bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Comparison of Functional Outcome of Intra Articular Distal Tib-ial Pilon Fracture Treated by One Stage vs Two Stage Surgically
Authors: Talwar Punit , Kothari Rahul , Singh Hemin 
Published: April 2024

Introduction: The study was conducted to evaluate clinical and functional outcomes of comminuted pilon of distal tibial fractures after surgical management and fixation by modalities available ranging from temporary external fixation, simple distal tibial plates to moderate plating system and intra medullary nails for fibula.
Methodology: Total 24 cases with intraarticular distal tibial pilon fracture were randomly divided in to two group. One group was managed by one stage procedure and second group was operated by two stage procedure.
Results: From this study we infer that patient who had undergone one stage procedure had shorter hospital stay. In present study we observed that arthrosis, superficial infection and arthritis was higher in two stage procedure. Assessed by Ovadia Beals Evaluation Score - Objective Evaluation as well as subjective evaluation. Furthermore, the rate of complications was also identical. However, functional outcome assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score revealed that the patients underwent one stage procedure had better functional outcome.
Conclusion: Considering the better functional outcome and the shorter hospital stay, we preferred using one stage operative procedure in better skin condition, less soft tissue damage, closed fracture of type b and C AO/OTA Pilon fractures.
PREVELENCE OF HEPATITIS B AND HEPATITIS C INFECTION AMONG PATIENTS UNDERGOING DIALYSIS
Authors: Chauhan Hardikkumar A , Khokhar Neeta , Makwana Neha , Shrimali Gaurishanker 
Published: April 2024

Background
The prevalence rate of Hepatitis C is higher among patients who undergoes hemodialysis than general population. Due to frequent contact with blood transfusion patients with hemodialysis are very prone to Hepatitis C infection.Both Hepatitis B and C virus infection is a lead cause of mortality and morbidity among patients who are on hemodialysis. Still, very little research has focused on the morbidity measures of these serious disorders in low and middle income countries like India.
Aims & objectives
This study is conducted to investigate prevalence of Hepatitis C infection in patient who undergoes hemodialysis. The study aims to estimate the prevalence of hepatitis B virus and hepatitis C virus infections among hemodialysis patients in the civil hospital of Gandhinagar.
Material & methods
A retrospective study was carried out from September 2020 to September 2021 in General hospital Gandhinagar with the use of ELISA kit by detecting anti-HCV antibody and Hipatitis B surface antigen from serum sample.. Total 100 sample collected from hemodialysis unit in General hospital Gandhinagar ..
Observation and results
This study was done in GMERS Medical College and General hospital Gandhinagar with 100 samples of hemodialysis patient from September 2020 to September 2021.Approach used in this study is retrospective. For diagnosis of HCV infection ELISA is used. Out of 100 patients, 21 patients were positive and 79 patients were negative for Hepatitis C and hepatitis as well as both.
Conclusion
Risk of hepatitis infection is more associated with patients with chronic renal failure due to high frequency of transfusion of blood and blood products and extracorporeal circulation during hemodialysis. For prevention of spread of hepatitis infection among patients with hemodialysis, dialysis unit has to use proper universal precautions, has to properly maintain the machines of dialysis, and also has to follow proper disposal of material used in the unit. So that chances of getting cross infection of hepatitis become less.
Discussion
The prevalence of HCV was 12% among hemodialysis patients which is intermediate comparing to other study done in Andhra Pradesh and Kerala showing prevalence of 23% and 8%.Strict adherence to universal precautions to control infection practices will remain key to prevent transmission of hepatitis c and also other infections that can spread through parenteral route.In this study result shows that prevalence of hepatitis B and C infection in hemodialysis patients is 7% and 12%, respectively. While both hepatitis B and C positive cases are only 2%. Since hepatitis B and C share a common mode of transmission, we searched for co-infection with HBV and HCV among the patients, as seen in patients, 14 male and 7 female. Research studies on prevalence of hepatitis B and C co-infection in hemolysis are very rare. So the study suggested to conduct more research on this topic to prevent further prevalence of HCV and HBV.
Workplace Stress and Burnout in Child Life: Perspectives From Newer Professionals
Authors: Ginter Amanda , Dumas Katherine , Ramirez Gomez Danna , Frank Samantha , Zablocki Zoe , Cahlander Britt 
Published: April 2024

Objective: Certified Child Life Specialists (CCLS) have previously reported experiencing workplace stress and burnout. To date, no studies have focused on early career CCLS’ perspectives on managing professional burnout. Method: Interviews were conducted with 19 currently and formerly practicing CCLS about their experiences entering the field of child life, navigating global and systematic stressors, and their plans for the future. Results: Data analysis yielded five themes: unexpected burnout presentation, the burnout triad, child life culture is immersed in burnout, self-care is effortful, and weighing the decision to stay in child life. Conclusion: These results have implications for hospital administrators, child life supervisors, and CCLS themselves. Disclosure Statement: No potential conflict of interest was reported by the author(s). Funding Statement: No funding sources were provided by the author(s).
Features of hardening of the case parts made of aluminium alloys
Authors: Matlin M. , Lebsky S. , Frolova A. , Mozgunova A. 
Published: April 2024

The dependence of the hardened layer depth on the modes of superficial treatment is experimentally investigated, with the purpose of evaluation of known laws of initial linear contact of the strengthening part and the tool. The method of the definition of optimum loading on strengthening tool (the steel cylindrical roller) and its radius at static stamping is offered. The technique is examined with the reference to the case parts made of aluminum alloys.
“Tuhindi Article” (“The Articles Were Yours”)
Authors:   Aman
Published: April 2024

On 5 August 2019, a radical change was made to Article 370 in the Constitution of India. The provision had been popularly represented to safeguard the autonomy of Jammu & Kashmir. This change was also accompanied by what can best be described as a brutal “siege” – characterised by mass detentions, communication blackouts, press curbs, and curfews, to name a few. Around this time, a feminist collective came out with a version of “Bella Ciao,” clear in their distancing from the laws that were never theirs to begin with and their assertion of how they belonged to the Indian State. As they say, “Tuhindi Article” (“The Articles Were Yours”). Yet, all of this is said with a sense of loss and rage to mark this moment of “constitutional” change. This article is an attempt to take their articulation (and this paradox) more seriously than is conventionally taken in constitutional law scholarship – especially now that the Supreme Court of India has also upheld the validity of the changes made to Article 370 in 2019. Centring this voice, the article attempts to understand it. Through such interrogation, the piece urges us to problematise the use of the Indian constitutional framework in the engagement with Jammu & Kashmir and invites us to pay closer attention to ways that it becomes a tool that works and is worked towards striking at the heart of what the singers call “collective struggles” and “hopes”. More specifically, thinking through moments of the birth, life, and the purported demise of Article 370, this article hopes to demonstrate that the focus on Article 370 in conversations and legal practice has contributed to flattening text-book international (law) issues of contested sovereignties, and violently erases a long history and plurality attached to the self-determination driven struggles (and those expressing them). Besides advancing reasons for taking such articulations more seriously, the piece nudges towards the need to conceptualise roles where the use of the constitutional framework, will not see past this and make space for questions of self-determination and contested sovereignties.
MENYUSUN RETURN POINT DAN TARGET PROFIT UNTUK BUSINESS PLAN (KAJIAN JAJANAN STIK BU MINARTI)
Authors: Hayati Sari 
Published: April 2024

The selling price is determined by the size of the cost, this aims to influence sales volume, but production volume is directly affected by sales, and costs are affected by sales volume where everything is interrelated with one another. The manager of the stick snack business is required to be able to make a decision to support the progress and goals set by the company. So that in the early stages of production this will determine the smooth running of the business so as not to suffer losses or at least return modale. This can show the success of a business from year to year whether it is progressing, fixed or declining. Return Points will be obtained when producing or selling 170 units of this product, and the total Renenue is IDR 17,000,000, then the target must be greater than 170 units, because if the target is below module 170 units, the company will incur a loss, if it is targeted to producing 230 units, the Total Revenue is IDR 23,000,000, the fixed costs are IDR 5,100,000, and the variable costs are IDR 16,100,000. The planned price/unit is IDR 100,000, so the company will modale return if it produces 170 units or sales IDR 17,000,000, and the company will get a profit of IDR 1,800,000 per month by selling 230 units of product in one month.
Pengaruh Pola Asuh Orang Tua Pada Anak Terhadap Perilaku Dan Hasil Belajar Di SD
Authors: Siswanto Nur Agus , Wahid Farhan Saefudin , Setiyoko Didik Tri 
Published: April 2024

Latar belakang penelitian ini adalah perilaku sosial disekolah sering menimbulkan adanya peserta didik menangis saat diejek temannya atau dijahili, masih ada peserta didik yang mendapatkan hasil belajar dibawah kriteria minimal. Beberapa masalah yang diteliti dipenelitian ini yaitu pengaruh pola asuh orang tua terhadap hasil belajar disekolah, dan perilaku sosial terhadap hasil belajar disekolah serta pengaruh pola asuh orang tua dan perilaku terhadap hasil belajar disekolah. Penelitian ini dilakukan dikelas III SD Negeri Losari Kidul 03. Pendekatan penelitian ini adalah pendekatan kuantitatif. Hasil temuan dan analisis perhitungan dengan menggunakan uji t diperoleh nilai sig atau probabilitas sebesar 0,126 yang berarti > 0,05 atau 0,126 > 0,05. Maka dari itu dapat dinyatakan bahwa tidak ada pengaruh dari pola asuh orang tua terhadap hasil belajar disekolah. Hasil temuan untuk masalah yang selanjutnya menggunakan uji t diperoleh nilai probabilitas sebesar 0,012 < 0,05, maka dapat dinyatakan bahwa terdapat pengaruh dari perilaku sosial terhadap hasil belajar. Hasil temuan dan analisis menggunakan uji f untuk masalah yang terakhir dan diperoleh nilai probabilitas sebesar 0,138 > 0,05. Maka dari itu dapat dinyatakan bahwa tidak ada pengaruh dari pola asuh orang tua, perilaku sosial terhadap hasil belajar disekolah dasar.
Switchable hydrophilicity solvent-based hollow fibre liquid-liquid microextraction – headspace gas chromatography for determination of benzene and its derivatives in water samples
Authors: Vičkačkaitė Vida , Viselgaitė Vasarė , Poškus Vilius 
Published: April 2024

A novel, cost-effective, simple and environmentally friendly method was developed for separating, preconcentrating and quantifying volatile analytes. That approach utilised switchable hydrophilicity solvent-based hollow fiber liquid-liquid microextraction in combination with headspace gas chromatography. The extraction was carried out from 1 l of water solution. 100 μl of nonanoic acid, immobilised within a polypropylene capillary, was selected as an extraction solvent. After the extraction, the capillary with the extract was transferred to a headspace vial, and headspace gas chromatographic analysis was performed. To facilitate the transition of volatile analytes to the headspace for subsequent analysis, nonanoic acid was converted to hydrophilic nonanoate by adding a sodium hydroxide solution.
The effectiveness of the suggested strategy was demonstrated in the determination of benzene and its derivatives in water samples. Various parameters affecting the extraction and headspace gas chromatographic determination were investigated and optimised. Under the optimal conditions, the analytical characteristics of the proposed technique were determined.
Using this approach, the limits of quantification for all analytes were found to be below the maximum acceptable concentration.
TPACK AND TEACHERS' DIGITAL COMPETENCE IN THE ERA OF INDUSTRY 4.0
Authors: Yopi Fanaturiza 
Published: April 2024

The impact of the Industrial Revolution 4.0 era extends to all aspects of human life, including education. Professional teachers play a crucial role in fostering effective learning and improving student outcomes. It is expected that teachers not only possess technological proficiency but also integrate it seamlessly into their daily teaching practices. Therefore, it is important to analyse how teachers' digital competence can overcome the challenges of era 4.0, as well as the role of Technological Pedagogical Content Knowledge (TPACK) in improving their competence. This study employs a literature review to analyse teachers' digital competence in era 4.0 and the associated challenges, as well as to explain the role of TPACK in improving their digital competence. This study employs a literature review to analyse teachers' digital competence in era 4.0 and the associated challenges, as well as to explain the role of TPACK in improving their digital competence. The study's results demonstrate that teachers face several challenges in improving their digital competencies, including transforming learning models, developing digital competencies, understanding students' individual needs, and integrating learning using current technologies such as artificial intelligence (AI) and internet-based learning applications. In the 4.0 era, TPACK plays a crucial role in enhancing teachers' digital competencies. TPACK provides a holistic approach that integrates three main dimensions of knowledge.
THE BRETON SONGS BY FRANCIS PULENC: AN ATTEMPT TO EXPAND THE TRADITIONAL CARNIVAL WORLD
Authors: Созинова И.И. 
Published: April 2024

Статья посвящена изучению специфического типа театрализованной вокальной миниатюры, сложившейся в народно-жанровом направлении вокальной лирики Франсиса Пуленка на примере вокального цикла «Бретонские песни». Автор исследует влияния карнавальной поэтики на формирование театральности в вокальных миниатюрах, опирающихся на топосы карнавальной поэтики – отношение к смерти, тип смеха, функция маски. Немаловажное значение автор уделяет рассмотрению композиторской режиссуры Пуленка в вокальном цикле, проявляющейся на композиционном, жанровом и интонационном уровнях его музыкальной драматургии. В рамках статьи автор рассуждает об истоках формирования карнавальности в вокальном цикле, об игровой и смысловой природе карнавальных жанров – прибаутки и колыбельной и способах их взаимодействия, о феномене юродства как попытки расширения карнавального пространства в вокальном цикле «Бретонские песни».
The article is devoted to the study of a specific type of theatrical vocal miniature, which developed in folk music genre of vocal lyrics by Francis Poulenc through the example of the vocal cycle Breton Songs. The author examines the influence of the carnival poetics on the formation of theatricality in vocal miniatures based on the topoi of carnival poetics – the attitude towards death, the type of laughter, the function of the mask. The author attaches great value to the study of Poulenc’s composing direction in the vocal cycle, which manifests itself on the compositional, genre and intonation levels of his musical dramaturgy. In the article the author discusses the origins of carnival formation in the vocal cycle, the game and semantic nature of the carnival genres such as byword and lullabytogether with the ways of their interaction, as well as the phenomenon of the foolishness for Christ as an attempt to expand the carnival range in the Breton Songs vocal cycle.
O CORPO NEGRO COMO LOCAL DE DISCURSO NA ARTE CONTEMPORÂNEA AFRICANA
Authors: Ferreira Débora Armelin 
Published: April 2024

A linguagem corporal tradicionalmente faz parte da criação e da produção material e imaterial na de vários povos africanos. Há séculos, os africanos utilizam o corpo como veículo de conexão entre o mundo visível e invisível, sendo que grande parte da produção plástica africana se constituiu historicamente como a escolha primeira de manifestação cultural. Essa memória corporal se manifesta nas performances ritualísticas e cerimoniais, cada qual com seu significado, mas que buscam a conexão entre os mundos interior/exterior, real/espiritual. Elas são a expressão de organização social que diferencia e define o papel dos indivíduos dentro da sociedade.
Pengaruh Kualitas Pelayanan, Budaya Organisasi, Dan Lingkungan Kerja Terhadap Kepuasan Orang Tua Murid Di SD Yos Sudarso III Batam
Authors: Sihaloho Asner 
Published: April 2024

Penelitian ini bertujuan untuk mengetahui pengaruh kualitas pelayanan, budaya organisasi dan lingkungan kerja terhadap kepuasan orang tua murid di SD Yos Sudarso III Batam baik secara parsial maupun secara simultan. Penelitian ini dilakukan menggunakan metode kuantitatif, populasi pada penelitian ini 352 orang. Pengambilan sampel menggunakan rumus Slovin dengan jumlah 188 responden. Teknik pengumpulan data menggunakan kuesioner dan disebarkan melalui angket. Analisis data menggunakan SPSS versi 26. Hasil penelitian menemukan bahwa variabel kualitas pelayanan mempunyai thitung 1,803 > ttabel 1,653 dengan nilai signifikansi sebesar 0,000 < 0,05, maka H0 ditolak dan Ha diterima, variabel budaya organisasi mempunyai thitung 4,755 > ttabel 1,653 dan nilai signifikansi sebesar 0,003 < 0,05, maka H0 ditolak dan Ha diterima variabel lingkungan kerja mempunyai thitung 3,470 > ttabel 1,653 dan nilai signifikansi sebesar 0,000 < 0,05, maka H0 ditolak dan Ha diterima. Ketiga variabel yaitu kualitas pelayanan, budaya organisasi dan lingkungan kerja secara bersama-sama mempunyai Fhitung sebesar 13,810 > Ftabel 2,65 dan nilai signifikansi sebesar 0,000 < 0,05. Hal ini menunjukkan bahwa secara simultan kualitas pelayanan, budaya organisasi dan lingkungan kerja berpengaruh positif dan signifikan terhadap kepuasan orang tua murid SD Yos Sudarso III Batam. Hubungan antar variabel dapat dituliskan dengan persamaan Y= 28.496 + 0,072 X1+ 0,259X2 + 0,023X3. Pengaruh variabel bebas terhadap variabel terikat adalah sebesar 72,4% sedangkan sisanya 27,6% dipengaruhi oleh faktor lainnya yang tidak diteliti.
UPAYA PENGURANGAN DEMURRAGE TERHADAP PELAKSANAAN BONGKAR MUAT KAPAL CHEMICAL TANKER PADA PT SAMUDERA INDONESIA JAKARTA
Authors: Dewi Shinta Mardiana , Majid Mustaqim 
Published: April 2024

Demurrage merupakan bentuk pengenaan denda karena kapal melebihi batas waktu yang telah ditentukan.Mengenai permasalahan dari penelitian ini adalah sering kali terjadinya tempat pembongkaran muatan di Jetty penuh yang menyebabkan kapal tertunda untuk kegiatan bongkar atau muat dan waktu kapal sandar yang lama sehingga menyebabkan terjadinya demurrage kapal chemical tanker.Tujuan penelitian ini adalah 1) Tercapainya target waktu (laycan) kegiatan di lapangan ketika kapal chemical tanker melaksanakan bongkar atau muat 2) Memaksimalkan kegiatan bongkar atau muat kapal chemical tanker guna mengurangi adanya demurrage. Metode penelitian yang digunakan dalam penelitian ini adalah penelitian kualitatif dengan metode deskriptif.Penelitian ini dilaksanakan di PT. Samudera Indonesia Jakarta pada bulan Januari sampai Juli 2019. Teknik pengumpulan data yang digunakan yaitu dengan cara wawancara, observasi, studi pustaka dan dokumentasi. Sedangkan informasi dalam penelitian ini adalah staf operasional PT. Samudera Indonesia Jakarta. Dari hasil Penelitian nantinya diharapkan dapat memberikan solusi atau masukan kepada perusahaan yaitu 1) Upaya yang dilaksanakan untuk mencapai target waktu (laycan)dalam bongkar atau muat kapal chemical tanker yakni: a) Berjalannya koordinasi ke agen dengan baik sesuai dengan persetujuan owner ship dan pencharter, b) Penyandaran posisi kapal yang cepat dan tepat waktu untuk kelancaran kegiatan di dermaga, dan c) Terlaksananya operasi bongkar muat alih kapal ke kapal (ship to ship)2) Maksimalnya kegiatan bongkar muat terkait usaha untuk penguranganadanya demurrage kapal chemical tanker yaitu a) Penunjukan agen untuk shipment kapal yang baik dan benar sesuai permintaan dari pencharter b) Terlaksananya kegiatan tankcleaning untuk mempercepat proses muat dan bongkar kapal.
Cardiovascular Drugs
Authors: Kleemann Axel 
Published: January 2008

AbstractThe article contains sections titled:1.General Survey2.Adrenergic blockers, peripheral3.Adrenergic stimulants, central4.Angiotensin Converting Enzyme (ACE) Inhibitors5.Angiotensin II Receptor Antagonists6.Antiarrhythmics6.1.Class I Antiarrhythmics6.2.Class II Antiarrhythmics6.3.Class III Antiarrhythmics6.4.Class IV Antiarrhythmics7.Anticoagulants7.1.Synthetic Anticoagulants7.2.Heparin and Low Molecular Weight Heparins (LMWHs)8.Antiplatelet Drugs9.Antilipidemic Agents (Lipid Regulating Drugs)9.1.Bile Acid Sequestrants9.2.Cholesterol Absorption Inhibitors9.3.Fibrates (Fibric Acid Derivatives)9.4.Nicotinic Acid and Derivatives9.5.HMG‐CoA Reductase Inhibitors (Statins)10.β‐Adrenergic Blocking Agents11.Calcium Channel Blockers (Calcium Antagonists)12.Diuretics12.1.Carbonic Anhydrase Inhibitors12.2.Loop Diuretics (High‐Ceiling Diuretics)12.3.Potassium‐Sparing Diuretics (Antikaliuretic Agents)12.4.Thiazides and Related Diuretics13.Cardiac Glycosides (Positive Cardiac Inotropes)14.Endothelin Receptor Antagonists15.Vasodilators15.1.Nitrates15.2.Direct‐Acting Vasodilators15.3.Other Vasodilators16.Vasopressors (Sympathomimetics)References