bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of Different Telemonitoring Strategies on Chronic Heart Failure Care: Systematic Review and Subgroup Meta-Analysis
Authors: Ding Hang , Chen Sheau Huey , Edwards Iain , Jayasena Rajiv , Doecke James , Layland Jamie , Yang Ian A , Maiorana Andrew 
Published: September 2020

Background
Telemonitoring studies in chronic heart failure are characterized by mixed mortality and hospitalization outcomes, which have deterred the uptake of telemonitoring in clinical practice. These mixed outcomes may reflect the diverse range of patient management strategies incorporated in telemonitoring. To address this, we compared the effects of different telemonitoring strategies on clinical outcomes.

Objective
The aim of this systematic review and subgroup meta-analysis was to identify noninvasive telemonitoring strategies attributing to improvements in all-cause mortality or hospitalization outcomes for patients with chronic heart failure.

Methods
We reviewed and analyzed telemonitoring strategies from randomized controlled trials (RCTs) comparing telemonitoring intervention with usual care. For each strategy, we examined whether RCTs that applied the strategy in the telemonitoring intervention (subgroup 1) resulted in a significantly lower risk ratio (RR) of all-cause mortality or incidence rate ratio (IRR) of all-cause hospitalization compared with RCTs that did not apply this strategy (subgroup 2).

Results
We included 26 RCTs (N=11,450) incorporating 18 different telemonitoring strategies. RCTs that provided medication support were found to be associated with a significantly lower IRR value than RCTs that did not provide this type of support (P=.01; subgroup 1 IRR=0.83, 95% CI 0.72-0.95 vs subgroup 2 IRR=1.02, 95% CI 0.93-1.12). RCTs that applied mobile health were associated with a significantly lower IRR (P=.03; IRR=0.79, 95% CI 0.64-0.96 vs IRR=1.00, 95% CI 0.94-1.06) and RR (P=.01; RR=0.67, 95% CI 0.53-0.85 vs RR=0.95, 95% CI 0.84-1.07).

Conclusions
Telemonitoring strategies involving medication support and mobile health were associated with improvements in all-cause mortality or hospitalization outcomes. These strategies should be prioritized in telemonitoring interventions for the management of patients with chronic heart failure.
DISASTER VICTIM IDENTIFICATION (DVI) TRAINING FOR MEDICAL STUDENT
Authors: Ismail Taufik Suryadi , Syarifudin Kulsum Binti 
Published: September 2020

Background: Disaster victim identification (DVI) is a process of identifying the victim who died due to the disaster. Deaths due to disasters can be classified as victims of open disasters and victims of closed disasters. In the open disasters the process of identification is more difficult. Based on regulation of law in Indonesia, the identification is intended to fulfil human rights to identity, dignity and social status, autonomy rights such as inheritance, marital status, religion, insurance or other legal and social issues. Aims: The purpose of this curriculum study is to provide an overview of the DVI training process for medical students. Curriculum Discussion: Given the importance of the identification process it is necessary to be included in the medical education curriculum. The DVI training to identify victims of mass disasters uses the DVI Interpol standard. Faculty of Medicine Universitas Syiah Kuala has conducted training and simulations of DVI for medical student since 2009 until 2019. A total of 1995 students in this period have participated in the training. The DVI training for medical students is very needed as an addition to the competence of doctors in the field of disaster management. Conclusion: By joining this training, medical students have sufficient medical skills to assist in the process of DVI.
Association of VA Payment Reform for Dialysis with Spending, Access to Care, and Outcomes for Veterans with ESKD
Authors: Wang Virginia , Swaminathan Shailender , Corneau Emily A. , Maciejewski Matthew L. , Trivedi Amal N. , O’Hare Ann M. , Mor Vincent 
Published: September 2020

Background and objectives
Because of the limited capacity of its own dialysis facilities, the Department of Veterans Affairs (VA) Veterans Health Administration routinely outsources dialysis care to community providers. Prior to 2011—when the VA implemented a process of standardizing payments and establishing national contracts for community-based dialysis care—payments to community providers were largely unregulated. This study examined the association of changes in the Department of Veterans Affairs payment policy for community dialysis with temporal trends in VA spending and veterans’ access to dialysis care and mortality.

Design, setting, participants, & measurements
An interrupted time series design and VA, Medicare, and US Renal Data System data were used to identify veterans who received VA–financed dialysis in community-based dialysis facilities before (2006–2008), during (2009–2010), and after the enactment of VA policies to standardize dialysis payments (2011–2016). We used multivariable, differential trend/intercept shift regression models to examine trends in average reimbursement for community-based dialysis, access to quality care (veterans’ distance to community dialysis, number of community dialysis providers, and dialysis facility quality indicators), and 1-year mortality over this time period.

Results
Before payment reform, the unadjusted average per-treatment reimbursement for non–VA dialysis care varied widely ($47–$1575). After payment reform, there was a 44% reduction ($44–$250) in the adjusted price per dialysis session (P<0.001) and less variation in payments for dialysis ($73–$663). Over the same time period, there was an increase in the number of community dialysis facilities contracting with VA to deliver care to veterans with ESKD from 19 to 37 facilities (per VA hospital), and there were no changes in either the quality of community dialysis facilities or crude 1-year mortality rate of veterans (12% versus 11%).

Conclusions
VA policies to standardize payment and establish national dialysis contracts increased the value of VA–financed community dialysis care by reducing reimbursement without compromising access to care or survival.
The Incidence, Risk Factors, and Prognosis of Acute Kidney Injury in Adult Patients with Coronavirus Disease 2019
Authors: Cheng Yichun , Luo Ran , Wang Xu , Wang Kun , Zhang Nanhui , Zhang Meng , Wang Zhixiang , Dong Lei , Li Junhua , Zeng Rui , Yao Ying , Ge Shuwang , Xu Gang 
Published: September 2020

Background and objectives
Since December 2019, coronavirus disease 2019 (COVID-19) outbreak occurred and has rapidly spread worldwide. However, little information is available about the AKI in COVID-19. We aimed to evaluate the incidence, risk factors, and prognosis of AKI in adult patients with COVID-19.

Design, setting, participants, & measurements
This was a retrospective cohort study of 1392 patients with COVID-19 admitted to a tertiary teaching hospital. Clinical characteristics and laboratory data were extracted from electronic hospitalization and laboratory databases. AKI was defined and staged according to the 2012 Kidney Disease: Improving Global Outcomes criteria. Risk factors for AKI and the association of AKI with in-hospital mortality were assessed.

Results
A total of 7% (99 of 1392) of patients developed AKI during hospitalization, 40% (40 of 99) of which occurred within 1 week of admission. Factors associated with a higher risk of AKI include severe disease (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.37 to 3.67), higher baseline serum creatinine (OR, 2.19; 95% CI, 1.17 to 4.11), lymphopenia (OR, 1.99; 95% CI, 1.12 to 3.53), and elevated D-dimer level (OR, 2.68; 95% CI, 1.07 to 6.70). The in-hospital mortality in patients with AKI stage 1, stage 2, and stage 3 was 62%, 77%, and 80%, respectively. AKI was associated with in-hospital mortality even after adjustment for confounders (OR, 5.12; 95% CI, 2.70 to 9.72).

Conclusions
AKI is uncommon but carries high in-hospital mortality in patients with COVID-19.
Complicaciones postquirúrgicas de colecistectomía laparoscópica, Hospital Traumatológico Dr. Ney Arias Lora, junio 2018-junio 2019
Authors: Henríquez Jiménez Adia Victoria , Peña Rodríguez Raybelin , Peña Lorenzo Mary Elissanny , Hernández Castillo Younine , Montesano Jiménez Yordano , Sánchez Orbe Jorge Octavio , Ibarra Lesma Victoria de los Ángeles 
Published: September 2020

Objetivo: determinar la frecuencia y causas de complicaciones postquirúrgicas de colecistectomía laparoscópica, en el Hospital Traumatológico Doctor Ney Arias Lora, junio 2018 - junio 2019.
Método: se realizó un estudio de tipo observacional descriptivo, de corte transversal
y de fuente retrospectiva, cuya población fue de 617 pacientes, de los cuales solo 19 presentaron complicaciones, representando la muestra de este estudio. Los datos fueron procesados utilizando el sistema Epi-Info 7.0.
Resultados: de 617 pacientes en cuales se realizó una colecistectomía laparoscópica, 19 presentaron complicaciones, para una tasa de 3.1 %; el estudio demostró que el sexo más afectado es el femenino entre los y 26-30 años.
El tipo de complicación postquirúrgica más frecuente fueron las hemorragias causando un 33 % de las complicaciones, seguidas por náuseas y/o vómitos con un 21 % de las mismas.
Conclusión: el estudio demuestra que, dentro de las complicaciones principales de colecistectomías laparoscópicas, las hemorragias ocupan el primer lugar, representando un 33 % de las complicaciones, seguidas por un 21 % de náuseas y/o vómitos y, en tercer lugar, la ictericia y la omoalgia con 17 % cada una.
Caracterización clínica, endoscópica e histológica del cáncer colorrectal en un grupo de pacientes cubanos
Authors: Estrada-Pablos José Gabriel , Pastrana-Lugo Celia María , Izquierdo-González Marlen , Alonso-Soto Jordi , Jauregui-Haza Ulises 
Published: September 2020

Introducción: el cáncer colorrectal representa el tercero en incidencia en ambos sexos a nivel mundial, por ellos es importante realizar estudios epidemiológicos del mismo.
Objetivo: caracterizar clínica, endoscópica e histológicamente el cáncer colorrectal en pacientes atendidos en el Centro de Investigaciones Médico Quirúrgicas, Cuba.
Métodos: estudio observacional, descriptivo y retrospectivo a 52 pacientes (31 hombres y 21 mujeres) con cáncer colorrectal diagnosticados entre 2012 y 2014. Se recolectaron los datos de historias clínicas y estudios endoscópicos, imagenológicos y anatomopatológicos. La media de edad fue 66,73 años.
Resultados: el antecedente y/o presencia de pólipos en el colon predominó con 55.8 %. La enterorragia se presentó en 38.5 %, la oclusión intestinal y el dolor abdominal en 17.3 %. Durante la colonoscopia, se encontró el 47.7 % con lesión ulcerada y el lugar más comprometido fue el colon descendente. El adenocarcinoma se encontró en 90.4 % de los pacientes.
Conclusiones: los antecedentes personales de pólipos colorrectales, el hábito de fumar, la diabetes mellitus tipo 2 y la obesidad fueron los factores de riesgo más encontrados. La forma de presentación más frecuente fue la enterorragia, seguida por la oclusión intestinal y las regiones del colon más afectadas fueron la descendente y la ascendente, respectivamente. El diagnóstico histológico fue en el mayor de los casos un adenocarcinoma. Existe una mayor frecuencia del diagnóstico en etapas avanzadas de la enfermedad.
Möjligheter och begränsningar för EU:s aktörskap i södra Kaukasus
Authors: Anderlini Michel 
Published: September 2020

Abstract: EU Actorness in the South Caucasus: Possibilities and LimitationsDespite significant institutional changes and refinements since its creation in 2004, the ENP (European Neighborhood Policy) remains a major tool available to the EU for providing incentives for reform and stability in non-member states through the diffusion of its norms and rules. Earlier studies, drawing on the Europeanization conceptual framework, have been mostly concerned about how and by which mechanisms compliance with EU rules takes place, rather than focusing on whether and to what extent it occurs. By contrast, this article assesses the actorness of the EU in three countries of the South Caucasus (Georgia, Armenia and Azerbaijan), viewing actorness as composed of three dimensions – capability, opportunity, and presence – enabling and constraining the aspirations of the EU to be an international actor in the South Caucasus.
The Effect of Peer Coaching as Health Coaching Support on Parenting Self Efficacy to Infant Care in Early Marriage Mother in The Waipare Public Health Center Working Area
Authors: Nelista Yosefina 
Published: September 2020

Introduction: Early marriage is a practice that is still common in several countries in the world. Getting married at early age will have an impact on childcare. Marriage at an early age needs to obtain knowledge about childcare. Interventions provided to mothers who marry at early age to change her behavior is health coaching support. The purpose of the study was to analyze the effect of health coaching support by peer coaching method on parenting self-efficacy to infant care in mothers who married at early age. Methods: This study used a quasi-experimental design with one group pre-test and post-test design. The study population was early marriage mothers who had infant. We used purposive sampling technique with a sample of 15 participants. The instrument used in this study was the Maternal Self-Efficacy Scale. Results: The results showed that of the 15 participants, the mean pre-test and mean post-test were 1.73 and 3.46. Wilcoxon test results showed before and after being given health coaching support by peer with p-value 0,000 < α = 0.05, so Ho was rejected and Ha was accepted. This showed that there was a significant influence due to the provision of health coaching support by peer coaching methods on infant care. Conclussions: There was an increase in parenting self-efficacy on infant care in mothers who married at early age. It is expected that parents who married at early age could change their behavior and have confidence in parenting.
The assessment of landslides disaster mitigation in Java Island, Indonesia: a review
Authors: Zamroni Akhmad , Kurniati Ayu Candra , Prasetya Haris Nur Eka 
Published: September 2020

The frequency of landslides and the fact that a large number of people live in the landslides-prone areas lead to a high death toll in Java Island, Indonesia – over 1,112 people in the period between 1999 and 2005. Indonesian National Disaster Management Agency (Badan Nasional Penanggulangan Bencana [BNPB]) reported 2,766 landslides that occurred in Java from 2014 to 2019, with 662 deaths. From its state, it looks as if Indonesia 's disaster mitigation is still weak. It is very essential to a deep understanding of landslides disaster mitigation weakness in Indonesia with the approach of governments, researchers, and local communities action. This research is a review of landslides disaster mitigation in Java Island with the approach of governments, researchers, and local communities action. Furthermore, the purpose of this study is to highlight the driving forces of landslides disaster mitigation in Java Island, Indonesia.
From the assessment of each stakeholder (government, researchers, and local communities), the driving forces of landslides disaster mitigation in Java Island are the central government has commanding disaster management activities to local governments. However, the implementation of landslides disaster mitigation at the regional level has some obstacles such as the lack of residential development planning.Many landslide research results have only become scientific papers but the landslides-prone areas have not been fully paid attention by the local government such as the absence of landslide danger warning signs.In addition, the level of preparedness and awareness among local communities is not constant at any given time. Usually, community preparedness levels can be high following a disaster. It is likely, however, to diminish over time.
Analysis of Shoreline Shift using Satellite Imagery near Makassar City
Authors: Amukti Rian , Adji Arif Seno , Ruslan Syamsuri 
Published: September 2020

Shoreline shift have occurred in the Coastal region of Makassar City in recent years due to abrasion and accretion. Spatial temporal feature extraction of the Makassar City Region has been carried out using remote sensing techniques withRadiometri, Geometric Corrections and Composite Imagein the Landsat image dataset in 2009 and 2019. This study aims to analyze shoreline shift near Makassar City with remote sensing technology using Landsat imagery data, based on multi-temporal data with visual and digital analysis techniques between 2009 and 2019. This research contributes to local and central government as baseline data (data base) in making decisions for handling coastal areas. The results showed that the length of the Makassar City coastline without including the coastline length of the islands separated from land in a row that is equal to 37.79 km in 2009. While in 2019 there was a significant change that is 49.82 km. This shows the addition of a coastline of 12.03 km in the span of 10 years. These changes are mainly caused by anthropogenic factors, namely the construction of the pier / port and the reclamation and hydro-oceanographic factors, namely waves, currents and tides.
The Permeability of Granite Weathering Soil in Tanjungpinang, Bintan Island, Indonesia
Authors: Erawan Fery , Sukiyah Emi , Hutabarat Johanes , Sudradjat Adjat 
Published: September 2020

Bintan Island is a part of Riau Islands Province. On this island, the capital city is Tanjungpinang. The compliance of public facilities such as landfill waste is a priority in this city. Landfill design that suitable in this area is a sanitary landfill system. The soil layer uses to cover the waste in this landfill system. The closure did gradually avoid the disruption of waste processing. The type of soil for its landfill cover has to be able to control the leachate. It controlled by the permeability of the soil.
The methods used in this study are the analysis of the physical and mechanical properties of soil. Rock and soil samples are obtained systematically through trenching. Sampling-based on changes in physical properties of soil that reflect its mechanical properties. A probabilistic approach used to solve the problems and to get accurate results.
The geomorphology of the study area divided into four units. They are very flat terrain, flat terrain, slightly steep hills, and steep hills. The sample used for the study is undisturbed soil. Analysis of the physical and mechanical properties of soil shows the types of soil, such as SW, GM, MH-OH, and CH. However, MH is the most dominant type of soil. Each of the soil types represents a certain degree of weathering. The degree of weathering in the study area varies from the III degree to VI degrees. Rocks are weathering form clay mineral, which compiles the soil. Clay mineral in the soil layer is varied from quartz, illite, kaolinite, gibbsite, goethite, and hematite—the impact of the swelling of clay. The swelling of clay in the study area ranged from low to high. The properties and composition of the soil are affected by the permeability value.
IN-PLACE ANALYSIS OF OFFSHORE JACKET PLATFORM FOR DIFFERENT WAVE DIRECTIONS
Authors: BAIG MIRZA AAMIR , MAQBOOL UMER 
Published: September 2020

Offshore jacket platforms are subjected to variety of forces during their life period. To resists all kinds of forces, the structural elements should be designed properly to have safety and economy. In order to fulfil this purpose, the structure should be analyzed with great care.
As the improvement of oil and gas moves into more profound water, in any case, taller stages with longer periods are fabricated that react all the more powerfully to extraordinary waves. Expectation of the dynamic reaction of such structures in extraordinary ocean states is in this way an essential plan thought. Standard waves have all their vitality lumped at a couple of particular frequencies and can, in this manner, cause wrong powerful enhancements, particularly if these frequencies happen to be near the regular frequencies of the structure. In any case, waves in the ocean are exceptionally sporadic and can be best depicted as directional range, which indicates the appropriation of wave vitality as for recurrence and heading, and is most appropriate for the examination of structure in recurrence space technique. For this situation the nonlinear drag is linearized and utilized in the Morison's condition. This guess is proper for the littler, operational sort waves considered in weariness counts, in light of the fact that the powers because of these waves are overwhelmed by the direct idleness part. Various kinds of investigations related with the coat stage ought to be performed to figure the reaction of the structure and measurement the components of the structure. Here an endeavor has been made to complete various examinations to comprehend the dynamic conduct of coat stages subject to different stacking conditions in various ecological conditions. Coat set up investigation was performed, both static and dynamic hypothetically fixed base stage.
With the ongoing imaginative thoughts of investigation utilizing programming, it is presently simpler for the seaward architects to do disentangled and sensible assessment of the static operational and extreme point of confinement state qualities of format or coat stages, which are exposed to different ecological conditions. The essential auxiliary parts of coat type seaward structures including topsides, coat, heaps and the encompassing soil are viewed as utilizing SACS programming various types of investigations identified with coat stage according to API code prerequisite.
OPTIMALISASI DOSIS PUPUK ORGANIK CAIR MIKROORGANISME LOKAL TERHADAP PERTUMBUHAN SAWI DAGING
Authors: Kustiani Edy , Saptorini Saptorini 
Published: September 2020

Tujuan penelitian ini adalah untuk mengetahui komposisi media dan dosis pupuk organik cair yang tepat sehingga diperoleh pertumbuhan dan produksi tanaman sawi daging. Penelitian menggunakan Rancangan Acak Lengkap (RAL) diulang tiga kali. Rancangan perlakuan faktorial dengan dua faktor dan masing – masing tiga taraf. Faktor pertama adalah komposisi midia (M). Uji taraf menggunakan BNT 5%. Tidak terjadi interaksi yang nyata antara komposisi media dan dosis pupuk organik cair Mikroorganisme Lokal (MOL) terhadap semua parameter yang diamati. Perlakuan komposisi media berpengaruh nyata dan sangat nyata pada rata-rata tinggi 5tanaman umur 14, 21 dan 28 HST. Pada pengamatan luas daun, komposisi media (M) berpengaruh nyata dan sangat nyata. Komposisi media berpengaruh nyata dan sangat nyata terhadap rata-rata berat basah tanaman, berat kering tanaman, berat basah akar dan berat kering akar. Hal ini disebabkan oleh adanya kandungan unsur hara pada kompos yang tetiinggi. Perlakuan dosis pupuk organik cair MOL berpengaruh nyata dan sangat nyata pada rata-rata tinggi tanaman umur 14 dan 28 hari setelah tanam. Perlakuan dosis pupuk organik cair MOL berpengaruh nyata pada jumlah daun umur 14, 21 dan 28 HST. begitu juga pada pengamatan luas daun. Perlakuan dosis pupuk organik cair MOL berbeda nyata dan sangat nyata terhadap berat basah tanaman, berat kering tanaman. dan yang terbaik adalah pada pelakuan 15 cc/pot karena mempunyai kandungan hara tertinggi. Perlakuan terbaik adalah pada faktor komposisi media kompos: sekam 1:1 dan dosis pupuk organik cair mikroorganisme lokal (MOL) 15 cc/pot.Kata Kunci: Pupuk Organik Cair, Sawi daging.