bluuebunny/crossref_metadata_2025_split huggingface dataset:
Scrubbing technique and surgical site infections: an analysis of 14,200 neurosurgical cases
Authors: Kashkoush Ahmed , Agarwal Nitin , Ayres Ashley , Novak Victoria , Chang Yue-Fang , Friedlander Robert M. 
Published: June 2019

OBJECTIVEThe preoperative scrub has been shown to lower the incidence of surgical site infections (SSIs). Various scrubbing and gloving techniques exist; however, it is unknown how specific scrubbing technique influences SSI rates in neurosurgery. The authors aimed to assess whether the range of scrubbing practice in neurosurgery is associated with the incidence of SSIs.METHODSThe authors conducted a retrospective review of a prospectively maintained database to identify all 90-day SSIs for neurosurgical procedures between 2012 and 2017 at one of their teaching hospitals. SSIs were classified by procedure type (craniotomy, shunt, fusion, or laminectomy). Surveys were administered to attending and resident physicians to understand the variation in scrubbing methods (wet vs dry, iodine vs chlorhexidine, single vs double glove). The chi-square followed by multivariate logistic regression analyses were utilized to identify independent predictors of SSI.RESULTSForty-two operating physicians were included in the study (18 attending physicians, 24 resident physicians), who performed 14,200 total cases. Overall, SSI rates were 2.1% (296 SSIs of 14,200 total cases) and 2.0% (192 of 9,669 cases) for attending physicians and residents, respectively. Shunts were independently associated with an increased risk of SSI (OR 1.7 [95% CI 1.3–2.1]), whereas laminectomies were associated with a decreased SSI risk (OR 0.4 [95% CI 0.2–0.8]). Wet versus dry scrub (OR 0.9 [95% CI 0.6–1.4]), iodine versus chlorhexidine (OR 0.6 [95% CI 0.4–1.1]), and single- versus double-gloving (OR 1.1 [95% CI 0.8–1.4]) preferences were not associated with SSIs.CONCLUSIONSThere is no evidence to suggest that perioperative infection is associated with personal scrubbing or gloving preference in neurosurgical procedures.
Magnetic resonance–guided focused ultrasound for ablation of mesial temporal epilepsy circuits: modeling and theoretical feasibility of a novel noninvasive approach
Authors: Parker Whitney E. , Weidman Elizabeth K. , Chazen J. Levi , Niogi Sumit N. , Uribe-Cardenas Rafael , Kaplitt Michael G. , Hoffman Caitlin E. 
Published: June 2019

OBJECTIVEThe authors tested the feasibility of magnetic resonance–guided focused ultrasound (MRgFUS) ablation of mesial temporal lobe epilepsy (MTLE) seizure circuits. Up to one-third of patients with mesial temporal sclerosis (MTS) suffer from medically refractory epilepsy requiring surgery. Because current options such as open resection, laser ablation, and Gamma Knife radiosurgery pose potential risks, such as infection, hemorrhage, and ionizing radiation, and because they often produce visual or neuropsychological deficits, the authors developed a noninvasive MRgFUS ablation strategy for mesial temporal disconnection to mitigate these risks.METHODSThe authors retrospectively reviewed 3-T MRI scans obtained with diffusion tensor imaging (DTI). The study group included 10 patients with essential tremor (ET) who underwent pretreatment CT and MRI prior to MRgFUS, and 2 patients with MTS who underwent MRI. Fiber tracking of the fornix-fimbria pathway and inferior optic radiations was performed, ablation sites mimicking targets of open posterior hippocampal disconnection were modeled, and theoretical MRgFUS surgical plans were devised. Distances between the targets and optic radiations were measured, helmet angulations were prescribed, and the numbers of available MRgFUS array elements were calculated.RESULTSTractograms of fornix-fimbria and optic radiations were generated in all ET and MTS patients successfully. Of the 10 patients with both the CT and MRI data necessary for the analysis, 8 patients had adequate elements available to target the ablation site. A margin (mean 8.5 mm, range 6.5–9.8 mm) of separation was maintained between the target lesion and optic radiations.CONCLUSIONSMRgFUS offers a noninvasive option for seizure tract disruption. DTI identifies fornix-fimbria and optic radiations to localize optimal ablation targets and critical surrounding structures, minimizing risk of postoperative visual field deficits. This theoretical modeling study provides the necessary groundwork for future clinical trials to apply this novel neurosurgical technique to patients with refractory MTLE and surgical contraindications, multiple prior surgeries, or other factors favoring noninvasive treatment.
A REVIEW ON FLOATING MICROSPHERES
Authors: SHINDE T. S. , BARHATE A. N. 
Published: June 2019

The purpose of writing this review on floating microspheres is to compile the recent literature with special focus on the principle mechanism of floatation to achieve gastric retention. Recent advances indicate that floating microspheres are especially suitable for achieving sustained or delayed release oral formulations with flexibility of blending to attain different release patterns, low risk of dose dumping as well as reproducible and short gastric retention time. One of the approaches toward this goal is to develop the floating microspheres so as to increase the gastric retention time. In this review, the current status of floating microspheres including hollow microspheres (micro balloons) and their characterization, advantages, disadvantages, mechanism and method of preparation for gastric retention of drug are discussed. This review also summarizes the in-vitro dissolution study to evaluate the performance and applications of floating microspheres.
Keywords: Floating microspheres, Floating Drug Delivery System, Gastro Retention, Bioavailability, Hydro dynamically Balanced Systems.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KESELAMATAN PELAYARAN KAPAL PENANGKAP IKAN DI PELABUHAN TASIKAGUNG REMBANG
Authors: Samekto Agus Aji 
Published: June 2019

<p><em>This research is based on the accidents that happen to Indonesian fishing boats which could threaten the shipping industry safeness and causing considerable losses to ship owners. Problems will arise is safeness does not countered. The purpose of this research is to analyse between independent variable and dependent variable. The population sampling are 68 crews ships at Pelabuhan Perikanan pantai Agung, Rembang. The research methodology use is non-probability technique using incidental type sampling. The data collection method is questionnaire. The data analysing technique is multi linear regression which consists of validity test, reliability test, classic assumsion test and hypothesis test. The result shows that there is positive partial influence between fishing boats crews, ships’ seaworthiness, ships’ life-saving equipment and navigational safety aids to the fishing boats safety voyages. So, it could be concludes yaht the four variables have positive and significant influence to the fishing boats safety voyages. In order to ensure the safeness both crews ships and ship owners, they have to be discipline in following the rules. And for the Port Authority of Bojomulyo, Juwana when issuing the Port Clearance and Seaworthiness Certificate should be more cautious, especially when inspecting the ships stability, design and life-saving equipment. As for the Port Authority officers to always updating their competencies and proficiencies to increase the safeness of voyages.</em></p><p><strong><em>Keywords :</em></strong><em> Ship life-saving Equipment, Fishing Boats, Voyages safeness.</em></p><p>Penelitian ini dilatar belakangi karena seringnya kecelakaan kapal ikan di Indonesia yang menyebabkan keselamatan pelayaran terancam dan menimbulkan kerugian cukup besar bagi pemilik kapal. Dengan melihat permasalahan yang ada, apabila masalah keselamatan pelayaran di laut tidak diperhatikan dengan baik, dikhawatirkan akan terjadi peningkatan jumlah kecelakaan kapal dari tahun ke tahun, tujuan penelitian ini untuk menganalisis pengaruh antara variabel independen terhadap variabel dependen. Dengan populasi awak kapal yang ada di Pelabuhan Perikanan Pantai Tasikagung, Rembang di ambil sampel sebanyak 68 responden. Metode penelitian yang digunakan dengan teknik <em>non-probability sampling</em> jenis <em>insidental sampling</em>, pengumpulan data menggunakan kuisioner, teknik analisis data yang digunakan adalah teknik analisis regresi berganda meliputi uji validitas, uji reliabilitas, uji asumsi klasik, dan pengujian hipotesis. Hasil persamaan regresi linier berganda diperoleh adanya pengaruh yang positif secara parsial antara sumber daya awak kapal ikan, kelaiklautan kapal, alat-alat keselamatan kapal dan peranan sarana bantu navigasi berpengaruh terhadap keselamatan pelayaran kapal ikan.</p><strong>Kata kunci</strong> <strong>:</strong> Alat-alat keselamatan kapal, Sumber daya awak kapal ikan, Kelaiklautan kapal, Sarana Bantu Navigasi Pelayaran (SBNP), Keselamatan Pelayaran Kapal Ikan.
Analisis Pengaruh Kontrol PI Dengan Integral Anti-Windup Sebagai Upaya Reduksi Lonjakan Respon pada Sistem Ruang Termal
Authors: Iskandar Reza Fauzi , Putra Reksa , Suhendi Asep 
Published: June 2019

The Proportional Integral Derivative (PID) control is a classical control type which still use in industry and the development of methods is being improve. The simplicity of the structure and reliability of the PID makes this control more popular in the industry. Integral element is control element that produce control signals by accumulating error, its process can cause the windup events. Windup is the accumulation of integral controls outside the saturation boundary. Windup has an impact on forced response over a long period which worsens of time response and stability. This paper examines the application of anti-windup controls as an effort to overcome the accumulation of integral actions in PI control scheme. At the temperature reference value of 35 0C, the room temperature response with anti-windup shows a high temperature overshoot about 43.6%. The settling time is 15.3 minutes relative slow. The system response with anti-windup shows the lowest temperature overshoot that is 15.2% and the settling time of the system tends to be faster around 6.9 minutes.
Keywords – Thermal room, proportional-Integral, anti-windup.
Pengaruh Senam Diabetes Terhadap Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe II Di Wilayah Puskesmas Kedungwuni II Kabupaten Pekalongan
Authors: Hastuti Witri , Haji Son 
Published: June 2019

Latar belakang: Diabetes mellitus merupakan kelompok penyakit kronis. Diabetes mellitus biasanya disebut sillent killer. Diabetes mellitus merupakan penyakit menahun sehingga mmbutuhkan dalam pengelolaan, seperti olah raga. Olah raga dapat mempengaruhi kadar gula darah sampai 48 jam sesudah seseorang melakukannya. Jumlah pasien diabetes mellitus di Kabupaten Pekalongan Tahun 2015 terdiri dari tipe I sebanyak 171 orang dan tipe II sebanyak 2.393 orang. Tujuan penelitian: untuk mengetahui pengaruh senam diabetes terhadap kadar gula darah pada pasien diabetes mellitus tipe II di Wilayah Puskesmas Kedungwuni II Kabupaten Pekalongan. Metode : desain penelitian menggunakan quasi experiment dengan pendekatan one group pretest posttest. Sampel penelitian adalah pasien diabetes tipe II di wilayah Puskesmas Kedungwuni II Kabupaten Pekalongan sebanyak 38 orang. Pengambilan sampel menggunakan purposive sampling. Instrumen penelitian adalah Glukosameter, Lembar observasi, Standar Operasional Prosedur (SOP). Hasil penelitian: analisis bivariat menggunakan Paried T Test. Hasil penelitian menunjukkan  value sebesar 0,000 < 0,05. Kesimpulan : Ada pengaruh senam diabetes terhadap kadar gula darah pada pasien diabetes mellitus tipe II di Wilayah Puskesmas Kedungwuni II Kabupaten Pekalongan. Saran : Perawat disarankan untuk menyelenggarakan olah raga dengan durasi waktu yang dilakukan dan prosedur pelaksanaan yang harus dipatuhi oleh diabetesi sebelum dan sesudah melaksanakan senam diabetes mellitus.
Pengalaman Penderita Hipertensi MengkonsumsiTeh Roselladi UresosPucang Gading Semarang
Authors: YUNANI YUNANI , Putri Arista Adityasari , Putri Arista Adityasari , Jamaluddin M , Jamaluddin M 
Published: June 2019

Hipertensi merupakan tekanan darah persisten dimana tekanan sistoliknya diatas 140 mmHg dan tekanan diastolinya diatas 90 mmHg. Hipertensi pada populasi lansia didefinisikan sebagai tekanan sistolik 160 mmHg dan tekanan diastolic 90 mmHg. . Salah satu pengobatan non farmakologis yang telah dilakukan lansia adalah dengan mengkonsumsi teh rosella. Banyak studi yang memperlihatkan efektifitas rosella pada berbagai organ. Hal ini dikarenakan efek anti radikal yang dimiliki oleh kandungan rosella didalamnya mampu mengurangi radikal bebas yang terbentuk dalam aliran darah. Tujuan penelitian untuk mengeksplorasi pengalaman penderita hipertensi mengkonsumsiteh rosella sebagai terapi. Metode penelitian menggunakan desain penelitian kualitatif dengan pendekatan Fenomenologi. Partisipan pada penelitian ini adalah lansia penderita hipertensidi URESOS Pucang Gading Semarang. Hasil penelitian didapatkan sebagian besar partisipan merasakan keluhan hipertensi seperti : pusing, kaku pada leher, sulit tidur dan badan sempoyongan. Pengalaman mengkonsumsi teh rosella didapatkan sebagian besar partisipan mengalami penurunan/berkurangngya keluhan hipertensi.Kata Kunci: Pengalaman; Rosella; Hipertensi
Pengaruh Rendam Air Garam Terhadap Proses Penyembuhan Ulkus Diabetikum
Authors: Angkasa Moh Projo , Ta'adi Ta'adi , Hartono Mardi 
Published: June 2019

Latar Belakang : Prevalensi terjadinya ulkus diabetikum di Indonesia sebesar 15% dan sering kali berakhir dengan kecacatan dan kematian (Waspadji, 2006). Penyembuhan luka sangat dipengaruhi oleh metode perawatan luka. Banyak tehnik perawatan luka.Salah satunya dengan menggunakan air garam.Garam merupakan benda padatan berwarna putih berbentuk kristal yang merupakan kumpulan senyawa dengan bagian terbesar Natrium klorida (NaCl) lebih dari 80 % serta senyawa lainnya seperti Magnesium klorida, Magnesium Sulfat, kalsium klorida dan lain-lain. Garam mempunyai sifat yang mudah menyerap air.Ketika garam dicampur dengan air, terutama air hangat, terbentuklah partikel-partikel dengan muatan listrik yang berbeda: ion natrium yang bermuatan positif dan ion klor yang bermuatan negatif. Ketika larutan garam ini diberikan pada bagian yang luka, ion-ion ini akan mengatur tekanan sel-sel di sekitar luka. Tekanan diatur sedemikian rupa sehingga cairan tidak akan keluar dari dalam sel. Dengan kata lain, luka akan menjadi cepat kering.Di samping mengeringkan luka, air garam juga dapat membunuh bakteri yang menyerang luka (terutama bakteri staphylococcus dan streptococcusTujuan dan desain penelitian: tujuan penelitian untuk mengetahui pengaruh rendam air garam terhadap proses penyembuhan luka ulkus diabetikum. Desain penelitian ini menggunakan quasi eksperimen dengan rancangan randomized control group only design. Populasi pada penelitian ini adalah seluruh pasien dengan ulkus diabetikum di RS Prima Medika Pemalang. Sampel yang diambil dalam penelitian ini adalah dari populasi. Teknik pengambilan sampel yang dipakai dalam penelitian ini adalah quota sampling. Pada penelitian ini sampel berdasarkan kuota yang telah di tetapkan peneliti yaitu sejumlah 40 responden, 20 responden dilakukan tindakan rendam air garam, dan 20 responden tidak dilakukan rendam air garam sebagai kontrol.Analisa : analisa menggunakan univariat dan bivariate. Analisa bivariat dilakukan dengan menggunakan uji beda mean independent menggunnakan uji non parametric Mann-Whitney U karena distribusi data tidak normal.Hasil : menunjukkan bahwa rata-rata nilai proses penyembuhan luka pada kelompok intervensi (direndam air garam) adalah 3.70, sedangkan rata-rata nilai proses penyembuhan luka pada kelompok kontrol (tidak direndam air garam) adalah 3.35. Hasil uji statistik didapatkan ada pengaruh perawatan luka rendam air garam terhadap proses penyembuhan luka ulkus diabetikum (p value = 0.029) Kata kunci : Rendam air garam, proses penyumbuhan ulkus diabetikum
Bimbingan Rohani Muhammadiyah dengan Pendekatan Psikologis dan Spiritual pada Penanganan Pasien Rawat Inap RS Muhammadiyah
Authors: Handayani Estrin 
Published: June 2019

ABSTRAKPenelitian ini bertujuan untuk mendeskripsikan keberadaan dan peran Muhammadiyah dalam memberikan bimbingan rohani Muhammadiyah dengan pendekatan psikologis dan spiritual pada penanganan pasien rawat inap RS Muhammadiyah serta implementasinya mencakup: 1) meningkatkan pelayanan Muhammadiyah dalam bentuk upaya mewujudkan masyarakat yang sehat seutuhnya (fisik, psikologis dan spiritual) khusus pada pasien rawat inap; 2) mengetahui efektivitas bimbingan rohani Muhammadiyah pada pasien rawat inap melalui pendekatan psikologis dan spiritual di RS Muhammadiyah; 3) terbentuknya pelayanan kesehatan Muhammadiyah yang sehat dalam aspek psikologis dan spiritual; serta 4) terdeskripsikan mekanisme pelaksanaan bimbingan rohani Muhammadiyah pada pasien rawat inap.Penelitian ini dilaksanakan di RS PKU Muhammadiyah Bantul Kabupaten Bantul Yogyakarta. Penelitian kualitatif ini merupakan jenis penelitian lapangan (field reseacrh) berpendekatan komparatif kualitatif. Data dikumpulkan dari para pengelola, manajemen administrasi Rumah Sakit bagian Bina Rohani, serta para rohaniawan yayasan Muhammadiyah. Metode pengumpulan data menggunakan metode observasi, wawancara, serta metode dokumentasi. Analisa data yang digunakan yaitu metode desk analysis deskriptif kualitatif, metode triangulasi sumber dengan cara melakukan cross-check antara hasil observasi, wawancara, dan metode dokumentasi.Hasil penelitian ini membuktikan bahwa Muhammadiyah di RS PKU Muhammadiyah Bantul Kabupaten Bantul Yogyakarta telah menerapkan Bimbingan Rohani Muhammadiyah dengan pendekatan psikologis dan spiritual pada seluruh pasien rawat inap. Persyarikatan Muhammadiyah terbukti ingin melayani segala kebutuhan pasien tanpa memandang segala perbedaan. Implementasi bimbingan rohani muhammadiyah dengan pendekatan psikologis dan spiritual didukung penuh serta di bawah pengawasan organisasi Muhammadiyah yaitu Pimpinan Daerah Muhammadiyah (PDM) Kabupaten Bantul. Kata kunci: Bimbingan rohani; muhammadiyah; psikologis; spiritual
Hubungan Pengetahuan Orang Tua tentang ISPA dengan Kejadian ISPA pada Balita di Desa Dawungsari Kecamatan Pegandon Kabupaten Kendal
Authors: Wulaningsih Indah , Hastuti Witri 
Published: June 2019

Infeksi saluran pernafasan akut (ISPA) menurut World Health Organization (WHO) merupakan salah satu penyebab kematian tersering pada anak di negara berkembang. Tingginya angka penyakit ISPA pada balita, selain sering disebabkan karena kondisi kesehatan anak secara kongenital dan faktor lingkungan yang tidak sehat serta kurangnya pengetahuan mengenai ISPA.Tujuan penelitian ini untuk mengetahui hubungan pengetahuan orang tua tentang ISPA dengan kejadian ISPA pada balita di Desa Dawungsari Kecamatan Pegandon Kabupaten Kendal. Metode penelitian kuantitatif, rancangan penelitian deskriptif korelatif dengan desain cross-secctional. Sampel pada penelitian ini adalah 72 orang tua yang memiliki balita usia 1-5 tahun di Desa Dawung Sari dengan teknik pengambilan sampel purposive sampling. Data penelitian diperoleh dari kuesioner yang kemudian dilakukan uji validitas dan reliabilitas. Analisis data penelitian menggunakan uji chi square, diperoleh nilai ρ value 0,031 (<0,05). Sehingga ada hubungan yang signifikan antara pengetahuan orang tua tentang ISPA dengan kejadian ISPA pada balita di Desa Dawungsari Kecamatan Pegandon Kabupaten Kendal. Kata Kunci : Balita; ISPA; Pengetahuan
Poéticas da desigualdade social no romance brasileiro contemporâneo
Authors: Delgado Gabriel Estides 
Published: June 2019

Expedientes narrativos de Chico Buarque e Rubens Figueiredo são analisados de maneira a desvendar como a carga social brasileira faz-se presente em sua constituição. Não porque apenas tematizam a violência da desigualdade em Leite derramado (2009) e Passageiro do fim do dia (2010), mas pelo enfrentamento poético da matéria que, cada autor à sua maneira, assumem. Para traçar uma linha de afiliação da criticidade presente em ambas as obras, remonta-se à poética de Machado de Assis, bem como às marcas que a conflagração social europeia passava a impor aos mais relevantes de seus contemporâneos.
Uma leitura obrigatória e necessária. <em>Rio-Paris-Rio</em>, de Luciana Hidalgo
Authors: Meira Caio 
Published: June 2019

Em seu segundo romance, Luciana Hidalgo cria um caso de amor durante a ditadura, entre dois exilados brasileiros em Paris. Ao analisar Rio-Paris-Rio, Caio Meira chama a atenção para o fato de a autora não temer a realidade, preferindo incorporá-la à ficção, potencializada pelo desenvolvimento da subjetividade dos personagens e pela lida meticulosa com a linguagem. Assim, o receptor tem o prazer de apreciar uma narrativa densa e trabalhada, que lhe oferece, além disso, lentes acostumadas a ler momentos como o atual -- igualmente maculado pelo golpe.
ALMA 26 arcmin2 Survey of GOODS-S at 1 mm (ASAGAO): Near-infrared-dark Faint ALMA Sources
Authors: Yamaguchi Yuki , Kohno Kotaro , Hatsukade Bunyo , Wang Tao , Yoshimura Yuki , Ao Yiping , Caputi Karina I. , Dunlop James S. , Egami Eiichi , Espada Daniel , Fujimoto Seiji , Hayatsu Natsuki H. , Ivison Rob J. , Kodama Tadayuki , Kusakabe Haruka , Nagao Tohru , Ouchi Masami , Rujopakarn Wiphu , Tadaki Ken-ichi , Tamura Yoichi , Ueda Yoshihiro , Umehata Hideki , Wang Wei-Hao , Yun Min S. 
Published: June 2019

Abstract
We report detections of two 1.2 mm continuum sources (S
1.2 mm ∼ 0.6 mJy) without any counterparts in the deep H- and/or K-band image (i.e., K-band magnitude ≳26 mag). These near-infrared-dark faint millimeter sources are uncovered by ASAGAO, a deep and wide-field (≃26 arcmin2) Atacama Large Millimeter/submillimeter Array (ALMA) 1.2 mm survey. One has a red IRAC (3.6 and 4.5 μm) counterpart, and the other has been independently detected at 850 and 870 μm using SCUBA2 and ALMA Band 7, respectively. Their optical-to-radio spectral energy distributions indicate that they can lie at z ≳ 3–5 and can be in the early phase of massive galaxy formation. Their contribution to the cosmic star formation rate density is estimated to be ∼1 × 10−3
M
⊙ yr−1 Mpc−3 if they lie somewhere in the redshift range of z ∼ 3–5. This value can be consistent with, or greater than, that of bright submillimeter galaxies (S
870 μm > 4.2 mJy) at z ∼ 3–5. We also uncover three more candidate near-infrared-dark faint ALMA sources without any counterparts (S
1.2 mm ∼ 0.45–0.86 mJy). These results show that an unbiased ALMA survey can reveal the dust-obscured star formation activities, which were missed in previous deep optical/near-infrared surveys.
Exoplanet Reflected-light Spectroscopy with PICASO
Authors: Batalha Natasha E. , Marley Mark S. , Lewis Nikole K. , Fortney Jonathan J. 
Published: June 2019

Abstract
Here we present the first open-source radiative transfer model for computing the reflected light of exoplanets at any phase geometry, called PICASO: the planetary intensity code for atmospheric scattering observations. This code, written in Python, has heritage from a decades-old, well-known Fortran model used for several studies of planetary objects within the solar system and beyond. We have adopted it to include several methodologies for computing both direct and diffuse-scattering phase functions, and have added several updates including the ability to compute Raman scattering spectral features. Here we benchmark PICASO against two independent codes and discuss the degree to which the model is sensitive to a user’s specification for various phase functions. Then, we conduct a full information-content study of the model across a wide parameter space in temperature, cloud profile, signal-to-noise ratio, and resolving power.