bluuebunny/crossref_metadata_2025_split huggingface dataset:
‘नवपल्लव’ मा सङ्गृहीत गीतिरचनामा देशप्रेम {Patriotism in the lyric collection collected in 'Navapallava'}
Authors: पहाडी Pahadi ढुण्डिराज Dhundiraj 
Published: January 2022

‘नवपल्लव’ वासुदेव त्रिपाठीद्वारा रचित लघु आयामको गीतिसङ्ग्रह हो । साझा प्रकाशनले २०४६सालमा प्रकाशन गरेको विवेच्य गीतसङ्ग्रहमा ९ ओटा गीतहरू मात्र समेटिएका छन् । उच्च कवित्व र सघनगेयताको समागम भएका विश्लेष्य गीतिरचनाहरूको अन्तर्वस्तु देशप्रेम हो । गीतमा अभिव्यञ्जित देशप्रेमकोकथ्यलाई आस्वाद्य बनाउन के कस्तो गीतिकौशलको प्रयोग गरिएको छ भन्ने प्रमुख प्राज्ञिक जिज्ञासा र विमर्शमाप्रस्तुत आलेख केन्द्रित छ । रचनाकारको स्वानुभूतिमा प्रतिबिम्बित राष्ट्ररागको संवेग, भाषिक लालित्य रगीतिसौन्दर्यको वस्तुनिष्ठ मूल्याङ्कनका निम्ति विश्लेष्य गीतिरचनाबाटै साक्ष्य र तथ्य सङ्कलन गरिएको छ ।देशभक्तिका गीतको सैद्धान्तिक अवधारणालाई अवलम्बन गरी गीतको वस्तुविधान र गीतिशिल्पको कलात्मकसंयोजन कसरी भएको छ भन्ने समस्याको समाधान खोज्न विवेच्य रचनाहरूको विश्लेषणका निम्ति गीतितत्वलाई आधार बनाइएको छ । हाम्रा वीर पूर्वजको त्याग, हिमाली राष्ट्र नेपालको अनुपम प्राकृतिक सौन्दर्य,नेपाली जातिको स्वाभिमान र स्वतन्त्रता तथा मातृभूमि नेपालप्रतिको उच्च समर्पणमा ‘नवपल्लव’ कागीतिरचनाको राष्ट्रराग अभिव्यञ्जित भएको छ भन्ने प्रस्तुत अध्ययनको निष्कर्ष रहेको छ ।
{The lyrical element has been made the basis for the analysis of the compositions to find a solution to the problem of how the material of the song and the artistic combination of the lyric art has been found by adopting the theoretical concept of the patriotic song. The study concludes that the national anthem of 'Navapallava' has been expressed in the sacrifice of our heroic ancestors, the unique natural beauty of the Himalayan nation Nepal, the self-respect and independence of the Nepali people and the high devotion to the motherland Nepal. The lyrical element has been made the basis for the analysis of the compositions to find a solution to the problem of how the material of the song and the artistic combination of the lyric art has been found by adopting the theoretical concept of the patriotic song. The study concludes that the national anthem of 'Navapallava' has been expressed in the sacrifice of our heroic ancestors, the unique natural beauty of the Himalayan nation Nepal, the self-respect and independence of the Nepali people}
Studi Perencanaan Instalasi Pengolahan Limbah Lindi Pada Tpa Griyo Mulyo Kabupaten Sidoarjo
Authors: Mahendra Feqinansya Gerizepta 
Published: January 2022

Pertumbuhan jumlah masyarakat dari tahun ketahun senantiasa berdampak pada pertambahan jumlah sampah hinga 19 % termasuk di Kabupaten Sidoarjo yang pengolahannya dilakukan di TPA Griyo Mulyo. TPA ini memiliki kapasitas 8 Ha, dengan fasilitas pengolahan limbah lindi yang mengacu pada standar pengolahan sampah yang menggunakan pera-turan yang dibakukan yaitu Peraturan Pemerintah No 27 Tahun 2020 mengenai Pengolahan sampah khusus. Setiap TPA pada dasarnya harus memiliki instalasi pengolahan lindi, namun pada kenyataannya TPA Griyo Mulyo mempunyai in-stalasi tersebut tetapi belum beroperasi. Penelitian ini bertujuan untuk merencanakan instalasi pengolahan lindi sesuai standard dari Peraturan Menteri LHK No P59 tentang Mutu Lindi dan untuk kadar BOD5 ialah 150 miligram/liter dan bagian COD ialah 300 miligram/liter. Sedangkan pada TPA Griyo Mulyo ini mempunyai kadar BOD5 adalah 944,7 mg/l dan untuk COD adalah 3145,84 mg/l. Hal ini menunjukkan ketidaksesuaian terhadap Peraturan Menteri LHK Nomor P59. Metode yang digunakan adalah metode perencanaan ulang dan deskriptif menggunakan data yang telah diperoleh dari Dinas Lingkungan Hidup dan Kebersihan. Hasil perhitungan menunjukkan bahwa rancangan instalasi pengolahan lindi terdiri dari unit pengolahan air lindi dan desain serta menganalisis unit pengolahan lindi dengan hasil yang tidak sesuai dengan standard baku mutu lindi.
FEATURE OF CORONAVIRUS DISEASE IN PATIENTS WITH ARTERIAL HYPERTENSION AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Authors: Pokrovska N.K. , Shcherbata H.M. , Kapustynska O.S. , Sklyarov Y.Ya. 
Published: January 2022

Relevance. The combination of coronavirus disease (COVID-19) with arterial hypertension (AH) and chronic obstructive pulmonary disease (COPD) is associated with decreased saturation, general clinical signs of inflammation, coagulopathies and worsens the course and prognosis of the disease. That is why it is important to identify all possible risk factors for complicated pathology for the prevention and timely treatment of this category of patients.
Objective: to study the feature of coronavirus disease in patients with AH and COPD.
Materials and methods. A total of 101 patients aged 30 to 80 years with COVID-19 were examined. The first group included 26 people with COVID-19 and COPD (GOLD 2, groups A, B), and the second group included 75 patients with COVID-19 and AH (I-III stages, 1-3 grade). The parameters of the general blood test, biochemical blood test, coagulation testing, D-dimer, C-reactive protein (CRP), and ferritin in the blood were studied.
Results. Patients with COVID-19 and COPD had higher erythrocyte sedimentation rate (p> 0,05) and leukocytosis (p <0,05), as well as increased concentrations of creatinine (p < 0,05) and urea (p < 0,01) that indicates the presence of renal pathology. Patients with COVID-19 and AH had significantly lower prothrombin time (p < 0,05) and international normalized ratio (p < 0,05), as well as a higher prothrombin index (p <0,05), which indicates the benefits of the procoagulant properties of blood in this category of patients. The level of D-dimer (p> 0,05), CRP (p> 0,05), and ferritin (p <0,05) was higher in patients of the 2nd group, which indicates a more severe course of coronavirus disease, as well as more high risks of thromboembolic complications.
Conclusions. The features of coronavirus disease in patients with hypertension indicate a more severe course of the pathology and a high risk of thromboembolic complications, as evidenced by the procoagulant properties of blood and a high level of D-dimer, CRP, and ferritin. According to the data of clinical and laboratory examinations in patients with COPD and COVID-19, there was a significant increase in creatinine, urea, and leukocytosis, which may indicate the addition of renal pathology.
ASSOCIATION of QT INTERVAL INDICES WITH CARDIAC AUTONOMIC NEUROPATHY IN DIABETIC PATIENTS
Authors: Kumar S. , Kodidala S.R. 
Published: January 2022

Relevance. Cardiovascular autonomic neuropathy (CAN) is a severely debilitating yet underdiagnosed condition in patients with diabetes. The prevalence can range from 2.5% (based on the primary prevention cohort in the Diabetes Control and Complications Trial) to as high as 90% of diabetic patients. Clinical manifestations range from orthostasis to myocardial infarction. The diagnosis is made using multiple autonomic function tests to assess both sympathetic and parasympathetic function.
Objective: this study was conducted to assess the relationship between Cardiac autonomic neuropathy and QT interval.
Methods. Cross sectional study was conducted in 100 patients attending tertiary care hospital. Deep breathing test, Valsalva ratio, immediate heart rate response to standing 30:15, B.P rise with sustained hand grip and postural hypotension. Scoring was done for cardiac autonomic neuropathy. QT interval and QTc interval were determined and association with CAN was obtained.
Results. Out of 100 type-2 diabetic patients, 60% were males and 40% females. 25 patients having no cardiac autonomic neuropathy and had no prolonged QTc interval. While, 75 patients had QTc prolonged were associated with early and severe CAN cardiac autonomic neuropathy. The prolonged QTc was significantly associated with CAN in diabetic patients when compared without-CAN and controls (P<0001).
Conclusion. Diabetic cardiac autonomic neuropathy is associated with increase in prolongation of QTc intervals. Hence there is need for regular checkup of autonomic nervous system in diabetic patient to prevent further complications.
ACNE VULGARIS: PSYCHOSOCIAL IMPACT IN ADOLESCENTS
Authors: Rohan Jahagirdar 
Published: January 2022

Relevance. Acne vulgaris is chronic inflammatory disorder which is known to have major psychological impact on adolescents which results in residual scarring and pigmentation. Acne is devastating disease and have significant negative psychosocial impact as their faces being checked by others leading social anxiety.
Objective: this study was conducted with objectives to study psychosocial impact due to acne vulgaris.
Materials and methods. This study includes 200 patients of 15 years and above of acne vulgaris patients. Global Acne Grading System was used to grade severity of acne and dermatology life quality index (DLQI) was used to measure psychosocial quality of life. Data collected was entered into MS excel sheet and statistical analysis was done by SPSS software.
Results. Majority of patients (58%) were localised mostly on face and with grade – II. 39.5% were mildly affected 47% were moderately affected with quality of life in the study.
Conclusions. Significant impact of acne vulgaris was noted on emotional, social, study was noted in adolescent population.
Allograft Transplantation and Reconstruction of Bones after Malignant Tumor Resections.
Authors: Dalipi Rezeart , Hasani Ilir , Popovska Danica , Karapandzevska Simona , Gjorgjieska Kornelija 
Published: January 2022

Reconstruction surgery after the excision of musculoskeletal tumors has advanced greatly in the last few decades. After resection of a large piece of bone, limb reconstruction (when is necessary) can be easily achieved with mechanical reconstruction with metallic prosthesis, or biological reconstruction with bone. The use of bone in reconstructive orthopedic surgery is to repair skeletal defects and accelerate bone healing. Bone grafts can be used to achieve this. Those can be allografts and autografts.
The standard in bone grafting consists of tissue harvested from the patient, autograft, usually from the iliac crest or distal femur and tibia. Allografts are taken from donors or cadavers and they serve as alternatives to autograft in bone reconstruction. In our case, the patients were treated with wide resection of the bone segment. The defect was reconstructed with intercalary bone and osteosynthesis was made with locking plates. A cadaveric graft was used. Autogenous bone is generally used as an optimal graft because it integrates faster and with fewer complications. Allogenous bone can carry the risk of viral infection for the recipient. Anyhow, allografts can serve as the only therapeutic options, besides endoprosthesis devices for large size reconstruction.
Renewable Energy Embedded Sustainable Supply Chains with Methane Harness: The Gateway to ASEAN Strategy Illustration with Mixed Model Analysis
Authors: Sen Salil K. , Mokkhamakkul Tartat 
Published: January 2022

Intent, initiative, immersion, impact manifest through the renewable energy embedded sustainable supply chains. The value-add is more enhanced with COP26 determination to curb methane minimum minus thirty percent. The change obviously embeds benefits, through intent on societal empowerment, initiative on water waste energy rehaul, immersion with gender aligned supply chains. This paper is on the construct of mixed method based qualitative methodology on value-add change that embeds benefits in the renewable energy embedded sustainable supply chains with methane harness. Embedded energy in supply chains can now focus on innovation retaed to methane and not alone carbon dioxide. Developing regions are vibrant with economic activity that proliferate supply chains. They innately depend on water waste energy footprint. There is resonating need for positioning sustainable supply chains with renewable energy that is gender aligned. Methane is a ultra-potent greenhouse gas that has a win win focus on adoption of renewable energy as well as attain sustainability of energy needs of supply chains. Methane traps one hundred times more heat when present in the atmosphere. Focus on methane is potent as it gets removed within a decade, in contrast to carbon dioxide that lingers over centuries. The linkgage options through innovation, intent, impact is a contribution of this paper. Supply chain resource corridors are tenable to potential renewable inclusion. The possibility of varying the impacts of different values of the independent variables, future research can confirm the extent of renewable energy adoption with sustainable supply chain growth. One could also design for variance on the changes of location or habitats, that can define the need of a distributed and differentiated range of combinations. A metric could be designed which is responsive to varying combinations of water quality, waste parsimony and renewable energy minus methane feasibility.
PELATIHAN KEWIRAUSAHAAN DAN PEMBUKUAN KEKINIAN DENGAN MENGGUNAKAN APLIKASI BUKU KAS
Authors: Terenggana Candra Astra , Kusmawati Kusmawati , Rinamurti Micheline , Putri Weny , Khairunnisa Khairunnisa 
Published: January 2022

Diselenggarakannya kegiatan pengabdian pada masyarakat ini adalah untuk memberikan pendampingan bagi mitra yaitu SMA Sjahkyakirti dan siswa SMA/SMK lainnya di kota Palembang serta Mahasiswa dengan Unit Kegiatan Mahasiswa (UKM) kewirausaahaan yang menjalankan proses bisnis di lingkungan Universitas. Berkembangnya UMKM di Indonesia memberikan kesempatan bagi kaum muda untuk bisa mandiri dan mengembangkan usaha sendiri. Namun, hal tersebut tidaklah mudah karena beberapa faktor seperti minimnya pengetahuan tentang kewirausahaan dan sulitnya mendapatkan modal usaha. Pendampingan yang diberikan berupa pelatihan dan pemberian wawasan mengenai motivasi kewirausahaan dan pengetahuan terkait pembuatan laporan keuangan menggunakan aplikasi Buku Kas. Pencatatan usaha yang efektif dapat menciptakan laporan keuangan yang memadai dan pada akhirnya diharapkan mendapatkan kepercayaan dari debitur. Teknik yang digunakan dalam kegiatan ini berupa seminar virtual, tanya jawab, dan diskusi.
Efektivitas Konsumsi Jus Alpukat Dan Bayam Terhadap Pasien Dengan Kadar Kolesterol Tinggi
Authors: Khusuma Ari , Agata Annisa , Roselyin Arini Pradita 
Published: January 2022

Background: High cholesterol levels can cause various diseases such as atherosclerosis, coronary heart risk, heart attack, and angina. Based on a report on Rajabasa Indah Public Health Center there are 43 people with high cholesterol, one of the traditional medicine that can help lower cholesterol is avocado and spinach juice. The objective of this research was to the effect of consuming avocadoand spinach juice on blood cholesterol levels at Rajabasa Indah the Working Area of Public Health Center Lampung Province District. Objectives : The objective of this research was to the effect of consuming avocadoand spinach juice on blood cholesterol levels at Rajabasa Indah the Working Area of Public Health Center Lampung Province District. Methods : The type of quantitative research with experiment one group pre-test post-test design. The population was 43 people with hypertension, stroke, and heart who have high cholesterol levels in Rajabasa Indah of Public Health Center Lampung Province. 43 respondent samples were taken with accidental sampling. Data were analyzed with bivariate analysis with T Dependent (paired sample) test with 95% CI and α = 0.05. Results : The results showed that average value 298,77 cholesterol levels before consuming spinach and avocado juice and average value 280,09 cholesterol levels after consuming juice. Bivariate analysis result with α=0.05 showed that is an effect consuming avocado and spinach juice on to blood cholesterol levels (p< α 0,05). The researcher suggests to health workers to improve health education aimed at the community about risk of high cholesterol.
TINGKAT KEPUASAN PASIEN RAWAT INAP TERHADAP PELAYANAN KONSELING GIZI DI RUMAH SAKIT PUSAT OTAK NASIONAL
Authors: Marlina Yessi , Ramadhani Asti 
Published: January 2022

Background : Nutrition counseling is a two-way communication process between counselor and client to help clients recognize and overcome nutritional problems. Patients are entitled to receive a good quality nutrition counseling since that is an integral part in accelerating the patient's healing process. The purpose of this study was to determine the level of satisfaction of patients with nutrition counseling services at the Rumah Sakit Pusat Otak Nasional. Methods : This research was a descriptive study with cross sectional design. The sample technique used accidental sampling with total samples were 30 patients from second and third-grade room. The level of satisfaction included counseling service time, attitudes and characteristics of counselor, materials of counseling and media of counseling. Response options were based on a five-point Likert scale from “strongly satisfied” to “strongly unsatisfied”. Results : The results showed that the satisfaction rate with counseling service time was 77,06% (satisfied), attitudes and characteristics of counselor was 84,26% (very satisfied), counseling material was 78,13% (satisfied), and the use of media during the nutritional counseling process was 65,86% (satisfied). Conclusion : The satisfaction rate with nutritional counseling services at the Rumah Sakit Pusat Otak Nasional is satisfied (73,33%).
The Elements of e-Government Success in Public Services at Bekasi Regency Using the “SP4N LAPOR”
Authors: Gumilar Gun Gun , Delistiana Dhea Desita , Purnamasari Hanny 
Published: January 2022

Penelitian ini merupakan penelitian lanjutan dari penelitian Delistiana dkk mengenai pengelolaan SP4N LAPOR di Kabupaten Bekasi. Penelitian ini menarik karena masih adanya permasalahan dalam penerapan aplikasi LAPOR di Kapupaten Bekasi meliputi masih kurangnya sarana prasarana, SDM pengelola, kurangnya sosialisasi, dan aksesibilitas. Peneliti mencoba menggunakan sudut pandang pengukuran yang berbeda dalam pencapaian tujuan penelitian “sejauh mana keberhasilan program SP4N LAPOR di Kabupaten Bekasi”. Pendekatan penelitian masih tetap menggunakan analisis deskriptif, akan tetapi pisau analisis menggunakan analisis elemen sukses e-government yang dikemukaan oleh Indrajid, dimana sebelumnya menggunakan teori manajemen yang dikemukakan George R Terry. Temuan penelitian menunjukkan bahwa SP4N LAPOR di Kabupaten Bekasi belum berhasil diterapkan secara maksimal dikarenakan pengukuran dari ketiga elemen suksesnya penerapan e-government mulai dari support, capacity dan Value menunjukkan hasil yang kurang. Adapun saran dari penelitian ini antara lain perlunya percepatan penerapan SP4N LAPOR pada seluruh instansi di Kabupaten Bekasi, peningkatan kompetensi SDM para pelaksana SP4N LAPOR, pemerataan dan peningkatan intensifitas sosialisasi terhadap masyarakat.
Implementasi Kebijakan Pengelolaan Sampah di Kabupaten Bengkulu Selatan
Authors: Hastuti Bella Dwi , Anwar Faizal , Titi Titi Darmi 
Published: January 2022

Tujuan penelitian ini adalah untuk mengetahui ImplementasiiKebijakan Pengelolaan Sampah dan mengetahui apa yang menjadi faktor penghambat dalam Implementasi Kebijakan Pengelolaan Sampah di Kabupaten Bengkulu Selatan. Jenis penelitian ini adalah kualitatif yang bersifat deskriptif.Informan penelitian ditetapkan dengan teknik purposive sampling yakni sebanyak 7 informan. Dataadikumpulkan dengan caraaobservasi, wawancara, danndokumentasi. Sedangkan analisis data digunakan dalam model interaktif dari Miles and Huberman. Hasil dari penelitian ini menunjukkan bahwa ImplementasikKebijakan Perda No. 01 Tahun 2017 Tentang PengelolaannSampah di Kabupaten Bengkulu Selatan sudah berjalan sesuai standar dan prosedur yang telah ditetapkan namun dalam pelaksanaannya belum sepenuhnya terealisasi sesuai dengan isi kebijakan, serta masih ada ketidaksesuaian yang didapat dari hasil pelaksanaan kebijakan. Adapun beberapa faktor yang menjadi penghambat dalam implementasi kebijakan pengelolaan sampah adalah : pertama, Komunikasi : kurangnya anggaran biaya untuk melakukan sosialisasi. Kedua Sumber daya : terbatasnya SDM yang ahli di bidang persampahan, kurangnya fasilitas baik, TPS, TPS 3R serta kurangnya armada pengangkut sampah dan terbatasnya anggaran biaya. Ketiga, Disposisi : masih ada aparat yang melaksanakan tupoksi di luar peraturan yang ada. keempat, Struktur birokrasi : masih petugas/pelksana yang menjalankan tupoksi tidak sesuai dengan SOP yang telah ditetapkan
Pipe Insulation Evaluation for Low-Temperature District Heating Implementation in South Korea
Authors: Usman Muhammad , Kim Yong Ki 
Published: January 2022

Future energy systems will comprise 100% renewable energy and involve high integration of energy systems. District heating (DH) and cooling systems will be an undeniable part of future energy systems, as they facilitate high-efficiency, low-cost, and clean production. Low-temperature district heating (LTDH) is one of the candidates for future district heating systems, where the supply temperature is 60°C or below. Reducing heat losses from the pipe network in DH systems is challenging. Improving the insulation standards in DH pipes can decrease heat and temperature losses in the pipe networks. This study employs computational fluid dynamics to evaluate the optimum insulation thickness based on the material and digging costs in South Korea. A micro hybrid DH system with natural gas run fuel cell, heat pump and solar thermal is proposed in this study. An evaluation of the system with a 500 m pipe network system supplying hot water at 60°C with polyethylene, ethylene propylene diene monomer rubber, and polyurethane as insulation materials using ANSYS Fluent 17.2 shows that the heat losses are minimal when using PU foams. A cost estimation analysis showed that 32 mm was the optimum insulation thickness for achieving heat losses below 20 W/m and minimum material and digging costs when burring the pipeline network in the ground.
Serum Cortisol Is Associated With Cerebral Small Vessel Disease-Related Brain Changes and Cognitive Impairment
Authors: Qiu Qianwen , Zhou Xirui , Wu Lingshan , Zhang Yi , Yu Zhiyuan , Wang Minghuan , Huang Hao , Luo Xiang , Pan Dengji 
Published: January 2022

ObjectiveTo evaluate the relationship between serum cortisol, cerebral small vessel disease (CSVD) neuroimaging markers, and cognitive performance.MethodsWe recruited patients over 50 years old who attended our hospital for physical examination between November 2020 and July 2021. All participants were subject to brain magnetic resonance imaging (MRI), serum cortisol examination, and the Montreal cognitive function assessment (MoCA). On brain MRI, we scored the presence of each marker of CSVD, including white matter hyperintensity (WMH), lacunes, cerebral microbleeds (CMBs), and enlarged perivascular spaces (EPVS). One point was awarded for the presence of each marker, producing a score between 0 and 4.ResultsIn total, 158 participants were included in this study with a mean age of 60.5 (56.0–66.3) years; 55.1% were male. In the multivariable analyses, serum cortisol level was an independent predictor of WMH severity, the presence of lacunes/CMBs, moderate-severe EPVS and total CSVD burden after adjusting for confounding factors. Serum cortisol level had positive associations with periventricular/deep Fazekas score, burdens of lacunes/CMBs, moderate-severe EPVS, and total CSVD burden in dose-dependent manner, and was an independent predictor of cognitive impairment. Furthermore, the results of the receiver operating characteristic (ROC) curve analysis revealed an area under curve (AUC) of 0.745 with 64.1% sensitivity and 82.5% specificity, and an AUC of 0.705 with 52.1% sensitivity and 85.5 specificity of cortisol in detecting patients with high CSVD burden and MCI, respectively.ConclusionsSerum cortisol level is independently associated with each CSVD MRI markers, total CSVD burden and cognitive impairment. These findings provide clues for pathological mechanisms and suggest serum cortisol as a promising biomarker associated with CSVD.