bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Cost of Illness Stevens Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN)
Authors: Urfiyya Qarriy Aina , Perwitasari Dyah Aryani , Febriana Sri Awalia 
Published: March 2020

ABSTRAK SJS/TEN merupakan reaksi yang melibatkan kulit dan mukosa yang berat dan mengancam jiwa. SJS dan TEN merupakan kejadian yang jarang terjadi, yaitu 1,4 – 12,7 kasus per 1 juta orang per tahun mengalami SJS dan TEN, dengan angka mortalitas 5% pada SJS dan 30-35% pada TEN. Obat merupakan penyebab utama SJS (50-80% dari kasus) dan TEN (80%). Tujuan: Mengetahui median total biaya per hari pasien SJS/TEN, serta pengaruh lama rawat inap terhadap total biaya SJS/TEN. Penelitian observasional analitik dengan sudut pandang masyarakat. Pengambilan data secara retrospektif menggunakan total sampling pasien rawat inap SJS dan TEN di RSUP Dr. Sardjito Yogyakarta tahun 2014-2018. Analisis data dengan menghitung median (range) dan regresi linear pada SPSS IBM versi 22.0 untuk mengetahui pengaruh lama rawat inap terhadap biaya SJS/TEN. Terdapat 29 pasien yang dianalisis. Median total biaya per hari pasien SJS/TEN Rp 1.139.963 (Rp 665.294-Rp 8.776.895), dengan Rp 1.139.963 (Rp 740.267-Rp 8.776.895) pada SJS dan Rp 1.166.084 (Rp 665.294-Rp 1.514.607) pada TEN. Hasil signifikansi uji regresi linear lama rawat inap terhadap total biaya SJS/TEN adalah 0,093 (p>0,05). Median biaya per hari SJS/TEN adalah Rp 1.139.963 (Rp 665.294-Rp 8.776.895), dan lama rawat inap tidak mempengaruhi total biaya SJS/TEN. Kata Kunci—Stevens Johnson Syndrome, Toxic Epidermal Necrolysis, analisis biaya, cost of illness ABSTRACT SJS/TEN is a reaction that involves heavy and life-threatening skin and mucosa. SJS and TEN are rare events, 1,4 – 12,7 cases per 1 million people per year experiencing SJS and TEN, with a mortality rate of 5% in SJS and 30-35% in TEN. Drugs are the main cause of SJS (50-80% of cases) and TEN (80%). Objective: To determine the median total cost per day of SJS and TEN patients, and the effect of length of stay on the total cost of SJS/TEN. This study used an observational analytic with cross sectional design and societal perspective. The data was collected retrospectively using total sampling of SJS and TEN inpatients at RSUP Dr. Sardjito Yogyakarta in 2014-1018. The data was analyzed by calculating the median (range) and linear regression in IBM SPSS version 22.0, to determine the effect of length of stay on SJS/TEN costs . There were 29 patients analysed. The median total cost per SJS/TEN patient was IDR 1.139.963 (IDR 665.294-8.776.895), with IDR 1.139.963 (IDR 740.267-8.776.895) on SJS and IDR 1.166.084 (IDR 665.294-1.514.607) on TEN patients. The significance linear regression of the length of stay in SJS/TEN was 0,093 (p> 0,05). The median cost per SJS/TEN day was IDR 1.139.963 (665.294-8.776.895), and the length of stay does not affect the total cost of SJS/TEN. Keywords— Stevens Johnson Syndrome, Toxic Epidermal Necrolysis, cost analysis, cost of illness
PENGARUH UKURAN PASIR TERHADAP KINERJA BOILER UNIT 1 PLTU PULANG PISAU
Authors: Karno Karno , Samlawi Achmad Kusairi 
Published: March 2020

The use of sand in the cfb boiler function as a coal burner which enters the combustion chamber. Sand in the combustion chamber is lined up and coal enters the combustion chamber. With the entry of coal into the furnace fluidization occurs, where the heat in the sand burns coal that hovers, so that the heat that arises is used to heat the water in the boiler tubes. The remaining coal combustion (ash) wil float/fly inhaled by IDF air. Sand movement is expeted to only always bubbling up ang down in the furnace area only so that complete combustion occurs and the boiler is reliable. Because the bubbling is influenced by air pressure, coal quality, which can cause friction between material (sand and coal) and refractory giving rise to abrasives on refractory. If refractory is abrasive it can cause abrasive on the tube water wall boilers, tube cyclones so that boiler performance will decrease.The use of sand that is not clear is one of the causes of refractory damage in cfb type boilers. So that the cfb boiler remains reliable, the use of sand must be in accordance with the type and size according to the particular boiler.
LIBRARY AS AN OPTIMAL MODEL OF INTERACTION WITH USERS IN THE CONDITIONS OF THE DIGITAL ECONOMY
Authors: Koroleva I. S. 
Published: March 2020

The experience of the Regional Universal Scientific Library of Pskov as part of the ecosystem of the regional digital economy is presented. The essence of the problem is to create a new library digital model for to implement the national project «Culture».For Pskov specialists, digitalization is a catalyst for the development of library innovations.It brings about many opportunities. In particular, understanding how to use digitalization tools to increase readers’ activities and involvement, how to develop library specialists in the digital environment and how to attract investments for SMART projects implementation.The author dwells on such problems as an optimal portfolio of digital library projects’ development and implementation, which consists of digitizing book rarities, including them in the electronic full-text library «Pskoviana» and the National Electronic Library; organization of a free accessible online service for continuous informing and consulting both specialists and the people at large using the official library website and information resources; motivation and facilitation of assistance to Pskovians in mastering key competencies of the digital economy; formation and promotion of the library website as a digital third place digital.The author describes in detail the scenario for moving to the digital economy, developed in 2018 and including five directions: information and telecommunication infrastructure; information security; digital supervision and elimination of information and digital illiteracy of users; monitoring the operational readiness of various groups and categories of the Pskov region population for life and work in the digital economy environment; library staff for the digital economy.Specialists have formed a portfolio of digital projects for the near future and built a system for monitoring the economic and social effectiveness of projects, which has showed that among the library users the level of involvement in the consumption of digital information and online communications has grown; a digital information-enlightenment and intellectualleisure ecosystem has been created. A new social reality has developed, based on wide access to former exclusive goods and values.
Five-Year Follow-up of Minimally Invasive Distal Metatarsal Chevron Osteotomy in Comparison with the Open Technique
Authors: Kaufmann Gerhard , Mörtlbauer Lorenz , Hofer-Picout Philipp , Dammerer Dietmar , Ban Michael , Liebensteiner Michael 
Published: March 2020

Background:
The aim of the present prospective randomized study was to evaluate the long-term outcomes of minimally invasive chevron osteotomy as compared with open distal chevron osteotomy for the correction of hallux valgus deformity.

Methods:
A randomized controlled design was applied. The following parameters were assessed at 6 and 12 weeks, 9 months, and 5 years postoperatively: the American Orthopaedic Foot & Ankle Society (AOFAS) Forefoot Score, a visual analog scale (VAS) score for pain, and a patient-satisfaction score. In addition, several radiographic parameters for hallux valgus correction and joint degeneration were collected. Range of motion was also assessed. Thirty-nine of 47 feet were available for analysis at the time of the latest follow-up.

Results:
During the 5-year study period, the outcomes of the minimally invasive technique were comparable with those of the open technique. No significant differences were seen between the 2 groups within 5 years postoperatively in terms of clinical outcomes (VAS, AOFAS, satisfaction), radiographic outcomes, joint degeneration, or range of motion.

Conclusions:
Five years after treatment, the outcome following minimally invasive distal chevron osteotomy is comparable with that for the open technique for hallux valgus surgery.

Levels of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
Pengaruh Penggunaan Teknik Antena Multi Input Multi Output (MIMO) Terhadap Perfomansi Jaringan 4G LTE Frekuensi 1800 MHz
Authors: Ulfah Maria , Irtawaty Andi Sri 
Published: March 2020

Penggunaan antena MIMO 2x2, memiliki jangkuan area 717,258 km2, signal level -69.72 dBm, C/(N+I) 5.08 dB, throughput 11,803.4 kbps, RSRP sebesar -115.88 dBm dan BLER 0.03. Penggunaan antena MIMO 4x4, memiliki jangkuan area 726,432 km2, signal level -69.5 dBm, C/(N+I) 5.58 dB, throughput 11,803.01 kbps, RSRP sebesar -115.64 dBm dan BLER 0.02. Penggunaan antena MIMO 8x8, memiliki jangkuan area 726,432 km2, signal level -69.5 dBm, C/(N+I) 6.1 dB, throughput 12,564.1 kbps, RSRP sebesar -115.64 dBm dan BLER 0.02. Pada penggunaan antena MIMO 2x2 , 4x4 dan 8x8 dari jangkauan area, ketiga jenis nya tersebut dapat menjangkau wilayah Balikpapan.Kata kunci: 4G LTE, , MIMO, signal level, RSRP
Introduction of Steam-Assisted Gravity-Drainage Oil Rate Prediction Using the 5-LINE Model
Authors: Irani Mazda , Ghannadi Sahar 
Published: March 2020

Summary
Steam-assisted gravity drainage (SAGD) is the preferred thermal recovery method used to produce bitumen from Athabasca deposits in Alberta, Canada. SAGD operation is experiencing five stages: ramp-up, initial plateau, full-length plateau, wind-down and coalescence. The physics controlling the production mechanisms in each stage is different. Ramp-up is controlled by sweeping and injection pressure and water mobility are the most important factors. In initial plateau and full-length plateau, the chamber growth and bitumen viscosity-temperature dependency are the main controllers. Wind-down initiates as heat-loss overcomes the input enthalpy, and production controls by reduction of heated front close to steam front. Finally, coalescence is a result of reduction of oil availability at the edge of steam chamber. Such reduction is modeled with linearly reducing oil pathway as chambers are coalescing.
Butler's model commonly used for history matching and prediction of SAGD oil rate is mainly meant to model the full-length plateau stage and that is why it is over-predicting the ramp-up stage and not estimating the oil rate trend in wind-down and coalescence. This work is a continuation of a previous part discussing the predicve model for SAGD process (Irani, 2019). The purpose of this work is to create an end-life stage: winddown and coalescence; and then use the decision tree to optimize the solution. The model that includes ramp-up, early plateau, plateau, wind-down and coalescence is called 5-LINE model is a mechanistic model that controls main physic on each stage. Although the 5-LINE model is mainly derived based on physics controlling each stage, it has enough flexibility to match different geological characteristics. The 5-LINE model is structured in regression tree to minimize the error and then a decision-tree (DT) learning that branches from it to honour dynamics that cannot be honoured by 5-LINE model. This model is tested vs. oil production results of Suncor/MacKay River and Devon/Jackfish, as a result the final predictive model can predict oil rate reasonably good enough that can compete with results of dynamic reservoir numerical simulation.
Assessing medical impoverishment and associated factors in health care in Ethiopia
Authors: Obse Amarech Guda , Ataguba John E. 
Published: March 2020

Abstract
Background: About5% of the global population, predominantly in low- and middle-income countries, is forced into poverty because of out-of-pocket (OOP) health spending. In most countries in sub-Saharan Africa, the share of OOP health spending in current health expenditure exceeds 35%, increasing the likelihood of impoverishment. In Ethiopia, OOP payments remained high at 37% of current health expenditure in 2016. This study aims to assess impoverishment resulting from OOP health spending in Ethiopia and examine the factors associated with this impoverishment. Methods: This paper uses data from the Ethiopian Household Consumption Expenditure Survey (HCES) 2010/11. The HCES covered 10,368 rural and 17,664 urban households. OOP health spending includes spending on various outpatient and inpatient services. Impoverishing impact of OOP health spending was estimated by comparing poverty estimates before and after OOP health spending. A probit model was used to assess factors that are associated with impoverishment. Results: Using the Ethiopian national poverty line of Birr 3,781 per person per year (equivalent to US$2.10 per day), OOP health spending pushed about 1.19% of the population (i.e. over 957,169 individuals) into poverty. At regional level, impoverishment ranged between 2.35% in Harari and 0.35% in Addis Ababa. Living in rural areas (highland, moderate, or lowland) increased the likelihood of impoverishment compared to residing in an urban area. Households headed by males and adults with formal education are less likely to be impoverished by OOP health spending, compared to their counterparts. Conclusion:In Ethiopia, OOP health spending impoverishes a significant number of the population. Although the country had piloted and initiated many reforms, e.g. the fee waiver system and community-based health insurance, a significant proportion of the population still lacks financial protection. The estimates of impoverishment from out-of-pocket payments reported in this paper do not consider individuals that are already poor before paying out-of-pocket for health services. It is important to note that this population may either face deepening poverty or forgo healthcare services if a need arises. More is therefore required to provide financial protection to achieve universal health coverage in Ethiopia, where the informal sector is relatively large.
The effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: A randomized controlled clinical trial
Authors: shafaei fahimeh sehhatie , mirghafourvand mojgan , havizari shiva 
Published: March 2020

Abstract
Background: Breastfeeding is one of the most important interfering factors in infants’ health. Monitoring mothers’ performance and providing them with the feedback helps to increase their self-efficacy, interest in learning, and level of performance. The present research evaluates the effect of prenatal counseling on the breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding.Methods: This randomized controlled clinical trial was conducted on 108 pregnant women with unsuccessful breastfeeding in Tabriz health centers during 2017-2018. The participants were randomly assigned to intervention and control groups. The intervention group had four prenatal counseling sessions and the controls only received routine care. Then, the mothers who gave birth to their children received a counseling session up to 4 months after the delivery. The Breastfeeding Self-Efficacy (BSES) questionnaire and the frequency of breast feeding problems checklist on the 15th day, and 2nd and 4th month were completed both by the intervention and control groups.Results: The mean (SD) of breastfeeding self-efficacy was 119.3 (10.5), 128.3 (8.3) and 133.8 (10.3) in the intervention group and 105.3 (16.1), 105.7 (19.7) and 109.4 (24.7) in the control group on the 15th day, 2nd and 4th month after the delivery, respectively. There was a significant difference in terms of breastfeeding self-efficacy between intervention and control group on the 15th day (p<0.001), and 2nd (p<0.001) and 4th (p<0.001) month after the delivery. The frequency of breastfeeding problems on the 15th (p=0.008), 2nd (p<0.001) and 4th (p<0.001) after the delivery was significantly different in most cases of the intervention group when compared to the controls.Conclusion: The results indicated that prenatal counseling can increase mothers’ breastfeeding self-efficacy and solves most breastfeeding problems during postpartum period.Trial registration: IRCT20100109003027N19
A feasibility study of a WhatsApp-delivered transtheoretical model-based intervention to promote healthy eating knowledge and habits for firefighters in Hong Kong: A cluster randomized controlled trial
Authors: NG Winnie WM , Cheung Kin 
Published: March 2020

Abstract
Background: Firefighters’ health is often affected by a high prevalence of obesity and cardiovascular diseases, which are common risk factors for sudden cardiac death. The aim of this study was to investigate the feasibility of enhancing healthy eating habits and knowledge in firefighters through an education programme.
Method: This will be a cluster randomized control trial study. The participants will be assigned randomly into either control (health promotion pamphlet) or intervention (health promotion pamphlet and education materials through WhatsApp) groups. Changes in healthy eating habits and knowledge will be assessed by a self-administrative questionnaire (Appendix III) and anthropometric measurements at three different time points.
Discussion: More education is required in order to improve firefighters’ eating habits and knowledge
Evaluation of dialysis centres: Values and criteria of the stakeholders
Authors: Parra Eduardo , Arenas María Dolores , Luis María José Fernandez-Reyes , Forcén Angel Blasco , Alvarez-Ude Fernando , Joven Juan Aguarón , Casas Alfredo Altuzarra , Moreno-Jiménez José María 
Published: March 2020

Abstract
Bacground Evaluation of renal replacement therapy with haemodialysis is essential for its improvement. However, the methods used have important epistemological limitations. The present study aimed to determine the opinions and preferences of stakeholders (patients, clinicians, and managers) and establish their relative importance to facilitating an adequate evaluation. Methods Successive working groups (WGs) were established using a multicriteria methodology. WG1 created a draft of criteria and sub-criteria, WG2 agreed, and WG3 was composed of three face-to-face subgroups (WG3-A, WG3-B, and WG3-C) that weighted them using two methodologies: weighting sum (WS) and analytic hierarchy process (AHP). Subsequently, they determined a preference for the WS or AHP results. Finally, via the Internet, WG4 weighted the criteria and sub-criteria by the method preferred by WG3, and WG5 analysed the results. Results WG1 and WG2 identified and agreed on the following evaluation criteria: evidence-based variables (EBVs), annual morbidity, annual mortality, PROMs, and PREMs. The EBVs consisted of five sub-criteria: type of vascular access, dialysis dose, haemoglobin concentration, ratio of catheter bacteraemia, and bone mineral disease. The patients rated the PROMs with greater weight than the other stakeholders in both face-to-face WG3 (WS and AHP) and WG4 via the Internet. The type of vascular access was the most valued sub-criterion. A performance matrix of each criterion and sub-criterion is presented as a reference for assessing the results based on the preferences of the stakeholders. Conclusions The use of a multicriteria methodology allows the relative importance of the indicators to be determined, reflecting the values of the different stakeholders. In a performance matrix, the inclusion of values and intangible aspects in the evaluation could help in making clinical and organizational decisions.
Subconjunctival injections of triamcinolone acetonide to treat uveitic macular edema
Authors: Qu Yi , Liu Xinshu , Liang Anyi , Zhao Chan , Gao Fei , Meifen Zhang 
Published: March 2020

Abstract
Background: To evaluate the efficacy and safety of subconjunctival triamcinolone acetonide (TA) injections for treating uveitic macular edema (UME). Methods: This retrospective case series study included patients with UME who received subconjunctival TA injections with a minimum follow-up period of 6 months. The main outcome measure was central macular thickness. The secondary outcome measures included best corrected visual acuity, recurrence rate and intraocular pressure. Results: In total, 68 patients (83 eyes) were enrolled in this study. The mean CMT decreased from 456.9 ± 171.1 μm at baseline to 324 ± 175.9 μm, 305.6 μm ± 147.7 μm, 331.8 ± 154.3 μm and 281.1 ± 147.6 μm at 1-, 2-, 3- and 6-months post injection, respectively (all P < 0.01). A total of 21/83 eyes exhibited elevated IOPs, of which 14 were controlled with topical IOP-lowering agents and 7 eyes underwent surgical removal of subconjunctival TA deposit. Conclusion: Subconjunctival TA injections appear to be safe and effective for UME.
Differences in gait analysis and clinical outcome after TightRope® or screw fixation in acute syndesmosis rupture: Study protocol for a prospective randomized trial
Authors: Doll Julian , Waizenegger Stefan , Bruckner Thomas , Schmidmaier Gerhard , Wolf Sebastian I. , Fischer Christian 
Published: March 2020

Abstract
Background:
Ankle sprains and fractures are most common injuries in orthopedic and trauma surgery. The concurrent occurrence of syndesmosis ruptures in these injuries represents a more complex problem, as they often remain undetected.
A proper and accurate treatment of injuries of the syndesmosis, both isolated and combined with fractures, is necessary to avoid long-term consequences (chronic instability, cartilage damage and post-traumatic osteoarthritis). The most popular treatment option is a static screw fixation and the newly developed dynamic TightRope® (Arthrex, Naples, FL, USA).
The aim of this study is to compare monitor ankle range of motion and maximum ankle power in gait as functional outcome parameters of instrumented gait analysis, as well as clinical and radiographic outcome for assessing the stabilization of acute syndesmosis rupture with either a static implant (a 3.5mm metallic screw) or a dynamic device (TightRope®).
Methods:
This prospective, randomized, controlled, clinical trial will be carried out at the Center for Orthopedics, Trauma Surgery and Spinal Cord Injury of the University Hospital Heidelberg. Adult patients, who suffer from an acute syndesmosis rupture, both isolated and in combination with fractures of the lateral malleolus (Weber C and Maisonneuve fractures) and who are undergoing surgery at our trauma center will be included in our study. The patients will be randomized to the different treatment options (screw fixation or “TightRope®”). Subsequent to the surgical treatment, all patients will receive the same standardized follow-up procedures including a gait analysis and MRI of the ankle at 6 months follow-up.
The primary endpoint of the study is the successful healing of the syndesmosis and biomechanical investigation with gait analysis.
Discussion:
The results of the gait analysis from the current study will help to impartially and reliably evaluate the clinical and biomechanical outcome of both treatment options of acute syndesmosis ruptures. We hypothesize that the dynamic fixation provides an equivalent or better biomechanical, clinical and radiographic outcome in comparison to the screw fixation.