bluuebunny/crossref_metadata_2025_split huggingface dataset:
Histiocytic Sarcoma: A Case Series of Extranodal and Nodal Presentations
Authors: Kasinathan Ganesh , Kori Ahlam Naila , Hassan Nurhidayah 
Published: May 2019

Introduction: Histiocytic sarcoma is an aggressive malignancy of mature histocytes which often carries a poor prognosis. Histiocytic sarcoma is defined in the World Health Organisation (WHO) classification of histiocytic and dendritic cell neoplasms. Case Presentation: Case 1 depicts a 42 year old Malay gentleman with no premorbids presented to the haematology unit with a three month history of fever, night sweats, unintentional weight loss, left axillary and bilateral inguinal swellings which were progressively enlarging. Physical examination revealed a medium built gentleman with left axilla, bilateral inguinal lymphadenopathies and hepatosplenomegaly. Excision biopsies of the left axillary and inguinal lymph nodes were compatible with histiocytic sarcoma. He did not have any bone marrow infiltration. He was treated with 6 cycles of CHOP (Cyclophosphamide, doxorubicin, vincristine, prednisolone) polychemotherapy but he subsequently succumbed to severe hemophagocytic syndrome shortly after his 6th CHOP chemotherapy. Case 2 describes a 55-year-old previously healthy Malay gentleman who presented with perianal swelling and weight loss for two months. Physical examination revealed a large perianal swelling measuring 10 cm with bilateral inguinal lymphadenopathies. Anorectal tissue histology was compatible with the diagnosis of histiocytic sarcoma. He underwent a transverse colostomy which was subsequently reversed post-chemotherapy. He completed 6 cycles of CHOP chemotherapy followed by upfront consolidation autologous stem cell transplant. He is currently 9 months in complete remission. Conclusion: Histiocytic sarcoma remains a disease with poor treatment outcomes and high mortality. Understanding the pathogenesis and pathobiology of the disease will provide a future to the development of novel therapies.
Celia Deane-Drummond, A Primer in Ecotheology: Theology for a Fragile Earth
Authors: Doran Chris 
Published: May 2019

Celia Deane-Drummond, A Primer in Ecotheology: Theology for a Fragile Earth(Eugene,OR: Cascade Books, 2017), 167 pp., $23.00 (pbk), ISBN: 978-1-4982-3699-7.
J. Baird Callicott, John Van Buren, and Keith Wayne Brown, Greek Natural Philosophy: The Presocratics and their Importance for Environmental Philosophy
Authors: Peterson Mark C. E. 
Published: May 2019

J. Baird Callicott, John Van Buren, and Keith Wayne Brown, Greek Natural Philosophy:The Presocratics and their Importance for Environmental Philosophy (San Diego: CognellaAcademic Publishing, 2017), 386 pp., $93.95 (pbk), ISBN: 978-1516528561.
The Horoscopic Place
Authors: Gunzburg Darrelyn 
Published: May 2019

This article investigates whether astrology is an alternative spiritual practice associated with divination, an occurrence beyond normal human experience. Between July 2015 and July 2016 I conducted semi-structured interviews with seven astrologers who had each been practicing, writing, and teaching astrology for twenty-?ve years or more. The interviews concentrated on understanding the space set aside by the astrologers to focus on the horoscope. The results revealed that the astrologers considered the repetitive behaviour of preparation for the consultation a ritual, re?ecting Emile Durkheim’s views that a special place set aside and reinforced by ritual became sacralised. As the astrologers discussed the storied landscape of the horoscope, a moment of recognition by the client allowed the astro­loger to see more deeply into what Henri Lefebvre called the lived space of the imagination. The ensuing conversation opened the way to a much greater depth of understanding between both astrologer and client and generated insights that did not require a connection with the supernatural.
L’approccio agatologico–cristologico al concetto di persona nella riflessione teatrologica–teologica di Hans Urs von Balthasar e di Józef Tischner
Authors: Wołowski Lech 
Published: May 2019

In quest’articolo, presentiamo l’approccio contemporaneo alla comprensione teologica del concetto di persona, formatosi nella corrente del pensiero teodrammatico, rappresentato da H. U. von Balthasar e da J. Tischner. Descriviamo gli aspetti fondamentali antropologici (agatologici–dialogici) e teologici (cristologici–trinitari) caratteristici degli approcci di entrambi gli autori. Prestiamo attenzione particolare ai contributi originali di Balthasar e di Tischner al problema preso in esame, soprattutto per quanto riguarda l’uso della terminologia teatrologica nelle considerazioni riguardanti la descrizione teologica del concetto di persona. L’asse dell’analisi la costituisce il paragone tra due teatrologiche–teologiche analogie chiave, riguardante la nozione di persona introdotte dagli autori su menzionati e concernente, rispettivamente, il rapporto ruolo-missione (Balthasar) e quello di maschera-volto (Tischner).
Transcendencja osoby ludzkiej w refleksji filozoficznej kardynała Karola Wojtyły
Authors: Sroczyński Piotr 
Published: May 2019

Artykuł przedstawia koncepcje transcendencji osoby wypracowaną przez Karola Wojtyłę. Wyraża się w niej wyższość ludzkiego działania nad aktywnością innych istot. Według Wojtyły przejawia się ona w spełnianiu wolnych duchowych aktów poznawczych i pożądawczych. Opis transcendencji akcentuje fenomenologię czynu ludzkiego jako czynu poznawczego i wolitywnego. Ostateczną, wewnętrzną racją transcendencji osoby według Wojtyły jest jej duchowość.
Sinngehalte der Aufklärungsidee in der Philosophie von Novalis
Authors: Jakuszko Honorata 
Published: May 2019

Artykuł stanowi – udokumentowaną na tekstach źródłowych – rekonstrukcję sposobu, w jaki Novalis (reprezentant wczesnego romantyzmu niemieckiego) rozumie termin „oświecenie”. Jego zdaniem, oświecenie jest tożsame z procesem historycznym lub historią kultury (Bildungsgeschichte), której celem jest wszechstronny rozwój wszystkich predyspozycji człowieczeństwa. W wąskim znaczeniu oświecenie może być odnoszone do wieku XVIII, określanego jako wiek oświecenia. Novalis zwraca uwagę na historyczne przesłanki warunkujące różnicę między oświeceniem francuskim a niemieckim (m. in. reformację w Niemczech i rewolucję francuską). Za początek nowego i wyższego etapu oświecenia w Niemczech uznaje filozofię transcendentalną I. Kanta i J. G. Fichtego, klasycyzm weimarski J. W. Goethego i F. Schillera oraz filozofię historyczną F. Schlegla –reprezentanta wczesnego romantyzmu niemieckiego.
Człowiek a środowisko – czy w idei postępu czy w idei postępu zawsze tkwi ziarno destrukcji? W dziewięćdziesiątą rocznicę urodzin Jeana Dorsta (1924-2001)
Authors: Pietrzak Zbigniew 
Published: May 2019

Zasadnicza idea Jeana Dorsta wyraża się w przekonaniu, że działalność wszystkich cywilizacji, w miarę ich postępu technicznego i rozwoju demograficznego, prędzej czy później, prowadzi do nadmiernej eksploatacji otaczającej przyrody. W konsekwencji powoduje to zubożenie jej zasobów i upadek organizmów państwowych. Jean Dorst postuluje konieczność równowagi między potrzebami ludzi, a możliwościami środowiska wskazując przy tym na rolę nauki, polityki a nawet filozofii w rozwiązaniu tych problemów. Po 15 latach od śmierci tego uczonego można już skonfrontować jego prognozy z rzeczywistym rozwojem cywilizacji i jej wpływu na środowisko naturalne. I zadać pytanie: czy postępowi zawsze musi towarzyszyć destrukcja?
Assessment of outcome of distal radius inta-articular fractures using wrist-spanning mini-fixator in distraction
Authors: Patel Saurin J. , Merawat KirtiDhavaj I. , Singh Harpreet , Bhavsar Parth B. 
Published: May 2019

<p class="abstract"><strong>Background:</strong> The distal radius fractures are complex injuries. There are many treatment options for these fractures. The benefits of external fixation with mini fixator have been seen in many studies. In our study, the distal radius fracture belonging to type B and C of AO classification were treated with wrist spaning mini extrernal fixator with/without additional k wires. We wish to analyse the functional outcome and to determine any complications of this procedure.</p><p class="abstract"><strong>Methods:</strong> 20 patients were included in this study and were followed up for up to 6 months postoperatively. We assessed pain using VAS score at 6 weeks follow-up and the outcome of each patient was assessed using Mayo wrist score post-operatively on follow-up at 3 months and 6 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Predominance towards males and left upper limb was observed in our study. At the end of six months, the range of motion as assessed according to the criteria given by Mayo wrist score, excellent results (MWS&gt;=90) were seen in 4 patients (20%), good results (MWS 80-89) were seen in 12 patients (60%),and fair (MWS 70-79) in 4 patient (20%). At the end of result, significant reduction in terms of pain, wellbeing, personal life, social life, lifting, travelling and sleeping was seen.</p><p class="abstract"><strong>Conclusions:</strong> Predominance towards males and left upper limb was observed in our study. At the end of six months, the range of motion as assessed according to the criteria given by Mayo Wrist Score, excellent results (MWS&gt;=90) were seen in 4 patients (20%), good results (MWS 80-89) were seen in 12 patients (60%),and fair (MWS 70-79) in 4 patient (20%). At the end of result, significant reduction in terms of pain, wellbeing, personal life, social life, lifting, travelling and sleeping was seen. </p>
ON DOKUZUNCU YÜZYILDA DOĞU KARADENİZ’DE (GÜMÜŞHANE-TRABZON) YAYLA ANLAŞMAZLIKLARI VE DÜŞÜNDÜRDÜKLERİ
Authors: EKİNCİ İlhan 
Published: May 2019

Nehir vadileriyle bölünmüş
Karadeniz, sahillerinden başlayarak yaylalarına kadar uzanan bir coğrafyada
sosyal ve ekonomik bir bütünlük arz eder. Konar-göçer Türk yaşam biçiminin en
önemli unsurlarından olan yaylalar, bu yaşam biçiminin kısmen hayat bulduğu
mekânları olarak görülmüş ve o oranda tarihin ilgi alanına girmiştir. Bir kaç
asır boyunca klasik Osmanlı düzeninin bir parçası olan yaylalar, on dokuzuncu
yüzyılda çeşitli değişim ve dönüşümler geçirmiştir. Karadeniz’in uluslararası
ticarete açılması, sahillerde yaşanan kentleşme, iç ve dış göçler, âyan nüfuzu
gibi Osmanlı Devleti’nin maruz kaldığı sosyal, ekonomik ve siyasi gelişmeler
bulanık bir mülkiyet alanı haline gelen yaylalar üzerine yaşanan tartışmaları
daha da alevlendirmiştir. Doğu Karadeniz’in yaylaları özellikle de Gümüşhane ve
Trabzon arasında anlaşmazlık konusu olmuştur. Bu araştırma, on dokuzuncu
yüzyılda genelde Doğu Karadeniz, özelde Gümüşhane ve Trabzon arasında yaşanan
anlaşmazlıkların tarihi arka planını ortaya koymayı hedeflemektedir.
ŞEHZADE SÜLEYMAN’IN (KANUNİ) TRABZON’DA DOĞDUĞU EV MESELESİ
Authors: USTA Veysel 
Published: May 2019

Uygarlık tarihinin kaydettiği en önemli olaylardan biri, Fatih Sultan
Mehmet tarafından 1453 yılında İstanbul’un fethedilerek Doğu Roma
İmparatorluğu’na son vermiş olmasıdır. Bu olaydan 8 yıl gibi kısa bir süre
sonra ordusunun başında sefere çıkan Fatih Sultan Mehmet, 1461 yılında Trabzon
Rum Devleti’nin kontrolündeki Trabzon’u fethederek Anadolu’nun güvenliğini
kontrolü altına almıştır.Anadolu’nun kuzey doğusunda bulunan ve önemli bir ticaret ve liman kenti
olan Trabzon, fetihten 9 yıl gibi kısa bir süre sonra, 1470 yılında Sultan Bayezid’in oğlu Abdullah’ın vali olarak
atanmasıyla Şehzade Şehri statüsüne
kavuşmuştur. Şehzade Abdullah’ın Trabzon’dan ayrılmasından bir süre sonra bu
kez Şehzade Selim Trabzon’a vali olarak atanmış ve burada 23 yıl görev
yapmıştır. Bu süre içinde Şehzade Selim’in Trabzon’da Süleyman, Salih ve
Kamerşah adlı üç çocuğu dünyaya gelmiştir. Bunlardan 5/6 Kasım 1494 tarihinde dünyaya gelen Şehzade Süleyman, 15 yaşına kadar çocukluğunu Trabzon’da
geçirdikten bir süre sonra babasının ölümü üzerine tahta çıkmıştır. Osmanlı
İmparatorluğunu en geniş sınırlara ulaştıran ve batılılarca Muhteşem Süleyman
olarak adlandırılan Kanuni Sultan Süleyman 46 yıllık padişahlığı ile
imparatorluğun en uzun süre görev yapan sultanı olmuştur.&nbsp;Bu makalede Şehzade Süleyman’ın Trabzon’da doğduğu
saray/konak hakkında bir değerlendirmede bulunulmaya çalışılmıştır.
TRABZON KENTİ MİMARLARI ÜZERİNE KANTİTATİF BİR DEĞERLENDİRME (1963-2014)
Authors: KÜÇÜK KARAKAŞ Bahar , AYDIN ÖKSÜZ Aysun 
Published: May 2019

Trabzon Mimarlar Odası üye sayıları, cinsiyetleri ve mezun oldukları
okullar üzerinden kantitatif bir değerlendirmenin yapıldığı bu çalışma, ilk
üyenin kayıt yaptırdığı 1963 yılı itibariyle başlayıp tez çalışmasının tarihsel
üst sınırı olan 2014 yılı ile sonlandırılmıştır. Çalışmanın amacı, Trabzon
kenti mimarlık ortamı için bir veri altlığı oluşturulmasıdır. Çalışmada,
verilerin niceliksel dökümü sürecinde kantitatif analiz, literatür verilerinin
sayısal verilerle ilişkilendirilmesi bölümünde ise kalitatif analiz yöntemi
kullanılmıştır. Elde edilen veriler, dönemin siyasi, toplumsal, ekonomik ortamı
doğrultusunda incelenmiş ve yorumlanmıştır. Sonuç olarak, Trabzon mimarlık
ortamı için, 1972, 1993 ve 2010 yıllarının dönüm noktalarını oluşturduğu, söz
konusu yılların serbest mimarlık ortamı, mesleğe dair cinsiyet algısı ve kente
duyulan aidiyet bağlamında önemli referanslar sunduğu görülmüştür. Çalışma,
Trabzon kenti mimarlık mesleği tarihi için 50 yıllık bir süreci, hem Türkiye
hem de Trabzon mimarlık ortamı ve koşulları bağlamında okuması ve değerlendirmesinin
yanında kente dair önemli bir niceliksel verinin dökümünü oluşturması
bakımından önem taşımaktadır.&nbsp;
Korelasi Kegiatan Ice Breaking dengan Motivasi Belajar Peserta Didik dalam Proses Pembelajaran Tematik
Authors: Rahmi Rudiana 
Published: May 2019

Penelitian ini bertujuan untuk mengetahui pelaksanaan kegiatan ice breaking dan motivasi belajar peserta didik dalam proses pembelajaran tematik, serta korelasi antara kegiatan ice breaking dengan motivasi belajar peserta didik dalam proses pembelajaran tematik di MI Nurul Islam Gambut. Jenis penelitian ini adalah penelitian lapangan yang menggunakan pendekatan kuantitatif serta metode penelitian korelasional. Populasi dan sampel pada penelitian ini adalah seluruh peserta didik kelas IV di MI Nurul Islam Gambut berjumlah 11 orang. Teknik pengumpulan data dalam penelitian ini diambil dengan cara angket, observasi, wawancara, dan dokumentasi. Selanjutnya dianalisis menggunakan analisis korelasi pearson product moment. Hasil penelitian menunjukkan kegiatan ice breaking di MI Nurul Islam Gambut dapat dikatakan berjalan dengan sangat baik. Hal ini terlihat dari data hasil observasi dan data angket yang memperoleh persentase sebesar 75,7% dan 83,6%. Motivasi belajar peserta didik dalam proses pembelajaran tematik di MI Nurul Islam Gambut tergolong sangat baik. Hal ini terlihat dari data angket yang memperoleh persentase sebesar 81,8%. Terdapat korelasi yang signifikan antara kegiatan ice breaking dengan motivasi belajar peserta didik dalam proses pembelajaran tematik di MI Nurul Islam Gambut. Hal tersebut terlihat dari rxy > rtabel yaitu 0,864 > 0,735 dengan taraf signifikan 1% atau 0,864 > 0,602 dengan taraf signifikan 5%.
Impacto de la implementación de la NIC 17 en las normas tributarias, sobre la base imponible del impuesto sobre la renta. Análisis del efecto en los arrendamientos financieros
Authors: López Nieves Mery 
Published: May 2019

Hoy por hoy, es de gran importancia el papel que cobra el arrendamiento financiero o leasing como herramienta de apalancamiento en las empresas (sin distinguir tamaño), atendiendo la dinámica económica que ha conllevado a la flexibilización de las formas utilizadas para generar riqueza o patrimonio, privilegiando cada vez más el uso de los bienes más que la propiedad de los mismos. Simultáneamente, esa misma dinámica ha conllevado a que los entes económicos requieran una normatividad contable que refleje cada vez mejor la realidad financiera que les atañe, enfocada a satisfacer las necesidades de los diferentes usuarios (especialmente a los inversionistas), dando paso a las Normas Internacionales de Información Financiera NIC-NIIF. Colombia no ha escapado a estos efectos y las necesidades que generan; en consecuencia, se inició un proceso de adopción de las Normas Internacionales de Información Financiera a partir de la expedición de la Ley 1314 de 2009, con la cual también se dan los primeros pasos hacia la disolución de la relación siamésica en la que muchas veces se han regulado temas contables a partir de la normatividad fiscal, como ocurrió con los arrendamientos financieros, artículo 127-1 adicionado al Estatuto Tributario por la Ley 223 de 1995. Esta es la razón que justifica nuestro estudio, pues resulta pertinente, previa revisión de los antecedentes del arrendamiento financiero en Colombia, analizar su conceptualización y regulación en el ordenamiento jurídico, en el marco normativo contable y en el marco normativo tributario. El estudio encuentra su mayor razón de ser en los efectos que se derivan del cambio de marco normativo contable, con la adopción de las Normas Internacionales de Contabilidad y la incorporación de las NIC-NIIF efectuada mediante el Decreto 2420 del 14 de diciembre de 2015, y en los cambios que se producen en el tratamiento fiscal de los arrendamientos a partir de la expedición de la Ley 1819 de 2016 que modifica el artículo 127-1 del Estatuto Tributario. Con los precedentes desarrollados, el punto neurálgico del estudio es determinar los efectos de la NIC 17 en las bases imponibles del impuesto sobre la renta y de la NIIF 16 que es de obligatoria aplicación a partir del 1° de enero de 2019. Finalmente, se citan algunas Jurisprudencias emitidas en Colombia en casos referentes al tema de Arrendamiento Financiero o leasing.
Improving Self-Reported Preoperative Anxiety Through a Preoperative Education Program: A Quality Improvement Project
Authors: Bell Jaimie , Paul Subroto , Sesti Joanna , Granger Bradi 
Published: May 2019

Background:Preoperative education is an important component of preparing patients for surgery. Preoperative anxiety is one of the most important problems for patients, because it causes emotional and psychiatric problems as well as physical problems. Anxiety has been associated with several pathophysiological responses such as hypertension and dysrhythmias, which can increase perioperative morbidity. Estimates suggest that between 11% and 80% of adult presurgical patients experience heightened levels of anxiety.Objective:The purpose of this pilot project was to develop a preoperative education program for thoracic surgery patients and to assess the effectiveness of the program in decreasing patient's self-reported anxiety levels using the validated Patient-Reported Outcomes Measurement Information System (PROMIS) tool.Methods:This quality improvement project used a pre- and posttest improvement design to evaluate patient's self-reported anxiety levels at three different timepoints during the preoperative and postoperative period. A total of 15 patients from a thoracic surgery practice participated in the study.Results:The study showed no statistically significant change in patients' self-reported anxiety levels after completion of the preoperative education program (p = .538). Patients reported improvements in parameters such as expectations, pain, and preparedness.Conclusions:Although some studies have found that preoperative patient education decreases anxiety, this study supports others that indicate that anxiety is not affected by or associated with educational preparation prior to thoracic surgery. Though no statistical improvement in anxiety levels was demonstrated in this study, a majority of patients reported improvements in parameters such as expectations, pain, and preparedness.Implications for Nursing:As patient education is largely provided by the nursing profession, this article will help the profession to better understand what is important for patients to know in the preoperative setting. Setting patient expectations has a great impact on the patient's recovery and satisfaction with their surgical experience. As this is a pilot study, the goal is for continued research in the area of decreasing preoperative anxiety and preparing patients for surgery.
Educating Nurses to Use a Brief Tobacco Cessation Intervention With Patients on a Mood Disorder Unit in a Midwestern U.S. Hospital
Authors: Mbata Eucheria C. , Haefner Judy , McFarland Marilyn 
Published: May 2019

BackgroundEvidence shows that smoking cessation interventions are effective in reducing individual's smoking behavior. Despite tobacco cessation efforts, individuals with mental illness smoke more than do members of the general population.ObjectiveThis study's objective was to determine whether educating nurses to use an evidence-based brief tobacco intervention would improve educating patients on smoking cessation and lead to more patients accepting nicotine replacement therapy (NRT).MethodsThis study was conducted on a 28-bed mood disorder unit of a Midwestern U.S. psychiatric teaching hospital and used a pre/postchart review. Fourteen nurses participated in the education program that included a PowerPoint presentation, handouts, and weekly e-mails.ResultsEight weeks after the educational program, statistically significant increases were found in nurses' electronic health record documentation of providing patient education on smoking cessation and patients' acceptance of NRT.ConclusionsThis study's education program was successful in promoting smoking cessation education among psychiatric nurses, with an increase of patients accepting NRT.Implications for NursingTraining nurses to use a brief tobacco intervention proved to be an effective short-term method for addressing the high rate of smoking among a group of psychiatric patients.
Using Transcultural Nursing Education to Increase Cultural Sensitivity and Cultural Assessment Documentation by Staff in an In-Home Chronic Disease Self-Management Program
Authors: Neilly Chia-Hui , Rader Anne , Zielinski Sara , Wehbe-Alamah Hiba , Murray-Wright Margaret 
Published: May 2019

BackgroundDespite literature indicating that culturally sensitive care promotes a positive patient environment and may help improve outcomes, limited data exist on the documentation of patients' cultural concerns in electronic medical records (EMR).ObjectiveThe project's objective was to use an educational intervention to increase clinic staff's cultural sensitivity and cultural assessment documentation.MethodsResearchers conducted this 3-month project at a Midwestern clinic's in-home, self-care chronic disease management program. The voluntary sample of clinical staff (n= 8) received an educational intervention on transcultural nursing practices. Researchers administered the Transcultural Self-Efficacy Tool for the Multidisciplinary Healthcare Provider (TSET-MHP) to participants before and after the intervention. A pre- and postintervention EMR audit was completed on 128 charts to evaluate cultural assessment documentation.ResultsTSET-MHP cognitive and practical subscales scores increased postintervention. Affective subscales scores decreased slightly. Electronic cultural assessment documentation increased by 10%. An assessment questionnaire showed an increase in participants' cultural self-awareness and comfort with cultural assessment.ConclusionsAn educational intervention demonstrated an increase in providers' cultural awareness and cultural assessment documentation.Implications for NursingTranscultural nursing education may help increase providers' perceived cultural self-efficacy, which may improve cultural assessments and culturally competent care.