bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of the Difference in the C2-7 Angle on the Occurrence of Dysphagia after Anterior Cervical Discectomy and Fusion with the Zero-P Implant System
Authors: Huang Cheng-Yi , Meng Yang , Wang Bei-Yu , Yu Jie , Ding Chen , Yang Yi , Wu Ting-Kui , Liu Hao 
Published: July 2020

Abstract
Background: To investigate the effect of the difference in the C2-7 angle (C2-7A) on dysphagia after anterior cervical discectomy and fusion (ACDF) with the Zero-P Implant System.Methods: A retrospective analysis of 181 patients who underwent ACDF with the Zero-P Implant System and had at least one year of follow-up was performed from January 2011 to November 2018. All patients were divided into a non-dysphagia group and a dysphagia group to explore the effect of the difference between postoperative and preoperative C2-7As (dC2-7A) on postoperative dysphagia. Furthermore, other possible related factors including the difference between postoperative and preoperative O-C2 angles (dO-C2A), sex, age, body mass index (BMI), intraoperative time, estimated blood loss, diabetes mellitus, hypertension, smoking, alcohol consumption, prevertebral soft-tissue swelling (PSTS), the highest segment involved in the surgery and the levels of surgical segments were analyzed.Results: One hundred thirty-nine patients were included in the non-dysphagia group, and 42 patients were included in the dysphagia group. Single-factor analysis showed that smoking, PSTS and the dC2-7A were significantly different between the two groups (P<0.05). Spearman’s correlation coefficient showed no significant correlation between the degree of dysphagia and he dC2-7A (P>0.05). The results of multiple-factor analysis with an ordinal logistic regression model showed that smoking, PSTS and the dC2-7A were significantly associated with the incidence of dysphagia (P<0.05).Conclusions: The postoperative C2-7A has an important effect on the occurrence of dysphagia in patients undergoing interbody fusion surgery with the Zero-P Implant System.
Distribution and Prognostic Value of Left Ventricular Global Longitudinal Strain in Elderly Patients with Symptomatic Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement
Authors: Povlsen Jonas Agerlund , Rasmussen Vibeke Guldbrand , Vase Henrik , Jensen Kaare Troels , Terkelsen Christian Juhl , Christiansen Evald Høj , Tang Mariann , Pedersen Anders Lehmann Dahl , Poulsen Steen Hvitfeldt 
Published: July 2020

Abstract
Aims The aim of present study was to examine the preoperative prevalence and distribution of impaired left ventricular global longitudinal strain (LVGLS) in elderly patients with symptomatic aortic stenosis (AS) undergoing transcutaneous aortic valve replacement (TAVR) and to determine the predictive value of LVGLS on survival.Methods We included 411 patients with symptomatic severe AS treated with TAVR during a 5-year period, where a baseline echocardiography including LVGLS assessment was available. Results Mean age was 80.1±7.1 years and aortic valve area (AVA) index 0.4±0.1 cm2. 78 patients died during a median follow-up of 762 days. Mean left ventricular ejection fraction (LVEF) was 50±13% and mean LVGLS was -14.0%. LVEF was preserved in 60% of patients, while impaired LVGLS >-18% was seen in 75% of the patients. Previous myocardial infarction, LVEF < 50%, LVGLS >-14%, low gradient AS (< 4.0 m/s), tricuspid regurgitant gradient >30 mmHg were identified as significant univariate predictors of all-cause mortality. On multivariate analysis LVGLS >-14% (HR 1.79 [1.02-3.14], p=0.04) was identified as the only independent variable associated with all-cause mortality. Reduced survival was observed with an impaired LVGLS >-14% in the total population (p<0.002) but also in patients with high AS gradient with preserved LVEF. LVGLS provided incremental prognostic value with respect to clinical characteristics, AVA and LVEF (χ2 19.9, p=0.006).Conclusions In patients with symptomatic AS undergoing TAVR, impaired LVGLS was highly prevalent despite preserved LVEF. LVGLS >-14% was an independent predictor of all-cause mortality, and survival was reduced if LVGLS >-14 %.
Developing a specialist children’s nursing workforce in sub-Saharan Africa: a descriptive programme evaluation.
Authors: Ruthe Jennifer , North Natasha Lee 
Published: July 2020

Abstract
Background: Achieving Universal Health Coverage in low and lower-middle income countries requires an estimated additional five and a quarter million nurses. Despite an increasing focus on specialist nursing workforce development, specialist children’s workforce in most African countries falls well below recommended densities. The Child Nursing Practice Development Initiative was established with the aim of building the children’s nursing workforce in Southern and Eastern Africa, and Ghana. The purpose of this evaluation was to enable scrutiny of programme activities conducted between 2008 and 2018 to inform programme review and where possible to identify wider lessons of potential interest in relation to specialist nursing workforce strengthening initiatives.

Methods: The study took the form of a descriptive programme evaluation. Data analysed included quantitative programme data and contextual information from documentary sources. Anonymised programme data covering student enrolments between January 2008 and December 2018 were analysed. Findings were member-checked for accuracy.

Results: The programme recorded 348 enrolments in 11 years, with 75% of students coming from South Africa and 25% from other sub-Saharan African countries. With a course completion rate of 94%, 99% of known alumni were still working in Africa at the end of 2018. Most graduates were located at top-tier (specialist) public hospital facilities. Nine percent of known alumni were found to be working in education, with 54% of graduates at centres that offer or plan to offer children’s nursing education.

Conclusion: The Child Nurse Practice Development Initiative has made a quantifiable, positive and sustained contribution to the capacity of the specialist clinical and educational children’s nursing workforce in nine African countries. Data suggest there may be promising approaches within programme design and delivery in relation to very high course completion rates and the retention of graduates in service which merit further consideration. Outputs from this single programme are however modest when compared to the scale of need. Greater clarity around the vision and role of specialist children’s nurses and costed plans for workforce development are needed for investment in specialist children’s nursing education to realise its potential in relation to achievement of Universal Health Coverage.
Prediction of groundwater flow in shallow aquifers using artificial neural networks in the northern basins of Algeria
Authors: Guezgouz N. , Boutoutaou D. , Hani A. 
Published: July 2020

Abstract
Prediction of groundwater flow fluctuations is considered an important step in understanding groundwater systems at this scale and facilitating sustainable groundwater management. The objective of this study is to determine the factors that influence and control groundwater flow fluctuations in a specific geomorphologic situation, by developing a forecasting model and examining its potential for predicting groundwater flow using limited data. Models for prediction of groundwater flow are developed based on artificial neural networks (ANNs). Neural networks with different numbers of hidden layer neurons were developed using climatic and geomorphological characteristics as input variables, giving predicted groundwater flow as the output. To evaluate enhanced performance models, several regression statistical parameters are compared. As an example, relative mean square error in groundwater flow prediction by ANN and correlation coefficient are 0.015 and 97%, respectively. The results of the study clearly show that ANNs can be used to predict groundwater flow in shallow aquifers of northern Algeria with reasonable accuracy even in the case of limited data.
Performance evaluation of novel attached-growth high rate algal pond system with additional artificial illumination for wastewater treatment and nutrient recovery
Authors: Jinda Kesirine , Koottatep Thammarat , Chaiwong Chawalit , Polprasert Chongrak 
Published: July 2020

Abstract
Domestic wastewater containing a high proportion of organic matter and nutrients is a serious pollution problem in developing countries. This study aimed to evaluate the performance of a novel attached-growth high rate algal pond (AG-HRAP) employing attached-growth media and artificial light sources for treating domestic wastewater and enhancing nutrient recovery. Light intensities in the range of 40–180 μmol/m2/s were used in the AG-HRAPs. The experimental results showed that the highest chemical oxygen demand (COD), total nitrogen (TN) and total phosphorus (TP) removal efficiencies of 88, 62 and 69%, respectively, were found at the hydraulic retention time (HRT) of 15 days and the average light intensity of 180 μmol/m2/s. Moreover, the effluent COD concentrations could meet Thailand's national discharge standard. The highest biomass and protein productivities of 54 ± 4 and 37 ± 8 g/m2/d, respectively, were found in the AG-HRAPs, which were higher than in previous studies of HRAPs. The Stover-Kincannon kinetic values for COD, TN and TP removals of the AG-HRAPs (R2 = 0.9) were higher than those of the conventional systems. Additionally, the novel AG-HRAP system could provide a highly cost-effective operation when compared to other microalgal systems.
Prioritizing potential use of urban treated wastewater using expert-oriented and multi-criteria decision-making approaches: a case study in Iran
Authors: Vaseghi Elahe , Zare Mehrjerdi Mohammad Reza , Nikouei Alireza , Mehrabi Boshrabadi Hossein 
Published: July 2020

AbstractAllocating effluent of wastewater treatment plants to users of economic sectors and satisfying their requirements has created a challenging debate and a need for prioritization. This study assesses the importance of sectors that utilize treated wastewater (TWW) using risk and social acceptability indexes based on expert-oriented approaches. Considered sectors are agriculture, industry, urban green space and natural resources and the study area is located in Iran, around the Isfahan North Wastewater Treatment Plant. The risk index is calculated using Frank and Morgan model and consequently TWW use in the industrial sector is less dangerous than other sectors. Moreover, the social acceptability index, which was determined using Mamdani fuzzy inference set, indicates higher acceptability of TWW use in natural resources sector compared with other sectors. By constructing the conceptual model, generating the decision matrix and using the results of gray relational analysis decision-making model for the four sectors, the allocation priorities of TWW became industry, natural resource, green space, and agriculture respectively. It is suggested that Water and Wastewater Company grant permission for TWW use to water-consuming industries and man-made forests development, which result in increasing employment, reduction of harmful effects of dust, and water consumption decrease.
Zinc Supplementation and Recurrent Diarrhea in Children in Primary Health Care
Authors: Hutasoit Masta 
Published: July 2020

<div class="WordSection1"><p align="center"><strong>ABSTRACT</strong></p><p><strong> </strong></p><p>The high rate of infant morbidity and mortality due to diarrhea is still a focus on children's health. In addition to Oral Rehydration Salt (ORS), zinc is a supplement needed to treat diarrhea. As long as the child has diarrhea, the body will lose zinc, so that additional zinc is needed to accelerate the healing process of diarrhea. Zinc is an important micronutrient in the growth of children and is able to prevent diarrhea 2-3 months after diarrhea. The previous study showed that most mothers do not give zinc to diarrhea children (59.3 %), thus there are still many recurrent diarrhea in children. Objective of study to determine the relationship between zinc supplementation in children with diarrhea and the incidence of recurrent diarrhea at Kasihan Primary Health Care, Bantul. We used descriptive correlational with a retrospective approach. The number of respondents was 47 children under five years (0-59 months) with diarrhea who were taken to primary health care and received zinc therapy. The sampling technique was carried out by purposive sampling. Data collection was performed by filling out the questionnaire by visiting the respondent's house (home visit). The result of the contingency coefficient showed p= 0.013 (p &lt; 0.05) which means that there was a statistically significant relationship between zinc supplementation and the incidence of recurrent diarrhea. The closeness of the relationship between the two variables was indicated by the correlation coefficient value of 0.342 which was in a moderate relationship. There is a correlation between giving zinc supplementation to children with recurrent diarrhea in Primary Health Care</p><p> </p><p><strong><br /></strong></p></div>
Characteristics, Symptom Severity, and Experiences of Patients Reporting Chronic Kidney Disease in the PatientsLikeMe Online Health Community: Retrospective and Qualitative Study
Authors: James Glen , Nyman Elisabeth , Fitz-Randolph Marcy , Niklasson Anna , Hedman Katarina , Hedberg Jonatan , Wittbrodt Eric T , Medin Jennie , Moreno Quinn Carol , Allum Alaster M , Emmas Cathy 
Published: July 2020

BackgroundChronic kidney disease (CKD) is a major global health burden, and is associated with increased adverse outcomes, poor quality of life, and substantial health care costs. While there is an increasing need to build patient-centered pathways for improving CKD management in clinical care, data in this field are scarce.ObjectiveThe aim of this study was to understand patient-reported experiences, symptoms, outcomes, and treatment journeys among patients with CKD through a retrospective and qualitative approach based on data available through PatientsLikeMe (PLM), an online community where patients can connect and share experiences.MethodsAdult members (aged ≥18 years) with self-reported CKD within 30 days of enrollment, who were not on dialysis, and registered between 2011 and 2018 in the PLM community were eligible for the retrospective study. Patient demographics and disease characteristics/symptoms were collected from this retrospective data set. Qualitative data were collected prospectively through semistructured phone interviews in a subset of patients, and questions were oriented to better understand patients’ experiences with CKD and its management.ResultsThe retrospective data set included 1848 eligible patients with CKD, and median age was 56 years. The majority of patients were female (1217/1841, 66.11%) and most were US residents (1450/1661, 87.30%). Of the patients who reported comorbidities (n=1374), the most common were type 2 diabetes (783/1374, 56.99%), hypertension (664/1374, 48.33%), hypercholesterolemia (439/1374, 31.95%), and diabetic neuropathy (376/1374, 27.37%). The most commonly reported severe or moderate symptoms in patients reporting these symptoms were fatigue (347/484, 71.7%) and pain (278/476, 58.4%). In the qualitative study, 18 eligible patients (13 females) with a median age of 60 years and who were mainly US residents were interviewed. Three key concepts were identified by patients to be important to optimal care and management: listening to patient needs, coordinating health care across providers, and managing clinical care.ConclusionsThis study provides a unique source of real-world information on the patient experience of CKD and its management by utilizing the PLM network. The results reveal the challenges these patients face living with an array of symptoms, and report key concepts identified by patients that can be used to further improve clinical care and management and inform future CKD studies.
PENGEMBANGAN LKPD BERORIENTASI METAKOGNISI DI SD MUHAMMADIYAH 5 BUMIAJI
Authors: Amelia Delora Jantung , Anshory Ichsan , Yunus Saputra Setiya 
Published: July 2020

ABSTRAKMetakognisi merupakan kompetensi inti yang harus dicapai pada kurikulum 2013 dengan adanya soal yang terintegrasi pada LKPD dapat mengarahkan siswa untuk menyadari pentingnya kemampuan memahami suatu materi, melatih kemandirian untuk belajar serta menyadari kekurangan dan kelebihannaya sehingga dapat melakukan kontrol terhadap pengetahuannya. Akan tetapi LKPD yang digunakan siswa selama ini belum mencakup semua rangkaian kegiatan metakognisi yang diharapkan. Penelitian ini bertujuan untuk mengembangkan LKPD yang berorientasi metakognisi. Model pada pengembangan ini menggunkan Model Dick dan Carey yang terdiri dari 10 langkah, (1) mengidentifikasi tujuan khusus, (2) menganalisis pembelajaran yang akan dilakukan, (3) menganalisis pembelajar dan konteks, (4) merumuskan tujuan khusus mengembangan suatu produk, (5) mengembangkan instrumen penilaian yang sesuai dengan kebutuhan, (6) mengembangkan strategi pembelajaran yang sesuai dengan karakteristik peserta didik, (7) mengembangkan dan memilih materi pembelajaran yang akan dikembangkan sesuai dengan kebutuhan, (8) merancang dan melaksanakan evaluasi formatif pembelajaran, (9) merevisi pembelajaran ketika tidak sesuai, dan (10) mendesain dan melakukan evaluasi sumatif. Hasil penelitian pengembangan ini memperoleh hasil validasi dari ahli materi dengan kriteria sangat valid (96,5%), hasil validasi desain memperoleh hasil 73,02% dengan kreteria perlu revisi, untuk uji coba kelompok kecil 86,67% dengan kreteria sangat menarik,dan uji coba lapang memperoleh hasil 85 % dengan kreteria baik.
SISTEM PENDUKUNG KEPUTUSAN DALAM PENILAIAN PRESTASI KERJA MENGGUNAKAN FUZZY-AHP DAN SAW
Authors: Kurniawan Denni , Nugroho Catur 
Published: July 2020

Employee appraisal is one of the company's efforts to evaluate employee performance and productivity. As the result, the company can also give awards to employees who are considered gives high contribution to company. However, it is not easy to measure employee performance, because most them only based on the leaders valuation which is subjective and do not based on standards. The objective of this study is to develop a system to assess employee performance by using a combination of Fuzzy Logic, Analytic Hierarchy Process (AHP) and Simple Additive Weighting (SAW) methods. The AHP is a method of weighting in based on multi-criteria decisions. This method uses a pairwise comparison matrix to calculate the weight value. The Fuzzy logic is used to overcome the problem, where the AHP method is indicated still have subjectivity in criteria evaluation. After calculation based on combination of Fuzzy-AHP methods, the final result of employee performance will determined by using SAW method. The employee with the highest weight value will considered as the most productive employee and also gives the best performance in the company.
IMPLEMENTASI SISTEM INFORMASI PENDUKUNG AKREDITASI BERBASIS WEB PADA PRODI TEKNOLOGI INFORMASI UIN AR-RANIRY
Authors: Ahmadian Hendri , Dwitawati Ima , Malahayati Malahayati 
Published: July 2020

The supporting documents for accreditation forms are the most important part in the accreditation submission process. Otherwise the process of finding and collecting documents supporting accreditation forms are still done manually. This study aims to design the information systems which supports web-based accreditation in Department of Information Technology UIN Ar-Raniry. The designing process refered to regulation of National Accreditation Board for Higher Education and followed the latest instrument in 4.0 version. The application has namely SIDASI 4.0. The research method of this study is the Rapid Application Development (RAD) process which uses the PHP programming language and MYSQL as database engine. SIDASI 4.0 can only be accessed by users who have already registered and obtained an account as username and password. The SIDASI 4.0 have support the accreditation submission phase as the digital documentation forms.
PELANGI: INOVASI PELAYANAN AKTA KELAHIRAN DI KOTA BANDA ACEH
Authors: Zamharira Cut , Cahyani Indah Rita 
Published: July 2020

One form of bureaucratic reform in public services is to bring innovation. Since 2015 the city of Banda Aceh has implemented innovations in birth certificate services, by presenting PELANGI (direct servants). Pelangi is a mechanism for making birth certificates based on a mobile car with a proactive system. Department of Population and Civil Registration of the city of Banda Aceh visited villages in Banda Aceh City and provided birth certificate registration services on-site. The purpose of this study was to find out how the implementation of the "Pelangi" program and the extent to which the program was able to increase ownership of birth certificates in the city of Banda Aceh. The research method chosen is descriptive qualitative. With the hope of being able to answer in more detail related to Department of Population and Civil Registration's efforts in increasing the ownership of birth certificates for residents of the city of Banda Aceh through the innovation of the Pelangi. The key informants in this study came from officers and leadership elements of the Department of Population and Civil Registration of Banda Aceh and village officials who were partners. While data collection techniques are obtained through observations, interviews and documentations. Data analysis technique is done by reducing data, presentation and verification. The results of this study indicate that the implementation of the Pelangi innovation in the city of Banda Aceh based on a mobile car has become one of the innovations that is able to increase the number of birth certificate ownership in the city of Banda Aceh.
PERAN PANGLIMA LAOT DALAM PENYELESAIAN TINDAK PIDANA ILLEGAL FISHING DI PERAIRAN PULO ACEH
Authors: Devy Soraya , Rahmi Siti 
Published: July 2020

Abstrak Panglima Laot merupakan lembaga adat laot dalam masyarakat nelayan. Lembaga ini memiliki beberapa tugas penting dalam bidang kelautan dan perikanan, seperti melaksanakan hukom adat laot dan kebiasaan dalam masyarakat nelayan di Kecamatan Pulo Aceh. Maraknya pengrusakan alam laut yang terus terjadi di perairan laut Pulo Aceh seperti pengeboman dan pembiusan ikan tanpa memperdulikan kelestarian alam laut yang mengakibatkan rusak dan hancurnya terumbu karang beserta ekosistem alam laut lainnya. Dalam Islam pengrusakan alam laut termasuk katagori ifsad fi al-ardl (berbuat kerusakan di muka bumi). Untuk mencegah pengrusakan laut ini maka Islam memberikan sanksi ta’zir yang diserahkan kepada pemerintah. Penelitian ini bertitik tolak dari tiga tujuan pokok, pertama untuk mengetahui bagaimana tindakan Illegal Fishing yang terjadi di perairan Pulo Aceh, kedua, untuk mengetahui bagaimana peranan Panglima Laot dalam penyelesaian tindak pidana Illegal Fishing di perairan Pulo Aceh dan ketiga untuk mengetahui bagaimana tinjauan hukum Islam terhadap tindakan Illegal Fishing di perairan Pulo Aceh. Metode yang digunakan dalam tulisan ini adalah metode deskriptif analisis, yaitu dengan menjelaskan dan menggambarkan permasalahan-permasalahan dan kemudian diambil kesimpulan. Teknik pengumpulan data dilakukan penulis dengan cara observasi serta kajian pustaka (library reasearch). Hasil dari penelitian ini adalah bentuk perlindungan yang dilakukan oleh Lembaga Panglima Laot berupa patroli masyarakat nelayan, membentuk kawasan perlindungan laut, yang berada satu mil dari kawasan Pulo Aceh. Sedangkan faktor penghambat yang mempengaruhi masyarakat dalam mengadakan perlindungan laut adalah masih kurangnya kesadaran individu dalam melestarikan lingkungan laut dan kurangnya pengetahuan tentang pentingnya menjaga kelestarian alam laut. Kata Kunci :Panglima Laot-Illegal Fishing-Hukum Adat Laot-Hukum Islam