bluuebunny/crossref_metadata_2025_split huggingface dataset:
O Estado brasileiro e a terceirização
Authors: Cunha Yuri Rodrigues da 
Published: July 2020

O presente artigo tem por objetivo expor sobre a relação entre Estado Brasileiro e as práticas de terceirização. Defende-se, que essas práticas passaram a ser utilizadas em larga escala a partir dos anos 90, justamente, quando se iniciaram as neoliberais reformas do aparelho estatal, e só foram possíveis em razão de determinadas condições históricas, somado a um acúmulo de forças e experiências desde os anos 60, que são expressos nas legislações. Nesse sentido trabalha-se com a hipótese de que, os administradores públicos brasileiros ao utilizarem as práticas de terceirização como medidas “modernizantes e racionais”, possibilitaram que o Estado se “especializasse” cada vez mais em ser o administrador dos interesses da burguesia, ao adotarem as práticas de terceirização, pois favorecem as empresas/empresários em detrimento dos trabalhadores, como é o caso da terceirização.
Dukungan Bidan Terhadap Pemberian ASI Eksklusif di Puskesmas Jamblang Kabupaten Cirebon Tahun 2020
Authors: Rohemah Emah 
Published: July 2020

ASI eksklusif yaitu proses pemberian ASI selama 6 bulan tanpa diberi makanan dan minuman pendamping apapun. Cakupan ASI eksklusif di Puskesmas Jamblang Kabupaten Cirebon yaitu sebesar 46,3% belum mencapai target nasional yakni 80%. Faktor yang menjadi keberhasilan ASI eksklusif yaitu dukungan dari bidan. Penelitian ini bertujuan guna mengetahui antara dukungan bidan terhadap pemberian ASI eksklusif di wilayah kerja Puskesmas Jamblang, Kabupaten Cirebon. Penelitian ini adalah survei deskriptif kualitatif dengan menggunakan pendekatan cross sectional. Jumlah responden adalah 104 orang. Data tentang dukungan bidan dan menyusui eksklusif diperoleh dengan kuesioner. Uji statistik guna mengetahui hubungan antar variabel menggunakan uji chi square. Hasil analisis data menunjukan bahwa niala p value dukungan bidan 0,038 (p-value<0,05) terhadap pemberian ASI eksklusif artinya terdapat hubungan yang signifikan antara dukungan bidan terhadap pemberian ASI eksklusif.
Kata kunci: ASI Eksklusif; Dukungan Bidan; Cross Sectional
The effect of paricalcitol on Hepatitis B immunization in hemodialysis patients
Authors: Demir Mustafa , İçaçan Gamze , Yakar Burkay , Doğukan Ayhan 
Published: July 2020

Objective: Hepatitis B virus (HBV) infection has high morbidity and mortality. Therefore vaccination for HBV is crucial, especially for risk groups. In this study, we aimed to determine the effect of paricalcitol on HBV immunization in maintenance hemodialysis (HD) patients.
Methods: Forty-two maintenance HD patients enrolled in the study. Group 1 was the control group who didn't receive paricalcitol treatment (n:28, control group). Group 2 was the paricalcitol treatment group for secondary hyperparathyroidism (n:14, paricalcitol group). Anti-HBs titers were measured with a three-month interval for two times.
Results: The mean age of the patients in Group 1 was 58.50(18-80) years, while of the patients in Group 2 was 46.50 (23-81) years. There was no statistically significant difference between the groups in terms of age and gender (p = 0.200, p = 0.508, respectively). Baseline anti-HBs titer in the control group was 190.32 IU/L (20.18-1000), and 187.89 IU/L (38.77-1000) in the paricalcitol treated group. After 3 months of follow-up, anti-HBs titers decreased to 114.72 IU/L (13.68-1000) from 190.32 IU/L (20.18-1000) in the control group and to the 175.27 IU/L (14.25-1000) from 187.89 IU/L (38.77-1000) in the paricalcitol group. The decrease in anti-HBs titers was significant in the control group, whereas it was not significant in the paricalcitol group (P = 0.001, 0.209, respectively).
Conclusion: The protective effect of paricalcitol on hepatitis B seroconversion in HD patients was observed. We think that paricalcitol may be used as an adjuvant for hepatitis B seroconversion.
The relationship between anxiety and satisfaction level in women who had cesarean section with spinal or general anesthesia
Authors: Eroglu Semra , Eroglu Alperen , Aziz Vusale , Simar Songül , Mutlu Sibel 
Published: July 2020

Objective: Although regional anesthesia is frequently used in cesarean section, patient satisfaction and comfort can change with the anesthesia method preference. Our aim is to determine the level of anesthesia satisfaction in women with cesarean surgery with Spinal (SA) and General anesthesia (GA) and to examine its relationship with anxiety level.
Material and Methods: In this prospective observational cohort study, 144 pregnant women who were admitted to the Obstetrics and Gynecology Clinic between January 2019 and April 2019 were included. Demographic information of the pregnant women including age, height, weight, gestational history and education level were recorded. Hospital Anxiety and Depression Scale (HADS), preoperative anxiety levels and which anesthesia method they preferred were questioned and recorded.
Results: 72 SA and 72 GA patients were included in the study. Age, BMI (Body mass index), obstetric history, preoperative HADS were similar in both groups (p> 0.05). Patients with SA were significantly higher satisfaction level than those who had cesarean with GA (p = 0.000). Anxiety level during cesarean was correlated positively with preoperative HADS (p = 0.001, p = 0.005, respectively). First analgesia requirement didn’t differ in both group (p=0.409).
Conclusion: The satisfaction score founded higher in those who were cesarean with SA. Evaluating anxiety levels of patients and providing support before surgery will increase postoperative comfort.
Potention of nHAC/PLGA Based Syringetin as Bionano Bone Graft to Improved Osteoinductivity and Osteoconductivitas
Authors: Dyatmika I Kadek Wahyu Putra , Prasetya Jonathan Hubert , Artha I Wayan Windi 
Published: July 2020

Background: According to the data of Riskesdas in 2013, fracture incident rate in Sulawesi gets a 16% increase. The most common fracture incident happens to elderly age group and its predominant cause is traumatic incident like falls and traffic accident. Treatment now such as ORIF and External Fixation is far from cheap and has a high risk to the patient. Syringetin-based nHAC/PLGA usage can be a new bionano bone graft because it can target specific cells to increase osteoinductivity in bones.
Method: This literature review is established by literature review method of collecting sources from valid scientific literature which has specific inclusion and exclusion criteria.
Discussion: Syringetin-based nHAC usage has some targets like BMSC. Syringetin-based nHAC has effect in increasing the expression of BMP-2 and miRNA-21. BMP-2 and miRNA-21 are factors that take part in osteoblast proliferation and differentiation. That expression increase is marked by ALP activity and osteocalcin increase.
Conclusion: Significantly, the usage of syringetin-based nHAC/PLGA can increase the proliferation and differentiation rate of BMSC to osteoblast.
Crystal Structures for Double Stanley Symmetric Functions
Authors: Hawkes Graham 
Published: July 2020

We relate the combinatorial definitions of the type $A_n$ and type $C_n$ Stanley symmetric functions, via a combinatorially defined "double Stanley symmetric function," which gives the type $A$ case at $(\mathbf{x},\mathbf{0})$ and gives the type $C$ case at $(\mathbf{x},\mathbf{x})$. We induce a type $A$ bicrystal structure on the underlying combinatorial objects of this function which has previously been done in the type $A$ and type $C$ cases. Next we prove a few statements about the algebraic relationship of these three Stanley symmetric functions. We conclude with some conjectures about what happens when we generalize our constructions to type $C$.
Factors Associated with High Rate of Pregnancy Among Teenagers Aged 13-19 Years in Nyatike Sub-County, Kenya
Authors: Oduor Kevin Otieno , Kithuka Beatrice 
Published: July 2020

One in every four girls in Nyatike Sub-county is expectant or has already begun childbearing. The girls in primary schools are getting pregnant at a higher rate than their counterparts in secondary schools. Due to the proximity to mining sites and Lake Victoria, the cases of teenage pregnancies are constantly high. This study was carried out to determine the factors associated with a high rate of teenage pregnancy among teenagers aged 13-19 years in Nyatike Sub-county. Specifically, the study focused on determining the socio-demographic, socio-economic, and socio-cultural factors associated with the high rate of teenage pregnancy in the sub-county. A cross-sectional descriptive study design was used. Self-administered questionnaires and in-depth interviews were used for data collection. A sample size of 311 respondents was used in the study. To arrive at the desired sample size above, a purposive/judgmental sampling technique was adopted. To analyze the data, the study adopted the use of Statistical Package for Social Sciences (SPSS version 20) and descriptive statistics. The study found out that poverty, lack of gainful employment, and inadequate sexual reproductive health services are enormously associated with early pregnancy among teenagers aged 13-19 years. The study also found out that proximity to the mining sites and lake are among the socio-demographic factors associated with teenage pregnancy. The study also determined that parents marry off their daughters at a tender age, religions permitting/embracing teenage pregnancy and lack of parental guidance are the socio-cultural practices associated with early teenage pregnancy. This study provides insights into the factors that are associated with teenage pregnancy and the disruptive approaches that can be adopted to address this public health concern. By the same token, this study fills the gap in previous studies in Nyatike Sub-county that have only concentrated on the prevalence of teenage pregnancy and not the factors associated with it.
Pengaruh Promosi dan Harga Terhadap Peningkatan Jumlah Nasabah Produk Akad Murabahah Di BPRS Artha Madani Cabang Cikampek
Authors: 04 Meida Fitriani 
Published: July 2020

Intisari— Penelitian ini dilaksanakan di BPRS Artha Madani cabang Cikampek. Masalah yang terjadi dilapangan adalah penurunan jumlah nasabah yang terjadi pada tahun 2018. Dengan jumlah sampel sebanyak 84 orang. Peneliti menggunakan teori Philip Kotler untuk menjadi acuan dalam pengembangan landasan teori yang mempelajari mengenai konsep pemasaran, promosi dan harga. Pengumpulan data primer melalui wawancara dengan kepala cabang. Penyebaran kuisioner, dengan responden ditentukan menggunakan rumus Slovin. Metode yang digunakan dalam penelitian ini adalah metode kuantitatif, yaitu metode yang menggunakan angka-angka di setiap hasilnya dan diuji menggunakan aplikasi SPSS. Teknik analisa data yang digunakan dalam penelitian ini adalah validitas data, reliabilitas data, untuk uji asumsi klasik menggunakan uji normalitas, uji multikolerasi, serta uji heteroskedastis. Sedangkan uji hipotesis menggunakan uji determinasi, uji parsial (uji t), regresi linier berganda, dan uji simultan (uji f). Hasil penelitian menunjukan bahwa variabel promosi tidak berpengaruh secara signifikan dengan presentase sebesar 24,20%. Sementara, untuk variabel harga berpengaruh secara signifikan dengan presentase sebesar 63,65% terhadap peningkatan jumlah nasabah. Berdasarkan uji simultan (uji f) yang telah dilakukan bahwa variabel promosi dan harga secara bersama-sama mempengaruhi peningkatan jumlah nasabah. Hasil uji determinasi atau R2 yang telah dilakukan mendapatkan hasil bahwa, promosi dan harga mempengaruhi peningkatan jumlah nasabah sebesar 51,9% dan sisanya 48,1% dipengaruhi oleh variabel lain diluar penelitian.
Kata kunci— Promosi Dan Harga, Peningkatan Jumlah Nasabah, Produk Akad Muraabahah.
A Low-mass Stellar-debris Stream Associated with a Globular Cluster Pair in the Halo
Authors: Yuan Zhen , Chang Jiang , Beers Timothy C. , Huang Yang 
Published: July 2020

Abstract
There are expected to be physical relationships between the globular clusters (GCs) and stellar substructures in the Milky Way, not all of which have yet been found. We search for such substructures from a combined halo sample of SDSS blue horizontal-branch and SDSS+LAMOST RR Lyrae stars, cross-matched with astrometric information from Gaia DR2. This is a sample of old stars which are also excellent tracers of structures, ideal for searching for ancient relics in the outer stellar halo. By applying the neural-network-based method StarGO to the full 4D dynamical space of our sample, we rediscover the Sagittarius Stream, and find the debris of the Gaia-Enceladus-Sausage and the Sequoia events in the outer halo, as well as their linkages with several GCs. Most importantly, we find a new, low-mass, debris stream associated with a pair of GCs (NGC 5024 and NGC 5053), which we dub LMS-1. This stream has a very polar orbit, and occupies a region between 10 to 20 kpc from the Galactic center. NGC 5024 (M53), the more massive of the associated GC pair, is very likely the nuclear star cluster of a now-disrupted dwarf galaxy progenitor, based on the results from N-body simulations.
DOACs- balance between thrombosis and bleeding - A Review
Authors: Lazarova Trajkovska Emilija 
Published: July 2020

Bleeding is a common side effect of anticoagulant use. However, the majority of bleeding events are not life-threatening and can be managed conservatively. The first step in managing any significant bleeding event is to temporarily stop using the anticoagulant. The aim of this review was to determine the appropriate management strategy for an acutely bleeding patient on DOACs. Direct oral anticoagulants (DOACs) are now widely used in treatment of venous thromboembolism (VTE) and are recommended first-line over vitamin K antagonists (VKAs) in non-cancer associated VTE. Until recently, supportive measures and infusion of clotting factors were the only available options for reversal of DOACs. Within the last 4 years, approval of specific antidotes has led to hopes for improved outcomes in DOAC-related acute bleeding, however limitations remain including cost, availability and "real-world" data. In severe and life-threatening bleeding events, use of non-specific (e.g. PCC) or specific (e.g. idarucizumab, andexanet alpha) reversal agents are recommended. However, further data is needed to compare outcomes between these two management strategies and identify the cost-effectiveness of these various strategies.
Spontaneous rectus sheath hematoma– cause of acute abdomen in patients on anticoagulant therapy: two case reports
Authors: Petreski Dimitar , Cokleska Natalija , Todorovic Lazar , Kamiloski Marjan , Memeti Shaban , Donev Ljupco , Mikjunovikj Ljubica 
Published: July 2020

(Spontaneus) Rectus sheath hematoma ((S)RSH) is an accumulation of blood in the sheath of the rectus abdominis muscle, secondary to rupture of an epigastric vessel or muscle tear. It is defined as spontaneous in patients without history of abdominal trauma. It can be located supra- or infraumbilically. Although the exact incidence is unknown, Klingler et al. observed 23 cases (1.8%) of rectus sheath hematoma among 1257 patients evaluated by ultrasound for acute abdominal disorders. Ultrasonography can help in the diagnosis, but CT scan is most accurate in its ability to define the lesion. When diagnosed clinically, a conservative therapeutic program can usually be instituted. Only in cases of supportive management failure, progressive and large hematoma or uncontrollable hemodynamic patients, interventional management including surgery or less invasive newer techniques is indicated. Case presentation: We present two cases of SRSH in patients using oral anticoagulant agent (acenocoumarol). Their chief complaint was sudden onset of acute abdominal pain. On admission they were haemodynamically stable. After thorough clinical evaluation a suspicion for SRSH diagnosis was made and then confirmed by ultrasonography and CT. Both of them were successfully treated conservatively and discharged home in a good general condition. Conclusion: These two cases illustrate the accurate diagnosis of SRSH treated conservatively leading to optimal patient outcomes.
Identification of the microflora from the oral cavity of exotic snakes kepth as pets
Authors: Naumovski Marko , Jovanovska Ivamaria , Popovska Kakja , Velikj Stefanovska Vesna , Mirchevska Gordana 
Published: July 2020

In recent years, snakes have become suitable pets for people with little spare time. By buying these animals people ignore the fact that they carry many microorganisms that are pathogenic for humans. The idea of ​​this study was to identify the microorganisms from the oral cavity of exotic snakes kept as pets in the Republic of North Macedonia, which can help in the treatment of bite infections if they occur. The study comprised 30 snakes of 9 species, from 3 families of non-venomous snakes: Pythonidae, Boidae and Colubridae. Snakes are part of the 5 largest collections of exotic snakes in the Republic of North Macedonia. Only one swab from the oral cavity was taken from each snake. The brushes were cultured and microscopically analyzed at the Institute of Microbiology and Parasitology at the Faculty of Medicine in Skopje. From 59 isolated microorganisms from the oral cavity of 30 exotic snakes, 37.3% were Gram-positive bacteria, 61.01% were Gram-negative bacteria and 1.69% were fungi. Of the total number of microorganisms, Pseudomonas aeruginosa was predominant with 27.11%, Providencia rettgeri / Proteus vulgaris with 18.64% and KONS / Micrococcus luteus with 16.94%. Pseudomonas aeruginosa was present in all three snake families, with 62.5% of the snake in the fam. Pythonidae; 50% in the fam. Boidae and 50% in the fam. Colubridae. The isolate Providencia rettgeri / Proteus vulgaris was most frequently found in the fam. Colubridae with 71.43%, followed by fam. Pythonidae with 12.5%, but was not isolated in any specimen of the fam. Boidae. The microbiome of the non-venomous snakes is composed of Gram-positive bacteria in healthy snakes, but also in snakes kept in inadequate hygienic conditions. Gram-negative bacteria were predominant, of which the most significant was the presence of multiple drug resistance Pseudomonas aeruginosa. Snakes as pets require proper knowledge of terms and conditions.
Validation de la version canadienne francophone du Children’s Behavior Questionnaire – Short Form
Authors: Lemelin Jean-Pascal , Poirier Martine , Le Corff Yann , Toupin Jean , Dery Michèle 
Published: July 2020

Le CBQ-SF ( Children’s Behavior Questionnaire - Short Form , Putnam, Rothbart, 2006) permet d’évaluer le tempérament des enfants. L’objectif de cette étude est de valider une version canadienne francophone du CBQSF. L’échantillon compte 318 enfants âgés de 6 à 9 ans. Le tempérament a été évalué à deux reprises sur une période d’un an. Les problèmes de comportement des enfants ont aussi été mesurés afin d’examiner la validité concomitante de la version canadienne francophone. Les analyses confirment la structure factorielle établie dans la version originale de l’instrument et montrent que la fidélité et la validité de la version canadienne francophone du CBQ-SF sont adéquates.
L’Intelligence Collective : un facteur déterminant pour soutenir la double ambition économique et artistique de l’entrepreneur créatif ?
Authors: Horvath Isabelle , Dechamp Gaëlle 
Published: July 2020

La dualité historique entre l’ambition artistique et l’ambition économique, est l’objet de discussions de chercheurs depuis longtemps. Elle s’exprime dans le secteur créatif et culturel où les acteurs sont contraints à résoudre cette équation complexe entre objectifs de création et objectifs commerciaux. Nous nous proposons dans cet article de comprendre comment l’entrepreneur créatif arrive à gérer cette tension paradoxale grâce au développement d’une Intelligence Collective située permettant un apprentissage mutuel et collectif. Le management des paradoxes et la temporalité nous permettent alors de discuter nos résultats en proposant un autre couple paradoxal des organisations : ambition créative/ambition économique.
Renoncement et régressivité pulsionnelle. À propos de la durée et de la terminaison de la cure analytique
Authors: Chervet Bernard 
Published: July 2020

La préoccupation concernant l’aboutissement d’une cure à son terme, idéalement latente chez tout analyste, convoque régulièrement des prescriptions sur la durée et l’arrêt qui tentent de répondre aux compulsions de répétition et de réduction. S’y reconnaissent deux souhaits exprimant la régressivité pulsionnelle jusqu’à extinction des pulsions de mort et de vie : en finir et la quête de l’infini. La référence à un fonctionnement mental idéal théorique prenant en compte ces souhaits liés aux attractions au-delà du principe de plaisir, introduit des critères qualitatifs qui témoignent de l’importance de l’intemporalité indispensable à l’en-deux-temps de l’après-coup. Ce procès est installé sous l’égide de l’impératif de renoncement dont la première fonction est de s’opposer à l’extinction pulsionnelle. Le besoin des enfants de dire non témoigne de l’ambivalence envers cette retenue fondatrice. Le futur surmoi portera ce conflit de renoncement au sein de l’ensemble du psychisme.
Son œil critique
Authors: Molnar Michael , Hacker Anne-Lise 
Published: July 2020

Pendant un vingt-cinquième de seconde, Eva, la petite-fille de Freud, a été au centre de la photo prise à ce moment-là. Cette fraction de seconde représente une vie qui a été brève, et qui continue de rayonner de la photo quand nous la regardons. Lorsque nous essayons de reconstruire la biographie d’Eva à travers cette image, le regard direct de l’enfant nous attire dans son monde intérieur, à la fois à ce moment-là et à différents autres instants critiques de sa vie. Son œil interrogateur établit avec force son identité et, en même temps, stimule notre désir de comprendre son expérience. De par sa nature, ce type d’historiographie phénoménologique est à la fois hésitant et fragmenté. En quelque sorte un complément au projet néo-orphique de la photographie – celui de faire revenir des Enfers les vivants, tous voués à mourir, et de les mettre en lumière.
NLRP3 Inflammasome Activation in Lung Vascular Endothelial Cells Contributes to Intestinal Ischemia/Reperfusion-Induced Acute Lung Injury
Authors: Ito Homare , Kimura Hiroaki , Karasawa Tadayoshi , Hisata Shu , Sadatomo Ai , Inoue Yoshiyuki , Yamada Naoya , Aizawa Emi , Hishida Erika , Kamata Ryo , Komada Takanori , Watanabe Sachiko , Kasahara Tadashi , Suzuki Takuji , Horie Hisanaga , Kitayama Joji , Sata Naohiro , Yamaji-Kegan Kazuyo , Takahashi Masafumi 
Published: July 2020

Abstract
Intestinal ischemia/reperfusion (I/R) injury is a life-threatening complication that leads to inflammation and remote organ damage. The NLRP3 inflammasome regulates the caspase-1–dependent release of IL-1β, an early mediator of inflammation after I/R injury. In this study, we investigated the role of the NLRP3 inflammasome in mice with intestinal I/R injury. Deficiency of NLRP3, ASC, caspase-1/11, or IL-1β prolonged survival after intestinal I/R injury, but neither NLRP3 nor caspase-1/11 deficiency affected intestinal inflammation. Intestinal I/R injury caused acute lung injury (ALI) characterized by inflammation, reactive oxygen species generation, and vascular permeability, which was markedly improved by NLRP3 deficiency. Bone marrow chimeric experiments showed that NLRP3 in non–bone marrow–derived cells was the main contributor to development of intestinal I/R-induced ALI. The NLRP3 inflammasome in lung vascular endothelial cells is thought to be important to lung vascular permeability. Using mass spectrometry, we identified intestinal I/R-derived lipid mediators that enhanced NLRP3 inflammasome activation in lung vascular endothelial cells. Finally, we confirmed that serum levels of these lipid mediators were elevated in patients with intestinal ischemia. To our knowledge, these findings provide new insights into the mechanism underlying intestinal I/R-induced ALI and suggest that endothelial NLRP3 inflammasome–driven IL-1β is a novel potential target for treating and preventing this disorder.