bluuebunny/crossref_metadata_2025_split huggingface dataset:
Use of an Over-the-Scope Clip for Closure of an Iatrogenic Nephrocolic Fistula Resulting From Cryoablative Therapy for Renal Cell Cancer of a Transplanted Renal Graft
Authors: Nassani Najib , Villa Edward , Carroll Robert E. 
Published: May 2021

ABSTRACT
Although uncommon, cryoablation of tumors can result in collateral damage to adjacent organs resulting in difficult-to-treat perforation and fistulization. Full-thickness closure of defects has been described with the use of over-the-scope clips. We describe the case of a 56-year-old woman who underwent cryoablation of renal cell carcinoma of her transplanted kidney that was complicated by cryoinjury to her sigmoid colon with subsequent nephrocolic fistula and abscess formation resistant to conservative treatment. We report a case of successful abscess drainage and use of over-the-scope clip for closure of an iatrogenic renal graft nephrocolic fistula.
A Rare Case of Dorsal Agenesis of Pancreas, Choledochal Cyst, and Hirschsprung Disease in a Young Patient
Authors: Chapa Uday Kumar , Dutta Souradeep , Remesh Athul Minija , Jain Ankit , Abhinaya Reddy , Nelamangala Ramakrishnaiah Vishnu Prasad 
Published: May 2021

ABSTRACT
Dorsal pancreatic agenesis is a rare congenital pancreatic malformation. There is just 1 reported case associating it with choledochal cyst. However, no cases have reported yet with both coexisting with Hirschsprung disease. We report a case of a 23-year-old man, presenting with on and off epigastric pain, sometimes radiating to the back. His medical records showed he had Hirschsprung disease as a neonate, for which he underwent Duhamel procedure. Ultrasound imaging revealed a choledochal cyst and a nonvisualized distal portion of the pancreas. Further cross-sectional imaging confirmed the findings—a type 1 choledochal cyst and a dorsal agenesis of the pancreas in a patient with Hirschsprung disease.
Description Data Completeness in Maternal & Child Health (MCH) Handbook in Temanggung Regency
Authors: Dharmawan Yudhy 
Published: May 2021

Background: Maternal mortality rate in Central Java in 2015 was still high, at 111 / 100,000 live births. Therefore developed a method for early detection of the cause of death in “Desa Siaga“ Program. In this program include a community-based surveillance. Sources of primary data recording surveillance activities are MCH handbook. Therefore it needs to know how the completeness of MCH handbook as a basis for the development of surveillance system in the villageMethod: Data collection techniques using observations with the checklist instrument to describe data completeness MCH handbook. Population study is MCH handbook what owned by Mothers who have children under five. Samples were MCH handbook in 31 villages with category Active “ Desa Siaga” in the working area three health centers in the district of Temanggung.Results: The average of data completeness in MCH Handbook was 45.29%. For 13 MCH Handbook section was observed, there are only 3 parts completeness above 50%, Ten other parts percentage is less than 50%. Conclusion: There are many data that useful for screening high risk pregnant woman and nutrition growth are incomplete. Incomplete data in MCH Data shown that data is not be urgent in MCH Services. Data in MCH Handbook couldn’t be database for MCH Surveillance in “Desa Siaga “ Program
Tingkat Ekoliterasi Tenaga Pendidik Fakultas Ilmu Budaya UNSOED
Authors: Aditya Aldi , Oktavilia Ernasiwi Astri 
Published: May 2021

Banyak krisis ekologi terjadi di perdesaan, sementara visi Universitas Jenderal Soedirman (Unsoed) adalah menjadi pusat pengembangan sumberdaya perdesaan dan kearifan lokal. Idealnya, tenaga pendidik yang bernaung di Fakultas Ilmu Budaya Unsoed dapat berkontribusi dalam memecahkan problem ekologis secara kultural lewat pendidikan, penelitian, dan pengabdian masyarakat. Untuk itu, diperlukan pemahaman atas konsep baru dalam dunia kritik sastra, yaitu ekokritisisme. Ekokritisisme bisa menjadi mode analisis terhadap teks kultural (sastra, film, gambar, dll.) sebagai respons atas krisis lingkungan. Penelitian ini bertujuan mengukur dan mengetahui tingkat literasi tenaga pendidik atas konsep ekokritisisme dengan menggunakan gabungan metode kepustakaan dan pengambilan angket untuk data primer, serta wawancara untuk data sekunder. Secara keseluruhan, semua responden termasuk dalam kategori sedang untuk skor total kompetensi ekoliterasi. Hasil penelitian ini diharapkan dapat berkontribusi bagi pengembangan kurikulum dan kompetensi dosen, khususnya di lingkungan FIB Unsoed.
Makna Pesan Sosial dalam Iklan Layanan Masyarakat “Stereotip Z”: Sebuah Kajian Semiotika Riffaterre
Authors: Santoso Budi , Lewa Andi Halang 
Published: May 2021

Abstract Public Service Advertisements are non-commercial advertisements that aim to sell ideas for the benefit of public service. The message of Public Service Advertisements contains suggestions and persuation to the public to take an action that changes their "bad" behavior for the better behavior . This paper attempts to describe the meaning of social messages in the text of public service advertisements “Stereotype Z”. Data analysts use Riffaterre’s semiotic approach. Through heuristic and hermenetic reading, analysis of the indirect expressions, matrix, model, variant, and hypogra, results show that the text of public service advertisements "Stereotype Z” contains a social message that persuade the young generation (generation Z) to be more critical about the problems in their suroundings.
Reliability of the Squat Jump Force-Velocity and Load-Velocity Profiles
Authors: Kotani Yosuke , Lake Jason , Guppy Stuart N. , Poon Wayne , Nosaka Kazunori , Hori Naruhiro , Haff G. Gregory 
Published: May 2021

Abstract
Kotani, Y, Lake, J, Guppy, SN, Poon, W, Nosaka, K, Hori, N, and Haff, GG. The reliability of the squat jump force-velocity and load-velocity profiles. J Strength Cond Res 36(11): 3000–3007, 2022—The purpose of this study was to investigate the between-session reliability of the squat jump force-velocity (FV) and load-velocity (LV) profiles. Eighteen subjects (age = 28.1 ± 4.8 years; height = 1.7 ± 9.7; body mass = 74.7 ± 12.8) who could back squat >1.5 times body mass participated in this study. Each subject completed a familiarization session, followed by 2 experimental sessions each separated by 72 hours. Subjects performed a series of squat jumps on a force plate against external loads between 0 and 100% of their body mass in a quasi-randomized block order. Intraclass correlation coefficient (ICC) and coefficient of variation (CV) were used to examine the between-session reliability. Peak velocity (PV) and mean velocity (MV) at each load were highly reliable (ICC >0.80, CV% <7.41, SEM <0.13 m·s−1, smallest detectable difference [SDD] <0.31 m·s−1, ES <0.21). Force-velocity profiles created with peak force and relative peak force resulted in poor to excellent reliability (ICC = 0.34–0.92, CV% = 11.9–26.3). When mean and relative mean forces were used to create FV profiles, there was poor to good reliability (ICC = 0.03–0.85, CV% = 18.1–39.4). When the LV profile was calculated with PV (ICC = 0.60–0.90, CV% = 7.9–16.9) or MV (ICC = 0.49–0.91, CV% = 11.1–23.4), there was poor to excellent reliability. There was no time effect found between sessions for both FV and LV profiles. The squat jump FV and LV profiles established with a force plate are not reliable. Therefore, these profiles are not recommended to be used to inform programming decisions.
Application of Critical Path Method and Fuzzy Logic in Optimizing Bottled Drinking Water Production
Authors: Yudiarti Wanda Wira , Razi Faiz Ainur 
Published: May 2021

AbstractProject management is one of the analytical techniques used for planning, scheduling, and making decisions about activities. This is useful so that the project can be implemented optimally and efficiently. Project management can be done by optimizing the network. Network optimization is very important for the production of bottled drinking water (AMDK) "AETA" produced by the PDAM of Kota Madiun. The optimization of the bottled water production network in this study uses the Fuzzy Critical Path Method (FCPM) analysis technique. Optimization of this fuzzy network is carried out to find a critical path in the production of bottled drinking water in order to get an efficient time in the production of 4 types of bottled drinking water, namely glass, 1.5L bottles, 600mL bottles, and gallons. The results showed that gallon product packaging has a high level of efficiency. In this research, fuzzy data analysis uses trapezoidal fuzzy numbers for bottled drinking water production time. Meanwhile, CPM is used to obtain the most efficient critical path or time in the AMDK production. The combination of these two methods is very helpful in project management so that the scheduling of activity can be run optimally.Keywords: Critical Path method; fuzzy; optimization; project management; scheduling. AbstrakManajemen proyek merupakan salah satu teknik analisis yang digunakan untuk perencanaan, penjadwalan, dan pengambilan keputusan tentang kegiatan. Hal ini bermanfaat agar proyek dapat dilaksanakan secara optimal dan efisien. Manajemen proyek dapat dilakukan dengan mengoptimalkan jaringan. Optimalisasi jaringan sangat penting untuk produksi Air Minum Dalam Kemasan (AMDK) "AETA" yang diproduksi oleh PDAM Kota Madiun. Optimasi jaringan produksi AMDK dalam penelitian ini menggunakan teknik analisis Fuzzy Critical Path Method (FCPM). Optimalisasi jaringan fuzzy ini akan dilakukan untuk mencari jalur kritis dalam produksi air minum dalam kemasan guna mendapatkan waktu yang efisien dalam produksi 4 jenis air minum dalam kemasan yaitu gelas, botol 1.5L, botol 600mL, dan galon. Hasil penelitian didapat pengemasan produk gallon memiliki tingkat efisien yang tinggi. Dalam penelitian ini, data fuzzy menggunakan bilangan fuzzy trapezoidal untuk waktu produksi AMDK. Sedangkan CPM digunakan untuk mendapatkan jalur atau waktu kritis yang paling efisien dalam produksi AMDK. Penggabungan antara dua metode ini sangat membantu dalam manajemen proyek sehingga penjadwalan suatu aktivitas bisa berjalan secara optimal.Kata kunci: Critical Path method; fuzzy; manajemen proyek; optimasi; penjadwalan.
Trends in Bronchiolitis ICU Admissions and Ventilation Practices: 2010–2019
Authors: Pelletier Jonathan H. , Au Alicia K. , Fuhrman Dana , Clark Robert S. B. , Horvat Christopher 
Published: May 2021

OBJECTIVES:
To determine the changes in ICU admissions, ventilatory support, length of stay, and cost for patients with bronchiolitis in the United States.

METHODS:
Retrospective cross-sectional study of the Pediatric Health Information Systems database. All patients age &lt;2 years admitted with bronchiolitis and discharged between January 1, 2010 and December 31, 2019, were included. Outcomes included proportions of annual ICU admissions, invasive mechanical ventilation (IMV), noninvasive ventilation (NIV), and cost.

RESULTS:
Of 203 859 admissions for bronchiolitis, 39 442 (19.3%) were admitted to an ICU, 6751 (3.3%) received IMV, and 9983 (4.9%) received NIV. ICU admissions for bronchiolitis doubled from 11.7% in 2010 to 24.5% in 2019 (P &lt; .001 for trend), whereas ICU admissions for all children in Pediatric Health Information Systems &lt;2 years of age increased from 16.0% to 21.1% during the same period (P &lt; .001 for trend). Use of NIV increased sevenfold from 1.2% in 2010 to 9.5% in 2019 (P &lt; .001 for trend). Use of IMV did not significantly change (3.3% in 2010 to 2.8% in 2019, P = .414 for trend). In mixed-effects multivariable logistic regression, discharge year was a significant predictor of NIV (odds ratio: 1.24; 95% confidence interval [CI]: 1.23–1.24) and ICU admission (odds ratio: 1.09; 95% CI: 1.09–1.09) but not IMV (odds ratio: 1.00; 95% CI: 1.00–1.00).

CONCLUSIONS:
The proportions of children with bronchiolitis admitted to an ICU and receiving NIV have substantially increased, whereas the proportion receiving IMV is unchanged over the past decade. Further study is needed to better understand the factors underlying these temporal patterns.
Promotion of Meal Premiums in Child-Directed TV Advertising for Children’s Fast-food Meals
Authors: Emond Jennifer A. , Utter Hannah , Eschholz Alec , Chang Vincent , Gottlieb Mark A. , Sargent James D. 
Published: May 2021

BACKGROUND:
Fast-food intake is a modifiable obesity risk factor in early childhood, and child-directed fast-food marketing is common. Per self-regulatory guidelines regarding deception, premiums (ie, incentives or toy giveaways) in child-directed advertisements must be secondary to the advertised product.

METHODS:
Content analyses were performed of all child-directed fast-food television (TV) advertisements aired on four national US children’s TV networks, February 1, 2019, through January 31, 2020, to assess the emphasis of premiums relative to food. We quantified the percent of the audio transcript (word count) and visual airtime (seconds) that included premiums or food and the on-screen size of premiums relative to food in randomly selected frames from each advertisement.

RESULTS:
There were 28 unique child-directed advertisements for children’s fast-food meals in the study year; 27 advertisements were from one restaurant and accounted for nearly all (99.8%) of the total airtime for the 28 advertisements. Premiums were present in 27 of the 28 unique advertisements. On average, premiums (versus food) accounted for 53.0% (vs 16.0%) of words in the audio transcript and 59.2% (vs 54.3%) of the visual airtime per advertisement. In the random subset of frames that includes both premiums and food imagery, imagery of premiums accounted for 9.7% (95% CI: 6.4%–13.0%) of the on-screen area, whereas imagery of food accounted for 5.7% (95% CI: 4.4%–7.0%), an average ratio of 1.9:1 within each frame when excluding one large outlier.

CONCLUSIONS:
Child-directed fast-food TV advertisements emphasize premiums over food in violation of self-regulatory guidelines, counter to childhood obesity prevention efforts.
The Relationship Between Experienced Parents’ Divorce and Their Circumstancs With Young Adults’ Behavioral and Emotional Difficulties
Authors: Viršilaitė Reda , Bukšnytė-Marmienė Loreta 
Published: May 2021

Parents’ divorce is a phenomenon affecting the further psychosocial functioning of children. It is established that the divorce consequences on children are long-term: adults who have experienced parents’ divorce in childhood are characterized by poorer mental health, also they are having clearer emotional and behavioral difficulties. Researchers argue that not the divorce fact itself is the most important in assessing the consequences for children but rather the circumstances of parents’ divorce. After analysing the most detrimental divorces’ circumstances this study focuses on the child’s negative feelings, experienced during the divorce, the intensity of parents’ conflicts, the child’s involvement in conflicts, and negative changes afterwards.The aim of the study was to determine the relationship between young adults’ behavioral and emotional difficulties and parents’ divorce experienced in childhood or adolescence as well as its circumstances.The study involved 173 young adults. Behavioral and emotional difficulties are assessed by ASEBA (Adult Questionnaire). In order to assess the impact of parents’ divorce and its circumstances, a questionnaire (Viršilaitė, Bukšnytė-Marmienė, 2018) was used. The study found that the child’s negative feelings during parents’ divorce predict young adults’ aggression, rules’ braking, anxiety/depression, self-closure also emotional and behavioral difficulties in general. The intensity of parents’ conflicts during divorce predicts aggression in young adults.
Dynamics of cardiac autonomic regulation during isometric sustained weight test in hypertensive patients
Authors: Sanchez-Hechavarria Miguel Enrique , Ortiz-Alcolea Laritza , Torres-Leyva Michel , Carrazana-Escalona Ramón , López-Galán Erislandis , Albarrán-Torres Felipe Antonio , Muñoz-Bustos Gustavo Alejandro , Saa-Muñoz Nicolas Armando , Cutiño-Clavel Ileana 
Published: May 2021

Background: The Sustained Weight Test (SWT) is an isometric exercise test that has great practical value for carrying out massive studies on hypertension, however, is insufficient knowledge of the dynamics of cardiac autonomic regulation during this test. The aim of this study was to determine variations in the dynamics of cardiac autonomic regulation and in hemodynamic response during SWT in hypertensive subjects.
Methods: A quasi-experimental study was conducted on 15 hypertensive patients of both sexes, paired with 30 normotensive individuals, measuring arterial blood pressure, entropy sample and the Heart Rate Variability (HRV) in time-frequency with the Continuous Wavelet Transform Morlet-type (CWT morlet) through the electrocardiographic signal of the polygraph AD Instruments in the functional states of Rest and SWT.
Results: A significant increase in heart rate and blood pressure was found, as well as a decrease in sample entropy in the functional states of normotensive and hypertensive patients. In hypertensive patients, an early response pattern increased with multiple fluctuations during SWT in the time-frequency analysis of HRV with the CWT morlet.
Conclusions: SWT produces an increase in blood pressure, which is more frequent and evident in hypertensive subjects. Cardiac autonomic regulation during SWT increases the sympathetic and decreases the parasympathetic components, manifesting itself in hypertensive patients with a pattern of imbalance in the regulation of both sympathetic and parasympathetic response.
Efficiency analysis of Catalonia’s construction industry pre- and post-financial crisis: a data envelopment analysis (DEA) approach
Authors: Procel Claudette 
Published: May 2021

By employing a non-parametric technique rooted in economic production theory—i.e., Data Envelopment Analysis (DEA)—this study evaluates the efficiency level of construction businesses operating in the Spanish region of Catalonia. The empirical application considers a dataset including information for more than 1000 construction businesses from Catalonia during the period 2005-2016. The empirical results reveal that the efficiency level in the Catalan construction industry drastically fell during the period of economic downturn (2009-2012). Also, the findings show that efficiency in the industry improves after 2013; however, the speed of recovery is heterogeneous across businesses. A further analysis highlights that business size is a relevant factor explaining efficiency differences among the sampled businesses: efficiency is evidently lower in micro businesses compared to the figures reported for small and medium and large construction firms
ASHY DERMATOSIS - A CASE REPORT FROM PALMAS - TO
Authors: Borges Isabella Vieira , Azzam Laura Barcelos , Nascimento Gomes Fernanda Vieira , De Carvalho Coelho Júlia Artiaga , De Araujo Fellipe Magela , Pugliesi Yasmin , Silva Tavares Luciane Prado 
Published: May 2021

INTRODUCTION: Ashy dermatosis is a rare dermatosis of unknown etiology and pathogenesis, more common in people with darker skin. However, in this case report, the patient is white. CASE REPORT: A 54-year-old white woman with a history of asymptomatic gray-stained macules located on the craniocaudal axis. Despite a positive antinuclear antibody (ANA) test, the use of Plaquinol was suspended due to the fact that the patient did not present rheumatologic affections. A biopsy compatible with the condition of ashy dermatosis and post-inflammation pigmentation was performed. However, the anatomopathological examination revealed superficial perivascular dermatitis with pigmented incontinence and skin fragments, a discreet superficial perivascular inflammatory mononuclear infiltrate and mild pigmentary incontinence, confirming the clinical hypothesis of ashy dermatosis. A skin lightening lotion (Arbutin 4%, Chromabright 0.5%, Alfabisabol 1%, Nicotinamide 4%, Kojico Acid 3%, Nonionic Cream) was used for 30 days with satisfactory results, along with the substitution of antihypertensive medication. FINAL CONSIDERATIONS: The report is relevant because it is necessary to know this pathology for differential diagnosis of pigmented dermatosis and so that the best treatment can be prescribed.
Keywords: Ashy Dermatosis; Hyperpigmentation; Erythema Dyschromicum Perstans.
RESUMO
INTRODUÇÃO: A dermatose cinzenta é uma dermatose rara, de etiologia e patogenia desconhecida, mais comum em pessoas de pele mais escura, porém no caso relatado a paciente é branca. RELATO DE CASO: Mulher de 54 anos de idade, branca, com história de máculas de coloração acinzentada, assintomáticas, localizadas no eixo craniocaudal. Apesar do FAN positivo, o uso de Plaquinol foi suspenso pela paciente não apresentar afecção reumatológica. Foi realizada uma biópsia compatível com o quadro de dermatose cinzenta bem como pigmentação pós-inflamação. No entanto, no exame anatomopatológico foi encontrada dermatite perivascular superficial com incontinência pigmentar e em fragmentos de pele, um discreto infiltrado inflamatório mononuclear perivascular superficial e leve incontinência pigmentar, confirmando a hipótese clínica de dermatose cinzenta. Uma loção clareadora (Arbutin 4%, Chromabright 0,5%, Alfabisabol 1%, Nicotinamida 4%, Ácido Kojico 3%, Creme não iônico) foi utilizada por 30 dias apresentando resultados satisfatórios, além da substituição do anti-hipertensivo. CONSIDERAÇÕES FINAIS: O relato é relevante pois deve-se conhecer essa patologia para diagnose diferencial das dermatoses pigmentadas e desta forma optar pela melhor conduta terapêutica.
Palavras-chave: Dermatose cinzenta; Hiperpigmentação; Eritema Discrômico Persistente.
QUAL O PAPEL DO SISTEMA IMUNE NAS MORTES POR MALÁRIA?
Authors: Basilio Gabriel Ferraz Campos , Santana Lucília Fraissat , Moreira Matheus 
Published: May 2021

biológico complexo que pode causar diferentes reações imunes no organismo. Essa resposta imune leva a manifestações leves ou graves da doença. O objetivo deste trabalho é abordar o papel do sistema imune na fisiopatologia da malária e suas complicações. Visando assim, definir a melhor abordagem a ser seguida pelas novos trabalhos em terapêutica da malária.
Palavras-chave: malária; sistema imune; fisiopatologia; complicações.
ABSTRACT
Malaria is one of the leading global health issues; it causes more than a million deaths each year. In Brazil, malaria cases are mainly concentrated in the north region of the country. The disease is caused by a complex biological cycle parasite which can cause different immune reactions in the body. This immune response leads to mild or severe manifestations of the disease. The objective of this work is to address the role of the immune system in the pathophysiology of malaria and its complications. In this way, we can define the best approach to new research in malaria therapy.
Keywords: malaria; immune system; physiopathology; complications.