bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Electronic Medical Record and Nephrology Fellowship Education in the United States
Authors: Yuan Christina M. , Little Dustin J. , Marks Eric S. , Watson Maura A. , Raghavan Rajeev , Nee Robert ,   for the Nephrology Education Research and Development Consortium—NERDC
Published: June 2020

Background and objectives
An unintended consequence of electronic medical record use in the United States is the potential effect on graduate physician training. We assessed educational burdens and benefits of electronic medical record use on United States nephrology fellows by means of a survey.

Design, setting, participants, & measurements
We used an anonymous online opinion survey of all United States nephrology program directors (n=148), their faculty, and fellows. Program directors forwarded survey links to fellows and clinical faculty, indicating to how many they forwarded the link. The three surveys had parallel questions to permit comparisons.

Results
Twenty-two percent of program directors (n=33) forwarded surveys to faculty (n=387) and fellows (n=216; 26% of United States nephrology fellows). Faculty and fellow response rates were 25% and 33%, respectively; 51% of fellows agreed/strongly agreed that the electronic medical record contributed positively to their education. Perceived positive effects included access flexibility and ease of obtaining laboratory/radiology results. Negative effects included copy-forward errors and excessive, irrelevant documentation. Electronic medical record function was reported to be slow, disrupted, or completely lost monthly or more by >40%, and these were significantly less likely to agree that the electronic medical record contributed positively to their education. Electronic medical record completion time demands contributed to fellow reluctance to do procedures (52%), participate in conferences (57%), prolong patient interactions (74%), and do patient-directed reading (55%). Sixty-five percent of fellows reported often/sometimes exceeding work-hours limits due to documentation time demands; 85% of faculty reported often/sometimes observing copy-forward errors. Limitations include potential nonresponse and social desirability bias.

Conclusions
Respondents reported that the electronic medical record enhances fellow education with efficient and geographically flexible patient data access, but the time demands of data and order entry reduce engagement in educational activities, contribute to work-hours violations, and diminish direct patient interactions.
Cost–effectiveness of empagliflozin compared with liraglutide based on cardiovascular outcome trials in Type II diabetes
Authors: Ramos Mafalda , Ustyugova Anastasia , Hau Nikco , Lamotte Mark 
Published: June 2020

Aim:
Cost–effectiveness (CE) analysis of empagliflozin+standard of care (SoC) compared with SoC and liraglutide+SoC, in patients with Type II diabetes and established cardiovascular disease, was conducted using evidence from cardiovascular outcomes trials.
Methods:
The IQVIA Core Diabetes Model was calibrated to predict same outcomes observed in EMPA-REG OUTCOME and LEADER trials. Three-year observed cardiovascular events of SoC, empagliflozin+SoC and liraglutide+SoC were derived from EMPA-REG OUTCOME trial and an indirect comparison. Time horizon was 50 years and the UK payer perspective was taken.
Results:
Empagliflozin+SoC dominated liraglutide+SoC with greater quality-adjusted life years and reduced costs. Base-case incremental CE ratio of 6428 GBP/QALY was observed for empagliflozin+SoC versus SoC.
Conclusion:
Results suggest that empagliflozin+SoC is cost effective versus SoC and liraglutide+SoC.
SANITASI DAN AIR MINUM DI DAERAH PERKOTAAN DAN PEDESAAN DI PROVINSI BENGKULU (ANALISIS DATA POTENSI DESA 2018)
Authors: Nurzanah Tri Noviyanti , Zakianis Zakianis , Wispriyono Bambang , Anwar Athena 
Published: June 2020

ABSTRACT

Bengkulu Province is the fourth-lowest province in Indonesia for sanitation facilities and drinking water availability. The difference in socioeconomic conditions and very low access to sanitation in Bengkulu Province poses a major challenge to ensuring water and sanitation services for all, so as to attempt to control a large number of infectious diseases. The purpose of this study was to determine the description of sanitation and drinking water between urban and rural areas in Bengkulu Province. Data analyzed were Village Potential data (PODES) in 2018 and the sample were 148 villages. Research results show that sanitation facilities and the availability of clean water in urban areas are better than in rural areas. In rural areas the majority of sewage is unsanitary or without latrines/open defecation, garbage disposal is carried out by dumping it into the pit of natural soil or being burnt, the sewage is still open, the water source is still a dug well as a source of clean water. In conclusion, there are still gaps in terms of access to sanitation in rural areas and urban safe drinking water. An evaluation is needed to increase community access to sanitation in rural areas and drinking water in cities.

Keywords: Saniation, drinking water, urban areas, rural areas

ABSTRAK

Provinsi Bengkulu merupakan salah satu provinsi dengan sarana sanitasi dan ketersediaan air minum ke empat terendah di Indonesia. Perbedaan kondisi sosial ekonomi dan akses sanitasi yang sangat rendah di Provinsi Bengkulu menimbulkan tantangan besar untuk memastikan layanan air dan sanitasi bagi semua, sehingga membantu mengendalikan sejumlah besar penyakit menular. Tujuan penelitian ini adalah untuk mengetahui gambaran sanitasi dan air minum antara wilayah perkotaan dan perdesaan di Provinsi Bengkulu. Data yang dianalisis adalah data Potensi Desa (PODES) tahun 2018 dengan unit analisis desa. Jumlah sampel sebesar 148 desa di daerah perkotaan dan perdesaan di Provinsi Bengkulu. Hasil analisis menunjukkan bahwa sarana sanitasi dan ketersediaan air bersih di wilayah perkotaan lebih baik daripada di wilayah perdesaan. Di wilayah perdesaan mayoritas pembuangan tinja tidak saniter atau tanpa jamban/buang air besar sembarangan, pembuangan sampah dilakukan sdengan membuang ke dalam lubang tanah atau dibakar, saluran pembuangan air limbah masih terbuka, dan sumber air adalah sumur gali sebagai sumber air bersih. Dapat disimpulkan bahwa masih terdapat kesenjangan dalam hal akses sanitasi dan air minum antara di perdesaan dan perkotaan. Perlu adanya evaluasi peningkatan akses masyarakat terhadap sanitasi di pedesaan dan air minum di perkotaan.

Kata kunci: Sanitasi, air minum, perkotaan, pedesaan
BELIEF SYSTEM, SISTEM PENGENDALIAN DIAGNOSTIK, SISTEM PENGENDALIAN INTERAKTIF, INOVASI, KINERJA ORGANISASI (STUDI PADA PERUSAHAAN MANUFAKTUR DI JAWA BARAT)
Authors: Chairunisa Mariyam 
Published: June 2020

This study aims to examine impact of Management Control System on organizational performance mediated by innovativeness. Contingency and Levers of Control theories are used in this research with data collection and judgment sampling method on manufacturing companies. The data are represented by managers and assistant managers as respondents in West Java Area. The data is collected by post, electronic mail and direct survey from January 27, 2016 to March 2016. Result of this study indicates that management control system consisting belief system and interactive control system have a positive effect and significant on innovativeness and innovativeness ultimately have a positive and significant impact to organizational performance. However, diagnostic control system does not have significant influence to innovativeness. This study solely relies on construct of innovativeness capability.
Vestlandsk kyrkjesyn: Med Johs. Solem som orienteringspunkt
Authors: Ulstein Jan Ove 
Published: June 2020

Artikkelen undersøkjer synet på forsamlinga i lekmannsrørsla på Vestlandet. Med indremisjonshovdingen Johs. Solem som dreiepunkt vil artikkelen vise korleis han og andre oppfatta vennesamfunnet på bedehuset som sjølve «menigheten». Utgangspunktet er 1890-talet, men med framhald heilt fram til våre dagar. Det er historia om korleis ei vekkingsrørsle etablerer eit radikalt sjølvstende overfor statskyrkja, basert på teologien omkring det allmenne prestedømet. Artikkelen drøftar korleis idealet om vennesamfunnet får sine utfordringar under vekslande kontekstar, med kyrkje- og forsamlingsdanning, med spørsmål om kvinner også kan ha alle tenester i det allmenne prestedømet. Kan ein i ei bedehusforsamling tenkje seg det allmenne forstandardømet? Om ikkje – kva røper det om synet på det allmenne prestedømet?
familias como copias
Authors: Johnson María Cecilia 
Published: June 2020

A través de diversos relatos biográficos de usuarias de Técnicas de Reproducción Humana Asistida (TRHA) en la Argentina, se analizan un conjunto de intersecciones sociales que en el campo familiar expresan jerarquías, entendidas como parte de la estratificación reproductiva. Partiendo de relatos de mujeres usuarias de TRHA, se analizan las desigualdades que las identifican como copias frente a un original familiar heterosexual, conyugal y bioconectado y que se expresan en reconocimientos o en estigmas para sus familias.
Bioethanol Production from Corn, Pumpkin and Carrot of Bangladesh as Renewable Source using Yeast Saccharomyces cerevisiae
Authors: Yesmin M.N. , Azad M.A.K. , Kamruzzaman M. , Uddin M.N. 
Published: June 2020

Abstract
Bangladesh produces a large amount of corn, pumpkin and carrots every year. To meet its huge energy demand and to lessen dependence on traditional fossil fuel these products are cost effective, renewable and abundant source for bioethanol production. The research was aimed to evaluate Bangladeshi corn, rotten carrot and pumpkin for bioethanol production. About 100 g of substrates was mixed with 300 ml distilled water and blended and sterilized. All the experiment was conducted with a temperature of 35oC, pH 6.0 and 20% sugar concentration. For fermentation, 200 ml yeast (Saccharomyces cerevisiae CCD) was added to make the total volume 500 ml. Addition of small amount of 1750 unit α-amylase enzyme to the substrate solution was found to enhance the fermentation process quicker. After 6- days of incubation, corn produced 63.00 ml of ethanol with 13.33 % (v/v) purity. Bioethanol production capacity of two different local varieties of pumpkin (red and black color) was assessed. Red pumpkin (Cucurbita maxima L.) produces 53 ml of ethanol with purity 6 %v/v and black color pumpkin produces 40 ml of yield with a low purity 4 %v/v. Carrot (Daucus carota L.) produces 73.67 ml of ethanol with 12.66 % (v/v) purity.
Supplementation of AQUAGEST® as a Source of Medium-Chain Fatty Acids and Taurine Improved the Growth Performance, Intestinal Histomorphology, and Immune Response of Common Carp (Cyprinus carpio) Fed Low Fish Meal Diets
Authors: Magouz Fawzy I. , Essa Mohamed , Mansour Mohamed , Paray Bilal Ahamad , Van Doan Hien , Dawood Mahmoud A.O. 
Published: June 2020

Abstract
Four diets were prepared to include a mixture of medium-chain fatty acids and taurine as a digestive/ metabolic enhancer (DME, AQUAGEST®) at 0, 1, 2, and 3 g DME/kg diet and fed to common carp (initial weight, 4.55±0.03 g) for 70 days. Dietary DME significantly increased the final weight, weight gain, specific growth rate, feed intake, and protein efficiency and decreased feed conversion ratio in a dose-dependent manner (P<0.05). The body lipid composition was significantly improved by feeding DME at 2 g/kg diet (P=0.0141). The intestine villus length and the number of goblet cells were significantly increased in fish fed 2 g DME/kg diet (P<0.05). The intestinal villi displayed increased length, branching, and density by supplementing DME to common carp diets. Fish fed DME at 2 g/kg diet displayed markedly decreased aspartate aminotransferase (AST) and alanine aminotransferase (ALT ) (P=0.025 and P=0.043) and increased total protein and globulin (P =0.002 and P=0.003). Additionally, fish fed 2 and 3 g DME/kg levels displayed significantly increased albumin levels (P=0.006). Lysozyme and phagocytic activities were increased by feeding DME at 2 g/kg diet, while the phagocytic index increased by 2 and 3 g/kg diet (P<0.05). The optimal supplementation level of DME is 1.63 to 2.05 g/kg for common carp based on the polynomial regression analysis. In conclusion, common carp fed diets with a mixture of medium-chain fatty acids and taurine displayed improved growth, digestion activity, and immune response.
The nature and meaning of the Directive 2013/34/EU on financial statements according to the CJ EU
Authors: Kenyon MacGregor Robert , MacGregor Pelikánová Radka 
Published: June 2020

Abstract
The Directive 2013/34/EU is a fundamental part of European Union (EU) legislation harmonising the regime of financial and non-financial reporting throughout the entire EU, including reporting about corporate social responsibility (CSR). Inasmuch as its transposition deadline expired in 2015, it is possible and also highly elucidating to holistically study its nature and actual transposition. A related literature summing up, accompanied with a legislation and transposition review compiled via the EUR-Lex database, makes for a solid foundation for a holistic and critical exploration of the related case law of the ultimate judicial authority for the interpretation and application of the Directive 2013/34/EU, namely the Court of Justice of the EU (CJ EU). Researching this case law within the Curia database brings forth an interesting meta-analysis, refreshed by Socratic questioning, which reveals the approach of the CJ EU to the Directive 2013/34/EU. The hypothesis suggests that this case law of the CJ EU offers valuable and as-yet hitherto-neglected indices, signifiers about the EU conforming to the perception of the nature and meaning of the Directive 2013/34/EU. These indices could be pivotal for further improvement of the harmonized regime of financial and non-financial reporting, for the boosting of CSR and also for supporting European integration and its legitimacy.
Indicator Analysis of Security Risk for Electronic Systems Used to Protect Field Command Posts of Army Groupings
Authors: Paś Jacek , Jakubowski Krzysztof 
Published: June 2020

Abstract
The article presents a method for determining the security risk indicator for electronic systems that are used to secure field command posts (FCP). Security of FCP of army groupings is a property of the process they carry out which is related to the tasks and functions performed, the human, hardware and environment components. Determining the security risk indicator for FCPs with different organizational structures will allow optimal organization of integrated electronic security systems, including: selection of these devices, their configuration, project implementation and optimal implementation of technical structures, which should also take into account reliability and operational aspects.
Application of Infrared Spectrometry in Studying Fuels and Biofules for Aircraft Turbine Engines
Authors: Łosiewicz Marzena 
Published: June 2020

Abstract
The research paper presents hydrocarbon biocomponents approved for use in aircraft turbine engines. The properties of these biocomponents are governed by ASTM D 7566 standard. One of the new issues regarding the utilization of fuels for aircraft turbine engines is the identification of non-petroleum elements, including hydrocarbon biocom-ponents. This article proposes applying infrared spectrometry as a technique for in-strumental analysis, which enables quick and qualitative identification of a used hydro-carbon biocomponent. Differences in the infrared spectrum between the mineral fuel and used fuel biocomponent were indicated based on the conducted preliminary tests.
Ecological and Functional Aspects of Operation of Electric Vehicles With Fuel Cell
Authors: Gis Wojciech 
Published: June 2020

Abstract
Hydrogen can have great importance in seven areas of necessary changes in the transformation of the power system, including transport (especially motor transport), industrial processes, thermal and energy production in the construction industry and production processes. Hydrogen fuel cell electric vehicles (FCEVs) do not cause local air pollution because they have zero “tailpipe” emissions. Essential are ecological and func-tional aspects of operating vehicles equipped with fuel cells. However, noteworthy is also the development of the refilling infrastructure. The functionality of FCEVs to a considerable degree depends on the functionality of fuel cells.
The Historically Changing Notion of (Female Bodily) Proportion and Its Relevance to Literature
Authors: Yokota-Murakami Takayuki 
Published: June 2020

Abstract
Futabatei Shimei (1864-1909) was an early modern Japanese novelist, translator, and critic. He wrote what is now generally conceived of as the first Japanese ‘modern’ novel, Drifting Clouds (1887-89). He translated works by Turgenev, Leo Tolstoy, Garshin, Gorky, and others. He also published a number of critical essays, treatises on literary theory, political papers, and so forth. His early translation of Turgenev’s short stories: Aibiki (Rendevous, 1888) and Meguriai (Three Trysts, 1889) were extremely influential on the contemporary literati, who were amazed at the fresh, poetic prose used in stark contrast to the traditional Japanese fiction in the pre-Reformation period. These translations, seen in the light of the present-day readers, were unique in what we might term today ‘foreignizing translation’. Lawrence Venuti in Invisibility of the Translator argues that the ideal of (English) translation has been to conceal itself as a translation, i.e. to present itself as an original text (chap I and passim). In that sense, Futabatei’s translations, scandalously presenting itself as a translation, that is to say, as an alien text, is extremely ‘foreignizing’.
The Doctrine of the Resurrection of the Body in the Theological Thought of Thomas Burnet
Authors: Simuţ Ciprian 
Published: June 2020

Abstract
The issue of the resurrection of the body has given rise to a plethora of interpretations. There is a natural need to clarify such issues, since there cannot be a separation between faith in Christ and the resurrection of the body. The two go hand in hand, because one cannot go without the other. In the context of debates spawned by the need to understand, Thomas Burnet seems like a study theologian and a clean hearted man, who wrote for the neighbour, and who managed to offer a detailed map of the resurrection the body. The essay will point to the main aspects of the Burnet’s theology on the resurrection of the body, in a rather descriptive manner. It will also refer to other writers, who tackled the same issues, as a means to show the depth of Burnet’s perspective.
The importance of cancers prophylaxis among women
Authors: Pabiś Małgorzata , Augustowska-Kruszyńska Kinga , Kozicka Weronika , Kułaczkowska Kamila , Kuzioła Diana 
Published: June 2020

Abstract

Introduction. Late detected breast and cervical cancer are two of the most dangerous cancers due to the therapeutic possibilities and high mortality rate of women. Conducted scientific research, prevention programs and social campaigns do not contribute to changes in the attitudes of Polish women who, do not report for examinations and thus, preclude the possibility of early diagnosis.

Aim. The aim of the study is to analyze epidemiological data on the occurrence of cancer in women in Poland and to draw attention to the importance of prevention in this area.

Material and methods. For epidemiological analyzes, data from the National Cancer Registry, the Central Statistical Office and the Supreme Medical Chamber from the years 2014-2018 were prepared using descriptive methods.

Discussion. Every year the number of cancer deaths increases (SAO, 2018). Prevention, despite financing from the state budget, did not bring the intended goal. More than half of the surveyed men claimed that women after mastectomy lose their attractiveness and those men would not start a new relationship with such women. Despite the fact that permanent, long-term partners accept the appearance of their partner after mastectomy, women are ashamed of their sexuality, what has its consequence in problems in the relationship or even the end of this relationship.

Conclusions. 1) Insufficient number of specialists in the field of oncology results in the fact that not every patient has a chance to be early diagnosed and to early start the treatment. 2) Regular examinations may contribute to a decrease in deaths caused by two most dangerous female cancers. 3) Diagnosis of breast cancer, cervical cancer and its effects have a negative impact on the psyche of women, especially on the perception of their femininity. In relationships in which there was a strong emotional bond before the woman’s disease, an improvement in sexual life was noted. Important factors affecting such relationship are: self-acceptance of a woman and her sense of attractiveness. 4) Large financial expenditures on preventive programs do not guarantee an increase in the detection of tumors nor a decrease in the number of deaths.
Analysis of issues related to spinal pain syndromes in professionally active nurses
Authors: Jakubowska Klaudia , Nalepa Dorota , Kula Patrycja , Chruściel Paweł , Kościołek Aneta , Dzyr Paweł 
Published: June 2020

Abstract

Aim. The aim of the study was to analyze the assessment of issues related to the occurrence of spinal pain in professionally active nurses.

Material and methods. The study group consisted of 145 nurses. The diagnostic survey method was used in the study using a questionnaire technique. The research tool was the original questionnaire (sociodemographic data and questions about opinions on the occurrence of spinal pain). The NRS scale was also used in the study.

Results. The vast majority (99%, n=143) of respondents declared that they felt spinal pains. The largest group indicated that the most common location of pain was the lumbar spine (56.55%, n=82). It was shown that there is a statistically significant relationship between the use of sick leave and the intensity of the pain (χ2=24.101, p<0.05) and the subjective perception of the degree of disability (χ2=35.8300, p<0.05). A significant statistical relation between the place of work and the section of the spine most frequently affected by pain (χ2=12.719, p<0.05) was demonstrated.

Conclusions. The work as a nurse contributes to the occurrence of spinal pain. There is a connection between the place of work and the occurrence of pain syndromes. Spinal pain contributed to absence from work. Seniority at work has an impact on the occurrence of spinal pain. Nursing staff has knowledge about spinal saving techniques. The occurrence of spinal pain syndromes affects the functioning in everyday life.