bluuebunny/crossref_metadata_2025_split huggingface dataset:
Extremely rare complication of granulomatosis with polyangiitis
Authors: Baran Oguz , Ozdogan Selçuk , Demirel Nail , Evran Sevket , Duzkalir Hanife Gulden , Kocak Ayhan 
Published: December 2019

The systemic vasculitis of the small-medium arteries, arterioles, venules and rarely large arteries that involves respiratory system and kidneys was defined as Granulomatosis with Polyangiitis (GPA) disease by Wegener in 1936. Intracranial aneurysms and subarachnoid haemorrhage (SAH) are extremely rare complications of GPA and our case will be the 2nd case treated with clipping aneurysm and the 11th case with subarachnoid haemorrhage in the literature.
A 43-year-old man presented to the emergency room with a severe headache and was admitted for further evaluation. He had GPA diagnosis 14 years ago with cytoplasmic anti-neutrophil cytoplasmic antibody (C-ANCA) and PR3-ANCA positive laboratory tests and kidney biopsy. SAH was seen on cranial computed tomography (CT) images. Then cerebral digital substraction angiography (DSA) performed and right middle cerebral artery aneurysm exposed. Aneurysm was clipped without any complication.
Intracranial aneurysms and SAH are extremely rare complications of GPA. GPA related aneurysmal SAH is an exceptional condition in neurovascular pathology. Monitoring patients with GPA for SAH must be remembered and kept in mind as a diagnosis.
A lateral meningocele in a 48 years lady revealed by a CSF fistula
Authors: Assoumane Ibrahim , Benmedakhene Nadhim , Ousseini Adakal , Sabrina Bachir , Lagha Nadia , Abderahmanne Sidi Said , Morsli Abdelhalim 
Published: December 2019

Background: Lateral meningocele is defined by the presence of protrusions of the arachnoid and the dura matter extending laterally through inter- or intravertebral foramina. It is an extremely rare condition; to the best of our knowledge, only a few cases are reported in the literature and most of them in childhood.
Case presentation: Authors reported a case of a 48 years old lady who consulted for a lombo-sacral mass right-sided with a CSF fistula. The Spinal MRI objectified a meningocele lateralized in the right side associated with multiples malformations. The patient underwent surgery and the meningocele was closed after excision of the associated subcutaneous lipoma. The long term outcome was favourable and the follow up was assured by clinical examination monthly in the first year.
Conclusion: Lateral meningocele is very rarely reported, it is usually associated with multiples malformations. Surgical treatment is a good option for treatment for avoiding complications. The prognostic depends on the preoperative status and the associated malformations.
Electronic care coordination systems for people with advanced progressive illness: a mixed-methods evaluation in Scottish primary care
Authors: Finucane Anne M , Davydaitis Deborah , Horseman Zoe , Carduff Emma , Baughan Paul , Tapsfield Julia , Spiller Juliet A , Meade Richard , Lydon Brigid , Thompson Ian M , Boyd Kirsty J , Murray Scott A 
Published: December 2019

BackgroundElectronic care coordination systems, known as the Key Information Summary (KIS) in Scotland, enable the creation of shared electronic records available across healthcare settings. A KIS provides clinicians with essential information to guide decision making for people likely to need emergency or out-of-hours care.AimTo estimate the proportion of people with an advanced progressive illness with a KIS by the time of death, to examine when planning information is documented, and suggest improvements for electronic care coordination systems.Design and settingThis was a mixed-methods study involving 18 diverse general practices in Scotland.MethodRetrospective review of medical records of patients who died in 2017, and semi-structured interviews with healthcare professionals were conducted.ResultsData on 1304 decedents were collected. Of those with an advanced progressive illness (79%, n = 1034), 69% (n = 712) had a KIS. These were started a median of 45 weeks before death. People with cancer were most likely to have a KIS (80%, n = 288), and those with organ failure least likely (47%, n = 125). Overall, 68% (n = 482) of KIS included resuscitation status and 55% (n = 390) preferred place of care. People with a KIS were more likely to die in the community compared to those without one (61% versus 30%). Most KIS were considered useful/highly useful. Up-to-date free-text information within the KIS was valued highly.ConclusionIn Scotland, most people with an advanced progressive illness have an electronic care coordination record by the time of death. This is an achievement. To improve further, better informal carer information, regular updating, and a focus on generating a KIS for people with organ failure is warranted.
Patients’ descriptions of the relation between physical symptoms and negative emotions: a qualitative analysis of primary care consultations
Authors: Bekhuis Ella , Gol Janna , Burton Christopher , Rosmalen Judith 
Published: December 2019

BackgroundPrimary care guidelines for the management of persistent, often ‘medically unexplained’, physical symptoms encourage GPs to discuss with patients how these symptoms relate to negative emotions. However, many GPs experience difficulties in reaching a shared understanding with patients.AimTo explore how patients with persistent symptoms describe their negative emotions in relation to their physical symptoms in primary care consultations, in order to help GPs recognise the patient’s starting points in such discussions.Design and settingA qualitative analysis of 47 audiorecorded extended primary care consultations with 15 patients with persistent physical symptoms.MethodThe types of relationships patients described between their physical symptoms and their negative emotions were categorised using content analysis. In a secondary analysis, the study explored whether patients made transitions between the types of relations they described through the course of the consultations.ResultsAll patients talked spontaneously about their negative emotions. Three main categories of relations between these emotions and physical symptoms were identified: separated (negation of a link between the two); connected (symptom and emotion are distinct entities that are connected); and inseparable (symptom and emotion are combined within a single entity). Some patients showed a transition between categories of relations during the intervention.ConclusionPatients describe different types of relations between physical symptoms and negative emotions in consultations. Physical symptoms can be attributed to emotions when patients introduce this link themselves, but this link tends to be denied when introduced by the GP. Awareness of the ways patients discuss these relations could help GPs to better understand the patient’s view and, in this way, collaboratively move towards constructive explanations and symptom management strategies.
Customer Relationship Management (CRM) Based On Web To Improve The Performance Of The Company
Authors: Yanto Adi , Asiah Nur 
Published: December 2019

Customer relationship management (CRM) is one of the model that can be used to maintain the relationship between customer and company. CRM is really helpful for the company to increase the customer interest toward the company, improve the economic condition, and improve the product promotion through the use of intimate customer knowledge. But, most of the company still can’t utilize CRM well, one of the problems is to increase the company performance. In this Journal will talk about the utility of CRM based on web to increase the company performance, the method that used in this journal is waterfall method which includes, analysis and systems engineering, requirements analysis, design, coding, programming, implementation and maintenance, and also literature review. With the e-CRM application is expected to provide benefits of the company, helps companies to know the wishes of customers, and can monitor the performance of employees, so the company is able to improve the performance of the company.
PERBEDAAN EFEKTIVITAS SENAM JANTUNG SEHAT DAN SENAM LANSIA TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI PUSKESMAS NUSA INDAH KOTA BENGKULU TAHUN 2018
Authors: Listiana Devi , Keraman Buyung , Manto Yuki 
Published: December 2019

Hypertension is a heart disease and blood vessels that are marked by an increase in blood pressure. One non-pharmacological therapy for hypertension is boarding. Elderly gymnastics is a series of regular and directed and planned tone movements performed individually or groups. The general objective in this study was to study the differences in the effectiveness of elderly gymnastics and healthy heart gymnastics to decrease blood pressure in hypertensive patients at the Nusa Indah Health Center Bengkulu City in 2018. Was the amount of this study using a quasi experimental design of pre and post test. The population in this study were all hypertensive patients in gymnastics members at the Nusa Indah Health Center in Bengkulu City in 2018.Sampling was taken from the entire population. Has research using the Shapiro-Wilk test showed that the value p = 0.247 (a=0.05) meaning that there was no difference in exercise effectiveness. Elderly and healthy cardiac gymnastics against a reduction in systolic blood pressure in patients hypertension at Nusa Indah Health Center Bengkulu City in 2018. The value p = 0.450 (a=0.05) means that there is not difference in the effectiveness of elderly gymnastics and healthy heart gymnastics against a decrease in diastolic blood pressure in hypertensive patients at Nusa Indah Health Center in Bengkulu City in 2018. Expected to hypertensive patients to more regularly take part in gymnastics activities to maintain blood pressure stability. Keywords : Elderly Gymnastics, Healthy Heart Gymnastics, Hypertension
EKSPLORASI LEGENDA SELANG PANGERAN SEBAGAI BAHAN AJAR BAHASA INDONESIA
Authors: Sitepu Lisa Krisdayani , Situmorang Maria Natalia , Dewi Wita , Ginting Sri Dinanta Beru 
Published: December 2019

Legenda adalah cerita prosa rakyat yang dianggap benar-benar terjadi biasanya dihubungkan dengan tokoh sejarah serta dibumbui dengan keajaiban, kesaktian, dan keistimewaan tokohnya. Berdasarkan hal tersebut legenda Selang Pangeran sangat penting untuk diteliti. Penelitian ini berjudul “Eksplorasi Legenda Selang Pangeran sebagai Bahan Ajar Bahasa Indonesia”. Penelitian ini diangkat untuk mengeksplorasi bentuk dan maksud dari legenda Selang Pangeran, kemudian mengeksplorasinya menjadi bahan ajar bahasa Indonesia. Penelitian ini bertujuan untuk menambah wawasan siswa tentang legenda tepatnya legenda Selang Pangeran.
Penelitian ini menggunakan metode penelitian deskriptif kualitatif bertujuan untuk mendeskripsikan secara sistematis, faktual, dan akurat dengan menggunakan kata-kata atau kalimat. Teknik pengumpulan data menggunakan teknik simak bebas libat cakap. Data dalam penelitian ini adalah data lisan berupa cerita rakyat legenda Selang Pangeran. Sumber data dalam penelitian ini adalah informan dari masyarakat di desa Landak kabupaten Langkat. Teknik analisis data menggunakan analisis interaktif, yaitu reduksi, penyajian data, dan penarikan simpulan. Teknik validitas data menggunakan triangulasi teori dan sumber. Prosedur penelitian meliputi perencanaan, pelaksanaan, dan peyusunan laporan.
Luaran dari penelitian ini adalah sebagai bahan ajar bahasa Indonesia, dan artikel yang dipublikasikan
PERGESERAN MAKNA, FUNGSI, DAN BENTUK TEMBIKAR TRADISIONAL SUNGAI JANIAH DI TANAH AGAM SUMATRA BARAT
Authors: Damayanti Nuning Y 
Published: December 2019

The background of the establishment of the earthenware craft of Sungai Janiah is acquired from the legend TheSacred Fish, which is a â€œkarmaâ€ of the natureâ€™s authority against a mother who neglected the care of her child, so thatthe child be came a fish. Since then every mother is forbidden to leave her child alone at home. The mother may work athome while taking care of her children. The work chosen is making earthenware, because the easily available rawmaterial, and easily done. The philosophy of the earthenware of Sungai Janiah is â€œMother and Child Philosophyâ€. This isreflected by the attitude and behaviour in making earthenware like child-caring, and each stage of making earthenware isbased on that.The traditional earthenware craft today is decreasingly developing due to its inability to compete with industrial products. The problems most commonly faced are the technological development- and the marketingproblems. This study was done in Sungai Janiah Kabupaten Agam, West Sumatera, because it has never before researchhas been done in this field, and no written reference yet exists concerning this craft. This study had to be done so the nationâ€™s cultural asset will be not forgotten without more and is needed for the scientific world. The method of study used is the qualitative method with the cultural approach. Data of study was acquired by direct observation, and interviews and field notes were made concerning matters that can support the study findings. The study findings can be explained as follow:Commonly the earthenware of Sungai Janiah is round-formed, functioning as household utensils receptacles. The Sungai Janiah earthenware has not experienced many changes in form, but in function and meaning. No changes in form is due to the limited capacity of the craftsmen and the local socio-cultural factor. The change in meaning is due to scientific developments and socio-cultural changes.
PENGARUH PENERAPAN UNDANG-UNDANG KEPERAWATAN NO. 38 TAHUN 2014 TERHADAP KINERJA PERAWAT DI RUMAH SAKIT TK.IV ISKANDAR MUDA 07.01 LHOKSEUMAWE
Authors: Syahputra Anda , Fahmi Asrul 
Published: December 2019

The research was carried out at TK. IV Iskandar Muda 07.01 Hospital Lhokseumawe. The research objective was to influence work motivation, leadership, work facilities, training and service reward with nurses performance in TK. IV IM 07.01 Hospital Lhokseumawe. The method of research was a quantitative research. Data obtained by asking the questionnaire to 75 respondents. The results showed work motivation, leadership, work facilities, training and service reward a positive and significant with nurse performance at TK. IV IM 07.01 Hospital Lhokseumawe. Hypothesis testing using the F test with a value of F-count = 13.054 with a significance of 0,000 <0.05. Variables in work motivation, leadership, work facilities, training and service reward are related to nurse performance. While the F-table with a significance level of 0.05 (5%) was obtained at 2,500. Thus the results of the F test show the value of F-count> F-table that is 13.054> 2,500. This research show that there are influence between work motivation, leadership, training and service reward with nurse performance.

Penelitian ini dilakukan di Rumah Sakit TK.IV Iskadar Muda 07.01 Lhokseumawe. Penelitian ini bertujuan untuk mengetahui pengaruh motivasi kerja, kepemimpinan, fasilitas kerja, pelatihan dan imbalan jasa terhadap kinerja perawat pada Rumah Sakit TK.IV IM 07.01 Lhokseumawe. Metode penelitian yang digunakan adalah penelitian kuantitatif. Data diperoleh dengan menyebarkan kuesioner kepada 75 responden. Hasil Penelitian menunjukkan bahwa motivasi kerja, kepemimpinan, fasilitas kerja, pelatihan dan imbalan jasa berpengaruh positif dan signifikan terhadap kinerja perawat Rumah Sakit TK.IV IM 07.01 Lhokseumawe. Pengujian hipotesis menggunakan uji F dengan nilai Fhitung= 13,054 dengan signifikansi sebesar 0,000<0,05. menunjukkan bahwa secara bersama-sama variabel motivasi kerja, kepemimpinan, pelatihan dan imbalan jasa mempunyai pengaruh terhadap kinerja perawat. Sedangkan nilai Ftabel dengan tingkat sigifikansi 0,05 (5%) diperoleh sebesar 2,500. Dengan demikian hasil uji F menunjukkan bahwa nilai Fhitung>Ftabel yaitu 13.054 > 2,500. Hasil analisis ini dapat dijelaskan bahwa secara simultan motivasi kerja, kepemimpinan, pelatihan dan imbalan jasa berpengaruh signifikan terhadap kinerja perawat.
Kinetic Verification of the Stochastic Ion Heating Mechanism in Collisionless Magnetic Reconnection
Authors: Yoon Young Dae , Bellan Paul M. 
Published: December 2019

Abstract
The origin of anomalous, non-classical ion heating during magnetic reconnection has been a longstanding problem. It is verified via fully kinetic analyses and particle-in-cell simulations that stochastic heating is the main ion heating mechanism in collisionless magnetic reconnection up to moderate guide fields. Strong in-plane Hall electric fields that form during reconnection render ion motions chaotic and de facto broaden the ion distribution function. The mechanism is consistent with numerous observed features of ion heating in reconnection, such as the preferential heating of ions with higher mass-to-charge ratios and the non-conservation of the ion magnetic moment.
La Visitation, témoin de la réception liturgique : une comparaison entre la province d’Uppsala et la province de Rouen (fin XV e - milieu du XVI e siècle)
Authors: Bataille Camille 
Published: December 2019

La Visitation est une fête liturgique en l’honneur de la Vierge Marie adoptée définitivement dans l’Occident chrétien à la fin du Moyen Âge. Cependant, les diocèses la reçoivent à des rythmes différents en fonction de leurs choix d’organisation du culte divin. Nous proposons dans cet article d’examiner la réception d’une fête liturgique, la Visitation, dans deux provinces ecclésiastiques : l’une française, Rouen, et l’autre suédoise, Uppsala. Prenant pour témoins les imprimés liturgiques, nous montrerons après avoir fait un état des lieux de la documentation disponible les enjeux spirituels posés par l’adoption d’une nouvelle fête à l’échelle diocésaine.
La guerre d’Indépendance des États-Unis sur les murs du prieuré Saint-Gabriel (1775-1783)
Authors: Daeffler Michel 
Published: December 2019

Le prieuré Saint-Gabriel présente de nombreux graffitis sur les murs de plusieurs bâtiments. Les thèmes évoqués sont très variés allant de la simple inscription aux symboles religieux, en passant par des représentations humaines et animales. Plusieurs graffitis de bateaux sont également présents, notamment sur le linteau de la cheminée de la « salle de justice ». Ces derniers composent une frise de quatre navires représentés à l’ancre. La schématisation de ces représentations permet toutefois de distinguer différents types de navires : un bâtiment de charge, un vaisseau de ligne, une frégate, une corvette, formant une petite division navale. Ces graffitis du xviii e siècle pourraient être associés à l’épisode du camp de Vaussieux en 1778, pendant la guerre d’Indépendance des États-Unis.
Administrer les forêts de l’Avesnois au quotidien : du bailliage des bois de Hainaut à la maîtrise des Eaux et Forêts (XIV e -XVII e siècles)
Authors: Delcourte Debarre Marie 
Published: December 2019

Dès le Moyen Âge, les seigneurs de tout rang ont mis en place une administration spécialisée ayant en charge la gestion de leur domaine forestier. Le comte de Hainaut voulant asseoir son assise territoriale, créée le bailliage des bois contrôlant l’exploitation des forêts et surveillant les usagers. L’éclairage est mis ici sur les hommes qui ont composé et fait fonctionner cette administration : du personnel dirigeant au personnel d’exécution. Lors de l’annexion française, le bailliage des bois est dissout, la maîtrise des Eaux et Forêts du Quesnoy est créée, entraînant ainsi une nouvelle organisation et gestion du territoire.
« En Bon amouré », le partage de l’emblématique royale à la Renaissance
Authors: Hablot Laurent 
Published: December 2019

Parmi les différents relais qui contribuent au développement et à la formulation du cœur politique, les pratiques emblématiques permettent de saisir la place accordée au sentiment dans les relations entre le souverain et ses sujets. Ces signes permettent au pouvoir d’exprimer son action bienveillante ou convaincante ; les diverses formes de partage d’emblèmes offrent aux sujets ainsi qu’au royaume le moyen de communier avec le corps emblématique de leur souverain. Les villes et les abbayes se parent ainsi de lis du roi et les mettent en scène autant pour garantir leur conservation et reconnaître leur assujettissement que pour proclamer leur amour pour le prince.
Accompagner pour changer
Authors: Bareil Céline 
Published: December 2019

Pour faciliter la réussite d’un projet de transformation organisationnelle ou de changement stratégique, il est de plus en plus courant d’avoir recours à des équipes d’accompagnement du changement. En quoi consistent-elles, comment sont-elles gérées et à quoi servent-elles vraiment ? Voici quelques réponses pour mieux comprendre le contexte particulier et la dynamique de ces équipes.
Favoriser les synergies
Authors: Francœur Claude , Aubé Caroline , Sponem Samuel 
Published: December 2019

Les conseils d’administration jouent un rôle capital dans la gouvernance des organisations. Les administrateurs assurent une fonction de surveillance et font profiter les dirigeants de leur expertise ainsi que de leurs réseaux de contacts. Mais comment créer la dynamique parfaite pour que votre conseil prenne les meilleures décisions ?
On a lu pour vous – Prospérer malgré les imitateurs, de Howard Yu
Authors: Jézéquel Myriam 
Published: December 2019

Lorsque n’importe quel produit peut être copié à un prix dérisoire, comment une entreprise peut-elle conserver l’avantage sur ses imitateurs ? Howard Yu, professeur et expert en innovation à l’IMD Business School, en Suisse, définit cinq principes qui peuvent permettre aux entreprises pionnières de garder une longueur d’avance.
L’état des relations transatlantiques : quelles réponses européennes ?
Authors: Conway-Mouret Hélène 
Published: December 2019

Les relations transatlantiques traversent une crise sans précédent depuis 1945. Déjà sérieusement altérés par le « pivot » étatsunien vers l’Asie ainsi que par la frustration de Washington devant les dépenses militaires jugées insuffisantes des Européens, elles se sont encore dégradées après l’élection de Donald Trump à la présidence des États-Unis. Dans ce contexte, l’Europe se doit de réagir afin d’organiser sa propre sécurité et de devenir une grande puissance. Il s’agirait, pour atteindre cet objectif ambitieux, d’orienter les efforts européens selon trois axes : s’interroger de manière collective sur les dépenses européennes en matière de défense et les enjeux stratégiques qui en découlent, redéfinir les relations institutionnelles avec l’OTAN et miser sur l’autonomie stratégique de l’Union européenne (UE) dans le cadre d’une relation renouvelée avec les États-Unis.
L’héritage de l’ayatollah Khomeini dans l’Iran d’aujourd’hui
Authors: Coville Thierry 
Published: December 2019

L’héritage politique et social de Rouhollah Moussavi Khomeini continue d’influencer les grandes orientations de la République islamique d’Iran. Doté d’une personnalité charismatique et d’une grande habileté politique, il est devenu le personnage le plus important d’un régime lui donnant, à travers sa fonction de « Guide », un rôle d’arbitre de courants aux légitimités distinctes, voire concurrentes. Depuis sa mort, en 1989, les institutions iraniennes restent encore largement influencées par sa vision. Cet héritage ne se résume toutefois pas à ce façonnement institutionel, mais concerne aussi l’ensemble de la société iranienne, qui a pu profiter de la modernisation sociale ainsi impulsée.