bluuebunny/crossref_metadata_2025_split huggingface dataset:
DIAGNOSIS DAN PENATALAKSANAAN ANGIOEDEMA DI BIDANG THT-KL
Authors: Oka Sari Utari I Gusti Ayu , Sudiasa Sudiasa , Prapyatiningsih R Yully 
Published: April 2020

Angioedema adalah edema yang melibatkan lapisan yang lebih dalam dari kulit yaitu dermis, jaringan subkutan, mukosa dan submukosa karena terjadinya peningkatan permeabilitas kapiler akibat mediator inflamasi. Angioedema pertama kali disebarluaskan oleh Heinrich Quincke pada tahun 1882 sehingga angioedema sering juga disebut dengan Quincke edema. Pada angioedema, edema yang timbul adalah non-pitting, berbatas tegas, pucat dan tidak gatal namun angioedema dapat juga timbul bersamaan dengan urtikaria sehingga bisa disertai gatal-gatal dan kemerahan. Angioedema dapat terjadi pada daerah wajah terutama di daerah bibir dan mata, telinga, saluran pernafasan, saluran pencernaan, kardiovaskuler, tangan, kaki dan alat kelamin. Apabila terjadi pada lidah dan saluran pernafasan bagian atas serta berlangsung dengan cepat, dapat mengancam nyawa karena terjadinya obstruksi jalan nafas.Gejala angioedema terkadang sangat mirip dengan beberapa kelainan yang lain. Pengetahuan mengenai cara mendiagnosis angioedema sangat penting sehingga dapat dilakukan penatalaksanaan yang tepat. Dengan demikian penulis tertarik untuk membuat suatu tinjauan pustaka mengenai diagnosis dan penatalaksanaan angioedema khususnya di bidang THT.
Simulation-based multiple-choice test assessment of clinical competence for large groups of medical students: a comparison of auscultation sound identification either with or without clinical context
Authors: Nguyen Diem Quyen , Patenaude Jean-Victor , Gagnon Robert , Deligne Benoit , Bouthillier Isabelle 
Published: April 2020

Background: Although simulation-based teaching is popular, high-fidelity, high-cost approaches may be unsuitable or unavailable for use with large groups. We designed a multiple-choice test for large groups of medical students to explore a low-cost approach in assessing clinical competence. We tested two different scenarios in assessing student’s ability to identify heart and lung sounds: by hearing the sounds alone, or in an enhanced scenario where sounds are incorporated into clinical vignettes to give clinical context.Method: The two-section test consists of multiple-choice questions with one best answer. In the first section, the student must identify 25 auscultation sounds from amongst a choice of 14 heart sounds and 11 lung-sounds. The second section integrates these same sounds into clinical vignettes to provide clinical context. Students must either identify the illness or the next clinical step, choosing from four possible answers. Performances of 859 students were evaluated.Results: The alpha coefficient of reliability is 0.54 and 0.76 respectively for the first and the second section. In the latter section there is significant difference between scores of first, second, fourth year students and residents, in contrast to the first-section scores. Conclusions: A multiple-choice test to assess clinical competence based on simulated auscultation sounds incorporated into clinical vignettes allows us to differentiate between training levels and seems to be a valid assessment method suitable for large-group format.
СРЕДСТВА ПОВЫШЕНИЯ ЭФФЕКТИВНОСТИ СИСТЕМЫ БЕСКОНТАКТНОГО ЗАРЯДА АККУМУЛЯТОРНЫХ БАТАРЕЙ АВТОНОМНОГО ПОДВОДНОГО АППАРАТА
Authors: Gerasimov V.A. , Komlev A.V. , Filozhenko A.Yu. 
Published: April 2020

Необходимым условием эффективности системы бесконтактного заряда аккумуляторных батарей при эксплуатации автономного подводного робота служит выполнение следующих двух требований: сочетание резонансного контура на выходе инвертора и режима мягкого переключения силовых ключей инвертора, применение резонанса на вторичной стороне трансформатора. Для решения задачи, связанной с данным условием, разработана математическая модель системы с реко- мендациями по выбору параметров резонансных цепей. Таким путем достигаются: минимум потерь мощности в инверторе, а также уменьшение нагрева его элементов и, как следствие, повышение общей надежности и минимум времени полного заряда аккумуляторных батарей. С помощью действующего образца системы проведены натурные эксперименты, подтверждающие результаты исследований.The necessary condition for the contactless battery charging system to be effective during the operation of the autonomous underwater vehicle it is mounted on is fulfilling the two following requirements: combination of the resonant circuit on the inverter output and the soft switching mode of the power switches attainment of a condition of resonance on the transformer secondary winding. To solve the problem associated with this condition, the mathematical model of the system was developed with recommendations for parameters choice of resonant circuits. This way, both power losses in the inverter and its element temperature are minimized. This enhancement improves the overall reliability and allows achieving minimal battery charging time. Some field experiments using an operational prototype of the system were carried out, proving the research results.
О ТОЧНОСТИ ОПРЕДЕЛЕНИЯ КООРДИНАТ ПОДВОДНОГО МОДУЛЯ НА ОСНОВЕ ИЗМЕРЕННЫХ ПАРАМЕТРОВ ДВИЖЕНИЯ БУКСИРУЕМОЙ СИСТЕМЫ
Authors: Kostenko V.V. , Vaulin Yu.V. , Dubrovin F.S. , Lvov O.Yu. 
Published: April 2020

Буксируемый подводный модуль (БПМ) эффективно используется для решения задач, связанных с координированием подводных объектов, местоположение которых подлежит уточнению в процессе их детальногообследования. При этом большое значение имеет точность определения координат самого буксируемогомодуля относительно судна-буксировщика. Использование гидроакустических навигационных средств, вчастности систем с ультракороткой базой (ГАНС УКБ), ограничено вследствие помех, влияющих на качествосигналов в приемной антенне. Альтернативой служит метод определения координат БПМ на основе данныхтраекторных измерений параметров буксируемой системы. К числу последних относятся расчетные значенияпараметров кабеля связи в установившихся режимах буксировки, значения путевой скорости и путевого углабуксировщика, а также измеренные значения длины кабеля, глубины погружения и курса БПМ. В работе дансравнительный анализ различных вариантов вычислительных алгоритмов, позволяющих получить оценки точности определения координат БПМ в различных режимах стационарной буксировки и при наличии сбоев вработе навигационных средств.The towed underwater module (TUM) is a useful toolfor solving problems of the positioning of the underwaterobjects, the location of which must be clarified during its detailedinspection. Herewith, the accuracy of the determinationof the coordinates of the towed module itself relative tothe towing vessel is essential for such kind of problems. Theuse of underwater acoustic navigation means, the systemswith ultra-short baseline (USBL) in particular, are limiteddue to interference affecting the quality of the signals on thereceiving antenna. As an alternative, the method is proposedfor TUM positioning based on trajectory measurements ofparameters of the towed system, which may include calculatedvalues of communication cable parameters in steadystatetowing modes, values of ground speed and towing angle,as well as measured cable length, immersion depth, andTUM heading. The paper provides a comparative analysisof various versions of computational algorithms, which allowobtaining estimates of the TUM positioning accuracy indifferent modes of stationary towing and in the presence offailures in navigation systems operation.
PENGARUH RETURN ON ASSETS (ROA) DAN RETURN ON EQUITY (ROE) TERHADAP HARGA SAHAM PERBANKAN
Authors: Mukhlis Muhamad 
Published: April 2020

This research aims to determine the effect of Return on Assets (ROA) and Return on Equity (ROE) simultaneously on the stock price of banking companies; to determine the effect of Return on Assets (ROA) and Return on Equity (ROE) partially on the stock price of companies, and; to determine which variable that is dominant between Return on Assets (ROA) and Return on Equity (ROE) on the stock price of companies. This research is explanatory research that aims to analyze the relationship between variable and other variables. The analysis technique used is descriptive test and hypothesis testing. Based on the results and the discussion in this research, it can be concluded as follows: 1) simultaneously or jointly between ROA and ROE affect the stock price of banking companies on the Indonesia Stock Exchange (IDX) in 2014-2017; 2) Partially Return on Assets (ROA) significantly influence the stock price of banking companies on stock price on the Indonesia Stock Exchange (IDX) in 2014-2017 while Return on Equity (ROE) has no significant effect on the stock price of banking companies on stock price on the Indonesia Stock Exchange (IDX) in 2014-2017. Analysis result dominant test indicates that Return on Assets (ROA) has a dominant influence on stock price compared to Return on Equity (ROE)
Keywords: Return on Assets, Return on Equity, Share Prices
ANALISIS PENGARUH MOTIVASI KERJA DAN KEPUASAN KERJA TERHADAP PRODUKTIVITAS DOSEN PERGURUAN TINGGI DI MALANG
Authors: Sarbini Sarbini , Sudarto Sudarto , Sunyoto Sunyoto 
Published: April 2020

Kinerja dosen yang menghasilkan produktifitas dosen sehingga dosen memaksimalkan kemampuannya. Produktivitas dosen dalam melaksanakan tugas Tri Dharma perguruan tinggi sangat diharapkan bagi dunia pendidikan tinggi untuk meningkatkan kualitas proes Pendidikan tinggi yang efektif dan efesien. Produktifitas dosen diukur dari kepatuhan menjalankan tugas Tri Dharma peguruan tinggi. Tidak hanya menghasilkan dosen dengan produktivitas yang berkualitas dan efisien, namun produktifitas dosen berhubugan dengan motivasi kerja secara personal dan kepuasan yang dirasakan dosen. Pada penelitian yang dilaksanakan dengan dosen universitas dan institute di kota Malang dengan methode kuesioner. Hipotesa 1 diduga bahwa Motivasi kerja mempengaruhi produktifitas dosen secara langsung diterima, namun pengaruhnya lemah. Hipotesa 2: Kepuasan kerja berpengaruh positif dan signifikan mempengaruhi produktivitas dosen diterima. Hipotesa 3: Secara bersama motivasi mempengaruhi negative atau melemahkan produktifitas dosen sedang kepuasan kerja mempengaruhi produktifitas dosen perguruan tinggi swasta.
Frazeologija v prozi Cirila Kosmača
Authors: Rojs Jurij 
Published: April 2020

Prispevek, v katerem je frazeologija analizirana po slovničnih kategorijah,
zajema vsa Kosmačeva prozna dela, nastala v skoraj pol stoletja. Besedne
zveze so avtentične glede na opisovani čas in okolje ter glede na okoliščine.
Kosmač piše v visokem slogu. Predvsem so lepe slike slovenske pokrajine: v pisanih barvah so naslikane rože in bilke, ob katerih diha slovensko narodno zaveden človek.
Population Trends for Chinook and Summer Chum Salmon in Two Yukon River Tributaries in Alaska
Authors: Brown Randy J. , Bradley Catherine , Melegari Jeffery L. 
Published: April 2020

AbstractAn essential management objective of the Yukon Delta and Koyukuk National Wildlife Refuges in Alaska is to conserve fish and wildlife populations and habitats in their natural diversity. In keeping with this objective, the U.S. Fish and Wildlife Service installed weirs in two tributaries of the Yukon River, the East Fork Andreafsky and Gisasa rivers, in 1994 to collect information on salmon populations that used them. The weirs have been in operation for &gt;23 y. Chinook Oncorhynchus tshawytscha and summer Chum Salmon O. keta were counted and sampled for various demographic data each year as they migrated through the weirs to upstream spawning areas. Here we examine this record of population data to describe and compare long-term variation in run abundance, run timing, length and age structure, sex composition, and production for these salmon populations. Fishery managers often look to multiple monitoring projects in-season seeking corroboration of observed run qualities; therefore, we also considered whether Yukon River main-stem indicators of abundance were correlated with these tributary escapements. Our analyses suggest long-term stability of these populations despite large annual variations in most metrics we examined. Annual escapements have varied by factors of 3–5 for Chinook Salmon and &gt;23 for summer Chum Salmon, yet only the Chinook Salmon population in the Gisasa River appears to be declining. Main-stem abundance indicators were not correlated with Chinook Salmon escapements but were strongly correlated with summer Chum Salmon escapements. Run timing has varied annually by as much as a week earlier or later than average for all four populations with no trend over time. Mean age of the Chinook Salmon populations declined over time but remained stable for the summer Chum Salmon populations. Chinook Salmon populations in the East Fork Andreafsky and Gisasa rivers averaged 35% and 28% female, respectively. Both summer Chum Salmon populations averaged close to 50% female. Length at age has been stable or slightly declining for all four populations. Production over time was strongly correlated within species for populations in the two rivers, and averaged &gt;1 recruit/spawner for all populations except Chinook Salmon from the Gisasa River. We discuss these findings in the context of major changes in the fishery and the environments these populations experience.
Use of Complementary and Alternative Therapies: A National Survey of Critical Care Nurses
Authors: Tracy Mary Fran , Lindquist Ruth , Savik Kay , Watanuki Shigeaki , Sendelbach Sue , Kreitzer Mary Jo , Berman Brian 
Published: April 2020

• Background Demand for complementary and alternative therapies is increasing and is affecting all healthcare settings, including critical care.
• Methods A random sample of members of the American Association of Critical-Care Nurses was surveyed to determine the members’ attitudes, knowledge, perspectives, and use of complementary and alternative therapies.
• Results Most of the 726 respondents were using one or more complementary and alternative therapies in practice. The most common therapies used were diet, exercise, relaxation techniques, and prayer. A majority of the nurses had some knowledge of more than half of the 28 therapies listed on the survey, and a majority desired additional training for 25 therapies. Respondents generally required more evidence judged as essential to use or recommend conventional therapy than to use or recommend complementary and alternative therapies. Nurses viewed complementary and alternative therapies positively overall, were open to use of the therapies, and perceived them as legitimate and beneficial to patients. Nurses judged the therapies helpful for treatment of a variety of symptoms. A majority of nurses desired an increase in the availability of the therapies for patients, patients’ families, and nursing staff. Nurses’ professional use of the therapies was related to having more knowledge of them, perceiving benefits of them, total number of therapies they recommended to patients, personal use, and affiliation with a mainstream religion.
• Conclusions Educational programs that provide information about use of complementary and alternative therapies and the underlying evidence base most likely will increase the appropriate use of the therapies to achieve desired outcomes.
Effects of Critical Care Nurses’ Work Hours on Vigilance and Patients’ Safety
Authors: Scott Linda D. , Rogers Ann E. , Hwang Wei-Ting , Zhang Yawei 
Published: April 2020

• Background To minimize the occurrence of adverse events among patients, critical care nurses must be alert to subtle changes in patients’ conditions, perform accurate clinical assessments, and respond expediently. However, little is known about the effects of the nurses’ work hours on vigilance and patients’ safety.
• Objectives To describe the work patterns of critical care nurses, determine if an association exists between the occurrence of errors and the hours worked by the nurses, and explore whether these work hours have adverse effects on the nurses’ vigilance.
• Methods Data were obtained from a random sample of critical care nurses in the United States. Nurses eligible for the study were mailed two 14-day logbooks to fill out. Information collected included the hours worked, the time of day worked, overtime hours, days off, and sleep-wake patterns. On days worked, the respondents completed all work-related questions and questions about difficulties in remaining awake while on duty. Space was provided for descriptions of any errors or near errors that might have occurred. On days off, the nurses completed only those questions about sleep-wake patterns, mood, and caffeine intake.
• Results The 502 respondents consistently worked longer than scheduled and for extended periods. Longer work duration increased the risk of errors and near errors and decreased nurses’ vigilance.
• Conclusions The findings support the Institute of Medicine recommendations to minimize the use of 12-hour shifts and to limit nurses’ work hours to no more than 12 consecutive hours during a 24-hour period.
Quality of Life and Psychological Status of Patients With Implantable Cardioverter Defibrillators
Authors: Thomas Sue Ann , Friedmann Erika , Kao Chi-Wen , Inguito Pia , Metcalf Matthew , Kelley Frances J. , Gottlieb Steven S. 
Published: April 2020

• Background Implantable cardioverter defibrillators reduce mortality in patients at high risk for sudden cardiac death and in patients with heart failure. Patients with defibrillators often experience psychological distress and poor quality of life, which can potentiate pathological processes that increase the risk for sudden cardiac death. To achieve the full benefits of the defibrillators, patients must maintain their psychological status and quality of life.• Objectives To review the research on psychological status and quality of life of patients with implantable cardioverter defibrillators and suggest nursing interventions to improve the patients’ health.• Method Searches of PubMed were used to find articles on depression, anxiety, and quality of life in patients with implantable cardioverter defibrillators.• Results Poor quality of life is associated with anxiety and depression in patients with implantable cardioverter defibrillators. Discharges of the devices have adverse consequences for patients’ psychological status and quality of life. Younger patients are at highest risk for psychological distress and poor quality of life after implantation. Longitudinal research would facilitate determining the course of the changes in psychological status and quality of life during the time patients have the defibrillators. More intensive intervention may be necessary for the most vulnerable recipients: patients who are young, have experienced shocks, and are in psychological distress.• Conclusions Poor quality of life and depression are common in patients with implantable cardioverter defibrillators. Nursing interventions to reduce psychological distress and improve quality of life may reduce morbidity and mortality in these patients. Additional research is needed to determine effective interventions.
Degree-day models to predict carrot weevil (Coleoptera: Curculionidae) emergence and oviposition in Nova Scotia, Canada
Authors: Blatt Suzanne , Augustine Joseph Deney , Cutler G. Christopher , Olson A. Randall , White Scott 
Published: April 2020

AbstractCarrot weevil, Listronotus oregonensis (LeConte) (Coleoptera: Curculionidae), is a pest of carrot (Daucus carota var. sativus Hoffmann; Apiaceae) throughout eastern Canada. Carrot weevil emergence and oviposition were monitored in commercial carrot fields in Nova Scotia. Cumulative degree days were calculated using a base temperature of 7 °C (DD7), and models were developed to predict cumulative emergence and oviposition using nonlinear regression. Cumulative emergence and oviposition were adequately explained as functions of DD7 by a three-parameter sigmoidal Hill equation. Our emergence model predicted initial and peak adult emergence at 35 and 387 DD7, respectively, with oviposition on carrot baits occurring as early as 42 DD7. Models were then validated to evaluate how well they performed. Oviposition on carrot plants began at the fourth true-leaf stage (342 DD7) and continued until eleventh true-leaf stage. Growers using these models can identify their window of opportunity to manage their carrot weevil populations targeting the majority of emerged adults before oviposition begins in the field.
Dansgaard–Oeschger-like events of the penultimate climate cycle: the loess point of view
Authors: Rousseau Denis-Didier , Antoine Pierre , Boers Niklas , Lagroix France , Ghil Michael , Lomax Johanna , Fuchs Markus , Debret Maxime , Hatté Christine , Moine Olivier , Gauthier Caroline , Jordanova Diana , Jordanova Neli 
Published: April 2020

Abstract. The global character of the millennial-scale climate variability associated with the Dansgaard–Oeschger (DO) events in Greenland has been well-established for the last glacial cycle. Mainly due to the sparsity of
reliable data, however, the spatial coherence of corresponding variability
during the penultimate cycle is less clear. New investigations of European
loess records from Marine Isotope Stage (MIS) 6 reveal the occurrence of alternating loess intervals and paleosols (incipient soil horizons), similar to those from the last climatic cycle. These paleosols are correlated, based on their stratigraphical position and numbers as well as available optically stimulated luminescence (OSL) dates, with interstadials described in various Northern Hemisphere records and in GLt_syn, the synthetic 800 kyr record of Greenland ice core δ18O. Therefore, referring to the interstadials described in the record of the last climate cycle in European loess sequences, the four MIS 6 interstadials can confidently be interpreted as DO-like events of the penultimate climate cycle. Six more interstadials are identified from proxy measurements performed on the same interval, leading to a total of 10 interstadials with a DO-like event status. The statistical similarity between the millennial-scale loess–paleosol oscillations during the last and penultimate climate cycle provides direct empirical evidence that the cycles of the penultimate cycle are indeed of the same nature as the DO cycles originally discovered for the last glacial cycle. Our results thus imply that their underlying cause and global imprint were characteristic of at least the last two climate cycles.
The EU Customs Union after Brexit
Authors: de Wit Walter 
Published: April 2020

The EU Customs Union after Brexit
In this contribution the author examines how, from a customs perspective, the integrity of the internal market is protected after the transitional phase under the Revised Protocol on Ireland/Northern Ireland. He briefly discusses the customs aspects of the Withdrawal Agreement and then examines in depth the revised arrangement with regard to the Irish border in light of the protection of the integrity of the internal market. He shows that the revised arrangement cleared the Brexit deal through parliament and paved the UK’s way to leave the EU on 31 January 2020. He concludes, however, that given the complexity of the legislation underlying the revised arrangement, the UK will be paying a high price for getting Brexit done, keeping the Irish border open and protecting the integrity of the internal market of the EU.