bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative analysis of clinical, radiological and operative findings in acute abdomen
Authors: Ali Mir Zeeshan , Maddu Vamsee Krishna 
Published: February 2019

Background: The term acute abdomen refers to signs and symptoms of abdominal pain and tenderness that often requires emergency surgical therapy. The objective of the present study is to compare pre-operative diagnosis based on clinical examination with the operative diagnosis in acute abdomen.Methods: Total 60 cases of acute abdomen who underwent laparotomy in a tertiary care hospital were analysed prospectively regarding clinical features and also assessed the diagnostic utility of radiological investigations like plain abdominal radiographs, ultrasonography and computed tomography.Results: Acute abdomen was most common in males and 2nd to 5th decade of life. Appendicitis was most common cause of acute abdomen followed by hollow viscus perforation and intestinal obstruction. Abdominal pain was the most common symptom. Tenderness was the most common sign. Diagnostic utility of x-ray is more in hollow viscus perforation and intestinal obstruction, whereas ultrasonography is diagnostic in 64.3%. Ultrasonography accurately diagnosed acute appendicitis in 74.2%, hollow viscus perforation in 50%, and intestinal obstruction in 60% of patients. 95% clinical accuracy was found when compared to intra operative diagnosis. Kappa is 0.912 (p<0.0001).Conclusions: Clinical judgement is key to diagnosis of acute abdomen and investigations are only supplementary and cannot replace the clinical decision.
Comparison of RIPASA and Alvarado score in diagnosing acute appendicitis
Authors: Kagwad Suraj S. , Karuppasamy P. 
Published: February 2019

Background: Acute appendicitis is a common cause of abdominal pain and can be difficult to diagnose, especially during its early stages. The diagnosis of acute appendicitis is based on clinical history, examination combined with investigations. The purpose of this study is to compare between the RIPASA score and Alvarado score in the diagnosis of acute appendicitis. The aim of the present study was to compare the sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of Alvarado and RIPASA score.Methods: The cases for the study will be sourced from cases admitted in SVMCH and RC, Puducherry during the period of November 2016 to June 2018.Results: Out of the 144 patients in our study 133 patients were diagnosed with acute appendicitis as per HPE report.As per our study, sensitivity, specificity, PPV, NPV of RIPASA and Alvarado scoring system is 96.2%, 57.1%, 97.7% and 44.4%; 81.9%,85.7%, 95.1% and 20% respectively. The diagnostic accuracy of RIPASA score is 94.3 as compared to 82.1 of Alvarado score.Conclusions: The RIPASA scoring system is a promising and has good sensitivity, specificity and diagnostic accuracy when compared to Alvarado scoring for Asian Population.RIPASA scoring system is an easy and reliable, cost effective diagnostic tool which reduce negative appendicectomy rates and the expensive radiological investigations for the diagnosis of acute appendicitis.
Vitamin D deficiency: how prevalent it is?
Authors: Pallewad Irwant V. , Upadhye Jayshree J. 
Published: February 2019

<p class="abstract"><strong>Background:</strong> Vitamin D deficiency is frequently seen nowadays due to inadequate exposure to sun and pollution. The present study was undertaken to evaluate the prevalence of vitamin D deficiency in patients presenting with suggestive complaints.</p><p class="abstract"><strong>Methods:</strong> The present study is a retrospective study done at Srinivas Institute of Medical Sciences and Research Centre, Mukka, Suratkal, Mangaluru. Patients who have musculoskeletal or other problem suggestive of vitamin D deficiency were advised vitamin D levels. We went through OPD papers of only those patients with reports of Vitamin D levels.<strong></strong></p><p class="abstract"><strong>Results:</strong> In present study, out of 100 patients, 42 (42%) patients had normal BMI, 23 (23%) patients were overweight, 24 (24%) patients were obese while 11 (11%) patients were underweight. 46 (46%) patients were having walk for exercise purpose, 21 (21%) were doing work out at gym while 33 (33%) patients were walking only for doing some work. 47 (47%) patients had normal levels of vitamin D, 31 (31%) had insufficient levels while 22 (22%) patients had deficient levels of vitamin D. So, prevalence of vitamin D deficiency was 22% and for vitamin D insufficiency was 31%.</p><p class="abstract"><strong>Conclusions:</strong> In present study, we conclude that irrespective of normal body mass index or physical activity, patients presented with various complaints. In them, vitamin D levels were either insufficient or deficient in large number of patients. So, vitamin D levels should be done as screening or at least when patients present with suggestive complaint. </p>
Association of diabetes and hypertension with elderly skin changes
Authors: Paliwal Gaurav , Koti Venkatarao , Dutt Shobhit 
Published: February 2019

<p class="abstract"><strong>Background:</strong> The skin is the largest organ of the human body that fulfils multiple essential tasks. It forms the boundary between the inside and outside. It provides protection against mechanical and chemical threats, it provides innate and adaptive immune defences, it enables thermoregulation and vitamin D production, and it acts as the sensory organ of touch. Aging population is susceptible to many cutaneous and systemic diseases, simultaneously leading to impairment of quality of life in them.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was carried on patients above 60 years of age who visited the dermatology OPD at rural tertiary care centre from November 2016 to May 2017.<strong></strong></p><p class="abstract"><strong>Results:</strong> Total 540 geriatric patients with dermatosis were registered under the study, of these 203 patients had one or more systemic diseases. Hypertension (70.9%) was the commonest disease, followed by diabetes (32.5%).</p><p class="abstract"><strong>Conclusions:</strong> Skin diseases cause considerable morbidity in elderly, particularly if associated with other comorbid conditions, so health promotion and education can do much to reduce the risk.</p><p class="abstract"> </p>
Islam dan perubahan sosial: Gerakan sedeqah lima ratus rupiah dan perubahan sosial di kabupaten Sukabumi
Authors: Jaelani Iji , Nurdin Ahmad Ali 
Published: February 2019

Dalam kajian agama-agama, konsep sedekah merupakan bagian inti yang tidak bisa dilepaskan, khususnya berkaitan dengan transformasi agama sebagai perubahan sosial.Konsep demikian bisa dilihat pada gerakan sedekah lima ratus rupiah di kabupaten Sukabumi. Gerakan ini dimulai pada tahun 2000 melibatkan banyak pihak meliputi lembaga agama, dan masyarakat luas. digunakan untuk melakukan perubahan sosial, bahkan turut menginisiasi lahirnya kebijakan publik mengenai zakat, infak, dan shodaqoh di Kabupaten Sukabumi. Metode yang digunakan untuk melakukan penelitian ini ialah teori pengalaman keagamaan (pemikiran, tindakan, dan persekutuan) dan teori hegemoni. Dari penelitian tersebut, penulis menganalisis gerakan sedekah lima ratus merupakan bentuk ekspresi pengalaman keagamaan yang diinspirasi dari pemikiran keagamaan nahdlatul (fiqrah nahdliyah dan harakah nahdliyah) dan memiliki dampak sosial yang besar pada perubahan masyarakat..Secara politik, gerakan sedekah lima ratus rupiah ini menggunakan strategi hegemoni, yakni kepemimpinan intelektual dan kepemimpinan moral dari Abdul Basith sebagai pendiri kepada relawan dan pemerintah untuk melancarkan kegiatannya hingga lahirnya lahirnya perubahan social di bidang registrasi peraturn daerah tentang pengelolaan zakat, infaq, dan shodaqoh.
Implementasi jaminan produk pangan halal di Jambi
Authors: Asnawi Ulya Fuhaidah , Ibrahim Ramlah Ramlah 
Published: February 2019

Riset ini bertujuan untuk mengeksplorasi bagaimana peran pemerintah terhadap peredaran produk pangan halal terutam yang beredara di Kota Kuala Tungkal dan Kota Jambi. Kota Kuala Tungkal adalah salah satu pintu masuknya peredaran barang impor yang terletak di wilayah Singapura, Johor, Riau (SIJORI). Makanan impor yang beredar pada umumnya sudah memiliki nomor register BPPOM, namun tidak memiliki label halal. Padahal undang-undang jaminanan produk halal sudah disahkan sejak 2014 oleh pemerintah. Pendekatan yang dipakai dalam riset ini adalah pendekatan fiqh. Metode pengumpulan data dilakukan dengan cara observasi, wawancara mendalam, dan dokumentasi. Teknik purposive sampling dipilih untuk menentukan kriteria para informan yang akan diwawancarai yakni Ketua MUI dan kepala BPPOM Propinsi Jambi. Adapun hasil penelitian menunjukkan bahwa regulasi jaminan pangan halal sudah diatur sejak lama di Indonesia, namun belum dapat diaplikasikan dengan baik. Hambatan dan tantangan implementasi jaminan produk halal muncul di lapangan terkait dengan tiga faktor yakni keterbatasan kewenangan stake holder di daerah, kurangnya anggaran, sumber daya manusia, dan infrastruktur yang kurang memadai.
Implementasi Kebijakan Pembinaan Bahasa Daerah di Kabupaten Jember, Situbondo dan Banyuwangi
Authors: Suyanto Budi 
Published: February 2019

This study discusses about the relation between students’ bilingualism (particularly second language learners) acquired through studying at school and student’s capability in inter-ethnic social interaction. It is assumed that local language teaching at school provides students capability of bilingualism. Students’ bilingualism plays important role in their multicultural perspective endorsing them to have tolerance and solidarity to different ethics and culture, all of which are the factors to build harmony in plural society. Observed subjects are secondary school students with plural cultural backgroundsin Jember, Situbondo, and Banyuwangi. As a matter of fact, people in those three regencies have plural cultural background, however, the teaching of local language is different. This research is conducted with analytic-quantitative paradigm. Data analysis is conducted in two ways: (a) qualifying andgeneralizing dataand (b) qualifying and relating data with their social context. The result shows that (1) learning local language at 6 secondary schools in the three regencies has impact ondifferent achievements concerning students’ bilingualism; (2) there is a correlation between students’ bilingualismand their capability of having interaction with different ethnic; (3) there is a correlation between students’ language performance and their solidarity, tolerance and integrity with people of different ethnics. (4) the consequence of teaching only majorities’ local language is that students’ of major ethnic merely have competence of their own local language, and thus have less capability of bilingualism concerning local language of different ethnic. Students’ linguistic repetoir are not improved. On the other hand, students from minor ethnic do not get competence of their own local language but get other ethnic’s local language instead. Students of minor ethnic have advantage in that they are able to take part in their social role using their competence of major ethnic’s local language. However, it also has negative impact in that they have limited competence in their own local language and culture, and gradually lose their own identity as they become dominated by major ethnic.

Keywords: language teaching, multiculturalism, bilingualism, intercultural communication
Penggambaran Dunia dalam The Naked Traveler 1 Year Round-The-World Trip Karya Trinity
Authors: Ekasiswanto Rudi 
Published: February 2019

Abstract

This study is aimed at discussing The Naked Traveler 1 Year Round-The World Trip written by Trinity using literary theory about travelling proposed by Carl Thompson. The goal is to get more obvious depiction about the world as described by the author. This research uses qualitative method with descriptive data in forms of written and spoken words by subjects observed alongwith their observable behaviour. This research also uses analytic descriptive method by describing facts observed and followed by analysis. Analysis is conducted through sufficient elaboration and explanation. The result shows that The Naked Traveler 1 Year Round-The World Trip contains Trinity’s daily notes when travelling in Southern American countries. His writing contains elements of adventure by direct observation to the life of society in 9 countries: Brazil, Chille, Peru, Equador, Colombia, Cuba, Jamaica, Mexico and Guatemala, where he lives with local people and makes journey to world’s exotic tourism spots. Besides, the visited places are described in a subjective way, due to the close and near visibility having influence on the author.

Keywords: local colour, Betawi, short stories anthology Terang Bulan Terang di Kali
Kemampuan Berkomunikasi Siswa Berkemampuan Terbatas di SMP Negeri 1 Mayang Kabupaten Jember
Authors: Febriyanti Ade Terina , Wibisono Bambang , Sariono Agus 
Published: February 2019

ABSTRAK
Tulisan ini akan membahas mengenai kemampuan komunikasi siswa berkemampuan terbatas bernama Habibi yang hidup di tengah siswa normal seusianya. Kemampuan komunikasi yang dimiliki oleh Habibi akan diliat dari (1) kemampuan Habibi dalam bertindak tutur ilokusi, yang meliputi tindak tutur asertif, direktif, komisif, ekspresif, dan deklarasi; (2) kemampuan Habibi dalam memahami implikatur percakapan; (3) kemampuan Habibi dalam memahami praanggapan; dan (4) kemampuan Habibi dalam menggunakan deiksis. Hasil pembahasan menunjukkan bahwa (1) Habibi hanya mampu menggunakan empat jenis tindak tutur. Secara terperinci, Habibi hanya mampu menggunakan sembilan dari 28 jenis tindak tutur; (2) Habibi mampu memahami pesan-pesan yang terimplikasi atau tersembunyi dalam tuturan meski respon yang dia berikan terhadap mitra tuturnya, teman sebaya dan guru, berbeda; (3) Habibi gagal dalam memahami pengetahuan bersama yang seharusnya dia miliki bersama mitra tutur; dan (4) Habibi mampu menggunakan deiksis dalam komunikasinya, yaitu persona, tempat, dan waktu meski bentuk-bentuk deiksis yang mampu Habibi gunakan hanya terbatas pada bentuk-bentuk bahasa Madura.
Kata kunci : Komunikasi, Kemampuan Berkomunikasi, Siswa Berkemampuan Terbatas, Pragmatik
Penanda Fatis dalam Bahasa Jawa yang Digunakan oleh Masyarakat Madura di Jember
Authors: Yuliana Siti 
Published: February 2019

Abstract
This article discusses is phatic marker in Javaneese language (BJ) that is used by Madureese society in Jember. Madura speaker when talking on BJ, then the marker is a marker spoken phatic is phatic BM. In terms of speakers, in the form of BJ phatic marker used by the Madurese community in Jember assortment as well as in terms of the use and distribution also varies. There are three steps that are used in this research, which are 1) data collection steps, 2) data analysis step, 3) presentation of the data analysis. Result step the method that is used in the data collection step is simak method. The second step is data analysis step, which are agih method. The third step is the presentation of the data analysis result is informal method. Based on research results, he form of phatic communion in BJDJ are in the form of 1) particles 2) phatic words, 3) word repetitions, and 4) the use of affixes. Phatic communion is particles, which are jhâ’, kan, ko dan ra, yâ, lâ, pas, ta, dhing, ki, lah, and mbok. Phatic communion is phatic words, which are sènga’, ma’, adâ’, bâh, mara, jeneng, mboh, wés, and mayo’. Phatic communion is word repetitions,which are cén, ndak, jal, mboh, yo, and iku. Phatic communion is use of affixes, which are –an and –en.

Key words: Phatic marker, particles, phatic words, word repetitions, the use of affixes
KOMUNITAS SASTRA JAWA: PENCIPTAAN, PENERBITAN, DAN PERGELARAN TEMBANG MACAPAT
Authors: Nugroho Akhmad 
Published: February 2019

Tembang macapat adalah karya sastra Jawa tradisional. Ketradisionalannya terletak pada aturannya yang ketat, harus tunduk pada kaidah yang berlaku sebagai sebuah puisi dengan guru gatra ‘jumlah baris tiap bait’ yang ditentukan, guru lagu ‘bunyi akhir setiap baris’ juga tertentu, dan guru wilangan “jumlah sukukata tiap baris’. Hal itu berbeda dengan puisi bebas yang dalam sastra Jawa disebut geguritan. Namun demikian, sebagai sebuah karya sastra Jawa tradisional, tembang macapat sampai saat ini masih ditulis orang, dipublikasikan lewat media cetak, dan dipergelarkan dengan cara dinyanyikan.
Pergelaran macapatan yang biasanya dilakukan pada malam hari, sampai saat ini masih banyak dijumpai di Yogyakarta dan sekitarnya. Ada yang mengatakan, tidak ada malam tanpa pergelaran macapat. Penelitian ini akan mendeskripsikan proses kreatif tembang macapat oleh para pengarang, penerbitannya dalam majalah berbahasa Jawa Djaka Lodang, dan kegiatan macapatan dengan menyanyikan tembang Jawa tradisional yang mempunyai komunitas tersendiri pada zaman moderen sekarang ini.
Kata kunci: Tembang macapat, proses kreatif, penerbitan, pergelarannya di Yogyakarta.
Menggiring “Akad Pertama” dalam Hermeneutik T.K. Seung
Authors: Rosa Silvia - 
Published: February 2019

This paper discusses a short story entitled "First Akad" written by a young author originating from West Sumatra, named Zulfahmi. Discussion of this short story aims to provide interpretation of the signs contained in the short story "First Akad", and make thematic interpretation of the short story. The language that becomes the medium of the literary work is full of signs and meanings that the reader needs to interpret. The wealth of signs and meanings keeps the cultural code the author sends to the reader. Qualitative research methods and the application of hermeneutic theory can open local cultural codes that authors use to convey their ideology.

Words: short story, interpretation, thematic, hermeneutic
HUBUNGAN AGRESSIVE DRIVING BEHAVIOR PENGEMUDI SEPEDA MOTOR DENGAN KECELAKAAN LALU LINTAS (STUDI PADA SISWA SMA DI KABUPATEN SIDOARJO)
Authors: Soffania Mazroh Ilma 
Published: February 2019

Road traffic accident was the public health problem that can decrease public health status. Most of the road traffic acccident involving motorcyclist and mostly among people around 15-19 years old. Agressive driving behavior was one of the factors causing road traffic accidents. The aim of this study to analize the relationship between motorcyclist’s agressive driving behavior with road traffic accidents. This research was analytic observational research with case-control design. The population was senior high school student who riding motorcycle aged ≥ 17 years old in Kabupaten Sidoarjo. Population were divided into two groups, namely case group and control group. Case group were respondents who had road traffic accidents while control group were respondents who never had a road traffic accidents in the last year. The number of respondens were involved 24 respondents in case group and 48 respondents in control group. Sampling were purposive sample in case group and matching sampling in control group by age and sex. The result of analysis using chi-square test (α = 5 %) showed that agressive driving behavior in motorcyclist has significant relationship of road traffic accidents (p= 0,0006; OR= 5,320). Senior high school students were encouraged to managed time and more prioritised safety while driving to avoid traffic accidents.
PENGARUH STATUS HUBUNGAN BERPACARAN TERHADAP PERILAKU PACARAN BERISIKO PADA MAHASISWA PERANTAU ASAL PAPUA DI KOTA SURABAYA
Authors: Ohee Christine 
Published: February 2019

The quality of education in eastern part of Papua is still low so that many teenagers choose to go out the Papua for study.One of the factors of risky sexual behavior among adolescents students is wandered. The risky dating behavior of Papuan students in Surabaya is 76.7% (Giay, 2017). The purpose of this study is to analyze the impact of dating status with the risky dating behavior among Papuan origin students in Surabaya. This research is an observational analytic research with cross sectional design. The research population was 260 migrant college students from Papua. The research sample was 70 male and female college students. The independent variables of this research were age, sex, relationship status, intention of risky dating behavior, and knowledge level. The statistical analysis were using multiple logistic regression test with the significance level of 5%. The result of this research showed that relationship status influenced college students’ risky dating behavior (p = 0.001), while age, sex, intention of risky dating behavior and knowledge level did not influence college students’ risky dating behavior (p > 0.05). The conclusion of the research is the status of dating relationship has an effect on the risky courtship behavior of Papuan native students in Surabaya city. Therefore, students are advised not to date during the study period.
The effects of anesthesia induction and positive pressure ventilation on right-ventricular function: A 3D echocardiography-based prospective observational study
Authors: Magunia Harry , Jordanow Anne , Keller Marius , Rosenberger Peter , Nowak-Machen Martina 
Published: February 2019

Abstract
Background: General anesthesia induction with the initiation of positive pressure ventilation creates a vulnerable phase for patients. The impact of positive intrathoracic pressure on cardiac performance has been studied but remains controversial. 3D echocardiography is a valid and MRI-validated bed-side tool to evaluate the right ventricle (RV). The aim of this study was to assess the impact of anesthesia induction (using midazolam, sufentanil and rocuronium, followed by sevoflurane) with positive pressure ventilation (PEEP 5, tidal volume 6 – 8 ml/kg) on 2D and 3D echocardiography derived parameters of RV function.
Methods: A prospective observational study on fifty-three patients undergoing elective cardiac surgery in a tertiary care university hospital was designed. Transthoracic echocardiography exams were performed before and immediately after anesthesia induction and were recorded together with hemodynamic parameters and ventilator settings.
Results: TAPSE as a parameter reflecting the movement of the lateral tricuspid annulus was significantly reduced (mean difference -1.6mm (95% CI -2.6mm to -0.7mm; p=0.0013). Tissue Doppler derived tricuspid annulus peak velocity was also significantly reduced (mean difference -1.9% (95% CI: -2.6 to -1.2; p<0.0001), but global right ventricular ejection fraction (p=0.1607) and right ventricular stroke volume (p=0.1838) did not change.
Conclusions: This data shows a preserved right ventricular ejection fraction and right ventricular stroke volume despite reduced baso-apical right ventricular function after anesthesia induction and initiation of positive pressure ventilation. Because only small changes were seen the clinical impact has yet to be determined.
Trial Registration: Retrospecitvely registered, 6th June 2016, ClinicalTrials.gov Identifier NCT02820727.
Keywords: Right ventricular function; positive-pressure respiration; anesthesiology; echocardiography, three-dimensional.