bluuebunny/crossref_metadata_2025 huggingface dataset:
Hidden Harms of Hypnotics: a population based record linkage study of psychotropic medication and suicide risk
Authors: Onyeka Ifeoma , Maguire Aideen , O’Reilly Dermot
Published: November 2019

Background/Main Aim Although psychotropic medication is a known risk factor for suicide, studies investigating the relationship between specific types of psychotropic medication and suicide in adults are scarce.

Methods A cohort of 1,115,647 individuals (18-75years) was identified from Northern Ireland’s 2011 Census records and linked to prescription records and death registrations until 2015. Individual, household and area-based attributes were derived from census records and selected on the basis of known suicide risk. Five categories of psychotropic medication was identified; none, antidepressants, anxiolytics, hypnotics and antipsychotics. Logistic regression was used to model the association between specific types of psychotropic medication (singularly and in combinations) and death by suicide adjusting for sociodemographic and physical health characteristics.

Results About 14% of the cohort (n=153,319) had received ≥2 prescriptions of any psychotropic medication in the five months around Census. Eight hundred and seventy persons (n=870) died by suicide during 2011 to 2015. Suicide was higher in those on psychotropic medication than in those without (0.24% versus 0.05% respectively). In the fully adjusted logistic regression model, association between death by suicide and any psychotropic medication record remained statistically significant (AOR=3.69, 95%CI: 3.13–4.35). However, individuals solely on hypnotics had the highest AOR of those on singular medication (AOR=4.24, 95%CI: 2.96–6.06 compared to AOR=2.22, 95%CI: 1.75–2.82 for those on antidepressant medication only). In terms of medication combinations, hypnotics both with anxiolytics, and in combination with antidepressants and anxiolytics were the strongest predictors of death by suicide (AOR=8.76, 95%CI: 5.93–12.94 and AOR=8.53, 95%CI: 5.62–12.94 respectively).

Conclusion Risk of death by suicide varied by medication type with hypnotic medications making an important contribution to death by suicide. Although previous work has focused on antidepressant therapy and suicide risk, those on hypnotic medication are an at-risk group that warrant further attention.
Mortality of Canadian military personnel over 40 years
Authors: Rolland-Harris Elizabeth , Weeks Murray , Simkus Kristen , Vantil Linda
Published: November 2019

Background Military personnel may be exposed to hazardous substances or environments, making health surveillance critical. However, surveillance is frequently handicapped by long lag times between exposure(s) and outcomes, which often manifest post-military release and are often not recorded.

Aims To describe the burden of mortality in still serving and released Canadian Armed Forces (CAF) personnel.

MethodsThe Canadian Forces Cancer and Mortality Study II (CF CAMS II) is an interdepartmental record linkage study using CAF pay data and Statistics Canada cancer and mortality data. The cohort included all Regular Force and class C Reservist men and women who first enrolled in the CAF between 1976 and 2012, inclusive. The anonymized linked data included death data, including cause and location of death. All-cause mortality (ACM) and International Classification of Disease (ICD)-10 chapter-level mortality (CLM) were quantified using standardized mortality ratios (SMRs), with the Canadian general population (CGP) as the reference population.

ResultsApproximately 6870 deaths occurred during over 5 million person-years of observations. For ACM, the CAF risk of death was significantly lower than the CGP for both sexes (females: n = 540, SMR = 0.76 [95% CI 0.69–0.82]; males: n = 6330, SMR = 0.79 [95% CI 0.77–0.81]). In the CLM analysis, SMRs were significantly lower than, or not statistically different from, 1.0 for all ICD chapters.

ConclusionsMilitary service may have a protective effect that may be partly explained by the healthy soldier effect and the stringent selection process at enrolment.
Using data linkage innovation and collaboration to create a cross-sectoral data repository for Western Australia
Authors: Ferrante Anna , Boyd James , Eitelhuber Tom , Randall Sean , Brown Adrian , Maller Max , Botes Davie , Sibma Kurt
Published: November 2019

Background/rationaleThe Western Australian (WA) government and the Centre for Data Linkage (CDL) at Curtin University are creating a large, de-identified researchable database – the Social Investment Data Resource (SIDR) – to support a key government initiative called Target 120 (T120). T120 delivers targeted early interventions to young offenders and their families to reduce the likelihood of re-offending.

Main AimThe SIDR brings together de-identified data from across government to be used for actuarial assessment and social investment analytics to assess long-term costs and benefits of T120 interventions.

MethodsSIDR adopts a distributed linkage model where linkage workload is shared between the Department of Health Data Linkage Branch who curate WA Data Linkage System (WADLS) and the CDL. Design elements of the model included a common spine (embedded into the infrastructure of both groups), methods for leveraging quality from WADLS, and inclusion of family relationships data from the WA Family Connections database. The linkage model uses a combination of traditional and privacy-preserving record linkage (PPRL) methods. PPRL does not require release of personal identifiers; instead, data is irreversibly hashed prior to release for probabilistic linkage.

The resultant SIDR repository has been designed to be securely and strictly managed. Access is by authorised, approved users only.

ResultsUse of a distributed linkage model, coupled with traditional and PPRL methods, is an innovative yet pragmatic way of delivering data linkage services to a large, cross-sectoral research project. PPRL methods enable inclusion of otherwise excluded datasets in the project. Sharing of workload harnesses linkage capacity and capabilities across the state. The SIDR includes health data, education records, justice, child protection, disability and housing data.

ConclusionSIDR provides a resource for whole-of-government policy development, service evaluation, academic research and social investment analytics for T120 and beyond. The SIDR distributed linkage model has potential for adaptation and use elsewhere.
Predicting neighbourhood-level psychiatric admission rates using multi-level regression with post-stratification-derived estimates of ecological cognitive social capital
Authors: Saville Christopher WN
Published: November 2019

Background with rationaleEcological cognitive social capital, the aggregated beliefs about community and norms of one’s neighbours, is an important protective factor for mental health. However, the techniques currently used in the literature to estimate it are basic. Multi-level regression with post-stratification (MRP) is a technique for making such small area estimates using survey data, and appears a promising alternative to existing methods.

Main AimTo test the predictive validity of MRP-derived estimates of sense of belonging and generalised trust on psychiatric admission rates across Wales.

MethodsMRP estimates of two questions measuring social capital, trust and belonging, were created for all middle super output areas in Wales using the National Survey for Wales 2016-17. These estimates were then used to predict rates of psychiatric admission in the same areas during 2017. Estimates of the same two variables were also computed using the simple aggregation approach used elsewhere in the literature, and the predictive validity of the two types of estimate were compared

ResultsTrust and belonging were both protective factors, with MRP estimates yielding higher risk ratios (.80 and .77 respectively) than simple aggregation equivalents (.91 and .93).

ConclusionMRP appears to be a useful technique for computing estimates of ecological social capital and other self-report based measures, outperforming techniques currently used in the literature in terms of predictive validity.
Educational outcomes of children in Wales with cerebral palsy
Authors: Jones Hywel , Carter Bethan , Bethel Jackie , Bennett Verity , Rees Sarah , Wang Ting , Collins Huw , Kemp Alison
Published: November 2019

Background with rationaleIt is recognized that children with disability have special educational needs (SEN). They are likely to have poor school attendance and do not achieve well academically. Many children with a cerebral palsy (CP) have SEN but little is known about their educational provision or outcomes.

Main AimTo investigate the educational experience of children in Wales with CP and describe the type of SEN and SEN provision; school attendance; achievement—teacher assessments at the end of the Foundation Phase and Key Stages 2 and 3 of the National Curriculum (NC)—and in General Certificate of Secondary Education (GCSE) examinations.

Methods/ApproachData from the Pupil Level Annual School Census (PLASC), NC and GCSE results from 2009 to 2016 were linked with routine e-health records of primary and secondary health care data held in SAIL. The health care records were used to identify pupils who, potentially, had a cerebral palsy.

ResultsThe linked data set included around 360,000 pupils per school census of whom 1200–1400 per school census were identified as having a CP, representing a crude prevalence of 0.4%. Adjusted for age, year and sex, there was no significant variation in prevalence by area deprivation. Around 60% of children with a CP have a statement of SEN; over a quarter of CP children are educated in special schools; CP children in mainstream (primary, middle and secondary) schools tended to miss more school sessions (~50% more) than other children and lower percentages achieved the expected levels at Key Stages 2 and 3 and the Level 2 GCSE threshold.

Conclusion/Implications This work demonstrates the utility of record-linkage between health and education data to map, monitor and provide information to parents, carers and policymakers about education outcomes for this group of children to inform planning and service provision.
Integrated Data Systems in the US: a National Survey of State and Local Governments and their University Partners
Authors: Jenkins Adelia , Culhane Dennis
Published: November 2019

Background Actionable Intelligence for Social Policy (AISP) is an initiative of the University of Pennsylvania that focuses on the development, use, and innovation of integrated data systems (IDS). We convene a network of IDS across the United States and provide technical assistance to support developing sites as they build the technical and human capacity to integrate and use administrative data across agencies.

Main AimIn late 2018 and early 2019, AISP conducted a national survey of integrated data efforts to better understand the landscape and how it’s changed since the last national scan was completed in 2013. The survey also served to document who is leading data sharing efforts, what data they are linking, and how linked data are currently being used. This information was used to create a centralized data matrix and contact list in order to support cross-site learning and facilitate future projects and analyses.

Methods/ApproachThe survey was disseminated to AISP Network Sites, Learning Community sites, and others by AISP staff and partner organizations, including the National Neighborhood Indicators Partnership Network and Arnold Policy Labs initiative. Survey responses were analyzed by AISP in spring 2019.

ResultsThe survey yielded 39 responses from state and local governments and their research partners. The most common uses of integrated data among those surveyed are informing policy, program evaluation, and research. Integrated case management and resource allocation are also increasingly informed by integrated data. The most commonly integrated data sources are early childhood, child welfare, and K-12 education. Medicaid, TANF, SNAP, and UI Wage Records have also been integrated by over 50% of sites surveyed. The most common lingering challenges reported by sites related to sustainability.

ConclusionSurvey results document the purposes and sources of data currently integrated by jurisdictions across the US and have major implications for the field both nationally and internationally.
Implications of socio-demographic change in place of death in Scotland 2001-2011: an analysis of linked census and death registration data
Authors: Atherton Iain , Schneider Anna
Published: November 2019

Background with rationaleCare in the final stages of life care constitutes a marked component of all health and social care expenditure. Whether people die at home or in an institutional setting is influenced by a range of social and demographic factors. Understanding the implications of socio-demographic trends for people die can contribute to planning services.

Main AimTo describe changes in place of death 2001-2011 and to ascertain the extent to which these might be explained by social or demographic trends.

Methods/ApproachData from the Care in the Last Days of Life Study was drawn on. This dataset linked census to death registration and hospital admissions data for all deaths occurring in the 12 months following the 2001 and 2011 censuses. Deaths in these two time periods were compared and contrasted using logistic regression.

Results and DiscussionExcluding deaths for which no census record could be linked, a total of 56,766 people died in the year following the 2001 census and 53,517 following in the same period after the 2011 census. A slight decline was apparent in the period proportion of deaths in hospital (52.3% of all deaths in 2011-12 against 56.9% in 2001-02) with a concomitant increase in deaths in care homes and hospices. Deaths at home were virtually unchanged. Age at death increased markedly with 31.4% occurring to people aged 85+ years in the latter compared to 26.6% in the earlier period. Further analysis to be presented will explore the extent to which these changes can be explained by an ageing population, shifting causes of death, changes in hospital discharge policies, or social composition of the Scottish population between these two timepoints. Implications of findings for policy will be considered.
How complete, representative and accurate is recording of child BMI in electronic general practice records? A record linkage study
Authors: Firman Nicola , Robson John , Ahmed Zaheer , Boomla Kambiz , Dezateux Carol
Published: November 2019

Background with rationaleGeneral practitioner (GP) electronic health records (EHRs) are a potentially valuable, but unevaluated, source of child BMI measurements to inform clinical practice and research.

Main AimTo assess representativeness and accuracy of child GP-BMI records.

MethodsWe linked school National Child Measurement Programme (NCMP) records from 29,839 five-year-olds (49.1% girls) and 26,660 11-year-olds (49.1% girls) in City & Hackney (2013-17), Newham (2014-17) and Tower Hamlets (2015-17) to GP EHRs using pseudonymised NHS numbers (94.9% and 95.1% linked, respectively) and identified GP-BMI measurements using Read code “22K..”. We estimated adjusted odds ratios (aOR) of at least one GP-BMI by: sex (reference category: male); ethnic background (White); area-level deprivation (most deprived Index of Multiple Deprivation quintile); weight status (healthy weight; clinical UK1990); and long-term condition (none). We estimated mean BMI difference (NCMP-BMI minus GP-BMI kg/m2) and 95% Limits of Agreement (LoA; Bland and Altman method).

ResultsWe identified at least one GP-BMI in 10.5% (2,964/28,330) and 26.0% (6,598/25,365) of 5- and 11-year-olds respectively.

Five-year-old children who were underweight (aOR; 95% CI: 1.70; 1.28,2.25) or obese (1.45; 1.28,1.65), from South Asian backgrounds (1.63; 1.45,1.80) and with long-term conditions (9.58; 8.13,11.28) were more likely, and girls (0.88; 0.81,0.95) and those from less deprived areas (Wald statistic; p-value: 40.06; <0.0001) less likely, to have at least one GP-BMI measurement recorded. Findings among 11-year-olds were similar.

We identified GP-BMI measurements made within one month of NCMP-BMI in 5.4% (160/2,964) of 5-year-olds and 4.0% (263/6,598) of 11-year-olds. There was poor agreement between NCMP-BMI and GP-BMI: mean difference (95% LoA): +0.55 (-2.49,+3.58) and +0.16 (-2.85,+3.18) in five- and 11-year-olds respectively.

ConclusionChild BMI is not comprehensively recorded in UK GP settings. Access to BMI school measurements in GP settings could support discussions about child weight status between children, their families and general practitioners.
A tale of multiple data sources: pathways and outcomes for infants who become looked after in Scotland
Authors: Cusworth Linda , Biehal Nina , Whincup Helen
Published: November 2019

BackgroundPermanently Progressing? Building secure futures for children in Scotland is the first study in Scotland to investigate decision making, permanence, progress, outcomes and belonging for children who became looked after aged five or under. A significant proportion of these children become looked after away from home in the first few weeks after birth. It is important to understand more about the circumstances in which accommodation occurs, and the pathways and outcomes for these children.

MethodsAnonymised child-level data (Children Looked After Statistics) was provided by the Scottish Government on the total cohort of 1,355 children in all 32 local authorities who started to be looked after away from home in 2012-13 aged five and under. Pathways and timescales to permanence were tracked between 2012-2016 using this administrative data. For a sub-group of 433 children, information on histories, progress and outcomes 3-4 years after they became looked after was gathered from surveys of adoptive parents, foster and kinship carers, and social workers.

Results/conclusion This paper will discuss key findings from the study, in relation to those who became looked after soon after birth. Nearly half of those looked after away from home were under one year old when removed from parents, including 250 (18%) less than seven days old. These younger children were more likely to be looked after on an emergency basis, less likely to be placed with kinship carers, and more likely to have been adopted 3-4 years later, than those looked after when older. The complementary use of survey and administrative data is important. Evidence from the surveys of carers and social workers enhances our understanding of the circumstances around removal (including experience of maltreatment, removal of siblings, and parental substance misuse), and suggests that outcomes (emotional, behavioural and attachment) were generally better for children who were accommodated and placed with carers and adoptive parents at an earlier age and remained there.
Healthcare resource utilisation for critical care survivors in Wales: a population-based data linkage study
Authors: Bailey Rowena , Szakmany Tamas , Pugh Richard , Akbari Ashley , Lyons Ronan
Published: November 2019

IntroductionMore patients are surviving critical illness, with a growing understanding that transition to survivorship needs to be managed in primary care. In Wales, however, survivors' comprehensive healthcare resource utilisation (HRU) has not been studied in detail.

AimTo investigate the levels and predictors of HRU of critical illness survivors in Wales.

MethodsWe used the SAIL Databank to identify survivors and characterise their HRU. We fitted Poisson models for HRU during one year after intensive care unit (ICU) stay, adjusted for follow-up length within that year, HRU in the previous year, modified Charlson Comorbidity Index (CCI), age group, and gender.

ResultsWe identified 56,722 patients. The median age was 66 years (IQR=52-76), 46.3% were female, and 39.0% had high comorbidity (CCI≥10). More patients lived in the more deprived areas. Patients had medians of 29 (0-51) visits to general practitioners (GP), 5 (2-10) outpatient visits, 17 (5-63) days for length of hospital stay (LOS), and a mean of 0.89 emergency department (ED) attendances. Older patients had more GP visits (incidence rate ratio, IRRs, ranged from 1.1 to 1.2) and outpatient visits (1.1), greater LOS (1.2 to 1.7), but fewer ED visits (0.72 to 0.65). Higher CCI was associated with greater HRU (GP [1.19, 1.20], ED [1.34, 1.42], outpatient [1.50, 1.52], LOS [1.24, 1.6]). Higher socioeconomic deprivation was associated with more ED visits (IRR=1.2 [1.17, 1.25] between the most and the least deprived areas).

ConclusionCritical care survivors use significant primary healthcare resources following their ICU stay. Predictors of long-term mortality [1] also influence HRU. The fewer ED visits in the older patients needs further evaluation.

1. Szakmany T et al. Crit Care Med. 2019 Jan;47(1):15–22.
BRASIL, MOSTRA TUA CARA
Authors: Souza Victor Gustavo
Published: November 2019

Resenha "Sobre o autoritarismo brasileiro", de Lilia M. Schwarcz (2019).
O PROCESSO DE CONCESSÃO DE CRÉDITO: UMA ANÁLISE NUMA EMPRESA DE CALÇADOS INFANTIS
Authors: Rossato Vanessa Piovesan , Pinto Nelson Guilherme Machado
Published: November 2019

Em razão de mudanças no cenário econômico, muitas empresas optaram por moldar sua estrutura organizacional para manterem-se competitivas no mercado. Uma dessas mudanças refere-se à concessão de crédito aos clientes, como forma de oportunizar alavancagem nas vendas e consequentemente possibilitar mais formas de pagamento aos clientes. Assim, o objetivo do trabalho fundamenta-se em analisar questões relacionadas ao crédito para uma empresa de calçados infantis localizada no noroeste do Rio Grande do Sul. Destaca-se que para a consecução do trabalho, foram utilizados 30 questionários válidos e as respostas foram analisadas por meio de métodos estatísticos como, os testes de U de Mann-Whitney e o de Kruskal-Wallis a fim de verificar diferenças de comportamento das relações de endividamento com as questões sociodemográficas. Entre os resultados, identificou-se que as mulheres são mais predispostas ao endividamento e que mesmo que a empresa começasse a inserir o crédito próprio nas formas de pagamentos, os clientes não comprariam em maior quantidade. Sobre as diferenças de mediana, identificou-se que há distintos comportamentos entre as questões de propensão ao endividamento com as questões de perfil. Elaborou-se um plano de ação, afim de auxiliar a empresa na minimização com os riscos de inadimplência.
O SENTIDO DO TRABALHO PARA OS SERVIDORES DA JUSTIÇA FEDERAL EM ALAGOAS
Authors: Balbino Arthur , Barbosa Milka Alves Correia
Published: November 2019

Este trabalho buscou responder ao seguinte questionamento: qual o sentido atribuído pelos servidores da justiça federal em Alagoas ao trabalho? Para tanto, foi realizada uma pesquisa qualitativa e os dados foram coletados por meio de entrevistas semi-estruturadas. Como locus para a realização do estudo de caso qualitativo optou-se pela Justiça Federal em Alagoas. Os dados coletados mostraram que para os servidores da área fim o trabalho é uma forma de sobrevivência e de conseguir autonomia, e já para os servidores da área meio é um caminho para a satisfação pessoal, contribuição social e fonte de aprendizado e crescimento, entre os fatores que influenciam na construção do sentido do trabalho, se encontra a família, realizar uma atividade produtiva e com desafios, remuneração, o ambiente, identificação com os valores valorizados no trabalho. Verificou-se ainda que as práticas de gestão de pessoas influenciam em como os servidores atribuem sentido ao seu trabalho no órgão.
Huma Betang: Identitas Moral Kultural Suku Dayak Ngaju Kalimantan Tengah
Authors: Apandie Chris , Ar Endang Danial
Published: November 2019

Dewasa ini benda cagar budaya seolah tidak lagi memiliki daya tarik filosofis dan tidak terpelihara, padahal benda cagar alam mengandung pemaknaan yang lebih dari sekedar fisik, bahkan merupakan identitas moral kultural. Eksplorasi nilai filosofis pada huma betang dapat menjadi langkah revitalisasi kebudayaan guna memperkuat identitas moral kultural warga negara Indonesia. Huma Betang dikenal secara luas dengan istilah “rumah besar”. Rumah ini ditinggali orang Dayak sejak jaman dulu dengan beragam agama dan kepercayaan di dalamnya, namun penghuninya tetap hidup berdampingan. Penelitian ini menggunakan pendekatan kualitatif dengan metode etnografi. Lokasi penelitian adalah di Betang Toyoi Tumbang Malahoi Kecamatan Rungan Kabupaten Gunung Mas Kalimantan Tengah. Bagi masyarakat Suku Dayak huma betang tidak hanya sekedar tempat tinggal, tapi merupakan jantung dari struktur kehidupan orang Dayak. Identitas kultural yang terefleksi yaitu huma bentang: 1) sebagai refleksi kehidupan masyarakat yang toleran; 2) sebagai asal mula tumbuhnya rasa persatuan dan kebersamaan antar suku Dayak setelah kesepakatan damai Tumbang Anoi; 3) sebagai replika sistem komunal yang dianut masyarakat Suku Dayak; 4) mengandung pola kosmologi yang mencerminkan keseimbangan sebuah nilai; 5) sebagai cerminan kehidupan demokratis dan egaliter; 6) melalui pola kehidupan melahirkan konsep kepemimpinan Suku Dayak; 7) merepresentasikan prinsip kolektif; 8) sebagai model ideal sistem masyarakat pluralis.
PENGARUH MODEL PEMBELAJARAN KOOPERATIF TIPE THINK PAIR SHARE (TPS) TERHADAP HASIL BELAJAR MEKANIKA TEKNIK SISWA KELAS X DPIB SMK DHUAFA PADANG
Authors: Sri Yulastri Rina , Silalahi, M.Pd Drs. Juniman
Published: November 2019

Abstrak― Penelitian ini dilatarbelakangi oleh belum sesuainya model pembelajaran yang digunakan guru  dengan karakteristik mata pelajaran. Tujuan penelitian ini adalah untuk mengungkap pengaruh model pembelajaran Think Pair Share (TPS) terhadap hasil belajar Mekanika Teknik siswa Kelas X DPIB SMK Dhuafa Padang. Jenis penelitian ini adalah Quasi Experiment(eksperimen semu) dengan desain Pretest-Posttest Control Group Design. Populasi penelitian ini adalah siswa Kelas X SMK Dhuafa Padang yangterdaftar pada tahun ajaran 2019/2020 yang terdiri dari kelas X DPIB 1 dan X DPIB 2. Pengujian instrumen dilakukan di sekolah yang sama, pada Kelas XI DPIB yang terdiri dari 30 orang siswa. Pengumpulan data dalam penelitian ini menggunakan tes hasil belajar (pretest dan posttest) berupa soal objektif sebanyak 26 soal. Data dianalisis menggunakan uji perbedaan dua rata-rata (t-test). Berdasarkan hasil penelitian dari perhitungan t-test diperoleh t-hitung lebih besar dari t-tabel. Dengan demikian hipotesis yang dikemukakan dapat diterima pada taraf kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat pengaruh model pembelajaran Think Pair Share (TPS) terhadap hasil belajar Mekanika Teknik siswa Kelas X DPIB SMK Dhuafa Padang. Kata Kunci: Model pembelajaran TPS, Hasil Belajar, Mekanika Teknik
Career Decision Making in College Students
Authors: Abdullah Sri Muliati
Published: November 2019

This study aims to assess the problem of the student's career decision making. The assessment focused on student decisions that are taken on issues that netted a career in the study of student career readiness and maturity. Retrieving data using the theme documentation studies 642 career counseling college graduate job seekers (Fresh graduate) and of note other researchers who have an interest in the study of career. From the results of scrutiny of the results of the study, researchers chose to study the career decision making as the most critical issue that needs to be studied. Students need to understand the problem of why they need education and work after graduation, find and use information, look for an alternative, choose a destination and make a plan.
What is the Diagnosis?
Authors: Durval Jr João , Godinho Jardel , Padilha Jaqueline
Published: November 2019

A 54 years old woman patient, with complaints of sporadic palpitations, without medication and with a structurally normal heart, presents itself in the clinic where the electrocardiogram, observing prolonged monitoring of the D2 derivation with sensitivity 2N.
El espacio de la trata de personas con fines de explotación sexual. Sus representaciones en Argentina, a comienzos del siglo XXI
Authors: Moreno Magdalena
Published: November 2019

En el artículo se analizan las representaciones del espacio producidas sobre la trata de personas con fines de explotación sexual en Argentina, entre 2008 y 2018. Para dicho análisis se retoman las ideas sobre la producción del espacio de Henri Lefebvre y, específicamente, el concepto representaciones del espacio, para leer algunas de las cartografías elaboradas por organismos estatales y asociaciones civiles. En un primer momento se presenta brevemente una definición sobre la trata de personas y la conceptualización de Lefebvre. En un segundo momento se muestran las cartografías que representan espacialmente al fenómeno de la trata de personas a escala nacional, obtenidas a partir del análisis documental, para luego analizar la espacialidad que crean. A continuación, se presenta la campaña antitrata, y, para concluir, se plantea el vínculo entre esta y las representaciones del espacio de la trata de personas, en relación a los posibles imaginarios geográficos que pueden configurarse.
Diversity of education systems in the European Union
Authors: Żurawski Andrzej
Published: November 2019

This article explores Bruno Amable’s Diversity of Capitalism approach to analyze educational systems in the European Union (EU28). The main goal is to identify the main clusters of educational systems with regard to their institutional characteristics. Second goal of the analysis is to evaluate the impact of several EU policies and initiatives on the institutional structure of European educational systems. This article identified six clusters in terms of general education and five clusters in terms of higher education systems. The clustering shows, that – with some exceptions (notably the United Kingdom and Ireland) – European education systems have similar structure to other institutional areas, in particular, it confirms the existence of post-communist (in terms of Farkas) or patchwork (in terms of Rapacki et al.) capitalism. The article shows, as well, that subsystem of higher education is much less diverse, what may have a significance for future discussions on the capitalisms in the EU. Results suggests also that there exist significant differences in performance between the clusters, something that may have a crucial importance for an educational policy.
Transient Diabetes Insipidus Following Organophosphorus Poisoning
Authors: Keyal Niraj Kumar , Bhujel Amid
Published: November 2019

Introduction

Organophosphorus poisoning is the most common poison used for suicidal attempt in Nepal. Diabetes insipidus is unusual and rare in this poisoning. This is the second case report of Diabetes insipidus developing in organophosphorus poisoning. Management of diabetes insipidus includes desmopressin and adequate fluid management.

Case presentation

A 34-year-old female patient accompanied by her father presented at the Emergency department with an alleged history of ingestion of unknown amount of chlorpyrifos, cypermethrin and quinalphos. On admission, she had a Glasgow Coma Scale (GCS) of 7/15. Her blood pressure was 110/60 mm Hg, pulse 54/min, respiratory rate 45/min and saturation 35% on room air, pinpoint pupil reactive to light and bilateral crepitations. She was immediately resuscitated with two litres of normal saline and intubated with a 7 mm endotracheal tube. Atropinisation was done, and pralidoxime was started. She developed a urine output of 250-350 ml per hour with rising sodium and serum osmolality. The urine examination showed low sodium and urine specific gravity. A diagnosis of diabetes insipidus was made. There was no immediate improvement in her GCS. She was managed with 5% dextrose and subcutaneous desmopressin and was transferred out of the intensive care unit on the sixth day and was discharged from hospital on the fifteenth day.

Conclusion

Diabetes insipidus is a rare transient complication in organophosphorus poisoning that requires careful observation and early management with desmopressin and adequate fluid balance to improve patient outcome.
Initial Fluid Resuscitation Following Adjusted Body Weight Dosing in Sepsis and Septic Shock
Authors: Antal Oana , Ștefănescu Elena , Mleșnițe Monica , Bălan Andrei Mihai , Hagău Natalia
Published: November 2019

Introduction

Fluid administration is considered a fundamental part of early sepsis treatment. Despite abundant research, fundamental questions about the amount of fluids to be given remain unanswered. Recently, the idea of adjusting the fluid load to the ideal body weight emerged, as obesity rates are increasing, and fluid overload was proven to increase mortality.

Aim of the study

The study aimed to determine whether advanced haemodynamic monitoring supports the adjustment of the initial fluid load to the ideal body weight (IBW).

Methods

Seventy-one patients with sepsis and septic shock were enrolled in the study. The initial fluid resuscitation was performed using local protocols. The haemodynamic status was assessed after the initial fluid load by transpulmonary thermos-dilution technique and the renal outcome recorded at twenty-four hours.

Results

68.6% of the patients included in the study had weight disorders ranging from BMI+20% to morbid obesity. Before IBW adjustment, only 49.3% received the 30 ml/kg fluid load recommended by Surviving Sepsis Campaign Guidelines (2016) (SSC). After IBW adjustment, 70.4% received the recommended fluid dose. The difference in fluid load/kg before and after the bodyweight adjustment was statistically significant (p<0.01). After the initial fluid load, the majority of the macro haemodynamic parameters were in the targeted range. There was no statistically significant difference between the urinary output outcome at 24 hours or the 28 days mortality rates between the patients resuscitated by the SSC and those who received less fluid.

Conclusions

Advanced haemodynamic monitoring was in favour of adjusting the initial fluid load to the IBW. There were no statistically significant differences either in the urinary output outcome at twenty-four hours, or in the twenty-eight-day mortality rates between the patients who received the 30 ml/kg IBW and those who received less than 30 ml/kg IBW.
A Pilot Study on Developing Newsgames in Collaboration between Journalism and Computer Science Students
Authors: Siitonen Marko , Uotila Panu , Uskali Turo , Varsaluoma Jukka , Välisalo Tanja
Published: November 2019

Producing digital and interactive journalistic products offers unique and important new learning opportunities for journalism education. This study analysed the experiences of two pilot courses on so-called ‘newsgames’ in a Finnish university in 2015 and 2017. The data consisted of the newsgames and other materials produced by the students, student feedback concerning the course and observations of teachers throughout the project. Our analysis demonstrates how producing newsgames in the context of higher education may foster project-based learning experiences, something that has been relatively rare in traditional journalism education. Collaboration with media companies also offered valuable feedback for the students throughout the course and provided them with an opportunity to practice selling their expertise. The study highlights how interdisciplinary and project-based cooperation may benefit journalism education.
Burckhardt und Schopenhauer - Eine Anthologie
Authors: Ziegler Ernst
Published: November 2019

Schopenhauer (1788–1860) und Burckhardt (1818–1897) kannten einander nicht persönlich. Der eine hatte nicht viel übrig für die «Geschichtsschreiber», die er als «umgewandte Propheten» bezeichnete, der andere bekannte, zeitlebens «kein philosophischer Kopf gewesen» zu sein. Wie viel die beiden Gelehrten dennoch verband, wird anhand von Quellen, Werken und Briefen im vorliegenden Band auf unterhaltsame Weise deutlich.
Ernst Ziegler versammelt Äusserungen der beiden Gelehrten über ihre wissenschaftlichen Anfänge, ihre Ansichten zu Entwicklung und Fortschritt, über ihr Verhältnis zu Kollegen und Freunden, über Erdenglück, Kosmopolitismus und Patriotismus.Ein Kapitel ist Burckhardts Schopenhauer-Rezeption gewidmet, wie sie in seinen Vorlesungen zum Ausdruck kommt. Schopenhauers Hauptwerk Die Welt als Wille und Vorstellung hat Burckhardt vermutlich seit 1859 gekannt. Zwar gestand er Nietzsche 1866 «in vertrauten Spaziergängen» seine Distanz zur Philosophie und dass ihm auch deren Vergangenheit «so viel als fremd» sei, nannte aber Schopenhauer um1870 dennoch «unseren Philosophen». Und er teilte seinem Freund Friedrich von Preen schwärmerisch mit: «O was für gewaltige Lichter strahlt jetzt der Philosoph aus!» Schopenhauers Werke wurden von der «Universitäts-Philosophie» viele Jahre lang ignoriert, was ihn veranlasste, in den Parerga und Paralipomena, den kleinen philosophischen Schriften, «Ueber die Universitäts-Philosophie» ein böses Kapitel zu verfassen. In seinen philosophischen Tagebüchern beklagt er sich über das Schweigen der Professoren zu seiner Philosophie, beispielsweise notierte er in den Pandectae 1836: «Dieselbe Niederträchtigkeit (Docilität), welche den Hegelschen Unsinn, dem die Regierung günstig war, weltberühmt machte, ist es, die mein Werk aller Notiz entzogen hat.»
Gehirn ohne Geist - Die Vertreibung des Menschen aus der Wissenschaft
Authors: Strasser Peter
Published: November 2019

Infolge der Erforschung des menschlichen Gehirns werden viele Fachleute – nicht zuletzt Philosophen – dazu verleitet, alles Geistige auf materielle Prozesse zu reduzieren. Das führt zur Vertreibung des Geistes aus der Welt und des Menschen aus der Wissenschaft. Darin liegt eine der humanen Grundgefahren unserer Zeit: Droht uns, jenseits von Freiheit und Würde, eine «Diktatur des Gehirns»? Werden Erziehung, Politik, Recht zu autoritären Verwaltern unserer Unfreiheit? Strassers Gegenentwurf plädiert, als regulative Idee, für einen «Primat des Geistes». Unser Bewusstsein erschöpft sich nicht in Physik und Chemie, ebenso wenig unser personales Wesen: Ichbegabung, Willensfreiheit und Moralität.
Pengaruh Konsentrasi Pupuk Plant Catalys 2006 dan Jarak Tanam Terhadap Pertumbuhan dan Produksi Tanaman Terung (Solanum melongena L.)
Authors: Isdianti Winda , Nugrahini Tutik , Mahdalena Mahdalena
Published: November 2019

Concentrations of Catalys Award Fertilizer Plant 2006 and Plant Spacing on the Growth and Production of Eggplant (Solanum melongena L.). The aim of research to determine the exact concentration of the fertilizer plant catalys 2006, so as to provide maximum results, to determine the proper spacing of the plants of eggplant and to understand the interaction on the eggplant plants to fertilization and plant spacing. This study was conducted over five months, ie from May and October 2015. The study in the village Manunggal Tenggarong District Seberang Jaya Regency. This study uses a randomized block design with 4 x 3 factorial experiment consisting of three replications. The first factor is a plant fertilizer catalys 2006, which consists of 4 levels: namely p0 (without treatment), p1 (3g / 1liter water), p2 (5g / 1liter water), p3 (7g / 1 liter of water). The second factor is a spacing consists of three levels ie t1 (70cm x 70cm), t2 (70 cm x 80), t3 (70 x 90). The results showed that fertilizer treatment plant catalys 2006 did not significantly affect plant height, stem diameter, number of branches, number of fruits per plant and fruit length, but the real impact on the weight of fruit per plant that is the highest weight of the fruit crops 360.27 g with treatment p2 (5 g / liter of water) and fruit weight per plot is 2161.60 g, equivalent to 86.46 Kw ha-1 with a treatment p2 (5 g / liter of water). While the spacing of no significant effect on all parameters observed. There is no interaction between the fertilizer plant catalys 2006 and spacing of the growth and yield of eggplant.
Efektifitas Pemberian Stimulant Better dan Waktu Sadap Terhadap Produksi Lateks Tanaman Karet (Hevea brasiliensis Muell Arg
Authors: Huvat Engelbertus , Sopian Akhmad , Nugrahini Tutik , Zainudin Zainudin
Published: November 2019

The factors that influence rubber production are planted clones, plant care and tapping techniques. With the right tapping technique, both tapping time, tapping method and mature tapping age, the production potential of a superior clone of rubber plants that has been well maintained can be maintained. The technique of rubber tapping is closely related to the expected level of production, even very determining the age of the tree economy. The research objective was to determine the effect of stimulant better and tapping time on latex production. The method used was a randomized block design with two-factor split plot design. The first factor (main plot) is the time of tapping consists of 3 levels, namely; w1: 05 in the morning, w2: 06 in the morning, w3: 07 in the morning. The second factor (sub-plot), namely the stimulant dosage better consists of 4 levels, namely; b0: control, b1; 0.5 g, b2; : 1 g, b3; 1.5 g. The results showed that stimulate better treatment had a significant effect on latex volume, wet weight and latex dry weight, but was not significant for latex dryness levels. Tapping time was not significant for latex yield, latex volume, wet weight, latex dry weight and highest dry rubber content at 7am. Stimulant Better treatment has a significant effect on latex volume, wet weight, and latex dry weight, but if given at high doses it will reduce the dry content of rubber. The interaction of treatment when tapping and stimulant is better not significant for latex production. The stimulant application better does not exceed the dose of 0.5 g / principal. Doses> 0.5 g / staple will have an impact on the dry tapping field.
PEMBERIAN MAKANAN PENDAMPING ASI (MPASI) SESUAI DENGAN USIA BAYI DI DESA BAWANG KECAMATAN PESANTREN KOTA KEDIRI
Authors: Soyanita Elin
Published: November 2019

ABSTRACT

The growth period of infants and toddlers is the most valuable period. In every step and development parents have the desire to give their best. One of the most important times is when the baby starts eating complementary foods. If the complementary food provided is not suitable, it can cause the baby to be malnourished and can become malnourished if not treated properly. The purpose of this study was to determine the factors associated with complementary feeding according to the age of the baby. This study is an analytical study using a cross sectional approach, the subjects studied were mothers who have children over 6 months of age who came to the posyandu onion village, pesantren district, Kediri district as many as 34 people. Statistical analysis with Chi square test (Chi Square). The results of the study showed that respondents gave complementary foods for ASI at yaitu 6 months, which were 64.7%, respondents received information about complementary foods as much as 76.5%, respondents who had good knowledge were 70.6% and had a positive attitude about giving complementary foods as much as 67.6%. The results of statistical analysis showed that there was no relationship between the source of information with complementary feeding according to age, there was a relationship between knowledge and attitude with supplementary feeding according to age. Health workers can further improve health education or counseling about complementary feeding.

Keyword : Knlowledges, Attitude, sources of information, MP-ASI
Aglomeraciones productivas, territorio y abordajes teóricos para los estudios rurales
Authors: Ayala-Durán Carlos , Mussi-Alvim Augusto , Dabdab-Waquil Paulo
Published: November 2019

Ante la variedad de lentes teóricos para el estudio de aglomeraciones productivas, el presente trabajo tiene como objetivo central analizar y hacer una diferenciación de cinco marcos teóricos ampliamente utilizados: distritos industriales, clústeres, sistemas productivos locales, arreglos productivos locales y sistemas agroalimentarios localizados. Para ello, se emplea fundamentalmente como metodología la revisión de literatura teórica pertinente, utilizando cinco criterios de valoración: rigor teórico/metodológico, utilización en campo, forma de abordar el territorio, utilización explícita en temas agrícolas/agroindustriales y tamaño de las unidades de análisis. La reflexión realizada apunta a que el distrito industrial muestra gran fortaleza en términos de rigor teórico, a diferencia de enfoques como clúster o arreglos productivos locales. Similarmente, los distritos industriales, junto a los sistemas agroalimentarios localizados, resaltan la importancia del territorio en sus abordajes. Este último enfoque se muestra especialmente útil para el estudio de temas agrícolas y agroindustriales.
Abordaje Puramente Endoscópico Supracerebeloso Infratentorial para Quiste Epidermoide en Tercer Ventrículo
Authors: Rubino Franco , Aguilera Santiago , Campbell Juan Iaconis , Mural Miguel , Salas Eduardo , Cersosimo Tito Adrian
Published: November 2019

Introducción:

El Quiste Epidermoide como tumor de la región pineal es una patología infrecuente y poco descripta. Su prevalencia en el 3er ventrículo es de 0,0042% de los tumores primarios intracraneales. Para lograr la exeresis macroscópica total se utilizó el abordaje Supracerebeloso Infratentorial con Endoscopio rígido de Base de Cráneo, técnica descripta para abordaje de lesiones de la región pineal. El Objetivo del Trabajo es la presentación de la técnica quirúrgica del abordaje, con la resolución de la patología infrecuente que se presenta.

Materiales y métodos:

Paciente de 16 años de edad con antecedentes de DBT insípida y cefaleas crónicas intermitentes (m-RS 1). RMN de encéfalo evidencia lesión ocupante de espacio hiperintensa T2 e hipointensa en T1 con realce periférico y restricción en la difusión. Presenta refuerzo a nivel del tallo hipofisario. Se plantea diagnóstico de tumor germinal. Marcadores en LCR negativos. Se decide realizar abordaje puramente endoscópico de la región para toma de muestra. Congelación determina quiste epidermoide y se procede a realizar exeresis macroscópica total.

Resultados:

Se realizó exeresis macroscópica total de quiste de epidermoide en tercer ventrículo con abordaje supracerebeloso infratentorial a través de endoscópico rígido de base de cráneo, en paciente de 16 años, cursando postoperatorio tardío sin secuelas y mejoría sintomática con persistencia de DBT insípida (m-RS 1).

Conclusión:

El abordaje puramente endoscópico supracerebeloso infratentorial es una opción segura para el tratamiento quirúrgico de lesiones en el tercer ventrículo, en este caso, un quiste epidermoide.
Atherosclerosis of peripheral arteries in patients with coronary artery disease and type 2 diabetes mellitus
Authors: Genkel V V , Salashenko A O , Shamaeva T N , Sumerkina V A , Nikushkina K V , Shaposhnik I I
Published: November 2019

Aim. To study the features of atherosclerosis of peripheral arteries in patients with coronary artery disease (CAD) depending on the presence of type 2 diabetes mellitus (T2DM) and to identify factors associated with multifocal atherosclerosis. Materials and methods. The study included 140 patients (77 men and 63 women) with CAD (mean age 62.0 (56.0-66.0) years). The first group included 70 people with CAD and T2DM, and the second group included 70 patients with CAD without T2DM. All patients underwent duplex scanning of the carotid and lower limb arteries (LLA). Local vascular stiffness of the common carotid artery (CCA) was assessed by ultrasound scanning. The Peterson elasticity modulus, distensibility and strain of the CCA were determined. The ankle - brachial index (ABI) was measured by the Doppler method. Results and discussion. In the group of patients with T2D, there were statistically more patients with atherosclerotic plaques in both carotid arteries and LLA. Also among patients with T2DM the severity of stenosis of carotid arteries and LLA at all levels was significantly greater. Local carotid stiffness was higher in the first group of patients. The proportion of individuals with reduced ABI