bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hemodynamic Profile and Cardiac Morphometry in Normotension and Severe Preeclamptic Pregnant Women
Authors: Wibowo Noroyono , Lestari Peby M 
Published: January 2019

Abstract
Objective: To identify the differences of hemodynamic profile and morphometric changes of maternal heart in normotensive and severe preeclampsia (early-onset and late-onset) pregnant women.
Method: Cross-sectional study on consecutively selected 34 pregnant women which divided into three groups: normotensive group (n = 12), early-onset group (n = 11), and the late-onset group (n = 11). Conducted in the ER and inpatient care unit of Obstetrics and Gynecology Department, Faculty of Medicine Sriwijaya University / Dr. Moh. Hoesin Hospital Palembang, from April 2015 - June 2015.
Results: There are significant differences in CO and SVR among three groups. In early onset groups, CO values ​​are lower (3.4 + 0:27, p <0.001) with higher SVR (3100.2 + 261.3, p <0.001) compared the other two groups. There is increased of SVR in preeclamptic group compared to control, where SVR is higher in the early onset compared to late-onset group (3100.2 + 261.3 vs 2217.1 + 407.8, p <0.001), as well as differences between groups in cardiac index variables, except in the early onset group and controls (p = 0.045). In blood pressure and MAP variable, we only notice difference between the early onset group and control (p <0.001) as well as late-onset group and controls (p <0.001). There are significant differences in LVMi, LVID and LVPWT among three groups, in which the control group was lower than the other two groups (p <0.001; p = 0.049; p = 0.009), but similar in early and late-onset groups (98.7 (86.5-203) vs 132 (77.7-17.6); 4.7 (0.4) vs 4.8 (0.5); 1.1 (0.7-1.3) vs. 1.1 (0.8-1.6)). While RWT relatively similar among the three study groups (p = 0.264). A post hoc analysis showed no differences in maternal heart morphometry in early onset and late-onset group (p> 0.05).
Conclusions: In severe preeclampsia there are changes in hemodynamic, ventricular morphometry, and left ventricular function. But the changes that occurred seems to be more evident in the early onset preeclampsia group of compared than late-onset preeclampsia.
Keywords: Normotensive, early onset PEB, PEB late-onset, hemodynamic profile, cardiac morphometry.
The Proportion of Lymph Node Metastasis in Patients with Stage IIA1 and IIA2 Cervical Cancer who were Treated for Radical Hysterectomy and Pelvic Lymphadenectomy
Authors: Andrijono Andrijono , Ginealdy Wahyu 
Published: January 2019

Objective: This study was designed to determine a difference in prognosis of stage IIA1 cervical cancer compared to stage IIA2 based on the incidence of metastasis to pelvic lymph nodes by radical hysterectomy.
Methods:A cross sectional study was conducted among 108 stage II cervical cancer patient post radical hysterectomy in obstetric gynecologic department of Dr. CiptoMangunkusumo hospital since 2006-2016.
Results: From 108 patients with cervical cancer stage IIA, 80 (74%) patients are stage IIA1 and the remaining the remaining 28 (26%) patients are stage IIA2. The average age of patients at stage IIA2 (47.79 years) younger than IIA1 (55.85 years) and also patient at stage IIA1 having a higher parity number which is 4 compare to stage IIA2 with the number of parity 2. The Involvement of lymph node metastasis in patients with stage IIA1 and IIA2 cervical cancer were 51 (63.75%) and 16 (57.14%) respectively.
Conclusion: Metastatic factor to lymphnode in both stage have the same result. There was no difference in the proportion of lymph node metastasis occurring in both stage IIA cervical cancer stage which was corrected with radical hysterectomy and pelvic lymphadenectomy with p = 0,535. Changing staging does not seem to improve the prognosis.
Keywords: cervical cancer, stage IIA, lymphnode metastatic

Tujuan:Membuktikan adanya perbedaan prognosis kanker servik stadium IIa1 dibanding stadium IIa2 berdasarkan kejadian metastasis ke kelenjar getah bening pelvik yang dilakukan histerektomi radikal.
Metode: Dengan menggunakan metode potong lintang dilakukan pengambilan data 108 sampel pasien kanker serviks stadium IIA yang dilakukanpembedahanhisterektomiradikal di Departemen OnkologiGinekologi RSUP. Dr. Cipto Mangunkusumo Jakarta sejak tahun 2006 hingga tahun 2016.
Hasil: Pasien kanker serviks stadium IIA1 sebanyak 80 (74%) pasien dan stadium IIA2 sebanyak 28 (26 %) pasien. Pada stadium IIA2 (47.79 tahun) didapatkan rata ratausiapasienlebihmudadibandingkan IIA1 (55.85 tahun). Pada stadium IIA1 jugadidapatkanjumlahparitas yang lebihtinggiyaitu 4 sedangkanpada stadium IIA2 denganjumlahparitas 2.
Keterlibatan metastasis kelenjar getah bening pada pasien kanker serviks stadium IIA1 dan IIA2 berjumlah 51 (63.75%) dan 16 (57.14%) secara berurutan. Tidak terdapat perbedaan proporsi kejadian metastasis kelenjar getah bening pada kedua kelompok stadium kanker serviks pada stadium IIA dengan nilai p = 0,535.
Kesimpulan: Faktor metastasis kelenjar getah bening pada kedua stadium memiliki hasil yang serupa.Tidak terdapat perbedaan proporsi kejadian metastasis kelenjar getah bening pada kedua kelompok stadium kanker serviks stadium IIA1 dan IIA2 yang ditatalaksna dengan histerektomi radikal dan limfadenektomi pelvis. Perubahan penetapan stadium sepertinya tidak memperbaiki prognosis.
Kata kunci : Kanker serviks, stage IIA, kelenjar getah bening, faktor prognostik
Analisis Penghematan Biaya Klaim Kesehatan PT. XYZ Sebagai Upaya Peningkatan Keselamatan dan Kesehatan Kerja
Authors: Khoirin Isna Auliana 
Published: January 2019

ABSTRAK
PT. XYZ merupakan suatu perusahaan swasta yang bergerak di bidang industri farmasi. Rata-rata angka kejadian kecelakaan kerja dan penyakit akibat kerja pada perusahaan tersebut pada tahun 2013-2016 mencapai 92 kejadian per tahun dan mengakibat biaya klaim kesehatan sebesar Rp 125.221.840 (per tahun). Untuk melindungi keselamatan tenaga kerja guna mewujudkan produktifitas kerja yang optimal diselenggarakan upaya keselamatan dan kesehatan kerja serta diadakannya jaminan sosial bagi pekerja. Selama tahun 2017 PT. XYZ menyelenggarakan BPJS Ketenagakerjaan bagi pekerjanya, setelah empat tahun terakhir mengeluarkan dana yang besar untuk biaya klaim kesehatan pekerjanya. Penelitian ini bertujuan untuk mengetahui penghematan biaya klaim kesehatan PT. XYZ setelah melaksanakan BPJS Ketenagakerjaan. Dari penelitian dengan mengunakan metode yuridis-empiris dan juga kuantitatif, didapatkan hasil biaya klaim Kesehatan PT. XYZ terjadi penurunan Rp 77.334.058 atau efisiensi mencapai 23,64%. Masih ada kecelakaan kerja atau penyakit akibat kerja sebesar 63 kejadian. PT. XYZ perlu mengadakan APD terutama masker, sarung tangan, helm pelindung dan sepatu safety serta perlu diadakan sosialisasi mengenai pentingnya SMK3.
Kata kunci: Penghematan, Keselamatan Kerja, Klaim Kesehatan
Faktor-faktor yang Berhubungan dengan Kepuasan Pasien Rawat Jalan Rumah Sakit
Authors: Munawir Ikbal 
Published: January 2019

Konsekuensi dari ketidakpuasan pasien adalah menurunnya kunjungan. Berdasarkan data dari Rumah Sakit Ummi Bogor, telah terjadi penurunan kunjungan pasien pada akhir tahun 2017. Tujuan penelitian ini untuk mengetahui hubungan antara tingkat pendidikan, jenis kelamin, usia, budaya, technical, interpersonal dan tangible terhadap kepuasan pasien rawat jalan di Rumah Sakit Ummi Bogor Tahun 2018. Metode penelitian menggunakan deskriptif analitik dengan pendekatan cross sectional. Pengumpulan data dilakukan dengan menggunakan data primer dan sekunder. Subyek penelitian sebanyak 88 responden pasien rawat jalan di Rumah Sakit Ummi dengan teknik pengambilan sampel menggunakan proportional sampling. Analisis ini menggunakan univariat, bivariat dan multivariat. Hasil analisis univariat bahwa pasien rawat jalan yang puas dengan pelayanan kesehatan 69 orang (78,4%) dan yang kurang puasa 19 orang (21,6%). Hasil analisis bivariat menunjukan dari dari 7 ada 2 variabel yang memiliki hubungan bermakna dengan kepuasan pasien rawat jalan, yaitu: variabel technical (p-value=0,002) dengan nilai OR=7,636 dan variabel interpersonal (p-value=0,000) dengan nilai OR=8113. Hasil analisis multivariat varibel interpersonal merupakan variabel paling dominan berhubungan dengan kepuasan pasien (p-value=0,000) dengan nilai OR=8,113. Sebaiknya manajemen pelayanan rumah sakit, selalu meningkatkan mutu pelayanan baik dari segi technical maupun interpersonal untuk meningkatkan kepuasan pasien.
La Fédération française de tennis de table (FFTT) et ses clubs affiliés à l’épreuve du pouvoir (1927-1932) : de l’entre-soi à l’encadrement d’un succès sportif
Authors: Mousset Kilian 
Published: January 2019

Créée à l’initiative d’une dizaine de clubs en mars 1927, la Fédération française de tennis de table n’évolue que très peu au cours de ses quatre premières années. Un centralisme parisien favorisant l’entre-soi de grands clubs limite ses initiatives de développement. La proximité de son règlement, de son calendrier, voire de certains dirigeants avec le lawn-tennis menace d’ailleurs directement son indépendance. Ce n’est qu’à l’aube de l’année 1932, dans un contexte où le ping-pong prend un essor sans précédent, que la jeune fédération s’ouvre à la province en décentralisant ses pouvoirs à l’échelle de la région, en diminuant les coûts d’affiliation des clubs par les initiatives de nouvelles personnalités issues du Comité de Paris.
Transcultural Reflection on Clinical Teaching Using an Experiential Teaching-Learning Model
Authors: Papai Pierrette , Bourbonnais Frances Fothergill , Chevrier Jacques 
Published: January 2019

ABSTRACT
Background: A 6-day professional development workshop was designed and implemented in China as part of a project funded by the Canadian International Development Association through the Canada-China University linkage program.
Method: Kolb's experiential learning model was used as a framework to help Chinese nurse educators reflect on their practice as clinical teachers.
Results: The workshop resulted in the generation of new insights by participants into their role as clinical teachers. Chinese educators wanted to increase their links between the teaching of theory at the college and the instruction of students in the practice setting.
Conclusion: The use of a similar approach in future professional development workshops allows presenters to identify nurses' learning needs regarding specific areas of nursing practice and education.
Epidemiology of Exertional Heat Illnesses in National Collegiate Athletic Association Athletes During the 2009–2010 Through 2014–2015 Academic Years
Authors: Yeargin Susan W. , Dompier Thomas P. , Casa Douglas J. , Hirschhorn Rebecca M. , Kerr Zachary Y. 
Published: January 2019

Context
Exertional heat illnesses (EHIs) among football athletes have been widely researched, but data examining all collegiate sports are limited.

Objective
To describe the epidemiology of EHI in 25 National Collegiate Athletic Association (NCAA) sports.

Design
Descriptive epidemiology study.

Setting
The NCAA Injury Surveillance Program during the 2009–2010 through 2014–2015 academic years.

Patients or Other Participants
A voluntary sample of 166 NCAA institutions over 2048 team-seasons.

Main Outcome Measure(s)
Athletic trainers reported EHIs to the NCAA Injury Surveillance Program. Only EHIs sustained during a sanctioned practice or competition were included. The EHI rate, specific diagnoses, and number of emergency transports were measured.

Results
Overall, 232 EHI events were reported (0.47/10 000 athlete-exposures [AEs]; 95% confidence interval [CI] = 0.41, 0.53). Football comprised 75% of all EHI events and had the largest rate (1.55/10 000 AEs; 95% CI = 1.32, 1.78). The overall EHI rate was higher in preseason practices (1.16/10 000 AEs) than all other time periods (regular and postseason practices and all competitions; 0.23/10 000 AEs, injury rate ratio [IRR] = 4.96; 95% CI = 3.79, 6.50). This result was retained when examining the individual sports of football (3.65/10 000 versus 0.63/10 000 AEs, IRR = 5.82; 95% CI = 4.18, 8.10), men's soccer (1.11/10 000 versus 0.07/10 000 AEs, IRR = 16.819; 95% CI = 1.89, 138.55), and women's soccer (1.10/10 000 versus 0.05/10 000 AEs, IRR = 22.52; 95% CI = 2.77, 183.05). The EHI rates were highest in states with elevated annual temperatures (1.05/10 000 AEs). Heat cramps (39%), heat exhaustion (27%), and dehydration (29%) were the most common types of EHI. Nineteen athletes with EHI (8%) required emergency transport.

Conclusions
Football players continue to experience the most EHIs; however, EHIs can potentially occur in all NCAA sports. Continued emphasis on preseason EHI policies and institution-specific environmental guidelines is needed to address EHI rates.
Sexually transmitted infections, the silent partner in HIV-infected women in Zimbabwe
Authors: Lowe Sara , Mudzviti Tinashe , Mandiriri Ardele , Shamu Tinei , Mudhokwani Petronella , Chimbetete Cleophas , Luethy Ruedi , Pascoe Margaret 
Published: January 2019

Background: Coinfection rates of HIV and sexually transmitted infections (STIs) are not widely reported in Zimbabwe and no local guidelines regarding the screening of STIs in people living with HIV exist.Objectives: This cross-sectional study was conducted to determine the prevalence and associated risk factors for STI coinfection in a cohort of HIV-infected women.Methods: Between January and June 2016, 385 HIV-infected women presenting for routine cervical cancer screening were tested for five STIs: Neisseria gonorrhoeae (NG), Chlamydia trachomatis(CT), Trichomonas vaginalis (TV), Herpes Simplex Virus (HSV) type 2 and Treponema pallidum (TP). Socio-demographic characteristics and sexual history were recorded. Multiple logistic regression was used to identify factors associated with the diagnosis of non-viral STIs.Results: Two hundred and thirty-three participants (60.5%) had a confirmed positive result for at least one STI: HSV 2 prevalence 52.5%, TV 8.1%, CT 2.1%, NG 1.8% and TP 11.4%. Eighty-seven per cent of the women were asymptomatic for any STI; 62.3% of women with a non-viral STI were asymptomatic. Women who had attended tertiary education were 90% less likely to have a non-viral STI (adjusted odds ratio [aOR]: 0.10, 95% confidence interval [CI]: 0.03–0.39, p < 0.01). Having more than three lifetime sexual partners was a significant predictor for a non-viral STI diagnosis (aOR: 3.3, 95% CI: 1.5–7.2, p < 0.01).Conclusion: A high prevalence of predominantly asymptomatic STIs is reported in a cohort of HIV-infected women. Syndromic management results in underdiagnosis of asymptomatic patients. More than three lifetime sexual partners and less formal education are risk factors for coinfection with non-viral STI. High-risk women should be screened using aetiological methods.
Fine-needle aspiration cytology of gallbladder with an attempt of cytomorphological classification
Authors: Chandra Smita , Chandra Harish , Shukla Sushil Kumar , Sahu Shantanu 
Published: January 2019

Background:
Image-guided fine-needle aspiration has emerged as an effective diagnostic tool for precise diagnosis of deep-seated lesions. Although occasional studies have made an attempt to classify the gallbladder carcinoma on cytology, literature lacks the standardized cytological nomenclature system used for it. The present study was conducted to study the role of fine-needle aspiration cytology (FNAC) in diagnosis of gallbladder lesions with an attempt of cytomorphological classification.

Methods:
The study included cases of image-guided FNAC of the gallbladder over a period of 3½ years. An attempt was made to categorize gallbladder lesions on basis of architectural and cytomorphological features along with analysis of management.

Results:
The study included 433 cases and lesions were categorized on FNAC into five categories ranging from Category 1 (inadequate), Category 2 (negative for malignancy), Category 3 (atypical cells), Category 4 (highly atypical cells suggestive of malignancy), and Category 5 (positive for malignancy). The most common architectural pattern observed on FNAC of neoplasm was sheets and acini with predominance of columnar cells and adenocarcinoma being the most common malignancy. The histopathological diagnosis was available in 93 cases with cytohistopathological concordance of 94.4% in malignant cases.

Conclusions:
Image-guided FNAC plays an important role in diagnosis of gallbladder lesions with minimal complications. The cytomorphological classification of gallbladder lesions provides an effective base for accurate diagnosis and management. Category 3 and 4 are the most ambiguous category on FNAC which should be managed by either repeat FNAC or surgery in the light of worrisome radiological features. The vigilant examination of architectural pattern and cytomorphological features of the smears may be helpful in clinching the diagnosis and precisely subtyping malignant tumors along with prognostication of these tumors.
APPLICATION OF CALIXARENE DERIVATIVES AS TACKIFIER RESIN IN RUBBER COMPOUNDS FOR TIRE APPLICATIONS
Authors: Pekachaki Henrik Margharian , Taghvaei-Ganjali Saeed , Motiee Fereshteh , Saber-Tehrani Mandana 
Published: January 2019

ABSTRACT
The effect of p-tert-Butylcalix[4]arene on rubber-nylon-6 fabric and rubber-metal bead wire adhesion strength was quantified. For this purpose, two typically used rubber compounds were employed for two reinforcing motorcycle tire components: ply and bead. The standard pull-out tests of rubber–fabric and rubber–metal showed improvements in adhesion strength by incorporating p-tert-Butylcalix[4]arene into rubber compounds. However, the maximum values of adhesion force to pull the polyamide fabrics and brass-coated metal wires out of the rubber compounds were observed when only 1.0 phr of p-tert-Butylcalix[4]arene was used. The adhesion performance of both fabric and metal wire decreased with higher loading amounts of p-tert-Butylcalix[4]arene. The effect of a commercial phenolic tackifying resin was also evaluated in bead compound. Very similar adhesion results to p-tert-Butylcalix[4]arene were obtained when using 1.0 phr phenolic resin.
Voorstel voor een EU-richtlijn met betrekking tot het gebruik van digitale instrumenten en processen in het kader van het vennootschapsrecht
Authors: Verbrugh M.A. 
Published: January 2019

Voorstel voor een EU-richtlijn met betrekking tot het gebruik van digitale instrumenten en processen in het kader van het vennootschapsrecht
Op 25 april 2018 heeft de Europese Commissie een richtlijnvoorstel met betrekking tot het gebruik van digitale instrumenten en processen in het kader van het vennootschapsrecht, inclusief een regeling voor gediskwalificeerde bestuurders, openbaar gemaakt. In deze bijdrage wordt het voorstel onderzocht, met bijzondere aandacht voor de rol van de notaris.
SOBERANIA, DISCIPLINA E SEGURANÇA: UMA ANÁLISE DO DISPOSITIVO E SUAS POSSÍVEIS VERTENTES EM MICHEL FOUCAULT
Authors: Gonçalves Daniel Luis Cidade 
Published: January 2019

RESUMO: O objetivo deste trabalho consiste em, partindo do conceito de dispositivo em Michel Foucault, traçar uma análise sob a perspectiva das relações de saber/poder em busca de uma compreensão mais detalhada daquilo que poderíamos chamar de dispositivo de soberania, dispositivo disciplinar e dispositivo de segurança. Trata-se de investigar a interdependência presente nos discursos que legitimam cada dispositivo e as relações de poder que permitem as inúmeras articulações práticas que encontramos em nossas sociedades. A partir desta metodologia de análise do poder, investigaremos a concepção jurídico-discursiva de poder, o conceito de poder disciplinar, assim como aquilo que Foucault chama de biopolítica. Com isso, fica mais acessível a compreensão do mundo contemporâneo globalizado como um momento em que inúmeros dispositivos entram em choque, tornando as análises políticas possíveis cada vez mais complexas. Buscamos um diagnóstico do presente, através da compreensão de suas disposições atuais de poder, para que com isso possamos seguir em frente em busca de relações mais livres e menos opressivas, normalizadas ou regulamentadas. PALAVRAS-CHAVE: Dispositivo. Soberania. Disciplina. Segurança. Poder. ABSTRATCT: The objective of this work is to draw from the concept of device in Michel Foucault an analysis from the perspective of the relations of knowledge/power in search of a more detailed understanding of what we could call a device of sovereignty, disciplinary device and device of security. It is a question of investigating the interdependence present in the discourses that legitimize each device and the relations of power that allows the innumerable practical articulations that we find in our societies. From this methodology of analysis of the power, we will investigate the legal-discursive conception of power, the concept of disciplinary power, as well as what Foucault calls biopolitics. As a result, the understanding of the globalized contemporary world becomes more accessible as a time when numerous devices come into shock, making the possible political analysis more and more complex. We seek a diagnosis of the present, by understanding its present dispositions of power, so that we can move forward in search of freer and less oppressive, normalized or regulated relations. KEY-WORDS: Device. Sovereignty. Discipline. Security. Power.
EXTERIORIZAÇÃO DA VIDA E ALIENAÇÃO NOS MANUSCRITOS ECONÔMICO-FILOSÓFICOS DE 1844 DE KARL MARX
Authors: Martins da Costa Monica Hallak 
Published: January 2019

Os Manuscritos de 1844 de Karl Marx são frequentemente compreendidos como textos superados pelo suposto Marx “maduro” e “científico”, sendo, portanto, retratados como uma curiosidade do passado “filosófico” do autor. O presente artigo pretende demonstrar que a superação fundamental com o idealismo já havia se concretizado por ocasião da redação dos Manuscritos, assim como colocar em evidência a categoria central e fio condutor desses rascunhos: aquela da exteriorização da vida - tanto em seus aspectos abstratos, quanto na configuração da vida social nos marcos do capitalismo. Assim, propõe-se neste texto argumentar em favor da continuidade e aprofundamento da abordagem da alienação do trabalho como tema central em Marx desde 1844 até o fim da vida. Este artigo é resultado da pesquisa na qual busquei averiguar, através da análise imanente dos Manuscritos de 1844 de Marx, a pertinência da proposta interpretativa de Lukács em Para uma Ontologia do Ser Social (1981), onde situa objetivação e alienação como complexo unitário distinto do fenômeno do estranhamento. Na análise do texto de Marx tal compreensão não se confirma, o que não compromete a riqueza e pertinência da abordagem do autor húngaro.