bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Staff Dialogue on Caring for a Cancer Patient Who Commits Suicide: Psychosocial Issues Faced by Patients, Their Families, and Caregivers
Authors: O'Shea Elizabeth M. , Lintz Kathleen C. , Penson Richard T. , Seiden Michael V. , Chabner Bruce A. , Lynch Thomas J. 
Published: February 2020

Abstract
Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH. The Schwartz Center is a non-profit organization dedicated to supporting and advancing compassionate health care delivery which provides hope to the patient, support to caregivers, and encourages the healing process. The Center sponsors the Schwartz Center Rounds, a monthly multidisciplinary forum during which caregivers discuss a specific cancer patient, reflect on the important psychosocial issues faced by patients, their families, and their caregivers, and gain insight and support from their fellow staff members.
The case presented was of a 31-year-old man who developed adenocarcinoma of the lung with painful bone metastases. His tumor was unresponsive to treatment and he subsequently committed suicide by shooting himself. The verbatim and subsequent discussion raised a number of issues. Staff were devastated by the violent way that he ended his life. They questioned whether more could have been done to prevent this outcome, yet acknowledged that it mirrored the way he had lived, and were able to discuss the values by which we live and die. Some, but not all, felt that the patient had the right to choose how and when to end his life.
Surgical Management of Superior Sulcus Tumors
Authors: Dartevelle Philippe , Macchiarini Paolo 
Published: February 2020

Abstract
Superior sulcus tumor refers to any primary lung cancer presenting with constant pain in the nerve distribution of the eighth cervical, first and second thoracic nerve roots and Horner's syndrome caused by invasion of the stellate ganglion. The pain is steady, severe, and unrelenting, involving the shoulder, the vertebral margin of the scapula and ulnar distribution of the arm to the elbow and finally to the ulnar surface of the forearm, and the small and ring fingers of the hand (Pancoast-Tobias syndrome). Weakness and atrophy of the hand muscles can also occur as the lesions spreads to involve the first and second ribs and vertebrae. Radiologically, there is a small shadow at the extreme apex of the lung with rib and possible vertebral body invasion. Pulmonary symptoms are less frequent because of the peripheral location of the lesions. Since Shaw and Paulson approached superior sulcus tumors in 1961 by using preoperative radiationtherapy (30 to 45 Gy in four weeks including the primary tumor, mediastinum and supraclavicular region) followed by surgical resection, this radiosurgical approach shortly became the standard treatment yielding better disease control and survival than that offered by other treatment modalities. It has now become evident that en bloc resection of the chest wall, involved adjacent structures as well as lobectomy must be considered the standard surgical approach for superior sulcus tumors combined with external radiation (preoperative, postoperative, or both). The goal of the operation is the complete and en bloc resection of the upper lobe in continuity with the invaded ribs, transverse processes, subclavian vessels, T1 nerve root, upper dorsal sympathetic chain and prevertebral muscles.
A Staff Dialogue on a Socially Distanced Patient: Psychosocial Issues Faced by Patients, Their Families, and Caregivers
Authors: Goodman Annekathryn , Penson Richard T. , Blatman Robert , McIntyre James , Gioiella Marie Elena , Chabner Bruce A. , Lynch Thomas J. 
Published: February 2020

Abstract
Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH. The Schwartz Center is a non-profit organization dedicated to supporting and advancing compassionate health care delivery, which provides hope to the patient, support to caregivers, and encourages the healing process. The center sponsors the Schwartz Center Rounds, a monthly multidisciplinary forum where caregivers reflect on important psychosocial issues faced by patients, their families, and their caregivers, and gain insight and support from fellow staff members.
The following case of an HIV-positive woman who was diagnosed with cervical cancer during a twin pregnancy was discussed at the May, 1999 Schwartz Center Rounds. The patient was in drug rehabilitation having been dependant on crack cocaine, with a past history of syphilis and gonorrhea. She was single and her other children were in foster care. Initially she was suspicious and non-compliant. A plan was negotiated to biopsy the cervical lesion after cesarean section and with confirmation of malignancy she underwent radical surgery and subsequently radiotherapy. Despite the almost insurmountable social and educational distance between her and her caregivers, they managed to bond and facilitate care. Although there were compromises with which staff were uncomfortable, the relationship was maintained and continues.
Cancer, Coagulation, and Anticoagulation
Authors: Letai Anthony , Kuter David J. 
Published: February 2020

Abstract
Thromboembolic disease affects about 15% of cancer patients and presents a challenge to the oncologist for both prophylaxis and treatment. Although long known to be associated with malignancy, the underlying biochemical mechanisms are poorly understood. Both low-dose warfarin and low molecular weight heparin are effective strategies for prophylaxis of venous thromboembolism, including those involving venous access devices. Current treatment options for venous thromboembolism include heparin (unfractionated and low molecular weight), warfarin, and internal vena cava filters. The appropriate use of these therapeutic options in cancer patients is reviewed herein. There is suggestive evidence that heparin may be superior to warfarin in the long-term treatment of venous thromboembolism. Whether anticoagulants might also improve cancer survival rates independent of their effect on thromboembolism deserves further investigation.
Palliative Chemotherapy: No Longer a Contradiction in Terms
Authors: Archer V.R. , Billingham L.J. , Cullen M.H. 
Published: February 2020

Abstract
Palliative chemotherapy is defined as treatment in circumstances where the impact of intervention is insufficient to result in major survival advantage, but does affect improvement in terms of tumor-related symptoms, and where the palliation/toxicity trade-off from treatment clearly favors symptom relief.
The role of chemotherapy in circumstances where little or no survival benefit is anticipated remains controversial. This is despite the mounting body of evidence in favor of its use for symptom palliation. The notion persists that outcomes other than significant survival benefit are not valid, because of firmly held perceptions of toxicity.
Studies of chemotherapeutic palliation using valid measures of quality of life, show that patients may be willing to accept some side effects of treatment, as long as they gain relief from tumor-related symptoms.
The aims of this review are to present the case for palliative chemotherapy, to highlight the areas of progress which have made this feasible, and to provide guidance with regard to its appropriate use.
Reality Testing in Cancer Treatment: The Phase I Trial of Endostatin
Authors: Ryan David P. , Penson Richard T. , Ahmed Sabrina , Chabner Bruce A. , Lynch Thomas J. 
Published: February 2020

Abstract
Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH. The Schwartz Center is a non-profit organization dedicated to supporting and advancing compassionate health care delivery which provides hope to the patient, support to caregivers, and encourages the healing process. The center sponsors the Schwartz Center Rounds, a monthly multidisciplinary forum where caregivers reflect on important psychosocial issues faced by patients, their families, and their caregivers, and gain insight and support from fellow staff members.
The September 1999 Schwartz Center Rounds addressed the growing attention around the phase I trial of Endostatin™. Endostatin represents a new treatment paradigm. It is an anti-angiogenic protein, an endogenous fragment of collagen XVIII. In an attempt to ensure a fair allocation of a very limited number of treatment slots in this classical phase I trial, a lottery was established. More than 1,400 patients enrolled within two days of the lottery, all vying for three places in the first cohort. Two contrasting cases are presented, each a potentially eligible patient. The discussion focuses on the dilemma presented by patients desperate for an unproven treatment and the responsibility of staff to explain and support without compounding the hype or suffocating the hope.
STRATEGI KOMUNIKASI TIM SUKSES PADA KAMPANYE POLITIK UNTUK MEMENANGKAN CALON LEGISLATIF MAKASSAR
Authors: Nur Emilsyah 
Published: February 2020

Komunikasi dalam kondisi saat ini sangat diperlukan untuk menyampaikan visi dan misi setiap calon legislatif peserta Pemilu. Karena komunikasi yang baik akan memberikan dampak terhadap elektabilitas setiap Caleg dalam rangkan memperoleh suara dalam calon legislatif serentak yang akan digulir pada tanggal 17 April 2019. Untuk mengetahui sejauhmana peran komunikasi yang dilakukan oleh Caleg dan Tim sukses dalam melakukan komunikasi dengan masyarakat, maka dalam peneltian ini, menggunakan penelitian kualitatif untuk mendeskripsikan hasil penelitian. Hasil penelitian Pengalaman strategi komunikasi Caleg dan Tim Sukses pada kampanye politik dalam memenangkan calon legislatif Makassar melalui Strategi komunikasi yang dapat diterima oleh semua kalangan adalah langkah komprehensif dengan pendekatan nilai-nilai lokal (local wisdom). Strategi Komunikasi Caleg dan Tim Sukses dalam memenangkan calon legislatif Makassar terdiri dari tiga langkah penting yakni perencanaan, pelaksanaan dan evaluasi.
the effect of public perception on destination image in Jakarta City ( Pengaruh Persepsi Publik terhadap Destination Image Kota Jakarta)
Authors: Anindhita Nindya 
Published: February 2020

Abstrak – Perkembangan Pariwisata Indonesia saat ini sudah mulai mencapai titik target pemerintah dalam mengembangkan berbagai destinasi untuk wisatawan local maupun mancanegara. Dalam membangun Pariwisata Indonesia saat ini salah satu yang dibutuhkan adalah Citra Destinasi yang di buat berdasarkan Persepsi Publik. Penelitian ini memiliki tujuan untuk mengetahui seberapa signifikan Persepsi Publik dalam mengangkat Citra Destinasi Kota Jakarta. Kota Jakarta saat ini sudah menjadi salah satu pilihan pengembangan Pariwisata oleh Pemerintah dengan alasan berupa Ibu Kota Negara Indonesia yang harus lebih dikenal oleh banyak publik. Objek dari penelitian ini pun diambil dari wisatawan yang mengikuti Jakarta Good Guide, dimana di dalam Komunitas ini masih dalam pengembangan dan baru pertama kali di Kota Jakarta dengan. Dalam penelitian ini menggunakan metode penelitian Kuantitatif dan paradigma Positivisme. Jumlah sampel yang digunakan sebanyak 100 sampel. Hasil yang didapatkan melalui penelitian ini sudah dihitung menggunakan Uji Hipotesis Analisis Regresi Linear dimana didapatkan Ha Diterima dan Ho Di tolak. Dalam hal ini T hitung masuk dalam area yang signifikan sehingga menghasilkan bahwa “Terdapat Pengaruh yang Signifikan Antara Persepsi Publik dengan Destination Image”. Besar pengaruh Persepsi Publik terhadap Citra Destinasi sebesar 56,3% sedangkan sebesar 43,7% merupakan variabel lain yang tidak diukur atau diteliti oleh peneliti.

Kata Kunci: Persepsi Publik, Citra Destinasi, Jakarta Walking Tour.
Abstract –The development of Indonesian tourism has now begun to reach the government's target point in developing various destinations for local and foreign tourists. In developing Indonesian Tourism at this time one of the things needed is a Destination Image that is made based on Public Perception. This study aims to find out how significant the Public Perception in lifting the Jakarta Destination Image. The city of Jakarta has now become one of the options for developing Tourism by the Government on the grounds of the State Capital of Indonesia which must be better known by many publics. The object of this research was taken from tourists who joined the Jakarta Good Guide, where in this Community was still under development and was the first time in the City of Jakarta with. In this study using Quantitative research methods and Positivism paradigms. The number of samples used was 100 samples. The results obtained through this study have been calculated using the Linear Regression Analysis Hypothesis Test where Ha is accepted and Ho is rejected. In this case, the T count is included in a significant area, resulting in "There is a Significant Effect Between Public Perception and Destination Image". The influence of Public Perception on Destination Image is 56.3% while 43.7% is another variable that is not measured or examined by researchers.
Keywords: Public Perception, Citra Destinations, Jakarta Walking Tour
NILAI KONSUMEN WISATA DALAM RUANG PROMOSI DIGITAL
Authors: Sumara Andry Rivan , Saepudin Saepudin , Dwi Aksa Yudha Asmara 
Published: February 2020

Abstract
Consumer value is the basic fundamental of marketing communications. Promotional materials on media have to consider the value of consumer expectations, wishes, experiences, and perceptions. This means the product or service has to interact with consumers (need, expectation, experience, and perception). The emergence of new media becomes an alternative for marketers to promote goods or services to their target market. But the emergence of this new media in addition to being an opportunity also becomes a challenge in presenting the best consumer value. The purpose of this research is to find out the ways of creating the value of local tourism on social media. The researcher chooses the official account of Twitter of Government Tourism and Culture Office of West Java as an object of research. The focus of this research is promotional content on the official account of Twitter and consumer value creation. This research is content analysis. The purpose of this research is the identification of the value and effort of tourism, consumer value creation, especially on social media. The output of this research is patterns of consumer tourism, value-creation. Consumer value creation is not applied in visual and textual comprehensively. In addition, based on the content of this account, the local tourist is as the main target market. The values in this account are created for local tourists and not for international tourist.

Keywords: consumer value, tourism, tourism marketing.
Pemanfaatan Umbi Porang (Amorphophallus muelleri Bl) Sebagai Bahan Baku Keripik
Authors: Wahyuni Khurin In , Rohmah Martina Kurnia , Ambari Yani , Romadhon Bagus Kurniawan 
Published: February 2020

Pemanfaatan porang lebih lanjut membutuhkan teknologi untuk menghilangkan senyawa kalsium oksalat sehingga pemanfaatan porang kedepannya dapat lebih maksimal. Masyarakat Desa Rejosari mengharapkan umbi porang dapat dikelola sendiri menjadi suatu produk makanan karena selama ini masyarakat rejosari hanya menjual porang dalam bentuk umbi mentah. Dengan adanya pelatihan pembuatan kripik dari umbi porang diharapkan dapat membantu perekonomian masyarakat Desa Rejosari. Kegiatan dilakukan melalui dua tahap, yaitu pengolahan umbi porang agar tidak menghasilkan rasa gatal sampai menajdi bahan baku keripik (pengumpulan bahan, perendaman bahan, proses pengeringan dan pengukusan) dan tahap kedua, pengolahan umbi porang menjadi keripik. Dari kegiatan ini diperoleh hasil 85 persen masyarakat Desa Rejosari telah berhasil membuat keripik dari Umbi Porang dan tidak merasakan efek gatal. Kata kunci—Keripik, Porang, Pangan, Umbi.Abstract The use of porang further requires technology to remove iron oxalate so that future utilization of porang can be maximized. The people of Rejosari Village hope that porang tubers can be managed themselves into food products because so far the Rejosari community only sells porang in the form of raw tubers. With training on making chips from porang tubers, they are expected to be able to help the people of Rejosari Village. Activities carried out through two cups, namely processing porang tubers so as not to cause fear until they become raw material for chips (collecting materials, soaking, digging and steaming) and the second process, processing porang tubers into chips. From this activity, 85 percent of Rejosari Village residents have succeeded in making chips from the Porang Bulbs and did not experience any adverse effects.Keywords—Bulbs, Chips, Food, Porang
Pengembangan Desa Wisata dengan Penanaman Tanaman Obat Keluarga (Toga) di Desa Jembul Kecamatan Jatirejo Kabupaten Mojokerto Propinsi Jawa Timur
Authors: Ambari Yani , Wahyuni Khurin In , Lehana Zanu Rama , Syamsudin Muhammad , Fitri Syafiatul 
Published: February 2020

Tujuan kegiatan pengabdian ini adalah untuk memaksimalkan potensi desa wisata yang berada di Desa Jembul. Desa terkecil di Kecamatan Jatirejo dengan luas kurang lebih 50 hektar yang terletak dalam satu gugusan pegunungan Arjuno-Welirang-Semar sebagai desa wisata. Desa Jembul memiliki wisata air terjun coban kabejan, kolam renang di atas awan, dan taman pelangi. Untuk mengoptimalkan tanah Jembul yang subur, maka dilakukan pengembangan desa wisata dengan penanaman tanaman obat keluarga (TOGA) sebagai salah satu taman Edukasi. Taman Edukasi TOGA ini bertujuan untuk memberikan informasi terkait manfaat penggunaan TOGA dan pengolahannya secara sederhana. Hasil penanaman TOGA dapat dimanfaatkan sebagai alternatif pengobatan secara sederhana. Kegiatan dilakukan melalui empat tahap, yaitu mempersiapkan lahan yang akan digunakan untuk penanaman TOGA (membersihkan sampah dan rumputan liar, pemupukan serta penyiraman tanah agar menjadi lebih subur), pembelian TOGA, penanaman TOGA, dan pembuatan pagar serta plakat nama tanaman. 70% lahan telah ditanami oleh TOGA, perlu ditambahkan lagi jenis TOGA sehingga menjadi lebih bervariasi. Kata kunci— Tanaman, Obat, Desa Wisata, Taman Edukasi. AbstractThe purpose of this community service activity is to maximize the potential of tourism villages located in Jembul Village. The smallest village in Jatirejo Subdistrict with an area of approximately 50 hectares located in one group of Arjuno-Welirang-Semar mountains as a tourist village. Jembul village has a coban kabejan waterfall tour, swimming pool above the clouds, and a rainbow garden. To optimize the fertile land of Jembul, the development of tourism villages is carried out by planting family medicinal plants (TOGA) as one of the Education parks. The TOGA Education Park aims to provide information related to the benefits of using TOGA and its simple processing. The results of TOGA planting can be used as a simple alternative treatment. The activity was carried out through four stages, namely preparing land to be used for planting TOGA (clearing rubbish and wild grasses, fertilizing and watering the soil to make it more fertile), purchasing TOGA, planting TOGA, and making fences and plant name plaques. 70 percent of the land has been planted by TOGA, it is necessary to add more types of TOGA so that it becomes more varied.Keywords— Plants, Medicine, Tourism Village, Educational Park
Pelatihan Pengembangan Mobile Game Edukasi untuk Guru SMK Bidang Teknologi Komputer dan Informatika Kota Malang
Authors: Hidayat Wahyu Nur , Patmanthara Syaad , Setiani Asih , Sutikno Tri Atmadji , Sutadji Eddy 
Published: February 2020

Tujuan artikel ini adalah untuk menguraikan kegiatan peningkatan keterampilan guru SMK bidang TKI untuk mengembangkan mobile game edukasi. Pelaksanaan kegiatan pelatihan dilakukan di SMKN 2 Singosari dengan jumlah peserta sebanyak 30 guru SMK se Kota Malang. Pelatihan dilakukan dengan metode IN-ON-IN yang dimulai dengan kegiatan seminar terkait disruptive learning innovation dan workshop pengembangan game edukasi. Kegiatan ON merupakan penugasan pengembangan game dan di akhir kegiatan IN adalah evaluasi tugas dan kegiatan pelatihan. Berdasarkan hasil penilaian angket didapatkan bahwa 85 persen guru telah memahami karakteristik macam-macam game dan sebanyak 80 persen guru telah dapat mengembangkan mobile game edukasi. Kata kunci— pelatihan, media pembelajaran, game edukasi, guru SMK. AbstractThe purpose of this article is to outline the activities of vocational teacher skills improvement in the field of TKI to develop educational mobile games. The implementation of training activities was carried out at SMKN 2 Singosari with a total of 30 SMK teachers in Malang. The training was conducted using the IN-ON-IN method which began with seminars related to disruptive learning innovation and educational game development workshops. The ON activity is an assignment for game development and at the end of the IN activity is the evaluation of the tasks and training activities. Based on the results of the questionnaire assessment, it was found that 85 percent of teachers had understood the characteristics of various games and as many as 80 percent of teachers had been able to develop educational mobile games.Keywords— training, learning media, game education, vocational teacher