bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of CHA2DS2-VASc-HS Score with Adverse In-hospital Outcomes in Patients with Non-ST Segment Elevation Myocardial Infarction
Authors: Bala Poppy , Rahman Afzalur , Ullah Mohammad , Haque Md Monsurul , Alam Khurshid , Rahman Mohammad Arifur , Islam Md Shariful , Cader Fathima Aaysha , Morshed Md Golam , Bala Kanu , Afroz Delara 
Published: March 2019

Background: Early detection of patients with non-ST segment elevation myocardial infarction (NSTEMI) who would suffer from adverse in-hospital outcomes is important for the therapeutic decision. Recently it was described that CHA2DS2-VASc-HS and CHA2DS2-VASc score is a predictor for severity and adverse in-hospital outcomes in patients with stable coronary artery disease (CAD) and acute coronary syndrome. The aim of our study was to assess the accuracy of the CHA2DS2-VASc-HS score predicting adverse inhospital outcomes in NSTEMI patients.
Methods: 120 patients with NSTEMI were enrolled in this study. The CHA2DS2-VASc-HS score was calculated. The study subjects were divided into two groups. Patients’ with CHA2DS2-VASc-HS score>4 were put into group I and scored” 4 into group II. They were treated as per hospital treatment protocol and followed-up for adverse in-hospital outcomes (Heart failure, cardiogenic shock, recurrent ischemic pain, significant arrhythmia and death).
Results: It was observed that, patients with CHA2DS2-VASc-HS score >4 had more adverse in-hospital outcomes than CHA2DS2-VASc-HS score d” 4 (20% vs. 3.3%, p=0.01). Group I patients developed cardiogenic shock 10%, heart failure 4%, recurrent ischemia 11.7%, significant arrhythmia 1.7% and death 1.7% than group II patients (1.7%, 3.3%, 3.3%, 0% and 0% respectively). By risk measurement, CHA2DS2-VASc-HS score >4 emerged as a risk factor for developing adverse in-hospital outcome (Relative risk=6).
Conclusion: NSTEMI patients with high CHA2DS2-VASc-HS score have more adverse in-hospital outcomes. This score, which involves only clinical parameters, can be used as a predictor of outcomes in this group of patients.
Cardiovasc. j. 2019; 11(2): 159-166
Ectopia Cordis: A Rare Congenital Heart Disease
Authors: Chowdhury Naharuma Aive Hyder , Sharifuzzaman Mohammad , Azad Mohammad Abul Kalam , Haque Tuhin , Hossain Jesmin 
Published: March 2019

Three days old female presented with beating heart outside the thoracic cavity. This is a rare congenital abnormality associated multiple abnormalities. Patient came with features of infection. To diagnose routine blood investigation along with echocardiography and CT angiogram of heart,great vessel and abdomen were done. She was diagnosed as functionally single ventricle with hypoplastic branch pulmonary artery with malposed great artery with anomalous pulmonary venous drainage. Thisis lethal variety of ectopic cordis. Our patient had no adequate space in mediastinum to replace heart and she was in septicemia, so managed medically. Patient expired at her 6thday due to sepsis and intracardiac complex congenital heart disease.
Cardiovasc. j. 2019; 11(2): 183-186
Clinical Presentation and Histological Variation of Pleomorphic Adenoma of Salivary Glands
Authors: Khandker Md Nazmul Hasan , Sadat SM Anwar , Rahman Tarin , Haider Ismat Ara , Ahmed Mohiuddin 
Published: March 2019

Background: Pleomorphic Adenoma is the most common salivary gland tumour accounts 40-70% of all salivary gland tumour and about 60-80% of the benign tumours and 60- 70% of all parotid tumours. There is no study conducted in Bangladesh to observe the clinical and histological variation of the tumour. This study presents 36 cases of Pleomorphic adenoma collected over 11 months at the different territory hospital of Dhaka city. Design: Observational study (November’ 2011 to September’ 2012) Setting: Department of Oral and Maxillofacial Surgery (Dhaka Dental College and Hospital, Bangabandhu Sheikh Mujib Medical Universityl), Department of ENT and Head- Neck Surgery (Dhaka Medical College and Hospital, Bangabandhu Sheikh Mujib Medical University).
Method: The entire patient clinically and cytologically diagnosed as Pleomorphic adenoma were selected. Data were collected in a summarized data sheet. Then histopathological types of them were analyzed from excisional biopsized tissue.
Result: There were 36 patients of Pleomorphic adenoma of which 24(66.67%) in Parotid glands, 4(11.11%) in Submandibular glands and 8(22.22%) in minor salivary glands. Among the respondents, female was predominant 20(55.56%) with ages were between 29 years to 65 years old (mean age 44.83 ± 8.32 years) with most patients (44.44%) in 41 to 50 years of life. In histophathological study showed Stromal rich 38.89%, cell rich 36.11% and classic 25%. Cuboidal cells were the most commonly found cellular type followed by plasmacytoid and spindle.Trabeculae and duct like structures were the most frequent pattern by the epithelial cells.Myxoid and Hyalinization were the most frequently found mesenchymal like tissue.Cases presented with symptoms such as swelling (100%), limitation of mouth opening, paesthesia and pain.
Conclusion: The knowledge about clinical presentation and the immense variety of cells, architectures and morphological characteristics present in Pleomorphic adenoma of the salivary gland is essential for correct diagnosis and prognosis. The need for improved diagnostic facilities and upgrading of infrastructure was stressed.
J Bangladesh Coll Phys Surg 2019; 37(2): 72-77
Technoheritage: ciencia, tecnología y empresa al servicio del patrimonio cultural
Authors: Pinto Puerto Francisco Sebastián , Castellano Román Manuel , Ortiz Calderón María del Pilar , Cano Díaz Emilio 
Published: March 2019

Los avances científicos y tecnológicos que inciden sobre la tutela del patrimonio cultural se producen de forma cada vez más acelerada. Sistemas de auscultación, prospección y análisis de su materialidad, de control de las diversas magnitudes que los caracterizan, o de representación y modelización, han adquirido una dimensión inédita en las últimas décadas. Las tecnologías digitales no sólo mejoran cuantitativa y cualitativamente las posibilidades de aproximación al legado histórico, sino que permiten nuevas formas de interpretar y difundir el patrimonio.
Con objeto de abordar esta problemática, se celebrará en Sevilla, en 2019, un congreso que consistirá en un encuentro internacional de investigadores y especialistas de múltiples áreas concernidas por el conocimiento y conservación del patrimonio cultural –con varias secciones dedicadas en esta ocasión al patrimonio arquitectónico- y que comparten el uso de tecnologías digitales en sus estrategias metodológicas. Se presentarán trabajos sobre nuevas tecnologías, materiales y productos y se tratarán cuestiones candentes sobre gestión, impacto social, riesgos y vulnerabilidad del patrimonio cultural.
Diagnosis of Tuberculosis By Artificial Neural Network Algorithm
Authors: Amrin Amrin 
Published: March 2019

Sangat penting bagi dokter untuk melakukan diagnosa secara dini penyakit tuberculosis agar dapat mengurangi penularan penyakit tersebut kepada masyarakat luas. Pada penelitian ini, penulis akan menerapkan metode klasifikasi data mining, yaitu Algoritma Jaringan Syaraf Tiruan untuk mendiagnosa penyakit tuberculosis. Berdasarkan hasil pengukuran performa dari model tersebut dengan menggunakan metode pengujian Cross Validation, Confusion Matrix dan Kurva ROC, diketahui bahwa algoritma jaringan syaraf tiruan memiliki tingkat akurasi sebesar 89,89% dan nilai area under the curva (AUC) sebesar 0,975. Hal ini menunjukkan bahwa model yang dihasilkan termasuk katagori klasifikasi sangat baik karena memiliki nilai AUC antara 0.90-1.00.
Pola Saluran Pemasaran Ikan Di Daerah Istimewa Yogyakarta (DIY)
Authors: Purnomo Cahya 
Published: March 2019

Tujuan penelitian mengetahui pola saluran pemasaran ikan di DIY. Data dikumpulkan dengan purposive sampling, yaitu Tempat Pelelangan Ikan (TPI) Gunung Kidul 2 dan Kulon Progo 1, Nelayan Gunung Kidul 6 dan Kulon Progo 4, pedagang perantara Gunung Kidul 4 dan Kulon Progo 3 orang. Analisisnya mendiskripsikan pola saluran pemasaran dan menghitung fisherman's share. Hasilnya bahwa ikan yang beredar di DIY 60 % berasal dari Pantai Utara Jawa dan 40 % dari DIY, produksi ikan DIY diekspor 40 % terutama jenis ikan yang bernilai tinggi. Pola saluran pemasaran ada 4. Pola 1 adalah nelayan – TPI – konsumen akhir dengan fisherman's share 95 % untuk semua jenis ikan, saluran pemasaran ini paling efektif. Pola 2 adalah nelayan – TPI – pedagang pengumpul – pedagang pengecer – konsumen akhir dengan fisherman's share bervariasi antara 48 % sampai 71 %. Pola 3 adalah nelayan – TPI – pedagang pengumpul – rumah makan – konsumen akhir, dengan fisherman's share bervariasi antara 39 % sampai 64 %. Pola 4 adalah nelayan – TPI – pedagang pengumpul – industri pengolah – konsumen akhir, fisherman's share diketahui hanya sampai pada pedagang pengumpul, bervariasi dari 61 % sampai 85 %. Transaksi penjualan pada semua pola selalu melibatkan TPI sebagai mediator antara nelayan dengan pelaku pemasaran berikutnya.
Aplikasi Sistem Informasi Logistik dan Perannya Dalam Menunjang Peningkatan Kinerja Ekspor (Sebuah Pemikiran Untuk PT Perkebunan Nusantara X Indonesia - Kab. Jember
Authors: Nuryanto Nuryanto , Winarto Sofian 
Published: March 2019

Tulisan ini disusun berdasarkan hasil Praktek Darat Taruna STIMART”AMNI” pada PT Perkebunan X Kabupaten Jember, merupakan sebuah pemikiran untuk PT Perkebunan X Jember, untuk mengguna kan aplikasi Sistim Informasi Logistik (SIL) guna menunjang peningkatan kinerja ekspornya, mengingat PTP X Jember, sangat potensial ekspor tembakau terutama ke negara Amerika dan Eropa. Standar dan kualitas produk ekspor memerlukan pengelolaan rantai pasokan yang efektif. Komoditas pertanian seperti tembakau mensyaratkan kualitas tembakau yang baik dan pasokan tembakau yang mencukupi serta kontinu. Hal ini dapat dicapai dengan memanfaat kan Sistem Informasi Logistik. Pemikiran ini menitik beratkan pada dua hal yaitu : Aplikasi SIL dan peningkatan Kinerja Ekspor, berdasarkan teori - teori, empiris dan penelitian-penelitian yang mendahuluinya. Hasilnya diharapkan dengan menggunakan aplikasi SIL, kinerja ekspor tembakau yang dilakukan oleh PT perkebunan X Kabupaten Jember semakin meningkat.
Hubungan Durasi Paparan Gelombang Elektromagnetik Telepon Seluler Terhadap Kadar Melatonin Pada Tikus Putih (Rattus norvegicus) Galur Wistar
Authors: Putri Irrayanti , Harliansyah Harliansyah 
Published: March 2019

Background : Mobile Phone (MP) is a wireless communication tools that nowadays used by people with many features that can ease the user. Cellphone is releasing electromagnetic radiation that can causes side effect for the user itself, one example of the side effect is disturbing the melatonin hormone synthesis that can cause the abnormal sirkadian body rythm, so the sleep patterns are disrupted, causing insomnia, islam is teaching us to keep our health, for example is to keep the rythm of our bedtime regularly. Objective : Knowing the relation between exposure duration of mobile phone electromagnetic radiation to melatonin level of Wistar albino rats observed by medicine and islam perspectives. Methods : This study was experimental study, total sample was determined by frederer theory and analyzed using IBM SPSS Statistic 21 for Windows. Results : The results showed that melatonin levels in the positive control group (dark control group) 13,705 ± 0,500 were compared with the group which exposed for 3 hours 13,375 ± 0,654 with (p=0,299) and in the positive control group (dark control group) 13,705 ± 0,500 compared with the group which exposed for 6 hours 13,223 ± 0,529 with (p=0,116). Conclusions : There is no significant relation between exposure duration of mobile phone electromagnetic radiation to melatonin levels in Wistar albino rats.
Pengaruh Short Wave Diathermy (SWD) dan Terapi Latihan terhadap Frozen Shoulder Dextra
Authors: Purnomo Didik , Abidin Zainal , Puspitasari Nurwahida 
Published: March 2019

Frozen shoulder adalah suatu kondisi yang pasti ditandai dengan hilangnya gerak shoulder aktif maupun pasif secara progresif. Secara epidemiologi frozen shoulder terjadisekitar usia 40-65 tahun. Dari 2-5 % populasi sekitar 60 % dari kasus frozen shoulder lebih banyak mengenai perempuan dibanding laki-laki. Frekuensi frozen shoulder bilateral lebihsering pada pasien dengan diabetes dari pada yang tidak.
Rumusan masalah dalam penelitian ini adalah bagaimana pengaruh Short wave diathermy dan terapi latihan pada penderita Frozen shoulder. Populasi penelitian ini adalah penderita frozen shoulder di RSU Pandan Arang Boyolali. sebanyak 8 pasien yang secara keseluruhan diambil sebagai sampel penelitian. Pengumpulan data didapat dari pemeriksaan nyeri menggunakan visual analog scale(VAS). Pemeriksaan nyeri dilakukan dengan 3 cara yaitu nyeri tekan, nyeri diam, dan nyeri gerak selain itu data berupa kualitatif dilihat dari adanya peningkatan atau penurunan aktifitas fungsional.
Berdasarkan hasil analisis data dan pembahasan maka dapat disimpulkan Short wave diarthermy dan terapi latihan dapat mengurangi nyeri, pada penderita frozen shoulde.
Pengaruh Ultra Sound Dan Terapi Latihan terhadap Carpal Tunnel Syndrome
Authors: Puspitasari Nurwahida , Amanati Suci , Abidin Zainal 
Published: March 2019

ABSTRAKCarpal Tunnel Syndrome (CTS) adalah entrapment neuropaty yang paling sering terjadi pada pergelangan tangan. Selama tahun 2003 sampai 2005 terjadi peningkatan kasus CTS padakaryawan akibat gerakan repetitif pada penggunaan komputer dalam frekuensi yang sering dan durasi yang lama dari 76 kasus menjadi 112 kasus. Rumusan masalah dalam penelitian ini adalah bagaimana pengaruh ultra sound dan terapi latihan pada penderita carpal tunnel syndrome. Populasi penelitian ini adalah pasien penderita carpal tunnel syndrome di RSUP Dr. Kariadi Semarang sebanyak 10 pasien yang secara keseluruhan diambil sebagai sampel penelitian.
Pengumpulan data didapat dari pemeriksaan nyeri dengan visual analog scale (vas). Visual Analoque Scale (VAS) sebagai pemeriksaan derajat nyeri. Hasil uji t menunjukkan Sig. = 0,000(<0,05), maka Ho ditolak dan Ha diterima. Hal ini berarti nyeri diam sebelum dan sesudah tindakan penggunaan ultra sound dan terapi latihan (free exercise, assisted exercise, assisterdresisted exercise dan resisted exercise) tidak sama. Berdasarkan hasil penelitian, dapat disimpulkan adanya pengaruh penggunaan ultra sound dan terapi latihan (free exercise, assisted exercise, assisterd-resisted exercise dan resisted exercise) terhadap nyeri pada kasus Carpal Tunnel Syndrome (CTS).
La interdisciplinariedad como eje transversal en la enseñanza de la asignatura de Emprendimiento y Gestión
Authors: Guerrero Salazar Christian , Villamar Gavilanes Ana María 
Published: March 2019

RESUMEN
Desde septiembre de 2016, el Ministerio de Educación introdujo una propuesta curricular mejorada y con un enfoque educativo que guarda coherencia con el modelo de la Pedagogía Crítica en el desarrollo del pensamiento lógico, crítico y creativo, sin descuidar la formación en valores como la ética y la toma de conciencia de las obligaciones y derechos ciudadanos a través de los ejes transversales. Bajo esta perspectiva, la interdisciplinariedad es una herramienta que permite a los docentes generar espacios de enseñanza activa, que giran en torno a la identificación y solución de problemas reales y que permite el aprendizaje colaborativo y dinámico. La presente investigación tuvo como finalidad diseñar una propuesta para aplicar la interdisciplinariedad desde la asignatura de Emprendimiento y Gestión, como una forma de mejorar la práctica docente en las instituciones educativas del país. La modelación se basó en la metodología de la Enseñanza para la Comprensión, así como en la aplicación de técnicas activas de aprendizaje como el uso de problemas generadores y el método de casos. Las estrategias metodológicas son el producto de la experiencia docente en el dictado de la asignatura y se presentan como una serie de pautas que aportan ideas a los actores educativos para la aplicación de proyectos interdisciplinares sencillos y concretos. La propuesta es clara, permitiendo valorar a la interdisciplinariedad como una ventaja pedagógica en la búsqueda de la calidad educativa, desde la perspectiva de docentes motivados y dispuestos a cambiar su estilo de trabajo asumiendo nuevos retos profesionales.
Ethnomedicinal Resources of the Indigenous People’s (IP) Groups in the SOCSARGEN Region
Authors: Non-Cabrera Maria Luisa , Descallar Angem Librando , Obemio Christine Dawn G. , Martin-dela Cruz Tres Tinna B. , Lañojan Rhumer 
Published: March 2019

An ethnomedicinal study was conducted to document the medicinal plants used, the manner of preparation and application in the treatment of ailments and the consensus in the use of medicinal plants to treat various ailments among four (4) indigenous people's groups, the Obo in Lake Sebu, South Cotabato, T'boli in Maitum, Sarangani Province, and Blaan and Tagakaolo in General Santos City. The ethnobotanical interview was conducted using open-ended semi-structured questionnaires among identified traditional healers and elders as well as the household in the community. A total of 136 plants species, mostly herbs (47%), have been recorded with the corresponding conditions or illnesses in which they are believed to exert a therapeutic effect. Plant parts utilized for traditional medicine of the 4 IP groups include leaves (38%), roots (25%) and bark/stem (16%). Decoction (54%) and direct consumption (27%) applied via oral route are the common traditional medicine preparation. The IP communities in the SOCSARGEN Region have a rich pharmacopeia of traditional medicinal plants that persist through time despite the availability and convenience offered by modern medicine.
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On the Neutrino Flares from the Direction of TXS 0506+056
Authors: Halzen Francis , Kheirandish Ali , Weisgarber Thomas , Wakely Scott P. 
Published: March 2019

Abstract
A multimessenger campaign has associated a high-energy cosmic neutrino with a distant gamma-ray blazar, TXS 0506+056. IceCube archival data subsequently revealed that the high-energy neutrino flux from the direction of this source, integrated over the last 10 yr, is dominated by a single bright neutrino flare in 2014, leaving the multimessenger flare as a subluminous second flare. The extraordinary brightness of the blazar despite its distance suggests that it may belong to a special class of sources that produce cosmic rays. We show that the diffuse IceCube flux discovered in 2013 can be accommodated by a subclass of blazars, on the order of 5%, that episodically produce neutrinos with the luminosity of the 2014 neutrino flare. Matching the cosmic-ray flux required to produce the neutrinos to the one observed implies highly efficient neutrino sources with large target photon densities that are not transparent to high-energy gamma-rays. The opacity of the source modifies the straightforward multimessenger connection in a way that is consistent with the gamma-ray observations coincident with the 2014 neutrino flare.
The Western Bulge of 162173 Ryugu Formed as a Result of a Rotationally Driven Deformation Process
Authors: Hirabayashi Masatoshi , Tatsumi Eri , Miyamoto Hideaki , Komatsu Goro , Sugita Seiji , Watanabe Sei-ichiro , Scheeres Daniel J. , Barnouin Olivier S. , Michel Patrick , Honda Chikatoshi , Michikami Tatsuhiro , Cho Yuichiro , Morota Tomokatsu , Hirata Naru , Hirata Naoyuki , Sakatani Naoya , Schwartz Stephen R. , Honda Rie , Yokota Yasuhiro , Kameda Shingo , Suzuki Hidehiko , Kouyama Toru , Hayakawa Masahiko , Matsuoka Moe , Yoshioka Kazuo , Ogawa Kazunori , Sawada Hirotaka , Yoshikawa Makoto , Tsuda Yuichi 
Published: March 2019

Abstract
162173 Ryugu, the target of Hayabusa2, has a round shape with an equatorial ridge, which is known as a spinning top shape. A strong centrifugal force is a likely contributor to Ryugu’s top-shaped features. Observations by the Optical Navigation Camera on board Hayabusa2 show a unique longitudinal variation in geomorphology; the western side of this asteroid, later called the western bulge, has a smooth surface and a sharp equatorial ridge, compared to the other side. Here, we propose a structural deformation process that generated the western bulge. Applying the mission-derived shape model, we employ a finite element model technique to analyze the locations that experience structural failure within the present shape. Assuming that materials are uniformly distributed, our model shows the longitudinal variation in structurally failed regions when the spin period is shorter than ∼3.75 hr. Ryugu is structurally intact in the subsurface region of the western bulge while other regions are sensitive to structural failure. We infer that this variation is indicative of the deformation process that occurred in the past, and the western bulge is more relaxed structurally than the other region. Our analysis also shows that this deformation process might occur at a spin period between ∼3.5 and ∼3.0 hr, providing the cohesive strength ranging between ∼4 and ∼10 Pa.
Tracheophyte of Xiao Hinggan Ling in China: an updated checklist
Authors: Wang Hongfeng , Dong Xueyun , Liu Yi , Ma Keping 
Published: March 2019

This paper presents an updated list of tracheophytes of Xiao Hinggan Ling. The list includes 124 families, 503 genera and 1640 species (Containing subspecific units), of which 569 species (Containing subspecific units), 56 genera and 6 families represent first published records for Xiao Hinggan Ling. The aim of the present study is to document an updated checklist by reviewing the existing literature, browsing the website of National Specimen Information Infrastructure and additional data obtained in our research over the past ten years.
This paper presents an updated list of tracheophytes of Xiao Hinggan Ling. The list includes 124 families, 503 genera and 1640 species (Containing subspecific units), of which 569 species (Containing subspecific units), 56 genera and 6 families represent first published records for Xiao Hinggan Ling. The aim of the present study is to document an updated checklist by reviewing the existing literature, browsing the website of National Specimen Information Infrastructure and additional data obtained in our research over the past ten years.
This is the first complete checklist of tracheophytes of Xiao Hinggan Ling. A total of 1640 species and subspecies are listed, of which 569 species (ontaining subspecific units) represent first published records.
El simbolismo en los tiempos del signo. A propósito del retorno de lo indecible en el arte
Authors: Martínez Bueno Juan Felipe 
Published: March 2019

<p>El presente texto aborda la distinción entre el <em>signo</em> y el <em>símbolo</em> y sus dramáticas consecuencias en la sociedad de la información. Se rastrea brevemente el origen del símbolo para acotar una definición difusa que permita, dentro del terreno estético, el provecho de la capacidad renovadora e inagotable del <em>sentido</em> en contraposición con la conexión inmediata de lo obvio. Así pues, el arte simbolista da paso a la <em>experiencia simbólica</em>, esto es, una experiencia de la unificación donde se pueden reabrir espacios de comprensión que no eliminen la realidad de lo oculto, y que a partir de lo inefable se reorganice lo mundo sin llegar a agotar sus múltiples sentidos.</p>