bluuebunny/crossref_metadata_2025_split huggingface dataset:
Le projet RESET-Francophone : vers une formation ouverte et libre à la méthodologie de la recherche en éducation
Authors: Class Barbara , Akkari Abdeljalil 
Published: February 2021

La Suisse a récemment opté pour une collaboration scientifique accrue avec les pays méditerranéens. Dans ce cadre, nous avons conçu une formation à la méthodologie de la recherche, entièrement à distance, pour jeunes chercheurs et jeunes chercheuses en sciences de l’éducation. Une vingtaine de doctorant-es du Nord et du Sud ont été formés ensemble durant l’année académique 2018-19. La présente étude focalise sur les perspectives, analysées de manière qualitative, de trois décideurs et décideuses quant à cette formation de la « troisième voie ». Elle permet d’apporter de nouvelles contributions, notamment en ouvrant la discussion sur l’utilisation i) du TPACK (Technological, Pedagogical and Content Knowledge) dans le l’enseignement-apprentissage de la méthodologie de recherche, ii) de la théorie de l’Acteur réseau, et iii) de l’éducation ouverte et libre (Open Education). Elle énonce des recommandations pour consolider cette formation internationale.
A History of Now
Authors: Foster Meg , Burton Toni , Finnane Mark , Fraser Carolyn , Hobbins Peter , Pich Hollie 
Published: February 2021

The connection between history and COVID-19 might appear counter-intuitive. We are used to being told by media outlets and employers, government officials and friends that we are ‘living in unprecedented times’. The COVID-19 pandemic has changed the rhythms of our daily lives, but not every response to COVID-19 has been new. It has also been understood through history.
This article comes from a roundtable discussion that was held as part of NSW History Week on 11 September 2020. Bringing together historians, curators and archivists, this panel explored the way that history has been used to understand COVID-19. Particular attention was paid to attempts to record and archive our experiences through the pandemic, comparisons between COVID-19 and the ‘Spanish’ flu as well as shifting understandings of temporality during the pandemic. Although the COVID-19 pandemic has ruptured our quotidian experience, it is not a moment beyond history. This panel examined how history is being used as an anchor point, a source of inspiration and an educational tool with which to tackle ‘these uncertain times’.
Colestasis intrahepática en el segundo trimestre del embarazo. reporte de caso.
Authors: Tercero-Vallecillo Jackeline , Padilla-Santos Alejandra , Torres-Vásquez Xochitl , Sanchez-Orellana Nancy , Díaz-Tilguant Yadira 
Published: February 2021

La colestasis intrahepática, es la enfermedad hepática más común del embarazo. Se presenta predominantemente en el tercer trimestre, su incidencia está entre 0,2%-2% y varía dependiendo de la ubicación geográfica, grupo étnico, edad materna, gestas, antecedentes previos de hepatitis C, enfermedades biliares, factores ambientales y genéticos.
Se presenta paciente femenina de 26 años, con embarazo de 25 semanas de gestación, que manifiesta prurito de 14 días de evolución originándose en palmas y plantas, que se generaliza; concomitantemente presenta dolor abdominal en cuadrante superior derecho de 4 días de evolución, intensidad leve y de carácter cólico.
Los exámenes laboratoriales reportan: aspartato aminotransferasa: 53 U/L, alanina aminotransaminasa: 84 U/L, confirmando diagnóstico.
Presentación de un caso: síndrome de Claude Bernard-Horner post resección de higroma quístico.
Authors: Barrientos Samuel Andrés , Senaedy Borjas Mitchell , Lagos Karla Alejandra , Varela Douglas 
Published: February 2021

El Higroma quístico es una malformación congénita que consiste en uno o más espacios linfáticos llenos de líquido, suelen reconocerse en recién nacidos, pero típicamente pueden ser visibles cuando aumentan de tamaño conforme al crecimiento del paciente. El Síndrome de Claude Bernard-Horner se caracteriza por una miosis, ptosis palpebral y anhidrosis en pacientes con afectación de la vía oculosimpatica, se considera una complicación neurológica iatrogénica infrecuente.
Se presenta una paciente femenina de 4 años con diagnostico posnatal de higroma quístico cervical tras estudio patológico realizado, el cual fue extraído quirúrgicamente. Tres días después la paciente presenta ptosis del parpado superior izquierdo con presencia de miosis y disminución de la sudoración del mismo lado, sin alteraciones en la fuerza y movimiento del miembro superior Izquierdo.
The Efficacy of Needle aspiration along with antibiotics and short dose of steroid in the treatment of Peritonsillar abscess (Quinsy).
Authors: Najaf Abbas  , Khalid Waliullah  , Jawad Ahmad  , Ali Husnain Sheikh  , Muhammad Ilyas  , Madeha Hussain  
Published: February 2021

Background: Quinsy (also known as Peritonsillar abscess) can be defined as pus collection in peritonsillar space (between superior constrictor muscle of pharynx and lateral surface of tonsil). It is a common complication of tonsillitis. Materials & Methods: This is a descriptive, prospective study. It was carried out on 27 consecutive patients which were treated for Quinsy from September 2016 to August 2018. All of the patients were hospitalized. Peritonsillar abscess was treated with aspiration of pus by wide bore needle followed by Antibiotics and short dose of steroid. Results: 74 % of patients were found to have previous history of recurrent tonsillitis. 56 percent of patients were already receiving antibiotics at the time of presentation. Mean hospital stay was two days. None of the patients required incision drainage. Recurrence was seen in only 3 patients. Conclusion: Needle-aspiration at the most prominent (bulging) part of the peritonsillar region followed by intravenous antibiotics and steroids is an effective treatment protocol. We also suggest further controlled studies on larger number of patients to establish its efficacy and safety.
HUBUNGAN KONSUMSI FAST FOOD TERHADAP MENARCHE DINI PADA MAHASISWI DI STIKes MEDISTRA INDONESIA TAHUN 2018
Authors: Siregar Renince 
Published: February 2021

Latar Belakang : Di Indonesia pada usia menarche bervariasi antara 10 sampai 16 tahun, dimana menarche terjadi lebih dini pada remaja yang tinggal di daerah perkotaan daripada remaja yang tinggal di daerah pedesaan. Hasil laporan Riset Kesehatan Dasar (Riskesdas) 2010 diketahui bahwa 20,9% anak perempuan di Indonesia telah mengalami menarche di umur kurang dari 12 tahun. Tujuan : Mengetahui adanya hubungan konsumsi fast food dengan kejadian menarche dini pada Mahasiswi di STIKes Medistra Indonesia 2018. Metode : Jenis penelitian ini adalah Cross-sectional. Populasi dalam penelitian ini adalah mahasiswi berusia di bawah 21 tahun yang menjadi mahasiswi di STIKes Medistra Indonesia yang berjumlah 135 siswa.Teknik pemilihan sampel dalam penelitian ini menggunakan teknik acak bertingkat (startified random sampling) dengan cara membuat kerangka sampel (sampling frame) dari daftar Mahasiswi DIII Kebidanan Tingkat 1 dan 2 yang terdaftar pada data masing-masing kelas. Alat pengumpulan data berupa kesioner. Data dianalisis menggunakan uji Chi-Square dengan tingkat kepercayaan 90%. Hasil : Analisis Chi-square menunjukkan nilai uji statistic dengan menggunakan uji t di dapatkan nilai p value 0,04 ,maka terdapat pengaruh yang signifikan konsumsi fast food terhadap menarche dini. Kesimpulan : Ada hubungan konsumsi fast food terhadap menarche dini dimana nilai p value < niali α (0,04 < 0,05).
HUBUNGAN PARITAS DENGAN KEJADIAN PLASENTA PREVIA DI RSUD DR. CHASBULLAH ABDULMADJID KOTA BEKASI TAHUN 2018
Authors: Siantar Rupdi Lumban 
Published: February 2021

Latar belakang: Paritas merupakan jumlah persalinan yang pernah dialami ibu baik lahir hidup maupun lahir mati. Paritas dibagi menjadi 3 yaitu : a) Primipara: wanita yang pernah satu kali melahirkan bayi yang telah mencapai tahap mampu hidup. b) Multipara: wanita yang telah melahirkan dua janin atau lebih. c) Grandemultipara: wanita yang telah melahirkan lima anak atau lebih. Pada wanita multipara sering terjadi plasenta previa.Pada multipara plasenta previa terjadi karena vaskularisasi yang berkurang dan atrofi pada desidua yang disebabkan persalinan sebelumnya yang dapat menyebabkan plasenta memperluas permukaannya dan menutup jalan lahir.
Tujuan : Mengetahui Hubungan Paritas Dengan Kejadian Plasenta Previa Di RSUD dr. Chasbullah Abdulmadjid Kota Bekasi Tahun 2018.
Metode :Jenis penelitian ini adalah cross sectional. Populasi dalam penelitian ini adalah ibu bersalin yang mengalami plasenta previa Di RSUD dr. Chasbullah Abdulmadjid Kota Bekasi Tahun 2018.Metode yang digunakan adalah Probability samplingdengan teknik SimpleRandom Sampling dan menggunakan rumus slovin.
Hasil:Hasil uji statistik didapatkan nilai p= 0,001(p<0,05) yang artinya bahwaada hubungan paritas dengan kejadian plasenta previa.
Kesimpulan :Ada Hubungan Paritas Dengan Kejadian Plasenta Previa Di RSUD dr.Chasbullah Abdulmadjid Kota Bekasi Tahun 2018.

Kata kunci : Paritas dan plasenta previa
Daftar acuan : (2010-2018)
Jumlah halaman : XLI + 41
PEMANFAATAN TEKNOLOGI DIGITAL SEBAGAI SARANA USAHA PENGEMBANGAN OBJEK DAN DAYA TARIK WISATA TERHADAP KUNJUNGAN WISATAWAN KE TAMAN WISATA SITINJO KABUPATEN DAIRI
Authors: Girsang Dameria , Sianga Angelia Septiani 
Published: February 2021

Dengan pemanfaatan teknologi digital diharapkan dapat membantu Dinas Kebudayaan dan Pariwisata Kabupaten Dairi mengembangkan dan membangun Objek dan Daya Tarik Taman Wisata Iman Sitinjo dan bagaimana usaha menarik minat wisatawan melalui pemanfaatan Digital agar objek wisata dikunjungi serta mengetahui hambatan-hambatan yang ada. Metode analisis yang digunakan adalah penelitian lapangan untuk mencari tahu permasalahan langsung dari lapangan juga mengadakan penelitian kepustakaan dengan membaca buku - buku yang berhubungan dengan penelitian dan melakukan wawancara baik dengan pengunjung, staff dan pegawai Dinas Kebudayaan dan Pariwisata Kabupaten Dairi. Dari penelitian yang dilakukan bahwa pemerintah setempat sudah mulai melakukan pengembangan dengan menggunakan Informasi & Teknologi Digital tapi belum maksimal dan perbaikan terhadap objek serta fasilitas yang ada terbukti dengan adanya penambahan sarana dan atraksi wisata serta diharapkan pemerintah dapat menempatkan SDM yang kompeten untuk mengelola objek wisata tersebut dalam arti pemerintah memposisikan SDM yang kompeten dan berkualitas serta melakukan kerja sama dengan pihak travel dan pihak swasta lainnya disampingpemanfaatanteknologiInformasi Digital agar Taman Wisata Iman dapat terpromosikan dengan baik dan mendatangkan wisatawan lebih banyak lagi.
Frozen Section and the Surgical Pathologist: A Point of View
Authors: Taxy Jerome B. 
Published: February 2021

Abstract
Frozen section is a prominent point of intersection between surgeons and pathologists. It is regarded as the most definitive—but not the sole—form of intraoperative consultation. Its role in tissue triage, diagnosis, and intraoperative management should not be misconstrued as a shortcut to a definitive diagnosis. Although the pathologist remains in control of the tissue disposition, frozen sections are ideally requested and executed as a collaborative effort. Frivolous requests with no direct consequences for the conduct of a given procedure should not be honored. Frozen section plays a material role in resident education and may be the last vestige of general surgical pathology in an era of organ system specialization. Frozen section will retain its relevance only in the context of broad clinical knowledge by the pathologist and judicious utilization by the surgeon, both in the ultimate service of the patient.
Corrections of Clinical Chemistry Test Results in a Laboratory Information System
Authors: Wang Sihe , Ho Virginia 
Published: February 2021

Abstract
Context.—The recently released reports by the Institute of Medicine, To Err Is Human and Patient Safety, have received national attention because of their focus on the problem of medical errors. Although a small number of studies have reported on errors in general clinical laboratories, there are, to our knowledge, no reported studies that focus on errors in pediatric clinical laboratory testing.
Objective.—To characterize the errors that have caused corrections to have to be made in pediatric clinical chemistry results in the laboratory information system, Misys. To provide initial data on the errors detected in pediatric clinical chemistry laboratories in order to improve patient safety in pediatric health care.
Design.—All clinical chemistry staff members were informed of the study and were requested to report in writing when a correction was made in the laboratory information system, Misys. Errors were detected either by the clinicians (the results did not fit the patients' clinical conditions) or by the laboratory technologists (the results were double-checked, and the worksheets were carefully examined twice a day). No incident that was discovered before or during the final validation was included. On each Monday of the study, we generated a report from Misys that listed all of the corrections made during the previous week. We then categorized the corrections according to the types and stages of the incidents that led to the corrections.
Results.—A total of 187 incidents were detected during the 10-month study, representing a 0.26% error detection rate per requisition. The distribution of the detected incidents included 31 (17%) preanalytic incidents, 46 (25%) analytic incidents, and 110 (59%) postanalytic incidents. The errors related to noninterfaced tests accounted for 50% of the total incidents and for 37% of the affected tests and orderable panels, while the noninterfaced tests and panels accounted for 17% of the total test volume in our laboratory.
Conclusion.—This pilot study provided the rate and categories of errors detected in a pediatric clinical chemistry laboratory based on the corrections of results in the laboratory information system. A direct interface of the instruments to the laboratory information system showed that it had favorable effects on reducing laboratory errors.
Vascular Invasion and Herniation by Hepatocellular Carcinoma in Cirrhosis: A Wolf in Sheep's Clothing?
Authors: Quaglia Alberto , Etessami Nazanin , Sim Rosalind , Difford John , Dhillon A. P. 
Published: February 2021

AbstractContext.—Vascular invasion is an important diagnostic and prognostic feature of hepatocellular carcinoma (HCC) in cirrhosis. Intravascular free-floating tumor clusters (IvCs) of HCC are found histologically in the vicinity of HCC. Thrombus formation is not seen morphologically in association with these IvCs, which are usually covered by endothelium.Objective.—Our hypothesis is that these IvCs are the result of a nondestructive form of vascular invasion by HCC, and we tried to define this aspect of microvascular invasion more accurately.Design.—Tissue sections were stained with hematoxylin-eosin, and consecutive sections were stained for fibrin (Martius scarlet blue, fibrinogen), platelets (factor XIIIa), smooth muscle actin, and endothelium (CD34). We studied cirrhotic livers removed at transplantation between 1997 and 1999. Of the livers studied, 35 of 81 consecutive cirrhotic livers contained HCC, and 17 showed microscopic vascular invasion. Five of these 17 cases showed IvCs and were subjected to the study.Main Outcome Measure.—Presence or absence of thrombus formation in association with IvC.Results.—Usually, IvCs were covered by endothelium, and no associated thrombus formation was seen. In 1 case of HCC, thrombus formation was seen focally in association with disruption of the endothelial coating.Conclusions.—We propose that the endothelial-lined trabecular structure of HCC everts, frondlike, via vascular structures within the tumor capsule into peritumoral vascular lumens without destruction of the endothelial coating. This may protect these HCC tumor projections from thrombus formation but may also act as a barrier to tumor extravasation, and this may be exploited from a therapeutic point of view.
Addressing the Maintenance of Certification Challenge: The College of American Pathologists Response
Authors: Hammond M. Elizabeth H. , Filling Constance M. , Neumann Ann R. , Homburger Henry A. 
Published: February 2021

Abstract
Context.—The American Board of Medical Specialties Maintenance of Certification (MOC) process will become effective in 2006. The College of American Pathologists (CAP) Education Committee defined pathology-specific competencies within MOC categories and used data from a survey of pathologists to create education courses targeted to each MOC category.
Objective.—To define pathology-specific competencies within MOC categories and to identify priority learning needs for pathologists.
Design.—A 5-step process was completed for defining pathology-specific competencies within MOC categories and creating education courses targeted to competencies identified in each MOC category. A random survey was distributed to identify priority learning needs based on the gap between the importance rating of each knowledge and skill statement and a rating of current level of proficiency in 3 areas.
Results.—Specific competencies and knowledge and skill statements were identified for each MOC competency category. Findings indicate pathologists believe they are poorly prepared for practice in competency categories related to systems-based practice and practice-based learning and improvement.
Conclusions.—The CAP has focused education efforts on identifying a process for defining and responding to the MOC challenge. Pathologists have told us that they have significant needs for learning in specified areas and the CAP will focus development of education courses to meet those identified needs.
A Comparison of Interobserver Reproducibility of Gleason Grading of Prostatic Carcinoma in Japan and the United States
Authors: Oyama Tetsunari , Allsbrook William C. , Kurokawa Kohei , Matsuda Hadzki , Segawa Atsuki , Sano Takaaki , Suzuki Keiji , Epstein Jonathan I. 
Published: February 2021

Abstract
Context.—Gleason grading is now the sole prostatic carcinoma grading system recommended by the World Health Organization. It is imperative that there be good interobserver reproducibility within this system worldwide. To our knowledge, there are no studies, using the same specimens, that compare the interobserver reproducibility of Gleason grading in Japan and the United States.
Objective.—To compare the interobserver reproducibility of Gleason grading of prostatic carcinoma in Japan and the United States using, in Japan, images from the identical biopsy glass slides that were originally graded in the United States.
Design.—Microsopic images from 37 needle biopsies of prostatic carcinoma were placed on CD-ROM and distributed to 14 Japanese pathologists for grading. These 14 physicians included 8 general pathologists and 6 pathologists with a special interest in urologic pathology. The needle biopsies had been previously reviewed so that a consensus diagnosis could be formed by a panel of urologic pathologists in the United States and Canada. Interobserver agreement with the consensus diagnoses was calculated by determining the overall κ coefficient for the Japanese pathologists and then compared to the interobserver agreement among American general pathologists who had previously graded identical needle biopsies from which the CD-ROM images had been taken.
Results.—The interobserver agreement with the consensus diagnoses for the 4 Gleason grading groups (Gleason grades 2–4, 5–6, 7, and 8–10) among the Japanese urologic pathologists in this series of cases was substantial (overall κ = 0.68), and for the Japanese general pathologists, it was moderate (overall κ = 0.49), similar to that reported in the earlier study of American general pathologists (overall κ = 0.44). The major interobserver reproducibility problem for both Japanese and American general pathologists is undergrading. The major areas of undergrading are the underdiagnosis of Gleason scores 5–6 as Gleason scores 2– 4, and the underdiagnosis of cribriform sheets and fragments of cribriform Gleason pattern 4 carcinoma as Gleason pattern 3.
Conclusions.—The interobserver reproducibility of the Gleason grading for this collection of specimens was similar among Japanese and American general pathologists. The overall κ values for these generalists of 0.44 and 0.49 are only in the moderate (0.41–0.60) range of interobserver agreement when compared to 0.68, substantial (0.61– 0.80) agreement, for Japanese urologic pathologists. Educational efforts to improve Gleason grading have been shown to be effective and are clearly warranted.
A Practical Approach to Pediatric Patients Referred With an Abnormal Coagulation Profile
Authors: Acosta Monica , Edwards Rachel , Ian Jaffe E. , Yee Donald L. , Mahoney Donald H. , Teruya Jun 
Published: February 2021

Abstract
Context.—Workup for prolonged prothrombin time (PT) and activated partial thromboplastin time (PTT) is a frequent referral to a Hematology and Coagulation Laboratory. Although the workup should be performed in a timely and cost-effective manner, the complete laboratory assessment of the coagulation state has not been standardized.
Objective.—To determine which clinical and laboratory data are most predictive of a coagulopathy and to formulate the most efficient strategy to reach a diagnosis in patients referred for abnormal coagulation profiles.
Design.—Retrospective case review. Medical records of 251 patients referred for prolonged PT and/or PTT to our Hematology Service between June 1995 and December 2002 were reviewed.
Results.—The study included 135 males and 116 females with a mean age of 7.0 years. A personal history of bleeding was reported in 137 patients, and a family history of bleeding was reported in 116 patients. Fifty-one patients (20%) had a coagulopathy (ie, a bleeding risk). Factors predictive of a bleeding risk were a positive family history of bleeding (P &lt; .001) and a positive personal history of bleeding (P = .001). Of 170 patients with findings of normal PT and PTT values on repeat testing, 14 were subsequently diagnosed with a coagulopathy. Two of these patients reported no positive personal or family history of bleeding.
Conclusions.—Coagulopathy was identified in 20% of the children referred for abnormal PT and/or PTT. In the absence of a personal or family history of bleeding, a normal PT and/or PTT on repeat testing has a negative predictive value of more than 95%.