bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementasi Pembelajaran Perkembangan Mental Anak Berkebutuhan Khusus (ABK) di Sekolah Alam Mi Bilingual Al-Ikhlas Kepanjen Malang
Authors: Husni Muhammad 
Published: October 2020

ABSTRAK
The Implementation of the learning is the process of implementing learning in implementing a structured plan or program in carrying out the learning process. For the application of learning, there are there companion teachers who handle children of heaven experts. When students are about to the start learning, they are always given finger test therapy, so that the companion teacher can find out which part of the brain is more active. The learning approach uses an individual approach and uses an individual curriculum combined with the 2013 curriculum.
This study used a qualitative approach with qualitative descriptive research. The proof obtained were written proof in accordance with the interview guidelines. The use of documentation Proof a collection techniques includes: principal proof, educator proof, student proof, learning programs for children with special needs
The application of learning to the power development of children with special needs (ABK) is to use an individual curriculum combined with the 2013 curriculum and the learning uses an individual approach. Before learning begins, the companion teacher always provides finger test therapy for children before starting learning. The teacher's effort in improving children's the power development is to provide opportunities to answer questions / work on questions given by the teacher and give Stars / Rewards.
Keywords: the Learning Implementation, the power of the Development
Penggunaan Media Alat Peraga Nasyid Sebagai Pembelajaran Inovatif Guna Memahami Konsep Agama Islam di SMA Negeri 1 Ambunten
Authors: Shiddiq L. Qodri 
Published: October 2020

ABSTRACT
Success of learning is determined by many factors, including the teacher's factor in carrying out the teaching and learning process because the teacher can directly affect Maintaining and improving intelligence and skills of the students solve the above problems and to achieve the education to the maximum the teacher's role is very important and teachers are expected to have a way of models of good teaching and being able to select appropriate learning models and in accordance with the concepts of subjects that will be presented
While the goal from the research is a to determine the significance of differences in learning acquisition between learning using songs that breathe Islam and learning without using songs that breathe Islam on the subject matter of Islamic religion on the subject of the journey of Ra. sulullah, b to find out the significance of the difference in learning acquisition based on the learning styles of SMA Negeri 1 students, know between the use of Islamic learning songs with the learning acquisition of students in SMA Negeri 1 ambunten.
From the analysis, it is found that there is a significant difference in learning acquisition between Islamic religious learning. the subject matter of the Prophet's journey by using Islamic-breathed songs to students of SMA Negeri 1 ambunten means that the use of songs with Islamic breaths to organize the learning environment can increase the acquisition of learning and learning will be meaningful and successful when learning or students are free from pressure and tension, songs breathing Islam that is played can determine the mood of the listener and the lover, the sound of relaxing Islamic breathing songs with the right rhythm can help release all forms of tension,
There is a real interaction between the use of Islamic-inspired songs Learning with learning acquisition in SMA Negeri 1 students provides an indication that between learning Islamic songs and learning outcomes have a close relationship, Islamic-breathed songs and learning styles have a significant influence in increasing learning acquisition

For keywords using media, tools nasyid display, innovative learning.
Text analysis of DNS queries for data exfiltration protection of computer networks
Authors: Bubnov Ya. V. , Ivanov N. N. 
Published: October 2020

The paper proposes effective method of computer network protection from data exfiltration by the system of domain names. Data exfiltration by Domain Name System (DNS) is an approach to conceal the transfer of confidential data to remote adversary using data encapsulation into the requesting domain name. The DNS requests that transfer stolen information from a host infected by malicious software to an external host controlled by a malefactor are considered. The paper proposes a method of detecting such DNS requests based on text classification of domain names by convolutional neural network. The efficiency of the method is based on assumption that domain names exploited for data exfiltration differ from domain names formed from words of natural language. To classify the requests in convolutional neural network the use of character embedding for representing the string of a domain name is proposed. Quality evaluation of the trained neural network used for recognition of data exfiltration through domain name system using ROC-analysis is performed.The paper presents the software architecture used for deployment of trained neural network into existing infrastructure of the domain name system targeting practical computer networks protection from data exfiltration. The architecture implies creation of response policy zones for blocking of individual requests, classified as malicious.
Federal Policy for Lowering Prescription Drug Prices
Authors: Hurley Amanda , Sheftel Celeste M. , Canales Alejandra 
Published: October 2020

Both Republicans and Democrats are determined to lower the escalating cost of prescription drug prices, which is projected to reach $605 billion/yr by 2026 (Committee on Ways and Means 2019). In this memorandum, we explore the possible outcomes of,

1)	linking U.S. drug prices to the international median incentivized by re-importation of the U.S.-made drugs from other countries,
2)	allowing the Secretary of Health and Human Services (HHS) to negotiate Medicare part D drugs incentivized through patent exemption and,
3)	funding drug discovery through prizes instead of market-exclusive patents.

We recommend that the next presidential candidate approve Option 2 and advocate for HHS Secretary negotiation powers with patent exemptions for non-compliant companies.
Digitization as an innovative segment of enterprise financial security management
Authors: Volodymyr Kotkovskyi , Zaluzhny Vitalii , Kadala Vitalii , Guzenko Olena , Bohatyrova Maryna , Leskova-Hodlevska Julia 
Published: October 2020

Today, the global trend of the digital world economy is entering an active phase of its development. In the leading countries of the world, the development of digital technologies, both at the state and corporate levels, has been begun to advance massively in government programs and business strategies. The substantiation of the role aspect of introduction of the process of digitization as an innovative element of improvement of the system of financial security management of representatives of the business sector of the economy is relevant. It is to investigate the impact of the digitalization system on improving the financial security management of enterprises in the process of improving the conceptual apparatus and develop an economic and mathematical model for evaluating financial security based on innovative proposals.
To achieve this goal, we used the method of theoretical generalization to determine the conceptual apparatus of digitization and economic-statistical methods to substantiate the economic and mathematical model of assessing the financial security of enterprises. It is proposed to expand the conceptual apparatus of the system of financial security management of enterprises by introducing such definitions as «digitization of financial security», «digital base of financial storage» and «regulator of financial security». The authors’ position of the essential characteristic of the definitions is given and the advantages of their adaptation in the management cycle are stated. The feasibility of introducing the principle of «digitization of financial security» as one of the key elements of the innovative proposal of the system of financial security management of enterprises in the future is argued. An economic and mathematical model of financial security assessment based on the profitability criteria is developed and substantiated. A number of proposals have been made to improve the financial security management of enterprises based on individual segments of the digitization system.
Allergic Contact Dermatitis due to Methacrylates in a Dental Technician &ndash; a Clinical Case
Authors: Chonin Atanas , Stoeva Iliyana 
Published: September 2020

Introduction: Methacrylate-based materials are used daily in dental practice. Specialized publications report these materials as allergens with a high sensitizing potential.
Aim: To draw the attention of dental doctors and personnel to risk factors of developing occupational allergies.
Materials and methods: History and dermatological status of the patient were taken and he was given an epicutaneous test.
Results: The allergy testing revealed a strong positive allergic reaction to methacrylates which persisted and was observed at 72 hours as well as on day 7. A diagnosis of allergic contact dermatitis was made on the basis of the patient&rsquo;s history, the clinical examination and the results of the epicutaneous test.
Conclusion: The presented clinical case shows that early identification of the specific causative agents allows clinicians to take adequate measures and achieve results without having to use a medicine, and stop the progression of the occupational disease and the development of complications.
Tofacitinib Persistence in Patients with Rheumatoid Arthritis: A Retrospective Cohort Study
Authors: Fisher Anat , Hudson Marie , Platt Robert W. , Dormuth Colin R. 
Published: October 2020

Objective.To compare medication persistence of tofacitinib with persistence of injectable biological disease-modifying antirheumatic drugs (bDMARD) in patients with rheumatoid arthritis (RA).Methods.We performed a retrospective new-user cohort study of patients with RA in the IBM MarketScan Research Databases. New users of tofacitinib or bDMARD were identified between November 2012 and December 2016. Persistence, in number of years, was the time between treatment initiation and the earliest occurrence of discontinuation or switching from the medication prescribed at cohort entry. Persistence of tofacitinib was compared with bDMARD persistence using Cox proportional hazards regression with adjustment for high-dimensional propensity scores. Similar methods were used for an analysis of post first-line therapy in patients who switched to tofacitinib from a bDMARD.Results.New tofacitinib users (n = 1031) were 56 years of age, on average, and 82% were women. New bDMARD users (n = 17,803) were 53 years of age, on average, and 78% were women. New tofacitinib users had shorter medication persistence (median 0.81 yrs) compared to bDMARD patients (1.02 yrs). After adjustment, the HR for discontinuation of tofacitinib compared with bDMARD was 1.14 (95% CI 1.05–1.25). Patients who switched to tofacitinib from a bDMARD had longer persistence than patients who switched to a bDMARD (adjusted HR for discontinuation 0.90, 95% CI 0.83–0.97).Conclusion.Further research is warranted to understand the reasons for discontinuation of tofacitinib despite its ease of administration and to understand the observed differences between switchers and new users.
STRATUS: A Phase II Study of Abituzumab in Patients With Systemic Sclerosis–associated Interstitial Lung Disease
Authors: Khanna Dinesh , Tashkin Donald P. , Wells Athol U. , Seibold James R. , Wax Stephen , Vazquez-Mateo Cristina , Fleuranceau-Morel Patricia , Damian Doris , Denton Christopher P. 
Published: October 2020

ObjectiveTo investigate the effects of abituzumab in systemic sclerosis–associated interstitial lung disease (SSc-ILD).MethodsSTRATUS was a phase II, double-blind, parallel-group, multicenter trial (ClinicalTrials.gov: NCT02745145). Adults (≤ 75 yrs) with SSc-ILD on stable mycophenolate were randomized (2:2:1) to receive intravenous abituzumab 1500 mg, abituzumab 500 mg, or placebo every 4 weeks for 104 weeks. The primary endpoint was the annual rate of change in absolute forced vital capacity.ResultsSTRATUS was terminated prematurely due to slow enrollment (n = 75 screened, n = 24 randomized), precluding robust analysis of efficacy. Abituzumab was well tolerated; no new safety signals were detected.ConclusionFurther investigation of abituzumab for treatment of SSc-ILD is required.
Clinical Phenotyping of Primary Sjögren Syndrome Patients Using Salivary Gland Ultrasonography: Data From the RESULT Cohort
Authors: Mossel Esther , van Nimwegen Jolien F. , Stel Alja J. , Wijnsma Robin F. , Delli Konstantina , van Zuiden Greetje S. , Olie Lisette , Vehof Jelle , Los Leonoor I. , Vissink Arjan , Kroese Frans G.M. , Arends Suzanne , Bootsma Hendrika 
Published: October 2020

ObjectiveTo investigate salivary gland ultrasound (SGUS) abnormalities in relation to clinical phenotype and patient characteristics, disease activity, and disease damage in patients with primary Sjögren syndrome (pSS).MethodsConsecutive outpatients included in our REgistry of Sjögren Syndrome LongiTudinal (RESULT) cohort were selected. Patients with pSS who were included were classified according to the American College of Rheumatology/European League Against Rheumatism (EULAR) criteria and underwent full ultrasonographic examination (Hocevar score 0–48) at baseline. Total SGUS scores of ≥ 15 were considered positive. Patient characteristics, disease activity, and disease damage were compared between the different SGUS groups.ResultsIn total, 172 of 186 patients with pSS were eligible, of whom 136 (79%) were SGUS positive. Compared with patients who were SGUS negative, SGUS-positive patients had significantly longer disease duration, higher EULAR Sjögren Syndrome Disease Activity Index, higher Sjögren Syndrome Disease Damage Index, and were more likely to have a positive parotid gland biopsy, anti-SSA/SSB antibodies, and abnormal unstimulated whole saliva (UWS) and ocular staining score (OSS), and higher levels of IgG and rheumatoid factor. Regarding patient-reported outcome measurements (PROM), patients who were SGUS positive scored significantly lower on the EULAR Sjögren Syndrome Patient-Reported Index for fatigue and pain, and more often found their disease state acceptable compared with patients who were SGUS negative. SGUS total score showed significant associations with various clinical and serological variables, and with PROM. Highest associations were found for UWS (ρ = –0.551) and OSS (ρ = 0.532).ConclusionPatients who were SGUS positive show a distinct clinical phenotype in all aspects of the disease compared with patients who were SGUS negative: clinical, functional, serological, and PROM. SGUS could be a helpful tool in selecting patients for clinical trials and estimating treatment need.
Interprofessional Student Quality Improvement Project in a Federally Qualified Health Center
Authors: Durham Marianne L. , Town Emily 
Published: October 2020

Background:
Quality improvement (QI) and interprofessional competencies are needed to adequately prepare the health care workforce. A nurse-led, federally qualified health center provided university students from multiple health care programs a volunteer opportunity to collaborate on a QI project influenced by social determinants of health.

Method:
Working in dyads, students surveyed patients to understand what they want to learn while waiting to see their provider. Analysis prioritized healthy lifestyles and nutrition topics. Students identified, provided, and evaluated culturally appropriate educational materials, including language and literacy in their preferred modality. A healthy lifestyles/nutrition video, recipes in English and Spanish, and a pamphlet were delivered.

Results:
Patients deemed some materials helpful, and patients and staff provided feedback for the next project phase. Students achieved basic interprofessional and QI competencies and described project satisfaction.

Conclusion:

The hands-on approach allowed students to develop beginning interprofessional and QI competencies for their future professional practice.

[
J Nurs Educ
. 2020;59(10):585–588.]
Influenza A virus H1N1 associated pneumonia - acute and late aspects evaluated with tomography high resolution in hospitalized patients
Authors: Asvolinsque Pantaleão Fontes Cristina , Sarmet Moreira Damas dos Santos Alair Augusto , Artimos de Oliveira Solange , Abdon Aidê Miquel 
Published: September 2020

Background: Influenza A (H1N1) virus often compromises the respiratory tract, leading to pneumonia, which is the principal cause of death in these patients. The purpose of this study was to review the acute and late phase pulmonary findings in influenza A(H1N1) associated pneumonia using high resolution computed tomography (HRCT), and to determine the importance of performing end expiration series. Methods: Between July and August 2009, 140 patients presented with influenza A (H1N1) confirmed by real-timepolymerase chain reaction. Out of these, 27 patients underwent HRCT in the acute and late phases of pneumonia, allowing for a comparative study. Late phase exams were performed due to clinical worsening and up to 120 days later in patients with persistent complaints of dyspnea.Results: Ground glass opacities, consolidations, and the combination of both were associated with the acute phase, whereas persistence or worsening of the lesions, lesion improvement, and air trapping in the end expiration series (as seen using HRCT, n=6) were observed in the late phase.Conclusions: In the HRCT end expiration series, air trapping was found in the late phase of H1N1 associated pneumonia. Generally, these exams are not evaluated in research articles, and air trapping has not previously been studied using the end expiration series. Our study brings more scientific knowledge about aspects of pulmonary involvement by influenza A (H1N1), through evaluation with end expiration series, which makes the CT exam dynamic, translating the respiratory movement, and showing bronchial alteration.
Lumbar Multifidus Muscle Characteristics, Body Composition, and Injury in University Rugby Players
Authors: Lévesque Jérome , Rivaz Hassan , Rizk Amanda , Frenette Stephane , Boily Mathieu , Fortin Maryse 
Published: October 2020

Context
A smaller lumbar multifidus (LM) muscle was reported to be a strong predictor of lower limb injury in professional Australian Football League players. However, despite the high prevalence of low back pain (LBP) and lower limb injury in rugby players, their LM characteristics have yet to be explored.

Objective
To (1) examine LM characteristics in male and female university rugby players and their possible associations with LBP and lower limb injury and (2) investigate the relationship between LM characteristics and body composition in this group of athletes.

Design
Cross-sectional study.

Setting
University research center.

Patients or Other Participants
Thirty-four university rugby players (20 women, 14 men).

Main Outcome Measure(s)
Ultrasound measurements of LM cross-sectional area (CSA), thickness, and percentage change in thickness during contraction were obtained bilaterally, at the L5-S1 level, in prone and standing positions. Body composition measures were obtained using dual-energy x-ray absorptiometry. Self-reported questionnaires were used to obtain LBP and lower limb injury history.

Results
Players who reported LBP in the previous 3 months showed a smaller percentage change in thickness during contraction in the standing position (F = 5.21, P = .03). The LM CSA side-to-side asymmetry (right versus left) was greater in players who reported having a lower limb injury in the previous 12 months (F = 4.98, P = .03). The LM CSA was significantly associated with body composition measurements. A greater percentage change in thickness during contraction was significantly associated with a lower percentage of body fat. The LM echo intensity was strongly associated with the total percentage of body fat and was significantly greater in women.

Conclusions
The influence of body composition on LM morphology in athletes cannot be ignored and warrants further investigation. Our findings also provide preliminary evidence of an association among LM morphology, LBP, and lower limb injury in university rugby players.
The Effect of Feedback on Manual Therapy Skill Acquisition: A Systematic Review
Authors: Chang Isaac , Rivera Matthew J. , Eberman Lindsey E. 
Published: October 2020

Objective
To investigate the influences of feedback on manual therapy skill acquisition as presented in the literature.

Data Source(s)
An electronic search was conducted across 4 databases: PubMed, EBSCOhost, SPORTDiscus, and CINAHL. The key words that were used in the search included manual therapy, physiotherapy, mobilizations, manipulation, education, instruction, feedback, intrinsic feedback, and extrinsic feedback. The Boolean phrases AND and OR were used to combine the search terms.

Study Selections
Studies that collected outcomes related to manual therapy skill acquisition from inception of the databases to September 2019 were included. Studies were excluded if they examined solely patient-rated or clinical outcomes of manual therapy or did not use feedback as the primary instructional intervention.

Data Synthesis
After quality appraisal with the Joanna Briggs Institute Critical Appraisal Checklist for Quasi-Experimental Studies, the articles included in the review were categorized according to generalized manual therapy skills. Joint distraction/traction was the skill examined in 2 studies. The effect of feedback on joint mobilizations was investigated in 5 studies. Studies examining joint manipulations represented the largest portion of the articles in this review, with 11 total studies being included. The primary forms of feedback that were examined in the literature included visual, verbal, and combined forms of auditory and visual feedback.

Conclusion(s)
Visual feedback that provides learners with graphical representations of their performance, such as force-time relationships, appear to have the greatest effects in improving force-related parameters. Visual feedback can be useful during the initial acquisition phases of manual therapy skills, as indicated by the concentration of significant findings immediately after use in training sessions. A limited number of studies examining outcomes at long-term follow-up reported that training effects decrease rapidly over time. Thus, future studies should investigate if optimal dosages or scheduling strategies exist to increase the retention of effects.