bluuebunny/crossref_metadata_2025_split huggingface dataset:
Anesthesia Management in Caesarean Section with Preeclampsia and Partial HELLP Syndrome
Authors: Wima Tiara , Agustina Br. Haloho  
Published: December 2021

Introduction. Pre-eclampsia is a significant cause of maternal and fetal mortality and morbidity. Pre-eclampsia is characterized by hypertension (blood pressure ≥ 140/90 mmHg), oedema and amount of protein in urine 300 mg in the 24-hour, which appears after 20 weeks of gestation. Pre-eclampsia can cause complications, one of which is HELLP syndrome. This case report discusses the use of anaesthesia in a patient who underwent a cesarean section with indications for pre-eclampsia and partial HELLP syndrome.
Case Presentation. A woman, 41 years old, G4P3A0 34 weeks pregnant with pre-eclampsia + syndrome HELLP will undergo emergency cesarean section with ASA IIE physical statusLabouror pain management was carried out using regional spinal anaesthesia technique, using bupivacaine 0.5% hyperbaric agent 12.5 mg. The operation lasted for 1 hour 30 minutes, with 300 ml bleeding, hemodynamically stable.
Conclusion. Difficult intubation in emergency cases can be avoided by choosing of neuraxial anaesthesia technique is recommended. It will lead to better uteroplacental perfusion, good analgesia/anaesthesia quality, reducing surgical stress, reducing drugs that enter the uteroplacental circulation, and maternal psychological to be able to see the baby at birth.
MANAJEMEN PROGRAM KETERAMPILAN (VOKASI) BAGI ANAK BERKEBUTUHAN KHUSUS (ABK) DI SLBN-1 PALANGKA RAYA
Authors: Setiawan  , Suriansyah  , Sundari  
Published: December 2021

Abstrak: Penelitian ini bertujuan untuk mendeskripsikan Manajemen Program Keterampilan (Vokasi) bagi Anak Berkebutuhan Khusus (ABK) di SLBN-1 Palangka Raya. Metode penelitian menggunakan deskriptif kualitatif. Hasil penelitian yaitu pada Perencanaan program Vokasi dimulai dari struktur kurikulum, kebutuhan dasar yang disusun oleh guru-guru dalam Silabus dan Rencana Pelaksanaan Pembelajaran (RPP). Pelaksanaan program Vokasi sudah sangat baik dengan kegiatan pembelajaran sesuai perencanaan dan guru selalu mendampingi dan membimbing peserta didik dalam pelaksanaannya sampai memiliki kemampuan menghasilkan suatu produk yang berkualitas. Peserta didik yang dianggap mampu akan melaksanakan praktik magang selama satu bulan pada dunia usaha/dunia industri ataupun di instansi pemerintah/swasta melalui MoU yang sudah terjalin. Hal lain yang mendukung pelaksanaan program ini yaitu dukungan dari berbagai pihak baik pemerintah pusat, pemerintah daerah, dan masyarakat. Evaluasi program sudah baik, dibuktikan dengan adanya evaluasi dan pengawasan oleh kepala sekolah serta guru-guru telah melaksanakan evaluasi dari praktik mandiri di kelas sampai praktik magang.
Abstract: TThis study aims to describe the Management Skills (Vocational) Program for Children with Special Needs in SLBN-1 Palangka Raya. The research method used qualitative descriptive from primary and secondary data sources. Data collection used techniques: interviews, observation and document study. Data analysis using interactive data analysis, including: data reduction, data presentation and drawing conclusions. The results show that: (1) Vocational program planning starts from the curriculum structure, the basic needs compiled by the teachers in the syllabus and lesson plans (RPP); (2) The implementation of the Vocational program has been very good with learning activities according to planning and the teacher always accompanies and guides students in its implementation until they have the ability to produce a quality product; (3) Program evaluation is good, as evidenced by the existence of evaluation and supervision by the principal and teachers who have carried out evaluations from independent classroom practice to apprenticeship practice.
HUBUNGAN KINERJA GURU TERHADAP PRESTASI BELAJAR SISWA SMA MUHAMMADIYAH 1 PALANGKA RAYA
Authors: Akbar Muhamat , Dagau Erenfried , Limin Dagai L. 
Published: December 2021

Abstrak: Penelitian ini bertujuan mengetahui hubungan antara kinerja guru dengan prestasi belajar siswa SMA 1 Muhammadiyah Palangka Raya. Populasi dalam penelitian ini seluruh guru yang mengajar pada kelas XII IPS II sejumlah 15 orang, yang selanjutnya ditetapkan sebagai sampel total. Pengumpulan data menggunakan angket/kuisioner. Analisis data menggunakan korelasi Spearman dengan bantuan aplikasi IBM SPSS versi 20. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kinerja guru dengan hasil belajar siswa kelas XII di SMA 1 Muhammadiyah Palangka Raya.
Abstract: This study aims to determine the relationship between teacher performance and student achievement at SMA 1 Muhammadiyah Palangka Raya. The population in this study were all 15 teachers who taught in class XII IPS II, which were then designated as the total sample. Data analysis used Spearman correlation with the help of the IBM SPSS version 20 application. The results showed that there was a relationship between teacher performance and student learning outcomes in class XII in SMA 1 Muhammadiyah Palangka Raya.
MANAJEMEN SISTEM NASKAH DINAS ELEKTRONIK (SINDE) PADA LEMBAGA PENJAMINAN MUTU PENDIDIKAN PROVINSI KALIMANTAN TENGAH
Authors: Dewi Winda Sinta , Winaryo Slamet , Sumarnie  
Published: December 2021

Abstrak: Penelitian ini bertujuan untuk mendeskripsikan tentang Manajemen SINDE pada LPMP Provinsi Kalimantan Tengah. Penelitian ini merupakan penelitian kualitatif. Sumber data meliputi: Kasubbag. TU, Koordinator Persuratan, dan Operator SINDE. Pengumpulan data menggunakan: observasi, wawancara, dan dokumentasi. Analisis data melalui tahapan pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan. Pengabsahan data melalui teknik triangulasi sumber dan teknik. Hasil penelitian menunjukkan bahwa: (1) Perencanaan dilakukan dengan dari mengatur susunan SOP, melakukan rapat koordinasi menyusun SOP yang memperhatikan persiapan, penilaian kebutuhan SOP, pengembangan SOP, penerapan SOP, serta Monev SOP; (2) Pengorganisasian dilakukan dengan membentuk struktur organisasi serta tugas dan tanggungjawab personil pengelola SINDE; (3) Pengawasan dan Evaluasi melalui penilaian terhadap pegawai yang aktif dalam menggunakan SINDE; dan (4) Faktor penghambat: keterbatasan jumlah operator SINDE, dan minimnya kecakapan operator SINDE, serta kendala tekniks lainnya. Solusi untuk mengatasi kendala tersebut melalui bimbingan dan pelatihan intensif serta kerjasama dengan pihak terkait.
Abstract: This study aims to describe the SINDE Management at LPMP Central Kalimantan Province. This research is a qualitative research. Sources of data include: Head of Subsection. TU, Mailing Coordinator, and SINDE Operator. Collecting data using: observation, interviews, and documentation. Data analysis through the stages of data collection, data reduction, data presentation and drawing conclusions. Validation of data through source and technique triangulation techniques. The results of the study indicate that: (1) Planning is carried out by arranging the composition of SOP, conducting coordination meetings to prepare SOPs that pay attention to preparation, assessment of SOP needs, SOP development, SOP implementation, and SOP Monev; (2) Organizing is done by establishing an organizational structure as well as the duties and responsibilities of SINDE management personnel; (3) Supervision and Evaluation through assessment of employees who are active in using SINDE; and (4) inhibiting factors: the limited number of SINDE operators, and the lack of skills of SINDE operators, as well as other technical obstacles. The solution to overcome these obstacles is through intensive guidance and training as well as collaboration with related parties.
Comparison of Effect of Nebivolol and Bisoprolol on Sexual Function of Hypertensive Female Patients
Authors: Kumar Nomesh , Khan Shayan Iqbal , Versha FNU , Garg Ishan , Bachani Parkash , Gul Ambresha , Jahangir Maha , Khalid Haya , Khan Sidrah , Memon Sidra 
Published: December 2021

Introduction Male and female sexual dysfunction is frequently found in patients with hypertension. Many studies indicate that this is found more frequently in patients treated with beta-blockers rather than due to hypertension itself; however, almost all studies have been done on male population. This study aims to study the effect of two commonly used beta-blockers on sexual function of a hypertensive female patient.
Methods This two-arm open-label randomized prospective study was conducted from April 1, 2019 to March 30, 2020 in a tertiary care hospital at Pakistan. One hundred and fifty participants randomized to group A were given nebivolol 5 mg once daily in addition to their current hypertensive treatment. Another 150 participants randomized to group B were given bisoprolol 5 mg once daily in addition to their hypertensive therapy. Sexual function was assessed on day 0 and day 90 using female sexual function index (FSFI).
Results The mean sexual score in the nebivolol group significantly improved after day 90 in comparison to day 0 (24.16 ± 2.1 vs. 26.91 ± 2.6; p-value < 0.0001), while no difference in sexual score in bisoprolol group after day 90 was observed (24.14 ± 2.1 vs. 24.12 ± 2.0; p-value = 0.91).
Conclusion In this study, nebivolol group was associated with a significant improvement in sexual function. This can be due to additional vasodilation properties and a low risk of sexual side effects associated with nebivolol.
https://www.cureus.com/articles/59290-comparison-of-effectof-nebivolol-and-bisoprolol-on-sexual-function-of-hypertensivefemale-patients
DOI: 10.7759/cureus.15062
PlanetEvidence: Planet or Noise?
Authors: Golomb Jacob , Rocha Graça , Meshkat Tiffany , Bottom Michael , Mawet Dimitri , Mennesson Bertrand , Vasisht Gautam , Wang Jason 
Published: December 2021

Abstract
The work presented here attempts at answering the following question: how do we decide when a given detection is a planet or just residual noise in exoplanet direct imaging data? To this end we implement a metric meant to replace the empirical frequentist-based thresholds for detection. Our method, implemented within a Bayesian framework, introduces an “evidence-based” approach to help decide whether a given detection is a true planet or just noise. We apply this metric jointly with a postprocessing technique and Karhunen–Loeve Image Processing (KLIP), which models and subtracts the stellar PSF from the image. As a proof of concept we implemented a new routine named PlanetEvidence that integrates the nested sampling technique (Multinest) with the KLIP algorithm. This is a first step to recast such a postprocessing method into a fully Bayesian perspective. We test our approach on real direct imaging data, specifically using GPI data of β Pictoris b, and on synthetic data. We find that for the former the method strongly favors the presence of a planet (as expected) and recovers the true parameter posterior distributions. For the latter case our approach allows us to detect (true) dim sources invisible to the naked eye as real planets, rather than background noise, and set a new lower threshold for detection at ∼2.5σ level. Further it allows us to quantify our confidence that a given detection is a real planet and not just residual noise.
Rapidly Declining Hostless Type Ia Supernova KSP-OT-201509b from the KMTNet Supernova Program: Transitional Nature and Constraint on 56Ni Distribution and Progenitor Type
Authors: Moon Dae-Sik , Ni Yuan Qi , Drout Maria R. , González-Gaitán Santiago , Afsariardchi Niloufar , Park Hong Soo , Lee Youngdae , Kim Sang Chul , Antoniadis John , Kim Dong-Jin , Lee Yongseok 
Published: December 2021

Abstract
We report the early discovery and multicolor (BVI) high-cadence light-curve analyses of the rapidly declining sub-Chandrasekhar Type Ia supernova KSP-OT-201509b (= AT 2015cx) from the KMTNet Supernova Program. The Phillips and color stretch parameters of KSP-OT-201509b are ΔM

B,15 ≃ 1.62 mag and s

BV
≃ 0.54, respectively, at an inferred redshift of 0.072. These, together with other measured parameters (such as the strength of the secondary I-band peak, colors, and luminosity), identify the source to be a rapidly declining Type Ia of a transitional nature that is closer to Branch-normal than 91bg-like. Its early light-curve evolution and bolometric luminosity are consistent with those of homologously expanding ejecta powered by radioactive decay and a Type Ia SN explosion with 0.32 ± 0.01 M
⊙ of synthesized 56Ni mass, 0.84 ± 0.12 M
⊙ of ejecta mass, and (0.61 ± 0.14) × 1051 erg of ejecta kinetic energy. While its B − V and V − I colors evolve largely synchronously with the changes in the I-band light curve, as found in other supernovae, we also find the presence of an early redward evolution in V − I prior to −10 days since peak. The bolometric light curve of the source is compatible with a stratified 56Ni distribution extended to shallow layers of the exploding progenitor. Comparisons between the observed light curves and those predicted from ejecta–companion interactions clearly disfavor Roche lobe–filling companion stars at large separation distances, thus supporting a double-degenerate scenario for its origin. The lack of any apparent host galaxy in our deep stack images reaching a sensitivity limit of ∼28 mag arcsec−2 makes KSP-OT-201509b a hostless Type Ia supernova and offers new insights into supernova host galaxy environments.
A Wide Planetary Mass Companion Discovered through the Citizen Science Project Backyard Worlds: Planet 9
Authors: Faherty Jacqueline K. , Gagné Jonathan , Popinchalk Mark , Vos Johanna M. , Burgasser Adam J. , Schümann Jörg , Schneider Adam C. , Kirkpatrick J. Davy , Meisner Aaron M. , Kuchner Marc J. , Bardalez Gagliuffi Daniella C. , Marocco Federico , Caselden Dan , Gonzales Eileen C. , Rothermich Austin , Casewell Sarah L. , Debes John H. , Aganze Christian , Ayala Andrew , Hsu Chih-Chun , Cooper William J. , Smart R. L. , Gerasimov Roman , Theissen Christopher A. ,   The Backyard Worlds: Planet 9 Collaboration
Published: December 2021

Abstract
Through the Backyard Worlds: Planet 9 citizen science project we discovered a late-type L dwarf co-moving with the young K0 star BD+60 1417 at a projected separation of 37″ or 1662 au. The secondary—CWISER J124332.12+600126.2 (W1243)—is detected in both the CatWISE2020 and 2MASS reject tables. The photometric distance and CatWISE proper motion both match that of the primary within ∼1σ and our estimates for a chance alignment yield a zero probability. Follow-up near-infrared spectroscopy reveals W1243 to be a very red 2MASS (J–K

s
= 2.72), low surface gravity source that we classify as L6–L8γ. Its spectral morphology strongly resembles that of confirmed late-type L dwarfs in 10–150 Myr moving groups as well as that of planetary mass companions. The position on near- and mid-infrared color–magnitude diagrams indicates the source is redder and fainter than the field sequence, a telltale sign of an object with thick clouds and a complex atmosphere. For the primary we obtained new optical spectroscopy and analyzed all available literature information for youth indicators. We conclude that the Li i abundance, its loci on color–magnitude and color–color diagrams, and the rotation rate revealed in multiple TESS sectors are all consistent with an age of 50–150 Myr. Using our re-evaluated age of the primary and the Gaia parallax, along with the photometry and spectrum for W1243, we find T
eff = 1303 ± 31 K, log g = 4.3 ± 0.17 cm s−2, and a mass of 15 ± 5 M
Jup. We find a physical separation of ∼1662 au and a mass ratio of ∼0.01 for this system. Placing it in the context of the diverse collection of binary stars, brown dwarfs, and planetary companions, the BD+60 1417 system falls in a sparsely sampled area where the formation pathway is difficult to assess.
Identifying Circumgalactic Medium Absorption in QSO Spectra: A Bayesian Approach
Authors: Scott Jennifer E. , Shoemaker Emileigh S. , Hamill Colin D. 
Published: December 2021

Abstract
We present a study of candidate galaxy–absorber pairs for 43 low-redshift QSO sightlines (0.06 < z < 0.85) observed with the Hubble Space Telescope/Cosmic Origins Spectrograph that lie within the footprint of the Sloan Digital Sky Survey with a statistical approach to match absorbers with galaxies near the QSO lines of sight using only the SDSS Data Release 12 photometric data for the galaxies, including estimates of their redshifts. Our Bayesian methods combine the SDSS photometric information with measured properties of the circumgalactic medium to find the most probable galaxy match, if any, for each absorber in the line-of-sight QSO spectrum. We find ∼630 candidate galaxy–absorber pairs using two different statistics. The methods are able to reproduce pairs reported in the targeted spectroscopic studies upon which we base the statistics at a rate of 72%. The properties of the galaxies comprising the candidate pairs have median redshift, luminosity, and stellar mass, all estimated from the photometric data, z = 0.13, L = 0.1L
*, and

log
(

M

*

/

M

⊙

)
=
9.7

. The median impact parameter of the candidate pairs is ∼430 kpc, or ∼3.5 times the galaxy virial radius. The results are broadly consistent with the high Lyα covering fraction out to this radius found in previous studies. This method of matching absorbers and galaxies can be used to prioritize targets for spectroscopic studies, and we present specific examples of promising systems for such follow-up.
Le Père, figure du Tiers
Authors: Spoljar Philippe 
Published: December 2021

Cet article propose d’analyser l’« office » du Père, au regard de son effondrement contemporain, sur un double registre psychologique et anthropologique. Sa position de tiers permettait d’exercer sa fonction d’intercession avec l’Autre (l’Ancêtre, la Raison, le Totem, Dieu…), en mettant en échec la pulsionnalité narcissique exprimée dans la position de toute-puissance infantile. L’hypothèse est posée que l’abolition du Père comme institution peut être corrélée au phénomène d’affaiblissement des étayages narcissiques sur des objets sociaux stables. Dans l’organisation sociale et psychique, nous passons ainsi de la figure tutélaire d’Œdipe et son organisation ternaire, à celle de Narcisse et sa logique duelle.
Inceste dans la fratrie
Authors: Razon Laure 
Published: December 2021

L’inceste frères-sœurs s’enracine dans une défaillance des fonctions parentales, principalement paternelles. De ce fait, la violence infiltre progressivement au fil des générations les liens constituant la structure familiale. L’une des conséquences est une fragilité narcissique importante chez ces enfants, une fragilité contrariant l’accès à la triangulation œdipienne. Nous posons l’hypothèse que l’acte incestueux du fils-agresseur est l’écho d’un fantasme incestueux présent chez le père. « L’incestuel » du père s’exprime par le legs d’une place privilégiée pour l’un des enfants. L’enfant existant du côté d’un incestuel chez le père devient celui à détruire pour les frères-agresseurs, car ils se sentent exclus d’un lien père-fils. À cela s’associe le « meurtriel » du père envers les fils. Le meurtriel et l’incestuel du père, référés à des interdits non symbolisables, sont entendus chez les enfants. L’acte incestueux serait alors une variante de parricide.
L’adolescence : une manière de se défaire tout en se faisant
Authors: Gonzalès Jean-Pierre 
Published: December 2021

À partir de l’exemple d’une situation de thérapie familiale psychanalytique, l’auteur montre le poids du secret familial transgénérationnel comme facteur désorganisateur et inhibiteur du processus de séparation psychique et réelle de l’adolescent d’avec sa famille. L’infantile des parents figé et fixé, en l’occurrence par le secret du père, se déploie à travers le processus thérapeutique (transfert du groupe familial et contre-transfert de l’analyste) jusqu’à retrouver une dynamique créatrice. Ainsi, la reprise élaborative des « messages énigmatiques » par la libre circulation fantasmatique familiale retrouvée, redonne sécurité, et réorganise l’espace familial groupal, la place et le rôle de chacun.
La préservation de la nature est-elle (néo)coloniale ? L’invention des parcs nationaux en Afrique
Authors: Blanc Guillaume 
Published: December 2021

Alors qu’en Europe, les institutions internationales de conservation de la nature cherchent à résoudre la crise écologique en soutenant les populations des territoires concernés, elles s’efforcent en Afrique de naturaliser les lieux en les déshumanisant. Les agriculteurs et les bergers qui vivent dans les parcs nationaux africains sont pénalisés, expulsés, voire emprisonnés pour occuper ces espaces, au nom de la protection de la nature. Né de l’époque coloniale, le mythe de l’Éden africain continue ainsi d’alimenter la conception d’une Afrique naturelle mais dénaturée par les Africains. Justifiant l’intervention de l’expertise occidentale, il fait l’impasse sur la véritable cause de la destruction de la nature : un mode de vie fondé sur l’exploitation massive des ressources, émanant d’abord, hier comme aujourd’hui, de l’Occident.
Autistic children's parents and hospital dentistry
Authors: Tahririan Dana , Shariati Saharosadat , Nilchian Firoozeh 
Published: December 2021

Background:
It is difficult to perform dental procedures in autistic children, and parental involvement is necessary for successful hospital dental services. Therefore, in order to promote oral health in autistic children, this study was aimed to explore the knowledge, attitude, and performance of autistic children's parents with respect to hospital dentistry.

Materials and Methods:
This cross-sectional study was conducted with the parents of 100 autistic children aged 2–6 years selected from among the children of Isfahan autism treatment centers. A self-administered questionnaire, including parental demographic information and 22 items on the assessment of knowledge, attitude, and performance of autistic children's parents regarding hospital dental procedures under general anesthesia, was completed by 100 parents. P <0.05 was considered statistically significant. Data were analyzed by SPSS software using Chi-square test.

Results:
A total of 100 parents of autistic children, with an average age of 37.4 ± 6.1 years, were recruited in this study. The results showed that 56%, 50%, and 3% of parents had poor knowledge about dental hospital services, dental complications, and hospital dentistry rules, respectively. Further, 51% of parents believed that general anesthesia was dangerous to their children. In addition, 69% of children had little or no cooperation with the dentist. There was also a significant relationship between the knowledge, attitude, and performance of autistic children's parents regarding hospital dentistry and the parents' age and sex.

Conclusion:
This study showed that autistic children's parents had poor knowledge, attitude, and performance with respect to hospital dentistry.