bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Safe Transitions Pathway for post-craniotomy neurological surgery patients: high-value care that bypasses the intensive care unit
Authors: Young Jacob S. , Chan Andrew K. , Viner Jennifer A. , Sankaran Sujatha , Chan Alvin Y. , Imershein Sarah , Meary-Miller Aldea , Theodosopoulos Philip V. , Jacques Line , Aghi Manish K. , Chang Edward F. , Hervey-Jumper Shawn L. , Ward Tracy , Gibson Liz , Ward Mariann M. , Sanftner Peter , Wong Stacy , Amara Dominic , Magill Stephen T. , Osorio Joseph A. , Venkatesh Brinda , Gonzales Ralph , Lau Catherine , Boscardin Christy , Wang Michael , Berry Kim , McCullagh Laurie , Reid Mary , Reels Kayla , Nedkov Sara , Berger Mitchel S. , McDermott Michael W. 
Published: May 2020

OBJECTIVE
High-value medical care is described as care that leads to excellent patient outcomes, high patient satisfaction, and efficient costs. Neurosurgical care in particular can be expensive for the hospital, as substantial costs are accrued during the operation and throughout the postoperative stay. The authors developed a “Safe Transitions Pathway” (STP) model in which select patients went to the postanesthesia care unit (PACU) and then the neuro-transitional care unit (NTCU) rather than being directly admitted to the neurosciences intensive care unit (ICU) following a craniotomy. They sought to evaluate the clinical and financial outcomes as well as the impact on the patient experience for patients who participated in the STP and bypassed the ICU level of care.

METHODS
Patients were enrolled during the 2018 fiscal year (FY18; July 1, 2017, through June 30, 2018). The electronic medical record was reviewed for clinical information and the hospital cost accounting record was reviewed for financial information. Nurses and patients were given a satisfaction survey to assess their respective impressions of the hospital stay and of the recovery pathway.

RESULTS
No patients who proceeded to the NTCU postoperatively were upgraded to the ICU level of care postoperatively. There were no deaths in the STP group, and no patients required a return to the operating room during their hospitalization (95% CI 0%–3.9%). There was a trend toward fewer 30-day readmissions in the STP patients than in the standard pathway patients (1.2% [95% CI 0.0%–6.8%] vs 5.1% [95% CI 2.5%–9.1%], p = 0.058). The mean number of ICU days saved per case was 1.20. The average postprocedure length of stay was reduced by 0.25 days for STP patients. Actual FY18 direct cost savings from 94 patients who went through the STP was $422,128.

CONCLUSIONS
Length of stay, direct cost per case, and ICU days were significantly less after the adoption of the STP, and ICU bed utilization was freed for acute admissions and transfers. There were no substantial complications or adverse patient outcomes in the STP group.
Incidence and linguistic quality of speech errors: a comparison of preoperative transcranial magnetic stimulation and intraoperative direct cortex stimulation
Authors: Bährend Ina , Muench Max R. , Schneider Heike , Moshourab Rabih , Dreyer Felix R. , Vajkoczy Peter , Picht Thomas , Faust Katharina 
Published: May 2020

OBJECTIVE
Given the interindividual variance of functional language anatomy, risk prediction based merely on anatomical data is insufficient in language area–related brain tumor surgery, suggesting the need for direct cortical and subcortical mapping during awake surgery. Reliable, noninvasive preoperative methods of language localization hold the potential for reducing the necessity for awake procedures and may improve patient counseling and surgical planning. Repetitive navigated transcranial magnetic stimulation (rnTMS) is an evolving tool for localizing language-eloquent areas. The aim of this study was to investigate the reliability of rnTMS in locating cortical language sites.

METHODS
Twenty-five patients with brain tumors in speech-related areas were prospectively evaluated with preoperative rnTMS (5 Hz, train of five, average 105% resting motor threshold) and navigated direct cortical stimulation (DCS; bipolar, 50 Hz, 6–8 mA, 200-μsec pulse width) during awake surgeries employing a picture-naming task. Positive and negative stimulation spots within the craniotomy were documented in the same MRI data set. TMS and DCS language-positive areas were compared with regard to their spatial overlap, their allocation in a cortical parcellation system, and their linguistic qualities.

RESULTS
There were over twofold more positive language spots within the exposed area on rnTMS than on DCS. The comparison of positive rnTMS and DCS (ground truth) overlaps revealed low sensitivity (35%) and low positive predictive value (16%) but high specificity (90%) and high negative predictive value (96%). Within the overlaps, there was no correlation in error quality. On DCS, 73% of language-positive spots were located in the pars opercularis and pars triangularis of the frontal operculum and 24% within the supramarginal gyrus and dorsal portion of the superior temporal gyrus, while on rnTMS language positivity was distributed more evenly over a large number of gyri.

CONCLUSIONS
The current protocol for rnTMS for language mapping identified language-negative sites with good dependability but was unable to reliably detect language-positive spots. Further refinements of the technique will be needed to establish rnTMS language mapping as a useful clinical tool.
Pediatric vestibular schwannomas: case series and a systematic review with meta-analysis
Authors: Malina Giselle E. K. , Heiferman Daniel M. , Riedy Loren N. , Szujewski Caroline C. , Rezaii Elhaum G. , Leonetti John P. , Anderson Douglas E. 
Published: May 2020

OBJECTIVESporadic unilateral vestibular schwannomas are rare in the pediatric population. Little has been reported in the literature on the presentation, tumor size, response to surgical treatment, and recurrence rates in these younger patients. The authors’ goal was to describe their institutional experience with pediatric sporadic vestibular schwannomas and to conduct a meta-analysis of the existing literature to provide further insight into the presentation, tumor characteristics, and surgical outcomes for these rare tumors to help direct future treatment strategies.METHODSThe authors performed a retrospective review of all patients 21 years of age or younger with unilateral vestibular schwannomas and without neurofibromatosis type 2 who underwent resection by the senior authors between 1997 and 2019. A systematic review of the literature and meta-analysis was also performed by entering the search terms “pediatric” and “vestibular schwannoma” or “acoustic neuroma,” as well as “sporadic” into PubMed. Presentation, treatment, clinical outcomes, and follow-up were analyzed.RESULTSFifteen patients were identified at the authors’ institution, ranging in age from 12 to 21 years (mean 16.5 years). Common presenting symptoms included hearing loss (87%), headache (40%), vertigo (33%), ataxia (33%), and tinnitus (33%). At the time of surgery, the mean tumor size was 3.4 cm, with four 1-cm tumors. Four patients had residual tumor following their first surgery, 3 (75%) of whom had significant radiographic regrowth that required further treatment. The literature review identified an additional 81 patients from 26 studies with patient-specific clinical data available for analysis. This resulted in a total of 96 reported patients with an overall average age at diagnosis of 12.1 years (range 6–21 years) and an average tumor size of 4.1 cm.CONCLUSIONSPediatric vestibular schwannomas present similarly to those in adults, although symptoms of mass effect are more common, as these tumors tend to be larger at diagnosis. Some children are found to have small tumors and can be successfully treated surgically. Residual tumors in pediatric patients were found to have a higher rate of regrowth than those in their adult counterparts.
Normative data of a smartphone app–based 6-minute walking test, test-retest reliability, and content validity with patient-reported outcome measures
Authors: Tosic Lazar , Goldberger Elior , Maldaner Nicolai , Sosnova Marketa , Zeitlberger Anna M. , Staartjes Victor E. , Gadjradj Pravesh S. , Eversdijk Hubert A. J. , Quddusi Ayesha , Gandía-González Maria L. , Sayadi Jamasb Joshua , Desai Atman , Regli Luca , Gautschi Oliver P. , Stienen Martin N. 
Published: May 2020

OBJECTIVEThe 6-minute walking test (6WT) is used to determine restrictions in a subject’s 6-minute walking distance (6WD) due to lumbar degenerative disc disease. To facilitate simple and convenient patient self-measurement, a free and reliable smartphone app using Global Positioning System coordinates was previously designed. The authors aimed to determine normative values for app-based 6WD measurements.METHODSThe maximum 6WD was determined three times using app-based measurement in a sample of 330 volunteers without previous spine surgery or current spine-related disability, recruited at 8 centers in 5 countries (mean subject age 44.2 years, range 16–91 years; 48.5% male; mean BMI 24.6 kg/m2, range 16.3–40.2 kg/m2; 67.9% working; 14.2% smokers). Subjects provided basic demographic information, including comorbidities and patient-reported outcome measures (PROMs): visual analog scale (VAS) for both low-back and lower-extremity pain, Core Outcome Measures Index (COMI), Zurich Claudication Questionnaire (ZCQ), and subjective walking distance and duration. The authors determined the test-retest reliability across three measurements (intraclass correlation coefficient [ICC], standard error of measurement [SEM], and mean 6WD [95% CI]) stratified for age and sex, and content validity (linear regression coefficients) between 6WD and PROMs.RESULTSThe ICC for repeated app-based 6WD measurements was 0.89 (95% CI 0.87–0.91, p < 0.001) and the SEM was 34 meters. The overall mean 6WD was 585.9 meters (95% CI 574.7–597.0 meters), with significant differences across age categories (p < 0.001). The 6WD was on average about 32 meters less in females (570.5 vs 602.2 meters, p = 0.005). There were linear correlations between average 6WD and VAS back pain, VAS leg pain, COMI Back and COMI subscores of pain intensity and disability, ZCQ symptom severity, ZCQ physical function, and ZCQ pain and neuroischemic symptoms subscores, as well as with subjective walking distance and duration, indicating that subjects with higher pain, higher disability, and lower subjective walking capacity had significantly lower 6WD (all p < 0.001).CONCLUSIONSThis study provides normative data for app-based 6WD measurements in a multicenter sample from 8 institutions and 5 countries. These values can now be used as reference to compare 6WT results and quantify objective functional impairment in patients with degenerative diseases of the spine using z-scores. The authors found a good to excellent test-retest reliability of the 6WT app, a low area of uncertainty, and high content validity of the average 6WD with commonly used PROMs.
Impacto de la logística en el medio ambiente
Authors: Vásquez Jaime , Obregón Janer , Salbalza Sergio 
Published: May 2020

El siguiente articulo trata de temas que tienen que ver hoy en día con la logística y su impacto en el medio ambiente para ellos hemos realizado un análisis de cómo esta impactando la logística en ciertos medios y que soluciones le damos, además analizaremos el entorno de las tecnologías de la información como podemos apoyarnos en ellas para buscar soluciones que nos ayuden a mejorar, también las diferentes leyes que se han creado y que han ayudado a preservar el medio ambiente y disminuir la huella de carbón que está dejando la logística en los diferentes zonas en que se utiliza.
Con el fin de contribuir y ser responsables con el medio ambiente hemos realizado este artículo y su información se puede aplicar para realizar medidas para llegar hacer mas sustentables con nuestra naturaleza.
Condiciones de salud asociados con la aparición de trastornos osteomusculares en docentes de la institución educativa despertar del sur en la ciudad de Barranquilla.
Authors: Mendoza Fritz María Elena , Lora Flórez Belkys , Pérez Martínez Junney , Arrazola David Mónica Judith 
Published: May 2020

Introducción: En esta investigación se dan a conocer cuáles son las condiciones de salud asociada a la aparición de trastornos osteomusculares en docentes, a lo largo de su jornada laboral, a su vez muestra cuales son los síntomas más comunes que manifiestas los trabajadores.
Objetivo: Determinar las condiciones de salud asociados con la aparición de trastornos osteomusculares en docentes de la institución educativa despertar del sur en la ciudad de barranquilla agosto 2016 a junio 2017.
Metodología: Se desarrollará un estudio de tipo descriptivo de corte transversal en el que se utilizará la recolección y análisis de datos, atreves de una encuesta. Se hicieron 15 encuestas se recibieron 15 respuestas.
Resultados: Se realizó un análisis descriptivo mediante tabulación dando como resultados: el 60% de la población pertenecen al sexo femenino, con un promedio de edad de 48 años, el 40% se mantiene con un índice de masa corporal normal, en comparación a un 33% que está en sobrepeso y un 27% que están en obesidad.
Discusión y Conclusión: El estudio nos arrojó datos de gran importancia que demuestra que el dolor en hombros y zona lumbar ocupan el primer lugar como los síntomas más frecuentes en la población.
Aplicación del marketing estratégico en las PYME del sector de manufactura en Barranquilla, Colombia
Authors: Herrera Maury Etna 
Published: May 2020

Objetivo: Aanalizar el proceso de marketing estratégico en las Pyme del sector de manufactura en Barranquilla. Metodología: Para ello, se llevó a cabo una investigación de enfoque cuantitativo, de alcance descriptivo, de diseño no experimental transeccional, de campo, en el cual se hizo el levantamiento de información, a través de la aplicación de un cuestionario. Resultados: Cuyos resultados fueron analizados estadísticamente a través de un software, los cuales evidenciaron la carencia de aplicación del proceso de marketing estratégico y un bajo grado de orientación al mercado, visto como parte del primero. Conclusiones: Las Pyme manufactureras en Barranquilla no emplean procesos de marketing estratégico, lo cual afecta su rendimiento y puede estar generando un costo de oportunidad, para lo cual se podría hacer un plan de marketing estratégico para cada una de ellas adaptado a sus necesidades.
Dificultades de aprendizaje en la utilización de las calculadoras para el desarrollo del cálculo mental en la resolución de problemas aritméticos
Authors: Granados Ortiz Carlos Andres 
Published: May 2020

Objetivo: Identificar si influye la utilización de la calculadora en el desarrollo del cálculo mental para la resolución de problemas aritméticos en estudiantes de tercer a undécimo grado. Metodología: Mediante dos test se comprobó que tanto afecta la calculadora en el cálculo mental de los estudiantes, esta investigación se hará con un enfoque cuantitativo y un diseño no experimental. Resultados y conclusiones: Para los resultados se realizó un estadístico descriptivo por test y posterior a esto se comparan ambos test que son las variables de estudio por medio del método de Chi-Cuadrado. Los resultados revelan la importancia del cálculo mental de los estudiantes para no crear una dependencia de los estudiantes con el uso de la calculadora.
PENGARUH DUKUNGAN SOSIAL DAN KELUARGA TERHADAP KUALITAS HIDUP PASIEN DM TIPE 2 DI WILAYAH KERJA PUSKESMAS MANGASA KOTA MAKASSAR
Authors: Tombokan Maryati , Ardi Muh. , Desriyani Novi 
Published: May 2020

ABSTRACTDiabetes mellitus is an abnormality of insulin secretion, insulin action, or both of which are marked by an increase in blood glucose levels or hyperglycemia. Various problems caused by diabetes mellitus often make individuals experience excessive anxiety, this can affect the quality of life.The purpose of this study was to determine the effect of social and family support on the quality of life of patients with type 2 diabetes mellitus in the working area of Mangasa Health Center in Makassar City. The research method uses descriptive analytic with cross sectiona technique approach. The results of the study using unpaired t test showed that there is a social influence sampling on quality of life (p = 0.02), and there is a family influence on quality of life (p = 0.01). The conclusion from the results of the study is that there is an influence of social and family support on the quality of life of patients with type 2 diabetes mellitus.Keywords : Diabetes mellitus, social and family support, quality of life ABSTRAK Diabetes mellitus merupakan kelainan sekresi insulin, kerja insulin, atau keduanya yang ditandai dengan kenaikan kadar glukosa darah atau hiperglikemia. Berbagai masalah yang disebabkan oleh diabetes mellitus seringkali membuat individu mengalami kecemasan yang berlebihan, hal ini dapat mempengaruhi kualtas hidupnya. Tujuan penelitian untuk mengetahui pengaruh dukungan sosial dan keluarga terhadap kualitas hidup pasien diabete mellitus tipe 2 di wilayah kerja Puskesmas Mangasa Kota Makassar. Metode penelitian menggunakan descriptive analytic dengan pendekatan cross sectional. Hasil penelitian dengan menggunakan uji t tidak berpasangan menunjukkan bahwa ada pengaruh dukungan sosial terhadap kualitas hidup (p = 0,02), dan ada pengaruh dukungan keluarga terhadap kualitas hidup (p = 0,01). Kesimpulan dari hasil penelitian ini adalah ada pengaruh dukungan sosial dan keluarga terhadap kualitas hidup pasien diabetes mellitus tipe 2. Kata kunci : Diabetes mellitus, dukungan sosial dan keluarga, kualitas hidup
PENGARUH SELF DIABETES MANAGEMENT EDUCATION (SDME) TERHADAP PENGETAHUAN ANGGOTA KELUARGA PENDERITA DIABETES MELITUS DI WILAYAH KERJA PUSKESMAS MANGASA KOTA MAKASSAR
Authors: Rahmatia Sitti , Mustafa Mardiana , Setiawan Andy 
Published: May 2020

ABSTRACTSelf Diabetes Management Education (SDME) is a process of health education for individuals or families in managing Diabetes Melitus which has been developed since the 1930s by Joslin Diabetes Center. SDME uses guideline, counseling and intervention methods to increase knowledge about Diabetes Mellitus and improve individual and family skills in managing Diabetes Mellitus. Lack of knowledge or public awareness is one of the factors that contribute to the high incidence of diabetes mellitus. In general, the purpose of the research was to determine the effect of SDME on the knowledge of family members with diabetes mellitus patients at Mangasa health center Makassar. This research used quasy experiment with pre posttest group design. The number of research samples was 17 respondents for the intervention group and 17 respondents in the control group. The intervention group received SDME for 3 weeks, while the control group was given Leaflet education. Based on the results of the Wilcoxon analysis, the value of þ = 0.001 is smaller than 0.05 (<0.05), which means that there is a significant relationship between Self Diabetes Management Education and the knowledge of family members with Diabetes Mellitus. Self Diabetes Management Education Increases the knowledge of family members with Diabetes Mellitus patients in health center Mangasa working area, Makassar city.Keyword: SDME, Knowledge, Diabetes Mellitus ABSTRAKSelf Diabetes Management Education (SDME) merupakan proses pendidikan kesehatan bagi individu atau keluarga dalam mengelola penyakit Diabetes Melitus yang telah dikembangkan sejak tahun 1930-an oleh Joslin Diabetes Center. SDME menggunakan metode pedoman, konseling dan intervensi untuk meningkatkan pengetahuan mengenai Diabetes serta meningkatkan keterampilan individu dan keluarga dalam mengelola penyakit Diabetes Melitus. Kurangnya pengetahuan atau kesadaran masyarakat menjadi salah satu faktor yang berkontribusi terhadap tingginya angka kejadian Diabetes Melitus. Secara umum tujuan penelitian untuk mengetahui pengaruh SDME terhadap pengetahuan anggota keluarga penderita Diabetes Melitus di Wilayah kerja Puskesmas Mangasa Kota Makassar. Penelitian ini menggunakan quasy experiment dengan pre post test group design. Jumlah sampel penelitian 17 responden untuk kelompok intervensi dan 17 responden kelompok kontrol. Kelompok intervensi mendapatkan SDME selama 3 minggu, sedangkan kelompok kontrol diberi edukasi berupa Leaflet. Berdasarkan hasil analisis Wilcoxon diperoleh nilai þ =0,001 lebih kecil dari 0,05 (<0,05) yang berarti ada hubungan yang signifikan antara Self Diabetes Management Education terhadap pengetahuan anggota keluarga penderita Diabetes Melitus. Self Diabetes Management Education meningkatkan pengetahuan anggota keluarga penderita Diabetes Melitus di Wilayah Kerja Puskesmas Mangasa Kota Makassar.Kata Kunci: SDME, Pengetahuan, Diabetes Melitus
PENGARUH TERAPI RENDAM KAKI AIR HANGAT TERHADAP PENURUNAN TEKANAN DARAH PADA HIPERTENSI DI WILAYAH KERJA PUSKESMAS PATTALLASSANG KAB. TAKALAR
Authors: Arafah Salmah 
Published: May 2020

ABSTRAK Hipertensi adalah tekanan darah sistolik lebih dari 140 mmHg dan diastolic lebih dari 90 mmHg. Selain terapi farmakologi, penatalaksanaan hipertensi dapat menggunakan terapi nonfarmakologi salah satunya terapi rendam kaki air hangat. Tujuan: penelitian untuk mengetahui pengaruh rendam kaki air hangat terhadap penurunan tekanan darah pada hipertensi di Wilayah Kerja Puskesmas Pattallassang Kab. Takalar. Sampel adalah penderita hipertensi di Wilayah Kerja Puskesmas Pattallassang Kab Takalar yang memenuhi criteria inklusi, menggunakan teknik sampel random sampling dengan metode purposive sampling, didapatkan 15 orang. Desain Penelitian menggunakan metode penelitian Eksperiment Design dengan rancangan One Group Times Series, dilakukan observasi pretest kemudian perlakuan (Terapi Rendam Kaki Air Hangat) dan observasi post test sebanyak 3 kali. Hasil Penelitian berdasarkan uji Friedman didapatkan bahwa didapatkan bahwa p=0,000 < α=0,05, maka ada pengaruh antara hasil tekanan darah sistolik setelah rendam kaki air hanga. Berdasarkan uji Wilcoxon, terdapat pengaruh terhadap penurunan tekanan darah (p-value = 0,000). Kesimpulan dari penelitian ini, terapi rendam kaki air hangat efektif menurunkan tekanan darah pada hipertensi, di Wilayah Kerja Puskesmas Pattallassang Kab. Takalar.Kata kunci : rendam kaki air hangat, tekanan darah, hipertensi
GAMBARAN KUALITAS BAKTERIOLOGIS ANGKA LEMPENG TOTAL (ALT) PADA PENTOL GORENG DI SEKOLAH DASAR KECAMATAN BAROMBONG KABUPATEN GOWA
Authors: Haderiah Haderiah , Sari Nurindah 
Published: May 2020

Pentol goreng adalah sebutan untuk sejenis jajanan yang berbentuk bakso yang dijual di Depan Sekolah Dasar. Hal tersebut memudahkan pentol goreng terkontaminasi dengan bakteri yang terbawah dengan debuh yang hinggap dimakanan (Pentol Goreng) bakteri merupakan salah satu penyebab timbulnya penyakit.Tujuan untuk mengetahui keberadaan bakteri Angka Lempeng Total(ALT) pada pentol goreng di Sekolah Dasar di Kecamatan Barombong Kabupaten Gowa. Penelitian ini merupakan observasional dengan pendekatan deskriptif yang akan memberikan gambaran tentang kualitas bakteriologis Angka Lempeng Total (ALT) pada pentol goreng pada Sekolah Dasar Kecamatan Barombong Kabupaten Gowa. Dengan jumlah sampel sebanyak 7 penjual pentol goreng.Hasil penelitian ini dengan jumlah sampel sebanyak 7 sampel diperoleh hanya 1 sampel pentol goreng yang memenuhi syarat menurut SNI 7388 tahun 2009 Tentang Batasan Maksimum Cemaran Mikroba Dalam Pangan.Dapat disimpulkan bahwa uji laboratorium yang telah dilakukan pada pentol goreng yang dijual di Kabupaten Gowa maka diperoleh hasil postif mengandung jumlah kuman pada pentol goreng. Diharapkan pada seluruh penjual pentol goreng yang ada di Sekolah Dasar Kecamatan barombong Kabupaten Gowa agar menjaga kebersiahan hygiene dan sanitasi dengan baik. Kunci : Pentol Goreng, Hygiene Sanitasi, Angka Lempeng Total