bluuebunny/crossref_metadata_2025_split huggingface dataset:
Healthcare Utilization and Costs of Systemic Lupus Erythematosus by Disease Severity in the United States
Authors: Murimi-Worstell Irene B. , Lin Dora H. , Kan Hong , Tierce Jonothan , Wang Xia , Nab Henk , Desta Barnabas , Alexander G. Caleb , Hammond Edward R. 
Published: July 2020

Objective.To quantify healthcare utilization and costs by disease severity for patients with systemic lupus erythematosus (SLE) in the United States.Methods.We conducted descriptive analyses of Humedica electronic health record (EHR) data from 2011 to 2015 (utilization analysis) and integrated Optum administrative claims/Humedica EHR data from 2012 to 2015 (cost analysis) for patients with SLE. All-cause utilization outcomes examined were hospitalizations, outpatient visits, emergency department (ED) visits, and prescription drug use. Analyses of costs stratified by disease severity were limited to patients enrolled in an Optum-participating health insurance plan for ≥ 1 year after the earliest observed SLE diagnosis date. Costs were converted to 2016 US dollars (US$).Results.Healthcare utilization was evaluated in 17,257 patients with SLE. Averaged over the 2011–2015 study period, 13.7% of patients had ≥ 1 hospitalization per year, 25.7% had ≥ 1 ED visit, and 94.4% had ≥ 1 outpatient visit. Utilization patterns were generally similar across each year studied. Annually, 88.0% of patients had ≥ 1 prescription, including 1.3% who used biologics. Biologic treatment doubled between 2011 (0.7%) and 2015 (1.4%). Cost analyses included 397 patients. From 2012 to 2015, patients with severe SLE had mean annual costs of $52,951, compared with $28,936 and $21,052 for patients with moderate and mild SLE, respectively. Patients with severe SLE had increased costs in all service categories: inpatient, ED, clinic/office visits, and pharmacy.Conclusion.Patients from the US with SLE, especially individuals with moderate or severe disease, utilize significant healthcare resources and incur high medical costs.
Effect of Laser Moxibustion for Knee Osteoarthritis: A Multisite, Double-blind Randomized Controlled Trial
Authors: Zhao Ling , Cheng Ke , Wu Fan , Du Jiong , Chen Yue , Tan Ming T. , Lao Lixing , Shen Xueyong 
Published: July 2020

Objective.To examine the effects of laser moxibustion on pain and function in patients with knee osteoarthritis (OA).Methods.A double-blind randomized clinical trial (4-week treatment, 20-week follow-up) was conducted. A total of 392 symptomatic knee OA patients with moderate to severe clinically significant knee pain were randomly assigned to laser treatment or sham laser control group (1:1). Twelve sessions of laser moxibustion or sham laser treatments on the acupuncture points at the affected knee(s) were performed 3 times a week for 4 weeks. The primary outcome measurement was change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score from baseline to Week 4.Results.Among the 392 randomized participants, 364 (92.86%) completed the trial. The median WOMAC pain score decreased significantly at Week 4 in the active group than in the sham group (2.1, 95% CI 1.6–2.6, P < 0.01). At Week 24, compared to the sham laser, active laser treatment resulted in significant pain reduction and function improvement (3.0, 95% CI 2.5–3.6, P < 0.01, and 14.8, 95% CI 11.9–17.6, P < 0.01, respectively). The physical component of the quality of life significantly improved in the active group vs the sham controls at Week 4 (3.2, 95% CI 1.3–5.0, P = 0.001) up to Week 24 (5.1, 95% CI 3.3–7.0, P < 0.001). No serious adverse effects were reported.Conclusion.Laser moxibustion resulted in statistically and clinically significant pain reduction and function improvement following a 4-week treatment in patients with knee OA.
L’analyse des pratiques professionnelles : quelques repères
Authors: Chami Jean 
Published: July 2020

Cette note de synthèse propose un regard longitudinal sur l’analyse de pratiques professionnelles durant ces trente dernières années (1990-2020). Un constat s’impose : le succès incontestable de ces activités dans tous les domaines et d’autre part un manque d’intelligibilité globale qui fait apparaître ce champ comme très éclaté. Cette note se propose de parcourir le périmètre de ces pratiques, de dégager les principales tendances évolutives dominantes, leurs ancrages théoriques et d’essayer de dégager une spécificité et une cohésion propres à ce champ. La professionnalisation est repérée comme fonction centrale et privilégiée de ces approches. Les concepts de pratique et d’analyse sont particulièrement interrogés dans leur capacité à assurer la cohésion de ce champ, ainsi que la notion de dispositif. La spécificité des analyses de pratiques est aperçue dans leur capacité à problématiser les expériences par une exposition, une élaboration, une transformation, une communication à autrui.
En quête de légitimité(s). Retour sur un dispositif de formation continue de professionnels de l’animation
Authors: Bézille Hélène , Divert Nicolas , Lebon Francis 
Published: July 2020

Bien que ce secteur d’activité soit souvent présenté comme transitoire et précaire, des professionnels investissent l’animation et y font carrière via le recours aux diplômes professionnels préparés dans le cadre de la formation continue. Dans cet article, nous nous intéressons à des personnels de l’animation engagés dans une double diplomation mêlant un diplôme professionnel et une première année de Master. Ils s’engagent alors dans une expérience de formation inédite pour eux, qui mobilise une pratique réflexive individuelle et collective organisée et étayée sur l’écriture, les échanges et les apports des cours. Ce dispositif en permettant une reprise réflexive d’expériences scolaires, familiales, professionnelles, rend visible « chemin faisant », des enjeux très puissants autour de ce que nous nommons « la montée en légitimité », tant dans l’univers du travail que dans le registre symbolique, en accédant à des savoirs et à des diplômes qui pouvaient leur sembler inaccessibles.
Les apprentissages mutuels des particuliers employeurs et des salariés au domicile
Authors: Wittorski Richard , Clénet Catherine , Obertelli Patrick , Tocqueville Mélanie , Finot Jean Paul , Loury Audrey 
Published: July 2020

Dans le contexte de l’emploi direct à domicile, cet article vise à présenter les principaux résultats d’une recherche portant sur les apprentissages mutuels entre particuliers employeurs et salariés, particulièrement des assistants de vie et employés familiaux. Au-delà de la représentation courante consistant à affirmer que les métiers du domicile sont « simples » et réalisables avec des « qualités personnelles », ils recèlent au contraire une véritable technicité mobilisant des compétences complexes à la fois d’organisation du travail et des différents espaces-temps que traversent les salariées au fil de leur expérience (notamment dans les situations de multi-employeur) et des compétences d’adaptation à des situations très variées conduisant à faire en permanence des choix et à se fixer des priorités.
Prise de parole par correspondance : les échanges épistolaires des ouvriers saint-simoniens au XIX e siècle
Authors: Caputo Dalila Hellis 
Published: July 2020

L’article développe une réflexion sur la relation entre travail et langage à partir de l’analyse d’une pratique sociale d’écriture mise en œuvre par des ouvriers au xix e siècle. Le corpus de cette analyse comprend les échanges épistolaires du menuisier saint-simonien Louis Gabriel Gauny, poète et philosophe « plébéien », découvert et ainsi défini par Jacques Rancière, avec d’autres poètes-ouvriers de cette communauté. Genre à la fois intime et public au xix e siècle, en particulier parmi les ouvriers saint-simoniens, la correspondance permet à la fois un travail quotidien sur le langage et une mise en scène du rapport du travailleur à son métier. Cet espace ordinaire d’écriture, par ailleurs codé, interagit avec une forme d’expression moins ordinaire, telle que la poésie, pour raconter leur vie et leurs aspirations artistiques. Leur façon d’employer la parole écrite est influencée par une pensée pratique acquise et développée au travail. L’interaction épistolaire montre aussi un travail d’écriture en collaboration et de construction d’un langage privé. En altérant le sens des mots, la parole ouvrière se donne à voir sans se dévoiler entièrement.
Navigator-Based Intervention to Support Communication in the Pediatric Intensive Care Unit: A Pilot Study
Authors: Michelson Kelly N. , Charleston Elizabeth , Aniciete Danica Y. , Sorce Lauren R. , Fragen Patricia , Persell Stephen D. , Ciolino Jody D. , Clayman Marla L. , Rychlik Karen , Jones Virginia A. , Spadino Pamela , Malakooti Marcelo , Brown Melanie , White Douglas 
Published: July 2020

Background
Communication in the pediatric intensive care unit (PICU) between families and the health care team affects the family experience, caregiver psychological morbidity, and patient outcomes.

Objective
To test the feasibility of studying and implementing a PICU communication intervention called PICU Supports, and to assess families’ and health care teams’ perceptions of the intervention.

Methods
This study involved patients requiring more than 24 hours of PICU care. An interventionist trained in PICU-focused health care navigation, a “navigator,” met with parents and the health care team to discuss communication, decision-making, emotional, informational, and discharge or end-of-life care needs; offered weekly family meetings; and checked in with parents after PICU discharge. The feasibility of implementing the intervention was assessed by tracking navigator activities. Health care team and family perceptions were assessed using surveys, interviews, and focus groups.

Results
Of 53 families approached about the study, 35 (66%) agreed to participate. The navigator met with parents on 71% and the health care team on 85% of possible weekdays, and completed 86% of the postdischarge check-ins. Family meetings were offered to 95% of eligible patients. The intervention was rated as helpful by 97% of parents, and comments during interviews were positive.

Conclusions
The PICU Supports intervention is feasible to implement and study and is viewed favorably by parents.
The Type of Leprosy Based on the Characteristics of Lepers in West Papua Province and North Maluku Province; Comparative Studies
Authors: Suebu Melda , Imaniar Clara , Wahyuni Tri , Tanjung Ratna , Hukubun Maria , Yansip Sophia , Cahya Vhatim Dwi 
Published: July 2020

The prevalence of leprosy cases has increased every years, the government program has been on going until now, but leprosy cases are still a national problem. The purpose of this study is to describe the type of leprosy based on the characteristics of lepers. The study used a community-based cross-sectional design. The results obtained that West Papua Province and North Maluku Province have leprosy burden with the same classification type, namely Multybaciller (MB) type. Male gender has more MB type of leprosy. West Papua and North Maluku. Based on the age of MB leprosy type in West Papua, the highest age range is 15-26 years and Paucybaciller (PB) at age > 14 years, North Maluku is most at age 27-44 years and PB at age>14 years. Conclution. The type of leprosy in general is the type of multibasilarry (MB), this means that leprosy is still a major threat to a comunnities, leprosy cases are also found in male gender with MB type and many cases of leprosy occurs in patients with young adult and adult age.
Religious Leader’s Knowledge, Stigma, and Support for People Living With HIV and AIDS (PLHIV) in Kupang
Authors: Manurung Imelda F.E , Wahyuni Chatarina U. , Probandari Ari 
Published: July 2020

Indonesia is ranked the third country with the fastest growth rate of HIV cases in Asia Pacific. HIV cases in Indonesia are mostly found in housewives. Therefore, religious leaders are involved to participate in addressing HIV issue in the community. Religious leader (RL) is one of the figures frequently visited by PLHIV in Kupang. This study aims to find out RLs’ knowledge, stigma and support for PLHIV. This study is a quantitative descriptive study. The population of the study is RLs who have the gift of healing the sick in Kupang. The number of the sample is 51. This study used questionnaire as research instrument. Data were analyzed descriptively and presented in a frequency table. 45 (85.2%) RLs had poor knowledge, 46 (96.2%) RLs had stigma against PLHIV and 44 (86.3%) RLs provided support for PLHIV. It is necessary to improve RLs knowledge and eliminate stigma against PLHIV so that RLs can provide information and support for PLHIV treatment.
Modelagem Matemática na Educação Matemática e Formação Continuada de Professores: caminhos para o desenvolvimento profissional
Authors: Marmitt Rosi Kelly Regina , Bonotto Danusa de Lara 
Published: July 2020

Este artigo tem como objetivo conhecer as pesquisas realizadas sobre Modelagem Matemática e Formação Continuada e compreender, a partir delas, o desenvolvimento profissional (DP) dos professores participantes. Para tal, utilizamos como abordagem metodológica a pesquisa qualitativa, do tipo bibliográfica, com base na busca de dados na Biblioteca Digital Brasileira de Teses e Dissertações. Encontramos quatorze pesquisas, compreendidas entre 2010 e 2019 utilizando o campo busca avançada e a opção título, dentre as quais selecionamos onze para análise. Os procedimentos de análise estão pautados na análise temática de conteúdo. A partir da unidade de análise desenvolvimento profissional apresentamos duas categorias nas quais discutimos que: 1) as pesquisas tratam da formação continuada com modelagem na perspectiva do DP dos professores e os espaços/tempo constituídos para as formações favorecem o DP e 2) a transição da formação continuada para a sala de aula é um movimento de DP situado no fazer docente.
Palavras-chave: Práticas pedagógicas. Formação de Professores. Ensino de Matemática.
THE SPECIFICS OF THE CONCEPT “WINTER” AS THE ELEMENT OF THE CONCEPT SPHERE “SEASONS” IN THE NARTS’ EPIC AND SHAHNAMEH BASED ON N. FRYE’S CLASSIFICATION
Authors: МОРАДИ М. , ЛЕВЧИН И.Д. 
Published: July 2020

В статье рассмотрен Нартовский эпос как главный мифический эпос осетинского народа – миф, смешанный с фольклорными элементами. Исследовано, что осетинский Нартовский эпос, как и все эпические произведения, наделен такими элементами и образами, как прославленные богатыри, враги этих богатырей, гиперболические сказочные рождения, меднотелые неуязвимые герои, рукопашные бои, и такими сказочными символами, как уаиги, пери и т.п. Среди мифических мотивов были найдены сходства в некоторых событиях иранского эпоса «Шахнаме» Фирдоуси и осетинском нартовском эпосе, связанные с мотивом снега. Проанализированы безвыходные положения героев в грозном снегу в результате колдовства Бармана на войне с туранским войском в эпоху правления Кей-Хосрова, описанные в Шахнаме, и рассказы «Безымянный сын Урызмага», «Битва Урызмага и Кривого Уаига» и «Сослан и сыновья Тара» из осетинского Нартовского эпоса.
The article considers the Nart epic as the main mythical epic of Ossetian people – a myth filled with folkloric elements. The article shows that the Ossetian Nart epic, like all epic texts, is endowed with such elements and images as the glorified heroes, enemies of these heroes, hyperbolic fairy births, copper-bodied invulnerable heroes, hand-to-hand fighting, and such fairy-tale symbols as waigs, peri, etc. Among mythical motifs, similarities were found in some events of the Iranian epos “Shahname” Firdousi and the Ossetian Nart epos related to the snow motif. The hopeless situations of the heroes in the formidable snow as a result of Barman’s witchcraft in the war with the Turanian army during the reign of Kei-Khosrov, described in Shahnameh, and the stories “The Nameless Son of Uryzmag”, “The Battle of Uryzmag and One-eyed Uaig” and “Soslan and Sons of Tara” from Ossetian Nart epic were analyzed.
INDO-EUROPEAN COMMUNITY AND ITS REFLECTION IN THE NARTA SAGAS of the Ossetians
Authors: ЧИБИРОВ Л.А. 
Published: July 2020

Любое эпическое произведение имеет начало и конец. Время зарождения Нартиады одни ученые неимоверно архаизируют, относя к IV-III тыс. до н.э., другие приближают к современности, датируя ранним Средневековьем. Большинство ученых полагают, что время начала формирования эпоса соответствует VIII-VII вв. до н.э. Однако параллели, проведенные в статье между нартовским эпосом и бытом, культурой индоевропейских народов, позволяют передвинуть время зарождения осетинской Нартиады ко второй половине II тыс. до н.э. Скифо-нартовские параллели, обозначенные впервые В.Ф. Миллером, значительно расширены его последователями, особенно Ж. Дюмезилем, В.И. Абаевым, Ю.С. Гаглойти и др. В образах, мотивах и сюжетах осетинской эпопеи многое перекликается с легендами и обычаями скифов, сарматов и алан. Как свидетельствуют этнокультурные параллели, многие образы и сюжеты, через скифо-сарматское посредство, восходят к периоду, предшествовавшему распаду индоевропейской общности.
Any epic creation has a beginning and an end. Some scientists incredibly archaize the time of origin of Nartiada, referring it to the IV-III millennium BC; others bring it closer to the present, dating the early Middle Ages. Most of the scholars believe that the time of the beginning of the epic formation corresponds to the VIII-VII centuries BC. However, the parallels drawn in the article between the Nart epic and everyday life and the culture of the Indo-European peoples, allow us to move the time of the birth of the Ossetian Nartiada to the second half of the II millennium BC. Scythian-Nartian parallels, first identified by V.F. Miller, significantly expanded by his followers, especially G. Dumézil, V.I. Abaev, Yu.S. Gagloity, et al. In the images, motifs and plots of the Ossetian epic, a lot echoes the legends and customs of the Scythians, Sarmatians and Alans. As it testify by the ethnocultural parallels, many images and plots, through the Scythian-Sarmatian mediation, go back to the period preceding the collapse of the Indo-European community.
POLA ORDINANSI KOMUNITAS POHON DI HUTAN SEKUNDER DISTRIK MANOKWARI UTARA KABUPATEN MANOKWARI
Authors: INAREN MARKUS HUBY  , JIMMY F. WANMA  , MARIANA H. PEDAY  
Published: July 2020

This study aimed to reveal indicator plant species in the secondary forest by applying a descriptive approach and field observation as well as refer to releve method. Tral vegetation data of vascular plant at seedlings, saplings, poles, and tree stages that analyzed using MVA.4 (TWINSPAN) software. The analyzed result indicated 12 groups of associations and 1 group of solitary association in which the species were categorized as dominant. The most often appear species in 12 association group based on their growing shapes were Actinodaphne nitida, Celtis latifolia, Hemappasandra sp., Teijmaniodendron sp., Lea acuelata, Spatiostemon jevensis, Koordersiodendron pinnatum, Sisipus sp., Sterculia macrophylla, Litsea timoriana, Macaranga sp., Aglaia sp., Rhus taitensis, Alstonia scholaris, Archidendron parviflorum, Callophylum inophylum and Ficus sp. While the most dominant species in the solitary association were Chisocheton ceremicus, Cryptocarya sp., Canarium hirsutum, Euodia elleryana, Litsea ladermani, and Litsea timoriana. These species arranged and functioned as the dominant tree structure in the secondary forest along the north Manokwari area of Manokwari.
ASOSIASI TALI KUPU-KUPU (Bauhinia acuminata Blume.) DENGAN POHON INANG PADA PLOT MONITORING TAMAN WISATA ALAM GUNUNG MEJA MANOKWARI
Authors: SIMSON L MANDABAYA  , NOVITA PANAMBE  , MELIZA S. WORABAI  , NOVIKA RUKKA  
Published: July 2020

Gunung Meja Nature tourist Park is one of the low land tropical forest ecosystems in Manokwari which had various potention of its flora and fauna. The flora potention had relation or complex population, one of them is association between tali kupu-kupu (Bauhinia acuminata Blume.) with its host tree. The purpose of the study was to describe the asociation of B. acuminata with its host tree and its habitat at the low land at Gunung Meja Nature Tourist Park. The method used description with survey technique. The resluts showed that the total population of the trees associating with B. acuminate. There were 10 species i.e. Pometia coreacea, Pometia pinnata, Alstonia scholaris, Artocarpus incissus, Pimelodendron amboinicum, Pterocymbium beccarii, Antiaris toxicaria, Streblus elongate, Medusanthera laxiflora, and Pterygota horsfieldii which dominated by Pometia pinnata 11 trees. The association relation level of B. acuminata with the host tree P. pinnata was very close (2.506 %) while association relation level of B. acuminata was quite close with the host tree of A. scholaris (0.911 %), P. amboinicum (0.911 %), and the association level B. acuminata was not close with the host tree P. coreacea (0.683 %), P. beccarii (0.228 %), A. toxicaria (0.228 %), A. incisus (0.683 %), P. horsfieldii (0.683 %), S. elongata (0.456 %), and M. laxiflora (0.456 %).
La “pretensión accesoria” de indemnización por daños y perjuicios en el proceso contencioso-administrativo
Authors: Arana García Estanislao 
Published: July 2020

El trabajo que presento analiza el contenido y alcance del Art. 31.2 de la Ley de la Jurisdicción Contencioso-administrativa en la medida en que permite adicionar como pretensión accesoria a la pretensión principal del demandante la de indemnización por daños y perjuicios en un único proceso. Planteo las consecuencias y particularidades de la admisión de esta pretensión frente al sostenimiento de la postura tradicional que mantenía la necesidad de ejercitar previamente en vía administrativa una reclamación de responsabilidad patrimonial.
Con el cumplimiento de los requisitos exigidos por la jurisprudencia delimitados y sistematizados en este trabajo, confirmo la posibilidad de solicitar en un mismo proceso y como pretensión accesoria, la indemnización de daños y perjuicios junto a otra pretensión principal.
La Ley de lo Contencioso de 1998 y los arbitrajes internacionales contra España
Authors: Jiménez Blanco y Carrillo de Albornoz Antonio 
Published: July 2020

El presente trabajo no tiene por objeto lo establecido en la LJCA sobre tal o cual extremo, sino algo que debiera haberse contemplado en ella y no lo está: el régimen de los arbitrajes internacionales de inversión, en base a Tratados bi- o multilaterales, cuando tienen por objeto disposiciones que también pueden ser impugnadas en vía contenciosa.
La carencia se ha puesto de relieve con especial crudeza con ocasión de los litigios sobre la reforma de 2013/2014 (de sentido restrictivo) del régimen económico de la producción de electricidad con fuentes renovables, que ha dado lugar a pronunciamientos desestimatorios en España y, en base al Tratado de la Carta de la Energía, a laudos de sentido contrario.
El euro y la batalla de las ideas
Authors: Jiménez-Blanco Carrillo de Albornoz Antonio 
Published: July 2020

El libro se publicó en original en inglés, en Princeton, en 2016 con el título muy expresivo de “The Euro and the Battle of Ideas”, del que la versión española de 2017 constituye traducción literal. Consta de las siguientes partes, a saber:
- Primera, “Los cambios de poder y las diferencias entre Alemania y Francia” (páginas 31-126).- Segunda, “La estabilidad monetaria y fiscal: el fantasma de Maastricht” (páginas 127-226).- Tercera, “La estabilidad financiera: el hijastro de Maastricht” (páginas 229- 336).- Cuarta, “Las perspectivas de los demás” (páginas 339-final).