bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of urinary bladder lavage on in-hospital recurrence of urethral obstruction and durations of urinary catheter retention and hospitalization for male cats
Authors: Dorsey Tovah I. , Monaghan Kelly N. , Respess Meghan , Labato Mary A. , Babyak Jonathan M. , Sharp Claire R. , Rozanski Elizabeth A. , deLaforcade Armelle M. 
Published: February 2019

Abstract
OBJECTIVE To evaluate the effect of urinary bladder lavage on in-hospital recurrence of urethral obstruction (UO) and durations of urinary catheter retention and hospitalization for male cats.
DESIGN Randomized controlled clinical trial.
ANIMALS 137 male cats with UO.
PROCEDURES Following random allocation, cats either did (flush group; n = 69) or did not (no-flush group; 68) undergo urinary bladder lavage with saline (0.9% NaCl) solution after alleviation of the obstruction and placement of a urethral catheter. Signalment, prior history of UO, presence of crystalluria, difficulty of urinary tract catheterization, in-hospital UO recurrence rate, and durations of urinary catheter retention and hospitalization were compared between the flush and no-flush groups.
RESULTS Baseline characteristics did not differ significantly between the 2 treatment groups. The in-hospital UO recurrence rate (9/69 [13%]) and median durations of urinary catheter retention (37 hours; range, 3 to 172 hours) and hospitalization (3 days; range, 0.5 to 12 days) for the flush group did not differ significantly from the in-hospital UO recurrence rate (13/68 [19%]) and median durations of urinary catheter retention (36 hours; range, 1 to 117 hours) and hospitalization (3 days; range, 1 to 9 days) for the no-flush group.
CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that, for male cats with UO, urinary bladder lavage at the time of urethral catheterization had no significant effect on in-hospital recurrence rate of the condition, duration of urinary catheter retention, or duration of hospitalization; however, additional studies are necessary to validate or refute these findings.
Retrospective evaluation of anemia and erythrocyte morphological anomalies in dogs with lymphoma or inflammatory bowel disease
Authors: Parachini-Winter Cyril , Carioto Lisa M. , Gara-Boivin Carolyn 
Published: February 2019

Abstract
OBJECTIVE To assess the prevalences of anemia and various RBC anomalies in dogs with lymphoma versus inflammatory bowel disease (IBD) and to evaluate potential relationships between these variables and the severity of lymphoma.
DESIGN Retrospective cross-sectional study.
ANIMALS 82 client-owned dogs.
PROCEDURES Medical records and blood smears were reviewed for dogs in which IBD or lymphoma had been diagnosed between January 1, 2006, and December 31, 2014, and for healthy dogs evaluated during that time frame. Hematologic data were analyzed, and results were compared among groups of healthy dogs, dogs with IBD, and dogs with lymphoma. Results were also compared within the lymphoma group between dogs further grouped on the basis of lymphoma clinical stage, substage, and cell size.
RESULTS Prevalence of anemia was significantly higher in dogs with lymphoma (17/32 [53%]) than in dogs with IBD (5/23 [22%]). The total number of different RBC anomalies was significantly higher in dogs with lymphoma than in dogs that were healthy or had IBD. A cutoff of 3 different RBC anomalies/dog enabled differentiation between lymphoma and IBD, with a sensitivity and specificity of 71% and 70%, respectively (area under the fitted curve, 0.7239 ± 0.0727). The presence of eccentrocytes was the only individual RBC anomaly significantly more common in dogs with lymphoma (8/28 [29%]) versus dogs with IBD (1/23 [4%]).
CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that detection of anemia combined with ≥ 3 RBC morphological anomalies, particularly eccentrocytes, on blood smears should increase the clinical suspicion of lymphoma, compared with IBD, in dogs.
Nosy Be (Madagascar) and the neighbouring islands versus tourism development
Authors: Jędrusik Maciej Henryk 
Published: February 2019

Abstract
Madagascar is one of the trendiest holiday destinations. One of two key destinations is Nosy Be and surrounding smaller islands. It can be considered a local tourist hub. This work aims to illustrate the variability of the region’s tourism evolution in reference to Butler’s concept, and to specify circumstances characteristic of tropical islands, especially in less developed countries. Typology of islands has been performed according to level of tourism development; moreover, the brief evolution of post-1960s tourism development was assessed. The archipelago’s evolutionary stages of tourism development are significantly diversified, evolution has been non-linear and not always unidirectional. It is difficult to observe all stages of the cycle. The stage tends to be hard to determine, evolutionary pace tends to vary, and some stages are absent. Regional under-development and external factors may cause a regression in development. No stage changes were observed on most islands where enclave tourism developed.
Strategic archetypes in Mexican metalworking SMEs: differences in innovation and absorptive capacity over performance
Authors: Nava Rogel Rosa María , Mercado-Salgado Patricia , Martínez-Serna María del Carmen 
Published: February 2019

After several years of booming, today the Mexican metalworking industry faces a complex environment largely due to foreign policy changes. Nevertheless, most small-and-medium-sized entrepreneurs do not perceive what is to come because they are busy attending the demands of the present market, which has allowed them to obtain a stable performance in the short term. This research analyzes the explanatory value of innovation and potential absorption capacity, which was conducted on the performance of different strategic archetypes in small-and-medium-sized entrepreneurs of the Mexican metalworking industry, based on the typology proposed by Miles and Snow (1978). With data from surveys applied to 197 SMEs in three regions of Mexico, a non-experimental transactional quantitative-correlational type of research was developed. Half of the interviewees were found to be analysts, for whom innovation and potential absorptive capacity have an explanatory value of 32.3% on performance. The rest of the interviewees feature defender archetypes, in which innovation has an explanatory value of 56.8%. According to Chow’s Test, these differences are not significant in the final performance result. It is concluded that small-and-medium-sized business analysts and advocates develop capacities that allow them to make the necessary adjustments that the environment dictates along the way, generating different competitive advantages that help them achieve similar results in the short term.
Issues on VMAT QA Program with EBT3 Radiochromic Films: An improvement proposal
Authors: Dal Col Alisson Henrique , Nagao Alexandre , Dos Santos William Alves Pinto , Pena Geovani Pires , Pelosi Edilson Lopes , Neves-Junior Wellington Furtado Pimenta , Haddad Cecilia Maria Kalil 
Published: February 2019

EBT3 radiochromic film is renowned in medical physics field due its dose verification for Quality Assurance (QA) program in intensity-modulated radiotherapy (IMRT). However, it is known that QA programs, which include these films, are expensive and relatively time-consuming. Furthermore, it was noted that dosimetry with EBT3 film has been suffering with lack of accuracy. In that way, it was evaluated its possible dosimetric inaccuracy, the time expenditure in the whole QA process, as well as the cost-benefit of such a program and it is suggested efforts to improve this process based on our institution expertise. A retrospective study was performed on VMATplans, rating how many cases got success by absolute dosimetric Gamma analysis. Furthermore, in order to verify the film intra-lot aging, the calibration curves were compared to the lot fabrication date. On the other hand, with single- and multi-channel dosimetric analyses, further trials were performed over the post-irradiationsaturation curves up to 35 h after irradiation. The retrospective Gamma analyses exhibited that about 23% of the total VMAT cases did not passed by absolute Gamma evaluation. It was seen that the fabrication date influences the dose response, which prerequisites a calibration curve for each film box. For the multichannelanalyses, as excepted, the red channel sensitivity was the highest for doses up to 5 Gy. Moreover, it was reinforced that the dose response is a direct function of dose level for both types of analyses. In that way, it was chosen a post-irradiation time interval of 12h-16h, with dose response variation criteria less than 2%. Finally, it was verified, based on our routine, that there were about 23h/month expended in a film QA program and directly costs bordering US$20,000.00/year.
Perbandingan Validitas Skala Ukur Nyeri VAS dan NRS Terhadap Penilaian Nyeri di IGD RSUD Raden Mattaher Jambi
Authors: Merdekawati Diah , Dasuki Dasuki , Melany Heny 
Published: February 2019

Latar belakang : Nyeri merupakan pengalaman sensori dan emosional yang tidak menyenangkan akibat dari kerusakan jaringan yang aktual atau potensial. Nyeri merupakan salah satu sebab utama mengapa seseorang mengunjungi IGD. Pelayanan gawat darurat dikatakan terlambat apabila pelayanan terhadap pasien gawat dan atau darurat dilayani oleh petugas IGD rumah sakit > 15 menit, maka diperlukan kecepatan dan ketepatan dalam melakukan pengkajian nyeri di IGD. Terdapat berbagai jenis alat untuk mengukur intensitas nyeri di IGD Rumah Sakit diantaranya yang paling sering digunakan yaitu VAS dan NRS.
Metode : Jenis penelitian ini adalah kuantittif dengan desain penelitian studi perbandingan. Pengambilan samel dengan accidental sampling. Pengumpulan data dilaksanakan di IGD tanggal 03 Juni sampai 16 Juni 2017 kemudian didapat sebanyak 76 responden dengan keluhan nyeri, uji yang digunakan yaitu uji kappa untuk melihat perbedaan skala ukur nyeri VAS dan NRS, kemudian uji sensitivitas, spesifitas dan akurasi untuk melihat skala ukur nyeri yang lebih baik digunakan .
Hasil : Analisis univariat nyeri responden dengan menggunakan skala VAS banyak yang nyeri sedang 41 orang, NRS lebih banyak yang nyeri berat yaitu 37 orang. Analisis bivariat menggunakan uji kappa dengan p-value (0,00) < α (0,05), sensitivitas VAS (85,4%), NRS (93%), spesifitas VAS (45,9%), NRS (31,7%), akurasi VAS (50%), NRS (50%)
Kesimpulan : NRS lebih baik digunakan sebagai alat ukur untuk menilai nyeri dikarenakan nilai sensitivnya lebih besar dari skala ukur nyeri VAS.
Kata kunci : NRS, VAS, Nyeri
Pengaruh Slow Deep Breathing Terhadap Tekanan Darah Pada Penderita Hipertensi Di Puskesmas Simpang IV Sipin Kota Jambi
Authors: Azhari Rosyidah 
Published: February 2019

Latar belakang : Hipertensi merupakan salah satu penyakit pada sistem kardiovaskuler yang memiliki angka mortalitas dan morbiditas yang tinggi. Tekanan darah tinggi pada pasien hipertensi dapat diatasi dengan terapi farmakologis dan non farmakologis.Salah satu terapi non farmakologis adalah terapi relaksasi napas dalam. Data kasus hipertensi di Puskesmas Simpang IV Sipin pada tahun 2015 sebanyak 1193 kasus meningkat menjadi 2026 kasus pada tahun 2016. Tujuan penelitian ini adalah untuk mengetahui pengaruh slow deep breathing terhadap tekanan darah pada penderita hipertensi di Puskesmas Simpang IV Sipin.
Metode : Penelitian ini merupakan quasi exsperimen dengan pendekatan one group pre test and post test. Sampel penelitian adalah penderita hipertensi dengan jumlah sampel sebanyak 17 responden dan diambil secara Purposive sampling.Pengumpulan data dengan menggunakan alat ukur spygnomano meter air raksa dan melakukan slow deep breathing.Analisa data dilakukan secara univariat dan bivariat dengan menggunakan uji wilxocon.
Hasil : Hasil penelitian menunjukkan bahwa terdapat penurunan tekanan darah responden setelah diberikan slow deep breathing yaitu tekanan darah sistolik sebesar 11,18 mmHg dan tekanan darah diastolik sebesar 2,94 mmHg. Hasil analisis dengan menggunakan uji wilxocon dengan tingkat kepercayaan 95% dengan α 5% (0,05) didapat nilai p-value tekanan darah sistolik 0,000 dan tekanan darah diastolik 0,166). Hal ini menunjukkan slow deep breathing memiliki pengaruh terhadap penurunan tekanan darah sistolik, tetapi tidak memiliki pengaruh terhadap tekanan darah diastolik pada penderita hipertensi.
Kesimpulan dan Saran : kesimpulan menunjukkan adanya pengaruh slow deep breathing terhadap tekanan darah pasien hipertensi di Puskesmas Simpang IV Sipin Kota Jambi. Diharapkan perawat dapat memberikan latihan slow deep breathing sebagai manajemen non farmakologi dalam memberikan asuhan keperawatan pada pasien hipertensi primer.
PENENTUAN RUTE TERDEKAT LOKASI KLINIK BERSALIN DI KOTA SURAKARTA MENGGUNAKAN ALGORITMA FLOYD WARSHALL
Authors: Pratiwi Taratya Indra , Utami Yustina Retno Wahyu , Fitriasih Sri Hariyati 
Published: February 2019

Maternity clinics are an option for mothers who will give birth, in addition to locations that are more affordable than hospitals, the place is evenly spread so that their presence can be identified. Maternity Clinic was also chosen because some mothers feel anxious to give birth in a hospital environment, conditions that can slow contractions, make labor longer and interventions are more likely. So giving birth to a baby in a maternity clinic is an alternative that is widely chosen. But not all of them know the location of the nearest Maternity Clinic. Then you will find a way to help find the location of the Maternity Clinic in the city of Surakarta to be faster. The purpose of this study was to make it easier to find where the maternity clinic was located and be able to facilitate and provide access to the community who needed a search for a maternity clinic in the Surakarta area. This research proposes Floyd Warshall algorithm to provide the shortest route. The data used is clinic location data obtained from the Health Office. The results of this research are the shortest route that is connected in the Google Map, namely information on the location of Maternity Clinic locations and nodes scattered in the Surakarta area which can be of benefit to the community about Maternity Clinic places.Keywords: Floyd Warshall Algorithm, Geographic Information System, Maternity Clinic, The Shortest Route
A EXTENSÃO EM TRÊS ESFERAS: MUSEU DE ZOOLOGIA, ENSINO E COMUNIDADE
Authors: Faria Michel Barros , Leodoro Isteliene Lopes 
Published: February 2019

Museus são ferramentas de suma importância na formação educacional, são como portais para um mundo filosófico que se torna fonte preciosa de conhecimento e descobertas. O objetivo do estudo foi ampliar e fortalecer as atividades científico-culturais através da divulgação do Museu de Zoologia Newton Baião de Azevedo da UEMG Carangola (MZNB). Para isso à extensão se deu através de exposições itinerantes, eventos científicos e palestras em escolas de diferentes níveis de ensino. De acordo com os resultados, as informações foram disseminadas em todos os níveis objetivados, com acentuado despertar de interesse. O público em questão foi além dos conteúdos presentes no estudo formal, que consequentemente se expandiu para a população de Carangola e região. Faz-se necessária uma revisão crítica sobre o uso de museus no ensino do Brasil, de modo a incluir e incorporar uma relação professores, museus e alunos.
Grupos de promoção em saúde no ensino fundamental com enfoque no uso de álcool e outras drogas
Authors: Faria Victor Gabriel Souza , Moraes Bianca De Freitas , De Almeida Camila Souza 
Published: February 2019

A extensão Universitária traz a aproximação da Universidade com a comunidade, contribuindo com o desenvolvimento dos discentes envolvidos e a comunidade. O objetivo do artigo é descrever e discutir a experiência extensionista de estudantes de psicologia da Universidade do Estado de Minas Gerais em um projeto de promoção em saúde e uso de álcool e outras drogas com alunos do 9º ano do ensino fundamental. Caracteriza-se como um estudo descritivo, qualitativo na modalidade de relato de experiência, em que foram realizados grupos operativos em uma escola pública de uma cidade do interior de Minas Gerais. Os encontros ocorreram ao longo de quatro meses, com encontros quinzenais, tendo ocorrido de agosto a novembro de 2017. Os temas e as técnicas utilizadas foram diversificadas, com foco na captação do interesse e atenção dos adolescentes. Os temas eram escolhidos pelos próprios adolescentes ao final de cada encontro. Foram abordados temas como violência, preconceito, respeito e o uso de álcool e outras drogas. As técnicas utilizadas foram desde rodas de conversa até o uso de técnicas teatrais. O projeto atingiu seu propósito de despertar o interesse dos alunos quanto aos temas muitas vezes considerados tabus e dar voz a suas dúvidas e questionamentos
Thyroid dysfunction among patients with diabetes mellitus in Kathmandu
Authors: Bhusal Khema Raj , Pokhrel Pratap , Simkhada Rabindra 
Published: February 2019

Background: This study was conducted with the objective of studying thyroid dysfunction in patients with diabetes mellitus. Materials & Methods: A total 100 patients consisting of 40males and60females diagnosed as diabeteswere included in the study. Laboratory values of different thyroid parameters were taken. Results: Among the participants 60% were female and 40% were male.Age ranged from 17to 88 years with mean being 55.73 ± 1.62years. Presence of thyroid dysfunction was found in35% of the cases. Subclinical hypothyroidism was found in20%of participants, frank hypothyroidism in10%, subclinical hyperthyroidism in 3% and frank hyperthyroidism in2%. Conclusion: This study showed the high prevalence of thyroid dysfunction in patients with diabetes mellitus. Early testing for thyroid function is very useful to detectdysthyroidism in all diabetic patients
Keywords: diabetes; thyroid dysfunction; subclinical hypothyroidism.
Comparison of Ultrasound Guided Interscalene and Supraclavicular Brachial Plexus Block for Clavicle Fracture Surgery
Authors: Rajbanshi Lalit Kumar , Arjyal Batsalya , Bajracharya Akriti , Khanal Kanak 
Published: February 2019

Introduction:The clavicle has dual nerve supply from the brachial plexus and cervical plexus. The interscalene brachial plexus block combined with superior cervical plexus block is frequently used for the clavicle surgery. This study was conducted to compare ineterscalene approach with the supraclavicular approach for brachial plexus block used for clavicle surgery Methodology:This was prospective comparative study conducted for two years in tertiary care hospital. Sixty patients with clavicle fracture with ASA I and II were randomly divided into two equal groups; ISBPB (interscalene approach) and SCBPB (supraclavicular approach). Both of these blocks were combined with superior cervical plexus block. Ultrasound was used to perform all the blocks. Primary outcome for the comparison was block characteristics, which included sensory and motor block onset, duration, and block satisfaction. The secondary variables used for comparison were analgesic properties and complications. Results: Supraclavicular brachial plexus had rapid onset of sensory and motor block and was statistically significant (P<0.05) as compared to interscalene approach. Similarly, SCBPB had significantly longer duration of sensory block (P=0.003). The duration of motor block was comparable between the blocks. The intraoperative pain score (VAS), requirement of rescue analgesia with in 24 hours of surgery and complications related with the procedures were comparable between the two groups. Majority of the patients were satisfied with either of the approach for brachial plexus block. Conclusion: Supraclavicular brachial plexus block combined with superior cervical plexus block provided equally effective and adequate anesthesia and analgesia for clavicle surgery with comparable complications as compared to interscalene approach.
Effect of rare earth elements on the microstructure and properties of a die-cast aluminum alloy
Authors: Zhu Ruixiang , Su Yong , Qin Xinyu , Hu Nan , Lu Liangyu 
Published: February 2019

Abstract
The effects of the rare earth elements Ce, La and Sm on the microstructure and mechanical properties of a die-cast aluminum alloy were studied. First, the optimal percentage content of the main elements in the alloy was determined by a single factor and by orthogonal experiments based on the composition range of ADC12 aluminum alloy. The results showed that the optimal percentage content of the main elements in ADC12 die-cast aluminum alloy were 11 wt.-% Si, 2.5 wt.-% Cu, 0.5 wt.-% Mn and 0.3 wt.-% Mg. The tensile strength was 285 MPa and the fracture strain 2.23 %. Then, three rare earth elements of varied contents were added to the above-mentioned aluminum alloy. The tensile strength and elongation of the alloy were increased through the addition of rare earth elements. The comprehensive mechanical property of the alloy was best when Ce, La and Sm levels were at 0.6, 0.4 and 0.2 wt.-%, respectively, in the single factor test. Sm had the largest influence on the comprehensive mechanical properties of the alloy, followed by Ce and La which had the least influence.
Autonomy of higher education institutions: analysis of the key European and International documents
Authors: Vlasova I. 
Published: February 2019

Academic freedom, institutional autonomy and respect for the rule of law in relations between public authorities, higher education institutions and students are essential to democratic societies, and can be considered as the fundamental values of the European Higher Education Area. The European Governments have recognized the university autonomy as a precondition for the successful development of higher education. The European Commission notes as a priority the creation of a new framework for universities that are characterized by increased levels of autonomy and accountability. The Council of the European Union confirms this approach and establishes a direct relationship between autonomy and the ability of universities to meet the expectations of society. International experts emphasize the direct link between the institutional capacity of higher education institutions, the ability to identify and develop their own institutional profile and the autonomy of universities.
The necessity and role of autonomy in the sphere of higher education is determined. Autonomy of higher education institutions plays an important role in the strategic positions and declarations at the European and world level. It is confirmed by the relevant documents. The autonomy of universities (institutional) consists of the academic, financial, organizational and personnel autonomy. The level of university autonomy in Ukraine and European countries is analyzed on the basis of its components. Author designates that universities are the most independent in solving issues of personnel, academic, organizational and financial autonomy. Ukraine takes a position almost at the end of the «middle-low» cluster of systems, which testifies to the areas existence in which autonomy is limited.