bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perbandingan Efektivitas Penggunaan Vibration Anesthesia Device (VAD) dengan Krim Campuran Eutektik (EMLA) dalam Mengurangi Nyeri Pemasangan Peripheral Intravenous Catheter (PIVC)
Authors: Alatas Anas , Hadi Irfan Meison , Harijanto Eddy 
Published: March 2022

Latar Belakang: Pemasangan Peripheral Intravenous Catheter (PIVC) merupakan salah satu prosedur invasif terbanyak yang dilakukan di rumah sakit dan sering menyebabkan rasa nyeri pada pasien. Berbagai cara diterapkan dalam mengurangi rasa nyeri yang ditimbulkan saat pemasangan PIVC, antara lain dengan penggunaan Vibration Anesthesia Device (VAD) dan krim campuran eutektik (EMLA). Penelitian ini bertujuan untuk mengetahui efektivitas VAD dibandingkan dengan pemberian EMLA untuk mengurangi nyeri pada saat pemasangan PIVC.
Metode: Penelitian ini adalah uji eksperimental tidak tersamar pada pasien yang akan direncanakan menjalani pembedahan mata di kamar operasi Kirana RSUPN dr. Cipto Mangunkusumo selama bulan September – Oktober 2018. Sebanyak 56 subjek diambil dengan metode consecutive sampling dan dibagi ke dalam 2 kelompok. Pasien secara acak dilakukan pemasangan PIVC dengan bantuan Vibration Anesthesia Device (VAD) atau dengan krim campuran eutektik (EMLA). Keefektifan akan dinilai dari skala nyeri visual analog scale (VAS) dan perbedaan frekuensi nadi sebelum dan sesudah dilakukan tindakan. Analisis data dilakukan dengan uji T dan Mann Whitney.
Hasil: Tidak terdapat perbedaan bermakna dalam skala VAS yang dilaporkan oleh subjek dari kelompok VAD 13.65 (10.25 -18.17) dan EMLA 12.57 (8.97 – 17.61) dengan nilai p=0.706. Perubahan frekuensi nadi antara kedua kelompok tidak menunjukkan adanya perbedaan signifikan (p=0,557). Didapatkan peningkatan frekuensi nadi yang lebih tinggi pada kelompok VAD 2 (-3 – 19) dibandingkan kelompok EMLA 2 (-3 – 16).
Simpulan: VAD sama efektif dibandingkan dengan EMLA dalam mengurangi nyeri pada pemasangan Peripheral Intravenous Catheter (PIVC).
Tatalaksana Jalan Napas pada kasus Mukopolisakaridosis tipe II : Kasus Serial
Authors: Alatas Anas , Pratama Budi 
Published: March 2022

Mukopolisakaridosis tipe II atau di kenal dengan nama sindrom hunter adalah kumpulan kelainan metabolik yang diturunkan secara resesif dan bersifat progresif yang disebabkan oleh defisiensi enzim lisosom yang diperlukan untuk degradasi glikosaminoglikans. Hal ini menyebabkan berbagai kelainan anatomi dan keterlibatan sistemik yang merupakan tantangan bagi seorang anestesiologis.
Laporan kasus ini merupakan kasus serial dengan 3 pasien yang akan menjalani prosedur operasi dan penunjang diagnostik dengan tatalaksana jalan napas yang berbeda pula.
Adoptie als alternatief voor abortus
Authors: Garré Patrick 
Published: March 2022

Adoption as alternative for abortion
Belgium and the Netherlands legalized voluntary termination of pregnancy a few decades ago under certain conditions. In both legislations the abortion doctor must also investigate whether other possibilities exist to meet the woman’s request for help. In this contribution the author examines to what extent adoption can be a reasonable alternative to an abortion. It appears that adoption is often not considered in the abortion request, with the result that opportunities are lost for the woman, the unborn child and society to avoid a termination of pregnancy after all.
ROA, ROE, CAR, and EPS on The Stock Price of PT Bank Mandiri (Persero) Tbk with GARCH (1,1)
Authors: Elindasari Nova 
Published: March 2022

This study aims to analyze the effect of ROA, ROE, CAR, and EPS on the stock prices at PT. Bank Mandiri (Persero) Tbk in 2010-2019. Technical analysis uses simple linear regression analysis and GARCH (1,1), hypothesis testing using the t-test parsial regression coefficient testing coefficient with a level of significance of 5% (0.05). In addition, These data is non parametric because it has multicollinearity and autocorrelation. These results indicate that only show the results of GARCH (1,1) that ROA and EPS has significant effect on stock return PT Bank Mandiri Tbk.
E-COMMERCE PENJUALAN KOPI GAYO (Studi Kasus : UMKM Ine Kopi di Kecamatan Bandar)
Authors: Mabrur Ilham , Saputra Mahmuda , Syahputra Hendry 
Published: March 2022

E-Commerce is a flexible buying and selling system where a buyer does not need to come to a physical store to buy an item. Currently e-commerce is one of the alternative options for a business that is especially engaged in the field of processed coffee as a medium of information that facilitates interaction between sellers and buyers without limited space and time.
Coffee is one of the leading commodities in plantation subsectors in Indonesia, especially in the gayo karana highland area because it has good market opportunities at home and abroad and also has an important role in the Indonesian economy, one of which is the Ine kupi business owned by individuals who are on the main shah road, bahgie bertona village, Kec Bandar, Bener Meriah, Aceh where with the design of this sales e-commerce system can make it easier for consumers to order products on Ine Kupi as long as they are connected to the internet network, Consumers only need to register, login and place an order.
Larch: A Promising Deciduous Conifer as an Eco-Environmental Resource
Authors: Qu Laiye , Wang Yannan , Masyagina Oxana , Kitaoka Satoshi , Fujita Saki , Kita Kazuhito , Prokushkin Anatoly , Koike Takayoshi 
Published: March 2022

Larch species are widely distributed in the northern hemisphere where permafrost and seasonal frozen soil exist. This species with heterophyllous shoots has been intensively planted in northeast Asia as well as in northeast China as the principal afforestation species for restoring agricultural lands to forests from 1999. Although approximately 15 species exist in the northern hemisphere and they are easy to hybridize. Among them, Japanese larch grows the fastest and was exported to Europe as a breeding species from early 20s. Although Japanese larch is tolerant to cold, it suffered from various biological stresses. After nearly 40 years of vigorous breeding effort, hybrid larch F1 (Dahurian larch × Japanese one) was developed with simple propagation methods. With the use of free-air CO2 enriched (FACE) systems, we revealed growth responses of the F1 and its parent larches to environmental conditions. From experiments, F1 showed high responses to elevated CO2 and O3 but not so much to N loading. As future perspectives for larch plantations as an important eco-environmental resource, we expect to afforest F1 seedlings infected with ectomycorrhizae (e.g., Suillus sp.) for efficient afforestation at nutrient-poor sites and at the same time for the production of delicious mushrooms.
Inoculant Formulation and Application Determine Nitrogen Availability and Water Use Efficiency in Soybean Production
Authors: E.N. Savala Canon , Chikoye David , Kyei-Boahen Stephen 
Published: March 2022

Inoculation of suitable rhizobia enhances biological nitrogen fixation in soybean production and are economically viable for use among smallholder farmers due to its low price over inorganic commercial fertilizer blends. In Mozambique, inoculants are available in liquid or solid form (powder/peat or granular). Field studies were conducted in 2017 and 2018 seasons in three agroecologies (Angonia, Nampula and Ruace) in Mozambique to evaluate the performance of inoculants when applied directly to soil and on seed before planting. Data on nodulation, plant growth, nitrogen fixed, 13C isotope discrimination related water use efficiency, yield and yield components were analyzed in Statistical Analysis System® 9.4. Nodulation, yield, and yield components were significant for the different application methods, and solid form tended to be better than liquid form. The nitrogen derived from atmosphere (%Ndfa) were 45.3%, 44.2% and 43.6% with a yield of 2672, 1752 and 2246 kg ha−1 for Angonia, Nampula and Ruace, respectively. Overall, inoculants applied on soil or seed increase the amount of biologically fixed nitrogen and has the potential of improving soybean productivity in Mozambique.
A comparative study of life skills, lifestyle habits and academic performance in health promoting and non-health promoting schools in the Autonomous Community of Aragon, Spain
Authors: Sánchez-Hernando Beatriz , Gasch-Gallén Ángel , Antón-Solanas Isabel , Gea-Caballero Vicente , Juárez-Vela Raúl , Gállego-Diéguez Javier , Carboneres-Tafaner María Inmaculada , Echániz-Serrano Emmanuel , Lasso-Olayo Laura , Santolalla-Arnedo Ivan 
Published: March 2022

Background
There is insufficient evidence about the impact of health promoting schools on the student’s health and academic performance. The aim of this study was to compare the life skills, lifestyle habits and academic performance of 7th and 8th grade students registered in health promoting and non-health promoting schools in the Autonomous Community of Aragon.

Methods
An observational, descriptive, comparative study of the life skills, lifestyle habits and academic performance of 7th and 8th grade students registered in 43 randomly selected health promoting and non-health promoting schools was carried out. We used an adapted tool, which was validated through the expert panel technique, to evaluate the students’ life skills (self-efficacy, social skills and affect balance), lifestyle habits (diet, sleep, physical exercise, use of screen and substance abuse) and academic performance.

Results
The socioeconomic level of the mothers and fathers of the students who attended non-health promoting schools was significantly higher than that of the parents of the adolescents who attended health promoting schools (p < 0.001). The students who attended non-health promoting schools had better self-efficacy, led a healthier life generally and achieved better academic results (p = 0.03).

Conclusions
As opposed to previous studies, which found a positive association between health promoting schools and life skills, lifestyle habits and academic performance, our findings suggest that the impact of these health programs on the students’ health and academic performance is limited. We recommend that the degree of implementation of health promotion programs in health promoting schools is systematically evaluated, and the health promoting school accreditation process and requirements reviewed, in order to ensure that the health of school children and adolescents is safeguarded and promoted in the short, medium and long term.
Assessment of the Microbiological Status of Yoghurt Sold in Owerri, Imo State, Nigeria
Authors: Dike-Ndudim Joy Nkeiruka , Nnadiobi Chidinma , Ndubueze Chizaram Winners , Chinecherem Ndudim Victor 
Published: March 2022

The assessment of the microbiological status of samples of yoghurt sold in Owerri, Imo state, Nigeria, was carried out to ascertain the microbiological fitness of the yoghurt samples for consumption. The yoghurt samples were collected from areas spanning three local governments in Owerri. Ten samples of commercial brands of yoghurt drinks was collected and analyzed bacteriologically by pour plate method using Nutrient Agar for heterotrophic bacteria, MacConkey Agar for total coliform and MacConkey Broth for fecal and thermo-tolerant coliform bacteria by Most Probable Number (MPN) technique and mycologically on Sabouraud dextrose Agar for fungi. Data from analysis were analyzed using ANOVA. Determination of the pH of the yoghurt samples was done and the results showed that the pH values ranged from 4.28 to 4.79. the results of the total heterotrophic bacteria count were from 5.07.1bc to 9.07.1a×105CFU/ml, while the total coliform bacteria ranged from 1.70.5ab to 3.61.2ab×104CFU/ml and the thermo-tolerant coliform bacteria ranged from 11 to 120(MPN) 100-1. The total fungal count ranged from 2.91.6b to 10.33.6a×104CFU/ml. The pH determination revealed that the isolates are acidophile because the pH of the yoghurt samples were in the acidic range. There was a significant difference at P >0.05 and the difference were separated using the least significant difference (LSD). Five bacterial isolates were identified included: Staphylococcus aureus, Escherichia coli, Streptococcus spp., Lactobacillus bulgaricus and Serratia marcesecens. The fungal genera identified were Candida albicans, Aspergillus niger, Mucor spp. and Saccharomyces cerevisiae. The isolation of both fungal and bacterial organisms known to be enteric pathogens is suggestive of faecal contamination and by implication a serious public health problem due to the health hazards they pose to consumers. The result of this study therefore indicated poor Microbiological qualities of commercial yoghurts sold in Owerri at the time of this research. Therefore, the attention of the appropriate government agencies is needed to ensure that adequate hygiene is maintained during preparation, processing, storage and distribution of high quality yoghurt products to avert public health challenges.
Reduction of Harmonics in Power Lines Using Finite Impulse Response Filter
Authors: Atuchukwu A. J. , Uju I. U. , Ugwu Efoke, Matthew 
Published: March 2022

This work focused on reduction of harmonics in Power lines using finite impulse response filter. Since the rising usage of power electronic devices sensitive to harmonics, which has resulted in a growth in the number of adverse harmonic-related occurrences, network harmonic investigations have become a major concern in electric power systems. The problem of power quality and how to control it is becoming more of a concern. Power quality difficulties have arisen as a result of the connection of nonlinear loads in the network, resulting in widespread waveform distortion. The harmonic analysis was based on bus bar voltage solutions acquired from a power flow study on the Electricity Distribution Company's power distribution network at the Onitsha TCN work centre. The focus of this work was on the use of active power filter in reducing the harmonics by generating compensation signal by the active filter (APF) for the reduction of harmonic distortion as well as enhancing the system’s power factor. A system model to reduce harmonics in power line by using FIR filter to generate compensation signals and switching pulses for the active filter was modeled and the performance of the FIR filter using Matlab/Simulink environment was compared with the performance without filter. The sending and receiving end bus bar voltages were derived from the power flow analysis and used in the simulation. Harmonic results without filter and with filter were shown and it shows that the use of FIR active filter which has improved advantages over the conventional passive filters in mitigating harmonics was able to reduce the harmonics from 17.77% to 0.87% which is 16.9% ( 95% reduction) thereby improving the current, voltage and power factor (pf) of the system. Reduction of harmonics reduced disturbances that usually cause equipment overheating and deterioration of the performance of electronic equipment; hence the performances of the electronic equipment greatly improved leading to economic benefits.
Airway Management: A Case of Desmoplastic Ameloblastoma of Right Mandibular Body
Authors: Bhuyan Deepjit , Chandak Aruna V. , Chandak Vijay , Ninave Dr.Sanjot , Verma Neeta 
Published: March 2022

Background- Desmoplastic ameloblastoma (DA) is an uncommon variety of ameloblastoma that accounts for 4–13% of all cases, with notable differences in anatomical location, imaging, and histologic appearance. It is classified as a variety of ameloblastoma in the WHO classification of head and neck tumours (WHO-2005). Because it commonly occurs in the anterior region of the jaws as a mixed radio-opaque-radiolucent lesion, the tumour resembles a benign fibro-osseous lesion.
Case report- We present a case of desmoplastic ameloblastoma in a 51-year-old female with a painless swelling in the lower right region of mandible. Fine needle aspiration revealed no fluid. Both panoramic radiographs and a computed tomography scan revealed a mixed lesion with a multilocular appearance. Desmoplastic ameloblastoma was confirmed after an incisional biopsy. From teeth 41 to the angle of the jaw, a composite resection of the lesion was performed with segmental mandibulectomy. With a peek implant, it was repaired. The possibility for a problematic airway is emphasised in this case, with great surgical results.
Conclusion: Desmoplastic ameloblastoma is a kind of ameloblastoma with unique clinic radiographic and histologic characteristics. Despite its rarity, the tumour necessitates a thorough examination due to the challenges it poses with airway ventilation and intubation.
Comparing Spot Urine Protein: Creatinine Ratio 24-Hour Urinary Protein Estimation in Type 2 Diabetes Mellitus Patients
Authors: Nazia Shafaq , Shaikh Farazul Haque , Ameer Nasrullah , Abbasi Anwar Hussain , Razzaq Atiya , Ahsan Maryam , Atique Anum 
Published: March 2022

Background & Objective: A simple blood test (urea and creatinine) and a urine test may indicate renal function deterioration and presence of microalbuminuria, which is also the first clinical signs of renal dysfunction in patients with diabetes mellitus. This cost effective test easy to perform even in the absence of advance facilities in a hospital. That is why we planned to conducted this study to assess the comparison between of spot urine protein:creatinine ratio with 24-hour urinary protein in patients with type 2 diabetes mellitus.
Materials and Methods: This prospective hospital based clinical study was conducted in the Department of General Medicine, Liaquat University of Medical & Health Sciences, Jamshoro, over a period of six months from 10th May 2018 to 9th November 2019 through a consecutive sampling technique. All the patients having age more than 18 years of both gender, and type 2 diabetes mellitus were enrolled in this study. Three cc blood was taken to determine the serum creatinine levels and twenty-four hour 2ml urine sample was also collected to determine the urinary protein levels. The proteinuria ≥300mg/dl in 24-hour urine sample was considered as significant proteinuria. Kappa statistics was used to find agreement between spot urine protein and 24 hours urinary protein.
Results: A total 95 patients were evaluated and their mean age was 41.91±14.29 years, with male predominance (n = 66, 69.4%). Average 24 hour urinary protein was 1216.99±949.51mg and spot-urine evaluation of protein was 1919.12±2129.25mg. The agreement between spot urinary protein creatinine ratio and 24 hour urinary protein was found in 82.1% of cases through Kappa statistics and the calculated agreement between the two procedures was 0.975 which provides sufficient agreement to use spot urine protein:creatinine ratio in routine diagnosis of proteinuria.
Conclusion: The study have shown that the protein:creatinine ratio for a random urine sample might be used to rule out the presence of significant proteinuria as defined by a quantitative measure of the 24-hour urine protein excretion.
Trans-fistula Anorectoplasty (TFARP) in the Management of Anorectal Malformation (ARM) with Recto Vestibular Fistula (RVF) in Females: A Retrospective Study
Authors: Qureshi Mumtaz Ahmed , Sumaira . , Khokhar Iqra Rafique , Aslam Iqra , Larik Sobia , Chohan Muhammad Nadeem 
Published: March 2022

Aim: To determine the outcome of trans-fistula anorectoplasty (TFARP) in female children having anorectal malformation with recto-vestibular fistula.
Study Design: A retrospective study.
Place and Duration: Department of pediatric surgery during the period of February 2018 to February 2020.
Methodology: A total of 87 female children who have imperforate anus with recto-vestibular fistula from the age of 3 months to 6 years were included in this study. Initially, we have started this technique with the covering sigmoid colostomy, then TFARP after 12 weeks interval & once new anus healed and hegar dilatation achieved then sigmoid colostomy closed after 24 weeks of the first procedure. When we were experienced then we start TFARP as a single-stage procedure. Post-operative data regarding early complications of local wound infections, prolapse of the rectal mucosa, and late complications for anal stenosis, rectal prolapse, and scarring in the perineal body were collected up to 2-3 months respectively.
Results: A total of 87 patients were included in this study. The average operative time was 40 minutes. The total days of hospital stay were 3 to 5 days. Regarding early complications, skin excoriation was present in 21 (24%) followed by vaginal tear in 17 (19%) cases. Mucosal prolapse was a late complication observed in 17 (20%) cases. Continence was good (Score 0) in 33 (38%) cases, while it was fair (score 1) in 36 (41%) cases.
Conclusion: Primary repair of recto-vestibular fistula by Trans-fistula anorectoplasty in children is a feasible procedure that has a good cosmetic appearance and anal continence. Single-stage reconstruction is possible in children with satisfactory results. It produces less morbidity and is a more efficient procedure.
The Impact of Bariatric Surgery on the Pharmacokinetic Behaviors of Orally Administered Drugs
Authors: Ahmed Ahmed , Heyam Ali S. , Elhassan Gamal O. , Abdelhameed Hifny , Alhoufie Sari T. S. , Alqahtani Saad S. , Alfarouk Khalid O. 
Published: March 2022

Bariatric surgery is considered an appropriate method in cases of obesity, such as severe or comorbidities obesity. However, the number of patients requiring bariatric surgery is growing constantly and rapidly. Opposing that, the anatomical modifications of the gastrointestinal tract often lead to a significant alteration in the pharmacokinetics of orally administered drugs in terms of absorption of drugs and the bioavailability of oral medications required after the surgery. The current study investigates the correlation between reduced body mass following bariatric surgery and the bioavailability of orally administered drugs. Therefore, it is required to warrant through clinical studies that help establish guidelines related to common oral drugs prescribed and monitor the medications that exhibit a small therapeutic window that should be assessed, excluding the clinical endpoint. Furthermore, the use of pharmacokinetic modeling based on a mechanical method to simulate the multivariate nature observed while changes occur during the exposure of drugs will help to serve as an essential tool to understand further the trends in oral exposure of drugs in postoperative cases develop practical clinical guidance.
Ring‐Opening Metathesis Polymerization: Mechanisms
Authors: Herz Katharina , Elser Iris , Buchmeiser Michael R. 
Published: March 2022

AbstractThis article covers the basic principles of modern, well‐defined group 6 and group 8 metal alkylidene catalysts and their use in ring‐opening metathesis polymerization (ROMP). In this context, the expression “well‐defined” refers to catalytic systems that are characterized by a uniform and stoichiometric composition and for which the actual propagating species is well known and characterized. Such catalysts allow for the controlled, sometimes living, ROMP, which is of advantage for a variety of purposes. Generally, one particularity of ROMP is the formation of eithercis‐ ortrans‐double bonds along the polymer chain. Their formation during ROMP is strongly related to the catalyst used. In addition, tactic ROMP‐derived polymers are accessible. The influence of the alkylidene configuration and chirality of the catalysts on the microstructure of the resulting polymers as well as the different mechanisms that lead to tactic structures are outlined.