bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fístula precoce em pacientes submetidos à bypass gástrico Análise de modificação da técnica
Authors: Weiss Marcelo Barros , Gonzalez Lucas Goiatá , Real Priscilla Azalim Villa , de Oliveira Cristina Pimont , Rebouças Conrado Lemos , Cunha Victor dos Reis , Ferreira Isabella Nunes Borges , Marçola Fernanda Gomes Sobreira 
Published: June 2022

Introdução: Doença crônica, degenerativa e incurável segundo a OMS (Organização Mundial de Saúde) que é caracterizada pelo excesso de gordura corporal. É considerada uma epidemia em todo o mundo, estando associada a várias patologias correlatas que acabam determinando mortalidade mais precoce. Métodos: Estudo tipo caso-controle onde no primeiro grupo de 284 pacientes operados entre 2012 a 2017 pela técnica de By-pass gástrico simplificado sem anel. Foram analisados, idade, peso pré-operatório, índice de massa corporal pré-operatória, tempo de internação, presença ou ausência de deiscência anastomótica na cirurgia e pós-operatória (PO) precoce, além de mortalidade. Comparados com segundo grupo de 128 pacientes operados entre 2017 e 2019 que tiveram, a técnica modificada pela sobre sutura sistemática no ponto de vazamento observado no grupo anterior. Resultados: Do total de pacientes do primeiro grupo, 263 pacientes (92.6%) não apresentaram deiscência anastomótica, com média de idade de 36.5, IMC de 43.2 e tempo de internação de 3.74 dias. Dentre grupo de 284 pacientes estudados, 17 (5.98%) apresentaram vazamento na anastomose no perioperatório identificados através do teste de azul de metileno. No segundo grupo de 128 pacientes (onde todos receberam a sobre sutura na linha de grampeamento) não foram observados vazamentos intra-operatórios e nem pós-operatórios (com um nível de confiança maior que 95%). Não houve mortalidade associada com média de internação inferior a 48 horas. Conclusão: Ao realizarmos a sobre sutura de forma sistemática geramos maior estabilidade da anastomose, diminuindo a tensão da linha não permitindo o aparecimento do vazamento das linhas de sutura mecânica nesse estudo.
Perfil dos pacientes COVID positivo admitidos em 2020 num hospital público de Mato Grosso do Sul que evoluíram para terapia hemodialítica
Authors: Junior Renato Finotti , Da Rosa Regina Aparecida Terra 
Published: June 2022

A pandemia pelo novo coroavírus (SARS-CoV-2), causador da COVID-19, vem produzindo repercussões em escala global, acarretando impactos sem precedentes na história. Isso, somado ao agravamento da doença, com evolução para a necessidade de terapia dialítica, que é uma modalidade de tratamento com custo significativo para os cofres públicos, pode contribuir ainda mais, para a piora do sistema financeiro mundial. Podemos destacar também que, conforme a Sociedade Brasileira de Análises Clínicas em 2020, estudos mostram que a Insuficiência Renal Aguda (IRA), consequente à infecção pelo COVID, está entre 0,5-7% dos casos e entre 2,9-23% dos pacientes em Unidade de Terapia Intensiva (UTI). Com isso, este trabalho visa levantar dados estatísticos relacionados à estas ocorrências dentro de um hospital público.
Sedação consciente: é possível exercer odontologia moderna sem domínio efetivo desses protocolos?
Authors: Nunes Kalinna Mahara de Lima , Rocha Eugênio Peixoto 
Published: June 2022

A sedação moderada ou consciente é uma técnica que, através da seleção de substâncias medicamentosas corretas, provoca analgesia, depressão leve do sistema nervoso central, diminuição da contração da musculatura esquelética, provocando um estado de relaxamento total do paciente. A sedação consciente, apesar de bem difundida ainda é muito pouco utilizada frente aos resultados positivos que pode gerar para melhorar a experiência e qualidade dos procedimentos, tanto para o paciente quanto para o cirurgião-dentista, sendo capaz de melhorar a efetividade no atendimento de indivíduos ansiosos, fóbicos, depressivos, e até mesmo os que relatam doenças sistêmicas compensadas. Com relação a esse último, a sedação consciente pode minimizar drasticamente os riscos de urgências e emergências por evitar descompensação dos pacientes em determinadas comorbidades, caso existam. Por ser um procedimento simples, eficaz e seguro pode ser utilizado em todas as faixas etárias inclusive na odontopediatria. Dados sobre o tema foram levantados juntamente com revisão bibliográfica, através de artigos e publicações colhidas pelas plataformas PUBMED, BIREME, SCIELO e GOOGLE ACADÊMICO. Este trabalho busca, através de comprovação literária, conhecer os melhores meios, substâncias medicamentosas e as técnicas ideais para desmistificar e indicar o uso da sedação para maior variedade de casos onde o paciente e o CD são beneficiados à medida que a odontologia evolui e maior gama de procedimentos é oferecida. Além de esclarecer os riscos, critérios e preparação pré-operatória que justifiquem o uso da sedação moderada, busca-se também mostrar as vantagens de aplicação desse método por ser uma técnica bastante segura e ainda pouco utilizada na prática clínica diária, onde o objetivo deveria ser, além da sedação em si a minimização riscos de descompensação dos pacientes prevenindo emergências no consultório odontológico.
Pesquisa de Enterobactérias multirresistentes em morango, tomate e alface comercializados em Brasília-DF
Authors: Kubota Fernanda Kazue Gadelha , Alencar Bruno Minardi Sabbá de , Castro Fabíola Fernandes dos Santos 
Published: June 2022

O presente trabalho objetivou determinar a identificação de enterobactérias multirresistente em morango, alface e tomate comercializados em Brasília - DF, além de investigar e confirmar a resistência dos microrganismos isolados aos antibióticos Ampicilina, Cefalexina, Meropenem e Ertapenem. Foram coletadas e analisadas 20 amostras, sendo compostas por 7 amostras de alface, 7 amostras de tomate e 6 amostras de morango, de regiões diferentes do Distrito Federal. As 20 amostras foram enriquecidas em caldo lactosado e transpostas para meio seletivo composto por ágar MacConkey, onde foram cultivadas por 24 horas. Das 20 amostras, 12 positivaram para bactérias Gram negativa com crescimento de colônia em meio seletivo, sendo 2 amostras descartadas devido a contaminação por outros microrganismos. As 10 amostras restantes foram analisadas e identificadas bioquimicamente com auxílio do kit para enterobactérias da NewProv e do software Indentax. Foi realizado teste de sensibilidade nas amostras positivas por meio do método de Kirby Bauer, de acordo com BrCast 2021. Os agentes identificados corresponderam às espécies Providencia alcalifaciens, Salmonella enteritidis, Enterobacter gergoviae ou Enterobacter aerogenes (amostras 10, 18 e 20) e Klebisiela ornithinolytica, desses, duas amostras de Salmonella enteritidis apresentaram múltipla resistência aos antimicrobianos testados, sendo que uma delas apresentou resistência a todos os quatro antimicrobianos testados. Foi constatado também, elevada resistência à Ampicilina, sendo 9 das 10 amostras resistentes ao medicamento. A amostra de número 15, resistente aos 4 antimicrobianos simultaneamente, foi testada para betalactamase, positivando para a Carbapenemase do tipo Metalobetalactamase. Em suma, conclui-se que a qualidade higiênico-sanitária dos vegetais comercializados no Distrito Federal se mantém duvidosa devido a identificação de Salmonella enteritidis nas amostras coletadas. Além disso, o achado de bacilos multirresistentes chama a atenção para maiores pesquisas na área, bem como para a importância do uso racional de antimicrobianos.
Education System in Egypt
Authors: Dinelti Fitria  , Berry Devanda  , Wienda Gusta  , Nurhizrah Gistituati  , Rusdinal  , Azwar Ananda  
Published: June 2022

This research aims to know the educational system of the Arab Republic of Egypt. The research method is literature review or literature study, which contains theories relevant to research problems. The result of the educational system of Egypt that the educational objectives are uphold democracy and the formation of democratic individuals. The authority is centralized, under the ministry of education and ministry of Al-Azhar. Curriculum preparation is carried out with teamwork consisting of experts, professors, consultants, and educational supervisors as well as experienced teachers. The government budgets 17% of the national budget. The educational structures are 1) basic education (ibtida'i), 2) secondary education/preparation (I'dadi), 3) upper secondary education (tsanawi), 4) higher education or university, and 5) elementary school level 6-11 years. The academic year start from June to August.
Description of the Factors Behind The Choice Of Alternative Medicine In Breast Cancer Patient
Authors: Putri Ismira Yanti , Indra Rani Lisa , Lita Lita 
Published: June 2022

Introduction: Breast cancer is the number one cancer in Indonesia and number two in the world. One of the factors that influence the cancer mortality rate is the low number of visits by cancer patients to medical experts. Patients prefer alternative treatments that have not been proven that can have an impact on patient survival.
Purpose:This study aimed to determine the factors behind the choice of alternative medicine in breast cancer patients.
Methods: Descriptive research was conducted on 30 breast cancer patients in one of the government hospitals in the city of Pekanbaru taken by accidental sampling technique. data collection using a questionnaire and analyzed univariately using a frequency distribution table.
Results: The results of the study for predisposing factors, found 63.3% of respondents aged > 46 years, good knowledge (100%), have a positive attitude (63.3%), high school education level (63.3%), and work status is working ( 56.7%). for enabling factors, 70% of respondents have easy access to health services and low economic status (86.7%). For driving factors, information related to cancer treatment was obtained from family/friends/neighbors (96.7%).
Conclusion & Suggestion: It is hoped that health workers will be more aggressive in providing education about breast cancer treatment, and the public is expected to immediately check with health workers if they feel that there is something unusual in their breasts
Hynoparenting untuk meningkatkan pengetahuan Ibu dalam membentuk Karakter anak
Authors: Pratiwi Kuniasari , Rahmawati Isabella 
Published: June 2022

Phenomena that occur in society, most children's problems are caused by mistakes or ignorance of parents and the closest environment in how to communicate and convey good values ​​to children. shows deviations, does not follow parental advice or even fights, new parents panic and look for solutions. This should be avoided, children's character education should be carried out early before it is too late. The basic problem is that many parents do not understand when the time is right and how to educate children's character. One method that is expected to be a solution is the hypnoparenting technique.
Hypnoparenting is a hypnotherapy technique that is specifically applied by parents in raising children. Broadly speaking, this technique is useful in improving the quality of communication and spiritual intelligence of parents and children. This method works directly on the child's subconscious, so that parents can apply their child's character education without coercion.
This study aims to test the effectiveness of hypnoparenting counseling to increase parental knowledge in shaping children's character. This research was conducted in Al Wafa Kindergarten with the respondents being parents or guardians of Al Wafa Kindergarten students. This research is a pre-experimental study with a pretest-post test one group design. The interventions provided were in the form of counseling with interesting materials, video screenings, demonstrations, role plays, and sharing sessions.
The results showed that there was a difference in knowledge before and after being given hypnoparenting counseling. The results of the paired T test showed a t-value of 7.023 (p-value 0.000 less than 0.05). Thus, it can be concluded that there is a significant difference between knowledge about mother's knowledge in shaping the child's character before and after being given counseling
Gambaran faktor eksternal yang berhubungan dengan kejadian stunting pada anak usia 24 – 59 bulan di Wilayah Kerja Puskesmas Tepus II Gunungkidul
Authors: Wahyudi Wahyudi , Khoeriyah Salis Miftahul , Monika Rika 
Published: June 2022

Background: The incidence of stunting among children under five in the world is estimated at 149.2 million (22%) and the prevalence of stunting in Indonesia ranks third highest in Southeast Asia. The impact of stunting is an obstacle in achieving optimal growth and development.
Objective: To determine the description of external factors that influence the incidence of stunting in toddlers aged 24-59 months in the working area of ​​the Tepus II Public Health Center Gunungkidul
Methods: This research used a descriptive study with a cross sectional approach. Sampling using total sampling, all mothers who have toddlers aged 24-59 months with short and very short criteria in the work area of ​​the UPT Puskesmas Tepus II Gunungkidul as many as 59 respondents. Data analysis used univariate analysis
Results: the mother's education level is mostly low as many as 36 respondents (61.02%),
the number of respondent's family members is at most more than 4, namely 34 respondents (57.63%), the respondent's family income is at most less than Rp. 1,705,000 (less than the minimum wage) i.e. 44 respondents (74.58%), most of the stunting toddlers amounting to 48 (81.36%) received exclusive breastfeeding, and the majority of family marriage age was more than 19 years, namely 36 respondents (61, 02%).
Conclusion: External factors related to the incidence of stunting in toddlers aged 24-59 months in the working area of ​​the Tepus II Gunungkidul Health Center include most of the mothers with low education, having more than 4 family members, income below the minimum wage, getting exclusive breastfeeding and age of marriage are > 19 years old.
Determination of Limiting Dome Height (LDH) values for Inconel 718 alloy sheet using FEA and Hemispherical Punch Method
Authors: Ganesan Kanmani , Sambasivam Saravanan , Ramadass Rajesh 
Published: June 2022

In this work, initially the chemical composition of Inconel 718 alloy sheet was obtained using X-ray fluorescence technique (XRF). The material properties such as yield strength, ultimate tensile strength, percentage of elongation, normal anisotropy, planar anisotropy, strain hardening exponent, and the strength coefficient were determined in longitudinal, diagonal, and transverse rolling direction using a uniaxial tensile test. The Limiting Dome Height (LDH) values are obtained by simulation and experimentation based on the hemispherical punch method. In simulation work, Barlat-89 yield criterion was used to obtain the Limiting Dome Height (LDH) values and strain distribution along with the specimen in Abaqus 6.1 software. The experimental LDH values of Inconel 718 alloy sheet and simulated results obtained from Abaqus 6.1 software were in close agreement. The approach presented in this work can be applied to obtain the LDH test values of interesting material focused by researchers. With the help of experiments, a limit curve was established which ensures the safe working region of Inconel 718 sheet. Scanning Electron Microscope (SEM) analysis of 100 &120 mm width specimens indicated smooth surface and ductile fracture. The examination of 140 &160 mm width specimens showed rough surface and shear-ductile failure. Energy Dispersive Spectrum (EDS) analysis of a fractured surface confirms the constituents of the sheet present before failure.
Als een spin in het web voor de bestrijding van terrorisme en zware ondermijnende criminaliteit
Authors: Hirsch Ballin M.F.H. 
Published: June 2022

Als een spin in het web voor de bestrijding van terrorisme en zware ondermijnende criminaliteit
De inzet van nieuwe technische mogelijkheden zoals datakoppeling en analyses met gebruik van algoritmen, biedt nieuwe kansen in de strijd tegen terrorisme en zware ondermijnende criminaliteit. Dit nieuwe terrein van onderzoek staat naast de vertrouwde domeinen van de strafrechtspleging, de bestuurlijke handhaving en de inlichtingen- en veiligheidsdiensten. Dat nieuwe terrein zal in dit artikel worden verkend aan de hand van twee ontwikkelingen: de verruiming van de analysetaak van de Nationaal Coördinator Terrorismebestrijding en Veiligheid (NCTV) en de totstandkoming van het Multidisciplinaire interventieteam dat per 1 juli 2022 verder zal gaan onder de naam Nationale Samenwerking tegen Ondermijnende Criminaliteit (hierna: MIT/NSOC).
Er moet een fatsoenlijke wettelijke regeling komen over het functioneren van Kamerfracties
Authors: Leenknegt G. 
Published: June 2022

Er moet een fatsoenlijke wettelijke regeling komen over het functioneren van Kamerfracties
De stelling in deze aflevering van TvCR luidt: ‘In de zaak Gündoğan/Volt wreekte zich het ontbreken van een fatsoenlijke wettelijke regeling over het functioneren van Kamerfracties.’
Gert-Jan Leenknegt pleit voor deze stelling.
Omdat die wettelijke regeling op dit moment ontbreekt, ging het vonnis van de rechtbank in dit geval te ver.
Urgenda in België: een hete strijd
Authors: Hendrix A.L.J.J. 
Published: June 2022

Urgenda in België: een hete strijd
Sinds de Urgenda-zaak kennen steeds meer landen binnen en buiten Europa een eigen klimaatzaak. In juni 2021 oordeelde de Belgische rechter dat het Belgische klimaatbeleid zo nalatig was dat het een schending opleverde van wettelijk vastgelegde zorgplicht, alsmede dat het in strijd was met artikel 2 en 8 EVRM. Anders dan in de Urgenda-zaak, werd door de Brusselse rechtbank echter geen reductiebevel ten aanzien van de uitstoot aan broeikasgassen opgelegd. Daartoe waren geen concrete, juridisch bindende normen voorhanden.
Penerapan Knowledge Management Dalam Peningkatan Kinerja pada PT. Indominco Bontang Kalimantan Timur
Authors: Devi Nurwulan Kusuma , Naser Haspul 
Published: June 2022

Tujuan_ Penelitian ini adalah untuk memahami penerapan implementasi Knowledge management untuk meningkatkan kinerja PT Indominco Bontang. Desain/Metode_ Metode dalam Penelitian ini menggunakan pendekatan kualitatif dengan study kepustakaan (library research). Teknik pengumpulan data diambil dari observasi langsung dan studi literasi, sedangkan Metode analisis dilakukan dengan metode deskriptif. Temuan_ Keberhasilan PT. INDOMINCO dalam memenangkan persaingan dapat ditempuh dengan membuat, dan mengimplementasikan strategi dengan tepat. Manajemen pengetahuan merupakan keunggulan stratejik organisasi diperlukan sebagai modal dasar untuk mendukung strategi organisasi. PT. INDOMINCO secara strategis mengeksplorasi dan mengeksploitasi sumberdaya-sumberdaya pengetahuan dan kapabilitas organisasi yang dimiliki. Implikasi_Organisasi harus mampu memotivasi anggotanya untuk mendapatkan tingkat pengetahuan yang lebih tinggi. Originalitas_ Merupakan analisisdengan pendekatan kombinasi studi pustaka dan observasi. Tipe Penelitian_Studi Empiris
Peranan Layanan Customer Service Terhadap Kepuasan Nasabah Pada PT BCA KCU - Kota Bekasi
Authors: Sugiri Gatot 
Published: June 2022

Tujuan_ Tujuan penelitian ini untuk mengetahui seberapa besar pengaruh Layanan Customer Service terhadap Kepuasan Nasabah. Demikian juga dalam menganalisa hubungan antara variabel Layanan Costomer Service dengan Kepuasan Nasabah, yaitu untuk mengetahui seberapa kuat atau lemahnya hubungan antara Customer Service terhadap Kepuasan Nasabah. Desain/Metode_Metode yang digunakan dalam penulisan ini adalah dengan observasi yaitu mengadakan kunjungan langsung ke PT. Bank Central Asia, tbk dan hal ini dilakukan dengan cara pengamatan dan melakukan wawancara dan mengajukan kuisioner yang diisi oleh para nasabah sebagai responden Bank Central Asia ( BCA ) Kota Bekasi. Teknik pengolahan data yang digunakan dalam penulisan jurnal ini dengan menggunakan teori dan analisis, metode yang digunakan oleh penulis untuk menganalisis data adalah dengan menggunakan metode Deskriptif Kualitatif dan Kuantitatif. Alat analisis yang digunakan adalah Analisa Koefisian Korelasi Sederhana, dan Analisa Koefisian Regresi Sederhana , Analisa Koefisien Determinasi serta menggunakan Uji Hipotesis. Temuan_Hasil penelitian menunjukan bahwa jika layanan customer service naik satu satuan maka kepuasan nasabah akan naik 0,99 satuan. Selain itu hasil korelasi antara layanan customer service dengan kepuasan nasabah menunjukan hubungan yang kuat dan positif yaitu sebesar 0,80. Berdasarkan nilai koefisien determinasi, diperoleh hasil Layanan Customer Service mempunyai kontribusi terhadap tingkat Kepuasan Nasabah sebesar 73,20% dan selebihnya 26,80% dipengaruhi oleh faktor-faktor lainnya. Hasil pengujian hipotesis juga menunjukan bahwa terdapat hubungan yang signifikan antara Layanan Customer Service terhadap peningkatan Kepuasan Nasabah di PT. Bank Central Asia, tbk. Implikasi_Secara praktis diharapkan penelitian ini dapat membantu PT. BCA untuk meningkatkan kepuasan nasabahnya Originalitas_Penelitian dengan tema ini baru dilakukan pada PT. BCA KCU Kota Bekasi untuk periode ini. Tipe Penelitian_Studi Empiris
Produção do leite A2 e melhoramento genético do rebanho
Authors: Lopes Pacchiarotti Victoria , Padilha Gandara Mendes João , Menezes Ferreira Luciano 
Published: June 2022

O leite bovino é um importante alimento e produto do Agronegócio brasileiro, porém, para agradar às exigências do consumidor o mercado necessita se reinventar constantemente. Com isso, produtos como o leite com o selo A2 ganham destaque por ser considerado de mais fácil digestão, visto que não possui, em sua composição, peptídeos bioativos, relacionados ao desenvolvimento de alergias e outras doenças humanas. O objetivo deste trabalho foi demonstrar a possibilidade da produção exclusiva do leite A2 em fazendas no Brasil, abordando seu processo produtivo, suas características e vantagens. Diante disso, observou-se que, para a obtenção de um leite com essas características, é necessário o investimento em biotecnologias, como a seleção dos animais e a associação da inseminação artificial com a fertilização in vitro e transferência de embriões, possibilitando, assim altos índices de produção de bezerros/vaca/ano com o gene A2A2 e ainda provar a confiabilidade do sistema de produção utilizando métodos de rastreabilidade eficientes, o que proporcionou a obtenção do selo A2. No entanto, devido aos benefícios do leite A2 apresentados nesse trabalho, acredita-se que o investimento realizado trará um excelente retorno financeiro, pois esse projeto visa fazer com que pessoas que deixaram de beber leite devido ao desconforto voltassem a consumi-lo.
Abstract: Bovine milk is an important food and product of the Brazilian Agribusiness, however, to please consumer demands, the market needs to constantly reinvent itself. As a result, products such as milk with the A2 seal gain prominence for being considered easier to digest, since it does not have bioactive peptides in its composition, related to the development of allergies and other human diseases. The objective of this project was to demonstrate the possibility of exclusive production of A2 milk on farms in Brazil, addressing it is production process, it is characteristics and advantages. Therefore, it was observed that to obtain milk with these characteristics, it is necessary to invest in biotechnologies, such as animal selection and the association of artificial insemination with in vitro fertilization and embryo transfer, enabling high production rates of calves/cow/year with the A2A2 gene and still prove the reliability of the production system using efficient traceability methods, which provided for obtaining the A2 seal. However, due to the benefits of A2 milk presented in this work, it is believed that the investment made will bring an excellent financial return, as this project aims to make people who stopped drinking milk due to discomfort to consume it again.
Keywords: Bovine milk. Production of A2 milk. Genetic selection. Agribusiness.