bluuebunny/crossref_metadata_2025_split huggingface dataset:
Estudio comparativo de precisión diagnóstica preoperatoria y la confirmación laparoscópica de hernia hiatal
Authors: Braghetto Italo , Cuneo Nicole , Zamorano Marcelo , Rojas Jorge , Piñeres Amy , Figueroa-Giralt Manuel 
Published: November 2020

Introducción: La hernia hiatal (HH) de tipo I por deslizamiento es el tipo más frecuente, siendo difícil de definir objetivamente, por lo que el principal foco de controversia es su diagnóstico. El objetivo del presente trabajo es reportar los resultados respecto de la precisión diagnóstica del estudio preoperatorio y confirmarlo con el diagnóstico laparoscópico de este tipo de HH. Material y Método: Estudio prospectivo descriptivo de serie que incluyen pacientes con síntomas típicos de enfermedad por reflujo gastroesófagico los cuales se sometieron a estudio con esófago-gastro-duodenoscopía, estudio manométrico y radiológico de esófago, estómago y duodeno con bario. Se incluyen sólo los pacientes en los cuales la endoscopía revela la existencia de HH por deslizamiento < 5cm. Estos pacientes se sometieron a tratamiento quirúrgico confirmándose o no la existencia de HH al momento de la exploración laparoscópica. Resultados: El valor predictivo positivo y sensibilidad para manometría fue de un 51,2% y 70%, para la radiología 91,7% y 80,5% y para endoscopia 80,3% y 70,7% respectivamente. Conclusión: Para el diagnóstico confiable de HH antes del tratamiento, las tres investigaciones mencionadas deben ser obligatorias antes de la cirugía.
COLECISTECTOMÍA EXTENDIDA MINIMAMENTE INVASIVA EN PACIENTES CON CÁNCER DE VESÍCULA BILIAR. ARTICULO ORIGINAL
Authors: Losada Morales Hector Fabio , Silva Abarca Jorge Alberto , Troncoso Trujillo Andrés Ignacio , Sanhueza Vega Felipe Andrés , Rozas Vásquez María Francisca 
Published: November 2020

Objetivo: Describir resultados en términos de morbilidad y mortalidad de la colecistectomía extendida laparoscópica (CELap) en pacientes con cáncer de vesícula biliar (CVB) incidental.Materiales y método: Serie de casos de pacientes con CVB incidental sometidos a CELap en el Hospital Regional de Temuco entre diciembre 2017 y marzo 2019.Resultados: Incluimos 10 pacientes, con edad promedio de 59,2 ± 11 años, 90% de género femenino. Respecto a la invasión de pared de la vesícula biliar (TNM), 1 presentó invasión hasta mucosa (T1a) con invasión de senos de Rokitansky Aschoff y 9 hasta subserosa (T2). Dos tuvieron ganglio cístico positivo en biopsia inicial. Respecto a la CELap, el tiempo operatorio promedio fue 333 ± 40 minutos. El promedio de ganglios resecados fue 4 ± 2,78, presentando lecho hepático positivo en 1 paciente. La clasificación TNM obtenida: un paciente T1aN0M0, siete T2N0M0 y dos T2N1M0. La estancia hospitalaria promedio fue 5 ± 2,3 días. Siete pacientes recibieron posteriormente quimioterapia con gemcitabina + cisplatino. Hubo morbilidad en 2 pacientes, tipo I de Dindo-Clavien. No reportamos mortalidad. El seguimiento promedio fue 7,1 ± 5,1 meses, no reportamos recurrencia.Discusión: Esta serie presenta menor número de ganglios resecados que otros estudios (posiblemente por ser nuestra serie inicial) y mayor morbilidad, pero sólo tipo I de Dindo-Clavien. Presentamos una estancia hospitalaria similar a series internacionales y menor presencia de metástasis según reportan análisis retrospectivos. Conclusión: La CELap es una opción terapéutica aceptable y presenta cifras de morbilidad y mortalidad comparables con series nacionales e internacionales.
Língua Brasileira de Sinais e cultura surda: práticas inclusivas em um Instituto Federal
Authors: Müller Janete Inês , Kist Karoline 
Published: November 2020

Neste texto, objetiva-se analisar projetos de ensino e de extensão desenvolvidos em um Instituto Federal, os quais, através de estudos teóricos, práticas de uso da Língua Brasileira de Sinais (Libras) e conhecimento da cultura surda, possibilitam a comunicação com pessoas surdas, promovendo intercâmbios culturais. O discurso, como ferramenta analítica, dá condições para a análise de relatos coletados na etapa de finalização dos projetos. Em diálogo com teorizações do campo dos Estudos Culturais em Educação e dos Estudos Surdos, destaca-se a importância da aprendizagem de uma língua visuoespacial, de modalidade diferente das línguas orais, que, além de qualificar o domínio linguístico dos estudantes, dá condições para as práticas inclusivas escolares e sociais. Considerando os dados produzidos, propõe-se a inserção da língua de sinais (e da cultura surda) nos currículos de formação dos profissionais de nível técnico e tecnológico.
PENGARUH VARIABEL MUTU PELAYANAN TERHADAP KEPUASAN PASIEN DAN WORD OF MOUTH (MOM) DI PUSKESMAS KELUA KABUPATEN TABALONG
Authors: Rusmilawaty  
Published: November 2020

Abstact : This research is an explanatory research. The analysis used is path analysis which is an applied form of multiple regression analysis. Variables in this study include the ratio of Joint Effect of Physical Evidence Effect (X1), Reliability (X2), Responsiveness (X3), Guarantee (X4), Reliability (X5), and Patient Satisfaction (Y1) Significant Influence on Word of Mouth ( WOM) (Y2) as the dependent variable. The population in this study is the Patients of Kelua Health Center in Tabalong Regency as many as 300 (Three Hundred) people and all of them are sampled in this study. From the results of data analysis it can be seen that in sub-structure 1 there are significant direct and indirect influences between Physical Evidence (X1), Reliability (X2), Responsiveness (X3), Guarantee (X4), Reliability (X5), Against Patient Satisfaction ( Y1) and in sub-structure 1 there are also direct and indirect influences Physical Evidence (X1), Reliability (X2), Responsiveness (X3), Guarantee (X4), Reliability (X5), and Patient Satisfaction (Y1) Significant to Word of Mouth (WOM) (Y2)
Keywords: Physical Evidence, Reliability, Responsiveness, Assurance, Reliability, Patient Satisfaction, and Word of Mouth (WOM)

Abstrak : Penelitian ini merupakan penelitian penjelasan atau explanatory research. Analisis yang digunakan adalah analisis jalur (path analysis) yang merupakan suatu bentuk terapan dari analisis regresi berganda (multiple regression analisysis). Variabel dalam penelitian ini meliputi rasio Pengaruh Bersama Pengaruh Bukti Fisik (X1),Kehandalan(X2), Daya Tanggap(X3), Jaminan(X4), Kehandalan(X5), dan Kepuasan Pasien (Y1) Mempengaruhi secara Signifikant terhadap Word of Mouth (WOM) (Y2) sebagai variabel terikat. Populasi pada penelitian ini adalah Pasien Puskesmas Kelua Kabupaten Tabalong sebanyak 300 (Tiga Ratus) orang dan semuanya dijadikan sampel dalam penelitian ini. Dari hasil analisis data dapat diketahui pada sub struktur 1 terdapat pengaruh langsung dan tidak langsung yang signifikan antara Bukti Fisik (X1),Kehandalan(X2), Daya Tanggap(X3), Jaminan(X4), Kehandalan(X5), Terhadap Kepuasan Pasien (Y1) dan pada sub struktur 1 terdapat juga terdapat pengaruh langsung dan tidak langsung Bukti Fisik (X1),Kehandalan(X2), Daya Tanggap(X3), Jaminan(X4), Kehandalan(X5), dan Kepuasan Pasien (Y1) Mempengaruhi secara Signifikant terhadap Word of Mouth (WOM) (Y2)

Kata kunci: Bukti Fisik, Kehandalan, Daya Tanggap, Jaminan, Kehandalan, Kepuasan Pasien, dan Word of Mouth (WOM)
Edukasi 10 Indikator Perilaku Hidup Bersih dan Sehat (PHBS) Tatanan Rumah Tangga di SMA Korpri Kota Banjarmasin Tahun 2020
Authors: Norfai Norfai , Rahman Eddy , Anam Khairul 
Published: November 2020

The purpose of this community service activity is to increase students' knowledge about the 10 indicators of Clean and Healthy Behavior household arrangements. Counseling uses media power points, but before starting counseling, questionnaires are filled out by students (pretest). Counseling is carried out by lecture, discussion and question and answer methods, then after counseling, the questionnaire is distributed again to be filled out by students (posttest), after knowledge data before and after counseling has been obtained, then the data analysis using Wilcoxon statistical test. Based on the results of community service activities at the KORPRI senior high school in Banjarmasin, the p-value (0,000) <α (0.05) means that there is a significant difference in knowledge between before and after counseling using power point media, thus it can be concluded that the counseling method uses media power point conducted at the KORPRI senior high school in the city of Banjarmasin is able and successful in increasing students' knowledge about the 10 indicators of Clean and Healthy Behavior household arrangements. It is recommended that schools can work together with the Public Health Services in the region in order to empower school health unit (UKS) to be able to educate school health unit members who are tasked with providing health education using the media, especially power point media in order to help provide comprehensive understanding for other students about health through school health unit at the KORPRI senior high school in Banjarmasin.
TOWARDS CRITICAL EDITION OF LOLIMBARAJA’S VAIDYA-JEEVANA INCORPORATING THE IMPORTANT COMMENTARIES DEEPIKA BY RUDRABHATTA AND GUDARTHA DEEPIKA BY HARINATH GOSWAMI
Authors: Dr. Shrinath M. Vaidya  , Dr. Pratibha V. Kulakarni  
Published: November 2020

The manuscripts preserved acts as valuable treasure of knowledge which can be utilized for the wellbeing of present generation as well as to pass on to the next generation. A thorough study on Deepika and Gudartha Deepika commentaries on Lolimbaraja's Vaidya jeevana, present in the form of manuscript in oriental research institute libraries has been brought much information that is new for present understanding. The present study focuses on treatment aspects of various diseases and preparation of yogas with easy available drugs in present clinical practice and better development of Ayurvedic practices. The study is based on the technical method of critical edition in order to update & conserve the medical knowledge dealt in Deepika and Gudartha Deepika commentaries on Lolimbaraja's Vaidya jeevana.
Objective: 1. To collect and decipher two important commentaries on Lolimbarajas vaidya Jeevana
2. To collate and critically edit the two important commentaries on Lolibarajs Vaidya Jeevana to know their contributions.
Methodology:
The study is based on seven plus five (total 12) manuscripts and all were in Devanagari script and their details are as below.
1.	R-1 to R 7 are - Obtained from BORI, Pune : Acession numbers as - 1093/ 1886-92, 463/ 1895-98, 353/ 1879-80, 948/ 1891-95, 178/ 1882-83, 618/ Vi¾-1, 306/ Vi¾.1
2.	H-1 to H 4 are -Obtained from BORI, Pune; Accession numbers as- 462/1895-98, 913/ 1887-91, 635/ 1895-1902, 238.B/ A 1883-84 and IX
3.	H-5 - Obtained from Zen library, Arrah, Bihar; Accession number 76/42.
Digitization of manuscripts, editing and analysis of mutual relationship among collected copies of Manuscripts, transliteration of all extant of copies selected for Critical edition and Critical Edition with English Translation of the Text is being done.
Conclusion
By observing all internal and external evidences, Deepika by Rudrabhatta and Gudartha Deepika by Harinatha Goswami are the well known commentaries on Lolimbaraja’s Vaidya jeevana pertaining to early and late 17th CAD respectively. These all contributions enhance the richness of Ayurveda in modern era.
KEYWORDS: Critical edition, Deepika, Rudrabhatta, Gudartha Deepika, Goswami Harinatha, Vaidya Jeevana, etc.
Estudio de la emisión de radiación de frenado mediante simulaciones mixtas con el código Monte Carlo PENELOPE
Authors: Garcia Higueras Pedro Antonio , García Pareja Salvador , Casado Villalón Francisco Javier 
Published: November 2020

El método Monte Carlo permite la descripción precisa de las propiedades de la radiación de frenado, la cual se emplea en medicina para radiodiagnóstico o radioterapia. El código PENELOPE descansa en la implementación de historias condensadas para el transporte de partículas cargadas y permite al usuario adaptar el grado de detalle de las simulaciones mediante los parámetros de simulación. La variación de estos parámetros puede afectar a las distribuciones de partículas obtenidas al simular radiación de frenado producida en blancos gruesos.
En este trabajo se analizan las diferencias entre simulaciones con distinto grado de detalle mediante la reproducción con PENELOPE de experimentos publicados de producción de radiación de frenado con electrones de alta y baja energía. Para ello se varían los parámetros de simulación C1 y C2 hasta alcanzar un valor a partir del cual los resultados de las simulaciones son estadísticamente equivalentes.
Se ha observado que una inadecuada elección de los parámetros de simulación conlleva una reproducción inexacta de las características del haz de frenado. Se necesita mayor grado de detalle para simular electrones de alta energía en un material de alto número atómico que para electrones de baja energía en un material de bajo número atómico.
2-D Shear Wave Elastography for the Evaluation of Liver Fibrosis in Hepatosplenic Schistosomiasis: Reliability of a Single Measurement and Inter-Hepatic Lobe Variability
Authors: Veiga Zulane S. T. , Perazzo Hugo , Fernandes Flávia F. , Pereira Gustavo H. , Cavalcanti Marta G. , Peralta José M. , Perez Renata M. , Villela-Nogueira Cristiane A. 
Published: November 2020

ABSTRACTData on liver and spleen stiffness by 2-D shear wave elastography (2-D SWE) in hepatosplenic schistosomiasis (HES) remain scarce. We aimed to assess the correlation between single to multiple measurements of liver and spleen stiffness and to evaluate inter-hepatic lobe variability of liver stiffness measurement (LSM) using 2-D SWE in HES patients. Liver and spleen elastography were performed in HES patients in this cross-sectional study. A total of four stiffness measurements were performed in the right lobe (RL), left lobe (LL), and spleen. The correlation between the first measurement and the median of four measurements was assessed. Liver stiffness measurement of both hepatic lobes was compared. Twenty-six HES patients were included. Liver stiffness measurement was higher in the left than in the right hepatic lobe (17.9 kPa [11.3–92.0] versus 14.9 kPa [5.6–44.4]; P = 0.019). The first measurement was similar to the median of the four measurements for the RL (14.6 [5.6–60.8] versus 14.9 kPa [5.6–44.4]; P = 0.87), LL (17.4 [8.0–128.1] versus 17.9 kPa [11.3–92.0]; P = 0.54), and spleen (50.5 [10.0–157.0] versus 55.7 kPa [19.1–119.4]; P = 0.48). An excellent correlation between the first measurement and the median of four measurements for the RL (r = 0.93; P < 0.001), LL (r = 0.88; P < 0.001), and spleen (r = 0.89; P < 0.001) was observed. In HES, LSM of the LL seems to be higher than that of the right hepatic lobe. Considering the excellent correlation between the first measurement and the median of four measurements in both hepatic lobes and spleen, a single measurement would be sufficient to evaluate liver and splenic stiffness in patients with HES.
Case Report: Refractory Shock due to Fulminant Dengue Myocarditis Treated with Venoarterial Extracorporeal Membrane Oxygenation: A Report of Four Cases
Authors: Teysseyre Laura , Levy Yael , Renou Amélie , Vidal Charles , Larghi Mathilde , Biland Guillaume , Ledieu Nicolas , Allou Nicolas , Jabot Julien , Allyn Jérôme 
Published: November 2020

ABSTRACTDengue disease is found worldwide and has been spreading exponentially in the past decades. Severe forms affect about 2% of patients, sometimes leading to organ failure. Recent studies have shown that fulminant dengue myocarditis is more common than previously thought, and fatal cases have been reported. The treatment of fulminant dengue myocarditis remains supportive and is very challenging in cases of cardiogenic shock. Here, we describe four cases presenting with fulminant dengue myocarditis treated with extracorporeal membrane oxygenation, among two survived.
Circulation in Comparative and World Literature: How the Irish Literary Revival was Received by the Chinese May Fourth Generation
Authors: O'Malley-Sutton Simone Catherine 
Published: November 2020

Abstract
My article uncovers themes of circulation in comparative literature regarding how the early twentieth-century Chinese May Fourth generation read and translated the literature produced by the Irish Literary Revival, in a reciprocal process. I discern Postcolonial Modernism as the answer the Irish Revivalists discovered to the twin evils of Colonial Modernity and Capitalism Modernity and read this as an alternative modernizing model for the Chinese writers, one that does not automatically assume that the Irish, or the Chinese, are subaltern or “other.” I accessed archives in the databases of the Wan Qing qikan quanwen shujuku (1833–1911) 晚清期刊全文数据库 (Late Qing dynasty periodical full-text database 1833–1911), the Minguo shiqi qikan quanwen shujuku (1911–1949) 民 国时期期刊全文数据库 (Chinese Republican era periodical full-text database 1911–1949) alongside the Quanguo Baokan Suoyin 全国报刊索引 (National Newspaper Index). These Chinese-language journals formed a material link between the Irish Renaissance and the Chinese Enlightenment. I discovered many Irish Revivalist plays, once translated by Chinese intellectuals, took on new meanings, crossed class, gender, and racial boundaries and were performed by Chinese peasants throughout China, during the 1920s and 1930s.
Emotion and Female Authority: Cross-Dressing Women in Early Modern English and Chinese Fiction
Authors: Jin Wen 
Published: November 2020

Abstract
Both China and England experienced a secularized cultural transformation in the late seventeenth and eighteenth century. This essay examines how these transformations relate to conceptions of female authority and emotion in the two contexts. It starts with Thomas Percy's interpretation of the female protagonist of Haoquizhuan, showing that Percy's mis(reading) illuminates the differences between fictional representations of exemplary women from early modern England and China. It then proceeds to a comparative study of narrative imaginings of women's cultural functions in early modern England and China, arguing that, in both contexts, female agency and authority ascended in circumscribed ways, creating significant impact on the subsequent histories of narrative fiction.
Os Espaços Democráticos de lazer e a Gestão dos Clubes da Comunidade (Cdcs) da Cidade de São Paulo-SP
Authors: Andrade Lucas Goulart , Braga Débora Cordeiro , Tomazzoni Edegar Luis 
Published: November 2020

O presente artigo visa a analisar os Clubes da Comunidade (CDCs), como opção de lazer na cidade de São Paulo. Realiza um comparativo das gestões baseado em três modelos: o Clube da Comunidade, de administração privada e local e com baixa ou nula intervenção estatal; O Programa Clube Escola, oriundo do Clube da Comunidade, que recebe subsídios públicos e intervenção parcial do Estado em sua gestão; O Parque urbano, que consiste na transformação de um Clube da Comunidade em um parque urbano de administração integralmente estatal. Para tanto, foram utilizados como métodos de investigação a pesquisa bibliográfica e de material midiático, entrevistas com gestores e análise observacional, com o propósito de contextualizar a realidade destes espaços e avaliar os tipos de gestões para revelar o modelo que conquista melhores resultados como espaço de lazer democrático. As conclusões indicam a importância da participação política das comunidades locais para o desenvolvimento da gestão destes clubes como efetivos espaços de lazer.
A Estratégia de Segmentação de Mercado como Vantagem Competitiva: Um Estudo Exploratório no Setor de Turismo “Single” A Partir da Cidade de São Paulo
Authors: Bazanini Roberto , Ferreira Ademir Antonio , Ramos Féris José Ricardo , Ravagnani Fernando Araújo 
Published: November 2020

Este artigo é resultado de uma pesquisa realizada com quatro empresas do setor de turismo (agências e operadoras) da cidade de São Paulo, que realizam programas de viagens especiais para o segmento de pessoas que viajam sozinhas. Por meio de pesquisa exploratória de natureza qualitativa, o objetivo da pesquisa está em investigar se as empresas que incluíram no seu portfólio de negócios um programa específico para o turismo “single” alcançaram a lealdade e fidelidade desse grupo de clientes e obtiveram vantagem competitiva sobre os concorrentes que não adotaram esse tipo de segmentação. Buscou-se explorar nas entrevistas e levantamento de dados junto às empresas, o perfil do turista “single”, a sua motivação e expectativas, assim como a estratégia adotada e as atividades desenvolvidas pela empresa para atendê-los. Os resultados da pesquisa apontam que as empresas que optaram por segmentar seu mercado para o turismo “single” geralmente o fizeram por perceber a existência de um nicho latente a ser explorado, mas somente a empresa que adota a concentração de mercado nesse segmento obtém vantagem competitiva.
Hábitos lectores y titulación de los padres en la percepción de la competencia comunicativa de futuros maestros
Authors: Sierra-Arizmendiarrieta Beatriz , Neira-Piñeiro María del Rosario 
Published: November 2020

El objetivo principal de este trabajo es determinar en qué medida las variables “afición a la lectura en la familia” y “titulación de los padres” pueden incidir en la percepción de la competencia comunicativa de los estudiantes universitarios participantes en el estudio. Se parte de una muestra de 361 estudiantes del Grado de Maestro de Educación Primaria de las universidades de Jaén y Oviedo y se realiza un estudio descriptivo-transversal consistente en un análisis de contingencia. Se distinguen tres unidades de competencia, obtenidas por el análisis factorial realizado: comunicación oral efectiva en el aula, adecuación del registro y producción eficaz de textos escritos. Los resultados evidencian una clara incidencia de la variable “afición a la lectura en la familia” en las dimensiones de competencia analizadas, no dándose ninguna relación entre éstas y la variable “titulación de los padres”.
The main purpose of this work is to know to what extent the variables ‘love of reading in the family’ and ‘parents’ educational level’ may have an impact on the perception of communicative competence in university students participating in this study. This research starts from a sample of 361 Primary Teacher Degree students coming from two Spanish universities. A descriptive-transversal study has been made, consisting in a contingency analysis. Three competence units have been defined from the factorial analysis: effective oral communication in the classroom, register adequacy and effective production of written texts. The results clearly show the influence of the variable ‘love of reading in the family’ in the analysed dimensions. On the contrary, no relation is detected between these dimensions and the variable ‘parents’ educational level’.