bluuebunny/crossref_metadata_2025_split huggingface dataset:
Conventional incision and drainage versus incision and drainage with primary closure in acute abscess: a prospective study
Authors: Singh Amandeep , Singh Gurdhian , Sidhu Darsshan Singh , Bhalla Mohit 
Published: December 2017

Background: An abscess is a common surgical condition. Abscesses may occur anywhere in the body. Surgical treatment of subcutaneous and soft tissue abscesses includes percutaneous aspiration, incision and drainage without primary closure, incision and drainage with primary closure with drain. The present study was planned to compare conventional method of incision and drainage with incision and drainage with primary closure in cases of acute -abscesses.Methods: A total of 100 patients with acute abscesses were included in the study and randomized into 2 groups with 50 patients in each group. The present study was carried out to compare the conventional method of incision and drainage with incision and drainage with primary closure of the wounds in acute abscesses with regards to wound healing, post- operative pain, duration of hospital stays and recurrence rates.Results: Wound healing was significantly faster in incision and drainage with primary closure (9.18±0.941days) as compared to conventional method of incision and drainage (16.66±1.944 days) [p <0.05]. Mean hospital stay with convention method of incision and drainage was 7.12±0.718 days and with primary closure was 4.0±0.728days (p <0.05). Mean VAS was significantly less in primary closure as compared with conventional method. Decreasing trend in VAS was observed on day 3, day 5 and day 7 (p value 0.000). Recurrence rate of an abscess was seen in 5 cases in conventional method and 2 cases in primary closure (p >0.05).Conclusions: Author have observed a significant difference noted in time taken for wound healing, postoperative pain, hospital stay and recurrence rate between two groups.
Liver biopsy in gall stone disease: a prospective study in patients undergoing cholecystectomy
Authors: Patel Gaurav , Jain Atul , Singh Malwinder , Garg Meenu , Karim Tanweer , Dey Subhajeet 
Published: December 2017

Background: Cholelithiasis has affected mankind since many centuries. It not only affects the biliary tree but also has adverse effects on the hepatic parenchyma, which can get further complicated due to infected bile. Early intervention in these cases not only retards the unwanted effects but also prevents irreversible damage to liver. Aim of study was to see the effect of gallstone disease on liver in patients of GSD (Cholelithiasis, Chronic cholecystitis, CBD Stones).Methods: All patients being subjected for planned cholecystectomy were taken as subjects irrespective of age, sex and co-morbid conditions.Results: 90 patients were included in study and they were evaluated for secondary histopathological changes in liver. Abnormal liver histology was seen in 40% of the cases, with portal tract inflammation being the commonest abnormality seen in 24.4% of patients followed by fatty change (17.8%), cholestasis (10%), lobular parenchymal infiltration (8.9%) and one (1.1%) patient had fibrosis. Choledocholithiasis was associated with a greater incidence of positive bile culture (60%) and greater incidence of abnormal liver histology (80%).Conclusions: Gall stone disease cause significant changes in liver histology and these changes are more common in those patients having long duration of symptoms. In patients of choledocholithiasis incidence of infected bile and liver histology changes are more as compared to cholelithiasis with chronic cholecystitis.
A study of surgical outcome of necrotizing pancreatitis
Authors: Tukaram Bhondave Suraj , Dash Niranjan , Thipse V. J. , Gadekar J. M. 
Published: December 2017

Background: Increasing understanding and literature regarding the management of Necrotizing Pancreatitis has laid paths for surgical and conservative management. Although a conservative approach is increasingly used, this study depicts the importance of surgical management in today’s era. The objective was to evaluate the surgical role in patients of documented Necrotizing Pancreatitis, with or without organ failure and debilitating symptoms by putting conservative management on a complementary part.Methods: Sixteen consecutive patients were reviewed with Necrotizing Pancreatitis managed at DVVPF’s Medical college and hospital, Ahmednagar between January 1, 2014, and July 1, 2017 documented by contrast-enhanced computed tomography (CECT).Results: Out of sixteen patients of Necrotizing Pancreatitis recruited for the study, 13 (81%) patients were surgically managed; among which death rate was 7%. Of the other 3(19%) patients which were conservatively managed, there was 1 (33%) death. Patient who died while conservative management would have been candidate for earlier surgical intervention.Conclusions: The results suggest that surgical approach can be applied successfully to manage most patients with Necrotizing Pancreatitis, still further evaluation being required for indication and timing of surgery.
ERCP stent as a nidus for CBD stone: post cholecystectomy status
Authors: Vinayaka . , Haridarshan S. J. , S. Venkatesh 
Published: December 2017

Obstruction of common bile duct due to a ‘Forgotten stent’ causing stone formation is a rare entity, which is usually associated with cholangitis. A much rarer presentation is our case with an ERCP stent forming a nidus for stone formation in the common bile duct without any evidence of cholangitis or bile duct obstruction. A 66-year-old female patient with a previous history of laparoscopic cholecystectomy and common bile duct stenting done 2 years back presented with vague abdominal pain, nausea and vomiting without features of jaundice or cholangitis. She was diagnosed on imaging as a case of choledocholithiasis with two stents in the common bile duct. A failed ERCP to extract the stent and relieve obstruction necessitated open choledochotomy, stents removal, common bile duct clearance and choledochoduodenostomy. The rarity of this patient with an ERCP acting as a nidus for common bile duct stones without evidence of obstruction or cholangitis is something to be documented. Although rare, these complications must always be considered and considered a possibility due to which post-operative and post-endoscopic follow up, regular check-ups and timely removal of the stents is necessary to avoid unnecessary complications or a need for repeat procedures and surgery that results in greater morbidity.
Authoritarian populism contra "Bildung": anti-intellectualism and the neoliberal assault on the Liberal Arts / Populismo autoritário contra "Bildung": o anti-intelectualismo e o assalto neoliberal contra as artes liberais
Authors: Morelock Jeremiah 
Published: December 2017

A synergistic movement is taking place in American society combining authoritarian populism, the neoliberal transformation of the university, and anti-intellectualism. In the first part of this paper, I pin my notion of intellectualism (and hence anti-intellectualism) to a specific frame of reference, namely the German notion of "Bildung" as it is discussed in writings of Nietzsche and Adorno, which I associate loosely with the traditional American liberal arts model of higher education. In the second part of the paper, I outline the neoliberal assault on the liberal arts, rooting my analysis in Wendy Brown’s work, which is influenced by Foucault. In the third part of the paper, I describe the relationship of this anti-intellectualism to the rise of populism and the threat of authoritarianism in the United States. In the final section I tie the discussion into the general analysis of Horkheimer and Adorno’s analysis of fascist tendencies in liberal-democracies, emphasizing the continued relevance of their ideas to contemporary developments in education and beyond.Keywords: Liberal arts; Neoliberalism; Intellectuals; Populism; Authoritarianism. RESUMO: Um movimento sinérgico está ocorrendo na sociedade norte-americana combinando populismo autoritário, transformação neoliberal da universidade e anti-intelectualismo. Na primeira parte deste artigo, proponho minha noção de intelectualismo (e, portanto, de anti-intelectualismo) a partir de um quadro específico de referência, especialmente a noçã alemã de "Bildung" (tal como discutida nos escritos de Nietzsche e Adorno) que eu associo livremente com o tradicional modelo de artes liberais norte-americano de ensino superior. Na segunda parte deste texto, destaco o assalto neoliberal sobre as artes liberais, fundamentando minha análise no trabalho de Wendy Brown, que é influenciada por Foucault. Na terceira parte do texto, descrevo a relação do anti-intelectualismo com a ascensão do populismo e a ameaça do autoritarismo nos Estados Unidos. Na seção final, relaciono a discussão com a análise geral de Horkheimer e Adorno sobre as tendências fasicstas nas demorcacias liberais, enfatizando a contínua relevância de suas ideias para os desenvolvimentos contemporâneos na educação e além.Palavras-chave: Artes liberais; Neoliberalismo; Intelectuais; Populismo; Autoritarismo.
Relevancia local o visibilidad internacional: un reto para las revistas latinoamericanas de ginecología y obstetricia
Authors: Rubio-Romero Jorge Andrés 
Published: December 2017

Con ocasión de los recientes resultados de la Convocatoria 768 de 2016 para Indexación de Revistas Científicas Colombianas Especializadas – Publindex (1), la Revista Colombiana de Obstetricia y Ginecología (RCOG), y muchas otras revistas médicas colombianas redujeron su calificación al ser aplicados nuevos criterios de clasificación (2). El comité editorial de la RCOG consideró relevante organizar una reunión de las revistas latinoamericanas de la especialidad con el fin de evaluar estrategias conjuntas para incrementar tanto la calidad científica y editorial como la visibilidad del trabajo de cada publicación, en beneficio tanto de los lectores de los estudios publicados en estas páginas como de los investigadores que citan estos trabajos.Así, en el marco del XXII Congreso Latinoamericano de Ginecología y Obstetricia - 2017, realizado en la ciudad de Cancún, México, se llevó a cabo el encuentro de editores de revistas latinoamericanas de ginecología y obstetricia gracias al apoyo del comité directivo de la Federación Latinoamericana de Ginecología y Obstetricia (FLASOG), al que fueron convocados los representantes de publicaciones de Argentina, Brasil, Centroamérica, Colombia, Cuba, Chile, Ecuador, México, Perú, Uruguay y Venezuela. Esta reunión tuvo como propósito generar estrategias para el mejoramiento continuo de cada una de las publicaciones y el incremento de su visibilidad internacional, para apoyar la divulgación de la producción científica en la especialidad de la región y su apropiación para beneficio de la salud de nuestras mujeres y niños.
Susceptibilidad antimicrobiana de enterobacterias identificadas en infección urinaria adquirida en la comunidad, en gestantes en nueve hospitales de Colombia
Authors: Nocua-Báez Laura Cristina , Cortes-Luna Jorge Alberto , Leal-Castro Aura Lucía , Arias-León Gerson Fitzgerald , Ovalle-Guerro María Victoria , Saavedra-Rojas Sandra Yamile , Buitrago-Gutiérrez Giancarlo , Escobar-Pérez Javier Antonio , Castro-Cardozo Betsy 
Published: December 2017

Introducción: La infección del tracto urinario adquirida en la comunidad, es la patología infecciosa más frecuente durante el embarazo y un factor de riesgo importante para parto pretérmino y bajo peso al nacer; se desconoce la frecuencia de la resistencia a las diferentes alternativas terapéuticas en Colombia.Métodos: Se realizó un estudio descriptivo de infecciones urinarias de la comunidad que requirieron hospitalización y se analizó el subgrupo de gestantes. Se recolectaron durante 12 meses aislamientos de Escherichia coli, Klebsiella spp .y Proteus mirabilis en 9 hospitales de Colombia y se determinó su perfil de susceptibilidad, por microdilución en caldo y pruebas de difusión por gradiente, y se caracterizó la presencia de betalactamasas de espectro extendido, con métodos microbiológicos y moleculares.Resultados: Se recogieron 74 aislamientos (64 de E. coli, 7 de Klebsiella spp. y 3 de P. mirabilis) en 73 pacientes. En 58% de las pacientes se reportó uso previo de antibióticos. La resistencia a ampicilina/sulbactam, cefazolina y ceftriaxona fue de 15,6%, 17,2% y 4,7%, respectivamente. Tres aislamientos, dos de E. coli y uno de Klebsiella spp., expresaron betalactamasas de espectro extendido (3,1%, en E. coli y 14,3% Klebsiella spp.) Un aislamiento de E. coli expresó enzimas tipo AmpC.Conclusión: Se confirmó la presencia de cepas resistentes a cefalosporinas de tercera generación en enterobacterias responsables de infección del tracto urinario adquirida en la comunidad en embarazadas, producida por enzimas de tipo beta lactamasas de espectro extendido tipo CTX M-15 y AmpC.
Pengembangan Alat Peraga dan Lembar Kerja Percobaan Penentuan Koefisien Restitusi untuk Meningkatkan Kemampuan Siswa Bereksperimen
Authors: Saepuzaman Duden , Yustiandi Yustiandi 
Published: December 2017

Abstract
This research is motivated because it found students' difficulties when experimenting to determine the magnitude of restitution coefficient. First, the determination of the initial height, the height of the second reflection and so on is not appropriate because it must observe something in a very short time. Second, the initial high determination is too high. Third, the object is oversize. Allegedly, existing worksheets do not facilitate students to experiment properly. This study aims to improve the experimental worksheet and redesign the experimental tool, so students will more easily understand how to experiment properly. This research is a classroom action research. Students' experimental abilities were obtained by comparing the answers of student worksheets before reconstruction and student answers after reconstruction. The results show that reconstructed worksheets can improve students' ability to experiment.
Keywords: Redesigning the appartures, Worksheets, Restitution Coefficients, Experimenting Skills.
Abstrak
Penelitian ini dilatarbelakangi karena ditemukan kesulitan siswa ketika melakukan percobaan untuk menentukan nilai koefisien restitusi. Pertama, penentuan tinggi awal, tinggi pantulan ke dua dan seterusnya tidak tepat karena harus mengamati sesuatu dalam waktu yang sangat singkat. Kedua, Penentuan tinggi awal yang terlalu tinggi. Ketiga, ukuran benda yang terlalu besar. Diduga kuat, lembar kerja yang ada kurang memfasilitasi siswa untuk melakukan percobaan dengan benar. Penelitian ini bertujuan untuk memperbaiki lembar kerja percobaan dan mendesain ulang alat percobaan, sehingga siswa akan lebih mudah memahami cara melakukan percobaan dengan benar. Penelitian ini merupakan penelitian tindakan kelas. Kemampuan siswa bereksperimen diperoleh dengan cara membandingkan jawaban lembar kerja siswa sebelum direkonstruksi dan jawaban siswa setelah direkonstruksi. Hasil penelitian menunjukkan bahwa lembar kerja yang telah direkonstruksi dapat meningkatkan kemampuan siswa dalam bereksperimen.
Kata-kata Kunci: Pengembangan Alat Peraga dan Lembar Kerja Percobaan, Koefisien Restitusi, kemampuan bereksperimen.
Pengembangan Instrumen Tes Keterampilan Pemecahan Masalah pada Materi Getaran, Gelombang, dan Bunyi
Authors: Hidayat Syarif Rokhmat , Setyadin Anggi Hanif , Hermawan Hermawan , Kaniawati Ida , Suhendi Endi , Siahaan Parsaoran , Samsudin Achmad 
Published: December 2017

Abstract
Problem-solving is one of the fundamental skills in the 21st century. Studentsâ€™ problem-solving skill is defined as studentsâ€™ abilities to use their knowledge to solve the daily life problems. This study main goal is to develop a test instrument of junior high school studentsâ€™ problem-solving skills on oscillation, wave, and sound concepts. The test items are arranged based on problem-solving skills indicator that proposed by Doctor and Heler (2009), there are problems visualization/description, physics approach, mathematic procedure, and logically conclusion. This study used 4D (define, design, develop, and disseminate) model of research and development method. Fifteen test sets are designed based on five problem-solving skill indicators that grouped to each oscillation, wave, and sound sub concept. The result of instrument development shows all test items are valid through Pearson moment correlation coefficient test. Alpha Cronbach test the instrument shows the instrument reliability is 0.88 with the criteria of reliability is high. Based on expert judgment and data collections, the test instruments were well developed and could be used to measure studentsâ€™ problem-solving skills on oscillation, wave, and sound wave concepts.
Keywords: problem solving skills; problem solving skills instrument; oscillation, wave, and sound concept.
Abstrak
Pemecahan masalah adalah salah satu keterampilan yang penting di abad ke-21. Keterampilan pemecahan masalah siswa adalah kemampuan siswa menggunakan pengetahuan-pengetahuan yang dimilikinya untuk memecahkan masalah dalam kehidupan sehari-hari. Penelitian ini bertujuan mengembangkan instrumen tes untuk mengukur keterampilan pemecahan masalah pada siswa SMP terkait materi getaran, gelombang, dan bunyi. Instrumen tes disusun berdasarkan indikator keterampilan pemecahan masalah yang dikembangkan oleh Doctor dan Heler (2009) yaitu visualisasi/deskripsi masalah, pendekatan fisika, prosedur matematika, dan kesimpulan logis. Penelitian ini menggunakan metode penelitian dan pengembangan model 4D (define, design, develop, and disseminate). Sebanyak lima belas soal dibuat berdasarkan lima indikator keterampilan pemecahan masalah yang dikelompokkan menjadi tiga pokok soal materi getaran, gelombang, dan bunyi. Hasil pengembangan menunjukkan keseluruhan item tes bersifat valid dengan menggunakan uji koefisien korelasi momen Pearson. Uji alpha cronbach pada instrumen tes menunjukkan bahwa tingkat reliabel instrumen tes adalah 0,88 dengan kriteria reliabel tinggi. Berdasarkan hasil penilaian ahli dan uji coba pada beberapa sampel, instrumen tes yang telah dikembangkan dapat digunakan untuk mengukur keterampilan pemecahan masalah siswa pada materi getaran, gelombang, dan bunyi.
Kata-kata Kunci: keterampilan pemecahan masalah; instrumen tes keterampilan pemecahan masalah; materi getaran, gelombang, dan bunyi.
MODEL PEMBELAJARAN BERBASIS PROYEK TERHADAP KEMAMPUAN BERPIKIR KREATIF SISWA PADA MATERI KOLOID
Authors: Kumalasari Desy , Milama Burhanudin , Bahriah Evi Sapinatul 
Published: December 2017

The aim of this study was to determine the influence of Project Based Learning on creative thinking skills of student on colloid concept. The method used in this study was quasi experiment with non-equivalent control group design. The population in this study was second semester students of SMAN 5 in Bekasi of Academic Years 2014/2015. Samples are class XI MIA-4 as the experimental class (given treatment by project-based learning model), and class MIA XI-2 as the control class (given treatment by lecture method). Data collection techniques were gained through an essay test instrument. Data value of the average pretest-posttest control group and experimental group were analyzed using t-test. The average of pretest score for control class is 19.89 and experiment class is 18.11, while the average of postest score of control class is 24.5 and experimental class is 29.35. The t-test result showed that tcount (7.35) was greater than ttable (2.0049) with significance level 5%, so the research hypothesis which states that there are significant influence of project-based learning to the creative thinking skills of students on colloid concept are accepted. In order to obtain the greatest number of information about creative thinking skills, when implemented project based learning must consider several things, that are: time management, formulation of the problem, step of project work, and assessment systems should be informed to the students in a clear and focused so that students can understand and have a passion in running the project.
Keywords: Project Based Learning, Creative Thinking, Colloid.
Model atmosphere analysis of two new early–type O4 dwarfs stars
Authors: Fouda D.A. , Hamdy M. , Nouh M. , Beheary M. , Bakrey Abdelaziz , Saad S. M. 
Published: December 2017

Abstract
We present a synthetic spectra study of two new galactic early-type O4 dwarf stars(ALS 19618 and BD+50886) with high signal-to-noise ratio, typically S/N ∼ 300, medium-rosalution R ∼ 2500 optical spectra of O4 dwarfs stars from Galactic O-Stars Spectroscopic Survey (GOSSS), The main stellar parameters (Teff, surface gravity, rotational velocity) have been established using non-LTE, line-blanketed, atmospheric models calculated by TLUSTY204 and SYNSPEC49.
Pengembangan Perangkat Pembelajaran Science, Environment, Technology and Society (SETS) Untuk Meningkatkan Pemahaman Konsep dan Sikap Peduli Lingkungan Siswa Sekolah Dasar
Authors: Mahlianurrahman Mahlianurrahman 
Published: December 2017

This study aims to (1) produce a SETS kit that is feasible to the understanding of concept and caring environmental of Elementary School (2) find out the effectiveness of the SETS kit to the understanding of concept and caring environmental. This study is a research and development refering to the opinion of Borg & Gall. The design of learning kits consists of ten steps, including (1) research and information collection; (2) planning; (3) developing preliminary form of draft product; (4) preliminary field testing; (5) main product revision; (6) main field testing; (7) operational product testing; (8) operational field testing; and (9) final product revision; (10) dissemination. Subjects were students of Elementary School 3 Kota Fajar. The results show that the learning kit is effective to understanding of concept and caring environmental of students according to the material expert and learning expert with excellent ratings category. Based on the result show that there are significant differences in understanding of concept and caring environmental of students who take the study with SETS kits with those who do not use learning kits.