bluuebunny/crossref_metadata_2025_split huggingface dataset:
Percepción y actitud del universitario de enfermería sobre su formación en investigación
Authors: Ochoa-Vigo Kattia , Bello Vidal Catalina , Villanueva Benites Maritza Evangelina , Ruiz-Garay Maria Inés , Manrique Borjas Gloria Antonieta 
Published: January 2017

Objetivos: Evaluar la percepción y actitud de universitarios de enfermería sobre su formación en investigación en universidades de Lima y del interior del país, y determinar la relación entre variables y sus diferencias por tipo de universidad. Material y métodos: Estudio observacional, multicéntrico, diseño transversal, realizado en tres universidades de Lima y una del interior, teniendo como universo a estudiantes de 8-10° ciclo de estudios, cuya población de estudio fue 556 universitarios. El instrumento fue un cuestionario estructurado tipo escala aplicado mediante encuesta. Resultados: La mayoría de universitarios fue mujer, soltera con edad media de 24,07 años. En la percepción, hubo mayor acuerdo en fortalecer la investigación, estudian investigación por ser parte del currículoy que los temas de investigación responden a los problemas sanitarios. En actitud, identifican rápidamente las necesidades en el cuidado del paciente, siendo que las universidades deben invertir más en investigación y la mayoría consideró importante publicar sus trabajos al culminar los estudios. Existe relación directamente proporcional entre percepción y actitud (p<0,001); siendo la percepción y actitud más positivas y más favorable, respectivamente, en las universidades públicas. Conclusiones: Más del 65% de universitarios de enfermería tenía una percepciónpositiva y actitud favorable sobre su formación en investigación; existiendo relación significativa entre percepción y actitud. Debemos reforzar la enseñanza-aprendizaje de la investigación con actividades que desarrollen actitudes desde los primeros años de estudios.
Exanguinotransfusión como tratamiento de metahemoglobinemia secundaria a dapsona. Reporte de caso
Authors: Fernández-Merjildo Diana , Zegarra Piérola Jaime , Heredia Orbegoso Omar , Meza Garcia Mónica 
Published: January 2017

La dapsona es una sulfona utilizada en una variedad de enfermedades dermatológicas que incluye el pénfigo, la metahemoglobinemia es un síndrome clínico potencialmente mortal debido a la disminución del aporte de oxígeno desde la sangre hacia los tejidos; la metahemoglobinemia adquirida es la forma más frecuente y es un conocido efecto adverso del uso de dapsona. Describimos el caso de un varón con pénfigo foliáceo y tratamiento reciente con dapsona, que presentó cianosis, disnea y choque circulatorio ante concentraciones elevadas de metahemoglobina(21%); el tratamiento inicial incluyó oxigenoterapia, soporte ventilatorio invasivo, hemodinámico y administración de azul de metileno intravenoso, ante la ausencia de respuesta clínica se realizó exanguinotransfusión como terapia de segunda línea con respuesta óptima, el nivel sérico de metahemoglobina fue 2,3% tres horas posteriores al recambio sanguíneo.
Necrolisis epidérmica tóxica inducida por Difenilhidantoína. A propósito de un caso
Authors: Cubas Wildor S. , Pacheco Luis G. 
Published: January 2017

La Necrólisis Epidérmica Tóxica (NET) o síndrome de Lyell y el Síndrome de Stevens-Johnson (SSJ) constituyen un espectro de la misma enfermedad, ambas comparten aspectos etiopatogénicos, histológicos y terapéuticos. La NET es un síndrome agudo de escasa ocurrencia y representa probablemente la entidad dermatológica más grave conocida, cursa clínicamente con la formación de ampollas, necrosis de la epidermis y desprendimiento de la misma. Las manifestaciones sistémicas son fundamentalmente respiratorias, gastrointestinales y renales; lamortalidad es de 70%. Generalmente es desencadenada por fármacos, especialmente los anticonvulsivantes como la Difenilhidantoína. Se presenta el caso de un varón de 60 años, con antecedente de crisis convulsivas que fueron tratadas con Difenilhidantoína, quien desarrolló posteriormente un exantema vesículo-ampollar cuya presentación,distribución, compromiso sistémico,asociación temporal con el fármaco y el grado de extensión, apoyaron al diagnóstico de NET.
La cirugía oncoplástica de la mama: Una técnica quirúrgica que mejora la calidad de vida de las pacientes
Authors: Garcés Milko , Falla Martín , Mendoza Zulma , Cotrina José , Ruíz María 
Published: January 2017

La cirugía oncológica de la mama ha evolucionado desde técnicas mutiladoras hasta las modernas técnicas conservadoras como “tumorectomía” o a la cirugía oncoplástica. La cirugía oncoplástica surgió de la fusión de la cirugía oncológica con la cirugía plástica reconstructiva de la mama. Esta serie de técnicas quirúrgicas permite mejorar los resultados quirúrgicos y cosméticos sin alterar el manejo oncológico de las pacientes, traduciéndose en una mejor calidad de vida sin alterar el pronóstico de la enfermedad. En la técnica quirúrgica oncoplástica de lamama también interviene, en ocasiones, la mama contralateral al realizar la nivelación, mejorando la estética. Esta novedosa técnica viene beneficiando pacientes desde el año 2012, implementándose por primera vez en el Instituto Nacional de Enfermedades Neoplásicas, donde se han obtenido resultados similares a los reportados por la literaturaespecializada. En este artículo de revisión describimos a la cirugía oncoplástica de la mama así como resultados de estudios realizados en nuestra Institución.
PENGARUH KONSELING TERHADAP PARENTING SELF EFFICACY PADA IBU POSTPARTUM DENGAN SECTIO CAESAREA
Authors: Astutiningrum Diah Astutiningrum , Hapsari ELsi , Purwanta Purwanta 
Published: January 2017

Latar Belakang: Parenting Self Efficacy (PSE) merupakan keyakinan orang tua terhadap kemampuannya dalam mengatur dan melakukan tugas yang berhubungan dengan mengasuh anak. Rasa sakit setelah persalinan SC dapat mengurangi kemampuan dan menurunkan keyakinan ibu dalam merawat bayi. Konseling pada ibu postpartum merupakan upaya meningkatkan keyakinan diri dalam mengasuh bayi.Tujuan: menguji pengaruh konseling yang diberikan pada ibu postpartum dengan SC terhadap peningkatan PSE.Metode: Penelitian menggunakan quasi eksperimen dengan pre-test and post-test with control group. Jumlah subjek penelitian sebanyak 66 subjek terbagi menjadi kelompok eksperimen 33 dan kontrol 33. Subjek yang sesuai kriteria inklusi, diberikan kuesioner dan dilakukan pre-test dengan parenting self efficacy scale (PSES), melakukan konseling dan memberi booklet pada kelompok eksperimen dan memberi booklet saja pada kelompok kontrol. Pengukuran dilakukan dengan instrumen parenting self efficacy scale (PSES). Uji statistik yang digunakan adalah paired t-test dan independent sample t-testHasil Penelitian: Peningkatan skor PSE yang bermakna setelah dilakukan intervensi pada kelompok eksperimen dan kelompok kontrol (6,19±0,93 Vs 7,54±0,71, P=0,001; 5,56±0,85 Vs 5,87±0,68, P=0,001). Perubahan skor setelah intervensi secara bermakna lebih tinggi pada kelompok eksperimen dibanding kelompok kontrol (1,35±0,58 Vs 0,31±0,26, p= 0,000) Kesimpulan: Konseling dengan menggunakan booklet berpengaruh terhadap parenting self efficacy pada ibu postpartum dengan SC. Kata kunci : Parenting Self Efficacy, konseling, postpartum, section caesarea
Programa Oportunidades y bienestar económico de los hogares beneficiarios de San Bartolomé Quialana, Oaxaca
Authors: Espinosa Trujillo Marco Antonio , Reyes de la Cruz Virginia Guadalupe , Pérez Vera Flor del Carmen , Torres Sombra Jesús 
Published: January 2017

El objetivo del presente estudio es determinar la importancia de las trasferencias de gobierno, a través del Programa Oportunidades, en el ingreso de las familias beneficiarias, y el efecto que producen en su bienestar. Se tomó como referencia el caso de la comunidad San Bartolomé Quialana, Oaxaca, donde se encontró que 28.6 por ciento de los ingresos de los beneficiarios provienen del programa. Si las trasferencias se eliminaran, el porcentaje de individuos sin capacidad de acceso a la canasta alimentaria se incrementaría de 55.7 a 76.1. Un aumento de 10 por ciento en las trasferencias no tiene efecto significativo en el bienestar. En contraste, la reducción en este mismo valor hace que la pobreza se eleve a 87.5 por ciento, en relación con la línea de bienestar mínimo.
De lo dicotómico a lo relativo. Estudio de las teorías implícitas de la violencia de pareja
Authors: Moreno Candil David , Chapa Romero Ana Celia , Rivas Zavala Celene Esmeralda 
Published: January 2017

El presente estudio se enfocó en explorar las teorías implícitas de la violencia de pareja en hombres y mujeres, residentes de un municipio ubicado al norte de Sinaloa. Para ello se elaboró el cuestionario de teorías implícitas de la violencia de pareja, a partir de las cuatro tipologías establecidas para la violencia en el ámbito privado: física, sexual, económica y psicológica. Se tomaron en cuenta dos variables: el sexo de los participantes y el del agresor. En los resultados se reconoce la violencia explícita y la sutil. En términos generales, los hombres tienden a atribuir menor grado de violencia que las mujeres. Se resalta la importancia de explorar las construcciones sociales sobre la violencia, para entender la magnitud y crecimiento de este fenómeno.
FAKTOR YANG BERHUBUNGAN DENGAN PAPARAN PESTISIDA PADA PEKERJA CHEMIS (PENYEMPROTAN)
Authors: M.Kes ENTIANOPA 
Published: January 2017

<p>PT. Ricki Kurniawan Kertapersada adalah perusahaan perkebunan kelapa sawit yang berada di Desa Mekar Sari Kecamatan Kumpeh Kabupaten Muaro Jambi. Berdasarkan data yang diperoleh dari Puskesmas Puding tahun 2014 Hasil pemeriksaan cholinesterase terhadap 101 orang pekerja chemis PT. RKK terdapat 40 pekerja yang terpapar pestisida.</p><p>Penelitian ini merupakan penelitian kuantitatif. Populasi penelitian berjumlah 101 orang.Cara pengambilan sampel dalam penelitian menggunakan tehnik Accidental Sampling dengan jumlah sampel sebanyak 49 orang.</p><p>Hasil penelitian diketahui 32 (64,0%) terpapar pestisida, 33 (66,0%) responden memiliki pengetahuan rendah, 20 (40,0%) responden cara penyemprotan kurang baik, dan 24 (68,0%) penggunaan APD tidak lengkap. Terdapat hubungan yang bermakana antara pengetahuan (p-value = 0,036), penggunaan APD (p-value = 0.003) dengan paparan pestisida pada pekerja chemis (Penyemprotan) di PT. RKK Desa Mekar Sari Kecamatan Kumpeh Kabupaten Muaro Jambi tahun 2016.</p><p>Disarankan bagi Dinas kesehatan agar dapat meningkatkan pemberian informasi tentang penggunaan pestisida. Bagi PT. RKK agar dapat melakukan pembinaan kepada pekerja tentang penggunaan pestisida sesuai petunjuk.</p><p> </p><p><strong>Kata Kunci :</strong>Paparan Pestisida, Pengetahuan, Cara Penyemprotan,</p><p> Penggunaan APD</p>
p53 immunohistochemical staining patterns in oral squamous cell carcinoma
Authors: Dundy G , Kumar H , Singh A , Chandarakant A 
Published: January 2017

Background: Mutation of p53 gene is one of the most common events in oral carcinogenesis. Accumulation of p53 protein has also been detected in premalignant lesions.Materials and Methods: This study included 40 biopsy samples, which were received in department of pathology, Sarojini Naidu Medical College, Agra, to ascertain p53 expression by immunohistochemically, in patients with oral squamous cell carcinomas and to correlate its expression with histological grade, different sites in oral cavity and tobacco intake/smoking habits.Results: Out of 40 biopsies of oral mucosa, 03 showed normal oral mucosa and 37 were diagnosed as squamous cell carcinoma (SCC), most patients were in 5th and 6th decade and majority (86.5%) of oral SCC were males with buccal mucosa being the most common site. There was a statistically significant difference in p53 expression between oral SCC and normal oral mucosa (p value <0.05). Of total 37 cases, 12 cases were well differentiated type, 16 moderately differentiated and 09 of poorly differentiated type of SCC. In each category, about two thirds were positive for p53 staining. Out of total 37 cases of oral SCC, 64.9% were positive and 35.1% were negative for p53 expression, 34 cases had positive history of tobacco intake/smoking habits, of which 23 cases were positive while 11 cases were negative for p53 staining.Conclusion: Abnormal p53 protein was detected in 64.9% of oral squamous cell carcinoma, but not in normal oral mucosa. p53 expression was associated with malignant transformation of oral mucosa.
Residual effects of static stretching and self-myofascial-release exercises on flexibility and lower body explosive strength in well-trained combat athletes
Authors: Sağiroğlu İsa , Kurt Cem , Pekünlü Ekim , Özsu İlbilge 
Published: January 2017

BACKGROUND: The self-myofascial technique is a new exercise modality that is thought to improve muscular performance and restore soft tissue. However, there are limited empirical data demonstrating the efficacy of this technique on athletic performance. OBJECTIVE: The purpose of this study was to determine the effects of self-myofascial-releasing exercises on the residual characteristics of the sit and reach (S&R) and countermovement jump (CMJ) performance in well-trained combat athletes. METHODS: Sixteen well-trained male combat athletes (age: 23.9 ± 3.6 years, mass: 78.78 ± 10.41 kg, combat experience: 12.87 ± 5.23 years) performed three exercise sessions called ``aerobic running (AR)'', ``aerobic running combined with static stretching (AR + SS)'', and ``aerobic running combined with self-myofascial release (AR + SMR)'' at 48 hour intervals in a randomized crossover design. After each session, the subjects performed the S&R and CMJ tests successively with 30-s of rest between the tests at the 15th second and at the 2nd, 4th, 6th, 8th, 10th, 15th, and 30th minute during the recovery period. RESULTS: ANOVA and the post-hoc LSD (Least Significant Difference) test revealed that the AR + SMR treatment increased the flexibility greater than AR + SS (p= 0.029) at the 45th second. Additionally, the AR + SMR treatment resulted in less of a decrease in CMJ height compared to AR + SS at the 10th minute (p= 0.025). A larger decrease in the CMJ height was found after AR + SS compared to the AR and AR + SMR treatments at the 10th and 15th minute, respectively (p= 0.025 and p= 0.038). These results revealed that SMR had no advantage over AR and SS in terms of enhancing flexibility. A statistically insignificant inhibitory effect of SMR was detected on the CMJ performance. SS appeared to have an inhibitory effect on the CMJ performance for approximately 15 minutes. CONCLUSION: SMR may have a detrimental effect on CMJ performance. Trainers or athletes should consider using the SMR technique before training or competition to prevent possible power decrement.
THE GOULD’S BELT DISTANCES SURVEY (GOBELINS). I. TRIGONOMETRIC PARALLAX DISTANCES AND DEPTH OF THE OPHIUCHUS COMPLEX
Authors: Ortiz-León Gisela N. , Loinard Laurent , Kounkel Marina A. , Dzib Sergio A. , Mioduszewski Amy J. , Rodríguez Luis F. , Torres Rosa M. , González-Lópezlira Rosa A. , Pech Gerardo , Rivera Juana L. , Hartmann Lee , Boden Andrew F. , Evans II Neal J. , Briceño Cesar , Tobin John J. , Galli Phillip A. B. , Gudehus Donald 
Published: January 2017

ABSTRACT
We present the first results of the Gould’s Belt Distances Survey (GOBELINS), a project aimed at measuring the proper motion and trigonometric parallax of a large sample of young stars in nearby regions using multi-epoch Very Long Baseline Array (VLBA) radio observations. Enough VLBA detections have now been obtained for 16 stellar systems in Ophiuchus to derive their parallax and proper motion. This leads to distance determinations for individual stars with an accuracy of 0.3 to a few percent. In addition, the orbits of six multiple systems were modelled by combining absolute positions with VLBA (and, in some cases, near-infrared) angular separations. Twelve stellar systems are located in the dark cloud Lynds 1688; the individual distances for this sample are highly consistent with one another and yield a mean parallax for Lynds 1688 of

mas, corresponding to a distance

pc. This represents an accuracy greater than 1%. Three systems for which astrometric elements could be measured are located in the eastern streamer (Lynds 1689) and yield an estimate of

mas, corresponding to a distance

pc. This suggests that the eastern streamer is located about 10 pc farther than the core, but this conclusion needs to be confirmed by observations of additional sources in the eastern streamer (currently being collected). From the measured proper motions, we estimate the one-dimensional velocity dispersion in Lynds 1688 to be 2.8 ± 1.8 and 3.0 ± 2.0 km s−1, in R.A. and decl., respectively; these are larger than, but still consistent within

of, those found in other studies.
THE DEPLETION OF WATER DURING DISPERSAL OF PLANET-FORMING DISK REGIONS
Authors: Banzatti A. , Pontoppidan K. M. , Salyk C. , Herczeg G. J. , van Dishoeck E. F. , Blake G. A. 
Published: January 2017

ABSTRACT
We present a new velocity-resolved survey of 2.9 μm spectra of hot H2O and OH gas emission from protoplanetary disks, obtained with the Cryogenic Infrared Echelle Spectrometer at the VLT (R ∼ 96,000). With the addition of archival Spitzer-IRS spectra, this is the most comprehensive spectral data set of water vapor emission from disks ever assembled. We provide line fluxes at 2.9–33 μm that probe from the dust sublimation radius at ∼0.05 au out to the region of the water snow line. With a combined data set for 55 disks, we find a new correlation between H2O line fluxes and the radius of CO gas emission, as measured in velocity-resolved 4.7 μm spectra (R

), which probes molecular gaps in inner disks. We find that H2O emission disappears from 2.9 μm (hotter water) to 33 μm (colder water) as

increases and expands out to the snow line radius. These results suggest that the infrared water spectrum is a tracer of inside-out water depletion within the snow line. It also helps clarify an unsolved discrepancy between water observations and models by finding that disks around stars of

generally have inner gaps with depleted molecular gas content. We measure radial trends in H2O, OH, and CO line fluxes that can be used as benchmarks for models to study the chemical composition and evolution of planet-forming disk regions at 0.05–20 au. We propose that JWST spectroscopy of molecular gas may be used as a probe of inner disk gas depletion, complementary to the larger gaps and holes detected by direct imaging and by ALMA.
EVOLUTION OF HIGH-ENERGY PARTICLE DISTRIBUTION IN MATURE SHELL-TYPE SUPERNOVA REMNANTS
Authors: Zeng Houdun , Xin Yuliang , Liu Siming , Jokipii J. R. , Zhang Li , Zhang Shuinai 
Published: January 2017

ABSTRACT
Multi-wavelength observations of mature supernova remnants (SNRs), especially with recent advances in γ-ray astronomy, make it possible to constrain energy distribution of energetic particles within these remnants. In consideration of the SNR origin of Galactic cosmic rays and physics related to particle acceleration and radiative processes, we use a simple one-zone model to fit the nonthermal emission spectra of three shell-type SNRs located within 2° on the sky: RX J1713.7−3946, CTB 37B, and CTB 37A. Although radio images of these three sources all show a shell (or half-shell) structure, their radio, X-ray, and γ-ray spectra are quite different, offering an ideal case to explore evolution of energetic particle distribution in SNRs. Our spectral fitting shows that (1) the particle distribution becomes harder with aging of these SNRs, implying a continuous acceleration process, and the particle distributions of CTB 37A and CTB 37B in the GeV range are harder than the hardest distribution that can be produced at a shock via the linear diffusive shock particle acceleration process, so spatial transport may play a role; (2) the energy loss timescale of electrons at the high-energy cutoff due to synchrotron radiation appears to be always a bit (within a factor of a few) shorter than the age of the corresponding remnant, which also requires continuous particle acceleration; (3) double power-law distributions are needed to fit the spectra of CTB 37B and CTB 37A, which may be attributed to shock interaction with molecular clouds.
ASTROPHYSICAL PRIOR INFORMATION AND GRAVITATIONAL-WAVE PARAMETER ESTIMATION
Authors: Pankow Chris , Sampson Laura , Perri Leah , Chase Eve , Coughlin Scott , Zevin Michael , Kalogera Vassiliki 
Published: January 2017

ABSTRACT
The detection of electromagnetic counterparts to gravitational waves (GWs) has great promise for the investigation of many scientific questions. While it is well known that certain orientation parameters can reduce uncertainty in other related parameters, it was also hoped that the detection of an electromagnetic signal in conjunction with a GW could augment the measurement precision of the mass and spin from the gravitational signal itself. That is, knowledge of the sky location, inclination, and redshift of a binary could break degeneracies between these extrinsic, coordinate-dependent parameters and the physical parameters that are intrinsic to the binary. In this paper, we investigate this issue by assuming perfect knowledge of extrinsic parameters, and assessing the maximal impact of this knowledge on our ability to extract intrinsic parameters. We recover similar gains in extrinsic recovery to earlier work; however, we find only modest improvements in a few intrinsic parameters—namely the primary component’s spin. We thus conclude that, even in the best case, the use of additional information from electromagnetic observations does not improve the measurement of the intrinsic parameters significantly.
TRACING DENSE AND DIFFUSE NEUTRAL HYDROGEN IN THE HALO OF THE MILKY WAY
Authors: Moss V A. , Lockman F J. , McClure-Griffiths N. M. 
Published: January 2017

ABSTRACT
We have combined observations of Galactic high-velocity H i from two surveys: a very sensitive survey from the Green Bank 140 ft Telescope with limited sky coverage, and the less sensitive but complete Galactic All Sky Survey from the 64 m Parkes Radio Telescope. The two surveys preferentially detect different forms of neutral gas due to their sensitivity. We adopt a machine learning approach to divide our data into two populations that separate across a range in column density: (1) a narrow line-width population typical of the majority of bright high velocity cloud components, and (2) a fainter, broad line-width population that aligns well with that of the population found in the Green Bank survey. We refer to these populations as dense and diffuse gas, respectively, and find that diffuse gas is typically located at the edges and in the tails of high velocity clouds, surrounding dense components in the core. A fit to the average spectrum of each type of gas in the Galactic All Sky Survey data reveals the dense population to have a typical line width of ∼20 km s−1 and brightness temperature of ∼0.3 K, while the diffuse population has a typical line width of ∼30 km s−1 and a brightness temperature of ∼0.2 K. Our results confirm that most surveys of high velocity gas in the Milky Way halo are missing the majority of the ubiquitous diffuse gas, and that this gas is likely to contribute at least as much mass as the dense gas.