bluuebunny/crossref_metadata_2025_split huggingface dataset:
Social Determinants of Health and Emergency and Hospital Use by Children With Chronic Disease
Authors: Foster Carolyn C. , Simon Tamara D. , Qu Pingping , Holmes Paula , Chang Jason K. , Ramos Jessica L. , Koutlas Alexis , Rivara Frederick P. , Melzer Sanford M. , Mangione-Smith Rita 
Published: June 2020

OBJECTIVES:To evaluate the association between caregiver-reported social determinants of health (SDOH) and emergency department (ED) visits and hospitalizations by children with chronic disease.METHODS:This was a nested retrospective cohort study (December 2015 to May 2017) of children (0–18 years) receiving Supplemental Security Income and Medicaid enrolled in a case management program. Caregiver assessments were coded for 4 SDOH: food insecurity, housing insecurity, caregiver health concerns, and safety concerns. Multivariable hurdle Poisson regression was used to assess the association between SDOH with ED and hospital use for 1 year, adjusting for age, sex, and race and ethnicity. ED use was also adjusted for medical complexity.RESULTS:A total of 226 children were included. Patients were 9.1 years old (SD: 4.9), 60% male, and 30% Hispanic. At least 1 SDOH was reported by 59% of caregivers, including food insecurity (37%), housing insecurity (23%), caregiver health concerns (18%), and safety concerns (11%). Half of patients had an ED visit (55%) (mean: 1.5 per year [SD: 2.4]), and 20% were hospitalized (mean: 0.4 per year [SD: 1.1]). Previously unaddressed food insecurity was associated with increased ED use in the subsequent year (odds ratio: 3.43 [1.17–10.05]). Among those who had ≥1 ED visit, the annualized ED rate was higher in patients with a previously unaddressed housing insecurity (rate ratio: 1.55 [1.14–2.09]) or a safety concern (rate ratio: 2.04 [1.41–2.96]).CONCLUSIONS:Over half of caregivers of children with chronic disease enrolled in a case management program reported an SDOH insecurity or concern. Patients with previously unaddressed food insecurity had higher ED rates but not hospitalization rates.
Challenges Following Hospital Discharge for Children With Medical Complexity
Authors: Musial Abigail , Butts Breann , Loechtenfeldt Allison , Herrmann Lisa E. , Schmidlin Emily , Kelley Jodi , Hail Traci , White Christine M. , Thomson Joanna 
Published: June 2020

OBJECTIVES:
The transition from hospital to home is a period of risk, particularly for children with medical complexity. Our aim was to identify and address discharge challenges through execution of postdischarge phone calls.

METHODS:
In this prospective study, we designed and executed a postdischarge phone call for patients discharged from an inpatient complex care team between May and November 2018. The call included dichotomous and open-ended questions to identify challenges regarding health status, follow-up appointments, medications, home nursing, medical supplies and/or equipment, and discharge instructions. These were recorded in the electronic health record. Details regarding identified challenges and corrective actions were categorized by 2 reviewers and adjudicated by a third reviewer if disagreement occurred.

RESULTS:
Descriptive statistics were used to summarize these findings. Sixty-seven phone calls were completed within 1 week of discharge. Two-thirds of calls identified at least 1 challenge, and more than one-third of calls identified 2 or more challenges for a total of 90 challenges. The most common challenges involved health status (26.7%), follow-up appointments (21.1%), and medications (20%). The majority of challenges were addressed by either caregivers or the multidisciplinary team, with the exception of home nursing challenges.

CONCLUSIONS:
Discharge challenges were commonly identified by caregivers of children with medical complexity. The majority of postdischarge challenges were addressed, with some addressed by families themselves. These results can inform health care providers about challenges to anticipate and suggest future interventions to mitigate anticipated challenges for a safe discharge and transition of care for these at-risk patients.
Selection and Insertion of Vascular Access Devices in Pediatrics: A Systematic Review
Authors: Paterson Rebecca S. , Chopra Vineet , Brown Erin , Kleidon Tricia M. , Cooke Marie , Rickard Claire M. , Bernstein Steven J. , Ullman Amanda J. 
Published: June 2020

OBJECTIVE:
To critically review the evidence for the selection and insertion of pediatric vascular access devices (VADs).

DATA SOURCES:
Data were sourced from the US National Library of Medicine, Cumulative Index to Nursing and Allied Health, the Cochrane Library databases, Embase, and international clinical trial databases.

STUDY SELECTION:
Clinical practice guidelines, systematic reviews, cohort designs, randomized control trials (RCTs), quasi RCTs, before-after trials, or case-control studies that reported on complications and/or risk as well as reliability of VADs in patients aged 0 to 18 years were included.

DATA EXTRACTION:
Articles were independently reviewed to extract and summarize details on the number of patients and catheters, population, age of participants, VAD type, study method, indication, comparators, and the frequency of VAD failure or complications.

RESULTS:
VAD selection and insertion decision-making in general hospitalized and some specialized patient populations were well evidenced. The use of single-lumen devices and ultrasound-guided techniques was also broadly supported. There was a lack of RCTs, and for neonates, cardiac patients, patients with difficult venous access, midline catheters, catheter-to-vein ratio, and near-infrared devices, the lack of evidence necessitated broadening the review scope.

LIMITATIONS:
Limitations include the lack of formal assessment of the quality of evidence and the lack of RCTs and systematic reviews. Consequently, clinical decision-making in certain pediatric populations is not guided by strong, evidence-based recommendations.

CONCLUSIONS:
This is the first synthesis of available evidence for the selection and insertion of VADs in pediatric patients and is important for determining the appropriateness of VADs in pediatric patients.
Young Children’s Use of Smartphones and Tablets
Authors: Radesky Jenny S. , Weeks Heidi M. , Ball Rosa , Schaller Alexandria , Yeo Samantha , Durnez Joke , Tamayo-Rios Matthew , Epstein Mollie , Kirkorian Heather , Coyne Sarah , Barr Rachel 
Published: June 2020

BACKGROUND AND OBJECTIVES:
Child mobile device use is increasingly prevalent, but research is limited by parent-report survey methods that may not capture the complex ways devices are used. We aimed to implement mobile device sampling, a set of novel methods for objectively measuring child mobile device use.

METHODS:
We recruited 346 English-speaking parents and guardians of children aged 3 to 5 years to take part in a prospective cohort study of child media use. All interactions with participants were through e-mail, online surveys, and mobile device sampling; we used a passive-sensing application (Chronicle) in Android devices and screenshots of the battery feature in iOS devices. Baseline data were analyzed to describe usage behaviors and compare sampling output with parent-reported duration of use.

RESULTS:
The sample comprised 126 Android users (35 tablets, 91 smartphones) and 220 iOS users (143 tablets, 77 smartphones); 35.0% of children had their own device. The most commonly used applications were YouTube, YouTube Kids, Internet browser, quick search or Siri, and streaming video services. Average daily usage among the 121 children with their own device was 115.3 minutes/day (SD 115.1; range 0.20–632.5) and was similar between Android and iOS devices. Compared with mobile device sampling output, most parents underestimated (35.7%) or overestimated (34.8%) their child’s use.

CONCLUSIONS:
Mobile device sampling is an unobtrusive and accurate method for assessing mobile device use. Parent-reported duration of mobile device use in young children has low accuracy, and use of objective measures is needed in future research.
Re-contextualising Catholic School Religious Education: Educating Young People Spiritually, Morally and Religiously for the 21st Century
Authors: Rossiter Graham 
Published: June 2020

Philip Phenix’s (1964) book Realms of meaning: A philosophy of the curriculum for general education started the ever growing movement concerned with how school education might help young people in their search for meaning, purpose and values in times of rapid cultural change. Today, in globalised, digital, secularised culture, the importance and urgency of this role have never been greater. Religious Education, with core curriculum status in Catholic schools, has both credentials and precedents for studying directly the contemporary human quest for meaning to help resource the spirituality of young people, no matter what their religious disposition. But a ‘course correction’ is needed for the discourse of Catholic Religious Education which has ‘drifted’ almost so exclusively into ecclesiastical terminology that its educational credibility as a valuable spiritual/moral school subject has been eroded, creating an ever widening discontinuity with the realities of the classroom and young people’s spirituality. A more outward-looking and less Catholic-centric emphasis would help, without neglecting commitment to the faith tradition. While concerned with the Australian Catholic sector, the article may well have relevance to other countries and contexts.
Mass Media as the Key Space for Preaching and Defending Christian Personalism
Authors: Oko Dariusz 
Published: June 2020

Since the invention of print, the media have been increasingly influencing individual and social awareness. They seem apt to undo, in a relatively short period of time, whatever good the upbringing and authorities of a high moral standard have instilled into a person. However, the media can also support the development of this good in a significant way. They are a powerful tool that everyone has to reckon with, they are a place to exchange all sorts of ideas – from the worst to the best. That is the reason why anyone who wants to proclaim the principle of Christian personalism in society should try to think through how to wisely use them to spread the message. However, this message will inevitably meet with strong opposition from people who have opposite beliefs and from the media they own, as they have made them a fundamental place for the struggle for power and dominion over human consciousness. This article, written on the basis of theoretical considerations, but also the rich media experience of the author, attempts to provide practical advice on these matters. The article explains the common structure of all such opposition that follows the pattern of the very loud media case of Fr. Krzysztof Charamsa (in which the author was himself deeply entangled), Tygodnik Powszechny and Gazeta Wyborcza which supported him. In this way, the article shows the mechanisms of manipulation of contemporary media, but also the remedies available.
America Media: A Religious Media Case on the U.S. Market
Authors: Gęsiak Leszek 
Published: June 2020

In the whole world, independently of the country, we observe the process of media concentration. More and more huge consortia and media groups are being created. This often causes small, individual, autonomous titles, portals, radio or television stations to be displaced. This process of media evolution also affects religious media. An example of this could be the America Media consortium, with headquarters in New York. It belongs to the Jesuits, the Catholic order, and it is administered and developed by the same order. This descriptive study presents the process of the evolutionary transformation of America weekly magazine, which is over 100-years old, into a multi-dimensional media platform with a global scope. The new and modern media consortium is developing the wonderful history of the printed Catholic magazine. It is present in all the most important media areas: magazine, radio, television and internet. According to global trends, a key factor in America Media is the social media through which they bring a large number of readers, listeners and viewers. Most popular are radio podcasts and TV interviews available via Facebook and the YouTube channel. This evolutionary process is presented in the context of variety of Catholic American media. The specific elements of the mission of the Catholic consortium, the adopted development strategy, possible perspectives of this media complex in the near future, and existing difficulties are also discussed in this paper. The study was largely based on a visit made to America Media headquarters in October 2018.
Real-World Patterns of Everolimus Use in Patients with Metastatic Breast Cancer
Authors: Sharma Manvi , Duan Zhigang , Zhao Hui , Giordano Sharon H. , Chavez-MacGregor Mariana 
Published: June 2020

Abstract

Background
There is limited literature on patterns of everolimus use and subsequent hospitalizations and emergency room (ER) visits in real-world clinical practice. In this study, we describe patterns of everolimus use and hospitalizations and ER visits in a large cohort of patients with breast cancer (BC).

Materials and Methods
Patients with BC treated with everolimus were identified in the MarketScan database from 2009 to 2016. The pattern of everolimus use and frequency of associated ER visits and hospitalizations during treatment (between the first claim and 30 days after the last claim for everolimus) were identified. Descriptive statistics and regression models were used.

Results
A total of 3,556 everolimus users were identified (median age of 60 years; median days of use, 112). The initial prescribed dose was 10 mg in 74.8% of the patients. Compared with the initial dose, 23.5% of patients had a dose change. Forty-six percent of patients were hospitalized or had an ER visit during the treatment with everolimus. Age greater than 71, higher comorbidity score, treatment year prior to 2012, and lower initial dose were found to be significantly associated with ER visit/hospitalization in the regression models.

Conclusions
A significant proportion of patients receiving everolimus had an ER visit or hospitalization during the use of everolimus. These results provide data regarding risks and benefits of treatment with everolimus. These results will be helpful in identifying patients at higher risk of hospitalizations or ER visits and facilitate evidence-based decision making to avoid serious complications.

Implications for Practice
Everolimus, a mammalian target of rapamycin inhibitor, is approved in combination with exemestane in patients with hormone receptor–positive tumors previously treated with anastrozole or letrozole. As new drugs become available, it is crucial to understand the adverse events and potential complications associated with the use of such drugs in the general population, outside of the controlled clinical trial setting. This study describes the patterns of everolimus use and adverse events, including hospitalization and emergency room visits, in a large cohort of patients with metastatic breast cancer in routine practice.
Structure and diversity of trees on post-fire regenerated areas in Sierra de Guerrero, Mexico
Authors: Alanís-Rodríguez Eduardo , Sánchez-Castillo Laura , Méndez-Osorio Cuauhtemoc , Canizales Velázquez Pamela Anabel , Mora-Olivo Arturo , Rubio Camacho Ernesto 
Published: June 2020

Background: It is known that forest ecosystems have the capacity to regenerate over time. However, the anthropogenic influence over them arises the question on how different the original ecological conditions are after regeneration.
Question: Do fires and agrochemicals have an influence on tree diversity in the study area?
Studied species/ Data description/ Mathematical model: The structure and diversity data obtained from tree communities on four different areas were evaluated. The evaluated areas were a control area (mature forest without management) and three areas with different managements: reforested area, restored area and fumigated area.
Study site and years of study: The study area was located in the Sierra de Guerrero, Mexico on areas affected by a fire that occurred in 2005. Seven years after the fire, in 2012, the investigation was performed.
Methods: In each selected area a census of all tree species was carried out. The density, dominance, frequency, and importance value index were determined per species. Moreover, the diversity at community level and richness were estimated.
Results: The control area showed highest values of density and dominance. The regenerated and reforested area showed highest values of specific richness and diversity.
Conclusions: The evaluated areas showed significant differences when comparing diversity and structure indexes. It is recommended to implement reforestation actions in areas affected by forest fires.
Perbandingan Pengaruh Model Kooperatif dengan Media Gambar Hidup dan Media Gambar Diam terhadap Penguasaan Jurus Tunggal Baku Tangan Kosong
Authors: Febrianti Sylvia Rahayu 
Published: June 2020

This study aims to show the effect of cooperative models with interactive image media on the mastery of a standard single-handed empty hand. The research method is an experiment with a pre-test and post-test group. The population in this study are class IV and V students of SDN 053 Cisitu, Bandung, total of 302 people. The sample of this study are 80 people with purposive sampling technique. Analysing data through descriptive statistic, normality test, homogeneity test and hypothesis test using SPSS version 25 software for Windows. The results of this study shows that cooperative model with passive image media gives an effect on mastery of single bare handed skill. AbstrakStudi ini bertujuan untuk mengetahui pengaruh model kooperatif dengan media gambar hidup terhadap penguasaan jurus tunggal baku tangan kosong. Metode penelitian yang digunakan yaitu eksperimen dengan desain penelitian pre-test post-test group design. Populasi dalam penelitian ini yaitu siswa kelas IV dan V SDN 053 Cisitu Kota Bandung berjumlah 302 orang. Sampel penelitian ini berjumlah 80 orang dengan teknik pengambilan purposive sampling. Analisis data yaitu statistik deskriptif, uji normalitas, uji homogenitas dan uji hipotesis dengan bantuan software SPSS versi 25 for Windows. Hasil penelitian menunjukkan bahwa model kooperatif dengan media gambar diam memberikan pengaruh terhadap penguasaan jurus tunggal baku tangan kosong.
Implementasi Model Inkuiri dalam Pembelajaran Soccer Like Games untuk Meningkatkan Jumlah Waktu Aktif Belajar Siswa
Authors: Suryaman Irvan Hilmy 
Published: June 2020

The background of this study was the low level of play skill and also the application of learning models of physical education at primary schools. In order to resolve those problems, the researchers applied a strategy called "The Implementation of Inquiry Model in Learning Soccer like games to Increase The Amount of Active Learning Time for The 5th Grade Students". The goal of this research was to know the increasing of the 5th grade students' skills at SDN 062 Ciujung, Bandung City in playing soccer like games. Classroom Action Research was used as the method of this research. The object of this research was SDN Ciujung Bandung City. There were 30 students participated as the subject of this research. The result of this achieved (80,00%) for the amount of active learning time at (76,00%). From the previous data, it could be concluded that there were some increasing for each cycles and actions and so the application of inquiry model for soccer like games could increase students' skill with the learning time. AbstrakStudi ini dilatar belakangi oleh rendahnya waktu aktif belajar pada keterampilan bermain soccer like games dan kurangnya penerapan model-model pembelajaran Pendidikan jasmani di Sekolah Dasar maka peneliti dalam upaya mengatasi permasalahan tersebut peneliti menerapkan salah satu strategi pembelajaran yaitu Implementasi Model Inquiri Dalam Pembelajaran Soccer like-games untuk Meningkatkan Jumlah Waktu Aktif Belajar (JWAB) Siswa Kelas V SD yang bertujuan untuk mengetahui peningkatan keterampilan bermain Soccer like-games kelas V SDN 062 Ciujung Kota Bandung. Metode penelitian yang digunakan yaitu Penelitian Tindakan Kelas (PTK). Objek dalam penelitian ini yaitu Sekolah Dasar Negeri Ciujung Kota Bandung. Subjek dalam penelitian ini sebanyak 30 siswa. Hasil observasi menunjukan tingkat keterampilan bermain siswa mencapai (80,00%) dan pada jumlah waktu aktif belajar berjumlah (76,00%). Dari data hasil penelitian yang telah dilakukan dapat disimpulkan bahwa mengalami peningkatan presentase setiap siklus dan tindakannya sehingga dengan penerapan model inkuiri pada permainan Soccer like-games dapat meningkatkan keterampilan bermain siswa dengan waktu belajar.
Exploring the Meaning of Sexual Health Through the Voices of Black Adolescents With HIV-Positive Mothers: An Interpretative Phenomenological Analysis
Authors: Howell Tyriesa Howard 
Published: June 2020

BackgroundYouth who have a parent living with HIV represent a population that may experience negative sexual health outcomes particularly if they reside within social and cultural contexts (e.g., families, communities, schools) that contribute community-level risks associated with HIV infection.ObjectiveThis study sought to understand how adolescents with HIV-positive mothers engage in parent–child communication about sex and give meaning to their sexual health attitudes, beliefs, and experiences.MethodsAn interpretative phenomenological analysis (IPA) approach was used to collect focus group and individual interview data from fourteen Black adolescents residing in an urban U.S. city that is characterized to have a generalized HIV epidemic. NVivo supported qualitative data analysis, which was guided by a six-step heuristic framework.FindingsThree themes were associated with HIV-affected adolescents' meaning-making around sexual health—Being Ambivalent about Sex, Making Decisions about Sex, and Reflecting on Sexual Health. These themes describe participants' perspectives of informal parent–child communication about sex and offer an interpretation of their sexual health attitudes, beliefs, decision-making, and risk-taking behaviors.ConclusionDespite informally engaging in parent–child communication about sex with their mothers, many participants did not articulate comprehensive sexual health knowledge and furthermore sought opportunities for increased dialogue around decision-making concerning their sexual health.