bluuebunny/crossref_metadata_2025_split huggingface dataset:
Calculation of the Constructive Nonlinearity of Ribbed Reinforced Concrete Slabs of Self-Stressed Covering Panels
Authors: Hasenko Anton , Semko Volodymyr , Skliarenko Serhii 
Published: September 2023

Abstract
Precast reinforced concrete constructions meet the requirements of industrialization, high manufacturability, and cost-effectiveness at a reasonably high level. The ribs in constructions perform load-bearing functions, and the slab part performs enclosing functions. Often before the installation of such structures at a construction site, they are mounted from assembly elements. The overall dimensions of the elements are limited by transportation requirements. During such an aggregated mounting, the assembly units work according to a calculation scheme that differs from an operational scheme. The structural nonlinearity of ribbed reinforced concrete slabs during transportation, mounting, and installation, and the operation of a combined spatial covering panel were investigated in this paper. The effects were identified, and a rational design of nodes connecting the individual prefabricated units into a spatial structure was developed. With the help of these nodes, it is possible to create unloading support moments, which will reduce the internal forces in the design cross-sections. The effects of changes in the width of the reinforced concrete slab shelves on the internal forces of the load-bearing ribs of a wall and a roof panel were investigated.
SUSTAINABLE ENTREPRENEURHSIP DAN GREEN ECONOMY UNTUK PELAKU UMKM DI DESA KARANGAMPEL
Authors: Arifin Nur Rizki , Putra Rizka Andhika , Patonah Rita , Heryati Tati 
Published: September 2023

Kemajuan Usaha Mikro Kecil Menengah (UMKM) akan berdampak secara langsung pada kesejahteraan masyarakat. Indikator kesejahteraan salah satunya dapat diukur melalui peningkatan pendapatan. Peningkatan pendapatan pada UMKM dapat dioptimalkan dengan meminimalisir dan mengefisienkan biaya produksi serta melakukan manajemen keuangan dengan baik. Pengabdian ini bertujuan untuk memberikan solusi terhadap permasalahan nyata yang terjadi pada UMKM di Desa Karangampel, Kecamatan Baregbeg, Kabupaten Ciamis melalui pelatihan sustainable entrepreneurhsip dan green economy untuk Pelaku UMKM. Model yang digunakan dalam pengabdian ini menggunakan metodologi kualitatif. Metode analisis pengabdian ini yang digunakan adalah analisis studi kasus berdasarkan metode, data, dan triangulasi sumber. Adanya peningkatan pemahaman peserta mengenai sustainable entrepreneurhsip dan green economy sehingga diharapkan dapat meningkatkan Kesejahteraan pelaku UMKM di Wilayah Desa Karangampel Kecamatan Baregbeg Kabupaten Ciamis. Pelaksanaan pengabdian masyarakat melalui sosialisasi sustainable entrepreneurhsip dan green economy diharapkan dapat terus berlanjut dan Universitas Galuh sebagai lembaga tetap menjadi pelopor dalam pengabdian pada masyarakat.
Focal dystonia and ataxic hemiparesis as the initial presentation of a thalamic tuberculoma: A diagnostic challenge in an immunocompetent pediatric patient
Authors: Sajjad Fauzia , Baloch Maryam Farhan , Ashraf Mohammad , Gillespie Conor S. , Umar Hira , Zafar Ammara , Zulfiqar Javaria , Ullah Imdad , Ali Sundus , Ashraf Naveed 
Published: September 2023

Background:
Central nervous system (CNS) tuberculomas are rare and account for approximately 1% of all tuberculosis (TB) cases. These intracranial lesions are more commonly observed in immunocompromised individuals, often as part of disseminated miliary TB or after latent infection reactivation. This case report presents the occurrence of a thalamic tuberculoma in an immunocompetent girl.

Case Description:
An 11-year-old girl presented with a 3-month history of progressive right-sided ataxic hemiparesis, hand dystonia/thalamic hand, and headache. There was only a mildly elevated erythrocyte sedimentation rate (25 mm/h.), and her remaining biochemistry and vitals were unremarkable. Magnetic resonance imaging (MRI) brain revealed an ill-defined intra-axial heterogeneous lobulated lesion with crenated margins involving the thalamus and the posterior limb of the internal capsule with significant vasogenic edema. Given the clinical picture, the working diagnosis was a high-grade brain tumor. Due to the absence of a viable operative corridor for a meaningful resection and the diagnostic uncertainty, a stereotactic biopsy was performed, and histopathological analysis confirmed the presence of granulomas consistent with TB. A human immunodeficiency virus test (negative) and interferon-gamma release assay (positive) were then obtained. The patient was commenced on a regimen of anti-TB drugs with a tapering steroid dose. At 8 months, her most recent MRI showed a significant reduction in the size of her tuberculoma, and there is a complete resolution of her hand dystonia and hemiparesis to allow for independence in her activities of daily living.

Conclusion:
This report emphasizes the importance of considering causes other than degenerative, vascular, or neoplasms in patients with hemiparesis with dystonia. CNS tuberculomas can present as such without prior history or specific clinical symptoms of TB, making them a diagnostic challenge. In cases with such uncertainty regarding the nature of an intracranial lesion and the role of resection, a stereotactic biopsy is invaluable.
Virtual coil images can optimize the visualization of the neckline of intracranial aneurysms during coil embolization: A technical note
Authors: Abe Yukiko , Ishibashi Toshihiro , Otani Katharina , Kan Issei , Murayama Yuichi 
Published: September 2023

Background:
During coil embolization of intracranial aneurysms, the aneurysmal neck needs to be evaluated because coil protrusion into the parent artery may lead to ischemic complications. However, the neck cannot always be clearly visualized due to the limitation of the angiography system and due to the structure of the aneurysm. As a visual aid, we propose a color-coded fusion imaging method that generates “virtual coil” images using preoperative three-dimensional digital subtraction angiography (3D-DSA) images.

Case Description:
Coil embolization for intracranial aneurysms was performed using the working angles determined from the preoperative 3D-DSA. The aneurysms were located at the middle cerebral artery, anterior communicating artery (A-com), and posterior communicating artery (P-com). The A-com and P-com aneurysms were recurrent. During the later phase of the procedure, physicians could not judge whether coils protruded into the parent artery on two-dimensional digital subtraction angiography (2D-DSA) images because an optimal working angle could not be realized. Virtual coil images were displayed on the angiography system’s monitor to show the expected completed embolization, which could be compared to the current 2D-DSA images as a visual aid.

Conclusion:
Virtual coil images can provide visual aid to the treating physician during aneurysm coil embolization, which is useful when an accurate working angle cannot be reached.
A structural analysis of the literary olonkho "Erchimen Bergen" by Sergei Vasilyev-Borogonsky
Authors: Stepanova V. E. 
Published: September 2023

In modern literary studies, the study of the poetics of a work of art in terms of identifying its aesthetic, genre, plot and compositional features remains one of the relevant issues. The article presents a structural analysis of the text of the literary olonkho "Erchimen Bergen" by Sergei Vasilyev-Borogonsky in the context of the poetics of the Sakha heroic epic. The study of the text is aimed at identifying the artistic and genre features of the literary olonkho dedicated to children's reading. In the course of the analysis of the work, the originality of the poetic language is revealed, namely, the issues of the author's use of visual and expressive means are considered. As a result, certain aspects of the artistic skill of the poet Sergei Vasilyev-Borogonsky are revealed.
ANALYSIS OF THE INTRA-REGIONAL UNEVENNESS OF SOCIO-ECONOVIC DEVELOPMENT OF THE REGION (ON THE EXAMPLE OF THE SVERDLOVSK REGION)
Authors: Панина А.А. , Щукина А.С. 
Published: September 2023

Пространственное неравенство наблюдается не только на межрегиональном, но и на внутрирегиональном уровне, что осложняет социально-экономическое развитие, как муниципальных образований, так и регионов в целом. В статье дается оценка факторов, определяющих неравномерность социально-экономического развития муниципальных образований Свердловской области. Основное внимание уделено анализу пространственных различий в транспортно-расселенческой освоенности и уровне социально-экономического развития муниципальных образований.
Spatial inequality is observed not only at the inter-regional, but also at the intra-regional level, which complicates the socio-economic development of both municipalities and regions as a whole. The article gives an assessment of the factors that determine the uneven socio-economic development of the municipalities of the Sverdlovsk region. The main attention is paid to the analysis of spatial differences of the transport and settlement development and the level of socio- economic development of the municipalities.
Advances in Neoadjuvant Immunotherapy for Locally Advanced Esophageal Cancer
Authors: Xue Ji  , Lixia Tian  , Fengjuan Tao  , Xue Tian  , Beibei Zhang  , Sheqing Liu  , Xianshu Song  , Huaqiang Chen  , Zhong Dai  
Published: September 2023

Abstract: Esophageal cancer is one of the common malignant tumors in China with a high mortality rate. Neoadjuvant chemoradiotherapy (nRCT) is currently the primary treatment method for locally advanced esophageal cancer. However, nRCT has not been not widely applied in China due to several reasons. First, the radiotherapy equipment and technology vary in different regions, and the learning curve for these technologies is steep, making rapid implementation difficult. Furthermore, the combined toxicity of radiotherapy and chemotherapy can counteract the survival benefits of preoperative treatment. In recent years, a promising approach involves combining neoadjuvant chemotherapy with immunotherapy for patients with locally advanced esophageal cancer. This article offers an overview of the progress in neoadjuvant therapy for this condition.
Meningococcal carriage in children and young adults: a cross-sectional and longitudinal study, Iceland, 2019 to 2021
Authors: Kristinsdottir Iris , Visser Linda J , Miellet Willem R , Mariman Rob , Pluister Gerlinde , Haraldsson Gunnsteinn , Haraldsson Asgeir , Trzciński Krzysztof , Thors Valtyr 
Published: September 2023

Background

Neisseria meningitidis is a commensal bacterium which can cause invasive disease. Colonisation studies are important to guide vaccination strategies.

Aim
The study’s aim was to determine the prevalence of meningococcal colonisation, duration of carriage and distribution of genogroups in Iceland.

Methods
We collected samples from 1 to 6-year-old children, 15–16-year-old adolescents and 18–20-year-old young adults. Carriers were sampled at regular intervals until the first negative swab. Conventional culture methods and qPCR were applied to detect meningococci and determine the genogroup. Whole genome sequencing was done on groupable meningococci.

Results
No meningococci were detected among 460 children, while one of 197 (0.5%) adolescents and 34 of 525 young adults (6.5 %) carried meningococci. Non-groupable meningococci were most common (62/77 isolates from 26/35 carriers), followed by genogroup B (MenB) (12/77 isolates from 6/35 carriers). Genogroup Y was detected in two individuals and genogroup W in one. None carried genogroup C (MenC). The longest duration of carriage was at least 21 months. Serial samples from persistent carriers were closely related in WGS.

Conclusions
Carriage of pathogenic meningococci is rare in young Icelanders. Non-groupable meningococci were the most common colonising meningococci in Iceland, followed by MenB. No MenC were found. Whole genome sequencing suggests prolonged carriage of the same strains in persistent carriers.
Uji Fungsional Metode Ohmic Heating Terhadap Perubahan Mutu Madu Karet Pada Proses Pasteurisasi
Authors: Anang Lastriyanto  , Wibowo Sasongko Aji , Anam Khoiril , Muzaki Muhammad Amin , Vera Vincentia Veni , Prayogi Istifar Yogi 
Published: September 2023

Madu dihasilkan oleh lebah yang berbentuk cairan kental dan memiliki rasa manis berasal dari nektar bunga. Pemanasan madu karet bertujuan mencegah proses fermentasi dengan cara mengurangi kadar air pada madu karet. Pemanasan dengan menggunakan pemanas ohmic dilakukan dengan cara mengalirkan arus bolak balik (AC) pada bahan makanan yang merupakan material konduktif. Tujuan dari penelitian ini adalah mengetahui laju pemanasan, efisiensi energi yang digunakan, dan perubahan mutu pada kandungan madu karet dengan menggunakan beberapa metode pemanas ohmic. Metodologi yang digunakan adalah proses pemanasan metode ohmic pada suhu holding mencapai 63°C, dengan menggunakan 3 variasi frekuensi, yaitu 50, 150, dan 250 Hz. Hasil penelitian menunjukkan pengujian laju pemanasan madu karet tersebut pada pemanasan Ohmic menggunakan frekuensi 50 Hz yang membutuhkan waktu selama 6 menit dengan nilai laju penetrasi sebesar 10,5ºC/menit. Sedang terhadap penurunan jumlah kapang dan khamir, pemanasan dengan metode Ohmic menurunkan penurunan 1 sd 2 log cycle. Konsumsi arus listrik terkecil pada frekuensi 150 Hz. Pemanasan madu karet menggunakan pemanas ohmic menggunakan 3 variasi frekuensi didapatkan bahwa, tidak terdapat pengaruh terhadap kadar air dan nilai derajat brix pada madu karet
Sobrecarga dos Cuidadores Informais nos Cuidados de Saúde Primários
Authors: Costa Dias Pedro , Martins Guedes Filipa , Freitas Inês , Nunes Ana , Melo Cabrita Joana 
Published: September 2023

INTRODUÇÃO: Um cuidador informal é um indivíduo que proporciona algum tipo de cuidados de assistência a uma pessoa com incapacidade. A escala de Zarit é uma ferramenta para avaliação do impacto físico, emocional e social nos cuidadores. Com este estudo pretende-se caracterizar os doentes dependentes e seus cuidadores informais, determinar a sobrecarga dos cuidadores e perceber se existe associação entre a sobrecarga do cuidador, o grau de dependência do doente e os antecedentes de patologia depressiva do cuidador.MÉTODOS: Realizou-se um estudo de investigação original, observacional, transversal e descritivo entre julho e setembro de 2019. A população em estudo incluiu os cuidadores informais dos utentes dependentes da USF. A recolha de dados foi realizada através de domicílios e do SClínico®.RESULTADOS: Da população inicial de 157 cuidadores, foram selecionados 71. Têm em média 53,96 anos e a maioria é do sexo feminino (87,3%). Todos têm uma relação familiar com o utente dependente. A existência de patologia depressiva no cuidador foi notificada em 33,8%, 39,4% apresentam sobrecarga intensa e 28,2% sobrecarga ligeira. Existe uma associação estatisticamente significativa entre a sobrecarga dos cuidadores e a existência de depressão no cuidador (p=0,001). O mesmo não se verifica entre o grau de dependência e a sobrecarga (p=0,977).CONCLUSÃO: Uma elevada percentagem dos cuidadores dos doentes dependentes da unidade encontra-se em sobrecarga. A utilização da escala de Zarit pode ser uma forma útil para identificar os cuidadores em risco de depressão.
Pediatric Early Warning System in the Short Stay Unit
Authors: Pereira Miguel Paiva , Poção Paula , De Castro Faria Hugo 
Published: September 2023

INTRODUCTION: Pediatric Early Warning Scores were developed as standardized clinical aides for early recognition of clinical deterioration in children. These systems improve situational awareness among professionals. A major concern is the workload increase. After implementation in the Short Stay Unit, we intended to evaluate its effectiveness in our population.METHODS: We reviewed medical records of children admitted to the Short Stay Unit between July 2017 and February 2020. We developed a statistical analysis to evaluate the test performance.RESULTS: One thousand three hundred twenty-three patients were included (median age 3.07 years-old); 5.7% were considered to have clinical deterioration (maximum score median 7.00 vs 2.00) (p<0.001). The area under the ROC curve was 0.947. Defining 4 as cut-off value, the sensitivity is 97.1% (specificity 82.7%).CONCLUSION: This score proved to be a good test for early identification of clinical deterioration in our population.
Síndrome da Unha Verde: Um Desafio Clínico
Authors: Araújo Soares Mariana , Estebainha Raquel , Castro Gomes Catarina , Vilarinho Catarina 
Published: September 2023

A síndrome da unha verde, também designada por síndrome Goldman-Fox, é uma patologia que se caracteriza por descoloração verde da placa ungueal, paroníquia proximal e onicólise distal. O diagnóstico é geralmente clínico, através do exame físico da unha. O tratamento consiste em medidas gerais que visem a evicção do contacto das mãos com ambientes húmidos e tratamento farmacológico com recurso a antibioterapia tópica e/ou oral. Em casos refratários, a remoção cirúrgica da unha pode ser necessária. As autoras descrevem o caso de uma mulher de 36 anos com discromia verde da unha na sequência de evento traumático. Clinicamente era compatível com a síndrome da unha verde e foram instituídos sucessivos tratamentos nesse sentido, nem sempre bem-sucedidos. Esta entidade revela-se, assim, um desafio à prática clínica.
Analysis of Survivability of Cast Railroad Parts under Operational Loading
Authors: Lebedinskii S. G. , Barmina O. V. 
Published: September 2023

Abstract
A comparison of the patterns of development of fatigue cracks in the modeling of the operational loading process and the calculated pattern, according to the linear summation algorithm using the standard fatigue fracture kinetic diagram of the same material, is carried out. The material is the low-alloy steel type 20L. During the tests, the load on a curved railway track section was simulated. The parameters of the original fatigue fracture kinetic diagram of material were corrected to adapt it to the calculation under irregular loading of this type.
THE EFFECT OF ORGANIZATIONAL CLIMATE AND SERVANT LEADERSHIP ON JOB SATISFACTION AND ITS IMPACT ON EMPLOYEE PERFORMANCE (STUDY ON THE REGIONAL LIAISON AGENCY FOR BANTEN PROVINCE IN JAKARTA)
Authors: Arijanto Agus , Widayati C. Catur , Pramudito Onggo 
Published: September 2023

This study aims to determine the influence of organizational climate and servant leadership on job satisfaction and its impact on employee performance. Design this study with explanatory. The population in this study were employees of the Banten Provincial Litraison Agency in Jakarta. The data collection technique in this study was by disibuting questionnaires directly to the object of the study, namely employees of the Banten Provincial Liaison Agency in Jakarta. The population of this study was employees of the Banten Provincial Liaison Agency in Jakarta with a total of 124 people. Quantitative analysis methods with SEM analysis tools and Smart PLS 3.3 tools. The findings in this study are: (1) The organizational climate has a positive and insignificant effect on job satisfaction; (2) Servant leadership has a positive and significant effect on employee performance; (3) The organizational climate has a positive and unsavory effect on job satisfaction; (4) Servant leadership has a negative and significant effect on employee performance; (5) Job satisfaction has a positive and significant effect on employee performance.
The Influence of Promotion and Store Image on Purchasing Decisions at Daryanto Store
Authors: Prihartono Prihartono 
Published: September 2023

This study discusses Promotion and Store Image on Purchasing Decisions at Daryanto Store. The purpose of this study is to determine the impact of promotion and store image owned by Daryanto Store on purchasing decisions. The research method used is quantitative. The population in this study was 20 0 respondents with a sample of 90 respondents. The sampling technique is simple random sampling. Data is obtained from questionnaires sent to consumers from the store via email to be filled out. The research conducted is Test T, Test F and coefficient of determination. The results of this study include: 1) Promotion affects Purchase Decisions at Daryanto Store partially, where with good promotions will make consumers confident to make purchase decisions; 2) Store Image affects Purchase Decisions at Daryanto Store partially, where with a good store image it convinces consumers to make purchasing decisions at the daryanto store; and 3) Promotion and Store Image influence the Purchase Decision at Daryanto Store simultaneously.
Empowerment Of Farming Communities Through Utilization of Corn Husk Waste (Zea Mays L) As Organic Fertilizer
Authors: Amin Sitti Jamilah , An Ras Try Astuti  
Published: September 2023

This research identifies The use of Chemical Fertilizers will increase sharply during 2022 and create tension between supply and demand. This is not in line with the company's offer to buy community agricultural products. In the Lemoe sub-district, Parepare City, one of the reasons for the scarcity of fertilizer is the increasing amount of community agricultural land for corn production. Therefore, this research-based assistance aims to overcome community problems and assist the community through the farming community in solving the problem of scarcity of chemical fertilizers by utilizing corn husk waste in locations to become material for making organic fertilizer. The service method uses the Asset Based Community Development (ABCD) approach. The presence of this approach makes the community through the community as the agent of change itself. The results of the assistance are in the form of Organic Fertilizer products that are ready to be used by the community. In the future research-based assistance, assistance is needed to the farming community in the marketing process for organic corn products produced, so that they can reach Indonesia and abroad. This research based mentoring activity is important for public health. With market value which of course will be proportional to the level of health obtained by the buying community or consumers.
LITERATURE REVIEW DETERMINASI STRUKTUR ORGANISASI: TEKNOLOGI, LINGKUNGAN DAN STRATEGI ORGANISASI
Authors: Julia Mela , Jiddal Masyruroh Alifah 
Published: September 2023

Pengembangan Organisasi merupakan sebuah pendekatan sistematik serta terencana guna meningkatkan efektivitas organisasi dan membantu untuk memecahkan masalah. Beberapa yang termasuk Manajemen Perubahan ialah Individu, Tim Kerja, Organisasi kerja sama/kooperasi, desentralisasi yang berlebihan dan kurang cepatnya komunikasi yang mempengaruhi dalam efisiensi pengoperasian pada semua tingkatan. Perubahan strategis organisasi ialah sebuah pengaruh baru terhadap evolusi pengembangan organisasi. Struktur organisasi dan teknologi, strategi organisasi dan sosial lingkungan semakin kompleks mendorong perubahan organisasi semakin meningkat. Suatu organisasi akan mengalami sebuah perkembangan jika organisasi tersebut dapat dinyatakan berhasil saat berkembang ke arah yang positif, sehingga karyawan yang bergabung dalam organisasi tersebut dapat mencapai tujuannya. Perkembangan struktur organisasi membutuhkan penyesuaian sistem dalam organisasi tersebut agar dapat mengikuti seiring terjadinya perubahan waktu. Perkembangan suatu organisasi juga dapat dijadikan skala bagi organisasi tersebut, apakah organisasi tersebut tetap aktif dan mengayomi karyawan dalam organisasi tersebut juga dalam menghadapi perkembangan jaman. Tujuan penulisan artikel ini guna membangun hipotesis pengaruh antar variabel untuk digunakan pada riset selanjutnya.