bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cost comparison of surgical management of nonsagittal synostosis: traditional open versus endoscope-assisted techniques
Authors: Zubovic Ema , Lapidus Jodi B. , Skolnick Gary B. , Naidoo Sybill D. , Smyth Matthew D. , Patel Kamlesh B. 
Published: February 2020

OBJECTIVEManagement of craniosynostosis at an early age is important for mitigating the risk of abnormal cranial development, but treatment can result in significant expenses. Previous research has shown that endoscope-assisted craniectomy (EAC) is less costly than open cranial vault remodeling (CVR) for patients with sagittal synostosis. The aim of this study was to strengthen the existing body of healthcare cost research by elucidating the charges associated with open and endoscopic treatment for patients with nonsagittal synostosis.METHODSThe authors performed a retrospective analysis of data obtained in 41 patients who underwent open CVR and 38 who underwent EAC with postoperative helmet therapy for nonsagittal, single-suture craniosynostosis (metopic, coronal, and lambdoid) between 2008 and 2018. All patients were < 1 year of age at the time of surgery and had a minimum 1 year of follow-up. Inpatient charges, physician fees, helmet charges, and outpatient clinic visits in the 1st year were analyzed.RESULTSThe mean ages of the children treated with EAC and open CVR were 3.5 months and 8.7 months, respectively. Patients undergoing EAC with postoperative helmet therapy required more outpatient clinic visits in the 1st year than patients undergoing CVR (4 vs 2; p < 0.001). Overall, 13% of patients in the EAC group required 1 helmet, 30% required 2 helmets, 40% required 3 helmets, and 13% required 4 or more helmets; the mean total helmeting charges were $10,072. The total charges of treatment, including inpatient charges, physician fees, outpatient clinic visit costs, and helmet charges, were significantly lower for the EAC group than they were for the open CVR group ($50,840 vs $95,588; p < 0.001).CONCLUSIONSDespite the additional charges for postoperative helmet therapy and the more frequent outpatient visits, EAC is significantly less expensive than open CVR for patients with metopic, coronal, and lambdoid craniosynostosis. In conjunction with the existing literature on clinical outcomes and perioperative resource utilization, these data support EAC as a cost-minimizing treatment for eligible patients with nonsagittal synostosis.
The engaged patient: patient activation can predict satisfaction with surgical treatment of lumbar and cervical spine disorders
Authors: Harris Andrew B. , Kebaish Floreana , Riley Lee H. , Kebaish Khaled M. , Skolasky Richard L. 
Published: February 2020

OBJECTIVECare satisfaction is an important metric to health systems and payers. Patient activation is a hierarchical construct following 4 stages: 1) having a belief that taking an active role in their care is important, 2) having knowledge and skills to manage their condition, 3) having the confidence to make necessary behavioral changes, and 4) having an ability to maintain those changes in times of stress. The authors hypothesized that patients with a high level of activation, measured using the Patient Activation Measure (PAM), will be more engaged in their care and, therefore, will be more likely to be satisfied with the results of their surgical treatment.METHODSUsing a prospectively collected registry at a multiprovider university practice, the authors examined patients who underwent elective surgery (n = 257) for cervical or lumbar spinal disorders. Patients were assessed before and after surgery (6 weeks and 3, 6, and 12 months) using Patient-Reported Outcomes Measurement Information System (PROMIS) health domains and the PAM. Satisfaction was assessed using the Patient Satisfaction Index. Using repeated-measures logistic regression, the authors compared the likelihood of being satisfied across stages of patient activation after adjusting for baseline characteristics (i.e., age, sex, race, education, income, and marital status).RESULTSWhile a majority of patients endorsed the highest level of activation (56%), 51 (20%) endorsed the lower two stages (neither believing that taking an active role was important nor having the knowledge and skills to manage their condition). Preoperative patient activation was weakly correlated (r ≤ 0.2) with PROMIS health domains. The most activated patients were 3 times more likely to be satisfied with their treatment at 1 year (OR 3.23, 95% CI 1.8–5.8). Similarly, patients in the second-highest stage of activation also demonstrated significantly greater odds of being satisfied (OR 2.8, 95% CI 1.5–5.3).CONCLUSIONSPatients who are more engaged in their healthcare prior to elective spine surgery are significantly more likely to be satisfied with their postoperative outcome. Clinicians may want to implement previously proven techniques to increase patient activation in order to improve patient satisfaction following elective spine surgery.
High prevalence of systemic hypertension in pediatric patients with moyamoya disease years after surgical treatment
Authors: Lee Joongyub , Kim Seung-Ki , Kang Hee Gyung , Ha Il-Soo , Wang Kyu-Chang , Lee Ji Yeoun , Phi Ji Hoon 
Published: February 2020

OBJECTIVEAlthough an association between moyamoya disease (MMD) and renovascular hypertension has been acknowledged, the literature on systemic hypertension without renal artery stenosis among patients with MMD is scarce. The authors aimed to evaluate the prevalence and risk factors of hypertension using data from MMD patients who visited an outpatient clinic of a pediatric neurosurgical department in 2016.METHODSThe authors evaluated the blood pressure (BP) of pediatric MMD patients at their postsurgical appointment following the American Academy of Pediatrics clinical practice guideline on high BP, in which hypertension was defined as BP measurements higher than the value of age-, sex-, and height-specific 95th percentile of the general population from at least 3 separate visits. Growth of patients was determined using 2017 Korean National Growth Charts for children and adolescents. The cutoff value of the 95th percentile of BP was determined by referring to normative BP tables of Korean children and adolescents. A logistic regression model was used to assess the associations between patients’ clinical characteristics and prevalent hypertension.RESULTSIn total, 131 surgically treated pediatric MMD patients were included, of whom 38.9% were male and the median age at diagnosis was 8.0 years (range 1.2–15.0 years). The definition of hypertension was met in 38 patients, with a prevalence of 29.0% (95% CI 21.2%–36.8%). A tendency was observed for a higher prevalence of hypertension in male patients (31.4%), in patients with posterior cerebral artery (PCA) involvement (47.8%), and in cases in which infarction was shown on initial MRI (37.3%). Age at diagnosis (adjusted OR [aOR] 0.82, 95% CI 0.70–0.97), PCA involvement (aOR 3.81, 95% CI 1.29–11.23), body mass index (aOR 1.30, 95% CI 1.13–1.51), and years of follow-up since surgery (aOR 0.80, 95% CI 0.68–0.94) were related to systemic hypertension.CONCLUSIONSA high prevalence of hypertension was demonstrated in pediatric MMD patients. Therefore, adequate attention should be paid to reduce BP and prevent subsequent events.
Comparison of Diagnostic Performances Between Cerebrospinal Fluid Biomarkers and Amyloid PET in a Clinical Setting
Authors: Jung Na-Yeon , Kim Eun Soo , Kim Hyang-Sook , Jeon Sumin , Lee Myung Jun , Pak Kyoungjune , Lee Jae-Hyeok , Lee Young Min , Lee Kangyoon , Shin Jin-Hong , Ko Jun Kyeung , Lee Jae Meen , Yoon Jin A. , Hwang Chungsu , Choi Kyung-Un , Lee Eun Chong , Seong Joon-Kyung , Huh Gi Yeong , Kim Dae-Seong , Kim Eun-Joo 
Published: February 2020

The diagnostic performances of cerebrospinal fluid (CSF) biomarkers and amyloid positron emission tomography (PET) were compared by examining the association and concordance or discordance between CSF Aβ1-42 and amyloid PET, after determining our own cut-off values for CSF Alzheimer’s disease (AD) biomarkers. Furthermore, we evaluated the ability of CSF biomarkers and amyloid PET to predict clinical progression. CSF Aβ1-42, t-tau, and p-tau levels were analyzed in 203 individuals [27 normal controls, 38 mild cognitive impairment (MCI), 62 AD dementia, and 76 patients with other neurodegenerative diseases] consecutively recruited from two dementia clinics. We used both visual and standardized uptake value ratio (SUVR)-based amyloid PET assessments for analyses. The association of CSF biomarkers with amyloid PET SUVR, hippocampal atrophy, and cognitive function were investigated by linear regression analysis, and the risk of conversion from MCI to AD dementia was assessed using a Cox proportional hazards model. CSF p-tau/Aβ1-42 and t-tau/Aβ1-42 exhibited the best diagnostic accuracies among the CSF AD biomarkers examined. Correlations were observed between CSF biomarkers and global SUVR, hippocampal volume, and cognitive function. Overall concordance and discordance between CSF Aβ1-42 and amyloid PET was 77% and 23%, respectively. Baseline positive CSF Aβ1-42 for MCI demonstrated a 5.6-fold greater conversion risk than negative CSF Aβ1-42 . However, amyloid PET findings failed to exhibit significant prognostic value. Therefore, despite presence of a significant correlation between the CSF Aβ1-42 level and SUVR of amyloid PET, and a relevant concordance between CSF Aβ1-42 and amyloid PET, baseline CSF Aβ1-42 better predicted AD conversion.
ANALISIS DIMENSI KUALITAS PELAYANAN PASIEN BPJS RAWAT JALAN DI RSSN BUKITTINGGI
Authors: Rovendra Erit 
Published: February 2020

<p>Kepuasan pasien adalah salah satu indikator keberhasilan pelayanan kesehatan. Kepuasan pasien akan terpenuhi bila pelayanan yang diberikan telah sesuai dengan harapan mereka. Ektifitas pelayanan fisioterapis, waktu pemulihan, prilaku fisioterapis, lingkungan dan perawatan yang diperoleh akan mempengaruhi kepuasan pasien. Tujuan penelitian ini untuk menganalisa dimensi kualitas pelayanan fisioterapi pasien BPJS rawat jalan di RSSN Bukittinggi.<strong></strong></p><p>Penelitian ini merupakan jenis penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Pelaksanaannya di RSSN Bukittinggi dengan informan yang terdiri dari 6 informan utama (petugas Rumah Sakit) dan 8 informan pendukung (pasien BPS). Teknik pengumpulan data dilakukan dengan wawancara mendalam, observasi dan telaah dokumen.</p><p>Hasil penelitian didapatkan tema yang menunjukkan data yang ada pada proses (bukti fisik, kehandalan, jaminan) juga sudah baik, namun daya tanggap dan empati pada petugas masih dirasa kurang baik sehingga mempengaruhi output yang didapat yaitu cukup puas.</p><p>Dalam penelitian ini dapat disimpulkan bahwa kualitas terhadap pelayanan fisioterapi yang diberikan sudah cukup baik. Diperlukan kerjasama semua pihak untuk mendukung peningkatan kualitas pelayanan rumah sakit khususnya fisioterapi dalam memenuhi harapan pasien.</p>
Perancangan Sistem Informasi Penilaian Siswa Berbasis Web Pada SMK Al-Husna Kota Tangerang
Authors: Padeli Padeli , Ramadhan Gilang Kartika Hanum , Aprilyani Ulfa Tiana 
Published: February 2020

Perkembangan teknologi yang sangat pesat pada era globalisasi saat ini telah memberikan banyak manfaat dalam kemajuan di berbagai aspek. Selain digunakan untuk mengolah data dan menyimpan data komputer juga dapat digunakan untuk mendukung penerapan dan pemanfaatan teknologi informasi dan komunikasi. Pada saat ini di SMK Al-Husna Kota Tangerang pengolahan atau sistem penilaian data nilai siswanya sudah berjalan semi terkomputerisasi tetapi masih terbatas dengan menggunakan Microsoft Excel. Hal ini akan mengakibatkan jika data nilai siswa terjadi perubahan yang tidak disengaja akan mempengaruhi data yang lainnya juga dan dapat menimbulkan kehilangan atau masalah dalam penilaian siswa tersebut dicatat dan disimpan dengan cara yang konvensional. Adapun tujuan dari dilakukannya penelitian ini yaitu mengubah sistem penilaian siswa yang saat ini berjalan secara semi terkomputerisasi menjadi sistem yang sepenuhnya dilakukan secara komputerisasi yaitu sebuah sistem yang berbasis web dan dapat diakses secara online sehingga proses pengolahan nilai siswa tidak memakan waktu yang lama dan diharapkan dapat berjalan secara efektif dan efisien. Adapun metode yang digunakan untuk menganalisa permasalahan dalam penelitian yaitu dengan menggunakan metode SWOT (Strength, Weakness, Opportunities, Threats) sedangkan untuk metode perancangan sistemnya menggunakan UML (Unified Modeling Language) dan untuk bahasa pemrograman menggunakan PHP serta MYSQL dalam pembuatan databasenya. Dengan diterapkannya sistem yang berbasis website ini maka diharapkan dapat mempermudah dalam proses penilaian siswa yang dapat dilakukan secara cepat dan akurat.
Kata kunci : Sistem, Penilaian, Siswa
Perancangan Model Dashboard E-Marketplace Bank Sampah Sebagai Sarana Informasi Berbasis Web
Authors: Marjuki Arif , Cahyadi Dede , Pramesti Amanda Widya 
Published: February 2020

Pada era industri 4.0 saat ini kemajuan teknologi sudah tidak dipungkiri, dengan banyaknya kebutuhan informasi dan data yang sangat cepat membutuhkan inovasi dalam menampilkan suatu data yang diolah menjadi suatu informasi yang akurat, cepat, kuantitatif dan relevan untuk menunjang suatu keputusan yang didapatkan oleh pengguna saat ini. Bank sampah sudah biasa digunakan untuk memilah dan mengdaur ulang untuk menjadi nilai yang berguna. Namun pada praktiknya , proses transaksi dan arus data dalam pengelolaan bank sampah terkendala tidak adanya pencatatan dan penyimpanan secara efisien dan efektif Sehingga kehilangan data sangat riskan untuk penjual. Oleh sebab itu sebuah sistem informasi dibutuhkan untuk dapat mengakomodasikan setiap update penjualan dan visitors agar penjual tidak perlu lagi mencatat secara manual. Dashboard ini dalam pembuatannya menggunakan tools Yii Framework karena viewboard ini menggunakan website sebagai media penampilannya. Penelitian ini dibuat dengan menggunakan metode analisa, perencanaan, perancangan dan prototype, dibuatnya rancangan dashboard e-marketplace bertujuan sebagai wadah informasi dari data yang ada setiap transaksi penjualan, sehingga akan menampilkan informasi yang akurat dan terkini serta memudahkan dalam hal memonitoring.
AMCF : A Novel Archive Modeling Based on Data Cluster and Filtering
Authors: Awangga Rolly Maulana , Pane Syafrial Fachri , Kurniawan Cahya 
Published: February 2020

File archiving now needs to be appropriately managed so that it is easy to find and manage. File archiving in question is how to help in the process of finding data with a considerable number, to facilitate the work following the aim to reduce the time the search data can be integrated with the system created. Archiving itself aims to facilitate the management of data that is very diverse and with a large amount, to facilitate the management and also the control carried out. The problem with filing archives, in this case, is the lack of management regarding the correct filing of archives. Controlled archive file management makes the amount of time that is passed only by searching files. By looking at large amounts of data, it is necessary to use methods to be able to manage and search, with Alphabet, Numeric and K-means Clustering methods designed and processed, it is easier to manage existing data searches so that the work doesn't take too much time. There needs to be further development of the analysis carried out at this time to further improve the effectiveness by creating a system following the analysis rules made at this time.
Keywords: Filing, Archives, File Management Alphabetical Filling System, Numerical Filing System, K-means Clustering.
Correction: Combination of Discrete Element Method and Artificial Neural Network for Predicting Porosity of Gravel-Bed River. Water 2019, 11(7), 1461
Authors: Bui Van Hieu , Bui Minh Duc , Rutschmann Peter 
Published: February 2020

We have found one error in Equation (2) (duplicate with Equation (1)) in our paper published in the Water Journal [1]: (1) m i d u → i dt = m i g → + ∑ k f → i , k + f → i , f [...]
Implementasi Kebijakan Penanggulangan HIV/AIDS di Puskesmas Teladan
Authors: Suharto Suharto , Gurning Fitriani Pramita , Pratama Muchti Yuda , Suprayitno Emdat 
Published: February 2020

One of the diseases that is now considered a problem that has received enough attention from the government is HIV and AIDS. Talking about HIV and AIDS means it discusses health issues that are currently quite sensitive to talk about. This relates to the unique nature of this disease. Besides the case which is like an iceberg phenomenon, namely the spread of HIV and AIDS cases that cannot be predicted at the initial phase and also has not found a cure to cure it. The purpose of this study is to obtain in-depth data on the implementation of HIV/AIDS policies in the Model Health Center, whether the policies made by the government run well or not in the field. This research uses a qualitative research method with descriptive research type on June 28, 2019, by interviewing informants and distributing questionnaires. As for the total overall value of the Government Policy Implementation is 235. The value of the implementation of government policies, amounting to 78.33% of the 100% expected results. The overall total value of HIV and AIDS is 83. HIV/AIDS counts in the working area of the Exemplary Health Center, which is 92.22% of the 100% expected results. Conclusions policy implementation has been going well and has been socialized to the community and health services, people at risk and sufferers of HIV/AIDS in the work area of the Community Health Center already has its own organization where this organization is expected to help achieve the goals of this HIV/AIDS program, and to achieve this goal the Community Health Center conducts activities in the form of mobile clinics where the exemplary Community Health Center goes directly to conduct examinations to the community, and in terms of treatment for patients so far it can be said to be in good category and runs smoothly but there are obstacles where sufferers continue to do things that can trigger the development of the HIV virus although in addition patients continue to take drugs to inhibit and minimize the development of the HIV virus.
REFLEXÕES ACERCA DO DESEMPENHO E DAS DIFICULDADES DE ESTUDANTES DA EDUCAÇÃO BÁSICA E SUPERIOR NAS OPERAÇÕES COM FRAÇÕES
Authors: Etcheverria Teresa Cristina , Lisboa Aquino Viviane de Jesus , Dos Santos Oliveira Jackeline , De Carvalho Lisboa Caroline 
Published: February 2020

Este texto tem como objetivo discutir o desempenho e as dificuldades apresentadas por estudantes da educação básica e por graduandos do curso de Licenciatura em Matemática na resolução das quatro operações fundamentais com frações. Para esta discussão nos apoiamos nas ideias de Llinares e Sánchez (1988), Monteiro e Groenwald (2014) e Silva e Almouloud (2008), dentre outros. Os dados foram coletados por meio da aplicação de um questionário a 358 estudantes de turmas de 7° e 9° ano do ensino fundamental, 1° e 3° ano do ensino médio e graduandos de Cálculo I e II do Curso de Licenciatura em Matemática. Os resultados mostram que o índice de desempenho dos estudantes em cada uma das operações foi insatisfatório, apesar de evidenciar crescimento conforme o nível de escolaridade. A análise dos erros cometidos por eles revela que, por não compreenderem os processos operatórios, aplicam as regras memorizadas sem refletirem sobre a validade ou não daquele conhecimento para a operação que irão realizar, o que sinaliza uma deficiência nos processos de ensino e de aprendizagem desse conteúdo. Palavras-chave: Operações com Frações; Desempenho e Dificuldades; Educação Básica e Superior.
Software GeoGebra: uma proposta de ensino para potencializar a interpretação gráfica da função quadrática
Authors: Felipe Elisama de Mendonça , Vieira Edite Resende 
Published: February 2020

Neste artigo apresentamos reflexões acerca das ações que os estudantes do 1º ano do Ensino Médio empreenderam em uma sequência de atividades, utilizando a tecnologia digital. Tais reflexões originaram-se de alguns episódios de pesquisa de mestrado profissional, em andamento, que se propôs a analisar em que medida a utilização do software GeoGebra pode auxiliar os alunos na interpretação gráfica da função quadrática. O referencial teórico foi construído a partir da Teoria dos Registros de Representação Semiótica, de Duval; e dos estudos de Bairral sobre os dispositivos móveis na Educação Matemática. No tocante à metodologia de estudo, optamos pela concepção de Zabala referente à sequência didática como prática educativa. A análise interpretativa revelou que as atividades no respectivo software possibilitaram uma abordagem diferenciada, uma vez que proporcionou reflexões dos discentes relacionadas aos conceitos, às propriedades e à interpretação gráfica da função quadrática. Ficou evidente também que a visualização simultânea das representações gráfica e algébrica, propiciada pelo GeoGebra, favoreceu o estabelecimento de relações entre tais representações pelos alunos. Além disso, os dados sinalizaram que os alunos apresentaram dificuldade em utilizar a língua materna para registrar suas observações sobre o comportamento da função.
SEMAY OL, NUEVA VARIEDAD DE CÁRTAMO OLEICA
Authors: Borbón-Gracia Alberto , Montoya-Coronado Lope , Ochoa-Espinoza Xochilt M. , Aguilera-Molina Néstor A. , Ávila-Casillas Eva , Cota Barreras Carlos I. 
Published: February 2020

El cártamo (Carthamus tinctorius L.) es una especie oleaginosa que presenta gran adaptabilidad por su rusticidad, bajos requerimientos hídricos (Singh et al., 2016) y pocos problemas de plagas. La planta produce semillas con aceite oleico y linoleico de gran calidad; sin embargo, es un cultivo cuyo potencial de producción no se ha explotado (Ávila et al., 2017). La producción mundial de cártamo en el ciclo 2009-2010 fue de 697 mil toneladas de semilla, la más baja de los últimos siete años. Desde entonces se inició un incremento gradual y en el ciclo 2015-2016 se produjeron 981 mil toneladas, lo que representa un aumento del 40.7 %. En el periodo 2009-2016, México participó con el 16.3 % de la producción mundial (FAOSTAT, 2018).
SILENO
Authors: Braga Junior Antonio Djalma , Monteiro Rodrigues dos Santos Ivanildo Luiz 
Published: February 2020

O presente artigo propõe uma interpretação inusitada ou, ao menos, mais apurada sobre a figura de Sileno, o qual figura nos mitos sobre o deus do vinho, Dionísio, como companheiro e educador deste ser divino. Isto porque, na tradição e lendas a personagem Sileno, salvo rara exceção, passa quase desapercebida em seu caráter educador. Friedrich Nietzsche (1844-1900), em sua obra, O nascimento da tragédia, configura uma excelente exceção, quando dedica uma parte importante desta sua obra para falar da Sabedoria de Sileno. Tomando o trecho nietzschiano como base, discorremos sobre as personagens que figuram na mitologia dionisíaca, bem como a centralidade do mito de Dionísio. Isto com o intuito em demonstrar que o culto ao deus do vinho passa por todo um processo de adaptação, de modo que se transformar de uma celebração especificamente campestre (qual era no período arcaico), em uma celebração citadina (no período clássico) quando obtém sua entronização junto aos deuses da cidade. Todavia, nosso principal argumento é que a personagem de Sileno, de alguma maneira já indicaria um abrandamento nos hábitos campesinos, preparando assim o terreno para a urbanização do deus do vinho.