bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rural Context, Single Institution Prospective Outcomes After Enhance Recovery Colorectal Surgery Protocol Implementation
Authors: Smucker Levi , Victory Jennifer , Scribani Melissa , Oceguera Luis , Monzon Raul 
Published: April 2020

Abstract
Background: Rural hospitals face unique challenges to adopting Enhanced Recovery protocols after colorectal surgical procedures. There are few examples of successful implementation in the United States, and fewer yet of prospective, outcomes-based trials. Methods: This study drew data from elective bowel resection prospectively collected, retrospectively analyzed cases 2 years prior (n=214) and 3 years after (n=224) implementing an ERAS protocol at a small, rural health network in upstate New York. Primary outcomes were cost, length-of-stay, readmission rate, and complications.Results: The implementation required changes and buy-in at multiple levels of the institution. There was a statistically significant reduction in mean length of stay (6.9 versus 5.1 days) and per-patient savings to hospital ($3000) after implementation of ERAS protocol. There was no significant change in rate of 30-day readmissions or complications. Conclusions: The authors conclude that for rural-specific barriers to implementation of Enhanced Recovery protocols, there are also specific organizational strategies that can ultimately yield sustainable endpoints.
Heart rate and swimming activity as indicators of post-surgical recovery time of Atlantic salmon (Salmo salar)
Authors: Føre Martin , Svendsen Eirik , Økland Finn , Gräns Albin , Alfredsen Jo Arve , Finstad Bengt , Hedger Richard , Uglem Ingebrigt 
Published: April 2020

Abstract
Background: Fish telemetry using electronic transmitter or data storage tags has become a common method for studying free-swimming fish both in the wild and in aquaculture. However, fish used in aquatic telemetry studies must be handled, anaesthetised and often subjected to surgical procedures to be equipped with tags, processes that will shift the fish from their normal physiological and behavioural states. In many projects, information is needed on when the fish has recovered after handling and tagging so that only the data recorded after the fish has fully recovered are used in analyses. We aimed to establish recovery times of adult Atlantic salmon (Salmo salar) after an intraperitoneal tagging procedure featuring handling, anaesthesia and surgery.Results: Based on ECG and accelerometer data collected with telemetry from nine individual Atlantic salmon during the first period after tagging, we found that heart rate was initially elevated in all fish, and that it took an average of 4 days for heart rate to return to an assumed baseline level. Although activity levels assessed from acceleration appeared to be less affected by the tagging procedure, baseline levels were on average reached after 3.4 days for this parameter.Conclusion: Our findings showed that the Atlantic salmon used in this study on average required 3-4 days of recovery after tagging before tag data could be considered valid. Moreover, the differences between recovery times for heart rate and activity imply that recovery time recommendations should be developed based on a combination of indicators and not just on e.g. behavioural observations.
Circulating nurse´s non-technical skills: a literature review
Authors: Kalantari Reza , Zamanian Zahra , Hasanshahi Mehdi , Faghihi Aliakbar , Niakan Hadi , Jamali Jamshid , Gheysari Somayeh 
Published: April 2020

Abstract
Background: Circulating nurses are key members of the surgical team and play an essential role in ensuring patient safety in the operating room. They need to use non-technical skills to provide safe and efficient patient care. This study was conducted to identify the behaviors related to the circulating nurse´s nontechnical skills from the existing literature.Methods: A search of the literature between 1990 and 2020 was conducted using online sources, including Web of Science, MEDLINE, CINHAL, Scopus, OVID, and Cochran library. Furthermore, the publications of the Association of peri-operative registered nurses (AORN) and the National Association of Theater Nurses (NATH) were consulted. Then the skills were grouped into known categories of non-technical skills.Results: Behaviors related to circulating nurse´s non-technical skills were extracted from the existing literature. Then they were grouped into seven domains, including communication, leadership, coping, teamwork, situational awareness, task management, and decision-making and problem-solving. Furthermore, several improper behaviors were extracted.Conclusion: Circulating nurses need to use non-technical skills from the beginning until the end of surgery to perform efficiently. There is still a need for future work to identifying circulating nurses’ non-technical skills using other types of studies to develop an assessment tool.
The relationship between poor pulmonary function and irregular pulse in the elderly: findings from a nationwide cross-sectional survey in Korea
Authors: Kim Sun Hwa , Hwang Seon Young , Shin Jinho , Park Jin-Kyu 
Published: April 2020

Abstract
Background: Pulse palpation is a useful screening method for early detection of cardiac arrhythmia, which may result from reduced pulmonary function. The aim of this study is to investigate the association between reduced pulmonary function and pulse palpation finding in the elderly. Methods: Secondary analysis was performed using the Korea National Health and Nutrition Examination Survey (n=2347 subjects aged ≥65 years). Pulse palpation was initially performed for 15 seconds and confirmed again for 60 seconds. Results: The prevalence of IP was 61 (2.6%). The mean age of subjects with IP was 73.0 (95% CI 71.7-74.3) years, and 45.8% were male. After adjustment, the lowest FVC or FEV 1 and predicted FVC <80% remained significant risk factors for IP. A restrictive or obstructive pattern also independently predicted IP. Conclusions: The elderly with reduced pulmonary function had a significant risk of irregular pulse, in whom careful pulse palpation may be required for early detection of arrhythmia.
Is household water insecurity a link between water governance and well-being? A multi-site analysis
Authors: Miller Joshua D. , Vonk Jaynie , Staddon Chad , Young Sera L. 
Published: April 2020

Abstract
Improving water governance is a top priority for addressing the global water crisis. Yet, there is a dearth of empirical data examining whether better water governance is associated with lower water insecurity and improved well-being. We, therefore, pooled household data from two Sustainable Water Effectiveness Reviews conducted by Oxfam GB in Zambia (n = 997) and the Democratic Republic of Congo (DRC, n = 1,071) to assess the relationship between perceived water governance (using a 12-item indicator), water insecurity [using the Household Water Insecurity Experiences (HWISE) Scale], and four indicators of well-being: life satisfaction, drinking unsafe water, diarrhea, and resilience to cholera outbreak. Using generalized structural equation models controlling for wealth and primary water source, each point increase in water governance score was associated with a 0.69-point decrease in HWISE Scale scores. Good water governance was also directly associated with greater odds of life satisfaction (aOR 1.24) and lower odds of both drinking unsafe water (aOR 0.91) and severe cholera impact (aOR 0.92). Furthermore, the relationships between water governance and drinking unsafe water, diarrhea, and cholera impact were mediated by household water insecurity. Improving water governance has the potential to meaningfully impact entrenched public health issues through changes in water insecurity.
Trace metal requirements for anaerobic co-digestion of sewage sludge from rural areas and food waste in Japan
Authors: Nakamura Masato , Shibata Hirohiko , Yamaoka Masaru , Oritate Fumiko 
Published: April 2020

Abstract
For small-scale wastewater treatment plants in rural areas (WWTPRs) of Japan, reducing sludge disposal costs is an important issue. Co-digestion of sludge from WWTPRs and food waste is a promising method of reducing maintenance costs and producing energy resources such as methane. In this study, co-digestion experiments using sludge and kitchen garbage were conducted to investigate the stability of the co-digestion from the perspective of trace metal requirements. The gas production rate and pH were stable in the digester with HRTs of 140–70 days. With a HRT of 30 days, the pH gradually dropped from 7.0 to 6.5, and VFA accumulated up to a concentration of 2,200 mg/L, indicating process failure. Cobalt (Co) concentration was approximately one-tenth of the required amount reported by a previous study. When Co was added to the digester, the pH and gas production rate became stable even with a higher VS loading rate. Therefore, the unstable situation was attributed to a lack of Co in the sludge. The Co concentration of sludge from WWTPRs in Japan is generally low, similar to the sludge used in this study. The addition of Co is required for stable co-digestion of sludge from WWTPRs and food waste.
Impact of a Health System's Three-Pronged Strategy to Address the Opioid Epidemic in DE, PA, and WV, 2013-2017
Authors: DeShazer Charles , Dominic Oralia , DeLeo Caesar , Johnson Rhonda 
Published: April 2020

Background:
In the past two decades, from 1999-2017, more than 700,000 people have died from a drug overdose in the United States. In 2017, more than 68% of the drug overdose deaths involved an opioid, and the opioid death rate was six times higher than in 1999. Although treatable, opioid addiction has significant health consequences; and evidence-based, data-driven models addressing these opioid-related factors remain sparse.

Objectives:
To help stem this epidemic, Highmark Inc., a national health plan as well as the second largest integrated delivery and financing system in America, developed, implemented and evaluated a series of quality management-focused opioid interventions utilizing a three-pronged public health approach. We focused on more effectively managing pain to reduce the need for opioids (primary prevention); when needed, prescribing opioids according to safe prescribing guidelines (secondary prevention); and for those with Opioid Use Disorder (OUD), ensuring access to effective treatment to reduce morbidity/mortality (tertiary prevention) for our members.

Methods:
We deployed a series of evidence-based and data-driven interventions utilizing clinical guidelines, integrated and coordinated infrastructures, and community-based participatory research frameworks within our service areas of Delaware, Pennsylvania, and West Virginia. We examined medical and pharmacy claims for combined data years 2013-2017 by age, product (commercial, diagnosis with OUD), total Opioid prescription (RX) fill rate (per 1,000 members), opioid use by dose (dosage level by Morphine Milligram Equivalents), opioid use by duration (number days of opioid use), rate per 1,000 members diagnosed with OUD, and geography.

Results:
Improvements in total Opioid RX fills, opioid use by dose and duration for members diagnosed with OUD. Over these years, a decrease of 19% of total Opioid RX fills; shorter durations and the majority of these members switched to 7 days or less of opioid use; and a reduction by 13 percentage point of the number of members on higher strength 20+ MMEs opioids resulted.

Conclusion:
These findings may help inform nationwide opioid-focused efforts and set priorities.
KEMAMPUAN BAKTERI HALOFILIK UNTUK PENGOLAHAN LIMBAH INDUSTRI PEMINDANGAN IKAN
Authors: Nilawati Nilawati , Marihati Marihati , Susdawanita Susdawanita , Setianingsih Nanik Indah 
Published: April 2020

Industri pemindangan ikan dalam proses pengolahannya menghasilkan limbah cair. Limbah tersebut langsung dibuang ke sungai, hal ini dapat menyebabkan pencemaran lingkungan terutama bau akibat dari pembusukan protein.Kapasitasnya 150 m3 per-hari untuk 1 industri. Limbah cair rebusan ikan pindang mengandung beban cemaran yang cukup tinggi, dengan nilai permanganat 15.073 ppm dan BOD 5.380 ppm.Pengolahan limbah cair dalam penelitian ini menggunakan sistem batch dan kontinyu yang diamati setiap hari selama 8 hari (hari ke 0, 1, 2, 3, 4, 5, 6 dan 7). Hasil penelitian menunjukkan penurunan nilai permanganat paling optimal terjadi pada hari ke 6 sebesar 4.266 ppm atau penurunannya sebesar 2.401 ppm , atau 36,01 persen untuk sistem batch. Sistem kontinyu penurunan optimal pada hari ke-3 yaitu 5.906 ppm turun 13,47 persen.Jadi sistem batch lebih efektif daripada sistem kontinyu pada pengolahan limbah pindang dengan bakteri halofilik. Nilai BOD terjadi penurunan yang signifikan, untuk pengolahan dengan sistem batch secara keseluruhan nilai BOD sistem batch lebih rendah daripada sistem kontinyu. Penurunan yang optimal pada hari ke-6menjadi 496 ppm terjadi penurunan sebesar 1.203 ppm atau 70,81 persen, sedangkan sistem kontinyu nilai BOD tidak terjadi penurunan .
Pengembangan Reaktor Fotokatalitik Rotating Drum untuk Pengolahan Air Limbah Industri Tekstil
Authors: Syahroni Cholid , Djarwanti Djarwanti 
Published: April 2020

Reaksi oksidasi fotokatalitik memiliki potensi untuk mendegradasi senyawa organik hingga tingkat mineralisasi, sehingga tidak meninggalkan residu (sludge). Penelitian ini bertujuan membuat reaktor fotokatalitik rotating drum dan mengaplikasikan pada industri tekstil. Langkah percobaan meliputi pembuatan katalis TiO2 secara anodizing serta karakterisasi dengan XRD dan SEM, pembuatan reaktor fotokatalitik rotating drum dan uji coba degradasi air limbah industri tekstil. Proses anodizing dilakukan dengan bias potensial sebesar 40 volt selama 2 jam menggunakan elektrolit etilen glikol yang mengandung amonium fluorida dan air. Uji karakterisasi secara XRD dan SEM menunjukkan bahwa struktur kristal TiO2 adalah anatase dengan ukuran kristalit 8–19 nm. Bentuk kristal nanotube, dengan diameter 30–110 nm. Hasil uji coba menunjukkan bahwa degradasi secara fotokatalitik dengan penambahan H2O2 0,15% terhadap air limbah bisa menurunkan COD 72,12% dalam waktu 2 jam.
DETERMINATION OF THE OPTIMAL DISTRIBUTION OF SUPPORTS IN THE FLOOR SLABS OF IN-DUSTRIAL BUILDINGS USING STOCHASTIC METHODS
Authors: Efimenko E. A. , Bekkiev M. Yu. , Mayilyan D. R. , Chepurnenko A. S. 
Published: April 2020

Abstract. Aim. The purpose of the study is to determine the optimal location of supports used in the floor slab of an industrial building.Method. In order to determine the optimal arrangement of the columns, a Monte Carlo algorithm was used in combination with the finite element method. The calculation was carried out on the basis of the theory of elastic thin plates.Results. The article presents a solution to the problem of determining the optimal location of a given number of point-supports of a floor slab n from the condition of minimum objective function. For the objective function, the maximum deflection of the slab, the potential energy of deformation and the flow rate of reinforcement were selected as variables. The selection of reinforcement was carried out in accordance with current generally-accepted standards for the design of reinforced concrete structures. The calcu-lations were performed using a program developed by the authors in the MATLAB computing environment. The results are given for n = 3,4,5. The algorithm, which has been modified for a large num-ber of supports n, is presented alongside a comparison of the basic and modified algorithm with n = 25. The possibility of a significant reduction in plate deformations with an irregular arrangement of supports compared to a regular distribution is shown.Conclusion. A method is proposed for finding the rational locations of point supports for a floor slab for a given quantity from the condition of min-imum deflection, potential strain energy and consumption of reinforcement materials based on the Monte Carlo method. This technique is suitable for arbitrary slab configurations and arbitrary loads. A modification of the algorithm is presented that is suitable for a large number of supports. The test example shows that the maximum deflection can be reduced by 42% when using an irregular support configuration compared to regular column spacing. In the considered examples, the position of all the supports was previously considered unknown, but the developed algorithm easily allows for stationary supports, whose position does not change.
modeling frame, flexible production system, search and selection algorithm, frame slot, graph diagram
Authors: Mamedov J. F. , Abdullaev K. S. , Muradli Z. M. , Hasanova E. M. , Alieva S. B. 
Published: April 2020

Abstract. Aim. The aim of the study is to develop algorithmic support based on a frame model for information retrieval and selection of a flexible manufacturing system (FMS), as well as its technical units and control system in accordance with a process flow diagram.Method. An intelligent method based on a frame model is used in order to create a search and selection algorithm. The FRL programming language was used for programming the frame model.Results. In accordance with the published guidelines for ensuring the management and operation of archival design work, a comparative analysis of information support algorithms was carried out to in order to select flexible production systems (FPS) comprising standard elements, production modules, layout schemes and a set of information about their parameters or the location of documents. The model for creating algorithmic support was based on the modelling frame for the effective search and selection of the FMS, while its production modules and active elements were implemented in accordance with the scope of production and the purposes of each technical unit.Conclusion. To ensure the reliable functioning of the FMS automatic control system, an algorithm is proposed for searching sensors based on frame slots and achievable positioning errors of industrial robots and technological equipment. An algorithm for locating sensors and controlling the active elements of an FMS production module is presented.
Mobile Health Apps for Improvement of Tuberculosis Treatment: Descriptive Review
Authors: Keutzer Lina , Wicha Sebastian G , Simonsson Ulrika SH 
Published: April 2020

Background
Mobile health (mHealth) is a rapidly emerging market, which has been implemented in a variety of different disease areas. Tuberculosis remains one of the most common causes of death from an infectious disease worldwide, and mHealth apps offer an important contribution to the improvement of tuberculosis treatment. In particular, apps facilitating dose individualization, adherence monitoring, or provision of information and education about the disease can be powerful tools to prevent the development of drug-resistant tuberculosis or disease relapse.

Objective
The aim of this review was to identify, describe, and categorize mobile and Web-based apps related to tuberculosis that are currently available.

Methods
PubMed, Google Play Store, Apple Store, Amazon, and Google were searched between February and July 2019 using a combination of 20 keywords. Apps were included in the analysis if they focused on tuberculosis, and were excluded if they were related to other disease areas or if they were games unrelated to tuberculosis. All apps matching the inclusion criteria were classified into the following five categories: adherence monitoring, individualized dosing, eLearning/information, diagnosis, and others. The included apps were then summarized and described based on publicly available information using 12 characteristics.

Results
Fifty-five mHealth apps met the inclusion criteria and were included in this analysis. Of the 55 apps, 8 (15%) were intended to monitor patients’ adherence, 6 (11%) were designed for dosage adjustment, 29 (53%) were designed for eLearning/information, 3 (6%) were focused on tuberculosis diagnosis, and 9 (16%) were related to other purposes.

Conclusions
The number of mHealth apps related to tuberculosis has increased during the past 3 years. Although some of the discovered apps seem promising, many were found to contain errors or provided harmful or wrong information. Moreover, the majority of mHealth apps currently on the market are focused on making information about tuberculosis available (29/55, 53%). Thus, this review highlights a need for new, high-quality mHealth apps supporting tuberculosis treatment, especially those supporting individualized optimized treatment through model-informed precision dosing and video observed treatment.
ANALISIS KINERJA KEUANGAN PERBANKAN SYARIAH DENGAN PENDEKATAN ISLAMICITY PERFORMANCE INDEX PADA PERBANKAN SYARIAH DI INDONESIA
Authors: Fatmasari Ria , Kholmi Masiyah 
Published: April 2020

This study aims to analyze Islamic financial finance. This paper discusses the measurement of banking performance with Sharia Performance. Quantitative descriptive research that explains how the overall performance of Islamic banking. Another problem that is less than optimal is the distribution of zakat, as Islamic banks that has succeeds in applying sharia principles are considered lacking in the management of zakat funds. The benefits of this research has to assist stakeholders in taught results and evaluation materials.
Penguatan Kapasitas Guru Melalui Penelitian Tindakan Kelas dan Penulisan Karya Ilmiah
Authors: Darmi Titi , Kusmiarti Reni , Yuaniati Ira 
Published: April 2020

Upaya meningkatkan mutu pendidikan dengan cara mengoptimalkan semua sumberdaya yang ada. Guru merupakan sumberdaya yang pertama dan utama dalam peningkatan mutu pendidikan. Mutu pendidikan ditentukan bagaimana proses belajar mengajar yang dilakukan guru di kelas dapat terlaksana dengan efektif dan efisein. Agar pelaksanaan proses belajar mengajar berdaya guna untuk menghasilkan luaran yang baik. Maka, guru penting melakukan evaluasi dengan melakukan Penelitian Tindakan Kelas (PTK). Dengan PTK kekurangan atau kelemahan yang terjadi dalam proses belajar mengajar dapat teridentifikasi dan terdeteksi, guru dapat menemukan solusi dari masalah yang timbul di kelasnya. Hasil PTK tersebut, guru dapat membuat karya ilmiah dan menyebarkan informasi hasil penelitian ke dalam jurnal yang baik. Kegiatan Pelatihan PTK dan penulisan Karya ilmiah bagi guru SDN 76 Kota Bengkulu, telah melakukan berbagai tahapan diantaranya : 1) telah berkonsultasi, merancang dan mensepakati program kegiatan ini bersama mitra; 2) telah melakukan sosialisasi kegiatan; 3) telah melakukan pelatihan PTK dan Penulisan Karya Ilmiah; 4) telah melakukan klinik proposal bagi guru yang membuat proposal PTK. Kegiatan ini masih banyak kekuranganya, mengingat sulitnya memotivasi para guru yang hampir 64% akan menghadapi masa pensiun, dilain pihak ada 36% guru yang memiliki potensi dan memiliki kebermanfaatan yang tinggi terhadap hasil PTK dan Penulisan karya Ilmiah, memiliki kesibukan yang sangat tinggi. Ketersediaan waktu untuk melakukan klinik hanya pada hari sabtu, sedangkan sabtu banyak kegiatan social yang sudah terjadwal.