bluuebunny/crossref_metadata_2025_split huggingface dataset:
Scanner-Assisted CO2 Laser Fissurectomy: A Pilot Study
Authors: Giani Iacopo , Cioppa Tommaso , Linari Chiara , Caminati Filippo , Dreoni Paolo , Rossi Gianni , Tanda Cinzia , Talamo Giuseppina , Bettazzi Federico , Aprile Alessandra , Grassi Silvia , Pede Antonella , Giannoni Luca , Elbetti Claudio 
Published: December 2021

Introduction: Surgery for chronic anal fissure is challenging for every proctologist. Solving the pain by guaranteeing rapid and effective healing is the objective, but what is the price to pay today in functional terms? Though this result is nowadays partially achievable through interventions that include the execution of an internal sphincterotomy among the procedures, it is necessary to underline the high rate of patients who can present faecal incontinence. The aim of this study is to explore the effectiveness of scanner-assisted CO2 laser fissurectomy.Methods: From April 2021 to September 2021, all consecutive patients who affected by chronic anal fissure suitable for surgery, meeting the inclusion and exclusion criteria, were evaluated. All planned data were recorded before surgery, then at 24 h, 1 week, and 1 month follow-up. A scanner-assisted CO2 laser was used in this study to achieve a smooth and dried wound with a minimal tissue thermal damage, to ensure good postsurgical pain control, rapid and functional, elastic and stable healing, and to prevent potential relapses. Paracetamol 1 g every 8 h was prescribed for the first 24 h and then continued according to each patient's need. Ketorolac 15 mg was prescribed as rescue.Results: Mean pain intensity ≤3, considered as the principal endpoint, was recorded in 26 out of the 29 patients who enrolled in the study with a final success rate of 89.7% at 1-month follow-up. Pain and anal itching showed a statistically significant reduction while bleeding, burning, and maximum pain, and REALIS score showed a reduction too at the end of the follow-up period. Reepithelisation proved to be extremely fast and effective: 22 of 29 (75.9%) showed a complete healing and 5 showed a partial reepithelisation at 1-month follow-up.Discussion: Outcomes of this study showed that it is undoubtedly necessary to change the surgical approach in case of anal fissure. The internal sphincterotomy procedure must be most of all questioned, where the availability of cutting-edge technological tools must be avoided and offered only in selected cases. Scanner-assisted CO2 laser showed great results in terms of pain control and wound healing, secondary to an extremely precise ablation, vaporisation, and debridement procedures with minimal lateral thermal damage.
'My Name to me a Sadness Wears': Self and Other According to 'Diary by E. B. B.'
Authors: Rowland Yana 
Published: December 2021

This paper dwells on the issue of selfhood in Elizabeth Barrett Browning’s Diary (1831 – 1832). It explores individuation against three major presences in the poetess’s life: her father (and family), Hugh Stuart Boyd, and literature. The employed strategy of research includes a phenomenological (interspersed with feminist touches) focus on select excerpts from the Diary which reveal the writer’s concern for Self as the recognition of the priority of a precursory Other. Observations are made on the limits of human perception, time and space as human variables, the ontological essence of interpretation, and memory as a premise for cognizing life as care. A rare example of prose-fiction in the poetess’s oeuvre, her diary could be read as an instance of simultaneous self-nullification and self-affirmation, which offers possibilities for a dialectical definition of female genius as dialogue through narrative.
Síndrome neuroléptico maligno. Presentación de un caso y revisión de la literatura
Authors: Colón Núñez Solangel , López Santacruz Yenis Angélica , Brito Hernández Alberto 
Published: December 2021

El Síndrome Neuroléptico Maligno (SNM), es una peculiar y peligrosa complicación del tratamiento con fármacos antipsicóticos, que se caracteriza por fiebre, rigidez muscular severa y cambios en el estado autonómico y mental. Se realizó una revisión de los aspectos epidemiológicos, fisiopa- tológicos, diagnósticos y enfoques terapéuticos siguiendo una investigación cualitativa descriptiva con triangulación de información, resultado del análisis de la historia clínica, del seguimiento y evolución del caso en la terapia intensiva y apoyada en la revisión de la literatura científica, sobre esta patología. Se presenta el caso clínico de un paciente con el SNM, después de la medicación con antipsicóticos, del tipo haloperidol, asociado a la administración de metoclopramida y que por sus complicaciones, presentó arritmias cardiacas, trastornos del medio interno y trombosis venosa profunda del miembro inferior izquierdo, lo que necesitó el ingreso en la unidad de cuidados inten- sivos. Como conclusión, se destaca la importancia de mantener la vigilancia teniendo en cuenta un pensamiento clínico sobre los síntomas iniciales o de alerta de esta entidad, lo que permitirá realizar un diagnóstico precoz e iniciar un tratamiento oportuno y adecuado, logrando así reducir la morbimortalidad asociada.
Palabras clave: Fármacos antipsicóticos, complicaciones asociadas, síndrome, morbimortalidad.
Abstract:
The Neuroleptic Malignant Syndrome (NMS) is a peculiar and dangerous complication of treatment with antipsychotic drugs, which is characterized by fever, severe muscle stiffness and autonomic and mental status changes. We conducted a review of the epidemiological aspects, physiopatholog- ical, diagnosis and therapeutic approaches following a descriptive qualitative research with triangu- lation of information, results of the analysis of the clinical history, monitoring and evolution of case in intensive therapy and supported in the review of the scientific literature about this pathology, the clinical case of a patient who presented the NMS, after medication with antipsychotics, haloperidol type, associated with the administration of metoclopramide and presented complications like cardi- ac arrhythmias, disorders of the internal environment and deep venous thrombosis of the left lower limb, which needed admission to the intensive care unit. As conclusion we highlight the importance of maintaining surveillance taking into account clinical thinking about early symptoms or warning of this entity, which will allow early diagnosis and initiate treatment timely and appropriate, and thus reducing the associated mortality and morbidity.
Key words: Drugs antipsychotic, associated complications, syndrome, morbidity and mortality.
Comportamiento del endotelio corneal con la técnica de Mini-Nuc, una experiencia con 50 pacientes
Authors: Martínez Carballo Martha 
Published: December 2021

La cirugía de catarata es causa frecuente de edema corneal; este puede expresarse clínicamente en el postoperatorio inmediato o hacerlo muy tardíamente como consecuencia de la pérdida progresiva de células endoteliales que origina por sí mismo este procedimiento. Por este motivo, se realizó un estudio descriptivo, prospectivo, de corte longitudinal, con el objetivo de determinar las alteraciones del endotelio corneal en pacientes operados de catarata mediante la Técnica de Mini-Nuc, en el Hospital Calixto García. La investigación incluyó 50 pacientes que cumplieron con los criterios de inclusión y se realizó en el período comprendido entre septiembre de 2009 y septiembre de 2010. Algunos de los resultados más sobresalientes fueron: se evidenció modificación significativa de la densidad celular, el coeficiente de variabilidad y el índice de hexagonalidad luego de la realización del proceder quirúrgico, no sucediendo lo mismo con la paquimetría óptica. El polimegatismo y pleomorfismo aumentaron en el postoperatorio, al igual que la presencia de espacios acelulares. A pesar de comprobar la presencia en el postquirúrgico de alteraciones estructurales en el endotelio corneal, estas no comprometieron de manera irreversible su funcionamiento
Palabras clave: Endotelio corneal, postquirúrgicos, densidad celular, hexagonalidad, coeficiente de variabilidad, oftalmología.
Abstract
Cataract surgery is a common cause of corneal edema; this can express itself clinically in the immediate postoperative period or late as a result of the progressive loss of endothelial cells that originates by itself this proceeding. In order to determine changes in the corneal endothelium in 50 patients with diagnosis of cataract operated by Mini Nuc technique, a descriptive and prospective study was conducted at the Hospital General Calixto García University, which met the criteria of inclusion, from September 2009 to September 2010. The outstanding results, showed the significant change cell density, coefficient of variability and the hexagonal index, while with the optical pachymetry was not the same. The polimegatism and pleomorphism and acellular spaces increased in the postoperative period. Despite presence of structural alterations in corneal endothelium during post-operatory period, they did not affect irreversibly the endothelium working.
Key words: Corneal endothelium, post-surgery, cell density, coefficient of variability and rate of hexagonal forms.
Pie de riesgo y su estratificación en diabéticos
Authors: Hidalgo Martínez Bárbara , Cabezas Jama Jennifer Alexandra , Velásquez Ochoa Edgar Stefano , Acosta Pérez Rasiel 
Published: December 2021

El pie diabético es una complicación de la diabetes mellitus (DM) que puede controlarse con el manejo del pie de riesgo (PR). Con el objetivo de determinar la prevalencia de los factores predis- ponentes de esta patología y su estratificación en el paciente diabético, se realizó un estudio des- criptivo transversal, con 824 pacientes que asistieron a la consulta externa de endocrinología del Hospital Humberto Pozo, de febrero a julio de 2016. Para la estratificación, se utilizó el Sistema de Clasificación de Riesgos del Consenso Internacional del pie diabético. Se encontró que el 58,3% de los pacientes, presentó PR, el 30,7% en Grado 1 y 22,4% en Grado 2. Los factores predispo- nentes más frecuentes son la neuropatía (36,7%), la enfermedad vascular periférica (32,1%) y las deformidades ortopédicas (15,7%). Se identificó una elevada prevalencia de PR que permite con un correcto manejo de los factores predisponentes, prevenir lesiones y amputaciones.
Palabras clave: Pie de riesgo, pie diabético, amputación, prevención de pie diabético.
Abstract
Diabetic foot is a complication of diabetes mellitus that can be controlled with the management of the risk foot. In order to determine the prevalence of the predisposing factors of the risk foot and its stratification in the diabetic patient, a cross-sectional descriptive study was conducted with 824 dia- betic patients attending the outpatient clinic of endocrinology Humberto Pozo Hospital in the period from February to July 2016. For the stratification, the International Classification of Risks of the Dia- betic Foot Consensus was used. The most frequent predisposing factors were neuropathy (36.7%), peripheral vascular disease (32.1%) and orthopedic deformities (15.7%). A high prevalence of risk foot was identified that allows, with a correct management of the predisposing factors, to prevent injuries and amputations.
Key words: risk foot, diabetic foot, amputation, prevention of diabetic foot.
Neurodiversity and (Semantic) Space for the Academic Inclusion of People on the Autism Spectrum
Authors: Cierzniewska Ryszarda , Podgórska-Jachnik Dorota 
Published: December 2021

There is a need to rethink functioning and the role of universities that implement inclusive education, understood as high-quality education for everybody, available at all levels of education because of the increasing number of neurodiverse people (with ADHD, autism, dyslexia and other disorders classified as neurodevelopmental).. The aim of our hermeneutical work is an attempt to identify opportunities and limitations on an empirical and theoretical level for creating conditions for the inclusion of students defined as neurodiversity. The research material consists of published own and other authors' studies, and the direction of exploration is determined by the following questions: Are there theoretical and empirical premises for the claim of full inclusion in the academic education of neurodiverse students? What are the research-related limitations that constitute a barrier to the academic inclusion of neurodifferent adolescents? The theoretical background of our work is the theories of social constructivism as defined by Alfred Schűtz, Peter Berger and Thomas Luckmann. The research revealed theoretical and empirical premises confirming the validity of the claim regarding the inclusion of neurodiverse students in academic education due to the intellectual potential of young people, their high self-awareness and the need to provide a growing number of neurodiverse students with conditions for maturing to self-determination in adult life. In Poland, but also in other European countries, the number of students diagnosed with an autism spectrum is not monitored at the national level. Single studies conducted in Poland indicate the similarity of the problems of this group of students with the results of explorations carried out in other countries, and include dropout during the first year of studies, difficulties in relationships with peers, a feeling of loneliness, and a low level of employment after graduation. A large number of people with autism spectrum does not study at all. One of the barriers may be the availability of higher education, which is related to the cultural and economic status. This aspect has not been taken into account in Polish and international research. There was also little dissemination of the idea of neurodiversity, which may be important for the perception of students with the autism spectrum.
Perbandingan Algoritma K-Nearest Neighbour (KNN) dan Naive Bayes pada Intrusion Detection System (IDS)
Authors: Afifaturahman Aditya Dwi , MSN Firmansyah 
Published: December 2021

Machine learning techniques are widely used to develop Intrusion Detection Systems (IDS) to detect and classify cyber attacks at the network level and the host level in a timely and automated manner. However, many challenges arise as malicious attacks are constantly changing and occurring in very large volumes requiring a scalable solution. Therefore, this study conducted a comparison of the K-Nearest Neighbor (KNN) and Naive Bayes algorithms. The dataset used in this study is the Ddos features-IDS 2017 dataset published in 2019. This research analyzes the comparison of methods generated from the classification process based on metric accuracy, specificity and sensitivity parameters. The classification process using the K-Nearest Neighbor (KNN) and Naive Bayes algorithms, it can be concluded that the results of the three tests with a percentage split of 60%, 70% and 80% show that the K-Nearest Neighbor (KNN) algorithm gets a higher value than Naive Bayes except the error rate because the error rate indicates that the data failed to be classified properly. Testing on a percentage split of 60% KNN parameter accuracy gets a value of 99.53%, specificity 94.05%, sensitivity 75.20%, testing on a percentage split 70% KNN parameter accuracy gets a value of 99.69%, specificity 94.59%, sensitivity 78.40% and testing on percetage split 80%, KNN parameter accuracy parameter got a value of 99.70%, specificity 94.44%, sensitivity 75.85%.
ANALISIS POTENSI PELUANG PENGHEMATAN KONSUMSI ENERGI DI BRITS HOTEL KARAWANG
Authors: Wirawan Wirawan , Hiron Nurul , Busaeri Nundang 
Published: December 2021

Perhitungan nilai Intensitas konsumsi energi (IKE) pada bangunan Brits Hotel Karawang dilakukan dengan menghitung penggunaan konsumsi energi listrik yang berdasarkan data historis pemakaian energi dalam kurun waktu tertentu yang dibagi dengan luas bangunan. Hasil perhitungan IKE tersebut dibandingkan dengan standar konsumsi energi listrik untuk bangunan hotel berdasarkan Permen ESDM No.13 tahun 2012 tentang penghematan pemakaian energi listrik. Jika nilai IKE tidak sesuai standar maka dilakukan perhitungan peluang hemat energi (PBE) yang dibatasi pada perhitungan ulang kebutuhan daya pencahayaan pada sistem pencahayaan dan perhitungan ulang kebutuhan kapasitas AC pada sistem tata udara. Berdasarkan hasil dari penghitungan nilai IKE yang berdasarkan data historis penggunaan energi listrik pada kurun waktu September 2017 sampai dengan September 2018 didapatkan nilai IKE sebesar 178,44 kWH / tahun. Sedangkan target IKE per satuan luas yang dikondisikan untuk perhotelan yang berdasarkan Peraturan Menteri ESDM No.13 Tahun 2012 adalah 300 kWH/ tahun. Maka IKE Brits Hotel Karawang lebih kecil daripada target IKE listrik atau dapat dikatakan pemakaian energi listrik di Brits Hotel Karawang sudah efisien. Akan tetapi perhitungan ulang kebutuhan daya pencahayaan dan juga perhitungan ulang kapasitas AC tetap dilakukan dan dari hasil perhitungan tersebut didapatkan hasil pengurangan penggunaan konsumsi energi listrik di Brits Hotel Karawang.Kata Kunci : Intensitas Konsumsi Energi, Sistem Pencahayaan, Sistem Tata udara, Peluang Hemat Energi
INVESTASI SYARIAH DAN PERTUMBUHAN EKONOMI: OPTIMASI PERAN SUKUK SEBAGAI PENUNJANG PEMBANGUNAN EKONOMI NASIONAL
Authors: Wijaya Reza Henning 
Published: December 2021

Abstrak Masifnya pergerakan syariah di dunua, memberikan pengaruh kepada semua negara tidak terkecuali Indonesia. penelitian deskritif ini bertujuan untuk menggambarkan investasi syatiah khususnya sukuk mampu untuk berkonstribusi pada pembangunan ekonomi nasional. Penelitian ini menggunakan metode kualitatif dengan library research. Sukuk mampu untuk menahan defisit APBN Indonesia untuk mendukung pembangunan infrastruktur, sektor padat karya, dan mengembangkan potensi daerah. Namun Indonesia masih membutuhkan beberapa regulasi dan kebijakan untuk mengoptimalkan peran sukuk dalam pembangunan ekonomi. Kata Kunci: Sukuk, Pembangunan Ekonomi Nasional, APBN.
Analisis Pengaruh Inflasi, Produk Domestik Bruto dan Bagi Hasil terhadap dana pihak ketiga Bank Umum Syariah tahun 2014-2019
Authors: Sugiharti Eliana Siti , Wulandari Neni Sri , Al Adawiyah Rumaisah Azizah 
Published: December 2021

Dana Pihak Ketiga Bank Umum Syariah mengalami fluktuasi dan meningkat, pertumbuhan total aset di Indonesia mengalami perlambatan dan dana pihak ketiga merupakan komponen utama aset. Semakin besar dana pihak ketiga maka semakin besar pula aset perbankan. Maka posisi dana pihak ketiga menjadi penting dalam perkembangan aset perbankan. Penelitian ini bertujuan untuk melihat gambaran serta pengaruh Inflasi, Produk domestik bruto dan Bagi Hasil terhadap Dana pihak ketiga Bank Umum Syariah di Indonesia tahun 2014-2019. Metode penelitian yang digunakan dalam penelitian ini adalah metode deskriptif kuantitatif. Sampel penelitian berjumlah delapan Bank Umum Syariah yang diperoleh berdasarkan purposive sampling dengan periode penelitian selama enam tahun penelitian. Data yang digunakan adalah data sekunder. Metode yang digunakan analisis regresi data panel dengan Eviews 9. Hasil penelitian ini menunjukkan bahwa produk domestik bruto berpengaruh terhadap dana pihak ketiga, inflasi tidak berpengaruh terhadap dana pihak ketiga dan Bagi hasil tidak berpengaruh terhadap dana pihak ketiga. Hal yang dapat dilakukan Bank Syariah dalam meningkatkan Dana Pihak Ketiga yaitu meningkatkan kinerja dalam pelaksanaan kegiatannya dan memberikan pembiayaan kepada sektor riil sehingga pendapatan masyarakat dapat meningkat dan masyarakat dapat menyisihkan sebagian pendapatan untuk saving.
KEMAMPUAN KOMUNIKASI MATEMATIS SISWA SMP DENGAN PEMBELAJARAN JARAK JAUH BERBASIS LEMBAR KERJA
Authors: Harisuddin Muhammad Iqbal 
Published: December 2021

Abstrak : Pembelajaran Jarak Jauh (PJJ) menjadi salah satu alternatif pembelajaran di tengah wabah Covid-19 saat ini. Salah satu metode penyampaian Pembelajaran Jarak Jauh yaitu dengan bahan-bahan tertulis seperti lembar kerja, maka dengan penggunaan lembar kerja ini agar semua siswa bisa mengikuti pembelajaran, sehingga tidak terjadi ketertinggalan dalam mengikuti setiap pembelajaran. Penelitian ini bertujuan untuk mendapatkan gambaran tentang peningkatan kemampuan komunikasi matematis siswa dan untuk mengetahui kemandirian belajar siswa dengan pembelajaran jarak jauh berbasis lembar kerja siswa. Metode penelitian ini menggunakan metode ex-post facto. Penelitian ini dilaksanakan di SMP Negeri 2 Kalijati, siswa kelas VII tahun pelajaran 2020/2021, sampel dipilih secara random. Hasil penelitian menunjukkan terdapat perbedaan kemampuan komunikasi matematis siswa yang signifikan dengan pembelajaran jarak jauh berbasis lembar kerja. Hasil Angket menunjukkan diperoleh persentase rata-rata kemandirian belajar siswa yaitu sebesar 30,65% berarti dapat disimpulkan bahwa hampir setengahnya menunjukkan adanya kemandirian belajar terhadap pembelajaran jarak jauh berbasis lembar kerja.
Los fogones del norte de Tierra del Fuego
Authors: Borrero Luis 
Published: December 2021

Mauricio Massone, 2020. Fuego, fogones y contextos arqueológicos de los cazadores recolectores tardíos en el norte de Tierra del Fuego. 228 pp.; 17x 24 cm. Universidad de Magallanes, Punta Arenas. ISBN: 978-956-7189-89-2
Reseña de Luis Alberto Borrero. Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad de Buenos Aires. Saavedra 15, 5to. Piso, Ciudad Autónoma de Buenos Aires. E-mail: laborrero2014@gmail.com
Cardiac Disease in Pregnancy: Maternal and Perinatal Outcomes in RSUP Dr. Mohammad Hoesin Palembang
Authors: Ni Made Dyah Gayatri  , Peby Maulina Lestari  , Martadiansyah Abarham , Rizky Agustria  , Muwarni Emasrissa Latifah  
Published: December 2021

Background: Impaired maternal and uteroplacental perfusion can occur in pregnancy with cardiac disease leading to maternal and perinatal mortality and morbidity due to increased cardiac load and ventricular dysfunction. This research aims to determine maternal and perinatal outcomes of pregnancies with cardiac disease.
Method: This research was a descriptive observational study conducted by a total sampling method and a cross-sectional design. This research used medical records of pregnant women with cardiac disease who gave birth in RSUP Dr. Mohammad Hoesin Palembang in January 2018-December 2020 as study samples.
Result: Among 68 pregnancies with cardiac disease, there were 4 cases (0.87%) found in 2018, 37 cases (2.47%) found in 2019, and 27 cases (1.48%) found in 2020. The highest distribution of pregnancies with cardiac disease was found at 64.7% in the range of 20-35 years old age group; 57.4% in the multiparity group; 38.2% in the range of ≥34 – <37 weeks gestational age group; 86.8% in the high school educational level group; 66.2% in the high-risk cardiac functional status group; 54.4% in the peripartum cardiomyopathy group; and 36.8% with preeclampsia/eclampsia as a comorbid. In this study, maternal outcomes found were maternal mortality at 11.8%; cardiac failure at 70.6%; arrhythmia at 1.5%; and stroke at 1.5%, while perinatal outcomes found were prematurity at 60.3%; low birth weight at 64.4%; IUGR at 37.0%; IUFD at 1.4%; stillbirth at 6.8%; neonatal death at 9.6%; and perinatal asphyxia at 42.5%.
Conclusion: The prevalence rate of pregnancies with cardiac disease in RSUP Dr. Mohammad Hoesin Palembang was 0.87% in 2018, 2.47% in 2019, and 1.48% in 2020. The most common maternal outcome in this study was cardiac failure, with most in the peripartum cardiomyopathy group, while the most common perinatal outcome was low birth weight, with most in the hypertensive heart disease group.