bluuebunny/crossref_metadata_2025_split huggingface dataset:
Systemic Scleroderma or Paraneoplastic Syndrome?
Authors: Vrâncianu Cristina , Sandu Carmen , Georgescu Laura , Dinescu Diana , Ancuţa Ioan , Bojincă Mihai , Gheorghiu Ana Maria 
Published: August 2019

Abstract

Introduction. Inflammatory rheumatic diseases are sometimes the first manifestation of neoplasia.

Case presentation. A 57 year old female patient, heavy smoker, is admitted to our clinic for 2 days old pulp necrosis of the third finger, right hand, with onset of ischemia 1 week before admission. Other manifestations were Raynaud’s phenomenon, dry mouth, dysphagia and shortness of breath after moderate physical activity with a duration of about 6 months. She was repeatedly followed-up by a pulmonologist with chest computer tomography, which detected a dimensional evolutionary mediastinal lymph node, but not investigated further. The patient had skin thickening of the hands and face, microstomia and an area of dry necrosis of 1.5/1cm in the pulp of the third finger, right hand. Laboratory tests show the presence of antinuclear antibodies with positive anti SS-A antibodies and elevated levels of serum inflammatory markers. Vascular surgery examination excludes thromboangiitis obliterans or other large vessel diseases. The presumptive diagnosis is undifferentiated connective tissue disease with systemic sclerosis and Sjögren syndrome elements, most likely secondary to the mediastinal tumor. Mediastinal biopsy shows a heterogeneous metastasis of unknown origin, and further investigations: immunohistochemistry, multiple gene mutations tests, computed tomography scan of the chest, abdomen, and pelvis, mammography, Papanicolaou test and positron emission tomography scan did not identify the primary tumor, thus delaying oncologic treatment.

Conclusion. Case of undifferentiated connective tissue disease with elements of systemic sclerosis and Sjögren syndrome, most probably paraneoplastic, with chest metastasis of unknown origin, in which diagnosis and treatment were delayed due to lack of primary tumor identification.
Neurologic Manifestations of Infective Endocarditis
Authors: Dumitrescu Cristina , Badea Alin , Păltineanu Ioana , Mitrea Dan , Mihăilescu Radu , Gurghean Adriana , Siliște Roxana , Homencovschi Corina , Ciomag Raluca 
Published: August 2019

Abstract
Infective endocarditis is an infection of the endocardial surface of the heart. Usually, it affects one or more heart valves or an intracardiac device. Neurologic events (silent or symptomatic) account for 20 to 40% of all patients with infective endocarditis.
We are presenting the case of a 57 -year-old man with cardiovascular risk factors admitted to our clinic for aphasia. His medical history included a recent stroke and small fiber neuropathy with a gradual onset for the past six months. Despite extensive investigations, no cause for strokes and neuropathy could be found. To identify a potential source of embolism, a transoesophageal echocardiography was performed. It revealed vegetation attached to both aortic and mitral valves. Blood cultures were positive for Streptococcus gallolyticus. The patient underwent emergency aortic and mitral valve replacement and a 6-week course of antibiotic treatment with ceftriaxone and gentamicin with the improvement of both aphasia and peripheral neuropathy.
Central nervous system complications such as encephalopathy, seizures, stroke or severe cerebral hemorrhage are commonly described in infective endocarditis, but peripheral nervous system involvement is rarely reported in the literature. Although no cause for neuropathy has been found, it is difficult to asses whether it was a complication of the infective endocarditis.
Another plan for negation
Authors: Francez Nissim 
Published: August 2019

The paper presents a plan for negation, proposing a paradigm shift from the Australian plan for negation,
leading to a family of contra-classical logics. The two main ideas are the following:

Instead of shifting points of evaluation (in a frame), shift the evaluated formula.
Introduce an incompatibility set for every atomic formula, extended to any compound formula, and impose the condition on valuations that a formula evaluates to true iff all the formulas in its incompatibility set evaluate to false. Thus, atomic sentences are not independent in their truth-values.
The resulting negation, in addition to excluding the negated formula, provides a positive alternative
to the negated formula.

I also present a sound and complete natural deduction proof systems for those logics.
In addition, the kind of negation considered in this paper is shown to provide an innovative notion of grounding negation.
Análisis de razones de rentabilidad en la Empresa Pública: Caso Cnel
Authors: Torres Remache Patricia Selena , Solano Caregua Sindy Yaritza , Peñaherrera Larenas Milton Fabián 
Published: August 2019

La presente investigación trata sobre el rendimiento financiero de la corporación nacional de electricidad y se va analizar la situación financiera y rentable que posee la Empresa Pública Cnel. Para la determinación de la información se utilizó el método de la regresión pilonomial ajustado al tercer grado, esta nos indica la fórmula para la proyección de los próximos cinco años por ende la rentabilidad proyectada que tiene la empresa a partir del 2020 será positiva llegando a niveles que oscilan entre el 1% y 9%
Do Rompimento do pacto social à criminalidade
Authors: Da Silva Leonardo Gomes , Cardoso Franciele Silva , Panatieri Cristiane Bianco 
Published: August 2019

O surgimento de uma ordem social desprende-se de um consenso mútuo, denominado pacto social. Nesse consenso reside uma trama que abriga em seu âmago características indissociáveis do ser humano, carregando seus desígnios e suas necessidades. Como fruto desse pacto, surge a instituição capaz de se sobrepor ao indivíduo, com a finalidade de assegurar a liberdade e preservar a ordem, através da prevenção e repressão de práticas que tentem afastar essa ordem. Há diversos fatores que exercem possíveis influências sobre o indivíduo e provocam o rompimento do contrato social, ensejando a pretensão punitiva do Estado. Por outro lado, a atuação estatal não está isenta da deturpação de preceitos, através do cumprimento ineficaz de sua atribuição, que impacta os valores sociais e consequentemente a estruturação social.
A contribuição dos impressos pedagógicos na história da alfabetização, em Mato Grosso (1990/2017)
Authors: Oliveira Bárbara Cortella Pereira de 
Published: August 2019

A fim de contribuir para o debate sobre os “Impressos na História da Educação do Centro-Oeste” e para a compreensão de momentos pouco explorados sobre a História da Alfabetização em Mato Grosso, propõe-se uma reflexão em torno desse campo de conhecimento, estudo e investigação, mediante a utilização de procedimentos de localização, recuperação, seleção, reunião e análise de dois Instrumentos de pesquisa sobre trabalhos acadêmico-científicos defendidos nos Programas de Pós-Graduação em Educação da UFMT sobre Alfabetização (1990-2017) e História da Alfabetização (2000-2015). A partir da análise desses dois instrumentos de pesquisa, constatou-se que das 16 pesquisas acadêmicas (mestrado, doutorado e pós-doutorado) com abordagem histórica da Alfabetização defendidas no UFMT/PPGE/PPGEdu, 12 utilizam como fontes documentais para compreender esse objeto de investigação os impressos pedagógicos, especialmente os documentos oficiais (8); cartilhas, livros de leituras e didático e (4) e imprensa pedagógica (2). Dessa forma, foi possível compreender a importância da utilização dos impressos pedagógicos mencionados para a compressão da História da Alfabetização nos diferentes municípios de Mato Grosso, em detrimento das fontes manuscritas (cadernos escolares e diários de classe) e orais (depoimentos e entrevistas). A partir de 2000 os trabalhos acadêmicos defendidos no PPGE/PPGEdu/UFMT, com abordagem histórica, contaram com uma fecunda produção, mas tiveram um decréscimo nessa última década. Ainda, se fazem necessárias pesquisas acadêmicas, especialmente de doutorado, sobre a Alfabetização no estado de Mato Grosso, a fim de contribuir para a compreensão e enfrentamento dos problemas atuais relativos a essa temática.
Instrumen dan Media dalam Layanan Bimbingan dan Konseling
Authors: Kusnadi Edi 
Published: August 2019

Instrumen dalam bimbingan konseling diperoleh dari data tentang kondisi siswa. Secara khusus bertujuan untuk memahami kondisi siswa seperti potensi dasarnya, bakat dan minatnya, kondisi diri, dan lingkungannya serta masalah-masalah yang dihadapinya. Adapun komponen- komponen yang tekait dan sinergi dengan aplikasi instrumentasi adalah instrumen, responden pengguna dan media. Adapun penggunaan media dalam pembelajaran dan kegiatan bimbingan konseling sangat mungkin dilakukan, baik berbasis non teknologi maupun berbasis teknologi. Penggunaan media pembelajaran yang beragam dalam pemberian layanan bimbingan dan konseling akan sangat membantu konselor dalam pemberian bimbingan dan konseling kepada kliennya. Kecanggihan media teknologi sekarang seperti CD, Film, Vidio, facebook, email, dari you tube, persentase multimedia dan lain sebagainya akan memudahkan konselor memberikan tampilan materi kepada siswanya atau kliennya.
Efektivitas Peran Mediator Dalam Mencegah Perceraian (Studi Pada Pengadilan Agama Klas IA Jambi)
Authors: Massuhartono Massuhartono 
Published: August 2019

Hidup berumah tangga, dalam perjalananya akan ada peristiwa-peristiwa yang membahagiakan dan menyedihkan. Apabila kehidupan berumah tangga selalu dalam keadaan bahagia hidup suami-istri akan tentram dan damai sehingga kebahagiaan akan selalu menghampiri kehidupan rumah tangga. Namun apabila kesedihan bahkan pertengkaran yang terjadi di dalam kehidupan berumah tangga maka kehidupan suami-istri tidak akan ada kebahagiaan dan konflik-konflik pun akan terus terjadi yang bisa menimbulkan perceraian. Untuk mengatasi perceraian yang terlalu banyak dibutuhkan seorang mediator di lembaga Pengadilan Agama supaya perceraian bisa berkurang dan tidak mengalami peningkatan. Penulisan ini bertujuan untuk mengetahui bagaimana peran mediator dalam mencegah perceraian di Pengadilan Klas IA Jambi.
Metode yang digunakan dalam penelitian ini adalah dengan metode pendekatan kualitatif. Subjek yang diteliti dalam penelitian ini adalah mediator non hakim yang bekerja di Pengadilan Agama klas IA Jambi. Teknik pengumpulan data yang digunakan dalam penelitian ini adalah observasi, wawancara, dan dokumentasi.
Berdasarkan dari pengumpulan data bahwa hasil penelitian ini penulis menemukan fungsi Konselor belum berjalan sesuai dengan teori-teori yang ada dalam Bimbingan dan Konseling, mereka hanya menjalankan sesuai peraturan Mahkamah Agung, kemudian dari efeaktifitas pelaksanaan konseling di Pengadilan Agama belum berjalan dengan baik didukung dengan data yang didapatkan oleh penulis yaitu Untuk tahun 2014 kasus perceraian mencapai 284, berhasil 2, gagal 280, dan ditunda 2. Kemudian untuk tahun 2015 kasus percerain mencapai 234, berhasil 9, gagal 225, ditunda 2.Dan pada tahun 2016 kasus perceraian mencapai 282, berhasil 2 dan gagal 280. Kemudian masih banyak hambatan yang dihadapi oleh konselor seperti kurangnya pengetahuan dan teori yang berhubungan dengan bimingan dan konseling, belum mengetahui tehnik-tehnik dan strategi yang ada di dalam bimbingan dan konseling, yang apabila digunakan bisa mengurangi kegagalan pada saat proses mediasi/konseling sehingga anagka perceraian bisa berkurang khususnya di Kota Jambi.
Berdasarkan hasil penelitian tersebut, penulis menwarkan pendapat diharapkan pihak Pengadilan Agama bisa mengambil atau memilih sesorang yang lulus atau mempunyai basic tentang bimbingan dan konseling/bimbingan penyuluhan Islam, kemudian pihak pengadilan bisa menyiapkan ruang tunggu atau kursi untuk para pihak yang menunggu giliran mediasi, dan yang terakahir bagi mediator yang sudah ada bisa menambah lagi wawasan tentang ilmu psikologi atau bimbingan dan konseling supaya bisa lebih memahami tehnik-tehnk yang bisa dugunakan dalam proses mediasi.
SOCIAL PROBLEMS DUE TO UNEMPLOYMENT
Authors: Khuhawar Khizer Hayat , Shah Haya 
Published: August 2019

This paper discusses the emergence of unemployment and the social problems arising and affecting the people as a consequence with added emphasis placed on the situation in Pakistan. Unemployment itself is a rapidly growing social issue, plaguing the citizens of the country, acting as the root cause of innumerable problems which further emphasizes on the severity of the issue and the urgency to ensure it is lowered and no longer acts as a hindrance for the progress of the country and its people.
Keywords: Income, Financial Issues, Insecurity, Education
The Value Relevance of Accounting Information: An Empirical Analysis of Banking Sector of Pakistan
Authors: Perveen Shahida 
Published: August 2019

Accounting Information contained in financial statements is relevant & reliable enough to present an indication of a business performance and financial condition to decision makers including investors. This study attempts to address the value relevance of accounting information in investorâ€™s decisions in Pakistani stock market. The relevance of accounting information is measured via correlation coefficient between average share price and cluster analysis is used to investigate the value relevance of large size firms and small size banks, further more incremental analysis and redundant variable test is also performed to check out the contribution of each variable in the model. Selective accounting information measures such as earning per share, equity, operational profit, size and age of firm, economic growth and non-traditional activities. Data set in this study consists of accounting information from published financial statements of commercial banks listed at Karachi Stock Exchange for a period of 6 years from 2007 to 2012. The result shows that there is a strong relationship between accounting information and average share price. The most important value relevant variables are EPS, firm size and operational profit. The investors consider these instruments for investment decisions. All these variables are significant and value relevant. Hence, accounting information is value relevant in Pakistani financial market.
TINGKAT PENERAPAN HASIL PENDIDIKAN DAN PELATIHAN MANAJEMEN DAN KEPEMIMPINAN BP3K BAGI PIMPINAN BP3K
Authors: Widiyanto Adi , Nugraha Toni 
Published: August 2019

Level of Implementation of Training result of The Training BP3K Management and Leadership For BP3K Leaders. This research is an evaluation to know the level of application of training materials by training partisipants to subject matters that have been trained in Management Training and Leadership of BP3K For BP3K Leaders. This research uses descriptive method with quantitative approach and supported qualitative.Data collection by survey technique. To strengthen the results, the data were also collected from the assessment of the direct superior of the training participants and the co-workers of the training participants. The results of this study indicate that the level of application of the material for the overall training subject matters that has been trained on average included in the category is very high. But there is material for Training Subject Matter BP3K Organizing Activity results of its application level not yet optimal, although still in high category. This is because decision-making on the aspect of organizing activities wholly depends on policies at the higher levels of Institutions.
ANALISIS SWOT PADA PT HM SAMPOERNA (STRATEGI PERUBAHAN BISNIS)
Authors: Mahrawati Mahrawati 
Published: August 2019

The research method used in this research is descriptive method with case-study research type. The research data collection technique is survey which was carried through interviews and questionnaires with the company director and general service manager of the sales department. The collection of data obtained was analyzed using SWOT analysis. For in order to make an accurate strategy for a company to run, it is necessary to begin with reviewing the company’s strengths, weaknesses, opportunities, and also threats for the company. From the SWOT analysis undertaken, it was figured that the IFAS value is 2,64584 and the EFAS value is 2,32827. Moreover, the IE matrix showed that the company’s position is in the concentration strategy through horizontal integration or stability. This is a state where the company is experiencing a period of growth. These results inferred that the fittest strategy the company should implement is a growth strategy through horizontal integration. It is an activity to expand the company by building market, stores, and outlet sales in as many cities as possible in Indonesia, and also to improve the products through product innovations. The result of SWOT diagram also showed that the company carries out aggressive strategy or at quadrant 1 that possesses positive value. From the research results, it can be concluded that the company should implement SO (Strengths-Opportunities) strategy for the company to maintain the ability to survive in the business competition.
ANALISIS DETERMINAN KESESUAIAN PENERAPAN PERATURAN KOMISI PEMILU RI NO. 5 TAHUN 2017 TENTANG DANA KAMPANYE PESERTA PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR, BUPATI DAN WAKIL BUPATI, DAN/ATAU WALIKOTA DAN WAKIL WALIKOTA
Authors: Rofelawaty Budi , Kadir Abdul 
Published: August 2019

In the implementarion of the simultaneously post election in 2018, the Election Commission of Republic Indonesian issued regulation No.5/2017 concerning compaign funds for the participants of the Governor an Deputy Governon, regent and Deputy Regent, and/or Mayor and deputy Mayor. This research is directed at the determinants of the compliance with the implementation of the Election Commission regulation, both by candidate pairs and by the political parties, whichs aims to find out what factors influence the implementaion of that KPU RI regulation. The assessment process is carried out objectively, systematically, rationally, which is supported by empirical facts in order to find the truth, for the the purpose of developing science, especially regional finance, which is related to compaign funds. The research technique was carried out with descriptive fenomenology, with the location of the study being the election commission located in 11 districts and 2 municipalities in South Kalimantan province. The descriptive fenomenology approach was used by researcher to explore the phnomenon because the participants wanted to know about it (as many as 10 key person as related informants) and the researchers acted as instrumentes in teh ddata collection process. The results of the study indicate that there are several things that have the potential to be determinants of the suitability of the implementation of The RI Election Commision regulation No.5/2017 are the electoral system and compaign finance management, the existence of a high-cost compaign process, the content of ele toral policies and the context of policy implementation (in relation of the level human resources competence, the availability of adewuate human resources, the power of actors in influencing the effectiveness for political elite).
ANALISIS OPERATIONAL EFFICIENCY RATIO DAN COST EFFICIENCY RATIO TERHADAP NET PROFIT MARGIN BANK MANDIRI TBK
Authors: Lite Lite 
Published: August 2019

This research aims to examine the influence of operational efficiency ratio (OER) and cost efficiency ratio (CER) toward net profit margin (NPM) at Bank Mandiri,Tbk. The back ground of this research done is due to the bank’s low rate in obtaining NPM.Based on the classical assumption test’s result, the two independent variables chosen in this research are normally distributed with no disorder found. According to the correlationtest’s result, it is found that OER correlates to the NPM as high as 95.6% while the CER correlates to the NPM as high as 92.7%. In addition, based on the R-square test’s result, it is found that both independent variables are high as 91.6%f or each change in the NPM.Based on the F test, it is found that both independent variables ,including OER & CER have significant influence toward NPM simultaneously , in which the P-value less than 0.05 (5%).The t-test’s result, however, shows that OER has negative and effect toward NPM partially, while the CER has the positive effect and the two variables have no significant effect partially. Therefore, the step wise test is required to be done in order to get which variable that issignificant partially. And this results that OER has significant and negative effect toward NPM partially with P-value less than 0.05 (5%) and t-calculated value [-8.030] > t-table [1.860].
ANALISIS PERBANDINGAN 4 MAZHAB TENTANG PERNIKAHAN DALAM ISLAM
Authors: Hani Umi 
Published: August 2019

This study aims to analyze: 1) the Islamic view of the marriages, 2) a comparison of 4 schools about the marriages of marriage in Islam. Type of juridical-normative research or doctrinal legal research. Library research, namely research activities carried out by collecting and tracing data and processing (books, literature and library materials) related to the topic of discussion. The type of research is qualitative research which is a particular tradition in social science that is fundamentally dependent on humans in its own region and relates to these people in its discussion and in its terminology. Material of the Law of the Qur'an, hadith, and the opinion of the school of Iman Syafii, Hanafi Faith, Maliki Imam, Hambali Faith. The data analysis method used in this research is analytical descriptive method.The results of the study explain that dowry may be in the form of money, jewelry, household furniture, animals, services, commercial property or other objects that have a price. or a sack of wheat. If it is not known from various aspects that allow determination of the amount of dowry, then according to all schools except Maliki, the contract remains valid, but the dowry is null. While Maliki believes that the contract is invalid and in fact before mixing at the campuri, the contract is declared valid by using mahar mitsli. Maliki said that if the contract had not been mixed it was invalid. But if there had been a mixture then the contract was declared valid and the wife had the right to mitsli mahr. Meanwhile, Syafi'i, Hanafi and Hambali argue that, the contract remains valid, and the wife has the right to mitsli mahr.