bluuebunny/crossref_metadata_2025_split huggingface dataset:
RF84 THE ROLE OF FLOW MEASUREMENT DURING AORTIC CROSS-CLAMP IN CORONARY SURGERY
Authors: Marinelli D. , Faragalli F. , Micucci D. , Mancini V. , Omar A. , Di Giammarco G. 
Published: November 2018

Background and aim:
Transit-Time Flow Measurement (TTFM) verified by imaging represents a unique tool for the study of the physiopathology of coronary circulation.
We evaluate TTFM during aortic cross clamp comparing it with the MGF after protamine and to evaluate its relationship with previous myocardial infarction on the LAD territory.

Methods:
Retrospective analysis of TTFM values and clinical charts of 57 patients form June 2016 to April 2017.

Results:
The median MGF values measured during aortic cross-clamp are significantly higher than the MGF measured immediately after cross clamp release and after protamine administration (35 ml/min (20-53) vs 15 ml/min (11-22) vs 20 ml/min (13-29) respectively = 0.0003).
Thirteen patients (22%) had a previous MI on the LAD territory. There is a strong correlation between the flow of the graft on the LAD during aortic cross clamp compared to the flow immediately after the release of the clamp itself in case of previous myocardial infarction (MI). Fig 1 A-B)

Conclusions:
Flow measured during cardioplegic arrest and aortic cross clamp causes a significant increase in myocardial blood flow demand related to ischemia and very low coronary vascular resistance due to the absence of muscular contraction and arteriolar tone modification. Moreover, the MGF during aortic cross clamp is correlated to the MGF after clamp release in case of previous MI. The evaluation of scar extent using nuclear magnetic resonance can help to predict the expected flow after surgical revascularization.
RF27 IN SILICO COMPUTATIONAL MODELING AND CIRCULATING MICRORNA SIGNATURE OF ASCENDING THORACIC AORTIC ANEURYSMS
Authors: Pasta S. , Agnese V. , Bellavia D. , Raffa G. , Pilato M. 
Published: November 2018

Background and Aim:
The development of ascending thoracic aortic aneurysm (ATAA) in patients with bicuspid aortic valve (BAV) is highly variable, and this makes surgical decision strategies particularly challenging. This study aims to investigate the correlation of computational hemodynamic and wall stresses with circulating miRNA analytes.

Methods:
We collected CT images and plasma samples of n.74 patients underwent aortic size evaluation at ISMETT IRCCS. ATAAs were classified according to aortic valve morphologies (BAV vs tricuspid aortic valve, TAV). Hemodynamic and structural variables of ATAAs were quantified via a computational model developed previously (Pasta et al J Biomech 2013). The miRNA profiling was assessed by reverse transcription polymerase chain reaction (RT-PCR), including n.47 miRNAs. Comparisons were performed among groups, and statistical analysis investigated correlations with clinical data.

Results:
Systolic shear stress was significantly increased at sino-tubular junction and ascending aorta of BAV patients when compared with TAV patients. Similarly, a statistically significant difference in BAV versus TAV patients was observed for the distribution of intramural stress. A significant difference was observed in the BAV-related expression level of miR-133a (p = 0.007), miR-155 (p = 0.032), miR-320 (#000536) (p = 0.033), miR-34a (#000425) (p = 0.029), miR-34a (#000426) (p = 0.002) when compared to those with TAV. This suggests that the plasma expression of these miRNAs was significantly affected by the bicuspid versus the tricuspid aortic valve.

Conclusions:
This study indicates that computational modeling for the predictions of quantitative hemodynamic variables combined with circulating miRNA profiling may lead to an improvement of the managment of patients with ATAAs.
RF32 IS THE AORTIC VALVE AREA AN EFFECTIVE DIAGNOSTIC PARAMETER OF SEVERE AORTIC VALVE STENOSIS?
Authors: Vacirca S.R. , Colella D. , Nardi P. , Pisano C. , Bertoldo F. , Ciani C. , Pellegrino A. , Ruvolo G. 
Published: November 2018

Background and Aim:
Clinical grading of aortic stenosis (AS) is currently performed non-invasively by Doppler transthoracic echocardiography (TTE) through measurement of aortic peak velocity, mean transaortic pressure gradient, and aortic valve area (AVA). The objective of the study was to evaluate the effective valve area through an intraoperative invasive measurement using various dimensions of Hegar, to evaluate the effective valve area, respecting the valve opening, in the absence of deformation of the valve cusps themselves.

Methods:
From March 2017 to April 2018, 60 of patients who underwent elective aortic valve replacement for severe aortic stenosis, where also subjected to intraoperative invasive measurement with Hegar. 18 patients (30%) had a bicuspid aortic valve (BAV). All patients underwent preoperative TTE and intraoperative trans-esophageal echocardiogram (TEE).

Results:
Intraoperative invasive measurement through Hegar showed a total correspondence in aortic valvular area calculated preoperatively by means of TTE and TEE in presence of BAV (P = NS). Instead, in presence of a morphologically tricuspid aortic valve a statistically significant difference (P = 0.001) was highlighted between AVA calculated using non-invasive tests, and invasive measurement by means of Hegar. The last one showed a higher value in comparison with TTE and TEE.

Conclusions:
AVA is an excellent evaluation parameter in presence of BAV stenosis. Instead, in tricuspid aortic valve stenosis, other parameters should be considered, because preoperative AVA is not the only parameter of certainty for the evaluation of the severity degree of stenosis. The greatest limitation is the small number of sample and consequently a larger study is necessary.
INNOVATIVE SYSTEM OF DIAGNOSTICS AND DEVELOPMENT OF APPLIED PROFESSIONAL COMPETENCES OF EXPERTS OF EMERGENCY MEDICAL SERVICE. Message 2
Authors: Minnullin I. P. , Sorokin V. G. , Khodakov A. I. , Kolodin M. Yu. , Parkhomchuk D. S. , Minnullin R. I. , Razumnyj N. V. , Teplov V. M. 
Published: November 2018

In the message 2 presents the results of testing in real conditions the region described earlier [1] Internetsystem for testing, vocational information and counselling specialists visiting emergency medical assistance. In the message 1 [1] general principles were presented modern approaches to increase the level of training for ambulance services using computer technology. Describes the Organization of distance learning cycle for doctors and paramedics, the technique of stimulating self-learning address their personal health advice on pressing practical issues. Examines the effectiveness of the proposed system, provides evidence of significant improvement in the level of training participants in the experimental group for a two-month training cycle.
DIFFICULTIES AND PECULIARITIES OF EARLY DIAGNOSTICS OF PULMONARY EMBOLISM
Authors: Urysiev O. M. , Aksentiev S. V. , Solovieva A. V. , Cheskidov A. V. 
Published: November 2018

The retrospective analysis of 22 patients’ clinical records with the verified pulmonary artery thromboembolism (PE) with various outcomes of a disease is carried out. Hypodiagnostics of PE at a pre-hospital stage is revealed, the predictive importance of Revised Geneva Score scale is shown, predictors of a lethal outcome at a PE are defined: arterial hypotension, tachycardia, McGinn-White syndrome (SI-QIII phenomenon).
THE ROLE OF PNEUMATIC TUBE SYSTEM IN EFFICIENCY OF EMERGENCY LABORATORY SERVICE OF THE HOSPITAL
Authors: Teplov V. M. , Karpova E. A. , Kovalchuk Yu. P. , Minnullin I. P. , Komedev S. S. , Bagnenko S. F. 
Published: November 2018

Laboratory tests are one of the most commonly ordered tests in the ED and often the rate-limiting factor in the workup of a patient. The pneumatic tube system (PTS) can use to provide quick specimen delivery. First aim of this study was to assess PTS by comparing routine chemistry, hematology, coagulation blood test results and sample integrity indices between duplicate samples transported either manually or automatically. Also we tried to assess the contribution of PTS to reduction in lab turnaround times.
Blockchains, Property Rights and Health Technology Assessment in the Pharmaceutical and Device(s) Industries
Authors: Langley Paul , Martin Robert E 
Published: November 2018

Ongoing concerns with the security of health information, both from the perspective of the individual patient as well as health systems has led to increased attention being given to the potential role of blockchain technology in the secure storage of health information through encryption, the integration of diverse health record systems and the vesting of property and access rights to health data in the patient. While the security offered by blockchain technology has long been recognized in the finance sector with the emergence of a range of cryptocurrencies as a medium of exchange and store of value, demonstrating the value of blockchain technology in health management and health technology assessment has yet to be achieved. In this commentary, a number of questions are raised as to the potential value offered by blockchain technology as a complement to existing electronic medical record systems. Chief among these are: (i) the allocation of property rights as a necessary precondition for blockchain uptake; (ii) access and incentives for active as opposed to passive blockchain membership; (iii) monetization of blockchain access; (iv) capturing data from within the blockchain and the possibility of value added data; (v) the potential for blockchain platforms in formulary evaluations; (vi) the blockchain as a managed market for health data; and (vii) the role of intermediation in blockchain management.

Article Type: Commentary
Hospitalidade nas redes sociais:
Authors: Nascimento de Oliveira Adelaide Cristina 
Published: November 2018

A sociedade contemporânea é marcada pela comunicação desenvolvida nas redes e mídias sociais. Nas páginas eletrônicas do Centro Cultural Banco do Brasil (CCBB), no site e no Facebook, a informação veiculada transforma-se em convite.
A hospitalidade, portanto, permeia o vocabulário utilizado, que enaltece, ao mesmo tempo, anfitrião e visitante a tal ponto que o conviva sente-se à vontade para também convidar outros para adentrar naquele espaço dedicado às artes.
Este artigo, por meio da análise do discurso, debruça-se sobre o relacionamento do Centro com clientes e não-clientes de seu mecenas. Observa-se que a instituição tem, nesse direito milenar de receber e ser recebido, uma ferramenta eficaz para
estabelecer e renovar laços sociais.
PENGARUH MODEL TWO STAY TWO STRAY DENGAN AKTIVITAS WINDOW SHOPPING TERHADAP MINAT DAN HASIL BELAJAR SISWA MTS AL-MUTTAQIN PLEMAHAN KEDIRI
Authors: Istianingsih Kholish , Mir'anina Riyya 
Published: November 2018

Implementasi pembelajaran menggunakan model Two Stay Two Stray dengan aktivitas Window Shopping bertujuan untuk meningkatkan hasil belajar materi sistem persamaan linear dua variabel serta meningkatkan minat siswa dalam mengikuti pembelajaran matematika. Metode yang digunakan dalam penelitian ini adalah metode eksperimen dengan rancangan The One Short Case Study. Populasi dalam penelitian ini adalah siswa kelas VIII-C MTs Al-Muttaqin Plemahan Kediri pada tahun ajaran 2017/ 2018yang berjumlah 112 siswa. Sampel yang diambil dalam penelitian ini adalah kelas VIII-C dengan jumlah siswa 34 siswa. Pengumpulan data dalam penelitian ini mengunakan teknik observasi, dokumentasi, angket, dan tes. Hasil tes dan angket siswa dianlisis menggunakan statistik inferensial. Uji yang digunakan adalah uji MANOVA. Sebelum dilakukan uji MANOVA, data kelompok tersebut harus berasal dari populasi yang berdistribusi normal dan tidak perlu dilakukan pengujian homogenitas varians karena sampel berasal dari satu kelas. Hasil penelitian dan pembahasan yang diperoleh dapat disimpulkan disimpulkan bahwa tidak ada pengaruh yang signifikan model Two Stay Two Stray dengan aktivitas Window Shopping terhadap minat dan hasil belajar siswa kelas VIII-C MTs Al-Muttaqin Plemahan Kediri pada materi sistem persamaan linear dua variabel tahun ajaran 2017/ 2018.Kata kunci: Two Stay Two Stray, Window Shopping, Minat Belajar, Hasil Belajar.
ANALISIS HASIL BELAJAR MATEMATIKA SISWA DITINJAU DARI PERBEDAAN KEPRIBADIAN EKSTROVERT DAN INTROVERT
Authors: Yukentin Yuyun , Munawaroh Mumun , Winarso Widodo 
Published: November 2018

Tujuan penelitian untuk menganalisis dan mengetahui hasil belajar matematika siswa yang ditinjau dari perbedaan kepribadian ekstrovert dan introvert. Penelitian ini merupakan penelitian kuantitatif menggunakan desain komparatif expost pasto, sampel yang dipilih yaitu kelas XI MIPA 3 SMA 1 Rajagaluh. Metode pengumpulan data yang digunakan dalam penelitian ini yaitu dengan tes dan observasi. Hasil dari penelitian ini menunjukan bahwa: (1) sebaran kepribadian siswa ekstrovert 26%, siswa introvert 42%, dan ditemukan pula sebaran siswa ambivert 32% (2) sebaran rata-rata hasil belajar matematika ranah kognitif yang diperoleh siswa ekstrovert sebesar 66,40 sedangkan siswa introvert rata-rata sebesar 75,3750. Rata-rata hasil belajar matematika ranah afektif yang didapatkan siswa ekstrovert sebesar 64,50 sedangkan siswa introvert rata-rata sebesar 70,9375. Rata-rata hasil belajar ranah psikomotorik sebesar 68,75 sedangkan siswa introvert memperoleh rata-rata sebesar 60,9375. (3) Hasil uji hipotesis bahwa terdapat perbedaan hasil belajar matematika siswa yang ditinjau dari perbedaan kepribadian ekstrovert dan introvert. Dibuktikan dengan uji One Way Anova diperoleh nilai sig. Statistik hasil belajar ranah kognitif, afektif, dan psikomotorik berturut-turut adalah 0,031; 0,025; 0,23 < 0,05, Ftabel = 3,422132, dan Fhitung berturut-turut pula sebesar 5, 227; 4, 864; dan 5, 914. Karena nilai Fhitung > Ftabel maka H0 ditolak dan Ha diterima
PERBEDAAN PENGARUH PENDEKATAN TAKSONOMI BLOOM REVISI TERHADAP KEMAMPUAN PEMECAHAN MASALAH MATEMATIKA PADA SISWA SMP BERMOTIVASI BELAJAR TINGGI DAN RENDAH
Authors: Alamsyah Nur , Nengsih Retno , Nurrahmah Arfatin 
Published: November 2018

Penelitian ini bertujuan untuk mengetahui perbedaan pengaruh pembelajaran matematika dengan pendekatan taksonomi terhadap pemecahan masalah matematika, perbedaan pengaruh motivasi belajar terhadap pemecahan masalah matematika, dan perbedaan pengaruh interaksi bersama pembelajaran matematika dengan pendekatan taksonomi dengan motivasi belajar siswa terhadap pemecahan masalah matematika. Sampel penelitian ini adalah siswa kelas VIII SMPN 18 Jakarta tahun pelajaran 2017/2018 yang berjumlah 60 siswa melalui simple random sampling. Metode penelitian yang digunakan adalah metode eksperimen. Pengumpulan data dilaksanakan dengan teknik tes bentuk esai dan angket motivasi belajar siswa. Analisis data dengan metode statistik deskriptif yang telah diuji validitas, reliabilitas, taraf kesukaran dan daya beda. Uji statistik dipergunakan uji anava dua jalur dengan treatment by level. Sebelumnya dilakukan uji normalitas dan homogenitas. Berdasarkan pengujian hipotesis yang dilakukan, didapatkan hasil bahwa: (1) terdapat perbedaan rata-rata kemampuan pemecahan masalah matematika antara siswa yang diberikan pendekatan taksonomi bloom revisi dengan pendekatan taksonomi SOLO, (2)terdapat perbedaan rata-rata kemampuan pemecahan masalah siswa yang memiliki motivasi tinggi dan siswa yang memiliki motivasi rendah, (3)terdapat pengaruh interaksi yang siginfikan antara pendekatan pembelajaran dan motivasi belajar terhadap kemampuan pemecahan masalah matematika siswa
Pengembangan LKS IPA SMP Berbasis Project Based Learning Tema “Pengolahan Limbah Cair”
Authors: Wahyuni Eka Dwi , Hidayati Hidayati , Wijayanti Astuti 
Published: November 2018

Penelitian ini bertujuan untuk mengetahui pembuatan Lembar Kegiatan Siswa (LKS) IPA dengan menggunakan pendekatan Project Based Learning pada topik pencemaran lingkungan dan untuk mengetahui Lembar Kegiatan Siswa IPA dengan pendekatan Project Based Learning layak digunakan oleh siswa SMP berdasarkan pemikiran para pakar. Penelitian ini termasuk penelitian dan pengembangan dengan model 4D. Penelitian ini dibatasi pada tahap FDG atau validasi ahli. Oleh karena itu distribusi produk hanya pada ruang lingkup sekolah yang diteliti (Disseminate terbatas). Hasil penelitian ini adalah lembar kerja IPA berdasarkan Project Based Learning dengan tema “Pengolahan Limbah Cair Menggunakan Teknologi Pemurnian Air Sederhana” dapat meningkatkan hasil belajar siswa. Kriteria penilaian dari lembar kerja sains adalah penelitian, presentasi tema, kejelasan kalimat, bahasa, implementasi proyek, dan penampilan fisik. Berdasarkan penilaian ahli media, ahli materi, peer reviewer, dan guru IPA, kualitas lembar kerja IPA adalah baik (B) dengan persentase idealisasi 78,3%, sedangkan penilaian dan tanggapan siswa terhadap lembar kerja sains sangat baik. (B) dengan persentase idealisasi 80,0%.
Sistem Akuntabilitas Publik Dalam Rangka SANKRI
Authors: Amelia Dea 
Published: November 2018

Akuntabilitas mempunyai arti pertanggung jawaban yang merupakan salah satu ciri dari terapan”Good Governance” pemikiran tersebut bersumber bahwa pengelolaan administrasi publik merupakan issue utama dalam pencapaian menuju ”clean government” (pemerintahan yang bersih).
Upaya Meningkatkan Kreativitas Anak melalui Permainan Finger Painting Usia 5-6 Tahun di TK Harapan Bunda Pekanbaru
Authors: Jumilah Jumilah , Efastri Sean Marta , Fadillah Siti 
Published: November 2018

Abstrak
Kreativitas adalah kemampuan untuk menciptakan sesuatu yang baru yang berupa gagasan maupun karya nyata. Adapun tujuan dari penelitian yaitu untuk mendapatkan data perkembangan kreativitas anak melalui permainan finger painting. Metode penelitian yang digunakan adalah Penelitian Tindakan Kelas ( PTK) . Subjek yang diambil untuk penelitian terdiri dari 15 anak di TK Harapan Bunda. Teknik pengumpulan data dalam penelitian ini adalah melalui lembar observasi, dan dokumentasi. Teknik analisis data yaitu dengan menggunakan rumus persentase= f/n x100 % . Hasil penelitian data yang diperoleh dalam meningkatkan perkembangan kreativitas anak melalui permainan finger painting, sebelum tindakan adalah 59 % ( Mulai Berkembang / MB ) dan meningkat pada siklus I dengan kategori BSH “ Berkembang Sesuai Harapan” dengan rata – rata peningkatan 71 % dan pada siklus II mengalami peningkatan dengan kategori BSB “ Berkembang Sangat Baik” yaitu rata-rata 84 %. Jadi peningkatan kreativitas anak dari data awal 59 % ke data siklus II 84 %, terjadi peningkatan sebanyak 25 %.

Kata Kunci : Kreativitas Anak, permainan finger painting
Abstract
Creativity is the ability to create a new something which is in the form of ideas or real works. There is a purpose of definition that is to get data of children's development creativity through Finger painting games. Determination methods used are definition of class actions (ptk). Observation sheet, and documentation. Analysis technique is using the percentage formula f / n x 100%. The research results obtained in improving the development of children's creativity through finger painting, before the action was 59% (developing / mb) and increasing in the first cycle with the bsh category "developing as expected" with an average increase of 71% and in the second cycle experiencing an increase with the bsb category "develops very well" which is an average of 84%. So increasing children's creativity from the initial data of 59% to data cycle ii 84%, an increase of 25%.
Key words : children's creativity, finger painting game
Effect of polyunsaturated fatty acid supplementation on milk production – review on health effects and cow milk characteristics
Authors: Mwau Mwangi Paul Joseph , Bázár György , Tóth Tamás 
Published: November 2018

The polyunsaturated fatty acids (PUFA) of the n-3 and n-6 group are important in the human body. It is therefore important that these fatty acids are consumed in the right amount and correct proportion so as to maintain a healthy physiological status in the body. Certain foods are naturally rich in these fatty acids, such as sea foods and some oilseeds. Fish and fish oils are rich in eicosapentanoic acid (EPA) and docosahexanoic acid (DHA) which are n-3 fatty acids, they play a crucial role in improving the physiological and health outcomes in conditions such as cardiovascular diseases, cancer, immune suppression and mental health. These fatty acids have also been shown to play beneficial role during pregnancy and lactation. Linolenic acid (LNA) which is abundant in oilseeds such linseed is a precursor of EPA and DHA in the human and therefore can be converted when need be, however the conversion is not very efficient and therefore cannot be used as a substitute. With the current deteriorating state of the global supply of fish and the high demand of energy causing diversion of resources to produce biofuels, the availability of these natural sources of n-3 and n-6 foods is growing ever scarce. Feeding of full-fat linseed and/or linseed oil has been shown to substantially increase the content of LNA in animal products such as meat, eggs and milk. On the other hand, fish oil supplementation in animal feeds also leads to a substantial increase in EPA and DHA to levels that can positive health effects to the public. Due to this potential to increase the amount of n-3 polyunsaturated fatty acids in animal products, it is seen as a simpler and cheaper way to deliver an increase in consumption to the wider public in a sustainable manner. This is due to the fact that products such as milk and eggs are more widely distributed and available in the market. Some challenges are of course present, such as negative effects due to the oxidative stability of polyunsaturated fatty acids which can have negative effects on rumen function and product organoleptic characteristics. To offset the problem of rumen biohydrogenation of PUFA, various methods of protecting the seed and fish oils have been devised, allowing for feeding even higher doses without impacting negatively on production and product quality.
Keywords: PUFA, fatty acid profile, cow, organoleptic
Bab felhasználása a pontytakarmányozásban
Authors: Bosnyákné Egri Helga , Keszthelyi Sándor , Varga Dániel , Kucska Balázs 
Published: November 2018

Kísérletünk célja a babzsizsik (Acanthoscelides obtectus, Say 1831) által károsított bab (Phaseolus vulgaris) alkalmazási lehetőségének vizsgálata volt pelletált pontytápban. A károsított bab mellett nem károsított bab felhasználásával is készítettünk kísérleti tápot, kontrollként pedig egy kommersz pontytápot használtunk, amelynek fehérje és energiatartalmával megegyezőként állítottuk össze a kísérleti tápjainkat. Az előzetes eredmények alapján megállapítható, hogy a bab táplálóanyag tartalmát tekintve alkalmas pontytáp összetevő, azonban 70% körüli arányban alkalmazva rontja a halak teljesítményét. A halliszt részleges vagy teljes kiváltásában való felhasználásához a megfelelő mennyiség meghatározása további vizsgálatokat igényel.
(Kulcsszavak: bab, ponty, etetés)