bluuebunny/crossref_metadata_2025_split huggingface dataset:
Renal Distraction During Percutaneous Renal Calyceal Access for Prone & Supine PCNL Using a Ureteric Balloon Catheter (UBC)
Authors: Rooney Helen , Alsawi Mohammed , Amer Tarik , Mokool Leenesh , Maynard Will , Khan Rehan , Nalagatla Sarath 
Published: May 2020

Special access techniques during percutaneous nephrolithotomy (PCNL) are indicated for challenging stones. Various techniques have been described to inferiorly displace the kidney to facilitate optimal percutaneous access whilst minimizing thoracic complications associated with the supracostal approach. We describe our institution’s technique of using a ureteric balloon catheter to inferiorly distract and immobilize the kidney (UBC Technique) to achieve the optimal calyceal access infracostally during PCNL. This permits effective and safe access in a single puncture whilst additionally stabilizing the renal unit during respiration and reducing the skin-to-calyceal distance by mobilizing the desired calyx in line with the axis of the puncture needle. We reviewed the literature regarding alternative inferior renal displacement techniques permitting infracostal approaches. From May 2012 to October 2017 150 PCNLs were performed in our institution. Out of these, the UBC technique was used in 18 cases during both prone and supine PCNLs. In all cases, the UBC technique was used successfully to access the most desirable calyx. No complications associated with renal distraction were reported. Post operatively, 1 patient required a blood transfusion, 1 patient had a pyrexia of >38 degrees resulting in a longer admission and 1 patient developed sepsis requiring HDU admission for monitoring only. 15 out the 18 patients had complete stone clearance from their PCNL. The UBC technique provides a safe alternative to the supracostal approach in percutaneous renal surgery. It is less traumatic than alternative infracostal access techniques and has a very short learning curve.
The Initial Clinical Experience of a New Generation Bipolar Electrosurgical and Morcellator Unit for Bipolar Transurethral Enucleation of the Prostate
Authors: Lo Ka Lun , Lim Kevin , MA Siu Fai , Leung David , Li Joseph KM , Mak Siu King , Wong Hon Ming , Ng Chi Fai 
Published: May 2020

Background and Objective To assess the feasibility and safety of performing bipolar transurethral enucleation of the prostate (BIPO-LEP) with a new generation of bipolar electrosurgical and morcellator system. Material and Methods Forty-five consecutive patients scheduled for endoscopic surgery for benign prostatic obstruction were pro-spectively recruited. BIPOLEP was performed with the use of the third generation Karl Storz AUTOCON III 400 and morcellator unit. All patients had a trial without a catheter on Day-1 after surgery. Demographical, preoperative, intraoperative and follow-up data up to 3 months post-surgery were collected and analyzed. Results Between May 2018 and April 2019, 45 consecutive patients underwent BIPOLEP in our institution were prospectively recruited for this study. The mean age was 76 years old. Thirty-four patients (75.6%) were in refractory retention or obstructive uropathy. The mean enucleation efficiency was 1.76 grams per minute of enucleation time (SD = 0.7 gram per minute). The mean bladder irrigation and catheterization times were 5.3 hours and 20.7 hours respectively. Only one patient failed voiding trial on Day-1 after surgery. The postoperative Day-1 discharge rate was 73.3% (n = 33). The median length of hospital stay was 1 day. No patient required clot evacuation or blood transfusion. Seven patients (15.6%) were readmitted within thirty days postoperatively for complications, due to hematuria (8.9%, n = 4) and febrile urinary tract infection (6.7%, n = 3). Nevertheless, none was readmitted for acute urinary retention. Conclusion The use of a new generation of bipolar electrosurgical and morcellator unit for BIPOLEP was safe and the majority could be discharged without catheter within one day after surgery.
Improving Mathematical Critical Thinking and Habits Of Mind To Students in Elementary School
Authors: Nafiah Maratun , MS Zulela , Marini Arita 
Published: May 2020

This study aims to improve mathematical critical thinking and habits of mind through the application the RAVE-CCC (Read, Attend, Visualize, Estimate, Choice, Calculate, Check) strategy for six grade students of Elementary School. This study uses Classroom Action Research method. The research design used Kemmis and Mc Taggart's model. The research data were collected using field note techniques, interviews, observations, and mathematical critical thinking test and habits of mind questionnaires. The results of this study indicate that, tests of students' mathematical critical thinking show increasing trend in each cycle. In the first cycle, the percentage of students who completed their scores with mathematical critical thinking skills was 70.83% which increases in the second cycle to 83.33%. The percentage of teachers and students activity in each cycle has increased. In the first cycle, the percentage of achievement indicators was 78.57%, in the second cycle, increased to 89.28%. The active participation of all students in the first cycle was 76.19% and in the second cycle increased to 87.5%. As for habits of mind, the percentage in the first cycle and second cycle also increased. In the first cycle the average percentage of students who showed a positive habits of mind was 66.66%, in the second cycle increased to 83.33%. Thus, it can be concluded that the adoption of the RAVE-CCC strategy can improve mathematical critical thinking and habits of mind.
Niche Architecture of Thalassina anomala in the Mangrove Ecosystem of Tanjung Tiram Village South Konawe Regency - Southeast Sulawesi
Authors: Purnama Muhammad Fajar , Pratikino A. Ginong , Abdullah Abdullah , Afu La Ode Alirman , Erawan Muhammad Trial Fiar 
Published: May 2020

Penelitian ini diharapkan mampu memberikan informasi ekologis Thalassina anomala terutama yang berkaitan dengan arsitektur relung T. anomala dan peranannya terhadap kehidupan (interaksi timbal balik) biota akuatik lainnya yang ada di ekosistem mangrove Desa Tanjung Tiram Kecamatan Moramo Utara Kabupaten Konawe Selatan - Sulawesi Tenggara. Penelitian ini dilaksanakan pada bulan Oktober-Desember 2019 bertempat di Desa Tanjung Tiram Kecamatan Moramo Utara Kabupaten Konawe Selatan. Penelitian ini bertujuan untuk mengetahui secara detail arsitektur gundukan T. anomala di ekosistem mangrove Desa Tanjung Tiram Kabupaten Konawe Selatan. Penentuan stasiun penelitian menggunakan metode purposive sampling atau penetapan stasiun berdasarkan habitat alami lobster lumpur (T. anomala) di alam yakni pada ekosistem mangrove. Pengamatan relung T. anomala dilakukan secara langsung menggunakan metode random sampling. Parameter utama yang diamati pada penelitian adalah arsitektur relung (niche) antara lain tinggi gundukan, diameter atas gundukan, diameter bawah gundukan, kedalaman liang, diameter liang, kemiringan gundukan, kemiringan liang dan arah liang. Hasil pengukuran arsitektur relung lobster lumpur dan parameter lingkungan di analisis nonparametrik menggunakan uji spearmen, demikian juga dengan hubungan antara diameter atas gundukan dan lebar karapas lobster lumpur (T. anomala). Pola distribusi T. anomala pada setiap stasiun memperlihatkan pola yang acak (random). Kepadatan lobster lumpur (mud lobster) tertinggi diperoleh pada stasiun 2 (substrat berlumpur) dengan jumlah 4,5 ind/m2 sedangkan kepadatan terendah (1,5 ind/m2) diperoleh pada stasiun 3 dengan substrat kombinasi (lumpur, pasir dan kerikil). Terdapat korelasi yang sangat signifikan atau signifikan positif antara diameter liang dan lebar karapas (carapace width) dari T. anomala. 95% dari parameter arsitektur gundukan tersebut memiliki korelasi yang signifikan, artinya hanya terdapat satu parameter yang tidak memiliki korelasi signifikan yakni hubungan antara parameter kemiringan gundukan dengan kemiringan liang (P>0,05). Diantara parameter tersebut tinggi gundukan dengan diameter bawah gundukan memiliki korelasi yang sangat signifikan (0,005<0,01) dan tinggi gundukan dengan kedalaman liang (0,026<0,05).Kata Kunci : Mounds Architecture; Density; Distribution Pattern; Thalassina anomala
Membership, Structure and Rivalries of Youth Gangs in Belo Horizonte, Brazil
Authors: Rocha Rafael , Davis Rodrigues Corinne 
Published: May 2020

This article examines the relationships of violent rivalry among youth gangs in the city of Belo Horizonte, Brazil. Based on extensive fieldwork on multiple gangs, the authors discuss how gang rivalries are structured and renewed over decades. Through this in-depth examination of the role of rivalry in determining the structure and membership in these gangs, the authors discuss how the characteristics observed can contribute to the existing international literature on youth gangs.
Academic Capitalism in the Interstices of the Brazilian Public University
Authors: Sigahi Tiago Fonseca Albuquerque Cavalcanti , Saltorato Patrícia 
Published: May 2020

This article investigates the Financial Market Leagues (LMF) as interstitial organizations through the lens of the Theory of Academic Capitalism. A case study was conducted based on a LMF in a Brazilian public university (LMF-Unab). Data collection involved the LMF’s National Council, business press, institutional pages of the LMFs and the internships coordination of the university studied. Moreover, 82 questionnaires were applied to members of 29 LMFs and the founders of the LMF-Unab were interviewed. The results revealed that 70.1% of respondents are between 20-23 years old; 81% attended private high school; 48% attend Engineering courses. LMFs operate within universities legitimizing narratives and metrics typical of a financialization process, which is illustrated by iconic figures of the discourse of meritocracy and the aggressive culture of results, such as Jorge Paulo Lemann, among other respondents' sources of inspiration. This paper addresses the literature gap regarding the understanding of student organizations as actors of academic capitalism, often portrayed as passive agents in this process, but who are actually active and benefit from it.
Fixing the housing crisis
Authors: Wilson Nick 
Published: May 2020

This article looks at the intergenerational issues associated with housing in New Zealand. Election year is again upon us (Covid-19 permitting) and, with the problems surrounding KiwiBuild, housing affordability is under the spotlight. It is no secret that New Zealand has a housing affordability problem and many causes are feeding this.
Two of these causes – capital taxation inconsistencies and infrastructure issues – will be the focus of this article. Inconsistencies in the taxation of capital income are a major source of the problem, causing intergenerational transfers from younger to older generations. A land tax is a possible solution. Complementary policies targeted at addressing infrastructure bottlenecks also have an important role to play.
The Global Plastic Pollution Crisis
Authors: Farrelly Trisia , Green Laura 
Published: May 2020

The management of plastic waste is a global problem which currently lacks a global solution. As one of the highest per capita producers of household waste in the developed world, New Zealand has a key role to play in addressing the plastics crisis at multiple levels of governance. This article analyses the various policy options available to the New Zealand government and offers a series of recommendations, including prioritising policy and investment at the top of the waste hierarchy (refuse, rethink, redesign, reduce and reuse); linking plastic waste to toxicological risk and commitments to carbon reduction targets; implementing global commitments domestically; and supporting a proposed international legally binding agreement that captures the full lifecycle of plastics and regulates the transboundary flows of plastic pollution.
MÉTODOS RECONSTRUTIVOS DA PÁLPEBRA INFERIOR – APLICAÇÃO NA PRÁTICA DERMATOLÓGICA
Authors: Teixeira Vera , Ramos Leonor , Serra David , Vieira Ricardo , Figueiredo Américo 
Published: May 2020

Introdução: A ressecção de neoplasias cutâneas é a principal causa de defeitos palpebrais. Os princípios de reconstrução da pálpebra encontram-se bem definidos. No entanto, permanece um desafio conseguir um bom resultado funcional e estético. Material e Métodos: Conhecer as diversas técnicas cirúrgicas e os conceitos anatómicos é fundamental na abordagem de lesões palpebrais. Anatomicamente a pálpebra pode ser dividida em duas lamelas: a lamela anterior (pele e músculo orbicular) e a lamela posterior (tarso e conjuntiva).Resultados: Para efeitos reconstrutivos, os defeitos da pálpebra inferior podem ser divididos em dois principais grupos: (1) defeitos de espessura parcial, com a margem palpebral intacta e (2) defeitos de espessura total envolvendo a margem palpebral. As técnicas cirúrgicas de reconstrução da lamela anterior incluem retalhos miocutâneos de rotação ou de deslizamento e enxertos cutâneos. Para reconstruir a lamela posterior são necessários enxertos compostos (condrocutâneos ou condromucosos). Nos defeitos de espessura total ambas as lamelas têm de ser reparadas, para restaurar a função. Nos algoritmos de reconstrução, os defeitos palpebrais de espessura total são classificados em: pequenos (até 30% do tamanho horizontal da margem palpebral), médios (30-50%) e grandes (acima de 50%). Um pequeno defeito pode ser encerrado com sutura directa. Se necessário mobiliza-se a margem palpebral lateral 3 a 5 mm (cantólise lateral). Num defeito de tamanho médio pode ser aplicado um retalho. Para os defeitos de grandes dimensões, o cirurgião deve reconstruir a lamela posterior e planear a reconstrução da lamela anterior com uma combinação das técnicas anteriores. Os autores reviram a metodologia de reconstrução de defeitos da pálpebra inferior e exemplificam com casos da sua prática clínica. Conclusões: Existem inúmeras abordagens possíveis para restaurar a anatomia palpebral. O método reconstrutivo de eleição é individualizado caso a caso, com particular atenção à localização e dimensões do defeito.
Caracterização da População com Mutação BRAF V600 nos Doentes com Melanoma Cutâneo Metastizado num Centro Terciário
Authors: Mendonça-Sanches Maria , Apalhão Miguel , Vale-Fernandes Pedro , Rito Miguel , Costa-Rosa Joaninha , Moura Cecília 
Published: May 2020

Introdução: O melanoma, ainda que represente apenas 5% das neoplasias cutâneas, é o tumor desse órgão com maior taxa de mortalidade. O constante desenvolvimento de novos fármacos, nomeadamente aqueles que têm como alvo terapêutico a proteína B-Raf, aumentou significativamente a sobrevida global dos doentes. Até à data, vários estudos avaliaram as correlações clínico-patológicas com esta mutação; no entanto, não há publicado nenhum estudo referente à população portuguesa.
Material e Métodos: No presente trabalho, os autores investigaram a existência de correlações clínico-patológicas com a presença ou ausência de mutação BRAF, numa população de doentes com melanoma cutâneo metastizado, com vista à identificação de fatores de prognóstico relacionados com esta via de sinalização celular no melanoma.
Resultados: Foram avaliados os processos de 197 doentes com melanoma metastizado e mutação BRAF testada, observados no Serviço de Dermatologia do IPOLFG entre janeiro de 2012 e dezembro de 2016. A mutação BRAF foi documentada em 46,7% (n=92) dos doentes, 60% dos quais (n=56) eram do sexo masculino. Cinquenta e dois por cento (n=48) dos tumores primários estavam localizados no tronco, o que sugere a associação da mutação com a exposição solar intermitente. Em 40% dos doentes (n=79) a metastização ocorreu em múltiplos locais anatómicos. A percentagem de doentes com metastização num único local anatómico foi de 60% (n=118), sendo os locais mais frequentemente envolvidos as cadeias ganglionares locorregionais (36%, n=43) e o pulmão (26,6%, n=25).
Conclusão: Os resultados apresentados não revelaram diferenças na população portuguesa estudada, estando de acordo com aqueles documentados para outras populações e descritos na literatura.
A Importância dos Testes Epicutâneos nos Episódios de DRESS: Estudo Comparativo 10 Anos Depois
Authors: Morgado Francisca Jácome , Santiago Luís , Gonçalo Margarida 
Published: May 2020

Introdução: A reação adversa a fármacos com eosinofilia e sintomas sistémicos (DRESS) é uma reação medicamentosa cutânea grave. Dependendo do(s) fármaco(s) envolvido(s), a sua imputabilidade pode ser confirmada por testes epicutâneos (TE). O objetivo foi avaliar o papel dos TE nos DRESS nos últimos 10 anos e comparar com o estudo prévio, 10 anos antes.
Material e Métodos: Entre o período de 2009-2018 os doentes com o diagnóstico de DRESS realizaram TE no Serviço de Dermatologia do Centro Hospitalar e Universitário de Coimbra. Foram testados os principais fármacos imputáveis, assim como os iniciados posteriormente, e suspeitos de desencadear um agravamento do quadro. Os princípios ativos foram testados 1% - 10% vas (Chemotechnique diagnostics®), ou a partir de uma preparação comercial diluída a 10% vas.
Resultados: O estudo incluiu 41 pacientes (20 homens, 21 mulheres, idade média 53 anos). Os principais fármacos envolvidos foram: alopurinol (n=15), antiepiléticos (n=14), sulfametoxazole-trimetoprim (n=4), salazopirina (n=3), diclofenac (n=2) e antirretrovirais, ezetimibe-sinvastatina e ranelato de estrôncio, 1 cada. Em 15 doentes, outros fármacos (n=18) foram suspeitos de agravar o episódio de DRESS: amoxicilina (n=8), ciprofloxacina (n=2), cefoxitina (n=2) e levofloxacina, ceftriaxone, ceftazidime, vancomicina, aciclovir e metamizol (1 de cada). Obteve-se uma positividade ao fármaco principal em 10 doentes (24,3%), todas relacionadas com antiepiléticos. Todos os doentes testados para o alopurinol obtiveram resultados negativos. A positividade para os fármacos associados a agravamento clínico foi de 67% (12/18), sem nenhuma positividade para as quinolonas.
Conclusão: Globalmente os resultados foram similares aos obtidos no estudo anterior, no qual 18/56 (32,1%) doentes obtiveram um resultado positivo no TE, com resposta positiva maioritariamente à carbamazepina e outros anticonvulsivantes. Diferentemente do estudo prévio, onde não foram testados fármacos administrados após o início da toxidermia, mostramos que os TE têm um papel importante no diagnóstico da cossensibilização, reforçando a importância de testar todos os medicamentos tomados durante o episódio. O reconhecimento de uma cossensibilização pode prevenir um novo DRESS desencadeada por um fármaco secundário.
PEMETAAN POTENSI WILAYAH WILAYAH HOME INDUSTRY DI KECAMATAN GIRIMARTO KABUPATEN WONOGIRI
Authors: Kaudsar Siskak Akatani , Fitriasih Sri Hariyati , Utami Yustina Retno Wahyu 
Published: May 2020

Some residents in Girimarto sub-district make industrial businesses their main source of livelihood. The lack of information about the home industry in the Girimarto District area results in a less than optimal marketing of industrial products and the sale of products produced only around Wonogiri Regency. In addition, the inequality in the provision of facilities from the government has resulted in the very slow development of home industries.Based on these problems, an application will be made system geographic informality mapping the potential of a home industry in the District of Girimarto to provide information on existing home industries and grouping data using a Fuzzy tahani model database modeling to provide the results of classification of home industry data based on variable number of production per year, number of workers and the amount of turnover per year. The results of this system classification / grouping of home industry data in accordance with selected criteria with the highest fire strength value 1 from (interval 0-1). Hopefully this application can help provide information to the public about the home industry in the District of Girimarto and be able to classify home industry data so that it can be used as a decision-making material in how to develop the industry.
IMPLEMENTASI METODE HARGA POKOK PROSES DALAM PERHITUNGAN HARGA POKOK PRODUKSI PADA USAHA BATIK
Authors: Irawati Tri , Arifin Saiful 
Published: May 2020

The Batik is a company which produces apparel from the raw materials until the finished goods. It is called production. By the production, the company aims to produce high quality products with proper list price. Finally, the company will be able to compete with other companies. The purpose of this Last Project is to produce the application of The Computerization of Accounting System for Cost of Goods Manufacture with cost method process determine the list price so it can assist the disposal section in accounting process. The method used in this research was collecting the data including observation method, interview method, and literature technique. The process in making the application of The Computerization of Accounting System for Cost of Goods Manufacture with cost method process on Nur Hasida Batik in Sragen used a computer with Visual Basic 6 program, MySQL, and crystal report. The result of this Last Project Report is The Computerization of Accounting System for Cost of Goods Manufacture based on Orders which includes: goods data input, raw materials data input, labors costs data input, factory overhead data input, the transaction cost of goods, the transaction of the accounting for cost of goods manufacture and list price. It is also included the report of commodities’ data, the report of labors costs data, the report of commodities data, the report of factory overhead data, the report of the accounting for cost of goods manufacture and list price. Keywords: Raw material, labor cost, overhead, cost of goods manufacture
HUBUNGAN KAMPANYE PENCEGAHAN HIV AIDS TERHADAP SIKAP PADA PENDERITA HIV/AIDS (ODHA) DI PANGANDARAN (STUDI PADA PELAJAR SMA DI PANGANDARAN)
Authors: Fuady Ikhsan , Prasanti Ditha 
Published: May 2020

AbstrakPangandaran sebagai kawasan destinasi wisata menjadi tempat yang rentan penyebaran HIV AIDS. Kegiatan kampanye pencegahan HIV AIDS menjadi hal yng sangat penting dilakukan. Berbagai fihak telah melakukan kegiatan kampenye penceghn penyebaran HIV AIDS. Tujuan penelitian ini adalah untuk mengetahui bagaimana hubungan antara terpaan kampanye pencegahan HIV AIDS dengan pembentukan sikap kepedulian terhadap penderita HIV AIDS. Pendelitian ini didesan dengan penelitian kuantitatif dengan pendekatan survey. Populasi dan sampel peneitian ini adalah siswa SMA di Pangandaran. Adapun analsis data dilakukan dengan uji korelasi pearson. Hasil penelitian diketahui bahwa Siswa atau pelajar sebahagian besar relatif sering terkena terpaan kampanye melalui speanduk, poster dan whatapps, sedangkan media elektronik tv dan radio relatif jarang.Adanya hubungan yang kuat antara terpaan kampanye dengan sikap peduli terhdap penderita HIV AIDS.Disarankan diperlukan peningkatan edukasi atau pendampingan bagi remaja tentang pencegahan HIV AIDS banik dalam kampanye langsung ataupun bermedia dalam upaya membangun sikap yang positif dan akhirnya akan memiliki perilaku yang dapat menghindari dari HIV AIDS. Selain itu sikap yang positif juga dapat membangun kepedulian terhadap penderita HIV AIDS.Kata Kunci:kampanye, HIV AIDS, sikap