bluuebunny/crossref_metadata_2025_split huggingface dataset:
The utility of surgical Apgar score in predicting postoperative morbidity and mortality in general surgery
Authors: Choudhari Rajat , Bhat Rahul , Prasad Keshav , Vyas Bhargava , Rao Harish , Bhat Shrirama 
Published: December 2022

Objective: Many surgical scoring systems are used to predict operative risk but most are complicated. The aim of the study was to determine the utility of the Surgical Apgar Score (SAS) in predicting post operative mortality and morbidity in general surgical cases.
Material and Methods: This was a prospective observational study. All adult patients for emergency and elective general surgical procedures were included. Intraoperative data was collected, and post operative outcomes were followed up till 30 days. SAS was calculated from intraoperative lowest heart rate, lowest MAP and blood loss.
Results: A total of 220 patients were included in the study. All consecutive general surgical procedures were included. Sixty of the 220 cases were emergency and the rest were elective. Forty-five (20.5%) of the patients developed complication. Mortality rate was 3.2% (7 out of 220). The cases were divided into high risk (0-4), moderate risk (5-8) and low risk (9-10) based on SAS. Complication and mortality rates were 50% and 8.3% in the high risk group, 23% and 3.7% in the moderate risk and 4.2% and 0 in the low risk group, respectively.
Conclusion: The surgical Apgar score is a simple and valid predictor of postoperative morbidity and 30-day mortality among patients undergoing general surgeries. It is applicable to all types of surgeries for emergency and elective cases and irrespective of the patient general condition and type of anesthesia and surgery planned.
FACTORES SOCIALES, DEMOGRAFICOS Y GINECO OBSTETRICOS ASOCIADOS AL ABORTO INDUCIDO EN MUJERES BOLIVIANAS, PERIODO 2018-2022
Authors: ROJAS ROJAS GRETTEL DE FATIMA 
Published: December 2022

Metodología: El objetivo general de este estudio es describir y analizar los factores sociales, demográficos y antecedentes Gineco-Obstetricos relacionados al aborto inducido en Bolivia, entre 2018- 2022. Es un tipo de estudio cuantitativo, descriptivo de corte transversal. Los datos fueron recabados de mujeres que viven en Bolivia y participaron de una encuesta anónima, entre mayo- agosto 2022. Resultados: 63% está entre los 21 y 30 años 32.2% ente los 15 y 20 años de edad, 46.3% son profesionales, 31.5% han alcanzado el bachillerato. El porcentaje de mujeres que usó únicamente los MAC de alta eficacia es de 47%, 53% utilizaba MAC de muy baja eficacia. La mayor parte que marcaron demasiada la influencia social está entre los 21-30 años, 50% de dichos casos eran estudiantes, con distintos grados de escolaridad alcanzados. El 93,6% de las mujeres que si están conformes con su deseo de maternidad no tienen hijos. Conclusiones: En Bolivia la mayoría de las mujeres que opto por un aborto provocado son mujeres solteras, entre los 21-30 años, siguen estudiando, no tienen hijos y no desean tenerlos a la fecha, las mujeres jóvenes llegan a tomar la decisión de abortar junto a su pareja, casi en la mitad de los casos se usó un anticonceptivo de confianza e igualmente terminó con un embarazo no deseado. El método más usado durante el primer trimestre es el misoprostol.
STRATEJİK PLANLAMA SÜRECİNDE PAYDAŞ ANALİZİ VE KATILIMCILIK BOYUTU ÇORUM BELEDİYESİ ÖRNEĞİ
Authors: DEMİREL DEĞİRMENCİ Songül , TEKİN Nazlı 
Published: December 2022

Yönetimler, şimdiye kadar bulunmuş en üst yönetim biçimi olan temsili demokrasi uygulamasını geliştirmek için çeşitli yöntemler denemektedirler. Bu anlamda yönetime katılımın gerçekleşmesi, demokratik bir yönetim için önem arz etmektedir. Bunun da bir yolu halkın doğrudan ya da dolaylı bir biçimde katılımının sağlanarak kendilerini ifade etmelerinden geçmektedir. Bununda yeni yol ve yöntemlerinin bulunması, ortaya koyulması ve geliştirilmesi gerekmektedir. Yönetişim kavramı, katılımı da içine alan geniş bir kavramdır. Yönetişim ilk defa on yedinci yüzyıl Fransa’sında adı duyulmuştur. Kamu yönetimi yazınında yönetişim, dünya genelindeki neoliberal dönüşümle beraber adından sıkça tartışılmıştır. Birleşmiş Milletler (BM), Dünya Bankası (WB), Uluslararası Para Fonu (IMF) ve Ekonomik Kalkınma ve İşbirliği Örgütü (OECD) uluslararası örgütlerinde politikalarında yer vermesiyle yaygınlaşmıştır. Yönetişimin aktörü devlet, halk, özel sektör ve sivil toplum kuruluşlarıdır. Kamu kurumlarında paydaş katılımı için çeşitli yasal düzenlemeler yapılmaktadır. 5018 sayılı Kanun, 5216 sayılı Kanun, 5302 sayılı Kanun ve 5393 sayılı Kanun’da bu yönde değişiklikler yapılmıştır. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı paydaş katılımının sağlanması yönünde çalışmalar yapmaktadır. Stratejik plan sürecinde bir yerel yönetim birimi olan belediyelerin 2019 yılından itibaren paydaş katılımı sağlamaları yasal zorunluluk olmuştur. Kamu kurumlarında ve yerel yönetim birimi olan belediyelerde uygulanması zorunluluğu getirilen stratejik planın yapım sürecinde, iç ve dış paydaşların yönetime katılımlarının sağlanması gerekmektedir.
Çalışmanın amacı, Çorum Belediyesi örneğinde stratejik planlama sürecinde paydaşların yönetime katılma düzeyini ölçmektir. Bu nedenle iç paydaş olarak belediye personeli (118 kişi), dış paydaş (274 kişi) olarak il merkezinde yaşayan halk, özel sektör ve sivil toplum kuruluşu temsilcilerine ulaşılmıştır. Önceden hazırlanmış soru formları sorularak yönetime katılım ve memnuniyet düzeyleri belirlenmeye çalışılmıştır. Belediye hizmetleri ve yönetime katılıma dair sorulara iç ve dış paydaşlarca, her bir soruya konu başlıkları çerçevesinde olumlu veya olumsuz olmak üzere cevaplar vermişlerdir. İç paydaşların belediyede çalışmaktan daha memnun olduğu sonucuna ulaşılmıştır.
LA COMPLEJIDAD ANTROPOLÓGICA DE LA COMUNICACIÓN DIGITAL Y LA INTELIGENCIA ARTIFICIAL Y CÓMO AFRONTARLA: UN DIÁLOGO ENTRE YUVAL NOAH HARARI, BYUNG-CHUL HAN Y PAOLO BENANTI
Authors: Aguirre Gonzáles Andoni , Casas Andrés Roberto 
Published: December 2022

La relación entre la inteligencia artificial y el mundo de la comunicación digital plantea numerosos problemas complejos de tipo filosófico e incluso teológico. El diálogo multidisciplinar entre las perspectivas de pensamiento de autores referenciales como Harari, Han y Benanti puede ayudar a mapear el escenario que estas disciplinas plantean en nuestra sociedad. El presente artículo busca, más allá de fórmulas inmediatas, extraer pautas y guías de pensamiento conjunto y de actuación en el marco de una ética dialógica de carácter también complejo y transversal. La falta de la perspectiva de género en los autores analizados se considera un hándicap fundamental que ha de ser compensado con otros desarrollos complementarios.
Determining PAUD Teachers’ Capability To Develop Sociable Learning Model Through Traditional Sundanese Games.
Authors: Solihin Ichas Hamid  , Tuti Istianti  , Mohamad Helmi Ismail  
Published: December 2022

The application of the Sociable Learning Model has strong relevance as a solution to the problem of early childhood social behavior these days. Meanwhile, the role of Early Childhood Education teachers who have crucial value for Early Childhood cannot be well maximized due to the various restrictions as an effort to handle COVID-19 cases in Indonesia. The implementation of training on the development of the Sociable Learning Model through Traditional Sundanese Games in West Java requires a mapping foundation of the teacher's experiences so that it can provide some meaningful and appropriate resources for further treatments. To accommodate the required data collections, the holding of the workshop is needed to accommodate the variety of teacher's perceptions on the Social Citizenship development efforts in the Early Childhood Education setting that can be a starting point to find out the teacher's basic understanding of the development of social civic behavior in PAUD. The exploration effort is has been carried out by spreading questionnaires to workshop participants to collect various teacher perceptions related to innovations in the development of Social Citizenship Behavioral Skills (PrSKn) based on traditional Sundanese games.
Keywords: PrSKn, Sundanese traditional games, Teachers' Competency.
Pembrolizumab (Keytruda)
Authors: CADTH  
Published: December 2022

CADTH recommends that Keytruda be reimbursed by public drug plans for the treatment of adult patients with persistent, recurrent, or metastatic cervical cancer whose tumours express programmed death ligand 1 (PD-L1) (combined positive score [CPS] ≥ 1) as determined by a validated test, in combination with chemotherapy with or without bevacizumab if certain conditions are met.
Keytruda should only be covered to treat adult patients with persistent, recurrent, or metastatic cervical cancer whose tumours express PD-L1 (CPS ≥ 1) are not amenable to curative treatment, who are in relatively good health (i.e., have a good performance status, as determined by a specialist), have not received prior systemic chemotherapy for metastatic or advanced cervical cancer, and are candidates for standard-of-care chemotherapy with or without bevacizumab.
Keytruda should only be reimbursed if prescribed in combination with platinum-based chemotherapy, with or without bevacizumab, if given by a clinician who is experienced in chemoimmunotherapy administration, and if the cost of Keytruda is reduced.
ANALISIS PESTLES PENCEGAHAN KEBAKARAN HUTAN DAN LAHAN GAMBUT DI PROVINSI RIAU, INDONESIA
Authors: Azhari Yulian , Thomson Ghazalie , Abduh Muhammad , Ryaniraffiyadita  
Published: December 2022

Beberapa dekade belakangan ini kebakaran hutan dan lahan di Indonesia dan khususnya Provinsi Riau telah menjadi krisis lingkungan yang menjadi sorotan. Namun, kondisi kering akibat El Nino tahun 2015 menjadikan musim kebakaran di tahun itu sebagai yang terburuk dalam dua puluh tahun terakhir dengan sekitar 2,6 juta Ha lahan terbakar. Kebakaran tersebut banyak membakar lahan gambut kaya karbon, membuat jutaan orang di Asia Tenggara terpapar kabut beracun yang setara dengan tiga kali lipat emisi gas rumah kaca tahunan di Indonesia. Sehingga perlu adanya sebuah penelitian untuk menganalisis pencegahan kebakaran hutan dan lahan gambut dengan mengaplikasikan analisis PESTLES. Penelitian ini bertujuan untuk menganalisis peran stakeholder dalam penanggulangan kebakaran hutan dan lahan gambut di Provinsi Riau menggunakan analisis PESTLES. Peneliti berharap analisis studi kasus ini dapat memberikan manfaat bagi pemerintah, badan usaha milik negara, stakeholder dan masyarakat dalam dalam menanggulangi kebakaran hutan dan lahan gambut. Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan studi kasus. Berdasarkan dari analisis PESTLES didapati bahwa tugas dari segala perangkat daerah yang dimiliki di Provinsi Riau telah lengkap dan hanya diperlukan kerjasama yang baik antar sektor dan menghindari ego sektoral yang sering terjadi di daerah. Sehingga koordinasi sebagai aksi tanggap menjadi kunci yang tepat untuk mencegah terjadinya kejadian kebakaran hutan dan lahan.
PENDAMPINGAN PENYUSUNAN PANDUAN SEKOLAH SEHAT DALAM RANGKA IKHTIAR MEMBUDAYAKAN HIDUP SEHAT BAGI GURU PAUD
Authors: ZAIDAH UNA , GARNIKA ENENG , ROHIYATUN BAIQ , NAJWA LU’LUIN 
Published: December 2022

Clean and healthy living behavior (PHBS) is a set of behaviors that are practiced on the basis of awareness as learning outcomes, which make a person, family, group or community able to help themselves (independently) in the health sector and play an active role in realizing public health. good body and soul. That is, something is said to be healthy if outwardly, mentally and socially it runs normally and well, so that it is possible for something to be productive, both socially and economically. If this is related to educational institutions, then healthy schools can be interpreted as educational institutions that have good (normal) elements outwardly (physically) and inwardly (spiritually). Judging from the school environment as seen by the Community Service team, this school does not yet have a number of things that have not been achieved and conditions in the field, the implementation of UKS/M activities is still not optimal in developing PHBS habits for students, so that activities regarding time for coaching, material provided during coaching, as well as students who have not implemented healthy living, especially in the school environment, which is not maximized, besides that the condition of the nation is being hit by COVID19 which has resulted in all activities being delayed.
ABSTRAKPerilaku hidup bersih dan sehat (PHBS) adalah sekumpulan perilaku yang dipraktikkan atas dasar kesadaran sebagai hasil pembelajaran, yang menjadikan seseorang, keluarga, kelompok atau masyarakat mampu menolong dirinya sendiri (mandiri) di bidang kesehatan dan berperan aktif dalam mewujudkan kesehatan masyarakat Sekolah Sehat adalah keadaan badan dan jiwa yang baik. Artinya, sesuatu dikatakan sehat jika secara lahiriah, batiniah, dan sosial berjalan secara normal dan baik, sehingga memung­kinkan sesuatu dapat produktif, baik secara sosial maupun ekonomis. Jika hal ini dikaitkan dengan lem­baga pendidikan, maka sekolah sehat dapat dimaknai seba­gai lembaga pendidikan yang memiliki unsur-unsur yang baik (normal) secara lahiriah (jasmani) dan batiniah (rohani). Menilai dari lingkungan sekolah yang dilihat oleh tim Pengabdian, sekolah ini belum memiliki beberapa yang belum tercapai dan kondisi di lapangan, masih belum optimalnya pelaksanaan kegiatan UKS/M dalam menumbuhkembangkan kebiasaan PHBS bagi peserta didik, sehingga kegiatan tentang waktu untuk pembinaan, materi yang diberikan saat pembinaan, juga siswa yang belum menerapkan hidup sehat terutama dilingkungan sekolah belum maksimal, disamping itu juga kondisi bangsa yang sedang dilanda oleh COVID19 yang mengakibat semua aktifitas menjadi tertunda.
TANTANGAN KEBIJAKAN YANG DIHADAPI GURU BERKAITAN MASA PANDEMI
Authors: Purbha Sakti Bayu 
Published: December 2022

Masa pandemi Covid-19 belum berakhir. Berbagai kebijakan telah dipersiapkan pemerintah. Program indonesia pintar, program guru penggerak, dan asesmen kompetensi minimal adalah beberapa kebijakan yang dipersiapkan pemerintah. Guru yang mengajar di wilayah pelosok dikenakan biaya sewa rumah dinas dan akan menjadi masalah bagi guru tersebut. Guru yang bekerja di daerah pedesaan telah merangkap posisi sebagai guru pengajar dan kepala sekolah. Guru yang sudah melanggar protokol kesehatan Covid-19 telah dipanggil dan diberi sanksi oleh pemerintah daerah. Tuntutan perkembangan teknologi harus dihadapi guru supaya guru dapat mengajar dengan menggunakan teknologi yang lebih canggih. Penelitian ini dilaksanakan dengan cara mencari berbagai bahan pustaka. Data dikumpulkan dengan mengumpulkan berbagai artikel penelitian. Analisis data yang telah dilakukan yaitu reduksi data, penyajian data, dan verifikasi data. Ada 4 bidang yang harus dihadapi guru dengan bijak pada masa pandemi ini. Ada 4 hal yang menjadi titik fokus dalam kajian bidang pendidikan. Pemerataan pendidikan harus dilakukan guru. Mutu pendidikan harus ditingkatkan guru. Relevansi pendidikan harus diperbaiki guru. Pendidikan harus dikelola guru dengan baik. Persoalan bidang ekonomi setelah diberlakukannya PSBB adalah persoalan pendapatan keuangan guru. Bantuan yang diberikan untuk guru dalam membantu ekonominya adalah tunjangan profesi guru. Masalah kesehatan yang dialami guru yang berkaitan dengan pandemi ini harus segera diselesaikan karena guru adalah pilar utama bagi bangsa. Vaksinansi Covid-19 bagi guru adalah salah satu upaya yang diberikan untuk menangani kesehatan guru. Penguasaan teknologi yang dimiliki guru adalah sebuah kewajiban yang harus dilaksanakan pada masa pandemi Covid-19. Aplikasi pembelajaran whatsapp dan zoom sudah digunakan guru di dunia pendidikan.
Hazard assessment and hydrodynamic, morphodynamic, and hydrological response to Hurricane Gamma and Hurricane Delta on the northern Yucatán Peninsula
Authors: Torres-Freyermuth Alec , Medellín Gabriela , Kurczyn Jorge A. , Pacheco-Castro Roger , Arriaga Jaime , Appendini Christian M. , Allende-Arandía María Eugenia , Gómez Juan A. , Franklin Gemma L. , Zavala-Hidalgo Jorge 
Published: December 2022

Abstract. Barrier islands in tropical regions are prone to coastal flooding and erosion during hurricane events. The Yucatán coast, characterized by
karstic geology and the presence of barrier islands, was impacted by Hurricane Gamma and Hurricane Delta in October 2020. Inner shelf, coastal, and inland observations were acquired simultaneously near a coastal community (Sisal, Yucatán) located within 150 km of the hurricanes' tracks. In the study area, Gamma moved slowly and induced heavy rain, mixing in the shelf sea, and strong winds (>20 m s−1). Similar wind and wave conditions were observed during the passage of Hurricane Delta; however, a higher storm surge was measured due to wind setup and the drop (<1000 mbar) in atmospheric pressure. Beach morphology changes, based on GPS measurements conducted before and after the passage of the storms, show alongshore gradients ascribed to the presence of coastal structures and macrophyte wracks on the beach face. Urban flooding occurred mainly on the back barrier associated with heavy inland rain and the coastal aquifer's confinement, preventing rapid infiltration. Two different modeling systems, aimed at providing coastal flooding early warning and coastal hazard assessment, presented difficulties in forecasting the coastal hydrodynamic response during these seaward-traveling events, regardless of the grid resolution, which might be ascribed to a lack of terrestrial processes and uncertainties in the bathymetry and boundary conditions. Compound flooding plays an important role in this region and must be incorporated in future modeling efforts.
Money makes our world go round – funding landscape for polar early-career scientists in Germany
Authors: Nicola Lena , Loebel Erik , Zuhr Alexandra M. 
Published: December 2022

Abstract. A lot of things in life need money and so does polar science: money is needed to participate in conferences, undertake fieldwork campaigns or pay for salaries, such as in PhD projects or permanent research positions.
To give an overview on the general funding landscape for polar early-career scientists in Germany, APECS Germany (the German National Committee of the Association of Polar Early Career Scientists, APECS) has started to host a list of grant, fellowship and other funding opportunities at https://apecs-germany.de/funding/ (last access: 15 October 2022). This is visualized in Fig. 1. Once a suitable funding scheme has been found, grant writing requires good preparation, a well-structured and written proposal, and several back-up plans.
“Poner el cuerpo” y “tomar la palabra”: violencias, afectos y autorrepresentación en el documental feminista contemporáneo en Chile (2010-2019)
Authors: Gallardo Milena , Morales Natalia 
Published: December 2022

This article analyzes three contemporary Chilean documentaries from an interdisciplinary framework and places them in a context of feminist practices, interpreting a certain corpus of recent documentaries made by women in Chile in light of the growing politicization process that the country has experienced during the last decade. This analysis considers the use of a series of resources and strategies of self-exposure in film, as means through which the complex affects derived from the intersection of multiple violences experienced and elaborated in the films, are embodied and put in language and on stage. In this way, we propose the development of a political self-exhibition of the bodies in documentary, which, from the exercise of self-representation, inserts these works into current feminist political practice.
Partisipasi Masyarakat Dalam Penyusunan Anggaran Pembangunan Desa di Kecamatan Kindang Kabupaten Bulukumba
Authors: Jusman  , Rahman Abd , Mahsyar Abdul , Nasrullah  
Published: December 2022

Penelitian ini dilatarbelakangi oleh rendahnya partisipasi masyarakat terhadap pembangunan dalam penyusunan anggaran pembangunan desa di Kecamatan Kindang Kabupaten Bulukumba hal tersebut dikarenakan pemerintah desa yang ada kurang melibatkan atau memberikan informasi kepada masyarakat setiap kegiatan atau rapat dalam penyusunan anggaran pembangunan desa. Oleh karena itu tujuan penelitian ini adalah untuk mengetahui tingkat partisipasi masyarakat dilihat dari indikator partisipasi yakni partisipasi masyarakat dalam bentuk tenaga, partisipasi masyarakat dalam bentuk pikiran, dan partisipasi masyarakat dalam bentuk waktu. Metode yang digunakan dalam penelitian ini adalah wawancara secara mendalam dan dianalisis secara deskriftif kualitatif. Hasil penelitian ini menunjukkan bahwa partisipasi masyarakat dalam penyusunan anggaran pembangunan Desa di Kecamatan Kindang Kabupaten Bulukumba berada pada kategori Belum Baik. Olehnya itu pemerintah desa terlibat aktif dalam memberikan informasi kepada masyarakat secara transparan, sehingga masyarakat mempunyai kesadaran untuk ikut berpartisipasi dalam penyusunan anggaran pembangunan desa untuk mencapai pembangunan yang lebih.
PENDIDIKAN KECAKAPAN HIDUP
Authors: Ifnaldi Ifnaldi 
Published: December 2022

Pendidikan kecakapan hidup merupakan kecakapan-kecakapan yang secara praksis dapat membekali peserta didik dalam mengatasi berbagai macam persoalan hidup dan kehidupan. Kecakapan itu menyangkut aspek pengetahuan, sikap yang didalamnya termasuk fisik dan mental, serta kecakapan kejuruan yang berkaitan dengan pengembangan akhlak peserta didik sehingga mampu menghadapi tuntutan dan tantangan hidup dalam kehidupan. Tujuan pendidikan kecakapan hidup adalah untuk meningkatkan kecakapan seseorang untuk melaksanakan hidup dan kehidupannya secara tepat guna dan berdaya guna.