bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prognostic Value of a New Integrated Parameter—Both Collateral Circulation and Permeability Surface—in Hemorrhagic Transformation of Middle Cerebral Artery Occlusion Acute Ischemic Stroke: Retrospective Cohort Study
Authors: Li Chanchan , Hao Xiaozhu , Lin Luyi , Sun Chengfeng , Yu Hai , Yao Zhenwei , Feng Xiaoyuan , Yang Yanmei 
Published: August 2021

BackgroundMultimodal CT, including CT angiography (CTA) and CT perfusion (CTP), was increasingly used in stroke triage. This study was to determine the relationship between a new integrated parameter—both collateral circulation and relative permeability surface (PS)—and the hemorrhagic transformation (HT) in acute ischemic stroke (AIS) with middle cerebral artery occlusion (MCAO).MethodsWe retrospectively reviewed consecutive AIS patients with MCAO who underwent baseline CTA/CTP within 4 h of symptom onset and follow-up susceptibility-weighted imaging (SWI) within 3 weeks. Collateral circulation was assessed on the baseline CTA. Baseline CTP data were postprocessed to generate PS parameter. The patients with poor collateral circulation and at the same time with high relative PS were classified as the group of both poor collateral circulation and high relative PS. HT was defined according to European Cooperative Acute Stroke Study II criteria on follow-up SWI imaging. Multivariate logistic regression analysis was performed using HT as an outcome variable.ResultsThe group of patients with both poor collateral circulation and high relative PS was thirteen and thirty-three (52%) developed HT of the final cohort sixty-three AIS patients with MCAO. Multivariate logistic analysis revealed the new integrated parameter—both collateral circulation and relative PS (odds ratio, 16.59; 95% confidence interval, 13.09–19.10; P &lt; 0.001) was independent predictor of HT. The area under the curve was 0.85 (95% confidence interval, 0.81–0.89). The sensitivity was 57%, specificity 97% and positive predictive value 92%, negative predictive value 58%.ConclusionsFor AIS patients with MCAO, these with poor collateral circulation on CTA and at the same time with high relative PS on CTP were at high risk for HT.
Parents' Views of Family-Centered Care at a Pediatric Intensive Care Unit—A Qualitative Study
Authors: Terp Karina , Weis Janne , Lundqvist Pia 
Published: August 2021

Purpose:To describe parents' views of family-centered care at a pediatric intensive care unit.Design and Methods:A qualitative descriptive study with a deductive and inductive approach was conducted based on the principles of family-centered care. Inclusion criteria were parents of children cared for at a pediatric intensive care unit for at least 48 h. Parents of children who died during the hospital stay were excluded. The sample consisted of spontaneous responses from 70 parents to five open questions in the EMpowerment of PArents in THe Intensive Care questionnaire, which was completed at discharge. The spontaneous responses were analyzed using thematic analysis.Results:The analysis of the parents' statement illuminated that partnership, the essence of family-centered care, appeared incomplete. Partnership was particularly evident regarding parents' experiences of being treated with empathy and respect. It also seemed prominent in situations where the professional team provided support to the child, parents, and family. Based on the parents' statements there was potential for development of the family-centered care approach in aspects such as decision-making concerning care and treatment, as well as improving person-centered communication on order to capture parents' experiences and needs in the highly technological pediatric intensive care unit environment.Conclusions:Although in general parents were satisfied with the care, areas for improvement were identified such as participation in decision-making about care and treatment as well as person-centered communication. The results can contribute to future quality improvement interventions focusing family centered care at pediatric intensive care units.
Automatically Generated Smartphone Data in Young Patients With Newly Diagnosed Bipolar Disorder and Healthy Controls
Authors: Melbye Sigurd , Stanislaus Sharleny , Vinberg Maj , Frost Mads , Bardram Jakob Eyvind , Kessing Lars Vedel , Faurholt-Jepsen Maria 
Published: August 2021

Background: Smartphones may facilitate continuous and fine-grained monitoring of behavioral activities via automatically generated data and could prove to be especially valuable in monitoring illness activity in young patients with bipolar disorder (BD), who often present with rapid changes in mood and related symptoms. The present pilot study in young patients with newly diagnosed BD and healthy controls (HC) aimed to (1) validate automatically generated smartphone data reflecting physical and social activity and phone usage against validated clinical rating scales and questionnaires; (2) investigate differences in automatically generated smartphone data between young patients with newly diagnosed BD and HC; and (3) investigate associations between automatically generated smartphone data and smartphone-based self-monitored mood and activity in young patients with newly diagnosed BD.Methods: A total of 40 young patients with newly diagnosed BD and 21 HC aged 15–25 years provided daily automatically generated smartphone data for 3–779 days [median (IQR) = 140 (11.5–268.5)], in addition to daily smartphone-based self-monitoring of activity and mood. All participants were assessed with clinical rating scales.Results: (1) The number of outgoing phone calls was positively associated with scores on the Young Mania Rating Scale and subitems concerning activity and speech. The number of missed calls (p = 0.015) and the number of outgoing text messages (p = 0.017) were positively associated with the level of psychomotor agitation according to the Hamilton Depression Rating scale subitem 9. (2) Young patients with newly diagnosed BD had a higher number of incoming calls compared with HC (BD: mean = 1.419, 95% CI: 1.162, 1.677; HC: mean = 0.972, 95% CI: 0.637, 1.308; p = 0.043) and lower self-monitored mood and activity (p's &lt; 0.001). (3) Smartphone-based self-monitored mood and activity were positively associated with step counts and the number of outgoing calls, respectively (p's &lt; 0.001).Conclusion: Automatically generated data on physical and social activity and phone usage seem to reflect symptoms. These data differ between young patients with newly diagnosed BD and HC and reflect changes in illness activity in young patients with BD. Automatically generated smartphone-based data could be a useful clinical tool in diagnosing and monitoring illness activity in young patients with BD.
Drug-Induced Stuttering: Occurrence and Possible Pathways
Authors: Ekhart Corine , van Hunsel Florence , van Harten Peter , van Baarsen Jeanette , Yingying Tan , Bast Bert 
Published: August 2021

Background: Stuttering is a well-known condition that affects mainly children. Often, they recover as they get older. However, a drug-induced form of stuttering may occur at any age. The aim of the present study was to detect drugs that have been associated with stuttering and discuss the mechanisms involved.Method: A descriptive study based on reports submitted to the global pharmacovigilance database VigiBase of the WHO was conducted.Results: A total of 3,385 reports of dysphemia were retrieved from VigiBase. These reports were contributed by 51 countries. Antiepileptics, antidepressants, immunosuppressants, antipsychotics, and centrally acting sympathomimetics were among the most frequently implicated drugs.Conclusion: A wide variety of drugs has been linked to the occurrence or recurrence of stuttering. Several mechanisms, such as increased dopamine levels, reduction of GABA, anticholinergic properties of drugs, or changes in serotonin levels, have been associated with the development of drug-induced stuttering. Paradoxically, agents known to reduce stuttering in some people may induce it in others.
Examination of the Association Between Access to Care and Lung Cancer Screening Among High-Risk Smokers
Authors: Li Chien-Ching , Matthews Alicia K. , Kao Yu-Hsiang , Lin Wei-Ting , Bahhur Jad , Dowling Linda 
Published: August 2021

Objective: The purpose of this study was to examine the influence of access to care on the uptake of low-dose computed tomography (LDCT) lung cancer screening among a diverse sample of screening-eligible patients.Methods: We utilized a cross-sectional study design. Our sample included patients evaluated for lung cancer screening at a large academic medical center (AMC) between 2015 and 2017 who met 2013 USPSTF guidelines for LDCT screening eligibility. The completion of LDCT screening (yes, no) was the primary dependent variable. The independent variable was access to care (insurance type, living within the AMC service area). We utilized binary logistic regression analyses to examine the influence of access to care on screening completion after adjusting for demographic factors (age, sex, race) and smoking history (current smoking status, smoking pack-year history).Results: A total of 1,355 individuals met LDCT eligibility criteria, and of those, 29.8% (n = 404) completed screening. Regression analysis results showed individuals with Medicaid insurance (OR, 1.51; 95% CI, 1.03-2.22), individuals living within the AMC service area (OR, 1.71; 95% CI, 1.21–2.40), and those aged 65–74 years (OR, 1.49; 95% CI, 1.12–1.98) had higher odds of receiving LDCT lung cancer screening. Lower odds of screening were associated with having Medicare insurance (OR, 0.30; 95% CI, 0.22–0.41) and out-of-pocket (OR, 0.27; 95% CI, 0.15–0.47).Conclusion: Access to care was independently associated with lowered screening rates. Study results are consistent with prior research identifying the importance of access factors on uptake of cancer early detection screening behaviors.
The categories in Petrus Hispanus’s Tractatus commentators: John Buridan, John Versor and Peter Tartaret
Authors: Correia Mário João 
Published: August 2021

One of the features of the manuscript transmission of Petrus Hispanus’s Tractatus (or Summulae logicales) is the fact that the treatise on the Categories does not always appear in the same place. In some manuscripts, it appears in third place, after the treatise on Porphyry’s Isagoge, following the traditional order of the logica vetus. But in some others, the treatise on the Categories appears in fifth place, after the treatise on the Topics and right before the treatise on supposition. In both cases, it seems that the place of Aristotle’s Categories in logic is defined by the notion of “term”.
The purpose of this article is to understand why this variation occurs, since it is not theoretically neutral. Hence, to address the problem of placing the treatise on the Categories within logic, three of the most prominent Tractatus commentators will be presented: John Buridan, John Versor and Peter Tartaret. This exercise will provide some insights on the relation between the categories and the theory of supposition, and also on the vexata quaestio of what categories are about (words, concepts, or things).
HİATAL HERNİ VE REFLÜ ÖZOFAJİT BİRLİKTELİĞİNDE LAPAROSKOPİK SÜTÜR KRUROPLASTİ VE NİSSEN FUNDOPLİKASYONU’NUN ERKEN DÖNEM SONUÇLARI
Authors: KARABACAK Harun , KOZAN Ramazan 
Published: August 2021

Bu
çalışmanın amacı laparoskopik primer krus onarımı ve antireflü cerrahisinin
erken dönem sonuçlarını ve etkinliğini irdelemek, cerrahi tedaviye aday
hastalar ve yöntem seçiminde klinisyenlere yol gösterici olmaktır. Haziran
2013 ile Haziran 2018 tarihleri arasında hiatal herni ve reflü özofajit
birlikteliği nedeni ile ameliyat edilen hastaların verileri retrospektif olarak
tarandı. Tüm hastalar ameliyat öncesinde özofagus manometrisi, 24 saatlik pH
monötörizasyonu ve üst gastrointestinal sistem endoskopisi ile değerlendirildi.
Ameliyat sonrası 6. ayda rutin endoskopik kontrol yapıldı. Hastaların
demografik özellikleri, ameliyat öncesi ve sonrası endoskopi bulguları ve
peroperatif komplikasyonlar kayıt altına alındı. Hastaların
18'i (%56.2) erkek, 14'ü (% 43.8) kadındı. Altı (%18.8) hastada erken
komplikasyon izlendi. Postoperatif 6. ayda yapılan endoskopik kontrollerde
hastaların 28'inde (%87.5) özofajit görülmedi. Üç hastada (%9.4) Los Angeles
sınıflandırmasına göre preoperatif grade C olan özofajitin grade A'ya
gerilediği görüldü. Bir (%3.1) hastada
özofajit preoperatif dönem ile aynı şiddetde sebat etmekteydi. Altıncı ayın sonunda hiçbir hastada disfaji
ve rekürrens saptanmadı. Laparoskopik
sütür kruroplasti ve Nissen fundoplikasyonu kombinasyonu reflü özofajiti olan
hiatal herni hastalarında özofajitin tedavisi yanı sıra erken dönem
komplikasyon ve rekürrens oranları yönünden de etkin bir tedavi olduğu görüldü.
Aktivitas Komunikasi Komunitas Pokemon Go Club Karawang
Authors: Lubis Fardiah Oktariani , Lubis Flori Mardiani , Arindawati Weni Adityasning 
Published: August 2021

Manusia merupakan makhluk sosial yang memiliki naluri untuk hidup secara berkelompok. Kelompok jugaterbentuk karena anggota-anggotanya mempunyai tujuan bersama dan saling berinteraksi satu sama lain untuk mencapai tujuan bersama dan mengenal satu sama lainnya Komunitas merupakan salah satu bentuk dari kelompok, dan di dalam komunitas saling terjadi pertukaran pesan, dan pertukaran pesan tersebut membentuk suatu aktivitas komunikasi. Penelitian ini bertujuan untuk mengetahui aktivitas komunikasi dari komunitas pemain game augmented reality Pokemon Go yang berada di Karawang, yaitu Pokemon Go Club Karawang (PCK). Metode yang digunakan dalam penelitian ini menggunakan metode analisis data kualitatif deskriptif melalui proses wawancara dengan nara sumber, yaitu koordinator-koordinator lapangan dari komunitas PCK, observasi, dan juga studi pustaka. Dari penelitian diperoleh bahwa komunitas PCK melakukan aktivitas komunikasi hampir setiap hari dalam bentuk komunikasi verbal dan nonverbal. Komunikasi verbal mendominasi keseharian interaksi diantara anggota-anggotanya, dan sebagian besar interaksi terjadi dengan menggunakan whatsapp. Fitur-fitur dari game Pokemon itu sendiri menghasilkan istilah-istilah khusus yang dipahami bersama maknanya oleh para anggota. Aktivitas komunikasi nonverbal diidentifikasi pada gerakan tangan pemain dan juga atribut-atribut yang menjadi identitas dari komunitas.Kata Kunci: Pokemon Go, Komunikasi Kelompok, Aktivitas Komunikasi
Representasi Culture Shock pada Film Bollywood Queen: Studi Semiotika Roland Barthes Tentang Representasi Culture Shock Pada Film Bollywood Queen
Authors: Lubis Flori Mardiani , Lubis Fardiah Oktariani 
Published: August 2021

Culture shock dapat terjadi pada individu yang mengalami perpindahan budaya dari suatu kondisi yang dikenalnya kemudian memasuki lingkup budaya baru yang tidak familiar. Realitas seperti ini juga digambarkan dalam film, yang merupakan bentuk dari komunikasi massa. Salah satu film yang dapat digunakan untuk mengamati representasi culture shock adalah film Bollywood Queen, dimana tokoh utama dalam film tersebut menghadapi berbagai benturan budaya yang membuat karakter utama dalam film tersebut dapat diargumentasikan mengalami culture shock. Karakter dan unsur-unsur film memiliki kaitan erat dengan dengan semiotika. Semiotika adalah ilmu mengenai tanda-tanda. Roland Barthes adalah salah seorang tokoh semiotika yang berpendapat bahwa semiotika mempelajari bagaimana kemanusiaan memaknai hal-hal melalui konsep denotasi, konotasi dan mitos dalam suatu teks. Metode yang digunakan dalam penelitian ini menggunakan metode kualitatif dengan pendekatan analisis semiotika Roland Barthes dengan menggunakan data tekstual berupafilm yaitu film Bollywood berjudul Queen.Kata Kunci: Culture Shock, Film Bollywood Queen, Semiotika
Ideologi dalam Unsur Tematik Pada Talkshow Mata Najwa Trans 7 Episode “Gara-Gara Tagar”
Authors: Widiastuti Revina Siska , Nurhadi Jatmika 
Published: August 2021

Penelitian ini bertujuan untuk memperoleh deskripsi terkait ideologi dalam unsur tematik pada talkshow Mata Najwa Trans7 edisi “Gara-Gara Tagar”. Unsur tematik ini dikaji untuk memperoleh gambaran keberpihakan acara ini pada kubu presiden tertentu. Metode penelitian yang digunakan adalah metode kualitatif dengan pendekatan deskriptif. Data didapatkan dari tayangan Youtube Mata Najwa. Terdapat tujuh segmen yang dikaji. Hasil dari penelitian ini adalah terdapatnya keberpihakan ideologi Mata Najwa terhadap kubu petahana. Kata Kunci: Ideologi, Mata Najwa, Talkshow, Tanda Pagar
Pembangunan Kapasitas Birokrasi dan Penataan Organisasi dalam Peningkatan Kinerja Pelayanan Publik Universitas Singaperbangsa Karawang
Authors: Gumilar Gun Gun 
Published: August 2021

Univesitas Singaperbangsa Karawang merupakan instansi atau lembaga pendidikan milik pemerintah yang sejak tahun 2014 berubah status menjadi perguruan tinggi negeri yang mempunyai amanah mencerdaskan kehidupan bangsa khusunya di daerah Karawang, didasarkan pada fakta rendahnya kinerja pelayanan publik sebagaimana ditunjukkan oleh pelayanan yang tidak efektif, tidak responsif dan tidak berorientasi pada harapan masyarakat sehingga perlu penataan organisasi. Dengan menggunakan penelitian deskriptif kualitatif, penelitian ini dimaksudkan untuk menjawab pertanyaan penelitian yaitu mengapa kinerja pelayanan publik di belum sesuai dengan tuntutan dan harapan masyarakat dan bagaimana pembangunan kapasitas birokrasi Universitas Singapebangsa Karawang mampu mendorong peningkatan kinerja pelayanan publik. Hasil penelitian ini menunjukkan bahwa belum terpenuhinya tuntutan dan harapan masyarakat dalam kinerja pelayanan publik disebabkan karena adanya keterbatasan dalam kapasitas birokrasi dalam memberikan pelayanan kepada masyarakat, lemahnya political will pimpinan, rendahnya partisipasi masyarakat dan adanya faktor endowment yang menghambat.Kata Kunci: Penataan Organisasi, Evaluasi Kebijakan dan Pelayanan Publik
Kontrasepsi Darurat dan Permasalahannya
Authors: Suparman Erna 
Published: August 2021

Abstract: Emergency contraception is a contraceptive method that can prevent pregnancy if used immediately following unprotected sex. The use of emergency contraception could reduce the rate of unwanted pregnancy by up to 50%. There are two emergency contraceptive methods, including the emergency contraceptive pill and copper intrauterine device (IUD). Emergency contraceptive pills should be taken immediately following unprotected sex and are most effective when taken within 24 hours. IUD as an emergency contraceptive can be applied five days after unprotected sex, and it does not cause abortion. There is no absolute contraindication for emergency contraception except for known pregnancy, and simply because it is ineffective. The efficacy of emergency contraception can be defined by the proportion of women who become pregnant after using this method and the total pregnancy observed after using the method divided by the estimated number of pregnancies that would occur without using the method.Keywords: emergency contraception; sexual intercourse; pregnancy Abstrak: Kontrasepsi darurat dapat mencegah kehamilan bila digunakan segera setelah senggama. Penggunaan kontrasepsi darurat dapat menurunkan angka kehamilan yang tidak diinginkan hingga 50%. Terdapat dua metode kontrasepsi darurat, yaitu pil kontrasepsi darurat dan alat kontrasepsi dalam rahim (AKDR) yang menggunakan tembaga. Pil kontrasepsi darurat harus diberikan sesegera mungkin setelah senggama tidak terlindungi, dan paling efektif bila diberikan dalam waktu 24 jam. AKDR sebagai kontrasepsi darurat dapat dipasang hingga lima hari pasca senggama tidak terlindungi. Kontrasepsi darurat terutama bekerja dengan mencegah fertilisasi, dan tidak menggugurkan kehamilan. Tidak ada kontraindikasi absolut untuk penggunaan kontrasepsi darurat kecuali kehamilan yang diketahui, dan ini hanya karena tidak efektif. Efektivitas kontrasepsi darurat dapat didefinisikan dari proporsi wanita menjadi hamil setelah menggunakan metode ini, dan jumlah kehamilan yang diamati setelah penggunaan dibagi dengan perkiraan jumlah kehamilan yang akan terjadi tanpa penggunaan.Kata kunci: kontrasepsi darurat; senggama; kehamilan
Efficacy of fungicides against brown spot on walnuts in the Western Forest-Steppe of Ukraine
Authors: Skoreyko A. , Andriychuk T. , Bilyk R. 
Published: August 2021

Goal. To study the effectiveness of fungicides against brown spot of walnut in the Western Forest-Steppe of Ukraine.
Methods. The studies were carried out during 2018—2019. in agrocenoses of the walnut garden of the Ukrainian Research Station of Plant Quarantine of the Institute of Plant Protection of the NAAS. At the detailed account inspected not less than 3—4 accounting trees from four parties of a crown and analyzed on 25 accounting bodies (leaves, shoots, fruits) and determined intensity of defeat. The study of the effectiveness of fungicides against brown spot was carried out on the nut variety Bukovynsky 2 using drugs: Bordeaux liquid, 1-percent solution — the standard; Kuproksat, s. c., (copper sulphate tribasic, 345 g/l), Medyan Extra 350 SC s. c., (copper chloride, 350 g/l).
Results. Defeat of leaves at the last account in variants with the drug Medyan Extra 350 SC s. c., decreased in comparison with control in 2.6 times, development of a disease — in 2.8 times. By all indicators, the variant with the drug Kuproksat, hp was more effective, where the brown leaf spot was 20.5% (64.5% in the control), the disease was 9.3% (31.4% in the control). Fetal damage in the last account in the experimental variants was respectively 2.7—3.9 times less, and the development of the disease — 3.1—4.2 times weaker than in the control.
Conclusions. The obtained data show that in the conditions of the western Forest-Steppe of Ukraine the application of fungicides on walnut both in the experimental and in the reference variants provided good and approximately identical protection of the nut against brown spot Ophiognomonia leptostyla (Fr.) Sogonov. The effectiveness of fungicides was the highest in the variant with the drug Kuproksat, hp, (on the leaves — 70.4%, on the fruits — 75.9%). Technical efficiency of the drug Medyan Extra 350 SC, s. c. on leaves and fruits was 64.6 and 67.9%, respectively. Fungicide treatment of experimental plots helps to reduce the incidence of the disease, which makes it possible to obtain a yield of 0.9—1.1 t/ha higher than in the control.