bluuebunny/crossref_metadata_2025_split huggingface dataset:
Primary care consultations after hospitalisation for pneumonia: a large population-based cohort study
Authors: Baskaran Vadsala , Pearce Fiona , Harwood Rowan H , McKeever Tricia M , Lim Wei Shen 
Published: December 2020

BackgroundUp to 70% of patients report ongoing symptoms 4 weeks after hospitalisation for pneumonia; the impact on primary care is poorly understood.AimTo investigate the frequency of primary care consultations after hospitalisation for pneumonia, and the reasons for consultation.Design and settingA population-based cohort study in England using a UK primary care database of anonymised medical records (Clinical Practice Research Datalink [CPRD]) linked to Hospital Episode Statistics (HES).MethodAdults with the first International Classification of Diseases, 10th Revision (ICD-10) code for pneumonia (J12–J18) recorded in HES between July 2002 and June 2017 were included. Primary care consultation within 30 days of discharge was identified as the recording of any medical Read code (excluding administration-related codes) in CPRD. Competing-risks regression analyses were conducted to determine the predictors of consultation and antibiotic use at consultation; death and readmission were competing events. Reasons for consultation were examined.ResultsOf 56 396 adults, 55.9% (n = 31 542) consulted primary care within 30 days of hospital discharge. The rate of consultation was highest within 7 days (4.7 per 100 person–days). The strongest predictor for consultation was a higher number of primary care consultations in the year before index admission (adjusted subhazard ratio [sHR] 8.98, 95% confidence interval [CI] = 6.42 to 12.55). The most common reason for consultation was for a respiratory disorder (40.7%, n = 12 840), 11.8% for pneumonia specifically. At consultation, 31.1% (n = 9823) received further antibiotics. Penicillins (41.6%, n = 5753/13 829) and macrolides (21.9%, n = 3029/13 829) were the most common antibiotics prescribed.ConclusionFollowing hospitalisation for pneumonia, a significant proportion of patients consulted primary care within 30 days, highlighting the morbidity experienced by patients during recovery from pneumonia.
TINJAUAN HUKUM LINGKUNGAN TERHADAP PENANGKAPAN KEPITING BERTELUR DIDUSUN MENCO KECAMATAN WEDUNG KABUPATEN DEMAK
Authors: Wahyu Saputra Pipit Fahri 
Published: December 2020

Masyarkat Menco Kecamatan Wedung Kabupaten Demak yang sebagian besar berprofesi sebagai petani tambak dan nelayan tradisional yang masih menggantungkan hasil tangkapan dialam yang berupa kepiting untuk memenuhi kebutuhan hidup sehari-hari.Oleh karena itu penulis membahas mengenai Tinjaun Hukum Lingkungan Terhadap Penangkapan Kepiting Bertelur di Dusun Menco Kecamatan Wedung Kabupaten Demak.Adapun yang menjadi permasalahan menurut penulis dalam penelitian ini adalah : (1) Bagaimana dampak penangkapan kepiting bertelur dalam lingkungan hidup masyarakat Desa Menco? (2)Bagaimana tinjauan hukum lingkungan terhadap penangkapan kepiting bertelur?.
Tujuan penelitian ini adalah untuk menjelaskan dampak dari penangkapan kepiting bertelur dalam lingkungan hidup masyarakat Menco dan untuk menjelaskan mengenai tinjauan hukum lingkungan terhadap penangkapan kepiting bertelur
Tipe penelitian yang digunakan dalam penelitian ini adalah tipe penelitian yuridis sosiologis.Spesifikasi penelitian dalam penulisan ini bersifat deskriptif analitis.Analisis yang dipergunakan dalam penulisan skripsi ini adalah deskriptif analisis.
Berdasarkan hasil penelitian dan pembahasan mengenai eksistensi Peraturan Menteri Kelautan dan Perikanan Nomor 1 Tahun 2015 Tentang Pelarangan Penangkapan Lobster, Kepiting dan Rajungan dalam lingkup hidup masyarakat Menco Kecamatan Wedung Kabupaten Demak dapat menjawab permasalahan yang ada bahwa penangkapan kepiting yang dilakukan oleh masyarakat Menco tidak sesuai dengan yang sudah ditetapkan oleh Pemerintah melalui Peratutan Menteri Kelautan dan Perikanan Nomor 1 Tahun 2015 Tentang Pelarangan Penangkapan Lobster, Kepiting dan Rajungan. Dampak yang ditimbulkan dari penangkapan kepiting yang dilakukan oleh masyarakat Menco beragam dari ekonomi sampai populasi dari kepiting yang berada dialam bebas.Dapat disimpulkan bahwa kegiatan penangkapan kepiting yang dilakukan oleh masyarakat Menco baik nelayan maupun pemilik tambak tergolong melanggar peraturan yang ada dan merugikan mayarakat itu sendiri terutama masyarakat Menco.
O PERÍMETRO IRRIGADO AYRES DE SOUZA: APONTAMENTOS E DISCUSSÕES
Authors: Ximenes Antonia Vanessa Silva Freire Moraes 
Published: December 2020

Objetivando revelar o perímetro irrigado Ayres de Souza, apontando aspectos de sua trajetória e de seu cotidiano, está este artigo. Neste se reflete ainda, sobre como os colonos selecionados na década de 1970 pelo DNOCS, para ocuparem o perímetro irrigado Ayres de Souza, se organizaram no projeto e estabeleceram complexas relações ao interagirem entre si; com o Estado; com o mercado; com as comunidades em seu entorno e, principalmente, com as terras que compõem o Ayres de Souza, com as quais desenvolveram sentimentos de pertencimento ao longo de sua vivência nas mesmas, conferindo ao projeto caráteres de articulação e coesão que, por sua vez, o caracterizam e o diferem dos demais treze perímetros irrigados implantados no Semiárido nordestino, os quais no decorrer do tempo, assim como o Ayres de Souza, passaram por significativas mudanças resultantes da reorientação política traçada para estes projetos pelo Estado capitalista brasileiro, ocorrida na década de 1990 e que produziu diferentes contextos nestes projetos, a depender da forma como se adaptaram às novas demandas impostas pela mudança de viés político dos perímetros irrigados.
Semantics of Verbal Derivatives with Deictic Formants «hin» and «her» (Based on German)
Authors: Kotik Tatyana 
Published: December 2020

Local deictics «hin» and «her» have a high derivational activity in the German language. These deictic elements are actively used as prefixes and enter into derivational relations with various parts of speech. It is found that the verbs constitute the majority of derivative words, formed by means of formants
«hin» and «her» used as derivational formants. The article is devoted to the analysis of semantic of derivative verb formed by means of local deictics «hin» and «her» used as derivational formants. The article specifies semantic groups of verbs with which the analyzed linguistic units enter into derivational relations. The author of the work defines modifications types of the motion verbs semantics, as well as the verbs semantics of other semantic groups arising as a result of derivation. It has been identified that both spatial and other components, determinative, negatively evaluative, motive and other ones can arise as a result of modifications in the semantics of verbs.
PENGEMBANGAN GAME MATH SPACE ADVENTURE SEBAGAI MEDIA PEMBELAJARAN PADA MATERI PECAHAN DI SEKOLAH DASAR
Authors: Rofiqoh Iffatur , Puspitasari Diana , Nursaidah Zulinda 
Published: December 2020

Penelitian yang dilakukan bertujuan untuk mengembangkan media pembelajaran dengan kriteria yang valid, praktis dan efektif dalam bentuk game edukasi yang berjudul “Math Space Adventure” dengan sasaran kelas IV SD pada materi pecahan. Game dikembangkan melalui aplikasi construct 2 dengan model pengembangan ADDIE yaitu Analysis, Design, Development, Implementation, dan Evaluation. Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian pengembangan (RnD) dengan instrumen penelitian berupa lembar validasi untuk ahli media, lembar validasi untuk ahli materi, angket respon guru, pretest dan posttest hasil belajar siswa. Hasil penelitian secara umum menggambarkan bahwa game Math Space Adventure telah memenuhi kriteria valid, efektif dan praktis sebagai media pembelajaran materi pecahan bagi siswa kelas IV di MIN 2 Kediri. Hasil uji kevalidan adalah media masuk dalam kategori valid berdasarkan penilaian dari ahli materi dan ahli media. Berdasarkan hasil nilai pretest dan posttest, penerapan game Math Space Adventure dapat meningkatkan presentase hasil belajar sebesar 32,79% sehingga dikatakan efektif. Berdasarkan hasil analisa angket kepraktisan guru diperoleh hasil bahwa tingkat kepraktisan produk mendapatkan skor 80,9% dengan kriteria sangat praktis. Sehingga, dapat disimpulkan bahwa game edukasi “Math Space Adventure” layak dijadikan media pembelajaran karena memenuhi aspek keefektifan, kevalidan, kepraktisan dan dapat meningkatkan ketercapaian hasil belajar siswa.
HUBUNGAN SEBARAN CLEAT DENGAN NILAI PROXIMATE BATUBARA PADA PERTAMBANGAN BATUBARA PT. BUKIT ASAM
Authors: Edwar Adbel Yuki , Ibrahim Eddy , Haryati Sri 
Published: December 2020

Pertambangan batubara merupakan salah satu dari sekian banyak jenis pertambangan di Indonesia. Secara geologi, keterbentukan batubara di Indonesia sendiri dapat dibedakan menjadi tiga cekungan, yaitu intramontana, cekungan daratan-muka (foreland basin, back deep basin), dan cekungan delta. Batubara yang terendapkan memberikan kenampakan geologi. Salah satu kenampakan tersebut adalah cleat pada batubara. Cleat pada batubara merupakan rengkahan yang ada pada batubara. Terdapat dua jenis cleat pada batubara, yaitu face cleat dan butt cleat, namun pada penelitian ini akan lebih memfokuskan penelitian pada face cleat. Penelitian terdahulu mengenai cleat pada umumnya lebih mengarah pada pengaruhnya terhadap keterbentukan CBM, namun belum ada yang membahas mengenai hubungan keterdapatan cleat terhadap nilai proximate batubara. Penelitian ini bertujuan untuk mengetahui besarnya pengaruh dari persebaran cleat batubara terhadap nilai dari proximate batubara. Nilai proximate yang diperoleh akan dibandingkan dengan nilai dari cleat yang diteliti. Nilai cleat yang diteliti adalah banyak cleat yang terbentuk, densitas cleat, serta arah persebaran cleat. Pengumpulan data cleat tersebut dilakukan dengan menggunakan metode windows sampling, sedangkan metode penelitian yang digunakan adalah metode kualitatif, yaitu pengumpulan data berbentuk angka. Sampel yang diuji berasal dari wilayah penambangan bukit asam, diantaranya TSBC, suban timur, dan bangko barat. Hasil dari penelitian menunjukkan terdapat hubungan antara nilai fixed carbon dari batubara dengan total arah sebaran dari cleat, sedangkan untuk banyaknya cleat yang terbentuk pada permukaan batubara, cendrung searah dengan pergerakan dari total moisture, volatile meter, dan ash content.
PENGARUH PERPUTARAN MODAL KERJA DAN PERPUTARAN PIUTANG TERHADAP PROFITABILITAS PADA CV. NONYDA MAKASSAR
Authors: Marlinah Andi , Nurmasitah Nurmasitah 
Published: December 2020

Penelitian ini bertujuan untuk mengetahui pengaruh perputaran modal kerja dan perputaran piutang terhadap profitabilitas pada CV. Nonyda Makassar. Penelitian ini ini menggunakan data sekunder berupa Laporan keuangan bulanan Perusahaan dari tahun 2016 – 2018 atau 36 bulan. Hasil penelitian ini membuktikan bahwa secara parsial perputaran modal kerja berpengaruh positif dan siginifikan terhadap profitabilitas, sedangkan perputaran piutang tidak berpengaruh secara signifikan terhadap profitabilitas. Penelitian ini juga membuktikan bahwa secara simultan perputaran modal kerja dan perputaran piutang berpengaruh terhadap profitabilitas. Penelitian ini menghasilkan nilai koefisien determinasi sebesar 71,3% yang menunjukkan bahwa profitabilitas dipengaruhi oleh variabel Perputaran Modal Kerja dan Perputaran Piutang. Sedangkan sisanya sebesar 28,7%, menunjukkan variabel profitabilitas dipengaruhi oleh variabel-variabel yang tidak diteliti dalam penelitian ini.
Visual Maps for Process Research: Displaying the Invisible
Authors: Parmentier-Cajaiba Aura , Cajaiba-Santana Giovany 
Published: December 2020

In this article, we present visual maps as a way of visually representing qualitative data to improve rigor and analysis in process research. Visual representation of data is an essential element of scientific discourse, and historically scholars have put a great deal of effort into finding creative and efficient ways of visually representing quantitative data. Nevertheless, despite endeavors to integrate visual methods into organizational and management research, qualitative research still lacks a conceptual grounding of the ontological status of visual representation as well as effective tools to visually display data. We contribute to filling these gaps and start a discussion on qualitative data visualization by proposing Latour’s concept of inscription as a conceptual framework and the use of visual maps as a methodological tool for qualitative process research. We provide an analytical example of how visual mapping could become a methodological tool that enables recognizing patterns, condensing data, and comparing and examining relationships over time that are not necessarily visible independently of their representations. This also enables researchers to make sense of data, improve analysis, and theorize, thus fostering reflexive thinking and facilitating communication.
The Clinical Disease Activity Index and the Routine Assessment of Patient Index Data 3 for Achievement of Treatment Strategies
Authors: Kremer Joel M. , Pappas Dimitrios A. , Kane Kevin , Greenberg Jeffrey , Harrold Leslie R. , Feathers Vivi L. , Shadick Nancy , Weinblatt Michael E. , Reed George 
Published: December 2020

ObjectiveTo compare the Clinical Disease Activity Index (CDAI) with the Routine Assessment of Patient Index Data 3 (RAPID3) from 2 large United States registries.MethodsUsing a cross section of clinic visits within 2 registries, we determined whether the outcome of each metric would place the patient in remission (REM), low (LDA), moderate (MDA), or high disease activity (HDA) using the CDAI, with the assumption that a patient in MDA or HDA would be a candidate for acceleration of treatment.ResultsWe identified significant disparities between the 2 indices in final disease categorization using each index system. For patients identified in LDA by CDAI, RAPID3 identified 20.4% and 28.3% as LDA in Corrona and the Brigham and Women’s Rheumatoid Arthritis Sequential Study (BRASS), respectively. For patients identified as MDA by CDAI, RAPID3 identified 36.2% and 31.1% as MDA in Corrona and BRASS, respectively, with the greatest disparities within each system identified for LDA and MDA activity by the CDAI (20.4% and 36.2% agreement of RAPID3 with CDAI, respectively, in Corrona and 28.3% and 31.1% agreement in BRASS). Overall comparison between CDAI and RAPID3 in the 4 disease categories resulted in estimated κ = 0.285 in both. The RAPID3 scores indicated the potential for treat-to-target acceleration in 34.4% of patients in REM or LDA based on CDAI in Corrona and 27.7% in BRASS, respectively.ConclusionThe RAPID3, based on patient-reported outcomes, shows differences with CDAI categories of disease activity. The components of CDAI are not highly correlated with RAPID3, except for patient global assessment. These differences could significantly affect the decision to advance treatment when using a treat-to-target regimen.
Improving Pneumococcal Vaccination Rates in Rheumatology Patients by Using Best Practice Alerts in the Electronic Health Records
Authors: Sheth Heena S. , Grimes Vera D. , Rudge Diana , Ayers Brandon , Moreland Larry W. , Fischer Gary S. , Aggarwal Rohit 
Published: December 2020

ObjectiveTo improve pneumococcal vaccination (PV) rates among rheumatology clinic patients on immunosuppressive therapy in the outpatient settings.MethodsThis quality improvement project was based on the pre–post intervention design. Phase I of the project targeted patients with rheumatoid arthritis from 13 rheumatology clinics (January 2013–July 2015) on immunosuppressive therapy to receive the pneumococcal polysaccharide vaccine (PPSV23). In the Phase II study (January 2016–October 2017), all patients on immunosuppressive medications regardless of diagnosis were targeted to receive PPSV23 and the pneumococcal conjugate vaccine (PCV13). The best practice alerts (BPAs) for both PVs were developed based on the Centers for Disease Control and Prevention guidelines, which appeared on electronic medical records for eligible patients at the time of assessment by the medical assistant. The BPA was designed to inform the vaccination status and enable the physician to order the PV, or to document refusal or deferral reasons. Education regarding vaccine guidelines, BPAs, vaccination process, and regular feedback of results were important project interventions. The vaccination rates during pre–post intervention for each study phase were compared using chi-square test.ResultsDuring phase I, PPSV23 vaccination rates improved from a 28% preintervention rate to 61.5% (P < 0.0001). During phase II, 77.4% of patients had received either PPSV23, PCV13, or both, compared to 49.6% of patients in the preintervention period (P < 0.0001). The documentation rates (vaccine received, ordered, patient refusal and deferral reasons) increased significantly in both phases.ConclusionElectronic identification of vaccine eligibility and implementation of BPAs with capabilities to order and document resulted in significantly improved PV rates. The process has potential for self-sustainability and generalizability.
The Rheumatoid Arthritis Gene Expression Signature Among Women Who Improve or Worsen During Pregnancy: A Pilot Study
Authors: Pathi Amogh , Wright Matthew , Smed Mette Kiel , Nelson J. Lee , Olsen Jørn , Hetland Merete Lund , Zoffmann Vibeke , Jawaheer Damini 
Published: December 2020

Objective.To assess whether gene expression signatures associated with rheumatoid arthritis (RA) before pregnancy differ between women who improve or worsen during pregnancy, and to determine whether these expression signatures are altered during pregnancy when RA improves or worsens.Methods.Clinical data and blood samples were collected before pregnancy (T0) and at the third trimester (T3) from 11 women with RA and 5 healthy women. RA disease activity was assessed using the Clinical Disease Activity Index (CDAI). At each timepoint, RA-associated gene expression signatures were identified using differential expression analysis of RNA sequencing profiles between women with RA and healthy women.Results.Of the women with RA, 6 improved by T3 (RAimproved), 3 worsened (RAworsened),and 2 were excluded. At T0, mean CDAI scores were similar in both groups (RAimproved 11.2 ± 9.8; RAworsened 13.8 ± 6.7; Wilcoxon rank-sum test: P = 0.6). In the RAimproved group, 89 genes were differentially expressed at T0 (q < 0.05 and fold change ≥ 2) compared to healthy women. When RA improved at T3, 65 of 89 (73%) of these genes no longer displayed RA-associated expression. In the RAworsened group, a largely different RA gene expression signature (429 genes) was identified at T0. When RA disease activity worsened at T3, 207 of 429 (48%) genes lost their differential expression, while an additional 151 genes became newly differentially expressed.Conclusion.In our pilot dataset, pre-pregnancy RA expression signatures differed between women who subsequently improved or worsened during pregnancy, suggesting that inherent genomic differences may influence how pregnancy affects disease activity. Further, these RA signatures were altered during pregnancy as disease activity changed.
Partie II. France : croissance vulnérable
Authors: Département analyse et prévision  , Heyer Éric , Timbeau Xavier 
Published: December 2020

En France, sur l’ensemble de l’année 2020, nous prévoyons une baisse de 9 % du PIB. 55 % du choc serait absorbé par les administrations publiques. Les entreprises verraient leur revenu se réduire de 56 milliards (ce qui correspond à 41 % du choc) et leur taux de marge baisserait de 4,2 points de valeur ajoutée sur l’année. La baisse de revenu pour les ménages serait limitée (-5 milliards) et l’accumulation d’« épargne-Covid-19 » serait élevée, représentant 86 milliards d’euros sur l’ensemble de l’année 2020. Pour 2020 le déficit atteindrait -8,9 % de PIB, un maximum historique depuis que les comptes nationaux sont disponibles. En 2021 le déficit public s’établirait à -6,3 % du PIB. Le nombre de chômeurs augmenterait de 810 000 sur l’année 2020 et le taux de chômage atteindrait 11 % en fin d’année. Le chômage baisserait de 400 000 personnes en 2021 et le taux de chômage serait de 9,6 % de la population active fin 2021, soit 1,5 point de plus que son niveau observé fin 2019. Le Plan de relance améliorerait le PIB à hauteur de 1,1 % pour 2021 et la croissance serait de 7 %. Le calibrage budgétaire des mesures de réponse à la crise sur deux ans couvre 37 % des pertes cumulées d’activité sur 2020-21, soit une part similaire au plan de relance de 2009-2010. En 2022, les nouvelles mesures issues du Plan de relance auraient un impact de 0,9 point de PIB sur l’activité.
Reflexión docente en educadores físicos en formación
Authors: Hernández Amezcua Humberto Andrés , Martínez Flores Alicia 
Published: December 2020

La reflexión es parte fundamental en la formación inicial docente. Permite el diseño de actividades y estrategias para una práctica centrada en el proceso de la actuación de quien la aplica para un mejor desempeño. El objetivo de este estudio es identificar los factores asociados al proceso de reflexión docente en educadores físicos de la Benemérita Escuela Normal Veracruzana. Es un estudio cuantitativo, transversal, exploratorio y observacional, con un cuestionario autoaplicable, con preguntas precodificadas. El análisis de la información se realizó en SPSS vers. 23. Los resultados de los factores asociados a la reflexión docente: Originario de Xalapa (0,020); nivel socioeconómico alto (0,074); dependiente económicamente (0,0001); padre o tutor con licenciatura o más (0,0004); y que realicen una actividad que les reditúe económicamente (0,003). En la prueba de X² de Mantel Haenszel se encontró un valor de p de 0,0351. La reflexión es parte fundamental en la formación inicial docente y permite el diseño de actividades y estrategias y le conceden al desarrollo de la reflexión docente gran importancia en su formación educativa.
Correlation between Mother's Behavior with Periodontal Status and Periodontal Treatment Needs in Children with Autism
Authors: Puteri Mega Moeharyono , Saskianti Tania , Ananda Ridha Rizki 
Published: December 2020

Background. Autism is a neurological and developmental disorder. Children with autism have problems related to physical, psychological, and mental barriers that can hinder their ability to achieve optimal dental health status. Maintaining the dental health of children with autism is influenced by parents' teaching skills and habits. From previous study, there were about 17.4% children with autism in Saudi Arabia suffering from bleeding of the gingiva. Periodontal disease is often found in children with autism.
Objective. This study analyzes the relationship between mother’s behavior with periodontal status and periodontal treatment needs of children with autism.
Methods. Analytical observational study with cross-sectional approach at AGCA Centre Surabaya with a total sample of 34 pairs of children with autism and their mothers. This study used the HU-DBI questionnaire which consisted of knowledge, attitude, and mother’s action and oral examination of children with autism with the CPITN index.
Results. Of the children with autism, 55.8% had healthy periodontal status. The knowledge, attitudes, and actions of mothers were high. Statistical results with Spearmen correlation test obtained a value of p>0.05 on aspects of knowledge, attitudes, and actions towards the CPITN index and periodontal treatment needs.
Conclusion. There was no significant correlation between the mother’s behavior and the periodontal status and periodontal treatment needs of children with autism in managing their oral health.