bluuebunny/crossref_metadata_2025_split huggingface dataset:
Lactate clearance: its relationship with the success of non-operative management in patient with blunt abdominal trauma
Authors: Rudiman Reno , Saragih Nova , Purnama Andriana 
Published: April 2017

Background: Occult ongoing bleeding has become the second highest cause of death in blunt abdominal trauma. Undetected abdominal injury has caused morbidity and mortality in patients at the early phases of trauma. Non-operative Management (NOM) in solid organ trauma is safe and effective, and this strategy has become widely used. Lactate clearance (LC) has important clinical benefits in patients with acute trauma that is superior to initial lactate examination. Methods: This study was a prospective cohort study of patients with history of hemorrhagic shock caused by blunt abdominal trauma that came to emergency room of Hasan Sadikin Hospital Bandung from August 2015 to July 2016. The tests were including initial blood lactate, 2 hours, and 4 hours post-resuscitation and then calculation of LC. Analysis using SPSS with chi square for the significance of relationships and Spearman correlation to determine the strength of the relationship between variables. Comparison test between LC2 and LC4 were calculated using Mann-Whitney tests.Results: During one year period, from August 2015 to July 2016, there were 34 patients. Age was in the range of 15-65 years, with a range of 15-25 years were 19 (55.8%), 25-50 years were 11 (32.4%), and >50 years as many as four (11.8%). By sex, there were 28 (82.4%) male gender and 6 (17.6%) women. Based on the type of trauma, there were 11 (32.4%) single trauma patients and 23 (67.6%) multiple trauma patients. Based on the results of statistical analysis with chi square, there was a significant correlation between lactate clearance 2 hours (LC2) and lactate clearance 4 hours (LC4) with the success of NOM (p <0.001) with the Odds Ratio (OR) are 3.750 and 6.500 respectively. Based on non-parametric test (Mann Whitney) showed that there were no significant differences between the LC2 and LC4 in determining the successful of NOM (p>0.05).Conclusions: There was a significant relationship between lactate clearance 2 hours (LC2) and lactate clearance 4 hours (LC4) in determining the success of non-operative management (NOM) in patients with history of hemorrhagic shock caused by blunt abdominal trauma. In addition, there are no significant differences between the LC2 and LC4 in determining the success of the NOM, so that either LC2 or LC4 may be used in predicting the success of NOM, as LC4 is the first preference. The low level of lactate clearance may be used as one of indicators to terminate non-operative management and proceed with surgery right before all symptoms of hemorrhagic shock arise.
Primary closure versus T-tube drainage after laparoscopic choledocholithotomy: a prospective randomized study
Authors: Shakya Jugendra Pal Singh , Agrawal Neelabh , Kumar Arun , Agrawal Archana , Singh Akash , Singh Kunwar Vishal , Yadav Charu 
Published: April 2017

Background: Traditionally laparoscopic common bile duct exploration is followed by T-tube placement because of which patients suffer problems related to T-tube thereby increasing the morbidity of patients. Primary closure of CBD following laparoscopic choledocholithotomy is now being considered as an alternative superior to the traditional method. This study is designed to analyse the outcome of primary CBD repair in terms of mean operation time, duration of hospital stay and post-operative morbidity.Methods: A prospective randomized study was done in which 40 patients at our institute and associated hospitals were divided into two groups to compare the results of primary closure to T-tube placement following laparoscopic choledocholithotomy.Results: 40 patients were included in this study. The mean operating time was observed to be 65±14.05 mins in Group A (primary closure) patients while that in case of Group B (T-tube drainage) patients was 95.25±9.66 mins with a p-value 0.0001 which is considered statistically significant. The average duration of hospital stay in Group A (primary closure) was 8.2 days which was much shorter than that of Group B (T-tube drainage) patients which was of 15.7 days. The post-operative complication was observed in 1 patient of Group A (primary closure) while post-operative complication occurred in 3 patients of Group B (T-tube drainage).Conclusions: This study indicates that primary repair following laparoscopic choledocholithotomy is a safer and more effective method than T-tube drainage and we strongly recommend this procedure in clinical practice.
The role of ultrasonography in acute appendicitis
Authors: Lamture Yashwant R. , Gajbhiye Varsha P. , Shahapurkar Vinay V. 
Published: April 2017

Background:Acute appendicitis is the most common surgical emergency. Inspite of new investigations, mainstay of diagnosis depends on clinical sign and symptoms, laboratory and USG (ultrasonography) of abdomen. Out all these investigations USG is having a crucial role in a diagnosis of it. Hence this study was undertaken to prove its efficacy.Methods: This study was conducted in 418 patients with 186 females and 251 males. Patients were of acute appendicitis operated for appendicectomy were included in the study. Data analysis was done by Stata statistic software. Before surgery patients were subjected for necessary investigations including USG.Results:The mean age was 18.8 (range 8-83) years. Normal appendix found in 22 cases, hence negative appendicectomy rate was 6.6%. Chronic appendicitis was found in 28 patients. Different pathology was found in 1 in the form of carcinoid of appendix (0.24%) but treated by appendicectomy. USG abdomen in present study showed sensitivity of 88.6% and specificity 92% with PPV and NPV was 98% and 52.3%, frequency reports were s/o acute appendicitis in 337 patients and normal in 82 subjects.Conclusions:It conclude that USG is very important tool to diagnose and rule out appendicitis and its complications like perforation or peritonitis. Its liberal use by expert radiologist can help to reduce negative appendicectomy rate.
Valentino’s syndrome: the simulation of an appendicitis
Authors: González Chávez Alberto Manuel , García Vázquez Alain Arturo , Gómez López José Manuel , Pavón Nicolás Leyva , Lemus Gómez José Luis , Álvarez Hernández Diego Abelardo , Durón Mauricio Valdez 
Published: April 2017

Acute abdominal pain is still the domain of the surgeon. Among the many differential diagnosis that should be considered, acute appendicitis must be one of the main options for the clinician. Even though we have excellent diagnostic tools nowadays, accomplishing an accurate diagnosis is not that easy. We all know that is better to perform surgery on a normal appendix than not operating an appendix that will result in complications; we also know that the diagnostic challenge will be higher in a female patient. But, what if right lower quadrant pain is produced by a pathology that doesn’t involve that anatomical region? We present two cases that clearly explain this situation.
Study on variation of blood-pressure in relation to posture among children aged 4-14 years
Authors: Ragu Rajparath , Siddhuraj Rangesh , Kasimani Jeganatha Athiveera Rama Pandian , Vadivelu Senthamarai Murugaiyan , Seethapathy Rajasekaran , Radhakrishnan Shankar 
Published: April 2017

Background: The response of blood pressure to change in body position has been used in epidemiological studies as a measure of cardiovascular reactivity. Studies had shown that the difference between the supine and seated blood pressures is positively associated with subsequent development of systemic hypertension independent of supine blood pressure. Objective of present study is to study the variation in blood pressure among children in the age group of 4-14 years in relation to the change in their posture.Methods: cross-sectional study was conducted in a rural area near our medical college hospital. A primary and middle school in that area was selected for our study. A total of 500 children in the age group of 4 -14 years were included in our study. Demographic profile was recorded for all children. Height, weight and BMI were measured. Blood pressure measurement was done by using the auscultation method and with appropriate sized blood pressure cuff.Results: The blood pressure shows a gradual increase as the age of the study subjects increases and there was no statistically significant difference in the blood pressure between males and females (p>0.05). Supine posture shows a comparatively higher systolic pressure and a lower diastolic pressure reading than the sitting and standing posture. The mean difference in systolic blood pressure between sitting and supine posture was less than the mean difference between sitting and standing and the mean difference between supine and standing, which was found to be very high and a similar type of result was also shown in the diastolic blood pressure and this mean difference between the postures was found to be statistically significant (p<0.05).Conclusions: Postural changes in systolic and diastolic deserve further study as a potential risk factor for the development of hypertension as this could be easily measured in clinical practice and in epidemiological studies.
Pattern of traffic rules violations and the risk of fatal injuries in Mysuru city
Authors: A. Rashmi , B. M. Shrinivasa , B. M. Shrinivasa , B. M. Shrinivasa , M. R. Narayanamurthy , M. R. Narayanamurthy , M. R. Narayanamurthy 
Published: April 2017

Background: In India, Road safety is an issue of national concern. Road accidents create negative impact on the economy, public health and the general welfare of the people. Every year the lives of approximately 1.25 million people are cut short as a result of road traffic accidents. Between 20 and 50 million more people suffer non-fatal injuries, with many incurring a disability as a result of their injury. Reliable road traffic injury surveillance is an important component of evidence based road safety policy making. Methods: A cross sectional study was conducted for the period of 3 months in Mysuru city. The present study included all the 5 Traffic Police stations coming under Mysuru city. Before conducting the study, permission to collect all the relevant information is obtained from the in charge of the stations. Retrospective data regarding the traffic rules violations, fatal and non-fatal injuries are obtained in the fixed format prescribed by the government which is maintained uniformly by all the police stations. Data collected was entered in MS office excel sheet and analyzed using statistical package for social sciences (SPSS) software version 22.0. Results: From the study we can observe that there is a drastic increase in the total number of traffic crimes in 2015 compared to 2014. Case fatality of road traffic accident showed decreasing trend from the year 2013. It was evident from the study that there was no significant correlation between total number of accidents every year with violation of traffic rules (r = -0.86 p =0.338). Similarly There was no significant correlation between the number of persons killed every year with violation of rules by riding two wheeler without helmet(r = -0.380 p =0.752). Conclusions: With massive investment in roads and the exponential growth in the number of vehicles it has become necessary to have a system, which integrates all disciplines that influence road safety. In depth evaluation of the road traffic accidents to build infrastructures and to reinforce the regulations specific to local needs is required.
RESOR PANTAI WEDI OMBO DI GUNUNG KIDUL, YOGYAKARTA
Authors: Mardiyanti Tri , Suparno Suparno , Yuliarso Hari 
Published: April 2017

<em>Design Resort on Wedi Ombo beach against the background of growth of tourists increasing every year, but a means of lodging accommodations not meet the need for accommodation for tourists, so the purpose of this scheme is to get a building design that can facilitate tourism activities, facilitate the activities of coastal tourism into a building form that apply to the tropical climate adaptation in coastal Wedi Ombo environments. Design issues are: how to apply the concept of tropical architectural design in the form of Wedi Ombo beach resort building. The method used is a method of planning and architectural design ranging from the initial idea and understanding of the object that planned, the formulation of the problem, the collection of physical and potential data area which is then analyzed and examined to obtain the results of the application of the concept of tropical architecture of the building. The result obtained is a design of a resort, which can optimize the potential of the nature of tropical climate on the design of the building, so there is a sense of comfort for the users of the building at the time were in the building.</em>
AGROWISATA KOPI DI KLEDUNG KABUPATEN TEMANGGUNG DENGAN PENDEKATAN ARSITEKTUR EKOLOGI
Authors: Rahayu Karlina Hangesti , Nugroho Rachmadi , Hardiana Ana 
Published: April 2017

<p><em>Temanggung</em><em> Regency is a regency in Central Java Province.</em><em> Existing issues in the Temanggung Regency becoming the background of planning and designing Coffee Agrotourism in Kledung Temanggung Regency based on Ecology Architecture, as for instances, </em><em>the needs of new tourist destinations in the Temanggung Regency, the government's plan to develop new tourist destinations such as agrotourism area, the potential for coffee plants in Kledung, the principle of agrotourism stressed as low negative impact on nature and provides lessons to tourist about the importance of conservation and Kledung region as a region which provides protection underneath and protected areas that need to be preserved geology.</em><em> The problem of the design is</em><em> implement the concept of ecology with a focus on energy efficiency, minimazing cut and fill and waste management in the region and building </em><em>Coffee Agrotourism </em><em>in an effort to preserve nature. </em><em>The purpose of this design is</em><em> to get the design and building of </em><em>Coffee Agrotourism</em><em> region as a place of education and recreation on coffee plants by implementing the concept of Ecology Architecture. </em><em>The method used is</em><em> is a method of designing architecture based on Ecology Architecture approach. </em><em>The results obtaine</em><em>d Coffee Agrotourism based on Ecology Architecture approach</em><em> that is applied to energy efficiency, minimazing cut and fill, and waste management.</em><em></em></p><p><em> </em></p><p><strong><em>Keywords</em></strong><em>: Coffee Agrotourism,</em><em> Ecology Architecture,</em><em> </em><em>Energy Efficiency, Cut and fill, Waste Management.</em><em></em></p>
YOUTHCENTER DI KEBUMEN SEBAGAI WADAH PENGEMBANGAN KREATIVITAS REMAJA DENGAN PENDEKATAN PSIKOLOGI ARSITEKTUR
Authors: Ismail Fahlevi , Sumadyo Amin , Ikhsan Fauzan Ali 
Published: April 2017

<p><em>There are many communities, teen clubs and events held in the city of Kebumen, this is a sign that the local youth have the potential to show the creativity and existence. This phenomenon needs to be balanced with the provision of a wide range of facilities to accommodate youth activities such as sports facilities, arts facilities and community facilities. The facility in the city of Kebumen still minimal and insufficient for the scale of the city. Design Youth Center in Kebumen City aims to get the design of the building to facilitate sports activities, arts and community activities into the shape of the building is able to accommodate youth to enhance the creativity of teenagers. Design issues are: how the expression of space and form of the building that can accommodate the adolescent approach to Architectural Psychology is then translated into the design of the container Youth Center in Kebumen. The method used is a method of designing the architecture, from the collection of data was then analyzed by functional programming, programming performance and architectural analysis. Concept design: Architectural Psychology applied to the expression of space and forms building Youth Center is expected to bring the design of the building is able to accommodate adolescent psychology to be more creative in the activities in it.</em><em></em></p><p><em> </em></p><p><strong><em>Keywords</em></strong><em>: Adolescent, Architecture Psychology (psychophysical aspects), Creativity, Kebumen, Youth Center.</em></p>
AKUARIUM BIOTA LAUT DENGAN PENDEKATAN ARSITEKTUR METAFORA DI TAMAN NASIONAL KARIMUN JAWA
Authors: Meikalista Adelia , Musyawaroh Musyawaroh , Hardiana Ana 
Published: April 2017

<p><em>Indonesia is an archipelago that 63%</em><em> of the territory</em><em> is water area</em><em> and </em><em>has a fascinating natural beauty one of which is underwater paradise</em><em>, </em><em>one of them </em><em>is </em><em>Karimun</em><em>jawa</em><em> Islands.</em><em> </em><em>Karimunjawa National Park is famous for it</em><em>’</em><em>s underwater paradise, </em><em>so that</em><em> few people who visit it</em><em>’</em><em>s main purpose is closely bound with snorkeling and diving activities.</em><em> But </em><em>from year to year in the state of degradation of marine life</em><em>, so that</em><em> need </em><em>a place for </em><em>conservation and research for the marine life.</em> <em>Marine aquarium is an alternative that can be used as a </em><em>place</em><em> </em><em>for </em><em>introduction of underwater life, and can become a place of preservation and research on marine life. </em><em>Design problems in designing </em><em>marine </em><em>aquarium is how </em><em>marine aquarium</em><em> into the separate icon for Karimunjawa National Park which portray the richness of marine life there, so to make that image then approach the </em><em>A</em><em>rchitecture </em><em>M</em><em>etaphor is very suitable as a concept design planning aquarium marine life</em><em>. </em><em>Metaphor architecture can be applied to the design of </em><em>marine </em><em>aquarium</em><em> </em><em>by adopting the coral reefs are applied to the</em><em> regulatiuon of</em><em> site, the space in the mass, the shape and composition of it</em><em>’</em><em>s mass. </em><em>This</em><em> concept of life in the ocean can be visualized with the architectural design as well as being of architectural presenting function.</em><em></em></p><p><em> </em></p><p><strong><em>Keywords</em></strong><em>: </em><em>Aquarium, Conservation, Marine, Marine Aquarium, Marine Biota, Marine Life, Metaphor Architecture, Research.</em></p>
BANDUNG FASHION HUB SEBAGAI RUANG INTERAKSI DAN REKREASI DENGAN PENDEKATAN DESAIN EKSPRESIF DI KOTA BANDUNG
Authors: Jasmine Annisa Fadhilla , Purnomo MDE , Yuliarso Hari 
Published: April 2017

<p><em>Today’s fashion is an important part of the lifestyle and influence in many aspects of life including influential in global economic that the development should be considered. Bandung as a creative city supported by enterprising creative industries and communities is a suitable habitat in the development of the fashion mode that has significant impact on the development of the creative economy in the city of Bandung. Based on the Government Work Report Bandung (LKPJ AMJ) in 2012, the growth of creative industries has decreased. Fashion needs to be developed starting from human resources, the manufacturing process of mode, distribution of works / fashion products, activities in the networking community, the container activities of urban communities to engage in communal and urban public recreation in the creative space. Therefore, the existence of Bandung Fashion Hub as a center of fashion in Bandung is indispensable. Of these issues, the design problem is to what extent the expression of space and forms that can be imaged expression of fashion stakeholder interaction and how to express creatively through fashion symbol of the city which can be a recreational space in the city of Bandung. The method used is a method of planning and designing architecture namely by processing the data and information (concept of) for creating design concept (concept for design) through the process of programming, design criteria and performance of a design concept. Expressive design approach by using the meaning of the symbol, the idea of space, form that expose the material so that it can express the character of fashion events and characters of Bandung as a creative city. Therefore the design of Bandung Fashion Hub aims to facilitate all activities related to the character of the activities of fashion stakeholders including forecasting activities, show off, market and shop. Fashion hub as a place to meet and communicate between communities and the media as well as with fashion activists in general and also as a place of education and information (forecasting), promotion (market), exhibitions (show off) and recreation for the community so as to enhance the growth of creative industries in Bandung.</em></p><p><em> </em></p><p><strong><em>Keywords:</em></strong><em> Bandung, Creative City, Creative Industry, Expressive Design, Fashion, Hub </em></p>
RESORT DENGAN PENDEKATAN EKOLOGI ARSITEKTUR DI PANTAI NAMPU WONOGIRI
Authors: Kusumadewi Triska Adi , Suroto Widi , Purnomo Agus Heru 
Published: April 2017

<p><em>Wonogiri contains great potential in the tourism sector.</em> <em>The local government have current programs to develops 9 DPK (Destinasi Pariwisata Kabupaten), one is Nampu Beach. Nampu Beach has natural scenery in the form of a charming white sand, and the waves that collided with a rock. These waves are very heavy because Nampu Beach is included in the row of the south coast which is directly related to the Indian Ocean. Until now, Nampu Beach still remains the responsibility of citizens around the coast to reap revenue. There is no qualified places for Nampu’s tourists yet. Nampu Beach requires a resort to accommodate visitor activities. Resort refers to building or a group of buildings designed in a particular setting to cater for both relax and recreational activities. This resort plan design and development concerning environmental issues that carry out the ecological concept. There will be a balance between human and nature in this resort design and plan. Ecological Architecture can be applied to the design of resort in the regulation of site, shape, building mass, and composition of site. The existence of resort in Nampu Beach is expected will be Wonogiri new icon.<strong></strong></em></p><p><strong><em> </em></strong></p><p><strong><em>Keywords: </em></strong><em>Ecological Design, Pantai Nampu Wonogiri, Resort<strong></strong></em></p>