bluuebunny/crossref_metadata_2025_split huggingface dataset:
Carcinoma Neuroendocrino de Recto. Presentación infrecuente de un tumor infrecuente
Authors: Schlain Sergio 
Published: June 2022

Introducción: El carcinoma neuroendocrino de recto es una variedad infrecuente dentro de los tumores colorrectales que representa menos del 1% de los mismos, siendo el tercero en orden de frecuencia detrás del apendicular y los gastropancreáticos. Se presentan a una edad promedio de 56 años, con ligera predominancia por el sexo masculino.
Caso clínico: Un paciente masculino de 56 años que consulta por dolor abdominal en fosa iliaca izquierda e hipogastrio asociado a alteración del hábito evacuatorio, síndrome rectal y descenso de peso. Regular estado general, abdomen distendido y doloroso. La tomografía demuestra la presencia de un engrosamiento parietal circunferencial de la unión rectosigmoidea, edema y adenopatías paracólicas. Se realiza laparotomía de urgencia, resección anterior baja e ileostomía terminal. La anatomía patológica indica carcinoma neuroendocrino de células grandes. pT4-N1-Mx
Conclusión: Se presenta un caso poco frecuente de carcinoma neuroendocrino de recto. La presentación del tumor en este caso clínico es infrecuente y en forma avanzada.
Pengaruh Komitmen Organisasi Terhadap Kinerja Manajerial Dengan Anggaran Sebagai Variabel Moderating
Authors: Riyanto Riyanto 
Published: June 2022

Performance measurement is a process of assessing the progress of work against the goals and objectives predetermined, performance measurement used to assess the achievements manajaer and units of the organization he leads. the concept of managing public sector organizations based on three main elements, namely: economy, efficiency, and effectiveness. This study will analyze the influence of the independent variable on the dependent variable, namely the Participation Effect budget and organizational commitment to managerial performance in Islamic hospital Jakarta Cempaka Putih. Results showed partial (according t test) effect on theorganizational commitmen with budgetary participation as moderating variable of managerial performance. Then according to the results of t test, the partial effect on the organization's commitment managerial performance in performing their tasks and responsibilities. In carrying out the duties and responsibilities as a manager, it takes a strong commitment to the organization. Test results F illustrates that the simultaneous participation of the budget and organizational commitment jointly influence on managerial performance. R Square Test results showed R2 values ​​shown in the table amounted to 0.690 means that the variable budgetary participation and organizational commitment, able to explain 69.0% of these variations on managerial performance variable (Y).

Keyword: organizational commitment, managerial performance, participation budget
Analisis Diversifikasi, Merger, dan Akuisis Perusahaan Manufaktur
Authors: Audina Dea Dara , Wati Risma , Azizi Adelia 
Published: June 2022

This research aims to analyze the diversification, mergers and acquisitions of manufacturing companies in Indonesia. The research method used is descriptive qualitative analysis with a literature study approach. The results show that the diversification analysis was developed with various objectives including increasing growth when the existing market/product has reached a maturity stage, maintaining stability by spreading the risk of profit fluctuations, increasing credibility in the capital market, to avoid dependence on a single item or product in circulation. in the market, fulfill the wishes of unsatisfied consumers, increase the attractiveness or interest of consumers, increase sales turnover, increase profits by using the same ingredients, and prevent consumer boredom.
Keywords: Diversification, Mergers, and Company Acquisitions.
Inovasi PT Pos Indonesia Dalam Mempertahankan Dan Menjaga Eksistensinya
Authors: Ramadhani Yus , Ahmadi Bi Rahmani Nur 
Published: June 2022

The existence of PT POS Indonesia is currently experiencing a lot of decline, this fact is a response to technological sophistication. In the past, PT POS Indonesia was one of the institutions in charge of correspondence and sending letters between regions. Until now, this phenomenon has been replaced by technology such as the emergence of mail to short messages in several smartphone applications. Therefore, Indonesian POS service providers must have an innovation strategy in order to attract the hearts of their customers. This innovation is one of the challenges that must be lived and sought by PT POS Indonesia. One of the branches of PT POS Indonesia Persero is in Pematang Siantar. The purpose of this study is to find out some of the innovations implemented by PT POS Indonesia (Persero) in Pematang Siantar to maintain its existence amidst the dynamics of technological sophistication. The research method used in this study is a qualitative type with a descriptive approach. The results showed that PT POS Indonesia (Persero) Pematang Siantar made changes to the management and leadership system in the internal area to reach a wider market while in its service to the community PT POS Indonesia had facilitated with a pick-up service to the house so that mobility carried out by the community was easier.
Keywords: PT POS Indonesia (Persero), Pematang Siantar, Innovation, Service
Effects of Ash Flower Induced byEriophyes fraxiniflora on Tree Vitality
Authors: Wawrzynski Robert P. , Ascerno Mark E. 
Published: June 2022

AbstractThe effect of ash flower gall (AFG) on green ash(Fraxinus pennsylvanica)vitality was assessed using root starch, diameter at breast height (dbh) and shigometry techniques. A chi-square analysis for root starch content versus gall density, indicated that root starch storage is independent of tree gall numbers. Percent change in dbh for the growing season was not affected by gall density (P=.261). In addition, percent change in electrical resistance and average electrical resistance over the growing season, were found to be independent of tree gall density (P=.O54, P=.8O7, respectively) in multiple regression analyses. Assuming the methods used are reliable vitality indicators, AFG has no significant affect on these parameters of tree health. These results can be used in public education programs to better inform persons about AFG which may reduce the demand for control measures for this problem.
Trunk Banding to Control Elm Leaf Beetle
Authors: Costello Laurence R. , Scott Stephen R. , Peterson John D. , Adams Carol J. 
Published: June 2022

AbstractElm leaf beetle (ELB) feeding injury was reduced by carbaryl trunk bands during a five-year study in northern California. The magnitude of injury reduction varied from year to year and appeared to be influenced by the proximity of untreated elms and yearly fluctuations in ELB populations. Banding one time per year using 1 % carbaryl (Sevin SL®) was as effective as banding two times per year with a 2% concentration. Trunk banding can achieve injury reduction levels nearly equivalent to foliar sprays and is less costly. With certain limitations considered, this technique can be a useful strategy in ELB control programs.
Persistence on Task, Executive Functions, and the Perceived Meaning of Occupations Among Children
Authors: Rosenberg Limor 
Published: June 2022

Abstract
Importance: Persistence on task—the voluntary continuation of a goal-directed action despite difficulties—is described as a behavioral component of involvement in an occupation; however, it has not yet been extensively studied in the context of pediatric occupational therapy.
Objective: To describe persistent children, compared with their less persistent peers, in terms of age, sex, executive functions (EF), and perceived meaning of occupations and to assess whether intrapersonal factors, EF, and the perceived meaning of occupations can predict persistence.
Design: Cross-sectional.
Setting: A community in Israel.
Participants: Typically developing healthy children (N = 180) ages 6.0 to 12.5 yr and their parents.
Outcomes and Measures: The Tower of Hanoi task (TOH; seven discs) was used to assess persistence on task. EF were assessed with the TOH (three discs) and the Verbal Working Memory test. Occupational meaning—challenge, value, sense of time, and autonomy—was assessed with the Perceived Meaning of Occupation Questionnaire.
Results: Twenty-six children (14%) completed the task. They were older than their peers, performed better on most of the EF tests, and perceived more autonomy in their everyday activities (Mann–Whitney U = 1,185.0, p &lt; .001). However, only the perceived autonomy of occupations was found to be a statistically significant factor that predicted persistence on task (B = –0.12, SE = 0.05, Wald = 7.60, p = .01).
Conclusions and Relevance: Perceived autonomy in everyday activities is crucial for persistence on task. Occupational therapy practitioners can promote children’s involvement and persistence in cognitive tasks by supporting a sense of autonomy in everyday activities, although further study is needed.
What This Article Adds: This article highlights the contribution of perceived autonomy in everyday activities to children’s involvement and persistence on task by providing empirical data on children’s persistence on task with regard to their EF and perceived meaning of occupations. Children who persisted longer and completed tasks differed from their less persistent peers in terms of age and EF. However, perceived autonomy in everyday activities was the only predictor of task completion.
Appell für eine bessere Globalisierung
Authors: Deininger Olaf 
Published: June 2022

Frankfurt A.M. So ganz ohne Schnee erinnert der Schweizer Wintersportort Davos an eine unscheinbare Kleinstadt. Auch der Glamour, der sonst das Weltwirtschaftsforum begleitet, fällt angesichts multipler Krisen eher gedämpft aus.
The Relationship Between Blood Lactate Levels and Clinical Outcomes in Patients Taking Drugs for Suicide: A Retrospective and Descriptive Study
Authors: GÜLLÜPINAR Birdal , SAĞLAM Caner , ÜNLÜER Erden Erol 
Published: June 2022

Introduction: Acute poisoning that causes significant morbidity and mortality worldwide is a preventable public health problem. In the evaluation of critically ill patients in emergencies, lactate is a useful biomarker. This study aims to investigate whether the mortality, morbidity, and intensive care hospitalization of patients presenting to the emergency department with drug intake for suicide can be determined by the blood lactate levels measured on admission.
Material-Method: Patients over the age of 18 who presented to the emergency department between 1 January 2019 and 1 January 2020 due to acute poisoning were included in this single-center retrospective study. The relationship between the blood lactate levels measured on admission and the clinical outcome of the patient was examined. The student t-test was used to compare groups with normally distributed data, while the chi-square test was used for non-normally distributed or ordinal data. p˂0.05 was considered statistically significant.
Findings: The data of 223 patients were analyzed. The median age was 28, and the female ratio was 68.6%. The most commonly ingested drugs were analgesics with 35%, other drugs with 33.6%, antidepressants with 24.7%, and other psychotropics with 22.4%. 192 of the patients were discharged following the treatment, 31 patients were admitted to the service or intensive care unit, and 3 patients died within the first 24 hours after the intensive care unit admission. When the factors related to hospitalization were examined, male gender, high mean age, high lactate level, and analgesic and other psychotropic drug intake were found to be related to hospitalization. On the other hand, old age (48.00, ±16.70), high lactate levels (6.77, ±6.52), and low bicarbonate levels (17.40, ±3.05) were associated with mortality.
Conclusion: Blood lactate measured on admission is an important biomarker to predict both mortality and morbidity in patients presenting to the emergency department due to the use of drugs for suicidal purposes.
Biogeomorphic modeling to assess the resilience of tidal-marsh restoration to sea level rise and sediment supply
Authors: Gourgue Olivier , van Belzen Jim , Schwarz Christian , Vandenbruwaene Wouter , Vanlede Joris , Belliard Jean-Philippe , Fagherazzi Sergio , Bouma Tjeerd J. , van de Koppel Johan , Temmerman Stijn 
Published: June 2022

Abstract. There is an increasing demand for the creation and restoration of tidal marshes around the world, as they provide highly valued ecosystem services. Yet restored tidal marshes are strongly vulnerable to factors such as sea level rise and declining sediment supply. How fast the restored ecosystem
develops, how resilient it is to sea level rise, and how this can be steered by restoration design are key questions that are typically challenging to assess due to the complex biogeomorphic feedback processes involved. In this paper, we apply a biogeomorphic model to a specific tidal-marsh restoration project planned by dike breaching. Our modeling approach integrates tidal hydrodynamics, sediment transport, and vegetation dynamics, accounting for relevant fine-scale flow–vegetation interactions (less than 1 m2) and their impact on vegetation and landform development at the landscape scale (several km2) and in the long term (several decades). Our model performance is positively evaluated against observations of vegetation and geomorphic development in adjacent tidal marshes. Model scenarios demonstrate that the restored tidal marsh can keep pace with realistic rates of sea level rise and that its resilience is more sensitive to the availability of suspended sediments than to the rate of sea level rise. We further demonstrate that restoration design options can steer marsh resilience, as they affect the rates and spatial patterns of biogeomorphic development. By varying the width of two dike breaches, which serve as tidal inlets to the restored marsh, we show that a larger difference in the width of the two inlets leads to higher biogeomorphic diversity in restored habitats. This study showcases that biogeomorphic modeling can support management choices in restoration design to optimize tidal-marsh development towards sustainable restoration goals.
Sensitivity analysis of input ground motion on surface motion parameters in high seismic regions: a case of Bhutan Himalaya
Authors: Tempa Karma , Aryal Komal Raj , Chettri Nimesh , Forte Giovanni , Gautam Dipendra 
Published: June 2022

Abstract. Historical earthquakes demonstrate that strong motion characteristics and local soil condition, when coupled, significantly influence seismic site response. Interestingly, most of the Himalayan earthquakes depicted anomalous behavior per the site conditions historically. Being one of the most active seismic regions on earth, the eastern fringe of the Himalaya has observed many devastating earthquakes together with non-uniform damage scenarios. To quantify such anomalies, we evaluate surface motion parameters for a soft soil deposit located in the city of Phuentsholing in western Bhutan. Using one-dimensional site response analysis, the sensitivity of ground motion variation is estimated. This study accounts for the earthquakes of moment magnitudes 6.6 to 7.5 with a wide variation in peak ground acceleration (PGA). To dissect the characteristics of six inputted ground motions on eight local ground conditions, a sensitivity analysis is performed statistically. The statistical correlation of the response datasets and the linear regression model of the bedrock outcrop and the surface motion spectral acceleration along the stratified depth are examined to quantify the variation in surface motion parameters. The results highlight that the strong motions with PGA greater than 0.34 g demonstrate greater sensitivity, leading to some anomalies in response parameters, especially amplification. Similar results were obtained for the low PGA range (<0.1 g).
Laboratório de artes cênicas na socioeducação.
Authors: De Souza José , De Andrade Bareicha Paulo Sérgio 
Published: June 2022

Dissertação de mestrado em arte do autor realizada na Universidade de Brasília. Discorre sobre o processo criativo em artes cênicas que concebi como professor-artista-pesquisador no laboratório de narrativas e teatralidades na socioeducação. O objetivo deste artigo é desenvolver uma pedagogia teatral para jovens em conflito com a lei na XXX. Os dados foram coletados por meio da análise de conteúdo das narrativas teatralizadas desses jovens e da escuta sensível às suas inquietações. No período entre fevereiro de 2019 e março de 2020 os socioeducandos teatralizaram suas narrativas em quadros cenográficos sobre liberdade, aprisionamento e geracionalidade. Deste ponto, construiu-se uma pedagogia socioeducativa com as artes cênicas. A perspectiva conceitual-metodológica abrange diálogos entre o sociodrama de Moreno e a performance de Goffman nos campos de estudo da cena. Eles possuem em comum uma teoria de papéis específica ao contexto da pesquisa. A problemática do estudo circunscreveu uma transversalidade entre sociologia e teatro: quais são os vínculos entre as cenas narradas e as mesmas cenas, teatralizadas? As discussões dos resultados e suas considerações finais recomendam processos criadores estético-cênicos a partir dos estudos da cena como campo aberto à diversificação de olhares: texto vivo, quadros cenográficos e o ator-narrador.
Palavras-chave: artes cênicas; socioeducação; narrativas; teatralidades.
O labor e as redes: o trabalho e suas "novas espacialidades"
Authors: Perdigão Barbosa Felipe , Ferreira Alvaro 
Published: June 2022

O presente artigo busca tecer uma análise sobre as relações tecidas entre trabalho, ciberespaço e a criação de novas espacialidades. Assim, ao considerarmos o desenvolvimento das novas tecnologias de comunicação e sua relação com a precarização do trabalho, torna-se possível refletir sobre as nuances do ciberespaço e suas implicações nas dinâmicas contemporâneas de trabalho.
Palavras-chave: Trabalho. Ciberespaço. Espacialidades e novas tecnologias.
Capítulo 7. Vías de financiación en los medios nativos digitales
Authors: Vara-Miguel Alfonso , Breiner James G. 
Published: June 2022

El hundimiento de las ventas e ingresos de los productos impresos, la caída de los ingresos publicitarios en medios convencionales, la concentración de la inversión publicitaria digital en torno a actores como Google o Facebook, y la resistencia al pago por noticias digitales de la mayoría de los españoles, evidencian la necesidad de buscar otras fuentes de financiación para los medios. Este estudio revisa las fórmulas de ingresos utilizadas por los medios nativos digitales para el sostenimiento económico de las empresas informativas.
Palabras clave: medios digitales, medios nativos digitales, cibermedios, medios de comunicación, periodismo digital, financiación de los medios digitales, modelos de negocio.
Acessibilidade web no ensino a distância na ciência da informação: uma revisão sistemática da literatura brasileira na BRAPCI
Authors: Nakano Natalia 
Published: June 2022

Introdução: A revolução trazida pelas tecnologias de comunicação e pela internet transformou a forma como as pessoas buscam informação, se informam e constroem conhecimento. Para acompanhar as demandas da sociedade, também as instituições e a legislação tiverem que se adequar à nova realidade informacional passando a utilizar ambientes digitais especialmente para disponibilizar o acesso às informações públicas objetivando a transparência, e para fins de capacitação em ambientes virtuais de aprendizagem. Para que todos os cidadãos, sem discriminação, possam participar e se beneficiar dos ambientes em igualdade de condições, os ambientes digitais devem ser acessíveis. Nesse contexto, o objetivo deste artigo é investigaro estado da arte do tema acessibilidade Web na educação a distância no âmbito da Ciência da Informação na literatura nacional. Método: Para tanto, utilizou-se da Revisão Sistemática da Literatura na Base de Dados Referenciais de Artigos de Periódicos em Ciência da Informação.Resultados:Os resultados da pesquisa apontam para a preocupação da área em pesquisas que realizam o diálogo entre o tema acessibilidade e a Ciência da Informação, que apontam as barreiras de acesso à informação em plataformas digitais, e que discutem acessibilidade face à legislação no Brasil.Conclusão:O estudo concluiu que há que se considerar a comunidade e as questões humanas envolvidas na dinâmica do processo de acesso e acessibilidade em ambientes digitais, como o conhecimento sobre tecnologia assistiva e sobre a navegação na Internet e a necessidade informacional das pessoas com deficiência; além do conhecimento sobre acesso e acessibilidade por parte da equipe desenvolvedora do ambiente digital.
ACESSIBILIDADE DA PESSOA COM DEFICIÊNCIA FÍSICA ÀS UNIDADES BÁSICAS DE SAÚDE
Authors: Araújo Yasminn Furtado de Lacerda , Coura Alexsandro Silva , França Inácia Satiro Xavier de , Souto Rafaella Queiroga , Rocha Mayara Araújo , Silva Jéssyka Chaves da 
Published: June 2022

Objetivo: avaliar a acessibilidade da Pessoa com Deficiência física à estrutura física das Unidades Básicas de Saúde. Método: pesquisa descritiva, exploratória, com abordagem quantitativa, realizada em 80 unidades básicas de Campina Grande-Paraíba, Brasil, em 2019. Utilizou-se instrumento de coleta adaptado, conforme Norma Técnica Brasileira 9050:2015. Efetuaram-se os testes Qui-quadrado e Fisher para verificar associações. Resultados: verificou-se que condições de via pública (68%), acesso à entrada da unidade (74%) e uso do Símbolo Internacional de Acesso (88%) foram prevalentemente negativas. Foram encontradas associações entre a zona de localização das unidades e as dimensões das mesas (p=0,004), entre o tipo de edifício e acesso à área (p=0,023; 0,015; 0,026), condições de circulação vertical no interior do prédio e uso do símbolo (p=0,012; 0,035; 0,005; 0,005; <0,001) e os mobiliários e instalação sanitária (p=<0,001; 0,001; <0,001; <0,001; 0,002; 0,014; 0,005). Conclusão: as unidades básicas municipais não apresentam acessibilidade para as Pessoas com Deficiência.
DISTANCIAMENTO SOCIAL PELA COVID-19: REDE DE APOIO SOCIAL, ATIVIDADES E SENTIMENTOS DE IDOSOS QUE MORAM SÓ
Authors: Tavares Darlene Mara dos Santos , Oliveira Nayara Gomes Nunes , Guimarães Mariana Silva Freitas , Santana Lenniara Pereira Mendes , Marchiori Gianna Fiori 
Published: June 2022

Objetivos: analisar a rede de apoio social, as atividades realizadas e os fatores associados à presença de sentimentos negativos dos idosos que moram só, durante o distanciamento social pela COVID-19. Método: estudo transversal com 119 idosos que moram só na Macrorregião do Triângulo Sul, Minas Gerais, Brasil. Os dados foram coletados no domicílio e com instrumentos validados no país. Procederam-se as análises descritivas e regressão binária múltipla (p<0,05). Resultados: 97,5% tinham rede de apoio social para necessidades de saúde e na manutenção do distanciamento social (79,8%). A atividade mais realizada foi serviços domésticos (77,3%). A presença de sentimentos negativos se associou ao sexo feminino (p<0,001) e ao menor número de atividades realizadas (p=0,012). Conclusão: os dados contribuem na elaboração de ações de saúde, evidenciando situações no cotidiano do idoso exacerbadas durante a pandemia da COVID-19, como os aspectos relacionados aos sentimentos negativos vivenciados pelos idosos que moram só.