bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preliminary Design Analysis of Regenerative Cooling for N2O/Alcohol Small Scale Liquid Rocket Engine
Authors: Palej Patryk , Palacz Tomasz 
Published: July 2019

Abstract
This paper presents a concept of a small scale liquid-propellant rocket engine designed in AGH Space Systems for sounding rocket. During preliminary design of thermal aspects various ways of cooling were evaluated and described. Possible issues and design approaches for ablative, radiation and regenerative cooling are raised. The authors describe available solutions. Regenerative cooling is especially concerned as it is most popular solution in bi-liquid engines, in which alcohol fuel acts as coolant and is preheated before it reaches combustion chamber. To estimate a possible temperature distribution - and thus an applicability of such a system in the engine - a mathematical model of heat transfer was developed. Unique element of said engine is its oxidizer - nitrous oxide, which have been rarely used to date. Comparison between typical LOX bi-liquids is given and major differences that affect cooling arrangement are discussed. The authors compared different combinations of coolants, fuel/oxidizer ratios etc. to optimize the temperature distribution which is a key factor for the engine performance.
Dutch Caribbean Poetics in a Historical Perspective
Authors: Rutgers Wim 
Published: July 2019

AbstractThis article provides an overview of two hundred years of Dutch Caribbean poetics: from Eurocentrism to originality, from imitation towards creation.In the 19thcentury colonial poets of the ABC islands followed European examples, in the beginning of the 20thcentury they searched for local themes and forms, and from the last decades of the 20thand in the beginning of the 21st centuries they combined the local and the global arriving at a creative amalgam of the glocal.
Pengaruh Pemberian Konseling Gizi terhadap Penurunan Kadar Kolesterol Darah
Authors: Al Rahmad Agus Hendra 
Published: July 2019

Technological and socioeconomic advances resulted in dietary changes from the traditional diet to the western diet such as high-calorie fast food and fat, thus impacting the high prevalence of cholesterol in the community. One effort to reduce blood cholesterol can be done through consultation or counseling with a nutritionist. The study aimed to measure the effect of nutritional counseling on the decrease of cholesterol. This quasi-experimental study has used a sample of 48 patients of health center in the Banda Aceh City, divided into case and control groups through non-random assignment. Cholesterol data obtained through laboratory blood tests, and the tool used for its testing is Autocheck Â with scale ratio, while the variable method of counseling is done face to face with a tool leaflet. Analysis using a t-test. The results showed a decrease in blood cholesterol in patients given nutritional counseling using a leaflet medium of 20,2 mg/dl (p=0,000), while in the control group (counseling without media) also showed a decrease in cholesterol levels of 6,9 mg/dl (p=0.001). Counseling methods using leaflets have a better value of effectiveness than without the media. Conclusion, the provision of nutrition counseling is very influential on the decline in blood cholesterol, and the use of media leaflets better in nutrition counseling. Suggestion, every health services should cooperate with universities to conduct nutritional counseling routinely and become one of program priority in the handling of degenerative diseases.
Kebutuhan Perawatan Periodontal pada Anak Berkebutuhan Khusus
Authors: Andriyani Desi 
Published: July 2019

<p>Penyebab utama penyakit periodontal adalah iritasi bakteri plak. Lapisan ini terbentuk dan melekat erat pada permukaan gigi bila seseorang mengabaikan kebersihan gigi dan mulutnya.Pembentukan plak gigi dipengaruhi oleh faktor predisposisi yang terdapat secara lokal pada lingkungan rongga mulut atau standar PH dimana kalkulus yang mempengaruhi kalsifikasi dari plak gigi berhubungan dengan lepasnya perlekatan periodontal pada individu dengan oral hygiene yang rendah. Penelitian ini bertujuan untuk mengetahui kebutuhan perawatan Periodontal pada anak berkebutuhan khusus di SLB Dharma Bakti. Penelitian ini merupakan penelitian observasional dengan jumlah sampel sebanyak 52 anak.Pengambilan data dilakukan dengan pemeriksaan menggunakan kaca mulut dan probe menggunakan CPITN, kemudian daata dicatat pada lembaran pemerikasaan CPITN. Hasil penelitian menunjukan kategori status penyakit periodontal dari 52 anak terdapat kondisi karang gigi 33 anak ( 63,46 % ) dan hasil ini menunjukan kategori kebutuhan perawatan dimana dengan kotegori tersebut harus dilakukan pembersihan karang gigi (<em>scalling</em>) dan pemberian pendidikan tentang kesehatan gigi dan mulut berupa penyuluhan.</p><p> </p>
PENGGUNAAN MEDIA KARTU BERGAMBAR DALAM KETERAMPILAN MENULIS KARANGAN SEDERHANA BAHASA JERMAN SISWA KELAS XI IPS SMA NEGERI 1 SEGERI KABUPATEN PANGKEP
Authors: Jannah Miftahul , Hasmawati Hasmawati 
Published: July 2019

Tujuan penelitian ini adalah untuk mendapatkan data tentang efektivitas media kartu bergambar dalam keterampilan menulis karangan sederhana bahasa Jerman siswa kelas XI IPS SMA Negeri 1 Segeri. Penelitian ini bersifat eksperimen yang mengumpulkan datanya melalui tes menulis. Adapun data penelitian ini dianalisis dengan analisis statistik inferensial uji-t. Populasi penelitian ini adalah siswa kelas XI IPS SMA Negeri 1 Segeri yang terdiri atas 4 kelas. Sampel yang digunakan sampel acak (Random Sampling). Jumlah sampel adalah 2 kelas yakni kelas XI IPS 1 sebagai kelas eksperimen yang terdiri dari 20 siswa dan kelas XI IPS 4 sebagai kelas kontrol yang teridir dari 20 siswa. Hasil analisis data menunjukkan t hitung 2,98 > t table 2,03 pada taraf signifikan 0,05. Hasil penelitian menunjukkan bahwa penggunaan media kartu bergambar efektif dalam keterampilan menulis karangan sederhana bahasa Jerman siswa kelas XI IPS SMA Negeri 1 Segeri
KEEFEKTIFAN PENGGUNAAN MEDIA BRETTSPIEL DALAM KETERAMPILAN BERBICARA BAHASA JERMAN SISWA KELAS X SMA NEGERI 11 MAKASSAR
Authors: Tenri Andi , Asri Wahyu Kurniati , Azizah Laelah 
Published: July 2019

Penelitian ini dilakukan untuk memeroleh data dan informasi mengenai keterampilan berbicara bahasa Jerman siswa dengan media Brettspiel.Penelitian ini adalah penelitian Quasi-eksperimen yang pengumpulan datanya melalui tes keterampilan berbicara.Data dianalisis dengan uji-t. Populasi penelitian adalah siswa kelas X yang berjumlah 132 siswa dari tujuh kelas. Sampel dalam penelitian dipilih secara. Data dianalisis menggunakan analisis Uji-t. Hasil penelitian menunjukkan bahwa thitung 6,16 ttabel 2,042 pada taraf signifikan 0,05. Hasil analisis data menunjukkan bahwa media Brettspiel efektif dalam keterampilan berbicara siswa kelas X SMA Negeri 11 Makassar
PERAN HUTAN TANAMAN RAKYAT DALAM MENINGKATKAN PENDAPATAN DI KESATUAN PENGELOLAAN HUTAN UNIT XIV GEDONG WANI
Authors: Faradhana Anniza , Herwanti Susni , Kaskoyo Hari 
Published: July 2019

Community Plantation Forests (CPF) have a very important role in increasing the income for people around the forest. This study aims to see the role of community plantations is in increasing the farmer’s income using Agrosilvopastura cropping pattern. Data collection used observation techniques, interviews, and literature studies. The sampling method used proportional simple random with the number of respondents as many as 90 farmers. Data analysis used income analysis. The results showed that the role of HTR was very influential for the income of farmers 66,25%, compared non CPT (33,75%) with an income value of Rp 2,258,050,000/KK/year or Rp 8,755,863/KK/month using the agrosilvopastura cropping pattern, which was a combination of various agricultural crops (64,20%), forestry (1,36%), and farm (0,69%). Training for farmers and forestry extension workers needs to be carried out to support activities to be more effective and extension workers need to take a more intensive approach to farmers so they can provide solutions and alternative solutions to problems in management.
¿Qué tienen en común Jacques Lacan y Don Draper?
Authors: Assef Jorge Pablo 
Published: July 2019

<span>Tanto en el caso de Freud como en el de Lacan, ambos supieron reconocer y adaptar su estudio a los desafíos que la experiencia clínica les presentaba, efectivamente a medida que estudiaban y desarrollaban su obra teórica, el siglo iba cambiando. Los analistas siempre somos testigos de esos cambios, vemos que las viejas dolencias de las señoritas victorianas que consultaban a Freud, no tienen mucha relación con las demandas más comunes de la actualidad. Bien, partimos de reconocer entonces que la clínica ha cambiado porque la subjetividad ha cambiado, por lo tanto también es conveniente reconocer que los modos de representación y ficcionalización de los temas de la época también han cambiado. Entre los nuevos modos de representación contemporáneos encontramos el lugar privilegiado de las Series de TV. El presente artículo retoma a partir de la serie </span><em>Mad Men</em><span> algunas características de la clínica contemporánea, las cuales ya estaban elucidadas en la enseñanza de Lacan.</span>
Editorial Vol.17(1)
Authors: Pant R.P. 
Published: July 2019

On 26th September 2018, Heads of States of different countries gathered at the United Nation General Assembly for the first-ever UN High-Level Meeting (HLM) on tuberculosis (TB) to accelerate efforts in ending TB. The theme of the meeting was “United to end tuberculosis: an urgent global response to a global epidemic”. This was a landmark opportunity to marshal the political will and resources to end TB. Together we can defeat TB and overcome antimicrobial resistance by closing the funding gap for TB research and product development through equitable approaches, securing universal access to new medicines and fostering global collaboration.
TB is an infectious disease with high mortality, the most common form of antimicrobial resistance and leading cause of death in people living with HIV/AIDS. World Health Organization declared TB as global emergency. Still, TB is second leading cause of death worldwide. A good percentage of people in the developing countries continue to suffer from this menace because of poverty, gender inequality, vulnerability, discrimination and marginalization. Millions of people with TB do not have access to quality care, including affordable diagnostic test and treatment facility and is a precarious challenge to end TB globally, as well as in SAARC Region.
It is estimated that one quarter of the world’s population is infected with TB bacteria. SAARC Region has 36% of the global TB burden with 3.7 million new TB cases and 0.5 million death. Moreover these morbidity and mortality occur mainly in the economically productive age groups of 15-49 years. In order to eliminate TB from the SAARC Region before the global target, the SAARC TB and HIV/AIDS (STAC) has revised “SAARC Regional Strategy on Elimination of Tuberculosis (2018-2023)”.
This year the world TB day theme was “Its time”. So it is time to involve policy makers to advocate and take active participation in the TB control programmes. The affected and infected people with this disease can bring positive changes by combining their voices towards the elimination of the disease. Now it is time to intensify advocacy, social mobilization, partnership, research and inter-sectoral efforts to achieve the global target of ending the TB epidemic by 2030.
Chief Editor Director, STAC
An Observational Study of Follow Up of MDR Tuberculosis Patients after Successful Completion of Category 4 Treatment under RNTCP (PMDT) in Allahabad District
Authors: Mahmood Tariq , Dwivedi P. , Shukla A.D. , Jain A.K. , Verma A.K. 
Published: July 2019

Introduction: Drug-resistant TB is a persistent threat, with 490 000 million cases of multidrug-resistant TB emerging in 2016.The countries with the largest numbers of MDR/RR-TB cases were China, India and the Russian Federation. Given the prolonged nature of MDR-TB, one might expect higher rates of chronic disability among cured patients with MDR-TB. To explore these questions, we conducted an observational study focusing on: clinical, bacteriological, biochemical and various health parameter status of successfully treated MDR-TB patients.
Methods: Subjects enrolled in study as per inclusion and exclusion criteria were assessed by recording of demographic data and were subjected to a predetermined set of questions for determining the history of previous anti tubercular treatment and exposure to various type of risk factor for development of MDR TB. Physical parameters of health were determined and recorded.
Results: Total of 84 patients were enrolled in our study (57-males, 27 females).69 subjects (46-males, 23-Females) were found apparently healthy. 25 subjects migrated outside.6 patients (male-6, Female-2) died.7 patients were diagnosed as XDR-TB (5-Males,2-Females).34 subjects (18- males, 16-females) (44.73%) were very under weight. Total 13 (Males-12, Females-1) out of 76 subjects (17.10%) were under weight. Mid arm circumference (MAC) of 35 out of 76(21- males, 18-females) subjects (46.05%) was below 5th percentile. Majority of subjects showed moderate & severe obstruction in PEFR.
Conclusion: This study shows that the community based standardized treatment regimen is effective as only one of the patients was bacteriologically positive on follow up. However, significant numbers of treated MDR-TB patients suffer from clinical, nutritional and functional post-treatment adverse events leading to some morbidity.
PENGARUH PEMBERIAN SUPLEMENTASI MINYAK ZAITUN TERHADAP PENURUNAN KETEBALAN EPITEL BRONKUS PADA MENCT ASMA YANG DIINDUKSI OVALBUMIN
Authors: Palupi Dian Arsanti , Hasanah Fajrunida Nur 
Published: July 2019

Asma merupakan inflamasi kronis dari saluran pernapasan yang kompleks dengan banyaknya sel yang berperan, khususnya sel mast, eosinofil, dan limfosit T dan ditandai oleh gejala yang variabel dan berulang seperti mengi, batuk, sesak napas, dan nyeri dada. Membuktikan dan menganalis pengaruh pemberian suplementasi minyak zaitun (Olea europaea L.) yang dikombinasi dengan Telfas OD terhadap penurunan ketebalan epitel bronkiolus dengan melihat gambaran histopatologi pada mencit asma. 25 ekor mencit jantan BALB/c umur 2-3 bulan, disensitisasi OVA secara intra peritoneal pada hari ke-0 dan ke-7 dan dibagi menjadi 5 kelompok. Kelompok I: normal tanpa perlakuan, Kelompok II: kontrol negatif diberi NaCl 0,9% Kelompok III: perlakuan Telfast OD 0,32 mg/hari p.o. Kelompok IV: perlakuan minyak zaitun 0,15ml/hari. Kelompok V: diberi kombinasi Telfas OD 0,015 ml / hari p.o dan minyak Zaitun 0,15 ml/ hari p.o. Hari ke-14, 15, 16, 17 ditantang oleh OVA 1% secara inhalasi dengan alat nebulizer selama 20 menit. Dua puluh empat jam setelah pemaparan akhir, mencit dikorbankan dengan dislokasi leher untuk duji histopatologi epitel bronkus. Kombinasi Telfast OD 0,32mg/hari dan minyak zaitun 0,15ml/hari menunjukan hasil penurunan ketebalan epitel bronkus yang paling baik dibandingkan dengan kelompok perlakuan lainnya. Pemberian suplementasi minyak zaitun (Olea europaea L.) yang dikombinasi dengan Telfas OD secara signifikan mampu menurunkan ketebalan epitel bronkus mencit asma. Kata kunci: Telfast OD, Minyak zaitun , Epitel bronkus
Results of 1940 embolizations for dural arteriovenous fistulas: Japanese Registry of Neuroendovascular Therapy (JR-NET3)
Authors: Hiramatsu Masafumi , Sugiu Kenji , Hishikawa Tomohito , Nishihiro Shingo , Kidani Naoya , Takahashi Yu , Murai Satoshi , Date Isao , Kuwayama Naoya , Satow Tetsu , Iihara Koji , Sakai Nobuyuki 
Published: July 2019

OBJECTIVEEmbolization is the most common treatment for dural arteriovenous fistulas (dAVFs). A retrospective, multicenter observational study was conducted in Japan to clarify the nature, frequency, and risk factors for complications of dAVF embolization.METHODSPatient data were derived from the Japanese Registry of Neuroendovascular Therapy 3 (JR-NET3). A total of 40,169 procedures were registered in JR-NET3, including 2121 procedures (5.28%) in which dAVFs were treated with embolization. After data extraction, the authors analyzed complication details and risk factors in 1940 procedures performed in 1458 patients with cranial dAVFs treated with successful or attempted embolization.RESULTSTransarterial embolization (TAE) alone was performed in 858 cases (44%), and transvenous embolization (TVE) alone was performed in 910 cases (47%). Both TAE and TVE were performed in one session in 172 cases (9%). Complications occurred in 149 cases (7.7%). Thirty-day morbidity and mortality occurred in 55 cases (2.8%) and 16 cases (0.8%), respectively. Non–sinus-type locations, radical embolization as the strategy, procedure done at a hospital that performed dAVF embolization in fewer than 10 cases during the study period, and emergency procedures were independent risk factors for overall complications.CONCLUSIONSComplication rates of dAVF embolization in Japan were acceptable. For better results, the risk factors identified in this study should be considered in treatment decisions.
Stereotactic radiosurgery with and without checkpoint inhibition for patients with metastatic non–small cell lung cancer to the brain: a matched cohort study
Authors: Shepard Matthew J. , Xu Zhiyuan , Donahue Joseph , Eluvathingal Muttikkal Thomas J. , Cordeiro Diogo , Hansen Leslie , Mohammed Nasser , Gentzler Ryan D. , Larner James , Fadul Camilo E. , Sheehan Jason P. 
Published: July 2019

OBJECTIVEImmune checkpoint inhibitors (ICIs) improve survival in patients with advanced non–small cell lung cancer (NSCLC). Clinical trials examining the efficacy of ICIs in patients with NSCLC excluded patients with untreated brain metastases (BMs). As stereotactic radiosurgery (SRS) is commonly employed for NSCLC-BMs, the authors sought to define the safety and radiological and clinical outcomes for patients with NSCLC-BMs treated with concurrent ICI and SRS.METHODSA retrospective matched cohort study was performed on patients who had undergone SRS for one or more NSCLC-derived BMs. Two matched cohorts were identified: one that received ICI before or after SRS within a 3-month period (concurrent ICI) and one that did not (ICI naive). Locoregional tumor control, peritumoral edema, and central nervous system (CNS) adverse events were compared between the two cohorts.RESULTSSeventeen patients (45 BMs) and 34 patients (92 BMs) composed the concurrent-ICI and ICI-naive cohorts, respectively. There was no statistically significant difference in overall survival (HR 0.99, 95% CI 0.39–2.52, p = 0.99) or CNS progression-free survival (HR 2.18, 95% CI 0.72–6.62, p = 0.11) between the two groups. Similarly, the 12-month local tumor control rate was 84.9% for tumors in the concurrent-ICI cohort versus 76.3% for tumors in the ICI-naive cohort (p = 0.94). Further analysis did reveal that patients receiving concurrent ICI had increased rates of CNS complete response for BMs treated with SRS (8/16 [50%] vs 5/32 [15.6%], p = 0.012) per the Response Assessment in Neuro-Oncology (RANO) criteria. There was also a shorter median time to BM regression in the concurrent-ICI cohort (2.5 vs 3.1 months, p < 0.0001). There was no increased rate of radiation necrosis or intratumoral hemorrhage in the patients receiving concurrent ICI (5.9% vs 2.9% in ICI-naive cohort, p = 0.99). There was no significant difference in the rate of peritumoral edema progression between the two groups (concurrent ICI: 11.1%, ICI naive: 21.7%, p = 0.162).CONCLUSIONSThe concurrent use of ICI and SRS to treat NSCLC-BM was well tolerated while providing more rapid BM regression. Concurrent ICI did not increase peritumoral edema or rates of radiation necrosis. Further studies are needed to evaluate whether combined ICI and SRS improves progression-free survival and overall survival for patients with metastatic NSCLC.
Ophthalmoplegic complications in transsphenoidal pituitary surgery
Authors: Florea Simona Mihaela , Graillon Thomas , Cuny Thomas , Gras Regis , Brue Thierry , Dufour Henry 
Published: July 2019

OBJECTIVEOphthalmoplegia is a rare complication of transsphenoidal surgery, only noted in a few studies. The purpose of this study was to analyze the complications of cranial nerve III, IV, or VI palsy after transsphenoidal surgery for pituitary adenoma and understand its physiopathology and outcome.METHODSThe authors retrospectively analyzed 24 cases of postoperative ophthalmoplegia selected from the 1694 patients operated via a transsphenoidal route in their department.RESULTSTwo patients were operated on via microscopy and 22 via endoscopy. Patients operated on endoscopically had a greater risk of presenting with an extraocular nerve deficit postoperatively (p = 0.0115). It was found that an extension into or an invasion of the cavernous sinus (Knosp grade 3 or 4 on MRI, 18/24 patients) was correlated with a higher risk of postoperative ophthalmoplegia (p < 0.0001). The deficit was apparent immediately after surgery in 2 patients. For these 2 patients, the mechanisms of ophthalmoplegia were compression or intraoperative nerve lesion. The other 22 patients became symptomatic in the 12–72 hours following the surgery. The mechanisms implied in these cases were intrasellar compressive hematoma (4/22 cases), intracavernous hemorrhagic suffusion, or incomplete resection of the intracavernous portion of the tumor. All patients who did not present with oculomotor palsy immediately after surgery completely recovered their deficits in the 3 months that followed, while the other 2 experienced permanent damage.CONCLUSIONSExtraocular nerve dysfunction after transsphenoidal pituitary surgery is a rare complication that occurs more frequently in the case of the invasion or an important extension into the cavernous sinus. In this series, it also appears to be significantly more frequent in patients operated on via an endoscopic approach. Most patients have deficits that appear with a delay of 12–72 hours postoperatively and they are most likely to completely recover.
Penerapan Self Monitoring Program Tingkat Aktifitas Fisik Usia Lanjut di Posyandu Anyelir Bekasi
Authors: Sarasati Budi , Widyasatuti Iin , Saridayani Rafi , Kurniasari Veny , Maarif Sofyan Farid 
Published: July 2019

Tujuan Pengabdian Masyarakat ini adalah untuk menerapkan alat monitoring aktifitas fisik untuk para lanjut usia yang tinggal di wilayah Puskesmas Aren Jaya Kecamatan Bekasi Timur kota Bekasi. Praktek monitoring aktifitas lansia menggunakan buku saku berjudul “FIT-Pro”, yang didalamnya terdapat PACE ( Patient-Centered Assessment and Counceling for Exercises ), yang dimodifikasi sesuai dengan aktifitas fisik usia lanjut di Indonesia. Alat ini untuk mengukur tingkat aktifitas fisik, dukungan sosial dan self-efficacy responden. Partisipan adalah masyakat kelompok umur usia lanjut yang ada di daerah tersebut di atas, berjumlah 35 orang. Pelaksanaan penerapan Self Monitoring Program melibatkan provider kesehatan di wilayah kerja Puskesmas Aren Jaya Kecamatan Bekasi Timur Kota Bekasi. Hasil pelaksanaan menunjukkan bahwa kelompok usia lanjut di wilayah Aren Jaya belum melaksanakan self monitoring aktifitas kesehatan fisiknya secara teratur. Kesimpulan nya adalah Self Monitoring Program dapat diterapkan untuk lanjut usia dalam mempertahan aktifitas fisik sehari-hari, agar tercapai kesehatan yang optimal. Selama pelaksanaan Self Monitoring Program para lansia dan keluarga mencatat hambatan yang dirasakan, agar pedoman dapat direvisi dan disempurnakan guna kesejahteraan para usia lanjut.