bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penentuan Status Ahli Waris Melalui Hubungan Nasab; Analisis Kewarisan Kakek dan Nenek
Authors: Ritonga Raja , Nasution Martua 
Published: May 2023

Mengetahui status ahli waris merupakan langkah awal untuk melakukan pembagian warisan. Bagian seseorang akan ditentukan apabila kedudukannya sebagai ahli waris sudah dapat diketahui secara pasti. Kakek dan nenek merupakan ahli waris yang sangat dekat kepada pewaris. Akan tetapi tidak semua jenis kakek dan nenek disamakan status dan kedudukannya dalam mendapatkan harta warisan. Penelitian ini akan menguraikan kewarisan kakek dan nenek melalui hubungan nasab kepada pewaris. Lebih lanjut, penelitian ini juga akan mendeskripsikan secara detail terkait status dan bagian warisan masing-masing kakek/nenek. Adapun metode yang digunakan dalam penelitian ini adalah bentuk kualitatif dengan jenis library research. Hasil penelitian menjelaskan bahwa status kewarisan kakek dan nenek dibedakan berdasarkan jalur kekerabatannya kepada pewaris. Apabila jalur kekerabatannya melalui garis laki-laki, maka status kakek/nenek disebut sebagai kakek sohih dan nenek sohihah. Namun, apabila jalur kekerabatannya melalui jalur perempuan, maka status kakek/nenek disebut kakek fasid dan nenek fasidah. Kemudian, kakek/nenek yang statusnya sebagai kakek sohih dan sohihah, maka mereka yang berkedudukan sebagai ahli waris ashabul furudh atau ashobah. Sedangkan kakek/nenek yang statusnya fasid dan fasidah, maka mereka berkedudukan sebagai ahli waris dzawil arham.
Kata Kunci: Jaddun sohih, jaddah sohihah, kakek fasid, nenek fasidah.
Design of computer network based on microtic router os in smp negeri 1 kota agung
Authors: Sendi Syndi , Apriansyah  
Published: May 2023

SMPN 1 Kota Agung Lahat Regency is one of the junior secondary level public education institutions in the Lahat area. To support teaching and learning activities at SMPN 1 Kota Agung requires accurate and fast information in supporting services for their students. Currently SMPN 1 Kota Agung is not optimal in utilizing the Kant of technology to support teaching and learning activities, currently SMPN 1 Kota Agung is still experiencing difficulties in carrying out online teaching and learning activities due to the unavailability of an adequate internet network, this causes delays in sending assignments given by teachers to students which students have to come to school. In addition, there are obstacles experienced by the school in terms of sending reports to Dapodik because of this internet network problem as well. There are also other problems that exist at SMPN 1 Kota Agung in transferring data or files on each computer still using hardware such as Flashdisk, USB, this is vulnerable to the exchange of computer viruses who attacked the computer at SMPN 1 Kota Agung. Therefore in need a system to support this process by building and developing a local area network (LAN) and wireless fidility (WiFi) design.
For this reason, the researchers conducted a study entitled "Designing a Computer Network Based on Mikrotik Router OS at SMP Negeri 1 Kota Agung" with the aim of making a computer network design available that can be implemented in SMP Negeri 1 Kota Agung.
Bio-efficacy of Solvent Extracts of Botanicals against Brinjal Shoot and Fruit Borer, Leucinodes orbonalis (Guenee) under in vitro Condition
Authors: Thasneem A. , Pazhanisamy M. 
Published: May 2023

This study evaluated the effectiveness of solvent extracts of A. indica, C. inerme, and O. sanctum against Leucinodes orbonalis, a borer of brinjal shoots and fruit. The room temperature solvent extraction method was used to get the acetone, petroleum ether, and methanol extracts of the botanicals, A. indica 100% (76.54%) methanol extract had the highest antifeedant efficacy. The acetone and petroleum ether extracts of A. indica 100% (65.45%; 60.42%) and C. inerme 100% (57.25%; 51.78%) were also effective antifeedants. The per cent larval mortality of L. orbonalis was highest in the methanol, acetone and petroleum ether extracts of A. indica 100% (89.33%; 80%; 71.33%), A. indica 75% (76.67%; 70%; 67%) and A. indica 50% (68.67%; 63.67%;58.67%), respectively.
SISTEM INFORMASI PENGELOLAAN DOKUMEN BERBASIS VISUAL BASIC. NET DAN MS.ACCESS PADA KANTOR DESA GAJAH MEKAR DI KABUPATEN BANDUNG
Authors: Natapermana Hamzah , Nurbayanti Rini , Agustin Cahyadi 
Published: May 2023

Penelitian ini bertujuan untuk merancang sistem informasi pengelolaan dokumen di Kantor Desa Gajah Mekar. Metode peneliltian yang digunakan yaitu metode deskriptif dengan melakukan observasi, studi kepustakaan, dan wawancara. Metode pembuatan perangkat lunak yang digunakan yaitu menggunakan metode Waterfall. Dari hasil observasi dan penelitian ditemukan permasalahan berikut : proses pengelolaan dokumen Kantor Desa Gajah Mekar masih secara manual dengan cara pencatatan pada sebuah buku. Sistem yang berjalan memiliki banyak kekurangan antara lain memungkinkan adanya kesalahan, memerlukan waktu yang lama dalam proses pencarian informasi, tingginya resiko kehilangan data, ataupun kendala dalam proses pembuatan laporan. Maka dari itu penulis membuat suatu sistem informasi pengelolaan dokumen yang lebih efektif serta efisien menggunakan Microsoft Visual Studio 2010 dan Microsoft Access, untuk memudahkan pihak kantor Desa Gajah Mekar dalam proses pengelolaan dokumen, penginputan data, pencarian data, ataupun pembuatan laporan. Saran yang diberikan untuk memperbaiki sistem pengelolaan dokumen pada Kantor Desa Gajah Mekar adalah dengan mengganti sistem manual menjadi sistem baru, agar pengelolaan dokumen lebih efektif.
Artifact removal techniques for lung CT images in lung cancer detection
Authors: Shankara C  , Hariprasad S A  , Gururaj H L  
Published: May 2023

Lung Cancer in today’s world is one of the major widespread dangerous diseases which is the subject of maximum deaths every year. Accurate detection of lung cancer could boost the endurance rate. Medical image processing has a significant impact on the recognition of lung tumors using Computer Tomography (CT) scan images. Images from a CT scan are widely used because they provide comprehensive imaging of tumor progression inside the lungs. Although different types of noise might be experienced while doing CT scans, producing it a monotonous task for recognizing tumors in the lung. Elimination of noise in CT images is a challenging task for medical diagnoses. The presence of noise in an image is inevitable. Hence reducing noise from the CT scan image is critical for further analysis. Hence various filtering techniques have been used that denoise and enhance the image and help in further evaluation of CT images for accurate lung cancer detection. This paper analyses the noises of different kinds in the CT images and different noise removal techniques which help in improving the accuracy of segmentation and feature extraction as they remove unwanted noise and contribute to the accurate detection of lung cancer. The various filtering methods are analyzed with salt along with pepper noise and speckle noise. The performances of different filters are computed in terms of metrics for evaluation like PSNR, SSIM, MSE, and SNR. The experimental results show that the median filter is more efficient in comparison to other filtering methods in eliminating noises that exist in lung CT images by owning fewer MSE values of 214.8522, high SNR value of 19.36304, SSIM value 0.595997, and high PSNR value of 24.80941.
A Student-Run Clinic Serves as a Model for Increasing Patient Access to Osteopathic Manipulative Medicine
Authors: Galin Claire , Shinn Alyson 
Published: May 2023

Student-run clinics are a common and valuable educational resource for many medical institutions. While there is literature describing student-run clinics at allopathic medical schools, there is little literature describing student-run clinics at osteopathic institutions. The Touro University Nevada Osteopathic Childrenâ€™s Clinic (TUNOCC) is a student-run clinic that provides opportunities for Touro University Nevada College of Osteopathic Medicine (TUNCOM) medical students to practice their osteopathic manipulative treatment (OMT). The clinic exclusively serves pediatric and obstetric patients and provides osteopathic care for common musculoskeletal and non-musculoskeletal conditions. This article describes the mission and evidence base for an osteopathic student-run clinic in which students are able to practice osteopathic manipulative medicine and offers insight into the clinic flow, student participation, and leadership.
The Impact of a Multifaceted Intervention on the Rate of Preventive Services Offered in a Student-Run Clinic
Authors: Menning Melanie , Nabower Aleisha , Medder Jim , Geske Jenenne , Margalit Ruth 
Published: May 2023

Background: The importance of preventive services has been well established, yet rates of preventive service delivery continue to lag behind national goals. While numerous studies have identified barriers to preventive service delivery and implemented interventions to improve delivery, research into this important area is lacking in the setting of student-run clinics. Methods: In this study a multifaceted intervention consisting of patient and provider education, provider check list, pre-clinic chart review, and financial assistance for preventive services was implemented for 14 months in a student-run clinic.Results: Rates of delivery of United States Preventive Services Task Force (USPSTF) Grade A and B recommended preventive services were evaluated before and after implementation of the intervention with 16 of 26 services improving during the intervention but only tetanus immunization reaching significance. In addition, rates of delivery of preventive services were compared to reported national averages and targets set by Healthy People 2020 with 16 of 20 services being offered at or above reported national averages and 10 of 16 services meeting the targets laid out in Healthy People 2020.Conclusions: The rate of preventive services can be improved in student-run clinics through the implementation of multi-faceted interventions to a level that meets national averages and targets.
Cost Reduction Associated with Comprehensive Medication Reviews in a Student-Run Free Clinic
Authors: Trotta Katie , Moore Randall , Wells Teresa 
Published: May 2023

Background: Patients taking multiple medications are at increased risk for drug-drug interactions, adverse drug effects, and increases in drug costs. Patients of low socioeconomic status and health literacy have further risk for experiencing these unwanted effects. This study aimed to determine if student-pharmacist led comprehensive medication reviews (CMRs) for patients of a student-run free clinic on multiple chronic medications decreased drug costs and inappropriate overprescribing of medications. Secondary objectives included determination of most overprescribed medication classes and the number and types of recommendations made by student-pharmacists.
Methods: Student-pharmacists conducted CMRs on consenting patients seen during a weekly student-run free clinic at a rural university clinic. Included patients were taking six or more chronic medications for two or more chronic disease states at the start of the visit. Information from patient interviews was used to make drug therapy recommendations to interprofessional student teams and an attending provider. Accepted recommendations were implemented into patientsâ€™ care plans. The average 30-day drug costs of patientsâ€™ medications before and after receiving a CMR were calculated using average wholesale prices and compared using paired t-tests. The most common drug classes recommended to be deprescribed and the total number of accepted recommendations (in the categories of safety, efficacy, and indication) were collected from forms used during CMR.
Results: A total of 31 CMRs were completed during the study period, with 92 recommendations made by students and 91% of recommendations accepted by the attending. Average drug costs for a 30-day supply of medication decreased from $698.16 pre-CMR to $619.31 post-CMR, a cost reduction of $78.85 (p = 0.049). The most common recommendations made by students were removal of an unnecessary drug (N = 27), dose too low (N = 15), and additional drug needed (N = 13). The two most overused classes of medications were selective serotonin reuptake inhibitors and proton pump inhibitors.
Conclusions: Student-pharmacist led CMRs conducted in a rural free clinic population resulted in a significant decrease in drug spending and identification of drug therapy problems.
Medication Adherence Rates of Marshallese Patients Treated in a Student-Led Free Clinic
Authors: Hudson Jonell , Balli Michelle , Purvis Rachel , Selig James , Warmack Thomas , Schulz Thomas , Coulter Lois , Peter Clinton , McElfish Pearl 
Published: May 2023

Background: The North Street Clinic is a student-led free clinic providing chronic disease management to the uninsured Marshallese population in Arkansas. Diabetes is a significant health problem for this population with an estimated prevalence of 38% for those living in northwest Arkansas. With a high disease burden, adherence to medication is an important aspect of care. The objective of this study was to measure medication adherence of the North Street Clinic patient population using pharmacy data.
Methods: We evaluated medication adherence rates by reviewing pharmacy refill data to calculate proportion of days covered (PDC) for the therapeutic classes of medications most often prescribed in the clinic (diabetes, hypertension, and cholesterol). PDC of 80% or higher is needed for a patient to receive therapeutic benefit from medications within the classes reviewed.
Results: The average PDC for each therapeutic class ranged from 52%-55%. Within each therapeutic class, only 20% (19%-21%) of patients had a PDC of 80% or higher that would equate to therapeutic benefit from the medication.
Conclusions: Most North Street Clinic patients are not meeting adherence goals to gain therapeutic effect. Future studies are needed in this population to determine exact causes of medication non-adherence and devise interventions to improve adherence. Data can also be used to determine if a program focused on adherence is needed.
Predictors of Clinic and Appointment Duration in a First-Come-First-Served, Student-Run, Free Medical Veterinary Clinic
Authors: Brain Charity , Allison Lauren , Kreisler Rachael 
Published: May 2023

Background: The Midwestern University College of Veterinary Medicine hosts student-run clinics that offer free veterinary services to underserved populations. This study sought to determine predictors of clinic and appointment durations and the feasibility of a capacity-based scheduling system using factors identified prior to physical examination.
Methods: Medical records, appointment duration, clinic duration, number of patients and number of owners were collected for 20 clinics over 21 months. Detailed patient signalment, history, and physical examination findings were coded for all clinics. Clinic duration was analyzed via linear regression. Appointment duration was analyzed via multiple multilevel mixed-effects linear regression clustered on date.
Results: There were 385 appointments, with 301 (78%) having complete start and end times. Median clinic duration was 8 hours (interquartile range [IQR] 2.7-3.5), with number of patients (B=5.4, p=0.001) being predictive, and estimated optimum number of patients being 16-17 in order to maximize patients seen while minimizing the chance of exceeding 2.5 hours for the clinic. Median appointment duration was 20 minutes (IQR 13-30), with the number of current concerns expressed by owner (B=1.8, p=0.005), number of abnormal findings on physical examination (B=1.9, p<0.001), number of procedures (B=3.0, p<0.001), number of tests (B=4.3, p=0.015) and appointment position (B=-0.8, p<0.001) being significant.
Conclusions: No variable available at check-in was found to explain more than 3% of the variation in appointment duration, and no variable available after the comprehensive history-taking process was found to explain more than 14% of variation. Even models that incorporated multiple variables from all stages were only able to explain one-fourth to one-third of the observed variation for either appointment or clinic duration. It is unlikely that a rubric constructed from information available prior to physical examination would be more helpful than number of patients, which explained 61% of clinic duration, for capacity-based scheduling.
Implementation of a Mental Health Screening Tool at an Adult Homeless Shelter Student-Run Free Clinic in Arizona
Authors: Flores Megan , Kairis Kelsey , Ater Steven , Stein Amy , Chen George , Mifflin Michelle 
Published: May 2023

Background: Mental health conditions are prevalent in people experiencing homelessness. This population may seek care in student-run free clinics (SRFCs), but screening for mental health conditions may not be consistent in this setting. The primary objective of our study was to implement a screening tool and determine the gap in identifying mental health conditions between History and Physical (H&P) examinations and the new screening tool. Secondary objectives were to assess its impact on patient volume and workflow.
Methods: Adult patients at a homeless shelter-based SRFC completed a mental health screening survey, separate from acute-care visits, aimed at identifying â€œhigh-riskâ€ mental health conditions using validated questionnaires for identifying domestic violence, alcohol use, depression, anxiety, and mood disorders. Chart review was conducted to identify concordance between patients who screened positive for a high-risk condition using the survey and those with a high-risk condition documented in the acute-care H&P. Visit volume was tabulated and compared between the pre- and post-intervention periods using a t-test. A survey for volunteers was used to gather experiential feedback.
Results: Of 354 patients treated at Central Arizona Shelter Services, 123 (34.7%) were evaluated by the research team. Sixty (48.8%) of screened patients were identified as high-risk for at least one mental health condition through the screening tool, and 26 (43.3%) charts were reviewed. Of the patients that were screened as high-risk and reviewed, 15 (57.7%) were not documented as high-risk in the acute-care visit H&P. The clinic volume averaged 11 patients, regardless of whether screening occurred during clinic (p = 0.95). Of clinic volunteers, 191 (97.4%) reported no noticeable impact on clinic operations.
Conclusions: The screening survey identified more cases of mental health conditions than the previous standard medical interview. There were no adverse effects on the clinic workflow.
Evaluation of a Preventative Health Consultation Service for Patients at Student-Run Walk-In Health Clinics
Authors: Stickel Jessica , Ngo Susan , Kumar Akshara , Rhodes Laura , Zeeman Jacqueline 
Published: May 2023

Background: Preventative health services are often underutilized by under-resourced populations. This study aimed to evaluate the utility of a student-run preventative health consultation (PHC) service at free walk-in clinics.
Methods: This prospective cohort study recruited adult participants from student-run free walk-in clinics at a Spanish-language church and a homeless shelter. During the PHCs, recommendations from the United States Preventative Services Task Force and Centers for Disease Control and Prevention immunization schedule were discussed with participants. The top three recommendations for each participant were prioritized using shared decision-making. Participants completed a post-PHC survey and were contacted within three months about recommendation completion status. Recommendations were grouped into categories and analyzed using descriptive statistics.
Results: Of the 29 people enrolled in the study, 48% (n=14) were Spanish-speaking, and 45% (n=13) were homeless/displaced. There were 87 recommendations made and categorized as health behaviors (29.9%, n=26), vaccinations (18.4%, n=16), chronic disease screenings (18.4%, n=16), communicable disease screenings (17.2%, n=15), cancer screenings (11.5%, n=10), and other (4.6%, n=4). The most common completed recommendations were changes in health behaviors (46.2%, n=12) and chronic disease screenings (37.5%, n=6). Of the participants who completed the post-PHC survey, 96% (n=27) agreed or strongly agreed they learned new information about their health from the PHC, and 100% (n=29) reported being glad to have engaged in the PHC and that the PHC service should continue at the monthly clinics.
Conclusions: Health behaviors, vaccinations, and chronic disease screenings were the most frequently prioritized preventative health needs. Student-run PHC services may offer a way to increase underserved patient knowledge and engagement with preventative healthcare.
CareMessage Text Usage Increases Appointment Adherence in a Student-Run Free Clinic
Authors: Chen Evan , Hoang Peter , Garcia Katherine , Richwagen Nicholas , Pasarica Magdalena 
Published: May 2023

Introduction: Keeping Neighbors in Good Health Through Service Clinic is a student-run, multidisciplinary free clinic dedicated to providing healthcare to uninsured, low-income patients in Central Florida. A quality improvement project was performed to decrease the rate of patient no-shows via altering the patient appointment communication method.
Methods: A needs assessment was performed from June 2017 to March 2018 (n=104 patients). The intervention was implemented over an 18-month period, from April 2018 to September 2019 (n=243 patients). The intervention changed the communication method with patients such that they received appointment reminder texts two days before their appointments and responded to confirm or cancel their appointments. Phone calls were used for rescheduling, confirming cancellations, or contacting patients who had not responded to the CareMessage text. The Mann-Whitney U test was utilized for comparison of appointment no-shows, number of phone calls made, and number of patients scheduled per clinic between pre- and post-intervention groups.
Results: The needs assessment showed that the average number of no-shows was 0.80 per clinic, while the average number of no-shows post-intervention was 0.26 per clinic (p=0.040). The average number of patients scheduled per clinic pre- and post-intervention was 6.90 and 7.84 (p=0.370), respectively. The average number of patients seen per clinic pre- and post-intervention was 5.93 and 6.74 (p=0.640), respectively. The average number of phone calls made weekly was 9.13 per clinic pre-intervention and 3.23 post-intervention (p<0.001).
Conclusion: CareMessage is effective in reducing appointment no-shows and the number of follow-up phone calls made for appointment reminders. This intervention is important for increasing patient continuity of care, access to care, and clinic efficiency.