bluuebunny/crossref_metadata_2025_split huggingface dataset:
Lactation Care: Advocating for Equitable Access at the Ohio Department of Medicaid
Authors: Wessells Allyson , Smith Christine , Gladney Julie 
Published: June 2020

BackgroundLactation consultants understand the mechanisms and research supporting breastfeeding's positive impact on infant mortality reduction, including lifelong health outcomes and associated cost savings. Lactation services can enhance the success of programs intended to improve infant mortality rates, health outcomes, and cost effectiveness.ProgramAs leaders serving the Ohio Lactation Consultant Association (OLCA), we pursued engagement with Ohio Department of Medicaid policy chiefs to ensure incorporation of these facts as programs are created to improve health and optimize allocation of Medicaid resources.ResultAfter a productive meeting, we specifically proposed that professional lactation services be standard care and fully integrated across the healthcare continuum regardless of setting and ability to pay.
Using the Preterm Infant Breastfeeding Behavior Scale With Late Preterm Infants
Authors: Lober Angela , Dodgson Joan E. , Kelly Lesly 
Published: June 2020

BackgroundFeeding effectiveness of late preterm infants may vary between feedings and over time, creating confusion and frustration for parents and clinicians. An assessment tool for late preterm infants may assist mothers to recognize breastfeeding behavior more clearly. Although tools are available, none have been tested specifically with late preterm infants. We sought to determine the inter-rater reliability of the Preterm Infant Breastfeeding Behavior Scale scores for late preterm infants between mothers and a health professional.MethodsA one-group observational non-experimental design assessed inter-rater reliability (24 hours [n=23] and 48 hours [n=11] after birth).ResultsThe scale's six components were scored independently; agreement ranged from 81.8% to 100% for all components.ConclusionsThe tool was reliable and could be used to help clinicians and parents accurately understand feeding patterns and behaviors assisting with feeding decisions.
A Female Patient With Clinical Symptoms as Recurrent Urinary Tract Infection Caused By Urinary Tract Tuberculosis
Authors: Widyasari Rastita , Tjempakasari Artaria , Mohani Chandra Irwanadi 
Published: June 2020

Background : Urinary tract tuberculosis (TB) is one type of extrapulmonary TB. The prevalence in developed countries is around 15-20% of all cases of extrapulmonary TB.1 The insidious onset and non-specific constitutional symptoms of urinary tuberculosis often lead to delayed diagnosis and rapid progression to a non-functioning kidney.2-3 The only way to limit renal function loss and destruction is by early diagnosis and therapy.4Case: 34-year-old woman, came with complaints of urinary pain accompanied by right flank pain 10 months prior. Patient also had complaint of weight loss but ignoring complaints of night sweats. Patient repeatedly diagnosed as a urinary tract infection and received many kinds of antibiotic therapy but her complaints were not getting better. Urine production was about 1700 cc/24 hours. From general physical examination, there was a lack of nutritional status with BMI 17.1 kg/m2. Vesicular lung sound without rhonchi heard in both lung fields. From the urinalysis examination there were pyuria and haematuria without bacteriuri. Laboratory examination showed value of BUN was 17 mg/dl and creatinine 0.9 mg/dl. From aerob urine culture we found sterile urine. But we found positive result of Mycobacterium tuberculosis (MTB) urine cultures which was sensitive to isoniazid, rifampicin, pyrazinamide, and ethambutol. Abdominal ultrasound showed severe ecstasis of right pelviocalyceal system without stones,mass, nor cyst. We had additional data from intravenous pyelogram (IVP) which showed a non-visualized dextra pelviocalyceal system and delayed bladder emptying function at 120th minutes. From computed tomography stonographic, we found severe right hydronephrosis, proximal to distal right hydroureter, and thickening of bladder wall (± 1.61 cm) on the right antero-lateral side. To find out the cause of thickening of bladder wall, we did bladder biopsy which showed the mononuclear inflammatory cell stroma. Patients were diagnosed with urinary tract TB and received category 1 of oral anti tuberculosis therapy (Rifampicin, Isoniazid, Pyrazinamid, and Ethambutol) for 12 months and underwent right DJ stent implantation to manage the ectasys.Conclusion : Urinary tract TB often showed unspecified complaints and can be suggested as recurrent urinary tract infections. Early diagnosis and optimal management were needed to prevent anatomical and functional complications.
Penggunaan Testlet dalam Pengembangan Tes Psikologi
Authors: Widhiarso Wahyu 
Published: June 2020

Abstract. The unit of analysis or measurement is not always item level, but also group of items (testlet). This paper demonstrates the development of measurement using testlet that are rarely applied in Indonesia. The example used in this paper is the development of the measurement of visual ability, one of several test included in AJT COGTEST. In this test, the basis of grouping items into testlet is their similarity of figure being referenced. This test consists of fifteen figure and each figure consists of seven items. The data analysis technique used is the Rasch Model. The result of comparison shows the advantages testlet psychometric properties as compared to item as unit of analysis. The data generated from testlet tends to be unidimensional, not infected local dependencies, high discrimination and high model fit than the unit of analysis in the form of grains. The comparison function test information indicates that the use testlet enhance test information function. In general, the concept of testlet and applications through Winsteps program in the development of measurement tools in presented in this paper.Keywords: Measurement Unit; Rasch Model; Testlet Abstrak. Unit pengukuran tidak selalu berbentuk butir, akan tetapi juga dapat berbentuk kelompok butir (testlet). Tulisan ini mendemonstrasikan pengembangan alat ukur dengan menggunakan testlet yang jarang diterapkan di Indonesia. Contoh yang dipakai dalam tulisan ini adalah pengembangan pengukuran abilitas visual bagian dari AJT COGTEST. Dasar pengelompokan butir menjadi satu testlet adalah kesamaan gambar yang diacu karena beberapa butir mengacu pada gambar yang berbeda. Teknik analisis data yang dipakai adalah Model Rasch. Hasil perbandingan properti psikometris menunjukkan kelebihan testlet dibanding dengan butir. Data yang dihasilkan dari testlet cenderung bersifat unidimensi, tidak terjangkit dependensi lokal, memiliki ketepatan model dan daya diskriminasi butir yang lebih baik dibanding dengan unit analisis berupa butir. Hasil perbandingan fungsi informasi tes menunjukkan bahwa penggunaan testlet meningkatkan fungsi informasi tes. Secara umum konsep mengenai testlet dan aplikasinya melalui program Winsteps dalam pengembangan alat ukur dalam dipaparkan dalam tulisan ini.Kata Kunci : Testlet; Unit Pengukuran; Model Rasch
Hubungan Persepsi Keterlibatan Ayah dalam Pengasuhan dan Kesiapan Menikah Emerging Adult Perempuan di Surabaya
Authors: Feliciana Ester , Nurdibyanandaru Duta 
Published: June 2020

Penelitian ini bertujuan untuk mengetahui hubungan antara persepsi keterlibatan ayah dalam pengasuhan dan kesiapan menikah emerging adult perempuan di Surabaya. Penelitian dilakukan secara online pada 128 responden perempuan dengan rentang usia 18-25 tahun. Alat ukur yang digunakan adalah kuesioner persepsi keterlibatan ayah dalam pengasuhan yang disusun berdasarkan teori Pleck (2010) dan kuEsioner kesiapan menikah yang berdasarkan teori Blood (1978), beserta satu aitem pendukung penelitian dengan total keseluruhan 88 aitem. Kedua alat ukur tersebut disusun secara mandiri melalui uji coba terpakai. Reliabilitas kesiapan menikah menunjukkan nilai 0,776 dan persepsi keterlibatan ayah dalam pengasuhan menunjukkan nilai 0,995, artinya, kedua alat ukur yang digunakan memiliki reliabilitas yang tinggi. Analisis data dilakukan dengan Pearson Product Moment Correlation, dengan menggunakan IBM SPSS Statistic 22. Hasil penelitian yang sudah dilakukan menunjukkan bahwa terdapat hubungan antara persepsi keterlibatan ayah dalam pengasuhan dengan kesiapan menikah yang signifikan pada emerging adult perempuan di Surabaya. Hasil penelitian ini dapat digunakan sebagai referensi untuk dunia psikologi pendidikan dan perkembangan terkait dengan topik kesiapan menikah. This study aimed to determine the relationship between Perceived Father Involvement and Readiness for Marriage in Emerging Adult Female in Surabaya. There were 128 female respondents between 18-25 years old, and the data were collected online. The instruments used were Perceived Father Involvement Questionnaire based on Pleck’s theory (2010), Readiness for Marriage based on Blood’s theory (1978), and one supporting item totaling 88 items. The measuring instruments were arranged independently through a preliminary study. The Readiness of Marriage’s reliability value was 0.0776, and the Perceived Father Involvement value was 0.995, confirming that the two measuring instruments have high reliability. The data were analyzed using Pearson Product Moment Correlation on IBM Statistics 22. The significant value was 0.007. Thus, there was a significant correlation between readiness for marriage and perceived father involvement in emerging adult females in Surabaya. The research result can be used as a reference for educational and developmental psychology, particularly related to readiness for marriage.
The Fate of Unmatched Orthopaedic Applicants
Authors: Kheir Michael M. , Tan Timothy L. , Rondon Alexander J. , Chen Antonia F. 
Published: June 2020

Introduction:
Orthopaedic surgery residency has become increasingly competitive for medical school applicants with at least one in five applicants not matching annually. For unmatched applicants, the new application cycle is a perplexing and disconcerting period, where unique decisions must be addressed by the applicant. We aimed to investigate the risk factors and outcomes of unmatched orthopaedic applicants.

Methods:
This was a retrospective study using a survey-based questionnaire administered electronically to medical students annually from 2016 to 2019 immediately after match day. Applicant responses totaled 934 completed surveys, of which 81 identified themselves as unmatched from the previous year and reapplied for a subsequent cycle. Variables collected through the survey included demographics, United States Medical Licensing Examination scores, Electronic Residency Application Service application characteristics, and interim year pursuits. A univariate analysis was performed with an alpha level of 0.05 denoting statistical significance.

Results:
Overall, 58.0% of unmatched applicants subsequently matched into an orthopaedic residency. Applicants who pursued a research year or surgical internship after initially not matching had a subsequent match rate of 52.1% and 64.0%, respectively (p = 0.46). Of those who matched, 19.1% were Alpha Omega Alpha (AOA) compared with 2.9% in the unmatched group (p = 0.04). When stratified by gender, 83.3% of women matched subsequently compared with 50.8% of men (p = 0.02). There were no differences in Step 1 scores (242.5 vs. 240.7, p = 0.60), Step 2 clinical knowledge (CK) scores (248.3 vs. 244.5, p = 0.60), or the number of publications (15.6 vs. 10.9, p = 0.25) between applicants who matched or did not match, respectively.

Discussion:
Our findings demonstrate that most orthopaedic applicants matched during their subsequent attempt. Women and those with AOA status had a significantly higher match rate than their counterparts. There was no difference in outcomes between those who pursued a research year or surgical internship, Step 1 or 2CK scores, or the number of publications. Further study is warranted to properly analyze risk factors for not matching on a subsequent attempt.

Level of Evidence:
Prognostic Level IV.
Features of alternative splicing in stomach adenocarcinoma and their clinical implication: A research based on massive sequencing data
Authors: Zhang Yuanyuan , Niu Qian , Han Yun , Liu Xingyu , Jiang Jie , Chen Simiao , Lin Haolong 
Published: June 2020

Abstract
Background: Alternative splicing (AS) offers a main mechanism to form protein polymorphism. A growing body of evidence indicates the correlation between splicing disorders and carcinoma. Nevertheless, an overall analysis of AS signatures in stomach adenocarcinoma (STAD) is absent and urgently needed.Methods: Within this work, genetic expression and clinical data of STAD were queried from The Cancer Genome Atlas (TCGA), and profiles of AS events were searched from the SpliceSeq database. Cox regression analysis found survival associated AS events. Finally, the splicing network was constructed to reflect the correlation between survival associated AS events and splicing factors (SF).Results: 2042 splicing events were confirmed as prognostic molecular events. Furthermore, the final prognostic signature constructed by 10 AS events gave good result with an area under the curve (AUC) of receiver operating characteristic (ROC) curve up to 0.902 for 5 years, showing high potency in predicting patient outcome. We built the splicing regulatory network to show the internal regulation mechanism of splicing events in STAD. QKI may play a significant part in the prognosis induced by splicing events.Conclusions: In our study, a high-efficiency prognostic prediction model was built for STAD patients, and the results showed that AS events could become potential prognostic biomarkers for STAD. Meanwhile, QKI may become an important target for drug design in the future.
Haemato-immunological responses and effectiveness of feed-based bivalent vaccine against Streptococcus iniae and Aeromonas hydrophila infections in hybrid red tilapia (Oreochromis mossambicus × O. niloticus)
Authors: Monir Md. Shirajum , Yusoff Md Sabri bin Mohd , Zulperi Zarirah binti Mohamed , Hassim Hasliza binti Abu , Mohamad Aslah , Sofie Mohd Hafiz Ngoo Muhamad , Ina-Salwany Md Yasin 
Published: June 2020

Abstract
Background: Streptococcosis and Motile Aeromonad Septicemia (MAS) are important diseases of tilapia, Oreochromis spp. and causes huge economic losses in aquaculture globally. The feed-based vaccination may be an alternative to minimize major infectious diseases in tilapia. Thus, this study aims to evaluate the haemato-immunological responses and effectiveness of a newly developed feed-based killed bivalent vaccine against Streptococcus iniae and Aeromonas hydrophila in hybrid red tilapia. A total of 495 hybrid red tilapia of 61.23±4.95 g were distributed into 5 groups (each with triplicate). The fish were immunized orally through bivalent (combined S. iniae and A. hydrophila) spray vaccine (BS group), bivalent formulate vaccine (BF group), monovalent S. iniae vaccine (MS group), monovalent A. hydrophila vaccine (MA group) and unvaccinated as a control group. The vaccine was orally administered on days 0, 14 and 42 applied feed-based bacterin at 5% body weight. The blood and spleen samples were collected from all groups on 7, 21 and 49 days post-vaccination, and also 96 hours post-infection to assess their haemato-immune responses. Results: Compared with the unvaccinated group, leukocyte, lymphocytes, monocytes, granulocytes counts in vaccinated groups were significantly (P < 0.05) increased on 21, 49 days post-vaccination and also 96 hours post-infection, while erythrocytes, haemoglobin and haematocrit in vaccinated groups were significantly (P < 0.05) enhanced only 96 hours post-infection. Additionally, the lysozyme and phagocytic activity and, serum antibody (IgM) were significantly higher (P < 0.05) against S. iniae and A. hydrophila in vaccinated groups compared to the unvaccinated group in the pre- and post-infection. Results from the challenge through co-infection with S. iniae and A. hydrophila showed the relative percent survival (RPS) in BF group was 76.67±4.71%, which had the capacity to induce significant protection (P < 0.05) compared to others groups. Conclusions: This study demonstrates the bivalent formulate (BF) group could elicit significant non-specific and specific immunological responses with higher protection in hybrid red tilapia. In addition, this newly developed feed-based bivalent vaccination can be a promising technique for effective and large scale fish immunization in the aquaculture industry.
Barriers to accessing health care services: A qualitative study of migrant construction workers in a Southwestern Indian city
Authors: Santalahti Maija , Sumit Kumar , Perkiö Mikko 
Published: June 2020

Abstract
Background: This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group – internal migrants working in the construction sector in Manipal, Karnataka. Understanding the lay workers’ accounts of access to health service can help to comprehend the diversity of factors that hinder access to health care. Methods: Individual semi-structured interviews involving 15 migrant construction workers were conducted. The study applied theory-guided content analysis to investigate access to health services among the construction workers. The adductive analysis combined deductive and inductive approaches with the aim of verifying the existing barrier theory in a vulnerable context and further developing the health care access barrier theory. Results: This study’s result is a revised version of the health care access barriers model, including the dimension of trust. Three known health care access barriers – financial, cognitive and structural, as well as the new barrier (distrust in public health care services), were identified among migrant construction workers in a city context in Karnataka, India. Conclusions: Further qualitative research on vulnerable groups would produce a more comprehensive account of access to health care. The socioeconomic status behind access to health care, as well as distrust in public health services, forms focal challenges for any policymaker hoping to improve health services to match people’s needs.
Virtual Reality Experience In Long Term Care Resident Older Adults With Dementia: A Case Series
Authors: Sultana Munira , Campbell Karen , Jennings Morgan , Montero-Odasso Manuel , Orange Joseph. B. , Knowlton Jill , George Armin St. , Bryant Dianne 
Published: June 2020

Abstract
BACKGROUND: Behavioural and psychological symptoms of dementia (BPSD) worsens as dementia progresses, intensifies caregiver distress and consequent institutionalization. We wanted to evaluate feasibility of Virtual Reality (VR) as non-pharmacologic intervention for BPSD in a Long-Term Care (LTC) home. METHODS: A single site (Henley Place at London, Ontario) case series with a convenience sample (24 older adult residents with moderate to severe dementia). Intervention was 30 minutes of VR experience with Broomx©, five days a week for two weeks. BPSD was measured with Cornell Scale for Depression in Dementia (CSDD), Cohen-Mansfield Agitation Inventory (CMAI) scale, Dementia Observation System (DOS) scale, and proportion of night-time sleep. We validated selected tools with Global Rating of Change (GRC) scale. RESULTS: Implementing VR experience was possible at Henley Place (recruitment rate=40%, the adherence rate=21%, and the attrition=0%) and participants could tolerate it. No emergency transfers or one-to-one staff use were recorded during the intervention period. BPSD measuring instruments also were sensitive to change. CONCLUSION: VR experience can be implemented in a LTC home. TRIAL REGISTRATION: The study was not registered as clinical trial. We obtained ethics approval from ADVARRA Canada Ethics Board before recruiting participants for the study.
Pathological progress and prognosis of traumatic femur head necrosis after femoral neck fracture in children and adolescent: a retrospective case series of 64 patients
Authors: Yang Fan , Tu Yonggang , Hong Zhinan , Pang Fengxiang , He Wei , Wei Qiushi , Li Ziqi 
Published: June 2020

Abstract
Background: The pathological progression and prognosis of traumatic femur head necrosis (TFHN) after femoral neck fracture (FNF) in children and adolescent is relatively unknown and has never been specifically characterized. As we speculated, the prognosis in such population would be poor and characterized as the high risk of femoral head collapse, hip deformity and degeneration in a short term.Methods: This retrospective case series enrolled 64 children and adolescent with TFHN who treated with observational treatment from 2000.1 to 2018.1. The primary outcomes, such as the progression of femoral head collapse, hip deformity (Stulberg classification) and hip degeneration (Tönnis grade), and their prognostic factors were analysed.Results: 42 males and 22 females with a mean age of 13 years (6-16 years), were included. A total of 28 hips (44%) showed unsatisfactory outcome and Twenty-five (39%) hips collapsed progressively during a mean follow-up of 48 months (24-203 months). Finally, 38 hips (59%) experienced hip deformity, 20 of them were class IV/V. 34 hips (53%) generally progressed to osteoarthritis, 14 of them were classified as grades II/III. The location of the lesion and the presence of lateral subluxation were found to be independently related to progression of femoral head collapse; however, the presence of lateral subluxation was the only independent risk factor of severe hip deformity and degeneration.Conclusion: TFHN in children and adolescent is a rapidly progressing disease with a poor prognosis characterized by a high risk of femoral head collapse progression. If the lateral subluxation emerged, collapsed cases showed increasingly tendency towards severe hip deformity and degeneration.