bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penatalaksanaan Acute Low-tone Sensorineural Hearing Loss
Authors: Sari Jenny Tri Yuspita , Munilson Jacky , Rosalinda Rossy 
Published: September 2019

Acute Low-tone Sensorineural Hearing Loss (ALHL) merupakan ketulian mendadak sensorineural pada nada rendah dengan penyebab yang tidak diketahui secara jelas (idiopatik) dan tidak disertai dengan keluhan vertigo. Tujuan: Melaporkan ALHL sebagai salah satu kegawatdaruratan di bagian telinga hidung tenggorok bedah kepala dan leher (THT-KL) yang memerlukan tindakan penanganan yang cepat. Diagnosis dini dan penatalaksanaan segera pada kasus ALHL dapat meningkatkan angka kesembuhan dan menurunkan risiko ketulian permanen pada pasien. Kasus: Dilaporkan seorang pasien perempuan 22 tahun dengan diagnosis Acute Low-tone Sensorineural Hearing Loss telinga kanan. Pasien datang dengan keluhan telinga berdengung, telinga terasa penuh, penurunan pendengaran tanpa disertai dengan pusing berputar. Pasien diberikan terapi kombinasi kortikosteroid dengan terapi tambahan lainnya dan menunjukkan perbaikan komplit dalam 2 minggu terapi. Simpulan: Pemberian terapi yang cepat dan tepat (terapi inisial) dapat memberikan perbaikan yang maksimal pada pasien dengan ALHL. Evaluasi terapi awal sangat berpengaruh terhadap prognosis jangka panjang pasien ALHL, terutama evaluasi pada satu bulan pertama.
Human Papilloma Virus (HPV) Educational Program
Authors: Paul Michelle , Stanton M , Philippe Elizabeth 
Published: September 2019

The Human Papillomavirus (HPV) is of global importance as it is the most common sexually-transmitted infection (STI) in the United States (Centers for Disease Control & Prevention [CDC], 2014a). It is estimated that 630 million people are affected by HPV worldwide (World Health Organization [WHO], 2014a). The purpose of this HPV educational program was to increase family providers’ knowledge about HPV and the HPV vaccine to allay common concerns and fears. Aggregate data with de-identifiable patient information was used in a PowerPoint presentation that was presented to family medical providers. Providers were asked for their opinions and feedback at the end of the presentation to evaluate the program. Aggregate information with de-identifiable data will be obtained in one to three months after the presentation to see if HPV vaccination rates have increased at the community health centre. The global implications of the HPV vaccine are enormous. It is an important public health problem that needs immediate attention. Disseminating information and creating awareness about HPV and the HPV vaccine is of paramount importance.
Pemanfaatan Bahan Ajar Berwawasan Lingkungan Pada Mata Pelajaran Fisika Di SMK Negeri 4 Jeneponto
Authors: Alamsyah Alamsyah , Haris Risma 
Published: September 2019

ABSTRAK.Sekolah sebagai institusi pendidikan merupakan salah satu target utama yang dilibatkan Penelitian ini dilaksanakan untuk mengetahui pemanfaatan bahan ajar berwawasan lingkungan dapat meningkatkan sikap dan pengetahuan lingkungan peserta didik pada mata pelajaran fisika pokok bahasan usaha, energi, daya, dan efisiensi. Pelaksanaan pengembangan bahan ajar berwawasan lingkungan dan perlakuan dalam proses penelitian ini dilaksanakan di SMK Negeri 4 Jeneponto. Penelitian ini termasuk penelitian kuantitatif yang bersifat pengembangan dengan desain yang digunakan dalam penelitian ini adalah One Group Pretest-Posttest Design.Hasil penelitian ini menunjukkan penggunaan bahan ajar berwawasan lingkungan dapat meningkatkan sikap dan pengetahuan lingkungan peserta didik dari sebelum perlakuan (treatment) dilaksanakan. Perolehan nilai rata-rata sikap lingkungan adalah 73.8 dengan skor indeks N-gain yaitu 0.4 berada dalam kategori sedang. Penilaian pengetahuan lingkungan peserta didik juga mengalami peningkatan dengan nilai rata-rata sebesar 77.1 dan indeks N-gain 0.5 dalam kategori sedang.ABSTRAC. This research was conducted to find out the use of environmentally sound teaching materials can improve the attitude and knowledge of the environment of students in physics subjects the subject matter of business, energy, power, and efficiency. The implementation of the development of environmentally sound teaching materials and treatment in the research process was carried out at SMK Negeri 4 Jeneponto. This study includes the development of quantitative research with the design used in this study is One Group Pretest-Posttest Design. The results of this study indicate the use of environmentally friendly teaching materials can improve the attitude and knowledge of the environment of students from before treatment (treatment) is done. The average score for environmental attitudes is 73.8 with a N-gain index score of 0.4 in the medium category. The assessment of students' environmental knowledge also increases with an average value of 77.1 and an N-gain index of 0.5 in the medium category.
ОСОБЕННОСТИ ФОРМИРОВАНИЯ ИСХОДНЫХ ДАННЫХ ДЛЯ ПРИНЯТИЯ РЕШЕНИЙ НА РАННИХ СТАДИЯХ ЖИЗНЕННОГО ЦИКЛА НАУКОЕМКИХ ПРОЕКТОВ
Authors: Krivova S. G. , Zubanjov A. Ye. 
Published: September 2019

Представлен анализ современных подходов к формированию исходных данных для принятияуправленческих решений на основе рекомендаций в отношении полезности задуманного проекта. Показана возможность принятия ошибочных управленческих решений, основанных на безальтернативности исходных данных для оценивания полезности проекта. На поясняющем примере обоснована необходимость альтернативного и компетентного формирования исходных данных для оценивания полезности проекта. Рекомендовано в случае некомпетентности Заказчика Идеи проекта привлекать к формированию альтернатив в документахRFI/RFP внешних консультантов, не зависящих от работы оценщиков полезности проекта.
Analisis Kinerja Perdagangan Indonesia ke Negara Potensial Benua Afrika
Authors: Amalina Ade Ayu Fleury , Novianti Tanti , Asmara Alla 
Published: September 2019

Trade liberalization generates higher commodity export opportunities between countries. The export opportunities to the African countries are evidenced by the high average growth of the total export values from Indonesia to Africa in 2011-2016, amounting to 5.886%. The aim of this research is to determine the potential importing African countries through the identification of export value and share, evaluate the performance and trade integration between Indonesia and the African countries through RCA, EPD and IIT methods. The results showed that South Africa with commodities like HS 71, 15, 40, 87 and 84 and Egypt with HS 15, 55, 40, 48 and 84, could be potential export destinations for Indonesia in 2011-2016. The Indonesian HS 71, 15 and 40 commodities in South Africa and Egypt i.e. HS 15, 55, 40, and 48, face tremendous competitivity. The potential Indonesian commodities in the South African market with HS codes of 15, 84, and 87 were considered as Falling Star while HS 71 and 40 were in retreating position. The HS 15 and 55 in the Egyptian market were in the position of Falling Star, with HS 40, 48, and 84 in the Retreat position. In South Africa, the HS commodities 71, 15, 40 and HS 87 were weakly integrated while the HS 50 had a strong integration. Keywords: African, RCA, EPD, IIT JEL classification: C23, F10, F13
Pengaruh Senam Lansia terhadap Tigkat Kebugaran Fisik pada Lansia Berdasar atas Uji Jalan 6 Menit
Authors: Nuraeni Riri , Akbar Mohammad Rizki , Tresnasari Cice 
Published: September 2019

Lanjut usia merupakan proses alami pada individu berusia 60 tahun ke atas. Proses penuaan pada lansia menyebabkan berbagai perubahan pada tubuh sehingga diperlukan upaya meningkatkan kebugaran dengan berolahraga. Tujuan penelitian mengetahui pengaruh senam terhadap tingkat kebugaran fisik pada lansia. Dilakukan penelitian Quasi experiment dengan pre test dan post test two group design. Menggunakan teknik purposive sampling pada bulan Mei–Juli 2018 di Posbindu Kabupaten Majalengka. Diperoleh 80 orang tiap-tiap kelompok 40 orang. Penilaian tingkat kebugaran dilakukan sebanyak dua kali pada kelompok lansia rutin senam melakukan senam 12 kali dalam satu bulan dan kelompok lansia tidak rutin senam, penilaian menggunakan uji jalan 6 menit. Hasil jarak yang ditempuh dikonversi menjadi VO2maks dan dikategorikan berdasar atas tingkat kebugaran. Analisis data menggunakan Uji Wilcoxon dan Uji McNemar. Hasil penelitian menunjukkan bahwa senam lansia dapat meningkatkan nilai VO2maks lebih tinggi pada kelompok lansia rutin senam 3,1 mL/kg/menit dibanding dengan kelompok lansia tidak rutin senam 1,95 mL/kg/menit. Hasil analisis statistik menunjukkan bahwa terdapat perbedaan yang bermakna secara signifikan antara lansia rutin senam dan lansia tidak rutin senam (p<0,05). Simpulan terdapat pengaruh senam lansia terhadap tingkat kebugaran fisik pada lansia.
GELİR DAĞILIMININ TEORİK YAPISI
Authors: KARATAŞ Muhammed 
Published: September 2019

Gelir, belirli bir dönem içerisinde bir kişi, grup, şirket veya tüm ekonomiye yönelik para veya mal ve hizmet akımıdır. Gelir dağılımı milli gelirin çeşitli gruplar arasındaki dağılış şekline denmektedir. Gelir dağılımı ekonominin yapısı, ekonomik büyüme hızı ve istihdam dağılımını etkilemektedir. Gelir dağılımı konusunda devlet ekonomik kalkınma ve büyüme sürecinde artan zenginliklerin daha dengeli biçimde dağıtılması konusunda önemli rol oynamaktadır. Sosyo-ekonomik gelişmede gelirin paylaşımı toplumsal barışın da teminatıdır. Bu nedenle gelişmiş ve gelişmekte olan ülkelerde devletler değişik yollarla gelir aktarma politikaları uygulayabilmektedirler. Sosyo-ekonomik gelişmesini sanayi-ötesi toplum bazında henüz istenilen seviyeye ulaştıramamış olan Türkiye açısından da gelir dağılımı, hassas bir konudur. Bu bakımdan çalışma, detaylı bir şekilde ele alınmıştır. Gelir, toplumsal gelişmeyi en iyi gösteren unsurdur. Bu nedenle gelirin bölüşümü bir toplumda adil olmalıdır. Bu takdirde, toplumsal refah artabilir. Yoksulluk, azalabilir. Geleceğe yönelik iyimser beklentiler olabilir. Hatta ülkenin doğrudan yabancı yatırımları artabilir. İstihdam hacmi artar. İşsizlik azalır. Ülkenin uluslararası kredibilitesi yükselir.
ANADOLU SELÇUKLU'DAN OSMANLI'YA ESNAF ÖRGÜTLENMELERİ
Authors: İLERİ Ülkü 
Published: September 2019

Özellikle Türklerin Orta Asya’dan Anadolu’ya göçüyle yani 11. yüzyıldan itibaren Anadolu’da gelişen örgütlenme biçimi olan ‘’Ahilik’’ fûtûvvet, ahlak, dayanışma anlayışına dayalı İslami bir esnaf teşkilatıdır. Ahîlik 15. Yüzyıldan sonra yerini ‘’lonca’’ düzenine bırakmıştır. Ahilik gelenekleri lonca düzeninin de temelini teşkil etmiştir. Osmanlı döneminde ‘’lonca’’ düzeni devlet tarafından hem denetlenmiş hem de desteklenmiştir. Bu bağlamda devlet, “narh” düzenlemelerini uygulardı. Narh uygulamalarıyla devlet,kendi halkını fiyat artışlarına ve fiyat dalgalanmalarına karşı korumayı ve böylece kentte toplumsal ve siyasi istikrar sağlamayı amaçlıyordu. Devlet bu amaçla narh düzenlemelerinde “kadı” kontrolünde bir memur “muhtesib” tayin ederdi. “Kadı” ve ”muhtesib” haklı fiyatı saptama ve kontrol görevi ile yükümlüydü. Rekabete yer vermeyen lonca düzeni bu yönüyle Osmanlı’da kapitalizmin oluşması için uygun bir zemin yaratmamıştır. 19. Yüzyılda Osmanlı pazarının ithal mallara açılmasıyla birlikte zayıflamış ve 20. yüzyıl başlarında ise sona ermiştir. Makalede ahilik ve lonca düzeni bütün boyutlarıyla ele alınmakta Osmanlı ekonomisiyle olan ilişkileri mercek altına alınmaktadır. Böylelikle bu konudaki soru işaretlerine cevap verilmeye çalışılmıştır.
2000'Lİ YILLARDA TÜRKİYE’DE SOSYAL POLİTİKANIN DÖNÜŞÜMÜ: DEĞİŞİM ve REFORM EĞİLİMLERİ
Authors: AKGEYİK Tekin 
Published: September 2019

Sosyal politika, bireyi ve toplumu sosyal risklere karşı korumak amacıyla kolektif yardım mekanizmalarını ve düzenleyici mevzuat ile çeşitli kurumlarla geliştirmiş olduğu politikaları tanımlamaktadır. 1945’ten 1970’li yılların ilk dönemine kadarki dönem sosyal politikanın altın çağıdır. 1970’li yıllarda başlayan Neo-liberalizm çağı geleneksel sosyal polikayı değiştirmiştir. Neo-liberalizm, Adam Smith'in ekonomik felsefesinin çağdaş yorumunu temsil etmektedir. Bu felsefe serbest ticaret, serbest piyasa ekonomisi ve işgücü piyasası esnekliğini savunmaktadır. Küreselleşme, bu dönemde Neo-liberal felsefenin en önemli söylemi haline gelmiştir. 1980’den sonraki dönemde Neo-liberalizm sadece ekonomik politikaları değil aynı zamanda sosyal politikaları da etkilemiştir. Bu periyotta İsveç, Danimarka, Norveç, Avustralya ve Türkiye gibi birçok ülkede Neo-liberalizmin öngördüğü reform programları uygulanmıştır. Türkiye’de Güçlü Ekonomiye Geçiş Programı Mayıs 2001’de uygulamaya konulmuştur. Program Türk ekonomisinde ve toplumunda geniş ve köklü değişimlere yol açmıştır. Güçlü ekonomiye geçiş programı geleneksel sosyal politika yaklaşımının da dönüşümü anlamına gelmekteydi. Yeni sosyal politika yaklaşımının iki temel hedefi öngörülmüştür: işgücü piyasası esnekliği ve sosyal sürdürülebilir bir sosyal güvenlik sistemi. Bu makalenin amacı, Türkiye’de 2000’li yıllarda sosyal politika alanında yaşanan dönüşüm sürecini analiz etmektir. Makale, dört bölümden oluşmaktadır. İlk bölümde sosyal politika alanındaki dönüşüm süreci, Neo-liberal bir perspektiften analiz edilmektedir. Sonraki bölümde Neo-liberalizmin Türkiye’de sosyal politikaya etkisi incelenmektedir. Üçüncü olarak, Türkiye’de reformları harekete geçiren demografik, sosyal ve ekonomik faktörler değerlendirilmiştir. Son bölümde ise, 2000’li yıllarda Türkiye’de sosyal politikanın transformasyonu işgücü piyasası esnekliği ve sosyal politika reformları bağlamında irdelenmektedir.
Causes of Infertility amongst Couples Visited at Infertility Centre Kathmandu, Nepal
Authors: Neupane Pratima , Sharma Deepak , Panta Prem Prasad , Aryal Bijay , Poudel Tarun , Amgain Kapil 
Published: September 2019

Introduction: Infertility is being a common global problem affecting one couple in six. Approximately 167 million ever married women aged 15-49 years in developing countries were infertile. The problem of infertility has not given attention considering the fact that it is not the life threatening, but, it has substantial community health problems such as depression, anxiety domestic violence and social isolation. The purpose of the study was to explore the causes of infertility among couples who visited the infertility centre.
Methodology: Hospital based descriptive cross-sectional study had been carried out in infertility centre Kathmandu Nepal. One hundred and sixty five married couple with infertility problem availing the infertility treatment was selected on first come first serve basic sampling method from infertility treatment centre.
Result: The infertility problem varied with the age. The problem was highest among the females of age group 26-30 years (51%), similarly in males it was predominant at the age of 31-35 years (45%). The most common causes of female infertility were ovarian cyst (37%) and heavy bleeding (18.7%), uterine fibroids (9%), Pelvic inflammation (9%), Thyroid disease (21.8%), whereas in males the infertility were mostly due to Oligospermia (17.5%), Azoospermia (5.5%), Hydrocele (7.8), Mumps orchids (6%).
Conclusion: Infertility was due to various causes in the male or/and the female partner, however, the infertility among couples were mostly due to the problem in females. Infertility is a complex problem that should be considered carefully by the individual, community peoples, government and stakeholders in each country.
Green or Grey? Goats, Economy and Ecology in Nkayi District, Zimbabwe: 1980-2017
Authors: Kwashirai Vimbai , Mhike Ivo 
Published: September 2019

Abstract
This study explores the economic and ecological importance of goats in Nkayi District, Matabeleland North, Zimbabwe, 1980-2017. It evaluates the significance of goats in sustaining Ndebele rural livelihoods, debating whether goats are environmentally constructive or destructive. Nkayi is the foremost goat-producing region in Zimbabwe. Its semi-tropical and generally arid climatic features make it prone to periodic droughts. Nkayi is the ideal case study for examining the goat economy and ecology because of its diversity in environment and varied rural livelihoods. This study privileges analysis of primary data collected from semi-structured oral interviews with goat-keeping farmers, chiefs and contemporary reports as well as secondary sources - journal articles and books. Interviews were conducted in five areas of Nkayi District: Dopota, Fanisoni, Majaha, Madliwa and Vukuzenele (Dofamavu). The study adopts case study and sustainable livelihoods approaches focusing on goat farmers' perceptions of their animals' impact on the environment as well as the role that goats play in their livelihoods. Approximately 97 per cent of Zimbabwe's 3.5-million-goat herds are owned by small-holder farmers raising goats mostly for home consumption, and many of them are women. The study evaluates the degree to which rural livelihoods from farming are economically and ecologically sustainable in the medium-to-long-term in a drought-prone area of southern Africa.
Indomethacin dosing strategy and neonatal patent ductus arteriosus closure
Authors: Rathi P. , Messina C. , Mintzer J.P. 
Published: September 2019

BACKGROUND: Few studies exist that have evaluated the effects of indomethacin dosing frequency as a factor associated with successful patent ductus arteriosus closure in very low birth weight neonates. The objective of this study is to determine if indomethacin dosing strategy is associated with efficacy for initial patent ductus arteriosus management in very low birth weight neonates. METHODS: This retrospective review compared every 12 hour and every 24 hour indomethacin regimens primarily for efficacy in initial patent ductus arteriosus management, defined as an absence of repeat medical and/or surgical treatment, and secondarily for safety in both univariate and multivariate models. RESULTS: One hundred three very low birth weight neonates were included: 56 (54%) received every 12 hour and 47 (46%) underwent every 24 hour indomethacin dosing. Repeat medical and/or surgical patent ductus arteriosus treatment rates were similar between groups. Less ligation of the patent ductus arteriosus occurred with every 12 hour versus every 24 hour dosing (11% vs. 26%, p = 0.05), though this effect was mitigated controlling for birth weight and gestational age. Renal function, respiratory outcomes, feeding outcomes, length of stay, and mortality were similar between groups. CONCLUSIONS: Neither the every 12 hour nor the every 24 hour indomethacin regimen demonstrated inferior efficacy or safety for initial management of patent ductus arteriosus. Further prospective analysis of indomethacin dosing strategy is warranted.
Selective head cooling and acute kidney injury in neonates with hypoxic ischemic encephalopathy
Authors: Nour I. , Elmaghraby R. , Shehata R. , El-Refaey A. , Aldomiaty H. , Mosbah A. , Shouman B. , Nasef N. 
Published: September 2019

BACKGROUND: The reno-protective effect of therapeutic hypothermia in infants with hypoxic ischemic encephalopathy (HIE) is still debatable. We aimed to study the effect of therapeutic hypothermia on the development and progress of acute kidney injury (AKI) in neonates with HIE. METHODS: Thirty full term infants with HIE were equally distributed between cooling group (selective head cooling) or non-cooling group (late presentation after 6 hours of birth). Serum creatinine, urine output (UOP), serum neutrophil gelatinase-associated lipocalin (NGAL), and serum cystatin C were measured at baseline, day 4 and day 10 of life. RESULTS: The incidence of AKI as per Acute Kidney Injury Network (AKIN) criteria was comparable in cooling and non-cooling groups (40% versus 53%, respectively). Serum creatinine and UOP were significantly improved on day-4 and day-10 samples compared to base-line samples in both groups regardless of cooling. Therapeutic hypothermia was associated with a significant reduction in serum NGAL, but not cystatin C, level in day-4 and day-10 samples compared to the non-cooling group. Serum NGAL and cystatin C did not show a significant decline in day-4 and day-10 samples compared to baseline samples in both the cooled and non-cooled groups indicating an ongoing AKI. CONCLUSIONS: Therapeutic hypothermia was associated with less renal impairment when compared to infants with HIE who were not cooled. Continuing kidney injury may persist in asphyxiated newborns despite improvement in serum creatinine and UOP. Trial Registration Number: NCT02683915.
Komplikasi Pasca Operasi sebagai Faktor Risiko Timbulnya Low Vision Pasca Operasi Katarak
Authors: Nurjanah Rizki Anisa , Indawaty Septiani Nadra , Purwoko Mitayani 
Published: September 2019

Tajam penglihatan adalah daya lihat yang mampu dilakukan seseorang. Tajam penglihatan normal adalah apabila seseorang dapat melihat huruf, angka, maupun bentuk dalam berbagai macam ukuran pada kartu Snellen dengan jarak 20 kaki (20/20). Katarak merupakan salah satu penyebab terjadinya gangguan penglihatan terbanyak kedua setelah gangguan refraksi yang tidak terkoreksi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi timbulnya low vision setelah operasi bedah katarak di Rumah Sakit Muhammadiyah Palembang. Penelitian ini menggunakan desain penelitian deskriptif kuantitatif dengan pendekatan cross sectional menggunakan data rekam medis pasien yang sudah menjalani operasi katarak di Rumah Sakit Muhammadiyah Palembang periode Januari 2017-April 2018. Besar sampel penelitian ini adalah 31 orang. Hasil penelitian ini menunjukkan bahwa pada kontrol keempat pasca operasi, ada 38,7% subjek yang tetap memiliki low vision. Subjek penelitian sebagian besar terdiri dari individu lansia akhir (74,2%), terdapat 2 orang subjek yang mengalami komplikasi intra operasi (6,4%), dan terdapat 9 orang subjek yang mengalami komplikasi pasca operasi (29,1%). Timbulnya lowvision setelah operasi katarak tidak dipengaruhi oleh usia (p = 1,000) dan komplikasi intraoperasi (p = 1,000), namun dipengaruhi oleh adanya komplikasi pasca operasi (p = 0,043). Faktor risiko timbulnya lowvision pasca operasi katarak adalah adanya komplikasi pasca operasi. Oleh karena itu, perlu upaya pencegahan dari berbagai sisi agar tidak terjadi komplikasi pasca operasi katarak.
PEMPHIGUS VULGARIS – PATHOPHYSIOLOGY AND RECENT CONCEPTS FOR PULSE THERAPY - A SYSTEMATIC REVIEW.
Authors: Mukhopadhyay Dr. Indranil 
Published: September 2019

Background: Vesiculo-bullous diseases are a group of chronic cutaneous disorders characterised by mucocutaneous blistering or erosions as a result of development of autoimmunity.
Aims: To understand the pathophysiology of pemphigus vulgaris and the recent concepts of Pulse therapy with different modalities and their various actions on different tissue levels. Results &Conclusion- Pulse therapy can be a boon to stomatologists if understood with clarity and applied with precision. It can definitely create miracles in saving lives and help in the outcome of the prognosis of most of the autoimmune disorders.
Keywords: Autoimmune Disorders, Pemphigus Vulgaris, Pulse Therapy.