bluuebunny/crossref_metadata_2025_split huggingface dataset:
Literary Texts from the Sippar Library I: Two Babylonian Classics
Authors: Fadhil Anmar Abdulillah , Jiménez Enrique 
Published: November 2019

Abstract
Publication and edition of two tablets from the library in the Ebabbar Temple of Sippar, a manuscript of the ‘Babylonian Poem of the Righteous Sufferer’ (Ludlul bēl nēmeqi) Tablet III, and a manuscript of the long prayer to Marduk ‘Furious Lord’ (also known as ‘Marduk 1’).
A Hittite Scribal Tradition Predating the Tablet Collections of Ḫattuša?
Authors: Kloekhorst Alwin , Waal Willemijn 
Published: November 2019

Abstract
This article discusses the origins of a group of four Hittite OS tablets, which share some unique and peculiar features with respect to their shape, spelling conventions and palaeography. It argues that these four tablets are the oldest documents of the Hittite corpus, and that they were not created in Ḫattuša, but have been imported from elsewhere. Originally, they belonged to an older writing tradition, predating the establishment of Ḫattuša as the Hittite capital. This implies that the royal tablet collections in Ḫattuša do not reflect the very first beginnings of Hittite cuneiform, but only the start of a royal administration there. The typical Hittite ductus was already created in the 18th century BCE – in Kuššara, Nēša or elsewhere in Anatolia.
Das dritte und vierte Relief von Gundük
Authors: Aguilar Juan , Miglus Peter A. 
Published: November 2019

Abstract
The Gundük rock relief ensemble in a cave located in the northern highlands of Iraq is probably the oldest known example of its kind in the Near East. First reported in the 19th century but never accurately documented, unfortunately two of the three known reliefs were intentionally damaged beyond repair in the decades to follow. This article presents a new art-historical analysis of the preserved third relief as well as a fourth previously unknown carving, based on recent photogrammetric capture. The images can be dated to the Early Dynastic III or Early Akkadian period with motifs, stylistic details and a composition obviously deriving from then-contemporaneous art in southern Mesopotamia.
El turismo rural una visión desde el ámbito internacional, nacional y del estado Táchira –Venezuela.
Authors: Zambrano Fernando , González Delymar , Peñaloza Rossy 
Published: November 2019

El objetivo de esta investigación documental es identificar los principales elementos conceptuales del turismo rural en la
actualidad a nivel internacional, nacional y regional para promoverlo en el Estado Táchira. Internacionalmente es un generador de ingresos y vector de intercambios entre el mundo rural y urbano mostrando los requisitos, estrategias y actividades concernientes. Latinoamérica se ha venido desarrollando para el progreso económico; Venezuela tiene una escasa tradición como país receptor de turistas; existen limitantes sociopolíticas, económicas y falta
de integración entre la comunidad, gobierno y empresa privada. El Táchira no se ha desarrollado en éste ámbito; es un Estado agrícola con diversos atractivos, que por su posición geográfica posee la frontera más viva de Latinoamé rica, esto explica su potencial para convertirse en un destino turístico una vez realizados los diagnósticos y proyectos para el desarrollo rural sostenible y sustentable entre la comunidad, los entes públicos y privados para el crecimiento del Estado.
FOLFOXIRI in patients with colon cancer and isolated non-resectable liver metastases: phase II prospective non-randomized single-center study
Authors: Fedyanin M. Yu. , Polyanskaya E. M. , Pokataev I. A. , Tryakin A. A. , Sekhina O. V. , Chekini D. A. , Elsnukaeva Kh.-Kh. M. , Polyakov A. N. , Sagaydak I. V. , Podluzhniy V. D. , Aliev V. A. , Gordeev S. S. , Kuzmichev D. V. , Mamedli Z. Z. , Tjulandin S. A. 
Published: November 2019

Objective: to assess the frequency of liver resections in patients with metastatic colon cancer and isolated non-resectable liver metastases receiving FOLFOXIRI. Materials and methods. In this single-center non-randomized prospective study, we assessed the frequency of liver resections. According to the statistical hypothesis, the frequency of R0-resections in patients with metastatic colon cancer receiving FOLFOXIRI is between 11 % and 33 % (mean 20 %); to increase it up to 50 % in patients with isolated metastatic lesions in the liver, we had to recruit 20 patients (with β = 0.9 and a = 0.05). We enrolled 20 patients with potentially resectable metastases and 22 patients with non-resectable metastases. The primary endpoint was the frequency of R0 liver resections; secondary endpoints included objective response rate, progression-free survival, overall survival, and tolerability of therapy. Patients receiving targeted therapy (according to the tumor mutation status) were also included in the study.Results. Objective response was observed in 32 out of 42 patients (76 %) (in 17 out of 20 participants (85 %) with potentially resectable metastases), whereas progressive disease was registered in 2 patients (5 %). Radical resection of organs affected by metastasis was performed in 19 out of 42 patients (45 %): 15 out of 20 (75 %) in the group with potentially resectable metastases and 4 out of 22 (18 %) in the group with non-resectable metastasis (р <0.01). At a median follow-up of 11 months (range: 1–32 months), median progression-free survival was 10 months (95 % confidence interval (CI) 8.9–11.1), while median length of life was 34 months (95 % CI 21.3–46.7). Median overall survival was 34 months in patients that had undergone metastasectomy vs 19 months in patients that had no metastasectomy (hazard ratio 0.7; 95 % CI 0.01–0.70; p = 0.02).Conclusions. FOLFOXIRI increased the frequency of metastasectomy in patients with potentially resectable liver metastases from colon cancer, which was associated with a pronounced increase in the length of life.
Adjunct Faculty Perceptions of Participation in Online Collaborative Research Teams
Authors: Hartman Rita , Kearns-Sixsmith Danielle , Akojie Patricia , Banton Christa 
Published: November 2019

Career professionals who serve as adjunct faculty at the university level are expected to engage in continual research and publishing to maintain their status as adjunct (part-time) faculty, to be considered for potential advancement, and to qualify for additional compensation. One way of meeting this objective is to participate in online collaborative research projects benefiting from a set of multiple lenses, multiple insights, and a multitude of considerations in regard to design, methodology, data interpretations, and broader reaching implications. A narrative inquiry approach was applied to gain an in-depth understanding of the experiences of adjunct faculty working in online collaborative research teams. Data was gathered through phone interviews where adjunct faculty shared their personal experiences and reflections about working as collaborative researchers in an online environment. Using an inductive process, themes were drawn from the responses of the participants to address the research question. The dominant themes found were organizational skills, interpersonal skills, and personal growth and development. The results of the study led to recommendations for supporting adjunct faculty in online collaborative research for building a sense of scholarly community and expanding opportunities for personal professional growth.
A Rare Case of Granulomatous Pneumonitis Due to Intravesical BCG for Bladder Cancer
Authors: Clérigo Vera , Castro Ana , Mourato Teresa , Gomes Conceição 
Published: November 2019

Granulomatous pneumonitis is a rare complication of bacillus Calmette-Guerin immunotherapy following intravesical administration of bacillus Calmette-Guerin. The authors present an unusual case of a 67-year-old man who developed mild and non-specific symptoms, following intravesical bacillus Calmette-Guerin instillations. Examinations revealed features of miliary tuberculosis and granuloma suggestive of mycobacterial infection. Anti-tuberculosis treatment resulted in a remarkable improvement in his symptoms and gradually upgrading of radiological appearance. The symptoms were less severe than some others described but this case provides evidence that, even in some cases, specific treatment may be necessary. We highlight the importance of recognizing miliary Mycobacterium bovis as a probable complication of bacillus Calmette-Guerin immunotherapy. The clinical disease course can be mild, despite extensive bilateral miliary nodules on primary presentation.
Diagnostic Delay of Multiple Sclerosis in a Portuguese Population
Authors: Aires Ana , Barros Ariana , Machado Célia , Fitas Diogo , Cação Gonçalo , Pedrosa Rui , Cerqueira João , Perdigão Sandra , Silva Ana Martins da , Vale José , Sá Maria José , Andrade Carlos 
Published: November 2019

Introduction: Multiple sclerosis is a chronic inflammatory disease, in which a diagnostic delay could reduce the available therapeutic options. Therefore, it is important to monitor the time to diagnosis and understand factors that may potentially reduce it. The objective of this study was to determine the time between the first symptoms and the diagnosis of multiple sclerosis and which factors may contribute to a diagnostic delay.Material and Methods: Cross-sectional multicenter study, with retrospective data analysis, conducted in five tertiary Portuguese hospitals. Patients were consecutively selected from each local multiple sclerosis patients´ database. Sociodemographic and initial clinical data were collected through a questionnaire. Date of final diagnosis and multiple sclerosis classification was obtained from clinical files.Results: A total of 285 patients were included with mean age at diagnosis of 36 years. The median time between first clinical manifestation and multiple sclerosis diagnosis was nine months (IQR 2 - 38). Diagnostic delay was associated with an older age (p < 0.001; r = 0.35), motor deficit at onset [26.5 months (IQR 4.5 - 56.5); p = 0.0005], higher number of relapses before diagnosis (p < 0.001; r = 0,626), first observation by other medical specialty [11 months (IQR 2 - 48); p < 0.001], prior alternative diagnosis [20 months (IQR 4 - 67.5); p < 0.001] and primary progressive subtype [37 months (IQR 25 - 64.5); p < 0.001]. The most significant delay occurred between the initial symptom and neurological observation.Discussion: A significant delay occurred between initial symptoms and the diagnosis of multiple sclerosis, reflecting the need toincrease awareness of this entity and its diverse symptom presentation.
Selective Dorsal Rhizotomy for the Treatment of Gait Dysfunction in Cerebral Palsy
Authors: Chen Brian Po-Jung , Wang Kemble K. , Novacheck Tom F. 
Published: November 2019

» Objective physical examination measures should be developed and improved to identify and measure spasticity and to differentiate it from other types of movement abnormalities.» Using gait analysis as part of the preoperative evaluation of selective dorsal rhizotomy (SDR) can improve the safety and efficacy of this treatment of gait dysfunction in cerebral palsy.» A multidisciplinary team is crucial when assessing and managing children with cerebral palsy because spasticity is only one disease component of cerebral palsy and differentiating between different types of hypertonia is challenging.» A modest percentage of rootlet division (25% to 40%) reliably eliminates spasticity in cerebral palsy.» Long-term studies have shown that SDR is safe and may improve certain aspects of function.
The Affect Of The Asean China Free Trade Agreement (Acfta) On The SME's Performance
Authors: Setiyono Wisnu Panggah , Andriyani Dewi , Putra Boy Isma 
Published: November 2019

This research is aimed to analyze the influence of ASEAN-China Free Trade Agreement (ACFTA) on the financial performance of SMEs in Sidoarjo. The financial performance of SMEs in this study was measured by the level of sales comparation between the period before and after ACFTA. This research applied mix method technique with squids mixed method strategy, especially sequential explanatory strategy. It is a strategy for the researchers to combine the data that was found from one method with the other method. The steps were begun with the researcher collecting the quantitative data by performing different test or Paired samples T-test then continued with collecting the qualitative data by doing library research. The results show that there are significant differences in financial performance; first, it is seen from the sales between before and after ACFTA, and second, it is proven that that the existence of ACFTA significantly affects the sales rate of SMEs.
Pengembangan Model Pembelajaran Blended Learning (Syncronous vs Asyncronous) Pendidikan Jasmani Kesehatan Dan Rekreasi
Authors: Mardikaningsih Agusti , Kurniasari Praharisti 
Published: November 2019

One of the success learning process is appropriat learning design and in accordance with the conditions of learners and the learning environment. The purpose of designing a study is to improve and enhance the quality of learning. Based on the observations made by the researcher team teaching theoretical subjects in students found especially PJKR tendency kinesthetic learning pattern is a pattern of learning absorb information through physical practice. The purpose of this research is the development of a draft development know Learning Blended Learning Model (syncronous vs. Asynchronous) at the Teachers' Training College Budi Utomo. To learn more about whether blended learning (syncronous and asyncronous) appropriate for use in student sports that have these problems, it is essential that research efforts further to the researchers took the title of Model Development Learning Blended Learning (syncronous vs. Asynchronous) On Student Education Department of Sport Teachers' Training College Budi Utomo Malang. This development research using ADDIE Model. ADDIE Model is a model of the learning system of a general nature and is one of the models in the product development, application of the ADDIE model of instructional design facilitates the learning environment tailored to the existing problems. Each stage in the model ADDIE evaluations are available, so that each stage will affect the next stage. Based on trials that have been carried out to subject matter experts, media specialists and students can be concluded that the Development Model of Learning Blended Learning In Teachers' Training College Student Department of Sport Education Budi Utomo Malang have valid criteria / feasible. It is necessary for sustainability and cooperation in implementing the model.
SATISFACTION WITH USE OF PUBLIC HEALTH AND PEER LED FACILITIES FOR HIV PREVENTION SERVICES BY KEY POPULATIONS IN NIGERIA
Authors: Ochonye Bartholomew , Folayan Morenike Oluwatoyin , Fatusi Adesegun O , Emmanuel Godwin , Adepoju Tomi , Ajidagba Babatunde , Jaiyebo Toluwanimi , Umoh Paul , Yusuf Ayo 
Published: November 2019

Abstract
Background: The aim of the study was to identify the proportion of female sex workers, men who have sex with men, and people who inject drugs who had accessed HIV prevention services at public health facilities and peer-led facilities, their level of satisfaction with these services, and perceived barriers and challenges to accessing HIV services from public and peer-led HIV prevention service providers. Methods: A mixed-method approach was used to collect data from key populations in the four states in Nigeria. Quantitative data collected included level of satisfaction with and barriers to use of public and peer-led facilities. In-depth interviews and focus-group discussions were conducted to explore reasons for satisfaction with and barriers to use of services. Descriptive and bivariate analyses were was conducted for quantitative data. Qualitative data were summaried, emerging themes identified, described and quotes reflecting the themes corresponding to interview questions highlighted Results : Nine hundred sixty-seven persons responded to questions on the use of public health or/and peer-led facilities. Two hundred thirty-eight (49.4%) respondents had received HIV and sexual and reproductive health services through public health facilities, and 236 (48.7%) had received the services through peer-led facilities. Significantly more respondents were satisfied with the quality of services provided by peer-led organisations than with public health facilities with respect to service providers listening to respondent’s problems and concerns (p=0.007),privacy and confidentiality (p=0.04) and respect of rights of service recipients (p=0.04). Significantly more respondents using peer-led organisations than those using public health facilities identified no barriers to service access (p=0.003). More respondents using public health facilities than peer-led facilities identified cost of services (p=0.01), confidentiality (p=0.002), waiting time (p<0.01) and staff attitude (p=0.001) as barriers to service access. Thee was no difference in the proportion of respondents willing to discontinue their use of either facilities (p=0.08). Qualitative data revealed that concerns with access of services at the public health facility were due mainly to stigma and the effects of the same-sex prohibition law. Conclusion: Key populations were more satisfied receiving HIV prevention services at peer-led organisations than at public health facilities.
Annual Alveolar Bone Loss in Older Adults Taking Oral Bisphosphonate: A Retrospective Cohort Study
Authors: Helmi Mohammad , AlOsaimy Sara , Goodson J. Max , Hasturk Hatice , Natto Zuhair S. 
Published: November 2019

Abstract
Background: Although several studies assessed the effect of bisphosphonate (BIS) administration on alveolar bone loss, this relationship has not been fully investigated using longitudinal analysis. The aim of the this article is to predict annual alveolar bone loss in a subpopulation of older adults patients who were taking oral bisphosphonate (BIS), adjusting for systemic diseases and associated risk factors. Methods: This is a retrospective cohort study. We identified all subjects who reported receiving oral bisphosphonate from 2008–2015 (N=30) using the electronic health records of each patient to identify suitable radiographs for analysis. For the longitudinal data analysis, 26 subjects were eligible for inclusion, having at least two exposures of the complete mouth set or repeated bitewing radiographs at least a one-year interval; they were then matched on age and sex to another 26 patients who did not report receiving bisphosphonate at any point of their life. Results: Mild periodontitis was higher in the BIS group compared to the no BIS group; however, moderate periodontitis was higher in the no BIS group. For those who did not take oral BIS, change over time was not significant after the two-year period. However, the BIS group had experienced 0.088 mm more bone loss compared to the no BIS group (95% CI: 0.001, 0.176. P-value = 0.048), adjusting for all other variables included in the model. Conclusion: The group that reported receiving oral bisphosphonates showed no improvement in maintaining alveolar bone level, and the use of oral BIS may not be effective in reducing annual alveolar bone loss; however, emerging evidence is promising for the use of bisphosphonate as an adjunctive local delivery medication for the management of periodontal diseases.
Development of a high number, high coverage dog rabies vaccination programme in Sri Lanka.
Authors: Soriano Carlos Sánchez , Gibson Andrew D. , Gamble Luke , Bailey Jordana L. Burdon , Green Samantha , Green Mark , Bronsvoort Barend M. deC. , Handel Ian G. , Mellanby Richard J. , Mazeri Stella 
Published: November 2019

Abstract
Background: Rabies is estimated to cause 59,000 deaths and economic losses of 8.6 billion USD every year. Despite several years of rabies surveillance and awareness programmes, increased availability of post-exposure prophylaxis vaccinations and dog population control, the disease still remains prevalent in Sri Lanka. This study reports the development and roll-out of a high number, high coverage canine rabies vaccination campaign in Sri Lanka, providing estimates for the vaccination coverage achieved, analysing the local dog demographics, and identifying barriers of attendance to static vaccination clinics. Methods: A mass dog vaccination campaign was undertaken in Negombo, Sri Lanka. The campaign was composed of static point and door-to-door vaccination stages, with a final survey of vaccination coverage. A large volume of data on the distribution, health, and signalment of vaccinated dogs was collected through a mobile phone application. A logistic regression model was developed to investigate which socio-spatial and dog-related factors influenced attendance of owners to static vaccination points. Results: The campaign vaccinated over 7,800 dogs achieving a vaccination coverage of 75.8%. A dog:human ratio of 1:17 was estimated. Most dogs were owned, and the dog population was mostly male, adult, and non-sterilized. Unawareness, unavailability and handling problems were the most common reasons given by owners to explain failure to attend a static vaccination point. The regression analysis showed that increasing distance to a static point, in addition to young age and poor health of the dog, were associated with a decrease in the likelihood of attendance to a static vaccination points. Conclusion: This study demonstrates the feasibility of high number, high coverage vaccination campaigns in Sri Lanka. The information on dog ecology and barriers of attendance to a static point vaccination clinic will facilitate development of future vaccination campaigns.