bluuebunny/crossref_metadata_2025_split huggingface dataset:
Associations between intraoperative nociceptive and early postoperative C-reactive protein levels in patients undergoing non-cardiac surgery under general anesthesia
Authors: Nakamoto Shiroh , Ogata Hiroki , Saeki Ayano , Ueki Ryusuke , Kariya Nobutaka , Tatara Tsuneo , Hirose Munetaka 
Published: January 2019

Abstract
Background: Early detection of postoperative increase in C-reactive protein (CRP) predicts complications after surgery. The preoperative and intraoperative factors associated with postoperative CRP changes are potentially significant in the prophylactic management of postoperative complications. Although ongoing nociception during surgery under general anesthesia is one of potential candidates for these factors, it has not been evaluated with the unavailability of valid nociception measures in clinical practice. Then we adopted averaged values of nociceptive response (NR) throughout surgery as intraoperative nociceptive levels, being examined the association between perioperative factors, early changes in postoperative CRP levels, and postoperative complications
Material and Methods: Data from 174 adult patients undergoing elective non-cardiac surgery under general anesthesia on perioperative variables, including age, sex, BMI, American Society of Anesthesiologists-physical status (ASA-PS), duration of surgery, mean NR during surgery as intraoperative nociceptive level, CRP levels before and after surgery on postoperative day (POD) 1, and postoperative complications using the extended Clavien-Dindo classification were retrospectively obtained in a training cohort. Multivariate regression analysis was performed to determine the independent factor of CRP levels on POD1and to develop a prediction model. In two validation cohorts, both 75 patients undergoing mastectomy (validation cohort A) and 139 patients undergoing laparoscopic or open abdominal surgery (validation cohort B) were separately selected, and retrospectively utilized to evaluate the value of the prediction model.
Results: CRP levels on POD1 in the training cohort significantly increased in the order of Clavien-Dindo grades. Multivariate regression analysis selected mean NR, BMI, and duration of surgery to set up the prediction model of CRP level on POD1, which showed significant correlation with the measured CRP in both two validation cohorts. To confirm associations between mean NR, postoperative CRP, and major complications (Clavien-Dindo grade ≥ IIIa), we performed a propensity score matching in the validation cohort B, using age, BMI, ASA-PS, and duration of operations, finding that both mean NR and CRP levels on POD1 were significantly higher in patients with major complications than those without major complications.
Conclusion: Increases in the intraoperative nociceptive level likely associated with early increases in CRP level after surgery.
Keywords: C-reactive protein, Postoperative complications, Nociception.
Prevalence of Methicillin-resistant Staphylococcus Aureus in Saudi Arabia Revisited: A Meta-analysis
Authors: Adam Khalid Mohamed , Abomughaid Mosleh Mohamed 
Published: January 2019

Background:The dramatic increase in the prevalence of methicillin-resistantStaphylococcus aureusas a source of nosocomial and community-associated infections in Saudi Arabia has attracted the attention of many researchers and public health workers. Hence, the aim of this meta-analysis is to assess the extent of the problem in Saudi Arabia at large.Methodology:PubMed database was searched for articles about the prevalence of MRSA in Saudi Arabia, and the relevant data from all eligible studies were analyzed to assess the overall prevalence rate by ProMeta3.Results:Seven articles were included in this meta-analysis with the sample size of 8433 individual. The overall prevalence of MRSA was 38% (95% CI: 28 – 50). The prevalence of MRSA according to the region was 32% (95%CI: 21 – 46) for the central region and 42% (95% CI: 33 – 52) for the western region.Conclusion:The findings of this study indicate that the overall prevalence of MRSA in Saudi Arabia is relatively high, with the western region showing the highest prevalence rates, which necessitates the urgent implementation of preventive and educative strategies.
Himno de las Enfermeras Mexicanas
Authors: Herrejon Pérez Ofelia Yunuen , Pérez García Ofelia , Martínez Puc José Arturo 
Published: January 2019

La Comisión Permanente de Enfermería, de la Secretaria de Salud propuso la creación y difusión de un Himno a la Enfermera que refleje su filosofía, valores y razón de existir, así como las aportaciones que hace a la sociedad en la que se desempeña. 1er lugar Estado de Michoacán Nombre Del Himno “Enfermeras Mexicanas”
La minería y el desarrollo insostenible. El estudio de caso en San Juan, Argentina
Authors: Moscheni Margarita 
Published: January 2019

<p>“La minería es el motor principal del desarrollo”, reza uno de los principales argumentos a favor de esta actividad. Este trabajo es producto de una investigación de tipo interpretativo y comprensivo, que aspira a verificar el slogan mencionado, tomando como caso la minería extractiva en San Juan, provincia ubicada en el centro-oeste de Argentina. Entre los principales resultados obtenidos está que la alta inversión extranjera en minería no es sinónimo de desarrollo, sino por el contrario, genera un crecimiento concentrado, excluyente e insostenible, vulnerando el aparato comercial externo, desplazando las producciones tradicionales y generando un proceso de conflictos socioambientales y de daños ecológicos irreversibles.</p>
The Persistence of Specialty Disrespect: Student Perspectives
Authors: Alston Michael , Cawse-Lucas Jeanne , Hughes Lauren S. , Wheeler Tyler , Kost Amanda 
Published: January 2019

Purpose: One aspect of the hidden curriculum of medicine is specialty disrespect (SD)—an expressed lack of respect among medical specialties that occurs at all levels of training and across geographic, demographic, and professional boundaries, with quantifiable impacts on student well-being and career decision making. This study sought to identify medical students’ perceptions of and responses to SD in the learning environment.
Methods: We conducted quantitative and content analysis of an annual survey collected between 2008 and 2012 from 702 third- and fourth-year students at the University of Washington School of Medicine. We describe the frequency of reported SD, its self-rated impact on student specialty choice, and major descriptive categories.
Results: Nearly 80% of respondents reported experiencing SD in the previous year. A moderate or strong impact on specialty choice was reported by 25.9% of respondents. In our sample, students matching into family medicine, obstetrics/gynecology, and emergency medicine were most likely to report exposure. Content analysis identified two new concepts not previously reported. Internecine strife describes students distancing themselves from both disrespecting and disrespected specialties, while legitimacy questions the validity of the targeted specialty.
Conclusions: SD is a consistent and ubiquitous part of clinical training that pushes students away from both disrespecting and disrespected specialties. These results emphasize the need for solutions aimed at minimizing disrespect and mitigating its effects upon students.
Conocimientos Actitudes y Prácticas de Métodos anticonceptivos en estudiantes de medicina de la Universidad Central del Ecuador
Authors: Vinueza Andres Paul 
Published: January 2019

Objetivos: Determinar los Conocimientos, las Actitudes y las Practicas de estudiantes de pregrado de diferentes niveles de la carrera de medicina de la Universidad Central del Ecuador.
Metodología: Se realizó un estudio descriptivo observacional de corte transversal, que analiza los conocimientos, actitudes y prácticas sobre los métodos anticonceptivos .La población de estudio fueron estudiantes de pregrado de la carrera de medicina de la Universidad Central del Ecuador de primer año a internado rotativo, se realizó la encuesta previamente validada con 29 preguntas mixtas a 246 estudiantes (hombres y mujeres aleatoriamente), de forma presencial en las instalaciones de la Universidad Central del Ecuador en el periodo entre enero y febrero del 2018.
Resultados: Se realizaron un total de 246 encuestas, hombres 139 (56,5%) y mujeres 107 (43,5%), con una media de edad de 24.25 años. El Conocimiento sobre los métodos anticonceptivos en los participantes fue alto, dentro de los más conocidos está el condón (98,4%), en segundo y tercer lugar los métodos de esterilización como vasectomía (97,2%) y la ligadura (95,5 %). DIU o espiral (94,3%), ACO (93,9%), Anticoncepción de emergencia (92,7%). En cuanto a la decisión de usar su primer método el 59.8% tomo esta decisión junto a su pareja, el 35.5% por cuenta propia y solo el 4.7% consultó con otra persona.
El método que preferiría usar en el futuro, el implante subdérmico tuvo preponderancia con un 30.5% de los encuestados, seguido del preservativo 25.6%. Consecuentemente los anticonceptivos orales así como las inyecciones anticonceptivas obtuvieron el 15.9% y 12,6% respectivamente. Los estudiantes encuestados han utilizado como método contraceptivo en mayor prevalencia el Preservativo (70,7%), coito interrumpido (37%), Anticonceptivos de emergencia (35,4%), Anticonceptivos orales (24,4%).
Discusión: La gran carencia de datos en Ecuador y América Latina sobre anticoncepción motiva a seguir investigando, ya que la salud reproductiva sobre todo en los adultos jóvenes como los universitarios es un gran problema de salud pública para un país en desarrollo, por los costos y morbimortalidad que representa un embarazo no deseado.

Palabras clave: Conocimiento, Actitud, Conducta anticonceptiva, Estudiantes de medicina
ANALISIS KINERJA ORGANISASI BERBASIS BALANCED SCORECARD PADA PERUSAHAAN JASA TRAVEL SHUTTLE DI KOTA BANDUNG
Authors: Hermanto Bambang , . Rivani 
Published: January 2019

ABSTRACTThis research was conducted with a main objective to analyze the performance of Citi Trans Travel Company in Bandung by using the Balanced Scorecard concept. Balanced Scorecard-based performance appraisal is basically a performance evaluation using an integrated four main perspectives, namely financial perspective, customer perspective, internal business process perspective, and learning and growth perspectives.The research method used in this research was the case study with the type of research was descriptive analytic study. Object taken in this research was Citi Trans Travel Company in the city of Bandung. Data used both primary and secondary data. For the validity of the data, this study used triangulation techniques, both sources and data collection techniques.The conclusion of performance appraisal of Citi Trans based on Balanced Scorecard which measured by 4 dimensions was all those 4 dimensions were on “Good” categorize, with the highest total of score was Customer Dimension, and the lowest total of score was Financial Dimension. This showed us that Citi Trans had put the customer satisfaction as their company main priority. However Citi Trans needed put more attention on their level of cost efficiency without sacrificed their product or service quality. ABSTRAKPenelitian ini dilakukan dengan tujuan untuk menganalisis kinerja Perusahaan Travel CitiTrans di Bandung dengan menggunakan konsep Balanced Scorecard. Penilaian kinerja berbasis Balanced Scorecard pada dasarnya adalah evaluasi kinerja menggunakan empat perspektif utama yang terintegrasi, yaitu perspektif keuangan, perspektif pelanggan, perspektif proses bisnis internal, dan perspektif pembelajaran dan pertumbuhan.Metode penelitian yang digunakan dalam penelitian ini adalah studi kasus dengan jenis penelitian deskriptif analitik. Objek yang diambil dalam penelitian ini adalah Perusahaan Perjalanan CitiTrans di kota Bandung. Data menggunakan data primer dan sekunder. Untuk validitas data, penelitian ini menggunakan teknik triangulasi, baik sumber dan teknik pengumpulan data.Kesimpulan penilaian kinerja Citi Trans berdasarkan Balanced Scorecard yang diukur oleh 4 dimensi adalah keempat dimensi tersebut berada pada kategori “Baik”, dengan total skor tertinggi adalah Dimensi Pelanggan, dan total skor terendah adalah Dimensi Keuangan. Ini menunjukkan kepada kami bahwa Citi Trans telah menempatkan kepuasan pelanggan sebagai prioritas utama perusahaan mereka. Namun, Citi Trans perlu lebih memperhatikan tingkat efisiensi biaya mereka tanpa mengorbankan kualitas produk atau layanan mereka.
ANALISIS BUDAYA ORGANISASI PADA LEVEL MANAJEMEN PUNCAK	DI PT X MEDAN SUMATERA UTARA
Authors: Sukoco Iwan , Dewi Rosana 
Published: January 2019

ABSTRACTBased on the objective in this research, the autor deeply want to know is the organizational culture that existed at PT X Medan North Sumatra. This research use quantitative methods with survey type. Author collected data using The Denison Organizational Survey (DOCS) and interviews. The Denison Organizational Survey (DOCS) is derived from Denison Model that emphasizes the four dimensions of culture. Data collection and interviews carried out by the top management. The results of research identified PT X has a weak culture. The results of the questionnaire revealed an imbalance between the four dimensions of Denison Model. Involvement dimension have the highest value while adaptability dimension with the lowest score. In top level managemen perceptions of organizational cultur has good category. ABSTRAKPenelitian ini bertujuan untuk mengetahui budaya organisasi pada level manajemen puncak PT X Medan Sumatera Utara. Penelitian ini menggunakan metode kuantitatif dengan jenis survey. Penulis mengumpulkan data menggunakan kuesioner The Denison Organizational Survey (DOCS) dan wawancara. DOCS berasal dari Model Denison yang menekankan pada empat dimensi budaya dalam organisasi yang harus dikuasai agar organisasi dapat berjalan secara efektif. Pengumpulan data dan wawancara dilakukan pada jenjang manajemen puncak. Hasil penelitian mengidentifikasikan bahwa PT X memiliki budaya yang lemah. Sebab, keempat dimensi Model Denison yaitu adaptability, consistency, involvement, dan mission menunjukkan ketidakseimbangan. Dimensi involvement memiliki nilai paling tinggi sedangkan dimensi adaptability dengan nilai paling rendah. Persepsi mengenai budaya organisasi pada level manajemen puncak pada kategori baik.
IMPLEMENTASI PERATURAN WALIKOTA BANDUNG TENTANG TARIF JASA PENGELOLAAN SAMPAH ( Penelitian di Wilayah Bandung Timur)
Authors: Engkus Engkus Engkus , Zakiah Neneng 
Published: January 2019

ABSTRAK Latar belakang penelitian ini bahwa Perusahaan Daerah Kebersihan Kota Bandung merupakan Badan Usaha Milik Daerah (BUMD) yang menjadi implementor terkait pelayanan kebersihan dan pengelolaan sampah di Kota Bandung yang diatur dalam Peraturan Walikota Bandung Nomor 316 Tahun 2013 tentang Tarif Jasa Pengelolaan Sampah. Tujuan penelitian ini yaitu untuk mengkaji proses implementasi dari kebijakan tarif jasa pengelolaan sampah ini. Saat ini proses implementasi kebijakan dari retribusi sampah untuk kategori Komersial dan Non Komersial belum optimal dilihat pada tahun 2017 Perusahaan Daerah Kebersihan Kota Bandung cenderung mengalami kerugian, anggaran yang terserap hanya 68,40% dari biaya operasional yang telah dikeluarkan. Khususnya di wilayah Bandung Timur, kebijakan terkait retribusi sampah belum mampu dilaksanakan secara optimal dilihat dari beberapa kendala yang dihadapi sehingga mempengaruhi terhadap pendapatan realisasi dari retribusi sampah ini. Penelitian ini menggunakan teori implementasi kebijakan mengacu pada teori George C. Edward III yang menyatakan bahwa keberhasilan dan kegagalan dalam proses implementasi kebijakan dapat dianalisis melalui keempat dimensi yaitu Komunikasi, Sumber Daya, Disposisi, dan Struktur Birokrasi. Metode yang digunakan dalam penelitian ini adalah metode kualitatif dengan jenis penelitian deskriptif. Hasil penelitian pengelolaan sampah di Bandung Timur menunjukan bahwa proses implementasi yang meliputi komunikasi yaitu melaksanakan proses komunikasi internal secara vertikal dan horizontal sudah baik dilakukan oleh Perusahaan Daerah Kebersihan Kota Bandung, namun komunikasi eksternal kepada masyarakat masih belum optimal dilakukan. Sumber Daya Manusia (SDM) seperti petugas lapangan masih kurang untuk melakukan pelayanan publik serta sarana dan prasarana operasional di Bandung Timur masih kurang. Disposisi belum dilaksana dengan baik dan Struktur birokrasi seperti Satuan Operasional Prosedur (SOP) untuk penagihan sampah kategori Komersial dan Non Komersial sudah ada, namun Perusahaan Daerah Kebersihan Kota Bandung belum memiliki Satuan Operasional Prosedur (SOP) secara umum untuk setiap program secara keseluruhan.
Complex Gleason Measures and the Nemytsky Operator
Authors: Mariani Maria C. , Tweneboah Osei K. , Valles Miguel A. , Bezdek Pavel 
Published: January 2019

Abstract
This work is devoted to the generalization of previous results on Gleason measures to complex Gleason measures. We develop a functional calculus for complex measures in relation to the Nemytsky operator. Furthermore we present and discuss the interpretation of our results with applications in the field of quantum mechanics. Some concrete examples and further extensions of several theorems are also presented.
Estimation of body composition and water data depends on the bioelectrical impedance device
Authors: Bellafronte Natália T. , Batistuti Marina R. , dos Santos Nathália Z. , Holland Héric , Romão Elen A. , G. Chiarello Paula 
Published: January 2019

Abstract
Overweight, obese and chronic kidney disease patients have an altered and negative body composition being its assessment important. Bioelectrical impedance analysis is an easy-to-operate and low-cost method for this purpose. This study aimed to compare and correlate data from single- and multi-frequency bioelectrical impedance spectroscopy applied in subjects with different body sizes, adiposity, and hydration status. It was a cross-sectional study with 386 non-chronic kidney disease volunteers (body mass index from 17 to 40 kg/m2), 30 patients in peritoneal dialysis, and 95 in hemodialysis. Bioelectrical impedance, body composition, and body water data were assessed with single- and multi-frequency bioelectrical impedance spectroscopy. Differences (95% confidence interval) and agreements (Bland-Atman analyze) between devices were evaluated. The intraclass correlation coefficient was used to measure the strength of agreement and Pearson’s correlation to measure the association. Regression analyze was performed to test the association between device difference with body mass index and overhydration. The limits of agreement between devices were very large. Fat mass showed the greatest difference and the lowest intraclass and Pearson’s correlation coefficients. Pearson’s correlation varied from moderate to strong and the intraclass correlation coefficient from weak to substantial. The difference between devices were greater as body mass index increased and was worse in the extremes of water imbalance. In conclusion, data obtained with single- and multi-frequency bioelectrical impedance spectroscopy were highly correlated with poor agreement; the devices cannot be used interchangeably and the agreement between the devices was worse as body mass index and fat mass increased and in the extremes of overhydration.
On the selection of excitation signals for the fast spectroscopy of electrical bioimpedance
Authors: Ojarand Jaan , Min Mart 
Published: January 2019

Abstract
Different excitation signals are applicable in the wideband impedance spectroscopy in general. However, in electrical bioimpedance (EBI) measurements, there are limitations that set specific demands on the properties of the excitation signals. This paper compares the efficiency of different excitation signals in a graspable presentation and gives recommendations for their use. More exactly, the paper deals with finding the efficient excitation waveforms for the fast spectroscopy of electrical bioimpedance. Nevertheless, the described solutions could be useful also in other implementations of impedance spectroscopy intended for frequency domain characterization of different objects.
Detection and elimination of signal errors due to unintentional movements in biomedical magnetic induction tomography spectroscopy (MITS)
Authors: Issa S. , Scharfetter H. 
Published: January 2019

Abstract
In biomedical MITS, slight unintentional movements of the patient during measurement can contaminate the aimed images to a great extent. This study deals with measurement optimization in biomedical MITS through the detection of these unpredictable movements during measurement and the elimination of the resulting movement artefacts in the images to be reconstructed after measurement. The proposed detection and elimination (D&E) methodology requires marking the surface of the object under investigation with specific electromagnetically perturbing markers during multi-frame measurements. In addition to the active marker concept already published, a new much simpler passive marker concept is presented. Besides the biological signal caused by the object, the markers will perturb the primary magnetic field inducing their own signals. The markers' signals will be used for the detection of any unwanted object movements and the signal frames corrupted thereby. The corrupted signal frames will be then excluded from image reconstruction in order to prevent any movement artefacts from being imaged with the object. In order to assess the feasibility of the developed D&E technique, different experiments followed by image reconstruction and quantitative analysis were performed. Hereof, target movements were provoked during multifrequency, multiframe measurements in the β-dispersion frequency range on a saline phantom of physiological conductivity. The phantom was marked during measurement with either a small single-turn coil, an active marker, or a small soft-ferrite plate, a passive marker. After measurement, the erroneous phantom signals were corrected according to the suggested D&E strategy, and images of the phantom before and after correction were reconstructed. The corrected signals and images were then compared to the erroneous ones on the one hand, and to other true ones gained from reference measurements wherein no target movements were provoked on the other hand. The obtained qualitative and quantitative measurement and image reconstruction results showed that the erroneous phantom signals could be accurately corrected, and the movement artefacts could be totally eliminated, verifying the applicability of the novel D&E technique in measurement optimization in biomedical MITS and supporting the proposed aspects.
Growth and physicochemical characterization of calcium cadmium thiocyanate CaCd(SCN)4 single crystals
Authors: Latha C. , Mahadevan C.K. 
Published: January 2019

Abstract
It is important to grow and characterize new bimetallic thiocyanate single crystals as they are expected to exhibit useful optical and electrical properties. In the present study, calcium cadmium thiocyanate CaCd(SCN)4 single crystals were grown by slow evaporation of solvent and were characterized chemically, structurally, thermally, optically and electrically. X-ray diffraction analysis indicates that the grown crystal belongs to the tetragonal crystal system with lattice parameters: a = b = 12.2491(7) Å and c = 15.1012(5) Å. EDAX spectral analysis confirms the expected chemical composition. Thermogravimetric (TG/DTA) measurement implies good thermal stability. Optical (UV-Vis-NIR absorption spectral and SHG efficiency) measurements suggest good optical absorption in the UV and blue regions and the SHG efficiency of 6.13 (in urea unit). The dielectric measurements carried out in the temperature range of 40 °C to 150 °C at five different frequencies, viz. 100 Hz, 1 kHz, 10 kHz, 100 kHz and 1 MHz indicate a normal dielectric behavior.