bluuebunny/crossref_metadata_2025_split huggingface dataset:
Economic Assessment of a New Model of Care to Support Patients With Cancer Experiencing Cancer- and Treatment-Related Toxicities
Authors: Shih Sophy T. F. , Mellerick Angela , Akers Georgina , Whitfield Kathryn , Moodie Marj 
Published: April 2020

PURPOSE: The aim of this economic assessment was to evaluate the impact of a new nurse-led model of care, the Symptom and Urgent Review Clinic (SURC), for patients with cancer experiencing disease- or treatment-related symptoms. METHODS: An economic assessment was undertaken to estimate costs of the SURC from the service funder perspective and to compare the cost with cost offsets stemming from the implementation of the SURC. The cost offsets focused on the changes in emergency department (ED) presentations and inpatient admissions during a comparable 6-month period before and after the SURC implementation. Costs were analyzed in 2018 Australian dollars, and return on investment was calculated by comparing the cost offsets in the ED and inpatient units with the cost of the SURC. RESULTS: After the implementation of the SURC, patients were less likely to present to the ED (7.2% v 8.5%; P = .01), and patients who did present to the ED were more likely to be admitted to inpatient units (78% v 71%; P = .03) for additional treatment. The post-SURC period had a net cost savings of $37,090 compared with the pre-SURC period. From the service funder perspective, the SURC achieved an investment return of $1.73 for every dollar invested in the new service. CONCLUSION: Our study establishes the economic credentials of a new care model using empirical linked hospital service data. The SURC presents a new cancer care service for policy consideration from an economic standpoint. It demonstrates an efficient approach to hospital resource allocation to deliver quality cancer care.
Racial Disparities in Health Care Utilization at the End of Life Among New Jersey Medicaid Beneficiaries With Advanced Cancer
Authors: Yang Annie , Goldin David , Nova Jose , Malhotra Jyoti , Cantor Joel C. , Tsui Jennifer 
Published: April 2020

PURPOSE: Racial and ethnic disparities in cancer care near the end of life (EOL) have been recognized, but EOL care experienced by Medicaid beneficiaries is not well understood. We assessed the prevalence of aggressive EOL care and hospice enrollment for Medicaid beneficiaries and determined whether racial and ethnic disparities exist. PATIENTS AND METHODS: We identified Medicaid beneficiaries (age 21-64 years) who were diagnosed from 2011 to 2015 with stage IV breast and colorectal cancer and who died by January 2016 through a New Jersey State Cancer Registry–Medicaid claims linked data set. We measured aggressive EOL care (> 1 hospitalization, > 1 emergency department [ED] visit, any intensive care unit [ICU] admission in the last 30 days of life, and receipt of chemotherapy in the last 14 days of life) and hospice enrollment. Multivariable logistic regression models were used to determine factors associated with aggressive EOL care and hospice enrollment. RESULTS: Of the 349 patients, 217 (62%) received at least one of the following measures of aggressive EOL care: > 1 hospitalization (27%), > 1 ED visit (31%), ICU admission (30%), and chemotherapy (34%). The adjusted odds of receiving any aggressive care were 1.87 times higher (95% CI, 1.08 to 3.26) for non-Hispanic (NH) Black patients compared with NH White patients. Only 39% of patients enrolled in hospice. No significant differences in hospice enrollment were observed by race or ethnicity. CONCLUSION: The majority of Medicaid patients with advanced cancer received aggressive EOL care and were not enrolled in hospice. NH Black patients were more likely to receive aggressive EOL care. Further work to understand processes leading to suboptimal EOL care within Medicaid populations and among racial and ethnic minority groups is warranted.
Adaptive Control of Dynamic Balance across the Adult Lifespan
Authors: VERVOORT DANIQUE , BUURKE TOM J. W. , VUILLERME NICOLAS , HORTOBÁGYI TIBOR , DEN OTTER ROB , LAMOTH CLAUDINE J. C. 
Published: April 2020

ABSTRACT

Introduction
The ability to adapt dynamic balance to perturbations during gait deteriorates with age. To prevent age-related decline in adaptive control of dynamic balance, we must first understand how adaptive control of dynamic balance changes across the adult lifespan. We examined how adaptive control of the margin of stability (MoS) changes across the lifespan during perturbed and unperturbed walking on the split-belt treadmill.

Methods
Seventy-five healthy adults (age range, 18–80 yr) walked on an instrumented split-belt treadmill with and without split-belts. Linear regression analyses were performed for the mediolateral (ML) and anteroposterior (AP) MoS, step length, single support time, step width, double support time, and cadence during unperturbed and perturbed walking (split-belt perturbation), with age as predictor.

Results
Age did not significantly affect dynamic balance during unperturbed walking. However, during perturbed walking, the ML MoS of the leg on the slow belt increased across the lifespan due to a decrease in bilateral single support time. The AP MoS did not change with aging despite a decrease in step length. Double support time decreased and cadence increased across the lifespan when adapting to split-belt walking. Age did not affect step width.

Conclusions
Aging affects the adaptive control of dynamic balance during perturbed but not unperturbed treadmill walking with controlled walking speed. The ML MoS increased across the lifespan, whereas bilateral single support times decreased. The lack of aging effects on unperturbed walking suggests that participants’ balance should be challenged to assess aging effects during gait. The decrease in double support time and increase in cadence suggests that older adults use the increased cadence as a balance control strategy during challenging locomotor tasks.
El ‘revival’ de la literatura y la cultura sefardíes en la enseñanza universitaria actual
Authors: Bellomi Paola 
Published: April 2020

The Revival of Sephardic Literature and Culture in Current University Education
Sephardic Conversos’ literature is an example of the capacity of a minority culture to survive and save its identity both in propitious historical and social contexts and in dramatic moments. The Departments of Hispanic Studies have recently developed an interest in the study and recovery of the Sephardic Conversos past, silenced or simply forgotten for a long time. In this paper I will present my own experience as a teacher and a researcher of this particular genre of literature; in particular, I will focus on two aspects: the didactics and the research. The aim is to propose a debate on the importance of this topic in the academic field from an educational point of view; furthermore, I suggest a reflection on the interrelation between educational purposes and research freedom.
Wage Transparency and Social Comparison in Sales Force Compensation
Authors: Long Xiaoyang , Nasiry Javad 
Published: April 2020

When wages are transparent, sales agents may compare their pay with that of their peers and experience positive or negative feelings if those peers are paid (respectively) less or more. We investigate the implications of such social comparisons on sales agents’ effort decisions and their incentives to help or collaborate with each other. We then characterize the firm’s optimal sales force compensation scheme and the conditions under which wage transparency benefits the firm. Our results show that the work environment—which includes such aspects as demand uncertainty, correlation across sales territories, and the possibility of help/collaboration—plays a significant role in the firm’s compensation and wage transparency decisions. In particular, wage transparency is more likely to benefit the firm when demand uncertainty is low, sales outcomes are positively correlated across different sales territories, and sales agents can collaborate at low cost. We find that, contrary to conventional wisdom, social comparisons need not reduce collaboration among agents. Our study also highlights the importance of providing the right mix of individual and group incentives to elicit the benefits of wage transparency. This paper was accepted by Juanjuan Zhang, marketing.
Avaliação do desempenho zootécnico e rendimento de carcaças de diferentes linhagens de frango de corte
Authors: Pereira Patricia Calixto , Batista Igor Alves , Frandi Butolo Eduardo Afonso , Da Costa Leanderson Lima , Conde Eduardo Marinho , Ruschel Alceu Silvestre , Da Silva Marcos Roberto 
Published: April 2020

O trabalho foi conduzido objetivando-se avaliar o desempenho zootécnico e rendimento de carcaça de três linhagens de frango de corte até 42 dias de idade. Foram utilizados 3000 pintos de um dia de idade, sexados, distribuídos em um delineamento experimental inteiramente casualizado em esquema fatorial 3x2 (linhagem x sexo), sendo três linhagens (Ross AP95, Cobb e Hubbard) e dois sexos, com dez repetições por tratamento. Os pintos foram distribuídos em 60 boxes metálicos de 1,58m x 2,61m x 0,7m. Aos 42 dias de idade uma ave por box foi identificada e enviada para o frigorífico, totalizando 60 aves, para avaliação do rendimento de carcaça. As linhagens Cobb e Hubbard não diferiram entre si para os parâmetros peso médio, ganho médio de peso, índice de eficiência produtiva e ganho de peso diário, apresentando resultados estatisticamente superiores aos da linhagem Ross. Para conversão alimentar a linhagem Hubbard apresentou resultado estatisticamente igual ao da linhagem Cobb, que por sua vez foi estatisticamente igual ao da linhagem Ross. Para o rendimento de cortes de frango as três linhagens não diferiram entre si. Houve diferença significativa entre sexo macho e fêmea para rendimento de coxa-sobrecoxa e gordura abdominal.
Categorical Signaling of the Strongest Stimulus by an Inhibitory Midbrain Nucleus
Authors: Schryver Hannah M. , Straka Malgorzata , Mysore Shreesh P. 
Published: April 2020

The nucleus isthmi pars magnocellularis (Imc), a group of inhibitory neurons in the midbrain tegmentum, is a critical component of the spatial selection network in the vertebrate midbrain. It delivers long-range inhibition among different portions of the space map in the optic tectum (OT), thereby mediating stimulus competition in the OT. Here, we investigate the properties of relative strength-dependent competitive interactions within the Imc, in barn owls of both sexes. We find that when Imc neurons are presented simultaneously with one stimulus inside the receptive field and a second, competing stimulus outside, they exhibit gradual or switch-like response profiles as a function of relative stimulus strength. They do so both when the two stimuli are of the same sensory modality (both visual) or of different sensory modalities (visual and auditory). Moreover, Imc neurons signal the strongest stimulus in a dynamically flexible manner, indicating that Imc responses reflect an online comparison between the strengths of the competing stimuli. Notably, Imc neurons signal the strongest stimulus more categorically, and earlier than the OT. Paired recordings at spatially aligned sites in the Imc and OT reveal that although some properties of stimulus competition, such as the bias of competitive response profiles, are correlated, others such as the steepness of response profiles, are set independently. Our results demonstrate that the Imc is itself an active site of competition, and may be the first site in the midbrain selection network at which stimulus competition is resolved.SIGNIFICANCE STATEMENTThis work sheds light on the functional properties of a small group of inhibitory neurons in the vertebrate midbrain that play a key part in how the brain selects a target among competitors. A better understanding of the functioning of these neurons is an important building block for the broader understanding of how distracters are suppressed, and of spatial attention and its dysfunction.
Enhancing CPR During Transition From Prehospital to Emergency Department: A QI Initiative
Authors: Hoehn Erin F. , Cabrera-Thurman Mary K. , Oehler Jennifer , Vukovic Adam , Frey Mary , Helton Mathew , Geis Gary , Kerrey Benjamin 
Published: April 2020

BACKGROUND AND OBJECTIVES:
High-quality cardiopulmonary resuscitation (CPR) increases the likelihood of survival of pediatric out-of-hospital cardiac arrest (OHCA). Maintenance of high-quality CPR during transition of care between prehospital and pediatric emergency department (PED) providers is challenging. Our objective for this initiative was to minimize pauses in compressions, in alignment with American Heart Association recommendations, for patients with OHCA during the handoffs from prehospital to PED providers. We aimed to decrease interruptions in compressions during the first 2 minutes of PED care from 17 seconds (baseline data) to 10 seconds over 12 months. Our secondary aims were to decrease the length of the longest pause in compressions to &lt;10 seconds and eliminate encounters in which time to defibrillator pad placement was &gt;120 seconds.

METHODS:
Our multidisciplinary team outlined our theory for improvement and designed interventions aimed at key drivers. Interventions included specific roles and responsibilities, CPR handoff choreography, and empowerment of frontline providers. Data were abstracted from video recordings of patients with OHCA receiving manual CPR on arrival.

RESULTS:
We analyzed 33 encounters between March 2018 and July 2019. We decreased total interruptions from 17 to 12 seconds during the first 2 minutes and decreased the time of the longest single pause from 14 to 7 seconds. We saw a decrease in variability of time to defibrillator pad placement.

CONCLUSIONS:
Implementation of a quality improvement initiative involving CPR transition choreography resulted in decreased interruptions in compressions and decreased variability of time to defibrillator pad placement.
Impact of maximal power training with and without plyometric on speed endurance and upper body power of team handball players
Authors: Ethiraj Balaji , Kamatchi Murugavel 
Published: April 2020

Background and Study Aim. The aim of this research is to investigate the impact of maximal power training with and without plyometrics on speed endurance and upper body power of team handball players.
Material and Methods. Sixty college level men team handball players were randomly selected from Coimbatore district as subjects. Their age ranged between 18 and 25 years. The selected subjects were divided into three equal groups consisting of twenty each. No attempt was made to equate the groups. Experimental group I (n = 20) underwent maximal power training with plyometrics (MPTWP), Experimental group II (n = 20) underwent maximal power training without plyometrics (MPTWOP) for a period of 12 weeks and group III (n = 20) acted as control group (CG), the subjects in control group were not engaged in any training programme other than their regular work. Data obtained were evaluated in SPSS package.
Results. The F value revealed that the speed endurance and upper body power were significantly improved due to the influence of maximal power training with plyometrics.
Conclusions. As a result, 12 weeks of maximal power training with plyometrics can be said to increase the speed endurance and upper body power of team handball players.
Urinary Soluble CD163: a Novel Noninvasive Biomarker of Activity for Lupus Nephritis
Authors: Mejia-Vilet Juan M. , Zhang Xiaolan L. , Cruz Cristino , Cano-Verduzco Mayra L. , Shapiro John P. , Nagaraja Haikady N. , Morales-Buenrostro Luis E. , Rovin Brad H. 
Published: April 2020

Significance Statement
Although many biomarkers have been tested in lupus nephritis, none have advanced to clinical practice. Treatment is often guided by the level of proteinuria, which lacks the necessary sensitivity to differentiate disease activity from chronic damage to the kidneys. The authors evaluated urinary CD163 as an activity biomarker of lupus nephritis in two large multiethnic populations, with longitudinal follow-up of biomarker expression and testing against clinical and histologic disease activity. They demonstrated that urinary CD163 correlated with disease severity, lupus nephritis class, and histologic activity. Furthermore, the course of urinary CD163 in response to treatment discriminated among response groups and faithfully reflected the disease’s histologic activity in repeated kidney biopsies. These findings suggest that urinary CD163 shows promise as a biomarker reflecting histologic inflammation in lupus nephritis.

Background
Clinical distinction between patients with lupus nephritis who have active inflammation or chronic kidney damage is challenging. Studies have shown soluble CD163, which derives from cleavage of the CD163 M2c macrophage receptor and can be quantified in urine, correlates with active lupus nephritis.

Methods
We measured urine CD163 at lupus nephritis flares in patients from a Mexican cohort and cross-sectional and longitudinal United States cohorts. We also performed serial urine CD163 measurements during the treatment of flares in a subset of patients from the Mexican and longitudinal United States cohorts, and assessed response to therapy at 12 months. In addition, we evaluated urinary CD163 agreement with histologic activity in 19 patients from the Mexican cohort who had repeated kidney biopsies on follow-up.

Results
Urinary CD163 levels were significantly higher in patients with active lupus nephritis than in patients with active extrarenal SLE, inactive SLE, and other glomerular diseases, and correlated with disease clinical severity, histologic class, and the histologic activity index. Urinary CD163 increased from 6 months preflare to flare, diminishing progressively in complete and partial responders, whereas it remained elevated in nonresponders. Urinary CD163 <370 ng/mmol at 6 months predicted complete renal response at 12 months with >87% sensitivity and >87% specificity. Urinary CD163 <370 ng/mmol or >370 ng/mmol perfectly agreed (κ=1.0) with a histologic activity index ≤1 or >1 in repeated biopsies, respectively. Evaluation of urinary CD163 in patients with persistent proteinuria at 6 months improved the prediction of who would achieve complete renal response at 12 months.

Conclusions
Urinary CD163 reflects histologic inflammation in lupus nephritis and is a promising activity biomarker that varies over time with lupus nephritis activity and treatment.
Mapa de actores de responsabilidad social empresarial en la ciudad de Santa Marta
Authors: Jiménez Sierra Devinso José , Cabrera Erica , Ortega Antonio 
Published: April 2020

Objetivo: Mapear la dinámica de apropiación de planes y acciones de Responsabilidad Social Empresarial (RSE) en la ciudad de Santa Marta, evidenciando el uso del concepto asociado a RSE que podría generar una discusión en pro de mejorar las condiciones de la sociedad u entorno en el que se desarrollan las actividades empresariales. Metodología: En cuanto a la investigación es de tipo analítica, como herramienta principal para la construcción de la misma se utilizó el método MAC (Mapeo de Actores Claves) y a partir de ahí se estructura las diferentes líneas donde se reflejan los actores que intervienen en las variables establecidas. Resultados: Se describen la poca generación y disposición de las organizaciones públicas y privadas con alto impacto de gestión, se encontró la desconexión y baja articulación entre entidades que realizan actividades de impacto social afines, para la misma población desconociendo, ambos, sus intervenciones. Conclusiones: Se puede afirmar que la presente investigación muestra la dinámica que ejerce el sector empresarial en la ciudad de Santa Marta, analizado desde la Responsabilidad Social Empresarial (RSE), reconociendo la contribución de mejora que brindan a los diferentes escenarios (ambiental, educación, salud, entre otros) en los cuales se direccione la gestión de RSE. Entre los actores que sobresalen en la investigación hallamos organizaciones pertenecientes a diferentes sectores económicos, dándonos una panorámica del grado de responsabilidad social empresarial en la ciudad de Santa Marta.
GAMBARAN LINGKUNGAN KERJA SOSIAL, PENGHARGAAN FINANSIAL DAN RETENSI KARYAWAN PADA PT. BAETT MAL ABADI DI CILEGON
Authors: Mayasari Rizka , Senen Syamsul Hadi , Tarmedi Eded 
Published: April 2020

Purpose - The purpose of this study is to see the description of social work environment, financial reward and employee retentionDesign/methodology/approachh - The design of this study was cross sectional. This research uses descriptive approach with explanatory survey method. A total of 86 respondents were selected using probability sampling. A questionnaire was used as a research instrument to collect data from respondents. Analytical technique used is descriptive technique by using frequency tableFindings - Based on the results of the research using descriptive analysis, the results obtained that the social work environment is in the good category with a score of respectively 79%, financial reward is in the good category with a score of respectively 78%, employee retention is in the high category with a score of respectively 80%Originality/value - This study provides a basis for understanding social work environment issues, financial reward, employee retention. The difference of this study with previous research is focused on the social work environment, financial rewards.
GAMBARAN BRAND EXPERIENCE DAN CUSTOMER-BASED BRAND EQUITY PADA SITUS WEDDING MARKETPLACE BRIDESTORY DI INDONESIA INDONESIA
Authors: Nurfitriani Nurfitriani , Wibowo Lili Adi , Widjajanta Bambang 
Published: April 2020

Purpose - To find out the description of the level of brand experience and customer-based brand equity in site wedding marketplace Bridestory visitors in Indonesia. Design/methodology/approach - The design of this study is cross sectional method. This research uses descriptive approach with explanatory survey method. A total of 135 respondents were selected using probability sampling. A questionnaire was used as a research instrument to collect data from respondents. The analysis technique used is descriptive technique by using frequency distribution.Findings - The result showed that brand experience is in good category, while customer-based brand equity is in good enough category. Originality / value - The differences in this study located on an object research , time research , a measuring instrument , literature that used , the theory that is used and the results of the study
Territoire: Cultural Survival et matériaux d'un peuple - L'art Xávega à Praia da Vagueira-Vagos/Aveiro-Portugal
Authors: Viegas Maria Ester Ferreira da Silva 
Published: April 2020

O presente artigo pretende discutir a importância da Arte Xávega, na Praia da Vagueira, na Comunidade de Vagos, no distrito de Aveiro em Portugal, por suas raízes e identidade com o lugar, vem colocar em evidência a Arte Xávega como patrimônio e apontar sua importância como meio de subsistência para os pescadores da praia da Vagueira. Para tanto situa sua análise dentro do olhar da etnogeografia, procurando dialogar com as categorias: trabalho, cotidiano e lugar. Tal discussão foi feita de maneira parcial durante o Pós-doutorado “Colegiados Territoriais – Dinâmica da participação pública nos processos de decisão política com incidência territorial”, pela Universidade de Aveiro-Portugal.
Palavras-Chaves: Arte Xavega – Patrimônio Cultural – Identidade – Território. Geografia Social.