bluuebunny/crossref_metadata_2025_split huggingface dataset:
COVID 19 Pandemic: Impact on Admission, Diagnosis and Treatment of Non-Covid 19 Patients Admitted in SARI ICU
Authors: Ravindranath Sunil , Venkatesh Bhumika Tumkur , Bhatt Margiben Tusharibai , Puranik Amitha , Rao Shwethapriya , A Sumalatha 
Published: November 2020

Abstract
BackgroundHealthcare systems worldwide are overwhelmed in the treatment of ever-increasing number of COVID 19 patients which has affected the management of non COVID 19 patients as well. We tested the adherence to Severe Acute Respiratory Illness (SARI) definition laid down by The Government of India for triaging of suspected COVID 19 cases, and the impact of this strategy on the non covid patients admitted to SARI ICU as suspected cases of covid 19 disease.MethodsA cross-sectional study was conducted to reflect the appropriateness and adherence of SARI definition in two tertiary care medical college hospitals in triaging COVID 19 suspect cases and assessed the challenges in admission, diagnosis and treatment of non COVID 19 diseases. The study involved 78 patients in two multidisciplinary units of medical college hospitals in the month of June – July 2020. Data related to demographics, severity of illness, advanced life supports required, delay in diagnosis, intervention and treatment of patients in SARI ICU due to suspect COVID 19 status was documented. ResultsAdherence to SARI definition for triaging COVID suspect cases was 19.2%. Respiratory symptoms amounted to 24% of presenting complaints. Despite hindrance in the diagnosis (17.9%) and treatment (12.8%), mortality among patients in SARI ICU was limited to 14.10%. The results were in-significant when checked for the various factors associated with mortality.ConclusionThe adherence to SARI definition while triaging COVID suspect cases to intensive care units was low among the clinicians. There were hindrances in the diagnosis and treatment of non COVID diseases due to COVID suspect status of the patient. However, treatment outcomes of these patients were comparable to critically ill population with similar disease severity scores suggesting that quality of care may not have been compromised despite the pandemic. Poor adherence to SARI definition while triaging might have led to economic implications on patients and healthcare systems but further studies are required to comment regarding the same.
When to start antibiotic therapy in patients with sepsis in the ICU?
Authors: Rudnov V. A. , Lekmanov A. U. , Bagin V. A. , Аstafieva M. N. 
Published: November 2020

According to the recommendations of the Surviving Sepsis Campaign (SSC), antibiotics should be administered within 1 hour after the onset of sepsis, and the centers for Medicare & Medicaid Services prescribe their administration within 3 hours.The objectiveof this publication is to analyze the literature data on the start time of ABT when a patient with sepsis is admitted to the ICU.Results. Currently, basing on literature analysis, it is impossible to conclude about advantages of administering an antibiotic within an hour after the patient with sepsis is admitted to a medical unit. In the vast majority of cases, an antibiotic should be administered up to three hours of the early IT complex (bundle). The change in the time algorithm for drug administration is due to the heterogeneity of the clinical situation, the lack of the unified "scenario" of interaction between the infection and host, and the need for more detail diagnostics.Conclusion. It is preferable to approach each case individually when deciding about the time to start ABT, considering the history, clinical and laboratory characteristics by the admission to the ICU. However, ABT should be started within 3 hours in any case.
The personalized telemedical system of Obereg for remote patient's monitoring
Authors: Eremenko A. A. , Rostunova N. V. , Budagyan S. A. , Kurnosov A. V. 
Published: November 2020

The objective: to assess the potential use of the personalized telemedical system (PTS) of Obereg to ensure monitoring and constant medical control over the state of vital systems of the patient's body in the hospital, during transportation, and in out-of-hospital conditions.Subjects and methods. The Obereg system was tested in leading Russian clinics through simultaneous measurement of vital activity parameters with other standard patient monitoring systems. Comparative evaluation criteria were the following: functionality, measurement accuracy in comparison with stationary systems, reliability of operation, the impact on the operation of PTS of other equipment in the intensive care unit and possible interference, user friendliness for personnel and patients, and verification of communication capabilities based on field experiments. Additional parameters of the system were also evaluated. The need for it by medical units of the Ministry of Health of Russia was estimated.Results. The operability of the system has been confirmed in clinical conditions for patients of various profiles, including the most severe cases; it was found that the functionality of the system and accuracy of measurement met relevant requirements. It was estimated that the total demand for such systems in Russia might amount to 4,250,000 units.Conclusion. The device can be used for individual and group monitoring in intensive care units, in in-patient settings after transfer from intensive care, during rehabilitation for remote monitoring at home, and during patients' transportation to monitor their condition in case of emergency.
Anesthetic aspects of the resection of hormone-active carotid chemodectomas: a clinical case and literature review
Authors: Kurbasov A. A. , Shmigelskiy A. V. , Аkhmedov A. D. , Lukshin V. A. , Usachev D. Yu. 
Published: November 2020

The article describes a clinical case - the resection of the hormone- active tumor of the carotid glomus. The hormonal activity of the tumor was suspected based on data of the patient's history, (malignant arterial hypertension with sharp rises in arterial tension, episodes of the increased arterial tension during mechanical impact on the tumor) and hemodynamic parameters during surgery (heart rhythm disturbances after induction of anesthesia and pronounced hypertensive reactions when manipulating the tumor tissue). The article reviews publications on anesthetic support during the resection of hormone-active chemodectomas.Detection of typical clinical signs such as hypertension, tachycardia, fever, headaches, etc. in the history of patients with chemodectoma may suggest hormonal activity of the tumor. Biochemical tests that determine the level of catecholamines and their breakdown products can confirm the diagnosis. When planning surgery, the anesthesiologist should be prepared for the development of the relevant complications. Hypertension, as the most frequent complication, should be prevented by preoperative adrenergic blockers and treated intraoperatively with short-acting antihypertensive drugs. After exclusion of the tumor from the bloodstream, it is necessary to prepare for the development of hypotension.
THE EXPERIENCE AND RESULTS OF CYTOREDUCTIVE SURGERY AND HIPEC USED IN ADVANCED OVARIAN CANCER
Authors: Bondar Oleksandr , Rybin Andriy 
Published: November 2020

The research object was life quality of patients with ovarian cancer after complex treatment. Nowadays cytoreductive surgery and HIPEC is the mainstay of management of advanced stages ovarian cancer. Description of the problem: study was conducted to assess the effectiveness of combined treatment in IIIA-IIIC ovarian cancer, its impact on quality of life. Main scientific results: 37 patients of main group (CRS + HIPEC) were compared with 25 patients of control group (surgery + systemic chemotherapy). The quality of life was assessed with Medical Outcomes Study 36-Item Short Form Health Survey (SF-36). Comparative analysis of quality of life 6 months after treatment completion did not show significant statistical difference. Combination of cytoreduction with HIPEC improves quality of life in patients with ovarian cancer, is tolerated better and has less systemic toxicities than systemic chemotherapy. The area of practical use of research results: hyperthermic intraperitoneal chemotherapy is performed for patients suffering from malignant tumors of the abdominal cavity, including metastatic colon cancer, ovarian cancer, stomach cancer, pseudomyxoma, mesothelioma, rhabdomyosarcoma, and some other types of oncology. Innovative technological product: combination of cytoreduction with HIPEC improves quality of life in patients with ovarian cancer. Scope of application of an innovative technological product: HIPEC is an innovative treatment option for advanced cancer that has spread to the abdominal cavity (carcinomatosis) and has not gone beyond it.
Partnering With Massage Therapists to Communicate Information on Reducing the Risk of Skin Cancer Among Clients: Longitudinal Study
Authors: Loescher Lois , Heslin Kelly , Silva Graciela , Muramoto Myra 
Published: November 2020

Background
Skin cancer affects millions of Americans and is an important focus of disease prevention efforts. Partnering with non–health care practitioners such as massage therapists (MTs) can reduce the risk of skin cancer. MTs see clients’ skin on a regular basis, which can allow MTs to initiate “helping conversations” (ie, brief behavioral interventions aimed at reducing the risk of skin cancer).

Objective
The purpose of this study was to evaluate (1) the feasibility of recruiting, enrolling, and retaining Arizona MTs in an online electronic training (e-training) and (2) the preliminary efficacy of e-training on knowledge, attitudes/beliefs, and practice of risk reduction for skin cancer. We explored MTs’ ability to assess suspicious skin lesions.

Methods
We adapted the existing educational content on skin cancer for applicability to MTs and strategies from previous research on helping conversations. We assessed the feasibility of providing such e-training, using Research Electronic Data Capture (REDCap) tools for data capture. We assessed the preliminary efficacy using established self-report surveys at baseline, immediately post training, and at 3 and 6 months post training.

Results
A total of 95 participants enrolled in the study, of which 77% (73/95) completed the assessments at 6 months (overall attrition=23%). Project satisfaction and e-training acceptability were high. Knowledge, personal behaviors (skin self-examination, clinical skin examination, sun protection frequency), and practice attitudes (appropriateness and comfort with client-focused communication) of risk reduction for skin cancer improved significantly and were sustained throughout the study.

Conclusions
The e-training was feasible and could be delivered online successfully to MTs. Participants were highly satisfied with and accepting of the e-training. As such, e-training has potential as an intervention in larger trials with MTs for reducing the risk of skin cancer.

International Registered Report Identifier (IRRID)
RR2-10.2196/13480
Computing SARS-CoV-2 Infection Risk From Symptoms, Imaging, and Test Data: Diagnostic Model Development
Authors: D'Ambrosia Christopher , Christensen Henrik , Aronoff-Spencer Eliah 
Published: November 2020

Background
Assigning meaningful probabilities of SARS-CoV-2 infection risk presents a diagnostic challenge across the continuum of care.

Objective
The aim of this study was to develop and clinically validate an adaptable, personalized diagnostic model to assist clinicians in ruling in and ruling out COVID-19 in potential patients. We compared the diagnostic performance of probabilistic, graphical, and machine learning models against a previously published benchmark model.

Methods
We integrated patient symptoms and test data using machine learning and Bayesian inference to quantify individual patient risk of SARS-CoV-2 infection. We trained models with 100,000 simulated patient profiles based on 13 symptoms and estimated local prevalence, imaging, and molecular diagnostic performance from published reports. We tested these models with consecutive patients who presented with a COVID-19–compatible illness at the University of California San Diego Medical Center over the course of 14 days starting in March 2020.

Results
We included 55 consecutive patients with fever (n=43, 78%) or cough (n=42, 77%) presenting for ambulatory (n=11, 20%) or hospital care (n=44, 80%). In total, 51% (n=28) were female and 49% (n=27) were aged <60 years. Common comorbidities included diabetes (n=12, 22%), hypertension (n=15, 27%), cancer (n=9, 16%), and cardiovascular disease (n=7, 13%). Of these, 69% (n=38) were confirmed via reverse transcription-polymerase chain reaction (RT-PCR) to be positive for SARS-CoV-2 infection, and 20% (n=11) had repeated negative nucleic acid testing and an alternate diagnosis. Bayesian inference network, distance metric learning, and ensemble models discriminated between patients with SARS-CoV-2 infection and alternate diagnoses with sensitivities of 81.6%-84.2%, specificities of 58.8%-70.6%, and accuracies of 61.4%-71.8%. After integrating imaging and laboratory test statistics with the predictions of the Bayesian inference network, changes in diagnostic uncertainty at each step in the simulated clinical evaluation process were highly sensitive to location, symptom, and diagnostic test choices.

Conclusions
Decision support models that incorporate symptoms and available test results can help providers diagnose SARS-CoV-2 infection in real-world settings.
TRADISI PENAN JEB DI KAMPUNG AKUL KECAMATAN BLANG JERANGO KABUPATEN GAYO LUES
Authors: K Jumiati , Ismail Fauzi , Ikhwan Ikhwan 
Published: November 2020

Penan Jeb tradition is a unique tradition of Gayo Lues people, this tradition is commonly held along together with others religious ritual such as Eid Al Adha, mauled (birth of the prophet) and aqiqah (ritual of new-born), as a tradition that has been regulated from generation to generation, Penan Jeb has developed new form and pattern along the way, for instance the declining of ritual held in every household and the adding of modern snack to its menu which normally consist of traditional cookies, this study aimed to find an answer to some questions of historical background of Penan Jeb tradition, the processing of ritual Penan Jeb, its development and its significance meanings, this study uses qualitative method of analytical description, the results of study show that the reason behind the declining of Penan Jeb proceeding is due to practical factor, before, Penan Jeb was held in every household, now people prepare the food and cookies and bring it to the pesantren (Islamic boarding school) to be held in one centralized place.
Estudo sobre lubrificação em rolamentos e desenvolvimento de um tribômetro método reichert
Authors: Mendes de Souza Alan , Ap. Ferraz da Silva Fabrício , Amade de Souza Felipe , Humberto Sartori Carlos , Alberto de Freitas Carlos , Carlos Arruda Antonio 
Published: November 2020

O estudo se destina a abordagem das possíveis falhas em elementos de máquinas (rolamentos) fabricados em AISI 52100 e seus principais mecanismos de desgaste sendo adesão, abrasão, corrosão e fadiga. Serão apresentados os principais tipos de lubrificantes, dando ênfase nos óleos e graxas quanto a suas características físico-químicas e seus principais aditivos. Para viabilidade do estudo foi desenvolvido um dispositivo que realizou ensaios em um mesmo lubrificante de viscosidade 15W4-50 com períodos de utilização distintos sendo estes 1000, 2000 e 3000 km, desta forma foi possível medir o rompimento da película de lubrificação em função da pressão exercida pelo dispositivo e sendo assim exemplificar de maneira efetiva os efeitos danosos aos elementos de máquinas em função da má gestão da lubrificação.
PENGARUH IMPLEMENTASI BRINETS TERHADAP KINERJA PEGAWAI : PERCEIVED ENJOYMENT DAN COMPUTER PLAYFULNESS SEBAGAI VARIABEL MODERATING (STUDI PADA PT.BANK BRI CABANG METRO)
Authors: Yulita Yulita 
Published: November 2020

Penelitian ini menguji pengaruh implementasi online sistem informasi BRI (BRINETS) terhadap kinerja pegawai dengan perceived enjoyment, computer playfulness sebagai variabel moderating. Penelitian ini merupakan penelitian empiris dengan teknik pengumpulan sampel adalah sensus sampling. Data yang diperoleh sejumlah 38 responden, dengan responden para pegawai PT. BRI Persero cabang Metro Data diolah menggunakan program SPSS versi 17.00. Hasil pengujian hipotesis menunjukkan penerimaan terhadap semua hipotesis, yaitu hipotesis satu yaiu implementasi online sistem informasi BRI (BRINETS) berpengaruh terhadap kinerja pegawai serta menerima hipotesis dua bahwa perceived enjoyment, computer playfulness, terbukti sebagai variabel moderating yang memoderasi pengaruh implementasi sistem informasi BRI (BRINETS) terhadap kinerja pegawai.Kata kunci : Implementasi sistem informasi BRI (BRINETS), perceived enjoyment, computer playfulness, kinerja pegawai
Elastisitas Penyerapan Tenaga Kerja Di Provinsi Sumatera Selatan
Authors: Trianto Anton 
Published: November 2020

This study aims to analyze the elasticity of employment in the Province of South Sumatra during the period 2011-2015. The calculation of elasticity of labor absorption is obtained from the comparison between the percentage of labor growth to the percentage of economic growth. The data used are secondary data that is the growth of labour and the growth of South Sumatra’s GDP. Elasticity ofemployment is used to see how big the response changes in the amount of labor that occurs due to economic growth. The results showed that during the period 2011-2015 the elasticity of employment of South Sumatra Province more in inelastic category, except in year 2013 the category is elastic. This means that economic growth has less responsive to stimulate the increasing number of workers. The percentage of employment growth is less than the percentage of economic growth. In addition, economic growth has not been consistent to be one of the factors triggering stable employment in several districts / cities in South Sumatra. Keywords: Economic Growth, Employment Absorption, Elasticity of employment
Kajian fungsi sosial-budaya ruang terbuka hijau publik Kecamatan Serpong, Kota Tangerang Selatan
Authors: Hastita Dinda Hindira , Yuslim Silia , Luru Arselinus Nirwan 
Published: November 2020

Study of the socio-cultural function of public green open space in Serpong District, South Tangerang City. Urban communities have a variety of activities and routines with high mobility. It takes a balance between busy activities and leisure activities where people have the freedom to communicate and interact in space. The area of public green open space in Serpong District has reached 28% of the total required by Law no. 26 article 29. Most of the green open space is located in certain housing areas, so that its utilization is more focused on residential residents. . Based on these facts, this study aims to discuss the extent to which the socio-cultural functions that must be carried out by public green open space outside of residential areas can meet the needs of people who live outside the existing residential areas. A study on the social functions of public green open space will be carried out in Serpong District, South Tangerang City, with samples of City Forest 2, Health Park, and Peace Park. This study used survey method using data collection instruments in the form of observations and questionnaires which were scored based on a Likert scale. Data analysis technique is using proportion (percentage) or frequency. From the research results, it is known that the social function of public green open space in City Forest 2, Health Park, and Peace Park has been achieved, namely as a communication medium for city residents, describing local cultural expressions, recreation areas, and educational and research facilities.
Pengaruh agresivitas pajak terhadap nilai perusahaan: Efek moderasi transparansi dan kepemilikan institusional
Authors: Prastiwi Dewi , Walidah Alifiah Nurul 
Published: November 2020

Penelitian ini bertujuan untuk menganalisis pengaruh agresivitas pajak terhadap nilai perusahaan. Dalam analisis tersebut, dua variabel pemoderasi ditambahkan, yaitu transparansi dan kepemilikan institusional. Sampel penelitian adalah perusahaan manufaktur yang terdaftar di Bursa Efek Indonesia periode 2014-2016 yang dipilih dengan menggunakan teknik purposive sampling. Dengan tehnik analisis data regresi berganda, penelitian ini menunjukkan bahwa agresivitas pajak dapat menurunkan nilai perusahaan. Selain itu, dengan adanya transparansi informasi dapat mengurangi penurunan nilai perusahaan akibat aktivitas agresivitas pajak. Akan tetapi, kepemilikan institusional yang diprediksi dapat melakukan pengawasan dalam mewujudkan tata kelola perusahaan yang baik, ternyata tidak dapat mengurangi dampak negatif agresivitas pajak terhadap nilai perusahaan. Hal ini mengindikasikan bahwa pemilik institusional tidak memiliki komitmen, kesediaan, ataupun kemampuan yang signifikan untuk memantau agresivitas pajak perusahaan. Secara umum, penelitian ini mendukung pendapat yang menyatakan bahwa agresivitas pajak berdampak negatif terhadap perusahaan karena meningkatkan risiko perusahaan. Penelitian ini diharapkan berkontribusi menambah literatur tentang agresivitas pajak sehingga pelaku ekonomi seperti manajer, investor dapat mengambil keputusan yang tepat.
Sexual and reproductive health in HIV-positive adolescents
Authors: Yiltok Esther Simon , Ebonyi Augustine Odo , Ejeliogu Emeka Uba 
Published: November 2020

Objectives:
Adolescents grow to experience both emotional and sexual changes that occur at this stage in life. During this stage, these adolescents have increased experimentation, including sexuality, this also affects HIV-positive adolescents. The aim of this study was to evaluate the sexual and reproductive health of HIV-positive adolescents.

Material and Methods:
A semi-structured interviewer-administered questionnaire was used to obtain relevant information from adolescents who were enrolled into the study over a 6 months period. Information obtained included the bio-data, menstruation, sexual activity, HIV status of partner, use of contraceptives, abortion, and treatment of sexually transmitted infections (STIs). Data were analyzed using SPSS version 23.

Results:
One hundred and forty-seven HIV-positive adolescents were recruited into the study, males were 56 (38.1%), while females were 91 (61.9%). Fifty-nine (64.8%) of the females have started menstruating, out of which nine (6.1%) of them were sexually active. All those that were sexually active did not know the HIV status of their partners. Four (44.4%) of those who were sexually active use contraceptives, while three became pregnant out of wedlock and one had an abortion. Three (33.3%) of the sexually active adolescents had sexually transmitted infection. None of the 46 early adolescents was sexually active, but three out of the 71 middle adolescents and 6 out of the 30 late adolescents were sexually active.

Conclusion:
HIV-positive adolescents engage in sexual activities which are sometimes risky, just like other adolescents. The consequences of such acts include unplanned pregnancies and abortions in addition to sexually transmitted infections. Therefore, additional programs/interventions should be put in place to address these observations as well as prepare them as they transit to adulthood.