bluuebunny/crossref_metadata_2025_split huggingface dataset:
Increased Adiposity Associated With Increased Length of Stay for Infants With Bronchiolitis
Authors: Haag Meredith B. , Goldfarb Jesse , Austin Jared P. , Noelck Michelle , Foster Byron A. 
Published: July 2020

OBJECTIVES:Excess adiposity upregulates proinflammatory adipokines in infancy that have also been implicated in the pathogenesis of bronchiolitis. The association between excess adiposity and severity of disease in bronchiolitis is unclear. We sought to examine the association between adiposity and length of hospitalization and risk of PICU transfer in children with bronchiolitis.METHODS:We conducted a retrospective cohort study examining infants 24 months and younger hospitalized at an academic children’s hospital with bronchiolitis, grouped by weight status (BMI z score and ponderal index). Data were extracted from the medical record, including the following relevant covariates: age, sex, race and/or ethnicity, and International Classification of Diseases, 10th Revision codes. Outcomes included length of stay (LOS) and PICU transfer. We used multiple regression to examine the association between each anthropometric measure and LOS and likelihood of PICU transfer.RESULTS:There were 765 children in the final sample, 599 without a significant comorbidity (eg, prematurity, congenital heart disease). The median LOS was 2.8 days (interquartile range 1.7–4.9 days). LOS increased with increasing ponderal index quartile (P = .001). After accounting for age and significant comorbidities, we used multivariable regression to identify a significant association between increasing ponderal index and LOS (P = .04) and no association between BMI and LOS. Logistic regression did not reveal an association between either anthropometric measure and PICU transfer.CONCLUSIONS:In this study, we identified an association between a measure of excess adiposity in infants and length of hospitalization for bronchiolitis. Further work is needed to confirm this association, examine potential mechanisms, and account for other potential confounders.
Reducing Vancomycin Use in a Level IV NICU
Authors: Hamdy Rana F. , Bhattarai Sopnil , Basu Sudeepta K. , Hahn Andrea , Stone Brian , Sadler Eleanor D. , Hammer Benjamin M. , Galiote John , Slomkowski Julie , Casto Anne M. , Korzuch Katelyn P. , Chase Hannah , Nzegwu Nneka , Greenberg Isabella , Ortiz Noelle , Blake Carmen , Chang Jaeho , Bost James E. , Payne Asha S. , Shah Rahul K. , Soghier Lamia 
Published: July 2020

BACKGROUND AND OBJECTIVES:
Vancomycin remains one of the most commonly prescribed antibiotics in NICUs despite recommendations to limit its use for known resistant infections. Baseline data revealing substantially higher vancomycin use in our NICU compared to peer institutions informed our quality improvement initiative. Our aim was to reduce the vancomycin prescribing rate in neonates hospitalized in our NICU by 50% within 1 year and sustain for 1 year.

METHODS:
In the 60-bed level IV NICU of an academic referral center, we used a quality improvement framework to develop key drivers and interventions including (1) physician education with benchmarking antibiotic prescribing rates; (2) pharmacy-initiated 48-hour antibiotic time-outs on rounds; (3) development of clinical pathways to standardize empirical antibiotic choices for early-onset sepsis, late-onset sepsis, and necrotizing enterocolitis; coupled with (4) daily prospective audit with feedback from the antimicrobial stewardship program.

RESULTS:
We used statistical process u-charts to show vancomycin use declined from 112 to 38 days of therapy per 1000 patient-days. After education, pharmacy-initiated 48-hour time-outs, and development of clinical pathways, vancomycin use declined by 29%, and by an additional 52% after implementation of prospective audit with feedback. Vancomycin-associated acute kidney injury also declined from 1.4 to 0.1 events per 1000 patient-days.

CONCLUSIONS:
Through a sequential implementation approach of education, standardization of care with clinical pathways, pharmacist-initiated 48-hour time-outs, and prospective audit with feedback, vancomycin days of therapy declined by 66% over a 1-year period and has been sustained for 1 year.
The Roles of School Principal Leadership in Developing English Teachers’ Creativities in Palu
Authors: Marzuki Abdul Gafur , Lampuasa Saja'un 
Published: July 2020

This research is a descriptive qualitative that explaines and describes any pertinent things related to the school principal leadership and teachers’ creativities which occur now at the research spot. This study aims to investigate the roles of the school principal in encouraging, driving, and directing teachers to be creative in performing their works. Results indicated that in encouraging his teachers, the school principal: 1) provides conducive climate and condition by involving his teachers in designing school programs and by welcoming his teachers’ comments and arguments on any policies he applies or any decisions he takes; 2) introduces and assures his teachers that education paradigm has changed therefore the school should be managed as a business firm in the area of public services where the most thing that should be considered is how to satisfy customers; 3) informs clearly that in evaluating the staffs’ performances he applies reward and punishment policy; and 4) optimizes managerial functions especially in monitoring what happens in the classroom. In driving the teachers, the school primcipal should applies his or her policy and delegates several responsibilities and jobs to the right persons. In directing the teachers he or s lets his or staffs free to do their best.
Techniques of Using Intertextuality and Lecturer-Students’ Power Relation when Communicating Learning Tasks
Authors: Yelfiza Yelfiza , Yulmiati Yulmiati , Afriyanti Rika , Sukandi Syayid Sandi 
Published: July 2020

Considering the students’ emotion is essential in having the students to learn. Most Minangkabaunese students do not like being dictated for any activities with a thousand words. This paper is aimed at finding out some techniques of using intertextuality to balance lecturer-students’ power relations when communicating learning tasks. This research is qualitative with content analysis. Data were collected from six lecturers, teaching at Sekolah Tinggi Keguruandan Ilmu Pendidikan, Persatuan Guru Republik Indonesia (STKIP PGRI), selected purposively. Techniques of observation and video recording were used in collecting data. The discourse was transcribed and categorized into some techniques of using examples based on the content called content analysis.A contextual analysis was used to show lecturer-students’ power relations and formulated proposition. Findings show that the techniques of using intertextuality includeShowing Techniques of Doing Tasks (STDT), Giving Example of the Task Topic (GETT), and UERS. Using STDT had an impact on students’ readiness to learn. Meanwhile, Using GETT enhances students’ language development. Finally, Using Example of Real Situations (UERS) gives students’ opportunity to have a learning experience. Moreover, the techniquescause the lecturer and students to have a balanced power relation. The findings are significant for teachers or lecturers as guidance to communicate with students efficiently and effectively. They are expected not to dominate communication when interacting with them, especially to those who have excessive individualism. Other researchers who are interested in studying this topic are expected to be inspired to research this area viewed from other viewpoints.
A Phase II Trial of Alisertib (MLN8237) in Salvage Malignant Mesothelioma
Authors: Gay Carl M. , Zhou Yanhong , Lee J. Jack , Tang Xi Ming , Lu Wei , Wistuba Ignacio I. , Ferrarotto Renata , Gibbons Don L. , Glisson Bonnie S. , Kies Merrill S. , Simon George R. , Heymach John V. , Tsao Anne S. 
Published: July 2020

AbstractLessons LearnedTreatment with the Aurora kinase A inhibitor yields often durable disease control, but limited tumor regression, in heavily pretreated patients with unresectable malignant pleural or peritoneal mesothelioma. In a limited sample size, MYC copy-number gain or gene amplification, a candidate predictive biomarker for alisertib, did not correlate with improved response numbers or patient outcomes.BackgroundMalignant mesothelioma is an aggressive disease for which few effective therapies are available. The Aurora family kinases are critical for mitotic fidelity and highly expressed in mesothelioma, wherein their inhibition leads to growth arrest in vitro. We evaluated the efficacy of alisertib, an Aurora A kinase inhibitor, in relapsed malignant mesothelioma.MethodsTwenty-six patients with previously treated, unresectable pleural or peritoneal mesothelioma were enrolled on a single-arm, single-institution phase II trial of alisertib at a dosage of 50 mg twice daily for 7 of every 21 days. The primary endpoint was 4-month disease control rate. Secondary endpoints included overall response rate, progression free survival, overall survival, safety/toxicity, and correlation of endpoints with MYC copy number.ResultsOf the 25 evaluable patients treated on study, 8 (32%) experienced 4-month disease control, surpassing the futility endpoint. There were no confirmed partial or complete responses. Median progression-free and overall survival were 2.8 months and 6.3 months, respectively. No associations between MYC copy number and outcomes were observed.ConclusionAlisertib has modest activity in this unselected malignant mesothelioma population. Several patients achieved durable disease control. Although the study did meet its prespecified futility endpoint, the sponsor elected to close the trial at the interim analysis.
O Bonde de Santa Teresa e o bairro da Lapa na cidade do Rio de Janeiro: análises com base nas online travel reviews
Authors: Fraga Carla , Borges Vera Lúcia Bogéa , Botelho Eloise Silveira 
Published: July 2020

O Bonde de Santa Teresa constitui-se numa atração turística da cidade do Rio de Janeiro, e, embora tenha parte do seu trajeto inserido no Bairro de Santa Teresa, nota-se a sua relação com o bairro da Lapa. Em 2019, alcançou recorde de público, o posicionamento de uma atração turística para o desenvolvimento cultural de um território é um instrumento importante para o planejamento e a gestão do turismo, ainda mais quando o objetivo é inovar. Assim, o objetivo geral deste estudo é analisar o posicionamento do Bonde de Santa Teresa em relação ao bairro da Lapa na cidade do Rio de Janeiro (RJ) a partir de Online Travel Reviews (OTRs). Já os objetivos específicos são: compreender a relação entre turismo e bondes nas perspectivas do patrimônio e do desenvolvimento cultural, considerando dois aspectos, o cênico e o nostálgico; identificar a relevância dos OTRs para o posicionamento de atrações turísticas, considerando o planejamento e a gestão de destinos turísticos. O estudo é exploratório e descritivo, sendo realizado por meio de pesquisa bibliográfica e da composição de um corpus textual com “online travel reviews” (n=439) por website TripAdvisor, que foi analisado a partir do software Iramuteq (versão 0.7 alpha 2). Os resultados indicam que existe uma relação evidente do Bonde com o bairro da Lapa, notadamente com os Arcos da Lapa e que este é considerado um passeio. Logo, inovações para o turismo na Lapa devem considerar o Bonde de Santa Teresa.
A NOVA ECONOMIA NO SETOR DE HOSPEDAGEM: influências do Airbnb sobre o mercado de hotelaria de Brasília
Authors: Tucci Vitor Ribeiro do Valle , Costa Helena Araujo 
Published: July 2020

A nova economia é uma formação de mercado descentralizada, flexível e colaborativa, baseada no uso de recursos tecnológicos e voltada para o compartilhamento de informação e de recursos subutilizados. As alternativas de serviços que surgiram dentro desta lógica tem sido apontadas como disruptivas de mercados, a exemplo da hotelaria. Este trabalho teve como objetivo investigar como a plataforma de compartilhamento de hospedagem Airbnbinfluencia a atuação do setor de hotelaria estabelecido em Brasília. O estudo, de caráter exploratório-descritivo e qualitativo, contou com entrevistas semiestruturadas sobre as dimensões: cliente, serviços, aspectos financeiros e setoriais. Para isso, foram realizadas entrevistas junto meios de hospedagem de categorias distintas, sendo hotéis 2, 4 e 5 estrelas, uma pousada e um hostel. Para a interpretação dos dados, utilizou-se a técnica análise de conteúdo. Os resultados mostram pouca ou nenhuma percepção de influências por parte dos participantes na maioria das dimensões investigadas. As influências mais relatadas foram na dimensão financeira, tocantes à ampliação da oferta para o cliente, e com uma maior percepção por parte de acomodações categorias mais simples. Em conclusão, destaca-se uma interferência limitada do Airbnbsobre o mercado tradicional de hospedagem em Brasília e sua influência indireta a partir de uma mudança na concorrência.
Функционирование прецедентных имен в японской рекламе
Authors: Мозгунова Александра Дмитриевна 
Published: July 2020

<p>В статье рассматривается функционирование прецедентных имен в японоязычных рекламных текстах. Прецедентные имена являются составной частью понятия «прецедентный феномен», представляющего собой значимые для носителя определенной лингвокультуры элементы вещного мира, нематериальной культуры. Отсылки к ним возобновляются в дискурсе языковой личности.</p><p>Употребление прецедентных имен в рекламе происходит в силу ряда прагматических причин. Например, они хорошо знакомы потенциальному реципиенту. Это упрощает восприятие и снимает блок недоверия в отношении рекламы как жанра. Они выступают своего рода эталоном, позволяя дать оценку происходящему, сформировать образ товара. Являясь культурными знаками, они выполняют парольную функцию, выделяя адресата сообщения. Их нередко кладут в основу языковой игры, таким образом, они выполняют людическую функцию.</p><p>Употребление прецедентных имен возможно в денотативном значении. Тогда они по своим функциям приближаются к имени собственному. В коннотативном значении они выступают средством приращения новых смыслов и оценок в тексте. </p><p>Однако тот факт, что представления, закрепленные за явлением в когнитивной базе индивида, не всегда совпадают с «хрестоматийным» объемом значений прецедентного феномена или могут трактоваться по-разному в условиях инокультуры, делает возможным возникновение коммуникативной неудачи и осложняет перенос рекламного сообщения в реалии другой культуры. С другой стороны, поскольку чаще релевантной для рекламного текста оказывается одна из особенностей имени, происходит его образная трансформация, позволяющая усилить положительное воздействие на адресата. </p><p>В рекламных текстах прецедентные феномены могут подвергаться лексическим, фонетическим, синтаксическим, семантическим трансформациям.</p>
Восток встречается с Западом: встреча советских и американских войск на реке Эльба в воспоминаниях участников
Authors: Ручкин Александр Борисович 
Published: July 2020

<p>Формирование государственной политики по увековечиванию памяти о Великой Отечественной войне требует особого внимания к событиям, выходящим за рамки национального значения и затрагивающим историю и судьбы других народов. Встреча советских и американских войск, произошедшая 25 апреля 1945 г. на реке Эльба в самом центре Германии, рассматривается как важная веха и одновременно символ военно-политического взаимодействия СССР с союзниками по антигитлеровской коалиции, сохраняющие сегодня свою значимость и актуальность как пример успешного сотрудничества объединенных наций по противостоянию глобальным угрозам и вызовам. </p><p>На основе воспоминаний солдат и офицеров союзных армий, мемуаров высшего командования советских и американских войск, рассекреченных документальных материалов из архива Министерства обороны РФ и медийных проектов радиостанции «Радио «Свобода» в статье реконструируется «образ союзника», сложившийся в ходе индивидуальных и коллективных контактов во время встреч в зоне соприкосновения союзных армий, рассматриваются попытки его коррекции в ходе идеологического противостояния периода холодной войны.</p><p>Политическая значимость самого события и сохранения «духа Эльбы» как важной смысловой конструкции межгосударственных отношений прослеживается на примере выступлений и совместных заявлений руководителей СССР, России и США, анализируется их восприятие в зарубежном общественно-политическом пространстве. Автор формулирует исторические уроки и общие концептуальные подходы по актуализации и использованию потенциала встречи на Эльбе для развития российско-американских отношений в современных условиях. </p>
California Historical Intensity Mapping Project (CHIMP): A Consistently Reinterpreted Dataset of Seismic Intensities for the Past 162 Yr and Implications for Seismic Hazard Maps
Authors: Salditch Leah , Gallahue Molly M. , Lucas Madeleine C. , Neely James S. , Hough Susan E. , Stein Seth 
Published: July 2020

AbstractHistorical seismic intensity data are useful for myriad reasons, including assessment of the performance of probabilistic seismic hazard assessment (PSHA) models and corresponding hazard maps by comparing their predictions to a dataset of historically observed intensities in the region. To assess PSHA models for California, a long and consistently interpreted intensity record is needed. For this purpose, the California Historical Intensity Mapping Project (CHIMP) has compiled a dataset that combines and reinterprets intensity information that has been stored in disparate and sometimes hard-to-access locations. The CHIMP dataset also includes new observations of intensity from archival research and oral history collection. Version 1 of the dataset includes 46,502 intensity observations for 62 earthquakes with estimated magnitudes ranging from 4.7 to 7.9. The 162 yr of shaking data show observed shaking lower than expected from seismic hazard models. This discrepancy is reduced, but persists, if historical intensity data for the largest earthquakes are smoothed to reduce the effects of spatial undersampling. Possible reasons for this discrepancy include other limitations of the CHIMP dataset, the hazard models, and the possibility that California seismicity throughout the historical period has been lower than the long-term average. Some of these issues may also explain similar discrepancies observed for Italy and Japan.
Development of Video-Based on Contextual Teaching and Learning Electric Energy Subtheme
Authors: Rusly Fariq Isy Ely , Erlangga Rifqi Aulia 
Published: July 2020

This study aims to develop and know the implementation of the Contextual Teaching and Learning (CTL) video about Electrical Energy Materials for Class VI Students of Islamic Elementary School. The method used in this study was Research and Development with ADDIE steps. The ADDIE is a model consisting of five steps that are Analyze, Design, Development, Implementation, and Evaluation. The study concludes that: 1) Analyze everything needed in development, 2) Design of CTL video framework in both layout and appearance, 3) Development of CTL video teaching materials from the collection of materials, preparation, validation, revision, and production of CTL videos, 4) Implementation CTL videos in learning, 5) Evaluation of the CTL video used concerning its effectiveness, practicality, and attractiveness in learning. Subjects in this research were 30 student Islamic Elementary School of Siti Sulaechah Semarang, Central Java. The data collection techniques used are interviews and questionnaires. The data analysis method in this research is qualitative and quantitative data analysis. SPSS 16 is used for quantitative analysis. The results showed as follows, 1) teachers need learning videos that are innovative, interesting, and can improve students environmental care attitudes; 2) the form of development in the form of CTL videos through the steps of analysis, design, development, application, and evaluation; and 3) Contextual Teaching and Learning-based Learning Videos can in increasing environmental attitudes (paired-sample t-test, α = 0.00 0.05).
Investigation of the Level of General Dentists' Awareness about the Causes of Halitosis and its Treatment in Yazd in 2018
Authors: Vaziri Farzane , Raei Farideh , Herandi Vahid 
Published: July 2020

Introduction: The unpleasant odor felt in speaking or breathing may be the sign of systemic disorders or some localized lesions in the mouth and teeth. As the first people to be questioned in this field, dentists play a critical role in diagnosis, treatment, and refer to a specialist, so their knowledge in this matter is important This study aimed to investigate the knowledge of Yazd general dentists about the causes of halitosis and its treatment methods in 2018.
Methods: In this cross-sectional study, 126 Yazd general dentists, selected randomly, completed a questionnaire, including demographic information (12 questions), the causes of halitosis (12 questions), methods of halitosis detection (5 questions), and methods of its treatment (3 questions). The data were then coded and statistically analyzed with SPSS version 23 software and Students' t-test, ANOVA, and Chi-square tests.
Results: The mean score of the participants' awareness was 13.23±3 3.29. Their mean score of the awareness in etiology, diagnostic methods, and the treatment amounted to 7.50 ± 2.36, 3.27± 1.39 and 2.27±0 0.74, respectively. Of them, 2.4%, 42.9%, and 54.8% had a low, moderate, and a good level of knowledge. There was a significant and inverse relationship between the knowledge score of the dentists with their age and duration of employment in the dental profession (p=0.006). Those who worked in government centers had a higher average knowledge score (p=0.004).
Conclusion: Yazd general dentists had a good knowledge level about the halitosis. Since there is a significant and inverse relationship between the mean score of knowledge with the age and duration of employment in the dental profession. Therefore, holding retraining courses is recommended to raise the level of awareness of these people.
Tratamiento del sufrimiento fetal intraparto con Orciprenalina
Authors: Soto Yancés Antonio , Palencia Ortega Domingo , Milanés P. Jorge , Perna M. Aníbal 
Published: July 2020

Uno de los principales objetivos actuales del obstetra es el de obtener un recién nacido en óptimo estado de vitalidad, dependiendo esta condición en gran medida de la agresión a que haya sido sometido el feto durante el trabajo de parto, es decir de la presencia o ausencia de sufrimiento fetal agudo.
Variabilidad espacial del pH y del contenido de Fe2O3 en suelos de la cuenca del río Tabure del Estado Lara
Authors: Hernández Wilmer , Marco Lue , Torres Duilio , Romero Pablo 
Published: July 2020

El pH del suelo es una propiedad química que representa en forma general la reacción del mismo, mientras que el hierro en forma Fe2O3 constituye una fracción relacionada con el grado de evolución de los suelos. Con el fin de evaluar la variabilidad de dos propiedades químicas de los suelos de la cuenca del río Tabure del estado Lara, en especial el pH y el Fe2O3 se realizó un levantamiento de suelo sistemático en una malla de 100mx100m, y se estudiaron los parámetros estadísticos clásicos y un análisis de semivariografía con los datos brutos, obteniéndose un semivariograma omnidireccional ajustado a un modelo esférico con un rango de 580m; para el Fe2O3 se obtuvo el mejor ajuste para un semivariograma omnidireccional un modelo exponencial de 283 m, en el caso del pH se observó una ligera anisotropía en la dirección nw-se, mientras que el Fe2O3 tuvo un comportamiento isotrópico. En conclusión se logró determinar la distancia máxima de variación de las variables estudiadas y se reconoció la leve anisotropía del pH, éstos resultados son útiles en futuras investigaciones sobre la variabilidad espacial del pH y del Fe2O3 del suelo en la cuenca estudiada