bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prognosis of Patients with Cirrhosis and AKI Who Initiate RRT
Authors: Allegretti Andrew S. , Parada Xavier Vela , Eneanya Nwamaka D. , Gilligan Hannah , Xu Dihua , Zhao Sophia , Dienstag Jules L. , Chung Raymond T. , Thadhani Ravi I. 
Published: November 2017

Background and objectives
Literature on the prognosis of patients with cirrhosis who require RRT for AKI is sparse and is confounded by liver transplant eligibility. An update on outcomes in the nonlisted subgroup is needed. Our objective was to compare outcomes in this group between those diagnosed with hepatorenal syndrome and acute tubular necrosis, stratifying by liver transplant listing status.

Design, setting, participants, & measurements
Retrospective cohort study of patients with cirrhosis acutely initiated on hemodialysis or continuous RRT at five hospitals, including one liver transplant center. Multivariable regression and survival analysis were performed.

Results
Four hundred seventy-two subjects were analyzed (341 not listed and 131 listed for liver transplant). Among nonlisted subjects, 15% (51 of 341) were alive at 6 months after initiating RRT. Median survival was 21 (interquartile range [IQR], 8, 70) days for those diagnosed with hepatorenal syndrome and 12 (IQR, 3, 43) days for those diagnosed with acute tubular necrosis (P=0.25). Among listed subjects, 48% (63 of 131) received a liver transplant. Median transplant-free survival was 15 (IQR, 5, 37) days for those diagnosed with hepatorenal syndrome and 14 (IQR, 4, 31) days for those diagnosed with acute tubular necrosis (P=0.60). When stratified by transplant listing, with adjusted Cox models we did not detect a difference in the risk of death between hepatorenal syndrome and acute tubular necrosis (hazard ratio [HR], 0.81; 95% confidence interval [95% CI], 0.59 to 1.11, among those not listed; HR, 0.73; 95% CI, 0.44 to 1.19, among those listed).

Conclusions
Cause of AKI was not significantly associated with mortality in patients with cirrhosis who required RRT. Among those not listed for liver transplant, mortality rates were extremely high in patients both with hepatorenal syndrome and acute tubular necrosis.

Podcast
This article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2017_11_09_CJASNPodcast_18_1_A.mp3
O QUE DOREEN DIRIA SOBRE NÓS? UM ENSAIO SOBRE A PEDAGOGIA DA ESPERANÇA
Authors: Da Rocha Ana Angelita 
Published: November 2017

Resumo:Este ensaio investe na análise da produção bibliográfica de Doreen Massey, com atenção focada nos títulos dirigidos aos cursos para o segmento do Ensino Superior, ministrados ou organizados por ela nas décadas de 1990-2000, na Open University (em Milton Keynes, Reino Unido). A aproximação a esses trabalhos – ainda sem tradução para o português – procura inventariar os aspectos pedagógicos nas construções epistemológicas da autora. O estudo da face pedagógica de Massey, ao considerar seus textos didáticos, busca um painel de ações, recursos e metodologias para uma possível adoção dos conteúdos da Geografia passíveis de serem inseridos na Educação Básica. Portanto, não se trata de uma incorporação vertical da academia para a escola, mas um estudo cujo inventário de procedimentos possa ser inspirador para a epistemologia escolar, considerando a potencialidade da concepção espacial desenvolvida pela a autora (MASSEY, 1995, 2004, 2006, 2008).Palavras-chave: Doreen Massey, Espaço, Ensino de Geografia. Abstract: This essay invests in the analysis of Doreen Massey's bibliographic production, with attention to the titles directed to Higher Education courses, taught or organized by her in the decades of 1990-2000, at the Open University (in Milton Keynes, UK). The approach to these works - without translation into Portuguese - seeks to set pedagogical aspects down in the author 's epistemological constructions. The study of the pedagogical bias of Massey provides a set of actions, resources and methodologies for a possible syllabus of Geography that can be adopted in elementary education. Therefore, it is not a vertical incorporation of the academy into the school, but a study whose inventory of procedures can be inspiring for school epistemology, considering the possibilities of the spatial conception (MASSEY, 1995, 2004, 2006, 2008).Keywords: Doreen Massey, Space, Geography Education. Resumén: Este ensayo realiza um análisis de la producción bibliográfica de Doreen Massey, con la atención enfocada en los títulos dirigidos a los cursos para el segmento de la Enseñanza Superior, impartidos o organizados por ella en las décadas de 1990-2000, en la Open University (en Milton Keynes, Reino Unido). La aproximación a esos trabajos - aún sin traducción al portugués - busca inventariar los aspectos pedagógicos en las construcciones epistemológicas de la autora. El estudio de la cara pedagógica de Massey, al considerar sus textos didácticos, busca un panel de acciones, recursos y metodologías para una posible adopción de los contenidos de la Geografía pasibles de ser adoptados en la Educación Básica. Por lo tanto, no se trata de una incorporación vertical del ámbito académico a la escuela, sino un estudio cuyo inventario de procedimientos puede ser inspirador para la epistemología escolar, considerando la potencialidad de la concepción espacial desarrollada por la autora (MASSEY, 1995, 2004, 2006, 2008).Palabras-clave: Doreen Massey, Espacio, Enseñanza de Geografía.
TOXINA BOTULÍNICA TIPO A NA DISFUNÇÃO TEMPOROMANDIBULAR
Authors: Naked Soraya 
Published: November 2017

O objetivo do presente estudo foi abordar a terapêutica com a toxina botulínica tipo A, na disfunção da articulação temporomandibular (DTM), no que tange as suas indicações, contra-indicações e possíveis efeitos colaterais. A metodologia usada nos trabalhos, ora citada, resultou de busca em base de dados (Medline) publicados entre outubro de 1980 e fevereiro de 2014. Podemos concluir que: a toxina botulínica aplicada em músculos comprometidos pela doença e, portanto, com dor, reduz o desconforto dos indivíduos acometidos. As principais contraindicações são em pacientes que sofrem de doenças neuromusculares (miastenia gravis, distúrbio de transmissão neuromuscular, Síndrome de Lambert Eaton), doença autoimune adquirida, mulheres grávidas e/ou em período de lactação, pacientes que usam aminoglicosídeos e que possuem reações alérgicas a toxina. Nada digno de nota foi encontrado nos limites da presente revisão no que tange a efeitos colaterais. PALAVRAS-CHAVE: Toxina botulínica tipo A; Articulação temporomandibular; Músculos da mastigação.
ESTUDO COM ADOLESCENTES SOBRE PERCEPÇÃO E CONHECIMENTO EM SAÚDE BUCAL
Authors: Rabaldo Bottan Elisabete 
Published: November 2017

A pesquisa teve por objetivo analisar a percepção e o conhecimento de adolescentes sobre saúde bucal em função do gênero e do acesso à informação. O estudo descritivo transversal teve como população-alvo alunos matriculados no último ano do ensino fundamental de escolas públicas, de um município de Santa Catarina. A amostra foi aleatória simples e o seu tamanho definido de forma estratificada, sistemática por turma. Foram sorteados sete alunos de cada turma, totalizando um total de 336 participantes. A coleta de dados deu-se através da aplicação de um questionário, estruturado com 12 questões distribuídas em quatro campos. As análises foram efetuadas com base no teste do qui-quadrado, com intervalo de confiança de 99%. Houve associação significativa entre sexo e os seguintes fatores: ter recebido orientações sobre saúde bucal; autopercepção da aparência dos dentes; e conceito de gengivite. Não houve significância para a associação entre ter recebido informações e nível de conhecimento. A maioria dos adolescentes efetivou consultas odontológicas num período inferior a um ano e afirmou ter recebido informações sobre saúde bucal. O cirurgião-dentista foi citado como a principal fonte de informação. Muito embora a percepção dos pesquisados sobre sua saúde bucal, de modo geral, seja satisfatória e seu conhecimento sobre tópicos relacionados à saúde bucal parcialmente completo, sugere-se maior atenção por parte dos profissionais de saúde a esta faixa etária, tendo em vista a existência de lacunas que podem influenciar na qualidade de vida destes sujeitos.Palavras-chave: Adolescente, Conhecimento, Saúde Bucal.
CONSIDERAÇÕES SOBRE A EDUCAÇÃO POPULAR E O SERVIÇO SOCIAL: um diálogo com os pressupostos freirianos
Authors: Santos Francine Helfreich Coutinho dos 
Published: November 2017

O texto versa sobre a relação entre uma determinada concepção de educação popular e o serviço social. Aborda os percursos e as características da concepção freiriana, sustenta a necessidade do diálogo entre a profissão e a educação popular, a sua processualidade histórica e apresenta os desafios da Educação Popular e do Serviço Social na cena contemporânea.Palavras-chave: Educação popular; Paulo Freire; Serviço Social.
COM HUMOR E PAULO FREIRE: a educação na Guiné Bissau (1976 – 1980)
Authors: Ceccon Claudius 
Published: November 2017

COM HUMOR E PAULO FREIRE: a educação na Guiné Bissau (1976 – 1980) contextualiza o momento de produção do suplemento especial do jornal NÔ PINTCHA, com base em uma série de diapositivos transformada em história em quadrinhos e apresentada no Primeiro Encontro de Educadores dos países africanos de expressão portuguesa, com representantes de Angola, Cabo Verde, Guiné Bissau, Moçambique, São Tomé e Príncipe e da FRETILIN - Frente Revolucionária de Timor-Leste Independente.
O SARAU COMO ESTRATÉGIA DE RESISTÊNCIA POÉTICA E REFLEXÃO SOBRE NOVOS TERRITÓRIOS CULTURAIS
Authors: Frazão Idemburgo Pereira 
Published: November 2017

O presente trabalho intenta, em termos gerais, refletir sobre a importância dos saraus na literatura brasileira, apontando para a utilização dos mesmos como espaço de resistência cultural, social e política. Mais especificamente, intenta-se tratar dos saraus em territórios periféricos da Baixada Fluminense, no Rio de Janeiro, partindo da menção à trajetória histórica dos saraus da COOPERIFA (Cooperativa Cultural de Periferia) Dar-se-á ênfase à obra de Moduan Matus, um importante militante cultural da Baixada Fluminense, que inicia sua atuação poética na década de 1970, quando escrevia seus poemas em muros e portas de lojas fechadas. Suas atividades artísticas são realizadas, ainda hoje, em espaços diversos, que vão dos quintais às praças públicas. O estudo da obra de Matus e da importância dos saraus como forma de resistência cultural permitirá que se traga à luz importantes reflexões identitárias locais. Palavras-chave: lugar; território; marginalidades; Baixada Fluminense. Moduan Matus The present work tries, in general terms, to reflect on the importance of sarahs in Brazilian
DAYA HAMBAT VIRGIN COCONUT OIL TERHADAP PERTUMBUHAN JAMUR CANDIDA ALBICANS YANG DIISOLASI DARI SAMPEL SWAB VAGINA
Authors: Burhannuddin Burhannuddin , Karta I W. , Tresnanda B. , Putra I G. N. D. , Darmada I P. A. , Pradnyadhita , I. I D. A. , Gunawan I W. B. A. , Ariawan I M. B. 
Published: November 2017

Prevalensi kandidiasis meningkat seiring dengan meningkatnya populasi penderita imunokompromais. Resistensi C. albicans terhadap berbagai agen anti fungi juga dilaporkan mengalami peningkatan. Pengembangan obat yang berbasis bahan alam dan dapat bertindak sebagai anti fungi terhadap C. albicans perlu terus dilakukan. Penelitian ini bertujuan untuk mengetahui daya hambat VCO terhadap pertumbuhan C. albicans yang diisolasi dari swab vagina. Isolasi dilakukan dengan metode kultur, identifikasi mikroskopis, dan uji biokimia. Uji daya hambat VCO terhadap C. albicans isolat vagina dilakukan dengan metode difusi cakram.Â Jamur C. albicans berhasil diisolasi dari swab vagina dengan ciri-ciri koloni yeast, membentuk blastospora, pseudohifa, klamidopora, dan germ tube. Hasil uji difusi cakram menunjukkan VCO mampu menghambat pertumbuhan jamur C. albicans. VCO pada konsentrasi 90 %Â memiliki daya hambat tertinggi, dengan nilai zona hambat minimumÂ 24,0 mm, lebih besar dibandingkan VCO pada konsentrasi 75 % (20 mm), 50 % (9,7 mm),Â 25 % (1,9 mm), dan kontrol negatif (0,0 mm). Namun nilai Zona Hambat tersebut lebih rendah secara bermakna dengan kontrol positif (Ketokenazol 2 %) (p< 0,05). VCO mengandung berbagai zat aktif yang dapat bekerja sebagai anti fungi, seperti asam laurat, asam kaprilat, dan asam kaprat. Zat monolaurin dan monokaprin yang dihasilkan VCO dapat merusak struktur membran sel jamur. Berdasarkan hasil tersebut maka VCO berpotensi digunakan sebagai obat alternatif untuk infeksi C. albicansÂ Kata kunci: Daya hambat, VCO, Candida albicans, Swab vaginaÂ
ANALISIS PROKSIMAT PADA PELET BAHAN BAKAR DARI KOTORAN BABI YANG DIKOMBINASIKAN DENGAN LIMBAH KAYU
Authors: Sukarta I Nyoman , Oka Luh Putu Ayu Lakshemini 
Published: November 2017

Penelitian ini bertujuan untuk mengetahui karakteristik data analisis proksimat (kadar air, Ash/kadar abu, Volatile Matter (VM), Fixed Carbon (FC)). Â Subyek penelitian ini adalah kotoran babi dan limbah kayu sedangkan obyek penelitian ini adalah kualitas pelet variasi kombinasi kotoran babi dan limbah kayu. Pelet (P) dibuat dengan berbagai perbandingan antaraÂ kotoran babi (KB) dan limbah kayu (LK), 10:90 (P1); 20:80 (P2); 30:70 (P3); 40:60 (P4); 50:50 (P5). Data analisis proksimat diukur dengan Thermogravimetric Analyzer (TGA) 701 merk LECO. Hasil penelitian menunjukkan bahwa : bahan baku pelet kotoran babi (100%) memiliki kadar air (13,20%), ash (16,9%), VM (50,43%) dan FC (19,47%). Limbah kayu (100%) memiliki kadar air (13,26%), ash (1,19%), VM (84,18%) dan FC(1,37%). Pelet dengan kadar air tertinggi terdapat pada P1 yaitu 13,28%. Pelet dengan nilai kadar ash tertinggi adalah P5 yaitu 9,19%. Pelet dengan kadar VM tertinggi adalah P1 yaitu 80,38%. Pelet dengan kadar FC tertinggi adalah P5 yaitu 10,32%.Â
PENGARUH METODE PEMBELAJARAN CREATIVE PROBLEM SOLVING (CPS) TERHADAP KEMAMPUAN BERPIKIR KREATIF MAHASISWA (Studi Eksperimen Pada Mahasiswa Pendidikan Ekonomi FKIP UM Metro)
Authors: Budiarti Yesi 
Published: November 2017

Rendahnya kemampuan berpikir kreatif mahasiswa diduga karena proses pembelajaran cenderung lebih disibukkan dengan pemikiran bagaimana caranya agar seluruh materi dapat segera diberikan kepada mahasiswa. Cara ini cenderung tidak melibatkan mahasiswa dalam pembelajaran sehingga tidak dapat membentuk mahasiswa menjadi pribadi yang kreatif dan mandiri. Fokus utama dalam penelitian ini adalah apakah terdapat pengaruh Pembelajaran metode Creative Problem Solving terhadap kemampuan berfikir kreatif mahasiswa? Populasi 60 penelitian ini orang mahasiswa yang berasal dari kelas A dan B semester 6. Penelitian ini menggunakan pendekatan kuantitatif dengan metode survey. Data utama diperoleh melalui pengisian kuisioner. Sedangkan data tambahan diperoleh melalui penilaian produk, dokumentasi, observasi dan wawancara. Data yang diperoleh kemudian diolah menggunakan Uji regresi untuk mengetahui apakah terdapat pengaruh pembelajaran metode Creative Problem Solving terhadap kemampuan berfikir kreatif mahasiswa pendidikan Ekonomi FKIP UM Metro. Hasil pengolahan data membuktikan bahwa H0 diterima dengan nilai Sig.(2-tailed) sebesar 0.984, atau dengan kata lain dapat dikatakan bahwa tidak terdapat perbedaan yang signifikan antara pretes kelas kontrol dan kelas eksperimen. Pengujian hipotesis kedua membuktikan bahwa nilai Sig.(2-tailed) sebesar 0.49. Berdasarkan kriteria, maka dapat disimpulkan bahwa terdapat perbedaan yang signifikan antara nilai pretes dengan posttes kelas eksperimen atau dengan kata lain H1 diterima.
MENEJMEN RISIKO DALAM PERFEKTIF ISLAM
Authors: Supriyo Supriyo 
Published: November 2017

Human life with all its activities in order to meet the needs of life always will always faced the possibility of risk either directly or indirectly, can occur in the short term or long term. A possibility of the occurrence or risk had certainly will affect the activity to be done And adversely affect the economy of a family and even a company, if the risks that occur have a vital impact on the family or an organization. Many failures within a company's organization are due to unforeseen risks occurring as for example the company never thinks that a newly established company is still in the short run abruptly because a workforce lacking control in the production system creates a great fire and spends all and has a bad impact For the economy of a family and even a company, if the risks that occur have a vital impact on the family or an organization. Many failures within a company's organization are due to unforeseen risks occurring as for example the company never thinks that a newly established company is still in the short run abruptly because a workforce lacking control in the production system creates a terrible fire and consumes all the company's assets Newly established. Everyone or anyone else would not want the incident to happen and befall themselves and his business in the future. Keywords: Islamic perspective, Risk management
Gender-Specific Differences in Serum Immunoglobulin E Levels and Prevalence of Fungus in Sinonasal Tissue Noted in Patients with Chronic Rhinosinusitis who Underwent Endoscopic Sinus Surgery
Authors: Azar Antoine , Rank Matthew A. , Zarka Matthew A. , Chang Yu-Hui , Lai Devyani 
Published: November 2017

Background We previously presented that women with chronic rhinosinusitis (CRS) who elected endoscopic sinus surgery (ESS) have a higher symptom burden than men. Causes of these gender-based differences warranted further study. Objectives To study gender differences in another cohort of adult patients with CRS who underwent ESS and to compare key histopathologic and serologic features Methods Patients with CRS who underwent ESS (from 2011 to 2014) with structured histopathology reports on surgical samples were studied. The 13-item structured histopathology report detailed key metrics of inflammation and the presence of fungal elements. Clinical, 22-item Sino-Nasal Outcome Test (SNOT-22) score, Lund-Mackay computed tomography (CT) score, serologic (immunoglobulin E [IgE] level, absolute eosinophil count) and histopathologic data were compared between male and female patients by using statistical software. Results We studied 130 eligible subjects (mean age, 54.7 years; 49.2% women). Compared with the men, the women had significantly higher preoperative SNOT-22 scores (women, 48.7; men 38.0 [p = 0.004]) but similar CT scores. Serum IgE levels were significantly higher among women versus men (peak, 433.3 versus 190.8 kU/L [p = 0.03]; closest to surgery, 435.0 versus 190.8 kU/L [p = 0.03]). Tissue fungal elements were significantly more prevalent in women versus men (19.0 versus 5.2%; p = 0.02). Up to this point, the analysis was agnostic of clinical details of the subjects. Further analysis was conducted regarding clinical features. Allergic fungal sinusitis (AFS) was found significantly more commonly in the female versus male patients (21.9 versus 9.1%; p = 0.04). Women versus men had a higher prevalence of migraine (19.4 versus 4.6%; p = 0.01) or any primary headache disorders (23.0 versus 6.2%; p = 0.007). Conclusion Women who underwent ESS for CRS had higher SNOT-22 symptom burden. Worsened symptomatology may be secondary to a higher prevalence of primary headache disorders in women. However, surgeons should also be aware that female patients with CRS who seek ESS may have a higher prevalence of severe disease endotypes (more tissue fungal elements, elevated serum IgE levels) and phenotypes.
Factors that Contribute to Disagreement in Satisfaction between Surgeons and Patients after Corrective Septorhinoplasty
Authors: Kim Jong-Yeup , Cha Min-Ji , Kwon Soon-Sung , Kim Dong-Kyu 
Published: November 2017

Background Corrective septorhinoplasty is one of the most common facial plastic surgeries. However, surgeons and patients sometimes disagree about postoperative-outcome satisfaction after corrective septorhinoplasty. Objective We investigated the factors that influenced the disagreement in satisfaction between surgeons and patients after corrective septorhinoplasty. Methods Surgeon satisfaction was assessed by other plastic surgeons by comparing patient photographs taken at the preoperative and 12-month postoperative periods. Patient satisfaction was assessed by the Rhinoplasty Outcome Evaluation Questionnaire (ROEO) before surgery and 12 months after surgery. The dissatisfied group was defined as showing a negative change or no change in the ROEO quartile between baseline and 12 months after surgery. Results A total of 70 patients were included. No significant differences were observed between the satisfied and dissatisfied groups in sex, marital status, depression history, and major anesthetic problems. However, the dissatisfied group was significantly younger, more likely to be employed, and better educated than the satisfied group. In addition, a multivariate logistic regression analysis indicated that being highly educated was a predictor of disagreement in satisfaction between surgeons and patients. Conclusion Our findings indicated that highly educated patients who underwent corrective septorhinoplasty required more detailed preoperative guidance, including more complete information on the limitations of the surgery.
Sinonasal T-Cell Expression of Cytotoxic Mediators Granzyme B and Perforin is Reduced in Patients with Chronic Rhinosinusitis
Authors: Smith Sarah E. , Schlosser Rodney J. , Yawn James R. , Mattos Jose L. , Soler Zachary M. , Mulligan Jennifer K. 
Published: November 2017

Background CD8+ T cells and natural killer (NK) cells are cytotoxic cells that use granzyme B (GrB) and perforin. Defective cytotoxic function is known to play a role in dysregulated immune response as seen in chronic sinusitis, also referred to as chronic rhinosinusitis (CRS). However, to our knowledge, in the United States, neither GrB or perforin expression has been reported in patients with CRS. Objective The aim of this study was to investigate sinonasal cytotoxic cells, their mediators, and cell-specific distribution of these mediators in patients with CRS with nasal polyp (CRSwNP) and in patients with CRS without nasal polyp (CRSsNP). Methods Blood and sinus tissue samples were taken from patients with CRSsNP (n = 8) and CRSwNP (n = 8) at the time of surgery. Control subjects (n = 8) underwent surgery for cerebrospinal fluid leak repair or to remove non-hormone-secreting pituitary tumors. The cells were analyzed via flow cytometry by using CD8 expression to identify cytotoxic T cells and CD56 expression to identify NK cells. Intracellular GrB and perforin expression were analyzed with flow cytometry. Results We observed no significant differences in plasma or peripheral blood immune cell numbers or specific levels of GrB or perforin among the groups. In the sinonasal mucosa of the patients with CRSsNP and the patients with CRSwNP, there was a significant decrease in GrB and perforin levels (p <0.05) despite similar or increased numbers of cytotoxic cells when compared with the controls. The overall decrease in GrB and perforin in the sinonasal mucosa of the patients with CRSsNP and the patients with CRSwNP was due to decreased T cell production. There was no difference in total NK cell count or expression of perforin or GrB among all the groups. Conclusion Total levels of sinonasal GrB and perforin were decreased in the sinonasal mucosa of both the patients with CRSwNP and the patients with CRSsNP compared with the controls, whereas sinonasal CD8+ T cells, (but not NK cells,), intracellular stores of GrB and perforin were reduced in the patients with CRSwNP compared with the controls.