bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of complete and near-complete endovascular embolization of hypervascular spine tumors with partial embolization
Authors: Westbroek Erick M. , Pennington Zach , Ahmed A. Karim , Xia Yuanxuan , Boone Christine , Gailloud Philippe , Sciubba Daniel M. 
Published: April 2020

OBJECTIVEPreoperative endovascular embolization of hypervascular spine tumors can reduce intraoperative blood loss. The extent to which subtotal embolization reduces blood loss has not been clearly established. This study aimed to elucidate a relationship between the extent of preoperative embolization and intraoperative blood loss.METHODSSixty-six patients undergoing preoperative endovascular embolization and subsequent resection of hypervascular spine tumors were retrospectively reviewed. Patients were divided into 3 groups: complete embolization (n = 22), near-complete embolization (≥ 90% but < 100%; n = 22), and partial embolization (< 90%; n = 22). Intraoperative blood loss was compared between groups using one-way ANOVA with post hoc comparisons between groups.RESULTSThe average blood loss in the complete embolization group was 1625 mL. The near-complete embolization group had an average blood loss of 2021 mL in surgery. Partial embolization was associated with a mean blood loss of 4009 mL. On one-way ANOVA, significant differences were seen across groups (F-ratio = 6.81, p = 0.002). Significant differences in intraoperative blood loss were also seen between patients undergoing complete and partial embolization (p = 0.001) and those undergoing near-complete and partial embolization (p = 0.006). Pairwise testing showed no significant difference between complete and near-complete embolization (p = 0.57). Analysis of a combined group of complete and near-complete embolization also showed a significantly decreased blood loss compared with partial embolization (p < 0.001). Patient age, tumor size, preoperative coagulation parameters, and preoperative platelet count were not significantly associated with blood loss.CONCLUSIONSPreoperative endovascular embolization is associated with decreased intraoperative blood loss. In this series, blood loss was significantly less in surgeries for tumors in which preoperative complete or near-complete embolization was achieved than in tumors in which preoperative embolization resulted in less than 90% reduction of tumor vascular blush. These findings suggest that there may be a critical threshold of efficacy that should be the goal of preoperative embolization.
Association between a prognostic nutritional index less than 50 and the risk of medical complications after adult spinal deformity surgery
Authors: Oe Shin , Yamato Yu , Hasegawa Tomohiko , Yoshida Go , Kobayashi Sho , Yasuda Tatsuya , Banno Tomohiro , Arima Hideyuki , Mihara Yuki , Ushirozako Hiroki , Yamada Tomohiro , Ide Koichiro , Watanabe Yuh , Matsuyama Yukihiro 
Published: April 2020

OBJECTIVEMany complications are likely to occur in patients with malnutrition. The prognostic nutritional index (PNI) is often used when evaluating a patient’s nutritional condition. However, no studies have investigated the association between nutritional status and postoperative medical complications or prognosis by using the PNI in the field of spinal surgery. The purpose of this retrospective study was to investigate postoperative medical complications and prognoses of patients who had undergone adult spinal deformity (ASD) surgery, according to their preoperative nutritional status.METHODSAll patients aged ≥ 40 years who had undergone scheduled ASD surgery in the authors’ hospital between March 2010 and June 2017 were eligible for study inclusion and were divided into groups according to their PNI (< 50, group L; ≥ 50, group H). Medical complications diagnosed within 30 days postoperatively were evaluated; however, surgical site infection and death were evaluated until 1 and 5 years after surgery, respectively.RESULTSAmong the 285 eligible patients, groups L and H consisted of 118 and 167 patients, whose mean ages were 68.6 and 68.3 years, respectively. There was a significant difference in body mass index (22 vs 24 mg/kg2, respectively, p = 0.000), PNI (46 vs 55, p = 0.000), comorbidity of osteoporosis (50% vs 32%, p = 0.005) and autoimmune disease (13% vs 5%, p = 0.036), medical history of malignant disorder (17% vs 6%, p = 0.007), and medical complications (49% vs 23%, p = 0.000) between groups L and H. Multiple logistic regression analysis suggested that significant risk factors for postoperative medical complications were male sex (p = 0.000, OR 3.5, 95% CI 1.78–6.96), PNI < 50 (p = 0.000, OR 2.9, 95% CI 1.69–4.93), and days to ambulation (p = 0.003, OR 1.1, 95% CI 1.02–1.09).CONCLUSIONSMedical complication rates are significantly higher in patients with PNI < 50, those with delayed ambulation, and male patients. In malnourished patients scheduled for ASD surgery, improvement of preoperative nutritional status and postoperative early ambulation are important to avoid medical complications.
"Estrategia Centroamericana de Desarrollo Rural Territorial"
Authors: Romero Rodríguez José Juan 
Published: April 2020

Recensión de la obra de: CONSEJO AGROPECUARIO CENTROAMERICANO (CAC) (2010), Estrategia Centroamericana de Desarrollo Rural Territorial – ECADERT. San José de Costa Rica, Consejo Agropecuario Centroamericano, 116 pp.
"Glosario básico sobre microﬁnanzas"
Authors: López Martín María del Carmen 
Published: April 2020

Reseña dela obra de: LACALLE, M. C. (Coord.) (2010), Glosario básico sobre microﬁnanzas, Madrid, Ed. Foro Nantik Lum de Microﬁnanzas, 146 pp.
"Fracaso y abandono escolar en España"
Authors: De los Ríos Berjillos Araceli 
Published: April 2020

Reseña de la obra de: FERNÁNDEZ ENGUITA, M., MENA MARTÍNEZ, L. Y RIVIERE GÓMEZ, J. (2010) Fracaso y abandono escolar en España, Barcelona, Fundación “La Caixa”, Colección de Estudios Sociales,núm. 29, pp. 217.
Pengaruh Pertumbuhan Ekonomi dari Segi Pengeluaran Terhadap Tingkat Pengangguran
Authors: Mapparenta Mapparenta , Arfah Aryati 
Published: April 2020

Penelitian ini bertujuan untuk menilai secara empiris pengaruh parsial antara Pertumbuhan ekonomi, Pengangguran, dan Belanja pemerintah terhadap tingkat kemiskinan di indonesia. Jenis penelitian ini kuantitatif. Metode pengumpulan data yang digunakan dalam penelitian ini adalah dokumentasi dan kepustakaan. Data penelitian dianalisis menggunakan analisis regresi berganda dengan bantuan perangkat lunak SPSS. Hasil penelitian menemukan bahwa tingkat pertumbuhan ekonomi berpengaruh positif signifikan terhadap tingkat kemiskinan. Tingkat pengangguran berpengaruh positif signifikan terhadap tingkat kemiskinan. Sedangkan tingkat belanja pemerintah berpengaruh positif tidak singnifikan terhadap tingkat kemiskinan
Dog Disease Expert System Using Certainty Factor Method
Authors: Marlinda Linda , Widiyawati Widiyawati , Indrarti Wahyu , Widiastuti Reni 
Published: April 2020

Many animal keepers at home who do not know the disease contained in the animal's body. Especially for dogs, the lack of information begins to provide care, hygiene, vaccinations for the health of pet dogs and sickles that will be caused by dogs to their owners. Expert systems can provide solutions to the lack of information obtained by pet dog owners, especially dogs. With this expert system, the owner can know the dog's disease and realize the right prevention in treatment. In this paper 25, physical symptoms of the disease are used and found 8 types of common dog diseases. Five options are given to answer the calculation question using each method: no, quite sure, sure enough, certain, and certainty sure. Accuracy Analysis of each method is tested by assessing the results of each analysis method based on user feedback. The results of this study are the application of an expert system that can diagnose dogs using herbal medicines from plants. The purpose of this study is to implement the certainty factor method in the diagnosis system of canine diseases that can provide space in providing value confidence in knowledge. The conclusion in this study will show some questions as indicators of the characteristics of canine disease, until the final question. The conclusion of the study using the certainty factor method will show the characteristics of the disease in dogs. By being obtained from Rabies (0.9) with easy to get angry refuse nomal food; Hepatitis (0,9) with swelling of the liver occurs; Distemser (0,8) with stomach part blister and festering discharge from the eye; canine parvorius (0,8) with loss of appetite and poop there is blood, herpesvirus (0,8) with often roared and complaints, papilomatosis (0,9) with Smelly dog breath, and leptospirosis (0,7) with complaints, and dirofilaria immitis (0,9) with Unstable body temperature
Perfil socioeconômico e autocuidado das gestantes adolescentes
Authors: Moraes Maria Helena dos Santos , Assunção Magnólia de Jesus Sousa Magalhães 
Published: April 2020

A gravidez precoce é vista como problema de saúde pública, tal situação tem repercussão em âmbito mundial e não sendo diferente no Brasil. O estudo teve como objetivo identificar o perfil socioeconômico e autocuidado das gestantes adolescentes. Tratou- se de uma pesquisa descritiva, de caráter quantitativa e transversal. Participaram deste estudo 185 gestantes adolescentes atendidas no serviço de pré-natal de Caxias- MA. Com relação as orientações sobre autocuidado, a pesquisa mostrou que a maioria das participantes recebem essas orientações, 138 (75%), contudo, o que chama atenção é o fato de não serem os profissionais da saúde os maiores orientadores, e sim orientações advindas de familiares 51 (37%). A partir dos dados obtidos pôde- se notar que as gestantes adolescentes encontravam- se em situações de vulnerabilidades tanto socioeconomicamente quanto em seus aspectos obstétricos, uma vez que a precoce menarca e início da relação sexual favorecem a uma gravidez adiantada e muitas vezes indesejada.
Ocorrência de flebite associada a cateterismos venosos periféricos em pacientes hospitalizados
Authors: Fernandes Eveline dos Santos , Peres Ellen Marcia , Gomes Helena Ferraz , Pires Bruna Maiara Ferreira Barreto , Leite Dayana Carvalho , Péres Júnior Eugenio Fuentez , Faria Cristiene 
Published: April 2020

Objetivo: analisar a ocorrência de flebite associada ao cateterismo venoso periférico em pacientes hospitalizados e identificar sua relação com idade e calibre do cateter. Metodologia: Estudo de coorte, quantitativo, desenvolvido em uma enfermaria clínica de um Hospital Universitário de grande porte no Estado do Rio de Janeiro, Brasil. A amostra foi em sequência e constituiu-se de 27 doentes em uso de dispositivo intravenoso periférico. A coleta de dados ocorreu nos meses de março a maio de 2019, através de um formulário contendo variáveis referentes a caracterização dos doentes e do cateterismo venoso. Foi realizado o risco relativo para as variáveis de interesse: idade e calibre dos cateteres. Resultados: Houve predomínio do grau I de flebite, com 75% dos casos. Os idosos apresentaram risco relativo maior de desenvolver flebite quando comparados aos adultos. Os calibres 18 e 20 apresentam risco relativo maior de desenvolver flebite em relação aos 22 e 24. Conclusão: A ocorrência de flebite é maior em idosos e quando se punciona com calibres 18 e 20. Espera-se que o estudo contribua para a prática clínica de profissionais de enfermagem, no sentido de diminuir o uso de calibres 18 e 20, e seguir protocolos para evitar flebite em idosos.
Sobrevivência do transplantado renal a luz do pensamento ecossistêmico: contribuições do enfermeiro
Authors: Pedroso Vanessa Soares Mendes , Rodrigues Sidiane Teixeira , Paula Saul Ferraz de , Scarton Juliane , Tolfo Fernando , Siqueira Hedi Crecencia Heckler de 
Published: April 2020

Objetivo: Refletir sobre a atuação e contribuição do enfermeiro, a luz do pensamento ecossistêmico, na sobrevivência do transplantado renal. Método: Caracteriza-se como uma reflexão teórico-filosófica acerca das contribuições do enfermeiro na sobrevivência do transplantado renal, a luz do pensamento ecossistêmico em analogia com autores que discutem a saúde na perspectiva ecossistêmica. Resultados e Discussão: A reflexão foi organizada e discutida por meio de três categorias: Doença renal crônica e transplante renal, na perspectiva ecossistêmica; O trabalho do enfermeiro no pré e pós-transplante; Contribuição da atuação do enfermeiro na sobrevivência do transplantado renal. Infere-se que o comportamento pode influenciar diretamente a sobrevivência do usuário. Considerações finais: Observa-se o sucesso do transplante renal depende das orientações do enfermeiro ao usuário em relação às melhores práticas de cuidados de prevenção, manutenção e, principalmente quanto aos riscos de infecções, sinais e sintomas de rejeição do órgão transplantado. Salienta-se ainda, que ao ancorar este estudo na perspectiva ecossistêmica, pode-se refletir sobre a atuação do enfermeiro além do ambiente hospitalar de alta que a literatura nos indica, mas sim no domicílio do usuário, local em que sua vida de pós transplante e sua sobrevivência realmente acontecem.
Organizações não governamentais como elo entre a universidade e o mercado: uma análise por meio do projeto arrastart
Authors: Lui Márcio De La Cruz , Petarnella Leandro , Varela Carmen Augusta 
Published: April 2020

O objetivo deste artigo é explorar como uma parceria entre uma ONG e uma empresa do setor privado pode ajudar a impulsionar o empreendedorismo social, com base na utilização de tecnologias digitais, em universidades de massa, voltadas para o ensino de jovens de baixa renda. Justifica-se a partir dos movimentos mundiais relacionados a criação de startups dentro de universidades brasileiras, e a relevância destas para a geração de receitas, já que práticas que atendem jovens de periferia voltadas à sua realidade social, ainda são escassas. A contribuição teórica deste artigo está em coadjuvar o entendimento de como se dá o processo de alavancagem de startups em ambientes universitários com o apoio de ONGs. No que tange os aspectos metodológicos, foi realizada uma pesquisa exploratória, de natureza qualitativa e descritiva, por meio de um estudo de caso utilizando-se de análise documental, observação participante, entrevistas com professores e gestores da ONG, baseadas em roteiros semiestruturados, e um grupo focal com alguns universitários beneficiados pelo programa. Os resultados relevaram que a ausência de transparência na transmissão das informações, bem como as diferentes compreensões sobre os objetivos a serem alcançados com o projeto se constituem como barreiras que devem ser consideradas na fase inicial do projeto haja visto a possibilidade de seus resultados terem efeito contrário do esperado.
PEMODELAN ANGKA KEMATIAN IBU DI INDONESIA DENGAN PENDEKATAN GEOGRAPHICALLY WEIGHTED POISSON REGRESSION
Authors: Destyanugraha Rivan , Kurniawan Robert 
Published: April 2020

Maternal Mortality Rate (MMR) is one of the important indicators of a country's health development and is one of the targets of achieving Sustainable Development Goals (SDGs). This study aims to develop a model on the relationship of MMR with provincial health development variables using the Geographically Weighted Poisson Regression (GWPR) method; as well as mapping the model to the provincial map. Estimation of model parameters using PODES data for 2011 and the projected health and projection profile of 2010-2013. The obtained model consists of four variables that influence the number of maternal deaths: (1) the ratio of health facilities, (2) the ratio of midwives, (3) the percentage of deliveries assisted by health personnel, and (4) the percentage of pregnant women received Fe tablets. The mapping of the four variables into the provincial map yields three groups of regions with different levels of significance of variables. The AIC value and the GWPR model deviance are lower than Poisson regression, indicated that the AKI model with GWPR is better than Poisson regression.

Angka Kematian Ibu (AKI) merupakan salah satu indikator penting pembangunan kesehatan suatu negara danmenjadi salah satu target pencapaian Sustainable Development Goals (SDGs). Penelitian ini bertujuan menyusun model hubungan AKI dengan variabel-variabel pembangunan kesehatan provinsi menggunakan metode Geographically Weighted Poisson Regression (GWPR) dan memetakan model tersebut kedalam peta provinsi. Estimasi parameter model menggunakan data PODES tahun 2011 dan profil kesehatan dan proyeksi penduduk tahun 2010-2013. Model yang diperoleh terdiri dari empat variabel yang mempengaruhi jumlah kematian ibu yaitu rasio sarana kesehatan, rasio bidan, persentase persalinan ditolong tenaga kesehatan, dan persentase ibu hamil mendapat tablet Fe. Pemetaan empat variabel tersebut ke dalam peta provinsi menghasilkan tiga kelompok wilayah dengan tingkat signifikansi variabel yang berbeda-beda. Nilai AIC dan deviance model GWPR lebih rendah dari regresi Poisson menunjukkan bahwa model AKI dengan GWPR lebih baikdari regresi Poisson.
KONSENTRAT PROTEIN IKAN LELE DUMBO (Clarias Gariepenus) AFKIR DALAM KERUPUK MELARAT UNTUK MENCAPAI SUSTAINABLE DEVELOPMENT GOALS
Authors: Listyarini Sri , Asriani Asriani , Santoso Joko 
Published: April 2020

At present the world is required to realize sustainable development, as outlined in the Sustainable Development Goals (SDGs). SDGs are 17 goals determined by the United Nations as a world development agenda for the benefit of humans and planet earth and are expected to be achieved in 2030. The first three SDGs are: first (poverty), second (hunger), and third (healthy and prosperous life). To achieve the 3 first goals of SDGs, a study on the production of fish protein concentrate (KPI) made from dumbo rejected catfish was conducted, and added the KPI catfish rejected concentrate to improve the quality of destitute crackers. The results of the study were: (1) the best KPI was made by extraction using 75% isopropyl alcohol (IPA) solvent, with 4 repetitions, the highest protein content was 78,71%, the lowest fat content was 0,69%, and the organoleptic value highest (4,37); and (2) the best destitute crackers are crackers with the addition of 10% KPI with quality: 12,41% protein content, 28,5% florality, organoleptic value crispy texture, very weak savory taste, bright cream cracker color. The addition of KPIs derived from dumbo reject catfish in destitute crackers is expected to be used to achieve the objectives of the first SDGs up to the third, but further research is needed in the production scale with an analysis focus on economic aspects.

Saat ini dunia dituntut untuk mewujudkan pembangunan berkelanjutan, yang dituangkan dalam Sustainable Development Goals (SDGs). SDGs merupakan 17 tujuan yang ditentukan oleh PBB sebagai agenda dunia pembangunan untuk kemaslahatan manusia dan planet bumi dan diharapkan dapat dicapai pada tahun 2030. Tiga tujuan pertama SDGs adalah: pertama (kemiskinan), kedua (kelaparan), dan ketiga (Kehidupan sehat dan sejahtera). Untuk mecapai 3 tujuan SDGs ini dilakukan penelitian pembuatan konsentrat protein ikan (KPI) berbahan baku ikan lele dumbo afkir, dan menambahkan KPI lele dumbo afkir untuk meningkatkan kualitas kerupuk melarat. Hasil penelitian adalah: (1) KPI terbaik dibuat dengan ekstraksi menggunakan pelarut isopropil alkohol (IPA) konsentrasi 75%, dengan 4 kali pengulangan, memiliki kadar protein yang paling tinggi 78,71 %, kadar lemak terendah 0,69%, dan nilai organoleptik tertinggi (4,37); dan (2) Kerupuk melarat terbaik adalah kerupuk dengan penambahan KPI 10% dengan kualitas: kadar protein 12,41%, tingkat kemekaran 28,5%, nilai organoleptik tekstur renyah, rasa gurih sangat lemah, warna kerupuk krem keputihan cemerlang. Penambahan KPI yang berasal dari lele dumbo afkir pada kerupuk melarat diharapkan dapat digunakan untuk mencapai tujuan SDGs pertama sampai dengan ketiga, namun diperlukan penelitian lebih lanjut dalam skala produksi dengan fokus analisis pada aspek ekonomi.
METODE ANALISIS KOMPONEN INDEPENDEN DAN PENGGUNAANNYA PADA DEKOMPOSISI SINYAL ELEKTROENSEFALOGRAFI
Authors: Pattirajawane Ignatius Danny , Suwangto Erfen G 
Published: April 2020

Independent component analysis (ICA) is a multivariate statistical method that is used to find factors or independent component from the data. ICA is a further development of factor analysis (FA). The different of ICA to FA is that in FA the distribution of the data is assumed to be normal (gaussian) while it is non-gaussian in ICA. In this paper we will elucidate ICA shortly from the formulation of the problem, the linear modeling of the problem, the solution of the problem through maximum likelihood method and information theory approach, to the formulation of computational algorithm through neural network optimalization of weight matrix. Since one of the common application of ICA is in analysis of biomedical signal, in this paper we will give an illustration of decomposition of electroencephalographic signals in to independent components. This action could help researchers or cliniciansto differentiate brain activities from artifact such as mucles of heart activities. The data samples are taken from open source EEG dataset and would be analyze with EEGLAB which is an open source extension module to Matlab.

Analisis komponen independen (AKI) merupakan metode statistik multivariat yang digunakan untuk menemukan faktor atau komponen independen dari suatu data. AKI merupakan pengembangan lebih lanjut dari analisis faktor (AF). Perbedaannya AKI dengan AF ialah komponen diasumsikan berdistribusi normal (gaussian) pada AF, sedangkan pada AKI komponen diasumsikan berdistribusi non-gaussian. Pada makalah ini akan dipaparkan secara singkat AKI mulai dari perumusan masalah yang memunculkan metode AKI serta permodelan linear yang dihasilkan, pemecahan masalah linear tersebut melalui metode maximum likelihood (ML) dan pendekatan teori informasi, hingga formulasi algoritma komputasi melalui pendekatan optimalisasi matriks beban pada model jaringan syaraf. Karena salah satu penerapan AKI adalah pada analisis sinyal biomedis, dalam makalah ini akan disajikan ilustrasi dekomposisi sinyal elektroensefalografi (EEG) ke dalam komponen independen. Tindakan ini dapat membantu peneliti atau tenaga medis dalam membedakan mana sinyal dari otak dan mana yang merupakan artefak seperti sinyal dari aktivitas otot atau jantung. Data yang digunakan berupa data set EEG sumber terbuka dari daring yang kemudian dianalisis dengan menggunakan perangkat lunak EEGLAB yang merupakan modul tambahan atas perangkat lunak Matlab.