bluuebunny/crossref_metadata_2025_split huggingface dataset:
PELATIHAN PELAYANAN PRIMA TENTANG PERILAKU PEMBERI LAYANAN DI KELURAHAN SIDOMULYO BARAT KECAMATAN TAMPAN KOTA PEKANBARU
Authors: Saputra Trio , Utami Bunga Chintia 
Published: January 2019

Tujuan pengabdian ini adalah memberikan pemahaman dan ketrampilan kepada aparatur kantor keluarahan sidomulyo barat kecamatan tampan tentang perilaku pemberi layanan. Materi yang diberikan mengenai peraturan Menteri Negara Pendayagunaan Aparatur Negara No 7 tahun 2010 tentang pedoman penilaian kinerja unit pelayanan publik, indikator yang dinilai dalam Penghargaan Citra Pelayanan Prima (CPP) yang digelar Kementerian Pendayagunaan Aparatur Negara dan Reformasi Birokrasi ( Kemenpan-RB) menilai bahwa pelayanan prima dapat dilihat dari visi, misi, sumber daya dan sarana prasarana. tidak hanya dari sisi kemampuan dan kompetensi tetapi juga sikap dan perilaku SDM di lini terdepan layanan. Pengabdian ini dilaksanakan dikantor kelurahan sidomulyo barat kecamatan tampan kota pekanbaru. Metode yang digunakan dengan memberikan materi pelatihan melalui persentasi dan pelatihan perilaku pemberi layanan. Capaian pengabdian ini adalah terlaksanaanya kegiatan pengabdian sesuai dengan yang diharapkan dengan adanya perubahan mindset aparatur sipil negara dalam melayanan masyrarakat, jumlah peserta pengabian ini sebanyak 12 orang aparatur sipil negara kantor kelurahan. Peserta mendapatkan pemahaman dan ketrampilan tentang perilaku pemberi pelayanan untuk mewujudkan pelayanan prima.Kata kunci : perilaku pemberi layanan, pelatihan, kelurahan, aparatur sipil negara ABSTRACT The purpose of this dedication is to provide understanding and skill to the office apparatus offices sidomulyo west of handsome district about the behavior of service providers. The material given on the regulation of the State Minister of Administrative Reform No. 7 of 2010 on guidelines for the appraisal of the performance of public service units, the indicators assessed in the Prime Services Service Award (CPP) held by the Ministry of Administrative Reform and Bureaucracy Reform (Kemenpan-RB) Prime can be seen from the vision, mission, resources and means of infrastructure. Not only in terms of ability and competence but also attitudes and behavior of HR in the forefront of service. This devotion is held in the office of the subdistrict of Sidomulyo Barat in the handsome sub-district of Pekanbaru city. The method used by providing training materials through the presentation and training of the service provider's behavior. The achievement of this devotion is the implementation of service activities in accordance with the expected with the change of mindset of state civil apparatus in serving society, the number of this propagation participants as many as 12 civil servants of state office of kelurahan. Participants gain understanding and skills about the behavior of service providers to realize excellent service. Keywords: behavior of service providers, training, kelurahan, civil state apparatus
Narrative Review: KEPUASAN PASIEN GAGAL GINJAL TERHADAP PELAYANAN DI UNIT HEMODIALISIS
Authors: Susanti Linda , Achmad Engkus Kusdinar 
Published: January 2019

Kepuasan pasien terhadap suatu pelayanan kesehatan, bahwa persepsi sesuai atau lebih dari yang diharapkan pasien, maka pasien akan merasa puas atau sangat puas. Pasien yang merasa puas akan loyal terhadap instansi pelayanan kesehatan tersebut. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan antara kepuasan pasien gagal ginjal selama pelayanan di unit hemodialisis melalui artikel review sistematik. Metode penelitian dengan review sistematik dilakukan dengan mencari artikel yang terkait dengan kepuasan pasien gagal ginjal selama pelayanan hemodialisis yang sudah dipublikasikan dalam jurnal-jurnal. Penelusuran literatur dilakukan pada bulan Juni - Agustus 2017 melalui perpustakaan online UI dan google scholar, kemudian masuk online database list dan memilih database yang diinginkan. Jurnal diseleksi berdasarkan kriteria inklusi dan kriteria ekslusi dilakukan proses critical appraisal. Hasil dari sistematik review terhadap 4 jurnal yang sudah dipublikasikan menunjukkan secara statistik terdapat faktor-faktor yang mempengaruhi tingkat kepuasan pasien terhadap mutu pelayanan unit hemodialisis. Pengukuran tingkat kepuasan pasien dapat menjadi bahan evaluasi suatu organisasi dalam perbaikan dan peningkatan mutu pelayanan.
PENGEMBANGAN PROTOTYPE SISTEM INFORMASI AKADEMIKBAGI SMPIT TARUNA INSANI MANDIRIKELURAHAN SASAK PANJANG, KABUPATEN BOGOR
Authors: Zaidiah Ati , Isnainiyah Ika Nurlaili , Widiastiwi Yuni , Ernawati Iin 
Published: January 2019

The rapid development of education and information technology requires each agency to improve the quality and service mechanisms in the field of education. The purpose of conducting science and technology program for the community is to implement information technology in SMPIT Taruna Insani Mandiri and to become a solution in resolving the problems occurred. The benefits obtained from the science and technology program for the community is the effective and efficient of academic administrative activities which will accelerate the academic services at school. Observing the school needs of Information System Academic Administration (SIAKAD) and the needs of utilizing information technology to facilitate academic activities at school, the Faculty of Computer Science-UPN "Veteran" Jakarta launched the Science and Technology for Society/Communiy (IbM) program in the form of SIAKAD application design by applying one of the User-Centered Design methods which has been tested using System Usability Scale (SUS). IbM implementation is done in several stages, namely problem identification, system analysis, SIAKAD design, SIAKAD implementation and training SIAKAD. While the draft of IbM activity is divided into two activities, which are the manufacture and application of SIAKAD, and second activity is SIAKAD training application usage for teachers, staff and students in the future.
SIFAT MEKANIS KOMPOSIT POLIMER HIBRID DIPERKUAT SERAT SABUT KELAPA-E-GLASS
Authors: Mawardi Indra , Hanif Hanif 
Published: January 2019

Penelitian ini bertujuan untuk untuk mendapat sifat mekanis yang optimal dari komposit hibrid yang diperkuat serat sabut kelapa dan E-glass. Komposit dibentuk dari polimer unsaturated polyester resin BQTN 157-EX sebagai matriks dan penguat perpaduan serat sabut kelapa dan serat sintetis (E-glass). Serat E-glass yang digunakan adalah jenis chop strand mat (CSM) dan woven roving (WR). Komposit hibrid dibentuk secara hand lay–up dengan enam lapis serat yang disusun dengan tiga macam variasi, yaitu variasi 1 [CSM/SSK/WR]2, variasi 2 [WR2/SSK2/WR2], dan variasi 3 [CSM/SSK/WR2/SSK/CSM]. Spesimen dibentuk mengikuti standard ASTM D 3039 untuk uji tarik dan ASTM D 790-81 untuk uji bending. Hasil pengujian memperlihatkan susunan jenis serat dan orientasinya merupakan parameter yang penting dalam perancangan material komposit laminat. Hasil pengujian tarik material komposit dengan variasi 2 memiliki harga tegangan tarik yang lebih tinggi (rata-rata 309.54 MPa) dibandingkan variasi 1 dan 3. Variasi 2 juga mempunyai tegangan bending rata-rata lebih baik 597,42 MPa, disusul variasi 3 sebesar 353,59 MPa dan variasi 1 memiliki tegangan yang terendah, yaitu 306,48 MPa.
Correlation between Body Mass Index, Thyroid Function Test and Neck Ultrasound in Euthyroid and Thyroid Disorder patients: a Centre Based Retrospective Study
Authors: Upadhyaya Tirtha Lal , Parajuly Shyam Sundar , Magar Dilasma Gharti , Pangeni Roshan 
Published: January 2019

Background: Thyroid dysfunction is a major health issue among the Nepalese population. It is the prone region for iodine deficiency disease. Altered living status, sub-urbanization and behavioral factors among the people are believed to be thyroid sufferers. The effects of hypothyroidism and hyperthyroidism on body weight have been clinically clearly demonstrated however there are only few literatures published showing the relationship between BMI and thyroid function among the two groups of population (euthyroid and thyroid dysfunction).
Objective: This study aims to study the relationship of TSH (thyroid stimulating hormone) and thyroid hormones with BMI and neck ultrasound findings in euthyroid and thyroid dysfunction subjects.
Methods: This is a centre based retrospective study carried out in Diabetes, Thyroid and Endocrinology Care Centre (DTECC), Pokhara Nepal. The study used the archives of the laboratory and patient clinical information on the Centre during the years 2016 March to 2017 March. Detailed information regarding patientís age, medical history and previous history of smoking and alcohol consumption data, patients BMI (Body Mass Index) and neck ultrasound findings were obtained.
Results: Of the total five hundred and six cases, four hundred and forty cases were females and sixty six cases were male. 59.4 percentages of the cases had increased body mass index and about 48 percentages of the total cases had abnormal thyroid function tests. Of the total, neck ultrasound revealed findings suggestive of Hashimoto Thyroiditis in two hundred and forty four cases.
Conclusion: Thyroid dysfunction is associated with some components of metabolic syndrome. The thyroid function disorders in conjunction with the strong influence of various environmental factors can increase body weight and lead to obesity. Increased in BMI has strong influence on thyroid hormone level.
A Diabetic Foot Survey
Authors: Ranjitkar Sailaj , Pradhan Eli , Paudel Sujan , Pradhan Shreya , Dhakal Subodh 
Published: January 2019

Introduction: Diabetic foot has been defined by the International Working Group on the Diabetic foot and World Health Organisation as a Diabetic patient’s foot, associated with neuropathy, ischaemia or both, which has lead to ulceration, infection and/or deep tissue destruction An association of diabetic retinopathy with risk factors of Diabetic foot ulcer has been seen. Hence it is important to assess diabetic patients for risk factors leading to diabetic foot and tally these risks with diabetic retinopathy to help early diagnosis and management of diabetic foot and diabetic retinopathy.
Methodology: This is a community based survey of a cohort of randomly presented patients examined on a first come first service basis limited to maximum of 100 patients to be reviewed in a day in a free health camp in Jaishi Dewal, Kathmandu, Nepal. The data of the patients were noted in a proforma documenting risks of diabetic foot and diabetic retinopathy.
Results: Out of the 82 patients reviewed in the medical camp 38 were diabetic (type 2) with a mean age of 60.29 years being more common in females. Risk of Diabetic foot did have a definite association with level of education more common in the lesser educated and occupation (commonest in housewives). Awareness of risk of diabetic foot was only among 39.5% of the diabetic patients. Diabetic retinopathy was also seen only among 18.4% of the diabetic patients, being more common in the educated.
Conclusion: Education and awareness programmes towards diabetic foot protocol are important despite the level of education or occupation. In diabetic patients, it is important to screen for risks of diabetic foot especially if patient has a history of hypertension and also screen for diabetic retinopathy.
Diabetic Eye Disease Related Knowledge, Attitudes and Practices among Physicians in Nepal
Authors: Pradhan Eli , Khatri Anadi , Tuladhar Jasmeen , Shrestha Dina 
Published: January 2019

Background: Awareness of diabetic retinopathy amongst general physicians is a major factor for the prevention of diabetes-related ocular complications.They are most often the first line of contact of diabetic patients and their knowledge and attitude are the principal indicators of their level of awareness.
Methods: This cross-sectional study was conducted in Kathmandu and is based on a structured questionnaire referring to Diabetic retinopathy formulated on Guideline for Conducting a Knowledge, Attitude and Practice Study by information, Education, and Communication expert.The questionnaire comprised of 18 questions and 45 physicians were enrolled. Significant differences and associations were determined by values of P < 0.05.
Results: All of the physicians (100%) were aware that diabetes can damage the eye and can cause visual impairment. Most of them agreed that patients with diabetes should be sent for ophthalmic evaluations with majority mandating an immediate evaluation after the diagnosis. The majority (98%) of physicians disagreed that eye examination was required only once the vision was affected. Only 56% of the physicians agreed they routinely perform direct ophthalmoscopy to examine the retina (p 0.551). Among them, nearly half (44%) reported not knowing the importance of dilating the pupil. (p=0.69).
Conclusions: The study shows a good level of diabetic retinopathy awareness and knowledge with positive attitudes toward the importance of diabetes care. At the same time, it has found that practice level despite good knowledge and attitude to be below average among the physicians who are managing diabetic patients.
Burden of Thyroid and Lipid disorders among Elderly Depressed Patient: A cross sectional study in Nepal
Authors: Joshi Rinku Gautam , Pandey Arun Kumar , Sapkota Nidesh , Kumar Rajesh , Shah Prashant , Maskey Robin , Kattel Vivek 
Published: January 2019

Background and Objectives: Depression is common psychiatric illness among geriatric population however it remains underdiagnosed and undertreated. Majority of thyroid and lipid disorders are asymptomatic or have vague symptoms unless they land with emergency medical conditions. The burden of thyroid and lipid disorder are under reported in elderly population especially depressed one. The objective of the study was to measure the burden of thyroid and lipid disorders among Elderly Depressed Patient.
Materials and methods: A hospital based cross-sectional study was conducted at BP Koirala Institute of Health Sciences, Dharan. All written consent patients more than 60 years of age with diagnosed of depression using ICD 10 criteria were screened for thyroid and lipid disorders as per hospital protocol. Those cases found to have thyroid and lipid disorders were reevaluated by physician for possibilities to rule out the false positive causes.
Results: The prevalence of thyroid disorder and dyslipidemia was 29% and 62.7% respectively among 51 elderly depressed patient. Subclinical hypothyroidism was associated with 25% of the cohort. Hypertriglyceridemia (54.9%) was the most common form of lipid disorders followed by 47.1% increased total cholesterol level, 19.6% increased LDL level and 13.7% low HDL level. The presence of thyroid and lipid disorders were not significantly associated with types of depression (mild, moderate, severe and recurrent).
Conclusion: Low threshold should be kept to screen subclinical hypothyroidism and dyslipidemia among geriatric depressed population due to alarming burden and adverse impact on quality of life and longevity.
Lipid profile as a predictor of Neuropathy: The Sheffield Prospective Diabetes Study
Authors: Rajbhandari Satyan , Hamid Fahad Syed , Harris Nigel , Tesfaye Solomon 
Published: January 2019

Background : Despite being a very common complication, the aetiology and potential risk factors of diabetic neuropathy (DN) have not been clearly determined in a prospective study. Aims: The aim of Sheffield Prospective Diabetes Study was to identify the abnormalities of physiological, biochemical, haemorrhelogical and cellular function for complications of diabetes in type 1 diabetes.
Materials and Methods: 66 newly diagnosed type 1 diabetic subjects (mean age 31 ± 9 (SD) duration (3 years ± 2) were identified and followed for 9 years. They had detailed neurological assessment (symptoms and signs score, nerve conduction, vibration perception threshold, warm thermal discrimination threshold and autonomic function tests) and blood samples taken for detail biochemical and haemorrheological analysis at base line and at follow up.
Results: At the 9 years follow up, 51 subjects were studied of whom 18 were found to have DN using Dyck’s criteria. As expected subjects with DN had significantly higher (p <0.01) mean HbA1 over 9 years of follow up (11.8% vs 9.8%), but it was not significantly different at base line (10.2% vs 8.9%; p= 0.37). In addition, total cholesterol and LDL cholesterol at baseline were found to be risk factors for the development of neuropathy (5.9 vs 4.7 mmol; p=0.01 and 3.7 vs 2.8 mmol; p=0.03 respectively).
Conclusions: This prospective study confirms the findings of recent large epidemiological studies linking cardiovascular risk factors to the development of DN, and perhaps suggest a vascular aetiology for DN. Improvement of potentially modifiable risk factors for neuropathy may be useful for the development of risk reduction strategies.
Chronic Calcific Pancreatitis Associated Diabetes Presenting as Involuntary Weight Loss and Multiple Soft Tissue Calcifications in a Young Male
Authors: Kant Ravi , Sudan Aditya 
Published: January 2019

Introduction: Chronic Calcific Pancreatitis, a rare form of secondary diabetes occurs due to recurrent alcohol induced acute pancreatitis.
Case Summary: A 28 year old male patient presented with significant involuntary weight loss associat-ed with a history of passing clay colored sticky stools for the past 1 year. He was also detected to have deranged blood sugars on routine work up at a local hospital for increased thirst and increased urine output. There was a history of recurrent bouts of moderate to severe abdominal pain over the past 3 to 4 years. At the time of initial presentation his Random blood sugar values was 468 mg/dL. Other routine tests tests were within normal limits. His serum amylase levels were 185 U/L and serum Lipase levels were 467 U/L.
Conclusions: Chronic fibro calcific pancreatitis is a rare cause of diabetes in young patients but has a characteristic clinical picture with a young patient presenting with features of malabsorption and low BMI, low propensity for DKA , low beta cell reserve and sensitivity to Insulin.
GNDT II level approach for seismic vulnerability assessment of Unreinforced Masonry (URM) building stock
Authors: Shakya Manjip 
Published: January 2019

Unreinforced Masonry (URM) structures, such as historic buildings, traditional buildings and ordinary buildings, exist all over the world and constitute a relevant part of the cultural heritage of humanity. Their protection against earthquakes is a topic of great concern among the earthquake engineering research community. This concern mainly arises from the strong damage or complete loss suffered by these types of structures when subjected to earthquake and also from the need and interest to preserve them as a built heritage.
This paper initially presents a methodology for assessing the seismic vulnerability of URM buildings based on vulnerability index evaluation approach. Moreover, this paper presents the correlation between vulnerability index and Macroseismic method to estimate the physical damage in relationship with seismic intensity. Finally, presents implementation of the methodology to construct vulnerability curves, fragility curves and estimate losses.
Future energy scenarios of household in Bhaktapur District
Authors: Bajracharya Yogesh 
Published: January 2019

Energy plays a pervasive and critically important role in economic and social development. So, energy planning is important area of study. For Bhaktapur district energy plan, the survey was done by using the questionnaire. Total of 91 samples from rural area and 112 samples from urban area were taken to prepare primary database. The total energy demand was 952 TJ in rural area and 458 TJ in urban area in 2013.
LEAP (Long-Range Energy Alternative Planning System) software was used for energy planning. Five scenarios, Business as Usual (BAU), Reference (REF), Accelerated Growth Rate (ACC), and Sustainable Energy for All (SE4ALL) in REF and ACC case scenarios were developed. Total energy demand in 2030 will be 2,748 TJ for BAU, 3,799 TJ for REF and 6,203 TJ for ACC case whereas total demand limits from 766 TJ and 1,241 TJ in SE4ALL scenario in REF and ACC case respectively. Again the total energy demand for 2045 will be 4,945 TJ, 9,104 TJ and 22,592 TJ for BAU, REF and ACC case respectively. Total energy demand for SE4ALL scenario will be 1,807 TJ and 4,381 TJ for REF and ACC case respectively. The GHG reduction up to 2045 by SE4ALL approach is 1.79 million metric tons of CO2 equivalent in REF and 3.54 million metric tons of CO2 equivalent in ACC Scenario.
Relationships between Peritoneal Protein Clearance and Parameters of Fluid Status Agree with Clinical Observations in other Diseases that Venous Congestion Increases Microvascular Protein Escape
Authors: Krediet Raymond T. , Yoowannakul Suree , Harris Lauren S. , Davenport Andrew 
Published: January 2019

Background Peritoneal effluent from peritoneal dialysis (PD) patients contains proteins, mainly transported from the circulation through large pores in the venular part of the peritoneal micro-vessels. Hydrostatic convection is the major driver for peritoneal protein transport, although in PD there is additional diffusion. Consequently, venous pressure may have a role in peritoneal protein transport. The aim of the study was to investigate the importance of venous congestion on the magnitude of peritoneal protein clearance in incident PD patients using non-invasive measurements. Methods A total of 316 adult PD patients, on PD for 8 - 12 weeks and collecting 24-hour urine and dialysate for total protein determination, underwent standard peritoneal equilibration testing (PET) along with measurement of N terminal pro-brain natriuretic peptide (NT-proBNP) and C-reactive protein (CRP), multifrequency bioimpedance analysis, and a transthoracic echocardiogram. Results Statistically significant univariate relationships for peritoneal protein clearance with a Spearman correlation coefficient > 0.25 were present for 4-hour dialysate/plasma (D/P) creatinine, NT-proBNP, extracellular/total body water, extracellular water excess, left ventricular mass, and right atrial area. Negative correlations were found with serum total protein and residual renal function. On multivariate analysis, logNTproBNP (β 0.11, p = 0.007) and right atrial area (β 0.01, p = 0.03) were significant independent predictors of peritoneal protein clearance. Conclusion Indicators of venous congestion showed the most important relationships with peritoneal protein clearance. These indicators have not been assessed in previous studies on the presence or absence of relationships between peritoneal protein clearance and mortality.