bluuebunny/crossref_metadata_2025_split huggingface dataset:
An alternative approach to developing guidelines for the management of an anticipated extremely preterm infant
Authors: Williams Nicholas , Synnes Anne , O’Brien Claire , Albersheim Susan 
Published: July 2020

AbstractObjectivesTo identify the probability of survival and severe neurodevelopmental impairment (sNDI) at which perinatal physicians would or would not offer or recommend resuscitation at birth for extremely preterm infants.MethodsA Delphi process consisting of five rounds was implemented to seek consensus (>80% agreement) amongst British Columbia perinatal physicians. The first-round consisted of neonatal and maternal-fetal-medicine Focus Groups. Rounds two to five surveyed perinatal physicians, building upon previous rounds. Draft guidelines were developed and agreement sought.ResultsBased on 401 responses across all rounds, consensus was obtained that resuscitation should not be offered if survival probability <5%, not recommended if survival probability 5 to <10%, resuscitation recommended if survival without sNDI probability >70 to 90% and resuscitation standard care if survival without sNDI >90%.ConclusionsThis physician consensus-based, objective framework for the management of an anticipated extremely preterm infant is a transparent alternative to existing guidelines, minimizing gestational-ageism and allowing for individualized management utilizing up-to-date data. Further input from other key stakeholders will be required prior to guideline implementation.
Is follow-up echocardiogram mandatory after a STEMI?
Authors: Parasuraman Sathish Kumar , Srinivasan Janaki , Broadhurst Paul 
Published: July 2020

Summary
Current guidelines do not advise follow-up echocardiograms after ST-segment elevation myocardial infarction (STEMI), unless the left ventricular ejection fraction is ≤40%. We present an interesting case of left ventricular pseudo-aneurysm–diagnosed 6 months after index STEMI presentation. Follow-up echocardiogram was performed in her case, due to jaw pain during routine haemodialysis. The patient was successfully treated with percutaneous closure device. This case raises the question of whether echo follow-up should be routinely advised after STEMI–even in those with minimal cardiac symptoms.
Szomatizációs zavarok kezelése gyermekkorban: bizonyítottan hatékony pszichoterápiás módszerek
Authors: Tamás Réka Borbála , Perczel-Forintos Dóra , Máté Orsolya , Gyenge Zsuzsanna 
Published: July 2020

Absztrakt:
Bevezetés: A teljes populációt tekintve az alapellátásban és a
szakellátásban megjelenők mintegy 25–30%-át teszik ki a „szomatizáló” betegek,
akiknek testi tünetei mögött nem találnak orvosilag kimutatható szervi eltérést.
A szomatikus panaszok gyakorisága az időskor mellett gyermek- és serdülőkorban a
legmagasabb. A 7–12 év közötti gyermekek között a szomatikus tünetzavar
jelenléte az alapellátásban közel 20%, a gyermekklinikák szakambulanciáin pedig
47%. A leggyakoribb szomatizációs panaszok a fejfájás, a hasfájás vagy a
különböző végtagfájdalmak, amelyek magas komorbiditást mutatnak más mentális
zavarokkal, elsősorban szorongásos megbetegedésekkel. A szomatizációs zavarok
esetében mindig multikauzális problémáról van szó, amelynek kialakulásában a
biológiai, környezeti és pszichés tényezők komplex módon kapcsolódnak össze. A
tapasztalatok alapján a szomatizáló páciensek sokszor évekig vándorolnak az
egészségügyi rendszerben, ahol adekvát kezelés hiányában legfeljebb gyógyszeres
ellátásban részesülnek, így a panasz könnyen krónikussá válhat.
Célkitűzés, módszer: Tanulmányunk célja a gyermekkori
szomatizációs zavarok bizonyítottan hatékony kezelési módszereire vonatkozó
legfrissebb szakirodalom áttekintése, különös tekintettel a komplex,
pszichoterápiás lehetőségekre. Szemléltetésül egy szédüléssel,
gastrointestinalis panaszokkal és alvászavarral küzdő serdülő fiú kognitív
viselkedésterápiás kezelését ismertetjük. Megbeszélés: A
hatékonyságvizsgálatok eredményei egyértelműen a kognitív viselkedésterápiát,
valamint kiegészítésként a családterápiát/családkonzultációt javasolják a nagy
gyakorisággal megjelenő szomatizációs zavarok adekvát kezelésére. A terápiás
ellátás során a pszichoszociális stresszoroknak, az egészségszorongásnak, a
katasztrofizáló gondolkodásnak a felismerésére és csökkentésére, az eredményes
megküzdési és kommunikációs készségek kialakítására és az életkornak megfelelő
aktivitás fenntartására kell fókuszálni. Következtetés: A
biopszichoszociális szemléletű állapotfelmérés és kezelés kulcsfontosságú a
szomatizáló betegeknél, hogy a megbetegedés kialakulásában és fenntartásában
szerepet játszó pszichés és környezeti tényezőket feltérképezve, bizonyítottan
hatékony kognitív viselkedésterápiában részesüljenek. Orv Hetil. 2020; 161(25):
1050–1058.
Characteristics of the Ambient Seismic Field on a Large-N Seismic Array in the Vienna Basin
Authors: Schippkus Sven , Garden Mikaël , Bokelmann Götz 
Published: July 2020

AbstractThe ambient seismic field is now routinely used for imaging and monitoring purposes. Most commonly, applications aim at resolving crustal-scale features and utilize ocean-generated surface waves. At smaller scales and at frequencies above the microseismic peaks, local sources of seismic energy, often anthropogenic, are dominant, and understanding of their contributions to the ambient seismic field becomes important to apply ambient noise techniques. This study uses data of an industrial-scale seismic deployment covering ∼500  km2 with 10,532 stations, each equipped with several collocated 10 Hz geophones, to provide unique insight into anthropogenic sources of seismic energy in a suburban-to-rural area. We compute amplitude levels, their distance dependency, power spectral densities, and spectrograms to describe the source characteristics. The sources we observe in great detail include windmills, a railway track and trains, cars, oil pumpjacks, power lines, gas pipelines, and airplanes. These sources exhibit time-dependent behavior that is illustrated strikingly by videos of amplitude levels in certain frequency bands that we provide as supplemental material. The data described in this study are a potential resource for future studies, such as automatic signal classification, as well as underground imaging using microseismic noise or the sources presented here.
ACİL SERVİSE BAŞVURAN ZEHİRLENME OLGULARININ RETROSPEKTİF DEĞERLENDİRİLMESİ
Authors: DEMİREL Göksun , KARAPIÇAK Ayşenur , Karapıçak Zeynep 
Published: July 2020

Acil servisine başvuran çocuk ve yetişkin zehirlenme
olgularının retrospektif olarak değerlendirilmesi ile zehirlenmelerin önlenmesi
adına yapılması gerekenlerin tekrar gözden geçirilmesi, zehirlenme olgularına
yaklaşımda yeni gelişmelerin ışığında tedavi ilkelerinin geliştirilmesi ve
gelecek uygulamalara katkıda bulunabilmek hedeflenmiştir.İstanbul Eğitim Araştırma
Hastanesi Acil Tıp Kliniğine 2010-2018 yılları arasında zehirlenme sonucu ile
başvuran çocuk ve yetişkin olguların verileri klinik ve retrospektif olarak
incelenmiştir. Çalışma verileri SPSS ver15.0 programıyla değerlendirilmiştir.Çalışmamızda toplam 654 hasta
ile analiz gerçekleştirildi. Olguların 337’si kadın, 317’si erkek olarak
belirlenmiştir. Yaş ortalaması kadınlarda 36.16 erkeklerde ise 36,72 olarak
bulunmuştur. Kaza ile zehirlenmeler % 85,2’lik oranıyla intihar amaçlı
zehirlenmelere (% 9,5) göre daha sık görülmüştür. Yaş gruplarına göre
zehirlenme etkenleri değerlendirildiğinde %24.2 oranıyla en sık zehirlenme
nedeni olarak kaza ile zehirlenme belirlenirken, 50 yaş üstünde kaza ile
zehirlenme oranının en yüksek olarak gözlemlendiği yaş grubu olarak belirlendi.
İntihar amaçlı zehirlenme oranın en yüksek olarak görüldüğü yaş aralığının
20-29 olduğu belirlendi. Zehirlenme vakalarının en sık gözlemlendiği ayların
Kasım (9,8%), Aralık (10,9%), Ocak (13,5%) ve Şubat (15,7%) olduğu
gösterilmiştir. Çalışmamız İstanbul ilindeki zehirlenmelerin demografik özelliklerini
yansıtmaktadır ve ülkemizde gerek çocukluk çağı zehirlenmelerine gerek
yetişkinlerin zehirlenmelerine karşı alınacak önlemlere katkı sağlayacağı
düşünülmektedir. Zehirlenme olgularının önüne geçilebilmesi, tedavi
protokollerinin geliştirilmesi, araştırma hedeflerinin daha iyi anlaşılabilmesi
ve zehirlenmeler hakkında güncel bilgilere erişimin yaygınlaştırılabilmesi için
epidemiyolojik çalışmalara oldukça ihtiyaç vardır.
Morfología de los vicios pelvianos más frecuentes en Latinoamérica
Authors: Avendaño Onofre 
Published: July 2020

Se expone la experiencia del autor con la clasificación norteamericana para el estudio de los tipos morfológicos y patológicos de vicios pelvianos. La frecuencia relativa de los tipos puros es aproximadamente semejante.La casuística del autor confirma los conceptos sobre diagnóstico y pronóstico de los vicios pelvianos, según la mencionada nomenclatura.Se anotan cifras básicas sobre pelvimetría en la mujer chilena, señalando el criterio de diagnóstico de estenosis y grados de estrechez.Se destaca la importancia de la pelvimetría clínica y de la prueba de trabajo, incluso indicaciones y evaluación de resultados.Se señala la importancia de la asistencia prenatal, de la pesquisa de las variaciones morfológicas y patológicas de la pelvis y de la coordinación del consultorio con la maternidad, para el manejo adecuado y oportuno de la distocia por vicio pelviano.
Sección de Información: Federación Internacional de Ginecología y Obstetricia
Authors: Di Paola Guillermo 
Published: July 2020

El 16 de julio pasado, se efectuó en la Maternidad del Hospital Cantonal de Ginebra la Reunión Anual del Consejo de la Federación bajo la presidencia del doctor Howard Taylor. Estuvieron presentes los doctores Watteville, Geisendorf, Magnin, Martus, Peel, Nixon, Louw, Kottmeier, Pasandare, Tesauro, Snoek y di Paola. Se trató un extenso orden del día cuyos principales fueron los siguientes:
Conducta en la situación transversa del feto
Authors: Velasco Ch. Alvaro 
Published: July 2020

La situación transversa del feto es una anomalía que frecuentemente se presenta en los Servicios Obstétricos y que se acompaña de una alta mortalidad fetal y morbilidad materna.La discrepancia en las conductas ha producido una gran confusión. El mejor conocimiento de la contractilidad uterina, de las causas de anoxia fetal, de las complicaciones, ha disminuido el riesgo materno-fetal.
Algunas observaciones al empleo del tapón de Weisman en la oligospermia
Authors: Rueda González Ricardo 
Published: July 2020

Se seleccionan 19 casos de Oligospermia moderada y extrema en los cuales se emplea como único tratamiento para lograr embarazo el Tapón de Weisman. Se estableció previamente el normal índice de fertilidad de las esposas de dichos pacientes.El procedimiento en cuestión dio resultados halagadores en la solución del bajo número de espermatozoides, por lo cual lo consideramos recomendable en todos los casos en que la terapia hormonal o cualquiera otra no consiga los resultados perseguidos.
Empleo de la alfa-metil-dopa en el embarazo complicado con hipertensión arterial. Informe preliminar
Authors: Sánchez Torres Fernando , Gómez Palacino Jesús A. 
Published: July 2020

A pesar de todo; los empeños puestos para tratar con éxito a la hipertensión arterial esencial o primitiva, continúa siendo un problema inquietante por cuanto la enfermedad -al fin y al cabo- tan solo puede atenuarse, sin amparar completamente de sus complicaciones a quien la padece. En el campo obstétrico ese problema adquiere mayores proporciones, ya que la asociación de embarazo e hipertensión arterial conlleva una constante amenaza para la madre y su hijo.
Tumores mamarios
Authors: Páez Roa Guillermo , Abaunza Hernando 
Published: July 2020

Se analiza la patología mamaria no inflamatoria en el Hospital San Juan de Dios de Bogotá apartir de 1954. Se hace análisis de la casuística general y se establecen datos comparativos entre sí y con los autores consultados. Se comparan datos entre patología benigna y maligna
SUFISTIC SPIRITUALITY: JOINT MOTIVE STUDY IN THE TAREKAT ZAWIYAH NAQSABANDIYAH HAQQANI YOGYAKARTA
Authors: Rohma Zakiya Fatihatur 
Published: July 2020

This article discusses the motives of members to join the tarekat of Zawiyah Naqsabandiyah Haqqani Yogyakarta. Information on the members’ motives explains how the spirit of religiosity influences and changes someone’s life. This study also examines Karl Marx’s view of religion. According to him, the worship of God causes someone alienated from himself. This qualitative research collected the data by doing observation, interviews, and documentation. The results show that there are four motives for members to join the tarekat. They are looking for a mursyid, studying Sufism to learn Islam, looking for inspiration to get to know God, and to get comfort in religion. The members decided to join the tarekat because there was anxiety in religion. Anxiety is what drives a person to take the Sufistic path. The Sufistic path provides peace and comfort in religion. It even strengthens belief in the existence of God and the Prophet Muhammad and leads someone to recognize his identity. The concept of mursyid in the tarekat also becomes a model to be followed in education in the current era since it is believed that he not only transfers knowledge but also shares love to his students. Artikel ini membahas motif anggota bergabung dalam tarekat Zawiyah Naqsabandiyah Haqqani Yogyakarta. Mengetahui motif anggota dapat memberikan gambaran bagaimana spirit sufistik dapat mempengaruhi dan merubah kehidupan seseorang. Hal tersebut sekaligus akan menjadi kritik terhadap pandangan Karl Marx tentang agama. Menurut Karl Marx adanya pemujaan terhadap Tuhan menyebabkan seseorang teralienasi (terasingkan) dari dirinya. Padahal salah seorang anggota tarekat menyatakan tujuan dirinya bergabung dalam tarekat adalah untuk menemukan identitas dirinya. Penelitian ini merupakan penelitian kualitatif dengan metode pengumpulan data berupa observasi, wawancara dan dokumentasi. Hasil penelitian menunjukkan bahwa terdapat empa motif anggota bergabung dalam tarekat, meliputi: mencari tarekat, mendalami tasawuf sebagai jalan mendekati Islam, mencari inspirasi untuk mengenal Tuhan dan mendapatkan kenyamanan dalam beragama. Para anggota memutuskan bergabung dalam tarekat karena adanya kegelisahan dalam beragama. Kegelisahan tersebut yang mendorong seseorang untuk menempuh jalan sufistik. Jalan sufistik memberikan kedamaian dan kenyamanan dalam beragama, bahkan memperkuat keyakinan atas keberadaan Tuhan dan Rasulullah Muhammad. Konsep mursyid dalam tarekat juga menjadi teladan dalam pendidikan saat ini. Karena seorang tarekat dipercaya tidak hanya memberikan pengetahuan namun juga mentransfer cinta kepada para muridnya.
STRUKTURALNE RAZLIKE U MOTIVU POSTIGNUĆA KOD UČENIKA DAROVITIH U RAZLIČITIM DOMENIMA
Authors: Letić Lungulov Milena M. 
Published: July 2020

U fokusu ovog rada su učenici natprosečnih sposobnosti u domenu muzike, slikarstva, sporta i matematike, te njihova težnja ka postizanju uspeha, bilo kroz ostvarivanje vlastitih ciljeva ili isticanjem pred drugim ljudima. Cilj je da se utvrde distinktivna obeležja darovitih u pomenutim domenima u prostoru sledećih komponenti motiva postignuća: takmičenje sa drugim ljudima, istrajnost u ostvarivanju cilja i orijentacija ka planiranju. Na prigodnom uzorku od 473 ispitanika primenjen je instrument MOP 2002. Rezultati ukazuju na to da se učenici daroviti u četiri specifikovana domena statistički značajno razlikuju u svim aspektima motiva postignuća. Kada je reč o domenu sporta, razmatranom u odnosu na domene matematike i slikarstva, specifičnost konstelacije komponenti motiva postignuća uočljiva je u aspektu naglašenosti osobina koje su skopčane sa kompetitivnošću. S druge strane, domen muzike u odnosu na domen matematike iziskuje veću razvijenost osobina ličnosti s predznakom planiranja. Zaključak je da se motivacija darovitih učenika može precizno sagledati i adekvatno razvijati jedino ako se locira u okvire pojedinačnih domena. Opšte preporuke za podsticanje motivacije darovitih u nastavnom procesu su: saradnja učenika sličnih interesovanja i sposobnosti, samostalan rad učenika, nastavnik u ulozi vodiča, savetnika i facilitatora, nastava usmerena na učenike, povezivanje nastavnih sadržaja sa problemima stvarnog sveta.
STO ROKOV OD ZALOŽENIA NÁRODNEJ JEDNOTY,
Authors: Marčok Daniela M. , Uhláriková Jasna 
Published: July 2020

V historiografii Slovákov vo Vojvodine často bol vyzdvihovaný význam tlače v ich hospodárskom a spoločenskom živote. V období medzi dvoma svetovými vojnami Slováci vo Vojvodine mali vyvinutú vydavateľskú činnosť. Cieľom výskumu bolo zhrnúť doterajšie poznatky o novinách Národná jednota, ako i vypátrať niektoré nové skutočnosti o tomto prvom spoločensko-politickom týždenníku Slovákov vo Vojvodine. Analýzou jednotlivých ročníkov a čísel prichádza sa k uzáveru, že Národná jednota je bohatým, no nedostatočne využitým prameňom na skúmanie rôznych aspektov života juhoslovanských Slovákov v období medzi dvoma vojnami. Zvlášť sú hodnotné poznatky o národno-kultúrnom podnikaní, ale i o ich hospodárskom a politickom živote.
Perlakuan Akuntansi atas Biaya Lingkungan pada RS Perkebunan dan RSUD Balung di Kabupaten Jember: Pendekatan Observasional
Authors: Megananda Cici 
Published: July 2020

This research aims to know the accounting treatment of environmental costs at RS Perkebunan and RSUD Balung, to measure the level of deffrence or similarity both hospitals and to measure the level of compliance with Accounting Standards and applicable accounting concepts. This research is descriptive research with qualitative approach, a method is done by collecting, preparing and analyzing descriptive data obtained through observation, interviews, documentation and comparison of the data both hospitals. To minimize errors thay may occur, this research used data triangulation. The results showed some differences and similarities in the accounting treatment of environmental costs carried by RS Perkebunan and RSUD Balung in Jember. Differences arise because the two hospitals have a difference in the application of standards and policy management so that the level of compliance based on the accounting standards applied.
Keywords: accounting, environmental, waste, hospital
PENERAPAN GOOD DAIRY FARMING PRACTICE (GDFP) DAN PENDAPATAN USAHA TERNAK SAPI PERAH KEMITRAAN DAN MANDIRI DI KABUPATEN JEMBER
Authors: Aminah Siti , Rondhi M . 
Published: July 2020

ABSTRACT
Increased demand of milk is higher along with the increasing number of population, but increased demand of milk is less offset by increased production of local dairy cow milk so that in fulfilling local milk need is still doing a lot of milk import. With the existing of milk demand, livestock farming development of dairy cows can be done in Jember Regency. One of dairy cow farming in Jember Regency is located in Kemuning Lor Village Arjasa District Jember Regency which is the independent farm. Partnership farm in Jember Regency is in Ajung Village Ajung District, Balung Lor Village Balung District and Rowotengah Village Sumberbaru District which are partnership farm with Galur Murni Cooperative. Both livestock businesses experience the same problem which is the lows of milk production so that causes the lows of income received by the farmer. Milk production can increase if the farmer can apply GDFP (Good Dairy Farming Practice) of good dairy cows. This research aimed to (1) find out GDFP implementation, (2) find out the income, and (3) find out cost use efficiency. This research showed that: (1) The level of GDFP implementation of partnership farm was higher than the level of GDFP implementation of the independent farm. (2) Both livestock businesses of partnership and independent farm in Jember Regency is mutual. The amount of income per tail of partnership dairy cows was IDR 8,895,762/year and the net income per tail of independent dairy cows was IDR 11,635,231/year, (3) The cost use efficiency on partnership and independent dairy farm businesses was all efficient. The efficiency value of the R/C ratio of partnership dairy farm business was 1.25 while the efficiency value of the R/C ratio of the independent dairy farm was 1.18.

Keywords: Dairy Cows, GDFP Implementation, Income, Efficiency of R/C Ratio
PERAN KELOMPOK PEMBUDIDAYA IKAN (POKDAKAN) ACI BAHARI DALAM PEMBUDIDAYAAN IKAN BANDENG DI DESA PESISIR KECAMATAN GENDING, KABUPATEN PROBOLINGGO
Authors: Puspita Mely Cahya , Sunartomo Aryo Fajar 
Published: July 2020

Probolinggo Regency is one of the production centers for milkfish producers in East Java. Milkfish has a very good prospect to be developed in the agribusiness especially in fisheries subsector. One of milkfish cultivators group that is known to be active in Probolinggo Regency is Aci Bahari Fish Cultivators Group (Pokdakan). This research aimed to explain the role of Aci Bahari Fish Cultivators Group (Pokdakan) on the cultivation of milkfish in Pesisir Village of Gending District, Probolinggo Regency. The research area was determined by purposive method in Pesisir Village. The research used descriptive qualitative method. Determination of informant conducted by purposive sampling. The methods used in collecting data are interviews, observation, and documentation. Data analysis method used is Miles and Huberman model. The results of the research showed that (1) The role of Aci Bahari Pokdakan as a learning class included the formulation of learning needs, routine group meetings, learning motivation, learning processes and the activeness of the group. (2) The role of Aci Bahari Pokdakan as a vehicle for cooperation included the atmosphere of cooperation, the division of tasks, deliberation of problems, planning of providing production facilities and cooperation with other production parties. (3) The role of Aci Bahari Pokdakan as a production unit included decision making, preparation of the group needs, technology facilities, implementation of group agreements and increasing production sustainability.
ANALISIS DAYA SAING EKSPOR BIJI KOPI INDONESIA DI PASAR GLOBAL TAHUN 2002-2017
Authors: Alexander Ivan , Nadapdap Hendrik Johannes 
Published: July 2020

ABSTRAK
Indonesia merupakan salah satu negara pengekspor biji kopi terbesar di dunia yang menempati posisi keempat dalam mengekspor biji kopi di pasar dunia pada tahun 2017. Meskipun Indonesia termasuk negara pengekspor biji kopi terbesar di dunia, faktanya produksi kopi di Indonesia dari tahun 2002-2017 mengalami fluktuasi dan tidak bisa diprediksi dengan baik sehingga akan mempengaruhi permintaan ekspor biji kopi di pasar global. Tujuan dari penelitian ini yaitu menganalisis kondisi daya saing ekspor biji kopi Indonesia di pasar global pada tahun 2002-2017 dan mendeskripsikan peranan pemerintah dalam meningkatkan ekspor biji kopi Indonesia di pasar global. Metode dalam penelitian ini menggunakan metode penelitian kuantitatif dengan menggunakan pendekatan analisis keunggulan komparatif RCA, AR dan keunggulan kompetitif ECI, dan ditambah dengan analisis peramalan model ARIMA pada nilai ekspor biji kopi Indonesia. Hasil analisis yang didapat yaitu Indonesia mempunyai keunggulan komparatif dengan nilai RCA > 1, AR > 1 dan mempunyai keunggulan kompetitif dengan nilai ECI > 1 serta memenuhi faktor pendukung Berlian Porter dan hasil peramalan terhadap nilai ekspor mengalami peningkatan pada 10 tahun yang akan datang. Dapat disimpulkan bahwa Indonesia mempunyai keunggulan daya saing ekspor biji kopi pada tahun 2002-2017, baik keunggulan kompratif maupun keunggulan kompetitif.

Kata Kunci : Biji Kopi Indonesia, Daya Saing Ekspor, Keunggulan Komparatif, Keunggulan Kompetitif,Pasar Global, Kebijakan Pemerintah