bluuebunny/crossref_metadata_2025_split huggingface dataset:
Blood Pressure Profile, Prevalence of Hypertension and Associated Familial Factors in School Children in Accra, Ghana
Authors: Afaa T J , Seneadza NAH , Ameyaw E , Rodrigues OP 
Published: April 2022

Background:
Essential hypertension, which is hypertension without a known cause, runs in families. Children from families with hypertension are likely to have a higher blood pressure than children from normotensive families.

Aim:
The aim of this study was to find the prevalence of hypertension and the associated family risk factors for hypertension in the school children.

Patients and Methods:
This prevalence study was conducted in six first-cycle schools in Accra, Ghana. School children between the ages of five to fourteen years were recruited into the study. A questionnaire, which gathered information on demographic data, family history, and risk factors associated with childhood hypertension and the child's clinical data, was used. An average of three blood pressure readings with an automated sphygmomanometer and height measurement was taken for each child. Blood pressure was categorized as normal, pre-hypertension, and hypertension using the Centers for Disease Control and Prevention (CDC) reference charts.

Results:
A total of 600 school children comprising 358 (59.7%) females and 242 (40.3%) males were studied. Fifty-one (8.5%) school children had elevated blood pressure. Of these, 15 (2.5%) had hypertension, while 36 (6.0%) had pre-hypertension. Two hundred and thirty-eight participants had a family history of risk factors for hypertension. Twenty-five (10.5%) children with risk factors (family history of hypertension, diabetes mellitus, obesity, stroke) had elevated blood pressure (BP) compared to 7.2% of those without risk factors.

Conclusion:
Urgent positive lifestyle transformations, which should start from school to reduce the incidence of hypertension in children.
Effect of Spinal Anesthesia on QT Interval
Authors: Adedapo AM , Bolaji BO , Adegboye MB , Kolo PM , Ogunmodede JA , Suleiman ZA , Adedapo OO , Jimoh OS 
Published: April 2022

Aim:
This study aimed to compare the effect of spinal anesthesia on QT interval in severe pre-eclamptic and normotensive parturients who underwent cesarean section in a Nigerian tertiary hospital.

Patients and Methods:
Twelve-lead electrocardiogram (ECG) was obtained before, and at intervals after spinal anaesthesia on fifty severe pre-eclamptic (Group A) and fifty normotensive parturients (Group B) who underwent caesarean section. The effect of spinal anaesthesia on QT interval was compared.

Results:
The preoperative (baseline) mean QT interval was longer in group A than in group B; 453.10 ± 34.11 ms versus 399 ± 18.79 ms, P < 0.001. The prevalence of prolonged QT interval in the severe pre-eclamptic group before spinal anesthesia was 80% while in the normotensive group it was 0%, P < 0.001. At 5, 30, 60, and 120 min after the establishment of spinal anesthesia, the mean QT interval in the severe pre-eclamptic group was shortened and maintained within normal limits; 414.74 ± 28.05, 418.28 ± 30.95, 411.18 ± 19.21 and 401.36 ± 17.52 ms with P < 0.001 throughout. In the normotensive group, there was no significant change in the mean QT interval.

Conclusions:
This study demonstrated that the QT interval was more prolonged among the severe pre-eclamptic parturients. Spinal anesthesia using 0.5% hyperbaric bupivacaine normalized the QT interval and maintained it within normal limits during the study period.
Our Surgical Experience in Traumatic and Congenital Diaphragmatic Hernia
Authors: Başol Ö , Bilge H 
Published: April 2022

Background and Aim:
Diaphragmatic hernias can develop congenitally or secondary to trauma. Congenital diaphragmatic hernias occur with Bochdalek hernia and Morgagni hernia (MH). In this study, we aimed to present laparoscopic and open surgical treatment for traumatic and congenital diaphragmatic hernias, and complications and length of hospital stay in the light of the literature.

Patients and Methods:
Twenty-two patients who were diagnosed with diaphragmatic hernia between January 2013 and January 2020 in our clinic were examined retrospectively in terms of demographic features, clinical and radiological findings, and length of hospital stay.

Results:
The complaints of the patients diagnosed with diaphragmatic hernia were often abdominal pain, shortness of breath, early satiety, nausea, vomiting, and abdominal distention. The mean age of the patients was 54 (19–88) years. Sixteen patients were females and six were males. Two patients were operated due to stab injury, six patients were operated due to ileus, and the remaining fourteen patients were operated due to congenital diaphragmatic hernia. Eight patients were operated under emergency conditions. The remaining patients were operated under elective conditions. The average hospital stay was 6(3-15) days. The length of hospital stay of those who underwent laparoscopic surgery was 4 (3–5) days. No patient had an exitus. All patients were discharged with healing. This rare pathology should be remembered especially in patients presenting with acute abdominal complaints accompanied by respiratory complaints.

Conclusion:
We think that cases with MH detected incidentally should be operated laparoscopically before becoming complicated.
Covid-19 and orthodox healthcare facilities and professionals in Lagos State, Nigeria: Challenges and lessons for the future
Authors: Owolabi Ayeni Amidu , Gbenga Aborisade Adeshina 
Published: April 2022

Coronavirus is a viral infection that has spread across the globe at an alarming rate. The cases were worsened by the limited epidemiological knowledge about the disease and initial lack of vaccination. This research assessed the scourge of COVID-19 in the context of Nigeria’s orthodox healthcare facilities and professionals, the challenges and lessons for the future using the International-Health-Regulations (IHR) Preparedness-framework. The assessment involved gauging the performance of selected indexes namely detect, report, respond, enabling-function, and operational-readiness of Lagos-State healthcare facilities. The IHR for State Party self-assessment annual reporting (IHR-SPAR) tool was adapted into a questionnaire via Google-form and the link generated was shared on the WhatsApp-platform of the healthcare-workers of randomly selected healthcare facilities in the three Senatorial-Districts of the State. 210 respondents were targeted for COVID-19 related information but only 157 responded. The data obtained were processed using Arithmetic-mean as suggested by the adopted methodology. Findings showed that Lagos-State has a level-3 capacity across the five-indexes which include detect-capacity (41.94%), report-capacity (45.41%), respond-capacity (45.77%), enabling-function (45.99%) and operational-readiness (44.78%). Findings also revealed that some of the challenges encountered in managing COVID-19 are perennial, thus, the research recommends that decision making during emergencies should be based on important demographics and that specific indicators require revamping to bring the needed improvement to the sector.
Prideľovaná ošetrovateľská starostlivosť vo vybraných nemocniciach na Slovensku
Authors: Kurucová Radka , Pitoňáková Júlia , Žiaková Katarína 
Published: April 2022

Východiská: Prideľovanie ošetrovateľskej starostlivosti je definované ako nezabezpečenie všetkých nevyhnutných ošetrovateľských činností z dôvodu nedostatku zdrojov (personálnych, časových, materiálnych). Sestry sú nútené obmedzovať, minimalizovať alebo vynechať niektoré ošetrovateľské činnosti, čím zvyšujú riziko negatívnych výsledkov u pacientov.
Cieľ: Zistiť úroveň prevalencie prideľovanej ošetrovateľskej starostlivosti vo vybraných zdravotníckych zariadeniach na Slovensku.
Súbor a metodika: Výskumnú vzorku tvorilo 94 sestier z nemocníc v Kežmarku, v Levoči a v Poprade. Zber údajov bol realizovaný prostredníctvom dotazníka PIRNCA (Perceived Implicit Rationing of Nursing Care). Na vyhodnotenie empirickej časti bola použitá deskriptívna a induktívna štatistika.
Výsledky: Najvyššie skóre v rámci jednotlivých položiek dotazníka PIRNCA dosiahli sestry v položke Nemohol/a som viesť dôležitý rozhovor s ďalším členom multidisciplinárneho tímu ohľadom starostlivosti pacienta. Naopak najnižšie skóre dosiahli v položke Nemohol/a ste vykonať bežnú starostlivosť o kožu pacientov a v položke Nemohol/la ste vykonať ošetrenie rany (vrátane preväzu) podľa predpisu lekára/štandardu oddelenia. V našej štúdii sme potvrdili štatisticky významné rozdiely medzi prideľovanou starostlivosťou a pracovným zaradením sestier a štatisticky významný vzťah medzi prideľovanou starostlivosťou a celkovou spokojnosťou sestier.
Záver: Najčastejšie vyskytujúcimi sa faktormi, ktoré prispievajú ku vzniku prideľovanej ošetrovateľskej starostlivosti je nedostatok sestier a pomocného personálu, neefektívne delegovanie úloh starostlivosti a zvyšujúca sa pracovná záťaž, čím dochádza k výskytu fenoménu implicitne prideľovanej starostlivosti. Je potrebné venovať viac pozornosti tomuto fenoménu a preskúmať stav kvality a bezpečnosti poskytovanej zdravotnej starostlivosti, aby sa vyvinuli účinné opatrenia na riešenie tohto problému.
Kuasa Politik Ilmu Komunikasi di Indonesia
Authors: Marzuki Edy , Sugeng Widiarto Didik , Wahyudi Muhtar , Bambang Moertijoso R. 
Published: April 2022

Tulisan ini berusaha untuk menunjukkan, bahwa setiap dinamika ilmu pengetahuan amat berhubungan secara kompleks interdependensi dengan dinamika sosial politik dimana i1mu pengetahuan itu hidup dan berkembang. Sejak kelahirannya pada tahun 1948 tumbuh kembangnya pada era 70-an dan detail kritik pada era 90-an hingga sekarang dinamika dan perkembangan ilmu komunikasi tentu tak lepas dari aspek-aspek wacana dan kuasa yang melingkupinya. Perkembangan i1mu komunikasi di Indonesia dalam dinamika perkembangannya diwarnai oleh perdebatan dan fragmentasi dari kubu-kubu pemikiran paradigmatik. Paradigma positivis dalam i1mu komunikasi dapat berkembang pesat di Indonesia karena sesuai dengan paradigma pembangunan (modernisasi). Paradigma kritis pada mulanya sulit berkembang di Indonesia karena posisi ideologisnya berlawanan dengan ideologi penguasa. Penerimaannya menjadi luas seiring dengan berkembangnya demokratisasi masyarakat.

kuasa, paradigma, ilmu komunikasi, positivisme
Analisis Yuridis Terhadap Pengelolaan Investasi Pada Perusahaan Asuransi Jiwa
Authors: Santoso Dasuki , Helvis Helvis , Markoni Markoni 
Published: April 2022

Masalah penelitian ini adalah bagaimana pengelolaan investasi yang dilakukan oleh perusahaan PT. Asuransi Jiwasraya (Persero) menurut Peraturan Otoritas Jasa Keuangan (POJK) yang berlaku dan peran negara dalam memberikan jaminan kepastian hukum terhadap nasabah PT. Asuransi Jiwasraya (Pesero). Dalam penelitian ini menggunakan metode penelitian yuridis normatif dan yuridis empiris dengan mengacu kepada norma-norma hukum dalam peraturan perundang-undangan dan pengelolaan investasi yang dilakukan perusahaan Asuransi Jiwasraya. Penelitian bersifat deskriptif analitis dengan menguraikan pengelolaan investasi yang dilakukan dan yang terjadi pada perusahaan Asuransi Jiwasraya, yang dikaitkan dengan teori, praktik, dan peraturan perundang-undangan yang berlaku. Dengan penelitian ini, diharapkan Otoritas Jasa Keuangan sebagai regulator melakukan reformasi terhadap industri Asuransi. Hal tersebut dapat menimbulkan suatu permasalahan yakni: Pertama, apa makna perjudian dan pertaruhan dalam bidang usaha Perseroan Terbatas; Kedua, apakah pengaturan perjudian dan pertaruhan terkait dengan bidang usaha Perseroan Terbatas tidak bertentangan dengan prinsip kepastian hukum; Ketiga, bagaimana pengaturan kedepan agar akta Notaris tentang pendirian Perseroan Terbatas dengan bidang usaha perjudian dan pertaruhan tidak bertentangan dengan prinsip kepastian hukum. Penelitian ini merupakan penelitian yuridis normatif. Hasil penelitian ini menyimpulkan bahwa Pertama, perjudian dan pertaruhan merupakan permainan untung-untungan dengan mempertaruhkan sejumlah uang yang tidak pasti hasilnya. Bidang usaha perjudian dan pertaruhan yang dijalankan oleh Perseroan Terbatas terjadi karena adanya kehendak dari pendiri Perseroan Terbatas dan adanya peluang untuk bermain judi yang dapat dijadikan sebagai pencaharian. Bila Perseroan Terbatas tersebut melakukan wanprestasi pemain judi tidak dapat menuntut haknya. Kedua, pengaturan bidang usaha perjudian dan pertaruhan dalam Peraturan Badan Pusat Satistik No. 2 Tahun 2020 tentang Klasifikasi Baku Lapangan Usaha Indonesia (KBLI) bertentangan dengan prinsip kepastian hukum karena tidak memperhatikan ketentuan khusus yang mengatur tentang perjudian dan pertaruhan dan tidak mencerminkan nilai-nilai Pancasila dan Undang-Undang Dasar 1945. Ketiga, pengaturan kedepan terhadap bidang usaha perjudian dan pertaruhan harus memperhatikan 3 (tiga) tujuan hukum yakni keadilan kemanfaatan dan kepastian hukum dengan cara dihapuskan bidang usaha perjudian dan pertaruhan dalam KBLI dan harus adanya regulasi terhadap penentuan bidang usaha yang ada dalam KBLI.
PENGARUH FASILITAS, PEMATERI DAN KUALITAS PELAYANAN TERHADAP KEPUASAN PESERTA DIKLAT
Authors: Diharja Eka Sastra Jaya 
Published: April 2022

Penelitian ini bertujuan untuk mengetahui adanya pengaruh fasilitas, pemateri dan kualitas pelayanan terhadap kepuasan peerta diklat di Balai Diklat Pekerjaan Umum dan Perumahan Rakyat Surabaya. Penelitian ini menggunakan teknik Simpel Random sampling sejumlah 100 orang yang dikumpulkan dengan menggunakan kuesioner serta diharapkan mewakili seluruh peserta diklat pada tahun 2019. Penelitian ini menggunakan tiga variabel independen dan satu variabel dependen. Variabel independen yang di gunakan yaitu pengaruh fasilitas, pemateri dan kualitas pelayanan sedangkan variabel dependenya adalah kepuasan peserta diklat. Analisis data menggunakan regresi linier berganda.Hasil penelitian menunjukan bahwa fasilitas, pemateri dan pelayanan berpengaruh positif dan signifikan terhadap kepuasan peserta diklat di Balai Dillat PUPR Surabaya baik secara prsial maupun secara simultan. Kata Kunci : pengaruh fasilitas, pemateri dan kualitas pelayanan dan kepuasan peserta diklat
PENGARUH KUALITAS PELAYANAN, PROMOSI DAN LOKASI TERHADAP KEPUTUSAN PEMBELIAN DI TOKO HANDPHONE
Authors: Ramadani Mohammad 
Published: April 2022

Secara garis besar penelitian ini bertujuan untuk mengetahui pengaruh kualitas pelayanan, promosi dan lokasi terhadap keputusan pembelian handphone di Las Vegas Mobile Store Plasa Marina Surabaya. Penelitian ini merupakan penelitian eksplanasi yang dilakukan bulan juni hingga juli 2019.Populasi dalam penelitian ini adalah pelanggan yang pernah membeli handphone di Las Vegas Mobile Store Plasa Marina Surabaya. Adapun Sampel diambil dalam penelitian ini dengan teknik accidental sampling dan data di kumpulkan menggunakan kuisioner yang berjumlah 97 responden. Teknik analisis data menggunakan regresi berganda. Adapun hasil dari penelitian ini adalah (1) kualitas pelayanan tidak berpengaruh secara signifikan terhadap keputusan pembelian handphone di Las Vegas Mobile Store Plasa Marina Surabaya (2) promosi tidak berpengaruh secara signifikan terhadap keputusan pembelian handphone di Las Vegas Mobile Store Plasa Marina Surabaya (3) lokasi berpengaruh secara signifikan terhadap keputusan pembelian handphone di Las Vegas Mobile Store Plasa Marina Surabaya (4) kualitas pelayanan , promosi dam lokasi secara simultan berpengaruh terhadap keputusan pembelian handphone di Las Vegas Mobile Store Plasa Marina Surabaya. Kata Kunci: Kualitas Pelayanan, Promosi, Lokasi dan Keputusan Pembelian
The MOPITT Version 9 CO product: sampling enhancements and validation
Authors: Deeter Merritt , Francis Gene , Gille John , Mao Debbie , Martínez-Alonso Sara , Worden Helen , Ziskin Dan , Drummond James , Commane Róisín , Diskin Glenn , McKain Kathryn 
Published: April 2022

Abstract. Characteristics of the Version 9 (V9) MOPITT (Measurements of Pollution in the Troposphere) satellite retrieval product for tropospheric carbon monoxide (CO) are described. The new V9 product includes many CO retrievals over land which, in previous MOPITT product versions, would have been discarded by the cloud detection algorithm. Globally, the number of daytime MOPITT retrievals over land has increased by 30 %–40 % relative to the Version 8 product, although the increase in retrieval coverage exhibits significant geographical variability. Areas benefiting from the improved cloud detection performance include (but are not limited to) source regions often characterized by high aerosol concentrations. The V9 MOPITT product also incorporates a modified calibration strategy for the MOPITT near-infrared (NIR) CO channels, resulting in greater temporal consistency for the NIR-only and thermal-infrared–near-infrared (TIR–NIR) retrieval variants. Validation results based on in situ CO profiles acquired from aircraft in a variety of contexts indicate that retrieval biases for V9 are typically within the range of ±5 % and are generally comparable to results for the V8 product.
Technical note: Incorporating expert domain knowledge into causal structure discovery workflows
Authors: Mäkelä Jarmo , Melkas Laila , Mammarella Ivan , Nieminen Tuomo , Chandramouli Suyog , Savvides Rafael , Puolamäki Kai 
Published: April 2022

Abstract. In this note, we argue that the outputs of causal discovery algorithms should not usually be considered end results but rather starting points and hypotheses for further study. The incentive to explore this topic came from a recent study by Krich et al. (2020), which gives a good introduction to estimating causal networks in biosphere–atmosphere interaction but confines the scope by investigating the outcome of a single algorithm. We aim to give a broader perspective to this study and to illustrate how not only different algorithms but also different initial states and prior information of possible causal model structures affect the outcome. We provide a proof-of-concept demonstration of how to incorporate expert domain knowledge with causal structure discovery and remark on how to detect and take into account over-fitting and concept drift.
Floating wind turbines: marine operations challenges and opportunities
Authors: Chitteth Ramachandran Rahul , Desmond Cian , Judge Frances , Serraris Jorrit-Jan , Murphy Jimmy 
Published: April 2022

Abstract. The global floating offshore wind energy industry is rapidly maturing, with several technologies having been installed at pilot and demonstration scales. As the industry progresses to full array-scale deployments, the optimization of marine activities related to installation, operation and maintenance, and decommissioning presents a significant opportunity for cost reduction. This paper reviews the various marine operations challenges towards the commercialization of floating wind in the context of spar-type, semi-submersible and tension leg platform (TLP) technologies. Knowledge gaps and research trends are identified along with a review of innovations at various stages of development, which are intended to widen weather windows, reduce installation costs, and improve the health and safety of floating-wind-related marine operations.
Wirkungen & Einflüsse externer Schulentwicklungsberatung auf Schulentwicklungsaktivitäten
Authors: Bauer Daniela , Schwarz Johanna E. 
Published: April 2022

Qualitätssicherung von Schulen immer mehr in das Bewusstsein schulisch Handelnder. Mit dem Projekt „Grundkompetenzen absichern“ (GRUKO) des BMBWF wurde jenen Schulen eine mehrjährige Beratung verordnet, deren letzte Bildungsstandardsergebnisse unter den Erwartungen gelegen hatten. Damit war eine Chance für fundierte und nachhaltige Qualitätsentwicklung mit Hilfe professioneller Begleitung gegeben. Eine qualitativ angelegte Studie untersucht, welche kurz- und längerfristigen Wirkungen (Output und Outcomes) nach Beendigung des Beratungsprozesses von Schulleitungen benannt werden können und welche Einflussfaktoren dabei eine Rolle gespielt haben. Aus Schulleitungsperspektive präsentiert sich der größte bzw. nachhaltigste Mehrwert aus der GRUKO-Schulentwicklungsberatung für die Organisationsentwicklung ihrer Schulen, z.B. durch das Erleben und Gestalten des strukturierten Ablaufes eines Schulentwicklungsprozesses oder die Einrichtung von Steuergruppen. Im Weiteren nennen die Schulleitungen verschiedene bedeutsame Einflussfaktoren für einen erfolgreichen Beratungsprozess, wobei aus ihrer Sicht eine positive und offene Haltung aller Beteiligten gegenüber Schulentwicklung und externer Beratung am wichtigsten ist. Diese Studie ist ein Teilprojekt des Forschungsprojekts „Externe Beratung als Unterstützungsinstrument für Schulentwicklung“ an der Pädagogischen Hochschule Niederösterreich.
BUREBISTA, THE DEFENDER AND UNIFIER OF THE DACIANS
Authors: STRECHIE Mădălina 
Published: April 2022

Burebista was the founder of a genuine empire of the Dacians north of the Danube, not only the first unifier of the Dacians who coagulated them in a state, with a centre of power, with laws and a common religion, but more than that, Burebista was the first of all Thrac
Burebista was the founder of a genuine empire of the Dacians north of the Danube, not only the first unifier of the Dacians who coagulated them in a state, with a centre of power, with laws and a common religion, but more than that, Burebista was the first of all Thracians to succeed in founding a true regional power in the vast world of European antiquity. The brilliant statesman is a model of European leader, being even equal to Caesar, because he defeated the Celts/Gauls like the great Roman general and politician. Burebista defended the borders of all Dacians by stopping the great Celtic/Gallic migration, transforming the Dacian territories into a Dacian Island, strong and unitary, the Celtic/Gallic wave flowing far south of the Danube, far from the border of Burebista's Dacia. The Dacian state of Burebista was created by the military and reforming capacity of the creator, who bequeathed the ideal of unity to this Carpathian-Danubian-Pontic space, proving by his deeds and his imperial creation that power and defence always stand in unity.
ians to succeed in founding a true regional power in the vast world of European antiquity. The brilliant statesman is a model of European leader, being even equal to Caesar, because he defeated the Celts/Gauls like the great Roman general and politician. Burebista defended the borders of all Dacians by stopping the great Celtic/Gallic migration, transforming the Dacian territories into a Dacian Island, strong and unitary, the Celtic/Gallic wave flowing far south of the Danube, far from the border of Burebista's Dacia. The Dacian state of Burebista was created by the military and reforming capacity of the creator, who bequeathed the ideal of unity to this Carpathian-Danubian-Pontic space, proving by his deeds and his imperial creation that power and defence always stand in unity.