bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Study of Practice Behavior for Endotracheal Intubation Site for Children With Congenital Heart Disease Undergoing Surgery: Impact of Endotracheal Intubation Site on Perioperative Outcomes—An Analysis of the Society of Thoracic Surgeons Congenital Cardiac Anesthesia Society Database
Authors: Greene Nathaniel H. , Jooste Edmund H. , Thibault Dylan P. , Wallace Amelia S. , Wang Alice , Vener David F. , Matsouaka Roland A. , Jacobs Marshall L. , Jacobs Jeffrey P. , Hill Kevin D. , Ames Warwick A. 
Published: September 2018

BACKGROUND:
In adults undergoing cardiopulmonary bypass surgery, oral intubation is typically preferred over nasal intubation due to reduced risk of sinusitis and infection. In children, nasal intubation is more common and sometimes preferred due to perceived benefits of less postoperative sedation and a lower risk for accidental extubation. This study sought to describe the practice of nasal intubation in the pediatric population undergoing cardiopulmonary bypass surgery and assess the risks/benefits of a nasal route against an oral one.

METHODS:
Patients <18 years of age in the Society of Thoracic Surgeons Congenital Heart Surgery Database between January 2010 and December 2015 were included. Patients with a preoperative endotracheal tube, tracheostomy, or known airway anomalies were excluded. Multivariable modeling was used to assess the association between route of tracheal intubation and a composite measure of infection risk (wound infection, mediastinitis, septicemia, pneumonia, and endocarditis). Covariates were included to adjust for important patient characteristics (eg, weight, age, comorbidities), case complexity, and center effects. Secondary outcomes included length of intubation, hospital length of stay, and airway complications including accidental extubations. We also performed a subanalysis in children <12 months of age in high-volume centers (>100 cases/y) examining how infection risk may change with age at the time of surgery.

RESULTS:
Nasal intubation was used in 41% of operations in neonates, 38% in infants, 15% in school-aged children, and 2% in adolescents. Nasal intubation appeared protective for accidental extubation only in neonates (P = .02). Multivariable analysis in infants and neonates showed that the nasal route of intubation was not associated with the infection composite (relative risk [RR], 0.84; 95% CI, 0.59–1.18) or a shorter length of stay (RR, 0.992; 95% CI, 0.947–1.039), but was associated with a shorter intubation length (RR, 0.929; 95% CI, 0.869–0.992). Restricting to high-volume centers showed a significant interaction between age and intubation route with a risk change for infection occurring between approximately 6–12 months of age (P = .003).

CONCLUSIONS:
While older children undergoing nasal intubation trend similar to the adult population with an increased risk of infection, nasal intubation in neonates and infants does not appear to carry a similar risk. Nasal intubation in neonates and infants may also be associated with a shorter intubation length but not a shorter length of stay. Prospective studies are required to better understand these complex associations.
PENGARUH KECERDASAN EMOSIONAL, KECERDASAN SPIRITUAL, PERILAKU BELAJAR, DAN LINGKUNGAN BELAJAR TERHADAP TINGKAT PEMAHAMAN AKUNTANSI DENGAN PERKEMBANGAN TEKNOLOGI SEBAGAI VARIABEL PEMODERASI
Authors: Utami Meitha Tyas , Sumaryanto Sumaryanto 
Published: September 2018

The level of student understanding of accounting is not only measured by the intelligence but also the emotional intelligence can be measured, spiritual intelligence, learning behavior, and the learning environment in this study is an independent variable. While the dependent variable is the level of understanding of accounting. Added moderating variable is the development of technology. The study sample of 180 accounting students UGM, STIE YKPN, UPN Veteran Yogyakarta, and UAD taken using purposive sampling technique. Data analysis techniques used in this study is a linear regression, moderated regression analysis, and the Chow test. Result of research indicate that emotional intelligence, spiritual intelligence, behavioral learning, and the learning environment does not affect the level of understanding of accounting, which means that the hypothesis first, second, third, and fourth is unacceptable. In addition, the MRA test results and test results show that the Chow technological developments do not strengthen the relationship between emotional intelligence, spiritual intelligence, behavioral learning, and the learning environment to the level of understanding of accounting, which means that the hypothesis fifth, sixth, seventh, and eighth is not acceptable.
A gap in higher specialty training of 30 otolaryngology trainees
Authors: Magos Tiarnan , Kumar Gaurav , Thaj Jabin 
Published: September 2018

Introduction: A working understanding of referral to treatment is a prerequisite for the modern training registrar. This article set out to ascertain higher specialty trainees' knowledge of the rules and definitions of referral to treatment in otolaryngology in England. Methods: A ten-question survey on the rules and definitions of referral to treatment was distributed to higher specialty trainees in otolaryngology in London, Kent, Surrey, Sussex training deaneries. Results: A total of 30 surveys were collected. Overall knowledge of referral to treatment among higher specialty trainees was poor. The mean score was 3.83/7 (54.7%) and the median was 4/7 (57.1%). Previous training in referral to treatment, in the form of didactic study days, improved survey scores. The three trainees that had this previous teaching in referral to treatment had a mean score of 4.3 (61.9%). Discussion: This article is believed to be the first insight into the working knowledge of referral to treatment among training registrars in the UK. This article has uncovered a potential gap in higher specialty training. Formal training in referral to treatment as part of nationwide higher specialty training should be considered.
Optimasi Distribusi Lubang Pada Balok Baja Kastela
Authors: Partono Windu , Sukamta Sukamta , Hardiyati Siti , Budi Listiyono 
Published: September 2018

Balok baja kastela adalah profil baja yang dikembangkan dari profil I yang dipotong bagian badan dan disambung lagi sedemikian rupa sehingga membentuk lubang pada bagian badan. Bentuk lubang profil balok baja kastela pada umumnya adalah persegi enam (heksagonal). Pembuatan balok baja kastela perlu memperhatikan jarak antar lubang agar balok mempunyai kemampuan menahan beban tertinggi. Tulisan ini menyajikan hasil penelitian untuk menentukan jarak antar lubang yang optimum pada balok baja kastela dengan mempertimbangkan distribusi tegangan, deformasi, dan kelelehan pada balok tersebut. Penelitian diawali dengan perhitungan menggunakan metode Elemen Elemen Hingga (Finite Element Method /FEM) kemudian dilanjut dengan pengujian di laboratorium. FEM dilakukan untuk menentukan ukuran dan jarak antar lubang optimum pada balok kastela. Variasi sudut bukaan lubang dilakukan antara 45o sampai 70o. Hasil analisa FEM kemudian diujikan di laboratorium dengan ukuran dan jarak antar lubang optimum untuk mengevaluasi perbedaan hasilnya. Hasil penelitian menunjukkan lubang profil dengan kemiringan antara 45o sampai 70o sebaiknya dibuat dengan jarak antar lubang antara 0.1 sampai 0.25 dari tinggi profil balok kastela dengan distribusi lubang terbaik adalah antara 5 sampai 7 lubang per meter.
Xanthogranuloma of the sellar region accompanied by growth hormone deficiency: case report and literature review
Authors: Kobayashi Mami , Yagasaki Hideaki , Kobayashi Koji , Ogiwara Masakazu , Kinouchi Hiroyuki , Sugita Kanji 
Published: September 2018

Abstract

Background
Xanthogranuloma of the sellar region is a rare entity. Its pathology is controversial and it is difficult to strictly differentiate it from craniopharyngioma or Rathke’s cyst.

Case presentation
We report a case of xanthogranuloma accompanied by growth hormone deficiency in an 11-year-old girl. She did not show any other pituitary hormone deficiency or neurological symptoms before operation. The preoperative diagnosis was craniopharyngioma, but histological findings showed small areas of epithelium. Thus, the final diagnosis was xanthogranuloma. Xanthogranuloma is an important cause of growth delay. We reviewed 16 cases reported after 2000, and included our case, of xanthogranuloma in children.

Conclusions
Endocrinological symptoms are often regarded as one of the few apparent symptoms in xanthogranuloma compared with craniopharyngioma. Therefore, we should follow up carefully and accumulate cases.
„Ich find’ das sowas von fies von Euch“ – Konversationsanalyse eines schulischen Konflikts
Authors: Alder Marie-Luise , Buchholz Michael B. 
Published: September 2018

AbstractThe video recording of a pedagogically awkward situation in a school class becomes the occasion of a conversation analysis (CA). At first, the conceptual instruments of CA appearing to be appropriate for the study of potentially violent situations are introduced. Then, the transcript is shown and four observations are discussed in detail. They focus the failure of a ceremony of demotion, the role of bodily stagings, the teacher’s doubtful authority and the difficulty of influencing not only behavior but also attitudes of pupils. It is suggested that CA should far more face such situations which constitute a great part of everyday life in school.
Momente der Begegnung werden zu Momenten der „Störung“ – Eine Einzelfallstudie des szenischen Erinnerns der Shoah anhand eines videografierten Zeitzeugengesprächs
Authors: Bleimling Jasmin 
Published: September 2018

Abstract
This article provides insight into the mixed-method-analysis of a testimony of a survivor of the Shoah. The aim of the study was to compare the clinical-hermeneutical understanding of the unconsciously re-enacted scenic memory of the Shoah with the results of objective methods. Relevant moments throughout the videographed conversation that indicated the scenic re-enaction of the traumatic experiences in the Shoah were understood as “Now Moments” or “Moments of Meeting” (Stern 2004). Those moments were assessed both by the clinically working Interviewer of the survivor Ms. K. herself as well as by independently applied empirical methods. A computerized Text Analysis System (CM, Mergenthaler 1997) identified Emotion-Abstraction Patterns and Narrative Styles in the transcript of the video, a computerized Motion Energy Analysis (MEA, Ramseyer 2010) measured and quantified movements in terms of synchronicity of the interacting dyad. An external validation was conducted by carrying out group hermeneutical discussions as additional clinical assessments of relevant moments in the video-testimony.
Vom Geschlechterkampf des 17. Kapitels in Pina Bauschs Kontakthof
Authors: Heller Veronika 
Published: September 2018

Abstract

This essay is about a short sequence of Pina Bausch’s Kontakthof with ladies and gentlemen over 65. It discusses the hypothetical question as to “how to dance tango without dancing a tango?” I argue that the principle movement topics and practices of the Argentine Tango such as leading and following or the cruz are transformed by choreographic modes. In this way they constitute the structure of the Pina Bausch stage sequence.
The collinear equilibrium points in the restricted three body problem with triaxial primaries
Authors: Alamri Sultan Z. , Abd El-Bar Sobhy E. , Seadawy Aly R. 
Published: September 2018

AbstractThe perturbed restricted three body problem has been reviewed. The mass of the primaries are assumed as triaxial. The locations of the collinear points have been computed. Series forms of these locations are obtained as new analytical results. In order to introduce a semi-analytical view, a Mathematica program has been constructed to graph the locations of collinear points versus the whole range of the mass ratio μ taking into account the triaxiality. The resultant figures have been analyzed
(Safer-)Sexting und Cybermobbing.Scham als religionspädagogische Herausforderung für das medienethische Lernen
Authors: Rosenstock Roland 
Published: September 2018

Zusammenfassung
Digitales Lernen in religiösen Bildungsprozessen befasst sich besonders mit medienethischen Fragestellungen. Sexting und Cybermobbing werden als riskantes Mediennutzungsverhalten von Jugendlichen bewertet. Im Rahmen der schulischen Präventionsarbeit wird daher vor allem die Schuldfrage thematisiert. Die besondere Herausforderung für die Religionspädagogik besteht in der Wahrnehmung der Schamerfahrungen für die Identitätsentwicklung von Mädchen und Jungen in den erweiterten sozialen Räumen der digitalen Kommunikationsmittel. In Anlehnung an die Schamethik von Klaas Huizing und der medienweltorientierten Religionsdidaktik von Manfred Pirner verfolgt eine evangelische Mediennutzungsethik der Schamsensibilisierung (Kristian Fechtner) das Ziel der Kompetenzentwicklung von Mitgefühl und Widerstandsfähigkeit.
Da ist nichts! Oder doch? – Die empirische Wahrnehmung von Religiosität und Kirchlichkeit Jugendlicher im Spiegel kirchentheoretischer Überlegungen
Authors: Kretzschmar Gerald 
Published: September 2018

Zusammenfassung
Der Beitrag analysiert fünf empirische Studien, die gegenwärtig in der kirchlichen Arbeit mit Jugendlichen diskutiert werden, und erkundet, ob und wie die Befunde der Studien für die kirchlich-religionspädagogische Arbeit mit Jugendlichen genutzt werden können. Die leitende Hypothese lautet: Je nachdem wie eine Studie die Kirche und das Verhältnis Jugendlicher zur Kirche wahrnimmt, sind die Befunde für die kirchliche Arbeit mit Jugendlichen nutzbar oder nicht. Auf dieser Grundlage werden schließlich die Studien benannt, die für die kirchliche Arbeit mit Jugendlichen fruchtbar gemacht werden können, und handlungsorientierende Impulse für die kirchliche Arbeit mit Jugendlichen formuliert.
Tumor characteristics and surgical outcome in incidentally discovered pheochromocytomas and paragangliomas
Authors: Chen Xinlei , Hu Liru , Liu Caojie , Ni Guangcheng , Zhang Yuwei 
Published: September 2018

Objective
The proportion of incidentally discovered pheochromocytomas and paragangliomas (PPGL) has increased over time. However, our knowledge of them is quite limited. The purpose of this retrospective study is to generalize the commonalities in incidentally discovered PPGL, offer evidence for clinical diagnosis and management.

Methods
Five hundred twenty-six patients were included in our study after filtration from the database of West China Hospital of Sichuan University between May, 2007 and December, 2016. Among the patients, 148 of them were incidental findings and 378 of them were suspected findings. All patients’ demography and tumor characteristics were recorded in detail, especially hemodynamic records and hormonal assays. The reasons for taking radiography were also collected. Most patients received preoperative medical preparation. Intraoperative and postoperative courses as well as surgical outcomes were also analyzed to identify differences between incidental findings and suspected findings.

Results
Incidentally discovered PPGL took up 28.1% of the study population. Suspected PPGLs had a higher prevalence of hypertension, lower proportion of non-functioning PPGL, higher prevalence of MEN2 and better post-surgical blood pressure recovery than incidental finding group. However, patients in the incidental finding group showed no significant difference in preoperative blood pressure and hormonal assays with suspected findings in metaphrine and normetaphrine in plasma and urine (P > 0.05).

Conclusions
Due to the development of technology, more PPGLs are discovered incidentally. Considering the tumor characteristics and surgical outcome, surgical decisions should be made more cautiously.
The determinants of early breast cancer detection via breast self-examination (BSE) in Denpasar, Bali
Authors: Febriyanti Ni Made Ari , Lubis Dinar , Wirawan Dewa Nyoman , Suariyani Ni Luh Putu , Karmaya Mangku 
Published: September 2018

AbstractBackground and purpose: Breast cancerÂ isÂ theÂ leading cause of death in females, followed by colorectalÂ cancer.Â Early detection of breast cancer canÂ be done through breast self-examination (BSE).Â BSE behaviour is influenced by an individualâ€™s level ofÂ knowledge and perceptions of the procedure.Â This study examines the determinants of BSE behaviour inÂ marriedÂ womenÂ agedÂ 15-49Â inÂ six villagesÂ in the working area of Puskesmas (public health centre) II in West Denpasar, Bali, Indonesia.Methods: A cross-sectionalÂ surveyÂ was employed with 180 respondents selected byÂ multistage randomÂ sampling.Â Data were collected using standardised questionnaire carried outÂ from November-DecemberÂ 2016.Â Multiple poisson regression was used to identify the determinants of the BSE behaviours.Results: TheÂ proportion ofÂ respondents whoÂ performed BSEÂ in the three months prior to interviewÂ isÂ 55.6%, and, of these, 50.0%Â reported performing BSEÂ regularly.Â Multivariate analysis shows theÂ significant determinants ofÂ BSE are: high-schoolÂ and aboveÂ (APR=Â 2.03;Â 95%CI:1.41 toÂ 2.92);Â having a good knowledge of BSE (APR=1.41; 95%CI:1.09 to 1.82);Â perceived benefits Â (APR=2, 24;Â 95%CI:1.53-3.29); perceived lowÂ barrierÂ (APR=1.63;Â 95%CI:1.16-2.29); and high self-efficacy (APR=1.50;95%CI:1.16-1.95).Conclusions: Level of education, good knowledge of BSE, perceived benefits, perceived lowÂ barriers, and high level of self-efficacyÂ are the significant determinants of BSEÂ practice. These findings suggest that education on BSE should be enhanced, particularly for women with lower levels of education.
The Effects of Kindness in Saadi's Bustan
Authors: Mozaffari Nasrin , Siyanat Faranak , Khubanian Mina , Khansir Ali Akbar 
Published: September 2018

This study intends to highlight the effects of kindness in one of the best literature and poetry books called "Bustan" in the world. Every poetry is a model of culture and civilization to the human world. Persian literature is one of the richest literatures over the world. Persian poetry is one of the most fruitful branches of the world literature in the area of aphorism. One of the main topics of aphorism is about kindness which is typified in its greatest mood in Saadi's Bustan. Kindness and love are good ethos which has been recommended to man in all of the moral Scriptures. Understanding the effects of kindness is the least thing a man can do to foster a spirit of love in him and others. Therefore, choosing this book, ''Bustan'', which is full of the effects of kindness, is one of the best choices. The main aim of this article is to investigate the effects of kindness from Saadi's viewpoint in "Bustan,".
LA TERCERA VÍA
Authors: VILLA VILLA SANDRA IRINA 
Published: September 2018

En el espacio funcional de la democracia liberal ha venido primando con mucho vigor la praxis del “capitalismo salvaje”, una tesis económico-política que pugna por consolidar a toda costa el incremento de los valores bursátiles vinculados a los inversionistas más poderosos; sin parar mientes acerca de la ruina de los pequeños empresarios y la pauperización creciente de las mayorías poblacionales. Es de esta forma que la macroeconomía de ciertos países emergentes “crece” formalmente en los guarismos estadísticos, al tiempo que, en patético contraste, se ahonda la desigualdad real entre los pocos que tienen mucho y los muchos que no tienen nada.
determinación de bacteriocinas en muestras de consorcios microbianos nativos de ecosistemas de manglar en el departamento del atlántico, como fuente potencial de nuevos tratamientos biomédicos
Authors: Galván Carbonó Vanessa , García Cuan Aracely 
Published: September 2018

Los manglares son ecosistemas con gran diversidad microbiana; la presión de las condiciones físicas de este, se ha relacionado con la producción de metabolitos con estructuras moleculares únicas para los microorganismos. Dado el desarrollo de resistencia bacteriana a antimicrobianos a nivel mundial, se hace necesaria la búsqueda de nuevas soluciones que nos permitan contrarrestar los efectos de dichos patógenos.
En este estudio, se buscó aislar, identificar y evaluar la actividad antimicrobiana de bacteriocinas producidas por microorganismos nativos del ecosistema de Manglar de la Ciénaga de Mallorquín, frente a microorganismos patógenos de interés clínico.
Se comprobó actividad antimicrobiana leve del extracto CN11, CN 8, P4C3, frente a S. Aureus ATCC 25923, actividad antimicrobiana leve del extracto de P4C3 frente a E. coli BLEE, actividad antimicrobiana leve frente a Klebsiella Pneumoniae ATCC 700603 de los extractos P4C3 y CN9; y actividad antimicrobiana moderada para el caso del extracto proteico de la cepa CN9 frente a E.coli ATCC 25922
Screening tiroideo universal: beneficio potencial o costo innecesario
Authors: Reales Nájera Francisco Javier , Barceló Lara Walter Antonio 
Published: September 2018

La enfermedad tiroidea representa un riesgo de morbilidad obstétrica durante la gestación; afecta el desarrollo fetal y los resultados en la vida postnatal. Sin embargo las distintas guías de manejo no recomiendan el tamizaje tiroideo. En este artículo se presenta una revisión de la literatura disponible en los últimos 5 años con respecto a la patología tiroidea y su asociación con los resultados perinatales y obstétricos adversos. Los hallazgos muestran que el hipertiroidismo no representa actualmente un objeto de discusión en cuanto al diagnóstico y al manejo. Por otra parte, el hipotiroidismo afecta aproximadamente el 3-5% de los embarazos y el tipo subclínico corresponde al 80% de ellos, siendo hoy el elemento principal de la controversia, debido a la posibilidad de que existan un grupo de pacientes subclínicas que se comportarían como hipotiroideas clínicas y para las cuales se hace necesario ajustar los parámetros diagnósticos y de manejo.
Hernia diafragmática congénita de presentación tardía
Authors: De la Hoz Mendoza Ingrid , Santana Fontalvo Milena , Escamilla Gil María , Miguel Escamilla José , Segovia Fuentes Javier , Tirado Pérez Irina 
Published: September 2018

La hernia diafragmática congénita de presentación tardía (HDCT) es una entidad infrecuente, representa del 5 a 20 % de todos los casos de hernia diafragmática congénita. La presentación clínica, diagnóstico y tratamiento difiere de la hernia de presentación neonatal, dada la ausencia de hipoplasia e hipertensión pulmonar. El amplio espectro clínico de la presentación tardía o su hallazgo radiológico incidental, pueden plantear un desafío diagnóstico; la demora en su detección y abordaje aumentan la morbimortalidad y ensombrecen el pronóstico.
Presentamos el caso de una escolar de 8 años de edad a quien se le diagnostica una hernia diafragmática congénita izquierda y se hace revisión del diagnóstico, tratamiento y pronóstico de la enfermedad.
Machine learning algorithms for inter-cell interference coordination
Authors: Trejo Narváez Omar Albeiro , Miramá Pérez Víctor Fabián 
Published: September 2018

The current LTE and LTE-A deployments require larger efforts to achieve the radio resource management. This, due to the increase of users and the constantly growing demand of services. For this reason, the automatic optimization is a key point to avoid issues such as the inter-cell interference. This paper presents several proposals of machine-learning algorithms focused on this automatic optimization problem. The research works seek that the cellular systems achieve their self-optimization, a key concept within the self-organized networks, where the main objective is to achieve that the networks to be capable to automatically respond to the particular needs in the dynamic network traffic scenarios.