bluuebunny/crossref_metadata_2025_split huggingface dataset:
Vormoderne Recycling-Mentalität? Abfall und Abfallregime im frühneuzeitlichen London
Authors: Neumann Franziska 
Published: July 2023

Zusammenfassung
Recycling, verstanden als Weiter- und Wiederverwertung von Abfallstoffen, spielte in der Frühen Neuzeit ohne Zweifel eine wichtige Rolle: Aus Asche wurden Ziegelsteine, aus Fäkalien Zusatzstoffe für Düngermittel, zerbrochenes Geschirr und Bauschutt hingegen fanden als Füllmaterial eine neue Bestimmung. Zugleich reicht eine ausschließliche Fokussierung auf Recycling nicht aus, um der Komplexität von Abfall gerecht zu werden. Jede Epoche bildet ihre eigenen Abfallstoffe aus, die eng mit Produktions-, Lebens- und Konsumgewohnheiten, aber auch mit Werten, Normen und Ordnungsvorstellungen verwoben sind. Der Umgang mit Abfall in der frühneuzeitlichen Stadt wurde, so die These des vorliegenden Beitrags, von einem deutlich breiteren und komplexeren Spektrum an bisweilen konfligierenden Wahrnehmungen und Handlungsweisen geleitet, als die Scharfeinstellung auf Recycling vermuten lässt. Am Beispiel von Haushaltsabfällen in London im 18. Jahrhundert plädiert der Beitrag dafür, Recyclingpraktiken in eine breiter angelegte Geschichte von „Abfallregimen“ zu integrieren und nach dominanten kulturellen Mustern im Umgang mit Abfall zu fragen. Aufgrund der Vielzahl an Aspekten, die Abfallregime prägen, können diese zugleich als Sonde dienen, um Einblicke in die Dynamiken urbanen Zusammenlebens in der Frühen Neuzeit zu gewinnen. Damit bietet eine Fokussierung auf Abfall die Chance, neue Perspektiven auf eine Kulturgeschichte der Stadt zu werfen.
The role of warmed intravenous fluid on intraoperative hypothermia and postoperative shivering during prolonged oral and maxillofacial surgery
Authors: Emran Mohammad , Dilara Islam Nur E. , Sarker M. Selim , Akbar M. Mosaddak , Karim Mohammad Rezaul 
Published: July 2023

Background: Under general anaesthesia, the core temperature may drop up to 6°C. Patients undergoing prolonged maxillofacial surgery frequently experience unintentional hypothermia that causes postanaesthetic shivering which is a common complication of anaesthesia that should be prevented. This study aimed to evaluate the role of warmed intravenous fluid in preventing intraoperative hypothermia and postoperative shivering.
Methods: Between January 2022 and December 2022, 322 patients with American Society of Anesthesiologists (ASA) physical status I, II and the age group of 18 to 45 years old scheduled for elective major oral and maxillofacial surgery were evaluated under the Department of Anaesthesiology in Dhaka Dental College and Hospital. The patients were grouped into Room Temperature Group and Warmed Fluid Group.
Results: 162 patients received warmed fluid, whereas 160 patients received fluid at room temperature. In Room Temperature Group, there were 89 male and 71 female patients, whereas Warmed Fluid group had 88 male and 74 female patients. At the end of the procedure, the basal core temperature was 36.7±0.2°C in the group receiving warmed fluid versus 35.9±0.2°C in the group receiving fluid at room temperature. The incidence of hypothermia (<36 °C) was much lower in Warmed Fluid Group (n=28, 17.28%) than Room Temperature Group (n=86, 53.75%). Shivering was more common in Room Temperature Group (n = 67, 41.86%) than in Warmed Fluid Group (n = 19, 11.73%) in the postanaesthetic care unit (PACU).
Conclusions: The results of this study suggested that intraoperative hypothermia and postoperative shivering are less common when warmed fluid is infused.
Study of anaemia in type 2 diabetes mellitus and its correlation with albuminuria and eGFR
Authors: Sharma Neha , Rawat Sarita , Marwah Sadhna , Verma Vikas 
Published: July 2023

Background: Diabetes mellitus (DM) is a common metabolic disease. Anaemia is a common accompaniment to diabetes, particularly in patients with albuminuria or reduced renal function. Anaemia is more frequent and more severe at any level of glomerular filtration rate (GFR) in diabetics compared to nondiabetic patients.
Methods: One hundred patients with type 2 diabetes mellitus were included in the study. Complete blood count, serum iron profile, ferritin, vitamin B12 and folate, kidney function tests and urine albumin creatinine ratio were assessed for these patients. Estimated glomerular filtration rate (eGFR) was calculated with MDRD-4 variable formula.
Results: Fifty-four patients (54%) were found to be anaemic. Serum ferritin <50 µg/l was taken as cut off for defining iron deficiency anaemia. 21 patients had iron deficiency anaemia (IDA) and 33 had anaemia of chronic disease (ACD). Serum vitamin B12 and folate levels were within normal limits in all the patients. There was a rise in the prevalence of anaemia from 25.9% in patients with a normal ACR to 59.2% in those with microalbuminuria and to 75% in macroalbuminuria.
Conclusions: Any degree of renal impairment and albuminuria are the risk factors for anaemia in these patients. Hence screening, characterization and treatment of aneamia in type 2 DM may be helpful in management of these patients.
Uptake of universal health care provided maternal neonatal child health services in Machakos County Kenya
Authors: Kangee Maureen , Mwanzo Isaac , Oyore John Paul 
Published: July 2023

Background: The Universal Health Coverage (UHC) offers an essential package of health services to citizens while protecting them financially in case of an illness. It has been given a top priority globally as a health-related aim. In Kenya, whereas MNCH services have continued to attract investment over the years, reports still show high rates of maternal and child mortality. The study was sought to assess the level of uptake of universal health coverage provided MNCH services and the associated factors.
Methods: This was a cross-sectional study undertaken in 422 households in Machakos Sub-County on women of reproductive age (WRA). The data was collected using questionnaires. Multiple logistic regression with (p<0.05) at 95% CI was used for inferential statistics.
Results: The results show that all respondents had sought at least one MNCH service. Time taken to reach facility (OR 12.26; 95% CI 1.07 to 140.48) and feeling that a CHV could attend to them during an emergency (OR 4.14; 95% CI 1.23 to 13.91) were significant patient related factors. Supply side factors found to be significant were visit from a CHV (OR 125.93; 95% CI 18.37 to 863.27), feeling that services were of quality (OR 684.411; 95% CI 50.65 to 9248.93, adequacy of staff (OR 1.00; 95% CI 1.0004 to 0.021 and hospital commodities (OR 19.83; 95% CI 1.67 to 235.93). Demographic factors established to be significant were marital status, education level, occupation and monthly income.
Conclusions: Patient-related, supply-side and demographic factors had a significant influence on uptake of UHC provided MNCH services.
Association between waiting time, service time and patient satisfaction in the out-patient department of a tertiary care hospital in Maharashtra
Authors: Acharya Anvesha , Kendre Varsharani , Jadhav Yallapa , Tambe Muralidhar 
Published: July 2023

Background: Quality patient care is controlled by various factors - degree of fulfilment of patients' needs being one of them. Lesser waiting times, empathetic doctors and availability of medications yield more satisfied patients.
Methods: A descriptive cross-sectional study was carried out among 80 patients attending the OPD of a tertiary care hospital from 9 am to 1 pm, Monday to Saturday from 8th February 2021 to 8th April 2021. Consenting patients were shadowed and observed until they completed their visit. Actual waiting time, consultation time and overall visit duration were calculated. An exit interview was conducted to assess satisfaction with waiting time, infrastructure and doctor-patient interaction.
Results: The mean waiting time in one visit was 59.025±39.497 minutes. The mean consultation time with the doctor was 6.925±7.688 minutes. Statistical analysis showed that patients with lesser waiting time were significantly more satisfied with hospital services (p=0.004). Males were significantly more satisfied than females (p=0.02). Domains of dissatisfaction were waiting time at the registration desk, outside the OPD, seating arrangement, cleanliness and availability of medications. Doctor-patient interaction and consultation time were rated highly.
Conclusions: The results showed that significant changes are required in the queueing system and hospital infrastructure. The positive response received in case of doctor-patient interaction is a step in the right direction. Regular surveys can help us rectify oversights in the present healthcare system.
A case report on primigravida with myasthenia gravis: outcome of pregnancy
Authors: Sarita  , Gupta Anchal 
Published: July 2023

Primigravida refers to a woman who is pregnant for the first time. It is a unique experience for the woman. Usually, any minor alignment during this time will lead to anxiety. The prevalence rate of myasthenia gravis in pregnancy is 1 in 20,000. The main reason behind the cause of the disease is improper secretion of acetylcholine, huge secretion of cholinesterase, and non-responsive muscle fibers. The purpose of this case study is to introduce the outcome of pregnancy with myasthenia gravis. This case was taken at X private hospital. A 27-year-old primigravida woman with 38 weeks of pregnancy was the first known case of myasthenia gravis. She was diagnosed with myasthenia gravis thymic hyperplasia in November 2020. The patient is then managed with a surgical procedure, i.e., thymectomy, on 18 September 2021. The patient was receiving distinon (pyridostigmine) 60 mg. It requires the intraoperative collaboration of the neurology and obstetrics departments in managing myasthenia gravis during pregnancy. A successful elective caesarean section was done on the patient's request under spinal anaesthesia on 13 April 2023. The male newborn, with a birth weight of 2.825 gm was delivered. The newborn was transferred to the NICU for further surveillance and did not show any sign of muscular weakness. The baby was healthy at the time of discharge.
The effect of Transobturator Tape (TOT) on female sexual and psychological functions: A multi centered prospective study
Authors: DEMİR Demirhan Örsan , ÖZGÜR Berat Cem , DEMİRBAS Arif , YAZAR Veli Mert , AKSELİM Burak , YÜCETÜRK Cem Nedim , KAÇAN Turgay 
Published: July 2023

AIM:
The aim of the present study is to identify the recovery rate after Transobturator Tape (TOT) surgery of social, physical, sexual and psychological problems caused by SUI in females..
METHODS:
A total of 36 sexually active women were evaluated according to their self-perception of the quality of their life. They answered the following questionnaires; the Beck Depression Inventory (BDI), the Female Sexual Function Index (FSFI) and the Short Form-36 Health Survey (SF-36).
RESULTS: A statistically significant increase of mean 6.47 points was determined in the 3rd month FSFI scores. Also seven parameters of SF-36 questionnaire between the preoperative and 3-month postoperative values were significantly changed. (p
A New Marker In The Diagnosis Of Acute Complicated Appendicitis In Adult Patients: Neutrophil/Albumin Ratio
Authors: SAHİN Serdar 
Published: July 2023

ABSTRACT
Aim: Our study aims to search the effectiveness of neutrophil/albumin ratio (NAR) in distinguishing between acute appendicitis (AA) and acute complicated appendicitis (ACA) and to find the best cut-off point of neutrophil/albumin ratio (NAR) for the diagnosis of ACA.
Material and method: This study was performed using data from 453 adult patient who underwent appendectomy and divided into two groups as AA and ACA. Demographic data, preoperative white blood cell count (WBC), neutrophil lymphocyte ratio (NLR), neutrophil/albumin ratio (NAR), C-reactive protein value (CRP) surgical outcomes, and pathological outcomes were retrospectively assessed for each groups.
Results: In our study, 362 patients were in the AA group and 91 patients were in the ACA group. WBC, NLR, CRP and NAR were significant parameters in differentiating acute appendicitis from acute complicated appendicitis. Among these parameters, NAR; AUROC sensitivity and specificity values were stronger than others. (AUROC: 0.963, sensitivity: 95.6%, specificity: 85.7%). As a result of the ROC curve analysis, a cut-off value of 2.79 mg/dl was found.
Conclusion: NAR is a novel inflammatory marker simply detected through routine preoperative blood results, with no additional time or cost. The neutrophil/albumin ratio (NAR) is a fast, easy to access and reliable parameter to differentiate AA from ACA.
PRİMER ANTERİOR OMUZ ÇIKIĞINDA KONSERVATİF TEDAVİ YETERİ KADAR BAŞARILI MI?
Authors: EREN Toygun Kağan , ERDOĞAN Atakan , AKTEKİN Cem Nuri 
Published: July 2023

Amaç: Primer anterior omuz çıkığı nedeniyle hastaneye başvuran hastaların tedavi sonuçlarını, tekrar çıkık oranlarını ve tedavi sonuçlarına etki eden faktörleri değerlendirmek
Gereç ve Yöntem: Ocak 2016 ve Ocak 2020 tarihleri arasında, ilk kez (primer) anterior omuz çıkığı nedeniyle hastanemize başvuran ve kapalı redüksiyon sonrası geçici immobilizasyon yöntemiyle konservatif olarak tedavi edilen hastaların verileri değerlendirildi. Daha önceden çıkık öyküsü olan, romatolojik hastalığı olan veya verileri eksik olan hastalar çalışmaya dahil edilmedi. Hastaların tekrar çıkık öyküsü olup olmadığı; eğer tekrar çıkık geliştiyse, ilk travmadan ne kadar süre sonra gerçekleştiği bilgileri incelendi. Ayrıca, tüm hastaların fonksiyonel değerlendirmeleri Oxford Shoulder Instability Score (OSIS) ile yapıldı.
Bulgular: Çalışmaya 43 hasta dahil edildi. Hastaların ortalama yaşı 45,23 ± 17,2 olup hasta yaşları 20-76 arasındaydı. Hastaların 33’ü (%76,7) erkek, 10’u (%23,3) kadındı. Hastaların ortalama takip süresi ise 48,8 ± 12,4 olarak bulundu (En az 31, en çok 86 ay). Hastaların son takipteki ortalama OSIS değeri 45 ± 3,45 olarak bulundu. Hastaların takiplerinde, 21 hastada (%48,8) tekrar omuz çıkığı görüldü. Kırk yaş üstü ve 40 yaş altındaki hastalar karşılaştırıldığında tekrar çıkık oranları sırasıyla, 9/25 (%36) ve 12/18 (%66,6) olarak bulundu (p=0,094). Kırık eşlik eden 6 hastada rekürren omuz çıkığı görülmedi.
Sonuç: Primer anterior omuz instabilitesi sonrası, geçici immobilizasyon ile konservatif tedavi edilen hastalarda tekrar çıkık görülme oranları yüksek olduğu bulunmuştur. Proksimal humerusta eşlik eden kırık varlığında tekrar çıkık daha az görülmüştür.
Kronik Böbrek Yetmezliği Hastalarında Kaşıntı Semptomunun Gece Uyku ve Yaşam Kalitesine Etkisi
Authors: TÜRKER Esra , TANRIKULU Gözdenur 
Published: July 2023

AMAÇ: Bu çalışmanın amacı kronik böbrek yetmezliği olan ve hemodiyaliz tedavisi alan hastalarda görülen kaşıntının, onların uyku ve yaşam kalitesine etkisinin belirlenmesidir.
GEREÇ VE YÖNTEM: Tanımlayıcı ve kesitsel tipteki bu araştırma kronik böbrek yetmezliği olan 180 hasta ile Ankara il merkezinde bulunan üç özel diyaliz merkezlerinde Mart-Temmuz 2021 tarihleri arasında yapılmıştır. Çalışmanın verileri Bilgi Formu, 5-D Kaşıntı Ölçeği, Richard-Campbell Uyku Ölçeği ve SF 36- Yaşam Kalitesi Ölçeği kullanılarak elde edilmiştir.
BULGULAR: Çalışmada yer alan hastaların orta şiddette kaşıntı yaşadığı belirlenmiştir. 5-D kaşıntı ölçeği ile Richard-Campbell Uyku Ölçeği arasında orta seviye ve negatif yönde anlamlı ilişki belirlenmiştir (r=-,265,p
THE EFFECT OF ADDED NICKEL SLAG TO COMPRESSION AND SHEAR STRENGTH ON LATERITE SOIL SOUTH KALIMANTAN
Authors: Dewi Ayu Mustika , Rusdiansyah Rusdiansyah 
Published: July 2023

Laterite soil is an embankment soil that is often used because it is easy to find and is widely found in South Kalimantan. However, this land has many shortcomings to be used as embankment soil. This is because the lateritic soil has a clay content and a high Plasticity Index (PI) value. So the quality is still questionable to be used as landfill. To overcome this, it is necessary to improve or stabilize the lateritic soil. In this study, the lateritic soil was stabilized by the addition of slag nickel This study aims to determine the physical characteristics of laterite soil after being given a mixture of nickel slag addition, this study also aims to determine the effect of the percentage of nickel slag on primary consolidation (Sc) of laterite soil. As well as knowing the effect of the percentage of nickel slag on the parameters of shear strength in the form of cohesion (c) and shear angle (f). Consolidation and shear strength specimens were made with 90% of the optimum moisture content. The variations of the nickel slag mixture used in this study were 0%, 5%, 10%, 15%, and 20% of the weight of the soil used. Based on the results of data analysis, the addition of a mixture of nickel slag in each sample variation can reduce the plasticity index value of the lateritic soil. In addition, the addition of nickel slag also affects the value of the primary consolidation settlement value (Sc) of the laterite soil. The addition of the percentage of nickel slag also affects the parameters of the shear strength of the soil, for the cohesion value (c) of the laterite soil experiences a value that decreases with the increase in the percentage of nickel slag. Meanwhile for the shear angle (φ) of the laterite soil, the value increases with the increase in the percentage of nickel slag.Keywords: laterite soil, nickel slag, plasticity index, consolidation of laterite soil, shear strength of laterite soil
DEVELOPING SOCIAL EMOTIONAL USING BCCT MODEL, ROLE PLAYING, AND NATURAL MATERIAL MEDIA IN GROUP B
Authors: Mahfuziah Lisa , Metroyadi Metroyadi 
Published: July 2023

Low social interaction of children with their friends is a problem in this study. This study aims to determine teacher activities, children's activities, and children's social-emotional development achievements through a combination of Beyond Center And Circle Time (BCCT) and Role Playing models with natural material media in group B of TK Negeri 3 Alalak. Theapproach and type of research used in this study are qualitative approaches and types of Classroom Action Research (PTK) in four cycles. Agroup B of TK Negeri 3 Alalak totaling 20 children were the subjects of this study. The results of this studyshowed that children's social emotional development in the learning process was seen from an increase of 40% at the first meeting, 65% at the second meeting, 85% at the third meeting, and 100% at the fourth meeting. The conclusion of this study based on the results of the study is that the combination of the Beyond Center And Circle Time (BCCT) model and Role Playing with natural material media can develop activities and achieve child development results.
DEVELOPING LANGUAGE ASPECTS IN MENTIONING LETTER SYMBOLS IN GROUP B OF NURUTTAQWA KINDERGARTEN BANJARMASIN
Authors: Oktavia Setyana , Agusta Akhmad Riandy 
Published: July 2023

This research was motivated by the lack of development of children's ability to mention letter symbols caused by the media used by teachers in the learning process to recognize letters that did not attract children's hearts, thus making children less enthusiastic and not eager to participate in learning activities. The purpose of this study is to improve and improve the quality of the learning process of group B in Nuruttaqwa Kindergarten Banjarmasin. This research approach uses qualitative and quantitative approaches with the type of classroom action research (PTK) held 4 meetings. Techniques for collecting observations of teacher activities, observation of children's activities, children's learning outcomes, language skills. The results showed that teacher activity increased with a score of 25 criteria "Very Good" at meeting 4. Children's activity at each meeting increased with a percentage of 84.62% of the criteria being very active at meeting 4. Children's language development with a percentage of 92.31% or 30 children successfully developed at meeting 4.
DEVELOP EARLY LITERACY SKILLS THROUGH COOPERATIVE LEARNING MODELS, MONTESSORI GAME METHODS AND SANDPAPER LETTERS MEDIA
Authors: Laida Alda , Sari Dessy Dwitalia 
Published: July 2023

This research was motivated by the low results of children's language development in the aspect of early literacy in recognizing and imitating (writing by mentioning) letters that are still not developed. The purpose ofthis study is teacher activity, child activity, and child development results in showing children's activities in recognizing and imitating (writing by mentioning) letters. This research approach uses a qualitative approach, the type of research is Classroom Action Research (PTK) which is carried out in 2 cycles. This researchwasconducted at Suka Maju Kindergarten, Lunjuk HST Village for the 2021/2022 school year in group A, which amounted to 12 children consisting of 4 boys and 8 girls. Datacollection techniques are carried out by observation, interviews, performances, and evaluation through LKPD. The results showed that teacher activity obtained very good categories, children's activities obtained very active categories, the results of the development of aspec early literacy aspects obtained categories developed as expected (BSH) and developed very well (BSB). The conclusion of this study is the use of cooperative learning models, Montessori game methods and sandpaper letters media in developing aspects of early literacy (recognizing and imitating) in group A children of Suka Maju Kindergarten Lunjuk HST Village.
TINJAUAN FLIPPED CLASSROOM PADA MATA KULIAH GEOMETRI TRANSFORMASI MENURUT KERANGKA WILLIAMS AND EGGERT
Authors: Ansori Hidayah , Amalia Rizki , Juhairiah Juhairiah 
Published: July 2023

penelitian ini bertujuan untuk mendeskripsikan pelaksanaan pembelajaran flipped classroom pada mata kuliah geometri transformasi pada porgram studi pendidikan matematika FKIP Universitas Lambung Mangkurat. Tujuan pada penelitian ini adalah untuk mendeskripsikan pelaksanaan pembelajaran flipped classroom pada mata kuliah geometri transformasi. Data penelitian merupakan hasil survei pada kelas yang melaksanakan flipped classrom menggunakan instrumen kerangka Williams and Eggert, kemudian data dianalisis menggunakan skala likert dan kategorisasi dan persentase. Kesimpulan (1) mahasiswa setuju mengikuti perkuliahan selalu memperhatikan penjelasan dosen, (2) Pemrosesan kognitif pada umumnya dapat berlangsung dengan baik akan tetapi mahasiswa masih ragu-ragu dapat memikirkan materi perkuliahan, (3) Mahasiswa setuju bahwa mencatat materi perkuliahan penting, di samping juga mahasiswa memberikan garis bawah atau warna dan memberi komentar untuk dipelajari pada persiapan ujian tengah semester atau ujian akhir semester, (4) Mahasiswa meninjau pemrosesan setelah kelas selesai dengan cara melengkapi catatan, memberikan komentar pada buku catatan, akan tetapi mahasiswa masih belum membuat flashcard untuk belajar. Kata kunci: Flipped Classroom, geometri Transformasi, kerangka Williams and Eggert Abstract: This study aims to describe the implementation of flipped classroom learning in the geometry transformation course in the Mathematics Education Study Program FKIP ULM. The purpose of this research is to describe the implementation of flipped classroom learning in transformation geometry courses.The research data is the result of surveys in classes that carry out flipped classes using the Williams and Eggert, then the data were analyzed using a Likert scale and categorization and percentage. Conclusions (1) students agree to attend lectures always pay attention to the lecturer's explanation, (2) Cognitive processing in general can go well but students are still unsure about being able to think about lecture material, (3) Students agree that taking notes on lecture material is important, besides students provide underlines or colors and provide comments to study in preparation for midterm or final semester exams, (4) Students review processing after class is over by completing notes, commenting on notebooks, but students still haven't made flashcards for study . Keywords: Flipped Classroom, Transformation geometry, Williams and Eggert framework