to May 2018. The purpose of the study is to see the response rates using the second line and third line dasatinib after failing or not tolerating imatinib alone or following a sequential therapy with imatinib and nilotinib.
Results: A total of 31 (male 56.3%) patients were included in our study. In eighteen patients it was used as a second line TKI and in 13 a third line TKI. Complete Hematologic Response (CHR) was achieved in 93.55%. Best optimal responses were 46.66% and 61.53% in second and third line dasatinib respectively. Major Molecular Response (MMR) was achieved in 35.71% (26.66% and 46.14% in second line and third line dasatinib respectively). For both the groups, the overall survival was 92% and 94 % at 20 months and the event free survival was 70% at 10 months.
Conclusions: Dasatinib is effective in achieving MMR and inducing survival benefit in the patients who failed imatinib alone and imatinib and nilotinib.
Self-rating depression during early postoperative period after colostomy following radical surgery for rectal cancer
Authors: Hao Xue , Liying Ma , Ming Zhong , Shah Jay 
Published: May 2019

Introductions: Colorectal cancer (CRC) is 3rd most common cancer. Half of which requires colostomy. It leads to anxiety and depression with less than optimal quality of life. Zung Self-rating Depression Scale is a reliable tool used in Chinese population for identifying and addressing mental health status for appropriate education. The aim of this study is to investigate the depression state in rectal cancer patients after colostomy, then analyze its influence factors.
Methods: A cross sectional study in rectal cancer patients who had colostomy after radical surgery for rectal cancer were investigated for depression during early postoperative period within one week using Zung’s self-rating depression scale (SDS). Multiple logistic regression analysis was done to identify the risk factor.
Results: There were 55 colostomies patients (male 30 and female 25 patients, age 50.11+/-13.17 years) after rectal cancer surgery during the study period. The SDS score of was higher than national norm (P<0.01). The risk factors for depression were female gender, younger age, lower economic status, and lesser degree of understanding of the disease.
Conclusions: The depression level of rectal cancer patients after colostomy was higher than normal population, especially in female, young age, with poor understanding of disease and lower economy status. The effective measures should be targeted to strengthen the health psychosocial health of these patients.
Hand hygiene compliance among rural healthcare workers of Nepal
Authors: Rajbhandari Ajay Kumar , Sagtani Reshu Agrawal , Baral Kedar Prasad 
Published: May 2019

Introductions: Transmission of healthcare associated infections through contaminated hands of healthcare workers are common. This study was designed to explore the existing compliance of hand hygiene among the healthcare workers workings in different level of health care centers of Makwanpur district of Nepal.
Methods: This was a cross sectional observational study conducted in Makwanpur district, Nepal, during 2015. Healthcare workers from nine healthcare centers were selected randomly for the study. Standard observation checklists and World Health Organization guidelines on hand hygiene were used to assess the compliance of hand hygiene during patient care.
Results: There were 74 participants. Overall compliance for hand washing was 24.25% (range 19.63 to 45.56). Complete steps of hand washing were performed by 38.3% of health care workers. The factors associated for noncompliance were lack of time (29.3%), example set by seniors (20%), absence or inadequate institution protocol (20%) and unfavourable health care setting (> 20%).
Conclusions: Overall hand washing compliance rate amongst the healthcare workers in rural health facilities of Nepal were low (24.25%).
‘The meaning of my life will always be to defend our Motherland’
Authors: Ursin Marit 
Published: May 2019

EnglishThe point of departure of this paper is that childhood is socially constructed and continuously re-defined through public policies, laws, practices and ideologies. The paper explores the perspectives on children, upbringing and socialization as reflected in the manuals, forms and questionnaires of social workers in a child protection institution in Mexico. It employs a theoretical lens borrowed from Childhood Studies, using three dominant images of childhood—the Dionysian, Apollonian and Athenian—to examine the links between discursive constructions of childhood and ways of governing institutionalized children. Four overarching themes were identified as representative of predominant concepts of values concerning children and child rearing in an institutionalized context in the documents: (1) Patriotism, (2) Work ethics, (3) Hygiene, and (4) Physical experiences and sexuality. The analysis reveals how children are perceived primarily as future citizens, with their upbringing being a part of a wider nation-building project. Hence, there is an emphasis on how to become a ‘decent’ labourer, internalize the values of- and loyalty to the nation-state, and develop into a ‘moral’ and ‘civilized’ citizen. It is argued that institutional socialization is part and parcel of a political ideology that reinforces the idea of children as relatively passive socialization objects.
Spanish"El sentido de mi vida siempre será defender nuestra patria”: Criando y educando ciudadanos en instituciones de protección infantil en México. El punto de partida de este artículo es que la infancia es construida socialmente, y que es continuamente redefinida a través de las políticas públicas, las leyes, las prácticas y las ideologías. Este artículo explora las perspectivas sobre los niños, la crianza, y la socialización según se reflejan en los manuales, planillas y cuestionarios de los trabajadores sociales en una institución de protección infantil en México. Se emplea la propuesta teórica tomada de los Estudios de la Infancia, usando tres imágenes dominantes (Dionisíaca, Apolínea y Ateniense) para examinar los vínculos entre las construcciones discursivas sobre la infancia y las formas que gobiernan a los niños institucionalizados. Se identificaron cuatro temas relevantes como representativos de los conceptos de valores predominantes en los documentos respecto a los niños, y cuidado infantil en un contexto institucionalizado: (1) Patriotismo, (2) Ética de trabajo, (3) Higiene, y (4) Experiencias físicas y sexualidad. El análisis revela cómo los niños son percibidos primeramente como futuros ciudadanos, y su crianza es parte de un proyecto más amplio de construcción de la nación. De este modo hay un énfasis en cómo convertirse en un trabajador “decente”, internalizar los valores de y la lealtad al Estado nación, y desarrollar un ciudadano moral y civilizado. Se afirma que la socialización institucional es parte de la ideología política que refuerza la idea de los niños como objetos de socialización relativamente pasivos.