bluuebunny/crossref_metadata_2025_split huggingface dataset:
Genito-Pelvic Pain/Penetration Disorder (GPPPD): An Overview of Current Terminology, Etiology, and Treatment
Authors: Conforti Celine 
Published: December 2017

Genito-Pelvic Pain/Penetration Disorder (GPPPD) is a relatively new diagnostic category of female sexual dysfunction, which was introduced during the release of the DSM-5 in 2013. GPPPD reflects the combination of two previous categories of female sexual dysfunction, dyspareunia and vaginismus, into one entity. As such, there is confusion surrounding the proper terminology and diagnostic criteria used when evaluating female sexual or genital pain. This review article attempts to clarify the terminologies used within the medical and scientific community, and provides an overview of current views on etiology and treatment. The likely biological antecedents to genital pain are an exaggerated and prolonged inflammatory response in the vestibular mucosa causing neuroproliferation, and leading to eventual hyperalgesia, allodynia, and pelvic muscle tension in the genital region. These processes interact with psychosocial factors to produce chronic pain. Treatment includes education, CBT, pelvic floor physiotherapy, medical interventions, and surgical interventions, though sexual function may be optimized through a multifaceted approach. RésuméLa GPPPD est une catégorie diagnostique relativement récente de la dysfonction sexuelle féminine, qui a été introduite dans le DSM-5 en 2013. La GPPPD reflète la combinaison de deux catégories précédentes de dysfonctionnement sexuel féminin, la dyspareunie et le vaginisme, en une entité. En tant que tel, il existe une confusion entourant la terminologie appropriée et les critères de diagnostique utilisés lors de l’évaluation de la douleur sexuelle ou génitale féminine. Cet article de revue tente de clarifier les terminologies utilisées dans la communauté médicale et scientifique et donne un aperçu des points de vue actuels sur l’étiologie et le traitement. Les antécédents biologiques probables à la douleur génitale sont une réponse inflammatoire exagérée et prolongée dans la muqueuse vestibulaire entraînant une neuroprolifération, et conduisant à une éventuelle hyperalgésie, allodynie et tension musculaire pelvienne dans la région génitale. Ces processus interagissent avec des facteurs psychosociaux pour produire une dou- leur chronique. Le traitement comprend l’éducation, la TCC, la physiothérapie du plancher pelvien, les interventions médicales et les interventions chirurgicales, bien que la fonction sexuelle puisse être optimisée par une approche multidimensionnelle.
Multisite ropivacaine for pain relief after laparoscopic cholecystectomy: a placebo controlled study at a tertiary care teaching hospital
Authors: Samal Debasish , Sahoo Rashmiranjan , Patra Kalpita 
Published: December 2017

Background: Laparoscopic cholecystectomy has emerged as the gold standard for gallstone diseases. The preference of laparoscopic cholecystectomy (LC) over open cholecystectomy (OC) is because of decreased pain and early discharge. Still pain remains as a major cause of concern. In this current study, we have evaluated the effect of Intraperitoneal instillation of Ropivacaine along with subcutaneous injection around the trocar sites in patients undergoing LC.Methods: In this prospective study two groups of patients were selected 50 patients in each group. Control groups were given 100ml of 0.9% NS and other group received 2mg/kg intraperitoneal ropivacaine 0.25% diluted in 100ml of NS. All the outcome results were documented and analyzed for conclusion.Results: When we compared the pattern of pain in both the groups over the period of 24 hours postoperative, it was revealed that in the group C shoulder pain was seen in 30% of cases, followed by incisional pain in 76%. Right hypochondriac pain was 84% and diffuse abdominal was 82%. In group R they were being 10%, 20%, 32% and 70% respectively. The postoperative rescue analgesia for group C was demanded after around 1 to 2 hours of reaching the ward whereas in the group R it was around 4 hours. Discharge after adequate pain relief was seen early in group R (24 hours) than in the group C (36-48hours).Conclusions: The database of our retrospective study regarding age and sex incidence, clinicopathological features and therapeutic outcome was comparable to other studies in various literatures.
Desarda’s versus Lichtenstein technique of inguinal hernia repair
Authors: Syed Obaid 
Published: December 2017

Background: Ideal method for modern hernia surgery should be simple, cost effective, safe, tension free and permanent. The Lichtenstein operation to a great extent achieves this entire goal. The Lichtenstein mesh repair is associated with complications, postoperative dysfunction and high cost composite meshes. Desarda's technique, became a new surgical option for tissue-based inguinal hernia repair. The present study was designed to evaluate and compare the effectiveness and complications of the Desarda’s repair with Lichtenstein tension-free mesh repair for treatment of inguinal hernia in a developing country.Methods: 200 patients with unilateral, primary, reducible inguinal hernia were selected. Included patients were randomly divided into two groups. Studied parameters were Duration of surgery, intra operative complications, post-operative Pain, Duration of hospital stay, return to normal activities, post-operative complications and recurrences.Results: There were a total of 100 patients each group. There was no statistically significant difference in duration of surgery and complication rate between the two groups. Difference in mean VAS was not statistically significant. The mean hospital stay in Desarda’s technique was 2.5 days while it was 2.6 days in Lichtenstein’s group. The mean time to return to basic physical activity in the Desarda’s technique was 12.6 days while it was 13.3 days in the Lichtenstein’s group. There were no recurrences in either group. Chronic inguinal pain (>1month) was more frequent in Lichtenstein’s group.Conclusions: There is no significant difference in duration of surgery, intra operative complication rate, post-operative pain, complications and recurrence, between Desarda’s technique and Lichtenstein’s technique. However chronic inguinal pain is less in Desarda’s technique. Desarda’s repair must be considered in young patients (<30 years). Its long-term efficacy needs to be studied with larger, prospective double-blind randomized trials, with longer follow-up.
El derecho de sufragio de personas extranjeras: de la tradición exclusionista a la desnacionalización de los derechos. Una mirada desde el derecho comparado
Authors: Andrade Quevedo Karla Elizabeth 
Published: December 2017

En la actualidad, el reconocimiento de derechos políticos a personas extranjeras ha recibido cierta apertura Europa y Latinoamérica; no obstante, la visión marshalliana de ciudadanía no ha sido superada y la nacionalidad permanece como el elemento condicionante para el reconocimiento pleno del derecho de sufragio. El mundo globalizado exige que el Estado evolucione, dejando de lado los miedos y paranoias del pasado, para permitir la universali- zación del sufragio, la obtención de una verdadera democracia representativa y la plena le- gitimación democrática. Este artículo analiza el derecho de sufragio de personas extranjeras desde la tradición exclusionista clásica hasta la integración de extranjeros a través de la desna- cionalización de los derechos políticos, para a partir de ahí contrastar las distintas posturas y alcances que le han dado varios países de Europa y América Latina.
Competências do diretor escolar para uma gestão autônoma e democrática em escolas públicas: estudo na educação básica em município catarinense
Authors: Fischer Sulivan Desirée , Feuerschütte Simone Ghisi , Mendoza Marcelo De Sá , De Oliveira Beatriz Gil 
Published: December 2017

Este estudo teve como objetivo analisar as competências necessárias à atuação de diretores de escolas públicas de educação básica, para o desenvolvimento de uma gestão autônoma e democrática. Conduzida na forma de estudo de caso qualitativo, exploratório e descritivo, abrangeu diretores de escolas públicas de um município catarinense. Os resultados demonstram constrangimento à gestão autônoma e democrática das escolas, resultantes de restrições da Secretaria de Educação, falta de preparo para o exercício da função de diretor e baixa participação da comunidade escolar.
Direitos Humanos: produções acadêmicas 2010-2011
Authors: Cosme Andréia Catine , Pacheco Leandro Kingeski 
Published: December 2017

Esse artigo objetivou sistematizar temas e referências bibliográficas relativas a direitos humanos de teses no Brasil nos anos de 2010 e 2011. Mapeou teses com tema Direitos Humanos; identificou autores citados; especificou instituições responsáveis pelas produções científicas; levantou linhas de pesquisa vinculadas às publicações. Metodologicamente, a pesquisa foi exploratória com procedimento bibliográfico no levantamento dos dados, a partir do banco de teses da Coordenação de Aperfeiçoamento de Pessoal de Ensino Superior e em banco virtual de dados das instituições respectivas. A partir desse banco de teses definiu-se o filtro de expressão exata “Direitos Humanos”, no período 2010 e 2011, nível acadêmico de doutoramento. O recorte epistemológico evidenciou temas abordados considerando gerações de direitos humanos; áreas de conhecimento; orientadores de mais de uma tese de doutoramento; produção de teses por Instituição do Ensino Superior e por Região do Brasil; aproximação das teses por linha de pesquisa; autores e instituições mais citadas.
A repercussão geral como pressuposto de admissibilidade do Recurso extraordinário
Authors: Batista Camila Bez 
Published: December 2017

A repercussão geral é um instrumento processual inserido no Constituição Federal de 88, por meio da Emenda Constitucional 45, conhecida como a “Reforma do Judiciário”. O objetivo desta ferramenta é possibilitar que o Supremo Tribunal Federal selecione os recursos que irá analisar, de acordo com os critérios de relevância jurídica, política, social ou econômica. Dessa forma, o presente requisito visa permitir que o STF julgue tão somente os recursos que apresentem uma questão que ultrapasse os interesses individuais em favor do caráter geral, ou seja, que demonstre relevância geral na sociedade. A existência de repercussão geral da questão constitucional suscitada é pressuposto de admissibilidade de todos os recursos extraordinários, inclusive os de matéria penal. A preliminar de repercussão geral é analisada pelo Plenário do STF, através de um sistema informatizado, com votação eletrônica, e uma vez constatada sua existência, a decisão proveniente dessa análise será aplicada posteriormente pelas instâncias inferiores, em casos idênticos. O uso desse filtro recursal resulta numa diminuição do número de processos encaminhados a Suprema Corte.
Análise de sustentabilidade: desde a transesterificação até onde?
Authors: Zapata Patricia Ochoa 
Published: December 2017

Analisar e discutir o assunto do biodiesel em um país como o Brasil, que é visto como aquele que tem a maior porcentagem de energia renovável do mundo e economicamente é considerado o maior país produtor de biodiesel de soja, pode ser um tema trivial da porta para fora de uma usina de biodiesel. Em termos técnicos, para os mais otimistas, o biodiesel é o substituto do diesel de petróleo e o combustível mais benéfico para o meio ambiente; para outros simplesmente é moda, um simplex aditivo imposto pela dependência do caminho tecnológico do combustível fóssil, e para outros pensamentos mais radicais não é um “bio” combustível estes creditam que a verdadeira energia renovável esta baseada em células eletroquímicas ou energia solar. O biodiesel estabelecido dentro da matriz energética é sustentável, porque integra um foco de justiça social: melhorar a qualidade de vida do ser humano sendo exemplar com o cuidado da natureza. Do ponto de vista de eficiência energética e econômica: energia como pilar de crescimento e desenvolvimento da economia de um país, e do enfoque ambiental: sabe se que sem boas práticas ambientais degradamos o meio ambiente, não respeitamos ao ser humano destruindo seu presente e gerando um futuro insustentável. Considerando a teoria relativista se pode projetar uma análise de sustentabilidade desde diferentes pontos de vista, porém o ponto de vista do autor em relação ao biodiesel pretende discutir e focalizar uma análise do biodiesel sob a posição tecnológica de desenvolvimento sustentável, ligado aos conceitos de química verde e na busca de um meio ambiente mais equilibrado.
Comicidade e Comedia dell´Arte: Texto de Abertura
Authors: Leite Vilma Campos 
Published: December 2017

Esse número abarca estudos relacionados ao cômico como, por exemplo, a dimensão da linguagem clownesca e do bufão, assim como abordagens que se utilizam da máscara mesmo que não restritas ao próprio gênero ligado ao riso. Outro recorte contemplado nas páginas a seguir são estudos que se detêm sobre a Commedia dell’Arte e com uma abordagem para além da máscara.
Evaluation on Implementation of Performance Management in Asuransi Jiwa Bersama (AJB) Bumiputra 1912
Authors: Nurcahyati Sri 
Published: December 2017

This study aimed to evaluate the implementation of performance management in AJB Bumiputera 1912. This study uses DEM (Discrepancy Evaluation Method) evaluation method. The components that were evaluated are the component of design, installation, implementation, and outcome. The methods used in this study is a questionnaire on 51 unit leader respondents at the headquarter and regional offices, the 150 employees of the central office, the interview method on 10 respondents, observation and study documentsmethod. The results of this study indicate that there is a gap between the actual conditions (Performance) with the condition that should be happened (Standard) on all four components that were analyzed. In conclusion, it is necessary to do some improvements to reduce the gap so that the actual conditions more closely the conditions that should be happened. The improvements that need to be done are alignment of the performance management design with the needs of company at this time, the need for commitment to change from the top down, implementation of reward and punishment continuously,and the need to support tools and technologies that were integrated, so the individual and team performance increased and imply to organization performance to be a leading position in life insurance industries in Indonesia.
Keyword: performance management, discrepancy evaluation model, discrepancy, transformation of human resource management.
PELATIHAN PENGGUNAAN EJAAN YANG DISEMPURNAKAN DAN KALIMAT EFEKTIF PADA PENULISAN SURAT RESMI BAGI GURU SEKOLAH DASAR DI JAKARTA TIMUR
Authors: Supriyana Asep , Azmin Gres Grasia , Nureriyani Reni , Rahmawati Aulia 
Published: December 2017

Pelatihan ini bertujuan untuk meningkatkan kemampuan guru SD di Wilayah Jakarta Timur dalam menggunakan ejaan yang disempurnakan dan kalimat efektif pada penulisan surat resmi. Berdasarkan hasil tes awal, peserta yang memiliki kemampuan menulis surat resmi dengan kriteria kejelasan isi surat sebanyak 70%, kejelasan urutan surat sebesar 65%, kelengkapan bagian-bagian surat sebesar 80%, penggunaan ejaan dan tanda baca sebesar
70.%, dan penggunaan kalimat efektif sebesar 75%.
PELATIHAN MASSAGE BAGI EKS TENAGA KERJA INDONESIA DI-SUBANG JAWA BARAT
Authors: Nuraini Sri 
Published: December 2017

Kegiatan pengabdian kepada masyarakat telah dihadiri masyarakat berstatus Eks TKI yang berjumlah
11 orang khusus perempuan. Rumusan masalah utama pada kegiatan ini adalah: Bagaimana upaya untuk melatih keterampilan massage sehingga dapat meningkatkan penghasilan?
Tujuan dari kegiatan ini adalah: (a) Tujuan umum untuk sosialisasi massage bagi eks Tenaga Kerja Indonesia Di-Subang Jawa Barat dalam peningkatan pengetahuan, kemampuan dan keterampilan. (b) Tujuan Khusus. (1) Memperkenalkan pentingnya sosialisasi massage bagi eks Tenaga Kerja Indonesia Di-Subang Jawa Barat dalam peningkatan pengetahuan, kemampuan dan keterampilan. (2) Meningkatkan kualitas bagi Eks Tenaga Kerja Indonesia Di-Subang Jawa Barat dalam pengetahuan, kemampuan dan keterampilan. (3) Dapat mengaplikasikan pengetahuan, kemampuan dan keterampilan massage kepada masyarakat di-Subang Jawa Barat.
Kegiatan pengabdian kepada masyarakat ini dapat terlaksana dengan baik, karena: (1) Bantuan fasilitas berupa ruangan dan media pendukung untuk penyampaian materi yang telah disiapkan oleh pihak desa. (2) batuan fasilitas berupa ruangan tertutup yang telah disiapkan oleh pihak desa untuk latihan praktek massage bagi ibu-ibu Eks TKI. (3) Bantuan perlengkapan dari ketua pelaksana pelatihan untuk pelaksanaan praktek massage yang diberikan secara gratis pada masing-masing peserta pelatihan berupa: handuk putih besar 1, handuk putih kecil 1, handbody 1 botol, dan minyak massage 1 botol. (4) Para peserta mengikuti setiap tahap kegiatan yang diselenggarakan dari awal sampai akhir dengan sungguh-sungguh. (5) Peserta aktif bertanya pada setiap tahap praktek yang tidak dimengerti. (6) Peserta berkeinginan untuk mengenmbangkan keterampilan yang diperoleh pada skala komersil yang bertujuan untuk meningkatkan penghasilan.
PELATIHAN KETERAMPILAN PEMBUATAN KERANJANG BUAH DARI BAMBU UNTUK MERINTIS KEWIRAUSAHAAN BAGI MANTAN TENAGA KERJA WANITA DI KECAMATAN LABUAN KABUPATEN PANDEGLANG PROVINSI BANTEN
Authors: Sudrajat Ajat 
Published: December 2017

Pelatihan Keterampilan Pembuatan Keranjang Buah dari Bambu untuk Merintis Kewirausahaan bagi Mantan Tenaga Kerja Wanita (TKW) di Kecamatan Labuan Kabupaten Pandeglang Provinsi Banten. P2M ini bertujuan memberikan dan meningkatkan keterampilan dalam merintis kewirausahaan bagi Ibu- ibu TKW dalam Pelatihan Keterampilan membuat Keranjang Buah dari bambu. Program pelaksanaan P2M ini dilaksanakan di Kecamatan Labuan, dalam upaya peningkatan keterampilam tangan dari bambu bagi Ibu-ibu. Metode penelitian ini menggunakan metode deskiptif yang merupakan cara penelitian dengan menggambarkan peristiwa yang ada pada masa sekarang atau yang sedang terjadi dengan pendekatan kualitatif yang pada hakekatnya ingin melakukan eksplorasi pada objek penelitian atau memperoleh gambaran secara mendalam mengenai proses dan hasil P2M, metode ini dipergunakan dengan pertimbangan bahwa hasil dari P2M dapat diketahui secara akurat karena dapat langsung dibandingkan dengan keadaan sebelum diberi perlakuan. Hasil P2M ini menggambarkan penerapan prinsip-prinsip andragogi pada proses pelatihan membuat Keranjang Buah diterapkan sesuai dengan kebutuhan yang dirasakan masing-masing peserta. Pelatihan ini efektif untuk dilakukan karena pembelajaran oleh peserta pelatihan selama proses pelatihan berlangsung mulai dari analisis sampai pada evaluasi melibatkan peserta pelatihannya untuk terlibat terhadap materi pelatihan dan simulasi yang diberikan. Keterlibatan peserta pada proses pelatihan ini membuat mereka termotivasi mengikuti program pelatihan membuat keranjang buah dari bambu sehingga tercapainya tujuan masing-masing peserta pelatihan.
Aplicación del Costo de Capital en las pymes en Colombia: una revisión
Authors: Restrepo Londoño Amanda Lucía , Jiménez Sánchez Jorge Iván Iván 
Published: December 2017

El objetivo del presente trabajo es realizar una revisión de la literatura existente respecto al costo de capital en Colombia y específicamente a las pymes, con el fin de identificar los métodos utilizados y el uso de estas información al momento de buscar fuentes de financiación y optimizar la estructura financiera, para esto se realizó una búsqueda de los trabajos de investigación presentados en los últimos 10 años en el país, encontrando propuestas desde el punto de vista macroeconómico y financiero, posteriormente se realizó un recuento de estos a nivel nacional y aquellos enfocados en las pymes, para seleccionar uno de los modelos que mejor se adaptan a las condiciones del país y aplicarlo a las micro, pequeñas y medianas empresas del sector comercio al por mayor y por menor, donde se concluye que el modelo seleccionado cumple con el principio financiero del costo de la deuda menor al costo del patrimonio y con ajustes propuestos por otros autores es posible ajustarlo a la realidad de la economía nacional, entregando como resultado un costo de capital promedio de 9,09%, el cual se encuentra por encima de la inversión en bonos del tesoro a 10 años o la DTF.
State-of-the-art MR Imaging of Fat-containing Focal Lesions of the Liver
Authors: Podgorska Joanna , Anysz-Grodzicka Agnieszka , Cieszanowski Andrzej 
Published: December 2017

Background:Fat can be identified in numerous liver lesions, and usually is not a specific finding. Distinguishing between different kinds of fatty deposits is an important part of differential diagnosis. Magnetic Resonance Imaging (MRI) is superior to other imaging techniques because it allows distinguishing intracellular from macroscopic fat.Discussion:Intracellular lipid may be found in focal hepatic steatosis, hepatic adenoma, hepatocellular carcinoma and, less commonly, in focal nodular hyperplasia as well as regenerative and dysplastic nodules. Macroscopic fat is seen in angiomyolipoma, lipoma, metastases from fatcontaining neoplasms, primary or metastatic liposarcoma, hydatid cyst, pseudolipoma of the Glisson capsule, pericaval fat collection, lipopeliosis, hepatic teratoma, focal hepatic extramedullary haematopoiesis and adrenal rest tumour.Conclusion:Liver nodules should be characterised with regard to underlying liver condition, MRI characteristics and contrast enhancement pattern, including hepatobiliary phase. In many cases, identification of fatty content may help narrowing the differential diagnosis.
Potential of TePdO Media for Future Archival Storage Applications
Authors: Wang Lei , Lu Shu-Ren , Wen Jing 
Published: December 2017

Background:
Electrical probe memory using chalcogenide alloy has recently become the
research focus due to its potential for the future archival storage.

Objective:
In spite of its extraordinary electro-thermal characteristics, the stability of the chalcogenide
alloy remains questionable because of the well-known resistance drift effect.

Method:
Therefore, we here investigated the possibility of using TePdO media that was previously
implemented for Blu-Ray disc as an alternative material for electrical probe memory application.

Result:
A parametric approach was first deployed to find out the appropriate deposition conditions to
optimize the TePdO resistivity around 100 ohm·cm. Subsequently the thickness of the TePdO film
was optimized in terms of the amorphous resistivity, stability and threshold voltage.

Conclusion:
Finally, the write and readout performances of the electrical probe memory were reevaluated
with the use of TePdO film with respect to the proposed optimized parameters.