bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predictive Factors of Cerebral Aneurysm Rerupture After Clipping
Authors: Chang Yu-Jun , Liu Chi-Kuang , Cheng Chun-Yuan , Shih Yu-Cheng , Wang Shih-Chun , Lin Chung-Chih , Lin Chih-Ming 
Published: February 2022

BackgroundWe aimed to estimate the risk of rerupture after first-time aneurysmal clipping surgery, explore the possible related factors, and assess long-term physical functionality. We hypothesized that the modified Rankin scale (mRS) could serve as an effective substitute for Hunter and Hess scale.MethodsThis retrospective study included 171 patients with cerebral aneurysmal rupture who had completed aneurysmal clipping treatment and collected their demographic data and medical records. The outcome assessments include neuroimaging records, Hunter and Hess scale, and the mRS scale during hospitalization and follow-up after discharge. The mean length of follow-up was 4.28 years.ResultsAfter aneurysmal clipping treatment, 83 patients (48.5%) had subsequently ruptured aneurysms. The scores of the reruptured group on the Hunt and Hess scale and mRS were significantly higher than those of the non-reruptured group. Multiple Cox proportional-hazards regression also showed that postoperative mRS &gt;2, smoking, and two or more aneurysms were potentially important risk factors leading to aneurysm rupture again [the corresponding hazard ratios (HRs) were 5.209, 2.109, and 2.775, respectively] in patients. In addition, the location of an aneurysm on the anterior cerebral artery (ACA) or the posterior communicating (Pcom) artery had a higher risk of rerupture (the corresponding HRs were 1.996 and 2.934, respectively).ConclusionsNearly half of the collected participants experienced the rerupture episode, who had undergone the second-time clipping surgery. Smoking and multiple aneurysms are potential risk factors for aneurysmal rerupture. Most aneurysms are located along the ICA, but aneurysms located at the ACA or Pcom site are most likely to rerupture. As compared with the Hunter and Hess scale, the mRS scale does not have inferior predicting power in following patients' long-term functionalities.
MRI-Based Classification of Neuropsychiatric Systemic Lupus Erythematosus Patients With Self-Supervised Contrastive Learning
Authors: Inglese Francesca , Kim Minseon , Steup-Beekman Gerda M. , Huizinga Tom W. J. , van Buchem Mark A. , de Bresser Jeroen , Kim Dae-Shik , Ronen Itamar 
Published: February 2022

Introduction/PurposeSystemic lupus erythematosus (SLE) is a chronic auto-immune disease with a broad spectrum of clinical presentations, including heterogeneous neuropsychiatric (NP) syndromes. Structural brain abnormalities are commonly found in SLE and NPSLE, but their role in diagnosis is limited, and their usefulness in distinguishing between NPSLE patients and patients in which the NP symptoms are not primarily attributed to SLE (non-NPSLE) is non-existent. Self-supervised contrastive learning algorithms proved to be useful in classification tasks in rare diseases with limited number of datasets. Our aim was to apply self-supervised contrastive learning on T1-weighted images acquired from a well-defined cohort of SLE patients, aiming to distinguish between NPSLE and non-NPSLE patients.Subjects and MethodsWe used 3T MRI T1-weighted images of 163 patients. The training set comprised 68 non-NPSLE and 34 NPSLE patients. We applied random geometric transformations between iterations to augment our data sets. The ML pipeline consisted of convolutional base encoder and linear projector. To test the classification task, the projector was removed and one linear layer was measured. Validation of the method consisted of 6 repeated random sub-samplings, each using a random selection of a small group of patients of both subtypes.ResultsIn the 6 trials, between 79% and 83% of the patients were correctly classified as NPSLE or non-NPSLE. For a qualitative evaluation of spatial distribution of the common features found in both groups, Gradient-weighted Class Activation Maps (Grad-CAM) were examined. Thresholded Grad-CAM maps show areas of common features identified for the NPSLE cohort, while no such communality was found for the non-NPSLE group.Discussion/ConclusionThe self-supervised contrastive learning model was effective in capturing common brain MRI features from a limited but well-defined cohort of SLE patients with NP symptoms. The interpretation of the Grad-CAM results is not straightforward, but indicates involvement of the lateral and third ventricles, periventricular white matter and basal cisterns. We believe that the common features found in the NPSLE population in this study indicate a combination of tissue loss, local atrophy and to some extent that of periventricular white matter lesions, which are commonly found in NPSLE patients and appear hypointense on T1-weighted images.
Shared decision making between older people with multimorbidity and GPs: a qualitative study
Authors: Brown Emily L , Poltawski Leon , Pitchforth Emma , Richards Suzanne H , Campbell John L , Butterworth Joanne E 
Published: February 2022

BackgroundShared decision making (SDM), utilising the expertise of both patient and clinician, is a key feature of good-quality patient care. Multimorbidity can complicate SDM, yet few studies have explored this dynamic for older patients with multimorbidity in general practice.AimTo explore factors influencing SDM from the perspectives of older patients with multimorbidity and GPs, to inform improvements in personalised care.Design and settingQualitative study. General practices (rural and urban) in Devon, England.MethodFour focus groups: two with patients (aged ≥65 years with multimorbidity) and two with GPs. Data were coded inductively by applying thematic analysis.ResultsPatient acknowledgement of clinician medicolegal vulnerability in the context of multimorbidity, and their recognition of this as a barrier to SDM, is a new finding. Medicolegal vulnerability was a unifying theme for other reported barriers to SDM. These included expectations for GPs to follow clinical guidelines, challenges encountered in applying guidelines and in communicating clinical uncertainty, and limited clinician self-efficacy for SDM. Increasing consultation duration and improving continuity were viewed as facilitators.ConclusionClinician perceptions of medicolegal vulnerability are recognised by both patients and GPs as a barrier to SDM and should be addressed to optimise delivery of personalised care. Greater awareness of multimorbidity guidelines is needed. Educating clinicians in the communication of uncertainty should be a core component of SDM training. The incorrect perception that most clinicians already effectively facilitate SDM should be addressed to improve the uptake of personalised care interventions.
Reformulasi Strategi Pemasaran Bengkel Otomotif Mengunakan Metode SWOT Dan QSPM
Authors: Abdillah Achmad Maulana , Mahbubah Nina Aini , Rizky Akhmad Wasiur 
Published: February 2022

The rised in number of four-wheeled vehicles in Indonesia has a positive impact on elevating business opportunities for otomotive repair services. This type of business is reside in all over region with service level vary from conventional services to advance services. Hari Jaya Teknik is a medium-sized service enterprise which focus on otomotive repairements in Gresik city. The business is experiencing with decreasing customers’ demand caused by conventional business promotion techniques and a number of business competition around bussiness location. This study aims to reformulate a marketing strategy to maintain the existence of a business that has been built for more than twenty years. SWOT and QSPM are the approaches used in this study. The research method begins by identifying internal and external factors obtained from six expert respondents, followed by the calculation of the SWOT and QSPM matrix. The results of this study found eight factors as primary consideration in order to redevelop marketing strategy. The highest factor namely strategy to both maintain and enhance the quality of service. These factors followed by calculating reasonable service costs in order to maintainbussiness reputation as well as customer loyalty. The reformulation of the eight strategies is also expected to be able to bring in new customers in the workshop in order to sustaining bussiness existence.
género en las políticas públicas: ¿una opción o una obligación?
Authors: Levín Silvia 
Published: February 2022

Durante las décadas de los noventa y del dos mil se ha afianzado en América Latina la idea de la estrecha vinculación existente entre política social, democracia y desarrollo, como resultado de estudios e investigaciones (UNESCO, 2003; PNUD, 2004; Faletto, 1993; etc.), a punto tal que hoy constituye una certeza que nos permite avanzar en sus postulados constitutivos centrales en términos sustantivos. La igualdad de género es uno de ellos.
El género hace referencia a una construcción social y cultural, que organiza nociones sobre aquello que sería “propio” de lo masculino y de lo femenino a partir de la diferencia sexual, no es natural y no afecta exclusivamente las decisiones individuales (Lamas, 1996). No se trata de una configuración identitaria individual de las personas, relacionadas con su modo de vivir la femineidad o la masculinidad, sino que influye de forma crítica en todas las relaciones sociales como la división sexual del trabajo, la distribución de recursos, el establecimiento de jerarquías, etc.
Racionalidades políticas y políticas sociales
Authors: Mrejen Matías 
Published: February 2022

El presente artículo es una versión resumida de la Tesina de Grado1 para la finalización de la Licenciatura en Ciencia Política de la Universidad Nacional de Rosario. En ella, titulada “Racionalidades políticas y políticas sociales. Un análisis de las Transferencias Condicionadas de Ingreso en la Argentina”, se realizó un estudio sobre el surgimiento de las transferencias condicionadas de ingreso como dispositivos de gobierno en la Argentina post- crisis del 2001. De las temáticas allí tratadas, se hace hincapié en el análisis de la Asignación Universal por Hijo (AUH) como un dispositivo que articula tecnologías de gobierno de matriz welfarista –el seguro social– y de matriz neoliberal–las políticas de Transferencia Condicionada de Ingresos.
espejos de la infancia: retratos y autorretratos de niños/as en situación de calle
Authors: Colombo Soraya 
Published: February 2022

Este trabajo surge de la investigación producida para la realización de mi tesina de grado de la Licenciatura en Trabajo Social, a partir de mi inclusión, en el mes de diciembre de 2006, en el Programa de Promoción Familiar del Área Niñez de la Municipalidad de Rosario como operadora de calle, en la zona norte de la ciudad. A partir de los registros de campo entonces elaborados (con la intención paralela de su utilización para dicha investigación) se han captado modos de ser, hacer y decir de estos niños/as que, articulados con sucesos vivenciados in situ, junto a ellos, en el ámbito mismo de la calle, fueron resignificados a partir de su relectura y agrupación en ejes de interés para el análisis y la reflexión teórica. Los mismos intentan dar cuenta de la representación de los niños/as acerca de la calle y del concepto de trabajo, de la distribución de actividades en su vida cotidiana y del lugar o no de lo lúdico/recreativo en sus actividades en calle. Se pretendió indagar así en la autorrepresentación que tienen acerca de su situación, los niños/as que realizan actividades laborales callejeras informales en la zona norte de la ciudad de Rosario, entendiendo a la autorrepresentación, tal como afirma Moscovici (1981), como la manifestación concreta de una toma de posturas sobre la identidad y la autopercepción y el modo en que ambas se conjugan para manifestarse de forma pública, para los Otros, y se ubican como detonador de un «estoy aquí». Se intentan recuperar en este proceso, las pertenencias de las que se apro- pian y las relaciones que se van construyendo en su vida cotidiana, a partir de lo que se visibiliza en el espacio de la calle.
The Urgency of Science to Islam in the Perspective of Tarbawi Hadith
Authors: Solihatul Ulya  , Nadrotin Mawaddah  , Masyhuri Masyhuri  
Published: February 2022

Talking about science itself actually cannot be separated from the discussion about religion. This can be seen from the many commands in the Qur'an and the hadith of the prophet that explain the importance of seeking knowledge. But on the other hand, there are still people who think that religion and knowledge are two things that go in different directions. Therefore, this study aims to observe more deeply related to the urgency of science towards religion from the perspective of tarbawi hadith. The method used in this research is a literature study. As a result, in the Qur'an and Hadith itself, many arguments are found that discuss the importance of these two things. Meanwhile, to choose which one needs to be studied first, it can be seen from its usefulness. The criteria for useful knowledge is when the knowledge learned by a servant can get him closer to Allah SWT. It is a form of devotion of a servant to his God because basically, the more knowledgeable a person is, the more his piety should increase as well. For this reason, the actualization of faith is ubudiyah, one of which is seeking knowledge where the result is in the form of piety, which then can be used as a locomotive for knowledge to develop inside a muttaqin (pious people).
ANALISIS TINGKAT BAHAYA BENCANA ANGIN PUTING BELIUNG BERBASIS SISTEM INFORMASI GEOGRAFIS DI KABUPATEN SIDENRENG RAPPANG
Authors: Syafitri Amin Nur , Maru Rosmini , Invanni Ichsan 
Published: February 2022

ABSTRAK Penelitian ini bertujuan untuk mengetahui karakteristik wilayah, tingkat bahaya bencana angin puting beliung dengan memanfaatkan Sistem Informasi Geografis, serta upaya mitigasi bencana angin puting beliung di Kabupaten Sidenreng Rappang. Parameter yang digunakan yaitu curah hujan, suhu permukaan, kemiringan lereng, dan penutup lahan. Data yang digunakan merupakan data sekunder yang diperoleh dari instansi terkait. Teknik analisis data yaitu analisis kuantitatif berjenjang tertimbang dengan melakukan tumpang susun terhadap peta parameter tingkat bahaya bencana angin puting beliung. Sehingga diperoleh hasil karakteristik fisik yang menjadi faktor penentu tingkat bahaya bencana angin puting beliung di Kabupaten Sidenreng Rappang yaitu curah hujan 1.501 - 2.000 mm/tahun, suhu permukaan 21 - 25oC, kemiringan lereng 0 - 8%, dan jenis penutupan lahan berupa sawah. Tingkat bahaya bencana angin puting beliung di Kabupaten Sidenreng Rappang pada kelas tingkat bahaya rendah sebesar 25% luas wilayah, lalu pada kelas tingkat bahaya sedang sebesar 39% luas wilayah, dan pada kelas tingkat bahawa tinggi sebesar 36% luas wilayah. Dan adapun upaya mitigasi bencana berupa perencanaan pola ruang, pengendalian konversi lahan, pembangunan bangunan tahan angin puting beliung, pembuatan ruang terbuka hijau, serta penyuluhan kepada masyarakat dengan mempertimbangkan tingkat bahaya bencana angin puting beliung.
STRATEGI PENGELOLAAN KAWASAN HUTAN MANGROVE SEBAGAI KAWASAN HUTAN PRODUKSI DI KABUPATEN MAROS SULAWESI SELATAN, INDONESIA
Authors: Arfan Amal , Maru Rosmini , Side Syafruddin , Saputro Alief 
Published: February 2022

Sustainable production forest is a forest that can produce products of economic value that can be used for the needs of life today and in the future. The benefits of various products and services from mangrove forests have been felt by humans, both in the form of wood and non-wood products. The population of this research is people age 20 - 60 years who live around the mangrove forest area of the coast of Maros Regency. The sampling technique is carried out using proportional stratified random sampling, which is based on the stratification of the types of activities around the mangrove forest area. Data collection techniques used are adjusted to the required data including, Direct Observation, Documentation, In-depth Interview with the Participatory Rural Appraisal approach, Focus Group Discussion, to determine the distribution and extent mangrove forest area in South Sulawesi. After that, the internal and external factors that are supporting and inhibiting use the SWOT analysis. The results showed that the strategy of managing mangrove forest areas as production forest areas in Maros Regency is develop the potential of sustainable and economically valuable mangrove forest resources through eco-friendly cultivation and capture businesses, increasing the role of ngos to increase community knowledge and awareness in mangrove management, providing counseling and training on crab processing., community empowerment through fishermen / farmer groups to create a household scale industry based on mangrove resources, training and mentoring of farmer/fisherman/women's groups in utilizing mangrove forest resources
METHODICAL APPROACHES TO COST ESTIMATION OF SYNERGY EFFECT OF ENTERPRISE RESTRUCTURING
Authors: Varchenko Olga , Herasymenko Iryna 
Published: February 2022

Introduction. Modern business conditions are characterized by increasing both external and internal risks, which requires the management of enterprises to develop effective tools to increase its competitiveness and value. For the management of the enterprise it is necessary to take into account the peculiarities of the formation of synergetic effects during the restructuring and to assess the vectors of their impact on its value, which will allow to make rational management decisions. That is why there is a need to generalize methodological approaches to assessing the overall synergy effect in the restructuring of the enterprise and its impact on the increase in its value.
Goal. The aim of the article is to gene	ralize the algorithm of formation of different types of synergetic effects in enterprise restructuring and to develop methodological approaches to assess their impact on the value of the enterprise, which should be used in the system of cost-oriented management.
Method (methodology). The following methods were used during the research: abstract-logical and monographic methods were used in the process of theoretical generalization and formulation of conclusions; method of system analysis in the development of the algorithm for the formation of synergetic effects by type of activity of the enterprise; retrospective analysis, induction and deduction in the identification of synergetic effects by type of activity in the restructuring and determining the vector of their impact on the value of the enterprise.
Results. The manifestations of synergetic effects during the restructuring of the enterprise are investigated and their influence on the value of the enterprise is proved. Manifestations of synergetic effects of restructuring by types of assets and activities of the enterprise are identified. Methodical approaches to assessing the impact of synergetic effects in the restructuring of the enterprise on its value are substantiated, which will allow to make sound management decisions on reorganization and help increase the efficiency of the management system, investment attractiveness and competitiveness.
TOKSISITAS EKSTRAK KARANG LUNAK Cespitularia sp. DARI TELUK MANADO PROVINSI SULAWESI UTARA
Authors: Tandiongan Marsitasari , Bara Robert A 
Published: February 2022

Secondary metabolites produced by marine organisms commonly have unique chemical structures and very interesting pharmacological activities. Marine organisms that have the most chemical conent are produced by marine invertebrates, followed by marine plants. Groups that include marine invertebrates include: sponges, bryozoans, cnidarians and tunicates. Soft coral, which is one of the marine invertebrates, has biological activities, such as antifungal, cytotoxic, antineoplastic, antimicrobial, HIV inhibitor and anti-inflammatory. This study aims to determine the value of the soft coral extract Cespitularia sp. taken from Manado Bay by the Brine Shrimp Lethality Assay (BSLA) method. This toxicity test was carried out quantitatively by analyzing data based on the number of deaths caused by the test extract of Artemia sp. The results obtained based on data analysis namely the value of the soft coral extract Cespitularia sp. is 53.27 ppm, this means that the extract can be developed as an anticancer drug candidate due to below below to 1000 ppm. Soft coral Cespitularia sp. categorized as toxic based on the Meyer classification or moderately toxic based on the Tanamatayarat classification and very toxic based on the Clarkson classification.Keywords: Soft coral; Cespitularia sp.; Toxicity;
STRUKTUR KOMUNITAS DAN PERSENTASE TUTUPAN LAMUN DI MARINE FIELD STATION UNIVERSITAS SAM RATULANGI
Authors: Senduk Anastasia V , Schaduw Joshian N W , Warouw Veibe , Wagey Billy Th. , Rimper Joice RTSL , Lohoo Anneke V 
Published: February 2022

In the world there are 60 species of seagrass, and 12 types are found in Indonesia. This study aims to determine the results of the description of the community structure and the percentage cover of seagrass in the waters of the Marine Fields Station, observations were made at 2 (ST.1 & ST.2) stations using themethod seagrass watch and the results of data analysis of the community structure using the equation formula from Cox, 1967. In the waters of the Marine Fields Station, there are 6 species, namely Enhalus acoroides, Thalassia hemprichii, Cymodocea rotundata, Syringodium isoetifolium, Halodule pinifolia, and Halophile ovalis. The results of the percentage of seagrass cover at ST.1 were 58.85% and ST.2 53.13% and the average value obtained from these 2 stations was 55.99%. Overall, the community structure of ST.1 species Thalassia hemprichii has the highest important value index of 80.66%. And in ST.2 Syringodium isoetifolium which has the highest important value index is 93.27%. Parameters in the waters of Maine Field Station, namely pH, salinity, temperature, substrate are good. Keywords: Seagrass, Percentage Cover, Community Structure
التصنيف الائتماني لوكالة فيتش ودوره في منح القروض وجذب الودائع دراسة تحليلية في مصرف الأهلي المتحد
Authors: المرشدي حيدر , محمد مصطفى 
Published: February 2022

يعتبر التصنيف الائتماني للمصارف أحد أهم أنواع التصنيفات الائتمانية التي تقدمها وكالات التصنيف الائتماني ، وتعبر درجة التصنيف الائتماني للمصارف عن رأي وكالة التصنيف الائتماني في مدى إمكانية دخول المصرف في صعوبات مالية، وبالتالي مدى احتياجه إلى الدعم والمساعدة المالية في المستقبل ولذلك جاء هذا البحث ليبين طبيعة التأثير بين التصنيف الائتماني ومنح القروض وجذب الودائع ، فضلا عن تحليل درجات التصنيف الائتماني التي حصل عليها المصرف من وكالة ( فيتش) خلال الاعوام (2009-2018) و كيفية الحصول عليها ، وجاء البحث بمجموعة من الاستنتاجات اهمها ان هنالك علاقة تأثير معنوية بين التصنيف الائتماني, الودائع والقروض عند مستوى معنوية (0.05).
Pengaruh Word Of Mouth Terhadap Purchase Intention Dengan Brand Image Sebagai Variabel Mediasi (Survey Pada Konsumen Mie Gacoan Surakarta)
Authors: Wibowo Edi , SU Setyaningsih 
Published: February 2022

Penelitian ini bertujuan (1) menganalisis pengaruh WOM terhadap brand image; (2) menganalisis pengaruh WOM terhadap purchace intention; (3) pengaruh brand image terhadap purchace intention; (4) menganalisis pengaruh WOM terhadap purchace intention yang dimediasi brand image. Populasi adalah seluruh konsumen Mie Gacoan Surakarta. Jumlah sampel 100 responden yang diambil dengan teknik accidental sampling. Teknik pengumpulan data menggunakan kuesioner. Analisis data menggunakan analisis jalur dan uji Sobel. Hasil penelitian menunjukkan bahwa (1) WOM berpengaruh signifikan terhadap brand image. (2) WOM berpengaruh signifikan terhadap purchase intention. (3) Brand image berpengaruh signifikan terhadap purchase intention. (4) WOM berpengaruh signifikan terhadap purchase intention yang dimediasi brand image