bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Review of Best Practices for Monitoring and Improving Inpatient Pediatric Patient Experiences
Authors: Quigley Denise D. , Palimaru Alina , Lerner Carlos , Hays Ron D. 
Published: March 2020

CONTEXT:Achieving high-quality patient-centered care requires assessing patient and family experiences to identify opportunities for improvement. With the Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey, hospitals can assess performance and make national comparisons of inpatient pediatric experiences. However, using patient and family experience data to improve care remains a challenge.OBJECTIVE:We reviewed the literature on best practices for monitoring performance and undertaking activities aimed at improving pediatric patient and family experiences of inpatient care.DATA SOURCES:We searched PubMed, Cumulative Index to Nursing and Allied Health Literature, and PsychINFO.STUDY SELECTION:We included (1) English-language peer-reviewed articles published from January 2000 to April 2019; (2) articles based in the United States, United Kingdom, or Canada; (3) articles focused on pediatric inpatient care; (4) articles describing pediatric patient and family experiences; and (5) articles including content on activities aimed at improving patient and family experiences. Our review included 25 articles.DATA EXTRACTION:Two researchers reviewed the full article and abstracted specific information: country, study aims, setting, design, methods, results, Quality Improvement (QI) initiatives performed, internal reporting description, best practices, lessons learned, barriers, facilitators and study implications for clinical practice, patient-experience data collection, and QI activities. We noted themes across samples and care settings.RESULTS:We identified 10 themes of best practice. The 4 most common were (1) use evidence-based approaches, (2) maintain an internal system that communicates information and performance on patient and family experiences to staff and hospital leadership, (3) use experience survey data to initiate and/or evaluate QI interventions, and (4) identify optimal times (eg, discharge) and modes (eg, print) for obtaining patient and family feedback. These correspond to adult inpatient best practices.CONCLUSIONS:Both pediatric and adult inpatient best practices rely on common principles of culture change (such as evidence-based clinical practice), collaborative learning, multidisciplinary teamwork, and building and/or supporting a QI infrastructure that requires time, money, collaboration, data tracking, and monitoring. QI best practices in both pediatric and adult inpatient settings commonly rely on identifying drivers of overall ratings of care, rewarding staff for successful implementation, and creating easy-to-use and easy-to-access planning and QI tools for staff.
Trends in Pediatricians’ Developmental Screening: 2002–2016
Authors: Lipkin Paul H. , Macias Michelle M. , Baer Chen Briella , Coury Daniel , Gottschlich Elizabeth A. , Hyman Susan L. , Sisk Blake , Wolfe Audrey , Levy Susan E. 
Published: March 2020

BACKGROUND:
Current guidelines from the American Academy of Pediatrics recommend screening children for developmental problems by using a standardized screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred.

METHODS:
We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding screening and referring children for developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in screening and referral practices and attitudes.

RESULTS:
Pediatricians’ reported use of developmental screening tools increased from 21% in 2002 to 63% in 2016 (P &lt; .001). In 2016, on average pediatricians reported referring 59% of their at-risk patients to EI, up from 41% in 2002 (P &lt; .001), and pediatricians in 2016 were more likely than in 2002 to report being “very likely” to refer a patient with global developmental delay, milestone loss, language delay, sensory impairment, motor delays, and family concern to EI.

CONCLUSIONS:
Pediatricians’ reported use of a standardized developmental screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in developmental screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes.
Respon Followers Terhadap Siaran Dakwah Dalam Program “Nuansa Pagi” Radio Streaming ARDAN 105,9 FM Bandung
Authors: Ningsih Prila Rahma , Muhlis Atjep , Shodiqin Asep 
Published: February 2020

ABSTRAK
Tujuan penelitian ini untuk mengetahui respon followers terhadap siaran dakwah proram Nuansa Pagi radio streaming ARDAN 105,9 FM Bandung, selanjutnya mengetahui perhatian, penerimaan dan pemahaman dari pendengar program Nuansa Pagi radio streaming ARDAN 105,9 FM Bandung. Teori yang digunakan dalam penelitian ini adalah teori SOR Stimulu-Organism-Response, Teori ini beranggapan bahwa media massa memiliki efek langung yang dapat mempengaruhi individu sebagai audience (penonton atau pendengar). Metode penelitian yang digunakan adalah metode kuantitatif, dengan menggunakan penyebaran questioner atau angket. Kemudian menganalisis data berdasarkan hasil jawaban responden melalui angket tersebut dengan mendeskripsikan data yang ada ke dalam bentuk tulisan atau kata-kata verbal yang mudah difahami. Metode penarikan sample yang digunakan adalah purposive randomsampling yaitu memilih orang-orang yang dianggap mewakili populasi. Dalam hal ini hanya terutuju pada orang-orang yang mendengarkan program Nuansa Pagi radio ARDAN 105,9 FM Bandung.

Kata Kunci: Dakwah; Respon; Radio.

ABSTRACT
The purpose of this study was to find out the response of followers to broadcasts of Nuansa Poram Morning radio preaching ARDAN 105.9 FM Bandung, then to find out the attention, acceptance and understanding of listeners of the Nuance Morning radio streaming program ARDAN 105.9 FM Bandung The theory used in this study is the theory of SOR Stimulu-Organism-Response, Tori. It is assumed that mass media has a direct effect that can affect individuals as audience (audience or listener). The research method used is a quantitative method, using questionnaires or questionnaires. Then analyze the data based on the results of the respondents' answers through the questionnaire by describing existing data into written or verbal words that are easily understood. The method of withdrawal of the sample used was purposive randoms sampling which is choosing people who are considered to represent the population. In this case it is only aimed at people who listen to the Nuansa Pagi radio program ARDAN 105.9 FM Bandung.

Keywords: Da'wah; Response; Radio
Dakwah di Media Sosial pada Channel Youtube Akhyar TV
Authors: Maulana Ilham Ilham , Saefullah Chatib , Sukayat Tata 
Published: February 2020

ABSTRAK
Tujuan penelitian ini adalah untuk mengetahui peran admin sebagai da’i dalam akun Youtube Akhyar TV, metode dakwah dan pesan dakwah yang disampaikan oleh akun Youtube Akhyar TV. Untuk mendalami penelitian ini menggunakan teori citra da’i sumber buku “Dasar-dasar Ilmu Dakwah” karya (Enjang AS dan Aliyudin, 2009) dan teori S-M-R-C Berlo sumber buku “Pengantar Ilmu Komunikasi” karya (Deddy Mulyana, 2013) untuk menjawab semua permasalahan yang ada dalam penelitian. Metode yang digunakan dalam penelitian ini adalah metode analisis isi. Metode ini untuk menganalisis, menguraikan, memahami, dan menjelaskan tentang Fenomena Dakwah di Media Sosial. Hasil penelitian menunjukan bahwa peran admin adalah sebagai pengurus yang mengatur Dakwah di Media Sosial Ust. Adi Hidayat. Dakwah dalam akun Akhyar TV merupakan pengingat akan perbaikan akhlak sesuai tuntunan Qur’an dan hadist agar lebih baik. Pesan dakwahnya terbagi atas pesan dakwah Aqidah, Fiqh, dan Akhlak. Pesan dakwah yang di unggah oleh Akun Akhyar TV adalah pesan Akhlak, Aqidah.
Kata Kunci : Dakwah, Metode, Materi, Media
ABSTRACT
The purpose of this research is to know the administrator’s role as a da'i on Youtube account of Akhyar TV, da'wah methods and preaching a message which delivered by Akhyar TV. The research was held to find out Da’wah through Social Media that including the role of da'i, mad'u, method, message, and media of da’wah. To explore this research, using the image (citra) theory from the source of the book "Fundamentals of Da'wah Science (Dasar-dasar Ilmu Dakwah)" written by (Enjang AS and Aliyudin, 2009) and the Berlo S-M-R-C theory from the book of “Introduction to Communication Studies” written by (Deddy Mulyana, 2013) for solving all problems in the research. The methods which used by the writer for this research is analytical method of the contents. This method is used to analyze, describe, understand, and explain about the phenomenon of Da'wah in Social Media. The results of the research show that the administrator's role is as a manager who regulates Da'wah on Ust. Adi Hidayat’s Social Media. The Da'wah on Akhyar TV account is a reminder of the improvement of character and lifestyle according to the guidance of the Qur'an and hadist in order getting better. The da'wah messages are divided into the messages of da'wah Aqeedah, Fiqh, and Morals. The most da'wah messages uploaded by the Akhyar TV Account are the message of Morals and Aqeedah.

Keywords: Khithabah, Metode, Materi, Media
Geometry of Chaos: Advanced computational approach to treating chaotic dynamics of environmental radioactivity systems I General Formalism
Authors: Glushkov Alexander , Kuzakon Viktor , Khetselius Olga , Ternovsky Valentin 
Published: March 2020

In the paper we go on a development of effective new chaos geomentry and non-linear analysis technique to studying chaotic features of different naturesystems. We presented the general formalism of the chaos-geometrical appraoch to treating, analysing, modelling and forecasting chaotic dynamics of environmental radioactivity systems. As usually, the approach combines together application of the advanced multifractal formalism, the advanced mutual information scheme, the Grassberger-Procaccia algorythm, the Lyapunov exponent analysis, the method of predicted phase trajectories, the memory functions method, the neural networks algorythms etc.
Gerenciamiento de las instituciones públicas en los estilos de vida saludable del adulto mayor del distrito de Tumbes
Authors: Mariños Julia 
Published: March 2020

La presente investigación cualitativa con enfoque etnográfico se realizó en la ciudad de Tumbes con el objetivo principal de develar el gerenciamiento de las instituciones públicas en los estilos de vida saludable del adulto mayor del distrito de Tumbes que tiene una población de 12 823 adultos mayores obteniéndose la muestra por saturación de discursos o bola de nieve en diez adultos mayores de diferentes agrupaciones; la información fue recolectada a través de la entrevista etnográfica y la observación participante presentándose los resultados en cuatro grandes categorías: Evidenciando la participación de las instituciones, Sintiendo la necesidad de ayuda, Evidenciando sus sentimientos y Vivenciando su participación en grupo. Llegando a las siguientes conclusiones: En el distrito de tumbes según las vivencias de los informantes el gerenciamiento de las instituciones públicas es parcial a pesar que existe el programa de inclusión social, reconociendo al sector salud y la universidad. El adulto mayor a pesar del apoyo restringido que recibe de parte de las Instituciones Públicas se muestra agradecido; Se percibe la presencia de una cultura organizacional propia del adulto mayor caracterizada básicamente por sus valores, sus costumbres y sus fines, Los Estilos de Vida Saludable Alimentación, ejercicio físico y de memoria, Control médico, no son adecuados para el Adulto Mayor por lo que surge la necesidad urgente que las instituciones públicas toman conciencia de su rol y asuman su compromiso con la sociedad especialmente con este grupo etario a través del plan de mejora propuesto.
Immediate Removal of a Dislocated Dental Fragment from the Submandibular Space during Extraction of the Lower Third Molar: Case Report and Literature Review
Authors: Duarte Bruno Gomes , Vieira Jefferson Moura , Yaedú Renato Yassutaka Faria , Ferreira Júnior Osny 
Published: March 2020

AbstractThis paper aims to report a case of radicular displacement to the submandibular space and to review the literature seeking reports of dental displacements / fragments published in the period from 2007 to 2017 in PubMed evidencing risk factors, prevention and forms of treatment. In this article a case of displacement of dental fragments to the submandibular space with immediate removal is reported. The third molar or its roots displacement into facial spaces is a rare situation. The preoperative surgical planning is fundamental to avoid this type of complication. The association of (1) good surgical planning, (2) surgical technique utilization and adequate instruments, and (3) the surgeon experience are determining factors to avoid the occurrence of this complication. Keywords: Molar, Third. Surgery, Oral. Intraoperative Complications. ResumoA extração de terceiros molares é o procedimento cirúrgico mais frequente nos consultórios odontológicos. Como qualquer cirurgia, existe a possibilidade de complicações trans e pós-operatórias. O deslocamento desses dentes ou fragmento dentário para espaços faciais é raro, com frequência extremamente baixa. Este trabalho tem como objetivo relatar um caso de deslocamento radicular para o espaço submandibular e revisar a literatura buscando relatos de deslocamentos dentários/fragmentos publicados no período de 2007 a 2017 no Pubmed evidenciando fatores de risco, prevenção e formas de tratamento. Nesse artigo nós relatamos um caso de deslocamento de um fragmento radicular para o espaço submandibular, sendo este removido imediatamente. O deslocamento do terceiro molar ou de fragmentos radiculares para os espaços faciais é raro. A avaliação pré-operatória é fundamental para evitar esse tipo de complicação. A associação entre (1) planejamento cirúrgico correto, (2) utilização de técnica e materiais corretos e (3) experiência do profissional, são fatores determinantes para evitar esse tipo de complicação. Palavras-chave: Dente Serotino. Cirurgia Bucal. Complicações Intraoperatórias.
Diacerein- A gold standard analgesic in management of osteoarthritis
Authors: N Yoganarasimha 
Published: February 2020

Diacerein is a symptomatic slow-acting drug in osteoarthritis (SYSADOA) with anti-inflammatory, reconstructive and anti-destructive properties on cartilage and synovial membrane. Recently, based upon its mechanism of action it has been shown that it has got pro-anabolic effect on subchondral bone remodelling. Based on a literature review of clinical trials and meta-analyses, the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) declares that after the first month of osteoarthritic treatment the diacerein efficacy is superior to that of paracetamol and similar to that of non-steroidal anti-inflammatory drugs (NSAIDs). Additionally, once treatment was stopped diacerein has shown a prolonged effect on symptoms for several months, in view of its cumulative effects. Furthermore, similarly to other Symptomatic slow-acting drugs for OA (SYSADOAs), the ESCEO positions diacerein as a first-line pharmacological background treatment of osteoarthritis, particularly for patients in whom NSAIDs or paracetamol are contraindicated.
Comparison of changes in haemodynamic parameters in hypertensive patients after laryngoscopic endotracheal intubation or laryngeal mask airway insertion
Authors: Vijayarahavan N , P Mahilamani P , Paramasivan A 
Published: February 2020

The hemodynamic response associated with laryngoscopy and tracheal intubation may be harmful to certain patients. The laryngeal mask airway avoids the need for laryngoscopy in appropriate patients.: This study compares the changes in haemodynamic parameters in hypertensive patients after laryngoscopic endotracheal intubation or laryngeal mask airway insertion. 60 Hypertensive patients between 40 to 60 years ASA Grade II were randomly allotted to one of the groups of 30 each, group ET and group LMA. LMA insertion or tracheal intubation was performed after induction of anesthesia with Propofol and succinyl choline. The heart rate, mean arterial pressure and rate pressure product were measured after induction and immediately after insertion / intubation and then after 1, 3, 5 minutes. There was very highly significant difference (p &#60; 0.000) in mean increase in heart rate (38.23% in group ET versus 28.26% in group LMA). The increase in arterial pressure were also significant. The systolic BP increased 40.16% in group ET compared with 37.60% in group LMA (p&#60; 0.000). The diastolic BP was also seen increasing by 22.73% and 14.23% in group ET and group LMA respectively. The MAP and RPP values were maximum after airway instrumentation however we found that values after LMA insertion were significantly lower when compared to tracheal intubation for the first 3 minutes. LMA insertion in comparison to laryngoscopy and intubation is advantageous over tracheal intubation in hypertensive patients avoidance of pressure response.
Injection with long chain triglyceride or long chain triglyceride/medium chain triglyceride propofol: Which is less painful?
Authors: F Maliwad Jyotsna , B Parmar Pankajkumar , K Dave Jaydev , S Shringarpure Kalpita , D Damor Raman 
Published: February 2020

: Long chain triglyceride/Medium chain triglyceride (LCT/MCT) Propofol 1% suspension is a new formulation having 10% fat emulsion consisting of long chain triglycerides (LCT) and medium-chain triglycerides (MCT). The pharmacokinetics and efficacy are similar to the standard Propofol LCT. To compare incidence, intensity of pain on injection and hemodynamic stability with both 1% Propofol -LCT and 1% Propofol-LCT/MCT in patients undergoing surgery with general anaesthesia. : This was a comparative study conducted in Shri M.P. Shah Medical College and Guru Gobind Hospital, Jamnagar. After due ethical clearances, 60 patients were divided into L group and L/M group by using random number table after taking written informed consent. The L-Group received 1% propofol-LCT while the L/M group received 1% propofol-LCT/MCT. After induction, pain was assessed using Verbal Rating Score for incidence and intensity of pain. In L-group, 29 (96.67%) patients complained of pain, while in L/M-group 24 (80%) patients perceived pain. Ten (33.3%) patients in L group and 18 (60%) in L/M group had none to mild pain, but moderate to severe pain was perceived by 20 (66.67%) patients in L group compare d to 12(40%) in L/M group. The incidence of pain and intensity of pain on injection was greater in group L (p=0.04 and 0.03 respectively).: Propofol-LCT/MCT may be considered in place of propofol-LCT as an anaesthetic agent since it reduces pain of injection.
A randomized comparative study of Airtraq®, McCoy and Macintosh laryngoscopes for endotracheal intubation in patients with simulated difficult airway using a rigid cervical neck collar in elective surgeries under general anaesthesia
Authors: Haridas Arjun , Babu T Raghavendra , C L Gurudatt 
Published: February 2020

Laryngoscopy in patients with suspected neck injuries has one goal: sufficient laryngeal exposure with least cervical spine movement. This is achieved by either Manual In-line Stabilisation (MILS), a forehead tape or rigid cervical collars. Cervical collars reduce movements of spine and also mouth opening leading to difficult direct laryngoscopy. This is due to difficulty in aligning the oro-pharyngo-laryngeal axes. The laryngoscope giving best glottic view with least cervical spine movement in the shortest time would be most ideal. We intend to compare Airtraq, McCoy and Macintosh laryngoscopes in terms of intubation time and Cormack-Lehane glottic view in patients undergoing elective surgeries with simulated neck immobilization using rigid cervical collar.: Following approval from Institutional Ethical Committee, 90 consenting patients, aged 18-65years were assigned into three groups by random sampling (Serially numbered Opaque Sealed Envelope), namely Group A (Airtraq), M (McCoy) or C (Macintosh). Intubation time, Intubation difficulty scale (IDS) and Modified Cormack-Lehane grading were noted.: Mean intubation time was 27.2sec(± 6.47), 40.2sec (± 12.36) and 33.10sec (± 23.05) for Airtraq, McCoy and Macintosh respectively(p-value 0.00 7). IDS values were 0,3 and 2 respectively(P&#60; 0.0001). Cormack Lehane glottic view was 2 for Macintosh and McCoy and 1 for Airtraq, respectively (P&#60; 0.0001).Airtraq improves ease of intubation significantly when compared to McCoy and Macintosh blade with shorter intubation time and IDS Score, in patients with simulated difficult airway using neck immobilization.
To evaluate efficacy and safety of diclofenac transdermal patch with intramuscular diclofenac injection as preemptive analgesia in post operative patients undergoing inguinal hernioplasty
Authors: Kishor Kabir Kaushal , Banjare Manish , Agarwal Arpit , K Arora K 
Published: February 2020

To evaluate efficacy and safety of diclofenac transdermal patch with intramuscular diclofenac injection as preemptive analgesia in post operative patients undergoing inguinal hernioplasty. : We aim to compare the duration and quality of analgesia provided by diclofenac trans dermal patch and intramuscular injection and to estimate time at which patients demand rescue analgesia after surgery.: This randomized comparative study was conducted at a tertiary care hospital in central India. : 60 healthy patients divided into two groups of 30 each, scheduled for elective inguinal hernioplasty under subarachnoid block were taken. Sample size calculation was based on the difference of means of two independent samples. A transdermal diclofenac patch containing 100 mg of diclofenac diethylamine was applied to the participants in the study group just before the induction of anesthesia. In the control group, 75 mg of diclofenac sodium Inj. was given intramuscularly half-an-hour before the end of surgery.Data for postoperative pain was assessed at 2, 4, 6, 8, 12, 16 and 24 hours by using a visual analogue scale (VAS) score and verbal rating scale (VRS) score and analysed using upaired t test.: Statistical difference in duration, quality of pre-emptive analgesia and Significant time of rescue analgesia was found between the two groups in terms of postoperative pain in patients undergoing inguinal hernioplasty. Tran dermal diclofenac patch (100 mg) is a better analgesic route than intramuscular diclofenac sodium (75 mg) for pre-emptive analgesia in patients undergoing inguinal hernioplasty.