bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kesesuaian ukuran kanalis spinalis lumbal berdasarkan Ultrasonografi dengan MR-Myelografi pada penderita nyeri punggung bawah
Authors: Jufianti Emilya , Ilyas Muhammad , Murtala Bachtiar , Zainuddin Andi Alfian , Kaelan Cahyono , Muis Mirna 
Published: September 2019

Tujuan: Penelitian ini bertujuan menilai kesesuaian ukuran kanalis spinalis lumbal berdasarkan ultrasonografi dengan MR myelografi lumbosakral pada penderita Nyeri Punggung Bawah (NPB). Metode: Penelitian ini menggunakan desain observasi cross-sectional dan dilakukan di Bagian Radiologi RSUP Dr. Wahidin Sudirohusodo Makassar dari November 2018 - Februari 2019. Sampel penelitian sebanyak 54 dengan 22 sampel eksklusi dan 32 sampel inklusi. Dari 32 sampel pada level L3-L4 sebanyak 27 sampel normal dan 5 sampel stenosis, level L4-L5 sebanyak 21 sampel normal dan 11 sampel stenosis, level L5-S1 sebanyak 28 sampel normal dan 4 sampel stenosis. Data dianalisis dengan analisis statistik melalui uji korelasi Person. Hasil: Hasil penelitian menunjukkan terdapat kesesuaian ukuran kanalis spinalis lumbal berdasarkan ultrasonografi dengan MR myelografi lumbosakral pada penderita NPB pada level L3-L4 dengan nilai p=0,001 (<0,05) dan memiliki kekuatan hubungan kuat dengan nilai r=0,985. Data juga menunjukkan bahwa terdapat kesesuaian antara hasil MR myelografi dengan Ultrasonografi lumbosakral pada level L4-L5 dengan nilai p=0,001 (<0,05) dan memiliki kekuatan hubungan kuat dengan nilai r=0,987. Data juga menunjukkan bahwa terdapat kesesuaian antara hasil MR myelografi dengan Ultrasonografi lumbosakral pada level L5-S1 dengan nilai p=0,001 (<0,05) dan memiliki kekuatan hubungan kuat dengan nilai r=0,973. Simpulan: Terdapat kesesuaian ukuran kanalis spinalis lumbal berdasarkan ultrasonografi dengan MR myelografi lumbosakral pada penderita NPB.
Tracing local and regional clusters of carbapenemase-producing Klebsiella pneumoniae ST512 with whole genome sequencing, Finland, 2013 to 2018
Authors: van Beek Janko , Räisänen Kati , Broas Markku , Kauranen Jari , Kähkölä Arja , Laine Janne , Mustonen Eeva , Nurkkala Tuija , Puhto Teija , Sinkkonen Jaana , Torvinen Senja , Vornanen Tarja , Vuento Risto , Jalava Jari , Lyytikäinen Outi 
Published: September 2019

Background
Two epidemiologically-unrelated clusters of Klebsiella pneumoniae carbapenemase (KPC)-producing K. pneumoniae were detected among several healthcare facilities (HCF) in Finland by routine surveillance using whole genome sequencing (WGS).

Aim
The objective was to investigate transmission chains to stop further spread of the responsible strain.

Methods
In this observational retrospective study, cases were defined as patients with K. pneumoniae KPC-3 sequence type (ST)512 strain detected in Finland from August 2013 to May 2018. Environmental specimens were obtained from surfaces, sinks and toilets in affected wards. WGS was performed on K. pneumoniae cultures using Illumina MiSeq platform and data were analysed using Ridom SeqShere software K. pneumoniae core genome multilocus sequence typing (cgMLST) scheme. Epidemiological information of the cases was provided by HCFs.

Results
We identified 20 cases in six HCFs: cluster 1 included 18 cases in five HCFs and cluster 2 two cases in one HCF. In cluster 1, a link with a foreign country was unclear, 6/18 cases without overlapping stay had occupied the same room in one of the five HCFs within > 3 years. In cluster 2, the index case was transferred from abroad, both cases occupied the same room 8 months apart. A strain identical to that of the two cases in cgMLST was isolated from the toilet of the room, suggesting a clonal origin.

Conclusions
The clusters were mostly related to case transfer between facilities and likely involved environmental transmission. We show that CPE surveillance using WGS and collaboration between hospitals are crucial to identify clusters and trace transmission chains.
ANALISIS EFEKTIFITAS PROGRAM BANTUAN KEUANGAN KHUSUS (BKK) GERBANGSADU MANDARA DI KABUPATEN KARANGASEM TAHUN 2017 (STUDI KASUS PADA 18 DESA KAWASAN RAWAN BENCANA ERUPSI GUNUNG AGUNG)
Authors: Laksmana Komang Agus Rudi Indra , Merta I Ketut 
Published: September 2019

Karangasem Regency is one of the regencies in Bali which has the highest poverty rate in Bali, The Gerbangsadu Mandara program in 2016 has been distributed in 54 villages with an average budget of 1 billion rupiah per village. However, in mid 2017 the eruption of Mount Agung erupted causing economic paralysis in 22 affected villages in Karangasem Regency. Among them 18 villages are disaster prone areas (KRB) are recipients of the Gerbangsadu Mandara program. Indicators in measuring effectiveness used are performance measurement instruments for 2016-2018 in the form of CCR, ROI, LAR financial ratios aimed at measuring health and its relation to the readiness of citizens to receive further intervention from the government for the following year. The problems to be solved in this study are: How is the effectiveness of Gerbangsadu Mandara Special Financial Assistance (BKK) in 18 villages of Mount Agung Eruption in Karangasem Regency as seen from Cost Coverage Ratio (CCr), Return on Investment (ROI), and Loan at Risk (LAR). The results showed that during the period 2016-2018, the average performance of 18 Bumdes in Karangasem Regency for a Cost Coverage Ratio (CCr) ratio of 183% (very satisfying), Return on Investment (ROI) of 7% (quite satisfactory), and Loan at Risk (LAR) of 19% (minimum). Paired T-test shows that Sign.2-tailed value is greater than 0.05, it means that financial performance before and after the eruption of Mount Agung did not occur a significant significant difference. The conclusion is that the Bumdes financial performance in Karangasem Regency is not affected by the risk of the eruption of Mount Agung. The limitation of the research lies in the object of research at one financial institution that is Bumdes, further research this concept can be tested at other financial institutions such as Village Credit Institutions, Banks and Cooperatives.
Hubungan Letak Lesi Strok Iskemik dengan Kualitas Tidur di RSAU dr. M. Salamun Bandung
Authors: Tursina Alya , Widayanti Widayanti , Putra Ariko Rahmat 
Published: September 2019

Prevalensi strok di Indonesia terus meningkat seiring dengan usia harapan hidup yang semakin meningkat dan menyebabkan banyak kematian. Pasien strok terutama strok iskemik dapat mengalami berbagai macam gangguan tidur. Macam gangguan tidur pada penderita strok bergantung pada defisit neurologis yang dialaminya. Tujuan penelitian ini mengetahui hubungan lokasi lesi strok iskemik daerah kortikal dan subkortikal dengan kualitas tidur menggunakan pemeriksaan Pittsburgh Sleep Quality Index (PSQI) di RSAU dr. M. Salamun Bandung. Penelitian ini merupakan penelitian observasional dengan rancangan penelitian potong lintang. Penelitian dilakukan terhadap 38 penderita yang pertama kali didiagnosis strok iskemik yang dirawat inap di Bagian Neurologi RSAU dr. M. Salamun Bandung pada bulan Juni sampai Oktober 2016. Instrumen penelitian berupa kuesioner PSQI yang dilakukan pada hari ke-7 pasien dirawat inap. Statistical for Social Science (SPSS) versi 17 digunakan untuk mengolah data. Hasil penelitian menunjukkan terdapat hubungan bermakna lokasi lesi strok iskemik daerah kortikal dan subkortikal dengan kualitas tidur (p=0,215). Penderita strok iskemik dengan lokasi lesi hipodens subkortikal yang mengalami gangguan kualitas tidur sebesar 82,1% dan lokasi lesi hipodens kortikal sebesar 33,3%
Status of Perinatal Mortality in Karnali Academy of Health Sciences, Jumla Nepal
Authors: Sindan Namrata , Shrestha Sandeep , Acharya Bishnu Dutta , Rai Purnima , Kayastha Nirajana , Bhandari Adheesh , Sindan Namita 
Published: September 2019

Introduction: Perinatal mortality rate is sensitive indicator of quality of obstetric and pediatric health services. It also helps us to evaluate efficiency of health care provided by a particular hospital. The aim of this study was to evaluate the cause of perinatal death in a tertiary care medical centre, which may help to reduce the incidence of perinatal death and improve the quality of care.
Methods: The two-year retrospective study of perinatal deaths was done at Karnali Academy of Health Sciences (KAHS), Jumla from March 2017 to April 2019. Data was collected from monthly perinatal audit and annual mortality reviews. Registers in the maternity ward, sick Neonate Care Unit, and files of dead newborns kept in the record section of the hospital were studied and reviewed.
Results: A total of 1354 deliveries were conducted in the 24 months period at KAHS with perinatal mortality rate of 36.08 per 1000 total birth and early neonatal death rate of 12.8 per 1000 live birth. The Perinatal mortality was higher in low birth weight and premature baby. The cause of stillbirth and early Neonatal death were identified. Most of the early neonatal death was due to Prematurity (41.17%) followed by Birth Asphyxia and Neonatal Sepsis.
Conclusion: Prematurity and its related complication were the most common cause of early neonatal death followed by birth Asphyxia and Neonatal Sepsis. There is need to improve antenatal, early identification of high-risk pregnancy as well as Neonatal Intensive Care Unit (NICU) to further reduce deaths due to prematurity and birth asphyxia.
'Tobacco Thrives, but the Environment Cries': The Sustainability of Livelihoods from Small-Scale Tobacco Growing in Zimbabwe, 2000-2017
Authors: Nyambara Pius S. , Nyandoro Mark 
Published: September 2019

Abstract
This study analyses the environmental consequences of the introduction in 2000 of the volatile Fast Track Land Reform Programme (FTLRP) and the sustainability of livelihoods among small-scale African tobacco-farmers following the reform programme. Tobacco was significant in the colonial cash economy and remains a key cash crop in post-colonial Zimbabwe since 1980. Much of the extant tobacco literature focuses on white-settler tobacco farming in colonial and post-colonial Zimbabwe. This study adds to and builds upon an emerging scholarship on African small-scale tobacco producers. Some of the scholars studied the institutional history of tobacco growing and the associated tobacco research and others focused on marketing boards. Geist's work is particularly significant for this study because it examines the environmental impacts of tobacco growing in the developing world. This paper focuses on smallholder flue-cured tobacco growing in Zimbabwe. It observes that the post-independence government made concerted efforts to promote small-scale tobacco-farming through the land resettlement programme and the provision of incentives for increasing agricultural output as well as accelerated black farmers' involvement in the growing of commercial crops, notably tobacco and cotton. The study explores links between the FTLRP and the increase in smallholder tobacco growers and the resulting ecological and livelihood impacts. While tobacco and some tobacco growers appeared to thrive, the environment suffered. Using qualitative and quantitative research approaches and methods like interviews, direct observation, published secondary material, contemporary newspapers and Tobacco Industry and Marketing Board (TIMB) resources, the paper demonstrates that the FTLRP marked the drive to change livelihoods among Zimbabwean farmers.
Conflict, Livelihoods and Survival among Miners and Farmers in Gweru's Greenvale, 2000-2016
Authors: Munhenzva Petronella Munyaradzi , Chimhete Nathaniel , Kufakurinani Ushehwedu 
Published: September 2019

Abstract
The paper analyses the interface of conflict, livelihoods and survival in a peri-urban region where mining and farming core-exist. We use the case study of Greenvale, a peri-urban area in Gweru, a city in the Midlands Region of Zimbabwe. Gweru is the fourth largest city in the country after Mutare, Bulawayo and Harare. We explore how the co-existence of mining and farming generated conflict, which delayed sustainable livelihoods and maximum benefit from the exploitation of the environment through mining and farming. The conflicts, which pitted miners against farmers, farmers against farmers and miners against miners, manifested themselves in physical violence, accusations of thefts and contestations over plots, among others. The conflicts bred uncertainty, distrust and in the process compromised on sustainable investment in the exploitation of the environment, be it through mining or farming.
Sustainable Livelihoods and Artisanal Mining in Marange, Zimbabwe, 2006-16
Authors: Kusena Bernard , Makombe Eric Kushinga 
Published: September 2019

Abstract
The recent discovery of alluvial diamonds in Marange, Zimbabwe, has rekindled the interest of environmental scholars in critiquing the political economy of artisanal mining. The increasing recurrence of this 'illegal' small-scale mining has partly been attributed to its 'lucrative' nature, but more importantly as a safety net to the deepening crises rooted in the country's adverse economic climate in the period under review. The economic structural adjustments during the 1990s, the hefty off-budget gratuities awarded to restive war veterans in 1997, the country's ill-fated intervention in the DRC war in 1988 and the violent land seizures of the early 2000s have contributed to this prolonged setback. This paper first assesses the sustainability of artisanal mining as a livelihood option mostly for the unemployed. It appears that diamond mining produced positive outcomes for some, but by no means all, artisanal miners who accumulated considerable wealth in cattle and real estate. Others failed to break through altogether, suffering heavy losses, including deaths under mining pits. The paper then explores the effects of artisanal mining on the physical environment, including river denudation and soil erosion, deforestation, creation of wastelands and pollution of water bodies. The overriding argument of this study is that artisanal mining has continued to be a sustainable livelihood avenue in spite of its well-known negative impacts. The study is based on semi-structured interviews conducted between 2015 and 2017 with artisanal miners, security personnel, rural district councillors, environmental authorities and former employees of defunct mining firms in Marange. Other sources of data included community-based organisations and civil society groups, as well as newspapers that reported on the unfolding events in Marange at the time.
Italian Environmental Historiography in the New Millennium: Four 'Short Histories'
Authors: Palmieri Walter 
Published: September 2019

Abstract
Between 2004 and 2015, after a decade of research and publications, four books on environmental history were published in Italy. The word 'short' appears in all their titles. Starting from this curious coincidence, this essay analyses, via the use of such books, the way through which the new historical paradigm has been addressed in Italy. It focuses on a wide range of issues, including epistemological definition, historical periodisation, fields of research, and the relationships between environmental history and other areas of history and natural sciences.
The FDA’s Message Testing: Putting health literacy advice into practice
Authors: Duckhorn Jodi , Lappin Brian , Weinberg Jessica , Zwanziger Lee L. 
Published: September 2019

Acting on health literacy principles in a large agency requires not only knowledge of the research base, but also creative work to implement the concepts in practice. Sound scientific advice needs practical development, shaped for the specific working environment. For example, the U.S. Food and Drug Administration (FDA) needs to test communications with intended audiences, but must work within constraints including: Widely varied audiences Significant time pressure Complying with multiple reviews designed to protect potential message testers Testing messages with the intended audiences is a basic communications responsibility, not just an option. Yet, how to do the testing can be challenging. The FDA’s experience suggests two practical approaches for user testing: Internal message testing with a network of employee volunteers External message testing with consumer panelists The report briefly explains how the FDA assesses some public communication internally and externally to attain insights about a target audience or a health message as well as discover how a communication might be modified to improve its usability by an intended audience. The report suggests internal or external message testing is superior to controls (no testing) and such testing can be accomplished by a large governmental agency embedded within a complex regulatory environment.
The Universal Patient Language: A set of resources and tools to design patient communications that support better health literacy
Authors: Bartlett Susan , Dezii Christopher , Sandt Kimberly 
Published: September 2019

Recently, pharmaceutical companies have increased their focus on engaging with patients, following trends toward patient centricity and delivering services around individual drugs. Meanwhile, the U.S. Food and Drug Administration has released draft guidance on disclosing risk information in consumer-directed materials that recommends against verbatim presentations of the risk-related sections within prescribing information, as this may be of limited value to consumers who lack medical or scientific training. In this context, Bristol-Myers Squibb set out to build an organizational capability to communicate complex health topics to patients called the Universal Patient LanguageTM, or UPL. In this report, the authors explore health literacy considerations within the pharmaceutical industry; introduce the UPL; explain how human-centered service design methods were deployed to build the UPL; and present two UPL case studies.
Tren-Tren Wacana Studi Al-Qur’an dalam Pandangan Orientalis di Barat
Authors: Anshori Muhammad 
Published: September 2019

This paper discusses about the history or trend of the Qur’anic studies in the West in general which is still developing until now. There are three focuses of discussion in this paper, namely the history of the translation of the Qur›an, Jewish-Christian Influences on the Qur›an, and a critical study of the Qur›an. Before discussing this matter, this paper also discusses a little about Mushaf ‘Usmānī or what is now called the Qur›an. The beginning of the study of the Qur›an in the West began with translation and later developed into a critical study of the Qur›an itself. The first translation of the Qur’an was carried out by Peter the Venerable and Abbot of Cluny in Latin. This translation was later refined by Robert of Ketton in 1143. After being translated, it was only published for the first time in 1543 AD. After the translation of this translation, it was later followed by other translations in various languages. The study of the Qur’an began to draw attention in the West when Theodor Nӧldeke wrote a book on the history of the Qur’an (Geschichte des Qorāns/Tārīkh al-Qur’ān, The History of The Qur›an). Some Western scholars said that the Qur›an has been influenced by the Judeo-Christian tradition and thus has some similarities. Some Western scholars also conduct critical studies of the Qur’an, some even want to make another version of the Qur’an. The views of Western scholars who are «eccentric» have been denied by Muslim scholars themselves. It can be said that this paper discusses the Orientalist views of the Qur›an.
Pandangan Abdullah Saeed Pada Konsep Nasikh Mansukh
Authors: Kholily Aavi Lailaa 
Published: September 2019

Teori nasikh mansukh dari masa klasik hingga sekarang masih menjadi perdebatan antara ulama’ terkait kesepakatan dan penolakan. Dan di antara ulama’ yang sepakat adanya konsep nasikh mansukh dalam Alquran pun masing-masing memiliki kreteria sendiri-sendiri dalam menentukan konsep nasikh. Salah satu di antara ulama’ yang sepakat adalah Abdullah Saeed, beliau seorang mufasir kontemporer yang menawarkan metode baru dalam menafsirkan Alquran yakni metode kontekstualis sehingga pada makalah ini peneliti tertarik mengkaji konsep nasikh mansukh menurut Saeed, alasan Saeed sepakat dengan adanya konsep nasikh mansukh dan relavansi nasikh mansukh menurut Saeed dalam menafsiri dan memahami teks-teks Alquran. Hasil dari kajian ini, peneliti menemukan beberapa hal, yakni: konsep nasikh menurut Saeed adalah pencabutan hukum dengan hukum yang datang setelanya, alasan Saeed setuju dengan adanya nasikh mansukh dalam Alquran adalah sebagai bentuk kemudahan yang Allah berikan kepada umat sesuai dengan kondisi dan situasi kebutuhan umat, kemudian untuk relevansi nasikh menurut Saeed dalam menjadi pijakan untuk menafsiri ulang Alquran yang sudah tidak relevan agar bisa memenuhi kebutuhan umat yang sesuai dengan kondisi dan situasi.
Studi Tafsir Nusantara: Kajian Kitab Tafsir AG. H. ABD. Muin Yusuf (Tafsere Akorang Ma’basa Ugi) (tpeeser akor mbs agui)
Authors: Awwaliyah Neny Muthi’atul , Hamid Idham 
Published: September 2019

Kitab tafsir (Tafsere Akorang Ma’basa Ugi) merupakan kitab tafsir generasi kedua yang sebelumnya telah dipelopori oleh AG. Daud Ismail dengan kitab tafsirnya al-Munir. Karya ini merupakan kitab tafsir edisi kedua yang mampu melengkapi 30 juz dengan jumlah 11 jilid. Sedangkan bahasa yang digunakan ketika menafsirkan ayat al-Qur’an adalah huruf aksara Lontara’ Bugis yang merupakan bahasa Ibu dari suku Bugis-Makassar yang terdapat di wilayah Sulawesi Selatan. Umumnya metode yang digunakan dalam tafsir ini menggunakan metode tahlili. Kendati demikian, rasa ijmali juga menghiasi dalam sistematika pembahasan ayat. Pada awalnya, tafsir ini lahir dari proyek Muin Yusuf yang ketika itu menjabat sebagai ketua MUI Selawesi Selatan. Tafsir ini kemudian hadir di tengah-tengah masyarakat Bugis, sebagai alat komunikasi masyarakat awam sehingga mampu memahami kandungan al-Qur’an melalui penafsiran ayat al-Qur’an dengan aksara lontara Bugis sekaligus sebagai cerminan upaya vernakularisasi al-Qur’an dan bahasa Ibu.