bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALISIS KUANTITATIF SISTEM PEMBIAYAAN UNTUK KREDIT INVESTASI (ALAT BERAT) PADA BANK UMUM DAN LEASING
Authors: Hanifa Riri 
Published: June 2023

A Company which is enganged in the procurement of heavy equipment, it would faced with the problem in adding the heavy equipment. This research was conducted in order to determine which one is the more profitable financial institutions for the company when the loan interest rate is having fluctuation which is can not be predicted before. This research is a descriptive by usingÂ secondary data of credit calculation examples, leasing period ,prices of equipment, economic life, residual value, tax rate and interest rateÂ of loan. The analysis technique use two techniques: first, quantitatives analysis which is consisted of calculating a bank loan, the calculation of leasing credit, cash flow prjections,net present value and the net advantage of leasing. The result of analysis technique indicated that the alternative financing commercial bank is more profitable for company with the net present value is lower than net leasing present value and the stable if the interest.Keyword: calculating a bank loan,the calculation of leasing credit, cash flow projection, net present value and the net advantage of leasing.
PENYULUHAN DAN PENDAMPINGAN IBU HAMIL UNTUK PEMANTAUAN GERAK HARIAN JANIN MENGGUNAKAN KARTU DAN APLIKASI HAPPY TUMMY DI MENTENG, JAKARTA
Authors: Trias Novita Regina Vidya , Acihayati Justina Purwarini , H Pratiwi 
Published: June 2023

AbstrakPemantauan kesejahteraan janin merupakan bagian penting dalam penatalaksanaan kehamilan danpersalinan, oleh karenya perlu dilakukan pemeriksaan ibu hamil dan janin secara teratur, berupapemeriksaan BB ibu, tekanan darah ibu, tinggi fundus uteri ibu, denyut jantung janin dan pergerakan janindalam rahim. Hal ini untuk mencegah kematian janin, meskipun kematian janin tidak selalu pada kelompokibu hamil dengan risiko tinggi, akan tetapi beberapa kematian dapat terjadi pada kehamilan dengan risikorendah bahkan normal. Salah satu cara untuk membantu permasalahan ibu hamil khususnya ibu hamildengan usia kehamilan lebih dari 28 minggu dalam pemantauan gerak janin harian adalah denganmemberikan pengetahuan terkait pemantauan gerak janin harian sebagai upaya meningkatkankesejahteraan janin dan pendampingan dalam pemantauan gerak janin harian yang difasiitasi oleh tenagakesehatan. Hasil dari penyuluhan dan pendampingan nilai rata-rata pengetahuan ibu juga mengalamipeningkatan dari 66,32 (pre-test) meningkat menjadi 90,42 (post-test). 80% (35 ibu ) melakukanpemantauan pergerakan janin secara rutin selama 5 hari dan sebanyak 20% (9 ibu) tidak melakukanpemantauan secara rutin selama 5 hari. Rata – rata waktu yang dibutuhkan ibu untuk merasakan 10 kaligerakan janin adalah 8 jam. Pemberian edukasi tentang cara pemantauan pergerakan janin harian secaraluas diharapkan meningkatkan kemampuan ibu untuk mengetahui kondisi janin yang dikandungnya,.
AbstractMonitoring the well-being of the fetus is an important part of managing pregnancy and childbirth,so it is necessary to carry out regular examinations of pregnant women and the fetus. These checks includechecking the mother's weight, blood pressure, uterine fundal height, fetal heart rate and fetal movement inthe uterus. All these are to prevent fetal death, although fetal death does not always occur in groups ofhigh-risk pregnant women. Some deaths can actually occur in low-risk and even normal pregnancy groups.One way to solve the problems of pregnant women, especially pregnant women with a gestational age ofmore than 28 weeks in monitoring daily fetal movements, is to provide knowledge related to monitoringdaily fetal movements as an effort to improve fetal well-being, and provide assistance in monitoring dailyfetal movements which is facilitated by health personnels. Results of counseling and mentoring activitiesshow that the average value of the mothers' knowledge has increased from 66.32 (pre-test) to 90.42 (posttest).80% (35 mothers) monitored fetal movements routinely for 5 days and 20% (9 mothers) did notmonitor routinely for 5 days. The average time it takes for a mother to feel 10 fetal movements is 8 hours.Providing education on how to widely monitor daily fetal movements is expected to increase the mothers’ability to know the condition of the fetus they are carrying.
Reconstruction of Marx's Theory of Foreign Trade: How Rich Countries Got Rich
Authors: Sorokin A. V. 
Published: June 2023

Ricardo's theory of comparative advantages is considered to be the only classical theory of foreign trade. In terms of Marx's six books, "Foreign Trade" was supposed to be the fifth book. But the logic of the model – from the abstract to the concrete – allows us to detect elements of the theory of foreign trade in the published volumes of Capital. In volume I, a provision is put forward according to which countries exporting high-tech goods increase national value wealth.Volume III examines at the national level the law of the average rate of profit, which is carried out by redistributing the value created in labor-intensive industries in favor of capital–intensive industries through prices: prices for labor–intensive goods decrease, and prices for capital–intensive ones increase.The law of the average rate of profit operates at the international level. The wealth of nonindustrial countries is redistributed in favor of industrial ones. The reconstructed theory of Marx explains «How rich countries got rich... and why poor countries stay poor» (E. Reinert).
Enquêtes incognito en e-terrains sensibles : une éthique en eaux troubles ?
Authors: Renaut Laurène , Chevet Clotilde 
Published: June 2023

Cet article propose une réflexion croisée sur deux ethnographies en ligne réalisées entre 2017 et 2020 : l’étude de djihadosphères d’une part et celle de groupes consacrés aux relations amoureuses et sexuelles homme-machine d’autre part. Derrière ces deux objets en apparence très éloignés émergent des problématiques communes tant liées à la production des connaissances qu’à leur restitution. Il s’agira d’abord de questionner le prix éthique d’une approche incognito, puis de cerner les enjeux d’une récolte clandestine de données sensibles, avant de présenter les stratégies mises en place pour restituer nos travaux de façon éthique et dès lors restreinte.
La santé d’après
Authors: Bubien Yann , Dujin Anne 
Published: June 2023

La pandémie de Covid-19 a placé la santé publique au cœur de nos sociétés en révélant une immense vulnérabilité collective, mais elle peine encore à se constituer en objet de débat public. Pourtant, des défis comme l’inégalité d’accès aux soins, la prévention sanitaire, la vocation des soignants, le réchauffement climatique ou le numérique, relèvent de choix collectifs. Ce dossier, coordonné par Yann Bubien, propose une approche globale et politique de la santé publique pour le XXI e siècle.
Ce que les NEET font du recrutement digitalisé : conventions et pensée magique
Authors: Pralong Jean , Peretti-Ndiaye Marie 
Published: June 2023

La digitalisation du recrutement est régulièrement présentée comme une solution au chômage des plus jeunes. Pourtant, les jeunes Français durablement éloignés de l’emploi (ou NEET : “ Neither in Employment, nor in Education or Training ” pour ni employé, ni étudiant ou en formation) représentent 20,2 % de leur tranche d’âge (18 à 26 ans). Dans cet article, nous proposons une analyse des comportements des jeunes chercheurs d’emploi confrontés aux pratiques de recrutement digitalisé. Un modèle d’analyse des pratiques est construit puis utilisé pour analyser les pratiques d’un groupe de jeunes diplômés éloignés durablement de l’emploi. Dans cette population au niveau de qualification élevé, l’effet du diplôme sur l’insertion est neutralisé, ce qui met en relief l’effet du recrutement lui-même. Les résultats indiquent que les candidats échouent à valider les conventions normatives en matière de recrutement. Cet échec et le maintien de pratiques inefficaces, comme la recherche d’un « CV exact », sont analysés comme les conséquences d’un rapport au savoir éloigné de celui du monde des affaires. La persistance dans l’échec conduit les jeunes interrogés à des registres de pensée inattendus dans l’univers technologique du recrutement digital : la chance et la pensée magique. Ces constats permettent de formuler des recommandations.
Quels facteurs influencent les prises de décision dans le cadre de la Sclérose Latérale Amyotrophique au sein des membres de la triade patient, proches-aidants et soignants ?
Authors: Magdeleine Louise , Maziller Julie 
Published: June 2023

Cette revue de la littérature traite de la Sclérose Latérale Amyotrophique et de la fin de vie des personnes atteintes. C’est au travers de l’Approche des Soins Fondés sur les Forces de Gottlieb que le rôle infirmier est développé. Dans le cadre de la Sclérose Latérale Amyotrophique, l’évolution rapide de la maladie, conduisant inévitablement au décès du patient, nécessite des prises de décisions afin de respecter les choix du malade. Cette pathologie entraine des déficits moteurs et cognitifs qui peuvent limiter l’autonomie du patient dans ses prises de décision. Ainsi, les proches-aidants et les soignants ont une part importante dans l’élaboration du projet de soin. L’objectif est d’étudier les différents facteurs qui influencent la prise de décision dans la triade patient, proche-aidants et soignants, en lien avec la Planification Anticipée du Projet Thérapeutique. Nous avons élaboré une équation de recherche à l’aide de la méthode PICO. Celle-ci nous a permis d’effectuer des recherches sur les bases de données PubMed et CINHAL et de trouver les six études qui composent notre revue de la littérature. Après lecture et analyse des articles sélectionnés, six thèmes au sujet des facteurs qui influencent les prises de décisions du point de vue des patients atteints de SLA, des proches et des professionnels de la santé ont émergé. Ces thèmes sont : moment opportun, besoin d’information, besoins et rôles des proches, communication, limites de l’autodétermination et expérience de la maladie. Les résultats ont ensuite été discutés et mis en lien avec l’Approche des Soins Fondés sur les Forces de Gottlieb. Au terme de ce travail, nous avons pu établir diverses recommandations en lien avec la pratique clinique, la recherche et l’enseignement.
A Neurological Complication in Rheumatoid Arthritis – A Scenario of Catastrophic Proportions
Authors: Varshney Megha , Ray Sucharita , Reddy Manod , Chatterjee Debajyoti , Chakravarty Kamalesh , Bhatia Vikas , Lal Vivek 
Published: June 2023

Abstract

Background:
Rheumatoid Arthritis (RA) is a common systemic inflammatory disease that can present with a plethora of extraarticular manifestations. Many patients with RA from low- and middle-income countries do not get timely and adequate treatment with disease-modifying therapies. This results in the perpetuation of a chronic inflammatory state.

Focus:
Rheumatoid vasculitis (RV) is one of the most aggressive complications of RA resulting from a prolonged proinflammatory milieu. Usually, it has the involvement of multiple organ systems, with cutaneous manifestations being the most common. Neurological presentation is uncommon but severe when present.

Highlight:
We present a case of severe RV presenting with an unexpected neurological complication consisting of cranial and peripheral neuropathy with small vessel disease and intracerebral haemorrhage. We intend to highlight the morbidity and long-term consequences of inadequately treated RA, the most common inflammatory disease of the connective system especially in light of the neurological presentation.
Significance of Baseline and Changes of Tumor Markers and Neutrophil-to-Lymphocyte Ratio in Predicting Overall Survival for Patients with Advanced Pancreatic Adenocarcinoma: A Retrospective Analysis
Authors: Kadokura Makoto , Tanaka Keisuke , Amemiya Fumitake , Takano Shinichi , Fukasawa Mitsuharu , Enomoto Nobuyuki 
Published: June 2023

Background:
The usefulness of various prognostic factors for pancreatic cancer has been reported, but limited studies have focused on these changes during chemotherapy. The purpose of the present study was to investigate the prognostic factors and to evaluate the significance of these changes during chemotherapy in patients with advanced pancreatic cancer (APC).

Materials and Methods:
We retrospectively analyzed 213 patients with APC who underwent chemotherapy between January 2006 and December 2018 at Kofu Municipal Hospital and University of Yamanashi Hospital. Univariate and multivariate cox regression models were applied to investigate independent prognostic factors.

Results:
Multivariate analysis revealed that Eastern Cooperative Oncology Group Performance Status 2 (hazard ratio [HR] 4.07, P < 0.01), neutrophil-to-lymphocyte ratio (NLR) ≥3.9 (HR 1.97, P < 0.001), modified Glasgow prognostic score 1–2 (HR 2.77, P < 0.001), carcinoembryonic antigen ≥5.0 (HR 1.44, P = 0.026), carbohydrate antigen 19-9 ≥37 (HR 1.83, P = 0.004), ΔNLR >0 (HR 2.01, P < 0.001), ΔCEA (subtracting the baseline from the start of second cycles of chemotherapy) >0 (HR 1.64, P = 0.002), and ΔCA19-9>0 (HR 1.77, P = 0.002) were independent negative prognostic factors.

Conclusion:
Baseline and change in tumor markers and NLR are useful in predicting overall survival in APC patients undergoing chemotherapy.
Inverse correlation of CD3 & vascular endothelial growth factor in incisional oral squamous cell carcinoma biopsies predicts nodal metastasis & poor survival of patients
Authors: Khan Wafa , Augustine Dominic , Rao Roopa S. 
Published: June 2023

Background & objectives:
Oral squamous cell carcinoma (OSCC) is widely prevalent in the Indian subcontinent mainly due to habit-associated aetiologies. Immune regulation and angiogenesis are the part of tumourigenesis that play a crucial role in metastasis and survival. However, the concurrent expression of vascular endothelial growth factor (VEGF) and CD3 (immune regulator receptor on T-lymphocyte) in the same OSCC tissue samples has not been reported in the Indian population. The present study evaluated the expression of CD3+ T-cells and VEGF in OSCC tissue samples and studied the clinicopathological correlation and survival analysis in an Indian population.

Methods:
This was a retrospective study conducted on 30 formalin-fixed and paraffin embedded sections which were histologically diagnosed as OSCC cases comprising of 15 metastatic OSCC and 15 non-metastatic OSCC with available clinical data and survival status.

Results:
Reduced expression of CD3+ T-cells and increased VEGF expression were observed in metastatic OSCC samples. The correlation of expression of CD3+ T-cells and VEGF with clinicopathological parameters showed a significant association between these markers with age, nodal status, site of the lesion and survival.

Interpretation & conclusions:
Reduced expression of CD3+ T-cells in OSCC was found to be associated with a significantly poor survival. VEGF was found to be over expressed in metastatic OSCC as compared to that in non-metastatic OSCC. The study findings suggest that the evaluation of CD3 and VEGF in incisional OSCC biopsies can be considered for predicting the survival outcome and metastasis.
Non-invasive prenatal screening & diagnosis of β-thalassaemia in an affected foetus
Authors: Suwannakhon Narutchala , Hemvuthiphan Jittaphol , Pangeson Tanapat , Mahingsa Khwanruedee , Pingyod Arunee , Bumrungpakdee Wanwipa , Sanguansermsri Torpong 
Published: June 2023

Background & objectives:
Non-invasive prenatal testing (NIPT) of maternally inherited alleles of β-thalassaemia (MIB) remains to be a challenge. Furthermore, current techniques are not available for use as routine tests. NIPT for β-thalassaemia disease was developed by using a specific droplet digital polymerase chain reaction (ddPCR) assay to analyze the cell-free foetal DNA (cffDNA) derived from maternal plasma.

Methods:
Pregnant women and their spouses who are at risk of bearing an offspring with β-thalassaemia disease from common MIB mutations (CD 41/42-TCTT, CD17A>T, IVS1-1G>T and CD26G>A) were enrolled. The ddPCR assay sets were constructed for each of the four mutations. All cell-free DNA samples were first screened for the paternally inherited β-thalassaemia (PIB) mutation. The PIB-negative samples were considered as non-disease and were not further analyzed. For PIB-positive samples, DNA fragments of 50-300 base pairs in size were isolated and purified, and further analyzed for MIB mutation. The allelic ratio between the mutant and the wild-type was used to determine the presence of MIB in cffDNA. All cases underwent a prenatal diagnosis by amniocentesis for a definite diagnosis.

Results:
Forty two couples at risk were enrolled. Twenty two samples were positive for PIBs. Among these 22 samples, there were 10 cases with allelic ratio >1.0 (MIB positive). All foetuses with over-represented mutant alleles were further diagnosed with β-thalassaemia disease; eight with compound heterozygous and two with homozygous mutations. The 20 PIB-negative and 12 MIB-negative foetuses were non-affected.

Interpretation & conclusions:
The results of this study suggest that NIPT utilizing the ddPCR assay can be effectively used for the screening and diagnosis of foetal β-thalassaemia in at risk pregnancies.
Ponseti Technique for CTEV: Our Experience at TMCH
Authors: Das Chinmoy , Das Partha Pratim , Gupta Navonil 
Published: June 2023

Abstract

Background and Objective:
Congenital talipes equinovarus (CTEV) also known as clubfoot is one of the common congenital orthopedic foot deformities in children. It is a complex deformity that is hard to correct, and the management is arguable and continues to be one of the significant challenges in pediatric orthopedics. It is believed that the initial treatment should be nonsurgical, which is started soon after birth within the first 2 weeks of life. We aimed to assess the efficacy of Ponseti’s technique for the treatment of CTEV in our institute for 6 years.

Materials and Methods:
One hundred eighty patients between 2 weeks and 12 years of age who had attended the CTEV clinic of the Department of Orthopaedics of our medical college in the last 6 years, until December 2020, were taken for the study to correct idiopathic CTEV using the Ponseti technique. Children included in the study were assessed every week before cast placement for the severity of the deformity using the Pirani scoring system. Once a week, manipulation and serial casting of the CTEV foot were started by the technique described by Ponseti. Patients were followed up at weekly intervals until forefoot and midfoot deformities were corrected. Percutaneous Achilles tenotomy was done to prevent rocker-bottom deformity and for correcting Equinus deformity after correction of other deformities. All patients were maintained on foot abduction brace after correction until 4 years of age or more.

Results:
At 6-month follow-up, Ponseti’s technique gave us 84.8% excellent results, 13.1% good results, and 2.1% poor results. A total of 86.6% required percutaneous tenotomy, whereas 13.4% did not require tenotomy.

Conclusion:
The Ponseti technique is still a safe, economical, and convenient treatment modality for CTEV, which gives successful results, and thus radically decreases the need for extensive corrective surgery even in older children.
Spontaneous psoas muscle haematoma due to antiplatelet treatment for stroke
Authors: Abdulla Mansoor 
Published: June 2023

Abstract
Spontaneous psoas muscle haematoma is a rare complication associated with bleeding diatheses such as anticoagulation, inherited coagulopathies and haemodialysis. An 80-year-old woman was admitted with a sudden onset of left sided weakness when she woke up from sleep. Magnetic resonance imaging of the brain revealed an infarct in the right occipital and left posterior parietal regions. She was started on aspirin 150 mg daily. She developed extensive purplish discolouration over the left lumbar region 5 days later. Contrast enhanced computed tomography of the abdomen showed left psoas muscle haematoma. The haematoma was managed conservatively and aspirin was discontinued. This case study describes this case, who developed spontaneous psoas haematoma (PH) after starting aspirin for stroke, which was managed conservatively. Only a few cases of spontaneous PH secondary to aspirin were previously reported.
Change in Left Ventricular Ejection Fraction after Transcatheter Aortic Valve Replacement in Severe Aortic Stenosis
Authors: Singh Shailesh , Khan Abdul Allam , Singh Katyayni 
Published: June 2023

Background:
Long-standing aortic stenosis (AS) leads to elevated left ventricular (LV) pressure and as a consequence develops LV hypertrophy and increased myocardial fibrosis. The LV ejection fraction (LVEF) remains often preserved until the late stages of disease, but subtle LV dysfunction can be present in patients of severe AS. Transcatheter aortic valve replacement (TAVR) has become the primary method of aortic valve replacement for intermediate and high surgical risk patients with AS. In this study, we aimed to see if TAVR in patients with severe AS can result in the improvement of systolic functions.

Subjects and Methods:
We retrospectively studied the data of 52 consecutive symptomatic patients with severe symptomatic AS who underwent TAVR at our center. Echocardiography was performed at baseline and 6 months after the procedure to evaluate change in LVEF.

Results:
Fifty-two patients were retrospectively evaluated. The mean LVEF before TAVR was 49.52 ± 13.44. The mean LVEF after TAVR was 52.02 ± 10.95. That means there was a significant increase in LVEF after TAVR as compared to LVEF before TAVR (P = 0.008 using Wilcoxon signed-rank test).

Conclusion:
In this article, we conclude that, in AS patients, the removal of afterload by TAVR significantly improves cardiac functions as assessed by LVEF.
Effectiveness of Game-Based Learning: A Cross-Sectional Study on Phase 1 Medical Students
Authors: Pratheepa Sivasankari Natarajan , Sundarapandian Subramanian , Kalaivani Amitkumar , Anissa Joseph , Nithya Venugopal 
Published: June 2023

Background:
In the past, teaching and learning methods mainly focused on content in knowledge rather than a learning experience. Nowadays, there has been an increased use of playful approaches to teaching and learning. Game-based learning (GBL) playfully engages with educational materials. We employed two game-based applications (Kahoot and Quizizz) and the traditional method of learning using multiple-choice questions (MCQs) and compared their efficacy in providing fun-based productive learning to medical students.

Methodology:
A cross-sectional study. Two hundred and fifty-two Phase 1 undergraduate medical students were included in the study. They were given three different assessment methods: paper-based MCQs, Quizizz, and Kahoot! Each method contained 10 questions. All students were encouraged to complete all three quiz methods. We conducted this study for 6 months. After 6 months, the students were given a questionnaire prepared on a Likert scale to evaluate students’ perception of concentration, engagement, enjoyment, and satisfaction of students.

Results:

P <0.05 indicated that there was a difference in average scores between the three methods (traditional quiz method, Quizizz, and Kahoot method). 96% of the students agreed that repeated attempts of doing the Quizizz in the app led to improvement in their long-term memory. The mean score of the student is highest in Kahoot! 53% of the students stated that image-based quiz was an interesting area. 92% of students felt that the live Quizizz was fun and interesting.

Conclusion:
A significant number of medical students enjoyed GBL since they can interact with one another and got motivated during the live Quizizz and Kahoot sessions. At the same time, students using the traditional method of learning were neither motivated nor enjoyed and hence we can utilize these game-based tools for teaching medicine and they can be used as a formative assessment tool too.