bluuebunny/crossref_metadata_2025_split huggingface dataset:
Influence of Noninvasive Respiratory Support Techniques on Gas Exchange in Cardiac Surgical Patients Suffering from Post-Operative Respiratory Failure
Authors: Eremenko A. A. , Polyakova Р. V. , Vyzhigina M. A. 
Published: September 2019

Respiratory failure (RF) after tracheal extubation occurs in 5–25% of cardiac surgical patients. Various noninvasive respiratory support techniques are available for RF treatment.The purpose of the studyis a comparative assessment of the effect on gas exchange of oxygen inhalation through a mask with noninvasive airway positive pressure mask ventilation, and high-flow lung ventilation during post-extubation respiratory failure in cardiac surgical patients.Materials and methods.52 cardiac surgical patients with post-extubation respiratory failure (mean age 61 (55–67) years) were included in the study. Respiratory failure critera were as follows: PaO2/FiO2 _ 300 mm Hg or SpO2 _ 88% during room air breathing. Exclusion criteria included presentation of pleural effusion in patients, pneumothorax, diaphragm paresis. Every patient was subjected consecutively to arterial blood gases test during room air breathing, low-flow oxygen therapy using a mask with a pre-volume bag, high-flow ventilation (HFNC), and noninvasive positive pressure mask ventilation (NIPPV). Each method was applied during 1 hour prior to the test. Respiratory rate (RR) and capillary blood saturation (SpO2) were monitored throughout the whole study.Results.PaO2/FiO2 during low-flow oxygen therapy was equal to 171 (137–243) mm Hg. At the background of HFNC, this index increased to 235 (183–305) mm Hg (P=0.00004), and upon transfer to NIPPV — to 228 (180–288) mm Hg (P=0.000028). SpO2 during HFNC and NIPPV increased from 95 (93–98)% to 98 (96–99)% (P=0.000006) and 97 (95–98)%, respectively (P=0.000006 andP=0.000069). PaCO2 was higher during oxygen mask breathing compared to air breathing: 41 (37–44) mm Hg and 38 (34–42) mm Hg, correspondingly,P=0.0017. Upon transfer to HFNC, PaCO2 lowered on average by 10% (37 (33–39) mm Hg,P=0.0000001), to NIPPV — by 7% (38 (36–42) mm Hg,P=0,0015). Differences were also significant when compred RR during oxygen mask breathing (20 (16–24) respirations/minute) vs. HFNC (16 (12–20) respirations/minute,P=0.0) and vs. NIPPV (18 (16–20) respirations/minute,P=0.018). Comparison of HFNC vs. NIPPV revealed reliable difference in RR (16 (12–20) respirations/minute against 18 (16-20) respirations/minute,P=0.016), PaCO2 (37 (33–39) mm Hg against 38 (36–42) mm Hg,P=0.0034), and SpO2 (98 (96–99)% against 97 (95–98)%,P=0.022).Conclusion.HFNC and NIPPV exert a similar positive effect on the oxygenating function of lungs and gas exchange in cardiac surgical patients with post-extubation respiratory failure. Compared to NIPPV, high-flow ventilation renders most significant positive effect on elimination of CO2, RR and SpO2, and is better tolerated by patients.
Epidemiology of Sepsis in Patients Admitted to the Intensive Care Unit of a Multi-Specialty Hospital (Experimental Study)
Authors: Tyurin I. N. , Avdeikin S. N. , Protsenko D. N. , Cherpakov R. A. , Mullakaeva G. M. , Kozlov I. A. 
Published: September 2019

Purpose of the study: to investigate the epidemiology of sepsis in patients with different locations of the infection focus, who were admitted to the intensive care unit (ICU) of a multi-specialty hospital in 2014 and 2016.Material and methods. A retrospective analysis of examination and treatment of 860 patients admitted to ICU of a multi-specialty hospital with the diagnosis ‘sepsis’ in 2014 and 2016 was carried out. Sepsis was diagnosed pursuant to the Sepsis-2 Guidelines and verified by blood procalcitonin test. The gender, age, main diagnosis, patient’s severity at the time of admission to ICU, duration in ICU, and peculiarities of intensive care and outcomes were studied.Results. Sepsis was diagnosed at admission in 2014 in 361 (8.6%) patients out of 4175 patients, in 2016 — in 499 (10.5%) out of 4726 patients who were admitted to ICU and had infection foci of different location. Abdominal sepsis was diagnosed in 72.3% of patients, pulmonary — in 19.7%; in 8% of patients, sepsis complicated the terminal stage of various, mostly oncological, diseases. In 2016, sepsis detectability at admission to ICU increased by 22.1% vs. the 2014 level assumed as 100% (χ2=9.281; P=0.003). In case of the abdominal sepsis, mortality amounted to 50.3% and was not different from mortality in pulmonary sepsis — 52.1% (χ2=0,163; P=0.687). The ICU in-patient duration in case of pulmonary sepsis was considerably longer than in case of abdominal. The age was a predictor of mortality in case of abdominal sepsis (the age older than 65 years predicted the risk of lethal outcome with sensitivity equal to 58.8% and specificity equal to 59.9%), which was not true for pulmonary sepsis. The mortality prognosis during abdominal sepsis was improved by combined analysis of the SOFA score and patient’s age at admission: AUROC of the combined index was equal to 0.816 (95%-confidence interval: 0.783–0.846). Depending on the infection focus location, specificity of influence rendered on mortality by different clinical indices and management methods was determined.Conclusion. Patients admitted to ICU with sepsis represent a group of a high mortality risk amounting to 50% approximately. During chronological analysis, sepsis detectability increases but mortality does not change. Patients with pulmonary sepsis at admission to ICU are characterized by a greater severity of condition due to multiple organ failure than in case of abdominal sepsis; in such patients it is impossible to predict the risk of mortality based on APACHE II and SOFA score. Taking into account heterogeneity of the sepsis patient population, deepening of the knowledge about peculiarities of pathogenesis and clinical pattern of abdominal and pulmonary sepsis is the basic requirement for improvement of the results of treatment of this complication.
The Mithraeum at Kempraten (CH) – Preliminary Results from a New Discovery in 2015/16
Authors: Lo Russo Sarah , Ackermann Regula , Flück Hannes , Peter Markus 
Published: September 2019

Summary
During rescue excavations carried out near the vicus at Kempraten (municipality of Rapperswil-Jona, St. Gallen, Switzerland) in advance of a private construction project, a Mithraeum measuring approximately 8 by 10 m was unexpectedly discovered in the summer of 2015 and subsequently excavated and investigated in detail. This paper presents the preliminary results of the excavation, which was completed less than a year ago, and pays particular attention to the interdisciplinary approach used in the excavation. These included intense sampling of the features for the purposes of micromorphology and archaeobiology. Three construction phases with intermittent conflagrations were identified. The question as to whether there was an ante-chamber remains unanswered. The external areas are also quite difficult to interpret, at least for the time being. The rich assemblage of finds, which included numerous coins, pottery, animal bones and a range of religious artefacts (e.g. altars and a half relief), will only be dealt with in a cursory manner here. According to the range of coins, the Mithraeum undoubtedly dated from the late 3rd to the late 4th or early 5th centuries. The site will be analysed by an interdisciplinary team and preliminary work is already underway.
Between Metropolis and Wilderness: The Topography of Mithraea in Ager Poetoviensis
Authors: Preložnik Andrej , Nestorović Aleksandra 
Published: September 2019

Summary
Traces of Mithraism in Slovenia are represented by a large number of Mithraea and finds of altars and stones carved with Mithraic symbols. Some of these have been systematically studied and are quite well-known, others are poorly documented and less known. This difference is largely a consequence of factors from antiquity, such as the social status of the dedicators of the monuments and the choice of the location.
Our contribution focuses on the location of these shrines in north-eastern Slovenia, especially at Drava Plain and Ager of Poetovio, one of the most important Mithraic centres. The questions we explore are: where and in what environment were Mithraea built; what is their relationship to other urban structures, traffic routes, natural resources and topography; and what role do they have in their setting within provincial and city boundaries.
The results of our analysis show the heterogeneity of responses to these questions and, consequently, the vitality of the cult of Mithras in the study area.
Mithras in Etruria
Authors: Luciani Nicola 
Published: September 2019

Summary
The aim of this article is to cast a light on the nature of the mysteries of Mithras in central Italy, focusing on the administrative division of Roman Etruria. The Regio VII in fact, despite not being the richest Italian area in terms of Mithraic findings, has nevertheless emerged as a privileged territory to observe different aspects of the cult, due to the great variety of its artefacts.
Hence, starting from the material evidence and from its distribution across the region, the social classes that took part in the worship of Mithras are identified. Consequently, the active role played by public officials in promoting the spread of the mysteries is discussed, as well as the cult diffusion among the lower classes, and the interest demonstrated by the aristocratic elites from the Middle/Late Empire.
The conclusion will examine the last phases of the cult in Etruria, showing how the Mithraic mysteries ended following diverse modalities during the first decades of the 5th century AD, sometimes because of violent acts of destruction, and sometimes in a peaceful manner.
New Reliefs from Veii and Mithraic Reliefs from Etruria (Regio VII): Iconography, Chronology and Archaeological Context
Authors: Fusco Ugo 
Published: September 2019

Summary
This paper discusses the Mithraic reliefs found in Etruria (Regio VII). The reliefs are analysed and their iconographic, archaeological and chronological features compared with a view to advancing new proposals on the cult of Mithras in the area concerned. The paper focuses first on the new Mithraic relief discovered in Veii and discusses the presence of a specific object that constitutes the most original iconographic feature of the relief. It can be seen aligned behind Mithras' head, which obscures its central part: considering its shape and the presence of the quiver over Mithras' right shoulder, the object can be identified as a bow. The object's specific position, probably connected to the symbolic importance of the bow in the mysteries of Mithras, is unique not only among Mithraic reliefs but also in the surviving Mithraic evidence from the Roman world. The other reliefs from Etruria are analysed, with a brief description of the type of iconography, the chronology and archaeological context of each piece. Comparing the reliefs allows us to pinpoint differences in size, style and chronology, highlighting the uniqueness of the new relief from Veii. These differences can be put down to factors that are yet to be examined in more detail, connected to the clients and the workshops operating in the region. The study concludes that the Veii relief can be considered not only the oldest and most stylistically refined of these pieces, but also one of the earliest attestations of the cult of Mithras in Etruria.
Whitney A. Bauman (ed.), 'Meaningful Flesh: Reflections on Religion and Nature for a Queer Planet'
Authors: Keller Mary 
Published: September 2019

Whitney A. Bauman (ed.), Meaningful Flesh: Reflections on Religion and Nature for a Queer
Planet (Goleta, CA: Punctum Books, 2018), 149 pp., $19.00 (pbk), ISBN: 9781947447325.
Outros tons do sertanejo:misoginia e feminícidio como marcas do cancioneiro rural brasileiro
Authors: Bruck Mozahir Salomão , Coelho Damiany 
Published: September 2019

A prevalência do viés romântico do estilo sertanejo brasileiro não é difícil de perceber. Esta, aliás, é considerada uma de suas principais características. Mas mostra-se elucidativo, também, buscar rastrear exemplos, neste mesmo cancioneiro, de traços e elementos de misoginia e de estereotipização da figura feminina presentes em algumas dessas canções consideradas românticas. No caso deste artigo, interessa-nos discutir alguns desses estereótipos que foram construídos e reproduzidos através da música sertaneja, observados aqui, especialmente, no contexto da violência contra a mulher. Para tanto, analisamos as letras de quatro músicas que se tornaram sucesso ao longo das últimas décadas, buscando nelas perceber os diferentes modos de idealização da mulher advindos de uma condição subalterna a qual ela foi submetida ao longo dos tempos, condição que se reflete nos dias de hoje.
Creating Competitive Advantage in the Turbulent Business Environment: Lesson Learned from Indonesia Telecommunication Industry
Authors: Nashiruddin Muhammad Imam 
Published: September 2019

Tujuan penelitian ini untuk mendapatkan gambaran mengenai keunggulan bersaing penyelenggara telekomunikasi dan mengeksplorasi bagaimana menciptakankeunggulan bersaing yang superior dalam lingkungan bisnis yang bergejolak.Penelitian melibatkan pimpinan unit bisnis penyelenggara telekomunikasi di Indonesia sebagai responden penelitian dengan metode descriptive survey dan explanatory survey menggunakan Partial Least Square-Path Modelling (PLS-PM). Dari analisis deskriptif, diperoleh bahwa keunggulan bersaing penyelenggara telekomunikasi di Indonesia termasuk dalam kategori baik dan lebih banyak dibangun melalui efisiensi produk, terutama efisiensi yang lebih tinggi dalam menghasilkan produk atau layanan.Namun demikian, hasil penelitian menunjukkan bahwa kecepatan respon pasar memiliki kontribusi yang lebih dominan dalam menciptakan keunggulan bersaing yang superior pada lingkungan bisnis yang bergejolak. Untuk mengatasi masalah ini, penyelenggara telekomunikasi di Indonesia perlu meningkatkan kemampuannya,terutama dalam menciptakan respon yang lebih cepat untuk memasuki pasar-pasar baru serta menghasilkan produk atau layanan dengan biaya yang lebih rendah. This study aims to describe the competitive advantage of the telecommunications provider and explore how to create a superior competitive advantage in the turbulent business environment. The study involved many leaders of business units of telecommunications operators in Indonesia as research respondents. The research uses descriptive survey and explanatory survey using Partial Least Square-Path Modeling (PLS-PM). From the descriptive analysis, it is found that the competitive advantage of telecommunications operators in Indonesia belongs to the excellent category, and was built more through product cost-efficiency, especially higher efficiency in producing products or services. However, the results of the study show that market responsiveness turned out to have a more dominant contribution in creating a superior competitive advantage in a turbulent business environment. Thus, the competitive advantage is still not optimal. To solve this problem, the telecommunications provider in Indonesia needs to increase the ability to quickly enter new markets and produce products or services at a lower cost.
Transversalización del eje medio ambiente en educación superior: el caso de la UACYTI-UAGro
Authors: Miranda Esteban Adriana , Guzman Ibarra Isabel , Rodriguez Alviso Columba , Beltrán Rosas Juana , Sampedro Rosas Maria Laura , Aparicio López Jose Luis 
Published: September 2019

La transversalidad es una estrategia viable para fortalecer contenidos ambientales en el currículo y fomentar la responsabilidad social. En este sentido el artículo se orienta a diseñar un procedimiento metodológico
para transversalizar el eje medio ambiente en el plan de estudio de la carrera de Ciencias y Tecnologías de la
Información de la Universidad Autónoma de Guerrero (México). La metodología aborda cuatro fases: diagnóstico de la percepción de los docentes sobre saberes ambientales; diseño de una propuesta de formación; construcción de la competencia ambiental; y desarrollo de la propuesta metodológica. Entre los resultados destaca la baja integración de la competencia ambiental a la unidad de aprendizaje; la mayoría de docentes no sugiere la integración de competencias, pero muestran interés por contribuir en la formación de egresados ambientalmente responsables. Se concluye como el eje medio ambiental debe tiene ser integrado a los programas educativos; los docentes deben capacitarse para contribuir a formar profesionales con las competencias requeridas y actuar con responsabilidad social y ambiental.
Calf circumference to detect low birth weight babies: a comparative study
Authors: Kokku Pradheep Kumar , Singh Himabindu , Kotha Rakesh , Jadhavo Arjun , Maddireddi Alimelu , Cherukuri Nirmala , Anjum Sadiqua , Tadury Apoorva 
Published: September 2019

Background: In developing countries 15 per cent of infants weigh less than 2,500 grams at birth .It is not possible to provide expensive weighing scales to the community members and families due to logistic (carrying a heavy scale) and operational (inability of Trained Birth Attenders to read) problems. Therefore it is essential to find out an alternative method for the estimation of birth weight. Almost 60 per cent of newborns in developing countries are not weighed. Which can lead to an underestimation of the incidence of low birth weight. That’s why we done present study to know the simple indicators to detect low birth weight babies. Aim of this study to compare calf circumference with other Low birth weight indicators as a reliable predictor of low birth weight babies.Methods: It is a cross-sectional study done during period 2018 January to 2018 October done at Niloufer Hospital Hyderabad. Statistical analysis is done using SPSS (version 17) statistical software. For comparison Pearson's Correlation coefficients used.Results: The best correlation was observed with both calf circumference (r=0.818) and head circumference (r=0.744) for identifying babies with birth weight <2 kg. For babies with birth weight <2.5 kg, calf circumference had the highest order of correlation (r = 0.986) followed closely by head circumference (r=0.886).Conclusion: In the absence of a weighing machine, simple measurements like calf circumference is the best indicator in identifying low birth weight babies (<2.5kg) at birth.
Dysphagia in Patients with Neck Dissections
Authors: Mihaylova Zornitsa 
Published: September 2019

A common complication in patients with malignancies in the maxillofacial and cervical area is the impaired swallowing, due to the progress of the neoplasm or as a result of the treatment applied. Operative methods for the management of malignancies in the maxillofacial and cervical areas may damage anatomical structures, therefore causing swallowing disorders.
The purpose of the present study is to determine the degree of involvement of the swallow function depending on the volume of surgery - neck dissection.
Methods: SSQ (Sydney Swallowing Questionnaire) tool was used to assess the presence of dysphagia in operated patients, as well as an impaired swallowing function. The results obtained were analyzed by SPSS Vers23.0.
Results. Prospectively longitudinal study included 68 patients (25 women and 43 men) at mean age of 61.18 years (SD - 13.66). The reliability of the SSQ tool is assessed via Cronbach's coefficient alpha α = 0.871, and the validity of the sample is calculated using the Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO coefficient) - 0.857. In the postoperative period, no significant difference in dysphagia was found in terms of the volume of surgery - neck dissection.
Conclusion. The type and the volume of neck dissection has no effect on the postoperative speech disorders and swallowing.
Seramiğe Dönüşen Organik Nesneler: Teknik ve Sanatsal Örnekler
Authors: YILMAZ Seyhan 
Published: September 2019

Günümüzde seramik malzemeyi bir ifade aracı olarak kullanan çağdaş sanatçılar, eserlerinin
plastik diline katkı sağlamak için çeşitli sır, şekillendirme ve pişirim alternatifleri denemektedirler.
Burada ele alınacak şekillendirme alternatiflerinden biri de sanatçıların kumaş, dantel, ip, bitkisel
ürünler, doğal ve yapay süngerler gibi çeşitli organik nesneleri döküm çamuru içine daldırıp
çıkararak şekillendirmesidir. Bu teknikle seçilen nesneler üzerinden hem doku hem de form elde
edilmektedir. Bu makalede seramik formu ve bünyesi olarak kullanılan nesnelerin seramiğe nasıl
dönüştüğü, nesnelerin nasıl şekillendirildiği araştırılacaktır. Araştırma yönteminde, söz konusu
tekniği uygulayan ulusal ve uluslararası sanatçıların eserleri ele alınacak, seçilen nesne üzerinden
tekniğin plastik dili incelenecektir.

Sonuç olarak sanatçıların; eserlerini diğer bilinen şekillendirme yöntemlerinden farklı olarak
oluşturdukları, bu tekniğin şekillendirme yöntemlerine katkı sağladığı anlaşılmıştır. Teknikte,
kullanılan nesnelerin seçimi sanatçının tercihine bağlı olduğu görülmüştür. Seramik sanatı
açısından ortaya çıkan eserlerin çoğunlukla seramiğin plastik diline katkı sağladığı söylenebilir.
Bu teknikle elle şekillendirilmeyecek kadar orijinal dokuları da elde etme olanağı bulunmaktadır.&nbsp;
Pemanfaatan Informasi Geospasial Melalui Interpretasi Citra Digital Penginderaan Jauh untuk Monitoring Perubahan Penggunaan Lahan
Authors: Pahleviannur Muhammad Rizal 
Published: September 2019

Abstrak: Dewasa ini, permasalahan yang terjadi pada setiap wilayah yaitu perubahan penggunaan lahan. Perkembangan fisik yang terjadi di suatu wilayah yang pada awalnya memiliki lahan kosong, sekarang menjadi lahan terbangun, sehingga mengakibatkan luas lahan kosong semakin berkurang. Desa Mudal merupakan salah satu desa yang terletak di Kecamatan Boyolali, Kabupaten Boyolali. Desa Mudal secara ekologis merupakan sebagian besar daerah pertanian. Penelitian ini bertujuan untuk mengidentifikasi jenis-jenis penggunaan lahan dan agihan perubahan penggunaan lahan melalui interpretasi citra digital penginderaan jauh dan survei lapangan. Metode yang digunakan dalam penelitian ini adalah metode penginderaan jauh menggunakan teknik interpretasi citra digital dengan analisis Sistem Informasi Geografis (SIG) terhadap perubahan penggunaan lahan dan observasi lapangan. Analisis data yang dilakukan adalah dengan uji ketelitian interpretasi citra menggunakan perhitungan matriks konfusi yang terdiri dari klasifikasi masing-masing objek dan termasuk salah satu uji untuk mengukur tingkat validitas data. Setelah dilakukan perbandingan antara citra google maps Tahun 2015 dengan survei lapangan Tahun 2018, hasil yang didapat tidak mengalami perubahan secara signifikan.

Abstract: Nowadays, the problems that occur in each region are changes in using of land. Physical development that occurs in an area that initially had vacant land, is now a built up land, resulting in diminishing land area. Mudal Village is one of the villages located in Boyolali District, Boyolali Regency. Mudal Village is ecologically a large part of the agricultural area. This study aims to identify the types of land use and distribution of land use through the interpetation of remote sensing digital images and field surveys. The method used in this study is the remote sensing method using digital image interpretation techniques with analysis of Geographic Information Systems (GIS) on changes in land use and field observations. Data analysis was carried out by testing the accuracy of image interpretation using a confusion matrix calculation consisting of the classification consisting of the classification of each object and including one test to measure the validity level of the data. After a comparison between the google maps image in 2015 and the 2018 field survey, the result obtained did not change significantly.