bluuebunny/crossref_metadata_2025_split huggingface dataset:
International normalised ratio as an independent predictor of mortality in limb necrotising fasciitis with sepsis
Authors: Ling XW , Lin K , Jiang XQ , Wu Q , Liu ZJ , Li S , Zhao S , Lin C 
Published: August 2020

Introduction Necrotising fasciitis with sepsis is a life threatening disease. The aim of this study was to analyse the association between international normalised ratio (INR) and mortality in sepsis patients with necrotising fasciitis. Methods A retrospective review was undertaken of 106 patients suffering from necrotising fasciitis with sepsis between November 2007 and December 2016. Data on comorbidities, clinical manifestations, laboratory findings, causative microbiological organisms, APACHE II (Acute Physiology and Chronic Health Evaluation II) score and outcomes were extracted. Logistic regression was carried out to examine the factors affecting mortality. Results Forty patients (37.7%) died. There was no significant difference in the white blood count (WBC) for the survivor and non-survivor groups. Non-survivors had a lower mean oxygenation index (OI) (288.7mmHg vs 329.4mmHg, p=0.032) and platelet count (PC) (139.5 vs 214.8 x 109/l, p=0.028), and a higher mean INR (1.9 vs 1.3, p=0.000), activated partial thromboplastin time (APTT) (54.6 vs 44.2 seconds, p=0.005) and serum creatinine (2.3mg/dl vs 1.4mg/dl, p=0.007). Mortality in patients with INR >1.5 was significantly higher than in those with INR <1.5 when all risk factors (WBC, PC, OI, INR, APTT, creatinine) were considered (odds ratio: 4.414, 95% confidence interval: 1.263–15.428, p=0.020). Even after adjusting for age, sex, bacteraemia, diabetes and hepatic disorders, the data still exhibited elevated mortality for patients with INR >1.5 (odds ratio: 5.600, 95% confidence interval: 1.415–22.166, p=0.014). Conclusions INR is a significant independent predictor of mortality in sepsis patients diagnosed with necrotising fasciitis.
Shaping of nanosecond pulses in ytterbium fiber lasers by synchronous sine-wave pump modulation
Authors: Smirnov S. V. , Nyushkov B. N. , Ivanenko A. V. , Kolker D. B. , Kobtsev S. M. 
Published: August 2020

In this work, we discovered the possibility of greatly relaxing requirements to the speed and dynamic range of pump power variation and, thus, of reducing synchronous pumping of ytterbium (Yb)-based fiber lasers to a very simple pump modulation yielding a mode-locked pulsed output. We show that even slow (microsecond-scale) low-index (

≤

0.5

) sine-wave synchronous modulation of the pump power can result in shaping of a regular train of nanosecond laser pulses. It is revealed that the energy-conservative process of laser pulse shortening against the pump modulation period can take place in the quasi–two-level laser active medium owing to mistiming-induced gain discrimination of the temporal laser pulse profile. Thus, nanosecond pulses with energy up to 50 nJ were obtained in our experimental all-fiber Yb-based laser configuration. Our theoretical modeling reveals routes to much stronger pulse shortening through tunable pump modulation parameters. This discovery allows the establishment of more reliable and easy-to-implement high-efficiency alternatives to other types of high-energy ultralong mode-locked fiber lasers.
Sister Mary Joseph Nodule as an Initial Presentation of Pancreatic Adenocarcinoma
Authors: Vekariya Pradip , Daneti Dharanesh Babu , Senthamizh Selvan K , Verma Surendra Kumar , Hamide Abdoul , Mohan Pazhanivel 
Published: August 2020

ABSTRACT
Sister Mary Joseph (SMJ) nodule is a metastatic umbilical nodule seen in primary tumors of the gastrointestinal or genitourinary tract. The stomach and colon are the common gastrointestinal cancers associated with SMJ nodule. The pancreas is a rare primary site for umbilical metastasis. Moreover, malignant umbilical nodules as the first presentation in pancreatic cancer is rare. Pancreatic adenocarcinoma that metastasizes to umbilicus usually arise from the body or tail of the pancreas. The presence of SMJ nodule usually indicates poor prognosis. Umbilical nodule is a simple physical finding to the presence of an advanced intra-abdominal malignancy. Although rare, pancreatic cancer should be considered as one of the primary sites in such a situation.
Turismo alternativo en San Mateo Río Hondo, Oaxaca: primeros pasos en el campo y evolución de las preguntas de investigación
Authors: Lariagon Renaud 
Published: August 2020

El balance reflexivo del trabajo de campo que presentamos en este artículo se remonta a abril de 2017, cuando realicé un retiro en San Mateo Río Hondo, Oaxaca, con el objetivo de escribir algunas partes de mi tesis de doctorado. Un amigo me había aconsejado este lugar por su tranquilidad, su aislamiento en la montaña, como un lugar perfecto para estudiar, sin muchos turistas. Efectivamente, es uno de los pueblos en el corazón de la Sierra Madre del Sur, poco conocido y distanciado de la ruta hacia las playas.En 2018, al momento de elegir un caso de estudio para el proyecto de posdoctorado Turismo alternativo en México, quise utilizar mis recuerdos y observaciones básicas para formular unas hipótesis de partida alrededor de los impactos locales del turismo. Se expone esto en una primera parte del trabajo, antes de develar cómo la realidad del campo y mi situación laboral condicionaron la metodología. La segunda parte está dedicada a contar algunas de nuestras observaciones respecto a la estructura espacial y la actividad económica turística. Esto me llevó, como se describe en una tercera parte y con base en los perfiles y prácticas de los turistas, a reformular una problemática más precisa acerca de la relación entre turismo y urbanización.
Manejo do cuidado e educação em saúde na atenção básica na pandemia do coronavírus / Care management and health education in the primary care in the coronavirus pandemic
Authors: Dias Ernandes Gonçalves , Ribeiro Débora Rejane Santos Veloso 
Published: August 2020

Objetivo: refletir sobre o manejo do cuidado e a educação em saúde na Atenção Básica no enfrentamento da pandemia do Coronavírus. Método: relato de experiência descritivo da coordenação da atenção básica e uma enfermeira assistencial, das medidas adotadas para enfrentamento da pandemia entre março a junho de 2020 em um município do Norte de Minas Gerais, Brasil. Resultados: o fluxo de atendimento nas Unidades de Saúde foi reorganizado. Adotou-se o trabalho remoto e o teleatendimento para os usuários. A visita domiciliar foi priorizada aos integrantes do grupo de risco do coronavírus. A educação em saúde foi intensificada por meio de rádios, carros de som, panfletos, cartazes, redes sociais, contato telefônico, entre outros. Conclusões: a falta de adoção de medidas que dialoguem com as recomendações dos órgãos de saúde faz com que a população desacredite no que é preconizado pelos profissionais e relute em aderir às medidas de prevenção.
Effects of Moringa oleifera Leaves Powder in Fish Feed Toward Growth Rate and Health of Colossoma macropomum
Authors: Safrida Ssfrida , Noviasyah Nonong , Khairil Khairil 
Published: August 2020

Tambaqui (Colossoma macropomum) is one of freshwater fish that preferred by the community and also in high demand by fish farmers. It has a high selling value and easy to maintain but the growth is slow. One alternative that can be used to improve the fish growth is making rations with the addition of Moringa oleifera leaves. The aim of this study was to determine the effect of Moringa leaves powder on the growth rate and health of C. macropomum. This study used an experimental method with Completely Randomized Design (CRD) with 6 treatments and 4 replications. The data were analyzed using ANOVA Test in α =95%. The results showed that P3 with the addition of 30% Moringa leaves powder could increase the growth of Colossoma macropomum. An increase in fish body weight, width, and length was 40.1%, 21.6%, and 6.4% respectively. Results of ocular, reflex, and defensive test showed that the fish were in healthy condition compared to their condition before acclimatization. The conclusions of this study is that the addition of Moringa leaves powder in an influential ration can increase the growth and maintain the health of C. macropomum. M. oleifera daily supplement can be used as a substitute for soy flour to promote growth and health of Colossoma macropomum in the seed phase. The addition of M. oleifera can be used as feed supplements to improve the growth and health of Colossoma macropomum.
Candida Species Distribution of Clinical Specimens in Banda Aceh, Indonesia
Authors: Suhartono Suhartono , Mahdani Wilda , Masthura Aderiana , Rusmana Iman 
Published: August 2020

Candidiasis has become increasingly widespread in the community alongside with the developing resistance of Candida sp. to some antifungals. A prevalence study in the present research is required to surveil the distribution of Candida-related infections to administrate the appropriate antifungal treatments. The objective of this research was to determine the species distribution of candidiasis with their antifungal susceptibility isolated from clinical specimens at the Zainoel Abidin Hospital (ZAH) Banda Aceh, Indonesia. The clinical specimens were from inpatients and outpatients in the hospital during January to June 2019. The identification of Candida species and antifungal sensitivity assay were conducted by using VITEK® 2 Compact. Of a total of 68 isolates, there were six species of Candida with the highest species prevalence was Candida tropicalis (52.94%). Additionally, the highest prevalence of candidiasis came from urine specimen (54.41%) and mostly from inpatients in the internal medicine unit (54.41%). Candidiasis occurred predominantly in men (58.82%) and during adulthood (55.88%). The antibiogram of Candida sp. shows a high percentage of sensitivity towards some antifungals including fluconazole (100%), voriconazole (100%), caspofungin (100%), micafungin (100%), amphotericin B (99.5%), and flucytosine (100%). From this result, it can be concluded that candidiasis cases in the ZAH Banda Aceh, Indonesia has prevalently occurred with the few antifungal therapies for candidiasis of were still effective empirically and definitively. This is an initial study of Candida prevalence within different clinical samples in Banda Aceh and the study is expected to be a basis for prevention and control of Candida-related infections in the area.
Nilai Moral dalam Serat Panitibaya
Authors: Wijayanti Anis , N. Yusro Edy , . Hardyanto 
Published: August 2020

ABSTRACT

Panitibaya fiber is one of the piwulang Javanese texts that needs to be preserved because the teachings contained in it are still very beneficial for the community. For that Panitibaya Fiber will be examined on (1) how the sound layer in Panitibaya Fiber, (2) how the meaning layer in Panitibaya Fiber, (3) how the object layer in Panitbaya Fiber, (4) Moral Value in Panitibaya Fiber. This study uses a literary sociology approach according to Ian Watt. The research method used is descriptive qualitative. The data used in this study is the text of the Fiber Panitibaya written by Bathara Katong. Data collection techniques in this study were heuristic and hermeneutic reading methods. The analysis technique uses an analysis of the building blocks of poetry Roman Ingarden which includes sound layers, meaning layers, object layers. From the data, it was analyzed using Ian Watt's sociology theory of literature to find out the teachings contained in Panitibaya Fiber. The results of this study indicate that the existence of sound layers, layers of meaning and layers of objects, as well as moral values ​​contained in the Panitibaya Fiber for pursuing are summarized as eleven teachings as follows, (1) obligations to the Creator, (2) disgraceful qualities that must be shunned, (3) commendable traits, (4) actions that are not justified for men, (5) attitudes that must be considered in speech, (6) ancestral messages, (7) people who are not approachable, (8) actions related to children, (9) actions related to firearms, (10) there are visits and neighbors, and (11) attitude in handling a job. The teachings of the Panitibaya Fiber need to be disseminated in the Javanese community, either through print media or online media.
Keywords: Panitibaya Fiber, Prohibition of pursuing life, Sociology of literature.
Serat Petung dalam Kajian Filologis
Authors: Aji Dicky Qulyubi , N. Yusro Edy , . Widodo 
Published: August 2020

Naskah Serat Petung merupakan salah satu naskah Jawa yang unik. Pada bagian awal dan akhir teks berisi tembang, serta bagian tengah teks berisi prosa. Naskah ini termasuk dalam jenis naskah nujum. Naskah Serat Petung merupakan kompilasi dari tiga teks, yaitu Serat Suluk Pei, Serat Petung dan Serat Candraning Wanita. Tujuan penelitian adalah menyajikan teks Serat Petung menggunakan kajian filologis. Data dalam penelitian ini adalah naskah Serat Petung dengan nomor 1466. Metode yang digunakan adalah metode edisi naskah tunggal. Terjemahan teks dalam naskah Serat Petung menggunakan teknik terjemahan bebas. Hasil penelitian adalah sajian isi teks Serat Petung mengenai penjelasan tentang hakikat hidup melalui perlambangan bangunan keraton Adiningrat Surakarta, serta memaparkan perihal petung hari dan pasaran yang digunakan dalam seluk-beluk pernikahan, membuat sumur, menanam padi, asal-muasal wuku, membuat pagar, menerapkan pintu, sifat dan karakteristik wanita serta baik dan buruk hari kelahiran.
Kata kunci: Filologi, naskah Jawa, Serat Petung, suntingan teks.
Tradisi Nyadran di Desa Ngasem Kecamatan Batealit Kabupaten Jepara
Authors: Afriani Iin , K.A. Sri Prastiti 
Published: August 2020

ABSTRAK

Penelitian ini bertujuan untuk mendeskripsikan bentuk, fungsi dan makna tradisi nyadran yang berada di Desa Ngasem Kecamatan Batealit Kabupaten Jepara. Tradisi nyadran merupakan tradisi yang sudah ada sejak zaman dahulu dan rutin dilaksanakan setiap tahun sekali. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan folklor. Teknik pengumpulan data yang digunakan adalah teknik observasi, wawancara dan dokumentasi. Analisis data menggunakan teknik analisis deskriptif kualitatif. Hasil penelitian ini adalah (1) bentuk tradisi nyadran yang terdiri dari bersih-bersih, pengajian,selamatan, nyadran, dan hiburan atau sebuah pertunjukan joged. (2) fungsi tradisi nyadran yaitu fungsi sosial, fungsi religi, fungsi pendidikan, melestarikan kebudayaan atau kearifan lokal dan sebagi hiburan. (3) simbol makna tradisi nyadran yaitu sebagai bentuk penghormatan mengenang kebiasaan leluhur Desa Ngasem dan juga sebagai wujud rasa syukur atas keberkahan yang telah diberikan oleh Allah SWT.
Kata Kunci: Tradisi Nyadran, Bentuk, Fungsi, Makna.

ABSTRACT
The aim of this study is to describe the form, function and meaning of the nyadran tradition in the Ngasem Village, Batealit District, Jepara Regency. Nyadran tradition is a tradition that has exited since ancient times and routinely carried out once every year. The approach that used in this research was the folklore approach. Data collection techniques was used observation, interview and documentation techniques. Data analysis used descriptive qualitative analysis techniques. The results of this study were (1) the form nyadran tradition consisting of cleaning, recitation, salvation, nyadran, and entertainment or a joged performance. (2) the function nyadran tradition is as namely the social function, the religuis function, the educational function, preserving culture or local wisdom and as entertainment. (3) the symbolof the meaning nyadran tradition is as a form of respect to remember the habits of the ancestors of the Ngasem Village and also as an expression of gratitude for the blessings given by Allah SWT.
Keyword: tradition Nyadran, form, function, meaning.
Kearifan Lokal Masyarakat Penambang Minyak Tradisional dalam Bahasa dan Budaya Jawa di Desa Wonocolo Kabupaten Bojonegoro
Authors: Sartika Anjar Dwi , Fateah Nur 
Published: August 2020

This study aims to identify and describe the cognition system (cognition system) and local wisdom (local wisdom) in oil mining which is traditionally managed by the people of Wonocolo Village, Bojonegoro Regency.
This study used a descriptive qualitative which is studied ethnolinguistically with ethnoscience model. The data in this study were oral data obtained when the researcher observed the participants by using interview and filled note techniques in order to obtain the data classified from predrilling process and drilling process to find out cognition system and local wisdom of it.
Key Wordsi: Traditional Oil Mining, Local Wisdom, Ethnolinguistics
Análisis de la ejecución presupuestal en colombia durante el periodo 1954 – 2013
Authors: Torres Romero Alexandra , Cubillos Fonseca Juan Sebastián , Camelo Sanchez Fabián Eduardo , Lemus Polanía Diego Fernando 
Published: August 2020

El presente documento se constituye en un ejercicio de investigación cuyo objetivo es reconocer el comportamiento de la inversión pública en Colombia entre 1954 y 2013, así como su relación con los lineamientos de política económica contenidos en los planes de desarrollo suscritos por los diferentes gobiernos. Para tal fin, se recurrió a la utilización de un método cuantitativo en particular: la metodología de identificación de modelos para series temporales de Box-Jenkins, la cual permite identificar los cambios suscitados en los gastos de inversión en los últimos 50 años y posibilita además un pronóstico para el cuatrienio siguiente. Finalmente, se concluye que la inversión pública se encuentra altamente influenciada por los planes de desarrollo de cada gobierno. También se identifica una tendencia creciente con periodos de estancamiento o decrecimiento debido a coyunturas económicas.
Factores que incrementan el riesgo de que los jóvenes se vean involucrados en situaciones violentas o delictivas en dos alcaldías de la Ciudad de México
Authors: Pérez Pérez Alejandra 
Published: August 2020

Se presentan dos modelos de regresión logística para explicar el involucramiento de jóvenes en situaciones de riesgo de iniciar una carrera delictiva o tener conductas violentas. Se incluyen habitantes de las ciudades más violentas de México y dos alcaldías de la Ciudad de México para identificar las desventajas que ayuden a explicar su involucramiento en situaciones como el consumo de alcohol y drogas, formar parte de pandillas o poseer armas. Se consideran características en el nivel individual (sexo, edad y ocupación); del hogar (estrato socioeconómico, tipo de hogar, índices de convivencia); y del entorno (percepción de riesgo en la colonia). En general, a nivel nacional y local las desventajas tienen un impacto similar en los jóvenes, siendo el sexo y la edad las que tuvieron el mayor impacto; en la Ciudad de México, características como tipo de hogar, estrato socioeconómico y ocupación no tienen significancia estadística.
Conjunctival chemosis: A case series of systemic causes
Authors: Roncone David P , Anthony Scott A 
Published: August 2020

Conjunctival chemosis is a common ophthalmic finding that presents with a wide range of severity, symptoms, signs, and underlying etiologies. Although most cases of conjunctival chemosis are ocular in nature (allergy, infection, irritation), atypical presentations such as dusky conjunctival hue, corkscrew conjunctival veins, and periorbital edema, should prompt further investigation for a systemic cause. In atypical cases, reviewing the patient’s medical history and medications, physically examining and auscultating the patient’s heart and lungs, and obtaining vitals (i.e. blood pressure, pulse, weight), are crucial parts of the investigation for a potential systemic source. This article reviews systemic causes for conjunctival chemosis and provides case examples to demonstrate evaluative and management techniques for optometrists to make a distinction between ocular and systemic conjunctival chemosis.
Rapport de cas : Neuropathie optique ischémique postérieure
Authors: Kwon Hyukjin , MacIver Sarah 
Published: August 2020

La neuropathie optique ischémique postérieure (NOIP) est un trouble vasculaire qui survient dans la partie postérieure du nerf optique et qui, par conséquent, ne se présente habituellement pas avec un œdème du disque optique.
Rapport de cas : Nous rapportons ici un cas de NOIP avec une présentation non caractéristique. Ce rapport de cas souligne l’importance de comprendre les différentes physiopathologies de la NOIP et de la neuropathie optique ischémique antérieure (NOIA) pour aider à différencier les deux sur le plan clinique, et comprend une recension des écrits sur la NOIP.
Cambrure cornéenne mi-périphérique après Orthokératologie
Authors: Ouzzani Mhamed , Wright Catherine Johanna , Sorbara Luigina 
Published: August 2020

Objectif
Cette étude avait pour but d’examiner rétrospectivement les données de patients qui avaient suivi un traitement d’orthokératologie afin de quantifier l’accentuation de la courbure de la couronne périphérique de la cornée par topographie en mode tangentiel (CT-CP) et la modification de la puissance de réfraction totale (PRT).
Méthodes
Les cartes ont été examinées et les données de Pentacam ont été recueillies avant le traitement d’orthokératologie et après la dernière visite. Les variables enregistrées comprenaient l’aplatissement central (TC-C), l’eccentricité cornéenne, les courbures de la couronne périphérique en mode tangentiel (CT-CP), la puissance de réfraction totale (PRT) de la cornée, la Rx initiale (sphère) et la courbure cornéenne initiale (kératométrie plate). Les patients ont ensuite été subdivisés en groupes de myopie forte et faible à des fins de comparaison. Tous les participants avaient reçu des lentilles Paragon CRT bien ajustées. Les données ont été analysées pour déterminer les effets des lentilles sur les courbes tangentielles (CT) et la PRT.
Résultats
Au total, 40 patients (80 yeux), âgés de 13,95 ± 6,80 ans, 34 sujets de sexe masculin et 46 sujets de sexe féminin, ont reçu des lentilles Paragon CRT ajustées à leurs yeux. La sphère moyenne était de -4,23 ± 0,90 D pour le groupe à forte myopie et de -1,89 ± 0,62 D pour le groupe à faible myopie. Les changements de CT et de PRT par rapport au niveau de référence étaient significatifs (p < 0,0001 pour les deux). La différence entre la superficie de CT-C et la superficie maximale de CT-CP était d’environ +/- 4,00 D au méridien horizontal et d’environ +/- 3,00 D au méridien vertical. Le changement de CT-CP par rapport au niveau de référence était d’environ +/- 2,00 D pour les deux méridiens. Il y a eu un changement semblable de la PRT : la distance entre le centre et la portion périphérique était d’environ +/- 2,50 D. Pour les valeurs CT-C, PRT-C, CT-CP et PRT-CP, il n’y avait pas de différence significative entre les deux groupes, dans l’ensemble (p = 0,541 [TC] et p = 0,321 [PRT]).
Conclusion
Ces résultats devraient fournir de précieux renseignements sur les changements topographiques et réfractaires qui surviennent chez les patients qui ont suivi un traitement d’orthokératologie.
Factorial design of reactive concrete powder containing electric arc slag furnace and recycled glass powder
Authors: Abellán García Joaquín , Núñez López Andrés Mauricio , Torres Castellanos Nancy , Fernández Gómez Jaime Antonio 
Published: August 2020

El objetivo principal de esta investigación es desarrollar una mezcla optimizada de concreto de polvos reactivos (RPC) que contenga materiales cementícios suplementarios (SCM), como la escoria siderúrgica de arco eléctrico (EASF) y el polvo de vidrio reciclado (RGP) entre otros, utilizando el diseño factorial. Se calcularon diferentes regresiones polinómicas para predecir con precisión las variables respuesta (flujo estático y resistencia a compresión a distintas edades) en función de los factores considerados. A través de un algoritmo multiobjetivo, se determinó la mezcla que alcance la resistencia y flujo estático adecuados con un contenido mínimo de cemento. La verificación experimental de esta optimización matemática mostró que con 621 kg/m3 de cemento ASTM Tipo HE, y un contenido máximo de 100 kg/m3 de humo de sílice, se puede alcanzar una resistencia a compresión superior a los 150 MPa en un concreto, además, autocompactante.