bluuebunny/crossref_metadata_2025_split huggingface dataset:
La defensa de los derechos sexuales y reproductivos de las mujeres indígenas de Colombia en la ONU
Authors: Schmit Anna 
Published: July 2019

Colombia ratifica en el 1991 una nueva Constitución que reconoce, por una parte, el carácter multicultural de la nación, y por otro, la igualdad de las mujeres y de los hombres. Así, tiende a fijar las categorías sociales, lo que desfavorece el ejercicio de los derechos de las ciudadanas indígenas. Con el fin de remediar este hiato legislativo, una organización de defensa de derechos humanos de las mujeres indígenas propone en el 2012 reforzar una alianza entre las mujeres indígenas del país, alrededor de la elaboración de su primer informe sombra (shadow report) ante el Comité para la Eliminación de las Discriminaciones hacia las Mujeres (CoEDEF).
Vulneración de los derechos humanos en la educación tunjana
Authors: Gómez Barreto Manuel Ricardo 
Published: July 2019

La educación colombiana asume políticas de calidad y gratuidad encaminadas a proteger los derechos humanos en el marco pedagógico. A continuación se aborda un análisis del desarrollo de estas políticas en la ciudad de Tunja, para dar una visión respecto a la vulneración de los derechos humanos en laenseñanza, asumiendo los diferentes acuerdos realizados para su protección, sin desligar los diferentes procesos que una educación de calidad requiere. Se tuvieron en cuenta las políticas internacionales de protección y calidad educativa, y el análisis sustenta esta información con estadísticas reales, emitidas por las autoridades del municipio.
Protección y garantía de la dignidad humana desde las concepciones prácticas del “Sistema Nacional de Convivencia Escolar”. Un análisis con estudiantes de la Institución Educativa San Pedro Claver del municipio de Chitaraque
Authors: Morales-Doza María Paola 
Published: July 2019

Este artículo esuna reflexión sobre los procesos de convivencia y la aplicación de instrumentos jurídicos de protección de los derechos de niños, niñas y adolescentes en el contexto escolar, específicamente el que desarrolla el Sistema Nacional de Convivencia Escolar (SNCE), creado con la Ley 1620 del 13 de marzo de 2013, para identificar si se protege y garantiza la dignidad humana de los estudiantes de la I.E. San Pedro Claver, del municipio de Chitaraque.
Derechos humanos y derechos lingüísticos indígenas de Colombia
Authors: Oliveros Marín Yuri Elena 
Published: July 2019

el propósito del artículo es aportar al debate de los derechos humanos un acercamiento a la relación de estos con los derechos lingüísticos en los pueblos indígenas, a partir de la pregunta: ¿Cuál es la relación entre derechos humanos y derechos lingüísticos en los pueblos indígenas de Colombia? El diseño metodológico para el proyecto toma, desde la antropología, el método etnográfico, que ha sido utilizado por la disciplina para estudiar la manera en que las normas, las ideas y los discursos de derechos humanos son abordados por los actores sociales. Se evidencia que es necesario incorporar un diálogo de saberes intercultural al debate. Se concluye que, si bien, la lengua nativa es parte esencial al definir a un pueblo indígena, por situaciones históricas no todos los pueblos han conservado su lengua, aun así deben ejercer su derecho a defenderla.
Tejiendo en la politica publica, el derecho a la educación de mujeres reinsertadas
Authors: Garzón Tautiva Nelson Camilo , Maldonado Archila Leidy Andrea 
Published: July 2019

El presente artículo tiene como fin explorar y señalar una serie de estrategias y/o lineamientos que puedan ser considerados en la elaboración de políticas públicas educativas dirigidas a mujeres excombatientes vinculadas a procesos de Desarme, Reinserción y Reintegración-DDR. Para lograr el cometido mencionado, se abordará los conceptos referentes a los procesos acabos de mencionar, enfoque de género y derecho a la educación, analizando los pros y contras de su aplicación en el marco del Acuerdo de Paz firmado por el Gobierno Nacional y las Fuerzas Armadas Revolucionarias de Colombia, teniendo en cuenta los lineamientos dados por la Comunidad Internacional y lo dicho por distintas instituciones públicas, investigadores y excombatientes que se han encargado de estudiar procesos anteriores.
PENGEMBANGAN MODUL FISIKA DENGAN PENDEKATAN KETERAMPILAN PROSES SAINS PADA MATERI LISTRIK DINAMIS UNTUK MENINGKATKAN KEMAMPUAN BERPIKIR KREATIF SISWA KELAS X SMA
Authors: Kinasih Ayang , Sunarno Widha , Sukarmin Sukarmin 
Published: July 2019

<p>Karakteristik ilmu fisika adalah ilmu yang di dalamnya terdapat prinsip, hukum, dan konsep. Proses untuk mendapatkan prinsip, hukum, dan konsep diperlukan metode ilmiah. Pengembangan bahan ajar yang relevan berdasarkan metode ilmiah diperlukan agar pembelajaran menjadi lebih bermakna sehingga dapat memaksimalkan hasil belajar. Penelitian ini bertujuan untuk: 1) mendeskripsikan cara penyusunan modul fisika melalui pendekatan keterampilan proses sains hasil pengembangan 2) menganalisis kelayakan modul fisika melalui pendekatan keterampilan proses sains yang dikembangkan 3) efektivitas modul fisika dengan pendekatan keterampilan proses sains untuk meningkatkan kemampuan berpikir kreatif dan hasil belajar siswa kelas X SMA. Jenis penelitian ini adalah penelitian dan pengembangan (<em>Research and Development)</em> termodifikasi dari Thiagarajan (1974), Pengembangan dilakukan dengan mengacu pada model 4-D dengan tahapan <em>Define, Design, Develop, </em>dan <em>Disseminate</em>. Instrumen yang digunakan adalah angket, lembar observasi, dan tes. Uji lapangan operasional menggunakan <em>one group pretest-posttest design</em>. Analisis data yang digunakan pada tahap <em>define</em> adalah analisis data deskriptif, pada tahap <em>design</em> dengan analisis KD, pada tahap <em>develop</em> untuk data hasil validasi modul menggunakan nilai <em>cut off</em> yang dikonversi menjadi kategori kualitas dengan pedoman skor skala 4 dan data kemampuan berpikir kreatif (hasil belajar kognitif) menggunakan uji t berpasangan dan dihitung dengan <em>n-gain </em>ternormalisasi, dan pada tahap <em>disseminate </em>menggunakan nilai <em>cut off</em> yang dikonversi menjadi kategori kualitas dengan pedoman skor skala 4. Berdasarkan analisa data diperoleh hasil penelitian dan pengembangan sebagai berikut: 1) modul Pembelajaran fisika dengan pendekatan keterampilan proses sains pada materi listrik dinamis dikembangkan berdasarkan komponen pembelajaran melalui pendekatan keterampilan proses sains dengan format kriteria modul yang diadaptasi dari pendapat Vembriarto dan merujuk pada standar yang telah ditetapkan BSNP tentang standar pengembangan modul dan buku teks pelajaran dengan model pengembangan modul menggunakan model 4-D meliputi <em>define, design, develop, and disseminate</em>, 2) kelayakan modul fisika dengan pendekatan keterampilan proses sains setelah dilakukan uji coba produk awal, uji coba lapangan terbatas, uji lapangan operasional, dan diseminasi didapatkan rata-rata persentase sebesar 77,87% yang dikategorikan “Baik”, 3) efektivitas modul fisika dengan pendekatan keterampilan proses sains pada materi listrik dinamis dapat meningkatkan kemampuan berpikir kreatif (hasil belajar kognitif) siswa dengan nilai <em>N-Gain </em>sebesar 0,7 dikategorikan “Sedang”.</p>
THE EFFECT OF QUENCHING MEDIA VARIATIONS ON MICRO STRUCTURE AND VIOLENCE OF THE S45C STEEL STEEL WELDING RESULTS
Authors: Nur Haq Bagus Supriyadi 
Published: July 2019

The purpose of this research is to find out the effect of current on microstructure and hardness value in S45C steel before (raw material) and after welding using Shielded Metal Arc Welding (SMAW). This research using experiment method. The Technique of data analysis using descriptive comparative research. The instruments that used for testing microstructure and hardness is Olympus Metallurgical Microscope and Vickers Hardness Tester. Based on the results of the research conclude that (1) the results of the microstructure testing showed the improved martensite structure after welding. In the raw material, martensite structure didn’t exist but the result of SMAW welding methods using quenching media of water, oil, and air that showed martensite structure was exist. (2) The hardness value of raw material is 232 VHN. The specimen with water media had highest average hardness value that is 411 VHN, oil media had average hardness value that is 308 VHN, air media had lowest average hardness value that is 263 VHN. This research showed that the result of SMAW welding using varying quenching media can changed the microstructure and hardness of S45C steel.
Efficacy of Goal-Directed Fluid Therapy Monitored by Pulse-Pressure Variation During Parathyroidectomy in Patients With End-Stage Renal Failure
Authors: Song Jie , Liu Xiaofen , Jiang Weiwei , Wang Jiayou , Li Yun , Chen Hong , Zhang Ye 
Published: July 2019

Abstract
There are no well-recognized guidelines for intraoperative fluid management in patients with end-stage renal failure (ESRF). Goal-directed fluid therapy (GDFT) is a new concept of perioperative fluid management that has improved patients’ prognoses. Dynamic indicators may better predict fluid response than static indicators. In this study, we assessed a GDFT protocol with monitoring of pulse-pressure variation (PPV) in patients with ESRF undergoing parathyroidectomy. The study included 102 patients who underwent elective parathyroidectomy. They were randomized to a control group (Group C, n = 51) that was managed with a restricted fluid regimen or a PPV group (Group P, n = 51) that was given a normal saline infusion and was monitored for change in PPV during the intraoperative period. If PPV reached >13%, 250 mL colloid was administered in 15 min. Ephedrine was infused to keep mean arterial pressure >65 mm Hg if needed. Hemodynamic variables in the perioperative period were recorded. The volume of saline infused during the intraoperative period was 364 (219–408) mL in Group P and 27 (50–50) mL in Group C (P = .001). Ephedrine was given to 16/51 (29.4%) of Group P patients and 27/51 (52.9%) of Group C patients (P = .027). From 30–60 min to 120 min of operation or until the end of operation, systolic blood pressure was significantly lower, heart rate was significantly higher, and PPV was significantly higher in Group C patients compared to Group P patients (P < .05). Use of goal-directed fluid therapy with the dynamic PPV indicator in patients with ESRF undergoing parathyroidectomy guided the administration of infused fluids, with reduced incidence of hypotension.
A case-control study of musculoskeletal impairment: association with socio-economic status, time use and quality of life in post-conflict Myanmar
Authors: Mactaggart Islay , Maung Nay Soe , Khaing Cho Thet , Kuper Hannah , Blanchet Karl 
Published: July 2019

Abstract
Background:
Musculoskeletal impairments (MSI) are a major global contributor to disability. Evidence suggests entrenched cyclical links between disability and poverty, although few data are available on the link of poverty with MSI specifically. More data are needed on the association of MSI with functioning, socio-economic status and quality of life, particularly in resource poor settings where MSI is common.
Methods:
We undertook a case-control study of the association between MSI and poverty, time use and quality of life in post-conflict Myanmar. Cases were recruited from two physical rehabilitation service-centres, prior to the receipt of any services. One age- sex matched control was recruited per case, from their home community. Cases and controls underwent in-depth structured interviews and functional performance tests at multiple time points over a twelve-month period. We aimed to identify 100 cases and 100 controls.
Results:
This manuscript reports the baseline characteristics of cases and controls. 89% of cases were male, 93% were lower limb amputees, and the vast majority had acquired MSI in adulthood. 69% were not working compared with 6% of controls Odds Ration 27.4, 95% Confidence Interval 10.6 – 70.7). Overall income, expenditure and assets were similar between cases and controls, with three-quarters of both living below the international LMIC poverty line. However, cases’ expenditure on health was significantly higher than controls’ and associated with catastrophic health expenditure and an income gap for one fifth and two thirds of cases respectively. Quality of life scores were lower for cases than controls overall and in each sub-category of quality of life, and cases were far less likely to have participated in productive work the previous day than controls.
Conclusion:
Adults with MSI in Myanmar who are not in receipt of rehabilitative services may be at risk of increased poverty and lower quality of life in relation to increased health needs and limited opportunities to participate in productive work. This study highlights the need for more comprehensive and appropriate support to persons with physical impairments in Myanmar.

Key words: musculoskeletal impairment, physical rehabilitation, quality of life, Myanmar
A women’s perspective on premenstrual syndrome: a qualitative interview study
Authors: Labots-Vogelesang Marijke , Andringa Rachel Kooiman , Teunissen Doreth A M , Janssen Antoine LM Lagro 
Published: July 2019

Abstract
BMWH-D-18-00422
A women’s perspective on premenstrual syndrome: a qualitative interview study

Abstract
Background: Women who present with Premenstrual Syndrome (PMS) to healthcare professionals experience a lot of problems on their psychosocial functioning. Little is known however about the influence of PMS on the daily life of women in the general population. The aim of the present study is to improve our understanding of the perspective of women with PMS in the general population.
Methods: We recruited women with PMS via local newspapers and social media. We performed semi-structured interviews.
Results: We interviewed twenty women between 27 and 49 years of age. Physical and in particular psychological symptoms of PMS have a strong influence on the quality of life of women. Three themes emerged from our analysis. Women mentioned disturbance in their preferred roles of being a good mother and wife; experienced PMS as a life controlling condition and they used active and passive coping strategies with different expectations of healthcare.
Conclusion: The symptoms of PMS affect women at the level of their social role of femininity. These women are in need of acknowledgement and support as well from family and friends as from healthcare providers.
Word count: 3772 (abstract 211)

Keywords: Premenstrual Syndrome, Women’s Health, Social Role, Femininity, Interview, Coping, Acknowledgement
Development and Validation of a Brief Self-Assessed Wisdom Scale
Authors: Fung Sai-fu , Chow Esther Oi-wah 
Published: July 2019

Abstract
Background

This longitudinal study aimed to develop a nine-item Brief Self-Assessed Wisdom Scale (BSAWS) derived from the original 40-item Self-Assessed Wisdom Scale (SAWS).

Methods

The psychometric properties of the shortened scale were evaluated based on a sample of 157 older adults. The factor structure and dimensionality of the original SAWS were examined using confirmatory factor analysis. Subsequent explorative factor analysis of the BSAWS supported the construct validity of the shortened scale.

Results

The internal consistency, criterion validity and construct validity of the shortened scale were also evaluated and the results indicated that the BSAWS possesses good psychometric properties and is comparable with the full version.

Conclusions

This scale refinement may help researchers and practitioners conduct epistemological surveys or clinical research related to wisdom.
Geriatric scores can predict long-term survival rate after hip fracture surgery
Authors: Casa Carmen da , Pablos-Hernández Carmen , González-Ramírez Alfonso , Julián-Enriquez José Miguel , Blanco Juan F 
Published: July 2019

Abstract
Background

The management of hip fractures is nowadays mainly performed in Orthogeriatric Units, one of whose fundamental tools is the application of geriatric scores. The purpose of this study is to establish the potential usefulness of Barthel Index, Katz Index, Lawton-Brody Index and Physical Red Cross Scale geriatric scores as predictors of survival rate and readmission rate in older patients after hip fracture surgery.

Methods

We designed a prospective single-center observational study, including 207 older adults over age 65 who underwent hip fracture surgery in the first half of 2014 and followed up to September 2018. Cumulative survival and readmission rates were analyzed by Kaplan-Meier; group comparison, by Log-Rank and hazard ratio, by Cox regression.

Results

We found statistical differences (p<0.001) for cumulative survival rate by every geriatric score analyzed (BI HR=0.98 [0.97,0.99]; KI HR=1.24 [1.13-1.37]; LBI HR=0.80 [0.74,0.87]; PCRS HR=1.67 [1.37,2.04]). Furthermore, we could determinate an inflection point for survival estimation by Barthel Index (BI 0-55/60-100*, p<0.001, HR=2.37 [1.59,3.53]), Katz Index (KI A-B/C-G*, p<0.001, HR=0.38 [0.26,0.56], and Lawton-Brody Index (LBI 0-3/4-8*, p<0.001, HR=3.40 [2.09,5.25]). We reveal a correlation of the Charlson Index (p=0.002) and Katz Index (p=0.041) with number of readmissions for the study period.

Conclusions

The geriatric scores analyzed are related to the cumulative survival rate after hip fracture surgery for more than 4 years, independently of other clinical and demographic factors. Katz Index in combination with Charlson Index could also be a potential predictor of the number of readmissions after surgery for hip fracture patients.
Neoadjuvant chemoradiotherapy followed by surgery benefits patients aged 75 years or older with locally advanced rectal cancer
Authors: Liu Xiaoliang , Hu Ke , Zhang Fuquan , Hou Xiaorong , Xiao Yi , Lian Xin , Sun Shuai , Liu Zhikai , Yan Junfang , Miao Zheng 
Published: July 2019

Abstract
Background: To evaluate the efficacy and treatment related morbidity of neoadjuvant chemoradiotherapy and surgery in elderly patients (aged 75 years or older) with locally advanced rectal cancer (LARC).
Methods: We reviewed clinical records of elderly patients with LARC treated with neoadjuvant chemoradiotherapy from January 2008 to June 2017 at our institute. A dose of 45-50Gy in 25 fractions was delivered to pelvis. The primary tumor received a dose of 55Gy concomitantly. The concurrent chemotherapy included capecitabine alone and capecitabine plus oxaliplatin (Xelox). Surgery was performed for suitable patients at least 6 weeks after neoadjuvant treatment. Overall survival (OS), disease specific survival (DSS), disease free survival (DFS) and local control (LC) were calculated with Kaplan-Meier method. Univariate and multivariate analyses were performed with cox proportional hazards model. A two-side value of P<0.05 was defined as statistical significance.
Results: A total of 85 patients were enrolled in this study, the median age was 80 years old (range: 75-90 years). After neoadjuvant treatment, surgery was performed in 56 patients (65.9%). Twelve patients (21.4%) obtained pathological complete response (pCR). The incidence of grade 3 or greater acute hematological, gastrointestinal and genitourinary toxicities were 10.7%, 5.2% and 1.8%, respectively. Seven patients (12.5%) experienced postoperative complications. The median follow-up duration was 35.7 months (range: 4.3-100.3 months), The 3-year OS, DSS, DFS and LC were 68.9%, 75.8%, 68.2% and 83.9%, respectively. Surgery was a significant prognostic factor for OS (HR: 10.092, 95%CI: 2.082-36.351, P<0.001), DSS (HR: 4.681, 95%CI: 1.971-11.113, P<0.001), DFS (HR: 5.509, 95%CI: 1.964-15.454, P=0.001) and LC (HR: 3.089, 95%CI: 1.244-11.669, P=0.019). Clinical T downstaging after neoadjuvant treatment was significantly associated with better DFS (HR: 4.554, 95%CI: 1.601-12.958, P=0.004).
Conclusion: In patients aged 75 years or older with LARC, neoadjuvant chemoradiotherapy followed by surgery was well tolerated with promising survival outcomes, which should be strongly suggested if medically suitable.
Does chemoradiotherapy benefit elderly patients with esophageal squamous cell cancer? A propensity-score matched analysis on multicenter data (3JECROG R-03A)
Authors: Liu Xiao hong , Chen Mingqiu , Han Chun , Wang Xin , Zhao Yidian , Pang Qingsong , Sun Xinchen , Li Gaofeng , Zhang Kaixian , Li Ling , Qiao Xueying , Lin Yu , Chen Junqiang , Xiao Zefen 
Published: July 2019

Abstract
Aim
The aim of the present study was to investigate the prognostic factors in elderly patients with esophageal squamous cell carcinoma (ESCC) treated with concurrent chemoradiotherapy (CRT) or radiotherapy alone (RT-alone), and to establish the efficacy of CRT.
Methods
The clinical data of patients with ESCC treated with RT-alone or CRT were collected and retrospectively reviewed. The overall survival (OS) rates and the clinical characteristics correlated with survival were analyzed statistically. Propensity score matching (PSM) analyses were used to compensate for differences in baseline characteristics between the CRT and RT-alone groups to confirm the survival difference.
Results
A total of 729 patients fulfilling the inclusion criteria were reviewed. Diabetes, primary tumor volume (pTV), primary tumor location (pTLo), clinical T stage,(cT) clinical N stage (cN), clinical M stage (cM) and short-term response to RT were independent factors influencing OS (P=0.002-0.044). The 5-year OS rate was 26.6%, 26.0% and 30.1% in the whole cohort, RT-alone and CRT groups, respectively. The survival difference between RT alone and CRT was not significant before or following PSM. Compared with the corresponding subgroups treated with RT alone, CRT significantly benefited patients with diabetes (P=0.003), cT4 (P=0.030) and cN0 (P=0.049), whereas no benefit was identified between CRT and RT alone in the other subgroups, including cT1-3, cN1, cM, pTLo, pTV, age and gender.
Conclusions
CRT with the current chemotherapy regimens may not improve the survival of elderly ESCC patients compared to RT-alone, except in patients with cT4 stage, cN0 stage or diabetes. However, due to the limitation of the retrospective nature of the current study, further clinical trials are required for confirmation.

Key words: Concurrent chemoradiotherapy; Elderly; Esophageal squamous cell carcinoma; Survival
Bone metastases at initial diagnosed breast cancer — A retrospective study based on SEER database
Authors: Wang Zheng , Tang Xiaoli , Zhang Qi , Wu Xiaoqing , Yang Meiyuan , Jin Zhixiang , Wang Daorong 
Published: July 2019

Abstract
Background

To explore the features of incidence proportions and long-term survivals of breast cancer patients with bone metastasis when first diagnosed.

Methods

Data were extracted from the Surveillance, Epidemiology, and End Results (SEER) database of the National Cancer Institute. Stratifications were made according to molecular subtype, age, sex, race and other factors. We performed multivariable logistic and Cox regression analysis to detect predictors of occurrence of bone metastasis at first diagnosis and factors related to all-cause mortality.

Results

We identified 310789 patients with breast cancer within the study period. Approximately 3.6% patients were diagnosed as bone metastasis within the entire cohort and 50.5% of the metastasis cohort. The highest incidence was from the cohorts of HR+/HER2+ (5.0% of the entire cohort). N3, metastases to brain, lung and liver were associated with higher possibility of developing bone metastases. For survival, HR+/HER2+ experience the longest survival time (41 months) and triple-negative patients had the shortest survival period (10 months). lymph node status other than N0 and distal metastasis to brain, lung and liver as possible factors which were associated with higher all-cause mortality.

Conclusions

We recommend routine bone screen at first diagnosis within high risk patients.