bluuebunny/crossref_metadata_2025_split huggingface dataset:
Valoración de la salud mental de los estudiantes de enfermería según su percepción. FENOB-UNA. San Lorenzo. 2019
Authors: Cardozo Florentín Marian Ynés 
Published: January 2020

La salud mental es un estado de bienestar en el cual el individuo es consciente de sus propias capacidades, puede afrontar las tensiones normales de la vida, trabajar de forma productiva y ser capaz de contribuir a su comunidad. Se puede afirmar que las funciones mentales están interconectadas con el funcionamiento físico, social y con el estado de salud general. Es decir, la salud mental es el producto de todos los aspectos de la vida cotidiana del individuo. Si la interacción del individuo con su medio es inadecuada, se alteran los patrones de normalidad y, por ende, coloca al hombre en una situación de vulnerabilidad, y que en cualquier momento de su vida puede desembocar en un problema de salud mental. Los estudiantes de enfermería no están exentos de padecer este tipo de problemas, debido a que los mismos están expuestos a niveles de estrés más elevados que la población general.
Stphylococcus aureus meticilino resistente en alumnos de medicina y veterinaria de una Universidad Privada de Ciudad del Este, 2018
Authors: Cantaluppi Olga , Thomae A. , Maschio B. , Galera C. , Teófilo L. , Morínigo I. , Saraiva M. 
Published: January 2020

Las enfermedades infecciosas constituyen la primera causa de morbilidad y mortalidad a nivel mundial, en especial en países en vías de desarrollado, por ello, el tratamiento adecuado y oportuno de las mismas tendrá un impacto importante en la calidad de vida y los índices de salud poblacional. Lamentablemente uno de los grandes problemas que se enfrenta en la actualidad es la creciente emergencia de resistencia de los gérmenes a los antibióticos utilizados en forma convencional. El Staphylococcus aureus resistente a la meticilina –SARM– es un importante patógeno humano que causa una amplia variedad de infecciones que pueden ser leves, como algunas infecciones de la piel y partes blandas, o cuadros graves, con afectación sistémica produciendo patologías como bacteriemia, endocarditis, neumonía e infecciones de localización quirúrgica. La resistencia a meticilina en cepas de Sthapylococcus aureus es un problema creciente en el ámbito mundial, ya que las cifras progresivas que se reportan son preocupantes y el estafilococo dorado o aureus es un agente que se disemina fácilmente y el comportamiento del proceso es agresivo, con la que este agente no solo lleva resistencia a la meticilina, sino a la totalidad de antibióticos ß -lactámicos, incluyendo cefalosporinas y carbapenem.
Klimakterik sindromun genistein preparatı ilə müalicəsi
Authors: Jafarova T.F. , Mursalova S.A. , Valiyeva S.N. , Mirzayeva X.M. 
Published: January 2020

Tədqiqatın məqsədi - peri və postmenopuzal simptomların müalicəsində sintetik genistein pereparatının effektivliyinin və təhlükəsizliyinin qiymətləndirilməsi olmuşdur.
Material və metodlar. Tədqiqata klimakterik sindromunun ağırlığı modifikasiyalı menopauzal indeks (MMİ) ilə qiymətləndirilən 23 qadın qatılmışdır. Bütün pasiyentlər sintetik genistein preparatını sutkalıq 60 mq dozada 6 ay ərzində qəbul edirdilər. Genistein effektivliyi MMİ dinamikasının, vegetativ disfunksiyanın göstəriciləri, həyat keyfiyyəti üzrə, təhlükəsizliyi isə- klinik müayinənin nəticələri, qaraciyərin funksiyasının biokimyəvi markerləri, kiçik çanaq orqanlarının, qarın boşluğunun və süd vəzilərinin ultrasəs müayinələrinin nəticələri əsasında qiymətləndirilirdi.
Nəticələr. Genistein yüngül və orta ağır dərəcəli menopauzal pozulmaların korreksiyasında yüksək effektivlik göstərmişdir. Müalicədən 6 ay sonra MMİ 47,8-dən 17,3 % qədər statistik cəhətdən əhəmiyyətli (p˂0,005) dərəcədə azalması qeyd olunmuşdur. Eyni zamanda vegetativ pozulmaların orta indeksinin 41,4 ± 8,3-dən 23,6 ± 6,4 (p˂0,005) azalması və MOS SF -36 anketin göstəricilərinə əsasən pasiyentlərin əhvalının müsbət dinamikası qeyd olunmuşdur.
Yekun. Sintetik genistein ( menoril) yüngül və orta ağır klimakterik sindromun neyrovegetativ əlamətlərinin müalicəsində seçim preparatı hesab oluna bilər.
Timeo Danaos
Authors: Fényes Csaba 
Published: January 2020

In this research I examine the integration strategies submitted to the European Commission (EC) starting in 2011 by the five countries with the largest Romani populations: Bulgaria, Czech Republic, Hungary, Romania, and Slovakia. Using a mixed methodology that draws primarily on content analysis, I show that all integration strategies employ a discriminatory approach known as “blaming the victim.” I refer to qualitative data gatheredfrom the strategies as evidence for this approach. I conclude by recommending that a change be made in policy evaluations, and analyze the extent to which NGOs and social science researchers also frequently, even if unconsciously, blame the Romani people for a large part of the problems they face.
“They’re Saying That to Us?”
Authors: Werner Boada Sarah 
Published: January 2020

The Spanish state advertises itself internationally as a leading example of “Roma inclusion” and takes particular pride in its policy towards women from the Kalé minority, the main Romani group in Spain. This is reflected in a carefully deployed political communication that centres on the trope of the “empowered Gypsy woman” who will soon reach emancipation thanks to state-funded programmes. On the ground, however, Kalé women’s persistent social marginalisation is imputed on them, while antigypsyism remains unaddressed by institutions.This paper investigates the discursive strategies mobilised by institutional actors in order to rule out discussions on racism. Based on eight months of ethnographic observations as well as semi-structured interviews with professionals in Madrid, I argue that this occurs through a translation of feminist agendas,particularly on intimate partner violence (IPV), into discourses that stigmatise Kalé “culture” as intrinsically patriarchal while promoting a gadjo (non-Romani) norm. This phenomenon, which I refer to as “gadjo feminism,” manifests itself within the justice system, where professionals disproportionately resortto culturalist representations of IPV in Kalé communities, and also within NGO-piloted empowerment programmes for Kalé women which rely upon racial hierarchies while systematically dismissing women’s experiences of institutional racism.
Prevalence and Contributing Factors of Low Back Pain among Nurses in Tertiary Level Hospital
Authors: Gautam G.J. , Gurung L. , Shrestha N. , Shrestha P.S. , Neupane S. 
Published: January 2020

Background: Low back pain is one of the common musculoskeletal health problems that occur most commonly in nurses among all Health workers. Different researches showed that nurses are suffering from low back pain due to many factors. This research was conducted to find the prevalence and contributing factors of low back pain among nurses.
Method: The descriptive cross-sectional study was done among 110 nurses by using stratified proportionate random sampling method. Semi structured self-administered questionnaire with single and multiple responses was administered among nurses after taking informed consent. Statistical package for social sciences (SPSS) 20 was used for analysis of data. Descriptive statistic (percentage and frequency) and inferential statistic (chi square) was used for the study.
Result: Among 110 nurses, 64.5% were affected from low back pain and prevalence of low back pain of one year and one week was 60% and 20% respectively. The present working area was strongly associated with low back pain (p=0.000). Prolong standing (64.54%), bending and twisting (64.54%), heavy workload (62.72%), working in same positions (58.18%) were perceived factors of low back pain but heavy mental workload had no relationship with low back pain. Taking rest (99.1%), physiotherapy (92.7%) and taking medication (82.7%) were the factors that decreased low back pain. There was increased work restriction (46.4) and less productive and creative (42.7) due to low back pain.
Conclusion: More than half of nurses were affected from low back pain. Prolonged standing, physical workload, bending and twisting were main contributing factors. Therefore, it is recommended to maintain proper body mechanics, periodic screening and timely rotation of nurses for the prevention of low back pain.
Perioperative outcomes after open radical cystectomy for muscle invasive bladder cancer
Authors: Shrestha Samir , Maskey Pukar , Phuyal Anjit , Shah Jay N. 
Published: January 2020

Introductions: Radical cystectomy with bilateral pelvic lymphadenectomy is a primary intervention for muscle invasive or refractory, high grade Ta, T1, Tis bladder cancer. Owing to its major undertaking, patient succumbs to infection and various morbidities. This study was to assess the perioperative outcomes and complications of radical cystectomy.
Methods: This retrospective study analyzed the perioperative outcome (early mortality within 30 days, length of stay, requirement of blood transfusion) of radical cystectomy in patients with bladder cancer during four years at Patan Hospital, Patan Academy of Health Sciences, Lalitpur, Nepal. Ethical approval was obtained. Study variables included patient’s demographics, presenting symptoms, tumor types and configuration, need for blood transfusion, length of surgery, pathological stages, types of urinary diversions, hospital stay, early (<30 days) and late (31-90 days) morbidity and mortality.
Results: Total 32 patients underwent radical cystectomy. Data analysed on 18 patients, mean age was 66.7 years and painless hematuria 17 (94.4%). All were transitional cell carcinoma, high grade lesion in 17 (94.4%). Overall 6 (33.3%) patients developed early postoperative complications, paralytic ileus and prolong lymph drainage in 5 (27.8%), wound dehiscence in 4 (22.2%) and ureteric catheter dislodgement in two. There were 2 (11.1% of 18) mortalities (the mortality audit showed total 5 (15.6%) out of 32 radical cystectomy during the study period.
Conclusions: Perioperative complications occurred in 1/3rd following radical cystectomy for muscle invasive bladder, more complications in those with preoperative associated co-morbidities.
Ships and their timber source as indicators of connections between regions
Authors: Daly Aoife 
Published: January 2020

The precise dating and determination of the source of timbers in shipwrecks found around the coasts of the North Sea and the Baltic Sea, through dendrochronology allows us to see connections between north and south, east and west throughout the region and to a high chronological precision. In this paper we take a look at results of recent analyses of timber from ships, and timber and barrel cargoes, to try to draw a chronological picture, from the twelfth to seventeenth centuries, of links between regions, through transport in oak ships and trade of timber. Archaeological finds of oak from timber cargos in shipwrecks and fine art objects (painted panels and sculpture) show the extent to which timber was shipped from Hanseatic towns along the southern Baltic coast, to western and north-western Europe.
Comment: Interdisciplinarity? A definite maybe
Authors: Jenks Stuart 
Published: January 2020

The problems of undertaking interdisciplinary research, particularly in the fields of history and archaeology are considered. A series of five issues are identified which make it difficult to integrate studies from these two areas: knowledge mismatch, a mismatch of chronologies, an inability to match types of information, problems of the scale of study and issues around the maturity of the disciplines. Each discipline tends to enforce the particularities of its own vision, training students to its perspective and perpetuating the differences. Interdisciplinary is not, however, a doomed pursuit, and is likely to be most successful when there are clear and immediate benefits for all the parties.
Publicidad encubierta en la novela Herencia de Clorinda Matto de Turner
Authors: Sinche López Tomacini 
Published: January 2020

ResumenEste artículo explora las relaciones políticas, culturales y sociales, a partir del trabajo de la escritora Clorinda Matto de Turner en diversos medios de prensa escrita y su novela Herencia, donde muestra una sociedad en la que los personajes, en especial los femeninos, dependen de los productos que la publicidad vende para poder constituirse como individuos propiamente dichos dentro de la clase alta limeña.Palabras clave: Clorinda Matto de Turner, publicdad, Herencia, siglo XIX, cosificación
AbstractThis paper delves into the political, cultural and social relationships between the literary work of Clorinda Matto de Turner in various newspapers and Herencia, a novel written by her that depicts a society where the characters, specially the female ones, depend on the products sold by advertisings to consider themselves as members of the high society of Lima.Keywords: Clorinda Matto de Turner, advertising, Herencia, XIX century, reification
Jorge Basadre, filósofo de la historia
Authors: Arista Montoya Luis Alberto 
Published: January 2020

ResumenToda la obra historiográfica republicana del intelectual peruano Jorge Basadre Grohmann (1903-1980) se sustenta en una rica filosofía de la historia que parte de su opción por la filosofía clásica griega, así como de la filosofía alemana moderna; sus ensayos socio-históricos son los que mejor interpretan filosóficamente la actualidad peruana, clave para comprender su vigencia y trascendencia intelectual. De cara a la conmemoración del Bicentenario de la Independencia, con el presente estudio iniciamos la exploración de esa veta filosófica que aparece, permanece yfluye en toda su obra.Palabras clave: Identidad, proyecto, posibilidad, promesa, ser, Nación, Estado, peruanidad.
AbstractAll the republican historiographic research of the Peruvian intellectual Jorge Basadre Grohmann (1903-1980) is supported by a rich philosophy of history that emerges from his choice for classical Greek philosophy, as well as modern German philosophy; and his socio-historical essays remains as the best way to interpret Peru nowadays: is the key to understand its validity and intellectual transcendence. In the face of the commemoration of the Peruvian Independence Bicentennial, with this study we begin the exploration of that philosophical vein that appears and remains in all his works.Keywords: Identity, project, possibility, promise, being, Nation, State, Peruvian identity.
Consideration of imperfections and support effects in the fatigue assessment of welded cruciform joints
Authors: Niederwanger Alexander , Ladinek Markus , Lener Gerhard 
Published: January 2020

Abstract
The strain-life approach appears to be a powerful tool to design components against fatigue failure. Given its general theoretical background, it may be applied to a wide range of cases. In the contribution at hand, its application to welded components, and especially the incorporation of size effects in the concept has been investigated. For this purpose, eight welded cruciform joints were tested for fatigue at two different load amplitudes, accompanied by supplementary investigations such as hardness measurements and tensile tests. The observed fatigue lives were compared to numerically estimated ones. Special attention was paid to the consideration of imperfections in the calculations. The weld geometries were modeled once using an idealized shape and once with a realistic representation obtained by 3D-laser scanning. Additionally, different methods to approximate cyclic material parameters were investigated. The results show an improvement in prediction accuracy if the real weld geometry is used. However, by doing so, the incorporation of size effects via a highly stressed area is open for discussion. Due to the high local stress and its steep gradients, as a result of the scanned weld surface, the calculated areas are very small, which raises the question whether this is still within the limits of its application. Regarding prediction accuracy, the fatigue lives of either one or the other load amplitudes were properly estimated. This issue may be addressed by modifying the slope of the strain-life curve for welded components, which can be achieved by a parameter fitting procedure through a large set of experiments.
Shunting effects on the resistance spot welding parameters of DP600
Authors: Aydın Erencan , Ertan Rukiye 
Published: January 2020

Abstract
In this study, the effects of spot welding parameters on the weld quality of DP600 steel were experimentally investigated. The welding parameters such as welding current and time were determined based on microstructural characterization, microhardness tests and tensile-shear tests. The joints were welded with two parallel welds perpendicular to the tensile-shear test direction. The shunting effect was evaluated based on microhardness and nugget size. A microstructural examination was performed using optical microscopy. The results show that parallel welding increased current diversion along the shunt path, reducing hardness and nugget size in the second weld. Additionally, higher welding current and welding time caused increased hardness and a higher tensile load due to the formation of lath martensite.
Cortical Superficial Siderosis: A Descriptive Analysis in a Memory Clinic Population
Authors: Mendes Aline , Herrmann François R. , Scheffler Max , Gabriel Gemma , Sveikata Lukas , Rakotomiaramanana Barinjaka , Frisoni Giovanni B. , Zekry Dina , Gold Gabriel 
Published: January 2020

Background: Cortical superficial siderosis (cSS) is a hemorrhagic marker of blood-brain barrier disruption detected in brain MRI. Together with cerebral microbleeds (CMB), they are recognized as a small vessel disease marker associated with cerebral amyloid angiopathy. Objective: This study aims to determine the prevalence and the characteristics of cSS in a memory clinic population. Methods: Cross-sectional retrospective analysis of 613 patients from Geneva University Hospitals memory clinic. All patients underwent standardized brain MRI and neuropsychological assessment with diagnosis confirmed by an expert. The presence of cSS was visually assessed and classified as focal (restricted to 3 sulci) or disseminated within the correspondent topography. CMB were classified according to the Microbleed Anatomical Rating Scale. Results: cSS was detected in 26/613 patients (4.2%), classified as disseminated in 5/26 cases (19%). Alzheimer’s disease (AD) and AD associated with a significant vascular component were the diagnoses more frequently related to cSS (18/26; 69%). Patients with cSS had an increased prevalence of both hypertension (81% versus 57%; p = 0.015) and WMH burden ( p = 0.012). The overall prevalence of cerebral microbleeds (69% versus 32%; p < 0.01), as well as their mean number (0.69±0.47 versus 0.32±0.46; p < 0.01) were both increased in patients with cSS. In the logistic regression model, the presence of 5 or more CMB (OR 11.35; 95% CI 4.68–27.55; p < 0.01) and hypertension (OR 3.31; 95% CI 1.19–9.15; p = 0.021) were significantly associated with cSS. Conclusions: cSS is observed in patients diagnosed with AD and AD with a vascular component, being independently associated with multiple CMB and hypertension.
The Slipping Slipper Sign: A Poor Man’s Test for Severe Diabetic Peripheral Neuropathy
Authors: Lutchmansingh Khama , Venkatesh Y. Swamy , Boppana Leela Krishna Teja , Seemungal Terence , Rao Ambika , Sandy Sherry , Teelucksingh Surujpal 
Published: January 2020

Background: Neuropathic feet are at very high risk for infection and amputation. The slipping slipper sign (SSS) is elicited by a simple questionnaire test reported to detect the presence of severe diabetic peripheral neuropathy. This test can be administered by non-medical staff. In this study, subjects with and without the SSS were evaluated by nerve conduction studies (NCS) and ultrasound measurements of the right sural nerve diameters as well as with traditional scoring systems for peripheral and autonomic neuropathy. Objective: To demonstrate that the Slipping Slipper Sign can be used as an index of severe diabetic peripheral neuropathy Method: This was a prospective cross sectional study in which 74 patients with diabetes (38 positive and 36 negative for SSS) underwent ultrasonography and NCS of the right sural nerve by an examiner blinded to SSS status. Findings were evaluated against demography, clinical history, anthropometry as well as traditional clinical and autonomic neuropathic scores. Results: Patients without the SSS [median (IQR) = 10.0 years (4.0–20.3)] had a significantly shorter duration of diabetes compared with those with the SSS [median (IQR) = 15.0 years (8.5–25.0)], p = 0.028. The frequencies of retinopathy (36.8% vs 2.8%, p <  0.05) and cerebrovascular accidents (18.4% vs 13.9 %, p <  0.05) were higher among those with SSS compared with those without. Differences in nerve conduction characteristics were markedly significant. The amplitude of the sural sensory nerve action potential (SNAP) was ([median (IQR)] 0 microvolts vs 4.0 microvolts (0.0–10.8) p <  0.002) between those with and without SSS, respectively whilst none of patients with SSS had a recordable SNAP vs 78% without a SSS. Similarly, maximal thickness of the right sural nerve at the ankle 3.0 mm (2.3–3.4) vs 3.5 mm (3.0–3.9), and leg 3.4 mm (2.7–3.8) vs 3.9 mm (3.3–4.2) was reduced, p <  0.01 in patients with the SSS compared with those with a negative SSS. Conclusion: The SSS identifies feet with objective neurophysiological and imaging characteristics of severe neuropathy.
Public Policy on Safety and Security Railroad System in Indonesia
Authors: S.H., M.HUM Suwardi , ILMA SILFIAH Rossa , KUSWANTO Heru 
Published: January 2020

Implementation of the new law on railways are yet to be seen due to government regulation as executors being discussed. Government regulations mandated by Law No. 23, 2007 set as fast as 1 (one) year from the entry into force of the Act. Nevertheless in his closing conditions stated that at the time the Act came into force. All the implementing regulations of Law No. 13 1992 declared still valid this does not contradict or replaced under the Act contained in Law No. 23 of 2007 in line with the implementation of regional autonomy and decentralization intended by the Act No. 32 of 2004 on Regional Government and Government Regulation No. 38 2007 on delegation of authority from central to local governments.
The quality of rail services, especially in economy class lately felt worse. Headway uncertain security condition, and the level of safety continues to decline. Train accident rate continues to rise, where in 2007 there were 116 accidents, an increase from the 2006 total of 107 times. More than 90% of accidents that occurred in 2007 caused by a Train derailment or overturned (Directorate of Railways, 2008).
Key words: Policy, Safety, Railway, Passengers.
Analysis of Teacher Certification Policy Implementation Through Edward Iii Approach in Aceh Tamiang Regency in Indonesia
Authors: NURABITI Nurabiti , . Humaizi , NASUTION Beti 
Published: January 2020

This paper aims to study and analyze the implementation of teacher certification regulations in Kuala Simpang, Aceh Tamiang Regency. This analysis uses several factors found by Edward III in the form of communication, resources, disposition, and bureaucratic structure. A qualitative descriptive approach is used in this paper. The results found showed that in the process of applying certification at the Aceh Tamiang education office, it had not yet proceeded effectively demanding several constraints such as lack of facilities and infrastructure, and inconsistent regulations that made it difficult for teachers. This has caused teachers to be unable and ineligible in completing lesson plans, there are still some teachers who are found to lack discipline and bad attitudes and certification are only considered for welfare and personal gain. Thus it can be stated that the certification program has not played an important role in teacher professionalism.
Key words: Policy Implementation, Certification,Teacherâ€™s Professionalism, Edward III Approach.