bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hypnotherapy Effectiveness in Bronchoscopy to Control Anxiety, Breathlessness and Cough
Authors: Santosa Teguh Budi , Sutanto Yusup Subagio , Septiawan Debree 
Published: April 2021

Background: Patient’s comfort during bronchoscopy is important, as it affects its success and the whole outcome. The short comings of bronchoscopy with general anesthesia are long procedure, high cost, and its complication in respiratory failure patient’s. Hypnosis in various surgery procedures can reduce anxiety. Hypnosis can also be used as a therapy for shortness of breath and chronic cough. This study aimed to analyze the effectiveness of hypnotherapy in controling anxiety, breathing shortness a cough of patient’s undergoing bronchoscopy.
Methods: This research is a clinical trial with a quasi-experimental design using the pretest-posttest control group approach using consecutive sampling was performed in patients with lung tumor undergoing bronchoscopy in dr. Moewardi Hospital from July to August 2018. The study subjects were randomized in to hypnotized and non-hypnotized (control groups). Scores of Hospital Anxiety and Depression Scale (HADS), modified Borg, and cough Visual Analog Scale (VAS) were measured before and after bronchoscopy.
Results: Thirtyseven lung tumor patient’s undergoing bronchoscopy were included in our study. The intervention groups showed decreased HADS (6,68+8,28) and different significantly compared to control group (p
Poly-Phytopharm Increases Act Score and Serum miR-126 Relative Expressions, and Decreases Blood Eosinophil Levels in Asthma Patients
Authors: Ardana I Dewa Putu , Djajalaksana Susanthy , Chozin Iin Noor , Rakhmani Alidha Nur 
Published: April 2021

Background: The levels of asthma control is an indicator of asthma management outcomes. A complex immunological mechanism influences it. We aimed to investigate the effect of Poly-Phytopharm on the asthma control tests (ACT) score, blood eosinophil levels, and miR-126 relative expressions in asthma patients.
Methods: Quasi experimental method is used in 15 stable asthma patients who were not fully controlled at the pulmonary outpatient clinic of Dr. Saiful Anwar General Hospital Malang. Assessment of ACT score, blood eosinophil levels, and miR-126 relative expressions are carried out before and after supplementation of Poly-Phytopharm that consist of Nigella sativa 100 mg, Kleinhovia hospita 100 mg, Curcuma xanthorrhiza 75 mg, and Ophiocephalus striatus 100 mg extract, three times a day, two capsules respectively for 12 weeks. The ACT was scored by the investigator by direct questioning of patients, the blood eosinophil level was measured with blood analysis, and the relative expressions of miR-126 was detected with qPCR.
Results: There were significant increase of ACT score (18.07±2.57 to 22.06±1.83, P=0.001), decrease in blood eosinophil levels (653.15±276.15 pg/mL to 460.66±202.04 pg/mL, P=0.038), and enhancement of serum miR-126 relative expressions (1.83±1.89 to 5.89±1.34, P=0.038).
Conclusion: The administration of Poly-Phytopharm increases ACT score, decreases blood eosinophil levels and increases serum miR-126 relative expressions in not fully controlled stable asthma patients. (J Respir Indo. 2019; 39(4): 231-7)
The Role of Pressure and Duration of Dive on Lung Physiology in Professional and Non-Professional Divers
Authors: Setiawan Jerry Indra , Suradi Suradi , Sutanto Yusup Subagio 
Published: April 2021

Backgrounds: Professional divers have a greater lung volume than non-professional divers in higher force vital capacity (FVC) and force expiratory flow in 1 second (FEV1) values. The purpose of this study is to analyse the effect of pressure and duration of diving on changes in lung physiology in professional divers and non-professional divers.
Methods: This is a cross sectional study on the personnel of the Indonesian Navy Dislambair Koarmada II Surabaya and RSAL personnel of dr. Ramelan Navy Hospital in Lakesla Surabaya in March-April 2019. Samples was collected with purposive sampling. This study used unpaired subjects with the independent t-test statistic analysis if the data is normally distributed and the Mann-Whitney U test if the data is not normally distributed
Results: There was a significant difference in the professional divers group compared to non-professional divers group in the values of FVC (P=0.042) and FEV1 (P=0.040) at 1.3 ATA for 10 minutes and the FEV1 (P=0.049) for 20 minutes. No significant differences in FVC (P=0.092) at 1.3 ATA pressure for 20 minutes. There were no significant differences in FVC (P=0.865), FEV1 (P=0.659) at 1.5 ATA pressure for 10 minutes and FVC (P=0.858) and FEV1 (P=0.857) for 20 minutes.
Conclusions: The different pressure in non-professional group could reduce the FEV1 value. There was a difference in the FVC value of the professional diver group and non-professional divers at a pressure of 1.5 ATA for 10 minutes. (J Respir Indo. 2020; 40(2): 103-12)
Examining the accuracy of residents’ self-assessments and faculty assessment behaviours in anesthesiology
Authors: Fleming Melinda , Vautour Danika , McMullen Michael , Cofie Nicholas , Dalgarno Nancy , Phelan Rachel , Mizubuti Glenio 
Published: April 2021

Background: Residents’ accurate self-assessment and clinical judgment are essential for optimizing their clinical skills development. Evidence from the medical literature suggests that residents generally do poorly at self-assessing their performance, often due to factors relating to learners’ personal backgrounds, cultures, the specific contexts of the learning environment and rater bias or inaccuracies. We evaluated the accuracy of anesthesiology residents’ self-assessed Global Entrustment scores and determined whether differences between faculty and resident scores varied by resident seniority, faculty leniency, and/or year of assessment.
Methods: We employed variance components modeling techniques and analyzed 329 pairs of faculty and self-assessed entrustment scores among 43 faculty assessors and 15 residents. Using faculty scores as the gold standard, we compared faculty scores with residents’ scores (xi(faculty)–xi(resident)), and determined residents’ accuracy, including over- and under-confidence.
Results: The results indicate that residents were respectively over- and under-confident in 10.9% and 54.4% of the assessments but more consistent in their individual self-assessments (rho = 0.70) than faculty assessors. Faculty scores were significantly higher (α = 0.396; z = 4.39; p < 0.001) than residents’ self-assessed scores. Being a lenient/dovish (β = 0.121, z = 3.16, p < 0.01) and a neutral (β = 0.137, z = 3.57, p < 0.001) faculty assessor predicted a higher likelihood of resident under-confidence. Senior residents were significantly less likely to be under-confident compared to junior residents (β = -0.182, z =-2.45, p < 0.05). The accuracy of self-assessments did not significantly vary during the two years of the study period.
Conclusions: The majority of residents’ self-assessments were inaccurate. Our findings may help identify the sources of such inaccuracies.
Analysis Of Risk Management In Development SMK Stikes Rajawali Bandung (Case Study: Well Foundation)
Authors: Khairin Firda Aulia , Annisa Annisa 
Published: April 2021

The SMK STIKES Rajawali Bandung project is a unique project because
it has a steep terrain location that creates various risks, so a risk analysis
is needed. The identification in this study was 32 risks. This research
uses qualitative and quantitative methods with the stages of identifying
possible risks, assessing risks, knowing the causes, and ways of dealing
with dominant risks if they occur. The results of the study of the 32 risks
consisted of 3 very high risks, 2 high risks, 23 medium risks and 4 low
risks. The biggest risk comes from the external risk that can be detected,
namely the risk of rain with a score of 20. Therefore, the risk of rain
requires ideal treatment using a dewatering pump.
Presentación: Cultura jurídica en el Nuevo Mundo
Authors: Aspell Marcela , De la Puente Brunke José Carlos , Angeli Sergio 
Published: April 2021

ESTE NÚMERO MONOGRÁFICO DE ALLPANCHIS sobre la justicia colonial se ha estructurado a partir de los trabajos realizados por especialistas del área, quienes se han centrado principalmente en la región sur del continente americano.
Los oidores de la Real Audiencia de Lima en la segunda mitad del siglo XVI
Authors: Angeli Sergio 
Published: April 2021

Las Audiencias americanas jugaron un papel fundamental en la vida social y política de las colonias castellanas. Como tribunal superior en cuestiones civiles y criminales, las Audiencias tuvieron una enorme gravitación en la sociedad colonial. Sus magistrados fueron parte fundamental de la vida de los Virreinatos, adicionando prestigio y lustre intelectual a las élites locales. Una amplia gama de prohibiciones se cernía sobre los oidores, a fin de evitar el contacto con la sociedad circundante. Pese a ellas, los jueces coloniales participaron activamente en negocios, fueron compadres, padrinos y benefactores de una variada gama de españoles asentados en Lima. Ningún negociado escapaba, al parecer, a su gravitación e influjo. Fue así como lograron convertirse en la flor y nata de los Virreinatos americanos. Entre 1549 y 1564 los oidores limeños se hicieron cargo del gobierno colonial en tres oportunidades. Durante aquel lapso los magistrados lograron acrecentar su poder e influencia social. Este trabajo intentará analizar la conformación de la Audiencia de Lima, las formas en las que se expidió justicia y las relaciones que se mantuvieron con la sociedad colonial peruana. La superposición de funciones que tuvo la alta magistratura indiana ejemplifica las anquilosadas prácticas de favores y corruptelas que se conformaron alrededor de la práctica jurídica. En este sentido, se tratará de desvelar la actuación de los letrados insertos en una red de relaciones que afectó a todo el entorno social y que perduró en los siglos posteriores.
Sobre mamaconas y pampayrunas. Las mujeres en los Comentarios reales
Authors: Regalado de Hurtado Liliana 
Published: April 2021

Para desarrollar el tema propuesto, partimos del análisis de la forma en que Garcilaso inscribe a las mujeres en su historia acerca de los incas, cómo las presenta y qué modelos utiliza. Las figuras femeninas se muestran en los Comentarios reales a través de una gama de condiciones sociales, instituciones, funciones y actividades que parecen ser propias de la cultura andina prehispánica, pero también tomando modelos de la cultura occidental. Sus roles las mostrarán dependientes o subordinadas a sus pares masculinos, y solo excepcionalmente se las presentará cumpliendo papeles protagónicos. Las mujeres que desfilan en su texto son varias: personajes míticos, de la élite incaica, las escogidas —acllas y ocllos— y las mujeres del pueblo, a las que trata de manera genérica, lo que no impide que distinga entre ellas a las pampayrunas, cuyas características proyectan las imágenes que sobre el meretricio se tenía en la España del siglo XVII.
La «energía vital» y el retorno a la comunidad
Authors: Santisteban-D. Nathalie , Cometti Geremia 
Published: April 2021

El artículo trata sobre la relación que existe entre rituales y migración. Entre los pastores altoandinos del sur del Perú (Santa Bárbara y Q’ero), los rituales propiciatorios de Carnaval son considerados como los más importantes del mundo ideológico de los pastores. En ellos, los pobladores buscan, por un lado, conservar y aumentar el número de camélidos; y, por el otro, esperan mantener y renovar la relación de reciprocidad-dependencia que mantienen con las fuerzas sagradas. Para lograr este cometido, los pastores residentes como migrantes realizan rituales propiciatorios y ofrendas a los Apu y la Pachamama. Es gracias a estas prácticas y acciones rituales que los pastores del sur andino obtienen el «buen vivir» por el resto del año.
Pengaruh Sistem Pengendalian Intern Pemerintah terhadap Laporan Keuangan Pemerintah Daerah Kabupaten Rote Ndao
Authors: Mali Matheus Gratiano 
Published: April 2021

This Research aims to analyze the effect of implementation of Indonesia‟s Governmental Internal Control System called SPIP (Sistem Pengendalian Intern Pemerintah) based on the COSO Internal Control-fremawork, on the accountability of Local Government Financial Statements in Rote Ndao Distric. This Research aims to described the very potential factors are affecting the implementation of Indonesia‟s Governmental Internal Control System, that causes desclaimer opinion on local government financial statements In Rote Ndao Distric, from Supreme Audit Board Representatives of East Nusa Tenggara, since 2009 until 2013 and adverse opinion since 2014 until 2017. This is because the quality of the Local Government Financial Statements submitted does not meet the criteria for reliable, relevant, comparable and understandable. The Method of research uses a type of descriptive with a qualitative approach. Data was collected through interview, documentation and questionnaires. This research was conduct at Departmen Of Financial and Asset Management as report entity, The Inspektorat as Internal Control Apparatus Of Government.Findings of this research show that inhibiting factor in the application of this Government Internal Control System islack of commitment by the Regional Head and Leader of Department, and the lack of readiness of human resources of government apparatus, which needs serious attention both in quantity and quality of human resource management. Based on these findings it is recommended that the head of the government office is expected to increase awareness of the importance of internal control systems. It should also be constructed ongoing monitoring of the implementation of Governmental Internal Control System with enhancements to the audit, review, evaluation and other oversight activities
“Horizontal” and “Vertical” Semantic Associations in a Poem: A Translator’s Perspective
Authors: Устинова Е.С. 
Published: April 2021

В статье обосновывается гипотетическая возможность перемещения смыслообразующих элементов — сем, слов, художественных деталей — в пределах стихотворения без нарушения его смысловой целостности. Локальные смещения соседних строк могут быть обусловлены (или, по крайней мере, разрешены) синтаксическими особенностями языка перевода. Перестановка же ключевых элементов из одной строфы в другую иногда также бывает оправдана, но только при условии, что «горизонтальные» (контактные) и «вертикальные» (дистантные) связи в концептосфере стихотворения достаточно прочны и достаточно гибки, чтобы не разрываться и не искажать текстуальную семантику ключевых слов-концептов. Хранителем текстуального смысла может быть и слово, и отдельная сема, которая способна выразить смысл, заложенный в оригинале, будучи встроенной в иную лексическую единицу, иную часть речи.
Степень оправданности или недопустимости переводческих девиаций обсуждается на примерах. Основной поэтический материал — стихотворение А. А. Тарковского «И я ниоткуда…» — рассматривается
в оригинале и в переводе автора статьи.
The paper hypothetically suggests the tentative possibility, for a translator of poetry, of shifting semantic units (words, semantic components, telling details) from one stanza to another within the architectonic structure of a verse. The author examines conditions which may call for such a shift. While local shifts between the neighbouring lines may be necessitated by the peculiarities of the receptor language syntax, more distant (“vertical”) shifts may be risked by the translator in order give more emphasis to a vital image, to give his/her lines “breathing space”, or even for the sake of getting the right rhyme. The paper argues that the intra-stanza and inter-stanza semantic ties are implicitly, but traceably, embedded in the original text. And if these are strong enough and elastic enough to with stand the shifting of concepts, the translated verse retains the poet’s voice and emotional impact, though vital components of this or that key concept may be rendered by a different part of speech.
The author’s postulates are illustrated by examples, chiefly drawn from Arseny Tarkovsky’s verse “И я ниоткуда…” (“And from nowhere I came …”), the original being accompanied by our translation into English.
Matter Density Distribution of General Relativistic Highly Magnetized Jets Driven by Black Holes
Authors: Ogihara Taiki , Ogawa Takumi , Toma Kenji 
Published: April 2021

Abstract
High-resolution very long baseline interferometry (VLBI) radio observations have resolved the detailed emission structures of active galactic nucleus jets. General relativistic magnetohydrodynamic (GRMHD) simulations have improved the understanding of jet production physics, although theoretical studies still have difficulty constraining the origin and distribution of jetted matter. We construct a new steady, axisymmetric GRMHD jet model to obtain approximate solutions of black hole (BH) magnetospheres, and examine the matter density distribution of jets. By assuming fixed poloidal magnetic field shapes that mimic force-free analytic solutions and GRMHD simulation results and assuming constant poloidal velocity at the separation surface, which divides the inflow and outflow, we numerically solve the force balance between the field lines at the separation surface and analytically solve the distributions of matter velocity and density along the field lines. We find that the densities at the separation surface in our parabolic field models roughly follow

in the far zone from the BH, where r
ss is the radius of the separation surface. When the BH spin is larger or the velocity at the separation surface is smaller, the density at the separation surface becomes concentrated closer to the jet edge. Our semianalytic model, combined with radiative transfer calculations, may help us interpret the high-resolution VLBI observations and understand the origin of jetted matter.
Radio Spectral Index Analysis of Southern Hemisphere Symbiotic Stars
Authors: Dickey John M. , Weston J. H. S. , Sokoloski J. L. , Vrtilek S. D. , McCollough Michael 
Published: April 2021

Abstract
Symbiotic stars show emission across the electromagnetic spectrum from a wide array of physical processes. At centimeter waves, both synchrotron and thermal emissions are seen, often highly variable and associated with outbursts in the optical and X-rays. Most models of the radio emission include an ionized region within the dense wind of the red giant star that is kept ionized by activity on the white dwarf companion or its accretion disk. In some cases, there is ongoing shell burning on the white dwarf due to its high mass accretion rate or a prior nova eruption; in other cases, nuclear fusion occurs only occasionally as recurrent nova events. In this study, we measure the spectral indices of a sample of symbiotic systems in the Southern Hemisphere using the Australia Telescope Compact Array. Putting our data together with results from other surveys, we derive the optical depths and brightness temperatures of some well-known symbiotic stars. Using parallax distances from Gaia Data Release 3, we determine the sizes and characteristic electron densities in the radio emission regions. The results show a range of a factor of 104 in radio luminosity and a factor of 100 in linear size. These numbers are consistent with a picture where the rate of shell burning on the white dwarf determines the radio luminosity. Therefore, our findings also suggest that radio luminosity can be used to determine whether a symbiotic star is powered by accretion alone or also by shell burning.
Probing the Solar Meridional Circulation Using Fourier Legendre Decomposition
Authors: Braun D. C. , Birch A. C. , Fan Y. 
Published: April 2021

Abstract
We apply the helioseismic methodology of Fourier Legendre decomposition to 88 months of Dopplergrams obtained by the Helioseismic and Magnetic Imager (HMI) as the basis of inferring the depth variation of the mean meridional flow, as averaged between 20° and 60° latitude and in time, in both the northern and southern hemispheres. We develop and apply control procedures designed to assess and remove center-to-limb artifacts using measurements obtained by performing the analysis with respect to artificial poles at the east and west limbs. Forward modeling is carried out using sensitivity functions proportional to the mode kinetic energy density to evaluate the consistency of the corrected frequency shifts with models of the depth variation of the meridional circulation in the top half of the convection zone. The results, taken at face value, imply substantial differences between the meridional circulation in the northern and southern hemispheres. The inferred presence of a return (equatorward propagating) flow at a depth of approximately 40 Mm below the photosphere in the northern hemisphere is surprising and appears to be inconsistent with many other helioseismic analyses. This discrepancy may be the result of the inadequacy of our methodology to remove systematic errors in HMI data. Our results appear to be at least qualitatively similar to those by Gizon et al., which point to an anomaly in HMI data that is not present in MDI or GONG data.
Fermi-LAT Detection of GeV γ-Ray Emission from the Highly Asymmetric Shell Supernova Remnant SNR G317.3-0.2
Authors: Xiang Yunchuan , Jiang Zejun , Tang Yunyong 
Published: April 2021

Abstract
In this paper, we report the first extended GeV γ-ray emission, at a significant level of ∼8.13σ, from the region of the supernova remnant SNR G317.3-0.2 by analyzing ∼12.2 yr of Fermi Large Area Telescope Pass 8 data in the work. The best-fit position of the new γ-ray source matches that of the 843 MHz radio energy band of SNR G317.3-0.2, and there is no significant variability of the photon flux of the corresponding light curve in the data for the 12.2 yr period. Therefore, by excluding other known γ-ray sources or candidates within a 2σ error radius from the best-fit position of SNR G317.3-0.2, we suggest that the γ-ray source is likely to be a GeV counterpart of SNR G317.3-0.2.
Psoriasis Characteristics for the Early Detection of Psoriatic Arthritis
Authors: Belman Sophie , Walsh Jessica A. , Carroll Courtney , Milliken Michael , Haaland Benjamin , Duffin Kristina Callis , Krueger Gerald G. , Feng Bing-Jian 
Published: April 2021

Objective.Delays in the diagnosis and treatment of psoriatic arthritis (PsA) are common. These delays contribute to impairments in quality of life and joint damage. This study aims to calculate the incidence rate of PsA over time and identify clinical features that may be used for PsA prediction in patients with psoriasis (PsO).Methods.The study population for PsA incidence analysis included 1128 participants enrolled in the Utah Psoriasis Initiative between 2002 and 2014. Clinical evaluation and medical record review were performed to identify new cases of PsA after enrollment. To identify PsO features associated with PsA, the population was restricted to 627 participants who did not have PsA before PsO phenotyping and had been followed up for subsequent PsA diagnosis. We conducted Cox proportional hazard regressions to estimate the HR of PsA associated with PsO characteristics and other health-related features.Results.PsA incidence rate increased for > 60 years following PsO onset (trend P < 0.0001). There was a significant association between PsA and induration severity in untreated lesions (P < 0.001, HR 1.46), history of fingernail involvement (P < 0.001, HR 2.38), pustular PsO (P < 0.001, HR 3.32), fingernail involvement at enrollment (P < 0.001, HR 2.04), and Koebner phenomenon (P < 0.001, HR 1.90). Multivariate analysis yielded a model that included a history of fingernail involvement (P < 0.001, HR 2.16) and untreated induration (P < 0.001, HR 1.41).Conclusion.Risk of PsA increases steadily for > 60 years following PsO onset. Patient-reported history of PsO characteristics has greater predictive power than physician-measured features at enrollment visits. The characteristics identified in this study provide guidance for screening for PsA risk in patients with PsO.