bluuebunny/crossref_metadata_2025_split huggingface dataset:
Histerectomía total laparoscópica
Authors: González Hugo 
Published: May 2023

Objetivo del estudio: Demostrar la técnica de una histerectomía total laparoscópica así como explicar cómo resolver una dificultad debido a un sangrado.Diseño: Realizar paso a paso la cirugía a través de un video con narración
Introducción: La histerectomía es el procedimiento quirúrgico que más se realiza en ginecología, sólo en Los Estados Unidos se efectúan más de 500,00 histerectomías por año. Las causas más frecuentes como indicación de una histerectomía por patología benigna son la fibromatosis uterina y los sangrados uterinos anormales. La primera histerectomía laparoscópica fue descripta por Reich en 1989 y mucho se ha avanzado desde aquella primera descripción en cuanto una técnica mejorada, desarrollo de mejor instrumental, así como imagen de alta calidad. Menos dolor postoperatorio, rápida recuperación, menor tasa de infecciones y un impacto positivo en la calidad de vida de las pacientes son algunos de los beneficios de este procedimiento por mínima invasión.
Intervención: En este caso realizamos una histerectomía total + salpingectomía total bilateral vía laparoscópica en una paciente de 44 años con cuadro de dolor tipo cólico bajo vientre, menorragia y anemia secundaria. Iniciamos la cirugía con acceso a la cavidad abdominal a nivel umbilical con técnica abierta o de Hasson y luego colocamos tres trocares accesorios de 5 mm en triangulación francesa además utilizamos una lente de 10 mm y 30° de visión y una torre de alta definición. A continuación efectuamos una inspección de la cavidad abdominopélvica y liberación de adherencia de epiplón a fosa iliaca derecha. Previo al inicio de la histerectomía identificamos ambos uréteres además de verificar la integridad del fondo de saco de Douglas. Iniciamos la histerectomía del lado izquierdo de la pelvis con la coagulación, sección y disección del ligamento redondo, hoja anterior del ligamento ancho, plica vesicouterina, mesosalpinx, ligamento uteroovárico y paquete vascular uterino y para este fin utilizamos dispositivo de energía avanzado de coagulación y sellado de las estructuras. Seguido pasamos a realizar maniobras iguales del lado derecho de la pelvis donde se presenta sangrado de origen venoso a la altura de inserción de ligamento uterosacro derecho y donde realizamos maniobras de clampeo - aspiración - visión para luego efectuar coagulación y sellado del vaso sangrante y controlar la situación. El siguiente paso corte de vagina con energía monopolar en modalidad de corte puro. Se extrae la pieza y se cierra la cúpula vaginal mediante puntos en “X” con un hilo absorbible, sintético y fuerza tenis de 30 días, calibre 1. Se verifica hemostasia se da por concluido el procedimiento.
Conclusión: La histerectomía laparoscópica es un procedimiento seguro, reproducible y ofrece a las pacientes las ventajas de una cirugía por mínima invasión: menor dolor postoperatorio, rápida recuperación, menor tasa de infección del sitio operatorio además de calidad de vida después de la cirugía.
A Qualitative Study of the Effect of Public Participation on Stunting Prevention Behavior in Pandeglang Regency
Authors: Sinaga Frida Rismauli , Sidin Fasbhir H.M. Noor , Jalal Fasli , Fatmawati Fatmawati , Hardisman Hardisman 
Published: May 2023

BACKGROUND: Stunting is a major nutritional problem facing Indonesia. Stunting has the highest prevalence compared to other nutritional problems such as malnutrition, underweight and obesity.
MATERIAL AND METHODS: This study use a mix method approach. Qualitative research data analysis was carried out by triangulation.
RESULT: The results showed that direct effect on stunting prevention was 45% motivation and the indirect effect was the stunting prevention policy of 42.61%.
CONCLUSION: In this study it was concluded that the implementation of increasing public participation is expected to increase stunting prevention behavior in the public, especially in the Pandeglang Regency area.
Keywords: Stunting, Public participation, Public behavior
Argonaute, Vault, and Ribosomal Proteins Targeted by Autoantibodies in Systemic Lupus Erythematosus
Authors: Moadab Fatemeh , Wang Xiaoxing , Najjar Rayan , Ukadike Kennedy C. , Hu Shaohui , Hulett Tyler , Bengtsson Anders A. , Lood Christian , Mustelin Tomas 
Published: May 2023

ObjectiveTo expand, in an unbiased manner, our knowledge of autoantigens and autoantibodies in patients with systemic lupus erythematosus (SLE) and evaluate their associations with serological and clinical variables.MethodsHuman proteome arrays (> 21,000 proteins) were screened with serum from patients with SLE (n = 12) and healthy controls (n = 6) for IgG and IgA binding. Top hits were validated with 2 cohorts of patients with SLE (cohort 1, n = 49; cohort 2, n = 46) and other rheumatic diseases by ELISA. Clinical associations of the autoantibodies were tested.ResultsRo60 was the top hit in the screen, and the 10 following proteins included 2 additional known SLE autoantigens plus 8 novel autoantigens involved in microRNA processing (Argonaute protein 1 [AGO1], AGO2, and AGO3), ribosomes (ribosomal protein lateral stalk subunit P2 and ovarian tumor deubiquitinase 5 [OTUD5]), RNA transport by the vault (major vault protein), and the immune proteasome (proteasome activator complex subunit 3). Patient serum contained IgG reactive with these proteins and IgA against the AGO proteins. Using the 95th percentile of healthy donor reactivity, 5-43% were positive for the novel antigens, with OTUD5 and AGO1 showing the highest percentages of positivity. Autoantibodies against AGO1 proteins were more prevalent in patients with oral ulcers in a statistically significant manner. IgG autoantibodies against AGO proteins were also seen in other rheumatic diseases.ConclusionWe discovered new autoantigens existing in cytosolic macromolecular protein assemblies containing RNA (except the proteasome) in cells. A more comprehensive list of autoantigens will allow for a better analysis of how proteins are targeted by the autoimmune response. Future research will also reveal whether specific autoantibodies have utility in the diagnosis or management of SLE.
«Punique égyptien… punique en général… punique grec…»: la percezione della cultura fenicia e punica nella Sardegna del xix secolo attraverso le lettere di Léon Gouin
Authors: Mezzolani Andreose Antonella 
Published: May 2023

La personnalité de Léon Gouin, ingénieur des mines qui a longtemps vécu en Sardaigne, est bien connue par les spécialistes des antiquités de l’île. Sa raccolta che può dirsi «un museo», selon la définition du chanoine Spano, doyen de l’archéologie sarde, a apporté une contribution très importante au Musée Archéologique National de Cagliari, grâce au matériel allant de la période nuragique à l’époque romaine impériale. Une attention particulière à l’architecture des tombes et aux objets puniques est visible dans les lettres envoyées par l’ingénieur au père Delattre et conservées près de la Casa Generalizia dei Padri Bianchi de Rome : ces documents de correspondance nous permettent de réfléchir sur la perception de la culture punique en Sardaigne après la moitié du xixe siècle par les amateurs d’archéologie, ainsi que sur la pratique fructueuse de l’échange d’informations savantes avec les érudits les plus reconnus.
De l’époque coloniale aux indépendances : que faire de la Carthage punique ?
Authors: Alexandropoulos Jacques 
Published: May 2023

Positive ou plus souvent négative et orientaliste, l’image de la Carthage punique prend place dans la culture coloniale pour souligner une limite identitaire, ou aider à la réflexion sur l’empire. C’est en utilisant ce terrain documentaire et idéologique balisé par la science coloniale que l’historien al-Mîlî, lié aux Oulémas de Ben Badis, décrit en 1927 une Carthage proche par ses origines orientales de « la personnalité algérienne », et contribuant largement au développement civilisationnel des Berbères qui font la « nation algérienne ». L’affirmation du FLN amènera une vision plus radicale où Carthage rejoint le camp des impérialistes.
Carthage sur grand écran (1910-2006) : la cité punique au goût des autres
Authors: Bernard Gwladys 
Published: May 2023

Si les Phéniciens sont quasiment absents des écrans de cinéma et de télévision, les Carthaginoises et les Carthaginois ont fait leur apparition dès les débuts du cinéma. En 1910, soit douze ans après le premier film d’Antiquité, Didon, la reine de Carthage, surgit sur les écrans italiens, suivie par diverses relectures de Salam(m)bô : l’opéra et la littérature du xixe siècle, sources d’inspiration essentielle du cinéma européen naissant, fournissent au 7e art les premières images et archétypes concernant Carthage, partenaire passionnelle de Rome. Le cinéma italien construit progressivement un mythe cinématographique de l’étrange et terrifiante Carthage, utile pour fasciner et édifier le spectateur européen en le convaincant de la supériorité nécessaire de la cité romaine et de la justification du destin tragique de la cité punique. Le contexte évolue progressivement après la Seconde Guerre mondiale, avec la multiplication des films américains et anglais mettant en scène la figure renouvelée d’Hannibal, et le développement d’un intérêt progressif pour la représentation des Puniques à l’écran, dans un contexte artistique et technique qui évolue jusqu’au « Nouveau Péplum » du xxie siècle.
Effect of transcranial direct current stimulation on puzzle-solving ability in stroke patients with cognitive dysfunction
Authors: Kumar Sanjiv , Sumant Saniya 
Published: May 2023

PURPOSE:
Stroke lies among the most disabling diseases and is world-wide a leading cause of death. Most of the stroke patients experience cognitive deficits associated with executive dysfunction (decision making, problem solving, working memory, and cognitive flexibility). Executive dysfunction in stroke makes the patients vulnerable to depression, anxiety as their daily activities like personal, social, cultural and occupational are severely affected. Thus, the dependency increases and their quality of life decreases. Problem solving is one such important executive function required in day-to-day life. Puzzle solving reflects onto ones problem-solving ability that requires understanding, conceptual knowledge recruitment, novel and insightful thinking, and processing a solution. The purpose of this study was to determine if noninvasive brain stimulation has any effect on puzzle-solving ability of stroke patients and to assess their performance on the same.

METHOD:
A 3-week interventional study on 11 stroke participants was done. The samples were assessed at baseline for cognitive impairment using Montreal Cognitive Assessment Scale. Participants with scores <26 were given a 30-piece Jigsaw Puzzle to solve and Wisconsin Card Sorting Test (WCST) was done, both at baseline and after 3 weeks.

RESULTS:
This study confirmed that there was improvement in the performance of solving the Jigsaw Puzzle after application of transcranial direct current stimulation (TDCS) (P = 0.005), but the scores on WCST showed no significant reliable change (P = 0.192).

CONCLUSION:
This study concluded that TDCS is effective in improving puzzle-solving ability in stroke patients.
Older Age in Subarachnoid Neurocysticercosis Reflects a Long Prepatent Period
Authors: Nateros Fernando , Saenz Edith , Saavedra Herbert , Gonzales Isidro , Pretell E. Javier , Perez Erika , Castillo Yesenia , Bustos Javier A. , Garcia Hector H. , _ _ 
Published: May 2023

ABSTRACT.
Patients with subarachnoid neurocysticercosis (NCC) are usually older than those with parenchymal disease. Whether this difference reflects a prolonged presymptomatic period or a delay in diagnosis is not clear. From 408 eligible patients, we retrospectively compared the age at symptom onset in 140 patients diagnosed with parenchymal (pure viable or pure calcified) and subarachnoid NCC who had a confirmatory image available not more than 2 years after the beginning of symptoms. Patients with mixed (parenchymal and subarachnoid) NCC or those with parenchymal cysts at different stages (viable and/or degenerating and/or calcified) were not included. After controlling by sex and residence in rural endemic regions, the mean age at symptom onset in patients with subarachnoid disease was 13.69 years older than those with viable parenchymal disease. A long incubation period is a major contributing factor to older age at presentation in subarachnoid NCC, independent of delayed diagnosis or access to care.
Why Did Black Soldiers Historically Have More Pneumonia Than White Soldiers in the U.S. Army?
Authors: Shanks G. Dennis 
Published: May 2023

ABSTRACT.
Black U.S. Army soldiers had four times as much bacterial pneumonia as White U.S. Army soldiers during both the U.S. Civil War and World War I (WWI). Pneumonia case fatality rates were a third greater in Black soldiers during the U.S. Civil War, but were the same between the racial groups by WWI. During WWII, the use of antibiotics decreased bacterial pneumonia mortality rates 100-fold and apparently erased racial differences. Similar differences in bacterial pneumonia rates by racial group were observed in African colonial soldiers of the French and British Armies during WWI. Pneumonia rates in Indian, Filipino, and Puerto Rican soldiers suggested that genetic polymorphisms were not a decisive factor determining Black pneumonia mortality. Postmeasles pneumonias did not suggest an immune deficit in Black soldiers. Geographic focus of pneumonia in Black soldiers from the southern U.S. states and other tropical regions raises the possibility that increased bacterial pneumonia rates were related indirectly to malaria infections. Malaria remains a difficult-to-measure but potentially important mortality risk factor in pneumonia.
Scientific and Civic Cultural Literacy Level of the Students of the American University of Madaba and its Relationship to Personal Variables
Authors: Khzouz Afag Sami , Al-Sharah Nayel Darweesh 
Published: May 2023

The purpose of this study was to investigate the level of scientific and civic cultural literacy of the American University of Madaba (AUM) students and its relationship to personal variables. The sample of the study consisted of 437 students registered for the first semester of the academic year 2019-2020 at AUM and sat for a scientific and civic test, the main research tool. The analysis of data collected showed that AUM students are culturally literate in the science field where the scores are at a high level. However, it was a little less in civics as it scored medium up to a high level. Further, there were statistically significant differences at (α = 0.05) in the scientific field in favor of the females, the international curriculum and health sciences faculty but not in the civics field. It is recommended that further research studies should be conducted on other fields of cultural literacy.
Faktor-Faktor yang Mempengaruhi Return Saham pada Perusahaan Sektor Industri Barang Konsumsi yang terdaftar di Bursa Efek Indonesia
Authors: Putri Nyayu Khalilah , Saputri Nyimas Dewi Murnila 
Published: May 2023

This study uses the variables Return on Assets (ROA), Return on Equity (ROE), Debt to Equity Ratio (DER), and Earnings Per Share to identify the variables that can influence stock returns (EPS). 45 consumer products businesses that were listed on the Indonesia Stock Exchange between 2017 and 2021 were selected as samples in the research utilizing the purposive sampling method. The type of data used is secondary data, which takes the form of publicly available financial records, and multiple regression analysis is used to examine the data. The study's findings show that whereas ROE and DER have a negative and significant impact on stock returns, ROA and EPS have a positive and large impact on stock returns. Additionally, stock returns are impacted by the findings of the research on all variables, including ROA, ROE, DER, and EPS.
Keywords: Return On Assets (ROA), Return On Equity (ROE), Debt to Equity Ratio (DER) Earning Per Share (EPS), and Stock Return
Perilaku Pencarian Informasi Mahasiswa Ilmu Perpustakaan UINSU pada Masa Pandemi Covid-19
Authors: Wijayanti Elgy , Elvina Syafira , Amelia Rifqa , Adilla Nurul , Purwaningtyas Franindya 
Published: May 2023

The Covid-19 pandemic has brought many changes. Change is so fast that several changes have occurred in human activities. One of them is in the aspect of the world of education. At a time when the Covid-19 pandemic was declared increasingly dangerous, lectures that should have been conducted face-to-face had to be moved remotely or online. This was also experienced by the library science class in 2019. The purpose of this study was to identify differences in student information seeking behavior in meeting information needs before and during the Covid-19 pandemic. The research method used in this study is a quantitative research method, and the research sample is students who experience changes in the learning process in online classes in 2019.
Keywords: information seeking behavior, information needs
Peran Siaran Radio, Televisi, Multimedia (Internet) dalam Pengembagan Dakwah
Authors: Efendi Erwan , Fatimah Aviatri , Sipahutar Indah Mawati 
Published: May 2023

Dakwah, on the other hand, is not always a product born from the pulpit. The spread of da'wah messages is now more dynamic and adaptive thanks to the widespread use of media. Modern da'wah is increasingly made possible by the use of mass media by people from all walks of life who want to invite and convey goodness, namely da'wah activities. In online media and social media, such as Instagram, Facebook, You Tube, short films, radio, and so on, a person can convey messages of kindness through writing (kalam), speech, and behavior or actions (objects). This study is descriptive in nature which describes and describes how to manage the fundamental ideas of radio, television and multimedia (internet) with da'wah content that has occurred in Indonesia throughout history and today.. Therefore, in order for the da'wah to be delivered on target, Muslims, preachers, and television producers need to be skilled at managing this media as effectively as possible. Modern information technology must be used to spread Islamic teachings in the global era, both in urban and rural areas.
Keywords: Development of Mass Media, Television, Radio, Multimedia, Da'wah.
Metode Pengendalian Anak Usia Dini agar Tidak Kecanduan Gadget
Authors: Maimanah Ashabul , Rohali Alia , Tanjung Khoilula Hanum , Aulia Damanik Maysarah Rabiul , Daulay Mastianur , Yani Rahma , Rahayu Annisa Hadisti , Lubis Hilda Zahra 
Published: May 2023

Gadgets are one of the technologies that are widely used by humans. Many benefits are felt through gadgets, but if excessive use without restrictions and controls can have a bad effect on users. Moreover, if the user is an early child where this period is an important process for his life. The purpose of this study was to analyze the use of gadgets by early childhood and the role of parents in overcoming gadget addiction in children. This study uses a qualitative approach research method. The results of this study note that children use gadgets to play games, watch entertainment on YouTube which can make children learn to know shapes, reading and writing. But children often focus too much on playing gadgets, don't answer when parents call, sometimes whine when they are not given permission to play gadgets, children also seem to have problems with their speaking ability, even though children are 6 years old but there are still many words spoken by children still not understandable. In an effort made by parents to prevent negative things from using gadgets by accompanying children when using gadgets, making sure they don't view content that is not appropriate for the child's age.
Keywords: Gadgets, Early Childhood
Implementasi Kegiatan Ekstrakurikuler Palang Merah Remaja Dalam Pembentukan Karakter Peduli Sosial Siswa
Authors: Usiono Usiono , Khoiriyah Haniatul , May Sarah Dinda , Sipahutar Mayang Sari , Vika Annisa Inda 
Published: May 2023

The purpose of this research is to find out more about the character of students who participate in extracurricular activities of the Youth Red Cross. Besides that, the factors that influence the formation of the character of students participating in the Youth Red Cross extracurricular. This research is qualitative and descriptive in nature. This study used several subject teachers and student staff who were considered to have known PMR as samples. The core administrators, coordinators, and active members are PMR administrators. Observations, interviews, and documentation are used as data collection methods. On the other hand, primary and secondary data are the source of this research data.
Keywords; Social skills, character development and PMR
Peranbadan Pembinaan Qari-Qariah, Hafiz-Hafizah Dan Seni Kaligrafi Al Qur’an (BAPQAH SIKA) Medan Dalam Meningkatkan Kualitas Bacaan Al Qur’an Peserta Kelas Dasar
Authors: Indra Farhan , Mansyur Irfan , Mahyuni Mahyuni , Ramadhani Mulia , Najamuddin Najamuddin , Al Farizi Muhammad , Ritonga Rio Hanai , Hutasuhut Helmi Yahya 
Published: May 2023

A coaching institution known as Badan Pembinaan Qari-Qariah, Hafiz-Hafizah Dan Seni Kaligrafi Al Qur'an (BAPQAH SIKA) Medan offers a program that focuses on the study of the Qur'an, from the art of reading it to its contents (Tafsir Al Qur'an). The purpose of this additional study was to determine the role that BAPQAH SIKA Medan plays in enhancing the reading proficiency of elementary class participants. Different kinds of field research and descriptive qualitative methods are used in this study. According to the findings of this study, BAPQAH SIKA Medan provides intensive training by distinguishing the abilities of students in each class
Keywords: Upgrade, quality, BAPQAH SIKA Medan
Peran Guru PAI Dalam Membentuk Karakter Siswa pada Pembelajaran PAI di Sekolah Umum
Authors: Tsaqif Aufa Daffa , Darlis Ahmad , Ali Fitrah Wahdania , Br Samura Wanda Ramadhani , Ningsih Yulia 
Published: May 2023

The background of writing this article is the amount of delinquency among students. The purpose of this research is to look at the role of PAI teachers as educators in building student character. This study uses a literature study research method. The information and sources used to make this article come from relevant books and journals. This writing technique is a literature study of materials and data that have been collected, arranged logically and methodically arranged. The entire content of the article consists of theory and then conclusions are used to draw conclusions. Regarding his role as a PAI teacher in building student character, it includes: Empowerment, exemplary, intervention, integrated, filtering. The strategies carried out by PAI teachers to build student character include: 3S habituation (greetings, greetings, smiles), habituation of dhuha and asr prayers in congregation, habituation of reading short letters, reading prayers, habituation to discipline, habituation to be honest.
Keywords: Role of PAI teacher, Student character