bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving Diagnostic Classification of Stillbirths and Neonatal Deaths Using ICD-PM (International Classification of Diseases for Perinatal Mortality) Codes: Validation Study
Authors: Luk Hiu Mei , Allanson Emma , Ming Wai-Kit , Leung Wing Cheong 
Published: June 2020

Background
Stillbirths and neonatal deaths have long been imperfectly classified and recorded worldwide. In Hong Kong, the current code system is deficient (>90% cases with unknown causes) in providing the diagnoses of perinatal mortality cases.

Objective
The objective of this study was to apply the International Classification of Diseases for Perinatal Mortality (ICD-PM) system to existing perinatal death data. Further, the aim was to assess whether there was any change in the classifications of perinatal deaths compared with the existing classification system and identify any areas in which future interventions can be made.

Methods
We applied the ICD-PM (with International Statistical Classification of Diseases and Related Health Problems, 10th Revision) code system to existing perinatal death data in Kwong Wah Hospital, Hong Kong, to improve diagnostic classification. The study included stillbirths (after 24 weeks gestation) and neonatal deaths (from birth to 28 days). The retrospective data (5 years) from May 1, 2012, to April 30, 2017, were recoded by the principal investigator (HML) applying the ICD-PM, then validated by an overseas expert (EA) after she reviewed the detailed case summaries. The prospective application of ICD-PM from May 1, 2017, to April 30, 2019, was performed during the monthly multidisciplinary perinatal meetings and then also validated by EA for agreement.

Results
We analyzed the data of 34,920 deliveries, and 119 cases were included for analysis (92 stillbirths and 27 neonatal deaths). The overall agreement with EA of our codes using the ICD-PM was 93.2% (111/119); 92% (78/85) for the 5 years of retrospective codes and 97% (33/34) for the 2 years of prospective codes (P=.44). After the application of the ICD-PM, the overall proportion of unknown causes of perinatal mortality dropped from 34.5% (41/119) to 10.1% (12/119) of cases (P<.001).

Conclusions
Using the ICD-PM would lead to a better classification of perinatal deaths, reduce the proportion of unknown diagnoses, and clearly link the maternal conditions with these perinatal deaths.
Patient and Caregiver Perspectives on Terms Used to Describe Kidney Health
Authors: Tong Allison , Levey Andrew S. , Eckardt Kai-Uwe , Anumudu Samaya , Arce Cristina M. , Baumgart Amanda , Dunn Louese , Gutman Talia , Harris Tess , Lightstone Liz , Scholes-Robertson Nicole , Shen Jenny I. , Wheeler David C. , White David M. , Wilkie Martin , Craig Jonathan C. , Jadoul Michel , Winkelmayer Wolfgang C. 
Published: June 2020

Background and objectives
The language used to communicate important aspects of kidney health is inconsistent and may be conceptualized differently by patients and health professionals. These problems may impair the quality of communication, care, and patient outcomes. We aimed to describe the perspectives of patients on terms used to describe kidney health.

Design, setting, participants, & measurements
Patients with CKD (n=54) and caregivers (n=13) from the United States, United Kingdom, and Australia participated in ten focus groups to discuss terms for kidney health (including kidney, renal, CKD, ESKD, kidney failure, and descriptors for kidney function). We analyzed the data using thematic analysis.

Results
We identified four themes: provoking and exacerbating undue trauma (fear of the unknown, denoting impending death, despair in having incurable or untreatable disease, premature labeling and assumptions, judgment, stigma, and failure of self); frustrated by ambiguity (confused by medicalized language, lacking personal relevance, baffled by imprecision in meaning, and/or opposed to obsolete terms); making sense of the prognostic enigma (conceptualizing level of kidney function, correlating with symptoms and effect on life, predicting progression, and need for intervention); and mobilizing self-management (confronting reality, enabling planning and preparation, taking ownership for change, learning medical terms for self-advocacy, and educating others).

Conclusions
The obscurity and imprecision of terms in CKD can be unduly distressing and traumatizing for patients, which can impair decision making and self-management. Consistent and meaningful patient-centered terminology may improve patient autonomy, satisfaction, and outcomes.
ESTRATÉGIAS DE ENSINO APRENDIZAGEM EM HISTÓRIA DA ENFERMAGEM NA PERSPECTIVA DOS ESTUDANTES: UM ESTUDO COMPARATIVO
Authors: Moreira Ana Luiza Alves , Xavier Maria Lelita , Sanchez Maritza Consuelo Ortiz 
Published: June 2020

Objetivo: Analisar comparativamente as estratégias relacionando-as com os conteúdos implementados no primeiro e segundo semestres letivos de 2015 no ensino da história de enfermagem sob o ponto de vista dos estudantes. Método: Estudo de caráter qualitativo, exploratório e com interface comparativa. Trata-se de um recorte do trabalho de conclusão de curso da autora. Os dados foram obtidos através de entrevista semiestruturada com os estudantes e dos planos de ensino das duas turmas da disciplina de história da enfermagem do ano de 2015. Para a análise dos dados utilizou-se a Análise de Conteúdo. Resultado: Aponta para a percepção dos estudantes quanto às estratégias adotadas na ministração dos conteúdos do ensino de história da enfermagem. Para a turma do primeiro semestre letivo as estratégias de ensino foram adequadas, entretanto ressaltaram que a presença de um especialista implicaria no melhor aproveitamento dos conteúdos ministrados. Em contrapartida, os estudantes da turma do segundo semestre letivo referiram que estas contribuíram para o aprendizado, favoreceram e estimularam a apreensão dos assuntos abordados. Conclusão: O sucesso do processo ensino aprendizagem se dá a partir da introdução de estratégias que estejam em consonância com o ato pedagógico, este visa estimular no estudante a criatividade, autonomia e o pensamento crítico. Os estudantes entenderam que a utilização de tais estratégias contribuiu para a compreensão da história da enfermagem e, sobretudo, para sua formação.
Kesahihan dan Keandalan Uji Jalan Enam Menit pada Lintasan 15 Meter
Authors: Nusdwinuringtyas Nury , Alwi Idrus , Yunus Faisal 
Published: June 2020

Walk test is a test that often used because walking is a basic activity. There are time-based walk tests and some are based on track length. A 6-minute walk test is a time-based walk test with a distance trevaled as a result. A 6-minute walk test is frequently used as functional clinical capacity trial. This test is performed on a straight track. The length of the track varies from 10-meters to 85-meters. This study examined the reliability and validity of a 6-minute walk test on a 15-meter track. The 15-meter track with markers every 3-meters, 30-centimeters wide to the right and left from the center line. The subject went straight as close to the center line as possible. When the subject arrived at both ends, the subject rotated with the three step method. The study compared the 6-minute walk test on the 15-meter track with three-step rotating method with on Biodex® gait trainer gold-standard. This study involved subjects as many as 123 healthy Indonesians adults (58 men, 65 women), and obtained Cronbach alpha of 0.999 and Pearson correlation value of 0.998. This shows that the results of the 15-meter trajectory test have validity and precision values which are as good as the 6-minute walk test without spinning.
Abstark
Uji jalan merupakan uji yang sering dipakai karena berjalan merupakan aktivitas dasar. Uji jalan ada yang berbasis waktu dan berbasis panjang lintasan. Uji jalan enam menit merupakan uji berbasis waktu dengan jarak tempuh sebagai hasil keluarannya. Uji jalan 6 menit merupakan uji klinis kapasitas fungsional yang sering dipergunakan. Uji ini dilakukan pada lintasan lurus. Panjang lintasan bervariasi dari 10 meter hingga 60 meter.. Penelitian ini meneliti keterandalan dan kesahihan uji jalan enam menit pada lintasan 15 meter. Lintasan sepanjang 15 meter dengan marka setiap tiga meter, lebar lintasan 30 sentimeter ke kanan dan ke kiri dari garis tengah. Subyek berjalan lurus sedekat mungkin dengan garis tengah lintasan. Ketika subyek tiba pada ke dua ujung , berbalik arah dengan metoda tiga langkah. Penelitian ini membandingkan uji jalan 6 menit pada lintasan 15 meter dengan metoda berputar pada ke dua ujungnya dengan baku emas uji jalan 6 menit pada Biodex®gait trainer. Melibatkan subyek 123 orang Indonesia dewasa sehat (58 laki-laki), didapatkan Cronbach alfa 0,999 dengan nilai korelasi r= 0,998. Hal ini memiliki arti bahwa hasil lintasan 15 meter memiliki kesahihan dan nilai ketepatan yang sama baiknya dengan uji jalan 6 menit.
Peran Indikator Pelayanan Kesehatan untuk Meningkatkan Nilai Sub Indeks Kesehatan Reproduksi dalam Indeks Pembangunan Kesehatan Masyarakat (IPKM)
Authors: Indrawati Lely , Tjandrarini Dwi Hapsari 
Published: June 2020

In Indonesia, measuring the success of development of a region is increasingly needed with the enactment of the Regional Autonomy System (OTDA). There are many methods or indicators that can be used as a measuring tool. The Public Health Development Index (IPKM) is one of the indicators that can be used to measure the success of community health development.
This study aims to explore the correlation between several indicators of sub-index of Health Service (Yankes) and sub-index of Reproductive Health (Kespro) which become part of IPKM. Another purpose of this analysis is to find out which indicators are most leveraging for the Kespro sub-index.
The method to analyse the data used Multiple Linear Regression with the district as the unit of analysis. According to the RISKESDAS 2013 data, there are 497 districts/cities in 33 provinces in Indonesia. RISKESDAS 2013 and Podes 2011 data are used by IPKM 2013.
The results of the analysis show that the largest indicator giving the leverage of Kespro sub-index. That are the coverage of birth delivery by health worker in health facilities after controlled by the proportion of physicians per sub-district, the proportion of adequate posyandu per region and the health service coverage ownership (Jaminan Pelayanan Kesehatan/JPK) in each district.
Abstrak
Pengukuran keberhasilan pembangunan suatu daerah semakin dibutuhkan dengan berlakunya sistim Otonomi Daerah (Otda) di Indonesia. Banyak metode atau indikator yang dijadikan alat ukurnya. Untuk mengukur keberhasilan pembangunan kesehatan masyarakat, Indeks Pembangunan Kesehatan Masyarakat (IPKM) menjadi salah satu indikator yang digunakan.
Penelitian ini bertujuan menggali hubungan beberapa indikator pembentuk sub indeks Pelayanan Kesehatan (Yankes) terhadap sub indeks Kesehatan Reproduksi (Kespro) yang menjadi bagian dari IPKM. Tujuan lain dari analisa ini yakni menggali indikator mana yang paling memberi efek ungkit bagi sub indeks Kespro.
Metode analisa yang digunakan adalah Regresi Linier Berganda dengan kabupaten sebagai unit analisanya. Terdapat 497 kabupaten di 33 provinsi di Indonesia sesuai dengan jumlah kabupaten pada saat Riset Kesehatan Dasar (Riskesdas) dikumpulkan pada tahun 2013. Riskesdas 2013 dan Podes 2011 menjadi sumber data yang digunakan IPKM 2013.
Hasil dari analisa didapat indikator yang paling besar memberikan daya ungkit sub indeks Kespro yakni cakupan persalinan ditolong oleh tenaga kesehatan di fasilitas kesehatan setelah dikontrol proporsi jumlah dokter per kecamatan, proporsi jumlah posyandu per desa dan kepemilikan Jaminan Pelayanan Kesehatan (JPK) di setiap kabupaten.
Reconocimiento Político del migrante: Tensiones por el voto extraterritorial mexicano
Authors: Pintor Sandoval Renato , Sanchez Sanchez Ernesto 
Published: June 2020

El presente artículo describe y analiza el proceso historico de la participacion extraterritorial de carácter electoral de los migrantes mexicanos en el extranjero. Se observa un largo proceso histórico de disputas y tensiones entre el Gobiernos, de origen y destino, y los migrantes por su reconocimiento como actores políticos, como ciudadanos vinculados por lazos de identidad, familia y cultura consolidados a través del tiempo. Ante esto, se hace un recorrido histórico desde la segunda mitad del siglo XIX, apartir de la reconfiguración de las relaciones diplomáticas entre Estados Unidos y México. Además, se analizan las políticas progresivas de inclusión política a los migrantes de los gobiernos anteriores y posteriores de la Revolución Mexicana. Y finalmente, se establecen los itinerarios contemporáneos que han tenido que enfrentar las organizaciones de migrantes y los programas implementados por el gobierno mexicano para establecer el voto extraterritorial como forma de reconocimiento y convivencia trasnacional.
Bone-anchored maxillary protraction long-term outcomes in UCLP:
Authors: Garib Daniela , Pugliese Fernando , Kato Renata Mayumi , Faco Renato , Yatabe Marilia , Timmerman Hilde , De Clerck Hugo 
Published: June 2020

ABSTRACT
This case report presents a 12-year-old boy with unilateral complete cleft lip and palate and severe maxillary retrusion treated with bone-anchored maxillary protraction (BAMP) therapy followed by fixed appliances. The follow-up period extended until the end of growth. Initially, the patient demonstrated a Goslon 4 interarch relationship with an overjet of −3.5 mm and a Wits appraisal of −7.9 mm. Six months after the secondary alveolar bone graft, Bollard miniplates were fixed bilaterally at the infrazygomatic region in the maxilla and between the canines and lateral incisors in the mandible. Class III elastics were used bilaterally full time for 12 months. After treatment, the overjet increased 5.9 mm. Significant maxillary advancement (SNA +3.2°) and skeletal convexity improvement (NA-APo +12.4°) were observed. Retrusion of the anteroposterior position of the mandible was observed (SNB –2.1°). Comprehensive orthodontic treatment was performed after BAMP therapy with nighttime bone-anchored Class III elastics as active retention until the end of growth. Occlusion and facial esthetics were satisfactory at the end of orthodontic treatment and growth. Le Fort I surgery for maxillary advancement was not required. BAMP therapy demonstrated an adequate orthopedic outcome, preventing the need for orthognathic surgery in unilateral complete cleft lip and palate.
Mengkonstruksi Alternative Dispute Resolution (ADR) yang Berlandaskan Hukum Islam dalam Kerangka Hukum Nasional
Authors: Triana Nita 
Published: June 2020

ADR is an alternative dispute resolution, that consider peaceful and agreement. Such a dispute has been a long time known by Indonesia society. Musyawarah and mufakat principles that exist in Adat Law and Islah principle that exist in Islamic Law constitute Living Law in Indonesia. Principle of Law as forgiving, peaceful and agreement that exists in Islah can construct ADR in frame National Law system.
Madrasah Head of Leadership Style with Performance Teachers
Authors: Rosidah Rosidah , Dahlan Rabbani Muhammad , H. Subky Badruddin 
Published: June 2020

This study aims to determine the relationship between the leadership style of madrasah principals with the performance of teachers in Madrasah Aliyah Negeri (MAN) 1 Bogor City. The population used is all teachers of the Madrasah Aliyah Negeri (MAN) 1 Bogor City, totalling 43 teachers. This study uses quantitative research methods and questionnaires as instruments. It was then analyzed using correlation and regression analysis, data analysis using Pearson correlation statistical analysis. The results of this study indicate that there is a relationship between the leadership style of madrasa principals with teacher performance calculated with Pearson Correlation, the correlation coefficient value obtained between these variables is 0.690. The coefficient of determination in this analysis obtained a value of 0.475, which means 47.5%. The variable of Teacher Performance can be explained by the Leadership Style. The regression line is Ŷ = 5,100 + 0,912 X. There is a positive Madrasah Head Leadership Style with Teacher Performance. Based on the results of the study it can be said that the leadership style of the madrasah head has a sufficient relationship with the performance of teachers in Madrasah Aliyah Negeri 1 Kota Bogor.Penelitian ini bertujuan untuk mengetahui hubungan gaya kepemimpinan kepala madrasah dengan kinerja guru di Madrasah Aliyah Negeri 1 Kota Bogor. Adapun populasi yang digunakan adalah seluruh guru Madrasah Aliyah Negeri 1 Kota Bogor, yang berjumlah 43 guru. Penelitian ini menggunakan metode penelitian kuantitatif dan kuesioner sebagai instrumen. Kemudian dianalisis menggunakan analisis korelasi dan regresi, analisis data menggunakan analisis statistic Pearson correlation. Hasil penelitian ini menunjukkan bahwa terdapat hubungan antara gaya kepemimpinan kepala madrasah dengan kinerja guru dihitung dengan Pearson Correlation, nilai koefisien korelasi yang diperoleh antara variabel tersebut sebesar 0,690. Nilai koefisien determinasi dalam analisis ini diperoleh nilai 0,475 yang berarti 47,5%. Variabel kinerja Guru dapat dijelaskan oleh variabel Gaya Kepemimpinan. Garis regresi Ŷ = 5,100 + 0,912 X. Ada hubungan yang positif antara gaya Kepemimpinan Kepala Madrasah dengan Kinerja Guru. Berdasarkan hasil penelitian dapat dikatakan bahwa gaya kepemimpinan kepala madrasah memiliki hubungan yang cukup dengan kinerja guru di Madrasah Aliyah Negeri 1 Kota Bogor.
Comparison of analgesic and tissue effects of subcutaneous perineural injection of liposomal bupivacaine and bupivacaine hydrochloride in horses with forelimb lameness induced via circumferential clamp
Authors: Le Kayla M. , Caston Stephanie S. , Hossetter Jesse M. , Hay Kraus Bonnie L. 
Published: June 2020

Abstract

OBJECTIVE
To evaluate the analgesic and tissue effects of liposomal bupivacaine administered SC as an abaxial sesamoid nerve block in horses with experimentally induced lameness.

ANIMALS
6 healthy mature light-breed horses.

PROCEDURES
In a randomized crossover study, a circumferential hoof clamp was applied to a forelimb to induce reversible lameness. An abaxial sesamoid nerve block of the lame forelimb was performed by SC perineural injection of 10 mg of liposomal bupivacaine or bupivacaine HCl/site. Quantitative gait data were objectively obtained with a body-mounted inertial sensor system before (baseline) and at 30-minute intervals after treatment. Time to return to 85% of baseline lameness was determined. After a minimum 4-day washout period, procedures were repeated with the alternate limb and treatment. Lastly, the palmar digital nerves and perineural tissues were collected and examined histologically.

RESULTS
SC perineural injection of liposomal bupivacaine ameliorated forelimb lameness in 5 of 6 horses. The median duration of analgesia was not significantly different between liposomal bupivacaine (4.5 hours) and bupivacaine HCl (3.0 hours). Histologically, mild inflammation was noted in 3 of 10 sites injected with liposomal bupivacaine and in none of the sites injected with bupivacaine HCl.

CONCLUSIONS AND CLINICAL RELEVANCE
SC perineural injection of 10 mg of liposomal bupivacaine/site ameliorated experimentally induced forelimb lameness in some horses. At milligram-equivalent doses, liposomal bupivacaine had a similar duration of analgesia to that of bupivacaine HCl. Further investigation is required before recommending clinical use of liposomal bupivacaine for nerve blocks in horses.
Activities of matrix metalloproteinase-2, matrix metalloproteinase-9, and serine proteases in samples of the colorectal mucosa of Miniature Dachshunds with inflammatory colorectal polyps
Authors: Nagata Noriyuki , Ohta Hiroshi , Yamada Arisa , Teoh Yong Bin , Ichii Osamu , Morishita Keitaro , Sasaki Noboru , Takiguchi Mitsuyoshi 
Published: June 2020

Abstract

OBJECTIVE
To investigate the activities of gelatinases (matrix metalloproteinase [MMP]-2 and MMP-9) and serine proteases in the colorectal mucosa of Miniature Dachshunds (MDs) with inflammatory colorectal polyps (ICRPs).

ANIMALS
15 MDs with ICRPs and 5 dogs with non–ICRP-related large bowel diarrhea (controls).

PROCEDURES
Zymographic methods were used to evaluate the activities of MMP-2, MMP-9, latent forms of MMP-2 and MMP-9 (pro–MMP-2 and pro–MMP-9), and serine proteases in inflamed and noninflamed tissue samples from MDs with ICRPs and in noninflamed tissue samples from control dogs. The associations of serine protease activities with MMP-2 or MMP-9 activity were also analyzed.

RESULTS
Activities of pro–MMP-2 and pro–MMP-9 were detected in most tissue samples, regardless of the tissue type, whereas activities of MMP-2 and MMP-9 were not detected in control tissue samples. In the inflamed tissue samples from MDs with ICRPs, the activities of MMP-2, pro–MMP-9, and MMP-9 were significantly higher than those in the noninflamed tissue samples from those dogs. Serine protease activities were significantly higher in the inflamed and noninflamed tissue samples from MDs with ICRP, compared with findings for control tissue samples. A weak correlation was detected between serine protease activities and MMP-9 activity.

CONCLUSIONS AND CLINICAL RELEVANCE
Study results suggested that gelatinase and serine protease activities are upregulated in the colorectal mucosa of MDs with ICRPs, possibly contributing to the pathogenesis of this disease through the functions of these enzymes in degradation of extracellular matrix and promotion of inflammatory cell migration and inflammatory responses.
Analisis sistem lightspeed dalam operasional departemen kantor depan hotel Sheraton bali kita resort
Authors: Novia Putu Yurika Selly , Suarka Fanny Maharani , Ariani Ni Made 
Published: June 2020

Abstrak
Saat ini terdapat beberapa tamu hotel yang memberikan tanggapan terhadap lambatnya proses check- in dan check-out, pelayanan yang kurang maksimal, hingga tipe kamar yang tidak sesuai. Sehingga perlu dilakukan evaluasi di departemen kantor depan terkait sistem informasi yang digunakan. Tujuan penelitian ini adalah mengetahui persepsi karyawan kantor depan terhadap sistem lightspeed serta menganalisis kualitas sistem informasi Lightspeed di Hotel Sheraton Bali Kuta Resort yang diproksikan dengan kepuasan pengguna dan manfaat yang didapatkan.Teknik Penentuan Sampel pada penelitian ini adalah model sensus/ jenuh dengan sampel adalah 35 orang karyawan kantor depan. Teknik pengumpulan data yang digunakan adalah dengan metode observasi, kuesioner, dan studi kepustakaan. Teknik analisis data yang digunakan dengan menggunakan analisis kuantitatif dengan skala likert yang dibantu dengan pendekatan partial least square (PLS) yaitu dengna jenis software PLS 3.0. Hasil penelitian ini menunjukan bahwa persepsi karyawan kantor depan terhadap sistem lightspeed adalah baik yang dibuktikan dengan nilai rata-rata penerimaan 3,56 dan evaluasi 3,48. Sedangkan untuk untuk hasil analisis data didapatkan pengaruh langsung dari masing – masing variabel yaitu kualitas sistem lightspeed berpengaruh secara langsung dan signifikan terhadap kepuasan karyawan sebesar 62,7% bagian depan di Hotel Sheraton Bali Kuta Resort, kualitas sistem lightspeed berpengaruh siginifikan terhadap manfaat karyawan sebesar 72,4% dan kepuasan pengguna berpengaruh secara signifikan terhadap manfaat sebesar 29,2%, pengaruh kualitas sistem lightspeed terhadap manfaat lebih besar dari kepuasan karyawan hal tersebut membuktikan pengguna sistem lightspeed mendapatkan manfaat dari sistem yang digunakan namun kepuasan yang didapatkan lebih kecil dari manfaat.
Kata Kunci: Persepsi, Kualitas Sistem Lightspeed, Kantor Depan.