bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERFORMANCE SPECT-CT AND ANGIO-CT FOR DIAGNOSIS OF PULMONARY THROMBOEMBOLISM IN A TERTIARY ONCOLOGY CENTRE
Authors: Lelis Sousa Flavia , Moriguchi Sonia , Andrade Cleusa , Guimarães Marcos , Cavicchioli Marcelo , Lima Eduardo 
Published: April 2021

Introduction/Background: Pulmonar thromboembolism (PTE) is characterized by obstruction of pulmonary circulation by blood clots and is commonly observed in hospitalized cancer patients. It is diagnosed using thoracic ANGIO-TC and pulmonary inhalation/perfusion (I/P) techniques by SPECT-CT3,6,7,9. The aim of this study is to analyse the performance of these two techniques in the diagnosis of PTE and to evaluate the concordance between their results patients profiles, and impact on clinical medical management. Methods: A descriptive, retrospective, quantitative, qualitative and unicentric cohort study; was carried out by analysing the ANGIO-CT and I/P tests by SPECT-CT of the population of câncer patients in a tertiary oncological institution from January 2015 to May 2018. A total of 410 tests in 363 patients were analysed. Results: Three hundred and thirty five patients underwent ANGIO-CT, 75 underwent I/P by SPECT-CT and 47 patients both. The types of cancer that showed association with the diagnosis of PTE were lung, pancreas and brain cancers. Lung cancer showed the highest association with suspected and diagnosed PTE. Discussion: Diagnostic results and clinical managment were comparable for both SPECT-CT and ANGIO-CT. Both methods have proven to be reliable and highly accurate for the diagnosis of PTE in cancer patients. Conclusion: The SPECT-CT has shown great accuracy for the diagnosis of negative PTE and may be preferable and more indicated to rule out PTE in cancer patients due to its lower radiation, but for the diagnosis of positive PTE the chest ANGIO-TC is even more indicated.
Mexican Medical Students Protest During Covid-19 Pandemic
Authors: Torres-Hernández Gabriela , García-Espinosa Patricio , Botello-Hernández Edgar , Ortega-Moreno Diego 
Published: April 2021

During February 2021, a protest was organized by Mexican medical students through social media. About 200 interns, social service physicians and physicians protested peacefully in front of the city hall of Monterrey, Nuevo Leon, the capital of Mexico's second largest metropolitan area. Due to the current contingency situation, it was requested to attend with face shield and masks. The reason for the protest was to raise their voice due to the precarious situation where social service physicians are sent to rural areas of the country in which they have all the obligations of workers but without belonging to the working class - lacking the the benefits of this same as a living wage or fair working hours. The protesters were in limbo between student and worker. The protest also demanded justice for the sensitive death of young doctors due to malpractice situations of the Mexican authorities. We believe that a total reform of the social service in medicine is necessary. It is the responsibility of the authorities to cover the rural areas with permanently trained doctors without depending on recently graduated doctors. It is always important to assert our fundamental rights, including the right to protest in a peaceful manner.
HUBUNGAN ANTARA DISMENOREA PRIMER DENGAN KUALITAS TIDUR MAHASISWI PSIK STIKES MUHAMMADIYAH PALEMBANG
Authors: Yuniza Yuniza , Anandez Puji Fitrianti Putri , Romadoni Siti 
Published: April 2021

Latar belakang: kejadian dismenorea primer dapat mempengaruhi kualitas tidur menjadi buruk karena peningkatan kadar prostagladin memiliki efek meningkatkan kontraktilitas otot uterus, vasokonstriksi dan mengakibatkan iskemia pada otot uterus, sehingga terjadinya nyeri saat menstruasi. Tujuan: Mengetahui Hubungan Antara Dismenorea Primer Dengan Kualitas Tidur Mahasiswi PSIK STIKes Muhammadiyah Palembang. Metode: Desain Penelitian yang digunakan yaitu cross-sectional dengan kuesioner dismenorea primer dan Pittsburgh Sleep Quality Index (PSQI). Teknik sampling yang digunakan yaitu totalsampling dengan jumlah sampel 342 responden, dengan uji statistik Chi Square. Kesimpulan: Berdasarkan hasil uji statistik diketahui bahwa nilai p value (0,000) < α = 0,05. Ada hubungan antara dismenorea primer dengan kualitas tidur mahasiswi PSIK STIKes Muhammadiyah Palembang.

The incidence of primary dysmenorrhea results in poor sleep quality because increased levels of prostaglandin has an effect of increasing contractility of the uterine muscle and vasoconstriction and resulting in ischemia in the uterine muscle so that pain during menstruation occurs. To find out the relationship between primary dysmenorrhea and sleep quality of PSIK female students of Muhammadiyah Institute of Health Science of Palembang. This study used cross sectional design with Pittsburgh Sleep Quality Index (PSQI). The number of samples was 342 respondents taken using total sampling technique. The statistical used was chi-square test. The statistical test results showed that p value obtained was (0,000) < α= 0,05. There was a relationship between primary dysmenorrhea and sleep quality of PSIK female students of Muhammadiyah Institute of Health Science.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PNEUMONIA PADA BALITA DI UPTD PUSKESMAS KEMALARAJA KABUPATEN OKU TAHUN 2019
Authors: Oktarida Yustina 
Published: April 2021

Latar Belakang: Pneumonia merupakan salah satu penyakit infeksi saluran pernafasan akut bagian bawah yang menjadi penyebab utama morbiditas dan mortalitas anak berusia dibawah lima tahun terutama di negara yang sedang berkembang. Kematian balita di Indonesia yang disebabkan penyakit respiratori terutama adalah pneumonia (Said, 2012). Tujuan: Untuk mengetahui Faktor-faktor yang berhubungan dengan kejadian pneumonia pada balita di UPTDPuskesmas Kemalaraja Kabupaten OKU Tahun 2019. Metode: Penelitian ini menggunakan metode analitik dengan pendekatan cross sectional. Populasi dalam penelitian adalah ibu yang memiliki balita di UPTD Puskesmas Kemalaraja Kabupaten Ogan Komering Ulu pada bulan Juli Tahun 2019 yang berjumlah 65 orang. Analisa data menggunakan analisa univariat dan analisa bivariat dengan menggunakan tabel distribusi dan uji statistik Chi-Square, dengan derajat kepercayaan 95%. Hasil penelitian: Pada analisa bivariat didapatkan ada hubungan yang bermakna antara Status Imunisasi dengan Kejadian Pneumonia dengan p value 0,005, ada hubungan yang bermakna antara Pemberian ASI Eksklusif dengan Kejadian Pneumonia dengan p value 0,021, dan ada hubungan yang bermakna antara berat badan lahir dengan Kejadian Pneumonia dengan p value 0,002. Kesimpulan: Ada hubungan yang bermakna antara Status Imunisasi , pemberian ASI Ekslusif, berat badan lahir dengan Kejadian Pneumonia.

Background: Pneumonia is a disease of acute lower respiratory tract infection which is a major cause of morbidity and mortality in children under five years old especially in developing countries. Infant mortality in Indonesia caused by respiratory disease is primarily pneumonia (Said, 2012). Objective: To determine the factors associated with the incidence of pneumonia in infants in UPTD Puskesmas Kemalaraja OKU Regency in 2019. Method: This research uses analytic method with cross sectional approach. The population in this study was mothers who had children under five years old at UPTD Puskesmas Kemalaraja, Ogan Komering Ulu Regency in July 2019, amounting to 65 people. Data analysis uses univariate analysis and bivariate analysis using distribution tables and Chi-Square statistical tests, with a 95% confidence level. Results: In the bivariate analysis there was a significant relationship between immunization status with the incidence of pneumonia with p value 0.005, there was a significant relationship between exclusive breastfeeding with the incidence of pneumonia with p value 0.021, and there was a significant relationship between birth weight and the incidence of pneumonia with p value 0.002. Conclusion: There is a significant relationship between immunization status, exclusive breastfeeding, birth weight and the incidence of pneumonia.
Hagar, Uncle Tom’s Cabin, and Why We Cannot Agree on What the Bible Says about Slavery
Authors: Judd Andrew 
Published: April 2021

Abstract
This article examines the history of interpretation of Hagar’s story in Gen 16 within debates over slavery through the narrative frame of Harriet Beecher Stowe’s novel Uncle Tom’s Cabin. The character Mr. Wilson echoes the hermeneutics of very real nineteenth-century apologists for slavery, a tradition that implicates Calvin. In contrast, George reflects the more sympathetic tradition of the abolitionists, which is traced back to Chrysostom and Philo. Drawing on modern literary genre theory, this article proposes that these different readings of Gen 16 really begin as different conceptions about the kind of thing we are reading: its genre. The high mimetic genre assumed by the apologists, or the low mimetic mode of the abolitionists, changes what assumptions they make about characters, setting, and what the gaps in characterization mean. Apologists and abolitionists cannot agree on what the Bible means because, first and fundamentally, they cannot agree on what the Bible is.
USO DAS TEORIAS DE ENFERMAGEM NAS TESES BRASILEIRAS: ESTUDO BIBLIOMÉTRICO
Authors: Alves Héryka Laura Calú , Lima Gabriela De Sousa , Albuquerque Grayce Alencar , Gomes Emiliana Bezerra , Cavalcante Edilma Gomes Rocha , Viana Maria Corina Amaral 
Published: April 2021

Objetivo: caracterizar a produção científica que utiliza teorias de enfermagem a partir de teses realizadas por enfermeiros no Brasil.Método: estudo bibliométrico realizado no Banco de Teses da Coordenação de Aperfeiçoamento Pessoal de Nível Superior e na Plataforma Sucupira, em novembro de 2019. Foram selecionadas 63 teses lidas na íntegra para fichamento e extração de aspectos de interesse, a seguir: ano, universidade, autor, orientador, programa, teoria, modo de aplicação, tipo de estudo, natureza e temática.Resultados: o maior número de produções aconteceu em 2016 com 16 (25,4%) teses, com destaque para o Nordeste com 31 (49,2%). A teoria mais utilizada foi a Teoria do Cuidado Transcultural em oito (12,7%), com a temática mais investigada sendo o cuidado em 12 (13%) teses.Conclusão: a inclusão das teorias de enfermagem no ensino e na pesquisa ainda se mantêm obscuras. Pretende-se dar visibilidade à temática e sugerir o aprofundamento na discussão.
Alleen samen krijgen we fraude onder controle?
Authors: Feenstra A.A. 
Published: April 2021

Alleen samen krijgen we fraude onder controle?
Nauwere samenwerking tussen accountants en advocaten wordt door de politiek nauwlettend in de gaten gehouden. Gelet op recente tuchtrechtspraak van de Accountantskamer is het noodzakelijk dat ook eens kritisch wordt gekeken naar de samenwerking van dienstverleners met overheidsinstanties, zoals de dienstbetrekking van een accountant met het Openbaar Ministerie, de FIOD en de Belastingdienst.
THE EROSION OF TRUST – A REFLECTION
Authors: Gumbrell David , Deacon Mark 
Published: April 2021

David Gumbrell was a Primary headteacher in a successful London school when Michael Gove was Education Secretary. He is now a successful writer, trainer and academic with a special interest in teacher induction, development and wellbeing. The following are some of his reflections from the position of school leadership on what he sees as fundamental flaws in Gove’s leadership of education. Whilst, Gumbrell remains aware of potential unconscious bias he uses trust as the pivot, for his reflections. He states ‘I hope to mitigate the inevitable emotional attachment to my profession and my view as to the effect that Michael Gove has had upon it, both at the time and also the resultant legacy of his ministerial post.
Gove was and remains a polarising figure. For some Gove was the saviour of high-quality education, others regarded him as a ‘vandal’, busy sacking the person-centred education which had built up and refined since Plowden. Although never a consensus view, many teacher expressed their dismay at the reforms to the accreditation structure, curriculum, schemes of assessment and opportunities to control schools brought in by Gove.
Market Performance and Structure of Cucumber in Ibadan, Oyo State
Authors: Bosede Adeoye Iyabo 
Published: April 2021

Cucumber is an important vegetable due to its numerous health benefits. There are a number of empirical studies on the economics of production of the commodity, but there is insufficient information on marketing of the commodity. The study was therefore carried out to examine market performance, structure and constraints in cucumber marketing. Primary data was collected from 70 randomly selected actors in the supply chain (54 Retailers and 16 wholesalers). Data collected was analyzed using descriptive statistics, net marketing margin, efficiency and Gini coefficient. Findings revealed that most of the retailers (70.4%) and wholesalers (81.3%) were male. Most of the retailers were within 31–40 years whereas majority of the wholesalers were within 41–50 years and all the marketers had secondary level of education (47.2%). Cucumber marketing was profitable at the wholesale and retail level both at the peak and lean season of cucumber production. Retailers sell an average of 159.8 kg and 83.8 kg weekly in the peak and lean season. Whereas wholesalers sell an average of 1,000 kg and 870 kg weekly in the peak and lean season respectively. Net margin at retail level was higher in the lean season (68.8/kg) compared to the peak season (46.6/kg). Similarly, at wholesale level, net marketing margin at the lean season was 17.5/kg and was higher than 6.3/kg obtained during the peak season. Marketing efficiency was greater than one for the wholesalers and retailers in both seasons. Gini coefficient of retailer was 0.32 and 0.36 for the peak and lean season indicating that the market was competitive. There was inequality in the wholesale market as indicated by the gini coefficient result. The most important constraint to cucumber marketing was perishability of the produce and price fluctuation. The study recommends improved sensitization on adequate post-harvest handling practices and storage to reduce the levels and consequences of the perishable nature of the commodity.
Pattern of Skin Diseases in Yenagoa, Nigeria: A Hospital Based Study
Authors: Altraide Dasetima , Ojone Usman , Otike-Odibi Bolaji 
Published: April 2021

Background: There are no studies about the prevalence of skin diseases in Yenagoa, Bayelsa state. An area of swamp, mangrove and tropical rain forest with various factors influencing skin diseases.
Aim: To find out the pattern of skin diseases in relation to age and sex and compare with similar studies.
Methods: Collection of data of all new patients that attended the Dermatology out-patient clinic of the Federal Medical Centre Yenagoa within an 8 months period from May to December 2020. Diagnosis was mostly made on clinical basis, though laboratory investigations requested to confirm our diagnosis when needed.
Results: The total number of new patients attended to in the dermatology out-patient clinic between May to December of 2020 was 167. Comprising of children 41 (24.6%) and adults 143 (75.4%), among which males were 65 (38.9%) and 102 (61.1%) were females. Overall, infective conditions of the skin and subcutaneous tissues were the most common (36%), followed by papulosquamous disorders (34%) and eczema (30%). With pigmentary disorders, pruritus and urticaria and autoimmune disorders accounting for 17%, 13% and 3% respectively.
Conclusion: The incidence of infective dermatoses was found to be higher than non-infective dermatoses. This provide baseline information on the prevalence of skin disease in the study population and assist with ensuring the right services are made available to meet patient’s needs.
Health-Care Students' Perception on the Role and Contribution of Pharmacists: A Case Study in Ghana
Authors: Ampofo-Asiama Adelaide , Opare-Addo Mercy , Asare-Marfo Afia Frimpomaa 
Published: April 2021

Objective: The objective of this study was to access the perception of non-pharmacy health-care students on the role and contribution of pharmacists in to health-care delivery in Ghana. Furthermore, the influence of factors such as sex, program of study and frequency of interaction with pharmacists on this perception was determined.
Methods: A structured questionnaire was designed and administered to 670 medical, optometry and nursing students of the University of Cape Coast, Ghana after a pilot study was conducted. Results: The students strongly agreed that the role of the pharmacist is dispensing drugs, collaborating with physicians to prescribe medications. The students also appreciated the contribution of pharmacists in helping to reduce adverse reactions to medications. The students, however, showed little appreciation of pharmacists carrying out research or physical examinations and helping to reduce cost to patients. There was no effect of sex on the perception of students, although the frequency of interaction with pharmacists influenced their perceptions
Conclusions: The results of this study indicate that non-pharmacy health students appreciate certain roles and contributions of pharmacists to health-care.
Dysmorphology: Syndromes
Authors: Theunis Miel , Van Esch Hilde 
Published: April 2021

Abstract

Dysmorphology is the study of human congenital malformations and combines concepts and knowledge of different medical fields, including embryology and clinical genetics. Syndromology specialises in the diagnosis of multiple congenital anomalies through the recognition of patterns of human malformations. This article provides a theoretical framework of dysmorphism and a clinical and molecular diagnostic approach to the child that presents with a congenital malformation.
The assessment of a dysmorphic child must contain a detailed family, prenatal and birth history, an evaluation of the psychomotor development and a good clinical examination, including biometry, neurology and detailed description of minor and major anomalies.
Dysmorphic syndromes often present variable phenotypes and may escape clinical diagnosis even when causative molecular defects are similar. Alternatively, locus heterogeneity or mutations in different genes can underlie similar phenotypes. Therefore, technical advances are shifting the field of dysmorphology from gestalt diagnoses to broad molecular diagnostics and reverse phenotyping.

Key Concepts

Dysmorphism refers to any observable structural abnormality of the body but colloquially is often used to indicate facial dysmorphism.

The phenotype refers to the totality of the presentation including facial gestalt, congenital anomalies, psychomotor development and behavioural patterns.

Pathognomonic features can be subtle but are very specific for one disorder and confirm a clinical diagnosis.

Congenital anomalies are categorized into deformations, disruptions, dysplasias and malformations. Multiple congenital anomalies can be categorized as associations, syndromes or sequences.

Continuous technical advances have greatly improved the diagnostic yield of molecular investigations in human malformations.

Accurate diagnosis can reduce uncertainty, offer prognostic predictions, allow counselling of recurrence risk and earlier recognition of care needs through screening for additional comorbidities and better follow‐up, and guide therapeutic strategies.
Event‐triggered Kalman consensus filter for sensor networks with intermittent observations
Authors: Liang Yuan , Li Yinya , Chen Sujuan , Qi Guoqing , Sheng Andong 
Published: April 2021

SummaryThis article investigates the event‐triggered Kalman consensus filtering (ET‐KCF) problem for distributed sensor networks with intermittent observations. First, a novel ET consensus filtering structure is designed for sensor networks with intermittent observations. With the proposed consensus filtering structure, a new ET mechanism that is more efficient than the existed ones is designed to schedule transmissions of local estimates. Then, an optimal ET‐KCF in the sense of minimum mean‐square error is developed. For reducing the computational complexity of filtering algorithm, a suboptimal ET‐KCF is further proposed. Moreover, the stability of the suboptimal ET‐KCF is analyzed. Simulation results verify the validity and superiority of the proposed method.
Polarization and Holography Recording in Real‐ and k‐Space Based on Dielectric Metasurface
Authors: Zhao Ruizhe , Xiao Xiaofei , Geng Guangzhou , Li Xin , Li Junjie , Li Xiaowei , Wang Yongtian , Huang Lingling 
Published: April 2021

AbstractThe diverse design freedom and mechanisms of metasurfaces motivate the manipulation of polarization in an ultrashort distance with subwavelength resolution and make metasurfaces outperform conventional polarization optical elements. However, in order to enhance the information capability and encryption security of metasurface holograms, polarization manipulation together with multiplexing technologies are still highly desired. Here, a birefringent dielectric metasurface with the capability of encoding a grayscale image in real‐space based on Malus's law by utilizing the inhomogeneous polarization distribution and realizing the reconstruction of a vectorial holographic image in k‐space with the help of the phase profiles of different polarization components of output light is demonstrated. This novel functionality is realized by exploiting the manipulation of polarization and phase of output light simultaneously offered by the dielectric metasurface. The proposed method may enhance the information capability and security level of applications such as the anticounterfeiting and encryption.
Inkjet Printing Epitaxial Metal Halide Perovskites on Various Substrates?
Authors: Lu Chaojing , Sun Shiduo , Duo Yiwei 
Published: April 2021

AbstractIn their Progress Report, Sytnyk et al. claimed the epitaxial deposition of metal halide perovskites by inkjet printing on various substrates. The claims of epitaxy are doubtful due to a lack of convincing experimental evidence. Both optical microscopy and scanning electron microscopy images alone are insufficient to prove epitaxy. Even if the images suggest that epitaxial growth might have been achieved, direct evidences from X‐ray diffraction (XRD) or electron diffraction are still needed. Among the six perovskite‐substrate systems, only two CH3NH3PbI3 deposits on (111)PbTe/BaF2 are characterized with XRD. According to their XRD patterns, actually, it is estimated that each of their MAPbI3 deposits contains only <20% epitaxial components and the component of nearly random orientation is predominant besides considerable impurity PbI2. None of the MAPbI3 deposits can be considered epitaxial. It is critical to point out the errors in the methodology for verifying epitaxy, so that researchers would not be misled by Sytnyk's paper. Importantly, a new methodology to quantify the volume fraction of each epitaxial component in a thin film from XRD measurements is proposed. It is reliable to estimate the degree of texture according to the proposed equations, quite different from using Lotgering degree of orientation.