bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERANCANGAN SISTEM PENILAIAN KINERJA BERBASIS KOMPETENSI PERAWAT GAWAT DARURAT DI RSU HERNA MEDAN
Authors: Silaban Gerry , Lubis Arfah Mardiana , Salmah Umi 
Published: August 2017

Beberapa Rumah Sakit Umum (RSU) di Medan masih ada yang belum memenuhi standar Key Performance Indicator (KPI) IGD, salah satunya adalah RSU Herna Medan. Dibutuhkan sistem penilaian kinerja perawat gawat darurat yang disusun berdasarkan kompetensi, agar mampu memberikan kinerja yang baik. Penelitian deskriptif kualitatif menggunakan studi dokumen dan Focus Group Discussion (FGD). Bertujuan merancang sistem penilaian kinerja berbasis kompetensi perawat gawat darurat di RSU Herna Medan. 8 orang partisipan terpilih untuk mengikuti FGD tanggal 11 Mei 2015. Analisis isi digunakan untuk data dokumen dan analisis tematik untuk data FGD. Hasil analisa data dokumen, tidak tercantum tujuan penilaian kinerja, penilaian kinerja disusun berdasarkan Task-focused Performance Dimension, cara penilaian dan hasilnya tidak diberitahukan pada perawat yang dinilai. Hasil analisa data FGD, kompetensi perawat gawat darurat di RSU Herna Medan adalah dampak dan pengaruh, mengembangkan orang lain, empati, percaya diri, pengendalian diri, komitmen terhadap organisasi, keahlian teknikal, berorientasi kepada pelanggan, kerja sama kelompok, berfikir analitis, berfikir konseptual, inisiatif, fleksibilitas, kemampuan mengarahkan perintah dan semangat untuk berprestasi. Disarankan pihak manajemen agar menggunakan lembar penilaian kinerja yang telah disusun minimal satu kali dalam 6 bulan.Kata Kunci: Penilaian Kinerja, Kompetensi, Perawat Gawat Darurat
UNMED NEED KELUARGA BERENCANA PADA PASANGAN USIA SUBUR DI KECAMATAN PADANG BARAT TAHUN 2015
Authors: Hudha Fadhila Nurul , Widoyo Ratno , Elytha Fauziah 
Published: August 2017

Unmet need merupakan salah hal yang menimbulkan adanya kehamilan yang tidak diinginkan sehingga dapat memicu terjadinya aborsi. Tindakan aborsi turut menyumbang jumlah kematian ibu dan anak, untuk itu diperlukan metode yang dapat digunakan untuk mengatur jumlah dan jarak anak yang di­­­­i­nginkan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan unmet need KB pada Pasangan Usia Subur di Kecamatan Padang Barat Kota Padang Tahun 2015. Penelitian dilakukan dengan menggunakan desain cross sectional pada 152 Pasangan Usia Subur di bulan Mei-Oktober 2015. Pengolahan data menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa terdapat hubungan antara dukungan suami (p=0,014) dengan unmet need KB. Pendidikan, pekerjaan, jumlah anak hidup, pengetahuan dan sikap responden tentang KB tidak terdapat hubungan yang bermakna dengan unmet need KB. Perlu adanya upaya yang melibatkan dukungan suami dalam rangka menurunkan angka unmed need KB di Kecamatan Padang Barat. Kata Kunci: unmed need, Dukungan Suami
Predicting Low Back Pain Outcomes: Suggestions for Future Directions
Authors: Boissoneault Jeff , Mundt Jennifer , Robinson Michael , George Steven Z. 
Published: September 2017

Chronic low back pain (LBP) is a common and costly musculoskeletal pain condition, and effective treatment of LBP represents a significant goal of physical therapists. Establishing a targeted track of treatment for patients with LBP at high risk for chronicity that is focused on modifiable prognostic factors could have significant personal and societal benefit. Such an approach would require that clinicians accurately predict the patients who are at an elevated risk of developing chronic LBP in the early stages of the condition. In this Viewpoint, we consider the strengths and limitations of existing literature and propose suggestions that may lead to the development of parsimonious, cost-effective, and accurate predictive models of LBP chronicity. J Orthop Sports Phys Ther 2017;47(9):588–592. doi:10.2519/jospt.2017.0607
Pullout performance of modified threads in glass fiber reinforced plastic (GFRP) composites
Authors: Karaca Faruk 
Published: September 2017

Abstract
Glass fiber reinforced plastic (GFRP) composite materials are widely used in novel industries. They are generally used in electrical environments due to their high thermal strength and mechanical resistance under present conditions with lower weight. In most of the applications, the GFRP is subjected to screwing for assembling. In this study, the pull-out strength performance of the screw was investigated in view of thread modification. In order to determine the optimum thread minor diameter, several pullout tests were performed. Therefore, the modified values showed significantly a better performance than standard values. This novel design was compared with numerical analyses in ANSYS and it was observed that numerical results had a good agreement with experimental results.
Recalculating the steady state conditions of the V-1000 zero-power facility at Kurchatov Institute using Monte Carlo and nodal diffusion codes
Authors: Sahlberg V. 
Published: September 2017

Abstract
Continuous-energy Monte Carlo reactor physics code Serpent 2 was used to model the critical steady state conditions measured in V-1000 zero-power critical facility at Kurchatov Institute (KI), Moscow in 1990–1992. The Serpent 2 results were compared to measurements and Serpent 2 was used to generate group constants for reactor dynamics code HEXTRAN. The results of a HEXTRAN calculation of the steady state were compared to Serpent 2. The relative power density distribution of the SERPENT2 calculations compared with the measurements was within the statistical accuracy. The comparison of HEXTRAN and Serpent 2 node-wise relative power density distributions showed an accuracy of ±10%.
Neutron balance as indicator of long-term resource availability in growing nuclear energy system
Authors: Blandinskiy V. 
Published: September 2017

Abstract
The article describes neutron balance in nuclear energy system as necessary but not sufficient indicator of long-term sustainability. Three models are introduced to evaluate neutron balance based on nuclide chain evolution and reaction rates comparison. The indicator introduced is used to compare several nuclear energy systems consisting of thermal, fast and molten salt reactors.
Start-up of a cold loop in a VVER-440, the 7th AER benchmark calculation with HEXTRAN-SMABRE-PORFLO
Authors: Hovi V. , Taivassalo V. , Hämäläinen A. , Räty H. , Syrjälahti E. 
Published: September 2017

Abstract
The 7th dynamic AER benchmark is the first in which three-dimensional thermal hydraulics codes are supposed to be applied. The aim is to get a more precise core inlet temperature profile than the sector temperatures available typically with system codes. The benchmark consists of a start-up of the sixth, isolated loop in a VVER-440 plant. The isolated loop initially contains cold water without boric acid and the start-up leads to a somewhat asymmetrical core power increase due to feedbacks in the core. In this study, the 7th AER benchmark is calculated with the three-dimensional nodal reactor dynamics code HEXTRAN-SMABRE coupled with the porous computational fluid dynamics code PORFLO. These three codes are developed at VTT. A novel two-way coupled simulation of the 7th AER benchmark was performed successfully demonstrating the feasibility and advantages of the new reactor analysis framework. The modelling issues for this benchmark are reported and some evaluation against the previously reported comparisons between the system codes is provided.
Experimental study of asymmetric boron dilution at VVER-1000 of Kudankulam NPP and its simulation
Authors: Tsyganov S. V. , Kotsarev A. V. , Baykov A. V. 
Published: September 2017

Abstract
The Kudankulam NPP units contain additional and unique for VVER Quick Boron Injection System (QBIS) for beyond-design-basis accident management without scram. During the physical start-up stage at hot zero power of both Kudankulam units, special tests were performed to assess the efficiency of the system. In the course of test three out of four QBIS tanks had been promptly opened and it led to the asymmetrical injection of boric acid into the core. The scenario of the tests may address to the inhomogeneous boron dilution process that is now an essential part of safety analysis of pressurised water reactors. The simulation of the process, including ex-core ion chambers readings, has been accomplished using ATHLET/BIPR-VVER code. Behaviour of some reactor parameters in the course of the test and some results of the simulation are discussing in the paper. Authors believe the process of the asymmetrical injection of boric acid may be useful for verification and validation of coupled neutronic and thermo-hydraulic codes widely used for safety analysis, including analysis of boron dilution accident.
Density and solidification shrinkage of hypereutectic Al–Si alloys
Authors: Dang Bo , Jian Zengyun , Xu Junfeng , Li Shaobo 
Published: September 2017

Abstract
The relationship between the density and temperature in hypereutectic Al–Si alloys was measured in the temperature range from 800 K to (T
l + 30) K using the indirect Archimedean method. This method eliminates the effects of surface tension on the densities of salts and alloys and reduces the error in estimating the density and solidification shrinkage of Al–Si alloys. Eutectic LiCl–KCl salt was used as a reference liquid. The results indicate that the density vs. temperature curve has three transformation points: the liquidus temperature, eutectic transformation temperature and completely finished eutectic transformation temperature. The obtained densities of solid and liquid hypereutectic Al–Si alloys are in agreement with those reported in earlier investigations. The solidification shrinkage decreases from 2.5 % for the Al–Si alloy containing 15 % Si to −0.4 % for the alloy with 25 % Si.
Thermodynamic characterization of lithium monosilicide (LiSi) by means of calorimetry and DFT-calculations
Authors: Taubert Franziska , Schwalbe Sebastian , Seidel Jürgen , Hüttl Regina , Gruber Thomas , Janot Raphaël , Bobnar Matej , Gumeniuk Roman , Mertens Florian , Kortus Jens 
Published: September 2017

AbstractIn this work we summarize a symbiotic approach to combine experimental and theoretical investigations for the derivation of high quality thermodynamic data for the description of potential lithium ion battery materials. The methodology of this concept was demonstrated in detail by exploring and describing the properties of the lithium monosilicide phase LiSi. The procedures were also applied in a series of investigations to all major LixSiy-phases which will be reviewed briefly. Regarding the LiSi phase, the measured and calculated isobaric heat capacity, which may enable further thermodynamic investigations (e. g. with CALPHAD method) of the phase diagram of the Li–Si-system is presented. The heat capacity of the stable phase LiSi was measured as a function of temperature in a range from (2 to 673) K and compared with corresponding ab-initio and molecular dynamic calculations resulting in values for absolute entropies. The heat of formation of the system was determined in an unconventional manner via hydrogenation experiments.
The hypothalamus at the crossroads of psychopathology and neurosurgery
Authors: Barbosa Daniel A. N. , de Oliveira-Souza Ricardo , Monte Santo Felipe , de Oliveira Faria Ana Carolina , Gorgulho Alessandra A. , De Salles Antonio A. F. 
Published: September 2017

The neurosurgical endeavor to treat psychiatric patients may have been part of human history since its beginning. The modern era of psychosurgery can be traced to the heroic attempts of Gottlieb Burckhardt and Egas Moniz to alleviate mental symptoms through the ablation of restricted areas of the frontal lobes in patients with disabling psychiatric illnesses. Thanks to the adaptation of the stereotactic frame to human patients, the ablation of large volumes of brain tissue has been practically abandoned in favor of controlled interventions with discrete targets.Consonant with the role of the hypothalamus in the mediation of the most fundamental approach-avoidance behaviors, some hypothalamic nuclei and regions, in particular, have been selected as targets for the treatment of aggressiveness (posterior hypothalamus), pathological obesity (lateral or ventromedial nuclei), sexual deviations (ventromedial nucleus), and drug dependence (ventromedial nucleus). Some recent improvements in outcomes may have been due to the use of stereotactically guided deep brain stimulation and the change of therapeutic focus from categorical diagnoses (such as schizophrenia) to dimensional symptoms (such as aggressiveness), which are nonspecific in terms of formal diagnosis. However, agreement has never been reached on 2 related issues: 1) the choice of target, based on individual diagnoses; and 2) reliable prediction of outcomes related to individual targets. Despite the lingering controversies on such critical aspects, the experience of the past decades should pave the way for advances in the field. The current failure of pharmacological treatments in a considerable proportion of patients with chronic disabling mental disorders is reminiscent of the state of affairs that prevailed in the years before the early psychosurgical attempts.This article reviews the functional organization of the hypothalamus, the effects of ablation and stimulation of discrete hypothalamic regions, and the stereotactic targets that have most often been used in the treatment of psychopathological and behavioral symptoms; finally, the implications of current and past experience are presented from the perspective of how this fund of knowledge may usefully contribute to the future of hypothalamic psychosurgery.
Sanger Brown and Edward Schäfer before Heinrich Klüver and Paul Bucy: their observations on bilateral temporal lobe ablations
Authors: Vannemreddy Prasad S. S. V. , Stone James L. 
Published: September 2017

Fifty years before a report on the complete bitemporal lobectomy syndrome in primates, known as the Klüver-Bucy syndrome, was published, 2 talented investigators working at the University College in London, England—neurologist Sanger Brown and physiologist Edward Schäfer—also made this discovery. The title of their work was “An investigation into the functions of the occipital and temporal lobes of the monkey’s brain,” and it involved excisional brain surgery in 12 monkeys. They were particularly interested in the then-disputed primary cortical locations relating to vision and hearing. However, following extensive bilateral temporal lobe excisions in 2 monkeys, they noted peculiar behavior including apparent loss of memory and intelligence resembling “idiocy.” These investigators recognized most of the behavioral findings that later came to be known as the Klüver-Bucy syndrome. However, they were working within the late-19th-century framework of cerebral cortical localizations of basic motor and sensory functions.Details of the Brown and Schäfer study and a glimpse of the neurological thinking of that period is presented. In the decades following the pivotal work of Klüver and Bucy in the late 1930s, in which they used a more advanced neurosurgical technique, tools of behavioral observations, and analysis of brain sections after euthanasia, investigators have elaborated the full components of the clinical syndrome and the extent of their resections.Other neuroscientists sought to isolate and determine the specific temporal neocortical, medial temporal, and deep limbic structures responsible for various visual and complex behavioral deficits. No doubt, Klüver and Bucy’s contribution led to a great expansion in attention given to the limbic system’s role in action, perception, emotion, and affect—a tide that continues to the present time.
Potentially Inappropriate Medication, Anticholinergic Burden, and Mortality in People Attending Memory Clinics
Authors: Cross Amanda J. , George Johnson , Woodward Michael C. , Ames David , Brodaty Henry , Wolfe Rory , Connors Michael H. , Elliott Rohan A. 
Published: September 2017

Background: There is limited evidence regarding the association between potentially inappropriate medications (PIM) and mortality in older people with cognitive impairment. Objective: To examine whether use of medications considered to be potentially inappropriate in older people with cognitive impairment (PIMcog) and anticholinergic cognitive burden (ACB) were associated with mortality in people who attended memory clinics. Methods: Cross-sectional and longitudinal analyses of data from the Prospective Research In MEmory clinics (PRIME) study. Participants were community-dwelling people who attended nine memory clinics and had a diagnosis of mild cognitive impairment or dementia. PIMcog was defined as any medication considered potentially inappropriate for a person with cognitive impairment according to Beers or STOPP criteria. Anticholinergic burden was calculated using the ACB scale. Time-dependent Cox-proportional hazards regression was used to analyze associations between PIMcog use/ACB score and all-cause mortality over a three-year follow-up period. The regression model included the baseline variables: age, gender, education, cognitive diagnoses, total number of medications, disease-burden, cognition, physical function, and neuropsychiatric symptoms. Results: Of 964 participants, 360 (37.3%) used one or more PIMcog at some time during the study; most commonly anticholinergics and sedatives. 624 (64.7%) participants used a medication with potential or definite anticholinergic properties (ACB>0) at some point during the study. Both PIMcog use (adjusted hazard ratio: 1.42 95% CI: 1.12–1.80) and ACB score (adjusted hazard ratio: 1.18 95% CI: 1.06–1.32) were associated with mortality. Conclusion: Use of PIMcogs and medications with anticholinergic properties was common among memory clinic patients and both were associated with mortality.
Effect of Attention Training in Mild Cognitive Impairment Patients with Subcortical Vascular Changes: The RehAtt Study
Authors: Pantoni Leonardo , Poggesi Anna , Diciotti Stefano , Valenti Raffaella , Orsolini Stefano , Della Rocca Eleonora , Inzitari Domenico , Mascalchi Mario , Salvadori Emilia 
Published: September 2017

Background and Objective: Mild cognitive impairment (MCI) patients with small vessel disease (SVD) are at high dementia risk. We tested the effects of cognitive rehabilitation in these patients using the Attention Process Training-II (APT-II) program in a single-blinded, randomized clinical trial. Methods: Patients were randomized to APT-II or standard care and evaluated at baseline, 6, and 12 months with functional, quality of life, cognitive tests, and resting state functional MRI (rsfMRI). Results: Forty-six patients were enrolled and 43 (mean±SD age 75.1±6.8) completed the study. No change was seen in functionality and quality of life between treated and non-treated patients. However, the Rey Auditory-Verbal Learning Test immediate recall showed a significant improvement in treated compared to non-treated group (change score 6 versus 12 months: 1.8±4.9 and –1.4±3.8, p = 0.021; baseline versus 12 months: 3.8±6.1 and 0.2±4.4, p = 0.032). A higher proportion of treated patients had stable/better evaluation compared to non-treated group on Visual search test (6 versus 12 months: 95% versus 71%, p = 0.038) and Rey–Osterrieth Complex Figure copy (6 versus 12 months: 95% versus 67%, p = 0.027). RsfMRI, performed in a subsample, showed that the difference between follow-up and baseline in synchronization of activity in cerebellar areas was significantly greater in treated than in non-treated patients. Conclusion: We were unable to show a significant effect in quality of life or functional status in treated patients with MCI and SVD. However, APT-II produces some beneficial effects in focused attention and working memory and seems to increase activity in brain circuits involved in cognitive processes.
Histopathological Features of Lymph Nodes of Tuberculous Lymphadenitis Patients: Experience of 50 cases in Bangladesh
Authors: Huda Mohammad Mahmudul , Taufiq Mohammad , Yusuf Md Abdullah , Rahman Mohammad Rezwanur , Begum Ferdousy , Kamal Mohammed 
Published: August 2017

Background: Tuberculous lymphadenitis is common manifestation of extra-pulmonary tuberculosis in Bangladesh. Objective: The purpose of the present study was to see the histopathological features of tuberculous lymphadenitis patients. Methodology: This cross sectional study was done at the Department of Pathology at Banghabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from January 2009 to March 2011 for a period of nearly two years. All the patients irrespective of age and sex with the clinical features suggestive of tuberculous lymphadenitis and later on proved to be the same histologically were selected for the study purposively. Relevant information was recorded in a prescribed data sheet and histomorphological findings were recorded accordingly. In cases where fresh specimen was available, caseous portion of lymph node was sent for culture. FiteFaraco staining was also done on lymph node sections in all cases. Result: A total number of 50 tuberculous lymphadenitis patients were recruited for this study of which well formed granuloma was detected in 34(68.0%) cases followed by ill defined and combination of well and ill defined which were 8(16.0%) cases in each. Among 34 well defined cases coalescing and discrete were found in 6(17.6%) cases in each. However, both types were found in 22(64.7%) cases.Conclusion: In conclusion well formed granuloma is most commonly found in tuberculous lymphadenitis with combined variety of coalescing and discrete histopathologic featuresBangladesh Journal of Infectious Diseases 2016;3(2):40-42
Models of Warm Jupiter Atmospheres: Observable Signatures of Obliquity
Authors: Rauscher Emily 
Published: September 2017

Abstract
We present three-dimensional atmospheric circulation models of a hypothetical “warm Jupiter” planet, for a range of possible obliquities from 0° to 90°. We model a Jupiter-mass planet on a 10 day orbit around a Sun-like star, since this hypothetical planet sits at the boundary between planets for which we expect that tidal forces should have aligned their rotation axes with their orbital axes (i.e., ones with zero obliquity) and planets whose timescale for tidal alignment is longer than the typical age of an exoplanet system. In line with observational progress, which is pushing atmospheric characterization for planets on longer orbital periods, we calculate the observable signatures of obliquity for a transiting warm Jupiter: in orbital phase curves of thermal emission and in the hemispheric flux gradients that could be measured by eclipse mapping. For both of these predicted measurements, the signal that we would see depends strongly on our viewing geometry relative to the orientation of the planet’s rotation axis, and we thoroughly identify the degeneracies that result. We compare these signals to the predicted sensitivities of current and future instruments and determine that the James Webb Space Telescope should be able to constrain the obliquities of nearby warm Jupiters to be small (if

) or to directly measure them if significantly non-zero (

) using the technique of eclipse mapping. For a bright target and assuming photon-limited precision, this could be done with a single secondary eclipse observation.