bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Penggunaan Internet Banking, Mobile Banking Dan SMS Banking Terhadap Kepuasan Nasabah Bank BNI
Authors: Fitria Annisa , Munawar Aang , Pratama Pebi Paisal
Published: September 2021

Berkembangnya teknologi dan informasi, bank di Indonesia mulai mengenal Internet Banking, Mobile Banking, dan SMS Banking, yang merupakan bentuk layanan perbankan secara elektronik dan melalui media internet. Dengan adanya fitur tersebut bank maupun nasabah sama-sama diuntungkan, bank dapat menghemat waktu operasionalnya dan nasabah tidak akan membuang waktu dan tenaga nya hanya untuk antri di Teller dan Costumer Service. Dengan Internet Banking, Mobile Banking, dan SMS Banking nasabah dapat melakukan transaksi dimanapun, kapanpun, dan kemanapun menjadi lebih terjaga kerahasiaannya. TUjuan Penelitian ini adalah untuk menganalisis pengaruh Internet Banking, Mobile Banking, dan SMS Banking terhadap Kepuasan Nasabah Bank BNI. Data Penelitian dianalisis menggunakan Analisis Regresu Berganda. Hasil Penelitian menunjukkan bahwa Internet Banking, Mobile Banking dan SMS Banking dengan kepuasan nasabah secara Bersama-sama berpengaruh positif dan signifikan terhadap kepuasan nasabah dengan nilai F Hitung sebesar 94.373 dan lebih besar dibandingkan F Tabel (1.985).
Definisi Sistem Portal Pengetahuan dalam Pemerintahan berdasarkan Pendekatan Modifikasi Soft System Methodology dan Hermeneutic
Authors: Satria Wahyu Indra , Hermawan Yanto Hermawan , Akbar M Figo Haffidz
Published: September 2021

A state government can implement a knowledge portal-based e-government system to properly accommodate knowledge management activities. This is also useful to minimize knowledge gaps, loss of knowledge, and waste of knowledge in the operational process of government when providing services to the community. This is intended so that the government can be massive, effective and efficient in providing public public services. The research hypothesis is that the existence of a knowledge portal-based e-Government system can assist the government in carrying out knowledge management activities in every operational activity with the aim of helping to run public service activities more effectively and efficiently. Referring to this explanation, the focus of the research carried out is to discuss and find a formal, structured scientific definition of the knowledge portal system in government based on a modified soft system methodology and hermeneutics approach. The object of research will be carried out at government agencies of the State of Indonesia with the hope of fulfilling the research objectives, namely finding a structured formal scientific definition of a knowledge portal system within a government.
Pengaruh Loan To Deposit Ratio, Capital Adequacy Ratio, Dan Non Performing Loan Terhadap Profitabilitas Perbankan Yang Terdaftar Di Bursa Efek Indonesia (BEI)
Authors: Fanesha Fanesha , Muktiadji Nusa , Hendrian Ganjar
Published: September 2021

This study aims to determine how the influence of Loan to Deposit Ratio, Capital Adequacy Ratio and Non Performing Loans on Banking Profitability Listed on the Indonesia Stock Exchange (IDX) that occurs at PT Bank Central Asia Tbk, PT Bank Rakyat Indonesia (Persero) Tbk, PT Bank Mandiri (Persero) Tbk, PT Bank CIMB Niaga Tbk, PT Bank Negara Indonesia (Persero) Tbk, PT Bank Tabungan Negara (Persero) in 2014-2018.

The data used in this study are quantitative data with secondary data sources derived from the financial statements of each bank. This research uses descriptive statistical analysis methods, inference analysis, classic assumption test, multiple linear analysis and coefficient of determination. Regression analysis is used to find out how the influence of independent variables on the dependent variable with a significance value of 5 percent. While the determination coefficient analysis is used to determine the relationship between the independent variable and the dependent variable.

From the partial hypothesis test (T Test) that has been done by the author, it is obtained that the Loan to Deposit Ratio affects Return On Assets, Capital Adequacy Ratio has no effect on Return On Assets and Non Performing Loans has no effect on Return On Assets. For simultaneous hypothesis testing (Test F), the results obtained are that the independent variables namely Loan to Deposit Ratio, Capital Adequacy Ratio and Non Performing Loans simultaneously influence the Return on Assets.

 

Key words :     Loan to Deposit Ratio (LDR), Capital Adequacy Ratio (CAR), Non Performing

Loan (NPL), Return On Asset (ROA).
THE ROLE OF RIGHT HEMISPHERE IN RECOVERY OF POST-STROKE APHASIA
Authors:   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Nica Adriana Elena ,   University Emergency Hospital, Bucharest, Alexa Daniel ,   Neurology Clinic, Rehabilitation Hospital, Iasi,   “Grigore T. Popa” University of Medicine and Farmacy, Iasi, Andronic Octavian ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Cazac Tabita ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Paduraru Dan Nicolae ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest,   University Emergency Hospital, Bucharest
Published: September 2021

Previous data obtained especially from rTMS studies indicate that right hemisphere recruitment has a limiting effect on recovery of poststroke aphasia in right handed patients by inhibiting the activation of intact perilesional areas in left hemisphere and preventing them from regaining function. New researches bring new arguments to support the positive influence of right hemisphere on restoration of language and communication. In this paper we try to review the latest evidences regarding the contribution of the right hemisphere to post-stroke aphasia recovery.
A CASE OF PRIMARY INTRAMEDULLARY TUMOR
Authors:   Department of Neurology, Coltea Clinical Hospital, Bucharest, Scarlatescu Florin
Published: September 2021

Primary spinal cord tumors are rare neoplasms that can lead to significant patient disability and mortality. Given their rarity, they are often misdiagnosed, especially in the early stages, when a high index of suspicion is required. In rare cases of spinal cord tumors there may be a discrepancy between the sensory level and the real site of the tumor. This phenomenon, called “false localizing sign” is rare but well known and, if unrecognized, may delay the appropriate diagnosis and treatment. The aim of this work is to present a clinical case with a false localizing low thoracic sensory level due to an upper thoracic grade II ependymoma.
WHEN THROMBOCYTOPENIA CAN LEAD TO FETAL STROKE?
Authors:   Pediatric Neurology Department, “Dr. Victor Gomoiu” Children’s Hospital, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Sandu Magdalena , Barascu Ileana ,   Neonatal Intensive Care Unit, “Marie S. Curie” Children’s Emergency Hospital, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Carstoveanu Catalin ,   Neonatal Intensive Care Unit, “Marie S. Curie” Children’s Emergency Hospital, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Teleanu Raluca ,   Pediatric Neurology Department, “Dr. Victor Gomoiu” Children’s Hospital, “Carol Davila” University of Medicine and Pharmacy, Bucharest
Published: September 2021

Fetal stroke is a rare disease that occurs between 14 weeks of gestation and the onset of labor and can be caused by ischemic, thrombotic or hemorrhagic injury produced during pregnancy. One of the maternal conditions associated with fetal stroke is alloimmune thrombocytopenia. This needs to be differentiated from autoimmune thrombocytopenia, a condition in which mothers are previously affected. The neurological consequences of the fetal brain injury may be delayed neurological milestones, cognitive impairment, epilepsy and cortical blindness. Magnetic resonance represents the best diagnostic method to reveal prenatal brain injury
Noun Phrase In Minang Language
Authors: Akmal Akmal , Nasution Jamaluddin
Published: September 2021

Phrase structure rules express the basic structural facts of the language in the form of “phrase markers”. This study discussed about the noun phrase in Minangkabau Language. The aim of this study is to find out the noun phrases of Minangkabau Language and how the noun phrases are used in the language. The used method is qualitative research design by interviewing the native speakers of Minangkabau by using the depth interview. the participants are the people who lived in Sukaramai Districts. They were born in Pariaman Districts and they are educated people who understand about the phrase structure.The researcher described the finding data more details. In this study, there are six noun phrase forms in Minangkabau Language and there is one unique form. The noun phrases are implicated in the daily activity of society. In fact, there was a unique noun phrase in Minang Language namely: Noun Phrase (NP) is  N1 + sa + N2.
Pemberdayaan Masyarakat Melalui Penyuluhan Pengolahan Buah Mangrove Sebagai Sumber Pendapatan Alternatif Masyarakat Pesisir Karawang
Authors: Sulandjari Kuswarini , Abubakar Abubakar , Sari Dessy Agustina
Published: September 2021

Buah  mangrove  dapat  dijadikan olahan  yang bermanfaat dan bernilai ekonomi.  Potensi tersebut belum dimanfaatkan karena kurangnya pengetahuan dan kemampuan masyarakat. Tujuan pengabdian kepada masyarakat ini : Meningkatkan pengetahuan, keterampilan dan tindakan dalam  mengolah buah mangrove sebagai sumber pendapatan alternatif.   Menggunakan  pendekatan  partisipatif,   penyuluhan secara perorangan dan kelompok, dengan metode  :  anjangsoso, ceramah ; (FGD), demosntrasi cara dan demonstrasi hasil. Hasil :  penyuluhan  jelas, mudah diterima dan sangat berguna; Hasil olahan  : sirup, selai, permen, dodol dan sabun  buah mangrove; Terdapat peningkatan jumlah sasaran  yang mengetahui, manfaat mangrove untuk  lingkungan (20%) dan ekonomi (70%) olahan dan cara mengolah buah mangrove menjadi sirup (15%), selai (100%), permen (95%), dodol (25%) dan sabun (100%), yang  mau/ingin mengolah dari 60% menjadi 100%, dan bisa mengolah  (50%).   Sasaran yang belum mencoba mengolah (15%),   belum ada yang mencoba mengolah menjadi selai, permen dan sabun,  karena kurangnya : pemahaman, kemampuan,   kepercayaan  diri,  modal dan fasilitas.

 
Upaya Meningkatkan Hasil Belajar Agama Islam Melalui Model Pembelajaran Kooperatif Tipe Talking Stick Pada Siswa SMA Negeri 1 Wonosari
Authors: Mustapa Lestari
Published: September 2021

Tujuan dari penelitian adalah untuk meningkatkan hasil belajar peserta didik
kelas XI SMA Negeri 1 Wonosari pada mata pelajaran Pendidikan Agama Islam.
Penelitian yang dilakukan menggunakan penelitian tindakan kelas dengan sujek
penelitian siswa kelas XI SMA Negeri 1 Wonosari. Hasil dari penelitian ini penggunaan model pembelajaran kooperatif tipe talking stick dapat meningkatkan kualitas pembelajaran, baik menyangkut kegiatan guru, aktivitas peserta didik dalam pembelajaran, serta berdampak pada peningkatan hasil belajar peserta didik kelas XI SMA Negeri 1 Wonosari. Hal ini dapat dilihat pada hasil yang dicapai berikut ini : a) Aktivitas guru mengalami peningkatan, dari siklus I sebesar 76.92% yang terlaksana meningkat pada siklus II sebesar 100% yang terlaksana. b) Aktivitas peserta didik mengalami peningkatan, dari siklus I sebesar 54,54% yang tuntas meningkat pada siklus II sebesar 100% yang tuntas. c) Hasil belajar peserta didik mengalami peningkatan, dari siklus I sebesar 71,75% yang tuntas meningkat pada siklus II sebesar 100% yang tuntas.
Kecerdasan Intelektual, Kecerdasan Emosional, Kecerdasan Spiritual Dan Organizational Citizenship Behavior Terhadap Kinerja Pegawai
Authors: Kusumawardani Mawar Ratih , Wahyu Brahma , Suwarsono Bambang
Published: September 2021

Performance is the one thing to measure succesul of an organization.  Effort to Improve the performance its very important to achieved organization goal. Efforts to improve performance are not easy to achieve because it is influenced by many factors including factors that come from the employees itsself likes intellectual quotients, emotional quotients, spiritual quotients and organizational citizenship behavior. These factors are very important to noticed,  they are expected to make more contribute to improving performance. This research was conducted  all 71employees of the General Section of the Regional Secretariat of the City of Kediri. Data was obtained through observation, interviews and questionnaires. This study  uses multiple linear regression analysis, with the results obtained: intellectual quotients (IQ) does not partially affect employee performance, emotional quotients (EQ) partially affects employee performance, spiritual quotients (SQ) does not affect partially partially on employee performance, organizational citizenship behavior (OCB) has a partial influence on employee performance, and simultaneously intellectual quotients (IQ), emotional quotients (EQ), spiritual quotients (SQ) and organizational citizenship behavior (OCB) affect employee performance.
Methotrexate Detection Based On The Optical Properties Of Carbon Nanotubes And Silver Nano Particles Nanocomposites
Authors: Mohammadi Fida Mohammad
Published: September 2021

In this experiment, glassy carbon electrode with multi walled carbon nanotubes
nanocomposites have been prepared in different concentration in order to see if
methotrexate is anticancer drug. For the purpose of characterizing the structures,
nanocomposites were analyzed by scanning electron microscope. Optical measurements of different concentrations were conducted by z-scan method and the results show that by rising the concentration, nonlinear refractive index and linear absorption coefficient increases. The values of nonlinear refractive index are in orders of 𝟏𝟎−𝟖 𝒄𝒎𝟐 𝒘.
Relevance of Civic Education With The Awareness in Building National Resourcesbas the Embodiment of the National Defense
Authors: Ginting Seri Wati , Tjandra Miki , Setiawan Hendra
Published: September 2021

Civic Education teaches the values of life that are manifested in daily behavior, such as accepting the diversity of the Indonesian nation. The existence of hate speech and blaming each other is a reflection of the failure of the nation. This research aims to develop Civic Education courses so that they can raise students' awareness to become good and educated citizens. Qualitative descriptive method examines and analyzes students' understanding of the relevance of Civic Education with national resources embodied in state resilience. The findings from this study show that some students are aware of the relationship between civic education and human resources but the role models of educators, education staffs, religious leaders, political leaders, and community leaders are still lacking.

Pendidikan Kewarganegaraan mengajarkan nilai-nilai hidup yang terwujud dalam
perilaku sehari-hari, seperti menerima keberagaman bangsa Indonesia. Masih adanya
ujaran kebencian dan sikap saling menyalahkan menjadi cerminan kegagalan berbangsa.
Penelitian bertujuan mengembangkan mata kuliah Pendidikan Kewarganegaran agar
mampu menumbuhkan kesadaran mahasiswa untuk menjadi warga negara yang baik dan
terdidik. Metode deskriptif kualitatif mengkaji dan menganalisis pemahaman mahasiswa
tentang relevansi Pendidikan Kewarganegaraan dengan sumber daya nasional yang
terwujud dalam ketahanan negara. Temuan dari penelitian memperlihatkan sebagian
mahasiswa menyadari adanya keterkaitan antara pendidikan kewarganegaraan dengan
sumber daya manusia namun keteladanan dari tenaga pendidik, tenaga kependidikan,
pemuka agama, tokoh politik, dan tokoh masyarakat masih kurang.
Analysis Of Food Diversification Policy In Overcoming The Food Crisis
Authors: Widiastuti Ika , Himawan Himawan
Published: September 2021

The food crisis is a threat to all countries. Thinking must be changed from food
security to food self-sufficiency. The policy in overcoming the food crisis is by
diversifying food. Food diversification is food diversification with balanced nutrition.
Barriers to the development of local food are undeveloped products and people's thinking that rice is a staple food. The development of local food products is the provision of income for the food industry.
El rol del lenguaje en Humberto Maturana: la importancia de la inclusión en el discurso
Authors: Urrejola Corales Karen
Published: September 2021

Simposio Humberto Maturana 1928-2021

La sección Simposio de autor de la revista Estudios Públicos es un espacio para el análisis de las ideas y obra de un pensador clásico o contemporáneo desde distintas perspectivas disciplinares.
Reconsideración de los aportes de Humberto Maturana para los desafíos actuales de las neurociencias cognitivas
Authors: Migeot Joaquín , Durán-Aniotz Claudia , Ibáñez Agustín
Published: September 2021

Simposio Humberto Maturana  1928-2021. La sección Simposio de autor de la revista Estudios Públicos es un espacio para elanálisis de las ideas y obra de un pensador clásico o contemporáneo desde distintas perspectivas disciplinares.
La importancia de las interacciones entre vecinos con lazos sociales débiles para incrementar la participación laboral femenina en Chile
Authors: Flores Bárbara
Published: September 2021

Este artículo estudia factores culturales que podrían explicar las bajas tasas de participación laboral femenina (PLF) observadas en Chile. Se estima un modelo de elección discreta con interacciones sociales, incluyendo como factor explicativo de la participación laboral individual, la tasa de participación laboral de las mujeres que viven en el mismo barrio o zona censal. Para ello, se construye una base de datos inédita que vincula las tasas de PLF a nivel de zonas censales, extraídas del Censo 2017, a las mujeres encuestadas en el Estudio Longitudinal Social de Chile (ELSOC). Luego, para analizar la heterogeneidad de los resultados, se construye un indicador de fortaleza de lazos sociales conformados en el barrio y el modelo se estima para mujeres con lazos débiles y fuertes, por separado. Los resultados indican que las interacciones sociales a nivel de barrio están relacionadas de manera positiva y estadísticamente significativa con la decisión individual de participar en el mercado del trabajo solo para aquellas mujeres de baja escolaridad con lazos débiles en el barrio de residencia. Esto es consistente con la teoría, ya que los lazos débiles actúan como puentes hacia nuevas fuentes de información y redes sociales que pueden ser relevantes para participar en el mercado laboral. Estos resultados son importantes porque la existencia de estos efectos sociales implica un efecto multiplicador que puede ser utilizado por la política pública para amplificar el efecto de programas a pequeña escala, especialmente en barrios con altos índices de vulnerabilidad socioeconómica.
Knowledge Extraction from Specimen-Derived Data from GenBank to Enrich Biodiversity Information
Authors: Nakazato Takeru
Published: September 2021

DNA barcoding and environmental DNA (eDNA) are increasing the need for the utilization of gene sequences in the field of biodiversity. GBIF (Global Biodiversity Information Facility) and GGBN (Global Genome Biodiversity Network) are taking action on the treatment of gene sequences in the field of biodiversity (Finstad et al. 2020). Gene sequences have been collected and published by INSDC (International Nucleotide Sequence Database Collaboration) for over 30 years (Arita et al. 2020). Biodiversity information has been collected using standards such as Darwin Core (Wieczorek et al. 2012), but INSDC gene sequences are stored in their own format. In the field of bioinformatics, researchers are also organizing the BioHackathon series, notably the NBDC/DBCLS BioHackathon and the spin-off Biohackathon Europe, to standardize data through the Semantic Web (Garcia Castro et al. 2021, Vos et al. 2020), but the linkage with biodiversity information has just begun.

In this study, as an example of linking gene sequence information with biodiversity information, I attempted to construct an infrastructure for knowledge extraction by utilising gene sequence entries derived from museum specimens from GenBank (Sayers et al. 2020). I have previously surveyed the BOLD (The Barcode of Life Data System) (Ratnasingham and Hebert 2007) IDs listed in GenBank (Nakazato 2020). I downloaded the fish and insect data from the GenBank FTP (file transfer protocol) site. Then I extracted the descriptions in the "specimen_voucher" field and obtained 749,627 (28% of the fish entries in GenBank) and 1,621,890 (13%) specimen IDs, respectively. I also extracted from the "note" field approximately 1000 entries describing the type of the specimen, such as "holotype", "lectotype", and "paratype". These extracts include descriptions written in natural language. NCBI (National Center for Biotechnology Information) publishes the BioCollections database (Sharma et al. 2019), and these data may be able to refine the description.

In the future, I plan to map these extracted IDs to the collection IDs in the biodiversity information database. This will enable us to enrich the biodiversity information with GenBank descriptions, for example, by adding articles listed in GenBank as references to the specimen data.
Revision of the genus Xanthopimpla Saussure, 1892 (Hymenoptera, Ichneumonidae, Pimplinae) from Japan
Authors: Watanabe Kyohei , Matsumoto Rikio
Published: September 2021

Japanese species of the genus Xanthopimpla Saussure, 1892 are revised. A total of 15 species are recorded from Japan, including three new species, X. nipponensissp. nov. X. sylvicolasp. nov. and X. yoshimuraisp. nov. and three species, X. honorata (Cameron, 1899), X. minuta Cameron, 1905 and X. trias Townes & Chiu, 1970, newly recorded from Japan. Host, habitat, overwintering and distribution patterns of Japanese Xanthopimpla species are discussed.
Systematic revision of Stegodera Martens, 1876 (Gastropoda, Stylommatophora, Camaenidae), with description of a new genus
Authors: Chen Zhe-Yu , Lyu Zhi-Tong , Wu Min
Published: September 2021

The monotypic genus Stegodera Martens, 1876 is systematically revised based on anatomical and morphological examination of freshly collected specimens. A new species from southern Hunan, which resembles Stegodera angusticollis, is confirmed to represent a new genus evidenced by comparative shell morphology and anatomy as well as by molecular phylogenetic analyses. The new genus might be more closely related to Stegodera and Nesiohelix Kuroda & Emura, but differs anatomically from the latter two genera by the absence of a dart apparatus.
Prevalence and characteristics of isolated nocturnal hypertension in the general population
Authors: Rhee Moo-Yong , Kim Je Sang , Kim Chee Hae , Kim Ji-Hyun , Lee Jung-Ha , Kim Sun-Woong , Nah Deuk-Young , Gu Namyi , Cho Eun-Joo , Sung Ki-Chul , Hong Kyung-Soon
Published: September 2021

Background/Aims: Ascertaining the prevalence of isolated nocturnal hypertension (INHT) in the general population and identifying the characteristics of patients with INHT may be important to determine patients who should receive 24- hour ambulatory blood pressure (BP) measurements. This study aimed to evaluate the prevalence and characteristics of INHT in the general population.Methods: Of 1,128 participants (aged 20 to 70 years), we analyzed 823 who had valid 24-hour ambulatory BP measurements and were not on antihypertensive drug treatment.Results: The prevalence of INHT in the study was 22.8%. Individuals with INHT had a higher office, 24-hour, and daytime and nighttime ambulatory systolic and diastolic BPs compared to individuals with sustained day-night normotension. INHT was more prevalent in individuals with masked hypertension (MH) than in those with sustained hypertension (59.8% vs. 15.6%, p < 0.001). Among individuals with INHT, 92.6% had MH. Among individuals with office BP-based prehypertension, 34.5% had both INHT and MH. The prevalence of INHT was highest in individuals with office BP-based prehypertension. INHT was an independent determinant of MH after adjustment for age, sex, body mass index, diabetes, low-density-lipoprotein cholesterol, 24-hour systolic and diastolic BP, systolic and diastolic BP dipping, and systolic and diastolic BP non-dipping.Conclusions: The present study showed that INHT is not uncommon and is a major determinant of MH. Our findings strongly suggest the use of 24-hour ambulatory BP measurement for individuals within the prehypertension range of office BP owing to the high prevalence of INHT and MH in this population.
Décisions de fin de vie : les limites d’une pensée binaire
Authors: Cristia Célia
Published: September 2021

Cet article présente l’expérience d’une étude de psychologie clinique, menée auprès de professionnels au sein de deux unités de soins palliatifs afin de mieux comprendre les processus décisionnels pris à la place d’autrui. L’enjeu est d’autant plus grand qu’il concerne ici des décisions de vie et de mort comme dans le cas d’arrêt de traitements actifs. Or, lorsque les patients ne sont plus en capacité de décider pour eux-mêmes, c’est le médecin et son équipe qui se voient confier cette ultime responsabilité.
La voix basse
Authors: Chabert Catherine
Published: September 2021

Que devient une analyse lorsque les corps se perdent de vue et que seule la vertu hallucinatoire de la représentation en assure l’existence. Cette question nous renvoie à une problématique centrale dans les dispositifs qui impliquent essentiellement la parole dès lors que l’on s’intéresse à l’action et aux effets de son incarnation dans la dialectique de la présence et de l’absence. C’est dire l’importance de la chair et donc du corps de l’analyste, parfois violemment réclamé lorsque l’identité bascule, lorsque les mots manquent à dire, écrasés par la force de la folie : phénomènes connus, bien sûr, dans l’analyse de moments ou de patients psychotiques, mais qui sont intensément sollicités chaque fois que l’intimité du sujet avec lui-même s’éclipse ou lorsqu’elle est menacée de disparition. L’incarnation dans le transfert – et non l’incarnation du transfert – tient une fonction déterminante, car elle peut s’avérer dangereuse, comme chaque fois que les limites sont poreuses, chaque fois que le mélange hante l’analyse.
La psychanalyse à l’épreuve du réel. Contre vents et marées, tenir le cadre
Authors: Khouri Naja Carine
Published: September 2021

Lorsque le réel fait effraction dans le cadre, de quels moyens dispose l’analyste pour faire face à la situation : suspendre la cure ou repenser le dispositif pour le préserver de la déferlante mortifère et parer aux agressions du réel ? La Covid-19, à l’instar de la guerre, ou encore des analysants ayant des fragilités narcissiques et une destructivité prégnante, aura eu la particularité d’amener l’analyste à se pencher sur le cadre et à réfléchir aux modalités transféro-contre-transférentielles mobilisées. L’analyste dispose ainsi de la possibilité, sinon du devoir de repenser le dispositif, afin d’offrir aux patients un étayage sur mesure qui permette l’enclenchement de la fonction de représentation. L’enjeu étant de ne pas perdre de vue le cadre, tout en étant à l’écoute de son intuitivité et de sa créativité. La psychanalyste n’est-elle pas avant tout un art, selon les termes de Winnicott ?
Agie ou latente ? Médiation tierce et production de la confiance en entreprise
Authors: Zimmermann Bénédicte
Published: September 2021

À partir d’une enquête qualitative sur la capacité d’agir des salarié·es en France et en Allemagne, cet article identifie deux modalités de la confiance en entreprise : une confiance agie qui n’est jamais acquise et doit en permanence être confortée dans l’action, une confiance latente qui est là indépendamment de la situation. Il analyse leur production en mobilisant la notion de médiation tierce à travers laquelle Georg Simmel désigne une condition nécessaire de l’expérience sociale. À travers le cas d’une multinationale de l’aéronautique, il montre que la confiance agie est médiée par des dispositifs organisationnels et se forge dans les interactions en situation, alors que la confiance latente prend appui sur des arrangements institutionnels externes à l’entreprise. Complémentaires, ces deux modalités peuvent coexister dans une même organisation, mais sa version latente s’avère introuvable dans la grande entreprise française où domine la confiance agie. C’est l’énigme de cette improbabilité, dont la comparaison franco-allemande se fait le révélateur, que l’article se donne pour objet d’instruire.
From SMET to STEM at MTS
Authors: Drake Tom , McGeehan Tim
Published: September 2021

Abstract The Student Poster Competition (SPC) has been an integral component of OCEANS meetings since 1989. This enduring program continues to play a valuable role in STEM (Science, Technology, Engineering, and Mathematics) education and professional development, providing
an international forum for undergraduate and graduate students to showcase their efforts and interact with future colleagues, mentors, and employers. As a sponsor of the SPC since 1999, the Office of Naval Research (ONR) relies on programs like SPC to help inspire, foster, and develop talent
across the diverse workforce needed to address the complex marine technology challenges of today and tomorrow.
Unplanned Transfers From Intermediate Care Units to Intensive Care Units: A Cohort Study
Authors: Ramos Joao Gabriel Rosa , dos Santos Gabriel Machado Naus , Bispo Marina Chetto Coutinho , de Almeida Matos Renata Cristina , de Carvalho Gil Mario Lopes Santos , Passos Rogerio da Hora , Caldas Juliana Ribeiro , Gobatto Andre Luiz Nunes , da Guarda Suzete Nascimento Farias , Batista Paulo Benigno Pena
Published: September 2021

This study evaluated unplanned transfers from the intermediate care unit (IMCU) to the intensive care unit (ICU) among urgent admissions. This retrospective, observational study was conducted in 2 ICUs and 1 IMCU. Three patterns of urgent admission were assessed: admissions to the ICU only, admissions to the IMCU only, and admissions to the IMCU with subsequent transfer to the ICU. Of 5296 admissions analyzed, 1396 patients (26.4%) were initially admitted to the IMCU. Of these, 172 (12.3%) were transferred from the IMCU to the ICU. Mortality was higher in patients transferred from the IMCU to the ICU than in the 3900 ICU-only patients (odds ratio, 3.22; 95% CI, 1.52-6.80). Most transfers from the IMCU to the ICU (135; 78.5%) were due to deterioration of the condition for which the patient was admitted. Patient transfers from the IMCU to the ICU were common, were associated with increased hospital mortality, and were mostly due to deterioration in the condition that was the reason for admission.
Changes in cytoplasmic and extracellular neuromelanin in human substantia nigra with normal aging
Authors: Korzhevskii Dmitrii E. , Kirik Olga V. , Guselnikova Valeriia V. , Tsyba Darya L. , Fedorova Elena A. , Grigorev Igor P.
Published: September 2021

Neuromelanin (NM) is a dark polymer pigment produced in certain populations of catecholaminergic neurons in the brain. It is present in various areas of the human brain, most often in the substantia nigra (SN) pars compacta and the locus coeruleus, the main centers of dopaminergic and noradrenergic innervation, respectively. Interest in NM has revived in recent years due to the alleged link between NM and the particular vulnerability of neuromelanin-containing neurons to neurodegeneration. The aim of this work was to study the structural, cytochemical, and localization features of cytoplasmic and extracellular neuromelanin in the human SN pars compacta during normal aging. Sections of human SN from young/middle-aged adults (25 to 51 years old, n=7) and older adults (60 to 78 years old, n=5), all of which had no neurological disorders, were stained histochemically for metals (Perls’ reaction, Mayer's hematoxylin) and immunohistochemically for tyrosine hydroxylase (TH) and Iba-1. It was shown that dopaminergic neurons in SN pars compacta differ in the amount of neuromelanin and the intensity of TH-immunoreactivity. The number of neuromelanin-containing neurons with decreased TH-immunoreactivity positively correlates with age. Extracellular NM is present in SN pars compacta in both young/middle-aged and older adults. The number of extracellular NM accumulations increases with aging. Cytoplasmic and extracellular NM are predominantly not stained using histochemical methods for detecting metals in people of all ages. We did not detect the appearance of amoeboid microglia in human SN pars compacta with aging, but we found an age-related increase in microglial phagocytic activity. The absence of pronounced microgliosis, as well as a pronounced loss of neuromelanin-containing neurons, indicate the absence of neuroinflammation in human SN pars compacta during normal aging.
Prophylactic effect of Amiodarone and in combination with vitamin C in reducing atrial fibrillation after coronary artery bypass
Authors: Kamali Alireza , Yavari Samira , Yazdi Bijan , Rostami Alireza
Published: September 2021

Atrial fibrillation (AF) is the most common arrhythmia following cardiac surgery, leading to hemodynamic impairment and increased mortality and morbidity after coronary artery bypass grafting (CABG) and increases hospitalization. Due to the antioxidant and anti-inflammatory effects of vitamin C as well as the antiarrhythmic effect of amiodarone in reducing the incidence of atrial fibrillation after coronary artery bypass grafting, we decided to compare and evaluate the prophylactic effect of amiodarone alone and in combination with vitamin C in controlling this complication. In this double-blind clinical trial, patients were divided into two equal groups of amiodarone (300 mg amiodarone bolus during 20-30 minutes) and amiodarone + vitamin C (150 mg amiodarone and 2g vitamin C combination). Each group included 42 patients. All data were analyzed by SPSS 19 software and statistical tests of ANOVA, Chi-square and Repeated Measure. There was a significant difference between the two groups of amiodarone and amiodarone+vitamin C (p-value = 0.01) and the mean incidence of AF in the amiodarone +vitamin C group was significantly lower than that of amiodarone alone. Other arrhythmias were also lower in the amiodarone +vitamin C group than in the amiodarone group alone. The use offibrillation after CABG compared with prophylactic amiodarone alone, but did not have a significant effect on decreasing ICU stay(discharge) and duration of hospitalization.
Detrital epidote chemistry: detecting the alteration footprint of porphyry copper mineralization in the
Quesnel terrane of the Canadian Cordillera, British Columbia
Authors: Plouffe A , Acosta-Góngora P , Kjarsgaard I M , Petts D , Ferbey T , Venance K
E
Published: September 2021

Epidote from detrital sediments derived from propylitic alteration associated with porphyry copper mineralization could be used as a vector for mineral exploration in drift-covered areas; however, differentiating porphyry-related epidote from other sources is
crucial. We analyzed the composition of epidote from granitoids associated with porphyry copper mineralization, Nicola Group rocks and grains from till at three sites (Gibraltar, Mount Polley, and Woodjam) within British Columbia's Quesnel terrane, where two main sources of epidote in till are
propylitic-altered rocks associated with porphyry mineralization and metamorphosed Nicola Group mafic volcanic and sedimentary rocks. Although principal component analysis was insufficient to distinguish between intrusive- and metamorphic-related epidote, patterns in the abundance of sets of
elements indicate provenance. Epidote from granitoids typically has less Hf+Th (<6 ppm) and Sc+Cr+Y (<100 ppm) compared to epidote from Nicola Group rocks; abundances of As and Sb (>>4 ppm As and >>0.6 ppm Sb) in epidote derived from
hydrothermal alteration zones associated with porphyry copper mineralization exceed levels measured in metamorphic epidote; and elevated Cu (approximately >30 ppm) in epidote can indicate copper mineralization. These trends in the chemical composition of till-derived epidote can be used
in mineral exploration to detect buried hydrothermal alteration associated with porphyry copper mineralization.
Prognostic role of N-terminal prohormone of brain natriuretic peptide for patients in the medical intensive care unit with severe sepsis
Authors: Reshmi KS , Oommen Manju Sara , Belgundi Preeti , Paul Tisa , Mehta Asmita Anilkumar
Published: September 2021

Background:

Sepsis is an important cause of mortality in intensive care units worldwide. The increased levels of N-terminal prohormone of brain natriuretic peptide (NT-pro BNP) are related with dysfunction of the cardiovascular system and systemic inflammation. It is uncertain whether this increase reflects sepsis-related cardiac dysfunction that translates to poorer outcomes.

Aims and Objectives:

The primary aim of this study was to evaluate the prognostic role of NT-pro BNP on the outcome and duration of hospital stay of patients admitted with sepsis. The secondary objective was to identify other associated risk factors for mortality in sepsis.

Patients and Methods:

The patients who presented to emergency room with diagnosis of suspected sepsis were studied. Risk factors associated with outcome were studied by univariate analysis. The variables having statistical significance were further included in multivariate analysis to identify the independent predictors of mortality.

Results:

A total of 215 patients with sepsis were included in this study. In univariate analyses, NT-pro BNP, procalcitonin, need of mechanical ventilation (MV), blood culture positivity, chronic kidney disease-chronic liver disease CKD-CLD, and diabetes mellitus were predictors of prolonged hospital stay, and it was same for multivariate analysis excluding procalcitonin. In univariate analysis, NT-pro BNP, MV, and DM were risk factors associated with mortality but in multivariate analysis showed significance only with MV and DM.

Conclusion:

There was a statistically significant correlation between NT-pro BNP levels and mortality. The other factors associated with increased mortality were diabetes mellitus and need of MV. In addition to the above factors, the presence of CKD and CLD was associated with increased duration of hospital stay. There was concordance between increased NT-pro BNP and elevated trop I, s creatinine, need of MV, and CKD.
A rare case of sclerosing hemangioma of the lung with a review of literature
Authors: Tiwari Laxmi Niwas , Rai Deependra Kumar
Published: September 2021

A rare case of sclerosing hemangioma (SH) of the lung is described in a 23-year-old gentleman, who presented with cough with expectoration, breathlessness, and left-sided chest pain with recurrence. We present a brief review of SH, an uncommon but histologically distinctive neoplasm of the lung. SH of the lung is generally considered to be a benign lesion, and surgical excision is curative without the need for additional treatment.
Comparison of endobronchial ultrasound-guided transbronchial needle aspiration cytology versus cell blocks in adults with undiagnosed mediastinal lymphadenopathy
Authors: Rahman K K Mujeeb , Mohapatra Prasanta Raghab , Panigrahi Manoj Kumar , Purkait Suvendu , Bhuniya Sourin
Published: September 2021

Introduction:

Retrospective studies have shown improved diagnostic yield of combined cytology and cell blocks specimens from endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) with variable additional yields in cell blocks. In this prospective study, we assessed the diagnostic performance of cytology and cell blocks in patients undergoing EBUS-TBNA.

Methods:

This was a single-center, cross-sectional study conducted between December 2017 and November 2019 including patients aged ≥18 years with mediastinal lymphadenopathy. EBUS-TBNA was performed under conscious sedation using 22G needles. Both cytology smears and cell blocks by the tissue coagulum clot technique were prepared for each patient without rapid on-site evaluation.

Results:

Data were analyzed for 93 patients (mean age 54.25 ± 13.7 years, 73 males) where both cytology and cell blocks were available. Sample adequacy was 100%. Overall diagnostic yield either by cytology or cell block was 83%. Cytology yield was 79.6%, whereas cell block was diagnostic in 73% of patients (P < 0.001). The overall additional yield of cell blocks was 3.2%. Cell blocks had additional yields of 1.8%, 0%, and 14.3% in malignancy, tuberculosis, and sarcoidosis, respectively. Tumor histology was better identified in 76% of positive cell blocks, and accurate histological subtyping was possible in 32.6% cases. Immunohistochemistry was feasible in 82.5% of all positive cell blocks, and these were judged to be adequate for the mutational analysis.

Conclusions:

Compared to cytology, EBUS-TBNA cell blocks did not significantly increase the overall diagnostic yield in unselected patients. However, cell blocks are beneficial in the characterization of tumor morphology and histological subtyping of lung cancer.
Pulmonary embolism in anticoagulated burn patient
Authors: AlHarbi Mohamed , AlKouny Amr , Ahmed Ayaz , Hazazi Borhan
Published: September 2021

Venous thromboembolism (VTE) represents a continuous threat to burn patients. While many thromboprophylaxis regimens exist, the best prevention protocol remains indefinable. We report a case of a burn patient who developed pulmonary embolism despite receiving VTE prophylaxis.
Statistical significance or clinical significance? A researcher's dilemma for appropriate interpretation of research results
Authors: Sharma Hunny
Published: September 2021

It is incredibly essential that the current clinicians and researchers remain updated with findings of current biomedical literature for evidence-based medicine. However, they come across many types of research that are nonreproducible and are even difficult to interpret clinically. Statistical and clinical significance is one such difficulty that clinicians and researchers face across many instances. In simpler terms, the P value tests all hypothesis about how the data were produced (model as whole), and not just the targeted hypothesis that it is intended to test (such as a null hypothesis) keeping in mind how reliable are the of the research results. Most of the times it is misinterpreted and misunderstood as a measure to judge the results as clinically significant. Hence this review aims to impart knowledge about “P” value and its importance in biostatistics, also highlights the importance of difference between statistical and clinical significance for appropriate interpretation of research results.
Psychometric and accuracy comparison of three commonly used questionnaires for the diagnosis of neuropathic pain
Authors: Abolkhair Abdullah Bakr , El-Kabbani Ahmed O. , Al-Mulhem Abdulaziz , AlFattani Areej A. , Al-Hammadi Ayman , Alghamdi Hani , Haddarra Mamdouh , Alraffa Abdullah , Kamal Adil S. , Alsaigh Reema N. , Mubarak Mayyan M. , Terkawi Abdullah Sulieman
Published: September 2021

Objectives:

Diagnosis of neuropathic pain is challenging. Recently, scientists developed multiple questionnaires to expedite this diagnosis including the Self-completed Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), Douleur Neuropathique 4 questionnaire (DN4), and Neuropathic Pain Questionnaire–Short Form (NPQ-SF).

Materials and Methods:

We conducted a prospective cohort study to compare the psychometric characteristics and accuracy of the three questionnaires. We assessed reliability with the Cronbach's α reliability coefficient and inter-item correlations, and validity with receiver operating characteristic (ROC) and correlation analyses. We assessed agreement between the diagnosis of the questionnaires and the reference clinical diagnosis using Cohen's kappa coefficient.

Results:

188 patients were analyzed: 141 (75%) had “definite neuropathic” and 47 (25%) had “nonneuropathic” pain. The NPQ-SF and S-LANSS questionnaires demonstrated acceptable reliability with Cronbach's α coefficient values of 0.54 (95% CI: 0.41–0.64) and 0.65, (95%CI: 0.57–0.72), respectively. The DN4 questionnaire demonstrated high reliability with Cronbach's α coefficient of 0.74 (95%CI: 0.68–0.79). The NPQ-SF, DN4, and S-LANSS questionnaires demonstrated “excellent” diagnostic ability with an area under the ROC curve of 0.82 (95% CI: 0.75–0.89), 0.89 (95% CI: 0.83–0.95), and 0.83 (95% CI: 0.75–0.90), respectively. Based on their optimal cutoff values, the DN4 had the highest sensitivity and lowest specificity in discriminating between neuropathic and nonneuropathic patients, while the S-LANSS had the lowest sensitivity and highest specificity.

Conclusion:

Both NPQ-SF and S-LANSS demonstrated acceptable reliability, while DN4 demonstrated high reliability. All three demonstrated excellent diagnostic validities; however, it is important to consider the sensitivity and specificity of each.
The trends of obstetric anesthesia practice
Authors: Alshabibi Mohammed , Madkhali Azza M. , Alkinani Amer A. , Alyami Ali A. , Alatassi Abdulaleem
Published: September 2021

Introduction:

Obstetric anesthesia provides several methods for the analgesia of labor pain. The neuraxial technique is considered the standard of care for parturient women. The epidural block is widely used in vaginal delivery while the spinal block is the preferred method for cesarean section (C-section). We aim to know the practice of obstetric anesthesia in our center.

Methods:

A retrospective cross-sectional study was conducted at a tertiary center in Riyadh, Saudi Arabia. The data of all delivery cases from 1/7/2019 to 30/9/2019 were reviewed.

Results:

We identified a total of 2,140 cases during the 3 months, vaginal delivery was the most common with 72.4% (1550) while the C-section cases were 27.6% (590). Regarding the type of analgesia/anesthesia for vaginal deliveries, intramuscular analgesia was the commonest group with 34.8% (540), followed by the group of ladies who did not receive any analgesia/anesthesia with 31.9% (495), thirdly was epidural cases with 31.8% (493), and the fourth type was spinal 0.6% (10). Regarding C-section, the emergency cases were 65.4% (386). The types of anesthesia for all C-sections were as follows spinal 63.5% (375), GA 23.8% (141), and epidural 12% (74). Regarding anesthesia for elective cases, spinal was 85% (174), GA 14% (28), and epidural 1% (2). Regarding anesthesia for emergency cases, spinal was 52% (201), GA 29% (113), and epidural 19% (72).

Conclusions:

The use of epidural was low, and the spinal use was relatively on par if we compare with leading western countries. More focused studies and multicenter studies are needed in the country.
CAE Correlation of Sealing Pressure of a Press-in-Place Gasket
Authors: Yang Fan , Ramamoorthi Raghu Rajan , Barber Gary , Zhang Wensheng , Wang Bingxu
Published: September 2021

The Press-in-Place (PIP) gasket is a static face seal with self-retaining feature, which is used for the mating surfaces of engine components to maintain the reliability of the closed system under various operating conditions. Its design allows it to provide enough contact pressure to seal the internal fluid as well as prevent mechanical failures. Insufficient sealing pressure will lead to fluid leakage, consequently resulting in engine failures. A test fixture was designed to simulate the clamp load and internal pressure condition on a gasket bolted joint. A sensor pad in combination with TEKSCAN equipment was used to capture the overall and local pressure distribution of the PIP gasket under various engine loading conditions. Then, the test results were compared with simulated results from computer models. Through the comparisons, it was found that gasket sealing pressure of test data and CAE data shows good correlations in all internal pressure cases when the bolt load was 500 N. Compared to 0.138 MPa and 0.276 MPa, better correlation to CAE results was observed at the 0 MPa internal pressure condition. Moreover, the gasket cross-sectional pressure distribution obtained by experimental tests and CAE models correlated very well with R2 (Coefficient of Determination) ranging from 90% to 99% for all load cases. Both CAE and sensor pad test results shows an increase in sealing pressure when internal side pressure is applied to the gasket seal.