bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pain Perception after Periodontal Therapies
Authors: Pradhan Shaili , Shrestha Regina , Gorkhali Ranjita Shrestha 
Published: April 2019

Background: Pain perception is a complex sensory experience which is perceived by different individuals in different manners. The pain perceived by the patient after periodontal surgery may vary based on different parameters.
Aim: This observational study was conducted to evaluate the perception of pain after periodontal therapies.
Materials and Methods: A total of 63 surgeries were carried out in 50 patients and the surgeries were divided into three categories: open flap debridement, resective and regenerative surgeries, and periodontal plastic surgeries. The pain experienced by the patient was recorded on the visual analog scale that ranged from 0 to 10.
Results: The mean VAS score for different periodontal surgeries was 2.49. The study showed highest mean VAS in open flap debridement (2.74) followed by periodontal plastic surgery (2.5) and the lowest in resective and regenerative procedures (2.13). Among various variables such as age, sex, periodontal dressing, arch, amount of local anaesthesia and time duration, the data showed statistical difference between VAS score and sex (p = 0.04) and between VAS score and amount of local anaesthesia (p = 0.012).
Conclusion: The study showed there is low pain perception after different periodontal surgeries as measured by VAS. Proper understanding of the variables that affect pain is important as they may produce emotional responses that could influence compliance and the therapy result. Inadvertent use of large dose of anaesthetics beforehand assuming high anticipation of pain should be discouraged as the increase in volume relates to increased pain.
Endoscopic removal of recurrent colloid cysts
Authors: Lara-Reyna Jacques J. , Uribe-Cardenas Rafael , Perera Imali , Szerlip Nicholas , Giamouriadis Anastasios , Savage Nicole , Haussner Therese , Souweidane Mark M. 
Published: April 2019

OBJECTIVERemoval of colloid cysts of the third ventricle using a purely endoscopic method has been established as a safe and advantageous technique. It is hypothesized that endoscopic removal in recurrent cases might pose more technical challenges and result in less success. The objective of this study was to assess the feasibility and outcomes of using a purely endoscopic approach for the management of recurrent colloid cysts compared to primary cysts.METHODSA retrospective cohort study was performed on patients who underwent purely endoscopic removal of their colloid cyst. Descriptive statistics were compared for patients undergoing surgery for a recurrent cyst and those for a control cohort undergoing surgery for a primary cyst. Bivariate analysis was conducted using a Fisher’s exact test for categorical variables and Mann-Whitney U-test for continuous variables.RESULTSIn total, 121 patients had a primary colloid cyst endoscopically removed and 10 patients had a total of 11 recurrent cysts removed. Recurrence or progression after surgery occurred in 3 (2.5%) cases in the primary cyst group and 2 (18.2%) cases in the recurrent cyst group. Symptomatic presentation during the follow-up period occurred in 6 (54.5%) cases in the recurrent cyst group versus 75 (62%) cases in the primary cyst group (p = 0.749). Two patients (20%) in the recurrent group had a second recurrence in a mean period of 30 months (1 patient at 15 and 1 patient at 45 months). One of these patients required a tertiary endoscopic removal 8 years after the second resection. No immediate postoperative complications or new morbidities were observed after repeat endoscopic surgery. The authors’ findings indicated a nonsignificant trend toward a higher recurrence rate (18.2% vs 2.5%, p = 0.055) and a decreased proportion of complete removal (90.9% vs 81.8%, p = 0.296) in the recurrent cyst group compared to the primary cyst group. However, a significantly higher rate of preoperative hydrocephalus was observed in the primary cyst group compared with the recurrent cyst group (63.6% vs 18.2%, p = 0.007).CONCLUSIONSPurely endoscopic approaches for the removal of recurrent colloid cysts of the third ventricle are feasible and equally safe compared with endoscopic removal of primary cysts. The study’s findings did not show a statistically significant difference in the rate of recurrence between the 2 groups. The proportion of patients with symptomatic cysts on presentation was lower in patients with recurrent cysts than in patients with primary cysts. Due to the high rate of complete removal with negligible morbidity, the authors continue to advocate for an endoscopic removal at the time of cyst recurrence.
Simultaneous explantation and implantation of intrathecal pumps: a case series
Authors: Leibold Adam T. , Weyhenmeyer Jonathan , Lee Albert 
Published: April 2019

OBJECTIVEIntrathecal drug delivery devices (IDDDs) are a mainstay in the treatment of spasticity and refractory pain. While these devices have been shown to greatly improve the quality of life for patients, they also have a high perioperative complication and failure rate. A major complication of IDDD implantation is infection. The current standard of care in the treatment of IDDD infection necessitates that the pump be explanted and the infection treated prior to implantation of a new IDDD. This process leads to long hospital stays, interruptions in optimal medical management, and a high risk for dangerous drug withdrawals. The authors describe a technique that allows for the explantation of the infected pump and implantation of a new pump concurrently, which they have named the “Turner Switch” technique in honor of its inventor.METHODSThe authors conducted a retrospective analysis of cases of infected IDDDs in which patients underwent simultaneous explantation of the infected pump and implantation of a new pump. Demographics and clinical data were collected.RESULTSData from a total of 17 patients (11 male, 6 female) who underwent simultaneous IDDD explantation and implantation to treat infections were analyzed from a 3-year period. No patients experienced infection of the newly implanted pump or catheter. Of the 17 patients, 14 (82.4%) had baclofen pumps to treat spasticity and 3 (17.6%) had fentanyl pumps to treat chronic pain. The median hospital stay was 7 days, with 16 of 17 (94.1%) patients able to be discharged home or to a facility with a level of care similar to their preoperative care. All patients ultimately experienced complete resolution of their initial infections. Five patients (29.4%) required a return to the operating room within the next 5 months (for repair of a CSF leak in 2 cases, for treatment of infection at the old pump site in 2 cases, and for treatment of a CSF leak compounded with infection in 1 case). No patient experienced infection of the newly implanted pump or catheter.CONCLUSIONSIDDD infections represent a large portion of morbidity associated with these devices. The current standard of care for deep pump infections requires pump explantation and a course of antibiotics prior to reimplantation of the IDDD. The authors demonstrate the effectiveness of a procedure involving simultaneous explantation of an infected pump and implantation of a new pump on the contralateral side in the treatment of IDDD infections.
Le mélange du sacré et du profane dans les livrets de tragédies lyriques du librettiste Nicolas-François Guillard (1752-1814)
Authors: Champonnois Cécile 
Published: April 2019

Nicolas François Guillard (1752-1814) was one of the best librettists of the Tournant des Lumières. The libretto of Proserpine by Quinault, set to music by Lully at the end of the seventeenth century, was adapted by Guillard and once again set to music by Giovanni Paisiello in 1803. Six years later, in 1809, La Mort d’Adam, adapt-ed by Guillard from Friedrich Gottlieb Klopstock’ Der Tod Adams (1757), was set to music by Jean-François Lesueur.
These rewritings, with religious or sacred topics staged for a secular theatre by Guillard, are very different from the original works and tend to be family dramas: he then transforms them into secular works with secular content. Human sacrifices are present in these works but seem to feature here for family reasons and not only for religious purposes. Divinities are presented by the librettist as human beings, whose family roles are predominant. The sacred and the profane are mixed in these two librettos, changed into hybrid works. Guillard seems to use the same model to adapt historical, mythological or religious works, which means that the role and the impor-tance of the religious in the works staged at the Académie Impériale de Musique in the period of the Tournant des Lumières has to be examined.
REFLEKSI TERHADAP PEMBANGUNAN DAN ANCAMAN GLOBALISASI
Authors: Sukri Sukri 
Published: April 2019

Development as a paradigm and the theory of social change today is in crisis and fails to apply in various Third World countries. The failure of development in the third world actually occurs in the countries that are considered the most successful and most widely used as examples for other development countries. Namely capitalist countries model of NIC (newly industrialist countries) such as South Korea and Taiwan. Development failures also occur in countries that are modeled as new NIC countries such as Thailand, Malaysia, and Indonesia.
Until now the explanation of various crises has not been completed. There is an explanation that blames the regime's corruption factor as an argument for explaining the rapid fall of capitalism in Asia. Nevertheless, a discourse before the fall of Asian capitalism occurred has begun in the wake of an attempt to repair or reform the system of capitalism. As a process of reform, the approach, ideology, and structure of discourse are not much different from the systems, structures and ideologies that are the foundation of development theory. Discourse that is known globalization.
دور القيادة الابتكارية في التمكين الاداري (دراسة تحليله لآراء عينة من متخذي القرار في الشركة العامة للصناعات الغذائية)
Authors: محمد محمود شكر 
Published: April 2019

هدف البحث الى التعرف الى دور القيادة الابتكارية في تحقيق ابعاد التمكين الاداري في الشركة للعامة للصناعات الغذائية فقد اظهرت المتغيرات المختلفة اهمية القيادة الابتكارية لتحقيق ابعاد التمكين الاداري ، سواء في الشركات العالمية او المحلية ، من هنا يأتي التساؤل الرئيسي للبحث "ما هو دور القيادة الابتكارية في التمكين الاداري " ومن اجل الاجابة عن هذا التساؤل ، تم تطوير نموذج افتراضي يعكس العلاقة والاثر بين القيادة الابتكارية والتمكين الاداري ، اعتمد البحث على المنهج الوصفي التحليلي بلغت عينة البحث(48) فرداً من مديري اقسام وشعب حيث توصل البحث الى عدد من النتائج اهمها ،وجود علاقة ارتباط بين القياد الابتكارية والتمكين الاداري في الشركة المبحوثة اذا كانت العلاقة ايجابية وقوية ،وعكست النتائج مجموعة من التوصيات اهمها ، ضرورة افادة الشركة المبحوثة ، من تقييم قادة الشركة بين مدة واخرى من اجل تحقيق ابعاد التمكين الاداري .
تقييم أداء الفرق التفتيشية في تقويم الواقع الصحي بمحافظة ذي قار دراسة حالة في دائرة صحة ذي قار دراسة حالة على عدد من المستشفيات العاملة في محافظة ذي قار
Authors: جبار مشعل زوري 
Published: April 2019

هدف البحث Research aims : يهدف البحث إلى تقييم واقع عمل الفرق التفتيشية في المؤسسات الصحية في دائرة صحة ذي قار. .
الغرضPurpose - يسعى البحث إلى تقديم وجهة النظر القائمة على التعرف على مدى جودة الخدمة الصحية في محافظة ذي قار، واستكشاف دور الفرق التفتيشية في تعزيز الخدمة الصحية.
التصميم / المنهجية / المدخل Design/methodology/approach – استخدم المنهج التجريبي، وقد استخدمت الاستبانة لجمع البيانات من أجل تطوير نموذج قياس موثوق وصحيح لمتغيرات البحث ، وجرى اختبار الفرضيات من خلال استخدام بعض المعالجات الاحصائية.
النتائج Findings- توصل البحث إلى تعزيز الواقع الصحي وتطويره في محافظة ذي قار وتعزيز جودة الخدمات الصحية فيها ، وانعكس ذلك من خلال زيادة أعداد المراجعين بشكل عام لكل المستشفيات .
الآثار العمليةPractical implications - يوفر هذا البحث وضع مقياس مفيد لجودة الخدمة الصحية ويساعد المديرين على استخدامها لتقييم الوضع الراهن في اداء المستشفيات.
الأصالة / القيمة Originality/value- يتعهد هذا البحث بمساعدة مقدمي الخدمة في القطاع الصحي لمعالجة التحدي المتمثل بزيادة المراجعين في المستشفى، وكيفية تأثير الفرق التفتيشية في اداء المستشفيات
قياس وتحليل أثر عجز الموازنة العامة على الدين الخارجي في العراق في أطار التكامل المشترك للمدة (1990 ـ 2016)
Authors: علوان غفران حاتم , طالب ريام علي 
Published: April 2019

لقد اصبح مفهوم العجز في الموازنة العامة ظاهرة اقتصادية مزمنة تعاني منها معظم دول العالم سواء أكانت دول متقدمة ام دول نامية , وعلى الرغم من اختلاف رؤى المدارس الاقتصادية من فكرة قبول او رفض العجز في الموازنة العامة الا ان الرأي الذي ساد هو ضرورة حكم دور الدولة من خلال تقليل الانفاق العام الذي ادى الى عجوزات مستمرة في الموازنة العامة ترتب عليها زيادة في الاقتراض الحكومي , وزيادة في الضرائب على الدخل والثروة , مما اضعف الحافز على الاستثمار الخاص , وكذلك اسهم في زيادة الركود التضخمي , واصبح من واجب الدولة تغطية النقص من مصادر التمويل المحلي التي اصبحت من الصعب ان توازي الزيادات المتواصلة في الانفاق العام , فغدت مشكلة التمويل من ابرز المشكلات التي توجهها الدول النامية ولاسيما العراق , مما اجبرها على الاتجاه الى القروض الخارجية التي غالبا ما تكون مشروطة بشروط سياسية واقتصادية معقدة .
ومن هنا ركز البحث على قياس اثر عجز الموازنة العامة على الدين الخارجي وتحليلة في اطار التكامل المشترك خلال المدة (1990ـ 2016) , ونتيجة للظروف غير الطبيعية التي مر بها العراق خلال مدة الدراسة فقد أتسمت الموازنة بالعجز نتيجة الزيادة المستمرة في الانفاق العام وترتب عليها زيادة في الدين الخارجي كمصدر من مصادر تمويل هذا العجز , وفي اطار تقدير هذه العلاقة فقد توصلت الباحثة الى وجود علاقة توازنيه طويلة الاجل بين العجز في الموازنة العامة والدين الخارجي .
مقارنة بين طريقتي السيمكس و شبه الإمكان في تقدير دالة الانحدار شبه المعلمية في ظل وجود خطأ القياس
Authors: حمود السامرائي مناف يوسف , جابر احمد مهدي 
Published: April 2019

زاد اهتمام الباحثين في السنوات الاخيرة بنماذج الانحدار شبه المعلمية وذلك اذ يمكن من خلالها دمج نماذج الانحدار اللامعلمي والمعلمي في ان واحد ومن ثم تكوين انموذج انحدار يتميز بامكانية التعامل مع مشكلة تعدد الابعاد الموجودة في النماذج اللامعلمية والتي تحصل عند زيادة عدد المتغيرات التوضيحية الداخلة في التحليل و من ثم تناقص دقة التقدير. فضلا عن امتياز هذا النوع من النماذج بمرونة في المجال التطبيقي مقارنةً مع النماذج المعلمية التي تتقيد بشروط معينة كمعرفة توزيع الاخطاء او قد تكون النماذج المعلميه لا تمثل الظاهرة المدروسة تمثيلاً صحيحاً.
سنستعرض في هذا البحث طرائق شبه معلمية في تقدير دالة الانحدار في ظل وجود أخطاء قياس وهذه الطرائق هي طريقة السيمكس وطريقة شبه الإمكان المعدلة وستتم المقارنة بين هاتين الطريقتين بأستعمال معيار المقارنة معدل متوسط مربعات الخطأ .
اذ تمت المقارنة من خلال استعمال أسلوب المحاكاة بأستعمال النماذج شبه المعلمية واحجام عينات وتباينات مختلفة للتحقق من أداء الطرائق بأستعمال معيار المقارنة المذكورة آنفاً حيث كانت اهم الاستنتاجات هي ان طريقة شبه الإمكان المعدلة تتفوق على طريقة السيمكس بغض النظر عن حجم العينة المستعملة وقيمة التباين الموضوعة .
Pengaruh Efisiensi Modal Kerja dan Likuiditas terhadap Profitabilitas (Studi kasus pada PT. MAYORA, Tbk Cabang Banyuasin)
Authors: Kurniawan Anton , Supriyanto Agustinus 
Published: April 2019

Penelitian ini bertujuan untuk menganalisis pengaruh efisiensi Modal Kerja dan Likuiditas terhadap Profitabilitas PT Mayora, Tbk. Data yang digunakan berupa data primer dan data sekunder, data primer yaitu laporan keuangan dan data keuangan lainnya yang diperoleh langsung dari PT Mayora, Tbk. Selain itu juga digunakan data sekuder yang dipeorleh dari internet, dan buku buku referensi lainnya. Metode analisis data yang digunakan adalah analisis deskriftif kualitatif dan kuantitatif. Analisis kuantitatif dengan menggunakan Regresi Linier berganda dan Uji asumsi Kalsik . Analisis deskiftif kualitatif yaitu dengan mengkaji dan menganalisis fakta dilapangan dan dibahas dengan menggunakan teori. Hasil penelitian menunjukkan bahwa efisiensi modal kerja dan likuiditas memiliki pengaruh yang cukup signifikan dengan nilaiu R Square 0,975 atau 97,5% efisiensi modal kerja danlikuiditas berpengaruh terhadap Profitabilitas PT Mayora Palembang, sedangkan sisanya yaitu 2,5% merupakan pengaruh faktor-faktor lain yang tidak diteliti pada penelitian ini seperti faktor penjualan. Hasil persamaan regresi linier berganda menunjukkan bahwa efisiensi dalam pengelolaan modal kerja sebesar 1% akan mengakibatkan kemampuan perusahaan menghasilkan laba sebesar 59,6%, demikian juga dengan tingkat likuiditas perusahaan, dimana bila terjadi pengurangan hutang jangka pendek sebesar 1% akan mengakibatkan kenaikan keuntungan perusahaan sebesar 0,1%. Hal ini tercermin dari persamaan regresi linier berganda yang diperoleh yaitu Y= -1,335 + 0,596 X1 - 0,001 X2 .dimana Efisiensi modal kerja memiliki koefisien bertanda positif sebesar 0,595 persen, artinya setiap peningkatan efisiensi modal kerja sebesar 1 persen diprediksi akan meningkatkan profitabilitas sebesar 0,596 persen, dengan asumsi likuiditas tidak berubah. Likuiditas memiliki koefisien bertanda negatif sebesar 0,001 persen, artinya setiap penurunan likuiditas sebesar 1 persen diprediksi akan meningkatkan profitabilitas sebesar 0,1 persen dengan asumsi efisiensi modal kerja tidak berubah.

Kata kunci : Mayora, Likuiditas, Efisiensi, modal kerja, profitabilitas
Model Pembangunan Daerah 3T: Studi Kasus Daerah Perbatasan Kabupaten Bengkayang
Authors: Situmorang Dokman Marulitua , Ayustia Rissa 
Published: April 2019

Based on the introduction survey did by researcher with one of example confine area is lunar subdistrict Bengkayang Regency. That same of area still has not the public infrastructure and health is not adequate such as serem silimbau village has not electricity, clean water and infrastructure of road is bad. So that we concluded which the problem is coming from the construction some of 3T area, cause the goverment can’t see with going deep which sensibility some of 3T area which available border with the neighbour some of countries. This case seen from the border direct areas with Malaysia such us Riau Island and west kalimantan province. Two construction of areas are difference, because many factor, like sosial factor, tradition, custom tradition and geografical. The purpose of research to find out one of true model in 3T area development which direct border with the neighbour some of countries, and this model become clue for sides that redated with area goverment and central this research did based on the development survey method (development Research). Accumulition data technigue with purposevi sampling method. The result of research that the 3T area construction in kalimantan border specially jagoi babang subdistrict Bengkayang regency, in order to do the construction model based on good infrastructure and health, because the case will influence development area development based on the local learning, tradition, and area culture.
İsviçre Medeni Kanununun Yurtlarda veya Bakım Kurumlarında Kalan Ayırt Etme Gücü Bulunmayan Kişiler Hakkındaki Hükümleri ve Türk Hukuku Açısından Değerlendirilmesi
Authors: İMAMOĞLU Hülya 
Published: April 2019

İleri yaşta önemli zihinsel
hastalıklara maruz kalarak ayırt etme gücünü kaybeden, bu yönde bakım, ilgi ve
desteğe şiddetle ihtiyaç duyan özellikle yaşlı kişilerin korunması, güncel
hukuki meseleler arasındadır. İsviçre Medeni Kanununun vesayete ilişkin
hükümlerinde 2008 yılında yapılan değişiklikle, yurtlarda veya bakım
kurumlarında kalan ayırt etme gücü bulunmayan kişilerin korunması amacıyla
uygulanması zorunlu, sözü edilen kişilerin hukuki durumlarını belirli açılardan
iyileştirmeye yönelik bir düzenleme getirilmiştir. Bu yönde ayırt etme gücü
bulunmayan kişi ile kurum arasındaki bakım sözleşmesinin asgari içeriği, ayırt
etme gücü bulunmayan kişinin temsili, ayırt etme gücü bulunmayan kişinin
kişiliğinin korunması, bu bağlamda hareket özgürlüğünün sınırlanmasının şartları,
ilgili kurumların denetimi ve ilgili kurumların kararlarına karşı yasal başvuru
yolları hakkında önemli hükümler öngörülmüştür. Sözü edilen hükümler, ayırt
etme gücü bulunmayan kişi ile kurum arasındaki hukuki ilişkiye şeffaflık
sağlanması ve ayırt etme gücü bulunmayan kişinin kişiliğinin korunması yönünden
dikkate değerdir.

Türkiye’de ayırt etme gücü
bulunmayan erişkinlerin ihtiyaç duyduğu bakım ve desteğin sağlanması, özellikle
yaşlı ve engelliler bakımından 2828 sayılı ve 24.05.1983 tarihli Sosyal
Hizmetler Kanunu ve bu Kanuna dayanarak çıkarılan çeşitli Yönetmelikler
çerçevesinde düzenlenmiştir. Türk hukukundaki düzenlemelerin isabetli yönleri
bulunmakla birlikte, ilgili mevzuat genel olarak değerlendirildiğinde
bütünlükten uzak bir görünüş sergilemektedir. Özellikle ilgili sosyal hizmet
kuruluşlarında kalan kişilerin etkili bir biçimde korunmasını sağlayacak
açıklıkta hükümler bulunmamaktadır. Türk hukukunda bakıma ihtiyaç duyan
erişkinlerin, özellikle bunama vb. hastalıklardan muzdarip ileri yaştaki kişilerin
hukuki durumu, güncel bir bakış açısıyla, bütünlük gösterecek şekilde yeniden
düzenlenmelidir. Bu süreçte İsviçre hukukundaki düzenlemenin ve bu konudaki
bilimsel görüşlerin dikkate alınması da yararlı olur.&nbsp;
Kira Sözleşmesinin Önemli Sebeplerle Olağanüstü Feshi (TBK. m. 331)
Authors: ŞAHİN Turan 
Published: April 2019

6098 sayılı Türk Borçlar Kanunu’nun kiraya
ilişkin genel hükümleri kapsamında kira sözleşmesinin sona ermesi; belirli
süreli kira sözleşmelerinde sürenin geçmesi (TBK m.327), belirsiz süreli kira
sözleşmelerinde fesih bildirimi (TBK m.328-330) ve olağanüstü fesih (TBK
m.331-333) şeklinde düzenlenmiştir. Olağanüstü fesih nedenleri ise önemli
sebepler (TBK m.331), kiracının iflası (TBK m.332) ve kiracının ölümü (TBK
m.333) olmak üzere üç başlıkta ifade edilmiştir. Kiraya ilişkin genel hükümler
kapsamında kira sözleşmesinin sona ermesine imkân veren üç durum daha söz
konusudur. Bunlardan ilki kiraya verenin, kiracının kiralananı özenle kullanma
ve komşulara saygı gösterme borcunu ihlal etmesi sebebiyle sözleşmeyi feshi
(TBK m.316), ikincisi kiracının temerrüdü (TBK m.315) sebebiyle sözleşmenin
feshi, üçüncüsü ise önemli ayıplar nedeniyle kiracının sözleşmeyi feshetmesidir
(TBK m.305/II).&nbsp; Çalışmada kira
sözleşmesinin önemli sebeplerle feshine ilişkin TBK m.331 hükmü, diğer sona
erme sebepleri ile olan ilişkisi de değerlendirilmek suretiyle ele alınmıştır. Ayrıca
İsviçre Hukuku ve Yargıtay uygulaması da olabildiğince aktarılmaya
çalışılmıştır. &nbsp;