bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of the Revised NRP Meconium Aspiration Guidelines on Term Infant Outcomes
Authors: Myers Patrick , Gupta Arika G. 
Published: March 2020

OBJECTIVES:
To evaluate the association of the Neonatal Resuscitation Program, Seventh Edition changes on term infants born with meconium-stained amniotic fluid (MSAF).

STUDY DESIGN:
We evaluated the effect of no longer routinely intubating nonvigorous term infants born with MSAF in 14 322 infants seen by the resuscitation team from January 1, 2014 to June 30, 2017 in a large, urban, academic hospital.

RESULTS:
Delivery room intubations of term infants with MSAF fell from 19% to 3% after the change in guidelines (P = &lt;.0001). The rate of all other delivery room intubations also decreased by 3%. After the implementation of the Seventh Edition guidelines, 1-minute Apgar scores were significantly more likely to be &gt;3 (P = .009) and significantly less likely to be &lt;7 (P = .011). The need for continued respiratory support after the first day of life also decreased. Admission rates to the NICU, length of stay, and the need for respiratory support on admission were unchanged.

CONCLUSIONS:
Implementation of the Neonatal Resuscitation Program, Seventh Edition recommendations against routine suctioning nonvigorous infants born with MSAF was temporally associated with an improvement in 1-minute Apgar scores and decreased the need for respiratory support after the first day of life. There was also a significant decrease in total intubations performed in the delivery room. This has long-term implications on intubation experience among frontline providers.
Parent Perspectives During Hospital Readmissions for Children With Medical Complexity: A Qualitative Study
Authors: Leary Jana C. , Krcmar Rachel , Yoon Grace H. , Freund Karen M. , LeClair Amy M. 
Published: March 2020

OBJECTIVES:
Children with medical complexity (CMC) have high readmission rates, but relatively little is known from the parent perspective regarding care experiences surrounding and factors contributing to readmissions. We aimed to elicit parent perspectives on circumstances surrounding 30-day readmissions for CMC.

METHODS:
We conducted 20 semistructured interviews with parents of CMC experiencing an unplanned 30-day readmission at 1 academic medical center between December 2016 and January 2018, asking about topics such as previous discharge experiences, medical services and resources, and home environment and social support. Interviews were recorded, professionally transcribed, and analyzed thematically by using a modified grounded theory approach.

RESULTS:
Children ranged in age from 0 to 15 years, with neurologic complex chronic conditions being predominant (35%). Although the majority of parents did not identify any factors that they perceived to have contributed to readmission, themes emerged regarding challenges associated with chronicity of care and transitions of care that might influence readmissions, including frequency of hospital use, symptom confusion, lack of inpatient continuity, resources needed but not received, and difficulty filling prescriptions.

CONCLUSIONS:
Parents identified multiple challenges associated with chronicity of medical management and transitions of care for CMC. Future interventions aiming to improve continuity and communication between admissions, ensure that home services are provided when applicable and prescriptions are filled, and provide comprehensive support for families in both the short- and long-term may help improve patient and family experiences while potentially decreasing readmissions.
Vaccination Status and Adherence to Quality Measures for Acute Respiratory Tract Illnesses
Authors: Bryan Mersine A. , Hofstetter Annika M. , Simon Tamara D. , Zhou Chuan , Williams Derek J. , Tyler Amy , Kenyon Chén C. , Vachani Joyee G. , Opel Douglas J. , Mangione-Smith Rita 
Published: March 2020

OBJECTIVES:
To assess the relationship between vaccination status and clinician adherence to quality measures for children with acute respiratory tract illnesses.

METHODS:
We conducted a multicenter prospective cohort study of children aged 0 to 16 years who presented with 1 of 4 acute respiratory tract illness diagnoses (community-acquired pneumonia, croup, asthma, and bronchiolitis) between July 2014 and June 2016. The predictor variable was provider-documented up-to-date (UTD) vaccination status. Our primary outcome was clinician adherence to quality measures by using the validated Pediatric Respiratory Illness Measurement System (PRIMES). Across all conditions, we examined overall PRIMES composite scores and overuse (including indicators for care that should not be provided, eg, C-reactive protein testing in community-acquired pneumonia) and underuse (including indicators for care that should be provided, eg, dexamethasone in croup) composite subscores. We examined differences in length of stay, costs, and readmissions by vaccination status using adjusted linear and logistic regression models.

RESULTS:
Of the 2302 participants included in the analysis, 92% were documented as UTD. The adjusted mean difference in overall PRIMES scores by UTD status was not significant (adjusted mean difference −0.3; 95% confidence interval: −1.9 to 1.3), whereas the adjusted mean difference was significant for both overuse (−4.6; 95% confidence interval: −7.5 to −1.6) and underuse (2.8; 95% confidence interval: 0.9 to 4.8) composite subscores. There were no significant adjusted differences in mean length of stay, cost, and readmissions by vaccination status.

CONCLUSIONS:
We identified lower adherence to overuse quality indicators and higher adherence to underuse quality indicators for children not UTD, which suggests that clinicians “do more” for hospitalized children who are not UTD.
Model Komunikasi Rohani Islam Di Rohis Baitul Ilmi SMKN 1 Cikampek
Authors: Winata Meilia Asriyati , Shodiqin Asep , Yaya Yaya 
Published: March 2020

The purpose of this study was to find out the communication model used by Rohis Baitul Ilmi at SMK 1 Cikampek, to find out how the activities carried out by Rohis Baitul Ilmi at SMK 1 Cikampek. What material and media are used in each Khitobah activity. To discuss the issue, researchers used a descriptive method of qualitative approach. This method is used to explain and tell. The facts that happened the Khitobah activity by Rohis Baitul Ilmi in SMK 1 Cikampek. The data collection technique is carried out through the observation and interview stages. The results of this study are the Rohis communication model at SMK 1 Cikampek which is the Aristotelian communication model and the Laswell communication model. Because in some circumcision activities carried out Rohis has the same communication elements as the elements of the communication model. While the form of Khitobah used is by way of Ershad Islam (coaching) conveying its message through verbal preaching. The media used in delivering da'wah messages is Facebook, Instagram, and YouTube. The material was delivered in accordance with the objectives of da'wah, which is around adolescents originating from Al-Qur'an and As-Sunnah.

Tujuan penelitian ini untuk mengetahui model komunikasi yang digunakan oleh Rohis Baitul Ilmi SMKN 1 Cikampek, mengetahui bagaimana kegiatan yang dilakukan oleh Rohis Baitul Ilmi SMKN 1 Cikampek. Materi dan media apa saja yang digunakan dalam setiap kegiatan Khitobah. Untuk membahas persoalan tersebut, peneliti menggunakan metode deskriptif pendekatan kualitatif. Metode ini digunakan untuk memaparkan dan menceritakan. Fakta-fakta yang terjadi pada kegiatan Khitobah di Rohis Baitul Ilmi SMKN 1 Cikampek. Teknik pengumpulan datanya dilakukan melalui tahap observasi dan wawancara.Hasil dari penelitian ini model komunikasi Rohis di SMKN 1 Cikampek merupakan model komunikasi Aristoteles dan model komunikasi Laswell. Karena dibeberapa kegiatan khitobah yang dilakukan Rohis memiliki unsur-unsur komunikasi yang sama dengan unsur-unsur model komunikasi tersebut. Sedangakan bentuk Khitobah yang digunakan adalah dengan cara Irsyad Islam (pembinaan) menyampaikan pesannya melalui dakwah bil-lisan. Media yang digunakan dalam meyampaikan pesan dakwah adalah Facebook, Instagram, dan youtube. Materi disampaikan disesuaikan dengan sasaran dakwah yaitu seputaran remaja yang bersumber dari Al’Quran dan As-Sunnah.
Geometry of a Relativistic Quantum Chaos: New approach to dynamics of quantum systems in electromagnetic field and some applications
Authors: Glushkov Alexander , Ternovsky Valentin , Prepelitsa Georgy 
Published: March 2020

In the paper we present development of a new relativistic chaos-geometric and quantum-dynamic approach to solve problems of complete modelling relativistic chaotic dynamics of atoms in an electromagnetic field. As usually the approach consistently includes a number of new relativistic quantum models and a number of new or improved methods of analysis (correlation integral, fractal analysis, algorithms, average mutual information, false nearest neighbors, Lyapunov exponents, surrogate data, non-linear prediction, spectral methods, etc.) For the first time we present the corresponding atomic ionization quantitative data for some atoms in a microwave external field.
La inclusión financiera analizada desde una técnica de reducción de dimensiones
Authors: Romero-Álvarez Yaneth , Niebles-Núñez William , Niebles-Núñez Leonardo 
Published: March 2020

Objetivo: Analizar el nivel de los índices de inclusión financiera en los diferentes productos del sistema financiero como son los ahorros, el crédito y los seguros en el Departamento de Sucre, estudiando los factores que influyen en dicho nivel, mediante la técnica de reducción de dimensiones. Método: el estudio realizado fue de tipo exploratorio, descriptivo y transversal. Se realizaron 541 encuestas en todo el Departamento de Sucre. Con la información obtenida se construyó una base de datos y se calcularon las variables principales del estudio. Resultados: los indicadores de inclusión seleccionados aunque se encuentran correlacionados, su variabilidad es explicada en gran parte por un solo factor. Discusiones: aún se encuentra gran exclusión de la población, especialmente en áreas rurales y en regiones con atraso económico como es el Departamento de Sucre. Conclusiones: con el presente estudio se analizaron los niveles de inclusión financiera de los diferentes productos del sistema financiero como son los ahorros, el crédito y los seguros en el Departamento de Sucre, estudiando los factores que influyen en dicho nivel, mediante la técnica de reducción de dimensiones: Análisis de Componentes Principales–ACP. Como resultado, se identificó que la variabilidad de los niveles de inclusión responde a un solo factor en común.
KAJIAN ARSITEKTUR TERHADAP ANALISA PERILAKU PADA BANGUNAN PERUMAHAN CITRA GRAND CITY PALEMBANG
Authors: NARHADI J. M. SRI 
Published: March 2020

Abstract: Housing in urban areas has become a necessity both in terms of current housing needs and future housing needs. All of these housing developments have their own targets in meeting their needs. The government itself also targets that the existing housing can be reached by all levels of society.Citra Grand City Palembang is an example of an elite residential complex in Palembang and was developed since 2008. Citra Grand City is designed as a city that has good accessibility. With its status as a residential complex of elite complexes, it is interesting to study how the behavior contained therein is reviewed through architectural rules. In connection with the field of architecture the behavior to be observed is the garbage disposal system, parking arrangement, compliance with building boundary rules, and aesthetic observation.Keywords: Housing, Architecture, Behavior Abstrak: Perumahan dalam perkotaan saat ini telah menjadi sebuah kebutuhan baik ditinjau dari kebutuhan rumah saat ini maupun kebutuhan rumah akan datang. Kesemua pembangunan perumahan ini mempunyai target tersendiri dalam pemenuhan kebutuhannya. Pemerintah sendiri juga menargetkan agar perumahan yang ada saat ini dapat dijangkau oleh semua lapisan masyarakat.Citra Grand City Palembang adalah sebuah contoh bangunan perumahan kompleks elite yang ada di Palembang dan dikembangkan sejak tahun 2008. Citra Grand City dirancang sebagai kota yang memiliki aksesibilitas yang baik. Dengan statusnya sebagai sebuah kawasan bangunan perumahan kompleks elite, menarik untuk dikaji bagaimana perilaku yang terdapat di dalamnya ditinjau melalui kaidah arsitektur. Dalam kaitan dengan bidang arsitektur perilaku yang akan diamati adalah sistem pembuangan sampah, penataan parkir, kepatuhan terhadap aturan garis sempadan bangunan, dan observasi estetika.Kata Kunci: Perumahan, Arsitektur, Perilaku
Correction of Anterior Open Bite Malocclusion with the Association of Removable Palatal Crib and Chincup
Authors: Vasconcelos Juliana de Brito , Pacheco Daiara Paula , Scwhertner Jefferson , De Almeida Marcio Rodrigues , Conti Ana Cláudia de Castro Ferreira , Oltramari Paula Vanessa Pedron , Fernandes Thais Maria Freire , De Almeida Renato Rodrigues 
Published: March 2020

AbstractAnterior open bite affects the child population by approximately 20%, with great aesthetic-functional impairment due to dental-skeletal changes, which may involve the presence of posterior crossbite. The objective was to present the anterior open bite correction associated with posterior crossbite with the use of a removable palatal crib. Patient during the mixed dentition phase presented an anterior open bite caused by a pacifier sucking habit and secondary lingual interposition. The treatment protocol consisted of the use of removable expander with palatal crib and nocturnal use of the chincup. The anterior open bite was corrected, and the best transverse relation of the arches was obtained. The precocious treatment using the palatal crib associated to the chincup allows to achieve favorable results in the resolution of the anterior open bite. Keywords: Open Bite. Malocclusion. Orthodontics, Interceptive. ResumoA mordida aberta anterior acomete a população infantil em aproximadamente 20%, com grande comprometimento estético-funcional em decorrência das alterações dentoesqueléticas, podendo envolver a presença de mordida cruzada posterior. O objetivo do estudo foi apresentar a correção da mordida aberta anterior associada à mordida cruzada posterior com a utilização de grade palatina removível. Paciente em fase de dentadura mista, apresentava mordida aberta anterior ocasionada por um hábito de sucção de chupeta e interposição lingual secundária. O protocolo de tratamento consistiu na utilização de expansor removível com grade palatina e uso noturno da mentoneira. A mordida aberta anterior foi corrigida e melhor relação transversal dos arcos foi obtida. O tratamento precoce utilizando grade palatina associada à mentoneira permite alcançar resultados favoráveis na resolução da mordida aberta anterior. Palavras-chave: Mordida Aberta. Má Oclusão. Ortodontia Interceptora.
Human Resource Information System (HRIS): An Important Element of Modern Organization
Authors: Lina Manna Akter 
Published: March 2020

Human resources are the most important factor for any organization working in the 21st century. With the increasing effect of globalization and technology, organizations have started to use information systems in various functions of human resources. Human resource information system (HRIS) is not a new concept. Its application is improving day by day with changing the environment. It is one kind of software for data entry, data tracking, and other information about Human Resources like payroll, management, and accounting functions within an organization. An HRIS generally provide the ability to make the plan more effectively, control and manage HR costs; attain better efficiency and excellence in HR decision making; and improve employee and managerial productivity and effectiveness. Lastly, I can say that HRIS has various benefits, but the primary benefit is HRIS stores plenty of data about the employees of the organizations. It also helps in the strategic activities of HR managers and more in training and development, applicant tracking in recruitment and selection and human resource planning, etc.
A clinical observational study on second-trimester abortion
Authors: R. Geetha Lakshmi , Pranavi Bommireddy , George Neethu , Saraswathi K. 
Published: March 2020

Background: Second-trimester abortion is an important component of the comprehensive women’s health care. Data’s regarding second-trimester abortion is still under-reporting. Though the percentage of induced second-trimester abortion is low, its morbidity is higher than the first-trimester induced abortion. The abortion related mortality usually increases with the age of gestation.Methods: A retrospective observational study was conducted in the department of obstetrics and gynecology at Sree Balaji Medical College and Hospital, Chennai, over a period of one year. The data were collected from the medical case records and we have analyzed on the epidemiology, etiologies, complications and the methods of second- trimester abortion using statistical analysis.Results: In this study, there was no standard regimen of mifepristone and misoprostol were used for second-trimester abortion. The dosages were varied based on the gestational age of pregnancy. As the gestational age progresses, the amount of misoprostol required for the induction of second trimester abortion decreases and the difference is statistically significant. There was no reported case of rupture uterus, but varied complications such as post-abortal hemorrhage, retained placenta, need for blood transfusion, uterine perforation and one maternal death were reported during the study period.Conclusions: In order to reduce the morbidity and mortality of second trimester abortion, more policies and monitored services have to be rendered by the health system. Data regarding the second trimester abortion have to be improved.
Adolf Arendt: postać ze Sklepów cynamonowych
Authors: Sypek Antoni 
Published: March 2020

Adolf Arendt (1862-1932), nauczyciel rysunków odręcznych w galicyjskich gimnazjach, uważany jest za pierwszego nauczyciela rysunków Brunona Schulza w drohobyckim gimnazjum. Pisarz uczynił go jedną z postaci w Sklepach cynamonowych i, jak się okazuje, jest to jedyna postać w prozie Schulza, która miała swój realny i jednocześnie bezpośredni pierwowzór w rodzinnym mieście pisarza. Autor artykułu pieczołowicie rekonstruuje biografię rzeczywistego Arendta, opierając się na szczegółowych badaniach bibliograficznych oraz licznych kwerendach archiwalnych. Rekonstruując nieznane dotychczas fakty z jego życia, jednocześnie kreśli także szersze tło historyczne dzieła Schulza, uzupełniając dotychczasowe badania nad jego twórczością literacką i plastyczną.
Presencia de alteraciones histopatológicas en vellosidades placentarias normales en Maracay (Venezuela)
Authors: Castejón-S. Olivar C. , López-G. Ángela J. , Pérez-Ybarra Luis M. , Castejón-M. Óliver C. 
Published: March 2020

Objetivo: determinar la proporción de las alteraciones histopatológicas en las vellosidades y en el espacio intervelloso obtenida de cuatro placentas normales del último trimestre del embarazo.Metodología: por medio de la microscopía de luz y la tinción de hematoxilina y eosina (H&E) se identificaron, en 25 láminas de 5 regiones de la placenta, 6 variables cuantitativas (p.ej. inmadurez vellosa, nódulos sincitiales, cambios fibrinoides, edema velloso, fibrosis estromal y calcificación) y 9 variables cualitativas (p.ej. depósitos de fibrina, trombosis intervellosa, infartos, trombosis vascular, cambios en la pared del vaso, calcificación intraluminal, congestión vascular,inflamaciónyhemorragia).Los resultados de las variables cuantitativas se analizaron utilizando el Análisis de Varianza (ANAVAR) de 2 vías con submuestreo y el test de Tukey. En contraste, para las variables cualitativas se aplicó la prueba de Kruskal Wallis y se estimó el porcentaje de positividad según las regiones. Dichos análisis se realizaron por medio del software Statistix® 8.0 y SAS® 9.0 para Windows®.Resultados: no se presentaron diferencias significativas (p<0,05) entre las placentas más no entre las regiones. Del mismo modo, no se observó trombosis vascular, daño de la pared de lvaso,congestión vascular, calcificación intraluminal, inflamación ni hemorragia.Conclusión: las vellosidades analizadas se mostraron homogéneas dentro de cada placenta pero no entre las mismas, indicando una variabilidad que etiológicamente podría explicarse por factores genéticosyambientalesdecuyainteracciónresultarían las diferencias individuales para cada placenta.
Educational method to investigarte the Relationship between Organizational Climate and Deviant Behaviors with the Mediation of Job Alienation Variable (Case Study: National Iranian Copper Industries Company)
Authors: Amin Farahbakhsh Amin , Salajeghe Sanjar , Ziaaddini Mohammad 
Published: March 2020

Regarding the size and dispersion of the complex of copper factories in Iran and the high annual costs of preventing employees' strikes and also reducing deviant behaviors, and the existence of appropriate organizational climate, the aim of the present article is to find an educational method to investigate the relationship between organizational climate and deviant behaviors with the mediation of job alienation variable. This research is applied in terms of purpose, and in terms of nature, it is descriptive-correlation and it was conducted in field method. The statistical population of the research was the employees of the National Iranian Copper Industries Company (1010 people) whom are tried to educate this method. The sample size was calculated using the Cochran formula and 278 individuals were selected by simple random sampling. For data collection, the questionnaire of the organizational climate of Sasman and (Dalal, 2005), the adapted questionnaire of deviant behaviors of (Yoon Goo et al, 2013), and the questionnaire of job alienation of (Rahimi et al, 2016) were used. The reliability of the questionnaires in this research was respectively calculated as 0.851, 0.724, and 0.757. For data analysis, the Pearson correlation coefficient, multiple regression and, path analysis tests were used. The results indicated a positive and significant relationship between organizational climate and deviant behaviors, a negative and significant relationship between job alienation and deviant behaviors, and also explaining about 45% of deviant behaviors by organizational climate variables. It can be said that managers' attention to increase positive organizational climate and to decrease employees' job alienation can lead to further reduction of employees' deviant behaviors.
Chylous Leak During Posterior Approach to Juvenile Scoliosis Surgery
Authors: Shah Harsh A. , Rynecki Nicole , Vives Michael J. , Choi Daniel E. , Sambol Justin T. , Sabharwal Sanjeev 
Published: March 2020

Case:
We report the first documented case of chylous leak recognized intraoperatively during posterior spinal instrumentation and fusion for juvenile scoliosis in a female patient with a history of thoracotomy and decortication for an empyema.

Conclusions:
Thoracic duct injury can lead to severe morbidity and mortality because of chylothorax formation. Although chylous leaks are a well-documented complication of the anterior approach to spine surgery, leaks during the posterior approach are rarely reported. When these chylous leaks are recognized intraoperatively, the likelihood of serious complications may be minimized by drain placement before closure.