bluuebunny/crossref_metadata_2025_split huggingface dataset:
Time Saving is Life Saving : Pelatihan Early Warning Scoring System dan Code Blue untuk Tenaga Kesehatan Ruang Rawat Inap RSUD Cut Meutia Aceh Utara
Authors: Millizia Anna , Rizka Adi , Mellaratna Wizar Putri 
Published: April 2023

Pelayanan yang bermutu dan aman dilaksanakan pada semua pelayanan di rumah sakit. Rumah sakit menyelenggarakan pelayanan kesehatan perorangan secara paripurna meliputi pelayanan rawat jalan, pelayanan rawat inap dan pelayanan gawat darurat.Rawat inap merupakan bagian integral dari pelayanan rumah sakit yang memberikan semua pelayanan dan jenis penyakit. Tindakan pelayanan di rawat inap dilakukan sesuai dengan kebutuhan fisiologis pasien. Hal ini dikarenakan perburukan kondisi pasien dapat terjadi sewaktu-waktu. Keberhasilan penanganan kegawatan henti jantung meningkatkan harapan hidup pasien. Penanganan kegawatan oleh rapid response team telah menurunkan 17- 65% angka kejadian henti jantung di rumah sakit setelah intervensi. Penurunan angka transfer emergensi yang tidak direncanakan ke ICU dan meningkatnya harapan hidup pasca henti jantung di rumah sakit. RSUD Cut Meutia belum mengaplikasikan system peringatan dini untuk mengetahui perburukan kondisi pasien. Salah satu sistem yang dikembangkan untuk mendeteksi perburukan kondisi pasien adalah early warning score system (EWSS). EWSS merupakan sistem deteksi dini berdasarkan perubahan fisiologi pasien untuk meminta bantuan dalam mengatasi masalah kesehatan pasien. Kegiatan ini bertujuan hntuk meningkatkan keterampilan tenaga kesehatan dalam deteksi dini masalah kegawatdaruratan pada pasien rawat inap dengan menggunakan Early Warning Scoring System (EWSS) dan akivasi dari code blue di rumah sakit. Adapun metode yang digunakan dalam rangka menyelesaikan permasalahan ini adalah dengan memberikan edukasi dan pelatihan keterampilan metode EWSS dan code blue pada tenaga kesehatan rawat inap di RSUD Cut Meutia Aceh Utara. Target dari pelaksanaan program pelatihan dan edukasi ini adalah Tersedianya tenaga kesehatan yang memiliki pengetahuan dan keterampilan yang baik tentang EWSS dan code blue. Selain itu, pengabdian ini juga diharapkan mampu untuk menghasilkan luaran dalam bentuk publikasi di media cetak/elektronik dan jurnal pengabdian masyarakat. Kata kunci : Rapid response team, Early warning scoring system, code blue
PENYULUHAN DAN PELATIHAN PERTAHANAN DIRI TERHADAP KEKERASAN SEKSUAL PADA SISWA SLTA DI KOTA LHOKSEUMAWE
Authors: Iskandar Iskandar , Sahputri Juwita 
Published: April 2023

Pendidikan seks adalah upaya pengajaran berbasis kurikulum tentang aspek kognitif, emosional, fisik dan sosial dari seksualitas yang bertujuan untuk membekali anak dengan pengetahuan, keterampilan, sikap dan nilai agar mereka menyadari kesehatan reproduksi mereka, mengembangkan hubungan sosial dan seksual yang saling menghormati dan memastikan perlindungan hak-hak mereka sepanjang hidup mereka. Rata-rata 50% atau diperkirakan lebih dari 1 milyar anak-anak di dunia berusia 2- 17 tahun, mengalami kekerasan fisik, seksual, emosional, dan penelantaran pada tahun 2016. Lhokseumawe tercatat menjadi peringkat ke-4 kasus kekerasan terhadap anak pada tahun 2019 di Provinsi Aceh. Penyampaian terkait edukasi seks idealnya diberikan pertama kali oleh orang tua, namun umumnya orang tua menganggap edukasi seks merupakan hal yang tabu untuk dibicarakan kepada anak. Tujuan pengabdian ini untuk menciptakan kader yang paham akan kekerasan seksual serta memiliki keterampilan self-defense sehingga dapat menjadi peer educator bagi teman sebayanya. Pengabdian ini melibatkan 150 orang siswa SMA yakni 50 orang dari setiap sekolah (SMA-BP An Nahla, Madrasah Aliyah Ulumuddin, dan Madrasah Aliyah Negeri I Kota Lhokseumawe) dengan metode pemberian edukasi mengenai kekerasan seksual serta pelatihan keterampilan self-defense yang diakhiri dengan roleplay dan evaluasi berupa ranking 1 sehingga akan tercipta kader yang paham akan kekerasan seksual dan mereka dapat menegedukasi lebih banyak teman-temannya lagi mengenai hal yang tabu namun penting ini.
Kapasitas Lembaga Gampoeng Dalam Pengelolaan Anggaran Dan Pelaporan Di Kecamatan Muara Batu Kabupaten Aceh Utara
Authors: Murniati Murniati , Sukmawati Cut , Aisyah Ti , Wahyuni Ayu , Rifni Azira , Fitri Dwi 
Published: April 2023

Muara Batu adalah sebuah Kecamatan di Kabupaten Aceh Utara, Aceh, Indonesia. Muara Batu Kecamatan yang terbentuk sejak Tahun 1945 dibawah Kabupaten Aceh Utara dan sebelumnya termsuk dalam Zelfbesstuder Sawang, sebuah Negeri di Zaman Belanda yang di pimpin oleh Ulee Balang. Kecamatan muara batu terdiri dari 24 Gampong/Desa dan 2 Kemukiman, berbatasan dengan : Utara : Selat Malaka Selatan : Kecamatan Sawang Barat : Kabupaten Bireuen Timur : Kecamatan Dewantara Di Kecamatan Muara Batu juga berdiri aset Kabupaten, Provinsi dan Aset Nasional dan pihak swasta, seperti Stasiun Kereta Api di Cot Seurani dan Bungkah, Bandar Udara Malikussaleh, Kampus Universitas Malikussaleh (Unimal), Pembangkit Listrik Tenaga Diesel di Cot Trueng, Tempat Pelelangan Ikan (TPI) dan lain sebagainya. Dalam perencanaan awal kegitan ini ingin dilakukan hanya disatu gampong, yaitu gampong tanoeh ano, namun dalam perjalan proses audiensi dilapangan dengan bapak camat terjadi perubahan lokasi, dari gampoeng pindah ke kecamatan untuk bisa dihadirkan semua petugas pengelolaan keuangan gampong, dengan harapan pelatihan ini bisa dimamfaatkan dengan baik oleh seluruh petugas yg ada digampong dakam kecamatan muara batu. Kegiatan ini dilakukan satu hari dengan memberikan materi – materi berkaitan dengan ketentuan/aturan-aturan pengelolaan dana gampong.. Kecamatan muara batu merupakan salah satu kecamatan yang ada di kabupaten Aceh Utara yang perlu dilakukan pembinaan/pendampingan berkaitan dengan pengelolaan Anggaran/Keuangan supaya proses pembangunan dan pelayanan public dapat berjalan dengan baik sesuai dengan aturan -aturan yang berlaku. Kegitan ini berjalan dengan sangat baik seluruh peserta yang kita undang hadir semua dan sangat baik partisipasinya, dalam pelaksanaan kegitan para peserta sangat aktif berdialog atau bediskusi tentang hal – hal yang berkaitan dengan pengelolaan keuangan digampong. Dari kegitan pelatihan ini besar harapan para pengelola keuangan gampong bisa bekerja dengan professional dan tidak terpengaruh dengan intervensi-intervensi siapapun juga.
Kantitatif Karakter Lokus Analizi ile Nohutta (Cicer arietinum L.) Kuraklık Toleransı Üzerine Bir Çalışma
Authors: KARADAVUT Ufuk , SÖZEN Ömer 
Published: April 2023

Nohut bitkisi bitkisel kaynaklı protein temini açısından oldukça önemli bir bitki olup son yıllarda iklim değişikliğinin getirdiği kuraklık sorunu üretimi sınırlamaya başlamıştır. Bunun sonucu olarak ıslah programlarının bu yöne doğru yönlendirilmesi gerekliliği ortaya çıkmıştır. Bu çalışma ile Kırşehir ilinden toplanan yerel nohut genotiplerinin kuraklığa toleransı ile genetik olarak bunun bağlantılı bölgelerin tespit edilmesi amaçlanmıştır. Bunun için toplanan 67 nohut genotipi içinden kuraklığa toleranslı görülen KMNG-27 ile KKNG-09 genotiplerinin çaprazlanması ile elde edilen KGN-15 genotipi üzerinde çalışılmıştır. Çalışmada incelenen özellikler çimlenmeye kadar geçen gün sayısı, çiçeklenme gün sayısı, bitki boyu, bitki başına bakla sayısı, biyolojik verim, 100 tane ağırlığı, hasat indeksi, bağıl yaprak su içeriği, membran geçirgenlik indeksi, su alma indeksi, verim, kök uzunluğu, kök sürgün uzunluğu, kök sürgün oranı, kök taze ağırlığı, taze sürgün ağırlığı, kök kuru ağırlığı, sürgün kuru ağırlığı ve kök kuru ağırlığının toplam bitki kuru ağırlığına oranıdır.
Sonuç olarak Yozgat ilinin Kırşehir iline göre yağış dağılımının daha düzenli olması nedeniyle fenotipik ve genotipik özellikler bakımından daha iyi durumda olduğu görülmüştür. Kullanılan 23 QTL’den 6’sı majör etkili olurken 17’si ise minör etkili olarak belirlenmiştir. Elde edilen sonuçlara göre pozitif bir etkiye sahip olan QTL’lerin donör ebeveyn alellerinin özellik değerlerinin artırılmasına katkıda bulunabileceğini göstermiştir. Negatif etkiye sahip olanlar ise alıcı konumunda bulunan ebeveynin daha yüksek özelliğe sahip olduğunu göstermiştir. Her iki lokasyon için toprak üstü kısımlar için Kırşehir için 6 QTL ve Yozgat için 7 QTL tanımlanırken kök ile ilgili özellikler için incelenen özellikler için Kırşehir için 11 QTL ve Yozgat için 4 QTL tanımlanmıştır.
Deterministic Analysis of Wind Loads Effects on High-Rise Buildings
Authors: Al Zaidee Salah R. , Alsalmani Ashraf Hameed 
Published: April 2023

This paper studies the effect of mean wind velocity on tall building. Wind velocity, wind profile and wind pressure have been considered as a deterministic phenomenon. Wind velocity has been modelled as a half-sinusoidal wave. Three exposures have been studied B, C, and D. Wind pressure was evaluated by equation that joined wind pressure with mean wind velocity, air density, and drag coefficient.
Variations of dynamic load factor for building tip displacement and building base shear were studied for different building heights, different mode shapes, different terrain exposures, and different aspect ratios of building plan. SAP software, has been used in modelling and dynamic analysis for all case studies.
Results For different building heights considered maximum dynamic load factor (DLF) occurs in height range from 100-150m because fundamental building frequency is so close as to dominate wind frequency. Effects of higher modes become insignificant for height greater than 175m. Effect of three different terrain exposures B, C, and D on DLF for tips displacement and building base shear have been insignificant effect on response of tip displacement and building base shear. . Finally, effect of aspect ratio for different building heights with dynamic load factor (DLF) for tips displacement and for building base shear have approaching 2, fundamental building frequency is so closed to dominate wind frequency.
Governing high-integrity ecosystem markets
Authors: Reed Mark 
Published: April 2023

There is growing global interest in the potential for ecosystem markets to facilitate climate and nature recovery. Yet, poorly designed and operated markets are prone to corporate “greenwashing” and negative consequences for nature and local communities. With the rapid emergence of ecosystem markets around the world, there is a need to systematically analyse ecosystem market governance principles, and identify the practical steps needed to implement these principles at national scales across multiple high-integrity ecosystem markets. Markets are considered high integrity when they are governed by clear and consistent principles that address governance, measurement, reporting and verification, and wider benefits. The majority of principles published to date are designed to be applied at international scales or within single markets. However, national policy oversight is essential to ensure emerging ecosystem markets deliver natural capital outcomes and wider public benefits appropriate to the jurisdictions in which they operate. Relying on international voluntary initiatives alone is unlikely to prevent the operation of low-integrity schemes. This paper therefore analyses principles for the development and operation of high-integrity ecosystem markets, proposing how these could be operationalised to in the UK, where governments in Scotland and England are actively developing new governance regimes for rapidly proliferating domestic ecosystem markets. To do this, the paper: 1.	Provides the first comprehensive overview of compliance and voluntary carbon and other ecosystem markets alongside the first analysis of relevant ecosystem market actors in the UK ;2.	Conducts a comparative analysis of existing national and international principles, identifying 14 core principles for governance, measurement, reporting and verification, and delivering wider benefits of high-integrity ecosystem markets that could be applied by relevant market actors to the range of ecosystem markets identified in the UK; and3.	Proposes how these principles could be applied in an ecosystem markets governance hierarchy, showing policy, governance and market mechanisms and infrastructure that are being developed to implement the proposed principles in the UK. Taken together, the proposed core market principles and governance hierarchy could be used to ensure the development of high-integrity ecosystem markets across the UK and internationally, helping national governments to responsibly build and scale these markets.
Pencatatan Perkawinan Beda Agama di Indonesia
Authors: Romli Muhammad , Huda Nurul , Aspandi Aspandi 
Published: April 2023

Law of Marriage which constitutes a product of Indonesian people regulating any aspects of marriage into a regulation for any Indonesian people, this is not to say that this regulation is perfect and away from any legal issues, one of which is interfaith marriage, with the uncertainty of interfaith marriage law in Marriage Law results in different verdict particularly in interfaith marriage registry in Indonesia. This study used a legal research method and this study used approach methods namely historical, conceptual and legislative approach. Legal entities used in this study include normative-primary, secondary, and tertiary legal entity which was applied in the manner of observation, collection and literary study of document either conventionally or through internet. Study results on interfaith marriage held in Indonesia suggested that neither the Religious Affairs Office (KUA) nor the Population and Civil Registry Office (Disdukcapil) shall accept it. Despite interfaith marriage in Indonesia has been set out in Law of Population Administration (Adminduk) and registered in Indonesia, as it is tied to stipulation outcome of District Court. Should the district court grant the request of interfaith marriage, then the Population and Civil Registry Office shall report interfaith marriage and otherwise.

Keywords: Marriage Registry, Interfaith Marriage
Initial experience with transcarotid arterial revascularization with flow reversal in the management of symptomatic carotid stenosis
Authors: Feler Joshua , Torabi Radmehr , Moldovan Krisztina , Poggi Jonathan , Shaaya Elias , Anderson Matthew , Ayala Cameron , Bajaj Ankush , Monje Silas , Doberstein Curt 
Published: April 2023

OBJECTIVE
The aim of this study was to evaluate the efficacy of transcarotid arterial revascularization (TCAR) as a viable intervention in the treatment of symptomatic carotid artery stenosis.

METHODS
The authors performed a retrospective review of prospectively collected data of the first 62 consecutive patients treated at Rhode Island Hospital in Providence, Rhode Island, who underwent a TCAR for symptomatic carotid artery stenosis between November 11, 2020, and March 31, 2022. Relevant demographic, comorbidity, and perioperative data were extracted through retrospective chart review. Patients with asymptomatic carotid artery stenosis were excluded. The authors also evaluated patients using pertinent physiological and anatomical high-risk criteria as described in the ROADSTER trial. Risk factors were aggregated to form a composite risk total for every patient. The primary outcome of this study was the 30-day adverse outcome rate of stroke, myocardial infarction, and/or death. Periprocedural stroke was identified by clinical symptoms and radiographic findings. Secondary endpoints included device and procedural success, 30-day mortality, 30-day stroke rate, and postoperative complications.

RESULTS
The authors analyzed the first 62 patients with > 50% symptomatic carotid artery stenosis who underwent TCAR at their institution. The mean age of the cohort was 71.5 years, and the cohort was predominantly male (67.7%). The most common high-risk medical criteria were age older than 75 years (45.3%) and severe coronary artery disease (13.6%). The most common anatomical high-risk criteria were high bifurcation (35.1%) and contralateral stenosis requiring treatment within 30 days (15.8%). Fifty percent of patients had at least 1 medical high-risk criterion, 50% had at least 1 anatomical risk criterion, and 82% of patients had 2 or more high-risk criteria of any kind. Among this group, all patients (100%) underwent successful revascularization, with 1 (1.6%) requiring intraprocedural conversion to carotid endarterectomy. Postprocedurally, there was 1 nondisabling stroke (1.6%) and 3 deaths (4.8%) within 30 days of the procedure, with only 1 death directly attributable to the procedure. One patient (1.6%) experienced a neck hematoma. In total, 4 patients (6.5%) experienced a major complication. The overall complication rate was 8.0%.

CONCLUSIONS
The authors’ initial experience with TCAR suggests that it might provide an effective alternative to carotid endarterectomy and carotid artery stenting in the management of symptomatic carotid stenosis in patients with high-risk anatomical and medical characteristics.
A long-term study of posterior circulation changes after revascularization in patients with moyamoya disease
Authors: Bao Xiang-Yang , Tong Huai-Yu , Wang Qian-Nan , Wang Xiao-Peng , Gao Gan , Zhang Qian , Zou Zheng-Xing , Duan Lian 
Published: April 2023

OBJECTIVE
This study aimed to explore the long-term course of posterior circulation changes and predictors in patients with moyamoya disease (MMD).

METHODS
The authors retrospectively enrolled patients who were diagnosed with MMD and underwent encephaloduroarteriosynangiosis (EDAS) surgery at the authors’ department from December 2002 to September 2011. A comparative study between short-term (6–12 months) and long-term (≥ 9 years) follow-up angiography was conducted. The progression of lesions was defined from lower to higher stages of the posterior cerebral artery (PCA).

RESULTS
Eighty-eight patients who received indirect EDAS were enrolled in the study. The mean age at first surgery was 28.1 ± 15.0 years. Among these 88 patients with MMD, 39 (44.3%) exhibited transient ischemic attack and 27 (30.7%) exhibited infarction, comprising 5 with occipital lobe infarction, 14 (15.9%) with hemorrhagic symptoms, and 8 (9.1%) with atypical symptoms as the initial symptoms. Heterozygous mutations occurred significantly more frequently in the cases that presented with PCA involvement. During follow-up, stage progression of PCA was observed in 21 patients (28 hemispheres). At short-term follow-up, 21/176 (11.9%) hemispheres had progression of steno-occlusive lesions in the PCA. At long-term follow-up, 7 (4.0%) hemispheres had progression of steno-occlusive lesions in the PCA. At short-term follow-up, the progression of steno-occlusive lesions in the PCA was associated with progression of the internal carotid artery. Stage progression of PCA occurred significantly more frequently in the cases with PCA involvement on preoperative angiography. Nine strokes (10.2%) occurred in 88 patients during long-term follow-up. Four patients (4.5%) presented with ischemic stroke, including 2 with occipital lobe infarctions.

CONCLUSIONS
Progression of PCA stenosis is common in patients with MMD, even if the PCA is normal initially. Mutations of RNF213 p.R4810K may predict PCA involvement or progression. Follow-up of the PCA in MMD patients should be conducted, and timely surgical revascularization is needed.
Trends in the size of treated unruptured intracranial aneurysms over 35 years
Authors: Khorasanizadeh MirHojjat , Pettersson Samuel D. , Maglinger Benton , Garcia Alfonso , Wang S. Jennifer , Ogilvy Christopher S. 
Published: April 2023

OBJECTIVE
In the absence of clear guidelines and consistent natural history data, the decision to treat unruptured intracranial aneurysms (UIAs) is a matter of some controversy. Currently, decisions are often guided by a consensus of cerebrovascular specialist teams and patient preferences. It is unclear how paradigm-shifting developments in the detection and treatment of UIAs have affected the size of the UIAs that are selected for treatment. Herein, the authors aimed to study potential changes in the average size of the UIAs that were treated over time. They hypothesized that the average size of UIAs that are treated is decreasing over time.

METHODS
A systematic search of the literature was performed to identify all studies describing the size of UIAs that were treated using any modality. Scatter diagrams with trend lines were used to plot the size of the aneurysms treated over time and assess for the presence of a potentially significant trend via statistical correlation tests. Subgroup analyses based on type of treatment, country of study, and specialty of the authors were performed.

RESULTS
A total of 240 studies including 35,150 UIAs treated between 1987 and 2021 met all eligibility criteria and were entered in the analysis. The mean age of patients was 55.5 years, and 70.7% of the patients were females. There was a significant decrease in the size of treated UIAs over time (Spearman’s r = −0.186, p < 0.001), with a 0.71-mm decrease in the average size of treated UIAs every 5 years since 1987 and an annual mean dropping below 7 mm in 2012. This decreasing trend was present in surgically and endovascularly treated UIAs (p < 0.001 for both), in more developed and developing countries (p < 0.001 for both), within neurosurgical and non-neurosurgical specialties (p < 0.001 for both), most prominently in the US (Spearman’s r = −0.482, p < 0.001), and less prominently in Europe (Spearman’s r = −0.221, p < 0.001) and was not detected in East Asia.

CONCLUSIONS
The present study indicates that based on the treated UIA size data published in the literature over the past 35 years, smaller UIAs are being treated over time. This trend is likely driven by safer treatments. However, future studies should elucidate the cost-effectiveness of treating smaller UIAs as well as the possible real-world contribution of this trend in preventing aneurysmal subarachnoid hemorrhage.