bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of Standardized Edmonton Symptom Assessment System Use on Emergency Department Visits and Hospitalization: Results of a Population-Based Retrospective Matched Cohort Analysis
Authors: Barbera Lisa , Sutradhar Rinku , Seow Hsien , Earle Craig C. , Howell Doris , Mittmann Nicole , Li Qing , Thiruchelvam Deva 
Published: May 2020

PURPOSE: The Edmonton Symptom Assessment System (ESAS) is a validated instrument whose use has been standardized in the Ontario cancer system to measure symptoms among ambulatory patients with cancer. The objective was to examine the effect of ESAS exposure on visits to the emergency department (ED) and hospitalizations. METHODS: This was a retrospective matched cohort study conducted in Ontario, Canada. The study included patients ≥ 18 years of age diagnosed with cancer between 2007 and 2015. Patients were considered exposed if they were screened with ESAS at least once during the study period, and their first ESAS screening date was defined as the index date. Each exposed patient was matched randomly to a patient with cancer without ESAS assessment using a combination of hard matching (birth year ± 2 years, cancer diagnosis date ± 1 year, cancer type, and sex) and propensity score matching (14 variables, including cancer stage, treatments received, and comorbidities). A multivariable Andersen-Gill recurrent event model was used to evaluate the effect of ESAS on the rate of health care use. RESULTS: The analysis included 128,893 matched pairs that were well balanced on baseline measures. After adjusting for other variables, patients with ESAS had lower rates of both ED visits (relative rate [RR], 0.92; 95% CI, 0.91 to 0.93) and hospitalizations (RR, 0.86; 95% CI, 0.85 to 0.87) compared with patients without ESAS. CONCLUSION: ESAS exposure is independently associated with decreased rates of ED visits and hospitalizations. This provides real-world evidence of one potential positive impact of standardized symptom assessment in cancer care.
Question Prompt List to Support Patient-Provider Communication in the Use of the 21-Gene Recurrence Test: Feasibility, Acceptability, and Outcomes
Authors: Jayasekera Jinani , Vadaparampil Susan T. , Eggly Susan , Street Richard L. , Foster Moore Tanina , Isaacs Claudine , Han Hyo S. , Augusto Bianca , Garcia Jennifer , Lopez Katherine , O’Neill Suzanne C. 
Published: May 2020

PURPOSE: The 21-gene recurrence score (RS) assay is used to guide breast cancer treatment decisions but can be poorly understood by patients. We examined the effects of a question prompt list (QPL) on knowledge, distress, and decisional conflict related to genomic testing and treatment in early-stage breast cancer. METHODS: We describe the feasibility and acceptability of the QPL and the impact of the QPL on knowledge, distress, and decisional conflict before and after the receipt of the QPL (MEND 2, N = 65). We also compared distress and decisional conflict between women who received the QPL (MEND 2, N = 65) and a comparable group of women who did not receive the QPL who participated in an earlier observational study within the same clinics (MEND 1, N = 136). RESULTS: MEND 2 participants indicated high acceptability and feasibility using the QPL. Knowledge increased post-QPL ( P < .01) but did not decrease distress. Decisional conflict was lower among women in MEND 2 compared with those in MEND 1 ( P < .01), with no statistically significant differences in distress. CONCLUSION: The findings suggest that the QPL is feasible, acceptable, can improve knowledge and decrease decisional conflict in the large group of women deciding treatment while integrating RS test results.
Racism and the Political Economy of COVID-19: Will We Continue to Resurrect the Past?
Authors: Bailey Zinzi D. , Moon J. Robin 
Published: May 2020

AbstractCOVID-19 is not spreading over a level playing field; structural racism is embedded within the fabric of American culture, infrastructure investments, and public policy and fundamentally drives inequities. The same racism that has driven the systematic dismantling of the American social safety net has also created the policy recipe for American structural vulnerability to the impacts of this and other pandemics. The Bronx provides an important case study for investigating the historical roots of structural inequities showcased by this pandemic; current lived experiences of Bronx residents are rooted in the racialized dismantling of New York City's public infrastructure and systematic disinvestment. The story of the Bronx is repeating itself, only this time with a novel virus. To address the root causes of inequities in cases and deaths due to COVID-19, we need to focus not just on restarting the economy but also on reimagining the economy, divesting of systems rooted in racism, and the devaluation of Black and Brown lives.
Going the Extra Mile? How Provider Network Design Increases Consumer Travel Distance, Particularly for Rural Consumers
Authors: Haeder Simon F. , Weimer David L. , Mukamel Dana B. 
Published: May 2020

Abstract
Context: The practical accessibility to medical care facilitated by health insurance plans depends not just on the number of providers within their networks but also on distances consumers must travel to reach the providers. Long travel distances inconvenience almost all consumers and may substantially reduce choice and access to providers for some.
Methods: The authors assess mean and median travel distances to cardiac surgeons and pediatricians for participants in (1) plans offered through Covered California, (2) comparable commercial plans, and (3) unrestricted open-network plans. The authors repeat the analysis for higher-quality providers.
Findings: The authors find that in all areas, but especially in rural areas, Covered California plan subscribers must travel longer than subscribers in the comparable commercial plan; subscribers to either plan must travel substantially longer than consumers in open networks. Analysis of access to higher-quality providers show somewhat larger travel distances. Differences between ACA and commercial plans are generally substantively small.
Conclusions: While network design adds travel distance for all consumers, this may be particularly challenging for transportation-disadvantaged populations. As distance is relevant to both health outcomes and the cost of obtaining care, this analysis provides the basis for more appropriate measures of network adequacy than those currently in use.
Carbon footprint of fertilizer imports to the East African Bloc and policy recommendations for decarbonization
Authors: Kabiri Stella 
Published: May 2020

Background: Almost all nitrogenous (N) fertilizers are fixed on an enormous scale using the Haber-Bosch ammonia synthesis process via a reaction of Nitrogen with hydrogen in the presence of a catalyst. This process is a leading global polluter, emitting 830 megatons of CO2 to the atmosphere annually. On the other hand, the global transport sector emits 7.5 gigatons of CO2 yet the fraction of emissions from freight transportation of N fertilizers from exporting countries to the East African (EA) Bloc is not known. This study examined the carbon footprint from freight transportation of N fertilizers. The findings are useful in the regions’ nationally determined contributions (NDCs) as per the Paris Agreement of December 2015 regarding downsizing emissions from the transport sector. Methods: The study area included five EA Community (EAC) countries namely, Kenya, Uganda, Tanzania, Rwanda and Burundi. Statistics of fertilizers were obtained from https://africafertilizer.org/. The carbon footprint calculator (CFC) for fertilizer production (obtained from https://www.fertilizerseurope.com/), certified by the Carbon Trust Standard, was used. Results: Over 93% of fertilizers imported to the EA Bloc are N fertilizers, leaving a carbon footprint of 4.9 megatons CO2-eq. Of these emissions, 1.1 megatons CO2-eq were contributed by imports from Saudi Arabia and 0.8 megatons CO2-eq from China. The ‘dirtiest’ of N fertilizers that accounted for the highest carbon footprint on the EA bloc were urea ammonium nitrate, calcium nitrate, nitrophosphates and ammonium sulphate. Conclusions: Every metric ton of N imported results in a carbon footprint of 4.5 metric tons CO2-eq. The Ammonia production process of exporting countries, freight distance, choice and number of N fertilizers imported are significant determinants of greenhouse gas emissions to East Africa’s NDCs. To reach net-zero emissions the EA community needs to invest in new processes, circular economy and decarbonization pathways.
Intervening along the spectrum of tuberculosis: meeting report from the World TB Day nanosymposium in the Institute of Infectious Disease and Molecular Medicine at the University of Cape Town
Authors: Hadebe Sabelo , Chengalroyen Melissa , Guler Reto , Nakedi Kehilwe , Koch Anastasia , Makatsa Mohau , Shey Muki , Parihar Suraj P. , Bryson Bryan , Marakalala Mohlopheni J. , Ndlovu Hlumani 
Published: May 2020

Tuberculosis (TB), caused by the highly infectious Mycobacterium tuberculosis, remains a leading cause of death worldwide, with an estimated 1.6 million associated deaths reported in 2017. In South Africa, an estimated 322,000 (range 230,000-428,000) people were infected with TB in 2017, and a quarter of them lost their lives due to the disease. Bacille Calmette-Guérin (BCG) remains the only effective vaccine against disseminated TB, but its inability to confer complete protection against pulmonary TB in adolescents and adults calls for an urgent need to develop new and better vaccines. There is also a need to identify markers of disease protection and develop novel drugs. It is within this backdrop that we convened a nanosymposium at the Institute of Infectious Disease and Molecular Medicine at the University of Cape Town to commemorate World TB Day and showcase recent findings generated by early career scientists in the institute. The speakers spoke on four broad topics: identification of novel drug targets, development of host-directed drug therapies, transmission of TB and immunology of TB/HIV co-infections.
Model of sickle kick pencak silat training based on exercise media in students pencak silat athletes
Authors: Amrullah Ramdani , Dlis Firmansyah , Hernawan Hernawan 
Published: May 2020

Introduction. Techniques kick is most often used in competition and in the game self-defense more than 90% points scored by the kick competition that kicks effectivenessdepending on various factors, such as the maximum strength of the muscles involved in the level of development of strength, coordination neoromuscular, the linear velocity and the angle of the ankle when kicking leg and improve coordination between agonists and antagonists. develop a model exercise kick sickle-based media practice, because the model through the medium of exercise is a model of long-term and continuous change constantly, because this type of training will develop with regard to the development of athletes in accordance with the specifications of the branch sport, and System and method of exercise is getting day also thanks to the support of increasingly sophisticated equipment, facilities and infrastructure that is more modern.Objective of the study. This study aims to determine whether the basic Technicalskills learning model based media workout sickle kick effectively improve the skills and abilities of the sickle kick pencak silat sport student athletes.Research methods. Studies that use mixed methods research approach that combines qualitative and quantitative methods.Research Quantitative used to find the effectiveness of the True-Experimental research design shaped the pretest-posttest control group design.Research result. Initial tests ability sicklekick right and left of 6.944, 6.39. 65.22 skill being right, and left 71.26. after being given treatment ability right sicklekick 8.70 and 8.04 left. Skills right 62.48, 68.66 to the left.Conclusion.Based on the results of data from field trials and discussions can be concluded that this type of training with exercise effective media to enhance the capabilities and skills of the sickle kick sports pencak silat students.
Automated Measurements of Muscle Mass Using Deep Learning Can Predict Clinical Outcomes in Patients With Liver Disease
Authors: Wang Nicholas C. , Zhang Peng , Tapper Elliot B. , Saini Sameer , Wang Stewart C. , Su Grace L. 
Published: May 2020

INTRODUCTION:
There is increasing recognition of the central role of muscle mass in predicting clinical outcomes in patients with liver disease. Muscle size can be extracted from computed tomography (CT) scans, but clinical implementation will require increased automation. We hypothesize that we can achieve this by using artificial intelligence.

METHODS:
Using deep convolutional neural networks, we trained an algorithm on the Reference Analytic Morphomics Population (n = 5,268) and validated the automated methodology in an external cohort of adult kidney donors with a noncontrast CT scan (n = 1,655). To test the clinical usefulness, we examined its ability to predict clinical outcomes in a prospectively followed cohort of patients with clinically diagnosed cirrhosis (n = 254).

RESULTS:
Between the manual and automated methodologies, we found excellent inter-rater agreement with an intraclass correlation coefficient of 0.957 (confidence interval 0.953–0.961, P < 0.0001) in the adult kidney donor cohort. The calculated dice similarity coefficient was 0.932 ± 0.042, suggesting excellent spatial overlap between manual and automated methodologies. To assess the clinical usefulness, we examined its ability to predict clinical outcomes in a cirrhosis cohort and found that automated psoas muscle index was independently associated with mortality after adjusting for age, gender, and child's classification (P < 0.001).

DISCUSSION:
We demonstrated that deep learning techniques can allow for automation of muscle measurements on clinical CT scans in a diseased cohort. These automated psoas size measurements were predictive of mortality in patients with cirrhosis showing proof of principal that this methodology may allow for wider implementation in the clinical arena.
Influence of storage temperatures and storage time of dry leaves on patchouli [Pogostemon cablin (Blanco) Benth.] essential oil
Authors: Arrigoni-Blank Maria de Fatima , Santos Priscilla Santana , Blank Arie Fitzgerald , Brito Fabiany de Andrade , Andrade Thiago Matos , Nizio Daniela Aparecida de Castro , Alves Péricles Barreto 
Published: May 2020

Patchouli [Pogostemon cablin (Blanco) Benth.] is a plant of the family Lamiaceae, widely used as an essential oil in the cosmetics and perfumery industry. This study aimed to evaluate the influence of storage time and temperature of dry leaves on the patchouli essential oil content and chemical composition. The experiment was performed in a completely randomized design in a 6x2x2 factorial scheme, testing storage time (0, 1, 2, 4, 8, and 16 weeks) and temperature (28°C and 33°C) of dry leaves of two patchouli genotypes (POG-015 and POG-021). The variables essential oil content and chemical composition, and the identification of fungus during storage were evaluated. Results showed that the storage significantly influenced the essential oil content. Patchoulol was identified as the major compound in both genotypes, ranging from 55.05% to 68.77% (POG-15) and from 52.83% to 64.06% (POG-021). Based on the results of patchoulol, dry leaves of both genotypes (POG-015 and POG-021) can be stored for up to eight weeks at 28- 33°C without altering the essential oil quality.
Brazilian cerrado species: wood characteristics
Authors: Faria Mayara Cristina Gomes de , Silva Neto Carlos de Melo e , Lima Pedro Augusto Fonseca , Chagas Matheus Peres , Tomazello Filho Mario , Sette Junior Carlos Roberto 
Published: May 2020

The characterization of wood anatomy and proprieties can provide subsidies for rational use of tree species. Enables, oftentimes, the definition of technological potential of wood - and wood products - through the assessment of quality information and also allows it´s correct identification, contributing to the timber production chain. The objective of this study was to contribute to the knowledge about wood properties of the Cerrado biome (Brazilian savanna) species trough the anatomical characterization and determination of density profile. Twenty trees species belonging to thirteen families occurring in Pirenópolis, Goiás and Brasília, Federal District, Brazil, was selected and radial samples were removed from the tree trunks at the DBH (1.30 m) in a non-destructive way using an incremental probe and a motorized extractor. The qualitative and quantitative anatomical parameters of vessels and fibers and the wood density were determined in the collected samples. Species presented fibers with mean values between 900.5 and 2052.9 µm for the length; 18.1 and 27.7 µm for the diameter; and 4.4 to 9.4 µm for the wall thickness. The species presented a variation in the vessel dimensions from 29.2 to 155.6 µm for the diameter; 17.7 to 32.5% for occupied area; and 2.6 to 165 to vessels.mm-2. The apparent density presented mean values between 0.36 and 1.21 g cm-3. The specie that presented the highest variation of wood density was A. fraxinifolium. According to the radial profiles two patterns of increasing and stable variation in the apparent density of the pith to bark were defined as a function of the wood anatomical characteristics.
INTERVENSI PEKERJA SOSIAL DALAM REUNIFIKASI EKS GANGGUAN JIWA DI BALAI REHABILITASI SOSIAL BINA KARYA DAN LARAS (BRSBKL) YOGYAKARTA
Authors: Alia Fahri , Abridinata Wibowo Tri Shandra , Sukendar Hendrik Basguni , Dina Ekmil Lana 
Published: May 2020

Abstract Factors of poverty, low education, divorce cause is often referenced as the brain's disease. There is a significant relationship between problems experienced by a person with his behavior. Because, often people who are experiencing problems are always included with changes in behavior that is not unusual. This behavioral change is then done through a behavioral approach to restore the behavior as it once was. In this case as conducted by the Social Rehabilitation Bina Karya and Laras (BRSBKL) to ex mental disorders. Clients who initially are someone who lives in a normal society, then when experiencing problems change drastically all his behavior becomes angry, quiet, aloof, not confident or afraid. But after receiving behavioral assistance then the clients are slowly experiencing a significant development into a person who would open, independent living, courage, mutual cooperation or already able to activity daily living.But in the process, not all clients who experience exs psychiatric disorders can be predicted when they will be healthy again. This can be seen from the level of problems and the desire of the client to return to health. Therefore, the handling of psychological exs through a behavioral approach can not be ascertained when it will end.Keywords: Behavioral theory, Mental Disorders, Rehabilitation.
SUCCESFUL AGING DI YOGYAKARTA : BEKERJA SEBAGAI OPTIMALISASI USIA TUA
Authors: Izdiha Anis , Kalamika Arin Mamlakah 
Published: May 2020

AbstrakTulisan ini dimaksudkan untuk mendalami tranformasi perkembangan emosi dari para lansia khususnya lansia yang berjenis kelamin wanita. Indonesia memiliki struktur masyarakat tua dimana jumlah lansia semakin bertambah pada tiap tahunnya. Penelitian terus dilakukan untuk upaya menanggulangi persoalan kemiskinan lansia di Indonesia. Desa Wirokerten, lokasi salah satu kelompok wirausaha lansia kreatif mulai mendobrak wacana negatif terhadap ketidakberdayaan lansia melalui bekerja. Kelompok lansia ini menarik untuk dilihat dalam kaitannya dengan aspek-aspek penting yang perlu dilihat dalam memahami persoalan lansia. Pendekatan psikologi perkembangan milik Erricson menjadi acuan berfikir dari tulisan ini, dimana pada usia lansia ini ada banyak aspek dan gejala sosial maupun emosi diri, bagaimana para lansia menyesuaikan diri mereka terhadap lingkungan dan perubahan tubuh mereka. Riset ini dilakukan pada bulan April- September 2014. Metode pengumpulan data dilakukan dengan observasi partisipasi, wawancara mendalam dan studi dokumentasi. Temuan penelitian ini mengungkapkan satu gagasan penting bahwa bekerja bagi sebagian lansia dimaknai sebagai bentuk perlawanan emosi yang ditunjukkan atas berkurangnya kemampuan fisik oleh sebab penuaan.Kata kunci : Lansia, Perkembangan, Lingkungan, Perlawanan Siklus
RELOKASI PEDAGANG KAKI LIMA: Strategi Coping dalam Meningkatkan Kualitas Pariwisata di Pantai Pangandaran
Authors: Supriatna Fita Fatmawati 
Published: May 2020

Artikel ini mengurai strategi coping dan kebijakan pemerintah dalam relokasi PKL di pelataran Pantai Pangandaran. Latar belakang pemerintah menyusun roadmap kebijakan relokasi PKL dalam upaya meningkatkan kualitas lokasi pariwisata pantai. Melalui pendekatan studi kasus, penulis menemukan acuan dasar kebijakan pemerintah dengan metode humanis. Sementara itu, strategi coping disinyalir dapat menjadi metode yang ampuh dalam mengurai dan mengubah keadaan. Hasil dari penelitian ini mengurai bahwa ada empat metode strategi coping yang dilakukan oleh PKL, yaitu Problem-focused Coping (PFC), Emotion-focused coping (PFC), Coping Jangka Panjang dan Coping Jangka Pendek. Pada strategi coping berbentuk PFC, tiga subjek menggunakan aspek planful problem-solving (mengatasi masalah secara langsung), dan satu subjek menggunakan confrontative coping (menyelesaikan masalah secara konfrontatif). Pada strategi coping berbentuk EFC, tiga subjek menggunakan aspek positive reappraisal (memberi penilaian positif atas permasalahan), satu subjek menggunakan aspek accepting responsibility (penerimaan atas masalah), serta satu subjek menggunakan aspek self control (pengendalian diri). Tiga subjek menggunakan Coping Jangka panjang, dan tiga subjek lainnya menggunakan coping jangka pendek dalam mengatasi permasalahan. Kata kunci: strategi coping, pedagang kaki lima, relokasi, Pangandaran
Asymptotic stability of small Oseen-type vortex under three-dimensional large perturbation
Authors: Furukawa Ken 
Published: May 2020

AbstractWe consider the three-dimensional Navier–Stokes equations whose initial data may have infinite kinetic energy. We establish unique existence of the mild solution to the Navier–Stokes equations for small initial data in the whole space{\mathbb{R}^{3}}and a vertically periodic product space{\mathbb{R}^{2}\times\mathbb{T}^{1}}which may be constant in vertical direction so that it includes the Oseen vortex. We further discuss its asymptotic stability under arbitrarily large three-dimensional perturbation in{\mathbb{R}^{2}\times\mathbb{T}^{1}}.
Die Bibliothek als Ort der (Retro-) Gaming-Kultur
Authors: Deeg Christoph 
Published: May 2020

Abstract
Das Thema Gaming hat eine immer größere Bedeutung für die heutige und zukünftige Bibliotheksarbeit. In diesem Zusammenhang wird auch vermehrt über das Thema Retro-Gaming gesprochen. Für Bibliotheken ist das Thema Retro-Gaming von großer Bedeutung, da es ein elementarer Bestandteil der Gaming-Kultur ist. Es bedeutet für Bibliotheken aber auch eine große Herausforderung, denn ab dem Moment der Beschäftigung mit Retro-Gaming geht es um das Kulturgut „Spiel“ und die Kulturtechnik „Spielen“ als Element unsere Kultur. Somit reichen die meisten vorhandenen Konzepte nicht mehr aus. Christoph Deeg beschreibt, was das für die Bibliotheksarbeit bedeutet und warum dieses Thema gerade für die Zukunft der Bibliotheken so wichtig ist.