bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analiza bezpośrednich, pośrednich i całkowitych kosztów leczenia pacjentów szczególnie drogich w szpitalu specjalistycznym w Polsce
Authors: Cygańska Małgorzata , Thoene Michael , Silva Amelia 
Published: April 2019

Celem badań była identyfikacja czynników powodujących, że koszty bezpośrednie, pośrednie i całkowite leczenia pacjentów są szczególnie wysokie. W toku badań zidentyfikowano pacjentów o skrajnie wysokich kosztach leczenia (TCO), pacjentów o skrajnie wysokich kosztach bezpośrednich leczenia (DCO) oraz pacjentów o skrajnie wysokich kosztach pośrednich leczenia (ICO). Przeanalizowano koszty leczenia 4570 pacjentów. Czynniki kosztotwórcze leczenia wyodrębnionych grup pacjentów zidentyfikowano spośród następujących zmiennych: wiek, czas hospitalizacji, płeć, tryb przyjęcia do szpitala, tryb wypisu ze szpitala, rodzaj oddziału. W badaniu posłużono się wieloczynnikową analizą regresji logistycznej. Pacjenci o szczególnie wysokich całkowitych kosztach leczenia stanowili 9% badanej populacji. Odsetek pacjentów o szczególnie wysokich bezpośrednich kosztach leczenia był nieznacznie wyższy (10%), a pacjentów o szczególnie wysokich pośrednich kosztach leczenia był nieznacznie niższy (8%). TCO odpowiadali za niemal 37% kosztów całkowitych, 40% kosztów bezpośrednich, i 34% kosztów pośrednich. DCO odpowiadali za niemal 45% kosztów bezpośrednich, natomiast ICO za 35% kosztów pośrednich. Badania wykazały, że koszty hospitalizacji mężczyzn są istotnie statystycznie wyższe. Ryzyko, że koszty leczenia pacjentów będą szczególnie wysokie, rośnie w przypadku pacjentów skierowanych do dalszego leczenia i tych, w przypadku których odnotowano zgon w toku leczenia. Tryb przyjęcia istotnie statystycznie jest związany z ICO. Ryzyko, że czas pobytu pacjenta będzie szczególnie długi, znacząco rośnie w przypadku ICO (ponad 580 razy), natomiast w znacznie mniejszym stopniu w przypadku DCO (3.81 razy) oraz TCO (13.79 razy). Przeprowadzone badania wskazują, że w kontekście ponoszonych kosztów w szpitalu na uwagę menedżerów zasługują nie tylko pacjenci o skrajnie wysokich całkowitych kosztach leczenia, lecz także pacjenci o skrajnie wysokich bezpośrednich kosztach leczenia oraz pacjenci o skrajnie wysokich pośrednich kosztach leczenia.
Medication Insurance Policy - a New Insurance Product in the Polish Health Care System
Authors: Piechota Anna 
Published: April 2019

In the Polish healthcare system, medications (including compounded preparations) are wholly or partially paid for from public funds. Subsidising medications which are either central or incidental to treatment (e.g., when patients are unable to work because of an illness) means that medication costs make up a large percentage of total health expenditure and are a drain on the patients' purse. Medication insurance (or drug coverage) policies are a relatively new product and are featured in business insurance portfolios of only a handful of insurance companies offering coverage for medication costs. This article sets out to discuss and analyze available medication coverage policies.
Neoplasia Maligna da Próstata: Tendência da Mortalidade em Petrópolis-RJ, 1980-2012
Authors: De Oliveira Thaís Lopes , Nunes Lélia Cápua , Lopes Taís de Souza 
Published: April 2019

Introdução: A neoplasia maligna da próstata é o segundo tipo de câncer mais incidente entre os homens e, em 2012, foram estimados 1,1 milhão de casos novos e 300 mil mortes no mundo. Possíveis fatores de risco para ocorrência desse tipo de câncer são a idade e a história familiar. Objetivo: Analisar a tendência da mortalidade por câncer de próstata em Petrópolis, no período compreendido entre 1980 e 2012. Método: Foi realizado um estudo ecológico de série temporal. Os dados de mortalidade foram coletados do Sistema de Informação sobre Mortalidade do Ministério da Saúde (SIM/MS/DATASUS ) e os dados de população, do Instituto Brasileiro de Geografia e Estatística (IBGE). As taxas de mortalidade foram padronizadas por faixa etária, por método direto. Para avaliar a tendência temporal da mortalidade, foi utilizado o método de regressão de Prais-Winsten no qual as taxas de mortalidade padronizadas log-transformadas foram consideradas como variável dependente (y) e os anos analisados como variável independente (x). Resultados: A taxa média padronizada de mortalidade por câncer de próstata, correspondente ao período de 1980 a 2012, foi de 104,6 por 100 mil homens. A mortalidade, ao longo dos anos estudados, apresentou tendência crescente estatisticamente significativa (p<0,05), aumentando de 55,4, em 1980, para 114,3, em 2012. Conclusão: As tendências das taxas de mortalidade por câncer de próstata no município foram crescentes e significativas, o que remonta à necessidade de formulação de um diagnóstico regional, para elucidar as causas desse comportamento e propor estratégias de ação.
Prevalência de Ansiedade e Depressão em Pacientes Oncológicos e Identificação de Variáveis Predisponentes
Authors: Ferreira Andreia Silva , Bicalho Bruna Pereira , Neves Luiza Figueiredo Gramiscelli , Menezes Marcella Torres , Silva Thais Andressa , Faier Thiago Aguiar , Machado Richardson Miranda 
Published: April 2019

Introdução: O diagnóstico de câncer pode ser acompanhado de transtornos psiquiátricos como a ansiedade e a depressão. Objetivo: Avaliar a ocorrência de depressão e ansiedade em paciente oncológicos, além de analisar as associações entre as variáveis clínicas e sociodemográficas e as comorbidades psiquiátricas. Método: Trata-se de um estudo transversal, analítico-descritivo, no qual foram selecionados de maneira aleatória prontuários de pacientes oncológicos em tratamento no hospital referência da Região Centro-Oeste de Minas Gerais. Os dados sociodemográficos e clínicos (gênero, idade, tipo de câncer, tipo de tratamento e tempo de tratamento) foram coletados, e a amostra foi triada para depressão e ansiedade, por meio do Hospital Anxiety and Depression Scale (HADS), já validada para o Brasil. Os dados obtidos foram interpretados por frequência absoluta e relativa. Posteriormente, foram analisadas as associações por meio do Teste Qui-Quadrado. Resultados: A amostra é formada por 233 pacientes, sendo 65% mulheres; 55% dos entrevistados no setor de quimioterapia; e 37% com até três anos de tratamento. Entre os entrevistados, foram encontrados 31,33% (IC 95%: 25,37-37,28) dos pacientes com ansiedade provável ou possível, e 26,18% (IC 95% 20,53-31,82) com depressão provável ou possível. Após correlação dos dados encontrados por meio do Qui-Quadrado, não se identificou diferença nos subgrupos, porém houve uma tendência maior a mulheres apresentarem depressão. Conclusão: A ansiedade e depressão são distúrbios prevalentes em pacientes oncológicos. Neste estudo, mais de um quarto dos pacientes demonstram componentes de transtorno psicológico (26,18% ansiedade e 31,33% depressão), tendo um predomínio de depressão em mulheres.
Conciencia y paralelismo en Spinoza
Authors: García Muñoz Luis Ángel 
Published: April 2019

El papel de la conciencia en Spinoza no radica en la distinción entre hombres y demás individuos como aﬁ rma Curley, sino en los grados de perfección entre ellos. Para esto, apelaremos al naturalismo incremental propuesto por Garrett y defenderemos que Bennett y Curley tienen una visión del paralelismo inadecuada dado que las modiﬁ caciones de los atributos expresan no a la substancia, sino a una cosa singular debido a una confusión entre la doctrina del paralelismo y la de identidad de modo en Spinoza.
HUBUNGAN PENGETAHUAN GIZI DAN KEBIASAAN MAKAN DENGAN BERAT BADAN SANTRIWATI DI PONDOK PESANTREN AMANATUL UMMAH SURABAYA
Authors: Kurniawati Dewi Putri , Santy Wesiana Heris , Putri Pratiwi Hariyani 
Published: April 2019

The nutrition problems that often occur in adolescence are multiple nutritional problems that is overweight and thin. It’s happen because imbalace between energy consumption and expulsion energy in the body metabolism. The prevalence of overweight and thin teenagers aged 16 – 18 are rising each year. The purpose of this research is to know the relation of nutrition knowledge and eating habits with weight of santriwati in boarding school Amanatul Ummah Surabaya.
The design of this research is the cross sectional. The sample of research is 45 respondents, taken using a proportional random sampling. The instrument using a questionnaire, data analysis using spearman rank test with significance level 0.05.
The research shows that almost half of the repondent having overweight (31.1%) and a small part has skinny (11.1%). The results of the test of rank spearman shows there is unrelation between nutrition knowledge with weight (p = 0,205) and there is relation between eating habits with weight (p = 0.000).
It can be concluded that nutritional knowledge does not affect a person to choose nutritious foods and according to the need, but eating habits will effect for weight. Teenagers should apply of nutrition knowledge that they have so can change eating habits.
HUBUNGAN WAKTU TUNGGU DAN SIKAP PETUGAS DENGAN KEPUASAN PASIEN PADA INSTALASI FARMASI RUMAH SAKIT ISLAM SURABAYA (RSIS) JEMURSARI
Authors: Adriansyah Agus Aan , Nadatien Ima 
Published: April 2019

Introduction: Jemursari Surabaya Islamic Hospital has a Pharmacy Installation service that requires long prescription service waiting times. This resulted in the emergence of patient dissatisfaction with the quality of services available at the Jemursari Islamic Hospital Pharmacy Installation in Surabaya. In relation to patient satisfaction and the quality of service at the Jemursari Islamic Hospital, there are still patients who are dissatisfied with the services of the Jemursari Islamic Hospital Pharmacy Installation staff. This study aims to analyze the relationship between waiting time and the attitude of the officer with patient satisfaction at the Jemursari Islamic Hospital Pharmacy Installation in Surabaya.
Method: this study was an observational analytic study using aapproach cross sectional. The research locations were in Depo 1 Pharmacy Installation, Jemursari Islamic Hospital, Jl Jemursari no. 51-57, Jemur Wonosari, Wonocolo, Surabaya City, East Java. The research sample was 100 respondents using random sampling techniques. The data obtained were then analyzed using thetest chi square.
Results: the results of the study showed that there was a significant relationship between service waiting time and the attitude of the officers in the service at the Pharmacy Installation with the level of satisfaction felt. Waiting time for services at Depo 1 Pharmacy is not in accordance with the Standard Minimum Procedure that has been determined.
Conclusion: the waiting time and attitude of the officers have a significant relationship to patient satisfaction.
Effects of arbuscular mycorrhizal fungi, rhizobium and phosphorus on mungbean (Vigna radiata) in saline soil
Authors: Rahman M , Hossain MA , Ali ME , Anik MFA , Alam F 
Published: April 2019

A pot experiment was carried out in the nethouse of Soil Science Division of Bangladesh Agricultural Research Institute (BARI), Joydebpur, Gazipur in 2017 and 2018 with an objective to evaluate the potentiality of AM fungi, Rhizobium and P in different best combinations on germination (%), growth, yield and yield contributing characters, nodulation, sporulation and nutrient concentration of mungbean under low salinity (4 dSm-1) stress condition. The experiment was designed in CRD with 10 treatments and 4 replications. Mungbean variety BARI Mung-6 was used as a test crop. Peat based rhizobial inoculum (BARI RVr-403) was used in this experiment @ 50 g kg-1 seed and the population density of inoculum being above 108 cfu g-1 inoculant. Soil based AM inoculum containing 275 ± 20 spores and infected root pieces of the host plant was used in each pot. There were 10 treatments viz. T1: Control (Not absolute control), T2: Arbuscular mycorrhiza (AM) + 50% P, T3: AM + 75% P, T4: AM + 100% P, T5: Rhizobium + 50% P, T6: Rhizobium + 75% P, T7: Rhizobium + 100% P, T8: AM + Rhizobium + 50% P, T9: AM + Rhizobium + 75% P and T10: AM + Rhizobium + 100% P. The highest seed yield (2.28 g plant-1, 46.2% higher over control in 2017 and 2.97 g plant-1, 33.8% higher over control in 2018) and stover yield (5.23 g plant-1, 30.8% higher over control in 2017 and 5.67 g plant-1, 32.8% higher over control in 2018) were found in AM + Rhizobium + 75% P treatment. Dual inoculation significantly increased P, S, Mg, Fe, Mn and Zn concentration of mungbean plant compared to control. The results suggest that inoculation of AM fungi and Rhizobium along with 75% of recommended P rate can help increased mungbean yield under low salinity stress condition through influence on nodulation, colonization and nutrient uptake.
Bangladesh J. Agril. Res. 44(1): 153-165, March 2019
Evaluation of jackfruit germplasm for yield and yield contributing characters
Authors: Rahman MZ , Karim MR , Haque MA , Rahman MJ 
Published: April 2019

Twenty germplasm of jackfruit grown in the Fruit Research Farm of Horticulture Research Centre (HRC), Bangladesh Agricultural Research Institute (BARI) were evaluated for growth, yield and yield parameter along with qualitative characters from July 2012 to June 2015. All the germplasm varied for most of the parameters evaluated. The tallest plant was recorded in AH Joy-079(6.75m) and shortest plant in AH Joy-075 (3.50 m) among the germplasm. Base girth ranged from 42.50 cm to 80.20 cm in AH Joy-075 and AH Joy-085, respectively. Maximum plant spreading with North-South and East-West canopy (5.50 m and 6.00 m, respectively) was recorded in AH Joy-079 and minimum (3.00 m and 3.50m) in both AH Joy-075 and AH Joy-090 germplasm. The fruit number varied from 02 to 11 among the germplasm. Individual fruit weight ranged from 2.27 kg to 11.33 kg where AH Joy-034 had the lowest and AH Joy-092 noted the highest fruit weight. Maximum bulb (184) was recorded in AH Joy-092 and minimum (45) in AH Joy-085. Maximum TSS (25.0) was recorded in AH Joy-029 and minimum (14.0) in AH Joy-067 and the edible portion was noted the highest in AH Joy-036 (48.60%) where it was lowest in AH Joy-078 (32.10%). Bulb texture was soft to hard. Maximum germplasm were juicy to medium juicy having yellow to light yellowPulp. Therefore, The germplasm AH Joy-089, AH Joy-017 and AH Joy-092 may be selected for higher yielder. The germplasm AH Joy-034,AH Joy-067, AH Joy-078,AH Joy-085 and AH Joy-098 should be selected for family size jackfruit as their individual fruit weight ranges between 2 to 4 kg including yellow bulb colourcontaining good juiciness and soft bulb texture.
Bangladesh J. Agril. Res. 44(1): 167-177, March 2019
Distribution and habitat characteristics of the Troidine butterfly community in the Western Ghats, a biodiversity hotspot in India
Authors: Anto Mary , Mathew George , Jose Roby T. 
Published: April 2019

Investigation on the distribution patterns and habitat requirements of the butterfly tribe, Troidini was carried out in undisturbed forest habitats and disturbed, human-modiÃ»ed habitats in the Western Ghats, a biodiversity hotspot in south India. Compared various ecological and biological traits of the four species of this group which included a CITES (Convention on International Trade in Endangered Species of Wild Fauna and Flora) listed species, Troides minos Cramer, an endemic species Pachliopta pandiyana Moore, a protected species, Pachliopta hector Fabricius and Pachilopta aristolochiae Linnaeus. Comparisons were based on transect counts conducted at 66 transects in 22 locations covering six types of habitat systems with a gradient of disturbance and management regimes during 2009 and 2010. Results indicated that P. aristolochiae was the most widely distributed species occurring in 90% of the transects sampled and P. pandiyana had a restricted distribution (36 %), while both P. hector and T. minos were observed in 73% of the transects. Sampling of the juveniles on the six species of host plants in the various habitats provided insights into host plant partitioning between these species in the different habitats. Life history traits and morphological characteristics of adult troidines, larval host plant characteristics and habitat characteristics were evaluated and characterized.
Russian Refugees and Posthumous Evaluation of Lenin in Slovenian Politics
Authors: Perovšek Jurij 
Published: April 2019

Throughout the Slovenian political arena, Lenin was seen as an extraordinary world-historical figure. This was emphasised most frequently on the occasion of his death (21 January 1924), which prompted the most comprehensive Slovenian statements about the leader of the Russian Bolshevik revolution. Lenin’s revolutionary work was analysed by all three Slovenian political camps: Catholic, Liberal, and Marxist. The revolutionary part of the Marxist camp welcomed it, while its non-revolutionary part perceived Lenin as an embodiment of schism and hatred, a man of great deeds and terrifying destruction, standing outside all accepted moral laws. The opinion of the Liberals was similar: for them, Lenin represented a world born from revolution, fatally threatening the existing balance of social and political power. The Catholic camp, on the other hand, harboured for him a peculiar admiration. To be sure, he was seen as a dictator, a demonic genius ethically inclining towards a social justice which was based on the denial of individualism and on a ruthless, atheist, ‘Genghis Khan-like’, bloody Marxist revolution. However, he was also perceived as a man of action and energy, unmatched by either Peter the Great or Napoleon, and counted among the greatest Slavic personages. This was taking place at a time when the Slovenian political Catholicism still credited communism with an ability to provide certain social and economic solutions for other social movements as well.
The Slovenian politics of the mid-1920s emphasised both the extraordinary nature of the Lenin phenomenon and his radical revolutionary acts, which sprang from a monumental political ability and relentless pursuit of the envisioned goal. This emphasis was accompanied by an understanding of the historical forces underlying the past events. The developments in Russia were accepted as facts, and this was what the Russian refugees had to come to terms with as they looked for a new home on the western edge of the Slavic world.
Español como lengua extranjera: didácticas innovadoras [revisión]
Authors: Gutiérrez Rincón Katharyne 
Published: April 2019

Se enmarca en el área de investigación y didácticas del español como lengua extranjera (E/LE) con el objetivo de analizar ocho enfoques innovadores: literatura, tecnologías de la información, plan de estudios, cultura, pragmática, lúdica, gramática y léxico y traducción, aplicados a la enseñanza del español como lengua extranjera. El presente documento servirá de insumo para quienes deseen inclinar su trabajo docente como maestros de E/LE. En este artículo se presenta una revisión de la literatura con el fin de comprender algunas dinámicas investigativas relacionadas con el tema en cuestión. Posteriormente, se presentan algunas conclusiones que proponen nuevos horizontes y caminos poco explorados para indagar acerca del desarrollo de didácticas innovadoras para la enseñanza de E/LE.
Escala CHILD: Validación del inventario de las dificultades auditivas de los niños en el hogar
Authors: Irúrita Sánchez Diana María , Ramirez Tobar Leydy Joanna , Sepulveda Villamizar Angela Vivianci 
Published: April 2019

En Colombia, es común encontrar que el Fonoaudiólogo Especialista en Audiología, no lleva a cabo en su práctica clínica diaria un control estandarizado o riguroso de la funcionalidad de las ayudas auditivas en contexto, a partir del cual pueda identificar las necesidades comunicativas y/o mejoras en las habilidades auditivas de los niños dentro del ambiente de su hogar, que es el ambiente primario de aprendizaje. La presente investigación busca evaluar el grado de validez de la escala C.H.I.L.D. (INVENTARIO DE LAS DIFICULTADES AUDITIVAS DE LOS NIÑOS EN EL HOGAR) para conocer su aplicabilidad en la población colombiana. Para ello, se solicitó a 9 jueces expertos valorar la pertinencia, suficiencia, claridad y coherencia/cohesión de contenido y sintaxis de las preguntas y opciones de respuestas en términos de si/no, y proporcionar los respectivos ajustes de la escala teniendo en cuenta las observaciones de estos. Para el análisis de la información, se usaron 2 medidas de acuerdo, el Ïndice Global de Acuerdo y el Ïndice de Acuerdo Kappa de Randolph (2005). Se obtuvieron altos índices de concordancia para las preguntas y opciones de respuestas de la escala, tanto en la versión de niños como la de padres. Se puede concluir que el proceso de validez de contenido efectuado fue eficiente para determinar su uso en Colombia.
Escritura en Niños de Bajos Recursos: Aspectos psicolingüísticos
Authors: Martínez Martínez Aura Jazmin , García Rodríguez Luisa Fernanda 
Published: April 2019

En el presente estudio se determinó las características de la escritura en niños de 8 – 10 años de edad cronológica, a través de la aplicación de la Evaluación de los procesos escritores PROESC. Se utilizó una metodología de enfoque cualitativo, de tipo descriptivo y corte transversal en la que se partió de la recolección de datos y la categorización de las manifestaciones presentadas por los sujetos de la investigación.Se toma como muestra una población de 30 sujetos de estrato socioeconómico 1, que cursan de tercero a quinto de primaria y que no presentan una patología neurolingüística, ni dificultad motora.En los resultados se registra dentro de la caracterización que existe el manejo de la conversión fonema grafema, la descomposición de silabas, realizan diferenciación de la letra, silaba, palabra y frase, a su vez se evidencia escaza fluidez de ideas, el manejo inadecuado de la construcción sintáctica y omisión de palabras funcionales.Las prácticas pedagógicas que se desarrollan en los centros educativos deben establecer un propósito que permita la preparación del niño para el aprendizaje de la escritura; este debe estar encaminado hacia el desarrollo de los procesos neurológicos, neuropsicológicos y psicolingüísticos que permitirán el adecuado desempeño escolar.
Abordaje Holístico y Potenciación del Filtro Vocal en Alteraciones de la Voz
Authors: Sánchez Inés Bustos 
Published: April 2019

El proceso de configuración de una disfonía funcional sin o con lesión benigna en las cuerdas vocales - en este caso a causa de mal uso y/o abuso vocal-, pone en evidencia una descompensación o pérdida del delicado equilibrio músculo-esquelético general y, particularmente, del funcionamiento de los subsistemas implicados en la producción vocal. Como consecuencia, se generan mecanismos compensatorios que la intervención fonoaudiológica ha de volver a “ajustar”. En este artículo se propone el abordaje holístico de estas alteraciones de la voz, que ha de incluir la consideración del cuerpo como un macro sistema músculo esquelético. A su vez, se plantea la conveniencia de plantear un enfoque fisiológico por su carácter holístico. Este enfoque fisiológico no implica descartar cualquier otro enfoque que adapte la terapia vocal a las particularidades de cada paciente.
En este contexto, el presente artículo quiere presentar un método complementario a la terapia vocal, desarrollado por Rudolf Steiner denominado El arte de la palabra, así como algunas aplicaciones prácticas y su transferencia al ámbito fonoaudiológico. Podrá verse la importancia de abordar específicamente el trabajo articulatorio a nivel del filtro vocal, como última fase del proceso de producción de la voz; este trabajo específico, facilitará una mayor transferencia de esquemas propioceptivo-articulatorios al contexto comunicativo cotidiano del paciente, según sean las necesidades y exigencias vocales requeridas.