bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risks, costs, and outcomes of cerebrospinal fluid leaks after pediatric skull fractures: a MarketScan analysis between 2007 and 2015
Authors: Varshneya Kunal , Rodrigues Adrian J. , Medress Zachary A. , Stienen Martin N. , Grant Gerald A. , Ratliff John K. , Veeravagu Anand 
Published: November 2019

OBJECTIVESkull fractures are common after blunt pediatric head trauma. CSF leaks are a rare but serious complication of skull fractures; however, little evidence exists on the risk of developing a CSF leak following skull fracture in the pediatric population. In this epidemiological study, the authors investigated the risk factors of CSF leaks and their impact on pediatric skull fracture outcomes.METHODSThe authors queried the MarketScan database (2007–2015), identifying pediatric patients (age < 18 years) with a diagnosis of skull fracture and CSF leak. Skull fractures were disaggregated by location (base, vault, facial) and severity (open, closed, multiple, concomitant cerebral or vascular injury). Descriptive statistics and hypothesis testing were used to compare baseline characteristics, complications, quality metrics, and costs.RESULTSThe authors identified 13,861 pediatric patients admitted with a skull fracture, of whom 1.46% (n = 202) developed a CSF leak. Among patients with a skull fracture and a CSF leak, 118 (58.4%) presented with otorrhea and 84 (41.6%) presented with rhinorrhea. Patients who developed CSF leaks were older (10.4 years vs 8.7 years, p < 0.0001) and more commonly had skull base (n = 183) and multiple (n = 22) skull fractures (p < 0.05). These patients also more frequently underwent a neurosurgical intervention (24.8% vs 9.6%, p < 0.0001). Compared with the non–CSF leak population, patients with a CSF leak had longer average hospitalizations (9.6 days vs 3.7 days, p < 0.0001) and higher rates of neurological deficits (5.0% vs 0.7%, p < 0.0001; OR 7.0; 95% CI 3.6–13.6), meningitis (5.5% vs 0.3%, p < 0.0001; OR 22.4; 95% CI 11.2–44.9), nonroutine discharge (6.9% vs 2.5%, p < 0.0001; OR 2.9; 95% CI 1.7–5.0), and readmission (24.7% vs 8.5%, p < 0.0001; OR 3.4; 95% CI 2.5–4.7). Total costs at 90 days for patients with a CSF leak averaged $81,206, compared with $32,831 for patients without a CSF leak (p < 0.0001).CONCLUSIONSThe authors found that CSF leaks occurred in 1.46% of pediatric patients with skull fractures and that skull fractures were associated with significantly increased rates of neurosurgical intervention and risks of meningitis, hospital readmission, and neurological deficits at 90 days. Pediatric patients with skull fractures also experienced longer average hospitalizations and greater healthcare costs at presentation and at 90 days.
Radiological and clinical outcomes of 3-level cervical disc arthroplasty
Authors: Chang Hsuan-Kan , Huang Wen-Cheng , Tu Tsung-Hsi , Fay Li-Yu , Kuo Chao-Hung , Chang Chih-Chang , Wu Ching-Lan , Lirng Jiing-Feng , Wu Jau-Ching , Cheng Henrich , Hsu Shih-Ming 
Published: November 2019

OBJECTIVEOne- and two-level cervical disc arthroplasty (CDA) has been compared to anterior cervical discectomy and fusion (ACDF) in several large-scale, prospective, randomized trials that have demonstrated similar clinical outcomes. However, whether these results would be similar when treating 3-level disc herniation and/or spondylosis has remained unanswered. This study aimed to investigate the differences between 3-level CDA and ACDF.METHODSA series of 50 patients who underwent 3-level CDA at C3–7 was retrospectively reviewed and compared with another series of 50 patients (age- and sex-matched controls) who underwent ACDF at C3–7. Clinical outcomes were measured using the visual analog scale (VAS) for neck and arm pain, the modified Japanese Orthopaedic Association (mJOA) scale, and the Neck Disability Index (NDI). Radiological outcomes included range of motion (ROM) at the index levels. Every patient was evaluated by CT for the presence of fusion in the ACDF group. Also, complication profiles were investigated.RESULTSThe demographics and levels of distribution in both groups were very similar. During the follow-up period of 24 months, clinical outcomes improved (overall and respectively in each group) for both the CDA and ACDF patients when compared with the patients’ preoperative condition. There were essentially few differences between the two groups in terms of neck and arm pain VAS scores, mJOA scores, and NDI scores preoperatively and at 3, 6, 12, and 24 months postoperatively. After the 3-level surgery, the CDA group had an increased mean ROM of approximately 3.4°, at 25.2° ± 8.84°, compared to their preoperative ROM (21.8° ± 7.20°) (p = 0.001), whereas the ACDF group had little mobility (22.8° ± 5.90° before and 1.0° ± 1.28° after surgery; p < 0.001). The mean operative time, estimated blood loss, and complication profiles were similar for both groups.CONCLUSIONSIn this selectively matched retrospective study, clinical outcomes after 3-level CDA and ACDF were similar during the 2-year follow-up period. CDA not only successfully preserved but slightly increased the mobility at the 3 index levels. However, the safety and efficacy of 3-level CDA requires more long-term data for validatation.
Initial design of two-stage magnetic gear for high power density according to gear ratio
Authors: Park Eui-Jong , Jung Sang-Yong , Kim Yong-Jae 
Published: November 2019

The magnetic gears which can replace the mechanical gear system are actively studied recently. Improving the power density is growing importance because the characteristics that as gear ratio grows so power density decreases were observed. This paper analyzes the various characteristics (power density, efficiency, torque ripple, loss, and so on) according to the gear ratio in detail, and proposes a concept that high gear ratio by combining two low gear ratio. A target gear ratio is 10 to 1 and application is 1 kW wind turbine. To obtain the optimal combination, 30 gear ratios were considered, and initial design process was shown about this concept to propose the direction of improving the power density. All models were analyzed with 2D-FEM by numerical analysis.
Pengaruh Kompensasi, Komunikasi dan Disiplin Kerja Terhadap Kinerja Pegawai di Kecamatan Jambe Kabupaten Tangerang
Authors: Mubarok Muhamad Husni 
Published: November 2019

Penelitian ini dilakukan dengan menggunakan metode penelitian kuantitatif asosiatif. Jumlah sampel sebanyak 50 dari rumus sampel jenuh. Pengumpulan data diperoleh dari data primer dan data sekunder. Pengukuran instrument dilakukan menggunakan Skala Likert. Teknik analisa data yang digunakan adalah uji validitas, uji reabilitas, analisis berganda, analisis berganda, uji hipotesis dan koefisien determinasi (R2).
Hasil penelitian ini menunjukkan bahwa semua item pernyataan adalah valid dan reliable. Hal ini ditunjukkan dengan thitung yang diperoleh lebih besar daripada harga krisis (critical value/rtabel = 0,279). Hipotesis penelitian diuji dengan thitung dan fhitung dari persamaan regresi ? = 5%. Dari hasil perhitungan komputer program SPSS dihasilkan thitung dengan probabilitas sebagai berikut : Kompensasi (X1) sebesar 5,654 (signifikan 0,000); Komunikasi sebesar 6,555 (signifikan 0,000), Disiplin Kerja 6,173 (signifikan 0,000) dibandingkan dengan ttabel sebesar 2,010, ternyata thitung lebih besar sehingga hipotesis alternative (Ha) diterima.
Berdasarkan uji f diperoleh nilai fhitung (20,044 > 2,81), hal ini berarti secara bersama-sama variabel independen (X) mempengaruhi atau dapat meningkatkan variabel dependen (Y), yaitu Kinerja Pegawai Koefisien Determinasi sebesar R = 0,753 maka R2 (R square) sebesar 0,567. Hal ini menunjukkan bahwa pengaruh Kompensasi, Komunikasi dan Disiplin Kerja Terhadap Kinerja Pegawai sebesar 56,7% sisanya 43,3% disebabkan oleh faktor lain yang tidak diteliti tetapi turut menentukan.
Uso de substratos na estaquia de astrapéia (Dombeya wallichii L.)
Authors: Masiero Michel Anderson , Reges Orives Karina Gabrielle , Cruz Lorena Clara , Amâncio Jean Da Silva , Feliceti Maikely Luana , Santana Viana Carla Marins Santos , De Lima Daniela Macedo 
Published: November 2019

Dombeya wallichii, conhecida como astrapéia, é uma planta exótica originária do Madagascar, com características ornamentais e de grande importância para os apicultores, uma vez que sua inflorescência atrai muitas abelhas e seu florescimento se dá no outono e inverno, período crítico de alimento para as mesmas. O presente trabalho teve por objetivo avaliar o uso de substratos na propagação vegetativa de astrapéia por estaquia. A partir de brotações coletadas da base de uma planta matriz localizada no centro de Dois Vizinhos–PR, foram confeccionadas estacas de 10 cm, sem folhas e com corte bisel nas extremidades. O delineamento experimental implantado foi o DIC (Delineamento Inteiramente Casualizado), com três tratamentos, sendo eles substrato orgânico comercial, terra e a mistura entre ambos os substratos na proporção (1:1) (V/V), e quatro repetições de dez estacas por parcela. O plantio foi realizado em tubetes de polipropileno de 120 cm³, contendo os diferentes substratos, que foram acondicionados em bandejas mantidas na casa de sombra do Viveiro Florestal da Universidade Tecnológica Federal do Paraná - Campus Dois Vizinhos. Aos 74 dias, foram avaliadas as variáveis porcentagem de estacas enraizadas, com calos, mortas, vivas, com brotações, número e comprimento médio de raízes. Os dados foram submetidos à análise de variância (P?0,05), utilizando o programa SISVAR 5.6. Para a propagação vegetativa de astrapéia são eficazes, o substrato orgânico comercial e a mistura substrato orgânico e terra caracterizaram-se como os melhores substratos.
KERAGAMAN JENIS SERANGGA HAMA KELAPA SAWIT SISTEM PENANAMAN SISIPAN DAN TUMBANG TOTAL DI DESA PANCA MULIA KECAMATAN SUNGAI BAHAR TENGAH KABUPATEN MUARO JAMBI
Authors: Hayata Hayata , Nengsih Yulistiati , Harahap Holil Aswan 
Published: November 2019

Upaya percepatan pengembangan perkebunan sawit rakyat salah satunya adalah peremajaan pada tanaman yang sudah tua, yang dilakukan melalui dua sistem yaitu sistem penanaman sisipan dan sistem penanaman tumbang total. Pola pertanaman ini membentuk ekosistem yang berbeda dan akan mempengaruhi keberadaan serangga hama. Penelitian dilaksanakan pada bulan Juni sampai dengan bulan Agustus 2017 di areal penanaman sisipan dan tumbang total kelapa sawit masing-masing seluas 1 ha, di Desa Panca Mulya Kecamatan Sungai Bahar Tengah Kabupaten Muaro Jambi Provinsi Jambi. Metode penelitian menggunakan pendekatan observasi dengan pengamatan secara langsung di lapangan. Lokasi pengambilan sampel ditentukan menggunakan metode sampling acak terpilih. Jumlah dan keragaman jenis serangga yang tertangkap pada sistem penanaman tumbang total ditemukan 11 Spesies dengan jumlah 128 ekor, yang paling banyak kupu kupu coklat 56 ekor, dan yang paling sedikit laba laba 3 ekor. Pada Penanaman sisipan ditemukan 8 spesies dengan jumlah 24 ekor, yang paling banyak jangkrik 14 ekor, paling sedikit lipas 1 ekor. Serangga yang berada pada kebun sawit yang diremajakan melalui sistem tumbang total lebih beragam dibandingkan dengan kebun sawit yang diremajakan melalui sistem sisipan.Kata kunci : Keragaman serangga, tumbang total, sisipan
KAJIAN KELAYAKAN USAHATANI KELAPA SAWIT DI KECAMATAN TUNGKAL JAYA KABUPATEN MUSI BANYUASIN (Studi Kasus Anggota Kelompok Tani di Koperasi Unit Desa Bersama Makmur)
Authors: Rogayah Rogayah 
Published: November 2019

AbstractThis research was done in the village of Srimulyo sub-district of 1957 Jaya because internally and externally the village can still dikembangka and supported by the development of the downstream industry. The method used is the method of measurement, with the aim of examining leyakan of farming. The number of samples that are in the RTP 56 farmer groups in cooperative Villages Prosperous, by means of simple random sampling. Judging from the results of the eligibility tests done (BCR > 1) then it can be inferred to be forwarded is worthy of farming because it is profitable for farmers. Keywords: Revenue, Palm, MERCHANTIBILITY AbstrakPenelitian ini di lakukan di Desa Srimulyo Kecamatan Tungkal Jaya karena secara internal dan eksternal desa ini masih bisa dikembangka dan didukung oleh perkembangan industry hilir. Metode yang digunakan adalah metode survai, dengan tujuan mengkaji leyakan usahatani. Jumlah sampel 56 RTP yang berada dalam kelompok tani di Koperasi Desa Bersama Makmur,dengan cara simple random sampling.Dilihat dari hasil uji kelayakan yang dilakukan (BCR > 1 )maka dapat disimpulkan usahatani ini layak untuk diteruskan karena menguntungkan bagi petani. Kata kunci: Pendapatan, kelapa sawit, kelayakan usaha
Intestinal microbiota and pancreatic diseases
Authors: Gubergrits N. B. , Byelyayeva N. V. , Klochkov A. Ye. , Lukashevich G. M. , Rakhmetova V. S. , P. G. Fomenko P. G. Fomenko , Yaroshenko L. A. 
Published: November 2019

The article presents a detailed literature review on the role of intestinal dysbiosis, including bacterial overgrowth syndrome, as well as increasing intestinal permeability in the pathogenesis of the main pancreatic diseases: acute and chronic pancreatitis (AP and CP), autoimmune pancreatitis, pancreatic cancer.
Thus, according to the results of meta-analysis, populations of Enterobacteriaceae and Enterococcus were larger in all patients with AP as compared with healthy. There was no difference between the groups with severe and mild AP. Number of Bifidobacterium was lower in all patients with AP as compared with healthy. In severe AP, level of endotoxin and cytokines in blood was higher than in mild AP and in healthy.
Participation of Helicobacter pylori in pathogenesis of autoimmune pancreatitis via molecular mimicry is assumed. In addition, Helicobacter pylori may have significance in development of pancreatic adenocarcinoma.
In CP, rate of syndrome of bacterial overgrowth has been studied in numerous studies, since dysbiosis halts the effect of enzyme preparations, causes worsening of clinical manifestations. According to the results of meta-analysis, patients with CP are characterized by quantitative and qualitative changes in the composition of intestinal microbiome: decrease of Bifidobacterium and Lactobacillus, and increase of Enterobacteriaceae. The authors also preseented their own data.
Recent data suggest a connection between the oral microbiota, tongue plaque and pancreatic adenocarcinoma. Pancreatic cancer is characterized by decrease of Neisseria elongate, Streptococcus mitis, and increase of Porphyromonas gingivalis and Granulicatella adiacens. Recent reports have found that oral microbiota may be important in increasing the risk of pancreatic cancer. The conclusion is drawn on the prospects of studying the intestinal microbiota in pancreatic diseases and the need for its participation in the pathogenesis of this disease.
Chronic gastritis and carcinogenesis issues
Authors: Karimov M. M. , Sobirova G. N. , Abdullayeva U. K. 
Published: November 2019

Risk factors contributing to the transformation of chronic atrophic gastritis into gastric cancer are analyzed. Detection and monitoring of patients with precancerous conditions/lesions (precancerous changes), proper screening of H. pylori make early diagnosis of gastric cancer real. Features of precancerous conditions are given in order of increasing risk of developing gastric cancer. Adenomatous polyps of the stomach take the first place. Subsequent precancerous conditions include: cancer of the operated stomach, Menetria disease (hypertrophic gastropathy), B12-deficient anemia, and gastric ulcer. A definition of intestinal metaplasia subtypes is proposed as a risk factor for gastric cancer, dividing into complete and incomplete one, taking into account reduction in the expression of gastric mucins MUC1, MUC5AC and MUC6. Currently, the development of gastric cancer (mainly of the “intestinal type”) is considered as a multistage process involving the sequence of mucosal change, such as chronic inflammation, atrophy, intestinal metaplasia, dysplasia and adenocarcinoma. Role of the organism’s genetic susceptibility to H. pylori infection, factors of pathogenicity contributing to epithelial metaplasia, are analyzed. Role of Toll-like type 4 receptors (TLR4) involved in the recognition of H. pylori is clarified. It is with this type of receptors that the development of an excessive immune response of the host is associated, resulting in damage to the mucous membrane in H. pylori-infected individuals. In particular, carriers of TLR4+896A> G polymorphism have a more severe atrophy of the stomach and degree of inflammation, as well as an increased risk of non-cardiac gastric cancer.
PENINGKATAN KESEGARAN JASMANI MELALUI MATAKULIAH PENCAKSILAT MAHASISWA ILMU KEOLAHRAGAAN
Authors: Nugraheningsih Ginanjar , Saputro Yulius Agung 
Published: November 2019

Penelitian ini bertujuan mengetahui peningkatan kesegaran jasmani setelah mengikuti matakuliah pencak silat mahasiswa Ilmu Keolahragaan. Instrumen tes multy stage fitness test digunakan untuk mengukur kapasitas kardiorespirasi (VO2 Max) mahasiswa Ilmu Keolahragaan. Populasi 38 mahasiswa seluruhnya digunakan sebagai sampel penelitian (total sampling). Metode penelitian yang digunakan adalah pra-eksperimen dengan rancangan one group pretest posstest design. Teknik analisis data menggunakan uji-t berpasangan setelah melalui tahap uji prasyarat. Hasil penelitian diketahui nilai thitung > ttabel = 2, 681 > 2,434 (p value= 0,009 < 0,05). Maka Ho ditolak, artinya ada perbedaan rata-rata kesegaran jasmani pretest dengan posstest. Perbedaan rata-rata (mean difference) sebesar 4,01842 (40,4789-36,4605) posttest lebih tinggi daripada pretest. Melalui matakuliah pencak silat akan memberikan pengaruh peningkatan kesegaran jasmani.
PENGEMBANGAN BUKU AJAR ATLETIK BERBASIS PENELITIAN MATAKULIAH ATLETIK
Authors: Winarno Winarno , Firmansyah Guntur 
Published: November 2019

Penelitian ini bertujuan untuk mengembangkan sebuah buku ajar berbasis penelitian untuk mata kuliah teori dan praktek atetik bagi mahasiswa program studi pendidikan jasmani kesehatan dan rekreasi. metode yang digunakan dalam penelitian ini adalah metode penelitian pengembangan (research and development) dari brog dan gall. pengembangan ini menghasilkan suatu produk berupa buku ajar berbasis penelitian pada mata kuliah teori dan praktek atletik. hasil analisi data penelitian ini berupa, penilaian ahli isi (mata kuliah atletik) dengan hasil persentase yaitu 82,54%, ahli bahasa dengan hasil persentase yaitu 77,50%, hasil validasi ahli media pembelajaran dengan persentase yaitu 80,35%, hasil penilaian uji coba tahap I (kelompok kecil) dengan persentase 77,74%, hasil penilaian uji coba tahap II (kelompok besar) dengan persentase 81,38%, hasil penilaian uji lapangan dengan persentase 90,05% yang berarti buku ajar ini sudah layak digunakan sebagai bahan ajar matakuliah teori dan praktek atletik I bagi mahasiswa IKIP Budi Utomo Malang.
Self Control and Religiosity Towards Free Sex Behavior Adolescent in Surabaya
Authors: Sukesi Sukesi , Husni Ervi , Pratami Evi 
Published: November 2019

Background: Adolescent free sex and the incidence of premarital pregnancy from year to year are increasing. The causes include lack of implementation of consequent religion, lack of supervision of adolescents, lack of moral understanding in adolescent relationships and the influence of external cultural norms. The purpose of this study is to analyze the effect of Self Control and Religiosity on adolescent free sex. Method: This study used Analitic Design with Cross Sectional approach. The sample in this study were some teenagers in Kawung I Middle School and Surabaya MTsN I, the sample size is 260 students, with the Propotional Stratifield Sampling technique. Data collection instrument using questionnaire, the independent variable is Self control and Religiosity, the dependent variable is free sex, with the analysis of Linear Regression test. Results: Self control affects the knowledge of young women about free sex, the value of p = 006, affects the attitude with a value of p = 0.007 and influences the practice of adolescent free sex, with a value of p = 0.011. Religiosity affects the knowledge of young women about free sex, the value of p = 001, influences attitudes with p = 0,000 and influences the practice of adolescent free sex. with a value of p = 0.019 Conclusion: Self control and Religiosity significantly influence adolescent free sex. The higher the level of self control and religiosity, then adolescent free sex become more lower.
Keywords: self control, religiosity, free sex
ANALISIS YURIDIS PENGATURAN PEMBAGIAN WILAYAH ZEE DAN LANDAS KONTINEN DI SELAT MALAKA MENURUT UNITED NATION CONVENTION ON THE LAW OF (UNCLOS) 1982 DAN HUKUM NASIONAL
Authors: Iffan Ahmad , - Raihana , - Asrizal 
Published: November 2019

This study aims to determine the international and national arrangements regarding the division of the continental shelf and the ZEE region in the Malacca Strait and the agreement between Indonesia and Malaysia in the division of the EEZ region and the continental shelf in the Malacca Strait.
The research method used is normative juridical research with this research is descriptive research that aims to determine the analysis and regulation of the United Nations Convention On The Law Of Sea (UNCLOS) 1982, National Law of the Republic of Indonesia and also cooperation between countries bordering the Malacca Strait in regulating the division of zee territories and continental shelf in the Malacca Strait and the data sources used are secondary data that is data obtained from library materials such as books, journals, articles and information from websites or data obtained by researchers indirectly from the object but from other sources both oral and written.
The results of this study are known to have an initial measurement of the continental shelf that was agreed to harm Indonesia from the point of view of measurements drawn from the baseline and also the results of this study indicate an agreement on the continental shelf boundary in the Malacca Strait between Indonesia and Malaysia which is very long and needs to be done renewal in accordance with the times. and the facts show that the Indonesian state has never had bilateral relations or ZEE boundary agreements in the Malacca Strait between Malaysia and Indonesia.
O ESTUDO DAS TRAJETÓRIAS DE VIDA COMO MÉTODO DE COMPREENSÃO DA FORMAÇÃO DE IDENTIDADES PROFISSIONAIS DOCENTES
Authors: Lima Maria da conceicao silva , De Aguiar Maria da Conceição Carrilho 
Published: November 2019

A partir de uma retrospectiva histórica, o presente artigo foca a apresentação do método de História de Vida como via alternativa aos estudos sobre Formação Inicial e Identidade Profissional Docente, delineando suas perspectivas e restrições. Por fio condutor, o panorama apresentado por Josso (2004) e pelo Movimento Pedagógico que elege o estudo das narrativas de vida como elemento ímpar na compreensão do processo de identificação, aproximação/afastamento com o magistério e de configuração da identidade profissional docente. Como resultado, a valorização do professor e a possibilidade de se estudar a docência e a identidade profissional docente considerando as experiências pessoais e coletivas vivenciadas dentro e fora da escola, que possibilitaram a escolha e ratificação do magistério, bem como, a práxis em sala de aula.
L. S. Vigotski e a cidade de Gomel: uma teoria histórico-cultural das vivências
Authors: Rodrigues Vieira de Paula Sara 
Published: November 2019

Referência do texto resenhado: JEREBTSOV, Serguei. Gomel - A cidade de L.S. Vigotski: Pesquisas científicas contemporâneas sobre instrução no âmbito da teoria histórico-cultural de L.S. Vigotski. Veresk - Cadernos Acadêmicos Internacionais: Estudos sobre a perspectiva histórico-cultural de Vigotski, Brasília, UniCEUB, v. 1, p.7-27, 2014. Disponível em: <http://repositorio.uniceub.br/handle/235/5750>. Acesso em: 16 jul., 2018.