bluuebunny/crossref_metadata_2025_split huggingface dataset:
6 Years’ Experience of Mohs Micrographic Surgery in a Portuguese Hospital
Authors: Silva L. , Miroux-Catarino A. , Pimentel B. , Catorze G. , Labareda J. , Viana I. 
Published: July 2020

Introduction: Mohs micrographic surgery (MMS) is a surgical method of treating skin tumors that consists of histological control of the tumor margins using horizontal slices in thin, freshly frozen layers. This technique is a preferred indication for cutaneous facial tumors (basal and squamous cell carcinoma, among others) associated with higher risk of recurrence, recurrent tumors, tumors with undefined clinical margins, when there is perivascular and perineural involvement or with aggressive histological subtypes.
Methods: The authors carried out a retrospective study of a 6-year period (from July 2012 until June 2018) at a Portuguese hospital – Egas Moniz hospital, to define the characteristics of patients undergoing Mohs micrographic surgery and to evaluate the advantages of this technique. The following factors were analyzed: age, gender, provenience, diagnosis, tumor location, number of stages of MMS, type of reconstruction of the surgical defect, follow-up and recurrences. Results: A total of 835 tumors were excised, 459 in male patients and 376 in female patients. The mean age at surgery was 71 years old (range 23- 95 years). Most of the lesions submitted to MMS were basal cell carcinomas (87%) and the most common location was the nasal pyramid (43%). In 44% of the cases, it was necessary to perform more than one micrographic stage. Half of the surgical defect closures were performed by graft or skin flap. Considering patients with a follow up equal or superior to 3 years, the recurrence rate was 4.9%.
Discussion: The most frequent diagnosis was basal cell carcinoma, reflecting the importance of MMS in this type of skin malignancy, in both primary and persistent/recurrent lesions. Compared to other European surgery reviews, our recurrence rate is within normal range. This fact is particularly relevant, if we consider that our institution receives patients sent from hospitals and dermatologists from all over the country, specially selected for tumor aggressiveness or previous relapse. More than half of these patients were referred from other centers and consisted of persistent/recurrent basal cell carcinomas. The follow-up at recurrence for MMS was 27.9 months, supporting that a long follow-up of these patients is necessary.
Conclusion: MMS allows lower rates of recurrence compared to simple surgical excision, so its practice should be encouraged in selected tumors. The surgical control of the margins instead of the “blind margins” is an advantage in saving healthy tissue and allows the complete excision of the tumor in the same surgical time.
Perceived E-Service Quality dan Brand Equity Produk Tcash
Authors: Pangestu Putra Akbar , Rachmawati Indira 
Published: July 2020

ABSTRAK Penelitian ini bertujuan untuk menguji dampak dari variabel Perceived E-Service Quality, Satisfaction, Trust, Terhadap Loyalty dan Brand Equity. Objek pada penelitian ini ditujukan kepada pengguna aktif Tcash di Kota Bandung. Sebanyak 400 responden sudah didapatkan melalui penyebaran kuesioner yang terdiri dari 35 butir pernyataan di Kota Bandung dengan mengunakan metode non probability sampling. Pengolahan data pada penelitian ini dilakukan dengan menggunakan SmartPLS 3.0. Hasil penelitian menyatakan bahwa variabel Delivery Quality memiliki pengaruh positif dan signifikan terhadap Trust, variabel Outcome Quality memiliki pengaruh positif dan signifikan terhadap Satisfaction, Trust dan Satisfaction memiliki pengaruh positif dan signifikan terhadap Loyalty, Loyalty memiliki pengaruh positif dan signifikan terhadap Brand Equty,Trust dan Satisfaction. Kata kunci: Brand Equity, Loyalty, Perceived E-Service Quality, Satisfaction, Trust ABSTRACT This study aims to examine the impact of Perceived E-Service Quality, Satisfaction, Trust, Loyalty and Brand Equity variables. Objects in this study addressed to active users Tcash in Bandung. A total of 400 respondents have been obtained through the distribution of questionnaires consisting of 35 points statement in the city of Bandung by using the method of non-probability sampling. Data processing in this research is done by using SmartPLS 3.0. The result of this research stated that Delivery Quality variable has positive and significant influence to Trust, Outcome Quality variable has positive and significant influence to Satisfaction, Trust and Satisfaction has positive and significant influence to Loyalty, Loyalty has positive and significant influence to Brand Equty, Trust and Satisfaction. Keywords: Brand Equity, Loyalty, Perceived E-Service Quality, Satisfaction, Trust
Features of the Three Dimensional Structure in the Pacific Sub-surface Layer in Summer
Authors: Chen Luyuan , Cheng Rong , Zhang Feimin , Yang Kai , Wang Chenghai 
Published: July 2020

The anomaly of the summer sea temperature is analyzed by a spatial-temporal synthetically rotated orthogonal function (REOF) at three different depths (0 m, 40 m, and 120 m) over the area 110°E~100°W and 30°S~60°N. The spatial-temporal distribution shows that the “signal” of annual anomaly is stronger in the sub-surface layer than the surface layer, and it is stronger in the eastern equatorial Pacific than in the western area. The spatial structure of the sea temperature anomaly at different layers is related to both the ocean current and the interaction of ocean and atmosphere. The temporal changing trend of the sub-surface sea temperature in different areas shows that the annual mean sea temperature increases and the annual variability evidently increases from the 1980s, and these keep the same trend with the increasing El Nino phenomenon very well.
ANALISIS SKALA KEMAMPUAN MAHASISWA KIMIA MELALUI TES ENTRY BEHAVIOUR METODE COMPUTERIZE ASSISTED TEST (CAT) MENGGUNAKAN ITEM RESPONS THEORY (IRT)
Authors: Manoppo Y , Manuhutu J B 
Published: July 2020

Penelitian ini bertujuan untuk menganalisis Skala Kemampuan Mahasiswa Kimia Melalui Tes Entry Behaviour Metode Computerize Assisted Test (CAT) Menggunakan Item Respons Theory (IRT) Model Logistik 1-Parameter. Subjek penelitian adalah seluruh lembar jawaban peserta Tes Entry Behaviour Mahasiswa Program Studi Pendidikan Kimia Tahun 2019. Penelitian ini merupakan penelitian kuantitatif menggunakan pendekatan ex-post facto. Hasil analisis dengan pendekatan teori tes klasik menunjukkan 79,5% butir memiliki tingkat kesulitan butir berfungsi baik, 57% butir daya bedanya belum memenuhi syarat, dan 72% butir memiliki pengecoh berfungsi baik dengan indeks reliabilitas tes 0,832. Analisis dengan pendekatan teori respons butir menunjukkan terdapat 11 (27,5%) butir soal cocok (fit) dengan model, fungsi informasi maksimum 5,48 pada θ = -0,21, dan besarnya kesalahan pengukuran (SEM) 0,21.
PENGARUH GELOMBANG TERHADAP PERUBAHAN GARIS PANTAI DI GROIN PESISIR WEDUNG KECAMATAN BRONDONG KABUPATEN LAMONGAN
Authors: Elfrida Noor Fitri  , Rudi Siap Bintoro  
Published: July 2020

Pesisir Wedung merupakan wilayah perairan memiliki kondisi dinamis. Hal ini sangat terkait dengan kondisi oseanografi yang terjadi dan adanya groin dilokasi tersebut. Penelitian ini bertujuan untuk menganalisis perubahan garis pantai di Pantai Wedung ditinjau dari citra satelit dan menganalisis potensi gelombang dalam mempengaruhi perubahan garis pantai di lokasi groin pesisir Wedung. Metode yang digunakan terdiri atas beberapa tahapan penelitian yaitu: pengolahan data angin, peramalan tinggi dan periode gelombang, tinggi dan kedalaman gelombang pecah metode menurut CERC, memodelkan gelombang dan arus menggunakan Software Surface Water Modeling System. Kondisi garis pantai hasil citra akresi seluas 334 m2 dan abrasi seluas 881 m2. Pola perubahan garis pantai disekitar groin cenderung terjadi akresi disebelah Timur groin dan abrasi di Barat groin karena kecepatan arus sejajar pantai dari arah Timur lebih tinggi dari arus sejajar pantai arah Barat, yakni 1 m/s yang dibangkitan gelombang pecah.
Pemberdayaan Masyarakat Melalui Program Gebrak Pakumis (Gerakan Bersama Rakyat Atasi Kawasan Padat Kumuh Miskin) Di Kecamatan Balaraja-Kabupaten Tangerang
Authors: Sulaeha Siti , Sukendar  
Published: July 2020

Permasalahan yang dihadapi oleh masyarakat sebagai mitra adalah Anggaran dana yang diberikan dari program GEBRAK PAKUMIS masih minim, Kurang melakukan pendampingan pada pelaksanaan Program Gebrak Pakumis, Belum dapat dirasakan secara merata oleh seluruh masyarakat, Akses jalan menuju lokasi penerima manfaat program yang terkadang sulit untuk ditempuh dalam melakukan proses kegiatan. Dari permasalahan tersebut di atas, maka dilakukan kegiatan workshop dan pendampingan kepada masyarakat mengenai sosialisasi penyusunan dan perencanaan program. Metode yang digunakan melalui beberapa tahap yaitu penyampaian materi kepada warga masyarakat sebagai peserta, kemudian dilanjutkan dengan tahap pendampingan dilanjutkan. Hasil dari kegiatan ini muncul keinginan masyarakat untuk lebih aktif meningkatkan kemampuannya agar pelaksanaan program berjalan dengan efektif dan efisien.
Kata kunci : Program, Gebrak Pakumis
Analisa tegangan kait pada overhead travelling crane
Authors: Fakhirza Fakhirza 
Published: July 2020

Kait (Jakal) merupakan salah satu komponen terpenting pada semua alat angkat. Tegangan kait merupakan salah satu hal yang menarik untuk dianalisa. Tegangan kait rata-rata dari kait (Ơ adalah (330+ 600) kg/cm. Dari tegangan tarik yang timbul didapat diameter dalam ulir (d1 ≥ 4,63 cm dan diameter lain dapat dilihat pada table ukuran standar ulir kasar metris berdasarkan harga d1. pemeriksaan tegangan yang terjadi dilakukan pada penampang yang paling berbahaya, dimana penampang yang paling berbahaya tersebut timbul tegangan tarik dan tegangan geser. Tegangan tarik terjadi pada penampang A-B, karena pada penampang A - B mengalami dua macam pembebanan. Sehingga menyebabkan sisi sebelah dalam tertarik dan sisi sebelah Iuar tertekan. Pada penampang C - D akan terjadi tegangan geser, ini disebabkan gaya yang bekerja sejajar dengan penampangnya.
Hardening pada baja aisi C 1045.
Authors: Ismy Adi Saputra 
Published: July 2020

Sifat mekanik suatu logam tidak hanya tergantung dari komposisi kimia; tetapi juga pada struktur mikro dan proses perlakuan akhir. Pengerasan (hardening) adalah salah satu bentuk perlakuan panas dimana pengerasan dilakukan dengan memanaskan baja di daerah austenit, kemudian didinginkan cepat. Untuk itu telah disiapkan 15 buah. material uji baja AISI CI045 dengan pengaruh perbedaan temperature austeniusasi 800,850, 900, 950, 1000° C dan media pendingin air, oli SAE 20/40 dan emulsi Satu bual: material yang tidak dikeraskan digunakan sebagai pembanding peningkaian kekerasan. Komposisi karbon pada baja AISI CI045 adalah 0,43 - 0,50%. Hasil penelitian memperlihatkan bahwa kecenderungan peningkatan kekerasan terjadi tidak hanya dipengaruhi oleh naiknya temperature pemanasan tetapi juga laju pendinginan, dimana kekerasan optimum diperoleh pada temperature 850°C, holding time 15 menit dan pendinginan air, yaitu HV = 572,2. Kekerasan maksimum dengan media pendingin emulsi diperoleh nilai kekerasan HV = 427,8 juga pada temperature 950° C.
Effect of Iron Deficiency Anemia on HbA1c in Non-Diabetics
Authors: Bansal R.K. , Yadav Y.R. , Kulkarni H.S. , Sonam - , Garg S. , Jain P. , Sharma V.K. , Maheshwari S. 
Published: July 2020

Background: Glycated hemoglobin A1c is a well-known indicator of glycemic control in diabetes patients. It comprises of 5% of total hemoglobin in non-diabetic patients as well. Iron Deficiency Anemia is most common cause of anemia, especially in this part of the world. So, we study the effects of Iron deficiency Anemia on HbA1c levels in non-diabetic adults to determine whether the HbA1c levels increase if any.
Methods: A 100 non-diabetic adult patients with Iron Deficiency anemia admitted in various medicine wards and attending OPDs of J.L.N. Medical College and 100 healthy controls were enrolled after fulfilled inclusion and exclusion criteria. Detailed history of clinical examination and biochemical examination was performed including HbA1c.
Results: Mean HbA1c level is more in iron deficient Anemic non-diabetic patients in comparison to non-Anemic non-diabetic patients. Mean HbA1c is 5.01 ± 0.41 in control group. While mean HbA1c level in case group is 6.11 ± 0.42. The difference is statistically significant (p value <.001).
Conclusion: Iron deficiency Anemia is independent factor affecting HbA1c level in non diabetic patients & it should be interpreted carefully in all iron deficient anemic patients.
Adaptación del cuestionario de estrés académico SISCO SV al contexto de la crisis por COVID-19
Authors: Alania-Contreras Rubén Darío , Llancari-Morales Rosario Ana , Rafaele de La Cruz Mauro , Ortega-Révolo Daniela Isabel Dayan 
Published: July 2020

El objetivo de la investigación fue adaptar Inventario de Estrés Académico SISCO SV al contexto de la crisis por COVID-19, el estudio de tipo básico, nivel descriptivo, diseño no experimental, transversal descriptivo simple; para la validación de contenido se consultó a una muestra de 20 expertos en psicología, educación, investigación y estadística a quiénes se les proporcionó una ficha de validez genérica y una de validez específica; también se trabajó con una muestra de 151 estudiantes de cuatro universidades de la región Junín de Perú, a quiénes se administró el inventario adaptado de estrés académico SISCO SV de Barraza (2018), para evaluar la validez de constructo y la confiabilidad. Los resultados indican que el instrumento presenta validez genérica y específica de contenido según el coeficiente de concordancia V de Aiken, con índices superiores a 0.75 (validez excelente); de igual modo, se determinó la validez de constructo con coeficientes de correlación r de Pearson corregida mayores a 0.2, entre validez suficiente (0.2 a 0.34), buena (0.35 a 0.44), muy buena (0.45 a 0.54) y excelente (0.55 a 1); la confiabilidad del instrumento alcanzó el coeficiente de consistencia interna alfa de Cronbach de 0.9248 para la dimensión estresores, 0.9518 para la dimensión síntomas y 0.8837 para la dimensión estrategias de afrontamiento (confiabilidad excelente). Se concluyó que el Inventario de Estrés Académico SISCO SV, adaptado al contexto de la crisis por COVID-19, es válido y confiable.
TO EVALUATE THE EFFECT OF INTRA-LESIONAL CORTICOSTEROIDS IN MANAGEMENT OF PATIENTS WITH OSMF.
Authors: Kumar Amit , Sharma Satyendra 
Published: July 2020

Aim: The effect of intra-lesional corticosteroids in management of patients with OSMF.
Materials and Methods: The present clinic-observational study was conducted among 100 diagnosed patients of OSMF who attended the OPD of Nalanda Medical College and Hospital Patna, Bihar, India. The collected data were subjected to statistical analysis using SPSS version 20 software.
Results: Mean age of the study population was 29.12 years. Study shows a definite male predominance (74%). Statistical analysis revealed that there was a significant improvement in the mouth opening and VAS.
Conclusion: The present study concluded that dexamethasone (2 ml Decadron 4 mg/ml) injection and hyaluronidase 1500 IU with 2% lignocaine was administered, and there was significant improvement in mouth opening and VAS.
Keywords: Dexamethason, Mouth Opening, OSMF, VAS
TO ASSESS AND COMPARE THE EFFICACY OF TREATMENT OF ALLERGIC RHINITIS USING THREE DIFFERENT SALINE PREPARATIONS.
Authors: Kumar Amit , Sharma Satyendra 
Published: July 2020

Aim: to assess and compare the efficacy of 3% hypertonic saline irrigation with 0.9% normal saline and 0.5% diluted betadine saline irrigation.
Materials and Methods: present prospective comparative study was conducted on 60 randomly selected patients confirmed of allergic rhinitis visited the department of ENT, Nalanda Medical College and Hospital, Patna, Bihar, India. Patients were divided into three groups. The outcome between pre and post treatment was compared.
Results: Females outnumber males. Within each group pre and post treatment showed statistical significant difference but between three groups no statistically significant difference is seen in outcome.
Conclusion: reports outcome following nasal irrigation in all the three treatments was found statistically significant but between the treatments no statistically significant difference observed.
Keywords: nasal irrigation, rhinitis, 3% hypertonic saline, 0.9% normal saline, 0.5% diluted betadine saline
COMPARATIVE STUDY OF MANUAL VACUUM ASPIRATION AND DILATATION & EVACUATION IN TERMS OF THEIRS ACCEPTABILITY AND COMPLICATIONS FOR THE SURGICAL MANAGEMENT OF EARLY PREGNANCY LOSS
Authors: Meena B S , Kumar Narendra 
Published: July 2020

Background: To compare efficacy and complication of manual vacuum aspiration and dilatation and evacuation as the method for early pregnancy loss surgical management.
Methods: This study was conducted in the Department of Obstetrics and Gynaecology, SMS Medical College & Associated group of Hospitals, Jaipur during this study, 200 pregnant women with below 12 weeks gestational age having a confirmed diagnosis of incomplete miscarriage and missed abortion were included. All selected cases divided into MVA group and D&E group randomly.
Results: MVA group 98% cases were successful and failure was in 2% which required re-procedure. In D&E group 94% cases were successful and failure was in 6% cases which required re-procedure. Success rate was founded more in MVA group than D&E group.
Conclusion: On comparison of the two, in our study MVA was seen to be having an edge over D&E, regarding complication and success rate.
Keywords: MVA, D&E, Complication, Success rate.
PARADUODENAL HERNIA- AN OBSCURE AND PERILOUS CAUSE OF INTESTINAL OBSTRUCTION.
Authors: Soni Rajesh Kumar , Patel Dharmendra Kumar , Gupta Ashwani , Garg Raghav , Namdeo Ratnakar 
Published: July 2020

Paraduodenal hernias (PDH) constitute more than half of internal hernias. Both left and right PDH occur due to error of rotation of gut and defective fusion of mesocolon and mesentery with posterior parietal peritoneum. Clinical diagnosis of PDH is very difficult because of its varied presentation and nonspecific symptoms. Prompt diagnosis and surgery is imperative to avoid strangulation of bowel which is associated with high mortality. Before the advent of CECT many were discovered during exploratory laparotomy or unrelated abdominal surgery. Now CECT abdomen has become the gold standard for pre-operative diagnosis of PDH. We report two cases of PDH, one on left side and another on right side, diagnosed preoperatively and treated successfully.
Keywords: Paraduodenal hernia, Mesocolic hernia, Treitz hernia, Internal hernia
Ethics and Methods for Collecting Sensitive Data
Authors: Aktar Bachera , Ahmed Rushdia , Hassan Raafat , Farnaz Nadia , Ray Pushpita , Awal Abdul , Shafique Sharid Bin , Hasan Md Tanvir , Quayyum Zahidul , Jafarovna Mohira Babaeva , Kobeissi Loulou Hassan , Tahir Khalid El , Chawla Balwinder Singh , Rashid Sabina Faiz 
Published: July 2020

During humanitarian emergencies, such as the forced displacement of the Rohingya diaspora, women and adolescent girls become highly vulnerable to sexual and reproductive health (SRH) issues and abuse. Although sensitive in nature, community-driven information is essential for designing and delivering effective community-centric SRH services. This article provides an overview of the theoretical framework and methodologies used to investigate SRH needs, barriers, and challenges in service-delivery and utilization in the Rohingya refugee camps in Cox’s Bazar, Bangladesh. It also offers insights on important methodological and ethical factors to consider while conducting research in a similar context.
A concurrent mixed-method study was undertaken in ten randomly selected Rohingya refugee camps between July and November 2018. The design consisted of a cross-sectional household survey of 403 Rohingya adolescent girls and women, along with an assessment of 29 healthcare facilities. The team also completed in-depth interviews with nine adolescent girls, 10 women, nine formal and nine informal healthcare providers, key informant interviews with seven key stakeholders and seven influential community members. Lastly, three focus group discussions were undertaken with a group of 18 Rohingya men. Our theoretical framework drew from the socio-ecological models developed by Karl Blanchet and colleagues (2017) insofar as they considered a multiplicity of related contextual and cross-cutting factors.
Building good rapport with community gatekeepers was key in accessing and sustaining the relationship with the various respondents. The data collected through such context-specific research approaches is critical in designing community-centric service-delivery mechanisms, and culturally and gender-sensitive SRH interventions in humanitarian crises.
Moodle como soporte de la gestión de contenidos educativos en universidades cubanas desde la perspectiva del proyecto ELINF
Authors: Batista Matamoros Carlos Rafael , Campins Marrero Lourdes María , Tamayo Cuenca Ronal 
Published: July 2020

La presente investigación tiene como objetivo establecer valoraciones críticas sobre factores relativos a la gestión de contenidos educativos ante los modelos pedagógicos del siglo XXI, caracterizados por el uso extensivo e intensivo de las Tecnologías de la Información y las Comunicaciones (TIC); se analiza su operacionalización mediante los sistemas para la gestión del aprendizaje, en general y Moodle en particular. Se exponen los elementos que estimulan o constituyen barreras para la aplicación de la plataforma en el contexto de la educación superior cubana. Se muestran los aportes y desarrollos basados en la visión distintiva del proyecto ELINF1 sobre el uso de Moodle en universidades cubanas, que destaca no solo por las bondades que se obtienen a partir de su gestión sino de las que se podrían lograr a través de la interoperabilidad de los metadatos de la plataforma con los de otros sistemas para el aprendizaje y la investigación existentes tanto en el ecosistema de aplicaciones del propio proyecto, como de la educación superior cubana en general. Esto genera la posibilidad de brindar innumerables servicios y funcionalidades de apoyo a los procesos de investigación, enseñanza y aprendizaje en los ámbitos del pregrado, postgrado y la educación con un enfoque abierto; elementos que contribuyen con el objetivo cuatro de Agenda 2030 para el Desarrollo Sostenible establecida por la ONU.