bluuebunny/crossref_metadata_2025_split huggingface dataset:
Validitas dan Kepraktisan Perangkat Pembelajaran dengan Metode Problem Solving melalui Model Pengajaran Langsung pada Materi Usaha Energi
Authors: Qalbi Nor Alfi , Zainuddin Zainuddin , Miriam Sarah 
Published: May 2020

Keterampilan pemecahan masalah penting untuk dikembangkan pada proses belajar mengajar agar peserta didik mampu memecahkan masalah yang dihadapi secara realistis. Adapun fokus dari penelitian ini adalah untuk mendeskripsikan validitas dan kepraktisan perangkat pembelajaran dengan metode problem solving melalui model pengajaran langsung pada materi usaha energi. Validitas perangkat dapat ditinjau dari hasil lembar validasi perangkat yang dinilai oleh dua validator. Kepraktisan perangkat pembelajaran yang digunakan dapat dilihat dari lembar pengamatan keterlaksanaan RPP ketika diterapkan pada 22 peserta didik kelas X MIPA 2 di SMA Negeri 12 Banjarmasin yang diamati oleh dua orang pengamat. Data selanjutnya dianalisis secara deskriptif kuantitatif. Hasil penelitian menunjukkan bahwa perangkat pembelajaran yang dikembangkan 1) valid berdasarkan hasil penilaian validator dengan kategori baik; dan 2) praktis berdasarkan keterlaksanaan RPP dengan kategori sangat baik. Disimpulkan bahwa perangkat pembalajaran dengan metode problem solving melalui model pengajaran langsung pada topik usaha dan energi yang dikembangkan berkategori valid dan praktis untuk diimplementasikan dalam proses pembelajaran. Problem solving skills are important to be developed in the teaching and learning process so that students are able to solve problems realistically. The focus of this research is to describe the validity and practicality of learning materials with problem solving methods through direct teaching models on work and energy. The validity of the learning materials can be reviewed from the results of the learning materials validation sheets which are assessed by two validators. The practicality of the learning materials used can be seen from the observation sheet of the implementation of the lesson plan when it is applied to 22 students of Class X MIPA 2 in SMA Negeri 12 Banjarmasin observed by two observers. Data were analyzed descriptively quantitatively. The results showed that the learning materials developed 1) were valid, this was based on the results of the validator assessment in both categories; and 2) were practical, this is based on the implementation of the lesson plan in the very good category. It was concluded that the learning tools with problem solving methods through direct teaching models on the topic of work and energy were developed in valid and practical categories to be implemented in the learning process.
A Chat with Émile Zola, The Globe, Toronto, 1892
Authors: De Viveiros Geneviève 
Published: May 2020

Un entretien d'Emile Zola publié dans le quotidien canadien The Globe (l’ancêtre du Globe and Mail) en date du 12 novembre 1892 réalisé par Carl Sadakichi-Hartman (1867-1944), poète symboliste et critique d’art américain.
¿Qué aporta realmente la terapia acuática a la esclerosis múltiple? Una visión desde la terapia ocupacional
Authors: Marín Hernández María Isabel , De la Llave Pérez Miriam , Flores Gandolfo Laura 
Published: May 2020

Antecedentes: La Esclerosis Múltiple es una enfermedad desmielinizante que afecta al Sistema Nervioso Central sobre todo al cerebro, tronco del encéfalo y medula espinal, presentando síntomas motores en un 90-95% de las personas, sensitivos en un 77% y cerebelosos un 75%.
Objetivos: Describir las posibles modificaciones que produce la rehabilitación con terapia acuática en pacientes con Esclerosis Múltiple en sus destrezas y habilidades motoras: fuerza y equilibrio; Analizar la repercusión de la terapia acuática sobre la fatiga en este tipo de pacientes.
Método: Se llevó a cabo una revisión sistemática cuyas bases de datos consultadas fueron: Cochrane plus, Pubmed y Ebsco Host entre otras. De un total de 252 referencias encontradas, fueron seleccionados 11 artículos para un análisis, evaluando su calidad metodológica con la escala Jadad.
Resultados: De los 11 artículos encontrados cinco analizaron la variable fuerza y cuatro de ellos obtuvieron una mejorar significativa, seis evaluaron equilibrio, de los cuales cinco de ellos arrojaron una mejora significativa, y por último la fatiga fue estudiada en siete ensayos obteniendo una mejora significativa en cinco.
Conclusiones: Los usuarios con EM tras realizar terapia acuática sufren modificaciones positivas en sus habilidades y destrezas motoras: fuerza y equilibrio, mejorando también en la variable fatiga.
Palabras clave: Esclerosis Múltiple, Hidroterapia, Control motor y Fatiga.
A preliminary assessment of vital-signs-integrated patient-assisted intravenous opioid analgesia (VPIA) for postsurgical pain
Authors: SNG Ban Leong , Tan Daryl Jian'an , TAN Chin Wen , HAN Nian-Lin Reena , SULTANA Rehena , SIA Alex Tiong Heng 
Published: May 2020

Abstract
Background: We developed a Vital-signs-integrated Patient-assisted Intravenous opioid Analgesia (VPIA) analgesic infusion pump, a closed-loop vital signs monitoring and drug delivery system which embodied in a novel algorithm that took into account patients’ vital signs (oxygen saturation, heart rate). The system aimed to allow responsive titration of personalized pain relief to optimize pain relief and reduce the risk of respiratory depression. Moreover, the system would be important to enable continuous monitoring of patients during delivery of opioid analgesia.Methods: Nineteen patients who underwent elective gynecological surgery with postoperative patient controlled analgesia (PCA) with morphine were recruited. The subjects were followed up from their admission to the recovery room/ ward for at least 24 hours until assessment of patient satisfaction on the VPIA analgesic infusion pump.Results: The primary outcome measure of incidence of oxygen desaturation showed all patients had at least one episode of oxygen desaturation (<95%) during the study period. Only 6 (31.6%) patients had oxygen desaturation that persisted for more than 5 minutes. The median percentage time during treatment that oxygen saturation fell below 95% was 1.9%. Fourteen (73.7%) out of 19 patients encountered safety pause, due to transient oxygen desaturation or bradycardia. The patients’ median [IQR] pain scores at rest and at movement after post-op 24 hours were 0.0 [2.0] and 3.0 [2.0], respectively. The average morphine consumption in the first 24 hours was 12.5 ± 7.1mg. All patients were satisfied with their experience with the VPIA analgesic infusion pump. Conclusions: The use of VPIA analgesic infusion pump, when integrated with continuous vital sign monitor and variable lockout algorithm, was able to provide pain relief with good patient satisfaction.Trial registration: This study was registered on clinicaltrials.gov registry (NCT02804022) on 28 Feb 2016.
Female clients’ gender preferences for frontline health workers who provide maternal, newborn and child health (MNCH) services at primary health care level in Nigeria
Authors: Okereke Ekechi , Unumeri Godwin , Akinola Akinwumi , Eluwa George , Adebajo Sylvia 
Published: May 2020

Abstract
Background In Nigeria, anecdotes abound that female clients, particularly within northern Nigeria, have gender-based preferences for frontline health workers (FLHWs) who provide healthcare services. This may adversely affect uptake of maternal newborn and child health services, especially at primary healthcare level in Nigeria, where a huge proportion of the Nigerian population and rural community members in particular, access healthcare services. This study explored female clients’ gender preferences for frontline health workers who provide maternal, newborn and child healthcare (MNCH) services at primary healthcare level in Nigeria. Methods The study adopted a cross-sectional quantitative design with 256 female clients’ exit interviews from selected primary health facilities within two States - Bauchi (northern Nigeria) and Cross-River (southern Nigeria). Data was collected using Personal Digital Assistants and data analysis was done using SPSS software. Descriptive analysis was carried out using percentage frequency distribution tables. Bivariate analysis was also carried out to examine possible relationships between key characteristic variables and the gender preferences of female clients involved in the study. Results Out of 256 women who accessed maternal, newborn and child health services within the sampled health facilities, 44.1% stated preference for female FLHWs, 2.3% preferred male FLHWs while 53.5% were indifferent about the gender of the health worker. However only 26.6% of female clients were attended to by male FLHWs. Bivariate analysis suggests a relationship between a female client’s health worker gender preference and her pregnancy status, the specific reason for which a female client visits a primary healthcare facility, a female client’s location in Nigeria as well as the gender of the health worker(s) working within the primary healthcare facility which she visits to access maternal, newborn and child health services. Conclusions The study findings suggest that female clients at primary healthcare level in Nigeria possibly have gender preferences for the frontline health workers who provide services to them. There should be sustained advocacy and increased efforts at community engagement to promote the acceptability of healthcare services from male frontline health workers in order to have a significant impact on the uptake of MNCH services, particularly within northern Nigeria.
Return to Play After Hip Arthroscopy Among Tennis Players: Outcomes with Minimum Five-Year Follow-up
Authors: Maldonado David R. , Yelton Mitchell J. , Rosinsky Philip J. , Shapira Jacob , Meghpara Mitchell , Lall Ajay C , Domb Benjamin 
Published: May 2020

Abstract
Background: Playing tennis is associated with various movements that can lead to labral injuries and may require arthroscopic surgery. While hip arthroscopies have demonstrated good outcomes in athletes, there is limited literature reporting Patient Reported Outcomes (PROs) and return to play in competitive or recreational tennis players after hip arthroscopic surgery. Therefore, the purpose of the present study was to (1) report minimum five-year PROs and return to sport in tennis players who underwent hip arthroscopic surgery and (2) compare outcomes between recreational and competitive tennis players.Methods: Data for patients who underwent hip arthroscopy surgery in the setting of femoroacetabular impingement (FAI) and labral tears between March 2009 and January 2014 and who played tennis at any level within one-year of surgery were retrospectively reviewed. Patients with preoperative and minimum five-year postoperative scores for the following PROs were included: modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sport Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain. Patients with preoperative Tönnis osteoarthritis Grade >1, Workers’ Compensation claims, age > 60 years old, or previous ipsilateral hip surgeries or conditions were excluded. Patient Acceptable Symptomatic State (PASS) and Minimal Clinically Important Difference (MCID) for mHHS and HOS-SSS were calculated. Results: Of 28 patients, 31 hips met all inclusion and exclusion criteria of which 28 (90.3%) had minimum 5-year follow-up (mean: 72.8 ± 13.9 months). There were 3 professional, 3 collegiate, 2 high school, 2 organized amateur, and 18 recreational level tennis players. All PROs significantly improved at latest follow-up: mHHS from 67.0 to 86.7 (P < 0.001), NAHS from 65.9 to 87.2 (P < 0.001), HOS-SSS from 50.0 to 77.9 (P = 0.009), and VAS from 5.4 to 1.8 (P < 0.001). There was a 75.0% return to sport rate. Additionally, 66.7% of patients achieved MCID and 83.3% achieved PASS for mHHS, and 63.6% achieved MCID and 58.3% achieved PASS for HOS-SSS.Conclusion: Regardless of the level of participation, tennis players who underwent hip arthroscopic surgery reported statistically significant PRO improvements. A favorable rate of return to sport was also achieved by players with a continued interest in playing. The severity of cartilage damage was shown to not influence rate of returned to sport nor PROs in this population. The data here may be useful in counseling tennis players of various levels who are considering arthroscopic treatment of a hip injury. Level of Evidence: IV
Overview and factors associated with pregnancies and abortions occurring in sex workers in Benin
Authors: Sullivan Gentiane Perrault , Guédou Fernand Aimé , Batona Georges , Kintin Frédéric , Béhanzin Luc , Avery Lisa , Bédard Emmanuelle , Gagnon Marie-Pierre , Zannou Djimon Marcel , Kpatchavi Adolphe , Alary Michel 
Published: May 2020

Abstract
BACKGROUND: Behavioural and structural factors related to sex work, place female sex workers (FSWs) at high risk of maternal mortality and morbidity (MMM), with a large portion due to unintended pregnancies and abortions. In the African context where MMM is the highest in the world, understanding the frequency and determinants of pregnancy and abortion among FSWs is important in order to meet their sexual and reproductive health needs.METHODS: Data from two Beninese cross-sectional surveys among FSWs aged 18+ (2013, n=450; 2016, n=504) were merged. We first performed exploratory univariate analyses to identify factors associated with pregnancy and abortion (p<0.20) using Generalized Estimating Equations with Poisson regression and robust variance. Multivariate analyses first included all variables identified in the univariate models and backward selection (p≤0.05) was used to generate the final models.RESULTS: Median age was 39 years (N=866). The proportion of FSWs reporting at least one pregnancy during sex work practice was 16.4%, of whom 42.3% had more than one. Most pregnancies ended with an abortion (67.6%). In multivariate analyses, younger age, longer duration in sex work, previous HIV testing, having a boyfriend and not using condoms with him were significantly (p<0.05) associated with more pregnancies.CONCLUSION: One FSW out of five had at least one pregnancy during her sex work practice. Most of those pregnancies, regardless of their origin, ended with an abortion. Improving access to various forms of contraception and safe abortion is the key to reducing unintended pregnancies and consequently, MMM among FSWs in Benin.
Influence of China’s 2009 healthcare reform on the utilisation of continuum of care for maternal health services: Evidence from two cross-sectional household surveys in Shaanxi Province
Authors: Fan Xiaojing , Kumar Meghan Bruce , Zhou Zhongliang , Lee Ching-Hung , Wang Duolao , Liu Haixia , Dang Shaonong , Gao Jianmin 
Published: May 2020

Abstract
Background: Continuum of care for maternal health services (CMHS) is a proven approach to improve health and safety for mothers and newborns. This study aims to explore the influence of China’s 2009 healthcare reform on improving the CMHS utilisation.Methods: This population-based cross-sectional quantitative study included 2332 women drawn from the fourth and fifth National Health Service Surveys of Shaanxi Province, conducted in 2008 and 2013 respectively, before and after China’s 2009 healthcare reform. A generalised linear mixed model (GLMM) was applied to analyse the influence of this healthcare reform on utilisation of CMHS. Concentration curves, concentration indexes and its decomposition method were used to analyse the equity of changes in utilisation.Results: This study showed post-reform CMHS utilisation was higher in both rural and urban women than the CMHS utilisation pre-reform (according to China’s policy defining CMHS). The rate of CMHS utilisation increased from 24.66% to 41.55% for urban women and from 18.31% to 50.49% for rural women (urban: χ2=20.64, P<0.001; rural: χ2=131.38, P<0.001). This finding is consistent when the WHO’s definition of CMHS is applied for rural women after reform (12.13% vs 19.26%; χ2=10.99, P=0.001); for urban women, CMHS utilisation increased from 15.70% to 20.56% (χ2=2.57, P=0.109). The GLMM showed that the rate of CMHS utilisation for urban women post-reform was five times higher than pre-reform rates (OR=5.02, 95%CL: 1.90, 13.31); it was close to 15 times higher for rural women (OR=14.70, 95%CL: 5.43, 39.76). The concentration index for urban women decreased from 0.130 pre-reform (95%CI: -0.026, 0.411) to -0.041 post-reform (95%CI: -0.096, 0.007); it decreased from 0.104 (95%CI: -0.012, 0.222) to 0.019 (95%CI: -0.014, 0.060) for rural women. The horizontal inequity index for both groups of women also decreased (0.136 to -0.047 urban and 0.111 to 0.019 for rural).Conclusions: China’s 2009 healthcare reform has positively influenced utilisation rates and equity of CMHS’s utilisation among both urban and rural women in Shaanxi Province. Addressing economic and educational attainment gaps between the rich and the poor may be effective ways to improve the persistent health inequities for rural women.
Individualized Implant: A surgical advice for rotational stability and additional proximal locking of the Fassier-Duval telescoping nail
Authors: Schiedel Frank M 
Published: May 2020

Abstract
Background When stabilizing fractures and osteotomies in growing patients with special conditions of the long bones, the use of the Fassier-Duval nail as intended by the manufacturer (Pega Medical, Quebec, Canada) [1], shows that one problem with passive telescopic nails has not yet been solved. No stability in the rotation can be achieved. Postoperative to immobilize with plaster casts are obsolete in patients with osteogenesis imperfecta, as additional osteopenia due to immobilization must be feared. Especially with fractures and osteotomies in proximal femur long leg spica casts are a torture to patients and caregivers. Methods By experience in different surgical procedures in usage of the Fassier-Duval nailing system a technical solution for rotational stability of the nail as well as for locking of the nail in the proximal and distal physis could be developed. Results A transverse slot can be cutted in all available diameters of the female parts to make the FD nail rotationally stable. A proximal locking hole can be drilled individually by the surgeon on the operating table. The technical solution to the problems is presented in two exemplary cases in this article.Conclusions Rotational stability and additional proximal locking options can be achieved by additionally individualization of the Fassier-Duval telescoping nail during surgery.
Comparison of three different prophylactic treatments for postoperative nausea and vomiting after total joint arthroplasty under general anesthesia: a randomized clinical trial
Authors: Xie Jinwei , Cai Yingcun , Ma Jun , Huang Qiang , Zhou Zongke , Pei Fuxing 
Published: May 2020

Abstract
Background: Postoperative nausea and vomiting (PONV) after total joint arthroplasty is common and associated with delayed recovery. This study was performed to evaluate the efficacy of three different prophylactic regimens for PONV after total joint arthroplasty under general anesthesia. Methods: Patients undergoing primary total hip or knee arthroplasty were randomized to Group A (8 mg ondansetron, n= 108), Group B (10 mg dexamethasone plus mosapride, n= 108), or Group C (three doses of 10 mg dexamethasone plus mosapride, n=116). The primary outcome was the total incidence of PONV during postoperative 48 hours. The secondary outcomes were complete response, rescue antiemetic treatment, opioid consumption, time until first defecation, postoperative appetite score, satisfaction score, length of hospital stay, blood glucose level, and complications. Results: Patients in Group C experienced a lower incidence of total PONV (29.3%, p= 0.001), severe nausea (1.72%, p<0.001) and a higher incidence of complete response (70.69%, p=0.001) than did patients in Groups A and B. Moreover, less rescue antiemetic treatment and postoperative opioid consumption was needed in Group C (p<0.05). Additionally, a shorter time until first defecation, shorter length of stay, and better postoperative appetite scores and satisfaction scores were detected in patients in Group C. A slight increase in the fasting blood glucose level was observed in Group C, and the complications were comparable among the groups. Conclusion: Prophylactic use of mosapride and three doses of dexamethasone can provide better antiemetic effectiveness, postoperative appetite, bowel function recovery, and pain relief than a single dose or ondansetron only.
The Study of the Association between Immune Monitoring and Pneumonia in Kidney Transplant Recipients Through Machine Learning Models
Authors: Peng Bo , Gong Hang , Tian Han , Zhuang Quan , Li Junhui , Cheng Ke , Ming Yingzi 
Published: May 2020

Abstract
Background: Kidney transplantation is the optimal treatment to cure the patients with end-stage renal disease (ESRD). However, the infectious complication, especially pneumonia, is the main cause of mortality in the early stage. Immune monitoring by relevant biomarkers provides direct evidence of immune status. We aimed to study the association between immune monitoring and pneumonia in kidney transplant patients through machine learning models. Methods: A total of 146 patients receiving the immune monitoring panel in our center, including 46 pneumonia recipients and 100 stable recipients, were retrospectively reviewed to develop the models. All the models were validated by external data containing 10 pneumonia recipients and 32 stable recipients. The immune monitoring panel consisted of the percentages and absolute cell counts of CD3+CD4+ T cells, CD3+CD8+ T cells, CD19+ B cells and natural killer (NK) cells, and median fluorescence intensity (MFI) of human leukocyte antigen (HLA)-DR on monocytes and CD64 on neutrophils. The machine learning models of support vector machine (SVM), logistic regression (LR), multi-layer perceptron (MLP) and random forest (RF) were applied for analysis.Results: The pneumonia and stable groups showed significant difference in cell counts of each subpopulation and MFI of monocyte HLA-DR and neutrophil CD64. The SVM model by monocyte HLA-DR (MFI), neutrophil CD64 (MFI), CD8+ T cells (cells/μl), NK cells (cell/μl) and TBNK (T cells, B cells and NK cells, cells/μl) had the best performance with the average area under the curve (AUC) of 0.940. The RF model best predicted the patients who would progress into severe pneumonia, with the average AUC of 0.760. All the models had good performance validated by external data.Conclusions: The immune monitoring panel was tightly associated with pneumonia in kidney transplant recipients. The models developed by machine learning techniques identified patients at risk and predicted the prognosis. Based on the results of immune monitoring, better individualized therapy might be achieved.