bluuebunny/crossref_metadata_2025_split huggingface dataset:
Antimicrobial Resistance Profile of Bacteria Causing Pediatric Infections at the University Teaching Hospital in Rwanda
Authors: Munyemana Jean Bosco , Gatare Bright , Kabanyana Pauline , Ivang Andrew , Mbarushimana Djibril , Itangishaka Innocent , Niringiyumukiza Jean Damascene , Musoni Emile 
Published: October 2022

ABSTRACT.
Bacterial infections pose a global threat, especially in the pediatric population. Antimicrobials that are used to treat such infections continuously show reduced efficacy, and empirical therapy is a major treatment option in Rwanda. This study aimed to determine the resistance rate of commonly used antibiotics in pediatric patients. The study was conducted from June 1, 2018 to May 30, 2019, and microbiological samples were collected from 712 children with suspected bacterial infections. Antimicrobial sensitivity testing was performed on 177 positive cultures (24%) that were considered for data analysis. The findings show that the major bacterial isolates were Klebsiella pneumoniae (n = 50, 28.2%), Escherichia coli (n = 47, 26.5%), and Staphylococcus aureus (n = 38, 21.4%). In general, the greatest antibiotic resistance rate was observed in ampicillin (n = 125, 86.2%), amoxicillin–clavulanic acid (n = 84, 82.4%), amoxicillin (n = 64, 79%), cefadroxil (n = 83, 69.2%), tetracycline (n = 72, 59.7%), ceftazidime (n = 42, 55.3%), and cefuroxime (n = 14, 53.8%). More specifically, Klebsiella pneumoniae was 100% resistant to amoxicillin-clavulanic acid, cefuroxime, trimethoprim–sulfamethoxazole, ceftazidime, erythromycin, and clindamycin. Staphylococcus aureus was 86.7% resistant to ampicillin, and Escherichia coli was 91.7% resistant to tetracycline, 90.6% resistant to ampicillin, 83.3% resistant to amoxicillin–clavulanic acid, 79.3% resistant to cefadroxil, and 78.6% resistant to ceftazidime. Moreover, Klebsiella pneumoniae from blood and urine was 96.8% and 100% sensitive, respectively, to meropenem. Staphylococcus aureus from blood was 100% sensitive to vancomycin, whereas Escherichia coli from urine was sensitive to clindamycin (100%), nitrofurantoin (80.6%), and ciprofloxacin (72.7%). In conclusion, our findings show a high resistance rate to commonly used antibiotics, which suggests precaution in empirical therapy and continued surveillance of antimicrobial resistance.
Does Calcified Neurocysticercosis Affect Migraine Characteristics and Treatment Responsiveness? A Case–Control Study
Authors: Sharma Kamini , Uniyal Ravi , Garg Ravindra Kumar , Verma Rajesh , Paliwal Vimal Kumar , Malhotra Hardeep Singh , Sharma Praveen Kumar , Kumar Neeraj , Pandey Shweta , Rizvi Imran 
Published: October 2022

ABSTRACT.
Recently, inflammation and free-radical release has been described in the surrounding brain parenchyma of seemingly inert calcified lesions of neurocysticercosis. These free radicals can induce migraine by stimulating calcitonin gene-related peptide release. This stipulated mechanism led us to hypothesize that calcified neurocysticercosis may increase migraine severity. This case–control study included patients (migraine with calcified neurocysticercosis) and control subjects (migraine without calcified neurocysticercosis) in a 1:1 ratio. Headache frequency, visual analog scale (VAS) score, and Migraine Disability Assessment (MIDAS) score were assessed at baseline and at the end of 3 months. To compare treatment responsiveness between patients and control subjects, we treated both groups identically so that difference in treatment would not confound the results. Each group comprised 78 patients. Baseline headache frequency (11.3 ± 3.3 versus 7.9 ± 3.4), VAS score (7.5 ± 1.1 versus 6.0 ± 1.2), and MIDAS score (15 ± 7.6 versus 9.6 ± 4.5) were significantly greater in patients than control subjects. Interestingly, the change from baseline to the end of 3 months in headache frequency (6.0 ± 1.7 versus 2.8 ± 1.4), VAS score (2.6 ± 0.02 versus 1.4 ± 0.01), and MIDAS score (8.3 ± 5.0 versus 3.6 ± 2.0) were significantly greater in patients than control subjects. Our study emphasizes that calcified lesions of neurocysticercosis are not inert, and cause an increase in the frequency and severity of migraine attacks. Interestingly, these patients also showed a better response to treatment with amitriptyline, possibly resulting from its anti-inflammatory action. Further studies are warranted to explore possible inflammatory mechanisms in calcified neurocysticercosis, which influences migraine physiology.
AO Reconstruction Plate as Buttressing for Greater Trochanter in Hemiarthroplasty Procedure
Authors: Hidayat Luthfi , Robby Triangga Aditya Fuad , Magetsari Rahadyan 
Published: October 2022

INTRODUCTIONThe trend of intertrochanter fractures has gradually increased leading to a high frequency of difficulties and damage as the result of the increased age and risk factors. Accordingly, the aim of stable fixation in these fractures is designed with appropriate surgical procedures and patient care. The contribution of a stable fixation is due to several considerations including fracture shape and assurance, bone quality, comminution pattern, implant choice, and surgical technique. This study aimed to assess the functional outcomes of the patients with an intertrochanteric fracture who underwent hemiarthroplasty with AO recon as buttressing.MATERIALS AND METHODSThis was a case series study conducted in Gadjah Mada University Academic Hospital in Yogyakarta from July 2017 to August 2018. Patients with Evans unstable intertrochanteric femoral fractures who underwent simultaneous bipolar hemiarthroplasty and fixation with AO reconstruction plate and SS wire as buttressing were evaluated. Pre and postoperative radiographs, postoperative Visual Analog Scale (VAS) score, walking ability using Harris Hip Score (HHS), and Lower Extremity Functional Score (LEFS) were the outcome parameters.RESULTSA total of 6 patients, 4 of whom were male with an average age of 81 years old were included in this study. All the mechanisms of injury were low-energy trauma. The mean VAS score was decreased, from 7 pre-operatively to 1.5 post-operatively at final follow-up (p-value 0.05). The patients had a mean HHS of 82.5 and a LEFS mean of 56.7.CONCLUSIONButtress plate fixation using an AO reconstruction plate for trochanteric fracture following bipolar hemiarthroplasty resulted in a good functional outcome.
sindicalismo y sus instrumentos de acción colectiva en la concepción de Georges Sorel. Un estudio crítico
Authors: Monereo Pérez José Luis 
Published: October 2022

Para Georges Sorel, el porvenir del socialismo (autogestionario y antiestatalista) reside en el desarrollo autónomo de los trabajadores y los sindicatos obreros. El proletariado debe adquirir plena conciencia de clase y articular una estrategia que le permita derribar todo el entramado del sistema del capitalismo. En la ideología sindicalista de Sorel, el objetivo final consistía ante todo en la autogestión por los trabajadores a través de las instituciones sindicales vertebradas en el tejido productivo. En ese objetivo de autogestión de los trabajadores el sindicato está llamado a ejercer una labor de cristalización de experiencias y una labor pedagógica. De ahí se gestará el nuevo modelo de organización social y la nueva moral de los productores como alternativa al sistema del capitalismo. Mientras el marxismo ortodoxo afirmaba los límites de la conciencia sindical haciendo del partido la institución y el instrumento determinante de la lucha de los trabajadores por una nueva sociedad, Sorel, la encuentra en el sindicalismo revolucionario y autogestionario, capaz de construir un orden que desplazaría al Estado centralizado, al sistema de partidos y a la democracia parlamentaria. El poder del trabajo se expresa en la lucha. Según Sorel el hombre es ante todo homo-faber, siendo la razón hija de la técnica. El hombre está vinculado a su condición de productor. En el desarrollo del proceso de producción reside el conocimiento de los fenómenos y los valores de referencia, no en el intelectualismo externo a la misma. Comprender es producir, de manera que el que no produce es un parásito. De ahí que el porvenir socialista resida en la constitución autónoma de una “sociedad de productores”, es decir, la verificación hasta sus últimas consecuencias de una clase que adquiere conciencia de clase “para sí”, forjada en una nueva moralidad y en el derrocamiento del Estado capitalista. Son las instituciones autónomas de los trabajadores como “clase para sí” el auténtico agente de la revolución, no los partidos políticos de vanguardia “profesionalizados”.
REDESAIN PASAR SEPINGGAN BALIKPAPAN PENEKANAN PADA PENCAHAYAAN DAN PENGHAWAAN ALAMI
Authors: Hakim Bhanu Rizfa , Hs Cisyulia Octavia , Pangasih Felixs Dinata , Sadikin Andi Alif 
Published: October 2022

Di kota Balikpapan terdapat banyak pasar tradisional, salah satunya adalah Pasar Sepinggan Balikpapan.Meredesain Pasar Sepinggan Balikpapan agar mampu mewadahi aktifitas jual-beli dengan penerapan Pencahayaan dan Penghawaan alami.Metode yang digunakan dalam Redesain Pasar Sepinggan, lebih menekankan pada penerapan Pencahayaan dan Penghawaan Alami serta sistem utilitas pada pasar. Selain itu terdapat beberapa literatur yang dapat digunakan dan menjadi standar dalam proses redesain Pasar Sepinggan Balikpapan. Pasar Sepinggan Balikpapan merupakan salah satu pasar tradisional yang ramai pengunjung di Kota Balikpapan , karena terkenal dengan harga yang lebih murah dari pasar lain , namun penataan para pedagang masih belum dilakukan dan pola parkir yang tidak beraturan menimbulkan kemacetan pada pagi dan sore harikonsep penataan kembali baik dari segi bangunan , zonasi dan layout ruang pada pasar tersebut ,pertimbangan arsitektur yang diberikan akan menghasilkan sebuah desain yang membentuk sebuah suasana yang berbeda dari sebelumnya untuk mengikat minat pengunjung dan memberikan kenyamana pada aktifitas jual-beli yang terjadi.
Systematic Review Keakuratan Underlying Cause of Death (UCOD) pada Sertifikat Kematian di Fasilitas Pelayanan Kesehatan
Authors: Rusdi Achmad Jaelani , Prisusanti Retno Dewi , Ularan R.A. Rengganis 
Published: October 2022

AbstractDeath certificates are an important source of mortality and statistical data, affecting the quality of service. Therefore, it must be as accurate as possible to reflect the quality of existing health services. This study aims to analyze the accuracy of death certificates in health care facilities using five years of research data from journals published in the 2017-2020 range. This study accumulates and integrates existing studies of 15 articles as a sample. The results showed that the number of accurate death certificates in health care facilities was 49.82%, while the inaccurate data on death certificates was 50.18%. Accuracy data include completeness, legibility, and accuracy in determining the Underlying Cause of Death (UCOD). This shows the low accuracy of data on the causes of patient death and affects mortality statistics in health care facilities. Therefore, training and assistance for codifying and determining UCOD on death certificates should be sought at every health care facility, and further research to improve the accuracy of UCOD on death certificates.Keyword: Death Certificate, Healthcare Facilities, UCOD AbstrakSertifikat kematian merupakan sumber data penting tentang kematian dan data statistik, hal ini berpengaruh dengan mutu pelayanan, Oleh karena itu harus seakurat mungkin sehingga mencerminkan mutu pelayanan kesehatan yang ada. Penelitian ini bertujuan untuk menganalisis keakuratan sertifikat kematian di fasilitas pelayanan kesehatan dengan menggunakan 5 tahun data penelitian dari jurnal yang dipublikasi dengan rentang tahun 2017-2020. Penelitian ini mengakumulasi dan mengintegrasikan studi yang telah ada terhadap 15 artikel sebagai sampel. Hasil penelitian menunjukkan bahwa jumlah sertifikat kematian di fasilitas pelayanan kesehatan yang akurat sebesar 49,82%, sedangkan data yang tidak akurat pada sertifikat kematian sebesar 50,18%. Data keakuratan meliputi kelengkapan, keterbacaan dan ketepatan dalam penentuan Underlying Cause of Death (UCOD). Hal ini menunjukkan rendahnya keakuratan data penyebab kematian pasien dan mempengaruhi statistik kematian di fasilitas pelayanan kesehatan. Pelatihan dan pendampingan kodifikasi dalam penentuan UCOD pada sertifikat kematian harus diupayakan pada setiap fasilitas pelayanan kesehatan serta penelitian selanjutnya guna meningkatkan keakuratan UCOD pada sertifikat kematian.Kata Kunci: Sertifikat Kematian, Fasilitas Pelayanan Kesehatan, UCOD
INFLUENCE OF PRODUCT INNOVATION ON THE PERFORMANCE OF COFFEE COOPERATIVES IN KENYA
Authors: Kuguru Peter , Jaensson Jan-Erik , Nganga Kinyanjui 
Published: October 2022

Purpose: The purpose of the study was to assess the influence of product innovation on the performance of coffee cooperatives in Kenya.
Methodology: A descriptive research design was applied. The target population of this study was 525 coffee cooperative societies in Kenya registered with the Commissioner for Cooperatives and licensed by AFFA (Coffee Directorate) as at 30th of October 2016. The sample size was 227 respondents. Structured questionnaires were used to collect primary data from the selected respondents.
Findings: The results of the study revealed that product innovation and performance are positively and significantly related (β=0.631, p=0.002). This indicated that developments of new products are essential for the improvement of the coffee cooperatives’ performance.
Unique Contribution to Theory, Policy and Practice: The study recommended adoption of technology for the development of new services, new functions, and formation of new alliances. The study further recommended an organization to employ and develop a high technology for its product in order to determine strategic position to adopt the differentiation position or the cost leadership position. This study is recommended as it will benefit scholars and researchers who will gain insight on the influence of product innovation on performance of coffee co-operatives hence use it as a source of reference for other researches. The results of this study will contribute new knowledge which will provide the government and other stakeholders with better ways of managing co-operatives and improving their production.
Grüner Strom vom Acker bietet reichlich Potenzial
Authors: Schultz Olaf 
Published: October 2022

Frankfurt a.M. 10 Prozent der Agrarbetriebe hierzulande könnten auf 1 Prozent der Ackerfläche etwa 9 Prozent des bundesweiten Strombedarfs decken. Eine Studie unter Leitung der Uni Hohenheim erklärt Zusammenhänge.
Protective Effects of Chlorella Vulgaris in Alcohol Intoxication
Authors: MECİT Tarık , KAMİLOĞLU Nadide Nabil 
Published: October 2022

Objectives: The aim of the study, to investigate the effect of Chlorella vulgaris on the liver, kidney and heart MAPK (Mitogen-activated protein kinase), lipid peroxidation antioxidant enzyme activity with ethyl alcohol toxification.
Materials and Methods: 10-12 monthly, weighing 200-250 gr, 24 adult male Sprague Dawley rats were used. Rats were divided into 3 (n=8) groups which 2 experiments and a control. 5mg/kg of isocaloric maltose was given to the control group by gavage. 15 g/kg ethyl alcohol diluted with 50% water was given to the alcohol group and 300 mg/kg C. vulgaris and then 15 g/kg ethyl alcohol diluted with 50% water were given to C. vulgaris group. At the end of the experiment tissue samples were taken. Blood samples were collected into EDTA tubes and the tissues were kept at -20°C. The blood and tissue samples were used to investigate the GSH/GSH-Px, MAPK activity and MDA levels.
Results: MAPK activities in liver and lung tissue were increased with C. vulgaris which decrease with ethyl alcohol while MAPK activities in kidney and heart tissue decreased with C. vulgaris. The reduction in tissue GSH-Px levels with alcohol was increased significantly with C. vulgaris application (p
Between- and Within-Sex Differences in Body Composition Variables in Professional MMA Fighters and Boxers
Authors: Evans Cassandra , Kaminski Jackie , Peacock Corey , Algieri Chris , Rojas Jose , Santana Juan Carlos , Ricci Anthony , Antonio Jose 
Published: October 2022

Introduction: There is a dearth of data on professional fighters, particularly in mixed martial arts. Thus, this investigation aimed to describe the body composition variables of male and female professional fighters.
Methods: A total of 28 professional fighters participated in this investigation (n=22 male, n=6 female). The majority (68%) of the fighters competed in the Ultimate Fighting Championship (UFC) (n=19). The remaining fighters competed in various other promotions (e.g., WBO, IBF, UFC, Bellator, Eagle FC, Invicta.). Body composition was assessed via dual-energy x-ray absorptiometry (DXA). Total and regional body composition was determined.
Results: There were significant sex differences for Height: Male 180.3 ± 6.7 cm, Female 164.3 ± 6.8 cm (P < .001); Body mass: Male 86.5 ± 11.5 kg, Female 63.3 ± 4.9 kg (P < .001), lean body mass: Male 12.7 ± 2.7 kg, Female 46.7 ± 3.9 kg (P < .001), whole body bone mineral density: Male 1.53 ± 0.13 g/cm2, Female 1.26 ± 0.10 g/cm2 (P < .001), Z-score: Male 2.57 ± 0.88, Female 1.68 ± 1.06 (P < .05), regional bone mineral density (except for the head), regional percent fat (except for the head), and percent body fat; however, no differences were found for age or whole-body fat mass. In males, there was a significant relationship between body mass and lean mass with bone mineral density (p < 0.005, R2 = 0.357). Furthermore, there existed within-sex differences for male fighters. Male fighters' percent fat was significantly different when comparing their left vs. right sides for both the upper and lower extremities.
Conclusions: It is evident that profound sex differences exist vis a vis body composition in professional fighters. It should be noted that bone mineral density is exceedingly high in this group of athletes. Furthermore, there tends to be asymmetry in the percent fat of the extremities in male fighters.
Ariya atthangika magga sebuah metode jalan tengah untuk mengatasi ekstrimisme: kajian dalam bingkai Agama Buddha
Authors: Parjono Parjono 
Published: October 2022

Abstrak
Tujuan penelitian dirumuskan untuk mendeskripsikan konsep ekstremisme, mendeskripsikan jenis dan bentuk ektremisme dan mendeskripsikan cara untuk mengatasi ekstremisme dalam bingkai ajaran agama Buddha. Metode dalam penelitian ini menggunakan dalam penelitian ini adalah kepustakaan (library research) dengan pendekatan analisis teks dan interorestasi teks atau sering disebut hermeneutika. Sumber primer dalam penelitian ini adalah kitab suci Tripitaka, sumber sekunder dan tersier dari buku-buku referensi ilmiah, jurnal, majalah, surat kabar yang berkaitan dengan penelitian. Teknik Analisa dilakukan dengan cara menelaah melalui kepustakaan, yaitu dengan membaca dan mengkaji sumber-sumber yang sesuai dengan penelitian serta penarikan kesimpulan. Hasil dari penelitian ini adalah: (1) konsep ekstremisme: suatu pandangan yang melampaui batas kewajaran; (2) jenis dan bentuk ekstremisme: a). ekstrem kanan/pemuasan hawa nafsu indera secara terus menerus sehingga menimbulkan kemelekatan (kamasukkhalikanuayoga); b). ekstrem kiri/keterikatan pada praktik penyiksaaan diri (Attakilamathanuyoga); (3) cara untuk mengatasi ekstremisme dalam bingkai ajaran agama Buddha: Jalan Mulia Berunsur Delapan (Ariya Atthangika Magga), bertujuan untuk menghindari maupun mengatasi ekstremisme membebaskan penderitaan bagi semua makhluk, dan mencapai kebahagiaan tertinggi (Nibbana/Nirvana).

Kata kunci: Ariya Atthangika Magga, Ekstremisme, Buddha

Abstract
The research objectives were formulated to describe the concept of extremism, describe the types and forms of extremism and describe ways to overcome extremism within the framework of Buddhist teachings. The method used in this study is library research with a text analysis approach and text interrogation or often called hermeneutics. The primary sources in this research are the Tripitaka scriptures, secondary and tertiary sources from scientific reference books, journals, magazines, newspapers related to research. The analysis technique is carried out by reviewing through the literature, namely by reading and reviewing sources that are in accordance with the research and drawing conclusions. The results of this study are: (1) the concept of extremism: a view that goes beyond the normal limits; (2) types and forms of extremism: a). extreme right/continuous gratification of sensual desire, giving rise to clinging (kaenterkhalikanuayoga); b). extreme left/attachment to the practice of self-torment (Attakilamathanuyoga); (3) the way to overcome extremism within the framework of Buddhist teachings: the Noble Eightfold Path (Ariya Atthangika Magga), aims to overcome extremism, relieve suffering for all beings, and attain the highest happiness (Nibbana/Nirvana).
Keywords: Ariya Atthangika Magga, Ekstremisme, Buddha
Calidad de vida en pacientes con tuberculosis pulmonar de tres establecimientos del primer nivel de atención en Lima
Authors: Condori Torres de Cruces Carmen Julia , Trujillo Escate Flor de María 
Published: October 2022

Objetivos: Fue determinar la calidad de vida en pacientes con tuberculosis pulmonar de tres establecimientos del primer nivel de atención en Lima. Materiales y métodos: El enfoque fue cuantitativo y el diseño metodológico descriptivo-transversal. La población estuvo conformada por 64 pacientes con tuberculosis que están en proceso de tratamiento. La técnica utilizada fue la encuesta y el instrumento de medición fue el cuestionario WHOQOL-BREF que valora calidad de vida y presenta 24 ítems distribuidos en cuatro factores o dimensiones (salud física, salud psicológica, relaciones sociales y el ambiente). Resultados: La edad promedio de los participantes fue 44 años. En relación al sexo, el 53,1% (n=34) son varones y el 46,9% (n=30) mujeres. En cuanto a la calidad de vida, predomino el nivel medio con 57,8% (n=37), seguido del nivel bajo en un 35,9% (n=23) y alto con 6,3% (n=4). En relación a las dimensiones, en salud física predomino el nivel medio con 73,4% (n=47); en salud psicológica el nivel medio en un 75% (n=48); en relaciones sociales el nivel medio con 56,3% (n=36); finalmente, en ambiente el nivel medio con un 75% (n=48). Conclusiones: En cuanto a la calidad de vida predomino el nivel medio, seguido del bajo y alto. En relación a las dimensiones, en todas predominó el nivel medio.
Efecto psicológico del confinamiento social por COVID-19 en estudiantes de un programa de enfermería en Lima Norte
Authors: Cotrina Sondor Carmen Juliana , Feliciano Torres Ximena Marisol , Labrin Roa Argelia soledad 
Published: October 2022

Objetivos: Determinar efecto psicológico del confinamiento social por COVID-19 en estudiantes de un programa de enfermería en Lima Norte. Materiales y métodos: El enfoque de este estudio fue cuantitativo, de diseño metodológico descriptivo-transversal. La población estuvo conformada por 86 estudiantes de un programa de enfermería. La técnica utilizada fue la encuesta y el instrumento de medición fue la Escalas de depresión, ansiedad y Estrés (DASS-21), que cuenta con 21 ítems distribuidos en tres dimensiones, tales como: estrés, depresión y ansiedad. Resultados: En cuanto la edad, la mínima fue 17 y máxima 50, siendo la media 27,02 años. En relación al sexo, el 87,2% (n=75) fueron femenino y el 12,8% (n=11) masculino. En cuanto al efecto psicológico, predomino normal con 52,3% (n=45), seguido del moderado en un 19,8% (n=17), leve con 10,5% (n=9), extremadamente severo en un 9,3% (n=8) y severo con 8,1% (n=7). En relación a las dimensiones, en depresión predomino normal con 50% (n=43), en ansiedad en un 43% (n=37) y en estrés con 65,1% (n=56). Conclusiones: En cuanto al efecto psicológico, predominio normal, seguido del moderado, leve, extremadamente severo y severo. En relación a las dimensiones, en todas tuvo mayor frecuencia normal.