bluuebunny/crossref_metadata_2025_split huggingface dataset:
Caso clínico: Manifestación Extrapulmonar de Neoplasia Indiferenciada.
Authors: Tomalá Mateo Jorge , Loero B Gabriela 
Published: July 2019

Introducción: El síndrome de neoplasia primaria de origen desconocido, se refiere a la presencia de lesiones metastásicas corroboradas histológicamente cuyo origen primario no puede ser identificado durante la evaluación pre-tratamiento. En el presente caso clínico se presenta una manifestación extrapulmonar de neoplasia no diferenciada por su rareza y descripción del estudio diagnóstico.
Caso Clínico: Se trata de un hombre de 49 años, con una masa axilar derecha de 1 año de evolución, de 30 x 20 cm, que incluye el hemitórax, asociado a dolor 7/10, con valoración de la escala Eastern Cooperative Oncology Group (PS ECOG) de 3 en forma inicial. Fue tratado por sepsis por infección de lecho tumoral. La tomografía reportó la lesión tumoral extensa en región axilar derecha con áreas de necrosis, burbujas aéreas, una lesión nodular subcentimétrica en segmento apical de lóbulo superior del pulmón derecho y derrame pleural. La biopsia en cuña reportó una Neoplasia maligna indiferenciada CD–56 +, CD–79 A +, VIMENTINA +, CAM 5.2 +, CK – 20 +.Se concluyó como manifestación extrapulmonar metastásica de neoplasia maligna indiferenciada de origen pulmonar posiblemente de origen neuroendócrino.
Evolución: Se estableció un tratamiento neoadyuvante con cisplatino + etopósido, por 3 meses. Escala PS ECOG 1, recuperación funcional de la extremidad, reducción tumoral del 50 % de lesión tumoral, en espera de tratamiento quirúrgico.
Conclusión: En este reporte se presenta un caso de síndrome de metástasis de primario oculto el cual responde con reducción tumoral al tratamiento Neoadyuvante. Aunque son de mal pronóstico en la mayoría de los pacientes, en este reporte se presenta una respuesta adecuada al tratamiento.
Manejo Quirúrgico del Carcinoma Metastásico de Primario Desconocido de Cabeza y Cuello
Authors: Criollo Emilio , Benites Enrique , Zambrano Diego A , Triviño Kimberly , Velasco Celina 
Published: July 2019

Propósito de la revisión: el objetivo de la revisión es delinear el rol del Manejo Quirúrgico del carcinoma metastásico primario de cabeza y cuello. Buscamos reportes en indicaciones, posibles hallazgos y subsecuentes tratamientos.
Recientes hallazgos: La punción aspirativa con aguja fina, permite diferenciar la etiología de los nódulos del cuello: melanoma, carcinoma tiroideo, linfoma y otros tumores indiferenciados. La medición de tiroglobulina ayuda a diferenciar una neoplasia de tiroides. El nivel ganglionar afectado I al III incluye el protocolo de paratiroidectomia, amigadalectomía. El nivel ganglionar IV y V el primario es infraclavicular.
Extracto: El cáncer metastásico de primario oculto es una neoplasia con confirmación histológica pero con lesión primaria desconocida. Su manejo es controversial y en la mayoría de los casos insuficiente para llegar al diagnóstico, incluso con la autopsia. La aproximación inicial comprende una serie de exámenes de laboratorio e imágenes de alta complejidad que incluyen la tomografía por emisión de positrones con el test de la Flúor 2-Deoxi Glucosa (FDG-PET/CT), los estudios de anatomía patológica son el segundo paso dentro del manejo estándar e incluyen la Punción y Aspiración con Aguja fina (PAAF). La microscopia tradicional no es suficiente para identificar el tumor primario, las tinciones inmunohistoquímicas aunque no son especificas ni sensibles ayudan con ese propósito y aún más la microscopia electrónica. La biopsia o procedimientos más agresivos como la amigdalectomía son conductas a seguir si aún no se ha logrado el diagnóstico. Se presenta una revisión del estado del arte del manejo del Carcinoma Metastásico de Primario Desconocido de Cabeza y Cuello.
Comparación de la dosis estimada en Recto y Vejiga con planificación de Braquiterapia 3D vs 2D
Authors: Puente Vallejo Raúl , Núñez Silva Cristina , Jaramillo Gómez Carolina , Zurita Vivero Karina , De Los Reyes Morales Luis , Défaz Gómez Yolanda , Collantes Cruz Vladimir , García Navas Jorge , Pallaroso Yela Maira , Molineros Salgado Carlos 
Published: July 2019

Introducción: En el tratamiento del Cáncer Cervico Uterino la braquiterapia (BQT) con planificación tridimensional (3D) está altamente extendida, aunque por su costo otros centros utilizan BQT con planificación bidimensional (2D). Es importante establecer si el beneficio que se obtiene con BQT en 3 D, en la protección a los órganos de riesgo, es un factor determinante para el cambio hacia esta nueva tecnología. El objetivo del estudio es comparar las dosis en ambos tipos de BQT en los órganos adyacentes al útero como el colon y vejiga.
Métodos: El presente estudio descriptivo, incluye pacientes con diagnóstico de cáncer de cuello uterino que recibieron BQT en el período comprendido de enero 2015 a diciembre 2018, en el servicio Radioterapia del Hospital Solón Espinosa Ayala, Quito-Ecuador. Las variables fueron la dosis recibida con planificaciones en 2D y 3D. Se obtuvo histogramas dosis volumen de los órganos de riesgo: recto y vejiga. Se comparan los promedios con T de Student.
Resultados: Participaron 44 casos, de 50.6 ±13.8 años de edad. En estadío clínico IIB 24 casos (55 %). La dosis prescrita de BQT en el grupo fue de 683.6 ±27 cGY. El tipo de aplicador usado fue en la gran mayoría AyT de 5 mm en 34 casos (77 %). La mayoría de los tratamientos consistieron en terapias de 4 sesiones 32 casos (73 %), con 117 implantes para BQT. La dosis planificada en vejiga en 2D fue 5.5 Gy, versus 5.1 Gy en 3D, P= 0.01. La dosis planificada en recto en 2D fue 2.8 Gy; versus 3.0 Gy en 3D P= 0.06.
Conclusión: La planificación en 3D reduce significativamente 0.4 Gy la dosis irradiada a vejiga. En el caso del recto la dosis la dosis no produce cambios estadísticos respecto a planificación en 2D.
Hubungan Pemberian Asi Eksklusif Dan Bayi Berat Lahir Rendah (BBLR) Dengan Kejadian Pneumonia Pada Balita Di Wilayah Puskesmas Kamonji
Authors: Linda Linda 
Published: July 2019

Pneumonia is the premiere killer of toddlers in the world and in Indonesia. In Indonesia pneumonia is the cause of 15% of infant mortality is estimated as many as 922,000 under-fives in 2015. Puskesmas Kamonji is a health center that has the highest number of pneumonia cases in the city of Palu is 422 cases in 2015. Based on evidence that the risk factor of pneumonia is the lack of breastfeeding exclusive, malnutrition, indoor air pollution, low birth weight (LBW), population density, and lack of measles immunization. The purpose of this study is known factors associated with the incidence of pneumonia, namely Exclusive breastfeeding and history of low birth weight (LBW). The type of research used is analytical survey with case control approach. The samples in this study were all mothers who had children under 12-59 months in the Kamonji Puskemas Working Area consisted of 70 samples consisting of 35 case samples and 35 control samples. This research uses Chi-square statistical analysis with 5% error rate (α = 0,05) and trust level 95%. The results showed that exclusive breastfeeding (P value = 0.147) and low birth weight (P Value = 1,000) did not correlate with pneumonia occurrence in children aged 12-59 months. The conclusion in this study was no association between exclusive breastfeeding and the incidence of pneumonia and no association between low birth weight infants and the incidence of pneumonia. Suggestions for Health Officers to continue to give counseling about the importance of healthy living behavior teaches the community how important to wash hands with soap and keep the nutritional status of toddlers is always good. Keywords: Exclusive Breast Milk, Low birth weight, Pneumonia
PENDIDIKAN KESEHATAN TENTANG PRE EKLAMSI PENTING UNTUK PENGETAHUAN IBU HAMIL DALAM PERSIAPAN MENGHADAPI KOMPLIKASI
Authors: Winancy Winancy 
Published: July 2019

Pre Eklamsi merupakan salah satu penyebab langsung kematian ibu, kejadian preeklamsi pada awalnya tidak memberikan gejala dan tanda, namun pada suatu ketika dapat memburuk dengan cepat, sehingga butuh serangkaian pemeriksaan, deteksi, dan identifikasi faktor risiko serta mengontrolnya sehingga memungkinkan dilakukan pencegahan primer yang kompleks. Penyakit ini berkaitan erat dengan faktor umur, paritas dan riwayat penyakit hipertensi, sehingga kewaspadaan ibu hamil dan keluarganya dalam deteksi dini komplikasi kehamilan sangat berperan penting. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan tentang pre eklamsi terhadap pengetahuan, sikap, dan persiapan menghadapi komplikasi persalinan pada ibu hamil di puskesmas kecamatan Tapos Depok tahun 2017. Penelitian ini merupakan penelitian Quasi eksperimen dengan desain pre test dan posttest. Sampel dalam penelitian ini yaitu ibu hamil yang memeriksakan kehamilan di Puskesmas Kecamatan Tapos pada waktu pengambilan data sebanyak 60 responden yang terbagi dalam dua kelompok dan diambil secara accidental sampling. Responden di bagi dalam 2 kelompok yaitu yang diberikan pendidikan kesehatan dengan media leaflet dan dengan multimedia. Analisis data dilakukan secara univariat dan bivariat dengan uji Wilcoxon dan Mann Whitney. Hasil penelitian menunjukkan bahwa ada pengaruh pendidikan kesehatan tentang pre Eklamsi terhadap peningkatan pengetahuan dan sikap ibu hamil, tetapi kurang mempengaruhi persiapan ibu hamil dalam persiapan menghadapi komplikasi persalinan. Pendidikan kesehatan dengan menggunakan multimedia lebih dapat meningkatkan pengetahuan dan sikap responden tentang pre eklamsi dibandingkan dengan pendidikan kesehatan dengan media leaflet Kata Kunci: Pre eklamsi, Pendidikan Kesehatan dengan Multimedia, Pendidikan Kesehatan dengan Leaflet
PENGARUH PENYULUHAN MENGGUNAKAN AUDIO VISUAL TENTANG ASI EKSKLUSIF TERHADAP PENGETAHUAN DAN SIKAP IBU HAMIL DI PUSKESMAS SINGGANI KOTA PALU
Authors: Idris Idris , Enggar Enggar 
Published: July 2019

Breastfeeding is a physiological process to provide optimal nutrition for babies and one of the first steps for humans to have a healthy and prosperous life. The low coverage of exclusive breastfeeding is still a big problem for the State of Indonesia. There are several ways that can be done to increase exclusive breastfeeding, one of which is health education. The use of video as a means of education is now starting to be developed in line with current technological advances. The purpose of this study was to determine the effect of exclusive breastfeeding counseling with audio visual on the knowledge and attitudes of pregnant women in the work area of Singgani Health Center. This research is a pre-experimental study with the design of one group pretest-posttest. The number of samples is 33 respondents. The sampling technique uses purposive sampling. The analysis used in this study was the Wilcoxon test. The results of the univariate analysis of data on pretest knowledge with good categories were 24 people (72.7%) and the poor categories were 9 people (27.3%) Knowledge of posttest with good categories as many as 21 people (63.6%) were less than 12 people ( 36.4%). The pretest attitude in the good category was 16 people (48.4%), the poor category was 17 people (51.6%). The posttest attitude in the good category was 21 people (63.6%) in the poor category of 12 people (36.4%). The results of the bivariate analysis of the knowledge of the pretest posttest knowledge (P value 0.002 (<0.05). The posttest pretest attitude (P value 0.363 (> 0.05). The conclusion shows that there is the influence of exclusive breastfeeding counseling with video media on the knowledge of pregnant women in the Singgani Health. There is no effect of exclusive breastfeeding counseling with audio visual on the attitudes of pregnant women in the Singgani Health Center. The suggestion is that midwives are expected to further increase the use of increasingly developing technology, one of which is the use of audio visual to provide counseling. Keywords: Exclusive Breastfeeding, Audio Visual, Knowledge, Attitude,
ANALISIS FAKTOR-FAKTOR YANG MEMENGARUHI SKEPTISISME PROFESIONAL AUDITOR
Authors: H Novayanti Anggraini , Y Rahmawati Hanny 
Published: July 2019

The purpose of this study was to determine the extent to which the factors of competence, objectivity, integrity, experience, independence, and the risk of an effect on the auditor's professional skepticism. This type of research in this study is a qualitative research. The population in this study is the auditors who work in public accounting firm in the whole area of Central Jakarta. The sampling technique in this study were selected through purposive sampling technique. The number of samples in this study is 24 KAP with 150 respondents. Analysis of data using regression analysis. The result of this research is the competence of auditors have an influence on the auditor's professional skepticism . Objectivity auditor has an influence on the auditor's professional skepticism. Integrity auditor has an influence on the auditor's professional skepticism. Experience auditor has an influence on the auditor's professional skepticism. Auditor independence have an influence on the auditor's professional skepticism. Risk auditor has an influence on the auditor's professional skepticism. And competence audior , auditor objectivity, integrity auditor , auditor experience , auditor independence and auditor risk together have an influence on the auditor's professional skepticism .
Peran Komite Sekolah dalam Meningkatkan Kualitas Layanan Pendidikan
Authors: Supriadi Agus 
Published: July 2019

Based on kepmendiknas 044/U/2002, the school committee carries out four functions, such as giving consideration, supporter, supervisor, and mediator. The function of school committee improving the quality of educational services to the stakeholder is to do their function in school plan and educational resources. Beside that verify and ratify RKAS which is proposed by the school. The school committee’s function as the supporter is to give their thought, energy and support in extracurricular and additional lesson. The additional lessons can be done by adding extra time in English. Lesson, natural science and supporting the school budget through from student guardian to fulfill a plenty of educational infrastructures. The function of the school committee as the connector is to assist the school in creating connection an cooperation the school, the student parents and the society, guardians; organize some activates which increase awareness and society partner the last. The function of the school committee as supervisor require the students report; do evaluation of school plan and implementation in infrastructure needs, supervise the development of the school and student progress; do investigation the school funding; control the school works to look for input and suggestion from the society to increase the educational services.
Strategi Pengembangan Mutu Sumberdaya Guru MISS Putri Sukorejo
Authors: Abdullah Abdullah 
Published: July 2019

The success in the development of national education sector needs to be supported by the various components and elements that exist in the education system. One of the most important elements in the education system is the availability of qualified human resources. Organizationally, the factor of human resources has a strategically important position in addition to other educational factors. This study, focused on the development strategy of the quality of teacher resources, using a qualitative approach. This study, focused on the development strategy of the quality of teacher resources, using a qualitative approach. The efforts and strategic steps MISS Putri Sukorejo in the development of quality resource teachers are as follows: a) Making the Vision, Mission and Objectives MISS Putri Sukorejo as target quality development resource teacher, b) Build teacher commitment, c) Building a Discipline, d) Meet the Teachers' Welfare, e) Changing Mindsets teacher / positive Character Building. Based on some analysis that we can know that the shape and development of quality resource strategy techniques MISS Putri Sukorejo teacher may be classified typology academy is a strategy used by attempting to develop "buy" and "make". Terms in this study as quality development resource teacher who performed "kaffah".
Implikasi Aliran Filsafat Pragmatisme Terhadap Praksis Pendidikan
Authors: Priyanto Dwi 
Published: July 2019

This papers aims to describe of implication ideology pragmatic philosophy toward practical in education. Conception of pragmatic education is education to purpose for children maturation be come human be autonomous, responsible and be able to problem solving your live alone. Education must directed in place where children in a place. Curriculum that used every subject does not can separated but constitute unit integrated, and experience in the school always integrated with experience outside school. That Problems appointed by teacher in classroom is actual problems attractive that interest for children or to become center of notice for children. That application of method by teacher is diciplin method but authorization. All subject matter that in display must be basic facts that in observed, understanded, along with previously discussed and subject matters talked about probabled contains ideas that can develop situation for achieve to purpose. Teacher role in pragmatic education but of as facilitator and motivator children activity. All children activity carry out self in a row with interest and necessary that chooised, but teacher permanent supply directive that enable children to growth appropriate with talent and that possessed interest.
Desain Strategi Pembelajaran Menuju Capaian Pembelajaran
Authors: Muqit Abd. , Djuwairiyah Djuwairiyah 
Published: July 2019

The purpose of education is first and foremost. To achieve the components of learning from each other to be interrelated and integrated (systemic-organic). Learning components may include at least learners (leaner), educators, curriculum, teaching materials, source materials, media, evaluation, environmental, objectives and learning process. So that the goal is reached, all components must be organized well between each other resulting in an integrative cooperation. Therefore, teachers must not only pay attention to certain components, but have to consider those components as a whole. The learning process is an important thing to be considered by the manager of education. It is at least cover; approaches, strategies, methods, techniques, tactics, models, and designs. Design learning strategy is a necessity to achieve the learning objectives, namely to establish a framework or plan learning approach as a systematic way of communicating learning materials for learners to achieve the learning objectives. The learning objectives can be achieved effectively and efficiently relies heavily on learning strategies. In determining and developing learning strategies should at least pay attention to the learning objectives, characteristics of the field of study, circumstances and conditions of the students. With good design learning strategies can deliver the expected achievement of learning objectives.
Pengembangan Modul Supervisi Bagi Pengawas SMK Kabupaten Situbondo
Authors: Hasan Fuad , Juandi Wawan , Khoiriyah Umi 
Published: July 2019

This study aims to produce a product in the form of a coaching module for supervisors of SMK in Situbondo Regency. This module developed from the school supervisor's workbook that was published by the development center of education personal of human resource development, education quality assurance the Ministry of Education and Culture of Indonesia in 2015. The development was carried out on the discussion of SMK relation with business world and industry world. The development of this module is supplemented with supervision support instruments as a supervisory guide in conducted monitoring, evaluation of SMK activities program involving business world, and industry world. Product validation test of this research is conducted by material experts, linguists and supervisors as product users. The validation results of materials, experts and users if converted on a Likert scale, a scale of 5 indicates that were good qualification, achievement level (%) 75 - 89 revisions as necessary.
REGULASI PENGELOLAAN ZAKAT DI INDONESIA
Authors: Prima Suprima , Rahman Holilur 
Published: July 2019

Penelitian ini bertujuan untuk mengkaji peran negara kepada kebolehan pengelola (amil) dalam pengelolaan dan pendistribusian zakat di Indonesia. Metode penelitian ini merupakan kualitatif. Pendekatan yang digunakan yuridis-normatif. Kemudian analisis data melalui hukum integratif yang menanamkan dimensi ketaatan dalam beragama (diyani) dan dimensi ketetapan dalam bernegara (qada’i) melalui regulasi zakat yang berlaku di Indonesia. Kemudian dianalisis melalui metode diskriptif analitis. Kemudian hasil penelitian ini membuktikan bahwa negara mempunyai peran yang sangat penting dalam mengelola, memanajemen, dan mengedepankan kemakmuran dan kemaslahatan dengan memberikan peluang pengelolaan atau manajemen zakat melalui regulasi atau hubungan zakat tentang kebolehan amil zakat dalam pengambilan, pemungutan, dan pendistribusiannya.
PENGARUH JUS KACANG PANJANG PADA IBU HAMIL ANEMIA TRIMESTER 1 TERHADAP PENINGKATAN KADAR HEMOGLOBIN
Authors: Meihartati Tuti 
Published: July 2019

Anemia is caused by iron deficiency in the body, a body that lacks iron becomes dizzy, the body feels weak. From interviewing 10 first trimester pregnant women, 7 pregnant women said dizziness, weakness, conjunctiva anemis. Long bean juice is a therapy to increase hemoglobin levels. This study aims to determine the effect of long bean juice on increasing hemoglobin levels in pregnant women in the first trimester
The study design was Quasi Experimental with Pre And Post Test Without Control. The study sample were 16 first trimester pregnant women with Purposive Sampling technique.
The results of the study by using the Wilcoxon test obtained p value <0.005 (0.001) it means that there was an effect of long bean juice on first trimester anemia pregnant women with an increase in hemoglobin levels
The conclusion of this study, there was effect of long bean juice on first trimester anemia pregnant women with an increase in hemoglobin levels. It was recommended that long bean juice be used as a SOP in midwifery care for pregnant women to increase hemoglobin levels.