bluuebunny/crossref_metadata_2025_split huggingface dataset:
Lower Risk of Recurrence After Mesh Repair Versus Non-Mesh Sutured Repair in Open Umbilical Hernia Repair: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Authors: Bisgaard T. , Kaufmann R. , Christoffersen M. W. , Strandfelt P. , Gluud L. L. 
Published: November 2018

Background and Aims: The use of mesh repair in a small- or middle-sized umbilical hernia remains controversial, and evidence is based on only few and small heterogeneous randomized trials. The primary aim was to assess differences, if any, in recurrence (clinical and reoperation), and secondary aim was to assess differences in infections, seroma formation, hematomas, chronic pain, cosmetic result, and quality of life. Method: A systematic review (predefined search strategy) and meta-analyses were conducted based on pre-study strict and well-defined methodology. The literature search was completed on 1 January 2018. The study protocol was registered in PROSPERO. Results: Five randomized controlled trials were identified (mesh repair, n = 326 versus non-mesh sutured repair, n = 330) and 602 records were excluded. Randomized controlled trials included patients with defect diameters of ⩾1 to 4 cm. Mesh repair reduced the risk of recurrence compared with sutured repair with a relative risk of 0.28 (95% confidence interval = 0.13–0.58, I2 = 0%, number needed to treat = 13 patients). Additional analyses found no differences between the two surgical techniques regarding infection (relative risk = 0.80, 95% confidence interval = 0.36–1.79), seroma formation (relative risk = 1.38, 95% confidence interval = 0.57–3.32), or hematomas (relative risk = 0.55, 95% confidence interval = 0.23–1.30). Lack of sufficient data precluded meta-analysis evaluating risk of seroma formation, hematomas, chronic pain, cosmetic result, and quality of life. Conclusion: Mesh repair is recommended for umbilical hernia of ⩾1 to 4 cm. More evidence is needed for the optimal placement of the mesh (sublay or onlay) and the role of mesh in patients with an umbilical hernia <1 cm.
Ansatzpunkte für eine Flexibilisierung der Führungskräfteentlohnung
Authors: Hentze Joachim , Kammel Andreas 
Published: November 2018

Der Führungskräfteentlohnung wird besonders in den USA aber auch in der Bundesrepublik seit einigen Jahren in Theorie und Praxis verstärkt Aufmerksamkeit zuteil. Neben der Entwicklung der Einkommenshöhe vor allem bei Topmanagern gilt das Interesse hauptsächlich einzelnen Entlohnungskomponenten und deren sinnvoller Kombination unter Anreiz- und Leistungsaspekten, wobei die strategische Ausrichtung von Anreizinstrumenten immer stärker in den Mittelpunkt rückt. Der folgende Beitrag behandelt die Gestaltung von Führungskräfteentlohnungssystemen gedanklich-konzeptionell unter dem Gesichtspunkt der Flexibilität, die aufgrund verstärkter Ungewißheit durch wachsende Umweltturbulenzen gerade bei Überlegungen im Rahmen des Strategischen Managements eine immer größere Rolle spielt. Der Erörterung von Ansatzpunkten einer Flexibilisierung von Führungskräfteentlohnung sind wichtige begriffliche Aspekte der Flexibilität und wesentliche Gundlagen der Führungskräfteentlohnung vorangestellt. Die Ausführungen stellen eine vorläufige und weiterentwicklungsbedürftige Perspektive für eine prospektive Gestaltung der Führungskräfteentlohnung dar. Konkrete Handlungs- bzw. Gestaltungsempfehlungen i.S. endgültiger Rezepte zum Zwecke der praktischen Erprobung werden nicht angesprochen.
Costs of outpatient and inpatient MRSA screening and treatment strategies for patients at elective hospital admission - a decision tree analysis
Authors: Hutzschenreuter Luise , Flessa Steffen , Dittmann Kathleen , Hübner Nils-Olaf 
Published: November 2018

Abstract
Background
Nosocomial infections are among the most common complications in hospitals. A major part is caused by multidrug-resistant organisms (MDRO). MRSA is still the most prominent and frequent MDRO. The early detection of carriers of multidrug-resistant bacteria is an effective measure to reduce nosocomial infections caused by MDRO. For patients who are planning to go to the hospital, an outpatient screening for MDRO and pre-hospital decolonization is recommended. However, the effectiveness of such pre-admission MDRO management in preparation for a planned hospital stay has not yet been sufficiently scientifically examined from an economic perspective.

Methods
A decision tree will be used to develop scenarios for MDRO screening and treatment in the context of the outpatient and inpatient sectors using MRSA-positive patients as an example. Subsequently, the expected costs for the respective strategy are presented.

Results
The decision tree analysis shows that the expected costs of outpatient MRSA management are €8.24 and that of inpatient MRSA management are €672.51.

Conclusion
The forward displacement of the MRSA screening to the ambulatory sector and any subsequent outpatient decolonization for patients with a planned hospitalization is the most cost-effective strategy and should become a standard benefit. Excluding opportunity costs, the expected costs of inpatient MRSA management are €54.94.
US Farm Bill (2014) e DS522 (2016) X Eficiência das Decisões do OSC
Authors: Floriani Lara Bonemer Rocha , Ribeiro Marcia Carla Pereira 
Published: November 2018

O artigo analisa a eficiência das decisões proferidas no âmbito do OSC a partir do US Farm Bill de 2014 e do DS522 (2016), normativas que tratam de novos subsídios fornecidos respectivamente pelos Estados Unidos da América ao setor do algodão e pelo Canadá à indústria aeronáutica com potencial de produção de efeitos sobre os países concorrentes, como aqueles decorrentes do DS267 e DS46, DS70 e DS222. Em que pese à existência de decisões já proferidas no âmbito do OSC em relação a esses dois países, foram adotados, no curto prazo, mecanismos para fornecer novos subsídios, em desrespeito aos acordos internacionais que questionam, via de consequência, a autoridade do OSC e da própria OMC. Para a elaboração deste estudo, foi utilizado o método hipotético-dedutivo e o ferramental da Análise Econômica do Direito, especialmente o conceito de eficiência. Inicia-se com a apresentação do conceito de eficiência, seguido de uma abordagem sobre o OSC, em especial, sobre o procedimento de tomada e implementação das decisões. Na sequência, foram analisados os DS267 e DS46, DS70 e DS222 para fundar as bases necessárias para introduzir o US Farm Bill de 2014 e o DS522 (2016) e, consequentemente, questionar a eficiência das decisões proferidas no âmbito do OSC.
50 anos do “O Direito à Cidade”: repensando a (re)produção dos Conjuntos Habitacionais de Interesse Social em Belo Horizonte
Authors: Almeida Reginaldo Magalhães de 
Published: November 2018

Em 2018, completam-se 50 anos da publicação da obra-manifesto denominada “O Direito à Cidade” de Henri Lefebvre, uma das mais significativas publicações da teoria urbanística do Século XX. Mais do que comemorar, os profissionais que trabalham com o espaço urbano devem refletir sobre a amplitude das ideias de Lefebvre. O objetivo deste artigo é baseado na crítica de Lefebvre presente no livro “O Direito à Cidade”, analisar o processo de urbanização de parte da região noroeste de Belo Horizonte, na modalidade de grandes conjuntos habitacionais do Programa Minha Casa Minha Vida. Pretende-se demonstrar a perenidade da crítica de Lefebvre. Para o desenvolvimento deste artigo, utilizou-se como base de estudos uma pesquisa documental realizada no livro citado anteriormente e também em outras publicações de renomados críticos da questão urbana, bem como em processos administrativos de conjuntos habitacionais, destinados para a população de menor poder aquisitivo, implantados em Belo Horizonte, a partir de 2010. Conclui-se que, apesar de transcorridos décadas de publicação do livro “O Direito à Cidade”, as suas ideias devem ser revividas e rediscutidas, pois intervenções patrocinadas por grupos privilegiados e sobre a tutela do Estado com o discurso modernizador e que excluem a maioria da população, dominam ainda as práticas urbanas, principalmente em Belo Horizonte. Desse modo áreas são urbanizadas pelo Estado, grandes conjuntos habitacionais de interesse social são construídos distantes do centro da cidade, dos equipamentos e serviços urbanos, destruindo a diversidade, a urbanidade, com um discurso de melhoria da qualidade de vida, que esconde o real sentido do domínio e expansão do capital.
Influências na retórica (do Direito) a partir de Parmênides e Heráclito
Authors: Torres Neto José Lourenço 
Published: November 2018

O objetivo deste artigo é apresentar o desenvolvimento da tradição retórica e como esta influenciou o discurso jurídico. A partir de uma revisão bibliográfica faz um recorte comparativo entre duas posturas filosóficas da Antiguidade (as posturas ontológica e retórica) para observar como seus postulados repercutiram e determinaram a predominância de algumas acepções relacionadas à retórica e seus usos nos discursos jurídicos. Portanto é um estudo qualitativo que questiona o conceito (ou o preconceito) de retórica no Direito que em vários momentos a considera como uma mera arte de falar bem ou como tópica, argumentação ou persuasão. Para tanto, toma Aristóteles, e em especial a Retórica, que soma as contribuições de filósofos clássicos como Parmênides e Heráclito para estabelecer as tradições filosóficas que determinaram usos nos discursos jurídicos. O estudo contribui teoricamente para combater um equívoco bem difundido não só entre os leigos, mas principalmente no meio filosófico, e, toma como marco teórico a(s) tese(s) de Ballweg e Adeodato que apresentam a retórica como método, metodologia e metódica. Conclui que a retórica está fundada numa complexidade discursiva como método produtor de várias outras tradições práticas, para a análise dos discursos jurídicos.
Optimization of pH, temperature and carbon source for bioleaching of heavy metals by Aspergillus flavus isolated from contaminated soil
Authors: Qayyum Sadia , Meng Ke , Pervez Sidra , Nawaz Faiza , Peng Changsheng 
Published: November 2018

Abstract
Soil contamination with heavy metal content is a growing concern throughout the world as a result of industrial, mining, agricultural and domestic activities. Fungi are the most common and efficient group of heavy metal resistant microbe family which have potential for metal bioleaching. The use of filamentous fungi in bioleaching of heavy metals from contaminated soil has been developed recently. The current study intends to isolate a strain with the ability to degrade the pH value of the liquid medium. Identification results based on morphological and molecular biological analysis gave a 98% match to Aspergillus flavus. Batch experiments were conducted to select the optimal conditions for bioleaching process which indicated that 130 mg/ L sucrose, neutral pH and temperature of 30°C were more suitable during 15-day bioleaching experiments using A. flavus. In one-step bioleaching, the bioleaching efficiencies were 18.16% for Pb, 39.77% for Cd and 58.22% for Zn+2, while two-step bioleaching showed efficiencies of 16.91% for Pb, 49.66% for Cd and 65.73% for Zn+2. Overall, this study indicates that bioleaching of heavy metals in contaminated soil using A. flavus has the potential for contaminated soil remediation.
The importance of not belonging: Paradigmaticity and loan nominalizations in Serbo-Croatian
Authors: Arsenijević Boban , Simonović Marko 
Published: November 2018

AbstractIn a number of Slavic and Germanic languages, various derivational affixes and morphological patterns of Latin origin are relatively common, and bear effects as abstract as deriving event nouns from verbs and property nouns from adjectives. This seems to contradict the general observation that abstract morphology typically is not subject to borrowing. We discuss the status of two Serbo-Croatian (S-C) nominalizing Latinate suffixes, -cija and -itet, complemented by one Germanic suffix, -er. On our analysis, these are not borrowed suffixes and derivational patterns, in the sense that they were present in another language and got copied into S-C, but rather suffixes and patterns which emerged within S-C, more specifically in the borrowed stratum of the S-C lexicon. Crucial factors in their emergence were the shared semantic properties of the nouns ending in the respective sequences (-cija, -itet and -er), and the quantitative properties of these sequences closely matching those of native derivational suffixes. Pragmatic, phonological and prosodic constraints apply to these derivations to the effect that the suffixes that have emerged in the borrowed domain of the lexicon never enter a competition with the native nominalization patterns.
“To Put Others Before Yourself”: Volunteerism and Mental Health in US Veterans’ Projects
Authors: Usbeck Frank 
Published: November 2018

Abstract
The post-9/11 wars produced a new generation of US veterans. As the military campaigns dragged on over extended periods, public discourse on the wars refueled ongoing discussions from the Vietnam era about veterans’ social and psychological wellbeing. The public increasingly voiced concerns about psychological injuries such as posttraumatic stress, veterans’ postwar reintegration struggles, and suicides. This article will discuss two NGOs organized by and for veterans to analyze how their activism responds to the sense of social crisis prevalent in these public debates on veterans’ affairs. It will present the projects’ online self-representation and their documentation in activist scholarship and journalism to carve out how civic engagement in veterans’ affairs challenges the traditional myth of American individualism to promote volunteerism and community service as vehicles for reintegration, promoting – and enacting – the civil-military social contract.
Liminality in Janice Galloway’s Short Fiction
Authors: Sacido-Romero Jorge 
Published: November 2018

Abstract
One of the most salient developments in recent short story criticism focuses on the genre’s connection with liminality. Both short fiction’s suitability to convey the liminal and liminality as a defining feature of the short story are at stake. The short fiction of contemporary author Janice Galloway is a good example of this. After a brief introduction to the concept of liminality, I discuss one story from each of Galloway’s collections of short fiction: “Frostbite” is the story of how a young music student crosses an existential boundary and leaves behind disabling expectations and fears; “jellyfish” features a divorced woman undergoing a liminal moment in her experience of motherhood, whereas the woman in a homeless couple in “a night in” narrates her experience as a privileged witness to ontological liminality affecting both space and language.
Penggunaan Job Hazard Analysis dalam Identifikasi Risiko Keselamatan Kerja pada Pengrajin Logam
Authors: Azady Al Asyhar Aahyu , Widowati Evi , Rahayu Sri Ratna 
Published: November 2018

Abstrak
Setiap tempat kerja selalu mempunyai risiko kemungkinan terjadinya kecelakaan dan penyakit akibat kerja. Pada tahun 2013 telah terjadi 406 kasus kecelakaan kerja di Kabupaten Boyolali, 372 pekerja (91,6%) berhasil sembuh, 25 pekerja (6,1%) sementara tidak mampu bekerja, 4 pekerja (0,9%) mengalami cacat, dan 5 pekerja (1,2%) meninggal dunia. Insiden kecelakaan dan cedera di tempat kerja dapat dikurangi dengan penggunaan Job Hazard Analysis. Penelitian ini dilaksanakan pada tahun 2018. Tujuan dari penelitian ini adalah untuk mengetahui potensi bahaya serta pengendalian yang tepat pada industri logam UD. A&D dengan metode Job Hazard Analysis. Jenis penelitian ini adalah deskriptif kualitatif dengan pendekatan observasional. Hasil penelitian menunjukkan terdapat 46 bahaya dan 82 risiko yang teridentifikasi. Hasil penilaian risiko terdapat 24 (29,6%) risiko rendah, 27 (32,9%) risiko sedang dan risiko tinggi berjumlah 31 (37,8%). Hasil penilaian dan pengendalian risiko dirancang dalam bentuk form Job Hazard Analysis. Kesimpulan penelitian ini adalah potensi bahaya yang ada belum dilakukan pengendalian secara optimal.

Abstract
Each workplace always has a risk of possible accidents and occupational diseases. In 2013 there were 406 work accident cases in Boyolali District, 372 workers (91.6%) recovered, 25 workers (6.1%) were unable to work, 4 workers (0.9%) were disabled, and 5 workers (1.2%) died. Incidents of accidents and workplace injuries can be reduced by the use of Job Hazard Analysis. This research was conducted in 2018. The purpose of this research is to know the potential danger and proper control on UD metal industry. A & D with Job Hazard Analysis method. The type of this research is descriptive qualitative with observational approach.The results showed 46 hazards and 82 identified risks. Risk assessment results were 24 (29.6%) low risk, 27 (32.9%) medium and high risk 31 (37.8%). The results of risk assessment and control are designed in the form of Job Hazard Analysis form. The conclusion of this research is the potential hazard that has not been done optimally.
Resistance Status of Aedes albopictus (Skuse) on Malathion in Bengkulu City
Authors: Triana Dessy , Umniyati Sitti Rahmah , Mulyaningsih Budi 
Published: November 2018

Abstract
Dengue Hemorrhagic Fever (DHF) is a disease caused by dengue virus and transmitted by Aedes aegypti mosquito as the main vector and Aedes albopictus as secondary vector. In 2016, Bengkulu City was one of 3 cities that experiencing DHF outbreaks in Indonesia. Insecticides malathion have been used since 1990 in bulk in DHF control programs in Bengkulu City and have not had an evaluation report on Aedes sp. vulnerability to malathion. The purpose of this research was to know the resistance status of Ae albopictus mosquitoes from endemic and sporadic areas of DHF in Bengkulu City to malathion. The sample of the study was the Ae. albopictus adult female mosquitoes which collected from endemic and sporadic areas of DHF in Bengkulu City with ovitrap installation. The resistance test was performed by CDC Bottle Bioassay method with malation 96% and 50 μg/ml diagnostic dose of. The results of this study showed 1% mortality on endemic area and 5% on sporadic area. Aedes albopictus of both areas were resistant to malathion.

Keywords: Ae. albopictus, bottle bioassay, malathion.

Abstrak
Demam Berdarah Dengue (DBD) merupakan penyakit yang disebabkan oleh virus dengue dan ditularkan oleh nyamuk Aedes aegypti sebagai vektor utama dan Aedes albopictus sebagai vektor sekunder. Pada tahun 2016, Kota Bengkulu merupakan 1 dari 3 kota yang mengalami KLB DBD di Indonesia. Insektisida malation telah digunakan sejak tahun 1990 secara massal dalam program pengendalian DBD di Kota Bengkulu dan belum memiliki laporan evaluasi mengenai kerentanan Aedes sp terhadap malation. Tujuan penelitian untuk mengetahui status kerentanan nyamuk Ae. albopictus dari daerah endemis dan sporadis DBD Kota Bengkulu terhadap malation. Sampel penelitian adalah nyamuk betina dewasa Ae. albopictus yang dikoleksi dari daerah endemik dan sporadis DBD Kota Bengkulu dengan pemasangan ovitrap. Uji kerentanan dilakukan dengan metode CDC Bottle Bioassay dengan malation 96% dan dosis diagnostik 50 µg/ml. Hasil penelitian ini menunjukkan mortalitas 1% untuk daerah endemis dan 5% untuk daerah sporadis. Aedes albopictus kedua daerah telah resisten terhadap malation.

Kata Kunci: Ae. albopictus, bottle bioassay, malation.
BİLGİ TABANLI YENİ EKONOMİDE BİLGİ YÖNETİMİ VE YENİLİKÇİ İŞLETMELER
Authors: PELENK Saadet Ela 
Published: November 2018

Ekonomik, sosyal, kültürel ve teknolojik değişimler, bilginin önemini arttırmaktadır. İşletmelerin değişime uyum sağlaması, güncel bilginin paylaşımı ile mümkündür. Dinamik piyasa şartları, ağ temelli örgüt yapısı, sürekli öğrenme, dijitalleşme ve rekabetin kaynağının yenilik ve yenilikçi işletmeler olduğu bilgi tabanlı yeni ekonomilerde, kurumsal bilgi yönetimi stratejik bir öneme sahiptir. Bu araştırmanın amacı, bilgi yönetiminin “bilgi edinilmesi, eğitim ve iletişim” alt boyutlarıyla ile yenilikçilik arasındaki ilişkiyi tespit etmektir. Bu amaçla çeşitli sektörlerde faaliyet gösteren, 3 yenilikçi işletmenin 120 çalışanı ile anket yapılmıştır. Araştırma sonuçlarına göre bilginin edinilmesi, firma yenilikçiliği üzerinde pozitif yönlü anlamlı ve önemli etkiye sahip olduğu (β=0,29; t=3,10; p<0,05); eğitim -yetiştirme ve iletişim değişkenlerinin firma yenilikçiliği üzerinde anlamlı etkiye sahip olmadığı tespit edilmiştir (p>0,05).
HEMŞİRELERDE İŞ STRESİ VE İŞ STRESİNİN ÇALIŞMA PERFORMANSINA ETKİLERİ: SİNOP ATATÜRK DEVLET HASTANESİ ÖRNEĞİ
Authors: ÇÖGENLİ Mehmed Zahid , ERDAL Yağmur 
Published: November 2018

Stres bireylerin hem çalışma hayatını hem de sağlıklarını olumsuz yönde etkileyen önemli risklerden bir tanesidir. Fiziksel, kimyasal ve biyolojik riskler kadar psikolojik riskler de bireylerin yaşam kalitesini, çevresindeki kişilere karşı olan davranışlarını, işyerlerine olan bağlılıklarını, çalışma isteklerini, çalışma ortamındaki bireylerle ilişkilerini olumsuz olarak etkilemektedir. Bu olumsuzluklar da kişilerde dikkat dağınıklığı, konsantrasyon bozukluğu gibi durumlar ortaya çıkararak iş kazalarının yaşanmasında etkili olmaktadır. Bu çalışmada hemşirelerin maruz kaldığı stres kaynaklarının ne gibi sorunlar yarattığını ve performanslarında ne gibi olumsuzlukları meydana getirdiğini tespit etmek amaçlanmıştır. Konu ile ilgili çalışma için Sinop Atatürk Devlet Hastanesinde çalışmakta olan hemşirelere ulaşılmış. İzinde olan hemşireler dışında 132 hemşireye Glazer Stres Ölçeği uygulanarak yaşamış oldukları stres düzeylerinin ne derece olduğunu ve bu strese neden olan faktörlerin neler olduğu tespit edilmeye çalışılmıştır.
Patient Navigation to Enhance Access to Care for Underserved Patients with a Suspicion or Diagnosis of Cancer
Authors: Chavarri-Guerra Yanin , Soto-Perez-de-Celis Enrique , Ramos-López Wendy , San Miguel de Majors Sandra L. , Sanchez-Gonzalez Jesus , Ahumada-Tamayo Samuel , Viramontes-Aguilar Lorena , Sanchez-Gutierrez Oscar , Davila-Davila Bernardo , Rojo-Castillo Patricia , Perez-Montessoro Viridiana , Bukowski Alexandra , Goss Paul E. 
Published: November 2018

Abstract

Background
Interventions aimed at improving access to timely cancer care for patients in low- and middle-income countries (LMIC) are urgently needed. We aimed to evaluate a patient navigation (PN) program to reduce referral time to cancer centers for underserved patients with a suspicion or diagnosis of cancer at a public general hospital in Mexico City.

Materials and Methods
From January 2016 to March 2017, consecutive patients aged &gt;18 years with a suspicion or diagnosis of cancer seen at Ajusco Medio General Hospital in Mexico City who required referral to a specialized center for diagnosis or treatment were enrolled. A patient navigator assisted patients with scheduling, completing paperwork, obtaining results in a timely manner, transportation, and addressing other barriers to care. The primary outcome was the proportion of patients who obtained a specialized consultation at a cancer center within the first 3 months after enrollment.

Results
Seventy patients (median age 54, range 19–85) participated in this study. Ninety-six percent (n = 67) identified &gt;1 barrier to cancer care access. The most commonly reported barriers to health care access were financial burden (n = 50) and fear (n = 37). Median time to referral was 7 days (range 0–49), and time to specialist appointment was 27 days (range 1–97). Ninety-one percent of patients successfully obtained appointments at cancer centers in &lt;3 months.

Conclusion
Implementing PN in LMIC is feasible, and may lead to shortened referral times for specialized cancer care by helping overcome barriers to health care access among underserved patients.

Implications for Practice
A patient navigation program for patients with suspicion or diagnosis of cancer in a second-level hospital was feasible and acceptable. It reduced patient-reported barriers, and referral time to specialized appointments and treatment initiation were within international recommended limits. Patient navigation may improve access to care for underserved patients in developing countries.