bluuebunny/crossref_metadata_2025_split huggingface dataset:
N2 HASTALIKTA CERRAHİ TEDAVİ
Authors: PATLAKOĞLU Mehmet Suat 
Published: September 2023

Amaç: N2 hastalık saptanan akciğer kanseri hastalarında cerrahi tedavi etkinliğinin araştırılması.
Materyal Metot: Son 10 yıl içinde KHDAK nedeniyle takip ve tedavi sonuçlarını bildiren çalışmalar incelenerek N2 hasta grupları özelinde derlendi. Bu hastalarda operasyon yapılıp yapılmama kararları ve nedenleri not edildi. Kendimize ait Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi 3. Göğüs Cerrahisi kliniğinde Ekim 2005-2007 tarihleri arasında KHDAK nedeniyle cerrahi tedavi uygulanarak takip edilmiş olguların kayıtları ile bu bulgular karşılaştırıldı.
Bulgular: Çalışma süresi içerisinde KHDAK nedeniyle opere edilen 122 hastadan N2 saptanan 10 hastanın bulguları incelendi. Yaş ortalaması 60,9 yıl ve N2 pozitifliği %8,1 olarak bulundu (n=10). Cinsiyet dağılımlarına bakıldığında hasta serimizde erkek/kadın oranı 9/1 idi. Histopatolojik inceleme sonrasında serimizde en sık tanı 6 olgu ile skuamöz hücreli karsinom iken kalan 4 olguda adenokarsinom idi. Hastalarımız operasyon sonrası ortalama 20 ay süreyle takip edildi ve bu sürede nüks veya vefat gelişmedi.
Sonuç: Güncel çalışmaların sonuçları göz önüne alındığında N2 hastalıkta rezeksiyon tercih edilmesi gereken tedavi yöntemi olarak değerlendirilmektedir. Konu ile ilgili uzun süreli ve fazla hasta sayısı ile yapılacak çok merkezli randomize çalışmaların bu tartışmaların ortak bir sonuca varmasını kolaylaştırabileceği kanısındayız.
Anahtar kelimeler: Akciğer kanseri, N2 hastalık, cerrahi.
Pandemia de Covid-19 e epidemia de dengue no Litoral do Paraná: análise epidemiológica
Authors: Dullius Michele Cristina , Souza Daniel Neiva De , Mélo Tainá Ribas , Wanzinack Clóvis , Bueno Roberto Eduardo , Straub Carla Daniele , Silva Vinício Oliveira 
Published: September 2023

O objetivo desta pesquisa foi analisar as taxas de incidência de dengue e COVID-19 no litoral do Paraná (1º Regional de Saúde), numa perspectiva territorial e temporal. Metodologia: Estudo epidemiológico, tipo ecológico, utilizando taxas mensais de incidência de dengue (março/2019 a fevereiro/2020 e março/2020 a fevereiro/2021) e COVID-19 (março/2020 a fevereiro/2021), as quais foram plotadas em mapas utilizando o software QGIS®. Resultados: Observa-se que em todos os sete municípios do litoral as taxas de dengue no período da pandemia apresentam valores muito superiores aos mesmos meses do ano anterior, sem a pandemia, num território que já é endêmico à problemática da dengue. Conclusão: O litoral paranaense enfrentou a situação simultânea da pandemia de COVID-19 e epidemia de dengue. A sazonalidade característica desse litoral, com grande afluxo de visitantes, necessita de monitoramento epidemiológico e políticas específicas de desenvolvimento territorial na área de saúde, integradas à vigilância da dengue e COVID-19.
Pendampingan Pencatatan Transaksi Keuangan Untuk Bumdes Pada Bumdes Melati Desa Cipagalo, Kecamatan Bojongsoang
Authors: Wardoyo Dwi Urip , Mahardika Dewa Putra Krishna , Fahlevi Ali Reza 
Published: September 2023

Agenda utama dalam kegiatan abdimas ini menyampaikan dua poin besar, yakni 1) memberikan penyuluhan dan pemahaman dasar tentang pencatatan keuangan dan antisipasi kesalahan catat dalam pelaporan keuangan khusus BUMDes kepada para pelaku BUMDes selaku pengelola keuangan, khususnya di instansi BUMDes Melati Desa Cipagalo Bandung. (2) memberikan pengenalan dan pelatihan teknis penggunaan aplikasi pencatatan akuntansi berbasis smartphone, bagi para pelaku dan pengelola BUMDes. Hasil awal pengamatan telah diketahui beberapa permasalahan yang dihadapi para pelaku BUMDes Kabupaten Bandung ialah belum dipahaminya prinsip-prinsip dasar akuntansi serta antisipasi salah catat dalam perlakuan pencatatan transaksi yang harus diketahui oleh para pelaku BUMDes, serta minimnya ketersediaan aplikasi akuntansi sebagai penunjang aktifitas pencatatan bagi instansi BUMDes. Solusi yang diberikan untuk dapat membantu memecahkan permasalahan tersebut adalah dengan memberikan penyuluhan, pelatihan dan pendampingan bagi pelaku BUMDes dalam melakukan pencatatan transaksi dan antisipasi koreksi jika terjadi salah catat dalam proses pembukuan yang dilakukan, kedua, mengenalkan aplikasi akuntansi SIAPIK yang bersifat mobile dan mudah dalam pengoperasiannya guna membantu proses pencatatan akuntansi bagi pelaku BUMDes. Metode kegiatan pengabdian masyarakat yang digunakan adalah (1) ceramah dan pelatihan penggunaan aplikasi ‘SIAPIK’ dalam menyampaikan konsep pencatatan transaksi yang efektif bagi Badan Usaha Milik Desa dan (2) kasus soal untuk memberikan contoh praktik pencatatan transaksi dan jurnal koreksi untuk perlakuan transaksi salah catat, serta (3) memberikan konsultasi dan pendampingan di lapangan. Hasil evaluasi kegiatan pengabdian ini diperoleh informasi tingkat pemahaman peserta terhadap materi yang diberikan sebesar 85%
Penyuluhan Bank Digital Untuk Kegiatan Produktif di Kelurahan Sidomulyo Barat, Kota Pekanbaru
Authors: Ansori, et. Al. Putra Budi 
Published: September 2023

Tujuan dari pengabdian masyarakat ini adalah memperkenalkan bank digital dan teknik penggunaan untuk kegiatan produktif masyarakat di RT 02 RW 17 Kelurahan Sidomulyo Barat Kecamatan Tuah Madani Kota Pekanbaru. Target meningkatkan pengetahuan dan perubahan cara pandang peserta terhadap Bank Digital dalam praktik. Kegiatan dilakukan yaitu : Sabtu, 17 Juni 2023, setelah diskusi dengan masyarakat pengurus Dasa Wisma Perum Griya Cemara Asri disepakati kegiatan dimulai dengan penjelasan Bank Digital, Kegunaan, serta identifikasi dampak positif-negatif melalui proses tanya jawab langsung dengan peserta. Kegiatan ini berjalan dengan lancar dan sesuai target. Peserta yang hadir sebanyak 22 orang ibu rumah tangga dan remaja. Sebanyak 7 orang ibu rumah tangga memiliki usaha rumahan, 15 ibu rumah tangga dan remaja yang sudah mengenal transaksi online tetapi tidak memiliki usaha. Hasil pengabdian masyarakat ini adalah peserta mengakui menjadi lebih jelas tentang Bank Digital dan Bank Konvensional, transaksi digital, kegunaan dan teknik menghindari hal-hal negatif dan ciri-ciri penipuan digital. Sehingga dapat disimpulkan peserta meningkat kemampuannya tentang Bank Digital dan kegunaan praktis untuk hal-hal yang produktif.
KICHIK BIZNES SUByEKTLARI FAOLIYATIDA INSON RESURSLARIDAN FOYDALANISHNING METODOLOGIK ASOSLARI
Authors: A.A.Yusupov  
Published: September 2023

Ushbu maqolada kichik biznes subyektlari faoliyatida inson resurslaridan foydalanishning metodologik asoslari xususida tahliliy fikr-mulohazalar bildirib oʻtilgan. Shuningdek, kichik biznes subyektlari faoliyatida inson resurslaridan samarali foydalanish jarayonlari, ularning metodologik asoslari hamda kichik biznesni rivojlantirishga ta’siri haqida ma’lumotlar keltirib oʻtilgan. Bundan tashqari, mamlakatimiz iqtisodiyotida kichik biznes ulushi va unda inson resurslarining oʻrniga oid tahliliy yondashuvlar asosida statistik tahlil natijalari yoritib oʻtilgan.
ALTERAÇÕES BUCAIS EM PACIENTES COM INSUFICIÊNCIA RENAL CRÔNICA: UMA REVISÃO INTEGRATIVA DE LITERATURA
Authors: Melo Ilana Loiola , Nogueira Luís Henrique dos Santos , Aguiar Valdelya Nara Pereira 
Published: September 2023

A doença renal crônica (DRC) é determinada pela perda lenta, progressiva e irreversível da função renal ou destruição dos néfrons, sendo capaz de gerar ao paciente um quadro de síndrome urêmica, em função do aumento de substâncias tóxicas no sangue que se manifestam pela incapacidade dos rins de realizar a filtração glomerularea sua deficiência na produção de eritropoietina (ANDRADE et al., 2020). Diferentes estudos têm certificado que pacientes com DRC possuem um estado de saúde bucal ruim e necessitam uma atenção maior aos tratamentos odontológicos em relação à população em geral. Desse modo, é imprescindível que os odontólogos detenham um conhecimento sobre a função renal e suas consequências para a saúde bucal e tratamentos odontológicos (CHANG et al., 2021). Os pacientes devem realizar o seu tratamento renal levando em conta todos os problemas referentes à disfunção renal e adicionados a um exigente programa de acompanhamento até o transplante. A detecção prévia de patologias orais e medidas preventivas podem reduzir a demanda de cuidados dentários extensos. O envolvimento do paciente é crucial para ampliar a motivação para a saúde bucal (CASTRO et al., 2017). Os exames de saúde bucal desses pacientes são necessários para que se eliminem focos potenciais de infecções odontológicas ou infecções metastáticas decorrente da cavidade bucal. São indicados para tais pacientes a execução de profilaxia e/ou raspagem e polimento radicular, instrução de higiene oral, inspeção radiográfica (radiografia panorâmica e radiografias Inter proximais), teste de vitalidade em todos os dentes e tratamento restaurador, além de procedimentos cirúrgicos. O exame inicial e o manejo ideal são capazes de fornecer uma base de comparação, quando o cirurgião-dentista pode considerar as manifestações bucais que procedem da progressão da insuficiência renal crônica (HOWEEL et al., 2016). A intervenção precoce deve ter como finalidade restabelecer a saúde oral e dentária, para diminuir o impacto das doenças orais, recompor a saúde bucal do paciente a capacidade alimentar, qualidade de vida, e precaver os efeitos que podem afetar o estado nutricional (CHANG et al., 2021).
The association between antiretroviral therapy with depression and health related quality of life in patients infected with HIV in Kasempa, Zambia
Authors: Mutimushi E. , Blackwood G. , Hachaambwa L. M. 
Published: September 2023

Background: Many HIV-infected patients are accessing antiretroviral therapy (ART) in Zambia. This has enabled them to live longer. However, it is necessary to determine whether such improvements are accompanied with parallel improvements in quality of life. The purpose of this research was to determine whether ART was associated with lower levels of depression and higher levels of health-related quality of life (HRQOL).
Objectives: The primary objective was to compare the association of ART with depression and Health Related Quality of Life (HRQOL) in treatment naïve and treatment experienced patients. The specific objectives were to screen for levels of depression and HRQOL in HIV infected patients, and to compare these levels between ART-experienced and ART-na¿ve patients.
Methods: This was a cross sectional study in which 140 HIV-infected adults (70 ART-experienced and 70 ARTnaïve) in Kasempa district were enrolled by convenient sampling. Independent variables of sex, age, marital status, education and employment status were matched across the two groups to avoid their confounding effect and bias. Depression and HRQOL were screened using the Centre for Epidemiologic Studies – Depression (CES-D) and Medical Outcomes Survey – HIV (MOSHIV) tools respectively in both groups. The average scores for depression in both groups were compared using the t-test. Mental Health Summary scores (MHS) and Physical Health Summary scores (PHS) derived from the MOS-HIV tool were obtained by factor analysis and linearly transformed into a 0-100 scale. These scores were also compared between the two groups using the t-test. Multiple linear regression was used to determine the factors that were significantly associated with depression and HRQOL in both groups.
Results: The mean depression scores were found to be lower among ART-experienced clients compared with their ART-naïve counterparts with a mean difference of 7.40 (95% C.I 3.77-11.03; P < 0.0001). Overall, ARTexperienced participants had higher HRQOL scores compared with their ART- naïve counterparts with differences of 23.0 (95% C.I 16.0-30.1; P < 0.0001) and 11.2 (95% C.I 6.0-16.4; P < 0.0001) in MHS and PHS scores respectively.
Conclusion: Being ART-experienced was associated with lower depression scores and higher HRQOL scores when compared with being ART-naïve. Lower depression scores and higher HRQOL scores were associated with being male, married, single, asymptomatic and having higher CD4 counts.
Empowerment of Coastal Communities Based on Environmental Management Through the Utilization of FABA
Authors: Delta Prayogi  , Zumar Bashendra Ibrahim  , Nurhidayati  
Published: September 2023

Belitung Island is one of the rich islands in Indonesia that has high potential in the fisheries sector. Currently, it can't be relied upon as the only livelihood of the community for various reasons. To respond to these things, PT PJB Services PLTU Suge Belitung through the implementation of the Corporate Social Responsibility (CSR) program, can utilize FABA as waste generated from the coal combustion process into economically valuable goods. This can be an alternative activity that residents can do to add skills and fulfil their daily economic needs. The purpose of this study is to determine the effect of the implementation of FABA utilization in employment on community welfare. The research method in the implementation of CSR is carried out by cooperating with other partners, namely the surrounding community, religious education organizations, and the Government of Belitung Regency. Results of this study show that the training skills received by the community in utilizing FABA have absorbed labour and can be used as an alternative job for the coastal community of Pegantungan Village.
De regelgevende bevoegdheid en het omgevingsplan: het raadsprimaat gerelativeerd.
Authors: van Karnenbeek L.J. (Lilian) 
Published: September 2023

De regelgevende bevoegdheid en het omgevingsplan: het raadsprimaat gerelativeerd.
In dit artikel gaat de auteur in op de bevoegdheid van de gemeenteraad tot het stellen van regels inzake de ruimtelijke ordening en hoe de delegatiemogelijkheid van die bevoegdheid onder de Omgevingswet zich verhoudt tot het primaat van de gemeenteraad.
Comparison of MMP-9 Density Between Triple Negative and HER2 Enriched Breast Carcinoma Subtypes
Authors: Putra Pratama Eka , Dewi Citra , Aspitriani Aspitriani , Bahar Erial 
Published: September 2023

Background
Matrix metalloproteinase-9 (MMP-9) is a protease that plays an important role in various biological processes of breast cancer. This marker may be useful in determining the prognosis and become a promising therapy, especially in breast carcinoma with an aggressive subtype including HER2 enriched and triple negative. Both subtypes have high MMP-9 expression, but it is necessary to differentiate them because they have different biological and molecular aspects. This study aims to compare the density of MMP-9 between triple negative and HER2 enriched breast carcinoma subtypes and their relationship with clinicopathological characteristics.

Methods
This is a cross sectional study using 32 samples of paraffin blocks and slides of breast carcinoma patients with triple negative and HER2 Enriched subtypes at the Department of Anatomical Pathology Faculty of Medicine Sriwijaya University/Dr. Mohammad Hoesin Hospital Palembang for the period January 1, 2016 to December 31, 2019. Each sample was stained with MMP-9 antibodies immunohistochemistry (polyclonal, Abcam). Comparative analysis of MMP-9 density between the two subtypes was carried out using the median value based on the Mann-Whitney analysis. MMP-9 density was categorized as high and low based on the ROC curve and analyzed by using chi-square test to assess its association with clinicopathological characteristics.

Results
Mann-Whitney test showed that the MMP-9 density was higher in the HER2 enriched subtype (median 12.0) than triple negative (median 8.8) with a p value of 0.632. The relationship distribution of high MMP-9 density was found in the category of age group >40 years old (60.0%), positive lymphovascular invasion (86.7%) and histological grade III (80.0%) with p values of 0.798, 0.402 and 0.691.

Conclusion
MMP-9 density in HER2 enriched subtype was higher than triple negative subtype, but statistically not significant.
Condiciones económicas y sociales de los gobiernos republicanos en el Ecuador desde 1977
Authors: Caiza Vega Mónica del Rocío , Ruiz Robalino Oscar Eduardo , Viteri Caiza Carla Michelle , Ruiz Freire Ricardo Joel 
Published: September 2023

En el presente artículo se muestra las características por las cuales ha pasado Ecuador frente algunas adversidades económicas y sociales en los distintos mandatos, en donde se visualiza la economía lo que nos ha traído beneficios como son las exportaciones que han sido un sostén importante para para el país y sus productores primarios, además en el ámbito social se pudo observar cómo cada hecho de conflictos con países hermanos produjo perdida de territorio por el desconocimiento de las alianzas políticas, en las cuales se observa una potente fuerza para despojar y arrebatar el territorio ecuatoriano.
Kompetensi Pedagogik Guru Dalam Pembelajaran Tematik Pada Kurikulum 2013
Authors: Ulandari Sagita , Afandi Muhamad , Maryamah  
Published: September 2023

This study aims to determine the teacher's pedagogic competence, the supporting and inhibiting factors and how to overcome the inhibiting factors of the teacher's pedagogic competence in thematic learning in the 2013 curriculum in class II SD Negeri 81 Palembang. The approach used in this research is a approach with descriptive qualitative methods. The techniques in data collection are observation, interviews, and documentation. The validity of the data was tested using source triangulation, technical triangulation, and time triangulation tests. The data analysis technique uses data reduction, data presentation, and verification or drawing conclusions. The results of this study include: (1) The teacher's pedagogic competence is good. Competencies that have not been achieved are teachers who have not assessed optimally due to time constraints. (2) The supporting factors for teacher pedagogic competence are: attending the training of curriculum 2013, the ability of teachers to bring varied learning, the attitude of teachers who are gentle and firm, as well as motivation and supervision by the principal. While the inhibiting factors are: the lack of learning facilities and infrastructure and the lack of teacher ability in conducting assessments. (3) Ways to overcome the obstacles of teacher pedagogic competence, namely: providing free quotas, adding interesting learning media, and utilizing technology and information.
Simulación físico-matemática de las turbulencias en los incendios de edificación. Propuesta de una nueva metodología de análisis relativa a la verificación cualitativa de las turbulencias simuladas
Authors:   , Muñoz Blanc Carlos 
Published: September 2023

En la Unión Europea, y más concretamente en España, el análisis prestacional de cualquier edificio frente a la acción del fuego es aún un hecho aislado y poco habitual, a pesar de las ventajas que el mismo comporta. No obstante, incluso en aquellos países donde hace años se estudia el comportamiento estructural en situación accidental de incendio en base a los métodos prestacionales, como es el caso de Estados Unidos, el campo científico de las simulaciones computacionales basadas en la Dinámica de fluidos y en la Termodinámica está aún en lo que podríamos denominar, haciendo un símil con el crecimiento del ser humano, la fase adolescente. Mejorar en la medida de lo posible los criterios relativos
a la caracterización de un fenómeno tan importante durante el desarrollo de un fuego como es la turbulencia y disponer de una nueva metodología de análisis relativa a la verificación cualitativa de la misma permitirá avanzar con seguridad a la sociedad a medida que estas simulaciones computacionales en edificación se extiendan al terreno profesional
In the European Union, and more specifically in Spain, the analysis of the effect of fire on any building remains an isolated and unusual fact, despite the advantages it may involve. However, even in the countries (such as the United States) where the structural behavior under a fire accidental situation has been studied under benefit methods for many years, the scientific field of computational simulations based on Fluid Dynamics and Thermodynamics remains in what could be called, in comparison to human growth, the teenage years. The improvement of the criteria used to characterize the phenomenon of turbulence and the supply of a new analysis methodology focused on its qualitative verification, so important during the development of fire, will improve society’s security, as these computational simulations are extended to the professional field.
Pengaruh Kompetensi, Kedisiplinan dan Lingkungan Terhadap Kinerja Guru dengan Komitmen Organisasional sebagai Variabel Mediasi
Authors: Rudi S Dominicus M. , Maridjo H. Herry 
Published: September 2023

Latar Belakang: Dalam organisasi pendidikan yang bersifat nonprofit, pengelolaan SDM juga sangat diperlukan untuk pencapaian tujuan organisasi yaitu menghasilkan lulusan yang berkualitas. Berkaitan dengan hal itu, guru menjadi ujung tombak pelaku pendidikan di sekolah. Guru juga dituntut dapat memberikan kinerja terbaiknya untuk kepentingan generasi muda di masa kini dan masa yang akan datang.
Tujuan: Penelitian ini bertujuan untuk mengetahui Pengaruh secara langsung kompetensi terhadap kinerja guru, kedisiplinan terhadap kinerja guru, lingkungan terhadap kinerja guru dan kompetensi terhadap kinerja guru dengan dimediasi oleh komitmen organisasional, pengaruh kedisiplinan terhadap kinerja guru dengan dimediasi oleh komitmen organisasional, pengaruh lingkungan terhadap kinerja guru dengan dimediasi oleh komitmen organisasional.
Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan metode sensus. Teknik pengumpulan data dengan membagikan kuesioner kepada seluruh guru tetap Perwakilan Surabaya 2 Yayasan Yohannes Gabriel. Jumlah responden dalam penelitian ini 99 orang. Teknik analisis data menggunakan PLS dengan software smart PLS.
Hasil: Hasil penelitian ini menunjukkan Kompetensi secara langsung berpengaruh positif terhadap kinerja guru. Kedisiplinan secara langsung berpengaruh positif terhadap kinerja guru. Lingkungan secara langsung berpengaruh positif terhadap Kinerja Guru. Kompetensi berpengaruh positif terhadap kinerja dengan dimediasi sebagian oleh komitmen organisasional. Kedisiplinan berpengaruh positif terhadap kinerja dengan dimediasi sebagian oleh komitmen organisasional..Lingkungan berpengaruh positif terhadap kinerja dengan dimediasi sebagian oleh komitmen organisasional.
Kesimpulan: Kedisiplinan secara langsung berpengaruh positif terhadap kinerja guru. Lingkungan secara langsung berpengaruh positif terhadap kinerja guru. Kompetensi berpengaruh positif terhadap kinerja dengan dimediasi sebagian (partial mediation) oleh komitmen organisasional. Kedisiplinan berpengaruh positif terhadap kinerja dengan dimediasi sebagian (partial mediation) oleh komitmen organisasional. Lingkungan berpengaruh positif terhadap kinerja dengan dimediasi sebagian (partial mediation) oleh komitmen organisasional