bluuebunny/crossref_metadata_2025_split huggingface dataset:
HISTOLOGICAL STRUCTURE OF THE THORACIC AND ABDOMINAL REGION SKIN OF THE ETAWAH GOATS CROSS BREED
Authors: Suwiti Ni Ketut , Putri Mergayanti Yudanta Eka , Suastika Putu , Setiasih Ni Luh Eka , Heryani Luh Gde Sri Surya , Susari Ni Nyoman Werdi 
Published: February 2019

There have been studies of the histological structure of male and female goat skins. The histological structure and histomorphometry were taken from two region of skin, which is the thorax and abdomen. The Samples were collected from 2-3 years old Etawah goat, and than was stained using a HarrisHematoxilin Eosin method. The data were analysis based on the region and sex. The results showed that the histological structure of Etawah cross breed consists of three layers were epidermis, dermis, and hipodermis respectively. The epidermis composed by stratum corneum, granulosum, spinosum, and basal. We were found keratin layer on the surface of epidermis. The dermis consists of papillare and reticulare stratum. That was found many sebaceous glands, sudorifera gland, pili muscle, hair follicles, blood vessels, and collagen fibers. The hypodermis layers of Etawah cross breed females skin mostly consists of the fatty tissue, whereas in males we have found thick and horizontally arranged connective tissue. The skin layer on male Etawah cross breed, thorax region thicker than the abdomen. The region and sex may have an effect on the histology structure and histomorphometry of Etawah cross breed skin.
Apakah Keberadaan Komisaris Keluarga Dan Komisaris Independen Meningkatkan Pengungkapan Risiko?
Authors: Setiawan Doddy , Andriyanto Elisa Apriliani 
Published: February 2019

This research aims to examine the effect of family commissioners and independent commissioners on risk disclosure using Indonesian firms that engaged in initial public offering (IPO). This research uses multiple regression analysis to test the effect of family commissioners and independent commissioners on risk disclosure. The study sample consists of 204 non-financial firms that engaged in IPO during the period of 2001–2017. The result of the study shows that family commissioners and independent commissioners have positively affected risk disclosure. Therefore, it is important for companies to add more independent commissioners and maintain family commissioners during IPO.
Keywords: family commissioners, independent commissioners, initial public offering, board of commissioner
Penggunaan Video Screencast O-Matic Pada Mata Kuliah Aljabar Abstrak
Authors: Listiawati Enny 
Published: February 2019

In the millennial era an innovative and creative learning media is needed by utilizing technology that can improve the quality of student learning in abstract algebra lectures. One of them is by using Screencast O-Matic (SOM) software application. SOM is software that is generally used for making tutorial videos to explain or explain learning material.The purpose of this study was to determine the effectiveness of the use of SOM in abstract algebra learning in terms of student activity and completeness of student learning outcomes. The subjects of this study were the 5th semester students of the 5th semester Mathematics education program at STKIP Bangkalan PGRI who were participating in the Abstract Algebra course. 35 students. This type of research is quantitative descriptive, with the research instruments being the observation sheet of student activities and learning outcomes test questions. The results of this study are the use of Screencast O-matic software media in learning abstract algebra courses said to be effective based on indicators of effectiveness consisting of effective student activities and student learning outcomes completed in a classical manner.
High-Level Performance After the Return to Run Clinical Pathway in Patients Using the Intrepid Dynamic Exoskeletal Orthosis
Authors: Mazzone Brittney , Farrokhi Shawn , Depratti Andrew , Stewart Julianne , Rowe Kimberly , Wyatt Marilynn 
Published: February 2019

Background Severe ankle and foot injuries in the US military can result in high-level functional limitation, lost duty days, and medical discharge. Objective To assess the effectiveness of the Return to Run Clinical Pathway (RTR) in returning patients with lower extremity fractures who utilized the Intrepid Dynamic Exoskeletal Orthosis (IDEO) to high-level mobility. Methods Thirty servicemembers with lower extremity fractures who utilized the IDEO unilaterally and completed the RTR at Naval Medical Center San Diego were included in this retrospective operational review. The Comprehensive High-level Activity Mobility Predictor (CHAMP) and all subtests were completed prior to and after completion of the RTR as part of routine clinical care. An analysis of covariance (ANCOVA) was used to compare CHAMP scores before and after the RTR. Results Significant improvements were found in the T test (mean change, faster by 5.3 seconds; 95% confidence interval: 3.6, 7.1 seconds; P = .03) and total CHAMP score (mean change, 4.2 points; 95% confidence interval: 3.0, 5.3 points; P<.05). No significant changes were noted in the single-legged stance subtest, the Edgren sidestep test, or the Illinois agility test. Conclusion The RTR led to improvements in high-level, multidirectional mobility in IDEO users with a history of fractures. Applicability of the intervention used in this study requires further validation before widespread use. Level of Evidence Therapy, level 4. J Orthop Sports Phys Ther 2019;49(7):529–535. Epub 13 Feb 2019. doi:10.2519/jospt.2019.8763
Automatic Human Sperm Concentrartion in microscopic videos
Authors: BOUMAZA Karima , Loukil Abdelhamid , Aarizou Kaouthar 
Published: February 2019

Background: Human sperm cell counting analysis is of significant interest to biologists studying sperm function and to medical practitioners evaluating male infertility. Currently the analysis of this assessment is done manually by looking at the sperm samples through a phase-contrast microscope using expert knowledge to do a subjective judgement of the quality.
Aims: to eliminate the subjective and error prone of the manual semen analysis and to avoid inter and intra-laboratory inconsistencies in semen analysis test results
Methods: In this paper we introduce a technique for human sperm concentration. Its principle is based on the execution of three steps: The first step in unavoidable. It concerns the pretreatment of the human sperm microscopic videos which consists of a conversion of the RGB color space into the YCbCr space, the “Gaussian filtering” and the “discrete wavelet filtering”. The second step is devoted to the segmentation of the image into two classes: spermatozoas and the background. To achieve this, we used an edge detection technique “Sobel Contour detector”. The third step is to separate true sperm from false ones. It uses a machine learning technique of type decision trees that consist on two classes classification based on invariant characteristics that are the dimensions of the bounding ellipse of the spermatozoid head as well as its surface.
Results: To test the robustness of our system, we compared our results with those performed manually by andrologists. After results analysis, we can conclude that our system brings a real improvement of precision as well as treatment time which make it might be useful for groups who intend to design new CASA systems.
Conclusion: In this study, we designed and implemented a system for automatic concentration assessment based on machine learning method and image processing techniques.
Multidisciplinary, evidence-based consensus guidelines for human papillomavirus (HPV) vaccination in high-risk populations, Spain, 2016
Authors: Martínez-Gómez Xavier , Curran Adrian , Campins Magda , Alemany Laia , Rodrigo-Pendás José Ángel , Borruel Natalia , Castellsagué Xavier , Díaz-de-Heredia Cristina , Moraga-Llop Fernando A , del Pino Marta , Torné Aureli 
Published: February 2019

Introduction: Although human papillomavirus (HPV) routine vaccination programmes have been implemented around the world and recommendations have been expanded to include other high-risk individuals, current recommendations often differ between countries in Europe, as well as worldwide.
Aim: To find and summarise the best available evidence of HPV vaccination in high-risk patients aiding clinicians and public health workers in the day-to-day vaccine decisions relating to HPV in Spain.
Methods: We conducted a systematic review of the immunogenicity, safety and efficacy/effectiveness of HPV vaccination in high-risk populations between January 2006 and June 2016. HPV vaccination recommendations were established with levels of evidence according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system.
Results: A strong recommendation about HPV vaccination was made in the following groups: HIV infected patients aged 9–26 years; men who have sex with men aged 9–26 years; women with precancerous cervical lesions; patients with congenital bone marrow failure syndrome; women who have received a solid organ transplant or hematopoietic stem cell transplantation aged 9–26 years; and patients diagnosed with recurrent respiratory papillomatosis.
Conclusions: Data concerning non-routine HPV vaccination in populations with a high risk of HPV infection and associated lesions were scarce. We have developed a document to evaluate and establish evidence-based guidelines on HPV vaccination in high-risk populations in Spain, based on best available scientific evidence.
MYOCARDIAL INFARCTION WITH NONOBSTRUCTIVE CORONARY ATHEROSCLEROSIS AS A CURRENT PROBLEM OF EMERGENCY CARDIOLOGY
Authors: Ryabov V. V. , Fedorova S. B. , Vyshlov E. V. 
Published: February 2019

Myocardial infarction with nonobstructive coronary atherosclerosis is a term which emerged recently, but it is of great importance for current clinical practice. Under the mask of this diagnosis, not only ischemia-caused myocardial infarction is hiding, but also diseases with alternative mechanisms of myocardial injury. This review presents a definition of this term as well as differential diagnostic algorithm for diseases associated with increase in the myocardial injury markers. The role of magnetic resonance imaging is emphasized as it is the key method for diagnosis of cardiac diseases. Main principles of current recommendations in this regard are presented. Unsolved and undeveloped aspects of this problem are discussed. Directions for future research are outlined.
PILOT RESULTS OF STUDYING CARDIAC MICROPOTENTIALS IN PATIENTS WITH MYOCARDIAL INFARCTION AND CARDIOGENIC SHOCK
Authors: Maximov I. V. , Avdeeva D. K. , Ivanov M. L. , Zimin I. A. , Yuzhakov M. M. , Turushev N. V. , Kodermyatov R. E. , Balakhonova M. V. , Tsoy E. I. 
Published: February 2019

Aim. To study cardiac micropotentials registered by the hardware and software complex with nanosensors in patients with myocardial infarction for the early detection of life-threatening conditions.Materials and Methods. The pilot study included 29 patients with acute myocardial infarction who had life-threatening complications such as heart rhythm disorders, the development of acute left ventricular failure, or clinical death prehospitally or at admission to the coronary care unit. The diagnosis of myocardial infarction was established and treatment was carried out according to the national guidelines for the management of patients with myocardial infarction, including the methods of myocardial revascularization.Results. During hospitalization, eight patients developed cardiogenic shock and died. 21 patients survived and were included in the comparison group. At admission, all patients underwent high-resolution electrocardiography using the originally developed hardware and software complex with nanosensors. The micropotentials on the ST segment of the electrocardiogram were recorded for 30 s in three leads on-line. The numbers of micropotentials in the studied groups were analyzed. The analysis of the number of micropotentials within certain ranges of amplitude and duration registered on high-resolution electrocardiogram showed a decrease of the micropotential number in group of patients who died from cardiogenic shock compared with the group of survived patients.Conclusions. The results of this pilot study of cardiac micropotentials are preliminary and require further accumulation of data as well as a search for new criteria for diagnostics, prognosis, and evaluation of the treatment efficacy in patients with myocardial infarction.
Mal de Debarquement syndrome: clinical cases and literature review
Authors: Paškonienė A. , Poškutė R. , Markevičiūtė V. , Ivaška J. , Lesinskas E. 
Published: February 2019

Background. Mal de Debarquement syndrome (MdDS) is a rare neuro-otologic disorder that mainly appears for middle-aged women and occurs after long-term passive motion (flight by plane, cruise). The syndrome symptoms can be persistent dizziness, sensation of rocking, unsteadiness, and disequilibrium. The syndrome diagnostics is complicated because there is no instrumental examination that could help to diagnose disorder thus neuro-otological examination is non-informative. The diagnosis is based on anamnesis, therefore, MdDS is often undiagnosed or inappropriate diagnosis is determined. To the knowledge of the authors, there are no publications on this syndrome in the Lithuanian language. Therefore, the aim of this article is to introduce this syndrome to Lithuanian doctors by presenting cases diagnosed in Lithuania and diagnostic criteria as well as by reviewing information published in the literature.Methods. Two clinical cases are described. Mal de Debarquement syndrome was diagnosed for two middle-aged women after air travel. Both women complained of sudden dizziness after the trip, however, neuro-otological examination had not revealed any pathology. In the literature review, 21 articles are overviewed describing the Mal de Debarquement syndrome.Results. Diagnostic criteria that helped to diagnose the Mal de Debarquement syndrome in 2016 are presented. A diagnostically significant feature of MdDS is a reduction in symptoms after the patient returns to passive motion. MdDS is often accompanied by anxiety and depression. Research shows that stress-reducing therapy, medications for migraine prophylactic, and lifestyle changes are effective in reducing symptoms and improving the quality of life.Conclusions. MdDS is still a rarely diagnosed disorder in many countries. Clinical symptoms and history of long-term passive motion is especially important for the diagnosis. Neurootological examination is required for differential diagnosis from other clinically similar diseases.
KEDUDUKAN DAERAH K¬HUSUS PROVINSI PAPUA DAN PAPUA BARAT DALAM NEGARA KESATUAN REPUBLIK INDONESIA
Authors: Hadi Syofyan , Bernada Yaffed Septian Bernada 
Published: February 2019

Indonesia adalah negara kesatuan yang menggunakan konsep desentralisasi. Desentralisasi diwujudkan dalam bentuk otonom daerah. Otonomi daerah memberikan kewenangan kepada daerah otonom untuk mengatur dan mengurus urusan pemerintahan. Praktek otonomi daerah dalam negara kesatuan tidak selalu sama, karena dipraktekkan juga otonomi daerah yang asymmetric. Salah satu bentuk otonomi daerah yang asymmetric adalah otonomi khusus. Salah satu daerah yang berstatus otonomi khusus adalah Provinsi Papua dan Papua Barat. Karenanya dalam melaksanakan otonomi daerah, Provinsi Papua dan Papua Barat mempunyai kekhususan dalam melaksanakan kewenangan yang dimiliki. Namun demikian, pelaksanaan kekhususan yang dimiliki oleh Provinsi Papua dan Papua Barat tetap dalam kerangka Negara Kesatuan Republik Indonesia.
Self-efficacy among patients with chronic diseases and its associated factors
Authors: Shakya Dayana 
Published: February 2019

Background: Chronic diseases are in an increasing trend worldwide. Although, this rise may be due to a number of factors, one reason for the worldwide increase is due to better treatment protocols and higher awareness among patients. The management of chronic disease depends on the patient’s ability to alter the modifi able risk factors. The burden of disease can be decreased with better self- efficacy.
Objectives: To assess the self-efficacy among patients with chronic diseases
Methodology: In this descriptive, cross sectional study, data was collected purposively from 329 patients with chronic diseases presenting in the Medical outpatient department of Kathmandu Medical College. Face to face interview method was used to collect data using Chronic Disease Self-efficacy Scale and Patient Assessment Chronic Illness Care Questionnaire. Association with selected socio demographic variables were computed with Mann Whitney U and Kruskal Wallis H tests.
Results: The mean age of the patients was 62±13 years. Males, those earning, those never admitted in the hospital for their disease and those who exercised were found to have better self-efficacy. There was significant difference in self-efficacy in terms of age, education, marital status, caregivers and body mass index. Self-efficacy showed significant positive correlation with monthly family income and health care provider score whereas significant negative correlation with age and monthly cost of treatment.
Conclusion: Self-efficacy of patients with chronic disease can be improved with certain modifiable factors like daily exercise and appropriate body mass index. Younger patients, males, educated, employed and married patients were found to have better self-efficacy. Proper counselling by health care providers also improves self-efficacy.
Pengaruh Kepatuhan dan Ketepatan Waktu Minum Obat Terhadap Tekanan Darah Pasien Hipertensi Primer
Authors: Nopitasari Baiq Leny , Adikusuma Wirawan , Qiyaam Nurul , Fatmala Ayu 
Published: February 2019

Hipertensi merupakan penyakit seumur hidup yang tidak bisa disembuhkan secara permanen sehingga banyak pasien yang jenuh dan tidak patuh dalam pengobatan yang menyebabkan tidak terkontrolnya tekanan darah. Salah satu faktor yang mempengaruhi tekanan darah pasien hipertensi yaitu tingkat kepatuhan dan waktu minum obat yang tepat. Tingkat kepatuhan penderita dalam minum obat merupakan salah satu faktor yang menentukan keberhasilan terapi, terutama untuk penyakit hipertensi. Penggunaan amlodipin di RSUD Provinsi NTB untuk pasien hipertensi bervariasi yaitu menggunakan 5 mg dan 10 mg dan belum ada ketentuan dalam penggunaannya, sebagian dokter memberikan terapi pagi hari dan sebagian juga memberikan terapi malam hari. Penelitian ini bertujuan untuk mengetahui pengaruh kepatuhan dan ketepatan waktu minum obat terhadap tekanan darah pasien hipertensi primer. Penelitian ini menggunakan desain kuasi-eksperimental dengan mengambil data pasien secara prospektif selama periode Juli-Oktober 2018. Populasi yang digunakan adalah pasien yang menjalani rawat jalan di poliklinik jantung dan poliklinik penyakit dalam RSUD Provinsi NTB, sedangkan sampel penelitian adalah pasien yang menjalani rawat jalan di poliklinik jantung dan poliklinik penyakit dalam RSUD Provinsi NTB dengan diagnosa utama hipertensi dan diberikan terapi tunggal amlodipin 5 mg selama periode penelitian. Teknik pengambilan sampel dengan menggunakan total sampling. Data yang didapatkan selanjutnya akan dianalisis statistik menggunakan program SPSS versi 16.0.Abstract:: Hypertension is a condition where there is an increase in blood pressure which gives a continuing symptom for the organ. There were so many research has been done on anti-hypertensive drugs. One of them is a study of Amlodipine, which claimed that there were differences in blood pressure in the use of amlodipine at the morning and night in 24-hour blood pressure profile against the calcium channel blockers. The aim of this study was to compare the effects of amlodipine administration on blood pressure in primary hypertensive patients which is given in the morning with those given at night and the adherence to taking medication. This research used quasi experimental design by taking prospective data of the patients. The study was done at the Regional Hospital of West Nusa Tenggara Province (NTB Provincial Hospital). The research sample consisted of 30 out patient of NTB Provincial Hospital with a primary diagnosis of hypertension that given with single therapy of amlodipine. The results of this study showed that there was no significant difference in blood pressure reduction (systole and diastole) of primary hypertension outpatient and there was a significant effect of systolic blood pressure based on the adherence of taking medication. However, there was no significant effect between adherence of taking medication and diastole blood pressure.
Management of Explosions and Blast Injuries after Gërdec Tragedy, Albania.
Authors: Dogjani Agron , Jonuzi Engjellushe , Osmanaj Shkelzen , Gradica Fadil , Celami Rustem , Latifi Rifat 
Published: February 2019

Background: In the last decade, the risk of terrorist attacks has increased largely almost worldwide. In this setting, disaster response personnel must understand the unique physiopathology of injuries as-sociated with explosions and must be prepared to assess and treat the people injured in such tragedies. The ammunition explosion in Gërdec, Vora, just 13 miles from the capital of Albania, Tirana, confronted our country with a real human tragedy with severe casualties. The striking force of the two consecutive explosions resulted in two consecutive earthquakes with respectively an amplitude of 9.2 and 2.5 on the Richter scale.
Objective: To explain the classification of explosives and in connection with it to identify the major types of explosive and blast injuries, and the management options in the cases of explosions and blast injuries.
Material & Methods: Efforts to dismantle Albania’s stockpiles of obsolete munitions took a catastroph-ic turn on March 15th, when a series of explosions occurred as crews were clearing out a storage depot in Gërdec, on 15th of March 2008, at 12:15 AM hours. Gërdec is located 10 km northwest of the capital of Albania, Tirana; near the national highway Tirana-Durres and at a distance of 3-4 km in air line from National Airport. Data presented here were collected from the patients’ files in our Trauma UHC and from the official reports from the different governmental offices.
Conclusion: The explosive and blast injuries now present a true modern epidemic disease that threat-en the very survival of the free world. A thorough understanding of detonation and blast dynamics by the treating teams is required to better correlate the injury patterns presented. This is also critical for revision of current multiple casualty protocols. It is up to the medical establishment to prepare suitable protocols, coordinate manpower and secure medical resources to successfully handle such events.