bluuebunny/crossref_metadata_2025_split huggingface dataset:
Strategi Komunikasi Strategi Komunikasi Pada Pelayanan Kesehatan Masyarakat Umum (Studi Kasus Rumah Sakit Sultan DG. Radja Bulukumba)
Authors: Musliadi Musliadi 
Published: September 2020

Tujuan dari penelitian ini yaitu untuk mengetahui strategi komunikasi pada pelayanan kesehatan masyarakat umum di Rumah Sakit Sultan Dg. Radja Bulukumba serta untuk mengetahui hambatan-hambatan penerapan strategi komunikasi komunukasi terhadap pelayanan kesehatan masyarakat umum pada Rumah Sakit Sultan Dg Radja Bulukumba. Dalam penelitian ini, peneliti menggunakan jenis penelitian kualitatif. Adapun tipe penelitian ini bersifat deskriptif dengan menggunakan metode kualitatif. Kemudian pendekatan yang digunakan adalah studi kasus. Pendekatan tersebut dilakukan kepada orang-orang yang terkait dengan kegiatan pelayanan kesehatan masyarakat umum pada Rumah Sakit Sultan Dg. Radja Bulukumba. Metode pengumpulan data yang penulis gunakan dalam penelitian ini adalah dokumentasi, wawancara, dan observasi. Berdasarkan hasil penelitian dan Pembahasan dapat ditarik kesimpulan bahwa strategi komunikasi pelayanan kesehatan masyarakat umum pada Rumah Sakit Sultan Dg. Radja Bulukumba adalah mengenal khalayak dengan cara menganalisis kebutuhan khalayak, memahami dan mengerti keadaan khalayak serta memberikan masukan dengan menggunkan bahasa yang mudah dipahami oleh khayak. Kemudian penyusunan pesan yaitu melalui tahap pra interaksi guna mengetahui latar belakang pasien untuk mempermudah dalam proses penyampaian pesan. Sedangngkan penetapan metode pesan yang disampaikan oleh petugas, yaitu komunikasi verbal dan non verbal. Komunikasi verbal yaitu dorongan perawat kepada pasien dengan menggunakan bahasa lisan atau ucapan sedangkan komunikasi non verbal yaitu dorongan yang diberikan oleh perawat kepada pasien dengan menggunakan bahasa tubuh atau gerakan tubuh. Adapun hambatan-hambatan penerapan strategi komunukasi terhadap pelayanan kesehatan masyarakat umum pada rumah Sakit Sultan Dg Radja Bulukumba adalah adanya keterbatasan jumlah sumber daya manusia serta sarana dan prasarana.
Kata Kunci : Strategi Komunikasi, Pelayanan Kesehatan
An overview of audiovisual translation: Four methodological turns in a mature discipline
Authors: Chaume Frederic 
Published: September 2020

Digital technology has played a crucial role not only in the process of production and distribution of audiovisual content, but also in the process of localization and consumption of audiovisual products. This has had an obvious impact on audiovisual translation as a field, both in professional circles as well as in scholarly research. To date, this field of research has grown exponentially, parallel to the production, consumption, interaction with and general interest in audiovisual products. At the same time, translation studies have been growing as a discipline and, consequently, has been influencing audiovisual translation (AVT) research. This article presents a due brief overview of the four turns audiovisual translation has taken to date (the descriptive, the cultural, the sociological and the cognitive turns), and identifies some of the major steps already undertaken, as well as possible research avenues that such turns are currently opening.
INFLUENCE OF FOOD ADEQUACY ON ENROLMENT IN ECE CENTRES IN TURKANA CENTRAL SUB COUNTY, TURKANA COUNTY, KENYA
Authors: Erukudi Locha , Edabu Paul 
Published: September 2020

Purpose: This study sought to establish the influence of SFP on children enrolment in early childhood education centers in Turkana Central Sub-County, Kenya. Specific objective was to establish the influence of food adequacy on enrolment in ECE centres in Turkana Central Sub County, Turkana County, Kenya.
Methodology: The study was based on Maslow hierarchy of needs, the program theory and liberal egalitarian theory. The study used a mixed research method. The study adopted the cross-sectional research design. The target population was 250 schools, 78 teachers and head teachers and 5,000 parents in pre-schools in Turkana Central Sub County. The study used purposive sampling to select respondents. The sample size of the study was 150 schools, 60 teachers and head teachers and 357 parents. Primary data was gathered by use of questionnaires and interviews guides. Secondary data consisted of report forms of pre-schoolers. Quantitative information was analyzed using descriptive statistics which was computed using SPSS version 21. Qualitative data was analyzed using content analysis. Multiple regressions were done to analyze the influence of SFPs on children enrolment in ECDE centres in Turkana Central Sub County.
Findings: The study found that food adequacy significantly and positively relate with children enrolment in ECE centres in Turkana Central Sub County, Turkana County, Kenya. Food adequacy had statistically significant effect of school enrolment in ECD (β = 0.415, P = 0.005). It implies that food adequacy significantly and positively relate with children enrolment in ECE centres in Turkana Central Sub County, Turkana County, Kenya. This implies that increasing food adequacy will lead to increase in children enrolment in ECE centres in Turkana Central Sub County, Turkana County, Kenya.
Unique contribution to theory, practice and policy: The study therefore recommends the government to increase food supply to ensure adequacy. There is need to continue supply of balanced diet to children because it improves their growth and learning. Some of the children are from very poor families and during school holidays they suffer because of lack of food; the study therefore recommends orphans, poor and disabled to be fed even during holidays.
EVOLUCIÓN DEL TRATAMIENTO JURÍDICO DE LA RESPONSABILIDAD PENAL DE LAS PERSONAS JURÍDICAS EN LA LEGISLACIÓN PERUANA
Authors: Chino Flores Sonia 
Published: September 2020

El presente trabajo de investigación, ha sido concebido para el estudio de la evolución de la responsabilidad penal de las personas jurídicas en la legislación nacional, su tratamiento legalen la doctrina y el derecho comparado para concluir en la perspectiva actual dentro del sistema jurídico como una opción de política criminal; cuyo objetivo es analizar la evolución que tuvo la responsabilidad penal de las personas jurídicas en la legislación penal en el Perú y establecer las posiciones existentes dentro de la doctrina y derecho comparado, para identificar la perspectiva actual como una opción de política criminal. El trabajo responde a una investigación cualitativa cuya característica es analítica, dogmática y prospectiva. En nuestra legislación nacional, la responsabilidad penal de las personas jurídicas no fue regulada taxativamente, como en el Código Penal del año 1863 y 1924, aunque ciertamente en el Código Penal vigente de 1991 se ha incorporado las denominadas consecuencias accesorias así como criterios para su determinación, aplicables a las personas jurídicas, el mismo constituye un avance hacia su incorporación; en el derecho comparado países como Francia, España y entre otros, han incorporado esta nueva tendencia en sus legislaciones, bajo argumentos de programas de cumplimiento y de orden político criminal.
Meteorology-normalized impact of the COVID-19 lockdown upon NO2 pollution in Spain
Authors: Petetin Hervé , Bowdalo Dene , Soret Albert , Guevara Marc , Jorba Oriol , Serradell Kim , Pérez García-Pando Carlos 
Published: September 2020

Abstract. The spread of the new coronavirus SARS-CoV-2 that causes COVID-19 forced the Spanish Government to implement extensive lockdown measures to reduce the number of hospital admissions, starting on 14 March 2020. Over the following days and weeks, strong reductions in nitrogen dioxide (NO2) pollution were reported in many regions of Spain. A substantial part of these reductions was obviously due to decreased local and regional anthropogenic emissions. Yet, the confounding effect of meteorological variability hinders a reliable quantification of the lockdown's impact upon the observed pollution levels. Our study uses machine-learning (ML) models fed by meteorological data along with other time features to estimate the “business-as-usual” NO2 mixing ratios that would have been observed in the absence of the lockdown. We then quantify the so-called meteorology-normalized NO2 reductions induced by the lockdown measures by comparing the estimated business-as-usual values with the observed NO2 mixing ratios. We applied this analysis for a selection of urban background and traffic stations covering the more than 50 Spanish provinces and islands. The ML predictive models were found to perform remarkably well in most locations, with an overall bias, root mean square error and correlation of +4 %, 29 % and 0.86, respectively. During the period of study, from the enforcement of the state of alarm in Spain on 14 March to 23 April, we found the lockdown measures to be responsible for a 50 % reduction in NO2 levels on average over all provinces and islands. The lockdown in Spain has gone through several phases with different levels of severity with respect to mobility restrictions. As expected, the meteorology-normalized change in NO2 was found to be stronger during phase II (the most stringent phase) and phase III of the lockdown than during phase I. In the largest agglomerations, where both urban background and traffic stations were available, a stronger meteorology-normalized NO2 change is highlighted at traffic stations compared with urban background sites. Our results are consistent with foreseen (although still uncertain) changes in anthropogenic emissions induced by the lockdown. We also show the importance of taking the meteorological variability into account for accurately assessing the impact of the lockdown on NO2 levels, in particular at fine spatial and temporal scales. Meteorology-normalized estimates such as those presented here are crucial to reliably quantify the health implications of the lockdown due to reduced air pollution.
The Cost of Robot-assisted Total Hip Arthroplasty: Comparing Safety and Hospital Charges to Conventional Total Hip Arthroplasty
Authors: Kirchner Gregory J. , Lieber Alexander M. , Haislup Brett , Kerbel Yehuda E. , Moretti Vincent M. 
Published: September 2020

Introduction:
Utilization of robotic assistance is increasing for total hip arthroplasty (THA). However, few studies have directly examined the efficacy of this technique at reducing complications. This research aims to compare the rates of perioperative complications of robotic-assisted THA (RA-THA) with conventional THA (C-THA).

Methods:
This study screened more than 35 million hospital discharges between 2010 to 2014 using the National Inpatient Sample. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedure codes were used to identify 292,836 patients who underwent C-THA (ICD 81.51) and 946 patients who underwent RA-THA (ICD 81.51 and ICD 17.41, 17.49). Perioperative complications were identified using ICD-9-CM diagnosis codes. Patient mortality was determined using the Uniform Bill patient disposition. The RA-THA cohort was statistically matched 1:1 to C-THA about patient age, sex, race, comorbidities, hospital type, and calendar year. Mean cost and length of stay (LOS) for each cohort were calculated and compared using the Kruskal-Wallis H test. Logistic regression was used to compare the risks of major and minor complications between the cohorts.

Results:
We matched 758 (80.13%) RA-THA patients with 758 patients who underwent C-THA. No patient in our sample died. When compared with the conventional group, multivariate analysis revealed that the risk of major complications was similar in RA-THA patients (odds ratio = 0.698, 95% confidence interval = 0.282 to 1.727). In addition, although the rate of minor complications was higher in the RA-THA cohort (21.6% versus 12.5%, P = 0.004), no difference was observed on multivariate analysis (odds ratio = 1.248, 95% confidence interval = 0.852 to 1.829). The average inpatient hospital cost of a RA-THA was $20,046 (SD = 6,165) compared with $18,258 (SD = 6,147) for C-THA (P < 0.001). The average LOS was for RA-THA was 2.69 days (SD = 1.25) compared with 2.82 days for C-THA (SD = 1.18, P < 0.001).

Discussion:
In a statistically matched cohort, the risk of perioperative complication in patients who underwent RA-THA versus C-THA patients were similar. However, RA-THA was costlier despite shorter LOS.

Level of Evidence:
Level III, retrospective cohort analysis
Development, implementation, and evaluation of a competency-based didactic and simulation-focused boot camp for incoming urology residents: Report of the first three years
Authors: Wang Yuding , Hoogenes Jen , Clark Roderick , Wong Nathan C. , Blankstein Udi , Randhawa Harkanwal , Lovatt Catherine , Kim Kevin , Stern Noah , Law Jeff , Sami Samir , Uy Michael , Moore Courtney , Shayegan Bobby , Kapoor Anil , Lambe Shahid , Davies Timothy , Dave Sumit , Sener Alp , Matsumoto Edward D. 
Published: September 2020

Introduction: The Royal College of Physicians and Surgeons of Canada’s Competence by Design (CBD) initiative presents curricula challenges to ensure residents gain proficiency while progressing through training. To prepare first-year urology residents (R1s), we developed, implemented, and evaluated a didactic and simulation-focused boot camp to implement the CBD curriculum. We report our experiences and findings of the first three years.
Methods: Urology residents from two Canadian universities participated in the two-day boot camp at the beginning of residency. Eleven didactic and six simulation sessions allowed for instruction and deliberate practice with feedback. Pre-and post-course multiple-choice questionnaires (MCQs) and an objective structured clinical exam (OSCE) evaluated knowledge and skills uptake. For initial program evaluation, three R2s served as historical controls in year 1.
Results: Nineteen residents completed boot camp. The mean age was 26.4 (±2.8) and 13 were male. Participants markedly improved on the pre- and post-MCQs (year 1: 62% and 91%; year 2: 55% and 89%; year 3: 58% and 86%, respectively). Participants scored marginally higher than the controls on four of the six OSCE stations. OSCE scores remained >88% over the three cohorts. All participants reported higher confidence levels post-boot camp and felt it was excellent preparation for residency.
Conclusions: During its first three years, our urology boot camp has demonstrated high feasibility and utility. Knowledge and technical skills uptake were established via MCQ and OSCE results, with participants’ scores near or above those of R2 controls. This boot camp will remain in our CBD curriculum and can provide a framework for other urology residency programs.
Prognostic impact of paraneoplastic syndromes on patients with non-metastatic renal cell carcinoma undergoing surgery: Results from Canadian Kidney Cancer information system
Authors: Sun Ryan , Breau Rodney H. , Mallick Ranjeeta , Tanguay Simon , Pouliot Frederic , Kapoor Anil , Lavallée Luke T. , Finelli Antonio , So Alan I. , Rendon Ricardo A. , Fairey Adrian S. , Lattouf Jean-Baptiste , Kawakami Jun , Bhindi Bimal , Basappa Naveen S. , Wood Lori A. , Bjarnason Georg A. , Heng Daniel Y. C. , Bansal Rahul 
Published: September 2020

Introduction: The impact of paraneoplastic syndromes (PNS) on survival in patients with renal cell carcinoma (RCC) is uncertain. This study was conducted to analyze the association of PNS with recurrence and survival of patients with non-metastatic RCC undergoing nephrectomy.
Methods: The Canadian Kidney Cancer information system is a multi-institutional cohort of patients started in January 2011. Patients with nephrectomy for non-metastatic RCC were identified. PNS included anemia, polycythemia, hypercalcemia, and weight loss. Associations between PNS and recurrence or death were assessed using Kaplan-Meier curves and multivariable analysis.
Results: Of 4337 patients, 1314 (30.3%) had evidence of one or more PNS. Patients with PNS, were older, had higher comorbidity, and had more advanced clinical and pathological tumor characteristics as compared to patients without PNS (all p<0.05). Kaplan-Meier five-year estimated recurrence-free survival (RFS), cancer-specific survival (CSS), and overall survival (OS) were significantly worse in patients with PNS (63.7%, 84.3%, and 79.6%, respectively for patients with PNS vs. 73.9%, 90.8%, and 90.1%, respectively for patients without PNS, all p<0.005). On univariable analysis, presence of PNS increased risk of recurrence (hazard ratio [HR] 1.67, 95% confidence interval [CI] 1.48–1.90, p<0.0001) and cancer-related death (HR 1.85, 95% CI 1.34–2.54, p=0.0002). Adjusting for known prognostic factors, PNS was not associated with recurrence or survival.
Conclusions: In non-metastatic RCC patients undergoing surgery, presence of PNS is associated with older age, higher Charlson comorbidity index score, advanced tumor stage, and aggressive tumor histology. Following surgery, baseline PNS is not strongly independently associated with recurrence or death.
Decision-Making Visual Aids for Late, Imaging-Guided Endovascular Thrombectomy for Acute Ischemic Stroke
Authors: Moshayedi Pouria , Liebeskind David S. , Jadhav Ashutosh , Jahan Reza , Lansberg Maarten , Sharma Latisha , Nogueira Raul G. , Saver Jeffrey L. 
Published: September 2020

Background and Purpose Speedy decision-making is important for optimal outcomes from endovascular thrombectomy (EVT) for acute ischemic stroke (AIS). Figural decision aids facilitate rapid review of treatment benefits and harms, but have not yet been developed for late-presenting patients selected for EVT based on multimodal computed tomography or magnetic resonance imaging.Methods For combined pooled study-level randomized trial (DAWN and DEFUSE 3) data, as well as each trial singly, 100 person-icon arrays (Kuiper-Marshall personographs) were generated showing beneficial and adverse effects of EVT for patients with AIS and large vessel occlusion using automated (algorithmic) and expert-guided joint outcome table specification.Results Among imaging-selected patients 6 to 24 hours from last known well, for the full 7-category modified Rankin Scale (mRS), EVT had number needed to treat to benefit 1.9 (interquartile range [IQR], 1.9 to 2.1) and number needed to harm 40.0 (IQR, 29.2 to 58.3). Visual displays of treatment effects among 100 patients showed that, with EVT: 52 patients have better disability outcome, including 32 more achieving functional independence (mRS 0 to 2); three patients have worse disability outcome, including one more experiencing severe disability or death (mRS 5 to 6), mediated by symptomatic intracranial hemorrhage and infarct in new territory. Similar features were present in person-icon figures based on a 6-level mRS (levels 5 and 6 combined) rather than 7-level mRS, and based on the DAWN trial alone and DEFUSE 3 trial alone.Conclusions Personograph visual decision aids are now available to rapidly educate patients, family, and healthcare providers regarding benefits and risks of EVT for late-presenting, imaging-selected AIS patients.
Land satellite imagery and integrated geophysical investigations of highway pavement instability in southwestern Nigeria
Authors: Ademila Omowumi , Olayinka Abel Idowu , Oladunjoye Michael Adeyinka 
Published: September 2020

The high global numbers of road accidents due to bad roads and the failure of other engineering structures have necessitated this study, particularly as road transport accounts for a higher percentage of cargo movement in African countries. The geophysical investigation was carried out on six failed and two stable sections along the Ibadan-Iwo-Osogbo highway to examine the geological factors responsible for highway failure in the area. A Landsat ETM+ (Enhanced Thematic Mapper Plus) imagery of the study area and its environs was acquired and processed for lineaments analyses. Magnetic, Very Low Frequency Electromagnetic (VLF-EM) and electrical resistivity methods involving Schlumberger Vertical Electrical Sounding (VES) and 2-D imaging using a dipole- dipole array were utilized. Lineaments were identified across failed localities. Lateral magnetic variations in the near-surface geological materials characterized the study area. The 2-D VLF-EM models generated showed conductive zones corresponding to fractured zones of conductive clay materials within the basement rocks. Subgrade soils below the highway pavement along the failed sections are typical of incompetent clayey and sandy clay/clayey sand formations with resistivity values between 20–475 Ω∙m. In comparison, the subgrade soil beneath the stable sections has moderate to high resistivity values of 196–616 Ω∙m. 2-D resistivity structures across the failed segments identified low resistivity water-absorbing clay and lithological contacts. Water absorbing, clay enriched subgrade soils and the identified near-surface linear conductive features are the major geologic factors, and poor drainage network resulted in the highway failure. Remote sensing and geophysical investigations of the geological sequence and structures underlying the highway should be carried out before construction to effectively complement the routine geotechnical studies to ensure the sustainability of road nfrastructure.
Hydrological and soil physiochemical variables determine the rhizospheric microbiota in subtropical lakeshore areas
Authors: Zhang Xiaoke , Wang Huili , Li Zhifei , Xie Jun , Ni Jiajia 
Published: September 2020

Background
Due to intensive sluice construction and other human disturbances, lakeshore vegetation has been destroyed and ecosystems greatly changed. Rhizospheric microbiota constitute a key part of a functioning rhizosphere ecosystem. Maintaining rhizosphere microbial diversity is a central, critical issue for sustaining these rhizospheric microbiota functions and associated ecosystem services. However, the community composition and abiotic factors influencing rhizospheric microbiota in lakeshore remain largely understudied.

Methods
The spatiotemporal composition of lakeshore rhizospheric microbiota and the factors shaping them were seasonally investigated in three subtropical floodplain lakes (Lake Chaohu, Lake Wuchang, and Lake Dahuchi) along the Yangtze River in China through 16S rRNA amplicon high-throughput sequencing.

Results
Our results showed that four archaeal and 21 bacterial phyla (97.04 ± 0.25% of total sequences) dominated the rhizospheric microbiota communities of three lakeshore areas. Moreover, we uncovered significant differences among rhizospheric microbiota among the lakes, seasons, and average submerged depths. The Acidobacteria, Actinobacteria, Bacteroidetes, Bathyarchaeota, Gemmatimonadetes, and Proteobacteria differed significantly among the three lakes, with more than half of these dominant phyla showing significant changes in abundance between seasons, while the DHVEG-6, Ignavibacteriae, Nitrospirae, Spirochaetes, and Zixibacteria varied considerably across the average submerged depths (n = 58 sites in total). Canonical correspondence analyses revealed that the fluctuation range of water level and pH were the most important factors influencing the microbial communities and their dominant microbiota, followed by total nitrogen, moisture, and total phosphorus in soil. These results suggest a suite of hydrological and soil physiochemical variables together governed the differential structuring of rhizospheric microbiota composition among different lakes, seasons, and sampling sites. This work thus provides valuable ecological information to better manage rhizospheric microbiota and protect the vegetation of subtropical lakeshore areas.