bluuebunny/crossref_metadata_2025_split huggingface dataset:
Margen positivo (R1) en la biopsia intraoperatoria durante una gastrectomía total por cáncer gástrico
Authors: Venturelli Muñoz Francisco José 
Published: April 2020

El cáncer gástrico es una patología de alta incidencia en Chile. Afortunadamente es baja la incidencia de márgenes R1 cuando se realiza una cirugía con intención curativa. Al tener un tumor subcardial o cardial es perentorio realizar una biopsia rápida (intraoperatoria), en caso que ésta resulte positiva, es difícil tomar una decisión sobre qué realizar a continuación, ya que el realizar una esofagoyeyunoanastomosis intratorácica aumenta el riesgo quirúrgico. Para esto, es de suma importancia tener la información de las características histopatológicas del tumor, el riesgo de filtración, la recurrencia, la sobrevida, las terapias adyuvantes y la realidad país. Se realizó una revisión de la literatura con el fin de poder guiar la toma de decisiones.
TRATAMIENTO QUIRURGICO DE LA PERICARDITIS PURULENTA. REPORTE DE UN CASO.
Authors: Valdés Dupeyrón Osvaldo 
Published: April 2020

Introduccion: La pericarditis es la enfermedad del pericardio más presente en la práctica médica. La pericarditis purulenta representa el 5% de las pericarditis, con una mortalidad de hasta el 40%.Caso Clínico: Se presenta un paciente masculino, de 27 años de edad, con antecedentes de hipotiroidismo que ingresa con tos y expectoración amarillenta, asociado a fiebre, que resolvió con tratamiento antibiótico. Un mes después, reingresa con dolor abdominal, astenia y disnea intensa que no tolera el decúbito. Se indica ecocardiograma, que diagnostica derrame pericárdico severo, con colapso de cavidades derechas. Se procedió a pericardiocentesis de emergencia, donde se extrajeron 450 mililitros de líquido purulento. En el seguimiento ecocardiográfico a las 48 horas, se observa aumento del derrame, por lo que se decide tratamiento quirúrgico, mediante toracotomia anterolateral izquierda, encontrando derrame purulento y engrosamiento pericárdico de 6 mm, con multiples adherencias. Se indica pericardiectomia parcial. El paciente evolucionó favorablemente, egresándose 7 días posteriores a la cirugía.
Manejo de la fístula anorrectal compleja. LIFT, colgajo de avance y otras técnicas.
Authors: Readi Vallejos Alejandro , Salas Ocaranza Roberto Ignacio 
Published: April 2020

Las fístulas anorrectales complejas son un desafío para el coloproctólogo. Son una patología frecuente que afecta la calidad de vida de los pacientes. La patogénesis aún no esta clara, estarían involucradas citoquinas y el proceso de transición de epitelio a mesénquima. El gold estandar para su estudio es la resonancia nuclear magnética, su uso por si mismo disminuye la recurrencia. El objetivo del tratamiento es lograr la curación sin afectar la función del esfínter evitando las recidivas. Existen múltiples técnicas, siendo la de mayor aceptación la ligadura interesfinteriana del trayecto fistuloso, con tasa de curación sobre el 70%, con mínimo impacto en continencia. Esta revisión incluye otras técnicas como el colgajo endorrectal de avance, uso de sellante, Permacol, células madres, Anal fistula plug, Video asisted anal fistula treatment, Over the scope clip y Fístula laser closure.
LUGAR E MEMÓRIA: A VIDA CANGACEIRA DO BANDO DOS MARCELINOS EM BARBALHA - CE
Authors: Costa Ana Paula Rodrigues da 
Published: April 2020

O trabalho em questão discorre sobre a abordagem dos conceitos de lugar e memória a partir da geografia humanista, apresentando como objeto de estudo o bando de cangaceiros dos Marcelinos no Cariri cearense, tendo como recorte espacial o município de Barbalha. O texto apresenta um apanhado geral sobre o movimento do cangaço para, em seguida, apresentar o bando dos Marcelinos e alguns lugares de sua atuação em Barbalha. Para contextualizar o tema, apresenta-se a interseção entre lugar e memória como definições relevantes para o entendimento do movimento do cangaço.
Palavras-chave: Bando dos Marcelinos; Cangaço; Lugar; Memória; Geografia Humanista.

RESUMEN
El trabajo en cuestión discurre sobre el abordaje de los conceptos de lugar y memoria a partir de la geografía humanista, presentando como objeto de estudio el bando de “cangaceiros” de los Marcelinos en el Cariri cearense, teniendo como recorte espacial el municipio de Barbalha. El texto presenta un recuento general sobre el movimiento del “cangaço”, enseguida, presentar el bando de los Marcelinos y algunos sitios de su actuación en Barbalha. Para contextualizar el tema, se presenta la intersección entre lugar y memoria como definiciones relevantes para el entendimiento del movimiento del “cangaço”.
Palabras clave: Bando de los Marcelinos; Cangaço; Lugar; Memoria; Geografía Humanista.

ABSTRACT
This work discusses about the concepts’ approach of place and memory from the humanistic geography, presenting as object of study the Marcelinos’ gang in Cariri – Ceará, having as a spatial clipping the city of Barbalha. The text presents a general overview of the cangaço movement to, then, present the Marcelinos’ gang and some of their actuation places in Barbalha. To contextualize the theme, wepresent the intersection between place and memory as relevant definitions for the understanding of the “cangaço” movement.
Keywords: Marcelinos’ gang; Cangaço; Place; Memory; Humanistic Geography.

RÉSUMÉ
Le travail en question discute de l'approche des concepts de lieu et de mémoire de la géographie humaniste, présentant comme objet d'étude la bande de “cangaceiros” des Marcelinos dans le Cariri Ceará, avec la municipalité de Barbalha comme section spatiale. Le texte présente un aperçu du mouvement du “cangaço” puis présente le groupe des Marcelinos et quelques lieux de leur performance à Barbalha. Pour contextualiser le thème, l'intersection entre le lieu et la mémoire est présentée comme des définitions pertinentes pour comprendre le mouvement du “cangaço”.

Mots-clés: La bande des Marcelinos; Cangaço; Lieu; Mémoire; Géographie humaniste.
Cross-polarization effects in sheared 2D grating couplers in a photonic BiCMOS technology
Authors: Georgieva Galina , Voigt Karsten , Mai Christian , Seiler Pascal M. , Petermann Klaus , Zimmermann Lars 
Published: April 2020

Abstract
We investigate numerically and experimentally sheared 2D grating couplers in a photonic BiCMOS technology with a focus on their splitting behavior. Two realization forms of a waveguide-to-grating shear angle are considered. The cross-polarization used as a figure-of-merit is shown to be strongly dependent on the grating perturbation strength and is a crucial limitation not only for the grating splitting performance, but also for its coupling efficiency.
DA BAHIA AO RIO DE JANEIRO
Authors: Ferreira Girlene Da Cruz , Do Carmo Cláudio 
Published: April 2020

A análise da obra de Nei Lopes “Mandigas da mulata velha na cidade nova” é centrada na discussão da memória coletiva e na construção da identidade. Está fundamentada por Halbwachs (2003); Le Goof (2003); Pollak (1992), entre outros. Ressalta a importância da memória coletiva na preservação da cultura e na reconstituição dos acontecimentos passados. Tia Amina é uma personagem mítica e toda a especulação sobre a sua figura se dá após a sua morte por meio das investigações do personagem Costinha, repórter do jornal Tribuna. Inseri a obra na vertente da literatura afro-brasileira e aponta o autor como um importante contribuinte no crescimento das representações dos negros no cenário da literatura brasileira.
Palavras-chave: Identidade; literatura; Nei Lopes.
REPRESENTACIÓN VERBAL Y EXPRESIVA EN EL UNIVERSO VIOLENTO DE LA CIUDAD Y LOS PERROS
Authors: Delgado Del Aguila Jesús Miguel 
Published: April 2020

Las formas verbal y expresiva que desarrollan los personajes de un texto literario se muestran mediante el dialogismo y el monologismo —conceptos ficcionalizados que desarrollan Mijaíl Bajtín, Iuri Lotman y Lubomír Doležel—; los mismos que se enfatizan con una atmósfera de violencia en la primera novela La ciudad y los perros (1963) del Premio Nobel de Literatura Mario Vargas Llosa. Estas modalidades adoptan una representación tripartita a través de amenazas, degradaciones a una persona con frases y al cosificar a cualquier individuo: los agresores hacen sentir a sus víctimas como si se tratasen de objetos desvalorizados; asimismo, se aprecia de modo verbal indirecto, el cual consiste en obviar al sujeto de un determinado tema que podría agredirlo, al estar él presente.
Palabras clave: Dialogismo; Monologismo; Análisis literario; Discursividad.
SOBRE A ELABORAÇÃO DA OBRA LITERÁRIA
Authors: Ribeiro Sarug Dagir 
Published: April 2020

Por meio da análise de alguns contos e com base na psicobiografia de Poe, aquela realizada pela psicanalista francesa Marie Bonaparte, constatamos que os mecanismos que presidem à elaboração da obra literária do artista são semelhantes aos mecanismos do sonho. Assim, a criação literária de Poe revela sob o modo fictício a satisfação dos seus desejos infantis, arcaicos e inconscientes. Essa trajetória abre caminho para se pensar tanto no reconhecimento da presença da obra de Edgar Poe no painel das literaturas estrangeiras no Brasil, como também circunscrever a sua psicobiografia como um estudo que demonstra que as obras literárias dos homens revelam sua psicologia mais íntima e a sua própria maneira se insere dentre as mais importantes pesquisas já realizadas sobre o poeta americano.
Palavras-chave: Criação; Edgar Poe; Literatura; Tradução.
Environment improvement: How Individual efforts lead to community Participation
Authors: Wasan Parul Goyal 
Published: April 2020

The paper presents three case studies aimed at examining the factors relating to individual efforts within real life context in order to improve the sustainability of their environment, with the help of multiple case study methodology. These case studies investigate an ecological transformation within real-life context through the efforts of certain individuals. These individuals act as social-environmental initiators and conceive, believe and act upon an opportunity that others in the community either fail to see, believe in; or lack courage to pursue Their actions and behavior were contrary to what the community behavior exhibited. This aspect is supported by the SES model that pointed out that the initiator of the activity generally takes the first step long before the community, and the Government .The initiator also acts as a) role model for the community, b) encourages community participation, and c) acts as go between the community and the providers viz. Government, large NGOs and corporations. These case studies act as exemplars and (and are not exhaustive ) identified the individual efforts for environment and social development. This is an original research which depends upon secondary sources present in both digital and traditional media.
ДАЙДЖЕСТ ONLINE-ЗАХОДІВ ІНСТИТУТУ ПРОБЛЕМ ВИХОВАННЯ НАПН УКРАЇНИ
Authors: Malynoshevskyi Ruslan 
Published: April 2020

Інститут проблем виховання НАПН України, як і кожна наукова установа України, в умовах пандемії COVID-19 був вимушений радикально трансформувати операційну діяльність. Якщо донедавна вона розгорталася в умовах фізичного часу та простору, то карантинні заходи сприяли переведенню більшої частини наукової активності у віртуальний простір. Вимушена і неминуча діджиталізація сприяла повноцінному використанню тих можливостей, які виникли в результаті закриття закладів освіти на період карантину, соціального дистанціювання, заборони масових заходів. Оскільки в таких умовах опинилося абсолютно все населення, вчені Інституту проблем виховання НАПН України розгорнули системну наукову комунікацію з педагогами та батьками через офіційну сторінку у Facebook та на YouTube-каналі. Ця стаття є коротким дайджестом наукової активності за понад 30 днів карантину.
More Virulent Than Disease
Authors: Gage Stephanie 
Published: April 2020

“More Virulent than Disease” is a chapter from the historical novel, Painted Butterflies. This excerpt is written through the voice of Santiago Ramon y Cajal (1852 – 1934), Nobel Prize Winner, who is credited with being “The Father of Modern Neuroscience.” In this piece, Santiago is in his mid-twenties recounting the four years since his return from the Separatist War in Cuba (Ten Years War), where he served as a head physician in a remote jungle hospital. Here, he ruminates about his recovery from illnesses which he acquired in the tropics, from which he barely survived. His hopefulness, his need for artistic expression, his passion for the natural world and the courage he observed from others brought Santiago through one of the darkest periods of his life. Painted Butterflies follows the life and scientific work of Santiago Ramon y Cajal through his journal entries. His story is expressed through his 19th century lens, but is also seen through the eyes of a modern, fictional neuroscientist, Rebecca Calhoun, who is navigating graduate school in the United States. Across two centuries and continents, these scientists discover themselves and what drives their passions for living deeply and the excitement of discovery. When Santiago’s journal falls mysteriously into Rebecca’s hands, they become connected by a scientific theory, spurned by Santiago’s prescience into how memory works. As if Santiago is whispering in her ear, Rebecca pursues her idea on how to enhance the brain’s capacity for memory (and succeeds), but there is a caveat that takes her findings to an unexpected and more personal place.
Towards an inclusive pedagogy in South Africa
Authors: NAICKER SIGAMONEY 
Published: April 2020

Very little has been done concerning mass education since it was introduced for working class children in developing and poor countries. Bowles and Gintis (1976) warned us that schools reproduce the status quo. When developed nations plan they plan for the middle class because the middle class are in the majority. Developing countries, following this model also plan for the middle class but the majority of children in developing countries are working class. This action further marginalises the working class. Whilst this paper is contradictory in suggesting a first world inclusive education model I am of the view that you cannot throw the baby out with the bathwater. There is enormous merit in following the inclusion model since it holds promise for working class children and vulnerable children who constitute the majority population in developing countries schooling systems. Developing countries should plan on the basis of the specificities of their contexts and continue to refine theories and models with a view to ensuring that more children graduate from school.
Working class children will struggle in the contemporary world because of the politicisation of education which results in a performative culture. With the Neo-Liberal paradigm, working class children run the risk of remaining in the margins of society. Modern day bureaucracies are victims of the performance culture that is promoted by the World Bank other supra national organisations.
PERSEPSI MAHASISWA AKUNTANSI: DETERMINAN YANG MEMPENGARUHI PILIHAN KARIR SEBAGAI AUDITOR
Authors: Suryaningsih Maria 
Published: April 2020

The purpose of this study is to investigate the accounting university students’ perception about the auditors’ ethical orientation, the auditors’ working atmosphere and the auditors’ scandals. The study is also to examine and to analyze the influence of the auditors’ ethical orientation, the auditors’ working atmosphere and of the auditors’ scandals which encompasses the knowledge of general audit at the state-run Indonesian Railway Company (PT KAI) to the assessment of the career choice as an auditor. This study is conducted with the random sampling technique in the data collection. The accounting students of Muhammadiyah University who have studied the auditing or who are still studying the auditing become the population of this study. The data used in this study is the primary data obtained with questionnaires. Meanwhile, the hypothesis test is using the simple regression and multiple regression. There are four hypotheses in this study, all of which are accepted. The result of the test of this hypothesis shows that the ethical orientation, The working atmosphere, and auditors’ scandal, has a significant value of 0,000 The meaning that it has a significant influence to the accounting students’ career choice as an auditor. Andthe results ofthis studyhave theabilityconclusionofall theindependent variables of 76.3% affectthe dependent variableisthe student's career choiceasauditor.
PENGARUH INDEPENDENSI AUDITOR DAN FEE AUDITOR TERHADAP KUALITAS AUDIT
Authors: Nurmalia Irma , Saleh Ridwan 
Published: April 2020

This research was aimed to examine empirically the effect of audit independence, audit fee and audit quality. The analysis used an independent variable of audit indpendence and audit fee. The dependent variable is audit quality. The sample of this research are auditors who worked on Kantor Akuntan Publik (KAP) Representative of South Jakarta. The sample was conducted by purposive sampling method. Collecting data was conducted by a questionnaire distributed directly to auditors as much 67 questionnaires. The statistical method used was multiplied analysis linear regression, with hypotheses testing of statistic t-tests and hypotheses testing of statistic f-tests. The result of this research showed that audit independence, audit fee and audit quality.. Pressure obedience significantlysimultaneously or partially on audit quality at the Kantor Akuntan Publik (KAP) in the South Jakarta area.
Sustainable Environmental Development and Disaster Risk Reduction in the Context of Islamic Republic of Pakistan
Authors: Rashid Muhammad 
Published: April 2020

Abstract:Introduction: Disasters are the catastrophic events which affects human lives, infrastructure and economy at significant scale. Pakistan is vulnerable to disasters due to its climate change and geography. Climate change causes much more complications and disasters. So, there should be focus on climate change adaptations to reduce disaster risks. If country spends 1 dollar on DRR it saves 5 to 7 dollars to be spent on same population if disaster strike. So, development for disaster risk reduction is much more important. Making the communities resilient and reduces vulnerability environmental sustainability is very important. After the Millennium Development Goals recommendations, Pakistan is also trying to gain environmental sustainability but more in papers instead of practically. So, the need is to make sure practical implementations of these plans and efforts. The objective of this study was to overview the sustainable environmental development and disaster risk reduction in the context of Pakistan.Methodology: This is the descriptive cross-sectional review study.Conclusion: As Pakistan is vulnerable for natural disasters due to its geography and climate change like floods, landslides, droughts and Tsunamis. These impact communities according to vulnerability level of the community. Impacts of these disasters on communities can be reduced by reducing their vulnerability and increasing their resilience level.
Frequency of Parenternal Exposure and Seroprevelence of HBV, HCV and HIV among Operating Room Personnel
Authors: Ullah Qudrat , Rehman Usman Ali , Hanif Asif 
Published: April 2020

Background: There are many experiences in the operation theatre professionals to get Hepatitis B virus, Hepatitis C virus and Human immunodeficiency virus during their profession in operating room due to accidental needle pricks or through cut by any sharp. The objective of this study is to find out the Frequency of parenteral exposure and seroprevelence of HBV, HCV and HIV among operating room personnel.Methodology: Frequency of parenteral exposure and seroprevalence of HBV, HCV and HIV among operating room personnel was found using ICT method.Results: All 108 (100 %) operating room personnel were HBV, HCV and HIV negative, none of them showed positive results. Among these 108 operating room personnel to complete my research, among these 58 (53.7%) were male and 50 (46.3%) were female.Conclusion: It is concluded by the study that there are no positive cases of HBV, HCV and HIV among operating room personnel in Gulab devi hospital and Masood hospital.
Frequency of Different Organism in Nosocomial Swabs using Surface Method Fumigation with Formaldehyde in Operation Theatre
Authors: Saba Riffat , Ullah Qudrat , Rehman Usman Ali , Hanif Asif , Bhatti Sami Ullah 
Published: April 2020

Background: A facility within a hospital where surgical operations are carried out in a sterile environment is an operating theatre also known as an operating suite, operation theatre or operation suite. In past, the operation theatre was a place where there was an educational setting have had raised tables or chairs at the centre for performing operations surrounded by several rows of seats for students and other spectators to observe the case in progress. The objective of this research is that to better the efficacy of sterilization of operation theatre to reduce the surgical site infection and contamination at highest level.Methodology: Data was collected from surgical department of Gulab Devi Chest Hospital. Carbolization was employed to disinfect operating room and fumigation to sterilize. After neutralization with ammonia, culture swabs were collected from OT table, OT light, OT floor, OT wall, anaesthesia machine and OT trolley. Efficacy of fumigation was concluded using statistical tools.Results: There were no positive results prior and even after the fumigation.Conclusion: There was no organism growth in OT. There was no evidence of Escherichia coli,Proteus Mirabilis, Proteus vulgaris, Pseudomonas aeruginosa, Staphylococcus aureus, Streptococcus spp., E. faecalis, Coagulase negative staph and Salmonella choleraesius.
Post-Operative Pain Comparison between Peri-Operative Bupivacaine Infiltration Vs Post-Operative Opioids Analgesics in Patient Undergoing Abdominal Surgery in First 6 Hours
Authors: Zahra Syeda Hina , Ullah Qudrat , Rehman Usman Ali , Hanif Asif , Bhatti Sami Ullah 
Published: April 2020

Abstract:Background: To compare between opioids and wound infiltration to reduce post-operative painin abdominal surgery in first 6 hours, in appropriate treatment, contraindications of treatment and increase mortality of patients. This article presents novel approach to surgical site infiltration techniques and intravenous opioids for abdominal surgery to reduce pain. The main aim of this study is optimal patient comfort rather than reduce pain intensity, reduction offside effects is also an important goal in pain management.Methodology: Data was collected from surgical department of Gulab Devi Chest Hospital. Duringabdominal surgery bupivacaine was given to some patients while other were managed by postoperative opioids and by using designed performa it is concluded that which one of them is better method for post-operative pain management.Results: This is the descriptive study conducted in Gulab Devi Hospital Lahore.in this study, inthis study minimum age of the patients was 14 and maximum age of the patients was 80. The mean age was 32.16+12.32 years. In this study out of total 100 patients, 18(18.00%) were male patients and 82(82.00%) were females. Female gender predominated in this study. in this study, p-value is 0.00 (<0.05%) so pain relieving chances of bupivacaine infiltration as moderate pain scale were 84% and in distracting pain scale chances in bupivacaine infiltration were 16%.But pain relieving chances of opioids as moderate pain scale were 12.24 % and in distracting pain scale chances in opioids were 87.75%.so peri-operative pain management by bupivacaine infiltration is better than post –operative opioids management in patients undergoing abdominal surgery.Conclusion: According to my research bupivacaine wound infiltration is better method for postoperative pain management in abdominal surgeries. Our study was conducted at Gulab DeviHospital and Services Hospital in an area of pain management by opioids and infiltration, whichmay limit the applications of our findings in area of pain management by opioids and infiltrationprevalence.